HomeMy WebLinkAbout10-05-05
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KNIGHT & ASSOCIATES EC.
Attorneys at Law
October 4,2005
Register of Wills
1 Courthouse Square
Carlisle, Pennsylvania 17013
)
RE: Estate of Barbara Ann Sweeney
Estate No. 21-05-0018
My File No. 3770.1
(II
.J:.....
Dear Register of Wills:
Enclosed for filing please find an original and two copies of an Inheritance Tax Return i the
above-referenced estate. Please return a time-stamped copy to my office in the enclosed e1f-
addressed, stamped envelope. I have also enclosed a check in the amount of$15.00 representin the
filing fee for the return and a check in the amount of$101.92 representing partial payment 0 the
inheritance tax that is due.
I
Should you have any questions or wish to discuss this matter further, please do not heSttate
to contact me. i
Very truly yours,
SMS/dmh
Enclosures
F:\User Folder\Finn Docs\Estates\3770-lreg.wills.wpd
11 Roadway Drive Suite B Carlisle, PA 17013-8806
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717-249-5373 717-249-0457 fax
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REV. 1500 EX + 11.00)
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REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA ~
DEPARTMENT OF REVENUE
DEPT. 280001
HARRISBURG, PA 17128-0601
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Sweeney, Barbara Ann
oil. TE OF DEATH (MM-DD- YEAR) - -'!DATE OF BIRTH (MM-DD- YEAR)
12/2 7 /20_~____ ___1.,08/ 1?f 1943
(IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL)
GFFJCi,C"L USE O~jL\/
FILE NUMBER
21 05
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
018
UMBER
186-32-7441
THIS RETURN MUST BE FILED IN DU LICATE WITH THE
REGISTER OF W LLS
SOCIAL SECURITY NUMBER
I
o 3. Remainder Return (date of death pri rto 12-13-82)
o
6. Decedent Died Testate (Attach copy
of Will)
9. Litigation Proceeds Received
4a. Future Interest Compromise (date of death after
12-12-82)
7. Decedent Maintained a Living Trust (Attach
copy of Trust)
10. Spousal Poverty Credit (date of death between
1
8.
5. Federal Estate Tax Return Req ired
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1'1')
C-)
C')
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(8)
172,249.35
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
I' 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 Sec. 9116(a)(1.2)
, 16.Amount of Line 14 taxable at lineal rate
1. Original Return
2. Supplemental Return
11 Roadway Drive, Suite B
Carlisle, P A 17013
(1 )
(2)
(3)
(4)
(5)
(6)
(7)
None
None
None
None
101,378.13
70,871.22
None
(11 )
16,579.15
155,670.20
4. Limited Estate
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AME
Sean M. Shultz, Esquire
---------_.-----~~~-
IRM NAME (If applicable)
Knight & Associates, P.e.
ELEPHONE NUMBER
717/249-5373
(9)
(10)
5,731.78
10,847.37
(12)
(13)
(14)
155,670.20
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
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4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
x .00
155,670.20
x .045
(15)
(16)
7,005.16
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
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17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
x .12
x .15
20. 0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
(17)
(18)
(19)
7,005.16
19. Tax Due
Copyright 2000 form software only The Lackner Group, Inc.
D!'!cedent's Complete Address:
STREET ADDRESS
134 Rellim Street
CITY
Carlisle
STATE PA
ZIP 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 )
7005.16
137.10
Total Credits (A + 8 + C)
(2)
137.10
3. Interest/Penalty if applicable
D. Interest
E. Penalty
8. Enter the total of Line 5 + 5A. This is theBALANCE DUE
(3) 0.00
(4)
(5) 6 868.06
(5A)
(58) 6, 68.06
Total Interest/Penalty (D + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is theOVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE.
A. Enter the interest on the tax due.
Make Check Payable to: REGISTER OF WILLS, AGENT
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;............................................................................. ~ ;.
