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HomeMy WebLinkAbout01-0096 ,.....,.a.(toMI . w ~ "'~!:! ~rL~ :z::i...l u~.. ~ ~ <Z . COMMONWEALTH ~ PENNSYLVANIA DEPARTMENT OF REVENUE 0EPT.2llOl501 HA$tR1S8URG. PA 1112&-0801 /{,-,-20.y- /0 REV.1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEOENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Wise, Anna Marie ~ z w a w ill a 02/18/2000 I 09/28/1907 (iF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST. FIRST AND MIDDLE INITIAL) OFFICIAL USE ONLY FILE NUMeEII 21 01 COUNTY CODE YEAA SOCIAL SECURITY NUMBER 168-48-3453 96 NUMBER . 1. Original Return o o o C 2. Supplemental Return o o o 4a. Future Interest Compromise (date of death after 12-12-821 7. Decedent Maintained a Living Trust (AII3Ch copy of Trust) 10. Spousal Poverty Credit (date of death betWeen 12-31-91 and 1-1-95) o 3. [] 5. Federal Estate Tax Return Required o 8. Total Number of Safe Deposit Boxes [] 11.Election to tax under Sec. 9113{A) (Attach Sd1 0) 4. Limited Estate 6. Decedent Died Testate (Attach copy of Will) 9. Litigation Proceeds Received THIS RETURN MUST BE FILED IN DUPUCATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBE .~ "'z JIll!: i!l~ u~ NAME I Dale F Shughart, Jr. Esquire I IRM NAME (If applicable) I ElEPHONE NUMBER . 717/241-4311 35 E. High Street, Suite 203 Carlisle, PA 17013 (1) 109,900.00 (2) None (3) None . (4) None .' (5) 2,205.75 (6) 7,206.18 (7) 455.64 (8) 1. Real Eslate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation. Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule 0) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) [J Separate Billing Requested 7. Inter-Vivos TrnnsfOfs & Miscellaneous Non-Probate Property (Schedule G or L) 8. Tatal Gross Assets (tolal Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Ot;lbts of ~e....edent. Mortgage liabilities. & Liens (Schedule I) i 11. Total Deductions (tolal Lines 9 & 10) i 12. Net Value of Estate (Line 8 minus Line 11) I ; 13. Charitable and Governmental Bequests/See 9113 Trusts for which an ejection to tax has not I < < ~:~~ made (Schedule J) ~Value Subject to Tax (Line 12 minus Line 13) , SEE INSTRUCTIONS ON REVERSE sm:: FOR APPLICABLe RATES 15. Amount of Une 14 taxable at the spousal tax rate, X .00 (15) or transfers under Sec. 9116(a)(1.2) ~ 16. Amount of Line 14 taxable at lineal rate 93,716.02 x .06 (16) :i !; 17.Amount of Line 14 taxable at sibling rate x .12 (17) ~ ~ 18. Amount of line 14 taxable at collateral rate x .15 (18) ~ 19. Tax Due (19) z o ~ ~ ~ !i u w ~ OFFICIAL USE ONLY 119,767.57 (9) 18,528.95 -~~.- (10) 6,522.60 (11) 25,051.55 94,716.02 1,000.00 93,716.02 (12) (13) (14) 5,622.96 5,622.96 20. CJ CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Copyright 2000 form software only The Lackner Group, Inc. Form REV.1500 EX (Rev. 6-(0) Q,ecedent's Complete Address: STKhcT ADDRESS 235 Mill Street CITY Mt. Holly Springs iSTATE PA [ZIP 17065 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount Totai Credits (A + B + C) 3. Interest/Penalty if applicable D. Interest E. Penalty 137.00 TotallnteresUPenalty (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 Une 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 + SA. This is the BALANCE DUE. Make Check Peyable to: REGISTER OF WILLS, AGENT (1) 5,622.96 (2) 0.00 (3) 137.00 (4) (5) 5,759.96 (SA) (58) 5,759.96 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 transfenred:............................................................................. 0 IllI b. retain the right to designate who shall use the property transfenred or its income:................................ 0 IllI c. retain a reversionary interest: or............................................................................................................ 0 18:1 d. receive the promise for life of either payments, benefits or care?.......................................................... 0 18:1 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death withdut receiving adequate consideration?............... ....... ............ ................. ........ ..... ..... ....... ........ ... ... ..... ....... ......... 0 18:1 3. Did decedent own an ~in trust for" or payable upon death bank account or security at his or her death?..... 0 181 4. Did decedent own an Individual Retirement Account, annuity. or other non-probate property which contai~s a beneficiary designation? ......... ........ ..... ..... ............. ..................... ............... ..... _.......... ............. ...... 0 a 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, 1 declare that 1 have examined this return, includln~ accompanying sd\edules and statements. and to the best of my knOWledge and belief, it is true, correct and complete. Declaration of preparer other than the per'$Ofl8l representaUve is based on all Information of which preparer has any knOWledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING R RN ADDRESS DATE - ./ 59 Red Tank Road Boiling Springs, P A 17007 35 E. High Street, Suite 203 Carlisle, PA 17013 Q - :;)/ - 0 { -.-- VAIl;. 2--'Z/-()j 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. S9116 (a)(1.1)(i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~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. S9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116 1.2) [72 P.S. S9116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedenrs siblings is 12% [72 P.S. S9116 (a) (1.3)]. A sibling is defined, under Section 9102, as an indtvidual who has at least one parent in common with the decedent, whether by blood or adoption. - *' SCHEDULE A REAL ESTATE COMMONWlAL.ni or PlNNSVlVANIA INHERlTANCI TAX RETURN RESIOe:NT DECEDENT ESTATE OF . Wise, Anna Mane I FILE NUMBER 21 - 01 - 96 All real prol!arty owned solaly or as a tenant In common must be reported at fair market value. Fair mar1<et value is defined as the price at Which propl1rty would tie exchanged between a willing buyer and a willing seller, neither being compelled to bl!)' or sell, both having reasonable knowledge of the relevant facts. Real property which Is jolntly-owned wit" right of survivorship must 6e disclosed on schedule F. ITEM NUMBER I DESCRIPTION VALUE AT DATE OF DEATH 109,900.00 Real property containing .28 acre and improved with a dwelling house, being Cumberland County Tax Parcel #40-31-2185-004, located at 235 Mill Street, Mount Holly Springs (South Middleton Township), Cumberland County, PA, value based upon appraisal by Charles F. Wenger, attached. TOTAL (Also enter on Une 1, RecapltulaUon) 109,900.00 GEORGE L. EBENER & ASSOCIATES REALTOR APPRAISAL REPORT of ANNA M. WISE ESTATE LOCATED at 235 MILL STREET MT. HOLLY SPRINGS PENNSYLVANIA 17065 FOR MR. GEORGE F. WISE 59 RED TANK ROAD BOILING SPRINGS PENNSYLVANIA 17007 AS OF FEBRUARY 18, 2000 BY CHARLES L. WENGER, GRI 139W. HIGH STREET CARLISLE PENNSYLVANIA 17013 GEORGE L. EBENER & ASSOCIATES REALTORS [H REALTO~ Residential, Commercial & Farms Appraisals . Sales . Rentals "'uc .,.,~., LIS~'''(' S€"'VIGF MI.