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HomeMy WebLinkAbout02-20-13 s 1 1505610105 REV-1500 EX (02-11) (H) 1!1 tvania OFFICIAL USE ONLY PA Department of Revenue pennnsyy County Code Year File Number PO Bureau of Individual Taxes FEE F~L, BOX28o6o1 INHERITANCE TAX RETURNi Harrisburg PA 17128-0601 RESIDENT DECEDENT b / ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 208-24-2216 07/25/2012 02/23/1932 Decedent's Last Name Suffix Decedent's First Name MI Hoover Carolyn L (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Hoover Jr. Harvey E 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 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 G@D 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 Number Robert R. Black, Esq. (717243-3727 w M ME TER OF WILDS UWOI& ? (n 73 M = C> C13 - 4 First Line of Address ::7 r- N T-41 r M CZ) 36 South Hanover Street c;• Second Line of Address C:~~ y "r1 N F t TI --Cg ~ r-- Q City or Post Office State ZIP Code DATE FILED Carlisle PA 17013 Correspondent's e-mail address: Rblack@blacklaw.COmcastbix.net 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 prepamr has any knowledge. NAT E F PERSON RESPONSIBLE FOR ILING RETURN f~T€ s' a AD S 99 AAqrs R "d, lisle, PA 17015 SIGN T R H t]A REP NTATIVE D E ADD ESS 36 South Hanover Street, Carlisle, PA 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610105 1505610105 J 14 1505610205 REV-1500 EX (Fl) Decedent's Social Security Number Decedents Name: 208-24-2216 RECAPITULATION 1. Real Estate (Schedule A) 1. 0.00 2. Stocks and Bonds (Schedule B) 2. 723,845.23 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) 3. 4. Mortgages and Notes Receivable (Schedule D) 4. 5. Cash, Hank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 43,792.69 6. Jointly Owned Property (Schedule F) O Separate Billing Requested 6. 7. Inter-Vvos Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested........ 7. 555,847.20 8. Total Gross Assets (total Lines 1 through 7) 8. 1,323,485.12 9. Funeral Expenses and Administrative Costs (Schedule H) 9. 31,601.64 10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule 1) 10. 11. Total Deductions (total Lines 9 and 10) 11. 31,601.64 12. Net Value of Estate (Line 8 minus Line 11) 12. 1,291,883.48 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 13. 767,637.43 14. Net Value Subject to Tax (Line 12 minus Line 13) 14. 524,246.05 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_ 524,426.05 15. 16. Amour-,: of Line 14 taxable at lined rate X .0 _ 16. 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amoun! of Line 14 taxable at collateral rate X .15 18. 19. TAX DUE .........................................................19. 20. FILL Its THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Side 2 1505610205 1505610205 REV-1500 EX (Fl) Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME Carolyn Hoover a/k/a Carolyn L. Hoover STREET ADDRESS 99 Alters Road _ CITY STATE ZIP Carlisle PA 17015 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) 0.00 2. Credits/Payments A. Prior Payments B. Discount _ Total Credits ( A + B) (2) 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) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00 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 ❑ 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? ❑ 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)]. 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-1503 EX+ (8-12) pennsylvania SCHEDULE B DEPARTMENT OF REVENUE INHERITANCE TAX RETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER Hoover, Carolyn a/k/a Carolyn L. 21-12-0873 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH Eaton Vance Acct. 0003330776 - PA Municipal Income Fund Class A (ETPAX) - 4,748.243 shares 43,493.91 9.16 per person 2 WI Services Company - Waddell & Reed. Carolyn Ann Hoover Acct. 26675058. See attached let. 571,297.68 3 Morgan Stanley Smith Barney Acct. 913-107751-101. See attached Itr. and statement 109,053.64 Bank Dep. Program 4,730.49 Hershey Co. 33,928.67 Western Asset High 10,333.60 Agoura Hills Calif Redev 16,855.50 North Sumter Cty. 39,795.00 FHLMC Remic 2,164.48 Federal Home 1,245.90 TOTAL (Also enter on Line 2, Recapitulation) $ 723,845.23 If more space is needed, insert additional sheets of the same size REV-i5o8 EX+ (08-12) pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Hoover, Carolyn a/k/a Carolyn L 21-12-0873 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. ACNB Bank - certificate of deposit #158168. See attached letter. Principal $25,000. Interest $24.81 25,024.81 2. ACNB Bank - certificate of deposit #4990520. See attached letter. Principal $11,000. Interest $21.00 11,021.00 3. M&T Bank - checking account #423262. See attached letter 4,607.70 4. Genworth Insurance Co. - premium return long term care 398.38 5. PSERS - pro-rated retirement checking. See attached letter 2,740.80 TOTAL (Also enter on Line 5, Recapitulation) $ 43,792.69 If more space is needed, use additional sheets of paper of the same size, REV-1510 EX+ (08-09) --A SCHEDULE G r pennsylvania DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Hoover, Carolyn a/k/a Carolyn L. 21-12-0873 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1• Union Central Life Ins. Co. - policy A64000967S-SPDA-TDA Annuity contract 236,341.69 236,341.69 Harvey E Hoover, Jr., beneficiary and husband. See attached letter 2. Union Central Life Ins. Co. - policy A64004981S-SPDA-non qualified 151,113.77 151,113.77 Harvey E Hoover, Jr., beneficiary and husband. See attached letter 3 Bankers Life & Casualty Co. -policy contract 7913333 57,483.93 57,483.93 Harvey E Hoover, Jr., beneficiary and husband. See attached letter 4 Wells Fargo Bank -IRA account XXXXXX8645 69,740.01 69,740.01 Harvey E Hoover, Jr., beneficiary and husband. See attached letter 5 Nationwide Life Ins. Co. - special interest annuity contract 4004A 41,167.80 41,167.80 Harvey E Hoover, Jr., beneficiary and husband. See attached letter TOTAL (Also enter on Line 7, Recapitulation) $ 555,847.20 If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+ (10-09) pennsytvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Hoover, Carolyn a/k/a Carolyn L. 21-12-0873 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Hoffman-Roth Funeral Home - funeral services 9,678.44 2. Cumberland Valley Memorial Gardens - grave opening 1,826.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: 0.00 Name(s) of Personal Representative(s) Harvey E Hoover Jr. Street Address 99 Alters Road _ City _ Carlisle......... State PA zip 17015 Year(s) Commission Paid: 2. Attorney fees: 15,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) 3,500.00 Claimant Harvey E. Hoover, Jr. Street Address 99 Alters Road City Carlisle State PA zip 17015 Relationship of Claimant to Decedent husband 4. Probate Fees: 597.20 5. Accountant Fees: 500.00 6. Tax Return Preparer Fees: 7. Reserve - filing and account and releases 500.00 TOTAL (Also enter on Line 9, Recapitulation) $ 31,601.64 If more space is needed, use additional sheets of paper of the same size. REV-1512 EX+ (12-12) i pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Hoover Carolyn a/k/a Carolyn L. 21-12-0873 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 i. 0.00 TOTAL (Also enter on Line 10, Recapitulation) $ 0.00 If more space is needed, insert additional sheets of the same size. REV-1513 EX+ (01-10) ilk pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Hoover, Carolyn a/k/a Carolyn L. 21-12-0873 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).] 1. Harvey E. Hoover, Jr. spouse 555,847.20 99 Alters Road, Carlisle, PA 17015 IRA's and annuities 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 Credit shelter trust under Item Second of will 767,637.43 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ 767,637.43 If more space is needed, use additional sheets of paper of the same size. REV-1649 EX+ (09-12) pennsytvania SCHEDULE O DEPARTMENT OF REVENUE ELECTION UNDER SEC. 9113(A) INHERITANCE TAXES RETURN RESIDENT DECEDENT (SPOUSAL TRUSTS) ESTATE OF FILE NUMBER Hoover, Carolyn a/k/a Carolyn L. 21-12-0873 PART A - DEFERRING STATEMENT For all trust assets reportable for Pennsylvania inheritance tax purposes for which a deferral of tax is being elected under Section 9113(a), the personal representative responsible for filing the return and the trustee(s) of the trust in question hereby acknowledge the department's Statement of Policy set forth at 61 Pa. Code § 94.3 concerning any potential termination of the trust under 20 Pa.C.S. § 7710.1 that occurs after the return was filed. Specifically, the signatories recognize each individual's assumption of liability for inheritance tax consequences that result from any termination of the trust under 20 Pa.C.S. § 7710.1 that occurs after a return has been filed. 1 /'ten Sigfrature of rson R sponsible for F' ing Return Signature(s) o Trustee(s) PART B - ELECTION TO TAX AMOUNTS Complete this section only if making the election to tax available under Section 9113(a) of the Inheritance & Estate Tax Act. If the election applies to more than one trust or similar arrangement, a separate form must be filed for each trust. This election applies to the credit shelter Trust (marital, residual A, B, by pass, unified credit, etc.). Enter the description and value of all interests for which the Section 9113(a) election is made. DESCRIPTION VALUE The assets that comprise the credit shelter trust. All the assets are taxable for Pennsylvania 767,637.43 Tota l 767,637.43 If more space is needed, insert additional sheets of the same size. COPY LAST WILL AND TESTAMENT OF CAROLYN L. HOOVER I, CAROLYN L. HOOVER, of West Pennsboro Township, Cumberland County, Pennsylvania, declare this to be my will, hereby revoking all prior will and codicils. Distribution of Personal Property FIRST: I give my personal property to my husband, HARVEY E. HOOVER, JR., if he survives me, for a period of thirty (30) days. If he shall not so survive me, I give to my brother-in-law, John W. Bear, the following personal property: John Deere 40 tractor, John Deere 620 tractor, two (2) wheel cart, grader blade, ladders, welders, drill presses, band saw, bench saw, lathe and hand tools. I give my household goods and all jewelry to my sister, Barbara Jo Bear, if she survives me for a period of thirty (30) days. If she does not so survive me, I give said jewelry to my niece, Amy Jo Abbott and my nephew, Jason R. Bear. Credit Shelter Trust for Husband SECOND: I give to my hereinafter named trustee to hold in trust (hereinafter referred to as "credit shelter trust"), in addition to all assets received directly by trustee that are excludable from my gross taxable estate for federal estate tax purposes, assets of a total value equal to the largest amount, if any, that can pass free of federal estate tax by reason of the unified credit and any other credits available for federal estate purposes except: (i) the state death tax credit to the extent that use would require an increase in the amount of state death taxes paid, and (ii) the credit for tax on prior transfers to the extent that credit arises from transfers to me from individuals who die after me. Such latter amount shall be reduced by the value for federal estate tax purposes of any initials gifts which do not qualify for the marital or charitable deduction made by me under this will or otherwise, and further reduced by an amount equal to the sum of all charges to principal, except death taxes (since I direct hereafter that such death taxes be paid from this trust), that are not deducted in computing my federal estate tax. I recognize that depending upon the amount of bequests under my will, my non- testamentary dispositions, the amount of state death taxes and administration expenses, and other factors, this trust might be nonexistent or might consume all estate assets, so that no assets may remain to pass outright to my husband pursuant to the residuary gift. My executor shall select and distribute to the credit shelter trust, the cash, securities and other property that shall constitute the credit shelter trust, employing for the purpose of valuation the adjusted basis of the asset for federal estate tax purposes, provided that the assets distributed shall be selected in such manner that they shall have an aggregate fair market value fairly representative of the appreciation or depreciation in the value to the date or dates of distribution of all assets then available for distribution. The assets of the credit shelter trust shall be held and distributed on the following terms: During the lifetime of my husband, HARVEY E. HOOVER, JR., trustee shall pay and distribute to him or for his benefit the entire net income therefrom, which payments shall be made to him periodically, but not less frequently than quarterly. In addition, trustee shall from time to time pay to my husband, or shall apply directly for his benefit, as much of the principal of this credit shelter trust as my corporate or disinterested trustee may consider desirable for his health, maintenance and support, after considering all resources available to him. My husband shall have the right to withdraw annually the greater of $5,000 or 5 percent of the principal of this credit shelter trust valued at the end of the calendar year in which the withdrawal is made. The right of withdrawal shall be exercised only in writing and delivered to the my corporate or disinterested trustee in the lifetime of my husband _L 2 initials and the right of withdrawal shall be noncumulative. Upon the death of my husband or at my death if he shall have predeceased me, the principal of this trust shall become a part of the residue of my Estate. Distribution of Residue to Husband THIRD: If my husband, HARVEY E. HOOVER, JR., survives me for a period of thirty (30) days, I give the residue of my Estate to him free of all trusts. Distribution of Residue FOURTH: (i) In the event my husband, HARVEY E. HOOVER, JR., does not so survive me, I give my two farms, namely the Sheaffer farm conveyed to me by deed dated August 17, 1987, and recorded in Cumberland County Deed Book "W", Volume 32, Page 633 and the Weibley farm conveyed to me by deed dated February 23, 1998, and recorded in Cumberland County Deed Book 172, Page 434 to Barbara Jo Bear and John W. Bear, if they survive me for a period of thirty (30) days. If they, or either of them, do not so survive me, I give said farms to my niece, Amy Jo Abbott, and my nephew, Jason R. Bear, or their issue per stirpes, who survive me for a period of thirty (30) days. (ii) In the event my husband, HARVEY E. HOOVER, JR., does not so survive me, I give the residue of my estate to my hereinafter named Trustee to hold in trust to pay the entire net income therefrom, which payments shall be at least quarterly, in equal shares to my niece, Amy Jo Abbott, and my nephew, Jason R. Bear, or the survivor thereof for and during the term of their natural life. (iii) Upon the death of both my niece, Amy Jo Abbott, and my nephew, Jason R. Bear, I devise and bequeath the residue of my estate as follows: (a) Fifty (50%) percent to the Grace United Methodist Church to be held in a C~ X/-~ 3 initials separate fund known as the Harvey E. Hoover, Jr. and Carolyn L. Hoover Memorial Fund with interest only payable yearly to said Church for general operating expenses; and (b) Fifty (50%) percent to the Milton S. Hershey Medical Center of Penn State University to be used for general research purposes. Simultaneous Death FIFTH: If my husband and I should die under circumstances which render the order of our deaths uncertain, for the purposes of the residuary marital gift, it shall be conclusively presumed that my husband survived me. Minors and Incapacitated Persons SIXTH: If any income or principal shall be payable to any person who shall be a minor or who shall be incapacitated for any reason, trustee shall hold such income and principal during minority or incapacity and shall be entitled to apply such income and principal to the health, maintenance, support and education of such person during minority or incapacity without the appointment of any guardian or committee or any authority of court. Trustee shall be entitled to make direct application or to make application by payment of income and principal to the parent or other person in charge of such minor or incapacitated person, or to his or her guardian or to a custodian under the Uniform Transfers to Minors Act. Any remaining income and principal to which such person shall be entitled shall be paid and distributed to such person upon the termination of minority or incapacity. Appointment of Guardian of Estates of Minors SEVENTH: I appoint my trustee as guardian of the estates of minors with power to hold all property payable by law to a guardian appointed by my will and to use the same for the 4 initials minor's health, maintenance, support and education, either directly or by payment to any person selected by my trustee to disburse it whose receipt shall be a complete acquittance. Guardian may, in discharge of all of the guardian's duties, pay any minor's share deemed impractical of administration to the parent or other person in charge of the minor or to his or her guardian or to a custodian for the minor under the Uniform Transfers to Minors Act. My trustee as guardian shall have the same powers as my trustee and shall serve without bond. Protection of Beneficiaries (Spendthrift Provisions) EIGHTH: No interest in income or principal shall be assignable by a beneficiary or available to anyone having a claim against a beneficiary before actual payment to the beneficiary. Powers of Executor and Trustee NINTH: My executor and trustee and their successors shall have the following powers in addition to those given by law to be exercised by them in their absolute discretion, which powers shall be applicable to all property held by them, effective without the order of any court and until the actual distribution of all such property: A. To retain any investments at discretion including stock of any corporate fiduciary, or of a holding company controlling it; B. To invest and reinvest at discretion without restriction to so-called "legal investments," with the specific right to invest in common and preferred stocks and in such common trust, diversified, money market and mutual funds as they deem appropriate; C. To sell, to grant options for the sale of, or otherwise convert any real or personal property or interest therein, at public or private sale, for such prices, at such time, in such manner and upon such terms as they may think proper, and to execute and deliver good and sufficient conveyances, assignments and transfers thereof without liability of any purchaser to see to the application of the purchase money; 5 initials D. To borrow money and to secure its repayment by mortgage of real or personal property, pledge of investments or otherwise, without liability on the part of the lenders to see to its application; E. To compromise claims by or against my estate or any trust created by this will; F. To make distributions in cash or kind, or partly in each; G. To register investments in the name of a nominee or to hold the same unregistered in such form that they will pass by delivery; H. To join in any recapitalization, merger, reorganization or voting trust plan affecting investments, to deposit securities under agreement, to subscribe for stock and bond privileges, and generally to exercise all rights of security holders; I. To manage, operate, repair, alter or improve real estate or other property, and to lease real estate and other property upon such terms and for such period as my executor and trustee deems advisable even for more than five years and beyond the duration of any trust; J. To deduct administration expenses upon either the federal estate tax return or fiduciary income tax return, with or without adjustment between principal and income, as my corporate or disinterested executor shall determine; K. To join with my husband and file any income tax or gift tax returns that may be due on my behalf and to pay so much of such taxes as my corporate or disinterested executor may deem appropriate and to consent to any gifts made by my husband being treated as having been made one-half by me; L. In the absence of a corporate fiduciary, to retain accountants, custodians, investment advisors and other agents as my executor and trustee shall determine and to compensate them out of principal or income or both as my executor and trustee shall determine, such compensation to be a reduction of the compensation of my executor and 6 initials trustee; M. To disclaim any interest in property without Court approval; and N. To do all other acts and things necessary or appropriate in the management, administration and distribution of my estate. Payment of Death Taxes TENTH: My executor and trustee shall pay all estate, inheritance and other death taxes (including the supplemental estate tax on certain qualified plan benefits but not including any generation skipping tax imposed on a direct skip), together with interest and penalties, which shall be payable with respect to property or interests subject to taxation by reason of my death and whether passing under my will or any codicil, or otherwise, including jointly held and other non- testamentary property. My executor and trustee shall pay the same out of the principal of the credit shelter trust without apportionment. Only to the extent the credit shelter trust is insufficient or unless my husband predeceases me shall any such payments be made from my residuary estate. Appointment of Executor and Trustee ELEVENTH: I appoint my husband, HARVEY E. HOOVER, JR., Executor of my will. If my husband, HARVEY E. HOOVER, JR., is unable or unwilling to qualify as Executor, or having qualified is unable or unwilling to continue to act, I appoint Adams County National Bank as Executor. I appoint my husband, HARVEY E. HOOVER, JR., and ADAMS COUNTY NATIONAL BANK and its successors or the survivor of them as trustees. I further direct that my Executor and my trustees shall not be required to furnish security in any jurisdiction. Compensation of Fiduciaries TWELFTH: My corporate fiduciary shall be compensated as such in accordance with its 7 initials c ` schedule of fees in effect from time to time when such services are rendered. Interchangeability of Language THIRTEENTH: Words used in the singular may be read to include the plural or the plural may be read as the singular. Similarly, the masculine form may be read to include the feminine and neuter; the feminine may be read to include the masculine and neuter; and the neuter may be read to include the masculine and feminine. Headings FOURTEENTH: The headings used on the various paragraphs of this will are included for convenience only and shall have no legal significance. I have signed this will this day of , 2000. /4-Cr-r, U~eX- (%AtJN n Carolyn L. oover (Witness) r L' (Witness) ACKNOWLEDGMENT and AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) We, Carolyn L. Hoover, the Testatrix in, and0 fi~ . ILJ.LC 8 and 4 - , the witnesses to the last will, the attached or foregoing instrument, who have signed the instrument, having been duly qualified according to law do depose and say: (a) that I, the Testatrix, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it willingly and as my free and voluntary act for the purposes therein expressed; and (b) that we, the witnesses, were present and saw the Testatrix sign and execute the instrument as her last will, that she signed it willingly and executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as a witness and that to the best of our knowledge the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. Caro L. +Hver Witness Witness c~ C_`t. (Signature of Officer of,atto*n (Seal and official capacity of officer or state of admission of attorney) Esusan otarial Seat Guyer, Notary public o, Cumberland County n Expires Sept. 41220 03 Member, Pennsylvania Association of Notaries 9 ETPAX Historical Prices EATON VANCE PENNSYLVANIA MUNICI Stock - Yahoo... Page 1 of 1 New User? Regls?er Sign In M A, Y! My Hornepage fdai all Y' Tahoe` >:arch Search Web HOME INVESTING NEVIS PERSONAL RNANICE ,v1Y P0RTi~OLiOS EXCLUSIVES Get Quotes Finance Search n 31 2013: 2'. <f , 9 r . US Ma<ke:s Code In 1 hr ;;-n 18 rains Dow 10.15% Nasdaq t O.08% HTEPGE"` PmlrtYraae STHEETSF~a u~~nn - Fldg//!fit' Eaton Vance PA Municipal Income A (ETPAX) Add to Portfolio 9.33 10.01(0.11 Jan 30 Historical Prices Get Historical Prices for: (GO Set Date Range AdChacas Daily Start Date: Jul 25 2012 Eg. Jan 1, 2010 Weekly vhwil End Date:' Jul 25 2012 Monthly Dividends Only NATURE VIDEOS Get Prices LOOK BEST ON VIMEO PRO First Previous I Next Lasi . 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Z- N Q r r Ip p0 'p N O M to m S y/) w 00 y ao' v p 3 U) ~ ~ = R uQ =r =3 ° (D Q7 4A, CD dC SvtC O O dC Ol yC m N O W _.7 -t N N O to O r~' r°i CD a Z z O N N ~pp V 0- ry~ x O 1 0) N ( Nry~ ~ D 0 D N G. •P N n f)'~ t0 ~ W N D. r m r m r (D N Q a a Cl) O D o ) a n w m 00 to OD 00 Fem.. W P. 4 N b ~r w m P. 4Ar Or .N-. b OO W C H V W to Z" a V 00 00 4 j a)0) rN N d NOD m y A O N a Ndt m m ;I -t W N O t0 cn r V r N O: `chi S W O toa O N fn C ~ (D 1 Q f K3 C n rn T. ~u ~ rn rn~ to cn n o O O A r h e OD OD e 01 14 WI Services Company 6300 Lamar Avenue Post Office Box 29217 Shawnee Mission, KS 66201-9217 September 10, 2012 www.waddell.com Robert R Black 36 S Hanover St Carlisle PA 17013 RE: 26675058 Carolyn Ann Hoover Dear Mr. Black: In response to a request we received from, we are pleased to provide you with the account/fund value as of July 25, 2012. FUND SHARES PRICE VALUE Ivy Small Cap Growth (602) 4586.958 $13.68 $62,749.59 Ivy Science & Technology (608) 5228.418 $31.23 $163,283.49 Ivy Pacific Opportunities (611) 5716.268 $12.30 $70,310.10 Ivy Global Natural Resources (612) 6188.956 $15.20 $94,072.13 Ivy European Opportunities (614) 951.053 $20.97 $19,943.58 Ivy Cundill Global Value (615) 3442.473 $11.01 $37,901.63 Ivy Value (632) 1370.658 $16.26 $22,286.90 Ivy Large Cap Growth (667) 2034.642 $13.68 $27,833.90 Ivy Mid Cap Growth (668) 4408.486 $16.54 $72,916.36 We appreciate the opportunity to be of service. If you have any further questions, do not hesitate to contact us at 1-888-923-3355. Sincerely, Resource Center Client Services Division Waddell & Reed Services Co. a: 9/20/2012 Time: 4:23 I'M TO: LVL L1G\n u ioncenbal A UNIFI Company The Union Central Life Insurance Company Individual Lire Claims 1876 Waycross Rd / Cincinnati, OH 45240 Toll Free 800.319-6302 September 17, 2012 ROBERT R BLACK Re: A64000967S A64004981S LANDIS & BLACK Carolyn L. Hoover 36 SOUTH HANOVER STREET CARLISLE PA 17013 Dear Mr. Black: In response to your request for information on the above individual please find the following information concerning your client. She was the owner of the following two policies with our company. She is also the beneficiary on a third policy A64010848S. Policy Number Policy Type 07-25-12 Cost Basis Profit Values A64000967S SPDA-TDA $236,341.69 0 $236,341.69 A64004981S SPDA-Non-Qualified $151,113.77 $100,000.00 $51,113.77 The beneficiary for the above policies is Harvey E. Hoover Jr. husband of the owner/annuitant, namely Carolyn L. Hoover. If you have any questions concerning these contracts please do not hesitate to call me. My toll-free number is 1-800-319-6302.X52740. Respectfully, Earl Ray, FLHC, ACS Senior Claim Examiner Individual Life Claims ecr cc: Agency 347- Richard J. Johnson • BANKERS LIFE AND CASUALTY COMPANY PO Box 1937 Carmel, IN 46082-1937 September 17, 2012 Harvey E Hoover JR 99 Alters Road Carlisle, PA 17015 Contract Number: 7913333 Carolyn Hoover, deceased Dear Mr. Hoover: Below is the breakdown of the death claim payout for the above referenced contract. You have chosen to transfer your death benefit proceeds to a pending new business application. You will receive your new policy under separate cover. Death Benefit: $ 57,483.93 Less After Death Withdrawal -$0.00 Your Share: $ 57,483.93 Interest @ 0.75% $0.00 Taxable Amount: $ 0.00 Federal Withholding: $ 0.00 Amount Sent to Pending Application $ 57,483.93 Check Amount: $ 0.00 If you have any questions regarding this transfer, please contact our office at 800-654-3072. Sincerely, Annuity Claims Department BANKERS LIFE AND CASUALTY COMPANY (800) 621-3724 PO Box 1937 Carmel IN 46082-1937 September 12, 2012 Law Offices Landis & Black 36 South Hanover ST Carlisle, PA 17013 Policy: 7913333 RE: Carolyn Hoover, deceased Dear Family of Carolyn Hoover: Please accept our sincere sympathy on the passing of your loved one. The primary beneficiary of the policy listed above is Harvey E Hoover JR. Once the documentation has been received, a Claims Adjuster will review the cases to determine that all requirements to service your claims have been met. The Claims Adjuster will then either contact you directly if additional information is needed or complete the servicing of your claims. Please contact our Customer Service Department at 1-800-654-3072 by phone or 1-317-817-4431 by fax if you have questions or require additional assistance. Sincerely, Annuity Claims Department b z o x O x o m o rn o x 'Jd d d 14 ,GF? w o x x v, x x v, x w x d x r $ Q. CD qty app' g$ g g 8 g 8 8 g o, 0 CD Ej, G O w S. 0 a ~ G ~o (D d V a 0. CA) N W 0. c. O s O Q O w :3 CD :j :j 00 ~o A O ° p ~ O "J' ~ rz^• 5' 3 0 ° w o fD W ~ y x Q co od N CL 2S ao~Ex fn~D CL G ~ m GGO p y N$ b .°i1 p 70 W (fj IN NI la. 0 x~ -40 00 w g g N CD o o COO, 6 x~ v o O 0. 00 o C % x o d coo 4 oo C! O C 00 w O cn v 0 CL m o o W 44 sn N 0% M 00 V O~ O O .04 00 V G C 00 W O V W A"at R7~ N ~ Y 00 Q N 0 W 91 <A fA 410. 40 v N O O C7, o 0 P~ W ~ N p Z-1 p .4 44 ~n 44 14 14 TWO to 0 R'> N C 000 c v A cn o $ o w o a 0 to A o.~ag 0' o A 44 cn N ° d ;v vO, o 00 %0 rn o"° V 00 V W W ~ M OND e N 10 H A R Nationwide Financiale Income Products Service Center P.O. Box 182928 Columbus, OH 43218-2928 On Your Side® October 22, 2012 Harvey Hoover Jr. 99 Alters Rd Carlisle, PA 17015 RE: Estate of Carolyn Hoover Date of death: 07/25/2012 Contract: 4004A Dear Mr. Hoover, This is in response to your inquiry about the date of death value on the above referenced contract for Carolyn Hoover. The date of death value is $41,167.80. If you should need any additional information, please contact our office at 1-800-634-5222. Our office hours are 8:00 a.m. to 5:00 p.m. Eastern Time. Sincerely, Catherine Jorge-Ratliff Income Products Service Center Annuities and life insurance products are issued by Nationwide Life Insurance Company, Columbus, Ohio, a member of Nationwide Financial. The general distributor is Nationwide Investment Services Corporation, member NASD. In MI only: Nationwide Investment Svcs. Corporation. Nationwide, the Nationwide framemark, On Your Side and Nationwide Financial are federally registered service marks of Nationwide Mutual Insurance Company. Nationwide Financial@ Income Products Service Center P.O. Box 182928 Columbus, OH 43218-2928 On Your Side® October 22, 2012 Harvey Hoover Jr. 99 Alters Rd Carlisle, PA 17015 Re: Contract Number: 4004A Payee: Carolyn Hoover Date of Death: 07/25/2012 Dear Mr. Hoover: We at Nationwide extend our sympathy to the family of Carolyn Hoover. Our records indicate this contract was an 5 Year Special Interest Only Annuity issued on November 19, 1999. The proceeds are payable to you as beneficiary in one lump sum payment. In order to process the benefits, we will need the following: • Completed Claimant's Statement A return envelope is enclosed for your convenience. If you have any questions or need additional information, please call us toll-free at 1-800-634-5222. Our office hours are 8:00 a.m. to 5:00 p.m. Eastern Time. Sincerely, Income Products Service Center Cmjr Enclosure Annuities and life insurance products are issued by Nationwide Life Insurance Company, Columbus, Ohio, a member of Nationwide Financialo. The general distributor is Nationwide Investment Services Corporation, member NASD. In MI only: Nationwide Investment Svcs. Corporation. Nationwide, the Nationwide framemark, On Your Side and Nationwide Financial are federally registered service marks of Nationwide Mutual Insurance Company. ACNB BANK August 29, 2012 Landis & Black Attn: Robert R Black 36 S Hanover St Carlisle PA 17013 RE: Estate of Carolyn L Hoover Dear Mr. Black: The following information is being provided as per your request: Acct. Type Account No. Balance at Accrued Ownership Date D.O.D. Interest to Opened/Joint D.O.D. Money 1595148 $171,250.87 $8.45 Jt w/ Harvey E Hoover Jr 10/26/1987 Market Account Certificate of 158168 $25,000.00 $24.81 Individual 9/25/01 Deposit Certificate of 4990520 $11,000.00 $21.00 Individual 3/19/99 Deposit Save Deposit 803/314 Jt w/ Harvey E Hoover Jr 2/14/69 Box (Newville Office) Inquiries concerning ACNB Corporation stock information should be directed to the Registrar and Transfer Company at 1-800-368-5948. If you need any additional information, please contact me at (717)339-5122. Sincerely, Barbara J Warner ACN13 Bank Deposit Services Representative II Cc: ACNB Bank Trust Department acnb.com • acnbbusiness.com • P.0. Box 3129, Gettysburg, PA 17325 • Phone 717.334.3161 • Toll Free 1.888.334.ACNB (2262) M&TBank 10. M 499 Mitchell Road, Millsboro, DE 19966 Adjustment Services Phone 888-502-4349 F ax (302) 934-2955 August 21, 2012 Law Offices Landis & black 36 South Hanover Street Carlisle, PA 17013 Re: Estate of Carolyn L. Hoover Social Security: 208-24-2216 Date of Death: July 25 2012 Dear Sir or Madam: Per your inquiry on August 14, 2012, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Checking Account Account Number 423262 Ownership (Names ofl Carolyn L. Hoover Opening Date 0910111967 Balance on Date of Death $4,67.07 Accrued Interest $ .00 Total $4,607.7 For any additional information on the above accounts, including ownership and any changes, closures and/or reimbursement of funds, please call the High Street Carlisle at 717-2404536. We were unable to locate any safe deposit box for the above-mentioned decedent. This letter does not include any accounts in which the deceased may have been listed as Power of Attorney, Custodian of Uniform Transfers, Representative Payee, or Trustee under a Written Agreement. Sincerely, Valarie Mercer Adjustment Services 219 North Hanover Street Carlisle, Pennsylvania 17013 717.243.4511 toll free 1.866.451.4511 fax 717.243.3723 www FUNERAL HOME & CREMATORY INC. .hoffm anroth.com infoCa?hoffmarcoth.com August 27, 2012 Harvey Hoover 99 Alters Road Carlisle, PA 17015 Statement of Funeral Expenses for: Carolyn Hoover Date of Death: July 25, 2012 Account Id: 16615-178 PACKAGE: Traditional Funeral Service TRADITIONAL FUNERAL SERVICE PACKAGE $ 4,850.00 Sub Total: $ 4,850.00 MERCHANDISE: Casket: Adirondack $ 2,670.00 Outer Container: Monticello $ 1,620.00 Sub Total: $ 4,290.00 TOTAL FUNERAL HOME CHARGES: $ 9,140.00 CASH ADVANCES: 20 Certified Death Certificates at $ 6.00 each $ 120.00 Newspaper Notice - Sentinel $ 144.44 Clergy $ 100.00 Flowers $ 159.00 Hairdresser $ 40.00 Credit For Clergy $ -100.00 Organist $ 75.00 Sub Total: $ 538.44 Total Funeral Expense: $ 9,678.44 Total Payments Made: $ 9,678.44 Payments Made: Harvey Hoover Check 01 Aug 15, 2012 9,678.44 Balance: 0.00 Please return this portion with your Remittance. $ Amount Enclosed Carolyn Hoover Service ID#: 16615-178 SERVING OUR COMMUNITY SINCE 1907