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HomeMy WebLinkAbout05-23-14 � 1505611185 REV-1500 EX(02-11)(Fq aFFICIAL USE ONLY PA Department of Revenue County Code Year File Number Bureau o(Indfviduai Taxes INHERITANCE TAX RETURN 2 7i 14 012 5 PO BOX 2BO6Q1 Harrisburg,PA 171Z8-0601 RESIDENT DECEDENT � ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Biflh MMDDYYYY 11022013 C14271931 Decedent's Last Name Suffix DecedenYs First Name M I SOWERS LOUISE P (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI FORNEY RAY K Spouse's Socia!Security Number THIS RETURN MUST BE FILED IN DUPLtCATE WITH THE 171-20-5933 REGISTER OF WILLS FILL fN APPROPRIATE BOXES BELOW � 1. Original Return � 2. Supplemental Return � 3. Remainder Return(Date of Death Prior to 12-13-82) ❑ 4. Limited Estate ❑ 4a. Future Interest Compromise(date of ❑ 5. Federal Estate Tax Retum Required death after 12-12-82) � 6. Decedent Died Testate � 7. Decedent Maintained a Living Trust � 8. Totai Number of Safe Deposit Boxes (Attach Copy of Wfll) (Attach Copy of Trust.) ❑ 9. Litigatfon Proceeds Received l—I 10.Spousal Poverty Credit(Date of Death L-1 11. Election to Tax under Sec.9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT- iH13 SECTION MUST�CaYIPLETED.ALL CORRESPQNDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED 70 Name Daytime Telepha�e Number STEVEN J SCHIFFMAN 717-540-917� REGISTER OF WILL�SE ONLY G'� � � � � � � � t� � First Line of Address p � � •-- rn � .r.r —c L.> � SUITE 2�1 � r� -� ;,�,. ; • N r,-� ,.__, j.� Second Ltne of Address ¶ - W �M� . ". , .. {... e",:� ' f.,7 c^} 2080 LINGLESTOWN ROAD , , c.� .:: � .'. � City or Post Office State ZIP Code ,_ ���DA�E FlI.ED � � HAftRISBURG PA 7,7],10 � � � �; o co �orresPondenese-mauaaaress: CSCHIFFMANaSSBC-LAW•C4M Under panaitias of perjury,I declare that 1 have examined thia retum,fncluding eccompanying schadules end atatements,and to the best�my knowledge and belief, it is true,eorrect and complete.Declaration of preparar other than the person�representative is based on ail fnformation of which preparer has any knowledge. SI E OF ON SPONSIBLE R FILING RETURN DATE R 1 3 C4U T HILL DR�V� HARRIS@IJRG, PA 17111-4657 SIG OF PR OTHER THAN REPRESENTATIVE DAT - z a� ADDRESS 208� LIN L STOWN RD • , SUITE 201 HARRISBURG, PA 1711� PLEASE USE ORIGINAL FORM ONLY Side 1 � 1505611185 OM46473.000 1505611185 � J 1505611285 REV-1500 EX(FI) RECAPITULATION 1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 0 . 00 2. Stocks and Bonds(Schedule B). . . . . . . . . . . . . . . . . . . . . . . . . 2. 11,545. 00 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C), , , , , 3. 0 - 00 4. Mortgages and Notes Receivable(Schedule D) , , , , , , , , , , , , , , , , , 4. 0 • 00 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E) , , , , , 5. 181275 - 00 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested , , , , g, 0 • 00 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) ❑ Separate Billing Requested . . . . 7. 0 • 00 8. Total Gross Assets(total Lines 1 through 7) , , , , , , , , , , , , , , , , , , 8 291820 - 00 9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . . . . . . . . 9, 201667 • 00 10. Debts of Decedent, Mortgage Liabilities,and Liens(Schedule 1) , , , , , . , , . 10. 551156 • 00 11. Total Deductions(total Lines 9 and 10), , , , , , , , , , , , , , , , , , , , , 11. 751823 - 0 0 12. Net Value of Estate(Line 8 minus Line 11) , , , , , , , , , , , , , , , , , , , 12 ( 4161003 - 0 0) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J), , , , , , , , , , , , , , , 13. 0 . 00 14. Net Value Subject to Tax(Line 12 minus Line 13) , 14. ( 46,003 - 00) TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(12)X.0 0- 0 . 00 15. 0 . 130 16. Amount of Line 14 taxable at lineal rate X.0_L1_5 0 . 00 16. 0 . 00 17. Amount of Line 14 taxable at sibling rate X.12 0 . 00 17. 0 . 00 18. Amount of Line 14 taxable at collateral rate X.15 0 . 00 18. 0 . 00 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 0 . 00 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ Side 2 1505611285 1505611285 J OM4648 3.000 REV-1500 EX(FO Page 3 File Number Decedent's Com IeteAddress: 21 14 0125 DECEDEN'SNAME SOWERS LOUISE _ STREET ADDRESS 1801 WARREN STREET CUMB CITY STATE ZIP NEW CUMBERLAND PA Tax Payments and Credits: 1. Tax Due(Pap 2,Line 19) (1) 0,00 2. Credits/Payments A. Prior Payments 0..._o 00 B. Discount p.p p Total Credits(A+B) (2) 0. 130 3. Interest (3) n -nn 4. If Line 2 is greater than Line 1+Line 3,enter the differenoe.This is the OVERPAYMENT. fill in box on Page 2,Line 20 to request a refund. (4) _ 0 . 00 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) _, n. 0 0 Make check payable to: REGISTER OF WILLS, AGENT, PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN"X"IN THE APPROPRIATE BLOCKS 1. Did decadent 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 H c, retain a reversionary interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �-I d. receive the promise for life of either payments,benefits or rare? . . . . . . . . . . . . . . . . . . ❑ 2. If death occurred after Dec. 12, 1982,did decedent transfer property within one year of death ❑ without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? ❑ 4. Did decedent own an individual retirement account, annuity, or other non-probate property,which rf�� contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LL I ❑ 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 172 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)Ill)).