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HomeMy WebLinkAbout01-0386 Estate of Donald J'. also known as PETITION FOR PROBATE and GRANT OF LETTERS ~J-OJ-.3CJtn Controy No. To: Register of Wills for the ~ Deceased. County of Cumberland in the Social Security No. 019-1 ?-3;~9q Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the executOr in the last will of the above decedent, dated,^' pr i 1. 11 and codicil(s) dated named ,19J.tl- (state relevant circllmstances, e.g. renunciation, death of executor, etc.) County, Pennsylvania, with . h; . g, Decendent, then 71 years of age, died November 2LI. ,1995 at Harri. sbur;:~ Hos pi tal, Tf ~H"Y"i ~~hl1 Y>p: J p/\ 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: IS.OOO.OO $ $ $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters rr est a me n tar v (testamentary; administration c. La.; administration d. b.n.c. La.) theron. </l '-' II) u l:: II) ~3 II) ..... 0::11) l:: -00 l::'':: ct1"O ~O:: V"- ~o t;j l:: OJ) Ci3 Shirley t.\ Cnnt'rf);r 0]2 KnAppA'r DY>i'TA tciechani c8bnY>e:, p/\ '7n5.r) _ML~ tL a~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA I sO'< COUNTY OF CU>1BERLAND J :s 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 of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. ~:f?~ii;ii~_,~d161~ S~~~A",j~& u ~7 I /~-tv' ~~")'/-'-A.J ,5hz,; , .i:,/ ~ ~- . ~ ~ Mary9l Lewis Register ~ ~ v/ ~ /c;-~ ~-~ ~o. 21-2001-386 Estate of DOlli\LD J. CONTROY , Deceased DECREE OF PROBATE A~D GRA~T OF LETTERS AND NOW April 17th., 2001 ~, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated November 1 ~ t 1987 described therein be admitted to probate and filed of record as the last will of Donald J. Controy rres tnmentary Shirley A. Controy and Letters are hereby granted to ~ . ..~ \ '/1~ .; ~/ . M .n ....L J/ilVlyf Go ~j)b// '. t2#Uo/i- / Register of Wills Mary C. Lewis v L/ / ,/ FEES Probate, Letters, Etc. ......... Short Certificates(2 ) . . . . . . . . . . Renunciation ................ x-Pages (5) JCP $ 50.00 $ 6 . 00 $ $ 15.00 TOTAL _ $ 5.00 . .~P~.~~. ~ 7.~l?-! ?9.q~. . . .~ . ??..q~. . . J. Robert Stauffer (06356) ATTORNEY (Sup. Ct. I.D. No.) Market Square Bldg. 11e chani csburg. PA '-'1 70c;c) ADDRESS Filed 717-766-9673 PHONE MAILED LETTERS TO ATTORNEY J. ROBERT STAUFFER Hl05.'lO" REV.!O'l!OO1 This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records In accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. ~)/~ C\~s.~/~' Robert S.~1erman, Jr., MPH Secretary of Health Charles Hardester State Registrar 1390509 FES a 7 2001 Date 21-2001-386 Hl05.143 Rev. 2187 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH 108656 TYPE/PRINT IN PERMANENT BLACK INK ,II;) ~h 5. 73 COUNTY OF DEIlrH UNDER 1 DAY Hours I Minutos SEX 2. Ma' e STIlTE FilE NUMBER SOCIAL SECURITY NUMBER 1. D.)....." AGE (last Birlhday) Cv^- --l- D 3.019 12 - ? P r- 4 ,Q1 Yrs. PLACE OF DEArH (Check only one see inslruclions on o\her side) HOSPITAL: Inpatient I2S gr;:iIy) 0 . Ib.Oau hin DECEDENT'S USUAL OCCUPllrION (~~v..:o~~~~i~~d~teu~r;~~f~'f Be. Hard sburg KIND OF BUSINESs/INDUSTRY 17055 DECEDENT'S ACTUAL RESIDENCE (See instructions on other side) MARITAL STATUS. Married Never Married. Widowed, Divorced (Specify) 14.Marri ed 17C.[1 Y... _ntlived in \J p pe r SURVIVING SPOUSE <It wife. give maiden name) . 11. 111.. Real Estate DECEDENT'S MAILING ADDRESS (Street, CilylTown, Slale, Zip COde) A. McCauslin o w (J) ::> (J) <( ::; <( 17b.Counly Cumber' and Did decedent live in a township? !Wp clty/boro. '", :) ~ < ;0 '-..J h ~ 2B. J Approximate t interval between I onset and death 1)., .I). ~.", :h.",,___,(L l . h ~-li.J No~ PART II: Other significant conditions contributing to death, but not resulting in the undertying cause given in PART L WERE AUTOPSY FINDINGS AVAILABlE PRIOR TO COMPlETION OF CAUSE OF DEllrH? MANNER OF DEllrH INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED. Natural $ o o Homicide Accident Pending InvesUgation o D o ~CE OF INJURY. At home, farm, 51;..t, factory, office M. bu~ding. etc. (Specify) 30e. Yes 0 NoD Ve.O NoD Suickie Could not be determined 30<:. 30<1. LOCATION (Street, CityfTown, Slale) 'MEDICAL EXAMINER/CORONER On lh4I bula of enmln.tlon end/or Investigation, In my opinion, de.th occurred at the time, d.te, end place, 81\d due to lhe C1lUoe(.) .nd manner assta,ed.... . .. .. ... .. . ..... . .... .. ................. ...... ......... ......... .' .... ... .......... '" ... .. ... 