HomeMy WebLinkAbout12-27-06
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REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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COMMONWEALTH PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG PA 17128-0601
DECEDENrS NAME (lAST, FIRST, AND MIDDLE INITIAL) use a blank block to separate words
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SOCIAL SECURITY NUMBER
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COUNTY CODE
DATE OF BIRTH
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SOCIAL SECURITY NUMBER
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1, Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation,Partnership or Sole-Proprietorship (3)
4, Mortgages & Notes Receivijble (Schedule D) (4)
5, Cash. Bank Deposits & Miscellaneous Personal Property (5)
Z (Schedule E)
0 6, Jointly Owned Property (Schedule F) (6)
~ 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
..J (Schedule G or l)
:::)
!:: 8. Total Gross Assets (total lines 1c7)
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<( 9. Funeral Expenses & Administrative Costs (Schedule H) (9)
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~ 10, Debts of Decedent, Mortgage liabilities, & liens (Schedule I) (10)
11. Total Deductions (total lines 9 & 10)
:J!:'j{)::..!
Gr~t.)'
YEAR
(j N:tBER:; "
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,3 7 g ! 31 I
REGISTER OF WILLS
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6.46
(11) '3; , '117 5'1
(12) I !3S~ , l {,'j '(7
(13) I (J 00 t)()
(14) I , ~S ~ ! I " ~7
(15) O. 0
12. Net Value of Estate (line 8 minus line 11)
13. Charitable and Govemmental 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)
1. Original Retum 0 2. Supplemental Return 0 3, Remminder Retum (date 01 death prior to 12-13-82)
o 4. limited Estate 0 4a. Future Inlerest Compromise (date 01 death aller 12-12-82) 0 5. Federal Estate Tax Retum Required
o 6. Decedent Died Testate (Alloch copy 01 Will) 0 7. Decedent Maintained a living Trust (Allach copy oiTrusQ -:- 8, Total~ Number of Safe Deposit Boxes
o 9.litigalion Proceeds Received 0 10. Spousal Poverty Credit (date 01 death between 12-31-91 and 1-1-95) 0 11. Election 10 tax under Sec, 9113(A) (AllachSch 0)
THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
COMPLETE MAILING ADDRESS ~I . ...
('3ou t.Ai-\tf2.f.t:d S-r.) 50 t r~ It I,
LE'r"vl,()yNt, fA 170l.f3
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15. Amount of line 14 taxable
at the spousal tax rate 1 ,
See instructions on reverse side for applicable percentage
16. Amount of line 14 taxable
#1601. r9~ Itr I')..~ ~
17. Amount of line 14 taxable
at 15% rate
x .0
, 0 I. ~, :;'l(-l .' 7 ,~
~.!,q ,1,h<6'.., .7
x .,I'l. (16) , I) ~i , If (, 1. of)
X .15 (17) So 1 " . 2':'
(18) I 7 ~, '15 g J.J.
18, Tax Due
19,
.5"32
.ADDRESS
gov f1N..,'~T ST;
).:
DATE
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DATE
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Decedent's Complete Address:
STREET ADDRESS ,,. ._ ... I , fl.. "I
"_. !AI 1... lI;),V /.. l
CITY
M13e-tt!+(lI1C) f)ut26r
ZIP /"1 D S"S
Tax Payments and Credits:
1. Tax Due (Page 1 Une 18)
2. Credits/Payments I
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
t 77.., I.fsf. 2- ~
g, (. :;.,.. '1/
Total Credits (A + 8 + C) (2)
31 ~)"'1. '1-
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty ( D + E) (3) f).Do
4. If line 2 is greater than line 1 + line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 19 to request a refund (4)
5. If line 1 + line 3 is greater than line 2, enter the difference. This is [he TAX DUE. (5) /I.:g ,t J.5.~ f
A. Enter the interest on the tax due. (5A) (j~ 1Jf)
8. Enter the total ofUne 5 + 5A. This is the BALANCE DUE. (58) 1'5, f'3$'.3!
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUE~fTI6tis
BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes
a. retain the use or income of the property transferred; ............................................................. D
b. retain the right to designate who shall use the property transferred or its income; ................ D
c. retain a reversionary interest; or............................................................................................. D
d. receive the promise for life of either payments, benefits or care? ......................................... D
2. If death occurred on or before December 12, 1982, did decedent within two years
preceding death transfer property without receiving adequate consideration? If death occurred
after December 12, 1982, did decedent transfer property within one year of death without
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
4. Did decedent own an individual retirement account, annuity, or other non-probate property?... D
'~ "'0'
No
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IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN
, .". . '.... '.. ,
72 P .S. ~9116 (a) (1.1) (i) provided for the reduction of the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse from 6% to 3% for dates of death on or after July 1, 1994 and before January 1, 1995.
72 P.S. ~9116 (a) (1.1) (ii) provided for the reduction of the rate imposed on the net value of transfers to or for the use of the surviving
spouse from 3% to 0% for dates of death on or after January 1, 1995. 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 JANUARY 1,1995 - Please answer the following question by placing an "x. in the
appropriate space.
Did the decedent create a trust or sjlnilar arrangement which is solely for the surviving spouse's benefit for his or her entire
lifetime? Yes D No g , ,
If you answered yes to the above question, the tax on the trust or similar arrangement is postponed until the death of the second
spouse, at which time it will be fully taxable at the rate(s) applicable to the remainder beneficiary(ies). Enter th~ value of the trust on
Schedule J, Part II, in order to remove it from the calculation of the tax due in this estate. You may wish to file Schedule 0 in order to
make the election available under Section 9113. If the election is made, the trust or similar arrangement is taxed in the estate of the
first decedent spouse, the portion of the trust or similar arrangement which benefits the surviving spouse is taxed at the zero tax rate,
and the remainder is taxed at the rate(s) applicable to the remainder beneficiary(ies). If you choose to make the election, you must'" .
attach Schedule 0 to a timely-filed tax return, along witb Schedule(s) K and/or M in order to show the apportionment of the trust or
similar arrangement between the surviving spouse and the remainder beneficiary(ies).
