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HomeMy WebLinkAbout01-0721 PETITION FOR PROBATE and GRANT OF LETTERS .:ll- OJ - '1~J L.., GE,AJ ~G L No. To: Estate of F" ~19 AJC~ ~ also known as Register of Wills for the . Deceased. County of C r..: ,-11 '6E e LY}u7) in the Social Security No. I {, ::J. - ~;2... ~ 9 (.; I 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!2 I Y in the last will of the above decedent, dated DE CEn1l2>E R S"( , Cj q ? and codicil(s) dated named ,.J.9-'- (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in L'L1lll'P:>~1? I-11.rv ';) County, Pennsylvania, with h last family or principal residence at I J..~,oc..c; 7)CJE.. C/J~L..) SLE. {'If 1?~/3 ('f}IJLJ~~r '~;2/'>J/(;;/1 (list street, number and muncipality) Decendent, then 7 I years of age, died ~T U L 4 I ~ ,4-9: .:J"" I , at C'..JItn 'REfZ..'AN'l'-" l.~ J2~5S//t;l/"-. ~ .,f/,d~<;'IIV~ ).//,;7) E 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: $ I ~ I (){.~O $ $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters '~C::;Tt'1AltlV;-t1e'1 (testamentary; administration c.La.; administration d. b.n.c. La.) theron. '" '-' <I) u C <I) -0 ,-., ot;; ~ <I) .. 0::<1) C -00 c';::: coo.=: 3~ <I) '- 50 'iU c 01) ;;) ~ TEt~ If) I11. ~~/lJ<;E L -:J, -:};-::2 ((I{1../ ~.I1./,T i<~772"d7J R b GA{Z'-'s'LJ;; f'rJ '?(')J~ 3';:;, --.7JJ A J?'1.... r { OATH OF. PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1 ss COUNTY OF C{)i'Yr;:3EetJ9/l! D 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. -~.t:,.,~ -:;p,. J6..e'~Jl ~'r'j,,;;;;V /11- t'"....:. J; /V<;~ / affirmed and 3rd subscribed { day of }pj2001 Register C'-l riQ' :::t ~ - ;:: ~ ~ No. 21-01-721 Estate of FRANCES L. GENSEL , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW AUGUST 3 ~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 dec. 8,1997 described therein be admitted to probate and filed of record as the last will of FRANCES L . GENSEL TESTAMENTARY STEVEN M. GENSEL and Letters are hereby granted to '/nCLi (., ~ ~ PB.~n.~ _ Re~ister of Wi~ I FEES $ 50.00 $ 15.00 $ $ 3.00 ~.OO TOTAL _ $ 7~_OO Filed ....... .~P~Q$f. ~J.~Q9:t. . . . . . . . . . . . Probate, Letters, Etc. ......... Short Certificates( ).......... Renunciation ................ x-pages JCP A TIORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE ~ ~\:b- "i .~ le- 0 \ REGIS 21-01-721 OF WILLS OF COUNTY OF SUBSCRIBING WITNESS I codicil (each) a subscribing witness to the will prese law, depose(s) and say(s) that eing duly qualified according to present and saw the test at , sign the same and that request of testat_ in h presence and other subscribing witness(es)). signed as a witness at the of each other) (in the presence of the Sworn to or affirmed and subscribed b me this day of 19_ (Address) Register (Name) (Address) v REGISTER OF WILLS OF COUNTY OATH OF NON-SUBSCRIBING WITNESS testat,. J V S'7ElJJ;IIJ -'/77. CE/LK'E L -::J1}C'C.:tVi€" /I.,. GEIl?~E/{ (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that /LIE ALlE familiar with the signature of FIZYJ/I'Ir;!;'<; L. ~;Z/PS~L codicil of (one of the subscribing witnesses to) the @ presented herewith and ~dicil believe~ the signature on the ~)is in the handwriting of IA.IE that F,QItI/J("'Z; <-.; ~,G e?//,' S'c t.. to the best of Du ~ knowledge and belief. Register ~~~ 7/;. ~.I'~p; S7?//.E.IV /:J/. lC;;e~s '- ,Name, - ;S)j$l3. u';~LA/t~ r 8t:.?T/~/J1 ~ b. ~I?RL)SLE> PtIl ,.,""', .' 1~(Ad ress). ,./l . / ~ ' (/ ~~,<-<-t' W -z _L ~ /~J--- ,~ci I .~ . -. //(1fi:-[' ~, . v., C/ . " "}e .~ J, ~);~'a IJ~'//1ul It!t (]/i/ e 6,-));: ,(); I (Address) Sworn to or affirmed and subscribed before me this 3rd. day of ~2001 AU~ 1n1, t P.B.~ Th l~ is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Loul 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. 21-01-721 No. IkvL~e~- Fee for this certificate, $2.00 p 7431982 JUL 1 4 2001 Date 3 Rev. 2117 COMMONWEALTH OF PENNSVLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH NAME OF DECEDENT (F"... ModclIe. l" L. Gen-6el UNOER 1 YEAR MonIIw Deya STAlE FilE NUMBER SEX SOCIAL SECURITY NUMBER I. Female 3. 