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HomeMy WebLinkAbout02-0627PETITION FOR PROBATE Estate of m'~~'~~ Kt,>NE also known as Deceased. Social Security No. 2 0 2 b 9 ? y 3 2 and GRANT OF LETTERS No. ~~~~~ • ~OiZ7 To: Register of Wills for the County of CUMBERLAND in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: named Your petitioner(s), who is/are 18 years of age or older an the executQ/~ , 19 in the last will of the above decedent, dated Oci7rrs t,~ S /9 `~ 9 and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in ~"^'aF~~'r"iA h r S last family or principal residence at ~6 Z 3 f~•- ~ (list str t number and muncipality) County, Pennsylvania, with C L E.4ae ~~ ~ l~~'• rFt years of age, died J`r ~E Z~j Z ~ ~~ L ' ~ ' Decendent, then ~ . Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as fallows: (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: `f~~ ~ fG ~~ < <~~~~~`J ia-ru o H"i ~ c A~ ! 7~ r / m WHEREFORE, petitioner(s) respectfully re Tests~nentprobate of the last will and codicil(s) presented herewith and the grant of letters (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. H d ~~ ~. KL.,v 2tC / r a ~ Zc Z ~E,~e~ ~ihvE ,a ..~ "a vw ~ o a 00 ~~~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA t ~s COUNTY OF CUMBERLAND f 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 an ~r may administer theyestate according to law. Sworn to or affirmethand subscribed 'ZzY'2 ~ ^' c•' before me this a 11 daZ00 ~ Jul ~f+~ ~ Mary Lewis Register ~. /D D ov v tr r $ .___-- ©,2 ~ ~~ /7~-75<9 NO. 21-2002-627 Estate of MURRAY E. KLINE ,Deceased DECREE OF PROBATE AND GRANT OF LETTERS FEES AND NOW July 11th ~ 2002 m consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated October 5th, 1999 described therein be admitted to probate and filed of record as the last will of Murray E. Kline and Letters Testamentary are hereby granted to Richard E. Kline Probate, Letters, Etc.......... $~~~ _ nn Short Certificates( ) . ~.~.. , . , . , ~ 45. QO Renunciation ...7 ............. $ 5.00 x-Pages (3) ~ g 00~ JCP 5.00 Copies TOTAL ~ 2.00 Filed ...~uly..llth,..2002.... Register of Wills Mary C . Lewis ATTORNEY (Sup. Ct. I.D. No.) .ADDRESS PHONE ^r _..J 7 ~- MAILED LETTERS AND -ORDER 'I17 EXECU'IipR ON 7-11-2002 .n5,Sn5 or~'~l.Q/. This is to certify that the information here given is correctly copied from an original certificate of death. duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 :' Loc egistrar P 8454225 No. Nwi ~+JRer rai rrvurR,NT Ka PERMANENT BLACK INK Z - _~~ Dare COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH NAME OF DECEDENT !FaR Mona. -aq ~_--~-- - -- SE% SCCUL SECURITY NUMBER DATE F CEaiN,MCnm. Ca•. 'o«I ~ ,. Murray E. Kline :. Male ]. 202 - 09 - 7432 ~• ~ t ~ AOE IWa B,nncayl UNDEII, YEM UNDER, DIM OREi]F BMTN BUITNPLACE :Cry Yb PLACE OFI~RN,Cnaca,v~w era---ea.+%rw:rnnmuma +,wl MoM11 . Days IlolAa . MY•Ma 'Mmm. Day Karl 3MM JrFbagn COUnuyl /10SPITAL. OTHER: Mar. 25 '18 Sunbury PA 84 Yn -^I,'7 ERlOuIpaIMN ~ DDAC °'"" / ^ RaaWKa ~ ,SPacayl , 7 . , ~ COYNTM aF OEiQN CtT'/, BORO. T1AIP OF DERV FACKT' NAME JI'wl+.v~nam yra RIIM ano nurnar~ vMS DECEDENT OF WSMNK:ORgIN'! RACE ~ Aal«a:an InOian. Blq. WMa. etc. M ®.Pwno RCaa.~*G`~ i5~~1 Twp. Cumberland st PennsbOro ~ fG l white ~ S F ~ ~c:~ /' / _/ t ~, ~ i DECEDENT'S USUAL PIBION RIND OF OU$BaESSIINWSTRr VM~OFCE NT EVERW DECEDEN7'SEDUCRKNa MARRALSWUS•Manwa SURVIVING SPOUSE t Ila.O at ~%dyy n„ yna Ua. ARMED FONCE97 n N ~~ ,%Na..7ne maWnnalMl p eMm•r%aMSaaena+n ~• W.rE.IB M.: oo r,n,nal.irad) railroad y ^ ,, „a , widower ID's' 8 jip5" hi i ,.. ,,. st ,,.. ,]. . „ mac n DECEDENT'BMAKPKi ADDRESS (sllaK. CAN6.y,.sw.IC COaa, ~ Eµ HT'S a.lm lralpn aSt P nnRbO n a.P PA t7a ® Yaa 4623 S. Clearview Drive 17i. ~~_ . . . as RESIDENCE a.c.an Camp Hill, PA 17011 ,.. en°"""°" Cumberland loenNip, "°'°"'°'""'° s<."°"°°"` `"'"• ,,.^ AaIL, aI~IM LMNw , 7.. FRHER'S NAME IF%K. M,OaI. URI MOTHER'S NAME lF.g. M,odM. MrWn Swnamp ,. Grant I. Kline ,,. Anna V. K i le INFORMANT'S NAME RYP«vrmn 1 l/FDRMANT'S MA,.Y10 ADDRESS ISrar. GMRwn. Slala. ZipCawl Luzetta Kline Jett 8354 Fmerald Lake Dr. East P'nso MET?toooFasPOBITIDN wTEDFD15POBIrK,N vuceavasrosrtlott-NarnaaCamalry.G«namly LOCK .caylTwrn.Sw.z~PGoa aa,.~ D""""°"^ ""'"""'°'"S1ti^ ` J ~ ~ P ta ~,,,^ ^ L y , 2002 ax ng Cemetery Harrisburg, PA , s. :,e. :,e. LICE ACTI?q AS SUCH LICENSE NUMBER .NAME ANO ADDRESS OF FACEJTV _. „~. 014404-L ,~etrick Fun. Home Inc. 3125 Walnut St. Hb P aalna 7]ac only rallan TO na Vaal al myYrorlo,a. oaNn occunao M,M 1%M.al Arlo Waco autad LCENSE NVMBER ORESKUIED + ,nyaCWl «nal avaaacN Y I«M W ol,Mn q a ana TAa) (MOM. Day. Wl aanM auaa a aaaln. ,err 3a•T, rralM a lbrnplall,o try TIME Oi DEATH C ATE PRONOUNCED DEAD IMOM. Day "eul VAS WSE REFERRED TO MEDICAL EJUMINERICOROMER? , , d N ® ^ praon e ro prorrour,caa aa Na I d ~. . a J u,1 ~ a G . ~ el M . . . . 77. ,YMR I: EMr 11M alNaNa. «p%W «C.arra?aCalMlnt w1t114YYd oY daaN. 0• M aN« dla rtroM Ol dyalq, fu nl as WnaC W raapvMOry uraM. Ynca m MM lWwa r AppOamMa vMT R: OtlIM MBIMkYII Wrld.sla CdIYOuYnB pOMM.OM ~,N«ya1WMMrl rlet raaWlaq a,tM Ur10«lyalp fJlY,naan TART I. erla CauNmaarllYM LW r% y . ///,,,'777 - l//,-r ~) IYYEpATECAMiE IFrrul •~~ ~ r~'M L'aL~OV~S iarranddw, draw»ararw,on L'to I,rrrq ocaaall-- .. ~ - AS A CONSEOl1ENCE OFI: , /. 'f ~ BacurrYy Ytnnaalrl o -- aany,Maairl,Mwal,aaMp TO ICR ASACChSEOUENCE OF). _-....-. I caw. Enw INB]OB.TWO ~ CAUBEID«aaaaa ayury c. aW arYp av«%a DUE TO IO,t AS A CONSEOVENCE OFI: I rl,allaap n wavll IABT c. VMS AN AUTgSr WERE AUTOPSYfND,NOS MANNER OF DERM DALE OFIWURr TIME DFIWURr IWWirR WORM DESCRIBE NOWINAHIr OCCURPED. PERFORMEO7 Aaatn.ABLE -RIDR ro glcrrl. Day. Marl e ~ETIDNOF UUSE N.a.al L'1 Nomltle. ^ ~ yYa ^ NO^ AtCWra ^ PanGrp Mvappalron ^ M YN ^ No ® rM ^ No ^ Swiccida ^ Cou1o nlA W oNarl,lma0 ^ LOCRION 151raw. C,Mlown. SYq PLACE OF NaIURY .,V soma. Mm. vraN. la<rory. ollka pua.aq, etc. ISOacMI 2,a. r. NN. 7,f. CIAfI/Il11lCMCY Orq aM SIGNAURE ANO TITLE ERTIFIER •CEM,iYMO-NrBICIA111PnyaCanc«tyyaq cauaa d a•aln ++vr.v.ww onvscan naa oronwncw aaam aM ccmcwlc!,am 171 ^ ~ ' re v,e 11aM el rnr lue«Lava. a.atl,eceurM w.,o,n. aeaaNN.na m.nn.