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Home My WebLink About06-11-15 (2) } J pennsytvania 1505614101 oEvnrtmerroF nNue EX(03-14) REV-1500 OFFICIAL USE ONLY Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number PO BOX 280601 Harrisburg, PA 17128-0601 RESIDENT DECEDENT 1 , ENTER DECEDENT INFORMATION BELOW" Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY � of � 3�ZI Baa„ C „i � 3a Decedent's Last Name Suffix, Decedent's First Name MI (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name" Suffix Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS t. FILL IN APPROPRIATE OVALS BELOW Q 1.Original Return O 2.Supplemental Return O 3. Remainder Return(date of death prior to 12-13-82) O 4.Agriculture Exemption(date of O 5. Future Interest Compromise(date of O 6. Federal Estate Tax Return Required • death on or after 7-1-2012) r. death after 12-12-82) go 7. Decedent Died Testate O 8. Decedent Maintained a Living Trust 0 9. Total Number of Safe Deposit Boxes (Attach copy of will.) (Attach copy of trust.) O 10.Litigation Proceeds Received O 11. Non-Probate Transferee Return O 12. Deferral/Election of Spousal Trusts (Schedule F and G Assets Only) O 13. Business Assets O 14.Spouse is Sole Beneficiary (No trust involved) ff CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number r � 110161JFJ� J916-1 11116161VS171 7 ay3 a5 g First Line of Address 7V� L t) R LSL (� l v , : Second Line of Address' City&Post Office State ZIP Code JIL Correspondent's email address: REGISTER OF WILLS USE ONLY REGISTER OF WILLS USE ONLY DATE FILED MMDDYYYY v t; C M On ' g C- G'7 C C✓ 4� IM D1TE>FII.- S7ACIVIP rnrn ! C!? O O 0 Q _0 TI TI C:) .� s PLEASE USE ORIGINAL FORM ONLY <D m s Side 1 - U, O 1`y co �' 1505614 IIIIIIIIilllllllllllllllllllllllllll�lllllllllllllllllllllll •• L 01 1505614101 J 1505614201 REV-1500 EX Decedent's.Social Security Number �� } Decedent's Name: - ■ RECAPITULATION 1. Real Estate(Schedule A). . .:.. .. ..... .. . ...... .... ..... .. .. ... . ... .. . 1. • 2. Stocks and Bonds(Schedule B) .. ... .. ... . . .. .. .. .. ... .. .... ... .. .. .. . 2. • 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) . .. .. 3. • too 4. Mortgages and Notes Receivable(Schedule D) .... .... ..... .... ... . . .. .. . 4. G / ^ 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E).. .... . 5. O Q (Oc U 01 IF 6 6. Jointly Owned Property(Schedule F) O Separate Billing Requested .. .... . 6.7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property(Schedule G) O Separate Billing Requested... .... . 7. (� 8. Total Gross Assets(total Lines 1 through 7). . .. .. .. .. ... .. .... .... ... .. . 8. �/ Q t0 • (] 9. Funeral Expenses and Administrative Costs(Schedule H)... .. .. .. ... . ... . . . 9. / �• 0 10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule 1). .... ... . . .. .. . 10. �p . 11. Total Deductions(total Lines 9 and 10)... ..... .. .... ....... .. .. .. .... .. 11. 12. Net Value of Estate(Line 8 minus Line 11) ... .... .... ... .. .. .. .... ...... 12. S -/ a . •C9 13. Charitable and Governmental Bequests/Sec.9113 Trusts for which an election to tax has not been made(Schedule J) . ... . . .. .. .. .. ... . ... .. . 13. . Q a14. Net Value Subject to Tax(Line 12 minus Line 13) . ... .... .. .... .... .:.::+14. � v TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or ' transfers under Sec.9116ME .�. (a)(1.2)X.0- . 15. 16. Amount of Line 14 to at lineal rate X.0�J .v 16. 17. Amount of Line 14 taxable at sibling rate X.12 • 17. 