Loading...
HomeMy WebLinkAbout05-18-10 (2) 1505607121 06 05 REV-150 0 EX ( - ) PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number Po Box 2sosol Harrisburg, PA 17128-0601 RESIDENT DECEDENT 2 1 1 0 0 0 2 5 9 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 1 3 5 3 8 7 6 8 2 0 3 0 1 2 0 1 0 0 5 2 2 1 9 1 9 Decedent's Last Name Suffix Decedent's First Name MI D E A R D O R F F M A R G A R E T K (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 1. Original Return 4. Limited Estate Q 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 2. Supplemental Return 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust 0 (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number I V O V O T T 0. I I I E S Q 7 1 7 2 4 3 ~~ 4 ~, Firm Name (If Applicable) M A R T S O N First line of address 1 D E A S T Second line of address City or Post Office C A R L I S L E State ZIP Code 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes 11. Election to tax under Sec. 9113(A) (Attach Sch. O) ~- - ~ - a REGISTERS LS USE i~L.Y €_ `"~ z;: __~ ..^ ..3 °'. _~~ ~~ ..,-~ i-; '~ 4 •.} .:.,. z ~--- .~ rn .+ :~ ~-- s-/~-y -~ ~ x:.-.r C .. N~ y / J ~ ~- :~ ~._.. ~ tV ~ `U T~ W DATE FILED ~ P A 1 7 0 1 3 Correspondent's a-mail address:IOTTO(a,MARTSONLAW.COM Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representatnre is based on all information of which preparer has any knowledge. SIGNATURE OF SO SPO SIB E FOR FI G R _ D TE / O ADDRESS 1,206 SHERWOOD DRIVE CARLISLE PA 17013 SIGNA~E~F P ( ER OTAN REPRESENTATIVE tpgT~ /, A 10 EAST HIGH STREET CARLISLE PA 1,7013 PLEASE USE ORIGINAL FORM ONLY L A W O F F I C E S H I G H S T R E E T Side 1 1505607121 1505607121 J 1505607221 REV-1500 EX Decedent's Social Security Number Decedent's Name: MARGARET K• DEARDORFF 1 3 5 3 8 7 6 8 2 RECAPITULATION 1. Real estate (Schedule A) ........................................ 1 • • 2. Stocks and Bonds (Schedule B) .................................. 2. 1 8 2 4 ? 4 0 . 2 ? 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. • 4. Mortgages & Notes Receivable (Schedule D) ........................ 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ....... 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 7. Inter-Vivos Transfers & Miscellaneous N n-Probate Property (Schedule G) ~ Separate Billing Requested ....... 8. Total Gross Assets (total Lines 1-7) ........................... 4. 5. 6. 7. 8. 1 2 1 2 3 4 0 3 8 4 2 2 5 4 1 6 3 8 6 2 3 6 • 4 . 3. 1. 0. 3 8 7 1 1 3 7 8 9. Funeral Ex enses & Administrative Costs Schedule H P ( ) ......... ....... 9. 4 4 5 8 2 . 1 1 10. Debts of Decedent, Mort a e Liabilities, & Liens Schedule I 9 9 ( ) ..... ....... 10. $ 6 3 . 9 1 11. Total Deductions (total Lines 9 & 10) .................... ....... 11. 4 5 4 4 6 . 0 2 12. Net Value of Estate (Line 8 minus Line 11) .................. ....... 12. 3 3 9 9 4 1 4 . 1 6 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which 0 0 0 an election to tax has not been made (Schedule J) ........... ....... 13. • 14. Net Value Subject to Tax (Line 12 minus Line 13) .................. 14. 3 3 9 9 4 1 4 . 1 6 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 .000 0. 0 0 15. 0. 0 0 16. Amount of Line 14 taxable at lineal rate x .045 3 3 9 9 4 1 4. 1 6 16. 1 5 2 9 7 3. 6 4 17. Amount of Line 14 taxable 0 0 0 0 0 0 . at sibling rate X .12 17, . 18. Amount of Line 14 taxable 0 0 0 0 0 0 at collateral rate X .15 1 g, . 19. Tax Due ......................................... ....... 19. 1 5 2 9 7 3. 6 4 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505607221 1505607221 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 10 00259 DECEDENT'S NAME MARGARET K. DEARDORFF STREET ADDRESS 1000 WEST SOUTH STREET CITY CARLISLE STATE PA ZIP 17013 Tax Payments and Credits: ~ • Tax Due (Page 2 Line 19) (1) 152,973.64 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 7,648.68 Total Credits (A + B + C) (2) 7,648.68 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (D + E) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 145,324.96 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) 145,324.96 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred : ...................................................................... ^ Q b. retain the right to designate who shall use the property transferred or its income; ............................... ^ Q c. retain a reversionary interest; or ................................................................................................ ^ 0 d. receive the promise for life of either payments, benefits or care? ....................................................... ^ Q 2. If death occurred after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... Q ^ 3. Did decedent own an'in trust for' or payable upon death bank account or security at his or her death? ......... ^ Q 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 exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1503 EX + (6-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER MARGARET K. DEARDORFF 21 10 00259 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Oppenheimer & Co., Account No. A25-0004528 (see estate valuation report attached) 1,824,740.27 TOTAL (Also enter on line 2, Recapitulation) $ 1.824.740.27 (If more space is needed, insert additional sheets of the same size) REV-1508 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MARGARET K. DEARDORFF FILE NUMBER 21 10 00259 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jolntty-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. M&T Bank, checking #551511 (10,348.03 + 1.35 accrued interest) 10,349.38 2 M&T Bank, money market #15004218082979 (82,008.72 + 3.70 accrued interest) 82,012.42 3 MetLife Total Control Account #4056943377 5,409.93 4 Presbyterian Homes, refund of credit balance 808.04 5 GM Salaried Retirement Program, March pension check 1,531.51 6 Sarah A. Todd Memorial Home, refund of credit balance 1,112.45 7 Mutual of Omaha, refund 356.27 8 U.S. Treasury, 2009 income tax refund 267.00 9 PA Dept of Revenue, 2009 income tax refund 144.00 10 Millennium Pharmacy, refund 173.31 SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY TOTAL (Also enter on line 5, Recapitulation) ~ $ 102,164.31 (If more space is needed, insert additional sheets of the same size) REV-1509 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF MARGARET K. DEARDORFF FILE NUMBER 21 10 00259 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS A. Daniel K Deardorff ~ B Linda D. Moyer 1 C I JOINTLY-OWNED PROPERTY: 10 East High Street Carlisle, PA 17013 4640 Churchview Road Zionsville, PA 18092 RELATIONSHIP TO DECEDENT Son Daughter 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 VALUE OF ASSET % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENTS INTERESI 1. A. 1804 sh M&T Bank Corp, CUSIP 55261 fl 04, @77.56 141,181.04 50. 70,590.52 [$139,918.24 + accrued dividend of $1,262.80] 2 B 1804 sh M&T Bank Corp, CUSIP 55261fl04, @77.56 141,181.04 50. 70,590.52 [$139,918.24 + accrued dividend of $1,262.80] 3 A 100 sh New Tripoli Bank Corp @900.00 90,000.00 50. 45,000.00 [see letter attached] 4 B 100 sh New Tripoli Bank Corp @900.00 90,000.00 50. 45,000.00 [see letter attached] 5 A M&T Savings #15004200018487 [$2,885.53 + .04 2,885.57 50. 1,442.79 accrued interest] TOTAL (Also enter online 6, Recapitulation) I $ 232,623.83 (If more space is needed, insert additional sheets of the same size) REV-1510 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER MARGARET K. DEARDORFF 21 10 00259 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 1. Cash on 4/17/09 to Linda D. Moyer, daughter 5,000.00 100. 3,000.00 2,000.00 2 Cash on 4/17/09 to Daniel K. Deardorff, son 5,000.00 100. 3,000.00 2,000.00 3 Cash on 5/13/09 to Linda D. Moyer, daughter 7,500.00 100. 7,500.00 4 Cash on 5/13/09 to Dennis Moyer, son-in-law 12,500.00 100. 3,000.00 9,500.00 5 Cash on 5/13/09 to Katy Moyer Kilmer, granddaughter 7,500.00 100. 3,000.00 4,500.00 6 Cash on 5/13/09 to Alisa DeardorffCloss, granddaughter 8,500.00 100. 3,000.00 5,500.00 7 Cash on 5/13/09 to Gwen Deardorff Rodgers, granddaughter 8,500.00 100. 3,000.00 5,500.00 8 Cash on 1/2/10 to Linda D. Moyer, daughter 13,000.00 100. 3,000.00 10,000.00 9 Cash on 1/2/10 to Dennis Moyer, son-in-law 13,000.00 100. 3,000.00 10,000.00 10 Cash on 1/2/10 to Katy Moyer Kilmer, granddaughter 13,000.00 100. 