HomeMy WebLinkAbout01-0446
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of r:dC\ A. No YLe VYl a ~ [No. f~.I- 01- '1Lffi;
also known as To:
Register of Wills for the
,~L'.Y-.J'Z~7Jeceased. County of ('..RA IN\. hR.r~ in the
Social Security No.1 (,;(~~ ?- ~ ~ 3=-? Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut(")r-
in the last will of the above decedent, dated \ ~ YY\ ~
and cO'XllAS) dated NjA
named
, ~ 2000
(state relevant circumstances, e.g. renunciation, death of execUtor, etc.)
Decendent was domiciled at death in C \A vv..... \--0 -r I CL?".,J County, Pennsylvania, with
h e:r last family or principal residence at c:... h.u..H...\},. of ()ed . ~ ) Co 'C I,.xl~
e A \ I 0 \ '3 A fk. sotJ:, (. telA fJ'(4.6 I8~A_LL~. )
(list street, number and muncipality) /
Decendent, then is (P years of age, died ;;Z 7 A f-n f ,~ ~o ( ,
at (.~\LAt"<-~ of ~od ~, Ca or\; c:...\<2. I fA. 0
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
~fter execution of the will offer for probate; was not the victim of a killing and was never adjudicated
mcompetent: f\
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $ (00, 000.00
(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: All A
,
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters T.e s -to. ~V'\+a.'" v
(testamentary; administration c.La.; administration dob.n.c.La.)
theron.
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OATH OFPERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA 1- ss
COUNTY OF CUMBERLAND J
The petitioner(s) above-named~.'@'lr(~) nt 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.
affirmeds~nd subscribed 9/t,,,M C1 ~~J"'4.~h.k1- en
I: T day of ~o
rox 2001 ~ ~
-i:r~ .) s:::
J ~
Register ~
,,.,
No. 21-2001-446
Estate of
IDA A. NONEMAKER
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW MAY 7TH l~x 209ih consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated MAY 18TH, 2000
described therein be admitted to probate and filed of record as the last will of
IDA A. NONEMAKER
and Letters TESTAMENTARY
are hereby granted to KEITH A. NONEMAKER
vf)~
FEES
$ 115.00
$ 12.00
$
$ 12.00
TOTAL _ $ 5 . 00
Filed ~~!'. . ?rr:I:I.'. ?9.q ~. . . . . . . . . ~.~~.~ ~ ~.~
Probate, Letters, Etc. .........
Short Certificates( 4) . . . . . . . . . .
Renunciation ................
x-PAGES (4)
JCP
AITORNEY (Sup. Ct. 1.D. No.)
ADDRESS
PHONE
MAILED LETTERS AND ORDER TO EXECUTOR
H\O'\.80'\ REV 9186
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 filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
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Fee for this certificate, $2.00
21-2001-446
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P 7297626
NAME Of DECEDENT tF IISI. M.dcte. L._>>
~~ fJOt'f:(L..,.~t(l.
UNDER ._
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UNDER' OW
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SS.. t! ;J~
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COMMONWEALT~F PENNSyLVANIA. DEPARTMENT OF HEALTH' !~~ #/"6f- '1'?- 3 ? ~ '>
CERTIFICATE OF DEATH /
_ _ (Jf(.-ep-e~1 '7--- do. (.) /
~x f =ri~..:.'O?-n _b'~'Z. l:~.;,;t::;: .;-a,
PlACE OF' OERH (CNdI 0f'lIy oroe - ~ tIl$Ifuct.orlSon ahe _J
HOSPITAL Qrr.r -"", OlHER:
Harrisburg, PA Inpat....o ::=o;gr
7. ...
FACILITY NAME (II not It'I5I'tull()(l. g.... Sbeet and number I
Ytt::>l'1-e
8IIITHPI..ACE IC..... ....
Staleoc Fcte.gnCouobyJ
~ 43 Rev. 2187
.,
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COUIllY Of' CERH
(" II "" ~(t(.A rJlJ
While. tlCC.
...
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DECEOENT'S USUAl OCCUMION
~_"".::.:!':"":l"':::.I:r
II.. Homemaker l1b. Domestic
DECEDENT'S MAIlING ADDRESS (51<". CIyIbon. SIooo. Z"'~I OECEDENT'S
10, f'. UI",..H1v1tt 'ir :NCE
C1~(..,~L' 1/1( /1'1"'1 ~-:."':'"
'NO.5 DECEDENT EVER IN
us. AAMEDFORCES?
.....0 No~
IW'lllAL STRUS" _ SUAVlVlNG SPOU$'
Na\4r~. tM'MIe.gNema.denn
14. widowed
17..0....__..
......
II.
FATHER'S_\ff.1. _.lOll)
II. John S. Whitcomb
INFllNIANT'S NAME (T ypoIPrinIl
Keith A. Nonemaker
IolETHOD Of' llISPOSITION
_00 ~O _~""'Sl"'o
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1..
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Cumberland
Did
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Min.
--.,1
Carlisle
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21C.
AVICE UCENSEE OR PERSON ACtING AS SUCH LICENSE NUMBER
Z2lI. FD 012 848 L
1llo _ 01 my~. do... OCOUI'.od..... _, .... and plOeO.......
(SignoU. and Tile'
1
Wd CASE REfERRED 10 MEDICAL EXAMINE
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not ~ in 1M WMIIfIyingCllUM given in PART I.
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WEllE AU10PSY F1NIlINGS
~PIIIOfllO
~Of'CAUSE
Of' CERH1
MANNER OF DEAtH
DAlE Of INJURY
.-.Day, -.
lIME Of' INJURY
INJURY RWORk1
DESCIllBE HOW INJURY OCCURRED.
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CERTII'IEJII~"" """'
.~ ~ Cf't\ytCt8f' cerw,.ng cauM 01 dUll -'*" anofheI pt\yIlC.en has pronouncecl dealh ana canpl8led Ilem 231
........otMYI&nowIecItte. ...occ..............c.uM(.).nclftMnner......... ....................................................
29.
