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Home My WebLink About01-0296 Sarah Jane Wingert Estate of also known as PETITION FOR PROBATE and GRANT OF LETTERS 02./- 0/- ,J,.9~ No. To: Register of Wills for the , Deceased. County of Cumher] An d in the Social SecurityNo. .188-10-0441 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(~: who is/are 18 years of age or older anJthe executri~ in the last will of the above decedent, dated March 7 -aRe -C9Gi,*l(~ ~teg named ,1' 2000 (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumber land County, Pennsylvania, with h er lastfamil~ or principal residence at ~h~. ~?~d; A AV;n ~? 7 . , ~?4 Llsburn Rei, r.Am 1. 1 .x~UCrv Cl.L.L.uYL ~. (list street, number and muncipality) Decendent, then 91 years of age, died Fe hrw:l ry 1 h ,-1-9 ? 001 & Harrisburg Ho~pirAl Except as follows, decedent did not marry, was not divorced 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: (If 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: None $ 15~ln1)O $ $ $ WHEREFORE, petitionert~ respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary theron. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) !f ())JifJJFfiuL- <<s".o 3~ "''- 50 ~ I:: 00 ti'i Sylvia l~i ngert Funl( 316 East Main Srrppr Sh;rpm~n~rnum PA 17011 , OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } 88 COUNTY OF CUMBERLAND The petitioner(s.) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief f petitione and that as personal represen- tative(s) of the above decedent petitionerM will e tr ly d . iter the e tat cco ding to law. C'-I 0;;' ::s Cl - l:: ~ ~ Sworn to or affirmed a~subscribed { bef~re m~"t \~~ -+9~!"'O( ~ ~- ~.6.JV - ""- Register - Oil 5\3 Ie No. 21-01-296 Estate of Sarah Jane Wingert , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW MARCH 19th ~001 ,in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, lT IS DECREED that the instrument'" dated MARCH 7th, 2000 described therein be admitted to probate and filed of record as the last will of SARAH JANE WINGERT and Letters TESTAMENTARY are hereby granted to SYLVIA WINGERT FUNK 7)J~t? ~ ,YMI t1 U. ~~A~ 1J~...~ egister of Wills FEES Probate, Letters, Etc. ......... $ 305.00 Short Certificates( l(). . . . . . . . .. $ :1 O. 00 ~EXTRA.PGS..6... $ 18.00 JCP $ 5.00 TOTAL _ $ 358.00 Filed .~RPJ. i9.,. .Z9P.1. . . . . . .. . . . . . . . .. . A DORNEY (Sup. Ct. 1.0. No.) 2303 Market Street ADDRESS Camp Hill, PA 17011 232-8731 PHONE i"- -..- ;____i MAILED LETTERS TO ATTORNEY MARCH 19, 2001 WARNING: IT IS ILLEGAL TO ALTER THIS COpy OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. ':0 V'MONWf' AL.TH OF PENNSYLVANIA DIYAiHMENT ur HEALTH VITAL RECORDS 1.0::.1,1. ;:EGISTBAFl'S CERTIFICATION OF DEATH CERT. NO. T 4 7 90622 A,;.,~'~_ ~ '1H70F'p;;~,',___ ~.\'. ~.\/\_----.----~/',f~- <l~'/ ~~\. d-~~/ !I'~~ \~\ ~'~i . ,~' "'~~ % 3\ ',-,i!~". ,'~~ ~, \- , ." (l< * \h~r1 * ~ -~ _i"~,, ~ ;,o.~ ", ~ ..q ?'-'" -<~~.'r ,"~I ';-,'/, 1 t. "N' 'T'- n(. "" ,IV "<:?;./~t U',~ ~~!!!.!!.!.!f.!.!.!!- ~. Iq,~ol Date 01 Issue of This Certification Name of Decedent - - - of~-8-t~ ~ ~~ sex_~ocial Security No. I If - Ie tJ'I-'f1 Dafe of Death 14/;. I" I ":4J1fJ1 ~~/t(l) 9 Birthplace 9fJ ~. "f?-A & . ' :1::: of Dea. - : ~a:ion ~med Forc::~";~'~~~' penns;n;a .-.. J: j . -, (J Deceden~d ~'. ..b~ ' , LJJ ~:.., /. IJ ~ ~ ~L'1 I? II Marital Status - ~ Mailing A~dra'ss 1..44~ fCe,(, . I ~ I rh (f) ~:~;~~td Ad~ ~ · ~~. I L.F~:a~ D.irector ",01 \ ~~'11 17: ~ Funeral Establi 7; f't::j: I(...A"'VV' ~ rl Date of Birth Part I: tm::)7;oUs;r~ /t/AA .L.