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. • The tax rate imposed on the net value of transfers to or for the use of the decadent'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 172 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. OM4671 2.000 REV-1502 EX 1(12-12) pennsylvania SCHEDULE A DizR1RTN,ENT OF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENTDECEDENT ESTATE OF: FILE NUMBER: LOUIS P S WEBS ESTATE 21 14 0125 All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is definetl as the price at which progeny would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Real property that is Jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been s,Id. 4iien Include a copy of the deed showing decedent's interest if owned as tenant in common. DESCRIPTION VALUE AT DATE OF DEATH Street rland, PA 17070 there is reference in the Will to a Life 0 r Decedent's surviving spouse, Ray K. Forney, the real estate was jointly owned with right of survivorship and become husband's property by operation of law. It is not a reportable asset for Pennsylvania Inheritance Tax purposes. ) TOTAL (Also enter on Line 1,Recapitulation.) $ 0 2w4695 2.000 If more space is needed,use additional sheets of paper of the same size. REV-1503E -(&12) pennsylvania DEPARTMENT OF REVENUE SCHEDULE B INHERITANCE TAX RETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER LOUIS P SOWERS ESTATE 21 14 0125 ITEM All property jointly owned with right of survivorship must be disclosed on Schedule F. NUMBER DESCRIPTION VALUE AT DATE i. 90 Shares OF DEATH MET LIFE TRUST INTERESTS 2 208.15057 Shares 4,861 PFIZER 6,684 TOTAL (Also enter on Line 2,Recapitulation) y W4606 2.000 If more space is needed, insert additional sheets of the same size 11,545 REV-1508 EX+(0&12) pennsylvania SCHEDULE E DEPARTMENTOF REVENUE CASH, BANK DEPOSITS& MISC. RESDENTDECE ENTTURN PERSONAL PROPERTY ESTATE OF: FILE NUMBER: LOUIS P SOWERS ESTATE 21 14 0125 Include the proceeds of litigation and the date the proceeds were received by the estate. All ro ert 'ointl owned with ri ht of survivorshi must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. LOOSE CHANGE/COINS 188 2 MEREDITH BOOK CUSTOMER SERVICE 3B 3 2013 TOYOTA RAV 4 (Vehicle was encumbered by a loan in the amount of $21,161.77. The lender (RBS Citizens) agreed to accept $18,000 from the Executor as a short payoff. A claim for the remainder was made against the Estate.) 18,000 4 PA TURNPIKE COMMISSION (E-Z PASS CREDIT BALANCE) 44 5 PENN STATE FEDERAL CREDIT UNION REGULAR SHARES ACCOUNT 5 TOTAL(Also enter on line 5,Recapitulation) $ 18,275 zw4sAO 2.00o If more space is needed,use addftional sheets of paper of the same size. REV-1510EX+(08-09) SCHEDULE G pennsylvania DEPARTMENTOFREVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER LOUIS P SOWERS ESTATE 21 14 0125 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 INCLIOETI-EW+MEOFTFE7RANSFEREE,THEIRRELATIONSNPTODECEDEMAPD DATEOFDEATH %OFDECD'S EXCLUSION TAXABLE NUMBE TFEDN7EOFiRM15FFRATfPGHACOPVOFTFEOEEDFORREALESTA7E. VALUEOFASSET INTEREST IFAPPLJCABLE VALUE �• NAMED BENEFICIARY ACCOUNTS. THE EXECUTRIX IS AWARE OF TWO ACCOUNTS (TIAA/CREF AND PSERS) WHICH WERE TRP.NSFERRED TO THE ESTATE OF RAY FORNEY, DAVID L. FORNEY, EXECUTOR, CUMBERLAND COUNTY DOCKET NO: 2014-00005, DATE OF DEATH: 12/18/2013. DATE OF DEATH AMOUNTS WERE NOT PROVIDED TO THE ESTATE OF LOUISE SOWERS. 0 0 0 0 TOTAL(Also enter on line 7,Recapitulation)$ � If more space is needed,use additional sheets of paper of the same size. 9W46AF 2.000 REV-1511EX+(0&13) SCHEDULE H pennsylvania DEPARTMENTOF REVENUE FUNERAL EXPENSES AND INHERITANCETAXRETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER LOU25 P SOWERS ESTATE 21 14 0125 DecedenYs debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: �. FUNERAL EXPENSES 4,704 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: 4,000 Name(s)of Personal Representative(s)STEPHANIE SOWERS—WAROS StreetAddress 1093 COUNTRY HILL DRIVE City HARRISBURG State PA ZIP 17111 Year(s)Commission Paid:2014 2. Attorney Fees: 8,000 3. Family Exemption:(If decedent's address is not the same as claimanYs,attach explanation.) 3 500 Claimant RAY K FORNEY, c/o DAVID L FORNEY, EXEC ' Street Address 1601 K. STREET, NW City WASHINGTON State DC ZIP 20006-1600 Relationship of Claimant to Decedent SPOUSE DOD 12/18 4. Probate Fees: 12 0 5. Accountant Fees: 6. Tax Return Preparer Fees: 7. 1 ANIMAI� EXPENSES (PAYABLE TO STEPHANIE SOWERS—WAROS) 184 2 THE SENTINEL (ESTATE ADVERTISEMENT) 84 Total from continuation schedules . . . . . . . . . 75 TOTAL(Also enter on Line 9,Recapitulation) $ 20 667 swasA�z.000 If more space is needed,use additional sheets of paper of the same size. Estate of: LOUIS P SOWERS ESTATE 21 14 0125 Schedule H Part 7 (Page 2) 3 CiJNIBERLAND LAW JOURNAL (ESTATE AD�IERTISEMENT) 75 Total (Carry forward to main schedule) 75 REV-1512 EX+(72-12) pennsylvania SCHEDULE I DEPARTMENTOF REVENUE DEBTS OF DECEDENT, INHERITANCETAXRETURN MORTGAGE LIABILITIES& LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER LOUIS P SOWERS ESTATE 21 14 0125 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 �• HSN ACCOUNT #681021978 133 2 GOOD HOUSEKEEPING 20 3 FULTON BANK CARDMEMBER SERVICES ELAN FINANCIAL SERVICES C/O PHILLIPS & COHEN ASSOCIATES, LTD. 3,451 4 TASTE OF HOME BOOKS 31 5 MSHMC PHYSICIANS GROUP 20 6 PPL ELECTRIC 206 7 PENNSYLVANIA AMERICAN WATER 121 