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, REV-I502EX .(1-97)
SCHEDULE A
REAL ESTATE
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
MA ~/ R. 1)b pJAtirl- Y ,). J-()6 ... 01 3 ~
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged
between a willing buyer and a willing seller, neither being compelled to buy or sell. both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of
survivors hiD must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
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, TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
()
REV.,503 EX. ('.;7)
ESTATE OF
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
MAR:! ~, 'DDNAG--f~ Y
FILE NUMBER
)./-Ob- 6 (1'33
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
-I, ,7~ 37(. ..~,
S~ Sq..(e"DUr...E ,A-TTAc-t-{e1)
.,
...
TOTAL (Also enter on line 2, Recapitulation) $ I { 3 7 ~ 3 1/. 38".
(If more space is needed, insert additional sheets of the same size)
-
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rl:1 M&rInvestment Group
M&T Bank, 213 Market Street, Harrisburg, PA 17101-2127
717 255 2059
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October 11,2006
Austin Donaghy
218 Bailey Street
New Cumberland, PA 17070
Re: Mary Donaghy, Trustee u/ A
Dear Austin:
As per our telephone conversation, enclosed please find a list of the cash and assets held in
Mary's Trust as of her. date of death. The values listed are also as of her d?te of death and we
have adjusted the tax cost accordingly on our system.
Very truly yours,
.~
(tvfrs.) Sue Mauery
Vice President & Trust Officer
SM/lt
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Enclosure
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$25. U. S. Savings Bond, Series E, dated 10/1/79
$25. U. S. Savings Bond, Series E, dated 11/1/79
$25. U. S. Savillgs Bond, Series E, dated 12/In9
$025. U. S. Savings Bond, Series E, dated 0111180
$25. U. S. Savings Bond, Series E, dated 02/1/80
$25. U. S. Savings Bond, Series E, dated 03/1180
$25. U. S. Savings Bond, Series E, dated 04/1/80
$25. U. S. Savings Bond, Series E, dated 05/1/80
$25. U. S. Savings Bond, Series BE, dated 09/1/98
57,500 U. S. Savings Bond, Series H. dated 10/01106
$75,000 Federal Home LoanMtg Corp. 5.125% dated 10/15/08
Accrued. interest
$75,000 Federal National Mtg Assn., 5.250% dated 01/15109
Accrued interest
$75,000 Federal Home Loan Mtg, 5.000010, dated 10/18110
Accrued interest
$75,000 Federal National Mtg Assn. 5.375%, dated 11/15/11
Accrued interest
$50,000 Derry P A Area School Dist, 2.500%, due 02/01/07
A~rued interest
$25,000 Mechanicsburg P A Area Sch Dist 2.750%,
due 2/15/07
Accrued interest
5,870.594 units Vanguard Index Fds, 9/29/06
62,217.337 MTB Group Funds, PA Muni Bd I I
Accrued interest .
95.40
96.30
96.30
96.30
96.30
96.30
94.42
95.37
17.21
7,500.00
75)292.97-
1,772.40
75,562.50
831.25
74,388.66
1.697.92
76,763.67
1)522.92
49,778.50
208.33
24,918.75
87.85
145,766.85
630,883.80
1,655.93
LESS: Trustee Fee
(9/5 - 1011/06)
(849.6~)
$1.378.371.3&
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'L006 11: 46AM
M T TRUST
NO. 3226
P. 4
E$tate ~aluation
Date of J)@ath: 10/01/20.06 tstateiof: Mary Donaghy
Valuation Date: le/Ol/ZOO6 ~eport TYPI: Date of Death
Proces.'J~n9 llata: 10/04/20.0.6 NUMbar of Secut1t1es: 57
rile In~ mdonaghy
,
Shares Security Hean and/Qr olv and lot SecUdty
or PIIr Description lIiqh/Ast LOw/sid Adjustaent, Accruals Value
.
1) 672 6 7.0.6 CUll lCASH) &7,261.06 ...
2) 37954.6 CUll I CASH I 37,95.4.&0
3) I1ntncloIft CUSIP (553994641) 0.00.
41 25 ~ITED StATES SVG BO S&R & 191~S3'TV91
OTC
DTO: lo./OllU1ij
10/01/2006 S)4.liOOOO 'Ale
534.600000 133.65
5) U UNUro STATts SVI; 110 S&R E 1912S37T1f71
ore
DTD~ 11/01/1976
10/0.1/20.0.6 539.80000 AlB
539.800000 134.95
J
6) 2S U~Ittb STATES SvG DO SER E I 912S37TX5l
Ole
OTD: 12/01/1976
10/01/2006 541.32.000 AID
541.320000 135.33
1) 25 UNITtD ST^~S SVG SD SER E In25J1'N3)
OTC
010: 01/0.1/1971
10/01/200.6 5U.32000 A/D
541.320.0.00. 135.33
Jt.
I) 2S UNITED STATES 5VG DO S&R E I91Z531no.)
OTe !'
OTO; 02l0l/1977 ~ " .
10/01/2006 5n.J2000 AI!
~H.320000 13!1.J3
9) 25 UNITED STATES SVG all SER E 19125 J71lA3) ?'
OTC
DrD: 03/01/1917
10/0112006 541.32000 Ala
~n.320000 135.33
101 25 UNITt!) stATES SVG BD SSP. G (912~31tlB11
OTe
orD: 0.4101/1971
10/01/2006 530.72000. A/B
530.720000 132.69
11) 25 UNlTEIl STATtS SVG SD SER E 1912531UC9)
OTC
DrD: 05/01/1917
10./01/2006 535.96000 AID
535. UOOOO 13J.99
12) 2S UNITED SlATES SVG DD SEP. E 1912537UD71
OfC
OTD: 06/0.1/1911
10/01/2006 537.08000 Ala
531.0800'00 134.21
13) 2~ UNITSD STATES svG liD SEll E 19U5J7\1ESI
OTC
DTD: 071011197'7
10/01/Z006 537.00000. Ala
537.00.0.000 134. 2S
141 2!1 ONITED STATES SVG BIl SP E 1912531I1F21
OTe
DTO. 09/0111977
10/DIIZOO' 531.000.00 AID
537.0000.00 134.25
Page 1
This tepott was produced with EstattVal, 8 product of Estate Valuation, , Pricinq systeMS, Inc. )f you haye que,t1on:,
plea5e contact SUP systems at IDID) 313-6300 or wwv.eYpsy&.eo.. (ReVision '.0.3)
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./_'l'~:l006 II :47AM
M T TRUST
NO. 3226
P. 5
D8~e 01 DeB~h: 10/01/2006
Valuation Daee: 10/01/2006
processing Date: 10104/2006
Estate Off Mary Dona9hy
Report Type: Oat, of De 11th
Numh@r of Securities: 57
File lb: ~ona9hy
Me~n and/or oiv and lnt Security
Adjustments Accruals Value
Shares
QI Pia
Security
DescdpUon
H.i.qh/ASlc
x.o,,/1l1d
151 25 UNITED STATES SVG SO SEll. I (912S37UGOI
OTe
DrD: 09/0111977
10/01/2006
537.00000 Ala
537.000000
13~.2S
161 25 UNITED STATES S\'G aD stR R 1912531\1118)
OTe
DID: 10/01/l!I11
10/01/2006
526.48000 AlB
526.480000
131. 62
171 2S UNllED STATES SVG SO StR E (912531OJ41
OTe
!>TO: 11lO1/1917
10/0112006
~e2.80000 AlS
482.800000
120.70
191
25 UNITED STATES $VG eD StA & /912537UKll
OTe
OTD: 12/01/11117
10/01/2006
484.16000 AlB
4&4 .160000
121. 04
19) 25 UNITED STAm SVG SD SER E (9125370191
ore
D70: 01/01/U78
10/0112006
484.16000 AID
484.160000 121.04
484.1GOOO NB
484.160000 121. O~
409.08000 AI&
409.080000 102.2'1
20J 25 UNITED STATES SVG 8D SER E 1912S310ij7)
OTC
0'1'0: 02/01/1~1B
10/0112006
21l 25 UNtTED ST~tES SVG 80 SES & /912SJiUN5)
OTe
MD: 03/01/1978
10/0l/2006
22)
2~ UNITED STATES SVG 80 SER E (9125J7~POI
OTe .
070: 04/01/1978
10/01/2006
401.96000 AlB
401.960000
100.49
23)
2S UNITED STATlS SVG BO SEl t 1912531008)
OTe
D'D~ 05/01/U18
10/01/2006
394.20000 Ala
3114.200000
99.55
21' 25 UNITED !T~r&S SVG BD SEA t /912SJ70R6)
ore
DTD: 06/01/1918
10/01/2006
251 25 UNITED STATES SVG BO SER E /9l25J7UStl
OTe
OlD: 07101/1919
10/0112006
261 2~ UNITED S~TES svG so s&a E 19125JiuT2)
OTe
Olll: 08/01/1978
10/0112006
paqc 2
This report was produced with Estlteval. a product of Estatt Valuations' pricing SYSt~5. Inc. If you have questions,
please contact EVP sYSte.s It (818/ 313-'300 or ~..vp&ys.com. IRe~ision 7.0.))
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06 11: 47AM M T TRUST NO. 3226 P. 6
oat!> of Dae.f.l\' \O/Oll2o{)l; Estate of: Hary Donaghy
Valuation Date: 10/01/2006
processing Date; 10/04/2006 RepOrt Type: nete of Death
Number of se~it1es; ~1
rill ID: Fdonaghy
.;[ Shues Security Kean andlor Div and Int Security
~ or Par Description llj,gb/lUlc Lov/8S.d
~ ^djust~ent8 ~cr~a1s value
I 27) 2!o UlIl'l'EO STATU SVG DD SSR E 11ll2S31UU9 )
OTe
D'ID: 09/01/1918
10/01/2006 39~.Z8000 Ale
I 3115.280000 98.82
m 2S WIfED STArES SVG 81) StiR E 1912S370v7,
~ OTC
tl, DTDI 10/01/19n
s.
:,~ 10/01/2006 387.S2000 AID
iil< 361.520000 96.e8
;.~
~:l 29) 2S UNITtD STATES SVG 80 SEa E (912S31UWSI
~~. OfC
~~ DTO: 11/01/1978
t: 10/0112006 391.20000 AID
';li- 391.200000 91.80
~i:
'1 JOI 25 ~lfED STATES SVG iD SfiR E I 912537\7ll))
ore
Dr!): 12101/1978
10/0112006 J9l.Z4000 Ale
392.240000 98.06
,,,.
~, J
3l) 25 UNtfED STATES SVG BD SER E 1ll12537UYl1
OTe
orD: 01/01l197!'
10/01/2006 392.32000 A/S
392.320000 98.0B
321 25 UNITED STAT~S SVC BD SER E (n253'Uz81 ~
ote
010: 02101/1919 .
10/0112006 nz. nooo AID
392.320000 ge.os"
331 25 UNITtO ST~TtS SVG 8'0 SER E \912531VA2)
OTC
OTD~ 03/01/UH
10/0112006 392.32000 Al8
392.320000 9B.08
341 2S UNITED STATES ~VG sD SSR & I 912537VBO I
OTe
DTD: 04/0l/U79
10/01/200& 384.60000 Al8
38~.600000 96.15
35) 2S UNIT!:D $T~TtS SVG BD SER B 1912531vc81
OTe:
OTD~ 05/0111110
10/01/2006 388.32000 Ala
388.320000 91.0B
361 2~ \l14ITED STATES SVli 80 SEll E (912S37VD61
Ofe
OTD: 06/01l19H
10101/2006 3".24000 AlB
389.240000 9' .31
31J 25 UNITED STATES $VG SO SER E (9125J7V&C1
OTe
DTD: n1/0.1/1979
10/0112006 389.24000 AlB
1 ~e9.HoOOO 9'.31
J8) 25 UNITED STATtS SVG 80 SEa & (912537VF1)
orc
Dro~ 08/01/1919
10/01/2006 389.21000 7V9
389.240000 91.31
Page 3
this fepoft was produced wltb tstateVal, a product of Estate V~luation' . pr1cinq Systems. Inc. It you nay! qUl!$tion"
please contact EVP S~stoms at (8181 313-6300 or ~.eYp'Y"com- (aeYlslon '.0.31
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Date ot ceat~, 10/01/1006
Valuation Oate: 10/01/2006
proce8'~n; Date: 1010"2006
Share,
Or Par
gecuri ty
Descriptioll
HiglJ/A:Jlt
Low/i1d
39)
25 UNITED STATES SVG ~O SIiR I: f912SJ'1VG9)
OTe
MD: 09/01/1!H9
10/01/2006
389.24000 Ale
40)
2S UIfIno STATES $VG BO sn }; \912S31VH1)
OTe
Of!): 10/01/1919
10/0112006
391.60000 Ale
41)
25 ONItEo STAT~' SVij 80 SER ~ \91Z5J1VJ3)
OTC
OTo: 11/01/1919
10/01/2006
385.20000 A/S
42)
25 UNITED STATES SVG aD 56ft c (9125J7VKOI
OTC
>>TD: 12/01/1919
10/01/~006
J85.20000 All
43)
25 ONltto STATES SVG tD SER E 1912SJ'VL8)
ore
OfO: 01/01/1580
10/01/2006
385.20000 Ale
141
2~ UNITED Sr~rE$ SVGBD S~ E (91~S3TVh6)
OTC
PrD: 02/0111980
10/01/2006
385.20000 AlB
45)
25 UNITED S1ATES SVG 10 S&ft g 1912SJ1VN41
O~
MD: OJ/01/1980
1010112006
39S.20000 A/S
461
2~ UNITED STATES SVG 8D SER C IS12~3'Vf91
OTC
otb: 04l01/l!lIlO
10/01/2006
311 . 68000 Ala
47)
is UNITBD ST~TE$ SVG 8D SER E I 912537VQ1)
O'l'C
DTO: 05/01/1980
10/01/2006
391.48QOO Ali
48)
25 UNITED SfATLS SVG 80 Sta ti 1912S40KJ9)
OTe
DTDl 09/01/1998
1010112006
n.B4000 Ala
49)
1500 UNITED STATtS SVG SD SEa H 1912SS4NEBI
DTD: 10/Dl/1916 Kat: 10/01/2006
10/01/2006
100.00000 tilt..
SO) 75000 fEDE~ KOM& LN MTG CORP /J13tA2UJSl
GoTernment/Agancy IDealer Quotation"
DIP: 10/13/1998 Mat: 10/15/2009 5.125\
09/29/2006 100.31500 100.28125 A/a
10/02/2006 100.50000 100.40625 Al8
Int: 04/15/2006 to 10/01/2006
NO. 3226
iJ
p,
7
Estate ot: Mary Donaghy
~eport Type: Pat@ Df Death
Number of Securities: 57
rUe Ib: lIdonaghy
Mean ahd/or oi. and tnt Security
AdjusbQents AOOruals Value
389.240000
97.31 '
381.600000
9S.40
385.200000
96.30
385.200000
96.30
385.200000
96.30
385.200000
96.30
385.200000
96.30
311.680000
9' .42
381.480000
95.3,
68.840000
17.21
100.000000
1,&00.00
100.390625
75.292.97
1,772.40
page 4
Thi$ ~eport ~I$ producsd with Eat~teV~J, 0 product of t3~at' Va1u~tiDns , Pricing Sys~ems, Inc. If you hl~e questions,
p!ease contact iVP Systems at (8181 313-6300 Q~ www.evpsYI.c~. IRevision 7.0.31
/
';"'2006 \\:,48AM
M T TRUST
Date of Death: 10/01/2006
valuation Date: 10/01/2006
processinq Date: 10/04/2006
Shilr es
or \Jar
Securi l:y
Description
Riqh/Mk
Low/aiel
S1)
'5000 FEDEl\AL MATL M'!'G ASSN (313~9HEK51
Govlrnment/Aq~n~ (Deale~ Quotation,)
VTD: 01/11/1999 Hat: 01/1S/2009 3.25\
09/29/2006 100.75000 100.62500 Ala
10/02/2006 100.81500 100.'5000 Ale
Ine: 07/15/2006 to 10/01/2006
"000 FEDElUIL IOME LN tlTG COJl.P HrN (3129X4RZf)
Financial Tim.. Interil~i"8 Datil
DTD: 10/18/2005 Mat: 10/18/2010 St
09/29/2006
10102/2006
521
~g.lS62S AlB
99.21350 Hkt
Int: 04/18/2006 to 10/01/2006
33) 75000 FEDERAL NATL HTG ASSN 131359HLSOl
Gov~rnment/Agency (Dealer Quotations)
DrOl 11/23/2001 Hat: 11/15/2011 5.375\
OgJ29J2006 102.37500 102.15625 Ala
10/02/2006 102.56250 102.31250 AlB
Int; 05/15/2006 to 10/01/2006
541 50000 DEMY fA AREA sell DlST G.O aEr B 12S00S1JG2)
Financ!al Times rnterilctive Data
OTD: 09/15/l002 Kat: 02/01/2001 2.~\
09/29/2006 99.55500 Mkt
10/02/2006 99.55900 Hkt
Int: 09/01/2006 to 10/01/2006
25000 MECRANICS8URG PA AlIA SCH D15T Go BDS (~e3126JX3)
Financi~l Times Interactive Data
DTDt 05/15/2003 Mat: 02/1S/2001 2.75'
09/29/2006 99.61400 Mkt
10/02/2006 99.67600 Hkt
55)
56)
lot: OB/15/2006 to 10/01/2006
5870.594 VANGUARD INOtX rDS (9229096181
VALU INDE:X ADM
Mutual Fund las quoted by NASDAQ)
09/29/2006
24.83000 Hkt
57) 62211.337 tcTll GROUP FIlS \55316'1288)
"" HUN SO r I
Mutual FQnd la, quoted by NAS~Ql
09129/2006
10.14000 Mitt
Total Value
total Acerual.
. Total $1.21',077.00
NO. 3226
p, 8
Estate of: Mary Donaqhy
!eport Type: Date of Oe~th
Nuaber of Securlti~5: 51
tile 10: mdonagby
Mean and/or Div and lnt Security
Adjustments Accruals Value
100.750000
15,362.50
831.25
99.184815
14,388.66
1,li91.92
102.351563
76,163.67
1.~22.92
99.551000
49,118.50
208.33
9ll.&7S000
24,918.75
81.85
24.830000
145,766.85
10.140000
630,883.80
$6,120.61
H, 270, 9Sb.33
Page 5
This report wa~ produ~ed with E~tat~Vel, I product of t,tate Valuation, , pricinq S1stens, Inc. If yo~ have questions,
ple~se contact gVp Sv,te3S at IB1Bl 313-6300 Ot www.evp5YS.com. llevi,ion 7.0.31
).:
! <
; l'
~ .
~ ....
"
...
REV-1501 EX+ (1-91) \"
~~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE D
MORTGAGES & NOTES
RECEIVABLE
ESTATE OF
fV'1A/2Y f? .
FILE NUMBER
~~ ) '" ~
c-i.. - 010 -
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
Q~f~)I\&+~ ,/
o O:,:,?
-f "...~~
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1.
IV 6 rJ~
o
\
,
...
TOTAL (Also enter on line 4, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
o
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF IlAli
I vr1/J,Y I~?t
\
1
, I
REV.15Oll EX '(1.97)
"
<
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the ritJht of survivorship must be disclosed on Schedule F.
DbNt)qf{ !
FILE NUMBER
.21 - Ot.~ - 0(/' :..t;:.?
~. . ,.,4.;,;"J
ITEM
NUMBER
1.
~,
3.
l.(.
::i.
~,
7,
~,
VALUE AT DATE
OF DEATH
DESCRIPTION
HD()~'I'{O,,"O rUft.-:I\J !..:;~" 1106<;
Per2~ NA z.. JFp..'Fe:crr;.
(:>
...
C>
')
bb,'di::'(', (!..oP1"
f7~.oD
3)S,~
MftJ~ ~..DA\
SeJ€LfJ.. '/
C. Ht:2:. ~~J('lj'" j.\CC-r.x..,.u;,.l7"" . 7
fvt.,..r, uJl$~' PWl~,4 U;r;(C4 I '-c:-""""oytvE;, I ('tl-
A-cc".f, ND. )..~;. 7 , 4CfS /.,.
~I b j'. bt>
s; 'fl(;, 00
ellS?!
C>rYtr(~ feP-SotJAL P,JA,"I)C'IIi'.f'l
)..S'C. 00
o
TOTAL (Also enter on line 5, Recapitulation) $ ~t J qt. tD
(If more space is needed, insert additional sheets of the same size)
.J...L ILl..,) IIU\J ~U. ~'"']: J. l)Vl J
499 Mitchell Road
Mil/sboro, DE 19966
Mail code DE-MB-12
Phone: 888-502-4349
Fax: 302-934-2955
I fl:1 M&TBank I
I'
Fax
To:
Sharon Bradford
From:
Nancy Clagett
M&T Invcslrnent Gl'OUP
Fax:
117-231-2636
Date:
October 24, 2006
Re:
Estate of: Mary R Donaghy
Social Security: 162-07-9876
Date ofOcath: October 01,2006 Pages:
Dear Sir or Madam:
Per your inquiry l'cccived October 12, 2006, please be advised that at the time of death, the above-named decedcnt
had on deposit with tllis bank lhe following:
J, Type of Account Checking Account
Account Numbe,- 28784456
Ownership (Names' oj) MlIIY R Donaghy *
Opening Date 08/28/64
Balance on Dale of Death $5,409.82
Accrued Interest $ 0.18
Total $5.410,00
Please be advised, there was no safe deposit box found for the above decedent.
* }<'or furthcr account inlormation, regarding owncrship, closures and/or reimbursement of Cunds, etc.,
please call tbe West Shore Plaza Office # 717-255-2271.
Sincclcly,
,"l(Vb'7t!~?r--'
Nancy Clagett @ Records Management
This communication contains in{ormaUon that may be conndenUal and proprietaly. You may not U5e, disseminate,
distribute or copy aU or any part of thiS communication without the express conser1l of 11& T Bank, N.A. or U1eir respective
subsldianes or affiliates. In addition, if you are not the addressee (or are authorized to receive tNs information J}y the
addressee), you are not authorized to receve or review the contents of this communicaUon. .
"
"
,y
.>,
, REV-l509 EX + ;1-97)
SCHEDULE F
JOINTLY-OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
jVJA~Y
(2.
l)c)rJA<;' flY
FILE NUMBER
~/-6b -0 (1'33
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.
/VotJG-
s,
c.
JOINTLY-OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY '!oOF DATE OF DEATH
ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar identifying number, Atlach DATE OF DEATH DECD'S VALUE OF
NUMBER TENANT JOINT deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
,
1. A. N () {Ue
-,
~
.
"
I
, TOTAL (Also enter on line 6, Recapitulation) $ 0
(If more space is needed, insert additional sheets of the same size)
REV-1S1 lEX. (1-91)
\
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
1.
B.
1.
2.
3.
4.
5.
6.
7.
~.
~,
/4,
\ \'
p-.
f~.
tv;
,~.
fl..
11.
If.
f'l.
f\.1 ~ J<:: \
D().MA (;-;~ 'I
FILE NUMBER
;2{-06- Dr??
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
ESTATE OF
DESCRIPTION
FUNERAL EXPENSES:
rJ 6lL FtlM?leAL.. \'\i) 1"16
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s) MwMv(',o 'O~I ~ ..... 1ttJ9,77~ f)<<Jcrtll::=l1.1'1
Social Security Number(s) I EIN Number of Personal Representative(s) (&')...-1..'1.- ~{ 'U .J.- (q 2-{1.j. .S$7o
q;:l. ~. ~1-"w.Nfl ,e.v1=
Street Address .~:lt. 'ftIUfy "'.....
I't (-Mtv@~efl. ~ I'r-
City f'I/JIW c ~A (IIi) Stale pA
./<>, lnJ~
.t-.(JTO
Zip
/Il(.l~
1'1 c:n D
Year(s) Commission Paid:
Attorney Fees
Family Exemption: (If decedenfs address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
State
Zip
Probate Fees
Accountant's Fees
Tax Return Preparer's Fees
l:f. ~~~(2Q fWl @A.Il-~ ~~vt~
~~'f ~1t,c.49 f.1u~J'~-
~{"l ~ UJtJ / tf~
~f<.JtJd} (J..(c.t/ A<;6DC, /1'16UILA/,. ?r<-OJ'f
f~""cPr~ f'/.ItIW ~ I E5~ ,V07l Uf
CJJIIIt~ (bOlYf\( t-IstJ .:1tVl2(l1A\.., ~t-~s.f..i4 I f~
~'I \tft,...U'l~. ~'11",*, ti.l'~
Ihl..'f Si',It.(1" tfv;e. ~M.fJ ~((~ fp..
4~,... fMKII/4-
.fIAlflAa-e-
ftHP.'HS/rl-S
IJ/?;;€p-l/l5/ fE.f2SoAlllc... T ~~ 1~)t~
P-~Vfi"/ ~~(~
,
4
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
AMOUNT
?PLf. /,0
)...0, U;:nJ, /YO
;... ;)...100, &0
~(.4- ()1)
,?~.n>
\ 2Q- o~
~7~."7l>
G, , ;1.., ()i)
lS'.11
"~I .1c.f
. 1~, 61>
7, '3 7il,' dO
. ).:;. (;?
'h9J.Y/
4-~ , 'L!:
/1().lU
5" nJ. 4"\)
~~.~
33 ~tf7,SI
.... .... 0 0 0 U :.t
0 0 0 0 0 I,() I,() I,() I,()
........ ........ ........ ........ ........ ........ ........ ........ ........ 0 R<>
I\) I\) I\) 0 0 I\) I\) I\) ....
w w w 0\ 0\ ()) I\) I\) I\) +=' -I
w
>-10 >-10 >-10 >-10 --10 \J1"'O"'OO \J13: "'0 0 \J13:"'OO \J1Z"OO ()) c:a
0:xJ> 0:xJ> 0:xJ> 0:xJ> %:xJ> 0:xJ>> OFTI>> OFTI>> OC>> \J1 >
o>en o>en o>en o>en o>en FTI-en o-en o-en :xJ-en \J1 Z
:xJz::r O%::r O%::r :xJ%::r O%::r 3:eno::r >-o::r >-O::r >eno::r ;0::
oen en en cen 3: en >0 00 00 0-
...,0 -""0 -""0 FTI...,O FTI...,O :xJ:xJ-I0 0>-10 0>-10 OZ-IO
FTI- %FTI- ZFTI- OFTI- FTI- -<-0- oro- oro- OQO- en
-:xJen -I:xJen -I:xJen :xJen aJ:xJen "'0 en C en c en c en J FTI
:z aJ c:a aJ ..., c:a > aJ 0-1 aJ % FTI c:a % FTI c:a z::r c:a 0 :xJ
-I-IC -IC -IC f"l-lC r-lc 0- C -IX C -IX C -10 C 0-1<
0:xJ +='0:xJ +='0:xJ f"l0:xJ >0:xJ %O>;c "'OO:xJ "'OO;C 'It:3:J:xJ %;C-
en ........ en ........ en en % en >%ren 'It:FTlcen 'It:FTI>en I\)FTlaJen >>0
I,()"'OFTI ...."'OFTI ...."'OFTI ""-f"l O"'OFTI Q f"lFTI ....Z>f"l +=,Z;CFTI .... FTIFTI QZFTI
........;C3: ()):xJ3: \J1;C3: ;cz3: FTI;C3: ::rO:xJ3: ....enz3: ""en03: 0 -13: ::ren
....-FTI I-FTI I -1'Tl 001'Tl -1'Tl -<;C-l1'Tl O\f"l-l1'Tl ""1'Tl-1'Tl I\) ::rf"l -<>aJ
I\)ZZ ....zz ....ZZ 3:0Z >zz c % 0\ CZ .... OZ I >Z . oc
10-1 00-1 00-1 3:-1 en 0-1 Q"'O-I +=' 3:-1 "" <-I 3: Z-I -I;C
....- ........- ........- I,()FTI ::r 0\ I > > -< 3:-FTI
0"'0 .... "'0 .... "'0 ........ 0"" f"l> 0 .... en ;C >0>
........> ........::1> ........::1> \J1 ""::1>- X:xJ 0 3: I 0 -< < :xJZC L--
....r or or I r ""3: I,() > .... C - -< en--
3: 0\ 0\ .... 0 FTI> w Q r 0 r -
aJ 0 0 ZO ::I> 0 r -I"" If\
% ..., ..., ........ 0 en-< z ;C % ::I> ........;C
> I'Tl f"l .... ,." Q 3: ::I> Q ::1>0 \)
0 0 ........ en 3: > en Q ,." 3:
> 0 I'Tl > R<> ;C C ::r
3: 0\ :xJ ;C -< ;C -< 0 ~
,." ::r ::r < -< -I Q I,()
:xJ 0 0 - ::r 0 - ........ ')
3: 3: 0 0 FTI 0 0 0
c:a I'Tl FTI I'Tl 0 ;C % > .... \1'l
;0:: en Z ::I> ::I> r ........
0 r r > "'0 Q 0 ~
0 Z Z Q f"l ::r 0\
::r C -< Z 3
\J1 3: 3: Z -< -I en -I
-I -I 0 - -I 0
I\) Q Q 0
I\) .... ~
0 .... 0
ltll 0 0 ........ :>
........ ........ w
I\) .... .... .... .../-
........ ()) \J1 "'0'-
.... '- ........ :xJ0 If\
I\) .... 0 -0\
........ 0 ()) %
0
-../
0>
()) >r
+=' enr
I,() ::r
"'0
0\ 0
0\ ;c
I -I
...,
-0
zr::l>
0-0
w 003:
.... .... -../ -../ 3:
. . ,."....%
I\) 0\ -../ I,() w 0
-../ I,() -../ \J1 -../ 0........
-../ -../ I\) +=' ()) I\) w -../ >w
en....
0 I,() +=' 0\ ()) 0\ , \J1 0 ::r........
I,() I\) 0 0 ()) \J1 4 \J1 0 0
1 I 1 1 I I I I 0\""
Q
~ \ ""i
\ " I\)
0.
\0-:' ,
.-
~.
NEILL
Funeral Home Inc.
Mr. Austin Dougherty
218 Bailey Street
New Cumberland, PA 17070
Services For: Mary Rita Donaghy
Servites of Funeral Director and Staff . . . . . . . . . . . . . . . . .. $
Embalming .......................................
Dressing Casketing and Cosmetology . . .". . . . . . . . . . . . . . .
Visitation ............ . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Funeral Service .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Transfer of Remains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Hearse/Coach and Driver . . . . . . . . . . . . . . . . . . . . . . . . . . .
Safety/Lead Vehicle and Driver .. . . . . . . . . . . . . . . . . . . . . .
Flower Van and Driver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
446T Blue Gown .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Flowers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Death Certificates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Rev. Paul C. Helwig ................................
Organist - Tony Ciucci . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Soloist ...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Patriot News Obituary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Alter Servers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Catholic Cross - Box set .. . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Gauge Galvanized Steel . . . . . . . . . . . . . . . . . . . . . . . . . . .
Package Savings ........ . . . . . . . . . . . . . . . . . . . . . . . . . .
PN Discount 1 Trust: PN to AN .......................
Discount 2: Family Paid on PN .......................
3401 Market Street
Camp Hill, PA - 17011-4428
tel 717 737-8726
fax 717 737-1859
Rebecca J. Donahue, Supervisor
3501 Derry Street
Harrisburg, PA. 17111-1817
tel 717 564-2633
fax 717 561-9918
Stephen J. Wilsbach, Supervisor
",
...
October 5, 2006
Ref No.: 1003380 I C06 079
1,935.00
515.00
205.00
315.00
515.00
415.00
315.00
205.00
100.00
165.00
106.00
108.00
125.00
100.00
75.00
169.60
20.00
190.00
2,545.00
(370.00)
(5,373.00)
(5,776.00)
Member of
ALDERWOODS
GROUP
J35 6250 TOPAZ. . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . .. $
Total Funeral Charges
Adjustments (Payments)
Balance Due on Account (Due date: 10/05/2006)
$
$
3,750.00
$354.60
0.00
$
$354.60
....
I
\"'"
. '\
JAMES D. BOGAR
Attorney at Law
One West Main Street
Shiremanstown, PA 17011"
Telephone (717) 737-8761
Facsimile (717) 737-2086
Estate of Mary R. Donaghy
clo Austin C. Dougherty and Lawrence J.
Dougherty I Jr. I
Co-Executors
218 Bailey Street
New Cumberland PA 17070
In Reference To:
JDB FN 3777-1A
Estate of Mary R. Donaghy
10/09/06 Initial office conference with
Austin C. Dougherty and Lawrence
J. Dougherty, Jr. re review of
Will, administration of estate,
pennsylvania Inheritance Tax law
and related matters
10/10106 Review of information supplied by
clients and preparation of
Petition for Probate, Oath, Estate
Information Sheet, Tax EIN
Application; letters to M & T Bank
and M & T Investment Group
requesting date of death values;
letter to Pennsylvania Department
of Public Welfare; preparation of
Executors Notice and letters to
The Patriot and the Cumberland Law
Journal requesting publication;
letter to clients
F~r professional services rendered
BALANCE DUE
S TAT E MEN T
October 16, 2006
Hours
Amount
1. 30
2.'50
",
"
3.80
$760.00
$760.00
REV.'511~.(1.971 ~
. ,.
COMMONWEALTH OF PENNSYLVANIA
INHERIT ANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF MM-V IT... l
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
];aItJAf+ty
FILE NUMBER
rl../- 06'- 69 3Jl
Include unreimbursed medical expenses.
ITEM
NUMBER
1.
DESCRIPTION
AMOUNT
D
,
~
.
...
(I) ON Ci
TOTAL (Also enter on line 10, Recapitulation) $ a
(If more space is needed, insert.additional sheets of the same size)
REV.1S13 EX '(1.97)
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF tV"1~':1 ~\ 'DON" A-f-f-I. 'I
,
\ ,1
NUMBER
l.
1.
J.,
3.
Y.
oS;
~
,.
f,
~,
(6.
l/.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS (include outright spousal distributions)
L~ ~ J". :J)~~'1
"~'J, W.~tI\"'OOVfl-II"'1 ~~lq6(1~4'\f;"W \1eiP
AIJSI!lIJ tlDC.\*',\tf\?i/
~l(' PJ~I/..iY~" f'//!'IV e/J~~~4'ltJ1)1 ~A 1107"
~ \.c.NH-i~1V
\ ~'" tZ-f"fJ.c..IJuT A.1>'1 ~(t...tP 1',,-,, I t1A \1 Coli I
,!U~ "A:>"W~ 1')'
1 N. 'hftl< 1< ()', t:-rrcttl:, fA 17 ":Iff
T7ft>1AA-f t)oo~.,;2.T"'1
/IJ(,. STe(7H{)\J~ 'DlL'1 V(,.'W~11\)"'1L't.AlW \ fft l ~ H$
l~lJ!f...v 'Df,QNsr/!'11J
bU. L.Mt~t'16y./.,g 'Pp,/ "'^,#Hall~;F-1 1140 '71-1
Mf..f'iVC R>UV#elJ.ry .
.J..tr e,+1c.4Y ~r. , (Vt;."W C!-UMi)'-/U..A,vV, f'If 110'"
/vM'(>( O~ HA-aLEP'
~ MLG-VUE ~D" /"'IfN~fU:>(J."'G, M 11 rJl(-7
/:;"1-AtN~ fI..l-f~{,D
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...
FILE NUMBER (}-l -D~- 01 33
RELA TIONSHIP TO DECEDENT
Do Not list Trustee(s)
AMOUNT OR SHARE
OF ESTATE
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B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
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ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, 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
/, r7f1J. ~yQ
TOTAL OF PART II. ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
11 rffI)."Ob
}
/
PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16,1929), P. L.1784
COMMONWEALTH OF PENNSYLVANIA
SSe
COUNTY OF CUMllERLAND
Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and
State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law
Journal, a legal periodic;ll published in the Borough of Carlisle in the County and State aforesaid,
was established January 2, 1952, and designated by the local courts as the official legal
periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly
issued weekly in the said County, and that the printed notice or publication attached hereto is
exactly the same as was printed in the regular editions and issues of the said Cumberland Law
Journal on the following dates,
VIZ:
November 24, December 1, 8, 2006
Affiant further deposes that he is authorized to verify this statement by the Cumberland
Law Journal, a legal periodical of general circulation, and that he is not interested in the subject
matter of the aforesaid notice or advertisement, and that all allegations 111 the foregoing
statements as to time, place and character of publication are true.
~
"
...
Donaghy, Mary R.. dec'd.
Late of Mechanicsburg.
Co-Executors: Lawrence J.
Dougherty. Sr.. and Austin C.
Dougherty c/o Albert J. HaJjar
Esquire. 1300 Market Street'
Suite "A.. Lemoyne, PA 17043.'
Attorney: Albert J. H<War. Es-
,u.ire, 1300 Market Street. Suite
A . Lemoyne. PA 17043.
SWORN TO AND SUBSCRIBED before me this
8 day of December. 2006
NOTARIAL SEAL
LOIS E. SNYDER, Notary Public
CarHsle 8oro, Cumberland County
My Commission Expires March 5, 2009
THE PATRIOT NEWS
THE SUNDAY PATRIOT NEWS
Proof of Publication
Under Act No. 587, Approved May 16, 1929
Commonwealth of Pennsylvania, County of Dauphin} ss
Shannon D. BiIlhime, being duly sworn according to law, deposes and says:
That she is a Staff Accountant with The Patriot News Co., a corporation organized and existing under the
laws of the Conmlonwealth of PelUlsylvania, with its principal office and place of business at 812 to 818 Market
Street, in the City of Harrisburg, County of Dauphin, State of Pennsylvania, owner and publisher of The Patriot-
News and The Sunday Patriot-News newspapers of general circulation, printed and published at 812 to 818 Market
Street, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were
established March 4th, 1854, and September 18th, 1949, respectively, and all have been continuously published ever
slllce;
That the printed notice or publication which is securely attached hereto is exactly as printed and published
in their regular daily and/or Sunday/ Metro editions which appeared in the 9th, 16th and 23rd day(s) of November
2006. That neither he nor said Company is interested in the subject matter of said printed notice or advertising, and
that all of the allegations of this statement as to the time, place and chatacter of publication are true; and
That he has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this
statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed
and adopted severally by the stockholders and board of directors of the said Company and subsequently duly
recorded in the office for the Recording of Deeds in and for said County of Dauphin in Miscellaneous Book "M",
Volume 14, Page 317.
"
PUBLICATION
COpy
1,
Estate Notices'
J~ E~T11ikoTlcE ;"',;
LlItlers.;Testamentary pertaining to
the'Estate of Mary R. DonaghY, late of
Mechanlcsburg. '.' Cumberland County,.
PennsYlvania,' having been, granted to
Lawrence 'J. Coul/herty, Sr..and Austin
C;'OougherIY, Co-Executors. all persons
Indebt~tothe, Estate are requested to'
make' paymen' thereon, and those who;
have any claims are requested to pres-
enUhe .ame for settlement thereon, to
",' " , Albert J. Hallar
Attorney tor the Estate
1300 Market street
Suite 'A"
,Lemo)'~!'f~ 17043",;",
Sworn to and subscribedd5~IDie~~svevA.r 2006 A.D.
Notarial Seal
Terry l.. Russell, Notary Public
City Of Harrisburg, Dauphin County
My Commission Expires June 6. 2010
/:;~/:;"fI~IJLi" ASf.od 0 01 Notaries
V{/V1 ~
THE HAJJAR LAW OFFICE
1300 MARKET STREET, SUITE A
LEMOYNE, P A. 17043
/