~ j~ (b)__:.::-_~_~~ (c) _'_________' Interval Between Onset and Death Part II: (d)_____ Other Significant Conditions .... I ----, I I -----L Manner of Death Natural rJ[ Homicide 0 Accident [J Pending Investigation 0 Suicide Could not be Determined 0 Name and Title of Certfier ~..uJ..., x?.y ~ I ~ . ~ Address _ _ __~~ I '-f?A 17/0 I Describe how injury occurred: (M.D., D.O., Coroner, ME) This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filin ' ~~-F~~~;~j0TT;":ii:-;1~li~,\ra ----~ $.:L2~__ :$ '51r,,1",0 M.19 :lAJ~/ I LAST WILL AND TESTAMENT OF SARAH JANE WINGERT I, Sarah Jane Wingert, of Mechanicsburg, Cumberland County, Pennsylvania, being of sOFnd. and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. 1 FIRST I direct the payment of my just debts and expenses of my ast illness and funeral from my estate as soon after my death as conveniently may be done. SECOND I give all of my articles of personal or household use, 'ncluding any motor vehicles owned by me at the time of my death, together with all pOlicies of insurance on the same, to my daughter, Sylvia J. Funk, my grandson, Michael M. Funk, and SAID IS, SHUFF & MASLAND AlTORNEYSoAToUW 26 W. High Street Carlisle, P A my granddaughter, Gretchen A. Leslie, or to the survivors or survivor of them, if one or more be deceased, as the case may be, to be distributed among them, as they may agree or, in the absence of agreement, as the case m ay be, to be distributed among them, as they may agree or, in the absence of agreement, as my Personal Representative shall deem appropriate. THIRD I give and bequeath to the following the pecuniary legacies indicated: (A) To the Evangelical Lutheran Church, Waynesboro, Pennsylvania, or its successor, the sum of Five Thousand ($5,000.00) Dollars, in memory of me and my late husband, Edwin M. Wingert; (B) To the Waynesboro Hospital Auxiliary, or its successor, the sum of Two Thousand Five Hundred ($2,500.00) Dollars; and (C) To the Easter Seal Society for Crippled Children and Adults of Franklin County, Inc., or its successor, the sum of Two Thousand Five Hundred ($2,500.00) Dollars, for use in the Waynesboro area. FOURTH ~ I give, devise and bequeath all the rest, residue and \~ remainder of my estate of whatsoever nature and wheresoever situate, as follows: SAIDIS, SHUFF & MASLAND ATIORNEYSoAToLAW 26 W. High Street Carlisle, P A (A) Forty percent (40%) thereof to my daughter, Sylvia J. Funk, or in equal shares to the natural children of my said daughter (not including adopted children or stepchildren or their issue) living at the time of my death, should my said daughter fail to survive me and does not have any natural children, who survive me, SAIDIS, SHUFF & MASLAND AlTORNEYSoAToLAW 26 W. High Street Carlisle, PA then this forty percent (40%) share shall be added to the share for my great-grandchildren, who survive me; (B) Twenty-five percent (25%) thereof to my grandson, Michael M. Funk, or in equal shares to the natural children of my said grandson (not including adopted children or stepchildren or their issue) living at the time of my death, should my said grandson fail to survive me. In the event my said grandson fails to survive me, then this twenty-five percent (25%) share shall be added to the share for my daughter, Sylvia J. Funk; (C) Twenty-five percent (25%) thereof to my granddaughter, Gretchen A. Leslie, or in equal shares to the natural children of my said granddaughter (not including adopted children or stepchildren or their issue) living at the time of my death, should my said granddaughter fail to survive me. In the event my said granddaughter fails to survive me and does not have any natural children, who survive me, then this twenty-five percent (25%) share shall be added to the share for my daughter, Sylvia J. Funk; and (D) The remaining ten percent (10%) thereof, in equal shares, to those great grandchildren of mine, who survive me. In the event there are no great- grandchildren of mine, who survive me, then this ten percent (10%) share shall be added