HomeMy WebLinkAbout04-20-15 J t''¢pe��sy�vania 1505614105
'1,A5 -.�...�.,.,u..,... rx to3aar(rp
REV-1500 OFFILIAL USE ONLT
9umau0`IndividualTaxes GbuntyCcde Year FAeNmber
PO eoX 2806a1 INHERITANCE TAX RETURN ^ I �� Or�
H � b 9 PA ll128-O601 RESI�ENT DECEDENT ��� �
ENTER OECEOENT INFORMl�TION BELOW
SOGaI Secudty Numbe� Dele ot DBa�h MM�OVYYY Dala ot B1hM1 MM�OTTTY
172- � � 05172014 �. 03271930
DecetlenCs Last Name Su(fix �ecetlanfs Flrst Name MI
KIRKPATRICK NORMA P
(If ApPlicable)Enter Surviving Spouse's Inbrmation Below
Spouse s Lasf Name SutOx Spouse's First Name M�
THIS RE7URN MUST BE fILED IN DUPLICATE WI7H THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
� 1. OriglnalReWm O �� SupplementalRewm O 3. RemelntlerReWm(tlateofdeath
prior m i 2-1382J
� 4.qgriwl�ure ExemO�'�on(tla�a of p 5. FWu�a Interast Compmmiso(da�e of p 8. Fetla21 @ta�e Tax ReWm Raquired
tlealh on or after]-L2a12) deatM1 atter t142-82)
� 1. Oecedent Dled Teslale O B. Decedent Malnlalnetl a Living Trust 0 9. Total Numbcr of Sale Deposit Boxes
(AVacM1 copy of w11L) (A�tacb copY of husl.)
0 10_�tigatlon Pmceetls Receivetl O ��-SCM1etlule�F'an0 Gfe�e Re��� O 12. DefeRal/Bec�lon of Spousal Ttis�
O 13. Buslnoss Assats O 1J.Spous'e is-Solo Beneflciary
(No imsi��moivear
CORRESPONDENT- TXIS SECTION MUST BE COMPLETEO.ALL GORRESPONDENCE AND CONFIOENTIAL iA%INFORMAiION SNOOLO BE OIRECTE�T0:
Name Daytime Telephone Number
G. PATRICK O'CONNOR (717) 737-7760
Firs�Line of Atldress
3105GETTYSBURG RD.
Secontl Gne of Address
City or Pos[Off¢e Slate ZIP Cotle
CAMP HILL PA 17011
Correspontlenl's email adtlress: '�s y
EGISTER O ILLS tl8E�1JLV
_ O =D 7 p
REGISTEROFWILLBVSEONIY ' ) �D C7 O
OATE FILED MMOOYVYY =" n —�
.. . . � N f(L Cl
� . �"i O ..
.�
� . . . . ..,� -4l
1 � T
. �OATt FILED STAMP ��
N �
T
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PLEASE USE ORIGINAL PORM ONLV �
Side 7
L II�����I�����III�����S�I���II���4�IL���'��������I�I�������I 1505614105 ��
56
� 15�5614205
REV-1500 E%(FI) p��¢���s Soaal Seamry Numbe�
172-24-9161
De¢Vm�'S Nanre:
pEtI1P1iUlAl1UN
i_ ra�e:.faoe(Saedu�enA ------...... -. ____..__._ �- 179.200.00
._.__ __..____
2 sbd6aqBar�(Stl�etlWe9) ...._..............._._____...._--_ 2.
3 CluselY MeM CarPvabo^.VahnshV a Sde�P�oMic4*:hV(SG�adiAe C) ...-. 3-
/. Mor4a9e5 antl Nales RecefrdHe(Sdetlule D)_................_______ 4.
5_ casn.Ba.+�De�i6 arw AKWxieous Pe�s4�a1 Rrot+�r(SrJ�eewe E)....___ 5 4.740.00
6. .wv+h Ownee aro�e.q(Sa�dde F) O seoa��+v��� .---..- s" 7.713_OU
�. i�.-�os ra�r�a r.a�,�a��r��-woose Prw�+r
(S�tm�ecl � �'a�eB�n�sted------- �.
6- Tora�crossasse�s(+adli�inragn�)._.________ ______________. a. 797.053.00
9. Fu.c�a�E*n��s ana na�.ovawe cosa(saea�e HI....._._-._..... s. 23.787 00
/0- DaMs d Uec�nt.Mor[9age Lebitirs antl Lxvis(Sdcd�le 1)............... 10. 52-QO
11. TOWDedctiw6�hWlliws9anJ10)______...___.________...._.___ 1L 25.�9.�
12- xetvaucorFsaeN�em.vstwcn)__..__-'___.__._.._....____ t2 767.274_00
13. CtaiblYe antl Goremne*tl 6eq�w--+1sl5ec-9113 Tnsls for w1H�
ai cied'pn b taz tas rof baPn matle(Srledtle J) ._._..-_............. 13-
14. Ne1VWueSu4��mTaz(Lre12mFuslmet3) _...................... 14. 1�i7.214_�
TAX GLLGUTAiqN-SEE B�STRIICl10N5 FORAPPLIC/1BLE RATES
15. M�nrYdlnel4�aW�le
al tl�e�1 tar r8e.m
traNefs u�der Sec 9I16
(axt2)X.0— 1`.r-
16. N�viM W Lme 14 6xa01e
atfr�rAe X 0_ 16.
