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HomeMy WebLinkAbout09-16-14 J 1505610143 REV-1500 EX`°2_„> �� OFFICIAL USE ONLY PA Department olf Revenue pennsylvania County Code Year File Number BU�e'aU Of�nd�V�(JU'd�TaXeS ' DEPARTMENTOFREVENUE PO Box.2sosoi INHERITANCE TAX RETURN 21 14 00021 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 12 15 2013 09 08 1927 DecedenYs Last Name Suffix DecedenYs First Name M� BRANNAN NETTIE I, (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW a1. Original Return � 2. Suppiemental Return � 3, Remainder Return(Date of Death Priorto 12-13-82) � 4. Limited Estate � 4a. Future Interest Compromise (date of death after 12-12-82) ❑ 5. Federal Estate Tax Return Required � g Decedent Died Testate � Decedent Maintained a Living Trust 8. Totai Number of Safe De osit Boxes (Attach Copy of Will) ❑ (Attach Copy of Trust) P � 9. Litigation Proceeds Received � �p_Spousal Povert Credit(Date of Death 11.Election to tax under Sec.9113 A between 12-31�J1 and 1-1-95) � (Attach Schedule O) � � CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTEn T0: Name Daytime Telephone Numberrv � LINDA J OLSEN ESQ 717 540c4332 ..`'� rn � o �n c, � REGISTER O�l{/�SCySE O�LY _{ C► :L} �,. t" h' r' rn t— _,� ,�-; (Tj c� First Line of Address _� �,� •;- � � 2000 LINGLESTOWN ROAD � � � .,._ ; �., e.: � -� , r_;, _,-; ._ c� Second Line of Address _ i�' �, rn SUITE 202 - .� :-��' �, � DAT�"�ILED "_ City or Post Office State ZIP Code HARRISBURG PA 17110 CorrespondenYs e-maii address: lolsen(a�hazenelderlaw.com Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,corr t and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATU PERSON RESPONSIBLE FOR FILiNG RETURN ATE Lois M. M ers 9/ �jj AD S 630 Hummel Ave., Lemov e, PA 17043 SIGNaTUR F PREPARER 0 ER TH REPRESENTATIVE DATE � w Linda J. Olsen Esq. f ls l R SS 2000 Linglestown Road, Harrisburg, PA 17110 L Side 1 � 1505610143 1505610143 � � 1505610243 REV-1500 EX DecedenYs Social Security Number DecedenYsName: B�annan� Nettie L. RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... 1. 2. Stocks and Bonds(Schedule B)......................................................................'....... 2. 1 , 74 9. 12 3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C)......... 3. 4. Mortgages&Notes Receivable(Schedule D)........................................................ 4. 5. Cash, Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 25 , 02 6. 30 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 75 , 950 . �0 7. Inter-Vivos Transfers&Miscellaneous�n-Probate Property (Schedule G) U Separate Billing Requested............ 7. g. Total Gross Assets(total Lines 1 through 7)........................................................ g. 102 , 725 . 42 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 12 ,2 7 7 . 11 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................ 10. 2 , 2 4$ . 95 11. Total Deductions(total Lines 9 and 10)................................................................ 11. 14 ,52 6 . 0 6 12. Net Value of Estate(Line 8 minus Line 11).......................................................... �2, $$ , 19 9. 3 6 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J)............................................... 13. 14. Net Value Subject to Tax(Line 12 minus Line 13)............................................... 14. 88 , 19 9 . 3 6 TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(1.2)X.00 15. 0 . �� 16. Amount of Line 14 taxable at lineal rate X .045 0 . 00 16. 0 . 00 17. Amount of Line 14 taxable at sibling rate X.12 0 . 0 0 17. 0 . 0 0 18. Amount of Line 14 taxable at collateral rate X.15 8 S , 19 9 . 3 6 �s. 13 , 2 2 9 . 9 0 19. Tax DUE........................:....................................................................................... 19. 13 ,22 9 . 