HomeMy WebLinkAbout11-30-12 (2)
.J 1505610105
EX (02-11) (FI)
REV-1500 OFFICIAL USE ONLY
PA Department of Revenue Pennsylvania
Bureau of Individual Taxes NH oEP>F.I_..'I~a=~_v'EERITANCE TAX RETURN County Code Year File Number
PO BOX 28o6o1
Harrisburg, PA 17128-0601 RESIDENT DECEDENT a I 1 a O U -5- 9-1
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
191-24-0329 12/01/2011 12/05/1923
Decedent's Last Name Suffix Decedent's First Name MI
Wertz Israel G
(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
OID 1. Original Return O 2. Supplemental Return O 3. Remainder Return (Date of Death
Prior to 12-13-82)
O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required
death after 12-12-82)
C@D 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (Date of Death O 11. Election to Tax under Sec. 9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
`
Name Daytime Telephone NumR9
Johnna J Kopecky, Esquire (717) 2216111 30
R S--ffla,- e~WILK=JSE EMILY
I-=rn c:
First Line of Address . cr) O
The Shagin Law Group LL ° C-> o -0 -n -n
Second Line of Address
120 South Street _V -y N o
City or Post Office State ZIP Code D DATE FILW
Harrisburg PA 17101
Correspondent's e-mail address: jkopecky@Shaginlaw.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.
SIGNATU OF PERSO E PONSIBLE FOR FILING RETURN DATE
/1-2$-20
/ Z..
ADDRESS e_1 aY\ AL)Q C4 DIa (D 1 7O 2-SIGNATU izR T E ENTATIVE DATE
2-
ADDRES
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610105 1505610105
1505610205
REV-1500 EX (FI)
Decedent's Social Security Number
Decedent's Name: 191-24-0329
RECAPITULATION
1. Real Estate (Schedule A). 1. 95,000.00
2. Stocks and Bonds (Schedule B) 2. 0.00
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) 3. 0.00
4. Mortgages and Notes Receivable Schedule D 4. 0.00
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 47,352.93
6. Jointly Owned Property (Schedule F) O Separate Billing Requested 6. 5,972.67
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested........ 7.
8. Total Gross Assets total Lines 1 through 7 8. 148,325.60
9. Funeral Expenses and Administrative Costs (Schedule H) 9. 7,792.04
10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule 1) 10. 8,760.31
11. Total Deductions (total Lines 9 and 10) 11. 16,552.35
12. Net Value of Estate (Line 8 minus Line 11) 12. 131,773.25
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. 131,773.25
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 .0_ 15.
16. Amount of Line 14 taxable
at lineal rate X .0 45 131,773.25 16, 5,929.79
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. 5,929.79
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Side 2
1505610205 1505610205
REV-1500 EX (FI) Page 3 File Number
Decedent's Complete Address:
DECEDENT'S NAME
Israel G. Wertz
STREETADDRESS
17 West Highland Avenue
CITY STATE ZIP
PA 17025
Enola
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19) (1) 5,929.79
2. Credits/Payments
A. Prior Payments 4,200.00
B. Discount
Total Credits (A + B) (2) 4,200.00
3. Interest
(3) 12.90
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund. (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 1,742.69
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 ❑ N
b. retain the right to designate who shall use the property transferred or its income ❑ E
c. retain a reversionary interest ❑
d. receive the promise for life of either payments, benefits or care? ❑
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ❑
3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? ❑
4. Did decedent own an individual retirement account, annuity or other non-probate property, which
contains a beneficiary designation? ❑
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is 3 percent [72 P.S. §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 still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an
adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in [72 P.S. §9116(a)(1)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. A sibling is defined,
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV 502 FX<. (t-08)
ii pennsylvania SCHEDULE A
t~ DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Wertz, Israel G 21-12-0058
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property
would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the property has been sold.
ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
1 17 West Highland Avenue, Enola, PA 17025 ( by appraisal, attached hereto) 95,000.00
TOTAL (Also enter on Line 1, Recapitulation.) $ 95,000.00
If more space is needed, insert additional sheets of the same size.
LEI i
u
FEE-SIMPLE DEED-Typewriter
Q Clarion Press, Harrisburg, Pa.
1Q ~ ~
L 41-11 Xubtuturr, ,labe the
SECOND (2nd) day of OCTOBER in the year of our Lord One
Thousand Nine Hundred and FIFTY-ONE (1151).
