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HomeMy WebLinkAbout06-22-10I 1505607121 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN 2 2 1 0 0 0 2 4 5 Hamsburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 0 4 8 1 2 6 7 7 1 0 2 2 8 2 0 1 0 1 1 1$ 1 9 2 5 Decedent's Last Name Suffix Decedent's First Name MI B L A C K W E L D E R C L A I R E G (Ifi Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Mi Spouse's Social Security Number THIS RETURN MUST BE F{LED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required death after 12-12-82) 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 0 $. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax uncier Sec. 9113(A) between 12-31-91 and 1-1-95} {Attach Sch. O} CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number C HA R L E S E P E T R I E 7 1 7 5 6 1 1 9 3 9 Firm Name (1f Applicable) REGISTER OF WILLS USE ONLY C? ev ~ First line of address _ C.. t T" ' r.._ ' 1 I ;~~ r_. i ,~ Second line of address ~ ` = . r--r-1 _ ;:J,~~ ~ 1`.~ N ; _-- ~ ~., 3 5 2 8 B R I S B A N S T R E E T ~~":~ ~_~ ~" ~~ ~' ~~ ' ` . City or Past Office State I I ZIP Code DATE ..... r' :~ ~' H A R R I S B U R G P A :~ 1 7 1 1 1 N , ~..• ~ ~"~ .~.3 ~ ,, Correspondent's a-mail address: PetrleLaW@AOL.COm Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representatwe is based on all information of which preparer has any knowledge. ATU F1'~~:fj,$Q~RE ONS L F ILING DATE ADDRESS 811 SURREY COURT CAMP HILL PA 1 ~ 011 SIGNATURE O~~ER OTyER T~Jj~ENTATIVE DATE= --~y~. ~ - ,P 6/9/2010 ADDRESS 3528 BRISBAN STREET HARRISBURG PA 17'111 PLEASE USE ORIGINAL FORM ONLY 155607121 Side 1 1505607121 J ~~ J REV-1500 EX Decedent's Name: CLAIRE G. BLACKWELDER Decedent's Social Security Number 0 4 8 1 2 6 7 7 1 RECAPITULATION 1. Real estate (Schedule A) ..................................... .. 1. 1 2 7 6 9 8.6 0 2. Stocks and Bonds (Schedule B) ............................... .. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3. • 4. Mortgages & Notes Receivable (Schedule D) ...................... .. 4. • 5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) .... .. 5. 1 7 4 7 9 9 6 7 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ..... .. 6. 9 9 1 4 9 . 0 0 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ~ Separate Billing Requested ..... .. 7. • 8. Total Gross Assets (total Lines 1-7) ........................ ... g. 4 0 1 6 4 7 2 7 9. Funeral Expenses & Administrative Costs (Schedule H) .... .. 9. 2 4 8 0 5 8 6 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .... ...... 10. 2 8 3 9 2 11. Total Deductions (total Lines 9 8 10) ................. ...... 11. 2 5 0 8 9 7 8 ............ 12. Net Value of Estate (Line 8 minus Line 11) ....... .. 12. .... 3 7 6 5 5 7 4 9 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ............ ...... 13. • 14. Net Value Subject to Tax (Line 12 minus Line 13) ............ ...... 14. 3 7 6 5 5 7 4 9 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec_ 9116 16. Amount of Line 14 taxable at lineal rate x .045 3 7 6 5 5 7. 4 9 16. 17. Amount of Line 14 taxable 0 0 0 at sibling rate X .12 17. 18. Amount of Line 14 taxable 0 0 0 at collateral rate X 15 18 19. Tax Due ............................. ..... ..19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 1505607221, 0. 0 0 1 6 9 4 5. 0 9 0. 0 0 0. 0 0 1 6 9 4 5. 0 9 D Side 2 1,505607221, 1505607221 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 22 10 00245 DECEDENT'S NAME CLAIRE G. BLACKWELDER STREET ADDRESS 54 STRAWBERRY DRIVE CITY CARLISLE __ __ STATE ZIP ~; PA 17013 Tax Payments and Credits: ~. Tax Due (Page 2 tine 19) (1) 16,945.09 2, Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 847.25 Total Credits (A + B + C } (2) 847.25 3. InteresUPenalty if applicable D. Interest E. Penalty Total InteresUPenalty (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) 16, 097.84 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 16, 097.84 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 : ................................................................. ..... ^ 0 b. retain the right to designate who shall use the property transferred or its income; .......................... ..... ^ 0 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? ................................................................................. ...... ^ 0 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ... ...... ^ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ............................................................................................ ...... ^ IF 7HE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) (1.1) (i)). For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. §9116 (a) (1.1) (ii)). The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure cif 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-0ne 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-1502 EX + (6-98) SCHEDULE A COMMONWEALTH OF PENNSYLVAN4A REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER CLAIRE G. BLACKWELDER 22 10 00245 Atl real property owned soteiy or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a witting seller, neither being compel~d m buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jolntly~ovmed with right of survivorship must be discbsed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. REAL ESTATE AT 54 STRAWBERRY DRIVE 127,698.60 SOUTH MIDDLETON TOWNSHIP, PA SEE ATTACHED SETTLEMENT SHEET TOTAL (Also enter on line 1, Recapitulation) ~ S 127.698.60 (If more space is needed, insert additional sheets of the same size) A. Settlenr,<ent Statement u.s. t)eparprrencolhforrsingarld urban oevebpment Q T..rw of 1 non nLLR Anrvnv~i Nn ')KA7117Rri 1. []FHA 2. ^FmHA 3. ^Conv. Unins. 4. YA onv.Ins. 6. File Number ,~~T 7. Loan Number' 8. Mortgage Insurance Case Number C. Note: Nems meAted'ip.oc.)• wen pale a4side me rosy sre shown sera for Irtrornutton purpoap eM are nq etrl~resd h eta teteb. WARNlNCa: h k e alma ro make fake sleiemenls M era UN6sd States on des a sn atlw axn0ar roan. PMnsWes upon conMcaorr can 4,Wrde a Me and onnrant. Far derax see: flue +s u s. t i and Saceon tOto. Titt@EXpI'@SS SettlerriE9lt System Pfl 1D 8t CLN 0. NAME OF BORROWER: Nirsa Wyche AD ESS: E. NAME OF SELLER: Estate of Claire G. Blackwelder OR SS• F. NAME OF LENDER: ADDRESS: G. PROPERTY ADDRESS: 54 Strawberry (ktve, Carlisle, PA 17013 $Qttlh Mlddletotim Townshipr Cumberland Cowrty Pri Re ' Other Rent F~tate H. SETTLEMENT AGENT: James Smith Diatterick & Connelly, LLP, Sean ConcatMOn, tsqutre CE OF S ENT: 4242 Carlisle PNke Mechanfcabu PA 17055 I. SETT EMENT TE: 0510412010 J. SU MAR F ORR 'S SACTi . SU OF SELLER'S TRANSACTION: 100. GROSS AMOUNT DUE FROM $QRROWER 400. GROSS NT 1wE TO SELLER 101. trail sales 137 500.00 401. Corsi sales 137 500.00 f02. ~ 402. Personal 103. lament ch to borrower tine 1 2 740.75 403. 104. "~''~ - to5. 4b5. Ad tments for items aid b seller in advance knents tar items b seler i n advance 106. C rtoMm t 05l04HOto12131110 27.23 406. Cit /town taxes 05104110to12131110 27.23 107. Count taxes 05l04l10to12131l10 163.15 7. nt takes 05104110to1?131h0 163.15 108. axes 05104110to06130110 169.60 taxes 05104110 006!30110 160.80 109. 4~• 110. 410. 111. 411. 112. ~ZQ. GROSS AMOUNT DUE FROM DORftVwER 200. AMOUNTS PAtD BY OR ON $EHAf.F OF 80R 140 800.73 ROWER 412. 420. GROSS AMO NT DUE TO SELLER 137 859.9$ . REDUC110NS ItJ A~~U~IT DUB TO SELLER 201. it or a frrorre 1500.00 501. Excess See in tractions 202. Pri a amount of new bans 502. ch w seder Ibe 1 9 830.00 203. Ex' in s taken su 'act to 50 . F~cis s en ro 204. 504, P ff of First Loan 205. ~5• 506. 10 Ji taxes 267.11 Robert C. Cairns Tax Collecto 207. 507. Reimb. tax tart. 5•~ James Smith DietteHck 8 Conne 208. ~. ~j~ ~ ~ ( 39.27 South Middl n Townshi 209. Ad ustments for items un aid b seller Ad'ustments for items un aid b setter 13. 513. _._. 214, 514. 215. 515. 16. 516. 217. 517, 218, 518. 219. 220. TOTAL PAID 8Y1FOR BORROINFR 300. CASH AT SETTLEMENT FROM OR TO t30RR ~ SOO.OQ OWER 519. STD. TOTAL fiEDU4Tt0~ AMOUNT DUE SELLER 10161.38 800. CASH AT SETTLEMENT TO OR FROM SELLER Sot. Gross amount due from borrower e 1 140 600.73 601. Grams amount due to sect Noe 420 137 859.98 302. Less amounts b /for borrower Noe 220 1500.00 602. tens redudbft amount due sdter line 520 10161.38 303. CASH FROM t30RROWER 139100.73 603. CASH TO SELLER 127 688.60 sOLICITanow: You are r Dy kw to pro~rda James Smllh Dbderkk b Conlaly, uP sear, CgttCarvrort, Esgttiw wrut yotr correct taxpayer laendRCadort rsxnber. d you do not 4roYi0a James smith Oblleridr s CaruMY. LLP Seen Concaraion. Es4Wr. wiax yarccamett texPaya Idaredleadon ruanbar, you may De au6Jed to dax a atrMttM ptxrelges tmpoaed Dy law. Under penalties of perjury, l certify that the ntxnber shown on this statement is my correct taxpayer identiticadon number. e e< The irtrorrnaeon contained M &oclcs E, G. H, ti and on line 40t (« H afro 4011ms an eWefak line 403 sod 404) Is hnportant lax ittronnatlen and Is being rumisAed ro dre lmemat Rowa» SerNCS. M you are rsgtared to !le a reharr, a n•YMl•t+c• psnsxy« Diller seratlen v4u be imposed on you N this xmn is required b be reported and dre IRS detemNnd that x has tat been repotted. REV. HtJD-1(3186} REV-1508 EX + (6-98) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER CLAIRE G. BLACKWELDER 22 10 00245 Indude the proceeds of litigation and the date the proceeds were received by the estate. Alt properly jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. GARBAGE TAGS REIMBURSEMENT 54.00 2. CAR INSURANCE REIMBURSEMENT 189.82 3. ACCOUNTS AT MEMBERS FIRST FEDERAL CREDIT UNION 99,061.07 4. CHECKING ACCOUNT ATM & T BANK 3,490.56 5. CREMATION SOCIETY REIMBURSEMENT 844.57 6. PONTIAC GRANDAM 4,500.00 7. CASH ON HAND 383.00 8. COMCAST CABLE REIMBURSEMENT 36.85 9. PERSONAL PROPERTY SOLD AT AUCTION 1,191.88 10. HOMEOWNERS INSURANCE REFUND 8.7G 11. (LINCOLN FINANCIAL ANNUITY 12. 137 SHARES OF MET LIFE STOCK 63,649.38 1,389.84 TOTAL (Also enter' on line 5, Recapitulation) I ~ 174, 799.67 (If more space is needed, insert additional sheets of the same size) REV-1509 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER CLAIRE G. BLACKWELDER 22 10 00245 ff an asset was made joirrlt within one year of the decedents date of death, it must be reported on Schedule G. ADDRESS SURVNING JOINT TENANT(S) NAME A. JUDITH BITNER s .JOANNE E. FRITZ c PATRICIA A. ZACEK _InINTI YAWNED PR~PERTY~ 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 INTEREST 1. A. 1985-89 US SAVINGS BONDS -SEE ATTACHED PRINTOUT 81,220.60 50. 40,610.30 2. B. 1985-87 US SAVINGS BONDS -SEE ATTACHED PRINTOUT 43,403.70 50. 21,701.85 3. C. 1985-92 US SAVINGS BONDS -SEE ATTACHED PRINTOUT 73,673.69 50. 36,836.85 TIONSHIP TO DECEDENT 811 SURREY COURT (DAUGHTER CAMP HILL, PA 17011 377 E. QUEEN STREET (DAUGHTER CHAMBERSBURG, PA 17201 4920 CALHOON DRIVE (DAUGHTER HILLIARD, OH 43026 TOTAL (Also enter on line 6, Recapitulation) , ~ gg,149.00 (tf more space is needed, insert additional sheets of the same size) O 0 'J: ' -- j040~O0i010'O.OsOfO O:p~O ~,0:0 ©i0~0 0~0 0+O OHO O io:o~o~o,o~o!o.o;o;o.o;a'o~ ono 0 0 0 0 0 0 0~0~0 0 'O ~o ' ~ `~n' ! f ~e~ ~ Icoticoico'© olco'coicofo~o~co+coioicocio~ci;o oio oo;co~ca~co o ~Ef3~6f31EAj69~1~}169",69~,tfl~~t~ifflEf}%EAR.tf?,tfl!~16R!EAitf31f~3;ffl~E~;t~~,EA'tflj4A'Efl~'; ~o il? ' 'Q I f i f ' ~ l f __f ~ i ~ . ~o,o,o!o o,olo~of ~ ! o 0 0 0 0! ,°10!0.o~o'Io'010~0'o,ofoio',o o,o o.°o °o:°o 001;0 0~0 0~0 O10 ~ oocoio 0 o~co;co: ro o' o;o ;o ' !o' i oo, I o o{ ~ ,.o io . ~o ice! , ; ~ i o o o ojofo c ±c vico c la R I ' i ~ ~ ~ ~ ~ ` , ! j! 