18. Amount of Line 14 taxable at collateral rate X.15 • 18. • 1011 19. TAX DUE .... .. .. .. .. ... .. .. .. ..... .. .. ... . ... . . .. .. .... ... .... ... 19. • 111 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Under penalties of perjury,I declare I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and fete. Declaration of prep er than t erson responsible for filing the return is based on all info ation of which prepare has any knowledge. � �-T 4 r &, /2 a0/I SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DTE �/_ 4y.Pe� D,P, y 5- C'�L As L. ADDRESS SIGNATURE OF PREPARER OTHER THAN PERSON RESPONSIBLE FOR FILING THE RETURN DATE ADDRESS � IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIi�llllllllllllllllll Side 2 -I 150561420 1505614201 - Y f COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 020491 WOODS WOLFGANG 75 LAUREL DRIVE CARLISLE, PA 17015 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold __________ -------- 101 $3,500.00 ESTATE INFORMATION: SSN: FILE NUMBER: 2115-0134 DECEDENT NAME: WOODS WILLIAM C DATE OF PAYMENT: 04/13/2015 POSTMARK DATE: 04/13/2015 COUNTY: CUMBERLAND DATE OF DEATH: 01/13/2015 TOTAL AMOUNT PAID: $3,500.00 REMARKS: CHECK# 5 INITIALS: D131 SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS TAXPAYER REGISTER OF WILLS CERTIFICATE OF CUMBERLAND COUNTY GRANT OF LETTERS x}- ~'` PENNSYLVANIA 1 of r Cu i No. 2015- 00134 PA No. 21- 15- 0134 � � ► Es to to of: WILLIAM C WOODS 0 .1 tFitst,Middle,Lost) Late Of.- NORTH NEWTON TOWNSHIP CUMBERLAND COUNTY Deceased Security No: � "Z-AIS, on the -_'t_:m Clai+% of Febzua_r 2015 an .instrument dated Ja uary 4th 2013 was admitted to pro to as the last Will of WILLIAM C WOODS (First.Middle.Last) late of NORTH NEWTON TOWNSHIP, CUMBERLAND County, . who died on the 13th day of January 2015 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, LISA M. GRA YSON, ESQ. , Register of Wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to: WOLFGANG WOODS and LILIANE WONDERS who have duly qualified as EXECUTOR(RIXI and have agreed to administer the estate according to law, all of which fully appears of record in my office at CUMBERLAND COUNTY COURTHOUSE, CAR ,ISLE, PENNSYLVANIA. 4 1NTESTI T01V �1HEREOF, I have hereunto set my hand and affixed the seal of my off ice on the 4th day of February 2015. Al" 'M Reglsier ofV,Irs ams u **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) 11^q 4 IN WITIIESS WHEREOF, T, WII.LL4,M C. WOODS, have hereunto set my hand and seal to this my Last Will and Testament,written on ,wo (2)panes,the first two (2)pales initialed for identification only_this day of .2013. - (SEAL) NVZLLI SNI C.WOODS This instrument was by the Testator,on the date hereof,signed,published and declared by him to his Last Will and Testament,in our presence,who at his request and in the presence of each other, we believing him to be of sound and disposing mind and memory,have hereunto subscribed our names as v itnesses. c j WEIGLE & ASSOCIATES. P.C. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG• PA 17257-1397 h CON LtiONWt;ALTFi OF PEN-N SYZVAN7A SS COLT NTY OF CIj-'L'vIBERLA\zD We. PCL and e the witnesses whose names are signed to the foregoing instrument being duly, qualified according to law, do depose and say that we were Present and saw '%UJ-L;VN1 C FOODS. the Testator, sign and execute the instrument as his 1,2st WUL tbat be sg w-�aud tb2t he executed n as his fee and voluntary act for the �eQaers ih c i tom: a gli of-he 1 est�or,simed the i Ntm 2a fw ccr k3U-'--_--e enz f2t lis time eigl (i 8) or,. Z Sit om or affirmed to and subscribed before me by 1 �c and De 4 M I'l e ��J a m s w" -Sses.this day of 2013. /V1 N A\��J, N— (' L v ! J U � 1 .