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HomeMy WebLinkAbout02-29-08 ~ . --.I 15056051058 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 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY County Code Year File Number 21 07 0995 Date of Birth 199-07-1676 October 25, 2007 October 25, 1919 Decedent's Last Name Suffix Decedent's First Name MI Meck Warren W (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW . 1. Original Return THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 2. Supplemental Return 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 4. Limited Estate 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A) between 12-31-91 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 . 6 Decedent Died Testate (Attach Copy of Will) 9 Litigation Proceeds Received 8. Total Number of Safe Deposit Boxes Andrew C. Sheely, Esquire 717-697-7050 Firm Name (If Applicable) Andrew C. Sheely, Attorney at Law ,,-.,--,) REGISTE~6t~'ILLS useqNLY First line of address 127 South Market Street f"'.) \1-) ~.- ~, Second line of address PO. Box 95 .0 City or Post Office Mechanicsburg State ZIP Code DATE FILED PA 17055 Correspondent's e-mail address:.andrewc.sheely@verizon.net 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. SI~t!O~BL;;:;ILlNG:ET_URN _ _ __ _ AnnRf=SS RobertA. Meek, Executor, 9 Sunset Court, Dillsburg, PA 17019 SIGNATURE OF PREPARE~THER THAN REPRESENTATIVE /Jn~ Q?5~". __ _____..__._____.____.____ _____ AnnR~C:C: Andrew C. Sheely, Esqu' ,127 S. Market Street, P.O. Box 95, Mechanicsburg, PA 17055 PLEASE USE ORIGINAL FORM ONLY f'J\Tt::" d/2e/OB flATf= .2/'2-/ /0 ~ L 15056051058 Side 1 15056051058 -.JC-b --.J 15056052059 REV-1500 EX Decedent's Name: 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) Separate Billing Requested . . . . . " 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested.. . . . . " 7. 8. Total Gross Assets (total Lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8. 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, or transfers uno"r C::ec. 9116 (a)(1.2) XO 16. Amount of Line 14 hV1ble 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 15. 867,194.20 16. 17. 18. 19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~V~dL ~\';}O\ 15056052059 Side 2 199-07-1676 Decedent's Social Security Number ]5056052059 2,45630 118,155.63 762.123.30 882,735.23 11,357.50 4,183.53 15,541.03 867,194.20 867,194.20 39,023.73 39,023.73 . --.J ~ . . I REV-1500 EX Page 3 0995 DECEDENT'S SOCIAL SECURITY NUMBER 199-07-1676 Decedent's Complete Address: DECEDENT'S NAME Warren W. Meek STREET ADDRESS 3128 Bethany Court CITY Mechanicsburg I STATE PA i ZIP ~ 17055 m___ _--1--__ __________ Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2_ Credits/Payments A- Spousal Poverty Credit B. Prior Payments C_ Discount (1) 39,023.73 37,450.00 1,970.99 3. Interest/Penalty if applicable D. Interest E. Penalty Total Credits ( A + B + C ) (2) 39,42099 Total Interest/Penalty ( 0 + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 39726 0.00 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) (5B) B. Enter the total of Line 5 + 5A- This is the BALANCE DUE. 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 No a. retain the use or income of the property transferred;.......................................................................................... 0 00 b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 00 c. retain a reversionary interest; or.......................................................................................................................... 0 [i] d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 00 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. 0 00 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 00 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ 00 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. 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.S. ~9116 (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. 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 PS. ~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. REV-485EX SAFE DEPOSIT BOX INVENTORY INSTRUCTIONS Page of (1) Cash: Report total only. (2) Stocks: List in detail every common or preferred certificate, warrant or other rights found in box. Stocks are to be designated by name of company, certificate number, date of certificate, name in which stock is registered, and number of shares and class of stock. (3) Obligations of U.S. Government: Number of items, date of issue, face value, names in which registered and type of ownership, i.e., jointly held, payable on death, etc. (4) Bonds: Designate by name, amount, serial number, or other designation. (Bearer Bonds) (5) Bank and Savings and Loan Passbooks: State name of depositor, number of book, last date appearing in book, name of bank and branch, and balance. (6) Jewelry, Coins, Stamps, Manuscripts, etc: List and describe as fully as possible. (7) Deeds, Mortgages, Current Insurance Policies or other evidences of indebtedness: List and describe as fully as possible. (8) All other contents. (9) Return completed form to: DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 ITEM NO. ITEM DESCRIPTION - r"1 'wHit Sa." ~ . -- tlfl/~ n-s/dur~ A-~ C,.j'" t:U-J", I I CERTIFY UNDER PENALTY OF PERJURY THAT THE ABOVE RECORD IS CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF. SIGNAT PERSON RECEIVING COpy OF SAFE DEPOSIT BOX INVENTORY: SIGNATURE \ DATE NOTE: Attach additional 8'/!' x 11" sheet(s) if necessary or use duplicates of this page of form. The Department is authorized by law, 42 U.S.C. 9405 (c)(2)(C)(i), to require disclosure of Social Security numbers in connection with administering state tax laws. The Department uses the Social Security number to identify the decedent and personal representatives of the estate. The Commonwealth may also use the information in exchange of tax information agreements with Federal and local taxing authorities. The state law prohibits the Commonwealth's personnel from disclosing confidential tax information except for official purposes. 11!t-In ~ Executor(trix), 0 Administratoi(trix) ,'. , o Estate Representative 0 Joint'owner of safe deposit box --.J ~~~~ ~"J~c;'~IT .. BOX INVENTORY PA Department of Revenue Social Security or Death Certificate Number Date of Death 48500041046 I qq 07 1"7~ Decedent's Last Name PLEASE USE ORIGINAL FORM ONLY County Code Year File Number I 0 2- t) 2CJ 0"'" Suffix 2-1 () 7 OCf95" First Name MI fl1 E c /~ vJ!r a... R. C'N L-/ CITY: STATE: I/O'?? ZIP CODE: b. NA~14 UL M EC.i< STREET ADDRESS: 3 C:C=MK I-fOA.6 c. NAKa~sr A. /l4EcK. STREET ADDRESS:(J S' .- 7 U~SEI er NAME AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOC TED NAME: RELATIONSHIP: /Vi Eel-( ANICS:3u 12(;, CITY: 5'0 "...J RELATIONSHIP: ~ ~dJN /JA-.TATE: "d 1'1 STATE: / ?OSs- ZIP CODE: ~ PAlC- ~ ZIP CODE: 7(J s-r OF BOX I TITLE UNDER WHIC BOX IS REQl}ESTED 'Werrl'r. W. M~c~ b. NAME: STREET ADDRESS: STATE: ZIP CODE: CITY: ~ (1a$.S STATE: ZIP CODE: /VI :1' t' f V_I ,/V C. ikt. If yes, a. Date of will: q ~~\I tL..- CITY: STATE: ZIP CODE: C. Name and address of attorney, If any NAME: STREET ADDRESS: CITY: STATE: ZIP CODE: L 48500041046 48500041046 --.J GUARDIAN@ SAFETY r .. '~-f ~I ~ i ~ ~ 11':.1 r ~ ~\ ..... I: t: I . Ii ~ ~ " ....1 .0; '0 , W .. IW i~ I~ ,i W IQ:! - .. ---- ~ ~ 1~ ) CJ0r>I'kri<'1,j.jllrli:'rl11 H; . - . .---.-----.-,..--.-.--"--- . O~ ~.~..~ .... mo II> . lJ-j ",. OJ: "m ~ ~ ~ ~\Q\' ~ 1\ L~ ~.~ 7\,. -. f'" ~ ~ ~~ -C ' [tll:Z . ~e (j . >0; 8;::" :z ~ - ,. Ui j~ U1 m' ru I~I ~ '~I'. ~ ~ ~ ~I I rd [II g : ,~ :,:, I, -.....l I :-::~ ~ ~ ,','1 i ~i ii ~ ~ ~.~ I z~ :D:n c..J '/ ~ ~r.;:: ~~w ~ c;, . lj --, - C c:i "I < S n~1 If m ~'~ .1 ~~i, 'i.."T~jr:;,'~'~rf.!~';'(~'i~i.::t.:imi:;'i,i;~ .i"---1\';"~~'-.';C':l::;rc;ii"::'-G,::,;: i."'5:~c,.>;x;'!;,'T,:~:t:':r ~i',W;j." .'i=:t-:%):::i;ii -s=r.:;;',:.,:' I ~ I z: Q REV-1.503 EX+ (6-98* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS F~TATF OF Warren W. Meek FILE NUMBER 21-07-0995 ITEM NUMBER 1. All property jointly-owned with right of survivorship must be disclosed on Schedule F. DESCRIPTION US Savings Bonds - 10 Savings Bonds per attached list VALUE AT DATE OF DEATH 2,456.30 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 2,456.30 C;:alculated ~alue of Your Paper Savings Bond(s) 11/05/2007 11:46 AM Calculated Value of Your Paper Savings Bond{s) Calculator Results for Redemption Date 11/2007 Total Value $2,456.30 Total Interest $2,100.05 YTD $0.00 Bonds: 1-10 of 10 # Denom Issue Next Final Issue Va Note Date Accrual Maturity Rate L1064495289E E $50 12/1973 12/2003 $37.50 $219.46 $256.96 MA L1073224021E E $50 02/1974 02/2004 $37.50 $219.46 $256.96 MA L1067730399E E $50 01/1974 01/2004 $37.50 $219.46 $256.96 MA L1079892208E E $50 04/1974 04/2004 $37.50 $219.46 $256.96 MA Q5130797406E E $25 01/1974 01/2004 $18.75 $109.73 $128.48 MA L1062355012E E $50 11/1973 11/2003 $37.50 $226.02 $263.52 MA L1085286438E E $50 07/1974 07/2004 $37.50 $222.54 $260.04 MA L1080106221E E $50 05/1974 OS/2004 $37.50 $221.92 $259.42 MA L1080458332E E $50 06/1974 06/2004 $37.50 $222.54 $260.04 MA L1076220159E E $50 03/1974 03/2004 $37.50 $219.46 $256.96 MA Totals for 10 Bonds $356.25 $2,100.05 $2,456.30 Notes NI Not Issued NE Not eligible for payment P5 Includes 3 month interest penalty MA Matured and not earnin interest Imp:! !www.treasurydirect.gov/BC/SBCPrice Page 1 of 1 ~""'?J~;:---- . . . ""r="'W"!;fI:-v.-"T::, ,'. ~: _, '., ~ i~ .~ c~)r~_~~,!!~~-"""_:~ I I~l :~~"l ~!r~~)R\"Ei~~ WHIIC~~~H~F~~~~OF l! i I.,~.l:... "4.~qi J'bWAR{EN w MEeK 199 01 1616 JANlJARY__19.1!t. )jl.. I' i~'r ..', 3 JUNI PER DR IVE ''''O~~H;._.__,.I''E4RJ ;,: i~'" MECHANICSBURG PA 11055 " ,I' :~" 911 00199 071616 1 NAVY ~E.u,.pI<ffA'~C,e ~i I~~t I CENTE~ ~,,~~.,tMP C; ~i i~!1 OR J FEBRUA~ Y 02 19,14 Ili ~~:!: 1 MR S JUNE E M ECK . ..' ti: ~!i ~'it-~':~::r;~:~ TH..ItO..ISIUVIDUMDl.AUTttOlIlno"e.ONo.a..........OIO......OIS.,... gl ~">""""~". ~'l JICTTOTHI rIlItMa"'"OCOJfornO"SITAnD 0' 11 WILl. H ""'UG ONLY I' DULY 1"_ ~ ~1_1l I S ERI EsE ~:;i::=:~::.."N"'''''. \. ~,^ -~2:~' L 1 067 730 399 E r.;;ej:~ I [~.