HomeMy WebLinkAbout12-22-14 J 1505610105
REV-1500 EX�oz_��,�F�, �
PA Department of Revenue pennsylvania oFFICIAL USE oNLY
Bureau of Individuat Taxes °"`p'"`"T ` County Code Year File Number
� INHERITANCE TAX RETURN
Po Box z8osoi � . ,�., �. �
Harrisburg,PA i'7128-o60i RESIDENT DECEDENT � I �C• U` � �
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
08/28/2010 11/13/1918
DecedenYs Last Name Suffix DecedenYs First Name MI
Warner Mary E
(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
� 1.Original Return O 2.Supplemental Return O 3. Remainder Return(Date of Death
Prior to 12-13-82)
O 4.Limited Estate p 4a.Future Interest Compromise(date of p 5. Federal Estate Tax Return Required
death after 12-12-82)
� 6.Decedent Died Testate O 7. Decedent Maintained a Living Trust _ 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
O 9. Litigation Proceeds Received O 10.Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
William S. Daniels (717)243-3831
REGISTER OF WILLS USE ONLY
First Line of Address r"`�
�_�
1 West High Street � �� "'
.�� � r�Ti
Second Line of Address e� j '-�� r^ �-�
r t -.i� C'� C7 (')
Suite 205 ' z r c'�' rv yj `
� _. „,� N i�'r r
" DATE-EILED ''`�
City or Post Office State ZIP Code , ,
Carlisle PA 17013 t � ��' �ti-� �,� -'r �'
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CorrespondenYs e-maii address: humeranddaniels@outlook.com � -�{ ,--, t; c�
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Under penalties of perjury,I deciare that I have examined this retum,including accompanying schedules and statements,and to the best of my kno dge and belief,
it is true, rect and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGN E OF PERSON RESPONSIBL �R FILING REttlR 4 DATE �
' I l� �` a'D I�
A DRESS
RC Barrick, 10 lenbaugh Rd, Carlisle PA 17015;DP Eckenrode, 40 Subdivision Rd, Newville, PA 17241
SIG E OF EPAR OTHER THAN REPRESENTATIVE DATE
< �.
ESS
William S. Daniels, Humer and Daniels Law Office, 1 West High Street, Suite 205, Carlisle, PA 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
� 1505610105 15056101�5 J ��
,
� 1505610205
REV-1500 EX(FI)
DecedenYs Social Security Number
oecedent's Name: Mary E. Wame�
RECAPITULATION
1. Real Estate(Schedule A). .. .. . . . . .. .. . . ............ .. . ... ........... . 1. 0.00
2. Stocks and Bonds(Schedule B) 2. 0.00
. . . . ................. . . . . . .......... . . .
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) ..... 3. 0.00
4. Mortgages and Notes Receivable(Schedule D).... . . . . . . . . . . .. . .... . . . .. . 4. 0.00
5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E). . . . ... 5. 16,458.76
6. Jointly Owned Property(Schedule F) O Separate Billing Requested . . .. . .. 6. 75,637.32
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested........ 7. 0.00
8. Totai Gross Assets(total Lines 1 through 7). . . . . ...... . . . . . .. .. .. ....... 8. 92,096.08
9. Funeral Expenses and Administrative Costs(Schedule H). . . .... . .. . . . . . . . . . 9. 15,200.00
10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule I). . .. . . . . . . . .... 10. 0.00
11. Total Deductions(total Lines 9 and 10)....... . .. . . . . . . . . .... . . .. . . . . . .. 11. 15,200.00
12. Net Value of Estate(Line 8 minus Line 11) ............... ............... 12. 76,896.08
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J) ..................... . . . 13. 0.00
14. Net Value Subject to Tax(Line 12 minus Line 13) ........... . . .......... . 14. 76,896.08
TAX CALCULATION-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.0_ 15. 0.00
16. Amount of Line 14 taxable
at�inea�rate x.0 45 76,896.08 16. 3,460.32
17. Amount of Line 14 taxable
at sibling rate X.12 17. 0.00
18. Amount of Line 14 taxable
at collateral rate X.15 �g. 0.00
19. TAX DUE . .. . . . . ............. .... . . . . . . ......... . . . . . .......... . . . 19. 3,460.32
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT p
Side 2
L 15�5610205 15�5610205 J
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address:
DECEDENTS NAME
Mary E. Warner
STREETADDRESS
102 Hollenbaugh Road
CITY STATE ZIP
Carlisle PA 17015
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 3,460.32
2. Credits/Payments
A.Prior Payments 3,233.49
B.Discount 170.18
Total Credits(A+g� �2� 3,403.67
3. Interest
(3)
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2,Line 20 to request a refund. (4)
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 56.65
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 ............................................ ❑ �
c. retain a reversionary interest .............................................................................................................................. ❑ �
d. receive the promise for life of either payments,benefits or care?...................................................................... ❑ �
2. If death occurred after Dec.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.
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 Jan. 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 tleath 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 decedenYs 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 tlefined,
under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
--- �-_�___�-
._-----
� t �� ��_ ' ,PX I 1 I
I , MARY E. WARNER, of Lower Frankford Township ,
Cumberland County , Pennsylvania , declare this to be my last will
and revoke any will previously made by me .
I . I direct that I be buried beside my husband, ROBERT
L. WARNER, in the adjoining burial lot at the Cumberland Valley
Memorial Gardens situate in West Pennsboro Township, Cumberland
County , Pennsylvania , which is marked with a suitably cast and
matching bronze plaque over my grave on the single marble based
gravemarker for both graves .
II . I devise and bequeath all of my estate of every
nature and wherever situate to my husband , ROBERT L. WARNER,
providing he shall survive me by thirty days .
III . Should my husband , Robert L . Warner , predecease me
or die on or before the thirtieth day following my death, I
direct my executor to convert into cash by selling at either
public or private sale all of my real and tangible personal
property , and to add the proceeds therefrom to my residuary ' �
estate which I give and bequeath in equal shares among my
stepson , RONALD L. WARNER, and my three children, ZANE R.
ECKENRODE, REVENNA C. BARRICK, and DEXTER P. ECRENRODE, as �
survive me by 30 days ; and should any of them be deceased, or not u�
survive me by 30 days , then in equal shares among the survivors
�
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of them.
IV . 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 .
V . I appoint my husband, ROBERT L. WARNER, executor of
this my last will . If for any reason he shall fail to qualify or
cease to act as such during the administration of my estate, I
appoint my daughter , REVENNA C. BARRICK and my son , DEXTER P .
ECRENRODE, co-executors or the survivor of them executor of this
my last will .
VI . I direct that my executor or his successors shall
not be required to . give bond for the faithful performance of
their duties in any jurisdiction .
IN WITNESS WHEREOF, I have hereunto set my han.d this
vf d a y o f�,/y'GYi�r,,D.� , 19 9 5 .
�
�(:tJv��f (: ��Ct���..Jl.-
MARY E . ARNER
The preceding instrument , consisting of this and one other
typewritten page identified by the signature of the testatrix,
MARY E. WARNER, was on the day and date thereof signed , published
and declared by MARY E . WARNER, the testatrix therein named, as
and for her last will , in the presence of us , who ,� at her
request , in her pre ce , and in the presence of each other have
subscribed our na s s witnesses hereto .
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DATE OF DffATH oa-1b-�D10
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DATE ESTABLTSHED �1-30-2D57
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Taxrible Amo�nt ?.6.�89.I7 },;r' REGIS7E12 OP WItLS A7 1'He
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"REGISTEit OF WILI.S. AGENT."
TAX CR�bT7S:
PAYMEN7 REGEIPT � py$COUNT �?7 pMOUNT PAIp
DATE NUMYfcR ! TNTEREST/PEN PATG t-)
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BUREAU �F INDJYtpL'AL TAXES NDTICS dF INw��tTANCE TAX DGFAATMENTQFPEVEN:lr
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iWtRISbtMiC PA ln2u-Oaoi JO[N7I.Y MGLD QR TRUST ASSETS
AATE Yi-08-2010
EsrATE OF wARNBR MARY �
DATE OF DEATM a8-2�-2010
FIIE NUM�ER 21 10,C496
COUNTY CUi�$�R�At��}
SSNJDC �03-10-y307
REV�NNA � BARRICK ACN 101557.�i
202 hQL�ENE�AUGN RQAD APPEAL A� 17A7�:Q1-�7-2011
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A�nount Rs�aitted ���
MAKE CHECK PAVABLE AlVi3 R�MIT PA'Y�IEN7 T'D:
REGISTER G� tJTILS
1 COURTHOUSE SQUARE
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ESTATE �F:WARNER MARY E DATE �F DEATH:OB-28-�CO1Q C�UNTY:CUMBERLAND
FIL� NG� : 21 10-0496 S.�lD.G. NO. : 203-].0•7�07 ��N: 1Q3�5131
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d�aount Sutsject to Tax 7�r�$6•�� �P?E�i PORTION LF THIS NOTICE
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SEE REvERSE SIDE OF THIS fORN fOR INSTRUCTIONS.