�1..EI;IV7iL'Cr��IP1 - NOTANAL SEA: City o; elr,C arta 17—,200U county MJ C`- Mises G:i;>Jer 7,2014 WEIGLE & ASSOCIATES. P.C. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG. PA 17257-1397 REV-15o8 EX+(ii-io) a pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: �� , 9�� G FILE NUMBER: W �J C2/1'j- Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH J �"L L! £2T`/- o?8D //j 116-/ J.'6.' DDO . Ob Cc v /N Gr S /�9CDej✓1 t ys (o�� • 2/ TOTAL(Also enter on Line 5, Recapitulation) $ 970 &0/1 166 If more space is needed,use additional sheets of paper of the same size. s ' 2005 Jeep Liberty Utility 4D Sport 4WD (V6) Prices, Values& Specs -NADAguides Page 1 of 1 It ' The Power of Vehicle lnformnlTcari ® Close Window a NADAguidesxotn 3/14/2015 2005 Jeep Liberty-V6-4WD Utility 4D Sport 4WD (V6) NADAguides.com Price Report Rough Average Clean Clean Trade-In Trade-In Trade-In Retail Base Price $2,975 $3,850 $4,575 $6,925 Mileage: (106,000)-miles $425 $425 $425 $425 Total Base Price $3,400 $4,275 $5,000 $7,350 PRICE with Options $3,400 $4,275 $5,000 $7,350 The history of a vehicle impacts its value !het the history at ` AiutoCheckxM/NADA ides •, �* 777 L * i t. N G.� Account# XXXXXXXX8701 �— Statement Date 02/10/15 ACNBPO Box 3129 Page 1 of 4 BANK Gettysburg PA 17325 Temp-Return Service Requested _, IIIIrIIIInIInr�Irll�Imnllllrlll�Ilrulllr�lnllllllllrllll 000291 0.6500 AV 0.381 TR00001 WILLIAM C WOODS See page 2 for a 174 OAKVILLE RD important information SHIPPENSBURG PA 17257 about managing your account. A CREDIT CARD YOU CAN TRUST. It's your choice.Competitive rates,rewards,and additional benefits all with no annual fee. Stop by any office today for an application or go online at acnb.com. 1.888.334.ACNB Your Accounts With Us , _ ^Account Name Account Number Balance Esteem Checking XXXXXXXX8701. $18,.985.49, Statement Savings Consumer XXXXXXXX4317 $.45;6.86::2.1_.. Esteem Checking Account# XXXXXXXX8701 M Beginning Balance on 01/11/15 $19,120.08 V + Deposits&Other Credits $1,467.15 -Withdrawals &Other Debits $1,602.53 -Service Charges $0.00 0 + Interest Paid $0.79 Ending Balance on 02/10/15 $18,985.49 Days in Statement Period 30 Account Activity o Date Description Deposits/Credits Checks/Debits Balance 01/11/15 BEGINNING BALANCE $19,120.08 o 01/12/15 CHECK#1307 $38.53 $19,081.55 N 01/12/15 CHECK#1309 $48.90 $19,032.65 CD 0 01/15/15 CHECK#1306 $13.00 $19,019.65 m^ 01/20/15 VOIP FREEDOM, LL 8662505460 $34.95 $18,984.70 WILLIAM C WOODS 01/30/15 DFAS-CLEVELAND RET NET $1,467.15 $20,451.85 WOODS WILLIAM C 02/06/15 R15 Bene/Acct Hldr Dceasd $1,467.15 $18,984.70 WOODS WILLIAM C 00000000002378701 02/10/15 INTEREST PAYMENT $0.79 $18,985.49 acnb.com • 717.334.3161 Toll Free 1.888.334.ACNB (2262) t NOTICE OF PREMIUM REFUND DATE MO.I DAY YR. Erie 03 03 2015 al-N, Insurancea REFUND AMOUNT t$279.00 100 Erie Ins.PI. • Erle,PA 16530 POLICY/ACCOUNT NO. -Q082011692 AGENT NO. AA7167 AGENT NAME J P WOLFE INSURANCE INC CHECK NO. 2002429117 REFUND REASON PRO RATE CANCELLATION 000 0001275 00000000 001 001 01275 INS:00 ESTATE OF WILLIAM C WOODS C/O AA7167 NON-NEGOTIABLE WOLFGANG WOODS 75 LAUREL DR CARLISLE, PA 17015 THIS REFUND CHECK HAS BEEN ISSUED TO YOU AS A RESULT OF A PREMIUM CREDIT BALANCE REMAINING