1l. Mnut d L"ne 14 Gxable
xsa6ry.aoe x 1z
157.88t00 n. 18.996-00
f8- Amaue d Lme td laaade
atm�alc+Jrate X.15 9^333"00 t8. 1.400.00
t9- TAXWE ._____. ___.__ ............ ..... 19. 211•316'00
_......__ _.........__ ..__
20. FILL IN THE OVAL IF YOU ARE REpUESTING A REFUNO OF AN OVERPAYMENT �
Under pendllies o�pe�ury.I tletla�e I�ave eaamin¢E Nis reWm,i�IWin9 dt�'umpanying scM1etlules aM s�atenien6,antl b 11ie Eesl of my k�qwkdge aM�elle�.
it is we,m:�ec�aM cOmDlele. DedaraMn o!qeparer o1M1er Man iM1e parson responsiWe M filing Me reNm is�asea m all inlo�malion of w�k�preparer M1as
any�no.lee9e.
51 NAT E OF VERSON RE¢P.ONS FOR FlLINGdiETURN �q/TE
h� � �/ � /$
nooaEss f�' r�
Z00 CUMBERUIND RD. L VNE, PA 17043
SIGNATIMEOFPREPAREROTHERTWlPERSONRESPOH59LEFp2Ftl.HGTHEREIUFN OAIE
/.pMF55
3105 GEffYSBURG RD-,CAMP HILL, PA 17011
L i■�■��1��■�■■�■ s�z J
y2p 1505614205
FEV-0SOOEX �FI� P.Zqe3 FlleNumber
Decedent's Complete Address:
oecEOENrsNnME
NORMA P. KIRKPATRICK
. .. —_. ._ ___
siaEErnooaEss
307 N. 2ND ST.
—cm ..__ ._ ._ _ . _- . :� sinre__ —_. . _, n�. _
WORMLEYSBURG ��� PA '� 17043
Tax Payments and Credits:
1. TaxDue�Page2,Linei9l (1� 20,346.00
2. Credlts�Paymenis
A.PnorPaYmen�s ___ ___..__. ____...21,000.00
B.Diswunt � 1,017.00
__
(SeelnsVud7onsJ TotalCredits(A+B) (2�
3. Interest
�3) 0.00
4. If Llne 21s greater Ihan Line 1 �Gne 3,enler lhe alfference. Thls is ihe OVERPAYMENT.
Fill io oval on Page 2,Line 20 to reqcest a reNntl. (47 1,67t00
5. If Cine i *Line 31s grealer�han Cine 2 enler the dlfference.This is Ihe TAX OIIE. (5) _
Make check payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Dia deceden�make a Uansfer and'. Yes No
a. retain�he use or income of ihe pmpetly Uansterred........ .._....... ..._...... ............. ❑ �
b. retain�he ngh�to designate who shall use�he pmpetlY��referred or its income ...........__.__._...._............ ❑ �
c. retainareversionarymterest ..__... .._.._ .._ _... .... � �
d. �ecoive the promise lor life oi either payments.beneflts or care� ..._ __ ..... ❑ �
2 If daalh occurre9 aHeq�ec 12, 7°82,dld decedent treasfer propeM1y vnihm one year of dea�h
withoWrecewin ade ualeconside:alion? .._.._. __._. _..__. __..... ❑ �
3. Dld decoden�awn an"In trusl for'or payableupon-dealh hank eecaun�or securi�y at hls or her deeth2...__... ❑ �
4. Did decedent cwn an individual relirement accoun�,annuily or other non-proba�e propetly which
containsabenefciarydesignation7 ......_ ..._..... ._..... ...__. ............. ❑ �
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Por dates of tleath on or after July 1,1894,and before Jan.�. 1995,the tae rete Imposed on ihe net value o(transfers to or for Ihe use of the sorviving spouse
is a pemem pz Ps§ens�e��i i10)].
