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HomeMy WebLinkAbout12-22-05 Rl'V.l$OOex+(1.bl) *' REV-1500 OF"-:C:,'\L us:~ ONLY . COMMONWEALTH Of PENNSYlVANIA INHERITANCE TAX RETURN FILE NUMBER DEPAR1MENT OF REVENUE RESIDENT DECEDENT 21 05 0427 DEPT,280601 HARRISBURG. PA 17128-0601 COUNTY CODE YEA" NUMBER DECEDENTS NAME (LAST. FIRST, AND MIDDlE INITIAL) SOCIAL SECURITY NUMBER Baker, Luther J. 203-10-3086 ~ z DATE OF DEATH (MM-OQ-YEAR) DATE OF BIRTH (MM-D[).YEAR) THIS RETURN MUST BE FILED IN DUPUCATE WITH THE w " w 04/17/2005 05/07/1917 u REGISTER OF WILLS w " (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER 181 1. Original Retum o 2. Supplemental Retum o 3. RemainderRetum (date of death priOflo 12-13-82) w ~ o 4. Limited Estate o 4a. Future Interest Compromise (date of death after o 5. Federal Estate Tax Retum Required "S~ u"'" 12.12-82) w~u 181 6. Decedent Died Testate (Attach copy o 7. Decedent Maintained a Living Trust (Attach 1 ::E:09 8. Total Number of Safe Deposit Boxes ufm ofWiil) copy of Trust) - ~ < o 9. Litigation Proceeds Received o 10. Spousal Poverty Credit (date of death between o 11.Election to tax under Sec. 9113(A) (Attach Sch 0) 1 11 1-'- THIS SEC1lONMtlST BE COMl'l-ETeil. AU:'COIlRESPOl'lIlENCEAND CONJ'IOEil'rIAlTAJ< INJ'ORMAOON(SI-IQULD liE DIRECTED Tel: E COMPLETE MAILING ADDRESS ~ Hamilton C. Davis z w IRM NAME (If applicable) 20 East Burd Street, Suite 6 " z Zullinger - Davis, PC 0 P.O. Box 40 ~ ELEPHONE NUMBER Shippensburg, P A 17257 717/532-5713 1. Real Estate (Schedule A) (1) 128,000.00 (~?FFICJAL l~E:ONL.Y 2. Stocks and Bonds (Schedule B) (2) 90.75 .-, C) - 1-< [',) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) None ,......) 4. Mortgages & Notes Receivable (Schedule D) (4) None :r:.;' -' 5. Cash. Bank Deposits & Miscellaneous Personal Property (5) 331,277.10 c:> (Schedule E) n 6. Jointly Owned Property (Schedule F) (6) None u; z o Separate Billing Requested 0 ~ 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) 17,286.25 ~ (Schedule G or L) ~ ~ 8. Total Gross Assets (total Lines 1-7) (8) 476,654.10 < u w 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 21,252.85 '" 1 O. Debts of Decedent Mortgage Liabilities. & Liens (Schedule I) (10) 24,100.4 7 11. Total Deductions (total Lines 9 & 10) (11) 45,353.32 12. Net Value of Estate (Line 8 minus Line 11) (12) 431,300.78 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 431,300.78 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15.Amount of Line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec. 9116(a)(1.2) - z 388,170.70 x .045 (16) 17,467.68 0 16.Amount of line 14 taxable at lineal rate ~ - S (17) ~ 17.Amountof Line 14 taxable at sibling rate x .12 ~ 0 u ~ 18. Amount of line 14 taxable at collateral rate 43,130.08 x .15 (18) 6,469.51 19. Tax Due (19) 23,937.19 20. 181 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 'Y;i'; ,..