JAN�12-�?Ol� ���38 RM P. �6/i�
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9UREAU 0� it+DIVIQUAL TAXfiS NOTIGE 6F iNNERI7ANG� 74X pER1tRTMEN'."OFFEVENUE
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DATE aF DEl17H oe�za-zoio
FILE NUMHER 21 i.�-0996
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C1IRLIStE PA 17013
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NOTICE OF IHN�ERIYANCE TAX APPRAiS�Pi�NT� ALt01VANCE OR I7rSALLOWANCB OF
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P�ATE: 11-DEl-?Gi0
ESTA7� QF:WARNER MAF1Y E aAT� OF Y�EATH.DS-28-2D10 CO�NTY.CttNB�RIAND
FILE ND. : 21 10-0946 S.SAD.C. NO. : �03-20-73C7 ACN: 1015�132
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DAT� 11-08-201ti
E$TATE OF WARHER MA�Y �
DATE oP bEATM a6-"LQ-201.0
FILE Nt1lM8ER 21 LO-0446
CUUN7Y CEIMBERLAND
SSN/DC 203-10-7307
REV�RNA C BdRRICK ACk 10155129
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CARi�ISl.E PA 17413
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NOTiC� OF INHERCYANGfi TAX OEPKFiTME4TOfREVEN'JE
BUREAU OP ?kD1YlD�AL TAX�S �ppRATSENENT. A�LOWANC� oR DISA�I.OWpH�E R�y.;r�q� Fj pGr <1Y-09)
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FMRRIS6l'fSG PA 1T]'t8•9bRl.
D0.1'E 11�08�2U10
�S'TA°�� OF' �lARNER MARY �
nar� 4� 77�A7N oe•ze-tora
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COUNTY CUMBERLAND
5SN1DC 2Q3-1D-7�07
REVENNR C BARRICK ACN i0l55130
k02 HOLLEN9AU6H ROAp APgEAi. ttY AATE:O1-97-2tlil
CARL f SLfi PA 17015 (SeL revars�,�itde undrr Uhjectlnss)
i4�ounti Ratd�ttetl �� ___..i
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F�EC�ISTGR OF WILLS
A COURTHOU3� �C7L'ARE
CARtiSLC PA 1.7013
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�}EDUC,'i'TJMS. ANfl ASS�SSMENT OF TAX ON JOIt�TLY H�LD OR TRUDATES$�1$-0$-201�
��TAT� RF:YlARNER MAltY B 17ATE 6P DEATN:08-28-2010 CUUN1"Y:CUMBk�RL.aND
FSLE NO. : 21 10-(194b S.S/D.C. Ni�. t �03-10-T507 ACW; Itft55137
1'AX RETUftN WASs (X) ACCEPTE4 AS FiLED C ) CHANG�17
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FIPlAN�iAI. INST17UTION: M��BERS 15� FCU ACCOUN7 hIL1. s 318&«E2-4G „„,.,
tTPE OF ACCOUNT: C )SA+IINGS C ) CHECKING C )7RUST tX?TIM� C�RTZFICATi:
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:�moun` SuDjact tv Tax 5,399.36 ul'!'ER PORTION oF 'fHx� NOTIC�
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PAVMEWT��RECEIPT OZSGOl1NT Ct) AM4UNT PAGD i
DATE _--'' NUMRCR �iN'�ERL•S7lPEN PAID C-) ;
� 10-06-2010 � CAC234S4 12.1� � � �$Q.a2 � -'
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INTEREST I�ND sEtl. «uo j
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SCE REVERSE SIDE Or TN6S fORN fCR INSTRUCTIONS�
REV-1508 EX+(08-12)
� pennsylvania SCNEDULE E
DEPARTMENTOFREVENUE CASH� BANK DEPOSITS & MISC.
INHERIfANCE TAX REfURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Mary E. Warner 2010-0996
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly owned with right of survivorship must be disciosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Adams Electric Cooperative, Inc. 10329
2. Tax Refund 205.08
3. 12119/11 -Adams Electric Cooperative,Inc.,Patronage Capital Retirement 83.31
4. Citizen's Bank,da No.036076150(xxxxxx7726) 15,878.08
5. Cash in Pocketbook 189.00
TOTAL(Also enter on Line 5, Recapitulation) $ 16,458.76
If more space is needed, use additional sheets of paper of the same size.
0093668550
� Adams Electric Cooperative, Inc. `
1338 Bigierville Road
/'�� PO Box 1055 ��
Gettysburg, PA 173 -1055
� A Tarhsoone Fnecg�Coopecative�C
1-888-232-6732 / �
www.adamsec.coop
1165 1 AV 0.340 4 1165
MARY E WARNER C-4 P-7
102 HOLLENBAUGH RD
CARLISLE PA 17015-9715 ti
�n��l�liii�l�lli�i��ii���ii�l�l�ililihur�l�ili��n�l��lllilii
- Patrcna s �a it�f Retiremen. -
<: <:::::. ,
':»::::>::::;::::;;�,��E ENCL��Ep LETt'�W�;��pi.�4NaTi4N:�H�ET ,: ,
RETIREMENT SUFMARY YEAR AMOUNT
TMis �7ir��Nr _______83_31_ 1984 23.63
1993 .
CHEpC AMOUNT 83.31 - ---------
83.31 .
CAPITAL CREDtT NBR: 0093668550 CK#: 21135889 DATE: 12/19/11
Adams Electric Cooperative, Inc. Patronage Capital Retirement
0
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� � � ������ �� One Citizens Drive
ROP112
Riverside, RI 02915
August 15, 2014
Law Offices, Humer and Daniels
William S Daniels,Attorney
One West High Street, Suite 205
Carlisle,PA 17013
Estate of Mary E. Warner
Date of Death: Aug 28, 2010
SSN: 203-10-7307
Dear Sir/Madam:
In accordance with your request,the enclosed information sheet has been provided in the above
decedent's name as of his/her date of death. In regards to the number referenced in letter, 036076150,that
is our routing number, not the account number. The correct account number is indicated on the enclosed.
Should you have any questions, please call 1-877-579-2667, option 2.
Sincerely,
�' U�,,', �,,�
Heather Medeiros
Decedent Account Processing
REF#: 653493
... � � . � ' , : i �� ,,::...
... .��... � '. �a�:.. � 'fa �;..
Account Number 6100727726
Account Title Mary E. Warner
Date Opened 6/6/1966
Account Type Checking
Principal Balance as of DOD $15,878.08
Interest from Last Posting to DOD
Account Balance as of DOD $15,878.08
YTD Interest to DOD .0
REV-15o9 EX+(o1-io)
� pennsylvania SCHEDULE F
DEPARTMENTOFREVENUE )OINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Mary E.Warner 2010-0996
If an asset became jointly owned within one year of the decedent's date of death,it must be reported on Schedule G.
SURVIVING JOINT TENANT(S)NAME(S) ADDRESS RELATIONSHIP TO DECEDENT
A• Revenna C. Barrick 102 Hollenbaugh Rd., Carlisle PA 17015 Daughter
B.
C.
]OINTLY OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY Mo OF DATE OF DEATH
IfEM FOR lOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENT'S VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER.ATTACH DEED FORl0IN1LY HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'SINTEREST
1. A. 06/02/08 Members1st FCU,CD No.318841-51,plus accrued interest of$35.71 27,778.30 50 13,889.15
2. A. 12/24/08 Members1st FCU,CD No.318841-50,plus accrued interest of$68.10 52,972.99 50 26,486.50
3. A. 11/08/08 Members1st FCU,CD No.318841-45,plus accrued interest of$34.00 10,798.71 50 5,399.36
4. A. 11130/O7 Members1 st FCU,S/A No.318841-00,plus accrued interest of$9.08 52,578.33 50 26,289.17
5. A. 11/30/07 Members1st FCU,M/M No.318841-05,plus accrued interest of$2.11 7,146.28 50 3,573.14
TOTAL(Also enter on Line 6, Recapitulation) $ 75,637.32
If more space is needed, use additional sheets of paper of the same size.