3,000.00 10,000.00 11 Cash on 1/2/10 to Brian Kilmer, grandson-in-law 13,000.00 100. 3,000.00 10,000.00 12 Cash on 1/2/10 to Bonnie Deardorff, daughter-in-law 3,000.00 100. 3,000.00 0.00 13 Cash on 1/2/10 to Alisa Deardorff Closs, granddaughter 12,000.00 100. 3,000.00 9,000.00 14 Cash on 1/2/10 to Gwen DeardorffRodgers, granddaughter 12,000.00 100. .3,000.00 9,000.00 15 Cash on 1/2/10 to Daniel K. Deardorff, son 13,000.00 100. :3,000.00 10,000.00 16 Cash on 1/2/10 to Christian Deardorff, grandson 12,000.00 100. :3,000.00 9,000.00 TOTAL (Also enter on line 7 Recapitulation) I $ 1,285,331 77 (If more space is needed, insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent MARGARET K. DEARDORFF Decedent's Name Page 1 21 10 00259 File Number Schedule G -Inter-Vivos Transfers ~ Misc. Non-Probate Property ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE THE NAME of THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 17 Kenneth E. Deardorff Disclaimer Trust, beneficiaries: 1,171,831.77 100. 1,171,831.77 Daniel K. Deardorff and Linda D. Moyer, children [see valuation report attached] SUBTOTAL SCHEDULE G 1,171,831.77 GRAND TOTAL SCHEDULE G $ 1,285,331.77 REV-1511 EX + (10-06) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER MARGARET K. DEARDORFF 21 10 00259 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Hoffman-Roth Funeral Home, Carlisle, Pa 2,199.11 B. 2. 3. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) Street Address City State Zip Year(s) Commission Paid: Attorney Fees Martson Law Offices (estimated) Family Exemption: (If decedents address is not the same as claimants, attach explanation) Claimant 0.00 40,000.00 4. 5. 6. 7. 8. 9. 10 11 12 Street Address City State Zip Relationship of Claimant to Decedent Probate Fees Register of Wills of Cumberland County Accountants Fees Tax Return Preparer's Fees SEK & Co., 2009 income tax returns Certified Mail, stock certificates EVP Systems, Inc., stock valuation reports Register of Wills, filing fee, Inheritance Tax Return Register of Wills, additional probate fee Register of Wills, additional short certificates Reserved for additional postage fees, filing fees, investment fees, etc. 978.50 480.00 51.50 100.00 15.00 250.00 8.00 500.00 TOTAL (Also enter on line 9, Recapitulation) I $ 44,582.11 (If more space is needed, insert additional sheets of the same size) REV-1512 EX + (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER MARGARET K. DEARDORFF _ _ _ ___ _ _ _ _ _ _ _ 21 10 00259 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. West Shore EMS -Carlisle, Account payable 179.85 2 Millennium Pharmacy, Sarah Todd Home, account payable 83.16 3 PA Department of Revenue, 2009 fiduciary income tax for trust 596.00 4 Deborah W. Piper, tax collector, 2009 personal tax 4.90 TOTAL (Also enter on line 10, Recapitulation) I $ 863.91 (If more space is needed, insert additional sheets of the same size) REV-1513 EX + (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER MARGAR ET K. DEARDORFF 21 10 00259 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS (include outri ht spousal distributions, and transfers under ~ Sec. 9116 (a (1.2)) 1. Daniel K. Deardorff (Son) Lineal ~ 117,033.31 1206 Sherwood Drive (Sch. F, Items 1,3 & 5) Carlisle, PA 17013 2. Daniel K. Deardorff (Son) Lineal 12,000.00 1206 Sherwood Drive (Sch. G, Items 1 & 15) Carlisle, PA 17013 3. Daniel K. Deardorff (Son) Lineal 585,915.88 1206 Sherwood Drive (1/2 Sch. G, Item 17) Carlisle, PA 17013 4 Linda D. Moyer (Daughter) Lineal 115,590.52 4640 Churchview Road (Sch. F, Items 2 & 4) Zionsville, PA 18092 5 Linda D. Moyer (Daughter) Lineal 19,500.00 4640 Churchview Road (Sch. G, Items 1, 3 & 8) Zionsville, PA 18092 6 Linda D. Moyer (Daughter) Lineal 585,915.89 4640 Churchview Road (1/2 Sch. G, Item 17) Zionsville, PA 18092 7 Dennis Moyer (Son-in-Law) Lineal 19,500.00 4640 Churchview Road (Sch. G, Items 4 & 9) Zionsville, PA 18092 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0.00 (If more space is needed, insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent MARGARET K. DEARDORFF 21 10 00259 Decedent's Name Page 2 File Number Schedule J -Beneficiaries - 1 