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HomeMy WebLinkAbout10-26-11 (2)J 1505611188 REV-7500 EX(02-11)(FI) ~ ~~ PA Departm nt of Revenue pennsytva~fa OFFICIAL USE ONLY nntinnam ar en4svr orsozzso o;dualTaxes INHERITANCE TAX RETURN ceuntycode Year File Number Harrisburg, A titza-oeot RESIDENT DECEDENT 21 11 0656 ENTER DECEDENT INFOR ATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth 2 0 3 2 0 18 71 MMDDYYYY 05 19,,.,2011 10 17 1927 Decedent's Last Name ' Suffix Decedent's Frst Name Slike ' !, Mary Jane (If Applicable) Enter Sufviv~ng Spouse's Infonnatlon elow Spouse's Last Name ~ Suffix Spouse's Frst Name Slike , William Spouse's Social Security Number TF~IS RETURN MUST BE FILED IN DUPLICATE WITH THE 201 16 5218 ', REGISTER OF WILLS FILL IN APPROPRIATE OVA~.S BELOW ~ 1. Original Retum ~ O 2 Su le ntal MI MI H • p me Retum O <3. Remainder Retum (Date of Death O 4. Limited Estate ~ Prior to 12-13-82) O 4a. Futu Interest Compromise (date of ~ 6. Decedent Died Testae O ~ (Attach Copy of Will) i, G7 9. Litigation Proceeds Received O 10. ~~~~~~r-vnv~rv 1 - t ms s~ctlon must be completed. A Name John E• Slike~ Esquire First Line of Address 635 North 12tH, Street, Suitl Second Line of Address City or Post Office Lemoyne Correspondent's a-mall addry t after 12_12_82) ~ S. Federal Estate Tax Retum Required dent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes ;h Copy of Trust) sal Poverty Credit (Date of Death C~ 11. Election to Tax under Sec. 9113(A) °en 12-31-91 and 1-1-95) (Attach Schedule O) .II Correspondence and Confidential Tax Information Should be Directed to: Daytime Telephone Number 717 612 5800 400 '~s true~correctand comp ete cf~ecla~ation of the p e'parer olther than personal 51 TUREOFPE~SON RES ON BLE FOR FILING RN / See schedule attached PA 17043 PLEASE 1505611,88 I~~ io/ab/i vrrrcrnAL FORM ONLY State ZIP Code PA 17043 r..,? REGISTERQ., ~L.4SUSEONGIC D - _i a ~,a . ~~ z 7 ~ r ; ~ r--~ `=3:: .. ;7 . - _ -, .' t7 -- .r ~ _...-~ - . a 7~ -~ _ .. } ~_ ~ -i- _'7 ~ ,_: DiiTE FILED ~ ~ ~~ Side 1 schedules and statements, and to the best of my knowledge and belief, is based on all information of which preparer has any knowledge. 1505611188 .J Estate of: Mary Jane Slike 203-20-1871 Executor John E. Slike Saidis, Sullivan ~& Rogers 635 North 12th Street, Suite 400 Lemoyne, PA 1 X7043 Stephen M. Slike 86 Richland Lane Camp Hill, PA 17011 ~ _ _ __ .~., 1505611288 Rev-1500, IX (FI) Decedent's Name: ~ a r y Jane S l i e RECAPITULATION ............. a. eal Estate Sched ( a le A) .. ' 2. Stocks and Bonds (~ .............. chedule B) ........................ 1 ............ . ....................... 2. 3. Closely Held Corpora tion, Partnership or Sole- rietorship (Schedule C) ...... 3, 4. Mortgages and Note Receivable (Schedule D) . .................. . . . . . 4 5. Cash, Bank Deposits) l and Miscellaneous Personal roperty (Schedule E) ....... 5, 6. 7. Jointly Owned prope Inter-Vivos Transters (Schedule G) ~I (Schedule F) O Sep ~Miscellaneous Non-Probat C7 Sep ate Billing Requested ...... Property ate Billing Requested ...... g, 7, 8. Total Gross Assets (kotal Lines 1 through 7) 9. Funeral Expenses a 10. Debts of Decedent, 11. Total Deductions 12. Net Value of Estate 13. Charitable and Gover an election to tax has 14. Net Value Subject to Decedent's Social Security Number 203 20 1871 D•OO 1,407,594.18 0.00 0.00 192,563.12 0.00 0.00 1,600,157.30 Administrative Costs (Schedule H) ....... , .......... 9. [gage Liabilities, and Liens (Schedule I) ..... . . . . . . . . 10 Lines 9 and 10) .............................. 11. 8 minus Line 11) ............................. 12. ntal Bequests/Sec 9113 rusts for which been made (Schedule J) ....................... 13. (Line 12 minus Line 13) ...................... 14. TAX CALCULATION -SEE INSTRUCTIONS FOR "°' -' -- 15. Amount of Line 14 tax le at the spousal tax rate, or trarufers under Sec. 9116 (ax1.2) X .00 16. Amount of Line 14 taxa~le at lineal rate X .045 17. Amount of Line 14 taxatble at sibling rate X .12 18. Amount of Line 14 taxat~le at collateral rate X .15 19. TAX DUE 28,999.38 0.00 28,999.38 1,571,157.92 0.00 1,571,157.92 1'iA r tS 0.00 1s. 1,571,157.92 1s. 0.00 17 0.00 18 ~ ........ ..................... 19. 