For tlates of tleath on or after Jan. 1, 1995, the tax rate imposetl on ihe net value of irens(ers �o or for the use of lhe surviving spouse is � percent
[/2 P.S.§9116(a)(1.1)(ii)�.The stalute dces not exempt a transfer to a surviving spouse fmm tax,and�he staWtory requirements for tlisclosure ot asse�s and
ftling a lax reNm are still applicable even if ihe surviving spouse is�he only benefciary
Por tlates of death on or aNer July 1,2000:
. The tax ra�e imposed on the n2t value of iransfers fmm a aeceasetl chiltl 21 years o(age or younqer at tlealh lo or br the use of a natucal parent,an
adoptive parent or a s�ep-parent of ihe chlld Is 0 percent[72 P.S. §9116(a!(1 2)]_
. Thetaxratelmposedonthenetvalueoftrans(ers�oorforiheuseotthetlecedenfsllnealbeneficiariesis45percent,exceptasnoted'm[72P.S-§9116(eJ(1)�.
. The�ax raie Imposed on the net value of irensfers to or for the use of the decetlenCs siblings is 12 parcent[72 P.S.§9118(a)(1.3)].A sibling is da(ned,
under Section 9102,as an individual who has at least one parent in common with the tleceden�,whether hy blood or atloption.
oaen�..irve.zmxmes
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U'� "'�"- � �'�`�_ ��li �14
Fiic No.410 CONEWAGO
PATRICK OCONNOR
NORMA KIRKPATRICK ESTATE
File Number. a10 CONEWAGO
In acmrdance with your requesL I have appraisetl the real properry aL
410 CONEWAGO DR
DOVER, PA 17315
The purpose otthis appraisalis m develop an opinion ofthe defined value ofthe subject pmperry, asimproved.
The properly rigMs appraised are lhe fee simple inmrest in the sile and improvemen�s.
In my opinion, the defined value of Ihe propc«y as of July 15,2014 is'
$30,000
Thirty Thousantl Dollars
The attached repon contains �he descriplion, analysis and supportive tla�a for the conclusions,
flnal opinlon of value, descriptive pholographs, assignmenl conditions and appropriate cer�ifications.
STEVEN D. WOOF
PA STATE CERTIFIE� R.E.APPRAISER
Restricted Use Residential Appraisal Report r��e No. aio coNewnco
m� ,ewn�:xmn.ewire.mea�oe.=m,��.,,ueiv,e�uem.me.,nrm�a,sw�� �•=m�o��w,�oos�uone���m:,.v�m=maee.�ee.nooan.are.yw no�veemo,�:imm,mauo.�
�ine. ..rr< uonn�: ��ue .,ana�.ea�oie oanm .aweonn..00� mmea��
� Ciieni PATRICK'OCONNOR e-ma^ia^PATOCONNOR100� GMAILCOM�
' a�em aaare:: NORMA KIRKPATRICK ESTATE a� s�aie z�
mienaeausePERSONALFINANCEDECISION �
am en nmress410 CONEWAGO�R Piv DOVER Staie PA zip t7315
O�neroescriiion�APN.Leai.e¢.,itapQioame PARCELNUMBER39-000-05-0062-00-00000/RECORDBOOK59RPAGE285_ _
" Pro n RI bisA a'uetl X FeaSlm le leesebola Other�tlescnbe
Suqec�propenye.tsnngum�. SINGLEFAMILVRESIDENTIAL userenenea'inappraiv�t SINGLEFAMILYRESIDENTIAL_
IliM1es�e�BestUse�. XExisiln OiM1er
M re5e9rcM1 UiU OIOnolravealanYp�o saleso ansleso� I�esuOeqpmpenVlorlM1e��reeyearsplmr1o1M1661�acuvedateof�hisappraisal. _ _ _
PnorSelelirenslen De�e Price Souee(s) _._
• HnaysisoipriorseletransfernisioryofiM1asuO�ec�pmpeny�antlmmparo�iesaies.ifapplicable) _,
Onerings,opiionsantlmnvactsasof�neefienlvetla�aol�noappraisal _
MarteiaeiiiryCommen�s�. MARKET WNDITIONS ARE STABLE AS Of THE DATE OF THIS APPRAISAL SUPPLY AND DEMAN�ARE,IN
BALANCE CONVENTIONAL FINANCING IS PREDOMINANT IN THE LOCAL MARKET AREA WITH SOME HELP FROM THE ._
SELLER TOWARDS THE BUYERS CLOSING COST.
Sne Commems�. SITE AREA OF 0:88 ACRES WAS TAKEN FROM THE YORK COUNTY TAX ASSESSMENT DATABASE.
impmvememeammemr. THE APPR4ISED PROPERTY IS CONSIDERED TO BE IN OVERALL POOR CONDITION.
