HomeMy WebLinkAbout08-12-15 � pennsy�vania 15 0 5 61814 8
DEPARTMENT OF REVENUE EX(03-14)
REV-1500 OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN
Harrisbur9,PA 17128-0601 RESIDENT DECEDENT � j �`� D � �G�
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
02212014 05201927
Decedent's Last Name Suffix DecedenYs First Name MI
WHITE RUBY G
(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
FILL IN APPROPRIATE BOXES BELOW
Qx 1. Original Return Q 2. Supplemental Return Q 3 Remainder Return(date of death
prior to 12-13-82)
� 4. Agriculture Exemption(date of Q 5. Future Interest Compromise(date of Q 6. Federal Estate Tax Return Required
death on or after 7-1-2012) death after 12-12-82)
Q 7. Oecedent Died Testate Q 8. Decedent Maintained a Living Trust D 9. Total Number of Safe Deposit Boxes
(Attach copy of will) (Attach copy of trust.)
Q 10. Litigation Proceeds Received Q 11. Non-Probate Transferee Return Q 12. Deferral/Election of Spousal Trusts
(Schedule F and G Assets Only)
� 13. Business Assets Q 14. Spouse is Sole Beneficiary
(No trust involved)
CORRESPONDENT—THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
STEPHEN D . TILEY 717-243-5838
First Line ofAddress
5 SOUTH HANOVER STREET
Second Line ofAddress
City or Post Office State ZIP Code o
c� �
CARLISLE PA 17013 � � � � c
CorrespondenYs email address: S T I L E Y a F R E Y T I L E Y . C 0 M �-, �' r..� � -� �
_a_ ..._; r�
_�. �,..a .�.. r--- ,,_ ,.�
REGIS�F,�t 0�WILLS U�NLY--` '`�
_ ' . , 4�
REGISTER OF WILLS USE ONLY -��.:�� .-.. _'� ��r�y �`1
DATE FILED MMDDYYYY . � � � • �
� _.:.: C'7
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DATE FILED STAMP
PLEASE USE ORIGINAL FORM ONLY
Side 1
I I����I(���I�IIII����I������II���I��I��I�I����)�����I�I�I���
L 151]5618148 1505618148 J
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h
� 1505618155
REV-1500 EX
DecedenYs Social Security Number
DecedenYsName: RUBY G WHITE
RECAPITULATION
1. Real Estate(Schedule A). . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . 1. 0 • ��
2. Stocks and Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. � • 00
3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C). . . . . . . 3. � • 00
4. Mortgages and Notes Receivable(Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. 5 4 5 . �0
5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E). . . . . . . . 5. LOO759 .�2
6. Jointly Owned Property(Schedule F) 0 Separate Billing Requested . . . . . . . . 6 � . ��
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) �Separate Billing Requested. . . . . . . . 7, 53468 . 15
8. Total GrossAssets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. 154772 . 87
9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . . . . . . . . . . . . . . . g, 2�2 4 6. 9 6
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I). . . .. . . . . . . . . . . . �p, 9 4 L 2 . 6 3
11. Total Deductions(total Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11. 29659. 59
12. Net Value of Estate(Line 8 minus Line 11). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 125113 . 28
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J). . . . . . . . . . . . . . . . . . . . . . . . . .13. 0 • ��
14. Net Value Subject to Tax(Line 12 minus Line 13) . . . . . . . . . . . . . . . . . . . . . . . . . 14. 12 5113. 2 8
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(1.2)X.0 � 15 � . 00
16.Amount of Line 14 taxable
at�inea�rate x.0 45 125113 . 28 �s. 5630 . 10
�7. Amount of Line 14
taxable at sibling rate X . 12 �7. 0 . 0 0
18. Amount of Line 14 taxable
at collateral rate x . 15 �8. 0. 0 0
19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . 19. 5630 . 10
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT x�
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 complete.Declaration of preparer other than the person responsible for filing the return is based on all information of which preparer has
any knowledge.
,-SjGNATUR OF P SON RESPO IBLE FOR FILING ETURN DATE
\ - ro2 f i�
RESS
DY LYNN BARRICK 38 WEST EPPLY DRIVE CARLISLE PA 17015
SIGNATUR P ER OTHER N PERSON�2ES NSIBLE FOR FILING THE RETURN DATE
l � :� i-2 ��
ADDRESS '
STEPHEN D . TILEY, 5 SOUTH HANOVER STREET, CARLISLE, PA 17013
������������������������������������������������������������ Side 2
L 1505618155 1505618155 J
REV-1500 EX Page 3 File Number 352-20-4357
Decedent's Complete Address: 21-14-0186
DECEDENT'S NAME
RUBY G WHITE
STREET ADDRESS
29 SMITH ROAD
CITY STATE ZIP
GARDNERS PA 17324
Tax Payments and Credits:
1. Tax Due(Page 2, Line 19) (1) 5630.10
2. Credits/Payments
A. Prior Payments 6144.36
B. Discount 281.51
(See instructions.) Total Credits(A+B) (2) 6425.87
3. I nterest
(3)
4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT.
