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Home My WebLink About07-22-05 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-, '82 EX(' 1-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT IRWIN ROGER B ESQ 60 W POMFRET ST CARLISLE, PA 17013 nn_n_ fold ESTATE INFORMATION: SSN: 202-05-0795 FILE NUMBER: 2105-0445 DECEDENT NAME: KIRKPATRICK VIVIAN P DATE OF PAYMENT: 07/22/2005 POSTMARK DATE: 07/22/2005 COUNTY: CUMBERLAND DATE OF DEATH: 04/13/2005 NO. CD 005605 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $2,113.88 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: IRWIN ET AL CHECK# 022140 SEAL INITIALS: VZ RECEIVED BY: REGISTER OF WILLS $2,113.88 GLENDA FARNER STRASBAUGH REGISTER OF WILLS OFFICIAL USE ONLY REV-1500 EX + (6-00) REV-1500 INHERITANCE TAX RETURN FILE NUMBER COMMONWEALTH OF PENNSYLVANIA 21-05-0445 DEPARTMENT OF REVENUE RESIDENT DECEDENT DEPT. 280601 COUNTY CODE HARFlISBUFlG, PA 17128-0601 YEAR NUMBER D DECEDENT'S NAME (LAST, FIF\ST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER E Kirk atrick Vivian P. 202-05-0795 C DATE OF DEATH (MM-DD- YEAR) THIS RETURN MUST BE ALED IN DUPUCATE WITH THE E D REGISTER OF WILLS E SOCIA SECURITY NUMBER N T X 1. Original Return 2. Supplemental Return 3 date of death . Remainder Return prior to 12-13-SZ} CAP B 4. Limited Estate 4a. Future Interest Compromise (date of death after 12-12-SZ) 5. Federal Estate Tax Return Required ~ ~ 75 X 6. Decedent Died Testate 7. Decedent Malnt,ined a Living Trust _ 8. Total Number of Sate Deposit Boxes CR~~ (Attach copy of Will) (Attach copy of Trust) KO 0 . 0 . 0 11. Election to tax.undef See. 9"3(A} E S 9. litigation Proceeds Received 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) (Attach Sch 0) T;J'ml$;~"l.i$T,!ilfit;_. .'.F@(Ul~QIt;~Y&'~'WJAlf{_J\NF~w.~~JllE,jUlEe:I~~' P NAME COMPLETE MAILING AODRESS C 0 0 Ro er B. Irwin Es 60 West Pomfret Street R N FIRM NAME (If Applicable) West Pomfret Professional Bldg. R D E E IRWIN & McKNIGHT Carlisle, PA 17013 S N T TELEPHONE NUMBER .--, ,-,'-::) :n 7 49- 3 (-) ,-.::J 1. Real Estate (Schedule A) (1) 61,000.00 OFFIC~ USE ONU~'<) 2. Stocks and Bonds (Schedule B) (2) None C) r- -"-~' ~J 3. Closely Held Corporation, Partnership or (3) None '-11 ,,) :n .-] 1"'0 \.=J Sole-Proprietorship <;: 'J 4. Mortgages & Notes Receivable (Schedule D) (4) None ..,., i "1'1 .-n R 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 1,908.67 '-~ w ,-n E (Schedule E) ., <:-:J C A 6. Jointly Owned Property (Schedule F) (6) None - --~'l P o..D I 0 Separate Billing Requested T 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) None U L (Schedule G or Ll A 8. Total Gross Assets (total Lines 1-7) (8) 62,908.67 T I 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 14,627.43 0 N 10. Debts of Decedent. Mortgage Liabll.ies. & Liens (Schedule J) (10) 1,306.21 11. Total Deductions (total Lines 9 & 10) (11) 15.933.64 12. Net Value of Estate (Line 8 minus Line 11) (12) 46,975.03 13. Charitable and Governmental Bequests/Sec 9113 Trusts 1m which an election to tax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 46,975.03 C . 0 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES M P 15. Amount of Line 14 taxable at the spousal tax T U A T rate, or transfers under Sec. 9116(aX1.2) 0.00 X .0 0 (15) 0.00 X A 16. Amount of Line 14 taxable at lineal rate 46,975.03 X .045 (16) 2,113.88 T I 17. Amount of Line 14 taxable at sibling rate 0.00 X .12 (17) 0.00 0 N 18. Amount of line 14 taxable at collateral rate 0.00 X .15 (18) 0.00 19. Tax Due (19) 2,113.88 20. ii:;H!lli1Ji.Ill!;I!!H'(~I!:i..liii*~llmlll~,~illlil1l!lIl!i. .;~::Ii!