HomeMy WebLinkAbout01-0772
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of V'(?IJ.N E. Sf-evIct:.. No. cll-Ol- 7 lot.
also known as To:
Register of Wills for the
Deceased. County of ~fger-I 01'<11. in the
Social Security No. ;;2 (j ~ -;;.. 6 - I if 4- s- 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;e IX named
in the last will of the above decedent} dated . A ~us r 9 1"+). , 19~
and codicil(s) dated )Ja~>>eLf. ;=r;cC;,,}-/'j_ Ll}~ 11,,,- C::;rLv/r K)
~(le4....da.J._ .s~-h <i mAY · /'1Q s-
"
Decende ye rs of age} died , 19 2-D 0 1..,
at I
Except as follows, dece ent did n t 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: .:2 0 9
AJetl
,(Jc1
)
$
$
$
, $ sa atrO be) c.l
:5/~ ~ /:2. h;;l r7
J2 OJ ~oO. trV
,
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters
theron.
(testamentary; administration c.La.; administration d.b.n.c.La.)
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OATH OF' PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA 1 ss
COUNTY OF (' '-LVl.1 be....r /t;Nd .J
If/;-I-I/
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 affir e . and sUbscribed6;-u.l-~ ./f/'",-a~ en
b re me t .s ~ ,/./ ~.
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No. JII.. tJ/ - 77..t
Estate of ~T~ b.. tJ T&/// e~
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ./ftt..q tJj,;<tJ /tJ().~n consideration of the petition on
the reverse side hereof, satisfactory proof having been ~;sented before me,
IT IS DECREED that the instrument(s) dated ~ 9'- 9~
described therein be admitted to p~ate and filed of record as the last will of
::h~;;~;:~!it:if1I!f;;r~
FEES
Probate, Letters, Etc. ......... $=tf.
Short C.er~ificat~s( ~ . . . . . . . . .. $ l
IYn'I~~IIO!IIl" . 'J..-;.y~j" ~ "
TOTAL _ $~
Filed ...................................
Joel R. Zullinger, ESQf7516
AITORNEY (Sup. Ct. 1.0. No.)
14 North Main St., Suite 200, Ch~~bi7~8yrg
ADDRESS
717-264-6029
PHONE
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Th15 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 photo
No.
Fee for this certificate, $2.00
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7499402
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COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
t.
Stevick
UNDER t YENI
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SEll
I.Female
STAtI 'U..-III
SOCIAl. SECURITY NUMBER
z. 202 - 20
..07/27/2001
NAME OF DECEDENTcf.... _. L_'
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WERE AU10PSY FINOINGS
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.l'IlClNOUNCINO AND ceIlTFfWiIO PtlVSICIAN If'hyslctan __ iJlonounc:"'O ClNltl and ~ 10 c_ 01 <Ie.""
To the __ of ety~. elM'" occur.... AI......... da.e, and pI..:e, and Clue to the cauMCa. and Ift.n,..r.. ".Ied.. . . . . . . . . . . . .
..DlCAL UAIIINl!RlCOflONER
On _ _ or .."","'''lOn andIOf In..atlgallOn. In my 0II1n1On. da"" occurred ..11M lima, dal.. and p1ac.. _ cIu.IO Ilia cau..(a)_
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JRZ:cb - July 9, 1993
LAST WILL AND TESTAMENT
I, Jean E. stevick, of Lurgan Township, Franklin County,
Pennsylvania, being of sound and disposing mind, memory and
understanding, do hereby declare this to be my will, hereby
revoking any and all former wills and codicils thereto by me
heretofore made.
FIRST
I direct that all my just debts and funeral expenses,
including all expenses of my last illness, shall be paid from my
estate as soon as practicable after my decease as a part of the
expense of the administration of my estate.
SECOND
I give, devise and bequeath the residue of my estate of every
nature and wherever situate to my husband, Walter H. stevick, Sr.,
providing he shall survive me by thirty days.
THIRD
Should my husband predecease me or die on or before the
thirtieth day following my death I give, devise and bequeath the
residue of my estate of every nature and wherever situate to my
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children, namely Connie christy, ~onita Gardner, and Walter H.
Stevick, Jr., in equal shares, provided that the share of any child
who predeceases me or dies on or before the thirtieth day following
my death shall be distributed to said beneficiary's issue, per
stirpes, living on the thirty-first day following my death, and in
default of any such then-living issue, such share shall be added
to the share or shares of my other children.
FOURTH
Any fiduciary under this will 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 retain any and all of the assets of my estate, real
or personal, without regard to any principle of
diversification of risk.
B.
To invest in all forms of property including stock,
common trust funds and mortgage investment funds without
restriction to investments authorized for Pennsylvania
fiduciaries as they deem proper, without regard to any
principle of diversification of risk.
C.
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
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as they deem proper.
D. To allocate receipts and expenses to principal or income
or partly to each as they from time to time think proper.
E. To compromise any claim or controversy.
F. To distribute in cash or in kind or partly in each.
G. To hold property in their names without designation of
any fiduciary capacity or in the name of a nominee or
unregistered.
FIFTH
I direct that all taxes that may be assessed in consequence
of my death of whatever nature and by whatever jurisdiction
imposed, shall be paid from my residuary estate as a part of the
expense of the administration of my estate.
SIXTH
In the event that anyone entitled to a share of my estate
should be under the age of eighteen years at the time for
distribution to said beneficiary, I constitute and appoint
f3 6 >'1; +-~ GC<-t--Cl,le r
guardian of any property which passes
either under this will or otherwise to said minor. said guardian
shall in the guardian's sole discretion and without order of court,
use principal as well as income from time to time as may appear to
be necessary for the minor's wel fare, comfort, medical care,
recreation, support and education, without responsibility to the
minor or to any person taking care of the minor; and the remaining
Page 3
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balance in the hands of said guardian shall be distributed to said
minor when the minor attains the age of eighteen years. If such
minor dies prior to attaining the age of eighteen years, said
guardian is authorized in the guardian's discretion to pay part or
all of the minor's funeral expenses and the remaining balance in
the hands of said guardian shall be distributed to the minor's
personal representative.
