HomeMy WebLinkAbout01-25-08
---I
REV-1500 EX(06-05}
PA Department of Revenue
Bureau of Individual Taxes
PO BOX 280601
Harrisburg, PA 17128-0601
15056041103
OFFICIAL USE ONLY
County Code Year
File Number
INHERITANCE TAX RETURN
RESIDENT DECEDENT
21-07-0942
ENTER DECEDENT INFORMATION BELOW
Social Securi'!y Number Date of Death
190-22-4383 10052007
Date of Birth
08301930
Decedent's Last Name
DRIVER
Suffix
Decedent's First Name
BETTY
MI
L
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
DRIVER
Spouse's First Name
DONALD
MI
E
Spouse's Social Security Number
190-22-3797
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE BOXES BELOW
[!]
o
[!]
o
Supplemental Return
o
o
3. Remainder Return (date of death
prior to 12-13-82)
5, Federal Estate Tax Return Required
1. Original Return
02.
04a.
o 7.
010.
Future Interest Compromise (date of
death after 12-12-82)
Decedent Maintained a Living Trust
(Attach Copy of Trust)
~ 8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A}
4. Limited Estate
6. Decedent Died Testate
(Attach Copy of Will)
Spousal Poverty Credit (date of death
between 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT. THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
DONALD E DRIVER 717-761-2943
9. Litigation Proceeds Received
Firm Name (If Applicable)
(" ~)
REGISTERQf.~LS USE
j'1
-rJ
First line of address
309 GLENDALE DRIVE
Second line of address
'1
.~'I
City or Post Office
SHIREMANSTOWN
State
PA
ZIP Code
17011
DATE FILED
0)
~.
Correspondent's e-mail address: N / A
Under penalties of perjury, I declare that I have examined this retum, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SI F PERSON RESPONSIB
2 I
PA 17011
TRAIL SUITE 210, SELINSGROVE, PA 17870-7768
PLEASE USE ORIGINAL FORM ONLY
Side 1
L
15056041103
6W4647 2.000
15056041103
~
--.J
15056042104
REV-1500 EX
BETTY L DRIVER
Decedent's Name:
Decedent's Social Security Number
190-22-4383
RECAPITULATION
1. Real estate (Schedule A)
2. Stocks and Bonds (Schedule B) .
. 1.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . 3.
. 2.
5. Cash, Bank Deposits & Miscellaneous Personal Properly (Schedule E).
4. Mortgages & Notes Receivable (Schedule D). . . . . . . . . . . . . . 4.
. 5.
6. Jointly Owned Property (Schedule F) D Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) D Separate Billing Requested
8. Total Gross Assets (total Lines 1-7). . . . . . . . . .
9. Funeral Expenses & Administrative Costs (Schedule H) .
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I).
11. Total Deductions (total Lines 9 & 10). . . .
12. Net Value of Estate (Line 8 minus Line 11) .
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J) .
14. Net Value Subject to Tax (Line 12 minus Line 13)
TAX COMPUTATION. SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers unffDsec. 9116 168254 . 18
(a)(1.2) X .0_
16. Amount of Line 1tsaxable 379703 . 74
at lineal rate X .0_
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
. 6.
. 7.
. 8.
. 9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 19.
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
L
15056042104
6W4648 2.000
64602.20
119836.82
379740.55
564179.57
14625.56
1596.09
16221.65
547957.92
547957.92
.00
17086.67
17086.67
D
15056042104
--.J
REV-1500 EX Page 3
Decedent's Com lete Address:
DECEDENTS NAME
BETTY L DRIVER
STREET ADDRESS
309 GLENDALE DRIVE
File Number 21-07-0942
CITY
SHIREMANSTOWN
I STATE
PA
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
15500.00
815.79
Total Credits (A + B + C) (2)
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penally (D + E) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in box on Page 2, Line 20 to request a refund. (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due.
(5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(58)
Make Check Payable to: REGISTER OF WILLS, AGENT
I ZIP
17011
17086.67
16315.79
.00
770.88
770.88
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred; . . . . . . . . . . . . . .
b. retain the right to designate who shall use the property transferred or its income;
c. retain a reversionary interest; or . . . . . . . . . . . . . . . . . . . . . . . .
d. receive the promise for life of either payments, benefits or care? ........
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ..
Yes
D
D
D
D
D
D
[!]
No
[!]
[!]
[]]
[]]
[!]
[!]
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.
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 exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
F or 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 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)].
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 decedent's siblings is twelve (12) percent [72 P .S. g9116(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.