to the share for my daughter, Sylvia J. Funk. FIFTH I direct that any and all inheritance, estate, and transfer taxes imposed upon my estate passing under this will or otherwise shall be paid out of the principal of my residuary estate. SIXTH In addition to the powers conferred by law, I authorize any ersonal representative acting under this instrument, in absolute discretion: A. To retain in the form received, or to sell either at public or private sale any real or personal property; B. To exercise any options to subscribe for stocks, bonds, or other investments; C. To join in any plan of lease, mortgage, consolidation, exchange, reorganization or foreclosure of any corporation in which my estate or any trust may hold stocks, bonds or other securities; SAIDIS, SHUFF & MASLAND A1TORNEVSoAToLAW 26 W. High Street Carlisle, PA D. To sell, transfer, convey, mortgage, pledge, lease or exchange any property, real or personal, which at any time may form part of my estate, for the payment of debts or taxes, or for any purpose of administration or distribution, for such prices and upon such terms as my personal representative, in his/her/their sole discretion, may deem wise, and to execute and deliver deeds of conveyance or transfer thereof; E. To make settlements and compromises on such terms as my personal representative in his/her/their sole discretion may deem wise without the necessity of obtaining any court approval thereof; F. To make distribution hereunder either in cash or kind, as my personal representative in his/her/their discretion may deem wise. SEVENTH I do hereby nominate, constitute and appoint Sylvia Wingert Funk, to act as Executrix of this my Last Will and Testament. Provided, however, that if she is unwilling or unable to act as I direct the duties of Executor/trix be performed by Funk and Gretchen A. Leslie as Co-Executors. EIGHTH I direct that no personal representative, guardian, trustee or other fiduciary appointed under this instrument shall be required to give bond for the faithful performance of their SAIDIS, SHUFF & MASLAND ATroRNEYSoAToLAW 26 W. High Street Carlisle, P A duties in any jurisdiction. IN WITNESS WHEREOF, I, Sarah Jane Wingert, have hereunto set my hand and seal to this my Last Will and Testament, consisting of six (6) typewritten pages, the first five (5) of SAID IS, SHUFF & MASLAND ATTORNEYS-AT-LAW 26 W. High Street Carlisle. PA '. ',_ I which bear my signature in the margin for identification, this -r day Of U~~ ,2000. & MAlil;~ V~7ed Sarah Jane ingert Signed, sealed, published and declared by the above-named Sarah Jane Wingert, Testatrix, as and for her Last Will and Testament in the presence of us, who have hereunto subscribed our names at her request as witnesses thereto, in the presence ?~X and Robert C. Saidis of each other. 2.0 CAJ J..f, · /I \t- ~ C~L-Lc:: t. /~ SAIDIS, SHUFF & MAS LAND A1TORNEVSoAToLAW 26 W. High Street Carlisle. P A .. COMMONWEALTH OF PENNSYLVANIA SSo COUNTY OF CUMBERLAND We, Sarah Jane Wingert, Robert c. Saidis and Cheryl R. Garman Testatrix and witnesses, respectively whose names are signed to the foregoing or attached instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament and that she signed willingly and that she executed as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix signed the will as witnesses and that to the best of their knowledge the Testatrix was at the time eighteen (18) or more years of age, of sound mind and under no constraint Witness Subscribed, sworn to and acknowledged before me by Sarah Jane Winger, the Testatrix, and subscribed to and sworn or affirmed to before me by Robert C. Saidis and Cheryl R. Garman , witnesses, this 71-11 day of March 2000.~~---/~ Notary puN NOrARW.8&AL. IWD L LINICIR, NOrM\' fIt&IC CMI.aE lOAD, CUllEl.MDOOUNTY tit "'Q1I_ClN BPlIIE8 FEBRlJNtV 20. 