HomeMy WebLinkAbout01-0904
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of 't-IJ"'k I A '" fV1, t3 A R LC;- No. c;;l / - 0 I - q 0 c.{
also known as To:
Register of Wills for the
. Deceased. County of ~uMgmLANn in the
Social Security No. (~ 0 - 0 q - g ''1 'i- Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut fJR
in the last will of the above decedent, dated
and codicil(s) dated 7~tC'tt ,r;~~~C'E A <;~)
(lA-O\WO l-til...L pA- I,{)I'
,
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
named
, 19~
/.l PI? , L II I I q q 3
Decendent was domiciled at death in (!Um SE'flLANJ) County, Pennsylvania, with
h .E12 last family or principal residence at 74 F="J:)iEWAi 1)1?'v~) Q~m to f...I ILl.-
, (,0' ,
(list street, number and muncipality)
,~~oo I ,
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:
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters -rE:S-rR mENrA (2'(
(testamentary; administration c.La.; administration d.b.n.c.t.a.)
theron.
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OATH OF'PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA I ss
COUNTY OF (' VMBFPLANt) J
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and truly adminis~e estate according to law.
swo.rn to or affirme~d SUbscribed. { ~ e.YH1~ ~
4b f~oree t~hiS ~. , d~~~,r( ~.
_ ~ _ ~ ~v DIArJi-= C fYJAavS ~
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/7 - /,... '-I
No. 21-01-0904
Estate of LILLIAN M. GABLE
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW OCTOBER 2nd ____. .0_. ______ ~~l, in consideration C "-J-'e twtlticw. 'om
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated FEBRUARY 4, 1975
described therein be admitted to probate and filed of record as the last will of
LILLIAN M. GABLE
and Letters TESTAMENTARY
are hereby granted to DIANE C. MARKS
~a Jt.u.c:oI?.IN t!.4..K~ fJNWiy-,
I '
Register of Wills
FEES
P b L E il' 18.00
ro ate, etters, tc...........;>
Short Certificates( 2) . . . . . . . . .. $ 6 . 00
~.EX'l'U.r.G.l... $ 3.00-
JCP $ 5.00
TOTAL _ $ 32.00
Filed . 9~.rr:Q~P:R .2,. 2.QQ~. . . . . . . . . . . . . . . .
ATTORNEY (Sup. Ct. LD. No.)
ADDRESS
PHONE
MAILED LETTERS AND ORDERS TO EXEC. OCTORBER 2, 2001
21-01-904
\REGISTER OF WILLS OF COUNTY
"'" OATH OF SUBSCRIBING WITNESS
'.
'\'"
'-"
codicil
(each) a subscribing witnes to the will presented herewith, (each) being duly qualified according to
law, depose(s) and say(s) that -', present and saw
'"
'"
,
the testat , sign the same and\~t signed as a witness at the
request of testat_ in h prese~'c6.,_and (in the presence of each other) (in the presence of the
"
other subscribing witness(es)). """"
'"
""
~
~
Sworn to or affirmed and subscribed before
me this day of
19_
(Name)
(Address)
Register
REGISTER OF WILLS OF CumLJE~.(,O COUNTY
OATH OF NON-SUBSCRIBING WITNESS
~UJMO.)~ . 9it~
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
I AM familiar with the signature of ,Z/J..J.. IAN In. (l,AI?JL~
codicil
testatfi'f of (one of the subscribing witnesses to) the ~ presented herewith and
codicil
that . .I believithe signature on th~iS in the handwriting of
oClLLIArI 117. a1l8L~
to the best of -Pi Y knowledge and belief.
Sworn to or afflrmed and subscribed before ~i'14(O (!"" ~~tJA../J~
m, th~ t3 ~ .::;; (Name) I / (]
~_ 1'1 F.4/f)WIIV UR.. (kmPHILl/rA
~f. ~U.)(J,'P" .(I.G, .,v:;..iIAJ)J~41"' ~ fAddreSS)'
Register U l,cftV€ Q. /Y) AR /( S
~ (Na'!J!l.
OV';":' 71.( F ~ I ~ /,f;A Y lJ,Q., (! "7 m F' !il L ~ fJ.
(Address)
21-01-904
REGISTER OF WILLS OF (2 i.l lu h/~Rb9/t1i~ COUNTY
OATH OF SUBSCRIBING WITNESS
;S; h 11 ,S' I / . i~ ~
codicil
(each) a subscribing witness to the will presented herewith, (each) being duly qualified according to
law, depose(s) and say(s) that h~ llJ/L's present and saw
L III ,(1 () IrJ (~f1,h Ie
the testa~ y , sign the same and that he signed as a witness at the
request of testat-u-- in hl"- presence and (in the presence of each other) (in the presence of the
other subscribing witness(es)).
i:: P.JA
....