20. FILL IN THE OVAL IF Y~U ARE REQUESTING A R FUND OF AN OVERPAYMENT i' I,~, 150561128 J Side 2 0.00 70,702.11 0.00 0.00 7D,7O2.11 0 1505611288 ~. Rev-1500 IX (FI) Page 3 Flle Number Decedent's Complete Address: 21 11 0655 DECEDENTS NAME Ma Jane Slike STREET ADDRESS Tax Payments and Credit: 1. Tax Due (Page 2 Line 19) 2. Credits/Paymerns ', (1) 70 702.11 A. Prior Paymerns ' 66, 00.00 e. Discount 3 99.89 Total credits (A + B) (2) 69 999.89 3. Interest Mechanicsbu PA P 17055 4. If Line 2 is greater than Line 1~+ Line 3, erner the different .This is the OVERPAYMENT. (3) 0.00 Fill in oval on Page 2, Line 0 to request a refund. i (4) 5. If Line 1 + Line 3 is greater th~n Line 2, erner the different .This is the TAX DUE. (5) 702.22 ~I Make check payabl to: REGISTER OF WILLS, AGENT. IF THE ANSWER TO ANY OF THE /~BOVE QUESTIONS IS YE; For dates of death on or after July 1, 19 and before Jan. 1, 1995, tl is 3 peroern [72 P.S. sect, 9116(a)(1.1)(i ]. For dates of death on or after Jan. 1, 19 5, the tax rate imposed on tf [72 P.S. Sect. 9116(a)(1.1xii)]. The slat does not exempt a transfer of assets and filing a tax return are still plicable even if the survivinc For dates of death on or after July 1, 200 • The tax rate imposed on the net valu of transfers from a decease an adoptive parern or a stepparern o the child is 0 percent [72 P. • The tax rate imposed on the net valu~ of transfers to or for the use [72 P.S. Sect. 9116(a)(1)]. ~ • iss def nedt unde Section 9102,tas an~ ndiv dual who has at east c PLEASE ANSWER TH I FOLLOWING QUES IONS BY PLACING AN "X" IN THE APPROPRIAT 1. Did decedent make a transfer and: E BLOCKS a. retain the use or i ome of the property transf rred Yes No b. retain the right to c retain a i designate who shall use the roperty transferred or its income ' ' ' ' ' ' ' ' ' ' ' ' ' ^ ^ . revers on interest .......... • .... • d. receive the promi for life of either paymerns, ...... benefits or cares ^ 2. If death occurred aft r Dec. 12, 1982, did deced rn transfer property within one of death without rec ruing adequate consideratio year . 3. Did decedent own a 4. Did decedern own a ' in trust for" or payable-upo indi id l -death bank account or security at his or her death? . . ^ which contains a be v ua retirement accou ficiary designation? ... . ,annuity or other non-probate property, .... ................................... . ^ Q YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. tax rate imposed on the net value of transfers to or for the use of the surviving spouse e net value of transfers to or for the use of the surviving spouse is 0 percent to a surviving spouse from tax, and the statutory requiremerns for disclosure spouse is the only beneficiary. child 21 years of age or younger at death to or for the use of a natural parern, Sect. 9116(a)(1.2)]. f the decedent's lineal beneficiaries is 4.5 percent, except as noted in the decedent's siblings is 12 percent [72 P.S. Sect. 9116(a)(1.3)]. A sibling parern in common with the decedent, whether by blood or adoption. REV-1503 EX+(8-g8) COMMONWEALTH OF PENNN,SYLVANIA INH ERITANCE TAX RE~URN RESIDENTDECEDE T ESTATE OF Mary Jane Slike ITEM All SCHEDULE B TOCKS & BONDS 21 11 0656 or surnvornslp must be disclosed on Schedule F. ---~--- 1 840 shares of Covidien PLC 2 4521 share of Fulton Finl Corp P 3 600 shares ~f Heinz H J Co 4 840 shares ~f Tyco International Lt Dividend on ~i~above stock declared rior to decedent's death 5 840 shares ~f TE Connectivitiy Ltd 6 4500 sharesof Nuveen Mun Value and Inc Dividend on ~bove stock declared rior to decedent's death 7 1835.7696 shhares of Nuveen PA Pr m Income Mun Fd Dividend on above stock declared p Fior to decedent's death 8 2000 shares bf Blackrock Enh Eq D vidend Trust 9 6891.936 shares of Eaton Vance Ta Adv Div Inc 10 1500 shares ~f Blackrock Real Ass Equity 11 40 shares of ~urrencyShares Swiss ranc Tr 12 613 shares of Ishares Inc MSCI CD Index 13 184.006 shams of Rowe Price New ra Fd Inc 14 835 shares of SPDR Gold Trust 15 72 shares of ~PDR Dow Jones Indl vrg Etf Ut Ser 1 16 208 shares of Select Sector SPDR T SBI Int-Utils 17 390.041 shared of Steelpath MLP Fd Tr Income Fd CI I 18 $20,000 Total ~apital 9/15/2010 mat 3/15/2016 2.3% Dividend on ab ve stock declared pri r to decedent's death Total from con inuation Schedule(s) TOTAL (Also enter on line 2, Recapitulation) insert additional sheets of the same size) (If more space is VALUE AT DATE OF DEATH 48,108.31 50, 974.28 32,187.00 42,042.00 210.00 30,662.10 41, 355.00 175.50 23,286.74 128.50 17,460.00 121,332.53 21, 990.00 4,480.00 19, 885.72 9,779.92 121,371.43 9,069.84 7,098.00 4,212.44 19, 964.42 83.06 781, 737.39 1,407, 594.18 Estate of: Mary Jane Slike Schedule B -Stocks and Bonds Item Number Descri lion 19 581.738 sh~res of Vanguard/Vllell sley Income Fund 20 16,788.267 (shares of Vanguard