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UCENSE N R
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NAME ANOADORESSOf' ~WHOC~DCAUSEOf' DEATH
(I1em271Typeot_ y&..: I~ j? !'J.L' d~L'" ""
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"PMlNOUNCIllGANO CERTIf'YINCl PHY_IPh_ boIlI",onou"""O_ andceruly>ng 10_" 01"''''1
T........ of.... kfto...... dN" occUfNd tit 11M time. date, arid pIK.. MIS due \0 U. u\De(.) and man,*,.. .tIIted.. . . . . . . . . . . . . . . . . . . . . . . . .
HIOS.90S REV.(09100)
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.
cx~s, ~/'t)r.
Robert S.<ZioJnerman, Jr., MPH
Secretary of Health
No.
~II~
Charles Hardester
State Registrar
1708960
NOV 092001
Date
J.J-O/- tf'-/?
COR..~CTED ITEMS: 3 . 6
H1OS. ''"' Rev. 2187 PER: FD DATE: 6-6-01 bas COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
TVPElPR'NT CORRECTED ITEM #3, PER: FD DATE: 09-08-01cjd CERTIFICATE OF DEATH
IN
PERMANENT
BUCK INK
J'.
037524
....
...
KJNO ~ BUSlNEssnNOUSTRY
DAlE OF DEATH ,MMIh. 08.". 'tearl
4_'l..?......:> I
NAME OF DECEDENT (FIfSl. Middle.lasl
~t:m< t/Ot/{;(I..,.l=trt
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S.
COUNTY OF DERH
zb v,.
UNOER 1 OM
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BIRTHPlACE (Coty and
StateOffCfeognCouncrv'l
~r
AGE (lastSirthoav)
="'10
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RACE - Amencan Indian. 8IKtl. Whie.. eIC.
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OECEDENT'S USUAl OCCUPRlON
(~'::':~~~:r
".. Homemaker ".. Domestic
DECEDENT'S ~ ADDRESS (SIr.... CityITOtwn. SIaM. Lip Codel DECEDENT'S
go ( 1". ;Af>,.J4;/t(l 0;'/ ~=NCE
Or tt(..r~...F (I,., 11'7-','] "";::;:-
11e.State
MARITAL SWUS. Married
Ntver...... ~.
--
14. widowed
11c.O _~.......
SUAVMNG SPOUSE
("WIlIe.grwtnalO8n~
170.
Cumberland
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FATHER'S NAME (FIrSt MiOcIe. last)
1.. John S. Whitcomb
IHF""""""SNAMEcr_
~ Keith A. Nonemaker
METHOO OF DtSPOSITION
......IXI ".....0 _.........0
...-0 ""*_
"..
Carlisle
_.'
AVICE u:ENSEE OR PERSON ACTING AS SUCH
lICENSE HUMBER
.... FD 012 848 L
To 1M beM 01 my knowledge, dHIh occurred allN lime. dati' and ptact $I_eel.
(SigneIure~TilIeJ
231t. Dc.
'MS CASE AEFERREDlO MEOK::AL EXMUNERICOAONER?
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llUElO(OR"'CONSEOUENCE~ /"
{...oI1!-___p/L ;?f/2. rEf/)" /.? 7)c,.d"or
DUE 10 (OR AS /Ii CONSEOUENCf Of):
21.
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: onMt MddMd'l
,
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PARTII: Otrwsigniftc:Ml~~todMlh.but
not tMUIinl;I in the UftlIIIrtwinOQUNOi*' in PNIT I.
WERE AU10PSY F1NDINGS MANNER OF DEATH
MM.A8LE PRIOR 10
COMPlET1ON Of' CAIJSI< is! 0
0#' DEATH? - -
- 0 P--'" 0
_0 ...~ ....... 0 CoukI not be del.-mined 0
ORE Of tNJURY
(MonIl. Day. 'Mat)
flue OF INJURY
INJURY R'M)AK? OESCRIBEHOW'INJURVOCCURAED.
_ 0 ...0
-
CERTIFIER ~ oniy oneI
OCERTIf'VWrIG PHVSN:IAN (Physcaan cerWying cause d dNltt when oiI'lQlt\eI' physic...,.. has prOOOl.lnCed death anocornpleted IIefn 23)
To lltebelltoffftY1lnowtedge..llthoccurreclduetG thlCMIM(.)......rn.anner.......... ._...... ... ."._... .................. '..... .......
D.
... 3e*..... 3Oc..
PlACE OF tNJURY. AI home. farm. street. factory, oMce
builclng,eIC.I~)
_.
-MEDICAl. EXAIIINERlCORONER
On the baals of examination andfOllnvestigatton. in my opinion. de"h occuned at the time, date, and place, and due to the cause(s) and
mannerustatect.......... _......... . ....... ............... ...
31..
REGIST
<P<1/er<I/.( I
SIGHAJUAE AND n
0....
LICENSE R
C!!I- 310. 0 J.--v.t> 7 1/;'2- L- .... ~/ ?o_ . i
NAME AND ADORESSOF J:ffISD/f WHO C~ED CAUSE OF DEATH
(IIemlnTypao<"'" j/'" (, I! /"~: ~~r'''' 11'0
1.:Z0 {;" {....!J..J .r r
033. (,./'ot(.ijL,f" .. ,7-"'/1
ORE RLED (MooIh. Day. ......
"PRONOUNCING AND CERTIFYING ",YSICIAH If'hysioan bolh pr~ deaIl and certifying 10 cause cI death)
To lhebntofmy ~e. wattloccurNd allht dine, date, and pIKe. and due to the~UM(.) and m.nner.................................
34.
/
007483-00001l05.04.00/EGM/KLT/134191.1
11lnst mill nub Wtstnmtut
OF
IDA A. NONEMAKER
I, IDA A. NONEMAKER, of the Borough of Carlisle, Cumberland County, Pennsylvania,
being of sound and disposing mind, memory and understanding, do hereby make, publish and
declare this as and for my Last Will and Testament, hereby revoking and making void any and all
Wills or Codicils at any time heretofore made by me.
