HomeMy WebLinkAbout01-0673
.....
Estate of ..j"rr;1'4
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
~\-O\- to,"?>
SfV7D~~
No.
To:
Register of Wills for the
, Deceased. County of CUMBERLAND in the
Social Security No. ~ 0 <f - 30 - 90 ::J..S- Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/ are 18 years of age or oldg..an the execuwRJ5
in the last will of the above decedent, dated OC I 'Q 0
and codicil(s) dated
named
,...~
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in (]{J/IO flnz L f.l "" I;)
hETZ- last family or principal residence at Qo ::t. I~RIC
County, Pennsylvania, with
)T F/'ooJ...A-- rA"i/ ffr#/J/Bt:1?t,t::"
(list street, number and muncipality)
Decendent, then G I years of age, died 7 -/ , ,a) ~(.7 I ,
at Ci..tJ.1<t/V7bIllT N(JRSI/Yc.- d 7?E'J.lni? .
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: rOhc
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:
'70,,-,CJO
/
$
$
$
$
WHEREFORE, petitioner(s) respectfully request(sUhe probate of the last will and codicil(s)
presented herewith and the grant of letters Ii s7M<:::JV /A-R>I
(testamentary; administration C.La.; administration d.b.n.c.t.a.)
theron.
"--~
~ _j r)
~~ :~L/k;:-~~
"'~
" ...
o:::g :( ~
"Cl.2 I r/Y/>/? / H 5/'1 'IIJF=TL
c_ . ~ ~ ~
~'il ~C.~ K " ~
*= r/Y;;L je.--- / v 1.S-
50
~
c
Oll
[Ji
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA 1- ss
COUNTY OF CUMBERLAND J
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.
Sworn to or affirmed and subscribed ~~,~/~ ~
before me this 17TH day of ~
l::l
....
s:::
~
B:
~.
, \'" _ :>J.aJ - Q
~o. 21 - 01 ~ 673
Estate of
JUDITH SNYDER
, Deceased
DECREE OF PROBATE A~D GRA~T OF LETTERS
AND NOW JUL Y 18TH ~ 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 OCTOBER 20, 2000
described therein be admitted to probate and filed of record as the last will of
JUDITH SNYDER
TESTAMENTARY
KENNETH SNYDER
and Letters
are hereby granted to
~~t{!J2.J~ ~~.
. Register of Wills
MARY CLEWIS
FEES
80.00
Probate, Letters, Etc. ......... $
Short Cenificates( 8) . . . . . . . . .. $ 24.00
Renunciation ................ $
X-Pages $ 6.00
JCP 5.00
TOTAL _ $ 115 00
Filed ..... JU.l X . J 8.,. .200.1. . . . . . . . . . . . . . .
ATTORNEY (Sup. Ct. 1.D. No.)
ADDRESS
PHONE
, (I
Mailed letters to- Exedutor on 7-18-01
nIU),ijl/j K.t\ ,)//'i()
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.
~LO~:::~
Fee for this certificate, $2.00
p
7431999
JlJk1 6 ?Om
Date
-15. T43 Rev_ 2187
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
AGElL"'llW1I>cloy)
UNDER , YEAR
-- Doya
Judith A. Snyder
UHllER t DAY
..... ! MinuNI
.
SEX
2. Female
S"TIlJE 'lL! NUMBER
SOCIAL SECuRITY NUMBER
3. 204 30-
DATE OF DEATH lMonlh, Dw" .....)
9025 .. July 1, 2001
NAME OF DECEoeNT jF.,SI. ....iddIe, L_J
t.
...
BIRTHPlACE (CAy""
StaIlI Of F ClII9" Country)
Enola,PA
PlACE OF DEATH (CtoedI ()I"IIy l)('Ie ift tOSlluct.onson 0Il'* ~
HOSPITAl.:
_ 0 ERIOuIocl_ 0 !lOA 0
:=.vI 0
61
Vrt.
COUNTY OF DERH
I
Cumberland
Claremont Nursing & Rehab
,I.
White
DECEDENT'S USUAl OCCUIWlON
(Give~"'_dono~::::'"
oI1moane'actf6r
Elementary
..., DECEDENT EVER IN
u.S. ARMED FORCES'
... 0 ...KJ
E__
t3. (0-'21 12
Pennsylvania DkI
-
he...