-.".,, "'" BE $UIIEt()"N$we~"~LtltJE$TJ()NS ON $E'lER$E'$i6e AND REC::!lecKMAl'H ic< Copyright 2000 form software only The Lackner Group,lnc. Form REV.1500 EX (Rev. 6-00) , Decedent's Complete Address: STREET ADDRESS 798 Mt. Rock Road CITY Carlisle I STATE PA TZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 23,937.19 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments 23,450.00 C. Discount 1,196.86 Total Credits (A + B + C) (2) 24,646.86 3. InterestIPenalty if applicable D. Interest E. Penally TotallnteresllPenally (D + E) (3) 0.00 4. If Line 2 is greater than Une 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) 709.67 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 the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total 01 Line 5 + SA. This is the BALANCE DUE. (5B) 0.00 Make Check Payable to: REGISTER OF WILLS, AGENT !B.!~ ~ "' II .- 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 transferrecl;......................................................,........................... ~ I 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 life of either payments, benefits or care?............................................................. 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without 181 receiving adequate consideration? ..,..............................................,.............................................................__...... D 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?........ D 181 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which 181 D contains a beneficiary designation? .................,...............................................,........,........................................... 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 pe~ury, I cleclare 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 all information of which preparer has any knowledqe. SIGNATURE DF PERSON RESPONSIBLE F. FILING RETURN ADDRESS DATE .JayL ker 14 Baud:hman Drive IZ.//(,/O,r Newvi e,PA 17241 ADDRESS DATE 174 Coun~ View Estates ~ Newville, A 17241 ADDRESS 20 East Burd Street, Suite 6 - P.O. Box 40 / ~ //6 Shippensburg, P A 17257 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 use of the surviving spouse is 3% [72 P.S. ~9116 (a)(1.1) (ill. For dates of death on or after January 1. 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)]. 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 adOPtiV~arent. or a stepparent 01 the child is 0% [72 P.S. ~9116 (a) (1.2)]. The tax rate impos on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%. except as noted in 72 P.S. ~9116 1.2) [72 P.S. ~9116 (a) (1 )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 (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. *' SCHEDULE B STOCKS & BONDS COMMONWEAlTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Baker, Luther J. I FILE NUMBER 21- 05 - 0427 All property jointly-owned with right of survivorship must be disclosed on Schedule F_ ITEM DESCRIPTION UNIT VALUE VALUE AT DATE OF NUMBER DEATH 1 $25.00 U.S. Savings Bond Series E 90.75 I I I , , , , TOTAL (Also enter on line 2, Reca~itulatlon) 90.75 *' SCHEDULEE CASH, BANK DEPOSITS, & MISC. COMMONVVEAl. TH OF PENNSYlVANIA PERSONAL PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Baker, Luther J. I FILE NUMBER 21 - 05 - 0427 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 DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 Wachovia Bank Certificate of Deposit - Account No. 247412062170304 90,446.46 2 Accrued Interest on 1 188.26 3 Farmers National Bank Checking Account - Account No. 220876 15,974.62 4 Accrued Interest on 3 3.56 5 Farmers National