FCAitIRC SUBJCCi COMPARABLE SALE N0.1 COMPARABLE SALE N0.2 COMPARABLE SALE NO I
410 CONEWAGO DR 165 CANAL RD EXT. 133�CONEWAGO AVE 3560 OLD TRAIL RD
naerEss DOVER PA 17315 YORK PA 17406 MANCHESTER, PA 17345 YORK HAVEN, PA 17370
am�imi� iosuexi .. . � 4.54 miles SE . � 6.14 miles SE 3.99 miles NE
5aie Price E � f 25,000 3 E 27,000 E 23 799
sa�arknGmss�N.mea a 0.00 s n. 5 25.99 s .n s 3629 � u s 22.88 s .ri. �
oa�aso�r�es ��� � '� CPMLMLS#213�1141 CPMLMLS#21402695 CPMLMLS#21402186
Verifcauan5ourcels . . ASSESSMENT/COUNTVSTEB ASSESSMENTICOUNTVSTEB ASSESSMENT/COUNTVSTEB
VAWEAQIUSiMEN15 ��OkSCNIPIION �ESCRIPiION �F�tneuwni �ESGRIPTION ditoe�nmem �ESCRIPTION d�is�d�a�+.ni
__
Saiem F�inancing � � � � � � CASH NOMELP CASH NO/HELP CASH NOMELP
Cancessions 148 DOM 69 DOM 89 DOM
oaiea�5nlelime 55/14;e3/14 e8/14;e5/14 s6/14'e5/14
wcai�on N;Res; N;Res', N;Res; N'Res'
�easenoimPoa S�m w Fee Slm le Fee Sim le Fee Sim le Fee Slm le
sw 0.8771 acres 0.5745 acres 3,000 0.4752 acres 4,000 0.96 acres 4,000
view CREEK CREEK RESIDENTIAL RESIDENTIAL
Uesi n 5� ie DTI;CABIN OT2CABIN DTI;CABIN DTI;RANCHER 0
� quaii� oiConswaron AVER4GE AVERAGE AVER,4GE AVERAGE
• nauai a e 54+/- Years 59+/-years 0 84+/.Years 0 46+/-Years 0
_
� co�an�o� PooR POOR POOR POOR
N�OVPG24¢ lo�el Ndrms Bems lo�ei Bcros BaNs lwa Bomz. Berts Ivni 96ms Balns
� koamCoum 4 2 1 6 3 1 0 5 2 1 0 5 3 1 0
= Gmss�ivi AreaSA� 704 s .0 � 962 s .�� -1 290 744 s��. _ ._.__200 1,040 s .n. -1,680
� easememsf�inisnea 2865q.FL 342Sq.F�. 0 744Sq.Ft. 0 BOOSq.R. 0
� aoom:emowcrae� Unfnished Unfnished Unfnished Unfnished
Fmnionaiuuo� AVERAGE AVERAGE AVERAGE AVERAGE
� Neaiin ICooiin NONE EBB NONE -1,OW FWA NONE -1,000 FWA NONE -1,000
Ener Eniaeniiiems NONE NONE NONE NONE
Ga�epelComon NONE NONE NONE NONE
Restricted Use Residential Appraisal Report roe mo. aio coNewnco
memoa:a�memn� � m io ea: X seiescom o�n em cosa a�n m�om.n am omer
oiscussionolmemctlsanaiernniquesempioyed�mtluamgremniae.cimmgxnappmacM1�orvaWe SEESCOPEOFWORK
� aemnoiiauoncommen�s�. MARKET DATA APPROACH WAS UTILIZED. _ _
� BasetlonlM1ewopeofwork,assumptions,limilingcontlltionsan0appraiser'scerlifica�ion.my(wr)opinionottM1eEelinetivalueoflM1erealpmpehylM1atis
lM1esubjecloltnisreportasof 07/15/2014 .wM1icnismeelfectivetlareofthisappraisal.ls:
OX Singlepoinl E �30,0�� Range S �o E ❑Grealer[M1an ❑LessNan E
lniseOP�aisaiismatle U esis, U su0jecuommpbtionperPiansanaspecif¢auonson�M1ebasisolaM1ypo�nailcalcon4ition�nauM1eimpmvememsM1aveGeenmmple�eU.
❑suqeamiM1e�ouowingrepairsoral�era�iomm��M1eOasisofanypo�neilcalmntlAionmattM1ereyoirsoraneiaiionsnavebeenmmpie�N ❑ mqenio�nefollowing�.
APPRAISED"AS-IS" --
nppraiser's CenifiwGon
TheapP�a erlslcertiliestM1atmt�e0e5to�Neapp�e r'sknowleOqeana�elle�:
1. TneAalemenisollaciconlaineAlnlnlsreporlerelm6anacorrecl.
L Themponetlanatysns.opinbns,anOcontlusionsoraiimitetloniyUy�M1nreponeaasmmp�ionsantliimumgmntlttionsantlaretneapP�eiser'spersonallmpartiatanaun�iasea
pmlesslonalannlyses,opimons,anam�Wsions.
l. Oniess oiM1eiwue smie0.��e appraiurnas no present or pmspecirve In�eresi in��e pmpeny�M1at S tM1e suqut oi i�is repotl antl nes no personal Imeresi wi1M1 respecuo ihe panies
valvea
. q. Theappa.cernasnobiesWnM1respecuoiiiepmperryi�eiis�nesub�ecmi�M1israponoimtM1epamesinvolveAwnniM1isassiqnmem.
