HomeMy WebLinkAbout08-14-091505607121
-a REV-1500 Ex (O6-OS) OFFICIAL USE ONLY
PA Department of Revenue
Bureau of IndNldual Taxes County Code Year Flle Number
Poeox2eosD1 INHERITANCE TAX RETURN 2 1 0 9 0 0 9 8
HertisWm PA 17128-0601 RESIDENT DECEDENT _
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
2 0 9 0 5 7 6 8 5 0 1 2 2 2 0 0 9 0 4 0 2 1 9 1 8
Decedent's Last Name Suffix Decedent's First Name MI
B E Y E R S M A R Y L O U I S E
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
® 1. Original Retum ~ 2. Supplemental Retum ~ 3. Remainder Return (date of death
poor to 12-13-82)
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Ratum Required
death after 12-12-82)
® 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust ~ 6. Total Number of Safe Deposit Boxes
(Attach Copy of WIII) (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 Seh. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD SE DIRECTED T0:
Name Daytime Telephone Number
J O E L R Z U L L I N G E R 7 1 7 2 6 4 6 0 2 9
Finn Name (If Applicable)
RE61 OF WILLS~E ONLY
~
Z U L L I N G E R D A V I S, P ..
C B c ~
First line of address ~ ~ ~~I~
1 4 N O R
T
H
M A
I
N S T R E E i rn _ d
T ~ ~~~~ ~- _- ddd'
_
Second line of address CC77 r
p ~ v
C ~ Tr .5.
{J~
S U I T E 2 0 0 ~ --
City or Post ~ce Stets ZIP Code ~ DATE FILEgV
C H A M B E R S B U R G P A 1 7 2 0 1
Correspondent's a-mail address:
Slue 7
1505607121 1505607121 J
,
J
1505607221
REV-1500 EX
Decedent's Social Security Number
Deoedent'a Name: MARY LOUISE BEYERS 2 0 9 0 5 7 6 8 5
RECAPITULATION
1. Real estate (Schedule A) ........................................ 1.
2. Stocks antl Bontls (Schedule B) .................................. 2.
3. Closet' Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
4. Mortgages 8 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 -Probate Property
(Schedule G) ~ Separate Billing Requested ....... 7.
8. Total Grose Assets (total Lines 1-7) ........................... B.
1 3 9 2 7 5, 6 5
1 9 7 9 9 9, 2 8
3 0 2 9 0, 2 5
5 2 7 2, 5 0
3 7 2 8 3 7, 6 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 91 t3 Trusts for which
an election to tax has not been made (Schedule J) .................. 13.
14. Net Value Subject to lax (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. 9118
16. Amount of Line 14 taxable
at lineal rate X .045 3 2 4 7 1 6. 5 8 ts.
17. Amount of Line 14 taxable
at sibling rata X .12 0 . 0 Q t7,
18. Amount of Line 14laxable
at collateral rate X .15 O . O O 18,
19. Tax Due ................................................ 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
3 8 4 3 1, B 8
3 1 6 9, 9 6
4 1 6 0 1, B 4
3 3 1 2 3 5, 8 4
6 5 1 9, 2 6
3 2 4 7 1 6. 5 8
~. 0 ~
1 4 6 1 2. 2 5
~. ~ ~
~ . ~ L]
1 4 6 1 2. 2 5
Side 2
L 15056117221 1505607221
REV•i5D0 EX Pape 3
Decedent's Complete Address:
File Number
21 09 0098
DECEDENTS NAME
MARY LOUISE BEYERS
STREET ADDRESS
101 South Queen Street
CITY STATE 21P
Shi ensbur PA 17257
Tax Payments and Credits:
1 • Tax Due (Page 2 Une 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
3. InteresUPenalty fi applicable
D. Interest
E. Penalty
4.
12.825.00
675.00
If Line 2 is greater than Une 1 +Line 3, enter the dliference. This is the OVERPAYMENT.
Fill Irt 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.
(1) 14.612.25
Total Credits (A * B +C) (2) 13, 500.00
Total lnteresUPenalty(D+E) {3) 0,00
(4) 0.00
(5) 1,112,25
(SA)
B. Enter the total of Line 5 +SA. This is the BALANCE DUE. (58) 1,112,25
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred : ................................................................. .....
b. retain the right to designate who shall use the properly Vansferted or its income : ........................ ...