Bank Savings Account - Account No. 9641181 83,425.29 6 Accrued Interest on 5 23.80 7 Farmers National Bank Certificate of De post - Account No. 2990740 79,178.57 8 Accrued Interest on 7 460.75 9 Orrstown Bank Checking Account - Account No. 106800078 49,227.98 10 Accrued Interest on 9 6.61 11 Wachovia Bank Certificate of Deposit Interest 753.32 12 Commonwealth of Pennsylvania Retirement 719.58 13 Pennsyvlania Income Tax Refund 77.00 14 1995 Ford Crown Victoria, see attached quote 3,950.00 15 Auction Proceeds from sale of personal effects 5,620.10 16 Kuhn Communication Refund 11.40 17 Hoffman-Roth Funeral Home Refund 100.00 18 Adams County National Bank Interest 713.18 19 Highmark Blue Shield Refund 276.42 20 United Security Refund 120.20 TOTAL (Also enter on Line 5, Recapitulation) 331,277.10 . SCHEDULE G INTER-VIVOS TRANSFERS & COMMONWEALTH OF PENNSYLVANIA MISC. NON-PROBATE PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Baker, Luther J. 21 - 05 - 0427 This schedule must be completed and filed if the answer to any of ouestions 1 throuah 4 on page 2 Is ves. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF Include the name of the transferee, their relationship 10 decedent and the dale of transfer. VALUE OF ASSET DECD'S EXCLUSION TAXABLE VALUE NUMBER Attach a copy of the deed for real estate. INTEREST (IF APPLICABLE) 1 Wachovia Bank IRA - Account No. 2574100980753843, 17,286.25 17,286.25 payable to Estate TOTAL (Also enter on line 7, Recapitulation) 17,286.25 . SCHEDULEH RJNERAL EXPENSES & COMMONWEALTH OF PENNSYlVANIA ADMINISTRATIVE COSTS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Baker, Luther J. I FILE NUMBER 21- 05 - 0427 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: 1 Hoffinan-Roth Funeral Home 4,176.85 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City State _Zip Year( s) Commission paid 2. Attomey's Fees Hamilton C. Davis, Esquire 14,000.00 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 4. Probate Fees Cumberland County Register of Wills 200.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 Cumberland County Legal Journal - Legal Advertising 75.00 2 The News Chronicle - Legal Advertising 101.00 Total of Continuation Schedule(s) 2,700.00 TOTAL (Also enter on line 9, Recapitulation) 21,252.85 *' Schedule H FuneralExpet ses& COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN Mninis1ralNe Costs .....llilllllld RESIDENT DECEDENT ESTATE OF Baker, Luther J. I FILE NUMBER 21 - 05 - 0427 3 Diversified Appraisals 275.00 4 BIS Inspections 425.00 5 Reserve for contingencies and fmal accounting expenses 2,000.00 Page 2 of Schedule H '* SCHEDULE I DEBTS OF DECEDENT, MORTGAGE COMMONWEAlTH OF PENNSYlVANIA LIABILITIES, & LIENS INHERITANCE TAX RElURN RESIDENT DECEDENT ESTATE OF Baker, Luther 1. I FILE NUMBER 21 - 05 - 0427 Include unreimbursed medical expenses. ITEM DESCRIPTION AMOUNT NUMBER 1 Mable Stitt, Tax Collector - 2005 County and Township Real Estate Taxes 260.12 2 Graham Medical Clinic 50.26 3 Kuhn Communication 66.24 4 PPL 270.54 5 Sprint 259.72 6 Kemper Insurance 609.98 7 Kough's Oil Service 232.08 8 Jay L. Baker - Lawn Care 312.48 9 Waste Management 145.39 10 Jones' Plumbing 230.96 11 Lancaster HMS 59.74 12 DEW & Sons 120.00 13 The Patriot News 4.80 14 Commonwealth