ON THE CANCELLED POLICY/ACCOUNT INDICATED ON THE BELOW CHECK. IF YOUR RECORDS DO NOT AGREE, PLEASE NOTIFY YOUR AGENT. CH2751 v.08 5.4.2011 I Asperi Dental Check Date Check Number WOODS102 ESTATE OF WILLIAM WOODS 3 01/30/2015 0158502 Voucher Number Invoice Number Invoice Date Outstanding Amt Net Paid Amt Discount Taken Write Off Net Check Amt 90003061111 4748126 01/29/2015 $1,324.98 $1,324.98 $0.00 $0.00 $1,324.98 R [ii,N U NUE 10@9I15C12 �OO2 '15 WOOD I Alt? / . NE r � I42, L ELS—'s�iii+�CtR D MLLE 17241— 9917 1` R F Tf F R!U 'Y't"1 S E I;1 1�fi i7 4 t 1t<i,�I�III„i�1,1,, TOTALS: $1,324.98 $1,324.98 $0.00 $0.00 $1,324.98 n 1 " =14 ww�110 ' v_ __ _ _ Email ,XY:-,. Taxpayer Occupation Retired Filing Status SINGLE Preparer ID: P 0 01114 71 Preparation Fee: 120 . 60 Date: Preparer: Shelby J Hornbaker EA Time in return 19 min. Recap of 2014 Income Tax Return Earned Income .......... Federal Tax ............. 1, 335 . Federal AGI ._.......... 23, 626. Withholding ............. 3, 834 . Taxable Income ........ 11, 926. Refund/(Due) ............ - 2,wJ '10 EIC ...................... Tax Bracket ............. 15. 0 % State ................ PA Tax .................. — Withholding ......_._. Refund/Due .......... State ................ _ Tax ................ — Withholding .......... Refund/Due ........ Bank Product Information Check Direct Deposit Debit Card Qualifying refund ............................................. Fees ........................................................... Netrefund ...................................................... Federal disbursement .......................................... State disbursement ............................................ Checkone ..................................................... Q 2014 CCH Small Firm Services.All rights reserved. r� Signature-BNKPRDOI Page 1 of 1 ACNB BANK ACN B Signature Time Inquiry-Basic Account Data0401-2015 Favorites 02-Maturity/Reinvestment data _ Account number 9000200 009 A Customer Data Information Short name WOODS WILLIAM C WILLIAM C WOODS Type CERTIF OF DEPOSIT 422 STEELSTOWN RD Help Balance Data NEWVILLE PA 17241 Current balance 13,295.46 Logoff Hold amount Available Balance 13,295.46 Interest due -00 Home phone 717-M-2994 Basic Interest Data Business phone Interest rate .250 Officer 803 TIN/Crt XXX-XX-8938 C Average rate .250 Payment Data Daily factor .091064 Next payment date 5-01-15 Int paid YTD 11.01 Payment amount 2.73 Interest W/H YTD .00 Disposition (CAPITALIZE) Interest method SIMPLE INT Last payment date 4-01-15 Account Dates Last payment amount 2.82 Issue/Open date 3-17-89 Last payment APY earned .25 Last renewed 9-17-14 Comments Maturity date 3-17-16 RETIREMENTACCOUNT Automatically renewable YES a http://192.168.3.3:9081 B 1_Signature_90/entry;jsessionid=OOOOCUROEMDDiGhl VDzusV... 4/1/2015 REV-1511 EX;(1,0-09) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF � n �S FILE NUMBER �D/3 (�(J C�,7/ Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: ffiernDrlal CuCds - s-1-6Ple6 yNg.d� B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: 2. Attorney Fees: Z U //, /Do - D 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: �-�e-e,5 - The �.S,-n ne/ l �' !y'9�IJZ 5. Accountant Fees: L ,I' 6. Tax Return Preparer Fees: 51, c�y7. © 71-)Y�R LIAR 11-117,ef TOTAL(Also enter on Line 9, Recapitulation) $ /'7/,37 9 d If more space is needed,use additional sheets of paper of the same size. i ,"ON SOCIETY OF PENNSYLVANIA, INC. "fl-720-8221• Fax 717-541-9943•Shawn E.Carper,Supervisor Ref a:M4 Ion � L =:� :•.