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Home My WebLink About08-07-06 ::Of,lMCI':WEL.L -H :Jc PENI,SYLVANIA DEPiiRHvlErF :== Fr:::'jENljE 8\_~RE,'::''cJ TAXES :EP' Ht.RF,iSBi_'Hi~, =;:..' 128-0G0'1 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLV ANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ZIGNER GARY L 4414 ROYAL OAI< ROAD CAMP Hill, PA 17011 i ESTATE INFORMATION: SSN: 168-26-3548 FILE NUMBER: 2105-1072 DECEDENT NAME: ZIGNER MARLIN M DATE OF PAYMENT: 08/07/2006 I POSTMARK DATE: 08/07/2006 I I COUNTY: CUMBERLAND IDA TE OF DEATH: 11/05/2005 , NO. CD 007064 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $605.94 I I I I I I I I TOTAL AMOUNT PAID: $605.94 REMARI<S: ESTATE OF MARLIN ZIGNER CHECI<# 1210 SEAL INITIALS: AJW RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WillS ) ,.);'urJufn\ ()[il Pc)'::U()r/lnn <..,1) l1()/Ju/)uuu:{ ,IffY! ((If){i /Oli()/I!)\", ~H(j ill Tl JiI)!3 fJ,Iilll. ~ 10ln~;:)x3 'l;:)U~!Z A'lBO :~~ s;:)lfisopu3 P:l~;:)IBJBd SqUlOJ Bl;:)f ';:)Ull~BlUO~ Ol ;:)lBFS;:)l{ lOU op ;:)sB;:)ld 'UO!lBUl10JU! IBUO!l!PPB A'UB ;:)l!nb;:)l 10 SUO!lS;:)nb A'UB ;:)ABl{ noA' JI ';:);:)J ~U!m ;:)l{llOJ 00'0($ JO lUnOUlB ;:)l{l U! ;:)UO pUB t'6"S09$ JO lUnOUlB ;:)lll U! XBl ;:);)UBl!l;:)l{U! ;:)l{llOJ )(;);:)l{;) B S! P;:)SOpU;:) OSIV ';:)dOPAU;:) P;:)SS;:)lPPB-JI;:)S P;:)SOpU;:) ;:)l{l U! ;:);)gJO A'Ul Ol Ul;:)l{l Ulfil;:)l pUB A'lOlU;:)AUI ;:)lll JO A'dO;) B pUB Ulfil;:)l ;:)lll JO ;:)~Bd lSlg: ;:)l{l dumlS ;:)lBP ;:)SB;:)[d 'Ulfil;:)"M XBl ;:);)UBl!l;:)l{UI ;:)lll JO ;:)~Bd lSlg: ;:)lll JO A'dO;) B llHM ~UOIB 'A'lOlU;:)AUI pUB Ulnl;:)"M XBl ;:)JUBl!l;:)l{UI P;:)JU;:)1;:)P1-;:)AOqB ;:)lll JO A'dOJ ;:)UO pUB IBU!~!lO ;:)l{l pUg: ;:)SB;:)Id ~U!m 10J P;:)SOPU3 : smA\. 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Q)" Q) lJ).rl\""/- ._ E lJ) 0> Q) '= Q)='c~ 0:::000 . . ..~. i ,.~ ') <..[) Register of Wills, Cumberland County, Pennsylvania INVENTORY Estate of Marlin M. Zigner also known as No. 21-05-1072 , Deceased Date of Death 11/05/2005 Social Security No. 168-26-3548 Gary L. Zigner The Personal Rep-resentative(s) of theahoveEstate,deceasecl, veritY that the Hems appearing in the following inventory include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Attorney: Marielle F Hazen Personal Rep~resentative v~. Signature: "-<; Ga . Zi er 1.0. No.: 68003 Signature: Signature: Firm: Law Offi<:e of Marielle F. Hazen Address: 2000 Linglestown Road, Suite 202 Harrisbur~,f)A 17110 Telephone: 717-5404332 Address: 4414 Royal Oak Road Camp Hill, PA 17011 Telephone: 717-215-8049 Dated: B,- 5-- 0 ~ Personal Property Cas h............................................................................................... Persona I Property......................................................................... Stocks/Listed................................................................................ . Stocks/Closely Held...................................................................... Bonds................... ... ................... ........... .................... .......... ....... .... Partnerships and Sole Proprietorships ..................................... Mortgages and Notes Receivable............ ...... .................. ........... All Other Property... .............................. ................................... ..... 11,320.88 '-j.:J 4,011.62 Total Personal Property.................................. ....... 15,332.50 Total Real Property... ........................ ............... ...... Total Personal and Real Property......................... Total Out-of-State Real Property.......................... REV-1500 EX + (6-00) UI .... ",~cn Uti:'" U1"-U ",00 utl:-' ,,-Cll "- <( I OFFICIAL USE ONLY COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT IFlLE NUMBER---- -- : 21 05 IJ&UN~ODE y~ --- -- -- SOCIAL SECURITY NUMBER 1072 _J'JUM!lER I- Z W o w () w o ---- _._---~-,------ DECEDENT'S NAME (LAST, FIRST. AND MIDDLE INITIAL) , Zigner, Marlin M. DATE OF DEATHlMM-DD-YEAR) 168-26-3548 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 3. Remainder Return (date of death prior to 12-13-82) lX i, 6. Decedent Died Testate (Attach copy of Will) Litigation Proceeds Received 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach 1__ copy of Trust) 10 Spousal Povertv Credit (date of death between . 