of Pennsylvania - Retirement Reimbursement 550.26 15 Mabel Stitt, Tax Collector - 2005-2006 School Real Estate Taxes 1,378.65 16 American Radon 750.00 17 Everlast Windows, Inc. 1,300.00 18 Mickey's Flooring, Inc. 3,467.22 19 Dennis J. Baker - Reimbursement for Miscellaneous Hardware for House 199.03 20 Loan payable to Dennis J. Baker, made prior to death of decedent and documented in decedent's records 12,000.00 as a 10an and intended to be re-paid. Total of Continuation Schedule(s) 1,833.00 TOTAL (Also enter on Line 10, Recapitulation) 24,100.47 *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE COMMONWEALTH OF PENNSYlVANIA LIABILITIES, & LIENS continued INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Baker, Luther J. I FILE NUMBER 21 - 05 - 0427 Include unreimbursed medical expenses. ITEM DESCRIPTION AMOUNT NUMBER 21 Piper Building and Remodeling 270.00 22 Walter Gayman, Electrician 1,563.00 Page 2 of Schedule I ~EV-1513 EX+ (~) *' SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF I FILE NUMBER Baker, Luther J. 21 - 05 - 0427 RELATIONSHIP TO AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DECEDENT OF ESTATE I. TAXABLE DISTRIBUTIONS (include outMghtspousal distributions) 1 Jay L. Baker Son 45% of Residue 14 Baughman Drive Newville, P A 17241 2 Dennis J. Baker Son 45% of Residue 174 Country View Estate Newville,PA 17241 3 Debbie Baum Foster Daughter 10% of Residue 3 Victory Drive Newville, P A 17241 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 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEETI [I lD lll~ Z 0 C ~g~ ~? 5. ~ -- ~ $ ~O .. ~ UI Q. $ '" . c) m::l. ~ - $ Z ~ en ' . ~ 0 ..gn g . '~i5.' ~ 0 "" 'rn.g 01 3 CTCT ~ ~OO~~ 0 O~~m< UI ~Q.Q.-< m Q.-._.C;lll (,)$ ....0;'" ""::I. ::;; III III Q.~ "" Dl III " "'_ ",(J)(J)Dllll "" Z og.g.i5.::r .... c: lllllllllz~ t3 ::r--o_ a". ~QQ;;" m~ -mmx :J; mmO . Q- - ~m a rn~~05x ~ciii x.. m"" :::.: Dl" O-'-'IllCT co-c: ::r1ll1ll2:0 ",,$$ ~c;c;"'i5. a CCCDG>_ ",Q.Q.Q::;; C/l Q.~~llllll ~ ~OO~ _ _ _ ~~~rm v ro , III III III rX ",::I. me') ~ "'''' 0 ~ n _ ~'" '" CT::r "" $ _.. -~-Olll . ~ r<...;;::,,~ .... m s:: CT~IllQ.'li: 01 m Ao Oc;'< Q. _ ::::Jm~ _ -Q..:< l8 . Q 5' m OJ CT~""ZIll _ OJ 0 S<Olllm~ ",$ ::J rn.:g~,r ....iil c.;:' CTlll~CTr t'>!Il. C/lQ, ID"~O_ a 'A -~O::::Jo- a OJ _ " -Q. <D3i-i5. ~~ Ulll",'" ::J ~ ~"'Z ~ 2 CTlll 0 . < m" Q. ~ w-<, '" !!. 0 g~3~i!1i ~~ Z::l. ",Om' . 2 lllX~=CT .... ro ~""~O 01 m .......3...!...C'"::::J ID~~m~ "ll ~ U_."'~'" .. .;:0 ".-o;~ _. a Dl o c; m ;;:: n 0- ~ .. _U III '" $ *' $ o~ ~ <= ~ .......- 3~ 00 ~Q"g~ :.", m-< oUg-lll 01 :"or OJ 0 m ::::J ....... _ !g.!!l-~ Q. *' Co (I) en c: . m Q.l!l"zll _ Z Q05!;-::r ~ $ "_'Ill _ a)C l!lQ.::rCT" $ ....0- oIllIDO<D iil :-.- ::r':< CT ~ '" IV Dl .. lllIDOQ.l!j. "'!Il. 8iDiD..... ~Q.~::rm .... ..._. <DC;Q.lll '" 01 $ ii' "'orn''''~ 0 .. \l Q.lll z~ a -\l.... ~g"'a~ ,,~. a '" 'iil'<r 3'3'0 !!! ~r a Dl is '" mCTCT ~O-O- Q.ll:g NDl;;:",~ Q."Q. < aiD~_ - Dl ~ c:<D0 '" - a .. ~ ~ c: ::1._ '" $ ~O'" "ll Q. '" ~<O ~ ~ z NI\> ID . 0 00 ~ ~ iD gg So ~ II! JUN . " 20'5 1. 