Fill in box on Page 2,Line 20 to request a refund. (4) 795.77
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 0.00
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............................................................................... ❑X ❑
b. retain the right to designate who shall use the property transferred or its income................................. ❑ ❑X
c. retain a reversionary interest.................................................................................................................. ❑ ❑X
d. receive the promise for life of either payments,benefits or care?.......................................................... ❑ XQ
2. If death occurred after Dec. 12, 1982,did decedent transfer property within one year of death
without receiving adequate consideration?.................................................................................................. ❑ ❑X
3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?................................ ❑ QX
4. Did decedent own an individual retirement account,annuity or other non-probate property,which
contains a beneficiary designation?............................................................................................................. ❑X ❑
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 sunriving 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 decetlenYs 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 decedenYs 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.
REV-1507 EX+(02-15)
pennsylvania SCHEDULE D
DEPARTMENTOFREVENUE MORTGAGES & NOTES
INHERITANCE TAX RETURN RECEIVABLE
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Ruby G White 21-14-0186
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Debt from Jay Cipolla for purchase price of pistoi registered in name of Jay Cipolla
but purchased with funds from Thomas J.White. Century Arms 5" Military 1911 45 ACP 545.00
TOTAL(Also enter on Line 4, Recapitulation) $ 545.00
(If more space is needed,insert additional sheets of the same size.)
REV-1508 EX+(02-15) SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPARTMENTOFREVENUE pERSONAL PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Ruby G White 21-14-0186
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
1. Automotive Tools-See Exhibit"A" 200.00
2. M&T Bank Checking Account No. 825123-See Exhibit"C" 1,939.51
Accrued Interest to DOD 0.00
3. M&T Bank Savings Account No. 15004204802050-See Exhibit"C" 42,792.48
Accrued Interest to DOD 0.47
4. M&T Bank Certificate of Deposit No. 31003922575956-See Exhibit"C" 26,707.55
Accrued Interest to DOD 42.04
5. Social Security Payment received 3/4/14 839.29
6. Sale of 22 Cal. Pistol-Sterling Automatic 100.00
7. Sale of 2011 Chevy Equinox to CARMAX-Title No. 68733538501 WH-See Exhibit"D" 17,000.00
8. Sale of Household Personal Property-Wickard Brothers Auctioneers-See Exhibit"E" 6,565.50
9. Refund-The Sentinel 18.00
10. Refund-Travelers Insurance 82.00
11. Refund-Comcast 253.64
12. Refund Capital Blue(Thomas$182.40&Ruby$182.40) 364.80
13. Refund-Suburban Heating Oil 151.65
14. Sale of gold&silver coins(To Eugene Barrice-$1.00 over highest bid)-See Exhibit"F" 3,627.00
15. Refund-Adams Electric 19.51
16. Refund-Alistate Insurance Re Mobile Home(See Schedule"G,"Item 2) 46.28
17. Refund- Apria Healthcare-Oxygen System 10.00
18.
19.
20.
TOTAL(Also enter on Line 5, Recapitulation) $ 100,759.72
If more space is needed, use additional sheets of paper of the same size.
REV-1510EX+(02-15) SCHEDULE G
pennsylvania lNTER-VIVOS TRANSFERS AND
DEPARTMENT OF REVENUE
INHERITANCETAXRETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Ruby G White 21-14-0186
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
DESCRIPTION OF PROPERTY
ITEM INCLUDETHENAMEOFTHETRANSFEREE,THEIRRELATIONSHIPTODECEDENTAND DATE OF DEATH %OF DECD�S EXCLUSION TAXABLE
NUMBER THEDATEOFTRANSFER.ATfACHACOPVOFTHEDEEDFORREALESTATE. VALUE OFASSET INTEREST (�FAPPLICABLE) VALUE
1. Western&Southern Life annuity no.: W 0021427372 26,768.15 100.00% 26,768.15
ACN No. 14129456
2. 1995 Skyline Mobile Home 26,700.00 100.00% 26,700.00
Title No.: 47804610102 BA-Exhibit"B"
VIN No.: 14100293HAB
Titled in Name of Judy L. Barrick but dededent resided rent-free
Sold with Real Estate owned by Eugene&Judy Barrick
Property Address: 29 Smith Road, Gardners, PA 17324
See Change of Assessment Notice dated July 7, 2011 (Exh. "B")
Property Valued at$26,700 before addition of a Garage.