ARTICLE I
DEBTS
I direct the payment of all my legal debts, and the expenses of my last illness and funeral
from my Estate as soon after my death as conveniently may be done.
ARTICLE II
TANGIBLE PERSONAL PROPERTY
I give and bequeath my motor vehicle(s), household and personal effects and other tangible
personalty of like nature (not including cash or securities), together with any existing insurance
thereon, unto those of my children who are living on the thirty-fIrst (31 s~ day after my death, to be
divided among them by my Executor or successor with due regard for their personal preferences in
as nearly equal shares as practical.
007483-OOOO1I05.04.00/EGM/KLT/134191.1
ARTICLE III
REST, RESIDUE AND REMAINDER
I give, devise and bequeath all the rest, residue, and remainder of my Estate, of whatsoever
nature and wheresoever situate, in equal shares unto my children, JOHN O. NONE MAKER,
MARSHA L. ESLINGER, and KEITH NONEMAKER, provided that should any of my
children predecease me, I give and bequeath such deceased child's share unto his or her then-living
issue per stirpes, and ifthere be a failure of same, I give, devise and bequeath such deceased child's
share unto my then-living issue, per stirpes.
ARTICLE IV
UNIFORM TRANSFERS TO MINORS ACT
In the event that any beneficiary of my Will shall not have reached the age of twenty-one
(21) years at the time for distribution of his or her share, distribution of said share may be made in
the discretion of my Personal Representative after considering the age and needs of the beneficiary,
either directly to the beneficiary or to a Custodian under the Pennsylvania Uniform Transfers to
Minors Act, 20 Pa. C.S.A g 5301 et seq., or the applicable Uniform Gifts to Minors Act or Uniform
Transfers to Minors Act in the state of residence of such beneficiary as the case may be. My
Personal Representative may designate as such Custodian any institution or person, including my
Personal Representative, qualified to act as a Custodian for such beneficiary under such Act in
effect at the time such distribution is made. A receipt for any payment or distribution so made shall
be a full discharge therefor to my Personal Representative, who shall not be responsible to see to, or
be liable for, the application of such proceeds thereafter.
2
007483-00001/05 .04.00/EGM/KL T/134191.1
ARTICLE V
POWERS OF PERSONAL REPRESENTATIVE
My Personal Representative shall have the following powers in addition to those vested in
them by law and by other provisions of my Will applicable to all property, whether principal or
income, including property held for minors, exercisable without court approval and effective until
actual distribution of all property:
A. To make distribution in cash or in kind, or partly in cash and partly in kind, and in
such manner as they may determine.
B. To retain any or all of the assets of my estate, real or personal, without restriction to
investments authorized for Pennsylvania fiduciaries, as they deem proper, without
regard to any principle of diversification or risk.
C. To invest in all forms of property without restriction to investments authorized for
Pennsylvania fiduciaries, as they deem proper, without regard to any principle of
diversification or risk.
D. To sell at public or private sale, to exchange, or to lease for any period of time any
real or personal property and to give options for sales, exchanges or leases, for such
prices and upon such terms or conditions as they deem proper.
E. To allocate receipts and expenses to principal or income or partly to each as they
from time to time think proper.
F. To compromise any claim or controversy.
3
007483-00001l05.04.00/EGM/KLTIl34191.1
G. To make such elections, decisions, concessions and settlements in connection with
all income, estate, inheritance, gift, generation skipping or other tax refunds and the
payment of such taxes without obligation to adjust the distributed share of any
person thereby affected.
ARTICLE VI
APPOINTMENT OF PERSONAL REPRESENTATIVE
I name, constitute and appoint my son, KEITH A. NONEMAKER, Executor of this my
Last vVill and Testament. Should my son, KEITH A. NONE MAKER, fail to qualify or cease to
so act, I name, constitute and appoint my granddaughter, KENDRA L. SWEENEY, alternate
Executrix to complete the administration of my Estate. I direct that no fiduciary appointed herein
shall be required to post bond for the faithful administration of the duties required in any
jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will
and Testament, this /'dt.!!. day of ~ ' 2000.
(SEAL)
Signed, sealed, published and declared by the above-named Testatrix, as and for her Last
Will and Testament, in the presence of us, who at her request, in her presence and in the presence of
each other, have hereunto subscribed our names as witnesses.
~!:J~
~/~
4
007483-00001/05.04.00/EGM/KLT/134191.1
AFFIDAVIT AND ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYL VANIA
SS
COUNTY OF CUMBERLAND
We, IDA A. NONEMAKER,
~~\ vn \t W(\':l'\!) )~-
~Y't\~ L". f\)\.je(J
and
, the Testatrix and the witnesses, respectively, whose
names are signed to the attached or foregoing 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 that she had signed willingly and that she executed it 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 witness and that to the best of his/her knowledge the Testatrix was at
that time eighteen years of age or older, of sound mind and under no constraint or undue influence.
~-L O~/J 1.
Q /' a _ , "0Jr1 I/~-tl. . 'p /r/
IDA A. NONEMA R
~~
Witness
~~4
Wftlle 4-
Subscribed, sworn to and acknowledged before me by IDA A. NONEMAKER, Testatrix,
and subscribed and sworn to before me by t~~-.)(\Q~' f'\ 'It'r)' and
~C\\p~ K\Jc\<Jll-;1i'. , witnesses, this J~f-'\ dayof rl~'l
~~n~ Q QCt~~
No ary P~lic
,2000.
Notarial Seal
DIIla C. Parmer, Notary Public
l.emoyne 8010. Cumberland County
MyCommlsslon Expires Dec. 29, 2001
Member, Pennsylvania Association of Notaries
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
l
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Ke-~i-h A. NDYV2makol/
being duly a Ff::i r tyJgc(
ss:
according to law, deposes and says that he is €/)L~
of the Estate of I-cI..a. A, N CrYl() male.str
late of _~t-lis4z-___ ------~~---------- , Cumberland County, Pa., deceased and that the
within is an inventory made by --~M---A~~, the said ~4eC-L-L'f-tJr
of the entire estate of said decedent, consisting of all the personal prop~rty and real estate, except real estate outside
the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value
as of the date of decedent's death.
