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06-04-10 (2)
15056051047 -~' REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN ~ °" I "~"°"'""~""~ PO BOX 280601 9 ~ D Q Harrisbur , PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW •ty Birth Social Secun Number Date of Death Date o Decedent's Last Name dent's Fi1rs/t Name ~, MI _.~~i.pla- m n.._ - " (If Applicable) Enter Surviving Spouse's Information Below Spouse=s Last Name " Suffix Spouse s First Name MI ® • ~. ~~~ . _.®~ .. Spouse.'s Social Security Number r~ ~ +~•'~ ° ; ~ THIS RETURN MUST BE FILED IN DUPLICATE WITH T~iE ;, ,s~ , : REGISTER OF WILLS Y®:_ FILL IN APPROPRIATE OVALS BELOW r 1. Original Return O 2. Supplemental Return O 3. Remainder Rehm (date of death prior to 12-13- 2) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate fax Return Required death after 12-12-82) ~ 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust ~ 8. Total Number df Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax finder Sec. 9113(A) berNeen 12-31-91 and 1-1-95) (Attach Sch. O1i CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number C ~~'~12L F~S ,~' S°°tl / E' ~ .hs ~ ~ ! 7 ~ 7 Tlo <(o ©,~ o_ ~' Firm Name (If Applicable] REGISTER OF ILLS USE ONLY °/`f ' ~ First line of address _ ~ r 6~ G ~ o u s F` R R`o '~ .~ Second line of address I .r c ? ;.„7 N ! `A- `~1 ~ `~ ~ s City or Post Office State ZIP Code r .W /11~~CH~n/`/ CS Bl( ~~ P~ 170 55973 N ~•'~ tla Correspondent's a-mail address: C~5 ~ ~ etds 3 ComCa • net Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best o 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 prepa er has any knowledge. SIGNATUR~OF PERSON RE~OIt~BLE~OR FILING RETURN DA~E ~„ ADDRESS ~/~R~ V. p~eiM1~~G VI~ C~ (@~M CI'1btl~il 00.d O SIGNATURE EPAR T H EP pp ATIVE T ~/~ ADDRESSC1„I~~CES ~, SKI!'2V ~ ~Q~ G CIou~Ser Roa !/`~ fVloe.ln~,y..~sb..rs _ P/1- X7050 PLEASE USE ORIGINAL FORM OfiL' Side 1 15056051047 1505605147 J 15056052048 - REV-1500 EX Decedent's Social Securityty Number Decedent's Name: ~~~.~~N C. /"~(~/~~/~~s ~ ~ s l .::~ C I~O :H I I!o~ ~~ ~ © - RECAPITULATION 1. Real estate (Schedule A), .. ` ........................................ .'.., 1. ~ , ~~; 6 ~} ~ a ~ . 7 7 ~. ~~ . ti. 2. Stocks and Bonds (Schedule B) .................................... ... 2. ,, O ~ 1 ~ - / ~ ~ :: b ~ g .' 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .. ... 3. ~ ~ (~~~ ~~ L o ' 4. Mort a es & Notes Receivable Schedule D 9 9 ( ) .......................... ... 4. 1 } ~ ~ D . D L 7t ~ , , .yam. ~+. . w,.:. ~ 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ..... ... 5. a ~ .7 ; ~ O..3 6. Jointly Owned Property (Schedule F) O Separate Billing Requested .... ... 6. ~. ... _ D ~" Otb 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property - ~ (Schedule G) O Separate Billing Requested..... ... 7. ~ ~ Jr g 6 -S ~ 6 ~ 9 ~ y ~. 8. Total Gross Assets (total Lines 1-7) ................................. ... 8. f ~ 8.3 ° ~ ! Q ; D ~ I ~'` 9. Funeral Expenses & Administrative Costs (Schedule H) .................. ... 9. ~ 3 '' ?,f-` Z ~~ `~.5 I 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............. ... 10. I L g 3 3 O' >'~. T " ~ ~ . 11. Total Deductions (total Lines 9 & 10) ................................ ... 11. 6 O I ~ - 3~5~ 12. Net Value of Estate Line 8 minus Line 11 ( , ........................... ... 12. ~ ~ y ~ ~a / , yg..b wiz 13. Charitable and Governmental BequestslSec 9113 Trusts for which - rc ~. d`~i-; an election to tax: has not been made (Schedule J) ..................... ... 13. z , 14. Net Value Subject to Tax (Line 12 minus Line 131 ........... . . . . ~a ~ I ~.3 III ~~ iii" ~. ~ 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 .OtZ ~ 3 ~ ~ .. } ~ ~,. ~.` 16. Amount of Line 14 taxable ~ ~ ~ q at lineal rate X .0~ ~ 7 6 / 3 17. Amount of Line 14 taxable ~ °" ~~" at sibling rate X .12 - ~ ~ ° i 18. Amount of Line 14 taxable ~ ~~~~' at collateral rate X .15 ' % ~ ~ 15. 16. S~ 17. 18. 19. TAX DUE ..........................................:.............. 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Side 2 L 15056052048 15056052048 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0801 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT PICKING MARY G 123 SALEM CHURCH ROAD MECHANICSBURG, PA 17050 NO. CIS 011695 ACN ASSESSMENT ~4MOUNT CONTROL NUMBER fold ESTATE INFORMATION: ssN: 201-~6-1280 FILE NUMBER: 2109-0020 DECEDENT NAME: PICKING MELVIN C DATE OF PAYMENT: 09/01 /2009 POSTMARK DATE: 09/01 /2009 COUNTY: CUMBERLAND DATE OF DEATH: 12/09/2008 TOTAL AMOUNT I REMARKS: RECEIPT GIVEN TO ATTY SEAL CHECK# 1224 INITIALS: JN RECEIVED BY: GLENDA EARNER STF~ASBAUGH REGISTER OF WILLS TAXPAYER ~_ _. REV-1162 EX111-96) REV-1506 E~( Page 3 Decedent's Complete Address: File Number 2. / - ~ ~ ~Q DECEDENT'S NAME STREET ADDRESS j ~. 3 S~tEiK G'fi~lRG'f1 ~o~,D CITY /yIECN~N/CS,QlfR:G STATE ~~ ~,I i ZIP I,O$-D Tax Payments and Credits: ~I f 1. Tax Due (Page 2 Line 19) (1) I j 5~ ~ $~~-' ~~ 2. Credits/Payments I , A. Spousal Poverty Credit t d B. Prior Payments oZ q ~p~ , eo ' C. Discount ~ j ~ - - -- Total Credits (A + B + C) (2) a 9 pOip • a0 3. InteresUPenalty if applicable ~~ D. Interest Q E. Penalty -- 0 ', Total InteresUPenafty (D + E) (3) ' O 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) O ~ 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) II s, ~$ s ~ g A. Enter the interest on the tax due. (5A) f 7(7 • QS B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) ~ ~~ ~5~. oZ Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :.................................................................................... ...... ^ b. retain the right to designate who shall use the property transferred or its income : ...................................... ...... ^ 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? .............................................................. .... ...................................... ...... ^i 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 a lndivi dual Retirement Account, annuity or other non-probate property which '~, ry g , contains a beneficia desi nation? .............. ~ I t[~ h ^ 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 f~r 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 su wing 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 childtwenty-one years of age or younger at death to or fdr the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §911fi(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. §91160(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. ._- __ /~ ~ : ~~ of PiCKiNG, ME'LVIN C. ~ ~~c.F Sri. ~!-a 9- d o _._ ---- ---- --- _____ /~ie~ G. _P%GC//1Re,_k2c~ ~. o.~ ~ -----!~ri / Q~. - /91~ __~ ~'Z~d --. ~iia~' ___.____ _._- -- _-- ------ ._....____- _ -- _ __ ~L.1fdCaC --___ YQ lka~r _ ~8 9 9-~- - ---------- -- --------__... __ _-._ ._ ~5~ , D~ PICK/AlG, /NEL~/~l/ C. J~i~E ~. a ~-09-ouzo /NwE~1- ~7-X CR~GCl~l1~T/oN Pnvb A~s~s Ifans / 3 / s8' 6 s/. 69 -- 71ise ~4ns~Crs are ;rest u~td ~ _____- a!t of o y~ ~~cns~u~,'I r~.r. SSBts f . `~~` ~~// I'a .