HomeMy WebLinkAbout04-07-08
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15056041125
REV-1500 EX (06-05)
PA Department of Revenue
Bureau of Individual Taxes
PO BOX 280601
Harrisbur , PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
Cou nty Code Yea r
File Number
'1
Date of Birth
18503 3 7 0 4
07242 007
01241915
Decedent's Last Name
Suffix
Decedent's First Name
S HAY
S A R A
MI
E
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's First Name
MI
Not
A P P 1 i cab 1 e
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 4. Limited Estate
~
D
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 D 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
D
D
D
D
o
8. Total Number of Safe Deposit Boxes
2. Supplemental Return
D
D
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
CHARLES
J
DEHART
I I I
717 232 766 1
Firm Name (If Applicable)
3 6 3 1
NORTH
FRONT
STREET
REGISTER,'. ..WILLS USE~LY
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C A L D W ELL &
KEARNS
First line of address
Second line of address
City or Post Office
State ZIP Code
::0 ry
"~ATE FILED
H A R R I S BUR G
~
P A
17110
Correspondent's e-mail address:cdehart@caldwellkearns.com
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~N~!),1UJ. RE OJ PERSON E PO~S'LI]tFO!?~ING RETURN DATE
1/;)'" ~~~ ZZ~ 7_,,;J f--c;:J?
A DRESS
261 NORTH OLD STONE HOUSE ROAD
CARLISLE
PA 17015
D~TE ,/
- zg.- u c>
HARRISBURG
PLEASE USE ORIGINAL FORM ONLY
PA 17110
Side 1
L
15056041125
15056041125
--.J
,)
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15056042126
REV-1500 EX
Decedent's Name: SARA E. SHAY
RECAPITULATION
1. IReal 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.
Decedent's Social Security Number
18503 370 4
91104 0.00
160609.66
1503.01
187624.48
1260777.15
19462.84
19462.84
124 1314.31
14. Net Value Subject to Tax (Line 12 minus Line 13) . . . . . . . . . . . . . . . . . . 14. 1 2 4 1 3 1 4 . 3 1
TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X.O _ o . 0 0 15. o . 0 0
16. Amount of Line 14 taxable 2
at lineal rate X .042- 1 4 1 3 1 4 . 3 1 16. 5 5 8 5 9 . 1 4
17. Amount of Line 14 taxable o . 0 0
at sibling rate X .12 17. o . 0 0
18 Amount of Line 14 taxable o . 0 0
at collateral rate X .15 18. o . 0 0
19. Tax Due ................................................1& 5 5 8 5 9 . 1 4
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
()
~
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Side 2
15056042126
o
15056042126
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REV-1500 EX Page 3
Decedent's Complete Address:
File Number
o 0
DECEDENT'S NAME
SARA E. SHAY
STREET ADDRESS
261 NORTH OLD STONE HOUSE ROAD
CITY I STATE I ZIP
CARLISLE PA 17015
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C, Discount
(1 )
55,859.14
52,500.00
2,763.15
Total Credits (A + 8 + C) (2)
55,263.15
3. Interest/Penalty if applicable
D. Interest
E. Penalty
T otallnterestlPenalty ( D + 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)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
0.00
0.00
595.99
8. Enter the total of Line 5 + 5A, This is the BALANCE DUE.
(5A)
(58)
A. Enter the interest on the tax due,
595.99
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 [Xl
b, retain the right to designate who shall use the property transferred or its income; ............................... 0 [Xl
c. retain a reversionary interest; or ................................................................................................ 0 [Xl
d. receive the promise for life of either payments, benefits or care? ....................................................... 0 [Xl
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................................... 0 [Xl
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ......... 0 [Xl
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? .................................................................................................. 0 [Xl
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. S9116 (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 ,So S9116 (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. S9116(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(21)(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. 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-1502 EX + (6-98)
'*
COMMONWEALTH OF PENNSYLVANIA
INHE:RITANCE TAX RETURN
R:ESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF
SARA E. SHAY
FILE NUMBER
o 0
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real proDertv which is iointlv-owned with riaht of survivorshiD must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
None
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
REV-1503 EX + (6-98)
'*
COMMONWEALTH OF PENNSYLVANIA
INHI=RITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
SARA E. S IHA Y
FILE NUMBER
o 0
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
19,200 Shares common stock Hershey Foods @$47.45/sh. - Date-of-death value
VALUE AT DATE
OF DEATH
911,040.00
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
911,040.00
R'EV-1508 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
SARA E. SIHA Y
FILE NUMBER
o 0
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.
ITEM
NUMBER
1,
DESCRIPTION
Motor Truck Equipment Company Investment Account - Date-of-death value
(See attached statement)
VALUE AT DATE
OF DEATH
160,609.66
2.
Personal property - None - Nursing home
0.00
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
160,609.66
R'EV-1509 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
SARA E. SHAY
FILE NUMBER
o 0
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A. Donald L. Smith
Harrisburg, PA
Grandson
B
c
JOINTLY-OWNED PROPERTY:
LETTE R DATE DESCRIPTION OF PROPERTY '!oOF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER ATTACH DEED FOR JOINTLY.HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A. PNC Bank Checking Account #5004050155 3,006.01 50. 1,503.01
TOTAL (Also enter on line 6, Recapitulation) $ 1,503.01
(If more space is needed, insert additional sheets of the same size)
REV-1510 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER.VIVOS TRANSFERS &
MISC. NON.PROBA TE PROPERTY
ESTATE OF
SARA E. SHAY
FILE NUMBER
o 0
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.
DESCRIPTION OF PROPERTY
ITEM INCLUDE THE NAME OF THE TRANSFEREE. THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE
NUMBER THE DATE OF TRANSFER ATTACH A COPY OF THE DEED FOR REAL ESTATE VALUE OF ASSET INTEREST VALUE
(IF APPLICABLE)
1. AIG Annuity Insurance Company Contract #FJ005502 - 187,624.48 100. 187,624.48
Payable to Eileen S. Smith, Sylvia S. Cas at and Barbara S.
Mitchell, beneficiaries - See attached statement
TOTAL (Also enter on line 7 Recapitulation) $ 187,624.48
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX + (12-99)
'*
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
o 0
ESTATE OF
SARA E. SHAY
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
DESCRIPTION
FUNERAL EXPENSES:
Trefz & Bowser Funeral Home - Funeral services
Gingrich Memorials - Gravestone
Hershey Cemetery - Opening of grave
CrossRoads Cafe - Funeral luncheon
1.
2.
3.
4.
B.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (5) Barbara S. Mitchell- Waived
1.
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address 261 North Old Stone House Road
City Carlisle State PA
Year(s) Commission Paid:
2.
3.
Attorney Fees Caldwell & Kearns
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
State
Relationship of Claimant to Decedent
4.
Probate Fees Register of Wills
5.
Accountant's Fees
6.
Tax Return Preparers Fees
7.
8.
Carlisle Sentinel - Legal advertising
Cumberland Law Journal - Legal advertising
AMOUNT
9,140.64
565.00
270.00
595.20
Zip 17015
7,500.00
Zip
1,150.00
167.00
75.00
(If more space is needed, insert additional sheets of the same size)
TOTAL (Also enter on line 9, Recapitulation) $
19,462.84
REV-1512 EX+ (12-03)
'*
SCHEDULE.
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SARA E. SHAY
FILE NUMBER
o 0
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX + (9-0Q)
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SARA E. SHAY
FILE NUMBER
o 0
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. Donald L. Smith Lineal 5,000.00
660 Gregs Drive Jt Bank Acct.-Sch. F
Harrisburg, PA 17111 1,503.01
2. Darby L. Jackson Lineal 5,000.00
212 Campbelltown Road
Palmyra, PA 17078
3. J1effrey Webb Lineal 5,000.00
4. Debora Tukis Lineal 5,000.00
5. Meredith Casat Lineal 5,000.00
1032 19th Street, Apt. #6
Santa Monica, CA 90403
6. Stephanie Massoud Lineal 5,000.00
11150 75th Road #A46
Forest Hills, NY 11375
7. Barbara S. Mitchell Lineal 5,000.00
261 North Old Stone House Road 1/3 residuary
Carlisle, PA 17015
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
1.
El. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II - 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)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
SARA E. SHAY
Decedent's Name
Page 1
File Number
Schedule J - Beneficiaries - 1
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)
8. Eileen S. Smith Lineal 5,000.00
209 Sparrow Road 1/3 residuary
Hummelstown, PA 17036
9. Sylvia A. Casat Lineal 5,000.00
13789 Mango Drive 1/3 residuary
Del Mar, CA 92014
REV-1500 Discount, Interest and Penalty Worksheet
Discount Calculation
Total Amount Paid within three calendar months of the decedent's date of death:
52,500.00
Discount:
2,763.15
Interest Table
I Before 1::~
r------~--
1- ~ ::~ ------
11984
! 1985
11986____
11987 _~__
1988 through 1991
1992
1993 throu h 1994
i 1995 through 1998_
~.1999
12000
I ~~~~ --=~
12003__
12004
~---
Days Delinquent
this time period I
----.l--.-...-------.----
Balance Due Interest
this year I this period
---r-----------
i
I
~_._-~
I
I
TOTALS
Penalty Calculation
If the decedent's date of death was on or before March 31, 1993, insert the applicable amount:
Total Balance Due on January 17, 1996:
Penalty: _
@
~
KENWORTH OF PENNSYLVANIA
Mailing: PO Box 1922. Carlisle. PA 17013
Shipping: 198 KosI Road. Carlisle. PA 17015
Phone (717) 766-8000 . Fax (717) 766-3596
Parts & Service Fax (717) 691-5744
August 27, 2007
Mr. Charles DeHart
Caldwell & Kearns
3631 North Front Street
Harrisburg, PA 17110
Dear Chuck:
Sara Shay had an investment account with Motor Truck Equipment Company, d/b/a Kenworth of
Pennsylvania. There were no designated beneficiaries on this account. On her date of death, July
24,2007, her account had a value of $160,609.66.
Should you require additional information, please do not hesitate to contact me.
Sincerely,
/11 aAdlc.a tI. d;;
Marsha A. Hay, CFO
Treasurer
~ AJQAPcll.~ity
AIG Annuity Insurance Company
A Stock Company
205 East 10th Avenue
AmariDo. Texas 79101-3546
Telephone: 800.424.4990
August 3],2007
Charles J Dehart, Iii
363 1 North Front Street
Harrisburg, PA ]7] ]0]533
Re: Name of Deceased:
Contract Number:
Beneficiary:
Sara Shay
FJ005502
Eileen S Smith, Sylvia S CasaL Barbara S Mitchell
Dear Sir or Madam:
We have received notification of the death of Sara Shay, the owner/annuitant of the referenced
contract. On behalf of AIG Annuity Insurance Company, we wish to express our sincerest
condolences for your loss.
The following items are enclosed:
]) Claims Checklist - A list of items required to initiate a claim for this contract.
2) Beneficiary options page - A list of claim options available to the referenced beneficiary.
3) Applicable documents for completion.
The value of policy on the date of death was $] 87,624.48.
We appreciate your prompt attention to this matter. Should you have any questions or require
further assistance, please contact our Client Care Center by using our toll free number of
] -800-424-4990.
Sincerely,
k '--1/) jjl4lu~,
Jr;J .
B.M. Graves
Annuity Claims Manager
Enclosures
AlGA CVT LIT DOD
EFORM 1 00472-0900
~ PNCBAN<
Your account was DEBITED for the following reason:
o Check # posted on
IXI Closed account 5004050155
o Branch adjustment (branch name)
o Service charge error
o Other-
~
encoding error _ posted to incorrect account
Account Number FilelD
AMOUNT $ 3,006.01
5004050155 040
D DONAI.D L SMI TH FOR BANK USE ONL Y
E 660 GREGS DR APT 19 Branch #/Dept. # Date
8 HARRISBURG, PA 17111-5540 0000115 09/13/2007
I
T Prepared By (PRINT Name) Authorized By
I MUKTA SHARMA
PNC Bank, National Association
Customer's Advice of Charge
Cashier's Check
o Pl'~C~BAN<
PNC Bank, National Association
No. 00550061
o
o
<D
o
.n
'"
g Pay (0 the Order of DONALD L SMITH
Date September 13, 2007
$ 3,006.01
:2
II:
~ Three Thousand Six Dollars And One Cent
w
Non-Negotiable
Customer Copy
5004050155
Remitter
__ ~"-'-.l.
LAST WILL AND TESTAMENT
OF
SARA E. SHAY
I ,
SARA E.