162 - 22 4.7-12-01 BIRTHPlACE (CoIyancl SlaIe 00 fcreogn Counlry) :oIvlo ... Cumbvtl.a.nd DECEDENTS USUAL OCCUfllVlON ~-=:~c::==r " Homema.k.eJl 1111. DE<:EOJNT['S MAILING ~ss (SIr". CoIy(Town. s..l"IpCode) 1 ,ong.6aoJt CaJtli.6le, PA 17013 CaJtli.6le CumbeJl.f.a.nd CJto.6.6.i.ng.6 NWt.6.i.ng ... Ill. KINO OF BUSlHESSIlNOUSTRY WIUl DECEDENT EIIEA IN DECEOENT'S EDUCATION U.S. ARUEDFOflCES? ~O No~ ~ 13. MARITAL STAI'US. u.m.d HeY<< MMied. WIcIDwM. ~ tspecoIy) ,.. W.<.dowe.d RACE. A_Indian.IIIack. While. Me. ISpecolyI Wh.<.te SUAVIVING SPOuSE .I",.gnoo__, DECEDENT'S ACTUAL RESIDENCE -- ",,--. 17L sa... PA 17C.0'llle.......IIved... ...... In.. Did ...... bOd .....in. Cum eJl-l.a.n -...;p? IN.o :;..-:-.:::... MOTHER'S NAME (Fir... MocIdIe. MIIIden Surnamel tI.Pa.ul.<.ne K. FJtoc.k. INFm~~t;'m~o~~dJtli.6ie, CaJtwie cilyIbaoa. PA 17013 -.rE CAUII! (Final _.. concliIion -r...ang..~- G ,1(1/- ~51 q~S--L 'MSCASE REFERREDTOME~ EXAMINERlCORONER? _oa F~ NoD 2t. I~ I ......... ~ : __deetIl I I I ____...... 24-28 _ be c:ornpIeced br -......MlD~CINI/l. =~ ..llIIIIlIIlIDne ...... ......lD....... ~_ E.-UNDlEN.YING ._~p...cr-..rY =flII iIlIIiMed__ -iij'-*'oIll_ILAST ='II WIUlAN AU10PSY WERE AU10PSY FINDNlS ==I'EAFORMED? IUUlMLE I'NOR 10 = COMPLETlONOFCAUSE '= OF DERH? E DUE 10 lOR AS ACClNSEOUENCE OF): DUE TO((lA AS A CONSEOUENCE OF): MANNER OF OEAI'H ...0 NoIl1 Nelurel AccidenI Suicide ~ o o ORE OF INJURY (Manlh. Oey. ..., T.ME OF INJURV INJURY AI' WORK? DESCRIIlE HOW INJURY OCCURRED. - 0 Noftl ~ Pending~ ... 0 NoD CouIcI nal be cIIIlannoned - :la. 21. CUftllEII ~ only aneI "C8I11f'YINQ PHYSICIAN tph~ cef1IIyong c:auMd _ ""*' anoIher physcoan hes 1lI'0I1IlUnC8d _ ana compIeIeCI"em 231 To.........."""-ledge.......___.....c...M(.I__............................................................. . = - ~ ~ -1'RClMO\1t1Cl.1G AND c:EftTll'Y_l'ttTSlCIAN (~bOIh llIon<1U1lC1llO _..-.d C8I1IIY"'O 10 cause 01"''''1 To..._"'...,.....-..__................d8... .ndphlce. enct_......uuM(.I.ndm.nn.'.....,ed.......................... "MEDICAL EXA~ORONEA On1lle buIa aI..........1Io.. endIor ,,,,,..lIgetion.... my opinion, c1eeth occu~., l/",lIme. d.I.. end pl.c., end du.lo lite ceuH(.)..... 31.~ .. ".184.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . . . . . .. . . . . . . . . . . . . .. . . . .. .. . . . .. . . . .. . . . .. .. . REGISTRAR'S SIGNRURE A/IIO NUMBER /I'P 33. I;L/ ;../ ,II ~ j '" \~ ~~ ~' ~ ~ \'>) \} ~ '"'- N ~'~ ';1 ..... - " LAST WILL AND TESTAMENT OF FRANCES L. GENSEL I, Frances L. Gensel, of the Borough of Carlisle, (174 "F" Street), 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 and Codicils heretofore made. FIRST I direct the payment of my just debts as soon after my death as may be convenient. SECOND I declare that I am now married to Harry S. Gensel and that we have three (3) children, to wit: Steven Michael Gensel, 2122 Walnut Bottom Road, Carlisle, Pennsylvania; Debora Jo Swartz, 165 Brookwood Drive, Carlisle, Pennsylvania; and Gregory Lee Gensel, 3361 Bob Bryant Road, Gainesville, Georgia 30507. I have no deceased children nor any other children living. THIRD All the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath, in equal shares, per stirpes and not per capita, unto such of my children as shall survive me by ninety (90) days, but should any of them fail to so survive me then the share such deceased child of mine would have received shall pass to such of his or her issue as shall survive me by a period of ninety (90) days, per stirpes, and if there be no such issue the same shall lapse and be added to the remaining share or shares. I have three (3) children as aforementioned. FOURTH Should any person less than twenty-one (21) years of age be entitled to a distribution out of the residuary of my estate pursuant to Paragraph Third herein, I direct ~uch share shall be paid to Steven Michael Gensel, 2122 Walnut Bottom Road, Carlisle, Pennsylvania, as