�.:; ,:,.: '+c«-,e 3rder � � j a -L-- 11 F f f 330.45 a -oil t p� 'P 14:04:34 150058 MO-5 Cade:8180PF $ : "V ` Q ^ --* Jan 13, ods .William C. Woods - Deceased SPECIAL CHARGES X Direct Cremation $1,795.00 Nationwide Guarantee Program Worldwide Travel Protection TOTAL SPECIAL CHARGES 7:95.00 PROFESSIONAL SERVICES X Services of Funeral B1rdd-Vbk4 Staff ;:j IAc.luded Other Preparation of :the`�Body :: z ._�: --__ Facilities & Staff fdb.Memorial Serva:ce .i.,_,-,:: Staff & Equipment for=FMeaiorial Service sYi Witnessing the Cremation-1 '-= Private Family Viewing Packaging/Forwardli%g: of<Cremated Remains 't Personal Delivery/Cbdrdination to Nat`l Cem. Scattering of Cremated_R.emak is ._...__... TOTAL PROFESSIONAL SERVICES AUTOMOTIVE EQUIPMENT X 'Removal `VeHi7d16": .Inc l Uded Lead Car/Clergy Car Family Car Service Vehicle TOTAL AUTOMOTIVE EQUIPMENT $0.00 liod UADU 11%mo gjIm aouslldmoo ul pus 6uj6qasd isul6po eq,gal[c uol,lpuoo elgslss ul pownlej eq Isom assgwnd moA .uronm�mro onn onroe mn mi nafliminva an r HARPER 'S TAVERN 100 Noble Blvd Carlisle, PA 17013 ` Date: 05/29/2015 Time: 12:37:38 PM (717) 243-1213 Status: Approved ALE 1072062 5 005 12074 Card Type: Visa 0870.03/21/15 11:26 Card Number: XXXXXXXXXXXX4133 3 T Y SKU PRICE Swipe/Manual: Swipe Server Name: 113 - Ashley REWARDS NUMBER 0272243833 Check Number: 127078 ******-Customer Orden 2048698407 *** $ Tab Number: 67 4 1-50 CLR CRD Profit Center: 3 - Dining Room 387715 1.190ea 16.66 Persons: 1 CUTTING Card Owner: WOODS/KERRY L 381724 2.00 AMOUNT 360.17 Questions on Customer Order 2048698407 Call Customer Service at 1.800-3STAPLES GRATUITY 68 SUBTOTAL 18.66 TIP Standard Tax 6.00% 1.12 f, `OTAL $19.78 TOTALd Jisa St2d 19.78 Approval: 029091 .,a rd No.: XXXXXXXXX �XYX4 33 1 [ 4uth No.: 0'27646 •�d TOTAL ITEMS 15 * Customer Copy Staples brand products. -- Guaranteed quality. Prices you'll love. THANK YOU FOR SHOPPING AT STAPLES ! Shop online at www.staples.com LUN ISA s r OFFICE Edgar R. Luhn III Attorney At Law Wolfgang and Kerry Woods 75 Laurel Drive Carlisle, PA 17015 April 13, 2015 Invoice 4/6/15 W.W. tc re assistance with REV 1500 4/9/15 Conference with W.W. and K.W. re: REV 1500 and Schedules thereto. TOTALDUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $100.00 RECEIPT FOR PAYMENT ------------------- ------------------- LISA M. GRAYSON, ESQ. Receipt Date : 2/04/2015 Cumberland County - Register Of Wills Receipt Time : 10 : 17 : 16 One Courthouse Square Receipt No . : 1080377 Carlisle, PA 17613 WOODS WILLIAM C Estate File No. : 2015-00134 Paid By Remarks : WOLFGANG WOODS/LILLIAN WONDERS CJ ------------------------ Receipt Distribution ------------------------ Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 210 . 00 CUMBERLAND COUNTY GENERAL FUN WILL 15 . 00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 15 . 00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 35 . 50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL FUN INVENTORY 15 . 00 CUMBERLAND COUNTY GENERAL FUN ---------------- Cash 310 . 50 Total Received. . . . . . . . . 