• a. ww .............. _ ..................................... ], LICENSE NUMBER DATE SgNEOIM«.n. Day.'Lail •-RONOUNCIND AND I:EIITIFY,q M1r81C1AN fPnyvcian oam ;rOrowrc+q wAn anO carNWy ro :ausa n awmi Te Ula oM, W ray %newlaaga, oeaNeecunaa al tM llrrw. oats, ano Waco. ana Oua b lM eaeNlal aM mamlr as aLnW ...................... ~ ], ] t . NAME AND ADDRESS PE SON WNO COMPIEi OCAUSE DF OFRN C .yL.~ }~ Were 2?I Typaa Pral, I/' ~ Q 'MEDICAL E%AWNER/CORONER QO I /~ ~ M I Y A •A , //r•.7-I OR ll,a Oaaia of aaaminatlon anNa invaatiga,ion, in my ogmon, daalll oc<urraa al tM llme, data, and place, and due to the uuaalal and ~ In.nnar a. atat.d ....................................................................................... ......... G l0~ ~ t a ],.. p ]]. REGISTRAR'SSIGNATURE ANO NUMBER DATE FRED•Mp~m Oay i v ~~)~a.).~~.~(~1~~J.~~~ ]] ~ r !1 f%fJ~/ ~/7 7.. ~ fig ~ ~l 21-2002-627 .-= __, . _ ~~~ ~~ t1 RE\1-{jOOEXlf>-OOl COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT 280601 HARRISBURG, PA 17128-0601 REV-1500 OFFICIAL USE ONLY ~ w >- ::&:::$(1) "",,,, w"" ",00 ,,"''''' .... .. '" ,-, . _:L 4- ---mE.-_ FilE NUMBER B..L-O.1 iLQ.-f__ COUNTY CODE YEAR NUMBEt- INHERITANCE TAX RETURN RESIDENT DECEDENT I- Z W C W U w C DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) L/ /\/[. (VI u. UA-'i f DATE OF DEATH (MM-DD-YEAR) DATE OF BIR';H (MM-DD.YEAR) 0{z<flzDOL. 03 2:; Iqlg (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER SOCIAL SECURITY NUMBER ZoZ-- oq 71.f3 z. II 1. Original Return o 4. Limited Estate II. 6. Decedent Died Testate {Attach copy 01 Will) o 9. Litigation Proceeds Received D 2. Supplemental Return D 4a. Future Interest Compromise (date 01 death after 12.12.82) o 7. Decedent Maintained a Living Trust (Attach copy 01 Trust) o 10. Spousal Poverty Credit (dateD/death between 12-31-91 and 1-1-95) D 3. Remainder Return (date 01 death prior to 12-13-82) D 5. Federal Estate Tax Return Required -.l 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A} (Attach Sch 0) >- Z w C Z o .. III W '" '" o " NAME ~ ( c f-h\--f. D Kl-wr:: COMPLETE MAILING ADDRESS 2"Z. ffTfioW L-ft"dE NEw LUWltJ#'l-IfiVO pit 17070 I f. FIRM NAME (If Applicable) TELEPHONE NUMBER [17- ~3Z--2fSb 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) (1) <[ '1, 7 gO. " 0 (2) >, 21f 2, ] J (3) (J- (4) 0 - (5) I 1'30.00 , (6) (Vf ,4'6'1, 3g- I I I I I I I I L.~_*__.__~..______.~______.j 2~11 4tt/.{,'f OFFICiAl'uSE ONLY '1 I I I 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) z o ~ ~ I- ir <I: U w II:: 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 (Schedule G or L) (7) 0- 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (8) (9) 7"17 7 , > -2- (10) 3 I G, Z , 3 ~ 11. Total Deductions (total Lines 9 & 10) ID,14;-,(gtf 2Zg,'-/1b.o~ o - 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) (11) (12) (13) 14. Net Value Subject to Tax (Line 12 minus Line 13) 22~,~rb.o5' (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o !;i: I-' ~ a.. :::IE o U ~ 15. Amount of Line 14 taxable at the spousal lax rate, or transfers under Sec. 9116 (a)(1.2) x,O_ (15) xO 45' (16) to zg2 '>2-- 16. Amount of Line 14 taxable at lineal rate 2Z~, 4H.oz;' 17. Amount of Line 14 taxable at sibling rate x ,12 (17) x ,15 (18) 18. Amount of Line 14 taxable at collateral rate 19. Tax Due (19) 10 2fZ3'L I 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Complete Address: STREET ADDRESS Lf~13 SO~jrl CL-EM<V,{w PI!/v'€ CITY Ckw> I l-f I ~L I STATE fA I ZIP 17011 (1) Total Credits (A+ B + C) (2) 5'11./t, o b TotallnteresUPenalty ( D + E ) (3) 4. If Line 2 is greater than Une 1 + Une 3, enter the difference. This is the OVERPAYMENT, Check box on Page 1 Line 20 to request a refund (4) 10, 2 g-.z ,32.. , ()- &- 5. If Une 1 + Une 3 is greater than Une 2, enter the difference. This is the TAX DUE. (5) "!7'11/6 A. Enter the interest on the tax due. (SA) 0- B. Enter the total of Une 5 + SA. This is the BALANCE DUE. (5B) 11 CJ 7'1 j, It Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS Yes ..............0 o ......0 ....0 1. 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? ..0 ........0 No ~ ~ ill ~ III III ....0 ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN, Under penalties of perjury, I declare thai I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete Declaration of preparer other than the personal representative is based on all information of which preparerhas any knowledge. ADDRESS 20'2- FfTf{..WI-~t A/[wa''''I!{'{~IW!), I~ (7<>70 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ' tJ ADDRESS DATE 'i~ii'JII~Ili!il!__I~I_lllIi!il!iliJ~--"-~- 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. 99116 (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. 99116 (a) (1.1) (H)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 PS. 99116(a)(1.211. 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. 99/16(1.2) [72 P.S. 99116(a)(I)]. 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. 99116(a)(I.311. 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. :"'1502EX'II~". COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF t'Y) (,j ~(LA'f 6- K L I tJE FILE NUMBER 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 wilHng seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorshiD must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH t!Otl5( iocATeiJ ,41 YbZ3 S'O'-'TH CL(;tI<<\/,f~V1/ (}f!N!; (/t"".,P HILL PA /70 (f I 1/ 9 VI 7 g D. 00 /0 -ZI- 627q-I'i~ LI~Z3 S, c.dMv'(vJ rJtNE !?r~,o(.vTi4L WITH iJu.(iOI,vC-5 Lor /zV~F [Lf./h'l.vI6vt1 Flfrlffl5. TI* vl/1.-",[ Lv If 5 1/'1'1:: f,v p,t. YV/ T ttE- 2 (J 0 'Z- 6"'-"-71774-1'- /t:>f6SS mh./I: (iA. "." I) ffL t.-/tYV1) TOTAL(Alsoenteronline1,Recapitulation) $ '/'-1 71!O ,,00 (If more space is needed, insert additional sheets of the same size) REV_1003EX+(1.g7) '* SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER rn U (lilft'/ E K(,I,vf- All property jointly-owned with right of sUlVivorship musl be disclosed on Schedule F. ITEM NUMBER DESCRIPTION 1. . VALUE AT DATE OF DEATH il) <;Hil-atS Or:- {'CYVlvywY >TVCIL 1"/ WIG-HirE, Mfr, SH1f/L{ VI/IJ-l(e ~,v' fl.,My "')U/'2- -= 2 cr.23 ~6- . ~/h'h1t Vlll-<d 0111 "".....