~""".~ "~" "'"" !1~---_._-~._,.._.-~-"1000._._.~~.~-'OO.._~.~....._:...""0000'00. .,"'~~'~-~.~._-_.~..'.""i.oo,o.,::':;.=:=:~ <.11" ~! ~'~~~~l~'1t~.. '(' 1; ~ " :-#& ,..~f~~' ~ '::ti~~=~:~:~~~~~~ _ r~~~'.~', ~~~~~~!i~:' r.'~, i "'; c. :gJ!t~~V!!!.~'&~ 1.'111~' I !::'l J ~"'4). ~ IB! :"l"V T~A~~~~ P~R H~~~ VE 199 07 16 76 FE~~\!..~R+2L~:'. : .i!~ MECHANICSBURG PA 11055 NAVY r/E'~--'~~~&~C\E ii'~' i I i~; 911 00199 011616 1 ~ \,7'''''r'-'"lTIll''' ~! ,~: CENTED WASH 0 C I :'l,1 f ii: '1 O"T'''''' $T.....,. : : l~1 i',,~ ~=s JU~E E HECK HARCI1.. 02,197'" ;~I IIL~~ESE ~:~=r..tr1;;l~Ll073224021E lei I 1~\'l..:'C.':-;'"'._~~-_. .._'-~--~~~6~ ~jj~.~.~;,;,~::~=~ '( ~~ ~ W : A.... 'L.-J ~ :..:~:~~~~~ :=. . _' ~~ __ -.J~=~,:,-~;': ','!tl , II":'; I _- v; 11'-_." . -- :.:.:., ..... ,- . ~ ~ -~~.:n."..~;;;;;~~;~.O;;-.;~-;;~D.;e..a:;,...lc.~;;~~.Q...O."..~~~~. "'e"'.-~:;,,,~;~J;.;:.-;~;~.,,:~:-.uj~'i2r. mm~~JJ>~!lR~<<mi4)lm~-A AT TH& ORIGINAl. MATURITY HEREOF WILL PAY ~!r!:..~~i!~I~\iI;~~ WARREN W MECK 199 01 1616 iL 3 JUN! PER DRIVE , i I ~ MEeHAN ICSBURG PA 11055 " '~I !~f 911 00199 071616 1 NAVV/R6G'...cIi<lNAtJte i~; 1:~1 CENT~R .<'~,~~~,.o ,t t ~~, '. OR JAN~I'l:Y U:J 1~11":" l~~r "I MR S JUNE E MECK ,,_ _,/ ~~ II'~.- ~~~..,;~s},;.-'~ ...._.....................'N.' 6:'.'.""" ......... ......... , '~I :~: '~ES E :':-:::=.:"'.....~" .-T;:"';:~ L1 064 495 ~'8 9 E~' i ~~~"~~,,.,.!,~ .~.. ~~ .,...~~.._-,.,.......,.,.,.,.,.,::~.::.::~:~:-._,--~~.. .,..~-".,::::~~.~~=:.,.,.,~J!!~~~~<<~~",.:~.,~."..".~..~.~~I ~t~~:.!f ~:~ ~.a.,~f.. '( . 1; ~ W (~".. 'f;:-:!. :.; :.. : cA ~ : .~~~:1:!~~.~;;~~,_-=.:.~ ~f!""';7::r::u- --- /' ';::: -- 11'1 iI" :... -- V; Ii: -- -- ~ · ,- _'::', 'II ~:-", ~" 1 If ~t~~ ~~ ~ _ ..~ ..... IfJ . !--'~ii~iiiiJj~!i!iifiii~"-' I .' ~ - ~ -~~~ ,r AT THE ORIGINAL MATURITY HEREOF WILL PAY ~~~ I.' '.~ I ./', . . ~.. . E~~~I~:l())Ic.Ttu~I;I1Sf IS SUE DATE ~1 '. I Ii< ~ ~ ~-" 1 ~ '= ~;::..: ~;~ .~~ =--,-_":~;!;I WHICH IS THE FIRST DAY OF ,~i!i! I~t. . ~.) To WAR R EN W M ECK 199 07 1676 Nqy.!i~ltElt:l<1.P;, . !~: . JI,...> 3 JUNIPER. DRIVE;,.[ t I~? MECHAN ICSBURG PA 17055 " '- ;.',1: ,I I I~II. :~ 1 00199 071676 l! m:~::~~H:;: ~ I Iliit~i~ .' ,MR S JU NEE M ECK J "--, ,./ W I 1~~SEiiESE ~~~~""'d;Z~L1 062355'012 EJ I I'~.o~.~ ; [;....'............~~.........-....':..~........-'....:....~"....~..'..~... ...~:;...':.~.. .=. ii.~..."...O-..~"''''l 'n .... M.~~o~'""....,.'''~,...'-i....=.~. "-. "''':,:'.'''''o~:::-i.''r.:;. '~.'. II ~R':~;:~::~~~"}I \A; Wl~~"'f_-'~ ~~;~;!;= _~_ I I ~ ~~Dh~~ WIUCH IS THE FIRST DAY or ill ~20mt!~=~~-!~r- pi CI}m'tierland Co1m!y ~I 8~nk & Tr. Gn,., ~'Ir\., :if , laeulNG AGENT'S ' :.t! , I .11 I I -1 . . ii' ". j:~:J.'::7, ~ ~ J~. ~';DEsE ~~:"S7.1;~Q 5130 7'9-7 ~o6tEl I . 'Of ~;;::=.=~:~=:;~..':-.~~:.,~,~._...-:"".~..":.,."o.,,.,.....,.....::~".,.~--oo...,""'-. .... - ,.'"."......:::i...\=.~~.......".."'.":~- ~:'r"" ~~~,m\~;~~~ ~~~~.::;:,~.:;:~~.!.:..!.:!!:}~~ ~~~~~ ~~~~~ 199-07-1676 :.. J"k"-':.. .. 'I ::-r-..~ Warren W. Meek 3 Juniper Drive Mechanicsburs, Penna. 17055 .lb WARREN W MECK 199.01 16711 h--~Rl.L_1517!tP 3 JUNIPER DAIVE t"'O~~HI _u_ (YHA, ;~' I ;{. MECHAMICS8URG PA l1Q55 I '-.. I~? 911 00 199 071676 1 NAVY "iG> A~+NA\NCE ~: CENTER ..W. AS.H,., OJ. C:.:.1.1 I~ OR APftfC'NGiy..19'14?" ~[f MRS JUNE E MECK ' ":~ ".~'. ~t.i...'",.''''''''''''-l-''' , - 'c." '..~ . nus ttOltO IIISSUI.O UIIICK. AUntQRlTV 0' e. '. TV .01110 ACT, AS .... ["01.0, ""0 IS SU'" ..'.';!. ....... : ~~ . [' ~__J".~:t~,-;;~t::/.. JICTTQ THI fI.....IIIDCo.onIOllS STATIO 0 . , IT.,U. _I V"~IO OIll~V I' OU~V 1"_ '., ~~~. - . .......,'. s E ;:;~~':.:':::,;:;."'N'''.''M. ...... -r:o';'~ L 1 079 832 208 E ~;i~ ~!::'1 ! SERlE w.s....". . Jw".,.;"'",m.." . =+; i&~~ii;5~~:;;~~T='''~~~fl~e~~ ~ _ Vi . - - . - - - :-. ~~~QJf~ AT THe OIltIGJNAL MATURITY HEREO,. WILL PAY !m~~~~ ~ ( , '<i,f~~,,:... .. ~ =r WHICH IS THE fiRST DAY OF ~I I~! .. ~f; 7Q WARREN W HECK 199 01 1616 ---.J.UJtL.l'l1'L ii' II~l tf." 3 JUNIPER DRIVE IMONTH>_____~YU"'1 ... ~1<; ."' MEeHAN ICSBURG PA 11055 ,/ "\~: I" ~~:'; 911 00 199 011616 1 NAVv!' Re&a,fe"'ftA~cdl' ~1 CENT.ER WASH 0 Jc ~ ~ ~ OR J Ju\~ECA22..Tr91,4 ~:" :~~ '~~~_~ MRS JU~;~~:~.~.,:~~~~~~.:;":.~'~-:.t".":.':::::':...~:::: '------../ ~i' II i~i; ~ CERIES E :~:~~i:~:;:':'I:."CNI.lD"" J:::O>;'~~ L 1 080 458 33 f') E- ill; r~ ~, ---- L 11 ~o' :;'~~"~~~~-~''':''''':::==~~~-'--''~-::''''----'---'~-===i''''~~-~E'" ~::::;~ "'0' ~?,-.;J-=~~:Z:;r=j.\iZ~~-(' jj_~ v f A ~~~f::--~=~:r'!~_~ '~f , I , NAVY 'E&~~Ce CENTER WASH 0 C; W: , JUNE E HECK HA 'U'~::.i~~/ ~F I TlflS aaMD IS IPUID UNElI" AUTMOMTY 01'81""' .Offlll ACT, AS "_111010, ,1,110 'ss".. <"~ ~::::.::::.::.~~~~::.:~:: ,. :::";:'E-;;;~ L 1 0 8 0 1 0 6 2 21 E ~I~' ........'0. ,'^,N'~ "'''m~,",y f--- :Ji ;;~i=~~~iiii;~~;':'~';-'~'~"~~;~o;:;~~~;~.~{~~'i~~~~1ii~~~ T~ARReN W MECK 199 01 1616 3 JUNIPER DRIVE MECHANICSBURG PA 11055 911 00199 011616 1 -- _"A_~C 1.'1.1.____ (MONTH I _ _ _ ~ ("'"EARl - - I ~~j~~~! Liit; Iii 1~7t"'"" ~... (I "~~~J! 1 ;~'~~S~~';:-e-----~' -d~-i~ I !~ '."'''''.,.........'''..",..~..". ..... ........~,...:~::::':.:=..:J. ~il ' r ..'''....mO.''''.,.'''M.. "., .........,.....,.......,."'...... ~ \>......<... t! , .------,_ .........'.........',..HO.... ".~;';;~..~.~~nr s~w . ..t~':s. ~.~ ,~ ~i61 02 A'lnr ~O i,. .j~~~~~~:3~~:~ t 9L9tLO 66too TT6 ~ Ii '-,' ~~Oll Yd 9~n9S'INYH)3W Ii "- / 3^1 ~o H3d INnr E II ft6T;:'-iiii~H-"'t:!Q'!I- 9191 LO 561 )t'3W M N3~HYM ,!,! !~ II "0 AVa lSMiJ 3Hl 51 H'IHM ~~!f- ~J.1fa JnSSI ~-.. ,- '. ~'VQJ.~~ ~iii~~'ir~iiH ~ . .ww:... -- ~ ,,: -- -- . . - : -, '.. .}_:~- _ M.4RC I:L Ul1 ~ __ (MONTH2 _ _ _ _ _ _: YEAR) I f I I I ~ c. "'I':""I;!CT."'."'O<lll,"..~~""'I':"~~;"~~":..,"CIiIl!'Cill'O"C~"c"'"1r"'i'O~~.O~~Ii!I"'ilC.g~'-SlC.C"'VlI~vi"".C"i>CIl!l,,...~."'.'''~!l'.l'~'" .". !f I. 7f, i~ tlWARPEN W MECK 199 01 1616 .~ 3 JUNI PER OR I VE ~. MECHANICS8URG PA 11055 . 'II l 911 00199 011616 1 NAVY ~EGsu'fG.H.NC'E . I I CENTe~ WASH 0 C,: [I., I; OR j MAR.C~ 03'08191. .:, r _. . MR S JUNE E MECK . I 'I tt ~';"'.)..~6~~ nil' .O"D 111S$UI"OVMDUl ~,t40''',.., 0''''"",, .OM. ACT..I ....t:tlOID.........SU... i ';1 ,~s"'EE"$ RI'ES E ::.:~;~~:~:,::~.;::~::.:';:. ...~t::;--:;~~.L 1 076 220 15 (3 E ~,~ i '~ WASH".'O' 'M"-"''''O_'''Y ... -- ~; I ~~~:~~Tffin;~~~~1 ~~1mEJJ)~~U~ AT THI: ORIGINAL. MATURITY HEREOF WILL PAY ~!!.!?-!t~~nT01~ H[\J'1508 EX+ ((HJH) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWE/\LTH OF F'ENNSYLVANIA II'JHFHllANCE: TAX RUllRN HFSIIJE:NT DECEDENT ESTATE OF Warren W. Meek FILE NUMBER 21-07 -0995 ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Member's 1 st, Account #8765 - CD 6,04937 2, Member's 1 st, Account #8765 - Saving/Checking Account 4;08528 3. PNC Checking account #5004894112 1,31808 4. Patriot News Refund 24.70 5. Genworth - long term care refund 1,14455 6. Bethany Village apartment rental refund 105,486 00 7. Marsh Affinity Cancer insurance refund 4765 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 118,15563 . Jan. 16. 2008 3:51PM PNC BANK 412-705-2747 No.8130 P. 1/1 o PNCBAN< The Thinking Behind The Money January 16, 2008 Andrew Sheely 127 S Market St Mecbanicsburg, PA 17055 RE: Warren W Meek (Deceased) SSN: 199-07-1676 000: 10-25-2007 Dear Mr. Sheely: In response to your request for Date of Death balances for the customer noted above, our records show the following: Checking Account Account # 5004894112 Established ()4..09-2007 WARREN W MECK DOD balance: $1,318.08 Don interest bearing Please note that this office only provides date of death balances for deposit accounts (IRAs, CDs) Checking and Savings accounts). We do not process any finaDeial transactions or provide statements. If you need assistance with any of these items, please call1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch office. S~f!uwd0 Colleen Crowder 1-800-762-1775 P7-PFSC-04-F 500 First Ave Pittsbw-gh, P A 15219 Member FDIC Page 1 of I ., ' 0":"''''0 ~o> :J::'"O)>>-3 ....,>-<: e; O::t :J:: m::r: ~. 0:; P. t'1'l f'::lm o-~n 0 c: NO ~ N::t 'Tj . 0\.... '"0 VI 0 3::w~ )> :::: ... '" .... 0 (71N~ --.J (")Vl ..0 ~~@ 0 0 VI 0 Zr:/:J 0 -t""'Z (")(71 ... r:/:J-< [J":J t:l:lO [J":J ~;;>:l -\J 0> OJ . "tl "tl...., ... >w - .. 0 n.J ... U-J 0 ..0 U-J -.J ..0 . . [J":J 0 ... - OJ -\J ~ ..0 ... LIl OJ ... o ~ o o o .... 0\ 0\ -..1 en ~EP I FROM :MASD PURCHASING ,":' FAX NO. :717 691 3222 Feb. 10 2008 02:50PM P1 ".. . ',t. " ..::..::N." ...~..I;IO' 0..' 0..' .:...:;. ..~.. . ....... '. M . '0.:;:::. .;go" ....C).. 'f ":i:", o' ......~......J.. "Jo:...t) . . ':::.~'.'. ...t) , .' .. . .... ,,'(. . .,~. . ..' ',' . '. . .' ...... :;.:......: ".: ",,':. -- . Yl ~ ~ }-.... ~ ~ ~ .~ ~ ~ ~ ~ \ i }-~ ~ t) ~f4 .~ , ~ t I. ~~ N '0 .,.:~ "". . " : 6 '. (J . = ....~. .~.. . ..;'.:!:,. ...= . :":'S':.' " ,".e., . .c. :.'f.;J . '. ..'.,~:. ".i.>:':'.= :.;;..}::~" oW . "Co) Q) ::E' .' .t;. ~q' ...... . cu . lit ..::.~ '. .... ";:, o 2.: S ..j f... ..g' .U;f: ". .'.5 " . ..~... ....~ c: .~. ......~. g <I: tD: i: Q; 16' '. 0 . ...... $'.. o o tD CO .qo g ..... ~ .. . c..' ...:::::1 '8 .!!'2 .'c. g..' ... ~ .... :'C" C" >5 C!.... . '.E ..m < ~ 16' o ... '.'~ c o cO co .qo 16 c 'l"'" * . .r: :8. .~ '5 'i ~ ~ o Q) Q) u.. 'E UJ 'E ~ c ~ S ftl .0 co. o o .~ (I)' C! ..... o. 'DQ. 0' o ~'. ':.' . z. . .....~..... : COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF Warren W. Meek FILE NUMBER 21-07 -0995 ITEM DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER ATTACH A COpy OF THE OEED FOR REAL ESTATE VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1. Warren W Meck Revocable Trust -Wachovia Secuity Account Acount Number #5804-7908 762,123.30 762,123.3 TOTAL (Also enter on line 7 Recapitulation) $ 762,1233 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. o o (If more space is needed, insert additional sheets of the same size) ....I Q.j Cl ra Cl. ~ ~ ., ~ ~~ ~\;- 1~ i ~ o o III ..cO! ~C ~'O $~ ~~ 00 U U <( 1'-- ~ <::::> V- ~ '---- C> 0 ~ ::E: c:( 0\ M .;r 00 0 lI'l 0\ a; r-.. 