0 'U ...;[~ WACHOVIA Reference JD: 1253267 Wachovia Bank N.A. Balance Confinnation Services POBox 40028 Roanoke. VA 24022-73 J 3 June 8, 2005 ZULLINGER DAVIS ATTN: HAMILTON C DAVIS LAW OFFICES PO BOX 40 SHIPPENSBURG, PA 17257 SUBJECT: Verification 1 Confirmation of Account and Balance Information provided for: Customer: LUTHER J BAKER Date of Death: Aprill7, 2005 DeDosit Account Information Account Account Date of Death Average Date Maturity Interest Accrued YTD Date Type Number Balance Balance'" Opened Date Rate Interest Interest Paid Closed CERTIFICATE OF DEPOSIT 247412062170304 $90,446.46 1/26/2005 $188.26 $483.09 2/26/2007 LEGAL TIlLE: LUTHER J. BAKER IRA 257410090753843 $17,286.25 1/2612005 $34.30 $121.41 LEGAL TITLE: LUTHER J. BAKER FOT Beneficiary Claim Form information, please call 1(800)669-2136. . Due to system limitations, we can only provide a twelve month average balance on depository accounts. No Safe Deposit Box fOlmd for customer. ... Date of death balance does not include accrued interest. '" If date of death occurrs on a weekend or a holiday, date of death balance does not include any transactions that were made durmg that t&;Od. {/ a, '~ tt Phone: (540)563-7323 II; tb (10000006l4 ~ FARMERSNATIONALBANK MAY 2 5 Z005 OF NEWVILLE A Dil'i<irnl (~IAddlm '-'::'l/llIfr /\;11101/17/ Rmk May 20, 2005 Hamilton C. Davis, Esquire P. O. Box 40 Shippensburg, PA 17257 RE: Estate of Luther J. Baker Dear Hami lton: Mr. Baker had the following accounts in this bank, all of which were in his name alone: Checking account #220876 opened 3/19/85 with a date of death balance of- $15,974.62 plus $3.56 accrued interest; Savings account #9641181 opened 2/22/01 with a date of death balance of $83,425.29 plue $23.80 accrued interest; Certificate of deposit #2990740 dated 12/22/99 with a principal balance of $79,178.57 plus $460.75 accrued interest. Mr. Baker also had a safe deposit box #497. Sincerely yours, ~ dfr~ -,- Carolyn ~Ugh Executive Vice President po. Box ]~{1,Nc'w\'me.PA 1""72--lJ . (717) "':6--;_~12 o~- RRSTOWN BANK May 23, 2005 TO: Law Offices of Zullinger-Davis 20 East Burd Street Suite 6 P. O. Box 40 Shippensburg, PA 17257 FROM: Timothea Moose Cust. Call Specialist P.O. BOX 250 SHIPPENSBURG PA 17257-0250 RE: ESTATE OF Luther J Baker DATE OF DEATH: April 17, 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 106800078 Luther J Baker 8/12/02 49,227.98 6.61 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 PO Box 250 . Shippensburg, PA 17257. (717) 532-6114' (717) 532-4143 Fax. www.orrstown.com Page I ofl Search Results Sort By Style Found 3 Style Matches Records 1 - 3 <<First < Previous Next> Last I i , >> Year, Make, Model, Style Base Trade-in Base Retail 1995 Ford_~[Q\N!LVictoIiC!,Y8 Seq<ln 4D N/A $3,950.00 1995.E9n:l Crown_Vic:lo~a-\l8 SedanAD LX N/A $4,200.00 1995...fo,.d Crowll Victoria-V8 S.J!l!<lD 4D S. N/A $3,600.00 Found 3 Style Matches Records 1 - 3 <<First < Previous Next> Last I I I >> NAD.d I' _\j Used Valuations Provided By NADA Appraisal Guides, Inc. gu I es. .. iJ Copyright@2003 NADAGuides.comINADA Appraisal Guides all rights reserved. IJIiiiU~n Copyright@2003 NADASC all rights reserved. All prices and specifications are sUbject to change without notice. Prices do not include sales tax, vehicle registration fees, finance charges, documentation charges, or other fees required by law. Dealer invoice prices do not include dealer charges, such as advertising charges. that can vary by