-/)I\-i 1/1/01.. - 2 <{. I 1 AV6- <;rn+a.f V1J1.,ut RtL (l(Ji1t OiPts (Ji(vlC.~ ft1vO Il+rril. 11"f'C "A..rf"h"dJ IS ~.t2q.2( fl \ S /-lil7l(5 fir m(.HIPL & '21.2 I ") 21{ l. s / TOTAL(Alsoenteronline2,Recapitulation) $ '52 '12.3/ (If more space is needed, insert additional sheets of the same size) 'REV''''''''.''''''W COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF y1Ju{2dA-'/ FILE NUMBER f;. KLINE Include the proceeds of litigation and the date the proceeds were received by the estate, All property jointty-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. 2. 3. DESCRIPTION I q ? 1 ro~{) {(10..J.v VI(TD!ZII't sDI\J TI-rLf# Lflq5(3~D7o( f(.L. 'vlrJ~ 2FA rJf7l/F'H:.XIQgf!.f3 Vl1'5d~c~t'~5 v,{() fut,v,rJAll{;./,.Jt-,..,ts >ohtS" <!'f7htl;; , I / 'OltVl.v&- >PttkG, Mt(fl",.v/lh/t! I 4t-k!,St.....-IHlG. J 01> tf{S/ tJu.-nu!ts/ C~,rrrnJV6j Ol/J.4v....... >(..-tl;5; iV's, ~() A-?fL.,l~a::5 ,tf-~ l {J fl~ T 011><-1'- P,P. e." q,o t11/U5rJ..tlo I PiC- Iq 'l" /, fA?{ f/t(J",.-r B.'i< VALUE AT DATE OF DEATH 11 7go,oo -- -, 11 {( 0;0. <'0 0- J( 1130. OD TOTAL (Also enter on line 5. Recapitulation) $ :z J: 1 (If more space is needed, insert additional sheets of the same size) REV.'~0EX'(1.97). COMMONWEALTH OF PENNSll..VANIA INHERlTANCE TAX RE1URN RESIDENT DECEDENT SCHEDULE F JOINTL Y.OWNED PROPERTY ESTATE OF FILE NUMBER t'YllJj([(l~,/ f. fi-l,.wf. If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. LllZ-h,1l !<l,./oVC ;)LTT g~~t.( f"'1fiZlnj) L4JtE. O,-,V{. fiAS, r,l"SCN A L 3<;} 2b I 04'" ?ftTiZ B. c. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERT'f %OF DATE OF DEATH ITEM FOR JOINT MADE Include n<1me of financial institution and bank 9::count numbElr Of similar Identifying number. Attach DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT deed for joindy-held real estate. VALUE OF ASSET INTEREST DECEDENTS INTEREST 1. A. I e/IL/1q AI.-t.fiaS1 llJl7Vi<. Jb /klTJJ- ';17'/'6373 /1,4Zo.12. p.c, (lv"- q~o O-K'ct:;..j.v6- A-CCe,;.l,t.-"r 3~ gl.{o, n <;0 P11~t.s6"IIl.O O[ IHU, I ..-.---- 2., .4 At.~f1t2<T ~If1<..IL Ift:t T -IF q" 0 Zb ti'i 13 51,92%,'/5> III'Z./qq 103 155"1, ,(& 50 (J.o, a.", q 00 t'l1<-Y('t ltJ1-+a/C-1..,- /fa r , "'t~<$(Jva., pC I q qbb __0---- - ~ ---- - .. ~-- :>. A- I.IIL J" Jlul1d<T (Jlff-I"- Me ,-.ti ~700rtC"l<;e(4o /2,001. /,1 50 {,ooo, glJ p.o. /!,.y; ~oo C(I-Tlf,(flT{ GF ()K/l",r;.,'1 V\'I/c~5a",10 I Pc / qqU.. -----. _._-~...- --- 4. A 1611~J~ 1 /It.Lfl''<T tl/h-I"- !jr:CT-# ODDflo05>>417 /oL/,ts'l p,o, a"", 400 ddl1nl/T-n If- PlP",r '1~ 50 52, 3Z'I', 7';- rnl(..t..>a~f!.()1 Of l"Iqit --------_.--- "J. A. Idl,~qq (fit,. (lihvli I'tCcr# '3/oo~q, 04 10 e'/1 IQ, 1,2.0,4>- 50 1, 'lID. zz. '3i"o"'- fIl.,4<Q<( {l..tTD O<t,.,A,1/'TE oF- Pil"" {lIMP ItHL I (11'/ /?V/I - TOTAL (Also enter on line 6. Recapitulation) $ 13?,Lfzr, 32' (If more space is needed. insert additional sheets of the same size) REV-1511 EX+ (12-99) . ~J- COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF fI1U.r!1t4y E, KL-1iVe. FILE NUMBER ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: ItE-;J2.lcl'- rc.Mt/zm. /to""E, /II/C. I. (l~v{(>SI"1/fl-l '5U~vldS",vCI-""l/lIl_ hu't-<nfS, Etlullmf/VI tIJ4l tl1.'W1l- 26(}o.<'o tit" 11""E,v'f CltH-€ ., gO.::)'''?') V!1Ut..., 6"6'_ <>0 Olikrn (€f/.nf/c/rNS 7c.()i) t ",.-, .€~y uriltUn F f5",.'o co, 1'< 1/1t~ (/tt1r1.6-IfS 6~ pkrP'~r t/{.w$ 7.21) T~ "'fJ sn>t-If /lilf]2,Z<:J B. ADMINISTRATIVE COSTS: -' /24::"'.'0 1. Personal Representative's Commissions Name 01 Personal Representative{s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State __ Zip Year(s) Commission Paid: {1J'f,vt +- {diil/E ( .( 2. Attorney Fees t'!7Tim<< <0 /06'0. ilO 3. Family Exemption: (II decedent's address is not the same as claimant's, attach explanation) p.oo Claimant Street Address City State _ Zip Relationship of Claimant to Decedent 4. Probate Fees I T7/,tJO 5. Accountant's Fees j OloD Jt if? . J' " 6. Tax Return Preparer's Fees 7. ()kI/!."r rJ."vs .1154'2..- {"(V/~f;t"1WO /-/tV Jv~ftNh7.. J 73>. &~ TOTAL (Also enter on line 9, Recapitulation) $ 7777. '32 Debts of decedent must be reported on Schedule I. (If more space is needed, insert additional sheets of the same size) REV.1S12EX '11-97i muRRf)-'-/ SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS f.{l/N[ FILE NUMBER COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF f, Include unreimbursed medical expenses. ITEM NUMBER 1. DESCRIPTION AMOUNT j-fvl-Y 5{lJF-rT ffv>fm'l"L r}lu(f, T T ~/I{I;T +- iJ/fScuL!tt {-(2o..< f {f'/Y'o! /fiLL hM f /fr1(J<.tLih'-Ct- glf3. Z 0 I J. 92.. 5// .00 l1ultv]V/"" /""'I1-I'/4/t- t NtfM5lA'fl'- tk>.,(,~S d<<l/-v7U "" ("" A-(fo/c-+ ~t"'1/c /n.:;'c./M't"f !IH'itvisr; ~F (l~mtn ffr 1{f/:rIIi/.VtV w. fi.r/!.<w lUff/. Is-r7l?(~c.S tfm'1P 9WT'o#/VSrhf 1t.JlStI -t S(.d!t. /) c>::r 6:/1$ (j ILL S PI/Wc. w~f1.. tJ.,uS f ff,,u[ f, /l.-L:> ~U(Trt'(.. !3lu5 7/. 6tf 'II. !>o :J1.tl n5.71.( 'iid){) 1:>0.3 'l /J'I1 Z67. 2,(;, 222.5 i TOTAL (Also enter on line 10, Recapitulation) $ (If more space IS needed, Insert additional sheets of the same size) ')lb%.3Z- REV-1513fX < (1-97) '* SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER NUMBER I. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS (include outnght spousal distnbutions) RELATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE 1. LUZf-r--rn J<l-/,vtJ(3Tr 8'> '54 [",f.eIM t.-fI1<'E Qt/vt - FA-s, fl/VS~N 41.. 35/20 I OIf/MHrttZ.. 50 l?/J 2. Iiutl-&I( to 0"(_ /('l.- ,;vf 4 ttvSr'f {It/v€. />1J2cdiWIi.5ll"'ll6- ,Pit If,)';)':;' 50fV 50 'Iv 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 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART 11- ENTER TOT AL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) Please Note: Your Sale Proceeds Check is Attached BROKER'S Name, Address, ZIP Code, Federal Form lO99-B Proceeds From Broker and Barter Identification Number and Telephone Number: Exchange Transactions copy 8 FOR RECIPIENT Mellon Investor Servkes ".IMPORTANT TAX INFORMATION*u U.S. INFORMATION OMB NO. 85 Challenger Road Tnts is Important tax Information and Is being furnished to RETURN FOR 2002 1545.0715 Rldgefield Park, NJ 07660 the Imernal Revenue Service. If you are required to file a 22.3367522 return, a negligence penalty or olher sanction may be la Date of Sale lb CUSIP Number 1.800.649.3593 imposerl on )'ou If this income Is taxable and the IRS determines thai it has not been reponed. 