HomeMy WebLinkAbout03-12-12 (2)1505610140
-"' REV-1500 ~` ~°'-'°'
OFFICIAL USE ONLY
PA Department of Revenue
Bureau of Individual Taxes County Code Year File Number
Po sox 2so6D1 INHERITANCE TAX RETURN 2 1 1 2 0 0 0 3
Harristwr~PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
1 3 5 2 4 3 7 4 9 1 2 2 3 2 0 1 1 0 5 2 9 1 9 3 1
Decedent's Last Name Suffix Decedent's First Name MI
V A U G H N L O U S I E M
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
® 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)
® 6. Decedent Died Testate ^ 7. Decedent Mainjained a Living Trust ~ 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 T0:
Name Daytime Telephone Number
I V 0 V O T T O I I I E S Q 7 1 7 2 4 3 3~ 4 1
REGISTER LS USE
Y ~
J
~
~ r
First line of address
1V ,, ~ r~
M A R T S O N L A W O F F I C E S ~~~ "o ~~
z
~
Second line of address ~ s- r'r-r
~
1 0 E H I G H S T A
~'
City or Post Office State ZIP Code DATE FILED
C A R L I S L E P A 1 7 0 1 3
Corrospondent's e-mail address: I O T T O a M A R T S O N L A W• C O M
Under penslUee of plejury, I declare that 1 have examined this nMum, including aooompanying schedules and statements, and to the hest of my knowledge and belief,
it is bue; oom~lt and oxnpl~a. Dsdaratbn of than the personal r4presentaUve is based on all inforrnadon of which preparer has any knowledge.
SIG~T~! PERSON RESPO~IB~OR (LING RE~ORN t DAT^ `
ADDRESS
Side 1
15056.10140 1505610140
10.E HIGH STREET CARLISLE PA 17013
PLEASE USE ORIQJNAL FORM ONLY
Continuation of REV-15001nheritance Tax Return Resident Decedent
LOUSIE M. VAUGHN 21 12 0003
Decedents Name Pagq 1 File Number
Correspondents
Name Daytime Telephone Number
First line of address
Second line of address
City or Post Office State ZIP Code
Correspondents e-mail address:
under penaMiee of parr, I dedere ~ I here examined this rehlm, indud~g accompanying schedules and statements, and to the fleet of my knowledge and belief,
it is Uue, oomect snd oan+plete.l~egarldoti of pn>parer other than fhe personal representative is based on all infonnadon ~ which preparer has any kr-owiedge.
SIGNA URE QF BLE FOR FILING RETURN OAT
~ - ~ ~Z
895 BACK HOLLOW RQAD BLAIN PA 17006
1505610240
REV-1500 EX Decedent's Social Security Number
Decedents Name: L O U S I E M- V A U G H N 1 3 5 2 4 3 7 4 9
RECAPITULATION
1. Real Estate (Schedule A) ........................................... 1. D . 0 D
2. Stocks and Bonds (Schedule B) ...................................... 2. 0 . D 0
3. Cloaey Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
4. Mortgages and Notes Receivable (Schedule D) .......................... 4. •
1 8 2 3 5. 2 4
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5.
8. Jointy Owned Property (Schedule F) ^ Separate Billing Requested ....... 6. 0 • 0 D
7. Inter-Vivos Transfers 8 Miscellaneous NQp;Probate Property
arate Billin
Re
uested
l
u S
h
d
G
S
7
8 4
0
5
8
2.
0
9
.......
{
ep
g
q
e
u
e
)
c .
8. Total Gross Assets (total Lines 1 through 7) ........................... 8. 8 5 8 8 1 ? • 3 3
9.
............
Funeral Expenses and Administrative Costs (Schedule H) ......
9. 1 8 6 1 6. 9 2
10.
9 9 ( ) .............
Debts of Decedent, Mort a e Liabilities, and Liens Schedule I 10. 3 5 4 1. 6 0
11. Total Deductions (total Lines 9 and 10) ............................... 11. 2 2 1 5 8 . 5 2
12. Net Value of Estate (Line 8 minus Line 11) ............................ 12. 8 3 6 6 5 8. 8 1
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
0
0
0
an election to tax has not been made (Schedule J) ...................... 13• •
14. Net Value Subject to Tax (Line 12 minus Line 13) ...................... 14. 8 3 6 6 5 8. 8 1
TAX CALCULATION -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 .o _ 0. 0 0 15. 0. 0 0
16. Amount of Line 14 taxable
at lineal rate x .045 8 3
6 6 5 8. 8
1
1s.
