HomeMy WebLinkAbout04-27-07
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-I
15056051058
REV-1500 EX (06-06)
PA Oepertment d Revenue .
Bureau d Individual Taxes .. .
PO BOX 280601
HanisbtJrg, PA 17128-0601 ". .
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
..,"-_......,..- ........ -_..-._--~... ..--"".,-...----,-
OFFICIAL USE ONLY
CoI.Inty ~()de Year
INHERITANCE TAX RETURN ~, " I ".
RESIDENT DECEDENT:J U '-t'
File Number
&6(
Date of Birth
178-07-7513
07/1012006
11/01/1914
Decedent's Last Name
Suffix
Decedent's First Name
MI
Smith
Robert
L
(If Applicable) Ent8r Surviving Spouse" Information Below
Spouse's Laat Name Suffix
Jeffries
~POIJStt'lSFirst Nfirne
Isabel
MI
S
Spousft's Social ~~tytlllJlTl~r ...
160-16-9170
THIS RETURN MUST BE FILED IN DUPLICATE Wmt THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
C8J 1. OrigInal Retum
<=:::)
c:::> 3. Remainder Retum (date of death
prior to 12-13-82)
C':) 4a. Future Interest Compromise (date of c;:j 6. Federal Estate Tax Retum Req~red
death after 12-12~2)
c:::l 7. Decedent Maintained a Uvlng Trust
(Attach Copy of Trust)
c:::::l 10. Spousal Poverty CredIt (date of death C':) 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach sm. 0)
CORRESPONDENT - 'OtIS SECTION -..aT BE COIIPLETED. ALL CORRESPONDENCE AND CONFlDErmAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name 1:l~~rT141.!~r1It.~IJrT1ber !-~
..6
(717) 938-34~1? -J
'--REGiSTeR :-~~~=1
,c l")
'. -J
c:::J
2. Supplemental Retum
c:::::>
4. LinIt8d Estate
c8)
6. Decedent DIed Testate
(Attach Copy of WlA)
9. LJtIgaIIon Proceeds Received
8. Total NlIl1ber of Safe Deposit Boxes
Gregory L Smith
Finn Name (.If~licable)
First line of address
-0
50 Dubbers Drive
Second line of address
{"...:>
Cf.j
or Post Office
State
ZIP Code
17319
DATE FILED
Etters
Correspondenfs &ornei' address: smith297@ptd.net
Under penalties of pe~ury, I decl8re Ihat I have examined 1hla retum. including 8CCX)mpanying schedules and stat8ments. and to 1ha best of my knowledge and belief.
it Is true. c:orntCt and complele. Decl8ration of preperer oIher than 1he personal representative is baaed on all Information of which preparer has any knowledge.
S1G~NAiTU OF PERSON RE~P"SIBLE FOR FlUNG RETURN DATE
_;(~ 1(/:27/117
ADDRESS . ,
50 Dubbers Drive, Etters. Pa. 17319
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS
PLeASE U.. ORIGINAL PORM ONLY
Side 1
L
15056051058
15056051058
..J
.
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15056052059
REV-1500 EX
Decedents Name:
RECAPITULATION
Robert
L Smith
1. Real estate (Schedule A). .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1.
2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . .. 3.
4. Mortgages & Notes Receivable (Schedule D). . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . .. 5.
6. JoinUy 0Nned Properly (Schedule F) C} Separate BiUing Requested . . . . . .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ~ Separate Billing Requested:. .. .. .. 7.
8. Total Gross Assets (total Lines 1-7). . . .. . . .. . .. . . . .. .. . .. . . . . .. . . . .. . .. 8.
.~ent'8~~1tI1 ~lArity~lImtJer
. 178-07-7513
0.00
1,290,429.00
0.00
0.00
8,916.00
0.00
0.00
1,299,345.00
9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . .. 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) . . . . . . . . . . . . . . . . 10.
11. Total Deductions (tolal Lines 9 & 10). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.
12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13.
14. Net Value Subject to Tax (Line 12 minus Une 13) . . . . . . . . . . . . . . . . . . . . . . . . 14.
TAX COMPUTATION. SEe INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0_ 15.
16. Amount of Line 14 taxable
at lineal rate X.O 45 863,276.00 16.
17. Amount of Line 14 taxable
at sibling rate X .12 17.
18. Amount of Line 14 taxable
at collateral rate X .15 18.
19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
L
15056052059
Side 2
38,552.00
3,517.00
42.069.00
1,257,276.00
394,000.00
883,278.00
38,847.42
38,847.42
c:::>
15056052059
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REV-1500 EX Page 3
Decedent's Complete Address:
DE ENr NAME
Robert L Smith
STREET ADDRESS
824 Lisbum Road
r-------l
L--.J
flt.."NY!!'~,,,.,,, ,,~,_"_..H._. .....",. ..,
1
1
i .._~.....
DECEDENT'S SOCIAl SECURITY NUMBER
178-07.7513
Apt. 241
CITY
Camp Hill
STATE
PA
ZIP
17011
Tax Payments and Credits:
1. Tax Due (Page 2 Una 19)
2. CreditslPayments
A. Spousal Poverty Credit
B. Prior payments
C. Discount
(1)
38,847.42
0.00
0.00
0.00
Total Credits ( A + B + C ) (2)
0.00
3. InterestlPenalty if applicable
D.lnterest
E. Penalty
136.12
TotallnterestlPenalty ( D + E ) (3)
4. tf line 2 is grgater than Une 1 + Une 3, enter the difference. This is the OVERPAYMENT.
