Loading...
HomeMy WebLinkAbout01-0927PETITION FOR PROBATE and GRANT OF LETTERS '''J Estate of Grace V. McLaughlin No, ~''~ ~~ '~ ~ ~ 1 also known as To: ~-t- ~a Deceased. Social Security No. ~ "~~-1_ h-9011 Register of Wills for the County of . tmberland in the 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 °r named in the last will of the above decedent, dated December 14, 1993 , 19 and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Cumberland Decendent was domiciled at death in County, Pennsylvania, with h er last family or princippal residence at 50 S rin Garden Estates, Carlisle, South Middleton township, Cumberland County, (list street, number and muncipality) Decendent, then 93 years of age, died Sept. 24, 2001 , 19 , at Carlisle, Cumberland County. PA Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as fallows: (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 testamentary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. v ~~ C rl William Souders ~.0 94 McAllister Church Road ~: Na ('.arliclP~ PA 17O1'i v ~. ~ o a oq $ 27,750.00 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF CUMBERLAND 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 an ruly administer the estate according to law. / ~--~- Sworn to or affirmed and subscribed / ~ -'~'~-~- rn before me this _ NTH day of arl William Souders ~~ TOB R ~~ 1 94 McAllister Church Road o r 0 MAR C LFWI$ Register NO. 21 - 01 - 0927 Estate Of GRACE V. McLAUGHLIN ,Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW OCTOBER 9, x~Cj ?001 , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated DECEMBER 14, 199? described therein be admitted to probate and filed of record as the last will of GRACE V MCLAUGHLIN and Letters TESTAME~T~R~:`'" ' are hereby granted to CARL WILLIAM SOUDERS FEES Probate, Letters, Etc.......... $ 60.00 Short Certificates(3) .......... $ A _ flfl Renunciation ................ $ X-Pages $ 6.00 J C P TOTAL $ Q~- Filed ....... 0l;.T.QBER .9,..?_Q01...... , , . . ' ~11.111~J Register of Wilis MARY C LE4JIS ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE Letters picked up on 10-9-2001 11 T U SIGNATUR DTITLE OF CERTIFIER /V 1 e b Mc el my ano~bEga, warn oKUnM,aw b NN eauae(a) aM manMr as atateE ...................... . ................ .............. ^ D` 710. \ •-~. 'MOalO11NC111G AND CERTIfY1NG PHYSICIAN IPnysCan boor ddwunurrq oealn arlECMllynry co cauaaa waml ,..A LICENSE NUMBER DATE SNiNEDI}Mavn. Day. Vaarl '~1 /yti ~Y.N~ 01~ ~N '~ C S - ~ IM Oe•t oL my YnowlMg., waN OCCUnaA attM tMrH,wte, arW prate,aM Uw to M. eavfe(sl anE manner a•slat•E .......................... IYI ~ ' Tte. ]t4 U V1 °~~] ~l T NAME ANO ADDRESS OF PERSON WHO COMPLETEDCAUSE OF DEATH 'MEDICAL E](AMINER/CORONER On 111E OEEia of aamin tl Al I l Item 27) T nt ~ I , w Yy ~ n ~• 1 A I~ ( G ~ a e on an or nyest galion, In my opinion, Ota1N attuned at Ina Ilme, date, and plea., aM due to the causa(a) arM Tanner as atataa .................................................................................................. ^ xt,. ~ ` ' ~a ~~ ^ ( 'y y ~ ~y xz D ~ ~JJZ LY~4 'OG11U`• ^ C~~~ Vt REGISTRAR'S SIGNATURE AND R ~ • ~~~ ~~ y I-~ v . . . l DATE FILED(Mdun. Day r!][L aoo ~ a~ `"~~ . , . ,.. _ _ T ~.,~. - - a - - I, GRACE V. McLAUGHLIN, of South Middleton "'owr.shin. Cumberland. County, Perznsyivania, declare this to be my last will and revoke any will previously made by me. I. I bequeath a_.' ,~f my estate of every nature and wherever situate to my r:usband. DANIEL L. McLAUGHLIN, providing he shall survive me by thirty days. II. Should my husband. Daniel L. McLaughlin, predecease me o?' die o_~ cr before the thirtieth day following my dean:: A. I bequeath my mobile home to my son, CARL WILLIAM: SC}UDERS, providing he shall survive me by thirty days; otherwise to lapse, with the proceeds therefrom to be added to ar.