Fi ed Income Secs Fd GNMA ADM 21 17,869.338 ~~hares of Vanguard Fi ed Income Secs Fd STRM INVGRA AD 22 307 shares {~f Vanguard World Fd 23 $100,0001Nestmoreland Cnty PA un Auth 7/1/15 24 $5,000 Dover Twp Swr Auth Swr R v 6.25% 5/1/2012 Interest on above bond accrued as of decedent's death 25 $20,000 ATB~T Inc. 11/17/08 matur s 11/15/2013 6.7% Interest on move bond accrued as f decedent's death 26 $20,000 American Express Cr Corp Mtnbe 9/13/10 mat 9/15/2015 Interest on af~ove bond accrued as f decedent's death 27 $20,000 Anh~user Busch Cos Inc 22/04 matures 4/15/2012 4.7% Interest on move bond accrued as f decedent's death 28 $20,000 BP Cap Mkts PLC 5/8/09 m lures 5/8/2014 3.625% Interest on above bond accrued as f decedent's death 29 $20,000 Bankj Nova Scotia Halifax 1 2/10 matures 1/22/2013 2.25% Interest on above bond accrued as o decedent's death 30 $15,000 Blacl~rock Inc 12/10/09 mat res 12/10/12 2.25% Interest on ab~ve bond accrued as o decedent's death 31 $20,000 Chesapeake Energy Corp 2/ /09 matures 2/15/15 9.5% Interest on above bond accrued as of decedent's death 32 $20,000 Deer' John Cap Corp Mtns 2/17/07 mat 12/17/2012 4.95% Interest on abq've bond accrued as of decedent's death i TOTAL. (Carryllforward to main sched le) ..... . i ~~ Page 2 21 11 0656 Value at Date of Death 13,257.81 183,159.99 192,810.16 25,063.48 95,016.00 5,280.30 15.63 22, 556.00 14.89 20, 086.00 97.78 20, 706.92 88.78 20, 955.38 22.15 20,415.00 146.25 15, 335.43 149.06 23,850.00 496.11 21, 330.00 418.00 681,271.12 Estate of: Mary Jane Slike Sched~lle B -Stocks and Bonds Item Number 33 $20,000 Dr Interest on i 34 $20,000 Ge~ Interest on aji 35 $20,000 Toy Interest on a~ 36 $15,000 Vod~ Interest on alk 37 $20,000 Wind Interest on at~ Decedent's s items 1-37 a Decedent's wl William H. Sli Slike disclaim per ~nappie vrou Inc 12/21/09 mat 12/21/11 1.7% 'e bond accrued as of decedent's death it Elec Cap Corp M n 10/19/07 mat 10/19/2012 5.25% e bond accrued as of decedent's death Mtr Crd Corp Mtn 17/10 mat 06/17/2015 3.2% bond accrued as f decedent's death ie Group PLC New 3/16/06 mat 6/15/11 5.5% bond accrued as f decedent's death yam Corp 7/17/06 at 8/1/2013 8.125% bond accrued as f decedent's death ring spouse, Willia H. Slike disclaimed his interest in provided lifetime t ~. By document d~ i any interest as a III TOTAL. (Carry forward to main sched -_ i of the residue for her spouse, May 25, 2011 (attached) William H. eficiary of her will or other document. Page 3 21 11 0656 Value at Date of Death 20,141.56 139.78 21,196.00 87.50 20, 748.00 270.22 15,040.50 355.21 22,000.00 487.50 100,466.27 REV-1508 EX+(1 ~-gyp) ~,. pennsylv~nia 6EPARTMENF OF RfVkNUE INHERITANCETAX RffTURN RESIDENTDECEDE T ESTATE OF: Mary Jane Slike I~clude the proceeds of lit All property jointly owned ITEM ~ SCHEDULE E BANK DEPOSITS, & MISC. :RSONAL PROPERTY FILE NUMBER: 21 11 0656 n and the date the proceeds were received by the estate. right of survivorship must be disclosed on Schedule F. 1 Merrill Lyncf~ CMA Tax Exempt Fu d 87296247 2 Fidelity Inve$tments 614-371750 Interest on above item accrued as f decedent's death Decedent's urviving spouse, Willia H. Slike disclaimed his interest in items 2 and ~ above. i If more space is ~~ TOTAL (Also enter on line 5, Recapitulation) insert additional sheets of the same size VALUE AT DATE OF DEATH 60, 851.00 131,711.48 0.64 192, 563.12 REV-1511 Ex+(10-09) pennsylv,~nia DEPARTMENT Of REVBNVE INHERITANCE TA~( RETURN RESIDEN7DECEDENT ESTATE OF Mary Jane Slike ITEM SCHEDULE H ERAL EXPENSES AND AINISTRATIVE COSTS Decedent's (debts must be reoorted on Schedule 1. A• FUNERAL EXF~ENSES: 1 Cafe Magno~ia, funeral luncheon 2 Myers-Harn~r Funeral Home 3 Rev Nancy E~ston, funeral music 4 Kathryn Duna, reimbursement for p yment of funeral flowers B• ADMINISTRATIVE COSTS: ~ • Personal Repre rttative Commissions: Name(s) of ~'ersonal Representative(s) Street Addr$ss - Ciry ' - State zip Year(s) Commission Paid: 2• Attorney Fees 3• Family Exemptiorb: (If decedent's address is n t the same as claimant's, attach explanation.) Claimant illiam H. Slike street Address 5225 Wilson Lane city Mech nicsbur State PA zip 17055 _ Relationship c}f Claimant to Decedent S NIVIn S OUSe 4• Probate Fees: 5• Accountant Fees: 6• Tax Return Prepar~r Fees: See schedule a~tached TOTAL (Also enter o n Line 9, Recapitulation) If more space is needed, use additional sheets of paper of the same size. FILE NUMBER 21 11 0656 197.92 3,712.00 75.00 270.25 20,000.00 3,500.00 992.50 251.71 28,999.38 Estate of: Mary Jane Slike Schedule , Part B -Administrative Costs Mi cellaneous Expenses Item Number ' Descri tion 7 M&T Bank, wire transfer fees 8 Cumberland County Register of W Ils, additional probate fee 9 Register of1~1/ills, filing fees for inh ritance tax return and inventory 10 John Slike, reimbursement for filin fee for Disclaimer 11 Saidis, Sullivan & Rogers, out of p ket expenses 12 Saidis, Sullivan & Rogers, out of po ket expenses IIII I TOTAL. (Car III onward t rY ~ o main sched le) ..... . ~i II Page 2 21 11 0656 Amount 30.00 100.00 30.00 5.00 80.48 6.23 251.71 I REV-1513 EX+(01-10) '. pennsylv~nia ~' SCHEDULE J OFPARTHFN70P RFVkNUf INHERITANCET XRETURN BENEFICIAR~Eg RESIDENTDEC DENT I'1rl ESTATE OF: Mary Jane Sllke FILE NUMBER: 21 11 0656 NUMBE NAME AND DRESS OF PERSON S R CEIVING PROPERTY RELATIONSHIP TO DECEDENT AMOUNT OR SHARE I TAXABLE DISTRIB ONS [Include outli ht ~ Not List Tru s OF ESTATE transfers under S~ec~ 9116(a)(b2 ~~ ~' and Stephen M. Slik~ 86 Richland Land Son 523,719.30 Camp Hilt, PA 1 X011 Jeffrey S. Slike I~, S 231 Sierra Street)#7 °n 523,719.31 ElSegundo, CA 0245 Kathryn A. Dunst 5100 Via Dolce #~01 Daughter 523,719.31 Marina del Rey, A 90292 ENTER DOLLARAMOUN SFORDISTRIBUTIONSSHOWN BOVEONLINESI5THROUGH180FREV-15000UVERSHEET,ASAPPROPRIATE. ri NON-TAXABLE DISTR BUTTONS: A SPOUSAL DISTRIBI TIONS UNDER SECTION 9 13 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: B. CHARITABLE AND GOVERNMENTAL DISTRIBU ONS: ~' i ~I TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DIS IBUTIONS ON LI _ NE ~3 OF REV X500 COVER SHEET. if more space is needed, u additional sheets of paper of the same size. i - - - _ -- _i -- ~ CODICIL TO LAST WILL AND TESTAMENT OF MARY JANE SLIKE SAIDIS, SHUFF & MASLAND ATTORNEYS•AT•LAW 2109 Market Street Camp Hill, PA I , i, Mary Jane S of the Borough of (:amp Hill, Cumberland County,',I Pennsylvania, declare this to be the sole codicil to my Last wi~ll~il and Testam nt dated January 23, 1.995. ~~ I - I direc that my funeral services be private with only mei~nbers of my fa it in att directl~ns donating t e organs ofnmynbodynd I confirm prior II - I amen StephenM. Slike and ~ co-executors of my la, both of (them fail to ~ appoint ~~my daughter, l or exec>.~trix as the c< paragraph XVI to provide that my son, y brother-in-law, John E. Slike shall be t will and testament. Should either or ualify or cease to act= as such then I athryn Foreman as substitute co-executrix se may be. In all othe respects I hereby rat=ify, confirm and republish my Last Wil and Testament dated ~Tanuary 23, 1995 together'ilwith this so e codicil as and for my Last Will. IN ~iJITNESS WHE: this, th~ .,3 ~' ~ E', I have hereunto set. my hand and seal on ~y of 2000. -_ --1 1 ( SEAL ) Mar rie S ike Signed, published an declared on the date thereof by the above- named testatrix as a d for the sole codicil to her Last Will dated January 23, 19 5 in the presence of us, who at her request, in her'~presence, and in the presence of each other, have hereunto subscr'•ed our names as witnesses hereto. { /,~ .f, Name Add"es ,- r ~~~ G e Addressi ~~ Nam SAIDIS, SHUFF & MASLAND A'tTORNEYS•AT•LAW 2109 Market Street Camp Hill, PA COMMONWI~ALTH COUNTY ', OF OF PEN SYLVANIA } CUM ERLAND } WEI, the undersi ned, the testatrix and the witnesses, respectively, whose ames are signed to the foregoing instrument, being first duly swo n, do hereby declare i~o the undersigned authority that the t statrix signed and exf=cuted the instrument as her Codicil to he Last Will and Testamf=nt and that she signed willin ly (or willin ly directed another to sign for her), and that s e executed it as her free will and •JOluntary act for the purpos s therein exp essed, and that each of the witnesses, in the pr sence and hea ing of the testatrix ,signed the codicil as witnes es and that t the best of their knowledge the testatrix was at that time eig teen years of age or older, of sound mind, and under no constra n or undue influence. Mary Jar~~-Spfike, Testatrix tness SAIDIS, SHUFF & MASLAND ATTORNEYS•AT•LAW 2109 Market Street Camp Hill, PA I~ ~ ~', ~ ~~ I Witness I~~, Sl~bscribed, sworn to and acknowledged before me by the testat~ix, and subscribed and swo to before me by both witnes~es, this % .~ day of 2000. II ~~ l t //' ota Pub : c Notarial Seal Shelbyy L. Yingling, Notary Public Camp Hill Boro, Cumberland County My Commission Expires Apr. 26, 2004 Member. Penn,,ywania kscoclatian of Notaries ST WILL AND TESTAMENT OF MARY JANE SLIKE I, County, this to MARY JANE SL KE, of the Borough of Camp Hill, Cumberland Pennsylvania, hereby revoke my prior wills and declare be my will: GIFTS SAIDIS, GUIDO, SHUFF & MASLAND 2109 Market Street Camp Hill, PA I. Person 1 and Household Effects: I give all my articles of personal or household use, including automobiles, togeth r with all in urance relating thereto, to my husband, Willia>~1 H. Slike. S ould my said husband :fail to survive me, then Il,direct that m automobiles be sold and the proceeds added to thell,residue of my estate, and that my articles of personal proper y and househo d goods be divided among my children, Jeffrey S. Slike, St phen M. Slike, and Kathryn Foreman, or their issue I~er stirpes, t be divided among them as they may agree or, in thelabsence of ag Bement, as my executor may think appro- priate li My executor may make whatever arrangements my executor deems appropriate for storing and delivering articles of personal i or household use to the beneficiaries, anci may pay the cost thereof and any rel ted expenses including insurance from my residuary estate. rest, where` II. Resi ue: Upon my death, I direct that all the ~esidue and r mainder of my estate of whatever nature and :r situate be distributed as follows: Page 1 i A. Ulified Credit Trust: My executor shall pay to the trustee herei after named an amount equal to the balance of the dollar amount not taxed in my estate: due to the applica- tion of the Unified redit for Federal Estate Tax Purposes (the exemption equivalent , after taking into account the value for ~ederal~ es~.ate tax p rposes of other transfers of mine, either duringlmy lifetime o at death which utilize or which will utilize a portion of my unified credit against federal gift and estate taxes, IN TRU T, nevertheless, to be held, administered and disposed of in a cordance with the provisions of Paragraph III he~eof. SAIDIS, GUIDO, SHUFF & MASLAND 2109 Market Street Camp Hill, PA B. le Interest Trust: M~ executor sha 1 place in a separate trust such of the trust ~ssets as steal not have been distributed pursuant to the preced~.ng subparagra h A. with the trustee hereinafter named, IN TRUST, nevertheless,lto be held, administered and disposed of in accordance with the rovisions of Paragraph IV hereof. My executlprs shall have the right to elect on the federal estate tax return prepared on ehalf of my estate to have a portion or all of the property dis ributed pursuant to this subparagraph B. treated as "qualifi d terminable interest property" in order to qualify such portio or all of the property for the marital deduc ion for feder 1 estate tax purposes, which election shall be bi ding and conc usive upon the trustee;. If my executors ~~ II 'll Page 2 elect tllo have a port''on or all of such assets so qualify, such ' elected assets may a the discretion of the trustee and so long as the election to q alify such assets for the federal estate tax marital~~ deduction is not jeopardized, (i) be held and adminis- tered ~y the trustee as a separate trust estate with the balance, if any,ll of the asse s which are governed by this subparagraph B. ', also h~ld and admini tered as a separate trust estate, or (ii) be held al~d maintained y the trustee with the non-elected assets as one tryst estate. I either case, any such trust or trusts shall be hello, administere and disposed of in accordance with the provisions of Paragr ph IV hereof. UNIFIED CREDIT TRUST SAIDIS, GUIDO, SHUFF & MASLAND 2109 Mazket Street Camp Hill, PA III. The rustee shall have, hold, manage, invest and reinve~t the assets f the Unified Credit Trust, collect the income) and '~, A. If my husband, William H. Slike, survives me, then beginning at m death, the trustee shall pay over to my husband during his ifetime the net income of the trust in quart~'rly installme is and such portions of the principal as, in the s le discretion of the trustee, shall be necessary for his maintenance, suppor , medical and nursing care, taking into consideration any o her means readily available for such pur- poses,) and to provi e the standard of care which he was enjoying priorto my death. Page 3 ~ L II B. Af er my husband's death. (or mine if I survive' him) th then remaini g principal and any undistributed income shall b divided into three equal shares and distributed to my children, Jeffrey S. Slike, Stephen M. Slike and Kathryn Foreman, the share of a deceased child to be paid to his or her issue per SAIDIS, GUIDO, SHUFF & MASLAND 2109 Mazket Street Camp Hill, PA stirpes. invest income IV. TIP rust: The trustee shall have, hold, manage, and