HomeMy WebLinkAbout01-0884
IN RE: The Estate of
: IN THE COURT OF COMMON PLEAS OF
CATHERINE B. CASEY,
Deceased
: CUMBERLAND COUNTY, PENNSYLVANIA
: Orphans' Court Division
: No. ~I- e I - e8't
AND NOW, this
(~~ day of~ r
JNr, 2001, upon consideration of the Petition
heretofore filed by Eva M. Dougherty, it is hereby Ordered and Decreed that Eva M. Dougherty be
authorized to open an estate checking account; that the Checking Account numbered, 1700007678,
and Savings Account numbered, 1760009605 at Waypoint Bank be closed and the proceeds from
each account be placed in the estate checking account; that the other assets setforth in Exhibit "B"
be placed in the estate checking account; and that the unpaid claimants set forth in Paragraph 9 in
the within Petition be paid in the amounts set forth therein.
PaYment and distribution are accordingly Decreed and Eva M. Dougherty, the Petitioner, is
hereby authorized to receive, collect and distribute the property as herein before set forth.
BY THE COURT:
IN RE: The Estate of
CATHERINE B. CASEY,
Deceased
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: Orphans' Court Division
: No.
PETTTTON FOR THE SRTTT ,RMENT OF A SMA T T, EST A TR
TN ArrORDA NrR WITH 20 PAr S A SRrTTON 1102
TO THE HONORABLE, THE JUDGES OF THE SAID COURT,
The Petitioner, EVA M. DOUGHERTY, by her attorney, Anthony L. DeLuc~ Esquire,
respectfully represents:
1. That the Petitioner, EVA M. DOUGHERTY, is an adult individual, who resides at
1536 Longs Gap Road, Carlisle, Cumberland County, Pennsylvania.
2. That the decedent, CATHERINE B. CASEY, died on May 21,2001, and at the time
of her death, was a resident of the Thornwald Home, which is situated at 442 Walnut Bottom Road,
Carlisle, Cumberland County, Pennsylvania.
3. That the decedent died testate and under the First Item of her Last Will and
Testament, the Petitioner, Eva M. Dougherty, was appointed the Personal Representative of the
Last Will and Testament of Catherine B. Casey. A copy of the Last Will and Testament of
Catherine B. Casey is attached hereto, marked as Exhibit "A", and incorporated herein.
4. That the said Catherine B. Casey left surviving her the following persons who were
excluded under the Fourth Item of her Last Will and Testament from sharing in her residuary estate:
A. Robert Wesley Casey
RR 4, Box 300
Mifflintown, P A 17059
Relationship to decedent: Son
B. Emma Dean Soule
3827 Cloverfield Road
Harrisburg, Pennsylvania 17109
Relationship to decedent: Daughter
None of the children mentioned herein have received or retained property by way of
payment of wages, salary or vacation benefits as set forth in 20 Pa. C.S.A. Sec. 3101.
5. That no person is entitled to the Family Exemption.
6. That the gross value of the personal estate of the decedent amounts to $6,935.23.
7. That the property of the decedent and the values of the several items thereof as set
forth in the attached assets of Catherine B. Casey as of Au~st 25, 2001, a copy of which is
attached hereto, marked as Exhibit "B", and incorporated herein by reference.
8. That the Department of Public Welfare maintains a claim In the amount of
$61,276.28 against the Estate of Catherine B. Casey. A copy of the Claim of the Department of
Public Welfare is attached hereto, marked as Exhibit "C", and incorporated herein by reference.
9. That the names of all unpaid claimants of whom the Petitioner has notice or
knowledge are:
A. Commercial Coin Company
P.O. Box 607
1611 Market Street
Camp Hill, Pennsylvania 17011
Appraisal of coins
$25.00
B.
Bankers Trust Company
P. O. Box 290039
Nashville, Tennessee 37229-0039
Return of2 months pension 40.72
from Carlisle Tire and Rubber
2 months @ $20.36
c.
Cost of five (5) death certificates Eva M. Dougherty
15.00
D.
Fee to Eva M. Dougherty Personal Representative
480.00
E.
Fee to Anthony L. DeLuca, Esquire Attorney's fee
480.00
F.
Filing Fees for Inheritance Tax Return and Inventory
25.00
G.
Filing Fee for this Petition
18.00
H.
Reimbursement to Department to Public Welfare
~JRlil lil
$6,935.23
10. That a schedule of assets and deductions for inheritance tax purposes will be filed
with the Register of Wills; inheritance tax assessed in the amount of$ -0-.
11. That the Estate of Catherine B. Casey has no value due to the claim of the
Department of Public Welfare and, therefore, Petitioner avers that twenty (20) days prior written
notice of the intention to file such Petition be waived.