Guardian of the estate of such person. I further direct that no said Guardian shall be required to post any bond to secure the faithful performance of his or her or its duties in the Commonwealth of Pennsylvania or in any other jurisdiction, and I authorize and direct said Guardian of the estate of such person to receive and to invest said distribution and to pay so much of the income arising thereon together with so much of the principal thereof as in its opinion is necessary or desirable to be expended for the proper maintenance, support and education of such person, and upon such person attaining twenty-one (21) years of age, to pay the then remaining principal together with any undistributed income to such person. r FI FTH I hereby nominate, constitute and appoint my said son, Steven M. Gensel, as Executor of this my Last Will and Testament. In the event of the renunciation, death, resignation or inability to act for any reason whatsoever of my said son, Steven M. Gensel, I nominate, constitute and appoint my said son, Gregory L. Gensel, as Executor of this my Last Will and Testament. In the event of the renunciation, death, resignation or inability to act for any reason whatsoever of both of my sons, I nominate, constitute and appoint my said daughter, Debora J. Swartz, as Executrix of this my Last Will and Testament. I further direct that no bond or other security shall be required of any Executor or Executrix appointed in this Will for the performance of his, her or its duties in any jurisdiction in which he, she or it may be called upon to act. SIXTH In addition to, and not in limitation of, the powers conferred by law or by other provisions of this Will, my Executor shall have the following powers, each of which may be exercised from time to time by my Executor in his sole discretion: (a) To retain in the form received, and to sell either at public or private sale, or to distribute in kind, any real or personal property. (b) To manage both real and personal property. (c) To invest and reinvest in all forms of property, notwithstanding the fact that any or all of the investments made are of a character or size which but for this expressed authority would not be considered proper for an Executor. (d) To exercise any option or rights arising from the ownership of investments. (e) To compromise claims without court approval and without the consent of any beneficiary. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament, written on two (2) pages, this 8th day of December, 1997. '" :;;;;;;rtc~~' ;I~714P~EAL) Frances L. Gensel Signed, sealed, published, and declared by Frances L. Gensel, the Testatrix above named, as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. / ,~ .,;():7.Y7 ;h~ j eiJ :t: - CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: F'RnfIJCES L. GGAJ$'"#L, Date of Death: ? I,~ /01 . I Will No. ;JO~/ - rJ/j '7~ / Admin. No. C:;J- t!>/ - L)?~/ 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 '1r - /0 - ~ / Name Address GRF(;.CJ((."f 1.., GFAJSt5~ J .33&,1 Bt!J~ .BR'L#br,qD~ (;eA/,Q;So/~~e/Gf) D~ 8o~J9 )./ =r- . S (,I.J 19 RT ~ ./ /&5 ~RN~U/ddl) /II//; C/l~iISLe- PAl . Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: 8 - /~ - 0/ ~r~ 7h. /;~~ Signature Name S7F/$"$ //?, QF~S'EL Address ~/d~ ~,,9,t/Vi/r B~~ ~eI C/l~2/SLo /hl /'7L>/3 , Telephone ( '71? ;i~?- OS:::l ~ Capacity: ,,/ Personal Representative _Counsel for personal representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT GENSEL STEVEN M 2122 WALNUT BOTTOM RD. CARLISLE, PA 17013 -------- fold ESTATE INFORMATION: SSN: 162-22-6951 FILE NUMBER: 21-2001- 0721 DECEDENT NAME: GENSEL FRANCES L DA TE OF PAYMENT: 10/03/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 07/12/2001 NO. CD 000342 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $6,412.50 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: STEVEN M GENSEL CHECK# 98 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS $6,412.50 MARY C. LEWIS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT GENSEL STEVEN M 2122 WALNUT BOTTOM RD. CARLISLE, PA 17013 -------- fold ESTATE INFORMATION: SSN: 162-22-6951 FILE NUMBER: 2101-0721 DECEDENT NAME: GENSEL FRANCES L DA TE OF PAYMENT: 03/06/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 07/12/2001 NO. CD 000925 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $618.09 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: STEVEN M GENSEL CHECK# 1000 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $618.09 MARY C. LEWIS REGISTER OF WILLS "v /6-C:;A/?