Garage paid for by Barrick and owned by Barrick alone.
25%of Sale Expenses Allocated to MH, based of%of Value.
Net MH Sale Proceeds Distributed to Four Beneficiaries
TOTAL Also enter on Line 7, Reca itulation $ 53,468.15
If more space is needed, use additional sheets of paper of the same size.
REV-1511 EX+(02-15)
pennsylvania SCHEDULE H
DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
INHERITANCETAXRETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Ruby G White 21-14-0186
DecedenYs debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Hollinger Funeral Home 5,820.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions: 4,6��.��
Name(s)of Personal Representative(s) Judy Lynn Barrick
StreetAddress 38 West Epply Drive
c�cy Cariisle State PA ziP 17015
Year(s)Commission Paid: 2015
2. Attorney Fees: 4,600.00
3. Family Exemption:(If decedenYs address is not the same as claimanYs,attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4. Probate Fees: 2�8.50
5. a000�r,tanc Fees: Incl. with Atty. Fees
6. Tax Return Preparer Fees: �I1CI. IVVtfI/�tty. F@@S
7. Advertising-Cumberland Law Journal 75.00
8. Advertising-The Sentinel 190.54
9. Register of Wills-Filing Fee for Family SettlementAgreement 20.00
10. See Schedule H-1 4,�22•92
TOTAL(Also enter on Line 9, Recapitulation) $ 20,246.96
If more space is needed,use additional sheets of paper of the same size.
Estate of: Ruby G.White File No.: 21-14-0186
SCHEDULE H-1
Date
2015
6-Apr Expenses Paid out of Mobile Home Sale Proceeds:
Return Flight Caregiver-Audrey Feigle - Sister 432.20
Short Certificate to Sell Car 5.00
Postage - Prudential Insurance Claim Forms 23g
Supplies Needed for Public Sale 18.69
Copies of documents and supplies for Attorneys 79.94
Pumping of Septic System 175.00
Repair broken interior door knobs 34,98
Replace Sump Pump in Well Hole 142.64
Electric Upgrade to Pass Code for Sale 61.88
Supplies for Repairs to Windows 70.01
Repairs to Drain Pipes 293•64
Covering for Kitchen and Bath Room Cabinests 5.83
25°Io of Settlement Expenses and Seller Credit Given
when Moble Home Sold with Barrick Land, Includes
Tax-Pro-Ration Credit 3,400.73
Total Schedule H-1: 4,722.92
Schedule I-1 Page 1
REV-1512 EX+(02-15)
pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN DEBTS OF DECEDENT�
RESIDENT DECEDENT MORTGAGE LIABILITIES & LIENS
ESTATE OF FILE NUMBER
Ruby G White 21-14-0186
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
1.
See Schedule I-1 9,412.63
TOTAL(Also enter on Line 10, Recapitulation) $ 9,412.63
If more space is needed,insert additional sheets of the same size.
Estate of: Ruby G.White File No.: 21-14-0186
SCHEDULE I-1
Date
2014
21-Feb Checks Cleared After Death
M&T Bank Checking Account No. 825123
2/24/14- Check No. 3216 10531
2/24/14- Check No. 3217 23.92
2/25/14- Check No. 3204 281.70
3/4/14- Check No. 3215 232.00
3-Mar Capital One Card Services 90.07
6-Mar Hollinger Runeral Home & Crematory, Inc.
Thomas J. White 5,820.00
Note: Thomas J. White, husband of Ruby G. White,
died on February 19, 2014, two days prior to the C480
of Ruby G. White. All assets were jointly owned
and passed to Ruby G. White on the death of her husband.