3 7 6 4 9.
6
5
17. Amount of Line 14 taxable
at sibling rate X .12
0. 0
0
17.
0.
0
0
18. Amount of Line 14 taxable
0
0
0
0
0
0
at collateral rate X .15 . 18. .
19. TAX DUE ......................................................19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
3 7 6 4 9. 6 5
Sidi 2
L 1505610240 1505610240
REV-1500 EX Pape 3
Decedent's Complete Address:
File Number
21 12 0003
DECEDENTS NAME
Louise M. Vau
STREET ADDRESS
221 Rid a Drive
CITY
Carlisle STATE
PA ZIP
17015
Tax Payments and Credits:
t• Tax Due (Page 2, Une 19) (1) 37,649.65
2. CreditslPayments
A. Prior Payments
B. Discount 1,882.48
Total Credits (A + B) (2) 1,882.48
3. .Interest.
(3)
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) 0.00
5. If Une 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 35,767.17
Make check payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE- FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred : ...............................................................
i ....... ^
^
ncome; ........................
b. retain the right to designate who shall use the property transferred or its .......
^
c. retain a reversionary interest; or ......................................................................................... .......
^
d. receive the promise for life of either payments, benefds or care? ................................................ .......
2. If death orxurred after December 12,1982, did decedent transfer property within one year of death
without n~ving adequate c~nsideration? ................................................................................
....... ^
h
d
th?
it
t hi
k
'
'
s or
er
ea
..
y a
~pcount or secur
or payable-upon~ieath ban
intrust for
3. Did decedent own an .......
4. Did deodent own an individual retirement account, annuity or other non-probate property, which
.....................................................
contains a benefiaary designation? ......................................
.......
® ^
IF THE ANSWER TO ANY OF THE ABOVE RUESTIONS IS YES, YOU MU,BT COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1,1994, and before Jan. 1, 1995, the tax rats imposed on the net value of transfers to or for ~e use of the surviving spouse is
3 percent (72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after Jan.1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. §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 sfi~ applicable even if the surviving spouse is the only beneficiary.
For dates of death on a after July 1, 2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an
adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in
72 P.S. §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 de,~dent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under
Seclion 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1508 EX + (8-98)
SCHEQ~JLE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, 81 MISC.
INHERITANCE TAX RETURN PERSONAL RROPERTY
R DENT DECEDENT
ESTATE OF FILE NUMBER
LOUSIE M. VAUGHN 21 12 0003
Indude the of Ntlgatlon and the date the proceeds were received by the estate.
All ~ownsd vrN11 M of sunhronhip must be discbsed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Ortstown Bank checking 146000596 17,668.68
($17,668.41 + $,27 interest)
See attached
2. Hoffman-Roth Funeral Home, refund 6.57
3. Family Horne Health Care, refund 124.00
4. Highmark, refund of premium 435.99
TOTAL (Also enter on line 5, Recapitulaation) ~ S
(If more space is needed, ~sert additional sheets of the same size)
REV-1510 EX+ (08-09)
Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDI~JLE G
INTER-VIVOS TR~-NSFERS AND
MISC. NON-PROB,~--TE PROPERTY
ESTATE OF FILE NUMBER
LOUSIE M. VAUGI-IN 21 12 0003
This sdredule must be oomplated and filed if the answer to any of quesfions 1 through 4 on page three of the REV-1500 is yes.
ITEM
NUMBER DESCRIPTION OF PROPERTY
INCLUDE THE NMrE OF THE TRANSF6tEE, THENt RELATXNISFNP TO DECEDENT AND
THE DATE OFTRAt~FER.ATTACHACOPYOFTHEDEWFORREALESTATE DATE OF DEATH
VALUE OF ASSET 96 OF DECD'S
INTEREST EXCLUSION
t~~Pn TAXABLE
VALUE
1. Waddell & Reed IRA 35749182 - Beneficiaries: Linda V. Bohlen, 58,992.82 100.00 58,992.82
daughter, 50%; Denise L. Vaughn, daughter, 50%
See attached
2. Waddell & Reed TOD 35803128 - Beneficiaries: Linda V. Bohlen, 781,589.27 100.00 781,589.27
daughter; SO%; Denise L. Vaughn, daughter, 50%
See attached
TOTAL (Also enter on Line 7, Recapitulation) ~ _ 840,582.09
If more space is needed, use addifional sheets of paper of the same size.
