HomeMy WebLinkAbout01-27-10
1505607120
REV-1500 ~( (06-05) OFFICIAL USE ONLY
PA Department of Revenue
Bureau of Individual Taxes county coda rear File Number
Po Box.2aosoi INHERITANCE TAX RETURN
Hanrsburg, PA 17128-0601 RESIDENT DECEDENT 21 0 9 0 8 5 0
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
165 28 2475 09 05 2009 09 06 1933
Decedent's Last Name Suffix Decedent's First Name MI
BURKHOLDER MARY E
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name
MI
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
X^ 1. Original Retum ^
^ 4. Limited Estate ^
g, Decedent Died Testate
(Atach Copy M Wilp ^
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
2. Supplemental Retum ^ 3, Remainder Retum (date of death
prior to 12-13-82)
4a. Future Interest Compromise 5. Federal Estate Tax Retum R wired
(date or dean, arter 1z-12-SZ> ^ ~
7. Decedent Melntairied a Living Truat 8. Total Number of Safe De sit Boxes
(Attach Copy rN Trust) p0
^ 9. LlUgatron Proceeds Received ^ 10. spousal poverty Credit ldete of death ^ 11. Election to tax under Sec. 9113(A)
between 1231- 1 and i-1-95 (Attach SCh. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
FOREST N MYERS 717 53~~046 _~
Firm Name (If Applicable) ° `'''
LAW OFFICE FOREST N MYERS
First line of address
137 PARK PLACE WEST
Second line of address
_ . ..
REGISTER (~ USE~WLY t,
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City or Post Office State ZIP Code ~ DATE FILED
SHIPPENSBURG PA 17257-9212
Correspondent'se-malladdress: fnmyers@lawofficeforestmyers.com
Under penalties of perjury, 1 dedare that I have examined this realm inGuding accompanying schedules and statements, antl to the best of my knowledge and belief,
d is true, correct and complete. DeGaretion of preparer other than the personal representa8ve is based on all information of which preparer has arty knowledge.
c
Steven P Adams
109 Black Thorn Rd, Wallingford, PA 19086
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
DATE
~--~- ~- Forest N Myers ( 25 ~,~
ADDRESS
137 Park Place West, Shippensburg, PA 17257-9212
Side 1
1505607120 1505607120 J
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1505607220
REV-1500 FJC
oecedenl~s Name: M a ry E B U R K H O L D E R
Decedent's Social Security Number
165 28 2475
KtGAPITULATION
1. Real Estate (Schedule A) ....................................................................................... ... 1. 1 5 2, 5 0 0. 0 0
2. Stocks and Bonds (Schedule B) ............................................................................. .. 2. 1 8, 6 7 1. 0 6
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)........ .. 3.
4. Mortgages 8 Notes Receivable (Schedule D) ........................................................ .. 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............... . 5. 6 , 0 3 3 . 8 5
6. Jointly Owned Properly (Schedule F) ~ Separate Billing Requested ............ . 6. 2 , 1 9 8 . 8 0
7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property
(Schedule G) ~ Separate Billing Requested ............ . 7,
8. Total Gross Assets (total Lines 1-7) ...................................................................... . 8. 1 7 9, 4 0 3. 7 1
9. Funeral Expenses 8 Administrative Costs (Schedule H) ......................................... 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................................ 10.
11. Total Deductions (total Lines 9 & 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 Subject to Tax (Line 12 minus Line 13) ................................................. 14
27,423.44
19,439.91
46,863.35
132,540.36
132,540.36
awn ~vmru rnrrvN -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 .00 0 . 0 0 15.
16. Amount of Line 14 taxable
at lineal rate x .045 13 2, 5 4 0. 3 6 16.
17. Amount of Line 14 taxable
at sibling rate X .12 0 . 0 0 17~
18. Amount of Line 14 taxable
at collateral rate X .15 0 . 0 0 18.
19. Tax Due ................................................... .................................................................. 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Side 2
1505607220
0.00
5,964.32
0.00
0.00
5,964.32
1505607220
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-09-0850
DECEDENT'S NAME
Mary E BURKHOLDER
STREET ADDRESS
623 Brenton St
CITY STATE ZIP
Shippensburg PA 17257
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
3. Interest/Penalty if applicable
p. Interest
E. Penalty
0.00
Total Credits (A + B + C)
(1) 5,964.32
(2) 0.00
(3)
(4)
(5) 5,964.32
(SA)
(5B) 5,964.32
Total InteresUPenalty (D + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 2 Line 20 to roquest a rofund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
q, Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
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 property transferred or its income :.................................... n Q
c. retain a reversionary interest; or ..................................... Lr~JI x
d. receive the promise for life of either payments, benefits or care? ..............................................................
