HomeMy WebLinkAbout04-22-10--J REV-1500 15056071120
PA Department of Revenue EX (06-05) OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
PO 80X.280601 INHERITANCE TAX RETURN
Harrisburg, PA 17128-0601 RESIDENT DECEDENT 21 ~~ ~~~
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
206 10 8166 12 25 2009 11 04 1915
Decedent's Last Name Suffix Decedent's First Name
MI
FACKLER EMERSON F
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name
MI
FACKLER MARGARET F
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death
prior to 12-13-82)
4. Limited Estate ~ qa Future Interest Compromise
(date of death after 12-12-62) ~ 5. Federal Estate Tax Return Required
O 8 Decedent Died Testate
(Attach Copy of WII)
^ ~ Decederr]]t Maintained a Living Trust
(Attach Copy of Trust) 1 8. Total Number of Safe Deposit Boxes
9. Litigation Proceeds Received ~ 1 p Spousal Povert C d t d
between 12-31 ~1 and 1<-j g5)f death ^ 11 Election to tax under Sec. 9113(A)
(Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
DIANE G RADCLIFF (717) 737 0100
Firm Name (If Applicable)
DIANE G. RADCLIFF, ESQUIRE
First line of address
3448 TRINDLE ROAD
Second line of address
City or Post Office State ZIP Code
CAMP HILL PA 17011
REGISTER OF WILLS US ONLY
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Correspondent's a-mail address: dianeradCliff@COmcast.net
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and 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.
SIGNg7 F PERSON g,EBPDNSIBLE FOR FJt Wr, aFri iau
Terry E Fackler
Aain Street, Lisburn PA 1705
OF PREPA~Eg~HER THAN REPRESENTATIVE
Diane G Radcliff
DA
3448 Trindle Road, Camp Hill, bA 17011
Side 1
15056071120
15056071120
REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENT'S NAME
Emerson F Fackler
STREET ADDRESS
8 Red Bud Drive
CITY
Mec
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
D. Interest
E. Penalty
Total Credits (A + B + C)
Total fnterest/Penalty (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 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.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(2> 40,876.40
(3)
(4) 768.44
(5)
(5A)
(56)
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 :................................ ~ O
.... ...........................................
b. retain the right to designate who shall use the property transferred or its income :.::::.:::.:..:: ..:................
c. retain a reversionary interest; or ............. .
d. receive the promise for life of either payments, benefits or care?.....
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without ^ ^
receiving adequate consideration? ....................................................................................................................
x
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?.......
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ................
..................................................................................................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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)j. 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.
File Number 21
STATE ~ ZIP
PA ~ 17050
(1) 40,107.96
38,871.00
2,005.40
15056072120
REV-1500 EX
Decedent's Social Security Number
°e~ae^rs "ame: Emerson F Fackler 2 0 6 10 816 6
RECAPITULATION
1. Real Estate (Schedule A) ....................................................................................... 1.
2. Stocks and Bonds (Schedule B) ............................................................................. 2. 780 , 879.68
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3.
4.
5•
6.
7.
8. Mortgages & Notes Receivable (Schedule D) ......................................................
Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) .............
Jointly Owned Property (Schedule F) ^ Separate Billing Requested...........
Inter-Vivos Transfers & Miscellaneous -Probate Property
(Schedule G) ~ Separate Billing Requested...........
Total Gross Assets (total Lines 1-7) ................................................................... .. 4.
.. 5.
. 6.
. 7.
.. g.
122 , 54 6.74
03 , 426.42
9. Funeral Expenses & Administrative Costs (Schedule H) ...................................... . 9. 10 , 414. $ 5
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............................. . 10. 1 , 723.64
11. Total Deductions (total Lines 9 & 10) .................................................................. . 11. 12 , 13 8 . 4 9
12. Net Value of Estate (Line 8 minus Line 11) ....................................................... . 12. 8 91 , 2 8 7.93
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, 8 91 , 2 8 7.93
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) x .o0 0. 0 0 15. 0. 0 0
16. Amount of Line 14 taxable
at linealrateX .045 891,287.93 16. 40,107.96
17. Amount of Line 14 taxable
at sibling rate X .12 0. 0 0 17. 0. 0 0
18. Amount of Line 14 taxable
at collateral rate X .15 O. O O 18. O. O O
19. Tax Due ................................................................................................................. . 19. 4 0 , 10 7 . 9 6
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Side 2
15056072120 15056072120 ^
Rev-7503 EX+(6-98)
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Fackler, Emerson F
FILE NUMBER
21
All property jointly-owned with right of survivorship must bedisclosed on Schedule F.
ITEM
NUMBER CUSIP
NUMBER
DESCRIPTION
UNIT VALUE
VALUE AT DATE
OF DEATH
1 48 shares of Accenture Plc Ireland Shrs Class A 41.39 1.986.72
2 71 shares of Adobe Systems Inc 37.17 2.639.07
3 26 shares of Alcon Inc. 160.25 4.166.50
4 59 shares of American Movil Sab De CV ADR Series L 47.64 2.810.76
5 200 shares of Blackrock Insured Muni Income Trust 13.57 2.714.00
6 72 shares of Cameron International Corp 42.04 3.026.88
7 Capital World Grth 8~ Inc Fund 26.103.75
8 200 shares of Cisco Systems, Inc. (CSCO) 23.96 4.792.00
9 139 shares of Cisco Systems, Inc. (CSCO) 23.96 3.330.44
10 48 shares of Coco-Cola Company 57.44 2.757.12
11 64 shares of Cognizant Tech Solutions Corp CIA 46.23 2.958.72
12 48 shares of Cummins Inc. 47.53 2.281.44
13 43 shares of Danaher Corp 76.10 3.272.30
14 50 shares of Dentsply International Inc. 35.27 1.763.50
15 106 shares of Dicks Sporting Goods Inc. 25.36 2.688.16
16 63 shares of Directv Class A Common 33.97 2.140.11
Total of Continuation Schedules See attached
a es
TOTAL (Also enter on Line 2, Recapitulation) 780.879.68
tlr more space Is neetletl, atlditional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98)
Rev-1503 EX+(6-98)
SCHEDULE B
STOCKS & BONDS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Fackler, Emerson F 21
ITEM
NUMBER CUSIP
NUMBER
DESCRIPTION
UNIT VALUE
VALUE AT DATE
OF DEATH
17 72 shares of Disney Walt Company 32.29 2.324.88
18 55 shares of Dresser-Rand Group, Inc. 32.10 1.765.50
19 70 shares of Emcor Group Inc. 27.69 1.938.30
20 30 shares of Factset Research Systems Inc. 66.66 1.999.80
