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J 150561014D
REV-1500 �` �°,.,°'
OFFICIAL USE ONLY
PA Department of Revenue
Bureau of Individual Taxes CountyCode Year FileNUmber
po sox zaosoi INHERITANCE TAX RETURN 2 1 1 3 0 3 1 8
HarrisburSa PA 1712&0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number �ate of Death MMDDm'Y Date of Birth MMDOYYVY
0 1 2 3 2 0 1 3 0 3 3 0 1 9 2 5
DecedenPS Lasf Name � Suffix DecedenPS First Name �`/��
� H A N S E N S H I R L E Y E
(If Applicable)Enter Surviving Spouse's Intortnation Below
Spouse's Last Name Suffiz Spouse's First Name MI
N / A
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 Retum � 3.Remainder Return(date of deaih
prior to 12-13-82)
� 4.Limited Estate � 4a.FuWre Interesl Compromise(date of � 5.FeCerel Estate Tax Return Required
dealh after 12-12-82)
Q 6. Decetlent Died Testale � 7. Decedent Maintained a Living Trust Q 8.Total Number of Safe Deposit Bozes
(Attach Copy of Will) (Attach Copy of Trust)
� 9. Lttigation Proceetls Received � 10.Spousal Poverty Credit(tlale of death � 17.Eledion to tax under Sec. 9113(A)
belween 1231-97 and 1-1•95) (Attach Sch.O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE OIRECTED T0:
Name Daylime Telephone Number
J A M E S D • C U L L E N 8 1 4 8 7 0 7 7 0 5
REGIST OF WILLS USE NLY
O '-� %J
� �, � m
First line ot address fi � � � �
. -� n �r�— tn .
1 ❑ 0 S T A T E S T R E E T a � ^� "'' ~
� �; � ~ a
Second line of address b x �
C'> � � O
S U I T E 7 O O O �AT FIL68-. "'� �
City or Post Office State 21P Code " �
m
E R I E P A 1 6 5 0 7 1 4 5 9 � � o
�
CorrespondenYs e-mail address: JCULLENna MI]B.COM � '
UnOer penaltles oi pe�ury,I deUare that I�ave euaminetl this retum,inUueing acwmpanying schedules an0 sWiements.antl fo the best of my knaMedge an7 belief,
il Is true,cortecl and complete.DeGaration ol D�eparer ot�er Uan t�e perso�al representative Is OaseO on ell iniortnation of vAilc�preparer has any knaMedge.
SIGNATURE OF PERSON RESPONSIBLE FOR FIL NG RETURN DATE
�•.�a,<. J Ke.. �kC� '7 � �af,�a
ADDRESS
472 PRIMROSE DRTVE LANSDALE PA 194467625
SIGNA7UREf)F;fREPA�RER/O�T,,HER�REPRESENTAyM� n�,� DATE
y,� � .[�S/ 06/28/13
ADDRESS
100 STATE STREET, SUITE 700 ERIE PA 165071459
PLEASE USE ORIGINAL FORM ONLY
Side 7
L Z50561D140 1505610140 �
hU
. . . .
J 1505610240
REV-1500 EX Decedent's Social Security Number
oeceaent•s Name: $H Z R L E Y E . H A N S E N
RECAPITULATION
1. Real Estate(Schedule A) . . .. . .. . . . . .. . . . . .. . . . . . . . .. .. . .. . .. .. . . .. . 1. � . 0 �
2. Stocksand Bonds(Schedule B) .. . . .. .. . . .. . . . . .. . .. . . . .. . . . .. . . . . . . . 2� � , � �
3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schetlule C) . . . .. 3. 0 • � �
4. Mortgages and Notes Receivable(Schedule D) . ... ... .. . .. . .. . . . . . . . .. . . 4, Q • � �
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E).. . .. . . 5. 2 9 1 8 7 , 5 9
6. Jointly Owned Property(SChedule F) ❑ Separate Billing Requasted . .. . .. . 6. � • � �
7. Inter-Vivos Transfers&Miscellaneous N -Probate Property
(Schedu�e G) � Separate Billing Requested . .. . . . . 7. 5 3 2 7 � 6 . 3 1
8. Total Gross Assets(total Lines 1 through 7) .. . . . . .. . .. . .. . . . . . .. . .. . .. 8. S 6 1 8 9 3 . 9 0
9. Funeral Expenses and Administrative Costs(Schedule H) 9. 1 3 2 3 � . 8 8
. . . . . . . . . . .. . .. . . .