8 BARCLAY'S BANK DE (LL BEAN) C/O PHILLIPS & COHEN ASSOCIATES, LTD. 8,596 9 UHS PHARMACY 101 10 PNC BANK ACCOUNT ENDING IN 3475 c/o WELTMAN, WEINBERG & REIS CO. , LPA 323 W. Lakeside Avenue, Suite 200 Cleveland, OH 94113-1009 15,346 11 OXMOOR HOUSE 43 12 COMENITY CAPITAL BANK-HSN (C/0 ASCENSION POINT RECOVERY SERVICES) 3,518 13 GE CAPITAL RETAIL BANK C/O ASCENSION POINT RECOVERY SERVICES 1,338 14 RBS CITIZENS, N.A c/o DCM SERVICES, LLC 21,162 15 SHIPLEY ENERGY COMPANY 695 16 ADT SECURITY SERVICES 171 17 ERIE INSURANCE GROUP (Auto Insurance Balance) 204 TOTAL(Also enter on Line 10,Recapitulation) $ 55 156 zwasAH z.000 If more space is needed, insert additional sheets of the same size. REV-1513EX+(01-10) SCHEDULE J pennsyivania DEPAF2TTu�NT OF REVENUE BEN EFI C IARI ES INHERITANCETAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: LOUIS P SOWERS ESTATE 21 14 0125 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).] �, RAY K. FORNEY c/o DAVID L FORNEY, E�CUTOR 1601 K STREET, NW WASHINGTON, DC 20006-1600 Surviving Spouse 0 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15lHROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ 0 If more space is needed,use additional sheets of paper of the same size. 9 W 46A1 2.000 REGISTER OF WILLS CERTIFICATE OF CUMBERLAND COUNTY GRANT OF LETTERS PENNSYLVANIA ,lY No. 2014- 00125 PA No. 2�- 14- 0125 Estate Of: LOUISEPSOWERS (Fiist,Middle,LasB La te Of: NEW CUMBERLAND BOROUGH CUMBERLAND COUNTY Deceased Social Security No: 168- InjHEREAS, on the lOth day of February 2014 an instrument dated March 24th 2005 was admitted to probate as the last will of LOUISE P SOWERS lFi�st,Middle,Lasil late of NEW CUMBERLAND BOROUGH, CUMBERLAND County, who died on the 2nd day of November 2013 and, WHEREAS, a true copy of the wi11 as probated is annexed hereto. THEREFORE, I, L/SA M. GRAYSON, ESQ. , Register of Wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to: STEPHANIE A SOWERS-WAROS who has duly qualified as EXECUTOR(R/X) and has agreed to administer the estate according to Iaw, all of which fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 10th day of February 20�4. Re rster of e y **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) Last Wili and Testam�nt of Louise P. Sowers I, Louise P. Sowers, a resident of New Cumberland, Cumberland County, Pennsylvania, revoke any prior wills and codicils made by me and declare this to 'oe my will. Article One Family �r�#�rnnatio� I am married to Ray K. Forney. We were married on December 14, 1990. Any reference in my will to my husband is to Ray K. Forney. I wish to honor the memory of my son, David Allen Sowers, who died on September 24, 2003. Although Stephanie Anne Sowers, granddaughter, is not a member of my immediate family, I have made provision for her in my will. �, :�: � m c T rn � � � '*� c� a rn m � c� O7 _.�',.i "c�.-s � x,. r" ►—► j-r� rr� Article Two � � � a r, � � Specific and General Gifts -`� � � ��� � ; ,.� �, _.� � ...� _.. ,:� � '-=• ;� � R� ..` s�� - �-- .,a --i � � C, Section 2.01 Life Estate in Residence to Ray K. Forney }' � �`' Upon my death, I shall give a life estate in my residence located at 1801 Warren Stref:t, New Cumberland, Cumberland County, Pennsylvania to Ray K.Forney. Durilig the term of my husband's life estate, he shall be responsible for the payment of all real estate taxes, utilities, sewer or water rents and similar charges on the property. He shall, at all times, maintain adequate insurance on the property and shall maintain said property in a reasonably good state of repair. If my husband �lecides to vacant the property, he shall give thirty (30) days notice to my Executor. Upon rece-ip'. of said notice or my husband's death, my Executor shall make arrangements to sell the property. The net proceeds from the sale of the property shall be distributed as follows: Page 1 of 16 (a) SpeciTic Distribution to Stephanie Anne Sowers I direct that the first One Hundred Thousand ($100,000.00) Dollars of the net proceeds from the sale of the real estate be distributed to Stephanie Anne Sowers. If Stephanie Anne Sowers should predecease me, this specific distribution shall be made to her living descendants, per stirpes. If Stephanie Anne Sowers has no living descendants, distribution shall be made as provided in Article Five. (b} Distribution of Remaining Proceeds The balance of the net proceeds from the sale of said real estate shall be distributed as follows: PAMELA K. RADLE �O.GO% � STEVEN KEATH FORNEY 7.14% ✓'� DAVID LLOYD FORNEY 7.14% '+� SUSAN MARIE FORNEY 7.14% � PAUL FRANCIS FORNEY 7.14% ' MARY GRACE STAUFFER 7.14%✓ PETER IGNATIOUS FORNEY 7.14% � LYNDA MARIE HECKENBERGER 7.14% `� If PAMELA K. RADLE should predecease me, her share shall be distaributed to STEPHANIE ANNE SOWERS. If any of my husband's children should predecease me, that individual's share shall be distributed to his or her surviving children,pro rata. If Ra_y K. Forney should predecease me, I dire�t my Fx_Pcutor to sell said residence and distribute the net proceeds in accordance with paragraphs (a) and (b) above. Property passing under this Section shall pass free of any administrative expenses or death taxes. However, property passing under this Section shall pass subject to all liens, security interests or other encumbrar.ces on the property. Page 2 of 16 �ection 2.02 Specifiic Distribution to Mary and Bill Harkins as pet � custodians If my husband has predeceased me, or for any reason