21 28 shares of Flowserve Corp 97.12 2.719.36
22 Franklin High Yield T/F Inc. Fund 13.196.35
23 Franklin PA Tax Free Inc Fund 4.361.88
24 25 shares of Franklin Resources Inc. 105.43 2.635.75
25 Gabelli Utilities Fund 35.732.86
26 32 shares of Henry Schein Inc. 53.01 1.696.32
27 Highland Cap Fltng Rate Adv Fund 26.410.35
28 Hillman Grp Cap TR Pfd 5.200.00
29 54 shares of ITT Corp 50.70 2.737.80
30 98 shares of Jefferies Group 23.95 2.347.10
31 48 shares of Joy Global Inc. 54.25 2.604.00
32 34 shares of Mckeeson Corp 62.82 2.135.88
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98)
Rev-1503 EX+ (6-98)
SCHEDULE B
STOCKS & BONDS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Fackler, Emerson F 21
ITEM
NUMBER CUSIP
NUMBER
DESCRIPTION
UNIT VALUE VALUE AT DATE
OF DEATH
33 106 shares of Microsoft Corp 31.00 3.286.00
34 106 shares of Microsoft Corp 31.00 3.286.00
35 1,400 shares of Microsoft Corp (MSFT) 31.00 43.400.00
3s 330 shares of Natural Gas Svcs Grp, Inc. 18.90 6.237.00
37 36 shares of Nike Inc Class B 65.25 2.349.00
38
122 shares of Oracle Corporation
24.95 i
3.043.90
39 137 shares of Qlogic Corp 18.96 2.597.52
40 33 shares of Quest Diagnostic Inc 61.58 2.032.14
41 35 shares of S & P Midcap 400 Index Spdr Trust 134.20 4.697.00
42 89 shares of SEI Investment Co 17.49 1.556.61
43 78 shares of Southern Copper Corp 33.73 2.630.94
44 44 shares of SPDR Tr Unit SER 1 112.48 4.949.12
45 36 shares of Thermo Fisher Scientific Inc 48.79 1.756.44
4s 100 shares of World Fuel Service Corp 26.85 2.685.00
47 oo3sa2AGO Abington Twp PA Mun Authority 8.634.80
48 230s14CK3 Cumberland Cnty PA Mun Ath 20.297.25
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98)
Rev-1503 EX+I6-98)
SCHEDULE B
STOCKS & BONDS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Fackler, Emerson F 21
ITEM
NUMBER CUSIP
NUMBER
DESCRIPTION
UNIT VALUE VALUE AT DATE
OF DEATH
49 23061NBX4 Cumberland Cnty PA Mun Auth 19.238.00
50 245913JB5 Delaware Cnty PA Auth 7 272 20
51 245913FS2 Delaware County PA Authority 9.724.80
52 273002BF1 East Hempfield Twp PA 17.938.00
53 asls5szos Investors Municipal Pennsylvania Unit Trust Series 615.30
54 514045XS7 Lancaster Cnty PA Hosp Ath
3.971.15
55 524805Y36 Lehigh County PA Gen Purp Auth ~ 4.993.45
56 61360PAV2 Montgomery County
4.574.15
57 sl3soauRS Montgomery County PA High Ed 9.901.00
58 7os7sscv7 pq HSG FIN AGY Single Family Mtg 14.813.40
59 70917PFU8 PA ST Higher Ed College 8c Univ Ursinus 4.829.25
60 70917N3Y8 PA ST Higher Ed Messiah College 10.217.50
61 70917PAP4 PA ST Higher Ed. 15.005.40
62 7091746D3 PA ST Higher Ed. Drexel University 10.001.30
63 70917N5E0 PA ST Higher Ed. Slippery Rock Univ 22.352.00
64 70917NDU5 PA ST Higher Edl 15.159.00
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98)
Rev-1503 EX+ (6.98)
SCHEDULE B
STOCKS & BONDS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Fackler, Emerson F 21
ITEM
NUMBER CUSIP
NUMBER
DESCRIPTION
UNIT VALUE VALUE AT DATE
OF DEATH
65 70917RDV4 pA St Higher Edl Facs Ath
8.572.60
66 70917NWF7 PA ST Higher Edl Facs Auth
5.450.70
67 7os7s2uwa Pennsylvania Hsg Fin
5.003.00
gg 7os7sslsuo Pennsylvania Hsg Fin
4.767.50
69 7087ssCX3 Pennsylvania Hsg Fin Agy Rev
13.681.95
70 71781EAX3 Phila Auth IDA Penna Airport
4.880.35
71 71781EAW5 Phila PA Auth for Indl Dev Arpt
9.855.30
72 71781ECZ6 Philadelphia PA Auth for Indl Dev Aprt
34.470.80
73 724787AR7 Pittsburgh 8~ Allegheny County PA Pub Auditorium 16.419.40
Hotel
74 745190ZT8 Puerto Rico Comwlth Hwy & Tran 62.956.60
75 745190P44 Puerto Rico Comwlth Hwy 8c Trans 3.838.25
76 74514LMF1 Puerto Rico Comwlth Ser
13.889.85
77 769250EK3 Riverside PA Sch Dist
14.803.05
78 805777JU4 Sayre PA Hlth Care Facs
30.556.80
79 849534NH1 Spring-Ford Area Sch Dist PA
25.030.50
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98)
Rev-1503 EX+ (6-98)
SCHEDULE B
STOCKS & BONDS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Fackler, Emerson F
FILE NUMBER
21
ITEM
NUMBER CUSIP
NUMBER
DESCRIPTION
UNIT VALUE VALUE AT DATE
OF DEATH
80 7os2o7clcs State Pub Sch Bldg Authority 14.040.30
81 86909RAH4 Susquehanna Area Regional Arpt 4.100.55
82 ass$osDES Tobacco Settlement Fing Corp 17.425.50
g3 sassosDFS Tobacco Settlement Fing Corp NJ Ser 10.341.30
84 912828DX5 United States Treasury Notes
13.208.21
85 986812QF5 York PA Taxable Ser A FGIC
2.367.45
gg 986812RE7 York PA Taxable Ser A G/O
1.937.50
TOTAL (Also enter on Line 2, Recapitulation) 780.879.68
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98)
Rev-7508 EXi(8-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF (FILE NUMBER
Fackler, Emerson F 21
.. _._'_ ...' ~'----° _.....a_ ......... ... ..... ....... .~ ~., r~....~~w oo~o ~o~oivc~ vy use emaro.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM
NUMBER
DESCRIPTION VALUE AT DATE
OF DEATH
1 American Express Travelers Checks 350.00
2 Money Market #6220-1395 2.677.25
3 Money Market 3117-1952 51.999.95
4 Wachovia Certificate of Deposit 65.577.38
5 American Sentinel Insurance Company 5.76
6 Medco -Refund 55.14
7 United Health Care -Hospitalization Pay 1.320.00
8 Unum 98.16
9 Wells Fargo Mgmt Fee -HAG refund 114.66
10 Wells Fargo Private Advisor Network Quarterly Fee -Reimbursement 348.44
TOTAL (Also enter on Line 5, Recapitulation) I 122.546.74
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98)
Rev-1512 EX+ (12-OS)
SCHEDULE 1
DEBTS OF DECEDENT,
COMMONWEALTH OF PENNSYLVANIA MORTGAGE LIABILITIES, & LIENS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF (FILE NUMBER
Fackler, Emerson F 21
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
(Ir more space Is needed, ad0ltlonal pages of the same size)
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF
Fackler, Emerson F
FILE NUMBER
21
ITEM
NUMBER
DESCRIPTION
AMOUNT
11 Wells Fargo Management Fee 134.02
12 Wells Fargo Private Advisor Network Quarterly Fee 402.05
H-B7 871.09
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Fackler, Emerson F 21
ITEM
NUMBER DESCRIPTION AMOUNT
1 Funeral Ex enses
Neill Funeral Home
5.046.18
2 Trinity Evangelical Lutheran Church -Funeral Luncheon 434.08
H-A 5.480.26
Attorney Fees
3 Diane G. Radcliff 1.020.00
4 Diane G. Radcliff, Esquire 30.00
5 Diane G. Radcliff, Esquire -Reserve for additional attorney's fees 1.000.00
H-62
b
t
P
F 2.050.00
6 ro
a
e
ees
Register of Wills -Probate on 1/12/2010
808.50
7 Register of Wills -Filing Fee -Renunciation 5.00
H-B4
Oth
Ad
i
i 813.50
8 er
m
n
strative Costs
Cumberland Law Journal -Legal Advertisement
75.00
9 Register of Wills -Filing fee for Inventory and Inheritance Tax Return 30.00
10 The Sentinel -Legal Advertisement 230.02
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98)
REV-1151 EX+(10-06)
COMMONWRREALT OFgqP~~ENEEN YLVANIA
IN RESIIDEN~EDECEDEN~RN
SCHEDULE H
FUNERAL EXPENSES &
1DMINISTRATIVE COST
ESTATE OF FILE NUMBER
Fackler, Emerson F 21
Debts of decedent must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
N MBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached
B.