St
�
MEMBERS 1'`
FEDERAL CREDIT UNION
SAVINGS ACCOUNT: �
Account NumberfSuffix 318841-00
Date Account Established i 1/30/2007
Principal Balance at Date of Death $52,569.25
' Accrued Interest to Date of Death 38.0&= _
Total Principal and Accrued Interest $52,578.33
Name of Joint Owner Revenna C.Barrick
Date Joint Ownership Established �Q07
MONEY MANAGMENTACCOUNT: 318841-05
Account NumberlSuffuc '1�012��
Date Account Established
Principal Balance at Date of Death S7,1a4.t7
Accrued Interest to Date of Death ��� -
Total Principal and Accrued Interest $7,146.28 �
Name of Joint Owner Revenna C.B�Rick
Date Joint Ownership Established ��
CERTIFICATES OF DEPOSIT: 318841� 318841-50 318841-51
AccountNumber/Su�x ���pg�2008 03/26/2070' �6I�vz008��
Date Account Established 5Z,g04.89 $27742.59
Principai Balance at Date of Death 510,764•71 $
Accrued Interest to Date of Death • ,�.�'���� 27,778.30
Totat Principal and Accrued Interest 310,798.71 /�' ���.y��•�9` $
Name of Joint Owner Revenn C�:Barrick �Revenn�a�.Barrick Revenna 9. 'ck
Date Joint ownership Established 2�8 �"""""'�
'Rollover from ceRificate 318841-45,originally established 12/24/2008.
"Rollover from certificate 378841-51,originally establishad 03/02/2009.
MEM ERS 1ST F ERAL CREDIT UNION )
���� ���'/
Lei h ne Stailin s
9 9
Lending Insurance Support Specialist
September 21,2010
Estate of: Mary Warner
Date of Death:08/28/2010
Social Security Number:203-10-7307
5000 Louise Drive • P.O.Box 40 • Mechanicsburg,Pennsylvania 17055 • (800) 283-2328 • www.memberslst.org
. �
REV-15ll EX+ (08-13)
� pennsylvania SCHEDULE H
DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Mary E. Warner 2010-0996
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1' Egger Funeral Home, Inc.,funeral and burial 4,373.00
2. Brachendorf Memoriais, inc.,scroll placed 195.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions: 2,335.68
Name(s)of Personai Representative(s) Revenna C. Barrick and De�er P. Eckenrode
Street Address 102 Hoilenbaugh Road
city Cariisle ____ __state PA ZIP 17015
Year(s)Commission Paid:
Z• Attorney Fees:
3,799.42
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.) 3,500.00
Claimant Revenna C. Barrick
Street Address 102 Hollenbaugh Road
City Carlisle ___ State PA Zip 17015
Relationship of Claimant to Decedent DaUghtef
4. Probate Fees: 67.50
5• Accountant Fees: 0.00
6. Tax Return Preparer Fees: 50.00
�� Cumberland Law Journal,Advertising 75.00
s. The Sentinel,Legal 219.40
s. Register of Wills,filing fee 45.00
�o. Additional Probate 40.00
��. Reserve 500.00
TOTAL(Also enter on Line 9, Recapitulation) $ 15,2d0.00
If more space is needed,use additional sheets of paper of the same size.
