HomeMy WebLinkAbout10-11-11PHONE: (717) 737-1300
law c~f~s of
DEBRA K. WALL~;T
24 N. 32nd STREET
CAMP HILL, PA 17011-2917
E mail Walletdeb(a~aol.corn
October 6, 2011
Glenda F. Strasbaugh, Register of Wills
Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013
Dear Ms. Strasbaugh:
Re
Estate of Willbur R. W. Hubley
Will No. 20 1 1-00485
FAX: (717) 761-5319
Enclosed are an original and one copy of the Pennsylvania Inheritance Tax Return, a
check in the amount of $4,519.57 representing payment of the inheritance tax due, one copy of
an Inventory of the Estate, and one copy of a Status Report Under Rule 6.12 for filing in the
above-captioned estate. I have also enclosed a check in the amount of $30.00 representing the
filing fees for the tax return and the inventory.
I have enclosed a copy of the first page of each to be stamped in and returned to me in
the pre-addressed envelope provided. Thank you.
Sincerely yours,
Debra K. Wallet
DKW/mm
Enc.
cc: Jo Ann Shepp >~urns, Co-Executrix
Lou Ann Shepp Houck, Co-Executrix
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. CD 015049
SHEPP HOUCK LOU ANN
29 BEECHWOOD ROAD
AIRVILLE, PA 17302
fold
ESTATE INFORMATION: ssN: isa-i4-io54
FILE NUMBER: 211 1-0485
DECEDENT NAME:
DATE OF PAYMENT: HUBLEY WILBUR R W
10/ 1 1 /201 1
POSTMARK DATE: 10/1 1 /201 1
couNTY:
DATE OF DEATH: CUMBERLAND
01 /09/201 1
REMARKS: RECEIPT TO ATTY
ACN
A~>SESSMENT
CONTROL
NUMBER
REV-1162 EX~11-96)
AMOUNT
101 ~ 54,519.57
TOTAL AMOUNT PAID:
54,519.57
CHECK#112
INITIALS: HEA
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
Rf=GISTER OF WILLS
REGISTER OF WILLS
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA }
couNTY of Cumberland } ss File Number 21 - 11 - 00485
Jo Ann Shepp Burns Lou Ann Shepp Houck
Personal Representative(s) of the Estate of ($4,000 each)
Hubley, Wilbur R. W.
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real estate outside of the
Commonwealth of Pennsylvania except that which appears in a memorandum at 1:he end of this inventory.
I verify that the statements made in this Inven-
tory are true and correct. I understand that false state- }
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to }
authorities.
--- --•-rr ..........
Attorney -- (Name) Debra K Wallet
S
~''f"'- k • l~we
~
.a
___ (
upre
(Firm) Law Offices of Debra K. Wallet me Court I.D. No.) 23989
------------
(Address) 24 North 32nd Street
Camp Hill, PA 17011
ele hone
p ) 717/737-1300
-------
DATE OF DEATH LAST RESIDENCE 4905 East Trindle Road
1/9/2011
DECEDENT'S SOC. SEC. NO
Mechanicsburg, PA 17050 .
168-14-1054
FIGURES MUST BE TOTALED
Personal Property
67 Savings Bonds - Series E and EE
14,553.19
222 shares of Principal Financial Group
7,177.26
Wells Fargo (formerly Wachovia) checking account #1000015159262
32,894.60
Wells Fargo (formerly Wachovia) checking account #1010248200680
16,579.45
Wells Fargo (formerly Wachovia) savings account #1010248200664
42,282.78
Personal property in room at Country Meadows (dresser, old TV
bookshelves
,
chair) ,
.-C~ :_125.00 _~-,
~
Cash in possession of Decedent --, ~ -'
"
~1510 ',
=ri
_~
~; ~~
- _7 _ _,
..
_. .". .
J ti_
(Attach additional sheets if necessary) Total Personal Property and Real Est
t _
.
-l.~
"` _~ y > i-.:.,T.
a
e $1 ~3,627~3Z~ T-~
--~ REV-1500 Ex(°'-'°' 1505610143
PA Department of Revenue ~ OFFICIAL USE ONLY
Pennsylvania Counly Code Year File Number
Bureau of Individual Taxes DEPARTMENT OF REVENUE
PO 60X.280601 INHERITANCE TAX RETURN 21 11 0 0 4 8 5
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
168 14 1054 O1 09 2011 09 26 1920
Decedent's Last Name Suffix Deicedent's First Name MI
HUBLEY WILBUR R
(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
® 1 Original Return
^ 4. Limited Estate
® 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
^ qa Future Interest Compromise
(date of death after 12-12-82)
^ ~ 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
1
___ 8. Total Number of Safe Deposit Boxes
^ 11. Election to tax under Sec. 9113(A)
(Attach Sch. O)
~.vrcrctarurvutrv I -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name
Daytime Telephone Number
DEBRA K WALLET 717 737 1300
First line of address
24 NORTH 32ND STREET
Second line of address
City or Post Office State ZIP Code
CAMP HILL PA 17'011
REGISTER OF WfiL~~j 1SE ONL-Y
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DATE FILED
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Correspondent'se-mail address: Walletdeb@aOI.COm
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE Q~ PERSON RESPONSIBLE FnR Fu wr. acn Tau
o Ann Shepp Burns
2767 Oakland Road, Dover, PA 17315
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
ADDRESS
24 North 32nd Street, Camp Hill, PA 17011
Side 1
1505610143
Debra K Wallet
DATE
~0~4 ~ 11
1505610143
1505610243
REV-1500 EX
oecedent~s Name: R U B L E Y, W I L B U R R. W.
RECAPITULATION
1. Real Estate (Schedule A) ..................................................................................... .... 1.
2. Stocks and Bonds (Schedule B) ............................................................................ ... 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)...... .... 3.
4. Mortgages & Notes Receivable (Schedule D) ...................................................... .... 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............. ... 5.
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested .......... ... 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ^ Separate Billing Requested .......... ... 7.
8. Total Gross Assets (total Lines 1-7) .................................................................... ... g,
9. Funeral Expenses & Administrative Costs (Schedule H) ..................................... ... 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............................. ... 10.
11. Total Deductions (total Lines 9 & 10) ................................................................... ... t 1.
12. Net Value of Estate (Line 8 minus Line 11) .......................................................... ... 12.
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.
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 .00 15.
16. Amount of Line 14 taxable
at lineal rate X .045 1 0 0, 4 3 4 8 8 16.
17. Amount of Line 14 taxable
at sibling rate X .12 17.
18. Amount of Line 14 taxable
at collateral rate X .15 18.
19. Tax Due .................................................................................................................... . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Decedent's Social Security Number
168 14 1054
21,730.45
91,896.93
10,507.73
124,135.11
17,335.21
6,365.02
23,700.23
100,434.88
100,434.88
4,519.57
4,519.57
Side 2
1505610243 1505610243
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21 - 11 - 00485
Hubley, Wilbur R. W.
STREET ADDRESS
4905 East Trindle Road
CITY
Mechanicsburg
ATE ZIP - - ---_.
PA ', 17050
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments
B. Discount
3. Interest
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 2 Line 20 to request a refund'.
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
Make Check Payable to: REGISTER OF WILLS, AGENT.
(3)
(4)
(5)
0.00
0.00
4,519.57
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 :......................................._........................................ ~ !rx 1.
b. retain the right to designate who shall use the property transferred or its income :.................................... ~ ~Lx l
c. retain a reversionary interest; or .................................................................................................................. ~~ ' -,
'x~
d. receive the promise for life of either payments, benefits or care? ......................................_...................... ~ x_'
2. If death occurred after December 12, 1982, did decedent transfE~r 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?......... [l ~ x j
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ..................................................................................................................... U ~~
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Fp r dates ofp eath o~ or afte §July 1 ~ 1) ~ 4) (j]before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving
s Ouse is 3 ercent 72 P.S. 9116 a 1.1 i
For dates of death on or after Januarryy 1, 1995, the tax rate imposed on the net values of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. §9116 (a) (1.1) (ii)]. The stafute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of
assets and filing a tax retturn 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 Hof 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 decedents lineal beneficiaries is 4.5 percent, except as noted in
72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)].
(1) 4,519.57
Total Credits (A + B) (2)
• The tax rate imposed on the net value of transfers to or for the use of the decedents 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, wfiether by bloo~ or adoption.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF Hubley, Wilbur R. W.
All property jointly-owned with right of survivorship must be disclosed on Schedule F,
ITEM ' DESCRIPTION
NUMBER
1 67 Savings Bonds - Series E and EE (see attached list)
2 ', 222 shares of Principal Financial Group
FILE NUMBER
21 - 11 - 00485
UNIT VALUE VALUE AT DATE OF
DEATH
ii 14,553.19
I
32.33 I', 7,177.26
TOTAL (Also enter on line 2, Recapitulation) ~ 21,730.45
i
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF Hubley, Wilbur R. W.
FILE NUMBER
21 - 11 - 00485
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
NUMBER
1 Wells Fargo (formerly Wachovia) checking account #1 00001 51 59262
2 Wells Fargo (formerly Wachovia) checking account #1010248200680
3 Wells Fargo (formerly Wachovia) savings account #1010248200664
4 Personal property in room at Country Meadows (dresser, old N, bookshelves, chair)
5 Cash in possession of Decedent
TOTAL (Also enter on Line 5, Recapitulation)
VALUE AT DATE OF
DEATH
32,894.60
16, 579.45
42,282.78
125.00
15.10
91,896.93
CHEDULE G
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN INTER-VIVOS TRANSFERS &
RESIDENT DECEDENT MISC. NON-PROBATE PROPERTY
ESTATE OF Hubley, Wilbur R. W. FILE NUMBER
21 - 11 - 00485
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH I % OF EXCWSION
NUMBER Include the name of the transferee, their relationship to decedent VALUE: OF ASSET i DECD'S (IF APPLICABLE) ' TAXABLE VALUE
and the date of transfer. Attach a copy of the deed for real estate. INTEREST
1 ', Thrivent Financial Annuity ~0,507_~~ ! 100% 10,507.73
i
j
I
I
i
TOTAL (Also enter on line 7, Recapitulation) ', 10,507.73
SCHEDULE H
FUNERAL Ex~ENSES &
COMMONWEALTH Of PENNSYLVANIA
INHERITANCE TAX RETURN A r'VIA'NICT~A'1'7~ lC /'~/'~Q'1'C
RESIDENT DECEDENT F1LJ1~~ F~7 ~ r~/'\ ~ ~ V C l-W ~ J
ESTATE OF Hubley, Wilbur R. W.
__ _ Debts of decedent must be reported on Schedule_ I.
ITEM
NUMBER ',' FUNERAL EXPENSES: DESCRIPTION
A. 1 Tri-County Memorial Gardens
2 Delivery of ashes to Ocean City, MD (320 miles x $0.51/mile)
3 Delivery of ashes to Ocean City, MD (overnight accommodations and meals)
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Jo Ann Shepp Burns Lou Ann Shepp Houck ($4,000 each)
Street Address 2767 Oakland Road
city Dover State PA zip 17315
' Year(s) Commission paid 2011
2. Attorney's Fees Debra K. Wallet, Esq.
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
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs
1 ,Postage, photocopies, mileage, etc.
TOTAL (Also enter on line 9, Recapitulation)
8,000.00
5,000.00
341.50
50.00
17, 335.21
FILE NUMBER
21 - 11 - 00485
AMOUNT
3,290.00
163.20
308.00
C Schedule' H ~
COMMONWEALTH OF PENNSYLVANIA r~'" """" -T°'~" "`
INHERITANCE TAX RETURN -~ AdminlslwadVle Costs OOnhnued
RESIDENT DECEDENT
ESTATE OF Hubley, Wilbur R. W. F LI E NUMBER
___ _ 21 - 11 - 00485
2 Reimbursement of expenses incurred by Co-Executrices (postage, mileage, supplies)
_____ -
182.51
Page 2 of Schedule H
SCHEDULEI
DEBTS OF DECEDENT, MORTGAGE
COMMONWEALTH OF PENNSYLVANIA LIABILITIES & LIENS
INHERITANCE TAX RETURN 7
RESIDENT DECEDENT
~ FILE NUMBER
ESTATE OF Hubley, Wilbur R. W. ~ 21 - 11 - 00485
Report debts incurred by the decedent prior to death that remained unpaid at the hate of death, including unreimbursed medical expenses.
ITEM DESCRIPTION
NUMBER
1 Country Meadows -final bill
2 Darren Barbucci, DPM
3 Verizon
4 Jackson Gastro.
5 Azizkhan Internal
6 West Shore EMS
7 State Employees' Retirement System (repayment of monthly pension for month after death)
TOTAL (Also enter on Line 10, Recapitulation)
REV•1513 EX+ (11.08)
SCHEDULE)
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
H ITANCE TAX RETURN
IN ER
RESIDENT DECEDENT
ESTATE OF
Hubley, Wilbur R. W.