1
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City
Year(sl Commission paid
State Zio
2. Attorney's Fees
See continuation schedule(s) attached
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zio _
Relationship of Claimant to Decedent
2,050.00
4. Probate Fees 813.50
See continuation schedule(s) attached
5. Accountant's Fees 1,200.00
6. Tax Return Preparer's Fees
7. Other Administrative Costs 871.09
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 10,414.85
5,480.26
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06)
REV-1513 EX+ (11.08)
SCHEDULE J
COMIN~RESID NTEDECE EN~RNANIA BENEFICIARIES
ESTATE OF
Fackler. Emerson F
FILE NUMBER
71
NUMBER NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO
DECEDENT SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
I~ TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116 a 1.2
1 Shari Capriola Granddaughter 10,000.00
108 Mount Laurel Lane
Malvern, PA 19355
2 Jeffrey Fackler Grandson 10,000.00
2 Teaberry Drive
Carlisle, PA 17013
3 Justin Fackler Grandson 10,000.00
430 86th Avenue
Saint Petersburg, FL 33706
4 Kim F. Fackler Son 1/3 residue of
2397 Little Buffalo Road estate
Newport, PA 17074
5 Terry E Fackler Son 1/3 residue of
1609 Main Street estate
Lisburn, PA 17055
See continuation schedule attached Continuation 20,000.00
Total 50,000.00
Enter dollar amounts for distributions shown above on lines 15 throw h 18 on Rev 150 0 cover sheet, as a r o riate.
II NON-TAXABLE DISTRIBUTIONS:
. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FO R WHICH AN ELECTION TO TAX IS NOT TAKEN
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08)
SCHEDULE J
BENEFICIARIES
(Part I, Taxable Distributions)
ESTATE OF:
Emerson F Fackler 12/25/2009 206-10-8166
Item Name and Address of Person(s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($$$)
e Aaam Gsen Grandson 10.000.00
1260 Kuhn Road
Boiling Springs, PA 17007
7 Jodi Gsell Granddaughter 10.000.00
1260 Kuhn Road
Boiling Springs, PA 17007
8 Valerie F Gsell Daughter 1/3 residue of estate
1260 Kuhn Road
Boiling Springs, PA 17007
Total 0 000 on
1
LAST WILL AND TESTAMENT
OF
EMERSON F. FACKLER
BE IT REMEMBERED, that I, EMERSON F. FACKLER of Mechanicsburg, Pennsylvania, being
of sound mind, memory and understanding, do make, publish and declare this as and for my
Last WiIC and Testament, hereby revoking and making null and void any and all Wills and
Testaments and writings in the nature thereof by me, at anytime heretofore made.
ARTICLE 01. BACKGROUND INFORMATION: The following is background information pertaining
to myself and my family:
A. 1 was born on November 4, 1915.
B. My social security number is 206-10-8166.
C. I am married to Margaret Fay Fackler.
D. I have three (3) children:
1. Terry E. Fackler, born on April 26, 1942;
2. Kim F. Fackler, born on February 27, 1949;
3. Valerie F. Gsell, born on April 18, 1952.
E. I have five (5) grandchildren: Jeffrey Fackler; Shari Capriola; Justin Fackler; Jodi
Gsell; and Adam Gsell.
ARTICLE 02. DEFINITIONS AND MF ELLANEOUS TERMS: The following definitions and terms
shalt apply to this my Last Will and Testament:
A. My Will: The term "my Will" as used in this my Last Witt and Testament shalt mean
this my Last Will and Testament.
B. S use: The term "my Spouse" as used in my Will means my spouse listed in Article
1 above, if any.
C. My Children: The term "my Child" or "my Children" as used in my Will includes
the child/children listed in Article 1 above, if any, and any children of mine adopted
and/or born after the execution of my Will. A relationship by or through legal
adoption shall be treated the same as a relationship by or through blood for purposes
of succession to property under my Wilt.
Initials: ~~
Page 1
D. My Grandchildren: The term "my Grandchild" or "my Grandchildren" as used in my
Will includes the grandchildren listed in Article 1 above, if any, and any grandchildren
of mine adopted by or born to my Children after the execution of my Will. A
relationship by or through legal adoption shall be treated the same as a relationship
by or through blood for purposes of succession to property under my Will.
E. Issue: The terms "issue" as used in my Will means the immediate and remote
lawful, lineal descendants by blood or adoption of the person referred to, who are
in being at the time they must be ascertained in Order to give effect to the reference
to them.
F. Personal Representative: The term "my Personal Representative" as used in my
Witt means the Executor or Executrix of my Estate, or any other title of tike import
which is used to describe such a fiduciary.
G. Trustee: The term "my Trustee" as used in my Will shall mean the Trustee of any
trust created in my Will.
H. Guardian of Minor's Property: The term " my Guardian of Minor's Property" as
used in my Wilt shall mean the Guardian over any property which passes either under
my Will or otherwise to any beneficiary who is then a minor, which guardian shalt act
as the guardian of the minor children's property during minority.
Guardian of My Minor Children's Person: The term "Guardian of my Minor
Children's Person" as used in my Wilt shall mean the guardian of the person of any
of my Children who are minors upon my death, which guardian shall act as my minor
Child/Children's guardian during her minority.
J. My Estate: The term "my Estate" as used in my Will means alt property of
whatsoever nature and wheresoever situate, wfiether it be real, personal or mixed,
including any insurance policies therefor, property over which I have power of
appointment, and proceeds from any insurance policies payable to my Estate in which
I have an interest upon my death and which is to be distributed to a beneficiary
under the law pursuant to the terms of my Wilt or as the result of intestacy.
K. Residuary Estate: The term "my Residuary Estate" as used in my Will means all the
rest, residue and remainder of my Estate remaining after payment of all of my last
debts, funeral expenses taxes and administration expenses and any other expense,
or expenditure required to be made as the result of my death and after distribution
of the Tangible Personal Property and any special bequests specifically set forth
herein.
L. Per Stirpes: The term "per stirpes" as used in my Will means that whenever a
distribution is to be made to the issue or descendants of any person, the property to
be distributed shall be divided into as many shares as there are (1) living children of
the person, and (2) deceased children, who left descendants who are living, of the
person. Each living child, if any, shall take one share and the share of each deceased
child shall be divided amongst his then living descendants in the same manner.
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M. Per Capita: The term "per capita" as used in my Will means that whenever a
distribution is to be made to a person, the property to be distributed to that person
shall be distributed only if that person survives me. If that person has not survived
me, the distribution to that person shall lapse and be deemed void.
N. Survival: The term "survive me", or any derivative thereof, as used in my Will
means that any person or organization herein named or referred to shall be deemed
to have survived me only if such person or organization shalt in fact survive me for
a period of at least thirty (30) days. Any person or organization named or referred
to herein who shall not survive me by a period of thirty (30) days shall be deemed to
have died before I do.
0. Gender and Number: Where appropriate to the context, pronouns or other terms
expressed in one number or gender shall be deemed to include the other number or
gender, as the case may be.
P. Percentages: Where a gift, bequest or devise is expressed as a percentage in the
fallowing Articles, it refers to the percentage of that portion of my gross estate
available for distribution unless a contrary intention appears in the Article.
Q. Priority: Priority for distribution of the gifts and bequests herein made shalt follow
the Article number with the lower numbered Article taking priority over any Article
appearing subsequently unless a contrary intention appears in the Artiste.
R. Encumbrance: When encumbered property has been specifically devised or
bequeathed, it shalt pass under the terms and conditions of this Will subject to said
encumbrances, provided however, that any installment payments, current or past
due, on either principal or interest on such encumbrances may be paid by my
Personal Representative in his/her sole discretion.
S. Partial invalidity: If any provision of this Will shalt be declared inoperative or in
violation of any rule of law, such invalidity shall not affect the remaining provisions
of this Wilt and they shall remain in full force and effect.
ARTICLE 03. BURIAL AND FUNERAL INSTRUCTIONS: I direct that I be buried or cremated and
that my remains be interned or disposed of as my next of kin may deem appropriate.
ARTICLE 04. DEBTS AND FUNERAL EXPENSES: I direct that all my just debts and funeral
expenses appropriate to my station in life and custom of living (including appropriate
monument or marker for my grave) be paid as soon after my demise as may be convenient.
ARTKLE 05. ADMINISTRATION EXPENSES: I direct that all of the expenses of the
administration of my Estate including, but not limited to, probate and other Court fees and
reasonable commission for my Personal Representative and any attorney retained by my
Personal Representative, be paid as such expenses are incurred and as soon after my demise
as may be convenient.
