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HomeMy WebLinkAbout03-0951 PETITION FOR PROBATE and GRANT OF LETTERS Estate of WILHELMINA L. SMITH No. ~ I-" 0 3 - q 51 Social Security No. 184-38-1762 To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania. The Petition of the undersigned respectfully represents that: Your Petitioner, S. Berne Smith, son of the decedent, is 18 years of age or older and is the Executor named in Article Eleven of the last Will of the above decedent, dated August 14, 2000. Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last address at 210 Big Spring Road, Newville, PA 17241. Decedent, then 89 years of age, died November 9, 2003, at Green Ridge Village, West Penn Township, Cumberland County, PA. Decedent was not married, 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 incompetent. Decedent at death owned property with estimated values as follows: 1. All personal property $560,000.00. 2. Value of real estate in Pennsylvania: NONE WHEREFORE, petitioner respectfully requests the probate of the last will presented herewith and the grant of letters testamentary thereon. S. Berne Smith 107 N. 24th Street Camp Hill, PA 17011-3602 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA: : SS COUNTY OF CUMBERLAND : Petitioner, S. Berne Smith, swears or affirms that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner and that as personal representative of Wilhelmina L. Smith, deceased, petitioner will well and truly administer the estate according to law. Sworn to or affirmed before me, this / '7 -l~ day of November, 2003. S. Berne Smith Estate of Wilhelmina L. Smith, Deceased DECREE OF PROBATE AND GRAND TO LETTERS AND NOW /U'vv"~"'"~"-' / <~ ,2003, in consideration of the petition set forth on the two preceding pages, satisfactory proof having been presented before me, IT IS DECREED that the instrument dated August 14, 2000, described therein be admitted to probate and filed of record as the last will of Wilhelmina L. Smith, deceased, and Letters Testamentary are hereby granted to S. Berne Smith, Executor. "-~gister of Wills -- FEES Probate, Letters, Etc. Short Certificates (20) TOTAL Attorney: S. Berne Smith Sup. Ct. I.D. No: 07254 107 N. 24th Street Camp Hill, PA 17011-3602 Phone: 717-737-6789 WILL OF WILHELMINA L. SMITH I, Wilhelmina L. Smith, presently of Green Ridge Village, West Pennsboro Township, Cumberland County, Pennsylvania, though I realize the uncertainty of this life, I have full confidence and trust in my Lord and Savior, Jesus Christ, in His death on the cross for my sins and in His shed blood as an atonement for my soul; and I know by faith that because of His sacrifice on the cross for me I have eternal life, hereby declare this to be my will and revoke all prior wills and codicils made by me. Article One: Specific Bequests. § 1. Because I have made lifetime Charitable Gift Annuities in favor of Dickinson College, and through the Presbyterian Foundation in favor of Camp Hill Presbyterian Church, Second Presbyterian Church of Carlisle, Presbyterian Homes, Inc of Central Pennsylvania, and the Trustees of the Carlisle Presbytery, I am not now making any further specific charitable bequests. Article Two: Tangible Personal Property. §2. Certain specific items of personalty and family heirlooms shall be distributed by my Executor, without attempting to assign any monetary value to them, in accordance with a list which will be found in a book kept in the hand carved rosewood chest where certain of my private papers are kept, or by name labels affixed to the item or written on the item. If any questions arise about the distribution of any particular items, or if the book cannot be located, the judgment of my Executor shall be final. Any item on the list which does not exist at the time of my death as a part of my estate shall be treated as specifically adeemed. Any items not so distributed shall be divided between my granddaughter, Pamela S. Cason, and my son, S. Berne Smith, per stirpes. Any items not distributed in this fashion shall be sold and the monies received shall be distributed as part o£the residue. Article Three: Residue. §3.1 All the rest of my property of whatever nature and wherever situated, including property over which I hold a power of appointment, shall be divided into two shares, as specified hereinafter, and shall be distributed as follows: §3.1.1 I bequeath, devise, and appoint one share, which shall be equal to one-half(½) of the residue of my property, to be distributed as follows: A. One Thousand Dollars ($1,000.00) to my step granddaughter, Tracey Joanne Simmons, presently of Albuquerque, NM, per stirpes. If Tracey Joanne Simmons does not survive me, per stirpes, this bequest shall pass in accordance with §3.1.1B hereinafter; B. All the rest of this share shall be distributed to my granddaughter, Pamela Ruth Simmons Cason, presently of Albuquerque, NM, per stirpes, subject to the provisions of §3.2 hereinafter. If Pamela Ruth Simmons Cason does not survive me, per stirpes, this share shall pass in accordance with §3.1.2 hereinafter. §3.1.2 I bequeath, devise, and appoint one share, which shall be equal to one-half(½) of the residue of my property, to be divided and distributed as follows: A. One half of this share, being one-fourth (1/4) of the residue of my estate, to my son, S. Berne Smith, and his wife, Betty W. Smith, presently of Camp Hill, PA, or to the survivor of them, per stirpes. IfI am not survived by S. Berne Smith or Betty W. Smith, per stirpes, this share shall pass in accordance with §3.1.1 above. B. One half of this share, being one-fourth (1/4) of the residue of my estate, to my three grandsons, Stephen Berne Smith, presently of Camp Hill, PA; Michael Andrew Smith, presently of Lititz, PA; and David Charles Smith, presently of Camp Hill, PA, per stirpes, subject to the provisions of §3.2 hereinafter. If I am not survived by my grandsons, per stirpes, this share shall pass in accordance with §3.1.2A above. §3.2 I give to the Trustee hereinafter named any share passing hereunder for the benefit of any beneficiary of mine who shall not have attained the age of eighteen (18) years, to be held, administered and disposed of in accordance with Article Four hereof (the "Beneficiary's Trust") for the benefit of such beneficiary. §3.3 IfI am not survived by any issue, per stirpes, then I give the entire residue of my estate, of whatever nature and wherever situated, as charitable bequests to be divided equally among Camp Hill Presbyterian Church, 101 N. 23rd Street, Camp Hill, PA; The College of Wooster, Wooster, OH; and Dickinson College, Carlisle, PA in memory of my husband, The Reverend Spencer B. Smith, and my three children, S. Berne Smith, Cynthia L. Smith Simmons, and Pamela 2 Ruth Smith. Article Four: The Beneficiary's Trust: §4.1 The Trustee shall hold, manage, invest and reinvest the assets Beneficiary's Trust, collect the income thereof and: §4.1.1 While the beneficiary of the Beneficiary's Trust (the "Beneficiary") is under eighteen (18) years of age, the Trustee shall apply to or for the benefit of the Beneficiary so much of the net income and, if the net income is insufficient, so much of the principal of the Beneficiary's Trust as the Trustee shall from time to time deem necessary or proper for the Beneficiary's health, maintenance, support and complete education, including preparatory, college and graduate education, and professional, vocational or technical training, taking into account other available funds, including the Beneficiary's assets. The Trustee shall annually accumulate any net income not so distributed and add the same to the principal of the trust property. §4.1.2 After the Beneficiary attains eighteen (18) years of age, the Trustee shall distribute to or for the benefit of the Beneficiary the net income of the Beneficiary's Trust in quarter-annual installments, or more frequently if the Trustee deems it advisable, and so much of the principal as the Trustee shall from time to time deem necessary or proper for the Beneficiary's health, maintenance, support and complete education, including college and graduate education, and professional, vocational or technical training, and to assist the Beneficiary with reasonable wedding expenses, in the purchase of a principal residence or in the establishment of a profession or business considered a good risk by the Trustee, taking into account other available funds, including the Beneficiary's assets. §4.1.3 At any time after the Beneficiary attains eighteen (18) years of age, the Beneficiary may withdraw any or all of the principal of the Beneficiary's Trust. §4.1.4 If the Beneficiary dies before the complete termination of the Beneficiary's Trust, the Trustee shall distribute the property then held in trust to such persons or corporations, (including the Beneficiary's estate), in such amounts and upon such trusts, terms and condition, as the Beneficiary by last Will may appoint by specific reference to this general power of appointment; provided, however, any portion of the trust property not subject to the Beneficiary's power of withdrawal immediately prior to the Beneficiary's death may only be appointed to one or more of the Beneficiary's issue, in such amounts and upon such trusts, terms and conditions as the Beneficiary by last Will may appoint by specific reference to this special power of appointment. Any property not so appointed shall be distributed to the Beneficiary's then living issue, per stirpes, or if none, to my then living issue, per stirpes. of the Article Five: Taxes. {}5. I direct that all estate, inheritance and succession taxes that may be assessed in consequence of my death of whatever nature and by whatever jurisdiction imposed, shall be paid out of the residue of my general estate to the same effect as if said taxes were an expense of administration; and all property includable in my taxable estate whether or not passing under this will shall be free and clear thereof. Article Six: Survival Clause. §6. If any beneficiary hereunder should die within thirty (30) days after me or within thirty (30) days after any other person the survival of whom determines his rights hereunder, then such beneficiary shall be deemed to have predeceased me or such other person for ail purposes hereunder. Article Seven: Spend Thrift Clause. §7. No interest of any beneficiary of my estate shall be subject to anticipation or to pledge, assignment, sale or transfer in any manner, nor shall any interest be liable on account of the debts, contracts, torts or other engagements of any beneficiary. Article Eight: Lifetime Gifts. {}8. Any gifts made during my lifetime to any person or persons who are beneficiaries under this will shall be considered to be lifetime gifts and shall not be advancements made to that beneficiary or beneficiaries. Article Nine: Powers of Fiduciaries. {}9.1 No fiduciary under this Will shall be required to give bond or other security for the faithful performance of the fiduciary's duties. §9.2 Any such fiduciary shall have the following powers, in addition to those given by law: {}9.2.1 To invest in, accept and retain any real or personal property, including stock of a corporate fiduciary or its holding company, without restriction to legal investments; {}9.2.2 To sell, exchange, partition or lease for any period of time any real or personal property and to give options therefor for cash or credit, with or without security; 4 {}9.2.3 To borrow money from any person including any fiduciary acting hereunder, and to mortgage or pledge any real or personal property; §9.2.4 To hold shares of stock or other securities in nominee registration form, including that of a clearing corporation or depository, or in book entry form or unregistered or in such other form as will pass by delivery; §9.2.5 To engage in litigation and compromise, arbitrate or abandon claims; §9.2.6 To make distributions in cash, or in kind at current values, or partly in each, allocating specific assets to particular distributes on a non-pro rata basis, and for such purposes to make reasonable determinations of current values; §9.2.7 To make elections, decisions, concessions and settlements in connection with all income, estate, inheritance, gift or other tax returns and the payment of such taxes, without obligation to adjust the distributive share of income or principal of any person affected thereby; §9.2.8 To allocate, in the Executor's sole and absolute discretion, any portion of my exemption under Section 2631 (a) of the Internal Revenue Code to any property as to which I am the transferor, including any property transferred by me during my lifetime as to which I did not make an allocation prior to my death; §9.2.9 To create, except when the fiduciary is a beneficiary of the subject trust, with respect to all or any part of the principal of any trust hereunder, including a pecuniary amount, by a written instrument a general testamentary power of appointment within the meaning of Section 2041 of the Internal Revenue Code in any beneficiary thereof and to eliminate such power for all or any part of such principal as to which such power was previously created and to divide trust principal into two fractional shares based upon the then portion of the trust that would be includable in the gross estate of the beneficiary holding such power if he died immediately before such division (in which case the power shall be over the entire principal of one share and not the other), with each share being administered as a separate trust, unless such fiduciary shall thereafter elect to combine such separate trusts into a single trust; to exercise the foregoing discretion to create or eliminate a general testamentary power of appointment when such fiduciary determines that the inclusion of the property affected thereby in the beneficiary's gross estate may achieve a significant savings in transfer taxes by having a federal estate tax in lieu of a Chapter 13 tax imposed by the Internal Revenue Code on the property subject to such power of appointment or may achieve significant income tax benefits; §9.2.10 To disclaim any interest I may have in any estate if the Executor deems such disclaimer to be in the best interests of my estate and the beneficiaries thereof; §9.2.11 To terminate any trust created herein, the principal of which is or becomes too small in the Trustee's discretion to make the establishment or continuance of the trust advisable, and to make immediate distribution of the then remaining trust property to the beneficiary then entitled to the income of the trust property or, if there is more than one beneficiary, to the beneficiaries then entitled to the income of the trust property in proportion to their respective interests therein or, if such interests are not defined, in equal shares to such beneficiaries; provided, however, no Trustee shall participate in any decision to terminate such trust if by reason of such termination such trustee could receive a distribution of trust property from such trust as aforesaid. The receipts and releases of the distributee(s) will terminate absolutely the right of all persons who might otherwise have a future interest in the trust, whether vested or contingent, without notice to them and without the necessity of filing an account in any court; and §9.2.12 To merge any trust created hereunder with any other trust or trusts created by me or my spouse under will or deed, i£the terms of any such trust are then substantially similar and held for the primary benefit of the same person or persons. Article Ten: Facility of Payments for Minors or Incompetents. § 10. Any amounts or property which are payable or distributable hereunder to a minor or incompetent may, at the discretion of the fiduciaries, be paid to the parent or guardian of such minor or incompetent, to the person with whom such minor or incompetent resides, or directly to such minor or incompetent, or may be applied for the