$ 139 West High Street, Carlisle, PA 17013.2991 (717) 243.6195 January 29, 2001 Mr. George F. Wise 59 Red Tank Road BOiling Springs, pa 17007 RE: Appraisal Report of Anna M. Wise Estate 235 Mill Street Mt. Holly Springs, Pa 17065 Dear George: In accordance with your request to Wilbert Diehl, I personally viewed the above captioned property with you on January 17, 2001 to estimate its Market Value. Market Value is defined as "The most probable price which a property should bring in a competitive and open market under all conditions requisite to a fair sale, the Buyer and Seller each acting prudently and knowledgeably and assuming the price is not affected by undue stimulus." The shown has been arrived at after careful study of the location, type of improvements, their physical condition and their present use. Therefore, I believe it to reflect a true measure of the Market Value as of 18 February 2000. Value Reported: One Hundred Nine Thousand Nine Hundred Dollars $109,900.00 I hereby certify that I have no financial interest, present or contemplated, in this property and that neither the employment to make the appraisal nor the compensation therefrom is contingent upon the value reported. This property was appraised as a whole, subject to the Contingent and Limiting Conditions outlined herein. Submitted by, ~~ Chanes L. enger, GRI Y Broker I Partner PA. Certification # BA-001849-L a Location: Purpose of Appraisal: Market Value: Function of Appraisal: Property Rights Appraised: Area: Utilities: Zoning: Flood Zone: Title: The subject property is located in South Middleton Township, Mt. Holly Springs, better known as 235 Mill Street. The purpose of the appraisal is to estimate Market Value of the property for Inheritance Tax. Market Value is defined as "At a given time, the highest price estimated in terms of money which a Buyer would be warranted in paying and a Seller justified in accepting, provided both parties were fully informed, acted intelligenUy and voluntarily and further that all rights and benefits inherent in or attributed to the property were induded in the transfer." The function of the appraisal is its utilization as a guide to establishing' value under current market conditions. The property rights appraised are assumed to be fee simple in ownership. The area is Urban in character with some of the surrounding land being used for agriculture purposes. Telephone, electricity and Cable TV The Township of South Middleton, Cumberland County has zoning and this property is in the Industrial zoned area. This property is not in the flood zone. Currently titled - Harold A. Wise and Anna M. Wise, his wife - Both are deceased. Recording Information: Tax 1.0. # 40-31-2185-004 - Deed Book "N" Volume 31 page 977 - Tax Assessment $7,700. (OLD) 1 Lot Size: Improve- ments: Other improve- ments: Market Value Approach: Deed Book "N" Volume 31 page 977 records Tract NO.1 as having 0.2802 acre and Tract NO.2 having 0.4101 acre with a total lot size of 0.6903 of an acre. The dwelling is a one story brick rancher with a 10' X 12' frame/aluminum addition for laundry room, 52 gal. electric water heater, outside entrance and a 1 car enclosed carport without front enclosure. The roof over the structure is asphalt shingle which was installed in 1995. In the late 1950's the dwelling was built and has 1240 sq. ft. of living space. The house consists of the following rooms: KITCHEN with plywood cabinets, electric range, porcelain double drain sink, built-in glass cabinets, pantry / closet and linoleum flooring; LIVING ROOM, hardwood under carpet; HALLWAY, linen closet and pull down attic door; BATH,vanity, wall cabinets, ceramic tile on wall, American Standard tub with showerhead and linoleum flooring; 3 BEDROOMS with closets, no ceiling lights and carpet; FULL OPEN BASEMENT with cement floor, fruit area, COMMODE AND SHOWER AREA NOT IN USE, sump pump, small room for collectibles with carpet. HEAT is furnished from a 1998 Williamson Oil Forced Air unit (no central air). The one chimney to the basement is not in use. In 1998 new soffit, facia, gutters and down spouts were installed. All windows have been replaced with tilt-in windows. Electric is 100 ampere breaker box system, Public Water, Public Sewer and paved driveway. This structure appears to be in good condition. 22' X 30' cement block garage, overhead storage, one entrance door, 16' X 8' overhead door (no opener). ROOF NEEDS TO BE REPLACED. 12' X 28' frame storagelworkshop in fair condition with metal roof. A survey of properties that have sold was used in arriving at this conclusion. Since no two properties are ever identical, it was necessary to make adjustments on each comparable sale as related to the subject property. These adjustments were made on time of sale, size, location and utilities as well as any other factors that may affect value. 2 Comparable Sales: Sale No.1 Location: Sale Date: Type: Size: Sale Price: Sale No.2 Location: Sale Date: Type: Size: Sale Price: Sale No.3 Location: Sale Date: Type: Size: Sale Price: 111 W. Pine Street, Mt. Holly Springs - South Middleton Township, Cumberland County. December 05, 2000 - 98 days on market - Conventional Financing Brick ranch - built 1946 -1200 sq. ft. of living space - 3 bedroom-1 bath - Oil hot water heat - fireplace - detached one car brick garage - Public water and Public sewer. 77' X 160' = 0.28 acre. $95,000.00 4 Midland Drive,Mt. Holly Springs - Dickinson Township - Cumberland County. November 07, 2000 - 118 days on market - Cash Brick rancher - built 1992 - 1448 sq. ft. of living space - 3 bedroom - 2 baths - Electric heat pump with Central Air - NO GARAGE - Public Sewer and PRIVATE WELL. 84' X 157' = 0.30 acre $110,000.00 425 Pine Road - Mt. Holly Springs - South Middleton Township- Cumberland County. April 17 , 2000 - 89 days on market - FHA Financing Wood I Stone rancher - built 1969 - 1636 sq. ft. of living space - 3 bedroom- 2 baths - Electric I Propane Gas heat - attached 2 car garage with paved driveway - Public Sewer and PRIVATE WATER. 100' X 490' = 1.12 acre $119,900.00 A group of properties were selected and checked as comparable sales, but the 3 chosen are the best comparables. Comp NO.1 is simUiar in size, one car garage, NO EXTRA GARAGE / STORAGE BUILDING and a smaller lot. Comp NO.2 has 2 baths, smaller lot, NO GARAGE and more living space. Comp NO.3 is much larger (400 sq. ft.) 2 baths, stone dwelling and 1/2 acre more land. It is your appraiser's condusion that the value of the subject property is best estimated to be: One Hundred Nine Thousand Nine Hundred Dollars $109,900.00 3 CEIIT/FICATION ANI) STATEMENT OF LIMITING CONIIITIONS ("I'.IU "'II 'AT/ON: Thc AI',"a;,e.. <Wlil;c. ""d aglcc' Ih"l: I. "' Ill' 1\I'plili~l'r lIiI!' IIll fllt'!<il'nl or c.:Olllclllplalcd future illlcrcsl ill Ihe pmpcrly apprnisctl; allll IIcilhcr lhe CIIII'IUYIl1CIII In 111;11;{' IIII' ili'/llaio.;al. /lO' Ihe rOllll'clI..."lioll '(II' ii, i.'\ tUlltingcllt UPUII the apl'miscd vullle nr'lhc properly. . 