200f ~ --- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Sarah J. Wingert Date of Death: February 16, 2001 Will No. Admin. No. 21-01-296 To the Register: Mary C. Lewis, Register of Wills Cumberland County I certify that notice of (beneficial interest) 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 Name Evangelical Lutheran Church Address 43 S. Church Street, Waynesboro, P A 17268 Waynesboro Hospital Auxiliary 501 East Main Street, Waynesboro, PA 17268 Easter Seal Society for Crippled Children and Adults of Franklin County, Inc. 34 Roadside Avenue, Waynesboro, PA 17268 Michael M. Funk 4200 Elmerton Avenue, Harrisburg, PA 17109 Gretchen A. Leslie 2901 Beverly Road, Camp Hill, PA 17011 Lauren Ashley Funk c/o Michael Matthew Funk 4200 Elmerton A venue, Harrisburg, P A 17109 Cooper MacClay Leslie c/o Gretchen A. Leslie 2901 Beverly Road, Camp Hill, PA 17011 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: March 21, 2001 Signature s:~~ Name Richard E. Connell, Esq. Address 2302 Market Street Camp Hill, PA 17011 Telephone (717) 232-8731 Capacity: Personal Representative x Counsel for personal representative ~ iD . "," "" c:> .\ s '\ ,,: . x '. UJ "\.~ "" C\J . .\~ ~:) to , ~~\ 0 0 ......;\. >- 0 r;). u "'\ 'N. UJ a: <t ';~ \..-j M !:' f'- ". ,~ I- ("fJ [1) "~ Lt) z ~ In tn ~ LO 0 ~ (1) f''J <..D <( ot-i --< U) (1) I.fl I.fl _J ~ _J <( <X; ~ ~ " 0 ". 1 0 .~~ -~ I 0 C( 1 z I- ~ W a]..Ja: Cl. (""~u I- 1 0 tn z~a:LlJ I- u(J)I-(O z '.' >- >- ,.. 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Z a: 0 Z >- " 0 '- :[: <l: " W W <l: W ' 00 -1 0 ..... 0- ~ :x:: ..0 :) o fU W :2 ru LL '3' LL a: >-w LL I- <l: <( ::> 0 0 :2 I- 0 I- Z W W I- Z W W :2 l- (/) ::> I- CI) ..J <l: <l: 0 0 <l: W u: Z 0 0- 0 0 ...J ...J W Z Z o u lj.,l cr 1-, :J 13 UJ W \-- C:: 3: W (!)C!rrJ zec::.... H<!O 31:.... U <r .... .~ ..... ec:: ~ > u ...JOW ::J ',- I 1,,.1') U U ...J (J) <( ~ W a: (J) <( ::2: W a: I I I I I I (/)1 -..II -..II ~I 01 ((I ~I (/)1 fE, 0:1 I I I I I I I I I I I I I r I I I I I I I COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE IL/) -d-I 'i-3 BUREAU 'OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISE"ENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESS"ENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 08-06-2001 WINGERT 02-16-2001 21 01-0296 CUMBERLAND 101 RICHARD E CONNELL BALL ET AL 2303 MARKET ST CAMP HILL PA i7011 Allount Rellitted ~~* REV-1547 EX AFP 112-11) SARAH J 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 ~ REY=is4j-ix-AFP-fi"2-=oOY-NOTici--OF-YtiHiifiTANCE-TAirAPPRAisiMEtrT~--Ai:.l-owANcE-OR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF WINGERT SARAH J FILE NO. 21 01-0296 ACN 101 DATE 08-06-2001 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/"isc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: lS. Amount of Line 14 at Spousal rate US) 16. A.ount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. ABOUnt of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX S. PA M DATE 05-02-2001 06-21-2001 TAX RETURN WAS: (X) ACCEPTED AS FILED 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 NOTE: C +) INTEREST/PEN PAID (-) 712.47 .00 C NUMBER AA496551 AA496758 CHANGED (1) (2) (3) (4) (S) (6) (7) .00 268.414.90 .00 .00 83.343.19 .00 .00 (8) NOTE: To insure proper credit to your account, subllit the upper portion of this form with your tax pay_nt. 351, 758.09 24.740 48 327,017 .61 10,000.00 317,017.61 00 = 045 = 12 = 15 = .00 14,265.79 .00 .00 14,265.79 (9) UO) 24,740.48 .00 (9)= 14,265.79 .00 .00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIr' (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS.) Ul) (2) (13) (4) .00 X 317,017.61 X .00 X .00 X AMOUNT PAID 13,537.00 16.32 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .. ~ 0( uJL. , STATUS REPORT UNDER RULE 6.12 Name of Decedent: S'If RA-t+ J"tN e WI kJ&Q..KI Date of Death: c1/lfo/O! Will No. d. O()/ - {)O;< tj 6 Admin. No. 