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HomeMy WebLinkAbout11-20-08J 15056041125 _ REV-1500 EX 06 05 PA Department of Revenue ( - ) OFFICIAL USE ONLY Bureau of Individual Taxes CounTy Code Year File Number Po sox2sos01 Hamsbum, PA 17128-0601 INHERITANCE TAX RETURN ~/ z RESIDENT DECEDENT o2 ~ ~ 6 ~ ~,! ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 1 8 3 1 0 7 2 7 4 0 3 1 0 2 0 0 8 0 3 2 2 1 9 1 2 Decedent's Last Name Suffix Decedent's First Name MI M I L L E R E L S I E g (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number N a ~; n c°s~ f ; ', '-~ THIS RETURN MUST BE FILED IN DUPLICAT& ~TH TH~ ~? S REGISTER OF WILLS ~~~~ '` ''' j. FILL IN APPROPRIATE OVALS BELOW --m N ..__ _., O .:~i.. ~.:._~7 1. Original Return ~ 2. Supplemental Return ~ 3. RemaindEr y'r~q (date~,death ?, prior to 122j 1 a - -" 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal EstE~Tax Retuca. equiFeH '-T~ - death after 12-12-82) _~--1 ~ ~' ~~ 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust ~ 8. Total Nurr~r of Safe Deceit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-i-95) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number D O N A L D F D A V I S 7 1 7 9 0 9 2 '=~ 3 n _~ Firm Name (If Applicable) ~--- ~ - ~`~ I`.' REGISTEIj'OF.9YILLS USE~Op --.; ~ --' L A W O F F I C E r~ -~ First line of address r~ /~1 P O B O X 2 0 5 -'O ivu , - Second line of address - I eV l - r,'j C7 City or Post Office State 21P Code DATE FILED N E W K I N G S T O W N P A 1 7 0 7 2 Corespondent's a-mail address: DON(iilABWE.ORG Under penalties of ry, I dedare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, H is We, cor mpI Declaration of preparer other Man the personal representative is based on all information of which preparer has any knowledge. SIGNA E OF N RESPONSIBLE FOR FILING RETURN ~ ~"M-f/ ~ `/ ~ ~ ~ E ADDRESS 7-~..~~ L P o e ~ NG-s a ~JnJ ®'ft ~6~ ~ SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE PLEASE USE ORIGINAL FORM ONLY Side 1 15056041125 15056041125 ~ ~~ I J 1505642126 REV-1500 EX Decedent's Social Security Number Decedent's Name, ELSIE B. MILLER 1 8 3 1 0 7 2 7 4 RECAPITULATION 1 . Reat 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 Deposds 8 Miscellaneous Personal Property (Schedule E) .... ... 5. 6 0 3 1 7 8 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested .... ... 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested .... ... 7. 1 0 7 0 7 7 6 4 1 8. Total Gross Assets (total Lines 1-7) ........................ ... 8. 1 0 7 6 8 0 8, 1 9 9. Funeral Expenses 8 Administrative Costs Schedule H g. 1 1 9 8 1 3 2 10. Debts of Decedent, Mortgage Liabilities, 8 Liens (Schedule I) .......... .. 10. 9 1 0 0 3 5 11. Total Deductions (total Lines 9 8 10) ......................... .. 11. 2 1 0 8 1 6 7 12. Net Value of Estate (Line 8 minus Line 11) ......................... 12. 13. Charitable and Governmental Bequests/Sec 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 _ 15. 16. Amount of Line 14 taxable at lineal rate X .0 _ 16 17. Amount of Line 14 taxable at sibling rate X .12 17 18. Amount of Line 14 taxable at collateral rate X .15 18 19. Tax Due ................................................ 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 1 0 5 5 7 2 6, 5 2 1 0 5 5 7 2 6, 5 2 0, 0 0 Side 2 15056242126 15056242126 REV-~ 500 EX Page 3 Decedent's Complete Address: File Number 0 0 DECEDENT'S NAME ELSIE B. MILLER STREET ADDRESS 100 MOUNT ALLEN DRIVE CITY MECHANICSBURG STATE PA ZIP 17055- Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credit B. Pdor Payments C. Discount Total Credits (A + B +C) (2) 3. InteresUPenalty if applicable D. Interest E. Penalty Total InteresUPenalty (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, Llne 2g to request a refund. (4) 5. If Line 1 +Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. _ _ _ (SA) B. Enter the total of Line 5 +5A. This is the BALANCE DUE. (SB) Make Check Payable to: REGISTER OF WILLS, AGENT n w ,: .,.~ . , .. ,~ . 4..... _ ~. ~ ..: ,_ 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 ocincome of the property transferrl=d : ........................................., ...................... ^X ...... ^ b. retain the dghl to designate who shall use the property transferred or its income : ......................... ...... ^X ^ c. retain a reversionary interest; or .......................................................................................... ...... ^X ^ d. receive the promise for life of either payments, beneftis or care? ................................................. ...... © ^ 2. ft death occuned after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................................................. ^ ...... ^X 3. Did decedent own an'in trust for" or payable upon death bank account or secudty at his or her death? ... ...... ^ ^X 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a benefciary designation? ............................................................................................. ..... ^ 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 [/2 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-halt (4.5) percent, except as noted in 72 P.S. §9116(1.2) [12 P.S. §9116(aj(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 deftned, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-'1506 EX + (6-96) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ESTATE OF SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ELSIE B. MILLER 0 0 InGUde the proceeds of ldigation and the date fhe proceeds were received by the estate. All property iointlvowned with dpht of survivershin moat h. AisdncnA nn snhea,ae c ITEM PROPERTY- PNC CHECKING ACCOUNT #50-8005-0501 REGULAR CHECKING ACCOUNT CAMP HILL PA US TREASURY SOCIAL SECUITY PAYMENT VALUE AT DATE 4,321.78 1,210.00 TOTAL (Also enter on line 5, Recapitulation) Qf more space is needed, insert additional sheets of the same size) REV-1510 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON•PROBATE PROPERTY ELSIE B. MILLER 0 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. ITEM NUMBER DESCRIPTION OF PROPERTY ixcwos rxs xqus or rxs mws~erxeiax¢nnoxexir ro oeceoexrun rxso+rs ovraaxsFEa nnnwncow orr"s oEEO ros ssu ssianE. DATE OF DEATH VALUE OF ASSET °.40F DECD'S INTEREST EXCLUSION nFePacnstS TAXABLE VALUE t MILLER REVOCABLE TRUST 1070776.41 100. 1,070,776.41 DATED 2/21/1991 ABWE FOUNDATION INC TRUSTEE TOTAL (Also enter on line 7 Recapitulation) 5 1 070 776.41 (If more space is needed, insert additional sheets of the same sae) REV-1511 EX+(12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ELSIE B. MILLER 0 0 Debts of decedent must be reported on Schedule L ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: ~. MALPEZZI FUNERAL HOME 11,793.12 8 MARKET PLAZA WAY MECHANICSBURG PA 17055 2. STAPLES -FUNERAL PROGRAMS 43.20 B. 2. 3. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(suEIN Number of Personal Representative(s) _ Sheet Address City State Years) Commission Paid: Attorney Fees Fatuity Exemption: (If decedent's address is not the same as daimant's, attach explanation) Claimant -Sheet Address Cm' State _ Relationship of Claimant to Decedent 4. I Probate Fees 5 Accountants Fees 6. TaxRetumPreparersFees GERALD E PAYNE CPA ~. 145.00 TOTAL (Also enter on line 9, Recapitulation) I $ (If more space is needed, insert additlonal sheets of the same size) Zip Zip 1 REV-1512 EX * (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER ELSIE B. MILLER 0 0 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 t. VERIZON PHONE BILL ACCT 717 691 3555 494 11Y 3.25 PO BOX 28000 LEHIGH VALLEY PA 18002-8000 2. MESSIAH VILLAGE LEASE FINAL PAYMENT 6,015.12 100 MOUNT ALLEN DRIVE MECHANICSBURG PA 17055 3. ALERT PHARMACY SERVICE INC 108.00 219 NORTH BALTIMORE AVE MT HOLLY SPRINGS PA 17065 4. CAPITAL AREA HEALTH ASSOCIATES 227,gg 100 MOUNT ALLEN DRIVE MECHANICSBURG PA 17055 5. MESSIAH VILLAGE REIMBURSE FINAL BLUE CROSS MEDICAL INSURANCE 1,536.00 100 MOUNT ALLEN DRIVE MECHANICSBURG PA 17055 6. US TREASURY 1,210.00 1YMENT AFTER DEATH SECURITY RECLAIMATION TOTAL (Also enter on line 10, Recapitulation) space is neetletl, insen add'Aional sheets of the same size) REV-1513 EX t (9-00) SCHEDULE) COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER ELSIE B. MILLER 0 0 NUMBER NAME AND ADDRESS OF PERSON S RECEIVING PROPERTY RELATIONSHIP TO DECEDENT AMOUNT OR SHARE () Do Not List Trustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS pndude outlghtspousal distributions, and transfers under Sec. 9116 (a) (1.2)] t i tN I ttt uOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 AS APPROPRIA NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. 500 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. ABWE FOUNDATION INC PO BOX 8585 732,008.57 HARRISBURG PA 17105-8585 2 BAPTIST BIBLE COLLEGE & SEMINARY 538 VENARD ROAD 104,572.65 CLARKS SUMMIT PA 18411 3 BURHOLME BAPTIST CHURCH 905 COTTMAN AVENUE 104,572.65 PHILADELPHIA PA 19111- 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) 1.055 726.52 Continuation of REV-1500 Inheritance Tax Return Resident Decedent ELSIE B. MILLER Decedent's Name Page 1 File Number Schedule J -Beneficiaries - 2B CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 4 EMANUEL BAPTIST CHURCH 4681 EAST TRINDLE ROAD MECHANICSBURG PA 17050 5 THE CONVERSION CENTER P O BOX 265 CARTHAGE NC 28327-0265 6 WORD OF LIFE P O BOX 600 SCHROON LAKE NY 12870 104,572.65 5,000.00 5,000.00 SUBTOTAL SCHEDULE)-26 I 114,572.65 LAST WILL AND TESTAMENT of ELSIE B. MILLER fN;"^ /~~ I, ELSIE B. MILLER, a resident of Cumberland County, State of Pennsylvania being of sound and disposing mind and memory, and not acting under duress, menace, fraud or undue influence of any person whomsoever, publish and declare this to be my Will expressly revoking all former Wills and Codicils to Wills made by me. I. Marital Status. I declare that I am unmarried. II. Debts and Funeral Expenses. I direct my Personal Representative to pay my administration and funeral expenses, the expenses of my last illness and all of my enforceable debts as soon as practical after my decease. In the event it becomes necessary in the discretion of my Personal Representative to obtain cash with which to pay the debts and expenses of administration, I direct the same to first seek such cash by selling the assets of my probate estate to, or borrowing on the security of such assets from, the Trustee of the ELSIE B. MILLER TRUST, which trust bears the date February 21, 1991, on such terms and conditions as may be satisfactory to my Personal Representative. In the event the residuary assets are insufficient to satisfy such obligations, the Personal Representative shall so certify to the Trustee of the ELSIE B. MILLER TRUST, who shall satisfy such from the trust corpus. III. Disposition of Residue. I hereby give, devise and bequeath all of the rest, residue and remainder of my estate, of every kind or nature and wherever situated, including property over which I have power of appointment to the Trustee under that certain Declaration of Trust known as the ELSIE B. MILLER TRUST, bearing the date February 21, 1991, and executed prior to the execution of this Will, wherein I am Grantor, and I direct that such residue shall be held, managed, administered and distributed under the terms and provisions of such trust agreement and any amendments thereto made prior to my death, it being my intention not to create a separate or testamentary trust nor to subject such living trust to the jurisdiction of the Probate Court. IV. Personal Representative. I appoint DONALD F. DAMS, as Personal Representative of this my Will. Should he fail to qualify or, having qualified, cease to act as Personal Representative, then I appoint WILLIAM M. PIERSON. No Personal Representative qualified hereunder shall be required to give bond or security for the faithful performance of duties in any jurisdiction whatsoever. V. Fiduciary Powers. Any fiduciaries appointed herein shall have the following powers in addition to, and not in limitation of, the powers vested in fiduciaries by law: A. To retain any investments and properties for as long as they may deem proper; B. To make investments and reinvestments of principal and accumulated income without limitation to what are known as legal investments and in such proportions as they may consider proper, including and not being limited to holding cash balances and tangible personal property, and investments in preferred and common stocks of corporation and interests in common trust funds, whether or not operated by any corporate fiduciary, it being my intention to give to my fiduciaries the broadest powers of investment; C. To alter, repair, improve, sell, mortgage, lease, exchange or otherwise develope, operate or dispose of any real or personal property at any time for such prices and on such terms and in private or public transactions as shall be deemed appropriate, without liability on the purchasers to see to the application of the purchase money; D. To compromise, arbitrate, or otherwise adjust claims in favor of or against my estate; E. To make distributions in cash or in kind, or partly in each; F. To hold any trust shares as separate trusts or to hold them or any number of them as one trust. VI. Protective Provision. To the extent permissible by law, no interest in income or principal hereunder shall be subject or liable to anticipation, sale, assignment, pledge, debts, contracts engagements, orders, or liabilities, nor be subject or liable to levy, attachment, execution, sequestration, or seizure under any legal, equitable or other processes. VII. Taxes. I direct that all inheritance taxes, Federal Estate taxes and all other similar taxes payable by reason of my death including any such tax levied against life insurance, property passing by operation of law and all other property which is taxable in my estate for purposes of any such death tax G~~'~ .~~~~" (whether or not such property passed under the terms of this, my Will) shall be paid out of the principal of my residuary estate and that no person shall be required by my Personal Representative or called upon to contribute to the payment of any portion of such taxes. In the event that probate assets are insufficient to pay such taxes, however, my Personal Representative shall so certify to the Trustee of the ELSIE B. MILLER TRUST who shall satisfy such from the trust corpus. IN WITNESS WHEREOF, I have hereunder set my hand and seal this 16th day of February 1996. ELSIE B. MILLER The foregoing instrument, consisting of three (3) pages, including this page, was signed, sealed, declared and published by the above-named Testator as her Last Will and Testament, in the presence of us, the undersigned, who at her special instance and request, do attest as witnesses after said Testator subscribed her name thereto, in his presence and in the presence of each other. residing at //~1Utrnris~'~~~`' ~77.~~.¢ /70-3 s ~~ ,/ residing at j33 LG~./ ¢~ 7.J y COhIMONWEALTH OF PENNSYLVANIA ) ss. COUNTY OF YORK ) e, ELSIEn B. MILLER, cif/~„~{~~///;~j/ and f~~~/ieZ-r-~ //3~n, ,the Testator and w' nesaes, respectively, whose names are signed to the attached instrument, being first duly sworn, do hereby declare to the undersigned authority that: the Testator signed and executed the instrument as her Last Will and Testament; signed willingly; she executed it as her free and voluntary act for the purposes therein expressed; each witness signed the Will as witness in the presence and hearing of the Testator; and to the best o£ each witnesses' knowledge, the Testator was at the time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. ~o-w ~ ELSIE B. MILLER- Witness Witness Subscribed, sworn to and acknowledged before) me by ~/~LSZE B.MILLER x.he T~eyJ~t~/tor, and ~mEa"ir~ l//, /(.1~a~~ fir- ///. f%~eL.ls~G'a^' witnesses, on this 16th day of February, 1996. L ~/~~~ (dQOtary Public, Commonwealth cf /Pennsylvania My commission expires ~a a 7-:1i_ NsEx Janice E. Kunppn~~,, ;y~j~ry public My CommisnonWEx' Ycrr, county ®rnpa~ aKyYl~a'Ye Aires pq. El, 1997 woo; rNrfanss SECOND AflAENDMENT TO TRUST '.° " THIS AGREEMENT made this ~~day of -.~ r^ ~ 1998, between ELSIE B. MILLER ("Grantor") and THE ASSOCIATION OF BA TISTS FOR WORLD EVANGELISM, INC., anot-for-profit religious charitable corporation of New Jersey, authorized to do business in Pennsylvania ("Trustee"), WlTNESSETH: That the Grantor wishes to amend the Revocable Trust Agreement made the 21 st day of February, 1991 (Trust) between the above parties and to reduce the same to writing. THEREFORE: The Grantor and Trustee agree that ABWE FOUNDATION, INC., anon-profit religious corporation organized under the laws of the Commonwealth of Pennsylvania shall be and hereby is appointed as substituted Trustee of the Trust created by said Agreement in the place and stead of the ASSOCIATION OF BAPTISTS FOR WORLD EVANGELISM, INC., with full rights and powers under said Agreement, and that the situs of the Trust shall hereafter be the location of the Trustee or any successor and be construed and regulated in all respects by the laws of the state of situs. By their signatures below the Grantor, original Trustee and substituted Trustee acknowledge the changes made hereby and are agreed that in all other respects the Trust shall remain in full force and effect as published originally on the 21~` day of February, 1991 and as changed by any prior amendments thereto. Witne s V. J~¢kson, Director Giving Ministries Elsie B. Miller (Grantor) ASSOCIATION OF BAPTISTS FOR WORLD EVANGE~M^INC. (Trustee) am M. Pierson, Treasurer ABWE FOUNDATION, INC. (Substituted Trustee) /Ci~.~ :i~i!~~ William Ni. Pierson, President FIRST AMENDMENT TO TRUST' This agreement made this ~ day of ~2t~ , 1996, between ELSIE B. MILLER ("Grantor") and the ASSOCIATION OF BAPTISTS FOR WORLD EVANGELISM, INC., anot-for-profit religious charitable corporation of Harrisburg, PA ("Trustee"), WZTNESSETH: That the Grantor wishes to amend the Revocable Trust Agreement made the 21st day of February, 1991 (Trust) between the above parties and to reduce the same to writing. THEREFORE: Article III of the Trust is amended to read as follows: "ARTICLE III Unless sooner terminated, as provided in this agreement, upon the death of the Grantor this trust shall terminate and trust assets, together with accumulated income shall be distributed as follows: A. Personal Possessions. Trustee shall distribute all my personal possessions to the ASSOCIATION OF BAPTISTS FOR WORLD EVANGELISM, INC. 1 B. The Trustee shall make the following specific gifts: 1) TWENTY THOUSAND DOLLARS ($20,000) to my sister, HELEN MILLER, 619 Seminole Ave., Fox Chase Manor, PA 19111, if she survives me, to express my love to her. 2) FIVE THOUSAND DOLLARS ($5,000) to WORD OF LIFE FELLOWSHIP, Schroon Lake, New York 12870, to be used for their camp in Germany. 3) FIVE THOUSAND DOLLARS ($5,000) to THE CONVERSION CENTER, INC., P. O. Drawer V, Havertown, PA 19083-0220 to be used for general corporate purposes. C. Remainder. All the rest of the Trust Estate to the following organizations in the percentages indicated: 1) TEN PERCENT (10%) to the BURHOLME BAPTIST CHURCH, 905. Coffman Avenue, Philadelphia, PA 19111; 2) TEN PERCENT (10%) to EMANUEL BAPTIST CHURCH, 4681 Trindle Road, Mechanicsburg, PA 17055; 3) TEN PERCENT (10%) to BAPTIST BIBLE COLLEGE AND SEMINARY, 538 Venard Road, Clarks Summit, PA 18411; 4) SEVENTY PERCENT (70%) to the ASSOCIATION OF BAPTISTS FOR WORLD EVANGELISM, INC., 522 Lewisberry Road, New Cumberland, PA 17070." 2 By their signatures below the Grantor and Trustee acknowledge the changes made hereby and are agreed that in all other respects the Trust shall remain in full force and effect as published originally on the 21st day of February, 1991. Witness Witness fitness ~t~iw ~ • //"K-~~ ELSIE B. MILLER (Grantor) ASSOCIATION OF BAPTISTS FOR WORLD EVANGELISM, INC. (Trustee) ilham M. Pierson, Treasurer Attest: Donald F. Davis, Esq. Corporate Counsel 3 REVOCABLE T_RNST This Crust agreement made this e?/.+ day of J~.tca..y , 1991 between ELS IE n. riILL'cR ("Grantor"}, a saa~,.a.-.. „f ..°.cbarts Mil'_ Apartments-, Maple Shade, New Jersey and the A5SOCIATION OF BAPTISTS FOR WORLD EVANGELISM INC., a not-for-profit religious charitable corporation of Cherry Hill, Mew Jersey ("Trustee") WITNESSETH: That the Grantor transfers to the Trustee the property' described in the attached Schedule "A", and the Trustee agrees to hold, administer and distribute all of the assets ;together with all additions and reinvestments) in accordance with the following terms and provisions.. ARTICLE I The Grantor may revoke or amend this agreement in whole oz in part, and alter or terminate the trust created by it during her _ lifetime- by notice in writing filed with Lhe Trustee at least Lhirty. (30) days prior Co thu effective date thereof, provided, however, [hat the duties and responsibilities of the Trustee shall notbe modified or altered except upon the written consent of. the Trustee. ARTICLE II During the lifetime of the Grantor, the Trustee shall receive, hold and manage [he [rust property and apply such par[ of the income and principal as directed by the Grantor or in its . discretion shall benecessary for the support, comfort and welfare of the Grantor in her accustomed manner of living. Any ihcomeno[ so used shall be accumulated and added to principal from time to time. 1 ARTi~Ci,E IZI Dn1Ea6 sooner terminated, as provided is this agreement, upon the death o£ the Grantor, Chis trust shall terminate and trust asa~__, cgether with accumulated income shall be distributed as follows: A. TWENTY PERCENT (20Z) to the BURHOLME BAPTIST CHURCH, )DS Cut tuwu Av m,uc, phllaul c.l plila, PA 1'JII I; B. TEN PERCENT (lOZ) to Philadelphia College of Bible, Langhorne Manor, PA 19047; Cr TEN PERCENT (lOZ) to BAPTIST BZBLE COLLEGE AND SEMINARY, 538 Venard Road, Clarks Summit, PA 18411; D. SIXTY PERCENT •(60Z) to the ASSOCIATION OF BAPTISTS FOR WORLD EVANGELISM, INC., P. 0. Box '5000; Cherry Hill, New Jersey 08034, to be used foi their general corporate purposes. ARTICLE LV - The Trustee may resign at any time by giving written _.._. - - flirty (30) days 'prior to [he notice, received-by Grantor a[ least C ~~ date specified as theeffectdve date of the resignation. In such event; the Grantor shall have the right to appoint a Successor Trustee and if the Grantor shall fail to do so within thirty (30) days, the Trustee shall have the right to petition a court of competent ji¢Ysdi cti nn to appniut a Successor Trusteehereunder. _ YrompCly. after recdiving notice of [he~appointmenc oI a Successor Trustee,~the Trustee shall render its final accounting and shall Transfer and deliverto such Successor, all trust assets together 2 w+ith income then held by it and have no further duties under this agreement. Every Successor Trustee appointed under this agreement shall possess and exercise all powers and authority confer-red by this agreement upon the original Trustee. ARTICLE V By way of illustration and act of limitation and in addition to inherent or statutory powers conferred on trustees: by the laws of the State of New Jersey, the Grantor expressly grants to .the Trustee the following powers, to be exercised in its sole and absolute discretion: A. To retain any property received from the~Grantor or to invest or reinvest-the sane in its sole d~sc~-tion;_ _. ,.. B. To invest or reinvest the trust assets and/or income ~~ in any property or undivided interests in property, whe_ever located, including bonds, notes (including notes of the Trustee), stocks of corporations, real estate, or any interest in real estate, and °- --- interests in trusts, common trust funds {including Funds of the Trustee), and to keep and maintain funds in savings or other accounts, without being limited by any statute or-rule o£ law concerning investments by trustees; C. T'o buy; sell. and trade in securities of any nature including short sales on margin, and for such pu-rposes may maintain and operate margin accounts with brokers and may pledge any securities held or purchased by them with such b--rokers as security for loans and advances made Lo the trustees; D. To determine the manner of ascertainment of income and principal, and the allocation or apportionment between income and principal of all receipts and disbursements and to pay all fees incurred by the trust out of income or principal as it shall, in its sole discretion, determine to be in the best interest of the beneficiaries; E. To take any action and execute any instruments necessary in the conserving or realizing upon the value of any trust property; F. To pay any bills presented on behalf of the Grantor by the Grantor or individuals or corporations authorized by her to ^~-°` -" - - present the same from trust assets-or income without liability €or determining their authenticity or validity; G. To make any distribution or division of .the -trust property in cash or in kind or both to the beneficia-Ties named in this agreement. ARTICLE-VI The Trustee may, at any time, and 'from time to time, or as requested not more than quarterly by the Grantor, render an account of its transactions with respect to the trust assets, and the•Grantor shall have full power to settle finally any. such account, and on the basis of it, to release the Trustee from all liability, responsibility or accountability for acts or omissions as Trustee. ARTICLE VII The Grantor shall have the right to make zdditions to this trus*_ agreement subject to the consent of the Trustee. AKT'LCLE VIII The agrmment shall be construed and regulated in al.l. respects by the laws of the State of New Jersey. LN WITNESS WHL•'KEOF, the parties hove executed [h1s instrument in ~duplYca[e the day and yaat written above and [o Lake effect the day and year first above written. Wit s ELSI£ 8. MILLER '(Grantor) ASSOCIATION OF BAPTISTS FOR __. _._.:., . _,...... WORLD EVANGELISM INC. Attest: Planned GYving OtfYcer Treasurer 5 STATE OF NEW .JERSEY rOnNmY nF r.a1.mEN i HEREBY CERTIFY that £LSIE B. MILLER, personally known to me to be the same person whose name is subscribed to the foregoing instrument -this day, personally appeared before me and she acknowledged that she executed the foregoing instrument freely and voluntarily for the uses I and purposes therein expressed. IN WITNESS WHEREOF, I have hereunto set my hand and seal at said County and State, this o7/.c~" day of J-t~ A.D. 199E ~~tary Publ~~t Large, -Mate of New Jersey My commission expires !S ~• i99S. STATE OF NEW JEP.SEY ' COUNTY OF CAMDEN Before me, an officer o£ said State and County, duly authorized to j~ administer oaths and Lake acknowledgments, personally appeared ~; WILLIAM M. PIER50N and DONALD F. DAVZS, respectively Treasurer and j Planned Giving-0fficer of .THE AS50CIATION OF BAPTI5T5 FOR WORLD ~~ EVANGELISM INC., to me well known. to be the. persons described in and ~ who executed the foregoing instrument, and -they severally, duly -__ _ ~~_ acknowledged before me that they freely and voluntarily executed the said instrument for the purposes therein expressed, and that the said instrument is the act anu' deed of said corporation. IN WITNESS WHEREOF, I have hereunto set my hand and official seal ax .Cherry Hill, said bounty;and State, this e7/,ax' day of ~~,, A.D. 1491. i,llotary Public at Larg , '! State of New Jersey ~Zr1r '~ My commission expires is X995. ms Nnp krv.rrroe] This is to certify [hat [his is a true copy of the record which is on file in [he Pennsylvania Division of Vial Records in accordance wi[h Ac[ 66, P.L. 304, approved by the General Assembly, June 29, 1953. WARNING: It is illegal to duplicate this copy by photostat or photograph. Calvin B. Johnson, M. D., M.P.H. Frank Yeropoli Secretary of Health State Registrar 4342962 No. JUN 2124U9 Da[e CORRECTED ITEM(S):3 rpE3 pq°N','~LmR: F11 DATE: O$-30-0$ bas COMMONWEALTH OF PENNSYLVANIA• DEPARTMENT OF HEALTH • VITAL RECORDS PcxgANENr CERTIFICATE OF DEATH BLpa mx (Sae Inatructlons antl examples on reverse) srarE 7 IIc I~ ~I b - z 032912 r Name el eaaeem wm mlwxlaa~aartw z6ee, asmalxwm.rvamm, xNale of paam luonN aaN roan Elsie B. Miller Fgnale 2 " 18 10 7 74 7 0 0 SFge (Laa10111aaay! Unee,lyear Umq,raay fi.0ale of &Im!MOnrM1, aayi yaery ], &aa aw!el anaalele °rbr Dun:! Ba. Placem~am LM&mlyene nu er. n,n X o syllal'. goer: 95»a. Mazch 22, 1912 Au7adelphia, PA ~ / ~IPwlrent ^eN)owalrem ^pop ^Nwallm Nema ^NaNaeaae ^olller. sp«In.. Bo. LOUmy of peep Pc CM Bao lWp. of paam Be FeGNy Name!I'nol manNAm ANe sbwlaltl numrep 9. Was Ce[Menl of lNpanw Onpm? No ^Yea tp. Paw Amerken lnalan, Black, NTM1¢ek Curtlberland East Pennsboro !rA'~~~.~wl~~, ale! white I1. owabv4 usual WCU rm YaMlmwoM e°re dd mwrmvoM Itle. oo nd able mmeal lz wee Cewaam re ra oeceCamS Eauearien adyonry amlles'. Arzae compleleel ra-Memel P9Wa: Mamea Nere, Manealn.6urv,wy9poux (N wna. Alee malaen tame! a pl WOm niMpBaamwerloausLy Execu~iVe Asst Ministr pS. Pnna]FOms9 Elemenbryl5eooneery @12) eonepa n>or fiq wPoewea.ONOrcea [9yeclp . y ^vaa Cane 12 Never Married lB.pweaems mam>reneveaa ts,eal. ey nwrl. na)e, ap rose) oxeea~rs Penns 1Vania o'a pawam nomal Nasaema tm sere Y uwma v 11PUer Allen Cv]w 100 Mt. Allen Drive e es, pxwmmwam ]wp .eweerePF Meclwnicsburg PA 17055 ueme.ala m.amm ,]a. ceomr C[mlberland ,]l.^NO , ama cMtBao Ifl FamerS Neme (nm, ne4alnb4, aunhJ 18 AbNeh Name (51a1, mule, makenaumeme! Fred P. Miller Bertha S• xonzmann zpalmmmana Neme lryce t Plmp zm Imomlam~a Manwpaanx (SlrwLCM'mnn, amm apcmel William Pierson 133 Wheatland Road Lewisberry, PA 17339 ela. M a uroodp¢poanlm ^uemalm ^poreem zldDelea Dlmlwnam MOmn. ear. nen pla Pow o)plspwmm (Nameacemnen.emmalmywome.µal z)rt Lmubn (eM/ro^'P eats Weaee! ~ y LIr Bm L 0 Nemo.el lmm sale ' pamwa m oarxea " ^ ~ M O. ~;wax wi Fa.miaa ^raa ONp March 14 2008 Sunset Memorial Pazk Somerton PA eza. srelammdwaeal Servke mm«mle, pamoa arnrN as sum) eea urmx Nemoer zze. Name em pameaed FaalM y Market laze ~ y - FD-138548 Malpezzi Funeral Hone Mechanics ~ 17058 cwrNlele nelm2aaa mrywnee mrmylFN zaa. tome ceNmm raaleape. Beam etme .axle alNgem 01 !wplelure ule! za°.uwnw numeer zaa. Dare 9~ollaa Ilwomm. aay.yaap gnax ax..aleae dnmemxaln le • 1 wam twee daegn. / / name za.nmumew„matmnymrml, zp. ]xoe of m zx pam PmnwmN pees lPam, ear reap zu wss cam wreeetl~o maelwl E.amlrel)comml rota nenoo lyrs, ua~leremalae er oaraw,ly wlm pm«alwaamm ~a ~ ~ fires fdNe tlUSE OF pERTN IBee lmbuetlons ana e. mpbs) r pmxogmale nlerva'. Pail l[Enlerml,e,=n„m.m mMY a pemB. 4B.Daiofams llx CmllLUleropnlM lam z].PeA[Exlelme Qyp,plEYIDIIS-wmeea, InluM4°reJmglcallom-Ilwi tlmdly taueBa lM MNiW Nm mlermmYnal rvMls SKA aaaMecarm9. Omel to Wam WIMr¢enllgmme uMyeyFtg pum grenln Pan r. ^YM ^P¢pt1Y 25pMOryarleA, a venlrcularlRAllNim rAIhM NaelnAtM~y Llu only ale GUmon each Nre. MMF-IIIE GUBE Flnal aeeaw or No [ UnWwwn wMllkm rasLNllgm~Ml ~ ~ ~ W.II Femal. ' a_ IM IC auacwrsoAUence of n ^ Nolpm9mnl xNnN P'btYm' \ Eeal lio ~: ~a`l.m~w'~u~e a. °' ~ N Tl~ r ^ P,Iglam al llmelmmn Emer~le uxpBxLrme elusE paeromr aaawllmAOellm M. ^ Na Plwmm bn pbAeam wlmlllueara lal~ ~~,~em"~l~m~,e c loam paemm'aaacwlmAaellwm ^ N°Ipregam, an pmgwmnaer•lol vm, a mlpre exln ^ wmloaluptweamwlnm ma panreor aoe. was ae pumav m. wam pmWavPMnAa at. mal~elamam sa pabamr,rv swam. aev. vaen sm pe:nm xowm I><alllea wrv ~a Pwm a mien xaae ram,. m~„ Few, Peaemaa, p.amaa mwrocemgml« d Nalurel ^NOmwl~ Onm mrelep'eQ. fSwaN~ NCauuaOwM a ^Ya eNa ~~ ^Yae U/No ^Pttpnn ^Peneig lnw6b.611en J26 ilmedlnmry gee lnjurval WaN? a9.Il Tahsppnmbp ltryury ($pM4y) Jog LUeellwimlP!urv f6rmetaM)iMm. eblel VJ ^yMiee ^C°W Nald pNemRCa ^vaa QNO ^Onve,rPerzlol []PessanSer ^Peeesmen a error-ypecry aJe. cemlerlmxl mry «m aro smmmle am tore el eenmer c«wkn wrFxan lPnnkw wnMmA ram~dmam.ne~alumer pnrylnm naa pmrroonttm seem emwnplalaa nam za! - poweana mr mwnxere. a..m a««erae euemme auw•1 •nam.na«amn.~_____________________ ___________ PoMWM11p aIK dlxylrq pllyakYn!PM1yskian°olM1 prpWnmp «eln aM wnM~Pq lowlap atmaNl JiK Lwnac NUmhr 3hl. pale 6lplea AbnlA, say. yeon iem.e.anmv kaowl.ege.aeemo«ulr.emwnlm,am, alw pe«.em axtome au.gel•na m.nnr r. eme~ ^ . MNIU'E.aNro„Wmrc, ^^ ~ II n 3~t " on me mirnnrmlm~mnenerer l,w.agalaNin my opmma,amm «rumeame nme, ama.ampe«, sw exrome rauegelam memer.e eurerea_^ l 1 as Name enapmreae al Perm wnecamplmee cxx o'peeln lnemm ry w 'Pnnl azN- ra fimr,ae.e em plnml ry,.am, reFnealwam eev yeah I / ~) ~J103 N- p~l'~~~-C~mP Pk7/l'~/~Ol~ IoZI/ 1021/ Lai _/ /Y(eVP -- - - - pmoalw~Pao.rno hie is ro terrify chat the information here given is correctly copied h'om an original cerciliwte of dcalh dul~~ filcsl with me as Local Registrar. the original certificate will be forwarded a] the Stare Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. fee for this certificate, $2.00 ! ~ M Local Kcgisrrar P 902(1625 ~~~ 2~i 2U03 -- No. L)atr ~ir°~ ~~ ~ ~r- ~~/~-~ nos'•] R« vet COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT Of HEALTH • VITAL RECORDS ir.E,.RIxT CERTIFICATE OF DEATH IN __ ____ _ __ nMFpLErvUx,EP RFRMANEN NAVE FO CEDEI iIF r udn "- ~ - 6E1QIx .r ~ •I SEX 50C1A SECVRpV NUMBER °F , . "Ip r ~ ar p /83-n/ - 09~ •~ ,GEr aR ntlnvl UND gIVEAR VNCER D ~L ~1 I d pMEnOF BIRrII MN`UCF rCnvaM P4CF OF CE4x1[[acYe - .- ,...e.emm.. •o.l 4m. o.n xd.. 1 MYwI„ Y,., Dev ., em 'mm,v _ _.... _ Noer> U p~/ O FR- ~ FRIaeP.rlml ^ m. ^ '°"'° [A~ R 0 / -1 'S 3~/S ~ /_. „ . .. ' COUNrv CF GEYN CrV. BORO.lX90[pE>M F.C M E w I Na ~ .. eN,«K .o . (Y/~j .. « . NNg~CEC~E OFx9 CORGW+ E ) m. &e<4 vn„rc ETA I aaa{C we^R„. w«ncw. ~N a. I . ~ I IL( ,e N. Q 4euaR.MbRM.4[ / E /ls CECEDEx15 V5UAL VPANHI N C[ USWE6% W51_ 9 C Hi EVERIN D CEOENF'SEpUCdION I G ~NMdv, M.egw .. V6. AR4EU[OIiCEgI 4Mf1'y9iClq.u•^xtl SUPVIV NG s [VII ~ b ' d ^ m a ~ npwe: EerMUeere i l ...rl Ebrnegery,8ewperY New4mM.WWee in.e. e e Uw<M 19M:MI ne^ ' ~ ~l R~~ Iplb I, p oe cEDExrsuAnWG ApwIESS1Y<N. cXY.remsw..mcRnl ce " lE. EaNrs r „. sI,I. PA ~ ^ F °1° Im ~"1' i S ° _ EW On _ _ RE IDENCE .. '. t'bi"E"e1n- 1515 The Fairwa N «WM ' . y IYxTrN`tlc.lne e R dal PA 19096 bntclaneLy mM„mYeb+ w,tlNY«.N.tl ____ «Nea -~ lm. ~ RNER' l ~• SNINE I.nn WM4 Lml YpiMER'g HAMEIixY. Yalh. i.eyiynxnl l, Fred Miller . IE Bertha Itonzmann INFg14 ~~ Mlrs xA4E nvpup,ml n60RYSxrs4MINp ACpI1E%ISeM.frylimt9W. Lp CV1el Ep. Elsie Miller . 109 H(TFHEIher Drive 1 Hill PA 17011 4ErxoDaFgsPDSlnox pre pF gsvosxmx m.elQ u.m.llm^ Rm„.Y Y.I.^ wnm. per rear anw~gevovrlDx.xmxacmwR.gmR„Y DcYwN. ciNnom. slx..mum d R'r" pmxlm^ gRwSR,tm ^ pebrD 27, 2003 E'• xR ~rnset Marorial Pazk ~' r S h E . er ,&o out ampton, PA ' SgNMVRFCiF NERAL SERVI FLNENBEE OR SOMA I A9g CN V LILEHSENVM%q NAYERMAppRE%CPFACRRY 7900 Oxford Ave. z p.p122 04L D a _ ean Geitner Givnish FH «.•p,. A M v „ I ee I elrl« e wa.t. Yaw qq, otturr LICENYHUMYR m„xW~wIA ,NW~Ilnne gpeg a bnnpe IE:pu.we Mm « ~ T M xN ' gemAEAFEmulNmmpblm Ey iWFCF pEA ] waa~l-[<omw..„ea„m. oM vRGNOUxc pceADIM ro.Dw+.N wYec REFFRgEDrousoluLExA41NERNOROrEn+ `N•^ NeF3 ~.~ Ee ~ . 9w ]f. PART I: Eme[IASdteew<, ~ur~at•mdrYnne.nke uu[MIMbNn DO~emm lM mamaltly n<N„ re4<dn[ryaxymm.[MCYxMYI NMUY. lrpeurwY tew • rn leppeweN MRt ll e I : yri t.,I «naMlea.erAAYgnMW. yn INIwvYM.eeII nrNYpn M~^tl^M tm WAf ^ aN ^n l N 9 IYYEpAiICAVSI Rind tle[« ~ tlm„rc~P,el~ ~ NM1/C2lgF ~~. ~^~~ ...R.pag«•.I-. -~ nlV~ --- p mwR ASncpvsEarENCE DFy - __-...-__.. seR+n4ml.male,,. , e q.ro.I.mMNmm.m.x wEroroRUACausEgxNCE On________. __.__ ( I ..__ uI«.EMwIWOlMYRNi I Y%flgeeeece.grry t ' _.~._- Yra MRMwew WE R11M0.SACd5EpkNCE CaI . rgwly„JSe~l46Y ~ __. -.. _. E NVSANAUIOVEV WEgE AURN6Y FWgHG3 MANNER CFpGiM DME OFIN,NIgv iIYE OFBUVRY WJVRV4VgI1Nf pE$CRIBENpV11UVPY OCCVgPEp vE[IFaR4Em IwuDLE VwoRro Ielmm. ar. he,l O~ ICNp'CAV6E ' urN {~ xam"Ne A<Mev ^ Pmµry M"eergel4n ^ V•• ^ Ne^ 'M ^ Ne~1[ V„ ~ [M ^ SueIM ^ ceWervnpe Jmemmm ^ PI O M. ~. ACECi INIVRV.M MnIe. 4lm aml.ItwY,aTa LCCAIQY 5new.C ]uIN EM. MIRRq. xc ISCSNI f111f1ElER lCis}mvdel ~' ~' •TEgIxrIIp INY61C11NIF11vuwcrvMpry [wleelY ^emN.Menammwcnr[ean Naturdnrrc.MneaP arwemPelmxen ]]I N 610HAUM.WDTRLECFCERiI eI wRImY Yrwxtlpe, yem«eumaewle eeeueNeleMmemletnnelee.. _..._._.._..___..... _......._ ....... ^ .. v . ... t0. ~vlrox9Dxcwe.xoeEmYnxp rxrsclAxlmv«rv. pqn xa~,rc„p e„m,,.arel "v^o mt,~,e.•I,I„w LICEN6E NLIM6ER pYE SprvE yY pav. real ~- mm.wl„mYAI.•.xe9•.tl„m «<..,w.„N.Im.. E.I..,m vl«. aaeuuu maw„IAtaa m.m„„n.w..... ., . _ .................. 'MEDKAL IXAMINEWCWONER xA4F Y1 aF WwcoYnF~FDCw%ac DE N __- IIIem3TTVIyapM / OnIM4eele McAemllYl MI ue«19N1 Y pnien, Je.N Del llle llm E enOtlu.lPllle4u nunnwowlM.,, aplero eNMeIIe ~ t~a I.ATMAM N P (/~ .. .. I asr ss NAruR ~ n n.. / /) DYE FILE Nqr. real K N ~j/ ~~,~I ~, v. d!o , vV~(Y~i v DONALD F. DAMS, ESQ. Attorney and Counselor at Law P.O. Box 205 Phone: (717) 909.2339 New Kingstown, PA 17072 Fax: (717) 774-1919 Courthouse 1 Courthouse Squaze ,~, Cazlisle,PA 17013-3387 co m November 12, 2008 ~' ~ ~ ° n 7 ~ - ~ ';,~ ,- ~ RE: Inheritance Tax Return for Elsie B. Miller, Deceased _ -v _~ ~= A N ``-.j Dear Sirs: ~--~ .~- 0 Please find enclosed two original REV 1500 for the estate of Elsie B. Miller. Because Ms. Miller's probate assets consisted only of a PNC bank account, Mr. Davis did not probate her estate. I have included a copy of her will however for your review. Ms. Miller had a revocable trust with the ABWE Foundation Inc and Mr. Davis serves as Treasurer of the Foundation. There is no tax payment because all of Ms. Miller's assets went to charitable organizations since her sister, Helen F. Miller, pre-deceased her. A death certificate for Helen F. Miller is included for your reference. If you need to contact our office for any reason, please feel free to call me directly at (717)909-2479. Sincerely, Faith Henry, azalega to Donald F. Davis, Esq. faith@abwe.org (717) 909-2339 Enclosures DONALD F. DAVIS, ESQ. Attorney and Counselor at Law P.O. Box 205 New Kingstown, PA 17072 Phone: (717) 909-2339 Fax: (717) 774-1919 November 19, 2008 Cumberland County Register of Wills 1 Courthouse Squaze Cazlisle, PA 17013-3387 Deaz Sirs: Thank you for your phone call advising us of the need to send a check for the filing fee for the inheritance tax return for Elsie B. Miller. Please find enclosed a check in the amount of $15.00 per your instructions. Ms. Miller's estate is pending. If you have any questions, please contact me directly at the number below. Sincerely, ~~~ Faith Henry, Pazalegal to Donald F. Davis, Esq. faith(c~abwe.org P 717.909.2479 F 717.774.1919 Enclosure ~ a o m "v z - ; ' • ea r- ~ ~`_ ~ ( - -;~ ~ 3 4-i --y -~ _::. __ .. -c~ U7 s Orz ~ z ~" <') t) O ~~~ ~, pG h m ~~ ~„~ O ti ' ~n a LL v s co ~ r`I! 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