manufacturer or region. Photos may not represent exact vehicle or selected equipment. Copyright@1998-2004 Chrome Systems Corporation. All rights reserved PftV~CY St,a.temerJt http://start.chromecarbook.com/preowned/preOwnedStylesSelection.jsp 4/2512005 ~ C> I ORIGINAL-F.F. D.OFA. 1994 Di I I I I I I I I I '" .. DUPLICATE-CLIENT ,5- rn "0 ~ )> TAJPUCA TE - FUNERAL HOME [ ~. ~ if -. ;: 0 '" ~ ::;; :D 0 0 ;:: )> --i C CO m CD_~~~a 'ii m 0 ~ C )> :: $ ~ ~!; ;;r ." OC :D G.l s:: < TI (/l ~ < TI en -I 3: )> )ao 9'jQlIJ II ;:: " '" ~ 0 en )> m m ~ .g --i ow-1 "'mCij'!::rn mu;.t::m:c :D-n::JCQl-OJ2?-~~nfll " m ~ m '" CD ~. '" 01 3 ~ U> 0_ Z ~3;:;::JO 3;:;:JOm m:::J...oSJUl"'>o o~... 0 " ;; ... o _ :D m SQ5rn~~ ~ ~5 ~ en (lIoEl.~TI o!!!.~TI:Il >'!=i~-t:r~EClJO~=. " z '" '" W --i ." ... 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" " " ,-' .0 3 ~ '" - d.,. ;:: I ); ~ o .' 0 ~ g ii o"g S. a g::;:: I ~ ::: :E " m I- ". 0, 0 ~ 0 <:.., 0 I:: -(I> _ " ' '. ~.. c. 8. q...=>o c:::;! c,..1O' en l:II .. G III -::c ~ 0 I - " CD _~ 0 3 ~Il> ~ -c 0 G> -= -i go $ :-"Q~~ ~~. _lftCD m ~ lOll>.., C. 0..... ..... ..... '0 ~ " " LAST WILL AND TESTAMENT I, LUTHER J. BAKER of Penn Township, Cumberland County, Pennsylvania, declare this to be my Last will and Testament and revoke any will or Codicil previously made by me. ITEM I: I direct that all my just debts (except as may be barred by a statute of Limitations) and my funeral expenses (including my gravemarker and expenses of my last illness) shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. ITEM II: I devise and bequeath all of my estate of every nature ~ and wherever situate to my wife, E. LOUISE BAKER (sometimes known as LOUISE H. BAKER), providing she shall survive me by thirty (30) days. "\: ITEM III: Should my wife, E. LOUISE BAKER, predecrease me or ~ die on or before the 30th day following my death, I devise and bequeath all the residue of my estate of every nature and wherever situate as follows: ~ A. 10% thereof to our foster daughter, DEBBIE ELY. B. 45% thereof to my son, JAY L. BAKER. C. 45% thereof to my son, DENNIS J. BAKER. Should either of these beneficiaries predecease me or die on or before the 30th day following my death but leaving descendants who so survive me, such descendants shall receive, per stirpes, the share that such predeceased beneficiary would have received. ITEM IV: If any property passes outright (either under this will or otherwise) to a minor (which shall be defined as anyone under twenty-one (21) years of age) and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, I decline to appoint a guardian but instead authorize my Executor to distribute such property to a Custodian selected by my Executor (and my Executor may act as such Custodian) as Custodian for the minor under the Pennsylvania Uniform Transfers to Minors Act. Provided, however, that this appointment shall not supersede the right of any fiduciary to distribute a share where possible to the minor or to another for the minor's benefit. ITEM V: 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 from my residuary estate as part of the expenses of the administration of my estate. ITEM VI: I appoint my wife, E. LOUISE BAKER, Executrix of this my Last Will. Should she fail to qualify