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HomeMy WebLinkAbout01-14-08 (3) --.J 1505b041147 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 Year INHERITANCE TAX RETURN RESIDENT DECEDENT 2 1 0 7 File Number 0451 189187247 04202007 Date of Birth 05301923 Suffix Decedent's First Name MI JR WALTER 0 Suffix Spouse's First Name MI T F Decedent's Last Name RONEY (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name RONEY 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 D 2. Supplemental Return 0 3. Remainder Return (date of death prior to 12-13-82) C 4. Limited Estate 0 4a. Future Interest Compromise 0 5. Federal Estate Tax Return Required (date of death after 12-12-82) lKl 6. Decedent Died Testate 00 7. Decedent Maintained a Uving Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) [] g. Litigation Proceeds Received 0 10 Spousal povm Credit (date of dealh 0 11. Ejection to tax under Sec. 9113(A) . between 12-31- 1 and 1-1-95) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number GEORGE F. DOUGLAS III 7172436222 Firm Name (If Applicable) SAIDIS, FLOWER & LINDSAY REGISTER OF WILLS USE ONLY First line of address r..,.) - '") '.j 'c",:;J ":-; 26 WEST HIGH STREET Second line of address - --j.] CARLISLE State PA ZIP Code 17013 " --, ,'DATE FILED """'7 City or Post Office (,) r,.,) 1.-,,' <"';"1 Correspondent's e-mail address: Under penalties of p,erjury, 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 infomnation of which preparer has any knowledge. ' SIGNATURE ESPONSIBLE FOR FILING RETURN DATE -r .-:::L, . LJi' _ I '?>~f T. Faye Roney I 9'- o 2S' ADDRESS George F. Douglas IIJ DATE (1,(Of 26 West High Street, Carlisle, PA 17013 Side 1 L 150Sb04111f7 1505bD4111f7 --.J ~ --.J 150560lJ21lJ8 REV-1500 EX Decedent's Name: Walter 0 Roney Jr 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) 0 Separate Billing Requested............. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) 0 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 1"'4'taXable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 481,081.15 15. 962,162.26 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 189187247 4,543.44 1,815.52 1,482,146.52 1,488,505.48 44,123.75 1,138.32 45,262.07 1,443,243.41 1,443,243.41 0.00 43,297.30 0.00 0.00 43,297.30 o 15056042148 --.J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-07-0451 DECEDENT'S NAME Walter 0 Roney Jr STREET ADDRESS 710 Gobin Drive CITY I STATE IZIP Carlisle PA 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Credits (A + B + C) (2) TotallnterestJPenalty (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. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) (4) (5) (5A) (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 43,297.30 0.00 43,297.30 43,297.30 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: a. retain the use or income of the property transferred;.................................................................................. b. retain the right to designate who shall use the property transferred or its income;.................................... c. retain a reversionary interest; or....................................................... ............................... .................. .......... d. receive the promise for life of either payments, benefits or care?.............................................................. 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................................................... ............................... ..... Yes o o o o o 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... [!] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?...................................................................................................................... [!] 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. No [!] [!] [!] [!] [!] o 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. 99116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. 99116 (a) (1.1) (Ii)]. The statute does not exemot 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. 99116 (a) (1.2)J. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. 99116 1.2) [72 P.S. 99116 (a) (1 )]. The tax rate imposed on the net value of transfers to or for the use of the decedenfs siblings is twelve (12) percent [72 P.S. 99116 (a) (1.3)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Rev-1503 EX+ (6-98) SCHEDULE B STOCKS & BONDS . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21-07 -0451 ESTATE OF Roney, Walter 0 Jr All property jolnUy-owned with right of survivorship must be disclosed on Schedule F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 744320102 48 shares of Prudential Financiallnc - Com 94.655 4,543.44 TOTAL (Also enter on Line 2, Recapitulation) 4.543.44 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-1508 EJ(+ (6-98) *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Roney, Walter 0 Jr FILE NUMBER 21-07 -0451 ESTATE OF Include the proceeds of litigation and the date the proceeds were received by the estate. All property Jolntly-owned with the right of survivorship must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 AAA Central Penn-Refund 38.50 2 American Home Patient - Refund of partial payment 6.91 3 American Legion Post #674 - Death Benefit 350.00 4 Embarq-Refund 21.99 5 United Healthcare Insurance Company-Refunds 1.148.12 6 Veterans of Foreign Wars - Death Benefit 250.00 TOTAL (Also enter on Line 5, Recapitulation) 1.815.52 (If more space is needed. additiDnal pages Df the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev.1510 EX+ (6-98) *' SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY CO~ONWEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Roney, Walter 0 Jr FILE NUMBER 21-07-0451 ESTATE OF This schedule must be completed and filed if the answer to any of questions 1lhrough 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM DESCRIPTION OF PROPERTY 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 Skandia Annuity - Annuity #000010140, 33,335.17 100.000 0.00 33,335.17 IRA Beneficiaries for this annuity- One-third (1/3) to each: T. Faye Roney, wife 710 Gobin Drive Carlisle, PA 17013 Curtis A. Roney, son 800 West Keller Street Mechanicsburg, PA 17055 Sharon R. Myers, daughter 8850 Stonebrook Lane Columbia, MD 21046 Total of Continuation Schedule ~ee attached page TOTAL (Also enter on Line 7, Recapitulation) 1,482.146.52 (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-1510 EX+ (609B) *' SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY continued COMMON~THOFPENNSVlVAN~ INHERITANCE TAX RETURN RESIDENT DECEDENT Roney, Walter 0 Jr FILE NUMBER 21-07-0451 ESTATE OF ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % OF DECO'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. 2 Assets from the Walter O. Roney Revocable 1,448,811.35 100.000 0.00 1,448,811.35 Trust - See sheet attached for a listing of the assets Iiquated upon the death of Walter O. Roney Beneficiaries for the Trust-One-third (1/3) to each: T. Faye Roney, wife 710 Gobin Drive Carlisle, PA 17013 Curtis A. Roney, son 800 West Keller Street Mechanisburg, PA 17055 Sharon R. Myers, daughter 8850 Stonebrook Lane Columbia, MD 21046 TOTAL (Also enter on Line 7, Recapitulation) 1.482,146.52 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) Rov.15D3 EX+ (6-98) *' STOCKS & BONDS COMMONWEAl, TH OF PENNSVLVANIA INHERJTANCETAX RETURN RESIDENT DECEDENT Roney, Walter 0 Jr --TrtUSt Assets FILE NUMBER 21-07-0451 ESTATE OF All property jolntly-ownod with right of survivorship must bo disclosed on Schodule F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 500 shares of Alcoa, Inc. 34.55 17,275.00 2 389 shares of AT & T Corporation 39.67 15,431.63 3 502 shares of BankAtlantic Bancorp. 11.13 5,587.26 4 1,200 shares of Carlisle Companies, Inc. 44.83 53.796.00 5 400 shares of Citigroup, Inc. 53.33 21,332.00 6 241 shares of Comcast Corp. 27.8 6.699.80 7 500 shares of Corning Inc. 23.38 11,690.00 8 1,000 shares of OTE Energy Co. 49.25 49,250.00 9 2,500 shares of Energy East Corp. 24.7 61,750.00 10 120 shares of EnPro Industries Inc. 37.95 4.554.00 11 1,000 shares of Ford Motor Co. 7.77 7.770.00 12 1,000 shares of General Electric Co. 35.09 35.090.00 13 1,000 shares of Goodrich Corp. 52.97 52.970.00 14 .400 shares of Harsco Corp. 48.23 19,292.00 15 200 shares of Hershey Co. 54.17 10.834.00 16 125 shares of Levitt Corp. 9.34 1.167.50 Total of Continuation Schedule See attached page (If more space is needed. additional pages of the same size) Copyright (e) 2002 form software only The Lackner Group, Inc. Rev.15D3 EX- (&-981 *' STOCKS & BONDS continued COMtJiJNWEAL TH OF PENNSYLVANIA '~HERrrANcE TAX RETURN RESIDENT DECEDENT Roney, Walter 0 Jr --Trust Assets FILE NUMBER 21-07 -0451 ESTATE OF ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 17 3,500 shares of M&T Bank 113.33 396.655.00 18 102 shares of Mirant Corporation 45.17 4.607.34 19 500 shares of Motorola, Inc. 18.15 9.075.00 20 6,900 shares of Pepsico Inc. 66.54 459.126.00 21 1,000 shares of PPL Corp. 44.42 44,420.00 22 102 shares of Prudential Financial 94.66 9.655.32 23 2,250 shares of Southern Co. 37.99 85.477 .50 24 1,200 shares of T eco Energy Inc. 18 21.600.00 25 200 shares of Xerox Corp. 18.53 3.706.00 26 40,000 Household Finance Corp., 7.75%, due 9/15/22 40,000.00 . TOTAL 1.448.811.35 Copyright (c) 2002 form software only The Lackner Group, Inc. REV.1151 EX+ (12.99) . SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Roney, Walter 0 Jr Debts of decedent must be reported on Schedule I. FILE NUMBER 21-07 -0451 ESTATE OF ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION AMOUNT 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions B. Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City Year(s) Commission paid State Zip 2. Attomey's Fees 37,500.00 , "'1 3. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation) Claimant ~~T Faye Roney Street Address 710 Gobin Drive City Carlisle Relationship of Claimant to Decedent 3,500.00 State Spouse PA Zip 17013 4. Probate Fees 980.00 5. Accountant's Fees 6. Tax Retum Preparer's Fees 7. Other Administrative Costs See continuation schedule(s) attached 2,143.75 TOTAL (Also enter on line 9, Recapitulation) 44,123.75 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev.1502 EX+ (6-98) *' SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Roney, Walter 0 Jr FILE NUMBER 21-07 -0451 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 Cumberland Law Journal - Advertise Estate Notice 75.00 2 DHL Express Delivery - Delivery on 10/16/2007 6.06 3 John B. O'Neill, Tax Collector 1.641.42 4 Pennsylvania State Bank - Check Charge 16.25 5 Recorder of Deeds - Record deed 38.50 6 Register of Wills - Short certificates 128.00 7 Register of Wills - Short certificates 40.00 8 The Sentinel - Advertising for Estate Notice 198.52 Subtotal 2.143.75 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) Rev-1512 EX+ (6-98) *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Roney, Walter 0 Jr FILE NUMBER 21-07 -0451 ESTATE OF Include unrelmbursed medical expenses. ITEM NUMBER DESCRIPTION 1 American Home Patient VALUE AT DATE OF DEATH 34.53 2 Belvedere Medical Corporation - Medical Bill 12.90 3 Bronstein Jeffries, PA - Medical Bill 100.93 4 Fidelity Investments Institutional Operating Co. 916.56 5 Lanc HMA PHYS MGMT - Medical Bill 24.13 6 Lane HMA PHYS MGMT - Medical Bill 49.27 TOTAL (Also enter on Line 10, Recapitulation) 1,138.32 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98) REV.1513 EX+ (9-00) . SCHEDULE .. BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF 1 Roney, Walter 0 Jr NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal aistributions, and transfers under Sec. 9116(a)(1.2)] Sharon Roney Myers 8850 Stonebrook Lane Columbia, MD 21046 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) FILE NUMBER 21-07 -0451 SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) NUMBER I. Daughter 1/3 of the ASA and the Trust 481,081.13 2 Curtis A. Roney 800 West Keller Street Mechanicsburg, PA 17055 Son 1/3 of the ASA and the Trust 481,081.13 3 T. Faye Roney 710 Gobin Drive Carlisle, PA 17013 Wife 1/3 of the ASA and the Trust and 100% of the Residue 481,081.15 Total 1,443,243.41 Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet TI. 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) 7' LAST WILL AND TESTAMENT OF WALTER o. RONEY, JR. I, WALTER O. RONEY, JR., of Carlisle, Cumberland County. Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. F(RST I direct the payment of my just debts and expenses of my last illness and funeral, I from my estate as soon after my death as conveniently may be done. If there be no cemetery lot available for my interment owned by me at the time of my death, I authorize my personal representative to purchase such cemetery lot with a contract for perpetual care. using therefor funds from my estate in such amount as he snail consider necessary and desirable, and I authorize my personal representative to cause title to or ownership ,of such lot so purchased to be vested in such person as my personal representative shall designate. Further, I authorize my personal representative to expend funds fronirny estate, in such amount as my personal representative shall consider necessary amf"idesirable for the purchase, erection and inscription of a suitable marker for my grave. (J.o.1Z ~ i j j " 1 '; ,~ 'g 'I ~ :1 1, i ~_.--'------ SECOND I give, devise and bequeath all the rest, residue and remainder of my estate to my beloved wife, T. FAYE RONEY, absolutely, and in fee simple if she survives me by thirty (30) days. THIRD In the event that my wife predeceases me or fails to survive me by thirty (30) days, I give, devise and bequeath my residuary estate to my daughter, SHARON R. MYERS, my son, CURTIS A. RONEY, and my stepson, SHAWN WEYAND, in equal shares, per stirpes FOURTH In addition to the powers conferred by law, I authorize any personal representative, trustee or guardian acting under this instrument, in his/her absolute discretion: (a) To retain in the form received, or to sell either at public or private sale any real or personal property; (b) To exercise any options to subscribe for stocks, bonds, or other investments. (c) To join in any plan of lease, mortgage, consolidation, 'exchange, reorganization or foreclosure of any corporation in which my estate or any trust may hold stocks, bonds or other securities; QO.~ 2 ~::1$.~::;~ ..'...""",. ~':~j:&i~. ~oIt""'-"-~~-'" (d) To sell, transfer, convey, mortgage, pledge, lease or exchange any property, real or personal, which at any time may form part of my estate, for the , payment of debts or taxes, or for any purpose of administration or distribution, for such prices and upon such terms as they, in their sole discretion, may deem wise, and to execute and deliver deeds of conveyance or transfer thereof; (e) To make settlements and compromises on such terms as they, in their sole discretion may deem wise without the necessity of obtaining any court approval thereof; (f) To make distribution hereunder either in cash or kind, as they, in their discretion may deem wise. FIF[H I do hereby nominate, constitute and appoint my wife, T. FAYE RONEY, to serve as Executrix of this my Last Will and Testament. Provided, however, that if she is unwilling or unable to serve as Executrix, ) direct the duties of AltemateExecutor be performed by my stepson, SHAWN WEYAND, of Mechanicsburg, Pennsylviimia. SIXTH I direct that no personal representative, guardian, trustee or otner fiduciary appointed under this instrument shall be required to give bond for the faithful performance of his or her duties in any jurisdiction. (J LJ. () u< 3 -.:,::]:)~; >~.y,;'.';. ~.::~r .........-.":.,.---. i'''-.:i!.....,.".