5. TbeaD��aiser'sengagememin�nisassignmemwasnmeoniingemup�ntleveiopingorreponingpreOGemiinetlresul�s.
6. iM1eaDP�aiserscompenseGoniwwmpleOnglNsassignmenllsiro�conlingen�uponiM1e4evelopinan�oneporUnqofapretlelertninetivaluemdirenionlnvalue0artavorslM1ecauseol
�neGient,tM1e amoum oi�M1e vaWe opinion��e a�iainmant of a sfipuie�e0 resuit o�ine ocwrrence of a subsequent event tlirmy�elaiea io ihe in�enaee use ol�M1is eppralsai.
]. TM1a appmisei i anayses,opinions,antl concWsions were tlevelope0,oM�M1is�epon nas been preparetl.m conlormily wn�tM1c Unilorm S�endar�s olPmlessional ApWe�sal Pianice.
B. UnlessotM1erwisenoletl.iM1eaDO�airerM1asmatleepersnnallnspenionofihepopenY�naiistM1esubRnofiM1isrepon.
9. Unlessnoie0,noonepmvitletlslgnllremreal0�openyappmiselass¢�an�n�otbeapP�Isersiqning�M1iscenification. SlgnificanireeipmpenyappraissiassisiancepmviUe00y.
AOOilianalCerM1llcation£ �
THE APPRAISER IS NOT A HOME INSPECTOR, THE APPRAISER ONLY PERFORMED A VISUAL INSPECTION OF THE
ACCESSIBLE AREAS AND THE APPRAISAL CANNOT BE RELIEO UPON TO DISCLOSE CONDITIONS ANDIOR DEFECTS IN THE
PROPERTY. � � � .. . .
TypeolValuu � O Ma�k¢IValue �OI�e�Value' � �� .
. Samccaioemm�nn- REALESTATEAPPRAISALTERMINOLOGV
oenniiionoNaiue�. THE MOST PROBABLE PRICE WHICH A PROPERTV SHOULD BRING IN A COMPETITNE AND OPEN MARKET
� UNDER ALL CONDITIONS REQUISITE TO A FAIR SALE THE BUVER AND SELLER EACH ACTING PRUDENTLY,
� KNOWLEOGEABLY AND ASSUMING THE PRICE IS NOT AFFECTED BY UNDUE STIMUWS.
FEV�502 EW (_242)
%�,� pennsylvania SCHEDULE A
otvnamErv.oraEVErvuE REAL ESTATE
INhi1TANCETP%RPUNN
esioervr oeceoear
ESTATE OF: FILE NUMBER:
NORMA P. KIRKPATRICK 2014-00558
AII real Oraperry ownetl solely or as a tenant in common must be reporteE at(air market value.Fair market value is tlefineG as the vrice at which pmDetty
womd be exchangetl between a w➢ling buyer and a wllling sel;eq nelNer being mmpelleG ta buy or sell, boN havmg reasonable knowle0ge of the relevant ta[ts.
Real Oroperty that is jointly-owned with right of survivorship must be discloseE on Schedule F.
Ntta:h a capV of the settlementshee[If the pmpeRy has been wld,
ITEhI ;ndu0^a m0Y�`��e deed show�,ng�eceder,s�.Yerest I'owcetl as terant In comaon. VALUE FT�ATE
NUNBER OF DEATH
DESCRIFIOM
1� Real property located at307 North 2nd Street,Wormleysburg, Cumbetland Coun�y, PA 17403, 150,000.00
consisting of a single lot with N+o single famity residenlial sVuctures. The address for the first
residence is 307 Nodh 2nd SUeet Wormleysburg, PA 17403. The address of�he second
residence is 306 N. River Sireet,Wormleysburg, PA 17403.
2. Real pmpedy located at 410 Conewago Drive,Dover,VoM Coun�y, PA 17315,on which is 29,200.00
situated a cottage.
TOTAL(Also enter on Line 1, Recapitulation.) $ 179,200.00
[f more space is neeAetl, usea�Eltional sheets of paper of the same size,
atvasoao-� (oa-�z) �
=r,,, SCMEDULE E
�� � pennsylvania
oevAarnervroraeveNue CASH, BANK DEPOSITS & MISC. �,
�N�Ea�rA��E*Ax��na� PERSONALPROPERTY '�
RE5IDCM�ECEDENT
ESTATE OF: FILE NUMBER:
NORMA P. KIRKPATRICK 2014-00558
�ndude Me pmcee0s oF litigation and the�ace the pmceeas were receiveG by Me es[a[e.