6W4671 1.000
REV-1503 E~ + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE B
STOCKS & BONDS
FILE NUMBER
BETTY L DRIVER
21-07-0942
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
DESCRIPTION
1. UNITED STATES SAVINGS BONDS SERIES E AND EE
[SEE ATTACHED LIST]
VALUE AT DATE
OF DEATH
64,602.20
6W4696 1.000
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
64,602.20
REV-1508 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
BETTY L DRIVER
FILE NUMBER
21-07-0942
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
NUMBER DESCRIPTION
1. COMMERCE BANK/HARRISBURG N .A. CHECKING ACCOUNT NUMBER
537216590
ACCRUED INTEREST TO DATE OF DEATH
[SEE ATTACHED COPY COMMERCE BANK LETTER]
VALUE AT DATE
OF DEATH
31,583.33
1. 58
2. COMMERCE BANK/HARRISBURG N.A. CHECKING ACCOUNT NUMBER
537216608
ACCRUED INTEREST TO DATE OF DEATH
[SEE ATTACHED COpy OF COMMERCE BANK LETTER]
21,645.07
1. 05
3. SUSQUEHANNA BANK PA CHECKING ACCOUNT NUMBER 4889506
ACCRUED INTEREST TO DATE OF DEATH
[SEE ATTACHED COpy OF SUSQUEHANNA BANK LETTER]
14,146.75
2.40
4. SUSQUEHANNA BANK PA IRREVOCABLE BURIAL RESERVE ACCOUNT NUMBER
19451460
ACCRUED INTEREST TO DATE OF DEATH
[SEE ATTACHED COpy OF SUSQUEHANNA BANK LETTER]
8,392.44
54.79
5. VANGUARD PRIME MONEY MARKET FUND ACCOUNT NUMBER 0030-09938947825
BETTY L DRIVER DECEASED - TRADITIONAL IRA
ACCRUED DIVIDENDS TO DATE OF DEATH
[SEE ATTACHED COPY OF VANGUARD REPORT FOR 10/05/2007]
43,658.52
29.82
6. HIGHMARK - REFUND CHECK
321. 07
6W46AD 1.000
TOTAL (Also enter on line 5 Recaoitulation) $
(If more space is needed, insert additional sheets of the same size)
119,836.82
REV-1510 EX + (6-98)
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
BETTY L DRIVER
FILE NUMBER
21-07-0942
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
DESCRIPllON OF PROPERlY
ITEM I/'O.UJETlE N<\ME OF TlE TRANSFEREE. TftOlR RELATlONSHP TO OECEDENT AN)
NUMBER TlE DATE OF TRANSFER. ATTACHA COPV OF TftO DEED FOR REAL ESTATE.
1. VANGUARD PAYABLE ON DEATH TO
BETH E. SHEAFFER AND KATHY A.
SCHAEFFER, DAUGHTERS, IN EQUAL
SHARES:
VANGUARD PRIME MONEY MARKET FUND
ACCOUNT NUMBER 9917723170
[SEE ATTACHED COpy OF VANGUARD
STATEMENT OF ACCOUNT VALUE ON
10/05/2007]
VANGUARD BROKERAGE SERVICES
ACCOUNT 46V557529 (2,607 SHARES
OF SOVEREIGN BANCORP INC)
[SEE ATTACHED DOPY OF VANGUARD
BROKERAGE SERVICES STATEMENT
OF VALUE ON 10/05/2007]
VANGUARD VARIABLE ANNUITY
CONTRACTS:
#700018218
#700066419
#700066610
[SEE ATTACHED COpy OF RACHEL
CONNORS' LETTER DATED
OCTOBER 9, 2007]
DATE OF DEATH
VALUE OF ASSET
EXCLUSION
(IF APPLICABLE)
TAXABLE
VALUE
% OF DECD'S
INTEREST
225,402.77 100
225,402.77
46,039.62 100
46,039.62
35,298.40 100
36,957.90 100
36,041.86 100
35,298.40
36,957.90
36,041. 86
TOTAL (Also enter on line 7, Recapitulation) $
379,740.55
6W46AF 1.000
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX + (10-06)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
BETTY L DRIVER
FilE NUMBER
21-07-0942
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
DESCRIPTION
AMOUNT
1.
2.
FUNERAL EXPENSES:
DAVID T ZWEIER FUNERAL HOME INC, 157 CHESTNUT ST, SUNBURY, PA
DONALD E DRIVER - NEWSPAPER THANK-YOU ADS & POSTAGE, $238.40;
FUNERAL LUNCHEON, $349.45
7,530.90
587.85
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City
State
Zip
Year(s) Commission Paid:
2.
Attorney Fees
ANDREWS & JOHNSON (CARLISLE, PA 17013)
2,480.00
3.
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant DONALD E DRIVER
Street Address 309 GLENDALE DRIVE
3,500.00
City SHlREMANSTOWN
State PA
Zip 17011
Relationship of Claimant to Decedent SPOUSE
4.
Probate Fees
490.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
DONALD E DRIVER - POSTAGE, FAX AND TELEPHONE EXPENSE FOR
TRANSFER OF ASSETS LISTED ON SCHEDULE G
36.81
6W46AG 2.000
TOTAL (Also enter on line 9. Recapitulation)
(If more space is needed, insert additional sheets of the same size)
$
14,625.56
REV-1512 EX' (12-03)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
BETTY L DRIVER
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
FILE NUMBER
21-07-0942
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, Including unrelmbursed medical expenses.
1.
DESCRIPTION
DONALD E DRIVER FOR CASHIER'S CHECK PAYABLE TO THE COMMONWEALTH OF
PENNSYLVANIA (DANVILLE STATE HOSPITAL) FOR BRENDA DRIVER'S STAY
(FROM SOCIAL SECURITY PAYMENT TO COMMERCE BANK/HARRISBURG N.A.