-/~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG. PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, AllOWANCE OR DISAllOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX DATE ESTATE OF DATE OF DEATH D'\7 :16 FILE NUMBER , ,~.. COUNTY ACN 04-15-2002 GENSEL 07-12-2001 21 01-0721 CUMBERLAND 101 '02 l\PR 19 STEVEN M GENSEL 2122 WALNUT BOTTOM RD.. CARLISLE PA 170~.."~!i,(,... Cl,\n."." . *' REY-1547 EX AFP (o1-U2) FRANCES L Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REY=is'4j-ix-AFP-lcff:oz1--Ncii'Ici--oF-'rtiHiRiTANcE-i"-A'X-APPRAiiii"-ENT~--ALi-oWAi'-cE-ifi----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF GENSEL FRANCES L FILE NO. 21 01-0721 ACN 101 DATE 04-15-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total of abb 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 .00 X 00 = .00 163,735.16 X 045 = 7,368.08 .00 X 12 = .00 .00 X 15 = .00 (19)= 7,368.08 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. Hortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Hisc. 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 .00 .00 .00 172J083.07 .00 7J400.00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Hisc. Expenses (Schedule H) 10. Debts/Hortgage liabilitIes/liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 8,886.17 6.861.74 (11) (12) (13) (14) NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 179,483.07 11;.747 en 163,735.16 .00 163,735.16 TAX CREDITS: rAY"~NI ".......... . T {+J AHOUNT PAID DATE NUHBER INTEREST/PEN PAID (-) 10-03-2001 CDOO0342 337.50 6,412.50 03-06-2002 CDOO0925 .00 618.09 TOTAL TAX CREDIT 7,368.09 BALANCE OF TAX DUE .0ICR INTEREST AND PEN. .00 TOTAL DUE .0ICR . 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 HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) ~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: F/<;9,vCES Date of Death: 17//~/~/ . , Will No. 0lI-01- 'l~ t.., GEA/SEL 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 V 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 ~ . b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative sta~ 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. Date: 3/C,/Oa. , , ~.H"~ 7?2 rh ~ __.G ..,~ Signature S r&"!~~4) /d. t'PEAJSGL Name (Please type or print) ~/:l;< I.r/AI!;tJ~r B~rH?~ Ra/ C/9AeL~~~E,,rt'/J ''''~J~ Address ( ? I ')) '" .y 9 - c s ~ :J.. Tel. No. Capacity: ~Personal Representative Counsel for personal representative (MAH:rmf/AM3) RfV.l500EX(6-llll) c. REV-1500 '* COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF REVENUE OEPl 280601 HARRISBURG, PA 17128-0601 Fi~i='fuijBJljJ=..L4...... INHERITANCE TAX RETURN RESIDENT DECEDENT ..Q. ..Q. ~ _L.1.. NUMBER ~ .1.. -- ...Q ..1. COUNTY CODE YEAR .... Z W C W (.,) W C DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Gensel, Frances L DATE OF DEATH (MM.DD.YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER SOCIAL SECURITY NUMBER 162 -- 22 __ 6951 I (IF AFPLlCABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) w >- ~:!i~ og:t) woo "'",... ".." .. .. [Xl 1. Original Return D 4. lirnited Estate [&] 6. Decedent Died Testate (Attach copy of Wil) D 9. litigation Proceeds Received 03. Rernainder Return (dale of death prior to 12-13-82) o 5. Federal Estate Tax Return Required 8. Total Nurnber of Safe Deposit Boxes o 11. Election to lax under Sec. 9113(A) (AttachSchO) D 2. Supplemental Return D 4a. Future Interest Compromise (dale ofdealll alter 12-12.a2) D 