In the event the funds held by the
guardian for any minor become in the opinion of the guardian too
small for proper and efficient administration, the guardian, in the
guardian's sole discretion, may deposit such funds in a savings
account in the name of the minor.
SEVENTH
I appoint my husband, Walter H. stevick, Sr., as executor of
this my will. Should my husband predecease me, fail to qualify or
cease to act, I appoint my daughter, Bonita Gardner, as executrix
of this my will.
EIGHTH
No bond shall be required of any fiduciary hereunder in any
jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this
my last will and testament, consisting of six typewritten pages,
the first three of which bear my signature in the margin for the
Page 4
purpose
of
identification
this
-2..~
day
of
a(J~
, 19~.
9'J-J '1 L
i
6' ~L-( -,,~/h (SEAL)
Signed, sealed, published and declared by the above-named
testatrix, 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 set our hands as attesting witnesses.
y/~W#/kJ~~esiding at /JS'~4~~
/ { f
(.Ie..) CLLcn ('0 #;\ t1LLLJl i.) residing at "ffJLd (ilutlllJ;U R Ii --./}h j (2fl rlJ/JLLLLL9 ' ;14
We,
Jean E.
stevick,
,JoeJR, let"1(19C:Y
and
ll-){t~\!n /\/1, StJo-ycr
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 (or
directed another to sign for her), 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 witnesses and to the best of their knowledge,
the testatrix was at that time eighteen years of age or older, of
Page 5
.
sound mind and under no constraint or undue influence.
:t:<i-~ r;; --6;1;;.,;'<'. k
~tatrix
W r~LA
witness
r\ . &t
L(- )(j.Lc'Jy-, r y ). / j\ ({li,ft)
witness
Subscribed, sworn to and acknowledged
before me by the above-named testatrix
and subscribed and sworn to before m~
by the above-named witnesses this 9
day of , 19 93
Public
HOT AntAL SEI: l
LOiS A.. SOlw~BERGER, Notary Public
ShlPPCnsbur~ B010. Cumberland Co PA
My Co,!,mlSSlon expires March 3, 1997
Page 6
Franklin County
Estate of Jean E. Stevick
E
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: Jean E. Stevick
Date of Death: 7/27/0~~_____ Estate No. 2001-00772
SSN: 202-20-1445
File No.
21-01-0772
--.. -~._.-
Date Letters Granted: 8/f0/01
_ Will or Administration No. 2001-00772
To the Register:
I certify that Notice of 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 8/22/01 _____ ~~~u______~_____~_____~__
Name
Bonita K. Gardner
Address
26 Hassinger Road
Newb~_~__
211 Neil Road
Shippensburg
4376 Church Road
Chambersburg
_______PA 172~_
PA 17257
Connie Christy
Walter H. Stevick, Jr.
PA 17201
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
~~~xceptions. ____
Date: 8/22/01
_ _ _Q~7<..~
Signature' .J .
'<. - ~
Capacity:
______ Personal Representative
_X_ Counsel for Personal
Representative
Joel R. Zullinger, Esg. ______
Name (Please type or print)
14 North~ain Street
Address
Chambersbur~ 17201_______ _
Telephone No. 717-264-6029
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
ZULLlNGER JOEL R
14 NORTH MAIN STREET,SUITE 200
CHAMBERSBURG, PA 17201
-------- fold
ESTATE INFORMATION: SSN: 202-20-1445
FILE NUMBER: 2101-0772
DECEDENT NAME: STEVICK JEAN E
DATE OF PAYMENT: 04/08/2002
POSTMARK DATE: 04/05/2002
COUNTY: CUMBERLAND
DATE OF DEATH: 07/27/2001
NO. CD 001041
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $824.38
I
I
I
I
I
I
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TOTAL AMOUNT PAID:
$824.38
REMARKS: BONITA K GARDNER
C/O JOEL R ZULLlNGER ESQ
CHECK#137
SEAL
INITIALS: CW
RECEIVED BY:
REGISTER OF WILLS
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
ZULLlNGER & DAVIS A TTYS
14 NORTH MAIN STREET SUITE 200
CHAMBERSBURG, PA 17201
-------- fold
ESTATE INFORMATION: SSN: 202-20-1445
FILE NUMBER: 21 - 2001 - 0772
DECEDENT NAME: STEVICK JEAN E
DA TE OF PAYMENT: 10/25/2001
POSTMARK DATE: 10/24/2001
COUNTY: CUMBERLAND
DATE OF DEATH: 07/27/2001
NO. CD 000436
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $3,420.00
I
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I
I
I
I
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TOTAL AMOUNT PAID:
REMARKS: BONITA K GARDNER
C/O ZULLlNGER & DAVIS ATTYS
CHECK# 112
SEAL
INITIALS: SK
RECEIVED BY:
REGISTER OF WILLS
$3,420.00
MARY C. LEWIS
REGISTER OF WILLS
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\J BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. za0601
HARRIS8URG, 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
FILE NUMBER
COUNTY
ACN
05-20-2002
STEVICK
07-27-2001
21 01-0772
CUMBERLAND
101
'02 hi\Y
24
',L'6
JOEL R ZULLINGER
ZULLINGER DAVIS
14 N MAIN ST STE \.2,0.0
CHAMBERSBURG ~~lrJl,1;201
*'
REY-1541 EX AFP UI-02)
JEAN
E
Allount R8IIitted
) CHANGED
(1)
(2)
(3)
(4)
(5)
(6)
(7)
54,081.84
19,516.61
.00
.00
36,607.07
.00
.00
(8)
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 ~
RE-,,=is'47-ix-AFP--co1-:02i--NO"fici--OF-iNHiififiNCi-YAi-A-riPRA-isii'-iNT~--ALi-oWANCE-oi-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF STEVICK JEAN E FILE NO. 21 01-0772 ACN 101 DATE 05-20-2002
TAX RETURN WAS: (X) ACCEPTED AS FILED
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. Hortgeges/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
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adll. Costs/Hisc. Expenses {Schedule HJ
10. Debts/Hortgage liabilities/liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governllental Bequestsj Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
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 (IS)
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
NOTE:
(9)
(10)
10,914.26
NOTE: To insure proper
credit to your account,
subllit the upper portion
of this forll with your
tax pay..ent.