1 I ht. t\I'J1lai.,>n has 1It1 pn,o.;PlIlll illlclcsl in or hins wilh rClipccl (0 Ihe subject IIIl.l11cr of the npPnlbml reporl Of llle 1':Jl'lici~ palll'; In lilt' ...alt', Tilt: "Eslilllalc of t-..f:Irkcl Vallll~" ill lile appr::li~i:l1 rcpor( is 1101 bused ill whule or ill "art UflOIl Ille fllce, color, PI l1arillll:llllri~ill (11" 'ilL' fJlIlSflccli\'l' owners 01" occUpulIls of lhe pwperty ctppmiscd, or upon lhe nice, color ur IInliOJIllJ origin "I Ill': plt'selll tI\\"11L'1S (II OtTlIl':llIls of" lllc pmpellies ill rhe vicinily of lhe propclly lIppntised. .I. rill' Al'pr:liscr lIa~ pcr."llfll1l1y inspected Ihe propcrly, bolh insidc and nul. and IHls nwuc all extcrior inspccliul1 of illl l"llll1l'ar:1hll' "all'" li~letl ill the I'qmll. .Ih the uest of the ^ppm1scr's kuuwledge mllJ belicf, ull Slll(CIllCUI.,; IIml infurnmlioll ill tlli." 1l'111111 illC tlllC lIrld Ctllleel, mill 'lie ^I'lmliscr has nul knowingly wilhhcld any signirican( inforlllnliOlI. ,I All cOlllhrgCll1 :1Ilt! lilllilillg cOlldilions are cOlllnincu hcrein (illlJlosed by (he lenus of (he ussiglllncru o. by lhe uJlLlcl'- ~it.:l1l"d ."hTlill1~ Ihe analyses, upinions, allLl conclusions contained in the rCJlort), 5. Tlli." <lpplClisnl Icpoll 11lI.'; heen uHlde in l'onforlllity wiLh nnd is subject to lhe I'equiremenl.s of (he Cude uf PrufessiOlml Flhic" 1I11l! Shrlll/ards of PlOlcssiolJal Coutluct of Ihe lIppraisal org:lIIizatiol1s wilh which (he Appmiscl' is nrrilialed. (1. All ('(IrldllSinlls <luLl opiniolls cOllcerning Ihe rcal cslale lhllt .ue scl rorth ill the appmisnl report wcrc fl1cp:lrell by lhe Apfll:lisl'1 wIH'~;c sig!lalure Hl'pcar~ 011 lhe appraisl.1I report. unless ilJl.liculcd as "Review ^ppmiscr." No changc uf illlY ilclII ill llle ilPfll:li"al r{"pur! shall he made b)' anyollc olhel than Ih~ Appmiscr, tllld lhe Apprniser shull have 110 rcspollsibilily fur llllY sl1ch IrrlalllfHI,i/Cd (flilllge. n'N'IIN(;r':NT ANII L1~IITIN(; CONIJITlUNS: The cc,!ilkal;"" "flhe A!'I',,,;,cr "!'I'ca,.;ug i,,'''c "!'lua;,al,c!,,,,1 ;. '''''ied III Illl' ltdll1\\'inf l"IlIldilioll." llmllo su(h olher SIJCl'itk mllllinliling conditiuns liS ure se( rllrlh by the ^I'pllliser in Ihe Il'Purl. I. rhl" 1\f'f'laisl'f" ;1.~SIlIll('S 110 IcspOII.<;ihility rill' llIallcrs of a legal Imlme uffecling Ihe propc.ty nppruised or the litle lherc- Ill. 11111 t!lll'" lite ^l'praisl"l" lemll'r .1IIY OpilliulI liS 10 the tille, whkh is assullled 10 bc good IIIld m:ukcll.lhlc. The pl'Ol'clty is al'I'l;ll';l'd as Ih(>llJ~" IIIHIt-I" IL'~pOIlSihlc oWllership. 1\".\' "J;C[I/1 ill Illl' Icpoll 111:1)' show nflPlOxillla(e dimcnsiolls amI is illcllldetl to H5Sisl (he Icader ill visuali7.illg Ihe pwp. ('11\'. I Ill" f\l'prai.';l'1 hil~ 11ladc 110 surn:y of IlIe "Itlpcrl)'. .1 I he l\pplai~;CI is Ilul Icqllill:d lo gi\'e IcslillltJlIY lII" appear ill (UUII because ur !laving IIlmJc lllc lIppmis:1I willi ,derellcc In Illl' pIPpert)' ill qlJcslhlll. UlllL'sS a1JallgelllcJlls lIave hecn previously maue Iherclor. .1. AllY di."lrilllrliulI of Ihe \':dUillitlll ill Ihe reporl bclwcclI lamJ anti illlpl'Ovcnicnls :Ipplies only undcr tile cxisling prugrnlll 1Illllili7alill/1. TilL' ~cflamlc \':.1IUill;ons li)l' lalld ,IIILI built.fillg IIlU.s( 1101 be usctl in cunjuncliun with llllY oIlier IlflPnlisul and me ill\'alid if so U';t'd. ~. "111." ^I'/llids("f aS~IIII1C.o; lhal lherc ilre 110 hillden or IIImpp<tlcllt l"onc..liliolll't or Ille property. subsoil, or sll'uclllrcs. which \\011111 !CllCkl il lIutrc (If less \'<lluallle. The ^ppraiscr lISSlIlIlCS nu rcspulIsil>iJily Ill,. sllch c:olldiliollS, ur rtJr CIJ!!illL'Crillg which ll1ighl he Il'quirl'd III disl.'tlVl'I" such 1:Ic:tors. h. III1(IIII1:1lioll. L'slillJalcs. :lIld opinions flllllishctl III Ihe Appmiscr, and c:onl:lincu ill (hc repUlI. werc ohlained fWIIl suurces consideled rl"li;Ihk :lIld believed hI be (file HIIlI cor:rect. However, no responsibilily ror uceurncy uf such items furnished lhe ^1'J1lai"n can ill" a~~U1l1cd by the Appfiliscr. 7. l.Iisl'l{lsurc ur lile l:OIlICllls of Ihe nppraisill l(,pOll is gllvcmcd by Ihe Byl:lws afld gegulatiulls (If lite I'lOlessiulInl IIfJpuliSll1 olt-::lIIililljtlll~ wil" which fhe ^I'Pruiscr is uflilillleJ. H. Ncilhn illl. nm :IIlY flail of lhe con lent of lhc rcport. or co"y (hcreuf (inchrc..ling cunclusiuns ns III the properly vnluc, ,he idenlil)' of lilt' ^Jlfllai.'ier, pllJfcssioHal ucsigrmlioll!;, refercnce 10 nny profcssional t1fJJlllliSill organil:ltiull5. or Ihc firm witll which the ^l'pwiscl' is COllllcclcd), shall bc used ror :IIlY purposes by anyone bUllhe diclII specified ill the lepurl. the buuU\....cr if' i1J1prai~al h:L' paid liy sallll~. tile IlJIlIIgngec or ils successors anti assigns, lIIorlgl.lge insurcrs, cUllsuh;:utls, prorcssiunnl UIlPwis;:11 OI1!:tllil.aliolls. allY slale or ICdl'mlly 11l'pro\'cd financial inslitution, allY uep:n-tlllenl, IIgcncy, or illslrulllcntulily uf lhe Unitetl SllIle" 01 HIl)' slale or the tJ;si; icl "r Columbia, ""Hhoul Ihe prcvious writtcn cunselll ur the ApJlllliser; 11m shall it bc cunveyed I,)' 1111)'UHC III the I'uhlk 1I11oogll advcllising, puhlk rd"liolls. lICWS, sules. or other I1Icdill. wilholll (hc wrillcn consenl null i'''I1IO\';I/ or I he 1\l'l'laiser. 11. 011 all ill;plaisals. wbjl'CI 10 salis factory l.OlllplcliuII, rep:lirs. or lllteratiullS, (hc appraisal Icpurl :nil.! v:lIl1e conclusion ale l:onlillgl.'1I1 lIplln cnrlll'lt:lion or llle illlpmvclllcnls ill :t wurkrllllnlike lIlilllller. EN\'lltONMENTAL IJISCI...AIMEIt: The value c~tilllaled is based on the a5sulllplion thai (he properly is not negatively ,freeled hy IIIl" e.,i~lclIl'C uf hnl.nrdous subs lances or detrimenlal environmcnlal conditions unless otherwise slaled in lhis repurl. 'l1,e 'pPlliser i.~ 1101 lIll (';'\1'('11 ill Ihe idcnlificalioll of hazardous subs(allces or delrimenlal environmeulal cOlldiliollS, 111c pppraiser's routine inspee. lit"l or nntl in'lllil ics nbout Ihe subject properly did 1101 develop any jnformation lIlDl iudic'led any apparelll slgnifieanl hn1.8rdous sub. ~lnlll"(,.S (If dl'lrimclIl:JI clI\'i,ollll1Clllal conditions which would arrccllhe p.operly negatively unless olherwise staled ill this lepoll. II i~ pu:::~ihlc Illal 1C'_~ls nmJ illspecliulls mode by a qualified hnzardous subslAnce and environrnenlal cXIJCrt would revcnllhe eXls(ence tlf h:ll:Htll1t1.~ ~t1"sl:JlIl"e~ or dcuilllclllnl cllvirulIIlIcnlnl conditions on or aruund the property that would negatively arrecl its value. AIJllIT,oN/\1. CEItTIFICATJON: Tile ^Pllrniser furlhcr certifies and agrees thaI: I. Thi:; ;I"I'I:lisnl wnfolJlIS 10 tile Unifollll Slnllllwds or I'rofcssiollal Appraisal JJ1ae(ice ("USI'AP") "doJlled by tilt ^1'1":1i~:J1 Stnlltlmll:o:: Bu:nd nrTlle Appraisnl Foundntion, except thatlhe Departure ')rovision of the USPAJ> dues nol apply. ). Their l'ulIIlJClISnlillll is 11(11 eOlllilll:cnl UpOIl the leponing of a predelermined value or direction in vlt1ue thaI favors lhe CAuse Ilr Ihe diClll, 111(' llllltlllll( or lhe vnlue c!'iliIllOlc, the Pllail1lnenl of a slll'ullled rcsuJl. or the occurrence of. subsccluClll evenl. J. This npl'l:1isnl nssignrllcHl wn!; lIot based 011 8 rcques~.lIIinilllum valdlllC,Il, a specific valuation, or lIle Il'p1Ov,l of a IUIII. N"lr:II'f fll'I'DIIlItl:nl.1 dhcbill'fl alld/uI the .doJilllln.r cCfllric.'lun .I~ Mhl~ .l'I'lIUhd '"" diul'I,'oVll!d,by ':Ifdille "he Of """"e MH. Dali) ,''7''7'.J~~('O/, AI'I'IIl;.e,(.) ,(!~ ~,w."Ot?/.