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HomeMy WebLinkAbout12-28-0915056051058 REV-1500 Ex (06-05) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number INHERITANCE TAX RETURN PO BOX 280601 21 0 9 0 5 9 4 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 198-30-4469 ,March 29, 2009 May 19,1920 Decedent's Last Name Suffix Decedents First Name MI Mefferd Living Trust Violet M (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 C~ 1. Original Return 2. Supplemental Return 3. Remainder Return (date of death prior to 12-13-82) "€ 4. Limited Estate 4a. Future Interest Compromise (date of ~"? 5. Federal Estate Tax Return Required death after 12-12-82) C~3 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) t 9. Litigation Proceeds Received 10. Spousal Poverty Credit (date of death C~..7 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 ':Andrew C. Sheely, Esquire 717-697-7050 __ Firm Name (If Applicable) ---- --- ---- -- _._....., ......_...._~ ., .._..... ....,,,..... ~,.~._ ..... .._.._.._... REGISTER OF WILLS USE ~}.Y Andrew C. Sheely, Attorney at Law ~ ~' ~ ~~:~ First line of address ~~ r '' ~ ~__. _~ .. __ _.... ~. ~~ ,_, ~,~-~~ r~ ~ ~ rt ~" _) r"7 _. _ t:3 127 South Market Street ~' `. ' ~ -. 7 ; G"r'1 r~.3 _ CY 1 Second line of address _ __ _ f - v~ ~ ~ ~ P.O. Box 95 r -~`, _ ;,~~ ____ Ci or Post Office... _ _. __ _ DAB ~D___---~ t',~ : c. ~ ~~ ( ~ ~ .Tt tY _ _ State ZIP Code ,Mechanicsburg ~ ~ PA 17055 ~ti ~~ ___ __ _ __ Correspondent's a-mail address: andrewc.sheely@verizon.net Under penalties of perjury, I declare that I have examined this return, inGuding accompanying schedules and statements, and to the best of my knowledge and belief, 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. SIG TURF 9F PERSON RESPO IBLE FOR FILING ETURN rerc Trudie M. Seagrist, Trustee, 31(~ S. York Street, Mechanicsburg, PA 17055 SIGNA E OF PREPAR O HA PRESENTATIVE r1ATF Pn I~FCR /~ ~~/~" Andrew C. Sheely, Esquire, 1 outh Market Street, P.O. Box 95, Mechanicsburg, PA 17055 PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 15056051058 1~ , REV-1500 EX Page 3 Decedent's Complete Address: ? Violet M. Mefferd STREET ADDRESS 100 Mount Allen Drive CITE' Mechanicsburg Tax Payments and Credits: 09 [ 0594 DECEDENTS SOCIAL SECURITY NUMBER 198-30-4469 STATE ZIP PA 17055 1. Tax Due (Page 2 Line 19) (1) 54,417.32 2. CreditslPayments - A. Spousal Poverty Credit _ B. Prior Payments 47,500.00 C. Discount 2,499.93 Total Credits (A + B + C) (2) 49,999.93 3. InterestlPenalty if applicable - D. Interest _ E. Penalty Total InterestlPenalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. - Fill in oval on Page 2, Line 20 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) 4,417.39 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 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 :.......................................................................................... ^ ^Q b. retain the right to designate who. shall use the property transferred or its income : ............................................ ^ ^X 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 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? ........................................................................................................................ ~ ^ ., IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. k, For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the 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. )1 t ,y COMMdNWEALTH DF PENNSYLVANIA GEPARTMEN7 OF REVENUE EHJRE/W OF INDIVIDUAL TAXES DEPT. 280eo1 HARRI8BUR0, PA 17128-0801 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SHEELY ANDREW CHARLES ES~,UIRE 127 S MARKET STREET PO BOX 95 MECHANICSBURG, PA 17055 --'--'-- ro,d ESTATE INFORMATION: SsN: 188-30-4489 FILE NUMBER: 2109-0594 DECEDENT NAi1AE: MEFFERD VIOLET MAE DATE OF PAYMENT: 06/25/2009 POSTMARK DATE: 06/25/2009 couNTV: CUMBERLAND DATE OF DEATH: 03/29/2009 REMARKS: sEA~ CHECK# 3247 ACN ASSESSMENT CONTROL NUMBER REV-1182 EX(11.98? NO. CD 01 1401 AMOUNT 101. ~ 847,500.00 TOTAL AMOUNT PAID: INITIALS: AJW RECEIVED BY: 847, 500.00 GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER T ~ REV-1510 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF Violet M. Mefferd Living Trust FILE NUMBER 21-09-0594 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBS DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENTAND THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION IF APPLICABLE TAXABLE VALUE t. Real Estate - 21308 Shade Valley Road, Shade Gap, PA 17255 Tell and Dublin Townships, Huntingdon County Tax Parcel 12-01-01 $2,480 (County Assessment Value) X 8.27 (CLR) _ $20,509.60 Tax Parcel 47-15-04 $19,120 (County Assessment Value) X 8.27 (CLR) _ $158,122.40 Tax Parcel 47-15-03.1 $3,120 (County Assessment Value) X 8.27 (CLR) _ $25,802.40 Inheritance value per May 22, 2009 appraisal by JamesA. Cohenour $1,000,000.00 100% $1,000,000.