: ~::: ~;.~~:;:~::;:;~~~,~~:'~all"'.th'. p~~~~rtyt"'.:'f<""'d.~;~.;""'~~:::...:..:...:::... tj
d. receive the promise for life of either payments, benefits or care?........................................................... 0
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?,....... .......... ......... ........ ............................... ...... ................. ........................ 0 ~,
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... 0 ~
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
11 Roadway Drive" Suite B
Carlisle, P A 170 b
Under penalties of pe~ury, 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, carre
preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS
Tawnya Ann Sullivan
~.\~(\.~ ~~~~
S~A~ PE. '0.... RESPONSIBLE FOR FILING RETURN ADDRESS
130 Rellim Street
Carlisle, P A 17013
ADDRESS
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the u e of the
surviving spouse is 3% [72 P.S. 99116 (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
[72 P.S. 99116 (a) (1.1) (ii)]. The statutedoes not exemota transfer to a surviving spouse from tax, <<
of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiar
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 c
parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 99116 (a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal benefici
1.2) [72 P.S. 99116 (a) (1)].
i{\i PI P ()
j. IAll:c1
)%
,ure
latural
. 99116
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12'
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blooa or aaopuulI.
lefined,
*'
SCHEDULE E
CASH, BANK DEPOSITS, & MISC
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
I
_____.,________~.___.._______L______...____
ESTATE OF
Sweeney, Barbara Ann
II FILE NUMBER
21-05-0018
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 China Closet
DESCRIPTION
2
China & Crystal
3
Gun Collection
4
Cumberland County Retirement Fund
5
Deferred Compensation Account
TOTAL (Also enter on Line 5, Recapitulation)
VA UE AT DATE OF
DEATH
500.00
100.00
400.00
79,857.57
20,520.56
101,378.13
".,.<-~_...""""<~,-~.._.",,",,,",.,.)
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SCHEDULE F
JOINTLY-OWNED PROPERTY
I
--
I FILE NUMBER
I
I 21-05-0018
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Sweeney, Barbara Ann
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
ADDRESS
RELATIONSHIP TO ECEDENT
----------------
A Dane E. Sweeney 141 Tower Circle
Carlisle, P A 17013
son
B Tawnya A. Sullivan
130 Rellim Street
Carlisle, P A 17013
daughter
JOINTLY OWNED PROPERTY:
G----I- DESCRIPTION OF PROPERTY I
LETTER DATE . .... % OF JATE OF DEATH
ITEM FOR JOINT, MADE Incl~d~ n~me <?f ~lnanClallnstltutlon and bank .a<;:count number DATE OF DEATH DECD'S VALUE OF
NUM;ER TE";T I 02;~~:961~~::::::~~:~::::~::~:~:' ;::::, ro,' VALUEl::,:::: 'NTE::: DE< EDENT:~~;:::
1- __I ~~mberland County, PA (see attached appraisal)
2 B 09/09/1997 I Members First Federal Credit Union Savings Account 916.53 50% 458.27
: No. 170625-00 I
i 09/09/19971 Members First Federal Credit Union Checking 646.89
., Account No. 170625-11
I
3
B
50%
323.45
4
B
02/11/1994 Janus Fund
3,179.00
50%
1,589.50
TOTAL (Also enter on line 6, Recapitulation)
70,871.22
I
*' I SCHEDULE H I
i AJNERAL EXPENSES & I
I
COMMONWEALTH OF PENNSYLVANIA ADMINISTRATIVE COSTS I
INHERITANCE TAX RETURN .~
RESIDENT DECEDENT
ESTATE OF I FILE NUMBER
Sweeney, Barbara Ann 21-05-0018
~--'--'-~'~-----
Debts of decedent must be reported on Schedule I.
. ITEM 'I~~--- . I .--
DESCRIPTION AMOUNT
, NUMBER
A. FUNERAL EXPENSES:
1 Funeral 2,409.60
i
2 Preacher I 75.00
3 Flowers 100.00
I
I
4 Funeral Meal l,OOO.OO
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
I
Social Security Number(s) I EIN Number of Personal Representative(s):
Street Address
! City State Zip
-
Year(s) Commission paid I
2. Attorney's Fees to Knight & Associates, P.c. 1,600.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant i
I
I
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees to Register of Wills 317.00
I
5. I Accountant's Fees
I
6. Tax Return Preparer's Fees
7. Other Administrative Costs
1 The Sentinel - advertise letters 155.18
2
Cumberland Law Joumal- advertise letters
75.00
TOTAL (Also enter on line 9, Recapitulation)
5,731.78
SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
l
ESTATE OF
Sweeney, Barbara Ann
Include unreimbursed medical expenses.