-A-f+; r nucI_ and
d ;?"- f}h.1/fW---
subscribed before me,
1ivv~ a .11t~~
(2(Y;/~-
Executor. Administrator
Address
Date of Death ___~
Day
Ap::"~ /
;;;LOD I
Year
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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Inventory of the real and personal estate of
rda A. N()NLYVlCJ.w
deceased
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REV-1500EX(6-00)
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
OFFICIAL USE ONLY
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FILE NUMBER
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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COUNTY CODE YEAR
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NUMBER
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
01U~ Ich A,
DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR)
D tf - ,;n - ;ZOO ( 04 -3
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
SOCIAL SECURITY NUMBER
lto ~ 8'
37 7
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
~ 1. Original Return
D 4. Limited Estate
~ 6. Decedent Died Testate {Attach oopyofWill)
D 9. Litigation Proceeds Received
D 2. Supplemental Return
D 4a. Future Interest Compromise (date of death after 12.12-82)
D 7. Decedent Maintained a Living Trust (Attach oopy of Trust)
D 10. Spousal Poverty Credit (date of death between 12-31.91 and 1-1-95)
o 3. Remainder Return (date of death prior to 12-13-82)
o 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
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FIRM NAME (If Applicable)
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fA no If
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(1) Y\ a V\.E,..., OFFICIAL USE ONLY
(2) \ '1) c::j 70 . Od
(3) ","c"'C\.e....
(4) VLDv>-€..
(5) 355'1 ~6<g ..;1.\
(6) no V>€..
(7) ~
(8) 6 4> I 4~ . ;2 3
(9) <t(P38f. 00
(10) '^-o VUl..-
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
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3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
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)
10. Debts of Decedent. Mortgage Liabilities, & liens (Schedule I)
11. Total Deductions (total lines 9 & 10)
(11)
(12)
(13)
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.
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12. Net Value of Estate (line 8 minus line 11)
13. Charitable and Governmental Bequests/See 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)
(14)
50 , D 41. <;2.3
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
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15. Amount of line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
V\~ x.O~ (15) Y\ f7<>V\S! ,
50, b4,..;13 x,0~(16) ,;; ~)f;;), /3
~ x .12 (17) V\.C:> ~
YLO~ x .15 (18) V\.O~
(19) :;;;;( 5;;;,/3
16. Amount of line 14 taxable at lineal rate
17. Amount of line 14 taxable at sibling rate
18, Amount of line 14laxable at collateral rate
19. Tax Due
20.0
CHECK HERE IF YOU ARE REQUESTING A REFUNO OF AN OVERPAYMENT
Decedent's Complete Address:
I ".nmOOM 'il", /J:: &""."" 5'1-4
. CITY ~Ll.s
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
I STATE
PA
IZIP ItO/.<.
(1) ,5'1;;( 5;;/./3
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Total Credits ( A + B + C )
(2) _11 'g, 53
3. InteresUPenalty if applicable
D. Interest
E. Penalty
,~
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TotallnteresUPenalty ( D + E ) (3)
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 (4)
~
If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
5.
(5)
(SA)
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
:::J 1.3 3. to D
~
;:;L I '2> 3. "'0
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes
a. retain the use or income of the property transferred;......... ..................................... .......................................... D
b. retain the right to designate who shall use the property transferred or its income; ... .................. ..................... D
c. retain a reversionary interest; or......... ................................................ ..................................................... 0
d. receive the promise for life of either payments, benefits or care? ................... .............................. ................... D
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ..... .................................................................. ..................................... 0
3. Did decedent own an "in trust fo~' or payable upon death bank account or security at his or her death? .............. D
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ................................. ................................................................
No
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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, including accompanying schedules and statements. and to the best of my knowledge and belief, it is true. correct
and complete.
Declaration of pre parer other than the personal representative is based on all information of which preparer has any knowledge.
DATE
~
7o/Ir-.3
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. 99116 (al (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. 99116 (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.8. 99116(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. 99116(1.2) [72 P.S. 99116(a)(I)].
The lax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116(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.
21-2001-446
1Lnst lIIill nub Wtstanreut
OF
IDA A. NONEMAKER
I, IDA A. NONEMAKER, of the Borough of Carlisle, Cumberland County, Pennsylvania,
being of sound and disposing mind, memory and understanding, do hereby make, publish and
declare this as and for my Last Will and Testament, hereby revoking and making void any and all
Wills or Codicils at any time heretofore made by me.
ARTICLE I
DEBTS
1 direct the payment of all my legal debts, and the expenses of my last illness and funeral
from my Estate as soon after my death as conveniently may be done.
ARTICLE II
TANGIBLE PERSONAL PROPERTY
1 give and bequeath my motor vehicle(s), household and personal effects and other tangible
personalty of like nature (not including cash or securities), together with any existing insurance
thereon, unto those of my children who are living on the thirty-first (31") day after my death, to be
divided among them by my Executor or successor with due regard for their personal preferences in
as nearly equal shares as practical.
ARTICLE m
REST, RESIDUE AND REMAINDER
I give, devise and bequeath all the rest, residue, and remainder of my Estate, of whatsoever
nature and wheresoever situate, in equal shares unto my children, JOHN O. NONEMAKER,
MARSHA L. ESLINGER, and KEITH NONEMAKER, provided that should any of my
children predecease me, I give and bequeath such deceased child's share unto his or her then-living
issue per stirpes, and if there be a failure of same, I give, devise and bequeath such deceased child's
share unto my then-living issue, per stirpes.