( 2. Smith Barney Account - 54J-04969-13 4JX $244,540.16 100% $244,540.' 3. Personal Property owned by Violet M. Mefferd Living Trust, including $12,970.50 100% $12,970•` decedent's 1980 Buick TOTAL (Also enter on line 7 Recapitulation) S I 1,257,510.66 (If more space is needed, insert additional sheets of the same size) ~, ,~ k CUMPLETE APPRAYSAL • SUMEMAR~ REPORT OF: THE VIOLET M. MEFFERD TRUST AS OF: MAY Iii, 20A9 PREPARED FOR: TRUDIE SEAGRIST PREPARED BY: KEYSTONE !REAL ESTATE Fu.E #: 2195-SIC ~.. KEYSTONE 1 - Reai Estate 834 Kistler F{oad -Mount Union, PA '17065 Office: (814) 542-8782 Fax: (814) 542-8858 In our opinion, the value of the subject property, as of May 22, 2009 was as follows: 'lr's~r ~o~dlop Si,l11h~,~0~1 Further, we estimate the market exposure period necessary for the subject to have achieved this value to be 6-i2 months. ltespectfiilly Submitted, ~~ l James A. Cohenour GA-001283E ,.-~ Table of Contents Summary of Salient Facts S Appraisal Peupose ................................................................................................... ..... ... S Intended Use .................................................................................................................... ... 5 Intended User(s) ............................................................................................................... ... S Market Value Definition .................................................................................................. ... 6 Three-Year Sale History .................................................................................................. ... 6 Current. ListinglPending Contracts .................................................................................. ... 6 Appraisal Scope ~ 7 Limiting Conditions and Assumptions 8 Area Analysis 10 Property~escription i 8 Subject- Photographs ..........................................................................................................19 Zoning Analysis 24 Highest and Best Use 2$ Highest and Best Use As Vacant ....................................................:................................. 2S Highest and Best Use As ,Improved .................................................................................. 2S Valuation Methodology 26 Cost Approach 27 ,-- Lend Value 27 ............................................................................................................... ..... Depreciation Analysis ....................................................................................................... 28 Physical Deterioration ....................................................................................................... 28 Functional Obsolescence .................................................................................................. 28 External Obsolescence ...................................................................................................... 28 Depreciation Accrued To The Subject ............................................................................ .. Cost Approach Conclusion ............................................................................................. 28 .. 30 Analysis Grid .................................................................................................................... Sales Comparison Appmach .......................................................................................... 36{1 Value Indications ............................................................................................................ .. 38 Income Apgroech ...........................................................................:................................ .. 38 Value Conclusion ............................................................................................................ .. 38 Certification Statement 39 Summary of Salient Facts ,f :; ~ , s; e ; ~ ' , w; ~ Irv x"ti4r ~:',~~` + r.•~ Y7.,.. "' 6' v. Subject Property: P.O. Box 73 Shade Gap, PA 17255 Property Overview: Site Size: b64 acres Property Type: Farm Interee~t Appraised: This appraisal considers the subject's fee simple interest. Highest and Beat Use Current use Land Aa Vacant: Highest and Beat Use Current use Aa Improved: Zoning: No zoning Assessment, Ratio and Equalized Assessment: Land Value: Improvements Coat Approach: The subject's tax identification numbers are 47-15-04, 47-15-03.1 and 12-01-01. The annual tax bill is $ 2,051.76 Prorerty is in Clean & Green Tax Relief Program. $1,000,000.00 N/A Sales Comparison Approach: $1,000,000 Income Approach N/A Direct Capitalization: Reconciled Value: $1,000,000 Appraisal Purpose The purpose of this appraisal is to estimate the market value of the subject property. intended Use The intended use of this appraisal is for estate planning Intended User{sj This appraisal is intended for the use of Violet M. Mefferd Trust 5 .-, Market Vafue Definition The definition of "Market Value", as defined by the Office of the Comptroller of Currency (OCC) under 12 CPR, Part 34, Subpart C•Appraisals, 34.42 Definitions, the Board of Governors of the Federal Reserve System (FRS) and the Federal Deposit Insurance Corporation in compliance with Title XI of FIRREA, as well as by the Uniform Standards of Appraisal Practice as promulgated by the Appraisal Foundation, is as follows. Market value means the most probable price which a property should bring in a competitive and open market under all conditions requisite to ~ fair sale, the buyer and seller each acting prudently and knowledgeably, and assuming the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of title from seller to buyer under conditions whereby, 1. Buyer and seller are typically motivated; 2. Both parties are will informed or well advised, and acting in what they consider their own best interest; 3. A reasonable time is allowed for exposure in the open market; 4. Payment is made in terms of cash in U.S. dollars or in terms of financial arrangements comparable thereto; and 5. • The price represents the normal consideration for the property sold unaffected by special or creative financing or .sales concessions granted by anyone associated with the sale. Three-Year Sate History No sales within the past three years. Current Listing/Pending Contracts The subject is currently not listed. 6 SALES COMPARISON APPROACH CON'T FARM SALES Sale Acres Price Per Acre Adjusted Price Per Acre 1 204 Acres. $ 3,921.57 $ 2,745.10 -(30%} 2 76.86 Acres $ 6,428.57 $ 3,214.28 -(50%) 3 49 Acres $ 5,510.20 $ 2,775.10 -(50%) Subject 110 Acres $ 2,911.33 =-~$ 320,246.67 Land Sales ~--. 5sle Acres Price Per Acre Adjusted Price Per Acre 4 224.04 Acres. $ 3,124.44 $ 1,562.22 -(50%) 5 164 Acres $ 1,829.27 $ 919.63 -(50%) Subject 554 Acres $1,347.67 $ 74b,6Q7.33 36 ~~~ - _ w SALES COMPARISON APPROACH CON'T Comments: The farm was considered with 110 acres. This best reflects the comparable that were available. The vacant land was considered with two comparables. The most weight to comparable # 2 With adjustments all sales could be considered acceptable substitutes for the subject. As a result of this analysis, it appears as though a reasonable estimate of market value for the subject property would be appmxima#ely: ~--- 110 ACRES AND THE IMPROVEMENTS ..........................$ 320,246.00 554 VACANT LAND ......................................................$746,607A0 ,~ r•o~66.a.,S,~.00 Rounded to: $1,000,000.00 13~sed on the above analysis, we have reconciled to a value of $1,000,000 as of 05/22/09 and subject to the Limiting Conditions and Assumptions of this appraisal. 37 KEYSTONE 1 -Real Estate 834 Kistlsr Road -Mount Union, PA 1.7086 Office: (814} 542-8782 ~` Fax: (814) 542-9856 Trudie Seagrist 316 South York Street l~lechanicsburg, PA 17055 June 7, 2044 Dear Mrs. Seagrist: At your request, we have prepared an appraisal for the above referenced property. The purpose of this appraisal is to estimate the market value of the subject property's fee simple interest. The accompanying report has been completed in accordance with the Uniform Standards of Professional Appraisal Practice (USPAP) and applicable Federal regulations. The attached report details the scope of the appraisal, level of reporting, defuution of value, valuation methodology, and pertinent data researched and analyzed in the development of this appraisal. We certify that we have no present or contemplated future interest in the property beyond this estimate of value. Your attention is directed to the Limiting Conditions and Assumptions, located on page 8. Acceptance of this report constitutes an agreement with these conditions and assumptions. v ~ ~, ..._____. _ . _.. .