~~~~y,~r;t.!!n'i :i9i'~~!;I!:;: . ~~HiiI!YeJ:l$lI!lle._t~~cll!lt;K": ...m::7iji.<iJillitfi!%H:qf):!];J;,:::)i;::: Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1S00 EX (Rev. 6~OO) Decedent's Complete Address: STREET ADDRESS 40 Jum er Road CITY STATE ZIP Shi PA 17257 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 2,113.88 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits (A +8 + C) (2) 0.00 3, Interest/Penalty if applicable D. Interest E. Penalty T otallnteresVPenalty ( D + E ) (3) 0.00 4. If Line 2 is greater than line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 2Q to request a relund (4) 0.00 5. If Line 1 + line 3 is greater than line 2, enter the difference. This is the TAX DUE. (5) 2,113.88 A. Enter the interest on the tax. dUe. (5A) 0.00 B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5B) 2,113.88 Make Check Payable to: REGISTER OF WILLS, AGENT ';":l;l;i:::l:;:~::,:;i.:!!i!i!i!!!!!i:::::~~:;:,,~::::;;~:;::::::;:~::;:;::::;::;:::!!!'i:!):i!::::~::,,:::::::::!!!:!m!W!i::.,!!!!!:!:!:![!!!~imw!!!!:!!!:!!:i!!:::,.:;:~~:!_~((m(i~!(I((!!~!!:i:..~~::i!!!!(~!@!~~(:.pm~!!!:~!.::~~~~~1.i._.:(;~~~~~~\!\,J~j!~~m~~;~~;~}!!~!\!!~~!!~!~J!~~::;::~~::::::::"::,."".,.".,,,...,-,_""_,,. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No 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 for Ufe of either payments, benefits or care? 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . 0 rn 3. Did decedent own an "in trust fo( or payable upon death bank account or security at his or her death? .0 rn 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .... . '" . 0 rn 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 pernllties of perjury. I declare that I have examined this return, Inciuding accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Oeclaration of preparer other than the personal representative is based on all information of which preparer hasarrJ k.nowledge. SIGNA SIBLE FO FILING RETURN Richard E. Kirkpatrick DATE _ _ _s.~~_ }~~;g_~,=;~_ _~()~<l: _ _ __ _ _ _ _ _ _ _ _ _ __ n _ _ _ _ __ _ _ _ _ __ 7/~/'('h ~ Carlisle, PA 17013 IRWIN & McKNIGHT DATE 60 West Pomfret Street - - -Ca.;'l{sie,- - PA - - i 7013 -- n. - - - -- - __h - -- - - - - - - --- For dates death or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spa % [72 P.S. 9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or tor the use of the surviving spouse ls 0"/" [72 P.S. 9116 (a) (1.1) Gin. The statute does not exemot 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. 9116 (a) (1.2)). The tax rate imposed on the net value of transfers to or for the use of the decedent's Unea[ beneficiaries is 4.5%, except as noted in 72 P.S. 9116( 1.2) [72 P.S. 9116(.X 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. 