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HomeMy WebLinkAbout02-0380Register of Wills of Estate of Robert L. also known as Joanne O. Donaldson Petitioner(s), who is/are 18 years of age or older, apply(les) for: Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Donalds on No. 21-02-380 , Deceased Social Security No. 140-10- 6700 (COMPLETE 'a' or 'b' BELOW:) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut r i× the Decedent, dated 02/19/1996 and codicil(s) dated None named in the last Will of State relevant circumstances, e.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: H/^ r--i B. Grant of Letters of Administration (c.ta.; d.b.n.c.ta; pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: I' Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland or principal residence at 5261 Meadowbrook Drive, Decedent, then 81 years of age, died 01/12/2002 County, Pennsylvania with his/her last family Hampden Township, Mechanicsbur~, (liststreet, number, and municipally) at Health South, PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania PA 17050 (Location) 200,000.00 situated as follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: Typed or printed name and residence Joanne O. Donaldson 5261 Meadowbrook Drive, Mechanicsbur~, PA 17050 Prepared by the Pennsylvania Bar Assoclatfon Copyright (¢) 1996 form software only CPSystems, Inc. Form RW-1 (1991) Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed ~2-,~-¢..~ ~. Z,¢:~,~¢'~~ before me this 12 day of /~' ~0anne O. 'Donaldson - APRIL, 2002 No. Estate of Robert L. Donaldson Social Security No: 140-10- 6700 21-02-380 Date of Death: 01/12/2002 Deceased AND NOW, APRIL 12, , 2002 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters ~-~ Testamentary El Of Administration (c.t.a.; d.b.n.c.ta.; pendente lite; durante absentia; durante minoritate) are hereby granted to Joanne O. Donaldson in the above estate and that the instrument(s) dated 02/19/1996 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters ........... $ 235.00 Short Certificate(s) ..... $ 6.00 Renunciation ........ $ Affidavits ( ) .... $ Extra Pages ( ) .... $ 9.00 Codicil ........... $ JCP Fee .......... $ ..5.00 Inventory .......... $ Other ........... $ TOTAL ......... $ Prepared by the Pennsylvania Bar Association ' 7 ,,/¢ "/ - Regr~ter of Wills -- Attorney: James D. Bo~ar, Esquire kD. No: PA 19475 Address: One West Main Street Shiremanstown, PA 17011 Telephone: 717/737-8761 255.00 Copyright (c) 1996 form software only CPSystems, Inc. Form RW-1 (1991) 21-02-380 REGISTER OF WILLS OF C~BERL~'D COUNTY OATH OF SUBSCRIBING WITNESS James D. Bogar, Esquire ~ a subscribing witness to the will presented herewith, ~ being duly qualified according to law, depose(s) and say(s) that he was present and saw Robert L. Donaldson the testat or , sign the same and that he signed as a witness at the request of testat or in h ±s presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). · Sworn to or afFwmed and subsc,bed before me this _ 12~h day of Jam&s D. ~oga-r,.~~. ' ~ April 20 02 One West Main Street, Shiremanstown, PA 17011 Register (Name) (Address) REGISTER OF WILLS OF CU~.R~SU~D COUNTY OATH OF NON-SUBSCRIBING WITNESS Joanne O. Donaldson :~iig~) a subscriber hereto, (~ being duly qualified accorciing to law, depose(s) and say(s) that she is familiar with the signature of Robert L. Donaldson testat°r of ~[;Q~Q~~]~~~ the will ~ted herewith and that she believes the signature on the will is in the handwriting of Robert L. Donaldson to the best of her knowledge and belief. _ Sworn to or affirmed and subscribed before ~Joafifie '0. Donald.