__ ....~._- r ~x 7~~~~0~60 ENTERED HUNTINCg011 COUNTY PENNSYI.VAHiA . I~y1!".CnS C~t~.~ O~~CR. Dec 19 2 0~ Pik '05 ~q~ 1~~1~- ~. ~:.~r:t RECORDER OF OEEDS DEED Tax Parcel No, 12-01-01 a~- ~ s-oa X47.15-03. I This Deed, made the 23~ day of /V°vera,~ , in the year of Our Lord two thousand and four (20Q4). Between VIOLET MAE MEEFERII, widow, of the Township of Tell, County of Huntingdon, Commonwealth of Pennsylvania, Cnantor And ~ VIOLET MAE MEFFERD, sole Trustee, or her successors is `trust, under the -~' VIOLET MAE MEF'p'ERD LIVING TRl~JS'I', dated April 4. 2003 and slay to amendments thereto, Grantee ce 0 0 WITNESSETI~I, that in consideration of the One ($1.00) Dallar in hand paid, the receipt whereaF is hereby acknowledged, the said Grantor does hereby grant and convey unto the said Grantee, its successors and assigns, ALL thane three certain tracts of land situate in Teil and`I?ublin Townships, Huntingdon County, Pennsylvania, bounded and described as follows: Tracts Na. 1 and 2 adjoining and contiguous to each other situate in Tcll Township, Huntingdon County, Pennsylvania: TRACT NO. i : BEGINNING at a Red Oak, near the public road, thence by lands now or formerly of Jas. S. and J.A. Harper, South 45° West 6S perches to a White Qak; thence South 25° West 3b perches to a pine; thence South 61° West 22 perches to a Pine; thence.South 39° West 31 perches to a Pine; thence South 41° West bS perches to a Gurn; thence by lands formerly owned by Samuel Lauthers and Joseph Erwines crossing the public road South 62° West 13 perches; thence South 26° East 21 perches to a dead Pine; thence South 49° East 88 perches to a Black Oak sapling; thence South 72° West 62 perches to a Slack Oak sapling; thence by lands formerly owned by James Cisney and McMullen's heirs North 49° West 41..5 perches to a White Oak; thence North 3S° East 24 ~, .. gi` 7Q~~~Q96 ~ perches to a White Oak; thence North 46° East 70 perches to a Chestnut Oak; thence North 36° East 60 perches to a Chestnut Oak; thence by lands formerly of Jahn Silverthom North 54° West 180 perches to the place of BEGINNYNG. CONTAINING 19b acres, mare or less, and being part of a larger tract which Andrew Anderson, et ux, conveyed to Alexander Beers, by Deed dated March 18,"1830, and recorded in Huntingdon, PA in Deed Book W, Volume 3, Page 184. HEARING Huntingdon County Tax Assessment No. 4?-1503.1 The property owner is not altogether certain that all of the real estate described on the tax assessment card bearing this number totally reflects the Township or the acreage described in Tract No, I of this Deed. TRACT N0.2. BEGII~lNINCi at a Gum, thence Nntth 46 '/4 ° 'West 71.4 perches to a Chestnut Oak by lands formerly of Samuel Lauthers; thenceNorth 31' ~3%1° East i 1 S perches to a Maple; thence by lands formerly of Nicholas Goshorn; thence by lands formerly of Richard Silverttiam South 41 '/a ° East 94 perches to a past; thence South 36° West 6 perches to a past; thence South 63° West 12 perches to a Pine stump; thence South 41 '/x ° West 96 perches to the place of BEGINNING. CONTAINING 53.75 acres, more or less, and being the same lands that Erasmus Yocum, et ux, conveyed to George W.D. Jones, by Deed dated April I, 1$71. BEARING Huntingdon County Tax Assessment No. 12-01-01. The property owner is not altogether certain that. all of the real estate described an the tax assessment card bearing this number totally reflects the Township or the acreage described in Tract No. 2 of this Deed. TRACT N0.3. All that certain Farm Tract and Woodland situate im Dublin and Tell Townships, Huntingdon County, Pennsylvania, adjoining Pennsylvania State Highway Route 35, bounded and described as follows: SOUNDED on the South by lands now or formerly of M.D. Shoop and Ira Harper; on the East by lands now or formerly of Ira Harper and .Carob McMullen; as the North by Lands now or formerly of Willard Yahn; and on the West by the summit of Shade Mountain. CONTAINING 74p acres, mare or less, and HAVING THERON ERECTED a flame dwelling house, bank barn and outbuildings. BEARING Huntingdon County Tax Assessment No. 47-15-Q4. The property owner is not altogether certain that all of the real estate described on the tax assessment card