(Name)
[Of M~ V. ,t~bJlJj) (4,
, , . I
(Address)
Sworn to or affirmed and subscribed before
me this I .<Jf day of
(Q~Ln!JlU . '/ ~
-...ml]', -; ~ . /J ./1 /l/l ni2 (')" 1). it
" )(..(/Uj t . I ..10 ~. e, (l .:.fi.L 11..) uJ'Li~ -
,I' I ,
Register
(Name)
(Address)
REGISTER OF WILLS OF (! (llU hcPMI'//.J COUNTY
OATH OF NON-SUBSCRIBING WITNESS
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
familiar with the signature of
codicil
testat_ of (one of the subscribing witnesses to) the will presented herewith and
codicil
that believes the signature on the will is in the handwriting of
to the best of
knowledge and belief.
Sworn to or affirmed and subscribed before
me this day of
19_
(Name)
(Address)
Register
(Name)
(Address)
O'.?~" ':;'~;'~~:G is to certify that the information here given is correctly copied fron: an original certificate of death durir filed with me as
Loed Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent 1 mg.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
t2~ //( q;;;A-~
Local Registrar
Fee for this certificate, $2.00
p
7621506
AUG 3 1 ZOO1
Date
143,..". Vl7
COMMONWEALTH OF PENNSYLVANIA · OEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
NAME OF DECEDENT (f".. MidlM. L.,
1. Lillian Good Gable
AGE (laIIlIorlNIayl UNDEA 1 YEAR UNDEA 1 M
Iolonh 0.,. HaIn!,.......
SEX
female
SWIFU~
SOCIAL SECURITY NUMBER
3. 180 - 09 -3174
DAlE OF DEATH oMonIh, OII~. ._,
Aug.29,2001
~en Twp.
OECEDENf'S USUAL 0CCUPlIlJI0N KINO OF 8USlHESSIINOUSTAY
(~.g.a:::.:::2.""
11~t:ary dealership
OECEDENT'S UAIUNO ADDAESS (SIr...~. s... Zip COlNl OECEDENrS
74 Fairway Dr. ~
---
1a. Camp Hill, PA 17011 onOlNlr'"
MIHER'S NAME IFnI. ~.lMIl
18. Frank Good
WOIlMANTSIWIE (T~iane C. Marks
8IRTHI'LACE (C.ty alICI
~OI fa-.gnClulrn
PUCll OF DEAfH lCNdI only """ - .... .,.,ucLo<>s on _ _I
HOSPITAL; OlHER:
I",**" 0 ERIOuIpMiM 0 ~ 0 :::=- 0
L
lMI\S DECEDENT EIlER IN
u.s. AJUotEDFOACU?
11. -.0,.9' 1~ 2
11L SUIe Pennsylvania DlcI
.......
... in a
t7lt.~ClmIberland ......., 11..0 =--:-':::01
MOTHER'S NAME iF... ModdIe. ..... Sur~
1 Lillian S rout
....fl1Tc:r:=~c:...~ittl'~A 17011
if~er.===- 1;;:::== ,~A~7011-
~fu~~lb1e &.nan Stv.-324 ~~ ~~c-_
--~r~5diqIS-L J~;:~~roL_
r::eAEFEMEDTO:OUAaMNE~ . ...,tf --- -
j ~ PAln'I: DIler....... ClIlIIdIiaM CIlIlWibulInQ ....... buI
:...,.,.__ lIIIl.....,in..~_gl.-ilI """ I.
I OIIMI aIld dealIl
,
I
,
DECEDENrS EDUCATION
MARITAl.. SWUS.......
~ MIniM. WlcIDlIoM.
eoa.oe 1lIoGtcMC5PKM
(l'~Of$+1 lyidowed
1'c)Cl........... ......
::.v, 0
SUAVlY1NG SPOUSE
I..... gooe_"""'"
CilpW.
E
DUE 10 lOR AS A CONSEQUENCE OF):
WERE AlJTOf'SY FIiIOINGS
~ PAIOI'IlO
c:owoumoN "CAUSE
OF DERH?
liIAHNER OF DEATH
DATE OF INJURY
1-. Oey, ....)