~~""", '..;,,',~. IN WITNESS WHEREOF. I, WALTER O. RONEY, JR., have hereunto set my hand and seal to this my Last Will and Testament, consisting of five (5) typewritten pages, the first three (3) of which bear my signature in the margin for identification, this 111~ day of January, 2007. 0), ~. . r . \. ,-' Q (!-)},.i!." J ./ Walter O. Rone , Jr., Testator Signed, sealed, published and declared by the above-named Testator, WALTER O. RONEY, JR., as and for his Last Will and Testament in the presence of us, who have hereunto subscribed our names at his request as witnesses thereto, in the presence of said Testator and of each other. ~~[- ~k..- 4ii ADDRESS U v.J. lJ-,.cjl... ~J-- ('Q/\~ t Po..... {7" i] ADDRESS 17eL~ "~:i:, 4 , .I "'1_~ 4" 'i!j "r" ......._-.~..li".'~'..-.~>..l "-."" """k;~'<'-"_;",""""""""-"'-,"'" .. "" COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) ~S{~c ~,~(~ , WE, WALTER O. RCfNEY, JR., . ~ , the Testator and witnesses 1 ose names are signed to the foregoing or attached instrument, being first duly s n, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and Testament and that he signed willingly and that he executed 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 their knowledge the Testator was at the time 18 or more years of age, of sound mind and under no constraint or undue influence" Sworn or affirmed to and subscribed to II,t day of January, 2007. ) ,..-, .-- ( 1- d ftli, (7 V~IU"'~" --' L/ Walter o. Ron y, Jr., Testator ~c~-~ Wit ess ~!Lt8~ ~iL Witness Subscribed, sworn to and acknowledged before me by WALTER O. RONEY, JR., the Testator, and subscribed to &3' ~ ~~:IJl witnesses, this / {~ day of January, 2007. and sworn or affirmed to before and '-~ ri? u Jv.... me by ~~JJ~ Not Public NOTARIAL SEAL . MERLENE J. MARHEVKAI..~01ARY PUBLIC CARLISLE CUMBERLAMJ COUNTY. PA MV COMMISSION EXPIRES JUN~8, 2010 5 '" '>1>--> ....'" THE REVOCABLE LIVING TRUST OF WALTER O. RONEY, JR. THIS TRUST AGREEMENT, made thiS/Sr:t.- day of ~. between WALTER O. RONEY, ;.-:-. Sing~ 1992, by and sently residing at 7501 N. W. 58th Court, in the City of Tamarac, County of Broward, State of Florida (hereinafter called the "Grantor", "Primary Trustee" and "Primary Beneficiary") and Grantor's Son, CURTIS A. RONEY, and Grantor's Daughter, SHARON R. MYERS, and Grantor's Step-Son, ROY GREEGOR, JR. and Grantor's Trusted and Beloved Friend, THElMA F. WEYAND a/k/a T. FAYE WEYAND, (hereinafter called "Successor Beneficiaries"), and Grantor's Son, CURTIS A. RONEY, and Grantor's Daughter, SHARON R. MYERS and Grantor I s Trusted and Beloved Friend, THELMA F. WEYAND a/k/a T. FAYE WEYAND, (hereinafter called "Joint Co-Successor Trustees" to serve simultaneously, or whichever of them that shall so survive, shall continue to serve); and any and all Successor Trustees are to serve free of fee and free of bond; and WHEREAS, the Grantor, desiring to create a Trust for the benefit of the Primary Beneficiary hereinafter set forth, does hereby assign, transfer, convey and deliver to the Primary Trustee the property described in the Schedule attached hereto and made a part hereof; and WHEREAS, additional funds, securities, life insurance payable to the Trustees, and other> property, may be transferred by the Grantor or any other person, by will or otherwise, from time to time, to the Trustees as additions to the Trust, and all such further funds, securities, life insurance and other property shall be dealt with by the Trustees pursuant to the terms hereof, provided that all such additions shall be such as are acceptable to the Trustees. A description of such additional funds, securi- ties, life insurance and other property shall be attached hereto by appropriate schedules. First of Eight Pages ';/0 ;2 C)v . / 'I NOW, THEREFORE, IT IS AGREED by and between the parties hereto as follows: FIRST: The Primary Trustee shall, after paying thel necessary expenses of the management and preservation of the Trust property, pay the entire net income of the Trust in reason- able installments, to or for the Primary Beneficiary during his entire lifetime, together with such amounts of the Trust prin- cipal as the Primary Beneficiary may withdraw from time to time. The Primary Trustee shall have complete authority and power wi th respect to administration of the TRUST during Trustee 's .lifetime, and shall be able to act independently with respect thereto including but not limited to the ability to withdraw funds or sign instruments or otherwise effect the TRUST corpus or income. If, due to physical or mental incapacity, the Primary Trustee, is in the opinion of a duly licensed medical doctor, unable to administer such income or to exercise his right to withdraw principal, the Successor Trustees, shall, from time to time, distribute to or expend on behalf of the incapable Primary Beneficiary to the "Beneficiary" and/or "Beneficiaries", and those dependent upon him, the income and sufficient principal which, together with funds known to the Successor Trustees to be available from other sources for such purposes, will, in the sole discretion of the Successor Trustees, and consistent with the value of the Trust, maintain Incapacitated "Beneficiary" and those dependent upon him as nearly as possible in the mode of living to which he and they were accustomed prior to his becomin incapaci tated. If the Primary Trustee shall become incapaci- tated, as hereinafter discussed, then the Successor Trustees shall have the same powers as the primary Trustee had, with respect to the administration of the Trust. SECOND: Upon the death of the Grantor ("Primar Trustee" and "Primary Beneficiary") , the Successor Trustees shall hold, administer and dispose of the Trust Property as follows: Second of Eight Pages {).o.