HomeMy WebLinkAbout01-0992
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
Estate of CATHERINE A. BOYER
PETITION FOR GRANT OF LETTERS
NO.1)
01
qq;;..
also known as
, Deceased
Social Security No. 172018860
EDW ARD E. HOLTZMAN
Petitioner(s), who is/are 18 years of age or older, apply)ies) for:
(COMPLETE "A" OR "B" BELOW:)
GJ
A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut or
Decedent, dated 3/25/99 and codicil(s) dated
named in the Last Will of the
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 bom or adopted after execution of the documents offered
for probate; was not the victim of a killing and was never adjudicated incapacitated:
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 the Decedent left no Will and was survived by the following spouse
(if any) and heirs:
Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal
residence at 551 Valley Road, East Pennsboro Township
(list street, number and municipality)
Decedent, then 85 years of age, died October 22 ,~, at Holy Spirit Hospital, East Pennsboro Twp., PA
(Location)
Decedent 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 ........................................................................................ $
Total .................................,................................................................................... $
Real Estate situated as follows: East Pennsboro Township, Cumberland County, PA - Vol.O Book 25 Page 851
Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in
the appropriate form to the undersigned:
800,000.00
100,000.00
900,000.00
Typed or printed name and residence
Edward E. Holtzman
125 Peach Street
Harrisbur PA 17112
RW-1 /7---/7'- 7
Oath of Personal Representative
Commonwealth of Pennsylvania
County of CUMBERLAND
The Petitioner(s) above-named swear(s) and 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 ersonal representative(s) of the
Decedent, Petitioner(s) will well and truly administer t state ac ~ la .
Sworn to and affirmed and subscribed
day of 1-
2001 ~~ luAtb
11!!i/l-vL C. ~ /)//J/~~
MtJ C. Lewis P Ilrt
before me this
October
29th
~
J{oUZIHAlU
DECREE OF REGISTER
Estate of CATHERINE A. BOYER
also known as
Deceased
c2/
No~
01 0992
Date of Death: 1 0/22/01
Social Security No: 172018860
AND NOW, -=-October 30th , ?OO 1 ,in consideration of the Petition on the
reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters mI Testamentary Cl of Administration
are hereby granted to Edward E. Holtzman
((c.I.a., d.b.n.c.l.; pendente lite; durante absentia; durante minoriate)
in the above estate and that the instrument(s), if any, dated March 25, 1999
described in the Petition be admitted to probate and filed of record as the Last Wi!1 of Decedent.
FEES
Letters .................................... $ 445.00
Short Certificates( s) ....... ..:).....
Renunciation ....... ....... ............
Extra Pages ( 2 ) ...............
I.T.R.......................................
JCP Fee .................................
Inventory ................................
Other ......................................
$ 15.00
$
$ 6.00
$
$
$ 5.00
$
$
a~~
f-dLAy ..-.
Attorney: Kathy A. Morrow
I.D. No: 54709
Address: P.O. Box 250
New Bloomfield
Telephone: 717-582-7313
DATE FILED: October 30,2001
PA 17068
TOTAL .............................$ 471.00
MAILED LETTERS TO ATTORNEY
T.J'(I<;.~(\<; ~,r.v C}10.r..
This is to certifY that the information here given is correctly copied fro~ an original certificate of death dul~ tiled with
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filmg.
me as
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
p
7744676
No.
21-2001-0992
~::!~
OCT 2 4 t~~1 2 4 2001
Date
,
i 43 Rev. 2187
COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH' VITAL RECOROS
CERTIFICATE OF DEATH
STATE FlU: NUMelR
SOCiAl SECURITY NUMeER
DAlE Of OEATH ,McIWI. 0...,. ''''J
o.Odobt..- 22., .;)00 I
NAME OF DECEDENT (fIIsr. Mickle. L._>>
.. Catherine A. Boyer
AGE (l..1IifNaYl UNDER' YEAR UNllER' OM
- Ooya -1-
SEX
t. Female
IIIRT..-ua; IC'Y....
Stale 01' fcr8q1 Caunlry)
..172 - 01 -8860
PlACEOIFOEA'fHIO>eckOf'llyfJt"e-- 'iM'"IIfuChOl'lSoncw..->>>>
HO_;
1_ j1g E__ 0 oao. 0
~o
Did
-
....
_, ,,~.o :.:...-=-=..
