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Home My WebLink About04-0648 Will PETITION FOR PROBATE and GRANT OF LETTERS Will Estate ...of...J.o.s.epr.h' .G.....V.a~.l.e.n. .................... No ...... .~. . .~. ........... also known as ...................................... .................................................. To: Register of Wills for the ......................................... Deceased. County of. Social Security No... 1. 7. .2:-.0.1.~1. 6.9.4 ................... ~ Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s) is/lit~ 18 years of age and the execut .O.r. .................. named in the last will of the February 23, 2004 above decedent, dated ....................... ~ ..... and codicil(s) dated ....... .n./.a .................. (State relevant circumstances, e.g. Renunciation, death of executor, etc.) Decedent was domiciled at death in Cumberland County, Pennsylvania, with h .ip.. last familf or principal residence at .. 490.5 .t~as t. Tz. indle. Road, .Apt.. 5.6, .Cumberland. Cou~t:y, .Meckanicsburg.,. PA ........................ .ag.mp. ay.q. (list street, number and municipality) Decedent, then 96 years of age, died 7/4/04 at Cour~t. ry .Meado.~a, .Meckanicsburg,..P.A. Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate, was not the victim of a killing and was never adjudicated incom- petent ............................................................................................ Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $'.~...~.~,?..~.~....~c~, (If not domiciled in Pa.) Personal property in Pennsylvania $ ............ (If not domiciled in Pa.) Personal property in County $ ............ Value of real estate in Pennsylvania $ ............ situated as follows: .t~o .~3..'~--.. ......... WHEREFORE, pe~tioner(s) respectfully request the probate of the last will and codicil(s) presented here- with the grant of lotteFff Testamentary " thereon. -:~.~ (Testamentary, administration c.t.a., administration d.b.n.c.t.a.) ~i~~ Signature(s) and Residence(s) · of Petitioner(s) Theodore .Valcis ................................................................... · ' 2 ! 7' Wa']:nut · Date' 'Road ........................................................................... ·.~--- .-, ~' Shipp..~nsbur~,. PA.. 1725.7 ............................................................. OATH OF PERSONAL REPRESENTATIVE COMMOMWEALTH OF PENNSYLVANIA t SS COUNTY OF... CUMB~D ...... The petitioner(s) above named, swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal representative(s) of the above petitioner(s) will well and truly administer the estate~ccording to law. Sworn to or affirme¢~ ana, sub- ~' ............................ scribed before me this . ~ . ~ay of ~ ~ ............. .. ~~.%~~ ~ ~~~ ......................... .... ~;~~, ~ . .................. ~ ....................... Estate of .... .J.o.s. qp.h. . 6.:. V. .a.l.~.e.n. .......................... Deceased · DECREE OF PROBATE AND GRANT OF LETTERS AND NOW,.....~..~ .... I..~.. ........... t~. 200/~, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated .... ?.~?.~.~.~.y.. 2..%,..2.0.0.~. ............................................................................ described therein be admitted to probate and filed of record as the last will of . .J. cmeph. ~....Vallen ........... and letters .......... .T.e.s.t.a..m .e .~.t.a.~y. ................................................................. are hereby granted to ...... Theodore. Va-lc.is ........................... "'i .......... il ............... Docume~Attached: [] Oath of Subscribij~Witn_e._ss(s) Oath of Non-suJ~'~ribing Witness(s) [] ' Oath of Wi~s(s) to mark [] Renun '~on(s) [] . John McD, $1a~r.P.e, .,Jr...,..Esq .... .~.7.297 ..... 7 .......... ;sr- D. .2.5.7..L.~,rl¢o:l-n. Way. .East.,..Chambers~urg, · PA..17201 'P~B^m ~ ,~05 0 0 ADDRESS X-,~ 6.5 ~. 00 !.~?..~.6.~.7.8f.47 ............................. ~,~-0 0 PHONE ~$[T CEq~T. his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanen~t filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. ~;~ Local Registrar P 10544956 No. ~ Date H105 143 Rev ~87 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH COUNTY OF ~TH DECEDE~S ~UAL OCCUPATION INDUSTRY ~ ~ I RESIDUE i~t 11c. PERFUMED? AVA,.... TO ~ DATE. INJURY ]TIME ~ INJURy II est\wills.O4\valien.jg 1 \2/2-0104 LAST WILL AND TESTAMENT OF JOSEPH G. VALLEN I, JOSEPH G. VALLEN, of 4905 East Trindle Road, Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this as and for my last will and testament, hereby revoking all wills and codicils previously made by me. FIRST I hereby direct all my just debts, administrative expenses and all inheritance taxes that may be due by reason of my death be paid by my Executor as soon as possible. SECOND I direct the payment of my debts and expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. I note that arrangements have already been made for my funeral through Neill Funeral Home, Camp Hill, Pennsylvania. I further direct that I be interred in the plot l own in Holy Cross Cemetery, Harrisburg, Pennsylvania. THIRD I hereby give, devise and bequeath my personal property and the contents of my apartment to my nephew, THEODORE VALCIS, provided he survives me. FOURTH -I give the sum of $30,000.00 to The Church of the Good Shepherd, Camp Hill,~Pennsylvania, for the use of the choir there. FIFTH -, I give all the rest, residue and remainder of my estate to the following relations in equal shares if living. In the event a nephew should predecease me, then his share shall lapse and be shared by the remaining residuary beneficiaries, namely: my nephew, BERNARD SALINGER; my nephew, THEODORE VALCIS; my nephew, ROBERT J. LOSlK. SIXTH I appoint my nephew, THEODORE VALCIS, Executor of this will, but should he fail to qualify or cease to act as such, I appoint my nephew, BERNARD SALINGER, as Executor in his stead. No fiduciary appointed herein shall be required to file a bond for performance of fiduciary duties. IN WITNESS WHEREOF, I_,h,~.ve hereunto set my hand and seal to this my last will and testament, this ~ ~y of February, 2004. :~OSEPH G. VALLEN ~ (SEAL) Signed, sealed, published and declared by the above named testator, as and for his last will and testament in the presence of us, who at his request, in his sight and presence, and in the sight and presence of each other have hereunto subscribed our names as witnesses. COMMONWEALTH OF PENNSYLVANIA : We, JOSEPH G. VALLEN, the testator, and the undersigned witnesses, whose names are signed to the attached or foregoing instrument, being first duly sworn and qualified according to law, do hereby declare to the undersigned authority that we were present and saw the testator sign and execute the instrument as his will, and that he had signed willingly (or willingly directed another to sign for him), and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the will as witness and that to the best of their knowledge the testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence, and I, the said testator, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it as my free and voluntary act for the purposes therein expressed. Acknowledged, sworn,~nd subscribed t~9. bhefore me this ~ay of ~~, 2004 (lLJ Not ,y " NOTA~ S~L JANE K. HAVNAER, Nota~ Public ! Camp HHI Boro, Cumbed~d ~un~ I My C~m~lon ~Ir~ Ju~ 24, ~61 IN H R F OMMON PLEAS OF THE 9TH JUDICIAL 0~ ~Q~l'~;'~r~S(YLVANiA_Cumberland County Branch DISTRICT CERTIFICATION OF NOTICE UNDER RULE 5.6(a) IN RE: ESTATE OF JOSEPH G. VALLEN WILL No: 2004- 00648; Administration No: 21-04-0648 To the Register: I certify that notice of estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on August 9, 2004. Bernard Salinger Robert J. Losik 371 North 71st Street 9171 Falcon Ridge Lane Harrisburg, PA 17111-5204 Fair Oaks, CA 95628 The Church of the Good Shepherd 3435 Trindle Road Camp Hill, PA 17011-4489 Notice has now been given to all persons entitled thereto under Rule 5.6(a). J~)/nn MeD. Sharpe,'Jr., Esq/ ~[ARPE & SHARPE, LLP 257 Lincoln Way East Chambersburg, PA 17201 (717) 263-8447 Counsel for Personal Representative S!tARPE & SttARPE, ALP ATTORNEYS AT LAW 257 LINCOLN WAY EAST CHAMBERSBURG, PA 17201-2294 AT) N: Glenda F. Strausbaugh Register One Courthouse Square Carl'_sie, PA 17013-3387 SHARPE F.__g SHARPE, LLP ATTORNEYS AT LAW 257 Lincoln Way East Chambersburg, PA 17201 ~2294 E-mail: sharpelaw@cvn.net John McD. Sharpe, Jr. Successor To: J. McDowell Sharpe Sharpe, Gabler & Sharpe Fax Telephone September 29, 2004 (717) 263-8447 (717) 263-0279 ATTN: Glenda F. Strausbaugh Register One Courthouse Square Carlisle, PA 17013-3387 RE: Estate of Joseph G. Vallen No. 2004 - 00648; PA No. 21-04-0648 Dear Glenda: Enclosed please find a check in the amount of $39,000.00 which is for payment of the three-month inheritance tax in connection with the above estate. I have enclosed an envelope for you to send the receipt back to this office. Thank you. Very truly yours, J6'hn McD. Sharpe, Jr. JMS:lhe Enc. COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 004447 VALCIS THEODORE 217 WALNUT DALE ROAD SHIPPENSBURG, PA 17257 ACN ASSESSMENT AMOUNT CONTROL NUMBER ........ fold .......... 101 $39,000.00 ESTATE INFORMATION: SSN: 172-01-1694 FILE NUMBER: 21 04-0648 DECEDENT NAME: VALLEN JOSEPH G DATE OF PAYMENT: 09/30/2004 POSTMARK DATE: 09/29/2004 COUNTY: CUMBERLAND DATE OF DEATH: 07/04/2004 TOTAL AMOUNT PAID: $39,000.00 REMARKS: VALLEN ESTATE CHECK# 105 INITIALS: CCP SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COHNONNEALTH OF PENNSYLVANIA BUREAU OF INDIVIDUAL TAXES DEPARTHENT OF REVENUE INHERITANCE TAX DEPT. 280601 HARR~URG, PA 17128-0601 NOTICE OF INHER/TANCE TAX APPRAISENENT, ALLONANCE OR DISALLOHANCE OF DEDUCTIONS AND ASSESSNENT OF TAX DATE 09-20-2004 ESTATE OF HOOKS HARJORZE A DATE OF DEATH 08-05-2005 FILE NUHBER 21 05-0648 COUNTY CUHBERLAND FRANCIS A ZULLI ESQ ACN 101 NION ETAL Amoun~ Remi~ed 109 LOCUST ST HBG PA 17101 HAKE CHECK PAYABLE AND REHZT PAYNENT TO: REGISTER OF NILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA -~'~F015~.~ ~ ...... .... ........ :.i: ......... REV-/Sq7 EX AFP (01-03) NOTXCE OF XNHERXTANCE TAX APPRAXSEHENT~ ALCOWANCE~R " DXSALLOWANCE OF DEDUCTXONS AND ASSESSHENT OF TAX ESTATE OF HOOKS MARJORIE AFILE NO. 21 05-0648 ACN 101 -~ATE 0g'20-2004 TAX RETURN WAS: ( ) ACCEPTED AS FILED (X) CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE ~'~ APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN ~- 1. Real Es~e~e (Schedule A) (1) 152~500.00 ~OTE: To insure proper 2. S~ocks and Bonds (Schedule B) (2) 55~807.97 credi* ~o your accoun*, $. Closely Held S*ock/Par~nership In~eres~ (Schedule C) (5) .00 sube/~ *he upper por*Aon fi. Hor~gages/No~es Receivable (Schedule D) (fi) .00 of ~his form wi~h your $. Cash/Bank Deposi~s/Nisc. Personal Proper~y (Schedule E) ($) 112;084.19 ~ax payment. 6. Jointly O~ned Proper~y (Schedule F) (6) .00 7. Transfers (Schedule G) (7} .00 8. To'al Asse~s (8) 278,592.16 APPROVED DEDUCTIONS AND EXEHPTZONS: 57,478.77 9. Funeral Expenses/Adm. Cos~s/Hisc. Expenses (Schedule H) (9) 10. Debts/Hot,gage Liabili*ies/Liens (Schedule I) (10) 6;456.85 11. To,al Deduc*ions (11) 12. Ne~ Value of Tax Re*urn (12) 254,456.56 15. Charitable/Governmental Beques*s; Non-elected 9115 Trus*s (Schedule J) (15) 210,456.56 1~. Ne* Value of Es~a~e Sub~ec~ ~o Tax (1~) 24,000.00 NOTE: Z~ an assessment was issued previously, lines 1~, 15 and/or 16, 17, 18 and 19 will reflect figures that /nclude the tots1 of ALL returns assessed to date. ASSESSHENT OF TAX: 15. Amoun~ of L/ne 1~ a~ Spouse1 ra~e (15) .00 X O0 = .00 16. Amoun~ of Line 1~ ~exable e* LAneal/Cless A re~e (16) 11,000.00 x 045 = 495.00 17. Amoun~ of Line 1~ a~ Sibling ra~e (17). 5,000.00 x 12 = 600.00 18. Amoun~ of Line 1~ ~axable a* Collateral/Class B re~e (18) 8,000.00 X 15 = 1,200.00 19. Principal Tax Due (19)= 2,295.00 TAX CREDITS: PAYHENT RECEIPT D/SCOUNT (+) AHOUNT PAID DATE NUNBER INTEREST/PEN PAID (-) 07-22-2004 CD004186 .00 2,295.00 ]}ALANCE OF UNPAID INTEREST/PENALTY AS OF 07-25-2004 TOTAL TAX CREDIT Z,295.00 BALANCE OF TAX DUEI .00 ZNTEREST AND PEN. 20.20 TOTAL DUE 20.20 IF PAID AFTER DATE INDICATED, SEE REVERSE ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYHENT IS REQUIRED. ~/ FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU NAY BE DU E]r~ A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) RESERVATZOH: Estates of decadents dying on or before December II, [982 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of tho decedent after the expiration of any estate for life or for years, the Commoneaa[th hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the [aaful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To fulfill the requirements of Section Zl~O of the Inheritance and Estate Tax Act, Act 25 of ZOO0. (TI P.S. Section 91~0). PAYNENT: Detach the top portion of this Not[ca and submit aith your payment to the Register of Hills printed on the reverse slde. --Hake check or money order payable to: REGISTER OF HILLS, AGENT REFUND (CR): A refund of a tax credit, ahich was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-IS15). Applications ara available at the Office of the Register of Hills, any of the 25 Revenue District Offices, or by calling the special Z~-hour answering service for forms ordering: 1-800-$62-ZOS0~ services for taxpayers with special hearing and / or speaking needs: 1-800-~7-$0Z0 (TT only). OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest} as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17lIB-lOll, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. ADMIN- ISTRATIVE CORRECTIONS: Factual errors discovered on this assessment should ba addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Un[t, Dept. Z80601, Harrisburg, PA 171Z8-0601 Phone (717) 787-6505. See page S of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-IS01) for an explanation of administratively correctable errors. DISCOUNT: If any tax due is paid within three (3) calendar months after the decmdant's death, a five percent (SI) discount of the tax paid is al[owed. PENALTY: The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the and of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same tiaa period as you mould appeal the tax and interest that has been assessed as indicated on this notice. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January l, 1982 bear interest at the rate of six (6Z) percent per annum calculated at a daily rate of .00016~. All taxes which became delinquent on and after January 1, 198Z will bear interest at a rate which w[11 vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2OOq ara: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 lOX .O005qB ~)'~'8-1991 llX .O00SOX ~ 9Z .o00gq7 198S 162 .000~38 1992 92 .O00Zq7 200Z 62 .O0016q 198q llZ ,000301 1993-199q 7Z .O0019Z ZOO3 5Z .000137 1965 13Z .000356 1995-1998 9Z .O00Zq7 200~ qZ .000110 1986 lOX .O00ZTq 1999 72 .O00lgg 1987 lOX .O00Z7q ZOO0 7Z ,O0019Z --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DALLY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. REV-1470 EX (~-88) * EXPLANATION COMMONVVEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENTS NAME FILE NUMBER Marjorie A Hooks 2103-0648 REVIEVVED BY ACN Sandra J Eslinger 101 ITEM SCHEDULE NO. EXPLANATION OF CHANGES The value of the estate has been adjusted as the result of the correction of an error in arithmetic. ROW Page 1 RELEASE AND REFUNDING BOND KNOW ALL MEN BY THESE PRESENTS, That I, Theodore G. Valcis, Executor of the Estate of Joseph G. Vallen, do hereby acknowledge that I have received of and from Manufacturers and Traders Trust Company, successor by merger to Allfirst Trust Company of Pennsylvania, N.A., formerly known as Allfirst Bank, formerly known as FMB Bank, Successor by merger to Dauphin Deposit Bank and Trust Company, Trustee under Revocable Trust Agreement dated October 25, 2000, with Joseph G. Vallen, late of Cumberland County, Pennsylvania, deceased, consisting of cash in the amount of two hundred fifty-six thousand two hundred ninety-four dollars and sixty-one cents ($256,294.61). AND the undersigned, in consideration of said payment and transfer, does hereby agree, upon written request of Manufacturers and Traders Trust Company, to refund to the said Trust pro rata whatever assets, in kind or in cash, that may be necessary in the future to discharge any liabilities of the Trust. IN WITNESS WHEREOF, I have hereunto set my hand and seal this iC~Say of J~OVO~-~e,l," , 2004. WITNESS: ~: l " Theodore G. Valcis, :.9 Executor of the Estate of Joseph_G. Vallen COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF ~ ) On this, the [~ day of ~ o ~ , 2004, before me, a Notary Public in and for said State and County, personally appeared Theodore G. Valcis, Executor of the Estate of Joseph G. Vallen, known to me (or satisfactorily proven) to be the person whose name is subscribed to the foregoing Release and Refunding Bond and acknowledged that he executed the same for the purposes therein contained and desires that the same be recorded as such. WITNESS my hand and Notarial Seal. NOTAEIAL SEAL LINDA H. EAKL~, Notary Public Boro of Chambersburg, Flmnitlin Co. ]~y C.~ommi~/oll ]~gires O~o~r 2, 2008 Notary Public My Commission Expires: REVOCABLE TRUST AGREEMENT THIS REVOCABLE TRUST AGREEMENT is made this _,f~O"~f/~day of October, 2000, by and between Joseph G. Vallen~ of Mechanicsburg~ Penn.~ylvania, herein called the "Settlor," and Allfirst Trust Company of Pennsylvania, N.A. herein called the "Trustee," or its successors or assigns by purchase, merger, consolidation, or otherwise. In consideration of the covenants and mutual promises herein contained, the Settlor and the Trustee hereby agree as follows: ARTICLE I. Trust Property; Name A. The Settlor does hereby transfer, assign, convey and deliver to the Trustee the sum of one dollar ($1.00) and the property described in Schedule A attached hereto, the receipt of which is acknowledged by the Trustee. B. All real and personal property heretofore or hereafter received by the Trustee shall form a part of the trust estate, and shall be herein referred to as, the "trust estate". ARTICLE II. Payment of Trust Income and Principal to Settlor During the lifetime of the Settlor, the Trustee shall pay from time to time, to or for the benefit of the Settlor such sums from the net income or principal of the Trust as the Settlor (or the Settlor's duly appointed attorney-in-fact) may request in writing or otherwise. Any income not distributed on an annual basis shall be added to principal. ARTICLE III. Withdrawal of Trust Principal A. During the Settlor's lifetime, the Trustee shall have the power and authority hereunder to make payments of net income or principal for the Settlor's health, maintenance, comfort or support, and the Trustee may make any such payments to or for the benefit of the Settlor, or to the individual who is, in the sole judgment of the Trustee, in proper charge of the Settlor, whether with or without a court order; and in every such event payments may be made, received and applied without the necessity of any accounting to, qualification in, or approval of any court, and any such payments made in good faith shall be deemed proper and shall constitute a complete release and acquittance of the Trustee therefor. B. The Settlor shall have the power and authority upon written notice to the Trustee, to withdraw any part or all of the principal of the trust estate, so that the trust estate may be terminated in whole or in part in the sole and absolute discretion of the Settlor. Optional Provision for Spouse: The Settlor directs that the following paragraph (initial one) z~shall shall not be a part of this Agreement: C. Whenever, in the sole and absolute opinion of the Trustee, the Settlor shall be incapable of exercising the foregoing power of withdrawal, the Trustee in its sole and absolute discretion may make payments of the net income or principal for the Settlor's spouse's health, maintenance, or support, and the Trustee may make any such payments to or for the benefit of the Settlor's spouse, or to the individual who is, in the sole judgment of the Trustee, in proper charge of the Setflor's spouse, whether with or without a court order; and in every such event payments may be made, received and applied without the necessity of any accounting to, qualification in, or approval of any court, and any such payments made in good faith shall be deemed proper and shall constitute a complete release and acquittance of the Trustee therefor. ARTICLE IV. Payment of Taxes and Expenses Upon the death of the Settlor, the Trustee, after consultation with the Personal Representative of the S ettlor's estate, may pay from the trust estate: A. To the proper taxing authorities for the account of the Settlor's estate: 1. All income taxes payable with respect to income received by the Settlor prior to the Settlor's death, or payable by the Settlor's estate after the Settlor's death, 2. All estate and inheritance taxes (including any interest and penalties thereon not caused by negligent delay) payable with respect to all property included in the Settlor's gross estate, whether or not such property constitutes a part of the trust estate, and 3. All unpaid gift taxes on any gifts made by or attributed to the Settlor during the Settlor's lifetime; B. All debts, claims, funeral expenses, and administration expenses (including commissions and legal fees) which, in the sole and exclusive judgment of the Trustee, properly are payable by and duly chargeable against, the Settlor's probate estate or the trust estate; C. All other taxes, costs, expenses, fees, disbursements or interest (other than as provided in paragraph A above) and/or penalties not caused by negligent delay which the Trustee, in its sole and exclusive judgment, shall deem to be properly payable by or on behalf of the Settlor's probate estate or by the trust estate. ARTICLE V. Balance of the Trust Estate All of the balance of the trust estate then remaining in the hands of the Trustee after any payments described in the foregoing Article IV and including all additions thereto shall be paid over and distributed to: A. Any one or more of such persons and corporations, including the Settlor's estate or creditors or to the creditors of the Settlor's estate, as by last will and testament the Settlor effectively may appoint, including gifts in trust; provided, however, that no exercise of such power of appointment shall be effective unless reference thereto shall be made in a valid will executed by the Settlor, specifically mentioning this Agreement and expressly intending to exercise such power. The Trustee may determine that such power was not exercised if within six (6) months of the date of the death of the Settlor the Trustee shall not have received a copy ora will duly admitted to probate exercising such power. B. All of such share not so effectively appointed shall be paid over to the Settlor's Estate. ARTICLE VI. Administrative Provisions for Trust A. No Bond. The Trustee of each trust created hereunder shall serve as such at all times without bond. 13. Succession. Any successor or substitute Trustee hereunder shall have all the rights, powers, discretion, duties and responsibilities granted to or imposed upon the Trustee named herein; provided, however, that any successor or substitute Trustee shall have no obligation to inquire into, nor any liability for, the prior administration of any trust. C. No Court Supervision. None of the trusts herein created shall be administered under the direction or jurisdiction of any court. If any trust hereunder nonetheless is subject to the jurisdiction of any court, such jurisdiction shall extend only to the particular matter considered, and shall terminate upon conclusion of the proceeding. 3 D. Other Assets of Beneficiary_. Wherever the Trustee hereunder shall have the power to pay over and distribute to or for the benefit of any beneficiary such amounts as in its sole and absolute discretion the Trustee may or shall deem to be necessary, reasonable or desirable, the Trustee may, but shall not be required to, inquire into or investigate any other income or resources then available to such beneficiary. E. Life Insurance Proceeds. The Trustee shall determine what part of all life insurance proceeds or other death benefits, if any, payable to it shall be made a part of any trust. The Trustee shall not be obligated to prosecute any action to collect such payments unless it is indemnified in the manner and in an amount satisfactory to it or unless it shall determine that the other assets of the trust are sufficient to pay all expenses of prosecuting such action. F. Corporate Trustee Holds Assetq. The corporate Trustee shall retain custody of all assets of any trust hereunder created, and any individual Trustee shall be excused from any liability on account thereof. G. Compensation of Corporate Trustee. The corporate Trustee shall be entitled to compensation hereunder for its normal management services as calculated under the corporate Trustee's schedule of fees published from time to time. The corporate Trustee shall also be entitled to reasonable additional compensation from the principal of the trust for services other than those related to normal trust administration, such as investigations relating to discretionary payments of income or principal. A copy of the corporate Trustee's current fee schedule is attached as Schedule B hereto. H. No Apportionment of Income. Anything to the contrary herein notwithstanding, the Settlor directs that on the death of any person theretofore entitled to receive income hereunder, no apportionment shall be made thereof, and all accrued and undistributed income shall be paid to the beneficiary, or ratably to the beneficiaries, next entitled to receive the income or principal of the trust. I. Actual Notice. Until the Trustee shall receive actual notice of any birth, death or other event on which the right to receive any payment and/or distribution of income and/or principal may depend, the Trustee shall not be liable to any beneficiary of the trust for payments or distributions theretofore made in good faith. 4 J. Indemnification. Settlor shall indemnify and hold Trustee, its directors, officers, employees, agents, shareholders, representatives, parent, affiliates and subsidiaries harmless from any and all claims, losses, costs, expenses, fees, charges, damages, liabilities, actions, causes of action, or any other sums whatsoever, charged to, incurred or paid by Trustee in connection with, related to, or arising from, directly or indirectly, this Agreement, or by reason of any other actions, contracts or agreements entered into by Trustee in connection herewith; save and except this indemnification shall not apply to claims where gross negligence is proven. ARTICLE VII. Powers of Trustee In addition to all powers, authorities and discretion granted to it by common law, statute or under any rule of court, the Settlor hereby expressly authorizes and empowers the Trustee in its sole and absolute discretion to: A. retain thc securities of the corporate Trustee hereunder (or any parent, successor or subsidiary corporation thereof) and to invest and reinvest in real or leasehold property, tangible or intangible personal property, common trust funds, mutual funds, common stocks, preferred stocks, bonds, and debentures, all as the Trustee may consider advisable or proper, without application to, or the approval of, any court and without being restricted as to the character of any investment by any statute or nde of law or court governing thc investment of trust funds; B. invest and reinvest income and principal in securities of, or other interests in, a no- load, open end management type investment company, or investment trust registered under the provisions of the federal Investment Company Act of 1940 that does not impose a contingent deferred sales charge or distribution charge on that investment, and the Trustee shall have such power even if a corporate Trustee serving hereunder or an affiliate of such corporate fiduciary provides services as investment advisor or manager, sponsor, distributor, custodian, transfer agent, registrar, or similar related services to the investment company or investment trust and receives reasonable compensation for those services; C. sell, lease (irrespective of the possible termination of the trust), improve, partition, mortgage, exchange or otherwise dispose of any and all property at any time forming a part of the trust, in such manner, for such purposes and upon such terms as the Trustee may deem advisable; 5 D. vote in person or by proxy with respect to any shares of stock or other securities held by it, for any purpose, and to take any other action which the Trustee may deem necessary or proper in connection therewith, participate in any voting trust, merger or reorganization and to hold investments in the name of a nominee; E. make divisions or distributions of the assets of any trust in money or in kind, or partly in money and partly in kind, and to cause any part of any such trust to be composed of property different in kind from any other part; except as otherwise herein specifically provided, the judgment and any determination of the Trustee in connection therewith, including values assigned to various assets, shall be binding and conclusive on all persons interested therein; F. borrow or advance money for any purpose connected with the protection, preservation or improvement of the trust, and create one or more mortgages on, or pledges of, any part or all of the property included in such trust, whenever the Trustee shall deem the same in its judgment advisable; G. pay, compromise, compound, extend, modify, renew, adjust, litigate, submit to arbitration, sell or release any claims or demands of the trust against others or of others against such trust as the Trustee shall deem advisable and to make any payments in connection therewith; H. execute, acknowledge and deliver any and all instruments in writing which the Trustee may deem advisable to carry out any of the powers described herein, including the power to indicate any division or distribution of any trust by deeds or other writings or instruments recorded among the public records of any jurisdiction where any such property may be located. No party to any such instrument in writing signed by the Trustee shall be bound to see to the application by the Trustee of any money or other property paid and delivered to it pursuant to the terms of such instrument; I. exercise, or consent to the exercise of, any tax options or elections allowed by any federal, state or local tax law; 6 J. retain agents such as accountants, attorneys, health advisors, and real estate agents or other advisors to assist in the administration of the Trust and to pay them from Trust assets. Check one box: [~ All investment decisions shall be made in the sole and absolute discretion of the Trustee and its discretion pursuant to the powers hereinabove conferred upon it shall be binding and conclusive upon all persons, beneficiaries or remaindermen. [--] No changes shall be made in the investments constituting the trust without the consent of the Settlor during the term of the Settlor's life, unless at the time the consent be required, the Settlor be so ill or incapacitated as to be unable to signify approval or disapproval, or unless the Settlor's whereabouts be unknown or the Settlor be not readily accessible, in any of such events the Trustee may take such action as it deems advisable without obtaining such consent. The decision of the Trustee in respect to the necessity for dispensing with the consent of the Settlor, because of the existence of such circumstances, shall be conclusive and binding upon all persons interested in the trust and all persons dealing with it. ARTICLE VIII. Additional Trust Property_ Subject to the acceptance of the Trustee, the Settlor and/or any other person may at any time deposit with, or transfer, devise, bequeath or appoint to the Trustee additional property to be held, administered and ultimately distributed hereunder as a part of the trust estate. ARTICLE IX. Revocation and Modification The Settlor hereby reserves the right and power at any time and from time to time during the Settlor's lifetime to revoke the trust hereby created in whole or in part, and to modify or amend in any respect any of the terms and provisions hereof, including the power to withdraw any or all property from the trust estate and to remove the Trustee and appoint a successor Trustee (such removal to be effective upon receipt by the Trustee of the successor Trustee's written acceptance of such appointment) by written notice delivered to the Trustee, without the consent of any other person and without notice to any person other than the Trustee; provided that the obligations of the Trustee shall not be increased nor its compensation reduced without its consent. ARTICLE X. Taxpayer Certification by Client The Settlor certifies (1) that the Taxpayer Identification Number shown on this Agreement is correct and (2) that the Settlor is not subject to backup withholding either because the Settlor has not been notified that it is subject to backup withholding as a result ora failure to report all interest or dividends or the Imemal Revenue Service has notified the Settlor that it is no longer subject to backup withholding. (NOTE: Strike item (2) if the Settlor has been notified that it is subject to backup withholding and has not received a notice from Imernal Revenue Service that backup withholding has terminated.) ARTICLE XI. Acceptance by Trustee The Trustee hereby accepts the trusts herein created, and agrees to serve as Trustee hereunder. ARTICLE XII. Terms A. Throughout this Trust Agreemem, when the context or circumstances so require, references to the singular number shall include the plural and vice versa, and references to any gender shall include any other gender. The headings used herein are for convenience only and do not affect or modify the provisions of this Trust Agreement. C. This Trust Agreement, and all of its terms, conditions, provisions and limitations, shall be construed in accordance with the laws of the Commonwealth of Pennsylvania. 8 IN WITNESS WHEREOF, the Settlor and the Trustee have hereunto set their hands and affixed their seals, respectively, the day and year first above mentioned. j/., Set~or's S~gnature (717) 7374698 Joseph G. Vallen , Settlor Settlor's Telephone No. Settlor's Name (please print) 172-01-1694 Settlor's Address: Settlor's Taxpayer I.D. No. 4905 E. Trindle Road, Apt. 66 Mechanicsburg, PA 17055 ATTEST: ALLFIRST TRUST COMPANY OF PEN'N'SYLVANIA, N.A. Ray~find A. McGeary, Senior V~sident Address 213 Market Street Harrisburg, PA 17101 NOTE: IF REAL PROPERTY IS A PORTION OF THE TRUST, THIS AGREEMENT MUST BE NOTARIZED. SCHEDULE A Revocable Trust Agreement Dated October, 2000 (SEE A~I"I~A(]H]ED SCI:I'I~i)UI.E '"A'") ALLFIRST TRUST COMPANY O~NSYLVANIA, N.A, T~:~stee Ray~nd A. McGeary, S~iic~r ~'i~sident - 10 SCHEDULE "A' CASH: Money Fund Altemative Account $40,000.00 $20,000. Allfirst Bank Certificate of Deposit, 5.870%, due 03/15/01, #80000002180417 20,000.00 15,000. Allfirst Bank Certificate of Deposit, 6.350%, due 05/27/01, #80000002180550 15,000.00 11,424.97 Mellon Bank Certificate of Deposit, 3.4403%, due 11/10/01, #00431305 11,424.97 28,618.89 Mellon Bank Certificate of Deposit, 3.1984%, due 12/10/01, #00890709 28,618.89 21,000.00 First Union Certificate of Deposit, 5.830% due 01/14/01, #247412050930790 21,000.00 11,105.99 First Union Certificate of Deposit, 6.300%, due 06/09/01, #247412051187635 11,105.99 44,574.69 First Union Certificate of Deposit, 6.950%, due 05/12/02, #247412051220938 44,574.69 30,000.00 PNC Bank, Certificate of Deposit, 5.839%, due 07/10/01, #31300181101 30,000.00 36,000.00 PNC Bank, Certificate of Deposit, 5.837%, due 12/19/01, #31700176616 36,000.00 122,967.97 Harris Savings Bank, Certificate of Deposit, 5.23%, due 01/06/01, #405083369 122,967.97 8,369.78 Harris Savings Bank, Certificate of Deposit, 4.69%, due 06/14/01, #455313779 8,369.78 SCHEDULE B FEE SCHEDULE See attached Fee Schedule. ALLFIRST TRUST COMPANY OF PE'NI~YLVANIA, N.A. ~.--} Raymond A. McGeary, Senior V~President 11 PERSONAL TRUST AND INVESTMENT SERVICES FEE SCHEDULE .30% of the market value of assets The annual investment management fee does not apply to investments in any of the fluctuating NAV portfolios of the ARK Funds. .70% on the first $500,000; .55% on the next $500,000; .35% on the next $1,000,000; and .10% on the balance over $2,000,000. $1,000 prorated and paid monthly This fee schedule is for normal services required in the management of a trust. Additional fees are charged if the trust demands services beyond those normally required or if the trust holds real estate, closely-held business interests or life insurance. For services required in the partial or complete termination of a trust, reasonable and appropriate charges, not to exceed 2% of trust assets, will be assessed commensurate with the work performed and the responsibility assumed. There will be no termination fee assessed if a trust is revoked or transferred by the Grantor. The allocation of fees between income and principal shall be within the discretion of the trustee. Allied Investment Advisors Inc., an affiliate of Allfirst Trust Company, N.A., receives investment advisory fees directly from the ARK Funds, and Allfirst Trust Company, N.A. receives fees as the custodian for the ARK Funds and for certain administrative services provided to ARK Funds. These fees and other operating expenses are described in the ARK Funds prospectus accompanying this fee schedule, which should read carefully and retained for future reference. Investment advisory fees for all money market portfolios held in IRA Rollover accounts shall be rebated to the account. PERSONAL TRUST AND INVESTMENT SERVICES FEE SCHEDULE Annual Fee -- Annual Fee -- If ARK Funds Used Account Size: If ARK Funds Not Used: For All Investments*: $ 200,000 $ 3,000 $ 1,600 $ 300,000 $ 4,000 $ 1,900 $ 400,000 $ 5,000 $ 2,200 $ 500,000 $ 6,000 $ 2,500 $ 600,000 $ 6,850 $ 2,800 $ 700,000 $ 7,700 $ 3,100 $ 800,000 $ 8,550 $ 3,400 $ 900,000 $ 9,400 $ 3,700 $ 1,000,000 $ 10,250 $ 4,000 $ 2,000,000 $ 16,750 $ 7,000 $ 3,000,000 $ 20,750 $ 10,000 $ 4,000,000 $ 24,750 $ 13,000 $ 5,000,000 $ 28,750 $ 16,000 $10,000,000 $ 48,750 $ 31,000 * This fee only reflects account level expenses. Additional expenses are incurred by each individual portfolio of ARK Funds. For more details on these expenses, please consult the ARK Funds prospectus accompanying this fee schedule. REV-1: LU >- ),:;$(1) o"'~ WQ.U :rOO 0"'''' Q.<D Q. <( (6-00) . A j) N. ./.D REV-1500 OFnCIAL USE ()NLY COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21-04 o 6 4 --- 8 COUNTY CODE YEAR NUMBER I- z: LU o LU (.) LU o DECEDENT'S NAME (LAST, FIRST. AND MIDDLE INITIAL) Vallen, Joseph G. DATE OF DEATH (MM.DD.YEAR) DATE OF BIRTH IMM.DD.YEAR) 7/4/04 4/1/08 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER SOCIAL SECURITY NUMBER 172 - 01 1694 [.!I 1. Original Return o 4. Limited Estate [XJ 6. Decedent Died Testate (Attach ooPY of Will) o 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (date of death after 12-12-62) 07. Decedent Maintained a Living Trust (AUach copy of Trust) o 10. Spousal Poverty Credit (date of death between 12.31.91 and 1-1-95) o 3. Remainder Return (date ofdealh prior 10 12-13-82) o 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) .... Z LU o Z o Q. '" LU '" '" o u NAME John McD. Sharpe, Jr., Esq. FIRM NAME (llApplicable) COMPLETE MAILING ADDRESS SHARPE & SHARPE, LLP 257 Lincoln Way East Chambersburg, PA 17201 TELEPHONE NUMBER (717) 263-8447 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship , r.,,) OFFICIALIJSE ONLY - c:,,:, " C./"'l ", 11) 12) 253,100.38 (3) (4) (5) 101.418.7') z o !;;: ...J ~ l- ii: <( u w IX 4. Mortgages & Notes Receivable (Schedule 0) 5. Cash, Bank Deposits & Miscelianeous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7, Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) ____I f'.,) (6) c-., ..; I ~l c; (7) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 18) 354,519.13 (9) 39,720.60 (10) 4,<;79 7<; 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) (11) 44,300.35 112) 310,218.78 (13) 30.000.00 (14) 280,218.78 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o !;;( I-' :::l D.. ::i: o u >< ~ 15, Amount of Line 14 taxable at the spousal tax rate, or transfers under See, 9116 (a)(1.2) x.o_ (15) x,O_ (16) x 12 (17) x 15 118} 42,032.82 (19) 42,032.82 16. Amount of Line 14 taxabie at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 280,218.78 19, Tax Due 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Complete Address: STREET ADDRESS 4905 East Trindle Road CITY Mechanicsburg 1- STATE PA I ZIP 17050 Tax Payments and Credits: 1. Tax Due (Page 1 Line 1 g) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) 42.032.82 ,9,000 00 1.950.00 Total Credits (A+ 8 + C) (2) 40,950.00 3. InteresYPenally if applicable D. Interest E. Penally TotallnteresUPenalty ( 0 + E ) (3) 4. If Line 21s greater Ihan Line 1 + Line 3, enter the difference. This is tI1e OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due, (5) (5A) 1,082.82 8. Enter the total of Une 5 + 5A. This is the BALANCE DUE. (58) 1 ,082.82 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 IX] b. retain the right to designate who shall use the property transferred or its income; ................ 0 IX] C. retain a reversionary interest; or... ................ ................. .. 0 JX] d. receive the promise for life of either payments, benefits or care?.... ...................... ....................... 0 IX] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ..... ............................................. ..................... ............... 0 IX] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ............. 0 I&J 4. Did decedent own an Individual Retirement Account, annuily, or other non-probate property which contains a beneficiary designation? . .............................. 0 I&J IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare thai I have examined this return, including accompanying schedules 81ld statemsllts, and to the best of my knowledge and belief, if is true, CDTTed and complete, Declaration of pre parer otherlhan the personal represenlative is based on all informalion of which preparerhas any knowledge. SIG~ OF PERSON RESP2I'JSI}l.lEj;OR FILING RETURN "7)Ze..o~ '[/~ ADDRESS Theodore Valcis 217 Walnut Dale Road, Shippensburg, PA 17257 SIGNATO~E,9\ PREPARER OTHER T(lAN,REPRESENTATI E / !. . C' n . ADDRESS 0 n c. ar q. S~E & SHARPE, 257 W yEast, Chambersburg, PA 17201 ;.';&!'1@1L_~~_A~_IIlI!I"f.d "1~1l"-______1iI~~'1f 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 3% [72 PS S9116 (a) (1.1) (i)J. DATE :2.. - (- oS- DATE For dates of death on or after January 1, 1995, Ihe tax rate imposed on the nel value of transfers to or for the use of the surviving spouse is 0% [72 PS. S9116 la) 11.1) (ii)l. The statute does not exemot a transfer to a surviving spouse from tax, and the statuto/)' requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficial)'. 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 slepparent of the child is 0% [72 PS. s9116(a)(I.2)1. The tax rale imposed on the net value of transfers to orlor the use of Ihe decedent's lineal beneficiaries is 4.5%, except as noted in 72 PS S9116(1.2) [72 P.S. s9116(a)(I)]. The tax rate imposed on the net value of transfers to or for the use of Ihe decedent's siblings is 12% [72 P.S. s9116(a)(1.3)]. A sibiin9 is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. ~oomon'~eal th of Pennsyl vani a Inheritance Tax Return Resident Oecedent SCHEDULE "B" STOCKS AND BONDS t~IAlt U~ Joseph G. Vallen No. 2004 - 00648 r 1 Lt NUMl:StK PA No.: 21-04-0648 (All property jointLy owned with Ri~ht of Survivorship must be disclosed on Schedule lIFII) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH $ 50,515.63 $ 102.26 $ 50,640.63 $ 973.96 $ 50,718.75 $ 586.63 $ 24,941.41 $ 59.55 $ 49,492.15 $ 233.16 $ 24,836.25 1. 50000 Federal Home Loan, Matured, 3/15/05 @ 4.125% Accrued interest, 1/14/04 - 7/4/04 2. 50000 Federal Home Loan, Matured: 1/14/05 @ 4.125% Accrued interest, 1/14/04 - 7/4/04 3. 50000 Federal National Mortgage Association Matured: 3/15/05 @ 3.875% Accrued interest, 3/15/04 - 7/4/04 4. 25000 Federal Home Loan Mtg. Corp. Matured, 5/15/05 - @ 1.75% Accrued interest, 5/15/04 - 7/4/04 5. 50000 Federal National Mortgage Association Matured, 4/15/06 @ 2.125% Accrued interest, 4/15/04 - 7/4/04 6. 25000 Federal National Mortgage Association Matured, 12/1/04 TOTAL (Also enter on Line 2, Recapitulation) $253,100.38 Commonwealth of Pennsylvania Inheritance fax Return Resident Decedent SCHEDULE "E" CASH. BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY t~IAlt UI- Joseph G. Vallen No. 2004 - 00648 rILe. NUMljl:.K FA No.: 21-04-0648 (All orooerty jointly owned with Right of Survivorship must be disclosed on Schedule IlFlll. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH M&T checking account no. 87167395 $ 1,990.67 M&T money market fund $ 97,493.09 Country Meadows Nursing Horne refund $ 1.912.99 Donegal Homeowner's Insurance refund $ 22.00 1. 2. 3. 4. TOTAL (Also enter on Line 5, Recapitulation) $101,418.75 . Cortmonwea 1 th of pennsyl vani a Inheritance Tax Return Resident Decedent SCHEDULE "H" FUNERAL EXPENSES. ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES t~IAlt ut- Joseph G. Vallen No. 2004 00648 rlLt NUMl:Jtl< PA No.: 21-04-0648 ITEM NUMBER DESCRIPTION AMOUNT A. 1. Funeral Expenses: Neill Funeral Home, Inc. - funeral expenses $10,512.33 B. Administrative Costs: 1. Personal Representative Commissions: Theodore Valcis $17,700.00 2. Social Security No. of Personal Representative: 186-28-7180 Year Commissions Paid: $8,000 in 2004; Balance in 2005 Attorney Fees ~ Sharpe & Sharpe, LLP $10,620.00 3. Family Exemption Claimant Address of Clalmant at decedent's death: Street Address 4. City, State, Zip Probate Fees a. b. c. Cumberland County Register, four short certificates Cumberland county Register, administration fees to open estate Cumberland County Register, fee to fiLe inheritance tax $ 12.00 $ 324.00 $ 15.00 $ 175.27 $ 75.00 $ 285.00 $ 2.00 C. 1. 2. 3. 4. Miscellaneous Expenses: The Patriot News - legal advertising Cumberland Law Journal - legal advertising Cumberland County ClerK of Courts - filing account Notary fee on account TOTAL (ALso enter on Line 9, Recapitulation) $ 39,720.60 . coimlonwealth of Pennsylvania Inheritance Tax Return Resident Decedent SCHEDULE T DEBTS OF DECEDENT. MORTGAGE LIABILITIES AND LIENS t~IAlt ut- Joseph G. vallen No. 2004 - 00648 J- 1 LI:. NUMtH:K PA No.: 21-04-0648 ITEM NUMBER DESCRIPTION AMOUNT 1. 2. 3. Choice Nursing, Inc. - nursing home bill Choice Nursing, Inc. - final nursing home bill verizon - final bill and termination $ 2,215.25 $ 2,342.83 $ 21.67 TOTAL (Also enter on Line 10, Recapitulation) $ 4,579.75 . Conrnonwea l th of Pennsyl vani a Inheritance Tax Return Resident Decedent SCHEDULE "J" BENEFICIARIES t~IAlt U~ Joseph G. Vallen No. 2004 - 00648 t- 1 Lt. NUM'OtK PA No.: 21-04-0648 ITEM NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR NUMBER SHARE OF ESTATE A. Taxable Bequests: 1. Theodore Valcis Nephew One-third of 217 Walnut Dale Road residuary Shippensburg, PA 17257 2. Bernard Salinger Nephew One-third of 371 North 71st Street residuary Harrisburg, PA 17111-5204 3. Robert J. Losik Nephew One-third of 9171 Falcon Ridge Lane residuary Fair Oaks, CA 95628 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE 1. B. Charitable and Governmental Bequests: The Church of the Good Shepherd 3435 Trindle Road Camp Hill, PA 17011-4489 $30,000.00 Total (Also enter on Line 13, Recapitulation) $30,000.00 ..~ ....,........................,........,,............,........-......,,........."'"-....... A:rrO.RNE'-''(' ..' ~'<r. ';l' W 257 'LINCOLN Wi\, Y,J!;ASr CHAMBERSBURG, PA 17201-2294 (717) 26H447 E-mail: sh.arpelaw@cvri.net .~ LAST WILL AND TESTAMENT OF JOSEPH G. V ALLEN I, JOSEPH G. VALLEN, of 4905 East Trindle Road, Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this as and for my last will and testament, hereby revoking all wills and codicils previously made by me. FIRST I hereby direct all my just debts, administrative expenses and all inheritance taxes that may be due by reason of my death be paid by my Executor as soon as possible. SECOND I direct the payment of my debts and expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. note that arrangements have already been made for my funeral through Neill Funeral Home, Camp Hill, Pennsylvania. I further direct that I be interred in the plot I own in Holy Cross Cemetery, Harrisburg, Pennsylvania. THIRD I hereby give, devise and bequeath my personal property and the contents of my apartment to my nephew, THEODORE VALCIS, provided he survives me. FOURTH I give the sum of $30,000.00 to The Church of the Good Shepherd, Camp Hill, Pennsylvania, for the use of the choir there. FIFTH I give all the rest, residue and remainder of my estate to the following relations in equal shares if living. In the event a nephew should predecease me, then his share shall lapse and be shared by the remaining residuary beneficiaries, namely: my nephew, BERNARD SALINGER; my nephew, THEODORE VALCIS; my nephew, ROBERT J. LOSIK. SIXTH I appoint my nephew, THEODORE VALeIS, Executor of this will, but should he fail to qualify or cease to act as such, I appoint my nephew, BERNARD SALINGER, as Executor in his stead. No fiduciary appointed herein shall be required to file a bond for performance of fiduciary duties. IN WITNESS WHEREOF, I h~ve hereunto set my hand and seal to this my last will and testament, this ..'Q,3.~aay of February, 2004. 't.4. 0 - <) ! //1/) tB ,,~ .-0 </f::lJ-{~1 JOSEPH . V ALLEN '-J (SEAL) Signed, sealed, published and declared by the above named testator, as and for his last will and testament in the presence of us, who at his request, in his sight and presence, and in the sight and presence of each other have hereunto subscribed our names as witnesses. COMMONWEALTH OF PENNSYLVANIA COUNTY OF~_IJd'..( C;;~-f; We, JOSEPH G. VALLEN, the testator, and the undersigned witnesses, whose names are signed to the attached or foregoing instrument, being first duly sworn and qualified according to law, do hereby declare to the undersigned authority that we were present and saw the testator sign and execute the instrument as his will, and that he had signed willingly (or willingly directed another to sign for him), and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the will as witness and that to the best of their knowledge the testator was at that time eighteen years of age or older, of ss I I I I I I I , i I I , I I I I I , , . sound mind and under no constraint or undue influence, and I, the said testator, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it as my free and voluntary act for the purposes therein expressed, Acknowledged, swor~imd subscribed \~_before me this U'tlay of y, ,2004 NOTARIAL SEAL JANE K. HAVNAER, Notary Public Camp Hm Boro, Cumbertand County My Commission Expires June 24, 2006 II I' I I' John McD. Sharpe, Jr. J. McDowell Sharpe SHARPE & SHARPE, LLP ATIORNEYS AT LAW 257 Lincoln Way East Chambersburg, PA 17201-2294 E-mail: shart>elawlaJcvn.net Successor To: Sharpe, Gabler & Sharpe Telephane (717) 263-8447 February 1, 2005 Fax (717) 263-0279 ATTN: Glenda F. Strausbaugh Register One Courthouse Square Carlisle, P A 17013-3387 I f",..) -n RE: Estate of Joseph G. Vallen No. 2004 - 00648: PA No. 21-04-0648 r\,) o Dear Glenda: Enclosed please find two checks which are for payment of the inheritance tax and filing fee in connection with the above estate. 1 have enclosed an envelope for you to send the receipt back to this office. If you have any questions, please do not hesitate to call me. Thank you. Very truly yours, 8hn ~~,~ slJ.-,.e Iftt 11J(f) JMS:lhe Enc. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU Of INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SHARPE J MCDOWELL ESQ 257 LINCOLN WAY EAST CHAMBERSBURG, PA 17201 _nn_n told ESTATE INFORMATION: SSN: 172-01-1694 FILE NUMBER: 2104-0648 DECEDENT NAME: V ALLEN JOSEPH G DATE OF PAYMENT: 02/02/2005 POSTMARK DATE: 02/01/2005 COUNTY: CUMBERLAND DATE OF DEATH: 07/04/2004 NO. CD 004911 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $1,082.82 I I I I I I I I TOTAL AMOUNT PAID: $1,082.82 REMARKS: CHECK# 116 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS "....,..."."..'n~r'."'..-.T." '- ""I no", :<0- '" " CD e-3 'i CD(]q e-3 e-- to. 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BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT *' REY-16Q7 EX AFP (03-05) jU;.; 1 J '10 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 05-16-2005 VALLEN 07-04-2004 21 04-0648 CUMBERLAND 101 bo...t R_itted JOSEPH G OF~F<-:,~->!'S (~-:_-', JOHN MCD S~~~1"EJR' ESQ SHARPE & SHARPE 257 LINCOLN WAY EAST CHAMBERSBURG PA 17201 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account~ sub.it the upper portion of this fo~ with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ................................................................................................................ REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ... ESTATE OF VALLEN JOSEPH G FILE NO.21 04-0648 ACN 101 DATE 05-16-2005 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUHHARY DF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-11-2005 PRINCIPAL TAX DUE: 42,032.82 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 09-29-2004 CD004447 2,052.63 39,000.00 02-01-2005 CD00491~ .00 1,082.82 04-25-2005 REFUND .00 102.63- TOTAL TAX CREDIT 42,032.82 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TDTAL DUE IS LESS THAN $1, ND PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (eR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRM FOR INSTRUCTIONS. ) s+ ~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 5/31/2006 SHARPE JOHN M JR ESQUIRE SHARPE & SHARPE LLP 257 LINCOLN WAY EAST CHAMBERSBURG, PA 17201 RE: Estate of VALLEN JOSEPH G File Number: 2004-00648 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 7/04/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Ah__~J~~ Glenda Farner Strasbaugk Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 5/31/2006 VALCIS THEODORE 217 WALNUT DALE ROAD SHIPPENSBURG, PA 17257 RE: Estate of VALLEN JOSEPH G File Number: 2004-00648 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. This filing is due by: 7/04/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~a0~ /1 Glenda Farner Strasbaugo-.J Clerk of the Orphans' Court cc: File Counsel