ARTICLE IV
UNIFORM TRANSFERS TO MINORS ACT
In the event that any beneficiary of my Will shall not have reached the age of twenty-one
(21) years at the time for distribution of his or her share, distribution of said share may be made in
the discretion of my Personal Representative after considering the age and needs of the beneficiary,
either directly to the beneficiary or to a Custodian under the Pennsylvania Uniform Transfers to
Minors Act, 20 Pa. C.S.A ~ 5301 et seq., or the applicable Uniform Gifts to Minors Act or Uniform
Transfers to Minors Act in the state of residence of such beneficiary as the case may be. My
Personal Representative may designate as such Custodian any institution or person, including my
Personal Representative, qualified to act as a Custodian for such beneficiary under such Act in
effect at the time such distribution is made. A receipt fOT any payment or distribution so made shall
be a full discharge therefor to my Personal Representative, who shall not be responsible to see to, or
be liable for, the application of such proceeds thereafter.
2
ARTICLE v
POWERS OF PERSONAL REPRESENTATIVE
My Personal Representative shall have the following powers in addition to those vested in
them by law and by other provisions of my Will applicable to all property, whether principal or
income, including property held for minors, exercisable without court approval and effective until
actual distribution of all property:
A. To make distribution in cash or in kind, or partly in cash and partly in kind, and in
such manner as they may determine.
B. To retain any or all of the assets of my estate, real or personal, without restriction to
investments authorized for Pennsylvania fiduciaries, as they deem proper, without
regard to any principle of diversification or risk.
C. To invest in all forms of property without restriction to investments authorized for
Pennsylvania fiduciaries, as they deem proper, without regard to any principle of
diversification or risk.
D. To sell at public or private sale, to exchange, or to lease for any period of time any
real or personal property and to give options for sales, exchanges or leases, for such
prices and upon such terms or conditions as they deem proper.
E. To allocate receipts and expenses to principal or .income or partly to each as they
from time to time think proper.
F. 'To compromise any claim or controversy.
G. To make such elections, decisions, concessions and settlements in connection with
all income, estate, inheritance, gift, generation skipping or other tax refunds and the
payment of such taxes without obligation to adjust the distributed share of any
person thereby affected.
ARTICLE VI
APPOINTMENT OF PERSONAL REPRESENTATIVE
I name, constitute and appoint my son, KEITH A. NONEMAKER, Executor of this my
Last Will and Testament. Should my son, KEITH A. NONEMAKER, fail to qualifY or cease to
so act, I name, constitute and appoint my granddaughter, KENDRA L. SWEENEY, alternate
Executrix to complete the ~stration of my Estate. I direct that no fiduciary appointed herein
shall be required to post bond for the faithful administration of the duties required in any
jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will
and Testament, this /'r3-c!!. day of ~ ,2000.
li~,(~ogM1t:r O/YnflJ2fl/ (SEAL)
Signed, sealed, published and declared by the above-named Testatrix, as and for her Last
Will and Testament, in the presence of us, who at her request, in her presence and in the presence of
each other, have hereunto subscribed our names as witnesses.
~p~
~~~-
4
AFFIDAVIT AND ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYL V ANlA
: SS
COUNTY OF CUMBERLAND
We, IDA A. NONEMAKER, ~~ &. f\)~(.l' and
~(i.\ (tn \\. WriSi1j J j" - , the Testatrix and the witnesses, respectively, whose
names are signed to the attached or foregoing instrument, being first duly swom, do hereby declare
to the Wldersigned authority that the Testatrix signed and executed the instnnnent as her Last Will
and that she had signed willingly and that she executed it 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 witness and that to the best of hislher knowledge the Testatrix was at
that time eighteen years of age or older, of sound mind and under no constraint or undue influence.
(lYdo ~<hfv__oJPlU
IDA A. NONE R
~~
Witness
W~~~~
Subscribed, sworn to and acknowledged before me by IDA A. NONEMAKER, Testatrix,
and subscribed and sworn to before me by ~t'n.lI\Q~' I"f\ Iler)' and
~a.\pI\ R. \..k~f}1,. ,witnesses,this J~-l'\ dayof f1lc.,\ ,2000.
~. \Q Q~-
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--
DlIdaC._.-.y...-
~_~COunly
..,0.............. e...... Oec. 29. 2001
Member. Pennsylvania Association at Notaries
REV-1503 EX + (1-971
'*'
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
~dca
A.N~,,~
FILE NUMBER
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
~
fYL;; S5 l~ (b,-uA"~ ~v-i-i f;~ C~ of'
:r.V'\.-\l<?-'S~~
\ I) 5 70.c;:{
TOTAL (Also enter on line 2, Recapitulation) $
(If more space IS needed, Insert additional sheets of the same size)
Home Mission Council
Certificate Of Investment
Valuation For May 2001
Certificate #: 498
IDA A NONEMAKER ESTATE
235 N. NINETEENTH STREET
CAMP HILL PA 17011
Social Security #: 168-48-3747
Issue Date: 29-Nov-1991
Issue Value: $8,500.00
Maturity Date: 29-Nov-2003
Interest Rate: 5.00%
2001 May Value:
$17,497.11
$72.91
$0.00
2001 April Value:
Interest Earned:
NOTE: Check #19491 Issued 5-30-01 to Estate of Ida Nonemaker for
$17.570.02
Your purchase of a Home Miss/on Certificate of Investment could
help a mission church or an existing congregation in this area
get the mortgage they need to purchase or build a building.
Here are the current rates being paid by Home Miss/on Council:
1 year maturity............................. 4.00016
2 years.......................................... 4.25%
4 years.......................................... 5.00%
6 years.......................................... 5.25%
8 years.......................................... 5.50%
R""""'''.''.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Ida
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
Nofl\.1)~
FILE NUMBER
ESTATE OF
A,
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jolntfy-owned with the right of sUlVivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
~PoIS 80St G~cL--t ~CY>
:5A-'J ~s C<-c=~S
VALUE AT DATE
OF DEATH
d&~1
:J
31 /~d-'7. Lf I
d.
f1'e-(f~
~cJ Q/frY'>
w;? I~' GO
3.
~~efGoJ ~
r.e..%Lt
1.e~J
4 ~o ' ;;> 51
4.
9~~~~~
53d .s~
TOTAL (Also enter on line 5, Recapitulation) $ J g) 'b 5~.~
(If more space is needed, insert additional sheets of the same size)
MemberslST
l'EDER"L CREI)rr UNION
y,." ~"i"~' [,,,",,.11, i",ur...! 1"$]00,000
NCUA
N."...,n"';"'"...^'....~"....,.,'.,,''",............A..''''
P.O. Box 40 . Mechanicsburg, PA 17055-0040
(717) 697-1161
TOll FREE (800) 283-2328
www.members1st.org
5~~~
STMT 189677-00S NONEMAKER/IDA A
BEG DATE: 06/01/01 CLOSE DATE: 06/28/01
06/28/01 11:10 AM BR:09
ENTRY DT PRCHS DT
06/15/01 06/15/01
06/15/01 06/15/01
06/15/01 06/15/01
*END OF LI ST *
MemberslST
FEDERAL CREDIT UNION
TRAN DESC
TFR FROM SHARES
TFR FROM SHARES
( SHALl
AMOUNT
5204.~b
26399.45
-31629.41
BALANCE
5229.9&
31629.41
.00
189677-11
189677-05
SIGNATURE '
y"'"'''''''lnR.fed...llyln'u......'"$IOOJIOO
NCUA
N......ft',.." ",."M_''''"..'''''.t'_.."",..........,.....,
P.O. Box 40 . Mechanicsburg, PA 17055-0040
(717) 697-1161
TOll FREE (800) 283-2328 -r,^~-R-~~ 'Sf\-\~
www.members1st.org .J.~ "
STMT 189677-05S
BEG DATE: 06/01/01
ENTRY DT PRCHS DT
06/15/01 06/15/01
06/15/01 06/15/01
*END OF LI ST it
.~
NONEMAKER/IDA A
CLOSE DATE: 06/28/01
06/28/01
11 : 11 AM
BR:09
TRAN DESC
(SHDV)
TFR TO SHARES
AMOUNT
39.73
-26399.45
BALANCE
26399.45
.00
18967"1-00
SIGNATURE
Y..r",\ln~.r...."lIyiMU'odl,,$lOO.OOO
MemberslST
FEDERAL CREDIT UNION
NCUA
~.,."'.,('''''.(I_M"'......'''.....r-'<(..'...".....,........
P.O. Box 40 . Mechanicsburg, PA 17055-0040
(717) 697-1161
TOll FREE (800) 283-2328
www.members1st.org
~~
STMT 189677-11S NONEMAKER/IDA A
BEG DATE: 06/01/01 CLOSE DATE: 06/28/01
06/28/01 11:11 AM BR:09
ENTRY DT PRCHS DT
06/15/01 06/15/01
06/15/01 06/15/01
*END OF LIST*
TRAN DESC
(SHDV)
TFR TO SHARES
AMOUNT
3.99
-5204.96
BALANCE
5204.g6
.00
189677-00
REV.1511 EX+ (12-99) _
~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Ick
A.
No Yl<C W"lol(if
FILE NUMBER
Debts of decedent must be reported on Schedule J
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. F-fcU.d ~aJ -4 pdJ\>~e F/..Uvl.D/r "') ~
(O;;;./W,<>C
,;;- ~.b5~ ~~f,~ *' cSi rlo r,'ctJ /Yl.P.mar (<>-1 s 90.
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Persona! Representative(s) K. ,of/, 4. 11J~ wV'...Y...JLK"
Social Security Number(s)/EIN Number of Personal Aepresentative(s)
Street Address ::235 J//tr-r'/i; /q'll: sf..r.eJ
City__ C a.-YYl~ 4.tL___StateMZip /70 II
Year(s) Commission Paid:
2. Attorney Fees
~
3 Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
~
Claimant
Street Address
Cily State _Zip
Relationship of Claimant to Decedent
4. Probate Fees i>I01="~ V$' r Y\.tlfV4-b-.-.ru ku: r;L~
$~5- 0-0
5. Accountant's Fees
~
6. Tax Return Preparer's Fees
7.
TOTAL (Also enter on line 9, Recapitulation) $ cO 33(-OV
<>>
(If more space IS needed, Insert additional sheets of the same size)
'EV"""''''''W
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE T p.;j. RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER
~-fh A. N~f
~35 Ncrrth fj tf, s~t
~ !4'!{ tYA )70/1
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 ~
NUMBER
I.
".Jf.
rck A. No-YVl~
1.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS (include outright spousal distributions)
fTh,x-s k L. E.s [~,-
9 PLvt('J ~
~Vti>Lc..- f.A /70?5
RELATIONSHIP TO DECEDENT
Do Not List Trusleels)
AMOUNT OR SHARE
OF ESTATE
~"O~~
33~%
J;;f~ O. N~.\v<x
Il7 4- ~ck <-0<>~J f~U'-
C~C-o--T<i CA 9 <I"5;;z-1
'33>3;(
'5~
"3,
<Go->->
.3 3k 0/
.3 (0
1.
B CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1. ~
TOTAL OF PARi II. 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)
s
---
CERTIFCATION OF NOTICE UNDER RULE 5.6(A)
Name of Decedent: -Xda A. No-v\Q.NYVI W
~ ,
Will No.:
in No.: ,J601- 0044(0
\
Date of Death:
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the ~rphans' Cow;t Rules
was served on or mailed to the following beneficiaries of the above-captioned estate on 2 ~ Ay> r, I 2eo I tJ WC7'lL ,
Name
Address
1<.fl~ AJt)~
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~ 35 ,^)~ lee ffl u'f. G.f/'lllrlIIAI/011
1174- f(oc~ PL Cmcad CA 9
l' ~~III~~ b.hola. fA /70-'-5
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Date:~\LitZob ,
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Signature
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Name
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Address
7/1- 76/- 3{)47
Telephone
Capacity: ~ Personal Representative
D Counsel for personal representative
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRIS8URG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
KEITH A NONEMAKER
235 NORTH 19TH STREET
CAMP HILL, PA 17011-3926
---~---- fold
EST A TE INFORMATION: SSN: 168-48-3747
FILE NUMBER: 21-2001- 0446
DECEDENT NAME: NONEMAKER IDA A
DATE OF PAYMENT: 08/15/2001
POSTMARK DATE: 08/14/2001
COUNTY: CUMBERLAND
DATE OF DEATH: 04/27/2001
NO. CD 000158
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $6.24
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: KEITH A NONEMAKER
CHECK#186
SEAL
INITIALS: SK
RECEIVED BY:
$6.24
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
Ih.? ~}cY~/O?
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z80601
HARRISBURG, PA 171Z8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
KEITH A NONEMAKER
235 N 19TH ST
CAMP HILL PA 17011
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
08-13-2001
NONEMAKER
04-27-2001
21 01-0446
CUMBERLAND
101
,,~
S c... ~
REY-1547 EX AFP 112-DDl
IDA
A
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=is4"'-E:3[-iFP-n'2:00Y-NOTicE--OF-YNHERiTANCe-TAX-APPRAisEMENT-,--iLLOWANCe-oi-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF NONEMAKER IDA A FILE NO. 21 01-0446 ACN 101 DATE 08-13-2001
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
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:
.00 X 00 = .00
50,047.23 X 045 = 2,252.13
.00 X 12 = .00
.00 X 15 = .00
(19)= 2,252.13
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
17 ,570.02
.00
.00
38,858.21
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Hortgage 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)
6,381.00
.00
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
56,428.23
(11)
(12)
(13)
(14)
6.381.00
50,047.23
.00
50,047.23
PAYHENT RECEIPT DISCOUNT (+) AHOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-28-2001 AA496777 112.29 2,133.60
PAYMENT MUST BE MADE BY 01-27-2002*. TOTAL TAX CREDIT 2,245.89
BALANCE OF TAX DUE 6.24
INTEREST AND PEN. .00
TOTAL DUE 6.24
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A 1ll=I=IIND_ SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
\./6 - d2c:2P~ /...:V
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z80601
HARRISBURG, PA 171Z8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
'*
REV-16D7 EX AFP U2-DDl
KEITH A NONEMAKER
235 N 19TH ST
CAMP HILL PA 17011
DATE
ESTATE OF
DA TE OF DEATH
FILE NUMBER
COUNTY
ACN
09-17-2001
NONEMAKER
04-27-2001
21 01-0446
CUMBERLAND
101
IDA
A
AIIount Rellitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, subllit the upper portion of this fOri! with your tax paYllent.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ..
REY:ilto-j-ix-AFP--ri'2=iioY------...--iNHERITANCE-;:AX--STATEMEN;:-OF-ACCOUNT--ii..---------------------
ESTATE OF NONEMAKER IDA A FILE NO. 21 01-0446 ACN 101 DATE 09-17-2001
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PRO~ECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-13-2001
PR I NCI PAL TAX DUE: ...._........................................................................................................._......................................................................................................
2,252.13
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-28-2001 AA496777 112.29 2,133.60
08-14-2001 CDOOO158 .00 6.24
TOTAL TAX CREDIT 2,252.13
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00
.,
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN $I,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDI~' CCR),
..-.. ~.u hP ...." A Dl:l:lIWn c:a"I' RI'V"RS" SIDE OF THIS FORM FOR INSTRUCTIONS. )
(Y~/
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Ida A. NonP.mAkp.r
Date of Death: 4/27/2001
Will No.
21-2001-446
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 ~ 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 .
r "
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 attached to this report.
D ate: 5([)e.:I-bi9&,,y .l)ZJ;;:;"
6JWaJ~
Signature
Ke t~ A, Nono VVlaJ:vr
Name (Please type or print)
;;235 N. '9YhSf ~ Jh~{117()11
Address
{ 7/ll 7t?/~ 3Dt/?
Te 1. No.
Capacity:
)0 Personal Representative
Counsel for personal
representative
(MAH:rmf/AM3)
ACCOUNT OF THE ESTATE OF IDA ALBERTA WHITCOMB NONEMAKER
DATE DESCRIPTION AMOUNT BALANCE NOTES
5/11/01 Initial deposit 9.00 9.00 Open account
5/31/01 Dividend .02 9.02 05/11-31/01
6/01/01 Deposit check 17,570.02 17,579.04 Home Mission
Council investment
06/07/01 Vital Records -3.00 17,576.04 ck # 181
06/15/01 Deposit check 31,629.41 49,205.45 Members 1 st ck&sv
accounts
06/25/01 Deposit check 480.28 49,685.73 CoG rent refund
06/28/01 Deposit check 532.52 50,218.25 Parthemore pre-paid
over pmt
06/30/01 Dividends ck&sv 87 .86 50,306.11 06/01-30/01
07/02/01 Register of Wills -25.00 50,281.11 ck# 182
$10 inventory &
$15 inheritance tax
07/02/01 Register of Wills -2133.60 48,147.51 ck# 183
estate tax
07/23/01 Deposit check 983.10 49,130.61
07/3101 Dividends ck&sv 126.84 49,257.45 07/01-31/01
08/07/01 Appalachian -27.14 49,230.31 ck# 184
Orthopedic Center services 02/24/01
08/15/01 Carlisle Regional -1505.84 47,724.47 ck# 185
Medical Center svcs 02/27/01,
04/5/01,04/11/01,
04/18/01
08/17/02 Register of Wills -6.24 47,718.23 ck#186
corrected estate tax
08/22/01 Vital Records -30.00 47,688.23 ck# 187
10 corrected death
certificates
08/22/01 Marsha Eslinger -15,000.00 32,688.23 ck# 188 partial
estate dispersal
08/22/01 VOID 32,688.23 ck# 189
08/23/01 Keith Nonemaker -15,000.00 17,688.23 ck# 190 partial estate
dispersal
08/29/01 John 0. Nonemaker -15,000.00 2,688.23 ck# 191 partial estate