12-31-91 and 1-1-~5) 8. Total Number of Safe Deposit Boxes 5 Federal Estate Tax Return Required 2000 Linglestown Road, Suite 202 Harrisburg, PA 17110 (1 ) (2) (3) (4) (5) (6) (7) OFFICIAL USE ONLY DATE OF BIRTH (MM-DD-YEAR) 11-05-2005 01-07-1927 None 4,011.62 None None -' APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST. FIRST AND MIDDLE INITIAL) X 1. Original Return , . -1 4. Limited Estate 2. Supplemental Return 11,320.88 ------'--- 82,065.97 None (8) 97,398.47 .... z UI Q Z o "- III UI tI: tI: o U Hazen FIRM NAME (If applicable) Law Office of Marielle F. Hazen TELEPHONE NUMBER 717-540-4332 (9) (10) --..-----'-'i---- 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) z o i= < ...J ::J l- ii: < () W 0:: 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) -J Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) Separate Billing Requested 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 13,113.59 -'----------,.---- 644.31 (11) 13,757.90 83,640.57 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) (12) (13) 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) None (14) 83,640.57 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 0.00 3,763.83 0.00 0.00 3,763.83 15.Amount of Line 14 taxable at the spousal tax rate, 0.00 x .00 (15) or transfers under Sec. 9116(a)(1.2) z 0 .045 (16) j:: 16.Amount of Line 14 taxable at lineal rate 83,640.57 x ~ ::J a.. 17. Amount of Line 14 taxable at sibling rate 0.00 x .12 (17) :!! 0 () 18. Amount of Line 14 taxable at collateral rate 0.00 x .15 (18) >< ~ 19. Tax Due (19) CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Copyright 2002 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00; Decedent's Complete Address: STREET ADDRESS 4414 Royal Oak Road CITY Camp Hill STATE P A ZIP 17011 Tax Payments and Credits: 1, Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8, Prior Payments C, Discount (1 ) 3,763.83 3,000.00 157.89 Total Credits (A + 8 + C) (2) 3,157.89 3, Interest/Penalty if applicable 0, Interest E, Penalty Total Interest/Penalty (0 + E) 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 5, If Line 1 + Line 3 is greater than Line 2, enter the difference, This is the TAX DUE, A. Enter the interest on the tax due, 8, Enter the total of Line 5 + 5A. This is the BALANCE DUE, (3) (4) (5) 605.94 (5A) (58) 605.94 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: 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 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 receiving adequate consideration? ....."""",,, ",.., ..............."""",..,,'..,..... ........"".. ......"",...""...'""", .....'""""", 3, Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?........, 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?""".."..."""""""""""""""""""""""""", "..""" .....'"",..."",....""", "...,""" x 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 deciare that I have examined this retum, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and cOmplete,Oeclaration,Ef preparer other than the personalrepresentalive is based on all information of which pre parer has any knowledge SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS Gary L. Zigner ~ .':1- ~~ SltNATUR~PERS~sF@sIBLE FOR FILING RETURN Yes No x x DATE 4414 Royal Oak Road Camp Hill, PA 17011 8 ?yCh ADDRESS DATE ,,) .... <".............' SIGNATURjol PJekttERttii; J~~~ENTATIVE Marielle F Hazen 6- ~3--() ~ ADDRESS DATE 2000 Linglestown Road, Suite 202 Harrisburg, PA 17110 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, 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 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)), 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 value 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 an individual who has at least one parent in common with the decedent, whether by blood or adoption. Rev-1503 EX+ (6-98) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA lNHER1T ANCE T AA RETURN RESIDENT DECEDENT ESTATE OF Zigner, Marlin M. FILE NUMBER 21-05-1072 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 79 MetLife - Stock 50.26 3,970.54 Accrued dividend on item 1 above 41.08 