TIME OF INJURY
INJURY Af WORK? DESCAI8E HOW INJURY OCCl.IMED.
HaIr"
~
o
~
~~
... 0 NoD
No~ ... 0 No ~
AI:cidM
Suicide
CouId_be~
:IlL 2Ib. a.
C81r.... ~ 0flIy one\
oCEllTlPY1NG PHYSICIAN ~cerWwong.,... d _ _ __ p/1yIC_ '* pronounc:ecl ClNII atlO cOlnllllllld ft.... 231
To........oI.'~.duIIt............._.._cauM(.I.....___.......,......................,....,.....,.............., .
OMEDeCAL EXAMlNERICOROHER
On .... bHIa of ..emIna1lon and/or 1nVe......ion.1n my opinton. d.ath occuned .t .... 'Ime. d.... ~ p1ac.. end due to .... c:euM(s) and
)1.~ .. at.1... . .. . . . .. . . . . . . . . . . . . . .. . .. . . . . . . . . . . .. . . . . . .. . . . . . .. .. .. . . . . . . . . . . . . . . . . .. . . . .. . .. . . .. .. . . . . . . ..
_. REGIST~:~~MU~
.. (,bA-'V'" "C o/~ j.l(~/~ I
..
jSlGHArUAE AHo TITlE OF CERTIFIER
)(! 31... IlJ~..h?I ()~ .lll-~
IUCENsEmR . u .. ToRE~~.~.'llIat) ./
o 31.. . . 1J~{'L~131!1. ~lfWdlrr ~(), _ZlPL
=2~~~OFPERSON~CAUS€e~(U:.
o U. -V ~.~A-_L"1D~_
C!::;~"'d 0 0 ;- ...,--,---~--- _
(/.. r-
OPR0MQ41NC1NQ AM)CEJlTU'YINQ~1PhY-=- bcllh "",nou,,,,"'Il_ _cetlllylnglO~ d_'
To'" ..... 01 "" _-.. _...._.... _. ...... _ pIec.. and.... to tile cUMI.. 1nII_ as -'atM.. . . . . . . . . . . . . . . . . . . . . . . . .
llNOLD, SUKE & BAYLEY
ATIORNEYS AT LAW
2 J O!/ KUKET STl.EET
All, HILL, PENNSYLVANIA 17011
21-01-904
LAST WILL AND TESTAMENT
OF
LILLIAN M. GABLE
I, LILLIAN M. GABLE, of the Borough of Camp Hill, Cumberland
County, Pennsylvania, declare this to be my Last Will and Testa-
ment, hereby revoking any will previously made by me.
I - I direct the payment of all my just debts and fu-
neral expenses out of my estate as soon as may be practicable af-
ter my death.
II - I devise and bequeath all of my estate of every
nature and wherever situate unto my husband, Henry J. Gable, Jr.,
providing he survives me by sixty (60) days.
III - Should my said husband fail to be living on the
sixty-first (6Ist) day following my death, then I devise and
bequeath all of my estate of every nature and wherever situate
unto my daughter, Diane C. Marks.
IV - All taxes that may be assessed in consequence of
my death of whatever nature and by whatever jurisdiction imposed
shall be considered a part of the expense of the administration
of my estate, and my personal representative or representatives
shall have the absolute power in his or her discretion to pay
the same at once whether or not the law under which they are im-
posed permits the postponement of all or part of them to a later
time.
v - I appoint my husband, Henry J. Gable, Jr., Executor
of this, my Last Will and Testament. Should he fail to qualify
or cease to act as such, then I appoint my daughter, Diane C.
Marks of Leola, Pennsylvania, as Executrix of this, my Last Will
and Testament. Neither of my personal representatives shall be
required to post bond in this or any jurisdiction.
~
!.~~&-rrAA f ~d.J'c
Page 1
this, the
IN WITNESS WHEREOF, I have hereunto set my hand and seal on
d
day of ~~
i/~ V1{h~ (SEAL>
-Lillian M. Gable
-f"t-It
, 1976-
Signed, sealed, published and declared by LILLIAN M. GABLE, Tes-
tatrix therein named, on this and one (l) other sheet of paper
as and for her Last Will and Testament in our p~esence, who in
her presence, at her request and in the presence of each other,
have hereunto subscribed our names as attesting witnesses.
~p~
/ J.. Name
lJ
~.1;--edIA.
Ad ress /
~dJh~
(Name
~Ad6,4 .