7-Mar Comcast 162.99
16-Mar American Home Patient- Final payment 64.00
17-Mar Comsumer Cellular- Final payment 155.61
17-Mar Apria Pharmacy Network - Final payment 14.00
21-Mar Department of Veterna's Affairs 9.00
21-Mar Adams Electric Cooperative, Inc. 89.10
Schedule 1-1 Page 1
Estate of: Ruby G.White File No.: 21-14-018b
SCHEDULE I-1
11-Apr Quantum Imaging &Therapeutic Assoc. 1.83
16-Apr Andrews &Patel Assoc., P.C. 20.44
19-Apr Adams Electric Cooperative, Inc. 63.02
3-May Apria Healthcare $0370A05582 40.08
20-May Adams Electric Cooperative 52.00
24-Jun Pinnacle Health Hospital 150.00
#760761 Co-pay Ruby G. White
24-Jun Pinnacle Health Hospital 150.00
#760664 Co-pay Thomas J. White
15-Oct Pinnacle Health Hospitalist 20.44
#PHH2O04102
15-Oct Pinnacle Health Hospitalist 138.00
#PHH2O04096
15-Oct Pinnacle Health Hospitalist 138.00
#PHH2O04096
2015
6-Apr Expenses Paid out of Mobile Home Sale Proceeds:
2014 County &To�vnship ta,Yes on Mobile Home 109.13
Schedule I-1 Page 2
Estate of: Ruby G. White File No.: 21-14-0186
SCHEDULE I-1
Electric Bills -Adams Electric 77•99
Inc. TaYes Paid By Barrick on Sale of Moble Home 1,404.00
Total Schedule I-1: 9,412.63
Schedule 1-1 Page 3
REV-1513 EX+(02-15)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Rub G White 21-14-0186
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
� TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under
Sec.9116(a)(1.2).j
Jeremy Mitchell
1� 15 High Street, Livermore Fails, Maine 14254 Step-grandson 1/4 Residuary
Carol Bruce Cipolla
2' 165 Station Road, Bernville, PA 19506 Daughter 1/4 Residuary
Thomas Bruce White
3� 1611 Fulton Road, Dauphin, PA 17018 Son 1/4 Residuary&auto tools
Judy Lynn Barrick
4� 38 West Epply Drive, Carlisle, PA 17015 Daughter 1/4 Residuary
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSA�DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART 11—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.
LAST WILL AND TESTAMENT
OF
RUBY G.WHITE
I, Ruby G.White, of 29 Smith Road, Gardners (South Middleton Township),
Cumberland County, Pennsylvania 17324, being of sound and disposing mind, memory
and undersianding, do hereby make, publish and declare this as and for my Last Will
and Testament, hereby revoking and making void any and all Wills and Codicils
heretofore made.
FIRST
I direct the payment of my just debts and funeraf expenses as soon after my
death as may be convenient.
I direct that all federal and Pennsylvania estate taxes, Pennsylvania inheritance
taxes, and generation-skipping transfer tax payable as a result of my death, not limited
to taxes attributable to property passing under this Will,shall be paid by my Executor
from my residuary estate, including any part of my residuary estate that otherwise
qualifies for a deduction for federal estate tax purposes, however, no federal or
Pennsylvania estate tax, Pennsylvania inheritance tax, or generation-skipping transfer
tax shall be payable from or chargeable to any property that passes to my surviving
spouse,whether under this Will or otherwise, and that qualifies for the federal estate tax
marital deduction. I direct my Executor not to seek reimbursement for any tax so paid
from any beneficiary under this Will, heir of mine, or other transferee of property
included in my gross estate.
SECOND
I declare that I am now married to Thomas J. White. We were married on August
2, 1952. We have two children together,to wit: Thomas Bruce White, a son born July
22, 1953; and Judy Lynn f3arrick, a daughter born June 4, 1954. We each also have a
child by a prior marriage. I have a daughter, Carol Bruce Cipolla, born September 15,
1945, and my husband has a daughter, Ruth Ann LeBlanc, born August 22, 1947. We
both consider all four children to be equally our children. As used in this Will, the word
"chi�dren"shall refer to all four of the aforementioned children and I refer to all as my
!,�: "child"even though Ruth Ann LeBlanc is not a natural or legally adopted child of mine. I
"'� have no deceased children nor any other children living by my husband or otherwise.
�,�
,
t-�. THIRD
�� (a) All the rest, residue and remainder of my estate, real, personal and mixed,
and wheresoever the same may be situate, I give, devise and bequeath to my husband,
��.� Thomas J.White, his heirs and assigns,to the exclusion of my child or children, born or
�
unborn, provided my said husband shall survive me by a period of ninery(90)dayS.
+1;- (b) In the event that my said husband should predecease me or fail to survive
`� me by the aforesaid period of ninety(90)days, then in such event I give and bequeath
any and all automotive tools that I may have at the time of my death to my son, Thomas
Bruce White.
(c) Also in the event that my said husband should predecease me or fail to
survive me by the aforesaid period of ninety(90)days,then in such event, after the
aforementioned specific bequest, all the rest, residue and remainder of my estate, real,
personal and mixed, and whisesoever the same may be situate, I give, devise and ;
bequeath, in four equal shares, per stirpes and not per capita, unto the following:
Last 4Vi11 and 7estmnent of Ruby C.White Page 1 of 4
(i) One-fourth (1!4)to Jeremy Mitchell, of 15 High Street, Livermore
Falls, Maine 04254,who is the son of Ruth Ann LeBlanc, and who
is my husband's grandson, and as a grandson to me, provided he
shall survive me by ninety(90)days;
(ii) One-fourth (1/4)to Carol Bruce Cipolla, of 165 Station Road,
Bernville, PA 19506,who is my daughter, provided she shall
survive me by ninety (90)days;
(iii) One-fourth (1/4)to my son,Thomas Bruce White, of 1611 Fulton
Road, Dauphin, PA 17018, provided he shall survive me by ninety
(90)days; and
(iv) One-fourth (1/4)to my daughter, Judy Lynn Barrick of 38 West
Epply Drive, Carlisle, PA 17015, provided she shall survive me by
ninety(90)days.