2. If death occurced after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? .................................................... ~ ^
................................................................... x
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... ~ a
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.
_---
or ates 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)]. A
sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
Rav760z t:x+ ti~.oeJ
SCHEDULE A
REAL ESTATE
COATIONWFALTH DF PENNSYLVANIA
INHERRANCE TA%RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
BURKHOLDER, Mary E 21-09-0850
All roal property owned solely or as a ronaM In common must M reported at hir market value. Fair mantel value is dented as the puce et which property would be
exchargetl between a wiling buyer antl a willing seller, neither being compelled to buy or pall, bosh having reasonable knowledge of the relevant facts.
Real property which Is Jointly-owned with Apht of survWOrohip must be disclosed on schedule F.
Attach a wpy of the settlement sheet p the property has been soltl.
InGude a copy of the deed showing decedent's Interest H owneo as tenant in common.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Personal Residence -located at 623 Brenton Street, Shippensburg Borough, 152,500.00
Cumberland County, Pennsylvania
TOTAL (Also enter on Line 1, Recapitulation) I 152 500 00
(It more space Is needed, additional pages of the same size)
Copyright (c) 2009 form software only The Laekner Group, Inc. Form PA-1500 Schedule A (Rev. 11-08)
Rav-1603 EX+ (6-ss)
CDFMONWEALTH OF PENN6YLVANIA
INHERRANLE TAX RETURN
REe~ENT DECEDENT
SCHEDULE B I
STOCKS ~ BONDS
ESTATE OF
BURKHOLDER, Mary E
LE NUMBER
27-09-0850
All properly JolMly-owned with dght of survlvonihip must he disclosed On Schedule F.
~.....°•~ -raw ~~ ~~cwN, ewn~unal pages Di IDe same slZe)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98)
Rev-1608 E7(+ (g.gg)
conwtoNUUEAt.rH of rENNSnvANw
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
BURKHOLDER, Mary E
Intlude the ploc9ede of NOgation antl the date the proceeds were received M' 01e estate.
PJI tNOpeRy Jolntlyawned with tlIe AqM oT survlvonhlp must be dlulosed on sehedula F.
FILE NUMBER
21-09-0850
ITEM
NUMBER
DESCRIPTION
VAOF DEADHTE
7 Cash on hand 527.01
2 Morgan Stanley Smith Barney -money market account 451.01
3 Orrstown Bank Checking "0118 -Christmas club savings 460.00
Accrued interest on Item 3 through date of death 2.13
Accrued interest on Item 3 through date of death 0.01
4 Hershey Auction -gross proceeds from sale of personal property 1.786.75
5 Personal vehicle -1993 Ford Taurus sedan 850.00
6 AAA -refund 78.00
7 Capital Blue Cross -Refund of unearned premium 127.50
8 CenturyLink (formerly Embarq) -phone service refund 44 81
9 Highmark -Premium refund 40.92
10 Realty transfertax -refund of unrealized city/county 8 school taxes 1,216.15
17 Sentinel -refund 5.00
12 ING -Bon-Ton Stores Retirement Plan 434.56
TOTAL (Also enter on Llne 5, Recapitulation) I 6,033.85
(If more space is needed, additlonal papas of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98)
SCHEDULE F
coneaonwEnLTNOFrENNSYLVANw JOINTLY-OWNED PROPERTY
NJHERRANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
BURKHOLDER, Mary E
n •n asset was
one year o/ tM deeedsnl's data o/ Math, n must M nporfed on
LE NUMBER
21-09-0850
SURVIVING JOINT TENANT(S) NAME I ADDRESS I RELATIONSHIP TO DECEDENT
Steven P
B.
C.
JOINTLY OWNED PROPERTY:
Son
ITEM
NUMBER LETTER
FOR JOINT
TENANT DATE
MADE
JOINT DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT
NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR
JOINTLY-HELD REAL ESTATE.