90 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. � Side 2 � 1505610243 1505610243 J REV-1500 EX Page 3 File Number 21-14-00021 Decedent's Complete Address: DECEDENT'S NAME Brannan, Nettie L. STREET ADDRESS 630 Hummel Ave. CITY STATE ZIP Lemoyne PA 17043 Tax Payments and Credits: 1. Tax Due(Page 2, Line 19) (1) 13,229.90 2. Credits/Payments A. Prior Payments 13,000.00 B. Discount 661.50 Total Credits(A +g� (2) 13,661.50 3. Interest �3� 4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4) 431.60 Check box on Page 2,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. �5� Make Check Payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No 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:.................................. � 0 c. retain a reversionary interest;or............................................................................................................... ❑ � d. receive the promise for life of either payments,benefits or care?............................................................ � 0 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without ❑ ❑ receivingadequate consideration?.................................................................................................................... x 3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... ❑ Ox 4. Did decedent own an individual retirement account,annuity,or other non-probate property which contains a beneficiary designation?.................................................................................................................. ❑X ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. , ��� _.. .. , ,. ,. �.,, - � � �, . , � . � � . � , =b�,..�, .���, �� .x���. 2,� � � ��� �� ���� ��� � +; '� �'.�.... . For dates of death on or after July 1, 1994 and before Jan.1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after January 1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)). The statute does not exempt 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 21 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 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedenPs lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)]. . The tax rate imposed on the net value of transfers to or for the use of the decedenYs siblings is 12 percent[72 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. Rev-1503 EX+�6-98) SCHEDULE 6 STOCKS & BONDS COMMONWEALTH OF PENNSVLVANIA INHERITANCE TAX RETURN RESIDENTDECEDENT ESTATE OF FILE NUMBER Brannan, Nettie L. 21-14-00021 Ali property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 Savings Bonds-5$200 Series EE bonds 1,749.12 TOTAL(Also enter on Line 2, Recapitulation) 1,749.12 (If more space is needed,additional pages of the same size) Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B(Rev.6-98) Rev-1508 EX+(11-10) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF REVENUE INHERITANCETAXRETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Brannan, Nettie L. 21-14-00021 Include the proceeds of litigation and the date the proceeds were received by the estate. . All propeRy jointlyowned with the right of survivorship must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Members 1st FCU cking.#448442-71 2,534.93 2 Members 1st FCU savings#448442-00 5.00 3 Gemworth Financial -long term care reimbursement for Nov.and Dec. 2,424.95 4 Refund-Medicare supplement premium 18.69 5 Reimbursement of County tax on sale of real property-see attached HUD 1 Line 7 110.50 6 Reimbursement of School tax on sale of real property-see attached HUD 1 Line 8 550.94 7 Edward Jones-IRA#896-91422-1-8(estate) 19,381.29 TOTAL(Also enter on Line 5, Recapitulation) 25,026.30 (If more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule E(Rev. 11-10) Rev-1509 EX+�01-10) pennsylvania SCHEDULE F DEPARTMENTOFREVENUE JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Brannan, Nettie L. 21-14-00021 If an asset was made joint within one year of the decedenYs date of death,it must be reported on schedule G. SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT A. Lois M. Myers 630 Hummel Ave. Friend Lemoyne, PA 17043 B. C. JOINTLY OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH VALUE OF NUMBER FOR JOINT MADE NUMBER OR SIMILAR IDENTIFYING NUMBER.ATTACH DEED FOR VALUE OF ASSE DECD�S DECEDENT'S INTEREST TENANT JOINT JOINTLY-HELD REAL ESTATE INTEREST 1 A 12/12/1990 Real Estate-630 Hummel Ave.