9116(aX1.3n 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. Copyright (cj20QO form software only The Lackner Group, 1m:.. Form REV-1500 EX fRev fi_OO\ ADDITIONAL Personal Representatives Estate of Vivian P. Kirkpatrick SS# 202-05-0795 04/13/2005 ********************************************************** Under penalties of perjury, the undersigned declare that they have examined this return, including accompanying schedules and statements, and to the best of their knowledge and belief, it is true, correct and complete. /" Signature ~~~ Name Carol L. Bishopp Address Line 1 42 Jumper Road Address Line 2 City, State, Zip Shippensburg, PA 17257 Date 7("'.,(0' , REV-1502 EX +(1-97) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE IHHERliANCETAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Vivian P. Kirkpatrick SSfl 202-05-0795 04/13/2005 21-05-0445 All real property owned solely or as a tenant in common must be reported at fair market Value. Fair market value ;s defined as the price at which property would be exchanged between a wJlling buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledqe at the relevant facts. Real property which is jointly-owned with riaht of survivorship must be disclosed on Schedule F. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1 40 Jumper Road, Shippensburg, PA - SOLD - Settlement Sheet 61,000.00 Attached TOTAL (Also enter on line 1. Recapitulation) $ 61,000.00 (If more space is needed, insert additIonal sheets of the same size) Copyright (c) '996 form software only CPSystems, Inc. Form REV-1502 t;:y IRAV 1_Q'7\ REV-1508 EX +(1-97) SCHEDULE E COMMONWEALTH O~ PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Vivian P. Kirkpatrick SSlf 202-05-0795 04/13/2005 21-05-0445 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 VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Orrstown Bank - Checking Account - 143000490 954.67 2 Personal - Property 954.00 TOTAL (Also enter on line 5, Recapitulation) $ 1,908.67 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 fon,-l,softlH'8f8 only CPSysterns, Inc. Form REV-1508 EX (Rev_ 1_97\ REV-1511 EX +(1-97) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Vivian P. Kirkpatrick SS11 202-05-0795 04/13/2005 21-05-0445 Debts of decedent must be reported on Schedule J. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES, 1 Fogelsanger-Bricker Funeral Home - Funeral 5,481. 20 B. ADMINISTRATIVE COSTS, 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City State _Zip Yeans) Commission Paid: 2. Attorney's Fees IRWIN & McKNIGHT 3,900.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 3,500.00 Claimant Richard E Kirkpatrick Street Address 538 Burgners Road City Carlisle State PA Zip 17013 Relationship of Claimant to Decedent Son 4. Probate Fees Register of Wills 177 . 00 S. Accountant's Fees 6. Tax Return Preparer's Fees 250.00 7. Other Administrative Costs 1 Closing - Costs 739.94 2 Cumberland Law Journal - Estate Notice 75.00 3 Register of Wills - Filing Fee 30.00 4 Roy Gotshall - Appraisal on Personal Property - Attached 55.00 5 S.W. Barrett Real Estate - Appraisal on Real Estate 275.00 6 The Sentinel - Estate Notice 144.29 TOTAL (Also enter on line 9, Recapitulation) $ 14,627.43 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems,lnc. Form REV-1511 EX (R..v l_q7i REV-1512 EX + (1-97) SCHEDULE I COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT, INHEAITANCETAX RETURN MORTGAGE LIABILITIES, AND LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Vivian P. Kirkpatrick SS4/ 202-05-0795 04/13/2005 21-05-0445 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1 Adams Electric Cooperative Electric 274.33 2 Balogh Becker, Ltd. - Payoff Sears Card 460.00 3 M&T Bank - Loan Payoff 524.48 4 Waste Management - Trash 47.40 TOTAL (Also enter on line 10, Recapitulation) S 1.306.21 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1512 ~y fR.... t ..