~ d:~stribute~a as a Hart of my residuary estate. S. I bequeath the residue oz m,j estate of every ilat'irE' a.iLd W~;e~"eVc`'r SitL.ate In equal shares t0 '.??y ~OSter SOH, CARL WILLIAM SCIUDERS, and to my step-daughter, VflNNIE M. IxAY, providl~:g they, shah. survive me btr thirty days. C. Should my foster sar., ~ar.l William Souders, or my ste_-daugtet 'vonnie M. Lay, predecease me or die on or before the thirtiet=. day following my death. I bequeath the shay^e of such beneficiary of my residuary estate tc ris or her issue per stirpes l.ivina cn the thirty-first day f.ollowirg my death: ar_d should t_~~ther my said foster son, Carl William Souders, or my step-daucrhter. ~Iornie M. L•ay, leave no such issue ' iving cr. the thirty-first day following my death, I bequeath the share of such beneficiary to the other beneficiary or to his or her issue per stirpes living on the thirty-first day following my death. III. I direct that all taxes that may be assessed in consequence of my death, of whatever nature and 'r?y whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of m-T estate. IV. I appoint FARMERS TRUST COMPANY or its successor in business, guardian of any property which passes eider under this will or otherwise to a minor and with respe~~t to whoa. T am authorized to appoint a guardian and have not otherwise specifically done so, provided that this appcintment of a guardian sha__ _.ot supersede the right of ary fiduciary i.n its discretion to distribute a share where possible to the minor or to ar_ct'r.er fo?- the minor's ber_efit. Such guardiar_ shall have the power to use principal as well as income from time to time for the mir_or's support ar_d education (including college education, both graduate and undergraduate) without regard to hi::~ o he pare_^.t's ab~.li.ty to provide for such support and education. or to make payment for these purposes. without fu.rther~responsibility, to the minor or to the minor's parer_t or to any person taking care of the minor. V. I appoint my foster son, CARL WILLIAM SOUDERS, executor of this my last wi:~. Should my foster son, Car'_ rV11iiam Souders, fail to qualify or cease to act as executor, I appoint FARMERS TRUST COMPANY or its successor in business J I t executor of this my Iast will. Vim. _ direct that my executor and guardian. or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this T/~'` day of /~~, ,_, 1993. LL~~- Lam.-~C., u~' , ~~ .~ ~L~--1~t• GRACE ti . McLAUGHL I Iv' 'the preceding instrument, consisting of this and two at:~er typewritten pages identified by the signature of the testatrix, GP.ACE V. 1?cLAL'GHi:IN, was on the day ar:d date thereof sigr_ed, published and declared by GRACE V. McLAUGHLIN, the testatrix therein. named, as and for her last will. in the presence of us, who, at her request, in her presence. and in the presence of each other have subscrib ,qur names as witnesses hereto. ~' //'" / \ 7 / ~, -, i d D . ~J- ~ ~ ~ 21 - 01 - 927 REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS codicil (each) a subscribing w~ ess to the will presented herewith, (each mg duly qualified according to law, depose(s) and say(s) th present and saw the testat ,sign the same and request of testat_ in h pr other subscribing witness(es)). signed as a witness at the (in the presence of each other) (in the presence of the Sworn to or affirmed and su ribed before me this day of 19 Register (Name) (Name) (Address) REGISTER OF WILLS OF cuMBExL~ COUNTY OATH OF NON-SUBSCRIBING WITNESS Jane F. Burke and Karen Tomassone (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that they are familiar with the signature of Grace V. McLaughlin ~~x testat rix of (oaei~xxk~x>fir~pgxx~siisx:6~ the will presented herewith and codicil that the believes the signature on the will is in the handwriting of Grace V. McLaughlin to the best of their knowledge and belief. Sworn to or affirmed and subscribed before me this 9TH day of (Name} 3 (Name} (Address) H105.405 REV.