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HomeMy WebLinkAbout02-0499 '/,v-,d 1''1 PETITION FOR PROBATE and GRANT OF LETTERS w Estate of MARY.. KERR. also known as MARY WENZEL No. To: Register of Wills for the Deceased. County of CUMBERLAND in the Social Security No. 01i?-11i-OnQ Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), whoja/are 18 years of age or older an the executORS in the last will of the above decedent, dated 1m Y 10 1 QQO and codicil(s) dated 21-02-499 KERR named ,ff"'_ (state re!evant circumstances, e.g. renunciation. death of executor, etc.) Decendent was domiciled at death in CUMBERLAND County, Pennsylvania, with hER last family or principal residence at 1700 MARKET STREET, CAMP HILL, PA 17011 (list street, number and muncipality) Decendent, then _~~ years of age, died APRIL 24, 2002 ,~ at HOLY SPIRIT HOSPITAL. CUMBERLAND COUNTY. PA Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will effered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ 87,744.20 (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not donticiled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters TESTAMENTARY theron. (testamentary; administration c.t.a.; administration d.b.D.c.l.a.) i u = u ~3 U" "'u = -g.g tU'=: 3~ u~ 00 ;; = " in ALLFIRST TRUST COMPANY OF PENNSYLVANIA, NA SUCCESSOR CORPORATION TO DAUPHIN DEPOSIT BANK iW~ ~ COMPA~ i , <-- u f R ERT L. KICK, VICE~;ESIDENT AND TRUST OFFICER 213 MARKET STREET HA'R'RT~RTT1U~J PA 171/11_?171 MAR YN W. MCHENRY 771R N 7ND STREET HARRISBURG, PA 17110 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA '1 ss COUNTY OF ______ CTlMRERUND J The petitionerC') above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed ~ L-, )L V""t-~ '" before me this 13th day of BY:" ~'K~~STD@T lllj 7007 / ~ BY: ' MARIL N MCHENRY 1; W. ~ ~ /)- 6~ 10 No. 21-02-499 Estate of MARY W. KERR , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW MAY 21st 19_, in consideration of the petition on the reverse side hereof. satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated JULY 30th. 1990 described therein be admitted to probate and filed of record as the last will of MARY W KERR and Letters . TESTAMENT ARY are hereby granted to ALLFIRST TRUST CO OF PA And MARILYN W MCHENRY FEES Probate. Letters, Etc. ......... $ ?nn nn Short Certificates(4 ) . .. . . .. ... $ 12.00 ~-pag~s 12.00 .Kellun1:1ation ................ $ JCP $ 5.00 TOTAL _ $ 229.00 Filed....... .~X .n.. .fP.Q4... .... ..... ~)/(? ~///~/2///J A2f' )/Q~~-,I glSter of Wills I MICHAEL CHEREWKA //35073 ATTORNEY (Sup. Ct. I.D. No.) 624 NORTH FRONT STREET 1J'n"RMT ~vc:.RnR~ PA 1 7(\/. ~ ADDRESS (717) 232-4701 PHONE 1"'''1 C"-J P _.r" -'- 21-02-499 I-ASTu~IH bl:lJL'l'.~STAM_EllT KNOW ALL MEN BY THESE PRESENTS, that I, MARY W. KERR, presently residing at 3445 Florence Street, Apt. #2, Harrisburg, Dauphin County, Pennsylvania, being in good health and of sound and disposing memory, do hereby make, declare and publish this as my Last Will and Testament, hereby revoking all former Wills and Codicils heretofore made by me. FIRST: I direct that my body be cremated and that the ashes be disposed of in accordance with the wishes of my children. SECOND: I direct that all my just debts, expenses of my last illness and funeral expenses shall be paid by my Executor, hereinafter named, from my estate, as soon after my decease as shall be found convenient. THIRD: I bequeath such of my tangible personal property as is set forth in a separate memorandum, which I shall place with my Will, to the persons therein designated. FOURTH: I devise and bequeath the rest, residue and re- mainder of my estate, whether real, personal or mixed, and of any nature whatsoever and wherever situate, to DAUPHIN DEPOSIT BANK & TRUST COMPANY, of Harrisburg, Dauphin County, Pennsylvania, to be added to and thereafter treated as a part of that certain inter V1VOS trust created by me on June 14, 1990, of which Dauphin Deposit Bank & Trust Company is Trustee, to have and to hold, IN TRUST, for the uses and purposes and subject to the terms and provisions thereof. including any amendments or alterations thereto. or any other inter vivos trust which may hereafter be substituted therefor. FIFTH: I hereby nominate, constitute and appoint my daughter, MARILYN W. MCHENRY, and DAUPHIN DEPOSIT BANK & TRUST COMPANY, Harrisburg, Dauphin County, Pennsylvania, or any successor bank, whether by sale, purchase, merger or consoli- dation as Executors of this, my Last Will and Testament without necessity for posting security regardless of state of residence. Should my daughter, Marilyn W. McHenry, fail to qualify or cease to act as executrix, I appoint Dauphin Deposit Bank & Trust Company, executor of this my last Will. SIXTH: My Executors shall and authority conferred upon additional powers and authority: have, in addition to the powers them by law, the following '11~ UJ. 1/ JL__.___-LI__NA/'J.___ 7f 1 1. To sell at public or private sale, exchange, lease, mortgage or pledge any property, real or personal, at any time constituting a portion of this estate, and upon such terms and conditions as the Executors shall deem wise. 2. To invest any money at any time in such bonds, stocks, notes, real estate, mortgages, life insurance, annuities or other securities, or such property, real or personal, as the Executors shall deem wise, without being limited by any statutes or rule of law regarding investments by an executor. 3. To retain, without incurring any liability, as investments, any property owned by me at the time of my death, as long as they deem it wise, and even though such property is not the kind of property an executor would purchase as an investment; and even though to retain such property might violate sound diversification principles. 4. To cause any security or constitute a portion of my estate to tered in their own name, or in the name form that title will pass by delivery. other property which may be issued, held or reg~s- of a nominee, or in such 5. To consent to the reorganization, consolidation, readjustment of the financial structure, or sale of the assets of any corporation or other organization, the securities of which constitute a portion of my estate, and to take any action with reference to such securities which, in the opinion of the Executors is necessary to obtain the benefit of any such reorgan- ization, consolidation, readjustment or sale; to exercise any conversion privilege or subscription right given to them as owners of any securities constituting a portion of my estate; to accept and hold as a portion of my estate securities resulting from any reorganization, consolidation, readjustment, sale, convers~on or subscription. 6. To connection with compensations to established fees estate. pay all costs, taxes, charges and expenses in the administration of my estate, including such Executors which shall be in accordance with throughout the period of administration of my 7. To determine what is "income" and what is "princi- pal" hereunder, and their decision thereon shall be final; and to purchase securities at a premium or discount, and to apply or charge said premium or discount against income or principal as the Executors may determine. /\'\/1 '/ __~f 'or" '1<~ UJ ~huL1~__ II . 2 8. To transfer. sell, exchange, partition, lease, mortgage, pledge, give options upon, or otherwise dispose of any property at any time held by them, at public or private sale, or otherwise. 9. To employ legal counsel, accountants, brokers, investment advisors, custodians, managers and other agents and employees and to pay them reasonable compensation out of my estate or any funds held hereunder to which said compensation is at tributabl e. 10. To do all other acts in their judgment necessary or desirable for the proper and advantageous management, invest- ment and distribution of my estate. IN WITNESS WHEREOF, I, MARY W. KERR, my Last Will and Testament, typewritten on which I have identified at the bottom of ture, h~~unto set my hand and seal the :;FeLl' ' 19-1'-'2-. the Testatrix to this, three sheets of paper each page by my signa- '1.:; ,-'" day of /JJ/~.I,-(t-- iJ). !C~~/), Mary W. I<\err (SEAL) The preceding instrument consisting of this and two other typewritten pages, each identified by the signature of the Testatrix, MARY W. KERR, was on this day and date thereof signed, published and declared by MARY W. KERR, the Testatrix therein named, as and for her Last Will, in the presence of us who, at her request, in her presence, and in the presence of each other have subscribed our names as witnesses. ~/~ f3~~ ?f-' dJco> ( . C ')12c1'.k.~..1 UJ '. , . j/ '])AJ'\ 3 COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN I, MARY W. KERR, Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. r'~,11 ,I MahC~l~rt~rULjc;~~6L_~ '. Sworn or affirmed to and acknowledged before me, by MARY W. ~~~Q__~he Testatrix, the __3p.'~ day of __.~(________, (SEAL) Nota~~~b~~--------" NOTAfilN.SEo\l :J LOIS E. HEAGY, NOTARY PUBLIC ~IARR!S8!JRG, DAUPHIN COUNTY MYCOMMiSS:ON tXP\Rf~S AfI~~~ :17~ 1991 Mt:'mbor, Ponnsylva;\ia I\$l,i~d.:!l~l~r! {)1 N~i;;;~i~,~ 4 COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN We '~....'Of J...- !3..l_>,..':'t:.-YF,(;;;c(.1) and {{.. ~'-r 'j';l!/(J').:/".} and ,_ the witness whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. r;r- .:L) . . . ~j.~QJ~_J3i01~IJ/-'-~~-~ LLL /' ) -'----t9-~ --.-- Sworn Baskeyfield witnesses? of affirmed to and and Wes Johnson this day of July subscribed to before me by Jodi L. and , 1990 30 (SEAL) N~~'P~i'~'~j-'--"-'-~ -"-i-:'6'i-~.RIAL SEAL J LOiS E. Hct,GY, NOTARY PUBLIC HA:~~ilSFY.!RG, DAUPHIN COUNTY MY COtJ;,m;~:~N EXPIRES APRIL 27, i09,~ ~M'_"'_"'_, .. '." "'",..":;, "'1~::'I;;(;f, Pi:I:,-;s'ii'/3.nla f'$soaallon 011\,.;c,._3 5 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INOIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX{11-96J RECEIVED FROM: PENNSYL VANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 001437 ALLFIRST TR co OF PA NA SUCC PO BOX 2961 HARRISBURG, PA 17105-2961 _nu_n fOld ACN ASSESSMENT CONTROL NUMBER AMOUNT ESTATE INFORMATION: SSN: 062-36-0269 FILE NUMBER: 2102-0499 DECEDENT NAME: KERR MARY W DATE OF PAYMENT: 07/22/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 04/24/2002 101 I $25,000.00 I I I I I I I I TOTAL AMOUNT PAID: $25,000.00 REMARKS: ROBERT L KECK C/O ALLFIRST TRUST CO CHECK# 20330185 SEAL INITIALS: AC RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS ALLFIRST TRUST AlC NAME ~ till< ..~~K'IT I ~ DETACH AND RETAIN THIS PORTION FOR YOUR RECORDS No.20330185 DATE 1/19/C2 AlC NO. l1CH'1€1~4 ~c,,: RCbff<l l. I<EC~ REMITTANOEAMOUJllT X INCOME Pf\lNCIPAL 2S,CCC .CC FOR ACMINIS1R~lIC~ fXPE~Sf *I~MEPI1A~CE lA~ FAY~E~l FCIl ~A?'1 KfPP 21-C2-C499 HB 2-55 1 .9\ -0,2 - L\.qq IJ (J CERTIFICATION OF NOTICE UNDER RULE 5.6 (a) Name of Decedent: Date of Death: MaryW. Kerr April 24, 2002 Will No. 2002-00499 Admin. No. To The Register: I certify that the notice of (beneficial interest) estate administration required by Rule 5.6 (a) of the Supreme Court, Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned Estate on August 22, 2002: Marilyn W. McHenry, 2238 N. Second Street, Harrisburg, PA 17110 Richard H. Wenzel, P. O. Box 827,18 Yompkins Avenue, Glenham, NY 12527-0827 Joanne Dean Freemire, 59889 Hill Crest Drive, North Fork, CA 93643 Adele McLean, 1995 Mariposa, Seaside, CA 93955 Amelia Lebedevitch, 6171 S. E. 126th Street, Belleview, FL 34420 Allfirst Trust Company of Pennsylvania, NA, Mail Code 001-02-05, 213 Market Street, Harrisburg, PA 17101-2127 Notice has now been given to all persons entitled thereto under Rule 5.7 (a) except, NONE Date: August 22,2002 Signature ~~'-;Z _~ 1/...p ""7. u. Title Robert L. Keck, Vice President & Trust Officer Name: Allfirst Trust Company of Pennsylvania, N.A Address: P. O. Box 2061 Harrisburg, PA 17105-2961 Telephone: (717) 255-2148 Capacity: -1L- Personal Representative _ Counsel for Personal Representative Copy: Michael Cherewka, Esquire ------ , I' OFFICIAL USE ONLY , " t',' AEV-1500 EX +(6-00) 17- 6 ~ -:. /0 FILE NUMBER CAPB HpRL EplO CRAC KOTK ES C P o 0 R N R 0 E E S N T C o M P T U A T X A T 1 o N REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT o E C E o E N T COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Kerr, Mar Wenzel DATE OF OEATH{MM-DD-YEAR) SOCIAL SECURITY NUMBER 062-36-0269 THIS RETURN MUST BE AlED IN DUPUCATE WITH THE 21-2002-0499 COUNTY CODE YEAR NUMBER DATE OF BIRTH(MM-DD-YEAR) REGISTER OF WILLS SOCIAL SECURITY NUMBER X 1. Original Return 4. limited Estate X 6. Decedent Died Testate (Attach copy of Will) D 9. lItlgatfon Proceeds Received 3 date of death . Remainder Return prior to 12-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes 2. Supplemental Return 4a. Future Interest Compromise (date of death after 12-12-82) X 7. Decedent Maintained a living Trust 0 (Attach copy of Trust) D 10. Spousal Poverty Credit D 11. Election to tax under Sec. 9113(A) (date of death between 12-31-91 and 1-1-95) (Attach Sch 0) hm~~flljElOlili~lfji!~!l!fAli1'~_NF~'I'I~_i~l.bI.il!_~jWit&ili COMPLETE MAILING ADDRESS . lHl$ '$l!.CMlUN/I1'i NAME Robert L. Keck, V.P. & Trust Officer FIRM NAME (If Applicable) A11first Trust Com an of PA, NA TELEPHONE NUMBER 213 Market Street Harrisburg, PA 17101 None None None (1) (2) (3) R E C A P I T U L A T I o N 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) S. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (tolal Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts 01 Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Tolal Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Sub'eet to Tax (Line 12 minus Line 13) (8) 708,391. 06 (11) 44,184.59 (12) 664,206.47 (13) (14) 664,206.47 OFFICIAL USE ONLY (4) (5) 88,080.94 7,968.37 (6) 279.68 612,062.07 34,905.09 9,279.50 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, ortranslers under Sec. 9116(aX1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. 0.00 663,206.47 1,000.00 0.00 (15) (16) (17) (18) (19) .0 0 045 .12 .15 0.00 29,844.29 120.00 0.00 29,964.29 x X X X Copyrlght{c) 2000 form software only The Lackner Group, Inc. Form REV-1S00 EX (Rev. 6-00) Decedent's Complete Address: J . STREET ADDRESS 1700 Market Street CITY I STATE I ZIP Carnn Hill PA 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 29,964.29 0.00 25,000.00 1,315.79 Total Credits ( A + B + C) (z) 26,315.79 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 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) A. Enter the interest on the tax due. (SA) 8. Enter the total of Line S + SA. This is the BALANCE DUE. (58) Make Chec~ Payable to: REGISTER OF WILLS, AGENT !:!~';! ~~:!~~:~!!~~~!~'~~!~!I~~~!'~t~~~~mmmm! 0.00 0.00 3,648.50 0.00 3,648.50 Did decedent make a transfer and: a. retain the use or income of the property transferred; ........ b. retain the right to designate who shall use the property transferred or its income; . c. retain a reversionary interest; or. . d. receive the promise for life of either payments, benefits or care? . . . . . 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . 3. Did decedent own an "in trust fo( or payable upon death bank account or security at his or her death? .......... 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . . . . . . . IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Yes No ~~ D D D [B [B [B FIL ::tJw.''l-7' A11first Trust Company of PA, NA and .' 213 Market Street Marilyn W. McHenry - - -Har-i:Lsbur - -,- -PA- -" i 7"10 i - - - - - - - - - - - -" - -" - -" - -" -- A11first Trust Company of PA, NA 213 Market Street DATE SIGNAT DATE 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 3% [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 0"10 [72 P.S. 9116 (a) {1.1} {i0]. 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 10 or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 9116 (a) (1.2)j. The tax rate imposed on the net value at transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 9116(1.2) [72 P.S. 9116(aXl)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 9116(aX1.3)}. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Copyright (c) 2000 form software only The Lack.ner Group, Inc. Form REY-1500 EX (Rev. 6-00) REV. 1507 EX t(1-97} COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Mary Wenzel Kerr, SCHEDULE D MORTGAGES & NOTES RECEIVABLE ,/ 55!! 062 - 36 - 0269 04/24/2002 FILE NUMBER 21-2002-0499 All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1 DESCRIPTION Note and Mortgage for $90,000 dated August 17, 1999; Richard H. Wenzel & Aileen R. Wenzel to Mary W. Kerr; premises 18 Tompkins Avenue, Glenham, New York, due August 1, 2029 $632.38 monthly payment and interest payable at 7.55% per year beginning on October 1, 1999. At option of holder principal balance due in full after the death of Mary W. Kerr. Accrued Interest from April 1,2000 to April 24, 2002. VALUE AT DATE OF DEATH 87,663.88 417.06 TOTAL (Also enter on line 4, Recapitulation) $ 88,080.94 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1507 EX {Rev. 1-97} REV. 1508 EX '" (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY 'a ESTATE OF FILE NUMBER Mary Wenzel Kerr, SS# 062-36-0269 04/24/2002 21-2002-0499 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1 DESCRIPTION AARP Health Care Options - Refund VALUE AT DATE OF DEATH 17.50 2 Capital Blue Cross/PA Blue Shield Medical Insurance Refund 224.90 3 Commonwealth of Pennsylvania - Year 2001 Income Tax Refund 97.21 4 GE Capital Assurance - Medical Insurance Reimbursement 5,850.01 5 Signature Dental Plan & More - Refund 24.75 6 U.S. Treasury - Year 2001 Income Tax Refund 1,334.00 7 United Healthcare Insurance Company - Medical Insurance Reimbursement 420.00 TOTAL (Also enter on line 5, Recapitulation) S 7,968.37 (If more space is needed, insert additional sheets of the same size) Copyright (e) 1996 form software only CPSystems, Inc, Form REV-15G8 EX (Rev. 1-97) REV-1509 EX +{1-97} . COMMONWEALTH OF PENNSYLVANIA INHERITANCETAX RETURN RESIDENT DECEDENT ESTATE OF Mary Wenzel Kerr, SCHEDULE F JOINTL V-OWNED PROPERTY SSfl 062 - 36 - 0269 04/24/2002 FILE NUMBER 21-2002-0499 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. A. SURVIVING JOINT TENANT(S) NAME Marilyn W. McHenry ADDRESS 2238 North 2nd Street Harrisburg, PA 17110 RELATIONSHIP TO DECEDENT Daughter B. c. JOINTLY -OWNED PROPERTY, LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE I nelude name of ffnandallnstltutlon and bank DATE OF DEATH DECD'S VALUE OF accoont number or similar Identifying number. NUMBER TENANT JOINT Attach deed for jolntly- held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTERES 1 A 09/29/92 ~llfirst Bank Checking 559.28 50.00% 279.64 Account #0010288309 Accured Interest 0.08 50.00% 0.04 TOTAL (Also enter on line 6, Recapitulation) $ 279.68 T (If more space is needed insert additional sheets of the same size) Copyright {c} 1996 form software only CPSystems, Inc. Form REV-1S09 EX (Rev. 1-97) REV.1510 EX. (1-97) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY , COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Mary Wenzel Kerr, 04/24/2002 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. SSI1 062 - 36 - 0269 FILE NUMBER 21-2002-0499 DESCRIPTION OF PROPERTY %OF ITEM lNCLUD~THbNAME OFTHETRANSFEREE THEIR DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE RELATIONSHI TO ECEDENT AND THE DATE O~ TRANSFER. NUMBER ATTACH ACOPYOFTHE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) Trust under Agreement dated June 14, 1990 amended July 30, 1990 between Allfirst Trust Co. of Pennsylvania, NA, Trustee and Mary Wenzel Kerr, Settlor. 1 712.792 shares ARK Fds Blue 11,739.68 11,739.68 Chip Equity Portfolio, CUSIP #040711681 2 4,431.633 shares ARK Fds 63,505.30 63,505.30 Capital Growth Portfolio, CUSIP #040711103 3 732.234 shares ARK Fds 7,607.91 7,607.91 Equity Income Portfolio, CUSIP #040711624 4 2,218.41 shares ARK Fds 22,272.84 22,272.84 Income Portfolio, CUSIP 11040711301 5 5,754.901 shares ARK Fds 56,685.77 56,685.77 Intermediate Fixed Income Portfolio, CUSIP #040711640 6 22,509.22 units ARK Money 22,509.22 22,509.22 Market Portfolio, CUSIP 11040711400 7 21,788.29 shares ARK Fds 213,525.24 213,525.24 Short Term Bond Portfolio, CUSIP #040711483 8 17,646.227 shares ARK Fds 172,227.18 172,227.18 US Government Bond Portfolio, CUSIP #040711475 9 4,392.148 shares ARK Fds 41,988.93 41,988.93 Value Equity Portfolio, CUSIP #040711533 TOTAL (Also enter on line 7, Recapitulation) S 612,062.07 (If more space is needed, insert additional sheets of the same size) Copyright (c) 199610rm software only CPSystems, Inc. Form REV-1510 EX (Rev. 1-97) REV-1511 EX + (1.97) ESTATE OF Mary Wenzel Kerr, COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAl EXPENSES & ADMINISTRATIVE COSTS tJ SS!! 062-36-0269 04/24/2002 FilE NUMBER 21-2002-0499 Debts 01 decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES, 1 Cremation Society of PA - Cremation Expense 940.00 2 Marilyn McHenry - Reimbursement for Rev. Howard N. Dana, 100.00 Unitarian Church for Memorial Service 3 Snyder Granite Company - Memorial Stone 515.00 B. ADMINISTRATIVE COSTS, 1. Personal Representative's Commissions 9,600.00 Name of Personal Representative(s) ~p.p. r.nnt'in1t::ltion Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City State Zip - Year(s) Commission Paid: 2. Attorney's Fees Michael Cherewka, Esquire 4,800.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip - Relationship of Claimant to Decedent 4. Probate Fees Register of Wills 212.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 5 Al1first Trust Company of PA, NA - Trustee's Termination Fee 11,700.00 6 Cumberland County Register of Wills - JCP Fee and Filing Fee 17.00 7 Cumberland Law Journal - Cost of Advertising and Proof of 75.00 Publication 8 J an L. Brown & Associates - Attorney's Fee 555.00 9 Mar il yn McHenry - Reimbursement for Obiturary in The Patriot News 237.60 Co. Total of Continuation Schedulers) 6,153.49 TOTAL (Also enter on line 9, Recapitulation) $ 34,905.09 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1511 EX (Re....1-97) . ~ Estate of: Mary Wenzel Kerr, Soc Sec #: 062-36-0269 Date of Death: 04/24/2002 Continuation of Schedule H-B7 (Other Administrative Costs) Item il Description Amount 10 Michael Cherewka, Esquire - Attorney's Fee for Trust 5,850.00 11 The Patriot News Company - Cost of Advertising and Proof of Publication 303.49 6,153.49 'J Estate of: Mary Wenzel Kerr, Soc See #: 062-36-0269 Date of Death: 04/24/2002 Continuation of Schedule H-Bl (Personal Representative's Commissions) Item /1 Description Amount 1 Allfirst Trust Company of PA, NA 213 Market Street Harrisburg, PA 17101 EIN / 4,800.00 2 Marilyn McHenry 2238 N. Second Street Harrisburg, PA 17110 SSN 4,800.00 9,600.00 . AEV-1512 EX t (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Mary Wenzel Kerr, SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS ~ SS!! 062-36-0269 04/24/2002 FILE NUMBER 21-2002-0499 Include unreimbursed medical expenses. ITEM NUMBER 1 DESCRIPTION Allfirst Trust Company of PA, NA - Trustee Fee AMOUNT 249.63 2 Fast Tax Trust Services Tax Account Fee 400.00 3 HCR Manorcare Camp Hill Nursing Home Expense 3,120.59 4 Marilyn McHenry - Fee for Services as Attorney-in-Fact for Mary W. Kerr 5,200.00 4 NeighborCare Pharmacy - Medical Expense 80.28 5 PA Department of Revenue - 2002 Estimated Income Tax 229.00 TOTAL (Also enter on line 10. Recapitulation) $ 9,279.50 (It more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1512 EX (Rev, 1-97) . REV.1S13 EX +(9-00) ESTATE OF Mary Wenzel Kerr, COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES '} SSII 062-36-0269 04/24/2002 FILE NUMBER 21-2002-0499 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not List Trustee(s) OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS [Include outrlghtspousaJ distributions, and transfers under Sec. 9116(a)(1.2)] 1 Adele McLean 1995 Mariposa Seaside, CA 93955 Sister 500.00 Specific Bequest 2 Amelia Lebedevitch 6171 S. E. 126th Street Belleview, FL 34420 Sister 500.00 Specific Bequest 3 Joanne Dean Freemire 59889 Hill Crest Drive North Fork, CA 93643 Daughter 1/3 share of Residue 4 Richard Wenzel PO Box 827 18 Tompkins Avenue Glenham, NY 12527 Son 1/3 share of Residue ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON TAXABLE DISTRIBUTIONS, A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) Copyrlght{c) 2000 form software only The Lackner Group, Inc. 0.00 Form REV-1513 EX (Rev. 9-00) . '" Estate of: Mary Wenzel Kerr, Sac Sec #: 062-36-0269 Date of Death: 04/24/2002 Continuation of Schedule J, Part 1 (Taxable Bequests) Item If Name and Address of Beneficiary Relationship Amount or Share of Estate 5 Marilyn McHenry 2238 N. 2nd Street Harrisburg, PA 17110 Daughter 1/3 share of Residue '-- . , . . LAST WILL AND TESTAMENT KNOW ALL MEN BY THESE PRESENTS, that I, MARY W. KERR, presently residing at 3445 Florence Street, Apt. #2, Harrisburg, Dauphin County, Pennsylvania, being in good health and of sound and disposing memory, do hereby make, declare and publish this as my Last Will and Testament, hereby revoking all former Wills and codicils heretofore made by me. FIRST: I direct that my body be cremated and that the ashes be disposed of in accordance with the wishes of my children. SECOND: I direct that all my just debts, expenses of my last illness and funeral expenses shall be paid by my Executor, hereinafter named, from my estate, as soon after my decease as shall be found convenient. THIRD: I bequeath such of my tangible personal property as is set forth in a separate memorandum, which I shall place with my Will, to the persons therein designated. FOURTH: I devise and bequeath the rest, residue and re- mainder of my estate, whether real, personal or mixed, and of any nature whatsoever and wherever situate, to DAUPHIN DEPOSIT BANK & TRUST COMPANY, of Harrisburg, Dauphin County, Pennsylvania, to be added to and thereafter treated as a part of that certain inter vivos trust created by me on June 14, 1990, of which Dauphin Deposit Bank & Trust Company is Trustee, to have and to hold, IN TRUST, for the uses and purposes and subject to the terms and provisions thereof, including any amendments or alterations thereto, or any other inter vivos trust which may hereafter be substituted therefor. FIFTH: I hereby nominate, constitute and appoint my daughter, MARILYN W. MCHENRY, and DAUPHIN DEPOSIT BANK & TRUST COMPANY, Harrisburg, Dauphin County, pennsylvania, or any successor bank, whether by sale, purchase, merger or consoli- dation as Executors of this, my Last Will and Testament without necessity for posting security regardless of state of residence. Should my daughter, Marilyn W. McHenry, fail to qualify or cease to act as executrix, I appoint Dauphin Deposit Bank & Trust Company, executor of this my last Will. SIXTH: My Executors shall and authority conferred upon additional powers and authority: have, in addition to the powers them by law, the following )~ /'",i I UJ. l:.JJ"t tI, 1 . . 1. To sell at public or private sale, exchange, lease, mortgage or pledge any property, real or personal, at any time constituting a portion of this estate, and upon such terms and conditions as the Executors shall deem wise. 2. To invest any money at any time in such bonds, stocks, notes, real estate, mortgages, life insurance, annuities or other securities, or such property, real or personal, as the Executors shall deem wise, without being limited by any statutes or rule of law regarding investments by an executor. 3. To retain, without incurring any liability, as investments, any property owned by me at the time of my death, as long as they deem it wise, and even though such property is not the kind of property an executor would purchase as an investment; and even though to retain such property might violate sound diversification principles. 4. To cause any security or constitute a portion of my estate to tered in their own name, or in the name form that title will pass by delivery. other property which may be issued, held or regis- of a nominee, or in such 5. To consent to the reorganization, consolidation, readjustment of the financial structure, or sale of the assets of any corporation or other organization, the securities of which constitute a portion of my estate, and to take any action with reference to such securities which, in the opinion of the Executors is necessary to obtain the benefit of any such reorgan- ization, consolidation, readjustment or sale; to exercise any conversion privilege or subscription right given to them as owners of any securities constituting a portion of my estate; to accept and hold as a portion of my estate securities resulting from any reorganization, consolidation, readjustment, sale, conversion or subscription. 6. To connection with compensations to established fees estate. pay all costs, taxes, charges and expenses in the administration of my estate, including such Executors which shall be in accordance with throughout the period of administration of my 7. To determine what is "income" and what is "princi- pal" hereunder, and their decision thereon shall be final; and to purchase securities at a premium or discount, and to apply or charge said premium or discount against income or principal as the Executors may determine. rIA~C:" UJ (l,. ". - 2 . . " 8. To transfer, sell, exchange, partition, lease, mortgage, pledge. give options upon. or otherwise dispose of any property at any time held by them, at public or private sale. or otherwise. 9. To employ legal counsel, accountants, brokers, investment advisors, custodians. managers and other agents and employees and to pay them reasonable compensation out of my estate or any funds held hereunder to which said compensation is attributable. 10. To do all other acts in their judgment necessary or desirable for the proper and advantageous management, invest- ment and distribution of my estate. IN WITNESS WHEREOF, I, MARY W. KERR, my Last Will and Testament, typewritten on which I have identified at the bottom of ture, he~eunto set my hand and seal the ~-'~ ' 19 10 .' the Testatrix to this, three sheets of paper each page by my signa- ":f 0 ..f,. day of ')f'1.cv'v_t-- ;J G.vYi, Mary W. l\Ierr (SEAL) The preceding instrument consisting of this and two other typewritten pages, each identified by the signature of the Testatrix, MARY W. KERR, was on this day and date thereof signed, published and declared by MARY W. KERR, the Testatrix therein named, as and for her Last Will, in the presence of us who, at her request, in her presence, and in the presence of each other have subscribed our names as witnesses. ~~ Gc4~~ J~ /iu~ ( /\^I)~ ." ,t.'} L- jrfA./. ,/{ , ' f~ ~,~~,~ 3 _0..___.__________ . ~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN I, MARY W. KERR, Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ?J1d/U/.-o (V , /t;,A>')/ Mary W. Kkrr \,/ Sworn or affirmed to KERR, the Testatrix, the 191L. and acknowledged before me, by MARY W. ;,,6 day of J~ (SEAL) (=fk!J Co. lto~ Notary Public ( NOT ARII\l SEN_ LOIS E. HEAGY, NOTARY PUBLIC HAAR\~5'JRG, DAUPHIN C(JlJ~TY MY COMMISS:ON EXPiRES A."RiL .7, 1991 Membt'J, Penr.!i~"'~l~ ;\~,u;;c!.1\,:,\n 0\ NQfArl2S 4 . . . COMMONWEALTH OF PENNSYLVANIA , COUNTY OF DAUPHIN We 'S"OI J... t3A.~t<..;YFI",t/) and lG.''''-; ':;-;;/./-",-..) and.- , the witness whose names are signed to the attached or foregoing instrument. being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of our knowledge the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. ~~;f 1'3(uj~ ; L' ~,' /Lz . 3 ( Sworn Baskeyfield witnesses. of affirmed to and subscribed to before me by Jodi L. and Wes Johnson and this day of July 30 ,1990 (SEAL) ~~&.~ Notary Public (JJ ~OTAAIAlSEAL LOIS E. HEAGY, NOTARY PUBLIC H.\HP,If.8~JP,G, DAUPHIN COUNTY MYCQ1.i'oIIS,:CN EXPIRES APRU7. 1~91 t.\~~(~Q.r, P+.:I\i1.S'il~'lli\\a. /:.ssOciation 0; N.:;' e.:;2$ 5 - C.', --'-.,_";':;' _):':;:~;'7':~"'-~~':;":P'\'~"-x"'-:,'''';:;;'~~~;'-:::- :--:~ . . .,' "'" ',' '. MICHAEL CHEREWKA .::,--.:~-' - "-<~'~.:1~'~:~;i~~-~,f~~fh~-;'~' ,', --'' ,:-_:~'_[]S_~[JFn~t~o~_:~~E1>_ --. _ _ , ,',_ .:" H.~~.~'~.J:I':~~~YI..Y~I"'1_?jll::l';' "'(': -,-~. (717) _2~2-47.Dl '.'~':_-:- ~,~':-__c'-'.r~~,'",~...'.T.~.,'~,.;~,.~,~,.,..,.':.;;'-.>,'~", :':; ": ;~~,~;~',C ., .. <~-' "~~--i-Y:'<d" ':_;'__'~>_:}':-_:; _ .-<_ '_ '~" --~,._ - - , .:'~., <"";' ' -:~~ , :'; ..,:.;j~.:/:;/; , ''''-0,.0' :-""'.,.i,'- .:':;':. f. ,--i',:'-.; p~~ENDMENT TO FUNDED REVOCABLE TRUST AGREEMENT THIS AMENDMENT, made this Jo -6 day of (1., I. , 1990, to a Funded Revocable Trust Agreement between(~~w, KERR, as Settlor, and DAUPHIN DEPOSIT BANK AND TRUST COMPANY, as Trustee, dated June 14, 1990, WITNESSETH: WHEREAS, Mary W. Kerr created a Funded Revocable Trust by agreement dated June 14, 1990, with Trustee and reserved in Item NINTH thereof a right by Settlor, by an instrument in writing delivered to Trustee, to revoke or amend the Agreement, and WHEREAS, Mary SECOND, Paragraph B disposition upon the W. Kerr, as Settlor, desires to of said Agreement so as to death of Settlor, amend Item make other NOW THEREFORE, it is agreed between the parties hereto that Ite~ SECOND, Paragraph B. of the trust agreement dated June 14 1990, is hereby amended to read in its entirety as follows: E. Upon the death of Settlor, this Trust shall terminate, and Trustee shall distribute the then-remaining principal and any accumulated or undistributed income as follows: (1) The sum of $500.00 to Settlor's sister, Adele McLean, of Seaside, California, if she survives settlor. If Adele McLean does not survive Settlor, then her $500.00 shall be added to the shares disposed under paragraph (3) hereafter. (2) T~e sum of 5500.00 to Settlor's sister, Amelia Lebedevitchf 0: Belleviewf Florida, if she survives Set- tlor. If Amelia Lebedevitch does net survive Settlor, then her $500.00 shall be added to the shares disposed under paragraph (3) hereafter. (3} ~he balance to the settlor's childre:l! HARILYr~ ~. ~cnENRY, RICHARD H. WENZEL and JOANNE DEAN FREEMIRE, in equal stares, per stirpes. IN WITNESS WHEREOF, Settlor has hereunto set her haLd t2~ day and year first above written and Trustee has executed this instrument and caused its corporate seal to be affixed hereto. WITNESS: / i ,i ,. 'I ..."<-../ ':--.:;1 ~. '..:\ / "-'. 7' ". !..... I' .... ~ ~ . ~-~" SETTLOR: 111-,0''-1,1 M /I' . 2.?;y il\ C v..../. !U_.t..u v.l. Ker!:" DAD?E.I1'~ DEPDSl? BP~NK _ ?:P.UST CC. F-.. T':-~-ST :.~ (Tr:..:stee) ,-------r f BY :__,/~0'----!.:=!-L c.,v jJ ~ i.. .P_'_ _ _,--_ , >~ .-Vice Pres~dent ana Trust Off~cer , /. ,/' . . / ~y: ~- --<!~~~-~~~,~, -~ /~ ~ ~- Ass't. Secretary i ....-..._- I, ~.c.11.i.; ., f FUNDED REVOCABLE TRUST AGREEMENT THIS AGREEMENT OF TRUST executed in duplicate this/#~~~y of ~ ,1990, between MARY W. KERR,. 3445 Flol::ence Stree() Apt. #2, Harrisburg, 'Dauphin County, pennsylvania (hereinafter called Settlor), and DAUPHIN DEPOSIT BANK AND TRUST COMPANY, of Harrisburg, Dauphin County, Pennsylvania (hereinafter called Trustee). WITNESSETH: FIRST: settlor grants, assigns and sets over to Trustee and its successors all of the property described in Schedule A > annexed hereto and said property, together with all other property, real or personal, that may be added to trust (such property and additions being hereinafter called principal), shall be held by'Trustee, IN TRUST, upon the following terms. SECOND: Trustee shall manage all property comprising the principal pf this trust and shall collect the income therefrom and accretions thereto and shall pay the net income and hold and distribute: the principal of said trust as follows: A. pay the subject Unless otherwise directed by Settl~r, Trhstee shall net income therefrom to Settlor for and during her. life, to! th.e provisions of Item FIFTH, in monthly installments. B. Upon the death of Settlor, this Trust shall terminate, and Trustee shall distribute the then-remaining principal and any accumulated or undistributed income to the Settlor's children, in equal shares, per stirpes. THIRD; The principal and income of this trust shall be free from anticipation, assignment, pledge, or obligation of settlor and shall not be subject to any execution or attachment or to voluntary or involuntary alienation. FOURTH: Trustee shall be required to issue a financial condition of the Trust, including principal and a statement of income and expenses, term of th~ Trust on at least a quarterly basis. report of the a statement of throughout the ~~, FIFTH: Trustee shall have the to those vested in it by law and trust, applicable to all property, exercisable without court approval, distribution of all property: following powers in addition by other provisions of this whether principal or income, and effective until actual A. To or personal, principal of retain any or a'll of the assets of this trust, real including stock of Trustee, without regard to any diversification of risk. 1 ---- ------- - ., .. . '"" -:-,...."..'c~."~"'..--_..... '\ ~, ,. ",. "3T,'~"~.- ",:, ~"'(::;'",;.~h",~ ::(': ::.h.;, B. ~To invest in all forms, of ,property incl udin\;('!i"Bq!t} mutual funds, money market deposit accounts, common trust funds and .mortgage investment funds whether operated or offered by Trustee or any affiliate of Trustee, without restriction to investments authorized for Pennsylvania fiduciaries as it deems proper, w~thout regard to any principle of diversification of risk. ~.f""'''-''''''''''''~''":'''''' I C. To sell at public or private sal e, to exchange, or to lease for any period of time, any real or personal property and to give options for sales, exchanges or leases, for s~ch prices and upon such terms or conditions as it deems proper. D. To allocate receipts and expenses to principal or income or partly, ~o each as Trustee from time to time thinks proper in its sole discretion. E. To hold property in the name of Settlor, or in its name without designation of any fiduciary capacity, or in the name of a nominee or unregistered. F. To compromise claims and to abandon any property which, in Trustee's opinion, is of little or no value. G. To distribute in cash or in kind. H. My Trustee shall have the power, but not the duty, to make such payments from the principal of the trust as Trustee may think: desirable to facilitate the settlement of my estate. In the exercise of this power my Trustee may pay, in whole or in part, dir~ctly or to my Executor, any or all of (i)my debts, (ii)' the expense of my funeral and burial, and (iii) death taxes and adminis,tration expenses in connection with my estate even though they do not relate to property becoming subject to this deed. However, no property which would be otherwise exempt from federal or state death taxes shall be used' to make any payments under this article. Neither my executor or administrator nor any beneficiary of my estate shall be required to reimburse my Trustee for any such expenditures. ~'\ SIXTH: Tru~tee may apply the net income of this trust for the support of Settlor, should she by reason of age, illness or any other cause in the opinion of, Trustee be incapable of disbursing it; and Trustee is further, authorized to :expend or apply from the principal of this trust such sums as Trustee in its sole discretion may from time to time think advisable for the support of Settlor to maintain her in the station of life to which she is accustomed at the creation of this trust, or during illness or emergency. 2 - ----- - ----- - ~___~~_'-~~~_4__~~~~___~_ ~_~.____~~_ ___._~__ . . SEVENTH: property, real deed, will or Subject to the or persona I, otherwise. ;....'1..:,\iif;'l'~....... .~::."\{t,:':'r~W?~,~ approval of Trustee, anyone may add K to the principal of this trust by r , J I . ! , I ! EIGHTH: Trustee shall receive compensation for the per- formance of its functions hereunder in accordance with its standard schedule of fees in effect from time to time during the period over which its services are performed. NINTH: Settlor reserves to herself, the right by an instrument in writing intended to take effect during her lifetime signed by her delivered to Trustee to revoke or amend this agreement in whole or in part provided that the duties, powers and liabilities of Trustee shall not be s~bstantially changed without its written consent. In addition, Trustee may revoke this agreement and deliver the funds held hereunder . to a nursing home in which Settlor shall be maintained if at any time Trustee in its discretion considers such course to be advisable in the interests ~f Settlor. TENTH: The situs of this trust for administrative and accounting purposes shall be in the County of Dauphin and Commonwealth of Pennsylvania, and all questions pertaining to the construction or validity of the provisions of this instrument shall be governed by the laws of that Commonwealth. IN WITNESS the day and year this instrument hereto. WHEREOF, Settlor has hereunto set her hand first above written and Trustee has executed and caused its oorporate seal to be affixec "'~J-lY ~w.~ M 'y W. Kerr /- ::'"u. ~ . ,1"~~ (SEAL) DAUPHIN DEPOSIT BANK & TRUST CO. B~ ,-/4.L .I I' ~ ~ b-/.O 3 "~,.",~I'~~: r--."~_A- . ' . . Funded ~~vcc~~:~ Trust A;r~e~~nt S~ttlGr: MF1Y ~. Ker~ ':'::'~l:stee: Daupbit. De.FC2::..t .s::.~1: E Trust Co. . I SCHErt':'E T:.. TRD'ST PROPERTY Trustee hereby acknowledges receipt ~ribea in this Schedule A, of the property des- DAUP3!~ DEPOSI~ BANK ~ TRUST CO. (T.::u.stee) Ej'" ~ Dated: 4 ~ "1-----.-.------'.- ._L' ~. ., --~~"':?,-~".,:~~'.~:~;.~;1~~#. . . j COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF DAUPHIN On the 14th day of June , 1990, before me subscriber, a Notary Public in and for the Commonwealth and County aforesaid, personally appeared the above named Marv W. Kerr , and in due form of law acknowledged that she accepted the Trust for the uses and purposes therin mentioned. WITNESS my hand and notarial seal the day and year aforesaid. My Commission Expires: I ~d' a c//'. d:F#~.(~$/~/ . ( NOTAR~ PUB~IC . _d I~:.."':','" SEPl. t.WlY NlN N<<IERSON. NOTARYl'lJllLIC HAilRlseuRG. DAUflHINcaJNTY MY oa.1IoIlSSION EXPIAESOCT. 80, 1., MfllIIbK l'or~nit_ioIIon o!NoIories COMMONWEALTH 'OF PENNSYLVANIA 55. COUNTY OF DAUPHIN On the 14th day of June , 1990, before me, the subscriber, a Notary Public in and for the Commonwealth and County aforesaid, personally appeared Robert L. Keck Ass' t. Vice President and Trust Officer of the above named DAUPHIN DEPOSIT BANK AND TRUST COMPANY, and in due form of law acknowledged that he accepted the Trust on its behalf for the uses and purposes therein mentioned. WITNESS my hand and notarial seal the day and year aforesaid. My Commission Expires: ...._--..