316.50-- 3/5/2015 https://secure.internetsecure.com/ETerminal THE SENTINEL 457 E NORTH ST CARLISLE, PA - 1.7013 717-240-7167 Merchant Number: 62040 =Transaction Approved= Receipt#: 1449912546.69A2 Card Number: ********4133 Date: March 5,2015 Card Type: VISA Input Type: KEYED Trans Type: Purchase Auth#: 005675 Total:$118.96 Signature,X 1 agree to pay above total amount according to card issuer agreement Print Back �https://secure.internetsecure.com/ETerminal 1/1 11711 E C E n FIT UBLICATION w D �T O D �ounty of Cumberland 00 m m Cat o m o 33M m 1. ?ntinel,of the County and State aforesaid, beu m -Zi � fE SENTINEL,a newspaper of general circ 9 U ry and State aforesaid,was established Dec I SENTINEL has been regularly issued in said COU _____ r � ' U1 cation attached hereto is exactly the same as was d ;itions and issues of Mai pa_ �ch 24,2015 and in The Shippensburg Sen. 0000C 00 0 09 0 land March 27,2015. ; DD 2 MO D Mm mozrn -CO] 0 V ` Affiant further deposes that he/she is not interested in the subject matter of the aforesaid notice or advertisement,and that N all allegations in the foregoing statement as Letters Testamentary have bi, to time,place and character of publication Estate of WILLIAM C.WC Cumberland County,Penn o are true. Estate are requested to ma persons indebted to the es � delay io:Wolfgang Woods, !" 40 a, o >n 3worn to and subscribed before me this N // _andail—(Ar Ot5 Notary Public My commission expires: A COMMONWEALTH OF PENNSYLVANIA Notarial Seal Bethany M.HWtty,NQ Wry RAW cadlsle Bozo,00bow Winty My GI)MMi!l N b ins NIX xb 2035 MEMBEIL PENN_-"u4",•etr•v•+MN0$:!J(.A Hornbaker & Associates 481 Centerville Road Newville, Pa 17241-9584 William C Woods INVOICE DATE: 02/21/2015 SS NUMBER: 194-28-8.938 174 Oakville Road TELEPHONE: 717-385-2994 Shippensburg PA 17257-9748 INVOICE NO. : 52 2014 INVOICE Description 1 Form 1040A 50 . 00 1 Schedule B, Interest and Dividend Income 12 . 00 3 Form 1099R, Pension, Annuity, Profit Sharing Distributions 30. 00 1 Affordable Care Act Worksheet 4 . 00 1- Social Security, Railroad Tier 1 Retirement Worksheet 10 . 00 1 Electronic Filing Fee 22 . 00 1 PA State Resident Return 6. 00 a Remarks: Total Charges 134 . 00 Discount - 13. 40 Sales Tax Payments; _ Amount Due 120 . 60 02014 CCH Small Firm Services.All rights reserved. rlatinUF?VriC0 'Spa 1968 Spring Rd CARLISLE,-"PA 17813 717-243-8374 TERMINAL ID.: 72053048 MERCHANT 555656412700 1/23/2015 896 VISA __ #0*00004133 EXP:4/0 SWIPED SALE BATCH.' 000138 Ulu: 008001 Jan 23, 15 15:29 RRII: 502320410581 AUTH: 023132 TRAN SEG! #: 000215 IRAIISACTIOM ID: 385023737558645 APPROYAl 01322 14LFGAIIG WOODS THANK VOU! CUSTOMER COPY r---CREDIT C.O.D. Otionty T Rate Amount WASH/WAX 175.00 17S.00T COMPLETE INTERIOR ODOR REMOVAL TAX 1 10.50 1 O.SOT ti THANKS FOR YOUR BUSINESS $185.50 f $0.00 $185.50 REV-1512 EX+(12-08) A` -> pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF L /J_ �S FILE NUMBER DDi3 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH a � 3 -P-P 4-N 6- -A l d TOTAL(Also enter on Line 10, Recapitulation) $ 0? If more space is needed,insert additional sheets of the same size. i • LLMOUNT ANIMAL HOSPITAL HILLMOUNT ANIMAL HOSPITAL Pae 1 / 1 31 WESTMINSTER DR g CARLISLE,PA 17013 31 WESTMINSTER DRIVE 711249 7Z]2 Carlisle, PA 17013(717)249-7272 01!27/2015 15;18,18 � Merchant ID: )00 XXXXW6511 i Device ID: 0305 Terminal ID, PD061. Client ID: 7855 i Invoice#: 198014 CREDIT CARD Date: 1/27/2015 VISA SALE ' CARD# XXXXXXXXXXXX4133 y TRANS# 012 Species:Canine Weight: 15.20 pounds Bath#: 0 1 Breed:Mix,Terrier Birthday:01/27/2011 Sex:Neuter Approval Code: 027830 Staff Name Quanti Total i ACI Code; E !G (CANINE) ROUTN Dr. G. Ralph Bowers, DVM 1.00 $43.00 TRANS ID: 00502772..3926422 l iAI-ANT)60#-LESS 1.00 $58.00 11 Entry Method: Swiped CTION 1.00 $20.25 Mode: Online �N PARTIAL DAY 1.00 $19.00 SAIE AMOUNT $142,25XSTE DISPOSAL FEE Staff 1.00 $2.00 Patient Subtotal: $142.25 CUSTOMER COPY )the teeth cleaned. Tonight we recommend you keep him/her in a quiet environment as janesthetic. You can offer a small amount of water this evening, but no food until for 3-5 days. Using an animal approved toothpaste may be beneficial to your dog. Invoice Total: $142.25 Total: $142.25 Balance Due: $142.25 Previous Balance: $0.00 Balance Due: $142.25 Visa: ($142.25) Less Payment: ($142.25) c 0 Balance Due: $0.00 d . J Ou staff thanks you for visiting our hospital. Our commitment is to provide a caring at osphere for both our patients and their owners. Please visit our new website at www.hillmountanimalhos ital.com Pets are not our whole life... but the more our lives whole _ r REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: ',�]�Q FILE NUMBER: ar 16-- eel ? RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under Sec.9116(a)(1.2).] 1� �. 7h m #6 S8i\/ � -nee ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II — ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed,use additional sheets of paper of the same size. J r REV-1500 EX.Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME. W/L L /Aln G�d fJ A,5 STREET ADDRESS CIN / �C � ,. / /> / STATE ZIP � Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) 2. Credits/Payments A.Prior Payments 3\5-66 d 8 B.Discount l ��• t� !7 (See instructions.) Total Credits(A+B) (2) �a 91/ O O 3. Interest (3) 4. If Line 2 is greater than Line 1 +Line 3;enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2,Line 20 to request a refund. (4) 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) Make check payable to: REGISTER OF WILLS,.AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the'use or income of the property transferred.......................................................................................... ❑ [� b. retain the right to designate who shall use the property transferred or its income ............................................ ❑ Z� c. retain a reversionary interest ...............:.............................................................................................................. ❑ Z' d. receive the promise for life of either payments,benefits or care?...................................................................... ❑ [� 2. If death occurred after Dec.12,1982,did decedent transfer property within one year of death �/ without receiving adequate consideration?.............................................................................................................. ElEl 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?.............. ❑ 12, 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation? .............................................: ❑ ....................................................................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994,and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent(72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent (72 P.S.§9116(a)(1.1)(ii)].The statute does not exempt a transfer to a surviving spouse from tax,and the.statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from.a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a step-parent of the child is 0 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in(72 P.S.§9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent(72 P.S.§9116(a)(1.3)].A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.