NOLO, SUKE & BAYLEY
A1TORNEYS AT LAW
2109 MAAII.ET STIlEET
Page 2
MP Hn.I.. PIlNNSYLVANIA 17011
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: Lillian M. Gable
Date of Death: August 29, 2001
Administration No.: 21-01-0904
To the Register:
I certify that notice of estate administration required by Rule 5.6(a) of the Orphans' Court
Rules was given to the following beneficiary on October 19,2001.
Diane C. Marks
74 Fairway Drive
Camp Hill, P A 17011
.,.-
...-
. ,if'or"V'
{
C
Notice has now been given to all persons entitled thereto
Date: October 19, 2001
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
RICHARD L PLACEY
3631 NORTH FRONT STREET
HARRISBURG, PA 17110-1533
-------- fold
EST A TE INFORMATION: SSN: 1 80-09-31 74
FILE NUMBER: 21-2001- 0904
DECEDENT NAME: GABLE LILLIAN M
DA TE OF PAYMENT: 11/28/2001
POSTMARK DATE: 0010010000
COUNTY: CUMBERLAND
DATE OF DEATH: 08/29/2001
NO. CD 000565
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $2,636.96
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$2,636.96
REMARKS: DIANE C MARKS
C/O RICHARD L PLACEY ESQUIRE
CHECK# 3532
SEAL
INITIALS: CW
RECEIVED BY:
REGISTER OF WILLS
MARY C. LEWIS
REGISTER OF WILLS
/1-//-1
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z80601
HARRISBURG, PA 171Z8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
RICHARD L PLACEV ESQ
PLACEV & WRIGHT
3631 N FRONT ST
HBG PA 17110
Recoru", DATE.
RelJj~J;. ~EsfATt OF
DATE OF DEATH
.02 JAN 2i~~~~~~ER
ACN
01-21-2002
GABLE
08-29-2001
21 01-0904
CUMBERLAND
101
~S~
'W'J' C/
REV-1547 EX AFP (12-00l
LILLIAN
M
(I" p~
Allount Rellitted
C,erK'
Glllnb8nd!:'
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-Y=is47-ix--AFP-fi'2-:ooi--NO;:YCE--OF-iNHERiTANCi-YAX-A-PPRA-isEifENT~--ALLOWANCi-OR-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF GABLE LILLIAN M FILE NO. 21 01-0904 ACN 101 DATE 01-21-2002
CHANGED
I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
r~lect ~igures that include the total of ~ returns assessed to date.
ASSESSMENT OF TAX:
15. Allount of Line 14 at Spousal rate (15)
16. A.ount of Line 14 taxable at Lineal/Class A rate (16)
17. Allount of Line 14 at Sibling rate (17)
18. Amount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
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. Mortgages/Notes Receivable (Schedule D)
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
1I)
(2)
(3)
(4)
(5)
(6)
(7)
.00
3.00
.00
.00
.00
75,214.25
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage 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)
UO)
13,533.92
.00
1I1)
(2)
(13)
1I4)
NOTE:
.00 X 00 =
61,683.33 X 045 =
.00 X 12 =
.00 X 15 =
NOTE: To insure proper
credit to your account,
subllit the upper portion
of this forll with your
tax paYllent.
75,217.25
13.533 92
61,683.33
.00
61,683.33
1I9)=
.00
2,775.75
.00
.00
2,775.75
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-28-2001 CDOO0565 138.79 2,636.96
TOTAL TAX CREDIT 2,775.75
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 PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIr' (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
C/
PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF.DEATH REGARDLESS OF
THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY
UNTIL COMPLETION
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Lillian M. Gable
Date of Death: Auqust 29, 2001
Estate No.:
21-01~0904
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect
to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes x No
2. If the answer is No, state when the personal representative reasonably believes
that the administration will be complete:
(date)
3. If the answer to No. 1 is yes, state the following:
A. Did the personal representative file a final account with the court?
y~ ~ X
B. The separate Orphans' Court No. (if any) for the personal representative's
account is: (Not Applicable in Dauphin County)
C. Did the personal representative state an account informally to the parties in
interest? Yes x No
D. Copies of receipts, releases, joinders and approvals of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be attached
to this report.
CJ
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Date: March 7, 2002
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(717) 236-9577
(MAH:nntlAM3)
Telephone No.
Capacity:
Personal Representative
x
Counsel for Personal Representative
R.W. - 58
RE]' isoo EX !6-llW
COMMONWEAlTH OF
PENNSYlVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
C-
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFicIAL USE ONLY
o 9 0 4.