<n\ REV-lS13 EX +(9-00) SCHEDULE J COMMONW~AL TH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIOENT DECEDENT ESTATE OF FILE NUMBER Vivian P. Kirkpatrick SSfl 202-05-0795 04/13/2005 21-05-0445 NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO D~CEDENT AMOUNI OR SHARE NUMBER Do Not List Trustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS (include outrIght spousal distributiol'lS,and transfers under Sec. 9116(a)(1.2)J 1 Carol L. Bishopp Daughter 1/2 Remainder 42 Jumper Road Shippensburg, PA 17257 2 Richard E. Kirkpatrick Son 1/2 Remainder 538 Burgners Road Carlisle, PA 17013 ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS, A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 0.00 (If more space is needed, insert additional sheets of the same size) Copyright {c) ZOOO form softwaTe only The lackner Group, Inc. Form REY-1513 EX IR..v C1_M\ last Bill aub Q}t$tanttn! I, VIVIAN P. KIRKPATRICK, of Hopewell Township, Cumberland County, Pennsylvania, declare this instrument to be my last will and testament, hereby expressly revoking all wills and codicils heretofore made by me. 1. I direct my executors to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. 2. I authorize and empower my executors to sell any realty owned by me at my death, and not specifically devised herein, at either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I could do if living. 3. I devise and bequeath all of my estate of every nature and wherever situate to my husband, Calvin R. Kirkpatrick, providing he shall survive me by sixty days. 4. Should the gift in Paragraph No. 3 not take effect, I devise and bequeath all of my estate of every nature and wherever situate to my two children, share and share alike, the child or children of any deceased child taking the share their parent would have taken if living. 5. I nominate and appoint Richard E. Kirkpatrick and Carol L. Bishopp, to be the executors of this my last will and testament; they are to serve as such without bond. 6. I hereby suggest that my personal representatives retain the services of Irwin, Irwin & McKnight, as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this tl- day of April, 1991. 'f/:~ e ~~-/(SEAL) VIVIAN P. K R PRICK Signed, se a 1 ed , published and declared by Vivian P. Kirkpatrick, the above named testatrix, as and for her last will and testament, in the presence of us, who at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. ~~. 7T1lJJ.iI.f1:8n ~-&.{\.a_ ~( ~~d ACKNOWLEDGEMENT AND AFFIDAVIT WE, VIVIAN P. KIRKPATRICK, BET ZI A. MORRISON and KATHLEEN M. KENNEY, the testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. AI~~;?~~ VIVIAN P. KI PA ICK A. MO RI ~~HM.{N~~ STATE OF PENNSYLVANIA : : ss: COUNTY OF CUMBERLAND : Subscribed, sworn to and acknowledged before me by VIVIAN P. KIRKPATRICK, the testatrix, and subscribed and sworn to before me by BETZI A. MORRISON and KATHLEEN M. KENNEY , witnesses, this v-- day of Apr i1 , 1991. i'fl~ .J ci:~ . - ~ . A !:URWlN, NOTARY PUBLIC ,~ARU OOROOGH,CUM&Fl'.ANOCOVN . MY COMMISSION EXPIRES OCT. 3. 