use or benefit of such minor or incompetent. Article Eleven: Fiduciaries. § 11.1 I appoint as Executor hereunder my son, S. Berne Smith. In the event my son is unable or unwilling so to serve or to complete the administration of my estate, I appoint my daughter-in-law, Betty W. Smith, to be first, contingent Executrix. If Betty W. Smith should be unable or unwilling to serve or to complete the administration of my estate, then I appoint my grandson, Stephen Beme Smith, to be second, contingent Executor. If Stephen Berne Smith should be unable or unwilling to serve or to complete the administration of my estate, then I appoint my grandson, Michael A. Smith, to be third, contingent Executor. If Michael A. Smith should be unable or unwilling to serve or to complete the administration of my estate, then I appoint my grandson, David C. Smith, to be fourth, contingent Executor. § 11.2 I appoint as Trustee(s) hereunder my son, S. Berne Smith, and/or his wife, Betty W. Smith. If neither of them should be able or willing to serve or to complete the administration of any trust hereunder, then I appoint my grandsons, in the order previously named, to be the Trustee. Article Twelve: Gender. § 12. Unless the context indicates otherwise, any use of masculine gender herein shall also include the feminine gender. IN WITNESS WHEREOF, I, Wilhelmina L. Smith herewith set my hand and seal to this, my last Will, typewritten on eight (8) sheets of paper including the self-proving attestation clause and signatures of witnesses, this___j~day of ~-?,~z, co.~ , 2000. Wilhelmina L. Smith Signed, sealed, published and declared by the above named Wilhelmina L. Smith as and for her last Will, in the presence of us and each of us, who, at her request and in her presence and in the presence of each other, have hereunto subscribed our names as witnesses thereto the day and year last above written. Residing at 'Residing at Residing at COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND We, Wilhelmina L. Smith, the SS. testatrix, and L, B, r?o , and ¢D,,~,'le/ , the witnesses, whose names are signed to the attached or foregoing instrument, being firsf duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her last Will; that the testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testatrix signed the Will as a witness and that to the best of his or her knowledge the testatrix was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. Wilhelmina L. Smith · ' (Witness Witness Witness Subscribed, testatrix, and subscribed sworn to and acknowledged before me by Wilhelmina L. Smith, the and sworn to before me by ., ~/~Ar;o [. ~r<o~ and , the witnesses, this /~7'k day of ,2000. Notary Public My Commission expires: SEAL WILHELMINA L. SMITH S. BERNE SMITH ATTORNEY AT LAW 107 N. 24TH STI~EET Gx~P Htr_m, PA 17011-3602 717 787-0789 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Wilhelmina L. Smith Date of Death: November 9, 2003 File No. 2003-0951 PA File No.21-03-0951 To the Register: I certify that notice of beneficial interest 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 November 18, 2003: Name S. Berne Smith and BetW W. Smith Stephen Berne Smith Michael Andrew Smith David C. Smith Pamela Ruth Simmons Cason Tracey Joanne Simmons Address 107 N. 24th Street Camp Hill, PA 17011-3602 2193 Hasting Drive Mechanicsburg, PA 17055-9306 2 Barbara Lane Lititz, PA 17543 7275 107 N. 24th Street Camp Hill, PA 17011-3602 1616 Speronelli Road Albuquerque, NM 87107 C/o Pamela R. Cason 1616 Speronelli Road Albuquerque, NM 87107 Notice has now been given to all persons entitled under Rule 5.6 (a) except: None. Date: December 19, 2003 malTle~ Address: Telephone: Capacity: X S. Berne Smith 107 N. 24th Street Camp Hill, PA 17011-3602 717-737-6789 Personal Representative Counsel for Personal Representative CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Wilhelmina L. Smith Date of Death: November 9, 2003 File No. 2003-0951 PA File No.21-03-0951 To the Register: I certify that notice of beneficial interest 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 November 18, 2003: Nalne S. Berne Smith and Betty W. Smith Stephen Berne Smith Michael Andrew Smith David C. Smith Pamela Ruth Simmons Cason Tracey Joanne Simmons Address 107 N. 24th Street Camp Hill, PA 17011-3602 2193 Hasting Drive Mechanicsburg, PA 17055-9306 2 Barbara Lane Lititz, PA 17543 7275 107 N. 24th Street Camp Hill, PA 17011-3602 1616 Speronelli Road Albuquerque, NM 87107 C/o Pamela R. Cason 1616 Speronelli Road Albuquerque, NM 87107 Notice has now been given to all persons entitled under Rule 5.6 (a) except: None. Date: December 19, 2003 Name.' Address: Telephone: Capacity: S. Berne Smith 107 N. 24th Street Camp Hill, PA 17011-3602 717-737-6789 X Personal Representative Counsel for Personal Representative BUREAU OF ZNDZVZDUAL TAXES TNHERTTANCE TAX DIVISION DEPT. 280601 HARR/SBURG. PA 171Z8-0601 ROBERT G FREY FREY & TZLEY 5 S HANOVER ST CARLZSLE CUT ALONG THZS LZNE ~ PA 17013 CONNONHEALTH OF PENNSYLVAN/A DEPARTNENT OF REVENUE NOT/CE OF /NHER/TANCE TAX APPRA/SENENT, ALLO#ANCE OR DISALLO#ANCE OF DEDUCT!OHS AND ASSESSNENT OF TAX DATE 01-19-Z00~ ESTATE OF NZCKARD DATE OF DEATH 09-!q-ZOO2 FZLE NUHBER Z! 02-0951 COUNTY CUHBER LAND ACN ! 01 I Amoun~ R~m J.'t'~d REV-1547 EX AFP (01-05) RODNEY L HAKE CHECK PAYABLE AND REHZT PAYHENT TO: REGZSTER OF HZLLS CUNBERLAND CO COURT HOUSE CARLZSLE, PA 17013 RETAZN LONER PORT!ON FOR YOUR RECORDS -.~ RE¥,];&? FY AFP fO1-Q]T NOT~CE OF ZNHERZTANCE TAX APPRAZSEHENT, ALLO#ANCE OR CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Wilhelmina L. Smith Date of Death: November 9, 2003 File No. 2003-0951 PA File No.21-03-0951 To the Register: I certify that notice of beneficial interest 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 November 18, 2003: Name Address S. Berne Smith and Betty W. Smith Stephen Berne Smith Michael Andrew Smith David C. Smith Pamela Ruth Simmons Cason Tracey Joanne Simmons 107 N. 24th Street Camp Hill, PA 17011-3602 2193 Hasting Drive Mechanicsburg, PA 17055-9306 2 Barbara Lane Lititz, PA 17543 7275 107 N. 24th Street Camp Hill, PA 17011-3602 1616 Speronelli Road Albuquerque, NM 87107 C/o Pamela R. Cason 1616 Speronelli Road Albuquerque, NM 87107 Notice has now been given to all persons entitled under Rule 5.6 (a) except: None. Date: December 19, 2003 Nalile~ Address: Telephone: Capacity: X S. Berne Smith 107 N. 24th Street Camp Hill, PA 17011-3602 717-737-6789 __ Personal Representative __ Counsel for Personal Representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD OO3502 SMITH S BERNE ESQ 107N 24THST CAMP HILL, PA 17011-3602 ........ fold ESTATE INFORMATION: SSN: 184-38-1762 FILE NUMBER: 2103- 0951 DECEDENT NAME: SMITH WlLHELMINA L DATE OF PAYMENT: 01/30/2004 POSTMARK DATE: 01/28/2004 COUNTY: CUMBERLAND DATE OF DEATH: 1 1/09/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $23,000.00 TOTAL AMOUNT PAID: $23,000.00 REMARKS: SEAL CHECK//115 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENTOFREVENUE BUREAU OFINDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-O603 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-96) NO. CD 0O4240 SMITH S BERNE ESQ 107 N 24TH ST CAMP HILL, PA 17011-3602 fold ESTATE INFORMATION: SSN: 184-38-1762 FILE NUMBER: 2103-0951 DECEDENT NAME: SMITH WlLHELMINA L DATE OF PAYMENT: 08/05/2004 POSTMARK DATE: 08/04/2004 COUNTY: CUMBERLAND DATE OF DEATH: 1 1/09/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $2,166.01 R~EMARKS: CHECK# 124 SEAL TOTAL AMOUNT PAID: ~2,166.01 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS  U.S. POSTRGE PRID ~MOUNT CRHP HILL,PR .... '° ..... $221 ~,o~w¢~ 00029268-02 i7013 0000 First Class Mail I!elAI SSelO ~sJ!d S. BERNE SMITH, ESQ. ATTORNEY~ AT- LAW 107 NORTH 24TH STREET CAMP HILL, PA 17011-3206 TO: Ms. Glenda Farner Strasbaugh Register of Wills 1 Courthouse Square Carlisle, PA 17013-3387 S. BERNE SMITH Attorney-at-Law 107 N. 24t~ Street Camp Hill, PA 17011-3602 PHONE: (717) 737-6789 FAX: (717) 737-6783 August 3, 2004 In re: Wilhelmina L. Smith; DOD November 9, 2003; SS# 184-38-1762 PA File No. 21-03-0951; File 2003-0951 EIN: 71-6215878 Ms. Glenda Famer Strasbaugh Register of Wills 1 Courthouse Square Carlisle, PA 17013-3387 Dear Ms. Strasbaugh: Enclosed in duplicate 1S the Pennsylvama Inheritance Tax Ro~ on ~e Est~{~:::.of Wilhelmina L. Smith who died a resident of Cumberland County, PA on ~mber.~, 200~? ~he Estate's check No. 124, payable to Register of Wills, Agent, in the amount of $2,166.~1 ~s attached to the original Return. There was no Federal Estate Tax return due or filed. Also enclosed is the Estate's check No. 125 in the amount of $15.00 in payment of the filing fee for the Pennsylvania Inheritance Tax return. If anything further is required, please contact me. Thank you for your attention to this matter. Sincerely yours, S. Berne Smith Enclosures: DEP*"T ENTO REVE.UE INHERITANCE TAX RETURN DEPT. 280601 RESIDENT DECEDENT I *OU.TYDODE I YEA. / .UMSES ~ DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Z LLI Q DATE OF DEATH DATE OF BIRTH UJ SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) r~ _e I Original Return O ~ 8. Decedent Died Testate (Attach copy of Will) 9. Litigation Proceeds Received SOCIAL SECURITY NUMBER iii THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 5, Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes 11. Election to tax under Sec 9113(A) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS Z 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietarship (3) t. Mortgages & Notes Receivable (Schedule D) (4) ~. Cash, Bank Deposits & Misc. Personal Property (Schedule E) (5) 3. Jointly Owned Properb/(Schedule F) (6) ~ Separata Billing Requested 7. Inter-Vivos Transfers & Misc. Non-Probafe Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9 Funeral Expenses & Administrative Costa (Schedule H) (9) 10, Debta of Decedent, Mortgage Liabilities & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11 ) 13. Charitable and Governmental Bequests/Sec 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) $0.00 ~r~. $ooo $1~,6!2.28 (8) OFFICIAL USE ONLY $5,421.97 $860.85 (11) (12) (13) (14) $592,428.21 $6 282 82 $586,145.39 $000 $586,145,39 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1 2) 16. Amount of line 14 taxable at lineal rate 17~ Amount of line 14 taxable at sibling rate 18. Amount of line 14 taxable at collateral rate 19 Tax Due (15) (16) (17) (re) (18) $000 $26,376.54 $0,00 ~O,O~ $28,376.54 Copyright 2000 Da'ad James Thorpe, Esq. Decedent's Complete Address: STREET ADDRESS Tax Payments and Credits: 1. Tax Due (Page 1 Line 10) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 3. Interest/Penalty if applicable D. Interest E. Penalty O) Total Credits (A + B + C) (2) Total interest/Penalty (D + E) (3) If line 2 is greater than line I + line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) If line 1 + line 3 is greater than ~ine 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT $26,37654 $24,210.53 $0.00 (5) $2,166.01 (5A) ~ (5B) $2,166.01 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 revisionaly interest; or d. receive the promise for lifo of either payments, benefits or care? 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration? If death occurred after December 12, 1982, did decedent transfor property within one year of death without receiving adequate consideration? 3. Did decedent own an fin 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 properly? IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Und~ penalties of perjuq/, I dec,are that I have examined this return, including accompanying schedules and statements, ar~l to the best of my knowledge and belief, it is true, correct, end complete DeClaration of preparer other than ~ personal representative is based on all the info{Tnefion of whic~ preparer has any knowledge. SIGNATURE OF P RSON RESPONSIBLE FO FILING RETURN DATE ADDRESS SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS 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 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 0% [72 P.S. {}9116 (a) (1.1) (ii)]. The statute does no exempt a transfer to a sun/lying spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [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 4.5%, 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 decadent's siblings is 12% [72 P.S. §9116(a)(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. Copyright 2000 David James Thorpe, Esq. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF WILHELMINA L. SMITH FILE NUMBER 21-03-0951 All property Jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH TOTAL (Also enter on line 2, Recapitulation) $573,815.93 (If more space is needed, insert additional sheets of the same size) Copyright 2000 David James Thorpe, E~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E J CASH, BANK DEPOSITS,& MISC. PERSONAL PROPERTY ESTATE OF WILHELMINA L. SMITH FILE NUMBER 2%03-0951 Include the proceeds of litigation and the date the proceeds were received by the estate. All property Jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH ~. $11~06 2. TOTAL (Also enter on line 5, Recapitulation) $18,612.28 (If more space is needed, insert additional sheets of the same size) Copyright 2000 David James Thorpe, Esq COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF WILHELMINA L. SMITH FILE NUMBER 21-03-0951 Debts of decedertt must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER 8. TOTAL (Also enter on line 9, Recapitulation) $5,421.97 (If more space is needed, insert additional sheets of the same size) Copy~gh12000 David James Thorpe, Esq COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF WILHELMINA L. SMITH FILE NUMBER 21-03-0951 Include unreimbursed medical expenses. ITEM DESCRIPTION AMOUNT NUMBER TOTAL (Also enter on line 10, Recapitulation) $860.85 (If more space is needed, insert additional sheets of the same size) Copyright 2000 David James Thorpe, Esq COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF NUMBER WILHELMINA L. SMITH NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DISTRIBUTIONS (include outright spousal distributions) FILE NUMBER 21-03-0951 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not List Trustee(s) OF ESTATE ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS $0.00 (If more space is needed, insert additional sheets of the same size) WILL OF WILHELMINA L. SMITH I, Wilhelmina L. Smith. presently of Green Ridge Village, West Pennsboro Township, Cumberland County, Pennsylvania, though I realize the uncertainty of this life, I have full confidence and trust in my Lord and Savior, Jesus Christ. in His death on the cross tbr my sins and in His shed blood as an atonement for my soul; and I know by faith that because of His sacrifice on the cross for me I have eternal life, hereby declare this to be my will and revoke all prior wills and codicils made by me. Article One: Specific Bequests. §1. Because I have made lifetime Charitable Gift Annuities in favor of Dickinson College, and through the Presbyterian Foundation in favor of Camp Hill Presbyterian Church. Second Presbyterian Church of Carlisle, Presbyterian Homes, [nc of Central Pennsylvania, and the Trustees of the Carlisle Presbytery, I am not now making any further specific charitable bequests. Article Two: Tangible Personal Property. §2. Certain specific items of personalty and family heirlooms shall be distributed by my Executor, without attempting to assign any monetary value to them, in accordance with a list which will be found in a book kept in the hand carved rosewood chest where certain of my private papers are kept, or by name labels affixed to the item or written on the item. If any questions arise about the distribution of any particular items, or if the book cannot be located, the judgment of my Executor shall be final. Any item on the list which does not exist at the time of my death as a part of my estate shall be treated as specifically adeemed. Any items not so distributed shall be divided between my granddaughter, Pamela S. Cason, and my son, S. Berne Smith, per stirpes. Any items not distributed in this fashion shall be sold and the monies received shall be distributed as part of the residue. Article Three: Residue. §3.1 All the rest of my property of whatever nature and wherever situated, including property over which I hold a power of appointment, shall be divided into two shares~ as specified hereinafter, and shall be distributed as follows: {}3.1.1 I bequeath, devise, and appoint one share, which shall be equal to one.half (,/2) of the residue of my property, to be distributed as follows: A. One Thousand Dollars ($1,000.00) to my step granddaughter, Tracey Joanne Simmons, presently of Albuquerque, NM, per stirpes. IfTracey Joanne Simmons does not survive me, per stirpes, this bequest shall pass in accordance with {}3.1~ 1B hereinafter; B. All the rest of this share shall be distributed to my granddaughter, Pamela Ruth Simmons Cason, presently of Albuquerque, NM, per stirpes, subject to the provisions of {}3.2 hereinafter. If Pamela Ruth Simmons Cason does not survive me, per stirpes, this share shall pass in accordance with {}3.1.2 hereinafter. {}3.1.2 I bequeath, devise, and appoint one share, which shall be equal to one-half (V2) of the residue of my property, to be divided and distributed as follows: A. One half of this share, being one-fourth (1/4) of the residue of my estate, to my son, S. Berne Smith, and his wife, Betty W. Smith, presently of Camp Hill, PA, or to the survivor of them, per stirpes. IfI am not survived by S. Berne Smith or Betty W. Smith, per stirpes, this share shall pass in accordance with {}3.1.1 above. B. One half of this share, being one-fourth (1/4) of the residue of my estate, to my three grandsons, Stephen Berne Smith, presently of Camp Hill, PA: Michael Andrew Smith, presently of Lititz, PA; and David Charles Smith, presently of Camp Hill, PA, per stirpes, subject to the provisions of {}3.2 hereinafter. If I am not survived by my grandsons, per stirpes, this share shall pass in accordance with {}3.1.2A above. {}3.2 1 give to the Trustee hereinafter named any share passing hereunder for the benefit of any beneficiary of mine who shall not have attained the age of eighteen (18) years, to be held, administered and disposed of in accordance with Article Four hereof (the "Beneficiary's Trust") for the benefit of such beneficiary. {}3.3 If I am not survived by any issue, per stirpes, then I give the entire residue of my estate, of whatever nature and wherever situated, as charitable bequests to be divided equally among Camp Hill Presbyterian Church, 101 N. 23rd Street, Camp Hill, PA; The College of Wooster, Wooster, OH; and Dickinson College, Carlisle, PA in memory of my husband, The Reverend Spencer B. Smith, and my three children, S. Berne Smith, Cynthia L. Smith Simmons, and Pamela Ruth Smith. Article Four: The Beneficiary's Trust: §4.1 The Trustee shall hold, manage, invest and reinvest the assets of the Beneficiary's Trust, collect the income thereof and: §4.1.1 While the beneficiary of the Beneficiary's Trust (the "Beneficiary") is under eighteen (18) years of age, the Trustee shall apply to or for the benefit of the Beneficiary so much of the net income and, if the net income is insufficient, so much of the principal of the Beneficiary's Trust as the Trustee shall from time to time deem necessary or proper for the Beneflciary's health, maintenance, support and complete education, including preparatory~ college and graduate education, and professional, vocational or technical training, taking into account other available funds, including the Beneficiary's assets. The Trustee shall annually accumulate any net income not so distributed and add the same to the principal of the trust property. §4.1.2 After the Beneficiary attains eighteen (18) years of age, the Trustee shall distribute to or for the benefit of the Beneficiary the net income of the Beneficiary's Trust in quarter-annual installments, or more frequently if the Trustee deems it advisable, and so much of the principal as the Trustee shall from time to time deem necessary or proper for the Beneficiary's health, maintenance, support and complete education, including college and graduate education, and professional, vocational or technical training, and to assist the Beneficiary with reasonable wedding expenses, in the purchase of a principal residence or in the establishment of a profession or business considered a good risk by the Trustee, taking into account other available funds, including the Beneficiary's assets. §4.1.3 At any time after the Beneficiary attains eighteen (18) years of age, the Beneficiary may withdraw any or all of the principal of the Beneficiary's Trust. §4.1.4 If the Beneficiary dies before the complete termination of the Beneficiary's Trust, the Trustee shall distribute the property then held in trust to such persons or corporations, (including the Beneficiary's estate), in such amounts and upon such trusts, terms and condition, as the Beneficiary by last Will may appoint by specific reference to this general power of appointment; provided, however, any portion of the trust property not subject to the Beneficiary's power of withdrawal immediately prior to the Beneficiary's death may only be appointed to one or more of the Beneficiary's issue, in such amounts and upon such trusts, terms and conditions as the Beneficiary by last Will may appoint by specific reference to this special power of appointment. Any property not so appointed shall be distributed to the Beneficiary's then living issue, per stirpes, or if none, to my then living issue, per stirpes. Article Five: Taxes. §5. I direct that all estate, inheritance and succession taxes that may be assessed in consequence of my death of whatever nature and by whatever jurisdiction imposed, shall be paid out of the residue of my general estate to the same effect as if said taxes were an expense of administration: and all property includable in my taxable estate whether or not passing under this will shall be free and clear thereof. Article Six: Survival Clause. §6. If any beneficiary hereunder should die within thirty (30) days after me or within thirty (30) days after any other person the survival of whom determines his rights hereunder, then such beneficiary shall be deemed to have predeceased me or such other person for all purposes hereunder. Article Seven: Spend Thrift Clause. §7. No interest of any beneficiary of my estate shall be subject to anticipation or to pledge, assignment, sale or transfer in any manner, nor shall any interest be liable on account of the debts, contracts, torts or other engagements of any beneficiary. Article Eight: Lifetime Gifts. §8. Any gifts made during my lifetime to any person or persons who are beneficiaries under this will shall be considered to be lifetime gifts and shall not be advancements made to that beneficiary or beneficiaries. Article Nine: Powers of Fiduciaries. §9.1 No fiduciary under this Will shall be required to give bond or other security for the faithful performance of the fiduciary's duties. §9.2 Any such fiduciary shall have the following powers, in addition to those given by law: §9.2.1 To invest in, accept and retain any real or personal property, including stock of a corporate fiduciary or its holding company, without restriction to legal investments; §9.2.2 To sell, exchange, partition or lease for any period of time any real or personal property and to give options therefor for cash or credit, with or without security; 4 §9.2.3 To borrow money from any person including any fiduciary acting hereunder, and to mortgage or pledge any real or personal property; §9.2.4 To hold shares of stock or other securities in nominee registration form, including that of a clearing corporation or depository, or in book entry form or unregistered or in such other form as will pass by delivery; §9.2.5 To engage in litigation and compromise, arbitrate or abandon claims; §9.2.6 To make distributions in cash, or in kind at current values, or partly in each, allocating specific assets to particular distributes on a non-pro rata basis, and for such purposes to make reasonable determinations of current values; §9.2.7 To make elections, decisions, concessions and settlements in connection with all income, estate, inheritance, gift or other tax retums and the payment of such taxes, without obligation to adjust the distributive share of income or principal of any person affected thereby; §9.2.8 To allocate, in the Executor's sole and absolute discretion, any portion of my exemption under Section 2631 (a) of the Intemal Revenue Code to any property as to which I am the transferor, including any property transferred by me during my lifetime as to which I did not make an allocation prior to my death; §9.2.9 To create, except when the fiduciary is a beneficiary of the subject trust, with respect to all or any part of the principal of any trust hereunder, including a pecuniary amount, by a written instrument a general testamentary power of appointment within the meaning of Section 2041 of the Internal Revenue Code in any beneficiary thereof and to eliminate such power for all or any part of such principal as to which such power was previously created and to divide trust principal into two fractional shares based upon the then portion of the trust that would be includable in the gross estate of the beneficiary holding such power if he died immediately before such division (in which case the power shall be over the entire principal of one share and not the other), with each share being administered as a separate trust, unless such fiduciary shall thereafter elect to combine such separate trusts into a single trust; to exercise the foregoing discretion to create or eliminate a general testamentary power of appointment when such fiduciary determines that the inclusion of the property affected thereby in the beneficiary's gross estate may achieve a significant savings in transfer taxes by having a federal estate tax in lieu ora Chapter 13 tax imposed by the Internal Revenue Code on the property subject to such power of appointment or may achieve significant income tax benefits; §9.2.10 To disclaim any interest I may have in any estate if the Executor deems such disclaimer to be in the best interests of my estate and the beneficiaries thereof: 5 59.2.11 To terminate any trust created herein, the principal of which is or becomes too small in the Trustee's discretion to make the establishment or continuance of the trust advisable, and to make immediate distribution of the then remaining trust property to the beneficiary then entitled to the income of the trust property or, if there is more than one beneficiary, to the beneficiaries then entitled to the income of the trust property in proportion to their respective interests therein or, if such interests are not defined, in equal shares to such beneficiaries; provided, however, no Trustee shall participate in any decision to terminate such trust if by reason of such termination such trustee could receive a distribution of trust property from such trust as aforesaid. The receipts and releases of the distributee(s) will terminate absolutely the right of all persons who might otherwise have a future interest in the trust, whether vested or contingent, without notice to them and without the necessity of filing an account in any court; and 59.2.12 To merge any trust created hereunder with any other trust or trusts created by me or my spouse under will or deed, if the terms of any such trust are then substantially similar and held for the primary benefit of the same person or persons. Article Ten: Facility of Payments for Minors or Incompetents. § 10. Any amounts or property which are payable or distributable hereunder to a minor or incompetent may, at the discretion of the fiduciaries, be paid to the parent or guardian of such minor or incompetent, to the person with whom such minor or incompetent resides, or directly to such minor or incompetent, or may be applied for the use or benefit of such minor or incompetent. Article Eleven: Fiduciaries. § 11.1 I appoint as Executor hereunder my son, S. Berne Smith. In the event my son is unable or unwilling so to serve or to complete the administration of my estate~ I appoint my daughter-in-law, Betty W. Smith, to be first, contingent Executrix. If Betty W. Smith should be unable or unwilling to serve or to complete the administration of my estate, then I appoint my grandson, Stephen Berne Smith, to be second, contingent Executor. If Stephen Berne Smith should be unable or unwilling to serve or to complete the administration of my estate, then I appoint my grandson, Michael A. Smith, to be third, contingent Executor. If Michael A. Smith should be unable or unwilling to serve or to complete the administration of my estate, then I appoint my grandson, David C. Smith, to be fourth, contingent Executor. §11.2 I appoint as Trustee(s) hereunder my son, S. Berne Smith, and/or his wife, 6 Betty W. Smith. If neither of them should be able or willing to serve or to complete the administration of any trust hereunder, then I appoint my grandsons, in the order previously named. to be the Trustee. Article Twelve: Gender. § 12. Unless the context indicates otherwise, any use of masculine gender herein shall also include the feminine gender. IN WITNESS WHEREOF, I, Wilhelmina L. Smith herewith set my hand and seal to this. my last Will, typewritten on eight (8) sheets of paper including the self-proving attestation clause and signatures of witnesses, this j~ Ogday of C~,a~'~g~,.F ,2000. · ~ <,' '~ V'~'*..'~ ' · (Seal) Wilhelmina L. Smith Signed, sealed, published and declared by the above named Wilhelmina L. Smith as and for her last Will, in the presence of us and each of us, who, at her request and in her presence and in the presence of each other, have hereunto subscribed our names as witnesses thereto the day and year last above written. Residing at 7 COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND : SS. We, Wilhelmina L. Smith, the testatrix, and _, and e 7-7,- · /~,-/¢/ , the witnesses, whose names are signed to the attached or foregoing instrument, being firs{ duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her last Will; that the testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testatrix signed the Will as a witness and that to the best of his or her knowledge the testatrix was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. Wilhelmina L. Smith Witness Witness testatrix. ~.. and subscribed Subscribed sworn to and acknowledged before me by Wilhelmina L. Smith, the and sworn to before me by ., ~Ar;o [. [3Ar<o~ and , the witnesses, this / ~ 7-/-. day of ,2000. / Notary Public My Commission expires: SEAL Brendan M Delaney 11ll 7/2003 06:52 PM To: John A Benkovich/Field/WH/AEFA(~AMEX cc: Subject: PLEASE READ - DO NOT DELETE - DEATH CLAIM REQUIREMENTS FOR - WILHELMINA SMITH - 11615242 2 001 IDS LIFE INSURANCE COMPANY AMERICAN EXPRESS FUNDS AMERICAN EXPRESS CERTIFICATE COMPANY AMERICAN EXPRESS BROKERAGE 70100 AXP Financial Center Minneapolis, MN 55474 November 17, 2003 JOHN A BENKOVICH IR WESTWOOD CENTER SUITE A 4661 TRINDLE ROAD CAMP HILL, PA 17011-5603 Dear JOHN A BENKOVICH IR: Thank you for your recent inquiry regarding WILHELMINA L SMITH's accounts. These are the values of the accounts as of 11/09/2003. At the end of this letter, you will fred a list ofbaneficiaries shown in our initial review of the deceased's accounts. Please provide our office with uny contact iafomaation you may have, including but not limited to complete names, addresses, telephone numbers and relationships to the deceased for any beneficiary or claimant identified on the deceased's accounts ]IM]~ORTANT REMINDER(S): - In accordance with various ~egulatory agencies, American Express Financial Advisors will continue to mail monthly/quarterly statements for the deceased to the deceased's address of recurd. The only individual(s) ~anted authorization to change the address of the deceased and thus, redirect the mailing address of the statements, is the Executur(s) of the Estate of the deceased. Account Information Mutual Funds Account Number Ownership 01153422655 7 0~2 Individual Mutual Funds Account Number Total Value # of share;,~ Asset Value Per Shoe 01153422655 7 002 $38251.93 8639.706 4.420 The date of death values provided are for estate tax pu~oses and are not values to be paid. Accounts may be subject to market fluctuation as governed by each product. Please note that the values indicated for any Life Insurance product(s) reflect the gross death benefit at date of death, not the cash value. Account Disposition Account disposition is based on how an account is owned (the ownership type). The following information will help you understand the process that will be used to settle the accounts. Disposition for Individual ownership Upon thc death of the owner, all mutual thnd, certificate, brokerage, and annuity accounts issued before Sanuary ! 9, 1985 and life insurance accounts registered in individual ownership become part of the estate for distribution. If there is a contingent owner named on a life insurance or annuity account ownership passes directly to the contingent Required Documents In order to take appropziate steps to settle the accounts we will need these documents: Cerfified Death Certificate (For accounts: 01153422655 7 002) The death certificate must be an original document that bears certification from the health department or local registrar and includes the cause of death. Estate Settlement Form (3248F) (For accounts: 01153422655 7 002) To process a settlement on a Mutual Fund, Certificate or Brokerage account, we need a completed Estate Settlement Form 3248F from each claimant. A separate form should also be included for each ownership type. Sections 1, 2, 4 and 10 must be completed. For instructions on completing this form, please see page 6. Incomplete inforraation would cause delay. Certified Letters of Testamentary/Letters of Administration (For accounts: 01153422655 7 002) This document canfirms who is appointed as the legal representative of the estate. The document must be court certified and dated within 60 days of the date the corporate office receives it. In Iowa, Montana, and New York, letters must be dated wiflfin 180 days. In order to be compliant with fair claims practices of many states and to limit the potential for the deceased's accounts to become abandoned property, we will also be immediately corresponding with the beneficiaries listed for any Life and Annuity accounts held by the deceased client. Similarly we will be corresponding with the beneficiaries or claimants of all accounts held by the decedent within a minimum of six months of the date of this letter. Please co.ntact us if you wish to see a copy of these correspondences. If you wish to complete settlement this tax year, ali requirements must be received by December 15, 2003. We will put forth our best efforts to handle all requests received after this date before year-end, however, we cannot guarantee that processing will be completed for the 2003 tax year. If there are IRA assets involved with this claim and the Required Minimum Distribution for 2003 has not yet been fulfilled, please contact our office for instructions. Additional information about death settlements can be found on Advisor Connect at www.intemal.aexp.com/counect/acdoclib.nsf/webpagesfDeath+Sett lements?opendocument. We appreciate the opportunity to be of service to you. Please contact us if you have any questions. In an effort to improve our process, we invite you to share your feedback with us by sending a Lores Note to: Settlements Feedback. Sincerely, Brendan Delaney Death SeRlements Processing Team 703 ! 0 AXP Financial Center Minneapolis, ~ 55474 $88-?23-8476, option 1, 3, 1 Attachment: Beneficiary Information Account Profile Account Name: Address: Account Number: Account Type: TIN Number: Inves[menl Representative: Model Po~lfolio: Model Identifier: Account Opening Date: Marginal Tax Bracket: WILHELMINA L SMITH Al'TN: BERNE SMITH. POA 107 N 24TH ST CAMP HILL, PA 17011 180046 CUSTODIAN - INDIVIDUAL 184-38-1762 TIMOTHY J DECKER 70/30 VALUE TILT 2227-33 Oct 31 2000 35% SE[ADVISOR NETWORK Investment Detail Name: WILHELMINA L SMITH Acct #: 180046 Data Current As Of: 11/09/2003 Asset Classes: CASH & EQUIVALENTS, DOMESTIC EQUITIES, INTERNATIONAL EQUITIES, FIXED INCOME, BALANCED ASSET NAME Cash & Equivalents ( 0.6% ) TAX-FREE FUND Ticker: 20 TAX-FREE FUND Ticker: 20 CUSIP:784118101 Holding/DCA Asset Cash & Equivalents Domestic Equities ( 58.9% ) LARGE CAP GROWTH FUND Ticker: 57 CUSIP:783925662 LARGE CAP VALUE FUND Ticker: 60 CUSIP:783925100 SMALL CAP GROWTH FUND Ticker: 67 CUSIP:783925837 SMALL CAP VALUE FUND Ticker: 58 CUSIP:783925688 TEMPLETON GROWTH FO CLASS I Ticker: TEPLX CUSIP:880199104 Domestic Equities Fixed Income ( 26,3% ) SHORT-DURATION GOVT, 11,959.2540 FUND Ticker: 45 CUSIP:783965858 Fixed Income International Equities ( 14.3% ) INTERNATIONAL EQUITY 7,606.0560 FUND Ticker: 95 CUSIP:7841 IR109 International Equities QUANTITY CURRENT DATE CURRENT CURRENT TOTAL UNREALIZED PRICE PRICED VALUE ALLOCATION COST GAIN/LOSS 2,402.4600 100.0000% 11/07/2003 $2,402.46 0.5% $2,402.46 $0.00 438.7900 100.0000% 11/07/2003 $438.79 0.1% $438.79 $0.00 $2,841.25 0.6% $2,841.25 $0.00 5,736.8320 $16.6800 11/07/2003 $95,690.36 20.4% $88,806.17 $6,884.19 6,425.5980 $17.8500 11/07/2003 $114,696.92 24.4% $107,823.69 $6,873.23 1,322.2380 $15.9100 11/07/2003 $21,036.81 4.5% $16,620.53 $4,416.28 1,542.6680 $19.1500 11/07/2003 $29,542.09 6.3% $25,116.31 $4,425.78 809.0810 $19.1300 11/07/2003 $15,477.72 3.3% $1,316.18 $14,161.54 $10.3100 11/07/2003 $8.8200 11/07/2003 $276,443.90 58.9% $239,682.88 $36,761.02 $123,299.91 26.3% $125,794.73 ($2,494.82) $123,299.91 26.3% $125,794.73 ($2,494.82) $67,085.41 14.3% $79,341.42 ($12,256.01) $67,085.41 14~3% $79,341.42 ($12,256.01) TOTAL ASSETS $469,670.47 100% $447,660.28 $22,010.19 SEi ADVISOR NETWORK Account Profile Account Name: Address: Account Number: Account Type: TIN Number: Investment Representative: Model Portfolio: Model Identifier: Account Opening Dste: Marginal Tax Bracket: WILHELMINA L SMITH ATTN: BERNE SMITH, POA 107 N 24TH ST CAMP HILL, PA 17011 180046A CUSTODIAN - INDIVIDUAL 184-38-1762 TIMOTHY J DECKER CUSTOM MODEL FOR ISl FINANCIAL GROUP 2227-27 Jsn 4 2001 35% SEI ADVISOR NETWORK Investment Detail Name: WILHELMINA L SMITH Acct #: 180046A Data Current As Of: 11/09/2003 Asset Classes: CASH & EQUIVALENTS, DOMESTIC EQUITIES, iNTERNATIONAL EQUITIES, FIXED INCOME, BALANCED ASSET NAME Cash & Equivalents ( 0.8% ) INSTITUTIONAL TAX FREE MM Ticker: 121 CUSIP:784118606 PRIME OBLIGATION FUND Ticker: 12 CUSIP:783926306 Cash & Equivalents Fixed income ( 99.2% ) HIGH YIELD BOND FUND Ticker: 59 CUSIP:783925647 SHORT-DURATION GOVT. FUND Ticker: 45 CUSIP:783965858 Fixed Income QUANTITY CURRENT DATE CURRENT CURRENT TOTAL UNREALIZED PRICE PRICED VALUE ALLOCATION COST GAIN/LOSS 0.3500 100.0000% 11/07/2003 $0.35 0.0% $0.35 519,2100 100.0000% 11/07/2003 2,857.4040 $8.4900 1t/07/2003 3,987.8380 $10.3100 11/07/2003 $0.00 $519.21 0.8% $519.21 $0.00 $519.56 0.8% $519.56 $0.00 $24,259.36 36.8% $23,414.72 $844,64 $41,114.61 62.4% $41,140.67 ($26.06) TOTAL ASSETS $65,373.97 99.2% $64,555.39 $65,074.95 $65,893.53 100.0% $818.58 $818.58 www.lmh'uslo ne.com November 28, 2003 S. Berne Smith Attorney at Law 107 N. 24th Street Camp Hill, PA 17011-3602 Dear Mr. Smith, 1 am sorry to hear of your mother's passing. 1 verified that your mother only had two accounts with our bank at the time of her death. She also didn't have a safe deposit box. Here is the information you requested for time of death values: I. "GO CLUB Checking #50-86957 is a interest bearing checking with a time death value of $11,170.29 This account is titled in her name only. The amount of interest accrued for this account is ,67 at time of death. 2. Money Management Account #70-64918 is a interest bearing savings with a time of death value of $6327.61. This account was titled in her name only. The amount of interest accrued for this account is .34 at the time of death. I am sending you a check for $6328.71 to close account #70-64918 which includes balance and accrued interest as of 11/28/2003. Also I am sending a check for $11,172.28 to close account #50-86957 which includes balance and accrued interest as of 11/28/2003. I have included information concerning her account history. I fyou have any other questions, please do not hesitate to contact me. Sincerely, Andrea A. Crider Customer Service Representative 717-264-6116 888-264-6116 P.O. Box 6010 Chambersburg, PA 17201-6010 FINANCIAL SOLUTIONS... FROM PEOPLE YOU KNOW STATUS REPORT UNDER RULE 6.12 Name of Decedent: WILHELMINA L. SMITH Date of Death: November 9,2003. File No. 2003-0951 Admin. No. 21-03-0951 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion ofthe administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes _X_No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: Not applicable. 3. If the answer to No.1 is Yes, state the following: A. Did the personal representative file a final account with the Court? Yes No X -- B. The separate Orphans' Court No. (if any) for the personal representative's account is: Not applicable. C. interest? Yes X Did the personal representative state an account informally to the parties in No D. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attacked to this report. Date: April 25, 2005 9Q /,.<1, V5~4j/\. 'Zr~~ Signature ' S. Berne Smith. Esq. Name (Please type or print) ~ I . ') C"" ; ."., Address: 107 N. 24th Street Camp Hill, PA 17011-3602 " ..: Telephone No. 717-737-6789 Capacity: _X_Personal Representative , , Counsel for personal representative ~ IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA IN RE: ESTATE OF WILHELMINA L. SMITH, DECEASED Counsel of Record for this Party: ;...- r.>.1 Iii , I. .1 '~ ",j ORPHANS' COURT DIVISION No. 21-03-0951 FAMILY AGREEMENT filed on behalf of S. BERNE SMITH, EXECUTOR S. Berne Smith, Esquire PA I.D. #07254 107 N. 24th Street Camp Hill, PA 17011-3602 (717) 737-6789 1 j FAMILY AGREEMENT THIS AGREEMENT by and between S. BERNE SMITH, individually and as Executor of the Estate of Wilhelmina L. Smith, Deceased, and PAMELA RUTH SIMMONS CASON, individually, STEPHEN BERNE SMITH, individually, MICHAEL ANDREW SMITH, individually, DAVID CHARLES SMITH, individually, and BETTY W. SMITH, individually, covenant and agree as follows: WITNESSETH WHEREAS, Wilhelmina L. Smith, died November 9, 2003, having left her Last Will and Testament dated August 14,2000, which was duly admitted to probate by the Register of Wills of Cumberland County at the above number and term November 18,2003; and WHEREAS, S. Berne Smith has been duly appointed as Executor of the Estate of Wilhelmina L. Smith, Deceased; and WHEREAS, the parties in interest under the Last Will and Testament of Wilhelmina L. Smith, Deceased, are: N Add R 1. hi Sh ame ress e atlOns IP are S. Berne Smith and 107 N. 24th Street, Son & 1/4th of Residue Betty W. Smith Camp Hill, PA 17011-3602 Daughter- in-Law Stephen Berne Smith 2193 Hasting Drive Grandson 1/12 of Residue Mechanicsburg, P A 17055- 9306 Michael Andrew Smith 2 Barbara Lane Grandson 1/12 of Residue Lititz, P A 17543 7275 David C. Smith 311 Glen View Circle Grandson 1/12 of Residue Lititz, P A 17543 Pamela Ruth Simmons 1616 Speronelli Road Grand- Y2 of Residue, Cason Albuquerque, NM 87107 daughter less $1,000.00 Tracey Joanne Simmons C/o Pamela R. Cason Step Grand- $1,000.00 1616 Speronelli Road daughter Albuquerque, NM 87107 2 WHEREAS, Wilhelmina L. Smith, Deceased, was not survived by a spouse; and WHEREAS, there were no unfulfilled specific bequests; and WHEREAS, Tracey Joanne Simmons has received her $1,000.00 bequest made in the Residue of the Estate, as evidenced by her receipt and release attached hereto; and WHEREAS, each of the other residuary beneficiary parties to this Agreement having been kept apprised of the estate's probate and non-probate assets, receipts and disbursements, they have determined that no formal Accounting is necessary; and WHEREAS, each of the other residuary beneficiary parties have received an informal accounting of the assets, expenses, taxes and distributions of the Estate; and WHEREAS, it is the desire ofthe parties to this Agreement that final distribution of the estate be accomplished without a formal accounting to the Orphans' Court Division ofthe Court of Common Pleas of Cumberland County, it being the desire of the parties to avoid the expense, delay and publicity of a formal accounting; and WHEREAS, the parties to this Agreement each acknowledge to have received their appropriate distributions of the residue of the estate; NOW, THEREFORE, WITNESSETH, in consideration of the mutual promises, covenants and agreements recited herein the parties do agree as follows: . 1. Each of the parties to this Agreement does hereby release and forever discharge S. Berne Smith, Executor, from any and all liability which may from time to time arise in connection with his service as Executor of the Estate of Wilhelmina L. Smith, Deceased. The parties do further agree to indemnify and hold harmless S. Berne Smith, Executor, from any and all liability which may arise against the estate from creditors or other claimants. 2. Each party to this Agreement acknowledges that this Agreement shall be indexed and recorded in the estate proceedings and that the terms hereof shall be binding upon their respective heirs, successors, administrators, and assigns. 3 3. Pennsylvania. This Agreement shall be governed by the laws of the Commonwealth of Dated as of March 21,2005. WITNESS: , ~\rJ~ <> WITNESS: ?6~~~ , WITNESS: ~L-- WITNESS: ,;JJ~ / WITNESS: L Ig~>) WITNESS: /;/ 6/) /" ._.~ (-- .~\ Af]~~ S. Berne Smith, individually and as Executor of the Estate of Wilhelmina L. Smith . ~,,-,~.'-'l.... Betty W. S~ith, individually .---~ 0:1i~Q{f2~,;,~G~ amela Ruth Simmons Cason, individually ~iff!w 1J. J~ Steph Berne Smith, individually \ ~~/~ j,~ Michael Andrew Smith, indivIdually ~~c~ David Charles Smith, individually 4 . . IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA IN RE: ESTATE OF WILHELMINA L. SMITH, DECEASED ORPHANS' COURT DIVISION No. 21-03-0951 RECEIPT FOR DISTRIBUTION AND AGREEMENT FOR INDEMNIFICATION OF EXECUTOR TO THE HONORA,BLE, THE JUDGES OF SAID COURT: TRACEY JOANNE SIMMONS, being beneficially interested in the above titled estate, hereby acknowledges to have received from S. Berne Smith, Executor of the Estate of Wilhelmina L. Smith, Deceased, One Thousand Dollars ($1,000.00) paid December 31, 2003, in full satisfaction of the bequest made to her in the Will of Wilhelmina L. Smith, Deceased, and requests Your Honorable Court to charge the same to her in the Decree of Distribution to be entered in said Estate. In consideration of this distribution being made prior to the filing and audit of a Final Account, I hereby agree to refund on demand, all or any part of this distribution which may be determined to have been improperly made. I further acknowledge that the distribution made is in partial payment of the distribution to which I am entitled under the Will Wilhelmina L. Smith, Deceased; and do further agree to indemnify and hold harmless said S. Berne Smith, Executor, from any and all liability which may arise against the estate from creditors or other claimants to the extent of the distribution made to me. This release and declaration shall be made part of the final, informal or formal settlement or account ofthe estate proceedings and indexed and recorded as such, and it shaIl be binding upon my respective heirs, successors, administrators, and assigns, and governed by the laws of the Commonwealth of Pennsylvania. Signed, sealed and dated this l t..e d,yof , 10fl ~ ,20M BENEFICIARY ~JO~MMONS (Seal)