SHAY,
of Derry Township,
Dauphin County,
pennsylvania, being of sound mind, memory and understanding, do
make and publish this my Last will and Testament, hereby revoking
and making void all former Wills by me at any time heretofore made.
ITEM I.
I direct that all my just debts
and funeral expenses be fully paid and satisfied as soon as
conveniently may be after my decease.
ITEfvl I I .
I gl ve the cash sum of Five.
Thousand ($5,000.00) Dollars to each of my grandchildren, provided
they surVlve my death.
ITEM III.
I
glve
unto
each
of
my
daughters, Eileen Smith, Sylvia A. Casat and Barbara Mitchell, the
cash sum of Five Thousand ($ 5, 000.00) Doll ars / provided they
survive my death.
ITEM IV.
All
the
rest,
residue
and
remainder of my estate shall be divided into equal shares, one for
the benefit of each of my three (3) daughters, Eileen Smith, Sylvia
A. Casat and Barbara Mitchell, or their issue per stirpes.
Each
share for the benefit of each of my living daughters shall
thereafter be held in trust, subj ect to the following terms and
conditions:
A. To pay the lncome at least quarter-annually to each
of my daughters.
B. To pay so much of the principal, as may, In the sole
discretion of my Trustee, be necessary for the maintenance, support
or medical expenses of each of my daughters.
C. Upon the expiration of ten (10) years from the date
of my death, the Trustee shall disburse to each of my daughters the
remaining accumulated income and principal In each trust account.
In the event any of my daughters should die prior to the expiration
of ten (10) years, the Trustee shall disburse the accumulated
2
lncome and principal then remalnlng unto the deceased daughter's
then-living lssue per stirpes.
If the deceased daughter has no
such 1 i ving issue, then the balance held In the separate trust
account shall be paid to my then-living issue, per stirpes, subject
to and combined with any trust prOVlSlons as herein provided.
Each share for the benefit of the issue of a deceased daughter
shall be divided equally among said living lssue per stirpes,
subject to the minority or disability provisions as provided In
Item V hereinafter set forth.
ITEM V.
Any income or principal payable
to any beneficiary who lS a mlnor or to be a beneficiary who, In
the sole judgment of my personal representative, lS mentally or
physically incapacitated, shall be held In trust during such
minority or incapacity.
Trustee lS authorized to expend from
lncome or principal such sum or sums as may be necessary for the
proper care, maintenance and support of such mlnor or incapacitated
beneficiary directly, without the intervention of a guardian or
3
committee; or Trustee may pay the same to any person having care or
control of said beneficiary or with whom the beneficiary resides,
without any duty on the part of Trustee to superv1se or 1nqu1re
into the application of the funds by any person to whom payment 1S
so made. Any 1ncome and principal not so expended by Trustee shall
be retained by Trustee and paid to the beneficiary upon termination
of the incapacity (including minority), or to the estate of the
beneficiary if he or she dies before reaching the age of majority
or while still incapacitated, as the case may be.
For purposes
herein contained, the age of majority shall be twenty-one (21)
years.
ITEM VI.
I authorize the Trustee and any
successors 1n trust to exerC1se the following powers in her/his/its
sole discretion which shall be effective without court order or
approval:
4
A. To retain any or all of the assets of my estate,
without regard to any principle of diversification,
risk or
productivity.
B.
To
invest
In
all
forms
of
property without
restrictions to investments authorized for any type of fiduciary.
c. To compromlse any claim or controversy.
D. To loan money to or to purchase property from my
probate estate.
E. To borrow money from any person, including any
Executor or Trustee, and to mortgage or pledge any real or personal
property.
F. To sell at public or private sale, to exchange or to
lease for any period of time, any real or personal property, and to
glve options for sales, exchanges or leases all for such prices and
upon such terms and conditions as it deems proper.
G. To allocate receipts and expenses to principal or
lncome or partly to each as it deems proper.
5
H. To repalr, alter or lmprove any real or personal
property.
I. To distribute ln cash or ln kind or partly ln each
at valuations fixed by the Trustee.
