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HomeMy WebLinkAbout06-24-14 � 1505610143 REV-1500 Ex�oz-ii� � OFFICIAL USE ONLY PA Department of Revenue pennsylvania County Code Year File Number Bureau of individual Taxes OEPARTMENTOFREVENUE PO Box.zsoso� INHERITANCE TAX RETURN 21 14 0033 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 11 27 2013 09 16 1930 Decedent's Last Name Suffix DecedenYs First Name MI MCLAUGHLIN GAYLE H (If Appiicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name M� MCLAUGHLIN MARLIN L Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW � 1. Ori inal Return 2. Supplemental Return � 3. Remainder Return(Date of Death X 9 ❑ Prior to 12-13-82) 4. Limited Estate � qa, Future Interest Compromise � 5. Federal Estate Tax Return Required � (date ot death atter 12-12-82) � 6 Decedent Died Testate � �� qe�acheCopy�of Trust)a Living Trust � 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) � 9. Litigation Proceeds Received � �0.Spousal Povert Credit(Dale of Death � 11.Election to tax under Sec.9113(A) between 12-31�1 and T-t-95) (Attach Schedule O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFOF�AgATION SHOU�E D�C�ffD TO� Name Daytime Tel_e_ph�ne Numbt�T F-� �--� 717 9�� 633� �' `�� GEORGE F DOUGLAS I I I ESQ �'� � � ,`; -�`=J r���i __ <-, �;:� .� ���, .° ,,,. , ; REGISTE�t.OF��iNI�L�.S US�ONL'Y' ' � �.�.�,. �.�-' ..... .�.._p (..1 ., .. " .'� T " i� � _`J t ..r '""'� i.?1 � �'} First Line of Address ;-;� �=�> •��ti ' > 354 ALEXANDER SPRING RO .J =`� `v ��� � .� �{ �, cn Second Line of Address �- pp DATE FILED City or Post Office State ZIP Code CARLISLE PA 17015 CorrespondenYs e-mail address: gdou4lasCa�salzmannhu4hes com Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the personal representative is based on ali information of which preparer has any knowledge. SIGNA E OF PERSON RESPONSIBL FOR FILI RETURN DATE � 1��i� Dianne Shue � `�� ° � ADDRESS 1209 Montrose Circle Mechanicsbur PA 17050 SIGNATUR OF PREPARER OTHER THAN REPRESEN ATIVE DAT '��L�1 George F Douglas, III Esq. 6/Z6 ) � ADDRESS 354 Alexander S rin Road, Suite 1, Carlisle, PA � Side 1 1505610143 1505610143 � � 1505610243 REV-1500 EX DecedenYs Social Security Number Decedent�SName: MCLaUgh1111� Gayle H. 200 22 5822 RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... 1. 3 7 65 . 93 2. Stocks and Bonds(Schedule B)............................................................................. 2. � 3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C)......... 3. 4. Mortgages&Notes Receivable(Schedule D)........................................................ 4. 7 386 . 23 5. Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. � 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers 8�Miscellaneous t�nq Probate Property (Schedule G) �J Separate Billing Requested............ 7. g. Total Gross Assets (total Lines 1 through 7)............................... ......................... a. 11, 152 . 16 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 5, 434 . 66 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................ 10. 11. Total Deductions(total Lines 9 and 10)................................................................ ��. S , 434 . 6 6 12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 5 , 717 . 5 0 �3, Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J)............................................... 13. 14. Net Value Subject to Tax(Line 12 minus Line 13)............................................... 14. 5 , 717 . �J 0 TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 �j� 717 . 'rJ� 15. 0 . 0 0 (a)(1.2)X .00 16. Amount of Line 14 taxable 0 . �0 16. O . O O at lineal rate X .045 17. Amount of Line 14 taxable 0 . 00 17. 0 . 00 at sibling rate X.12 18. Amount of Line 14 taxable � . Q Q 18. � . �� at collateral rate X.15 19 0 . 00 19. TAX DUE................................................................................................................ 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. � Side 2 � 150561�243 1505610243 J REV-1500 EX Page 3 File Number 21-14-0033 Decedent's Complete Address: DECEDENT'S NAME McLaughlin, Gayle H. —. STREET ADDRESS 1 Longsdorf Way __ CITY STATE ZIP pA � 17015 Tax Payments and Credits: 1. Tax Due(Page 2, Line 19) (1) 0.00 2. Credits/Payments A. Prior Payments B. Discount 0.00 Total Credits(A +B) (2) 0.00 (3) 3. Interest 4, If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4) Check box on Page 2,Line 20 to request a refund 5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) �.�� Make Check Payable to REGISTER OF WILLS, AGENT ,� #� � i� ,.-��.fiJ�s`g' a a.�i'^rs��-'�^�.�'-�.'�i�.a� -r��u�'�s�iz�',3'h:=�� ��r`�,` �`�� °s�� "���.-, � S. fi� �5"`""�,���*�r�t�}�q �,S �za-"z::u. �t��?" �, ���''*�� y > `"=�.�,'��aa"�5�.:� �.�.�'��.�.-�`a;+�+,�..�'.�.��'�;�.".�'.�'s�:,�.��,. '��':.��e��3�`, e��°�`..'.�%��i»«;'�`�'..�.'�.°.�����:.�.�+'sw�..���,t..�"^�u".*�,.�aun�,y�c'�ti'�' ��......,�,.::s:�F-,-s� 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:.................................. a � c. retain a reversionary interest;or............................................................................................................... d. receive the promise for life of either payments,benefits or care?............................................................ � � 2. if death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without ❑ ❑ receiving adequate consideration?................................................................................................................... 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?.................................................................................................................. X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ��.. � .�+. �:,.rx g �-:. `"` �� .fi �-? ,,, :.,� ���:...r � c, � �rRg b. u �'.'.'4'�,,3' ' '�-'` s`��i�a ry� a,�r��?,�.�..��°.�.:,,�.,-x..�''�s�.,t:...z"L':'_�v .�.:�a.. a��.=`,ta.��a�".�� �s-,�E"`.... �s.v�.�a3;'�. Jxz�r`-�x°'�� �.�'s ks�'�;. For dates of death on or after July 1, 1994 and before Jan.1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent(72 P.S.§9116{a)(1.1)(i)]. For dates of death on or after January 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)j. 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(a)(1)). . 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 sibting is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. Rev-1503 EX+(6-98) SCHEDULE B STOCKS & BONDS COMMONWEALTHOF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENTDECEDENT ESTATE OF FILE NUMBER McLau hlin, Ga le H. 21-14-0033 All property jointly-owned with right of survivorship must be disclosed on Schedule F. VALUE AT DATE ITEM CUSIP DESCRIPTION UNIT VALUE OF DEATH NUMBER NUMBER � 42 shares of Prudential Financiai, Inc.-common 89.665 3,765.93 TOTAL(Also enter on Line 2,Recapitulation) 3,765.93 (If more space is needed,additional pages of the same size) Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-1500 Schedule B(Rev.6-98) Rev-1508 EX+(11-10) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, 8� MISC. DEPARTMEN7 OFREVENUE p E RSO NAL P RO P E RTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER McLau hlin, Ga le H. 21-14-0033 Indude the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Diakon Lutheran Social Ministries-refund 867.00 2 Highmark-health insurance premium refund 671.38 3 Highmark-prescription drug insurance premium refund 67.54 4 Terry L. Rupp and Tammy J. Hulstine-Principal balance on Installment loan owed to the 5,780.31 decedent for the purchase of 610 North West Street, Carlisle, PA TOTAL(Also enter on Line 5, Recapitulation) 7,386.23 (If more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule E(Rev. 11-10) REV-7511 EX+�70-09) gCHEDULE H pennsylvania DEPARTMENTOFREVENUE FUNERAL EXPENSES AND INHERITANCETAXRETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER McLau hlin, Ga le H. 21-14-0033 Decedent's debts must be repo�ted on Schedule I. ITEM DESCRIPTION AMOUNT N MB R q, FUNERAL EXPENSES: B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Z�p Year(s)Commission Paid 2, Attorney's Fees Salzmann Hughes, P.C. 1,500.00 3, Family Exemption: (If decedenYs address is not the same as claimanYs,attach explanation) 3,500.00 Claimant Marlin L McLaughlin Street Address 1 Longsdorf Way City State Zio 17015 Relationshiq of Claimant to Decedent SpOUS6 4. Probate Fees 158.50 5. AccountanYs Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 276.16 See continuation schedule(s)attached TOTAL(Also enter on line 9, Recapitulation) 5,434.66 Copyright(c)2009 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev. 10-09) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER McLaughlin, Gayle H 21-14-0033 ITEM AMOUNT NUMBER DESCRIPTION Other Administrative Costs 1 Salzmann Hughes, P.C. -reimbursement for payment to Cumberland Law Journal for legal 75.00 advertisi�g 2 The Sentinel-Legal adve�tising 201.16 H-67 276.16 Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98) REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OFREVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER McLau hlin, Ga le H. 21-14-0033 RELATIONSH�P TO SHARE OF ESTATE AMOUNT OF ESTATE NAME AND ADDRESS OF DECEDENT NUMBER PERSON(Sl RECEIVING PROPERTY o �s 7r t s (Wa�ds) ($$$) I� TAXABLE DISTRIBUTIONS [include outright spousal distributions,and transfers under Sec.9116 a 12 1 Marlin L. McLaughlin Spouse Entire Estate 5,717.50 800 Forbes Road Carlisle, PA 17013 Total 5,717.50 Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 1500 cover sheet, as a ro riate. NON-TAXABLE DISTRIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II-ENTER TOTAL NON-TAXABLE D�STRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule J(Rev.01-10) � o � LAST WILL AND TESTAMENT o N �r E-- G: -' �-- • OF GAYLE H. MCLAUGHLIN w � r-+ .� �, c.� ��, � �c� « n � o �a�� �.�7cLauglllin, of the Borough of Carlisle, County of Cumberland, ° i; �nr�.o�s�lt h o f Pennsy lvania, being o f s ou n d a n d d i s p o s i n g m i n d, z w o � r�moryr�r� understanding, do make, publish and declare this to be my Last w � Y�11 anc�I�tament, hereby revoking and making void all former tiVills by � r��; at any time, heretofore made. 1. I direct the payment of all my just debts and funeral expenses as soon as may be convenient after my decease. 2 a. I hereby give and bequeath, absolutely and in fee simple, to my spouse Marlin L. McLaughlin, all my household furniture and furnishings, books, pictures, jewelry, china, linen, silvercvare, automobiles, �vearing apparel and all other articles of household or personal use or adornment, including insurance policies thereon, provided that if iny spouse dies before the thirtieth (30th) day follo�ving the day of my death, this gift shall lapse or be divested and I make said bequest to my children according to the terms I set forth belo�v. 2 b. T11e gift to my spouse in Item 2a aUove is intended to give my estate the marital deductian effective under the Internal Revenue Code to reduce Federal estate tax. Any provisions in this Wiil �vhich confiict �vith or tail of this intention shall be so reconciled or amplified as to accomplish this objective. 3 a. If n1y spouse, i�l�rlin L. IVIcLaughliil, survives ine, I direct that my Trustee, hereinafter named, hold, Ii�,T TRUST, an amoLint free of all taxes equal to the maximum marital deduction allo�vable to my estate for Federal Estate tax purposes, reduced, by an amount, if any, needed to increase my taxaUle estate to the largest amount that after allo�ving for the unified credit and any other credits available to iny estate, �vill result in no federal estate tax, Dou�las, Douglas & Dou�las — Auurneys - a[ - La�v — 1 and pay the net income therefrom not less frequently than quarterly to my spouse for and durin; his nahtral life, `I�� spouse shall have the po�ver to appoint all or any parts of the principal of this Trust tu himself, his estate, or to our children. This po�ver shall be exercisable by him alone and in all events by specific reference thereto in his �'Vill, or by delivery at atry time or times during his lifetime of a �vritten direction to my Trustee ��-ho shall thereupon make payment as he directs. 3 b. My trustee shall pay to his personal representatives from any unappointed principal the ciifference bet�veen all taxes, interest and penalties �vhich they must pay by reason of his death, and those �vhich �vould be payable by them if such unappointed principal �vere not taxable in his estate, and shall add the balance of such unappointed principal to my residuary trust. 