HomeMy WebLinkAbout07-20-11 1505607121
06
05
REV-1500 EX
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)
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
Po Box 2sosol INHERITANCE TAX RETURN
Harrisburg, PA 17128-0601 RESIDENT DECEDENT 2 1 1 0 1 0 7 9
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
1 9 4 1 2 1 1 5 5 1 0 2 1 2 0 1 0 0 4 2 6 1 9 2 0
Decedent's Last Name Suffix Decedent's First Name MI
F A L L E R U R S U L A E
(If Applicable Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
^X 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death
prior to 12-13-82)
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required
death after 12-12-82)
^X 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 1 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
G E O R G E B F A L L E R J R 7 1 7 2 4 3 3 3 4 1
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THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
Firm Name (If Applicable)
M A R T S O N L A W O F F I C E S
First line of address
1 0 E A S T H I G H S T R E E T
Second line of address
City or Post Office
C A R L I S L E
State
P A
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Correspondent's a-mail address: G F A L L E R a M A R T S O N L A W• C O M
Under penalties of perjury, I declare that I have examined this return, including acco anying schedules and st ments, and to the best of my knowledge and belief,
it is true, rre nd complete. Decl tion of preparer other than the personal re s tative is s n al ' rmation of which preparer has any knowledge.
SI NA F ERSON RE O IBL F R ING RETURN DATE
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ADD SS
60 4 SSA VE SPRINGFIELD VA 22152
SIGNA O AN REPRESENTATIVE DATE
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ADDRES
10 EAST HIGH STREET CARLISLE PA 17013
PLEASE USE ORIGINAL FORM ONLY
1505607121
Side 1
1505607121
J
REV-1500 EX
Decedent's Name: U R S U L A E• F A L L E R
Decedent's Social Security Number
1 9 4 1 2 1 1 5 5
RECAPITULATION
1. Real estate (Schedule A) ........................................ 1 • ~ • ~ 0
2. Stocks and Bonds (Schedule B) .................................. 2. 1 4 9 2 . 5 8
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. •
4. Mortgages & Notes Receivable (Schedule D) ........................ 4. •
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ....... 5. 6 7 1 9 4 5 3
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6• •
7. Inter-Vivos Transfers & Miscellaneous N -Probate Property
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8. Total Gross Assets (total Lines 1-7) ........................... 8. 6 8 6 8 7. 1 1
9. Funeral Ex enses 8~ Administrative Costs Schedule H
P ( ) ................ 9. 1 5 5 0 2 . 4 4
10. Debts of Decedent, Mort a e Liabilities, 8 Liens Schedule I
9 9 ( ) ............ 10. 1 7 4 4 2. 7 0
11. Total Deductions (total Lines 9 & 10) ........................... 11. 3 2 9 4 5. 1 4
12. Net Value of Estate (Line 8 minus Line 11) ......................... 12. 3 5 7 4 1 . 9 7
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) .................. 13. •
14. Net Value Subject to Tax (Line 12 minus Line 13) .................. 14. 3 5 7 4 1 . 9 7
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0 0 0 0 15.
16. Amount of Line 14 taxable
at lineal rate X .045 3 5 7 4 1. 9 7 1 s.
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 OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
1505607221
0. 0 0
1 6 0 8. 3 9
0. 0 0
D. 0 0
1 6 0 8. 3 9
Side 2
1,50560722], 1505607221 J
REV-'1500 EX Page 3 File Number
~AA A.JA N~, l~ ~+.,rN r~Is4~n e.~l.~l~n~c• 21 10 1079
DECEDENT'SNAME
URSULA E. FALLER
STREET ADDRESS
380 WILSON STREET
Cl.~ STATE ZIP
CARLISLE PA 17013
Tax Payments and Credits:
1, Tax Due (Page 2 Line 19) (1) 1,608.39
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments 7,500.00
C. Discount 80.42
Total Credits (A + B + C) (2)
7, 5 80.42
3. InterestlPenalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (D +E) (3)
0.00
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund. (4) 5,972.03
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00
A. Enter the interest on the tax due. (5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 0.00
Make Check Payable fo: REGISTER OF WILLS, AGENT
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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 ................................................................................................ ^ 0
d. receive the promise for life of either payments, benefits or care? .......................................................
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
^
without receiving adequate consideration? ....................................................................................... ^ 0
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .........
Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
4
.
contains a beneficiary designation? ................................................................................................. . ^ 0
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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For dates of death on or after July 1, 1994 and before January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero I;0) percent
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased 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 zero (0) percent [72 P.S. §9116(a)(1,2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 P.S. §9116(1.2) (72 P.S. §9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1502 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF FILE NUMBER
URSULA E. FALLER _ _ 21 _10. 1079_
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 pace 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 roe which is 'ointl -owned with ri ht of survivorshi must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Real Estate located at 380 Wilson St., Carlisle Borough, PA, known as Tax Parcel No.
04-21-0322-287, being described in Deed dated 12/27/2004 & recorded in Cumb. Co. Deed Book
"B". Vol. 252, Page 1031, & being conveyed to George B. Faller & Ursula Elaine Faller. George
B. Faller died 12/27/2004, leaving title soley vested in Urusla Elaine Faller.
SUSPEND ASSET
TOTAL (Also enter on line 1, Recapitulation) ~ $ 0.00
(If more space is needed, insert additional sheets of the same size)
REV-15o3 EX + (6-08~
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
URSULA E. FALLER 21 10 1079
Ail property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. 37 shares, MetLife @ 40.34/share 1,492.58
See attached
TOTAL (Also enter on line 2, Recapitulation) I $ 1 492.58
(If more space is needed, insert additional sheets of the same size)
REV-1508 EX + (6-98)
SCHEDULE E
BANK DEPOSITS, & MISC.
CASH
,
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
URSULA E. FALLER 21 10 1079
Include the proceeds of litigation and the date the proceeds were received by the estate.
Ail property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Morgan Stanley/Smith Barney 73H-01408-19, cash only account 14,346.91
2. Orrstown Bank checking 1080006142 4,501.65
(see attached)
3. Income distribution through date of death, George B. Faller TUW 3,947.00
4. Highmark, premium refund 249.20
5. Transamerica Life Insurance Co., home health care benefits 750.00
6. The Sentinel, refund 39.17
7. USAA, refund 80.74
8. Cash found in house 20.00
9. Ohio Casualty, reimbursement for house repairs due to storm damage 14,419.83
10. 1997 Volvo 850 GLT 4D wagon. Mileage - 90,000 3,575.00
(see attached)
11. Personal property, jewelry, appraised value 20,322.00
12. Personal property, actual sale value, SUSPEND ASSET
13. Catholice Diocese of Harrisburg, Account # 12450 3,673.02
(see attached)
14. Long Term Care Insurance, refund 687.01
15. PA Department of Revenue, 2010 PA40 personal income tax refund 583.00
TOTAL (Also enter on line 5, Recapitulation) ~ $ 67,194.53
(If more space is needed, insert additional sheets of the same size)
R E,/-1511 EX + (10-06)
SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
URSULA E. FALLER 21 10 1079
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Ewing Brothers Funeral Home, Carlisle, PA 8,907.17
2. Trappist Caskets, shipping fee 600.00
3. George B. Faller, Jr., reimbursement of funeral luncheon expenses 523.38
4. Mary E. Duxbury, reimbursement of funeral luncheon expenses 18.60
5. Baughman Memorial Works, Inc., headstone inscription 185.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Street Address
City State Zip
Year(s) Commission Paid:
2, Attorney Fees MARTSON LAW OFFICES (estimated) 4,150.00
3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees Cumberland County Register of Wills 398.50
5 Accountants Fees
6. Tax Return Preparer's Fees
7. Filing fee, Inheritance Tax Return 15.00
8. USAA, auto insurance pending dispostion 394.79
9. M&T Bank, safe depoist box drill fee 150.00
10. Sarah Faller, account payable, cleaning 160.00
TOTAL (Also enter on line 9, Recapitulation) I $ 15,502.44
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (12-03)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
URSULA E. FALLER
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
FILE NUMBER
21 10 1079
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Orrstown Bank, outstanding checks on date of death 520.00
2. H.B. McClure Company, account payable 332.00
3. USAA Property and Casualty, account payable 217.91
4. Susquehanna Valley Roofing, account payable 11,495.00
5. Century Link, account payable 123.66
6. Nancy A. Faller, reimbursement of expenses paid for Ursula E. Faller, account payable 616.57
7. Betra In Home Care, account payable 750.00
8. Start To Finish Lawn Care, account payable 400.00
9. Lititz Mutual, house insurance, account payable 200.00
10. PPL, account payable 206.82
11. USAA, car insurance, account payable 168.46
12. Borough of Carlisle, account payable 96.36
13. Smith Appliances, account payable 180.09
14. David A. Faller, reimbursement for vehicle repairs 1,025.83
15. Historic Carlise, Inc., pledge due on date of death 1,110.00
TOTAL (Also enter on line 10, Recapitulation) I $ 17,442.70
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX + (9-00)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
URSULA E. FALLER 21 10 1079
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1. David John Faller Lineal 4,467.74