TOTAL (Also enter on Line 2, Recapitulation) 4,011.62 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-1508 EX+ (6-98) *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Zigner, Marlin M. FILE NUMBER 21-05-1072 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 DESCRIPTION 1 Community Banks - Acct#1709070409 VALUE AT DATE OF DEATH 11.267.88 2 Erie Insurance - Refund 53.00 TOTAL (Also enter on Line 5, Recapitulation) 11.320.88 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1509 EX+ (6-98) SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Zigner, Marlin M. FILE NUMBER 21-05-1072 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 A. Gary Zigner ADDRESS RELATIONSHIP TO DECEDENT 4414 Royal Oak Road Camp Hill, PA 17011 Son B. C. JOINTLY OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR VALUE OF ASSET INTEREST DECEDENT'S INTEREST JOINTLY-HELD REAL ESTATE 1 A 11/19/90 Community Bank - Acct#1702070520 63,067.24 50.000% 31,533.62 2 A 5/20/94 Community Bank - Acct#1708377330 17,188.92 50.000% 8,594.46 3 A 1/27/95 Community Banks - Acct#1708713309 4,972.30 50.000% 2.486.15 4 A 1/2/03 Ford Focus - Automobile 10,335.00 50.000% 5,167.50 5 A 12/31/02 Mid Penn Bank - Acct#10003327 68,507.94 50.000% 34,253.97 6 A 12/31/02 Mid Penn Bank - Acct#10003327 -Interest 60.53 50.000% 30.27 Accrued TOTAL (Also enter on Line 6, Recapitulation) 82,065.97 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) REV-1151 EX+ (12-99) . SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Zigner, Marlin M. Debts of decedent must be reported on Schedule I. FILE NUMBER 21-05-1072 ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s) attached 5,492.22 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) ( EIN Number of Personal Representative(s): Street Address City State Zip - Year(s) Commission paid 2. Attorney's Fees 7,269.37 See continuation schedule(s) attached 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 168.00 See continuation schedule(s) attached 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 184.00 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 13,113.59 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1502 EX+ (6-98) SCHEDULE H-A FUNERAL EXPENSES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Zigner, Marlin M. FILE NUMBER 21-05-1072 ITEM NUMBER DESCRIPTION AMOUNT 1 Dimon Funeral Home 5.387.00 2 Funeral Reception 105.22 Subtotal 5.492.22 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-A (Rev. 6-98) ReY-1502 EX+ (6-98) SCHEDULE H-B2 ATTORNEY'S FEES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Zigner, Marlin M. FILE NUMBER 21-05-1072 ITEM NUMBER DESCRIPTION AMOUNT 1 Marielle F. Hazen - Legal Fees 7,269.37 Subtotal 7,269.37 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-82 (Rev. 6-98) RQv-1502 EX+ (6-98) SCHEDULE H.84 PROBATE FEES continued COMMONWEALTH OF PENNSYLVI<NII< INHERITI<NCE TI\X RETURN RESIDENT DECEDENT Zigner, Marlin M. FILE NUMBER 21-05-1072 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 Register of Wills - Probate Fee 140.00 2 Register of Wills - Short Certificates 8.00 3 Register of Wills - Short Certificates 20.00 Subtotal 168.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B4 (Rev. 6-98) Rev-1502 EX+ (6-98) SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Zigner, Marlin M. FILE NUMBER 21-05-1072 ITEM NUMBER DESCRIPTION AMOUNT 1 Cumberland Law Journal - Legal Publication 75.00 2 Journal Publications - Legal Publication 109.00 Subtotal 184.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) Rev-1512 EX+ (6-98) *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Zigner, Marlin M. FILE NUMBER 21-05-1072 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1 Department of Veterans Affairs - Medical Bill VALUE AT DATE OF DEATH 21.00 2 Pennsylvania Dept. of Revenue - Income Tax 8.00 3 West Shore EMS 615.31 TOTAL (Also enter on Line 10, Recapitulation) 644.31 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98) REV-1513 EX+ (9-00) *' SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT NUMBER Zigner, Marlin M. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal aistributions, and transfers under Sec. 9116(a)(1.2)] I FILE NUMBER 21-05-1072 ESTATE OF RELATIONSHIP TO DECEDENT Do Not List Trusteels) SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) I. 1 Lori A Sigouin 3 North 31st Street Harrisburg, PA 17109 Gary L. Zigner 4414 Royal Oak Road Camp Hill, PA 17011 Daughter 50% 2 Son 50% Total 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 SHEET 0.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128.0601 REV.1162 EX(11.96) RECEIVED FROM. PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT HAZEN MARIELLE F ESQUIRE SUITE 202 2000 L1NGLESTOWN ROAD HARRISBURG, PA 17110 __u____ fold ESTATE INFORMATION: SSN: 168-26-3548 FILE NUMBER: 2105-1072 DECEDENT NAME: ZIGNER MARLIN M DA TE OF PAYMENT: 01/27/2006 POSTMARK DATE: 01/26/2006 COUNTY: CUMBERLAND DATE OF DEATH: 11/05/2005 NO. CD 006248 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $3,000.00 I , I I I I I I TOTAL AMOUNT PAID: $3,000.00 REMARKS: MARIELLE HAZEN, ESQ CHECK# 1204 SEAL INITIALS: RSK RECEIVED BY: TAXPAYER GLENDA FARNER STRASBAUGH REGISTER OF WILLS Kelley Blue Book - Private Party Pricing Report - Ford, Focus Kelle,81. _ THE JRUlTED RSOURCE ... advertisement Page 1 of2 U SED CARS Quick Dealer Price Quote .i!4t Search Used Car Listings <> Lis REVIEWS 8. RATINGS ADVICE fiNANCING BLUEBOOK'*' PRIVATE PARTY REPORT Pennsylvania · December 5, 2005 2004 Ford Focus SE Wagon 40 ~<,l:ox V N ".:;~ '-": ~ -" € .,..." """'& ,.,>>.:~ >" $earGI1 Listings for This Car l,.,i~t_YouLQ9LFQ[_Sql~Qnlll1e QuiGkN~\IV CqrPricequote Free CARFAXBecord_Checls AlJtoJ-OqnsJrom 5.39% APR Insurance Quot~ Print II FQLSq leHSign ~mEilltCalculatQr ~xt~r1d~_<:LV'{arral1tl' Qugte Engine: 4-Cyl. 2.0 Liter Trans: Automatic Drive: FWD Mileage: 3,000 Equipment Air Conditioning Power Steering Power Windows Power Door Locks AM/FM Stereo Single Compact Disc Dual Front Air Bags Roof Rack Consumer Rated Condition: Good "Good" condition means that the vehicle is free of any major defects. This vehicle has a clean title history, the paint, body and interior have only minor (if any) blemishes, and there are no major mechanical problems. There should be little or no rust on this vehicle. The tires match and have substantial tread wear left. A "good" vehicle will need some reconditioning to be sold at retail. Most consumer owned vehicles fall into this category. Private Party Value $earchLoci3I_Listing? I ListThisc:arforSale $10,335 Private Party Value is what a buyer can expect to pay when buying a used car from a private party. The Private Party Value assumes the vehicle is sold "As Is" and carries no warranty (other than the continuing factory warranty). The final sale price may vary depending on the vehicle's actual condition and local market conditions. This value may also be used to derive Fair Market Value for insurance and vehicle donation pu rposes. Get ~_Used Car Trade-IJ1jlalue Get Invoice & MSRP on New Cars 8LUEBOOK }@(1r(h Used Ci Q t 6 ve Find exact you want. -- adv http://www.kbb.com/kb/ki.dIl/kw.kc.ur?kbb.PA;213016;P A043& 17112;+p&722;Ford;200... 12/5/2005 Kelley Blue Book - Private Party Pricing Report - Ford, Focus Get a 15 Minute Response Whe[L'1'Q!,J-8QP1\,-JQLQ...l3lank CQ.eck@ Auto LOi'lL! Copyright <9 2005 by Kelley Blue Book Co., All Rights Reserved. Nov-Dec 2005 Edition. The specific Information required to determine the value for this particular vehicle was supplied by the person generating this report. Vehicle valuations are opinions and may vary from vehicle to vehicle. Actual valuations will vary based upon market conditions, specifications, vehicle condition or other particular circumstances pertinent to this particular vehicle or the transaction or the parties to the transaction. This report is intended for the individual use of the person generating this report only and shall not be sold or transmitted to another party. Kelley Blue Book assumes no responsibility for errors or omissions.(v.05115) Page 2 of2 http://www.kbb.comlkb/ki.dlllkw.kc.ur?kbb.P A;213016;P A043&17112;+p&722;Ford;200... 12/5/2005 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 05-1072 06108722 03-01-2006 REV-1543 EX AFP ID9-DDl I EST. OF MARLIN M ZIGNER S.S. NO. 168-26-3548 DATE OF DEATH 11-05-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS [XJ CHECKING o TRUST o CERTIF. GARY L ZIGNER 4414 ROYAL OAK RD CAMP HILL PA 17011 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 COMMUNITY BANKS has provided the Department with the information listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, YOU were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. QU95tions may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1708713309 Date 01-27-1995 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 4,972.30 50.000 2,486.15 .045 III . 88 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice must accompany your payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". Tax x NOTE: If tax payments are made within three (3) months of the decedent's date of death, you may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. PART ill A. [ CHECK ] ONE BLOCK B. ONLY c. c=J The above information and tax due is correct. 1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or yoU may check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. c=J The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the decedent's representative. c=J The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. If you indicate a different tax rate, please state your relationship to decedent: PART @] TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due PART ~ DATE PAID DEBTS AND DEDUCTIONS CLAIMED OF 1 2 3 4 5 6 7 8 x TAX ON JOINT/TRUST ACCOUNTS x PAYEE DESCRIPTION AMOUNT PAID I TOTAL CEnter on Line 5 of Tax Computation} I $ Under penalties of perjury, I declare that the complete to the best of my knowledge and belief. '~E~-S~ facts I have reported above are true, correct and HOME ( WORK ( ) ) 1/'1...9 (v6 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 05-1072 06108723 03-01-2006 RFV-1545 EX AFP (09-00) TYPE OF ACCOUNT [i] SAVINGS o CHECKINE o TRUST o CERTIF. TO: EST. OF MARLIN M ZIGNER S.S. NO. 168-26-3548 DATE OF DEATH 11-05-2005 COUNTY CUMBERLAND GARY L ZIGNER 4414 ROYAL OAK RD CAMP HILL PA 17011 REMIT PAYMENT AND FORMS REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 COMMUNITY BANKS has provided the Oepartment with the information listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, yOU were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions may be answered by c~l!ing (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1702070520 Data 11-19-1990 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 63,067.24 50.000 31,533.62 .045 1,419.01 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice must accompany your payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". x NOTE: If tax payments are made within three (3) months of the decedent's date of death, you may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. Tax PART ill A. [ CHECK ] ONE BLOCK B. ONLY c. [] The above information and tax due is correct. 1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or yoU may check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. [] The above asset has been or will be reported and tax paid with the PennSYlvania Inheritance Tax return to be filed by the decedent's representative. [] The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. If you indicate a different tax rate, please state your relationship to decedent: PART ~ TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due PART @] DATE PAID DEBTS AND DEDUCTIONS CLAIMED OF 1 2 3 4 5 6 7 8 x TAX ON JOINT/TRUST ACCOUNTS x PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) $ Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the best of my knowledge and belief. HOME ( ) &v;;: ~ W~~~~~,~_.._ ) n9rCl6 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIOUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 05-1072 06108724 03-01-2006 REV-1543 EX AFP rO~-Onl EST. OF MARLIN M ZIGNER S.S. NO. 168-26-3548 DATE OF DEATH 11-05-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECKING o TRUST [X] CERTIF. GARY L ZIGNER 4414 ROYAL OAK RD CAMP HILL PA 17011 REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 COHHUNITY BANKS has provided the Department with the information listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, yoU were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of PennsYlvania. Questi.ons may be answered by calling (7l]) 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1708377330 Date 05-20-1994 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 17,188.92 50.000 8,594.46 .045 386.75 TAXPAYER RESPONSE To insure proper credit to your account, two (21 copies of this notice must accompany your payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". Tax x NOTE: If tax payments are made within three (31 months of the decedent's date of death, you may deduct a 57. discount of the tax due. Any inheritance tax due will become delinquent nine (91 months after the date of death. PART m A. [ CHECK ] ONE BLOCK B. ONLY c. c=J The above information and tax due is correct. 1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you may check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. c=J The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the decedent's representative. c=J The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. If you indicate a different tax rate, please state your relationship to decedent: PART @] TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due PART ~ DATE PAID DEBTS AND DEDUCTIONS CLAIMED OF 1 2 3 4 5 6 7 8 x TAX ON JOINT/TRUST ACCOUNTS x PAYEE DESCRIPTION AMOUNT PAID I $ I \ TOTAL (Enter on Line 5 of Tax Computation) Under penalties of complete to the best of T~ lIG~ perjury, I declare that the facts I have reported above are true, correct and my knowledge and belief. HOME ( ) WORK () Yz,~ (8 b COMMUNWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 05-1072 06118867 04-24-2006 REV-1543 EX AFP [09-00) EST. OF MARLIN M ZIGNER S.S. NO. 168-26-3548 DATE OF DEATH 11-05-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT [i] SAVINGS D CHECKING o TRUST D CERTIF. GARY L ZIGNER 4414 ROYAL OAK RD CAMP HILL PA 17011 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MID PENN BANK has provided the Department with the information listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 10003327 Date 12-31-2002 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 68,568.47 50.000 34,284.24 .045 1,542.79 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice must accompany your payment to the Register of Wills. Make check payable to: "Register of Wills, Agent'.. x NOTE: If tax payments are made within three (3) months of the decedent.s date of death, you may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. Tax PART ill A. [ CHECK ] ONE BLOCK B. ONLY c. [] The above information and tax due is correct. 1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or yoU may check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. [] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the decedent's representative. [] The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. PART ~ DATE PAID DEBTS AND DEDUCTIONS CLAIMED If you indicate a different tax rate, please state your relationship to decedent: PART @] TAX RETURN - COMPUTATION LINE 1. Cata Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF 1 2 3 4 5 6 7 8 x TAX ON JOINT/TRUST ACCOUNTS x PAYEE DESCRIPTION AMOUNT PAID I $ TOTAL (Enter on Line 5 of Tax Computation) of perjury, I declare that the facts I have reported above are true, correct and of knowledge and belief. HOME ( WORK ( TELEPHONF ) ) NIJMRFR n^TJ:" F\LE LAST WILL AND TESTAMENT OF MARLIN M. ZIGNER I, MARLIN M. ZIGNER, now domiciled in Cumberland County, Pennsylvania, declare this to be my Last Will. I revoke all other Wills and Codicils that I may have previously made. Article I My just debts and expenses of my last illness, funeral, and administration of my estate shall be paid by my Executor from the principal of my residuary estate as soon as practicable after my death. Article II All inheritance, estate, and succession taxes (including interest and penalties thereon, but not including any generation skipping tax) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate without reimbursement from any person. This provision is not a waiver of any right which my Executor has to claim reimbursement for any such taxes which become payable as the result of any property over which I have the power of appointment. Article III I gIve, devise and bequeath my tangible personal property in accordance with any memorandum I have either handwritten or signed, located with my Will or with my valuable papers and found within 30 days of the probate of my Will. Gifts may only be to persons who survive me or to organizations which exist at my death, and ifthere is a conflict, the memorandum having the latest date shall govern. To the extent no such memorandum is found, or all of my tangible personal property is not disposed of pursuant thereto, my tangible personal property shall be added to my residuary estate and pass under Article IV hereof. Article IV All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, I give, devise and bequeath according to the following: A. ONE-THIRD (113) of my estate to be held in trust for the benefit of my wife, IRENE M. ZIGNER, currently of Cumberland County, Pennsylvania, to be held, managed, and administered according to Article V herein. In the event IRENE M. ZIGNER predeceases me or fails to survive me by thirty (30) days, then her share shall be distributed outright IN EQUAL SHARES to my children: GARY L. ZIGNER, currently of Cumberland County, Pennsylvania; and LORI A. SIGOUIN currently of Dauphin County, Pennsylvania, Per Stirpes; and B. TWO-THIRDS (2/3) of my estate to be distributed outright IN EQUAL SHARES to my children: GARY L. ZIGNER, and LORI A. SIGOUIN. However, if a beneficiary does not survive me by thirty (30) days, but leaves descendants who survive me by thirty (30) days, those descendants shall receive, per stirpes, the share the beneficiary would have received had he or she survived me by thirty (30) days. Article V In the event that a Trust is created for the benefit of my wife, IRENE M. ZIGNER, by or as a result of any part of this Will, the terms and conditions of the Trust for the benefit of IRENE M. ZIGNER shall be as follows: _2_ A. To expend and apply so much ofthe net income and so much of the principal ofthe Trust as the Trustee shall consider advisable for the support, health, and care of IRENE M. ZIGNER for the remainder of her lifetime. B. In the event of IRENE M. ZIGNER's death, the trust shall terminate, and the remaining income and principal ofthe trust shall be distributed outright IN EQUAL SHARES to my children, GARY L. ZIGNER and LORI A. SIGOUIN, Per Stirpes. C. No beneficiary or remainderman of this Trust shall have any right to alienate, encumber, or hypothecate his interest in the principal or income of the Trust in any manner, nor shall any interest be subject to claims of his creditors or liable to attachment, execution, or other processes of law. Article VI In order to carry out the purposes of the Trust established by this Will for the benefit of IRENE M. ZIGNER, the Trustee, in addition to all other powers granted by this Will or by law, shall have the following powers over the Trust estate, subject to any limitations specified elsewhere in this Will: (a) to retain in the form received and/or to sell either at public or private sale, any real estate or personal property except that which I specifically bequeath herein, (b) to manage real estate, (c) to invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification, (d) to exercise any option or right arising from the ownership of investments, (e) to compromise claims without court approval and without consent of any beneficiary, _3_ (f) to file fiduciary/income tax returns and pay the tax due for any year for which such a return is required, (g) to make distributions in cash or in kind, or in both, and to determine the value of any such property, (h) to employ any attorney, investment advisor, or other agent deemed necessary by my Executor; to pay from my estate reasonable compensation for all their services, (i) to conduct along with or with others, any business in which I am engaged in or have an interest in at the time of my death, G) to receive reasonable compensation in accordance with their standard schedule offees in effect while their services are performed, and (k) to make unlimited gifts from the trust to my children, including the Trustee hereunder, or to a trust for the benefit of my spouse or my children. The amounts and nature of such gifts shall be in the sole discretion of my Trustee. It is my specific intention that gifting to protect assets from the costs of long term care shall be permitted. Article VII I hereby appoint my son, GARY L. ZIGNER as Trustee of any Trust(s) created in this Will for the benefit of my wife, IRENE M. ZIGNER. In the event of the renunciation, death, or inability to act, for any reason whatsoever of GARY L. ZIGNER, I nominate, constitute and appoint my daughter, LORI A. SIGOUIN, successor Trustee, acting j ointiy and/or individually, of any Trust(s) created in this Will. _4_ Article VIII I nominate, constitute, and appoint my son, GARY L. ZIGNER, Executor of my Last Will and Testament. In the event of the renunciation, death, or inability to act, for any reason whatsoever of my Executor, I nominate, constitute and appoint my daughter, LORI A. SIGOUIN, successor Executrix of my Last Will and Testament. I direct that my Executor or successor Executrix be permitted to serve without bond. In addition to those powers granted by law, I grant them power to distribute in cash or in kind, in like or in unlike shares, and to file any qualified disclaimer I could have filed if living. My Executor or successor Executrix shall receive reasonable compensation for services rendered to my estate. Article IX In addition to the powers conferred by law, I authorize my Executor or successor Executrix in hislher absolute discretion: (a) to retain in the form received and to sell either at public or private sale, any real estate or personal property except that which I specifically bequeath herein, (b) to manage real estate, (c) to invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification, (d) to exercise any option or right arising from the ownership of investments, (e) to compromise claims without court approval and without consent of any beneficiary, (f) to file any federal income tax return for any year for which I have not filed such return prior to my death, _5_ (g) to make distributions in cash or in kind, or in both, and to determine the value of any such property, (h) to employ any attorney, investment advisor, or other agent deemed necessary by my Executor; and to pay from my estate reasonable compensation for all their services, (i) to conduct alone or with others, any business in which I am engaged in, or have an interest in at time of my death, and G) to receive reasonable compensation in accordance with their standard schedule offees in effect while their services are performed. IN WITNESS WHEREOF, I, MARLIN M. ZIGNER, hereby set my hand to this my Last Will and Testament, on 9 - ..t / - D5 ,2005, at Harrisburg, Pennsylvania. f1l~ "h1- Fi~~ MARLIN M. ZIGN In our presence, the above-named MARLIN M. ZIGNER signed this and declared this to be his Last Will and now at his request, in his presence, and in the presence of each other, we sign as witnesses. Address /7; ~ j " U~-,OJLM( 0/ . lk 0V 2000 Linglestown Rd.. Suite 202. Harrisburg. PA 17110 2000 Linglestown Rd.. Suite 202. Harrisburg. PA 17110 _6_ I, MARLIN M. ZIGNER, Testator, who signed the foregoing instrument, having been duly qualified according to law, acknowledge that I signed and executed this instrument as my Will, and that I signed it willingly as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by MARLIN M. ZIGNER, the Testator, on 9 -,;] / - , 2005. ut!f;~4![;?:c= otary Pub ic 1rt~ ~ ~~ MARLIN M. Z R COMMONWEALTH OF PENNSYLVANIA Notarial Seal . Marielle F. Hazen. Notary Pubhc Susquehanna Twp... Dauphm County My Commission Expires Sept. 23. 2006 We, the undersigned witnesses who signed the foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the Testator sign and execute this instrument as his Will; that he signed and executed it willingly as his free and voluntary act for the purposes therein expressed; that each of us in his sight and hearing signed the Will as witnesses, and that to the best of our knowledge, that he was at that time eighteen (18) years or more of age, of sound mind, and under no constraint or undue influence. Sworn to or affirmed and subscribed to before me by ~ f11. SrYl;-JC and (I' ' iliJ: ~.{JX ~_ 'S.6't.{uJ witnesses, on q - d- / ,2005. {;JJ~ Notary ublic :.. -' -. COMMONWL;:.LTH OF PENNSYLVANIA NOlanal Seal Marielle F. Hazen. Notary Public Susquehanna Twp.. Dauphin County 7 My Commission Expires Sept. 23. 2006