-Jt.w/Lois 151,900.00 50.000% 75,950.00 Myers -see attached HUD1 TOTAL(Also enter on Line 6, Recapitulation) 75,950.00 (If more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule F(Rev.01-10) REV-1511 EX+��O-09) pennsylvania SCHEDULE H DEPARTMENTOFREVENUE FUNERAL EXPENSES AND RESID NATDEC ENT URN ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Brannan, Nettie L. 21-14-00021 DecedenYs debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: See continuation schedule(s) attached 2,616.21 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zio Year(s)Commission Paid 2. Attorney's Fees Hazen Elder Law 1,500.00 3. Family Exemption: (If decedenYs address is not the same as claimant's,attach explanation) Claimant Street Address City State Zio Relationshio of Claimant to Decedent 4. Probate Fees Register of Wills 202.34 5. AccountanYs Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 7,958.56 See continuation schedule(s) attached TOTAL(Also enter on line 9, Recapitulation) 12,277.11 Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev. 10-09) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Brannan, Nettie L. 21-14-00021 ITEM NUMBER DESCRIPTION AMOUNT Funeral Ex enses 1 Musselman Funeral Home 2,547.00 2 Royer's Flowers 33.71 3 USPS -cost of mailing Decedent's cremation urn to family burial plot 35.50 Fi-A► 2,616.21 Other Administrative Costs 4 C8�C Electricians-remove knob&tube wiring for settlement of real property 140.00 5 Cumberland Law Journal -estate notice 75.00 6 Edward Jones Brokerage-estate service fee 100.00 7 Envirotech -radon remediation for settlement of real property 430.00 8 Estate share of Settlement costs on sale of real property. -See attached HUD1 settlement 5,764.00 sheet 9 Journal Multimedia-estate notice 167.00 10 Kerry Saintz-electrician -replacement of breaker in garage for settlement of real property 134.00 11 Lois Myers-mailing and parking costs 12.54 12 Members 1st FCU -estate checking account--bank fees 45.00 13 William Hamilton -expenses of cleaning out real property for sale 1.091.02 Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Brannan, Nettie L. 21-14-00021 ITEM NUMBER DESCRIPTION AMOUNT H-B7 7,958.56 Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98) _ ___ _ _ _ _ Rev-7512 EX+��2_OS) SCHEDULE 1 pennsylvania DEBTS OF DECEDENT, DEPARTMENT OF REVENUE INHERITANCETAXRETURN MORTGAGE LIABILITIES AND LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Brannan, Nettie L. 21-14-00021 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 7 Cindy Truesdale-c'mas gift 100.00 2 Griswold Home Care-home companion for Dec. 201.00 3 Lois Myers-payment of household expenses 1,227.26 4 Nim Nue Moe-caregiver fee 85.50 5 Pharmacy fees 23.95 6 Sheeron Raj Singh-caregiver fee 225.00 7 State Farm Bank CC#4707-8877-6971-6224 223.79 8 Susan Storm -caregiver fee 12/9, 12/11/13 162.45 TOTAL(Also enter on Line 10, Recapitulation) 2,248.95 (If more space is needed,additional pages of the same size) Copyright(c)2008 form software only The Lackner Group, Inc. Form PA-1500 Schedule 1(Rev. 12-08) REV-1513 EX+�01-70) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Brannan, Nettie L. 21-14-00021 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT �N/ords) ($$$) Do ot List Trustee s I� TAXABLE DISTRIBUTIONS [include outright