260 So. West St.
Carlisle, PA 17013
Lineal
4,467.74
2. Michael J. Faller
1125 So. Spring Garden St.
Carlisle, PA 17013
Lineal
467.74
4
3. Constintine P. Faller ,
P.O. Box 237
Amesville, OH 75711
Lineal
4,467.75
4. Nancy A. Faller
93 K St.
Turners Falls, MA 01376
5. Therese Frances Faller Lineal 4,467.75
6014 Nassau Dr.
Springfield, VA 22152
Lineal
4,467.75
6. Mary E. Duxburg
148 No. Hanover Street
Carlisle, PA 17013
Lineal
4,467.75
7. George B. Faller, Jr.
1115 Fleetwood Dr.
Carlisle, PA 17013
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II NON-TAXABLE DISTRIBUTIONS:
.
1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
URSULA E. FALLER 21 10 1079
Decedent's Name Page 1 File Number
Schedule J -Beneficiaries -1
NUMBER
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT
Do Not List Trustee(s) AMOUNT OR SHARE
OF ESTATE
I TAXABLE DISTRIBUTIONS (include outright spousal distributions)
8. Helen C. Hayssen Lineal 4,467.75
4135 Bayside Rd.
Maple Plain, MN 55356
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TFN EAST HIGH STRFE7'
CAR1.iSl_E. PA 17013
(7171243-334J
LAST WILL AND TESTAMENT
I, URSULA ELAINE FALLER, of the Borough of Carlisle, Cumberland County,
Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish and declare
this to be my Last Will and Testament, hereby revoking any and all former Wills or Codicils by me
made.
ITEM ONE
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I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all inheritance taxes shall be paid to the extent possible from those assets held or passing under
ITEM THREE hereof as soon as practicable after my decease and as part of the administration of
my estate.
4 ~~
%% ITEM TWO
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~;~; ; _ I give all of my personal and household effects, automobiles, boats and collections, if an
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O .and any insurance policies thereon, unto my spouse, GEORGE B. FALLER, if my spouse survives
me by thirty (30) days; otherwise, the same shall be appraised and shall be allocated among my
children as they shall agree with the value of such items as are allocated among them debited from
.. _ ..~ their share of my estate. My Executor shall sell-any property as to which there is no such agreement`
within six (6) months after the admission of this Last Will and Testament to probate and shall add
the proceeds to the residue of my estate.
ITEM THREE
If my spouse, GEORGE B. FALLER, survives me, in order to obtain the portion of the
marital deduction allowed in my estate by the Federal tax laws that will eliminate all Federal estate
taxes payable as a result of my death, my Executor shall divide my residuary estate into two portions
known as the "Marital Trust" and the "Credit Trust."
The Marital Trust, which shall not be reduced by any taxes payable by reason of my death,
shall be that fractional proportion of the entire residuary estate determined as follows:
The numerator of such fractional proportion of my residuary estate shall be the smallest
amount which, if allowed as a marital deduction, would result in the least possible Federal estate tax
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U.E.F.
Page 1 of 10
being payable as a result of my death, after allowing for the unified credit against Federal estate tax
and all available credits and deductions claimed. The numerator shall be reduced by the value of any
other property which passes to my said spouse which qualifies for the marital deduction and reduced
by that amount, if any, which, when added to my taxable estate, will result in Federal estate tax no
larger than the credit for State death taxes allowed in my estate without increasing any State death
taxes payable as a result of my death.
The denominator of this fraction shall be the value of the entire residuary estate. Values
assigned to the property for the purposes of this computation shall be those values finally determined
for Federal estate tax purposes.
The Marital Trust shall be held and managed by my Trustee(s) in accordance with ITEM
FOUR of this my Last Will and Testament.
The Credit Trust shall be held and managed by my Trustee(s) in accordance with ITEM FNE
of this my Last Will and Testament.
My Executor shall have the power to distribute assets in cash or in kind to the Marital Trust
and to the Credit Trust and to select specific property to be distributed to the Marital Trust or the
Credit Trust without regard to the income tax basis on such property. In making these allocations,.
my Executor shall. use the value of the assets as of the date or dates of distribution so that each
distribution shares proportionately in the appreciation or depreciation of assets between the date of
my death and the date or dates for distribution. However, no allocation of assets shall be made to
the Marital Trust which does not qualify for the marital deduction. To the extent that other assets
which qualify for the marital deduction are available, there shall not be allocated to the Marital Trust
(a} assets with respect to which an estate tax credit for foreign taxes paid is allowable or (b) any
payments under an employees trust or retirement annuity contract of the type described in Section
2039(c) of the Internal Revenue Code or subsequent provisions of similar import or (c) United States
Treasury Bonds that are eligible for redemption at par value in payment of the Federal estate tax.
In computing the marital deduction all generation-skipping transfers for which I am the "deemed
transferor" shall be disregarded.
If I am not survived by my spouse, I give, devise and bequeath all of the rest, residue and
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U.E.F.
Page 2 of 10
remainder of my estate, both real and personal property, unto my Trustee to be held or distributed
by such Trustee under ITEM FIVE (c) through (e) hereof.
If my said spouse survives me and disclaims any portion of the Marital Trust, such portion
shall be added to the Credit Trust.
If my said spouse and I die simultaneously, or under circumstances which render it difficult
to determine who died first, my said spouse shall be deemed to have survived me for all purposes
of this my Last Will and Testament.
ITEM FOUR
MARITAL TRUST
My Trustee(s) shall hold the assets received under ITEM THREE hereof, if any, for the
following purposes:
(a) To pay the net income, at least quarter-annually, to my spouse, GEORGE B.
FALLER, for life. In addition, my Trustee(s), in their sole discretion, may invade the principal of
the Trust to provide for the proper and adequate support of my spouse, GEORGE B. FALLER.
(b) My spouse, GEORGE B. FALLER, may at any time or times during his lifetime by
instrument in writing delivered to my Trustee(s) appoint any part or all of the principal to or in trust
for any one or mare persons or entities.
(c) Upon the death of my spouse, GEORGE B. FALLER, the principal and any accrued
and undistributed income of the Marital Trust shall be held in trust hereunder or distributed to or in
trust for such appointee or appointees (including the estate of my said spouse, with such powers and
in such manner and proportions as my spouse may appoint by his Will, making specific reference
to this power of appointment. I intend that the Marital Trust shall qualify for the Federal Estate Tax
Marital Deduction in my estate.
(d) Upon the death of my spouse, GEORGE B. FALLER, any part of the principal and
accrued and undistributed income, as well as any portion of the Marital Trust not effectively
appointed shall be added to or used to fund the Credit Trust, except that, unless my spouse,
GEORGE B. FALLER, directs otherwise by his Will, the Trustee shall first pay from the principal
of the Marital Trust, directly or to legal representative of my said spouse's estate as my Trustee
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U.E.F.
Page 3 of 10
deems advisable, the amount by which estate and inheritance taxes assessed by reason of the death
of my spouse, GEORGE B. FALLER, shall be increased as a result of the inclusion of the Marital
Trust in my spouse's estate for such tax purposes. The Trustee's selection of assets to be sold to pay
that amount, and tax effects thereof, shall not be subject to question by any beneficiary.
ITEM FIVE
CREDIT TRUST
My Trustee(s) shall hold the assets received under ITEM THREE hereof, if any, for the
following purposes:
(a) To pay the net income, at least quarter-annually, to my spouse, GEORGE B.
FALLER, for life, In addition, my Trustee(s), in their sole discretion, may invade the principal of
the trust to provide for the proper and adequate support of my said spouse.
(b) My Trustee(s) shall pay to my spouse, GEORGE B. FALLER, annually, such sum
from the principal of the trust as my spouse may request in writing, provided, however, that said sum
may not exceed the greater of Five Thousand Dollars ($5,000.00) or five percent (5%) of the
aggregate value, at the time of said request, of the principal of the trust hereunder.
- (c) Upon the death of my spouse, GEORGE B. FALLER, my Trustee shall distribute the
principal of the trust to my children, DAVID JOHN FALLER, MICHAEL J. FALLER,
CONSTANTINE P. FALLER, NANCY A. FALLER, THERESE FRANCES FALLER, MARY E.
POLSTER, GEORGE B. FALLER, JR. and HELEN C. HAYSSEN, in equal shares, absolutely.
(d) In the event that any of my said children shall fail to survive my spouse and me, but
shall leave issue surviving, then such deceased child's share shall be held by my Trustee and the net
income therefrom shall be used for the support, maintenance and education of the issue of such
deceased child. My Trustee shall use as much of the principal as they shall deem desirable for said
purposes. My Trustee shall distribute absolutely the principal of such share of such deceased child
to the issue of such deceased child per stirpes as each shall attain the age oftwenty-one (21) years.
In the event that any of my children shall fail to survive my spouse and me and not leave issue
surviving, then such deceased child's share shall be added to the shares of my other children as if
originally a part thereof.
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U.E.F.