ITEM
NUMBER
1
DESCRIPTION
LL Bean Visa
2
Capital One
3
Members 1st Visa
4
Members First Federal Credit Union Home Equity Loan No. 170625-01
5
Income Tax Return
I FILE NUMBER
21 - 05 - 0018
-----.
TOTAL (Also enter on Line 10, Recapitulation)
AMOUNT
1,295.14
1,821.21
540.39
6,955.63
235.00
10,847.37
I
REV.1513 EX+ (9-00)
*'
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Sweeney, Barbara Ann
I. FILE NUMBER
21 - 05 - 0018
RELATIONSHIP TO AMOUNT OR SHARE
~_ ~~~EDENT 0 ESTATE
-,-. -_._.._-~.~-----_.._--~'_._~..
NUMBER I NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I. ~BLE DISTRIBUTIONS (include outright spousal distributions)
1 Jason W. Sweeney
134 Rellim Street
Carlisle, P A 17013
son
Home si tuate at 134
Rellim E treet, Carlisle,
P A, CUt1 berland
County etirement
Fund, D ferred
Compet1/Sation Fund,
and 1/5 esidue of estate
2
Deborah Kelly
6 Hickory Street
Carlisle, P A 17013
niece
China Coset
3
I
! Alexandra Sweeney
5 Seneca Circle
Carlisle, PA 17013
granddaughter
China a d Crystal
See Continuation Schedule(s) attached
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover shee t
II.
NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
I
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE I
I
*' I
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES continued
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF I FILE NUMBER
Sweeney, Barbara Ann 21-05-0018
- NUMBE"i-- - NAME AND ADDRESS OF PERSDN(S) RECEIVING PROPERTY I RELATIONSHIP TO I AMOU ,
IJT OR SHARE
DECEDENT ~
Do Not List Trustee(s) 0 ESTATE
- ..- 1--- - -AXABLED-ISTRIB~TIONS- [include outright spousal distributions, and transfers under
. , Sec, 9116(a)(1 ,2)]
4 I Tawnya A. Sullivan daughter Janus Fll nd and 1/5
130 Rellim Street residue ( f estate
I Carlisle, PAl 7013
5 Robert H. Egolf, Jr. friend 1/5 resid ue of estate
134 Rellim Street
Carlisle, PA 17013
6 I 1/5 resie ue of estate
! Dane E. Sweeney son
, 141 Tower Circle
Carlisle, P A 17013
7 Barth W. Sweeney son 1/5 resie ue of estsate
5 Seneca Circle
Carlisle, PA 17013
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Page 2 of Sch edule J
'I
LAST WILL AND TESTAMENT
OF
BARBARA ANN SWEENEY
/"
I, BARBARA ANN S\VEENEY, of 134 Rellim Street, Carlisle, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and
declare this to be my Last Will and Testament, hereby revoking and making void all previous Wills
and Codicils heretofore made by me.
I
I order and direct my personal representative hereinafter named to pay all of my just debts,
funeral expenses and expenses involved or connected with the administration of my estate as soon
after my death as is reasonably possible. However, my personal representative need not accelerate
and pay those unmatured obligations which, in his, her or its opinion, it might be proper and more
advantageous to retain or renew and pay as they become due and payable. If I do not own a burial
p lot or a grave marker at the time of my death, I authorize my personal representative, in his, her or
its sole discretion, to purchase a burial plot and to erect a suitable grave marker at my grave, and to
expend sums from my estate for this purpose.
2
I give, devise and bequeath the following property with all insurance proceeds thereon as
follows:
a. I give, devise and bequeath my real estate and home situate at 134 Relli
Street, Carlisle, Cumberland County, Pennsylvania to my son, JASON W. S\VEENEY, of 13
Rellim Street, Carlisle, Cumberland County, Pennsylvania. I further direct that the said property b
Page I of 7
Ii
LAST WILL AND TEST AMENT OF BARBARA ANN SWEENEY
appraised by a neutral Pennsylvania licensed real estate appraiser and that my son, DANE E.