31.. REGI l.,(1 ( rJ.l { ~I D 0{ ( <> '4J ~ o w ~ ~ o w ::; 0( z 2Bb. CERTIFIER (Check oniy one) "CERTIFYING PHYSICIAN (Physician certitying cause of death whOfl another physician has pronounced death and completed Item 23) To tIls be.t of my knowledge, _ occur,.d due to the c.......) .nd m.nner.. .totad. . . .. . . .... ......................................... 'PRONOUNClNG AND CERTIFYING PHYSICIAN (Physician both pronouncing death and cer1lfying 10 cause 01 death) To the best of my k~, death occurrecllll the time, dllle,.nd plac., .nd due to the ........)lInd .....-r.. stoted.. . . . . . 34. .CJCWILL-SCW9 04/10/87 ," 21-2001-386 LAST WILL AND TESTAMENT OF DONALD J. CONTROY I, Donald J. Controy, of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my Estate or by any recipient of any property, shall be paid by my Executor out of the property passing under Item III of this Will, as an expense and cost of administration of my Estate. My Executor shall have no duty or obligation to obtain reimbursement for any such tax paid by my Executor, even though on proceeds of insurance or other property not passing under this Will. ITEM II: I hereby give and bequeath absolutely and in fee simple all of my household furniture and furnishings, books, pictures, jewelry, silverware, automobiles, wearing apparel and all other like articles of household or personal use or adornment to my wife, Shirley A. Controy. In the event my wife has predeceased me, I hereby give and bequeath all the above items to my son, Donald J. Controy, Jr., of Hopatcong, New Jersey, and my step-daughter, Christine Marie Waters, of Harrisburg, Pennsylvania, to be divided equally between them as they may agree, or, if they are unable to agree, to be divided between them in as nearly equal shares as possible by my Executor. If either Donald J. Controy, Jr. or Christine Marie Waters precedeases me, this gift and bequest shall pass to the survivor. Notwithstanding the foregoing, I hereby specifically bequeath all of my Hummel figurines to my step-daughter, Page 1 of 5 pages ~ Christine Marie Waters, and all my white china with gold edging, water goblets with gold edging, sterling silver place settings and my cut glass collection to my son, Donald J. Controy, Jr. ITEM III: I give, devise and bequeath all of my property, real, personal and mixed, not disposed of in the preceding portions of this Will, to my wife, Shirley A. Controy. If my wife, Shirley A. Controy, has predeceased me, I give, devise and bequath all the rest and remainder of my property to my son, Donald J. Controy, Jr., and my step-daughter, Christine Marie Waters, to be divided equally between them by my Executor on a 50%/50% basis. If either Donald J. Controy, Jr. or Christine Marie Waters predeceases me, this gift, devise and bequest shall pass to the survivor. ITEM IV: In the settlement of my Estate, my Executor shall, in addition to powers given by law, have the following powers, to be exercised for the best interest of the beneficiaries: (a) To retain any investments I may have at my death so long as my Executor may deem it advisable to my Estate so to do. (b) To vary investments, when deemed desirable by my Executor and to invest in such bonds, stocks, notes, money markets, real estate mortgages or other securities or in such other property, real or personal, as it shall deem wise, without being restricted to so-called "legal investments". (c) In order to effect a division of the principal of my Estate or for any other purpose, including any final distribution, my Executor is authorized to make said divisions or distributions of the personalty and realty, partly or wholly in kind. If such division or distribution is made in kind, said assets are required to be divided or distributed at Page 2 of 5 pages . I ., their respective values on the date or dates of their division or distribution. (d) To sell either at public or private sale and upon such terms and conditions as the Executor may deem advantageous to the Estate, any or all real or personal estate or interests therein owned by the Estate severally or in conjunction