Cumberland -' ,...0 ::..""=".::::'"
MOTHER'S NAME 'Fnt Middle, M.,... Swname) Bertha Groff
loWlITAI. STRUS._
---
~(Specoly)
Married to. Kenneth W. Snyder
East Pennsboro
SUA\IMNG SPOUSE
11l'Mle. ~ 1NIlien,...,.
t1 111t.
DECEDENT'S UAlUNG _ss (SO.... COyIbon. _ Z;P~1
202 York St.
Enola, Pennsylvania 17025
DECEDENT'S
ACTUAl.
RESIDENCE
(5oe~
on oIher !SIde)
11.. SI*
"'P.
,..
FRHEJrS NAME (F... Midde. lalll)
t..
lNFOIIIoIAHT'S NAME (T ypoIPrino)
,....
_.
Stanley Graham
Kenneth W. Snyder
II.
OAMANT'S IolAIUNO AllDAESSISO....Cily/bMl.SlcIlo. z;P~
. 202 York St. Enola, Pennsylvania 17025
I'UCE OFtxSPOSmON. Homo oI~, c,...-., LOCATION. Cily/1ilwn. so.... z;P~
Of 0IIlCf .....
21c,
ChesInut Cemetery
2'..
Marysville, Pennsylvania 17053
LICENSE NUM8EfI
F.D.011897-L
22c.
NoG-
C>/)...M"I Co\
DUE lO(OAAS ACONSl:OUENCE OF):
21.
~=-x=....
: GnMI and dMIfI
I
I
,
_.: OlM<sigo;IIconl_~lO_.""
1'10I reIUIIinO in 1M undIftP'If*'M give in PNn I.
[ :
DUE 1O(OA AS A CONSfOUENCf OF):
DUE 1O(OA AS ACONSEOUENCf Of):
WEllE AUTOPSY FINIlINGS MANNER OF DEATH
-..aE PAIOA 10
COMPlETION OF CAUSE if 0
OF DERH' - -
--- 0 p.-..g_lon 0
...0 No if - 0 Could noI: be detanmned 0
DATE OF INJURV
I-.Dcy. -.
TIME OF INJURV
INJURV JOT WOIlK? DESCIllBE HO\/I/ INJURY OCCUAAEO.
... 0 NoD
_.
c:urrIflEll,CI><<k"" onel
-CERTIFYING ptCYSICIAN (Ph'{SlCt8l' cerIIfyrIg caoM cJ __ wherl anothef phvscoan has pronounced death aoo compleled Item 231
To'" beelO''''Y knowledge. dlnIhoccurrecl.....lo...c.vu<.)M'CImanner.....'*'.....................................................
ft.
. ....
PlACE OF INJURY. At. horM. tum, suee\. lactofy, oiftca
_ CIC.,Spocolvl
_.
-MEDICAL EXAIIIHEIlICOIIONEII
On the~... of .xaminatlon aNJI<< inv..tigation. 1ft my opinion, de.th occurred atlhe Urn.. da.e, and place, and due to the cau..(a) and
In....,.....led..................................... ,............ ..... .... .................... .........,.........
3'..
AE
o
""fj
#tJ;>Ir ,c!J ~rJv4
P"f 170..~'
.PRONOUNCINO AND CERTIfYING PHYSICIAN CPhys.cen baIh pronouncll\Q <HtaItl Mld cently1ng Iocause of deathl
To the bHl ot MY k~. death oec-unecI Ill........ ute, .nd plK., and due to the caUM(a) and manner.. a'a.eaL. . . . . . . . . . . . . . . . . . . . . . . . .
'SSIGN~~
"'C. ,:z~ .o?_
hl,/tPf,l -( I
...
LAST WILL AND TESTAMENT
OF
JUDITH SNYDER
I, Judith Snyder, of 202 York Street, Enola, Cumberland
County, Pennsylvania, being of sound and disposing mind, memory
and understanding, do make, publish and declare this to be my Last
Will and Testament, hereby revoking all Wills and Codicils
heretofore made by me.
ITEM I. I direct that all my debts and funeral expenses,
including my cemetery lot and grave marker and all expenses of my
last illness, shall be paid from my residuary estate as soon as
practicable after my death as part of the expense of the
administration of my estate.