^
c. retain a reversionary interest; or .......................................................................................... ...
...... ^
d. receive the promise for life of either payments, benefits or cere7 ................................................. ...... ^
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate considerafion7 ................................................................................. ...... ^
3. Did decedent own an "intrust for' or payable upon death bank arxounl or security at his or her death? ... ...... ^
4. Did decedem own an Individual ReOrement Aarount, annuity, or other non-probate property which
contains a beneficiary designafion7 ............................................................................................ ...... ^
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 a after January 1,1995, the tax rate imposed on the net value of transfers to or fa the use of the surviving spouse is zero (O) percent
[/2 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 Ne only benefiaary.
For dates of death on or after July 1,2000:
The tax rate imposed on the net value of transfers from a deceased child twentyone 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 beneficiades is four and one-haH (4.5) percent, except as noted in
72 P.S. §9116(1.2) (72 P.S. §9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [!2 P.S. §9116(a)(1.3)]. A sibling is defined, under
Section 9102, as an individual who has al least one parent in common with the decedent, whether by blood or adoption.
REV-1502 EX + (8-96)
SCHEDULE A
COMMONWEALTH OF PENNSYLVANIA REAL ESTATE
lNHERRANCE TAX RETURN
ESTATE OF F0.E NUMBER
MARY LOUISE BEYERS 21 09 0098
All real properly owned eokly or as a tanaM to common must be reporOSd at fair market value. Falr market value fs defined as the price etwhich property would be
exchanged between a wllling buyer and a willing seller, neigrer being compelled to buy or sell, both having reasonable knowletlge of the relevant facts.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
3ross proceeds from sale of real estate situate at
01 South Queen Street, Shippensburg, PA, to
7atthew A. Reath
2. Received on proration of real estate taxes ~ 275.65
_.. --___ ___ _... mmeresoeretaneeded.inaarteddMbnalatreeborthesamesize)
REV-1503 EX+ (8.98)
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INNERlTANCE TAX RETURN
RESIDENT DECEDENT
MARY LOUISE BEYERS 21 09 0098
All property Jointly-ovmed with dght of sunNonhip must be dkebsed on Sehedub F.
ITEM
DESCRIPTION
3rrill Lynch Account #697-14843, consis
shown on attached valuation, including
date of death
accrued
TOTAL (Also enter on line 2, Recapitulation) ~ S
VALUE AT DATE
197, 999.28
----- - -. - -.- - rn mnm Hoare Ia needed. frtsert additlonal ahBeb of the same size)
REV•150a EX+ (6-9a)
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
MARY LOUISE BEYERS 21 09 0098
Include the proceeds of Iltpetlon and the date me proceeds were received by dre esta~.
All props Jel owned whh rl M of survHonehl must be dlscbsed on SchaduN F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Personal property appraised by Carl E. Ocker, with copy attached 4,525.D0
2. Prorated payment from State Employees' Retirement System 155.90
3. Genworth Financial, benefit for nursing home care 5,280.00
4. PA Revenue Refund 229.63
5. Genworth Financial, refund of unearned premium 998.62
6. Net proceeds from sale of personal property by 19,090.61
Carl E. Ocker, Auctioneer
7. Refund, Embarq 10.49
TOTAL (Also enter on line 5, Recapitulation) ~ S
-. _ --..._.... __._. 11fmOm BDSCe l3 needed. insen addlllOrlel3heel3 Of the 88n1e 3178)
REV-1509 EX + (8-98)
SCHEDULE F
COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
MARY LOUISE BEYERS 21 09 0098
If an asset was made iolM whhln one yur of the deeedaM'a date of tleath, h moat be nparted on Sehedub G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
DECEDENT
A. Mary Ann
JOINTLY.DWNED PROPERTY:
Richmond Highway, #301
ndria, VA 22306
oaugnter
ITEM
NUMBER LETTER
FOR JOINT
TENANT DATE
MADE
JOINT DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTfTUTION AND BANKACCOUNT NUMBER OR SIMILAR
IDENTIFYINGNUMBER ATTACH DEED FORJOINTLY-HELD REAL ESTATE.