1992 M~\rr.'f.,t tI':l,:1~Y\'1";:'! \::~.:-\-:i1::"1 of N~ar;!,,-s LAW OFFICES IRWIN & McKNIGHT WEST POMFRET PROFESSIONAL BU/WING 60 WEST POMFRET STREET HAROLD S. IRWIN (1925.1977) ROGER B. IRWIN CARLISLE, PENNSYLVANIA 17013.3122 HAROLD s. IRWIN, JR. (/954.19R6) MARCUS A. McKNIGHT. III IRWIN. IRWIN .. IRWIN (1956.19R6) DOUGLAS G. MILLER (717) 149-2353 IRWIN. IRWIN &: McKN1GffT (198(;.1994) MATTHEW A. McKNIGHT FAX(7I7) 249.6354 IRWIN, McKNIGHT & HUGHES (J994-2003) WWWJMHLAWCOM IRWIN &: McKNIGHT (2003. J MEMORANDUM OF SETTLEMENT ****************************************************************************** Sold by: VIVIAN P. KIRKPATRICK ESTATE Sold to: NICHOLAS W. GARDNER Date of Settlement: July 15,2005 Location of Property: Hopewell Township4b Jumper Road, Shippensburg, PA 17257 .. Purchase Price .....,.....$61 ,000.00 Down Payment................ -0- Balance.. ........ .... ........$61 ,000.00 Assessment..... ...........$45,720.00 Tax Adjustment: Seller Owes: School: From 07/01105 to 07115/05 Mill Rate: ............................... Annual Tax......................,...... Pro Rata Share........................ days @ $ Total $46.55 Buyer Owes: County and Road or Borough: To 12/31/05 from 07/15/05 Mill Rate: ............................... Annual Tax...........,................. Pro Rata Share........................ days @ $ Total $19.47 Seller to Buyer .................$27.08 Total Paid By: Buyer to Seller .....................$ Water............$ Gas...............$ Seller Paid: 2005 Co. & Twp. Sewer............$ Elect. ............$ Tax bill to Tax Collector Phone............$ Insurance ......$ Buyer To Pay: 2005 School Fixtures ........$ Keys............... Tax bill to Tax Collector ****************************************************************************** FEES AND EXPENSES TO BE BORNE BY: Seller Buver Transfer Tax. ................ ......... .....$61 0.00 Attorney Fee...................$12S.00 Attorney Fee................................... -0- P A Transfer Tax.............$61 0.00 Notary Fee..... ................. .... ......... .$20.00 Notary Fee..........................$S.oo Total...$630.00 Recording Charges...........$38.50 Satisfaction Mortgage ......................$ Total..........$778.50 Satisfaction of Judgments ................$ Tax Adjustment to seUlW.$27.08 2005 County & Twp. Taxes.......$109.94 Filing Trailer Title............$22.50 Tax Adjustment to Buyer.................$ 2005 School Taxes.........$507.64 Selling Commission.........................$ ..............................................$ ..........................................................$ Total Expenses, etc. ....$1,335.72 ..........................................................$ Balance ofPrice........$61,000.00 ..........................................................$ . Grand Total...............$62,335.72 .............,..........................,........,.......... Mortgage.. ..... ....... ....... ..... ....$ Total Expenses ...........................$739.94 Balance Due.........................$ Total Received by Attorney ..$61 ,027.08 Total Paid Out by Attorney........$739.94 Balance Paid to Seller ...........$60,287.14 IRWIN & McKNIGHT By; ('71....v, '7. dL.. ( ) .......~. ._, ~~ ORRSTOWN BANK April 26, 2005 ~~~~UW~~ TO: Law Offices Irwin & McKnight ,( 27 2005 60 West Pomfret Street Carlisle, PA 17013 fRWIN & McKNIGHT FROM: Timothea Moose Cust Servo Op. P.O. BOX 250 SHIPPENSBURG PA 17257-0250 RE: ESTATE OF Vivian P Kirkpatrick DATE OF DEATH: April 13, 2005 IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD, ON THE ABOVE DATE, THE FOLLOWING ACCOUNTS WITH ORRSTOWN BANK: CHECKING ACCOUNTS ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPAL & ACCRUED INTEREST 143000490 Vivian P Kirkpatrick 9/23/04 954.63 .04 SAVINGS ACCOUNTS ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPAL & ACCRUED INTEREST CERTIFICATES OF DEPOSIT ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPAL & ACCRUED INTEREST Dn D^v ?"n. "hinno!nsbura. PA 17257. (717) 532-6114. 