All proper[y]oin[ly owned wiM right of survivorshi0 must be dis<losetl on Schetlule F.
ITEM � VA W E AT DATE
NUMBER DESCRIPTION _ OFDEATH
1, Furniture,jewelry&householditems 1;565.00
p Refunds of life insurance antl homeowners insurance policy premiums 3,079.00
3. ReWrn of prepaid taxes from sale of real properly 87.63
q. Refundfmmwatercompany 8�6�
i
TO7AL(Also enter on Line 5, Recapitulation) $ 4,740.00
If more space is neetled, use adCitional sheets of paper of[he same si¢e.
0.EV-�Sog E%�@e-iol
�� pennsyLvania S�HEDULE F
oevnA.w,eHroFAevemue ]OINTLY-OWNED PROPERTY
�,�rk�.ANCE.Ax a�,,aN ..
aes�oeNr oeceoeur '
ESTATE OF: FILE NUMBER:
NORMA P. KIRKPATRICK 2014-00558
I!an asset became joinHy owneE within one year of[he tlecedent's date of death,it must be reported an Schedule G.
SURVIVING]OINT TENANT(5) NAME(S) ADDRE55 RELATIONSH[P TO DKEDENT
A� Donna K. Royal 200 Cumbedand Rtl.. Lemoyne, PA 17043 Sister
B.
C.
]OINTLY OWNED PROPERN:
�eIIEa onrE DESCWPTIONOFPROPERT' °'ooF oArEOFoe2in
REH f00.10LYi MPDf INCW�ENAMfOFRNFNCIPLINS1iUiI0NPND3FNKPCC�ONiNI1MBE0.0R5I19LA0. �FtEOFDFAiN �E(£OENi'S VPWfOF
M1UMBER iENNNi )O1NT I�EMIMNGNIIN8E0.,BIIACH�EEOYYIP)OIMLYIIfLPPEFLESiAiF. �AWEOFASSET IMFAFSi �ELEDtNi'SIMEPESi
i� A' PSECU Checking&Savings ACG.8943XXxxXX 14,225.00 100 7,113-00
i
TOTAL(Also enter on Line 6, Recapifulation) $ �.»3.00
If more space Is neetled,use atldi[ional sheets oF Oaper af[he same sizo.
nevasri �+ ;oa-:.�.
� pennsylvania SCHEDULE H
oEPnR�nervroFaEvervuE FUNERAL EXPENSES AND
�vnea�rA�+�=*a*a�ua� ADMINISTRATIVE COSTS
aes�oenr oeceoervr
ESTATE OF FILE NUMBER
Kirkpa[rick, Norma P. 20-14-0558
DeceOenPs debts must be reporteC an Schedule I.
IIEP1
NUMBER DESCRIFTION AMOIINT
A. FUNERAL EXPENSES:
t� Musselman's Funeral Home 6,745.00
a. Rolling6reenCemetery 1,495.00
3. Reception-ElksLodge 1,183.00
g, ADMINISTAATNE COSTS:
L Personal Representative Commissons'.
Name(s)of Personal kepresentative(s) Donna K. Royal ._ .. _ _ _ _ . .__
saeecadaress 200 Cumberland Road. .__ __ ___ _. ... __ ..____-
p�y Lemoyne . _._ Stare PA. Z�p 17043 ..
Yea:(s�CommissiorPatl __. .. _._. .... ...
9,553.00
2. A[[amey Fees:
3. Family Exempticn: Qf aecetlenPs adtlress is no:[ne same as daimanPs,a[tach explanation,�
❑aiman; .... . .._ .. ..
_.....__ _.__.. ...
StreetAtl9ren .. _. .—. _—
Ciry_. . . .. .. _- — _—State_ ._ZIP __ _ .
Relationshlp of Claimant to oeceGent _ . ._ _- - -. — -
4. vmbate Fees: 565.00
5. Acmentan[Fees:
6. Tax Return Prepaar Fces'.
�. Repairs&Main�enance(or real propedy(less amount paid by tenanQ 2,198.00
a. Utili�iesforrealpropedy 1,034.00
9. Es�a�e adveRising 168.00
io. Refund to State Employee Retirement System 331.00
ii. Real estale appraisal 300.00
i2. Miscellaneousfees 215.00
TOTAL (Also enter on Line 9, RecaOitulatian) $ 23,787.00
If more sGace Is needea, use a0d¢ana!sneets of pape:of che same size.
i pennsylvania SCHEDULE I
� � i+��F DEBTS OF DECEDENT, .
�� � � ���R> �MORTGAGE LIABILITIES & LIENS�
i vna
i
" ` -. . _ __' _—_. �� _ .._ _ _
_ _ _ .
ESTRTE OF FILE NUMBER
Norma P. Kirkpatrick 2014-0558
Report debts incurred bY�he deceden[prior to Oea[h[hat remaineE unpaid a[the tlale al death,including unreimbursed meEical expenses.
_la 'i V�"LUEAT�ATE
,�.�aF�; � _e�:oa i o.oenrr
—. —_ ._ —___ .._ ._.__ _
� Comcasl cable TY 43-00
2. fdedicalsupplies—oxygen 9D0
II
I
I
__.. __.__ __'_--__ — _
TOTALAsce'�P,r Line �O, Rera,�i aioc� .� 52.00
�� I m.,msG�� � -e�w is'rte �to a h c'sefM_;amesze. �
REV-ISI3 EXa (01�10)
��� pennsylvania SCHEDULE J
°EP"pT"`"T°`p`�`"�` gENEFICIARIES
INHERRPNCETA%0.EILRN
RESOEIJT OECFDENT
ESTATE OF: FILE NUMBER:
NORMA P. KIRKPATRICK 2014-00558
REUTIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADORE55 OF PERSON(5) RECEIVING PROPERTY Uo Na[ListTmstee(5) OF ESTATE
I TA%A9LE DISrRIBUT10N5[Intlutle ou[righ[5pousalGistribu[ionsan0 transfers under
Sec 9116(a)(L2).]
t. Judy Fetterman,306 N.River SL,Wortnleysburg, PA 17043 Sister $157,861.00
2. Donna Royal,200 Cumbedand Rd., Lemoyne,PA 17043 Sister �
3. Donna Hull,5134 Erbs Bridge Rd., Mechanicsburg, PA 17050 Niece $8,333.00
4. Dadene SVunk, 163 Griffiths St., Upland,PA 19�15 Friend $1,000.00
ENTER DOLIAR AMOUNTS FOR DISTRIBOTIONS SHOWN ABOVE ON lINES 15 THROUGH 18 OF REVd500 COVER SHEET,AS APPROPRIATE.
II NON-TA%ABLE DISTftIBUTI0N5
A. SPOUSAL DISTRI90TION5 UN�ER SEQION 9t13 F�R WHICH AN ELECfION TO TA%IS NOT TAKEN:
1.
B. CHARITABLE AND GWERNMENTAL DISTRIBUTIONS'. �
1.
TO7AL OF PRRT ll - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LME 13 OF REV-1500 COVER SHEET. § 167,214.00
If more space I5 needeQ use aaditional sheets aF pa0er of Me same size.
1LAST WI1LII, a�rndl ']['ESTAMENT m�
,�ortna �. �ir��atrtc�
1�TiORMA P.14��PA.TRiCR�aumontly o£307 N. Second Slr�rf,
Wom�lrys6urg Cumbeda�County,Pcnnsylvnnia,heing of sound and disposing mind,
do make,publish and dcclare lhis as and for my Last Will end Yestemcnt,ltereby
revoking nny and all Wills nnd Codicils by me at eny time heretofore made.
PSRST: I direct 8�¢t all my just debts,funeral expenscs and inherifence taxes k�e
pnid by,my 1,P..r.in„Rer named Execuhix es soon,Ut3�my decease es may convenicrtly
be done.
. SECOND: I givc,devise and 6equeatl�my reul property at 307 N. Sceond Svrzt
and 306 N.River Stceet, Wormleysburg,along wilb�aols and gatJening equipment to my
sisle[,IUDY K.FETTERMAN,if shc is Iiving¢t ihe time of my death.
\ TIIIRD: I Aive,devise end bequeath tlic remainiug household goads and
� fumislungs in my home a[307 N. Second St�eet io be divided in an equi[able n�enncr
among tliose Who wazrt thoso remeining items-
C .
FOURTN: I gil�e,devlse antl Uequeath my wrtage iu NewLc�.y Tuwnahip to my
sisters,IUDY K.FETTERMAN,DON1dA ROYAI,end ro my niece,DONNA M.HULL,
whomever shall be living at fhe timc of my deat6.
N7FTH: I direct that my coin collec8on be sold and I give,dcvix and bequcatli
the pcoceeds Rom�lte sale to my sis[e[,MABCL WEAVER, if she is living at the time af
my death.
S[%TH: I give, devise end bequeutl�my piano and piano rolls W my niece,
DONNA M.[-NLL,if she is living at the time of my Aeam.
SCVENTH: I give, devise arsd bequeath my gcandfither's clock ro MABEI.F.
WEA\+ER, if 5he is living at thc Nme of my death.
�IG9Tft: I give,devise and bequeeU�onc thousand dollaes($1,000.00)in my
frief�d,DARLENG STCtUNK,if she is living at the time of my death.
` NILV7'H: L give, devlse ana beyuuai6 u�y ��:uus s6uca o£ntaoic whioh are hdd
by the brokerage firm of Menill Lynch la 6e divided eqvally among my sisters,JUDY K.