S\VEENEY and my daughter-in-law, KAREN A. S\VEENEY, of 141 Tower Circle, Carlisle,
Cumberland County, Pennsylvania, be paid fair market value for their interest in said property.
b. I give, devise and bequeath my china closet to my niece, DEBORAH
KELLY, of6 Hickory Street, Northern Cambria, Pennsylvania.
c. I give, devise and bequeath my china and crystal to my granddaughter,
ALEXANDRA S\VEENEY, of5 Seneca Circle, Carlisle, Cumberland County, Pennsylvania.
d. I give, devise and bequeath my Cumberland County Retirement Fund and my
Deferred Compensation Fund to my son, JASON \V. S\VEENEY.
e. I give, devise and bequeath my Janus Fund to my daughter, T A \VNY A A.
SULLIVAN, of 130 Rellim Street, Carlisle, Cumberland County, Pennsylvania.
f. I direct that my significant other, ROBERT H. EGOLF, JR., of 134 Rellim
Street, Carlisle, Cumberland County, Pennsylvania, shall have the right to distribute my personal
property which he has paid for or which we jointly own.
g. I direct that my gun collection be distributed by my Executor in accordanc
with my verbal instructions, hereinafter named, as he or she may deem appropriate.
3
I give, devise and bequeath the rest, residue and remainder of my estate, together with a 1
insurance proceeds thereon of whatever nature and wheresoever situate in equal shares, per stirpe ,
to my daughter, T A \VNY A ANN SULLIVAN, my son, DANE E. S\VEENEY, my son, BART
\V. S\VEENEY, of 5 Seneca Circle, Carlisle, Cumberland County, Pennsylvania, my son, JASO
\V. S\VEENEY, and my significant other, ROBERT H. EGOLF, JR., providing that they survi e
me by sixty (60) days.
Page 2 of 7
II
LAST WILL AND TEST AMENT OF BARBARA ANN SWEENEY
4
I grant my personal representative the following powers in addition to an,d not in limitation
of such powers as my personal representative shall hold by law: -'
(a) To retain all property received including the stock of any corporate fiduciary acting
hereunder, provided such property remains productive.
(b) To join in any corporation, partnership, recapitalization, merger, reorganization or
voting trust plan; to delegate authority with respect thereto; to deposit investments
under agreements and pay assessments; and generally to exercise all rights of
investors, including but not limited to, the voting of shares.
(c) To manage, operate, repair, improve, mortgage or lease on any terms any real estate
held or owned by my estate.
(d) To operate any business that I may own at my death.
( e) To invest any funds of my estate in any stocks, bonds, notes or other securities or
property, real or personal, without regard to the principle of diversification or any
other statute or general rule of law in his, her or its absolute discretion, it being m
intention to give my personal representative the broadest investment powers possible
providing such investments do not unnecessarily prevent the prompt settlement ofm
estate.
(f) To sell or otherwise dispose of any property, real or personal, tangible or intangible
at any time forming a part of my estate in any manner and on such terms an
conditions as my personal representative shall see fit in his, her, or its absolut
discretion.
(g) To borrow money for the payment of taxes or for any other proper purposes in th
administration of my estate, and to mortgage or pledge estate assets as security.
(h) To compromise claims without court approval including, but not limited to, a y
controversies with the United States of America or the Commonwealth
Page 3 of 7
, I
I
LAST WILL AND TEST AMENT OF BARBARA ANN SWEENEY
Pennsylvania concerning estate and inheritance taxes on any interests that may pass
under this my Last Will and Testament.
(i) To distribute in cash or in kind upon any division or distribution of my estate.
(j) To undertake any and all acts deemed necessary and proper by my personal
representative for the proper, advantageous and prompt management of the
settlement of my estate.
(k) In general, to exercise all powers in the management of my estate, which any
individual could exercise in the management of similar property owned in his own
right, upon such terms and conditions as to him, her or it may seem best and to
execute and deliver all instruments and to do all acts which he, she or it deems
necessary or proper to carry out the purposes of this, my Last Will and Testament.
5
No interest of any beneficiary of my estate, either in income or in principal, shall be subject
to anticipation or pledge, assignment, sale or transfer in any manner, nor shall any beneficiary have
the power in any manner to charge or encumber his interest either in income or principal, nor shall
the interest of any beneficiary be liable or subject in any manner while in the possession of m
personal representative for the liability of such beneficiary.