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CEMEt�RY DUE DA7E PRi3J�CT
IVIs. Rev�nna Barrick '� � M � I ll�/2414
102 1:Iollenbaugh Rd,
C�xlisle, P,A 17015
�JESCRIPTIQRI AMQUNT
Ye�c- scroll : 2014 ''� ,� 195�00
for �ary E. W.AIZNE.�. �r'�-G�.��' f��"
Installr�tion included. L f!-- �Z- ��1 U
S�`Ra�,L, PLACEI�
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To�t 7 95.00
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RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH Receipt Date : 9/29/2010
Cumberland County - Register Of Wills Receipt Time : 14 : 38 : 38
One Courthouse Square Receipt No . : 1062762
Carlisle, PA 17613
WARNER MARY E
Estate File No. : 2010-00996 � ������1�'��, ---
-li���� c`
taid Ey R�marks : , WILLIAM S DANIELS
SAP �11�-5,
--------------- --------- Receipt Distribution --- --- --- --- ----- - - - - - - -
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST 20 . 00 CUMBERLAND COTJNTY GENERAL FUN
WILL 15 . 00 CUMBERLAND COUNTY GENERAL FUN
SHORT CERTIFICATE 4 . 00 CUMBERLAND COUNTY GENERAL FUN
JCS FEE 23 . 50 BUREAU OF RECEIPTS & CNTR M.D
AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN
----------------
Cash :5-
Total Received. . . . . . . . . 67 . 50
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CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
Tele: (717)249-3166 Fax:(717)249-2663
October 29, 2010
Cumberland Law Journal is published every Friday by the Cumberland County
Bar Association and is designated by the Court of Common Pleas as the official legal
publication for Cumberland County and the legal newspaper for publication of legal
notices.
TO: William S. Daniels, Esquire
Mary E. Warner Estate
RE:
Legal advertisements must be received by Friday Noon. All legal advertising
must be paid in advance. Make all checks payable to: Cumberland Law Journal.
Advertisement inserted on following dates:
October 15, October 22, and October 29, 2010
Advertising Cost $ 75.00
Proof of Publication $ 0.00
Second Proof Request $ 0.00
Payment received $ 75.00
Total Amount Due $ 0.00
Becky H. Morgenthal, Executive Director
v�r�re.,��,e , �t A-�e.y �
r��he Sentin.el HUMER&DANIELS AD NUMBER PAGE NO.
www.cumberlink.com 1 WESTHIGHSTREET 390314 1 Of1
��� SUITE 205
�� CARLISLE,PA 17013 BILL DATE SALESPERSON
""`���—� 717-243-3831 10/28/10 wolfc
,:� ,;s , ._; _ ,
START DATE STOP DATE
10/14/10 10/28/10
AD NUMBER AD DESCRIPTION CLASS LINES
390314 ESTATE NOTICE LETTERS TESTAMENTARY 70 PUBLIC NOTICES 40 * 2 cols
Publication Insertions Rate Net Amount Gross Amount
3 THE SENTINEL-LEGAL 3 LGL $212.40
TOTAL AD CHARGE $212.40
3 PROOF OF PUBLICATION 01 PRF $7.00
i'
Purchase Order Est. MaryWarnerfer PAY THIS AMOUNT $219.40 $263.28*
"AFTER 11/22/10
THE SENTINEL
Thank you for advertising with The Sentinel! Deadline for c/o LEE NEWSPAPERS
in-column legal ads is 4:00 p.m.two business days prior to PO BOX 540
date of insertion. For questions, call (717)240-7130. WATERLOO IA 50704-0540
Return thls portlon with your payment Legal
THE SENTINEL
❑ Check# �Credit Card Ad Number 390374
c/o LEE NEWSPAPERS ❑ � ❑ v� ❑ � ❑ Billing Date 10/28/10
PO BOX 540
WATERLOO IA 50704-0540 Acct#: Amount Due $ 219.40
E�.Date:m m
4�►IflOtl�it
Name on credit card �ItC�OS@(� $
Signature
Please make checks payable to: THE SENTINEL
�,�F 000sos THE SENTINEL
!�E HUMER&DANIELS c/o LEE NEWSPAPERS
1 WEST HIGH STREET PO BOX 742548
SUITE 205 CINCINNATI OH 45274-2548
CARLISLE, PA 17013 ������������������n���u�n��������������u�n�n������������
21540200000003903140000000000000002632800000219408
REV-1513 EX+ (01-10)
� pennsylvania SCHEDULE ]
� DEPARTMENT OFREVENUE
INHERITANCE TAX RETURN BE N E FICIARI ES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Mary E. Warner 20 10 0996
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under
Sec.9116(a)(1.2).]
1• Revenna C.Barrick Daughter 1!3
102 Hollenbaugh Road,Carlisle, PA 17015
2. De�er P.Eckenrode Son 1/3
40 Subdivision Road,Newville,PA 17241
3. Ronald L.Wamer Stepson 1/3
215 West Springville Road, Boiling Springs,PA 17007-9530
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II—ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $
If more space is neetled,use additional sheets of paper of the same size.