with other persons or acquired after my death by my Executor and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust, and without obligation of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon my Executor in this paragraph or elsewhere in my will. (e) To mortgage real estate and to make leases of real estate. (f) To borrow money from any party to pay indebtedness of mine or of my Estate, expenses of administration or inheritance, legacy, estate and other taxes. (g) To pay all costs, taxes, expenses and charges in connection with the administration of my Estate. My Executor shall pay the expenses of my last illness and funeral expenses. (h) To vote any shares of stock which form a part of the Estate, and to otherwise exercise all the powers incident to the ownership of such stock. (i) In the discretion of my Executor, to unite with other owners of similar property in carrying out Page 3 of 5 pages '\ any plans for the reorganization of any corporation or company whose securities form a part of the Estate. (j) To distribute my personal property directly to the Guardians of the person of any minor beneficiaries hereunder. (k) To elect such settlement options as deemed most appropriate by my Executor with respect to any pension profit sharing or other retirement plan in which I am a participant. ITEM V: Any person who shall have died at the same time as Testator, or in a common disaster with him, or under such circumstances that it is difficult or impossible to determine who died first, or who fails to survive Testator by ninety (90) days, shall be deemed to have predeceased him. ITEM VI: I nominate, constitute and appoint my wife, Shirley A. Controy, of Mechanicsburg, Pennsylvania, to be my Executrix (herein referred to as "Executor"). In the event of the death, resignation, refusal or inability of Shirley A. Controy to serve as my Executor, I nominate, constitute and appoint my son, Donald J. Controy, Jr., of Hopatcong, New Jersey, to serve as my Executor. My Executor is specifically relieved from the duty or obligation of filing any bond or bonds. IN WITNESS WHEREOF, I have set my hand and seal to this my Last Will and Testament, consisting of this, the next A and the preceding three (3) pages, this ,/~ day of April, 1987. ~ ~ .. // ~~ ' . '-<..e1~ . '"; Donald J. co~ro-y-- -- <=<' SIGNED, SEALED, PUBLISHED AND DECLARED by the above named Testator, Donald J. Controy, as and for his Will, in the presence of us, who, at his request, in his presence, and in Page 4 of 5 pages . . the presence of each other, have hereunto subscribed our names as witnesses in attestation thereof. P ---VrVY1fJ. a . ~~.. n c. tv;OJ) Il-- - ,--,' ~v~~ \\. ~'-.J..f~.~ Page 5 of 5 pages Address l~q-8 11. fut}~'-LL)rU!- vJt . 11/La.{i.1N~1H1.J PA /jC1!)'7 Address ~C} 55 ~le.pl~ ROi\d ~Wlp 1.::bJ I I 17 t 12- Address '~\'--o t-0 F~~r~-.- ~\.'-e..:~.:~- L,- "-f.. ~ f'~~\ ~ ~ ~ . . ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA SS. : COUNTY OF DAUPHIN I, Donald J. Controy, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Donald Sworn to or affirmed and acknowl~ged before me J. Controy, the Testator, ~hiS d!::.. day Of. April, 4c~~~a~ Donald J. Co troy ---.- Testator by 1987. P~L~ {L 0 Q)JJtWi; Notary Public My Commission Expires: (SEAL) PATRICIA A. SCHWARTZ, N~rY Public Harrisburg, Dauphin Cc., Pa. My CommJssion Expires May 18, 1987 . AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS. : COUNTY OF DAUPHIN :' We ,Jv'kl-~Il (!. t.J~ tLJ , P-VI1./ttA..;t (1., K~ and ~/50- k . AY..LL4t_~cA.J , the witnesses wh~se names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will; that the Testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness, in the hearing and sight of the Testator, signed the Will as a witness; and that to the best of our knowledge, the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. me and April, (!. J1rJ~ Wi'i~ a.~ '<.1\\.j~ ~. ~ '---^-~~ Witness /) .' f~~ ~, ~cvJ1f Notary Public My Commission Expires: (SEAL) PATRICiA A. SCHWARTZ, f-mrY PubJfc Harrisburg, Dauphin co;~ Pa. My Commission Expires May 18, 1987 REV-1500 l'.X (li-QQ\ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OEPT 280601 HARRISBURG, PA 17128-0601 j('-;J.;Lif- (, REV-1500 w .... ::.c::$cn 0."" wlLO ",00 0"'''' lLlll lL " INHERITANCE TAX RETURN RESIDENT DECEDENT I- Z W C W o W C DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) _co !,prn U'(, Donald J." DATE OF DEATH (MM-DD-YEAR) DATE Of BIRTH IMM-DD-YEAR) _l1Qvelllb.ol' ..2)1.~_~-2~Q______._._ _L??~~i~nr,~l}.(':_r:._ ?~5_1_ _)~)~~ (If APPLICABLE) SURVIVING SPOUSE'S NAME (LAS r. FIRST, AND MIDDLE INIlIAL) COJ!'I'HOY ;;h;.1'10" A. ~ 1. Original Relurn o 4. Limited Estate o 6, Decedent Died Testate (AltachcopyofWill) [i] 9. litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (date ofde~th after 12-12-82) o 7. Decedent Maintained a living T rusl (Attach copy of Trust) o 10. Spousal Poverty Credit (date of death between n31-91 and 1.1-95) l- Z W C Z o lL "' W '" '" o o Ii r N C-- OFFICIAL lISF ONI.Y FILE NUMBER g1... - Q._ ~ COUNTY CODE "YEAR .Jl Q..:L IL Q NUMBER SOCIAL SECURITY NUMBER 019 - 12 3:;99 THIS RETURN MUST BE FILED IN DUPLICATE WITH THI REGISTER OF WILLS SOCIAL SECURITY NUMBER 171 - 20 5322 o 3. Remainder Return (date of death prior to 12-13-82) o 5. Federal Estate Tax Return Required o 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (Atlach Sch 0) ,J. ).~olJerL ;.;t;:'\1J.ffor FIRM NAME (lfAppficable) NbC loeHtl L IN" ItM :noN OULI:lIlE DIRECTED to: COMPLETE MAILING ADDRESS linJ'h:ot ~:;qun.I'o BIde;" !lecllanicsbur'l';, PA 17055 Ii COMPLETED. ALL CORRESPONDENcE NAME TELEPHONE NUMBER 717-76(,-C)6' z o ~ ::l l- ii: <( o w 0:: 1. Real Eslate (Schedule Al 2. Slocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Sank [repnsils & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Prohate Property (Schedule G Of L) (1) (2) (3) (4) (5) q 00 r;,O(jC1.00 0.00 O.O() 0.00 (6) (7) 8. Total Gross Assets (total Lines 1-7) (8) ILlll.00 0.00 (11) (12) (13) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage liabilities, & Liens (Schedule I) 11. lotal Deductions (total Lines 9 & 10) 12. Net Value of Estate (Une 8 minus Line 11) (9) (10) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax l1as not been made (Schedule J) 14. Net Value Subject to Tax. (Line 12 minus Une 13) SEE INSTRUCTIONS ON REVERSE SlOE FOR APPLICABLE RATES z o !ci: I-' ::l c.. :liE o o ~ 15. Amount of Line 14 taxable althe spousal tax rate, or transfers under Sec. 9116 (a}(1.2) II. 552_~ 00__.i2(~ (15) o 0 '.0_ (16) (] '.12 (17) o '.15 (18) (19) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 141axable at sibling rate 18. Amount of line 14 taxable at collateral rate 19. Tax Due 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT >> SURE fo ANSWER ALL QUE OFFICIALUSE ofii.Y- 0.00 0.00 C;.OOO.O 1~41. 0 li, t~59. () 0.0 (14) 1>,559.0 0.0' 0,0 G.O' 0.0 0.01 IC A' H " Decedent's Complete Address: STREET ADDRESS 012 ](ncIu!ero Drive ,-- CITY He el1.nnJc: Ghul'r~ I STATE I liP 1700:0: I'A Tax Payments and Credits: 1. Tax Due (Page 1 line 19) 2. Credits/Payments A Spousal Poverty Credit B. Prior Payments C. Discount (1) 0.00 1 ~ r)() n fJn n nr" . .'. Total Credlls ( A + B + C ) 12) 0.00 3. InteresUPenalty if applicable D. Interest E. Penalty n.oo 0.0') 4. TolallnleresUPenally ( D + E ) 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 13) 14) 15) (SA) B. Enter the tolal of line 5 + SA. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT ,~''i'';i~iWf:'{':tlVWff.1;if~~\l'iiW'AJ:f~",.;g:i't"''I,;~_~:..~IJ!fil~'~~til~.;.:,;,v~~~~~~~~~H~~f,iIJ<'N"-#""W'~"',....,~JJI~'. " ~ ,..........",~~~I.,'~~,'\F'..".'P.rJlijj:.._...,...<.,~'. ,,~.,.. 0.00 0.00 0.00 0.00 0.00 5. If line 1 + Une 3 is greater than line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X"'N THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. relain the use or income of the property transferred;........... ... ....................................... 0 ~ b. retain the right 10 designate who shall use the property transferred or its income; ..... ............,........., 0 Q;J c. retain a reversionary interest; or.................... ... ... ....... ...... ...."........................ 0 [g] d. receive the promise for life of either payments, benefits or care?.. .. ............. .........".........,................... 0 [ill 2. If death occurred aner December 12, 1982, did decedent transfer property within one year of death without receiving adequale consideration? .............................................................................................................. 0 129 3. Did decedent own an "in trust for or payable upon death bank account or security at his or her dealh? .............. 0 [2g 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property wf1ich contains a beneficiary designation? ........................................................................................................................ 0 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, inc!uaing accomP<lnyJng schedules and slalements, and 10 the best of my knowledge and belief, it is Irue, C()rrecl and complete. Declaration of preparer other than the personal represenlalive is based on aU information of which preparer has any knowledge SIGNATURE F PERSON RESPONSiBLE FO FILING RETURN DATE 0.... ie'/\. l"or~" DATE P...dg., Heohanl.osblJrg, l'A 1'/OS;'; ,~ !l' "', n ....,,,...,.,_<~~if.,.,"_,~ ,." ,.I!"'~"" ,.. ., ,........ ~~, "'_'" . ,.. ". ..,.~ "'"". "",,,.... For dales 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 (al (1.1) (i)). For dates of death on or aner January 1,1995, the lax rate imposed on Ihe net value of Iransfers to or for Ihe use of the surviving spouse is 0% (72 P.S. ~9116 (a) (l.l) (ii)l. The statute does not exemot a transfer to a surviving spouse from lax, 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 aner 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)(1.211. The lax rale imposed on Ihe nel value oftranslers to or for the use of Ihe decedent's lineal beneficiaries is 4.5%, except as noled in 72 P.S. ~9l16(1.2) 172 P.S. ~9116(a)(1)]. The lax rate imposed on the nel value of transfers to or for Ihe use of the decedent's siblings is 12% [72 P.S. ~9116Ia)(1.3)]. A sibling is defined, under Section 9102, as an Individual wf10 has at least one parenl in common wilh the decedenl, whether by blood or adoption. LAST WILL AND TESTAMENT OF DONALD J. CONTROY I, DonRld J. COlltroy, of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, beinq of sounri and disposing mind and memory, do make, publistl Elnd declare this to he my l,~st Will and Testament, 11erelJY revokinq all Wills and Codicils by me at any time made. I'I'EM I: I direct that all inheritance and estate taxes becominq due by reason of illY death, whether such taxes may be payable hy my Estate or by any recipient of any property, shall be paid hy my Executor out of the property passinq under Item III of this Will, as an expense and cost of administration of my Estate. My Executor shall have no duty or obliqation to obtain reimbursement for any such tax paid by my P.xecutor, even thouqh on proceeds of insurance or other property not passing under tllis will. ITP.N II: --_.- Ilerehy qive arId bequeath absolutely and in fee simple all of my JlOusehold furniture and furnishings, hooks, pictures, jewelry, r:;ilverwflrl':', f111tomohiJf'!,;, w"o1dIHJ apparel and all other lik.e articles of household or personal use or adornment-. to my wife, Shirley A. Controy. In the event my wife has predeceased me, I hereby give and bequeath all the above items to my son, Donald J. Controy, Jr., of Hopatcong, New Jersey, and my step-daughter, Christine Marie Waters, of Harrisburg, Pennsylvania, to be divided equally between them as they may agree, or, if they are unable to agree, to be divided between them in as nearly equal shares as possible by my Executor. If either Donald J. controy, ,Jr. or Christine Marie Waters precedeases me, this q.i ft. and bequest shall pass to the survivor. Notwithstanding the foregoing, I hereby specifically bequeath all of my Hummel figurines to my step-daughter, Paqe 1 of 5 paqes Christine Marie Waters, and all my whit.e china with gold edging, water goblets with gold edging, sterling silver place settings and my cut glass collection to my son, Donald J. Controy, Jr. ITEM III: I give, devise and bequeath all of my property, real, personal and mixed, not disposed of in the precedinq portions of this Will, to my wife, Shirley A. Controy. If my wife, Shirley ^. controy, has predeceased me, 1 give, devise and bequath all the rest and remainder of my pl"Operty to my son, Donald J. Controy, Jr., and my step-daughter, Christine Marie Waters, to be divided equally between them by my Executor on a 50%/50% basis. If