WHEREFORE, Petitioner prays that the Court direct distribution of the property of the said
Catherine B. Casey in the following manner:
1. That the Petitioner, Eva M. Dougherty, be authorized to open an estate checking
account;
2. That the checking account at Waypoint Bank, numbered 1700007678, be closed and
the proceeds deposited into the estate checking account;
3. That the saving account at Waypoint Bank, numbered 1760009605, be closed and
the proceeds deposited into the estate checking account;
4. That the coins having an appraised value of $308.10 be purchased by the Petitioner
and the proceeds of $308.10 be deposited into the estate checking account by
Petitioner;
5. That cash found in the wallet of the decedent in the amount of $43.00 be deposited
into the estate checking account;
6. That the refund check, numbered 088523, dated July 11, 2001 from United Church
of Christ Home (Thomwald) in the amount of $2,482.39 be deposited into the estate
checking account;
7. That the refund check from Phannerica, numbered 682124, dated June 7, 2001 in
the amount of$48.00 be deposited into the estate checking account;
8. That the refund check from AARP, numbered 18025542, dated June 20,2001 in the
amount of$43.00 be deposited into the estate checking account;
9. That the Petitioner, Eva M. Dougherty, be reimbursed the sum of$25.00 for the cost
of the appraisal of the coins and $15.00 for five (5) additional Death Certificates.
10. That the two pension checks to Carlisle Tire and Rubber, each in the amount of
$20.36, totaling $40.72 be returned to Carlisle Tire and Rubber.
11. That the Petitioner, Eva M. Dougherty, be paid the sum of $480.00 for
compensation for services rendered in this matter, which sum should be paid out of
the estate checking account;
12. That Anthony L. DeLuca, Esquire be compensated in the amount of $480.00 for
services rendered in this matter, which sum should be paid out of the estate checking
account;
13. That the Petitioner be authorized to pay the Register of Wills the sum of $25.00,
which represents the filing fee for the Inheritance Tax Return and Inventory;
14. That the Petitioner be reimbursed from the estate checking account in the amount of
$18.00 which represents the filing fee advanced for this Petition; and
15. That the balance of$5,851.51 be paid to the Department of Public Welfare from the
proceeds in the estate checking account.
Respectfully submitted,
Anthony L. De
113 Front Street
P.O. Box 358
Boiling Springs, P A 17007
Telephone (717)258-6844
Attorney I.D. No. 18067
VERIFICATION
I hereby verify that the facts and information set forth in
the foregoing petition are true and correct to the best of my
knowledge, information, and belief. I understand that any false
statements contained herein are subject to the penalties of 18 Pa.
c. S. Section 4904, relating to unsworn falsification to
authorities.
Dated:
~J?/Ol
~~~'~hf
~
.,..,.-
LAST W!LL }_~ TEST~v3NT
OF
CATHERINE B. CASEY
I, CATHERINE B. CASEY, Social Security Number 080-05-2891, of the
State of Pennsylvania, declare that this is my LAST WILL &~ TESTAMENT
-and I revoke all other wills and codicils previously made by me.
FIRST: I appoint EVA ~i. DOUGHERTY as my Personal Representative
cQncerning this Will.
a. I request that my Personal Representative be permitted to
serve without bond or surety thereon-and without the intervention of
any court, except as required by law. I direct that my Personal
Representative act in unsupervised administration so as to administer
my estate with a minimum of court supervision. If it becomes necessary
to have ancillary administration of my estate in any jurisdiction where
~~ Pe~sGil&l ~cp~c3cntative is ~nable er dees net desire to q~ali:y as
ancillary legal representative, I appoint as such ancillary legal
reDresent~tive such individual or corocraticn as my Personal
xepresentative shall designate, in wrlting.
c. I direct my Personal Representative to pay the expenses
of my last illness, the expenses of a funeral appropriate to my station
~.l..l. life and custom of Ii v'inS. It is my desi=e that rrlY body be donated
to the Commonwealth of Pennsylvania. I request that my Personal
Representative first contact the Humanity Gifts Registry, 130 South
Ninth Street, Philadelphia, Pennsylvania 19105, (215) 925-7469. I grant
my Personal Representative the power to extend or renew any debt for
such time as my Personal Representative shall deem appropriate.
c. All estate, inheritance, succession and other death taxes
with respect to all property passing under this my Will shall be paid
from and borne by the principal of my residuary estate, without regard
to reimbursement, as if such taxes were administration expenses. My
Personal Representative may pay such-taxes at any time deemed
advisable, whether or not then due and payable.
d. My Personal Representative is requested to settle my
estate as soon after my death as may be practicable, and to payor
deliver every legacy or bequest to my beneficiaries without waiting any
time that may be believed to be customary in probate matters.
-'<
EXHIBIT nAil
e (J.r~~L13 (;~tf
PAGE 1
OF 4 PAGES
~~
~
,TIP-
e. I may leave a letter of intent with the executed copy of
this Will for the purpose of giving guidance to my Personal
Representative concerning the distribution or sale of certain items of
my property. I request, but do not require, that my Personal
Representative honor my wishes therein expressed.
SECOND: I hereby make the following specific bequests:
a. I leave the sum of THREE'THOUSAND DOLLARS ($3000) to the
Veterans of the Vietnam War, Inc. Post #26, P. O. Box 921, Carlisle,
- :P-e-iirisyl-vaniO:;-17 01~irr-care--of~-:Mr ;---'James Baker, Vi ce - Commander,
Veterans of the Vietnam War, Inc., Carlisle, Pennsylvania.
b. I leave the sum of- ONE--THOUSANDDOLLARS- ($1000) nto-the
Office U~ the Aging, West High Street, Carlisle, Pennsylvania.