J. To purchase investments at premiums and to charge
premlums to income or principal or partly to each.
K. To subscribe for or to exerClse options for stocks,
Donds or other investments; to join ln any plan of lease, mortgage,
merger, consolidation, reorganization, foreclosure or voting trust
and to deposit securities thereunder; and to generally exercise all
the rights of security holders or employees of any corporation.
L. To register securities ln the name of a nomlnee or
ln such manner that title shall pass by delivery.
M.
To
assume
continuance
of
the
status
of
any
beneficiary with reference to death, marrlage, divorce, illness,
incapacity or other change ln the absence of information deemed
6
reliable,
without
liability for disbursements made on such
assumption.
N. To add to the principal of any trust created by this
instrument any real or personal property received from any person
by Deed, will or In any other manner.
O. To exerClse all power, authority and discretion
glven by this instrument after the termination of any trust created
herein until the same lS fully distributed.
P. My Trustee may commingle the assets of any trust
estate created by this will In anyone or more common funds for
greater convenlence and flexibility.
Q. To employ attorneys, accountants, englneers and such
other persons, professional or otherwise, as may be necessary for
the proper administration of this estate or trust, and to pay their
compensation from such funds.
R. I authorize the Trustee to pay from the lncome or
principal of any trust fund an amount which it shall determine as
7
proper and reasonable to compensate the guardian of the person of
any minor beneficiary.
It is my desire that whoever should assume
this responsibility of raising minor children should be properly
compensated from the trust estate herein provided.
S. I authorize the Trustee to purchase from the trust
fund or funds any type or manner of insurance which it deems to be
1n the best interest of the beneficiary.
ITEM VII.
It 1S hereby directed that my
Executor, hereinafter named, shall pay all inheritance, state,
succession and legacy taxes to which my estate or the transfer of
any property hereunder may be subject and to charge such tax as
part of the administration, payable out of my residuary estate.
ITEM VIII. I hereby appoint my daughter,
Barbara Mitchell, to be and act as Trustee of any trust, herein
created, by this Last Will and Testament, with the exception of the
trust created for her benefit.
I hereby appoint my son-in~law,
Gareth Mitchell, to be and act as Trustee of any trust created for
8
the benefit of my daughter, Barbara Mitchell.
I further authorize
my daughter, Barbara Mitchell, and my son-in-law, Gareth Mitchell,
to designate, in writing, one (1) or more persons or institutions,
having trust powers, to act as Successor Trustee in the event of
their individual deaths.
In the event of renunciation, death or
inability to act for any reason whatsoever of my daughter, Barbara
Mitchell, or my son-in-law, Gareth Mitchell, and in the event they
should fail to appoint a Successor Trustee In writing, prlor to
their deaths, I nominate and appoint The Hershey Trust Company to
be and act as sole Trustee or Successor Trustee over any trust
herein created.
No Trustee shall be required to furnish any bond
or security of any kind for the faithful performance of his or her
duties as Trustee or Successor Trustee.
ITEM IX.
I
nominate,
constitute
and
appoint my daughter, Barbara Mitchell, to be and act as my sole
Executrix of this my Last Will and Testament.
In the event of
renunciation, death, resignation or inability to act for any reason
9
i!-.'"
. .
whatsoever of my daughter, Barbara Mitchell, I nominate, constitute
and appoint my son-in-law, Gareth Mitchell as Executor of this my
Last Will and Testament.
As a final alternative, I appoint The
Hershey Trust Company to be and act as sole Executor of this my
Last will and Testament.
No personal representative or fiduciary
appointed herein shall be required to post bond or gl ve any
security.
IN WITNESS
'f1.,
~ day of
I have hereunto set my hand and seal this
WHEREOF,
o~ pvr-"~7
(/
1996.
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," 1;;//-/(,/ x//' (4_ 0_
'SARA E. SHAY
(SEAL)
The preceding instrument, consisting of this, and nine other
typewritten pages, was on the date thereof signed, published and
declared by SARA E. SHAY, the Testatrix therein named, as and for
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her Last Will, in the presence of us, who at her request, in her
presence and in the presence of each other, have subscribed our
names as witnesses hereto.
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Residing at
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Residing at
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62682-1
11