Page 4 of 10
(e) Notwithstanding any other provisions to the contrary, in no event shall any share be
distributed to any beneficiary later than twenty (20) years after the later of the death of my spouse
or me.
ITEM SIX
POWERS OF EXECUTOR AND TRUSTEE(S1
In addition to the powers conferred by case law, by statute, and by other provisions hereof,
my Executor and Trustee(s) and their successors, shall have the following discretionary powers
applicable to all property held by them which powers shall be effective without order of any court
and shall exist until final distribution:
(a) To retain any property of any nature received by them for whatever period they shall
deem advisable;
(b) To invest and reinvest all or any part of said property in such stocks, bonds, common
trust funds, securities, accounts, certificates of deposit (including, but not limited to, stocks, bonds,
common trust funds, securities, accounts or certificates of deposit of the Trustee) or other property,
real or personal, as in their discretion they shall deem proper, without regard to statutes limiting the
property which a fiduciary may purchase;;
(c) To sell, transfer, exchange or otherwise dispose of, any part of said property, for cash
or on terms, publicly or privately, or to lease, even for a term exceeding five (5) years or the duration
of any trust herein, without liability on the purchasers or lessees to see to the application of the
proceeds, and to give options for these purchases without the obligation to repudiate them in favor
of a higher offer;
(d) To execute and deliver any deeds, leases, assignments or other instruments a.s may
be necessary to carry out the provisions of any trust hereunder;
(e) To borrow money, including the right to borrow money from any bank and to
mortgage or pledge any asset of the estate as security;
(f) To assume continuance of the status of any beneficiary with regard to death, marriage,
divorce, illness, incapacity and the like in the absence of information deemed reliable without
liability for disbursements made on such assumption;
U.E.F.
Page 5 of 10
(g) To pay from the trust, or the income therefrom, all debts or claims against my estate,
or any taxes or similar charges on my estate;
(h) To make any distribution hereunder either in kind or in money, or partially in kind
and partially in money. Distribution in kind shall be made at the market value of the property
distributed, and my Trustee(s), in their absolute discretion, may cause the share distributed to any
distributee to be composed of property similar to or different from that distributed to any other
distributee;
(i) To exercise any subscription right in connection with any security held hereunder,
to consent to or participate in any recapitalization, reorganization, consolidation or merger of any
corporation, company or association, the securities of which may be held hereunder, to delegate
authority with respect thereto, to deposit investments under agreements, to pay assessments, and
generally to exercise all rights of investors;
(j) To invest in endowment, insurance or annuity policies on the lives of beneficiaries
of any trust hereunder;
(k) To continue in any partnership, joint venture, joint ownership or other business .
enterprise of which I am a part at the time of my death;.
(1) To compromise claims;
(m) To continue for whatever period of time as they shall deem necessary any ownership
as a tenant in common or as a partner, in real estate or other property and to act as I could have done
had I been living;
(n) To lend money to my estate or to any trust created hereunder or to purchase from the
estate or from any trust created hereunder, at the market value thereof at the time of purchase, any
securities or other property tendered to them by my estate or any trust created hereunder at any time
and from time to time within a period of nine (9) months after my death;
(o) In the event that any amounts are payable hereunder or under any trust created
hereunder to a minor, or to a person otherwise under legal disability, or to a person not adjudicated
incapacitated, but who, by reason of illness or mental or physical disability is, in the opinion of
fiduciary(ies) hereunder, unable to properly administer such amounts, such amounts may be paid by
~~~= ..
U.E.F.
Page 6 of 10
~..
the fiduciary(ies) hereunder in his, her or their sole discretion in any of the following ways as he, she
or they may deem best:
(1) Directly to such beneficiary;
(2) To a legally appointed guardian of such beneficiary for the benefit of such
beneficiary;
(3) To a person having custody of such beneficiary for the benefit of such
beneficiary;
(4) By the fiduciary(ies) hereunder using such amounts directly to the benefit of
such beneficiary.
(p) To employ agents, attorneys and proxies and to delegate to them such power as my
personal representatives and Trustees consider desirable and to pay reasonable compensation for
such services as maybe rendered by such agents, attorneys and proxies;
(q) To conduct an inventory of any safe deposit box necessary to the administration of
my estate.
(r). To do all other acts in their judgment necessary or desirable for the proper
management, investment and distribution of my Estate.
ITEM SEVEN
PROTECTIVE PROVISIONS
All income or principal held for the use and benefit of the beneficiaries of any trust hereunder
shall not be in any way or manner subject to anticipation, assignment, pledge, sale or transfer, nor
shall any such interest, while in the possession of my Trustee(s), be liable for or subj ect to the debts,
contracts, obligations, liabilities or torts of any beneficiary, or to attachments, executions or
sequestrations under process of law.
ITEM EIGHT
APPOINTMENT OF EXECUTOR AND TRUSTEE(S)
I nominate, constitute and appoint my spouse, GEORGE B. FALLER, as Executor of my
estate. In the event that my said spouse shall predecease me or fail to act as Executor, then my
daughter, THERESE FRANCES FALLER, and KEYSTONE FINANCIAL BANK, N.A. of Carlisle,
~~~
U.E.F.
Page 7 of 10
~~.
Pennsylvania, shall serve as Executors of my estate.
I nominate, constitute and appoint my spouse, GEORGE B. FALLER, and JOHN
OSZUSTOWICZ, J.D., as Trustees of any trust created hereunder. In the event that both of said
Trustees shall fail or be unwilling to continue to act as Trustee, then I appoint KEYSTONE
FINANCIAL BANK, N.A. to act as Trustee of any trust created hereunder.
A majority of all income beneficiaries of the trust or trusts created under this Will may from
time to time remove any corporate trustee then acting for reasonable cause and substitute another
corporate trustee; provided, however, that such successor corporate trustee shall not be a related or
subordinate to any one or more of the beneficiaries hereunder within the meaning of Internal
Revenue Code §672(c) or successor provisions. When the removed corporate trustee has received
written notice of its removal and has been notified in writing by its successor corporate trustee of
the Tatter's acceptance, the removed corporate trustee shall surrender all books, records, and assets
in its possession comprising any portion of the trust or relating to the trust. In no event shall the
removed corporate trustee charge a "termination fee" based on a percentage of trust assets as a result
of such removal but shall be entitled only to charge such fee as fairly represents the cost of any
accounting required by the beneficiaries or successor corporate trustee as part of such removal and
substitution. The removed corporate trustee shall not be relieved of liability until its successor has
qualified and the removed trustee's accounting, if applicable, has been settled or the beneficiaries
and successor corporate trustee have otherwise accepted an account stated in lieu of a formal
accounting. As used in this paragraph, the term "reasonable cause" includes, but is not limited to:
(1) poor investment performance, (2) the removal of all current income beneficiaries from the state
in which the corporate trustee is licensed to conduct business as a corporate trustee, (3) inattention
to the reasonable needs of the beneficiaries, (4) lack of communication between trustee and
beneficiaries, (5) inaccurate or unclear transaction statements or statements of account, (6) conflicts
between the corporate trustee and the beneficiaries, (7) merger, acquisition or deteriorating financial
condition of the corporate trustee, or (8) high turnover of account officers assigned to any trust under
this Will.
_~~
U.E.F.
Page 8 of 10
~-
ITEM 1~TINE
WAIVER OF BOND
I direct that neither my Executor nor my Trustee(s) or their successors shall be required to
file any bond in any jurisdiction to secure the faithful performance of their duties, nor shall they be
required to obtain any order or approval of any court for the exercise of any power or discretion set
forth in this Will.
IN WITNESS WHEREOF I have hereunto set my hand and seal this o~ ~~~day of
:..-y rte,
_.,(~~
~%Z~,r { dC ~~lt~ ~~~~ 7 (SEAL)
Ursula Elaine Faller c
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and
for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testatrix and of each other.
.~
Page 9 of 10
~.
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
I, Ursula Elaine Faller, Testatrix, whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I signed and
executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and
voluntary act for the purposes therein expressed.
.~' r,~
Ursula Elaine Faller
Sworn or affirmed to and acknowledged before me by Ursula Elaine Faller, the Testatrix, this
~.g day of ~~~r~rz~~,~ , ~ ~~ T .
NOTARIAL SEAL ~~ ' . ~-~,~
CORRINE 1. MYERS, _
CarGsie Boro. Cumbe~~ trtyy Notary Public
Commission Ex 'res Ma 27, 2l~03
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND
We, ~ V o ~_~ 'T'~Z? ~- and ~ ~'vZL i r4 ~. ~~ n ~ P ~ N ~
the witnesses whose names are signed to the attached ~or foregoing instrument, being duly qualified
according to law, do depose and say that we were present and saw Ursula Elaine Faller, the Testatrix,
sign and execute the instrument as her Last Will; that the Testatrix signed willingly and that the
Testatrix executed it as her free and voluntary act for the purposes therein expressed; that each of
us, in the hearing and sight of the Testatrix, signed the Will as witnesses; and that to the best of our
knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no
constraint or undue influence.
Address C~ ~~st I-~- ~' ~ S~-r'~c_r
C°Qr (.SI ~ (~~ ! 7l~ 1.3
Addre s 6 ' ~~ .
~~ . - ,~ t 7c~ a
G~
Sworn or affirmed to and subscribed before me this o_~ day of ~-Gr~~,~c.~,~ ) 9 ~ y.
i
Notary Public 'J
NOTARIAL SEAL
CORRINE L. MYERS, Notaryry Public
Carlisle Boro, CumberlandCouMy~
Page 10 of 10 ~My Comm~s.~ion Expires Ma 27, 2
MetLife Inc (MET) -Stock chart, Index chart - MSN Money
12/9/2010 44.1500 42.9600 42.9800 44.0800 11,242,200
12/8/2010 43.3400 41.0500 41.0500 42.7900 14,810,800
12/7/2010 41.4100 41.0000 41.2200 41.1700 9,456,100
12/6/2010 40.9300 39.9100 40.2400 40.7500 8,602,900
12/3/2010 40.3100 39.6500 40.0800 40.1400 11,635,000
12/2/2010 40.5200 39.1900 39.2800 40.4700 9,087,800
12/1/2010 39.3700 38.5200 38.9100 39.3000 8,270,400
11/30/2010 38.4100 37.5600 37.8000 38.1500 9,698,800
11/29/2010 38.1500 37.3300 37.5800 38.0600 6,555,600
11/26/2010 38.0300 37.6400 37.8500 37.7400 6,889,000
11/24/2010 38.3600 38.0100 38.2400 38.2300 5,068,400
11/23/2010 38.3000 37.8200 38.3000 37.8400 7,713,000
11/22/2010 38.7700 38.2600 38.6000 38.7300 5,289,300
11/19/2010 39.2000 38.7000 39.1300 38.8500 6,450,500
11/18/2010 39.5900 39.0700 39.3300 39.1700 5,588,000
11/17/2010 39.1300 38.4600 38.9700 38.6200 7,509,800
11/16/2010 39.6700 38.6000 39.4800 38.8700 8,783,600
11/15/2010 40.3900 39.6000 39.8000 39.7300 5,696,600
11/12/2010 40.3410 39.4900 39.6600 39.6400 7,527,600
11/11/2010 40.4300 39.6800 40.1300 40.1300 7,986,400
11/10/2010 41.1000 40.0700 40.7900 40.9200 8,392,300
11/9/2010 41.7700 40.3900 41.6300 40.5300 8,204,200
11/8/2010 42.0900 41.3300 41.8300 41.5900 5,215,200
11/5/2010 0.740 Ex-dividend
11/5/2010 42.4800 41.4200 41.4600 42.1000 10,035,500
11/4/2010 42.9600 41.8300 41.9000 42.9000 12,141,000
11/3/2010 41.4900 40.1300 40.3200 41.3400 9,465,700
11/2/2010 40.6400 40.0000 40.4700 40.2100 3,618,600
11/1/2010 41.1500 39.6300 40.9000 39.9600 5,714,400
10/29/2010 40.9900 39.1600 39.2000 40.3300 8,503,400
10/28/2010 40.9500 39.8500 40.7100 40.4600 5,687,600
10/27/2010 40.8000 39.9200 40.2000 40.3800 6,056,700
10/26/2010 40.6200 39.9900 39.9900 40.5100 5,857,200
10/25/2010 40.8700 39.8600 40.7000 40.1600 17,659,800
10/22/2010 40.6300 40.1150 40.4300 40.3400 18,442,200
10/21/2010 40.7100 40.0200 40.5200 40.4400 15,674,300
10/20/2010 40.6450 39.6950 39.9700 40.3400 10,459,600
10/19/2010 40.7400 39.5900 40.1300 39.9300 17,291,100
10/18/2010 40.5900 39.2700 39.3600 40.4800 18,535,300
10/15/2010 40.0800 38.2600 39.9900 39.2200 13,594,300
10/14/2010 40.3600 39.2100 39.6300 39.6400 6,808,400
10/13/2010 40.2300 39.4000 39.4100 39.7600 6,647,400
10/12/2010 39.2700 38.2300 38.6600 39.1900 7,524,700
10/11/2010 39.3600 38.7400 39.1600 38.8800 4,369,700
10/8/2010 39.6300 38.8600 39.5500 39.1800 6,857,100
10/7/2010 39.9600 39.1100 39.6100 39.4900 5,601,600
10/6/2010 39.8700 39.0600 39.6800 39.4600 7,941,300
10/5/2010 40.0200 38.7750 39.4000 39.8000 14,457,600
10/4/2010 39.6300 38.4500 38.7900 38.8400 6,830,900
10/1/2010 39.3500 38.5300 38.7900 38.9400 6,352,100
9/30/2010 39.3000 38.1900 38.6200 38.4500 12,169,000
9/29/2010 39.2900 38.2900 39.1400 38.7900 6,823,700
9/28/2010 39.3800 38.1500 38.7800 39.3000 6,676,000
9/27/2010 39.1900 38.6400 39.1200 38.7800 6,245,500
9/24/2010 39.1700 38.3900 39.0100 39.1500 10,537,300
9/23/2010 39.1100 37.7600 39.1100 37.8600 11,458,600
9/22/2010 40.7700 39.1200 40.7500 39.3900 12,163,500
9/21/2010 41.7900 41.0000 41.6300 41.1000 7,187,600
9/20/2010 41.7400 40.1600 40.2000 41.4800 8,669,200
9/17/2010 40.7500 40.0000 40.6900 40.1600 8,454,900
9/16/2010 40.5400 40.0900 40.5000 40.3900 5,673,900
9/15/2010 40.7300 40.1500 40.6300 40.6800 5,838,800
9/14/2010 41.2600 40.5400 41.0100 40.9600 5,983,500
9/13/2010 41.4900 40.9450 41.1200 41.3000 5,328,100
9/10/2010 40.9200 40.0300 40.9200 40.4900 5,836,600
9/9/2010 41.5800 40.5000 41.4100 40.8600 4,690,300
9/8/2010 40.9900 40.1500 40.4700 40.6200 5,341,800
9/7/2010 41.0100 40.0600 40.9800 40.1100 7,417,200
9/3/2010 41.5000 40.4400 40.9300 41.4600 12,234,100
9/2/2010 40.1700 39.5200 39.6000 40.1300 6,990,100
9/1/2010 39.5700 38.0600 38.0600 39.5400 12,523,600
8/31/2010 38.0500 36.7200 37.0500 37.6475 14,287,200
Page 2 of 3
httn://monevicentral.msn.com/investor/charts/cliartdl.aspx?PT=S&compsyms=&D4=1 &DS... 1/13/2011
DEC-03-2010(FRI) 1035
~J.L~'C~ 1 VV1~ lr
BANK
d Tradition of F.x~Uc~rtc~
December ~, 2010
NIs. Victoria L. t~tto
Maxtson Law Offices
i.0 East High Strut
Carlisle, PA 17013
Fa,x 243-1$50
Re: Bstate of Ursula IJlaine Faller
Social Security Number 194- I2- 1155
Date of Deat~i October 21, 20 I Q
P. 001 /001
17' IS HEREERBY CERT~7ED THAW THE ABOVE NAMED DECEDL~'NT HAD THE
F'CLL4 LVINC ACCOUNT WITJ~T ORRSTO WN $ANK:
CHECKIlVG ACCOrJ1V7'
Account No. - 10800 142
Account Tyke - S0+ Interest Chock
Date Gpened - 7/8/02
Joint Account (name/date) - None
Balance - ~ ~4,5C~ 1.~4
Accrued Interest - $.O 1
Best Regards,
Vicki L, C~ullixon
Cusfiomer Service Specialist
77 E~sl King Sveei
P.O. Box 250
Shippensburg, PA 17257
i.888.ORRSTOWN
~.~rv~ruv.carrs#+awn.c+e~x~t
1997 Volvo 850 -Private Party Pricing Report -Kelley Blue Book Page 1 of 3
Ke!!e~ Bh~e Book . _ . ... . ~~,
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LPINQ LOANS PAYABLE INQUIRY
Enter Account No.: 1 - 12450
ESTATE OF URSULA E FALLER
380 WILSON ST
CARLISLE PA
17013
Date Ref
2010/12/30 INTREST
2010/09/30 INTREST
2010/06/30 INTREST
2010/03/31 INTREST
2009/12/31 INTREST
2009/09/30 INTREST
2009/06/30 INTREST
2009/03/31 INTREST
2008/12/31 INTREST
3/24/11
15:35:25
Annual Rate: 1.00
Accrued Interest: 8.474
YTD Interest: .00
Beg .Qtr .Balance : 3,6,8,2,.,40,
Date Acct.Opened:
Deposits withdrawals
CF3-Exit
Int.Paid Current Balance
9.38
9.49
23.07
22.68
27.61
29.70
29.13
30.82
33.38
3,682.40
3,673.02
3,663.53
3,640.46
3,617.78
3,590.17
3,560.47
3,531.34
3,500.52 +
,..
~:~.~~
~_~