0 ~ r-.. 0 00 0 lI'l N 8 ;0- .'\1 0- c:( ...... ~i~1 MiM/ N~I.O ,.....~M ('\1"'10'" ~I~I , I I ~j~1 ~1~1 ~! .-4: .....; :3) Nj i I I I 0>1 , I) , ,g '.!! :g; g' n;~ : 111lS:/ >.- !.- !II t ~I- n; -'5~-5i, l:l U <( '" CD ",' ,"11= C<(VlCD.ECD ula .! is -g -5i ~;!f, a: is:", 18 ~ ~ a ~I~'.t ~I~ 1i:iC UJ!01~!5 QJ) 2'z ~Iz,c,'- E, ~l~ 5~i~l~ Mi !18 ~1~lir!:, i .1~1'1h Il-'i~l:g ~I i;= 1 <111... 3l: I~i~, i~81 iO,u'u.. 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Meck COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21 *07 -0995 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: Myers Funeral Home Donation to Church of the Brethren for services, organist 7,39500 200 00 2 B. 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Robert A. Meck 0.00 Social Security Number(s)/EIN Number of Personal Representative(s) Street Address 9 Sunset Courtf City Dillsburg _ State PA Zip 17019 Year(s) Commission Paid: 2. Attorney Fees Andrew C. Sheely, Esquire 2,18750 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City . State _Zip Relationship of Claimant to Decedent 4. Probate Fees 260.00 5. Accountant's Fees J. PLanthold, CPA 70000 6. Tax Return Preparer's Fees 7. Filing Fee 15.00 600.00 8 Reserves to conclude the administration of the Estate, first and final accounting, misc. taxes due TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 11,35750 ': . ~.It~'~:::lj~l: ~I,l': :~..t; . . . ':M[ ,[_u' :'1; ~ :., BOYD....:MV;~ "~l~~#"" ..~1~,~ !'. Ij'..' . '.':j~~:..'..I.L_ ~~'A.'~:,i . '.. '~.'~ . \rI11>r6f~2~:>. ':::; . I . f, stA~:OJ!':,uNIIW.~~._Vl~S~(TJU) .' '. :::.. :!~:. · ~ ~ ~ QIlI, fc!r - _ _ "QlUeMNI<<'~_ ~ Jl"~~teqgil'e411y' Ill.. Of by.. cellltWy o~. c~ ~ IlK w.~ ~~~. ' elqllillAlD'WMIII~' .'. : . . .' . ., :. ';;:' . .,; IfYO"'C~~.{l*ItIlli!i!."Y .~~~~alllllml."'II.~ "'~'~ryr:~~;fltb.!'';Cl1ll . .;", 10\l4lll/lC!ltppfOftlf. '.' . . ~ ' . ....! .f8.:~ :""W,., ,~, , .k!rdK '. . "",#. ~~"'" I',' . ....,~. ..' , ;a. ...:...,:.,;.... :. t' .~. 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'" ~. .: . . , ., ., :~ '!. I ..' '. n. .:~ "( . :1 :! .' .:;:: ~r j" ~ ~ ll2ld vZl REV'1512 EX+ (12-03) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT F~TATF m: Warren W Meek FII F NIIMRFR 21-07 -0995 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Bethany Village apartment rental for five days in November 185.90 2. Verizon - final bill 3324 3. East Pennsboro ambulance - final bill 5500 4. Military Service Pension Check - overpayment and returned after death 2.75888 5. Military Retirement check - overpayment and returned after death 74120 6. PSERS - overpayment and returned after death 40931 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 4,18353 - RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. Robert A. Meek, 9 Sunset Court, Dillsburg, PA 17019 Son 3333% 2. Paul A. Meek, 3 Cedar Lane, Meehaniesburg, PA 17055 Son 3333(1":1 3. Jeffrey R. Meek, 206 Bunny Lane, Palmyra, PA 17078 Son 33.330;;, ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1501J 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 $ F\E\.,-1513 EXf (9-00) COMMONWeALTH OF PENNSYLVANiA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Warren W Meek - SCHEDULE J BENEFICIARIES FILE NUMBER 21-07-0995 (If more space is needed, insert additional sheets of the same size) LAST WILL AND TESTAMENT (Pour-Over Will) OF WARREN W. MECK IDENTITY I, WARREN W. MECK, residing in the County of Cumberland, Commonwealth of Pennsylvania, being of sound mind and memory, and not acting under duress or undue influence of any person whomsoever, hereby declare this to be my Last Will and Testament, and I do hereby revoke all other and former Wills and Codicils to Wills heretofore made by me. My Social Security Number is 199-07-1676. All reference made herein to "spouse or my spouse" refers to the person to whom I am currently married, namely, JUNE E. MECK. By the ensuing provisions of this Will, it is my intention to dispose of my interest in our community property and in any separate property which I may own; I do not intend to dispose of anything belonging to my wife or to put her to any election. I have the following children: JEFFREY R. MECK, born AUGUST 5, 1942 and currently residing in Palmyra, Pennsylvania, PAUL A. MECK, born MARCH 8, 1949 and currently residing in Mechanicsburg, Pennsylvania and ROBERT A. MECK, born DECEMBER 1, 1950 and currently residing in Dillsburg, Pennsyvlania. DEBTS, TAXES AND ADMINISTRATION EXPENSES I have provided for the payment of all my debts, expenses of administration of property wherever situated passing under this will or otherwise, and estate, inheritance, transfer, and succession taxes, other than any tax on a generation-skipping transfer that is not a liability of my Estate (including interest and penalties, if any) that become due by reason of my death, under THE WARREN W. MECK AND JUNE E. MECK REVOCABLE LIVING TRUST executed on even date herewith (the "Revocable Trust"), or if my spouse predeceases me, under the Survivor's Trust