110,205.52
11.88a; 98
98,319.54
.00
98,319.54
(19)=
.00
4,424.38
.00
.00
4,424.38
971.72
(11)
(12)
(13)
(14)
.00 X 00 =
98,319.54 X 045 =
.00 X 12 =
.00 X 15 =
TAX CREDITS:
.-...n~nl KI:l,;I:~rl l+J AHOUNT PAID
DATE NUHBER INTEREST/PEN PAID (-)
10-24-2001 CDOO0436 180.00 3,420.00
04-05-2002 CDOOI041 .00 824.38
TOTAL TAX CREDIT 4,424.38
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS lESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A ..CREDITIW (CR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
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STATUS REPORT UNDER RULE 6.12
BEFORE THE REGISTER OF WillS, COUNTY OF CUMBERLAND , PENNSYLVANIA
Name of Decedent: Jean E. Stevick
Date of Death:
7/27/2001
File No.
21-01-0772
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect
to the 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 ~
b.
The separate Orphan's 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 file~ith the;C~k of the Orphans' Court and may be attached to this report.
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Date: 7/5/2003
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14 North Main Street. Suite 200
Address
Chambersburg
PA 17201
(717)264-6Q29
Tel. No.
Capacity: _ Personal Representative
~ Counsel for personal representative
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Cumberland County - Register Of Wills
Hanover and High Street
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 6/10/2003
GARDNER BONITA
26 HASSINGER RD
NEWBURG, PA 17240
RE: Estate of STEVICK JEAN E
File Number: 2001-00772
Dear Sir/Madam:
It has come to my attention that you have not filed the Status
Report by Personal Representative (Rule 6.12) in the above captioned
estate.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO.
103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after
July 1, 1992, the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Register of
Wills a Status Report of completed or uncompleted administration.
This filing will become delinquent on: 7/27/2003
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
cc: J File
Counsel
Judge
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U.S. POS1RGE
PR1D
RMOUNi C~RMBERSBURG.PR
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$') 01 ~~~3~~5'\ ~%9
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JOEL R. ZULLlNGER, ESQ.
200 Chambersburg Trust Co.
Chambersburg, PA 17201
y c. LeWis, Register
berland County courthouse
'lisle, PA 17013
REV-1500 EX + (6-00)
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Stevick Jean E.
DATE OF DEATH (MM-DD-Year)
DATE OF BIRTH (MM-DD-Year)
07/27/2001 01/20/1927
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
[KJ1. Original Return
o 4. Limited Estate
[Xl 6. Decedent Died Testate (Attach copy of Will)
o 9. Litigation Proceeds Received
o 2. Supplemental Return
o 4a. Future Interest Compromise (date of dealtl after 12-12-82)
o 7. Decedent Maintained a Living Trust (Attach copy ofTrust)
o 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95)
I-
Z
W
o
Z
o
0..
III
W
0::
0::
o
U
OFFICIAL USE ONLY
c
17--/-/1
----..----.--....---
FILE NUMBER
2 1 -0 1 0 7 7 2
"'COUNTYCOOE --YEA~ - - NUMsER- -
SOCIAL SECURITY NUMBER
2 0 2 - 2 0 - 1 445
THIS RETURN MUST BE FilED IN DUPLICATE WITH THE
REGISTER OF WilLS
SOCIAL SECURITY NUMBER
o 3. Remainder Return (date of death prior to 12-13-82)
o 5. Federal Estate Tax Return Required
.1.. 8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Attach Soh 0)
COMPLETE MAILING ADDRESS
14 North Main Street, Suite 200
NAME
Joel R. Zullin er
FIRM NAME (If Applicable)
Zullin er Davis P.C.
TELEPHONE NUMBER
717 264-6029
Chambersbur
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
(1)
(2)
(3)
(4)
(5)
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)
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)
(6)
(7)
(9)
(10)
14. Net Value Subject to Tax (Line 12 minus Line 13)
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)
X _(15)
98,319.54 X .045 (16)
X .12 (17)
X .15 (18)
(19)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
20. 0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
PA 17201
54.,.Oa 1 .84
..... ,/ " ..1
1~5;16.61 i ~
OFFICIAL USE ONLY
I
I~
36,607.07 I
\ <;:
. r.
I '<...;
(8)
110,205.52
10,914.26
971.72
(11)
(12)
(13)
11 ,885.98
98,319.54
0.00
(14)
98,319.54
4,424_38
4,424.38
Decedent's Complete Address:
STREET ADDRI])S
, , 209 Neil Road
CITY I STATE 'I ZIP
Shippensburg PA 17257
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
4,424.38
3.420.00
180.00
Total Credits (A + B + C)
(2)
3,600.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty ( 0 + 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. (5)
A. Enter the interest on the tax due. (5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58)
Make Check AGENT
0.00
824.38
824.38
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred; ........................................................................... 0 00
b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 00
c. retain a reversionary interest; or ...................................................................................................... 0 00
d. receive the promise for life of either payments, benefits or care? ............................................................. 0 00
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration?.................. .... ...................... ........................... .......... ...... ....... 0 00
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ................. 0 00
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ............... ............................. .............. ............ ....... ............ .............. 0 00
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3%
[72 P.S. ~9116 (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 exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if
the 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 ofthe 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. !l9116(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. !l9116(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 DE EDENT
ESTATE OF FILE NUMBER
Stevick. Jean E. 21 01 0772
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged
between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with
right of
survivorshiD must be disclosed on Schedule F.
SCHEDULE A
REAL ESTATE
ITEM
NUMBER
1.
I
DESCRIPTION
Gross proceeds from sale of decedent's real estate situate at 209 Neil Road, Shippens-
burg, PA, to Robert C. Smith; copy of HUD attached
VALUE AT DATE
OF DEATH
53,900.00
2.
Received on proration of real estate taxes on above sale
181.84
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
54081.84
.~"~a.,,~ .
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
Stevick. Jean E.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
FILE NUMBER
21 01
0772
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
376.35
13.0000 trust interest MetLife @28.95
2.
Bond Fund of America Account #61452307, 1407.521 shares @12.98; copy of letter
attached
18,269.62
3.
U.S. Series EE Bonds as shown on attached inventory
870.64
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
19.516.61
~ REV-\5C8EX+(1-97) ~_
'~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
21 01
ESTATE OF
Stevick Jean E.
0772
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.
8.
9.
10.
11.
12.
13.
DESCRIPTION
Personal Property appraised by Dennis L. Gotshall; copy attached
VALUE AT DATE
OF DEATH
1,059.00
Internal Revenue Service, tax relief
300.00
Refunds, Blue Cross/Blue Shield
267.97
Checking Account #309915, Orrstown Bank, including interest accrued to date of death;
see copy of letter attached
1,418.57
Certificate of Deposit #20050175, Orrstown Bank, including interest accrued to date of
death; see copy 0 f letter attached
4,452.89
Certificate of Deposit #20053996, Orrstown Bank, including interest accrued to date of
death; see copy of letter attached
6,003.91
Certificate of Deposit #20055794, Orrstown Bank, including interest accrued to date of
death; see copy of letter attached
7,613.63
Certificate of Deposit #30052792, Orrstown Bank, including interest accrued to date of
death; see copy of letter attached
14,034.63
Prime Share Account #221600, Patriot Federal Credit Union, including interest accrued
to date of death; see copy of letter attached
11.12
Coins appraised by Carl L. Spidell; copy attached
819.94
1986 Buick Century Custom Sedan, 4 door; appraisal attached
355.00
Refund on car insurance
227.91
Refunds
42.50
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
36607.07
REV-1511 EX +(1-97) ~_
.~
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Stevick. Jean E
FILE NUMBER
21
01
0772
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
1.
B.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
DESCRIPTION
AMOUNT
FUNERAL EXPENSES;
Fogelsanger Bricker Funeral Home, funeral service
5,270.20
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s) Bonita Gardner
Social Security Number(s) I EIN Number of Personal Representative(s)
Street Address 26 Hassinger Road
City Newburq State PA Zip 17240
Year(s) Commission Paid: 2002
Attorney Fees Joel R. Zullinger
Family Exemption: (If decedent's address Is not the same as claimant's, attach explanation)
Claimant
2,000.00
2,000.00
0.00
Street Address
City
State
Zip
Relationship of Claimant to Decedent
Probate Fees Mary C. Lewis, Register - JCP fee 5.00; probate petition 115.00; extra pages
15.00; short certificates 27.00; filing return 15.00; additional probate fee 120.00
Accountant's Fees
297.00
Tax Retum Preparer's Fees
Dennis Gotshall, appraise personalty
Sollenberger's, transfer motor vehicle title
Cumberland Law Journal, advertise letters
News-Chronicle, advertise letters
Cumberland Franklin Joint Municipal Authority, sewer service to residence
Adams Electric Cooperative, utilities to residence
Borough of Shippensburg, utilities to residence
Sprint, telephone service to residence
Russell Christy, repairs at residence
Sprint, telephone service to residence
Adams Electric Cooperative, utilities to residence
News-Chronicle, advertise sale of real estate
35.00
10.00
75.00
132.00
49.20
54.00
31 .29
27.45
22.50
22.37
28.00
66.00
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
10914.26
-"""""-"" '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Stevick. Jean E.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
FILE NUMBER
21
01
0772
Include unreimbursed medical expenses.
ITEM
NUMBER
I
DESCRIPTION
AMOUNT
1.
Adams Electric Coop., utilities prior to death
50.00
2.
Chambersburg Imaging, medical services
30.48
3.
Chambersburg ALS, medical transport
32.50
4.
Cumberland Valley EMS, medical services
455.00
5.
Chambersburg Hospital, medical services
226.35
6.
Sprint, telephone service prior to death
70.34
7.
Nephrology, medical services
20.53
8.
Chambersburg Gastroenterology Associates, medical services
40.70
9.
Branch Creek Physicians, medical services
15.82
10.
Vascular Associates, medical services
30.00
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
971.72
-'~"''''-''-
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
FILE NUMBER
Stevick Jean E. ?1 01 0772
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
L TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1. Bonita K. Gardner daughter one-third of residue
26 Hassinger Road
Newburg, PA 17240
2. Connie Christy daughter one-third of residue
211 Neil Road
Shippensburg, PA 17257
3. Walter H. Stevick, Jr. son one-third of residue
4376 Church Road
Chambersburg, PA 17201
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1. 0.00
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1. 0.00
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0.00
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
Stevick, Jean E.
21
01
0772
PaQe 1
Schedule H - Funeral Expenses & Administrative Costs - 87.
ITEM
NUMBER
DESCRIPTION
AMOUNT
19.
20.
21.
22.
23.
24.
25.
Carl Spidel, appraise coins
News-Chronicle, advertise sale of real estate
News-Chronicle, advertise sale of real estate
Franklin Shopper, advertise
News-Chronicle
Notary fee on deed for transfer of real estate
Recorder of Deeds, transfer tax on sale of residence
70.00
38.52
79.22
24.00
38.51
5.00
539.00
SUBTOT AL SCHEDULE H-B7
794.25
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LAST WILL AND TESTAMENT
I, Jean E. stevick, of Lurgan Township, Franklin County,
Pennsylvania, being of sound and disposing mind, memory and
understanding, do hereby declare this to be my will, hereby
revoking any and all former wills and codicils thereto by me
heretofore made.
FIRST
I direct that all my just debts and funeral expenses,
including all expenses of my last illness, shall be paid from my
estate as soon as practicable after my decease as a part of the
expense of the administration of my estate.
SECOND
I give, devise and bequeath the residue of my estate of every
nature and wherever situate to my husband, Walter H. stevick, Sr.,
providing he shall survive me by thirty days.
THIRD
Should my husband predecease me or die on or before the
thirtieth day following my death I give, devise and bequeath the
residue of my estate of every nature and wherever situate to my
Page 1
- ,
'-,-
i
\ .'
"-
. ",,--
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(-,
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'-
'-,
-............,
'-
children, namely Connie Christy, Bonita Gardner, and Walter H.
stevick, Jr., in equal shares, provided that the share of any child
who predeceases me or dies on or before the thirtieth day following
my death shall be distributed to said beneficiary's issue, per
stirpes, living on the thirty-first day following my death, and in
default of any such then-living issue, such share shall be added
to the share or shares of my other children.