MOTHER'S NAME (f.-II. MddIt. lll1den Su..w....)
... Mar aret Miller
INFORMANT'S IlAIUHO ADORESSlSlr",~, _. Z;P~I
~125 Peach St. Harrisbur , Pa. ]71]2
PlACE OF DISPOSITlON ._..~ c,_ LOCRlON .~. _.. z;P~
Of 0IIler PIoco
2.c.Enola Cemetery 2'~. Enola, Pa.
NAME AND ADDRESS OF FACIUTY
22c~ichardson F.H.29S.EnolaDr.Enola, Pa. 17025
LICENSE NUMBER ORE SIGNED
../ L _.Doy.-I
6 1.. It."", Jf) - u.-(J I
~s CASE REFERRED 10 MEDICAl. ElCAIIINERlCORONER1
'" 0 No~
DECEDENT'S USUAL OCCUIWlOH
(~~~~':::zt:T
..... Clerl.cal ..It.
DECEllENT'S Io""LlNG AOOAESS lSIrOOl~. _zo,CaMI
551 Valley Rd.
Summerdale Pa. 17093
...
MIlER'SHAME (F...Sl.~. laIC)
II. Charles D. Anderson
1Nl'000000S NAME cr"""",..,
Edward E. Holtzman
METHOO OF DlSPOSmOH
_00 c....- 0 __61...0
00h0I~
DECEDENT'S
ACTUAl.
RESIDENCE
---
on _ MMI
Cumberland
'111.
2001
..
,e) c ....k 1
J;:::..ant~
DUE 10 lOA AS A CONSEQUENCE Of):
[b,
c.
d.
DUE 10 lOA AS A CONSEQUENCE Of);
DUE 10 lOA AS A CONSEQUENCE Of);
WERE AUl'OPSY FJNOtNGS MANNER OF DEATH
A\IIUlA8LE PRIOR 10
COIolPLET1ON OF CAUSE IB. 0
OF DEATH? _., -
_.. 0 "'ndIng~..ton 0
NeEll. .....0 Ne 0 - 0 Could not be de'emuned 0
DATE OF INJURY
(Monlh. Day, 'fear)
RACE-__._.WhOo.....
-
'I. White
SURVIVING SPOUSE
II wHo QIW ma.dIn n.mt)
MARlTALSWUS._
---.-.
DiwoadISPK"r!
'0_ Widowed II.
......~hN.Bast Pennsboro
_.
_.
llI.
I Apptoxim.ce
f~beIwMn
: 0ftMI Md.....
I
I /1-
PART.: 0IIler~_-.......ng.._....
nul ~ing In... ~auHgiwAin PNn' I.
TIMe OF INJURY
tNJURY IJ WORK? DESCRtBE HCMIINJUAY OCCURRED.
"" 0 NeD
M.
Ill.
PlACE OF INJURY. AI home, farm, st,.... IKIOty.orfic.
_....lSpoc'M
....
LOCATION (50_.~, SlaIoI
_. .....
CEln'IFIEA ICheck orVy one)
-CERTIFYING ItHYSICIAN (Ph~ cetWyIng cause rJ death ~ anothef physcoan has pronooneed death ana completed Ilern 231
To....bHCofmyknowlecfge.cI..thoccurnclduelolheca~e(.).ndft\llnne'..~.ted................................ .......
-PfIONOUNClHG AND CI!RTIFYtNG PHYSIC'AN (PhY5lCWl both LlfOOOUflCll\9 death aro cer1lfylng 10 cause or dealhl
To the be.a 01 my knowlHg., dea1ft OC:CUffM" the....... date. and plac;.. and due to the c.u..... and manner a. Ilaled
'MEDICAL EXAMINER/CORONER
On the _,II. o' ex.mIn.,ton .mUM invesligation. in my opinion. death occurred" the time. da'e, and place. and due to the e.u",s).1Id
mann..... st.ted... .. .. . . . ........ . . .. .... . . . . ... ... . .... .. ....... ....... .. . .. . . . . . ..... . . .... . ....... .. .. . .......
31..
REGISTRAR'S SIGNATURE AND NUMBER
I~/I~I/I
301.