reinvest he assets of the QTIP Trust, collect the and: ~ A. I my husband, William H. Slike, survives me, then b~ginning at my death, the trustee shall pay over to my husban during his 1 fetime the net income of the trust in quarte ly installmen s and such portions of the principal as, in the so e discretion f the trustee, shall be necessary for his mainte ante, support medical and nursing care, taking into consid ration any of er means readily available for such purpos- es, an to provide t e standard of care which he was enjoying prior o my death. ~ B. Ater my husband's death (or mine if I survive her) t e then remain'ng principal and any undistributed income shall e divided equ lly and distributed to my children, Jeffrey S. Sli e, Stephen M. Slike, and Kathryn Foreman, the share of a deceased child to be paid to his or her i~.sue per stirpes. Page 4 -~ V. Discla'mer: I remind my husband (or his personal representative, guar ian or agent acting under a power of attor- ney) that she may di claim any part or all of the gifts to him hereun er, and it ma be desirable for him to disclaim all or part of my residuary estate, including the provisions for him in the tr sts set forth in Paragraphs III and IV. In such event, the am unts which wo ld be payable to him or to the trusts create herein shall be divided equally and distributed to among my chi dren, Jeffrey S. Slike, Stephen M. Slike and Kathryn Forema , the share o a deceased child to be paid to his or her issue er stirpes. ~~ VI. Power of Appointment: No provision of this will shall ~xercise any p wer of appointment I may have. I, VII. Ado ed Persons: Persons adopted during minority shall e considered s children of their adoptive parents, and they a d their desce dants shall be considered as descendants of their optive parents. TAX PROVISIONS SAIDIS, GUIDO, SHUFF & MASLAND 2109 Market Street Camp Hill, PA ~ VIII. De th Taxes: All federal., state and other death taxes ayable because of my death on the property forming my gross estate for to purposes, whether or not it passes under this ill, shall be paid out of the principal of my probate Page 5 I~ estate estatelso that the b rden thereof falls on my residuary (or, t the extent m residuary estate is :insufficient, from the portio of the marit 1 deduction trust which my executor elects not to qualify for t e marital deduction), and none of those taxes hall be charg d against the portion of the trust which my execut r elects to q alify for the marital deduction, to any benefi iary or any o tside fund. This provision shall not apply to gen ration-skippi g transfer taxes. I IX. Tax C any opi~ions availabl estate'in such a wad greate t overall tai i effect upon the size requir"ng adjustment ~tions: I direct my executors to exercise in determining and paying death taxes in my as reasonably may be expected to achieve the savings for my family, without regard to any of the marital deduction trust and without s between income and principal. NI SAIDIS, GUIDO, SHUFF & MASLAND 2109 Market Street Camp Hill, PA X. Grand hildren's Trust: If any income or principal of my estate or the trusts created herein is payable to a grand- child of mine, it s all be retained by my trustee in a separate trust for that gran child and thereafter: A. s much of the income and principal of that trust as my trustee may from time to time think desirable for the benef'ciary either hall be paid to him or_ her or shall be appli d for his or er benefit; Page 6 B. Ai~y income not so distributed shall be added to principal; and ', SAIDIS, GUIDO, SHUFF & MASLAND 2109 Mazket Strest Camp Hill, PA C. A my grandchild attains the age of 25, he or she sh 11 have the r ght to withdraw one-third of the principal balanc of the trust as said grandchild attains .the age of 30, he or he shall have the right to withdraw one-half of the princi al balance of the trust; and as said grandchild attains the ag of 35, he or she shall have the right to withdraw the remain ng balance of the trust. Such rights of withdrawal may be exerci ed at any tim or from time to time after the right accrue If any sai grandchild shall have attained any such respec five age or ag s at the time when such shares are directed to be et apart or a the time when any addition is made thereto, such g andchild shalll then have the right to withdraw such part or parts or all, as he case may be, of such share as is given to such grandchild upon attaining such respective age. D. If any grandchild for whose benefit the trust e holds a sep rate trust dies before: distribution of the entir share held f r the benefit of said grandchild, the princi- pal a d any accumul ted and undistributed income of the share shall then be distributed to the grandchild's issue. Should any grand hild die and ave no issue surviving, including afterborn issue, then the rem fining principal and accumulated and undis- tribu ed income of he share shall be distributed to my other child or her issue, as the case may be, and held and managed in accor ance with the terms and conditions of this trust. Page 7 ~_ ~ _ _ SAIDIS, GUIDO, SHUFF & MASLAND 2109 Mazket Street Caznp Hill, PA XI. Earl ermination of Trusts: If my trustee, in my trustee's sole discretion, determines that it is desirable to do so, my trustee may, ithout further responsibility, terminate any trust for a grandchild or his or her issue under the preceding articles. This may e done by paying the th en-remaining princi- pal an income of th t trust to the benefic:i ary or to his or her parent or guardian o in the case of a minor, by paying it to a custod'an for the mi or selected and appointed by my trustee or by dep siting it in n interest bearing account in the minor's name, ayable to him or her at majority. XII. Ri h s in Income: Each trust hereunder shall be entitl d to a propor innate share of income accruing from the event s of which it is to be set apart (for' example, the date of my dea h in the case of the marital deduction trust), and, pendin actual divis on, distributions of .income and principal may be made directly to a trust or, subject to the terms thereof, to the beneficiaries',of the trust. Except in the case of the marita deduction tririst, all income undistributed at a benefic- iary's death shall b~e treated as if it had accrued thereafter. ~ XIII. Pro ective Provision: No beneficiary may sell, give o otherwise tr nsfer his or her interest in income or princi al hereunder. No person having a claim against a benefi- ciary ay reach any such interest before actual payment to the beneficiary. Page 8 XIV. isions: I authorize my executors and my trustee: SAIDIS, GUIDO, SHUFF & MASLAND 2109 Market Street Camp Hill, PA A. To retain any investments I own at my death and to 'nvest in all orms of real and personal property, without being c nfined to inv stments authorized by a statutory list, without being require to diversify and regardless of any princi- ple of law limiting delegation of investment responsibility by executo s or trustees; B. T• compromise claims and to abandon any propert which, in m executors' or my trustee's opinion, is of little or no value; C. T sell at public or private sale, to exchange or to lease for any eriod of time, any real or personal proper- ty, an to give opti ns for sales or leases; D. T join in any merger, reorganization, voting- trust lan or other oncerted action of security holders, and to delega e discretiona y duties with respect thereto; ~ E. T borrow from anyone, even if the lender is an exe utor or trust e hereunder, and to pledge property as securi y for repayme t of the funds borrowed; F. T~ make loans to, and to buy property from, my wife's executor or a ministrator; G. T employ and to rely upon advice given by invest ent counsel, o delegate discretionary authority to make change in investmen s to investment counsel, and to pay invest- ment c unsel reasona le compensation in addition to any fees otherw se payable to my executor and my trustee; H. T employ a custodian, to hold property unregi tered or in t e name of a nominee {including the nominee of any institution e ployed as custodian), and to pay reasonable compen ation to the ustodian in addition to any fees otherwise payabl to my execut r and my trustee; I. T combin d fund (alloc from, nd expenses o invest ent and admin trusts for this purp trusts; and ~ hold two or more trusts hereunder as a sting ratably to such trusts all receipts F, the combined fund) for convenience in istration; provided that any combination of ase shall not alter their status as separate Page 9 J. T distribute in cash or in kind. K. T renew or extend the time for payment of any obliga ion, secured r unsecured, payable to or by them as fiduci ries for as 1 ng a period or periods of time and on such terms s they may de ermine and to adjust, settle and arbitrate claims or demands in favor or against them. L. T exercise all elections which they may have with r spect to inco e, gift, estate, inheritance and other taxes, including wit out limitation, execution of joint income tax_ re urr_s; electio to deduct expenses i n computing ore tax or anothe election to split gifts and election to pay or to defer paymen of any tax i all events without their being bound to requir contribution from any other person. These uthorities sh 11 extend to all property at any time held by my xecutor or my trustee and shall continue in full force until he actual dis ribution of all such property, except as otherw se specifical y stated. All powers, authorities, and discre ion granted b this will shall be in addition to those grante by law and s all be exercisable without court authoriza- tion. SAIDIS, GUIDO, SHUFF & MASLAND 2109 Market Street Camp Hill, PA XV. Executor or Trustee in Investment Business: The fact that an executor or trustee is active in the investment business shall not e deemed to be a conflict of interest, and purchases and sales of investments may be made through any firm of which he is a pa tner, shareholder, associate or employee. FIDUCIARIES Willis XVI. Exe utors and Trustees: T appoint my husband, H. Slike, E ecutors of this, my Last Will and Testament. Page 10 ~_ Should my husb~ fail to Deposit I trustee ie fail to qua ify or cease to act as such, then I appoint end's brother, John E. Slike, in this capacity. Should he qualify or ce se to act as such, tY~.en I appoint Dauphin Bank and Trus Company as my executor. I appoint Dauphin Deposit Bank arld Trust Company as of any trusts created herein. None of my personal representatives or my trustee shall be required to post and in this or any jurisdiction. this, the OF, I brave hereunto set my hand and seal on ay of l ~ 1995. ;~ ,. ~~s-.t~ ~fx~,n~t 1_..s~ ~c .~a t11 ( SEAL ) Mar J` ne Slike SAIDIS, GUIDO, SHUFF & MASLAND 2109 Mazket Street Camp Hill, PA In our presence the bove-named testator signed this and declared it to e her will, a d now at her request, in her presence, and in the presence of e ch other, we sign as witnesses: ~j Name WITNESS WHF ~ ~ ~. ~~ ~ f ~ Address ~1a,n~~ Address Page 11 C COUNTY H OF PENN YLVANIA) SS. OF C BERLAND) WE, the unde signed, the testatrix. and the witnesses, respec ively, whose ames are signed to th.e foregoing instru- ment, eing first duly sworn, do hereby declare to the under- signed authority tha the testatrix signed and executed the instru ent as her Last V3i11 and Testament and that she signed willin ly (or willingly directed another t.o sign for her), and that s e executed it as her free will and voluntary act for the purpos s therein ex ressed, and that each of the witnesses, in the presence and he ring of the testatrix signed the will as witnesses and that o the best of their knowledge the testatrix was at that time ei hteen years of age or older, of sound mind, and under no constr int or undue influence. SAIDIS, GUIDO, SNUFF & MASLAND 2109 Market Street Camp Hill, PA Subscribed, testa rix, and subs[ nesse this .z3'=° sworn to and acknowledged before me by the ;ribed and swo n to before me by both wit- day of _~z4-~- _, 1995. -~ ~ , N tary Public NO~fP,RIAL SEAL THELMA S. McCA.11SLIN, Notary Public Camp Hill, Cumberland County My Co^~~mislao Expires July 3,1996 -'~ r T statrix r IN THE COT OF COMMON PLEAS OF UMBERLA COUNTY, PENNSYLVANIA nRPH~NS' COURT DIVISION IN RE: ESTATE OF DECEASED I, William been named as a I may have been na do hereby disclair documents. IN WITH G~ WITNESS: /J~h~ Y JANE SLIKE NO. DISCLAIMER [. Slike, spouse of ary Jane Slike, who died May 19, 2011, and who has neficiary under her Last Will and Testament dated January 23, 1995, and who red as a benficiary nder a third party beneficiary contract or by other means, all and any interes that I may have acquired under the Will or other SS WHEREOF, I h 2011. ~-z--- set my hand and seal on this the °~~ day of William H. Slike a/k/a William H. Slike 1:I ~- - - COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1'7728-0601 PENNSYLVANIA RECEIVED FROM; INHERIT/~,NCE AND ESTATE TAX O FICIAL RECEIPT SLIKE JOHN E ESQUIRE SAIDIS SNUFF FLO ER ET AL 2109 MARKET STREET CAMP HILL, PA 17 1 1 REV-1162 EX(11-961 NO. CD 014856 ACN ASSESSMENT AMOUNT CONTROL NUMBER told ESTATE INFORMATION: ssN: 2 3-20-~ 87i FILE NUMBER: 2 11 1-0656 DECEDENT NAME: LIKE MARY JAN DATE OF PAYMENT: 8/ 1 6/201 1 POSTMARK DATE: 8/15/2011 couNTY: UMBERLAND DATE OF DEATH: 5/ 1 9/201 1 REMARKS: SEAL CHECK# 514 101 ~ 566, 500.00 TOITAL AMOUNT PAID: INI IALS: CJ RE EIVED BY: 566,500.00 GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER :~ ~ v d in A C A a u Q ~ ~ r .. y Q ~ ~ ~ r . 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