CHECKING ACCOUNT NUMBER 0537216608 ON 10/03/2007)
VALUE AT DATE
OF DEATH
ITEM
NUMBER
487.59
2. DONAL E DRIVER - REIMBURSEMENT FOR GRISWOLD SPECIAL CARE (HOME
HEALTH CARE) FOR BETTY L DRIVER FROM 10/1/07 - 10/4/07
1,108.50
6W46AH 1.000
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
1,596.09
REV-1513'EX+ (9-00'
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
BETTY L DRIVER
NUMBER
I
1.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers
under Sec. 9116 (a) (1.2)]
DONALD E DRIVER
309 GLENDALE DRIVE
SHIREMANSTOWN, PA 17011
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
FILE NUMBER
21-07-0942
AMOUNT OR SHARE
OF ESTATE
SPOUSE
DAUGHTER
DAUGHTER
NET RESIDUE
1/2 OF SCH G
ASSETS, LESS
1/2 OF $36.81
1/2 OF SCH G
ASSETS, LESS
1/2 OF $36.81
[$36.81 IS ITEM
NO. 7 ON SCH H]
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II NON-TAXABLE DISTRIBUTIONS:
A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
6W46AI 1.000
2.
BETH E SHEAFFER
10 HINES DRIVE
EAST BERLIN, PA 17316
3.
KATHY A SCHAEFFER
1873 VERDILLA ROAD
PORT TREVORTON, PA 17864
NONE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
NONE
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)
LAST WILL AND TESTAMENT
OF
BETTY L. DRIVER
I, BETTY L. DRIVER, of Shiremanstown, CUmberland County,
Pennsylvania, declare this to be my Last will and Testament and
revoke any wills previously made by me.
ITEM I: I direct that all my just debts and funeral
expenses, including my grave marker and any expense of my last
illness, shall be paid from my residuary estate as soon as practical
after my death as a part of the expense of the administration of my
estate. 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 ceme~ery lot with a contract for
perpetual care and such funeral arrangements as my daughters, BETH
E. DRIVER and KATHY A. SCHAEFFER shall select and contract for,
using therefor funds from my estate, and I authorize and direct that
my personal representative shall cause title to or ownership of such
lot so purchased to be vested in such person as my personal
representative shall designate.
ITEM II: I bequeath my automobiles and personal effects,
such household goods, if any, as may be my individual property and
not the property of my Husband nor owned jointly by me with him, and~
other tangible personalty of like nature (not including cash or
securities, and also not including the contents of the hereinafter
referenced safe deposit boxes), together with any existing insurance
thereon, as set forth in a separate memorandum which I shall place
with my Will to the persons therein designated. If I shall leave no
separate memorandum, or with regard to my automobiles, personal
effects, household goods, and other tangible personalty of like
nature (not including cash or securities, and also not including the
contents of the hereinafter referenced safe deposit boxes) not
referenced in such memorandum, I bequeath such property to my
Husband, DONALD E. DRIVER, if he survives me by thirty (30) days.
Should my Husband, DONALD E. DRIVER, not be living on the thirty-
first day after my death, I bequeath such tangible personalty and
insurance thereon to my Daughters, BETH E. DRIVER, and KATHY A.
SCHAEFFER, or the survivor thereof, to be divided between them by my
Executor with due regard for their personal preferences in as nearly
equal shares as practical.
ITEM III:
I give and bequeath the sum of Two Thousand
~
~
Dollars ($2,000.00) to IRENE ARBOGAST to be paid from the personal
property, bonds, certificates of deposit, bank accounts, and other
personal property, both tangible and intangible, found in Safe
Deposit Box Number 532 at the Commonwealth National Bank located in
Shiremanstown, Pennsylvania, at the time of my death. I give and
bequeath the rest of the personal property in safe deposit box 532
to my three children, BETH E. DRIVER, KATHY A. SCHAEFFER, and BRENDA
K. DRIVER, in equal shares, per stirpes. Any such property
~
2
distributable to my daughter, BRENDA K. DRIVER, shall be added to
such other trust created herein for her behalf.
ITEM IV:
I give and bequeath all the personal property,
tangible and intangible, found in Safe Deposit Box 788 at the
Commonwealth National Bank located in Shiremanstown, Pennsylvania,
at the time of my death to my Trustees hereinafter named IN TRUST
for the benefit of my Daughter, BRENDA K. DRIVER, in accordance with
the terms of the Trust which shall hereafter be set forth.
ITEM V:
I devise and bequeath the residue of my estate,
of every nature and wherever situate, to my Husband, DONALD E.
DRIVER, provided he shall survive me by thirty (30) days.
Should my Husband, DONALD E. DRIVER, predecease me, or die
on or before the thirtieth day following my death, I devise and
bequeath the residue of my estate, of every nature and wherever
situate, in three (3) equal shares as follows:
Q)
III
A. One (1) share to my Daughter, BETH E. DRIVER, if she
survives me, and if she does not survive me, her share shall be
distributed to her issue, per stirpes, and in default of such issue,
her share shall pass in equal shares to her Sister, KATHY A.
SCHAEFFER, in accordance with Subsection B of this Item and to my
trustees hereinafter named in accordance with Subsection C of this
Item.
B. One (1) share to my Daughter, KATHY A. SCHAEFFER, if she
survives me, and if she does not survive me, her share shall be ~
3
1
distributed to her issue, per stirpes, and in default of such
issue, her share shall pass in equal shares to her Sister, BETH E.
DRIVER, in accordance with Subsection A of this Item and to my
trustees hereinafter named in accordance with Subsection C of this
Item.
C. One (1) share to my Trustees hereinafter named, IN TRUST,
for the benefit of my Daughter, BRENDA K. DRIVER, in accordance with
the following purposes and instructions:
1. TRUST PURPOSES. The Trustees shall hold, manage,
invest and reinvest the Trust res and shall collect and receive
the interest, income, rents, dividends, and profits therefrom
and shall dispose of the principal and interest of the Trust
and of the corpus ending the Trust in the following manner:
(a) It is recognized that the beneficiary of this
Trust, BRENDA K. DRIVER, is a specially gifted individual
and that as such, the Trus~ees are given, in their sole
and absolute discretion, authorization to spend principal
and income of this Trust only to enrich the beneficiary's
life experiences. The Trustees in this regard are
specifically directed not to pay any of the income or any
portion of the principal for the general maintenance,
support, medical expenses and/or education of the
beneficiary, BRENDA K. DRIVER, as those expenses have
been provided for otherwise. It is the Settlor's intent
that the monies to be spent on the beneficiary, BRENDA K.
DRIVER, pursuant to the provisions of this Trust shall not~
4
be used to offset, pay for, or reimburse the beneficiary,
any state agency, any medical provider, or any other third
party for the maintenance expenses, living expenses,
housing expenses, medical expenses, medical insurance
expenses, maintenance, and/or support of the beneficiary,
but, instead, to pay and provide for all those items which
are not otherwise provided to the beneficiary from her own
financial sources, third party sources, state sources,
federal sources, or any other source and said monies are
to be spent by the Trustees upon services or materials
which will enrich the beneficiary's mental, physical,
moral and spiritual needs and which needs are not as
aforesaid otherwise provided for. In reaching a
determination to make paYments to the beneficiary, BRENDA
K. DRIVER, my said Trust~es shall give primary
consideration to the other sources of income and/or
benefits available to the beneficiary, sources of income
from her own sources, or those of third party and/or
federal or state agencies. In the event BRENDA K.
DRIVER'S sources of income and/or federal, state or local
benefits exist to provide for the maintenance, living,
housing, support and medical expenses, and educational
needs of the beneficiary, then the Trustees are
specifically directed not to pay any income or any portion
of the principal of this Trust for those items until such
time as the beneficiary no longer can afford to pay for ~
5
the same and/or has exhausted any and all federal, state
and local agencies for paYment of the same.
(b) In the event of the death of the beneficiary,
BRENDA K. DRIVER, before the complete distribution of
corpus and undistributed income of this Trust is
achieved, this Trust shall then terminate and any
remaining corpus and undistributed income thereof shall be
distributed to the beneficiary's then living descendants
in equal shares per stirpes, or if none, then to BETH E.
DRIVER and KATHY A. SCHAEFFER in equal shares, per
stirpes, or if none, to the heirs at law of the deceased
beneficiary, BRENDA K. DRIVER, as determined by the laws
of the Commonwealth of Pennsylvania.
2 . SPENDTHRIFT PROVISIONS.
Any and all paYments of any
sum or sums, whether in cash or in kind and whether for
principal or income, payable to.the aforesaid beneficiary shall
be made upon the sole receipt of the respective individual to
whom paYment is made, free from anticipation, alienation,
assignment, attachment, and pledge, and free from control by
the creditors of the beneficiary, BRENDA K. DRIVER. All shares
of principal and income herein shall be free from anticipation,
assignment, pledge, or obligations of the beneficiary,
BRENDA K. DRIVER, and shall not be subject to any execution or
attachment.
ITEM VI:
Any amounts or property which are payable or
..
6
distributable hereunder to a minor or incompetent may, at the
discretion of the fiduciaries, be paid to the parent or guardian of
such minor or incompetent, to the person with whom such minor or
incompetent resides, or directly to such minor or incompetent, or
may be applied for the use or benefit of such minor or incompetent.
ITEM VII: My Executor, Trustees, and Guardian and their
successors, 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 income or principal, including
property held by minors, exercisable without court approval, and
effective until actual distribution of all property:
A. To hold any or all of the Trust Estate in the form
received.
B. To sell at public or private sale, to mortgage,
pledge, or hypothecate or to ex~hange or lease (including lease
for a period extending beyond the term of this Trust), any
stocks, notes, securities, real estate, minerals, and other
Trust property, upon such terms, cash or credit, or both, as it
may deem advisable.
c. To invest and reinvest the Trust Estate, without
limitation to trust or authorized investments, in investments
of any kind, real or personal, including, without limitation,
stocks, bonds, notes, mortgages, lands, minerals, royalties,
leaseholds, participations in partnerships, joint ventures, and
other business enterprises.
~
7
D. To construct, add to, repair, or demolish (in whole or
in part) any improvements upon any Trust Property.
E. To participate in any reorganization, consolidation,
merger, or dissolution of any corporation, the stocks, bonds,
or other securities of which may be held at any time as part of
the Trust Estate and to receive and continue to hold any
property which may be allocated or distributed to it by reason
of participation in any such reorganization, merger, or
dissolution.
F. To make or hold investments or any part of the Trust
Estate in common or undivided interests with other persons,
corporations or trust.
G. To demand, receive, receipt for, sue for, and collect
any and all rights, money, properties, or claims, to which this
Trust may be entitled, and to compromise, settle, arbitrate, or
abandon any claim or demand in favor of or against this Trust.
. H. To borrow funds for this Trust in such amounts and for
such purposes as to it shall seem for the best interest of this
Trust and the beneficiary thereof, and to purchase property on
the credit of this Trust, and in connection with such borrowing
or such purchase, to execute and deliver promissory notes or
other evidences of indebtedness of this Trust and to mortgage
or pledge all or any part of the Trust Estate to secure payment
of such indebtedness, and to repay such indebtedness, out of
the Trust Estate.
I. To employ agents, legal counsel, brokers and ~
8
9
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therein, or the consent or approval of any court, and
notwithstanding that they may also be acting individually, or
as trustee of other trusts, or as agent for other persons or
corporations interested in the same matters, or may be
interested in connection with the same matters as stockholder,
director, or otherwise, provided, however, that they shall
exercise such powers at all times in a fiduciary capacity
primarily in the interest of the beneficiary hereunder.
o. The powers herein granted to the Trustees shall be
deemed to be supplementary to and not exclusive of the general
powers of trustees pursuant to law, and shall also include all
powers necessary to carry the same into effect.
ITEM VIII:
No provision of this Will is intended to
exercise any power of appointment.
ITEM IX:
I appoint my Husband, DONALD E. DRIVER,
Executor of this, my Last will and Testament. Should my Husband,
DONALD E. DRIVER, predecease me or for any reason fail to qualify as
such Executor, or fail to serve as such Executor, then I nominate,
constitute and appoint, BETH E. DRIVER and KATHY A. SCHAEFFER, as my
Co-executrixes of this my Last Will and Testament.
ITEM X:
I appoint my Daughters, BETH E. DRIVER and
KATHY A. SCHAEFFER, or the survivor thereof, as Co-Trustees of the
Trust created by this my Last will and Testament. I suggest and
~
10
ANDREWS & JOHNSON
Attorneys at Law
78 West Pomfret Street
Carlisle, PA 17013-3216
Email: tpandrews@pa.net
TAYLORP. ANDREWS
RONALD E. JOHNSON
Telephone (717) 243-0123
Telefax (717) 243-0061
January 3, 2008
Michael E. Schaeffer, C.P.A.
Schaeffer, Jones, Eichner & Wagner, L.L.P.
1372 N. Susquehanna Trail, Suite 210
Selinsgrove, P A 17870-7768
Re: Betty Driver Estate
Dear Michael,
I am providing information requested by Joselyn Y. O'Connor in your office. I am sending this to you
due to your family connection. I expect you will see that Joselyn O'Connor receives this.
I enclose the following:
· A copy of a receipt for a deposit of $15,500 that Don Driver has paid toward inheritance
tax from the estate account.
· Letters from banks and Vanguard reporting date of death values for various accounts and
annuities. These should be attached in support of the appropriate schedule on the
Inheritance tax return.
· A spreadsheet with the taxable assets for the inheritance tax return. I do not have reports
establishing the dod value of the 2 Vanguard money market funds or of the Sovereign
Bank stock. Hopefully you have this information.
The file number of the estate is 21-07-0942. This appears on the receipt that I enclose.
I I confirm here the understanding that I believe was reached when we all met after the funeral that Items
III and IV of the will are deemed to be adeemed by the fact that the safe deposit boxes referenced did not exist
at the time of Betty Driver's death. Therefore, the contents of the safe deposit boxes that did exist will be estate
property distributed to Don Driver as per Item V of the Will. Ademption applies when property that is
specifically bequeathed is not in existence at the time of death.
f r{}~ XiVroM1IlTlf1N fJ(f~fJOScs O/JMj
7?fEs,E.. W 11-. L X / E /J1S.
s'rnms of
Letter to Michael E. Schaeffer, c.P.A.
January 3, 2008
Page 2
I will send Joselyn O'Connor excel spreadsheets as email attachments to show disbursements from the
estate that can be taken as deductions on the Inheritance Tax return. I will also send estimated fees when they
are discernable.
Feel free to contact me if you have questions or concerns. My email istpandrews@pa.net.
TPA
Enc!.
cc: Donald Driver
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November 2, 2007
COlIJlIJerce
eBank
Andrews & Johnson
78 West Pomfret Street
Carlisle PA 17013
RE: Estate of: Betty L. Driver
Tax Identification Number: 190-22-4383
Date of Death: October 5, 2007
Dear Sirs:
This letter is in reference to decedent account information you requested for the
individual listed above.
We are able to provide the following:
Account Type: Checking
Account Number: 537216590
Date Opened: December 29,2005
Primary Owner: Betty L. Driver
Date of Death. Balance: $31,583.33
Accrued Interest: $1.58
Principal Balance: $31,581.75
BETTY L DRIVER (SSN 190-22-4383) FILE NO. 21-07-0942
SCHEDULE E
ITEM NO. 1
Account Type: Checking
Account Number: 537216608
Date Opened: December 29,2005
Primary Owner: Betty L. Driver
Date of Death Balance: $21,645.07
Accrued Interest: $1.05
Principal Balance: $21.644.02
BETTY L DRIVER (SSN 190-22-4383) FILE NO. 21-07-0942
SCHEDULE E
ITEM NO.2
Please feelfree to contact me at (717) 412-6129 if I may be offurther assistance.
'.~arcy Kaufm n
Overdrawn Accts Associate/Deposit Services
Commerce Bank
Commerce Bank I Harrisburg, N.A.
PO Box 4999
3801 Paxton Street
Harrisburg, PA 17111-0999
commercepc.com
susqUehan~
November 7, 2007
Susquehanna Bank PA
26 North Cedar Street
P.O. Box 1000
Lititz, PA 1754~7ooo
Toll free 800.311.3182
TaylorP.Andrews,EsquUe
78 West Pomfret Street
Carlisle, P A 17013
RE: Betty L. Driver Estate
88#: 190-22-4383
DOD: October 5, 2007
To Whom It May Concern:
In response to your letter of October 26,2007, here is the above customer account information as
of October 5, 2007. ::rT~ fYl No, 3 ITEIYl {I/o / C/
Account #1 Account #2
· Account Title: Betty L Driver Betty L Driver
· Account Type/#
Ckg/4889506
CD/19451460
Burial Reserve
· Date Opened 1 Maturity Date: 2/10/93
4/25100 1 3/25109
. Interest Rate:
.35%
3.35%
· Account Balance*:
14,146.75
8,392.44
· Accrued Interest:
2.40
54.79
· YTD Interest: 59.63
* Account balance does not include accrued interest..
204.39
There is no safe deposit box in the name of this decedent.
If I can be of further assistance, please feel free to call.
SincereIY'TYT~
~peters'
Support Services Supervisor
1-717-625-6295
BETTY L DRIVER (SSN 190-22-4383) FILE NO. 21-07-0942
SCHEDULE E
ITEM NO.3
JMP/ljr
BETTY L DRIVER (SSN 190-22-4383) FILE NO. 21-07-0942
SCHEDULE E
ITEM NO.4
.....
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..............--
\ ~ f 5( 07
----
Betty L. Driver ~
309 Glendale Dr
Shiremanstown, PA 17011-6514
&- Vanguard"
36't=:)
Page > 2 of 2
Client Servi 5: 800-662-2739 )
~~~~~m__~~_.~::m~_~~=_:~.~=~~!~_m_ .....--.........__.__._m_.m...._.....
_ (~::I=~::;~ 8;'=uOO d~,) IU:269,12~~~6"
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~ o~
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BETTY L DRIVER (SSN 190-22-4383) FILE NO. 21-07-0942
SCHEDULE E
ITEM NO.5
0066930650 10/30/200706:45:07
~.
BETTY L DRIVER ~
309 GLENDALE DR
SHIREHANSTOWN PA 17011-6514
Trade date Transaction
Beginning baIaoc~ _ .
10/05 ~tematic withdrawal
Income dividends
----
$ 8,427.75
-""-
VANGUARD PRIME MONEY MARKET FUND
· Do not alter or photocopy this Invest-By-Ual slip.
· Visit www.vanguard.com or call to change your address.
Usteachcreck $ D ,DDD ,DDD .DD
separate~. $ D,DDD,DDD.DD
$D,DDD,DDD.DD
$ D,DDD,DDD.DD
Totalamount $ D,DDD,DDD.DD
BETTY L DRIVER (SSN 190-22-4383)
SCHEDULE G
ITEM NO. 1
October 5, 2007
-
( \, E: Q t:~ 'l .~ fV" )
\.....!' ' . ./
-
Page 1 of 1
Vanguard Prime Money Market Fund
c;n
co
......
~
800-284-7245
(800) 662-6273
Fund number:
Account number:
- Voyager Select Services
- Tele-Account
30
9917723170
ACCOUNT VALUE
On 10/05/2007
$'-Z25,282.n
Dollar arnolI'lt Share price
Shares transacted Total shares owned
225,402.nO ~
-120.000 -225,282.770"
$ -120.00 $ 1.00
..
FUND/ACCOUNT NO.
0030/09917723170
BETlY L DRIVER
Make checks payable to: The Vanguard Group ,- 0030
VANGUARD VOYAGER SELECT SVCS
PO BOX 13750
PHILADELPHIA PA 19101-9897
11..111.1.....1111..... .111.1. .1..1.1.1'11"11.1.1.1
FILE NO. 21-07-0942
PAGE 1 OF 6
010081884 2 1 - 1
018066 5974 DLY Q1 2 tJ
1111111111 ~ ~IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ~ 111111111111111111
SA.V E - ~e:Tg( ~ATH'1
ale;;;- t-05S 5'0(/1 ~rl'--
Vanguard Brokerage ServiceS@
A Division of Vanguard Marketing Corporation
Betty L. Driver Deceased-lndivldual Brokerage Account. 46V557529 t
Below is your date of death account valuation for the above referenced account
"Please note Ihat the value d your VlIflgUlIl'lle mutual fund ac:counts wi! be prcMded separately
HOldings Summary
Stocks Total
FundAccess Total
Bonds Total
Total Account Value:
Values on: 101512007
$46,039.62
$0.00
$0.00
$46,039.62
Holdings
Stocks
Sovereign Bancorp Ine
_ Symbol
SOV
Quantity
2,607.??oo
PrIce per Share
$17.6600
Current Value
$46,039.62
Total stocks
$46,039.62
FundAccess
Symbol
Quantity Price per Share Current Value
No FundAccess@ securities held In the account
Total FunclAccess
$0.00
Fixed Income
Cuslp
Quantity PrIce per Share Current Value
No fixed income securities held in the account
Accrued Interest
Total FIXed Income (lncludlng acaued Inlenlst)
$0.00
Disclosure:
The fair market va/ue d the individual equity eeariies is calaJIated using the .-age ~ the highest lII'Id lowest quoted price d the I8Writies on the VlIIuetion dale. If the V8Iuation
dale falls on a weekend or holiday, a weighted avwage d the hl~ lII'Id lowest pflces on the nearest business days before lII'Id after the ll8luation date Is used. Mutual Fund SecurIties
are valued using the closing price d the funds on the valuation dale. If the valuation date faRs on a weekend a weighted allel'8gll d the closing pflces on the nearest business days
before and alter the V8Iuation date Is used. FIxed Income Seallity (BoncIs) valuations vary by type. Please consult the VBSfJ Bond Oesk lor spec:ffic InquIrtes.
BETTY L DRIVER (SSN 190-22-4383) FILE NO. 21-07-0942
SCHEDULE G
ITEM NO. I
PAGE 2 OF 6
Page 1 of 1
October 25, 2007
~.
Confirmation of Transfer
Vanguard Brokerage Services(R)
A Division of Vanguard Markethg Corporation
t P~(lJ1!J 1
BETIY L DRIVER
309 GLENDALE DR
SHIREMANSTOWN PA 17011-6514
(800) 992-8327 Brokerage Services
www.vanguard.com
Delivering account
Receiving account
Date
46V-557529
AW-125994 V
10/25/2007
This is a confirmation to notify you that the transaction was completed.
Please notify Vanguard Brokerage Services immediately if this confirmation is not correct.
Transfer of Asset(s)
Securly Name
CUSIP
Quantly
SOVEREIGN BAN~ORP
-
INC
845905-10-8
1,303.50000 V
October 25, 2007
Confirmation of Transfer
Vanguard Brokerage Services(R)
A Division of Vanguard Markethg Corporation
~
BETTY L DRIVER
309 GLENDALE DR
SHIREH~NSTDWN PA 17011-6514
(800) 992-8327 Brokerage Services
www.vanguard.com
....
o
<D
01
Delivering account
Receiving account
Date
46V-557529
AW-125952 V
10/25/2007 .
This is a confirmation to notify you that the transaction was completed.
Please notify Vanguard Brokerage Services immediately if this confirmation is not correct.
Transfer of Asset(s)
Securly Name
CUSIP
Quantity
SOVEREIGN BANCORP
INC --...
845905-1 0-8
BETTY L DRIVER (SSN 190-22-4383)
1 ,303.50000
-
FILE NO. 21-07-0942
SCHEDULE G
ITEM NO.1
PAGE 3 OF6
VANGUARD BROKERAGE SERVICES
. A DIV' OF VANGUARD MARKETING CORP
100 VANGUARD BLVD
MAL VERN PA 19355
October 26, 2007
5-NYR16000 l-001-DAD
PODXBK00600915 101831
BETTY L DRIVER
309 GLENDALE DR
SHIREMANSTOWN PA 17011-6514
1...111'1.111'1....11...11111...1.111..11.1'1111...1.1...1.1.1
\L......
<~\
,
, ,
1 \,\ '
j
Account: 46V-557529
Please be advised that on 10/25/2007 the following assets were transferred from your brokerage account
46V-557529 based on instructions received directly from you or your financial organization:
1,303.50000 shares of SOVEREIGN BANCORP to AW-125994
1,303.50000 shares of SOVEREIGN BANCORP to AW-125952
If you have any questions regarding these transactions, please contact your investment professional or
financial organization.
BETTY L DRlVER (SSN 190-22-4383) FILE NO. 21-07-0942
SCHEDULE G
ITEM NO. 1
PAGE 4 OF 6
Pershing LLC
\
.~\~~
October 9, 2007
~THY SCHAEFFER
1873 VERDILLA ROAD
PORTTREVORTON, PA 17864
Contract #: 700018218
700066419
700066610
Dear Ms. Schaeffer:
.. Vanguard.
p.o. Box 1105
Valley Forge, PA 19482-1105
www.vanguard.com
Please accept our condolences on the recent death of Betty Driver. As you may
know, she was the owner of a Vanguard Variable Annuity contract, and as a
beneficiary, you are entitled to 50% of the current value of the contract. The
current value and cost basis is as follows:
Contract # 700018218
Current value as of 10/08/2007:
Value on date of death (10/05/2007):
CoSt b~~i~. ~
l Value of Death Benefit:
/ / Contract # 700066419
/Y .Current value as of 10/08/2007:
~ VValue on date of geath (10/05/2007):
4Jf1 Cost basis:
I VI Value of Death Benefit:
Contract # 700066610
Current value as of 10/08/2007:
Value on date of death (10/05/2007):
Cost b~~i~.