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BLACKWELDER 22 10 00245 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL. EXPENSES: 1. EWING BROTHERS FUNERAL HOME 8,526.41 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions game of Pe-sonai Representative (s) WAIVED Street Address City State Zip Year(s) Commission Paid: 2, Attorney Fees CHARLES E. PETRIE 15,000.00 3. Family Exemption: (lf decedents address is not the same as daimanYs, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4• Probate Fees 377.50 5 Aa~untanPs Fees 6. Tax Rehsm Preparers Fees 7. ESTATE CHECKS 11.95 8. RADON ABATEMENT SYSTEM FOR SALE OF REAL ESTATE 890.00 TOTAL (Also enter on line 9, Recapitulation) I S 24,805.86 (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 CLAIRE G. BLACKWELDER 22 10 00245 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. fTEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. MEDICAL BILL - CENTENNERA 65.04 2. PA POWER & LIGHT 115.38 3. (WATER 8~ SEWER TOTAL (Also enter on line 10, Recapitulation) I S (If more space is needed, insert additional sheets of the same size) 103.50 283.92 REV-1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE J BENEFiCfARiES ESTATE OF FILE NUMBER CLAIRE G. BLACKWELDER 22 10 00245 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(sj OF ESTATE I TAXABLE DISTRIBUTIONS [indude outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. JUDITH BITNER Lineal 109,962.43 811 SURREY COURT CAMP HILL, PA 17011 2. JOANNE E. FRITZ Lineal 91,053.97 377 E. QUEEN STREET CHAMBERSBURG, PA 17201 3. PATRICIA E. ZACEK Lineal 106,188.97 4920 CALHOON DRIVE HILLIARD, OH 43026 4. NANCY M. KING Lineal 69,352.12 1007 PLANE STREET MIDDLETOWN, PA 17057 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-15Q0 COVER SHEET jI_ NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. rnrel nF aeRT ii _ FNTFR TnTAI N(1N-TAxAB~E DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I S (If more space is needed, insert additional sheets of the same size) LAST WILL AND TESTAMENT OF CLAIRE G. BLACKWELDER I, CLAIRE G. BLACKWELDER, of the Borough of Carlisle, Cumberland County, Pennsylvania, declare this to be my Last VVili, hereby revoking all prior wills and codicils. FUNERAL EXPENSr:.S FIRST: 1 direct t}te payment of my funeral expenses, including my gl-avemarker, as soon as may be convenient after lny death. PAYMENT OF DEA1'I.1 TA7~ES SECOND: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of administration of my estate. DISTRIBUTION OF RESIDUE T11 I RD: I devise and bequeath all of the residue of my estate, of every nature and L1'herever sittlate, to ttly 11~1sbarld, DOYT A. BLACK~'IfELDER, provlding he survrves me for a period of sixt~~ (60) da~~s. Should my husband, DCUYT A. BLACIt~'vELDEK, predecease me v,- die orl or before the sixtieth day following my death, I devise ar~d bequeath the residue of my estate, of every nature and wherever situate, in equal shares to my four (4) daughters, PATRICIA A. 7ACEK, NANCY M. KING, JUDITH A. BITNER and JOANNE E. FRIT2, or their issue living on the si~cty-first duly folloufing my death, per stir-pes. ., ~' C:-~~~ initials PROTECTION OF BENEFICIARIES (Spendthrift Provision) FOURTH: No interest in income or principal shall be assignable by a beneficiary or available to anyone having a claim against a beneficiary before actual payment to the beneficiary. MINORS AND INCAPACITATED BENEFICIARIES FIF'T'H: If any income o~' principal shall be pa}-able tc any person who shall be a minor or who shall be incapacitated for any reason, my executor- as trustee shall hold such income and principal during minority or incapacity and shall be entitled to apply such income and principal to the health, maintenance, support and education of such person during minority or incapacity without the appointment of any guardian oT• committee or any authority of court. My executor as trustee shall be entitled to make direct application hereunder or to make application by payment of income and principal to the parent or other person in charge of such minor or incapacitated person, or to his or her guardian or to a custodian under the Uniform T~•ansfers to Minors Act. Any remaining income and principal to which such person shall be entitled shall be dish•ibuted to such person upon the termination of minority or incapacity. My executor as t1•ustee shall have the same powers as my executor and shall serve without bond. POWERS OF EXECUTORiRIX SIXTH: I confer upon my executor the right to sell or otherwise convert any real or personal property at public or private sale, at such time or times, in such manner, and for such price or prices, ;-~tld upOil $UCII tel'tnS ;tlld COI1dIt1UI1S as 111)' executor shall detetYnirle, and to execute aria ueliver t;avd ali~i Su~fi~i~'~~r cu~~veyan~es, a~si~n~n~;~ts and transfers thereof, without liability of any purchaser for the application of any consideration; to boi•~•ow money and to secure its payment by moirtbabe of real or personal property, pledge of investments or otherwise, without liability on the part of the lenders to see to the application thereof; to retain any investments at discretion; to invest and reinvest at discretion, without resh•iction to so-called "legal investments;" to make dish•ibutiorl in cash or in kind; and to do all other acts and things necessary or appropriate in the management, administration and dish•ibution of my estate. ~', ~-, t> initials APPOINTMENT OF GUARDIAN OF ESTATES OF MINORS SEVENTH: I appoint my executor as guardian of the estates of minors with power to hold all propet•ty payable by law to a guardian appointed by my will and to use it for the minol•'s health, maintenance, support and education, either directly oi• by payment to any person selected by my executor to disburse it whose receipt shall~be a complete acquittance. Guardian may, in discharge of all the guardian's duties, pay any minor's share deemed impractical of administration to the parent or other person in charge of the minor or to his or her guardtari or to a custodian for the minor under the Unifol•m TI•c`~nSfel"S t0 I`~IlIl02'S ACt. ~~y executor as guardian shall have the same powers as my executor, and shall sense without bond. APPOINTMENT OF EXECtTTOR/RIX EIGHTH: I appoint my husband, DOYT A. BLACKWELDER, Executor of my will. If DOYT A. BLACKWELDER is unable or unwilling to qualify as Executor or having qualified is unable or unwilling to act, I then appoint my daughter, JUDITH A. BITNER, as Executrix hereof. I direct that my Executor shall not be required to furnish security in any jurisdiction tel: v~l~k.,;~~~~~~,....~ ~~~, ~~, INTERCHANGEABILITI' OF LANGUAGE NINTH: Words used in the singular may be Y•ead to include the plural or the plural may be read as the singular. Similarly, the masculine foi7ii may be read to include the feminine and neuter; the feminine may be read to include the masculine and neuter; and the neuter may be read to include the masculine and feminine. HEADINGS TENTH: The headings used on the various paragraphs of this will are included for convenience only and shall have lio legal significance. ~`) ~ti~ /~ initials .~ I have signed this will this day of l-~'~~~~ , 1996. Claire G. Blackwelder, Testatrix '; Robert R. Black Witness ACKNOWLEDGMENT and AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND SS. We, Claire G. Blackwelder, the Testatrix in, and Robel-t R. Black and ~~~~ ,the witnesses to the last will the attached or foregoing insri-,1mAt~*, «~ho have signed the instrument, having been duly qualified according to law do depose and say: (a) that I, the Testatrix, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it willingly and as my free and voluntary act for the purpposes therein expressed; and (b) that we, the witnesses, were present and saw the Testatrix sign and execute the instrument as her last will, that she signed it willingly and executed it as her free gild voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testate ix signed the will as a witness and that to the best of our knowledge the Testatrix was at that time l 8 or more years of age, of sound mind and under no constraint or undue influence. Testatrix, Claire G. Blackwelder L , ~~ l Witness, Robert R. Black Witness Notary Public Notarial Seal Susan K. Guyer, Notary Public Gariisle 6oro, Cumberland County My Cammis~ion Expires Sept. 4, 1999 Member, ~nnsy vania ~issoclat on o otar es 4 H