is unable to keep or care for my pets, then my Executor shall distribute $2,000 to Mary and Bill Harkins as my pet custodians. If my husband survives me and is able to care for my pets, this distribution shall lapse and the property subject to this distribution shall instead be distributed under the other provisions of this agreement. I intend to prepare a "Memorandum for Care of my Pets" and ask that my Executors and Pet Custodians follow the instructions contained therein. If Mary and Bill Harkins should predecease me, or are for any reason unable to serve as my pet custodians, this distribution shall lapse and the property subject to this distribution shall instead be distributed under the other provisions of this agreement. Property passing under this Section shall pass free of any administrative expenses or death taxes. Section 2.03 Specific Distribution to Ray K. Forney Upon my death, my Executor shall distribute my shares in Pfizer, Inc. to Ray K. Forney. If Ray K. Forney should predecease me, this distribution shall lapse and the property subject to this distribution shall instead be distributed as follows: Fifty (50%) Percent to Pamela K. Radel, or, if she predeceases me, to Stephanie Ann Sowers; and Fifty (50°Io) Percent to Stephanie Anne Sowers. If Stephanie Anne Sowers predeceases me, this distribution shall be made to her living descendants,per stripes, or, if none, to Pamela K. Radle. Property passing under this 5ection shall pass free of any administrative expenses or death taxes. Section 2.04 Disposition of Tangible Personal Property I give all my remaining tangible personal property, together with any insurance policies covering such property and claims under such policies in accordance with a "Memorandum for Distribution of Personal Property" or other similar writing directing the disposition of such property, which shall be dated and signe.d by me. It is my intent that the writing qualifies t� distribute my tangible personal possessions under applicable state law. Page 3 of 16 Sec"tion 2.05 Contingent Distribution of Tangibie Personai Property Any remaining tangible personal property not disposed of by a written memorandum, or if I choose not to leave a written memorandum, I give such property not disposed of to my husband, if he survives me. If he does not survive me, I give such property to Stephanie Anne Sowers, if she survives me. If Stephanie Anne Sowers does not survive me, such property shall become part of my residuary estate. My Executor shall incur no liability to any party for any decision made by my Executor with respect to either the division or sale of my tangible personal property, and any decision made by my Executor shall be final and binding on all of my beneficiaries. Section 2.06 Definition of Tangible Personal Property For purposes of this Article, my tangible personal property shall include but not be limited to my household furnishings, appliances and fixtures, works of art, motor vehicles, pictures, collectibles, personal wearing apparel and jewelry, books, sporting goods, and hobby paraphernalia. Section 2.07 Encumbrances and Incidental Expenses of Tangible Personal Property Property being distributed under this Article shall be distributed subject to liens, security interests or other encumbrances on the property so distributed. However, my Executor shall pay, as an administration expense, the reasonable expenses of storing, insuring, packing, transporting and otherwise caring for my tangible personal property until actual delivery of each article of property to the appropriate beneficiary. Article Three My Residuary Estate Section 3.01 Definition of My Residuary Estate All the remainder of my estate, including property referred to above that is not effectively disposed of, shall be referred to in m�y vvill as my "re<iduary estate." Section 3.02 Disposition of My Residuary Estate I give my residuary estate to my husband, if my husband survives me. Page 4 of 16 Ii my husband does not survive me, my residuary estate shall be administered as provided in Article Four. Article Four Distribu#ion of My Remaining Property The remaining property shall be distributed outright to Stephanie Anne Sowers. If Stephanie Anne Sowers is deceased, the remaining trust property shall be distributed to her living descendants,per stirpes. If Stephanie Anne Sowers has no living descendants, the remaining trust property shall be distributed as provided in Article Five. Article Five Remote Contingent Distribution If, at any time after my death, there is no person or entity then qualified to receive final distribution of my estate or any part of it under the foregoing provisions of my will, then the portion of my estate with respect to which such failure of qualified recipients has occurred shall be distributed as follows: Beneficiary Share Pamela K. Radle 25% Portuguese Water pog Foundation, Inc., P.O. Box 790, Oaks, PA 19456-0790, for health research 25°Io Lowchen Club of America, for health research 25%o Paxtang Lion's Club, 4099 Valley Road, Harrisburg, PA 17112 in memory of my son, David Allen Sowers 25% If Pamela K. Radle should fail to survive me, her share shall pass to the organizations listed in this Article Five, pro rata. If an organization described above is no longer in existence, the share of such organization shall be delivered to that organization's successor in interest. If such organization has no successor in interest, or its successor in i��terest cannot be identified with reasonable certainty, the share of such organization shall be paid in equal shares to the remaining organization or organizati�ns. Page 5 of 16 Articte Six Designation of Fiduciaries Section 6.01 Executor I nominate my husband as my Executor. If Ray K. Forney fails or ceases to act as my Executor, I nominate Stephanie Anne Sowers as my Executrix. If Stephanie Anne Sowers fails or cease to act as my Executor, I then nominate Pamela K. Radle as my Executrix. Article Seven Powers of My Fiduciaries Section 7.01 Grant of Powers My fiduciaries may perform every act reasonably necessary to administer my estate and any trust established under my will. Specifically, my fiduciaries may exercise the following powers: They may hold, retain, invest, reinvest and manage real or personal property, including interests in any form of business entity including but not limited to, limited partnerships and limited liability companies, and policies of life, health and disability insurance, without diversification as to kind, amount or risk of non-productivity and without limitation by statute or rule of law. They may partition, sell, exchange, grant, convey, deliver, assign, transfer, lease, option, mortgage, pledge, abandon, borrow, loan, contract, distribute in cash or kind or partly in each at fair market value on the date of distribution, without requiring pro rata distribution of specific assets and without requiring pro rata allocation of the ta�:bases of such assets. They may hold in 7ominee farm, continue businesses, carry out agreements, and dPal with themselves, other fiduciaries and business organizatic,ns in whicl_� my fi�uciaries may have an interest. They may establish reserves, release powers, and abandon, settle or contest claims. They may emplay attorreys, accountants, custodians of the trust assets, and other agents or assistants as deemed advisable to act with or without Page 6 of 16 _ _ _ _ _ _ _ discretionary powers and compensate them and pay their expenses from income or principal or both. Section 7.02 Fiduciaries' Powers Act In addition to all of the above powers, my fiduciaries may, without prior authority from any court, exercise all powers conferred by my will or by common law or by any fiduciary powers act or other statute of the Commonwealth of Pennsylvania or any other jurisdiction whose law applies to my will. My Executor shall have absolute discretion in exercising these powers. Except as specifically limited by my will, these powers shall extend to all property held by my fiduciaries lmtil the actual distribution of the property. Section 7.03 Aiternative Distribution Methods My fiduciaries may make any payment provided for under my will or under the terms of any trust established under my will as follows: Directly to the beneficiary; In any form allowed by applicable state law for gifts or transfers to minors or persons under a disability; To the beneficiary's guardian, conservator, agent under a durable power of attorney or caregiver for the benefit of the beneficiary; or By direct payment of the beneficiary's expenses, made in a manner consistent with the proper exercise of the fiduciary's duties hereunder. A receipt by the recipient for any such distribution shall fully discharge the fiduciary. Articie Eight Ad�i�istrati�e P��visions Section 8.01 No Court Proceedings My estate shall be administerea expe�titiously, consistent witr, the provisions of my will, free of judicial intervention, and ��ithoi�t e�rder, approval or action of any court. The estate shall be subject to the jurisdicti�r! of a court only if my Executor or another interested party institutes a legal proct;edin�. A proceeding to seek instructions or a court determination shall be initiated ir the c.c�urt hav�ng original jurisdiction over matters relating to the construction and admiiiistration of estates. Page 7 of 16 Section 8.02 No Bond I direct that no fiduciary be required to give any bond in any jurisdiction, and if, notwithstanding this direction, any law, statute, or rule of court requires any bond, no sureties be required. Section 8.03 Fiduciary Compensation An individual serving as Executor shall be entitled to fair and reasonable compensation for the services rendered as a fiduciary. In addition to receiving compensation, my Executor may be reimbursed for reasonable costs and expenses incurred in carrying out its duties under my will. Section 8.04 Spendthrift Provision Neither the income nor the principal of any trust established under my will shall be assigned, anticipated or alienated in any manner by any beneficiary, nor shall it be subject to attachment, bankruptcy proceedings or any other legal process, or to the interference or control of creditors or others. Nothing contained in this Section sha11 restrict in any way the exercise of any power of appointment granted in my will. Section 8.05 Distributions to Incapacitated Persons and Persons Under Twenty-One Years of Age If my Executor is directed to distribute any share of my probate estate to any beneficiary who is under the age of 21 years or is in the opinion of my Executor, under any form of incapacity that renders such beneficiary unable to administer distributions properly when the distribution is to be made, my Executor may, as Trustee, in my Executor's discretion, continue to hold such beneficiary's share as a separate trust untii the beneficiary reaches rh� �be of 2 i or overcomes the incapacity. My Executor shall then distribute such beneficiary's trust to him or her. VVhile any trust is being held under this Sectian, the Trustee, pay to the beneficiary for whom the trust is held sucri amounts of the net incor�ie and principal as the fiduciary determine5 to be necessary or advisable fc�r the beneficiary's health, education, maintenance and support. Upon the death of the beneficiary before tliat time, the fiduciary shall distribute the trust, including any accrued and undistributed inc�rrie, to my then living descendants, per stirpes. If I have no then living descendants the property sh�ll be distributed under the provisions of Article Five. Page 8 of 16 Section 8.06 Maximum Term for Trusts Notwithstanding any other pravision of my will to the contrary, unless terminated earlier under other provisions of my will, each trust created under my will shall terminate 21 years after the last to die of the descendants of my matemal and paternal grandparents and the descendants my husband's maternal and paternal grandparents who are living at the time of my death. At that time, the remaining trust property shall vest in and be distributed to the persons entitled to receive mandatory distributions of net income of the trust and in the same proportions. If no beneficiary is entitled to mandatory distributions of net income, the remaining tnzst property shall vest in and be distributed to the beneficiaries entitled to receive discretionary distributions of net income of the trust, in equal shares per stirpes. Section 8.07 Representative of a Beneficiary The guardian of the person of a beneficiary may act for such beneficiary for all purposes under my will or may receive information on behalf of such beneficiary. Section 8.08 Anciflary Administration In the event ancillary administration shall be required or desired and my domiciliary Executor is unable or unwilling to act as an ancillary fiduciary, my domiciliary Executor shall have the power to designate, compensate, and remove the ancillary fiduciary. The ancillary fiduciary may either be a natural person or a corporation. My domiciliary Executor may delegate to such ancillary fiduciary such powers granted to my original Executor as my Executor may deem proper, including the right to serve without bond or surety on bond. The net proceeds of the ancillary estate shall be paid over to the domiciliary Executor. Article Nine Tax Pro��s�e�ns Section 9.01 Payment of Death Taxes All estate, inheritance and succession taxes payable by reason of my death, whether or not such property passes under my will shall be paid as set forth in this Section. Page 9 of 16 (a) Payment from Residue Except as otherwise provided in this Section or elsewhere in my will, my Executor shall provide for payment of all such taxes from my residuary estate as an administrative expense without apportionment and shall not seek contribution toward or recovery of any such payments from any individual. (b) Protection of the Marital Deduction Notwithstanding anything to the contrary in my will, no such taxes shall be paid from or allocated to any property qualifying for the federal estate tax marital deduction under my will unless there is no other property available to pay such taxes. (c) Charitable Distributions Notwithstanding anything in my will to the contrary, no death taxes payable as a result of my death shall be allocated to or paid from any assets passing to any organization qualifying for the federal estate tax charitable deduction, unless my Executor has first used all other assets available to my Executor. (d) Property Pa�sing Outside of My Will All such taxes imposed with respect to property included in my gross estate for purposes of such taxes and passing other than by my will shall be apportioned among the persons and entities benefited in the proportion that the taxable value of the property or interest bears to the total taxable value of the property and interests received by all persons benefited. The values as finally determined in the respective tax proceedings shall be the values used for the apportionment of the respective taxes. Section 9.02 Tax Elections In exercising any permitted elections regarding taxes, my fiduciaries may make such decisions as they deem to be appropriate in all the circumstances and my fiduciaries shall be under no duty to make any compensaTory adjustment as a consequence of any such election. M_y Executor may also execute such joint tax returns and pay such taxes or interest and deal with any tax refun�s, interest, or credits as it shall deem necessary or advisable, whether in the interest of the other joint tax payer or in the interest of my estate. Page 10 of 16 Article Ten Defini#ions and General Provisions Section 10.01 Definitions For purposes of my will and for the purposes of any trust established under my will, the following definitions shall apply: (a) Adopted and Afterborn Persons A legally adopted person in any generation and his or her descendants, including adopted descendants, shall have the same rights and be treated in the same manner under my will as natural children of the adopting parent, provided such person is legally adopted prior to attaining the age of 18 years. A person shall be deemed to be legally adopted if the adoption was legal in the jurisdiction in which it occurred at the time that it occurred. (b) Descend�nts The term "descendants" shall include a person's lineal descendants of all generations. (c) Education The term "education" is intended to be an ascertainable standard in accordance with Section 2041 and Section 2514 of the Internal Revenue Code and shall include, but not be limited to: Enrollment at private elementary, junior and senior high school including boarding school; Undergraduate and graduate study in any field at a college or university; �peciaLzed, v�catianal or professional training o: instruction at any institution, including private instruction; and Any other curriculum or activity that my Trustee may deern useful for developing the abilities and interests of a beneficiary including, without limitation, athletic training, musical instruetion, theatrical training, the arts and travel. The term "education" shall also include distributions made by my Trustee for expenses such as tuition, room and board, fees, books and supplies, tutoring and transportation and a reasonable allowance for living expenses. Pagellofl6 (d) Internai Revenue Code References to the "Internal Revenue Code" or to its provisions are to the Internal Revenue Code of 1986, as amended from time to time, and the corresponding Treasury Regulations, if any. References to the "Treasury Regulations," are to the Treasury Regulations under the Internal Revenue Code in effect from time to time. If a particular provision of the Internal Revenue Code is renumbered, or the Internal Revenue Code is superseded by a subsequent federal tax law, any reference shall be deemed to be made to the renumbered provision or to the corresponding provision of the subsequent law, unless to do so would clearly be contrary to my intent as expressed iti my will. The same rule shall apply to references to the Treasury Regulations. (e) Legai �epresentative or P�rsanal Representative As used in my will, the term "legal representative" or "personal representative" means a person's guardian, conservator, executor, administrator, Trustee, or any other person or entity personally representing a person or the person's estate. (f) Per Stirpes Whenever a distribution is to be made to a person's descendants pe�- stirpes, the distribution shall be divided into as many shares as there are then living children of such person and deceased children of such person who left then living descendants. Each then living child shall receive one share and the share of each deceased child shall be divided among such child's then living descendants in the same manner. (g) Qualified Retirement Plan The term "qualified retirement plan" means a plan qualified under Section 401 of the Internal Revenue Code, an individual retirement arrangement under Section 408 or Section 408A or a ta�c-sheltered annuity under Section 403. The term "qualified retirement benefits" means the amounts held in or distributed pursuant to a �lan qualified under Section 4U1, an individual retirement arrangement under Section 408 or Section 408A, a tax-sheltered annuity under Sectian 403 or any other benefit subject to tYie distribution rules of Section 4Q1(a}(9}. (h) Shall and {Vlay Unless otherwise speciiically provided in my will or by the context in which used, I use the word "shall" in my will to command, direct or require, and the word "may" to allow or permit, but not require. In the context of my Trustee, when I use the word "may" I intend that my Page 12 of 16 __ _ Trustee may act its sole and absolute discretion unless otherwise stated by in my will. (i) Trust The term "trust," shall refer to all trusts created under the terms of my will. (j) Trustee The term "my Trustee" refers to any person or entity that is from time to time acting as the Trustee. The term "Trustee" refers to singular or plural as the context may require. (k) Trust Property The phrase "trust property" shall be construed to mean all property held by my Trustee under my will, including all property that my Trustee may acquire from any source. (I) Other Definitions Except as otherwise provided in my will, terms shall be as defined in the Pennsylvania Probate, Estate and Fiduciaries Code as amended after the date of my will and after my death. Section 10.02 Survivorship Presumption If.my husband and I die under circumstances in which the order of our deaths cannot be established, I shall be deemed to have survived my husband. If any other beneficiary shall be living at my death, but die within 30 days thereafter, then such beneficiary shall be deemed to have predeceased me for all purposes of my will. Secticn i0.03 General Provisions The following general provisions and rules of construction shall apply to my will: (a) Singular and Piural; Gen�fer Unless the context requires otherwise, words denoting the singular may be construed as plural and words of the plural may be construed as denoting the singular. Words of one gender may be construed as denoting another gender as is appropriate within the context. The word "or" when used in a list of more than two items may function as both a conjunction and a disjunction as the conte.st requires or permits. Page 13 of 16 (b) Headings of Articles, Sections, and Subsections The headings of Articles, Sections, and subsections used within my will are included solely for the convenience and reference of the reader. They shall have no significance in the interpretation or construction of my will. (c) Governing State Law My will shall be governed, construed and administered according to the laws of Pennsylvania as from