DATE OF DEATH
ALUE OF ASSET u
~O OF
DECD'S
INTEREST
DATE OF DEATH
VALUE OF
DECEDENTS INTEREST
1 A 8/3/1984 Orrstown Bank Checking •3518 -joint 4,397.59 50.000% 2.198.80
account; held with Steven P. Adams
since opened in 08/03/84
TOTAL (Also enter on Line 6, Recapitulation) I 2,198.80
(If nwre space is needed, additional pages or the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98)
REV•7167 EX+(10-06)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES 8r
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
BURKHOLDER, Mary E 21-09-0850
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
See continuation schedules) attached
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name(s) of Personal Representative(s)
Street Address
Cdy State Zip
Year(s) Commission paid
2. Attorney's Fees Law Office Forest N Myen3
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
Cily State Zip
Relationship of Claimant to Decedent
8,000.00
4. Probate Fees
5. Accountant's Faes
6. Tax Retum Preparer's Fees
7. Other Administrative Costs 9,474.20
See continuation schedules) attached
TOTAL (Also enter on Ilne 8, Recapitulation) 27 423.44
9,949.24
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-Ot3)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
BURKHOLDER, Mary E 27-09-0850
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Ex nses
1 Fogelsonger-Bricker Funeral Home -funeral bill 9.565.74
2 Shull-Koontz -grave marker 383.50
H-A subtotal 9,949.24
Other Administrative Costs
3 Cumberland County Recorder of Deeds -realty transfer tax (1 %) 1.525.00
4 Cumberland County Register of Wills -short certificates 24.00
5 Cumberland County Register of Wills -probate fees 280.00
5 Cumberland County Register of Wills - JCP and Automation fee 15.00
7 Cumberland County Register of Wilts -filing WIII 15.00
8 Cumberland County Register of Wills -filing inheritance Tax Return 15.00
9 CumbeNand Legal Journal -advertise estate 75.00
10 FedEx -sending and receiving original Deed for sale of real estate 30.00
11 Hershey Auction -auctioneers commission 718.70
12 Jalex Real Estate Svcs. -real estate commission 5,550.00
13 News-Chronicle -advertise estate 121.25
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rav. 6-98)
.SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF
ITEM
NUMBER
DESCRIPTION
AMOUNT
vrrasvwn DanK - f6-0r01ef Estate CheCkS
25.25
H-B~ subtotal 9.474.20
Copyright (c) 2002 form software only The Lackner Group, Inc.
E
FILE NUMBER
21-09-0850
Form PA-1500 Schedule H (Rev. 6-98)
Rw•1612 E7(+ (72.0!)
SCHEDULE 1
DEBTS OF DECEDENT
,
MORTGAGE LIABILITIES, & LIENS
COMNIONN/EALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
BURKHOLDER, Mary E 21-09-0850
RaPoR dabb Incurtstl by as dacadartl Prior to tlam that nmainad unpaltl at tha tl8ta o! death, Inelutllna unralmbunad madlw expsmaa.
ITEM
NUMBER DESCRIPTION TE
VA
OF DEATH
1 Allstate -auto insurance premium
50.73
2 Allstate -auto insurance premium
50.74
3 Allstate -balance due on auto insurance premium to date of transfer
10.46
4 Borough of Shippensburg -quarterly utility bill water/sewer/trash
130.61
5 Borough of Shippensburg -final water service bill
150.61
6 Comcast -cable service
63.67
7 Comcast -cable service -final bill
6.15
8 Embarq -phone service
67 82
9 Emhara - phone service 24.91
10 HSBC -consumer credit account (pay off balance)
10.07
11 HSBC Retail Svcs -consumer credit account
137.00
12 HSBC Retail Svcs -consumer credit account
134.00
13 HSBC Retail Svcs -consumer credit debt
4,763,99
14 Orrstown Bank HELOC -transfer for home equity payment 334.81
15 Orrstown Bank HELOC -transfer for home equity payrl`nent
334.81
16 Orrstown Bank HELOC -payoff of loan
12,463.72
Total of Continuajtlon Schedule gee attached page
TOTAL (Also ent$r on Line 1Q Recapitulation) 19,438.91
pf more space Is needed, adtlitional pages of the same size)
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08)
Rsv-1614 EX+ (e.yg)
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITII=S, ~ LIENS
COMAONWFALTM of PErlnsr~vnNw
INFIERRANCE TA%gETURN Conti n ued'.