TITLE OF CERTifiER / _
liJ "b. .......1 C--~
lICENSE NU A DATE SIGNED tMonl'l. Day. ~)
o "c. a :J.Jzt~ L 31d. /0' ~.. -<1 /
NAME AND ADORESS OF PERSON WHO COIolPLETED CAUSE OF DEATH
(110m 27) Type Of Print
f:l..-A.'YtI'I..,./J) L G t(.1:1"';Pd,.j C1J:>
o 32. J:J ~/..l ~ ~'J!"~ f'~ J 1/(11
_ :TEFI~~,1_______
21-2001-0992
LAST WILL AND TESTAMENT OF
CATHERINE A. BOYER
I, Catherine A. Boyer, of East Pennsboro Township, Cumberland
County, Pennsylvania, being of sound and disposing mind, memory and
understanding, hereby revoking all prior Wills made by me, do hereby make,
publish and declare this as my Last Will and Testament as follows:
1. I direct my hereinafter named Executor to pay my just debts,
funeral expenses and costs of administration of my estate as soon as possible
and convenient after my death.
2. I direct my hereafter named Executor to payout of the
corpus of my estate, all state inheritance taxes and federal estate taxes, if any
be due, which may be assessed by reason of my death on property passing
under this my Last Will and Testament, or on property passing to any person
or persons by reason of joint ownership thereof, such as certificates of
deposit, savings bonds, etc. to the intent and effect that no person shall be
required to personally pay any Pennsylvania inheritance tax or federal tax
thereon.
3. I give and bequeath to the Summerdale United Methodist
Church, Su.mmerdale, Pennsylvania, the sum of Ten Thousand and 00/100
($10,000.00) Dollars, to be used in the sole discretion of the Church.
4. I give, devise and bequeath all the rest, residue and
remainder of my property, both personal and real, of whatever nature and
wheresoever situate to my nephew, Edward E. Holtzman, provided he
survives me by thirty (30) days.
KATHY A. MORROW
Attorney at Law
217 S. Carlisle Street
P.O. Box 250
New Bloomfield, PA 17068
^~ /~
....J II 11/'
l...... Y t '---
..--
5. In the event my nephew, Edward E. Holtzman, should
predecease me or die on or before the thirtieth (30th) day following my
death, I direct that all the rest, residue and remainder of my estate, both real
and personal and wheresoever situate, be sold by my Executor or his/her
successors at either public or private sale, whichever in his/her opinion shall
be for the best interest of my estate, and that the net proceeds therefrom be
divided as follows:
Fifty (50%) percent to my sister, Edna M. Holtzman~
Fifty (50%) percent to Karen B. Holtzman~
6. I hereby nominate and appoint my nephew, Edward E.
Holtzman as Executor of this my Last Will and Testament. Should Edward
E. Holtzman fail to qualify or renounces his right to act as Executor, I then
nominate and appoint Karen B. Holtzman as successor Executrix of this my
Last Will and Testament.
7. I direct that my Executor or his successors shall not be
required to give bond or other security in any jurisdiction wherein
proceedings may be held in connection with my estate. Nor shall any
guardian of property or persons be required to give bond for the faithful
performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal
this 25th day of March, 1999.
KATHY A. MORROW
Attorney at Law
217 S. Carlisle Street
P.O. Box 250
New Bloomfield, PA 17068
~~~u Lf'~ (SEAL)
e il.7n~
~F.m~-'
Witness
COMMONWEAL TH OF PENNSYL VANIA
-Ie
COUNTY OF PERRY
-Ie ss:
-Ie
We, Catherine A. Boyer, the testatrix in, and Kathy A. Morrow and
Fred E. Morrow, the witnesses to the attached or foregoing instrument, who
have signed the instrument, having been duly qualified according to law do
depose and say:
(a) that I, the testatrix, do hereby acknowledge that I signed and
executed the instrument as my last Will, that I signed it willingly and as my
free and voluntary act for the purposes therein expressed~ and
(b) that we, the witnesses, were present and saw the testatrix sign and
execute the instrument as her last will, that she willingly signed and
executed it as her free and voluntary act for the purposes therein expressed;
that each of us in the hearing and sight of the testatrix signed the will as a
witness and that to the best of our knowledge the testatrix was at that time 18
or more years of age, of sound mind and under no constraint or undue
influence.
~ (),~
~~ tl7h~
~ r 17k~~/~~----.'.
Witness
KATHY A. MORROW
Atlorney al Law
217 S. Carlisle Slreet
P.O. Box 250
New Bloomfield, PA 17068
~et~
Notary Public
My Commission xplres:
NOT AAIAL SEAL
SANDRA KAY CAMPBELL, Not8fY Public
B'-omtieId Boro, Perry County
My Commissioi. Expires October 26. 2002
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
NO. CD 000724
MORROW KATHY A ESQ
217 S CARLISLE ST
POBOX 250
NEW BLOOMFIELD, PA 17068
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
-------- fold
101
$150,000.00
ESTATE INFORMATION: SSN: 172-01-8860
FILE NUMBER: 21-2001- 0992
DECEDENT NAME: BOYER CATHERINE A
DA TE OF PAYMENT: 01/07/2002
POSTMARK DATE: 01/04/2002
COUNTY: CUMBERLAND
DATE OF DEATH: 10/22/2001
TOTAL AMOUNT PAID:
$150,000.00
REMARKS: KATHY A MORROW ESQ.
CHECK#102
SEAL
INITIALS: AC
RECEIVED BY:
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
MORROW KATHY A ESQ
217 S CARLISLE ST
POBOX 250
NEW BLOOMFIELD, PA 17068
------.- fold
ESTATE INFORMATION: SSN: 172-01-8860
FILE NUMBER: 2101-0992
DECEDENT NAME: BOYER CATHERINE A
DATE OF PAYMENT: 07/19/2002
POSTMARK DATE: 07/18/2002
COUNTY: CUMBERLAND
DATE OF DEATH: 10/22/2001
ACN
ASSESSMENT
CONTROL
NUMBER
101
TOTAL AMOUNT PAID:
REMARKS: EDWARD E HOLTZMAN
C/O KATHY A MORROW ESQUIRE
CHECK# 111
SEAL
INITIALS: CW
RECEIVED BY:
REGISTER OF WILLS
REV-"62 EX!' '-96)
NO. CD 001427
MARY C. LEWIS
REGISTER OF WILLS
AMOUNT
$1,592.22
$1,592.22
~~K-
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Catherine A Rnyp.r
Date of Death: 1 n / ::>::> / n 1
. .
Will No.: 21-2001-0992
Admin. No.:
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 1XJ No 0
2. If the answer is No, state when the personal representative reasonably believes
that the administration will be complete:
3. If the answer to No. 1 is Yes, state the following:
a. Did the personal representative file a final account with the Court?
Yes No ill
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 KJ No 0
c. Copies of receipts, releases, joinders and approval of formal or
informal accounts may be filed with the Clerk of the Orphans' Court
andmaYbeattaChedlOthi::rt. d 'tn.~
Date:~/03 -:~
Sign~
K FI thy A M 0 r r g 1.1
Name
'.....1
P.O. Box 250 , New Bloomfield, PA 17068
Address
717-582-7313
Telephone No.
i7? . \
Capacity: 0 Personal Representative
o Counsel for personal representative
::.1
C~
<~
\ ,.
t' i'~ .J
'. ~.,. ..'
- "..-- -',
"..---'
~
~
\}
~ ""
\J '0 IF:'
(j,)
.\. ~ CL
f'-.
I
;~;J' z
..::::
J
0 C
() ( P
t!C
000
LI')\!>
= NO
I"-
X~
Q :: 0
.... <( a:l ell
u.. C
0 .... ..J 0 ell
~ I .>
UJ I- a.. -
>,
U <( - CIl
I 4JC
u.. Vl W C
u.. . >- e w
4Ja..
0 ~ UJ U)
z w::!2
:: ~a:: v;W
<( ,.::~ =\.;:
..J .... E
ell
.... I- U 0
~ <( 0
u)oo
I"- ;:
~ W
NZ
Q)
en
::J
o
.c
1::
::J Q)
o ....
u~
~ C" C'?
c:CI).....
en::JQ)O
=Oen!'-
.- U ::J.....
~"'CO
_C.c<(
0(01::0...
.... - ::J
Q) .... 0 ~
- Q)" Q)
en .rJ \oJ en
.~~ ~ .~
a::eOU
. ~)
. ...;.-".~
."':: ~
;1) .=.
. -
,,-"\,.....
"..,.,.",-,
....,,~
.....;,:
-
-
-
-
-
-
-
-
-
('l
o
fl
fa
1")
j')
...
f1
..
o
r-
..
"
LAW OFFICE OF
Kathy A. Morrow
ATTORNEYS-AT-LAW
Kathy A. Morrow, Esquire
Charles F. Chenot, III, Esquire
217 S. Carlisle Street, P.O. Box 250
New Bloomfield, Pennsylvania 17068
(717) 582-7313
Fax (717) 582-7724
July 18, 2002
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
r-
;..!
ri
K.
RE: CATHERINE A. BOYER ESTATE
NO. 2001-00992
PA NO. 21-01-0992
, ,-,
-.",,,.J
........j
Dear Register of Wills:
Enclosed for filing please find an Inheritance Tax Return for the above
referenced estate as well as the check for the inheritance tax and filing fee.
Please date stamp one copy and return to my office in the enclosed envelope.
Thank you.
Sincerely,
Y~d1~
Kathy A. Morrow
skc
Ene!.
r
~,t;-lI.~ .,..';;
t.W
Q
~ ('..J
~,j LD -,.
it
(ij 0;:-- c:'
:::> <:::) ~
j\ w
....
(.cr' '-f~ llJ
~\j .I' -
\. "'t \'<:) J:
\,' ,\'~
\
~
Cfl
:J
o
::r:
E-l
p::j
:J~
OP::i
U<C("t')
:JT""'l
Cfl ~ 0'0
~E-lCflr--
~Z T""'l
H:J~
:30Cfl
U:J<C
~ OP-<
o Cl ::r:
ZE-l ~
p::j<Cp::j~
~~:J,...:I
E-l p::j 0 Cfl
Cfl~UH
Hr:Q ~
0::E:~p::j
~:JZ<C
P::iUOU
co
(."f'~~
r~
i.._.;
0",
.-J
;;S
~
R~V-1500 EX + (6-00)
~'~.-
~
I-
Z
W
C
W
()
W
C
W
I-
lil: $U)
l.) 1I::lil:
W~l.)
:I: 11::3
l.) lLlIl
lL
<(
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL)
BOYER, CATHERINE A.
DATE OF DEATH (MM-DD-Year)
DATE OF BIRTH (MM-DD-Year)
OFFICIAL USE ONLY
c
10/22/2001 01/04/1916
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST. FIRST, AND MIDDLE INITIAL)
[R] 1. Original Retum
o 4. Limited Estate
[R] 6. Decedent Died Testate (Altach copy of Win)
o 9. Litigation Proceeds Received
o 2. Supplemental Retum
D 4a. Future Interest Compromise (date of death after 12-12-82)
D 7. Decedent Maintained a Living Trust (Allachcopy ofTrus1)
o 10. Spousal Poverty Credit (date of death between 12.31.91 and 1.1-95)
o 992
""CoUNrv"CoiiE ----vEAR- - - 'N'UMaER- -
SOCIAL SECURITY NUMBER
72- 0 1 - 8 860
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
o 3. Remainder Retum (date of death prior to 12-13-82)
[R] 5. Federal Estate Tax Retum Required
1. 8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Allach Sch 0)
;;'fills,SEd':ION,.,t:lSRE! . bM~l:.ETeb!JALL'eORRESRaflDENee:'ANDjCONFIDENTIAlZ1tA:X;INFORMATIoN SHOUt.lini!El'OIREClED TO:' .
NAME COMPLETE MAILING ADDRESS
KATHY A. MORROW, ESQ. P.O. BOX 250
FIRM NAME (If Applicable)
z
o
5
:::)
!:::
a.
<
()
W
D::
z
o
i=
<
I-
:::)
a.
:E
o
()
S
I-
Z
W
C
Z
o
lL
U)
W
II::
II::
o
l.)
TELEPHONE NUMBER
717582-7313
217 S. CARLISLE STREET
PA 17068
NEW BLOOMFIELD
125.,000.00 I
7&;35~.20
.
(1)
(2)
(3)
(4)
(5)
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly ONned Property (Schedule F) (6)
D Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7) (8)
9. Funeral Expenses & Administrative Costs (Schedule H) (9)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under See. 9116 (a)(1.2)
X _(15)
X_(16)
X .12 (17)
1,060,614.81 X .15 (18)
(19)
OFFICIAL USE ONLY
433,670.00
466,796.66
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
1,101,825.86
23,661.29
7,549.76
(11)
(12)
(13)
31,211.05
1,070,614.81
10,000.00
(14)
1,060,614.81
159,092.22
159,092.22
KATHY A. MORROW
Attorney at law
217 S. Carlisle Street
P.O. Box 250
New Bloomfield, PA 17068
"
21-2001-0992
LAST WILL AND TESTAMENT OF
CATHERINE A. BOYER
I, Catherine A. Boyer, of East Pennsboro Township, Cumberland
County, Pennsylvania, being of sound and disposing mind, memory and
understanding, hereby revoking all prior Wills made by me, do hereby make,
publish and declare this as my Last Will and Testament as follows:
1. I direct my hereinafter named Executor to pay my just debts,
funeral expenses and costs of administration of my estate as soon as possible
and convenient after my death.
