HomeMy WebLinkAbout02-10-0915056D7121
REV-1500 EX (O6-OS)
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Tazes County Code Year File Number
Po6oxzfiosol INHERITANCE TAX RETURN
Harrisburg, PA 17120-0601
RESIDENT DECEDENT 2 1 D 9 0 0 0 0 2
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
1 8 8 D 3 8 9 0 7 1 2 2 7 2 0 0 8 0 3 1 2 1 9 2 0
Decedent's Last Name Suffix Decedent's Firs t Name MI
D E A R D O R F F K E N N E T H E
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffx Spouse's First Name MI
D E A R D O R F F M A R G A R E T K
Spouse's Social Security Number
1 3 5 7 8 7 6 8 2 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death
prior to 12-13-ffi)
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Retum Required
death after 12-12-t32)
QX 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit 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 1-1-95) (Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
•D A N I E L~ K D E A R D O R F F E S Q 7.1 7 2 4 3 3 3 4 1
Firm Name (If Applicable)
M A R T S O N L A W O F F I C E S
First line of address
1 D E A S T
Second line of address
City or Post Office
C A R L I S L E
H I G H S T R E E T
State ZIP Code
REGISTER OF WILLS USE ONLY
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Correspondent's a-mail address: DDEARDORFF(ilMARTSONLAW.COM
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and beliel,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
ADDRESS
Side 1
L 15D5607121 1505607121 J \y~
L0 EAST H1(,H S~I~KEE~I- CARLISLE PA 17013
PLEASE USE ORIGINAL FORM ONLY
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1505607221
REV-1500 EX Decedent's Social Security Number
Decedent's Name: KENNETH E• DEARDORFF 1 8 8 0 3 8 9 0 7
RECAPITULATION
........................................
1. Real estate (Schedule A) 1
..................................
2. Stocks and Bonds (Schedule B) 2~
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
4. Mortgages & Notes Receivable (Schedule D) ........................ 4.
5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) ....... 5.
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6.
7. Inter-Vivos Transfers 8 Miscellaneous N n-Probate Property
(Schedule G) ~ Separate Billing Requested ..... , . 7.
8. Total Gross Assets (total Lines 1-7) ..................... ...... 8.
9. Funeral Expenses 8 Administrative Costs (Schedule H) .......... ...... 9.
10. Debts of Decedent, Mortgage Liabilities, 8 Liens (Schedule I) ...... ...... 10.
11. Total Deductions (total Lines 9 8 10) ..................... ...... 11.
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 3ubJect 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.00o 2 3 5 0 0 0 0 15.
16. Amount of Line 14 taxable
at lineal rate X .045 0 0 0 18.
17. Amount of Line 14 taxable ~ Q Q
at sibling rate X .12 17.
18. Amount of Line 14 taxable
~
~
0
at collateral rate X .15 18.
19. Tax Due ................................................ 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
1505607221
8 4 7 8 2 7.7 0
3 2 5 1 0. 6 2
8 8 0 3 3 8, 3 2
4 6 3 4 2. 0 5
4 6 3 4 2. 0 5
8 3 3 9 9 6, 2 7
8 1 0 4 9 6, 2 7
2 3 5 0 0, 0 0
a. 0 0
~. ~ ~
0. 0 0
o. a o
o. 0 0
1505607221 J
REV-1500 EX Page 3
Decedent's Complete Address:
File Numher
21 09 00002
DECEDENT'S NAME
KENNETH E. DEAJ3DORFF
STREET ADDRESS
210 BIG SPRING ROAD
CITY
NE W V ILLE STATE
PA ZIP
17241
Tax Payments and Credits:
t~ Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
3. Interest/Penalty if applicable
D. Interest
E. Penalty
4. If Line 2 is greater than Line i + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund.
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
(4) 0.00
(5) 0.00
(5A)
B. Enter the total of Line 5+5A. This is the BALANCE DUE. (5B) 0.00
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCFtS
1. Did decedent make a transfer and: Yes No
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 .......................................................................................... ...... ^ ^X
d. receive the promise for life of either payments, benefits or care? ................................................. ...... ^
2. If death occurred after December 12, 1962, 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 security at his or her death? ... ...... ^ ^X
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ............................................................................................ ...... ^ ^X
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
[72 P.S. §9716 (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.
Far 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) [72 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)]. Asibling isdefined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
o.
0.00
TotalCredits(A+B+C) (2)
0.00
Total InterestlPenalty (D + E) (3) 0.00
REV-1503 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF FILE NUMBER
KENNETH E. DEARDORFF 21 09 00002
All property jolntlycwned with right of survivorship must be dlaclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Oppenheimer & Co., Account No. A25-0009287 (see estate valuation report attached) 835,873.94
Z• ~ 3212 shares, common, General Motors Corp (370442105)
3. 2244 shares, common, Delphi Corp (247126105)
11,900.46
53.30
TOTAL (Also enter on line 2, Recapitulation) ~ $
(lf more space is needed, insert additional sheets of the same size)
REV-1508 EX+(6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
KENNETH E. DEARDORFF 21 09 00002
Include the proceeds of litigation and the date the proceeds were received by the estate.
All oroceM lolntlvbwned with right of survivon:hip moat be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Oppenheimer & Co., Account No. AZS-0009287, Advantage Bank Deposit 8,578.75
2 December pension check from Belgium @ USD exchange rate 431.87
3 2009 Pontiac G-6 19,000.00
4 2004 Pontiac Sunfire 4,500.00
TOTAL (Also enter on line 5, Recapitulation) I $
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX+(10-06)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
KENNETH E. DEARDORFF 21 09 00002
Debts o1 decedent must be reported an Schedule 1.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Hoffman-Roth Funeral Home, Carlisle, Pa 2,159.23
8.
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s)
Street Address 10 East High S
City Carlisle
Year(s) Commission Paid: 2009
State PA Zip 1
p Attorney Fees Manson Ltlw Offices (estimated)
3, Family Exemption: (If decedenCs address is not the same as claimant's, attach explanation)
Claimant Margaret K. Deardorff
Street Address 210 Big Spring Road
City Newville State PA
Relationship of Claimant to Decedent Spouse
4. Probate Fees Register of Wills of Cumberland County
5. I AccountanCS Fees
6. ~ Tax Return Preparefs Fees
7. Certified Mail, stock certificates
R. EVP Systems, Inc., stock valuation reports
9. Register of Wills, filing fee, Inheritance Tax Retum
6.07
37.75
15.00
TOTAL (Also enter on line 9, Recapitulation) I $ 46,342.x5
20,000.00
20,000.00
3,500.00
Zip
624.00
more space is needed, insen additional sheets of the same size)
REV-1513 E%* (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE)
BENEFICIARIES
ESTATE OF FILE NUMBER
KENNETH E DEARDORFF 21 09 00002
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS linclude outrigQht spousal disUibutions, and transfers under
Sec. 91113 (a) (7.2)]
1. Margaret K. Deardorff Spousal 23,500.00
10 East High Stree[ Sch E, Items 3-4
Carlisle, PA 17013
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1. Disclaimer Trus[ for benefit of Margaret K. Deardorff, spouse 810,496.27
Linda D. Moyer and Daniel K. Deardortl-, children, remainder beneficiaries
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ R 10 496.27
(If more space is needed, insert additional sheets of the same size)
LAST WILL AND TESTAMENT
I, KENNETH E. DEARDORFF, of the Borough of Carlisle, Cumberland County,
Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish
and declare this to be my Last Will and Testament, hereby revoking any and all former
Wills or Codicils by me made.
ITEM ONE
I direct that all my just debts, funeral expenses, testamentary expenses and all
inheritance taxes shall be paid from my residuary estate as soon as practicable after
my decease and as part of the administration of my estate.
ITEM TWO
If my wife, MARGARET K. DEARDORFF, is living thirty (30) days after my ~
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death, then I give, devise and bequeath all of my estate, both real and personal
property, unto my said wife, MARGARET K. DEARDORFF, absolutely. If my said
wife does not so survive me, then I give, devise and bequeath all of my estate, both
real and personal property, unto my children, in equal shares. In the event my wife
and one or both of my children do not survive me, then I give, devise and bequeath all
my estate, both real and personal property, unto my Trustee under the provisions set
forth in the Disclaimer Trust herein.
ITEM THREE
In the event my said wife shall disclaim all or any portion of any devise or
bequest made to her under the foregoing ITEM TI,VO, then the amount otherwise
payable shall be held by my Trustee as the Disclaimer Trust under ITEM FOUR hereof.
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V+W OFFICES I
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DISCLAIMER TRUST
lIy Trustee shall hold the assets of the said Disclaimer Trust for the following ~~,
purposes:
Page -1-
(a) To pay the net income, at least quarter-annually, to my wife, MARGARET
K. DEARDORFF, for life. In addition, the Trustee, in his sole discretion, may invade
the principal of the Disclaimer Trust to provide for the proper and adequate support of
my wife, MARGARET K. DEARDORFF.
(b) The Trustee shall pay to my wife, MARGARET K. DEARDORFF, annually,
such sum from the principal of the Disclaimer Trust as she may request in writing,
provided, however, that said sum may not exceed the greater of Five Thousand Dollars
($5,000.0) or five percent (5%) of the aggregate value, at the time of said request, of ~
the principal of the Disclaimer trust.
(c) Upon the death of my wife, MARGARET K. DEARDORFF, my Trustee
shall distribute the principal of the Disclaimer Trust to my children, absolutely, in
equal shares.
PROVIDED, HOWEVER, In the event of the death of any of my children before
final distribution of that child's share of the Disclaimer Trust, the Trustee shall hold
said deceased child's share in trust for the benefit of said deceased child's issue and ~
I
shall distribute equally to the issue of said deceased child in a per stirpes manner that
child's share of the principal of the Disclaimer Trust in the following amounts when
the issue shall reach the following ages: One-third (1/3) of the principal of the trust I
when the youngest issue reaches the age of twenty-one (21) years; one-half (1/2) of the 'I
remaining principal of the trust when the youngest issue reaches the age of twenty- ,
five (25) years; the remainder of the principal of the trust when the youngest issue
reaches Che age of thirty (30) years. However, in no event shall the principal of this
trust vest later than twenty-one (21) years after the death of the survivor of my
spouse and my children. I
WW JFFICES
ILLITM F. MANT=. i ._.
Page -2-
Prior to the vesting of said principal, the Trustee is directed to distribute the
income of said trust equally to said issue and to distribute so much of the principal
therefrom as the Trustee shall from time to time consider desirable for each issue's
comfort, education, and support.
In the event of the death of any of Settlor's aforementioned children not leaving ~
issue before final distribution of the principal of the Disclaimer Trust, the Trustee
shall add such child's share, or the balance thereof, equally to the other shares
provided above, to be held or distributed as if originally a part thereof.
TTFM FTVF
POWERS OF EXECUTRIX AND TRUSTEE
In addition to the powers conferred by case law, by statute, and by other
provisions hereof, my Executrix and Trustee and their successors, shall have the
following discretionary powers applicable to all property held by them which powers
shall be effective without order of any court and shall exist until final distribution:
(a) To retain any property of any nature received by them for whatever period
they shall deem advisable;
(b) To invest and reinvest all or any part of said property in such stocks, bonds,
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securities or other property, real or personal, as in their discretion they shall deem i
proper, without regard to statutes limiting the property which a fiduciary may
purchase;
(c) To sell, transfer, exchange or otherwise dispose of, any part of said
property, for cash or on terms, publicly or privately, or to lease, even for a term
exceeding five (5) years or the duration of any trust herein, without liability on the
purchasers or lessees to see to the application of the proceeds, and to give options for
',.AW OFFICES
LLL,M F..+.,a.~~. V .. i these purchases without the obligation to repudiate them in favor of a higher offer;
p Page -3-
(d) To execute and deliver any deeds, leases, assignments or other instruments
as may be necessary to carry out the provisions of any trust hereunder;
(e) To borrow money, including the right to borrow money from any bank and
to mortgage or pledge any asset of the estate as security;
(f) To assume continuance of the status of any beneficiary with regard to
death, marriage, divorce, illness, incapacity and the like in the absence of information
deemed reliable without liability for disbursements made on such assumption;
(g) To pay from the Disclaimer Trust, or the income therefrom, all debts or
claims against my estate, or any taxes or similar charges on my estate;
(h) To make any distribution hereunder either in kind or in money, or partially
in kind and partially in money. Distribution in kind shall be made at the market value
of the property distributed, and my Trustee, in its absolute discretion, may cause the
share distributed to. any distributee to be composed of property similar to or different
from that distributed to any other distributee;
(i) To exercise any subscription right in connection with any security held
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hereunder, to consent to or participate in any recapitalization, reorganization,
consolidation or merger of any corporation, company or association, the securities of
which may be held hereunder, to delegate authority with respect thereto, to deposit
investments under agreements, to pay assessments, and generally to exercise all rights
of investors;
(j) To invest in endowment, insurance or annuity policies on the lives of
beneficiaries of any trust hereunder;
(k) 'Po continue in any partnership, joint venture, joint ownership or other
business enterprise of which I am a part at the time of my death;
LAW tiFFICES
IIiITM F. MAR'_=~:h i .~ \l) To compromise claims;
~~ Page -O-
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~i (m) To continue for whatever period of time as they shall deem necessary any ~
II ownership as a tenant in common or as a partner, in real estate or other property and
to act as I could have done had I been living;
(n) To do all other acts in their judgment necessary or desirable for the proper
management, investment and distribution of my Estate.
iTRM CiX
PROTECTNE PROVISIONS
All income or principal held for the use and benefit of the beneficiaries of any
trust hereunder shall not be in any way or manner subject to anticipation, assignment,
pledge, sale or transfer, nor shall any such interest, while in the possession of my
Trustee, be liable for or subject to the debts, contracts, obligations, liabilities or torts
of any beneficiary, or to attachments, executions or sequestrations under process of
law.
If any beneficiary of either trust shall, in the sole opinion of my Trustee, be or
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'SAW JFFICES
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become mentally or physically incapacitated, by reason of illness, accident, minority
or otherwise, my Trustee may apply either income or principal for the support and
welfare of such beneficiary directly or to the person who has the care and control of
such beneficiary, without the intervention of any guardian and without obligation to ji
supervise application of said amounts in any way.
TTR.M RR.VFN
APPOINTMENT OF EXECUTRIX AND TRUSTEE
I nominate, constitute and appoint my wife, :MARGARET K. DE ARDORFF, as
Executrix of my estate. [n the event that my said wife shall predecease me or fail to
act as Executrix, then I appoint my children as Executors of my estate.
Page -5-
I hereby appoint my son, DANIEL K. DEARDORFF, as Trustee of any trust
created hereunder. In the event that he shall fail or be unwilling to continue to act as
Trustee, then I appoint my daughter, LINDA DEARDORFF MOYER, as Trustee of any
trust created hereunder.
ITEM EIGHT
WAIVER OF BOND
I direct that neither my Executrix nor my Trustee shall be required to file any
bond in any jurisdiction to secure the faithful performance of their duties, nor shall
they be required to obtain any order or approval of any court for the exercise of any
power or discretion set forth in this Will.
IN WITNESS WHEREOF I have hereunto set my hand and seal this /~(~ day of
(1Pr~ ~ , 1982.
~"" `' ~~`~`"vG (SEAL)
Kenneth E. Deardorff
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L\W OFFICES
ILLITM F. MART,^OV. ~,
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testator,
as and for his Last Will and Testament, in the presence of us, who at his request, have
hereunto subscribed our names as witnesses thereto, in )<h presence of said Testator
and of each other.
Cj~\~
Page -6-
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND )
I, Kenneth E. Deardorff, Testator, 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 4Vi11; that I signed it
willingly; and that I signed it as my free and voluntary act for the purposes therein
expressed.
-~-~--
Sworn or affirmed to and acknowledged before me by Kenneth E. Deardorff, the
Testator, this 1 ~ ~h day of F)P~i! , 1982.
Notary Public WILLIAM L.-EARP, Notary Public
Carlisle, Car-•bFrlard Co., PA
COMMONWEALTH OF PENNSYLVANIA ) My ~-ommision E~pnes Aug, 13, 1984
SS.
COUNTY OF CUMBERLAND )
We, 2"VO V` , ~~ rTc~ ,~!;~ ``-( I I I OM~gS .S u~ i ~_L I V~;rns
the witnesses 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 ,the
Testator sign and execute the instrument as his Last Will; that the Testator signed
willingly and that the Testator executed it as his free and voluntary act for the
purposes therein expressed; that each of us, in the hearing and sight of the Testator,
signed the Will as witnesses; and that to the best of our knowledge the Testator was at
that time 18 or more years of age, of sound mind an under no constraint or undue
influence. ~
Addr ss ~ ,, - ~ .- i- . ~ . ~
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~'H OFFICES
ILLITM F. MPH~St',-V. i. ~_,
Sworn or affirmed to and subscribed before me this / / `` day of
nr/~~ 1982.
Notary Public
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Date of Death: 12/27/2008
Valuation Date: 12/27/2008
Processing Date: 02/09/2009
Oppenheimer Account
Estate of: Kenneth E Deardorff
Account: 4824.4
Report Type: Date of Death
Number of Securities: 15
File ID: 4824.4.opp.ind
Shares Security Mean and/or Div and Int Securrty
or Par Description High/Ask Low/Bi d Adjustments Accruals Value
1) 1333 AQUA AMERICA INC 103836W103; WTA)
COM
NYSE
12/26/2008 20.14000 19. 87000 H/L
12/29/2008 20.05000 19. 49000 H/L
19. 887500 26,510. 04
2) 2400 BRISTOL MYERS SQUIBB CO (110122108; BMY)
COM
NYSE
12/26/2008 23.90000 23. 00000 H/L
12/29/2008 23.39000 22. 63000 H/L
23 .105000 55,952. 00
3) 500 COCA COLA CO (191216100; KO)
COM
NYSE
12/26/2008 49.93000 94. 27000 H/L
12/29/2008 44.86000 93. 72200 H/L
94 .945500 22,222. 75
4) 41 FAIRPOINT COP49UN ICATIONS INC (305560104; FAP)
COM
NYSE
12/26/2008 3.48000 3. 28000 H/L
12/29/2008 3.46750 3. 22750 H/L
3 .363750 137. 91
Prices for 12/29/2008 adjusted up for di vidend (sl : 0.2575
5) 1000 HARTFORD FINL SVCS GROUP INC 1416515104; NIG)
COM
NYSE
12/26/2008 15.97000 15. 17000 H/L
12/29/2008 15.87000 15. 09000 H/L
15 .512500 15,512. 50
Div: 0.32 Ex: 11/26/2008 Rec: 12/01/2008 Pay: 01/02/2009 320.00
6) 3000 HONEYWELL INTL INC (938516106; HON)
COM
NYSE
12/26/2008 32.25000 31 .37000 H/L
12/29/2008 31.25000 30 .65000 H/L
31 .380000 99,140. 00
7) 500 INTEL CORP (958140100; INTC)
COM
NASDAQ
12/26/2008 19.31000 14 .06000 H/L
12/29/2008 19.35000 13 .91000 H/L
19 .157500 7,078 .75
8) 500 JOHNSON & JOHNSON (478160109; JNJ)
COM
NYSE
12/26/2008 59.39000 58 .20000 H/L
12/29/2008 58.88000 57 .34000 H/L
58 .940000 29,220 .00
9) 500 NEWMONT MINING CORP (651639106; NEM)
CDM
NYSE
12/26/200A 39.20000 36 .79000 H/L
12/29/2008 41.13000 39 .23000 H/L
39 .087500 19,543 .75
Div: 0.1 Ez: 12/03/2008 Aec: 12/05/2008 Pay: 12/29/2008 50.00
Paqe 1
This report was produced with Esta [eVal, a product of Estate Valuations & Pricing Systems, Inc. If you have cP~zstions,
please contact EVP Systems at 1818) 313-6300. (Revision fi.4.1)
E.chibit to Schedule "E", Item ! (1/2)
Date of Death: 12/27/2008 Estate of: Kenneth E Deardorff
Valuation Date: 12/27/2000 Account: 4824.4
Processing -ate: 02/09/2009 Report Type: Date of Death
Number of Securities: 15
File LD: 4829.9.opp.ind
Shares Security Mean and/or -iv and Int Security
or Paz Description High/Ask Low/Hid Adjustments Accruals Value
101 19500 PENN NATL GAMING INC (707569109; PENN)
COM
NASDAQ
12/26/2008 21.91000 20.55000 H/L
12/29/2008 21.06000 20.25000 H/L
20.817500 405,991.25
11) 900 PROVIDENT ENERGY TR (74386K104; PV%1
TR UNIT
NYSE 3.99000 3.85000 H/L
12/26/2008
12/29/2008 4.21000 3.96000 H/L
4.002500 3,602.25
Div: 0.07158 Ex: 12/18/2008 Rec: 12/22/2008 Pay: 01/15/2009 54.42
121 9000 SCHERING PLOUGH CORP (806605101; SGP1
COM
NYSE
12/26/2008 16.72500 16.46000 H/L
12/29/2008 16.66000 16.21000 H/L
16.513750 66,055.00
13) 771 STAAWOOD HOTELS&RESORTS WRLDWD (85590A901; HOT)
COM
NYSE 17.20000 16.62000 H/L
12/26/2008
12/29/2008 17.53000 16.58000 H/L
16.982500 13,093.51
Prices for 12/29/2008 adjusted up for dividend(s): 0.9
14) 1000 TATA MTAS LTD (876568502; TTM)
SPONSORED ADA
NYSE
12/26/2008 4.38000 9.23000 H/L
12/29/2008 4.61000 9.21000 H/L
9.357500 4,357.50
15) 2196 VERIZON COMMUNICATIONS INC (92393 V109; VZ)
COM
NYSE
12/26/2008 33.30000 32.88000 H/L
12/29/2008 33.93000 32.58000 H/L
33.047500 72,572.31
Total Value: $835,439.52
Total Accrual: $434'42
Total: $835,873.99
Page 2
This report was produced with EstateVal, a product of Estate Valuations 6 Pricing systems, Lie. If you have questions,
please contact EVP systems at 18181 313-6300. ~Aevision 5.9.11
Exhibit to Schedule "E'". Item ! (2/2)
F:~FaES~cre~~.~aaza oeareo,maeza n.eixia~m..
IN RE: ESTATE OF : IN THE COURT OF COMMON PLEAS OF
:CUMBERLAND COUNTY, PENNSYLVANIA
KENNETH E. DEARDORFF,
ORPHANS' COURT DIVISION
DECEASED : NO. 21-09-00002
DISCLAIMER AND RENUNCIATION
I, Margaret K. Deardorff, by her Agent, Daniel K. Deardorff, hereby exercise the rights granted
to me in Chapter 62 of the Probate, Estates and Fiduciaries Code (the "PEF Code"), and I hereby
disclaim and renounce any interest to which I may be entitled under Item Two of the Last Will and
Testament of Kenneth E. Deardorff dated April 14, 1982, and probated at the above number and under
applicable law, with the exception of the following assets:
Date of Death Value
2009 Pontiac G-6 19,000.00
2004 Pontiac Sunfire 4.500.00
IN WITNESS WHEREOF, intending to be legally bound hereby and intending that this
Disclaimer and Renunciation shall be filed of record in the Office of the Clerk of the Orphans' Court
Division of the Court of Common Pleas of Cumberland County, Penn$ylvania, as rovided in Section
6204 of the PEF Code, I have hereunto set my hand and seal this c.~ day of ~ ~,- , 2009.
Dantel K. Deardorff, PO r
Margaret K. Deardorff
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND )
On this, the ~~ ~~~ day of I~ chi-u rz, < , 2009, before me, a Notary Public, the
undersigned officer, personally appeared Danie( K; eazdorff, known to me (or satisfactorilyproven)
to be the person whose name is subscribed as agent/attorney-in-fact for Mazgaret K. Deardorff, and
acknowledged that he executed the same as the free act of his principal for the purposes therein
contained.
IN WITNESS WHEREOF, I have hereunto set my hand and notarial seal.
Notary Public ~-
~/
~~AIYION`.A~.-LLlli OF fE~AS}L.Y:A~IA
V~)C\RLAL SF_AL
tbni net then, tiotap' Public
I Carii~ic Rern~:gh. C~rnherland l ounry
~1y comnics6m ._~pir<~ A7av _'Z _UI I