RE8IUENT DECEOEDfr
ESTATE OF
BURKHOLDER, Mary E
FILE NUMBER
21-09-0850
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98)
REV-161J EX+ (11-08)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
rv,e~~G Vr
FILE NUMBER
BURKHOLDER, Mary E 21-09-0850
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(S) RECEIVING PROPERTY DECEDENT
0o Hoc ua Tn,a (Words) (g$g)
I- TAXABLE DISTRIBUTIONS [include outright spousal
Steven P Adams
109 Black Thorn Rd
Wallingford, PA 19086
Sandra J Aurand
53 Ellen Chapel Ln
Lewistown, PA 17044
Sharon A Smith
722 Newport Rd
Duncannon, PA 17020
Son
Daughter
Daugihter
a one-third
(1!3) share of
the net
distributable
a one-third
(1/3) share of
the net
distributable
a one-third
(1/3) share of
the net
distributable
Total
Enter dollar amounts for distributions shown above on lines 15 throw h 18 on Rev 1500 cover sheet, as approp
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
~.~Ny~rym ~c) ~uuy rorm sotnvare Doty The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08)
•' SAS/YFWK3/'6-20-84/
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LAST WILL AND TESTAMENT
OF
MARY E. BURKHOLDER
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I, MARY E. BURKHOLDER, of Shippensburg, Cumberland
County,. Pennsylvania, being of sound and disposing mind and
memory, do make, publish and declare this to be my Last Will and
Testament, hereby revoking all Wills and Codicils by me at any
time previously made.
ITEM I: All inheritance, estate and
similar taxes becoming due by reason of my death ("Death Taxes"),
whether such Death Taxes shall be payable by my estate or by any
recipient of any property, shall be paid by my Executor out of
the property passing under ITEM IV of this Will as an expense and
cost of administration of my estate. My Executor shall have no
duty or obligation to obtain reimbursement for any Death Taxes
paid by my Executor, even though paid with respect to proceeds of
insurance or other property not passing under this Will.
ITEM II: I hereby exercise all powers of
appointment which I may have at the time of my death in favor of
my Executor, and all property subject to all such powers of
appointment shall be included in my estate and be governed by the
provisions of this Will.
Page 1 of 6 pages.
,. ~ ~ ~
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., ,
-ITEM III: I give and bequeath all of my
household furniture and furnishings, automobiles, books,
pictures, jewelry, china, crystal, appliances, silverware,
wearing apparel and all other like articles of household or
personal use or adornment to my children living at my death, in
as nearly equal shares as they shall select. Any conflicting
choices shall be resolved by drawing lots. Any such articles
which are not so selected by my children shall be sold and the
proceeds thereof shall pass as a part of my residuary estate.
ITEM IV; I give, devise and bequeath all
the rest and residue of my property, real, personal and mixed,
not disposed of in the preceding portions of this Will, to my
issue living at my death, per stirpes.
ITEM V: No interest in income or
principal of my estate shall be subject to attachment, levy or
seizure by any creditor, spouse, assignee or trustee or receiver
in bankruptcy of any beneficiary of my estate prior to the bene-
ficiary's actual receipt. thereof. My Executor shall pay over the
net income and the principal to the beneficiaries herein desig-
nated, as their interests may appear, without regard to any
attempted anticipation (except as may be specifically provided
herein), pledging or assignment by any beneficiary of my estate
Page 2 of 6 pages.
and without regard to any claim thereto or attempted levy,
attachment,. .seizure or other process against said beneficiary.
ITEM VI: Any person, who shall have died
at the same time as I or under such circumstances that it is
difficult or impossible to determine who shall have died first,
shall be deemed to have predeceased me. Any person other than me
who shall have died at the same time as any then beneficiary of
income of my estate or under such circumstances that it is
difficult or impossible to determine who shall have died first,
shall be deemed to have predeceased such beneficiary.
ITEM VII: In the settlement of my estate,
my Executor shall possess, among others, the following powers to
be exercised for the best interests of the beneficiaries:
(a) To retain any investments I may have at my
death so long as my Executor may deem it advisable to
my estate so to do.
(bj To vary investments, when deemed desirable by
my Executor, and to invest in such bonds, stocks,
notes, real estate mortgages or other securities or in
such other real or personal property as my Executor
shall deem wise, without being restricted to so-called
"legal investments."
(c) In order to effect a division of the
principal of my estate or for any other purpose,
including any final distribution of my estate, my
Executor is authorized to make said divisions or
distributions of the personalty and realty partly or
wholly in kind. If such division or distribution is
made in kind, said assets shall be divided or
distributed at their respective values on the date or
dates of their division or distribution. In making any
division or distribution in kind, my Executor shall
divide or distribute said assets in a manner which will
f
Page 3 of 6 pages.
~._ ,,, ~.
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fairly allocate .any unrealized appreciation among the
beneficiaries.
(d) To sell either at public or private sale and
upon such terms and conditions as my Executor may deem.
advantageous to my estate, any or all real or personal
estate or interest therein owned by my estate severally
or in conjunction with other persons or acquired after
my death by my Executor, and to consummate said sale or
sales by sufficient deeds or other instruments to the
purchaser. or purchasers, conveying a fee simple title,
free and clear of all trust and without obligation or
liability of the purchaser or purchasers to see to the
application of the purchase money or to make inquiry
into the validity of said sale or sales; also, to make,
execute, acknowledge and deliver any and all deeds,
assignments, options or other writings which may be
necessary or desirable in carrying out any of the
powers conferred upon my Executor in this paragraph or
elsewhere in this Will.
(e) To mortgage real estate and to make leases of
real estate for any term.
(f) To borrow money from any party, including my
Executor, to pay indebtedness of mine or of my estate,
expenses of administration, Death Taxes or other taxes.
(g) To pay all costs, Death Taxes or other taxes,
expenses and charges in connection with the administra-
tion of my estate, and my Executor shall pay the
expenses of my last illness and funeral expenses.
(h) To vote any shares of stock which form a part
of my estate and to otherwise exercise all the powers
incident to the ownership of such stock and to actively
manage and operate any unincorporated business,
including any joint ventures and partnerships, with all
the rights and powers of any owner thereof.
(i) In the discretion of my Executor to unite
with any other owners of similar property in carrying
out any plans for the reorganization of any corporation
or company whose securities form a part of my estate.
(j) To assign to and hold in my estate an
undivided portion of any asset.
(k) To hold investments in the name of a nominee.
(1) To compromise controversies.
Page 4 of 6 pages.
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ITEM VIII: If at any time any minor shall be
entitled to receive any assets free of trust by reason of my
death, whether payable hereunder, by operation of law or
otherwise, I appoint my son, STEVEN P'. ADAMS, as Guardian of such
assets authorized by law payable to such minor; or, if for any
reason my said son should. fail or cease to act, I appoint my
daughters,. SHARON LEE ALLENDER and .SANDRA J. ADAMS, or the
survivor, as such Guardian(s) (herein referred to as "Guardian").
The Guardian may receive, administer and shall have full
authority to use such assets, both principal and income, in any
manner the Guardian shall deem advisable for the best interests
of the minor, including college, university, graduate or other
education, without securing a court order. The Guardian shall
have all the rights and privileges in its capacity as Guardian as
are herein granted to my Executor as to my estate.
ITEM IX: I hereby appoint my son, STEVEN
P. ADAMS, as Executor of this Will. If for any reason he should
fail or cease to act, I appoint my daughters, SHARON LEE ALLENDER
and SANDRA J. ADAMS, or the survivor, as Executrices (herein
referred to as "Executor"), All references in this Will to my
"Executor" shall also refer to my successor Executrix or
Executrices, as the case may be.
ITEM. X: Any Guardian or Executor shall
qualify and serve without the duty or obligation of filing any
bond or other security.
Page 5 of 6 pages.
<,: ' ..
. ~~.. ' e
IN WITNESS WHEREOF, 2 have set my hand and seal to
this, my Last Will and .Testament, consisting of this and the
preceding five (5) pages, this ~,g day of
1984..
~~J
~~ Ct/L.c.t ~'. ~C.Q~ ( SEAL )
Mary E. Burkholder
We, the undersigned, hereby certify that the foregoing
Will was signed, sealed, published and declared b
above-named Testatrix as and for her Last Will and Testan-ent,tin
the presence of us, who,. at her request and in her presence and
in the presence of each other, have hereunto set our hands and
seals the day and year above. written, and we certify that at the
time of the execution thereof, the said Testatrix was of sound
and di 'ng i d a memory.
(SEAL) Residing at:~_`j~~~, ac.~l
(SEAL) Residing at: f`r
~ (~ ~ i
(SEAL) Residing at: ~~
~.ui~~ ~~ /7069
Page 6 of 6 pages.