FHI in oval on PIge 2, Una 20 to request a refund. (4)
136.12
5. If Line 1 + Une 3 is greater than Une 2. enter the difference. This is the TAX DUE. (5)
38,983.54
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + SA. This is the BALANCE DUE.
(SA)
(5B)
38,983.54
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESnONS BY PLACING AN ft)(" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;.......................................................................................... 0 [i]
b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 ~
c. retain a reversionary interest; or.............. ................ ......... ....... .............., ........... ................. ............. .................... 0 Ii]
d. raceive the promise for life of either payments, benefits or care? ...................................................................... 0 [i]
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ...........................................................................,.............,.................... 0 [i]
3. Did decedent own an -in trust for" or payable upon death bank account or security at his or her death? .............. 0 ~
4. Did decedent own an Individual Retirement Account, annu~y, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ 0 iii
f THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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 three (3) percent [72 P.S. fi9116 (a) (1.1) Q)).
For dates of death on or after January 1, 1995, the tax rat$ imposed on the net value of transfers to or for the use of the surviving spouse is zero (O) percent
[72 P.S. fi9116 (a) (1.1) (ii)). The statute does not exemDt 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-ooe years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the chid is zero (O) percent [72 P.S. fi9116(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 four and one-hatf (4.5) percent. except as noted in
72 P.S. 59116(1.2) [72 P.S. S9116(a)(1)J.
The tax rate imposed on the net value oftransfers to or for the use of the decedenrs siblings is twelve (12) percent [72 P.S. f9116(a}(1.3)J. AsibUng 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*
COMMONw:ALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULI .
STOCKS & BONDS
ESTATE OF
Robert L. Smith 178-07-7513
All properly jolntly-owned with right of survivorship must be dIIclOHd on Schedule F.
ITEM
NUMBER
1.
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
2
19370 shares Money Market Funds
1282 shares "BP"
3 2000 shares "BAC"
4
2000 shares "BMY"
5
2325 shares "ElM"
6
1000 shares "GE"
7
500 shares "NRN"
8
9
3288 shares "PCL"
950 shares 'WBB
50000 BDGR "056569AM9"
35000 BERKS "08454OGHO.
10000 BERKS "084538EZ6"
10000 CHESTER "16557HBT1"
30000 CHESTER "165579CQ4"
20000 CHESTER 8165579CP68
25000 DELAWARE 8246352AH1.
10000 LNCSTR "514045VK68
60000 LEHIGH "524850DY7"
5000 LEBANON 8522455BE38
50000 LEHIGH 8524805Y51"
20000 LEHIGH 8524805Y368
10000 LEHIGH "524805J588
15000 MNTG B613604UR68
25000 MNTG 8613609QM1"
40000 MNTG 8613603PN3"
DESCRIPTION
FILE NUII1BER
VALUE AT DATE
OF DEATH
19,370.00
90,894.00
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed. Insert additional sheets of the same size)
50,760.00
32,620.00
33,450.00
12,480.00
117,710.00
51,376.00
53,354.00
37,884.00
9,919.00
10,246.00
31,378.00
20,883.00
25,530.00
10,008.00
54,816.00
4,688.00
50,781.00
20,417.00
9,996.00
15,117.00
25,422.00
44,424.00
931,803.00
RBf-I503EX< (6-.
COMMOfIIIM:AL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT c:eceDENT
ICIIIDULI .
STOCKS & BONDS
ESTATE OF
Robert L. Smith 178-07-7513
All property joIntIy-owntd with rtght of IUtYlvorsltlp llluat be dllclOHd on 8chtduIt F.
FLE NUMBER
ITEM VALUE AT DATE
NUMBER DESaUPTION OF DEAlli
1. 15000 MONTG -111528" 15,063.00
27 25000 NRTHM .100130" 26,069.00
28 40000 NRTHM -121510- 40,141.00
29 25000 PAST "0601~ 23.464.00
30 10000 PAST -05011V 9,325.00
31 20000 PAST -050134- 20,401.00
32 25000 PAST -040110- 25,542.00
33 50000 PAST '"041533- 51,608.00
34 10000 PAST "041534- 10,305.00
35 30000 PHLPA .111523- 30,463.00
36 35000 PHLPA -100130" 36,050.00
37 20000 WfUN) -030123- 20,107.00
38 50000 WESlM -080124- 50,088.00
l
TOTAL (Also erter on line 2, Recapilutation) $
(If more spice ilneedId. Insert addltlonal IhMtB of the same size)
358,626.00
REV-l508 EX+ (....) ..
COMMONVlJEAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
E8TATE OF
Robert L. Smith 178-07-7513
Include the proceeds of litigation and the date the proceeds were received by the estate.
AI property jointly-owned with right 01 survivorship must be dlsoloeed on Sohldule F.
ITEM
NUMBER
DESCRIPTION
1 M + T Bank Account
2 The Woods @ Cedar Run Security Deposit
3 L.C.A. Board of Pensions July Pension Cehck
TOTAL (Also enter on line 5. Recapitulation) .
(If more space is needed. insert additional sheets of the same size)
FILE NUMBER
VALUE AT oo.TE
OF DEATH
3,769.00
4,993.00
154.00
8,916.00
REV-'S11 EX< (1.....
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ICHIDUU H
FUNERAL EXPENSES &
ADMlNISTRA11VE COSTS
ESTATE OF
Robert L. Smith 178-07-7513
FILE NUMBER
ITEM
NUMBER
A.
B.
1.
2.
3.
Dlbts of dlcldlnt mUlt be reported on Schedule L
DESCRIPTION
AMOUNT
1.
FUNERAL EXPENSES:
Flowers for Memorial Service
Reverend Hoover ~ Memorial Service
Bonnie Barton - Orgalist Memorial Service
Culhanes - Memorial Service Lunch
Musselmal Funeral Home - Cremation, um,and death notice
Camptown Cemetay Assoc. - Intemment of ashes
TlIlkhannock Monument Co. - Headstone
ADMINISTRATIVE COSTS:
Personal Represen1Btive's Commissions
Name of Personal Represen1Btive(s) Gregory L. Smith
Social Security Number(s)/EIN Number of Personal Representative(s) 210-40-4958
StreetAddress 50 Dubbers Drive
32,484.00
2
3
4
5
6
60.00
125.00
100.00
501.00
2,012.00
200.00
2,000.00
7
City. Etters
Year(s) Commission Paid: 2007
. State PA Zip 17319
Attorney Fees
0.00
Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation)
0.00
Claimant
Street Address
City State .Zip
Relationship of Claimant it) Decedent
4. Probate Fees 875.00
5. Acoountanfs Fees 0.00
6. Tax Return Preparer's Fees 0.00
7. Estate Notice - Patriot News 195.00
TOTAL (Also enter on line 9, Recapitulation) $
(U more space is needed, insert additional sheels of the same size)
38,552.00
REV-1512 EX+ (12.03)
.
SCHEDUU I
DEBTS OF DECEDENT,
MORTGAGE UABILmES, & UENS
COMMONWEAlTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Robert L. Smith 178-07-7513
Report debts Incurred by the cIecedInt prior to death which remained unpaid u of the date of death, including unrelmburaed medical apenHI.
ITEM VALUE AT1lATE
NUMBER DESCRIPTION OF DEATH
FILE NUMBER
1.
2
Alert Phannacy Services - Drugs
Pa. Dept. of Revenue - Income Taxes - 2005
Dept of Treasury IRS - Income Taxes - 2005
99.00
468.00
3
5
Dept. of Treasury IRS -Income Taxes - 2006
1,567.00
330.00
1,053.00
4
Pa. Dept. of Revenue - Income Taxes - 2006
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
3,517.00
REV-1513 EX+ (9-00)
*'
leNIDULI ,
BENEFICIARIES
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Robert L. Smith 178-07..7513
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
[ TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (8) (1.2))
1 Barbara Dorsch, 411 Bathurst Rd., Catonsville MO 21228
2 Gregory L. Smith, 50 Oubbers Or., Etters PA 17319
3 Andrew Dorsch, 411 Bathurst Rd., CatonsvHle MD 21228
4 Stephanie Godun, 378 Ramsey Rd., Yardley PA 19067
5 Beth Deal, 54 Eastholm Rd., Schenectady NY 12304
6 Jennifer Santoloci, 241 Reade Ave., Lindenhurst NY 11757
7 Erin Swan, 8130 Randolph Way, Apt 302, Elllcot City MD 21043
8 Christine Banks, 241 W. 4th St, Apt#6, New York NY 10014
9 Trisha DeBevoise, 10 Christopher St., Apt#70, New York NY 10014
FILE NUMBER
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
Do Not lilt TI'UItH(.) OF ESTATE
Daughter $394,000
Son $394,000
Grandson $5,000
Granddaughter . $5,000
Granddaughter $5,000
Granddaughter $5,000
Granddaughter $5,000
Granddaughter $5000
Granddaughter $5,000
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
U NON. TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1
E.L.C.A. Foundation, 8765 West Higgins Rd., Chicago, IL 60631
$394,000
TOTAL OF PART 11- 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)
. ..
<I
C o/'lFtJAn cO c...v,. 7
LAST WILL AND TESTAMENT
OF
ROBERT L. SMITH
I, ROBERT L. SMITH, of Camp Hill, Cumberland County, Pennsylvania, being of
sound mind and disposing memory, though I realize the uncertainty of this life, I have full confidence
and trust in my Lord and Savior, Jesus Christ, in His death on the cross for my sins and in His shed
blood as an atonement for my soul; and I know by faith that because of His sacrifice on the cross for
me I have etemallife, do hereby make this Will, hereby revoking all my former Wills and Codicils:
Article One: Tangible Personal Property:
~ 1.1 I bequeath all my tangible personal property in accordance with the terms of
a personal property memorandum I may prepare. If no such memorandum is located or received by
the Executor within 60 days after being appointed as such, after conducting a reasonable search for
such memorandum, the Executor shall be held harmless for distributing such property as hereinafter
provided.
~ 1.2 I bequeath such property not disposed of by such memorandum, or all of such
property if no such memorandum is located or received, to my wife, Isabel Jefferies Smith, if she
survives me. If my wife does not survive me, I bequeath all my tangible personal property to my
children, per stirpes, to be divided between them in as nearly equal shares as possible. My three
children are Ronald L. Smith of Allentown, P A; Gregory L. Smith of Etters, P A; and Barbara S.
Dorsch of Catonsville, MD. If there is any disagreement between them, the decision of my Executor
shall be final. Any items not wanted shall be sold and the proceeds shall pass under Article Three,
hereinafter.
~ 1.3 To the extent practicable in the Executor's sole discretion, I bequeath any
policies of insurance on such property to the beneficiary entitled to such property.
~ 1.4 I direct that the expenses of storing, packing, shipping, insuring and delivering
1
any such property to the beneficiary entitled thereto shall be paid by the Executor as an
administrative expense of my estate.
Article Two: Specific Bequests:
92.1 I bequeath Five Thousand ($5,000.00) Dollars to each of my grandchildren
named hereinafter, who survive me: Jennifer S. Santoloci, Stephanie Smith, Christine Smith, Tricia
Smith, Erin Dorsch, Andrew Dorsch, and Beth Dorsch Deal.
92.2 In as much as my wife and I entered into a prenuptial agreement before we
married, and in as much as she has an income and assets of her own, she is not looking to my estate
for her maintenance and support. Furthermore, the prenuptial agreement provides for her to continue
to live in my house for as long as she is able to do so. However, because I love her very much, I
wish to provide additional income to her by means of a charitable gift annuity as follows: I give Two
Hundred Thousand ($200,000.00) to the Evangelical Lutheran Church in America, a Minnesota non-
profit corporation, located in Chicago, IL, c/o the ELCA Foundation, to establish a charitable gift
annuity for my wife, Isabel Jefferies Smith, whose birthdate is February 7, 1918, and social security
number is 160-16-9170. The interest shall be payable to my wife at the rate of seven percent (70/0)
per year. The remainder of the charitable gift annuity should be distributed upon Isabel's death as
follows: Seventy-five percent (75%) to Lutheran World Relief, Baltimore, MD; and Twenty-five
percent (25%) to Grace Lutheran Church, Highland Park, P A to be used by the church for programs
to feed the poor. I suggest that this gift to Grace Lutheran Church be distributed by the church to
such agencies as the American Red Cross, the Central Pennsylvania Food Bank, the Bridge, the
Ecumenical Food Pantry, and the Salvation Army. If my wife, Isabel, does not survive me, this
bequest shall lapse and the charitable gift annuity shall not be established.
Article Three: Residue:
93.1 I bequeath and devise all the residue of my estate, of whatever nature and
wherever situated, including any property over which I have a power of appointment, to be divided
and distributed as follows:
93.2 One third of the residue of my estate shall be distributed to the Evangelical
Lutheran Church in America, a Minnesota non-profit corporation, located in Chicago, IL, c/o the
ELCA Foundation, for the Ronald L. Smith Charitable Trust, dated February 15, 2001, for the
2
benefit of my son, Ronald L. Smith. If Ronald L. Smith does not survive me, this share shall not
be placed in the Ronald L. Smith Charitable Trust. The share shall instead be distributed as
follows:
~3.2.1 Ten Thousand ($10,000.00) Dollars to my granddaughter, Jennifer S.
Santoloci, if she survives me; and
~3 .2.2 Ten Thousand ($10,000.00) Dollars to my granddaughter, Stephanie Smith,
if she survives me.
~3.2.3 All of the rest of this share shall be divided between subparagraphs ~3.3 and
~ 3.4 hereinafter.
~3.3 One third of the residue of my estate shall be distributed to my son, Gregory
L. Smith, per stirpes; and
~3.4 One third of the residue of my estate shall be distributed to my daughter,
Barbara S. Dorsch, per stirpes.
Article Four: Provision for Debts and Expenses:
~4.1 I direct that any of my legally enforceable debts, any expenses of my last
illness, and funeral arrangements, and any of the administrative expenses of my estate shall be paid
from the principal of the residual portion of my estate disposed of by Article Three of this Will.
Article Five: Appointment of Fiduciaries:
~5.l I appoint my son, Gregory L. Smith, as Executor of this Will. If Gregory L.
Smith is unable or unwilling to serve or continue to serve, for any reason whatsoever, I appoint my
friend and attorney, S. Berne Smith, of Camp Hill, PA, as first, contingent Executor. All references
herein to the "Executor" shall mean my originally appointed Executor or my successor Executor, as
the case may be.
Article Six: Powers of Fiduciaries:
~6.l No fiduciary under this Will shall be required to give bond or other security for
the faithful performance of the fiduciary's duties.
~6.2 Any such fiduciary shall have the following powers, in addition to those given
bylaw:
~6.2.1 To invest in, accept and retain any real or personal property, including
3
stock of a corporate fiduciary or its holding company, without restriction to legal
investments;
~6.2.2 To sell, exchange, partition or lease for any period of time any real or
personal property and to give options therefor for cash or credit, with or without
security;
~6.2.3 To borrow money from any person including any fiduciary acting
hereunder, and to mortgage or pledge any real or personal property;
~6.2.4 To hold shares of stock or other securities in nominee registration
form, including that of a clearing corporation or depository, or in book entry form or
unregistered or in such other form as will pass by delivery;
~6.2.5 To engage in litigation and compromise, arbitrate or abandon claims;
~6.2.6 To make distributions in cash, or in kind at current values, or partly
in each, allocating specific assets to particular distributes on a non-pro rata basis, and
for such purposes to make reasonable determinations of current values;
~6.2.7 To make elections, decisions, concessions and settlements in
connection with all income, estate, inheritance, gift or other tax returns and the
payment of such taxes, without obligation to adjust the distributive share of income
or principal of any person affected thereby;
~6.2.8 To allocate, in the Executor's sole and absolute discretion, any portion
of my exemption under Section 2631(a) of the Internal Revenue Code to any property
as to which I am the transferor, including any property transferred by me during my
lifetime as to which I did not make an allocation prior to my death; and
~6.2.9 To disclaim any interest I may have in any estate if the Executor deems
such disclaimer to be in the best interests of my estate and the beneficiaries thereof.
Article Seven: Provision for Taxes:
~ 7.1 All estate taxes, inheritance taxes, transfer taxes and other taxes of a similar
nature payable by reason of my death to any government or subdivision thereof upon or with respect
to any property subject to any such tax ("Death Taxes"), and any penalties thereon, shall be paid
by the Executor out of the principal of the residual portion of my estate disposed of by Article Three
of this Will.
4
Article Eight: Miscellaneous Provisions:
98.1 As used in this Will, the term "Internal Revenue Code" shall mean the Internal
Revenue Code of 1986, as amended from time to time, or the corresponding provision of subsequent
laws.
98.2 Whenever the Fiduciary is to distribute property to or for the benefit of any
beneficiary who is under (a) eighteen years of age, or (b) a legal disability or otherwise suffers from
an illness or mental or physical disability that would make distribution directly to such beneficiary
inappropriate (as determined in the Fiduciary's sole discretion exercised in good faith), the Fiduciary
may distribute such property to the person who has custody of such beneficiary, may apply such
property for the benefit of such beneficiary, may distribute such property to a custodian for such
beneficiary, whether then serving or selected and appointed by the Fiduciary (including the
Fiduciary), under any applicable Uniform Transfers to Minors Act or Uniform Gifts to Minors Act,
may distribute such property directly to such beneficiary's estate, or may distribute such property
directly to such beneficiary (except if any of the conditions hereinbefore described in (b) apply),
without liability on the part of the Fiduciary to see to the application of such property. This
provision shall not in any way operate to suspend such beneficiary's absolute ownership of such
property or to prevent the absolute vesting thereof in such beneficiary.
98.3 Except as otherwise may be provided in this Will, until the property is distributed
to and received by any beneficiary hereunder, the principal sums thus held for any beneficiary,
respectively, and the income thereof shall not be subject to or liable for any contracts, debts,
engagements, liabilities or torts of such beneficiary now or hereafter made, contracted, incurred or
committed, but shall be absolutely free from the same, and such beneficiary shall have no power to
sell, assign or encumber all or any part of the principal sums or such beneficiary's interest therein,
respectively, or the income thereof, or to anticipate the income.
98.4 If any beneficiary hereunder should die within thirty (30) days after me or within
thirty (30) days after any other person the survival of whom determines his rights hereunder, then
such beneficiary shall be deemed to have predeceased me or such other person for all purposes
hereunder.
IN WITNESS WHEREOF, I, ROBERT L. SMITH, have hereunto set my hand and seal
5
:
to this, my last Will, typewritten on seven (7) sheets of paper, including the self-proving attestation
clause and signatures of witnesses, this 2.. (", 7.) day of Fe ~ ~ t,( ^ II Y , 2001.
AfhJ j '~'1-~ /I)
(SEAL)
ROBERT L. SMITH
Signed, sealed, published and declared by the above named ROBERT L. SMITH as and
for his last Will, in the presence of us and each of us, who, at his request and in his presence and in
the presence of each other, have hereunto subscribed our names as witnesses thereto the day and year
last above written.
~ f, X~;/Ar
Residing at
II t
i '1 /?
VV' . 0 T7 ('=" ,'\ c- r
(.,
J 'i' .
/" ,1"> ,)
C /-4f1.. L Irei:! V /' ,
/
J '7 () I '3
yo-+-? {~/)l~ L. Residing at
38/'"L
(/i ,"J,4- "7
fJ )'Z-. I v' c
r t.::: C 1-1 ;4 r '~,I' f3,~. /\ ~-/
f/1. ) 7 c ~ c
L 8 .t~ ~ Residing at
/0 '7 /V
..... ..;r1
J- L{ -
J';"
(. 11j'1(~ 1/1 L C/ /"'/1 /'70 I ,
COMMONWEALTH OF PENNSYLVANIA:
SS.
COUNTY OF CUMBERLAND
We, ROBERT L. SMITH, the testator, and
fl n '1 t3 L (,..t <. ,.... (.= T f :;-(/ /1/11 (3'. J'? 'f 1< I jV,J (. ,/J , and
S i3 {;' ;:1-.,..,.:. f;" , 'r r' , the witnesses, whose names are signed to the attached
or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that
the testator signed and executed the instrument as his last Will; that the testator signed willingly
and executed it as his free and voluntary act for the purposes therein expressed; that each
6
~
,:
subscribing witness in the hearing and sight of the testator signed the Will as a witness and that to
the best of his or her knowledge the testator was at that time eighteen (18) years of age or older, of
sound mind and under no constraint or undue influence.
Ih L//~ ..~ -I- r) () (. ,I 1;:.
(Ill L. ,"i.; c' '1 "--J L-~- l...C ell'?
,
~f.tK
Witne s
ROBERT L. SMITH
9.1.-1- P ~?"'-
Witness
.//) $~ d~)
Witness
Subscribed, sworn to and acknowledged before me by ROBERT L. SMITH, the
T (I-
, the witnesses, this
/-l
L () ,-
me by
and
day of
testator,
11 i\ Y G, LV( <... Ie. <f I .
-F IJ c: Il,r/..~ (~,
Fre: IJ ~ LA rift '7
and
subscribed
and sworn to before
:,-::. 11- '" G , )q.,... / \ , ,..r -,(, IV
, 2001.
r-J) ~
'. A.....J ~i/vL4J-
Notary Public
-i/-;'1;J/i
~ " 0. ~v,,\..(Jvv^-
My Commission expires: q Ii g / .:1001../
SEAL
NOTARW. SEAL
DENISE l DfUMM. NOTARY pUU:
HAMPTON TWP.. CUMBERlAND COUNTY
MY COMMISSION DPIRES SEPT. Ja. 2004
7
.. . - .......
ADDENDUM TO LAST WILL AND TESTAMENT
OF
ROBERT L. SMITH
I, Robert L. Smith, of Camp Hill, Cumberland County, Pennsylvania, being of sound
mind and disposing memory, do hereby make this Addendum to my Last Will and Testament
dated February 20,2001:
Article Two: Specific Bequests:
I hereby wish to remove/delete Paragraph Section 2.2 from this Article Two.
All other paragraphs in my Last Will and Testament dated February 20, 2001 shall remain
the same.
IN WITNESS WHEREOF, I, Robert L. Smith, have hereunto set my hand and seal to
the Addendum to Last Will and T~ this ~ . - ary, 2006.
(SEAL)
Robert L. Smith
Signed, sealed, published and declared by the above named Robert L. Smith as and for
the Addendum to his Last Will and Testament, in the presence of us and each of us, who, at his
request and in his presence and in the presence of each other, have hereunto subscribed our
names as witnesses thereto the day and year last above written.
K~t S TV .J . LEuMNJ
~~~
A Q€;{
residing at 5{)0 S ~ SPJ!.lN661t~EN s~ CA~Us t..e PA J 70/3
residing at ~\ \2)~ f~Vu ;a. ftu4 fri t7~J7J
COMMONWEALTH OF PENNSYLVANIA:
SS
COUNTY OF CUMBERLAND
We, Robert L. Smith, the testator, and Kr I~ 1-'1 J4 L~~n) and
C ~/~ ~. A- ~~ , the witnesses, whose names are signed to the
attached or foregoing instrument, being first duly sown, do hereby declare to the undersigned
authority that the testator signed and executed the instrument as the Addendum to his Last Will;
that the testator signed willingly and executed it as his free and voluntary act for the purposes
therein expressed; that each subscribing witness in the hearing and sight of the testator signed the
Addendum to the Last Will as a witness and that to the best of their knowledge the testator was at
that time eighteen (18) years of age or older, of sound mind and under no co straint or undue
influence.
,I'
Witness
PharJes A. Pass, C~
Subscribed, sown to and acknowledged before me by Robert L. Smith, the testator, and
subscribed and sworn to before me by liT I ~ ty J 1..~h A1(A/!/ and
C~ t:u"(-l!S. 1/ I"~~ , the witnesses, this I~ day of January, 2006.
)tk<"". . ~ - ~<~-r.?
Notary Public
My Commission Expires:
NOTARlALSEAL
SUlan M. McCartney, Notary PubUc
Cft)' of Harrisburg, Dauphin County
M~ ~..lol expires February 11,2007
ACC:0lItT NO.
ACC:CUIT TYPE
f:'S. M6~ . .i,',,1;;~ili~ll~
STATEMENT PERIOD
PAGE
80113958
"IT SELECT WITH INTEREST
JUN.20-JUl.19,2006
1 OF 1
00 0 0611~ NH 017
ROBERT l SMITH
824 LISBURN RD APT 241
CAMP HILL PA 17011-7110
18472
. .JNfEttEtW-eAflNElt..fltttSTATDtCNT PEftHD
INTEREST PAID YEAR TO DATE 3.92
0......
ttJOHtAND- P'A1tk
5,514.83
ACCOUNT SUMMARY
~~48 ~CHEEKs43s'll ~57'651 ==:,:1
-=.:~
::j
3,,768.94
ACCOUNT ACTIVITY
I
8SDIMIIC BALANCE
CItECK NUllHI 2186
VElIZOH '--"tREe
IOARD OF PENSION PENSION
us TIEASUIY 303 soc: SEt
CfIEa( ....EI 2590
INTEIE$T PAvtIENT
SEIVICE CItA_E
t's,Sltt.83
l54 .48
1.312..'
70_~ 1.1.
(,~ 23 .!!J-.'
.5,lt21.07
5,.575.55
6,887.5.5
3,782.55
3.105.0'
0.39
14.00
3.. 768 . 94
selIC BALANCE
.3,768.91\
CItECQ 'AID SUfIlMIY
2Sa6 "-26-'6
78.11
2598. 07-86-06
3,105.0'
AHNUAL PERCENTAGE YIELD EARNED = 0.18 %
WHAT DO YOU IINIT TO DO THIS SUllttEI VACATION? ENJOY FMtILY BABECUE.S IIITM .
NEW lIBEl el) CAS CULL? PUMT THE PERFECT OAIIDEN "ITH A .111 GIFT CARD FROIt
THE tatE DEPOT (Rl? GET IN SHAPE LISTENINC TO YOUR fAVORITE TUNES ON YOUR HEW
APPLE IPOD (I) --? DIrIOVE YOUR UIIE laTH SOlIE lEV TITLEDT PIG Vl (I) COLF
BALLS? YOU CAN DO IT ALL! IaMRD YOURSELF! Pol INFOIllATIGN 01 TO APPt. Y FOa
YOUR tilT VISA (I) CREDIT CAli IfITH WILD POINTS el) IEtfAIDS TODAY, STOP IY ANY
"IT BlANCH" CALL THE TElE..... BMlCDC CENTER AT 1-.00-724-3222, OR VISIT us AT
.......1We1'8AII( . ClWIIPEISCMAL/LOAIISNISA . CFtI.
LOO8A (1103)
)4'l.:,/:~:;/~C')l~{~:X~,:.::~:, '~'*, t .- ,,", "~a:~{~~1c'.:J :~f:;>:::':' " ~"'.,,' ." (, '.
m1
ACCOUMT NO.
ACCOUNT TYPE
"IT SELECT WITH INTEREST
STATEMEMTPElIOD
10113958
JUl.20-AUG.1I,201'
00
o 06113M"" 017
61084
ROBERT L SMITH
50 DUBBERS DR
ETTERS PA 17319
JNTEREST EARNED FOR STATE"ENT PERIOD
INTEREST PAD YEAR TO DATE 3.97
0.04
HI&HLAND PA.
ACCOUNT SUMMARY
~~ ~~..>~I 1==,
. .... .-. - .... ... . ....... -:-,"",." .. . '.15
-==
3,,768.9tt
ACCOUNT ACTIVITY
PACE
1 OF 1
=~ I
....
.II
17-21-1 aE8lNNIN& BALANCE
17-24- DlTEItEST PAV1tEIIT
7-~-O CLOSEOUT
1.05
3,768.99
EllDIIC IALANCE
ANNUAL PEItCENTAeE YIELD EARNED. 0.09 %
FOR IlUESTIOHS ABOUT YOUR ACCOUNT CALL l-aOO-12it-2440.
DO .,., ..... SCM!ONE WIlD COULD UK ADDITIONAL RETI....... DICOttE1
"ITH III'.S HVBISE MIIl'CAOE. 1IOI81J1ERs. OVER '2 CAN IEtElVE 'AX-'IEE DEGtIE.*
- AleS CAN BE USED FOIt Au.sT AllYTIIDI8 AND TIIHE AREND **1'1IL Y LOA" PAYItENT'S.
- .... AVAlLAllE IN NEW v..-, PBllSYLVANIA, ItAIYLAII>>, VI_DIU AND WASltDCTON DC.
TO FDe OUT ..., CALL 1-"1-296-4113 011 VISn IWeTIEVEISEIIOITCAO.COIt.
CGIISl.~' YGUI 'AX ADVtsOIt. It&, IS All EIIUAL HDUSD18 lBeH.
$3,768.CJlt
0.00
$0 . 00
.
/HB 14 2 07/11/2006 10:04
!VALU 77629017 HB32 ROBERT L SMITH 50 DUBBERS DR 07/11/06
FUNe FRWD 4C1
CASH $1271,058.70 T1-M/V F-CALL
I USO/EQ T1-FM/V H-CALL
I TOTAL T2-LM/V D-INT
I MARGIN T2-SM/V M-INT
1
I OTHER OTH MM/V EQTY %
I
I DIV/INT OTH CM/V EQUITY
I $19,370.09 MMKT $635,529.31 T1 CIA CIA
SMA $1271,058.70 T1 M/SEC BIP
i $19,370.09CR FOS AVL $1271,058.70 TOT M/V $1290,428.79 TOT VL
I QUANTITY DESCRIPTION SYM CRNCY CUSIP VALUE T LOC M
1282L BP PLC SPONS AOR BP usn 055622104 90893.80 1 SEG M
2000L BANK OF AMERICA CORP BAC USO 060505104 98280.00 1 SEG M
2000L BRISTOL MYERS SQUIBB BMY USO 110122108 50760.00 1 SEG M
2325L EATON VANCE INSO MUNI BO ElM USO 27827X101 32619.75 1 SEG M
1000L GENERAL ELECTRIC COMPANY GE USO 369604103 33450.00 1 SEG M
500L NTL RURAL UTLS COOP6.75% NRN USO 637432709 12480.00 1 SEG M
3288L PLUM CREEK TIMBER PCL USD 729251108 117710.40 1 SEG M
950L WACHOVIA CORP NEW WB USD 929903102 51376.00 1 SEG M
50000L BADGR WI TOB6.375 060132 USD 056559AM9 53354.00 1 SEG M
35000L BERKS PA MUN 6.0 110129 USO 084540GHO 37883.65 1 SEG M
10000L BERK PA MUN 5.7 051518 USO 084538EZ6 9919.30 1 SEG M
10000L CHESTER PA 5.375 051527 USO 16557HBT1 10246.40 1 SEG M
0...,...,... 1 '"'~ 1
...
lHB 142
~VALU 77629017
, FUNe FRWD
07/11/2006
10:05
HB32 ROBERT L SMITH
50 DUBBERS DR
07/11/06
4C1
CASH $1271,058.70 T1-M/V F-CALL
USD/EQ TI-FM/V H-CALL
TOTAL T2-LM/V D-INT
MARGIN T2-SM/V M-INT
OTHER OTH MM/V EQTY %
DIV/INT OTH CM/V EQUITY
$19,370.09 MMKT $635,529.31 T1 CIA CIA
SMA $1271,058.70 T1 M/sEC B/P
$19,370.09CR FDS AVL $1271,058.70 TOT M/V $1290,428.79 TOT VL
QUANTITY DESCRIPTION SYM CRNCY CUSIP VALUE T LOC M
30000L CHESTER PA 5.75 110113 USD 165579CQ4 31377.60 1 SEG M
20000L CHSTR PA HLTH 6.0 110129 USO 165579CP6 20883.20 1 SEG M
25000L DELAWARE PA 5.5 010126 USD 246352AH1 25530.00 1 SEG M
10000L LNCSTR PA 6.6 040119 USD 514045VK6 10008.40 1 SEG M
60000L LEHIGH NO PA4.125 010123 USD 524850DY7 54816.00 1 SEG M
5000L LEBANON PA HSP4.5 111518 USD 522455BE3 4687.95 1 SEG M
50000L LEHIGH PA 5.25 081523 USO 524805Y51 50781.00 1 SEG M
20000L LEHIGH PA 5.25 070132 USO 524805Y36 20417.20 1 SEG M
10000L LEHGH PA GEN 5.5 051515 USO 524805J58 9995.80 1 SEG M
15000L MNTGMERY PA 5.125 060132 USO 613604UR6 15116.70 1 SEG M
25000L MNTG PA IDA 5.35 081527 USO 613609QM1 25422.25 1 SEG M
40000L MNTGMERY PA 7.25 120127 USO 613603PN3 44424.00 1 SEG M
0....,....,... 1 ,.....;: 1
.
rB142 07/11/2006 10:05
f- 77629017 HB32 SMITH 50 DUBBERS DR 07/11/06
I VALU ROBERT L
I FUNe FRWD 4C1
I CASH $1271,058.70 TI-M/V F-CALI
I USO/EQ T1-FM/V H-CALl
TOTAL T2-LM/V D-INT
I MARGIN T2-SM/V M-INT
I
1
I OTHER OTH MM/V EQTY %
I
I OIV/INT OTH CM/V EQUITY
$19,370.09 MMKT $635,529.31 T1 CIA CIA
I SMA $1271,058.70 T1 M/SEC B/P
I
i $19,370.09CR FOS AVL $1271,058.70 TOT M/V $1290,428.79 TOT VI
I QUANTITY DESCRIPTION SYM CRNCY CUSIP VALUE T LOC ~
I
I
i 15000L MONTGOMERY PA5.25 111528 usn 61360PAV2 15063.15 1 SEG ~
i 25000L NRTHMPTN PA 5.25 100130 USD 663507AK7 26069.25 1 SEG ~
! 40000L NORTHMPTN PA5.625 121519 usn 663549LC5 40141.20 1 SEG ~
25000L PA ST EFA 4.5 060126 USD 70917RAX3 23463.75 1 SEG ~
lOOOOL PA ST DREXEL 4.0 050119 USO 70917N2U7 9324.80 1 SEG ~
20000L PA ST 5.5 050134 usn 70917NZT4 20401.40 1 SEG ~
25000L PA ST HEFA RV 5.0 040119 usn 70917NBJ2 25542.00 1 SEG ~
50000L PA ST EOL FAC 5.8 041533 USD 70917PDCO 51607.50 1 SEG ~
10000L PA ST HEFA 5.75 041534 usn 70917POX4 10304.80 1 SEG ~
30000L PHL PA HOS 6.625 111523 USD 717903RS9 30462.90 1 SBG ~
35000L PHL PA IDA 5.25 100130 USO 71781QBS6 36049.65 1 SEG ~
20000L WRMNSTR PA 4.75 030123 usn 934357FC3 20107.40 1 SEG ~
0...,...,.. 1 ,....f= 1
"
.
07/11/2006
10:05
IHB142
L
! VALO 77629017
I FONe LAST END
j
i
!
I
HB32 ROBERT L SMITH
OF FILE
CASH
USO/EQ
TOTAL
MARGIN
OTHER
OIV/INT
$19,370.09 MMKT
SMA
$19,370.09CR FDS AVL
QUANTITY DESCRIPTION
50000L WEST MIFFLI PA5.8 080124
50 DUBBERS DR
$1271,058.70 T1-M/V
T1-FM/V
T2-LM/V
T2-SM/V
OTH MM/V
OTH CM/V
$635,529.31 TI CIA
$1271,058.70 TI M/SEC
$1271,058.70 TOT M/V
gYM CRNCY CUSIP
USO 954507AK5
$1290,428.79
VALUE
50087.50
07/11/06
4Cl
F-CALL
H-CALL
D-INT
M-INT
EQTY %
EQUITY
CIA
S/P
TOT VL
T LOC M
1 SEG M
n....~,... 1 ,...4= 1