~ (A) The first Twenty-Five Thousand ($25,000.00) Dollars of any and all Trust Property, of whatsoever kind and nature, and wheresoever situate, shall go outright and immediately to Successor Beneficiary, ROY GREEGOR, JR. (Grantor's Step-Son), per capita and not per stirpes, providing he survive Grantor; and (B) All of the rest, residue and remainder of Grantor's Trust Property, both real and personal, of whatsoever kind and nature, and wheresoever situate, shall go outright and imme- diately, in three (3) equal one-third (1/3rd) shares as follows: (1) One-Third (1/3rd) of all of the Trust Propert shall go to Successor Beneficiary, THELMA F. WEYAND a/k/a T. FAYE WEYAND, (Grantor's Trusted and Beloved Friend), per capita an not per stirpes; providing she survive Grantor; and (2) One-Third (1/3rd) of all of the Trust Propert shall go to Successor Beneficiary, CURTIS A. RONEY, Son), per stirpes and not per capita; and (3) One-Third (1/3rd) of all of the Trust Propert shall go to Successor Beneficiary, SHARON R. MYERS, (Grantor's Daughter), per stirpes and not per capita. (C) If, however, at the death of Grantor, any indivi- dual taking hereunder is under the age of eighteen (18) years, then and in that event, said individual's share shall be held i Trust by Successor Trustees, in accordance with Paragraph Sixt until such time as said individual attains the age of eightee (18) years, at which time said Trust is to be terminated, said individual's share is to be remitted outright, completel and immediately, and free of Trust. THIRD: Notwithstanding anything to the contrary, Trust created hereunder shall terminate not later than twenty-on (21) years after the death of the last to die, of those benefi ciaries who were living on the date on which this instrumen shall become irrevocable. At the end of such period all suc Trusts shall terminate and the Trustees shall distribute undistributed income and principal of such Trusts to the curren income beneficiaries who are then or would have been Third of Eight Pages receive the income from said Trust and in the same proportions as they are or would have been entitled to such income, and if the proportions are not specified, in equal shares to such benefi- ciaries, absolute and free of Trust. FOURTH: The Primary Trustee first, and after them the Successor Trustees are hereby vested with full and complete title to all of the property embraced within the Trust hereof, both as to principal and income therefrom, subject only to the execution of the Trust hereof; and further , neither the principal nor the income of the Trust Property shall be liable for the debts of any beneficiary hereof, nor shall the same be subject to seizure by any creditor of any beneficiary under any writ or proceeding at law or in equity, and no beneficiary hereunder shall have an power to sell, assign, transfer, encumber, or in any other manner anticipate or dispose of his or her interest in the Trust Property or the income produced hereby. FIFTH: During the lifetime of Primary Beneficiary or until the provisions of Article Fourth hereinabove set fort shall become operative, the Successor Trustees shall not exercis1 any powers with respect to the sale, retention, investment 0 done pursuant to such written instructions. The Successo reinvestment of the Trust Property except in accordance wit Grantor's written instructions, and the Successor Trustees shal have no responsibility or liability to any person who may now 0 may hereafter claim an interest in the Trust Property for any ac Trustees specifically shall have no duty to inquire into th exercise of any such powers reserved by Grantor with respect t the sale, retention, investment or reinvestment of the Trus Property, the responsibility for the exercise or failure to exer cise such powers being Grantor's alone; provided, further, however, that the power herein reserved by Grantor and Primar Trustee wi th respect to the investment of the Trust Propert shall be deemed a personal power exercisable by Grantor an Fourth of Eight Pages subject to suc it.