-----
NUMBER
COUNTY CODE
I-
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DECEDENrS NAME (lAST, FIRST. AND MIDDlE INfTlAl)
GABLE, Lillian M.
DATE OF DEATH (MM-OO-YEAR) DATE OF BIRTH (MM-OD-YEAR)
August 29, 2001 August 18, 1910
(IF APPlICABlE) SURVIVING SPOUSE'S NAME (lAST, FIRST, AND MIDDLE INITIAl.)
n/a
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..,
:ll:~1I)
oll:::ll:
w~o
:1:00
011::....1
~ID
~
4(
IX] 1. Original Return
o 4. Limited Estate
IX] 6. Decedent Died Testate (AIIach c;opy of WI)
o 9. litigation Proceeds Received
SOCIAl SECURITY NUMBER
180 09 - 3174
THIS RETURN MUST BE FILED IN DUPlICATE WITH THE
REGISTER OF WILLS
SOCIAl SECURITY NUMBER
o 2. Supplemental Return
o 4a. Future Interest Compromise (dale of dea1Il after 12.12-82)
D 7. Decedent Maintained a living Trust (AIIach c;opy of Trust)
D 10. Spousal Poverty Creal! (dale of dea1Il_ 12-31-91 and 1-1-95)
D 3. Remainder Refurn (dale of _ prior 10 12-13-82)
o 5. Federal Estate Tax Return Required
8_ Total Number of Safe Deposit BOxes
o ". Election to tax under See. 9113(A) (AIIach SchO)
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NAME
Richard L. Placey, Esquire
F1~J~") Wright
TELEPHONE NUMBER
(717) 236-9577
3631 North Front street
Harrisburg, PA 17110-1533
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation. Partnership or SoIe-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & MisceRaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Bil6ng Requested
1. Inter-VIV~ Transfers & Miscellaneous Non-Probate Property
(Schedule G or l)
8. Totaf Gross Assets (total lines 1-1)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Oecedenl, 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 GovemmeniafBequestslSec 9113 Trusts for which an election to tax has not been
made (Schedule J)
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14. Net Value Subject to Tax (Line 12 minus line 13)
COMPLETE MAILING ADDRESS
(11) 13,533.92
(12) 61,683.33
(13) .00
(14) 61,683.33
SEE INSmUCTlONS 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)
z
o
~
~
::)
D.
:i!:
o
o
g
16. Amount of Line 14laxable at lineal rate
11. Amount of line 14 taxable al sibling rate
18. Amount of line 14laxable at collateral rate
19. Tax Due
20.0
~ -- - ~ ,- - - -- ~ - -- - - -- - . - - - - - - -- ~- -
~ ..... ~ _; ~- ~ _ ~- , . ~, : _ n _ T_ _ _
- - - - - - . - - ~ -
- - - - - - - - - - --
61,683.33
x.O_ (15)
x .045 (16)
x .12 (11)
x .15 (18)
(19)
'2:;775.75
2, 77'5. 7 5
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
RfV.1503Ex+(l-97)
'*
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
LILLIAN M. GABLE
FILE NUMBER
21-01-904
ESTATE OF
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
Applied Medical Devices, Inc., 200 shares common stock
(Valued at $.01S/share)
$
3.00
(See stock valuation attached)
TOTAL (Also enteron line 2, Recapitulation) $
3.00
III; ___ ___ ~_ ___..1......1 :__........ .....4...:..:............. ....&................ J .......... ........-- ....:-_\
~istorical Quotes
Page 1 of1
~!FINANCE~
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~orelnfo:~IChartINewsIPTofileISEC
Historical Quotes
AMDI.OB
Month Day Year
Start Date: I~~~. ~~, LO!.!
End Date: IA~~. L2~: l~1.
@;' Daily
C Weekly
C Monthly
C Dividends
Ticker Symbol: 1C3'!1~i:()~
Date Open High Low Close Volume Adj. Close*
29-Aug-01 0.015 0.015 0.015 0.015 52,000 0.015
Download Spreadsheet Format
* adjusted for dividends and splits, please see F AQ.
Questions or Comments?
Copyright @ 2001 Yahoollnc. All rights reserved. Privacy Policv - Terms of Service
Historical chart data and daily updates provided by Commodity Svstems. Inc. (CS/).
Data and information is provided for informational purposes only, and is not intended for trading purposes. Neither Yahoo nor any of its data or content
providers (such as CSI) shall be liable for any errors or delays in the content, or for any actions taken in reliance thereon.
http://chart.yahoo.com/t?a=08&b=29&c=01&d=08&e=29&f=0 1 &g=d&s=amdi.ob&y=O&z=... 10/24/01
REI/.1Sl9 EX + \1.&1)
.
SCHEDULE F
JOINTLY-OWNED PROPERTY
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
LILLIAN M. GABLE
FILE NUMBER
21-01-904
ESTATEOF
If an asset was made joint within one year of the ~I date of death, It must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A. Diane C. Marks
74 Fairway Drive
Camp Hill, PA 17011
Daughter
B.
c.
JOINTL Y-OWNED PROPERTY:
lETTER DATE DESCRJPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE lncIlde name ct finMcialinstilulion and bri a:coont number or simiIlr iden1ifying number. A1Ia:h DATE OF DEATH DECO'S VAlUE OF
'IlMIlER TENANT JOINT deed for joinlIy-beId real eslalB. VAlUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A. 9/99 Fulton Bank C.D. 022-0114156
Principal - $40,000.00
Interest - $ 46.51 40,046.51 50% 20,023.26
2. A 10/92 Waypoint Bank C.D. 466238875
Principal - $25,002.66
Interest - $ 116.04 25,118.70 50% 12,559.35
3. A 11/97 Waypoint Bank C.D. 466316856
Principal - $10,000.00
Interest - $ 46.41 10,046.41 50% 5,023.21
4. A 2/84 Allfirst Bank Checking 0038303124 6,320.70 50% 3,160.35
5. A 3/98 Allfirst Bank C.D. 87008141076450 -
Principal - $40,003.69
Interest - $ 72.47 40,076.16 50% 20,038.08
6. A 4/93 UGI Corporation 1,000 shares commo
Hi-$28.99; Lo-$28.52; Valued $28.8 28,820.00 50% 14,410.00
(See bank letters and stock valuat on
attached. )
TOTALJAlso enter on line 6, Recapitulation) $ 75,214.25
(If more space is needed. insert additional sheets of the same size)
FUlton Bank
CAPITAL DIVISION · LANCASTER/CHESTER DIVISION
DROVERS BANK DIVISION · GREAT VALLEY DIVISION
(717)291-2437
October 30,2001
Placey & Wright
3631 North Front Street
Harrisburg, Pennsylvania 17110
Dear Mr. Placey:
RE: Lillian M. Gable, deceased August 29, 2001
In response to your recent inquiry concerning the accounts maintained in the name of
the decedent, please be advised that the following accounts were open at the date of death:
Mastercard # 5401132009003141, open 2/1990, limit $8,200.00,
balance $-0-, last paid 8/15/01, in her name only.
CD # 022-0114156, open 9/22/1999, matures 9/22/2004, balance
$40,000.00 and accrued interest $46.51; paying 6.06%, joint with
Diane C. Marks.
The decedent also has a safe deposit box, # 212 at our West Shore
Branch, in her name only.
If you should have any further questions, please do not hesitate to contact me.
Very truly yours, "
~~.~
Karen D. Hillegas
Credit Inquiry Processor
- "ONFIDENTI 0,,<<
lJ tl ~gH*-
f t. ".. 'urr,;gho"! '.l~ ~
'tis In orma {On b I , " ..v1J ,. :
answer to your inquiry, :.
lO responsibility is assumed .by t, . '~~,--"n
;t.~ opinion herein exPfessed IS subiBCtto chaH~,'c;
POBox 4887 " Lancaster, PA 17604
www.fultonbank.com
1-800-FULTON-4
~IWay~i!'J
LOOK FOR us. WE'LL GET YOU THERE.
10/26/2001
PLACY & WRIGHT
3631 NORTH FRONT ST
HARRISBURG PA 17110
The information which you requested on the account(s) of LILLIAN GABLE DECEASED
(Social Security Number 180-09-3174) is/are as follows:
Account Number
Class of Account
Date Opened
Principal Balance
Accrued Interest
Balance at Date of
Death
Account Ownership ITO ITO
Name of Joint DIANE MARKS DIANE MARKS
Owner, if any
Date Ownership
Was Established
466238875
CERTIFICATE
10/13/92
25002.66
116.04
2~1l8.70
466316856
CERTIFICATE
11/06/97
10000.00
46.41
10046.41
10/13/92
11/06/97
Account Number
Class of Account
Date Opened
Principal Balance
Accrued Interest
Balance at Date of
Death
Account Ownership
Name of Joint
Owner, if any
Date Ownership
Was Established
Additional
Infonnation
Requested
~~r
SENIOR SERVICES REP.