DATE OF DEATH
VALUE OF ABSET %OF
DECDS
INTEREST DATE OF DEATH
VALUE OF
DECEDENI"S MTEREST
1. A. 3/07 Checking Account #104833, Orrstown Bank, 1,538.21 50. 769.11
including interest accrued to date of death
2. A 3/07 Savings Account #703001083, Orrstown Bank, 9,006.76 50. 4,503.39
including interest accrued to date of death
TOTAL (Also enter on line 6, Recapdulation)
kLVerl additlonal sheets of Ub same size)
REV-1511 EX+(10-OB)
COMMONWEALTH OF PENNSYLVANIA
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
MARY LOUISE BEYERS 21 09 0098
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Fogelsanger Bricker Funeral Home, funeral expenses 10,665.60
2. Food for meal after funeral 401.34
B.
1.
ADMINISTRATIVE COSTS:
Personal Representative'sCommissions
Name of Personal RepreseMatNe (s)
Street Address
Clly
State Zip
Year(s) Commission Paid:
p, AdomeyFees Joel R. Zullinger 8,500.00
3. Famiy Exemption: (If decedent's address is not the same as claimant's, attach expWnation)
Claimant
Street Address
City State Zip
Relatlonship of Claimant to Decedent
4. Probate Fees Letters - 260.00; short certificates 24.00; automation 5.00; JCP fee 10.00; 434.00
will 15.00; filing return 20.00; additional probate fee 100.00
5 AxountanCs Fees
6. Tax Rehm Preparefs Fees
7. Mary Ann Rudy, reimbursement for lock 113.41
8. Shively Motors, vehicle service 21.46
9. Nationwide Insurance, vehicle insurance 110.01
10. Comcast, cable service 39.19
11. Ausherman Bros., apppraisal of real estate 300.00
12. Telecom USA, telephone service 46.97
13. Leffler Energy, fuel oil 306.00
14. Cumberland Law Journal, advertise letters 75.00
15. Penelec, utilities 87.14
16. Embarq, telephone service 38.00
17. Comcast, cable service 39.19
18. Nationwide Insurance, vehicle insurance 110.02
TOTAL (Also enter on line 9, Recapitulation) S 38.431.88
(If more space b needed, Insert eddltlonal sheet of the same stray
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
MARY LOUISE BEYERS 21 09 0098
Decedent's Name Pege 1 File Number
Schedule H -Funeral Expenses 8 Administrative Costs - B7.
ITEM
NUMBER
DESCRIPTION
AMOUNT
19. News-Chronicle, advertise letters 8.25
20. Telecom USA, telephone service 28.65
21. Borough of Shippensburg, water, sewer and refuse service 203.56
22. Pittman 8 Davis, due on monthly fruit account 39.00
23. Mary Ann Rudy, executor of the estate, mileage reimbursement 594.00
24. Penelec, utilities 84.09
25. Shippensburg Borough, dumpster fee 25.00
26. Nationwide, vehicle insurance (monthly) 110.02
27. Comcast, cable service 39.19
28. Brad Etchberger, prepare individual income tax returns 370.50
29. Mary Ann Rudy, executor of the estate, mileage reimbursement 594.00
30. Embarq, telephone service 33.34
31. Shippensburg Borough, dumpster fees 74.60
32. Penelec, utilities 69.70
33. Embarq, telephone services 34.92
34. Comcast, cable service 39.19
35. Nationwide, vehicle insurance 110.02
36. Telecom USA, telephone service 28.90
37. Zullinger Brenize, lawn maintenance 55.65
38. Telecom USA, telephone service 28.90
39. Embarq, telephone service 33.34
40. Penelec, utilities 76.69
41. Zullinger Brenize, lawn maintenance 55.65
42. Shippensburg Borough, dumpster fee 25.00
43. TC Hauling, removal of trash prior to sale of real estate 750.00
44. Carl E. Ocker, Auctioneer, appraisal of personal property 125.00
45. Shippensburg Borough, final dumpster fee 56.00
46. Funds paid for Seller's assistance at sale of real estate 4,170.00
47. 2009 County and Borough real estate taxes paid at sale of real estate 591.53
48. Real Estate Excel, commission on sale of real estate 6,360.00
49. Real Estate Excel, transaction fee at sale of real estate 250.00
50. 1 % Realty Transfer Tax paid at sale of real estate 1,390.00
51. Borough of Shippensburg, final water, sewer and refuse bill 223.56
52. Briggett Gregg, cleaning residence prior to sale 270.00