ARTICLE 06. PAYMENT OF TAXES: I direct my Personal Representative to pay all inheritance,
estate, succession and legacy taxes of whatsoever nature and kind, to which my Estate or any
person receiving the transfer of any property passing hereunder or otherwise passing by reason
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of my demise, may be subject and to charge such taxes against my Residuary Estate, it being
my intention that none of the aforesaid taxes, either federal or state, or any property required
to be included in my gross estate, under the provisions of any state or federal law now in force
or hereafter enacted, shalt be prorated among the persons interested in my Estate to whom
such property is or may be transferred or to whom any benefit accrues.
ARTICLE 07. TANGIBLE PERSONAL PROPERTY: 1 give and bequeath alt tangible personal
property owned by me at my death and alt insurance policies on such property as follows:
A. Jointly Owned Property: The articles of household that are owned jointly by my
spouse and myself are owned by the two of us as tenants by the entireties and I
therefore make no disposition of the same upon my death as my spouse will be the
sole owner thereof by operation of law, if my spouse survives me. The balance of
my tangible personal property shalt be distributed as provided in subparagraphs (b)
and (c) of this Article.
B.. Memorandum: To those individuals who survive me and who are designated on a list
or memorandum signed by me which refers to this Wilt or is found with a copy
thereof, I give and bequeath the articles listed beside their names, unless and to the
extent said listed articles are to be distributed to my spouse pursuant to the
provisions of subparagraph (a) of this Article.
C. Remainder Distribution: The balance (including any articles under subparagraphs
(a) and (b) above the bequest of which has lapsed) shalt be distributed to my Spouse,
Margaret Fay Fackler, provided my Spouse survives me. If my Spouse fails to survive
me, said remaining articles of personalty shalt be distributed to my Children, Terry
E. Fackler, Valerie F. Gsell and Kim F. Fackler, in equal shares, per capita. In the
event none of my children have survived me, said remaining articles of personalty
shall be distributed to my Grandchildren, in equal shares, per stirpes.
D. Manner of Distribution: My Personal Representative shall have the right to dispose
of said remaining articles of personalty, pursuant to the provisions of subparagraph
(c) of this Article either in kind or in cash as a result of liquidation thereof as my
Personal Representative, in my Personal Representative's sole discretion, deems
appropriate under the circumstances. It is my intent, however, that should any
beneficiary of my residuary estate desire to receive a particular article in kind which
was not specifically bequeathed to that beneficiary, to the extent reasonably
possible, my Personal Representative shall attempt, but not be obligated, to follow
that beneficiary's request.
E. Safekeeping: If any beneficiary of any article of tangible personal property aforesaid
has not yet attained the age of twenty one (21) at the time of my death, I order and
direct that my Trustee, hereinafter named, to hold said articles in safekeeping for
that beneficiary and to deliver the same to that beneficiary upon he or she reaching
age twenty one (21) or at such earlier age if my Personal Representative deems the
beneficiary to be of appropriate age and maturity to receive said articles of
personalty. For these purposes my Personal Representative shall be entitled to use
or set aside from my estate sufficient funds to provide for that safekeeping.
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ARTICLE 08. SPECIAL BEQUESTS: 1 make the following special bequest in this Will in addition
to those to be made pursuant to Article 07 herein.
A. ~ecial Bequest to Terry E. Fackler: I give and bequeath the sum of $20,000.00 to
my Child, Terry E. Fackler, provided that both he and my spouse survive me.
B. Special Bequest to Kim F. Fackler: I give and bequeath the sum of $20,000.00 to
my Child, Kim F. Fackler, provided that both he and my spouse survive me.
C. Special Bequest to Valerie F. Gsell: I give and bequeath the sum of $20,000.00 to
my Child, Valerie F. Gsell, provided that both she and my spouse survive me.
D. Special Bequest to Grandchildren: I give and bequeath the sum of $10,000.00 to
each of my Grandchildren: Jeffrey Fackler; Shari Capriola; Justin Fackler; Jodi Gsell;
and Adam Gsell, or such of them who survive me.
ARTICLE 09. FACKLER UNIFIED CREDIT TRUST: If my Spouse, Margaret Fay Fackler, survives
me, I give, devise and bequeath unto my hereinafter named Trustee, as Trustee of the Trust
designated the "Fackler Unified Credit Trust", upon the terms hereinafter more fully set forth,
so much of the rest, residue and remainder of my estate, after the payment of all debts,
expenses and death taxes,(including all failed and lapsed legacies but excluding any property
over which I may now or hereafter have a power of appointment) as will pass free of Federal
Estate Tax solely by virtue of the unified credit against such tax under Section 2010 of the
Internal Revenue Code of 1986 as amended (hereinafter "Unified Credit" and IRC) or the
equivalent thereto in effect at the date of my death, which is allowable to my estate, to the
extent that said unified credit is not conwmed by non-residuary transfers.
My Trustee shall distribute the income and principal of the Fackler Unified Credit Trust as
follows:
A. Principal Distribution to Spouse: Trustee shall pay unto my Spouse, Margaret Fay
Fackler, such amounts as my Spouse may at any time request in writing, not to
exceed in any one calendar year, on a noncumulative basis, the greater of either the
sum of Five Thousand and 00/100 Dollars ($5,000.00) or Five Percent (5%) of the
principal of the Fackler Unified Credit Trust, valued as of the first withdrawal for a
given year.
6. Income Distribution to Spouse: Until the death of my Spouse, my Trustee shall pay
the income of the Fackler Unified Credit Trust in regular installments, and at least
quarter-annually, to my Spouse or for my Spouse's benefit.
C. Discretionary Principal Distribution to Spouse: In Trustee's sole and uncontrolled
discretion, Trustee may expend money from the principal, even to exhaustion, on
behalf of my Spouse, without liability to any remainderman, for the following
purposes:
1. Funeral Expenses: For my Spouse's funeral expenses, including a suitable and
proper grave marker, if, in Trustee's sole opinion, my Spouse's separate estate
is insufficient, to pay for said expenses.
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2. Support and Maintenance: For my Spouse's comfortable support and
maintenance in my Spouse's customary station in life measured as of the time
of my death if, in Trustee's sole opinion after considering alt resources
available to my Spouse, my Spouse's income from other sources or funds
subject to my Spouse's withdrawal are insufficient to provide my Spouse with
the same.
D. Distribution upon Death of Spouse: Following the death of my Spouse, my Trustee
shall distribute the remaining principal and any undistributed income of the Fackler
Unified Credit Trust to my Children, Terry E. Fackler, Valerie F. Gsell and Kim F.
Fackler, or their issue, in equal shares per stirpes.
ARTICLE 10: RESIDUARY ESTATE DISTRIBUTION: tf my Spouse, Margaret Fay Fackler, survives
me, I give, devise and bequeath alt the rest and remainder of my estate outright to my Spouse
free of all trusts. In the event my Spouse does not survive me, the assets shall be distributed
in accordance with the provisions set forth in Article 11 (Alternative Residuary Estate
Distribution) herein. Furthermore if my Spouse disclaims all or any part of my Spouse's interest
in this residuary gift, such disclaimed property shall be distributed in accordance with the
provisions of Article 11 (Alternative Residuary Estate Distribution) herein.
ARTICLE 11. ALTERNATIVE RESIDUARY ESTATE DISTRIBUTION: Should my Spouse, Margaret
Fay Fackler, fail to survive me, any bequest for my Spouse herein provided shall lapse, then and
in that event, I give, devise and bequeath all the rest, residue and remainder of my estate of
whatsoever nature and wheresoever situate, to my children, Terry E. Fackler, Valerie F. Gsell
and Kim F. Fackler, or their issue, in equal shares per stirpes.
ARTICLE 12. TRUST FOR BENEFICIRAIES UNDER AGE 21: In the event any beneficiary herein
has not yet reached the age of twenty one (21) upon becoming entitled to a share of my Estate,
his or her share shall be held by my Trustee for the following uses and purposes and subject to
the following terms and conditions:
A. Name of Trust: The Trust shall be known as the Fackler Family Trust.
B. Separate Account: I direct my Trustee to maintain a separate account for each
beneficiary for the property bequeathed and devised to that beneficiary.