Should any of the said four residuary beneficiaries fail to so survive me then the share
such deceased child or grandchild wou�d have received shall pass to such of his or her
issue as shall survive me by a period of ninety(90)days, per stirpes, and if there be no
such issue the same shall lapse and be added to the remaining share or shares.
(d) I make the following non-binding declaration: I have made no provision for
Ruth Ann LeBlanc, not for want of any love or affection for her, but rather because of
her ongoing medical conditions. Her son, Jeremy Mitchell, has assisted her in many
ways, and I hope that he will continue to do so with his share of my estate. I am
confident that he will continue to do so, but he shall be under no legal obligation to do
so.
;
FOURTH
`�--J' I hereby nominate, constitute and appoint my said husband as Executor of this
L; my Last Will and Testament. In the event of the renunciation, death, resignation or
�"~'; inability to act for any reason whatsoever of my said husband, I nominate, constitute
�, and appoint my daughter, Judy Lynn Barrick, as Executrix of this my Last Will and
= Testament. In the further event of the renunciation, death, resignation or inability to act
,_,� for any reason whatsoever of my said daughter, Judy Lynn Barrick, I nominate,
constitute and appoint my son-in-law, Eugene("Lester") I. Barrick, of the same address
as Judy Lynn Barrick, as Executor of this my Last Will and Testament. I further direct
��`` that no bond or other security shall be required of any Executor or Executrix appointed
_~? in this Will for the performance of his, her or its duties in any jurisdiction in which he, she
j or it may be called upon to act. The terms Executor or Executrix may be used
`� interchangeably in this Will and shall refer to any Executor or Executrix appointed in this
will, or any other Administrator appointed by a court of competent jurisdiction.
FIFTH
In addition to, and not in limitation of, the powers conferred by law or by other
provisions of this Will, my Executor shall have the following powers, each of which may
be exercised from time to time by my Executor in his sole discretion:
(a) To retain in the form received, and to sell either at public or private
sale, or to distribute in kind, any real or personal property.
(b) To manage both real and personal property.
(c) To invest and reinvest in all forms of property, notwithstanding the
fact that any or all of the investments made are of a character or size
L,nst Will and Testmnent of Ri�by G.White Page 2 of 4
which but for this expressed authority would not be considered
proper for an Executor.
(d) To exercise any option or rights arising from the ownership of
investments.
(e) To compromise claims without court approval and without the
consent of any beneficiary.
(fl To join with my husband, or his personal representative in the filing of
any federal income tax return for any year for which I have not filed
such return prior to my death and to consent to the treatment of any
gifts made by him as being made one-half by me for gift tax
purposes, notwithstanding the fact that such action may result in
additional liabilities to my estate. Any income or gift taxes due on
such returns and any deficiencies, interest, penalties or refunds
thereon, shall be allocated between my estate and my husband or his
estate, or all to any of them, in such manner as my Executor and my
said husband or his personal representative may agree.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last
WII and Testament,written on four(4) pages(including notary page),this 2nd day of
August, 2010.
� ,� �. �, 4 ` SEAL
;`C],�� I-yd � i f"�l�.,.�r_.� )
Ruby G. �''hite
Signed, sealed, published, and declared by Rutiy G.White,the Testatrix above
named, as and for her Last Will and Testament, in our presence,who, in her presence,
at her request, and in the presence of each other, have hereunto subscribed our names
as attesting witnesses.
____�f' �
_ ��__, ;�, �,
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Last 11'ill and Testmnent qjRub��G.l��hite
Page 3 of 4
COMMONWEALTH OF PENNSYLVANIA )
) SS:
COUNTY OF CUMBERLAND )
We, Ruby G.White,the Testatrix in, and stephen D.Tiley
and Robert G.Frey ,the witnesses,to the Last Wili and
Testament,the attached or foregoing instrument,who have signed the instrument,
having been duly qualified according to law do depose and say:
a. that I,the Testatrix, do hereby acknowledge that I signed and executed
the instrument as my Last Wll and Testament,that I signed it willingly and
as my free and voluntary act for the purposes therein expressed; and
b. that we, the witnesses,were present and saw the Testatrix sign and
execute the instrument as her Last WII and Testament,that she signed it
willingly and executed it as her free and voluntary act for the purposes
therein expressed;that each of us in the hearing and sight of the Testatrix
signed the Last Will and Testament as a witness and that to the best of
our knowledge the Testatrix was at that time eighteen (18)or more years
of age, of sound mind and under no constraint or undue influence.