38CMEert LESTER J. LUTTRELL and BETTY J. LUTTRELL, his wife, of the Township of
East Pennsboro, County of Cumberland and State of $ennsylvania, Parties of the First
Part
a
- n
1
ISRAEL G. WERTZ and JULIA W. WERTZ, his wife, of Etters, R. D. # 1, York County,
and State of Pennsylvania, Parties
of the second part, K11CLi1t~Q~gQt , That the said part ies of the first part, for and it, , consideration
of the sun, of One Dollar 01.00) and other good and valuable considerations.
lawful vionei, of the United States of America, well and truly paid by the said part iea of the second
part to the said part ies of the first part, at and before the sealing and delivery of these presents, the receipt
whereof is hereby acknowledged, have granted, bargained,
sold, aliened, enfeoffed, released, conveyed, and confirmed and by these presents do grant, bargain, sell,
alien, enfeoff, release, convey, and confirm unto the said part ie8 of the second part their
heirs and assigns,
RU THAT certain piece or parcel of land situate in East Pennsboro Township,
Cumberland County, Pennsylvania, bounded and described as follows, to wits-
BEGINNING at a stone at the corner of lands-late of Jacob S. Lantz and E. Hoopy;
thence by lands late of Jacob S. Lantz South. Fifteen (15) degrees East One Hundred
Seventy-three (173) feet to a point; thence by lands late of Jacob S. Lantz South
Fourteen (14) degrees East One Hundred Forty-five and-Five-tenths (145.5) feet to a
post; thence by lands late of H. Bender's heirs North Eighty-two (82) degrees East
Two Hundred Twenty-eight (228) feet to a point; thence-by finds.late of Samuel Simpson
North Ten (10) degrees Forty-three (43) minutes West Three Hundred Twenty-four and
Fifteen One-hundredths (324.15) feet to a tree; thence along lands of George Miller,
Jr., South Eighty-two ,(82f'degrees West Two Hundred Fifty (250f feet to a stone,
the PlaiO of BEGINNING.
CONTAINING One (I) acre and One Hundred Twenty-five (125) perches, more or less.
HAVING thereon erected two 11 story frame dwellings.
~oget~jer with all and singular, the tenement s, hereditaments and appurtenances to the same belong-
ing or in anywise appertaining, and the reversion and reversions, remainder and remainders, rents, issues and
profits thereof; Zjnb aloo all the estate, right, title, interest, property, claim and demand whatsoever, both
in law and equity, of the said part ies of the first part, of, in, to or out of the said premises, and every part
and parcel thereof
To ""abe anb to J[)O[b the said premises, with all and singular the appurtenances, unto the said
part ies of the second part their heirs and assigns, to and for the only proper use and
behoo f of the said part i e s of the second part, their heirs and assigns forever,
Zinb THE SAID parties of the first part, for themselves, their
heirs, executors and administrators, do by these presents, covenant, grant and agree to and with the
said part i e s of the second part their heirs and assigns, that
they thesaid parties of the first part, for themselves, their
heirs all and singular the hereditaments and premises hereinabove described and granted or mentioned, and in-
tended so to be, with the appurtenances, unto the said part ies of the second part, their heirs
and assigns, against the said pan ies of the first part and theilteirs and against all and every other
person or persons whomsoever, lawfully claiming or to claim the same or any part thereof,
shall and will, by these presents, WARRANT AND FOREVER DEFEND
3n Witnemg Mbereof the said part ies of the first part ha ve
hereunto set their hand s and seal s the day and year first above written.
r.. ........(SEAL)
a
Z901 (SEAL)
Signed, Sealed and Delivered ..............................................(SEAL)
in the Presence of ..........(SEAL)
. ..............................................(SEAL)
..............................................(SEAL)
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File No. 12-0297
11/01/2012
Holly Sebastian
123 Westmoreland Ave.
Enola, PA 17025
File Number: 12-0297
In accordance with your request, I have appraised the real property at:
17 West Highland Avenue
Enola, PA 17025
The purpose of this appraisal is to develop an opinion of the defined value of the subject property, as improved.
The property rights appraised are the fee simple interest in the site and improvements.
In my opinion, the defined value of the property as of October 18, 2012 is:
$95,000
Ninety-Five Thousand Dollars
The attached report contains the description, analysis and supportive data for the conclusions,
final opinion of value, descriptive photographs, assignment conditions and appropriate certifications..
Respectfully submitted,
Cassandra J. Crockett
PA Certified Residential Real Estate Appraiser
Summary
Residential Appraisal Report File No. 12-0297
The purpose of this appraisal report is to provide the client with a credible opinion of the defined value of the subject property, given the intended use of the appraisal.
Client Name/intended User Holly Sebastian E-mail
C116mAddress 123 Westmoreland Ave. city Enola state PA zip 17025
•
Additional Intended Users The intended user of this report is the Client. No additional Intended Users are permitted without the
permission of the a raisers .
' Intended Use The Intended Use is to evaluate the property is the subject of this appraisal to provide the Client with an
accurate and adequately supported opinion of value.
Pro er Address 17 West Highland Avenue city Enola State PA zip 17025
Owner of Public Record Wertz Israel & Julia County Cumberland
Legal Description See legal description/tax ma
Assessor's Parcel # 09-15-1291-089 EX Tax Year 2011 R.E. Taxes $ 1979.00
Neighborhood Name East Pennsboro Tw Ma Reference 15-1291 Census Tract 0101.00
Property Rights Appraised X Fee Simple Leasehold Other describe
M research did X did not reveal an prior sales or transfers of the subject property for the three ears prior to the effective date of this appraisal.
PriorSale/Transfer: Date N/A Price Sources Courthouse Records
Analysis of prior sale or transfer history of the subject property (and comparable sales, if applicable) No recent recorded transfers were found. * Estate of
military veteran now deceased previously exempted from real estate tax.
Offerings, options and contracts as of the effective date of the appraisal None known
Neighbo.hood Characteristics,One-Unit Housing,Trends.r - One,lJni't dousing PresentL'atid Use;%; . ;
Location Urban X Suburban Rural Pro er Values increasing F X1 Declining PRICE AGE One-Unit 70 %
Built-U X Over 75% 25.75% Under 25% Demand/Su I Shortage X In Balance Over Supply $(000) rs 2-4 Unit 3 %
Growth Ra id X Stable Slow Maiketin Time Under 3 mths X 3-6 mths Over 6 mths 40 Low New Multi-Family 2 %
Neighborhood Boundaries Subject is bounded on the north b 1-81 corridor; on the east b 190 High 100 Commercial 15%
• Rt.11/15• on the south b Carlisle Pike; and on the west b Rt.581. 100 Pred. 50 other Vc/Indi 10%
Neighborhood Description Subject property located in an expanding area of single family homes both detached and attached
" between Wormle sbur and the Per Count line/mountians with a mix of residential and commercial/Industrial usage.
Shopping and other amenities are within walking or short driving distance. Schools stem is East Pennsboro District and
school complex is within .75 mile. SMSA 42-3240.
Market Conditions (including support for the above conclusions) Property are current! stable in the subject property's market area. Local
multi-list data indicates an average marketing time of 90-180 days. Lending rates have remained favorable although sales
concessions are occurin more frequently. There are new homes under construction in surrounding developments, as well as
re-sales available in the neighborhood
Dimensions 173x145.5x228x324.15x250 Area 1.75 Acres M/L Shape Irregular View ResidentialMooded
Specific Zoning Classification R2 Zoning Description Residential Multi-Family
Zoning Compliance X Legal []Legal Nonconforming Grandfathered Use No Zonin illegal describe
Is the highest and best use of the subject property as improved (or as proposed per plans and specifications) the present use? W yes No If No, describe.
Utilities Public Other describe Public Other(describe) Off-site lm rovements-T a Public Private
Electrici X 200 am Water X Well Street Asphalt X I FT
Gas X
anitary Sewer X Alle None
11 S
Li
site comments There are no apparent adverse easements encroachments or other adverse conditions. Site is steeply sloping
around 3 sides of homesite. Sewer easement across southern portion of site from public street.
° GENERAL`DESCRIPTION' FOUNDATION " EXTERIOR DESCRIPTION materials 1NTE IORw" materials
Units X One Onew/Acc. unit Concrete Slab Crawl Space Foundation Walls PrdCOnC/Blk/Av Floors HrdwdNn I/Av -LJ # of Stories One X Fulf Basement Partial Basement Exterior Walls Vin I/Frame/Av Walls Plstr/DW/Av
T e X Det. Att. S-Det./End Unit Basement Area 1505 sq. h, Roof Surface Shin le/Av Trim/Finish Wood/Av
X Existing "Proposed Under const. Basement Finish 0% Gutters & Downs outs Aluminum/Avg Bath Floor Vinyl/Avg
Design (style) One Story X Outside Ent /Exit Sum Pum Window Type DH/Csmnt/Av Bath Wainscot Panel/Tile/Av
Year Built 1849 * Exposed Basement Storm Sash/Insulated Insulated/Avg Car Storage None
Effective A e Yrs 20-25 Screens es/Av_Q Driveway # of cars 3
Attic None Heatin X FWA HW Radiant Amenities X WoodStove s #2 Driveway Surface Asphalt/Stone
Drop Stair stairs irlOther Fuel Gas Fire lace s # 0 Fence Gara e # of Cars
Floor X Scuttle Coolin X Central Air Conditioning X PatiolDeck Both X Pnrrh 6 r 11 r--,..- u
REV-i5o8 EX+ (o8-12)
6 pennsylvania SCHEDULE E
DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Wertz, Israel G 21-12-0058
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Windstream Corporation Acct # C1000935821 ( still in name of deceased spouse, Julia Wertz) 5,000.00
2. PSECU Acct # 0204 957.08
3. Series EE Savings Bonds ( redemption value) 2,639.80
4. Personal Property ( by appraisal) 851.50
5. 2004 CIVIC Envoy (sales price) 12,000.00
6. Cumberland Financial Group Mutual Funds 25,904.55
TOTAL (Also enter on Line 5, Recapitulation) $ 47,352.93
If more space is needed, use additional sheets of paper of the same size.
REV-1509 EX+ (oi-io)
pennsylvania SCHEDULE F
DEPARTMENT OF REVENUE
JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Wertz, Israel G 21-12-0058
If an asset became jointly owned within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT
A. Holly Sebastian 123 Westmoreland Avenue, Enola, PA 17025 daughter
B.
C.
JOINTLY OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENT's VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A. 06/10/10 PNC Checking Acct. #5140317512 7,704.33 50% 3,852.11
2. A. 06/10/10 PNC Savings Acct.# 5130122404 4,241.12 50% 2,120.56
TOTAL (Also enter on Line 6, Recapitulation) $ 5,972.67
If more space is needed, use additional sheets of paper of the same size.
REN 1511 EX,. '10-04)
pennsylvania SCHEDULE H
it DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Wertz, Israel G 21-12-0058
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Parthemore Funeral Home, New Cumberland, PA 1,400.00
2. Funeral wake 701.28
3. Funeral gift 39.99
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
State ZIP
Year(s) Commission Paid:
1,225.00
2. Attorney Fees:
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: 286.50
5. Accountant Fees:
6. Tax Return Preparer Fees: 656.25
7. Appraisal fee: SW Barrett, Carlisle, PA 375.00
8. Recorder of Deeds, Cumberland County, PA 63.00
9. Trash removal on property 1,275.00
10. Duty Lock Service 652.52
11. Vehicle title transfer 86.50
12. reimburse Executrix for travel, postage, out of pocket costs 930.00
TOTAL (Also enter on Line 9, Recapitulation) $ 7,792.04
If more space is needed, use additional sheets of paper of the same size.
RE:V 15 12 EX+ =2 08)
pennsylvania SCHEDULE X
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Wertz, Israel G 21-12-0058
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. 2011-2012 Real estate taxes 1,562.82
2. Traveller's insurance 1,312.00
3. East Pennsboro Sanitation 690.00
4. Comcast Cable final bill 189.00
5. Verizon phone 91.29
6. Repair to water pump and plumbing fee 350.00
7. Erlich Pest control 43.77
8. PP & L Electric 1,406.83
9. Heating oil and repair fee 773.40
10. Visiting Angels 1,576.20
11. Kofe Berko, caregiver 730.00
12. Pinnacle Health 25.00
13. PA Gastroenternolgoy Consultants 10.00
TOTAL (Also enter on Line 10, Recapitulation) $ 8,760.31
If more space is needed, insert additional sheets of the same size.
REV-151.3 EX+ (01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Wertz, Israel G 21-12-0058
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec. 9116 (a) (1.2).]
I. Holly Ann Sebastian 123 Westmoreland Avenue, Enola, PA 17025 daughter one-half
2. Malcolm Wertz 320 Third Street, New Cumberland, PA 17070 son one-half
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, 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 OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $
If more space is needed, use additional sheets of paper of the same size.
LAST WILL AND TESTAMENT
OF
ISRAEL GEORGE WERTZ
I, Israel George Wertz, of Enola, Cumberland County, Pennsylvania, being of sound and
disposing mind and memory, do make, publish and declare this to be my Last Will and
Testament, hereby revoking all Wills and Codicils by me at any time previously made.
FIRST
I direct the payment of my just debts and expenses of my last illness and funeral from my
estate as soon after my death as conveniently may be done.
SECOND
I give, devise and bequeath all of the rest, residue and remainder of my estate to by wife,
, . , _ i ~I- Julia Ann Wien Wertz, provided she survives nle Uy 111111y (30' ) days.
THIRD
In the event she fails to survive me, I hereby give, devise and bequeath the rest and
residue of my estate as follows:
a. All of the contents of the residence at 17 W. Highland Avenue shall be divided in
equal shares among my children, Holly Ann Sebastian and Malcolm Douglas Wertz, or their
sun ivor;
b. My residence at 17 W. Highland Avenue to Holly Ann Sebastian, per stirpes;
c. All of the rest, residue and remainder to Malcolm Douglas Wertz, per stirpes. In the
event his share of the estate is not sufficient to represent the value of the residence as listed
above, then Holly Ann Sebastian shall pay to Malcolm Douglas Wertz the amount necessary to
equalize their shares of the estate. She may use up to two years in order to secure payment to her
brother, or longer if the parties both agree.
FOURTH
All shares of principal and income hereby given shall be free from anticipation,
assignment, pledge or obligation of the beneficiaries and any of them, and shall not be subject to
any execution, attachment, levy or sequestration or other claims of the creditors of said
beneficiaries or any of them.
FIFTH
Any person who shall have died at the same time as I or under such circumstances that it
is difficult or impossible to determine who shall have died first, shall be deemed to have
predeceased me.
SIXTH
All death taxes (and interest and penalties thereon) imposed as a result of my death upon
the property passing under my Will, and upon assets held in any qualified or non-qualified
deferred compensation plan or IRA, and proceeds of insurance on my life, but not otherwise,
L
s11all uc be ',1 a F .7 atc tti. Ir tw to tiv ~.ui ear ort~i~l on of ch
pai u out of my r2sl u iiai~%%s♦~w, %a~.li I Sh iiuire ~iierevi, a pro rata pv.,...,. Su..~.
taxes.
I authorize my Executor, in my Executor's sole discretion, to make an election, in whole
or in part, to cause a Pennsylvania Inheritance Tax to be payable by my estate on property
passing to or for the benefit of my spouse or to defer the Pennsylvania Inheritance Tax on such
property. My Executor shall be without liability to anyone for making or failing to make such
election.
SEVENTH
My Executor shall have the following powers in addition to those conferred by law until
all property is distributed:
(a) To retain any real or personal property in the form in which it is received.
(b) To sell at public or private sales for cash and/or credit, to exchange, and to lease
for any period of time, any real or personal property and to give options for such sales,
exchanges, or leases.
(c) To purchase all forms of property, including but not limited to stocks, bonds,
notes and other securities, common trust funds, life insurance policies and real estate, or any
variety of real or personal property, without being confined to so-called legal investments and
without regard for the principle of diversification.
(d) To purchase securities at a premium or discount and to charge such premium or
credit such discount to principal or income.
(e) To exercise any option arising from the ownership of any investment; to join in
any recapitalization, merger, reorganization, liquidation, dissolution, consolidation or voting trust
plan affecting any investment; to delegate powers with respect thereto; to deposit securities under
agreements and pay assessments; to subscribe for stock and bond privileges; and generally to
exercise all rights of security holders.
(f) To hold property unregistered or in the name of a nominee.
(g) To mortgage, divide, alter, repair and improve real property and generally to
exercise all rights of real estate ownership.
(h) To distribute in cash, in kind, or partly in each, and to cause any share to be
composed of cash, property, or undivided fractional shares in property different in kind from any
other share.
(i) To compromise claims by or against my estate including but not limited to tax
issues and disputes, without order of court or consent of any party in interest and without regard
for the effect of such compromise on any interest hereunder.
0) To borrow money and to pledge any real or personal property as security for the
repayment thereof.
(k) To apply income for the benefit of any incapacitated individual to whom income
may or must be distributed for any reason during the period of incapacity. Income not so applied
may be distributed to a custodian or accumulated, invested and if not sooner applied, paid to such
individual upon gaining capacity.
(1) To join with my spouse or my said spouse's personal representative in filing any
joint income tax return, and to join in any gifts made by my said spouse for gift tax purposes
even if this may result in additional liabilities for my estate. Any income or gift taxes due on
such returns and any deficiencies, interest, penalties or refunds thereon shall be allocated
between my estate and my said spouse or my said spouse's estate, or all to any of them, in such
manner as my Executor and my said spouse or my said spouse's personal representative may
agree.
(m) To apply expenses of my estate permitted as income tax or real estate tax
deductions and to value my estate for estate tax purposes by any method permitted.
(n) To employ accountants, agents, attorneys, investment counsel, brokers, bank or
trust company to perform services for and at the expense of my estate and to carry or register
investments in the name of the nominee of such agent, broker, bank or trust company. The
expenses and charges for such services shall be charged against principal or income. My
Executor is expressly relieved of any liability or responsibility whatsoever for any act or failure
to act by, or for following the advice of, such accountants, agents, attorneys, investment counsel,
brokers, bank or trust company, so long as my Executor exercises due care in their selection. The
fact that an Executor may be a member, shareholder or employee of any accounting, investment,
legal or brokerage firm, agent or bank or trust company so employed shall not be deemed a
conflict of interest. Any compensation paid pursuant to this subparagraph shall not affect in any
manner the amount of or the right of my Executor to receive commissions as a fiduciary.
(o) To invest any part of my residuary estate in, or lend money to, any closely-held
business in which I may have an interest at my death for any purposes incident thereto, including
but not limited to expansion and entry into new fields of business provided that only assets
actually invested in such business shall be liable for the debts incurred in its operation.
(p) To disclaim any interest in property without court approval.
EIGHTH
(a) I appoint Julia Ann Wien Wertz as Executrix. In the event that she is unable or
unwilling to act, then Holly Ann Sebastian and Malcolm Douglas Wertz shall be Co-executors of
this, my Last Will and Testament. If either fails to qualify or ceases to act for any reason, the
surviving named Co-executor shall act alone.
(b) My Executor(s) shall not be required to post security in any jurisdiction.
IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and
Testament, this 13 ZZ day of n t ` , 2008
' 44(SEAL)
Israel George Wertz
Signed, sealed, published and declared by the above-named Testator, as and for his Last
Will and Testament in the presence of us, who have hereunto subscribed our names at his request
as witnesses thereto, in the presence of said Testator and of each other.
WITNESSED BY:
I, Israel George Wertz, testator whose name is signed to the attached or foregoing instrument,
having been duly qualified according to law, do hereby acknowledge that I signed and executed
the instrument as my Last Will and Testament; and that I signed it willingly and as my free and
voluntary act for the purposes therein expressed.
Israel George Wertz
COMMONWEALTH OF PENNSYLVANIA
l a
COUNTY OF ,")n1 Pi i , -
On this I ' Jn day of i~ zcv 2008, before me, the undersigned officer,
personally appeared Israel George Wertz, known to me (or satisfactorily proven) to be the person
whose name is subscribed to the foregoing Last Will and Testament, who acknowledged that he
executed the same as his Last Will and Testament.
y-
1 1
N014M sm Notary Public
ANGELA L ALUM
Naar Mft
HARRODURG OR, OAIINNN COUN;r ~ and gk;Jl-w L , C-i u ti~ ,the
witnesses whose names are signed to the attached or foregoing instrument, being duly qualified
according to law, do depose and say that we were present and saw the testator sign and execute
the instrument as his Last Will and Testament; that the testator signed willingly and executed it
as his free and voluntary act for the purposes therein expressed; that each subscribing witness in
the hearing and sight of the testator signed the will as a witness; and that to the best of our
knowledge the testator was at that time 18 or more years of age, of sound mind and under no
constraint or undue influence.
w (SEAL) Residing at:
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(SEAL) Residing at:
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Subscribed and sworn to before me by both witnesses,
this day of *i 2008.
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Notary Public
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