C. Management and Distributions: My Trustee shat( have, hold, manage, invest and
reinvest the principal of each beneficiary's share of the Fackler Family Trust, and
during the continued existence of the Fackler Family Trust, pay to or for each
beneficiary's benefit, all of the net income and so much of the principal of the
beneficiary's share of the Fackler Family Trust as, my Trustee, in his/her sole
discretion, may deem necessary, proper and/or appropriate to maintain the
beneficiary in the proper station in life including, but not limited by way of
specification, payment of expenses far proper support, maintenance, housing, room
and board, education, taxes, medical, hospital, dental, optical, and
psychological/psychiatric care. Any unused income shall be accumulated.
D. Post Hiah School Distributions-Post Secondary Education: In the event a
beneficiary should desire to continue his/her education once he/she graduates from
high school, my Trustee shall use so much of the unpaid accumulated income and so
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much of the principal of the beneficiary's share of the Fackler Family Trust to pay
any and all expenses to continue his/her education. These expenses may include, but
are not limited to, tuition charges for college, university, post graduate school or
post-secondary vocational or technical training and trade schools. Trustee shall also
pay all expenses which the Trustee deems necessary and desirable in connection
therewith including, by way of illustration, room and board, clothing, travel
expenses, books and supplies, and reasonable sums for personal and other living
expenses.
E. Post Hiah School Distribution-No Education: In the event a beneficiary does not
wish to continue his/her education upon his/her graduation from high school, or in
the event a beneficiary does not graduate from high school, or in the event a
beneficiary does not complete his/her post-highschool education, my Trustee, in
his/her sole discretion, may, but shalt not be obligated to, use the income and
principal from the beneficiary's share of the Fackler Family Trust for the purposes set
forth in Paragraph B. of this Article.
F. Distribution Amount-Other Considerations: The amount to be paid for the benefit
of the beneficiary from the Fackler Family Trust shall be determined by my Trustee,
in his/her sole discretion, and from time to time, after consideration of the
beneficiary's needs, other income and assets, including any income payable for the
benefit of the beneficiary from other sources, including but not limited to, other
trusts, social security benefits and/or other governmental benefits.
G. Distribution-Person or Institution: The payments to be made from the Fackler
Family Trust may be made, as my Trustee deems appropriate, directly to the
beneficiary if the beneficiary is, in the sole opinion of my Trustee, of an age and
ability to handle the funds so paid; or directly to the person having custody and care
of the beneficiary; or directly to any institution entitled to such payment by reason
of services rendered or to be rendered to the beneficiary.
H. Termination of Trust and Final Distribution: When the beneficiary reaches age
twenty one (21), the then remaining assets, principal and any accumulated or
undistributed income of the beneficiary's share of the Fackler Family Trust shall be
distributed to the beneficiary outright and absolutely.
I. Immediate Distribution: If, at the establishment of the Fackler Family Trust, a
beneficiary has already attained an age at which a distribution would have been
made, the portion of the Fackler Family Trust which would have been distributed at
such prior age shalt be paid to him/her immediately.
J. Termination of Trust Due to Death of Beneficiary Before Final Distribution: If the
beneficiary should die before final distribution the beneficiary's share of Fackler
Family Trust, then the beneficiary's share of Fackler Family Trust shall be distributed
to the issue of that deceased beneficiary in equal shares per stipes, and if none, then
amongst the then surviving beneficiaries of my Residuary Estate and in the
proportions herein provided, subject to the terms and conditions of the Fackler
Family Trust, if then applicable.
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K. No Alienation: No part of the income or principal of the property held under the
Fackler Family Trust shall be subject to attachment, levy or seizure by any creditor,
spouse, assignee, trustee or receiver in bankruptcy of any beneficiary prior tohis/her
actual receipt thereof. My Trustee shall pay over the net income and the principal
to the parties herein designated, as their interests may appear, without regard to any
attempted anticipation, alienation, assignment, attachment, and pledge, and
without regard to any claim thereto or any attempted levy, attachment, seizure or
other process against the beneficiary.
L. Termination of Trust Due to Size: Should the principal of the Fackler Family Trust
herein provided for be or become too small in my Trustee's discretion so as to make
establishment or continuance of the Fackler Family Trust inadvisable, my Trustee or
Personal Representative may make immediate distribution of the then-remaining
assets, principal and any accumulated or undistributed income outright to the person
or persons and in the proportions they are entitled, and if any such person is a minor
then to the Guardian of the Person of that minor beneficiary..
M. Rule Against Perpetuities: In the event that any proposed distribution hereunder
shall violate any rule against perpetuities or rule against accumulations my Trustee
is directed to cause a sooner termination of the Fackler Family Trust and to make
distribution as specified above in such shorter period that will not violate any such
rule or taw, any other provisions in my Wilt to the contrary not withstanding.
ARTICLE 13. ALLOCATION: In dividing the residue of my estate in the shares set forth herein;
my Persona[ Representative shall allocate and designate the assets between the shares, and,
in doing so, shall be guided by an equitable consideration of the relative interests of alt parties
in interest. Each article of property or interest in property distributed in kind shall be valued
at the date or dates of distribution or in the value determined therefor in the Federal Estate
Tax proceedings in my estate, whichever value shall be tower, provided, however, that any
property or interest in property (or the proceeds of sale or other disposition thereof) in respect
of which the marital deduction is not allowable for Federal Estate Tax purposes shall be
allocated to the Fackler Unified Credit Trust, until that share has been fully bonded to the
value above established; any remaining non-qualifying property shalt be allocated to the share
for my Spouse.
ARTICLE 14. INCAPACITATED PERSONS: If any share of my estate or any share of my Estate
shall be payable to a person who shall be incapacitated for any reason, and which share is not
subject to any Trust herein created, Trustee shall hold that share and income derived
therefrom during the incapacity and shall be entitled to apply such income and principal to the
health, maintenance or education of such person during the incapacity without the
appointment of any guardian, or committee or any authority of Court. Trustee shall be entitled
to make direct application or to make application by payment of income and principal to the
person in charge of the incapacitated person, or to his or her guardian. Any remaining income
and principal shall be paid and distributed to such person upon the termination of the
incapacity.
ARTICLE 15. GUARDIAN OF ESTATE OF MINOR BENEFICIARIES: If, for any reason, a guardian
over the estate of a beneficiary or beneficiaries is needed or required, my Trustee shalt be the
guardian of the estate of such beneficiary or beneficiaries, including any life insurance
Initials: ~;~
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proceeds payable to a minor beneficiary, with the same rights, powers, privileges, duties and
responsibilities as I have given Trustee as Trustee.
ARTICLE 16. APPOINTMENT OF TRUSTEE: I appoint Terry E. Fackler, Valerie F. Gsell and Kim
F. Fackler, or the survivor of them, as Co-Trustees of any Trust created by this my Last Will and
Testament.
ARTICLE 17. APPOINTMENT OF PERSONAL REPRESENTATIVE: I appoint my Spouse, Margaret
Fay Fackler, as the Personal Representative of my estate under this my Last Will and
Testament. Should my Spouse predecease me, fail to qualify, cease to act or renounce
probate, I then appoint Terry E. Fackler as the Successor Personal Representative of my estate.
Should Terry E. Fackler predecease me, fail to qualify, cease to act or renounce probate, I then
appoint Kim F. Fackler as the Second Successor Personal Representative of my estate. Should
Kim F. Fackler predecease me, fail to qualify, cease to act or renounce probate, I then appoint
Valerie F. Gsell as the Third Successor Personal Representative of this my estate.