2. I direct my hereafter named Executor to payout of the
corpus of my estate, all state inheritance taxes and federal estate taxes, if any
be due, which may be assessed by reason of my death on property passing
under this my Last Will and Testament, or on property passing to any person
or persons by reason of joint ownership thereof, such as certificates of
deposit, savings bonds, etc. to the intent and effect that no person shall be
required to personally pay any Pennsylvania inheritance tax or federal tax
thereon.
3. I give and bequeath to the Summerdale United Methodist
Church, Summerdale, Pennsylvania, the sum of Ten Thousand and 00/1 00
($10,000.00) Dollars, to be used in the sole discretion of the Church.
4. I give, devise and bequeath all the rest, residue and
remainder of my property, both personal and real, of whatever nature and
wheresoever situate to my nephew, Edward E. Holtzman, provided he
survives me by thirty (30) days.
Cli--13
-----
:-------
5. In the event my nephew, Edward E. Holtzman, :should
predecease me or die on or before the thirtieth (30th) day following my
death, I direct that all the rest, residue and remainder of my estate, both real
and personal and wheresoever situate, be sold by my Executor or his/her
successors at either public or private sale, whichever in his/her opinion shall
be for the best interest of my estate, and that the net proceeds therefrom be
divided as follows:
Fifty (50%) percent to my sister, Edna M. Holtzman;
Fifty (50%) percent to Karen B. Holtzman;
6. I hereby nominate and appoint my nephew, Edward E.
Holtzman as Executor of this my Last Will and Testament. Should Edward
E. Holtzman fail to qualify or renounces his right to act as Executor, I then
nominate and appoint Karen B. Holtzman as successor Executrix of this my
Last Will and Testament.
7. I direct that my Executor or his successors shall not be
required to give bond or other security in any jurisdiction wherein
proceedings may be held in connection with my estate. Nor shall any
guardian of property or persons be required to give bond for the faithful
performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal
this 25th day of March, 1999.
CI' Ii
I ' - . . ,. " I
~ "". '.I /tf\--
ll{ frzl'tJ. tl I- I ./~
(SEAL)
KATHY A. MORROW
Attorney at Law
217 S. Carlisle Street
P.O. Box 250
New Bloomfield. PA 17068
..etJ7n~
~r1:JU~
Witness
KATHY A. MeRROW
Attolney at Law
217 S. Carlislo Streot
P.O. Box 250
New Bloomfield, PA 17068
COMMONWEAL TH OF PENNSYL VANIA *
* ss:
COUNTY OF PERRY
*
We, Catherine A. Boyer, the testatrix in, and Kathy A. Morrow and
Fred E. Morrow, the witnesses to the attached or foregoing instrument, who
have signed the instrument, having been duly qualified according to law do
depose and say:
(a) that I, the testatrix, do hereby acknowledge that I signed and
executed the instrument as my last Will, that I signed it willingly and as my
free and voluntary act for the purposes therein expressed; and
(b) that we, the witnesses, were present and saw the testatrix sign and
execute the instrument as her last will, that she willingly signed and
executed it as her free and voluntary act for the purposes therein expressed;
that each of us in the hearing and sight of the testatrix signed the will as a
witness and that to the best of our knowledge the testatrix was at that time 18
or more years of age, of sound mind and under no constraint or undue
influence.
(jvJi:7JM 0, ~~
~~ tl70~
~ f JJ U". 7/'------.-
Witness
~
Notary Public
My Commission
NOT AAIAL SEAL
SANDAA KAY CAMPBELL. Notary Public
ffioom.'ield Boro. Perry County
Commiss;o.. Expires October 26.2002
'REV.1502EX +(1.97)
'*
SCHEDULE A
REAL ESTATE
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
ESTATE OF FILE NUMBER
BOYER. CATHERINE A. 21 01 0992
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged
between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with
right of
survivorshin must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
125,000.00
551 VALLEY ROAD
CUMBERLAND COUNTY DEED BOOK 0 VOL. 25 PAGE 851
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
125,000.00
_'~a~"" .