7. Decedent Maintained a living Trust (Allach copy of Trust) D 10. Spousal Poverty Credit (date ofdealllblllween 12-31-91 and 1-1-95) I- Z W C Z o .. m '" '" o " NAME Steven M. Gensel COMPLETE MAILING ADDRESS Steven M. Gensel 2122 Walnut Bottom Road Carlisle, PA 17013 FIRM NAME (If Appicable) TELEPHONE NUMBER (717) 249-0522 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole--Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (ScI1edule 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 (Une 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) z o ~ :J .... ii: < (.,) W D:: (1) (2) ~~> -...".... = <-~ (3) :::5:; I~" ' (4) (} ::;;: = 172,083.07 ;::c (5) I 0; (6) -D W (7) 7,400.00 (B) 17Q .d.A~ n7 (9) 8,886.17 (10) 6861 74 15,747.91 (11) (12) (13) 163.735.16 (14) 163,735.16 z o !;;: ... :J 0.. ::E o (.,) ~ SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) '.0_ (15) , .0 'tQ. (16) 7,368.08 163,735.16 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate , .12 (17) , .15 (18) 18. Amount of Line 14 taxable at collateral rate 19. Tax Due (19) 7,368.0B 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Complete Address: STREET ADDRESS 1 Lonasdort Way CITY Carlisle I STATE PA I ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments 6.412.50 C. Discount 337.49 7,368.08 Total Credits (A+ B + C) (2) 6,749.99 3. InteresUPenalty if applicable D.lnterest E. Penalty 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) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. 618.09 A. Enter the interest on the tax due. (5) (SA) B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 618.09 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X"IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Ves a. retain the use or income of the property transferred;............................................"............................................ 0 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 lor life of either payments, benefits or care? ...................................................................... D 2. II death occurred after December 12, 1982. did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. ~ 3. Did decedent own an "in trust lor" or payabie 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? ..........".................................................."........................................................ 0 No D D D D D D D 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 peljury, I declare thai I have examined Ihis return, including accompanying schedules and statements. and to the besl of my knowledge and belief. it is true, correct and complete. Declaration of preparer other Ihan the personal rapresenlalive is based on all infonnationofwhich preparer has any knowIadge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ~ >>/, . ~.o_~~k! ADDRESS 2122 Walnut Bottom Road, Carlisle, PA 17013 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE / /. -3 ~ /.)-2 , " ADDRESS DATE 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. ~9118 (a) (1.1) (ill. 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 retum are still applicable even if the surviving spouse is the only beneficiary. For dates 01 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 01 the child is 0% [72 P.S. ~9118(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use 01 the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9118(1.2) [72 P.S. ~9116(a)(1)]. The tax rate imposed on the net value of transfers to or lor the use of the decedent's siblings is 12% [72 P.S. ~9118(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV.,..",."..,!,,,. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF 21-01-0721 Gensel, Frances L FILE NUMBER 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. 2. 3. 4. 5. 6. 