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE I TAXABLE DISTRIBUTIONS (include outright spousal distributions) 8 Katy Moyer Kilmer (Granddaughter) Lineal 14,500.00 (Sch. G, Items 5 & 10) 9 Alisa D. Closs (Granddaughter) Lineal 14,500.00 1550 Waggoners Gap Road (Sch. G, Items 6 & 13) Carlisle, PA 17015 10 Gwen D. Rodgers (Granddaughter) Lineal 14,500.00 (Sch. G, Items 7 & 14) 11 Brian Kilmer (Grandson-in-law) Lineal 10,000.00 (Sch. G, Item 11) 12 Christian Deardorff (Grandson) Lineal 9,000.00 (Sch. G, Item 16) 13 Daniel K. Deardorff (Son) Lineal 940,729.28 (1 /2 residue) 14 Linda D. Moyer (Daughter) Lineal 940,729.28 (1 /2 residue) Stock Valuation Date of Death: 03/01/2010 Oppenheimer ----4528 Estate of; Margaret K Deardorff Valuation Date: 03/01/2010 Account: 4824.2 Processin Date: 03/16/2010 g Report Type: Date of Death Number of Securities: 21 File ID: 4824.2 Shares Security Mean and/or Div and Int Securit 2) 3) 4) 5) 6) 7) 81 9) 10) 11) Description High/Ask Low/Bid Adjustments Accruals Y Value 512 EXXON MOBIL CORP (302290101) NYSE 03/01/2010 65.54000 65.09000 H/L 65.315000 33,441.28 Div: 0.42 Ex: 02/08/2010 Rec: 02/10/2010 Pay: 03/10/2010 215.04 393 BP PLC (055622104) NYSE 03/01/2010 54.04000 53.26000 H/L 53.650000 21,084.45 Div: 0.84 Ex: 02/17/2010 Rec: 02/19/201 0 Pay: 03/08/2010 :330.12 500 COVIDIEN PLC (G2552X108; COV) SHS NYSE 03/01/2010 49.79000 49.19000 H/L 49.490000 24,745.00 500 TYCO ELECTRONICS LTD SWITZERLD (G9144P1 05; TEL) SHS NYSE 03/01/2010 26.54000 25.59000 H/L 26.065000 13,032.50 250 TYCO INTERNATIONAL LTD (G9143X208; TYC) SHS NYSE 03/01/2010 37.05000 36.18000 H/L 36.615000 9,153.75 1666 AQUA AMERICA INC (03636W103; WTR) COM NYSE 03/01/2010 17.15000 16.65000 H/L 16.900000 28,155.40 1000 CATERPILLAR INC DEL (149123101; CAT) COM NYSE 03/01/2010 58.39000 57.25000 H/L 57.820000 57,820.00 3000 CHOICE HOTELS INTL INC (169905106; CHH) COM NYSE 03/01/2010 33.97000 32.91000 H/L 33.440000 100,320.00 2344 FIRST CHESTER CNTY CORP (FCEC) COM NASDAQ 03/01/2010 10.25000 10.05000 H/L 10.150000 23,791.60 500 FULTON FINL CORP PA (360271100; FULT) COM NASDAQ 03/01/2010 9.66000 9.44000 H/L 9.550000 4,775.00 2000 GENERAL ELECTRIC CO (369604103; GE) COM NYSE ' 03/01/2010 16.15000 15.83000 H/L 15.990000 31,980.00 Div: 0.1 Ex: 02/25/2010 Rec: 03/01/2010 Pay: 04/26/2010 200.00 Page 1 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300. (Revision 6.4.1) Date of Death: 03/01/2010 Estate of: Margaret K Deardorff Valuation Date: 03/01/2010 nhe ~~ imer---4528 Account: 4824.2 Processin Date: g 03/16/2010 Report Type: Date of Death Number of Securities: 21 File ID: 4824.2 Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 12) 500 INTEL CORP (458140100; INTO) COM NASDAQ 03/01/2010 20.94000 20.62000 H/L 20.780000 10,390.00 13) 1560 KIMBERLY CLARK CORP (494368103; KMB) COM ' NYSE 03/01/2010 61.44000 60.54000 H/L 60.990000 95,144.40 14) 3201 M & T BK CORP (55261F104; MTB) COM NYSE 03/01/2010 78.12000 77.00000 H/L 77.560000 248,269.56 Div: 0.7 Ex: 02/24/2010 Rec: 02/26/2010 Pay: 03/31/2010 2,240.70 15) 500 MILLER HERMAN INC (600544100; MLHR) COM NASDAQ 03/01/2010 18.64000 18.26000 H/L 18.450000 9,225.00 Div: 0.022 Ex: 02/24/2010 Rec: 02/27/20 10 Pay: 04/15/2010 11.00 16) 500 NEWMONT MINING CORP (651639106; NEM) COM NYSE 03/01/2010 50.43000 48.85000 H/L 49.640000 24,820.00 1?) 19500 PENN NATL GAMING INC (707569109; PENN) COM NASDAQ 03/01/2010 24.08000 23.17000 H/L 23.625000 460,687.50 18) 2600 PEPSICO INC (713448108; PEP) COM NYSE 03/01/2010 63.58000 62.47000 H/L 63.025000 163,865.00 19) 4000 SCHLUMBERGER LTD (806857108; SLB) COM NYSE 03/01/2010 61.98000 60.96000 H/L 61.470000 245,880.00 Div: 0.21 Ex: 02/12/2010 Rec: 02/17/2010 Pay: 04/ 02/2010 840.00 20) 1890 SMUCKER J M CO (832696405; SJM) COM NEW ' NYSE 03/01/2010 59.93000 59.32000 H/L 59.625000 112,691.25 21) 2177 FT (302690833) UT 1017WTRUTRS OTC 03/01/2010 10.05000 9.75000 A/B 9.900000 ~ 21,552.30 Carryover & daily interest: N/A Total Value: Total Accrual: $1,740,823.99 Total: $1,744,660.85 $3,836.86 22) 80079.42 Advantage Municipal Liq Fd ADiv~ 1.00 80079.42 3836.86 1,820,903.41 Total : $1, 824, 740.27 Page 2 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300. (Revision 