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RE 10 NT DENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
BOYER. CATHERINE A
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
FILE NUMBER
21 01
0992
ITEM
NUMBER -
1.
DESCRIPTION
328 SHARES OF LUCENT TECHNOLOGIES @ $6.50/Share
VALUE AT DATE
OF DEATH
2,132.00
2.
1344 SHARES OF VERIZON @ $50.00/Share
67,200.00
3.
384 SHARES OF A.T. & T. @ $18.30 Share
7,027.20
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
76,359.20
REV-1S07 EX +(1-97)
*'
SCHEDULE D
MORTGAGES & NOTES
RECEIVABLE
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
BOYER. CATHERINE A.
FILE NUMBER
21 01
All property jointly-owned with the right of sUlVivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
MORTGAGE FROM BOYER HOMESTEAD, L.P., AND CENTRAL PENN, INC.
CUMBERLAND COUNTY MORTGAGE BOOK 1527 PAGE 608
DATED MARCH 11, 1999
0992
TOTAL (Also enter on line 4, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
VALUE AT DATE
OF DEATH
433,670.00
433,670.00
-'~~..1'~ .
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
BOYER. CATHERINE A.
FILE NUMBER
21 01
0992
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER .
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
DESCRIPTION
Allfirst Checking Account #0017145651
VALUE AT DATE
OF DEATH
143,334.19
Allfirst Passbook Savings #87004901721011
73,850.22
Allfirst CD #87008000377039
5,039.86
Allfirst CD #87008000377942
7,033.77
1st National Bank of Marysville-Checking Account #319864
194,054.21
1 st National Bank of Marysville-CD #3053540
10,217.70
1 st National Bank of Marysville-CD #3053545
10,213.19
1 st National Bank of Marysville-CD #3055890
10,020.76
1 st National Bank of Marysville-CD #3055891
10,020.76
2001 Income Tax Refund
3,012.00
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
466,796.66
REV-1511EX +(1-97)
'*
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
BOYER CATHERINE A
FILE NUMBER
21
01
0992
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
DESCRIPTION
AMOUNT
1.
2.
FUNERAL EXPENSES:
Richardson Funeral Home
Summerdale United Methodist Sunday School for lunchecon
5,375.00
100.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Numbe~s) I EIN Number of Personal Representative(s)
Street Address
City State Zip
Yea~s) Commission Paid:
2. Attorney Fees Kathy A. Morrow, Esq. 15,000.00
3. Family Exemption: (If decedenfs address is not the same as c1aimanfs, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees Register of Wills, Cumberland Co. 471.00
5. Accountanfs Fees
6. Tax Return Preparer's Fees
7. The Sentinel - estate notice 87.35
8. Cumberland Law Journal - estate notice 75.00
9. Appraisal fee - real estate 275.00
10. 2 Short Certificates 6.00
11. James Gingrich Memorials 75.00
12. Murray Construction-Replace 3 Doors & Commode Repair 1,600.00
13. Tree Removal 575.00
14. Signature Name Stamp 21.94
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
23,661.29
":..m,:,,, .
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
ESTATE OF
BOYER. CATHERINE A.
FILE NUMBER
21
01
0992
Include unreimbursed medical expenses.
ITEM
NUMBER
DESCRIPTION
AMOUNT
5,100.00
1. U.S. Treasury-2001 Est. Income Tax
2. PA Dept. of Rev.-Est. 2001 Income Tax
3. PA Dept. of Reve.-2001 Tax
4. Alicia Stine-Real Estate Taxes
5. P.P.&L.
6. East Pennsboro Township-Water & Trash
7. Verizon-Phone
8. Quantum Imaging
9. Holy Spirit Hospital
450.00
127.00
260.66
1/391.56
175.50
10.95
7.09
27.00
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
7,549.76
""'."':.'''' '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
H( lY1-1-<
NUMBER
I.
SCHEDULE J
BENEFICIARIES
A
1.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS Dnclude outright spousal distributions, and transfers under
- Sec. 9116 (a) (1.2)]
Edward E. Holtzman
125 Peach Street
Harrisburg, PA 17112
FILE NUMBER
?1 01
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
Nephew
O!=l!=l?