bearing this number totally reflects the Township or the acreage described in Tract No. 3 of this Deed. . BEING the same property which Violet Mae Mefferd and Theodore H. Mefferd, her husband, by deed dated August 4, 1993, granted and conveyed to Violet Mae Mefferd and Theodore H. Mefferd, her husband, as tenants by the entireties, which upon the death of Theodore H. Mefferd on July 2, 1998, title vested safely in Viale~t Mae Mei~ei~d, the Grantor herein. AND the said Grantor does hereby warrant GENERALLY the property hereby conveyed. IN WITNESS WHEREOp, said Crrantor has hereunto set her hand and seal the day and year first above written. Sigsted, aQaled and dolivered In tho prosance of `~~. Violet M cfferd Certificate of Residence I hereby certify that the precise residence of the Grantees herein is as follows: Qp. t~k 73 !et 3tiN J'rl~nE C-~P , P~ l72S5 C.~-...._~.......-. Attorn fbr Grantees • e~ ~86pc~963 Acknowledgement COMMONWEALTH OF PENNSYLVANIA } } SS. ~ . COUNTY OF Cv~+,r~+rc~-~ } On this, the Z~"~ day of '""~''`' , 2004, before me, a Notary Public.in and for the Commonwealth of Pennsylvania, the undersigned officer, personally appeared Violet Mae Me#'ferd, known to me (or satisfactorily proven) to be the person whose name. is subscribed to the within instrument, and acknowledged that she executed the same for the purposes therein contained. Irl WITNESS WHEREOF, I hereunto set my hand and official seal. "" ~(• - (SEAL) t ~' Ica Notary Public- *y;: ~ . +~ •~h~ , ,..an..,••..,.,. . - .° ~~' l 'r••. ,: .:•~a ~,,~, , ~ . ~ a ~ u . os COMMONWEALTH OF PENNSYLVANIA } ~ ' ~ ~ ; ~'~+ '- ~',;;, , a~ ~~, ,.- } SS. y ~ . 4 ~ "'.,,. ~;Q r v t .a`ti ~, COUNTY OF HUNTINGDON ~ „ ~ ` ~~~~. RECORDED on this day of Office of said County in Dted Book Given under my hand and seal of the said I~,~l~,,,~,, Recorded DEC 19 Jaaat £. Ht~eke, Rac~dat of Deeds ur.,ya~, ~ l~ec°rde;l~. , Pag~'r`~e~o , a '~ u~a ~~ ,~ :~ / r CT ~? "~ :ilk '~ A ~ A Q ~ ~ ~ ~ A b' ~~ ~ ~ ~ ~ ~~ ~. ~ ~ ~;~ ~~ { ~~ ~~. -, « °~ ~ a (A ~' ~ ~ ~ ~' i w ~ i bb yy~~ a '°c' M "' ~ ~ ~ ~ ~ N e`~~~~ ~ ~ ~~'~ . a' I O iR~W~? i~ {~ $. i ~ ~O a ~- ~tQ1R ~ d ~ ~ ~~~ a ~.~~'._ ~m~ ~~ ~ ~. ~, ~ ~' ~ ~~~ ~~ ~~~ R~~ ~~ ~a~ c ~.? 3 .p ~'8, ~~ m ~ ~ ~ c ~~ ~~ ~ ~ ~. ~ a $ ,~ ~ 3 ro ~ m g 1~0 1A a~M ~ ~ ~~ ~ ~ $~ N pl ~. n ~. ~ 3a I ~ a ,a W (~} ~~ N ~ `~ M K A ;P s~-oov .:' ~ m ~~~ ~. ~ o ~ m~ ~ , ~ _ ~ ~ ~ t ~ ~ ~~ s ,~ o~~ C to 6? A M N "1 '~ v v , -1 -S ~ < ~ ~~~w~ ~~ ~~~~p~ g~~~9~p ~ ~ ~ ~~~~ ~ ~ m ~'~N ~_ ~~~ ~~ a ~~ N N N a p a g ~c =~ x a A ~C ~~ ~~ n~ 1Mn ~~ i~~ ~3 ~• ~~ 4 't' w ... ~'f~ REV-1511 EX+ (12-99) SCNEpYLE N COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATNE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Violet M. Mefferd Living Trust 21-09-0594 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: ~~ Malpezzi Funeral Home $8,793.12 2. Shiremanstown United Methodist Church -donation for use of church facilities, pastor and luncheon $1,000.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions $550.00 Name of Personal Representative(s) Trudge M. SeagrlSt, Trustee/reimbursements Social Security Number{s)IEIN Number of Personal Representatives} Street Address 316 South York Street city Mechanicsburg _ state PA .zip 17055 Year(s) Commission Paid: $3,150.00 2. Attorney Fees 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 5. Accountant's Fees 6. Tax Return Preparer's Fees ~. Postage $28.00 $~ Filing Fee for Pennsylvania Inheritance Tax Retum $15.00 9- Reserves to conclude Estate administration. including filing fees for Trust accounting, final tax obligations $750.00 and CPA fees 14,286.12 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size} __ __ _ _ _ _~ , Monday, Dacamb®r28, 200l~ 1;47 PM Malpfui Funarol Homa 7178872414 p.01 Malpezal Funeral Home S Market Plaza Way MechanicsMirg, PA 17033 ' (71797.4696 Micl>rwl J. Malpezzi, Owner, FD Jemmy J. Shartzer, FD Kyle C Knipe, FD Docotnbor 2$, 2009 Trndie Seagrist 316 S. York Stroot Meollanioaburg, PA 170 S 5 Tho Ftimeral Service for Violet Mao Mefferd We sincerely appreciate the cotl~idence you have placod in us and. will continue, to apsiat you i~q every Fle l b ~ way we can. aw i ieo oo to contact ua ifyou iwva any questionp in rogard to this gtate inont. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, A[,TTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. 1. PROFEt99IONAL IIERVICE9t . 