08/0512002 59156RlO TO WHOM PAID 2. Stocks, Bonds. etc. 3. Bartering $2,918.80 4. FEDERAL INCOME TAX WITHHELD Richard E. Kline, Ex <AM Est. Murray E. Kline 202 Fetrow Ln. } 0 G{<JSs~$~eommll$lons REPORTED and options premiums New Cumberland, P A 17070-3014 TO IRS 0 G[oupro-:.~d$ 5. Descrlptlon Metlife, Inc. Investor 10 Redplents Idenllflcation Number on File ."';lIl?Ol ';'.Il M . I R \NS,\( liON Ill' 1,\11 Date Description Shares Sold Sale Price Gross Proceeds Tax Withheld Net Proceeds Trusllnlerest Balance ($) ($) ($) ($) Balance II 1.0000 08/08/2002 Shares Sold ] 11.0000 26.2955000 2,918.80 0.00 2,918.80 <),0000 .... IMPORTANT TAX RETURN DOCUMENT ATTACHED .... YOUR ACCOUNT HAS BEEN CLOSED. THE ATTACHED CHECK REPRESENTS THE FULL VALUE OF YOUR ACCOUNT. Retain this number for futnre reference: Investor 10: 8063 0253 6580 For information concerning this statement, call MetLife. Inc.'s Transfer Agent. Mellon Investor Services toll free at 1-800-649-3593 SFULL (03-02) PLEASE DETACH ALONG THE PERFORATION F 0807 nODO I 10 Instructions for Recipient Brokers and barter exchanges must report proceeds from transactions to you and to the Internal Revenue Service. This form is used to report these proceeds. Box 1a. - Shows the trade date of the transaction. For aggregate reporting, no entry will be present. Box lb. - For broker transactions, may show the CUSIP (Committee dn Uniform Security Identification Procedures) number of the item reported. Box 2. - Shows the proceeds from transactions involving stocks, bonds. other debt obligations. commodities. or forward contracts. Loses on forward contracts are shown in parentheses. This box does not include proceeds from regulated futures contracts. Report this amount on Schedule D (From 1040), Capital Gains and Losses. Box 3. - Shows the cash you received. the fair market value of any property or services as well as cash you received, and/or the fair market value of any trade credits or scrip credited to your account by a barter exchange See Pub. 525. Taxable and Nontaxable Income, for information on how to report this income. Box 4. - Shows backup withholding. Generally, a payer must backup withhold at a 30.5% rate if you did not furnish your taxpayer identification number to the payer. See Form W-9, Request for Taxpayer Identification Number and Certification. for information on backup withholding. Include this amount on your income tax return as tax withheld. Box 5. - Shows a brief description of the item or service for which the proceeds or bartering income is being reported. For regulated futures contracts and forward contracts. "RFC" or other appropriate description may be shown. *** IMPORTANT TAX INFORMATION *** This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported. TELEPHONE INQUIRIES: Call MetLife, Inc.'s Transfer Agent, Mellon Investor Services Our telephone system has been designed for easy access to information and completion of your request. Simply dial 1-800-649.3593 and foHow the instructions. CORRESPONDENCE INQUIRIES: Letter and other inquiries should be addressed to: MetLife. Inc. c/o MeHon Investor Services P.O. Box 4412 South Hackensack. N.]. 07606-2012 Via e-mail, inquires should be addressed to metlife@meJloninvestor,com ....... ............., ........, ..."... ~'-.. .................~ -r TAX YEAR REAL EST ATE TAX NOTICE KATHRYN W. FETROW, TREASURER 5000 CREEKVIEW ROAD MECHANICSBURG, PA 17050-2099 PHONE (717) 737-4822 SCHOOL REAL ESTATE DATE HOURS: "CLOSED MONDAYS" TUES-FRl 9AM-5PM EXCEPT: SEPT 13 - DEC 9AM-IPM BILL NUMBER 4710 MAKE CHECKS PAYABLE TO lAND IMPR ( TOTAL H;,500 78,280 94,780 8.890 Mills DURING THIS PERIOD PAY THIS AMOUNT JUL 2002-AUG 31 2002 $ 825.74 SEP 2002-0CT 31 2002 ; 842.59 NOV 2002-DEC 18 2002 926.85 842.59 TAXES ARE DUE AND PAYABLE -. PLEASE PAY PROMPTLY 1/Z!) iIJ'V' ) ,'I ! ,L 'Z-.. IF YOUR TAXES ARE IN ESCROW PLEASE FORWARD THIS BILL TO YOUR MORTGAGE COMPANY. fA'lD 10-21-0279-154 4623 CLEARVIEW DRIVE Residential With Buildings LOT 124-F CLEARVIEW FARMS KLINE, MURRAY & ESTHER 4623 SOUTH CLEARVIEW DRIVE CAMP HILL, PA 17011 UNPAID TAXES WILL BE TURNED OVER FOR DELINQUENT COLLECTION AFTER: DECEMBER 18, 2002 IF YOU DESIRE A RECEIPT. ENCLOSE A STAMPED ADDRESSED ENVELOPE WITH ALL COPIES. ADDITIONAL RECEIPTS WILL BE FURNISHED FOR $1.00 EACH. \'\y{... ~ J~ fl1 \1 ~~Lj t~~1 OV ~ V1~ 0 .~ C\~ I Kelley Blue Book Used Car Values _Keller'" Book The Trusted Resoun:c . ibb.(llm New Car Pridng Build a Clr InC*ltives My Car', Value U8ed Clr Rlltail ...... PriQl QuI!te Buy a UMd Car Sell Your car MotorCyd.. Fi.-ndng Insurance Lemon Owe!< W.....nties ~t~,.;es car IlAMews Car Previews DeCillion Guide. AIMee Aboulldlb HOrn. 1/~lI.!L6k u' I i{;IC \jt' Page I of2 Click on the image above to visit this advertiser Blue Book Trade-In Report Pennsylvania. July 18, 2002 1989 Ford Crown Victoria Sedan 40 Engine: 8 Cylinder Gas Trans: Automatic Drive: Rear Wheel Drive Mileage: 60,000 ~1!'LWew Car ~yy-a Used Car List YO,ur Car ForSale...Qnlin<;, Free Lemp...Q Check FinancjMQupte Insurance Ql.LQte Warral1tY. Ql.Lote P-",>,ment CalculatQ[ Equipment Air Conditioning Power Steering Power Windows Power Door Locks Tilt Wheel Cru ise Control AM/FM Stereo Consumer Rated Condition: Fair "Fair" condition means that the vehicle probably has some mechanical or cosmetic defects, but is still in safe running condition. The paint, body and/or interior need work to be performed by a professional in order to be sold. The tires need to be replaced. There may be some repairable rust damage. The value of cars in this category may vary widely. A clean titl~isto'!y is assumed. Even after significant reconditioning this vehicle may not qualify for the Blue Book Suggested Retail value. Trade-In Value $780 Trade-in value represents what you might expect to receive from a this consumer owned vehicle. Keep in mind that the dealer must then absorb the cost of making the vehicle ready for sale, advertising, sales commissions, arranging financing and insurance and standing behind the vehicle for any mechanical or safety problems. SLUe BOOK VALUE , FEEIlIlACK Get.a---.ErJv~-'?.MtY_ Valu~ G~lnvoj~11SR~nJie~C~.L http://www.k.. ./kw.kc. ur?kbb;7023 58&;t&39;F ord; 1989%20Crown%20Victoria& 14;FO;R3 07/18/02 ~ allfirst July 17, 2002 Allfirst Financial Center N.A. P.O. Box 900 Mil1sboro, DE 19966 Richard E. Kline, Executor Estate of Murray E. Kline 202 Fetrow lane New Cumberland, P A 17070 RE: Estate of Murray E. Kline Date of Death: June 29, 2002 Social Security Number: 202.