6.4.1) -I ~Z~Z~ p n~s~ 499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-MB-12 Phone(888)SOZ-4349 Fax (302)934-2955 March 23, 2010 Martson Law Offices Attn: Corrine L Myers 10 East High Street Carlisle, PA 17013 Dear S it or Madam: Re: Estate of: Margaret K Deardorff Social Security: 135-38-7682 Date of Death: March 1, 2010 Per your inquiry, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Checking Account Account Number Ownership (Names o, fl Opening Date Balance on Date of Death Accrued Interest Total 2. Type of Account Account Number Ownership (Names o,~ Opening Date Balance on Date of Death Accrued Interest Total 551511 Margaret K Deardor,, f~` 08ro11/8 closed 03/17/10 $10348 03 $ 1.35 $10349.38 Savings Account 15004200018487 Daniel K Deardor,,~; joint-secondary Margaret K Deardor,,~; joint primary 1220/82 $ 2885.53 $ 0.04 $ 2885.87 .S7 Cff . ~ .~~ l ~~. ~ ~~ ~ 3. Type of Account Savings Account Account Number 15004218082979 Ownership (Names o,~ Margaret K Deardor,,~ ~ C~~ Opening Date 01/l6,/09 closed 03/17/1 D Balance on Date of Death $ 82008.72 Accrued Interest $ 3.70 Total $ 8201.42 Please be advised, there was no safe deposit box found for the above decedent. * If upon reviewing the information above, you believe there area ' ' nal accounts not referenced, please provide us with an account number and/or name of any possible joint account holder. For any a~iitional information on the above acxounts, including ownership and any changes, closures and/or reimbursement of funds, etc., please contact Our Stonehedge branch, 990 Watnut Bottom Road, CarBsle PA 17013 Call #717-240.4624. ~. Sincerely, Orissa Sears Adjustment Services Total Control Account® March 2010 Account No. 4056943377 SH-01304/-TCA1 PG04 MARGARET K DEARDORFF 10 E HIGH ST CARLISLE PA 17013-3015 Statement Period From 1/01/10 To 3/31/10 Page 1 of 1 Custcbmer Service: (800) 638-7283 If you currently get paper statements for your Total Control Account each month, we will be reducing the amount of paper you receive in the mail. Starting next month, you'll get monthly statements only for those months in which you have activity on your Account. You'll also receive a statement at the end of each quarter, summarizing transactions for that quarter. If you have enrolled in eSERVICE, and have consented to eDelivery, you'll continue to get statements electronically each month. To enroll and receive your statements on-line each month, visit www.eservice.metlife.com. Like many of you, MetLife is committed to helping the environment by going "green." If you have any questions, please call us at (800) 638-7283. TCA SETTLEMENT OPTION EFFECTIVE ANNUAL YIELD 1.50% AS OF 03/31/10 Account Summary Interest $5,396.95 $19.80 $5,416.75 $19.80 $0.00 Transaction Details 1/31 Interest $6,82 2/28 Interest $g,1 g 3/31 Interest $8,82 ~~ 3 I~IIIII~IIII~I <~> New Tripoli Bancorp, Inc. 6748 Madison St. • P.O. Box 468 • New Tripoli, PA 18066 610-298-8811 • Toll Free 1-888-298-8821 • Fax 610-298-3197 March 18, 2010 Ms. Corrine L. Myers, Estates Paralegal Manson Deardorff Williams Otto Gilroy & Faller 10 East High Street Carlisle, PA 17013 Re: Margaret K. Deardorff Estate Dear Ms. Myers: Please be advised that we received the Certificate of Death which shows Margaret K. Deardorff died on March 1, 2010. The value of her New Tripoli Bancorp Inc. 200 shares of stock as of March 1, 2010 was $900.00 per share with a total value of $180,000.00. If we can be of future service to you, please contact us at 610 298 8811. Sincerely, David R. Hunsicker President/CEO Trust-Oppenheimer Date of Death: 03/01/2010 Estate of: Margaret K Deardorff Valuation Date: 03/01/2010 Account: 4824.2 Processing Date: 03/16/2010 Report Type: Date of Death Number of Securities: 13 File ID: 4824.2.trust Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 1) 1333 AQUA AMERICA INC (03836W103; WTR) COM NYSE 03/01/2010 17.15000 16.65000 H/L 16.900000 22,527.70 2) 2400 BRISTOL MYERS SQUIBB CO (110122108; BMY) COM NYSE 03/01/2010 24.63000 24.30000 H/L 24.465000 58,716.00 3) 500 COCA COLA CO (191216100; KO) COM NYSE 03/01/2010 53.37000 52.79000 H/L 53.080000 26,540.00 4) 41 FAIRPOINT COMMUNICATIONS