~on , - me this 12th day of Meadowbrook ~., Mechanicsb~, 17050 ~ Ap]il 20~ 5261 PA ~Name) (Address) 21-02-380 LAST WILL AND TESTAMENT OF ROBERT L. DONALDSON I, ROBERT L. DONALDSON, of Mechanicsburg, Cumberland County, Pennsylvania, make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, unto my wife, JOANNE O. DONALDSON, IN TRUST, by my hereinafter named Trustee, for the benefit of my wife, JOANNE O. DONALDSON, for as long as she may live. The Trustee shall pay income to or for the benefit of JOANNE O. DONALDSON, said payments to be made on a regular basis, same being not less than quarterly, to JOANNE O. DONALDSON or to her legally appointed Guardian. Said payments shall be made without liability to or on behalf of the Trustee. Upon the death of my wife, JOANNE O. DONALDSON, any principal remaining in said Trust, along with any and all accumulated income, shall be divided, in equal shares, to my step children, DANIEL J. OWENS, MARK D. OWENS and BETH ANN REINHART, provided that should any of my step-children predecease me, I give and bequeath such step-child,s share unto his or her issue per stirpes by representation, and if there be a failure of same, then I give and bequeath such deceased step-child,s share to my surviving step-children as provided herein. SECOND: Should my wife, JOANNE O. DONALDSON, prede- cease me, I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, in equal shares, to my step-children, DANIEL J. OWENS, MARK D. OWENS and BETH ANN REINHART, provided that should any of my step-children predecease me, I give and bequeath such step-child's share unto his or her issue per stirpes by representation, and if there be a failure of same, then I give and bequeath such deceased step-child's share to my surviving step-children as provided herein. THIRD: In addition to all powers granted to them by law and by other provisions of this Will, I give the fiduciaries acting hereunder the following powers, applicable to all proper- ty, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it. (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivi- sion, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. (C) To compromise any claim or controversy and to abandon any property which is of little or no value. (D) To invest in all forms of property, including stocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws. (G) To make distributions to my herein named benefici- aries in cash or in kind or partly in each. (H) To borrow money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, to protect or improve any property held under my will, and for investment purposes. (I) To select a mode of payment under any qualified retirement plan (pension plan, profit sharing plan, employee stock ownership plan, or any other type of qualified plan) to the extent the plan or the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. FOURTH: I nominate and appoint DANIEL J. OWENS, as Trustee of the hereinabove described trust. In the event of the death, resignation or inability to serve for any reason what- soever of the said DANIEL J. OWENS, I nominate and appoint MARK D. OWENS, as Trustee of the hereinabove described trust. I direct that my Trustee shall serve without bond and shall receive fair and reasonable compensation. FIFTH: I direct that all inheritance, estate, transfer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with respect to property passing under this Will, shall be paid out of the principal of my residuary estate. SIXTH: All interests hereunder, whether principal or income, which are undistributed and in the possession of the fiduciaries acting hereunder, even though vested or distribut- able, shall not be subject to attachment, execution or sequestra- tion for any debt, contract, obligation or liability of any beneficiary, and furthermore, shall not be subject to pledge, assignment, conveyance or anticipation. SEraPH: I nominate and appoint my wife, JOANNE O. DONALDSON, Executrix of this, my Last Will and Testament. In the event of the death, resignation or inability to serve for any reason whatsoever of the said JOANNE O. DONALDSON, I nominate and 3 appoint DANIEL J. OWENS, Executor of this, my Last Will and Testament. In the further event of the death, resignation or inability to serve for any reason whatsoever of the said DANIEL J. OWENS, I nominate and appoint MARK D. OWENS, Executor of this, my Last Will and Testament. I direct that my Executrix or Executor, as the case may be, and their successors, shall not be required to post security or a bond for the performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this / ~/day of '~'/~7 , 1996. (SEAL) ROBERT L. DONALDSON Address Address Signed, sealed, published and declared by the above- named Testator as and for his Last Will and Testament in our presence, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. 