either Donald J. Controy, Jr. or Christine Marie Waters predeceases me, this gift, devise and bequest shall pass to the survivor. ITEM IV: In the settlement of my Estate, my Executor shall, in addition to powers given by law, have the following powers, to be exercised for the best interest of the beneficiaries: (a) To retain any investments I may have at my death so long as my P.xecutor may deem it advisable to my Estate so to do. (b) To vary investments, when deemed desirable by my Executor and to invest in such bonds, stocks, notes, money markets, real estate mortgages or other securities or in such other property, real or personal, as it shall deem wise, without being restricted to so-called "legal investments". (c) In order to effect a division of the principal of my Estate or for any other purpose, including any final distribution, my Executor is authorized to make said divisions or distributions of the personalty and realty, partly or wholly in kind. If such division or distribution is made in kind, said assets are required to be divided or distributed at Page 2 of 5 pages their respective values on the date or dates of their division or distribution. (d) To sell either at public or private sale and upon such terms and conditions as the Executor may deem advantageous to the Estate, any or all real or personal estate or interests therein owned by the Estate severally or in conjunction with other persons or acquired after my death by my Executor and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust, and without obligation of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon my Execut_or in this paragraph or elsewhere in my will. (e) 'I'o mortgage real estate and to make leases of real estate. (fl To borrow money from any party to pay indebtedness of mine or of my Estate, expenses of administration or inheritance, legacy, estate and other taxes. (g) To pay all costs, taxes, expenses and charges in connection with the administration of my Estate. My Executor shall pay the expenses of my last illness and funeral expenses. (h) To vote any shares of stock which form a part of the Estate, and to otherwise exercise all the powers incident to the ownership of such stock. (i) In the discretion of my Executor, to unite with other owners of similar property in carrying out Page 3 of 5 pages .---.,.-....--------..- any plans for the reorganization of any corporation or company whose securit.ies form a part of the Estate. (j) To distribute my personal property directly to the Guardians of the person of any minor beneficiaries hereunder. , (kl To elect such settlement options as deemed most appro~riate by my Executor with respect to any pension profit shari,nq or otller retirpm~nt plnn in which 1 am a participant.. ITEM V: Any person who shall have died at the !'lame time a!': 'J'est;:\lor, or ill a common dJ Raster with him, or under such circumstances that it is difficult or impossible to determine who died first, or who fails to survive Testator by ninety (90) nays, shall he deemed to have predeceased him. ITEM VI: I nominate, constitute and appoint my wife, Shirley 1\.. Controy, of Hechanicsburg, Pennsylvania, to be my Executrix (herein referred to as "Executor"). In the event of the death. resignation, refusal or inability of Shirley to. Controy to serve as my Executor, 1 nominate, constitute and appoint my son, Donald J. Con troy, Jr. , of Hopatcong, New Jersey, to serve as my Executor. My Executor is speci.fically relieved from the duty or obligation of filing any bond or bonds. IN WITNESS WHEREOF, I have set my hand and seal to this my Last will and Testament, consisting of this, the next /-_A three (3) pages, this ~ day of April, and the preceding 1981. ~~~ld'~~~/ Donald J~ Co ray ~ SIGNED, SEALED, PUBLISHED AND DECLARED by the above named Testator, Donald J. Controy, as and for his Will, in the presence of us, who, at his request, in his presence, and in Page 4 of 5 pages r---~-- the presence of each ot.her, have hereunto subscribed our names as witnesses in attestation thereof. '-2oV11lI {/ . '/ltC/tAt _ U ttC(f\(' SV,Afih- lIddress UlJ -/3 '1/. (~J.ih.('Ll ILl', ~,k ' '11ll II fi Crllm'/l PA 17{l1j 7 ,., J Address ~f'J Sj- t\..(r'f"~_ I-:t'<"'uj (;;"I~' 1.1;11. '-11/2- ~\.D'C",- \~':,~,-_",,-"-<.:!