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COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
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COUNTY CODE YEAR
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NUMBER
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
McCallin, Christine S.
DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR)
10/24/2005 11/02/1923
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
[R] 1" Original Return
o 4" Limited Estate
o 6" Decedent Died Testate (Attach copy 01 Will)
o 9. Litigation Proceeds Received
SOCIAL SECURITY NUMBER
192
- 12
6564
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
o 2. Supplemental Return
o 4a. Future Interest Compromise (date 01 death after 12-12-82)
o 7. Decedent Maintained a Living Trust (Attach copy ofTrust)
o 10. Spousal Poverty Credit (date 01 death between 12-31-91 and 1-1-95)
o 3. Remainder Return (date 01 death prior to 12-13-82)
o 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
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NAME
Donald R. McCallin
FIRM NAME (If Applicable)
COMPLETE MAILING ADDBESS
~Ul Lamp Post Ln.
Camp Hill, PA 17011
TELEPHONE NUMBER
717/985-3283 Work 737-7713 Home
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1. Real Estate (Schedule A) (1) 0
2. Stocks and Bonds (Schedule B) (2) 10,047
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 0
4. Mortgages & Notes Receivable (Schedule D) (4) 0
5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 16,386
Z (Schedule E)
0 6. Jointly Owned Property (Schedule F) (6) ~"OO5
~ o Separate Billing Requested
..J (7) 0
::J 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
t: (Schedule G or L)
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<( 8. Total Gross Assets (total Lines 1-7) 16,706
U (9)
W 9. Funeral Expenses & Administrative Costs (Schedule H)
0::: (10) 4,806
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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(8) 2 8 , 4 3 8
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(11) 21,512
(12) 0
(13) 0
(14) 6,926
X.O_ (15) 0
x .0 45 (16) 312
x .12 (17) 0
x .15 (18) 0
(19) .f)" ~iL
13. Charitable and Governmental 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
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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
17" Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
20.0
. CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
=' > BESU~E'fO'i'-. -"..,:1:. ~UV:'1i""N!fONRlll~~W i2f'mE'Ntf .. E ''AT,,'<:"
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Decedent's Complete Address:
STREET ADDRESS ~'\ of ill lit (' f!,>T ,L/J
CITY C4Mf IIdl I STATE P ,4 I ZIP I '7 0 1/
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19) (1)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
1",2.
Total Credits ( A + B + C ) (2)
D
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty ( D + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
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B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(5A)
(5B)
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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.
Make Check Payable to: REGISTER OF WILLS, AGENT
"lli,' $
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;.......................................................................................... 0 [3'
b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 [3
C. retain a reversionary interest; or......................................................................................................................... 0 [3-
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 G
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. 0 [3
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 c(
4. Did decedent own an Individual Retirement Account, annuity, or other non~probate property which
contains a beneficiary designation? ........................................................................................................................ 0 0"
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete.
Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPON~LE FC?Ril~G RETU~ A-'
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ADDRESS
DATE
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SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
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DATE
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 use of the surviving spouse is 3%
[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 for the use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)].
The statute does not exempt 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. 99116(a)(1.2)J.
The tax rate imposed 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. 99116(1.2) [72 P.S. 99116(a)(1)].
The tax rate imposed on the net v3!ue of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116(a)(1.3)]. A sibling is defined, under Section 9102, as ar
individual WllO has at least one parent in common with the decedent, whether by blood or adoption.
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REV-1503 EX+ (6-9S*
COMMONWEA~TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
FILE NUMBER
Christine Smiley McCallin 2005-01056
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
300 Common Shares Motorola, Inc.
VALUE AT DATE
OF DEATH
6,297
2.
300 Common Shares Corning Glass, Inc.
3,750
TOTAL (Also enter on line 2, Recapitulation) $ 1 0 , 0 4 7
(If more space is needed, insert additional sheets of the same size)
REV.1508 Ex . (1-97)
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Christine Smiley McCallin
FIL~~U~~~RO 1 056
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.
DESCRIPTION
Pre~paid Funeral Expenses
VALUE AT DATE
OF DEATH
12,230
2 .