~ FoaaTA ~•rd I /F7~f ~. _ cle att' - ~6v 153. sl is 4 ~~f B~xl~e•- J7v~6 baJancc ~ 964 , '~ q'~. q3 clece~Paifs W`iulaw hRs a /ii~ es~tt1~ ~sr1` :r~ rv~i~'~1 r~t,'l~i a ._ ~? t air eF G. ~k' y "r ~ - . ~.. ~ fie [ka Y ~ lei ~-• 9 ZdmB Sri I ~ s ~ 9 ~ ~ • 9~ ._ ._. ~.i btafie v~lka~r D. ~tpo6 . , ~~-,dar- br~l,~ar ch.Idren -_ 96 9~f,93 ~ 964 yR, , q3 f~2~vrG 0.tnowrtf Swb 'ro _ra~ : ~}~'~"A , ~'~ - s . G ~ ~ 58 b5-. 69 .:.. _ y '~ bo~.8o G~ r~ ut i ., REV-1502 EX+ (&98) ' SCNEpULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER ~/C K/w~, tiiE~ vi,r/ C. ~~~ 0 9- Z o All real property owned solety or as a tenant in common must be reported at Lair markd value. Fair market value is defined as the ~ at which propery would be exchanged between a wiNing buyer and a willing seller, nefther being compelled to buy or sell, both having reasonable knorrledg~e of the relevant facts. Real property which is jdrNly-owned with right of gurvlvonhip nnut tre disclosed on Schsduk F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH ~. ~a und~v;ca~gl o~,rc-tit/{~ /1s) wt~rrsl .4s a ~-+tan~ in 4~+~n ~:~, b:.r w.~, ~Jltr`r G. P.ck.ir', !'ir T.~ ~r~ce/ A/e. ~~' /o-.to - /~3$ -oo.Z~ a,' t~/cw Cka„e!, /Pe~c•t~ ~;r ~1tnc/~dce , C4~r~nt Lind !~a/ice = P/,S'o0. ~O ~'4~~t -Z~lyonw. !~~/tcc f79, 470. ee Tiffs/ !',¢!ac - ~/ 6 ; ~?o. •' ~D3 ~Ysz 't° i f _ oa a. a /f i ~ n ~t o ~ /O/ 7e~L.IO o/ 7.26. /o / , , fed GlMdivicr!Gal~ oMC-h~t~ ~~/ in~areSt Asa ;k .Cowan°~ w~f~ h. s_ w-J~G, Mary-G. P;~~;,~ , to Tx -lxritel No. /O -,ZD -/~38 -oo2i¢ ~ s+f- /35 ts`i/tw~ Cb4rcl~t IPd., '' /tr /Sla~-ptEir lo~,rsl,.~, , ~awc her/apt Ql grin ~ , f~tns~-lv,~rtt Current land -~a/ue f pqp, oe 29 ~~ /'~tlue ~ ~ /OD, 080 • °O Cwnb. (~' . Mal>Fipl~er x /, 26 '~ 126, I Do. 80 Q ollt~~tet~F :nt l~t,°c%h = ~~03, OSo.~O t(Q31050.~ TOTAL (Also enter on line 1, Recapitulation) / (v ~ "f 7(Q, SO (If more space is needed, insert additional sheets of the same size) l~axl)t3 Result lletalls Detailed Results f or Parcel 10-20-1838-002. in DistrictNo 10 Parcel ID 10-20-1838-002. MapSu~z HouseNo 123 Direction Street SALEM CHURCH ROAD Ownerl PICKING, MELVIN C & MARY G C/O PropType A PropDesc LivArea 1401 CurLandVal 81500 CurImpVal 79970 CurTotVal 90890 CurPref Val 10920 Acreage 16.13 C1GrnStat Y TazEz 1 SaleAmt 1 SaleMo 11 SaleDa 16 SaleCe 19 SaleYr 93 DeedBkPage 0036Q-00475 YearBlt 1953 HF File Date 10/19/2004 HF_Approval_Status A rage 1 of 1 the 2004 Tax Assessment Database http://taxdb.ccpa.net/details.asp?id=10-20-1838-002.&dbselect=l I 6/18/2009 r ado Detailed Results for Parcel 10-20-1838-OOZA v DistriclNo 10 Parcel ID 10-20-1838-002A MapSuffix HouseNo 135 Direction Street SALEM CHURCH ROAD Owner! PICKING, MELVIN C & MARY G C/O PropType R PropDesc LivArea 1056 CurLandVal 29000 CurImpVal 71080 CurTotVal 100080 CurPref Val Acreage .27 CIGrnStat TaxEx 1 SaleAmt SaleMo SaleDa SaleCe SaleYr DeedBlcPage OO15H-00303 YearBlt 1953 HF File Date 01/07!2008 HF_Approval Status D n the 2004 Tax Assessment Database http://taxdb.ccpa.neddetails.asp?id=10-20-183 8-002A&dbselect= l 6/18/2009 REV-1503 EX+ (6-98) SCNEpl1LE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF F{LE lViIIaBER Plcki~~, ntE'~viN e. a2~-o g -av All property Jointly-owned with right of survivorship must be disdoaed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. c,~r~zso~! ~~N~~'rAG s~rrc~ ,k,~r n~ s ao , i S77 ~4 (sec VQ/~r~ l~oN 4~Q t sheet Q ~ cJu dJ ~ 593, c/9~ 6~' ~ l,/A~ ~Ho~/A SECtcPJ T/~'3 sec r .vv. 6 a s o- a 90 4 set !tea/trel~or~ sheaf ~~~~ intrt7i~ G.Icw'a.~'o Hs ~ '' Cowrtsdl a.~-a.nc~d~ ~13"b~ YafS. ~(, 3. G~~'1"iZe»s (~' ank) Znvesfiinent S~wiGGS ~~f: Ab. L 7C- l9o~S9 ~1 ao, o~i3.ca (Ctcs~P iva 3t33FtJc2) (see yr/ua /fart /effer af/`aal~c~~ ~ /u~ aorE: ELM IJIitERN~7)vN~c Garw7~ Fktio wH f~H oC~gs to N14~a:Ly ~,pAE/FRS oN iii~RIOS~S Nnvl.~ S~F7F/I~~NTS QJIfS ?~/ssoLrE~ ~D /f>il ~$~7~n /~SSE7~ f~J6ttE <f~u/DA,7E1~ PEA!' To zoo8; T•~,tf his so~nav ~ ft~i.~rt y C'i~trl-PL E rya ~N ~.oie7 7. TOTAL (Also enter on line 2, Recapdulation) ~ S 8y~~ 9rf6 ~ 9~ (If rrwre space is needed, insert additional sheets of the same size) L~N~~fT- fNh CHo~IA ~eccuNr ~ ~.~~-o9oq st ~'frms ~t~'r~g.~,' obf~tirxsl 1'i~t_ ESf~.~ f~Rl -- ~.57~ T rin~bat ~tT~t~ enC~ - ., ,t~.cr/r~e~ ~" 3 Y ~ Y~ 3- " L~~ -----~ ~ atba. -rte. ~~rY.~ ~/ 3 3, 9'f~~ _ - ---- Tr.~ ¢ Yo, ~i ~. ~G 2 ~~ S'6 9. ~6 _ ---- - - ---------zo-,~ ~ s9:-9a ~- 6a 1-- -- ----- /~S'en4l /~ii~w~la~r~ -___- _-- - - S Z. 8!G ~LLliM~L'E ,~jP~/, ~A(- 6Gol3~L - - - i~ 70o sli. ~ L'/JI * /1t~1~6~c/ ~ie. ~c~~{OF~ ~ - --~---- ~, ~« ~ ~, y ~ ~o s.~s ~. 3 8~s --- -- _ --.-- - rt --- ~ ~ - --- ~~ -- 7 --- - --- - - - _-_ i --~---- 2` -- - -_ G~hivo zyrw-~ lsb has " ~ ._-----..--- -- - --------- ~-- - r - -------- - - Estate Valuation Date of Death: 12/09/2008 Valuation Date: 12/09/2008 Processing Date: 09/28/2009 Shares Security or Par Description Estate of: PICKING ESTATE (For Charlie Shields) Report Type: Date of Death Number of Securities: 9 File ID: PICKING Mean and/or Div and Int Security High/Ask Low/Bid Adjustments Accruals Value 1) 3231 MARYLAND ST ECONOMIC DEV CORP REV BDS (57420UAM7) Financial Times Interactive Data DTD: 07/02/2007 Mat: 08/01/2027 3.98 12/09/2008 19.83200 Mkt 14.832000 479.22 Int: 08/01/2006 to 12/09/2008 94.80 2) 3997 MARYLAND ST ECONOMIC DEV CORP REV BDS (57920UAN5) Financial Times Interactive Data DTD: 07/02/2007 Mat: 08/01/2027 0$ 12/09/2008 1.26100 Mkt 1.261000 50.90 3) 10000 DADE CITY FLA REV 1ST MTG R (23342PAF0) Financial Times Interactive Data DTD: 01/01/1996 Mat: 01/01/2025 SB 12/09/2008 86.87800 Mkt 86.878000 8,687.80 Int: 07/01/2008 to 12/09/2008 ' 351.11 9) 10000 LAWRENCE IND ECONOMIC DEV REV REV BDS (520016AW6) Financial Times Interactive Data DTD: 02/01/1996 Mat: 02/01/2026 8.258 12/09/2008 1.00000 Mkt 1.000000 100.00 Int: 08/01/2008 to 12/09/2008 293.33 In default, principal and interest 5) 10000 BADGER TOB ASSET SECURITIZATIO ASSET-BKD (056559AK3) Financial Times Interactive Data DTD: 05/23/2002 Mat: 06/01/2027 6.1258 12/09/2008 89.50000 Mkt 89.500000. 8,950.00 Int: 12/01/2008 to 12/09/2008 13.61 6) 5978 MARYLAND ST ECONOMIC DEV CORP REV BDS (57420UAK1) Financial Times Interactive Data DTD: 07/02/2007 Mat: 08/01/2027 8.758 12/09/2008 60.00000 Mkt 60.000000 3,586.80 Int: 08/01/2008 to 12/09/2008 ' 185.98 7) T0000 DELAWARE CNTY PA AUTH HOSP REV REV BDS (296006MY3) Financial Times Interactive Data DTD: 09/01/1998 Mat: 12/01/2027 5.3$ 12/09/2006 63.89000 Mkt 63.890000 6,389.00 Int: 12/01-/2008 to 12/09/2008 11.78 8) 10000 PITTSBURGH & ALLEGHENY CNTY PA HOTEL RM (724787AS5) Financial Times Interactive Data DTD: 05/01/1999 Mat: 02/01/2035 5.1258 12/09/2008 79.90500 Mkt 79.905000 7,990.50 Int: 08/01/2008 to 12/09/2008 182.22 9) 10000 PHILADELPHIA PA AUTH FOR INDL REV BDS (71781PAN0) Financial Times Interactive Data DTD: 04/01/1995 Mat: 04/01/2013 68 12/09/2008 33.00000 Mkt 33.000000 3,300.00 Int: 10/01/2008 to 12/09/2008 151.11 Total Value: 539,983.72 Total Accrual: 51,233.99 Total: 590,717.66 Page 1 This report was produced with EstateVal, a product of Estate Valuations b Pricing Systems, Inc. I~ you have questions, please contact EVP Systems at (818> 313-6300 or www.evpsys.com. (Revision 7.1.x) i - TT- Estate Valuation Date of Death: 12/09/2006 Valuation Date: 12/09/2006 Processing Date: 09/28/2009 Shares Security Estate of: Picking Estate (for Charlie Shields) Report Type: Date of Death Number of Securities: 3 File ID: PICKING 2nd Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 1) 10 PENNSYLVANIA INSD MUNS INCM TR (70884G538) UT 298 CS Miscellaneous 12/09/2008 818.51000 A/B 818.510000 Carryover + Daily Interest 2) 62 PENNSYLVANIA INSD MUNS INCM TR (70889G850) UT 314 CS Miscellaneous 12/09/2008 789.18000 A/B 784.180000 Carryover + Daily Interest 3) 5 PENNSYLVANIA INSD MUNS INCOME (708838701) UT SER 7 Miscellaneous 12/09/2008 339.67000 A/B 339.670000 Prin: 13.370000 Ex: 12/08/2008 Rec: 12/10/2008 Pay: 12/25/2008 + 13.370000 353.040000 Carryover + Daily Interest Int: 9.84 Ex: 12/08/2008 Rec: 12/10/2008 Pay: 12/25/2008 Total Value: Total Accrual: Total: $59,909.60 8,185.10 179.90 48,619.16 x,111.09 1,765.20 30.50 24.20 558,569.46 S'1, 390.19 Page 1 This report was produced with EstateVal, a product of Estate Valuations a Pricing Systems, Inc. I~ you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.1.x.) _. _. _ - iT ADF: Historical Prices for A C M MANAGED $ INC -Yahoo! Finance New User? Sign Up Sign In ;Help Get Yahoo! Toolbar Yahoo! Mail ~'',~,,I=34C7~® FINANCE 8/27/09 10:58 AA Search Web Searc~ Dow ~ 0.769b Nasdaq ~ 1.38°10 Thursday, August 27, 2009, 10:58AM ET - U.S. Markets dose I~ 5 hours aed 2 mirrutes. ~ ~ Finance Search ACM Managed Dollar Income Fund, Inc. (ADF) At 10:26AM ET: g.~ io.O2~o.3t><96) ,~~~, ,~.. I ~~ Historical Prices SET DATE RANGE Get Historical Prices for: ~~ G~` ADVERTISEMENT http://finance.yahoo.com/q/hp?s=ADF&a=116b=9&c=20086rd=116e=9&f=2008bg=d I Page 1 of ADF: Historical Prices for A C MMANAGED S INC -Yahoo! Finance 8/27/09 10:58 AN Q Daiy Start Date: ~ Dee ~ l~i i 20 8~ Eg. lap 1, 2003 Q,~y~kly ~,,,~,~ End Date:. Dec ~ l a ,: 2 0 e}Monthy ` (~ Dividends Only Get Prime . First ~ Prey ~ Next ~ Last PRICES Date Open High Low Close Volume Adj Close• 9-Dec-08 3.90 4.00 3.75 3.85 68,600 3.59 "Close price adjusted for dividends and splits. First ~ Prey ~ Next ~ Last f~ Download To Spreadsheet Twrn ~_ e rtr~ ~ r J ~, ~~ ~ Add to Portfoib 4 Set Alert ®Email to a Friend Get Historical Prices for Another Symbol: l 1C~ Symbol Lookup • Stock Screener Splits '', • Mergers & Acquisitions Copyright O 2009 Yahool Inc. All rights reserved. Privacy Policy -Terms of Service - CoovriahtllP Policy -Send Feedback i Quotes delayed, except where indicated otherwise. Delay times are 15 mans for NASDAQ, 20 mins for NYSE and Amex. See also delay times for other exchanges} Historical chart data and dally updates provided by Commodity Systems. Inc. (CSII. Intematlonal historical chart data, daily updates, fund summary, fund pertormance, dividend data and Morningstar Index data provided by Morningstar. Inc.. Fundamental cOrr~pany data provided by Capital IO. Quotes and other Information supplied by Independent providers Identified on the Yahoo! Finance Quotes are updated automatically, but will be fumed off after 25 minutes of Inactlvlty. Quotes are delayed at least 15 mim RWI-Time continuous streaming quotes are available through our premium service. You may turn streaming quotes On or off. Ail I formation provided "as ts" for Informational purposes only, not intended for trading purposes or advice. NNther Yahool nor any of i~hdependent providers is liable for any informatlonai errors, incompleteness, or delays, or for any actions taken In reliance on Inform8dbn rnntained herein. By accessing the Yahoo! site, you agree not to redistribute the Information found therein. http://finance.yahoo.corn/q/hp?s=ADFba=llbb=9bc=2008bd=llbe=9bf=2008bg=d 'I Page 2 of: __ (;LNH.Uj3: Historical Prices for CENTERLINE HDU CSUBI -Yahoo! Finance New User? Sign Up 'Sign In Help Get Yahoo! Toolbar Yahoo! Mail Page 1 of 2 -- - - m ~~ ~ J~ ~'+~'~ ~ Search (Web Search DOw 11' 1.47oib Nasdaq •" 2.11% Mon, Sep 28, 2009, 2:03PM ET - U.S. Msrrttts tlwe in ihr 57mins filkP iiihb'1"Ri ~ Financt Starch Centertine Holding Co. (CLNH.OB) Trade Now tea... nt 1:44PM ET: Q.~O • 0.07 (1.68X) ='~snr~w Historical Prices Get Histortesl Prices for• GO SET DATE RANGE _ Eg. Jan Start Date: Dec 8 2008 2003 End Date: Dec 10 2008 Get Prices PRICES Date 10-Decr08 9-0ec-08 8-Dec-08 ADVERTISEMENT Daily 1, Weekly ~~ Monthly Dividends Only DO U B L f T R E E' ' First ~ Prev ~ Next ~ Last ~~' L Adj Open High Low Close Volume Close M~~ ~'~ ~~ f'iF': 0.16 0.18 0.14 0.15 514,000 0.15 ~ 0.17 0.18 0.14 0.16 989,500 0.16 ~ '` ~~~~ -. 0.21- 0.22 0.13 0.17 942,700 0.17 ' , frOtsl Uuubiei:r@e HOti:E3)S Close price adjusted for dividends and splits. First ~ Prev ~ Next ~ Last '~` Download To Spreadsheet Cset 8 ~"~ ~ Add to Portfolio ~ A e ~ Email to a Friend Get Hhzboricsl Priest for Another Symbol: GO Svmbol Loo uo http://finance.yahoo.com/q/hp?s~LNH.OB&a=11 &b=8&c=2008&d=11 &e=10&i=2f,h08... 9/28/2009 ____ _ r _ __ ANAGX: Historical Prices for ALLIANCEBERNSTEIN GLOBAL BOND F -Yahoo! Fi... Page 1 of 2 New User? Sign Up Sign In ;Help ~,~,~3t~-C~~m FtNANiCE Dow • 1.459~b Nasdaq ~' 2.109b Get Yahool Toolbar Mon, Sep 28, 2009, 2:04PM Er - U.S. MsrkaRS close In 1M 36rnins ORt' dAlDtlES; Finance Search AllianceBern Global Bond A (ANAGX) on sep 2s: T.$6 t o.02 io.neti> ." , ~: Historical Prices Get Historical Prices for. GO SET DATE RANGE ADVERTISEMENT r* _... Daily ~ Start Date: Dec 8 2008 Eg. ]an 1, 2003 Weekly ~t ~ ,~ End Date: Dec 10 2008 Monthly ~£ ' ~, Dividends Only :~ , ;.,~ Get Prices First l Prev ~ Next ~ Last PRICES Date Open High Low Close Volume Clod. Is8 Another Bull 10-Dec-0B 6.69 6.69 6.69 6.69 0 6.33 Market Around ~~ ~~~~ 9-Dec-0B 6.66 6.66 6.66 6.66 0 6.30 8-Dec-08 6.65 6.65 6.65 6.65 0 6.29 ~ y~ ~~ a S60o,00o portfolio, ' Bose price adjusted for dividends and splits. y0U ShOUId download First l Prev ~ Next ~ Last the latest report by Forbes columnist Download To sore adsneet Ken Fishes In it he tells you where he thinks the stock market is headed and why. This must- - read report ktdudes his latest stock market preidicpon, plus researdt and analysis you can use in your portfolio rlpht now. - ~- ~ CCack Here to -~' l~nrnioad suxse xsvssnisen ~&' Add to Portfolio '~ Set Alert ~ Email to a Friend Get Historial Prices for Another Symbol: GO Svmbol Lookup Yahoo! Mail Search Web $earch http://finance.yahoo.com/q/hp?a=11&b=8&c=2008&d=11&e=10&2008&g--d&s=ar~agx 9/28/2009 V OO W W V 00~1f ~~01~NW N W.A~~t~WD~~~~~µN1N1 ~~N~7 W W OND ONI pN~~.ArP~N WAS W yA01? 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Grp tNO t~O N10 .~A ~~-N+~ t0 V ~O~ OWD ~~~~~ Vf w N V N r r~'~ r N D: ~~ W 01 ~Qpp~ ~~ ~ ~ tpp f„AW ~~ N O ~ A A O D O O :~ ~ ~1~ I V ~~ O y W J-N~ W ~~ Citizens Investment Services Charles E Shields, III Attorneys at Law 6 Clouser Road Comer of Trindle and Clouser Roads Mechanicsburg, PA 17055 RE: Account Number: L7C- 190659 Registration: Individual Account Dear Charles E Shields, III, Brokerage Services Group PO Box 42ioo Providence, 1ZI oi94o ~~il}~~;°1~ We are writing with regard to your recent request for the above referenced accounts. Please extend our condolences to the family of Mr. Melvin L Picking. We are providing a summary of Mr. Picking's account in the table below as of the close of business on 12/09/2008. 