dispersal
08/31/01 Dividends ck&sv 88.65 2,776.88 08/01-31/01
09/21/01 VOID 2,776.88 ck# 192
09/21/01 Gingrich Memorials -75.00 2,701.88 ck# 193
tombstone engraved
09/30/01 Dividends ck&sv 6.13 2,708.01 09/01-30/01
10/31/01 Dividends ck&sv 6.26 2,714.27 10/01-31/01
11/30/01 Dividends ck&sv 4.97 2,719.24 11/01-31/01
12/31/01 Dividends ck&sv 5.15 2,724.39 12/01-31/01
01/31/02 Dividends ck&sv 5.16 2,729.55 01/01-31/02
02/07/02 James Hess -45.00 2,684.55 ck# 194
tax preparation
02/28/02 Dividends ck& sv 4.61 2,689.16 02/01-28/02
03/11/02 Cumberland -64.51 2,624.65 ck# 195 ambulance
Goodwill Fire Co. service 01/05/01
03/31/02 Dividends ck&sv 5.01 2,629.66 03/01-31/02
04/20/02 Commercial ". -115.42 2,514.28 ck# 8000 (bank ck)
Acceptance Co Cumbo Goodwill Fire
ambulance 11/18/00
04/30/02 Dividends ck&sv 4.73 2,519.01 04/01-30/02
OS/24/02 Paxton Herald -35.50 2,483051 ck# 197 legally
required estate notice
ran 05/01/02-05/15/02
05/31/02 Cumberland Law -75.00 2,408.51 ck# 196 legally
Journal required notice of
death for collection of
debts & payments ran
05/31/02, 06/07/02,
and 06/14/02
05/31/02 Dividends ck&sv 4.15 2,412.62 05/01-31/02
06/30/02 Dividends ck&sv 3.93 2,416.55 06/01-30/02
07/31/02 Dividends ck&sv 4.06 2,420.61 07/01-31/02
08/31/02 Dividends ck&sv 4.07 2,424.68 08/01-31/02
I have examined the above accounting. In accordance with Pennsylvania's family approval
procedure, I approve the above accounting and accept one third of the final balance as my share
of the final dispersal of the estate of Ida Alberta Nonemaker.
Name: Marsha Lea Eslinger Signature:
Name: John Orville Nonemaker Signature:
Name: Keith Andrew Nonemaker Signature:
Cftt- \ (a<t; ~ L\ '1 ' 31 t.t'7
Keith A. Nonemaker, Executor for the Estate of Ida A. Nonemaker
235 North 19th Street, Camp Hill, Pennsylvania 17011
,^1-1)l'Lf tt0
,
10 September 2002
To all concerned:
This serves to distribute the remainder of the Estate of Ida A.
Nonemaker among the heirs, to verify receipt of the same, to close
the ~c;t~te~to di scharge the executor, Kei th A.. NO;1ema :'e\- ~:1d a" ~
Status Report to the Register of Wills, Cumberland County, PAt
On September 10, 2002 the total account balance of the Ida A.
Nonemaker Estate was $2424.68. The available balance was $2419.68.
The remaining $5.00, plus interest accrued between August 31 and
the fi na 1 closeout of the~cc,ount (estimated to be between 1 and 6
cents), will be deposited to the account of Keith A. Nonemaker as
soon as the account can be closed by bank personnel.
The signatur~sl:?~low verify ,receipt of the final closeout
distribution of -$2416.68 as follows: '1~1/~" /
~~
I
$808.23 to Marsha L. Eslinger signature:
l~~ 0 ~~Ji-.--
$808.23 to JohnO. Nonemaker signature: /~ ...'
$803.22 to Kei th A. NonemilRer .slgriaYure:cc~~f~~.h...-
I agree, that upon reCeipt by Keith A. Nonemaker, executor, of the
final closeout of $5.01 plus a couple of odd cents, the Estate of
.Ida A. Nonemaker will have been closed and Keith,A. Nonemaker,
executor, will have been discharged, having fulfilled all of his
obligations as executor.
Marsha L. Eslinger
/)V' 1. /
. t~'1<. r t-v ~
signature: F 0 ~~
Keith A. Nonemaker signature: jl{~ tJ. /t~/t~
FiYLai. ~~~ UXLA~~t"tuJ f;~ ~ 9-/7-0d-.
signature:
John O. Nonemaker
Cf7~ \ (o<t; ,.. L\ <6' - 31 tii
Keith A. Nonemaker, Executor for the Estate of Ida A. Nonemaker
235 North 19th Street, Camp Hill, Pennsylvania 17011
~J-t)l-Li tf0
.r
10 September 2002
To all concerned:
This serves to distribute the remainder of the Estate of Ida A.
Nonemaker among the heirs, to verify receipt of the same, to close
the Estate, to discharge the executor, Keith A. Nonemaker and as a
Status Report to the Register of Wills, Cumberland County, PA.
On September 10, 2002 the total account balance of the Ida A.
Nonemaker Estate was $2424.68. The available balance was $2419.68.
The remaining $5.00, plus interest accrued between August 31 and
the final closeout of the account (estimated to be between 1 and 6
cents), will be deposited to the account of Keith A. Nonemaker as
soon as the account can be closed by bank personnel.
The signatures below verify receipt of the final closeout
distribution of $2416.68 as follows: /'Vvtkvvtu._l
$803.22 to Keith A. Nonemaker
signature:
!~ 0 ~PJl~
signature: /- - - '" /1-"
~~ t:(, /~(~ ~
signature: ~-
Ivr~w
I
$808.23 to Marsha L. Eslinger
$808.23 to John O. Nonemaker
I agree, that upon receipt by Keith A. Nonemaker, executor, of the
final closeout of $5.01 plus a couple of odd cents, the Estate of
Ida A. Nonemaker will have been closed and Keith A. Nonemaker,
executor, will have been discharged, having fulfilled all of his
obl ;gations as executor. /}V'i{.- -1 / /
. '10.- l [~v ~
signature: ? () ~~
Keith A. Nonemaker signature: f{UiL tJ. 4~"4-/l1..--t---
Fihf;L{ ~~~~ UJaA~t)St.tad1J,t;;J:J; t:>-n 9--/7-{)d.-'
Marsha L. Eslinger
signature:
John O. Nonemaker