<f-:('J ,~, 1., , , , , . , , , GEORGE L. EBENER & ASSOCIATES REALTOR REAL ESTATE APPRAISER CHARLES L. WENGER, GRI EXPERIENCE: 1986 - PRESENT Partner I Associate Broker I Appraiser George L. Ebener & Associates i39 W. High Street Carlisle, Pennsylvania 17013 1982 -1986 Associate Broker I Appraiser George L Ebaner & Associates 139 W. High Street Carlisle, Pennsylvania 17013 1978 - 1982 Real Estate Salesperson George L. Ebener & Associates 139 W. High Street Carlisle. Pennsylvania 17013 EDUCATION: Pennsylvania Association of Realtors Appraisal Courses RA 1 - Basics of Appraisal RA 2 - Real Estate Analysis RA 3 - Sales Comparison Approach RA 4 - Cost & Income Approaches RA 5 - Appraisal Standard & Ethics RA 6 - Narrslive Report Writing RA 7 - Introduction to Commercial Appraisal Residential Appraisal PROFESSIONAL lICENSES: Real Estate Associate Broker - AB--043963-A, Commonwealth of PA. Real Estate Broker I Appraiser -- BA -001849-L, Commonwealth of PA. PROFESSIONAL DESIGNATION: GRI (Graduate of the Pennsylvania Realtors Institute) awarded by the Pennsylvania Association of Realtors. APPRAISAL EXPERIENCE: Governmental Condemnation of Land, Township Condemnation of Land Commercial Business, Farms, Undeveloped Land. Building Lots, Apartments,Single Family Dwellings and Estates. *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH Of! PENNSYLVANIA. INHERITANCE TAX A!TURN RESIDEflIT' DECEDENT ESTATE OF Wise, Anna Marie I FILE NUMBER 21-01- 96 Include the proceeds of litigation and the date the proceeds were received by the estate. All property Jolntly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER I DESCRIPTION VALUE AT DATE OF DEATH 2,153.25 Household goods, furniture and furnishings, value based upon auction sale proceeds. 2 Mantel clock, value based upon appraisal by Roy D. Gottshall, auctioneer. 52.50 TOTAL (Also enter on Line 5, Recapitulation) 2,205.75 113 Forge Rd., Boiling Springs, PA 17007 /cz.u., .:<3 // M -e~ he bV~ F ....?:;:-A f/ ,;23":'- .?~~ ~~ r/~,y<o/.>r' h. In Account With ROY D. GOTTSHALL, AUCTIONEER / ;<'-I-o( ~ool ':.;f;;( 6'<:.:/ I II ce:? '* SCHEDULE F JOINTLY -OWNED PROPERTY COM~TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESiDeNT DECEDENT ESTATE OF Wise, Anna Marie I FILE NUMBER 21- 01- 96 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 George F. Wise ADDRESS RELATIONSHIP TO DECEDENT 59 Red Tank Road Boiling Springs, P A 17007 Son JOINTLY OWNED PROPERTY: LETTER DATE I! 'ovo. 'If %OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial institution and bank account number DATE OF DEATH DECO'S VALUE OF NUMBER ,or similar identlfylng number. Attach deed lor jointiy-held real VALUE OF ASSET INTERES' TENANT JOINT ;estate. DECEDENrSINTEREST 1 A PNC Bank Checking Account 6,911.27 50% 3,455.64 #50-3012-6721 Principal- 6,910.37; Interest- .90 2 A PNC Bank, Certificate of Deposit 5,000.00 50% 2,500.00 #21001052623 , 3 A PNC Bank, Certificate of Deposit 2,501.08 50% 1,250.54 #21001052626 : Principa1- 2,500; interest-1.08 I i , ! , : I I ! TOTAL (Also enter on line 6, Recepltulatlon) 7,206.18 l \ ) ~PNCBAN< Decedent Reporting Firstside Center 500 First Avenue, 4th Floor Pittsburgh, PA 15219-3128 SCP February 5, 2001 Dale F. Shughart Ir Attorney at Law 35 East High Street, Suite 203 Carlisle, PA 17013 RE: Estate of Anna M. Wise, Deceased SSN: 168-48-3453 EIN: 25-6757072 DaD: 02/18/2000 Dear Mr. Shughart: Please find the date of death balances you have requested listed below. CERJ'IFICATE OF DEPOSIT #21001052623 Established 03/21/1991 ANNA M WISE GEORGE F WISE DaD Balance: $5,000.00 + $0.00 accrued interest #21001052626 Established 05/18/1991 ANNA M WISE GEORGE F WISE DaD Balance: $2,500.00 + $1.08 accrued interest Page 1 of2 A member of The PNC Financial Services Group PNC Bank NA Pittsburgh Pennsylvania 15265 ') ~PNCBAN< CHECKING ACCOUNT #5080126721 Established 01/03/2000 ANNA M WISE GEORGE F WISE DOD Balance: $6,910.37 + $0.90 accrued interest Our office only provides date of death balances for IRA's, CD's, Checking and Savings accounts. We do NO Financial Transactions or Statement Orders. For Further information please call1-800-4-BANKER or your local PNC Branch and ask to speak with a Financial Services Representative. Sincerely, r~/L Erica A. BiShOP~ 1-800-762-1775 Page 2 of2 A member of The PNC Financial Services Group PNC Bank. N.A. Pittsburgh Pennsylvania 15265 . SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEAL lH OF PENNSYLVANIA INHERITANCe TAX RETURN RESIDENT DECEDENT Wise, Anna Marie FILE NUMBER 21-01-96 ESTATE OF This schedule must be completed and filed If the answer to any of questions 1 through 4 on page 2 Is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF Indude I/'le name of the lransferee. the/( rel8tior'lshlp to decedent and the date of transfer. VALUE OF ASSET DECO'S EXCLUSION TAXABLE VALUE NUMBER A'ItadlacopyrJlhecteedforreelntate. INTEREST (IF APPliCABLE) 1 1/2 ownership interest in PNC Bank Checking Account 3,455.64 100% 3,000.00 455.64 #50-3012-6721. Account established by Anna Marie Wise jointly with George F. Wise, her son, on January 3, 2000, remaining 1/2 interest in property reported on Schedule F. I \ I TOTAL (Also enter on line 7, Recapitulation) 455.64 . SCtEDUlEH RN:RAl..EXF'D:;:& ADftW\IS1RAT1VE~I~ ~THOf'PlNNSYlVAHLA N4EJUTANCl! TAX R!'TURN Ae:SlDENT ClCEO!HT ESTATE OF W' Ann . Ise, a Mane I FILE NUMBER 21-01-96 Debts of decedent must be reported on Schedule I. ITEM I NUMBER DESCRIPTION A. FUNERAL EXPENSES: Hoffman-Roth Funeral Home, funeral bill. B. AMOUNT 6,748.50 2 I I Carlisle Memorial Services, headstone. 175.00 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) I EIN Number of Personal Representatlve(s): 2. Street Address City State Year(s) Commission paid Attorney's Fees -- Dale F Shughar1, Jr. Esquire 6,500.00 Zip 3. Family Exemption: (If decedenfs address is not the same as daimant's, attach explanation) CI?iimant Street Address 4. City Relationship of Claimant to Decedent Probate Fees Register of Wills 252.00 State Zip 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 2 3 Other Administrative Costs Register of Wills, Short Certificate Roy D. Gottshall, auction commission and expenses. Robert Cairns, 2000 county and township real estate taxes. 3.00 463.50 222.62 Total of Continuation Schedule(s) 4,164.33 18,528.95 TOTAL (Also enter on line 9, Recapitulation) * Sd1ecUeH FmeraI B.pe. II & M.' ......11'8 Costs c:onIInJed COMMON'NEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Wise, Anna Marie I FILE NUMBER 21 - 01 - 96 4 Robert Cairns, 2000 school district taxes. 1,109.26 775.00 440.00 231.00 25.00 200.00 322.57 15.00 26.50 20.00 1,000.00 Page 2 of Schedule H 5 6 7 8 9 10 Ed Bennett, Heating and Cooling, furnace repair. H & S Paving, driveway repair. Penn National, property insurance premium. Register of Wills, tiling inheritance tax return and appraisal. George L. Ebener & Associates, real estate appraisal Schuchart, Inc., fuel oil 11 12 13 14 Roy Gottshall, appraisal of clock Recorder of Deeds, record Deed of Distribution Bonnie L. Coyle, notary fees Reserve for Account and fees for preparation of income tax returns . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMC)tfflULll'lOf' ~'tl.VAN\A INHERITANCE TAX RE1\JRN ReSIDENT DECEDENT ESTATE OF. . WIse, Anna Mane I FILE NUMBER 21 - 01 - 96 Includ. unr.lmbuns.d medical .xp.n.... ITEM NUMBER I GPN, fmal electric bill DESCRIPTION AMOUNT 106.63 2 Brockie Pharmatech, prescriptions 24.76 3 Waste Management, trash bill 42.30 4 Church of God Home, fmal bill 802.76 5 Schuchart, Inc., fuel oil 239.85 6 Carlisle Hospital, medical bill 768.00 7 Penn Rehab Assoc., medical hill 28.79 8 Three Springs Medical Center, medical bill 20.45 9 YeHow Breeches Ambulance, medical bill 60.00 10 County of Cumberland, home improvement loan, balance due 4,429.06 TOTAL (AI.o .nter on Lln. 10, Recapitulation) 6,522.60 *' SCHEDULE J BENEFICIARIES COMMONWE.'L.TH OF PENN$YLVAN~ INHERITANCE TAX RETURN RESIDENT DECEDENT NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I FILE NUMBER 21- 01- 96 RELATIONSHIP TO I AMOUNT OR SHARE ~ DECEDENT OF ESTATE ESTATE OF Wise, Anna Marie I. TAXABLE DISTRIBUTIONS (indude outright spousal distributions) George F. Wise 59 Red Tank Road Boiling Springs, P A 2 I Kay W. Rhinehart . 114 Red Tank Road Boiling Springs, P A 17007 Son one-half residue Daughter mantel clock plus one-half residue Enter dollar amounts for distributions shown above on lines 15lhrough 17, as appropriate, on Rev 1500 cover she< t II. NON-TAXABLE DISTRIBUTIONS: ,A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT I BEING MADE i ! B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS St. John Evangelical Lutheran Church 111 W.lnut Street Boiling Springs. P A 17007 1,000.00 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-l500 COVER SHE T 1,000.00 : , ~ ~ J WAYNE F. SHADE AttOrney at LAw S South Hmover Street Catliolo,' """"'Iv.... 17013 LAST WILL AND TEST AMENT I, ANNA MARIE WISE, of the Township of South Middleton, County of Cumberland, Commonwealth of pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last will and Testament, hereby revoking and making void all former wills and codicils by me at anytime heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my personal representative or representatives, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I give and bequeath the sum of One Thousand and NO/100 ($1,000.00) Dollars absolutely and in fee simple to ST. JOHN'S LUTHERAN CHURCH of Boiling Springs, pennsylvania, its successors or assigns. THIRD. I give and bequeath my mantle striking clock unto my daughter, KAY WISE RHINEHART, absolutely and in fee simple, if she survives me. FOURTH. For the purposes of this my Last will and Testamen1:, a person snail not be: Q",,,,med tu have surv~v8d me unless he or she shall have survived me by more than ninety (90) days. FIFTH. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath unto my children, GEORGE F. WISE and : .~ ~ ~ J WAYNE f. SHADE Allomcy at Law S South Huovct Slicer. Carn.ie. Ptauylvania 17013 KAY WISE RHINEHART, absolutely and in fee simple, in equal shares. If either of my said children should fail to survive me, I give, devise and bequeath his or her share unto such of his or her children who shall survive me, absolutely and in fee simple, in equal shares, by representation and not per capita. SIXTH. I order and direct that any estate, inheritance or similar tax due as a result of my death with respect to any property passing as a result of my death, shall be paid from the residue of my Estate before its division into shares and prior to distribution as an expense of administration and that no part of the taxes should be prorated or apportioned among the persons or beneficiaries receiving the taxable property. It is my express intention that all inheritance taxes imposed as a result of my death be paid from the residue of my Estate whether or not the property passes under my Last will and Testament. My personal "representative shall have full power and authority to pay. compromise or settle any such taxes at anytime whether with respect to present or future interests. SEVE~~H. I order and direct that any liens against any personal property specifically bequeathed herein shall be paid from the residue of my Estate prior to distribution as an expense of administration and that such specific bequests of personal property not pass subject to any liens thereon. EIGHTH. Any and all decisions, determinations or actions made or taken by a personal representative or Trustee hereunder, -2- : WAYNE F. SHADE AdonIcy at LAw 5 South HaDoo\Ier Street c.uu.ae. .fIeaaIytvllllirl 17013 if made in good faith, shall be final and conclusive on all persons who are or may become interested in my Estate. No fiduciary acting under this my Last will and Testament shall be liable for any error in judgment or for any depreciation or reduction in value of any Estate or Trust assets at anytime, in the absence of willful default. LASTLY. I nominate, constitute and appoint my son, GEORGE F. WISE, to be the Executor of this my Last Will and Testament, but if, for any reason, he should fail to qualify as such Executor or decline or cease so to serve, I nominate, constitute and appoint my daughter, KAY WISE RHINEHART, to be the Executrix hereof. If both my said children should fail to qualify as my personal representative or decline or cease so to serve, I nominate, constitute and appoint my eldest surviving grandchild as such personal representative, all to serve without bond. IN WITNESS WHEREOF, I, ANNA ~\RIE WISE, have hereunto set my hand and seal to this my Last will and Testament which consists of five (5) typewritten pages to each of which I have affixed my signature., ,this 23rd day of December, A.D. One Thousand Nine Hundred Ninety-Three (1993). ~~w~ Anna Marie Wise (SEAL) The preceding instrument, consisting of this and four (4) other typewritten pages, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and -3- ." WAYNE F. SHADE Auomey M UW S SouIh HaAover Swet CutioIo, -.ylv.... .7013 declared by ANNA MARIE WISE, the Testatrix therein named, as her Last will and Testament, in the presence of us, who, at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. t(/~ ~~ ~=~7f Acknowledgment COMMONWEALTH OF PENNSYLVANIA 1 1 SS: COUNTY OF CUMBERLAND ) I, ANNA MARIE WISE, the person whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or aff hmed and acknowledged befa::-" we 1.,y A..,NA MARIE WISE, this 23rd day of December, 1993. ~ ~ \<)J:"d. Anna Marie Wise ~~~~-~ Notary Pu lic Notarial Seal Connie J. Tritt. Notary PWIla Carli.'e. Cumberlan. County My Commi..i.n Expire. Oct. 5. 19'6 -4- ; ,. ~. , ~ ~ 1 WAYNe F. SHADe A110mey at UW S Soudl HaDover Slrcet Carlisle. .Pcnnaylvanil 17013 Affidavit COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF CUMBERLAND ) We, Wayne F. Shade and Theresa L. Bentzel ,the witnesses whose names are signed hereto, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last will and Testament; that the Testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed the Will as a witness; and that, to the best of our knowledge, the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. Sworn to or Wayne F. Shade this 23rd day of affirmed and subscribed to before me by and Theresa L. Bentzel ,witnesses, December, 1993. tV~ ;::-~ / h~<- cl /Z,~p N~c4dc Notarial Seal Conni. J. Tritt. Notary Public Carli,I.. Cumberland County M, Commission Expir.. Oct. 5. 