time to time amended. Questions of administration of any trust established under my will shall be determined by the la�x�s of the situs of administration of such trust. (d) Notices � Unless otherwise stated, whenever my will calls for notice, the notice shall be in writing and shall be personally delivered with proof of delivery, or mailed postage prepaid by certified mail, return receipt requested, to the last known address of the party requiring notice. Notice shall be effective on the date personally delivered or on the date of the return receipt. If a party giving notice does not receive the return receipt but has proof that he or she mailed the notice, notice shall be effective on the date it would normally have been received via certified mail. If notice is required to be �iven to a minor or incapacitated individual, notice shall be given to the parent or legal representative of the minor or incapacitated individual. (e) Severability The invalidity or unenforceability of any provision of my will sha11 not affect the validity or enforceability of any other provision of my will. If a court of competent jurisdiction determines that any provision is invalid, the remaining provisions of my will shall be interpreted and construed as if any invalid provision had never been included in my will. I, Louise P. Sowers, having signed this Will in the presence of S.�a�.,.-,� .���and C'i��,����,,,-� ,� ,C�(�t,���;- who attested it at my request on this day, G���= �� ��I , 2005 at �-Iarrisburg, Pennsylvania, aPclare this to ne m�y Last Will and Testament. ;' � G� � �%�.u�iiJ `����J(�-1,1i c`"'!7/'� Louise P. Sowers, Testatrix Page 14 of 16 _ __ . _ _ _ _ _ . The above and foregoing Will of Louise P. Sowers was declared by Louise P. Sowers in our view and presence to be her Will and was signed and subscribed by the said Louise P. Sowers in our view and presence and at her request and in the view and presence of I,ouise P. Sowers and in the view and presence of each other, we, the undersigned, witnessed and attested the due execution of the Will of Louise P. Sowers on this day, ��'��.�, �.L-� , 2Q05. _- �7 � .�1���L---�residing at �ti-��� tl�''�,� 3 �, { ��d'� �i� � � L-, �_��- ` ' I `7it ( � , / � ;� ,` `aG�.'IL"-L.-,-=-/�' �`r���.,,�.� residin at = � g � ' C /�L.�� ��.-��_. v``�-�r�-:�. 6��� � ��`.'�f Z Page 15 of 16 SELF-PROVING AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) ) ss: COUNTY OF DAUPHIN ) We, LOUISE P. SOWERS, 5`-'��:---� �= : �����.,,-��_,- and � � , the testatrix and the witnesses, respectively, whose C�r�r'�.'� F i�>F� ,� _,'l:�cr�s._. names are subscribed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Will and that she had signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as witness and that to the best of each such witness's knowledge the testatrix was at that time eighteen (18) or more years of age, of sound mind, and under no constraint or undue influence. � :� r t �� J \ Lt�((�j,�,2.-� ��J ��t,`4�i E.'�''�.�/� LOUISE P. SOWERS �` �---�-�_ ��� .�.�___ Witness � � ./1�>j.�?z�-t�C' �.��z;� Witness Subscribed, sworn to and acknowledged before me by LOUISE P. SOWERS, the testatrix, and subscribed and sworn to before me by ;�����<,�, E-. ��.��e�_��— and �`���+�'«.�-� ,f_'- t4/'.-ur���- , witnesses, this �l� day of `I'�' (n '�-�_ , 2005. � { r ^ r ��, 'L% ' ;! � ��� , , �;� otary Public C MMONWEALTH OF PENNSYLVqN(/� Notarial Seal Amy M.Maya,Notary Public Lower Paxton Twp.,Dauphin County My Commission Expires Jan,2g,2pOg Page 16 Of l 6 Member,Pennsyivania Assocfation of Notaries ��� SERRATELLI SCHIFFMAN & BROWN P.�. �� LORI K.SERRATELLI STEVEN J.SCHIFFMAN MICHAEL F.BROWN JOHN D.SHERIDAN' May 22, 2014 � '`� F.R.MARTSOLF c � � �'j p y_t� CT7 CARAA.BOYANOWSKI - n .�;, � �'.7 Fp �� � '^� C'j MERRITT C.REITZEL , A � .'' ��� Register of Wills `� r � N �� JENI s.MADDEN Cumberland County Courthouse = ` ' ,; � "� , , c':� CAROL L.VERISH�ne COUI'tI10U52 SqU8f2 ! '' �•' � 1'� _'`r :i v�:::i -��i .... rt GARTH A.STEPHENSON Car�15�2, PA 17013 � C'- �`= �" � �,, _.;. C°� of counsed(MD&Dc bars ondy) • }'� �� � � —•� t.� RE: Estate of Louise P. Sowers �`'' �'' t" ° SPERO T.LAPPAS � � ofcounsel No. 21-14-0125 NEIL E. HENDERSHOT or�o�asel Dear Register: •ADMITTED IN PA&NJ •xADMITTED IN PA&FL Enclosed,for filing, is the inheritance tax return with regard to the above captioned matter. Please time and date stamp the extra copy and return it to me in the 2oso LrNCLESTOwN Rn.STE 2olenclosed self-addressed stamped envelope. HARRISBURG,PA 1'J110-96']0 tel 7i'7.54o.gi'7o Thank you, in advance,for your assistance in this matter. fax 7i7•54o•54g1 Very truly yours, WWW.SSBC-LAW.COM SERRATELLI,SCHIFFMAN & BROWN, PC e � ��� Debra A. Evangelisti, Paralegal SJS/dae Enclosures cc: Stephanie A.Sowers-Waros v�.� �- _ .<� .. � .� � N � o� o� om Zr= a� � � �.t° o c� � � � � �� a� �� �� a va� � acno � � �_ .°a:D £� n� �� �+� � ,•�� � p � � � � � � � � � � � � � E'> ^`� G'> �') • C] O (� �1 � -'-,'"� r._ � t� r�2 W � G (D y �,} ` � �°� t� � N � W ,-": r� Ga t5' F'• � � � � ro vc �'' � `- _'� � �TM�:W � rt � n . � �„�'.,, E-- � � � � G C] � � Ct � � ! � � � �n O � . (D � N- � � � rt � o,.q �C m � � w W C] �i O fD G � t rt � � � � O �� � G � - � N � —__. � _ � �� �`' � T'i� � 4�. ..._ � ,�� ^�+i'r,.� . i � ;�• � ' �[*}� .� .. ►.. � �����'_� � �' � � `�' f,�'1 c,.:�" `° c.+ ,�"^� '-°t. a a.s• �■ -�7 � . r_. r.. (,�F�'i r, � � � r;i .�' � _• t,.� � �. �� ? [�,) `i.ti . �i'} ,. � �} G> - � �