'Ietvicea ofFtuteral Dirrctaa/8taff $4,Z7S.00 . , FUNERAL HOME l1ERVICE (33ARGES $4,Z7S.00 SELEC'fE>I MERCHAND18Et Solid ~ Casket. - GHW-AUTUlvIlVOAK $3,093.00 Register PaokaAe - $73.00 Burial Clown and Unckrolotlvna - D-S-C832 $243.00 THE (.'Ol1T OF OUR 9ERVICEB, EQUIPMENT, AIVD MERCHANDISE THATYUU HAVE SELECTED $7,690.41 AT THE T11VIE FUNERAL ARRANGEMENTS WERE MADE. WE ADVANCED CERTAIN PAYMENTS TO OTHERS AS AN ACCOMMpDAT10N. THE FOLLOWING IS AN ACCOUNTING FOR THOSE CHARGES. CASH A,DVANCEfit Certified Death Cortifioata~ 5120.00 Newspaper Notices -Patriot $201.92 NevPSparer Notices - Lanoeeter $225.00 Newspaper Notices -Valley LoR $25.00 Newspaper Notices - HturtittRdon $33.00 NewepaperNotices -Lebanon $1 OG.20 [hpariiat $73.00 Hairdte~wor -Nancy Wine $50,00 Flow~a S2G3.00 TOTAL. CASH ADYANCEi9 AND SPECIAL CHARGES !61,103.12 CONTRACT PRICE !698„79.1.12 REV-1512 EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE AF FII F NIIMRFR Violet M. Mefferd Living Trust 21-09-0594 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unrelmbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~. First Choice Auto Insurance Company -Auto Insurance, remaining balance due $142.00 2. 2009 Township/County Taxes (prorated) $586.97 3. Young's Surveying -survey of real estate/boundary issues $15, 400.00 4. Final Valley Rural Electric bill $510.24 5. Final Oil & propane bill $1,458.99 6, Final Embarq phone bill $804.38 7. James A. Cohenour, Appraiser, -appraisal of real estate $1,650.00 8. Final Dish Network bill -balance due $404.32 9. Mark Ewald -misc. maintenance, repairs, mowing and general upkeep of real estate pending sale $556.00 10. Attorney fees for deed preparations and related conferences, John R. Gates, Esquire $275.00 11. 2009 School Tax (prorated) $225.95 12. Brian Imes, Auctioneer fees, commissions and rentals for public sale $9,329.14 13. 2007 PA Department of Revenue tax obligation - underpayment of State income taxes $2,302.22 14. Alert Pharmacy -medication bill $205.49 15. Capital Health Associates -medical insurance deductible $100.00 TOTAL (Also enter on line 10, Recapitulation) E $33,950.70 (If more space is needed, insert additional sheets of the same size) REV-1513 EX+ (g-00) SCFIEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Violet M. Mefferd Living Trust 21-09-0594 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 [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)) 1. Trudie M. Seagrist, 316 South York Street, Mechanicsburg, PA 17055 Daughter 25% 2. Theodore C. Mefferd, 237 Timber Road, Mount Gretna, PA 17064 Son 25% 3. Bonnie D. Schaefer,17 Schaefers Cove Lane, Ohiopyle, PA 15470 Daughter 25% 4. Steven Mefferd, 2343 Greenwich Street, Falls Church, VA 22046 Son 25% 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 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I $ (If more space is needed, insert additional sheets of the same size) This LIVING TRUST prepared for VIOLET M. MEFFERD ~r ~ J by Ahrens Law Offices 5521 Carlisle Pike Mechanicsburg, PA 17050 Telephone: (717) 697-1800 Copyright© 2006 Thomas J. Ahrens, Esquire Table of Contents The VIOLET M. MEFFERD Living Trust Introduction Article One ........................................ Creation of My Trust Article Two ....................................... My Family Article Three ..................................... Funding My Trust Providing for Me and My Family during My Lifetime Article Four ....................................... Administration of My Trust during My Life Article Five ........................................ Insurance Policies and Retirement Plans Providing for Me and My Family upon My Death Article Six ......................................... Administration of My Trust upon my Death Article Seven ..................................... Distribution of My Tangible Personal Property and Specific Distributions Article Eight ...................................... The Common Trust Article Nine ....................................... Distribution of My Trust Property Article Ten .................;........,,,............ Ultimate Distribution Pattern i Article Eleven .................................... Methods of Distribution and Trust Administration with Regard to Minor and Disabled Beneficiaries Provisions Regarding My Trustee Article Twelve ................................... The Resignation, Replacement, and Succession of My Trustees Article Thirteen ................................. General Matters and instructions with Regard to the Trusteeship General and Administrative Provisions Article Fourteen .......:......................... My Trustee's Administrative and Investment Powers Article Fifteen ................................... Definitions and General Provisions I~ ii The VIOLET M. MEFFERD Living Trust Article Une Creation of My Trust Section 1. My Trust On April 4, 2003., I_created the VIOLET M. MEFFERD Revocable Living Trust, with VIOLET NI. MF,gFERD, the Trustmaker, and VIOLET M. MEFFERD, my initial Trustee. I now wish to restate that trust in its entirety. My Trustee shall remain: VIOLET M. MEFFERD My trust is a revocable living trust that contains my instructions for my own well- , being and that of my loved ones. All references to "my trust" or "trust," unless otherwise stated, shall refer to this Living Trust and the trusts created in it. All references to "Trustee" shall refer to my initial Trustee or Trustees, or their successor or successors in trust. When the term "T~ustmaker" is used in my trust, it shall have the same legal meaning as "Grantor," "Settlor," `"Trustor," or any other term referring to the maker of a trust. Notwithstanding anything in my trust to the contrary, when I am serving as a Trustee under my trust, I may act far and conduct business on behalf of my trust as a Trustee without the consent of any other Trustee. Section 2. Thee Name'of My Trust For convenience, my trust shall be known as the: VIOLET M: MEFFERD LIVING TRUST, dated Apri14, 2003 For purposes of beneficiary designations and transfers directly to my trust, my trust shalt be referred to as: 1-1 °~ VIOLET M. MEFFERD, sole Trustee, or her successors in trust, under the VIOLET M. MEFFERD LIVING TRUST, dated April 4, 2043, and any amendments thereto. In addition to the above descriptions, any description for referring to my trust shall be effective to transfer title to my trust or to designate my trust as a beneficiary as Long as that description includes the date of my trust, the name of at least one initial or successor Trustee, and any reference that indicates that assets are to be held in a fiduciary capacity. s 1-2 Article Two My Family The names of my children are: THEODORE C. MEFFERD TRUD>E SEAGRIST BONNIE SCHAEFER STEVEN MEFFERD All references to my children in this agreement are to these children, as well as any children subsequently born to me, or legally adopted by me. 2-1 Article Nine Distribution of My Trust Property Section 1. Division into Separate Shares The remaining trust property shall be divided into as many shares as shall be necessary to create one equal share for each of my then living children, and one equal share for each of my deceased children who has then living descendants. Section 2. Distribution of Trust Shares for TViy Living Children The share of each child then living shall be distributed as follows: a. Distribution of Trust Share for THEODORE C. MEFFERD The trust share set aside for 'THEODORE C. MEFFERD shall forthwith terrrunate and my Trustee shall distribute all undistributed net income and principal to THEODORE C. MEFFERD, free of the trust. 'THEODORE C. MEFFERD shall have the unlimited -and unrestricted general power to appoint, by a valid last will and testament or by a valid living trust agreement, the entire principal and any accrued and undistributed net income of his trust share as it exists at his death. In exercising this general power of appointment, THEODORE C. MEF'FERD shall specifically refer to this power. THEODORE C. MEFFERD shall have the sole and exclusive right to exercise the general power of appointment. This general power of appointment specifically grants to THEODORE C. MEFFERD the right to appoint property to his own estate. It also specifically grants to him the right to appoint the property among persons, corporations, or other 9-1 entities in equal or unequal proportions, and on such terms and conditions, whether outright or in trust, as he may elect. To the extent this general power of appointment is not exercised, my Trustee shall distribute the remaining trust property to the then living descendants of THEODORE C. IV~FFERD, per stirpes. If THEODORE C. MEFFERl.~ has no then living descendants, my Trustee shall distribute the balance of the trust property to my then living descendants, per stirpes. If I have no then living descendants, my Trustee shall distribute the remaining trust property as provided in Article Teri of this-agreement. b. Distribution of Trust Share for TRUDIE SEAGRIST The trust share set aside for TRUDIE SEAGRIST shall forthwith terminate and my Trustee shall distribute all undistributed net income and principal to TRUDIE SEAGRIST, free of the trust. TRLtDTE SEAGRIST shall have the unlimited and unrestricted general power to appoint, by a valid last will and testament or by a valid living trust agreement, the entire principal and any accrued and undistributed net income of his trust share as it exists at his death. In exercising this general power of appointment, TRUDIE SEAGRIST shall specifically refer to this power. TRUDIE SEAGRIST shall have the sole and exclusive right to exercise the general power of appointment. This general power of appointment specifically grants to TRUDIE SEAGRIST the right to appoint property to his own estate.' It also specifically grants to him the right to appoint the property among persons, corporations, or other entities' in equal or unequal proportions, and on such terms and conditions, whether outright or in trust, as he may elect. To the extent this general power of appointment is not exercised, my Trustee shall distribute the remaining trust 9-2 property. to the then living descendants of TRUDIE SEAGRIST, per stirpes. If TRUDIE. SEAGRIST has no then living descendants, my Trustee shall distribute the balance of the trust property to my then living descendants, per stirpes. If I have no then living descendants, my Trustee shall distribute the remaining trust property as provided in Article Ten of this agreement. c. Distribution of Trust Share for BONNIE SCHAEFER The trust share set aside for BONNIE SCHAEFER shall forthwith terminate acid my Trustee shall distribute all undistributed net income and principal to BONNIE SCHAEFER, free of the trust. BONNIE SCHAEFER shall have the unlimited and .unrestricted general power to appoint, by a valid last will and testament or by a valid living trust agreement, the entire principal and any accrued and undistributed net income of his trust share as it exists at his death, In exercising this general power of appointment, BONNIE SCHAEFER shall specifically refer to this power. BONNIE SCHAEFER shall have the sole and exclusive right to exercise the general power of appointment. This general power of appointment specifically grants to BONNIE SCHAEFER the right to appoint property to his own estate. It also specifically grants to him the right to appoint the property among persons, corporations, or other entities in equal or unequal proportions, and on such terms and conditions, whether outright or in trust, as he may elect. To the extent this general power of appointment is not exercised, my Trustee shall distribute the remaining trust property to the then living descendants of BONNIE SCHAEFER, per stirpes. 9-3 If BONNIE SCHAEFER has no then living descendants, my Trustee shall distribute the balance of the trust property to my then living descendants, per stirpes. If I have no then living descendants, my Trustee shall distribute the remaining trust property as provided in Article Ten of this agreement. d. Distribution of Trust Share for STEVEN MEFFE1tD The trust share set aside for STEVEN MEFFER.D shall forthwith terminate and my Trustee shall distribute all undistributed net income and principal: to STEVEN MEFI~'IBRD, free of the trust. STEVEN ~ MEFFERD shall have the unlimited and unrestricted general power to appoint, by a valid last will and testament or by a valid living trust agreement, the entire principal and any accrued and undistributed net income of his trust share as it exists at his death. In exercising this general power of appointment, STEVEN MEFI~'ERD shall specifically refer to this power. STEVEN MEFFERD shall have the sole and exclusive right . to exercise the general power of appointment. This general power of appointment specifically grants to STEVEN MEFFERD the right to appoint property to his own estate. It also specifically grants to him the right to appoint the property among persons, corporations, or other entities in equal: or unequal proportions, and on such terms and conditions, whether outright or in trust, as he may elect. To the extent this general power of appointment is not exercised,- my Trustee shall distribute the remaining trust property to the then living descendants of STEVEN MEFFERD, per stirpes. If STEVEN MEFFERD has no then living descendants, my Trustee shall distribute the balance of the trust property to my then living descendants, per stirpes. 9-4