ARTICLE 18. POWERS OF PERSONAL REPRESENTATIVE AND TRUSTEES: In addition to the
powers conferred by taw or under previous provisions of this Will, my Personal Representative
and Trustee shall have the following powers:
A. Investment Retention: To retain investments I may have at my death when deemed
advisable to my estate or trust to do so;
B. Sale: To sell either at public or private sale any rea[ or personal property and to
consummate said sale or sales by sufficient deeds or other instruments to the
purchaser or purchasers, conveying a fee simple title with special warranty, free and
clear of all trusts and without obligation or liability to the purchaser or purchasers
to see to the application of the purchase money or to make inquiry to the validity of
the 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 Personal Representative or Trustee
in my Will or otherwise;
C. Investments: To vary investments, when deemed desirable, then to invest in such
bonds, stocks, notes, real estate mortgages, or other securities, or in such property,
real or personal, as deemed wise, without being restricted to so-called "legal
investments" and without regard to diversification;
D. Real Estate: To manage real estate;
E. 0 tions: To exercise any option or rights arising from ownership of investments;
F. Compromise: To compromise claims without Court approval and without the consent
of any beneficiary;
G. Disclaimer: To disclaim any interest in property;
W. Estate Elective Share: To claim an elective share of the estate of my deceased
Spouse;
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Page 9
1. Taxes: To join with my Spouse I may have upon my death in the filing of any federal
income tax return for any year for which I have not filed such return prior to my
death, and to consent to the treatment of any gifts made by my Spouse as being
made one-half by me for gift tax purposes notwithstanding the fact that such action
may result in additional liabilities for my estate. Any income or gift taxes due on
such returns and any deficiencies, interest, penalties, or refunds thereon, shall be
allocated between my estate and my Spouse and my Spouse's estate, or all to any of
them, in such manner as my Personal Representative and my Spouse may agree;
J. Allocation and Division: In any division of principal into separate trusts or shares,
and in any distribution of trusts or shares, to allocate to any trust, share or
beneficiary, property different from the property allocated to another trust, share
or beneficiary as the Trustee or Personal Representative, using fair market values on
the date of division or distribution, deems appropriate; provided, however, this
power shat! not be exercised in any manner contrary to any specific allocation of
property elsewhere in this will or in a manner that renders ineligible all or any part
of any gift for any tax deduction.
K. Deduction of Administration Expenses: To deduct administration expenses upon
either the federal estate tax return or fiduciary income tax return, with or without
adjustment between principal or income as my Personal Representative shall
determine.
L. Income Tax and Gift Tax Returns: To join with my Spouse and file any income tax
or gift tax returns that may be due on my behalf and to pay so much of such taxes as
my executor may deem appropriate and to consent to any gifts made by my Spouse
being treated as having been made one-half (%z} by me.
M. Retention of Advisors: In the absence of a corporate fiduciary, to retain accountant,
custodians, investment advisors and other agents as my Personal Representative and
Trustee shalt determine and to compensate them out of principal or income or both
as my Personal Representative and Trustee shall determine to be appropriate.
N. Administration Costs: To pay all costs, taxes, expenses and charges in connection
with the administration of my estate or trust, including but not limited to my last
debts and all funeral expenses.
O. Distribution Method: In Order to effectuate a division of the principal of my estate
or of any trust or for any other purpose, including final distribution, my Personal
Representative and Trustee are authorized to make such divisions or distributions of
the personalty and realty in kind or by way of liquidation thereof in whole or in part
as my Personal Representative or Trustee may deem appropriate under the
circumstances. If a distribution or division is made in kind, said assets are required
to be divided or distributed at their respective values on the date or dates of their
division or distribution.
P. Miscellaneous: To do alt other acts and things necessary and appropriate in the
management, administration and distribution of my Estate or any trust herein
created.
Initials: ~ ~
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ARTICLE 19. LIMITATION ON USE OF PROPERTY EXEMPT FROM FEDERAL ESTATE TAX: No
property received by my Personal Representative and Trustee that is exempt from federal
estate tax that may be assessed against my estate shall be available for the payment of debt,
inheritance and estate taxes or penalties and interest, or administration expenses in the
settlement of my estate.
ARTICLE 20. NO BONDING REQUIREMENT: I direct that my Personal Representative, my
Guardian of Minor's Property and my Trustee, or their successors, shall not be required to give
bond for the faithful performance of their duties in any jurisdiction.
ARTICLE 21. EXCLUSION: It is not my intention to make provision in my Wilt for any relative
or any other person not expressly provided for herein, except for children born to or legally
adopted by me after the date of this instrument. If any wch person has not been expressly
mentioned herein, he or she has been omitted by me intentionally and with full knowledge of
his or her relationship and existence, and not by any oversight or neglect.
ARTICLE 22. WILL CONTEST: in the event that any person, including a devisee, Legatee or
beneficiary under my Will shall either directly or indirectly seek to establish or assert any claim
to my Estate, or any part thereof, not authorized by my Will, or seek to impair, invalidate, or
set aside the provisions of my Will, or to have any of the trust provisions or estate distributions
limited, declared void or diminished or to defeat or change any of the diapositive scheme of my
Will, or shall endeavor to secure or take any part of my estate in any manner other than
through or under my Will, 1 hereby give, devise and bequeath to such person or persons the sum
of Ten Dollars ($10.00) and no more in lieu of any other share or interest in my estate.
Provided further that nothing in this Article contained shall prevent any beneficiary hereunder
from bringing an action against any fiduciary hereunder, for an accounting, nor from enforcing
any statutory share to which the heir may be entitled.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this2-? day of ~~}- s,Z()04
WITNESS:
~~.o„j..,,,. ~ - a°*.u?~ (SEAL)
EMERSON F. FACKLER
Page 11
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND ,
We, EMERSON F. FACKLER, Diane G. Radcliff, Esquire, and Robin Z. Shahan, the Testator
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
Testator signed and executed the instrument as Last Wil[ and that Testator had signed willingly
(or willingly directed another to sign for the Testator), and that Testator executed it as
Testator's free and voluntary act for the purposes therein expressed, and that each of the
witnesses, in the presence and hearing of the Testator, signed the Will as witnesses and that
to the best of their knowledge the Testator was at that time eighteen years of age or older, of
sound mind and under no constraint or undue influence.
Sworn to and subscribed to
before me this da day
of ~~~, 20 Q` .
NOTARY PUBLIC
My Commission Expires:
COMMONWEALTH OF PENNSYWANIA
trotariail Seal
Deborah L. Omley. Notary P~~b1c
Camp F 9l Born. Qsnberland County
My Gbnvniss+o~ E~¢was Sept 23, 2007
Member. Porns;!vania 4csxiation Of Notaries
Page 12
IN RE: ESTATE OF EMERSON F. FACKLER
ESTATE N0: 21-10-0028
RENUNCIATION OF SURVIVING SPOUSE
~~ o ~~.~
IN RE: ESTATE OF EMERSON F. FACKLER ~' ~ ~;;``. _-
av
Renunciation of Surviving Spouse , `-- i ~
rr' N ~ ~-'
c~ x --~
.~
OCR' 3r :: --~'
WHEREAS, Emerson F. Fackler, ("Decedent") died on December 25, 20nd af~he ~~-~:° r
time of his death Decedent was domiciled at 5 Red Bud Drive, Mechanicsl~,-g, ~~~ ~_
Pennsylvania; and
WHEREAS, Decedent died testate having executed a Last Wilt and Testament dated
December 22, 2004; and
WHEREAS, Decedent was survived by his spouse, Margaret Fay Fackler, and his three
children, Terry E. Fackler, Kim F. Fackler and Valerie Gsell; and,
WHEREAS, on January 11, 2010, Decedent's Last Will and Testament was admitted to
probate by the Register of Wills of Cumberland County and Letters Testamentary were
issued to his son, Terry E. Fackler, his spouse, Margaret Fay Fackler, having executed and
filed a Renunciation of her right to act as Executrix of the Estate; and.
WHEREAS, in and by the said Will, the Decedent gave a portion of his estate to his
Trustee in trust for the benefit of his spouse, Margaret Fay Fackler, designated as the
"Fackler Unified Credit Trust"; and following her death the remainder of the Fackler
Unified Credit Trust is to be distributed to the Decedent's children: Terry E. Fackler,
Valerie F. Gsell and Kim F. Fackler, or their issue, in equal shares per stirpes; and,
WHEREAS, in and by the Decedent's Wilt, the Decedent gave the remainder of his estate
outright to his spouse, Margaret Fay Fackler, and if she disclaimed that interest then to
Decedent's children: Terry E. Fackler, Valerie F. Gsetl and Kim F. Fackler, or their issue,
in equal shares per stirpes.
Now, therefore, I, Margaret Fay Fackler, surviving spouse and primary beneficiary of the
Fackler Unified Credit Trust created by the Decedent's Will and beneficiary of the
Decedent's Residuary Estate, do hereby renounce and disclaim any and all right s which
I may have to share in the Decedent's Estate as a result of our marital relationship or
otherwise including, without limitation to the following:
1. statutory allowance;
2. widow's allowance;
3. intestacy rights;
4. right to take under the Will of the Decedent
5. right to act as the Executrix of the Decedent's Estate.