(09(00) This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. WARNING: It is illegal to duplicate this copy by photostat or photograph. ~oB.Q,~_S. .aa.._-•, FI-r-, Robert S. erman, Jr., MPH Secretary of Health Military status 18 2 2 2 0 9 No. ~ . Htos. :aRe,,.zeT TYPEIPRINT IN PERMANENT BLACK dK or Z W U w 0 O i Charles Hardester State Registrar JUN 2 6 2001 Date COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH NAME OF DECEDENT IFes.Mgae. LaRl +. Daniel Leroy McLaughlin ~% Niale ,• 50CIAL SECURITY NUMBER ,. 186 - 05 - 6473 ORE OF DEATH ~MpM,Day,'bMl a. June 5, 2001 ACE (Las Ualndayl UNDER t YEAq UNDER t DAY DATE OF BIRTH BBTTHPLACE'C•h xa PLACE OF DERH ICne ck «W nne-.ee uclmem tM`er sgel 8 6 M«Uw • DW Nona . Mawtee MOMn. DaV.'4s1 Ju iy ~ 3 F ifele «F« CWMr 1 °.'V^ V na e F N e NO$PITAI: -- OTHER: ~' ^ ^ "t"'~° Yra. _ s. l e. ~ P en i. EFUOMpatisM DOA H« Y •,p ,. ^ ReeldanF• ^ SPacpyl ^ t CIXINTY OF DERN Cfry. BOPO. TWP OF DEATH FACILfTY NAME III n« ins~Ntan, ry.e sae« arq numbed NNS CEDENT OF HISPANIC ORIGIN? PUCE -Arrlenun kldi•n, BI•o•, wne•, NL ` ~ Cumberland Carlisle Carlisle Hos ital ~°,~~^p+~•~~•^ jSpaC"y' P M. Kar Pa s Rk n «~ Whit e l. . , e e . W •e. b. f. 10. DECEDENT'S USUAL OCCUPRpTN KING OF BUSINES$(INOUSTRY WAS DECEDENT EVER IN DECEDENT'S EDUCRION MARRAL STATUS-MnnW SURWVMVG SPOUSE ~~ U.S. ARM€O FORC ES7 ~ ~ NevN ManiW. WgorW. Ia Ne. Iva magan n•m•1 ld arN C r4 ~ ~ : ^ •o vs i EkKrwnlaryl5ecbndarY oe• . „~ Plan Manager 10.Hershey Foods „ "`~"° ,~ lotzl 1 n^«5+1 ,~ Ma~•`~~~ ,. Grace Neff DECEDENT'S MAAMIG ADDRESS (SOas. Cpyrw.n. SaN. Zy Codel DECEDENT'S PerinsY vania South Middleton n i T A 50 Spring Garden Estates • AC L eT..sMR Dq e. .d•ced•NliVed ,.,. U RESIDENCE axeant «CarlisleyPenna. 17013 ~«~~; ,m Cumberland ~unip7 „d I+o.d•c•d•r+~•d ^ .pnn,rnrM lisp,a opYr4oru. FATHER'S NAMEIF'ssl. MiddM. L~yIOy Ba N1c Laughl in ,.. ItCC ll MOTHEfl'S NAME(Fis.Mggg.~ir rFnari~+ ~. Dehaven es. lyl 0 1. P/FORMANT'$ NAME RY °G'ce McLaughlin INFORMANT'S MABJNO ADOPE5345aes, CAyROan. $I•M, ZpCOde) :o.. ~ 50 Spring Garden EstatesaCarlisleyPenna.l O1 METHOD OF pSP051T1 DREOF dSPOSITpN LM«NM1 Da M«) PLACE OF dSPOSRp7N-Nem(W Cemetery, Ctemtl«y W t «~~ L ~ rt~i~~e~ B«w DrrKtWlort^ R•mwalh«nSMt.^ , Y es • minster on Twp. ~;an^ oBpN L ^ June 8F2001 Memorial Gardens ~umberland Count P = 21e ate „ yy enna SIGNAURE FUNEIULSERVICELICEN EORPE ACTINCASSUCH LICENSE NUMBER NAMEANPAODRE OF TY 0 SOt th Hanov r Street ~ o`~`h ~ ,,, 003219-L ~ r erss „wing ~rlis e P upa 27•e onlywMn pmlyag btlN tM my know IA tgoMred atlM lane. dss salad / LICENSE NUMBER ORESKiNEO pnyagian •vaaebN M sore of deaM a • cents a a•Mn. ISiCnet arq r.el ~ ~ /~~1~ ~ ~~.IL~-Lr v(- `/ ~d~f+-r ~~ G~~ ~ ~Z ~ ~ . Dw. wand. _ ~ _ G/ C i zy zzp. pema 242E mW G mmgNeO try TIME t)F DEATH DRE PR UNCED DEAD (MbnM. Day, Marl WAS CASE REFER RED 10 MEOK.AL EIUMINEWCOFIONEM • person wno ProrKxaq•a a•am. / Fry,~,~ n.^ No Led' ZT. MITT I: Enter IM 6s••s.s, injwiea «bbmpliCatae ani;n wined Ina deem. Do not amar IM mods of dying, sla:K aswrtkac a r•spaatory areal. ifgck or Man ladura. to ;'vPp'Oia^a PART II: OIMr aigninceM COrlvkoru obMriputklg to dNn.W LRt otr au+•on earn w. «py I M•Mltl•Ipe•n nbUMU•ingnlM «IWrlyalggwYn'•n in PARTI. N111EdATE GUSE IFvuI 1ateet and deem ~ s~- ~ /fit h 1~ ~~ ~ h o, ~~ ~ ~,~~fo i~~ ,~ ~: a. q s r6.