6
I nominate, constitute and appoint my daughter, T A \VNY A ANN SULLIVAN, as Executri
of this my Last Will and Testament. In the event my daughter is deceased, unable or unwilling t
serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint m
son, BARTH \V. S\VEENEY, as personal representative of this my Last Will and Testament.
direct that my personal representative shall not be required to give or post bond for the faithfi
performance of his, her or its duties in this or any other jurisdiction.
Page 4 of 7
LAST WILL AND TEST AMENT OF BARBARA ANN SWEENEY
7
I hereby declare it to be my express desire that my personal representatiye employ the law
firm of Hanft & Knight, P.C., of Cumberland County, Pennsylvania, for legal advice and assistance
regarding this my Last Will and Testament, they having considerable knowledge of my affairs, views
and wishes respecting any matters that may arise at the probate ofthis instrument, the administration
of my estate, and the execution of the powers herein mentioned. Any mention of Hanft & Knight,
P.C. in this my Last Will and Testament, is my free and voluntary act and through no influence by
any person.
IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and Testament
this 1 day of April, 2004.
WITNESS:
Page 5 of 7
I
. -
.
LAST WILL AND TEST AMENT OF BARBARA ANN SWEENEY
ACKNO\VLEDGMENT
I
!
COMMONWEALTH OF PENNSYLVANIA .
SS. }-
COUNTY OF CUMBERLAND
I, Barbara Ann Sweeney, the Testatrix, whose name is signed to the attached or foregoing
.-
instrument, having been duly qualified according to law, do hereby acknowledge that I signed and
executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed
it as my free and voluntary act for the purposes therein expressed.
~idL~' ~~~
aroara Sweeney ,
Sworn or affirmed and acknowledged before me by Barbara Ann Sweeney, the Testatrix ,this
7 day of April, 2004. -~~~~~ -
Notarial Seal
Dolly M. Housel, Notary Public
South Middleton Twp., Cumberland County
My Commission Expires Sept 24, 2006
1\ 1e.llt:er. Per.o1svlvanla Asscd::::~::n Of t\t:ar.es
Page 6 of 7
LAST WILL AND TEST AMENT OF BARBARA ANN SWEENEY
AFFIDA VIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
wE~mieL. fJ.e-f.ua
.
SS.
l"
and SeiiVl /1. ShtJlf-z..
, the
witnesses whose names are attached to the foregoing document, being duly qualified according to
law, do depose and say that we were present and saw Testatrix sign and execute the instrument as
her Last Will and Testament; that she signed willingly and that she executed it as her free an
voluntary act for the purposes therein expressed; that each subscribing witness in the hearing an
sight of the Testatrix signed the Last Will and Testament as witnesses and that to the best of ou
knowledge the Testatrix was at the time 18 or more years of age, of sound mind and under n
constraint or undue influence.
Sworn or affirmed and subscribed before me by ~()J;1IJ1lil !.. V..eJ\J
~n }.I/. <;hv Ir-z- this.] +.h- day of April, 2004.
an
Notarial Seal
~11y M. HOUSel, NotaIy Public
South Mlddl~t~ Twp., Cumberland County
My CommISSIon Expires Sept. 24, 2006
Memcer. Penns,iIv..ria Association or Nctaries
F:\User Folder\Finn Docs\ Wi11s13536-1 bas. will. wpd
Page 7 of 7
I
COMMONWEALTH OF PENNSYLVANIA REV-1162 X(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 171 2B-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CO 00 5868
SHUL TZ SEAN M
19 BROOKWOOD A VENUE
SUITE 106
CARLISLE, PA 17013
ACN
ASSESSMENT AMour T
CONTROL
NUMBER
un____ fold ---------- ---~----
101 I $101.( ~2
ESTATE INFORMATION: SSN: 186-32-7441 I
FILE NUMBER: 2105-0018 I
DECEDENT NAME: SWEENEY BARBARA ANN I
DA TE OF PAYMENT: 10/05/2005 I
POSTMARK DATE: 10/04/2005 I
COUNTY: CUMBERLAND I
DATE OF DEATH: 12/27/2004 I
I
TOTAL AMOUNT PAID: $101 92
REMARKS:
CHECK# 4741
INITIALS: JA
SEAL RECEIVED BY: GLENDA FARNER STRASBfl UGH
REGISTER OF WILLS
REGISTER OF WILLS