FOURTH
Any fiduciary under this will 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 retain any and all of the assets of my estate, real
or personal,
without
any
regard
principle
to
of
diversification of risk.
B. To invest in all forms of property including stock,
common trust funds and mortgage investment funds without
restriction to investments authorized for Pennsylvania
fiduciaries as they deem proper, without regard to any
principle of diversification of risk.
C. 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
Page 2
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as they deem proper.
D. To allocate receipts and expenses to principal or income
or partly to each as they from time to time think proper.
E. To compromise any claim or controversy.
F. To distribute in cash or in kind or partly in each.
G. To hold property in their names without designation of
any fiduciary capacity or in the name of a nominee or
unregistered.
FIFTH
I direct that all taxes that may be assessed in consequence
of my death of whatever nature and by whatever jurisdiction
imposed, shall be paid from my residuary estate as a part of the
expense of the administration of my estate.
SIXTH
In the event that anyone entitled to a share of my estate
should be under the age of eighteen years at the time for
)
~ distribution to said beneficiary, I constitute and appoint
"
[))C:' . 1 , + - C:,,<, . ,- (, ,.' r-
guardian of any property which passes
""~
either under this will or otherwise to said minor. Said guardian
shall in the guardian's sole discretion and without order of court,
use principal as well as income from time to time as may appear to
be necessary for the minor's welfare, comfort, medical care,
recreation, support and education, without responsibility to the
minor or to any person taking care of the minor; and the remaining
Page 3
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balance in the hands of said guardian shall be distributed to said
minor when the minor attains the age of eighteen years.
If such
minor dies prior to attaining the age of eighteen years, said
guardian is authorized in the guardian's discretion to pay part or
all of the minor's funeral expenses and the remaining balance in
the hands of said guardian shall be distributed to the minor's
personal representative.
In the event the funds held by the
guardian for any minor become in the opinion of the guardian too
small for proper and efficient administration, the guardian, in the
guardian's sole discretion, may deposit such funds in a savings
account in the name of the minor.
SEVENTH
I appoint my husband, Walter H. Stevick, Sr., as executor of
this my will. Should my husband predecease me, fail to qualify or
cease to act, I appoint my daughter, Bonita Gardner, as executrix
of this my will.
.,
"
EIGHTH
No bond shall be required of any fiduciary hereunder in any
jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this
my last will and testament, consisting of six typewritten pages,
the first three of which bear my signature in the margin for the
Page 4
purpose
of
identification
this
--.Z:~
day
of
(ld~
, 19~.
;:.~
_ ;: '. - ,j\L~r:-'-.. i'. (SEAL)
Signed, sealed, published and declared by the above-named
testatrix, 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 set our hands as attesting witnesses.
C)v/ v-?uZ/~/,aeSiding
at
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residing at -';Cd..<
'ti_LCrjU C
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We,
Jean
E.
stevick,
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.)
and
,j
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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 (or
directed another to sign for her), 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 witnesses and to the best of their knowledge,
the testatrix was at that time eighteen years of age or older, of
Page 5
sound mind and unde~ no constraint or undue influence.
( r: r /e, ..<)'r-:-,,-,/ ,-1 A'
W::?Jd~bC
witness
t i' C .
witness'
'1 ((( ,l.'
Subscribed, sworn to and acknowledged
before me by the above-named testatrix
and subscribed and sworn to before m~
by the above-named witnesses this 9
day of ~ ' 19 93
~~o~..,~
~ _' ~~.;..~~..~...t:.;at
5. . ..~()1.kr~_lAL Sr:.l:l ~
" ......" " ~.~., '''el~
'-':"" h. ~J,.,~_,:r~,.<:rl.iF.(\, Notary Public
. S~;!'~'~:'$bl~;rfi ~:)i(i, ClJmOOfiand Co., PA
L.~~~~...~~rn:.:::I\!n !:.\pirea March 3. 1~
~~~
Page 6
Mar 07 02 12:54p
p.2
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A. Settlell1enl Statement
u.s. I)Hpal.trnenl of Housing and Urban Development
DMB No. 25D2:02.6.5___
..aJ.Xl:E..QEJ.QAN
1. Dl"l-lA 2. DFIl1IlA J. Oeon\'. Unins.
.-1....Dv A S K1Conv Ins
6. FILE NUMBER
1''1'1\6674
FINAL
FRANKLIN REAL ESTATE SERVICES AND ABSTRACTING COMPANY, INC.
1035 WAYNE AVENUE . CH~BER55URG, P^ 17201
TEL 717-264-3290
FAX: 717-264-1965
7. LOAN NUMBER
709870
X. MORTGi\GE INSURANCE CASli NUMIJER
I
Thl$ form'~ furnished \Q give you it statement of actual '8mement C05t5. Amount~ I)ald to and by tho 5ottlolllunt ageul are shown.
C. Note: lIem. """ked "(p.o.~.}" were paid oul.ldelhe ~Ioslng; Ihoy are shown hero fa' Informallon pU'posas all" ar. nollnclu"od In Ih. totals.
WARNING: It Is a crime 10 knowingly make faIn .lalemenl. ~~1~:I~:duS~~~'0~~~\'~O~"::~,rd s~~~:~~~llas upon
D. NAME OF BORROWER: Robert C. Smith
ot A8 5 0 Line W " t Fa elte me 1> 17222
E. NAMe or saLER: Lust Will & Testament of Jean E. Stevick and Bonita K. CanineI', Executrix
c/o Zullingel' - Davis ___o___n__
r. NAME or LENDER: Patriot Federal Credit Union
01
G. PROPERTY ADDRESS:
H. SETTLEMENT AGENT:
K. SllM.M.lill.l'.J2f: SELLER':~
~lilUE TO SELLER:
5:3 , 900 . 0 0 ~~n1r.e.ill.a~~
o . lliliLP.J:!lJ19ffl
T N
53,900.00
]. 713.44 ~
~-t.