~/~ /~Tf~ ~~~ c ~7 DtsE roIOR AS AC O~UENCE OFD r s•RanemNka conapgm e. /~/IO LSfJ/G f2CAr'l- -7A/~lir"~ ~ r~+vi7/1js _ hull G~/ /~ d «rK ItMdNlq m gan.di.le Emer IMaERLrNN1 ro As A clx+seouENCE oFf: I/pB~ I ?YIR S ~~ 1 ~ ` i /~/ U CAUSEIDdear«npxY f .fD ~ - p e Y`%/// Yl • II•al MieNd evNNS res~ap e,dmmlLA.4T • DIIE TO LOH AS A CON OVEN ~'I~'L~r/~l>I>Y~/~~G SY/~Di2G~~ w/77f T~~!73e2'YT~i I Bar WITS AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH DATE OFINJURY TIME OFIWURY 1NJURYRVgRK7 DESCRIBE 1101V INJURY OCCURRED. PERFORMED? AMa1tABLE PRgR TO (MOnm. Day Marl COMPLETION OF CAUSE OF DE OH7 Nar«sl Hotngg ^ i a ~ ^ ~ ^ Accident ^ Parginq MreMtgaliOn ^ 11e ^ No YM ^ slo ^ Sugge ^ Couq nd Mdetarminad ^ ]ge. IYU. M. ]tie. d. PLACE OF INJURY AIM C l l m O IO R zw. zee. z9. . ms. ann, suet. ab Ory.o ce L CR N(Spaw.CM OAn.Satel puilaalg. Mc. l5pecaYl ,o•. ,m. CERTIFlER 1Cnetk onW «~ ' SIGNAURE TITLE OF IFI~~11 CERTIFYING PHYSICIAN IPnyslcyn cerlAnng CauSBtl deem when an«ner pnvvcan has «d^ouncM deals arq comp«etl Ilan 271 f~ T t f k U p ^ ~ /,.•v /~/) - Ie o my e ea nowkdga, deem occurred Aw b IM oauae(sl arq manner w stated .............. .......... . ............................ `''J !r' _ Y V / /// 710. • 'PRONOUNCING AND CERTIFYING PHYSICIAN(Pnyscan sum yunoun<~ng seam andcmilyaggcauseWaeaml To dM beetet mykrowledge, deameccwred attMLNm,d>te. arq PMCa, and due to lM Causelsl and manneras stalld .......................... I LICENSE UMBER DRE SIGNED (Manor, Day, Man nn! (~~/ > ' Tle.~ VJ/1 T ~~ ,td, ~ ~~ U NAME AND ADDRESS Of PERSON WHO COMPLETED CAUSE OF DEATH • 'MEDICAL El(AMINER/CORONER On Ise Oasi• of ea•minatlbn and/or investigation in my opinion deers occurred al Me time date and lace and due to th •w d otem in T~r%G dnt~p .-~ ~r -~~ , , , p , , e c e(sj an mess'. as ant.a...... -.... ^ ............................................. .... . ... .. CGr~//S ~-C /-/mss r . .. .... ............. .. ~,.. 77. ~/~ ~ ~ y-~o, 3 REGISTRAR'S SIGNATURE AND NUMB DATE FILED IMOnIn, Day, Marl Register of Wills Cumberland County Court House One Courthouse Square Carlisle, PA 17013 Name of Decedent: Date of Death: Will Number: To the Register: CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Grace V. McLaughlin September 24, 2001 21-01-0927 I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above captioned estate on February 10, 2002. Name/Address Carl William Souders 94 McAllister Church Road Carlisle, PA 17013 Vonnie M. Lay 775 Roxbury Road Newville, PA 17241 Notice has now been given to all persons entitled thereto under Rule 5.6(a). ,; ~,,, February 10, 2002 ~'/ ~~~~.. ~~~~"" Carl illiam Souders 94 McAllister Church Road Carlisle, PA 17013 Telephone: 717-243-4769 Capacity: Personal Representative '~~ cx - - g ~''., 'Q~ cic z6 as C:cfr V ~~ ~~h ~~ o *' .~ ~3b 5 o roa ~~~ -,d~,d ;' . A A .. - ~ ~ ~~vV P4~ .15~ i•~.4 ~ i7 ~:! i ~:~ .;.. E ~.~ ~~~~ .,.., ro 0 ~ ~~ y~vo ~~~ ~ as 3 ~ '" ~~~ i, /~ r ~. f° Date: 12-23-01 From: Carl Wm. Souders 94 Mcallister Church Road Carlisle, PA 17013 Register of wills Cumberland County Courthouse Carlisle, PA 17013 File # 2001-00927 Estimated tax for PA file # 21-01-0927 :') C: rr co ~ t~' % ,fin ~, ~ .. ,, rn _ ~ '° J k: .rte .. ._ ~:.. r,, +~~ _ ~ -+. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162EX(11-96) NO. CD 000690 SOUDERS CARL WILLIAM 94 MCALLISTER CHURCH ROAD CARLISLE, PA 17013 ---- fold ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: ssN: 236-~ 6-soi ~ FILE NUMBER: 21-2001- 0927 DECEDENT NAME: MCLAUGHLIN GRACE V DATE OF PAYMENT: 1 2/26/2001 POSTMARK DATE: 00/00/0000 couNTY: CUMBERLAND DATE OF DEATH: 09/24/2001 101 ~ S 1, 900.00 TOTAL AMOUNT PAID: REMARKS: CARL W SOUDERS SEAL CHECK#5226 INITIALS: DO RECEIVED BY: MARY C. LEWIS S 1, 900.00 REGISTER OF WILLS REGISTER OF WILLS n ~~ ~ismocwa, . ~ ~~TH ~ REV -15 0 0 Oft=tt:tAL i}s~ OILY PENNSnvANw ~ ° ~ -~ ~ ~oEPT.~so INHERITANCE TAX RETURN F"-E" HARRISBURG, PA 17128.0601 RESIDENT DECEDENT 21 - O1- 0927 ~ - - - ,~ - DECEOEWi'S NAhE (LAST, FRS7 AND IDLE INf TL4L) SOCIAL SE(~tRY MIMBER Z McLAUGHLIN GRACE V 236 -16 - 9011 w W DATE of DEa1F1(I~DO-TEAR) DAB of errrtl (I~a~DO-vEart) TWS RETURN iN1ST BE FtLID erl DIIPLICAtE HIBTIt TtIE V 09 / 24 / 01 7 / 16 / 1908 REGISTER OF YVILLS W (IF ~ SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE WIl'N!) SOCUIL SECURITY NUh~ER Q N/A - - F z ®1.Origiral Retum ~ 2 SupplerrrerMal Rebxn ~ 3. Renraitder Rehm (areaeean stab ~2•t3.s'zl x x ~ 4. Lined Estate ~ 4a. Fublre hriere5t Cmiprom'se lore aaern ara uttaA ~ 5. Federal EstaBe Talc Rehm Re~rired ~ n m ~ 6. Decedent Died Testate i~ mgar 1MQ ~ 7. Decedent Maintained a Living Trust ("dam avr drndj 0 8. Total Number of Sate Deposit Boxes ~ 9. LNga6on Proceeds Received .. _ ~ 10. Spousal Poverty Credo tmr dawe uec.eai t2~f~t as r~ .