53. Zullinger-Brenize, lawn maintenance prior to sale 111.30
54. Roger Chestnut, repair work 65.00
SUBTOTAL SCHEDULE H-B7 I 17,144.55
REV-1572 EX + (12-03)
SCHEDULE 1
COMMONWEALTH OF PENNSYLVANU\ DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES, 8r LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
MARY LOUISE BEYERS 21 09 0098
Report debts Incurred by the decedent prior to death which remained unpaid as of the date of death, Including unrelmbureed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Penelec, utilities 87.03
2. Telecom, telephone service 28.65
3. Comcast, cable service 49.24
4. D&L Gulf, gas 69.03
5. State Employees' Retirement System, return of 83.09
overpayment
6. Embarq, telephone service 33.19
7. Chambersburg Hospital, medical services 6.36
8. Shippensburg Health Care, medical services 12.00
9. Pittman & Davis, balance due on account 19.50
10. Leffler Energy, balance due for fuel oil 338.53
11. Pharma Care, balance due for prescriptions 122.52
12. Patriot News, balance due on subscription 10.75
13. Reader's Digest, balance due on subscription 23.29
14. Shippensburg Health Care, balance due on 1,848.00
medical care
15. Bathers Internal Medicine, balance due for 40.00
medical care
TOTAL (Also enter on line 10, Recapitulation) S 3.169.96
(If more space b needed, Insen addebnel sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
MARY LOUISE BEYERS
Decedent's Neme
Schedule I -Debts of Decedent, Mortgage Liabilltles, & Liens
21 09 0098
File Number
ITEM
NUMBER
DESCRIPTION
AMOUNT
16. Zullinger Brenize, balance due on account
for lawn work and maintenance 388,78
SUBTDTALSCHEDULEI 898,78
GRANDTOTALSCHEDULEI S 3,169.96
REV-t 513 EX+(9-0°)
COMMONWEALTH OF PENNSYLVANIA
INHERRANCE TAX RETURN
SCHEDULE J
BENEFICIARIES
NUMBER
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT
Do Not List Trustee(s- AMOUNT OR
OF ESTATE
I TAXABLE DISTRIBUTIONS (include outrightapousal distributions, and 4ansfers under
Sec. 9116 (e (1.
1. Eric Reeser Lineal 6,519.27
P.O. Box 63 2% of residue
Rico, CO 81332
2. Will Reeser Lineal 6,519.27
5505 N. Wilbur Street 2% of residue
Portland, OR 97217
3. Ann Reeser Lineal 6,519.27
P.O. Box 1896 2% of residue
Telluride, CO 81435
4. Emily Ryan Lineal 6,519.27
5807 W. Lake Road 2% of residue
Conesus, NY 14435
5. Mary Ann Rudy Lineal 91,114.25
6441 Richmond Highway, #301 22.5% residue85,841.75
Alexandria, VA 22305 #1 &2-Sch F - 5272.50
6. William E. Beyers, Jr. Lineal 60,841.75
P.O. Box 531252 22.5% of residue, less
St. Petersburg, FL 33747 25,000.per para. V of will
7. Beverly D. Ryan Lineal 85,841.75
906 S. Washington Street, Apt. 211 22.5% of residue
Alexandria, VA 22314-4266
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, O N REV-1500 COVER SHEET
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
Shippensburg University Foundation, Inc.
1871 Old Main Drive
Shippensburg, PA 17257 2% of residue
6,519.26
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I ;
space is needed, insen
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
MARY LOUISE BEYERS 21 09 0098
Decedent's Name Paga 3 File Number
Schedule J -Beneficiaries -1
NUMBER
NAME AND ADDRESS OF PERSONS RECEIVING PROPERTY RELATIONSHIP TO DECEDENT
Do Not List Tru s) AMOUNT OR SHARE
OF ESTATE
Y TAXABLE DISTRIBUTIONS (include outright spousal distdbutions)
8. Jane A. Beyers Lineal 60,841.75
101 S. Washington Street 22.5% of residue, less
Shippensburg, PA 17257 25,000.per para V of will
JRZ - 5.l beyers.2 January 31, 2008
LAST WILL AND T85TAMENT
I, Mary Louise Beyers, of 101 South Queen Street,
Shippensburg, Cumberland County, Pennsylvania, being of sound and
disposing mind, memory and understanding, do hereby declare this to
be my will, hereby revoking any and all former wills and codicils
thereto by me heretofore made.
I.
~.
,~
R
I direct that all my just debts and funeral expenses,
including all expenses of my last illness, shall be paid from my
estate as soon as practicable after my decease as a part of the
expense of the administration of my estate.
II.
I give, devise and becTUeath the residue of my estate of every
nature and wherever situate as follows:
A. Two percent thereof to Shippensburg University
Foundation, Inc.;
B. Two percent thereof to my grandson, Eric Reeser, if he
survives me by thirty days. In the event my said
grandson predeceases me or dies on or before the
thirtieth day following my death, his share shall be
i
distributed equally among my remaining grandchildren in
these remaining paragraphs C, D, and E;
C. Two percent thereof to my grandson, Will Reeser, if he
survives me by thirty days. In the event my said
grandson predeceases me or dies on or before the
thirtieth day following my death, his share shall be
distributed equally among my remaining grandchildren in
these remaining paragraphs B, D and E;
D. Two percent thereof to my granddaughter, Ann Reeser, if
she survives me by thirty days. In the event my said
granddaughter predeceases me or dies on or before the
thirtieth day following my death, her share shall be
distributed equally among my remaining grandchildren in
these remaining paragraphs B, C, and E;
E. Two percent thereof to my granddaughter, Emily Ryan, if
she survives me by thirty days. In the event my said
granddaughter predeceases me or dies on or before the
thirtieth day following my death, her share shall be
distributed equally among my remaining grandchildren in
these remaining paragraphs B, C and D;
F. Ninety percent thereof to my children, namely Mary Ann
Rudy, William E. Beyers, Jr., Beverly D. Ryan and Jane A.
Beyers, in equal shares, provided that the share of any
child who predeceases me or dies on or before the
thirtieth day following my death shall be distributed to
said beneficiary's issue, per stirpes, living on the
Page 2
thirty-first day following my death, and in default of
any such then-living issue, such share shall be added to
the share or shares of my other then-living children.
G. when issue is used herein, it shall not include step-
children,
II2.
Any distribution to be made to my daughter, Jane A. Beyers,
shall not be distributed outright to her, but shall be distributed
I ~~ to my daughters, Mary Ann Rudy and Beverly D. Ryan, IN TRUST, for
the benefit of my daughter, Jane A. Beyers, as follows:
A. During the life of my daughter, Jane A. Beyers, no
portion of the principal of this trust shall be paid to
said beneficiary or expended for said beneficiary's
benefit nor distributed for any other purposes whatsoever
except as hereinafter expressly provided.
B. No payments of income shall be made from this trust to or
for the benefit of my daughter, Jane A. Beyers, until the
trustee has taken into consideration all of said
beneficiary's available assets and sources of income
including entitlement to benefits and services from any
local, state or Federal government or agency (or from any
private agency).
C. During the life of my daughter, Jane A. Beyers, no
portion of this trust, either principal or income, shall
Page 3
fiJ
,~
,F
s
D
E
be subject to anticipation, pledge, assignment or
obligation of my daughter, Jane A. Beyers, nor be subject
to any reimbursement, execution, attachment, levy or
sequestration or other claims of or interference from the
creditors of my daughter, Jane A. Beyers, or of said
beneficiary's estate or of any one who may be obligated
for said beneficiary's support, including any government
or governmental agency or private agency which has
provided benefits or services to my daughter, Jane A.
Beyers.
During the life of my daughter, Jane A. Beyers, subject
to the consideration stated in subparagraph B and C
herein, my trustee may expend upon my daughter, Jane A.
Beyers, for said beneficiary's health and medical care,
support and maintenance and reasonable comfort, so much
of the income or the principal of the trust as my trustee
shall determine. My trustee shall have sole and absolute
discretion in determining whether such expenditure for
is to be made. It is my desire that the trustee provide
such resources and experiences that will contribute to
and make my daughter's life as pleasant, comfortable and
happy as if feasible. It is my intention that this trust
be a supplemental needs trust (and not a support trust)
for the supplemental and special needs of my daughter,
Jane A. Beyers.
During the life of my daughter, Jane A. Beyers, all
Page 4
payments from this trust which go for said beneficiary's
direct benefit shall be direct payments to the person or
entity supplying regular services to said beneficiary at
the request of the trustee.
F. Should the existence of this trust disqualify my
daughter, Jane A. Beyers, from eligibility for any
substantial government or private aid or benefits or
services, then this trust may, in the sole discretion, of
the trustee be terminated and the then-remaining
principal and any accumulated and undistributed income be
distributed to my remainder beneficiaries under
subparagraph G hereof.
G. Upon the death of my daughter, Jane A. Beyers, this trust
shall terminate and all principal and any accumulated and
undistributed income shall be distributed to my issue,
per stirpes, living at the time of my daughter's death.
IV.
My daughter, Mary Ann Rudy, shall be given the opportunity to
purchase my real estate at 101 South queen Street, Shippensburg,
Pennsylvania, at its value as established by appraisal for
Pennsylvania inheritance tax purposes, and my executor may credit
my daughter's share of my estate against the amount due for my
home. For any additional amount owed, my daughter may sign a
promissory note amortized over a ten-year period at five percent
Page 5
interest payable to my three remaining beneficiaries equally.
V.
As of the time I have executed this will, I have over the
years, already given my son, William E. Beyers, Jr., the sum of
approximately $25,000.00, and my daughter, Jane A. Beyers, the sum
of approximately $25,000.00. In order to be fair to all my
children, I direct my executor to deduct from the share of said
child under this will the amount I gave them out of necessity over
the years.
VI.
In the event that anyone entitled to a share of my estate
shall be under the age of eighteen years at the time for
distribution to such beneficiary, I constitute and appoint my
executors as guardian of any property which passes either under
this will or otherwise to said minor. Said guardian shall in the
guardian's sole discretion and without order of court, use
principal as well as income from time to time as may appear to be
necessary for the minor's welfare, comfort, medical care,
recreation, support and education, without responsibility to the
minor or to any person taking care of the minor; and the remaining
balance in the hands of said guardian shall be distributed to said
minor when the minor attains the age of eighteen years. If such
Page 6
minor dies prior to attaining the age of eighteen years, said
guardian is authorized in the guardian's discretion to pay part or
all of the minor's funeral expenses and the remaining balance in
the hands of said guardian shall be distributed to the minor's
personal representative. In the event the funds held by the
guardian for any minor become in the opinion of the guardian too
small for proper and efficient administration, the guardian, in the
guardian's sole discretion, may deposit such funds in a savings
account in the name of the minor.
VI2.
Any fiduciary under this will shall have the following powers
in addition to those vested in them by law and by other provisions
~f my will applicable to all property whether principal or income,
including property held for minors, exercisable without Court
approval, and effective until actual distribution of all property:
A. To retain any and all of the assets of my estate, real or
personal, without regard to any principle of
diversification of risk.
B. To invest in all forms of property including stock,
common trust funds and mortgage investment funds without
restriction to investments authorized for Pennsylvania
fiduciaries as they deem proper, without regard to any
principle of diversification of risk.
C. To sell at public or private sale, to exchange or to
Page 7
lease for any period of time any real or personal
property and to give options for sales, exchanges or
leases, for such prices and upon such terms or conditions
as they deem proper.
D. To allocate receipts and expenses to principal or income
or partly to each as they from time to time think proper.
E. To compromise any claim or controversy.
F. To distribute in cash or in kind or partly in each.
G. To hold property in their names without designation of
any fiduciary capacity or in the name of a nominee or
unregistered.
VIII.
I direct that all taxes that may be assessed in consequence of
ny death of whatever nature and by whatever jurisdiction imposed,
shall be paid from my residuary estate as a part of the expense of
the administration of my estate.
IX.
The interest of the beneficiaries hereunder shall not be
subject to anticipation or to voluntary or involuntary alienation;
and the principal and income shall be paid by the trustee or
guardian directly to or for the use of the beneficiary entitled
thereto, without regard to any assignment, order, attachment or
Page 8
claim whatever.
X.
I appoint my daughter, Mary Ann Rudy, as executrix of this my
will. Should my daughter, Mary Ann Rudy, predecease me, fail to
qualify or cease to act, I appoint my daughter, Beverly D. Ryan, as
executrix of this my will.
XI.
No bond shall be required of any fiduciary hereunder in any
jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my
last will and testament, consisting of eleven typewritten pages,
the first eight of which bear my signature in trh~e margin for the
purpose of identification this 1~~ day of
~,nr± l ZQQ$ .
(SEAL)
Signed, sealed, published and declared by the above-named
testatrix as and for her last will and testament in our presence,
who in her presence, at her request and in the presence of each
Page 9
other have hereunto set our hands as attesting witnesses.
We, Mary Louise Beyers, ~(5P~ t2. 7Lillinck2r and
~~ ml~ e~ ~~C the testatrix and the witnesses
respectively, whose names are signed to the attached or foregoing
instrument, being first duly sworn, do hereby declare to the
undersigned authority that the testatrix signed and executed the
instrument as her last will and testament and that she executed it
as her free and voluntary act for the purposes therein expressed
and that each of the witnesses, in the presence and hearing of the
said testatrix, signed the will as witnesses and to the best of
their knowledge, said signer was at that time eighteen years of age
or older, of sound mind and under no constraint or undue influence.
Page 10
Subscribed, sworn to and acknowledged
before me by the above-named signer and
subscribed and Sworn to befor~mea y ofe
above-~amed witnesses this ~ Y
n ~.'1
fY1NAA f m Cr ~~~0~1 -
r
Notary 1'ub7~-p
COMMONWEALTH OP PENNSYLVANfA
Notarial Seal
P+gNa M. Stlfaefier, Notary Public
Shlppenstwlg Eoro, Cum6erlard Courtly
My Commisskxs E~yfees May 95, 2079
Member, Pennevlven(a Fs=ncia!!on of Notaries
Page 11
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D. NAME OF BORROWER: Matthew A. Reath
E.NAME OF SEI,I,ER: Estate Of Mary Louise Beyers
F.NAME OF I.INDER: SGVereignSmk
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G. PROPERTY ADDRESS: 101 $. Queen S Vee[, $hippensburgr PA 17257
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Pile Number: SIIO^ "98 PAGE 2
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CAN IHLWDE A FINE ANp IMFgI60NMEM. FOR DETAIL66EE TRLE 19:
U.B. CODE BECTION 1D]I AND SECTION 10t o.
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Feb 11 2889 15:38:52 17177734435 -> 717 264 1884 Merrill Lynch Page 883
Feb I1 ZB89 15:39:25 17177739435
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Page BB4
-> 717 264 1884 Merrill Lynch Page 805
?eb 11 2809 15:48:05 17177734435
CARL E. OCKER
- AUCTIONEER -
4401 Philadelphia Avenue
Chambersburg, PA 17201
(717) 264-6578
Personal Property Appraisal for
Mary Lou Beyers Estate
101 S Queen St
Shippensburg, PA 17257
LIVBVG ROOM
LULLING ARM CHAIR ............................................................................................... ...................................35.00
WING BACK MARLBORO CHAIR ............................................................................ ...................................25.00
MOORE CROFT LAMP ............................................................................................... .................................250.00
WALNUT ARM CHAIR W17H DAMAGED CANE SEAT .......................... _............ ...................................20.00
WALNUT MT WASH STAND ..................................................................................... .................................175.00
MAGAZINE RACK ...................................................................................................... ...................................10.00
3 CARVED SHORE BIRDS .......................................................................................... ...................................25.00
CI~IERAY EMPIRE BUTLERS DESK .......................................................................... .................................750.00
MARLBORO LEG SOFA ............................................................................................. ...................................50.00
OAK SPIDER LEG STAND ........................................................................................ .....................................25.00
BRASS JARDTNERE ................................................................................................... ......................................5.00
6 GLASS CANDLESTTCKS ........................................................................................ ....................................50.00
DINING ROOM
JOIN'T'ED TEDDY BEAR ............................................................................................ ....................................50.00
ROYAL DOULTON CHINA "CANTERBURY" SERVICE 12 .................................. ..................................250.00
PAIR VASELEdE CANDLE STTCKS ......................................................................... ....................................25.00
LARGE GLASS CANDLESTTCKS ............................................................................. ....................................25.00
CHILDS ROCKER ....................................................................................................... ....................................65.00
TOWLE STERLING SERVICE FOR 12, 4 PLACE SETTINGS ................................. ................................1200.00
SINGLE CANDLESTICK ............................................................................................ ....................................15.00
GREEN CASED SHADE TABLE LAMP ................................................................... ..................................100.00
2 IRON FROG DOOR STOPS ..................................................................................... ....................................30.00
PAIR BRASS SCONCES, WINTER COTTAGE ........................................................ .......:..............................5.00
PORCR
FISH CREELS, RODS .................................................................................................. ....................................35.00
GAMES ............................................................................................................................ .................................. ~.uu
TIN PUNCH PTE SAFE ................................................................................................... ...............................250.00
KITCHEN
DINETTE SET ................................................................................................................. .................................35.00
BEDROOM ONE
CHERRY RAYMOND SMITH SPOOL POSTER BED ................................................. ...............................300.00
RAYMOND SMITH CI-TERRY DOUBLE 9 DRAWER DRESSER .............................. ...............................300.00
SET OF H RIDER HAGGARD BOOKS ......................................................................... .................................25.00
TV ROOM
BAMBOO FURNITURE SET ......................................................................................... .................................40.00
WINDSOR STYLE CHAIR ............................................................................................ .................................25.00
MARBLE BASE ETCHES KEROSENE LAMP ............................................................ .................................35.00
CANDLE STICK ............................................................................................................. ...................................5.00
BEDROOM TWO
RAYMOND SMITH WALNUT ONE DRAWER NIGHT STAND ............................... .................................75.0(1
CLOTHES TREE ............................................................................................................. ...................................5.00
BEDROOM TRREE
ORIENTAL MAIAHN GAME .......................................