~. Address . ~\,_" ~ ~- ,t:.;;.\~\... ~::_~, '\ Q.,<--'-.. l, 'J "--~ r 'C~.:) , \;-, \~\. Page 5 of 5 pages r ACKNOWLEDGMENT COMMONWEALTH OF PENNSYI,vANIA COUNTY OF DAUPHIN SS. , I, Donald J. Controy tJ '1' signed to the attached or for~ i'~ iestator whose name is 1 1 1 =90 ng nstrument h ~ b (u y qual fled according to In'" d h b ' av...ng ..n :;q~::~ ~nrl executed the Instrum;nt o.a e~; r.:;Jc~rrf~::'~tl,~;f~.~,,\\ q - t willingly and 89 my free and volunu- --'fo...........;."..{...l., ~: pUr~)oses therein expressed -. ~~, .,~~ . . ",-,,'1". Donald . S~orn to or Affirmed and acknowle~ged before me J. Conhoy, the 'J'estator, \\h1S /.P day of IIpril, <:::,J!.- '. ! /") ---.-d- ,/ , r:~r?<iM 1_ lk~". Cir.--~ Donald J. Controy Testator by 1987. /~Ih CU\... Cf, 1.5 (C!i..{LI{Ld,) Notary Public ( My Commission Expires: (SEIIL) AFFIDAV!'l' PATRICIA A SCflWMtl. n~lIrV Publfc lI~rrishurg. D,llIvh)f1 (1"., P~. My (omn~$!lon bl;I'l!s M~y 18, 1987 COHMONWF.1\J,TU OF PENNRYLV1\NI1\ ss. I COUNTY OF D^UPIIIN '..:l;',.:,\ \' We, ;,:5<./r,., ^ (i _ (,J, " I( J . P.R.AVT\~A a..,. ~K.~ and // I -,(I l -AH f( Il , ( I~ _ , the wjtne~se8 wh~Be names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will~ tJlat the Testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness, in the hearing and sight of the 'J'estator, signed the will as a witness~ and that to the hest of our knowledge, the 'l'estator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. ey,.51 .-1/"('__ 19B7. wi ~.f.~~l Vrllj (). '-fJJw-- <.~\\...r:.::.o..... (:~. <:-=:) \.....~_..lV,:......c:~-~ Witness ') !lli'lJ.iJ. <'f<-.- IL,_ Notary Public Hy Commission (SEIIL) <LdLJO-tJ1/ o Expires: rATR1W\ ^. SCHwMnl... nO:t1rY Public lIarrisburg, Dal1rhinCo.; Pa. My Commission Expirn May lB, 1987 ~ ", CD '" "" H " " "" " '" "" ,,, ,0 '" '" m o ~ --- '=>0 --- '~ '....-- R"'~""""'* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ])OT1ALD .J. GOPTIWY FILE NUMBER 21-01-0386 2001-0C13tl6 ESTATE OF All property Jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH ;~OO shares of' COll1l'lOn stock of Harrlfl ~;avin[',s Bank, registered in tilO names of Donald J. Controy and Sllirloy A. Controy as terlants :in COT~non. I)ecedent's tnt81'8Bt bE";!l[', one-half' or 250 slw.refl thereof. Valued at :!;20.()0 pel' share on November 211_, 1995. (~, '-i) 5,000.00 TOTAL (Also enteron line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 5,000.00 REV-1511 EX+ (12-99) _ .9..~~.~ ~~'lW"., COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative{s) Social Security Number(s)/ElN Number of Persona! Representalive(s) Street Address City _____ u_ - ------- --. ----- _n . "_ __________ State ____ lip Year(s) Commission Paid: 2. Attorney Fees J. Hobert Stauffer, Attorney's Fee. c~. 350. 'I' 3. Family Exemption: (If decedent's address is nolthe same as claimant's, attach explanation) Claimant Street Address Clly State _ Zip Relationship of Claimant to Decedent 4. Probate Fees Heglster of HIlls of Cumberland County, Pennsylvania, Letters Te.stalnentnry. 76. 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Hegister of Hills, fili.ng PennsylvanIa Inheri tance rrax Hei;urn. 15.0 TOTAL (Also enter on line 9, Recapitulation) $ 1141. DONI\LD J. cOTTfCnny Debts of decedent must be reported on Schedule I. FILE NUMBER ;'l-01-03U6 200l-003El6 00 00 o 00 (If more space is needed, insert additional sheets of the same size) ''''.,'''''.,,'''. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES DOJTAJ,j) ,T. GON'I'1\OY FilE NUMBER 21-01-03U6 2r)01-00356 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Nollist Truslee(s) OF ESTATE ESTATE OF NUMBER NAME AND ADDRESS OF PERSON(S} RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include oulrighl spousal dislributions) 1. SJnnLEY /\. GO]]'l'[WY 912 Knepper Drive Heclmnicslnu'g, FA 170SS Wife Entire Estate. ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17. AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 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, insert additional sheets of the same size) E ..... CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Donald J. Controy Date of Death: November 2LI_, 1995 Will No. 2001-003C6 Admin. No. To the Register: 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 _ A j:rr i 1 20. 