}6 J; j-v Primary Trustee in his sole, absolute and unrestricted discre tion, and in the same manner as if the property power were held by Grantor outright and free of Trust; and pro- vided, further, that any person or corporation, including transfer agents dealing with the Primary Trustee, or subsequently the Successor Trustees shall be required to inquire as to Grantor's competency or as to such instructions, but may conclu- sively presume the existence or occurrence of facts supporting any action of the Primary Trustee and Successor Trustees. Grantor specifically authorizes Primary Trustee and Successor Trustees to hold and retain any property delivered to them by Grantor, or subsequently acquired by them pursuant to Grantor's written instructions, notwithstanding any lack of diversification in the investment of such property or any disproportionate in- vestment thereof in common stocks or other equities, and the Primary Trustee and Successor Trustees shall not be liable for any loss or depreciation occasioned by such retention. Primary Trustee and Successor Trustees are further authorized and empowered to retain uninvested any and all cash which Grantor or other s may pay over to him and I or her, or ei ther of them, and shall have no liability for any loss of income thereon. SIXTH: The Grantor hereby grants to the Primary Trustee and Successor Trustees with respect to each Trust created hereunder, in addition to those powers conferred by law, the following powers to be exercised with authority from any Court, in dealing with any and all property, real or personal forming a part of any Trust created hereunder including property held for minors; to retain such property for as long as the Primary Trustee or Successor Trustees may deem advisable, to abandon such property or to sell such property for cash or credit at public or private sale or to grant options, to lease property regardless of the fact that the term of any such lease may extend beyond the term of any Trust created hereunder, to distribute such property in cash or in kind or both and to value such property to the extent permitted by law, to invest in any property regardless of whether authorized by law for investment of Trust funds, to borrow money from any lender (including the Primary Trust~~,or Fi fth of Eight Pages f,~/O .fJ1/ Successor Trustees), to settle claims, and to do all acts although not specifically listed herein deemed necessary an upon such instrument wi thout liability to any beneficiary; advisable for the proper management, investment and distributio of such property. SEVENTH: The Grantor shall have the power at any tim during his lifetime, except by one who may be adjudged mentall incompetent by anyone having authority to make said determina tion, by an instrument in writing delivered to the Successo Trustees to modify, alter, amend or revoke this Agreement, i whole or in part, and to change the beneficiaries thereof, and t withdraw any part or all of the principal of this Trus Property, and the Successor Trustees, shall be entitled to reI provided, however, that the duties and responsibilities of th Successor Trustees hereunder shall not be substantially increase without his consent. The powers reserved hereby to the Granto shall not be exercisable by a guardian or by any other person. EIGHTH, The Successor Trustees may resign the Tru"'1 hereof effective thirty (30) days aft~r written notice of inten tion to do so, given personally or by registered mail to th ficiaries then entitled to the income of said Trust, or to thei Grantor, or if the Grantor shall not then be living, to the bene legal representatives. Any alternate or other Successor Trustee appointed by the Grantor, or by a Court of competent jurisdic tion, shall succeed to all of the duties, and to all of th powers, including discretionary powers, herein granted to th Successor Trustees. NINTH: The Successor Trustees are empowered to incur, and pay from the Trust Property all reasonable expenses in con nection with the management, preservation and administration 0 the Trust hereof, including reasonable compensation for the ser vices of the Successor Trustees and including the fees an charges of such agents, attorneys or accountants as the Successo Trustees may, in the exercise of their discretion, employ in th administration of the Trusts hereunder. Ii sixth of Eight Pages /J JIJ lJ2- / .. TENTH: In the case of incapacity of Grantor, the Successor Trustees shall render at least annually, a statement of properties in the Trust and of receipts and disbursements during the period covered to the Grantor during his lifetime, if there are assets in this Trust other than beneficiary designations under life insurance policies and/or nominal amounts of cash. After the death of the Primary Trustee, the Successor Trustees shall render such statement of account at least annually to each of the adult and otherwise legally competent beneficiaries (and to the natural or legal guardian, if any, of each minor or other- wise legally incompetent beneficiary) then receiving or entitled to receive income from any of the Trusts hereunder. The Successor Trustees, at their sole option, may, at any time, secure the written approval of the Grantor or the aforesaid income benefi- ,I II I I ciaries to any of their accounts so rendered and such approval shall be final, binding and conclusive as to all matters con- tained in such account upon all persons (whether in being or not) then or thereafter interested in the income and/or principal of the Trust. The Successor Trustees may also, at any time, at their option, secure "Approval Of An Account" of their affairs, by a Court of competent jurisdiction. The books of account of' the Successor Trustees shall, at all reasonable times, be open to the reasonable inspection of the Grantor and/or the aforesaid income beneficiaries and such other person or persons as they may designate