4 CERTIFICATION OF NOTICE UNDER RULE 5.6 (a) Name of Decedent: Robert L. Donaldson Date of Death: January 12, 2002 Will No. 21-02-0380 To the Register: Admin. No. I certify that notice of estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on May 10, 2002: Name Address Joanne O. Donaldson Daniel J. Owens Mark D. Owens Beth Ann Reinhart 5261 Meadowbrook Drive Mechanicsburg, PA 17055 The Old Manor 23 Milton Road Pewsey Wiltshire UK SN95JJ 38990 Dobbins Creek Lane Lovettsville, VA 20180 11010 Abbey Lane Fredericksburg, VA 22407 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None Date: May 10, 2002 Capacity: Ja~es D. ~, Esquire One West Mai~JStreet Shiremanstown, PA 17011 (717) 737-8761 Personal Representative X Counsel for Personal Representative REV- 1SO0 EX + (6-o0/ cAPB HpRL EplO cRAC KoTK ES cg R E C A P I T U L A T I O N C O M T I O N COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. Z80601 HARRISBURG, PA 171Z8-0601 REV-1500 INHERITANCE TAX RETURI RESIDENT DECEDENT DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Donaldson Robert L. DATEOFDEATH(MM-DD-YEAR) I DATEOFBIRTH(MM-DD-YEAR) 01/12/2002 11/15/1920 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE iNITIAL) _. Donaldson, Joanne O. 4. Limited Estate · Future interest Compromise (date of death after 1Z- 1Z-8Z) 6. Decedent Died Testate Decedent Maintained a Living Trust (Attach copy of Will) (Attach copy of Trust) ~'] 9. Litigation Proceeds Received ~'~ 10. Spousal Poverty Credit (date of death between 17-31-91 and 1-1 NAME James D. Bogar Esquire FI R M NAM E (I f Applicable) OFFICIAL USE ONLY FILE NUMBER 21-02-0380 COUNTY CODE YEAR SOCIAL SECURITY NUMBER 140-10- 6700 NUMBER THIS RETURN MUST BE FILED IN DUPUCATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER (date.of death 3. Remainder Return prior~o 12-13-82) 5. Federal Estate Tax Return Required 0 8. Total Number of Safe Deposit Boxes ~ 11. Election to tax under Sec. 9113(A) (Attach Sch O) COMPLETE MAILING ADDRESS TELEPHONE NUMBER 7i7/737-8761 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or (3) Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) [] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. 14. One West Main Street Shiremanstown, PA 17011 None 228,515.16 None- None 1,200.00 None None None None Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES OFFICIAL USE ONLY (8) .:.: 229,715.16 (11) 0.00 (12) 229,715.16 (13) (14) 229,715.16 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 229,715.16 X .0 0 X .0 45 X .12 X .15 (15) 0.00 (16) 0.00 (17) 0.00 (la) 0.o0 (19) 0.00 Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 5261 Meadowbrook Drive CITY Mechanicsbur~ Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Interest/Penalty if applicable D. Interest E. Penalty STATE P^ (1) 0.00 Total Credits ( A + B + C ) (2) Total Interest/Penalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page I Line 20 to re~luest a refund {4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (SB) ZIP 17050 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; ........... c. retain a reversionary interest; or .................................... d. receive the romise for life of either a ments benefts or care? P Py ....... 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................ [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 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, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. St_GNATURE OF PERSON RESPONSIBLE FOR FILING RETURN Joanne 0 Donaldson DATE ~ ~ ~/' /~/~ 5261 Mea~owbrook Dr ~;~ ~ ~w~~ --~;--;- ......,- ...................................... , ' mecnanicsour5, PA 17050 ~,,~URE OF PREPARER OTHER THAN REPRESENTATIVE James D Bogar Esquire / / //f~' One West Main Street ~/J~',,/~ ---s-~i~-~-s-~g~ 7-~%--i¥6ii- .................... ~ t,o{ ~- For dates of death o~after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the ' ' surv~wng spouse is 3% [72 P.S. 9116 (a) (1.1) 