KEROSENE LAMP, BLACK MARBLE AND BRASS
2 BLACK BRAIDED RUGS ..........................................
LUGGAGE RACK .........................................................
BATHROOM
CRYSTAL CANDLESTICK COLLECTION ................
TOTAL,
30.00
..5.00
I, DO HEREBY CERTIFY that I have examined the tangible personal property of
Mary Lou Beyers Estate, ]Ol S Queen St, Shippensbutg, PA 17257
And do value and appraise the same at 54,505.00 as being fair market
Value of said property on this date of April 25, 2009
Date ~? s~q Carl E. Ocke
Appraiser
4~sTOwly
B~
A Tradition. of Excellence
February 3, 2009
To: Zullinger -Davis
14 North Main Street
Suite 200
Chambersburg Pa 17201
From: Traci Yohe
Orrstown Bank
Customer Service Center
PO BOX 250
Shippensburg, Pa 17257
Re: Estate of Mary Louise Beyers
Date of death January 22, 2008
IT IS HERERBY CERTIFIED THAT THE ABOVE' NAMED DECEDENT. ON THE
.ABOVE DATE. HAD THE FOLLOWING ACCOUNTS WITH ORRSTOWN BANK.
CHECKING ACCOUNT
Account # Title of Account Date opened Principal Accrued Interest
104833 Mary Louise Beyers 01/10/83 1538.16 0.05
Maryann Rudy -joint on 3/15/07
SAVINGSACCOUNT
Account # Title of Account Date opened Principal Accrued Interest
703001083 Mary Louise Beyers 09/17/97 9,005.42 1.36
Maryann Rudy -joint on 3/15/07
CERTIFICATE OF DEPOSTI'
Account # Title of Account Date Opened Principal Accrued Interest
vn. nnx 2sn . Shinnensbur¢__PA 17257 •717.530.3530! 717.532.47~3_tax
LAW OFFICES OF
ZULLINGER - DAVIS
PROFESSIONAL CORPORATION
JOEL R ZULLINGER
14 North Main Street
Suite 200
Chambersburg, PA 17201
717-264-6029
Fax: 717-264-1884
Jce ~ 11ing~r(a).ZUllingerlaw.com
Register of Wills
Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013
Dear Register:
HAMII.TON C. DAMS
Dale F. Shugbart, Jr. 20 East Burd Street, Suite 6
of counsel P.O. Box 40
Shippensburg, PA 17257
717-532-5713
Fax:717-530-5222
hatniltondavislaw(~camcast.net
0
August 13, 2009 QQ
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RE: Estate of Mary Louise Beyers
File No. 21-09-0098
Enclosed for filing in your office ate an original and one copy of the PA Inheritance
Tax Return for the above estate. The stapled copy stays in your office and the copy with a
binder clip goes to the PA Department of Revenue. Also enclosed ate the following checks:
• Register of Wills, Agent - $1,112.25, representing payment of the balance due
on PA Inheritance Tax;
• Register of Wills - $120.00, representing filing fee for the return of $20.00 and
additional probate fee of $100.00.
If anything further is required, please advise to my Chambersbutg office. Thank you.
Very tlru, lQy yours,
el R. Zu)}fc ~~x V`
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