Gash in Raymond James Account
4,156
*Cash was being processed for check deposit to
1st National Bank of Chester County Joint Account
(Sched F) which paid for her expenses at Claremont
Nursing and Rehab. Center.
TOTAL (Also enter on line 5, Recapitulation) $ 1 6 , 386
(If more space is needed, insert additional sheets of the same size)
REV.I5t19 EX+ (1.97)
SCHEDULE F
JOINTLY-OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Christine Smiley McCallin
FI~b~U~~tr1 056
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 DECEDENT
A. Donald R. McCallin
501 Lamp Post Lane
Camp Hill, PA 17011
Son
*Account was establichEd in 1989 and financed totally by dececsed
B. as convenience for me to pay her bills.
c.
JOINTLY -OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY 'Io0F DATE OF DEATH
ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar identifying number. Attach DATE OF DEATH DECD'S VALUE OF
NUMBER TENANT JOINT deed for jointly-held real estate, VALUE OF ASSET INTEREST DECEDENT'S INTERE
1. A, 1/13/ 989 1st National Bank of Chester CD. 2,005 100 2,005
Checking Account 4188561
8 N. High Street
PO Box 523
West Chester, PA 19381
TOTAL (Also enter on line 6, Recapitulation) $ 2,005
(If more space is needed, insert additional sheets of the same size)
REV~1511 EX+ (12-99) ,
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Christine Smiley McCallin
FILE NUMBER
2005-01056
ITEM
NUMBER
A.
Debts of decedent must be reported on Schedule 1.
DESCRIPTION
1.
FUNERAL EXPENSES:
(see attached)
DellaVecchia, Reilly & Smith
2 .
Headstone Engraving - Chardy Memorials
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City
State _ Zip
Year(s) Commission Paid:
2.
Attorney Fees Stock Transfer Fees
3.
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Donald R. McCallin
Street Address 50 1 Lamp Pos t Lane
c~ Camp hill
State -EA- Zip 1 7 0 1 1
Relationship of Claimant to Decedent
Son
4.
Probate Fees (see attached)
5.
Accountant's Fees
6.
Tax Return Preparer's Fees
7.
* Deceased lived with me beginning in 1995 until she
had bout with congestive heart failure and then fell
and broke her hip. She was operated on in December
2004 and entered Clarmont NUEsing and Rehab. Center
in January 200~. Unfortunately, she was not able to
recover f~om the surgery.
AMOUNT
12,321
732
70
3,500
83
TOTAL (Also enter on line g, Recapitulation) $ 1 6 , 706
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX+ (12-03)
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
EST,~TE OF FILE NUMBER
Christine Smiley McCallin 2005-01056
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
VALUE AT DATE
OF DEATH
ITEM
NUMBER
1.
DESCRIPTION
Refund to VA (see attached)
907
2.
Estate Notice in Patriot News (seeaattached)
130
3 .
Register of wills Cumberland County (see attached)
83
4. Claremont Nursing & Rehab. Center. 3,686
Did not pay full bill of $4,286 due to on-going failure
of facility to use her medical/pharmacy benefit program.
Facility has not responded back about their accepting or
rejection final payment. I am claiming only $3,686 as
payment for this filing.
TOTAL (Also enter on line 10, Recapitulation) $ 4 , 806
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX+ (9-00)
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Chrlstlne Smiley McCallin
NUMBER
I
1.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
Lawrence J. McCallin
PO Box 331
Mimbres, NM 88049
FILE NUMBER
2005-01056
RELATIONSHIP TO DECEDENT
Do Not List Trustee( s)
Son
Daughter
Son
AMOUNT OR SHARE
OF ESTATE
X
3
(! fL2.oS)
2 .
Susan M. Donovan
Porta Blanco Marina
1 Marina Circle
Luperoro, Puerta Plata
Dominican Republic
~ (-t: i 2. 2.<9 S )
~ (": 22';>S)
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
3.
Donald R. McCallin
501 Lamp Post Lane
Camp Hill, PA 17011
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART 11- ENTER TOTAL NON.TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVEA SHEET $ 0
(If more space is needed, insert additional sheets of the same size)
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First National
Bank of Cheater County
9 N. High Street
P.O. Sox 623
Weal Chester, PA 19381
p 484.881.4000
w 1nbank.com
December 6, 2005
Donald R. McCallin
501 Lamp Post Ln.
Campo Hill, Pa. 17011
RE: Estate of Christine McCallin
Social Security # 192~ 12-6564
Date of Death 10.24.05
Dear Mr. McCallin:
Per your request, I submit information about the accounts of the above referenced
decedent held at our bank at the time of her death.
Account Date Opened Title Principal Bal. Accrued
@DOD Int.@
DOD
Ckg.4188561 01-13-1989 Christine 2005.16 .13
McCallin or
Donald R.
McCallin
Our records indicate no other accounts in the decedent's name. Should you have any
questions or require additional information, please call me at the number above.
Sincerely,
C!J~~
Darlene Clapp
Customer Service Operations
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SNOllV~3dO 3~I^H3S B1~OISnJ
A Subsidiary ol
1""1";t.............,,. ...."..P....ltlon
~~nn:v . Qnn7. 'q '~an
Joseph]. DellaVecchia,Jr. - Funeral Director
Ashton B. T. Smith, Jr. - Funeral Director
Joseph]. DellaVecchia, 111- Funeral Director
Ronald K. DellaVecchia - Funeral Director
'Dellalfcchia, 15ti!!r. ~ Sf!1ith
FUNERAL HOME
CONTINUO US FAMILY SER VICE SINCE 1875
Joseph B. Smith (1836- ]927)
William B. Smith (1871-1944)
Ashton B. 1. Smith, Sr. (1903- 1970)
Lawrence]. Reilly (1908-1979)
Donald R. McCallin, Jr.
501 Lamppost Lane
Camp Hill, PA 17011
Funeral Expenses for Christine Smiley McCallin
December 8, 2005
SERVICES SELECTED:
Professional Services
Facilities, Equpiment & Staff
Automotive
$ 2,690.00
$ 1,250.00
$ 1,340.00
MERCHANDISE SELECTED:
Casket
Vault
Angel Memorial Package
Total Funeral Home Expenses:
CASH ADVANCES: (Not Part of Funeral Home Expenses)
$ 3,395.00
$ 950.00
$ 180.00
9,805.00
$
Daily Local News
Certified Copies of Death @ $6.00 Per Copy
Organist
Soloist
Church Offering
Greens, Tent & Device
Gratuities
Clergy Honorarium
Casket Spray
Cemetery
Harrisburg Paper
Lancaster Paper
Cash Advanced growth
$ 305.00
$ 30.00
$ 100.00
$ 85.00
$ 100.00
$ 125.00
$ 85.00
$ 200.00
$ 200.00
$ 850.00
$ 216.00
$ 227.00
($ 6.90)
Total Cash Advances:
Total Expenses:
Payment on Account:
BALANCE DUE:
$ 2,516.10
$ 12,321.10
($ 12,230.00)
$ 91.10
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410 North Church Street. West Chester, PA 19380
(610) 696-1181. fax: (610) 696-8112
Tosenh 1. DellaVecchia. Tr. - Suvervisor
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RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17G13
Receipt Date:
Recetpt Time:
Recelpt No. :
12/06/2005
10:03:25
1042693
MCCALLIN CHRISTINE SMILEY
Estate File No. :
Paid By Remark.s:
2005-01056
DONALD R MCCALLIN
RSK
------------------------ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST
WILL
SHORT CERTIFICATE
JCP FEE
AUTOMATION FEE
Check.# 2315
Total Received.........
45.00
15.00
8.00
10.00
5.00
----------------
$83.00
$83.00
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
BUREAU OF RECEIPTS & CNTR M.D
CUMBERLAND COUNTY GENERAL FUN
/1r;Ws
1111111 111111111111111111111111111111111111111\ 1I111~1111I11I111111111I\111I1111I11111111ll111111l1111111111111 11111 11111 1111111111 11111 lUI 1111 111\
DEP ARTMENT OF VETERANS AFFAIRS
Debt Management Center
Bishop Henry Whipple Federal Building
P.O. Box 11930
St. Paul, MN 55111-0930
DECEMBER 22, 2005
ADMINISTRATOR
CLAREMONT NURSING
REHAB CTR CUST OF
CHRISTINE S MCCALLIN
1000 CLAREMONT RD
CARLISLE PA 17013
File No.lSSN:
Payee Number:
Person Entitled:
Deduction Code:
E-Mail Address:
204036560
10
CSMCCA
30
dmc.ops@vba.va.gov
According to our records, your Compensation and Pension indebtedness to the
Department of Veterans Affairs has been reduced by $ 907.00. The balance of
your debt, as of the date of this letter, is $ 907.00. You may contact us at the
following toll-free telephone number (l-800-827-0648) if you have any questions concern-
ing this letter.
Chief, Operations Division
~f
[;jJJ I
~bt patriot ..Ntws
Now you know
i'- '
Order Co.nfirmation
Customer
DONAL R. MCCALLlN
Orderer Account Number
105854
Ad Order
Sales
Order Taker
Paver
Paver Account Number
105854
Order Source
Special Pricin!:l None
DONAL R. MCCALLlN
501 LAMP POST LANE
PO Number
Ordered By
Customer Fax
Camp Hill PA 17011 USA
Customer EMail
0001436045
rholton
rholton
Fax
ESTATE MCCALLlN
DONALD
Customer Phone 717-737-7713
Paver Phone 717-737-7713
Tear Sheets
o
Proofs
o
Affidavits
1
Blind Box
Promo Tvpe
Invoice Text
Ad Order Notes
Materials
~~
Total Ad Cost
$130.00
Payment Amount
$0.00
Payment Method
Amount Due
$130.00
Ad Number Ad Type
0001436045-0' Legal Liners
Ad Size
:1.0X10Li
Color
<NONE>
Production Method Production Notes
Ad Booker
l
111 DJ.
Product Information
Classification
# Inserts
PNCO: :Full Run
806-Estate Notices
3
Run Schedule Invoice Text
EXECUTORS NOTICE: Letters Testamentary on the Estate of Christin
1/13/20069:14:04AM
f1 sckp 1.
1
Run Dates
12/30/2005, 1/6/2006, 1/13/2006
CHRISTINE S MCCALLIN
501 LAMP POST LANE
CAMP HILL, PA 17011
Claremont Nursing & Rehab
1000 Claremont Drive
Carlisle PA 17013
a
b
c
d
2 REV. CD. 43 DESCRIPTION
44 HCPCS I RATES
45 SERVo DATE 46 SERVo UNITS
47 TOTAL CHARGES
49
0120 R & B NURSING CARE - SEM
0250 PHARMACY
225.00
23
2
5175.j00
600.168
5775.168
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O~
,3 TREATMENT AUTHORIZA nON CODES
0001 TOTAL CHARGES
25
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iO PAYER
54 PRIOR PAYMENTS
55 EST, AMOUNT DUE
PRIVATE PAY
i7
i8 INSURED'S NAME
61 GROUP NAME
62 INSURANCE GROUP NO.
McCallin Christine S
~.~21295R~
66 EMPLOYER LOCATION
78
COllE
DATE
14 REMARKS
OTHER PHYS. 10
fut &~l X
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A~~ROVED OM6 NO. 0936-0279
@ Plinted on Recycled Paper OCR/ORIGINAL
I CERTIFY THE CERTIFICATIONS ON THE REVERSE AP~L Y TO THIS BILL AND ARE
LAST WILL AND TEST AMENT
OF
. CHRISTINE McCALLIN
I, CHRISTINE McCALLIN, of Hampden Township, Cumberland County, Pennsylvania,
declare this to be my Last Will and Testament hereby revoking all prior Wills and Codicils. My
children, Donald R. McCaHin, Jr., Lawrence Joseph McCal1in, and Susan Marie Donovan, are
living at the date of the execution ofthis, my Last Will and Testament.
ITEM I. I direct that the expenses of my last illness and funeral be paid from my
estate as soon as practicable after my death.
ITEM II. I give and bequeath all of my tangible personal property to my son,
Donald R. McCaHin, Jr.
ITEM III.
I gIVe, devise and bequeath all of the remainder of my estate of
whatsoever nature and wheresoever situate, in equal shares, to my children, Donald R. McCaHin,
Jr., Lawrence Joseph McCallin, and Susan Marie Donovan, or their issue, per stirpes, who so
survive my death by thirty (30) calendar days.
PAGE ONE OF THREE
C IY> C.
.
ITEM IV. I authorize my Executor to exercise the following powers in addition to
those given by law, to be exercised in their sole discretion:
(a) To retain any or all of the assets of my estate without regard to any principal
of diversification, risk or productivity.
(b) To compromise any claim or controversy.
(c) To borrow money from any Executor, and to mortgage or pledge any real or
personal property.
(d) To sell at public or private sale, to exchange or to lease, for any period of
time, any real or personal property and to give options for sales, exchanges or leases, for
such price and under such terms or conditions as they deem proper.
(e) To repair, alter or improve any real or personal property.
ITEM V. I appoint my son, Donald R. McCallin, Jr., as Executor of this, my Last
Will and Testament. If he is unable or unwilling to act as Executor, then I appoint my son,
Lawrence Joseph McCallin, to serve as Executor. I direct my Executor be authorized to act in
his discretion and without bond or order of court.
ITEM VI.
All estate, inheritance, succession and other death taxes, imposed or
payable by reason of my death, and interest and penalties thereon, with respect to all property
comprising my gross estate for death tax purposes, whether or not such property passes under
this Will, shall be paid out of the principal of my general estate, as if such taxes were
administrative expenses, without apportionment or right of reimbursement. I authorize my legal
representative to pay all such taxes at such time or times as may be deemed advisable.
PAGE TWO OF THREE
t me
~
n
IN WITNESS WHEREOF, I have at Harrisburg, Pennsylvania, this K day of
!l;!t!
I
(3) pages.
, 2002, set my hand and seal to this, my Last Will and Testament consisting of three
~s~.~l
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WITNESS
PAGE THREE OF THREE
M
On this, the K day of
/l//'~I
I '
, 2002, before a Notary Public, the
undersigned officer, personally appeared, Diane S. Baker, Esquire, known to me or satisfactorily
proven to be a member of the Bar of the Supreme Court of Pennsylvania, and certified that she
was personally present when the foregoing acknowledgment and affidavit were signed by the
testatrix and witnesses.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
i!1nO/~!j(J 1'1 PJ.~t-
NOTARY PUBLIC '
I \. NOTARIAL SEAL ~-
MELISSA A. POLING, Notary Public
Lower Paxton Twp., Dauphin County
,lVtv_~ommi6sion ~~pires S?E!:,1L~D~1:
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
\\ C'r be IJ ~el CHRISTINE McCALLIN, (e. nuL. Duf0( ,
""Vf-..f~ J-I fft<JJC , and DIANE S. BAKER, ESQurRE:~he testatrix and witnesses,
respectively, whose names are signed to the forgoing instrument, being first duly sworn, do
hereby declare that the testatrix signed and executed the instrument as her Last Will and
Testament and that she had signed willingly, and that she executed it as her free and voluntary
act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing
of the testatrix, signed Jhe Will as witness and that to the best of the witnesses' knowledge, the
testatrix was at the time eighteen years of age or older, of sound mind and under no constraint or
undue influence.
~
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CHRISTINE McCALLIN
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WITNESS -^.J ~ (j
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AD S~
"
S.BAKER,ESQLITRE
27 outh Arlene Street
P.O. Box 6443
Harrisburg, PA 17112-0443
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
MCCALLlN DONALD ROWLAND
501 LAMP POST LANE
CAMP HILL, PA 17011
__n__u fold
ESTATE INFORMATION:
SSN: 192-12-6564
2105-1056
MCCALLlN CHRISTINE SMILEY
02/17/2006
02/17/2006
CUMBERLAND
10/24/2005
FILE NUMBER:
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
REMARKS:
CHECK# 2317
SEAL
ACN
ASSESSMENT
CONTROL
NUMBER
101
TOTAL AMOUNT PAID:
INITIALS: MG
RECEIVED BY:
REGISTER OF WILLS
REV-1162 EX(11-96)
NO. CD 006338
AMOUNT
$312.00
$312.00
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS