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HomeMy WebLinkAbout01-0066 REV.l_EX+ls.lIDl w ~ ~~'" ,,~~ w~g X~~ "~m ~ < '* /G - ,):)"-1 .- I J REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT.2BOBOl HARRISBURG,PA 17128.(l601 ~ Z W C W " W C DECEDENT'S NAME (LAST. FIRST. AND MIDDLE INITIAL) Grundig, RudolfK.W. C- (WTI(lhl. US!:: ONlY FILE NUMBER 21 01 COUNTY CODE YEAR SOCIAL SECURITY NUMBER 00066 NUMBER 494-32-3759 01/08/2001 10/1 0/1929 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE o 2. Supplemental Retum o 4a. Future Interest Compromise (date of death after 12-12-82) o 7. Decedent Maintained a Living Trust {Attach copy of Trust) o 10. Spousal Poverty Credit (dale of death between 12-31-91 and 1-1-95 THIS SECTION MUST BE COMPLETED, ALL CORRE$I'ONDENCE'AND CONFIDENtIALm\X'INFORMATION $HOULltEiE:DIRECTED TO: AME COMPLETE MAILING ADDRESS Michael J. Hanft, Esquire 19 Brookwood A venue, Suite 106 Carlisle, PA 17013 (1) Non'e' (2) None (3) None (4) None (5) None (6) 338,927.08 (7) None (8) (9) 7,382.01 (10) DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) Grundig, Margaret A. 181 1, Original Return o 4. Limited Estate 181 6. 09. Decedent Died Testate (Attach copy of Will) Litigation Proceeds Received ~ z w c z o ~ IRM NAME (If applicable) Law Office of Michael 1. Hanft ELEPHONE NUMBER 717/249-5373 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) z o ~ S ~ ~ ~ w ~ 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) B. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent. Mortgage Liabilities, & Liens (Schedule I) REGISTER OF WILLS SOCIAL SECURITY NUMBER o 3. Remainder Retum (date of death prior to 12-13-82) o 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) OF-FICIAL USE ONLY 338,927.08 11. Total Deductions (total Lines 9 & 10) (11) 7,382.01 331,545.07 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 20. 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. >> BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH << Form REV-1500 EX (Rov. 6-00) Copyright 2000 form software only The Lackner Group, Inc. 12. Net Value of Estate (Line 11) (12) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (13) (14) 331,545.07 15.Amount of Line 14 taxable at the spousal tax rate, 331,545.07 x .00 (15) or transfers under Sec. 9116(a)(1.2) z .045 (16) 0 16. Amount of Line 14 taxable at lineal rate x g ~ 17.Amount of Line 14 taxable at sibling rate x .12 (17) ~ 0 " ~ 18. Amount of Line 14 taxable at collateral rate x .15 (18) ~ 19. Tax Due (19) 0.00 0.00 Decedent's Complete Address: STREET ADDRESS 261 Dorwood Drive CITY Carlisle TSTATE PA IZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 0.00 Total Credits (A + 8 + C) (2) 0.00 3. InteresUPenalty if applicable D. Interest E. Penalty TotallnteresVPenalty (0 + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) 0.00 (4) (5) 0.00 (SA) (58) 0.00 Make Check 10: REGISTER OF WILLS, AGENT 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? .......................... ........................... .............................. ................................ PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No ~: ~:~::~ ~~: ~:~t~~i~:~~a~: t~~~~:a~~st:at~~~;::~.~~.~~~~~.i~;~~~.~.~.i~~.;~~~~~;.. ........:::::::::::::::::::::::: ~ II 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? .............................. .............................................................. 0 D D 181 181 181 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 that I have examined this retum. including accompanying schedules and statements. and to the best of my knowledge and belief. it is true, correct and complete. Deciaralion of preparer other than the personai representative is based on ail information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE 261 Dorwood Drive Carlisle, PA 17013 ./2.1,1 QI DATE ADDRESS DATE I.. 19 Brookwood Avenue, Suite 106 Carlisle, PA 17013 ,lll.i! ..., 11-~/DI .ld H 1\ >I, I.l.f II I...,! For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. ~9116 (a) (1.1) (i)J. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)l. 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 P .S. ~9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to odor the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116 1.2) [72 P.S. ~9116 (a) (1)1. The tax rate imposed on the net value oftransfers to odor the use of the decedent's siblings is 12% [72 P.S. ~9116 (a) (1.3)J. 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. '* SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Grundig, RudolfK.W. I FILE NUMBER 21 - 01 - 00066 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 A Margaret A. Grundig ADDRESS RELATIONSHIP TO DECEDENT 261 Dorwood Drive Carlisle, PA 17013 Wife JOINTLY OWNED PROPERTY: DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM LETTER DATE Include name of financial institution and bank account number DATE OF DEATH FOR JOINT MADE DECD'S VALUE OF NUMBER TENANT JOINT or similar identifying number. Attach deed for jointly-held real VALUE OF ASSET INTEREST DECEDENT'S INTEREST estate. I A Real Property located at 261 Dorwood Drive, Carlisle, 284,900.00 50% 142,450.00 Cwnberland County, PA 2 A Real Property located at 1816 Suncrest Drive, 86,600.00 50% 43,300.00 Carlisle, Cumberland County, P A 3 A Edward Jones Investments Account No. 294,881.29 50% 147,440.65 377-04278-1-7 4 A 1988 Chevrolet Station Wagon 500.00 50% 250.00 5 A 1999 Chevrolet Lumina Sedan 7,880.00 50% 3,940.00 6 A PNC Bank Checking Account No. 51-4002-5165 2,609.17 50% 1,304.59 7 A Orrstown Bank Checking Account No. 406805 483.67 50% 241.84 TOTAL (Also enter on line 6, Recapitulation) 338,927.08 . SCHEDULE H AJNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Grundig, RudolfK.W. I FILE NUMBER 21 - 01 - 00066 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: 1 Ewing Brothers Funeral Home, 630 South Hanover Street, Carlisle, PA 17013 5,520.00 2 George's Flowers, 101-199 G Street, Carlisle, PA 17013 132.50 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City State - Zip Year(s) Commission paid 2. Attorney's Fees Law Office of Michae! J. Hanft -- Michael J. Hanft, 1,148.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Margaret A. Grundig Street Address 261 Dorwood Drive City Carlisle State PA Zip 17013 Relationship of Claimant to Decedent Spouse 4. Probate Fees Fee to Cumberland County Register of Wills to open Estate 390.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 Fee to The Sentinel to advertise Letters Testamentary 116.51 2 Fee to Cumberland Law Journal to advertise Letters Testamentary 75.00 TOTAL (Also enter on line 9, Recapitulation) 7,382.01 LAST WILL AND TESTAMENT OF RUDOLF K.W. GRUNDIG I, RUDOLF K.W. GRUNDIG, presently of 1816 Suncrest Drive, Carlisle, Pennsylvania 17013, being of sound and disposing mind, memory and understanding do make, publish and declare the following to be my Last Will and Testament, hereby revoking all former wills by me at any time made. ITEM ONE: I direct that all my just debts and funeral expenses be paid as soon after my decease as may be practicable. ITEM TWO: All the rest, residue and remainder of my property and estate, both real and personal of whatsoever kind and wheresoever situated, which I may own at the time of my death, I give, devise and bequeath unto my wife, Margaret A. Grundig. ITEM THREE: In the event my wife shall not survive me, by more than thirty (30) days, I then give, devise and bequeath all the rest, residue and remainder of my property and estate unto my ~ children, GAIL ELLEN GRUNDIG and GLENN ERIC GRUNDIG, in equal portions, share and share alike. ITEM FOUR: I hereby nominate, constitute and appoint my wife, Margaret A. GRUNDIG to be the Executrix of my estate with the power to sell all real and personal property at private or public sale. In the event my wife shall not survive me, or shall otherwise fail to qualify as Executrix, I then nominate, constitute and appoint my attorney, JAMES D. CAMPBELL, JR. of Harrisburg, PA to serve as Alternate Executor to serve in his place and stead. Further, in the event my wife shall not survive me, I hereby nominate, constitute and appoint my daughter GAIL ELLEN GRUNDIG as guardian of the estate and person of my aforesaid child GLENN ERIC GRUNDIG during his minority. IN WITNESS WHEREOF, I, RUDOLF K.W. GRUNDIG, the Testator, have to this my Last Will and Testament, written on one of paper, set my hand and seal this side only-of /r /7 day of two (2) sheets t?-"'t--? l- f , 1984. "# t1?-J ~pYhA ;;EAL) RUDOLF K.W. GRUNDIG Signed, sealed, published and declared as and for the Last Will and Testament of the Testator, in our presence, who in his presence, and in the presence of each other, and at his request, have hereunto set our hands and seals as subscribing witnesses. y'A /.' --:J / ~ ., :;Q<(tl-?(hC~ Y7Z'7,:-;i,(;d.J(td.,_ residing v jr' '/ -->> .:~-;;i;t at.,2o -xl "? ~/'#'-d I's0/,/, 7):..//,' ~/) ._/ /0// residing at ,:t? l) r <- " \.....J r ( I J '~J'/I~I'''--/' /' ;r!.(tj.~esiding at '--'-'-- .4~_ ,pA// rq. /7<, 7 ? / ./ ,/ ,"\ ' //:/' V' / "'/"rH.' ~ .'-_ I~ I ( "'U " '. ",) (.) ,,---J.L,v~_16ut.:-, (-". t' 7 ( ,- / " COMMONWEALTH OF PENNSYLVANIA: COUNTY OF DAUPHIN . . We, !ol)/1/) !.hJ}flic:/'o//eA:" ::T~A~"IvC L. KA,('rhl , 1</'11' ];) cr/c;,e/7T and , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testator sign and execute the instrument as his Last Will, that Testator signed willingly and that Testator executed it as his free and voluntary act for the purposes therein expressed~ that each of us in the hearing and sight of the Testator signed the will as witnesses~ and that to the best of our knowledge the Testator was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. ~d1.-~ "$7~-Pi!L-<~ /~oJ'.D 1~..2t / , CL{{lR;:" --/1 c/ ~(t-.,,- '. Sworn or affirmed to and acknowledged before me, this IY!h.. day of n"9"w.J:: , 1984. < -.),10.0 i rn.......,C'<j1,C9.Jl C (C\0a-u..r---/ NOTARY PUBLIC My Commission Expires: SHARON F. PHElABAUM. Nctary Publlc Carlisle, Cumberland County, Pa. My Commission Expires February 4, 1985 I, RUDOLF K.W. GRUNDIG, Testator, whose name is signed to the attached or foregoing instrument, having been dUly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ;21j u%?W~I- Sworn or affirmed to and acknowledged, before me, this /SY-"'- day of QU.9"./)-t- , 1984. "-~n lQ>,--"Ci,~Jtt L0..hc. I L~ NOTARY PUBLIC My Commission Expires: ~H~R?N F. PHElABAUM, Not.,y Pobl;e ar IS e, Cumberland County Pa My (amm'ss' Ex' ,. I Ion pIres February 4, 1985 PETITION FOR PROBATE and GRANT OF LETTERS Estate of RUDOLF K. W. GRUNDIG also known as No. To: 21-01-66 , Deceased. Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania Social Security No. 494-32-3759 The petition of the undersigned respectfully represents that: Your petitioner, who is 18 years of age or older and the Executrix named in the last will of the above decedent, dated August 15, 1984 and codicil( s) dated N/ A (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence at 261 Dorwood Drive, Carlisle, North Middleton Township, Cumberland County, Pennsylvania 17013 (list street, number, and municipality) Decedent, then 71 years of age, died January 8, 2001, at Carlisle Hospital, Borough of Carlisle, Cumberland County, Pennsylvania. Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the \vill offered for probate; was not the victim of a killing and was never adjudicated incompetent: N/A. Decedent at death owned property with estimated values as follows: $ (If domiciled in Pa.) All personal property $350,000.00 (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $150,000.00 situated as follows: 261 Dorwood Drive, Carlisle, Cumberland County, Pennsylvania 17013; and 1861 Suncrest Drive, Carlisle, Cumberland County, Pennsylvania 17013 WHEREFORE, petitioner respectfully requests the probate of the last will and codicil(s) presented herewith and the grant of letters Testamentary (testamentary, administration c.t.a.; administration d.b.n.c.t.a.) thereon. /fit ~ a~ M~T A. GR IG 261 Dorwood Drive Carlisle, P A 17013 OATH OF PERSONAL REPRESENTATIVE COMMONWEAL TH OF PENNSYL VANIA ) SS COUNTY OF CUMBERLAND ) The petitioner above-named swears or affirms that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioners and that as personal representative of the above decedent petitioner ~rill well and truly administer the estate according to law. ~~~ c ~ MARG ET A. GR ~ Sworn to or affirmed and subscribed before me this 16 th day of ~UARY , 200Cr ?7 U j/{/ ))l/ / / / P';;;;;; //0 z j ~~/ , '/ Reglster /' 16-dLY:J-/1 NO. 21-01-66 Estate of MARGARET A. GRUNDIG, Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW JANUARY 16 ,2001, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument dated August 15, 1984 described therein be admitted to probate and filed of record as the last will of RUDOLF K. W. GRUNDIG and Letters Testamentary are hereby granted to MARGARET A. GRUNDIG ~r4~d ~A)~ J Q/U-<~ Register Wills / / ( $ $ $ $ 5.00 TOTAL $ 390.00 Filed...... .J.Nn.lAR~. J.~,.. .2.QQ~...................... 340.00 36.00 9.00 FEES Probate, Letters, Etc. ........... Short Certificate( s) ............. x-pag~s . RenuncIatIon ....................... JCP Mi ael J. Hanft, Esq e Attorney I.D. No. 57976 19 Brookwood Avenue, Suite 106 Carlisle, PAl 71 03-9142 (717) 249-5373 ~L' ~~-:?uy F:\User Fo1der\Firm Docs\Estates\ 1999-1 petition-ltrs.test. wpd "" .. . ..... ;'h ..~ is to certify that the information here given is correctly copied fro~ an original certificate of death dul~ filed with me as I ~~)GJ Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent fihng. WARNING: It is illegal to duplicate this copy by photostat or photograph. fee for this certificate, $2.00 tIll""""'''''''' "", .,. Ll OF "" 111'(. ,\\ n p(,A;"',- ','~",,'" . I(,t'- l~ . ... ~~ I~~...~.. . ~\ f~." . .".~". .. ~~ ~ c:::) . __I -~ ~_.. "~. !~~ ~ '-""'" , -Ij~,. ~ ::. * .' ........~ ....h." .~. ~~/ * ~ \~ ."~~."." l.A.,~i ':..