.,
��J �,�� �--
. �',-�: . ,L� �-� . /`�-
Ruby G. 1�hite
^`'`/t ,jL' �;, .._�----- /�
r��, �Z.,,, �< ,. �;,
. �
� �
Subscribed, sworn to and acknowledged before me by the Testatrix and the
witnesses above-named,this 2nd day of August, 2010.
1
r f���n � "�,
� � Notary Public
•u wwr!�M
qms
Lnst Wil[and Testament of Ruby G.White Page 4 of 4
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i � .; CERTIFICATE OF TiTLE FOR A V-EHICLE ,- �
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9ATEPATRi.ED� - -DATEOFISSUE � . ..I UNIA�EN�WEMaFfT � -GVWR � �� GCYVR ( TITLEBRANDS :.� '
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'�� FlRST UEN REtEASER � � appropriate form-3rM fee.� -
� �� DATE . . . .
. �' � � � � .. . . � 3ECOND�LIENAELEASE�
-' � . �AUTHORIZED flEPRESENTA'[IVE � DATE�.. "" .
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w ine saw vetucie. � Secremrp ot Transportatfon
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� SUBSCRIBE�AND SWORN��� . . . . these ytoUg.tl rro bbck is checked,(itlg wiil be issued as"Tenarqs in Comman".
� � 7D.BEFORE htE��. � .. . . � ,� � ORY �VEAR � A❑ JWrrt Tenanu w0h Right of Survivarship(on death of one rnmer,Gile goes -
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� . � . . . .goes W his or her heirs or estate�.
'4 S�GNATUFEOFPERSChlApMINISTERINGOAiH � h- .
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Cumberland County Tax Assessment Cumberland County Board of Assessment Appeals
One Courthouse Square Room 107 Lloyd W. Bucher
Carlisle, PA 17013 Albert Peterlin
("117) 240-6350 Allen Shank
Stephen D. Tiley, Assistant Solicitor
Hours: 8:OOam to 9:30pm Bonnie M. Mahoney, Chief Assessor
Parcel Identifier:
� BARRICK, JUDY LYNN 90-15-0201-012H-TR03ZOi
C/O THOMAS J WHITE
29 SMITH R4AD MAILING DATE: JULY 7, 2011
C,ARDNERS PA 17324 APPEAL DEADLINE: AUGUST 16, 2011
CHANGE OF ASSESSMENT NOTiCE-THIS IS NOT A TAX BILL
This is a notice af a change to the assessed va2uation or status of this property.
REASflN FOR CHANGE: 11 - OUT-BL)ILDINGS ADDED
RIGHT TO FORMRL APPEAL: If you disagree with the values, tax status, or C&G status on this
notice, you may file a formal appeal with the Qoard of Assessment Appeals, in writing,
within 40 days of khe date of this notice. Appeais must be postmarked or received at the
address above by the deadline. Appeal Eorms, Instructions and Rules and Regulation are
available at www.ccpa.net or at the Assessment Office, lst Eloor Old Courthouse, Carlisle
FUTURE TAX BILI.ING BASIS EFFECTIVE: O1/Ol/2012 for County/Munic
07/ol/2a12 for school
oi.n rrEw
ASSESSI�NT 26,70Q 44,400
TAX ST�iTUS Taxabl Taxable PROPERTY AESCRIPTION
C6G STATUS
� '� � :�J� �iff unic. : 40 - 50UTH MIDDLETON TWP
School: 8 - SOUTH NIIDDLETON SD
MARKET-BASED ASSESSI�NT Control Number: 40002207
OLD NEW
Land 0 0
Improvements � 26,700 44,400
TOTAL 26,700 44,400
Property Location:
100� of Market Value at 2010 Base Year Rates. 29 SMITH ROAD
CLEAN AND GREEN (CbG) ASSESSMENT
OLD NEW No Land, Improvements onZy
Land N/A N/A
Improvements N/A N1A
TOTAL N/A N!A Property Type: T
Mobile Home - No Land
Land value based on rates provided by the State.