created by the said Revocable Trust. If the Revocable Trust assets should be insufficient for these purposes, my Executor shall pay any unpaid items from the residue of my Estate passing under this will, without any apportionment or reimbursement. In the alternative, my Executor may demand in a writing addressed to the Trustee of the Trust an amount necessary to pay all or part of these items, plus claims, pecuniary legacies, and family allowances by court order. PERSONAL AND HOUSEHOLD EFFECTS It is my intent that all my personal and household effects were transferred to the Revocable Trust as a result of the Declaration of Intent signed this date. If there are any questions regarding the ownership or disposition of these assets, it is my desire that such assets pour into the Revocable Trust, signed by me this date in accordance with the provisions of the section titled "Residue of Estate. " RESIDUE OF ESTATE I give, devise and bequeath all the rest, residue and reml,linder of my property of every kind and description (including lapsed legacies and devises), wherever situated and whether' acquired before or after LAST WILL AND TESTAMENT Page 1 ~tL , " the execution of this Will, to the Trustee under that certain Trust executed by me on the same date of the execution of this Will. The Trustee shall add the property bequeathed and devised by this item to the corpus of the above described Trust and shall hold, administer and distribute said property in accordance with the provisions of the said Trust, including any amendments thereto made before my death. If for any reason the said Trust shall not be in existence at the time of my death, or if for any reason a court of competent jurisdiction shall declare the foregoing testamentary disposition to the Trustee under said Trust as it exists at the time of my death to be invalid, then I give all of my Estate including the residue and remainder thereof to that person who would have been the Trustee under the Trust, as Trustee, and to their substitutes and successors under the Trust, described hereinabove, to be held, managed, invested, reinvested and distributed by the Trustee upon the terms and conditions pertaining to the period beginning with the date of my death as are constituted in the Trust as at present constituted giving effect to amendments, if any, hereafter made and for that purpose I do hereby incorporate such Trust by reference into this my Will. EXECUTOR I hereby nominate and appoint JUNE E. MECK as my Independent Executor of this my Last Will and Testament to serve without bond. In the event the first named Executor shall predecease me, or is unable or unwilling to act as my Executor for any reason whatsoever, then and in that event I hereby nominate and appoint JEFFREY R. MECK, PAUL A. MECK and ROBERT A. MECK to serve without bond as my Joint Executors. Whenever the word "Executor" or any modifying or substituted pronoun therefor is used in this my Will, such words and respective pronouns shall be held and taken to include both the singular and the plural, the masculine, feminine and neuter gender thereof, and shall apply equally to the Executor named herein and to any successor or substitute Executor acting hereunder, and such successor or substitute Executor shall possess all the rights, powers, duties, authority, and responsibility conferred upon the Executor originally named herein. EXECUTOR POWERS By way of illustration and not of limitation and in addition to any inherent, implied or statutory powers granted to executors generally, my Executor is specifically authorized and empowered with respect to any property, real or personal, at any time held under any provision of this my Will: to allot, allocate between principal and income, assign, borrow, buy, care for, collect, compromise claims, contract with respect to, continue any business of mine, convey, convert, deal with, dispose of, enter into, exchange, hold, improve, incorporate any business of mine, invest, lease, manage, mortgage, grant and exercise options with respect to, take possession of, pledge, receive, release, repair, sell, sue for, make distributions in cash or in kind or partly in each without regard to the income tax basis of such asset and in general, exercise all of the powers in the management of my Estate which any individual could exercise in the management of similar property owned in its own right upon such terms and conditions as to my Executor may seem best, and execute and deliver any and all instruments and do all acts which my Ex.ecutor may deem proper or necessary to carry out the purpose of this my Will, without bt<ing limited in any way by the specific grants or power made, and without the necessity of a court order. LAST WILL AND TESTAMENT Page 2 14M{ , ., My Executor shall have absolute discretion, but shall not be required, to make adjustments in the rights of any Beneficiaries, or among the principal and income accounts to compensate for the consequences of any tax decision or election, or of any investment or administrative decision, that my Executor believes has had the effect, directly or indirectly, of preferring one Beneficiary or group of Beneficiaries over others. In determining the Federal Estate and Income Tax liabilities of my Estate, my Executor shall have discretion to select the valuation date and to determine whether any or all of the allowable administration expenses in my Estate shall be used as Federal Estate Tax deductions or as Federal Income Tax deductions and shall have the discretion to file a joint income tax return with my spouse. SPECIFIC OMISSIONS I have intentionally omitted any and all persons and entities from this, my Last Will and Testament, except those persons and entities specifically named herein. If any person or entity shall challenge any term or condition of this Will, or of the Living Trust to which I have made reference in the sections "Household and Personal Effects" and "Residue of Estate," then, to that person or entity I give and bequeath the sum of one dollar ($1.00) only in lieu and in place of any other benefit, grant, bequest or interest which that person or interest may have in my Estate or the Living Trust and its Estate. SIMULTANEOUS DEATH If my spouse and I should die under circumstances such that the order of our deaths cannot be determined, then it shall be conclusively presumed for the purposes of this my Will that my spouse survived me. If any other Beneficiary should not survive me for sixty (60) days, then it shall be conclusively presumed for the purpose of this my Will that said Beneficiary predeceased me. This instrument consists of 5 typewritten pages including the Attestation Clause, Self-Proving Clause, signature of Witnesses, and acknowledgment of officer. I have signed my name at the bottom of eac~of the preceding pages. This instrument is being signed by me on this / 9~ day of 'e(~bU ,19 f'~ . /1 f I r4w~)A'Ja J ~de/ wrt'REN W. MECK, L Testator LAST WILL AND TEST AMENT Page 3 U/??ft( 11 ., . ATTESTATION CLAUSE The Testator whose name appears above declared to us, the undersigned, that the foregoing instrument was his Last Will and Testament, and he requested us to act as witnesses to such instrument and to his signature thereon. The Testator thereupon signed such instrument in our presence. At the Testator's request, the undersigned then subscribed our names to the instrument in our own handwriting in the presence of the Testator. The undersigned hereby declare, in the presence of each of us, that we believe the Testator to be of sound and disposing mind and memory. Signed by us on the same day and year as this Last Will and Testament was signed by the Testator. WITNESSES: ADDRESSES: AI~u~ ;( ~~~}u~-G YtS y / ~ {_....:s:1 F / ~ !) e I(:l (Printed Name of Witness) I Jie/'} IYJ-er- Dr,- , .fi1--t:.c4a-,. Ie >~I pl1 /7tJ)r- 'j)~~" /: ~L ~ bO~'1A L~ m~_IIo~ (Printed Name of Witness) ( .::T~ v,.(P e;--- fJr. t11~C-4~/L5b~; tiff 765"") LAST WILL AND TESTAMENT Page 4 uMt( , " . .. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SELF-PROVING CLAUSE BEfORE ME, the undersigned authority, on this day personally appeared WARREN W. MECK, (I L. 5fl ~ le/t?'and DOh,., ~ L. f11.e(ftn,... ' known to me to be the Testator and the witnesses, respective , whose names are subscribed to the foregoing instrument in their respective capacities, and all of them being by me duly sworn, WARREN W. MECK, Testator, declared to me and to the witnesses, in my presence, that the instrument is his Will and that he had willingly made and executed it as his free act and deed for the purposes therein expressed; and the witnesses, each on his oath, stated to me in the presence and hearing of the Testator, that the Testator had declared to them that the instrument is his Will and that he executed the same as such and wanted each of them to sign it as a witness; and upon their oaths, each witness stated further that he did sign the same as a witness in the presence of the Testator, and at his request and that he was at that time eighteen (18) years of age or over and was of sound mind, and that each of the witnesses was then at least fourteen (14) years of age. .~ CiL--/ / / WARREN W. MECK, Testator JJJAJJ: ,e~~~;'>./k '!ifJ.ss ~ . r /~'5 L. _<)-1- P; I clcL (Printed Name of Witness) _-V"-~ /: 7Ad4 Witne~ " / '-- /J/1 YU7A.- L~ /J/e//1Jh (Printed Name of Witness) SUBSCRIBED AND ACKNOWIADGED )Jefor~ by )VARREN W. MECK, Testator, subscribed and sworn to before me ~/()(/r ~-ffh, ~(cI and !hlJl1q Iit-el-b, witnesses, this the ItfJ.-w't day of I'" ~ ~ , 19 '9 J . and ~ Notary Pub!' ennsylvania I-- I No'tanal Seal ! "'. Allen J Perry Notary PubliC ; ,.'7d:~ HemfJt~eld -r:wp Lancaster County i,d, ( "~,~'1Isslon E-;plres March 19,2001 !)i'r'i');:"'!\!'I""--" C"',' '- t', :-;'1 .. f" (, .1 1'{:-.,~,,)I~I,1.~!If) n:' l\ot;-r(i()(; "") I J1I~tC LAST WILL AND TESTAMENT Page 5 I '1 .. '- . .~ nt." , . , subject "to the foresoins provitioDl of dUa section. If said handJcapped Bcnetkiary is Ilo longer llvilll and sballle we chiIclren dMm llvina, the deceued child's abate shall pallS to thole chUdren per Itirpea. Il' thore are Do :hildron, the allah Ihall be ~ propo.rt:iouaaeJ. .1JlODI dJC ~fnlna BwctIcIariei. ARTICLE NTNB )ecQOD 9.01. TrustccA . ,~ : . ~ . . . . \.. All Ttua1IlcS are to Reeve without bOlld. The tollowing will act a8 Trustees at' allY Trusts created . >y tbia l'rust Aarecmmtt, in tbe following order of ll"'Ce8Sion: First: The undcrailncd, WARREN W. MEeK and/or JUNE E. MEeK '. The surviVing sp~. At the death or incapacity of the survivina spouse, JEFJ'qy Il MJ~ PAUL A. MEeK and ROBERT A. MEeK: abalt 8ClV8 III Joint SUCCC880l Trua1Cc8. . ",,'. ....'. . A TruaICC cbolien by the majority of Bcue&1Iries, with a parent or tela! guarcn.n vodna for minnr Be~&iaries; provided. however. dut the childron of any deceued Beneficiary sball coUecdvely have only om vote. Second: Third: Fourth; " '. Section !t.02. AllOClldon and Distribution of the Trust A8ltets I !'he TnaatecI aha11 allocate, bold, adminl~ I8i distribute the Trust As8etlJ as .beremafter 'Prov 48d: c' . a) Upon' the death of the. first Settlor, the Trustee Bhall IDlIb .&ny" ecp,.lta~ diatrlbudoos that have been specified by the deceased Settlor. The TrU8tee maU a!eo lab ilJto coosidcration Ebe appropriate provisiona of tbia Article. b) Upon rhe death of the survivina spouse. the Trustee 8ballhold. administer and dlstribu~ the Trust Assets in the maDOCt hereiDa&lr ptelCrlbed. ,- &:cticn 9.03. Personal PrODeti)' Distributio.Q l'rotwithlfaDdfng any provision of Ibis Trust Agreement to 1:bc contrary, the Trustee lQust.albldu.by:. ., y mcm Dl'8Dl1um br the Seu:lors, particu)arly that c:ontained .in the geCtion ootided N SpceiaJ Directives" in 'orpol~ I:Cld into tbii Trust lnlltnuncnt. directing the disposition of TrUlt Aaao1B of every tiDd 1ncluilinl bu DOt limited to fumlturo. app1lances, 1\JmisJUup, pictures, china, lIilverware, lilli, boob, jewelry, Wl:ariDg .lpp8J."el, and all policies ot fire. buraJary. property damage, and olber JnsuraDce em 01' to CC1nnectlol with the 1110 of this property. OtherwIse. any per~ and houaohold etfectR of tho Settlor. ahill be d iscributed with the re.D1ainJnl' a,*tB of tbc Tt'UIt Estate.. . REVOCABLE LIVING TRUST AGJUtEMENr Page 20 - 'l... ~ .. , ... .' ... ) ( ) ( ) I :.- . '. .. . , ..... Sccdun4.03. Payment of the Second 'Delltb Bxne~ On the dead1 of the surviviDI Trusrar. the Truat.ce lIball pay fronJ. Cbat portion of lite trult __ cOuatitt tJna dte ~JICd TruItor.. Iq)Ant.e trust Ilbare the cxpcmaea of tbe IUl'V1vJng Trustor's lat i,lneaa, I\Jnm.[ buria1 and any inhcritaDcc. eau or death taxes that may be due' by reason of the sur fivfna I'ruator's death. unlcas the Trustee in hJa or her absolute discrctlon de1rlrrnJD8a that other Idf:c:juate proviO illS have been mIde for the payment of such expeoael IDd Wtca. kction 4.04. Tn1It IDcome and PrinciDal Disttibutinn Upon the Death of the SurviviDa: Truail{ a) The Trustee sba1l apply and dis~ the Jmt l.noome and prioc.tpa1 of each )f the 8harca of the resulting TruIt RstUa. after giving effect to the section of thla Trust Agreemem entitled "SpGcial Qirectivei" to the followlna Be11efJcluiea ill ~ iDdtcated frat.1ioDaJ shares: . _ .,' .., .: JEFFREY R. MECK PAUL A. MEeK ROBERT A. MEeK ". ~ l",. 1/3 . !'. :'::':':":f~r:;: /:. ,j?- "'i,/' ..0....-. "l;~o.':' . ;' ; I ~ A. ";0. -i.;" ,"";'.: .:: : '. .' . ~ . .,",' ~. i j! .::, , . ;: ~, '.' r' . I ... '.. ~ . . ,... , ,'. . ..\ ',,,; J, . \"". .. b)lf any of the above Beueflda~, or arr) other BQtWiary,'1sUDder'~'~A!1$ yeare when the cliItribudon is to be made, die Tnwcc; 'slWl havo "autJilliitY.~ di8tr'ibum the sattIC. inWboJe or In part. to a cUltodJan for tbc mhIor appcintcd I ii, . ..:V'i ~'! ,;,,;!,I.' .'~r a Uniform Gifts QI"TrlD8fin Co MJaura Act, or the T~ may rctaiu any . .. d, auch prqJerty and ~_ and distribu~ dJe same for the" benefit of dJe tn inor, t l1kr, , I.;d" .... ',i. paying!J or for tbe benefit ~f such ~~ D1UCl1~i~!~. and PIi~ip~,,~f ti ;m,', Ji '.I, I.""";;". die retained property from tilDe to time'l~ the ~ruatec;l~tadY~Je .~':J~ " '" ",;..,., "=:::;r'::t:'::"'~:~4r~:f:J:\I~~ be disCribU1lld to bbn or her: free of tnui. If the minor should die befOl'o attaining the aae of ~ority, tile property shall ~ be pai4 and distrlbumd tathe csta:e of the minor. ' .... .-"~;'~f --L'jt,iJp: 0: c) I.:JFJ[1.:: (-.k' If aU of the Trustor', Beno&1ariea aad ,f!lCir children should faUJ~ ...-vi~:.tbe~j! ';'i ; Ibl distribution of die Tl1I8t &tace, all' Of tbe Trust BlIlate not dfapoaed cf 88 berelnabove provided shall bet dfstribWed all provided for in rbis Trust Alteen.em. Sc~tIon 4.~. PrIncin1e of ~t.ti2D . . ~ 'nIess iDdlcamd differcndy in this Truai Aareement or in the "Special l)irect1v~s" section that follows, 1] the event any of our IWDed Btmoflciarics ahonJd predcceqe bocn af.UI aU of tb.t Penon'slllAl'e of the Tn lit Batue is to be dIvided cqualJyamong tbc ~ Beneficiary', cJUidrcm or'isIue per stirpes. REVOCABLE UVING TRUHT AGKEEMENT Page 11 ,