~
70.00
111. 84
~'ilirleu1s for Hems paid
406 CII~
".~kla,1(~02/25/02to12/n OZ
~...-SctlQ.QLIaxes o2cL2 51 02 1006/30 02
70.00
111.84
oak1..bY..seller.. Q.adlLallCll
55,795.28
I
...A2.Q, GI~OSS lIMOUNT DUE TO SEll ER: ==l
~....BfQucrlQ~UN....LQ~
.~5.Ji.UIlIIQJilLl~<lli1llC.lliuJlil...--
~emel1t charoeuo \;j>lIer mIle 1400\
.....w~--ElU.~[Ill0rUlu{~~illQ._
504 Payoll of First Mortgage I oan
54,081.84
48 510.00
725.66
....MS~!L2f_fuo.s;Q[Ul.MQ[~1---....-.
506
~O]~__.
..JiJ2j~
~
48,510.00
Adiusll1l~Of items ulllJaid bv sellff
CII~1l'lIlL1AXeS
COllnty taxes
M
J1!!~_.
~1JL_______._. . '._._._..._._..__00. ..__.0__
EDUCTION AMQ!lIiU2UE_S.flLER I
...JillQ..~~.llialLl;ME:NT TO QR.flillM SElLEf;\
725.66
1':>' Ut"'\l\ IIY~t~~~i' ~~U.~~l::::'I\\'<U Ul'-~}\I~ l)~ V '''.\J1 IVlIO\'< I
L
/J TOTAl Chi "'c''''BQKER'S COMMISSION based oD.Jl[!.caLLO. 000 =
:l nlvialn" "001 o~ fnllnw~'
!.;:.i/t; .. ::
Vf;::: . 1(1} tiWlltLLQAN
'i~
'I Rn1 I non Orlolnalion Fee
Jll2.~Lalln.O.Walunl
An~ ~nn~lsaIFee
%
-/6
"lle NlIll1 >er: J lAM /4
.i.MU:',L
10 Patriot Federal Credit (1lnb:u'c. U~.5. 00 Buyer LR
to Patriot Federal Credit 'UtPimnc.}~1.50 Buver LR
_6.0!l._C.rlldlt..RelKl[1
RR~ I ~n.dM's.Jnspectlon Fee
aRa .. - plication Fell
807 Assumption Fee
808. TaxServlcefee 10 Patriot Federal
ARll !'.... 1n 'Patriot Federal
AiR 1'".. In Patriot Federal
J11Jfl1kUAIl\ll.fee 10 Patriot Federal
QOO ITFM~ 0 BY LENDER TO BE PAID IN ADVANCE
QRi In',,'''.' I',n...o2/25/2002'n 03/01/2002 Iij)S 11.2968
---.ill2 Mortoaoe Insurance Premium for
903. n. ... m for
1104.
005
--1il.QQ...RESERVES DEPOSITED WITH LENDER FOR
1001 Hazard Insu~pncD mo @ S
1002. Modllane Insurance mo. IilJ S
1 RO~ r:ltv Prnperty Taxes mo. @ S
1004. Countv Pronertv Tues mo. @ S
-1005. School Taxes mo.@ S
1009. . 4n'~usIRlent
111\1\ TITl F'
Credit
credit
Credit
Credit
to
to
1101. Settlement or closlnl;J fell
110' ,~"arr.h
1103. Ion
1104.
_WILn~lIll:Jl~lWAtW[l
HIll\
to Robin M. Mull
to Zullinqer - Dav,;s
Jill.....Altorney's fees
1lru;Iu1!llu~tems No:
-111l!h...IJ.1Jelnsurance to Franklin Real Estate
...-.,.... ,It,,~~_____
Union __~~
(1ln:tt\lC.) 150. 00 Bl!.ye r LR
Union LR
Union LR
IdUL
4 Days
LR
ImlL
1!1lO-
IIU.2-
I f1lSL...
/IUO
---- --
--
POC
_L--.
services
. ---L-
48,510.00 -
53,900.00 - 582.75
~ Franklin Real Estate Services
111'1'"
111R nwn"~we $
_t1U~End 100 End 300 End 900
111'
:1.lli.
1?1l1l 'RFr.()RQ[NG AND TRANSFER CHAaGfS
1201, Recordino Fees Deed S 2 5.50 . Modgllge S 51.5 0 ;.~tcase $
1?R2. City/County tax/stamps Deed S 539 . 00 ' Mort(lag8 S
1203 St.t" Tax/stomps Qud S 539 . 00 . MQr~la"e ,
,-tlM
17M
1300 ADDITIONAL SETTLEMENT CHARGES
1301. Stlrv"v
1302. P".I
1303
1304 Final Septic
1~n" Final Water
130&
1:107
f-U06
In Vivian Cov. ~rax Collector
to CP'JMA
to Borough of Shippensburg
--
---
-~~
__==E
PINAL
PJIID FROM
BOHROWER'S
FUNDS AT
SETTLEMENT
80.00
160.00
19.50
50,00
45.19
0.00
10.00
582.75
150.00
77 .00
539.00
l1400..TQ.TAL SETTLE;MENT CHARGES
~jlnlll.t..Qll.llnu..1Jla...s~llQn.J..and.Ml2~Sll.kllQn-KL -----L ( 713 . 44
HUD CERTIFICATION OF BHVFR All.ln ~I=I I J:::~
PAID FROM
SELLER'S
FUNDS AT
SETTLEMENT
0.00
5.00
539.00
725.66
Inventory 1
Accrual Bonds
Redemption Date: 7/200.'-
Issue Yield Next Final
Serial Number Denom. Series Date Value Interest To Date Accrual Maturity
RB 903541EE 5200 r-'.r' 11/1992 $165.36 $65.36 6.01 11/2001 11/2022 *
RB9035412EE $200 EE 11/1992 $16S.36 $65.36 6.01% 11/2001 11/2022 *
R89035413EE $200 EE 11/1992 5165.36 $65.36 6. OF 11 /2001 11/2022 *
R85940574EE $200 EE 9/1992 $165.36 $65.36 6.01% 9/2001 9/2022 *
R88981943EE $200 EE 10/1992 $165.36 $65.36 6.01% 10/2001 10/2022 *
L482389911EE $50 EE 10/1991 $43.84 $18.84 6.00% 10/2001 10/2021 *
1 ::: Not eligible for payment (purchase price) 2::: Matured (exchangeable for HH) 3::: Matured (not exchangeable)
* = Possibly eligible for U.S. Savings Bond Education Benefit Program.
