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HomeMy WebLinkAbout01-0936 Register of Wills of CUMBERLAND County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of also known as ARTHUR S. HERR No. , Deceased Social Security No. 174 - 05 - 2272 MARTHA E. WESTON and WAYNE A. HERR Petitioner(s), who is/are 18 years of age or older, apply(ies) fl. r: (COMPLETE 'A' or 'B' BELOW:) I [!] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut ors named in the last Will of the Decedent, dated 06/07/1990 and codicil(s) dated None WIFE, HARRIET E. HERR, DIED 09/22/98. State relevant circumstances, e.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was nEtver adjudicated incompetent: NONE o B. Grant of Letters of Administration (c.I.a.; d.b.n.c.t.a; pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that lecedent left no Will and was survived by the following spouse (if any) and heirs: I I Name i Relationship Residence I (COMPLETE IN ALL CASES:) Attach additional sheets if nE cessary. Decedent was domiciled at death in CUMBERLAI ID County, Pennsylvania with his/her last family or principal residence at 442 WALNUT BOTTOM RO D, BOROUGH OF CARLISLE (list street, number, and municipality) Decedent, then ~years of age, died 09/15/200 at THORNWALD HOME, PA (Location) Decedent at death owned property with estimated values as ollows: (If domiciled in PAl All pe onal property (It not domiciled in PAl Perso al property in Pennsylvania (If not domiciled in PAl Persortlal property in County Value of real estate in Pennsylvania $ $ $ $ 7,400.00 ""tod "follow, NONE ; Wherefore, Petitioner(s) respectfully request(s) the probate o. the last Will and Codicil(s) presented with this Petition and the grant of letters in the a riate form to the undersi ned: Si nature T THA E. WESTON GOODYEAR ROAD, CARLISLE, NE A. HERR OUNTAIN STREET, MT. HOLLY PA 17013 SPRINGS, PA 17065 Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form RW-1 (1991) f Oath of iPersonal Representative Commonwealth of Pennsylvania County of CUMBERLAND The Petitioner(s) above-named swear(s) or affirm(s) tha~ the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitiorer(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the ~state according to law. ( 4 Sworn to or affirmed and subscribed !''L!2u1J~ (to:;; ~;/..v~.-<:~ RTHA E. WESTON before me this 28thdayof 'vt..- September _2001 ~r~<*'~ For t. e Register 21-~1-936 No. Estate of ARTHUR S. HERR Deceased Social Security No: 174-05-2272 DrteofDeath: 09/15/2001 AND NOW. OCTOBER 10. 200~ , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters [K] Testamentary D Of Administration (c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) are hereby granted to MARTHA E. WEST4N and WAYNE A. HERR I i in the above estate and that the instrument(s) dated I described in the Petition be admitted to probate and filed of ~ecord as the last Will of Decedent. FEES Letters. . $ 40.00 ~~J~&<J~_"Y' R gister 01 Wills , VlA ROqER M. MORGE~RE Attorney: Short Certificate(s) . $ 6.00 Renunciation. $ Affidavits ( $ Extra Pages ( ) . $ 15.00 I.D. No: 17143 SALZMANN, DePAULIS, FISHMAN & M Address: 95 ALEXANDER SPRING ROAD SUITE 3 CARLISLE, PA 17013 Codicil. . $ JCP Fee. 5.00 Telephone: 717/249-6333 $ Inventory. $ Other. . $ TOTAL. $ 66.00 Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form RW-1 (1991) ; I 1Ea5t I1Itl! anb Qrt51amtnl , OF ARTHUR S. HERR I, ARTHUR S. HERR, of the Borough of Carlisle, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, in manner and form following: 1. I hereby expressly revoke all Wills and Codicils heretofore made by me. 2. I hereby direct my Executrix to pay all my just debts, funeral and administrative expenses out of my estate, as soon as practicable after my death. 3. I direct that all taxes that may be assessed in consequence of my death of whatever nature and by whatever jurisdiction imposed shall be paid out of my estate as a part of the administration of my estate. 4. Should my wife, ~arriet E. Herr, survive me for a period of thirty days following my death, I devise and bequeath the remainder of my estate to Harriet E. Herr. 5. Should my wife, ijarriet E. Herr, predecease me or die on or before the thirtiethlday following my death, r devise and bequeath the remainder of 1Y estate to my issue living on the thirty-first day following my death, per stirpes. 