()9-7432 Dear Mr. Kline: In response to your request, please be advised of the following accounts the above-named decedent had with this bank and their balances on the date of death. 1. Account Type........................... Relationship w/lnt. Checking Account Account Number....................... 0051788373 Ownership (Names 00................ Murray E. Kline or Esther E. Kline or Luzetta Kline Jett Opening Date........................... 08/28/64 Balance on Date of Death...........$ 38,837.57 Accrued Interest....................... 2.66 Total.. ........ ...... .... ........... ... ....$ 38,840.23 2. Account Type........................... Money Fund Alt. Account Account Number....................... 0950260893 Ownership (Names 00................ Murray E. Kline or Esther E. Kline or Luzetta Kline Jett Opening Date........................... 07/14/99 Balance on Date of Death...........$ 103,834.37 Accrued Interest....................... 22.53 Total......................................$ 103,856.90 . Page 2 July 17, 2002 3. Account Type........................... Certificate ofDeposit/182 DA YS/1.69oooo Account Number....................... 87008000158140 Ownership (Names 01)................ Murray E. Kline or Esther E. Kline or luzetta Kline Jett Opening Date........................... 03/26/81 Balance on Date of Death...........$ 12,000.00 Accrued Interesl...................... 1.67 Total......................................$ 12,001.67 4. Account Type........................... Certificate of Deposit/12 MOS/l.990000 Account Number....................... 87008100535477 Ownership (Names 01)................ Murray E. Kline or Esther E. Kline or luzetta Kline Jett Opening Date........................... 02/03/95 Balance on Date ofDeath...........$ 103,821.75 Accrued Interest...................... 837.74 Total......................................$ 104,659.49 5. Account Type........................... Safe Deposit Box Account Number....................... 000010005321??oo6216 Ownership (Names 01)................ Murray E. Kline or Esther E. Kline; Luzetta Kline Jett, Deputy Opening Date........................... 11/13/98 (from Dauphin Deposit Bank) This lettar does not include any accounts in which the deceased may have been listed as Power of Attorney, Custodian of Unfform Transfers, Representative Payee, or Trostee under a Written Agrooment This response does not apply to any assets held with AI/first Brokerage, where Allfirst Bank is serving as a trustee, nor to any credit cards owned by Bank of America bearing Allfirsf Bank's name. . Page 3 July 17,2002 For further account infonnation, closures and/or reimbursement of funds refer to below branch: 3045 Market Street, Camp Hill, PA 17011, telephone 717-255-2279. Sincerely, ~t2'. ~t'W~' Mary Anne Macielag Associate IICIS (302) 934-2240 rl:1M&rBank July 29, 2002 RE: Estate Search The Estate of: Date of Death (D.O.D.) MURRAYEKLINE 6/29/2002 To Whom It May Concern: Identified below is the account information requested. 1. M&T Bank accounts in which the decedent's name appears: Account Type Account~urnnber Account Title Opening Branch CD 31003910670817 MURRAY E KLINE DR LUZETTA KLINE JETT 4350 D.D.D. Accrued Interest Balances (Includes Accr. Int.) $19,620.43 $126.09 2. Loans, Mortgages, or other obligations titled in the decedent's name Account Number Amount Owed Account Description No Safe Deposit Box titled in the Decedent's name existed at our office. If you have any questions about the information provided, please contact our Records Department at (716) 635-4010 or 1-800-724- 2440 outside of the Buffolo, NY calling area. Thank you. Sincerely, M&T BANK CDRPDRATION BY: ~~~ Authonzed Signature DATE: (~'2 7 ~O'""2- Manufacturers and Traders Trust Company' 1100 Wehrle Drive. Po. Box 757. Buffalo, NY 14240-0767 RENUNCIATION 21-2002-627 In Re Estate of {Co?-- (YIu(Ltlr?--y G.rJA :f k 1.../ tt/~ deceased. To the Register of Wills of { OJ WI t. ({ i 1fW(J County, Pennsylvania. The undersigned !) /1Uct/n I- . , , 1..& 2" -rr;4 lC/>lwc J€TT of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters be issued to f{ ([ I-tftt:.;) ;u? E~ Kf.../,,"~ WITNESS hand this day of ,19_. ,0~~r /tL' ;/~ (Signature) Y rJ s-y ~4G/~....!'/-<- C ~;,.r- (Address) /::1-~ a~ ,] J/'C,b (Signature) (Address) (Signature) (Address) No. 21-2002-627 Estate of MURRAY E. KLINE , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW July 11 th ~ 200~ 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 October 5th,1999 described therein be admitted to probate and filed of record as the last will of Mu=ay E. Kline Testamentary Richard E. Kline and Letters are hereby granted to 99ia1j/J!~/U;~(~j .Ih.u~f~ .- - - . 