INC (FRCMQ) COM NQB 03/01/2010 0.03200 0.02000 H/L 0.026000 1.07 5) 1000 HARTFORD FINL SVCS GROUP INC (416515104; HIG) COM NYSE 03/01/2010 24.81000 24.43000 H/L 24.620000 24,620.00 Div: 0.05 Ex: 02/25/2010 Rec: 03/01/2010 Pay: 04 /01/2010 50.00 6) 3000 HONEYWELL INTL INC (438516106; HON) COM NYSE 03/01/2010 40.84000 40.25000 H/L 40.545000 121,635.00 Div: 0.3025 Ex: 02/17/2010 Rec: 02/19/2010 Pay: 03/10/2010 907.50 7) 500 INTEL CORP (458140100; INTO) COM NASDAQ 03/01/2010 20.94000 20.62000 H/L 20.780000 10,390.00 8) 500 JOHNSON & JOHNSON (478160104; JNJ) COM NYSE 03/01/2010 63.46000 63.17000 H/L 63.315000 31,657.50 Div: 0.49 Ex: 02/19/2010 Rec: 02/23/2010 Pay: 03/09/2010 245.00 9) 500 NEWMONT MINING CORP (651639106; NEM) COM NYSE 03/01/2010 50.43000 48.85000 H/L 49.640000 24,820.00 10) 10600 PENN NATL GAMING INC (707569109; PENN) COM NASDAQ 03/01/2010 24.08000 23.17000 H/L 23.625000 250,425.00 11) 771 STARWOOD HOTELS&RESORTS WRLDWD (85590A401; HOT) COM NYSE 03/01/2010 39.07000 38.37000 H/L 38.720000 29,853.12 Page 1 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300. (Revision 6.4.1) Date of Death: 03/01/2010 Estate of: Margaret K Deardorff Valuation Date: 03/01/2010 Account: 4824.2 Processing Date: 03/16/2010 Report 'Pype: Date of Death Number of Securities: 13 File ID: 4824.2.trust Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 12) 1000 TATA MTRS LTD (876568502; TTM) SPONSORED ADR NYSE 03/01/2010 16.70000 16.20000 H/L 16.450000 16,450.00 13) 2196 VERIZON COMMUNICATIONS INC (92343V104; VZ) COM NYSE 03/01/2010 29.10500 28.85000 H/L 28.977500 63,634.59 Total Value: $681,269.98 Total Accrual: $1,202.50 Total: $682,472.48 14) 76242.79 Prudential NM Assets MJC~ 1.00 ?6242.79 15) 413116.50 Advantage Bank Deposit ABDXX 1.00 413116.50 Total Value: 1170629.2? Total Accrual: 1202.50 Total: $1,171,831.7? Page 2 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300. (Revision 6.4.1) LAST WILL AND TESTAMENT I, MARGARET K. DEARDORFF, of the Borough of Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking any and all former Wills or Codicils by m e made. ITEM ONE I direct that all my just debts, funeral expenses, testamentary expenses and all inheritance taxes shall be paid from my residuary estate as soon as practicable after my decease and as part of the administration of my estate. ITEM TWO If my husband, KENNETH E. DEARDORFF, is living thirty (30) days after my death, then I give, devise and bequeath all of my estate, both real and personal property, unto my said husband, KENNETH E. DEARDORFF, absolutely. If my said husband does not so survive me, then I give, devise and bequeath all of my estate, both real and personal property, unto my children, in equal shares. In the event my husband and one or both of my children do not survive me, then I give, devise and bequeath all my estate, both real and personal property, unto my Trustee under the provisions set forth in the Disclaimer Trust herein. Notwithstanding the above, I have attached hereto a list of certain personal effects of mine including jewelry which I desire to go to the persons named therein upon my death. I have signed and dated this list. . ' TTFM TNR FF In the event my said husband shall disclaim all or any portion of any devise or LAW OFFICES WILLIAM F. MARTSON. P. C. bequest made to him under the foregoing ITEM TWO, then the amount otherwise payable shall be held by my Trustee as the Disclaimer Trust under ITEM FOUR hereof. Page -1- ITEM FOUR DISCLAIMER TRUST My Trustee shall hold the assets of the said Disclaimer Trust for the following purposes: (a) To pay the net income, at least quarter-annually, to my husband, KENNETH E. DEARDORFF, for life. In addition, the Trustee, in his sole discretion, may invade the principal of the Disclaimer Trust to provide for the proper and adequate support of my husband, KENNETH E. DEARDORFF. (b) The Trustee shall pay to my husband, KENNETH :E. DEARDORFF, annually, such sum from the principal of the Disclaimer Trust as he may request in writing, provided, however, that said sum may not exceed the greater of Five Thousand Dollars ($5,000.0) or five percent (596) of the aggregate value, at the time of said