spousal distributions,and transfers under Sec.9116 a 1.2 Lois M. Myers Friend All of the 630 Hummel Ave. Residue. Lemoyne, PA 17043 Total Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 1500 cover sheet,as a ro riate. NON-TAXABLE DISTRIBUTIONS: II• A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule J(Rev.01-10) REGISTER OF WILLS CERTIFICATE OF CUMBERLAND COUNTY GRANT OF LETTERS PENNSYLVANIA �,� ,� No. 2014- 00021 PA No. 21- 14- 0021 Es ta te Of: NETTIE L BRANNAN . lFirst,Midd/e,Lastl La te Of: LEMOYNE BOROUGH CUMBERLAN� COUNTY Deceased Social Securi ty No: 177-24-8102 WHEREAS, on the 8th day of January 2014 an instrument dated October 13th 2010 was admitted to probate as the last will of NETTIE L BRANNAN lFirst,Midd/e,LasU late of LEMOYNEBOROUGH, CUMBERLAND County, who died on the 15th day of December 2013 and WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, L/SA M. GRAYSON, ESQ. , Register of Wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to: LOIS M MYERS who has duly qualified as EXECUTOR(R/X) and has agreed to administer the estate according to law, all of which ful l y appears of record in my offi ce a t CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 8th day of January 2014. Regis of Wi1/ �� ����� ����,c�t� �� eputy **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) LAST WILL AND TESTAMENT ,�„ c-� - OF =_ �' � a ' �' m � �� c_ ,�`j c� Tl __ O NETTIE L. BRANNAN `� I �' `�— �� C:; r- _- r,_i r�� �rt C.'� -i-7 � �J C�_S C'J � '� C�J C:`> � �--, -� -r7 -,� •'? C, _.y;. -._:3 _..t _ �__ _ . .., �-.. =.- ��:) _`7 -.a . � `...' �._i _ C'l G� � F—a '�l I, NETTIE L. BRANNAN, now domiciled in Cumberland County, Pennsylvania, declare this to be my Last Will and Testament. I revoke all other wills and codicils that I may have previously made. Article I My just debts and expenses of my last illness, funeral, and administration of my estate shall be paid by my Executor from the principal of my residuary estate as soon as practicable after my death. Article II All inheritance, estate, and succession taxes (including interest and penalties thereon, but not including any generation skipping tax) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate without reimbursement from any person. This provision is not a waiver of any right which my Executor has to claim reimbursement for any such taxes which become payable as the result of any property over which I have the power of appointment. Article III I give, devise and bequeath my tangible personal property in accordance with any memorandum I have handwritten or signed, located with my will or with my valuable papers and found within thirty (30) days of the probate of my will. Gifts may only be to persons who survive me or to organizations which exist at my death, and if there is a conflict, the memorandum having the latest date shall govern. To the extent no such memorandum is found, or all of my tangible personal property is not disposed of pursuant thereto, my tangible personal property shall be added to iny residuary estate and pass under Article IV hereof. Article IV All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, I give, devise and bequeath to my friend, LOIS M. MYERS, of Cumberland County, Pennsylvania. In the event LOIS M. MYERS predeceases me or fails to survive me by thirty (30) days, then I give, devise and bequeath all the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate in THREE EQUAL SHARES to DENISE TIDBALL, of Pittsburgh, Pennsylvania; MAUREEN PALAVICK, of Mount Carmel, Pennsylvania; and CINDY TRUESDALE, of Snyder County, Pennsylvania,per stirpes. Article V I nominate, constitute and appoint my friend, LOIS M. MYERS, as Executrix of my Last Will and Testament. In the event of the renunciation, death, or inability to act, for any reason whatsoever of my Executrix, I