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 w~ther administration of the estate is complete: Yes t/ 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 reDr~entative file a final account with the Court? Yes No VT-~ b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an / account informally to the parties in interest? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be atta 0 this report. ~ Date: 111(;;'-./0.3 Signature ;?/c/MRO t:. GIV)JIELL Name (Please type or print) d j 03 7lJdA kef"i/- . Addres(k-~t1 NI/I) ~q ) 7011 ( 7//) dSd-B73/ Te 1. No. Capacity: ___p~onal Representative ~ounsel for personal representative (MAH:rmf/AM3) Cumberland County - Register Of wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 1/06/2003 SYLVIA WINGERT FUNK 316 EAST MAIN STREET SHIREMANSTOWN, PA 17011 RE: Estate of WINGERT SARAH JANE File Number: 2001-00296 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 2/16/2003 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, DONNA M. OTTO DEPUTY REGISTER OF WILLS cc: V File Counsel Judge LAw OFFICES BALL, MURREN & CONNELL 2303 MARKET STREET CAMP HILL, PENNSYLVANIA 17011 PHIUP J. MURREN RICHARD E. CONNELL MAURA K. QUINLAN TERESA R. McCORMACK THOMAS A. CAPPER (717) 232-8731 FACSIMILE (717) 232-2142 WILLIAM BENTLEY BALL (1918-1"99) MAILING ADDRESS: P.O. BOX 1108 IiARRIsBURG, PENNSYLVANIA 17108-1108 June 21,2001 Ms. Mary C. Lewis Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 Re: Estate of Sarah Jane Wingert File No. 21-01-0296 Our File No. 2485 Dear Ms. Lewis: Enclosed please find, in duplicate, the Inheritance Tax Return for Sarah Jane Wingert, deceased, along with a check payable to the Register of Wills, Agent, in the amount of $16.32, representing the balance of tax due as recorded on the tax payments and credits section of the Inheritance Tax Return (REV-1500 EX). Attached to the Inheritance Tax Return is a copy of the decedent's Will. We have enclosed a copy of the first page of the Inheritance Tax Return, along with a self-addressed pre-paid envelope. Please time stamp the copy and return it to us. Richard E. Connell REC/jjt Enclosures cc: Mrs. Sylvia Wingert Funk 01 ~W...l~ co en gC)<i:Ci ~ C"')N:o:t,:i:1'- N .~t--: ~ N "l'""NUlUl<(~~ ~ZO~a.. ' 0 ::Jl1....I--.i g -,~<.?=~~ ~I to @i~ Ula.. 0 I~~ ~5~ CO 'm 1;) 'lE - ~ ~~ ~~~ :i: <( ~ Ul .. ....I - c :IE en en ::3 u I- en a: - u.. " .. co o U'J ...I ...I ~ LL. o OC W I- U'J ~ W OC (") >- ~ I- (") zOM ::lU'J~ U'Jowo _uU'J1'- sQ::l~ Wzo<{ ...J<{J:ll. >-...JI-w OCOCoc...l <{w:::lU'J ::!:IXlO::::i U'J3u~ ::!:u~u ...I u:j ro Z 0 Z ~ o ,.... u "" <( Z a.. WCOl:) a:: o a:: 0:::::::> ::J III ~ x"Ul ...loa: ..Jill a:: <(0<( ala.. I r ~ ~ ~ o ~~co~ E ; ~ o Z ~ ~ ~ ~ lli rJJ d ~ j 0:8: ~ r5 . ~ ~ I ~ ~ 00 ~ ,..; I 00 o ,..; t-o ,..; w U) ::l o J: f- a: ::l o U ~ g U)ZOr:' ..J::lU)C"'l ..JO ..- ..J~u~R >-u.Cl::l"- -= ffiozo<C = J: a: ::s J: Q., :: u~wa:a:f-~ = zU)al U) _ t:-"",,::l- _ ~.:::o..J -= <(W::lU~ a:u..-u. I. " r 00 QI ~w::!;: ~ ~ 8~<g ~ C")N....~~_t- O. 8lCl)~<(P: 8 >-octO- 8 ~ <(0;. .J..i~en :2(1)~...J . N ;:)....:c ~ @j8 ~~~ Ig.~ ii:<(~ E 0... CO . ti) r ~ ~ -8 -~ <( I- en ~ ! ~ ~ o ~ ~ ~ e ~ ~z~~i ~ ~ r.1 ~ Q; ~ ~ ~ ~ ! J '" G J "- f) \J) ~ - - - - U) -l -l ~ u.. o a:: w I- U) a w a:: M N ~ 8 ZOM ::>U)...- OwO ~uU)~ ~..~ 5 ~ ..J'~ J: 0- >--ll-W a::a::a::~ ~w::>_ ~~oa! U)::>u~ ~u.....u ~ {.IN . '"~~ e~ . 1($1 w ::.cScn u~~ w~g :~~ U~m ~ < c '. REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT L6- ;;lJ'iY-...3 [FILE NUMBER 21 01 _ C91!.~.lY CO:Q~_ Y~_6R SOCIAL SECURITY NUMBER COMMONwejO.,L lH OF PENNS'ILVANIA DEPARTMENT OF REVENUE DEPT280001 _ ~RRISaURG,_!,_~_}?128-o6P1 0296 _NUM~E.B ~ w U W Q -- -- DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) , W inger!, Sarah Jane [;~~ ~:~~~{~M:O:~EARI.-:I ~;~~~~';;~~M:DDYEAR) (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( lAST, FIRST AND MIDDLE INITIAL) REGISTER OF WILLS ---- --'- ~-- ---- SOCIAL SECURITY NUMBER 188-10-0441 I \ THIS RETURN MUST BE FILED IN DUPLICATE WITH THE I'~ 1 Original Return I ~ 4. limited Estate o -3--R-emairider Return (date 01 damn prior \0-12-11-82)- o 1 ~ 8 o 2. Supplemental Retum o 4a. Future Interest Compromise (date of death after 12-12-82) 6. Decedent Died Testate (Attach copy 0 7. Decedent Maintained a Living Trust (Attach of Will) copy of Trusl) I 0 _9 liti9ati~n proceed' Receiyed 0 10 ~f~~.~;';~~e~redit (d""""lh "IW",'_ __0 "--BeCtio"-,otax """er S-='13(A) (AII"h Soh 0) :...1:!'iIS SECTION MUST BE CO~~LETE~_. _~b~ COR~_E:~~OND~!!~~ ANI? _~9NF'I?~!'(!~AL_~_~_ltolF9~!'o:TI.9N StlC;>.~Q__BE.DIRgC1:~D T(},: NAME COMPLETE MAiliNG ADDRESS I Ric11.ard E~Connell. ~IRM NAME (If applicable) , BalI, Murren & ConnelI ,__ ~ElEPHONE NUMBER I 7171232-8731 5. Federal Estate Tax Return Required 8 Total Number of Safe Deposit Boxes 2303 Market Street Camp Hill, PA 17011 1. Real Estate (Schedule A) (1) (2) (3) (4) (5) (6) (7) None None 268,414.9,(} 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) None None z o ~ S ~ ~ ~ ;) w ~ 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7, Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 24,740.48 83,343.19 None (8) 351,758.09 (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) (11) 24,740.48 12. Net Value of Estate (Line 8 minus Line 11) (12) 327,017.61 10,000.00 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (13) (14) 317,017.61 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15.Amount of Line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec. 9116(a)(1.2) : 317,017.61 .045 (16) 0 16.Amount of Line 14 taxable at lineal rate x ~ ~ ~ ~ 17.Amount of Line 14 taxable at sibling rate x .12 (17) ~ Q U ~ 18. Amount of Line 14 taxable at collatera! rate x .15 (18) 19. Tax Due (19) 14,265.79 14,265.79 20. 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. >> BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH << ---- ---, Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) .' . Decedent's Complete Address: 5TREET ADDRESS " 824 Lisburn Rd" Apt 227 ClTY Camp Hill I STATE PA IlIP 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 14,265,79 13,537,00 712.47 Total Credits (A + B + C) (2) 14,249.4 7 3. Interest/Penalty if applicable D. Interest E. Penalty A. Enter the interest on the tax due. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (3) 0,00 (4) (5) 16,32 (5A) (5B) 16.32 Total Interest/Penalty (0 + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. 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: a. retain the use or income of the property transferred;.... b. retain the right to designate who shall use the property transferred or its income;.. c. retain a reversionary interest; or.. d. receive the promise for life of either payments, benefits or care?.. 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?... 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?.. 4. Did decedent own an Individual Retirement Account, annuity, or other non.probate property which contains a beneficiary designation?. Yes No ~ II o 181 o 181 o 181 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN, Under penalties of pe~ury, I dedare that I have examined this return. including accompanying schedules and statements, and to the best of my knowledge and belief. it is true, correct and complete. Declaration of pr are~~ther than{the person~1 !:8yrese!ltatlve IS based on all mfonnatlon of which preea~! has any knowledge IG AT ErJfJJlF E N ESPONSIBL Ft@GRETURNADDRESS ()N) L ~1&J1J 316 E Main Street E OF ERS N R PO SIBLE F R FILING RETURN (XADDRESS Shiremanstown, P A 17011 ff OATE . ftllq(tdzQO / Dkrt- SIG(~~T~~~ ADDRESS DATE 2303 Market Street Camp Hill,PA 17011 G,/14/D For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. ~9116 (a) (1.1) (i)]. 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)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty.one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. ~9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to 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. 99116 (a) (1)1. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. ~9116 (a) (1.3)J. A sibling-is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. ESTATE OF " '* SCHEDULE B STOCKS & BONDS All property jointly~owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER I COMMONWEAL TI1 OF ?ENNS'l'LVANlA INHERITANCE TAX RETURN RESIDENT DECEDENT Wingert, Sarah Jane American International Goup, Inc. I 2 I I 1 Alltel Corporation - Delaware I Baxter International, Inc. DESCRIPTION 25 Shares 147 Shares 193 Shares 237 Shares 55 Shares ! Federal National Mortgage Association . 30 Shares I I Federal Home Loan Mortgage Corp. 40 Shares I UNIT VALUE VALUE AT DATE OF _I______l____D~ATH__ I 86.671 2,166.75 I I I 1 1 1 1 I FIl.ENUM-SER- I 21-01-0296 52.98 86.151 41.17 ! I 43.3751 82.00 66.6051 1 46.795 i 1 43.751 I 114.8451 I 34.469 ' I 94.005 51.125 I I 1 Tota' of Continuation Schedule(s) TOTAL (Also enter on line 2, Recapitulation) _._J._.__ 7,788.06 16,626.95 9,757.29 2,385.63 2,460.00 2,664.20 5,147.45 2,625.00 3,445.35 2,757.52 2,820.15 2,556.25 202,433.90 268,414.90 3 4 I Baker Hughes, Inc. I , 5 I E.1. Dupont De Nemours & Co. 6 7 8 , General Electric Co. 9 I Home Depot 10 I I IBM I . Intel Corp. I 11 12 I Johnson & Johnson I I J P Morgan Chase & Co. I i I I 13 110 Shares 60 Shares 30 Shares 80 Shares 30 Shares 50 Shares ESTATE OF '* COMMONWEAL T\-IOF PENNSYI.VANIA INHERITANCE TAX RETURN RESIDENTDEGEDENT Wingert, Sarah Jane SCHEDULE B STOCKS & BONDS continued All property jointly~owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 14 Kimberly Clark 1 is Marsh & McLennan Coso 16 1 Pfizer Inc. 17 I 1 SBC Communications 18 ! Schlumberger Ltd. 19 \ Safeway, Inc. I A T & T Corporation 20 21 1 Tyco International Ltd. 22 1 I Viacom Inc. Class B I 23 , Worldcom, Inc. GA I 24 I Wells Fargo & Company 25 Wal-Mart Stores, Inc. 26 I Exxon Mobil Corp. I DESCRIPTION 40 Shares 20 Shares 80 Shares 70 Shares 70 Shares 50 Shares 71 Shares 50 Shares 20 Shares 100 Shares 80 Shares 55 Shares 30 Shares I FILE NUMBER 21 - 01 - 0296 I VALUE AT DATE OF + UNIT VALUE J_ DIOA T_~__ 69.51 2,780.40 1 1 112.025 2,240.50 44.741 3,579.20 1 473151 3,312.05 I 64.471 4,512.90 53.981 2,699.00 1 216951 1,540.35 1 58.135, 2,906.75 I 52.821 1,056.40 1 15.751 1,575.00 1 5015 ! 4,012.00 52.431 2,883.65 ! 83.871 2,5\6.10 1 1 I Page 2 of Schedule B ESTATE OF '* SCHEDULE B STOCKS & BONDS continued CONIMONWE~l TH OF ?ENNS'f\. VANIA INHERITANCE TAA RETURN RESIDENT DECEDENT Wingert, Sarah Jane All property jointly~owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER j 27 I Worldcom, Inc. 7.875% DESCRIPTION 5115103 Maturity 28 I The Money Store , 8.375% 4115104 Maturity I . Mernll Lynch & Co. I 6.00% Noters 2113/03 Maturity 29 30 I Household Finance Corp. 7.2% Notes 7/15/99 31 I CIT Group, Inc. 7.125% Noters 10115104 Maturity I Ford Motor Credit 7.5% Noters 3/15/05 Maturity 32 33 I GTE California ! 7.36% 3/15/03 Maturity I Lehman Bros. Inc. Sr. Sub Step 7.36% 12115103 Maturity I Federal Home Loan Bank ! 7.25% 5/15102 Maturity I Federal Home Loan Bank ! 6.375% 8115106 Maturity 34 35 36 37 I Federal National Mortgage Association I 6.5% 8/15/04 Maturity 38 ! Federated P A Municpallncome Bonds , Class B I I ! ! I I - I _. _ I FILE NUMBER 2 I .01 .0296 UNIT VALUE , I VALUE AT DATE OF DEATH 10,264.20 10,759.80 15,245.55 15,664.20 10,320.20 15,640.35 16,111.50 10,367.30 15,445.35 10,487.50 15,656.25 23,637.80 Page 3 of Schedule B '* SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF f'ENNSY\..VANIA INHERITANCETAARETURN RESIOENT DECEDENT ESTATE OF Wingert, Sarah Jane __ J ___ FILE NUMBER ! 21 - 01 - 0296 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorshIp must be disclosed on schedule F. ITEM NUMBER I DESCRIPTION VALUE AT DATE OF DEATH 3,079.34 M & T Bank Checking Acocunt Number 870099 2 M&TBank Savings Account Number 15004200039582 3 M & T Bank CD # 31003910304458 4 M&TBank CD # 31003910304466 5 M & T Bank CD # 3100391204152 6 M & T Bank CD # 31003911204144 7 Allfirst CD # 8700814054700 8 M & T [nvestment Group Money Market Fund 9 Cash (from Safe Deposit Box) 6,766.75 20,263.93 20,262.04 20,200.71 6,544.40 6,080.41 106.61 39.00 TOTAL (Also enter on Line 5, Recapitulation) 83,343.19 *' COMMONWEALTH OF P.ENNSYLVANlA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Wingert, Sarah Jane Debts of decedent must be reported on Schedule I, AMOUNT ITEM NUMBER I A. I FUNERAL EXPENSES: Grove - Bowersox Funeral Horne SCHEDUlE H FUNERAL.. EXPENSES & ADlWNJS1RATlVE COSTS I L \. FILE NUMBER 21 - 0 I - 0296 DESCRIPTION I ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Sylvia Wingert Funk Social Security Number(s) I EIN Number of Personal Representative(s): B. 316 E. Main Street Street Address Shiremanstown City Y ear( s) Commission paid State P A Zip 17011 2. Attorney's Fees Ball, Murren & Connell -- Richard E. Connell 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent Probate Fees Cumberland County Register of Wills Dauphin County Register of Wills State Zip 4. 5. Accountant's Fees 6. I Tax Return Preparer's Fees 7. 1 2 3 Other Administrative Costs Filing of inventory and return The Sentinel - Costs of Publication The Cumberland Law Journal - Costs of Publication Total of Continuation Schedule(s) i I r- 6,604.20 13,550.00 4,000.00 358.00 15.00 15.00 80.87 75.00 42.41 24,740.48 TOTAL (Also enter on line 9, Recapitulation) *' Schedule H Funeral Expenses & Administrative Costs continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF . Wmgert, Sarah Jane 4 Ball, Murren & Connell (advanced costs - phone, postage, copying & fax) 5 Reimbursement to Victor Funk for payment on decedent's account 1 I FILE NUMBER 21-01-0296 Page 2 of Schedule H 30.41 12.00 ESTATE OF NUMBER I. II. *' SCHEDULE J BENEFICIARIES Wingert, Sarah Jane FILE NUMBER I 21-01-0296 1 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1SDD COVER SHEET, AMOUNT OR SHARE OF ESTATE 1 40% 1 125% I I 125% ! ! 5% I !5% 5,000.00 2,500.00 2,500.00 COMMONVVEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO I DECEDENT __-Do...Not.U.sLTnWlle<n- ! I Daughter ul I TAXABLE DISTRIBUTIONS (include outright spousal distributions) , , Sylvia J. Funl ! 316 East Main Street . Shiremanstown, P A 17011 1 1 I grandson 2 I Michael M. Funk 14200 Elmerton Avenue Harrisburt, P A 17109 I ! Gretchen A. Leslie 2901 Beverly Road I Camp Hill, PA 17011 4 I Cooper Maclay Leslie 1290 I Beverly Road CampHill,PA 17011 I Lauren Ashley Funk I 4200 Elmerton A venue I Harrisburg, PAl 71 09 3 ! granddaughter I I 1 great-grandson I ! great- I granddaughter \ I 5 ! ! 1 IEnter dollar amounts for distributions shown above on lines 15 through 17, as appropriate, on Rev 1500 cover sheet I I NON-TAXABLE DISTRIBUTIONS: 'rA. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE ! ! 1 ! lB. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS Evangelical Lutheran Church, Waynesboro, PA I 2 I Easter Seal Society for Crippled Children and Adults of Franklin County ! ! Waynesboro Hospital Auxiliary I ! 3 10,000.00