10. Debts ot Decedent,Mortgage Liabilities,and Liens(Schedule I) . . . . . .. . .. . . . 10. 3 7 1 . 1 7
�7. ToW I OeducNons(total Lines 9 and 10) . . . . . . . . .. . .. . . . . .. . .. . .. . . . . . . 11. L 3 6 0 2 . 0 5
12. Net Value of Estate(Line 8 minus Line 17) . . .. . .. . .. . .. . .. . . . . . . . . .. . . �2. $ 4 8 2 9 1 . & $
13. Charitable and Gavernmental BequestslSec 9113 Trusts tor which
an election to tax has not been made(Schedule J) . . . .. . . . . .. . . . . .. . .. . . 13. � • � �
14. Net Value Subject to Tax(Line 12 minus Line 13) .. . .. . .. . .. . .. . . .. . . . . 14. $ 4 8 2 9 1 . 8 5
TAX CALCULATION-SEE INSTRUCTIONS FOR APPIICABLE RATflS
15. Amount of line 14 taxable
at the spousal tax rate,or
lransfers under Sec.9176
(a)(7.2)X.000 � . � � 75. 0 . 0 0
1fi. Amount of Line 14 tazable
at�inea�rate x .oas 5 4 8 2 9 1 . 8 5 �s. 2 4 6 7 3 . b 3
17. Amount of Line 14 taxabte �
at sibling rate X.12 0 . 0 0 17. 0 . 0 0
18. Amount of Line 14 taxabte
at collateral rate X.15 0 . 0 0 tg. 0 . 0 0
19. TAX DUE . . .. . . . . . . . . .. . . . . . .. . . .. . .. . .. . .. . .. . .. . . . . . . . . .. . . . . 19. 2 4 6 7 3 . 1 3
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑
Side 2
L 15�5610240 1505610240 J
REV-7500 EX Page 3 File Number
DecedenYs �Complete Address: z� t3 osis
DECEDENT'S NAME
SHIRLEY E. HANSEN
STREETADDRESS
5225 WILSON LANE, SUITE 311
cin srnre ziP
MECHANICSBURG PA 17055
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 24,673.13
2. Credits/Payments
A.Prior Paymenis 20,000.00
B.Discount ],052.63
Tolal Credits(A+B) (p) 21,052.63
3. Interest
(3) 0.00
4. If Line 2 is greater than line 1+Line 3,enter ihe difference.This is the OVERPAYMENT.
Fill in oval on Page 2,Line 20 to request a refund. (4) 0.00
5. If Line 1 +Line 3 is greater than Line 2,enter ihe difference.This is ihe TAX DUE. (5) 3,620.50
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 iransfer and: Yes No
a. retain ihe use or income of the property transferred: ...................................................................... X� ❑
b. retain the right to designate who shall use the property transferred or its income: ............................... � ❑
c. retain a reversionary interest;or ................................................................................................ � ❑
d. receive ihe promise for life of eitber payments,benefits or rare? ....................................................... ❑ ❑X
2. If death occurred afler December 12,1982,did decedent transfer property within one year of death
without receiving adequate consideration7 ....................................................................................... ❑ Q
3. Did decedent own an"in trust for"or payable-upon-death bank account or securily at his or her death? ......... ❑ ❑X
4. Did decedent own an individual retirement accouM,annuity or other non-probate properly,which
conlains a beneficiary designation?.................................................................................................. ❑X ❑
IF THE ANSWER TO ANY OF THF 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 i:
3 percent[72 P.S. §9116(a)(1.1)(i)j.
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 decedenYs lineal beneficiaries is 4.5 percent,except as noted in
72 P.S.§9116(1.2)[72 P.S. §9116(a)(1)j.
• The tax rate imposed on the net value of transfers to or for the use of the decedenYs siblings is 12 percent[72 P.S.§9116(a)(1.3)].A sibling is defined, unde,
Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption,
REV-7508 EX+(71-70)
. . . �
pennsylvania SCHEDULE E
DEPARTMENTOFNEVENUE CASH, BANK DEPOSITS, & MISC.
INHERITANCETAXRETURN pERSONAL PROPERTY
RESIDEM DECEDENT
ESTATE OF: FILE NUMBER:
SHIRLEY E. HANSEN 2] 13 0318
Indude the proceeds oi litigafion and the date Ihe proceeds we2 received by Ne estate.
All property jointty owned with righl oisunivorshtp musl be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
�. PNC Bank checking account#60-3266-5370 14,070.25
2. Accrued interest on item 1 0.06
3. Household goods and fumishings I,000.00
4. Jewelry 3,000.00
5. Banker's Life-claim payments 99.32
6. Pennsylvania Treasury-unclaimed property proceeds 10.59
7. Banker's Life-premium refund 682.05
8. Genworth-claim payments 5,657.58
9. Pennsylvania Department of Revenue-2012 PA-40 refund 14.00
10. Asbury Communities, Inc.-refund of pharmacy overage 43•87
11. Harrisburg Patriot News-subscription refund g�•24
12. Nationwide Insurance-renter's insurance premium refund 147.00
13. Genworth-premium refund 827.53
14. Yankee Magazine-subscription refund 20.00
I S. V. Eugene Kilmore,Jr, MD. PC. -refund �6•7z
16. Bethany Village-rentrefund 722.50
TOTAL(Also enter on Line 5,RecapiWlation) 8 Zg �g7.S9
If rtro2 spece is needed,insert additional shcek of paper ot Ne same size
, . , , Continuation of REV-1500 Inheritance Tax Return Resident Decedent
SHIRLEY E. hIANSEN 21 13 0318
Decedent's Name Page 1 File Number
Schedule E-Cash, Bank Deposits, & Misc. Personal Property
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
17. United Healthcare-reimbursements 252.57
18. Lower Allen Ambulance-2013 membership refund 60.00
19. United States T�easury-2012 1040 refund 2,255.00
20. American Home Patient-claim payment refund 228.31
SUBTOTAL SCHEDULE E 2,795.88
GRANDTOTALSCHEDULEE E 29,187.59
REV-1510 EX«(OB-09)
� pennsylvania SCHEDULE G
DEPARTMENTOFREVENUE INTER•VIVOSTRANSFERSAND
INHERITANCETA%RETURN MISC. NON•PROBATE PROPERTY
RESIDENT OECEDEM
ESTATE OF FILE NUMBER
SHIRLEY E. HANSEN 21 13 0318
7his sche0ule must be completed and fled H the answer to eny of questions 1 ihrough 4 on page three of Ne REV-1500 is yes.