nominate, constitute and appoint my niece, MAUREEN PALAVICK, as successor Executrix of my Last Will and Testament. In the event of the renunciation, death, or inability to act, for any reason whatsoever of my successor Executrix, I nominate, constitute and appoint my friend, DENISE TIDBALL, as successor Executrix of my Last Will and Testament. I direct that my Executrix or successor Executrix be permitted to serve without bond. In addition to those powers granted by law, I grant them power to distribute in cash or in kind, in like or in unlike shares, and to file any qualified disclaimer I could have filed 2 >, _ , .. _ if living. My Executrix or successor Executrix shall receive reasonable compensation for services rendered to my estate. Article VI In addition to the powers conferred by law, I authorize my Executrix or successor Executrix, in her absolute discretion: (a) to retain in the form received and to sell either at public or private sale, any real estate or personal property except that which I specifically bequeath herein, (b) to manage real estate, (c) to invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification, (d) to exercise any option or right arising from the ownership of investments, (e) to compromise claims without court approval and without consent of any beneficiary, (� to file any federal income tax return for any year for which I have not filed such return prior to my death, (g) to make distributions in cash or in kind, or in both, and to determine the value of any such property, (h) to employ any attomey, investment advisor, or other agent deemed necessary by my Executrix or successor Executrix; and to pay from my estate reasonable compensation for all their services, (i) to conduct alone or with others, any business in which I am engaged in, or have an interest in at time of my death, 3 (j) to disclaim, in whole or in part, any property or interest therein which passed to me or which was created for my benefit, for any reason in the discretion of my Executrix or successor Executrix, and (k) to receive reasonable compensation in accordance with their standard schedule of fees in effect while their services are performed. IN WITNESS WHEREOF, I, NETTIE L. BRANNAN, hereby set my hand to this my Last Will and Testament, on ��=E��=�:'� , 2010, at Harrisburg, Pennsylvania. -'r x;��� �.� .��- NETTIE L. BRANNAN In our presence, the above-named NETTIE L. BRANNAN signed this and declared this to be her Last Will and Testament and now at her request, in her presence, and in the presence of each other, we sign as witnesses. Name Address / 2000 Lin�lestown Rd. Suite 202 Harrisburg PA 17110 � r' ���;�Y 2000 Lin�lestown Rd. Suite 202 Harrisburg PA 17110 4 I, NETTIE L. BRANNAN, Testatrix, who signed the foregoing instrument, having been duly qualified according to law, acknowledge that I signed and executed this instrument as my Will, and that I signed it willingly as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and Acknowledged before me by NETTIE L. BRANNAN, the Testatrix on �Cft�l'� /� , 2010. `�/ r��L��� L-�f z�. �CL,� ` ."��f�.:�' ,"� 1 1,.���z� Notary Public NETTIE L. BRANNAN MMONWEAIi�i qF PENN5YLVANIA Notartal Seal Melissa M.Kain,Notary Public SusQuehanml T�vp.,Dauphin County My Commisslon Expires Aug.11,2014 We, the undersigned witnesses who signed the foregoing instrument, being duly qualified • according to law, depose and say that we were present and saw the Testatrix sign and execute this instrument as her Will; that she signed and executed it willingly as her free and voluntary act for the purposes therein expressed; that each of us in her sight and hearing signed the Will as witnesses, and that to the best of our knowledge, that she was at that time eighteen (18) years or more of age, of sound mind, and under no constraint or undue influence. Sworn to or affirmed and Subscribed to before me by Mn �_� r=. 