See footnotes on Inventory Summary page.
1
Inventory 1
Inventory Summary
~edemption Date: 7/2001
Number Inventory Redemption
of Bonds Value Value Interest
Accrual Bonds
Pre-January 1990 Issue Dates: 0 $0.00 $0.00 $0.00
January 1990 and Later Issue Dates: 6 $870.64 $870.64 $345.64 *
6 $870.64 $870.64 $34~,.64
Current Income Bonds 0 $0.00 $0.00 $0.00
Inventory Totals 6 $870.64 $870.64 $345.64
Footnotes
* Proceeds from Series EE & I Savings Bonds with issue dates beginning January 1990
may be eligible for special tax exemption when used for post-secondary education.
For further information concerning the benefits and restrictions that apply,
please contact the Internal Revenue Service.
1 These bonds are not eligible for payment within 6 months of their issue date.
2 These bonds have reached final maturity and will earn no additional interest.
They can be exchanged for HH Bonds within a year of their final maturity date.
3 These bonds have reached final maturity and will earn no additional interest.
They are not eligible for exchange for Series HH Bonds since they have been held
over a year past their final maturity date.
2
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1992
," -Co "soc 'sEe, fMP 'iv NO
JEAN 1:. STEVICK ,
; l 11878 CUMBERLAND,. HW.Y FRB PHIL
>~"..NEWBURG 'I .'i' PA 17240 FISC AGT US'
">!.,,~ ' L I >: I ! OC','T' '0,s7"'"0 AO"1"'9's 9 ~
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~~] {'~AL TER ~'.irtrf~~vh:K F' 11 f; : . "'. ,/ '
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'k~:_.~.,!-'-'i i I !J ~ ...~ "..:~_~Jl ~%'~.;~ J,'c I' ,< . , -R 8 5 9 Lf 0 514- E E
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-~ INTEREST CEASES 30 YEARS
202'0c~,~.,..1.o~~5 l::j- '''0'- ISSUE om
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JEAN E STEVICK r- I
~;i;';i~l~JBR ~ UM BER L AN ?e,.HWrr
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OOOBB qB ~ q l, :llll
~~_u~u... . ~--~'\1
BigCharts - Historical Quotes
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Enter Symbol: IMET
Enter Date: (7/27/01
Closing Price:
28.93
28.80
29.10
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MetJife Inc
Friday, July 27,2001
Open:
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http://bigcharts.marketwatch.comlhistorical/default.asp?detect= 1 &symbol=MET &c1ose _d... 3/15/2002
Law Office of Joel Zullinger
Attn: Carol
14 N. Main St., Suite 200
Chambersburg, P A 17201
RE: Estate of Jean E. Stevick
Dear Carol:
This letter is in response to your request for the date of death balance of
Jean E. Stevick's Bond Fund of America Account# 61452307.
As of Ms. Stevick's DOD July 27,2001 the balance was $18,269.62
(1,407.521 shs@ $12.98 per share)
The account's balance as of October 18,2001 was $18,361.17.
(1,424.451 shs @ $12.89 per share)
To redeem the account, please submit a letter of instruction signed by the
executor and addressed to American Funds signature quaranteed, short
certificate, and affidavit of domicile.
If you have any questions, please call me at 717-530-3525.
Sincerely,
+<~ ~-t<~
Karin A. Kahlbaugh
Assistant Sales Executive
Securities offered through T.H.E. Financial Group, Ltd., 1 Kacey Court, Suite 201, Mechanicsburg, PA 17055, 717.766.1551
Securities and other products offered through T.H.E. Financial Group, Ltd. are not deposits or obligations of any bank or
financial institution. They are not insured nor guaranteed by any such institution, the FDIC, the U.S. government or any
government agency, and involve investment risks, including possible loss of principal.
,
, ,I
APPRAISAL OF PERSONAL PROPERTY OF THE ESTATE OF JEAN E.
STEVICK. DECEASED. 209 NEIL ROAD. SHIPPENSBURG. PA ON AUGUST 7.2001:
G.E. Automatic washer (older model) $ 30.00
G.E. Dryer (older model) $ 25.00
Oak glass-enclosed china closet $ 140.00
Dark-finish round stand $ 25.00
Common sofa $ 65.00
Platform rocker $ 35.00
Recliner $ 35.00
Coffee table $ 20.00
Lamp stand $ 15.00
RCA portable color television $ 45.00
Magnavox VCR $ 25.00
Oak-finish TV stand $ 15.00
Common table light $ 15.00
Common pole light $ 18.00
Miscellaneous knick-knacks $ 15.00
Common miscellaneous dishes $ 15.00
Single bed complete with mattress and box spring $ 45.00
Dark-finish night stand with 2 drawers $ 15.00
3-Piece modern dark oak bedroom suit including dresser with mirror, chest
of drawers, & double bed............................................................... $ 145.00
5-Piece dinette set $ 60.00
Panasonic microwave $ 25.00
Miscellaneous pots & pans $ 20.00
Common kneehole desk & chair $ 25.00
Wicker storage chest $ 20.00
Kenmore sewing machine (older model) $ 15.00
2 Odd cane-seat dining chairs @$ 8.00 $ 16.00
Common lingerie chest of drawers $ 25.00
Electrolux vacuum cleaner $ 45.00
Miscellaneous bedding & linens $ 20.00
4-Piece modern wicker set including settee, 2 chairs, & coffee table $ 45.00
TOTAL: $ 1,059.00
APPRA1BY:
~'/~
Dennis L. Gotshall, Auctioneer/Prop.