for that purpose. ELEVENTH: Wherever in this Agreement words, including pronouns, are used in the masculine, they shall be read and construed in the feminine or neuter whenever they would so apply, and wherever in this Agreement the words "Personal Representa- tive" or "Trustee" and other words, including pronouns are used in the singular or plural they shall be read and construed in the plural or singular, respectively, wherever they would so apply. Further, when the word "Trustee" is used, Successor Trustee ma be construed in its place if each would carry out the intent of Grantors more accurately. t ) /} ,;f!)1/' Seventh of Eight Pages TWELFTH: This Agreement has been delivered in the State of Florida. The laws of the State of Florida shall gove~n the validity, interpretation and administration thereof, notwith- standing the residence in another jurisdiction of the Grantor or of any beneficiary hereunder. IN WITNESS WHEREOF, the said WALTER O. RONEY, JR., as "Grantor","primary Trustee" and "Primary Beneficiary" has here- unto set his hand and seal, and has caused these presents to be executed and duly witnessed on the day and year first above writ- ten. STATE OF FLORIDA ss: COUNTY OF BROWARD BEFORE ME, personaTly appeared WALTER O.RONEY, JR., t therein expressed. IS~day 0 me well known and known to me to be the person described in an who executed the foregoing instrument, and he acknowledged to an before me that he executed said instrument for the purposes WITNESS my hand and official seal, this ~~, 1992. {/..-- .0 NOTARY PUBLIC. STATE OF FLORIDA. . MY COMMISSION EXPIRES: JUNE 19. 1993. _,",,_0 TH"U NOTAIIY PUIIUQ UHDERWRITJI:R8] ..:. Eighth of Eight Pages THE REVOCABLE LIVING TRUST OF WALTER O. RONEY, JR. SCHEDULE OF TRUST ASSETS (A) Bank Accounts: FARMERS TRUST - Account Number: 5 48707 NCNB - Account Numbers: 3705083376 and 3506994182 (B) Securities: CARLISLE COMPANIES INCORPORATED DELMARVA POWER AND LIGHT CO. DETROIT EDISON CO. FINANCIAL TRUST CORP. FISHER PRICE, INC. MAYTAG CORP. PENNSYLVANIA POWER AND LIGHT CO. QUAKER OATS CO. SOUTHERN CO. CHRYSLER BONDS S..YBUB~] IBED be~.me this ~day of L 1992. i I " .I ~ ~ - - === ;;;;;;;;;;;;;;; === - = - !!!!!!!!!!!!!! ~ American Skandia A P'1Idt!lUioJ Jo'ntUlCiDl CDflltPdlly N-hC Prudential Annuity Service Center P.O. Box 7960 Philadelphia, PA 19176 American Skandia Advisors Plan Annuity Statement January 01, 2007 through March 31, 2007 >07786 3510822 004 092001 WALTER O. RONEY JR. 710 GOBIN DR CARLISLE, PA 17013-1511 Annuity #: Owner Name: Annuitant: 000010140 Walter O. Roney Jr. Walter O. Roney Jr. Type: IRA Page 1 of3 Investment Professional: MEYERS ASSOCIATES LP (HOUSE ACCOUNT) MEYERS ASSOCIATES LP 2ND FLOOR 45 BROADWAY NEW YORK, NY 10006 Issue Date: Statement Date: 08/21/1992 04/01/2007 For 24-hour access to your portfolio performance, investment options, current account values and other information: Sign on to our interactive Web site www.americanskandia.Drudential.com Or call our Automated Voice Response System at 1-800-766-4530. For other inquiries on your Annuity Contract, contact your Investment Professional. Please review your statement thoroughly and contact us if you find any information you believe to be inaccurate. If we do not hear from you in 30 days, we will assume that all information is correct. Your Portfolio Since Issue Your Annuity Activity Beginning Value Purchase Payments Withdrawals Contract Fees and Charges Investment Performance Ending Value Fixed/MVA Bond Agent 10 It BQ4W5D Office It ZFUXA Year-to-Date $32,955.17 .00 .00 .00 $380.00 $33,335.17 .00 $35,309.53 ($28,264.43) ($415.47) $26,705.54 $33,335.17 . Bond 4.17% . Fixed/MVA 95.83% 01786 3510822 010521 018399 00001/00002 American Skandia Advisors Plan Annuity Statement January 01, 2007 through March 31, 2007 Page 2 of 3 Portfolio Detail January 01,2007 through March 31,2007 Variable Investments # of Units as of March 31 Unit Price as of March 31 Portfolio Value as of March 31 l\1li AST PIMCO Limited Maturity Bond Total Variable Investments 91.65818 15.13597 $1.387.34 $1,387.34 Fixed Investments *MVA as of March 31 Interim Value as of March 31 . MVA 10 YearGP 08/21/2012 4.790% Total Fixed Investments 2,065.43 $31.947.83 $31,947.83 $33,335.17 Total Investment Value The market value adjustment ("MVA") is an adjustment we make to your account value that is calculated based on a formula described in your prospectus. This adjustment may be positive or negative. Generally speaking, you can avoid an MV A if your withdrawal occurs at, or for some contracts near the end of, the guarantee period. The particular "window" during which you may make such an MV A-free withdrawal varies among differellt annuity products - - check your prospectus for details. The figure shown in this statement for account value includes the effect of any MV A to which you would be subject if you made a withdrawal as of the date of this statement. In contrast, the figure shown for interim value does not take any MV A into account. Total Investment Value is the value of your annuity before the assessment of any applicable contingent deferred sales charge, maintenance fee, optional benefit fee or Market Value Adjustment. Withdrawals made prior to the Statement Date are reflected in