6. Right to claim, take and receive any interest in any Trust created by the
Will of the Decedent including the Fackler Unified Credit Trust.
7. Right to claim, take and receive any interest in the remainder of the
Decedent's Estate including but not limited to the right to that residuary
estate pursuant to the terms and provisions of the Will of Emerson F.
Fackler dated December 22, 2004.
IN WITNESS WHEREOF, I have hereunto signed and sealed this instrument this 1 Zday of
2010.
Witness:
MAR RET FAY F KLER
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
On this the ~07~ day of , 2010, before me the
undersigned officer, personally appeared, Margaret Fay Fackler, known to me (or
satisfactorily proven) to be the person whose name is subscribed to the within
Renunciation, and acknowledged that she executed the same for the purposes therein
contained.
IN WITNESS WHEREOF, I hereunto set my hand and notarial seal.
NOTARY PUBLIC
COMMONWEALTH OF PENNSYLVANI~3
Notarial Seal
~h~ ~~ey~tary~Public
MY ~sion E~ires Sept 21
Member, Pennay~vaMa Associitfon of Rlotarles
Estate of Emerson Fackler
Date of Death Values on 12/24/2009
Security Description Symbol/Cusip # of Shrs Price Per
Share Total Value
Cisco S stems Inc CSCO 200 23.96 4 792.00
Microsoft Cor MSFT 1 400 31.00 43 400.00
Natural Gas Svcs Gr Inc NGS 330 18.90 6 237.00
PA ST Higher Ed. Messiah College 70917N3Y8 10,000 102.175 $10,217.50
5.000% Due 11/01/15 Dtd 04/01/05
PA ST Higher Ed. Drexel Univ. 5.375% 7091746D3 10,000 100.013 $10,001.30
Due 05/01/16 Dtd 04/01/98
PA ST Higher Ed. 5.500% Due 70917PAP4 15,000 100.036 $15,005.40
03/15/20 Dtd 12/01/00
PA ST Higher Ed Slippery Rock Univ 70917N5E0 25,000 89.408 $22,352.00
4.000% Due 07/01/20 Dtd 06/01/05
PA ST Higher Ed 4.250% Due 70917~FU8 5,000 96.585 $4,829.25
01/01/21 Dtd 02/15/06
PA HSG FIN AGY Single Family Mtg 708796CV7 15,000 98.756 $14,813.40
4.550% Due 10/01/22 Dtd 11/30/06
Phila PA Auth For Indl Dev Arpt 71781EAW5 10,000 98.553 $9,855.30
5.000% Due 07/01/23 Dtd 07/01/98
East Hempfield Twp PA 6.375% .Due 2730026F1 20,000 89.69 $17,938.00
11/01/23 Dtd 11/01/93
Riverside PA Sch Dist 4.350% Due 769250EK3 15,000 98.687 $14,803.05
10/15/24 Dtd 02/01/04
Abington Twp PA Mun Auth 4.500% 003642AG0 10,000 86.348 $8,634.80
Due 06/01/26 Dtd 01/01/07
Delaware Cnty PA Auth 4.875% Due 245913FS2 10,000 97.248 $9,724.80
11/15/26 Dtd 01/01/98
Susquehanna Area Regl Arpt 5.00% 86909RAH4 5,000 82.011 $4,100.55
Due 01/01/28 Dtd 05/08/03
Phila Auth IDA Penna Airport 5.125% 71781EAX3 5,000 97.607 $4,880.35
Due 07/01/28 Dtd 07/01/98
Philadelphia PA Auth For Indl Dev Aprt 71781ECZ6 35,000 98.488 $34,470.80
5.250% Due 07/01/28 Dtd 07/10/01
Puerto Rico Comwlth Ser 5.000% Due 74514LMF1 15,000 92.599 $13,889.85
07/01/28 Dtd 10/04/07
Montgomery Cnty 5.250% Due 61360PAV2 5,000 91.483 $4,574.15
11/15/28 Dtd 12/01/98
Pittsburgh & Allegheny Cnty PA Pub 724787AR7 20,000 82.097 $16,419.40
Auditorium Hotel 4.500% Due
02/01/29 Dtd 05/01/99
~ Pennsylvania Hsg Fin 5.500% Due ~ 708792UW4 ~ 5,000 ~ 100.06 ~ $5,003.00
04/01/29 Dtd 12/15/97
Pennsylvania St Higher Edl 5.00% Due
08/01 29 Dtd 02/01/99 70917NDU5 15,000 101.06 $15,159.00
State Pub Sch Bldg Auth 4.35% Due
11/15/30 Dtd 03/15/06 709207CK8 15,000 93.602 $14,040.30
PA St Higher Edl Facs Ath 4.625% Due
'07/01/31 Dtd 05/16/06 70917RDV4 10,000 85.726 $8,572.60
Pennsylvania Hsg Fin 4.875% Due
10/01/31 Dtd 09/07/06 7087966U0 5,000 95.35 $4,767.50
Pennsylvania Hsg Fin Agy Rev 4.650%
Due 10/01/31 Dtd 11/30/06 708796CX3 15,000 91.213 $13,681.95
Sayre PA Hlth Care Facs 5.875% Due
12/01/31 Dtd 02/01/02 805777JU4 30,000 101.856 $30,556.80
Montgomery Cnty Pa High Ed 5.125%
Due 06/01/32 Dtd 10/22/02 613604UR6 10,000 99.01 $9,901.00
Lehigh Cnty PA Gen Purp Auth
5.250% Due 07/01/32 Dtd 05/21/03 524805Y36 5,000 99.869 $4,993.45
Spring-Ford Area Sch Dist Pa 4.50%
Due 06/01/33 Dtd 11/15/07 849534NH1 25,000 100.122 $25,030.50
Pennsylvania St Higher Edl Facs Auth
5.00% Due 07/01/33 Dtd 07/01/03 70917NWF7 10,000 54.507 $5,450.70
Tobacco Settlement Fing Corp 4.750%
Due 06/01/34 Dtd 01/29/07 888808DE9 25,000 69.702 $17,425.50
Cumberland Cnty PA Mun Ath 5.00%
Due 01/01/36 Dtd 01/30/07 230614CK3 25,000 81.189 $20,297.25
Delaware Cnty PA Auth 4.550% Due
10/01/36 Dtd 10/15/06 245913JB5 10,000 72.722 $7,272.20
Lancaster Cnty PA Hosp Ath 4.500%
Due 11/01/36 Dtd 11/01/06 514045X57 5,000 79.423 $3,971.15
Cumberland Cnty PA Mun Auth
4.500% Due 05/01/37 Dtd 06/01/07 23061NBX4 20,000 96.19 $19,238.00
Puerto Rico Comwlth Hwy & Tran
5.250% Due 07/01/39 Dtd 03/06/07 745190ZT8 70,000 89.938 $62,956.60
Tobacco Settlement Fing Corp NJ Ser
5.00% Due 06/01/41 Dtd 01/29/07 888808DF6 15,000 68.942 $10,341.30
Puerto Rico Comwlth Hwy & Transn
5.00% Due 07/01/42 Dtd 04/29 03 745190P44 5,000 76.765 $3,838.25
York PA Due 02/01/22 Dtd 12/28/95 986812 F5 5 000 47.349 $2 367.45
York PA Due 02/01/22 Dtd 12/28/95 986812RE7 5 000 38.75 1 937.50
Ca ital World Grth & Inc Fd Class A CWGIX 764.609 34.14 $26 103.75
Franklin Hi h Yield T/F Inc Fd Class C FHYIX 1 320.956 9.99 13 196.35
Franklin PA Tax Free Inc Fd Class C FRPTX 422.254 10.33 $4 361.88
Gabelli Utilities Fd Class C GAUCX 5 848.258 6.11 35 732.86
Hi hland Ca Fltn Rate Adv Fd CI C XLACX 4 165.671 6.34 26 410.35
Blackrock Insured Muni Income Trust BYM 200 13.57 2 714.00
Hillman Gr Ca Tr Pfd Callable HLM' 200 26.00 5 200.00
Investors Municipal Pennsylvania Unit
Trust Series 2 uarterl 461656209 10 61.53 $615.30
Cash in the Mone Market $51 999.95
TOTAL DATE OF DEATH VALUE FOR ACCT 3117 1952 724 075.34