ITEM II. I devise and bequeath all of my estate of every
nature and wherever situate to my husband, Kenneth Snyder, if he
survives me by thirty (30) days.
ITEM III. If my husband, Kenneth Snyder, predeceases me or
dies on or before the thirtieth day following my death, I devise
and bequeath all of the rest, residue and remainder of my estate
of every nature and wherever situate to my living issue, ~
stiroes.
ITEM IV. I direct that any and all Inheritance, Estate and
2 Transfer taxes imposed upon my estate passing under my Will or
otherwise, shall be paid out of the principal of my residual
ITEM V. I appoint my husband, Kenneth Snyder, Executor of
this my Last Will and Testament. In the event of his renunciation,
death, resignation or inability to act for any reason whatsoever,
I appoint my son, William Kenneth Snyder, Executor of this my Last
Will and Testament. I relieve my Executor from the necessity of
posting security in connection with his duties as such in any
jurisdiction in which he may be called upon to act.
ITEM VI. This Will is not the product of any contract or
agreement between me and my husband, Kenneth Snyder, and my
husband shall be free to dispose of any property (whether acquired
under this Will or otherwise), either during his lifetime or by
Will, as he deems proper in his sole discretion.
ITEM VII. In the event my husband, Kenneth Snyder, dies under
such circumstances that there is not sufficient evidence to
determine absolutely whether he survived me, I direct for purposes
of this Will that he shall be conclusively presumed to have
survived me.
IN WITNESS WHEREOF, I have hereunto set my hand
Last Will and Testament, which consists of ~ pages,
which I have affixed my signature this f.. (J day of
two thousand (2000).
to this my
to each of
October
fJj~dL ~~/
J lth Snyder
COMMONWEALTH OF PENNSYLVANIA
ss
. .
. .
COUNTY OF
CUMBERLAND
1://-" ,
" ~; Y r' /
. 1 W1e, , Ju~th ~yder, and -, ,,^/Vt./ILtcfiJ " ;I/U i.e'i..:"c , and
;)'1 11':1 4-'" , ~ \. / 1 L' ,/
, '/ u:. LL-.fl::2tA-) J J ,~ y7.-4!/l.... w,,"- the testatrix and tithe 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 their knowledge the testatrix was at that
time eighteen years of age or older, of sound mind and under no
constraint or undue influence.
acknowledged
,1
(
">f 7 ',}..-L );(~_ J ))/
Notary Public
r"~~rr;~..
Csl~~~ :~_:~',~
IIJQ>",,,,
--=~:;::= ...
/) eN
I ') o-oc.{T
.,~.
-: :.i~
'~I
, ~\-J
'~.;l :>::'t34
~-.,.~ .or::~, -~ 1:::Yt!~
E
--
CERTIFICATION OF NOTICE UNDER RULE 5.6 (a)
Name of Decedent: Judith Snyder
Date of Death: July 1, 2001
will No. 21-01-673
To the Register:
I certify that notice of beneficial interest required by
Rule 5.6 (a) of the Orphan's Court Rules was served on or mailed
to the following beneficiaries of the above-captioned estate on
8/ ~ /01:
Name
Address
Kenneth Snyder
202 York Street
Eno1a, PA 17025
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except NONE
Date: 8/:? /01
~~-:
Signatur 7
Name: Dissinger and Dissinger
Address: 400 S. State Road
Marysvi11e, PA 17053
Telephone: (717)957-3474
Capacity:
Personal Representative
K Counsel for personal
/ representative
RE\'-lsa{> ~.t16-o01
/ t;--;J ify - 0
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
w
....
x$cn
u"''''
w"u
",00
U"'...
..Ill
..
<(
I-
Z
W
C
W
U
w
C
DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL)
Sn der Judith
DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR)
Jul 01 20 Januar 21
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Sn der Kenneth W.