21-2002-627 "'1" ,:"'..J ? -' ,. ;)J()(). GJ. 7 LAST WILL AND TESTAMENT OF MURRAY E. KLINE I. MURRAY E. KLINE of 4623 South Clearview Drive, Hampden Township, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any Will previously made by me. ITEM 1: I devise and bequeath all of my estate of every nature and wheresoever situate, together with insurance thereon, in equal shares, as follows: A. Fifty Percent (50%) to my daughter, LUZETTE KLINE JETT of 8354 Emerald Lake Drive, East, Pinson, Alabama 35126 or her issue; and B. Fifty Percent (50%) to my son, HURLEY E. KLINE of 4623 South Clearview Drive, Hampden Township, Cumberland County, Pennsylvania 17011, provided, however, my bequest to my son, HURLEY E. KLINE shall be held in Trust as hereinafter stated. ITEM 2: With regard to the bequest to my son, HURLEY E. KLINE, I devise and bequeath his share to his son and my grandson, RICHARD E. KLINE, Trustee, of 202 Fetrow Lane, Fairview Township, New Cumberland, York County, Pennsylvania, in trust, to hold, manage, invest and reinvest the share so received, and to use and apply the income and principal, or so much thereof as, in Trustee's discretion, may be necessary or appropriate for my son's maintenance, support, and medical care or to make payment for these purposes, without further responsibility to any person taking care of my son. In the event my grandson, RICHARD E. KLINE, fails to qualify or ceases to act as Trustee, I appoint as alternate Trustee my ~~ ~ granddaughter, DIANNA L. RICHARDSON of 695 Salem Road, Lot No. 133, Etters, Dauphin County, Pennsylvania. Upon the demise of my son, HURLEY E. KLINE, any principal or income not so applied shall be distributed equally to his issue then living and the Trust shall terminate. ITEM 3: I appoint my daughter, LUZETTA KLINE JETT of 8354 Emerald Lake Drive, East, Pinson, Alabama 35126, Executrix of this my Last Will. Should my daughter, LUZETTA KLINE JETT, fail to qualify or cease to act as my Executrix, I appoint my grandson, RICHARD E. KLINE of 202 Fetrow Lane, New Cumberland, Pennsylvania 17070, Executor of this my Last Will. ITEM 4: I direct that all my just debts and funeral expenses be paid as soon as practical after my death. ITEM 5: Upon my demise, I order and direct that my body be buried in the Paxtang Cemetery in a lot that I own next to my late wife, Esther. ITEM 6: 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. ITEM 7: I direct that my personal representatives and trustees or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. 2 IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this J day of CJ~d..a-v ,1999. rJJ)k ~ MU~ Signed, sealed, published and declared by the above-named Testator as and for his Last Will and Testament in our presence, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ;r-.JJy~~ea. G residing at p~,~3S72-? S<tO( ~ S""l'7 residing at 0~)-4J~ (fq n611- l.f l..:z..'" V I 3 COMMONWEALTH OF PENNSYLVANIA ) ) ss: COUNTY OF CUMBERLAND ) We, MURRAY E. KLINE, J/tM'j f- (j.pj~ L fA- 7AJ;f;tL fer t'", t / JP..f-l: , and the Testator and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the will as witness and that to the best of his or her knowledge, the Testator was at the time eighteen (18) years of older, of sound mind and under no constraint or undue influence. 9I~~~ MURRAY E. KLINE Witness Subscribed, sworn and acknowledged before me Et /-e c:rV (], ~'1NC:. by MURRAY E. ~INE, the Testator, and subscribed e;d sworn to before me by t{.U~ kittle..- .:TeJ:;t:: and Ne.-n. ry;=' _~ , the witnesses, this .>~dayof I'OA!!~_ ,1999. --Z:--d~~./f. .~ SEAL) . 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(I) ". ~:; 1;'\ f, 1:~\ - - - - ::- - - ::- - :::- - - - - - - - "~'" 1i(...... ~~ \~~ ~~...... is- '% ~ 7 >::, S o ," ~ 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 KLINE RICHARD E 202 FETROW lANE NEW CUMBERLAND, PA 17070 nnn__ fold ESTATE INFORMATION: SSN: 202-09-7432 FILE NUMBER: 2102-0627 DECEDENT NAME: KLINE MURRAY E DATE OF PAYMENT: 09/20/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 06/29/2002 NO. CD 001641 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $9,741.16 I I I I I I I I TOTAL AMOUNT PAID: $9,741.16 REMARKS: CHECK# 513 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS MARY C. lEWIS REGISTER OF WillS J CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: fYI u (l. It /I. y eo 6"-1fT<- J<L--/{Vf. Date of Death: J'-\.vt:. 2q 2.00L- Will No. fildt 2</.; - (JOt, 2 '7 Admin. No. To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) Of' ~hans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on It!> /. Z : Name Address H4(U,(;'f fOG-M K/../<vt:. 1.; tfu-qy rJl!il/e MtOtiht-((.!.<1u(Z.r. (14- 17-)) L-uz k~ }((;/I",t Jr.'!, '/3,>'1 [""'''''10 Mitf. M,v€ F~ fl/Vs.,IIl,1L ~!: 12-6 , Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: (I)//ilo<. T I Signature Name ~ 9 ~ (4.-<t-.!r j Address Z "'L fErp.~,^" L,p..,[. tl/k.v c V1 .., d../h I1/l-j) .' /.4 (7~7 &J TelephoneOm 132-2(<;((, i'":' Capacity: ~ersonal Representative t .<c~ I. r _Counsel for personal representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPi,280601 HARRISBURG, PA '17128-060'1 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT KLINE RICHARD E 202 FETROW lANE NEW CUMBERLAND, PA 17070 _nn___ fold ESTATE INFORMATION: SSN: 202-09-7432 FILE NUMBER: 2102-0627 DECEDENT NAME: KLINE MURRAY E DATE OF PAYMENT: 12/09/2002 POSTMARK DATE: 11/23/2002 COUNTY: CUMBERLAND DATE OF DEATH: 06/29/2002 NO. CD 001924 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $28.47 I I I I I I I I TOTAL AMOUNT PAID: $28.47 REMARKS: RICHARD E KLINE ESQUIRE CHECK# 530 SEAL INITIALS: DO RECEIVED BY: REGISTER OF WILLS DONNA M. OTTO DEPUTY REGISTER OF WillS /'?- ?y- 9 ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARR1SBURG~ PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT *' REY~lU7 U lfP Ull~~m RICHARD E KLINE 202 FETROW LANE NEW CUMBERLAND DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 01-21-2003 KLINE 06-29-2002 21 02-0627 CUMBERLAND 101 MURRAY E Allount Relli tted PA 17070 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 pay.ent. CUT ALONG THIS LINE . RETAIN LOWER PORTION FOR YOUR RECORDS .... REV=i6'ifj-EX-AFi.--foFo3y------..ii-iN"HERi"fANCE-T;.X--STATiMENT-OF-;.CCOUNT--.ii.--------------------- ESTATE OF KLINE MURRAY E FILE NO.21 02-0627 ACN 101 DATE 01-21-2003 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELDW 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: 11-04-2002 PRINCIPAL TAX DUE:... 