THIRD: I give, devise and bequeath, absolutely and forever, all of
the restl residue and remainder of my estate and property of which I
may be seized or possessed, or to which I may be entitled, at the time
of my death, wherever situated or of whatever nature, be it real,
personal, or mixed, to EVA M. DOUGHERTY of 1536 Longs Gap Road,
Carlislel P~nnsylvania as her sole and absolute property if she shall
survive me.
FOG~TH: Except as otherwise provided in this Will, I have
intentionally failed to provide for any other relatives or other
persons I whether claiming to be an heir of mine or not. Insofar as I
have failed to provide in this Will for any of my issue now living or
later born or adopted, such failure is intentional and not occasioned
by accident or mistake. I specifically intend to omit my children,
ROBERT WESLEY CASEY and EMMA DEAN SOULE and any of their heirs of
lineal descendants. My reason for ths is due to the fact that I am
very disappointed in the way they have treated me during my life.
FIFTH: Any beneficiary who fails to survive until one hundred
twenty (120) hours after my death shall be deemed to have predeceased
me, and the gift to that beneficiary shall be disposed of accordingly.
SIXTH: The term "Personal Representati ve"n as used in this Will
means Executor, Executrix, Independent Executor, or any other title of
like import which is used to describe such a fiduciary.
/'l . --' . ,;:< /1 PAGE 2
( , ~.J L-6..Q..t.t t OF 4 PAGES
~~
~
,TP
--
- -.. -- - -. . -'-
SEVENTH: In addition to any powers granted by the laws of the
state in which this will is probated, I hereby authorize and empower
the fiduciaries named in this Will, to the extent of the discretion
herein granted, to sell, exchange, convey, transfer, assign, mortgage,
pledge, lease or rent the whole or any part of my real or personal
estate, to invest, reinvest, or retain investments of my estate, to
perform all acts and to execute all documents which my fiduciaries may
deem necessary or prope~ "in regard to my property. If any of my
fiduciaries elect to receive compensation for services, such
compensation will be that allowed by law.
EIGHTH: If any part of this Will shall be invalid, illegal, or
inoperative for any reason, it is my intention that the remaining
parts, s9 far as possible and reasonable, shall be effective and fully
operative. My Personal Representative may seek and obtain court
instructions for the purpose of carrying out as nearly as may be
possible the intention of this Will as shown by the terms hereof,
including any terms held invalid, illegal, or inoperative.
IN WITNESS WHEREOF, I have at Carlisle Barracks, Pennsylvania, this
J1/b- day o'f ~ ' 19K, set my hand and seal to
this my LAST WILL AND TESTAMENT, consisting of 4 typewritten pages,
each page bearing my handwritten signature.
This document was prepared under the authority of 10 D.S.C.
section 1044, and implementing military regulations and instructions,
by John T. Rothwell, who is licensed to practice law in the State of
Arkansas.
CtJF--q 6 (1tLD9~~
CATHE INE B. CASEY
\j
(SEAL)
. ~
C ^~f ~ ~ MftfOF
PAGE 3
4 PAGES
~
~
~
The foregoing instrument was, at Carlisle Barracks, Pennsylvania,
this /7~ day of ~~~ ' 19~, signed, sealed, published
--and declared by CATHERI B. CASEY, the testatrix, to be her LAST WILL
AND TESTAL~ENT in the presence of all of us at one time, and at the same----------
time we, at her request and in her presence and in the presence of each
other, have hereunto subscribed our names as attesting witnesses, and
we do so verily believe ,that the said testatrix is of sound and
disposing mind and memory at the date hereof.
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COMMONWEALTH OF PENNSYLVANIA
CUMBERLAND COUNTY
ACKNOWLEDGMENT
T ..-.CATHERINE B. CASEY. testatri~ho.s_e--.name.___is_signed__t_Q__the
attached or foregoing instrument, having been duly qualified according
to law, do hereby acknowledge that I signed and executed the instrument
as my Last Willi that I signed it willingly; and that I signed it as my
~,~~:~,..:~free and voluntary act for the purposes therein expressed.
H . '. ' .
:;;-~.';':'~~..~ \....;.. ~ ~;:-
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C~D~e C~~I(f
CATHE NE B. CASEY
( SEAL)
AFFIDAVIT
We I Estel:- ~Ebe ~~
I ~xkn.<---k'. rJ',Lt..s
I and
\TDfhJ "7 I ~'Pr) , the witnesses, sign our names to this
instrument, being duly qualified according to law, do depose and say
that we were present and saw the testatrix sign and execute the
instrument ~s her Last Willi that the testatrix signed willingly and
executed it as her free and voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing and sight of
the testatrix signed the will as a witnesSi and that to the best of our
--_m__m_-.kno_wledge_them_tes_tatrix._was_.at__.that_:....time__18. or__more .years of age, ..of.u___
sound mind and under no constraint or undue influence.