request, of the principal of the Disclaimer trust. (c) Upon the death of my husband, KENNETH E. DEARDORFF, my Trustee shall distribute the principal of the Disclaimer Trust to my children, absolutely, in equal shares. PROVIDED, HOWEVER, In the event of the death of any of my children before LAW OFFICEl3 hLLiAM F. MARTSON. P. G final distribution of that child's share of the Disclaimer Trust, the Trustee shall hold said deceased child's share in trust for the benefit of said deceased child's issue and shall distribute equally to the issue of said deceased child in a per stirpes manner that child's share of the principal of the Disclaimer Trust in the following amounts when the issue shall reach the following ages: One-third (1/3) of the principal of the trust when the youngest issue reaches the age of twenty-one (21) years; one-half (1/2) of the remaining principal of the trust when the youngest issue reaches the age of twenty- five (25) years; the remainder of the principal of the trust when the youngest issue Page -2- reaches the age of thirty (30) years. However, in no event shall the principal of this trust vest later than twenty-one (21) years after the death of the survivor of my spouse and my children. Prior to the vesting of said principal, the Trustee is directed to distribute the income of said trust equally to said issue and to distribute so much of the principal therefrom as the Trustee shall from time to time consider desirable for each issue's comfort, education, and support. In the event of the death of any of Settlor's aforementioned children not leaving issue before final distribution of the principal of the Disclaimer Trust, the Trustee shall add such child's share, or the balance thereof, equally to the other shares provided above, to be held or distributed as if originally a part thereof. ITEM FIVE POWERS OF EXECUTRIX AND TRUSTEE In addition to the powers conferred by case law, by statute, and by other provisions hereof, my Executor and Trustee and their successors, shall have the following discretionary powers applicable to all property held by them which powers shall be effective without order of any court and shall exist until final distribution: (a) To retain any property of any nature received by them for whatever period they shall deem advisable; (b) To invest and reinvest all or any part of said property in such stocks, bonds, LAW OFFICES ILUAM F. IHIARTSON. P. C securities or other property, real or personal, as in their discretion they shall deem proper, without regard to statutes limiting the property which a fiduciary may purchase; (c) To sell, transfer, exchange or otherwise dispose of, any part of said property, for cash or on terms, publicly or privately, or to lease, even for a term Page -3- exceeding five (5) years or the duration of any trust herein, without liability on the purchasers or lessees to see to the application of the proceeds, and to give options for these purchases without the obligation to repudiate them in favor of a higher offer; (d) To execute and deliver any deeds, leases, assignments or other instruments as may be necessary to carry out the provisions of any trust hereunder; (e) To borrow money, including the right to borrow money from any bank and to mortgage or pledge any asset of the estate as security; (f) To assume continuance of the status of any beneficiary with regard to death, marriage, divorce, illness, incapacity and the like in the absence of information deemed reliable without liability for disbursements made on such assumption; (g) To pay from the Disclaimer Trust, or the income therefrom, all debts or claims against my estate, or any taxes or similar charges on my estate; (h) To make any distribution hereunder either in kind or in money, or partially in kind and partially in money. Distribution in kind shall be made at the market value of the property distributed, and my Trustee, in its absolute discretion, may cause the share distributed to any distributee to be composed of property similar to or different from that distributed to any other distributee; (i) To exercise any subscription right in connection with any security held hereunder, to