P.O. Box 1711. HARRISBURG. PENNSYLVANIA 17105-1711
Toll Free 1-866-WAYPOINT (I-B66-929-7646) . www.waypointbank.com
Nov 05 01 05:39p
ALLFIRST CIS
3029342955
p.2
!l allflrst
MUir,! Fin;;ncial C;:nLcr N..'\.
1'0 Oox 900
Millbonl. DE 19966
November 5,2001
Pll1cey & Wright
Attorneys At Law
3631 North Front Street
Harri!lburg, PA 17110~1533
Re: E\'lllle olLiilian A-l GaMe
Social SecurilV: 180-09-3 J 74
Dale ot'Dearh: Auf{1.JS/ 29. 200}
DcaI' Sir or Madam:
PCI' yo,Jr inquiry dated October 19.2001 please be ::dviscd that at the time of death. lite above-nilmed decedem held
on deposit with this bank the tollow;ng'
I.
Type ojAt'counr
Golden A<~e Checking
ACL'ounr Number
0038303/24
O'tlnership (:Vunu:s .;f)
Lillian M Cable, Owner
Diane C. ,Harks, Owne"
HenFJ:J. Gable, DEeD
Openi/1R Dule
fJ2/28/84
Balallcr? un Date o.fDealh
S6,320.70
.-lc.:crlled IJ1!ere.w
s
()(XJ
Jf )fa!
$6,320. 70
')
1;1W '~f4ccu!/nl
Cerlijica[r! ojDeposil
tlcCt,unt Numher
87008 f.I I 076450
O'i xrship (Nam<-'S (!I)
Lillian M. Gable, O>mer
Dhme C. Mark\'. Owner
Op":/ling Date
03//8/98
Bd(mct;;' Ol? Date of Demh
f40,003.6Y
4 cV/'1i(.:d Imere.I'!
:;
72.47
Tow':
UO.076./6
Nov 05 01 05:39p
ALLFIRST CIS
3029342955
p.3
7i'::s fl:"\'l.!.i' (ft-.:..... n.....,r hrc/ude (HI,,\' t/cmflnt.'i in )I'hid111~c Jl'c(.'(J,,'(~d may have (JeeJ1 "'~tcd as PU1ft:r OlrJlff}f't1i..')'.
C'fstodi'::OlI)! CJ/ijnl'HI Trlln.~ii!fs; PM!p"',Jll'C11(OI(W:! Paye'c, 0," ",,.((sfcr.: lmdcr a ff'ri/tc::n ..fgn:ement.
ForJi:rlher ()(X{)~cJl i~.fol'ma/i()lI. .::ios,u"e,S (lild/or reimbw.'i!:IlIt.'It/ ~I.jimd,\' re.ter fa helr)}:- hranr.l1:
wrST SnORE I'LA"_'\ OJ'FICI:
1200 M\RKET STREET
Lt:::\10YN[, "\ 171143
711-25:'-2271
$lOcerely, ./
lv' / \
, 1/ ,- 11
~V11. J~(/v~.;Lt.(
StI<! i, inlbJe
Assislant I
Cis Services, (302; 934-2909
Jiistorical Quotes
Page 1 of 1
~IFlNANCEim1
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More Info: ~ I Chart I News I ProfIle I Research I SEe I Msgs I Insider
Historical Quotes
NYSE:UGI
Month Day Year
Start Date: L~~JL. ~~-.J 101 j
End Date: 1~u.~.1?9 J lq~.:.
@ Daily
C Weekly
C Monthly
C Dividends
Ticker Symbol: I~~i
Date Open High Low Close Volume Adj. Close*
29-Aug-01 28.62 28.99 28.52 28.98 2,068,900 28.98
Download Spreadsheet Format
* adjusted for dividends and splits, please see FAQ.
Questions or Comments?
Copyright @ 2001 Yahoollnc. All rights reserved. Privacv Policy - Terms of Service
Historical chart data and daily updates provided by Commodity Svstems. Inc. (CS/).
Data and information is provided for informational purposes only, and is not intended for trading purposes. Neither Yahoo nor any of its data or content
providers (such as CSI) shall be liable for any errors or delays in the content, or for any actions taken in reliance thereon.
http://chart.yahoo.com/t?a=08&b=29&c=0 1 &d=08&e=29&f=0 1 &g=d&s=ugi&y=O&z=ugi
10/19/01
~~~.,.." .