Q(~~
Witness
~d-~
Witness
~o
~"'t ~ ,&I
Wl ness
Subscribed, sworn to and acknowledged before me by CATHERINE B.
:~~'~::,-,:-_CASEY I the testatrix, and subscribed and sworn to before me by
ESic~ G-EDe~c;
I~~~-K. rrJ~
and
" J6~: 7' P dnf7 A.) HA'
, the witnesses, this
,
/7Jt
day of
,f\ '""' II
P r 'ylAdh.
, 19 ttf . ,-J.-r-'/ /
~1.;{{j;~~t~ My Commission Expires:
Notarial Seal
Betty R. Standridge, Notary Public
Carlisle ~o~o. Cumberland County.x
My CommIssIon E.xpires May 14.2001
Member. Pennsylvarm AssoGiation Of Notarip.!=
,~
\
CATHERINE B. CASEY
ASSETS AS OF 8/25/01
----------------------------------------------------------------
Checking Account-Way~oint Bank #1700007678
$1,798.18
Savings Account-Way~oint Bank #1760009605
$2,020.36
m,.-.,m"1\T
lVl.......l..i
~ -:: (""I";.) C ,1
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--------------------------------------------------------------
r"'__'-
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j....... :'""':'""
_J.-,_,
r"'_~~ ,. r)~" r"'_'1__....~__
~U.L.l.l Ct D.l...l....L ~U.l....LeL.L.l..UU
Fa'~e
\T_'.,~
va..:..u.c
Pennies
1\T~ ~1,' ~_
L'I":"L.f\.J...e.::;,
""1'1 ","\
-,).L.J.UV
'").1 II II
-' -= . v I..J
'r"\~ ___
!...) ...L":"lLt:: ~
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L"') . I '.J
r-'\.....__~___
~w.c..L '_C.i..'::;'
Hal ~7es
/l 1111
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'""') :: to)
L . _1'-"
Della::- Ccir:s
9. :J C'
Pa. ~' e :-
-: -: n .-,
~.:... . '-../ '-
'~::. :~~
;-0 '"": ,,(""'l "'""'.,
';;..:... '..) C . L '...J
~= -~ Ja~"J.e ~
Appraisal $302.10
-n 1""\ .~ i\ ~
1. ',-..# 1.....-LW
$416.30
~ =- 6 . J .=.
Refu::d
? =epa~.l a:
.'i"'1- _ ___.._ -: -=
.L .1.1. '_I ..L _.:. 1,\1 c::. ~ '''-"''-
~~,~:~.~.;:-
Refund of Personal Account at Tho~::wa~d ~
- --. ..-.. ,.......
~~.'5_,
P~~~1ERICA Refund for Medicatic~s
~.3 .:' .=.
~~~p Health Insurance Refund
s
'"': """:l "';' li,.-",
~~/.',...),...)
rT1.r\rn"7\ ,.
lVl.t"'....1.J
53,116.69
TOTAL
$6,935.23
ITEMS YET TO BE PAID:
Cost of Appraisal $25.00
Return 2 months ~CT&W Pension
2 x 20.36 =$AO. 7.2
Cost of Additional Death
_C~};:li~icates--5 x$3 = $15.00
TOT;u,.:---=$80~-~'i2 -
EXHIBIT IIBII
*'
CO~MONWEAl TH OF PENNSYL VAN/A
DEPARTMENT OF PUBLIC WELFARE
BUREAU OF FINANCIAL OPERATIONS
ESTATE RECOVERY PROGRAM
PO BOX 8486
HARRISBURG, PA 17105-8486
August 21, 2001
ANTHONY L DELUCA
ATTORNEY AT LAW
113 FRONT STREET
PO BOX 358
BOILING SPRINGS PA 17007
Re: CATHERINE CASEY
CIS #: 380141240
Co/Rec: 21/0082881
Date of Birth: 01/28/1915
SSN: 080-05-2891
Dear Attorney DeLuca:
Please be advised that the Department of Public Welfare maintains a
claim in the amount of $61,276.28 against the above-mentioned estate. This
claim is for restitution of medical assistance granted on behalf of the
decedent for which the Probate Estate is now responsible to reimburse the
Department according to Act 49, 62 P.S. 1412, effective August 15, 1994, as
amended by Act 20-95, effective June 30, 1995. Enclosed is the Department's
itemized statement of claim.
A portion of this medical expense, namely $20,274.07, was incurred
during the last six months of the decedent's life; therefore, it is a Class 3
claim pursuant to Section 3392 of the Decedents, Estates, and Fiduciaries
Code, 20 Pa. C.S.A. 3392(3). The balance of the claim, namely $41,002.21, is
to be entered as a priority Class 6 claim against the estate.
Please acknowledge receipt of this letter and advise whether the
Commonwealth's claim is admitted and when payment may be expected. If the
estate accounting is complete, please provide a copy. If the estate contains
real estate, please provide copies of the deed, the latest tax assessment,
and a current appraisal, if available.