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Z Ld(7~~-(~1 ... '.. /;~~. ,.x-:--- ____~,____._~~___o_I.. ?~./",);~~L~~~2-:::!:i:L~.~~~4~~ /"__.-:t~~~~~~ _.d~~:~:_ t_'~:.__ '-~- --~--~- ,,/ e'- ~ /'......' .:/ /' / / .:~.. " /.' ,,__ ,',' . ,',4 _" "_' '''"' . i .-~~~~~;:;:c.~<~~-~~~~~cc~..'~~~:~L_ n_ -,-- '/ 6L-C-J ..-<".// ~ , / ,..-./ . /' uu,n./ ~~~~~/~~_n ~~:;f!!;,::", AU-d.,''"' /~"~~c::"....~.5?'".. . __ .....Lcr::. ,/~Jj~~~_ n' - ~ ./ ' ~ ~~. . n_. ------"'"- - - --- ---- ------- __ ... .'_.n _....f!;__ .. ._ - ..... n-.-fl1ig:a'pP}~af~M n..._______o_, :-== ..~.....--jj;~ ~.,.:~~ --,---...- ---- -.- -".-. I. FOGELSANGER.BRlCKER FUNERAL HOi\tIE, INe. . FEDERATED NORMAN H, BRICKER, Supervisor ..~ P.O. Box 336.1'2 West King Street .",,.,..~~ SH1PPENSBUAG. PENNSYLVANIA '7257 otl1994 Phone (717)532-221' Date April 26, 2005 No. Funeral of Vivian P. Kirkpatrick Mr. Richard E. Kirkpatrick To 538 Burgners Road Carlisle, PA 17013 Personal, Staff and Professional Services Funeral Home $4,200.00 Facilities and Equipment Automobile Equipment Casket $ 650.00 Intennent Receptacle Total 'A' $4,850.00 Opening Grave $ 200.00 Newspaper Notices $ 181.90 Clergy Honorarium $ 75.00 Certified Copies $ 60.00 Flowers $ 164.30 Pianist $ 50.00 Total '8' $ 731.20 Total 'C' Complete Total $5,581.20 Due May 27, 2005 Amount Paid *$ 100.00 Balance $5,461.20 Inventory of the real an personal estate of VIVIAN P. KIRKPATRICK . deceased 1. Orrstown Bank - Checking Account - 143000490. . . . . . . . . . . . . . . . . . . . . $954.67 2. Personal Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $954.00 3. Real Estate - 40 Jumper Road, Shippensburg, Pennsylvania. . . . . . . . . . . . $61,000.00 TOTAL..................................................... $62,908.67 " ...-:l ,',:1 _ _0 ':>-" .-..> = ~::;:J en I- e: .. N N -0 ,:~ -"1) :'?\ <:? --', i}j :'_:) -'-1 ~::-) __123 :..~) ; -T1 ~. -1:J -(J (T1 .-, --':-"1 co COMMONWEALTH OF PENNSYLVANIA : SS COUNTY OF CUMBERLAND Richard E. Kirkoatrick and Carol L. Bishoop, being duly sworn according to law, deposes and says that he is the Executors of the Estate of Vivian P. Kirkoatrick , late of Hooewell Townshin , Cumberland County, Pennsylvania, deceased and that the within is an inventory made by Richard E. Kirkoatrick and Carol L. Bishooo. the said Executors of the entire estate of said decedent, consisting of all the personal property 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, th#day of Julv ,2005 ~4I.:II~1o 538 Bur~ners Road COMMONWEALTH OF PENNSvr ~ANIA Notarial Seal Karen S. Noel, Notary Public Corlial. BOlO, Cumberland Cuuntv My Commission Expires Dec. 8, 2607 42 Jumoer Road Address Shiooensbur~. PA 17257 Date of Death 13 Day 04 Month 2005 Year INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached as to personalty or realty. 4. See Article IV, Fiduciaries Act of 1949. -ci " ~ .. " " " ~ Ci >< U .; - ~ ~ e<: 'S e ... E;;: .. '::; > Ul ~ " ~ c.. ~ bl) ~ '"' ~ .. Ul 0 0 '" c c.. >. Ul e<: Ul e<: c c " Eo< i5 c.. S2 " .~ c ~ "" c.. ~ Z ....l 0 ,;. ~ 0 0.; 0 _t: '" ~ 1:; -< Ul :r: Ci o:i-< ..,. z z ..,. >- e<: ::l 0 0 -< 0 ~ Ci " .;, Z '" ;; u e<: z ." 0 S' - g: -< - c: '" e<: > l:! N '- ~ ~ 0 " '" ." "" " E 2 0 0 0; ::l iZ iXl ....l U