10,282.32 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 09-20-2002 CDOO1641 512.69 9,741.16 11-23-2002 CDOO1924 .00 28.47 TOTAL TAX CREDIT 10,282.32 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 THAH $l, NO PAYNENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. I PAYMENT: Detach the top portion of this Notice and sub.it with your payment .ade payable to the name ~nd address printed on the reverse side. If RESIDENT DECEDENT make check or .oney order payable to: REGISTER OF WILLS, AGENT. If NON-RESIDENT DECEDENT ..ake check or money order payable to: COMMONWEA.LTH OF PENNSYLVANIA. REFUND (CR): A refund of ~ tax credit~ which was not requQsted on the Tax Return~ ma~ be requested by co.pleting an wApplication fOr Refund of Pennsylvania InherItance and Estate Tax" (REY-13l3). Applications are available at the Office of the Register of Wills~ any of the 23 Revenue District Offices or frOM the Depart.ent's Z4-hour answering service for forms ordering: 1~800-36Z-Z0S0J sQrvices for taxpayers with special hearing and I or speaking needs: 1-800-447-3020 (TT only). REPLY TO; Questions regarding errors contained on this notice should be addressed to: PA Depart.ent of Revenue~ Bureau of Individual Taxes~ ATTN: Post Assessment Review Unit~ Dept. Z8Q601~ Harrisburg~ PA 171Z8-0601~ phone (717) 767-6505. DISCOUNT: If any tax due is paid within three (3) calendar .onths after the ~ecedent.s death~ a fIve percent (5%J discount of the tax paid is allowed. PENALTY: The 15% tax amnesty non~participation penalty is computed on the total of the tax and interest assessed~ and not paid before Januar~ 18~ 1996~ the first day after the end of the tax a.nesty periOd. INTEREST: Interest is charged beginning with first day of delinquency~ or nine (9J .unths and one (lJ day from the date of death~ to the date of payment. Taxes which becaNe delinquent before January l~ 1982 bear interest at the rate of six (6%) percent per annu. calculated at a daily rate of .000164. All taxes Which beca.e delinquent on and after January 1~ 1982 will bear interest at a rate Which will vary fro~ calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates fer 198Z through Z003 are: Interest Daily IntBrest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 198Z 1983 1984 1985 1986 ZO% 16% lU 13% 10% .000548 .000438 .000301 .000356 .000274 1987 1988-1991 199Z 1993-1994 1995-1998 .% 11% .% n 9% .000247 .000501 .000247 .000192 .000247 1999 2:000 2001 ZOOZ 2003 7X .% .% 6% 5% .00019Z .000219 .000247 .000164 .000137 --lntef""Qst is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is .ade after the interest computation date shown an the Notice~ additional interest must be calculated. I;; - -)"/'- ;? '\- 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 RICHARD E KLINE ZOZ FETROW LANE NEW CUMBERLAND DATE ESTATE OF DATE OF DEATH FILE NUMBER eOUNTY ACN 1l-04-Z00Z KLINE 06-Z9-Z00Z Zl OZ-06Z7 CUMBERLAND 101 Amount Remitted * REV-15~1 EX AFP IDl-otl MURRAY E PA 17070 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=m-j-Eif-,\i:'p--foFozY-NCiffcE--OF-YNHEiffTANCE-TAX-AppRAfsEMENT.--ALLOWANCE-oli----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF KLINE MURRAY E FILE NO. Zl OZ-06Z7 ACN 101 DATE 1l-04-Z00Z TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule Al 2. Stocks and Bonds (Schedule B) 3. Closely Held stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule OJ S. Cash/Bank Deposits/Misc. Personal Property (Schedule El 6. Jointly Owned Property (Schedule F) 7. TransferS (Schedule G) 8. Tot.l Assets (1) (2) (3) (4) (5) (6) (7) 94.780.00 3,Z4Z.31 .00 .00 1.930.00 139.489.38 .00 [B) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Ad... 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) (10) 7,777.32 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 (is) 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: 3.168.3Z (11) (12) (13) (14) .00 X ZZ8, 496.05 X .00 X .00 X NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax pay.ant. Z39, 441. 69 10.94; 64 ZZ8,496.05 .00 ZZ8,496.05 00 = 045 = 12 = 15 = .00 10,Z8Z.3Z .00 .00 10,Z8Z.3Z (19)= TAX CREDITS: K."..rl ,., AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 09-Z0-Z00Z CDOO1641 51Z.69 9,741.16 PAYMENT MUST BE MADE BY 03-Z9-2003~. TOTAL TAX CREDIT 10,Z53.85 BALANCE OF TAX DUE Z8.47 INTEREST AND PEN. .00 TOTAL DUE 28.47 * 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 INSTRUCTIDNS.) RESERVATION: Estates of decedents dying on or before Dece.ber 12~ 1982 -- If any futYre interest in the estate Is transferred in possession or enjoy.ent to Class B (Collateral) beneficiaries of the decedent after the expiration of any estate for life or for Years~ the Co...onwealth hereby expressly reservas the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To fulfill the require_ants of Section 2140 of the Inheritance and Estate Tax Act~ Act 23 of 2000. (72 P.S. SBction 914D). PAYMENT: Detach the top portion of this Notice and sub.it with your pay.ent to the Register of Wills printed on the reYerse side. --Make check or money order payabh to: REGISTER OF HILLS" AGENT REFUND (crn: A refund of 8 tax credit~ which was not requested on the Tax Return~ may be requested by co.pleting an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register of Wills~ any of the 23 Revenue District Dffices~ or by calling the special 24-hour answering service for for.s orderIng: 1-800-362-2050; services for taxpayers with special hearing and I or speaking needs: 1-800-447-3020 (TT only). OBJECTIONS: Any party in interest not satisfied with the appraiS8BQnt~ allowance~ or disallowance of deductions~ or assess.ent of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue~ Board of Appeals, Dept. 281021~ Harrisburg~ PA 17128-1021~ OR --electlon to have thB IlIatter determined' at audit of the account of the personal representat1ve~ OR --appeal to the Orphans' Court. ADMIN- ISTRATIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue~ Bureau of Individual Taxes~ ATTN: Post Assess.ent Review Unit~ Dept. 280601, Harrisburg~ PA 17128-0601 Phone 0'17) 787-6505. See page 5 of the booklet "Instructions for InheritancliI Tax Return for a Resident Decedent" (REV-150}) for an explanation of ad.inlstratively correctable errors. DISCOUNT: If any tax due is paid within three (3) calendar _onths after the decedent"s death~ a five percent (5~) disco~nt of the tax paid is allowed. PENALTY: Thg 15~ tax a~esty non-participation penalty is computed on the total of the tax and interest assessed~ and not paid before January l8~ 1996~ the first day after the end of the tax amnesty period. This non~participation penalty is appealable in the sa.e _anner and in the the sa.e time period as YOU would appeal the tax and interest that has been assessed as indicated on this notice. INTEREST: Interest is charged beginning with first day of delinquencY~ or nine (9) .onths and one (1) day fro. the date af death~ to the date of payment. Taxes which became delinquent before January l~ 1982 bear interest at tha rate of six (6~) percent per annum calculated at a daily rate of .000164. All taxes which bees.. delJnquant on and after January 1, 1982 will bear interest at a rate which will vary from aalendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2002 are: Year Interest Rate Dally Interest Factor Year Interest Rate Daily Interest Factor 1982 20~ .000548 1992 'X .000247 1983 16~ .000438 1993-1994 n .000192 1984 1l~ .000301 1995-1998 'X .DDDZ47 1985 13~ .000356 1999 n .000192 1986 1O~ .000274 2000 .X .000219 1987 9X .000247 2001 'X .000247 1988-1991 1l~ .000301 2002 6~ .OO016ct --Intarest is calcYlated as follows: INTEREST = BALANCE OF TAX UNPAID X NURBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date af the assess.ent. If payment is made after the interest co_putation date shown an the Notice~ additinnal interest must be calculated. v IN RE: THE ESTATE OF MURRAY E. KLINE, DECEASED 0;;2 -lp;L'1 Estate No. ~);.~~ ~ FAMILY SETTLEMENT AGREEMENT AND FINAL RECEIPT AND RELEASE KNOW ALL MEN AND WOMEN BY THESE PRESENTS that, MURRAY E, KLINE, Late of Hampden Township, Cumberland County, Pennsylvania, died on June 29, 2002; WHEREAS, on :r1A'1 II f 2", 0 '2, the Decedent's Last Will and Testament, dated October 5, 1999 was offered and duly probated in the Register of Wills Office of the County of Cumberland, Commonwealth of Pennsylvania; WHEREAS, Luzetta Kline Jett renounced her appointment as the Executrix of the Decedent's Last Will and Testament in favor of Richard E. Kline; WHEREAS, Richard E. Kline was sworn and appointed as Executor of the Decedent's Last Will and Testament; WHEREAS, the Richard E. Kline, has prepared, filed and paid all Inheritance Taxes due and owing and the Inheritance Tax Return for this Estate and said Inheritance Tax Return was accepted as filed by the Pennsylvania Department of Revenue (a copy of the Inheritance Tax Return and Notice of Appraisement is attached hereto as Exhibit 4 ); WHEREAS, final income tax returns (Federal, state, and local) have been or will be filed for the decedent 2002 and taxes paid; WHEREAS, the Executor gathered the assets of the Estate and assembled the receipts and debts of the Estate and accurately reflected same in the First and Final Account, dated 1a tl ~ Q (1 I S". Loa 5, attached and incorporated hereto as Exhibit "L"; and WHEREAS, the residual estate balance for distribution as shown on the said marked Exhibit" g " has been reduced to cash and Real Estate and has been or will be distributed as therein indicated in accordance with the directives of the Last Will and Testament of the Decedent. NOW, THEREFORE, know all, that the undersigned beneficiaries, namely Luzetta Kline Jett and Richard E. Kline, Trustee for Hurley E. Kline, as designated beneficiaries of the residue ofthe Estate of Murray E. Kline, and being those persons entitled to accept and receive the said residue, do hereby acknowledge that we have this day received from the aforesaid Executor, in full satisfaction and payment of all sum or sums of money, property, and real estate as are given to each of us by the said provisions of the Last Will and Testament of the Decedent, the amounts due each of us under the said Last Will and Testament, and which amounts are in the amount set opposite my name on Page l of the said Exhibit" g :"; and Further, we do hereby stipulate that in order to avoid the expense and time involved in the filing of a formal account and scheduled distribution, we do each hereby agree that no formal account is necessary and agree and consent to distribution of the residual trust estate being made without the filing of an account and scheduled distribution, the same to be with the same force and effect as if they had been filed and conformed by the Court of Common Pleas, Orphans' Court Division, Cumberland County, Pennsylvania; and NOW, THEREFORE, we do hereby quitclaim and forever discharge the said Richard E. Kline, Executor, his heirs, executors, administrators and assigns, of and from the said Estate and from all actions, suits, payments, accounts, reckoning, claims and demands whatsoever for or by reason thereof or for any other use, matter, cause or thing whatsoever, touching upon the Estate of the Late Murray E. Kline, and do hereby covenant and agree that should any liability come due to the Estate ofthe said Murray E. Kline after signing of this Family Settlement Agreement and Final Receipt and Release, we do hereby covenant, and agree with the aforesaid Executor that we will each contribute our individual portion of the residue of the Estate to satisfy any and all claims, demands, suits or causes of action to include attorney fees which may be successfully prosecuted against the said Estate or the aforesaid Executor after the signing, sealing, and delivery of this Family Settlement Agreement and Final Receipt and Release; and furthermore, we agree to indemnify and save harmless the Estate of the Late Murray E. Kline and its attorney, Coyne & Coyne, P.C., its employees, officers, heirs and assigns, against allliabi]ity, loss or expense (including but not limited to costs and counsel fees), which may ever be incurred as a result of settlement of this estate and of the distribution herein referred to upon this Final Receipt and Release. /171 IN WITNESS WHEREOF, the undersigned have set their hands and seals this ~ dayof }OfJUM, , 200 L, in agreement with and intending to be legally bound thereto and to bind our heirs, executors, administrators, and assigns. ESTATE OF MURRAY E. KLINE, DECEASED ~>. d2c:J BY: Witness Richard E. Kline, Executor ~/,~r~~~ ./ Witness LUZETTA KLINE JETT (Beneficiary) 1I4t,~ Witness HURLEY E. KLINE (Beneficiary) TESTAMENTARY TRUST FOR HURLEY E. KLINE ~?;~o . BY, Witness Richard E. 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