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01-25-13 (2)
1505610143 REV-1500 Ex (o1-10) OFFICIAL USE ONLY PA Department of Revenue pennsylvania County Code Year File Number Bureau of Individual Taxes DEPARTMENT OF REVENUE PO 60X.280601 INHERITANCE TAX RETURN 21 12 0555 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 04 29 2012 09 30 1933 Decedent's Last Name Suffix Decedent's First Name MI STEWART GLENN R (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 4. Limited Estate ~ 4a. Future Interest Compromise (date of death after 12-12-82) X^ 6 Decedent Died Testate (Attach Copy of Will) 7 Decedent Maintained a Living Trust (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 10. Spousal Povertyy Credit (date ~f death between 12-31 ~91 and 1-1-95 3, Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes 11. Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number FOREST N MYERS 717 532 9046 First line of address 137 PARK PLACE WEST Second line of address City or Post Office SHIPPENSBURG State PA ZIP Code 172579212. Correspondent's a-mail address: fnmyers@lawofficeforestmyers.com :~.r", ~%:. :`" ... Y ~/ 1 Under penalties of perjury, I declare tha exami this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Decl ion preparer o er than the personal representative is based on all information of which preparer has any knowledge. SIG TORE P S N RESP NSIB ~_ DATE ,~ xL ~ William A STEWART 1 `L'~ Zo~~ 3668 Corls Ridge Road, Fayetteville, PA 17222 _ SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ~~, Forest N Myers ~ -Z~ _ 20 r''3 ADDRESS ~) 137 Park Place West, Shippensburg, PA 17257 Side 1 1505610143 1505610143 REGISTER OF WILLS USE ONLY n :-.. r~~ _a;;, C~ I' ~ _I ~ ~ ~, ... _ ,- - ~~ ~, :,~M j _,. _ ~.,~~ _„ . ~.. _ 1 _ ~-t Z f ~- t.P ".1 .. , ,y a--, ,,. f3ATE::f~.t~ED~ ,. h, J REV-1500 EX Decedent's Name: STEWART, Glenn R Decedent's Social Security Number RECAPITULATION 1. Real Estate (Schedule A) ....................................................................................... 1. 2 3 6, 9 0 0. 0 0 2. Stocks and Bonds (Schedule B) ............................................................................. 2. 5 7 4 , 4 81 . O 1 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3. 4. Mortgages & Notes Receivable (Schedule D) ........................................................ 4. 5• Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............... 5. 4 0 6 , 5 5 0 . 9 8 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers & Miscellaneous -Probate Property arate Billin n^ Se Re e t d S h d l G p g qu s e ............ ( c e u e ) 7. 170 , 053.93 8. Total Gross Assets (total Lines 1-7) ..................................................................... g. Z , 387 , 985.92 9. Funeral Expenses & Administrative Costs (Schedule H) ....................................... 9. 120 , 543.53 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............................. 10. 1 , 2 8 3.21 11. Total Deductions (total Lines 9 & 10) ................................................................... 11. 121 , 8 2 6 . 7 4 12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. 1, 2 6 6 , 15 9.18 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. 1, 2 6 6 , 15 9.18 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .00 15. 16. Amount of Line 14 taxable 1 2 6 6 15 9.18 16 at lineal rate X .045 , , . 17. Amount of Line 14 taxable at sibling rate X .12 0 . 0 0 17. 18. Amount of Line 14 taxable at collateral rate X .15 0 . 0 0 18. 19. Tax Due .............................................. ................................................................... . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 1505610243 0.00 56,977.16 0.00 0.00 56,977.16 Side 2 L 1505610243 1505610243 REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-12-0555 DECEDENT'S NAME STEWART, Glenn R STREET ADDRESS 928 Baltimore Road CITY STATE ZI P Shippensburg PA 17257 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 3. Interest 47,500.00 2,500.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5, If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (1) Total Credits (A + B) (2) (3) (4) (5) 56,977.16 50,000.00 6,977.16 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 :............................................................................... ^ b. retain the right to designate who shall use the property transferred or its income :.................................. ^ 0 c. retain a reversionary interest; or ............................................................................................................... ^ d. receive the promise for life of either payments, benefits or care? ............................................................ ^ ^x 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .................................................................................................................... ^ 0 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?....... ^ 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)j. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 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 1.2) [72 P.S. §9116 (a) (1)]. . The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 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. FILE `~~tst Dili rztta y est~rmettt I, GLENN R. STEWART, of 928 Baltimore Road, Shippensburg, Cumberland County, Pennsylvania, 17257, being of sound mind and memory, do make, publish and declare this my Last Will and Testament, hereby revoking and declaring null and void any and all wills and codicils by me at any time heretofore made. FIRST : I d~rrect my Exedutors to pay any debts which I may owe which are not barred b the statute of limitations and Y are considered dust by my Executors, the expenses of my last illness, and my funeral expenses. SECOND: I give and bequeath my genealogy records to The ~_ Shippensburg Historical Society. " THIRD: I give to my wife, Sara A. Stewart, the right to reside in my home at 928 Baltimore Road, Shippensburg, Pennsylvania, for and during her lifetime or for so long as she desires to live there. My wife, Sara A. Stewart, shall be responsible for paying the taxes, the utilities, and the day-to-day upkeep of the home. Shouid my wife, Sara A. Stewart, fait to reside in the home for a continual period of six (6) months or should she die or remarry, her right to reside in the property shall terminate and the house shall be sold. FOURTH: I give, devise and bequeath all of the rest, residue and remainder of my estate as follows: Page 1 of a Five-Page Will A. Fifty (50%) Percent thereof to Orrstown Bank IN TRUST for the benefit of my wife, Sara A. Stewart, under the following provisions: 1. The Trustee shall hold, manage, invest and reinvest the principal of the trust and pay the net income therefrom, in at least quarter- annual installments, to my wife, Sara A. Stewart, for and during her lifetime, ,.:: ~ ,. vi: v 1 Itit' !'rlt.: ...~o r : i `v' :1 ~~CC`~:n 'f~} "C: C1 Ll...: ._,~ .~gA . Q~ ~ r, ~,u h ~f t~:4 pr,n,_,pal~±ha,eof,-as:.s-ne.,.~~.~ ,~ -,. ~h.~ sol~ ~ . ~~ discretion of the Trustee, for her health, maintenance and support, after taking into account her other readily-available assets and sources of income. 2. Upon the death of my wife, Sara A. Stewart, or upon her remarriage, whichever event should occur first, the Trustee shall terminate (~ the trust and distribute the remaining principal as follows: a. Twenty-five (25%) Percent thereof in equal shares to the children of my wife, Sara A. Stewart, namely Timothy Burgoyne, Judy B. George, Diana Simonds, and Michelle Bronchetti, or the survivor of them, surviving me. b. Thy remaining Sev?n.~ty-fi~~P (75°%) Percent thereof shall be distributed in equal shares to my children who are then surviving, William A. Stewart and Glenda Louise Stewart. Should either of my children not be then ~. surviving, his or her share shall be distributed to his or her issue, per stirpes, then surviving. Page 2 of a Five-Page Will t 3. 1/Vhile in the hands of the Trustee, neither the principal nor the income of any trust shall be liable for the debts of any beneficiary hereunder, nor shall the same be subject to seizure or attachment by any creditor of any beneficiary under any writ or proceeding at law or in equity; and no a berieficiai-y° hereunder sha'li l gave ~r~iy dower to sell, assign, encumber, or in any ~/ manner to anticipate or dispose of his or her interest in the trust, or in the income produced thereby. B. The remaining Fifty (50%) Percent thereof to my children __ who survive me, William A. Stewart and Glenda Louise Stewart. Should either of my children fail to survive me, his or her share shall be distributed to his or her issue, per stirpes, surviving me. FIFTH: I direct my Executors to pay out of the residue of my estate, {_ f all federal estate, state inheritance, estate and succession taxes imposed upon or with respect to my estate or any property in which I may have an interest, including any property not forming ~ part of my testamentary estate, but included in my gross estate for tax purposes, in such manner as my Executors, in their sole discretion, shall deem advisable; and no such taxes or any portion thereof so paid shall be collected from or paid by any other person, persons, or corporations by way of reimbursement, proration, apportionment or otherwise. Page 3 of a Five-Page Will r S(XTH: I name and appoint my wife, Sara A. Stewart, and my son, William A. Stewart, Co-Executors of this, my Last Will and Testament. I direct that my Executors shall not be required to post bond for the faithful performance of their duties in this or in any other jurisdiction. I_N WITNESS WHEREOF, I have hereunto set my hand and seal this day of ~~.~'~~°~' ~-~~s, 2005. WITNESS: SEAL) ACKNOWLEDGEMENT ~ , '~ COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF FRANKLIN I, GLENN R. STEWART, the 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. - WITNESS my hand and official seal, the day and year aforesaid. lenn R. Stewart, Testator Notary Public i, cp~N{~~V~EALTH OF PE~lNSYLVANIA ~1Q t At~lAL SEAL LIP~DA N. DIC~i~~SC3~, ~ic~tary ~~ PA Ch~m~ers~u3 g B~r~, Fr~n~:4tn C , ~y Cor~mis~ion Ex~sr~s Al9a~Gh 22, 200£ ~~, ~ , 1 Page 4 of a Five-Page Will ~~ ~~ AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF FRANKLIN We, ~ i can ac~l. K. ~'ds K ; h~ r~ and ~-~ n cL 1~.. ~a.~J wo~,~ , the Witnesses whose names are signed to the attached or foregoing instrument, being first duly sworn and qualified according to law, do depose and say to the undersigned authority that we were present and saw the Testator sign and execute the instrument as his Will; that the Testator had signed willingly (or wiilingly~di~eced another to-sign for him) and exECUted it as his free and voluntary act for the purposes therein expressed; that each of the subscribing ~ Witnesses, in the presence and hearing of the Testator, signed. the Will as a Witness; and that to the best of our knowledge Glenn R. Stewart, the Testator, was at the time 18 years of age or older, of sound mind and under no constraint or undue influence. Notary Public coM~n~z~w~..~at_TH ~~ PEr~~sY~va~~a l~o~-~l~l~,~ s~L 1/1~~~ ~1. D1C~1"~~C3~, ~lota~r'! Public GharnbersbGrg ~ar~, Fran~lirt Co. PA My G©mmisslon Expires March 22, 2003 Page 5 of a Five-Page Will Sworn and subscribed to befor me this ~7-~ day of '~ , 2005. Rev-1502 EX+ (11-08) SCHEDULE A ~° REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER STEWART, Glenn R 21-12-0555 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 which is jointly-owned with right of survivorship must be disclosed on schedule F. Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 11-08) (If more space is needed, additional pages of the same size) Rev-1503 EX+ (6-98) SCHEDULE B ,, STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF STEWART, Glenn R FILE NUMBER 21-12-0555 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER CUSIP NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 1 002824100 100 shares of Abbott Labs -Com 62.035 6,203.50 Accrued dividend on Item 1 through date of death 51.00 2 165167107 300 shares of Chesapeake Energy Corp -Com 17.6475 5,294.25 Accrued dividend on Item 2 through date of death 26.25 3 166764100 100 shares of Chevrontexaco Corp -Com 106.2225 10,622.25 4 126408103 200 shares of CSX Corp -Com 22.3525 4,470.50 5 245917109 2,017.872 shares of Delaware Group Adviser Funds - 17.3700017 35,050.44 Enterprises Portfolio A 6 25746U109 100 shares of Dominion Resources Inc Va New -Com 52.0175 5,201.75 7 31428Q101 1,374.806 shares of Federated Total Return Series -Total 11.4500009 15,741.53 Ret Institutional $ 316344209 6,089.486 shares of Fidelity PA Tax Free Portfolios -High 11.3199998 68,932.98 Yld Portfolio g 413838103 790.186 shares of Harris Associates Investment Trust - 47.7900013 37,762.99 Oakmark Fund I 10 458140100 500 shares of Intel Corp -Com 28.365 14,182.50 11 471023846 305.653 shares of Janus Investment Fund -Overseas Fund 35.4600151 10,838.46 12 594918104 100 shares of Microsoft Corp -Com 32.0325 3,203.25 Total of Continuation Schedules See attached a es TOTAL (Also enter on Line 2, Recapitulation) 574,481.01 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-1503 EX+ (6-98) SCHEDULE B °° STOCKS & BONDS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER STEWART, Glenn R ~ 21-12-0555 ITEM NUMBER CUSIP NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 13 55402X105 100 shares of MWI Veterinary Supply Inc -Com 93.8775 9,387.75 14 687380105 1,113.8115 shares of Orrstown Financial Services -Com 7.9025041 8,801.90 15 713448108 100 shares of Pepsico Inc -Com 66.2 6,620.00 16 693517106 500 shares of PPL Corp -Com 27.275 13,637.50 17 747525103 100 shares of Qualcomm Inc -Com 63.985 6,398.50 18 77956H104 948.767 shares of Rowe T Price Intl Funds Inc -Intl Bond 9.9600007 9,449.72 Fund 19 833636103 100 shares of Sociedad Quimica Y Miner Chi - Adr Spon Rep 58.0125 5,801.25 A 20 872540109 400 shares of TJX Companies Inc New -Com 42.0825 16,833.00 21 91913Y100 300 shares of Valero Energy Corp -Com 24.98 7,494.00 22 920902103 739.64 shares of Van Kampen Merr PA Tax Free -Com 16.6494646 12.314.61 23 921937108 3,182.257 shares of Vanguard Bond Index Fund Inc -Com 11.0299985 35,100.29 24 922031836 461.255 shares of Vanguard Fixed Income Securities Fund - 10.7599918 4,963.10 Strm Invgra AD 25 92204L302 7,612.309 shares of Vanguard PA Tax Exempt Fund -Long 11.5700006 88,074.42 Taxex Adm 26 92204A504 100 shares of Vanguard Sector Index Funds - Hth Care Viper 67.4236 6,742.36 27 921938106 331.596 shares of Vanguard Wellesley Income Fund -Com 23.8099977 7,895.30 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-1503 EX+ (6-98) SCHEDULE B °' STOCKS & BONDS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER STEWART, Glenn R 21-12-0555 ITEM NUMBER CUSIP NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 28 92343V104 200 shares of Verizon Communications -Com 40.265 8,053.00 Accrued dividend on Item 28 through date of death 100.00 29 928260839 100 shares of Visa -Com 123.3828 12,338.28 30 931142103 500 shares of Wal Mart Stores Inc -Com 58.98 29,490.00 31 074851MQ6 $10,000 Beaver County PA -Bond 105.5335 10,553.35 Accrued interest on Item 31 through date of death 189.83 32 US Savings Bonds -Series EE Bonds; see attached 18,750.00 valuation report Accrued interest on Item 32 through date of death 37,911.20 TOTAL (Also enter on Line 2, Recapitulation) 574,481.01 Copyright (c) 2002 form software only The Lackner Group, Inc. 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W ~ ~ - N ~~ N ~ - N N ~p _ 'J a . ~ . ~1 ~ .~ ~l0 _a 0 0 ~ 0 0 ~ _ a 0 ~ 0 _a 0 0 ~ ~ 0 ~ . 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ < ~~ ~ D .~ ~ 1 0 O~ J ~I ~1 ~lO O O O O O OC 7i C . .~ ~G ~ ~ D ~ ~ o of * * ~ ~- Nr ~~ O Q N _~ D 'D n (~ (D • _'"t' C --"' r LU 0 D 0 O n to ,-t <~ CD i Cn fD N _~ CD i N (31 W i m v 0 cu N O -~, -[~ ~J W ~1 CIt ~I .A ~ W I ~ N 1 ~ -~ ! ~ O 1 W O O C)O C~ ~ (A J 0 (3 7 CT 7 0 t ~A 7 O W (~ N 0 - 7 W ~ O CJ O t Cr 0 CT 0 ~ 1 Ca I (~ t Ca CJ t CJ t -!~ 1 C3 W i C3 N 7 CT ~ t C O r ~ O ~ C . .p b ~ -P I O .A Ca ~ t ~ .A W ~ N -A ~ . ~A O W C Z O O m m m m m m m m rn m m rn m m rn m m m m m rn m m rn m m m m rn m m m m m m rn m rn ~ m m m m m m m m m m m m m m m m m m m m m m rn rn m rn m m m rn m rn m m m rn rn m • ~ N v N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N N N p 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 CJt CJ7 CJ1 Ui W W W Cb GJi W CJt W Cn W CJt W -p (37 W Cb S ~ W OD .P _a ~ ~ .A ~ W CA W Cb W [A W 00 W (37 .A (~ W O N .p W C~ N ~ N ~ N .p W O W O N ~ N -!~ N ~ N ~ N ~ N A N 1~ N ~ N N ~ O O N N~ -p -p Cfl N -p N ~ N ~ N ~ Cb C)0 •-~~ CO -~ O -~ CD ~ O -~ O ~ O po .~ Cp Ci) pp -p O CO pp -p. pp Cb pp ~ N -~ pp .j1 N -~ N -~ N ~ C1t p Ui O N 3 N ~ N ~ N ~ N ~ . 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N ~ N -P N .A O 0 O 0 O 0 (~ (~ W Cb ~ Cb (A O (~ O ~ as c,~ O c~ O w O w O w O w -~ ca ~ w -~ w N w N c~ N c~ N w N c,~ N w N c~ N w W w W w W c,~ W w W c~a W w W w W w W c~ .A c,~ -!~ w ~ ca -P w ~A w W W Cb w 0 w 0 W 0 W 0 -t~ 0 ~ 0 ~ 00 Cb 00 W Cb J~ ~A .p O O O O ~1 ~1 ~1 ~1 W W W W W W W W CGJ O O O O O W 07 O W W W -~ -~ lD -' O7 -' C7 ~ O -~ C3) ~ O W N W N W N 07 ~ 0) ~ 07 ~ 07 ~ 0 .A 0 -P 0 .p O ~ W 0 07 0 W 0 W 0 W 0 W 0 W 0 ~ 0 07 0 N ~A N ~ N -P N .A N ~ 0 0 0 0 0 0 07 C)o 07 (b W W 07 O ~ O ~ ~ -P .!~ ~ ~ ~ -P .A .A ~ -P ~ .A ~ -p ~ .A ~ .A .~ .A -P ~ -P -P -f~ -f~ ~ ~ ~. ~ .P -P. ~A -P ~A ~P ~ 0 0 ° 0 0 ° 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ~ ~ \ 0 \ 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 Cr CJt Cat Cal Cr C11 C37 CJt CJl CJt Cr CJt CJl Cr C3t U1 .p ~i ~ ~ .p ~ .~ -p ~ -P ~ ~ -f~ ~ CJt CJt Cal C3~ CJl CJt CJI C3~ '~ 0 ~I ° 0 ~I ° 0 ~1 0 ~I 0 ~1 0 -P 0 -P 0 ~ 0 N 0 N 0 N 0 N 0 O 0 O 0 O 0 O O Cb O Cb O Cb O C~o O oo O C7o O Cp O W O Cb O 07 O 07 O C37 Cfl (~ O 0) W ~1 W ~I W ~I W ~ W -A W ~. W N W N Cp• \ 0 \ 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 \° 0 Q 0 Cb ' 0 J 0 O 0 O7 0 Ui O 0 O 0 V 0 c0 0 O 0 07 0 O -~ O 0 Cb 0 (~ 0 U1 ~ O 0 O 0 (b 0 00 0 ~I 0 0) 0 07 0 CIt 0 Cn 0 O 0 V 0 W 0 W 0 C11 0 O 0 ~ 0 U't -~ O 0 W 0 (~ -~ O 0 (b x ~ N 0 N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N ~~ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ~ rr N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N ~~ N ~ ~'1 C7 • 0 Cb 0 ~1 0 0) 0 07 0 C3t 0 -P 0 W 0 -~ 0 O 0 Cfl 0 07 0 07- 0 p 0 N N -~ -~ -X O 0 OC 0 bC 0 )o 0 ~I 0 O)( 0 ~C 0 1tC 0 Jt 0 W 0 ~ -~ N ~ N ~ -~ 0 O 0 VC 0 Jt 0 ~ 0 N ~- N ~ OC 0 b ~_ ~ N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N S 31 ~ ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~- 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 > 0 ~ 0 ~ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ~~ ~ O O O O O O O C O C JO OJ C p C )0 C b C U ~I v V ~l ~1 ~I v v ~1 ~ ~I > ~I ~ v ~ ~I > W ~ O ~ 0) ~ 07 ~ W ( ~ ~ ~ O7 ~ O ~ U't C ~ Ji C ~ J1 ~ ~ m ~. ., . O Z N O O _ _ ~ N O Q _~ .-r (D rnrn~ VJ O N O N D ~ ~~ N TT- ~ N O ~ `~ O n r iv (n N i .A O O ~' O Q N C _~ O ~D N cQ (D W O ~P -' -~ ~ ~ ~ -' ~ O ~ O ~ O O O O O O O O O CO O O O O O O Cfl O O oO 0 0O 0 0O O 0 0o o00 ~ v v Z A W N -~ O cfl W H O CT 7 -P W N W p O (JO ~ 1 O C3 1 -P W N -~ O c0 (b ~ I O C1 7 -f~ W N -~ O O W ~ ! O m m m m m m m m m m m m m m m m m m m m m m m rn m m m m m m m m rn m rn m m m ~ m m m m m m m rn rn m m m m m m m m m m m m m m m m m m m m m m rn m m m m m m • ~ N v CIi Ui U~ C3i C3i C3i C3i N N N N N N N N N N N N N N N N N N N N N N N N N N fV N N N N Q O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O 0 O 0 O 0 O 0 O ~ D O ~ ~ ~ ~ Z7 ;U ;U ;CJ ;U Z7 ~7 Z1 ;U ~ ~U ;U ;(7 ;CJ Z7 ;U ~U ~ Zl ;CJ Z7 ;U ~U ;n Z7 ~7 ZJ iU ZJ ;L7 Z7 N W O -~ O .~ O ~ W Cb 00 W ~ W ~ ~ ~ Cr ~ Cal ~ CJ7 ~ CJ7 ~ C)7 J CJl ~ U1 ~ CJ1 00 O ~1 Cn '~I Ul ~1 .A ~1 ~ ~I -f~ ~1 -p ~1 -P. 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O -P Z N x~ ~ ~ ~ x~ ~ ~ ~ ~ x- O O ~ ~ N O r-r (D O O O N O N D ~ < ~ m <TT.l ~ N O ~ `~ O Rev-1508 EX+ (6-98) .„ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF STEWART, Glenn R Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION 1 F8~M Trust CD 8996 -Certificate of Deposit Accrued interest on Item 1 through date of death 2 F8~M Trust Checking 8842 -interest-bearing checking account Accrued interest on Item 2 through date of death 3 M&T Bank (int) 9473 -interest-bearing checking account 4 M8~T Bank (non-int.) 0815 -checking account 5 Orrstown Bank 0253 -interest-bearing checking account Accrued interest on Item 5 through date of death 6 Orrstown Financial Services -Daily Deposit account Accrued dividend on Item 6 through date of death 7 Automobile - 1999 Volvo Sedan; value per Kelley Blue Book 8 Automobile - 1997 Ford F-250; value per Kelley Blue Book 9 Automobile - 2005 Ford Station Wagon; value per attached receipt of sale 10 Carl Ocker, Auctioneer -Net auction proceeds 11 AAA -refund of unrealized membership 12 Association of the US Army -refund of unrealized dues FILE NUMBER 21-12-0555 VALUE AT DATE OF DEATH 20,046.07 12.69 20,123.08 1.22 6,485.15 1,275.32 3,145.40 0.02 56,925.82 0.28 2,728.00 2,191.00 5,100.00 26,699.75 80.00 32.00 I Total of Continuation Schedule See attached page TOTAL (Also enter on Line 5, Recapitulation) 406,550.98 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1508 EX+ (6-98) SS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY continued ESTATE OF FILE NUMBER STEWART, Glenn R 21-12-0555 ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 13 Century Link -refund 36.05 14 Christian Appalachian Project -refund 2.00 15 Comcast & magazine -refund 43.83 16 Family Circle -refund 27.43 17 Ford -rebate 50.00 18 Genworth Financial -refund of unrealized premium 107.64 19 Liberty Mutual -refund 95,000.00 20 National Cancer Research -refund 2.50 21 Pacific Life Insurance Company -retirement account 162,764.06 22 Scotts Lawn Service -refund of canceled contract 1,026.31 23 SHIP Insurance -Refund of unused premium (long-term care insurance) 2,104.35 24 Suburban Heating -refund for unused propane 55.83 25 Traveler's Cheques -Refund for unused traveler's checks 100.00 26 USAA -refund of unrealized premium; automobile policy 145.20 27 USAA -refund of unrealized premium 239.98 TOTAL (Also enter on Line 5, Recapitulation) ~ 406,550.98 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1510 EX+ (6-98) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF STEWART, Glenn R FILE NUMBER 21-12-0555 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) tll more space Is neeaea, atldlUOnal pages of the same size) REV-1151 EX+ (10-06) t tf COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF STEWART, Glenn R ITEM NUMBE A. FUNERAL EXPENSES: Debts of decedent must be reported on Schedule I. DESCRIPTION See continuation schedule(s) attached FILE NUMBER 21-12-0555 AMOUNT B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zio Yearlsl Commission Daid 2. Attorney's Fees Law Office Forest N Myers 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zio Relationshio of Claimant to Decedent 325.37 45,645.16 4. Probate Fees 871.50 See continuation schedule(s) attached 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 73,701.50 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 120,543.53 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER STEWART, Glenn R 21-12-0555 ITEM NUMBER DESCRIPTION AMOUNT Funeral Expenses 1 Glenda Stewart -reimbursement for funeral flowers 325.37 H-A 325.37 Probate Fees 2 Register of Wills, Cumberland County -filing Letters Testamentary 460.00 3 Register of Wills, Cumberland County -filing Will 15.00 4 Register of Wills, Cumberland County -JCS & Automation fees 28.50 5 Register of Wills, Cumberland County -Short certificates 28.00 6 Register of Wills, Cumberland County -additional probate fees 300.00 7 Register of Wills, Cumberland County -additional Short certificates 40.00 H-B4 871.50 Other Administrative Costs 8 AAA -fee for return of license plates to PennDOT 10.00 9 Adams Electric -utility payment; electric 188.00 10 Adams Electric -utility payment; electric 27 92 11 Adams Electric -utility payment; electric 86.04 12 Adams Electric -utility payment; electric 90.41 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER STEWART, Glenn R 21-12-0555 ITEM NUMBER DESCRIPTION AMOUNT 13 Adams Electric -utility payment; electric 86.10 14 Adams Electric -utility payment; electric 131.95 15 Adams Electric -utility payment; electric 112.44 16 Ausherman Brothers Appraisal Svc -appraisal of real estate 350.00 17 Borough of Shippensburg -utilities; water/sewer 38.20 18 Borough of Shippensburg -utilities; water/sewer 72.40 19 Borough of Shippensburg -utilities; water/sewer 38.20 20 Century Link -utility payment 63.50 21 Corls Ridge Enterprises Inc -lawn care at real estate 755.25 22 Corls Ridge Enterprises Inc -lawn care at real estate and auction-related help 742.00 23 Corls Ridge Enterprises Inc -lawn care at real estate 407.10 24 Corls Ridge Enterprises Inc -lawn care at real estate 409.92 25 Corls Ridge Enterprises Inc -lawn care at real estate and auction preparation 3,647.10 26 Corls Ridge Enterprises Inc -lawn care at real estate 302.10 27 Cumberland County Legal Journal -advertising Estate 75.00 28 Glenda Stewart -reimbursement for auto repairs (Volvo) 1,379.00 29 New View Landscape -snow removal from property on 12/27/12 ~ 12/29/12 195.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER STEWART, Glenn R 21-12-0555 ITEM NUMBER DESCRIPTION AMOUNT 30 News-Chronicle -estate advertisement 104.75 31 Settlement - of claim against Estate as owing for post-death assertion on account of contest 32 Southampton Township -utility; trash service 33 Southampton Township -utility; trash service 34 USAA -insurance renewal; homeowners policy 35 Vivian Coy, Tax Collector - 2012 real estate tax -school district 36 William Stewart -reimbursement for funeral expenses paid on behalf of Estate 37 William Stewart -reimbursement for auction expenses paid H-B7 60,000.00 43.74 7.29 971.09 2,220.97 1,085.00 61.03 73,701.50 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1512 EX+ (12-08) SCHEDULE 1 :, DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER STEWART, Glenn R 21-12-0555 Report debts incurred by the decedent prior to death that remained unpaid at the date of death. including unrPlmh~~rearl .,,o~~~~i e...,o..~e~ Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08) (it more space is needed, additional pages of the same size) REV-1513 EX+(11-08) s~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF STEWART, Glenn R NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)1 FILE NUMBER 21-12-0555 RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE DECEDENT (Words) ($$$) Do Not List Trustee s Glenda L STEWART 322 Greendale Rd Daughter One-half of the 633,079.59 York PA 17403 net distributable , estate William A STEWART 3668 Corls Ridge Rd Son One-half of the 633,079.59 Fayetteville PA 17222 net distributable , estate Enter dollar amounts for distributions shown above on lines 1 5 throu h 18 on Rev 150 Total 0 cover sheet, as a ro 1,266,159.18 riate. II NON-TAXABLE DISTRIBUTIONS: . A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08)