DESCRIPTION OF PROPERTY
ITEM INCLUDETHENMIEOFTHETMNSFEREE,THEIPFEIATIONSFAPTODECEDEMAND DATEOFDEATH %OfDECD'S EXCLUSION TAXABLE
NUMBER 1MEOATEOFTfl�NSFER.ATfACMACOPYOFTMEDEEDFORREALESTATE. VALUEOFASSET INTEREST nrurvc.mn VALUE
1. 1,728.4500 shares Elfun Trusts Fund#095 (ELFNX) 80,321.07 100.00 0.00 80,321.07
Q 46.47 CUSIP: 286281100 held in GE MuNal Funds IRA
Account#2002010599. The equal beneficiaries of this account
are the decedenYs four(4)children: Elizabeth A. Prestel,James A.
Hansen, Susan].Karakantas and Jeffrey P. Hansen.
On December 16, 1999,the decedent created a revocable irust,
which was amended on]anuary 26,200Q to pay herself the income
for her life,plus all or any part of the principal she would wish to
withdraw. The assets are listed below as items 2-7 at their date of
death values. A copy of the Agreement and Amendment No. 1 are
attached hereto.
2. 1,071.747 shares Windsor 11 Fund(VWNFX)@ 30.64 32,83833 100.00 0.00 32,83833
CUSIP: 922018205 held in Vanuguard Account#09942010298
Items 3 -4 werc held in Fideliry Funds Account#2AT-621960
3. 610.091 shares Fidelity Contrafund (FCNTX)@ 80.80 49,295.35 100.00 0.00 49,295.35
CUSIP: 316071109
4. 1,063.189 shares Fidelity Convertible Securities(FCVSX)@ 26.95 28,652.94 100.00 0.00 28,652.94
CUS1P: 316145200
5. 14,593.4674 shares General Electric Company(GE)@ 21.89 319,451.00 100.00 0.00 319,451.00
CUSIP: 369604103
6. Accrued dividend on item 5. Ex date: 12/20/2012, 2,772.76 100.00 0.00 2,772.76
Payable: O]/252013 @$.19/share
7. 246.6407 shares The Hershey Company(HSY)@ 78.555 19,374.86 100.00 0.00 19,374.86
CUSIP: 427866108
8. Melissa Stingle,grand niece 50.00 100.00 50.00 0.00
Cash,06/09/2012
9. Charles Hansen, grandson 35.00 100.00 35.00 0.00
Cash, 11/09/2012
10. Hilary Andrew,granddaughter 35.00 ]00.00 35.00 0.00
Cash, I I/IS/2012
Il. Rebecca Antozewski,granddaughter 35.00 100.00 35.00 0.00
Cash, 12/15/2012
TOTAL (Also enter on Line 7,Recapitulation) E 532 706.31
If rtw2 space is needed,use additional sheels of paper of ihe same size.
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
SHIRLEY E. HANSEN 21 13 0318
DecedenCs Name � � Pege 2 - File Number
Schedule G -Inter-Vivos Trensfers & Misc. Non-Probate Property
DESCRIPTION OF PROPERTY
ITEM INCLINETHENMIEOFTHETRANSFENEE771EIRRElHT10N5MPT00ECEDEMNN DATEOFDEATH %OFDECD'S EXCWSION TAXABLE
NUMBER TMEDATEOFTFANSFER.ATT�CNACOPYOFTHEOEEDFORRFAlEST�TE VALUEOFASSE7 INTEREST �rm,c� VALUE
12. B. J. Antozewski,spouse of granddaughter 35.00 100.00 35.00 0.00
Cash, 12/15/2012
13. Timothy Prestel,grandson 35.00 100.00 35.00 0.00
Cash, 12/15/2012
14. Sarah Hansen,granddaughter 35.00 100.00 35.00 0.00
Cash, 12/15/2012
I5. Jessica Hansen,granddaughter 35.00 100.00 35.00 0.00
Cash, 12/IS/2012
16. ]oshua Hansen,grandson 35.00 100.00 35.00 0.00
Cash, 12/15/2012
. SUBTOTAL SCHEDULE G
GRANDTOTALSCHEDULEG S 532,706.31
REV4511 EXi(10.09)
� pennsylvania SCHEDULE H
OEPAFiTMENT OF REVENUE FUNERAL EXPENSES AND
INMERITANCE7AXRETURN ADMINISTRATIVE COSTS
RESIDEM DECEDEM
ESTATE OF FILE NUMBER
SHIRLEY E. HANSEN 21 13 0318
DecedenTs debts must be reported on Schedule 1.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
�, Dusckas Funeral Home,lnc. -funeral expenses(prepaid) 0.00
2. Dusckas Funeral Home,lnc. -Um 220.00
3. Richardo'sRestaurant-memorialluncheon ��5•4�
4. Pealer's Flowers- funeral flowers 318.00
5. Clergy honorarium 100.00
6. Erie Cemetery-services 560.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)ot Personal Representative(s) 0.00
StreelAddress
��y State ZIP
Year(s)Commissbn Paid:
p. Anomey Fees: MacDonald, Illig,Jones&Britton LLP 2,000.00
3, Famity Exemption:(It decedenYs add2ss is not fhe same as daimanfs,attach ezpWnafion.) 0.00
Claimant
Stree�Address
City State ZIP
Relalionship of CWimant to Decedent
4. Probate Fees: Register of Wills and Clerk of the Orphans'Court 138.50
5.
Axountant Fees: 0.00
6. Taz ReNm Preparer Fees: 0.00
7. Copies,postage,long distance calls 350.00
8. Harrisburg Patriot News-obituary 327.31
9. Susan J. Karakantas-Executrix expense reimbursement 1,035.66
(0. Malpezzi Funeral Home-death cercificate 6.00
ll. MacDonald, Illig,Jones&Britton LLP-legal fees in connection with the adminishation and 8,000.00
distribution of the assets listed on Schedule G of this Return
TOTAL(Also enter on Une 9,Recapitulation) S 13 230.88
If more space is needed,use addiUOnal sheets of paper of ihe same size.
REV4512 EX�(12A8) '
� � pennsylvania SCHEDULE I
DEPAft7ME1ROf REVENl1E DEBTS OF DECEDENT, �
INHERRANCETA%HETURN MORTGAGE LIABILITIES, 8� LIENS
RESIDEM DECEDENT
ESTATE OF FILE NUMBER
SHIRLEY E.HANSEN 21 13 0318
Report debts incuned 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
t. ltem I was written out of the decedent's PNC Bank checking account referenced at item 1 on
Schedule E of this Remrn,prior to date of death,but cleared the account after date of death:
1. Carol Hansen-account due 200.00
2. CCRX of Bethany Village-account due 166.27
3. Bonnie K. Miller,Treasurer-2013 Lower Allen Township Counry/Municipal tae 4.90
TOTAL(Also enter on Line 10,Recapilulation) E 3�� ��
If more space is needed,inSeA add'Aional sheets of fhe same size.
REV�1513 EX�(01-10)
� pennsylvania SCHEDULE J
OEPARTMENTOF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDEM DECEDEII�
ESTATE OF: FILE NUMBER:
SHIRLEY E. HANSEN 21 13 0318
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON�S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
� TAXABLE DISTRIBUTIONS �InGude ouUpht spousal disUibulions and Ganslers under
Sec.97i6(a)(12).�
1. Elizabeth A. Prestel Lineal 80,822.96
]0160 Tanfield Court Ellicott City, MD 21042-5808
2. James A. Hansen Lineal 80,822.96
1818 Conley Road Mogadore,OH 44260-9640
3. Susan]. Karakantas Lineal 80,822.97
472 Primrose Drive Lansdale, PA 19446-7625
4. Jeffrey P. Hansen Lineal 80,822.96
912 Lancelot Avenue Mechanicsburg, PA 17055-5740
5. Rebecca S. Anroszewski Lineal 25,000.00
8608 Sassafras Court Columbia, MD 21046-1095
6. Timothy J.Prestel Lineal 25,000.00
10101 Wilnor Way Laurel, MD 20723-1739
7. John D. Prestel Lineal 25,000.00
20 Orchard Strcet,#2,Cambridge, MA 02140-1327
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
ll. NON-TAXABLE DISTRIBUTIONS:
A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
�, 0.00
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
�, 0.00
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. S 0.00
If more space is needed,use additional sheets of paper oi the same size.
, . , , Continuation of REV-1500 Inheritance Tax Return Resident Decedent
SHIRLEY E. HANSEN 21 13 0318
DecedenYs Name Page 3 File Number
Schedule J - Beneficiaries -1
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee�s OF ESTATE
� TAXABLEDISTRIBUTIONS [Indudeoutn'ghtspousaldistribu6onsandtrenstersunder
Sec.9116(a)(t.2).)
8. Hilary J. Andrew Lineal 25,000.00
2917 Brady Place EI Paso,TX 79935-1705
9. Sarah R. Hansen Lineal 25,000.00
426 Halley Street Erie,PA 16511-1136
10. Jessica M. Hansen Lineal 25,000.00
957 Bockstoce Avenue,Apt. B306 Castle Shannon, PA 15234-1651
il. Joshua E. Hansen Lineal 25,000.00
404 Presidential Boulevard Virginia IIeach, VA 23452-3209
12. Jennifer E. Hansen Lineal 25,000.00
912 Lancelot Avenue Mechanicsburg,PA 17055-5740
13. Charles J. Hansen Lineal 25,000.00
912 Lancelot Avenue Mechanicsburg, PA 17055-5740
TABLE OF CONTENTS
Name of Decedent: Shirley E. Hansen
Pennsylvania Department of Revenue # 21-13-0318
Date of Death: January 23, 2013
Social Security #
1. Shirley E. Hansen Last Will and Testament dated December 16,
1999.
2. Schedule G, Items 2-7: Shirley E. Hansen Revocable Trust U/A
dated December 16, 1999 and Amendment No. 1 to the Trust dated
- January 26, 2000.
1335230
� . . . .
,
LAST WILL AND TESTAMENT
OF
SHIRLEY E. HANSEN
I, SHIRLEY E. HANSEN, of Erie County, Pennsylvania, being of
sound mind and memory, declare this to be my Last Will and
Testament .
FIRST: I direct that my legal debts and expenses of my last
illness and funeral be paid out of my estate as soon as may be
convenient after my death.
SECOND: I give my tangible personal property to my husband,
EARL A. HANSEN, if he survives me; otherwise I direct my Executor
to distribute my tangible personal property in accordance with a
writing signed by me, which writing may be made and changed from
time to time by me after the execution of this Will . I give all
such property not effectively disposed of by me by the terms of
such writing to such of my children, ELIZABETH A. PRESTEL, JAMES A.
HANSEN, SUSAN J. KAR.AKANTAS, and JEFFREY P. HANSEN, who are living
at the time of my death, to be distributed between them as they
shall mutually agree and in the absence of such agreement as my
Executor alone shall determine making such distribution in as
nearly equal shares as possible . Any personal property
distributable to a minor may be delivered to the person with whom
the minor resides or such other person who may have custody of the
person of the minor, without the intervention of a Guardian. The
receipt of any such person shall be a full acquittance of my
Executor as to such distribution. All expenses, including storage
and insurance, incurred for the delivery and distribution of my
tangible personal property to the persons or parties entitled
thereto shall be administrative expenses of my estate.