NUMBER ', NAME AND ADDRESS OF PERSON(S)
RECEIVING PROPERTY
I~ 'TAXABLE DISTRIBUTIONS[include outright spousal
distributions, and transfers
under Sec. 9116 (a) (1.2)]
1 Marc Hubley
CB 5657
2500 Lisburn Rd., P.O. Box 200
', Camp Hill, PA 17001-0200
RELATIONSHIP TO
DECEDENT
Do Not List Trustee(s)
Son
FILE NUMBER
21 - 11 - 00485
SHARE OF ESTAT AE MOUNT OF ESTATE
(Words) ; ($$$)
100% of residuary
Estate
'Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet, as appropriate.
II. INON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00
@~ ~`
i
T WILBt.JR R. W. HUBLEY, of Camp Hill, Cumberland County, Pennsylvania,
of sound and disposing mind, memory, and understanding, do hereby make, publish, and
being
declare this to be my Last Will and Testament and hereby revoke all other Wills and Codicils
that I have made, including the Will dated June 27, 2001.
FIRST: I direct that after my death my body be cremated. I have made pre-
arrangements through the Cremation Society of Pennsylvania who should be contacted at my
death.
wherever situate, be liquidated as soon as practical. After the payment of my final expenses
and any taxes due, I direct that my Executrix purchase a single premium annuity payable to my
^~~ce ated and ;~.~!~^ is Pxpected to be
r' W . W , H UBLE`~', who is cup r~ntly. in:.u. r r
son, MAF:~.
incarcerated for the foreseeable future. My Executrix sl~.all have absolute discretion to select a
reputable company and to determine the terms and conditions of this annuity. This annuity
shall be payable to my son until the end of his natural life. Should there be any residual
payment due upon my son's death, said payment shall bf: paid to those individuals named in
SECOND: Upon my death, I direct that all of my Estate, of whatever nature and
Part THIRD herein.
THIRD: Should my son fail to survive me by thirty (30) days, then I give, devise,
and bequeath all of my Estate, of whatever nature and wherever situate to the following
individuals who shall survive me by thirty (30) days:
p. Fifty (50%) percent, in two equal shares, to my wife's nieces: JO ANN SHEPP
URNS, of York, Pennsylvania, and LOU ANN SHEPP HOUCK, of York, Pennsylvania;
B
g, Fifty (50%) percent, in two equal shares, cne to my nephew, DENNIS L.
ERS of York, Pennsylvania; and one to my half-sister, ROMAINE NALEN, of York,
MY ,
Pennsylvania.
I have provided here for these named beneficiaries only and not for any of their issue.
Should an of the above-named beneficiaries fail to survive me by thirty (30) days, I direct that
y
the share given to said beneficiary be distributed to the survivor named within each subpart.
FOURTH: All interests of any beneficiary in the income or principal of this Estate,
while undis in 'b to ed and in the possession of my Executrix, even though vested and
distributable, shall not be subject to attachment, execution or sequestration for any debt,
contract, obligation or liability of any beneficiary and, fi.~rthermore, shall not be subject to
pledge, assignment, conveyance, or anticipation. I specifically direct that the bequest to my
son shall not be subject to anv fees set by the Commonwealth related to his incarceration.
FIFTH: All inheritance, estate, and succession taxes (including interest and any
penalties thereon) payable by reason of my death shall be paid out of and be charged generally
against the principal of my residuary estate, without apportionment or right of reimbursement
from any person. In the event that a substantial portion, as determined in the sole and absolute
judgment and discretion of my Executrix, of the non-probate assets are directed to be paid to a
beneficiary or beneficiaries, so that the taxes referred to herein would be paid out of the
robate residue passing to the beneficiary or beneficiaries of this will (whether or not the same
P
as the beneficiary or beneficiaries under the non-probate assets), my Executrix, in the
ecutrix's sole and absolute judgment and discretion, shall have the right to allocate the full
Ex
or artial payment of the taxes to the beneficiary or benefit;iaries of the non-probate assets.
P
SIXTH: In addition to all rights and powers conferred by law, I authorize and
m ower my Executrix and her successors, in her absolute: discretion and without necessity of
e p
obtaining court approval:
A, To buy investments at a premium or discount.
B, To hold property unregistered or in the name of a nominee.
C. To give proxies, both ministerial ar.~d discretionary.
D. To compromise claims.
E. To join any merger, consolidation, reorganization, voting trust
other concerted action of security holders anal to delegate discretionary duties with
plan, or any
respect thereto.
p. To lend to, and buy from, my esta~.e.
G. To borrow and to pledge real and personal property as security therefor.
H. To sell at public or private sale fol- cash or credit or partly for each, to
anae or to lease for any period of time, any real or personal property, and to give options
exch b ,
for sales, exchanges, or leases.
I. To exercise any option permitted 'by law which she believes to be
aeous from the viewpoint of overall tax reductions, including, without limitation of the
advantab
foregoing, power and authority to claim administration or other expenses either as income tax
deductions or inheritance or estate tax deductions, without regard to whether they were paid
rinci al or income and without requiring adjustments between principal and income for
from p P
an resulting effect on income or estate taxes, and a deduction of such expenses for income tax
y
ur oses shall be given effect in computing the respective shares of all persons interested in
P P
my estate set forth herein, even though the effect is to increase the share of one beneficiary or
class of beneficiaries hereunder at the expense of another; and to make such adjustments, if
any, between beneficiaries with respect thereto as she shall deem appropriate in view of the
nature of the transaction and the amounts involved.
J. To distribute in cash or in kind or partly in each.
The powers granted hereunder shall be exercisablf° with respect to all real and personal
roperty, including, but not limited to, income and principal held for minors or disabled
P
beneficiaries at any time, until the actual distribution of z:ll property. All powers, authorities
and discretion granted here shall be in addition to those granted by law and shall be exercisable
without leave of court. However, nothing herein shall b~° interpreted. or construed to
encourage, authorize, empower, or permit the Executrix to act or cause anyone to act in a
ersification and risk
manner contrary to or inconsistent with accepted standards of portfolio div
management.
SEVENTH: I nominate, constitute, and appoint my wife's nieces, JO ANN SHEPP
BURNS, an Ld OU ANN SHEPP HOUCK, as Co-Executrices of this, my Last Will and
Testament, In the event of the renunciation, death, resignation, or inability of either of my
wife's nieces to act for whatever reason in this capacity, then I nominate, constitute, and
appoint the other to act as sole Executrix.
I direct that no representative named above shall be required to post security for the
faithful. performance of her duties in any jurisdiction insofar as I am able by law to relieve her
re resentatives shall be entitled to reasonable compensation for
of such obligation. Any of my P
the performance of the duties set forth here. ~,~, da of
WITNESS WHEREOF, I have hereunto set my hand and seal this y
IN
2006, on this, the fifth of five type~'ritte;n pages. I have also signed the
F~~~ ,
mar in of the first four of these pages for purposes of identification only.
left-hand g
~~
WILB JR R. W . HUBLEY
NED PUBLISHED, and DECLARED by the Testator, WILBUR R. W•
IG
S
his Last Will and Testament, in the presence of us, who at his request, in his
HUBLEY, as
and in the presence of each other, have hereunto subscribed our names as witnesses.
presence, _
~ , ~J.,,w...®-
'~' ,C --
~,, ./
~- ~ ~„~ ~
~~:'~ --
ACKNOWLEDGMENT
Commonwealth of Pennsylvania
County of Cumberland
I, WILBUR R. W. HUBLEY, Testator, whose narrie is signed to the attached
nt having been duly qualified according to law, cio hereby acknowledge that I signed
mstrume b
d executed the instrument as my Last Will and Testament; that I signed it willingly; and that
an
I signed it as my free and voluntary act for the purposes therein expressed.
r
WIL~3UR R. W. HUBLEY
Sworn or affirmed to and subscribed before me by WILBUR R. W . HUBLEY, the
,.~ _, 2006.
Testator, this ~ _ day of }-~ '
~,.
~/ ,_
~1- .. _
Notary Publi
COMMONWEAL i H OF PENNSYLVANIA
Notarial Seal
Mary M. Loper, Notary Public
Camp HiA Boro, Cumberland2Cout~7
My commission Expires Oct.
Member. Pennsylvani? Association Of Notaries
AFFIDAVIT
Commonwealth of Pennsylvania
County of Cumberland
We, Debra K. Wallet and C~~,»t ~ ~' ~°~` ~~ ~`~ ~ the witnesses whose names
are signed to the attached instrument, being duly quaiii~ied according to law, depose and say
that we were present and saw the Testator, WILBUR R. W. HUBLEY, sign and execute the
instrument as his Last Will and Testament; that he executed it as his free and voluntary act for
the purposes therein expressed; that each of us in the hearing and sight of the Testator signed
the Will as witnesses; and that, to the best of our knowledge, the Testator was at that time 18
years of age or older, of sound mind, and under no constraint or undue influence.
_~ ~ A_ d c ~J~~~
~ /
~~ ~/ ~~
_~
S~~~orn or affirmed to and subscribed to before me by 1J.i.1~1''r"~._ ~'= ~ ,; 4-~ i i ~~ ~ and
~'~ 2006 .
~.C~~'} n'~~ ~- ~1 ~1'1f 1L, witnesses, this ~ day of ~rz b, ~~
~~~ ~ ~ ~ . ~
Notary Publi
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Mary M. Loper, Notary Public
Camp Hiu Boro, Cumberland County
My Commission Expires Od. 27, 2007
Member. Pennsylvania Pssociation Of Notaries
tl
REV-485 EX (1-07)
SAFE DEPOSIT ,--
BOX INVENTORY
PA Department of Revenue
48500D4],046
CITY: STATE: ZIP CODE:
CA~+? !~l~u.. ~R 1~u11
DATE AND TIME OF LAST ENTRY
SA~r ~ i ao i i *i
1 TITLE UNDER WHICH BOX IS REGISTERED
w1151.~ ~. Int.... ~~ Cie. {~G/et w.GA~~w/0.
Social Security or Death Certificate Number Date of Death County Code Year File Number
1 L Y t y 1 b5~( ~ I D$ ~ 0 1 i 2 1 t'I t7 O'~p' S
Decedent's Last Name Suffix First Name MI
ADDRESS OF DECEDENT STREET:
' CITY: STATE: ZIP CODE:
a,,,vD~E ~.o a~
y9 0~ t; ~sr T ~,~c-~ q,~~cs b~~ ~Q- ti~uSo
NAME AND ADDRESSVOF PERSON REQUESTING THE OPENING OF THE SAFE DEPOSIT BOX
NAME: D lra~a rti. ~ RL1.~ l~ k$ Q ,
'
STREETADDRESS:
~~1 N. ~~.c ~Sr~c~~r CITY:
Cer+>~ N ~« STATE:
~~. ZIP CODE: '
too i t
NAME, ADDRESS AND RELATIONSHIP (IF ANY) TO DECEDENT, OF PERSON(S) PRESENT AT THE BOX OPENING
a. NAME:
3o Atirr'.s Stt`?>~ Bu.~t~s RELATIONSHIP:
N~&~t: q,~D
Go - E~rsc.
STREETADDRESS
~,}c,`} bs~,.aa~ ~I~~ CITY:
_ ~oy~ STATE:
~A ZIP CODE:
1~3t5
b. NAME:
L~t~ AN~J Stt g?~ !ao w.c.k. RELATIONSHIP:
_ NI b C L ~sl~
~~ " G y ~~. .
STREETADDRESS:
~g l~ccahwvo~ ~~. CITY:
d~t>2v«~~ STATE:
~~4 ZIP CODE:
t~3oZ
c. NAME: RELATIONSHIP:
l
STREETADDRESS: CITY: STATE: ZIP CODE:
NAME AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED
NAME:
~ NG ~paK
STREETADDRESS:
11 OH CAa.~IS 1.t KoAD
NAME OF PERSON MAKING LAST ENTRY
?oRrNU SCtL7J ~4Ra,lS
DATE OF CONTRACT TO RENT BOX NUMBER OF BOX.
NAME AND ADDRESS OF PERSON(S) HAVING ACCESS TO BOX
a. NAME:
W 11 y t,1,r 2• W-u. 6 c c..,
STREETADDR S:
eSGC. Lctg qa'G }
CITY: STATE: ZIP CODE:
b. NAME:
PLEASE USE ORIGIPIAL FORK! O~iILY
loco
STREET ADDRESS:
CITY:
STATE: ZIP CODE:
NAME AND TITLE OF EMPLOYEE TAKING THE INVENTORY
~iCBRa Id. I.,~Atl.f.T. Q~rrotnaify FoE tkE.GuTR~GIES
WAS A WILL IN THE BOX? ^ YES ~ NO If yes, a. Date of will:
b. Name and address of personal representative, if named in the will
NAME:
STREETADDRESS:
CITY:
STATE: ZIP CODE:
c. Name and address of attorney, if any
NAME:
STREET ADDRESS:
4850004],046
- i
CITY: STATE: ZIP CODE:
48500041046
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