CHANGE OF TAX BASIS - NET CHANGE Cumberland County Commissioners
Gary Eichelberger
COUNTY/MUNIC SCHOOL Rick Rovegno
Land 0 0 Barbara Cross
Improvements 17,700 17,700
TOTAL 17,700 17,700
Dennis Marion, Chief Clerk
Effects Future Billing Cycles Only
(notc_a11L] ORIGINAL
�qo�,,�,,#,crtr�,,�a
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499 Mitchell Road,Millsboro,DE 19966 Adjusiment Services
Phone 888-502-4349
F ax (302)934-29��
Mazch 11,2014
Frey & Tiley
Attorneys at Law
� South Hanover Street
Carlisle, PA 17013
Re: Estate of Rubv G. White
Social Securitv: 352-20-4357
Date of Death: Februarv 2 L 2014
Dear Sir or Madam:
Per your inquiry on March O5,2014,please be advised that at the time of death,the above-named decedent had
on deposit with this bank the following:
1. Type of.Account Checking.Account
Account I�Tumber 82.i 123
O�vnership(1Vames o� Judv L. Barrick(POA)
Ruby G. White
Thomas J. YVhite
Opening Date 09/01/1978
Balance on Date of Deatn �' 1,939.�1
Accrued Interest $ .00
_ __ _.. ._.._.._.. _.._.__.. _ ....._... ..__._
Total �1,939..i 1
2. Type ofAccaunt Savin;s:4ccount
_�iccount Number 1500�204802050
Ownership(Names of} Thomas J. White
Judy�L. Barrick(POA)
Rubv G. White
Opening Date 03/03/2004
Balanc�on Date of Death � 43>79?.48
Accrued Interest � •`��
_ _ __
_ ____
__ _
_
Total �42,792.95
s�'c�,a�w��.4�,�,�,,�
3. Tvpe ofAccount Certificate of Deposit
Account Number 3100392257.5956
Ownership Mames ofj Thomas J. Wlzite
Ruby G. White
Opening Date 09/20/2010
Balance on Date ofDeath $ 26,707.SS
Accrued Interest �' 42.04
_ .._ _...__
Total $26,749.59
For any sddifional information on the above accounts,including ownership and any changes,closures and/or reimbursement of funds,
please call the High Street Carlisle at 717-240-3536.
We were unable to locate any safe deposit box for the above-mentioned decedent.
This Ietter does not include any accounis in which the deceased may have been tisted as Power of Attorney,Custodian of Uoiform Transfers,
Representative Payee,or Trustee under a Written Agreement
Sincerely,
Valarie Mercer
Adjustment Services
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� I � i HLFiRi� U I't?e i\U.RT WIIITL �.�.' C:,ClaS61QVEHICLE:' ;. � �
< � ��Ka �=iCOLLECTIBIE VEHIGIE �1 ""'..•�;
y'� �F�OUT OF COUNIAY;, I� t � r� � •
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P�ISlWAS A POLICE VEHICLE ��
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p J�� � I itl M I'y�V� ��I� T=�RECOVEREO hiEFT VEHICLE
�.u r � � �! 1 GJ ���'"I�i � ���,�k R��q�4�I q�������� ��� IN�. � `s��
� V:VEHIG�E CONTAINS AEISSUED VIN �
i- � I u II��II N'il1;i I�1 � �ul'+I M I I p.�. W 3 FLOOD VEHICLE ": .�
; � u� „�i�li �h� � �i�� �,
1I '�I �Y G I u�= q � �� i x�ISM/AS A TAX1 ., �
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fl� i li �� ���r ��III
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f f �� � � lienholdar must.forward ,his itle tb thel Bu eau of Matot yahsies with t�g id ��i6 I� ���f;�
� aE� -appmpdate lorm and ee �� ���i i O li I�I�, � i��I �I� II'� ���II�
W FiRSTGENREIEASED � �� I j� �'��I II�:��I�I���yIW - �,��
� - DATE �� . ,mu.il'� ..�, � �I' �i��i.;;I�tl �
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{ yy SECONOLIEN�RELEASED �-�`�� �
� ti�9 AUTHGPIZED REPFESEPITATIVE DHTE� �:`. � �
4..:
� MAILING ADDRESS 8,� � ��,x�
� � AUTHCRI'<ED RE?P,ESE�TATIVE , � '�
��' • ���; T4�t?3'1.A� rJ �u RaJ3Y Itli1ITE (:�" t�
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'�m� r I certi(y as of iha date of issue, the oificiai reccrtls of ihe Pennsyivania Departmenc �
I of Transportatlon reflect fhat the person(s)o company namea herein;s the IawfW owner , � �.� -
� of the saio denisle Secrewry ot T:anspoitation ra� _� �
� �' ��"f��,�r �i„;�.�-��� �� �� .'.:�.. ° ' � �~� `�: . �.: � '�., �`�
�� � ���1 , ���`a ,�,,, ;'��u��° ��t1 a � _�, o a� , -,���„ `��
�:�• �.. ' .���.,�„_,,.�.�,w+��.-'�, � �� �:,,
� ; If a co-purchaser other than your spouse is listed ard you want the title to � �
SUBSCRIBED ANO SWORN "
� � - be hsted as Jomt Tenants VVith Fight of Survmorship"�On deatl7.of one �, �:- y�
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SETTLEMENT
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SELLER NAME � = , ; '� {' , _ ,"` ' �-�'�� ' -. ;''�'�1 ;i�, DATE OF SALE ` ' �-
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ADDRESS -� ' `�" � ' ' ` ��= f-� PHONE
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LOCATION OF SALE ' `" ��� � � � F '
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AUCTIONEER i � E; i'��'�� ��'� ° �```� � r ''' PHONE �% ! � ���; `f�i � � �: `;'' '
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SELLER'S EXPENSES RECEIPTS
PROFESSIONAL FEESf�-- � �: �; p �--� r f; Z,,1, J� �;,;;�
�AUCTIONEER $ ; �� �t� �1. �� CASH $ �. �-�� ; '� �-''�'
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� � CLERK 1 �-. �-'� � $ CHECKS $ �.f � _���—'��" � �
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�CASHIER $ OTHER RECEIPTS
OTHER EXPENSES $
$ �
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$ � TOTAL RECEIPTS $ _'. ��F '- � °�-'
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$ LESS TOTAL EXPENSES '$ -
TOTAL EXPENSES $ J. ,,.•' f���' � �•`'f NET PROCEEQS PAYABLE TO SELLER $ �'� .��' �: !� ���
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I (or we), the seller, accept this seitlement and acknowledge receipt of the above specified net proceeds
from the auction of my goods and property sold on the above date. I accept all responsibility for providing
merchantable title to all goods, and property sold, and For delivery of title to the purchaser.
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Gold Mine:�and Mobile Merchants
57 West Main Street, Mechanicsburg, PA 17055
(7i 7) 805-9257 Cei! (717} 766-1697 Land
Date .� t `�/ �- Time �.�=' : AM PM ;
BILL OF SALE
That 1, � ' , �;'' , --' ; . '; ,� .
Phone#
Address
Driver`s# Birth Da#e
In consideration of$ value received,I do hereby setl and assign all
properties listed on this bili of sale to Goid Mine/Mobite Merchants,ar�d
warrarrt that 1 have lawfui authority to dispose of same.i further warrarrt the
right that i shall defend my right and title to dispose of said property. ;
�
QU DESCRIPTION PRICE AMOUNT
U.S.90%
U.S.4Q%
W.T.Sc ;�
CANADA
CURRENCY
COINS ?
FOREIGN COINS �
SCRAP 10K
14K � - �
16K
18K - � ,.. ,,. ;
x , ,:_ �w,_ ,
DIAMONDS
WATCHES
STERLING
_,..... ;
GOLD BULLlON ' �."T"""` µ'
.999 Fine
Total .
��
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f�.:. , _
Coin;Jewe(ry�Peper mnney&A[�tique�eaCers -
Over 24year�,F.�perie�cecl-�stat+e 8uye�
We can come tayonrt�Fom�Business,qrBank .
C�nfidential and fJnlimtteil Fanding
57 4Ves�Main�t;�a�ics�ictrgi PA'17055
Store Hours 11-6 M�n-�ri
Monday:-'Fuesday Wed th Friday , ;
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21 West Pomfrer;Street, Carlisle, PA 17013
�� (717)816-4767 or(717�329-7917 or(717)701-8148 �shop) ;
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;: I certify that I am the legal owner of the above matenals or have been authorized to j
� act on behalf of the IegaT owner and!am at least 18 years old. �
, ;
Signature i
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,�6•QO + 21 W.Pomfret St ■Buying Goid and Siher
CarlislGPA 17013 ■Selling VntageJewelry ;
16•00 + Ph.��»)�o�-aias
�6•Q� } Email:marjoriesgems@comcast.net
18•00 + Sun-MonClosed,Tues-Sat70-S,Fri10-7
16•�� + Website www.mary'oriesgemzcom _ .
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BOUDER'S BOUDER'S
ANTIQUES & COLLECTIBLES �TIQVES g& COLLECTIBLES
JeweirY-Gold&Silver
Buying Coins,Currency,Jewelry-Gold 8c Silver Buying Coins,Currency, Trains
Old Toys,Marbles,Dolls,Toy Trains pld Toys,Marbles,Dolls,Toy
Sports Cards&Memorabilia sports Cards&Memorabilia
Most Antiques and Collectibles Most Antiques and Collectibles
Free Appraisals • Auction Seivice Free Appra�sals • Auction Service
By Appointment Only By Appointment Only
Paul"Mike"Bouder (717) 243-9096
2264 Ritner Hwy (717) 243-9096 pattl"Mlke"Bouder 422-8995
Cell (717) 422-8995 2264 Ritner HWY Cell ��17�
Carlisle,PA 17015 Carlisle,PA 17015
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