consent to or participate in any recapitalization, reorganization, consolidation or merger of any corporation, company or association, the securities of which- may be held hereunder, to delegate authority with respect thereto, to deposit investments under agreements, to pay assessments, and generally to exercise all rights of investors; LAW OFFIGBS ILLIAM F. MART$ON, P. ~. beneficiaries of any trust hereunder; (j) To invest in endowment, insurance or annuity policies on the lives of Page -4- (k) To continue in any partnership, joint venture, joint ownership or other business enterprise of which I am a part at the time of my death; (1) To compromise claims; (m) To continue for whatever period of time as they shall deem necessary any ownership as a tenant in common or as a partner, in real estate or other property and to act as I could have done had I been living; (n) To do all other acts in their judgment necessary or desirable for the proper management, investment and distribution of my Estate. ITEM SIX PROTECTIVE PROVISIONS All income or principal held for the use and benefit of the beneficiaries of any trust hereunder shall not be in any way or manner subject to anticipation, assignment, pledge, sale or transfer, nor shall any such interest, while in the possession of my Trustee, be liable for or subject to the debts, contracts, obligations, liabilities or torts of any beneficiary, or to attachments, executions or sequestrations under process of law. If any beneficiary of either trust shall, in the sole opinion of my Trustee, be or LAW ORFICBS I) hLL1AM F. MARTSON. P. C. become mentally or physically incapacitated, by reason of illness, accident, minority or otherwise, my Trustee may apply either income or principal for the support and welfare of such beneficiary directly or to the person who has the care and control of such beneficiary, without the intervention of any guardian and without obligation to supervise application of said amounts in any way. Page -5- ITEM SEVEN APPOINTMENT OF EXECUTRIX AND TRUSTEE I nominate, constitute and appoint my husband, KENNETH E. DEARDORFF, as Executor of my estate. In the event that my said husband shall predecease me or fail to act as Executor, then I appoint my children as Executors of my estate. I hereby appoint my son, DANIEL K. DEARDORFF, as Trustee of any trust created hereunder. In the event that he shall fail or be unwilling to continue to act as Trustee, then I appoint my daughter, LINDA DEARDORFF MOYER, as Trustee of any trust created hereunder. TTF.M F.T(TNT WAIVER OF BOND I direct that neither my Executor nor my Trustee shall be required to file any bond in any jurisdiction to secure the faithful performance of their duties, nor shall they be required to obtain any order or approval of any court for the exercise of any power or discretion set forth in this Will. IN WITNESS WHEREOF I have hereunto set my hand and seal this ~~~` day of ~~'~"c~1 , 1982. ,o (SEAL) Margar K. Deardorff LAW OFFICES ILLIAM F. MARTSON, P. C. SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed our names as witnesses thereto, in the presence of said Testatrix and of each other. Page -6- COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) I, Margaret K. Deardorff, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowlec~e that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me by Margaret K. Deardor f, the Testatrix, this / ~~ day of f3PkrL 1982. oC . Notary Public WILLIAM L. EARP, ~lotary public Carlisle, Cumberland Co., PA COMMONWEALTH OF PENNSYLVANIA ) My Commission E,cpires Aug. 13, .1984 SS. `j~ COUNTY OF CUMBERLAND ) ` 1 .r We, ~Vo 1~, C~-7"'T'O ~~ ~ ~ THO M iAS ~. ~~ LLI +~MS the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will; that the Testatrix signed willingly and that the Testatrix executed it as her free and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. ~ ,~ ~rG.~.,~~ U; ao Sworn or affirmed to and subscribed before me this (~~'~ day of ~pR,l ~ 1982. ,~ Notary Public u-w o~ices II WILLIAM L. EARP, Notary Public WILLIAM F. MARTBON. P. C. Carlisle, Cumberland CO., pA ' Il JNy Commission Expires Aug. 13, 1984 Page -7- S~ ~'d ~~~i~~ -s~ \ ~`o P~~ ~ ~\ ~ ~