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
LILLIAN M. GABLE
FILE NUMBER
21-01-904
ESTATE OF
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
DESCRIPTION
AMOUNT
FUNERAL EXPENSES:
1.
2.
Musselman Funeral Home, Inc.
Rolling Green Cemetery
$ 8,774.50
760.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative s Commissions
Name of Personal Representative (s)
Social Security Number(s) / EIN Number of Personal Representative(s)
Street Address
n/a
City
State
Zip
Year(s) Commission Paid:
2.
3.
Attomey Fees
Placey & Wright
2,500.00
Family Exemption: Of decedent s address is not the same as claimant s. attach explanation)
Claimant Diane C. Marks
Street Address 74 Fairway Drive
Camp Hill
City
Slate P A
Zip 17011
Relationship of Claimant to Decedent
Daughter
4.
Probate Fees
Cumberland County Register of Wills
32.00
5.
Accountant s Fees
6.
Tax Retum Preparers Fees
7.
8.
9.
10.
11.
12.
13.
Johns Hopkins - debt of decedent
Lower Allen EMS - debt of decedent
Hampden Township EMS - debt of decedent
wes2 Shore EMS - debt of decedent
CPO - debt of decedent
Special Care - debts of decedent
Reserve for future costs, taxes and expenses
40.99
100.00
75.00
40.80
16.56
194.07
1,000.00
TOTAL (Also enter on line 9, Recapitulation) $ 1 3 , 533 . 92
(If more space IS needed, insert additional sheets of the same size)
REV-1513 EX + (1-97)
'*
SCHEDULE J
BENEFICIARIES
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
LILLIAN M. GABLE
FILE NUMBER
21-01-904
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
Do Not listTrustee(s) OF ESTATE
ESTATE OF
NUMBER
I.
NAME AND ADDRESS OF PERSON{S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS (include outright spousal distributions)
1.
Diane C. Marks
74 Fairway Drive
Camp Hill, FA 17011
Daughter Entire Estate
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II. ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
.00
.0, SUKE '" BAYLEY
ToRNI:YS AT LAW
09 WAl.KI!T SR..aT
ILL. PBNNSYLVAN'A 17011
21-01-904
LAST WILL AND TESTAMENT
OF
LILLIAN M. GABLE
I, LILLIAN M. GABLE, of the Borough of Camp Hill, Cumberland
County, Pennsylvania, declare this to be my Last Will and Testa-
ment, hereby revoking any will previously made by me.
I - I direct the payment of all my just debts and fu-
neral expenses out of my estate as soon as may be practicable af-
ter my death.
II - I devise and bequeath all of my estate of every
nature and wherever situate unto my husband, Henry J. Gable, Jr.,
providing he survives me by sixty (60) days.
III - Should my said husband fail to be living on the
sixty-first (6lst) day following my death, then I devise and
bequeath all of my estate of every nature and wherever situate
unto my daughter, Diane C. Marks.
IV - All taxes that may be assessed in consequence of
my death of whatever nature and by whatever jurisdiction imposed
shall be considered a part of the expense of the administration
of my estate, and my personal representative or representatives
shall have the absolute power in his or her discretion to pay
the same at once whether or not the law under which they are im-
posed permits the postponement of all or part of them to a later
time.
V - I appoint my husband, Henry J. Gable, Jr., Executor
of this, my Last Will and Testament. Should he fail to qualify
or cease to act as such, then I appoint my daughter, Diane C.
Marks of Leola, Pennsylvania, as Executrix of this, my Last Will
and Testament. Neither of my personal representatives shall be
required to post bond in this or any jurisdiction.
/<)
~/~~t~ vr ./7dJc
Page I
..
. '
'-;:,
1lNOlO. SLlKE .,. BAYLEY
ArrORNI'VS AT LAW
2109 MAIK-IT snlET
UlI. HILL. PIIIN"NSV\.YANIA 170t I
IN WITNESS WHEREOF, I have hereunto set my hand and seal on
,.-
day of -77~
~~ '1h~ (SEAL)
Lillian M. Gable
this, the
~rlt
, 1976,-
Signed, sealed, published and declared by LILLIAN M. GABLE, Tes-
tatrix therein named, on this and one (1) other sheet of paper
as and for her Last Will and Testament in our presence, who in
her presence, at her request and in the presence of each other,
have hereunto subscribed our names as attesting witnesses.
\kf~
11- Name
/ '
eJ
~/,4~
Ad ress .
~dJ0~~
(Name
4~ /1
..' ..~
, Ad ress )-
Page 2