HomeMy WebLinkAbout06-06-08' ~ 15056051047
J
REV-1500 ~c06-o5> _ _ _.
PA Departnentof Revenue County Code Year File Number
Bureau oflndividual Taxes INHERITANCE TAX RETURN
Po Box 2aosol 2 1 0 7 ` 1 0, 0 1
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
__ _ .__
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
' 2 0 7 0 7 8 6' 4 9` 0 9' 2 6 i 2 0` 0 7 0 ], ' 1 4 1 9' 1 7
Decedent's Last Name Suffix Decedent's First Narne MI
S M I T H' J E S S I E E
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's Social Security Number
FILL INAPPROPRIATE OVALS BELOW
_ 1. Original Retum
Spouse's First Name MI
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
2. Supplemental Retum
3. Remainder Return (date of death
prior to 12-13-82)
4. Limited Estate 4a. Future Interest Compromise (date of 5. Fed. Estate Tax Return Required
death after 12-12-82)
6. Decedent Died Testate ~ 7. Decedent Maintained a LiNng Trust __j]_ 8. Total No. of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Recei~,ed 10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A)
betvveen 12-31-91 and 1-1-95) (Attach Sch O)
CORRESPONDENT- THI S S ECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFI DENTIAL TAX I NFORMAiION S HOULD BE DI RECTED T0:
Name Daytime Telephone Number
R U T H A N' N M C M' I L L E N 7 ', 1' 7 2 5 5 2 1 0 9
___ _ rv
Firm Name (If Applicable) 7
C'~ C
Frst line of address ~.~ i
2 1 3 M A R K' E T S T R E E T ~ ~~' ~" - =
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Second line of address _
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City or Post Office State ZIP Code -
H A R R'I S B U-R G P A 1 7 1 0 1
Conespondent's a-mail address:
Under penallies''gqf perjury, I declare that 1 have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, co rect/and complete. Dedaratlon of preparer other than the personal representative is based on all informamon of which preparer has any knowledge.
SIGNA R ~OF RSON{RES I F/~~ LI URN ~~/
(_ _ '.~//t, ' ASST. ~'1__ r','.E~'!~f,.? TE __
_ _ t~ LL~``'\::- _ & TRUST OFFICER \ t~ ~~~_,,.
AQD
Manu cturers and Traders Trust Company 213 Market Street, Harrisburg, PA 17101
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS
Manufacturers and Traders Trust Company 213 Market Street, Harrisburg, PA 17101
PLEASE USE ORIGINAL FORM ONLY
Side 1
15056051047 15D56051047
J •
REV-1500-EX
15056051047
Decedent's Name: Jessie E. Smith
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 8~ 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-Vvos Transfers & Miscellaneous Non-Probate Property
(Schedule G} Separate Billing Requested ..... 7.
8. Total GrossAssets(totalLinesl-7)~~-~~--••••••••••••-~~-••••••••••• 8.
9. Funeral Expenses & Administrative Costs (Schedule H) - ~ ~ - - • • • • • • • • • • • • • • 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............. 10.
11. Total Deductions (total Lines98~10) ~~~~~~~~~~~•••••••••-•-----~---- 11.
12. Net Value of Estate (Line 8 minus Line 11) ............................ 12.
13. Charitable and Governmental BequestslSec 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 under Sec. 9116
(a)(1.2) X .0 0 0 , 0 15.
16. Amount of Line 14 taxable 0 0 , 16.
at lineal rate X .0 45
17. Amount of Line 14 taxable 17.
at sibling rate X .12 0 0
18. Amount of Line 14 taxable 1 4 4 9 2 7 9' 3 18.
at collateral rate X .15
19. Tax Due ........................................................19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
15056051047
Decedent's Social Security Number
2 0 7 0 7 8 6 4 9
0 0
2 0 7 5 6 2 4 8
5 2 0 0 D
0 D
1 2 5 2 9 . 0 5
.0 D
0 D
2 2 0 6 1 1 .5 3
3 4 2 0 4 0 5
6 2 5 .3 D
3 4 8 2 9 .3 5
1 8 5 7 8 2 .1 8
4 0 8 5 4 2 5
1' 4' 4 9: 2:7 , 9 3
__ __ __
0 0
0 D
D 0
2 1 7 3' 9. 1 9
2 1 7 3 9. 1<'9'
15056051047 J
REV-150Q-EX Page~3
Decedent's Complete Address:
Fle Number
21 07 loos
DECEDENT'S NAME
Jessie E. Smith
STREET ADDRESS
442 Walnut Bottom Road
CITY
Carlisle, STATE
PA ZIP
17013
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19) (1) 21, 739.19
2. Credits/Payments
A. Spousal Poverty Credit . 00
B. Prior Payments . 00
C. Discount .00
Total Credit~o (A + B + C) (2) . 00
3. InteresUPenalty if applicable
D. I nterest . 0 0
E. Penalty . 00
Total InteresUPenalty (D+ E) {3) . 00
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
FIII In oval on Page 2, Llne ZO 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) 21, 739.19
A. Enter the interest on the tax due. (SA)
B. Enter the total of Line 5+ SA. This is the BALANCE DUE. (SB) 21, 739.19
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 : ............................................................................ ....... X^ ^
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? ......................................................... ....... ^ X^
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 "intrust for" or payable upon death bank account or security at his or her death? ...... ....... ^ X^
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................................................................................... ....... ^ 0
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU M UST 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 staAtte does not exempt a transfer in a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even I ee s~lving spspouse 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 ip or for the use of a natural parent, an
adoptive parent, or a stepparentofthe child is zero (0) [72 P. S. '3 9116(a)(1.2)].
The tax rate imposed on the net value of transfers in or for the use of the decedents lineal beneficiaries is four and one-half {4.5} percent, except as noted in
72 P.S. ~ 9116(1.2) [72 P.S. § 9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedents 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 leastone parent in common with the decedent, whether by blood or adoption.
,REV-1503 EX+ (1-97)
COMMONWEALTH OF PENNSYLVANIA SCHEDULE B
INHERITANCE TAX RETURN STOCKS & BONDS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Jessie E. Smith 21-07-1001
All property Jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NO. DESCRIPTION OF DEATH
1. 1,641.439 Shs. MTB Large Cap Value-Inst 2 Fund #327 - Date of Death 22,143.01
Value - Received from Hugh 6 Jessie Smith Trust
Accrued Dividend 50.88
2. 11,054.059 Shs. MTB US Government Bond Inst I Fund #822 - Date of Dea h 102,360.59
Value - Received from Hugh 6 Jessie Smith Trust
3. 933.834 Shs. STI Classic Seix Floating Rate-I - Date of Death Value - 9,002.16
Received from Hugh 6 Jessie Smith Trust
4. 1,574.64 Shs. Vanguard Value Index Fund #6 - Date of Death Value 43,885.22
-Received from Hugh & Jessie Smith Trust
5. $39.12 GNMA Pool #25697 8.5$ due 7/15/08 - Date of Death Value - 39.12
Received from Hugh ~ Jessie Smith Trust
6. 200 Shs. Du Pont E 2 De Nemours ~ Co. - Date of Death Value - Receive 9,941.00
from Hugh 6 Jessie Smith Trust
7. 600 Shs. Washington Real Estate Invt (REIT) - Date of Death Value - 19,887.00
Received from Hugh 6 Jessie Smith Trust
Accrued Dividend 253.50
TOTAL (Also enter on line 2, Recapit
(If more space is needed, insert additional sheets of the same size)
0 PA1S031 NTF 33300 Copyright 2000 Cueatlan d/N alto LP- Forms Software Only
207,562.48
REV-1504 Ex+ (1-97) SCHEDULE C
COMMONWEALTH OF PENNSYLVANIA CLOSELY-HELD CORPORATION
INHERITANCE TAX RETURN
RESIDENT DECEDENT PARTNERSHIP or SOLE-PROPRIETORSHIP
ESTATE OF FILE NUMBER
Jessie E. Smith 21-07-1001
Schedule C-~ or C-2 (Including all supportng information) must be attached for each closely-held corporation/partnership interest of the decedent,
other than asole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships.
0 PA15041 NTF 33301 Copyright 2000 Greatland/Nalco LP-Forms Software Only
(If more space is needed, insert additional sheets of the same size)
.REV-ysos Ex+ (i-s~)
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, $c MASC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Jessie E. Smith 21-07-1001
include proceeds ct ~Itigation a date proceeds were received by the estate. All prop. Jointly-owned with right of survivorship must be disclosed on Sch. F.
ITEM VALUE AT
NO. DESCRIPTION DATE OF DEATH
1. Household Effects - Appraised Value 365.00
2. State Employees' Retirement System - Annuity 159.86
3. ~T Bank Checking Account #10041575 - Date of Death Value 2,191.42
4. Received from Embarq - Refund 11.91
5. Received from Hugh & Jessie Smith Trust - Principal Balance as of Dat 6,588.88
of Death
6. Received from Hugh 6 Jessie Smith Trust - Income Balance as of Date o 616.91
7. Received from Internal Revenue Service - Refund on 2007 Individual 123.00
Federal Income Tax Return
8. Received from Pharamerica Corporation - Refund 1,265.09
9. Received from Treasury Department - Unclaimed Property of Dividends f om 86.25
ashington Real Estate Investment Trust
10. Received from United Christ Homes - Refund 1,120.73
TOTAL (Also enter on line 5, Recapitulation) ~$ 12 , 529.05
(If more space is needed, insert additional sheets of the same size)
0 PA15081 NTF 33305 Copyright 2000 Greatlan d/Nalco LP- Forms Software Only
REV-tstiEx+ (t-s~)
SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Jessie E. Smith 21-07-1001
Debts of decedent must be reported on Schedule I.
ITEM
NO. DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
~. ers-Harner Funeral Home, Inc.
Funeral Expense 13,319.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s) Mt~T Bank
/EIN No. of Personal Representative(s) 16-0538020
Street Address 213 Market Street
CityHarrisburg State PA Zip 17101
Year(s) Commission Paid: 2008
2. Attorney Fees
3. Family Exemption: (If decedent's address is not the same as claimants, attach explanation)
Claimant _
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees Cumberland County Register of Wills
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Schedule attached
10,901.36
8,750.00
.00
369.00
.00
.00
864.69
TOTAL (Also enter on line 9, Recapitulation) $ 34,204.05
(If more space is needed, insert additional sheets of the same size)
0 PA15111 NTF 33308 Copyright 2000 Greatland/Nalco LP- Forms Software Only
HB 7.- MISCELLANEOUS EXPENSES
Estate of Jessie E. Smith
Cumberland County Register of Wills
7. Reserve for Filing Costs
B. Reserve for Additional Probate Fee
George Haar Auctioneer
9. Appraisal of Estate Property
The Patriot-News Company
10. Cost of Advertising and Proof of Publication
Rhoads 6 Sinon, LLP
11. Reimbursement for Cost of Advertising and Proof of
Publication in The Cumberland Law Journal
12. Out of Pocket Expenses
File Number 21-07-1001
300.00
50.00 350.00
50.00
181.50
75.00
208.19 283.19
HB- MISCELLANEOUS ADMINISTRATIVE COSTS TOTAL 864.69
REV-1512 EX+ (1-97)
SCHEDULE I
COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT,
INHERITANCE TAX RETURN
RESIDENT DECEDENT MORTGAGE LIABILITIES, & LIENS
ESTATE OF FILE NUMBER
Jessie E. Smith 21-07-1001
Include unreimbursed medical expenses.
0 PA75121 NTF 33309 Copyright 2000 Greatland/Nalco LP- Forms Software Only
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX+ (9-00)
COMMONWEALTH OF PENNSYLVANIA SCHEDULE .1
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF
Jessie E. Smith
FILE NUMBER
21-07-1001
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Llst Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and
transfers under Sec. 9116 (a) (1.2))
1, Schedule attached
ENTER DOLLAR AMTS. FOR DISTRIBS. SHOWN ABOVE ON LINES 15 THR OUGH 18, AS APPROPRIATE, ON R EV-1500 COVER SHEET
II NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1. Schedule attached 40,854.25
TOTAL OF PART II -- ENTER TOTAL NON-TAXABLE DISTRIBS. ON LINE 13 OF REV-1500 COVER SHEET $ 40 , 854.25
(If more space is needed, insert additional sheets of the same size)
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SCHEDULE JI -TAXABLE DISTRIBUTIONS
Estate of Jessie E. Smith
NAME AND ADDRESS OF PERSON(S)
NUMBER RECEIVING PROPERTY
1. Geoffrey A. Smith
5445 Miami Road
Cincinnati, OH 45243
Specific Bequest per Item V(c)
of the Will
2. Hugh Cover
202 Bridge Street, Floor #2
New Cumberland, PA 17070
Specific Bequest per Item V(b)
of the Will
3. Robert Cover
605 E. Martin Street
Jacksonville, AR 72076
Specific Bequest per Item V(b)
of the Will
File Number 21-07-1001
RELATIONSHIP AMOUNT OR SHARE
TO DECEDENT OF ESTATE
Nephew 5,000.00
Nephew 1,000.00
Nephew 1,000.00
4. Mrs. Raymond C. Equi, Jr.
2696 Berringer Station Lane
Knoxville, TN 37932
Specific Bequest per Item V(c)
of the Will
5. Richard M. Smith
644 Maple Trace
Cincinnati, OH 45246
75~ share of Residue as per
Item V(d) 9 of the Will
6. Richard M. Smith
644 Maple Trace
Cincinnati, OH 45246
Household Effects
7. Richard E. Smith
315 Golden Gate
Pt. Richmond, CA 94801-3813
Specific Bequest per Item V(c)
of the Will
8. Mrs. Timothy P. Dinsmore
107 Lawrence Street
Pepperell, MA 01463
Specific Bequest per Item V(c)
of the Will
Niece 5,000.00
Brother-in-Law 122,562.93
Brother-in-Law 365.00
Nephew 5,000.00
Niece 5,000.00
SCHEDULE JII B -CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
Estate of Jessie E. Smith File Number 21-07-1001
AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY OF ESTATE
1. Gettysburg College 6,536.68
Director of Planned Giving
300 N. Washington Street
Campus Box 423
Gettysburg, PA 17325-1485
4~ share of Residue as per
Item V (d) 8 of the Will
2. Shippensburg University Foundation
Attn: John E. Clinton
1871 Old Main Drive
Shippensburg, PA 17257
3~ share of Residue as per
Item V(d) 7 of the Will
3. Bethesda Mission
Director of Development
2101 N. Front Street
Building 1, Suite 301
Harrisburg, PA 17110
3~ share of Residue as per
Item V(d) 6 of the Will
4. American Red Cross PA Capital Region
PO Box 4624
Lancaster, PA 17604-4624
3~ share of Residue as per
Item V(d) 5 of the Will
5. United Church of Christ Home
Division of Development
30 N. 31st Street
Camp Hill, PA 17011
3~ share of Residue as per
Item V(d) 3 of the Will
6. United Way of the Capital Region
2235 Millennium Way
Enola, PA 17025
3~ share of Residue as per
Item V (d) 4 of the Will
7. Shriners Hospital for Crippled Children
2900 Rocky Point Drive
Tampa, FL 33607
3~ share of Residue as per
Item V(d) 2 of the Will
4,902.51
4,902.51
4,902.51
4,902.51
4,902.51
4,902.51
SCHEDULE JII B -CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
Estate of Jessie E. Smith File Number 21-07-1001
AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON{S) RECEIVING PROPERTY OF ESTATE
8. Salem United Church of Christ 4,902.51
231 Chestnut Street
Harrisburg, PA 17101
3~ share of Residue as per
Item V(d) 1 of the Codicil of
the Will
JII B - CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 40,854.25
' ~t"~+ ia"'~ ~ '~ Bivoiv
.,.: ~'~~- ' ATTORNEYS A'T LAW
.:
....nom+~ -
~~~ ;r.
AGREEMENT OF TRUST
THIS AGREEMENT made and entered into this ~`~- day of ~~~~^~ _
1988, by and between HUGH E. SMITH and JESSIE E. SMITH, of Cumberland County,
Pennsylvania, hereinafter called the "Settlors", and DAUPHIN DEP05IT BANK AND
TRUST COMPANY, a banking corporation with its principal office located in
Harrisburg, Dauphin County, Pennsylvania, hereinafter called the "Trustee".
WITNESSETH:
WHEREAS, the Settlors are the owners of certain assets more fully
described in Schedule "A", attached hereto and made a part hereof; and
WHEREAS, the Settlors are desirous of placing the active management
and control of certain property in the hands of the Trustee; and
WHEREAS, the Settlors intend that all of their rights and interests
hereunder shall be held by Settlors as tenants by the entireties during their
joint lifetimes.
NOW, THEREFORE, for and in consideration of their mutual covenants
and promises, the parties agree as follows:
ARTICLE I. The Settlors hereby transfer and convey to the
Trustee the assets listed on Schedule "A" attached hereto and made part
hereof, and the Trustee, in consideration thereof, agrees to hold and
administer said assets and any additions thereto, IN TRUST NEVERTHELESS, for
the following uses and purposes:
1. To have, hold, manage, invest and reinvest the same, to
collect the income and to pay over the net income in quarterly
installments, after payment of all proper charges and expenses,
to Settlors during their lifetime, and then to the survivor,
during his or her lifetime. The Trustee is authorized and
directed to pay and use such portion or all of the principal of
the Trust assets as it, in its sole discretion, from time to
time, shall deem necessary to provide for the proper
maintenance, support, medical, hospital, nursing or nursing home
care of the Settlors or the surviving Settlor.
2. The Trustee at all times shall have the power to pay
either from the principal or income of the Trust assets any
outstanding bills or obligations owing by the Settlors or the
surviving Settlor.
3. The Trustee shall pay such portion or all of the
principal of the Trust assets to the Settlors or to the
surviving Settlor as they or he or she may from time to time
request.
- 2 -
4. Upon the death of the survivor of the Settlors during
the existence of this Trust, the Trustee shall pay over all then
assets of the Trust, whether corpus or income, to the Executor
or Administrator of the Estate of the surviving Settlor, to be
distributed as part of the assets of that Estate.
ARTICLE II. The Settlors during their point lives or the
surviving Settlor may at any time alter, modify, amend or revoke any or all of
the provisions of this Trust Agreement, and add additional assets to this
Trust.
ARTICLE III. The Trustee shall render annual statements of
the receipts and disbursements of income and principal of the Trust to the
Settlors.
ARTICLE IV. During the continuance of the foregoing Trust,
the Trustee shall possess, among others, the following powers, exercisable in
all events, for the best interests of the Settlors:
1. To retain any property or investments which the
Settlors have herein transferred and conveyed in trust, as long
as the Trustee may deem it advisable so to do.
2. To vary investments, when deemed desirable by the
Trustee, and to invest in such bonds, stocks, notes, real estate
mortgages or other securities or in such other property, real or
personal, as it shall deem wise, without being restricted to
3 -
so-called "legal investments", and without being limited by any
statute or rule of law regarding investments by fiduciaries.
3. To sell either at public or private sale and upon such
terms and conditions as the Trustee may deem advantageous, any
or all real or personal estate or interest therein owned by the
Trust severally or in conjunction with other persons, and to
consummate said sale or sales by sufficient deeds or other
instruments to the purchaser or purchasers, conveying a fee
simple title, free and clear of all trust and without obligation
or liability of the purchaser or purchasers to see to the
application of the purchase money or to make inquiry into the
validity of said sale or sales; also, to make, execute,
acknowledge and deliver any and all deeds, assignments, options
or other writings which may be necessary or desirable, in
carrying out any of the powers conferred upon the Trustee in
this paragraph or elsewhere in this instrument.
4. In the discretion of the Trustee, to unite with other
owners of similar property in carrying out any plans for the
reorganization of any corporation or company whose securities
form a part of the Trust assets.
5. To place and carry any asset of the Trust in the name
of a nominee.
- 4 -
6. To assign to and hold in the Trust an undivided portion
of any asset.
7. To make any division of the principal of the Trust
assets or any distribution of the assets partly or wholly in
kind. If such division or distribution is made in kind, said
assets are required to be divided or distributed at their
respective values on the date or dates of their division or
distribution.
8. To pay all costs, taxes, expenses, compensation and
charges in connection with the administration and termination of
the Trust and in connection with the settlement of either
Settlor's Estate.
9. To do all other acts in its judgment deemed necessary
or desirable for the proper and advantageous management,
investment and distribution of the Trust assets.
10. To mortgage real estate, and to make leases of real
estate, extending beyond the term of the Trust hereunder.
11. To borrow money and to assign and pledge assets of the
Trust therefor.
- 5 -
12. L+Ilienever and as often as the Settlors or the surviving
Settlor, to whom payments of income and principal are herein
directed to be made, shall be unable to act, or shall lack
ability, or, in the sole judgment of the Trustee, shall
otherwise be unable to apply such payment; to the Settlors' or
the surviving Settlors own best interest and advantage, the
Trustee may make all or any portion of such payments in any one
or more of the following Ways:
(a) Directly to such Settlors or to the surviving
Settlor.
(b) To the Legal Guardian or Conservator of the
Settlors or to the surviving Settlor.
(c} To a relative of such Settlors or of the
surviving Settlor to be expended by such relative for the
benefit of the Settlors or the surviving Settlor.
(d) By the Trustee expending the same for the benefit
of the Settlors or the surviving Settlor.
ARTICLE V. It is the intention of the parties to be legally
bound by this instrument.
ARTICLE VI. This Trust shall be governed by the laws of
Pennsylvania, and its situs shall be Cumberland County, Pennsylvania.
ARTICLE VII. No part of the income or principal of the
property held under the Trust created hereunder shall be subject to
- 6 -
attachment, levy or seizure by any creditor, spouse, assignee or trustee or
receiver in bankruptcy of any beneficiary prior to his or her actual receipt
thereof. The Trustee shall pay over the net income and the principal to the
parties herein designated, as their interests may appear, without regard to
any attempted anticipation (except as specifically provided herein), pledging
or assignment by any beneficiary under the Trust created hereunder, and
without regard to any claim thereto or attempted levy, attachment, seizure or
other process against any beneficiary.
ARTICLE VIII. Trustee shall be entitled to compensation in
accordance with its standard schedule of fees in effect when the services are
rendered.
IN WITNESS WHEREOF, HUGH E. SMITH and JESSIE E. SMITH, Settlors,
have hereunto affixed the their hands and seals and DAUPHIN DEPOSIT BANK AND
TRUST COMPANY, Trustee, has caused this Agreement of Trust to be signed by its
(Vice) President, attested by its (Asst.) Secretary and affixed hereunto its
corporate seal under authority of its Board of Directors and all on the day
and year first above written.
WITNESS: SETTLORS:
,E _
/ :'
1r ~,<~~- ;~~,rrr,'.:f'Zf, (SEAL)
~" Hugh E. Smith
c, _I-
~~ ;~: C:; ~~,~,, `, ~ (SEAL)
Jessie E. Smith
`~
i
- 7 -
ATTEST:
~;
~ ~~,}
--
(As"s .) Secretary
TRUSTEE:
DAUPHIN DEPOSIT BANK AND TRUST COMPANY
~\
By _ ~-- F ~ ______,-~,
"'~~~c ,(Vice) Preside \
(SEAL)
SCHEDULE "A"
90
174
50
15 Shares
100 Shares
34 Shares
20 Shares
45 Shares
10 Shares
~2 Shares
0 Shares
10 Shares
American Information Techologies Corporation, Common
American Telephone and Telegraph Company, Common
Baltimore Gas and Electric Company, Common
Bell Atlantic Corporation, Common
Bell South Corporation, Common
Consolidated Gas Electric Light and Power Compan~yr, Common
Core State Financial Corporation, Common
Corning Glass Works, Common
Crystal Brand Incorporated, Common
440 Shares Dauphin Deposit Corporation, Common
55 Shares Eastman Kodak
100 Shares
40 Shares
100 Shares
80 Shares
720 Shares
100 Shares
20 Shares
400 Shares
20 Shares
40 Shares
100 Shares
100 Shares
30 Shares
20 Shares
44 Shares
12,151.45
13,000.00
6,527.51
32,179.17
87.84
16,119.69
32,210.76
5,000.00
10,000.00
25,000.00
,375.00
2,500.00
Shares AMP Incorporated, Common
Shares American Electric Power Company
Shares American Home Products
E. I. DuPont De Nemours and Company, Common
Exxon Corporation, Capital
General Mills Incorporated, Common
The Gillette Company, Common
The Gillette Company, Common
International Business Machines Corporation, Cap=ital
International Harvester Company, Common
New View Corporation, Common
NYNEX Corporation, Common
Pacific Telesis Group, Common
Pennsylvania Power & Light Company, Common
Pittsburgh and West Virginia Railroad
Southwestern Bell Corporation, Common
U. S. West Incorporated, Common
West Point-Pepperelli Incorporated, Common
Commonwealth National Bank, Money Market #11-0-0001471
Dauphin Deposit Bank, Certificate of Deposit #21793
Hill Financial, Passbook Savings Account #003-000-3531
Janney Montgomery Scott-Trust for U.S. Treasury Obligations
Janney Montgomery Scott-Trust for U.S. Treasury Obligations
Janney Montgomery Scott-Trust for U.S..Treasury Obligations
Acct. #04249405-4
Acct. #0427$053-1
Acct. #04275053-1
Merril Lynch - CMA Money Fund
West Shore Area Hospital Authority, Hospital Revenue Bond #IIR-R 5
U. S. Treasury Note, Series C-1887 dated 05/15/84
GNMA 8.50 #25697 dated 09/10/82
U. S. Treasury Series E Bonds
U. S. Treasury Series HH Bonds
Hugh E. Smith and Jessie E. Smith, Settlors
Dauphin Deposit Bank and Trust
Company, Trustee
SCHEDULE "A"
COMMONWEALTH OF PENNSYLVANIA )
} SS:
COUNTY OF DAUPHIN }
On this, the ~.,lC;~l~ day of pwl~t~.R 1988, before me, the
;-~-:
undersigned officer, personally appeared HUGH E. SMITH and JESSIE E. SMITH,
known to me to be the persons whose names are subscribed to the within
instrument, and separately and severally acknowledged that they executed the
same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Notary Public
My Commission Expires:
P'~ ' _ 7 it
(SEAL) .~, L s:
~,
COMMONWEALTH OF PENNSYLVANIA )
SS:
COUNTY OF DAUPHIN )
On this, the ',~3~ day of ~ ,~~r. 1988, before me, the
undersigned officer , personally appeared ~E®RGE ~'. A~icKEOl~I who
acknowledged himself to be tie ~x~cu~ive ~;~e ~'~-~~~~`~~ of DAUPHIN DEPOSIT
BANK AND TRUST COMPANY, Harrisburg, Pennsylvania, a corporation, and that he
as such ,~- v.t ~~:,~; ~r;,~ ~~ .~~ly>~~~,being authorized to do so, executed the foregoing
Agreement of Trust for the purposes therein contained by signing the name of
• the corporation by himself as
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
,.~ ,
~' i ,~ I
Notary Public
My Commission Expires:
(SEAL) ARN^Y F.": Pt P, PdL`FxISOPt, P~CT;~,2Y fU" LiC
N~RRIt'£O'?G, DAi.~?H!.t( ~"J!dTY
RrY C(lfrfhhlsSlOY ~YP~ini:S OCT. 30, 19SO
6s~mt~er. Pennsylv,~ia kssociatk;r c. P:cta,~2s
. CODICIL •
TO THE LAST WILL AND TESTAMENT
OF
JESSIE E. SMITH
I, JESSIE E. SMITH, of Cumberland County, Pennsylvania, being of
sound and disposing mind and memory, do make, publish and declare this to be a
Codicil to my Last Will and Testament dated November 9, 1990.
ITEM 1: I hereby revoke subparagraph I of paragraph (d) of
ITEM V of my said Will and, in lieu thereof, provide the following new
subparagraph V(d)1:
1. THREE PERCENT (3~) to SALEM UNITED CHURCH OF CHRIST, 231
Chestnut Street, Harrisburg, Pennsylvania, to be added to its
endowment fund.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this
Codicil to my Last Will and Testament, consisting of this one (1) page, this
-N,
~_ day of _ ~ 0'~ r~~~ ~ r 1994.
~ `~~ S t ~, ~ ~ ~ ~ ( SEAL )
Jess. Smith
We, the undersigned, hereby certify that the foregoing Codicil was
signed, sealed, published and declared by the above-named Testatrix as and for
a Codicil to her Last Will and Testament, in the presence of us, who at her
request and in her presence and in the presence of each other, have hereunto set
our hands and seals the day and year above written, and we certify that at the
time of the execut' n thereof, the said Testatrix was; of sound and disposing mind
and ~,
'/~// . -
~'~ ~~ ( ) Residing at:~~ ~~,.~`:t~1'~j :~;;~..
l': ,
~~~._l ~ `~'_" : ~^~ ~,,:7~~~ ;(SEAL)
(SEAL)
60 69
r ~ J
f
Residing at: ~-~ ~}•<~ ~ ~""
Residing at: /p/(~ ~;~y~Q„v/ ~_
_,,.
~
~
~_ ~
t +-
CODICIL
TO THE LAST WILL AND TESTAMENT
OF
JESSIE E. SMITH
I, JESSIE E. SMITH, of Cumberland County, Pennsylvania,
being of sound and disposing mind and memory, do make, publish
and declare this to be a Codicil to my Last Will and Testament
dated November 9, 1990.
ITEM l: I hereby revoke sub-paragraph 9 of paragraph
(d) of ITEM V of my said Will and, in lieu thereof, provide the
following new subparagraph V(d) 9:
"9. The balance of said rest, residue and
remainder to my brother-in-law, RICHARD M. SMITH, if he
survives me, or if he does not survive me, to his wife,
VIRGINIA B. SMITH, if she survives me. If RICHARD M.
SMITH and VIRGINIA B. SMITH both fail to survive me,
then I give the balance of my said residuary estate to
RICHARD M. SMITH's issue living at my death, per
stirpes. It is hoped that this bequest will enrich the
lives of Richard and Virginia and their family as much
as they have enriched our lives."
_ _ . _. _ _ _
. ,.~ _ ~ _
t
,,
,~ ~ IN WITS WHEREOF, I have hereunt~set my hand and
seal to this Codicil to my Last Will and Testament, consisting of
t-+'~ ~~-
this and the preceding page, this `i ~ day of ~ ~ i{ ~ ~~-' , :_'+-,
1991.
,_ _ r-- _~,;~ ^~~ (SEAL)
Jessie E. Smith
:~
We, the undersigned, hereby certify that the foregoing
Codicil was signed, sealed, published and declared by the above-
named Testatrix as and for a Codicil to her Last Will and
Testament, in the presence of us, who at her request and in her
preserce and iII tiG presence of each other, have hereunto set our
hands and seals the day and year above written, and we certify
that at the time of the execution thereof, the said Testatrix was
of sound and disposing mind and memory.
~' / ~ -'
(~ -'."~~_ ` %I• ; .. (SEAL) Residing at : f~, ~`~ 1 ~ ~,:L.~.~}
~~ f`;,
,.~--~ ~`
(SEAL) Residing at: ~~'7 T!S'tc5y,~l1(l1~~~-
1 ICI/ tj~'t~'r i r'H ~ /L 3 _3
(SEAL) Residing at: ~~.` ~ ,/~1~~~,,
._ ~ `
f"~
_.
i
•
LAST WILL AND TESTAMENT
OF
JESSIE E. SMITH
I, JESSIE E. SMITH, of Cumberland County, Pennsylvania,
being of sound and disposing mind and memory, do make, publish
and declare this to be my Last Will and Testament, hereby
revoking all Wills and Codicils by me at any time previously
made.
ITEM I: All inheritance, estate and
similar taxes becoming due by reason of my death ("Death Taxes"
).
whether such Death Taxes shall be payable by my estate or by any
recipient of any property, shall be paid by my Executor out of my
residuary estate (before the calculation of any shares thereof)
as an expense and cost of administration of my estate. luty
Executor shall have no duty or obligation to obtain reimbursement
for any Death Taxes paid by my Executor, even though paid with
respect to proceeds of insurance or other property not passing
under this Will.
ITEM II• I hereb ov r ~-
y e_ci~e all powers
of appointment which I may have at the time of my death in favor
of my Executor, and all property subject to all such powers of
appointment shall be included in my estate and be governed by the
provisions of this Will.
Page 1 of 7 pages
,~ ___
-~-~------~--~-.T-~--- ----~-_
,~
• ITEM III: I give and bequeath all of my
household furniture and furnishings, automobiles, books,
pictures, jewelry, china, crystal, appliances, silverware,
wearing apparel and all other like articles of household or
personal use or adornment to my husband, HUGH E. SMITH ("My
Husband"), if he survives me. If My Husband does not survive me,
I give such articles to my brother-in-law, RICHARD M. SMITH, if
he survives me. My brother-in-law may distribute any or all such
personal property he receives hereunder to such persons as he
deems appropriate. If My Husband and my said brother-in-law both
fail to survive me, I give such articles to my said brother-in-
law's children living at my death in as nearly equal shares as
they shall select under the supervision of my Executor. If any
such articles cannot be fairly divided or distributed in kind in
the opinion of my Executor, such articles shall be sold and the
proceeds thereof shall pass as a part of my residuary estate.
ITEM IV: I give, devise and bequeath
all the rest and residue of my property, real, personal and
mixed, not disposed of in the preceding portions of this Will, to
My Husband, HUGH E. SMITH, if he survives me.
ITEM V: If My Hu:,?~a::d does not survi~-2
me:
(a) I give and bequeath the sum. of SEVEN THOUSAND
FIVE HUNDRED ($7,500.00) to my brother, CARL F. HATTER,
now of Annandale, Virginia, if he survives me, or if he
does not survive me, to his wife, ETHEL HATTER, if she
survives me. I ~~ave provided this bequest as an
expression of my appreciation to my brother who
Page 2 of 7 pages
~~ ti F ;~
.-
. - .. .. _. ..k;~o
.__..,i,
listened to ~ and counseled me countle hours during
• childhood and later years.
(b) I give and bequeath the sum of ONE THOUSAND
DOLLARS ($1,000.00) each to My Husband's nephews, JOHN
COVER, ROBERT COVER and HUGH COVER, if living at my
death.
(c) I give and bequeath the sum of FIVE THOUSAND
DOLLARS ($5,000.00) each to My Husband's nieces and
nephews,,who have given me many joyous hours, RICHARD
E. SMITH, GEOFFREY A. SMITH, MRS. RAYMOND C. EQUI, JR.
and MRS. TIMOTHY P. DINSMORE, if living at my death.
(d) I give, devise and bequeath all of the rest,
residue and remainder of my estate, not disposed of in
the preceding portions of this Will, as follows:
1. THREE PERCENT (3%) to the
HARRISBURG HOSPITAL FOUNDATION, South Front
Street, Harrisburg, Pennsylvania.
2. THREE PERCENT (3%) to the SHRINERS
HOSPITAL FOR CRIPPLED CHILDREN, a Colorado
not-for-pro°it corporation, 2900 Rocky Point
Drive, Tampa, Florida, for the use and
benefit of all the hospitals owned and
maintained by such corporation.
3. THREE PERCENT (3%) to the UNITED
CHURCH OF CHRIST HOME, Annville,
Pennsylvania.
4. THREE PERCENT (3%) to the UNITED
WAY OF THE CAPITAL REGION, Harrisburg,
Pennsylvania, to be added to its endowment
fund.
5. THREE PERCENT (3%) to the AMERICAN
RED CROSS, .?ennsylvania Capital Region
Chapter, 1804 North Sixth Street, Harrisburg,
Pennsylvania..
6. TI~IREE PERCENT (3%) to the BETHESDA
MISSION, Harrisburg, Pennsylvania,
7. THREE PERCENT (3%) to the
SHIPPENSBURG UNIVERSITY FOUNDATION,
Shippensburg, Pennsylvania.
Page 3 of 7 pages
~ ~
' 8. FOUR PERCENT (4%) to GETTYSBURG
COLLEGE, Gettysburg, Pennsylvania, in memory
of my uncle and his wife, Mr. and Mrs. George
G. Hatter.
9. The balance of said rest, residue
and remainder to my brother-in-law, RICHARD
M. SMITH, if he survives me, or if he does
not survive me, to his issue living at my
death, per stirpes. It is hoped that this
bequest will enrich the lives of Richard and
his family as much as he, Virginia and their
children have enriched our lives.
ITEM VI: No interest in income or
principal of my estate shall be subject to attachment, levy or
seizure by any creditor, spouse, assignee or trustee or receiver
in bankruptcy of any beneficiary of my estate prior to the
beneficiary's actual receipt thereof. My Executor shall pay over
the net income and the principal to the beneficiaries herein
designated, as their interests may appear, without regard to any
attempted anticipation (except as may be specifically provided
herein), pledging or assignment by any beneficiary of my estate
and without regard to any claim thereto or attempted levy,
attachment, seizure or other process against said beneficiary.
ITEM VII: Any person, who shall have
died at the same time as I or under such circumstances that it is
difficult or impossible to determine who shall have died first,
shall be deemed to have predeceased me.
ITEM VIII: In the settlement of my
estate, my Executor shall possess, among others, the following
'~ powers to be exercised for the best interests of the
beneficiaries:
Page 4 of 7 pages
•
',. (a) To~etain any investments I may have at my
death so long as my Executor may deem it advisable to
my estate so to do.
(b) To vary investments, when deemed desirable by
my Executor, and to invest in such bonds, stocks,
notes, real estate mortgages or other securities or in
such other real ar personal property as my Executor
shall deem wise, without being restricted to so-called
"legal investments."
(c) In order to effect a division of the
principal of my estate or for any other purpose,
including any final distribution of my estate, my
Executor is authorized to make said divisions or
distributions of the personalty and realty partly or
wholly in kind. If such division or distribution is
made in kind, said assets shall be divided or
distributed at their respective values on the date or
dates of their division or distribution. In making any
division or distribution in kind, my Executor shall
divide or distribute said assets in a manner which will
fairly allocate any unrealized appreciation among the
beneficiaries.
(d) To sell either at public or private sale and
upon such terms and conditions as my Executor may deem
advantageous to i1y estate, any or all real or personal
estate or interest therein owned by my estate severally
or in conjunction with other persons or acquired after
my death by my Executor, and to consummate said sale or
sales by sufficient deeds or other instruments to the
purchaser or purchasers, conveying a fee simple title,
free and clear of all trust and without obligation or
liability of the purchaser or purchasers to see to the
application of the purchase money or to make inquiry
into the validity of said sale or sales; also, to make,
execute, acknowledge and deliver any and all deeds,
assignments, options or other writings which may be
necessary or desirable in carrying out any of the
powers conferred upon my Executor in this paragraph cr
elsewhere in this Will.
(e) To borrow money from any party, including my
Executor, to pay indebtedness of mine or of my estate,
expenses of administration, Death Taxes or other taxes.
(f) To pay all costs, Death Taxes or other taxes,
expenses and charges in connection with the administra-
tion of my estate, and my Executor shall pay the
expenses of my last illness and funeral expenses.
Page 5 of 7 pages
rd``
s~ ' ~
.,
!rr
,'~ vote an shares of stock which form a part
" " of my estate or trust and to otherwise exercise all the
powers incident to the ownership of such stock and to
actively manage and operate any unincorporated
business, including any joint ventures and
partnerships, and to incorporate any such
unincorporated business, with all the rights and powers
of any owner thereof.
(h) To compromise controversies.
ITEM IX: If at any time any minor shall be
entitled to receive any assets free of trust by reason of my
death, whether payable hereunder, by operation of law or
otherwise, I appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY, as
Guardian of such assets authorized by law payable to such minor.
The Guardian may receive, administer and shall have full
authority to use such assets, both principal and income, in any
manner the Guardian shall deem advisable for the best interests
of the minor, including college, university, graduate or other
education, without securing a court order. The Guardian shall
have all the rights and privileges in its capacity as Guardian as
are herein granted to my Executor as to my estate.
ITEM X•
I hereby appoint My Husband,
HUGH E. SMITH, as Executor of this Will. If for any reason he
should fail or cease to act, I appoint DAUPHIN DEPOSIT BANK AND
TRUST COMPANY, and my brother-in-law, RICHARD M. SMITH, as Co-
Executors and if my brother-in-law for any reason should fail or
cease to act, DAUPHIN DEPOSIT BANK AND TRUST COMPANY shall act
alone. All references in this Will to my "Executor" shall also
i
• refer to my successor Co-Executors or Executor, as the case may
1 ~~
be.
ITEM XI•
Any Guardian or Executor shall
qualify and serve without the duty or obligation of filing any
bond or other security. My corporate fiduciary shall be entitled
to compensation for services in accordance with the standard
schedule of fees in effect when the services are rendered. I
direct that the law firm of Rhoads & Sinon shall be employed as
the attorney for my estate.
IN WITNESS WHEREOF, I have set my hand and seal to
this, my Last Will and Testament, consisting of this and the
preceding six (6) pages, this ~~~ da of bra- 1990.
Y ` lc~~; :~~ ~_
i~,
~ S
~'~~ S ; ~ nn .~ (SEAL)
Jessie E. Smith
We, the undersigned, hereby certify that the foregoing
Will was signed, sealed, published and declared by the above-
named Testatrix as and for her Last Will and Testament, in the
presence of us, who, at her request and in her presence and in
the presence of each other, have hereunto set our hands and seals
the day and year above written, and we certify that at the time
of the execution thereof, the said Testatrix was of sound and
disp~,ps~g mind an memory.
_ ~
.i `~ j r (SEAL) Residing at: x="7`1 ~~~~~~~ (,~~
~~uc~{ ~' ~~1.~..~.:L~.-e.~ (SEAL) t-2esiding at: G~.~-,~ ~~~ ~'~`
',.
Page 7 of 7 pages
.~ ~~
Residing at: ~' -,~.~ ~C'/
r' „
~!'-'
11-14-' 07 13:28 F130h1- T-027 P002/003 F-108
~ •. t • .
Q MBTB
499 Milchcll Road, Millsboro, Dfi 199GG Mail Codc llt~ M[3-12 Phone (888) 502-4349
Pax (302))34-2955
November 14, 2007
Estate of: Jessie E Smith
M&T Trust Company
Mail Code PAl-HM21
P O Box 2961
Harrisburg, Pennsylvania 17105-2961
Re: Estate of.• Jessie l; Smith
Social Security: 207-07-8649
Date~Death: ,Septetnher 26, 2007
Dear Sir or Madam.:
Per yow~ inquiry dated November 09, 2007, please be advised that at tine time of death, the above-named decedent had on
deposit with this bank the following:
Type ofAccourtt Cl:eckingtlccou»t
,4c•cou»t Nu»rbc)• ]004/575
Ownership (Nu„res• oJ) Hugh E Smtih
Jessie E Smith
Ope»i»g Date 08/28/88
13u1a»ce oar Date of Deat1: $2,191.92
Accrued Itlteres•t $ Q(TO
Tolal $2,191.42
Please contact the Wes[ Shore Plaza Oflicc for the possible existence of a safe deposit box.
* I2' upott reviewing the information above, you believe there are additional accounts not referenced, please provide
us with an account number and/or the name of any possible joint account holder. For any additional informatiwt on
the above accowits, including ownership and any changes, closures and/or reimbursement of funds, please call the
West Shore Plaza OI'licc # 717-255-2271.
Sincerely,
~ ~ i
Nancy Clag`ett ~1
Records Management
x ..
Estate Valuation
Estate of: Jessie Smith
Date of Death: 09/26/2607 Account: 1109823929
Valuation Date: 09/26/2007 Report Type: Date of Death
Processing Date:
- 11/09!2007 Number of Securities: 10
File ID: Smith, Jessie
Mean andlor Div and L^.t Security
Shares Security
i
i High/Ask Low/Bid Adjustments Accruals Value
or ?ar on
pt
Descr
6,588.68
1) 6588.88 Cash (CASH)
MTE GROUP FDS MMKT INSTL I
2i 69.02 GNN.A PP.SS-THRU X S_NGLE FAMILY (362059RS9)
Financial Times Interactive Data
Mat: 07/'.5/2008 B.SODo Fact: 0.0025642
09/26/2007 101.32999 A/B
17
0
101.329987 .
3) 200 D'J PONT E I DE NEMOURS & CO (263539109)
COM
Nea~ York Stock Exchange
C9I26/2007 50.10000 99.31000 F_/L
99.705000 9,99;.00
9) 600 WASHINGTON REAL ESTATE INVT TR (939653101)
SH BEN INT
New York Stock Exchange
09/26/2007 33.93000 32.66000 H/L
33.195000 19,887.00
Div: 0.9225 Ex: 09/12/2007 Rec: 09/19/2007 Pay: 09/28/2007 253.50
~, 1691.939 MTB GROUP FDS (553767668)
LCP VAL INST I
Mutual Fund {as quoted by NASDAQ)
09/26/2607 ?3.49000 Mkt
13.490000 22,143.01
Div: 0.031 Ex: 09/20/2007 Rec: 09/19/2007 Pay: 0 9/27/2007 50.88
6) 1579.69 VANGUARD INDEX FDS (922908905)
'v'ALJE PT FL
Mutual Fund (as quoted by NASDAQ)
09/26/2007 27.87000 Mkt
27.870000 43,885.22
7; 11059.059 MTB GROUP FDS (55376V705)
US GV BD I I
Mutual Fund las quoted by NASDAQ)
09/26/2007 9.26000 Mkt
9.260000 102,360.59
933.834 STI CLASSIC FDS (78976A587)
SEI:~. FLRT HI I
Mutual Fund (as quoted by NASDAQ)
09/26/2007 9.69000 Mkt
9.690000 9,002.16
9) 50.88 Cash (CASH) 50.88
101 616.91 Cash (CASH) 616.91
MTB GROUP FDS MMKT INSTL I
Tcta1 Value: $219,97.82
Total Accrual: 5309.38
To*_al: $214,780.20
__
Page 1
This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions,
p-lease coctact EVF Systems at (818J 313-6300 or www.evpsys.com. iRevision x.0.3)
~ r
GEORGE HAAR AUCTIONEER
933 W. SIDDONSBURG RD.
DILLSBURG, PA 17019
t~
JESSE E. SMITH ESTATE ~,
442 WALNUT BOTTOM ROAD
THORNWALL MANOR
CARLISLE, PA. 17013
LISTED BELOW IS MY APAB VE NAMEDHESTATE~ FURNISHINGS FOR THE
MISC STUFFED TOYS - BAROMETER
MISC DECORATIONS
ELECTRIC CLOCK
MISC BEDDING
AFGHAN
SEVERAL CHRISTMAS DECORATIONS
BEDDING, SHEETS, BLANKETS ETC.
ZENITH COLOR TABLE MODEL TV
CHILDS CHAIR
NEST OF 3 TABLES
MAHOGANY CHEST
MAHOGANY DRESSER W/MIRROR
MAHOGANY NITE STAND
MODERN 2PC SECRETARY DESK
3 PICTURES
PARLOR LIGHT
WHAT NOT SHELF
LUGGAGE
WOOL RUG
DESK CHAIR
MISC ITEMS
6 BOXES CLOTHING
6.00
3.00
5.00
3.00
3.00
3.50
10.00
25.00
5.00
15.00
- 50.00
- 50.00
20.00
75.00
3.00
50.00
4.00
1.00
25.00
5.00
3.50
N.A.
TOTAL APPRAISAL $365.00
GEORGE HAAR UCTIONEER
933 W. SIDDONSBURG ROAD
DILLSBURG, PA. 17019
PHONE 717-432-3815 -
Register of Wills of CUMBERLAND
INVENTORY
Estate of Jessie E. Smith
also known as
County, Pennsylvania
21-07-1001
No.
Date of Death 09/26/2007
Deceased Social Security No. 207-07-8649
Manufacturers and Traders Trust Compsny
Personal Representative(s) of the. above Estate, deceased, verify that the items appearing in the following Lwentory include all of the
personal assets whea~eves 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 exe.ept that which appears in a memorandum at the end of this
Inventory. 1lWe verify that the statements made in this Inventory are true and correct. i/We understand that false statements herein
are made subject to the penalties of ] 8 Pa. C.S. Section 4904 relating to unsworn falsification tq~uthorities.
ASST. VICE Pi:ES:DEiJT
Personal Represent iye UST OFFICER
Name of Rhoads & Sinon, LLP L ~J , ~ '~
Atternev: _Stanley A. Smith, Esquire Signature >:%'>!~ ..%~~~ .f ~~
Ma facturers and Traders Trust Co.
1 D No 3~78~ ~ Signature:
Address: One South Market Square
Harrisburg, PA 17108
Telephone. (717) 233-5731
Description
Address: 213 Market Street
Harrisburg, PA 17101
Telephone: (717) 255-2109
Dated.
(See continuation page(s) attached)
(Attach additional sheets if`necessary)
Value
;tea
c:~
n
-i ~,=„ ~ ~ t ~ r _
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tT+ - `--
:!~ ~ = C " -
,..~ ~~ ~
N '
.v ~ ~~,
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Total $ 254 , 816.49
NOTE. The Memorandum of real estate outside the Convi~onwealth 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.
Prepared b~~ the Pennsylvania Bar Association
Copyn~ht O ]996 form software only CP Systems, hoc- Form #R~~~-7 (1992)
WILL NUMBER: 21-07-1001
INVENTORY FOR THE ESTATE OF JESSIE E. SMITH
Who Died on 09/26/07
Bonds
$39.12 GNMA Pool #25697 8.5o due 7/15/08
- Date of Death Value - Received from
Hugh & Jessie Smith Trust 39.12
Stocks-Closely Held
400 Shs. New View Corporation 520.00
Common Stocks
200 Shs. Du Pont E I De Nemours & Co. -
Date of Death Value - Received from Hugh
& Jessie Smith Trust 9,991.00
600 Shs. Washington Real Estate Invt
(REIT) - Date of Death Value - Received
from Hugh & Jessie Smith Trust 19,887.00
Accrued Dividend 253.50
Life Insurance Policies
Northwestern Mutual Life Insurance
Policy #2960552 12,271.93
Northwestern Mutual Life Insurance
Policy #5124079 21,933.53
Personal Effects
Household Effects - Appraised Value 365.00
Mutual Funds
FORWARD $ 65,210.58
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WILL NUMBER: 21-07-1001
INVENTORY FOR THE ESTATE OF JESSIE E. SMITH
Who Died on 09/26/07
FORWARD $ 65,210.58
Mutual Funds (cont'd)
1,641.439 Shs. MTB Large Cap Value-Inst
I Fund #327 - Date of Death Value -
Received from Hugh & Jessie Smith Trust 22,193.01
Accrued Dividend 50.88
11,054.059 Shs. MTB US Government Bond
Inst I Fund #822 - Date of Death Value -
Received from Hugh & Jessie Smith Trust 102,360.59
933.834 Shs. STI Classic Seix Floating
Rate-I - Date of Death Value - Received
from Huah & Jessie Smith Trust 9,002.16
1,574.64 Shs. Vanguard Value Index Fund
#6 - Date of Death Value - Received from
Hugh & Jessie Smith Trust 43,885.22
Other
State Employees' Retirement System -
Annuity 159.86
Bank Accounts
M&T Bank Checking Account #10041575 -
Date of Death Value 2,191.42
Cash
Received from Embarq - Refund 11.91
Received from Hugh & Jessie Smith Trust
- Principal Balance as of Date of Death 6,588.88
Received from Hugh & Jessie Smith Trust
- Income Balance as of Date of Death 616.91
FORWARD $'~ 252,221.42
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WILL NUMBER: 21-07-1001
INVENTORY FOR THE ESTATE OF JESSIE E. SMITH
Who Died on 09/26/07
FORWARD
Cash (cont'd
$ 252,221.92
Received from Internal Revenue Service -
Refund on 2007 Individual Federal Income
Tax Return 123.00
Received from Pharamerica Corporation -
Refund 1,265.09
Received from Treasury Department -
Unclaimed Property of Dividends from
Washington Real Estate Investment Trust 86.25
Received from United Christ Homes -
Refund
TOTAL PRINCIPAL RECEIPTS
1,120.73
$ 254,816.99
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