1 4lil; .1 6. I nominate and aJpoint CCNB Bank, N.A., New Cumbe~land, i pennsylvania, Trustee of t~e share of any beneficiary who may be a minor. The income and/ot principal of said trust may be accumulated or expended fot the maintenance, education and support of such beneficia as my Trustee in its sole discretion may determine; and my Trus in the expenditure of income and/or principal for such urposes, may, at its discretion, apply the same directly without the intervention of a guardian or pay the same to any person having the care or control of said beneficiary or with whom t~e beneficiary resides, without duty on the part of the Trustee tojsupervise or inquire into the application of the funds bt any person to whom any paYment is so made. The balance of such , income and/or principal shall be paid to such beneficiary upon r+aching majority or to such beneficiary's estate in tht event of death prior thereto. 7. I nominate and a~point my wife, Harriet E. Herr, as Executrix of this my Last ,ill and Testament; and as substitute Executors I nominate and afPoint my children, Martha ~. Weston and Wayne A. Herr. 8. I direct that my personal representatives and Trustee, as well as their successor], shall serve without filing bond or security inlany jurisdiction. I I the necessity of 2 . ... .' 9. In addition to t e powers above provided for and those given by law, my personal any order of court and in A. Retain a any form of life ins and in so doing they called legal investm diversification. epresentatives and Trustee, without heir sole discretion, may: y property owned by me at my death and rance, annuity or endowment policies; may act without restriction to so- nts and without responsibility for B. Repair, Iter, improve or lease, for any period of time, any property, and give options for leases. C. Sell at ublic or private sale, for cash or credit, with or with ut security, exchange or partition property and give op ions for sales or exchanges. D. Borrow m ney from any person, including my Executors or Trustee and mortgage or pledge any property. E. Compromi F. Pay prem.ums on any life insurance, annuity or endowment policies w ich may have been retained or purchased herein; an exercise any right, option or privilege thereunder G. Vary or etain investments, when deemed desirable by Trustee and invest in such bonds, stocks (including bank stoc of CCNB Bank, N.A.), notes, real estate mortgages or lecurities, common or diversified trust funds, or in such ot er property, real or personal, as Trustee shall deem w.se, without being restricted to so- called "legal invest ents." H. p~ace anq carry any asset of the trust in the name of a nom1nee. I I. Make dis ribution in cash or in kind or partly in each. J. Terminat designated herein, i trust res, together diminished to the po feasible to continue said trust prior to the time , in the opinion of Trustee, the said ith accumulated interest, has nt that it is no longer economical or said trust. 3 :' u K. In the e as my Trustee, I dir be compensated for t accordance with its during the time when ent that CCNB Bank, N.A., shall ~erve ct that said corporate fiduciary shall e services which it renders in revailing schedule of fees in effect said services are rendered. IN WITNESS WHEREOF, this 7th day of hereunto set my hand and seal , 1990. (SEAL) WITNESS: ~');~ 4 .' COMMONWEALTH OF PENNSYLVAN A COUNTY OF CUMBERLAND I, Arthur S. Herr, T attached or foregoing inst according to law, do hereb executed the instrument as willingly; and that I sign the purposes therein expre Sworn or affirmed S. Herr, Testator, this : 58. . . stator, whose name is signed to the ument, having been duly qualified acknowledge that I signed and my Last Will; that I signed it d it as my free and voluntary act for sed. acknowledged before me, by Arthur day of June , 1990. ad~J:"M~~/ Testator ." Notary 5 .' , I COMMONWEALTH OF PENNSYLVAN A SS. COUNTY OF CUMBERLAND We, Roger M. Morge and Janice E. Hertzler , the witnesses whose names re signed to the attached or foregoing instrument, being duly qua ified according to law, do depose and say that we were present a d saw Testator, Arthur S. Herr, sign and execute the instrument as his Last Will; that he signed willingly and that he exec ted it as his free and voluntary act for the purposes therein e pressed; that each of us in the hearing and sight of the T stator signed the Will as witnesses; and that to the best of ou knowledge the Testator was at that time 18 or more years of a~e, of sound mind and under no constraint or undue influe ceo Sworn or affirmed to and subscribed to before me by Roger M. Morgenthal and Janice E. Hertzler this 7th day of June , 1990. , '1ktb fl~ v1,N-'- (. -'- --r ~\ ~J \.. tness c " 6 \\MAINSERVER\PUBLlC\roger\estate admi \Arthur Herr Estate\Nonsubscribing witness oath. doc OATH OF N N-SUBSCRIBING WITNESS Ro er M. Mor enthal nd Tricia L. Baile (each) a subscriber thereto, (each) being duly qualified according to law, depose(s) and say(s) that he/she is familiar with he signature of JANICE E. HERTZLER, a Subscribing Witness to the Will 0 ARTHUR S. HERR presented herewith, and that he/she believes the signature of th witness JANICE E. HERTZLER on the Will is in the handwriting of JANICE E. H RTZLER, to the best of his/her knowledge and belief. Sworn to or affirmed and subscri ed fUA,tJ4,f~ Roger M. Morgenthal 95 Alexander Spring Road, Suite 3 Carlisle, PAl 70 13 Before me this~ day of September, 2001. Tricia L. Bailey 95 Alexander Spring Road, Suite 3 Carlisle, P A 17013 Register of Wills of OATH 0 Estate of ARTHUR S. HERR also known as ROGER M. MORGENTHAL (each) a subscribing witness to the Dcodicil(s) BERLAND County, Pennsylvania SUBSCRIBING WITNESS No. , Deceased will(s) presented herewith, (each) being duly qualified according to law depose(s) and say(s) that she/ he/ they was/ were pr sent and saw the above Testator(rix) sign the same and that she/he/they signed as a witness at the request of Testator(rix) in his/her/their resence and [KJ in the presence of each other [K] in the presence of the other subscribing witness(es). Sworn to or affirmed and subscribed before me this ~p day of-#/;r, .,~/ ~~~~~ ,~ I (Signature and qu or other official ths. Show date of expiration of Notary's commiss n.) Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. ~ (Signature) 2450 E. BAYBERRY DRIVE HARRISBURG, PA 17112 (Address) (Signature) (Address) ~. NOTE: To be taken by officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Form1lRW-2 (1991) _. I P:\roger\estate admin\Arthur Herr Estate\N nsubscribing witness oath. doc Ro ON-SUBSCRIBING WITNESS (each) a subscriber thereto, (eac ) being duly qualified according to law, depose(s) and say(s) that he/she is familiar wit the signature of JANICE E. HERTZLER, a Subscribing Witness to the Will f ARTHUR S. HERR presented herewith, and that he/she believes the signature of he witness JANICE E. HERTZLER on the Will is in the handwriting of JANICE E. ERTZLER, to the best of his/her knowledge and belief. Sworn to or affirmed and SUbsc~ibed I Roger M. Morgenthal 95 Alexander Spring Road, Suite 3 Carlisle, P A 17013 \ [/nW:a &:~~ Tricia L. Bailey Q 95 Alexander Spring Road, Suite 3 Carlisle, P A 17013 Before me this/O day of October, 2001. i ~ E. --- CERTIFICATION OF NOTICE UNDER RULE 5.6 a Name of Decedent: ARTHUR . HERR Date of Death: SEPTEM Estate No.: 2001-00936 To the Register: I certify that notice of the be eficial interest required by Rule 5.6(a) of the Orphan's Court Rules was served on or mail d to the following beneficiaries of the above-captioned estate on OCTOBER 12. 2001 Name See attached list of beneficiarie Address Notice has now been given to all p rsons entitled thereto under Rule 5.6(a) except NONE Date: October 29. 2001 Capacity: ALZMANN, DePAULlS, FISHMAN & MORGENTHAL, P.C. ame ROQer M. MorQenthal . Esquire . #17143 ddress 95 Alexander SprinQ Road. Suite 3 Carlisle PA 17013 elephone (717) 249-6333 Personal Representative Counsel for Personal Representative f , Beneficiar es of Arthur S. Herr Estate Martha E. Weston 110 Goodyear Road Carlisle, P A 17013 Wayne A. Herr 4 Mountain Street Mt. Holly Springs, P A 17065 Dale E. Herr 263 S. Pitt Street Carlisle, P A 17013 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2B0601 HARRISBURG. PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INH RITANCE AND ESTATE TAX OFFICIAL RECEIPT MORGENTHAL ROGER M 95 ALEXANDER SPRING RD SUITE 3 CARLISLE, PA 17013 u__n fold ESTATE INFORMATION: SSN: 174-05-2272 FILE NUMBER: 21-2001- 0936 DECEDENT NAME: HERR ARTHUR S DA TE OF PAYMENT: 12/04/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 09/15/2001 NO. CD 000596 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $3,133.49 I I I I I I I I TO AL AMOUNT PAID: REMARKS: WAYNE HERR & MARTHA E WESTON C/O ROGER MORGENTHAL ESQUIRE CHECK#106 SEAL INI1IALS: VZ REC EIVED BY: RE;ISTER OF WILLS $3,133.49 MARY C. LEWIS REGISTER OF WILLS t- REV-1500 EX + (6-00) OFFICIAL USE ONLY : COMMONWEALTH OF PENNSYLVANIA REV-1500 , L~ 5 DEPARTMENT OF REVENUE "\ DEPT. 280601 INHERITANCE TAX RETURN FILE NUMBER HARRISBURG, PA 17128-0601 RESIDENT DECEDENT 21 2001 0936 COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER HERR, ARTHUR S. 174-05-2272 DECE- DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE DENT 09/15/01 10/10/1908 WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER B 3. Remainder Return CHECK ~' Original Return ~2 Supplemental Return (date of death prior to 12-13-82) APPRO- 4. Limited Estate 4a. Future Interest Compromise 5. Federal Estate Tax Return Required (date of death after 12-12-82) PRIATE 6. Decedent Died Testate 7. Decedent Maintained a Liv'lng Trust 0 8. Total Number of Safe Deposit Boxes (Attach copy of Will) (Attach a copy of Trust) BLOCKS 9. Litigation Proceeds Received 10. Spousal Poverty Credit (date of death between D 11. Election to tax under Sec. 9113(A) 12-31-91 an d 1-1-95) (Attach Sch 0) tijt$$flQt(QN.Mij$l'ijI$QQM~4~tf;;P,A~R$Qijijg$PQ&PI$N&gj;@QN~IPl$ijil"lN;.TM<iij#QRMAt{QN$HQij4li$I$~#R~$Tt!~ii@~i NAME COMPLETE MAILING ADDRESS COR- STEVEN J. FISHMAN, ESQUIRE 95 ALEXANDER SPRING ROAD, SUITE 3 RE- FIRM NAME (If Applicable) CARLISLE, PA 17013 SPON DENT SALZMANN , DePAULIS & FISHMAN, P.C. TELEPHONE NUMBER 717-249-6333 OFFICIAL USE ONLY 1. Real Estate (Schedule A) (1) None 2. Stocks and Bonds (Schedule B) (2) None 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) None , 4. Mortgages & Notes Receivable (Schedule D) (4) None 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 9,863.61 6. Jointly Owned Property (Schedule F) 0 Separate Billing Requested (6) 56,473.19 RECA- PITULA- 7. Inter-Vivos Transfers & Miscellaneous TION Non-Probate Property (Schedule G or L) (7) None 8. Total Gross Assets (total Lines 1-7) (8) 66,336.80 9. Funeral Expenses & Administrative Costs (Schedule H)(9) 1,973.54 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 2,428.83 11. Total Deductions (total Lines 9 & 10) (11 ) 4,402.37 12. Net Value of Estate (Line 8 minus Line 11) (12) 61,934.43 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax (13) None has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 61,934.43 SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0 (15) 61, 934.43 - 2,787.05 TAX 16. Amount of Line 14 taxable at lineal rate X .0 45 (16) 0.00 - 0.00 COMPU- 17. Amount of Line 14 taxable at s'lbling rate X .12 (17) TATION 18. Amount of Line 14 taxable at collateral rate 0.00 X .15 (18) 0.00 19. Tax Due (19) 2,787.05 20. ~ IcBeGkHJ$flSIFYQU.M3I$RI$QtJj;$h~QAR:ef.QNPQfAt,jQYI:WtF1AYMI$NJ"! .... ...>.........~.~.El$S!-JRE'tt:lAN$WE13A[.;~QQ!;:$'tiQN$.ONl?AG!;:~ANtf13!;:OHi2GKMAtH@..<....................................... o PA15001 NTF 29755 Copyright 2000 Greatland/Nelco LP - Forms Software Only PA REV-1500 EX (6-00) o d C I Page 2 ece ents omplete Address: STREET ADDRESS THORNWALD HOME 442 WALNUT BOTTOM ROAD CITY I STATE T ZIP CARLISLE PA 17013 Tax Payments and Credits: 1. Tax Due (Page 1 line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1 ) 2,787.05 3,133.49 164.91 Total Credits (A + 8 + C) (2) 3,298.40 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (0 + E) (3) 4. If line 2 is greater than line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) ,,' r,tlake ,Check Payable to:, ,RE~,I,STI:F\, 9~""I~~~,~9I:riT" 0.00 511. 35 1. Did decedent make a transfer and: a. retain the use or income of the property transferred; ....................................... b. retain the right to designate who shall use the property transferred or its income; ................. c. retain a reversionary interest; or. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d. receive the promise lor Me 01 either payments, benefits or care? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. If death occurred after December 12, 1982, did decedent transfer property within one year 01 death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? . . . 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on information of which preparer has any knowledqe. SIGNATURE O.F PERSON .RESPON~LE FOR FILING RETURN DATE; / ~ /AaA~~ C tt-'.LAJ-U-n .-e-y::r: j:} _ Lljlid- ADDRESS See Schedule attac 81 E F PREPARER PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS Yes No ~ I 8 ~ ~ OAT J ~ If C d.... ADD 95 ALEXANDER SPRIN 17013 [72 P.S.. 9116 (a) (1.1) (I)]. For dates of death on or alter January 1,1995, the tax rate is imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. S 9116 (a) (1.1) (ii)]. The statute rlo~s not fDCp.mrt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and 'filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S.s9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or forthe use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72.P.S. s 9116(1.2) [72 P.S. s9116(a)(1)]. The tax rate Imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. s 9116(a)(1.3)]. A sibling is defined. under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. o PA15002 NTF 29756 Copyright 2000 Greatland/Nelco LP - Forms Software Only REV-1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ARTHUR S. HERR SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21-2001-0936 Include proceeds of I,tigation & date proceeds were received by the estate. All prop. Jointly-owned with right of survivorship must be disclosed on Sch. F. ITEM NO. DESCRIPTION VALUE AT DATE OF DEATH 1 Blue Shield Refund 24.17 2 Disability Benefits 2,463.80 3 Checking Account - Account #5140185724 - Held by Arthur S. Herr at PNC Bank - Established 4/1/63 7,375.64 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 9,863.61 7 CPA81 NTF 10908 COPYright Forms Software Only, 1997 Nelco, Inc. REV-1509 EX + (1-97) COMMONWEALTH OF PENNSYLVANiA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ARTHUR S. HERR SCHEDULE F JOINTLY-OWNED PROPERTY FILE NUMBER 21-2001-0936 If an asset was made joint within one year of the decedent's date of death, It must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME A MARTHA E. WESTON ADDRESS 110 GOODYEAR ROAD CARLISLE, PA 17013 RELATIONSHIP TO DECEDENT DAUGHTER JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR MADE Include name of financial institution and bank DATE OF DEATH DECO'S VALUE OF JOINT account number or similar identifying number. NO. TENANT JOINT Attach deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1 A 7/20/00 Certificate of Deposit - 74,367.77 50% 37,183.88 Account #31100161445 - Held by Arthur S. Herr and Martha E. Weston at PNC Bank - Established 7/20/00 2 A 7/20/00 Certificate of Deposit - 6,258.37 50% 3,129.18 Account #31300204980 - Held by Arthur S. Herr and Martha E. Weston at PNC Bank - Established 7/20/00 3 A 7/20/00 Savings Account - Account 32,320.27 50% 16, 160.13 #5003851495 - Held by Arthur S. Herr and Martha E. Weston at PNC Bank - Established 8/27/01 TOTAL (Also enter on line 6, Recapitulation) $ 56,473.19 7 CPA91 NTF 10909 (if more space is needed, insert additional sheets of the same size) COPYright Forms Software Only, 1997 Nelco, Inc. REV-1511EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ARTHUR S. HERR SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-2001-0936 Debts of decedent must be reported on Schedule I. ITEM NO. DESCRIPTION A. FUNERAL EXPENSES: AMOUNT 1 Clergy & Flowers - Hoffman & Roth Funeral Home, Inc. 182.50 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN No. of Personal Representative(s) Street Address City State 0.00 Zip Year(s) Commission Paid: 2. Attorney Fees Name: Roger Morgenthal, Esquire 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 1,500.00 0.00 4. Probate Fees 66.00 5. Accountant's Fees 0.00 6. Tax Return Preparer's Fees 0.00 7 Filing Inheritance Tax Return - Cumberland County Register of Wills 15.00 8 Short Certificate - Cumberland County Register of Wills 3.00 9 Estate Advertisement - The Sentinel 132.04 10 Estate Advertising - Cumberland County Law Journal 75.00 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 1,973.54 7 CPA11 NTF10911 Copyright Forms Software Only, 1997 Nelco, Inc. REV-1512 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ARTHUR S. HERR Include unreimbursed medical expenses. ITEM NO. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21-2001-0936 DESCRIPTION AMOUNT 1 2001 Personal Income Tax - Pennsylvania Department of Revenue 13.00 2 Nursing Care/Room & Board - Thomwald Home 2,142.72 3 Prescriptions - Pharmerica 241.11 4 Nnbulance - West Shore EMS 32.00 7 CPA12 NTF 10912 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 2,428.83 COPYright Forms Software Only, 1997 Nelco, Inc. REV-1513 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES ARTHUR S. HERR No. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1 MARTHA E. WESTON 110 GOODYEAR ROAD CARLISLE, PA 17013 2 WAYNE A. HERR 4 MOUNTAIN STREET ]VIT. HOLLY SPRINGS, PA 17065 3 DALE E. HERR 263 SOUTH PITT STREET CARLISLE, PA 17013 FILE NUMBER RELATIONSHIP TO DECEDENT Do Not LIst Trustee(s) DAUGHTER SON SON 21-2001-0936 AMOUNT OR SHARE OF ESTATE 20,644.81 20,644.81 20,644.81 ENTER DOLLAR AMTS. FOR DISTRIBS. 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 None B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS None 7 CPA13 NTF10913 TOTAL OF PART II -- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 0.00 Copyright Forms Software Only. 1997 Nelco, Inc. (If more space is needed, insert additional sheets of the same size) ['EC-03-2001 0'3: 23 PNCBCfNf< elF D:::PARTI'lENT 412 70S 0057 P.Dl/02 a PNCBAN< November :30t 2001 ISCP Roger M. Morgcnthal, Esquire 95 Alexander Spring Road, Suite 3 Carlisle, P A 17013 U: Estate of Arthur S. Herr, Deceased SSN: 174-05-2272 OOD: 9/151200 1 .. Dear Mr. Morgenthal: In response to your request for date of Death balances for the customer noted above, our records show the following: CERTIFICATE OF DEPOSIT #31100161445 Established 07/20/2000 ARTHUR SHERR MARrnA E WESTON DOD Balance: S74tOI4.60 + $353.17 accrued interest Interest Paid 1/1/2001 - 9/1512001 - $3,006.35 #31300204980 Established 07/20/2000 ARTIIUR. S HER.R. MARTHA E WESTON DOD Balance: $6,253.31 + $~.06 accrued interest Interest Paid 1/1/2001 - 9/151200] - $2'3.31 CHECKING ACCOUNT #5140185724 Established 04/0111963 ARTHUR SHERR DOn Balance: $7,373.72 + $1.92 accrued interest Interest Paid 1/112001- 9/15/201 . $2.39 Page 1 of2 A lIIember of The PNC FilDncial Semcu 6roup One PNC PllUa 249 Fifth Avtnu~ Pittsburgh Pennsvlv.Jnia 15222 2707 f'E.=:-~,-~2--':--~'~ _ _l":.-, .:.:.'~ f-NCE:Hr"1I '-::.iF V=.f'-riF::i'i!'::i;: 412 78~ 0057 =-.G~.'02 " :. 0. PNCBAN< SAVINGS ACCOUNT #5003851495 Established 08/27/2001 ARTHUR SHERR MARTHA E WESTON DOD Balance: $3WO.79 + $69.48 accrued interest Interest Paid 1/1/2001 - 9115/2001 .. 50.00 " Please Dote that tbIs office 0IlIy proYides date of death balances for deposit accountl (IRAs, CDs, CkeddDg and Savings accounts). We do not process any f"maueial transactloDs or provide &tatemeDD. If 70U Deed anbtanee with any of these item, please call1-888-PNC.BANK (1-888-76%-2265) or stop by your local PNC Bank branch oftiee. Sincerely, G?~ Wilh- RacheUe Wdls 1-800-762-1775 P7-PFSC-04-F 500 First Avenue Pittsburgh, PA 15219 Page2of2 A melltbef of The: PNC Anindlll Servita Group One PNC Plaza 249 Rfth Avenue Pittsbllf9tJ Pcnnsylvan;" 1 5222 27(J7 TOTAL P. 02 -- ROGE 245 HARRISBUR E-MAIL: (717) 671-87 Register of Wills Attn: Sue Cumberland County Courthouse One Courthouse Square Carlisle P A 17013 Ladies and Gentlemen: M. MORGENTHAL ArrORNEY AT LAW EAST BAYBERRY DRIVE , PENNSYLVANIA 1 71 1 2-60 1 5 rogerm2450@comcast.net FAX (717) 671-8755 ~v t:: ~ :::.. This will confirm that I ha e withdrawn from representation of the followfUg estates, which are now being repre ented by Salzmann, DePaulis & Fishman, PC: January 9, 2003 ~/-' () /:- 730 Estate of v" Estate of e E. Olmstead Estate ofId G. Skelly Thank you for your attenti n to this matter. Very truly yours, ~;UIAr--+-^ Roger M. Morgenthal, Esquire -- ---;:.J /~- /.::1-6 '\. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF D DUCT IONS AND ASSESSHENT OF TAX REV-1547 EX AFP (01-05' 02-17-2003 HERR 09-15-2001 21 01-0936 CUMBERLAND 101 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN ARTHUR S STEVEN J FISHMAN SALZMANN ETAL 95 ALEXANDER SPG CARLISLE ESQ Amount Remitted RD 3 PA 17,013 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 ~ REV: iS4-j-EX--"FP--foY:03Y-NOYicE--OF-YNI ERi;:AircE-YAi-A-PPFiAisEMiNT~--"i:.l-owANcE-(fR------------ -- --- DISALLOWANCE I F DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HERR ARTHUR S FILE NO. 21 01-0936 ACN 101 DATE 02-17-2003 TAX RETURN WAS: X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTERE T - 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 ~) 5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) .00 NOTE: To insure prop er (2) .00 credit to your accou nt, (3) .00 submit the upper por Bon (4) .00 of this form with yo ur (5) 9,863.61 tax payment. (6) 56,473.19 (7) .00 (8) 66,336.80 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Hisc. ExpBnses (Schedule H) 10. Debts/Hortgage Liabilities/Liens (Sc~Bdu1e I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequestsj ~on-e1ected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Ta) 1,973.54 (9) (10) 2.428.83 4.402 37 61,934.43 .00 61,934.43 (11) (12) (13) (14) 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. NOTE: If an assessment was issued ~reviously, lines reflect figures that include the total of ~ ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 16. Amount of Line 14 taxable at Linea1/(lass A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 X 00 = 61,934.43 X 045 = .00 X 12 = .00 X 15 = (19)= .00 2,787.05 .00 .00 2,787.05 (+) INTEfEST/PEN PAID (-) 139.35 AHOUNT PAID 3,133.49 DATE 12-04-2001 NUHBER CD000596 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 3,272.84 485.79CR .00 485.79CR ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. RESERVATION: Estates Df decedents dying Dn Dr befDre December 12, 1982 -- if any future interest in the estate is transferred in pDssessiDn Dr enjDyment tD Class B (collateral) beneficiaries of the decedent after the expiration of any estate fDr life or for years, the CDmmDnwealth 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 Df 2000. (72 P.S. Section 9140). PAYMENT: Detach the tDP portiDn Df this Notice and submit with YDUr payment to the Register of Wills printed on the reverse side. --Make check or mDney Drder payable to: REGISTER OF HILLS. AGENT REFUND (CR): A refund of a tax credit, which was nDt requested on the Tax 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 I or speaking needs: 1-800-447-3020 (TT only). OBJECTIONS: Any party in interest not satisfied with the appraisement, allDwance, or disallowance Df deductions, or assessment Df tax (including discount or interest) as shown on this Notice must Dbject within sixty (60) days Df receipt Df this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election tD have the matter determined at audit of the accDunt Df the persDnal representative, OR --appeal to the Orphans' Court. ADMIN- ISTRATIVE CORRECTIONS: Factual errDrs discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau Df 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 Decedent" (REV-15011 fDr an explanation of administratively correctable errors. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (570) discount Df the tax paid is allowed. PENALTY: The 1570 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 (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (670) percent per annum calculated at a daily rate Df .000164. All taxes which became delinquent Dn 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 2003 are: Interest Daily Interest Daily Interest Rate Factor Year Rate FactDr Year Rate Daily Factor Year 1982 2070 .000548 1987 970 .000247 1999 77. .000192 1983 1670 .000438 1988-1991 1170 .000301 2000 870 .000219 1984 1170 .000301 1992 970 .000247 2001 970 .000247 1985 1370 .000356 1993-1994 77. .000192 2002 670 .000164 1986 1070 .000274 1995-1998 970 .000247 2003 570 .000137 --Interest is calculated as fDllows: INTEREST = BALANCE OF TAX UNPAID X NUftBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculatiDn tD fifteen (15) days beYDnd the date of the assessment. If payment is made after the interest cDmputation date shDwn Dn the NDtice, additional interest must be calculated. ;/ G DA Name of Decedent: Date of Death: 9/15/01 No. 2001-0936 Pursuant to Rule 6.12 of t e Supreme Court Orphans' Court Rules, I report the following with respect to completio of the administration of the above-captioned estate: 1. State whether administra ion of the estate is complete: xx... Yes _No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be com lete: N/A b. The separate rphans' Court No. (if any) for the personal representative's acc unt is: 3. If the answer to NO.1 is es, state the following: a. Did the perso al representative file a final account with the Court? _ Yes xx N c. Did the perso al representative state an account informally to the parties in interest? Yes _ No d. Copies of rec ipts, releases, joinders and approvals of formal or informal accounts m y be filed with the Clerk of Orphan's Court and may be attached to t Date: 3/28103 Signature 95 Alexander Spring Road Suite 3 Address Carlisle PA 17013 City, State, Zip (7171. 249-6333 Telephone Number Capacity: _ Personal Representative ...JL Counsel for Personal Representative ~'?-/.&.~- BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COM~ONWEALTH OF PENNSYLVANIA lEPARTMENT OF REVENUE INHERITANCE TAX S ATEMENT OF ACCOUNT *' REY-I'D7 EX AFP (DI-DS> STEVEN J FISHMAN SALZMANN ETAL 95 ALEXANDER SPG CARLISLE ESQ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 03-24-2003 HERR 09-15-2001 21 01-0936 CUMBERLAND 101 ARTHUR S Amount Remitted RD 3 PA 17013 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your acc unt, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV = i60-j-E3f-AFP-COY=03Y------...--fNHEi ITANCE--TAx--sTAfEHENT-oF'-Acrcouiff--...---------------- ----- ESTATE OF HERR ARTHUR S FILE NO.21 01-0936 ACN 101 DATE 03-24-2003 THIS STATEMENT IS PROVIDED TO ADVISE OF THE ClRRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICITION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD AD USTMENT: 02-17-2003 P R I NC I PAL TAX DU E : ...................................................................................... ............................................................................................................................... 2,787.05 PAYMENTS (TAX CREDITS): PAYMENT DATE 12-04-2001 03-04-2003 RECEIPT NUMBER CD000596 REFUND D SCOUNT (+) INTEREsT/PEN PAID (-) 139.35 .00 AMOUNT PAID 3,133.49 485.79- TOTAL TAX CREDIT 2,787.05 .00 BALANCE OF TAX DUE INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTERE T. TOTAL DUE .00 ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( RJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J PAYMENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address printed on the reverse side. If RESIDENT DECEDENT make check or 1I0ney order payable to: REGISTER OF WILLS, AGENT. If NON-RESIDENT DECEDENT make check or money order payable to: COMMONWEALTH OF PENNSYLVANIA. REFUND (CR): A refund of a tax credit, which was not requested on the Tax 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 Z3 Revenue District Offices or from the Department's Z4-hour answering service for forlls ordering: 1-800-36Z-Z050; services for taxpayers with special hearing and I or speaking needs: 1-800-447-30Z0 (TT only). REPLY TO: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessllent Review Unit, Dept. Z80601, Harrisburg, PA 171Z8-0601, phone (717) 787-6505. 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 allnesty 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. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day froll the date of death, to the date of paYllent. Taxes which became delinquent before January 1, 198Z bear interest at the rate of six (6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 198Z will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Oepartllent of Revenue. The applicable interest rates for 198Z through Z003 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 198Z ZO% .000548 1987 9% .000Z47 1999 7% .00019Z 1983 16% .000438 1988-1991 11% .000301 ZOOO 8% .000Z19 1984 11% .000301 199Z 9% .000Z47 ZOOI 9% .000Z47 1985 13% .000356 1993-1994 7% .00019Z ZOOZ 6% .000164 1986 10% .000Z74 1995-1998 9% .000Z47 Z003 5% .000137 --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 becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If paYllent is made after the interest computation date shown on the Notice, additional interest must be calculated.