� �ETTERMAN,MARY DONNABETH RO\'AL and MABEL WEAVER�+'homever
sliull bc living at the time of my deaUi.
� TCNTH: 1 give,dcvise snd bcquesth all the rest,remainder and reside of my
es[atc b b�dividod aqunlly among my sisters, 7I IfIV FF.'ITERMAN.MA�.;EL WEAVER
and DONNA ROYAL.
ELEVCNTA: I heiaby declam it to be my expcessed desire iha[my peraonal
cepresentativic employ G.Patrick O'Connor,Esquire, fOr legal adviee and assistance
regarding tlds my Lasl W i11 and Testamen[,he having considetable knowledge oFmy
aEFxirc,..iPw.e and wishes resDectln¢anY mattcrs that may arise oY[hc prohate of lliis
uistrwnent,the administraHon of my esta[e,and the execution oF Ihe powexs herein
menNoned.
'11yELVE'CH: I nominete,consdtute and appoint my sister,DONNA RQYAi.�
' shr RxecuVix oFlhis mV last Wil3 and Tes[ament,and direct thal shc shall wt be requircd
ro rnfer sccuriry in any,jurisdiction in which ahe may ect.
�ry W�'('N 7�W}iCREOC�I�NORMA P.KIRKI'ATRICK�have to[his,my
lest Will and Testemcnt,cortained on tbis page end Ne tbregoing tv+o(2)page:s, sa�..y
hai�d and seal,cWs 9th day of Mey,2008.
�, -- � . . /�'$ Ja."5�
�i � � ' NORb1A .KIRKP 7RSCK
'..s.r. •'. ...e � �"'."'
�:.%'"' s.;':9' - � .i t. � ; . n � t'r
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��'�,r.4�ai _. �U4Wnti�
\PPp C.t�e� _. . .:1. POH
V
1
ACKNOWLEDGIV�NT
COMMONWEALTHOPPENNSYLVANIA .
SS
COUNTY OF CUMBERLAND �
I,NOltIvSA P. KIRKPAI'RiCK, the 4statot whose nazne is siymed to the attaelicd
or foregoing iiuwment, having becn duLy qualified accoiding to lnw, do hereby
acknowledge[hat I signed nnd cxeeuted the instnunent as my Lest Will; that i signed ft
W1��1Pgly 804�s Ill}'�CC dtld Volunlacy aU fm Llw�=poaca Umro�n oupwerod.
��
NORMA P.I 2KP "[71ICK
Swom to oc af£im+ed and acknowledged beforo mc by NORMA P•
KIRKPATRICK,thc tes�atoc,this 9iki dey af May,ZODB.
� �
NOTARY
FAI� mA.VIT
COMMONWEALTf3 OF PENNSYLVAN[A
-. �5
COUNTY OF CUMDERLAND �
WE, SUZANNC S.O'CONNOR and MARY ANN SMITI�,thc wit�sses whose
nemcs a[e atisel7ed to tLe Poregoing insWment,being Qury guaAnua ae:cwa��b w la,.,do
hercby declaze to tlm undersigned audiority tltat the Testaror si�ed and executed tlu
in;tnunent as bis last Will and Tastzment and that he had signed willingly and t6at he
executcd it as his free end voluntary act for the purposes therein racpmssad,and t6at each
of the wimesses,in 4ic ymsence and heazing of the?esintoy signed the Will as witnesses
flild thuL W��ie Lcal oC��eir knowlcdgq tho Toomtor�vao>t tha time P�ohtrnn(7 R)yenrs of
gge ar older,of sound mind end unda no consfreint oF undue influenec.
dU//�q�LPiD � U�I.O'/1/I20'�L
�SU ANNE S.O'CONNOR,V�7TMES5
(X�� {•��n L�,�y�,oL
'M�RY9iNNN SMI ,U'ITNESS
� V
Swvm to ar affirmed and acknowlcdged before me by SUZANN�S.
0'WN130R and MARY ANN SMI'f'H,U�e witnessas,this 9th day of May, ZWB.
` „_ I s -, _: . - c
r � ::1 �� �
- ��qµ,�.Y -"� ''��^'"��� . NUTAEiY
_ — jmfGce.x+w'a�_.r. . . . .. ,�..��
G. Patrick O'Connor
Attorney-At-Law
3105 OLD GETTYSBURG ROAD
CAMP HILL, PA 17011
TELEPHONE' 777-737-7760
Email: paloconnor1000@gmail.com
April 17, 2015
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
Re: Estate of Norma P. Kirkpatrick, deceased
No. 2014-0558
PA No., 21-14-0558
Dear Register of Wills:
Enclosed are lwo sets of Pennsylvania lnheritance Tax forms for the Estate of
Norma P. Kirkpatrick, deceased. If there is any problem, please contact me at
the phone number above. Thanks you for your consideration.
Sincerely,
����
G. Patrick O'Connor
Enclosure
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