or cease to act as Executrix, I appoint my sons, JAY L. BAKER and DENNIS J. BAKER, Co-Executors of this my Last will. ITEM VII: I direct that my Executrix or their successors shall not 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 to this my Last Will and Testament, written on four (4) sheets of paper, dated "'" f4,^",-".t , 1996. this 11-/ - day of L4"';~/t4 (SEAL) The preceding instrument, consisting of this and three (3) other typewritten pages, each identified by the signature or initials of the Testator, was on the day and date thereof signed, published and declared by the Testator therein named, as and for his Last Will, in the presence of us, who, at his request, in his presence, and in the presence of each other have subscribed our names as witnesses hereto. ~L (' 4~ _~esiding at , #-?u/y, /~, ~ , , ~~~.~ residing at AI-u.vv,'ll c ~. , COMMONWEALTH OF PENNSYLVANIA : : ss. COUNTY OF CUMBERLAND : I, LUTHER J. BAKER, the Testator 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 that I signed it willingly and as my free and voluntary act for the purposes therein expressed. il~ t;JU~SEALl LUT R J. BAKE1' Sworn to or affirmed and acknowledged before me by L.uTt-ls<.. ::3. e.AK€"lL , the Testator, this I~~ day of -=r~ ' 1996. -X ""-4- 0.. ~U../ Notary Public NOT AAlAL s~n LOIS A. S!lU.ENSERGER. NotalY Pubilc Shippensburg Boro. Cumberland Co.. PA My Cofllllli85icn Expires Warch 3, 11187 3 COMMONWEALTH OF PENNSYLVANIA : : ss. COUNTY OF CUMBERLAND : We, Jhj...: Ii r. P..v.? and tJ1A/1'1' ~ R vk-e.r , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will: that the Testator signed willingly and executed it as his free and voluntary act for the pUrposes therein expressed: that each subscribing witness in the hearing and sight of the Testator signed the Will as a witness: and that to the best of our knowledge the Testator was at the time eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. ... Sworn to or affirmed and subscribed to before me by ~Aml LTV'" c. L>A~15 and rY1AR.'( EITTA FtCi::e-s , witnesses, this J'f'i&-, day of ';f~~ ' 1996. ~Q~~ Notary Public NOTARIAL S,"!.L LOIS A. sou..ENeERGER, Notary Public S./lippensburg 90m, Cumberland Co.. PA My Commissicn Expires March 3, 1S97 .. LAW OFFICES OF ZULLINGER - DA VIS PROFESSIONAL CORPORATION JOEL R. ZULLINGER HAMILTON C. DAVIS 14 North Main Street Dale F. Shughart, Jr. 20 East Burd Street, Suite 6 Suite 200 of counsel P.O. Box 40 Chambersburg, P A 17201 Shippensburg, P A 17257 717-264-6029 717-532-5713 Fax: 717-264-1884 Fax: 717-530-5222 zulngrlaw@earthlink.net hamiltondavislaw@comcast.net December 19, 2005 Register of Wills Cumberland County One Courthouse Square Carlisle, PA 17013 RE: Estate of Luther J. Baker Estate No. 21-05-0427 Dear Sir or Madam: Please find enclosed for filing, in duplicate, the Pennsylvania Inheritance Tax Return for the above estate, together with the probate and filing fee checks. A prepayment of inheritance tax has already been made, and no tax is now due. If there are any questions or concerns, please contact me at the Shippensburg office. Thank you. ~IYYOUffi' ~'rL (lJ ..-' Hamilton C. Davis for Zullinger - Davis Professional Corporation HCD/njk Enclosures Reply to: Hamilton C. Davis P.O. Box 40 Shippensburg, P A 17257