Sincerely,
~M rvut~~
Marg:t:t Smitherman
Claims Investigation Agent
717-772-6607
717-705-8150 FAX
Enclosure
EXHIBIT "c"
/'?- b ~ - y
~ BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT1 ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
'02
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
i', COUNTY
ACN
06-24-2002
CASEY
05-21-2001
21 01-0884
CUMBERLAND
101
,JUL -1
ANTHONY L DELUCA ESQ
113 FRONT ST
PO BOX 358
BOILING SPGS PA 17007
*'
IEV-1547 EX AFP t01-021
CATHERINE B
i",
r" I . "
\. ..t ~ -. , t
Allount Rellitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE1 PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REY=isi;'-EX--AFP-foi-:02i--NO'ficE--OF-i-tiHEifiTAifci-Y-A)rAPPRAisEi'-ENT~--Ai:.lowANci-ifR-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CASEY CATHERINE B FILE NO. 21 01-0884 ACN 101 DATE 06-24-2002
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Hortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule f)
7. Transfers (Schedule G)
8. Total Assets
ll)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
6.903.12
.00
.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)
llO)
11045.00
61.317.00
ll1)
(12)
ll3)
ll4)
ll5) .00 X 00 =
ll6) .00 X 045 =
ll7) .00 X 12 =
ll8) .00 X 15 =
(19)=
NOTE: To insure proper
credit to your accountl
subllit the upper portion
of this forll with your
tax paYllent.
61903.12
62.362 00
551458.86-
.00
551458.86-
r","cnl KEl;EJ:f"T (+J AHOUNT PAID
DATE NUHBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER DATE INDICATED 1 SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $11 NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A ""CREDIT"" (CR) 1 YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
RESERVATION: Estates of decedents dying on or before Dece.ber 12~ 1982 -- if any future interest in the estate is transferred
in possession or enjoy.ent to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for
life or for years~ the Co..onwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes
at the lawful Class B (collateral) rate on any such future interest.
PURPOSE OF
NOTICE:
To fulfill the require.ants of Section 2140 of the Inheritance and Estate Tax Act~ Act 23 of 2000. (72 P.S.
Section 9140).
PAYMENT:
Detach the top portion of this Notice and sub.it with your pay.ent to the Register of Wills printed on the reverse side.
--Make check or 1I0ney order payable to: REGISTER OF HILLS.. AGENT
REFUND (CR): A refund of a tax credit~ which was not requested on the Tax Return~ may be requested by co.pleting an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office
of the Register of Wills~ any of the 23 Revenue District Offices~ or by calling the special 24-hour
answering service for forlls ordering: 1-800-362-2050; services for taxpayers with special hearing and I or
speaking needs: 1-800-447-3020 (TT only).
OBJECTIONS: Any party in interest not satisfied with the appraise.ent~ allowance~ or disallowance of deductions~ or assessllent
of tax (including discount or interest) as shown on this Notice .ust object within sixty (60) days of receipt of
this Notice by:
--written protest to the PA Depart.ent of Revenue~ Board of Appeals~ Dept. 281021~ Harrisburg~ PA 17128-1021~ OR
--election to have the matter deter.ined at audit of the account of the personal representative~ OR
--appeal to the Orphans" Court.
ADMIN-
ISTRATIVE
CORRECTIONS: Factual errors discovered on this asses~ent should be addressed in writing to: PA Department of Revenue~
Bureau of Individual Taxes~ ATTN: Post Assess.ent Review Unit~ Dept. 280601~ Harrisburg~ PA 17128-0601
Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-1501) for an explanation of adllinistratively correctable errors.
DISCOUNT:
If any tax due is paid within three (3) calendar .onths after the decedent"s death~ a five percent (5%) discount of
the tax paid is allowed.
PENALTY:
The 15% tax a.nesty non-participation penalty is co.puted on the total of the tax and interest assessed~ and not
paid before January 18~ 1996~ the first day after the end of the tax a.nesty period. This non-participation
penalty is appealable in the salle .anner and in the the salle ti.e period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
INTEREST:
Interest is charged beginning with first day of delinquency~ or nine (9) .onths and one (1) day fro. the date of
death~ to the date of pay.ent. Taxes which beca.e delinquent before January 1~ 1982 bear interest at the rate of
six (6%) percent per annu. calculated at a daily rate of .000164. All taxes which beca.e delinquent on and after
January 1~ 1982 will bear interest at a rate which will vary fro. calendar year to calendar year with that rats
announcsd by the PA Depart.ent of Revenue. The applicable interest rates for 1982 through 2002 are:
Year Interest Rate Daily Interest Factor Year Interest Rate Da ily Interest Factor
1982 20% .000548 1992 9% .000247
1983 16% .000438 1993-1994 7% .000192
1984 117- .000301 1995-1998 97- .000247
1985 137- .000356 1999 77- .000192
1986 10% .000274 2000 87- .000219
1987 97- .000247 2001 97- .000247
1988-1991 117- .000301 2002 67- .000164
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax beco.es delinquent will reflect an interest calculation to fiftesn (15) days
beyond the date of the assessment. If pay.ent is .ade after the interest cOllputation date shown on the
Notice~ additional interest .ust be calculated.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
}
55:
Eva M. Dougherty
being duly
the Executric
sworn
according to law. deposes and says that she is
of the Estate of Catherine B. Casey
late of __~2-rlif?.l~__________ . Cumberland County. Pa.. deceased and that the
within is an inventory made by her of the said Executrix
of the entire estate of said decedent. consisting of all the personal propdrty and real estate. except real estate outside
the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value
as of the date of decedent's death.