~ . . - ~ 11. Election b tax under Sec. 9113(A) Gram sm q ,~ , . ~ z _. NAME , : - (~LETEMAILINGADDRESS o Carl William Souders t=1RM NAME nom) 94 McAllister Church Road Carlisle PA 17013 TELEPFIOF~ NUMBER , 717-243-4769 1. RealEslab(ScheddeA) (1) .00 OFPICL+4L USE OlVLY~~I 2. Sbdcs and BOrldS (Shcedc/e B) (~ . 00 _. _, r i1 3. Glossy Field Corporation, Partrrerst~ip a Sde-Ropriebrship (3) . 00 . - 1 i 4. Mortgages t4 Notes Receivable (Sdredcde D) (4) v( } 5. Cash, BaNc Deposits 8 Misoelaneous Personal Property (5) 4 , 500.00 i Z (Sdredrie E) ~ s- ~y Dwrred Y (~ ~ (~ . 00 - ^~~ ~ e_ 7. I„ter-Ifivos Transfers 8 Fr~Crs Non•ProbaEe Property (7) 38 , 847.25 a Q B_ Total Gross Assets (brat Liras 1->) ~) 43 , 34 7.25 s. Funeral Expenses A Admieshative Casts (Sdredcie FO (g) 554.82 10. Debts of Decedent, Mortgage Lia6dGes, 4 Liens (SGredlrlte q (10) 7 7 8.4 7 11. Total Deductions (Qtal Lines 9 810) (11) 1.3 3 3.2 9 12. Net value of Fatale (Lere 8 mirrrs Lire 11) (12) 42.01 .9 6 13. Charifa6b and Garemnrerrial BoqueslslSec 9113 Tnais for vrtrch an election b hax trds not been (1~ _ 00 made (Sdredtde J) 14. Net value Subject bo Tax (Line 12 minus Line 13) (14) 42 , 013.9 6 Z Q 1~- a V SEE NiSiRItC710NS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate. a harubrs under Sec. 9116 (ax1.2) 16. Amount of Lire 14 taxable at Cotcel rate 17. Amaral of Lire 14 taxable at sirlirg rate 18. Amount of Line 14 taxable at a>Ynteral role z .0 _ (15) x .0 _ (16) x .12 (17) 42, 013.96 x .15 (18) _ 6, 302.09 1s. Tax Due (ts) 6 , 302.09 20. ^ w ezv-uoeoc•navl SCHEDULE E ~,,,,,,u~, ~ „A,~„ CASH, BANK DEPOSRS, ~ MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESICENT DE(~DENT ESTATE OF FILE NUMBER Grace V. McLaughlin 21 O1 0927 Indude the proceeds of litlgatbn and the date the proceeds wale received by the estate. All property jointly-owned with the right of survivorship rmrst be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DFATH ~' 119$4 Mobile Home located Lot 50 Spring Garden Estates, Carlisle ~ 4,500.00 (See attached Letter of Value) s~ IG~' June 21, 2002 C. William Souders 94 McAllister Church RD Carlisle, PA 17013 RE: Estate of Grace V. McLaughlin Lot 50 Spring Garden Estate, Carlisle PA 17013 Dear Mr. Souders, The value of the above referenced property as of September 24, 2001 was Four Thousand Five Hundred dollars 04,500.00). This was a 1984 Mobile Home situated on a rented lot. No real estate was included with this sale. if you have any questions, Please don't hesitate to contact me. Sincerely ~.. Owen E. Meals Jr., ABR, CRS, GRI Broker/Owner TI ns aNALysls HAS NOT Br•.Ex PERFORMED EN AccoRDnvcE aVl'I'A 111E UNIFORM STANDARDS OF PROFESSIONAL APPRAISAL PRACTTCE WHICH REQUIRE VALUERS TO ACT .1S UNBIASED. DISIIJIERE3'IF.D TFIBtD PARTIES WITH DNPAR1iAL OBJECTTvTTY' IN AIDEPENDENCE AND WITHOUT A COMBINATION OF PERSONAL R3TEREST. TT [S NOT TO BE CONSTRUED AS AN APPRA]SAI. AND MAY NOT BE USED AS SUCH FOR ANy PURPOSE. Rf`/ ~ 117[ Sterling Assoc., Inc. 1909 Ritner Hwy., Suite 1 Carlisle, Pennsylvania 17013 Office: (717) 245-2600 Fax: (717) 245-2255 Each Office Independently Owned and Operated gEV.tSpIX•(497) ~~~~~ tNFER(TAlK~ TAX AETt1At1 SCHEDULE G u~t vntos ~wsFERS ~ Esc. No~toe~-TE ~o~nr ~~~~r~~~?77 Grace V. McLaughlin 21 Ol 0927 This schedule must be comple6ad and taed 'rf the ar~swet b any of questions 1 thnwgh 4 on the nt~erse side of the REV-1500 COVER SHEET is yes. ~ DESCRIP'1101i OF PROPERT1f .cu,aenfwuEOFnfmiws~naereAna..rmaecmemvonEaueaFmMSez AT[,g1ACOP'l~llE da~i0R1iFXBfA7E. DATEQFDEA'CH V OF % OF DECf~7S EXf~.US10N TAXABLEVAIUE ~' M&T Bank Checking Account 512494 41,847.25 ,000.00 38,847.25 Joint Grace V. McLaughlin or Carl William Souders. Fester mother and son. Made joint June 2001 ~ ' ~1 pn~~ ' December 12, 2001 RE: Estate Search The Estate of: GRACE V MCLAUGHLIN Date of Death (D.O.D.) 9/24/2001 To Whom It May Concern: Identified below is the account information requested. I . M&T Bank accounts in which the decedent's name appears: Account Account Number Account Title Opening Branch D.O.D. Type Balances (Includes Accr. Int.) CHK 512494 GRACE V MCLAUGHLIN 4319 $41,847.25 CARL W SOUDERS 2. Loans, Mortgages, or other obligations titled in the decedent's name Account Number Amount Owed Account Description Accrued Interest $4.85 No Safe Deposit Box titled in the Decedent's name existed at our office. If you have any questions about the information provided, please contact our Records Department at (716) 635-4010 or 1-800-724- 2440 outside of the Buffalo, NY calling area. Thank you. Sincerely, M&T BANK CORPORATION BY: ~ G~L~i Authorized Signature DATE: ~ Z ~ (2 -~ REV-1511 EX~ (12-99) SCNEDI~LE H cot~tMONUVEAt_Tft of PENNSYI_vANIA FUNERAL EXPENSES 8~ INHERfrANCETAXRErUfUi A~MIN{STRATIVE COSTS RESIDENT t>ECEDENT ESTATE OF - FILE NUMBER Grace V. McLaughlin 21 O1 0927 Deists of decedent must be reported on Schedule I. ITEM NIiMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: t. Georges' Flowers, funeral spray 175.43 e. ADMINISTRATIVE COSTS: i. Personal RepreserNative's Comrrrissions Name of Personal Representative(s) Social Security Nun~ser(s)IEIN Number of Persarrai Representatve(s) Street Address Cdy State Zrp Year(s) t;.onlrtrission Paid: 2. Attorney Fees 3. Family Exemption: (tt decedent's address is not the same as claimant's, attach explanation} .Claimant Street Address City State Tip Relationslrip of Claimant to Decedent 4. Probate Fees Register of Wills 5. AcrAradant's Fees 6. lax Return Preparer's Fees ~• Cumberland Law Journal, advertising Letters Testamentary 8 The Sentinel, advertising Letters Testamentary 9 Closing and Filing Fees 80.00 75.00 74.39 150.00 TOTAL (Also enter on line 9, Re~ihtlation) (S 554.82 ravaa oc• pan SCHEDULEI ~n+oF~e~nvuru- DEBTS OF DECEDENT, '" ~~ T MORTGAGE LIABILITIES ~ LIENS _ ESTATE OF Grace V. McLaughlin F~.E~~ 21 OL 0927 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOK 1' Sprint, telephone service 73.19 2 PPL, Service b3.59 3 PSERS Health Admin., balance due 24.43 4 Property Management, Inc. lot rent 323.00 5 PharMerica, balance due prescriptions 105.57 6 Verizon Wireless, telephone service 6.55 7 Tuckey Mechanical Services, plumbing repairs 60.00 $ Home Depot, toilet 122.14 TOTAL (Also enter on Gne 10, Recapitulaeionj ~ S 7 7 8.4 7 ~niaFPe~wswivaNw. iw+Erar~ncE Tex REnxr~ _r~sioar oec~oErrr ?ATE OF ABER I. 1 1. SCHEDULE J BENEFICIARIES Grace V. McLaughlin NAME ANO ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS Cu~hade aHcigt-t spousal distri Carl William Souders 94 McAllister Church Road Carlisle, PA 17013 Note: Daniel L. McLaughlin died June 5, 2001 NUMBER RELATIONSHIP TO DECEDENT Do Nat List TnrsMe(s- HINT OR SHARE OF ESTATE Foster Son lOUz Mobile Home $4,500.00 Joint I;hecking Acct. ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON UNES 15 THROUGH 17, AS APPROPRIATE, ON REV 15U0 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL OiSTWBUTIONS UNDER SECTION 9113 FOR WHICH AN ELEC71ON TO TAX !S NOT BEING MADE I B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS t. 21 O1 0927 TOTAL OF PART II -ENTER TOTALNON-TAXABLE DISTRIBIiTtONS ON UNE 13 OF REV 150Q COVER SHEET I S Inventory of the real and personal estate of GRACE V. McLAUGHLIN deceased 1984 Mobile Home located Lot 50 Spring Garden Estates, Carlisle, PA I, 4,500 '00 M&T Bank Checking Acct. 512494--Joint with Carl William Souders II 38,847 I25 _-. . ~:...._ ;., COMMONWEALTH OF PENNSYLVANIA '~ COUNTY OF CUMBERLAND '~ ss: Carl William Souders being duly sworn according to law, deposes and says that he _ is Executor of the Estate of Grace V. McLaughlin late of Carlisle_,_~nutlz_Middle_tonswp~__ ,Cumberland County, Pa., deceased and that the within is an inventory made by Carl William Souders , _ the said Executor of the entire estate of said decedent, consisting of all the personal proparty 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 . Sworn and subscribed before me, `~ /~~' ~ Executor -Administrator ` Kathy J. Lear, Notary Public Carlisle Soro, Cumberland County My t;ommf.=sEon Expires July 26, 20Q4 °~`~mh~• ~ennsyNaniaAssociationotl~+c~tane; Date of Death 24th Carl William Souders Allister Church Road Address Carlisle, PA 17013 September 2001 Day Month Year INSTRUCTIONS I. An inventory must be filed within three m onths 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. $ee Article IV, Fiduciaries Act of 1949. a. H 0 v G b ~ ~ ~ .,~ ',~ -v m ~ ~ o ~ ,y O w Q a o 4 °' o, r ~ W O Q ~ ~ >- Z '~ w Q C7 V U ~- a -O c ~o `~ ~ o ~, ~ .~c ~ m o ~ ° I ~ U LL m COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: REV-1162EX111-96) PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SOUDERS CARL WILLIAM 94 MCALLISTER CHURCH ROAD CARLISLE, PA 17013 told ESTATE INFORMATION: sSN: 236-i 6-s0i ~ FILE NUMBER: 2101-0927 DECEDENT NAME: MCLAUGHLIN GRACE V DATE OF PAYMENT: 06/24/2002 POSTMARK DATE: 00/00/0000 couNTY: CUMBERLAND DATE OF DEATH: 09/24/2001 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 ~ 54, 302.09 TOTAL AMOUNT PAID: REMARKS: CARL WILLIAM SOUDERS SEAL CHECK# 5292 INITIALS: SK RECEIVED BY: MARY C. LEWIS $4,302.09 REGISTER OF WILLS NO. CD 001326 REGISTER OF WILLS ,~ ~Regi~ter of ~i~~ anb ~Ier~ of t~je ~r~~jan~' Court ~ouutp of ~Cum6erfauD COURTHOUSE, CARLISLE, PA 17013 MARY C. LEWIS Register of Wills & Clerk of the Orphans' Court JERRY R D[3FFIE, ESQ. Solicitor TO: Laurel Fulmer Estate of: Grace V. McLaughlin D~artment of Revenue 21 - O1 - 0927 Date: August 9, 2002 The inheritance tax payment was received in our office on the 26th day of December 2001, but the post mark date was the 24th day of December. The postmark date did not show on the inheritance tax receipt. Could you please forward to Carl W Souders a corrected assessment notice showing the credit he would receive because the tax was paid in the discount period. Thank you Register of Wills ~- V ~, ~{~AX TMA~SMIT°TA,.~ D A'I'D ~` - ~ ~ (;Al.L (717) Z.40-(v3~5I:(~1{ AI~~Y INQUIRES FROM: _~ _ ~~n r c~ ~~\~~ County of Cumberland _ One Courthouse Square Carlisle, PA 17013-3387 FAX +~ (71 ?) - 240-7797 ~ - - -_-J ~ ~ ~- ~~ %~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBl1RG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX CARL WILLIAM SOUDtERS ~ _ ~ ~} 94 MCALLISTER CHRCH RD CARLISLE + PA 17013 REV-1547 E% ~FP (01-02) DATE 08-05-2002 ESTATE OF MCLAUGHLIN GRACE V DATE OF DEATH 09-24-2001 FILE NUMBER 21 01-0927 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS -~ ---------------------------------------------------------------------------------------------------------------- REV-1547 EX AFP (01-02) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF MCLAUGHLIN GRACE V FILE N0. 21 01-0927 ACN 101 DATE 08-05-2002 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) (1) .00 NOTE: To insure proper 2. Stocks and Bonds iSchedule B) (2) .00 credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion 4. Mortgages/Notes Receivable (Schedule D) (4) .00 of this form with your 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 4,500.00 tax payment. 