Dan Hershey Auctioneering Service
P A Lie. #AU-002306-L
3 Brown Road
Shippensburg, PA 17257
~
ORRSTOWN
BANK
AUG 2 ~ 2001
TO: Law Offices
Zullinger-Davis
20 East Burd Street
Shippensburg, PA 17257
FROM: ORRSTOWN BANK
P.O. BOX 20
SHIPPENSBURG PA 17257-0250
RE:
ESTATE OF Jean E. Stevick
DECEASED
DATE OF DEATH: July 27,2001
IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD, ON THE ABOVE DATE, THE
FOLLOWING ACCOUNTS WITH ORRSTOWN BANK:
(1 ) CHECKING ACCOUNTS
DATE OF DEATH
ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPLE & ACCRUED INTEREST
309915 Jean E. Stevick 6-1-73 1,418.06 .51
(2) SAVINGS ACCOUNTS
DATE OF DEATH
ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPLE & ACCRUED INTEREST
(3) CERTIFICATES OF DEPOSIT
DATE OF DEATH
ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPLE & ACCRUED INTEREST
20050175 Jean E. Stevick 10-24-94 4,451.15 1.74
20053996 Jean E. Stevick 3-21-96 6,000.00 3.91
20055794 Jean E. Stevick 10-29-96 7,584.03 29.60
30052792 Jean E. Stevick 9-6-95 14,000.00 34.63
Date:_8/23/01
By: Timothea Customer Service Operator
PO Box 250 . Shippensburg. PA 17257 · (717) 532-6114 · (717) 532-4143 Fax · www.orrstown.com
FEDERAL CREDIT UNION
October 18,2001
Mr. Joel Zullinger
Zillinger-Davis, Professional Corp.
14 N. Main St.
Chambersburg, PAl 7201
RE: Jean E. Stevick, Deceased
Account #221600
Dear Mr. Zullinger:
I am writing in response to your request for information regarding the account mentioned above.
Account 221600
Prime Share (00)
Created on 12-18-1967
Titled
Jean E. Stevick
Date of Death Balance
$11.10
Accrued Interest
$.02
If you have any questions with regard to the above balances, or need additional infOlmation, please feel
free to contact me at 263-4444, extension 4256.
Sincerely,
I) I / fJ ,~.. /
(j~ YYl [qu,~
Carla M. Heckman
Administrative Secretary
800 Wayne Avenue, Chambersburg, PA. 717 263-4444. Mailing Address: P.O. Box 778, Chambersburg, PA 17201-0778
..--------
APpRAISE * SELL
BOOKS * MIUTARIA
BUY 'Ie
COINS
CARL L. SPIDEL
'717_263-425'7
1423 BRECHBILL RD.
CHA.'.lBERSBURG. P A.
17201
=
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----- -,
H & H Chevrolet, Oldsmobile
., Pontiac, Cadillac
.' ,
~
JOE HUBLEY
SAlES MANAGER
730 East King street
S~ppensblKg,PA17257
Buy i; Ne~ Car
Buy it U$ild Car
~II '(out Car
"etorcydl!!:S
Fm.i!ndng
InSlJf'6nc~
lemon ~ck
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A<<:eiSOfies
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17171532-2121
1-888-532-2121
Fox 532-3658
HOW CAN YOU SCORE ZERO
AND STIll COME OUT A WI~"ER?
Click on the image above to visit this advertiser
Blue Book Trade-In Report
Pennsylvania. August 10, 2001
1986 Buick Century Custom Sedan 40
:.~ 1'" J 71 j,.) n 1,".' f .....~-
F::1 r.-1 ~, [''.j '~\'.' ~. "".j ip h ~ ~-I r
Engine: 4-Cyt. 2.5 Liter
Trans: Automatic
Drive: Front Wheel Drive
Mileage: 110,000
:)! !\/ ;-1 ll(~r~ri r,lf"
~._ist ".'01q. r~~.' F0'. c:~!c... r~.r\iq1f:"
r.jr,.~r..,r';n'l (-)1 ~nr0
T nr::.,! t., '",:r ,""', (-)1 10lT
. ~ '-'! r~--~~Yh..r (Jr !!itp
P~vr-:,0.n1- r;!lr~ lj,~r'-'"
Equipment
Air Conditioning
Power Steering
Tilt Wheel
Cruise Control
AM/FM Stereo
Cassette
Consumer Rated Condition:
Fair
"Fair" condition means that the vehicle probably has some mechanical or
cosmetic defects, but is still in safe running condition. The paint, body and/or
interior need work to be performed by a professional in order to be sold. The
tires need to be replaced. There may be some repairable rust damage. The
value of cars in this category may vary widely. A clean. is
assumed. Even after significant reconditioning this vehicle may not qualify for
the Blue Book Suggested Retail value.
Trade-In Value
$355
Trade-in value represents what you might expect to receive from a dealer for
this consumer owned vehicle. Keep in mind that the dealer must then absorb
the cost of making the vehicle ready for sale, advertising, sales commissions,
arranging financing and insurance and standing behind the vehicle for any
mechanical or safety problems.
http://www.kbb.comlkb/ki . .Ikw.kc. ur?kbb;689567&;t&278;Buick; 1986%20Century& 16;BU;E 8/10/01
..
LAW OFFICES OF
ZULLINGER - DAVIS
PROFESSIONAL CORPORATION
JOEL R. ZULLINGER
14 North Main Street
Suite 200
Chambersburg , P A 17201
717-264-6029
Fax: 717-264-1884
zulngrlaw@cvn.net
Dale F. Shughart, Jr.
of counsel
HAMIL TON C. DAVIS
20 East Burd Street, Suite 6
P.O. Box 40
Shippensburg, P A 17257
717-532-5713
Fax: 717-530-5222
davish@cvn.net
April 4, 2002
Mary C. Lewis, Register
Cumberland County Courthouse
Carlisle, P A 17013
Dear Ms. Lewis:
RE: Estate of Jean E. Stevick
File No. 21-01-0772
Enclosed for filing in your office is an original and one copy of the Pennsylvania
Inheritance Tax Return for the above estate. Also enclosed is check in the amount of $824.38
for additional tax due and check in the amount of $138.00 for additional probate fee, filing fee
and fee for short certificate.
,'-
.~'\
Very truly yours,
/i "p ~/)."'] /1/1" ~,.,
(---;/ ,6L.;;..'_ i ". '.: ~-~ .;..:.//....) ....L
(/ .,~ d
Joel R. Zullinger
C'~_,
Encls.
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