(/
x~ 2002
~-~
NOTi\R1Al SEAL
MARJo.R. IE A. DeLUCA, Notary ubI'
South Mldd,let?" Twp., Cumberla dCo
M CommIssIon Expires Nov. 1, 2003 '
~~%7-~~
Sworn
and subscribed before me,
Address
Date of Death
21st
May
2001
Day
Month
Y.ar
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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~nventory of the real and personal estate of
fL.
Catherine B. Casey
deceased
1 .
2.
3.
Checking Account, numbered 1700007678, at Waypoint Bank
Savings Account, numbered 1760009695, at Waypoint Bank
Personal Care account at Thornwald Nursing Home, Carlisle
Pennsylvania
Miscellaneous cash, coin and bill collection, refund from
nursing home, Pharmerica and AARP Health Inc.
1,880.24
2 , 0 1 4. 39
99.90
4.
2,908.59
$6,903.12
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COMMO~~SYlVAN.
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) use a blank block to sep...ale words
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REV -1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Casey, Catherine B.
SOCIAL SECURITY NUMBER
DATE OF DEATH
OS/21/01
01/28/1915
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
080
05 - 2891
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
12. Net Value of Estate (Line 8 minus Line 11) (12)
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13)
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13) (14)
15. Amount of line 14 taxable
at the spousal tax rate , ,
See instructions on reverse side for applicable percentage
16. Amount of line 14 taxable
at 6% rate
17. Amount of line 14 taxable
at 15% rate
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
(Schedule E)
6. Jointly Owned Property (Schedule F)
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)
18. Tax Due
lZ~f-)~~......i.. .
FlU NlIMBER ... . .
r;). 01
COUllTY CODE YEAR
~/ ir 1
5a 1. Original Return D 2. Supplemental Return D 3. Remainder Return (dateoldeatl1 prior to 12.'~2)
D 4. Limited Estate D 4a. Future Interest Compromise.(dale 01 deatl1 aflerI2.12.82) D 5. Federal Estate Tax Return Required
5a 6. Decedent Died Testate (Attach copy of Will) D 7. Decedent Maintained a Living Trust (Attach copyofTrust) _ 8. Total Number of Safe Deposit Boxes
. D 9. Litigation Proceeds Received D 10. Spousal Poverty Credit (dale 01 death between 12.31-91 and ,.,.95) D 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
: THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME
Anthony L. DeLuca Es
FIRM NAME III ~~p,icable)
Anthon L. DeLuca Es uire
TELEPHONE NUMBER
717 258-6844
NUMBER
DATE OF BIRTH
17007
(1)
(2)
(3)
(4)
(5)
(6)
(7)
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(9)
(10)
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<-5 5, 4 5 8 8 6>
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-0-
-0-
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(15)
x .06
(16)
x ,15
(17)
(18)
19.
DATE
L/ 1/7/" Z-
DATE
r//7/02
.
REV.1508 EX+ 12.87}
.
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Please Print or Type
FilE NUMBER
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Catherine B. Casey
(All property jointly-owned with the Right of Survivorship must be disclosed on Schedule F)
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OF DEATH
4.
Checking Account, numbered 1700007678, at
Waypoint Bank.
Savings Account, numbered 1760009695, at
Waypoint Bank.
Personal Care account at Thornwald Nursing Horne,
Carlisle, Pennsylvania.
Miscellaneous cash, coin and bill collection,
Refund from nursing horne, Pharmerica and AARP
Health Inc.
1,880.24
1 .
2.
2,014.39
3.
99.90
2,908.59
TOTAL (Also enter on line 5, Recapitulation) S 6, 903 . 1 2
(Attach additional ay," x 11" sheets if more space is needed.)
REV-IS11 EX+ (7-66\'
~t~
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Please Print or Tvpe
FILE NUMBER
ESTATE OF
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Catherine B. Casey
i
ITEM
NUMBER
A.
1.
B.
1.
2.
3.
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
DESCRIPTION
AMOUNT
Funeral Expenses:
lAd" . C
mlnJstrahve osts:
I
Personal Representative Commissions
Social Security Number of Personal Representative:
480.00
Year Commissions paid
2001
I Attorney Fees Anthony L. DeLuca, Esquire
Family Exemption
480.00
Claimant
Relationship
Address of Claimant at decedent's death
Street Address
City
State
Zip Code
Probate Fees
20.00
Miscellaneous Expenses:
Filing fees for Inventory and Inheritance Tax
Return.
Death Certificates and Appraisal
25.00
40.00
TOTAL (Also enter on line 9, Recapitulation)
1,045.00
$
(If more space is needed, insert additional sheets of same size.)