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% [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 twenty-one 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% [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%, 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% [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. Copyright (c) 2000 form software only The Lackner Group. inc. Form REV- 1500 EX (Rev, 6-00) REV-1503 EX + (1-97) COMMONWEALTHOFPENNSYLVANIA INHERITANCETAXRETURN RESIDENT DECEDENT ESTATE OF SCHEDULE B STOCKS & BONDS Robert L. Donaldson SS# 140-10-6700 01/12/2002 AIIpropertyjointly-ownedwithrightofsurvivorship mustbedisclosedon$cheduleF. FILENUMBER 21-02-0380 ITEM NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 1 Merrill Lynch - Account No. 872-48479 account also 183,606.12 includes Money Market Account 2 Salomon Smith Barney - Account No. 182-15374-10-011 44,909.04 TOTAL (Also enter on line 2, Recapitulation) 228,515.16 space fs needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems. Inc. Form REV-1503 EX (Rev. 1-97) March 26, 2002 The ECB Group Jay P. Espenlaub, CFP Vice President Senior Financial Advisor Gwyn Wertz Client Associate Private Client Group 214 Senate Avenue, Suite 501 Camp Hill. Pennsylvania 1701 t 717 975 4632 717 975 4638 Gwyn 800 937 0735 FA.'( 717 975 4663 Jay_Espenlaub@ml.com gwyn_m_wer tz,~ml.c,)m James D. Bogar One West Main Street Sn'remanstown, PA 17011 Mr. Irwin, RE: Estate of Robert L. Donaldson Account #872-48479 As per your request, I am sending you the date of death value of the above referenced account. It is as of January 11, 2002 because the 12TM was a Saturday and the markets were closed. The money market value was $11,231.63. Attached are historical pricing sheets that show the value of all other securities held in the account on that date, as well as the number of shares. 7655e ,*,.;"tact me ...... c:lq..y ,~ ............. Sincerely, Client Associate The ECB Group Financial Advisers 126H6 - CAMDEN PPTY TR Date High Price 01/11/2002 36.550 Historical Pricing Inquiry Cusip: Low Price Close Price 36.260 36.280 133131102 Volume 191200 348X3 - HOSPITALITY PPTYS TR Date High Price 01/1 1/2002 29.990 Low Price Close Price 29.650 29.970 Cusip: 44106M102 Volume 150100 52BN7 - USB CAP II Date High Price 01/! 1/2002 25.150 Low Price Close Price 25.000 25.010 Cusip: 90332M200 Volume 12400 52BR7 - MEDIAONE FIN 'IR II Date High Price 01/11/2002 25.360 Low Price Close Price 25.140 25.360 Cusip: 584461206 Volume 7200 667J1 - SCO1-FISH PWR PLC Date High Price 0i/ii/2002 23.890 Low Price Close Price 23.350 23.600 Cusip: 81013T705 Volume 169000 97CA8 - AIM INVT SECS FDS Date Bid Price 01/11/2002 4.570 Cusip: 00142C805 Offer Price 4.670 qqq' 97MY6 - PIMCO FDS Date Bid Price 01/11/2002 10.610 Cusip: 693390437 Offer Price 10.510 97M41 - PIMCO FDS PAC INVT MGMT SER Date Bid Price 01/I 1/2002 10.470 Cusip: 693391195 Offer Price 10.470 97NH2 - PtMCO FDS PAC INVT MGMT SER Date Bid Pdce 01/11/2002 10.270 Cusip: 693391138 Offer Price 10.270 970K3 - MERRILL LYNCH HEALTHCARE FD Date Bid Price 0 I11112002 4.980 Cusip: 59019W203 Offer Price J//~'~ 4.980 The information has been obtained from sources we believe to be reliable but we do not guarantee its accuracy. Past 2erformance is not indicative of future performance. Historical Pricin~ Inquiry 974W7 - MERRILL LYNCH BASIC VALUE FD Date Bid Price 01/11/2002 28.370 Cusip: 590190203 Offer Price 28.370 The information has been obtained from sources we believe to be reliable but we do not guarantee its accuracy. Past ~erformance is not indicative of future performance. SALOMON SMITH BARNEY A memberof cmgmup~ 703-549-8282 · 800-336-5404 April 3, 2002 Mr. James Bogar One West Main Street Shirernanstown, PA 17011 RE: The Estate of Robert L DonaMson Dear Mr. Bogar: Please accept this letter as confmnafion that Mr. Donaldson's account (Account number 182-15374-10-011) was an individual account under his name only and that the value of the account on January. 