3133F1JC2 100,000 100.043 $1 TOTAL S 100,043.00 Should you have any questions, please call CCO Investment Services Corp. Customer Service at 1-800-942-8300. We are available Monday through Friday, 8:00 a.m. to 5:00 p.m. We will be happy to assist you. Sincerely, 001-072203 OPS GBH Anthony J. Scherma CCO Investment Services Operations Spiecialist Securities and Imestrnent Advisory Servk:es offered through CCO Investment Services Corp. Member NASD, SiPC. One Citizens Plaza, Providence, RI 02903. (800) 456.0603. Insurance products offered through CCO Investment Services Corp. In Massachusetts. insurance is offered throw Gtizens Fxranctal Services Insurance Agency. In New York insurance is offered though Citizens Insurance Agency of New York Inc. CCO Investrnent Servioas Corp., Citizens Financial Services Insurance Agency and Citizens Ir>surarrce Agency of New York Inc. are atfiYates Citizens Bank of Rhode Island. Products are: • NOT FDIC INSURED • NOT BANK GUARANTEED • NOT A DEPOSIT • MAY LOSE VALUE • NOT INSURED BY ANY FE RAL GOVERNMENT AGENCY 1'~E RBS • REV-1507 EX+ (i-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCI~lEDVLE D MORTGAGES & NOTES RECEIVABLE _ _ -- r - _ _ ESTATE OF FlLE NUMBER ~~ ~_Z0 Aii property jointly-owned with right of survivorship must be disclosed a, Schedule F __ _ __ . kar•+soeex.,l~xrl SCHEDULE E COMMON4VfALTH of PENNSYLVANIA CASH, BANK DEPOSITS, ~ MISC. INHERITANCE TAX RETURN RESIDENrDECEDENT PERSONAL PROPERTY ESTATE of P~ C K i N G, IYl E1. /l~ C . FILE I~1IMBER z1 ` ~ ~--aZO Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned wNh the fight of sun+hror~Mp must be discbsed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH t ' R~xa~m /11 ED%!-T/IAA ~'E TTLE /lit E/VT of L/TtG /f T/cA/~ SHMiZE$ o,~' G! T~G~ Tioi1/ PieoC~~D.~! ~• G'l~tc~' /Yo, 0,03 2 S~F //Z ~ of o!-a /- zo o q } ~yo.oo g (,~ ~Ye, 00353 708'9 of o/-oi- ~s9 835.03 TOTAL (Also enter on line 5, Recapitulation) I S 9a s. 03 (If more space is needed, Insert additional sheets of the same size) REV•1510 EX.11A'71 CO~MAON4VEALTH OF PENNSYWANIA iNHEwrnNCE TAx RETURN RESIOENr DECEDENT ESTATE OF SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE PlCk/N~, /17EG~/~/ L- . Z l-o y- ~o This schedule must be c~mpleSed and filed if the answer to any of questions 1 thragh 4 on the reverse side of tine REV-1500 COVER SHEET its yes. ITEM NUi~ER DESCR~TION OF PROPERTY ~"c~n~"~oFn~'n~e"~u`tb"°r~rTO°EC~rt""°n~ °"~o°rn""s~ "n"o""~"oF'"E°~°F°Rr~"`~sr"~• DATE OF DEATH 9G ~ DECD'S I EXCLUSION TAXABLE VALUE VALUE OF ASSET INTEREST ",~~ ~• AMA/PR/SiE' ~NNKlry # J,3 A07 8/9 30l 4 oD~ SOLE ~6~NE~ir'!~¢Y: /1~1~{-R y G• P~CK~MI, 33 R3! d0 / /R - ~ ~' j W! uo~ c~' LIFe~#avr ~ r~ - 33, ,Z 3l, ; ~St~ /%t/ao!'Sb~ /cf~r ~tJ~tc~d~ a. Plt TNAyN /NYEST/NEiUTS, ~Q,~ ~~~T, NU aoo ~. - o~3/S/b ~ 99 730. bbS Sh; ~kt/l~r» ~nveslars ~ ~ ~ ~ ~ : z (P1KVx) 6 • ~. s3 /o $'.s3 (o, a 3~•S 8 53 r~.+ae, /ooo -o -- 3 ~, L, (see Ya~tta~bn ~!'!ntocrl'" Q~ttcl~e4!> Sot f ~bYEFiC/I~j¢~/: A!-/~rC y G . P/CKlN6~ W /Zab 3 SECQRl~ BENEFIT LfFE Aivau~ry~ CoNnlt:~e T ~ '7003 !o/ ,~/ I~ SocE r[3EA'EF/~~i}a y : /11A~ y G. P/cK/NG tt ~ ! 1 q -S? 23 oam I o Ir ~ 1~7. l~9 , wnDouJ , (ate ra/uaf~ivlt laffcr a~aclud~ TOTAL (Also enter on line 7, Rec~tulation) ~ ~ /S8, 6 Sf. L 9 (If more space is needed, insert additional sheets of the same size) __T The Personal Advisors of Ameriprise Financial Sara R. Neagley, CFP~, CRPC•, CFS Fnancial Advisor CeRnRED RNANCWL PuwNERTM practitioner Ameriprise Flnancial Services, Inc. Suite 103 4 Lemoyne Drive Lemoyne, PA 17043 Tel: 717.737.5455 6ct. 13 Fax: 717.737.4944 sara. r. neagley@ampf. com February 23, 2009 Chazles Shields, III 6 Clouser Road Mechanicsburg PA 17055 Deaz Charlie, I met with Mary Picking shortly afterher husband's death and assisted with the completion of the estate settlement farms for her husband's A#neipiise account. She provided me with a certified copy of the death certificate at that time. So we nd longer need another one. Here is the Account Information -Melvin had only one account, an annuity that was in individual ownership. Many, his spouse was the sole beneficiary. Below is the value of that account at his death 12/9/2008. Account Number Total Value 93007819301 6 004 $33,231.89 He held no safety deposit box here (a service we do not provide). There were no jointly held accounts, nor any accounts in Mary's ownership at ~he time of his death. Mary has since taken over ownership of Melvin's one annuity account. If there is any more information you need, please do not hesitate to contact me.' Sincerely, Sara R Neagley, CFP, CRPC, CFS Financial Advisor An Ameriprise associated franchise. Ameriprise Fnancial Services, Inc. offers flnancial advisory services, investments, insurance a{~d annuity products. RiverSource~" products are offered by affiliates of Ameriprise Fnancial Services, Inc., Member NASD and SIPC. ___ _ _ PINVX: Historical Prices for PUTNAM INVESTORS FUND CLASS A S -Yahoo! Finance New User? Sign Up Sign In `Help Get Yahoo! Toolbar Yahoo! Mail 10/2/09 10:27 AM ~~HOC~~® FINANCE ~~. Search _~1 Web Search Dow ~ 0.20% Nasdaq '~ 0.12% Friday, October 2, 2009, 10:27AM ET - U.S. Markets cbse in 5 hours and 33 minutes. QilT 0110'1 Finance Search Putnam investors A (PINVX) on occ 1: 10.9 ~ 0.28 izssx~ ~~ r--~- ~~ ~~ ~ p ~ ~~ :, Historical Prices Get Historical PHces for: ~~ ~ ~(~- SET DATE RANGE ADVERTISEMENT http://finance.yahoo.com/q/hp?s=PtNVXba=llbb=9bc=2008bd=116e=9bf=20086g~ Page 1 of PINVX: Historical Prices for PUTNAM INVESTORS FUND CLASS A S -Yahoo! Finance ,_,_„~..,, ~ ;: Daily Start Date: ~Dec~ 9 :2008 E Tan 1 2003 g~ ~ ~ Weekly End Date: Dec ~ 9 2008: ~ Monthly ~;;. Dividends Only 'Get Prtces' First ~ Prev ~ Next ~ Last PRICES Date Open High Low Close Volume Adj Close" 9-Dec-08 8.53 8.53 8.53 8.53 0 8.53 "Close price adjusted Por dividends and splits. First ~ Prev ~ Next ~ Last Download To Spreadsheet Add to Portfolio ~ Set Alert :d Email to a Friend Get Nfstorical Prices for Another Symbol: ~ GO Symbol Lookup • Stock Screener • Mergers & Acquisitions • tits Copyright O 2009 Yahool InC. AU rights reserved. 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Neither Yahoo! nor an of i y ndependent providers is liable for any informational errors, Incompleteness, or delays, or for any actions taken In reliance on lnforrnittlbn contained herein. By accessing the Yahoo! site, you agree not to redistribute the information found therein. 10/2/09 10:27 AM http://finance.yahoo.com/q/hp?s=PINVX6a=12&b=96c=2008&d=llbe=9&f=2008&g=d Page 2 ot: securitybenefit.com •804.888.2451 ~t ~~~= SECURITY BENEFIT` ~/ Apri124, 2009 CHARLES E SHIELDS III ATTORNEY AT LAW 6 CLOUSER RD MECHANICSBURG, PA 17055 Re: Contract Number: 7003101584, Melvin C Picking deceased Dear Mr. Shields, We are writing in response to your request regardit5g the above mentioned contract. 11he value of the client's account as of the date of death, December 09, 2008 was $119,187.23. The contract was started July 15, 2004 and funded with $100,000.00. As of December 09, 2008 there had been $19,187.23 accrued in earnings. If you have any questions regardtng this letter, or if~.Vve may assist you with other questions or information, please contact our Customer Center a~.1-800-888-2461. Our Customer Center associates are available from 7:00 am - 6:00 pm Cehtral Standard time. Sincerely, Kaa'~i ~oY.iL3- Karii Fouts Client Service Specialist III Service Operations Security Benefit One Security Benefit Place • Topeka, Kansas 68636-0001 REV-1'511 EX+ (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDDLE N FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FlLE NUMBER ~ `_ D ~ Z lei ckin~G, ~tFt viN C. y o Debts of decedent must be reported on Schedule L ITEM NUMBER DESCRIPTION AMOUNT A. t' FUNERAL EXPENSES: F+~r-ott~l4,~ {-I,t~rv,t • ¢ Ihccl~anicsbw M4~I ~GZZ t t' ¢S, o S t . s Z • LL ~ ~ouAi s~ Tl nY1. o M' ap l id.M r) b o . e o M•~..