7. Members 1 ST Members 1 ST Members 1 ST M&T M&T Waypoint Waypoint DESCRIPTION 1166 Walnut Bottom Rd, Carlisle, PA Savings No. 204439 1166 Walnut Bottom Rd, Carlisle, PA Checking No. 204439 1166 Walnut Bottom Rd, Carlisle, PA Inv. Savings No. 204439 960 Walnut Bottom Rd, Carlisle, PA Checking No. 1135317 960 Walnut Bottom Rd, Carlisle, PA CD No. 31003908158594 1160 Walnut Bottom Rd, Carlisle, PA CD No. 1700015079 1160 Walnut Bottom Rd, Carlisle, PA CD No. 800-39732 VALUE AT DATE OF DEATH $25.00 $14,736.60 $132,717.24 $2,604.23 $7,000.00 $10,000.00 $5,000.00 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) $172,083.07 ""'15IOEX'''',"'''. COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RElURN RESIDENT DECEDENT ESTATE OF Gensel, Frances L SCHEDULE G INTER.VIVOS TRANSFERS & MISC. NON.PROBATE PROPERTY FILE NUMBER 21-01-0721 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY % OF DEeDS ITEM INClUDETHENAMEOF1HETRANSFEREE,TIElRRB.ATlCJlSHPTODECEOENTAmlHEDATEOFTRNIlSFEfl. ~~;~c O!FD,~Tc~ INTEREST EXCLUSION TAXABLE VALUE ""UR<R ATTACHACOPYOflHEDEEDFORREALESTATE. 1- Steven M, Gensel, Son, 4/30/01 3,000,00 2,200,00 2, Steven M, Gensel, Son, 5130/01 5,200,00 TOTAL (Also enter on line 7, Recapitulation) $ 7,400,00 (If more space is needed, insert additional sheets of the same size) REV''''''''''''''>OI. COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Gensel, Frances L FILE NUMBER 21-01-0721 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Cremation Society of P A 46.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative s Commissions 8,604.15 Steven M. Gensel Name of Personal Representative (5) Social Security Number(s) / EIN Number of Personal Representative{s) 2122 Walnut Bottom Rd Street Address City Carlisle Stale PA Zip 17013 Year(s) Commission Paid: 2002 2. Attorney Fees 3. Family Exemption: (If decedent s address is not the same as claimant s, attach explanation) Claimant Steven M. Gensel SlreetAddress 2122 Walnut Bottom Rd City r.arli~lf'! State PA Zip 17013 Relationship of Claimant to Decedent Son 4. Probate Fees The Patriot News 148.02 Register of Wills 88.00 5. Accountant s Fees 6. Tax Return Preparers Fees 7. TOTAL (Also enter on line 9, Recapitulation) $ 8,886.17 (If more space is needed, insert additional sheets of the same size) ""...,,"",.,,"". COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT OECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF Gensel, Frances L FILE NUMBER 21-01-0721 Include unreimbursed medical expenses. ITEM NUMBER 1- 2. DESCRIPTION AMOUNT $5,847.75 $1,013.99 Cumberland Crossings Retirement Community Alert Pharmacy TOTAL (Also enter on line 10, Recapitulation) $ (If mo", space is needed, insert additional sheets of the same size) 6,861.74 REV-'513 EX_ (9-00. COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX ReTURN RESIDENT DECEDENT 9CI ".II:'J BENEFICIARIES ESTATE OF Gensel, Frances L FILE NUMBER 21-01-0721 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS ~nclude outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. Sleven M. Gensel Son 49,768.19 2. Gregory L. Gensel Son 49,768.19 3. Debra J. Gensel Daughler 49,768.19 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 16 THROUGH 16. AS APPROPRIATE. ON REV-'500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE ,. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS ,. TOTAL OF PART" - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1600 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) Steven M. Gensel 2122 Walnut Bottom Road Carlisle, PA 17013 (717)249-0522 Gregory L. Gensel 3361 Bob Bryant Road Gainesville, GA 30507 August 10, 2001 I have received a copy of the "Notice of Estate Administration" and a copy of the will of "Frances L. Gensel". Gregory L. Gensel Please sign and return to: Steve Gensel 2122 Walnut Bottom Road Carlisle, PA 17013 Steven M. Gensel 2122 Walnut Bottom Road Carlisle, PA 17013 (717)249-0522 Debora~ J. SWartz 165 Brookwood-A>Rr."'" P ~ ::r t/ E Carlisle, PA 17013 August 10, 2001 I have received a copy of the "Notice of Estate Administration" and a copy of the will of "Frances L. Gensel". Please sign and retum to: &leve GenSllI 2122 WalnutBO\Ipm Road Carlisle, PA 17013