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HomeMy WebLinkAbout03-21-111505610148 REV-1500 EX (°'-'°' OFFICIAL USE ONLY PA Department of Revenue County Code Year File Number Bureau of Individual Taxes PO BOX 280601 INHERITANCE TAX RETURN 21 10 0 7 3 2 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 123-26-4616 06272010 12131926 Decedent's Last Name Suffix Decedent's First Name M I HOWARD ROBERT A (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name M I Spouse's Social Security Number FILL IN APPROPRIATE BOXES BELOW ® 1. Original Return ^ 4 . Limited Estate a 6. Decedent Died Testate (Attach Copy of Will) ^ 9. Litigation Proceeds Received THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS ^ 2. Supplemental Return ^ 4a. Future Interest Compromise (date of death after 12-12-82) ^ 7. Decedent Maintained a Living Trust (Attach Copy of Trust) ^ 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) ^ 3. Remainder Return (date of death prior to 12-13-82) ^ 5. Federal Estate Tax Return Required 0 8. Total Number of Safe Deposit Boxes ^ 11. Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number CRAIG A- HATCH, ESQUIRE 717-731-`~00 , REGISTER OF_~ S USE ONtlf •~' First line of address ~, _ .-;r r,~ r , , __ J 1310 MUMMA ROAD •.__~~-. - ., Second line of address r1' ~ ~.- ;: SUITE 100 ~~-~' ~. _~ ~~? '~ City or Post Office State ZIP Code DATE FILED - ~~? LEMOYNE PA 1,7043 Correspondent'se-mail address: C • HATCHa~GATESLAWFIRM • COM Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration~Ypreparer other than the personal representative is based on all information of which preparer has any knowledge. 298 S• ~~~`ALINA STREET VENTURA, CA 93001-3629 SIGNA OF HEgTHAN REPRESENTATIVE DATE 10],3' MUMMA ROAD, SUITE 100 LEMOYNE, PA 1,7043 PLEASE USE ORIGINAL FORM ONLY Side 1 15 0 5 61014 8 sMasa~ a.ooo 15 0 5 61014 8 state of Robert A. Howard Executors (Page 1) Name Cynthia S. Gardner Address 298 S. Catalina Street 123-26-4616 Ventura, CA 93001-3629 J 1505610248 REV-1500 EX Decedent's Social Security Number 1,23-26-4616 Decedent's Name: HOWARD ROBE RT A RECAPITULATION 1. Real Estate (Schedule A) 1 0 . 0 0 2. Stocks and Bonds (Schedule B) . 2. 8 0 , 8 3 2.0 0 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) , 3. 0 . 0 0 4. Mortgages and Notes Receivable (Schedule D) 4. (] . 0 (] 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) 5. 3 3 , 2 8 0.0 0 6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested g. 0 • 0 0 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ~ Separate Billing Requested 7. 5 2 , 017.0 0 8. Total Gross Assets (total Lines 1 through 7) g. 16 6 ,12 9.0 0 9. Funeral Expenses and Administrative Costs (Schedule H) , , g, 3 0 , 0 6 9.0 0 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) 10. 7 , 3 3 6.0 0 11. Total Deductions (total Lines 9 and 10) , 11. 3 7 , 4 0 5.0 0 12. Net Value of Estatie (Line 8 minus Line 11) 12. 12 8 , 7 2 4 •0 0 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) , , 13. 0 . 0 0 14. Net Value Subject to Tax (Line 12 minus Line 13) . 1 a. 12 8 , 7 2 4 •0 0 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers un~er Sec. 9116 16. Amount of Line 14 t xable 4 ~ at lineal rate x .0 12 8 , 7 2 4 •0 0 16. 17. Amount of Line 14 taxable at sibling rate X .12 0 0 0 . 17. 18. Amount of Line 14 taxable at collateral rate X .15 0 . 0 0 18. 19. TAX DUE 19. 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505610248 1505610248 9M4648 4.000 0.00 5,793.00 0.00 0.00 5, 793.00 J REV-1500 EX Page 3 File Number DECEDENTS NAME HOWARD ROB RT A STREET ADDRESS M R AN CITY STATE ZIP NEWVILLE PA 17241- Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) 5 , 7 9 3. 0 0 2. Credits/Payments A. Prior Payments 5 ~ 0 0 0.0 0 B. Discount 2 5 0.0 0 Total Credits (A + B) (2) 5 , 2 5 0.0 0 3. Interest (3) 0.0 0 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in box on Page 2, Line 20 to request a refund. (4) 0 ' 0 0 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 5 4 3 • 0 0 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; b. retain the right to designate who shall use the property transferred or its income; c. retain a reversionary interest; or d. receive the promise for life of either payments, benefits or care? . 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death ^ without receiving adequate consideration? . ^ 3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? 4. Did decedent own an individual retirement account, annuity, or other non-probate property, which ® ^ contains a beneficiary designation? IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. X9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. X9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 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 percent [72 P.S. ~9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S. X9116(1.2) [72 P.S. ~9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [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. 9M4671 2.000 REV-1502 EX + (01-10) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF: FILE NUMBER: Robert A. Howard 21 10 0732 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. swasss 2.000 If more space is needed, use additional sheets of paper of the same size. REV-1503 EX+ (s-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT OF FILE NUMBER Robert A. Howard 21 10 0732 All property jointly-owned with right of survivorship must be disclosed on Schedule F. 3wasss ~.ooo (If more space is needed, insert additional sheets of the same size) REV-1507 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ' RESIDENT DECEDENT i SCHEDULE D MORTGAGES 8~ NOTES RECEIVABLE ESTATE OF FILE NUMBER Robert A. Howard 21 10 0732 Ail property jointly-owned with right of survivorship must be disclosed on Schedule F. 3Wa6AC x.000 (If more space is needed, insert additional sheets of same size) REV-1508 EX + (8-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, ~ MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Robert A. Howard 21 10 0732 Include the proceeds of litigation and the date the proceeds were received by the estate. 3Wa8AD x.000 (If more space is needed, insert additional sheets of the same size) REV-1509 EX+ (01-10) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY OWNED PROPERTY w~r+~~ vr. r'ILt IVUMCStK: Robert A. Howard 21 10 0732 If an asset became jointly owned within one year of the decedent's date of death, it must be reported on Schedule Cx SURV KING JOINT TENANT(S) NA ME{ S) ADDRESS RELATIONSHIP TO DE(,EDEAfT JOINTLY OWNED PROPERTY: ~~ NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAbE aF FINANCIAL INSTITUTIpJ AND BANK ACCOUNT NUM9ER OR SIMLAR IDENTIFYING NUMEER. ATTACH DEED FOR JOINTLY HELD REAL ESTATE. ATE ~F DEATH VALUE OF ASSET % OF DECEDBJT S INTEREST DATE OF DEATH VALUE OF DECEDENTS INTEREST None TOTAL (Also enter on Line 6, Recapitulation) S 0 swasAe z.ooo If more space is needed, use additional sheets of paper of the same size. REV-1510 EX + (08-09) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER Robert A. Howard 21 10 0732 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM NUMBE DESCRIPTION OF PROPERTY INCUAETI-Er14MEOFTF£TRANSFEREE, TI-EIRRELATIONSFNPTO DECEDENT AND THE DATE OF TRANSFER. ATTA,CHACOPV OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET %OF DECD~S INTEREST EXCLUSION IF APPLICABLE TAXABLE VALUE 1• Nationwide Financial Annuity Contract #0105013290 23,071 100.0000 0 23,071 2 Lincoln Benefit Life Annuity Contract #LBCA023898 28,946 100.0000 0 28,946 TOTAL (Also enter on line 7, Recapitulation) $ If more space is needed, use additional sheets of paper of the same size. 52,017 9W46AF 2.000 REV-1511 EX+(10-09) SCHEDULE H pennsylvania DEPARTMENTOF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDEM' DECEDENT ESTATE OF FIDE NUMBER Robert A. Howard 21 10 0732 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: ~, George's Flowers 46 2 Hoffman Roth Funeral Home 3,124 Total from continuation schedules ~ 1,774 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: 8 , 300 Name(s) of Personal Representative(s) Cynthia H Gardner Street Address 298 S . Catalina Street City Ventura State CA ZIP 93001-3629 Year(s) Commission Paid: Pending 2. Attorney Fees: 5 , 0 0 0 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) 3 500 Claimant Cynthia H . Gardner Street Address 298 S . Catalina Street City Ventura State CA ZIP 93001 Relationship of Claimant to Decedent DAUGHTER 4. Probate Fees: 5. Accountant Fees: 6. Tax Return Preparer Fees: 7. 1 Melinda McCune - Reimbursement of administration expense 1,285 2 Cynthia H Gardner - Reimbursement 100 Total from continuation schedules ~ 6,940 TOTAL (Also enter on Line 9, Recapitulation) ~ $ 3 0 , 0 69 9wasac 2.00o If more space is needed, use additional sheets of paper of the same size. Estate of: Robert A. Howard Schedule H Part 1 (Page 2) Item No. 3 4 5 6 7 9 10 11 12 Description Colgate University Donation Wendy Schwarz Funeral Breakfast supplies Jennifer McKenna - Pastor Jane Ambrist - Organist Jeff Gibelius - Pastor Deb Brandberg - Funeral Coordinator Wesley Smith - Internment Pastor Mason Granite Works- Lettering P. McKeehan - Church Secretary 21 10 0732 Amount 150 52 483 200 150 200 125 150 189 75 Total (Carry forward to main schedule) 1,774 Estate of: Robert A. Howard 21 10 0732 Schedule H Part 7 (Page 2) 3 Cynthia H. Gardner - Reimbursement of out-of-pocket administration expenses 6,103 4 Tina Stum - Services Rendered (40 hours) 450 5 Sovereign Bank Fees 36 6 The Sentinel - Publication of Notice to Creditors 241 7 Cumberland County Law Journal 75 8 Sovereign Bank - Fee for bank letter 20 9 Postage & Certified Mailings 15 Total (Carry forward to main schedule) 6,940 REV-1512 EX+(12-08) SCHEDULE Pennsylvania DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Robert A. Howard 21 10 0732 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. 8W46AH 2.000 If more space is needed, insert additional sheets of the same size. REV-1513 EX+(01-10) SCHEDULE J pennsylvania DEPARTMENTOF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Robert A. Howard 21 10 0732 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE TAXABLE DISTRIBUTIONS [InGude outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. Cynthia S. Gardner 298 S. Catalina Street Ventura, CA 93001-3629 50~ of Residue: 64,362 Daughter 64,362 2 Wendy H. Schwarz P.O. Box 611 Chester, VT 05413 One Half of Residue: 64,362 Daughter 64,362 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. [I NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. ~ $ 0 If more space is needed, use additional sheets of paper of the same size. 9W46AI 2.000 ESTATE OF ROBERT A. HOWARD Pennsylvania Inheritance Tax Return Form REV-1500 EXHIBIT A Copy of the Certified Death Certificate of the Decedent ESTATE OF ROBERT A. HOWARD Pennsylvania Inheritance Tax Return Form REV-1500 EXHIBIT B Copy of the Last Will and Testament of Robert A. Howard Dated May 27, 2010 LAST WILL AND TESTAMENT OF ROBERT A. HOWARD I, ROBERT A. HOWARD, now a resident of Cumberland County, Pennsylvania, do publish and declare this to be my Last Will and Testament, hereby revoking all other prior wills and codicils made by me. FIRST: Family Background and Appointment of Executor. (A) Family and Background Information. I was married to ELISABETH B. HOWARD. She departed this life on October 2, 2006. The children of our marriage are WENDY H. SCHWARZ and CYNTHIA H. GARDNER. Throughout this Will, WENDY H. SCHWARZ and CYNTHIA H. GARDNER, will be referred to as "my children." The word "issue" will include my children as well as my other descendants. (B) Appointment of Executor. I appoint as my Executrix and successor Executors (all hereinafter referred to as Executor) under this Will, the following named persons to serve without bond and without being required to account to any Court: Executrix: My daughter, CYNTHIA H. GARDNER. Successor Co-Executors: My daughter, WENDY H. SCHWARZ and her husband, FRANCIS X. 5CHWARZ, to act jointly or individually. SECOND: Funeral and Last Illness Expenses; Taxes. (B) Taxes. I direct my Executor to pay any and all estate, inheritance, succession, legacy, transfer and other death taxes or duties, by whatever name called, including any and all interest and penalties thereon, imposed under the laws of any jurisdiction by reason of my death, upon or with respect to any and all property included in my gross estate for the purpose of such taxes, whether such property passes under or outside of this Will, out of my residuary estate, without being prorated or apportioned among or charged against the respective devises, legatees, beneficiaries, transferees, or other recipients of any such property or charged against any property passing or which may have passed to any of them. The Executor shall not be entitled to reimbursement for any portion of any such taxes from any such person. THIRD: Tangible Personal Property. Except for those items excluded below and those items enumerated in the Letter of Instruction, I bequeath to my daughters, WENDY H. SCHWARZ and CYNTHIA H. GARDNER, all tangible personal property, including but not limited to clothing, jewelry, heirlooms, furniture, personal effects, motor vehicles, and all other similar articles, which I own, and the insurance thereon, per capita. If there is any disagreement as to distribution, I direct .~-, a r ~ ~ / `~ LAST WILL AND TESTAIVIENT OF ROBERT A. HOWARD PAGE 2 my Executor to make such distribution. The decision of my Executor shall be final and binding. Any items not selected or any items which my Executor considers unsuitable for children may be distributed or sold in the sole discretion ofmy Executor and, if sold, the net proceeds therefrom shall be added to the residue of my estate. Any such article allocated to a minor may, as my Executor deems advisable, either be delivered to the minor or to any person to safeguard on behalf of the minor. Any items not selected may be distributed or sold in the sole discretion of my executor and, if sold, the net proceeds therefrom shall be added to the residue ofmy estate. Notwithstanding any other provisions in this Article THIRD, I may leave a separate, dated and unsigned Letter of Instruction, which I shall place with my Will, containing directions as to the ultimate disposition of certain of the property bequeathed under this Article THIRD, and such Letter of Instruction shall determine the distribution of such items. FOURTH: Residuary Gifts. (A) Distributions of my Estate. I give, devise and bequeath all the rest, residue and remainder of my estate, of every kind and character, real, personal and mixed, tangible and intangible, and wherever situated, including any lapsed or renounced legacies or devises, iii equal shares, to my daughters, WENDY H. SCHWARZ and CYNTHIA H. GARDNER, per capita. (B) Distributions Durin~Administration. Prior to final distribution of my estate, the Executor, in his discretion, may make partial distributions to one or -more beneficiaries or Trusts. As a consequence, the Executorship and any Trusts created under this Will may exist contemporaneously. A distribution may be made subject to any indebtedness or liability of my estate. FIFTH: Spendthrift Provision. No beneficiary shall have the power to anticipate, encumber or transfer his or her interest in the estate in any manner other than by the valid exercise of a power of appointment. No part of the estate shall be liable for or charged with any debts, contracts, liabilities or torts of a beneficiary or subject to seizure or other process by any creditor of a beneficiary. SIXTH: Powers of Ezeeutor. In addition to the powers and duties as may have been granted elsewhere in this Will, but subject to any limitations stated elsewhere in this Will, the Executor shall have and exercise exclusive management and control of the Estate and shall be vested with the following specific powers and discretion, in addition to the powers as may be generally conferred from time to time upon him by law: (A) In the management, care and disposition of the Estate, the Executor shall have the power to do all things and to execute such deeds and instruments as may be deemed necessary or ~~ ~ ~~ ~i~'" c1 LAST WILL AND TESTAMENT OF ROBERT A. HOWARD PAGE 3 proper, including the following powers, all of which may be exercised without order of or report to any Court: (1) To sell, exchange or otherwise dispose of any property, real, personal or mixed, at any time held or acquired hereunder, at public or private sale, for cash or on terms, without advertisement, including the right to lease for any term notwithstanding the period of the Estate, and to grant options, including any option for a period beyond the duration of the Estate. (2) To invest all monies in such stocks, bonds, securities, mortgages, notes, choses in action, real estate or improvements thereon, and any other property as the Executor may deem best, without regard to any law now or hereafter enforced limiting investments of fiduciaries. (3) To retain for investment any property deposited with the Executor hereunder. '4 T o vole in erson or 'r,_ _ __ rox - aii wi orate stock or other securit~ ~ and t 1 p Y I~ y y~~~ y to agree to or take any other action in regard to any reorganization, merger, consolidation, liquidation, bankruptcy or other procedure or proceedings affecting any stock, bond, note or other security. (5) To use attorneys, real estate brokers, accountants and other agents, if such employment is deemed necessary or desirable, and to pay reasonable compensation for their services. (6) To compromise, settle or adjust any claim or demand by or against the Estate and to agree to any rescission or modification of any contract or agreement affecting the Estate. ('n To renew any indebtedness, as well as to borrow money, and to secure the same by mortgaging, pledging or conveying any property of the Estate, including the power to borrow at a reasonable rate of interest. (8) To retain and carry on any business in which the Estate may acquire an interest, to acquire additional interest in any such business, to agree to the liquidation in kind of any corporation in which the Estate may have an interest. (9) To register any stock, bond or other security in the name of a nominee, without the addition of words indicating that such security is held in a fiduciary ~, r , ,,.. /,-. / "; c~-- ~, ,: ~~ LAST WILL AND TESTAMENT OF ROBERT A. HOWARD PAGE 4 capacity, but accurate records shall be maintained showing that such security is a Estate asset and the Executor shall be responsible for the acts of such nominee. (B) In making distributions from the Estate to or for the .benefit of any minor or other person under a legal disability, the Executor need not require the appointment of a guardian, but shall be authorized to pay or deliver the same to the custodian of such person, to pay or deliver the same to such person without the intervention of a guardian, to pay or deliver the same to a legal guardian of such person if one has already been appointed, or to use the same for the benefit of such person. (C) In the disbursement of the Estate and any division into separate trusts or shares, the Executor shall be authorized to make the distribution and division in money or in kind, or both, regardless of the basis for income tax purposes of any property distributed or divided in kind, and the distribution and division made and the values established by the Executor shall be binding and conclusive on all persons taking hereunder. The Executor may in making such distribution or division allot undivided interests in the same property to several trusts or shares. (D) The Executor shall have discretion to determine whether items should be charged or Credited to llll;olilC or pr illl.lpal or allocated betZveell lllcollle Gild pr1111:11.Ja1 as file Execi.itor may dceiii equitable and fair under all circumstances, including the power to amortize or fail to amortize any part or all of any premium or discount, to treat any part or all of the profit resulting from the maturity or sale of any asset, whether purchased at a premium or at a discount, as income or principal or apportion the same between income and principal, to apportion the sales price of any asset between income and principal, to treat any dividend or other distribution of any investment as income or principal, or apportion the same between income and principal, to charge any expense against income or principal or apportion the same, and to provide or fail to provide a reasonable reserve against depreciation or obsolescence on any assets subject to depreciation or obsolescence, all as the Executor may reasonably deem equitable and just under all the circumstances. SEVENTH: Rights and Liabilities of Ezecutor. (A) No bond or other security shall be required of any Executor. (B) This instrument always shall be construed in favor of the validity of any act or omission by any Executor, and any Executor shall not be liable for any act or omission except in the case of gross negligence, bad faith or fraud. Specifically, in assessing the propriety of any investment of the estate, the overall performance of the entire estate shall be taken into account. (C) Each Executor shall be entitled to receive reasonable compensation for services actually rendered to my estate, in an amount the Executor normally and customarily charges for performing similar services during the time which he/she performs the services. /i'' 7 Y1/' -~~'~~I' ~J. ~ LAST WILL AND TESTAMENT OE ROBERT A. HOWARD PAGE 5 EIGHTH: Taz Elections. In determining the estate, inheritance and income tax liability relating to my Estate, the Executor's decision as to all available tax elections shall be conclusive on all concerned.. In accordance with IRC Section 2632(a) and without regard to whether a Federal estate tax return is actually filed, my Executor shall allocate so much of the Federal Generation Skipping Transfer (GST) exemption amount as will fully exempt any generation skipping transfer which may occur under this Will. NINTH: Definitions and General Provisions. (A) Survival. Any beneficiary who dies within sixty (60) days after my death shall be considered not to have survived me. (B) Trust Estate. "Trust Estate" means all assets, however and wherever acquired, including income, which may belong to a Trust at any given time. (C) Children. Except for discretionary distributions which may be made unequally among a group o~ persons ana aistrioutions pursuant to a valid exercise of a rower o~ r-~Y~v~ii~i~ic~~~, in making a distribution to the children of any person, the property to be distributed shall be divided into as many shares as there are living children of the person and deceased children of the person who left children who are then-living. Each living child shall take one share and the share of each deceased child shall be divided among his then-living descendants in the same manner. A posthumous child shall be considered as living at the death of his parent. (D) Code. Unless otherwise stated, all references in my Will to section and chapter numbers are to those of the Internal Revenue Code of 1986, as amended, or the corresponding provisions of any subsequent federal tax laws applicable to my estate. (E) Other terms. The use of any gender includes the other genders, and the use of either the singular or the plural includes the other. (I+~ Captions. The captions set forth in this Will at the beginning of the various divisions hereof are for convenience of reference only and shall not be deemed to define or limit the provisions hereof or to affect in any way their construction and application. (G) Powers of Appointment are Ezereised. By this Will I exercise any Power of Appointment which I may possess at my death. i ~i L' ~~'"'"~- LAST WILL AND TESTAMENT Off' ROBERT A. HOWARD PAGE 6 IN WIT1tiTESS WHEREOF, I, ROBERT A. HOWARD, the Testator, have to this my Last Will and Testament, typewritten on seven (7) pages, including the Acknowledgment and Affidavit, set my hand and seal this 27`h day of May, 2010. RABERT A. HOWARD Signed, sealed, published and declared by the above-named Testator, as and for his Last Will and Testament, in the presence of us, who have hereunto subscribed our names at his request, as witnesses hereto, in the presence of the said Testator, and in the presence of each other. Each of us further declares that he or she believes the Testator to be of sound mind and memory. The preceding instrument consists of this and six (6) other consecutively numbered typewritten pages including the Acknowledgment and Affidavit. "' ~ ~, ;~ -~~ (print name) 9 residing at ~'~~~~- ~ /!~~ ~- , ,,,G,~f / // ,-; residing at ~~ ` ,(~(.~~7T~1~-~ ~ ~~~ 1 < <, .. c" ~ (print name) ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND The Testator and the witnesses whose names are signed and subscribed to the attached or foregoing instrument, being first duly sworn and qualified according to law, do hereby acknowledge, depose and say to the undersigned authority, that the Testator signed and executed the instrument as his Last Will in the presence of the witnesses; that he signed it willingly or willingly directed another to sign it for him; that he executed it as his free and voluntary act for the purposes therein expressed; that each of the witnesses were present and saw the Testator sign and execute the instrument as his Last Will; that each subscribing witness in the hearing and sight of the Testator signed the will as witnesses; 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. __ - ,, , -' Toy'+~t,,,- i ~.~~uwL .n- ,r ,> ~~~~' ~~ L ~.~;; Witness r~ ~; r7 ~ L~~:__ Witness Sworn to or affirmed, subscribed to, and acknowledged, before me by the above-named Testator and witnesses, this 27th day of May, 2010. ____------~ 1Votary P 151ic My Omission Expires: .t,.,,::;~~~D:t.~: `.~N~ ~; ~._L ti'p'...- 1 L•~ jP.r! ~. ~I~j~~S;Rr, C~SrZa~y ~{,i3ilc C~i`~ Cornmis.~~on ~~:~;res Jan. 20, 2011 Member, Penr;s~tvania association of Notaries ESTATE OF ROBERT A. HOWARD Pennsylvania Inheritance Tax Return Form REV-1500 EXHIBIT C Copy of the Certificate of Grant of Letters Issued on July 20, 2010 COMtVIONVIrEALTH OF PENNSYLVANIA SHURT CERTiF1CATE COUNTY OF CUMBERLAND REGISTER QF WILLS CERTIFI CUMBERLAND GC~JNTY ~ k . GRANT aF LETTERS PEN3VSYL1/ANIA - ~: - _ . , No . 2010- 00732 PA No . 21- 10- 03732 Estate Of: ROBERTA HOWARD _ (Firs!, Miaf~1'e Last) Late Of : WEST PENNSBORO TOWNSHIP CUMBF'RLAND COU/VTY Deceased Social Security ,No : 123-26-4616 WHEREAS, on the 2 0th day of July 2 OI 0 an instrument dated .May 1 ~i to 2 U.L U was admitted to prova to a.s the Iasi will of ROBERT A HOWARD !First, nmrddi~ casu late of W~'ST PENIVSBORO TO~/ff1VSHIP, CUMBERLAPID County, who died on the 2 7th day of June 20.E 0 and, WHEREAS, a true copy of the wi11 as probated is annexed hereto. ThFEREFORE, I, GLENDA EARNER STRASBAUGH Register of Wi 11 s il~ and for C'CIN~ERLAND County, in the Commonweal th of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to: CYNTHIA H GARDNFR who has duly qualified as EXECUTOR(R1X) and has agreed to administer the estate according to law, a-Zl of which fully alnpears of record in my office at CUIUIBERLANp COUNTY COURT HOUSE, CARLISLE, PENNSYL VAlV1A. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on tkie 20th day ofJufy 2£J10. -, ~' .I r ~ ~ eg~sier of ~~ / l.' 'l eput y 1 * *N07'E** ALL NAMES ABQVE APPEAR (FIRST, M.~.DD.LE, LAST) -.•~, ,,,,,,~,.~,,,~.,.~~ ~~~n~,~,~nnv~ur,~~~-tie df~~~i n~ ~n dac ESTATE OF ROBERT A. HOWARD Pennsylvania Inheritance Tax Return Form REV-1500 EXHIBIT D Copy of the Pennsylvania Inheritance and Estate Tax Official Receipt No. CD013434 COMMOPJVVEALTH OF PENNSYLVANIA DEPARTA4ENT Or REVENUE Bt1REAU OF INQIVIDUAL TAXES DEPT.2806fl1 HARRISBURa, P.^-.1 7 7 28-0601 PENNSYLVANfA RECEIVED FROM: 1NHERiTANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT CONTROL NUMBER NO. CD O ~ 3434 GARDNER CYNTHIA H 29 ELM TREE CIRCLE NEWVILLE, PA 17043 -------- ,~~n ESTATE INFORMATION: SSN: 123-26-4616 FII F NI IA/IR~R• .a. ~. , vv~v~u~.t t. 7'I 1 tl t1~~7 L 1 I ~J--- V / ~J G. DECEDENT NAME: HOWARD ROBERT A DATE OF PAYMENT: 09/30/2010 POSTMARK DATE: 09/27/2010 COUNTY: CUMBERLAND DATE OF DEATH: 06/27/2010 REMARKS: SEAL CHECK# 1023 FiEV-1102 EX(11-96) AMOUNT 101 ~ $5,.000.00 ~ 1 I TOTAL AMOUNT PAID: fN1TlALS: SAP RECEIVED BY: $ 5, 000.00 GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER ESTATE OF ROBERT A. HOWARD Pennsylvania Inheritance Tax Return Form REV-1500 EXHIBIT E LUl:11111C111,Qt,1V~l Vl t~JJCts jThrivent Financial for Lutherans 4321 N. Ballard Road, Appleton, WI 54919-0001 Thrivent.com • 800-THRIVENT (800-847-4836) October 8, 2010 Gates, Halbruner, Hatch & Guise, P.C. 1013 Mumma Road Suite 100 Lemoyne PA 17043 Re: Robert A. Howard, deceased Account number TY4-048615 Dear Traci Hilferding: Securities offered through Thrivent Investment Management Inc., 625 Fourth Ave. S., Minneapolis, MN 55415-1665, a wholly owned subsidiary of Thrivent Financial for Lutherans. Member FINRA and SIPC. The following information is being provided for the decedent's advisory account. Information regarding the Thrivent Universal Life policy will follow under separate cover. 1 , The exnc-t title of the account: Robert A Howard (TOD nn file same as henefic-inriPs listed below) 2. The name(s) of any joint owner(s): Not applicable 3. The name(s) of any designated beneficiary: Wendy H Schwarz (50%); Cynthia H Gardner (50%) 4. The date the account was established and/or made joint: Established 12-08-2009 S. If there was a change of ownership or regiatration of the account within one year prior to the date of death, please provide: a. Date of change Not applicable b. Title of account prior to change Not Applicable 6. The date of death balance: Accounts are not valued on non-business days. Date of death is June 27, 2010, which was a Sunday. The market value as of June 25, 2010 was $80,831.88. 7. The interest earned from January 1, 2010, to the date of death; This account held Mutual Funds. Interest earnings are not applicable. 8. If there was a credit or loan account, please advise if the balance will be paid by insurance of any type, or if the balance will be payable by the estate. Not applicable. Sincerely, 1,~.~ JoAnn Sheeder Surveillance Analyst Qn Your Side October 28, 2010 Traci L. Hilferding 1013 Mumma Road Suite 100 Lemoyne, PA 17043 Re: Contract #0105013290 Annuitant: Robert A. Howard Dear Ms. Hilferding: Nationwide Financial® Income Products Service Center P.O. Box 182928 Columbus, OH 43218-2928 Per your request, we have provided you with the following information: 1. Elisabeth A. Howard, original owner and annuitant 2. No Joint Owners 3. Robert A. Howard, Primary beneficiary 4. Elisabeth Howard began payments on 02/11/1997. Robert A. Howard started receiving payments on 10/11/2006. 5. No change of owner within year of Mr. Howard's passing 6. Date of Death Value (at Robert's passing): $23,073.22 7. No interest earned 8. No credit or loan account If you should have any questions or need additional information, please call us toll-free at 1-800-634-5222. Our office hours are 8:00 a.m. to 5:00 p.m. Eastern Time. Sincerely, Catherine M. Jorge Income Products Service Center Annuities and life insurance products are issued by Nationwide Life Insurance Company, Columbus, Ohio, a member of Nationwide FinancialCR~. The general distributor is Nationwide Investment Services Corporation, member NASD. In MI only: Nationwide Investment Svcs. Corporation. Nationwide, the Nationwide framemark, On Your Side and Nationwide Financial are federally registered service marks of Nationwide Mutual Insurance Company. Sovereign Bank ESTATE OF Robert A Howard SOCIAL SECURITY #: 123-26-4616 DATE OF DEATH: June 27, 2010 Account #: 1671005554 Type Checking Open date: 6/8/1992 In the name of: Robert A Howard (Cynthia H Gardner POA} Date of Death Balance: $29,011.11 Int.(YTD) from 1 /1 /2010 to 6/21 /2010 $68.35 Accrued interest to date of death: $0.96 Other Info: Page 1 of 1 Sovereign Court Ordered Processing \ Decedents - MA1-MB3-02-10 - P. O. Box 841005 -Boston, MA 02284 September 28, 2010 Valerie Long Gates, Halbruner, Hatch & Guise, P.C. 1013 Mumma Road Lemoyne, PA 17043 RE: Estate of Robert A Howard Date of Death: 06/27/2010 Dear Valerie Long: Per your request, enclosed please find the account information as of the date of death for the above-named decedent. For your information, accrued interest is not included in the date of death balance. Please feel free to contact me if I can be of any further assistance. Very truly yours, ~---~ Donna Penta Lead Specialist 617-533-1789 0 m a a e 3 3 Y C 4 n C 1 0 n Lincoln Benefit Life Company P.O. Box 94212 Palatine, IL 60094-4212 Telephone: (877} 499-6418 Facsimile: (866) 635-4523 September 30, 2010 Gates, Halbruner, Hatch & Guise, P.C. Attn: Traci L. Hilferding 1013 Mumma Road, Suite 100 Lemoyne, PA 17043 VIA EMAIL Re: Robert A. Howard Contract No: LBCA023898 Dear Ms. Hilferding: We received a request to complete IRS Form 712 for the above referenced contract. The purpose of Form 712 is to provide an estate or donor with the value of a life insurance contract or its proceeds as of a certain ua~c tu~uaiiy u~c owiicr ~ ua~c ul ucaui or ua~c vi uauaici of uic %Giuia~~~. Because this contract is an annuity, it is not reportable on IRS Form 712. I can, however, provide the following information for estate purposes: Date of Death: June 27, 2010 Annuity Value as of Date of Death: $ 28,945.70* Cost Basis: $ 0.00 (Qualified) Named Beneficiary: Cynthia H. Gardner and Wendy Schwarz *The actual amount paid may differ due to Market Value Adjustments and/or any applicable Surrender Charges. If you have any questions, please contact me at 1-877-499-6418 Ext. 24675. Sincerely, LINCOLN BENEFIT LIFE A N A L L S T A T E C O M P A N Y Bruce Lemmermann Senior Claim Examiner ESTATE OF ROBERT A. HOWARD Pennsylvania Inheritance Tax Return Form REV-1500 EXHIBIT F Documentation of Expenses SATES, HALBRUNER, HATCH & GUISE, P.C. Check Date Payee Company 8/19/2010 Cumberland Law Journal 75.00 Invoice Oate Invoice No. Invoice Description Invoice Amount Matter ID G/L Account No. 8/19!2010 Robert A. Howard Publication 75.00 HOWROB-ESTADNP9999 PRINTED IN U.S.A. A iODUCT DLM145 USE WITH 91554 ENVELOPE A ~.arllSle, YA i / U ! 3 Check Amount 13918 RE: Estate of Robert A. Howard Dear Sir/Madam: Please be advised that this firm represents the estate of Robert A. Howard, who died a resident of Cumberland County on June 27, 2010. Pursuant to PEF Code §3162, please publish the enclosed estate notice once a week for three (3) successive weeks. Our check in the amount of $75.00 is also enclosed in payment of your fee for publication. Please send proof of publication to the undersigned. Thank you for your assistance in this matter. Sincerely, ~ ~ ~~, Valerie Long, Paralegal Enclosure ESTATE NOTICE LETTERS TESTAMENTARY for the Estate of ROBERT A. HOWARD, deceased, late of Newville, West PennsboroTownship, Cumberland County, Pennsylvania, having been granted to the undersigned on 3uly 20, 2010, all persons indebted to the Estate are requested to make immediate payment and those having claims against the Estate are requested to present them for settlement without delay to: CYNTHIA S. GARDNER Executrix of the Estate 298 S. Catalina Street Ventura, CA 93001-3629 or to CRAIG A. HATCH, ESQ. Gates, Halbruner, Hatch, & Guise, P.C. Attorneys for the Estate 1013 Mumma Road, Suite 100 Lemoyne, PA 17043 z ~ 1 _~~~ ~ ~ ~ ~ ~- -~- J ~, ~_. -~~-- I I 1 ..~- a Y '~ N Q I ~~ .~ ~" t 1- • Ij V, V v I ~ I, 1 i ' .i I ~_ ~- iI M it ~, ~ ~ I j M ~_.~ 1 y ~ C C O O I f d ~ I ~ N Y (0 N C C ~ ~ C m '> i C cU X -~ 7 ~ C Q E m Z ~ ~ o a ~ a ~~~ °~ Q~U,U~ ~ I ~ ~ ~ I ~ I o ~ ~ v `r o A r 00 '~" 0 .v M p~ v _ , ~ r i ~ ~ ~ ~ ll. U.1 a p t1f ~j LN ~ C 7 i i 1 1 4}` 'I ' i I I I t '. 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Q I I I Ij ~ I I I .' I ! i I I ~ ~ I ~- '. ~ i i I I ~.% '~ ~ I i I C I I C I I I ~ I fl. W L.t_ I ~ I I I ~I I ~; ~ o I ` ~ 1 ` ~ ~ C1 ~ Q ~ I f-" Z I -- ~ ~ (TS 3 1 ! I N! i I ~ C Q1 r... I ~ ` ~ U i I I i i I I I r~ I II I I I I L I i C C I { I 1 I j ~ I i ~ 1 I ~ U I I ~i ~+ O I I O f ~ t i ~ ~ I 1 { N! i N I l I A N 1 0 ~ I i~ ! ~ I ) p w ~ C N ~ O ~ i ~ I j ' I CI jC ~ ! i O ~ O~ w) p i_~ ! ~'al i ~ OI I O; 1 Oj 1 C{ I 1 I ~ C i d ~~ ~ ~ I i ~ I ~ I i NI ~ ~1! ICI ~ ~Uf j ~ N 1~ ~ ~ NI O~ 1 I I I I ~ ~ ~ ~ ~ ~ (II O~ I > ~ I, ~ ~-Y~ .~_ ~{ O ( ICI ~ I,~~ .x} U ~..• (II~ ~ ~ ~ ~ ~ , O~ I Q I O (VII! I I I O 1 i I OI tII~ Oj I OI I ~j i O a F- U a D 1- I O I I I a1 = a.1 ~~ I U I ~ ~ i~ I cn - I~> 1 i I, [i. ---r -o --1-0 ~- --~ ~- o ~~ o ~o - - V 0 O O! ~ 0 0 0 O O O CD d0 O , ~ o N M I f ~ o !~ I i I I ~ ~ I ~ o l 0 I ~ O' I j ! i 101 I ;O' ~O~ iCD I ~O Oj IV'I OI IMI ! I O I M O M O' O: O ~ 1~ O ~ V1~ 01 M O 1 ti I ! i Oi ; ~ I OI ; 101 IV'I %Oj 101 ICI I~h 1 Itf)I IT-I ` ~ I 0 I M ~ ~~~ ! 1 I I t l I I I I I_ ~ ' ( ~ I 1 I ~ 1 ! I C ~C L I ~ I ~ ~ I ' ~ ~ i ~ ~ ~ ~ I 1 ! ~ I I, ! ~ ~ I i l O ~I ~ I e- I ~ ' I ~ ~ I I i I I ~ ~ I ~ ~ .-- ~ N ~ ~ rrr .w YI 1 i ~ I I I I I 1 ~ ~ ~ I , i ~ , ~I ~ ~ I' i ~ I i I '. 1 I C I ~ ~ t I - ~ r I ~ I I I ~-~- ~ y I i ' I I ~ - I ~ ~ I i 1 ~_- + _ ~ I .. ... ~ L. 1_ r- i ~ - -~ r ~ ~ * I I I ~ I iO I x ~ F- O ~ I ~ I I I I j I ~ l ( ~ 1 l i I I i 1 I I I ~ l l , i j p i I I ~! ! I I i ! ; ~ INj I I ~ ' j i i ! ~ i I I i I I --~- . i -~_-1 i _ . -' - ' - - _ _ .. .- _. ..---- --}-- -'__-j _ ---i _.. rt_ __ _ - -- --.-- -. i - ~. ~ -I ~ ~ I I ~i I 1 ~ ~ i ~ I I ~ ~~ !, i I ~ ~ ! ~ i ~ ~ I! ~ ~ ~ ~ ~ ~ I ~ ~ ~ ! ~ li I r ~ I ~ ~ 1 I I , 1, , ~ , I ~ i I i i ' ~ I I I Ml I ICI `d: I O ! ~ ~ i i ` ~ Ni I ~ ~ ~ N ~ I r-- M Cfl (~ I ~ I .-- .-- I tf) ~ I~ `d' f CO CO a`i M I 1~- , ` M N 1~ i I ' O Z I ! 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O ~ c O ~ O O O O ~ d +~' ~ j 1 0~ t~ ~ p ,C C ~ f... ~ Q C O o >. I >+ .~ ~ - ... C ' W ~ L ~ - c0 ~ L .. to ..+ t~ ~, .~ O N L _ N V O F"- ` O ` 3 ~ ~- O cC i ~ U O O ~ i~ in % to ~ N p i ~ 0~ ~ Y L. ~- ~ ~ ~, Q v f0 cn ! ¢ cV > p p c ~ n N oi Y ~ f0 cn c0 cn cU cn c0 cn Y O a O a (U v~ (~ cn Z w cn ~.. F, ~ (~ ~ _• Q a, O ~ O a O :>Z O a U N N f ~ ~ o ~ ~ ~ c ~ o a. ~ v ~ o ~ ~ i m m ~ ~ ~ al 0° ~ ~ I » z o o ~ ~, .~ ~~ ~ ~ ,,~ ~ r ~ - d ~ i d j ~ w i U ~ ~ ~ T T c ' ~ ~ Q a can "' r C ,~ ... O " ~v c d ~ ~ t C ~ ~ ~ ~ ~ N ~ ~ N ~ N ~ ~ R3 ~ tO ~ ~ t «~ O > -~ O > ~ O > --~ O > -~ O o -~ O ~ -~ C ~ C ~ ~ C ~ ~ C ~ ~ C ~ ~ C ~ ~ G ~ ~ C ~ ~ C ~ ~ C ~ ~ C ~ ~ t ... > ~ > -~ > - ~ > » ~ j -~ ~ 7 - ~ ~ » ~ 7 -~ ~ s .~ O > a > Q O > Q t ... fl- a~ cn a a~ cn m cn °~ cn J Q N W = O ~ 1~ o0 0o M t1 M O = r N M C7 CD ap r r M d' O O N N N ~' (fl a0 C N ~ O r O r O r O N ~ N O M C ~ •~t ~ `7 f~ ~ ' M 00 CO O U ~ r r r r N N N M ~ r r r r r r N N N N ~ ~ r ~- ~- r O tC ~ r ~ V v~ ~} ,~--^-' L