the values shown above. The Maturity Date is the end of your Guarantee Period. The surrender value may change daily to reflect the investment performance of the Sub-Accounts in which you are invested and fluctuations in our current fixed rates. Our current fixed rates are sensitive to interest rate fluctuations in the market. Your Benefit Values Annuity Death Benefit (Net) $33,335.17 The Annuity Death Benefit is shown as of the date of this statement and may fluctuate. If the Annuity contract is owned by more than one individual, the Annuity Death Benefit shown is based on the oldest designated Owner. If the Annuity is owned by an entity, the Annuity Death Benefit shown is based on the designated Annuitant. For more details on how the actual net death benefit is calculated, please review the terms and conditions detailed in your prospectus. The Annuity Death Benefit is shown as of the date of this statement and may fluctuate. For more details on how the net death benefit is calculated, please review your prospectus. Certain terms and conditions detailed in your prospectus may affect the actual death benefit. The following benefit options have not been selected and may not be available after the i~sue date: Annuity Rewards, Guaranteed Return Option Plus.t> Special Programs as of March 31, 2007 Systematic Withdrawal of Account Value to meet Tax Code requirements Annual. The following special programs have not been selected: Asset Allocation, Bank Drafting, Dollar Cost Averaging, Automatic Rebalancing, 72(t) Distributions, Systematic Withdrawals Required Distributions 92001 A0407 ---- - - ---- ~ ---- == ---- ~ - ---- ~ N-AC American Skandia AI'___itIIe..,...., American Skandia Advisors Plan Annuity Statement January 01, 2007 through March 31, 2007 Page 3 of3 Some special programs may not be available due to age requirements, minimum account value, or other optional programs selected. Primary Beneficiary Information T F. Roney Curtis A. Roney Sharon O. Myers !!!!portant Messaaes For ease of reference, we use a single set of defined terms in this statement. In certain cases, your contract may use a different name for a contract feature than what is used in this statement. Investment performance depicts the change in your contract's value during the period covered by this report due to gains or losses in your variable sub-accounts and any interest you earned in a fixed allocation option. To obtain information concerning any compensation received by the broker/dealer in connection with your annuity, please consult your prospectus or call the Annuity Service Center at 1-800-752-6342. Annuity issued by American Skandia Life Assurance Corporation and distributed by American Skandia Marketing. Incorporated both Prudential Financial companies located at One Corporate Drive, P.O. Box 883. Shelton, cr 06484-0883. American Skandia Life Assurance Corporation is solely responsible for its tinancial condition and contractual obligations. The third party broker/dealer identified on the top of page one of this statement is the selling broker/dealer. and acted as agent in the transaction(s) listed above. 07786 3510822 010522 018401 ??oo2/00002 f) NEWBRIDGE SECURITIES CORPORATION , MEMBER NASD. SIPC . MSRB FROM THE DESK OF Mary Carter Registered Sales Assistant Charles Brown Mrs. Roney, The value of account # 3184-0460 in the name of Walter 0 Roney, Jr. Trust for the date of death April 20th, 2007 was $40,029.00. Please forward an original death certificate and a letter of instruction as to what you want to do with the Trust account. Any questions, please call me. C /; fL, S. S I' j) Us P Sf-cJ...-l?e-~ ~ S-~k.f <g ro b -3t/- 8b t5 f)<. -r /'11 5200 Town Center Circle, Tower 1, Suite 201, Boca Raton, FL 33486 (561)-395-1220 x 148- (866) 361-8695 - Fax (561) 417-0224 JOHN E. SLIKE ROBERT C. SAlOIS JAMES D. FLOWER,JR CAROL J. LINDSAY JOHN B. LAMPI MICHAEL L. SOLOMON GEORGE F. DOUGLAS, III DEAN E. REYNOSA THOMAS E. FLOWER MARYLOU MATAS SUZANNE C. HIXENBAUGH LAW OFFICES SAIDIS, FLOWER & LINDSAY A PROFESSIONAL CORPORATION 26 WEST HIGH STREET CARLISLE, PENNSYL VANIA 17013 TELEPHONE: (717) 243-6222 - FACSIMILE: (717) 243-6486 EMAIL: attorney@sfl-Iaw.com www.sfl-Iaw.com CAMP HILL OFFICE: 2109 MARKET STREET CAMP HILL, P A 17011 TELEPHONE: (717)737-3405 FACSIMILE: (717)737-3407 REPLY TO CARLISLE January 11, 2008 Cumberland County Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013-3387 t-=: ,~ t_~~ = c... )-;... ~-~'" --- -0 ~ Re: The Estate of Walter O. Roney, Jr. File No. 21-07-0451 ~ W N (f1 Dear Ms. Strasbaugh: Enclosed are two (2) original copies each of the Inventory and Inheritance Tax Return for the Estate of Walter O. Roney, Jr. to be filed in your office. A copy of both the Inventory and Inheritance Tax Return are enclosed to be time-stamped and returned to me in the enclosed self- addressed stamped envelope. Also, enclosed are three checks. Two checks, one in the amount of $20,000.00 and one in the amount of $23,297.30, are enclosed to pay the inheritance taxes due. The third check for $30.00 is enclosed to cover the filing fees. If you have any questions or comments regarding the documents, please call. Sincerely, SAID IS, FLOWER & LINDSAY a~.. J~ Seker Paralegal for George F. Douglas, III JS