1956 -5- ~V~K~J::/ ~//-(j/ PETITI"'cfN~FOR PROBATE and GRANT OF LETTERS Estate of Anna Mar i e Wis e also known as Anna M. Wi s e No. To: 21-01-96 Register of Wills for the , Deceased. County of Cum be rIa n d in the Social Security No. 1 68- 48- 3 453 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut 0 r in the last will of the above decedent. dated n p r pm 1-1 p r ? 1 , and codicil(s) dated named , 19~ (state relevant circllmstances. e.g. renunciation. death of executOr, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with ~..,-"----- last family or principal residence at 235 Mill S t r e e t, M t. Ho 11 y S p ring s FA 17065 (list street. number and muncipality) Oecendent, then ~___ years of age, died Februarv 18. ~~ 2000, at~urch of ~on Homp ROl North Hanover Street (North Middleton. Twp), Except as follows, decedent did not marry, was not c,livorced and did not have a child born or adopted Car 1 is 1 e , after execution of the will offered for probate; was not the victim of a killing and was never adjudicated P A 1 701 3 incompetent: Decendent at death owned property with estimated values as follows: (I f domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: 235 M i 11 S t r e e t.. M t. Ho 11 y $ 1,000.00 $ $ $ 80,000.00 Springs, PA 17065 \\ H EREFORE. petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary theron. (lestamentary: administration c.La.; administration d.b.n.c.t.a.) .r -=: ~ ~: J - ::::: ~ !j j~~ ( 7A)4><- George F. Wise 59 Red Tank Road _fu1_il ing Springs.. PA 1700l .~J :r. OATH OF PERSONAL REPRESENTATIVE COI\IMON\\lEALTH OF PENNSYLVANIA '1 -." (-- ~~ COUNTY OF __ CUMBERLAND J The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true anu correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed ~~J'-- .r IAJ~ !:::! before me this 22nd day of George. Wlse ~ ~ ~~ ~2001 a "7~~?/(! ~~) " ~ /b- ~[)~-/C> I/CJI(E~ 21-01-96 0>-=/ /-0 / Estate of ANNA MARIE WISE a/k/ a ANNA M. WISE, ,Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW JANUARY 23 x:t~.2Jl.Ql, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated December 23, 1993 described therein be admitted to probate and filed of record as the last will of Ann a Mar i e Wi s e a/k/a Anna M. Wise and Letters T p ~ r ,q m P n r ,q r y are hereby granted to G eo r g e F. Wi s e . ~ '/ ~ '/ . Yl _ '/< Y (- / ,/-I/o -;;0 n ~../ /4..(. / ~-l~-/ Rister of Wills / FEES Probate, Letters, Etc. ......... Short Certificates( .) . . . . . . . . . . ~-pag~s Kenl1n"Clation ................ '~CP $ 200.00 $ 3.00 $ 12.00 $ 1).00 TOTAL _ $ 220.00 . . J".a.~~~rY .~7-,. .4Q0.1. . . . . . . . . . . . . . Dale F. Shughart, Jr. ATTORNEY (Sup. Ct. 1.0. No.) 19373 35 East High Street, Suite 203 ADDRESS Car 1 i s 1 e, PAl 7013 (717) 241-4311 PHONE (?~--t'~ ~~,y,:L-< /' l~ Filed '1-' ;;, j 0:. _~ PETITION FOR PROBATE and GRANT OF LETTERS No. To: 21-01-96- Estate of Anna Ma r i e Hi s e also known as Anna H. Wi s e Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania ~ Deceased. Social Security No. 1 68 - 48- 3 453 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut r ix named in the last will of the above decedent, dated Dee ern be r 23 , 19~ and codicil(s) dated ~eor~e F. WisE', jYPr'll ror ~ n,q~o5 i d. Wj 11 ,q1;;l~ 19 ~ y issued Letters est mentary on anuary 3, 1 le prl 2001. Petitioner is alternate exeuctor named in Will. (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cum be rIa n d County, Pennsylvania, with her last family or principal residence at 235 Mill S t r e e t., M t. H 011 y S p r in g s , PA 170f.t5 - ~ollrh Mic1c11eTon Township (list street, number and muncipality) Decendent, then _~_ years of age, died Fe b ru a r y 18 ,l~ 2000, at Chllrr'n of Goi!-J}omp, ROl NorTh H,qnover Street, Carlisle.. PA.17013 Except as follows, decedent did not marry, was not 9ivorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (I f domiciled in Pa.) All personal property (I f not domiciled in Pa.) Personal property in Pennsylvania (I f not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: 2 11) M i 1 1 ~ T r e e t t H t. H 011 Y PA 17065 $ 2,205.75 $ $ $109,900.00 Springs.. \VHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary theroIl. (testamentary; administration c.La.; administration d.b.n.c.t.a.) 7 --:: ~ ~Z :J ~ ::.:::2 '""':l:: c':: ~'s .:::.-:.. ~'~ ~"'" c\ uu tJ..SZ.-~-k-.....uL h~ Kay Wise Rhinehart 114 Red Tank Road Boiling Springs, FA 17007 ;J; 7: OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA -1 -'0-. r ~~ COUNTY OF CUMBERLAND J The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true anu correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. -%(_ /) ; \ i)-- . ~\ Lu (~ '~~<-I.....e h Cll..J'--^.- K~y WiRP Rhinph,qrt Sworn to or affirmed and subscribed before me this_ 3rd___ dai of , ____- i 001 ) l ' Register v, (}Q. :::! ~ - z:: ~ ~ N 21-01-96 o. Estate of ANNA M. WISE , Deceased DECREE OF PROBATE AND GRANT OF LETTERS 2001 AND NOW MAY 11 x x~_, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated 12-23-93 described therein be admitted to probate and filed of record as the last will of ANNA M WISE and Letters T est a ill en tar y are hereby granted to Kay Wi s e Rh i neh art ~/7 . , ~. // / <f ( Regist FEES Probate, Letters, Etc. ......... $ 25. 00 Short Certificates( ).......... $ 3 . 00 Renunciation ................ $ $ TOTAL _ $ 28.00 Filed MAY. 3.,. .2001. . . . . . . . . . . . . . . . . . . . . . Dale F. Shughart, Jr. 19373 ATTORNEY (Sup. Ct. I.D. No.) 4}~;U1 35 East High Street, Suite 203 ADDRESS Car lis 1 e, PAl 7 0 1 3 (717) 241-4311 PHONE 11 ]1)'.,'-:1" HI\' ')/XI, This is to certify that the infornlation here given is correctly copied fron1 an original certificate of death dul}~ tiled with Ole as Local Registrar. The original certificate will be. forwarded to the State Vital Records Office for permanent fillI1g. WARNING: It is illegal to duplicate this copy by photostat or photograph, ~ee for this certificate, $2.00 ", ,llfllll"'//"-,//,,... ""IIII~~\\" OF PEi~###-:.__ \\~~',f'J'L~ \\ ~ . ..-:. - l~~.' \~'%. i ~ ( . ~ . \~ ~ ~-==I _. I-~ ! ~\ ;~i5::~ ~*~. '_'''-~.'' ,.'. ...~l*~ ~ a .~'- /~\~ ~ ~ /~ l <::"'###!1I1~1--'-.{~"'III,'I\ -~",,'''ENl ~ ,J,I' "'I""/'//~"IIJJI' P 6342402 No. 21-01-96 LL ~"~~~~~..~ FER 2 1 2000 Date Hl05.143R....2fa7 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH liNT ENT HI( NAME Of OECEOENT IF .rsr, Middle. L.srl t. Anna M. Wise SEX zFemale AGE (lllll 8~Yl UNDER 1 YEAR Montha 0..,. UNDER I Olfit Hours MInul.. 5. 92 VIS. COUNTY Of ClERH ~I ... nd DECEDENT'S USUAL OCCUPAJIOH t~~':Ilf~:o,,:::~~;r l1L Homemaker 111t. Own Home DECEmS M111 ~~ (Su_. CiIyITawn. SIal. ZopCodeI ~~~:NT'S Mt. Holly Springs,PA 17065 ~~:;~ on oII>er SIClel 111. Sial. p~ STATf FILE illUM8EA SOCIAL SECURITY NUMBER 168 - 48 OATE OF DEATH .Mcnfl. 01-,. '''''l Feb. 18, 2000 =""'0 RACE ."-1ndIe1l, IllKk. Whil.. etc. (SpeclIy) to. White SURVIVING SPOUSE 'I..... OMI-lWMI MARITAL SWUS. Mam.d N_ Mmiecl. WIdowed. 0N0rced (Speofy) 14. tfc.1iI _. dK.,.nlllwd ill tS. South Middleton Ie. FATHER'S NAME (Firs!. Middle. lUl) II. George Roush INFORMAHT'S NAME (T ypelPrinlj 2Oll. Geor e F. Wise METHOD OF DISPOSITION BuN! KI Cremation 0 ~ IIonl SIll. 0 au- 0icI dllcedenl .... in a Cumberland -..hip? Ifd.O ~~:::oI MOTHER'S NAME IF. st. ModdIe. MlIlden Surname) t9. Clara Stambaugh INFOFlMANT'S MAIUNG AOORESS tSlrllel. CilyflOwn. Slatlt. Zop Code) ..s9 Red Tank Rd., Beilin S rin s, Pa 17007 PlACE Of DISPOSITION. Name of CarneI.,.,. C_IOty LOCATION. Cily(1CMn. Stat., ZIp Code or 01'* Place 2tc. Mt. Zion Cemetery 1~.Coun 2000 L I. and piece SIlled. ,ILJ 24. M. 25. 