-... ~ ..I..,.;;AH.AEWL I MNlYNlN NlDERSCtl. NOTARY PUlI.Jc . 1WlRIS8uRG, DAUPHIN COUNTY , MYCOMMISiJC:W I!Xl'lR!locr.8O.1llllO M"""*.I'twlnIyf\....IIaloeiafio~ 01 Nolaris - - - - -~--~ - - - - - - - --- - .- Register of Wills of CUMBERLAND County, Pennsylvania INVENTORY Estate of Mary Wenzel Kerr No. 2002 - 00499 also known as Date of Death 04/24/2002 ,Deceased Social Security No. 062 - 36 - 0269 Robert L. Keck, V.P. & T.O. and Marilyn W. McHenry, Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I /We verify that the statements made in this Inventory are true and correct. l!We understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Personal Representative Name of Attorney: Michael Cherewka, Esquire Signature: 1.0. No., 35073 Signature: Address: 624 North Front Street Address: Worm1eysburg, PA 17043 Harrisburg, PA 17101 Telephone, 717/232 -4701 Telephone, 717/255 - 2148 Dated: Description Value (See continuation page(s) attached) (Attach additional sheets if necessary) Total: 96,049.31 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form1lRW-7 (1992) Estate of: Date of Death: County: INVENTORY Mary Wenzel Kerr 04/24/2002 Cumberland CASH, AARP Health Care Options - Refund 17.50 Capital Blue Cross/PA Blue Shield - Medical Insurance Refund 224.90 Commonwealth of Pennsylvania - Year 2001 Income Tax Refund 97.21 GE Capital Assurance - Medical Insurance Reimbursement 5,850.01 Signature Dental Plan & More - Refund 24.75 U.S. Treasury - Year 2001 Income Tax Refund 1/334.00 United Healthcare Insurance Company - Medical Insurance Reimbursement 420.00 7,968.37 1 Estate of: Date of Death: County: Mary Wenzel Kerr 04/24/2002 Cumberland MORTGAGE/NOTE RECEIVABLE: Note and Mortgage for $90,000 dated August 17, 1999; - Richard H. Wenzel & Aileen R. Wenzel & Mary W. Kerr; premises 18 Tompkins Avenue, Glenham, New York, due August 1, 2029 $632.38 monthly payment and interest payable at 7.55% per year beginning on October I, 1999. At option of holder principal balance due in full after the death of Mary W. Kerr. Accrued Interest from April 1,2000 & April 24, 2002. 87,663.88 417.06 88,080.94 TOTAL RECEIPTS OF PRINCIPAL............... 96,049.31 --~------------- ---------------- 2 . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX( 11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT AllFIRST TR CO OF PA NA SUCC PO BOX 2961 HARRISBURG, PA 17105-2961 nnuu fold ESTATE INFORMATION: SSN: 062-36-0269 FILE NUMBER: 2102-0499 DECEDENT NAME: KERR MARY W DATE OF PAYMENT: 01/24/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 04/24/2002 NO. CD 002081 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $3,648.50 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: AllFIRST TRUST CO OF PA NA CHECK# 20381783 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS $3,648.50 DONNA M. OTTO DEPUTY REGISTER OF WillS /-:J-bQ~/G \. BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ROBERT L KECK ALLFIRST TRUST 213 MARKET ST HBG DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 03-17-2003 KERR 04-24-2002 21 02-0499 CUMBERLAND 101 CO PA *' REY-1547EXAFPIDI-05J MARY W Amount Remitted PA 17101 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ___ RW=i5W-EX--,\j:'p--fiiY--oirNiiYicE--OF-YNHEififAifcE-TAin-pPRXisEHENT~--ALi-oWAi.rCE-OR--m--_m_m_- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF KERR MARY W FILE NO. 21 02-0499 ACN 101 DATE 03-17-2003 TAX RETURN WAS: I X) ACCEPTED AS FILED ) CHANGED NOTE: If an assessment was issued previoUSly, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ~ returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (IS) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 X 00 . .00 663,206.47 X 045. 29,844.29 1,000.00 X 12 . 120.00 .00 X 15 . .00 1I9)' 29,964.29 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule AJ 2. Stocks and Bonds (Schedule BJ 3. Closely Held stock/Partnership Interest {Schedule CJ 4. Mortgages/Notes Receivable {Schedule OJ 5. Cash/Bank Deposits/Misc. Personal Property (Schedule EJ 6. 40intly Owned Property (Schedule FJ 7. Transfers (Schedule GJ 8. Total Assets (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 88.080.94 7.968.37 279.68 612.062.07 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule HJ 10. Debts/Mortgage Liabilities/Liens (Schedule IJ 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule 4J 14. Net Value of Estate Subject to Tax (9) (10) 34,905.09 9.279.50 (11) (12) (13) (14) NOTE: To insure proper credit to your account~ submit the upper portion of this form with your tax payment. 708,391. 06 44 184 ~9 664,206.47 .00 664,206.47 '""'<n. 'NUMBER _,~+ J AMOUNT PAID DATE INTEREST/PEN PAID (-) 07-22-2002 CDOO1437 1,315.79 25,000.00 01-24-2003 CD002081 .00 3,648.50 TOTAL TAX CREDIT 29,964.29 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER DATE INDICATED~ SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) . PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE A 6.12 FORM YEARLY UNTIL COMPLETION STATUS REPORT UNDER RULE 6.12 Name of Decedent: Mary_ Wenzel Kerr Date of Death: 4/24/2002 Estate No. o~OCJ ~ - ©(3c//C~ Pursuant to Rule 6.12 of the Supreme Court, Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned Estate: 1. State whether administration of the Estate is complete: Yes x No If the answer is No, state when the personal administration will be complete: 3. If the answer to No. 1 is Yes, state the following: representative reasonably believes that the (date) a. Did the personal representative file a final account with the Court? Yes x No b. The separate Orphans' Court No. (if any) for the personal representative's account is: (Not Applicable in Dauphin County) c. Did the personal representative state an account informally to the parties in interest: Yes No Date: d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Robert L. Keck, Vice President & Trust Officer Name (Please type or print) t~ T~. dx> ~: p~ ,j~, % 213 Market Street, Harrisburg, PA 17101 Address 17~' girl Et ~{d~ ¢0. (717)255-2148 Telephone No. x Personal Representative __ Counsel for personal representative