~ . ~~\\ ... ~ &,,'t-"\\ ~---....!lMENl \\\ ~,'lll ...............","'/,,/1/1111',1' l\'~ ~"~~~~t"~~ P 6947669 JAN: 9 2001 No, Date 21-00-66 -=r:\e \l\ ~ t 1 C- , g~v~\ ~~, ~,~~~~~0~ \...q -e' rz ' ~S ' H10S.:4JRev 2/87 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH 'INT t. Rudolf AGE (las! BltlNlay) K. W. Grundig UNDER 1 YEAR UNDER I Olft Months Oaya Hours ...inuI.. 2. Male STATE FILE NUMBER SOCIAL SECURITY NUMBER 3. 494 - 32 DATE OF DEATH ,McnlIl. Oa~. .'ea,) 1/8/2001 .J./ ... Cumber land Ie. Carlisle Boro. KINO OF 8USINESS/lNOUSTRY SEX EHT HK NAME OF DECEDENT (F It" MId<lI4I. la.! BlRTt4PU.CE \CoIV and $1a1.0I FCleogn Coun/IYl 5. COUNTY OF QE)(l'H 71 Yrs. =",,\0 DECEDENT'S USUAL OCCUMION (Go... Iutld d work done dUflng Il'lOSl 01 WOlin",; Iif.; dO _ 11M ,el1red I . "L Master Ser t 1111.U. S. Amy DECEDENT'S ...AI\.ING ADDRESS (SI,"" CllyfTown. SIaI.. Zop Codel DECEDENT"S ACTUAl RESIDENCE (See II>lIIruc:nons on _ Sldel WAS DECEDENT EVER IN u.S. AR"'ED FORCES? '1M g;g Na 0 MARITAL STATUS. IofatrWd Ne_l.Ianied, W_. ONorc:<<IlSpeclly) 14. Married RACE. Amencan Inclian, 81-..:", Whh. ale (SpecAy) 10. 'Whi te SURVIVING SPOUSE I" ...... gMI ma,,*,_1 Vonderheyde 1~rgaret A. 12. 11a. SI... PA Did doocedenl Ilw in a Cumber land -ship? l1cl.f3 ==0' North Middleton I.lOTHER'S NAME {F.~. Middle. Malden Sulnamel ft. Ellen Hansmann INFORMANT'S MAILING ADDRESS (Street. Cdyffown, Slale, Zop Codel 2Gb. 261 Dorwood Drive, Carlisle, PA 17013 PlACE OF DISPOSITION. Name 01 Ceometery. C,_tory LOCATION. CitylTown, Slat.. Z'1ll Code 0< 01'* ~ 2J.ndiantawn Gap Nat. Can. 21cl. Lebanon County, PA NAME AND ADDRESS OF FACILITY J.'Wing Brothers Funeral Hane, Carlisle, PA 17013 LICENSE NUMBER DATE SIGNEO (MonIh. 0lIv. -I 17C.O "., ~ lMd in rwp 261 Dorwood Drive ,.. Carlisle, PA 17013 FRHER'S NAME (Firs!. M<OdIe. La.) fl. Rudolf Grundig tHFOOMANi'S NA"'E (T ypetP,1I1I1 2011. Mar ret A. Grundi METHOD OF DISPOSITION Burial ~ C,.",.lion 0 01'* (Specllyl !lb. clIy~ 1/11/2001 lICENSE NUMBER nit, FD 012633 L I :. 1 d. WERE AUTOPSY FINDINGS A\lIULA8LE P~ to COMPl.ETION OF CAUSE Of' OEJQ'H? 23... 23c. WAS CASE REFERRED TO MEDICAL EXAMINEAICORONER? ~aO Na~ 21. I "pproximat. PARi R: 0U1er Signiflc:ant oondiliona c:onuibuIing to dea"'. t>uI : int....... betWeen _ mulling in the undefIying _ g;..n in PAA'T I. I 0IWal and dHttI t ~*" 1.1. :E PRO\T}l7w~'~ay, ~wl 21. ""'" I: Enl.'lhe diseases, inlurieS 0< complications wl\ich caused the death. 00 not ent...lhe mode 01 dying, such as cardiac '" ,espiralory aIlMI. shoc\l 01 ""an ladu'a lilt onto( one cause on .aCII_. , ,... u"^ Nat....a1 g: o DATE OF INJURY (Monlh. Day, 'tUt) TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCtIRREO. MANNER OF DEATH Accident Pending lnwsligation o o o PLACE OF INJURY. Al hOme, larm. st,..I.lactory. ollie. .... buildln\I. ate. ISpeco/vl 30.. ". 0 NoD l-4omicide .MEDICAL EXAMINER/CORONER On 'h. ba.l. 0' ...mina1l0n and/M investigation, in my opinion, dealh occurred a' Ihe time, date. and place. and due to Ihe cause(.) and manne' a. staled.. . . , . . . . . . . , . . . . . . . . . . . . . . , . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31a. REGISTFlAFI.S SIGNATURE MBER ~. ~b..\-~~ ~\ I~\IOI o v.sO No~ Suicide Could _ be del.rmlned 21... CERTIFIER ICI'eC" 0nI\' onel "CERTIFY!NC PHYSIC'''" (f'hySIC_ CP.I1l1ytng cause d deem ""'.... .lnol"er ptIvs.c:.an ~s pronounced deam ana Compleled nem 23) To _ "-at of my kr>ow~, death occurred d..-.. !he cause(s) and m......r.. stallld. . . . . . . , . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . B. "~~~':'~y~~;:~~",;.~:::~':~:~":'~ ::'e~a=':~7 ~:~~"'::~~:(~~~olmd:::lr as stallld.. . . . . . . . . . . . . . , . . . . . . . ... 