1940
OFFICIAL USE ONLY
SK
C/
FilE NUMBER
2.L-01
COUNTY CODE YEAR
LlL__
NUMBER
SOCIAL SECURITY NUMBER
204
- 9025
- 30
THIS RETURN MUST BE FilED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
[R] 1, Original Return
o 4. Limited Estate
o 6, Decedent Died Testate (At+.act\ oop~ oj Will)
o 9. Litigation Proceeds Received
o 2. Supplemental Return
o 4a. Future Interest Compromise (dale of death after 12-12.82)
o 7. Decedent Maintained a U\ling Trust (A\tlchoop~olTru.t)
o 10. Spousal Poverty Credit (date of death Petwesn 12-31-91 and 1-1-95)
o 3. Remainder Return (date of death priOf to 12.13-82)
o 5. Federal Estate Tax Return Required
JL. 8. Total Number of Safe Oepos'll Boxes
o 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
....
Z
W
C
Z
o
..
.,
w
'"
'"
o
u
COMPLETE MAILING ADDRESS
(1) NONE OFFICIAL USE ONLY
(2) $56,644.80
(3) NONE
(4) NONE
(5) $8,000.00
(6) NONE
(7) NONE
(8) $64,644.80
(9) $ 8,163.53
(10) $ 408.00
NAME
William C. Dissin er
FIBM ,NAME III Appl'lcabls)
Ulsslnger and Dissin er
TELEPHONE NUMBER
(717) 975-2840
28 N. 32nd Street
Camp Hill, PA 17011
(11) $ 3571,53
(12)
(13) NONE
(14) $56,073.27
xo~ (15) 0
x.O_ (16) 0
x .12 (17) 0
x .15 (18) 0
(19) 0
19. Tax Due
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
z
o
!;;:
..J
::::J
l-
ii:
<C
U
w
~
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule OJ
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)
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)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
z
o
!;t
....
::::J
a..
:::E
o
U
~
15. Amount 01 Line 141axable al the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
$56,013.27
NONE
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
NONE
NONE
18. Amount of Line 14 taxable at collateral rate
20.0
Decedent's Complete Address:
STREET ADDRESS York
202 Street
- - I STATE I ZIP 17n?<;
CITY Enola pa
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. CreditsJPayments .
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
o
o
o
o
3. InteresUPenalty if applicable
D. Interest
E. Penalty
Total Credits (A+ B + C) (2)
o
Totai InteresUPenally ( D + E ) (3)
4. If Line 2 is 9reater than Line 1 + Line 3, enter the difference. This is the DVERPAYMENT.
Check box on Page 1 Line 20 10 requesl a refund (4)
o
o
A. Enter the interest on the tax due.
(5A)
o
o
o
o
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This Is the TAX DUE. (5)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) 0
Make Check Payable to: REGISTER OF WILLS, AGENT
n U j -'I r -17- 1lI11~liII'c~JlII!lI'illl RlIIIIUIJl .
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
No
IKJ
IKJ
IKJ
IKJ
IKJ
IX]
........0 IXJ
IF THE ANSWER TO ANY OF THE ABOVE QUEST/ONS /S YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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;. ... 0
c. retain a reversionary interest; or... ..... .......... ...... ............ .. 0
d. receive the promise for life of either payments, benefits or care? ....... .............. ..... ........" ........... 0
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 for" 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? .....
Under penalties of pe~ury, I declare that I have e){amined this return, including accompallyillg schedules 8rld statements, and to the best of my kl"lowledge and belief. it is true,
correct and complete
Declaration of pre parer other than the personal representative is based on all inform a/ion of which preparer has any knowledge.
SIGNATUR OF PERSON RESPONSI8
~
ADDRESS
202 York Street, Enola, FA 17025
SIG~f'TYRE OF PREPARER OTHER THAN REPRESENTATIVE
W.d~c. ~
ADDRESS
DATE
8/~1 /01
28 N. 32nd Street, Camp Hill, FA 17011
-..~~--.,;.--, Ilffllll..'rilll_
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%
[T2 P.S. ~9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)).
The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if
the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent,
or a stepparent of the child is 0% [72 P.S. ~9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. ~9116(a)(1.3)). A sibling is defined, under Section 9102, as an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
.'''.'''''"'':'''''.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
Judith Snyder
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
FILE NUMBER
21-01-673
ESTATE OF
DESCRIPTION
GOLDFIELD CORP.-stock- 25 shares
VALUE AT DATE
OF DEATH
$14.50
2.
Allied Irish Bks plc.- stock- 1,000 shares
3.