~ ~, y. Ho~t~w~ P~~- How ~.~;+t'd m~t~.a~at ch.~,r~, ~aoo•~ B. ADMINISTRATIVE COSTS: t. Personal Representative's Commissions Name of Personal Representative(s) ~/~/Q y is • P ~ CK/~G ' ~~'~Y~D Sodal Security Number(s~E1N Ntur~er of Personal Representative(s) street Address l ~ 3 SA'LEI`f Ck tt R eN ttaoA:fl ~;~ m EeN~, ~t^_s gur~G ~ State pa ~p ~ 7o so Year(s) Commission Paid: 2. Attorney Fees Clna rtes ~, v'I-If'ilc~S ~ w~ 6 r SQO. ~a 3. Family Exemption: (If decedent's address is not the same as daimant's, attach explanation) Gaimant fl~/ER y fs. p I CK/NG DD SbD ~ 3 Street Address I ~ 3 ~A•I!,a~7N CN u ~GFI . ~ ~~, _r~~ek~w~csgu~e~ State P~ Zlp r~bs-o 1 Relationship of Claimant to Decedent w t DOtt! 4. Probate Fees Cult d OM 1 qt q4~ j 59uG ~(" SI1e~~ Ctr'r'1 ~7Ca~.r'Cg ~/( QO, 00 5. Accountard's Fees ,~L ~ . ' ~1-~K F/NANC/~c St.72J~/CES •f ~l~lranics6ar >iQ'`~ vodi~J 6. Tax Return Preparer's Fees C~B~ -+~ /~ /~~ ~~i ~ /D~/~ Pj¢+fi~/~ f,~', , DO ~ ~ D . . g• /4~a~re~tsiG4 :•r Cuat~a.~d ~~c.r/ ,Tiwr~rrs/ '~7,ra~ ~• If~/~rt~Si%~gr ir! ~r~is/S c~/1-~At~ ~//8'. ~~ (/ ~ (~rf~irKtArJ TOTAL (Also enter on line 9, Recapitulatio~ l) ~3, 3070. ~1 (If more space is needed, insert additional sheets of the same sae) se~~ ~r ~ ~~T of ~ckinrc, /hEwiN e. wa _ z/-o q-~o /!. rlGSear~ T<< fa .Vann ~~~ J ~Ee7~" ~$p, o0 ,. /~~ ' ./ ~~. ~ Rcurli._,~ t.11AMcs ~ . Sli - sit , 4dlif cu•~s. ~/~ • o0 l3, /~~:,~~ ~ ~a~,~CS ~: 5~,~'elds s' ,eked ~~~i .fee ~ T~ i0-bs fs+ce~' S~rreas ~ X00. DO ~1 p n, /7, /QLiti6. ~" C!a/I~S ,~, c~i~C~S.I~~ addif S~t C'.trfi~Z. /x.00 /JG~~ri r,~, ' ~ ~~~ 29; SD /f ~ ~C'd E: ooh el~s ~~ t~r Cads ub~ o~ Stt~x'~ ~4,3~ ~v ~0~. Va/aal~o~s /~ 2va~l~r~~e an y~aiv ~ ~t,~.rra"~j~s~r~cQ/ d~dases ~vr .values wl~~ s~ef ef,ecks aaul Q~~po-~isons ~.t 1-~.t ~cen )tss ~uu~ G.~.r~'o ~.K.! ~ bcer, nuss~d u,p ~vwic by ~~1'idu~. ~s~c Slteef's~iecl~ed~ 354, 4G° /7. ~ ~'• !v. ~,~K:ns .l~5so~a~es, inc. 1~ p/rP c~' /~r~ndar SurM ~,.co! $Ip t ~a~/c p~~ a/c~ ~cs~~:wfio~ a~_ Cot~'e~lon ~aC ~/ni/taf ~sskts as ~o ~o~xd4y /o~ar4ens ~/wssr'~b/e ;lac r~oac,/t/Jre~ts ~,ra~ ~ s~K t~s see 6:«' 'cad) ~~ 7~6. ~ O !g• ~~fc cS~~ e7e/ral ~tla~C l~^ans~ ~y! orb title of ` yi G,1~1~~ v- i~/ i4~Iirsf ljrer Sc,~a/~ > ~~ (~ 7, ~ ? r __ _ _ _. ,~ Persun & Heim, P.C. Attorneys at Law 1700 Bent Creek Bonkward IRS NO. 26-3786257 Suite 160 (71'n 620-2440 Mecbaoicsburg, PA 17050 FAX: (717) 620-2442 Please reply to: PO Boz 659 Mecbaoksbrrg, PA 17055-0669 ~l7TP://W W W.PERSUNHEIM.COM October 7, 2009 Client # 10287.0001 Charles Shields, NI Esquire invoice # 1142 6 Clouser Road Mechanicsburg, PA 17055-9735 General FEES 09/28/2009 VAT Picking Estate -Prepared stock and mutual funds valuations 1.50 Total Fees 1.50 DISBURSEMENTS 337.50 09/28/2009 Picking Estate 18.90 Total Disbursements 18.90 Total Current Work 856.40 Balance Due NOTE - Mvoices not paid within 30 days of their date bear interest thereafter at the rate of 1% per month or fraction thereof until paid. Please include the client number on your check. Thank you. $356.40 REV-1512 EX+ (12.03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RES~ENTDECEDENT SCME@11LE 1 DEBTS OF DECEDENT, MORTGAGE LIABlUTIES, & DENS ESTATE OF ~ ~ CkIIV ~ , A? E L l~//II C_ FILE NUMBER a~ -0 9- as Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbunlad medical expenses. _i REV-1513 EX+ (9-00) SCMEp~iLE J COMMONWEALTH of PENNSYLVANIA BENEFICIARIES INHERRANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT Do Not LbtTrustse(s) I AMOUNT OR SHARE ~ OF ESTATE 1 TAXABLE DISTRIBUTIONS ['nclude outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)j ~i (1.-1dPal' S 1. /yI,~KY G_ pleknVG S~ottst ~-;!/ spouse ~s a. X23 osalcn Cku`.~ch Rd•, Mec,~tan.tC.sbwr~, P~ !:~ ~enaxEf or r1~ ice'ah of a ~d ~f 5 tr-a st ~, ~~y L , P/Ck/~VG a/! Rome Dry, ~~~ Harbor wP.,NJ Od~~3~ Son Y3 Remeta'nder 3. ~/ONE /N. l~r1~TSOn/ S3 ~i~ckaSard T•~c;/, Mcall~noll l.Ql4ts, BUT odosj' d~hf~r ~ ~~eaucutc~e~^ ~~ .1pY E: P~ ekl~VG S7Z Naw ~h or11~ ire., merhani c sbNr , ~ ~ soc- ~f 3 Runa.~r~ loo ss ~~- be be td rri co~tb u~~9 Tr'pSt b~~( ~S~Iritr, N~~ ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THR OUGH 18, AS APPROPRIATE, REV-1500 COVER SHEET li NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET s (If more space is needed, insert additional sheets of the same size) __ _ _ I b¢ne~=~ n-~ I, MELVIN C. PICKING, of the Township of Hampden, Cumbetrland County, Pennsylvania, declare this to be my last Will, hereby revoking all prior wiVls and codicils. FIRST: The expenses of my last illness and funeral shall be paid from my estate. SECOND: I hereby give and bequeath, absolutely and i~ fee simple, to my spouse, MARY G. PICKING, all my household furniture and furnishing, books, pictures, jewelry, silverware, automobiles, wearing apparel and all other articles of ~ousehold or personal use or adornment, provided that if my spouse dies before the thirtieth (30t#~) day following the day of my death, this gift shall lapse or be divested and I make said beque~t to my issue, p~ stirAes, living at the time of my death, to be divided among them as they s~all agree. If they cannot agree for any reason, then these items shall be sold at public suction, my issue being permitted to bid upon such items without specific permission of the court even though they might be a fiduciary at the time. My Executor shall represent any minor child in any division of such property and shall deliver to the person standing in the place of a parent to such minor, without bond, such portion of the minor's share as my Executor, after considering the minor's wishes deems appropriate and shall sell the balance and pay the proceeds to my Trustees to be retainled for the minor under Item SEVENTH hereof. ~jj$Q: Should I so desire, I will make a series of splecific bequests to specific individuals on a plain piece of paper to be signed and dated by rneE and to be inserted with this, my Last Will and Testament. FOURTH: The gift to my spouse in this Item is intenddd to give my estate the marital deduction effective under the Internal Revenue Code to reduce Fe{Ieral estate tax. Any provisions in this Will which conflict with or fail of this intention shall bel so reconciled or amplified as to accomplish this objective. If my spouse, MARY G. PICKING, survives me, I direct that my Trustees, hereinafter named, hold, INTRUST, an amount free of all taxes equal to the maxirn~um marital deduction allowable to my estate for Federal estate tax purposes, reduced by an amount, if any, needed to increase my taxable estate to the largest amount that after allowing for the unified credit and any other credits available to my estate, will result in no Federal estate tax and pay the net income therefrom not less frequently than quarterly to my spouse for life. My spouse shall have power ~~ to appoint all or any part or parts of the principal of this Trust to herself or a class composed of the issue of myself and my spouse. This power shalt be exercised by her done and in all events by specific reference thereto in her Will, or by delivery at any time or tim$s during her lifetime of a written direction to my Trustees who shall thereupon make payment rls she directs. My Trustee shall pay to her personal representatives from any unappointed principal the difference between all taxes, interest and penalties which they must pay b¢ reason of her death and those which would be payable by them if such unappointed principal were not taxable in her Estate and shall add the balance of such unappointed principal to my resid,bary Trust. F3)~fI: I give and devise the residue of my estate, real and personal, to my Trustee hereinafter named, INTRUST, as follows: (a) The net income therefrom shall be paid to my spouse, MA]~i:Y G. PICKING, for life. (b) My spouse shall have the power to appoint to herself up to ttte greater amount of five percent (596) or $5,000 annually from the principal of the residuary Trust under this Item. This power of appointment shall be noncumulative and may be exercised poring my spouse's lifetime only by her giving the Trustee written direction other than by her ,Will. (c) Upon the death of my spouse, or in the event my spouse predeceases me, my estate shall be distributed as follows: (i) All the rest, residue and remainder of my estate shad be divided into three (3) equal shares, and distributed as follows: a. one share to my son, RAY L. PICKING. I~ the event he predeceases the survivor of my spouse and me, his share shall be paid to his surviving issue, ner stirpes, or in default of such issue, shall be paid to my remaining child or children, or to that child's or children's surviving issue, ner stirne~, as the case may be. b. one share to my daughter, DIANE M. WA~SON. In the event she predeceases the survivor of my spouse and me, her share shall be paid to her surviving issue, per stirpes, or in default of such issue, shall be paid to my remaining child or children, or to that child's or children's surviving issue, per stirpes, as the case may be. /~ ~ ~~ / /~~~`~"'.a- 2 c. one share to PNC BANK, NATIONAL ASSOCIATION, Trustee, INTRUST, for the benefit of my son JAY E. PICKING, to be held and administered upon the terms and conditions set forth hereinbelow.' FOR PURPOSES OF CLARIFICATION: Any share or portion of my Estate which is inherited by my said son, JAY, directly or indirectly, per stirpitally, by representation, or in any other manner whatsoever is also to be delivered to and paid over to and held and administered by my said Trustee upon the terms ar~d conditions set forth hereinbelow, excepting, however, such items of personalty or household furnishings as may be delivered to him in Item SECOND above. (i) .The income from the said Trust estatle shall be distributed monthly or quarterly, as my Trustee, in its sole and absolute discretion deems best, to my said son, JAY, for and during his natural life. (ii) My Trustee, in its sole, absolute, anq final discretion, if it deems that circumstances are bona de and legitimate, andl merit such expenditures and invasion, may invade and distribute portions of the principal of the Trust for emergency medical, surgical and hospital card for my said son, JAY. In making any such assessment and decision, my Trustee is to consider his overall circumstances, including his financial circumstances, the availability of alternative sources of fundings, possible and potential subsidies, aid programs and the like. In the event he qualifies or should qualify for such programs, subsidies, assistance or the like, my Trustee shad consider its charge and duty to act to augment or supplement the same and notl to replace them. FOR ADDTTIONAL CLARIFICATIONS I intend such invasion to be limited to such emergencies as above specified. Additionally, my Trustee, in its sole, absolute, and final discretion may consider invasion for treatment of chronic and/or terminal diseases or conditions if it deems sluch invasion to be meritorious and to be medically helpful to my said son. It 'is not my intention to provide money for routine visits to the doctor's office or other similar relatively routine treatments. Because of the uncertainty of what the' future holds and my intention of preserving a future income stream to my said Son, I have placed the aforesaid sole, absolute, and final discretion in my said Trustee. (iii) Upon the death of my said son, JAY, I direct my said Trustee to continue to hold his share in Trust for the benefit of his daughter, my ~~~ I _V/ granddaughter, JESSICA JAYE PICKING, upon the follpwing terms and conditions: (1) The income from said Trust Estate, ~ well as so much of the principal as is needed according to the discretiort~ of the Trustee, shall be used and expended for the support and maintena#-ce, including medical, surgical and hospital care, and college education, o~ other such formal education, such as any internship, apprenticeship, residence, clerkship, or the like of my said granddaughter, JESSICA JAYI~ PICKING. The decision of my Trustee as to the completion of forn~al education by the above child shall be final. (2) The amount to be paid for the benefit of my said granddaughter shall be determined from time to time by her needs and the amounts and times of said payments shall be deter~ined by such need. The said payments may be made by my said Trusted directly to my said granddaughter if she is, in the sole opinion of my Trustee, of such age and ability to handle properly the funds so paid to her, ok may be made by my said Trustee directly to the person having the custody and care of said granddaughter, or may be made by my said Trustee'i,directly to any institution entitled to such payment by reason of services rendered or to be rendered to my said granddaughter. (2a) In the event that my said granddaughter shall become wholly or partially incapacitated, disabled or the like, and should she qualify to receive or be receiving any public assista~hce or the like at the time of the inception or during the term of her Trusty my Trustee is to use the income and/or principal of her Trust only in a manner to supplement or augment such assistance or the like and not to replace or supplant it. Additionally, my Trustee is to consider all availablq scholarships or other educational subsidies that may be available or may ~e applied for in connection with educational expenses, it being my ip~tention therein to augment or supplement the same and not to replace'',them. (3) Upon my said granddaughter's att~irfing the age of thirty- five (35) years, I duect that the accumulated inco~n~ and principal then remaining in my Trustee's hands, be distributed to her outright and absolutely. . ~~ , , iL 4 (iv) In the event my said granddaughter predeceases the survivor of my spouse and me or dies during the term of this Trust, then to her issue, per stirpes. In the event that she is not survived by issue, then to my then living grandchildren, per capita. In the event that I am not then survived by any grandchildren, then to my then living issue, per stirpes. ', (v) If no issue of my children survive th~ survivor of my said spouse and myself, the remaining undistributed principal ar~d accumulated income shall be divided into two equal shares and one share shall b~ paid to my heirs who would be entitled thereto under the Intestate Laws of Pennsylvania in effect at the death of the survivor of myself and my spouse; and the oth~r share shall be paid to my spouse's heirs who would be entitled thereto under the ntestate Laws of Pennsylvania in effect at the death of the survivor of mysel~' and my spouse as if my spouse had then died Intestate. SIXTH: Trustee may use principal from the trust und~r Item FOURTH hereof (Marital Deduction Trust) for the benefit of my spouse. With the foregoing exception my Trustee may use principal from the Trust under Item FIFTH hereof (Reside Trust) for the benefit of my spouse and issue as that Trustee deems necessary: (a) To meet the expense of any emergency accident, emergenc}~ illness or other emergency befalling any of them; (b) For maintenance, support and education (including college ~nd graduate school); (c) To pay funeral expenses, including the cost of a grave marker and perpetual care of the grave. Any principal used for the benefit. of my issue shall be charged as a~n advancement from his or her family's share of the Trust. Further, any invasion on behalf of a~,y issue cannot exceed the amount that would be allocated to his or her family's share of such Trutt. Notwithstanding the foregoing, the power to consume, invade or appropriate property for the benefit of my spouse and issue shall be limited by ascertainable standatd relating to health, education, support or maintenance within the meaning of.subparagraph (a)Iof Section 2041(b)(1) of the Internal Revenue Code of 1954 or any similar provision which may be in effect at the time of my death so that such power will not constitute a general power of appointment. 1 ' 5 I SEVENTH: I appoint my Trustee as Guardian to hold for minors all property payable by law to a guardian appointed by my Will and use the same for the minor's maintenance and education, either directly or by payment to any person selected to disburse it, whose receipt shall be a complete acquittance therefore. All unexpended income and principal shall be paid to the minor at majority. For purposes of this Will, majority shall be construed to be when the individual attains the age of twenty-one (21) years. EI~iTii: No provision of this Will is intended to exercise any power of appointment, including any power of appointment granted to me by my spquse's estate planning or other documents. ~i: All taxes, interest and penalties thereon payable by reason of my death with respect to property comprising my gross estate, whether or not ~LLassing under this Will, shall be paid from the principal of my residuary estate under Item FIi~i'H, provided however, that funds of my Trust created herein may be used to pay taxes, interest and penalties attributed to such trust assets. TEIYTIi: No interest of any beneficiary under this Wild or any Codicil hereto shall be subject to anticipation or voluntary or involuntary alienation, and the personal receipt of such beneficiary shall be the sufficient and only discharge of my Executor end Trustee unless otherwise provided herein. ELEVENTH: In addition to powers given them by law, my (Executor and Trustee and their successors and any guardian acting hereunder shall have the following discretionary powers applicable to all real and personal property held by them, effective without court order and until actual distribution: (a) To retain all property received by them including the stock df any corporate fiduciary acting hereunder, provided such property remains productive; (b) To invest in all forms of property without restriction to investments authorized to fiduciaries, so long as such investments are productive; (c) To join in any incorporation, partnership, recapitalization, merger, reorganization or voting trust plan; to delegate authority with respect thereto; to deposit investments under agreements and pay assessments; and generally to exercise all rights of investors; (d) To compromise controversies; r -/ ' . / 6 ,,~.~ __ (e) To exchange or sell for cash, property or credit, publicly or privately, or to lease, even for a term exceeding five (5) years or the duration of the trusts hereunder, without liability on the purchasers or lessees to see to application of the consideration, and', to give options for these purposes without obligation to repudiate them in favor of a higher offer; (f) With respect to my residuary trust under Item FIFTH herec}f, to allocate items of receipt or disbursement between income and principal as they deem equit~ble regardless of the character given such items by law; (g) To apply income or principal to which any beneficiary is e#~titled directly for his or her maintenance and support should they deem such beneficiary incapable of receiving the same by reason of age, illness or any infirmity or incapacity, or to pay the'isame to such person as they select to disburse it, whose receipt shall be a complete acquittance therefore, without the intervention of any guardian; (h) To borrow money, including the right to borrow from any corporate fiduciary acting hereunder, and mortgage or pledge as security; (i) To hold. investments in the name of a nominee; (j) To distribute in cash or kind or partly in each at valuations Mixed by them; (k) To assume continuance of the status of any beneficiary wit$t reference to marriage, divorce, illness, incapacity or other change In the absence of inf}~rmation deemed reliable without liability for disbursements made on such assumption; (1) To elect to value my gross estate for Federal estate tax pur~oses as of the date of my death or as of the alternate valuation date as allowed for such purpose, and to claim as income tax deductions expenses that would otherwise qualify as estate taxj deduction and other elections allowable under law; (m) Except to the extent necessary in order that the Trust unde>i, Item FOURTH hereof qualify for the marital deduction allowable under the Internal Revenue Cgde, it shall not be necessary to segregate investments as belonging to a particular Trust or stlare therein and all interests may be held in undivided form in a single fund from which prapmrtionate distributions are made based on current reappraisals; (n) To merge any similar Trust established by my spouse where the terms of the same are identical; 7 ~ ~ ~~ `~ (o) To make income or principal distributions during the course of administration of my Estate or Trust created hereunder; (p) In the event that I am the beneficiary of a qualified terminaK interest Trust and the same is taxable in my Estate, I direct that my Executor shall seek reimbur3ement from said Trust for all taxes due by my Estate because of the inclusion of such Trust in m}I Estate, said computation of taxes due to be computed by taking taxes owed by my Estate and such property included therein as compared to the taxes my Estate would owe in the eveht said property were not taxable in my Estate; and (q) To undertake any and all acts deemed necessary and propel by it for the proper and advantageous management of any Trust and the settlement of my Est:~te. TWELFTH: Any person, other than my spouse, who shal~,l have died within thirty (30) days of my death, shall be deemed to have predeceased me. If any spouse and I die simultaneously, or under such circumstances that the order of our deaths cannot be established by proof, my spouse shall be deemed to have survived me. Any person (other than myself) who shall have died at the same time as any then recipient of income or in a eotnmon disaster with such beneficiary, or under such circumstances that it is difficult or impossible to determine who died first, shall be deemed to have predeceased. THIRTEENTH: I appoint my spouse, MARY G. PICKING}, as Executrix of this my Last Will and Testament. In the event that my said spouse cannot act ~r continue to act as Executrix for any reason, I appoint my daughter, DIANE M. WATSON, ~s Executrix in her place. In the event my said daughter cannot act or continue to act as Executrix for any reason, I appoint my son, RAY L. PICKING, as Executor in her place. In the event my said son cannot act or continue to act as Executor for any reason, I appoint PNC BANK, NIIATIONAL ASSOCIATION, to actin his stead. No fiduciary acting hereunder shall ue required to post bond or enter security in any jurisdiction. The situs of the Trusts created >~ereby shall be in Cumberland County, Pennsylvania. I appoint PNC BANK, NATIONAL ASSOICIATION, to act as Trustee of the several Trusts established under the terms of this my Last Will and Testament. ~j~$: My Corporate Fiduciary, if any, shall receive compensation for the performance of its functions hereunder in accordance with its Schedule of Fees in effect from time to time during the period over which its services are performed. Additionally, my s I ~... ~ .r.. _. ___. -_ _ _. Corporate Fiduciary acting hereunder, may resign its position hereunder, without the formal interposition or permission of any court, provided it: (a) lodges a writing of such resignation with the permanent recdrds kept hereunder; and (b) such resignation is to be effective after thirty (30) days writtlen notice to each adult income beneficiary hereunder; and (c) a successor Corporate Fiduciary has accepted an appointme>~t to act hereunder to take effect immediately upon the said resignation's effectiveness. (d) Said successor Corporate Fiduciary shall be located in or rer~sin licensed to conduct business within the Commonwealth of Pennsylvania and the situs of the Trust for official purposes shall be considered to remain in Cumberland County, Pennsylvania or such other County as may be the original sinus for probate of this my Last Will. (e) Said successor Corporate Fiduciary shall be appointed by al~ then acting fiduciaries, including the Corporate Fiduciary which wishes Into resign, even if such Corporate Fiduciary is then acting alone as the sole fidj~ciary. SIXTEENTH; I make it known hereby that during my lifetirhe my spouse and I made a loan to my said son, JAY, in the amount of NINE THOUSAND t;~td No/IOOths ($9,000.00) DOLLARS. In the event that at the time of my death there is any outstanding balance due on said loan, I direct my Executor to deduct two-thirds (2/3) o>j such amount from my said son's share of distribution from my Estate. The set-off amount to then be added in equal portions to the shares of my other two (2) said children. The burden of ptobf of any payment of this loan in whole or in part shall be wholly upon my said son, JAY. I direk;t that this action be taken by my Executor regardless of any statute of limitations periods that nhight typically apply to such loan had it been made at arm's length as a matter of business or cor}~merce. IN WITNESS WHEREOF, I have hereunto set my hand and seal ~Itis _,~ day of 2007, to this and the preceding eight (8)'ap~ges, and I have also placed my initi Is on each preceding page for better identification and greater security. GkQ~i ~'~s~E~~ ~ls~ SEAL) ~u~%~~~ `~~zr~~ IVIELVIN . PIC G SIGNED, SEALED, PUBLISHED and DECLARED by the above-named Testator, MELVIN C. PICKING, as and for his Last Will and Testament, in the presence of us, who at his request, in his presence and in the presence of each other, have hereunto subscribed our names as witnesses. .~ ~ ~ c~ ~o REV-1514 EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT scN~u~ K UFE ESTATE, ANNUITY & TERM CERTAIN Check Box 4 on REV-1500 Cover SheE ESTATE OF ~ I ~ IC I /~ G ~ ICI ~I EL //I ~ L~ . FlLE NUMBER ~ `~ ©~ _ a G7 This schedule is to be used for all single life, joint or successive I'rfe estate and term certain ca~ulations. For da es of death prior to 5-1-89 actuarial factors for single life calculations can be obtained from the Department of Revenue, Spe~ialty Tax Unit Actuarial factors can be found in IRS Publication 1457, Actuarial Values, Alpha Volume for dates of death ftom 5-1-89 to 4-30-99, and in Alenh Volume fnr datwa of rlaath from ~i _pq and thormkor Indicate the type of instrument which created the future interest below and attach a copy to thel, ,~ Will ~ Irttervivos Deed of Trust Q iWiUiE(S)~OF'~~ ~. ~ (S) " DATE:OF BIRTH ~ ~ µ Q,~`~~~_ .~ tax return. ~~~. ~ / ,~ ~l~/QY (?. I fr k lA! G /~. ~i/ 9 /9Z7 = / pf Life ~ r ^ Term of Years D Lffe ~ r ^ Term of Years ^ Life ~ r ^ Term of Years ^ Life d r ^ Term of Years ^ Life ¢ r D Term of Years 1. Value of fund from which Iffe estate is payable ..........................................$ 9 -- G4~ 5r9~f, 93 -+ 2. Actuarial factor Per appropriate table ....... .......................................... i ~ „ ,Z / DO is .. mieresi tame rate - u s 7IL'Yo u fi % u ~ U% U Vanable Rate 3. Yalue of lit'e estate (Une 1 multiplied by Une 2) ......................................$ 1, Col. 80 D Life dr D Term of Years ^ Life c4r ^ Term of Years D Life dr D Term of Years ^ Lffe dr D Terrn of Years 1. Value of fund from which annuity is payable ............................................$ 2. Check appropriate block below and enter corresponding (number) .......................... Frequency of payout - ^ Weekly (52) D Bi-weekly (26) D Monthly (t2) ^ Quarterly (4) ^Serni-annually (2) D Annually (1) D Other ( ) 3. Amount of payout per period ........................................................$ 4. Aggregate annual payment, Line 2 muhiplied by Line 3 .................................. . 5. Annuity Factor (see instructions) interest table rate - D 3 1/2% D 6% D 10°~ ^ Variable Rate 6. Adjustment Factor (see instructions) ................................................. . 7. Value of annuiity - If using 31/2%, 6%, 10%, or ff variable rate and period payout is at end of period, calculation is: Une 4 x Line 5 x Line 6 ..........................$ ff using variable rate and period payout is at beginning of period, calculation is: (Line 4 x Line 5 x Line 6) + Line 3 ............. ...................................$ NOTE: The values of the funds which create the above future interests must be reported as part of the estate as is on Schedules A through G of this tax return. The resulting {"de or annuity interest(s) should be reported at the appropriate tax rate on Lines 13 and 15 through i8. (if more space is needed, insert additional sheets of the same size)