REV-1511 EX+ (10-09)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHE[~ULE H
FUNERAL EXt~ENSES AND
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
LOUSIE M. VAUGHN 21 12 0003
DecedeM'a detds must be reported on Schedule I.
NUMBER DESCRIPTION
A. FUNERAL EXPENSES:
1. Hoffman-Roth Funeral Home & Crematory, Carlisle
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
Cryy State ZIP
Yea-(s) Commission Paid:
2, Attorney Fees: Manson Law Offices
3, Family Exemption: (K deoedenYs address is not the same as daimanCti, attach explanation.)
Claimant
Street Address
Chy State ZIP
Relationship of Claimant to Decedent
a
4. probate Fees: Cumberland County Register of Wills
5. Accamtant Fees:
6. Tax Return Preparer Fees:
7. ~ Filing fee, Inheritance Tax return
TOTAL (Also enter on Une 9, Recapitulation) 15
If more space is needed, use additional sheets of paper of the same size.
AMOUNT
2,640.92
15,400.00
561.00
15.00
1
REV-1512 EX+ (12-09)
Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT~CEDENT
SCHE[~ULE I
DEBTS OF ~!ECEDENT,
MORTGAGE LIABILITIES, & LIENS
ESTATE OF FILE NUMBER
LOUSIE M. VAUGHN 21 12 0003
Report debb incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbureed medigl expensea.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
Bank checking 146000596, outstanding checks on date of death ~ 3,054.51
2. Messiah Village Home Care, LLC, account payable I 487.09
TOTAL (Also enter on Line 10, Recapitulation) ~ S
If more space is needed, insert addifieonal sheets of the same size.
REV-1513 EX+ (01-10)
p®nnsylvania SCHE ULE J
DEPARTMENT OF REVENUE BENEFIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
LOUSIE M. VAUGHN 21 12 0003
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List TTUStee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS pndude ouUight s I distrfbutlons and transfers under
Sec. 911"6 (a (1.2).]
1. Linda V. Bohlen Lineal 418,329.41
895. Back Hollow Road
Blain, PA 17006
2. Denise L. Vaughn Lineal 418,329.40
211 Ridge Drive
Carlisle, PA 17015
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE LINES 15 THROUGH 18 OF REV-1500 COVER S HEET, AS APPROPRIATE.
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
___
TOTAL t3FPART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. S 0.00
If more space is needed, use additional sheets of paper of the same size.
,. r
F:~FII.F.S~DATAFILE~Fatate Plmne~l I422.I.a.vn71.2003 ~ O I ~/
~/ UUJJ
LAST WILL AND TESTAMENT
I, LOUISE M. VAUGHN, of 221 Ridge Drive, Middlesex Township, 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 made by me.
ITEM ONE
• I direct that all my legally enforceable debts, funeral expenses, testamentary expenses
and all inheritance taxes shall be paid to the extent possible from the assets held or passing
under ITEM FOUR hereof as soon as practicable after my decease and as part of the
administration of my estate.
ITEM TWO
In the event my husband shall predecease or fail to survive me by thirty (30) days, then
I give such items of personalty as are itemized in a certain list attached hereto to the persons
named thereon, which list is signed and dated by me at the end thereof.
ITEM THREE
I bequeath any automobiles or motor vehicles I may own at my death, my personal
effects, such household goods if any as may be my individual property and not the property
of my husband or owned j ointly by me with my husband, and other tangible personal property
of like nature (not including cash or securities), together with any existing insurance thereon,
to my husband, DONALD S. VAUGHN, JR., providing he survives me by thirty (30) days.
Should my husband predecease me or die on or before the .thirtieth day following my death,
I bequeath such tangible personal property and insurance thereon to such of my children as
are living on the thirty-first day after my death, to be divided between them with due regard
for their personal preferences in as nearly equal shares as practical and as they shall mutually
~~
[a tials]
Page 1 of 8 Pages
agree. I direct that any of the foregoing articles not selected by such children or about which
there is no agreement shall be sold at public or private sale by my personal representative(s),
and I further direct that the net proceeds thereof shall be administered and distributed as a
part of the residue of my estate.
ITEM FOUR
If my husband, DONALD S. VAUGHN, JR., is living thirty (30) days after my death,
then I give, devise and bequeath all of my estate, both real and personal property, unto my
said husband, absolutely. If my said husband does not so survive me, then I give, devise and
bequeath all the rest, residue and remainder of my estate, both real and personal property,
unto my Trustees to be held or distributed by such Trustees under ITEM SEVEN hereof.
ITEM FNE
In the event my husband shall predecease or fail to survive me by thirty (30) days, then
I give, devise and bequeath my property located at 211 Ridge Drive, Middlesex Township,
Cumberland County, PA (Tax Parcel No. 21-22-0128-002), containing a cabin on two acres,
more or less, to my daughter, DENISE L. VAUGHN, absolutely, with substitution of issue;
and I further give, devise and bequeath my property located at 221 Ridge Drive, Middlesex
Township, Cumberland County, PA (Tax Parcel No. 21-22-0128-001), along with an
adjacent parcel of land containing approximately 10 acres with a barn and outbuildings (Tax
Parcel No. 21-22-0128-061), to my daughter, LINDA V. BOLEN, absolutely, with
substitution of issue.
ITEM SIX
In the event my said husband shall, disclaim all or any portion of any devise or bequest
made to my husband under the foregoing ITEM FOUR then the amount otherwise payable
shall be held by my Trustees under ITEM SEVEN hereof. For purposes of the Trust
established under ITEM SEVEN hereof, my said husband shall not be deemed to have
predeceased me by virtue of my said husband's exercise of the right to disclaim set forth
herein.
p~''~-~,
[Initials]
Page 2 of 8 Pages
ITEM SEVEN
RESIDUARY AND DISCLAIMER TRUST
My Trustees shall hold the assets received under ITEMS FOUR and SIX hereof, if
any, for the following purposes:
A. My Trustees shall pay the net income, at least quarter-annually, to my husband,
DONALD S. VAUGHN, JR., for life. In addition, my Trustees, in my Trustees' sole
discretion, may invade the principal of the Trust for the proper and adequate support of my
said husband.
B. In addition to the above provisions, my said husband shall have the power to
direct my Trustees to pay to him or to apply out of the principal of this Trust in each year,
including the year of my death, an amount not in excess of the greater of Five Thousand
($5,000.00) Dollars or five (5%) percent of the then aggregate value of the principal of this
Trust. This power shall be noncumulative and may be exercised only by an instrument in
writing signed by him and delivered to my Trustees within the first thirty (30) days of fiscal
year of this Trust.
C. Upon the death of my said husband, or upon my death if my husband shall not
survive me by thirty (30) days, my Trustees shall distribute the principal of the Trust to my
children, DENISE L. VAUGHN and. LINDA V. BOLEN, in equal shares, absolutely;
provided, however, that any interest the Trust shall have in the real estate referred to in ITEM
FIVE hereof shall be distributed in accordance with such ITEM FIVE.
D. In the event that any of my said children shall fail to survive my husband and
me, but shall leave issue surviving, then such, deceased child's share shall be held by my
Trustees and the net income therefrom shall be used for the support, maintenance and
education of the issue of such deceased child. My Trustees shall use as much of the principal
as they shall deem desirable for said purposes. My Trustees 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 ofthirty-five (35) years. In the event that any of my children shall
o~ ~ ,
[Initials]
Page 3 of 8 Pages
fail to survive my husband and me and not leave issue surviving, then such deceased child's
share shall be added to the share of my other child as if originally a part thereof.
ITEM EIGHT
POWERS OF EXECUTOR AND TRUSTEES
In addition to the powers conferred by case law, by statute, and by other provisions
hereof, my Executor and Trustees 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
Trustees) 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 as
maybe 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;
~~~
[Inirials]
Page 4 of 8 Pages
G. To pay from the trust, or the income therefrom, all debts or claims against my
estate, or any taxes or similaz chazges 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 Trustees, in my Trustees' absolute discretion, may cause the
shaze 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 maybe 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, j oint venture, j oint ownership or other business
enterprise of which I am a part at the time of my death;
L. 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
o~ • ~
[Initials)
Page 5 of 8 Pages
adjudicated to be an incapacitated person, but who, by reason of illness or mental or physical
disability is, in the opinion of the fiduciary(ies) hereunder, unable to properly administer such
amounts, such amounts maybe paid by 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.
Evidence of the application of payment of an amount in such a manner shall be a full and
complete discharge of the fiduciary(ies) hereunder to the extent of such payment or
application. This paragraph shall be applicable to payments of income as well as principal.
P. To employ agents, attorneys and proxies and to delegate to them such power
as my personal representative and Trustees consider desirable and to pay reasonable
compensation for such services as may be 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 NINE
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 Trustees, be liable for
or subject to the debts, contracts, obligations, liabilities or torts of any beneficiary, or to
~ `-' ~
[Inirials)
Page 6 of 8 Pages
attachments, executions or sequestrations under process of law.
ITEM TEN
APPOINTMENT OF EXECUTOR AND TRUSTEES
I nominate, constitute and appoint my husband, DONALD S. VAUGHN, JR., as
Executor of my estate. In the event that my said husband shall predecease me or fail to act
as Executor, then I appoint my daughters, DENISE L. VAUGHN and LINDA V. BOLEN,
or the survivor of them, as co-Executrices of my estate.
I nominate, constitute and appoint my daughters, DENISE L. VAUGHN and LINDA
V. BOLEN, or the survivor of them, as Trustees of any trust created hereunder.
ITEM ELEVEN
WAIVER OF BOND
I direct that neither my Executor nor my Trustees 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 ~~`' day of
-.~.~,--~., Zf
SEAL)
. Louise M. Vaughn
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 7 of 8 Pages
i
COMMONWEALTH OF PENNSYLVANIA )
. SS.
COUNTY OF CUMBERLAND )
We, Louise M. Vaughn, No V. Otto III, and ~rrs ~ ~~`~x~ ,the
Testatrix and the witnesses, respectively, whose names are signed to the foregoing
instrument, being first duly sworn, do hereby declare to the undersigned authority that the
Testatrix signed and executed the instrument as her last Will and that the Testatrix has signed
willingly, and that the Testatrix executed it as her free and voluntary act for the purposes
therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix,
signed the Will as a witness and that to the best ofhis/her knowledge the Testatrix was at that
time eighteen years of age or older, of sound mind and under no constraint or undue
influence.
~~ ~
L is M. Vau ,Testatrix
Witness
` 'Witness
Subscribed, sworn to and acknowledged before me by Louise M. Vaughn, the
Testatrix, and subscribed and sworn to before me by No V. Otto III and
q`/-~ .,,~ ~ . `7~' e-,- _, the witnesses, this 7'`Q day of~~~ , ~ s-
~ Ju~r
l
Notary Public
RIAL SEI1L
rIC'fOR1A L. OTTO, NOTARY PUBLIC
CARLISLE BORO. CUA46ERLAN~ COUNTY
MY OMMISSIO(~ I
Page 8 of 8 Pages
January 17, 2012
Martson Law Office
10 E High Street
Carlisle, PA 17013
Fax: 243-1850
Re: Estate of Louise M. Vaughn
Social Seca~rity Number 135-243749
Date of Death 12!23/2011
IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD THE
FOLLOWING ACCOUNT WITH ORRSTOWN BANK:
_CHECKING ACCOUNT
Account No: 146000596
Account Type- 50+ Interest Checking
Date Opened- 11/9/2005
Joint Account (name/date} No
Balance- $17,668.41
_. _ _.. _ _ .. _Acc~ed_Interest_ .._ _.. ... ... _$0.2.7_ _ _ _ .._ ......... _.... . _ .._ .._ _ _ ........ . .... _ ._ . ... _ ........ -- _ -- ...... _ .. .. .
Best Regards,
~. U!~
H~~
J' R. Worthington
Deposit Processing Clerk
2695 Philadelphia Avenue
Chambersburg, PA 17201
7.888.OfRRSTDWN
www.arrstown.com
vtcna i v~-vly
. BA1vK
A T ~adetion of Faxellence
DEC. 28.2011 "10: 30ANPM 884702~SOURCE DEPT
~~ ~'V1C
N0.728l7 P. 22
684Q laanar
Rne 0~ tau 79itn
sti~.~uaaA, tcs ~o»~
Dooaenbar 27, 2Ql l
De~ae Yr.'Vaughn
211 Rfd$e Road
Carlisle, PA 1701a
Re: Acoouat N'v. 35749185 & 35$03128
Estate ol~Lonise ~ Vavg~
pate of Death:121x3~ZOl l
Dear Nts. 'Vaughn:
Tlds le~tar ~ i~a xerponst to your oadoa of ttie death of Ms. Louise N~. Vaughn, ~d ycranc
rbquest four the ~ of death valuatloa.
Please be edvleod that es of tlu date o~ deatb-, the above accouats Wert valued as ~bllovwa:
IRA 35749162: 538,992.82
TOD 35803128:$781,S89.Z7
If yoas b-ave ~ gneatlona, please ooz~O! w at tlu adds above or on oos'CO11 free
samba 1-688-'WA;UAELL (1-86Sr9Z3~3S~
Sincerely,
Client Service pivison
'GVaddedl dt Reed Sexvioea Compaal-