PNC Financial Svcs. Grp- stock- 517 shares
$22,560.00
$34,070.30
TOTAL (Also enter on line 2, Recapitulation) $ 56, 644 .80
(If more space IS needed, insert add"ional sheets of the same size)
REV-1508E'l.Jl.9l)~
" ~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
R~SIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
Judith Snyder
FILE NUMBER
21-01-673
ESTATE OF
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
1988 Suburban Automobile
(150,000 miles)
VALUE AT DATE
OF DEATH
$8,000.00
TOTAL (Also enteron line 5, Recapitulation) $ 8, 000.00
(If more space is needed, insert additional sheets of the same size)
REV;.1511 EX+ (12-99)
,.~,,;t ~,,"
~~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
FILE NUMBER
2001-00673
Judith Snyder
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Sullivan Funeral Home $5435.00
2 Gingrich Memorials $2063.53
3 Enola Emmanuel United Methodist Women $250.00
B. ADMINISTRATIVE COSTS:
1 Personal Representative's Commissions NONE
Name of Personal Represenlative(s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City _ State _ Zip
Year(s) Comm'lssion Paid:
2. Attorney Fees Dissinger and Dissinger $300.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) NONE
Claimant
Street Address
City State _ Zip
Relationship of Claimant to Decedent
4. Probate Fees Register of Wills $115.00
5. Accountant'S Fees NONE
6 Tax Return Preparer's Fees NONE
7.
TOTAL (Also enter on line 9, Recapilulalion) $8,163.53
(ll more space is needed, insert additional sheets of the same size)
.
REV:'6pE~(1.97i
~
-
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
.
COMMONWEALTH OF PENNSYLVANIA
lNHERITANCE TAX RETURN
RESIDENT DECEDENT
Judith Snyder
FILE NUMBER
21-01-673
ESTATE OF
Include unreimbursed medical expenses.
ITEM
NUMBER
DESCRIPTION
AMOUNT
1.
Claremont Nursing Home
$408.00
TOTAL (Also enter on line 10, Recapitulation) $ 408.00
(If more space is needed, insert additional sheets of the same size)
\. /~ -~~- 9
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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
WILLIAM C
DISSINGER
28 N 32ND
CAMP HILL
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
10-22-2001
SNYDER
07-01-2001
21 01-0673
CUMBERLAND
101
DISSINGER
8 DISSINGER
ST
*'
REY-1547 EX AFP 112-00)
JUDITH
A
Allount Rellitted
PA17011
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=iS47-Ex-AFP--fiz--ooY-NoTicE--oF-YNHERITAifci-TAx-A-PPRAISEMENT~--ALLOWAi"ci-oR-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF SNYDER JUDITH A FILE NO. 21 01-0673 ACN 101 DATE 10-22-2001
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ~ returns assessed to date.
ASSESSMENT OF TAX:
15. Allount of Line 14 at Spousal rate (15)
16. Allount of Line 14 taxable at Lineal/Class A rate (16)
17. Allount of Line 14 at Sibling rate (17)
18. Allount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
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
56.644.80
.00
.00
8.000.00
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ad... 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)
UO)
8,163.53
408.00
(111
(12)
(13)
(14)
NOTE:
56,073.27 X
.00 X
.00 X
.00 X
NOTE: To insure proper
credit to your account,
subllit the upper portion
of this forll with your
tax paYllent.
64,644.80
R . 571 Ii~
56,073.27
.00
56,073.27
00 =
045 =
12 =
15 =
.00
.00
.00
.00
.00
(19)=
TAX CREDITS:
PAYI1ENT RECfIPT DISCOUNT (+J AI10UNT PAID
DATE NUI1BER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
I 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.)
.........
c".v'
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Judith Snyder
Date of Death: July 1, 2001
Will No.
2001-00673
Admin. No.
21-01-0673
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of th8 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: NA
3. I f 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 separa te Orphans' Court No. (i f any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes X 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.
~~
Date:
9/
/02
William C. Dissinger
Name (Please type or print)
400 S. State Road, Marysville, PA
Address 1705~
(717) 957-3474
'"I'e 1. N':J.
Capacity:
Personal Representative
X
Counsel for personal
representative
(MAH: rmf / AM3)