Accenture Plc Ireland Shrs Class A ACN 48 41.39 $1,986.72
ArinhP ~vctr~mc inr ADBE 71 37.17 $2,639.07
Alcon Inc ACL 26 160.25 4 166.50
America Movil Sab De Cv ADR Series L AMX 59 47.64 $2 810.76
Cameron International Cr CAM 72 42.04 $3 026.88
Cisco S stems Inc CSCO 139 23.96 $3 330.44
Coca-Cola Com an KO 48 57.44 2 757.12
Co nizant Tech Solutions Cor CIA CTSH 64 46.23 $2 958.72
Cummins Inc CMI 48 47.53 $2 281.44
Danaher Cor DHR 43 76.10 3 272.30
Dents I International Inc New XRAY 50 35.27 $1 763.50
Dicks S ortin Goods Inc DKS 106 25.36 2 688.16
Directv Class A Common DTV 63 33.97 $2 140.11
Disne Walt Com an DIS 72 32.29 2 324.88
Dresser-Rand Grou Inc DRC 55 32.10 $1 765.50
Emcor Grou Inc EME 70 27.69 $1 938.30
Factset Research S stems Inc FDS 30 66.66 $1 999.80
Flowserve Cor FLS 28 97.12 2 719.36
Franklin Resources Inc BEN 25 105.43 2 635.75
Nen Schein Inc HSIC 32 53.01 $1 696.32
ITT Cor ITT 54 50.70 2 737.80
Jefferies Grou JEF 98 23.95 $2 347.10
Jo Global Inc JOYG 48 54.25 2 604.00
Mckesson Cor oration MCK 34 62.82 $2 135.88
Microsoft Cor MSFT 106 31.00 3 286.00
Nike Inc Class B NKE 36 65.25 $2 349.00
Oracle Cor oration ORCL 122 24.95 $3 043.90
to is Cor LGC 137 18.96 2 597.52
uest Dia nostics Inc DGX 33 61.58 $2 032.14
S&P Midca 400 Index S dr Trust MDY 35 134.20 00
SEI Investments Co SEIC 89 17.49 $1 583.31 ~ 1.55
Southern Co er Cor PCU 78 33.73 .94
SPDR Tr Unit SER 1 SPY 44 112.48 $4 949.12
Thermo Fisher Scientific Inc TMO 36 48.79 1 756.44
World Fuel Service Cor INT 100 26.85 $2 685.00
United States Treasury Notes 3.625%
Due 6/15/10 Dtd 06/15/05 912828DX5 13,000 101.6016 $13,208.21
Cash in the Mone Market $2 677.25
TOTAL DATE OF DEATH VALUE FOR ACCT 6220 1395 108 194.20
TOTAL DATE OF DEATH VALUE DATED
12/24/2009 FOR EMERSON
FACKLER $832,269.60
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~~j-iUV1A
TIME DEPOSIT WITHDRAWAL CONFIRMATION
~~s~t~~
Office Name ~ ~/ z ~l~?
Customer Name(s), Address and Taxpayer ID Nu er 666
NE CNTRL PA /MECHANICSBURG EMERSON F FACKLER _
PA
Date 8 REDBUD DRIVE
02/19/2010 UNIT 4 BENT CREEK CROSSING DEV.
MECHANICSBURG PA 17050
CURRENT BALANCE : $65,577.38 SXXXXX8166
+ ACCRUED INTEREST : $0.00 FULL REDEMPTION
Avail Int WD/PenFree: $0.00 CD ACCOUNT NUMBER:
- PENALTY AMOUNT : $0.00 247412041071740
-FEDERAL W/HD DUE : $0.00
-WITHDRAWAL FEE : $0.00
-OUTSTANDING PYMT : $0.00
--------------
PAID TO CUSTOMER.:.$65,577.,,~$
WACHOVIA TIME DEPOSIT
NOT TRANSFERABLE
Opening Date Account Number
TaxpayerlD Number
Th~ Receipt Adcnowl Thal The Depositor Named •*****r*~*~**xk V OID+tt+e,tir
f3ebw Has Depositetl rth This`Bank The
Sum Of
Depositor.
Name And
Address
Term Maturity Date Interest Rate PerAnnum Annual Pwcentage Yield Interest Pa
yntent Frequency/Period
InteresfPayment Disposition ' Account to Credit
PROD:-TYP€: PROMO CD:
lssuedgv WACHOVIA-BANK, N.A.
X Auth d sig X Z ~- l q- to
Date
5sssw
1. Ste~~~art Hardy. Ph.D.
John }i. Brock. ~~1.Div.
January 20, 2010
Terr}~ Fackler
1609 Main Street
Lisburn, PA 17055
\~\n~~/
T R I II I\I II T Y
Evangelical Lutheran Church
Ilti~~%OICE
Charges for the Emerson Fackler Funeral ideal:
Total cost of meal
Total amount due
$434.08
$434.08
>r ^~
P1
1, ~a 61d
~..
~,~~-1~ .
Lt
Nancy R. Easton. M.Div.
AJSIS7".1AT PgSICIR
~~, ~~-~" Guy S. Edmiston. Ir.. D.D.
~CPPOItl P.-15TORIN RESIDENCr
If y-ou have any questions about this invoice, please feel free to call me at the church.
T ank you,
~'.." t
Paul. Hensel
Financial Administrator
2000 Chestnut street, Camp Hill, Pennsylvania 17011
~t~ove 71.7.737.8635 r.~x 717.730.9297 ~-~i,a~~ trinluthC~trinitycamphill.org wFB~nt_ w~~w.trinitycamphill.org
tJei~i Funeral Home, Inc. w ~ ~,~~.Lj~ ~~'~~~ ~~
3401 °Jlarket Street .4 ~ '
Camp Hill, PA 170114428
J~~
(717) 737-8726 ~~ %`~y~ ~~- i
~~:
Supervisor :Kevin J. Shillabeer ,,~'
The following is a detailed bill for the professional services and/or merchandise arranged for
Emerson F. Fackler
Date of Service :December 30, 2009
Mrs. Margaret (Fay) Fackler Statement Date January 27, 2010
8 Red Bud Drive Contract Number 741100200154
Mechanicsburg, PA 17050 Arranger Name Stephen J Wilsbach
Initial Selection Final Selection Difference
Package Offerings
Direct Cremation $2,055.00 $2.055.00 --
Basic Professional Service Fee Incl Incl ___
Refrigeration Incl Incl ___
Transferring Remains to Funeral Home Incl Incl ___
Transfer to or From Crematory Incl Incl ___
Service Vehicle Incl Incl ___
Total Package Offerings $2,055.00 $2,055.00 ---
Other Goods and Services
Crematory $395.00 $395.00 ---
Memorial Package $295.00 $295.00 ---
24-Hour Compassion Helpline $95.00 $95.00 ---
Aftercare Planner $245.00 $245.00 ---
American Legion Flag Case $195.00 $195.00 ---
Total Other Goods and Services $1,225.00 $1,225.00 ---
Merchandise
Brown Standard Cremation Container $395.00 $395.00 ---
Prague Bowf $295.00 $295.00 ---
Total Merchandise $690.00 $690.00 ---
Cash Advance
Certified Copies $150.00 $150.00 ---
Initial Selection Final Selection Difference
Permit $25.00 $25.00 --_
Clergy J Religious Facility $150.00 --- -($150.00)
Musicians or Singers $100.00 --- -($100.00)
Patriot News Newspaper Display Obituary Notice --- $1,779.68 $1,779.68
Total Cash Advance $425.00 $1,954.68 $1,529.68
Total Services, Merchandise and Cash Advance $4,395.00 $5,924.68 $1,529.68
Allowances
Affinity VFW ($878.50) ($878.50) --_
Total Allowances ($878.50) ($878.50) ___
Total Charges (Total Services +/-Allowances + Taxes) $3,516.50 $5,046.18 $1,529.68
Less Cash Received $0.00
Unpaid Balance Due $5,046.18
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