THIRD: I give and devise the residue of my estate to the
Trustee under that certain Shirley E. Hansen Revocable Trust
Agreement executed by me on December 16, 1999 prior to my aigning
this Last Will and Testament, for the uses and purposes and subject
to the terms, conditions and powers aet forth therein and as the
same may from time to time be hereafter amended.
FOURTH: I authorize my Executor to sell any and all real
estate which I may own at the time of my death, at public or
private sale, for such prices and upon such terms as my Executor
shall deem advisable. My Executor is authorized to make, execute
and deliver any deed or deeds therefor, conveying title thereto in
fee simple absolute or for any lesser estate to any purchaser or
purchasers.
r
FIFTH: I authorize my Executor to make distribution of my
estate in kind or in cash, or partly in kind and partly in cash, as
my Executor shall believe advisable . Assets distributed in kind in
satisfaction of any pecuniary distribution under the terms of this
Will shall be distributed at their market value on the date or
dates of distribution.
SIXTH: I direct that there shall be paid out of that portion
of my residuary estate which is not included in the share
qualifying for the marital deduction, all federal estate, state
inheritance, estate, transfer, succession and death taxes of any
kind whatsoever, other than any generation-skipping transfer taxes,
(including any interest and penalties thereon) , imposed upon or
with respect to my estate or any property in which I may have an
interest, including any property not forming a part of my
testamentary estate, but included in my gross estate for tax
purposes, except any property over which I have a taxable power of
appointment in the event it shall be held that I have not exercised
such power of appointment in this Will, at such times and in such
manner as my Executor shall deem advisable . 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.
SEVENTH: I realize that executors and trustees are given
discretion by law to make various elections which affect the income
and estate taxes payable by estates, trusts and beneficiaries, as
well as the relative shares of beneficiaries, such as taking
administration expenses as deductions for either estate or income
tax purposes, selecting options for the payment of employee death
benefits, electing to take qualified terminable interests as part
of the marital deduction, selecting alternate valuation dates,
postponing the payment of taxes, filing joint income tax or gift
tax returns and redeeming corporate stock. The decisions made by
my fiduciaries in any of these matters shall be binding upon, and
not subject to question by, any affected persons . I rely upon my
fiduciaries to take into consideration the total income and estate
taxes payable by reason of their decisions, including those payable
by my survivors, and they are authorized in their discretion, but
not required, to make adjustments between income and principal as
a result thereof . They are specifically authorized to file a joint
income tax return with my husband for any period during which such
a return is permitted, without requiring him to sign an
indemnification agreement .
EIGFiTH: I appoint my husband, EARL A. HANSEN, Executor of
this, my Last Will and Testament . Should EARL decline or for any
reason be unable to so serve or continue to serve, then I appoint
my daughter, SUSAN J. KARAKANTAS, Executrix. Should SUSAN decline
or for any reason be unable to so serve or continue to serve, then
I appoint my son, JEFFREY P. HANSEN, Executor. As used herein the
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_ _ 4.
. _ __—" _, �.- ... .- . _ z�_Y`a�,.
term Executor shall be deemed to include SUSAN as Executrix when
she is so serving.
NINTH : No fiduciary appointed in this will shall be required
to post bond or any security in any jurisdiction in which such
fiduciary shall be required to serve.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
16th day of December 1999.
1'
a �.�'.�' ,.c�(SEAL)
n �
Shirl E. I-�a se
$igned, sealed, published and declared by the above-named
Testatrix, SHIRLEY E. HANSEN, to be her Last Will and Testament, in
the presence of us, who, at her request and in her presence and in
the presence of each other, have signed our names as witnesses .
� (JT-, ., �: �M _ ��,_,.,� loo State Street, Suite 700
Witness Erie, Pennsylvania 16507-1498
�. �.�4X�-- 100 State Street, Suite 700
Witness Erie, Pennsylvania 16507-1498
524200
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;.
. . . . . .
SHIRLEY E. HAN3SN
R1sVOCABLB TRIIST AGREEMENT
THIS AGREEMENT is entered into this 16th day of December 1999,
by and between SHIRLEY E. HANSEN, of Erie County, Pennsylvania,
hereinafter referred to as the "Settlor, " and SHIRLEY E. HANSEN, of
Erie County, Pennsylvania, hereinafter referred to as the
"Trustee . "
W I T N E S S E T H:
The Settlor hereby assigns, transfers and delivers to the
Trustee the cash, securities and other property, real or personal,
set forth in Schedule "A" attached hereto, and this property,
together with any other cash, securities and other property
hereafter added by the Settlor, or by anyone else, shall be
referred to as the Trust Estate . The Trustee shall hold and
administer the Trust Estate upon the terms and conditions which
follow.
ARTZCLE I
A. During the lifetime of the Settlor, the Trustee shall pay
so much of the net income from the Trust Estate to the Settlor, or
for her benefit, in installments convenient to her, or shall
deposit the same to the Settlor' s account as she shall direct. The
Settlor shall have the right to withdraw all or any part of the
income and principal of the Trust Estate at any time. In addition,
in the event of the incapacity of the Settlor through illness or
otherwise, the Trustee is authorized from time to time, to pay and
distribute to the Settlor, or for her benefit, so much of the
income and, if necessary, principal of the Trust Estate as the
Trustee deems advisable for the health, maintenance and support of
the Settlor and to aid her in the event of any circumstance or
condition wherein money ia needed, even to the exhaustion of the
principal of the Trust Estate. The Trustee may accumulate and
reinvest the income that ia not paid out pursuant to this
Section A.
B. Upon the death of the Settlor, the Trustee shall pay the
sum of Twenty-five Thousand Dollars ($25, 000) to such of the
following grandchildren of the Settlor who survive the Settlor by
thirty (30) days: HILARY J. KAIZER, REBECCA S . PRESTEL, TIMOTHY J.
PRESTEL, JOHN D. PRESTEL, SARAH R. HANSEN, JESSICA M. HANSEN,
JOSHUA E. HANSEN, JENNIFER E. HANSEN, and CHARLES P. HANSEN.
C. Upon the death of the Settlor, the Trustee ahall pay the
sum of Fifty Thousand Dollars ($50, 000) to such of the following
children of the Settlor who survive the Settlor by thirty (30)
days : ELIZABETH A. PRESTEL, JAMES A. HANSEN, SUSAN J. KARAKANTAS,
and JEFFREY P. HANSEN.
D. If the Settlor' s husband, EARL A. HANSEN, survives the
Settlor, then upon the death of the Settlor, the Trustee shall pay
to him, outright and free of trust, a legacy equal to the smallest
amount, if any, needed to reduce the federal estate tax liability
of the Settlor' s estate to zero or to the lowest possible figure.
In calculating this amount, the Trustee shall first take into
account the amount of all other property, which for federal estate
tax purposes is includable in the Settlor's gross estate and which
pasaes or has passed in any manner (other than by the terms of this
paragraph) to the Settlor' s husband in a form which qualifiea for
the marital deduction. The Trustee shall also take into account
all other deductions and all credits against the federal eatate tax
finally allowed to the Settlor' s estate for federal estate tax
purposes.
In making the computation necessary to determine such
amount, the final determination in the federal estate tax
proceeding in the Settlor' s estate shall control . This amount
shall be satisfied only out of assets that qualify for the marital
deduction under the provisions of the Internal Revenue Code
applicable at the time of the Settlor' s death or out of the
proceeds of such assets . Asseta distributed in kind in satisfaction
of this amount shall be distributed at their market value on the
date or dates of distribution.
E. Upon the death of the Settlor, the Trustee shall hold IN
TRUST, as the Residuary Trust, any and all other property not
distributed under Sections B, C, and D of this Article I, together
with any property receivable and deaignated for the Residuary Trust
under the provisiona of the Settlor' s Will or otherwise, under the
following provisions:
1 . The Trustee ahall hold the principal of the
Residuary Trust as one fund and shall pay all of the net income
therefrom to the Settlor' s husband, or for his benefit, for and
during his lifetime, in installments convenient to him, but at
least quarter-annually. In addition, the Trustee is authorized,
from time to time, to pay and distribute to the Settlor' s husband,
or for his benefit, so much of the principal of the Residuary Trust
as the Trustee deema advisable for his health, maintenance, and
support .
2 . Upon the death of the Settlor' s huaband during the
continuance of the Residuary Trust, or upon the death of the
Settlor in the event her husband does not survive her, the then
remaining principal and income of the Residuary Trust shall be paid
and distributed to the Settlor' s children, ELIZABETH A. PRESTEL,
JAMES A. HANSEN, SUSAN J. KARAKANTAS, and JEFFREY P. HANSEN, or to
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the then living issues per stirpes of any of them who do not
survive both the Settlor and her husband, subject to the minority
provisions hereinafter set forth.
ARTICLE II
A. After the death of the Settlor, neither the principal nor
the income of any trust created hereunder shall be liable for the
debts of any beneficiary nor shall the same be subject to seizure
or attachment by any creditor of any beneficiary under any writ or
proceedings at law or in equity. Except for the Settlor, no
beneficiary shall have the power to sell, assign, encumber or in
any manner to anticipate his or her interest in any trust created
hereunder, or in the income produced thereby.
B. If any beneficiary who is entitled to receive a share of
the principal of any trust shall be a minor, the Trustee is hereby
authorized and empowered to continue to hold and manage such share
for the benefit of the minor during his or her minority as the
minor' s Guardian and may use all of the income from the minor' s
share, together with such amounts of principal as the Trustee deems
advisable for his or her health, education, maintenance, and
support . Thia shall be construed as a power only and shall not
operate to suspend the absolute ownership thereof by the minor nor
to prevent the absolute vesting thereof in the minor.
C. In the disbursement of funds directed to be paid to or
for the use and benefit of any beneficiary who shall be a minor,
the Trustee may make payment of the same to the parent, guardian,
or such other person who may have custody of the person of that
minor at the time such payments are made, to be used for the
health, education, maintenance, and support of the minor, but
without liability on the part of the Trustee to see to the
application of said payments by the payee. The receipt of any such
person shall be a full acquittance of the Trustee as to any amounts
so paid; or the Trustee may make payment of the same directly to or
for the benefit of the minor beneficiary.
D. For purposes of interpretation of this Agreement and any
amendments hereto, the word "minor" whenever used herein shall mean
any peraon under the age of twenty-one (21) years, notwithstanding
any law to the contrary.
ARTICLE III
In addition to the powere conferred by law, the Trustee shall
have the following discretionary powers which may be exercised
without approval of any court :
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A. To retain any and all property, real or peraonal,
received from any source, without any duty of diversification,
which shall specifically include the authority to retain the
securities of, or any interest in, any closely held business in
which the Settlor had an ownership interest .
B. To sell any and all real eatate held as a trust asset , at
public or private sale, for such prices and upon such terms as the
Trustee shall believe advisable and to make, execute and deliver
any deed or deeds therefor, conveying title thereto in fee simple
absolute or for any lesser estate to any purchaser or purchasers,
freed and discharged of any and all trusts hereunder.
C. To sell, grant options to purchase, exchange, and alter
assets of any trust created hereunder or any part thereof, at any
price and upon such terms which the Trustee ahall deem proper.
D. To invest and reinvest in all forms of property,
including common and preferred stocks, common trust funds operated
by any corporate banking institution and any regulated investment
company or mutual fund.
E. To execute security transactions through any discount
brokerage service.
F. To retain and purchase medical and hospitalization
insurance policies with major medical coverage for the benefit of
any beneficiary of any trust created hereunder as the Trustee ahall
deem proper and for the best interest of the beneficiary,
irrespective of any rules of law governing the investment of trust
funds, and to process and receive proceeds of any claims made
thereunder.
G. To purchase real property whether improved or not and to
lease property on any terms and conditions and for any term of
years, even though extending beyond the period of any trust created
hereby.
H. To insure, improve, repair, alter, abandon and partition
real estate; erect or raze improvementa; grant easements; aubdivide
and dedicate to public use.
I . To cauae any of the investments which may be delivered to
or acquired by the Truatee to be issued, held, or regiatered in the
name of the Truetee, in street name negotiable form, in the name of
a nominee, or in any form in which title will pass by delivery.
Any corporation or its transfer agent may presume conclusively that
said nominee is the actual owner of the securities submitted for
transfer.
J. To vote in peraon or by proxy any securities held in any
trust created hereby and, in such connection, to delegate powera,
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discretionary or otherwise, for any purpoae to one or more nomineea
or proxies with or without power of substitution and to make
assignments to and deposits with committees, trustees, agents,
depositories and other representatives; to retain any investments
received in exchange in any reorganization or recapitalization; to
subscribe for stocks and bonds; to grant, obtain or exercise
options; and generally to exercise all rights of security holders.
K. To settle, compromise, contest or abandon claims or
demands in favor of or against any trust created hereunder.
L. To borrow money, assume indebtedness, extend mortgagea,
and encumber by mortgage or pledge.
M. To distribute the principal of any trust created
hereunder in kind or in cash, or partly in kind and partly in cash.
N. To allocate receipts and disbursements to principal or
income, or partly to each as the Trustee deems proper.
O. To deal in every way and without limitation with the
representatives of any truat or estate in which any beneficiary
hereunder has any existing or future interest, even though the
Trustee is acting as the representative of such other trust or
estate, without liability for loss resulting from said transaction.
P. To employ such agents, attorneys, accountants, inveatment
counsel and professional advisors as may be required in managing,
protecting, and investing the assets of any trust created hereunder
and to pay their reasonable compensation.
Q. To receive and administer hereunder any property that may
be added by anyone by deed, Will or otherwise, to any truat created
hereunder.
R. To purchase from the Settlor' s Executor any asset, real
or personal, or to make loans, secured or unsecured, to the
Settlor' s eatate without liability for the nonpayment thereof .
S. To pay from the principal of the Residuary Trust, if the
Settlor' s Executor ia unable to comply with the direction to pay
such taxes from the residue of the Settlor' s testamentary estate,
any federal estate, state inheritance, estate transfer, succession
and death taxes of any kind whatsoever, other than any generation-
skipping transfer taxes, (including any interest and penalties
thereon) , imposed upon or with respect to the Settlor' s estate
whether passing under the Settlor' s Will, thia Truat Agreement, or
otherwise.
T. To pay from the principal of the Trust Estate, if the
Settlor' s Executor is unable to do so, any or all of the Settlor' s
legal debts, the expenses of the Settlor� s last illness and
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funeral, and any or all of the administration expenses of the
Settlor' s eatate.
U. To claim, or to allow the Settlor' s Executor to claim,
any expenses of administration of the Settlor' s estate as income or
estate tax deductions, and to make or not to make compensating
adjustments as a result of such action.
V. The Trustee may at any time after the deaths of the
Settlor and the Settlor's husband merge any separate trust held
hereunder with any separate trust held by the Trustee under the
Last Will and Testament of the Settlor' s husband, or any Trust
Agreement created by him or by the Settlor, if the terma of the
trusts are then aubstantially similar and held for the primary
benefit of the same person or persons .
.
ARTICLE IV
A. It is agreed that the Settlor retains all rights and
benefits of all policies of inaurance .that the Settlor may own and
that may be made payable to the Trustee as the beneficiary. The
Settlor also retains the obligation of payment of premiums on any
policy or policies payable hereunder and the responsibility to see
that the policy or policies are kept in force .
B. The only obligations of the Truatee are the safekeeping
of such policies that may be deposited with the Truatee by the
Settlor and the responsibility for the proceeds of any policiea
paid to the Truatee.
C. The payment by any insurance company of the proceeds of
any policy of insurance to the Trustee shall be a full discharge of
the insurance company on account of the policy, and the insurance
company ahall in no respect be responsible for the proper discharge
of any trust created hereunder.
D. The Settlor shall have the right to include within this
Agreement other life and/or accident insurance policies in addition
to those which may be described in Schedule "A" attached hereto.
ARTICLE V
The Settlor reservea the right during her lifetime to revoke,
alter, or amend this Agreement, in whole or in part by serving
written notification to that effect on the Trustee; provided,
however, that if altered or amended, the dutiea, powers and
responaibilities of the Trustee shall not be substantially changed
without the Trustee ' s consent .
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ARTICLE VI
A. SHIRLEY E. HANSEN may resign at any time and may, by
written inatrument, appoint any peraon, bank or trust company,
within or outside the Commonwealth of Pennsylvania, as successor
Trustee . If SHIRLEY resigns without appointing a successor
Trustee, or if she dies or becomes incapacitated, as that fact is
certified in writing by her personal physician, then EARL A. HANSEN
shall become Trustee in her place.
B. Except as otherwise provided in Section E of this
Article, if SHIRLEY and EARL both cease to act as Trustees
hereunder for any reason, or if any other successor Trustee
appointed as hereinafter provided ceases to act as Trustee
hereunder for any reason, the Settlor, if living, otherwise the .
Settlor' s spouse shall, by written inatrument, appoint any person,
bank or trust company, within or outside the Commonwealth of
Pennsylvania, as successor Trustee. In default of any such
appointment, then Settlor' s daughter, SUSAN J. KARAKANTAS, if
living and able, otherwise Settlor' s son, JEFFREY P. HANSEN, shall
serve as successor Trustee.
C. The Settlor' s apouse, if living, otherwise the Settlor' s
then living children, may at any time, by written instrument,
approve the accounta of the Trustee with the same effect as if the
accounts had been approved by a court having juriadiction of the
subject matter and of all neceasary parties.
D. After Settlor' s death, Settlor' s spouse may at any time
remove the incumbent Trustee by written notice delivered to that
Trustee and will appoint a successor Trustee pursuant to Section B
above.
E. If any corporate Trustee designated to act or at any time
acting hereunder ia merged with or tranafers substantially all of
its asseta to another corporation, or is in any other manner
reorganized or reincorporated, the resulting or transferee
corporation shall become Trustee in place of its corporate
predecessor.
F. Any successor Trustee shall have all of the title,
powers, and discretion granted to the original Trustee, without
court order or act of transfer. No successor Trustee shall be
liable for any act or failure to act of a predecessor Trustee.
with the approval of the Settlor' s spouse, if living, otherwise
Settlor' s children, a successor Trustee may accept the account
furniahed, if any, and the property delivered by or for a
predecessor Trustee without liability for so doing, and such
acceptance shall be a full and complete discharge to the
predecesaor Trustee .
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G. Any Trustee serving hereunder shall be entitled to deduct
as compensation reasonable fees . In the case of a corporate
Trustee, those fees shall be in accordance with the prevailing rate
of compensation charged by the corporate Trustee for like services
at the time such servicea are performed.
H. No bond shall be required in any jurisdiction of any
Trustee or of any successor Trustee or, if a bond is required by
law, no surety on such bond shall be required.
ARTICLE VII
This Agreement shall be governed in all respects by the laws
of the Commonwealth of Pennsylvania.
IN WITNESS WHEREOF, SHIRLEY E. HANSEN, in her capacities as
both Settlor and Trustee, has hereunto aet her hand and seal as of
the day and year first above-written.
SETTLOR:
:�
� SEAL)
Witness � Shir . Han en
TRUSTEE:
�`����vL..�'�EAL)
Witness S irley . Hanaen
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,: . , � .
COMMONWEALTH OF PENNSYLVANIA )
) ss:
COUNTY OF ERIE )
On this, the 16th day of December 1999, before me, a Notary
Public, personally appeared SHIRLEY E. HANSEN, known to me (or
satisfactorily proven) to be the person whose name is subscribed to
the within instrument, and acknowledged that she executed the same
as both Settlor and Trustee for the purposes therein contained .
IN WITNESS WHEREOF, I have hereunto set my hand and official
seal .
�� f,-� _o_ Y'� . ����,. ��
Notary Public
(Notarial Seal)
Notarial Seal
Deborah M.Stankiewic�_,Notary Public
Erie.Erie County
� pAy GommTis,l�n ExPire�July 5,?_001 .
529182
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AMENDMENT NO. 1 .
TO THE
SHIRLEY E. HANSEN
REVOCABLE TRUST AGREEMENT
THIS AMENDMENT NO. 1, dated this 26th day of January 2000 , to
the Shirley E. Hansen Revocable Trust Agreement dated December 16,
1999, is by and between SHIRLEY E. HANSEN, of Erie County,
. Pennsylvania, hereinafter referred to as the "Settlor, " and SHIRLEY
E. HANSEN, of Erie County, Pennsylvania, hereinafter referred to as
the "Trustee" .
W I T N E S S E T A:
WHEREAS, SHIRLEY E. HANSEN previously executed a Revocable
Trust Agreement on December 16, 1999 and retained the right to
amend it; and
WHEREAS, SHIRLEY E. HANSEN now desires to amend the Shirley E.
Hansen Revocable Trust Agreement in part .
NOW, THEREFORE, intending to be legally bound, SHIRLEY E.
HANSEN hereby amends the Trust as follows :
ONE: Notwithstanding any other provisions to the contrary in
the Revocable Trust Agreement referred to above, upon the death of
the last eligible beneficiary, all ELFUN FUNDS in the account must
be liquidated.
TWO: In all other respects, SHIRLEY E. HANSEN hereby
ratifies and confirma the Shirley E. Hansen Revocable Trust
Agreement dated December 16, 1999 which, together with this
Amendment No. 1, constitute the entire agreement of trust . .
IN WITNESS WHEREOF, SHIRLEY E. HANSEN, in her capacities as
both Settlor and Trustee, has hereunto set her hand and seal as of
the day and year first above-written.
SETTLOR:
/ � (SEAL)
Witness irl E. ns n
TRUSTEE:
� (SEAL)
Witness Shir E. ansert
539333