1EV-1512 E.X+ (9-81)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT. DECEDENT
ESTATE OF
SCHEDULE "1"
DEBTS OF DECEDENT,
MORTGAGES, AND LIENS
FILE NUMBER
Catherine B. Casey
ITEM
NUMBER
DESCRIPTION
AMOUNT
1.
Refund of two [2] Pension Checks to Bankers Trust Co.
40.72
2.
Medical Assistance Claim by Dept. of Public Welfare
61,276.28
TOTAL (Also enter on line 10, Recapitulation)
$61,317.00
f more space Is needed Insert addltlonel sheets of ..me size)
.~~.-- .-~
LAST WILL ~~. TEST~_~ENT
OF
CATHERINE B. CASEY
I, CATHERINE B. CASEY, Social Security Number 080-05-2891, of the
State of Pennsylvania, declare that this is my LAST WILL AND TESTAMENT
and I revoke all other wills and codicils previously made by me.
--- --
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I aDDoint 2VA Ivi. iJOUGEERTY as my i?e:csonal Representative
T~1 ~ 1 1
I ~ -'- .......;.. .
conce~:-:i.:iS t.his
a. I request that my Personal Representative be permitted to
serve without bond or surety thereon and without the intervention of
any court, except as required by law. I direct that my Personal
Representative act in unsupervised administration so as to administer
my estate with a minimum of court supervision. If it becomes necessary
to have ancillary administration of my estate in any jurisdiction where
-.... T""I_____.............l D_".....__..-._'\o"""\+-~+-.;"'I.,.O ";("""1 ",....,~~'o,......,.... ~,......o~ ,.....,,.....,... ,...:;oC'..;.......o ~r... ..-,.,,~l.;f='1r
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'-'-' '-'1......'-'-................1
ancillary legal representative, I appoint as such ancillary legal
1~el)reS~1-lt~ t i-v"e ~UC1-l indi -vidual or corporaticn as Tny" Personal
Represencative shall designate, in writing.
3,S
b. I direct my Personal Representative to pay the expenses
of my last illness, the expenses of a funeral appropriate to my station
~a~ life a~d custom of living. It is my desire that my body bc dcnatsd
to the Commonwealth of Pennsylvania. I request that my Personal
Representative first contact the Humanity Gifts Registry, 130 South
Ninth Street, Philadelphia, Pennsylvania 19105, (215) 925-7469. I grant
my Personal Representative the power to extend or renew any debt for
such time as my Personal Representative shall deem appropriate.
c. All estate, inheritance, succession and other death taxes
with respec~ to all property passing under this my Will shall be paid
from and borne by the principal of my residuary estate, without regard
to reimbursement, as if such taxes were administration expenses. My
Personal Representative may pay such-taxes at any time deemed
advisable, whether or not then due and payable.
a. My Personal Representative is requested to settle my
estate as soon after my death as may be practicable, and to payor
deliver every legacy or bequest to my beneficiaries without waiting any
time that may be believed to be customary in probate matters.
G a.r~13 C ~tt
PAGE 1
OF 4 PAGES
~fl
~
'-.rtP-
e. I may leave a letter of intent with the executed copy of
this Will for the purpose of giving guidance to my Personal
Representative concerning the distribution or sale of certain items of
my property. I request, but do not require, that my Personal
Representative honor my wishes therein expressed.
SECOND: I hereby make the following specific bequests:
a. I leave the sum of THREE THOUSAND DOLLARS ($3000) to the
Veterans of the Vietnam War, Inc. Post #26, P. O. Box 921, Carlisle,
-~-Pennsylvanta~~7013;--in-care---of--Mr:nHJames Baker, Vice-Commander,
Veterans of the Vietnam War, Inc., Carlisle, Pennsylvania.
/"".;:~~__ __ .....1-_ ?\_..:.__ 1".1....._... TT";_),.... ,..,~___.... ,....,__-I~_l_ n____...l....__~_
vi..~~,-~ ......l.lC ~'':::.1~.l.j,..=', "lC~\- C.J..~.1J. ..:J....~'CC;....., "-o,.i....i..,J..;;),,l..;;::, .::::::J..l.J..~Y,.i..Va...l..J..o..
b.
I leave the sum of ONE THOUSAND DOLLARS ($1000) to the
THIRD: I give, devise and bequeath, absolutely and forever, all of
the ~est, residue and remainder of my estate and property of which I
may be seized or possessed, or to which I may be entitled, at the time
of my death, wherever situated or of whatever nature, be it real,
personal, or mixed, to EVA M. DOUGHERTY of 1536 Longs Gap Road,
Carlisle, Pennsylvania as her sole and absolute property if she shall
surVl ve ;T,e.
fOURTH: Except as otherwise provided in this Will, I have
inte~tio~ally failed to provide for any other relatives or otner
persons, whecher claiming to be an heir of mine or not. Insofar as I
have failed to provide in this Will for any of my issue now living or
lutc~ b8~~ or adopted, such failure is i~tentional and n8t oc~asicned
by accident or mistake. I specifically intend co omit my children,
ROBERT ~lESLEY CASEY and E~MA DE&~ SOULE and any of their heirs of
lineal descendants. My reason for ths is due to the fact that I am
veri disappoin~ed in the way they have treated me during my life.