12, 2002 was $44,909.04. Regarding the jointly owned stock of Three Rivers Bancorp, Inc. and USBancorp, Inc. and PP & L Resources, Inc., the value of these stocks on January 12, 2002 are as follows: Three Rivers Bancorp, Inc. (TRBC) S13.02 per share USBancorp, Inc. (ASRV) S4.57 per share (Now known as Ameriserv Financial Inc.) PP &L Resources, Inc. (PPL) $33.85 per share (This securi ,ty is not held at Salomon Smith Barney) If you have any questions regarding the above information please feel free to oive me a call at 703-837-6907. ~' Sincerely, Marika A. Husovsky Registered Sales Assistant REV-1508 EX + (1-97) COMMONWEALTH OFPENNSYLVANIA INHERITANCETAXRETURN RESIDENT DECEDENT ESTATE OF SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER Robert L. Donaldson SS~/ 140-10-6700 01/12/2002 21-02-0380 Include the proceeds of litigatiort 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 NUM DESCRIPTION Vehicle - 1992 Mercury Sable - Vehicle Identification No. 1MELM5344NA623988 (see attached appraisal) (If more space is needed, insert additional sheets of the same size) TOTAL (Also enter on line 5, Recapitulation) VALUE AT DATE Of DEATH 1,200.00 $ 1,200.00 Copyright (c] ~996 form software only CPSystems, inc. Form REV-1508 EX (Rev. 1-97) 6391 L. B. SMITH LINCOLN MERCURY, INC. Carlisle Pike Mechanicsburg, PA 17050 (717) 697-2273 1-800-946-1444 January 23, 2002 To Whom It May Concern: The value of a 1992 mercury sable w/th 80,000 miles vin# lmelm5344na623988 is $1200.00 Robert Peffer t¢;w-dT'~ manager REV-1513 EX * (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Robert L. Donaldson SS~/ 140-10-6700 01/12/2002 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 Joanne O. Donaldson 5261 Meadowbrook Drive Mechanicsbur§, 17050 II. RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Wife FILE NUMBER 21-02-0380 AMOUNT OR SHARE OF ESTATE Rest, residue and remainder ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 0.00 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET (If more space is needed, insert additional sheets of the same size) Cooyright (c) 2000 form software only The Lackner Group. Inc. Form REV-1513 EX (Rev. 9-00) T,AST WILL AND TESTAMENT OF ROBERT L. DONALDSON I, ROBERT L. DONALDSON, of Mechanicsburg, Cumberland County, Pennsylvania, make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, unto my wife, JOANNE O. DONALDSON, IN TRUST, by my hereinafter named Trustee, for the benefit of my wife, JOANNE O. DONALDSON, for as long as she may live. The Trustee shall pay income to or for the benefit of JOANNE O. DONALDSON, said payments to be made on a regular basis, same being not less than quarterly, to JOANNE O. DONALDSON or to her legally appointed Guardian. Said payments shall be made without liability to or on behalf of the Trustee. Upon the death of my wife, JOANNE O. DONALDSON, any principal remaining in said Trust, along with any and all accumulated income, shall be divided, in equal shares, to my step children, DANIEL J. OWENS, MARK D. OWENS and BETH ANN REINHART, provided that should any of my step-children predecease me, I give and bequeath such step-child's share unto his or her issue per stirpes by representation, and if there be a failure of same, then I give and bequeath such deceased step-child,s share to my surviving step-children as provided herein. SECOND: Should my wife, JOANNE O. DONALDSON, prede- cease me, I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, in equal shares, to my step-children, DANIEL J. OWENS, MARK D. OWENS and BETH ANN REINHART, provided that should any of my step-children predecease me, I give and bequeath such step-child's share unto his or her issue per stirpes by representation, and if there be a failure of same, then I give and bequeath such deceased step-child's share to my surviving step-children as provided herein. THIRD: In addition to all powers granted to them by law and by other provisions of this Will, I give the fiduciaries acting hereunder the following powers, applicable to all proper- ty, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it. (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivi- sion, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. (C) To compromise any claim or controversy and to abandon any property which is of little or no value. (D) To invest in all forms of property, including stocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws. (G) To make distributions to my herein named benefici- aries in cash or in kind or partly in each. (H) To borrow money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, to protect or improve any property held under my will, and fOr investment purposes. (I) To select a mode of payment under any qualified retirement plan (pension plan, profit sharing plan, employee stock ownership plan, or any other type of qualified plan) to the extent the plan or the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. FOURTH: I nominate and appoint DANIEL J. OWENS, as Trustee of the hereinabove described trust. In the event of the death, resignation or inability to serve for any reason what- soever of the said DANIEL J. OWENS, I nominate and appoint MARK D. OWENS, as Trustee of the hereinabove described trust. I direct that my Trustee shall serve without bond and shall receive fair and reasonable compensation. PIFTH: I direct that all inheritance, estate, transfer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with respect to property passing under this Will, shall be paid out of the principal of my residuary estate. SIXTH: All interests hereunder, whether principal or income, which are undistributed and in the possession of the fiduciaries acting hereunder, even though vested or distribut- able, shall not be subject to attachment, execution or sequestra- tion for any debt, contract, obligation or liability of any beneficiary, and furthermore, shall not be subject to pledge, assignment, conveyance or anticipation. SEVENTH: I nominate and appoint my wife, JOANNE O. DONALDSON, Executrix of this, my Last Will and Testament. In the event of the death, resignation or inability to serve for any reason whatsoever of the said JOANNE O. DONALDSON, I nominate and appoint DANIEL J. OWENS, Executor of this, my Last Will and Testament. In the further event of the death, resignation or inability to serve for any reason whatsoever of the said DANIEL J. OWENS, I nominate and appoint MARK D. OWENS, Executor of this, my Last Will and Testament. I direct that my Executrix or Executor, as the case may be, and their successors, shall not be required to post security or a bond for the performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and sgal to this, my Last Will and Testament, this / ~ day of ~..~ , 1996. × /~.~" -/- · , (SEAL) ROBERT L. DONALDSON Address Address Signed, sealed, published and declared by the above- named Testator as and for his Last Will and Testament in our presence, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. STATUS REPORT UNDER RULE 6.12 Name of Decedent: Robert L. Donaldson Date of Death: January 12, 2002 Wil 1 No. 21-02-0380 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: State whether administration of the estate is complete: Yes x No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No X b. The separate Orphans' Court No. (if any) for the personal representative's account is: N/A c. Did the personal representative state an account informally to the parties in interest? Yes X No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. '~ ~lgna~ure ~ · James D. Bogar, Esquire Name (Please type or print) ~·~ One West Main St. Shiremanstown, PA 17011 Address {717/ 737-8761 Tel. No. Capacity: __Personal Representative (MAH:rmf/A~M3) X __Counsel for personal representative BUREAU OF INDIVIDUAL TAXES TNHERZTAHCE TAX DX¥ZSZON DEPT. 280601 HARRTSRURG, PA 17128-0601 COMMON#EALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLO#ANCE OR DISALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX JAMES D BOGAR ESQ I W HAIN ST SHIREHANSTOWN PA 17011 DATE 12-02-2002 ESTATE OF DONALDSON DATE OF DEATH 01-12-2002 FILE NUMBER 21 02-0380 COUNTY CUMBERLAND ACN 101 Amount Remi'l:ted REV-16q7 EX AFP (01-02) ROBERT L HAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGZSTER OF NZLLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LO#ER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (01-02) NOTICE OF INHERITANCE TAX APPRA/SENENT, ALLO#ANCE OR ESTATE OF DONALDSON DZSALLO#ANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ROBERT L FILE NO. 21 02-0380 ACN 101 DATE 12-02-2002 TAX RETURN NAS: (X) ACCEPTED AS F/LED RESERVATZON CONCERNZNO FUTURE TNTEREST - SEE REVERS", ( ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) $. Closely Held S~ock/Partnership /nterest (Schedule C) ($) q. Mortgages/Notes Receivable (Schedule D) (q) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) ($) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Her*gage Liabilities/Liens (Schedule I} (10) 11. Total Deductions 12. Nat Value of Tax Return 15. Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) Net Value of Estate Subjec~ to Tax .00 228~515.16 .00 .00 1~200.00 .00 .00 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax Payment. NOTE: Z~ an assessment ~as issued prev/ously, lines 1~, 15 and/or 16, 17, 18 and 19 ~111 reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: ' 15. Amount of Line 1~ at Spousal rata (15) 229,715.16 X O0 : .00 16. Amount of Line lr~ taxable at LAnaal/Class A rate (16) . O0 X 0~5 = . O0 17. Amount of Line lfi at Sibling rate (17). .00 X 12 = .00 18. Amount of Line lq taxable at Collateral/Class B rate (18) . O0 X 15 = . O0 19. Principal Tax Due (19)~ . O0 TAX CREDITS: PAYMENT DATE RECEIP1 NUMBER ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDZTZONAL INTEREST. DISCOUNT INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 .00 .00 .00 ( XF TOTAL DUE ZS LESS THAN $1, NO PAYMENT TS REQUXRED. ZF TOTAL DUE TS REFLECTED AS A 'CREDIT' (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) (8) 229,715.16 .00 .00 (11) . OO (12) 229,715.16 (15) . O0 (1~) 229,715.16 RESERVATION: Estates of decedents dying on or bafore December 12, 1982 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate far lira or for years, the Commonwealth hereby axprassIy reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: PAYMENT: REFUND (CR): OBJECT[OHS= ADNIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To fulfill the requiramants of Section 21qO of the Inheritance and Estate Tax Act, Act 25 of 2000. (72 P.S. Section 91qO). Detach the top portion of this Notice and submit with your payment to the Register of Mills printed on the reverse side. --Hake check or money order payable to: REGISTER OF HILLS, AGENT A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-ISIS). Applications ara available at the Office of the Register of Hills, any of the 25 Revenue District Offices, or by calling the special Z~-hour answaring service for forms ordering: 1-80O-S6Z-ZOSO; services for taxpayers a[th special hearing and / or speaking needs: 1-800-~q7-5020 (TT only). Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Not[ce must object within sixty (60) days of receipt of this Not[ce by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Reviaa Un[t, Dept. 280601, Harrisburg, PA 17128-0601 Phone (717) 787-6505. Sea page S of the booklet "Instructions far Inher[tanca Tax Return for a Resident Decadent" (REV-1SOl) for an explanation of administratively correctable errors. If any tax due is paid within three (5) calendar months after the decedent's death, a five percent (52) discount of the tax paid is a11owad. The 1SI tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This nan-participation panalty is appealable in the same manner and in the the same tiaa period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of dalinquency, or nina (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (DX) percent per annum calculated at a daily rate of .00016~. AIl taxes which became delinquent on and after January l, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2002 are: Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor 1982 log .OOOSq8 1992 92 .0002q7 1955 1DX .000~58 1995-199q 7X .000192 198q 112 .O00SO1 1995-1998 92 .O00Zq7 1985 15Z .000556 1999 7Z .000192 1986 102 .00027~ ZOO0 DZ .000219 1987 92 .0002~7 2001 92 .O00Zq7 1988-1991 llX .000501 2002 62 .O0016q --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY TNTEREST FACTOR --Any Not[ca issued after the tax becomes delinquent will reflect an interest calculation to fifteen (1SI days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated.