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HomeMy WebLinkAbout10-30-07 ~ 15056041147 REV.1500 EX (06-05) PA Department of Revenue Bureau of Individual Taxes PO BOX.280601 Harrisburg, PA 17128-0601 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death OFFICIAL USE ONLY *' County Code Yeer INHERITANCE TAX RETURN RESIDENT DECEDENT 2 1 0 7 File Number 00666 Date of Birth 279166251 03092007 Decedent's Last Name Suffix Decedent's First Name WETMORE STANLEY MI M (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI WETMORE VIRGINIA W Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW [!] 1. Original Return 4. Limited Estate D D D D 4a. Future Interest Compromise (date of death aller 12-12-82) 2. Supplemental Return D D 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required D [K] D 6. Decedent Died Testate (Attach Copy of Will) 7 Decedent Maintained a Living Trust . (Attach Copy of Trust) 8. Total Number of Safe Deposit Boxes 9. Litigation Proceeds Received 10 Spousal Poverty Credit (date of death . between 12-31-91 and 1-1-95) D 11. Election to tax under Sec. 9113(A) (Attach Sch. 0) ~ORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: ame Daytime Telephone Number EDMUND G. MYERS 7177614540 Firm Name (If Applicable) JOHNSON DUFFIE REGISTER OF ~}LS USE OHl:Y ,--- First line of address 301 MARKET STREET r--I ('" ", Second line of address C"..; /,.-." '---" City or Post Office LEMOYNE State PA ZIP Code 17043 DATEFJ~ D :J~. "'. , 1'..) Cd Correspondent's e-mail address: Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knoWledge. SIGNATURE OF PERSON P NS~E? FI RN DATE ~ r:"~ Fx~-ro e... EDWARD A. WETMORE 10 - 07 ADDRESS 3609 HORSHAM DRIVE, MECHANICSBURG, PA 17055 DATE EDMUND G. MYERS 301 MARKET STREET, LEMOYNE, PA 17043 L Side 1 15056041147 15056041147 ~ --.J 15056042148 REV-1500 EX Decedent'. Neme STAN LEY M. WETMORE RECAPITULATION 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. Jointly Owned Property (Schedule F) D Separate Billing Requested............. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) D Separate Billing Requested............. 7. 8. Total Gross Assets (total Lines 1-7)....................................................................... 8. 9. Funeral Expenses & Administrative Costs (Schedule H)......................................... 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)................................ 10. 11. Total Deductions (total 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 Line 13)................................................. 14. TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, of transfers under Sec. 9116 (a)(1.2) X ~ 16. Amount of Line 14 taxable at lineal rate X ,045 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 495,960.35 15. 0.00 16. 0.00 17. 0.00 18. 19. Tax Due............."...................................................................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. L Side 2 15056042148 Decedent's Social Security Number 279166251 178,481.57 326,934.00 505,415.57 9,455.22 9,455.22 495,960.35 495,960.35 0.00 0.00 0.00 0.00 0.00 D 15056042148 -.J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-07-00666 DECEDENT'S NAME STANLEY M. WETMORE STREET ADDRESS 5225 WilSON lANE, APT. 2104 CITY I STATE IllP MECHANICSBURG PA 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1 ) 0.00 0.00 3. InteresUPenalty if applicable D. Interest E. Penalty Total Credits (A + 8 + C) (2) 0.00 TotallnteresUPenalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 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) 0.00 (5A) (58) 0.00 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: 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 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 which contains a beneficiary designation? ........................................................ .............................................................. [!] D IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. No [!] [!] ~ [!] [!] 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. ~9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P .5. ~9116 (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-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 zero (0) percent [72 P.S. ~9116 (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-half (4.5) percent, except as noted in 72 P.S. ~9116 1.2) [72 P.S. ~9116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. ~9116 (a) (1.3)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. . '099999-00005/May 5, 1999/HAJ/PARl102867 I . . ~ l 0-"1 O\..QlaCe ~(Q)~)f OF STANLEY M. WETMORE r-J = :'0 () = c:: ---J -r i' II 0 h C) ::rJ <- (, (~) \:.:_:~ c:: -0 () .- ( ::~. ~J ..-.~ ,.. -- S~ .- -' 1'1 C ';-~j , ..::.. ::D (J'"\ - ci) :;:..~ '. 1 C) -' (-.': 0 -U. - 1 -., ....----, " -'~ 'f ~-~ ~ ;':'=') --I ~ -,. ,'n - -'~ .. --, '? .. _, .-' W O. lliUlit 11ft!! UUll Wtntamtut I, STANLEY M. WETMORE, of the Borough of Lemoyne, Cumberland County, Pennsylvania, declare this to be my Last Win and revoke any Will previously made by me. ITEM I: DEBTS. I direct that all my debts and funeral expenses, including my gravemarker, and all expenses of my last illness that my estate is obligated to pay, shall be paid from my residuary estate as a part of the expense of the administration of my estate. ITEM II: I give my tangible personal property, including, but not limited to, any and all automobiles, furniture, furnishings, china, silverware, jewelry, ornaments, works of art, books, pictures and wearing apparel, together with all policies of insurance thereon to my wife, VIRGINIA WILLIAMS WETMORE, if she survives me by thirty (30) days. While this bequest is absolute, it is my wish that any memorandum I may leave addressed to my personal representative indicating my desire with respect to the disposal of these items, or any of them, shall be regarded. ITEM ill: I devise and bequeath all the rest, residue and remainder of my estate of every nature and wherever situate as follows: , 099999-00005/May 5, 1999/HAJ/P AR/1 02867 , , A. If my wife, VIRGINIA Wll.,LIAMS WETMORE, survives me (and I direct that for purposes of this Item of my Will she shall be deemed to have survived me unless it appears unmistakably that she predeceased me), and if the federal estate tax due because of my death will be reduced by making this gift for her benefit, I give, devise and bequeath to my wife, VffiGINIA Wll.,LIAMS WETMORE, absolutely, the least amount (based upon values as [mally determined for federal estate tax purposes) as shall be needed for the federal estate tax unlimited marital deduction to reduce the federal estate tax to the lowest possible figure after full use of all other deductions and credits allowable in calculating the federal estate tax. However, the state death tax credit shall only be taken into account to the extent that it does not increase the amount of tax payable to any state. Accordingly, I direct that: 1. If the marital deduction, or any other similar benefit, is allowable with respect to any property, including property held by entireties, which my wife, VIRGINIA Wfi.,LIAMS WETMORE, has received prior to my death or at my death will receive otherwise than pursuant to this Item III, the value of such property shall be taken into consideration in calculating the size or the gift under this Item III A. 2. No property ineligible for the marital deduction, or any similar benefits, shall be distributed to this gift for my wife, VffiGINIA Wfi.,LIAMS WETMORE, pursuant to this Item ill A. 3. Either cash or investments or both may be allocated to any gift under this Item III A. 2 Q,99999-00005/May 5, 1999/HAJ/PAR1-102867---u 4. Any property allocated under this Item III A. in kind shall be valued at the value which it is fmally included in my gross estate for federal estate tax purposes, provided that the aggregate market value thereof on the date of allocation (plus the value as finally determined for federal estate tax purposes of all other property qualifying for the marital deduction) is at least equal to the dollar value of the marital deduction as finally dete:rrnined for federal estate tax purposes. 5. If any provision of my Will shall result in depriving my estate of the marital deduction for federal estate tax purposes, such provision is hereby revoked and my Will shall be read as if any portion thereof inconsistent with allowance of the marital deduction for federal estate tax purposes is null and void. B. The balance of said rest, residue and remainder of my estate I give, devise and bequeath, IN TRUST, to the Trustees designated in Item IX of this my Last Will for the following uses and purposes: 1. In Trustees' discretion to pay the net income therefrom at least as often as quarter-annually to my wife, VIRGINIA WILLIAMS WETMORE, for and during her lifetime or to retain same in the Trust and add it to principle. 2. As much of the principal of this Trust as Trustees in their sole discretion may from time to time think. advisable for my wife's health, maintenance, and support, or during her illness or emergency shall be 3 099999-00005/May5,- 1999IHAJ/P AR/1 02867 either paid to her or else applied directly for her benefit by my Trustees after taking into account her other readily available assets and sources of income. 3. Trustees may apply the net income of this Trust for the support of my wife, VIRGINIA wu,LIAMS WETMORE, should she by reason of age, illness or any other cause in the opinion of my Trustees be incapable of dispersing it. 4. In addition to the above provisions, my wife shall have the power to direct Trustees to pay to her or to apply out of the principal in each year including the year of my death an amount not in excess of the greater of Five Thousand ($5,000.00) Dollars or five (5%) percent of the then aggregate value of the Trust principal. This power is not cumulative and can be exercised only by an instrument in writing signed by my wife and delivered to Trustees. 5. Upon the death of my wife, VIRGINIA WILLIAMS WETMORE, the remaining principal and undistributed income (Trust Assets) shall be distributed as follows: A. Five Thousand ($5,000.00) Dollars to MOUNT CALVARY EPISCOPAL CHURCH located in Camp Hill, Pennsylvania. B. Fifty percent (50%) of the Trust Assets, that is, the total less the Five Thousand Dollars ($5,000.00) referred to in Paragraph 5A above, shall be distributed as follows: 4 , 099999-00005/May tr, 1999/HAlIP AR/1 02867 (a) If my son, EDWARD A. WETMORE, is living at the time of distribution, said fifty percent (50%) shall be distributed as follows: (i) Trustees shall hold twelve and one-half (12- 1/2%) percent in trust for the then living children of my son, EDWARD A. WETMORE. The Trustees, as they in their sole discretion determine, may distribute income and principal for said children's support, health, education and maintenance; said latter item may include the distribution for or toward the purchase of a residential dwelling for said child's personal use. This Trust shall terminate when the youngest living child attains the age of twenty-four (24) years and the then remaining principal and undistributed income shall be divided into such numbers of shares so that there shall be one share for each said child of EDW ARD A. WETMORE then living and one share for the then living issue (as a group) of each deceased child of EDWARD A. WETMORE and distributed. The share for the living issue shall be distributed, per stirpes. It is my desire, but not my command, that distributions be substantially equal and toward that end upon termination the 5 , 099999-'OOOOS/May-S; 1999/HkJ/P AR/1 02861---':'- -.- ---' ----- -- ---- ----- ----- Trustees may add the amount distributed for the purchase of a residential dwelling unit (if any) to the Trust Assets. Said total shall then be divided by the total number of shares to be distributed with the amount of a prior residential distribution being deducted from the share of the child who received same. (ii) Thirty-seven and one-half (37-1/2%) percent to my son, EDWARD A. WETMORE. (b) If my son, EDWARD A. WETMORE, is not living at the time of distribution, said fifty percent (50%) shall be distributed as follow: (i) Trustees shall hold twenty-five percent (25%) in trust for the then living children of my son, EDWARD A. WETMORE. The Trustees, as they in their sole discretion determine, may distribute income and principal for said children's support, health, education and maintenance; said latter item may include the distribution for or toward the purchase of a residential dwelling for said child's personal use. This Trust shall terminate when the youngest living child attains the age of twenty-four (24) years and the then remaining principal and undistributed income 6 _.099999_00005/May-5.--1.999/f:lAJlP-ABlt02861-_-' ---------~- --------- .--- shall be divided into such numbers of shares so that there shall be one share for each said child of EDWARD A. WETMORE then living and one share for the then living issue (as a group) of each deceased child of EDW ARD A. WETMORE and distributed. The share for the living issue shall be distributed, per stirpes. It is my desire, but not my command, that distributions be substantially equal and toward that end upon termination the Trustees may add the amount distributed for the purchase of a residential dwelling unit (if any) to the Trust Assets. Said total shall then be divided by the total number of shares to be distributed with the amount of a prior residential distribution being deducted from the share of the child who received same. (ii) Ifmy daughter-in-law, ANN M. WETMORE, is living at the time of distribution, twenty-five percent (25%) to said daughter-in-law. If said daughter-in-law, ANN M. WETMORE, is not living at the time of distribution, this twenty-five percent (25%) shall be added to and distributed as a part of (b )(i) immediately above. 7 ___ m _... .... _,_09999g..00005lMay_5.-1999LI:lAJ/.P...ARIj02867~--------_._-- C. Fifty percent (50%) of the Trust Assets, that is, the total less the Five Thousand Dollars ($5,000.00) referred to in Paragraph 5A above, shall be distributed as follows: (a) If my daughter, MARGARET W. CHAPPENS, is living at the time of distribution, said fifty percent (50%) shall he distributed as follows: (i) Trustees shall hold twelve and one-half (12- 1/2%) percent in trust for the then living children of my daughter, MARGARET W. CHAPPEN. The Trustees, as they in their sole discretion determine, may distribute income and principal for said children's support, health, education and maintenance; said latter item may include the distribution for or toward the purchase of a residential dwelling for said child's personal use. This Trust shall terminate when the youngest living child attains the age of twenty-four (24) years and the then remaining principal and undistributed income shall be divided into such numbers of shares so that there shall be one share for each said child of MARGARET W. CHAPPEN then living and one share for the then living issue (as a group) of each deceased child of MARGARET W. CHAPPEN and distributed. The share for the living issue shall 8 --- ------ ,-099999-0eOe5/~aY-5,1-999/HAd/P ARI'1 82861 be distributed, per stirpes. It is my desire, but not my command, that distributions be substantially equal and toward that end upon termination the Trustees may add the amount distributed for the purchase of a residential dwelling unit (if any) to the Trust Assets. Said total shall then be divided by the total number of shares to be distributed with the amount of a prior residential distribution being deducted from the share of the child who received same. (ii) Thirty-seven and one-half (37-1/2%) percent to my daughter, MARGARET W. CHAPPEN. (b) If my daughter, MARGARET W. CHAPPEN, is not living at the time of distribution, said fifty percent (50%) shall be distributed as follow: (i) Trustees shall hold twenty-five percent (25%) in trust for the then living children of my daughter, MARGARET W. CHAPPEN. The Trustees, as they in their sole discretion determine, may distribute income and principal for said children's support, health, education and maintenance; said latter item may include the distribution for or toward the purchase of a residential dwelling for said child's personal use. This Trust shall 9 _ ___ ____ --; 099.99.9::onO_0..5.LMa.Y--2-.1.sJ19/HA,J.../P AR/1 02867 ~_ tenninate when the youngest living child attains the age of twenty-four (24) years and the then remaining principal and undistributed income shall be divided into such numbers of shares so that there shall be one share for each said child of MARGARET W. CHAPPEN then living and one share for the then living issue (as a group) of each deceased child of MARGARET W. CHAPPEN and distributed. The share for the living issue shall be distributed, per stirpes. It is my desire, but not my command, that distributions be substantially equal and toward that end upon termination the Trustees may add the amount distributed for the purchase of a residential dwelling unit (if any) to the Trust Assets. Said total shall then be divided by the total number of shares to be distributed with the amount of a prior residential distribution being deducted from the share of the child who received same. (ii) If my son-in-law, THEODORE CHAPPEN, is living at the time of distribution, twenty-five percent (25%) to said son-in-law. If said son-in- law, THEODORE CHAPPEN, is not living at the time of distribution, this twenty-five percent 10 - -- ~-rU9;"~5IM'Y~57199'"HJ\jJPARl1",,86'l (25%) shall be added to and distributed as a part of (b )(i) immediately above. ITEM IV: Should my wife, VIRGINIA WilLIAMS WETMORE, fail to survive me, I give, devise and bequeath the rest, residue and remainder of my estate of every nature and wherever situate to those who would have been distributees of the Trust Assets had she survived as provided in Item III, B 5. ITEM V: All federal, state and other taxes payable because of my death, with respect to property forming my gross estate for tax purposes, whether or not passing under this Will, including any interest or penalty imposed in connection with such tax shall be considered a part of the expense of the administration of my estate and shall be paid from that part of my residuary estate passing under Item III B. hereof without apportionment or right of reimbursement. All such taxes on present or future interest shall be paid at such time or times as my personal representative may think proper, regardless of whether such taxes are then due. ITEM VI: The interest of the beneficiaries hereunder or the beneficiaries of any Trust created herein shall not be subject to anticipation or to voluntary or involuntary alienation. . ITEM Vll: My personal representative and Trustees shall have the following powers in addition to those vested in them by law and by other provisions of my Will applicable to all property, whether principal or income, including property held for minor, exercisable without court approval and effective until actual distribution of all property: 11 l"-Ogg,gg~=O0005fMqY-5;-t89.g/H:AjfPARf-1-e2861' A. To have full authority to deal with any business interest as freely as I might in my lifetime. B. To make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as they may determine. C. To retain any or all of the assets of my estate, real or personal, without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper, without regard to any principle of diversification or risk. D. To invest in all forms of property without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper, without regard to any principle of diversification or risk. E. To sell at public or private sale, to exchange, or to lease for any period of time any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions as they deem proper. F. To allocate receipts and expenses to principal or income or partly to each as they from time to time think proper. G. To borrow from or to sell to my Trustee even though such Trustees may be my personal representative. H. To compromise any claim or controversy. 12 -Cl99999:00005LMay-5,..i999L1:lAJiP-ABIJ.02867 1. To choose the alternate valuation date for federal estate tax purposes, without regard to whether the size of any marital deduction share will be increased or decreased thereby, without requiring reimbursement. 1. To join with my spouse, or the personal representative of my spouse in filing a j oint income tax return without requiring my spouse or the estate of my spouse to indemnify my estate against liability for the tax attributable to the income of my spouse and to consent to any gifts made by my spouse during my lifetime being treated as having been made one-half (1/2) by me for purposes ofthe Federal Gift Tax law. ITEM VllI: If at the time of my death my wife, VIRGINIA WILLIAMS WETMORE, is not living, or if at the time of my wife's death if she does survive me, I have no then living issue I give, devise and bequeath all the rest, residue and remainder of my estate of every nature and wherever situate as follows: A. Ten Thousand Dollars ($10,000.00) to the Bethesda Mission, of Harrisburg, B. The balance of said rest, residue and remainder is to be divided equally among the following: Mount Calvary Episcopal Church, Camp Hill, Pennsylvania; Marysville College, Marysville, Tennessee; Westminster College, New Wilmington, Pennsylvania; Temple University School of Medicine, Philadelphia, Pennsylvania; and University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. 13 -,-09999s,.o0005/Ma,y_5._19_S9/I:lAJLEABLtQ ITEM IX: I appoint my son, EDWARD A. WETMORE and my daughter, MARGARET W. CHAPPEN, as Trustees of any Trust created by me in this my Last Will. Should EDWARD A. WETMORE fail to qualify or cease to act as Trustee, I appoint my wife, ANN M. WETMORE, as Trustee in his stead. Should MARGARET W. CHAPPEN fail to qualify or cease to act as Trustee, I appoint her husband, THEODORE CHAPPEN, to serve as Co-Trustee in her stead. The survivor of any named Trustee who qualified to act, may act as Co-Trustee or the sole Trustee. If my Trustees or Trustee determine in their sole discretion that the amounts in any Trust make it impractical to continue to hold the assets in Trust, the Trustees or Trustee may at that time distribute the Trust Assets to those who are then allowed distributions of income by the Trustees or Trustee. ITEM X: I appoint my wife, VIRGINIA WILLIAMS WETMORE, Executrix of this my Last Will. Should my wife, VIRGINIA WILLIAMS WETMORE, fail to qualify or cease to act as Executrix, I appoint my son, EDWARD A. WETMORE, and my daughter, MARGARET W. CHAPPEN, or the survivor thereof Executors of this my Last Will. In the event none of the aforementioned qualifies or ceases to act as the personal representative of my estate, I appoint PNC BANK, N.A. as Executor of this my Last Will. 14 _ _ .,-099999-00005lMay_5.J 99.9L1:iAJJEABL1028.fiI , I, . IN WITNESS WHEREOF, I hereunto set my hand and seal this / 0' ~y of J1J#j--- , 19 &J1. . o ~~1J;'~J1sEAL) STANLEY M TMORE Signed, sealed, published and declared by the above-named Testator, as and for his Last Will and Testament, in the presence of us, who, at his request, in his presence and in the presence of each other have hereunto subscribed our names as witnesses. 15 -1' 0999~OQQ"""P 1999IHAJIPARl102867 AFFIDAVIT CO:MJvfONWEAL TH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND We, STANLEY M. WETMORE, ""-..:lu~ -(:4.~ and (Z ~ '~~\t-.'\~~'~ ' the Testator and the witn s, respectfully, whose names are signed to the ch~ r foregoing instrument, being first duly sworn, to hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and that he had signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witness and that to the best of his/her knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Sworn to or affirmed to and sub~cribed to before me by STANLEY M. WETMORE, Testator, and ~,,~. ~--..---. and <<~'-~. \r-.'\ ~ "'(S' , . esses, this ') ~~ day of ~~ ,1999. ~ ~ ~ ~. Notary Public .. My Commission Expires: NOTARIAL SEAL 16 DIANNE LENIG, Notary Public Lemoyne Borough Cumberland Co. My Commission Expires Dec. 21 f 2001 Rev.16GS EX + (8.8S) . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF WETMORE, STANLEY M. FILE NUMBER 21-07 -00666 Include the proceeds of litigation and the date the proceeds were received by the estate. All property Jolntly-owned wtlh the rtllht of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION 1 Curian Clearing Investment Account No. RA24077003 - Date of Death Value - VALUE AT DATE OF DEATH 178.481.57 TOTAL (Also enter on Line 5. Recapitulation) 178,481.57 (If more space is needed, additional pages Df the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1610 EX+ (1-18) . SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSVLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF WETMORE, STANLEY M. FILE NUMBER 21-07 -00666 This schedule must be completed and filed ~ the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM DESCRIPTION OF ''''' ....", T DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. 1 American Equity - Annuity - Account No. 509723 . 110.903.00 110.903.00 Beneficiary: Virginia Williams Wetmore, Wife 2 American Skandia - Roth Individual Retirement 21.989.00 21.989.00 Account - Account No. E0461993 - Beneficiary: Virginia Williams Wetmore, Wife 3 Loyal American - Individual Retirement Account - 194.042.00 194.042.00 Account No. 45005337 - Beneficiary: Virginia Williams Wetmore, Wife TOTAL (Also enter on Line 7, Recapitulation) 326.934.00 (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 G (Rev. 6-98) REV.1151 EX+ (12-89) . SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF WETMORE, STANLEY M. FILE NUMBER 21-07 -00666 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION AMOUNT See continuation schedule(s) attached 3,807.76 B. 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City Year(s) Commission paid State Zip 2. Attorney's Fees Johnson Duffie 1,600.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant VIRGINIA WILLIAMS WETMORE Street Address 5225 WILSON LANE, APT. 2104 City MECHANICSBURG State PA Zip 17055 Relationship of Claimant to Decedent Spouse 3,500.00 4. See continuation schedule(s) attached Probate Fees 308.00 See continuation schedule(s) attached 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs See continuation schedule(s) attached 239.46 TOTAL (Also enter on line 9, Recapitulation) 9,455.22 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1602 EX+ (8-88) *' SCHEDULE H.A FUNERAL EXPENSES continued COMMONWEAl. TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF WETMORE, STANLEY M. FILE NUMBER 21-07 -00666 ITEM NUMBER DESCRIPTION AMOUNT 1 Harvest Catering - Funeral Luncheon 2.320.39 2 Mount Calvary Episcopal Church - funeral service 300.00 3 Musselman Funeral Home - 1.037.37 4 Robert Lau . Organist - funeral service 150.00 Subtotal 3.807.76 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA.1500 Schedule H-A (Rev. 6-98) Rev-1602 EX + (I-SI) . SCHEDULE H.B2 ATTORNEY'S FEES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE T AA RETURN RESIOENT DECEDENT ESTATE OF WETMORE, STANLEY M. FILE NUMBER 21-07 -00666 ITEM NUMBER DESCRIPTION AMOUNT 1 Johnson, Duffie, Stewart & Weidner 1.600.00 Subtotal 1.600.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B2 (Rev. 6-98) ReY-1602 EX+ (1-88) . SCHEDULE H.B3 FAMILY EXEMPTION continued COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF WETMORE, STANLEY M. FILE NUMBER 21-07 -00666 ITEM NUMBER DESCRIPTION AMOUNT 1 Virginia Williams Wetmore, Spouse 3.500.00 Subtotal 3.500.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B3 (Rev. 6-98) Rev-1602 EX+ (8-98) . SCHEDULE H.B4 PROBATE FEES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF WETMORE, STANLEY M. FILE NUMBER 21-07 -00666 ITEM NUMBER 1 DESCRIPTION Register of Wills - Cumberland County AMOUNT 308.00 Subtotal 308.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B4 (Rev. 6-98) Rev.1602 EX+ (8.8S) . SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF WETMORE, STANLEY M. FILE NUMBER 21-07 -00666 ITEM NUMBER DESCRIPTION AMOUNT 1 Cumberland Law Journal - Legal Advertisement 75.00 2 Register of Wills - file Inventory and Inheritance Tax Return. 30.00 3 The Patriot-News - Legal Advertisement 134.46 Subtotal 239.46 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) REV-1513 EX+ (9.00) . SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF 1 WETMORE, STANLEY M. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal Clistributions,( and transfers under Sec. ~116(a)(1.2)] VIRGINIA WILLIAMS WETMORE 5225 WILSON LANE, APT. 2104 MECHANICSBURG, PA 17055 RELATIONSHIP TO DECEDENT 00 Not List Trust../s' FILE NUMBER 21-07 -00666 SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) NUMBER I. Spouse Residue in Trust Total Enter dollar amounts for distributions shown above on lines 5 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)