AMOUNT OR SHARE
OF ESTATE
100% Residue
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
Summerdale United Methodist Church
203 2 Street
Summerdale, PA 17093
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)
10,000.00
$
10,000.00
/'?-/?'~ 7
~ BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z80601
HARRISBURG, PA 171Z8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
-
REV-lU7 EX AFP I Dl-U21
'I,
DATE
ESTATE OF
DATE OF DEATH
FILE' NUMBER
COUNTY
ACN
10-15-2002
BOVER
10-22-2001
21 01-0992
CUMBERLAND
101
CATHERINE A
KATHV A MORROW
217 S CARLISLE
PO BOX 250
NEW BLOOMFIELD
ESQ
ST
Allount Rellitted
PA 17068
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV =i6ifj-ix-AFP--foY=o2Y------...--iNHERITANCE-TA3f-sTAfEMENT-OF-Ac-couiif--...---------------------
ESTATE OF BOVER CATHERINE A FILE NO.21 01-0992 ACN 101 DATE 10-15-2002
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-26-2002
PR I NCI PAL TAX DUE: ...........................................................................................................................................................................................................................
159,092.22
PAVMENTS (TAX CREDITS):
PAVMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-04-2002 CDOOO724 7,894.74 150,000.00
07-18-2002 CDOO1427 .00 1,592.22
09-23-2002 REFUND .00 394.74-
TOTAL TAX CREDIT 159,092.22
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
. IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ,
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J
"v
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
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
09-02-2002
BOYER
10-22-2001
21 01-0992
CUMBERLAND
101
KATHY A MORROW
217 S CARLISLE
PO BOX 250
NEW BLOOMFIELD
ESQ
ST
PA ~~068
Allount Rellitted
'*
REV-1547 EX AFP (01-021
CATHERINE A
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=i5'4-j-E;f-AFP-{oY=ozY-NoYicE--oF-YNHER-iTANcE-YAx-A-PPRAisEHENT-,--ALi-oWANCE-oi------------ -----
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BOYER CATHERINE A FILE NO. 21 01-0992 ACN 101 DATE 09-02-2002
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
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
NOTE: If an assessment was issued previously, lines
reflect figures that include the total of ALL
ASSESSMENT OF TAX:
15. Allount of Line 14 at Spousal rate (15)
16. Allount of Line 14 taxable at Lineal/Class A rate (16)
17. Allount of Line 14 at Sibling rate (17)
18. Allount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TAX C TS:
DATE
01-04-2002
07-18-2002
+
INTEREST/PEN PAID (-)
7,894.74
.00
NUMBER
CD000724
CD001427
) CHANGED
(1)
(2)
(3)
(4)
(5)
(6)
(7)
125,000.00
76,359.20
.00
433,670.00
466,796.66
.00
.00
(8)
NOTE: To insure proper
credit to your account,
subllit the upper portion
of this forll with your
tax paYllent.
1,101,825.86
31.211 05
1,070,614.81
10,000.00
1,060,614.81
14, 15 and/or 16, 17, 18 and 19 will
returns assessed to date.
.00
.00
.00
159,092.22
159,092.22
159,486.96
394.74CR
.00
394.74CR
. 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 "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
(9)
(10)
23,661.29
7.549.76
(11)
(12)
(13)
(14)
.OOXOO=
.00 X 045=
.00 X 12 =
1,060,614.81 X 15 =
(19)=
AMOUNT PAID
150,000.00
1,592.22
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
(~
CERTIFICATION OF NOTICE UNDER RULE 5.6 (a)
Name of Decedent: Catherine A. Boyer
Date of Death: October 22, 2001
File No. 2001-00992
PA File No. 2101-0992
To the Register:
I certify that notice of beneficial interest 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
November 6, 2001. PC;::o
=<<' d ro
::S ~.. -.... n
0"":' R
~C Z C::l
S@ ,':
NAME
ADDRESS
Edward E. Holtzman
125 Peach Street
Harrisburg, PA
N
o
Summerdale United Methodist
Church
203 2 St.
Summerdale, PA
1 71.1J~.:
-rJ;
::C', ::.
17093
-0
.,p,.
o
o
Notice has now been given to all persons entitled thereto under
Rule 5.6 (a) except
N/A
DATE: /I) 11/61
~4~J
K th . Morro , Esq.~
P.O. ox 250
217 S. Carlisle Street
New Bloomfield, PA 17068
Telephone: 717-582-7313
Capacity:
Personal Representative
X Counsel
for
Personal
Representative