0 34. / 6 -c:26C2~ / / 'v BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG# PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX MICHAEL J HANFT ESQ M J HANFT LAW OFFICES 19 BROOKWOOD AVE 106 CARLISLE PA 17BI3 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 09-03-2001 GRUNDIG 01-08-2001 21 01-0066 CUMBERLAND 101 *' REY-1S47 EX AFP (12-00> RUDOLF W Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ R"E-Y-=is4j-Ex-AFP-("i2"':ool--NcfficE--oF-.fNHEifiTANCE-YAX-'jrpPRAisEMENT~--Aii-oWANCE-irR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF GRUNDIG RUDOLF W FILE NO. 21 01-0066 ACN 101 DATE 09-03-2001 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 A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Hortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (.5) (6) (7) .00 .00 .00 .00 .00 338,927.08 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H) 10. Debts/Hortgage 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) 7,382.01 .00 (11) (12) (13) (14) NOTE: If an assessment was issued previously, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 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 TAX CREDITS: NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 338,927.08 7.382 0] 331,545.07 .00 331,545.07 14, IS and/or 16, 17, 18 and 19 will returns assessed to date. 331,545.07 X 00 = .00 X 045 = .00 x 12 = .00 x 15 = (19)= .00 .00 .00 .00 .00 PAYHENT RECEIPT DISCOUNT (+) AHOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . 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 INSTRUCTIONS.) -- ~ ------ F:\User Folder\Finn Docs\Estates\ 1999-1 certification. notice. wpd CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: RUDOLF K. W. GRUNDIG Date of Death: January 8, 2001 File No. 2001-00066 To the Register: I certify that notice of beneficial interest required by Rule 5 .6( a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on February 16, 2001: Name Margaret A. Grundig Address 261 Dorwood Drive, Carlisle P A 17013 Notice has not been given to all persons entitled thereto under Rule 5.6(a) except: N/A )UP1Ivj!- Michael J. ~nft, Esquire Attorney J.D. No. 57976 19 Brookwood Avenue, Suite 106 Carlisle, P A 17013-9142 (717) 249-5373 Date: February 16, 2001 Signature: Capacity: Counsel for personal representative . . (}I oJL ,. ORPHANS' COURT DNISION OF THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA STATUS REPORT UNDER RULE 6.12 Name of Decedent: RUDOLPH K.W. GRUNDIG Date of Death: January 8, 2001 Admin. No. 21-01-00066 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes~ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No --K b. The separate Orphans' Court No. (if any) for the personal representative's account IS: c. Did the personal representative state an account informally to the parties in interest? Yes ~ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: Respectfully submitted, -::T ~r/~t " 2,.dt!J ~ HANFT & KNIGHT, P.C. Mi~~ Attorney ill No. 57976 19 Brookwood Avenue, Suite 106 Carlisle, Pennsylvania 17013-9142 (717) 249-5373 Counsel for personal representative F:\User FolderlFirm DocslEslales\1999-1.Slalus.rpl. wpd Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 .. . Date: 12/06/2002 MARGARET A GRUNDIG 261 DORWOOD DRIVE CARLISLE, PA 17013 RE: Estate of GRUNDIG RUDOLF K W File Number: 2001-00066 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 1/08/2003 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, MARY C. LEWIS REGISTER OF WILLS cc: j File Counsel Judge