1�r�z�.� andM�i��,,, �' ��Qr��,,,�,� Witne s witnesses, on C�Cfp,��!' j 3 , 2010. �� �' ����� w�t �,� �� , ��1�,� ��ti� ��;�. Notary Public ` COMMONyyEq(,TM pF p�NSYLVANIA Nolarfal Seal Melissa M.Kain,Notary Public SusQu�henna 7\vp,,Dauphin Counry 5 Csmmis�lon Explres qup,li,TQi� SEP. E. 2414 12:33PM REMAX 1ST ADVANTAGE N0. 112 P. 2 oMSnp�r t�2� -� A. Set�iernent Sfi�tement{HUD��1) ��. 6.Fli e rowneet: .�oan r�u,r�r a.asortgage�r�� - �.Qr�,a zpw�s aQa�r unm� tFteexc� +�amaar �ato�soaessaa �,pva �.p c«„�t�. G NotocTna torm a 6o Y���"� acasaissCtmont W s{s Rtnotrttts OWd b eRd Dy MO admem�/9 are aLwr6� •prv,dj"�e pald OotlAO�t!a datiY1�4�Y na mwwa horr torhtotRta6en�1�auPoaee and atb nOtuldud�d�14iG boe4ls •0,tdene�Adaress at 8ona�er: E ttanfe&Ad�ess aF3epee: F Nan¢b A�ea9 of LCtlde� JaraOten ti 6�+�er Cas At 1ye�s FR����' 690Msim�lAve,l��oyoGPAi7tli3 �i0!{�nmelAvB.lsrro7n�PA'�Tbe.4 50fCaporatzCc�e��4G0. 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W � 0 � i i g ° � 8 o a .. �. � y fD rt N m x � � a a � � rn aa � ,� J i � � � � ` �p � � � � N j � � � OD W N N t�0 A A � O N � � �.�. i 1 f I C � Q � �,,� O ^.� W N N o � y L � � � _ � ` D � � � � � � � � 1 I I I C p� � ! � U1 O 3 � j � �' O � y _ __ . $t � MEMBERS 1St FEDERALCREDIT[INION REGULAR SAVINGS ACCOUNT: Account Number/Suffix 448442-00 Date Account Established 02/02/2012 Principal Balance at Date of Death $5.00 Accrued Interest to Date of Death $0.00 Total Principal and Accrued Interest $5.00 Name of Joint Owner None CHECKING ACCOUNT: Account Number/Suffix 448442-11 Date Account Established 02/02/2012 Principal Balance at Date of Death $2,534.88 Accrued Interest to Date of Death $0.05 Total Principal and Accrued Interest $2,534.93 Name of Joint Owner None MEMBERS 1ST FEDERAL CREDIT UNION ��,C�1� Tessa L Klugh Lending Insurance Support Specialist January 15, 2014 Estate of: NETTIE L. BRANNON Date of Death: 12/15/2013 Social Security Number: 177-24-8102 � � � � � �� J��� 17 2014 _ _ _ _ 5000 Louise Drive • P.O. Box 40 • Mechanicsburg, Pennsylvania 17055 • (800) 283-2328 • wwwmemberslst.org H�N �LU� LAW Estate P[anning • Elder Law • Special Needs P[anning 2000 Linglestown Road T�.: (71'�540�332 Suite 202 e�ix: (71�540-4313 Harrisburg, PA 17110 www.HazenElderLaw.com September 15, 2014 N �µ� Register of Wills c o -� m rn Cumberland County Courthouse � � r�`�.,-,' �? o One Courthouse Square � � t� �° � � Carlisle, PA 17013 � � �� � �; � � a,. . . � c:� Re: Estate of Nettie L. Brannan ,�, �; `,.; � „�'�.'. -�n File No.: 21 14 00021 ��' �: . - h-� r=- � Inheritance Tax Return -�u �� � :y �.�, �r, ° � To: The Register of Wills: Enclosed for filing please find the original and one copy of the above-referenced Inheritance Tax Return and Inventory, along with a copy of the first page of the Inheritance Tax Return. Please date stamp the first page of the return and a copy of the Inventory and return them to my office in the enclosed self-addressed envelope. Also enclosed is estate check number 63 in the amount of $60.00 for the additional probate fees. Please forward the receipt in the enclosed envelope. If you have any questions or require any additional information, please do not hesitate to contact me. Sincerely, ���..� ���1��i�,..� Corinne Eggers Woodhouse Paralegal Enclosures .��� �� 4��:�.�����A����_ �, � � -_.. 1 '�� �� '�� • ��� 'wy� �` +w 1 .ay 1 (�) � c s � rn � � c.r� � � = � .._ a p rn �= � � � � a � �- � _..� C;.� -.... � O � ?:,,. r'"' � f`� rn � .. � , ., i� .`� ' � c:m> �,, ' •-tJ _r� `-rl � � � C� � N - f"'' r- rn C"� O n � p x+ s � � � C� � � � � N -.t o � �. � � � o _____------ � � � � � �� � �°-� � �" C� � UG � rp � � C � � � N � �+ � �""�'�'��.. �, � � � p O fD � �..�.-�-- � N � "'� p � O C/� � � �. W �C ('� � � ''�d A? 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