FIFTH: Any beneficiary who fails to survive until one hundred
twenty (120) hours after my death shall be deemed to have predeceased
me, and the gift to that beneficiary shall be disposed of accordingly.
SIXTH: The term "Personal Representative" as used in this Will
means Executor, Executrix, Independent Executor, or any other title of
like import which is used to describe such a fiduciary.
r: ~~ C-~ OF
PAGE 2
4 PAGES
j?Jj
Qf!L
, ;/<
SEVENTH: In addition to any powers granted by the laws of the
state in which this will is probated, I hereby authorize and empower
the fiduciaries named in this Will, to the extent of the discretion
herein granted, to sell, exchange, convey, transfer, assign, mortgage,
pledge, lease or rent the whole or any part of my real or personal
estate, to invest, reinvest, or retain investments of my estate, to
perform all acts and to execute all documents which my fiduciaries may
deem necessary or prope~ in regard to my property. I: any of my
fiduciaries elect to receive compensation for services, such
compensation will be that allowed by law.
EIGHTH: If any part of this Will shall be invalid, illegal, or
inoperative for any reason, it is my intention that the remaining
parts, s9 far as possible and reasonable, shall be effective and fully
operative. My Personal Representative may seek and obtain court
instructions for the purpose of carrying out as nearly as may be
possible the intention of this Will as shown by the terms hereof,
including any terms held invalid, illegal, or inoperative.
IN WITNESS WHEREOF, I have at Carlisle Barracks, Pennsylvania, this
J
)1~ day of ;Y7~ ' 19K, set my hand and seal to
this my LAST WILL fu~D TESTk~ENT, consisting of 4 typewritten pages,
each page bearing my handwritten signature.
This document was prepared under the authority of 10 V.S.C.
section 1044, and implementing military regulations and instructions,
by John 1. Rothwell, who is licensed to practice law in the State of
Arkansas.
C()~Q is
CATHE INE B. CASEY
(] d: A') 9.-1 A
It
'0
( SEAL)
C tJ~. 11 c......4''f'' OF
PAGE 3
4 PAGES
~
~
VV-
The foregoing instrument was, at Carlisle Barracks, Pennsylvania,
this /7.!!- day of !t'bA/"A , 192X-, signed, sealed, published
-and declared by CATHERINE B.' CASEY, the testatrix, to be her LAST WILL
AJJD TESTfu~ENT in the presence of all of us at one time, and at the same
time we, at her request and in her presence and in the presence of each
othert have hereunto subscribed our names as attesting witnessest and
we do so verily believe ,that the said testatrix is of sound and
disposing mind and memory at the date hereof.
_---9 I
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PAGE 4
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COMMONWEALTH OF PENNSYLV&~IA
CUMBERLAND COUNTY
ACKNOWLEDGMENT
I, CZl..THERINEB, CASE'L-~~ho.se._nameis_signed_tQ.-the__--
attached or foregoing instrument, having been duly qualified ~cccrdins
to law, do hereby acknowledge that I signed and executed the instrument
as my Last Willi that I signed it willinglYi and that I signed it as my
__,'_''':-.-:-'H free and voluntary act for the purposes therein expressed.
-- -
~
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...Si_"P.":"IIT:"1"'...~.'':' .
C o::! ~ 0; C3 Co
CATHERINE B. CASEY
( SEAL)
AFFIDAVIT
We, ESfEt:.- 9cc:d: G~
, I~.x G- n <- -k'. rJ " Lcs
and
,TCJ.h) -;-- I ~ c;) , the witnesses, sign our names to this
instr~~e~:( bei~g d~ly qualif~ed according to law, do depose a~c say
chat 'Ne 'Nere present and saw the testatrix sign and execute the
instrJment as her Last Willi that the testatrix signed willingly and
executed it as her free and voluntary act for the purposes therein
exp~essed; that eac~ subsc~ibing witness in the hea~:Dg a~d s~g~~ ~:
the testatrix signed the will as a witnessi and that to the best of our
______~knowledge the testatr::..x wasatnthat_time 18 or.more years of age, of ------------
sound mind and under no constraint or undue influence.
Q(~~
Witness
-e,J~
Witness
~Q
k4-J~ 1Rf01<< -&
wi):ness
Subscribed, sworn to and acknowledged before me by CATHERINE B.
:-::----=~~..:_':~.:CASEY, the testatrix, and subscribed and sworn to before me by
ES fEK-
G2 c---O 2. G E
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and
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, the witnesses, this
,
/7'd
day
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My Co~nission 2xplres:
Nota;!;, sea;----;]
Betty R. sta, ndridge. Notary PuollC ,
Carlisle Boro. Cumberland County~
My CommiSSion Expires May 14, 2001 I
Member. PennSVI'!:Jr.!3 M$OSi,ltion 0' Nntan~"