27. PAAT I: Enlar ll\e disaaHS. injurieS 01 compIicallOflS wIlich caused the daath. 00 nol anlar lha moda of dying. such as cardiac or 'lspiralO<\' arrest. shocll or heart laiu... Lilt onry OM cause on .aclllina. lb. c. d. ~~. DUElO"'~"" DUE 10 lOA AS A CONSEOUENCE Of): OUElO(OA A$ACONSEOUENCE OF): ~RE AUTOPSY FINDINGS MANNER OF DEATH """'l.A8l.E PRIOR 10 ~. COMPlETION OF CAUSE Natutal 0 OF DEATH? HonlCicla AceJclenl 0 Pending In_igallon 0 _0 No Q Suidcle 0 Could not be del.rmlned 0 DATE OF INJURY IMonltl. Day. 'tear) twp. dty/tIoro. SIGNED n (MOnII. Day, ..., 2:1b. trN o? l/o??.:F ~ Dc, ' /4'. l!JeJ WAS CASE REFERRED 10 MEOICAL EXAMINERiCORONER? ~ "-I 0 2S. I Approximala PART H: 0lIIIr lignillcanl ~ c:ontr1bullng to duth. but i=-= ~.._-_._' TIME OF INJURY INJURV AJ WORK? OESCRlBE HOW INJURY OCCURRED. _ 0 NoD M. 21. PLACE OF INJURY. AI home. Iarm. IIr_. IIClOty, olllc:e buiIclIng. Itc. ISpec:JIy) :JOe. ~ ... 21b. can"'IER fCtleclc only onel 'CEJllTU'YING PHYSICIAN (P!\ySIC_ certlfymg cause d dtra'" wt>er> another l!hV5'Coan has pronounced dealh ano ccmpleled "em 231 To !he ~ of my knowledga, de.m oecurred clue 10.... caus..(s).nd mannlr as sl.,ed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 'I"AONOUNCING ANO CERTIFYING PHVSICIAN (P!\vsaclln both :>ronounclng c1ealh and cert.fy'ng 10 cause of aealh\ To the _ 01 my knowledg.., d...lh occurred al the U..... d.I.. and placl. and du. to the c.usets).nd m.nn.r as .I.,ed.. . . . . . . . . . . . . . . . . . . . . . . . . "MEDICAL EXAMINER/CORONER On the b.li. of ex.min.tlon .nd/or invesllg.lion. In my opinion, de.th oCcurred at IhlUme. d.... .nd place. and due 10 the c.use(')'nd m.nn., .. st'led.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31.. REGISTRAR'S SIGNATURE AN ~.~~~~ ~\ l~ \,d o o IN RE: ESTATE OF ANNA MARIE WISE,: IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 21-01-96 ORDER AND NOW, after consideration of the attached petition, it is HEREBY ORDERED AND DECREED that George F. Wise, deceased, is removed as personal representative of the Estate of Anna Marie Wise and the Register of Wills is authorized to Grant new Letters Testamentary to Kay Wise Rhinehart as alternative personal representative named under the Last Will and Testament of Anna Marie Wise. By the Court, fYla..a 10, f), ()O J )s/ ~~ c. N1f; P J. REVOCATION OF LETTERS IN RE: ANNA MARIE WISE FILE NO. 21-01-96 AND NOW, This 11th day of MAY, 2001, I Mary C. Lewis, Register of Wills in and for the County of Cumberland, do hereby revoke Letters Testamentary on the Anna Marie Wise estate, as the Executor George F Wise, deceased, has been removed as personal representative by COURT ORDER, letters were issued January 23, 2001. 'I -iH4-J /V) Qv-( 1\'t\-l<:l:t ~ " MAY 1 02001P IN RE: ESTATE OF ANNA MARIE WISE,: IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 21-01-96 ORDER AND NOW, after consideration of the attached petition, it is HEREBY ORDERED AND DECREED that George F. Wise, deceased, is removed as personal representative of the Estate of Anna Marie Wise and the Register of Wills is authorized to Grant new Letters Testamentary to Kay Wise Rhinehart as alternative personal representative named under the Last Will and Testament of Anna Marie Wise. .. By the Court, /JPt (0 ( 2/)0 ( \ J. ~ IN RE: ESTATE OF ANNA MARIE WISE/: IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 21-01-96 PETITION FOR SUBSTITUTION OF PERSONAL REPRESENTATION AND REVOCATION OF LETTERS TESTIMENTARY AND NOW, comes the Petitioner, Kay Wise Rhinehart, by her Attorney, Dale F. Shughart, Jr., Esquire, and petitions this Court to remove George F. Wise, deceased as personal representative of the Estate of Anna Marie Wise and to substitute Kay W. Rhinehart, and in support thereof, avers as follows: 1. Your Petitioner is Kay Wise Rhinehart, an adult individual residing at 114 Red Tank Road, Boiling Springs, Pennsylvania, 17007. 2. Anna Marie Wise died on February 18/ 2000. 3. Under the Last Will and Testament of Anna Marie Wise, dated December 23/ 1993/ duly probated to Cumberland County Estate Number 21-01-96 on January 23/ 2001/ Letters Testamentary were granted to her son, George F. Wise, by the Register of Wills of Cumberland County, Pennsylvania. 4. George F. Wise died on April 16/ 2001. His Will has been probated in Cumberland County, pennsylvania, to Estate Number 21-01- 0424 and his wife, M. Louise Wise, has been appointed as his executrix. 5. At the time of the George F. Wise's death, administration of the Estate of Anna Marie Wise was incomplete. 6. Petitioner is a party in interest, being named as alternate personal representative under the afor~said Last Will and Testament of Anna Marie Wise. " 7. Removing George F. Wise as personal representative and substituting Kay Wise Rhinehart will allow timely administration of the Estate of Anna Marie Wise to continue. WHEREFORE, Petitioner respectfully request this Honorable Court to enter an Order removing George F. Wise as personal representative of the Estate of Anne Marie Wise and authorizing the Register of Wills of Cumberland County to grant new Letters Testamentary to Kay Wise Rhinehart as the alternate personal representative named under the Last Will and Testament of Anna Marie Wise. Dale F. , Jr. Supreme d. #19373 35 East High Street, Suite 203 Carlisle, PA 17013 (717) 241-4311 VERIFICATION Kay Wise Rhinehart, hereby verifies that the facts set forth in the foregoing Petition are true and correct to the best of her knowledge, information and belief, and understands that false statements herein are made subject to the penalties of 18 Pa. C.S. ~4904 relating to unsworn falsifications. ~ l.,Ju.a- ~~ Ka ~se Rhinehart DATED: (Y\~ 2. , 2001 -- t::- ---- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Anna Marie Wise, a/k/a Anna M. Wise Date of Death: February 18, 2000 Estate No. 21-01-00096 To the Register: I certify that notice of estate administration 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 5, 2001. Name Address 1. George F. Wise 59 Red Tank Road Boiling Springs, PA 17007 2. Kay Wise Rhinehart 114 Red Tank Road Boiling Springs, PA 17007 3. St. John Evangelical Lutheran Church 111 Walnut Street Boiling Springs, PA 17007 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except None Date: February 2, 2001 <<~ f7f~ Dale F. Shughart, Jr. 35 East High Street, Suite 203 Carlisle, PA 17013 Telephone (717) 241-4311 Capacity: Counsel for Personal Representative ~ IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE Whether you will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died without a will, whether you will receive any money or property will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA In re Estate of Anna Marie Wise, a/k/a Anna M. Wise, deceased Estate No. 21-01-00096 TO: George F. Wise 59 Red Tank Road Boiling Springs, PA 17007 Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. The Decedent Anna Marie Wise, died on the 18th day of February, 2000, at Carlisle, Cumberland County, Pennsylvania. The Decedent died testate. The personal representative of the Decedent is: George F. Wise 59 Red Tank Road Boiling Springs, PA 17007 The will has been filed with the.Office of the Register of Wills of Cumberland County. 