Value of Death Benefit:
-
$35,303.06"
$35,298.40
$15,900.00
$15,900.00
$36,962.78
$36,957.90
$7,000.00
$27,833.07
$36,046.62
$36,041.86
$0
$25,356.66
The cost basis is the portion of the annuity value that is exempt from additional
federal income tax. It represents contributions to the annuity that have already
been taxed.
BETTY L DRIVER (SSN 190-22-4383) FILE NO. 21-07-0942
SCHEDULE G
ITEM NO. 1
PAGE50F6
You can use any of the following distribution options which are explained in the
accompanying brochure to obtain your annuity assets:
Lump Sum Distribution
Five Year Deferral
Annuitization
After choosing an option, follow the instructions provided in the brochure. If you
have questions, you are welcome to call the Vanguard Annuity and Insurance
Services at 800-462-2391 on weekdays from 8 a.m. to 8 p.m. Eastern time. A
licensed annuity specialist will assist you.
Sincerely,
/!wkJ ~
Rachel Connors
Encl: Business Reply Envelope
30231667
BETTY L DRIVER (SSN 190-22-4383) FILE NO. 21-07-0942
SCHEDULE G
ITEM NO. 1
PAGE 6 OF 6
INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYL VANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
} SS
File Number 21-07-0942
Personal Representative(s) of the Estate of BETTY L. DRIVER
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real estate outside of the
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven-} CJ ~ '2 ~ ~
tory are true and correct. I understand that false state- V (f{A L V 1:;. V K 1 V 1:; K "~ t;: t; C lfS UK
ments herein are made subject to the penalties of 309 G LEN D ALE DR I V E c-: ~;~
18 Pa.C.S. ~ 4904 relating to unsworn falsification to SHIREMANSTOWN, PA 17011 . \)
authorities. ( 7 1 7) 7 6 1 - 2 9 4 3
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Attorney -- (Name)
(Address)
(Telephone)
(Supreme Court UJ..:.'JV?}.)
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DATE OF DEATH
LAST RESIDENCE
DECEDENT'S SOC. SE . 0
10/05/2007
309 GLENDALE DRIVE, SHIREMANSTOWN, PA 17011
190-22-4383
FIGURES MUST BE TOTALED
STOCKS & BONDS:
UNITED STATES SAVINGS BONDS SERIES E AND EE
CASH, BANK DEPOSITS & MISCELLANEOUS PERSONAL PROPERTY:
COMMERCE BANK/HARRISBURG N. A. CHECKING ACCOUNT NO. 537216590
ACCRUED INTEREST TO DATE OF DEATH
COMMERCE BANK/HARRISBURG N. A. CHECKING ACCOUNT NO. 537216608
ACCRUED INTEREST TO DATE OF DEATH
SUSQUEHANNA BANK PA CHECKING ACCOUNT NO. 4889506
ACCRUED INTEREST TO DATE OF DEATH
SUSQUEHANNA BANK PA IRREVOCABLE BURIAL RESERVE ACCOUNT NO. 19451460
ACCRUED INTEREST TO DATE OF DEATH
VANGUARD PRIME MONEY MARKET FUND TRADITIONAL IRA ACCOUNT
NO. 0030-09938947825
ACCRUED DIVIDENDS TO DATE OF DEATH
HIGHMARK - REFUND CHECK
64,602.20
31,583.33
1.58
21,645.07
1.05
14,146.75
2.40
8,392.44
54.79
43,658.52
29.82
321.07
(Attach additional sheets as needed)
TOTAL:
184,439.02
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include the value of each
item, but such figures should not be extended into the total of the Inventory. (See 20 Po. c.s. S 3301 (b))
Form RW.09 rev. 10.13.06
~
309 Glendale Drive
Shiremanstown, PA 17011
Register of Wills
Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013
RE: Decedent:
Date of Death:
File Number:
Betty L. Driver
October 5, 2007
21-07-0942
Enclosed are two copies of Pennsylvania Inheritance Tax Return Resident Decedent with
applicable schedules, a copy of the probated will and valuation statements attached for the above
referenced decedent. A check in the amount of $770.88 is included for the balance of
Pennsylvania Inheritance Tax due on this return.
An Inventory of assets of the Estate of Betty L. Driver is also enclosed.
A separate check in the amount of $330.00 is enclosed to cover the additional probate fees and
the filing fees for the Inheritance Tax Return and Inventory. This information was obtained by
my accountant when she called your office on January 17,2008.
If there are any questions regarding these enclosures, please call Joselyn O'Connor, the preparer
of the Inheritance Tax Return, at (570) 743-2030.
Thank you.
:-..:l
,~
Sincerely,
~;
~~~~~
Donald E. Driver, Executor
Betty L. Driver Estate
N'
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Date: I /2'-1- / 08
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