6. Jointly Owned Property (Schedule F) (6) .00 7. Transfers (Schedule G) (7)- 38,847.25 s. Totai Assets (g) 43,347.25 APPROVED DEDUCTIONS AND EXEMPTIONS: 554.82 9. Funeral Expenses/Adm. Costs/Misc. Expenses [Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 778.47 11. Total Deductions (11) 1.333.29 12. Net Value of Tax Return (1E) 42, 013.96 13. Charitable/Governmental Bequests; Non-elected 4113 Trus ts (Schedu le J) [13) .00 14. Net Value of Estate Subject to Tax (14) 42, 013.96 NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate [15) •00 X 00 = .00 16. Amount of Line 14 taxable at LineallClass A rate (16) . 00 X 045 = . 00 17. Amount of Line 14 at Sibling rate (17) .00 X 1 2 .00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 42,013.96 X 15 - 6,302.04 19. Principal Tax Due (lq). 6,302.09 TAY f_RFTITTC~ DATE NUMBER + INTEREST/PEN PAID (-) AMOUNT PAID 12-26-2001 CD000690 .00 1,900.00 06-24-2002 CD001326 .00 4,302.09 INTEREST IS CHARGED THROUGH 08-20-2002 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX CREDIT 6,202.09 BALANCE OF TAX DUE 100.00 INTEREST AND PEN. .93 TOTAL DUE 100.93 * IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN 51, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) RESERVATION: Estates of decedents dying on or before December 12, 1982 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate far life or far years, the Commonwealth 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 requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S. Section 9140). PAYMENT: Detach the tap portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side. --Make check or money order payable to: REGISTER OF NILLS~ AGENT REFUND CCRI: A refund of a tax credit, which was not requested an the lax Return, may be requested by completing 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 forms ordering: 1-800-362-2050; services for taxpayers with special hearing and / or speaking needs: 1-800-447-3020 [TT only). OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax [including discount or interest) as shown on this Notice must abject within sixty (bD) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. ADMIN- ISTRATIVE CORRECTIDNS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment 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 Oecedent^ (REV-1501) for an explanation of administratively corractahle errors. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%) discount of the tax paid is allowed, PENALTY: The 15% tax amnesty non-participation penalty is computed 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 amnesty period. This non-participation penalty is appealable in the same manner and in the the same time 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 (9l months and one (1) day from the date of death, tc the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six C6%) percent per annum calculated at a daily rata of .000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue, The applicable interest rates for 1982 through 2002 are: Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor 1982 20% .000548 1992 9% .000247 1983 16% .OD0438 1993-1994 7% .000192 1984 11% .000301 1995-1998 9% .000247 1985 13% .000356 1999 7% .000192 1986 10% .000274 2000 8% .000219 1987 9% .000247 2001 9% .000247 1988-1991 lI% .000301 2002 6% .000164 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUIiBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. ~~ ~~ Cumberland County Register of Wills One CourtHouse Square Carlisle, PA 17013 STATUS REPORT UNDER RULE 6.12 Name of Decedent: Grace V. McLaughlin Date of Death: September 24, 2001 Will No.: 2101 0927 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 reasonable 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 X b. The separate Orphans' 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 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. Date: August 27, 2002 Carl William Sou ers 94 McAllister Church Road Carlisle, PA 17013 (717) 243-4769 Personal Representative