2001 Name Address Shirley A. Controy-9l2 Knepper Drive-Ileehanicsburg, PA l70SS Notice has now been given to all persons entitled thereto under Rule 5.6(a) except none /!/l~~r ature Da~: April 20. 2001 Name J. Hobert Stauffer Address }"Tarke t Square Bldg. Mechanicsburg, FA 17055 Telephone (71 'Y 766-9673 Capacity: _ Personal Representative ~Counsel for personal representative r=-- IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION THl&NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MP"'JEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE. , Whether you will receive any money or property will be deter- mined wholly or partly by the decedent's will. If the decedent died without a will, whether you will receive any money or prop- erty will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, CARLISLE, PA In re Estate of DO}';.::..LD J. COnTnOY , deceased, Estate No. 2001-00386 (N ame and Address) TO: Sb_ir1ey II ..("1.. . Controy 912 Knepper Drive I1echa:,'icsburg, PA 170r:;r:; Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. Shirley A. Controy The Decedent D8nald tJ. Controy day of JTovember , 199.5 , at Cumberland Pennsylvania. , died on the 21.~ th County, The Decedent died testate (with a Will);)til. The ~ceJteo1:di~J{1,~,~t.ate<twitlmuKacWillt The personal representative of the Decedent is (name, address and telephone number). Shirley A. Controy, 412 Knepper Drive, Mechanicsburg, PA 17055-717-697-9759 ... - If the Decedent died testate, the will has been fileu with the Office of the Register of Wills of Cumberland County, 1 Courthouse Square, Carlisle, Pa. 17013. Phone No. 717-240-6345 If the Decedent dieu intestate, a Petition for the Grant of Letters of Administration was filed with the Office of the Register of Wills of Cumberland County, 1 Courthouse Square, Carlisle, Pa. 17013. Phone No.7 1 7-240-6345 A copy of the Will or Petition may be obtained by contacting the Register ofWiIls and pa Date: April 17, 2001 Signature: Address Knepper Drive l!lechanicsburg, PA 17055 Telephone (71'5l~6q7-g7r::;g C apaci ty: l'lcH:SOffiit:t{t!pfe:s:KiKalOOiKX Counsel for personal representative \ /6-3d:).y'w b COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE "]'7 C/ * BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REY-1S47 EX AFP (12-00) J ROBERT STAUFFER MARKET SQUARE BLDG MECHANICSBURG PA 17055 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-05-2001 CONTROV 11-24-1995 21 01-0386 CUMBERLAND 101 DONALD J Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=is"4-j-EX-AFP--fi"2:olff-NOY-iCE--OF-'rNHEifiTANCE-Y-AX-A-PPRAisEHENT~--ALrOWAirCE-OR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF CONTROV DONALD J FILE NO. 21 01-0386 ACN 101 DATE 06-05-2001 T AX RETURN WAS: (X) ACCEPTED AS FILED CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) .00 5.000.00 .00 .00 .00 .00 .00 (8) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 5,000.00 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 441.00 .00 (11) (12) (13) (14) 44] 00 4,559.00 .00 4,559.00 NOTE: I~ an assessment was issued previously, lines re~lect ~igures that include the total o~ ALL ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. 4,559.00 X 00 .00 X 06 = .00 X 00 .00 X 15 (19)= .00 .00 .00 .00 .00 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) '-'b ../', , L/ STATUS REPORT UNDER RULE 6.12 Name of Decedent: DOl~LD J. CONTROY Date of Death: November 24, 1995 Will No. 2001-00186 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 whether administration of the estate is complete: Yes x No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No x b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No x Personal representative is also the sole berericiary of Estate. 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 'cft)ta7ped to this report. , ! ,i/ ,,/ 1,/" ;--'1< /1 ',)' ,'./r 7' /// t tv ,f /(;0 / /},.t'1, ! // ignature o Date: January 18, 2002 N //'~,J ,,,, " J. Robert Staurfe~ Name (Please type or print) Market Square Bldg. Hechanicsburg, PA 17055 Address If""-' ......~~..~ "'. N z < J ...," '..;.~ (1; w::.. 0:: p , '.::! -,:: ;..<- ~~ S 0(; (717) 766-9673 Tel. No. Capacity: Personal Representative (MAH:rmf/AM3) x Counsel for personal representative