1 Courthouse Square, Carlisle, PA 17013. Phone No. 717-240-6345. A copy of the Will or Petition may be obtained by contacting the Register of Wills and paying the charges ~ r duplication. Capacity: r Dale F. Shugha ,J. Attorney Supreme Court I.D. #19373 35 East High Street, Suite 203 Carlisle, PA 17013 Telephone (717) 241-4311 Counsel for Personal Representative Date: February 2, 2001 ,- 4; :IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE Whether you will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died without a will, whether you will receive any money or property will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA In re Estate of Anna Marie Wise, a/k/a/ Anna M. Wise, deceased Estate No. 21-01-00096 TO: Kay Wise Rhinehart 114 Red Tank Road Boiling Springs, PA 17007 Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. The Decedent Anna M. Wise, died on the 18th day of February, 2000, at Carlisle, Cumberland County, Pennsylvania. The Decedent died testate. The personal representative of the Decedent is: George F. Wise 59 Red Tank Road Boiling Springs, PA 17007 The will has been filed with the.Office of the Register of Wills of Cumberland County. 1 Courthouse Square, Carlisle, PA 17013. Phone No. 717-240-6345. A copy of the Will or Petition may be obtained by contacting the Register of Wills and paying the charges for duplication. Capacity: ~M !7!f:2. Attorney Supreme Court I.D. #19373 35 East High Street, Suite 203 Carlisle, PA 17013 Telephone (717) 241-4311 Counsel for Personal Representative Date: February 2, 2001 IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE Whether you will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died without a will, whether you will receive any money or property will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA In re Estate of Anna Marie Wise, a/k/a Anna M. Wise, deceased Estate No. 21-01-00096 TO: St. John Evangelical Lutheran Church 111 Walnut Street Boiling Springs, PA 17007 Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. The Decedent Anna Marie Wise, died on the 18th day of February, 2000, at Carlisle, Cumberland County, Pennsylvania. The Decedent died testate. The personal representative of the Decedent is: George F. Wise 59 Red Tank Road Boiling Springs, PA 17007 The will has been filed with the Office of the Register of Wills of Cumberland County. 1 Courthouse Square, Carlisle, PA 17013. Phone No. 717-240-6345. the A copy of the Will or Petition may be obtained by contacting Register of Wills and paying the charges for duplication. j)~r~ Dale F. Shughart, Jr. Attorney Supreme Court I.D. #19373 35 East High Street, Suite 203 Carlisle, PA 17013 Telephone (717) 241-4311 Counsel for Personal Representative February 2, 2001 Date: Capacity: c STATUS REPORT UNDER RULE 6.12 Name of Decedent: Anna Marie Wise, a/kia, Anna M. Wise Date of Death: February 18, 2000 Estate No. 21-01-0096 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 X 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 X 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 X 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 is report. Suite 203 Date: May 22, 2001 Counsel for Personal Representative / ~ /'6 -- (-:)0 -</ - /0 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE I 'S'I:' ~1 (./ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN DALE F SHUGHART JR ESQ STE 203 35 E HIGH ST CARLISLE PA 1~O~3 04-02-2001 WISE 02-18-2000 21 01-0096 CUMBERLAND 101 \v REV-I541 EX AFP <12-00) ANNA M 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 ~ RE-Y=iS47-i:X-AFP--fi"2-':ool--NoTlci:--OF-.rNHEifiTANci-TAjrAPPRA-isEifEN:r,--ALi-oWANCE-O"R----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF WISE ANNA M FILE NO. 21 01-0096 ACN 101 DATE 04-02-2001 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. Mortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) 109,900.00 .00 .00 .00 2,205.75 7,206.18 455.64 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage liabilities/liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax 18,528.95 6.522.60 (11) (12) (13) (14) (9) (10) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 119,767.57 25.05] ';5 94,716.02 1,000.00 93,716.02 NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: IS. Amount of line 14 at Spousal rate (IS) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 X 00 .00 93,716.02 X 06 = 5,622.96 .00 X 00 = .00 .00 X 15 = .00 (19)= 5,622.96 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 02-21-2001 AA478050 125.17- 5,759.96 TOTAL TAX CREDIT 5,634.79 BALANCE OF TAX DUE 11.83CR INTEREST AND PEN. .00 TOTAL DUE 11.83CR * 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.) -" :. ~ ._..._~.-='''''''' _......-.-~ -...~-;----.-,.~......,..~....- . cD t~ ~. ~ > w 0:: o I.f') <:) CO 1"-- ~ <( <( o Z >< 4 to- UJ to- <(4 _to- Zen 4UJ >0 ..JZ >-4 enUJ Zo Zz ~4 to- ~ UJ :I: ~ I- 0. - W o w a: -I <( - o - LL LL o ~~'-, ~ .c.~. .. _.......' , ~~:..,.--- ..(~. t3~ . Cf' I- U:l z ::> r.. 0 ~ tf1 <!. ~ ..... I- z....Ja: UJo z~a:UJ o(j)l-co <!.(j)z~ UJo::> ~oz <!. 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I- o I- ."'- '-./ o J'\. ;:; !Jl ,..1 -j LJ) ~~ ,.--~ .:,... : v ~ \....... 1.;j 0 ,,"'-r" . i..J ~,..,... :--' ! ,.. .....~ .!' fu cr: '..:J o <1 "~; UJ ?. (r: > W o UJ a: (j) ..-J ..-J $ LL o a: w tn (9 w a: ~~ -J :'-,::' ;: t',. . ~ ; C( l--~1 j) f.\ 1~ Cl >- I- Z :J o o :I:CJ I- ,-.-: ~ ~.~ ClIU (j) u... ~ o a: ill <!. ~ ~ o a: ....J <!. UJ (j) I I 1.-------.- -------------...-- Register of Wills of Cumberland County, Pennsylvania INVENTORY , Deceased No. 21 - 01 - 96 Date of Death 2/18/2000 Social Security No. 168-48-3453 Estate of Wise, Anna Marie also known as George F. Wise The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Attorney: Dale F Shughart, Jr. Esquire Personal Representative Signature: ~~ r: 2J~ George. Ise 1.0. No.: 19373 Signature: Signature: Address: 35 E. High Street, Suite 203 Address: 59 Red Tank Road Boiling Springs, P A 17007 Carlisle, P A 17013 Telephone: (717) 241-4311 Telephone: z-(z,/ / () J Dated: Personal PrODerty Household goods, furniture and furnishings, value based upon auction sale proceeds. 2,153.25 Mantel clock, value based upon appraisal by Roy D. Gottshall, auctioneer. 52.50 Total Personal Property $2,205.75 Total Personal Property and Real Estate $112,105.75 . (Attach additional sheets if necessary) Register of Wills of Cumberland County, Pennsylvania INVENTORY continued Estate of Wise, Anna Marie also known as No. 21 - 01 - 96 Date of Death 2/18/2000 Social Security No. 168-48-3453 , Deceased Real Estate Real property containing .28 acre and improved with a dwelling house, being Cumberland County Tax Parcel #40-31-2185-004, located at 235 Mill Street, Mount Holly Springs (South Middleton Township), Cumberland County, PA, value based upon appraisal by Charles F. Wenger, attached. 109,900.00 T atal Real Estate $109,900.00 2