4. All the rest, residue and remainder of iny estate, real, personal and mixed, whatsoever and �vheresoever situated, I give, devise and bequeath to my Trustee, hereinafter named, IN TRUST, as follo�vs: (A) The net income therefrom shall be paid to my spouse, Nlarlin L. IVIcLaughlin, for and during his natltral life. (B) Upon the death of the survivor of myself and my spouse, my Trustee shall distribute all the remaining corpus and any accumulated interest thereon as follo�vs: One (1) share thereof, in trust, for my son, Darryl M. McLaughlin, one (1) share to n1y daughter, Dianne Shuey. Should either of them have predeceased me, and have been survived by issue, then such share shall go to their issue per stirpes, �vith the further proviso, that in the event of Darryl's death, the trust �vill remain for the benefit of Dianne's two children �vith income annually and principal distributions to be made to them as follo�vs: 50% at age 25, and 50% at age 30. Should any one of them have predeceased me and not have been survived by issue, then their share shall go to their surviving brother(s) or sister(s) or their issue per stirpes as the case may be• 5. "I he trustee may use principal of the Trust under Item nuinber 3a, hereof (I�-'Iarital Deduction Z'rust) only for the benefit of iny spouse; �vith the Douglas, Uou�las & DouQlas — Atturneys - at - I_aw .. � foregoing exception my Trustee may use principal from t11e Trust under Item number 4, hereof (Residue Trust) for the benefit of my spouse and children as the Trustee deems necessar_y: � (A) To meet the expense of any accident, illness or other emergency befalling any of thein; (B) For maintenance, support and education (including college and graduate school); (C) To pay ftuleral expenses, including the cost of a grave marker and perpetual care of the grave. Notwithstanding the foregoing, the po�ver to consume, invade or appropriate property for the benefit of my spouse and children shall be limited by ascertainable standards relating to health, education, support or maintenance �vithin the meaning of subparagraph (a) of § 2014(b)(1) of the Internal Revenue Code of 1954 or any similar provision �vhich may be in effect at the time of my death so that such power will not constitute a general power of appointment. 6. If, at the time of my death, circumstances are such that it �vould be unwise to establish this Trust because fiduciary fees woulc� be too high in relation to the ainount of available assets or for other like reason or cause, then this Trust need not be establisheci and this part of my estate (that designated as the Residue Trust) shall pass to my spouse outright and free of trust. 7, N� pi'U"vIS1Gii Oi iili� �'ti�i11 1S 1T'iteil��C�i tv �Xei�iSe «Tly' p�`�'�i �f appointment, including any pocver of appointment granted me under my spouse's will. S. All taxes, interest and penalties thereon payable by reason of my death with respect to property coinprising my gross estake, �vhether or not passing under this Will, shall be paid from the principal of my residuary estate, providecl, ho�vever, that funds of my Trust created herein may be used to pay taxes, interest and penalties attributed to such trust assets. Douglas, Dou�las & Dou=las - Attorneys - at - Law - 3 9. No interest of any beneficiary ttnder this ��'ill or any Codicil hereto shall be subject to anticipation or voluntary or involtuztary alienation, and the personal receipt of such beneficiar}� sh�ll be the sutficient and only discharge of my executor and Trustee tulless other��-ise provided herein. 10. In addition to po�vers given them by la�v, my Executor V���erfollo�in� their successors and any guardian acting hereunder shall ha g discretionary po�vers ap�licable to all real and personal property held t�y them, effective without court order and until actual distribution: (A) To retain all property received by them including the � F F'� rtT 2.Ct1:?b �?oYO��n��r i rn;��r�P� Stlr}1 s��ck �� �y c�rY��z�° �: �:�i� y -, property remains productive; (B) To invest in all forms of property �vithout restriction to investments authorized to fiduciaries, so long as sLich investments are productive; (C) To join in ���Y�niz tion or�v�oting tr�isttplan;�to recapitalization, merger, reorg delegate authority �vith respect thereto; to deposit investments authorized to fiduciaries, so long as suc11 investinents are productive; (D) To Comproinise controversies; (E) To exclzange or sell for cash, property or credit, pttUl��s or privately, or to f the trusts 1 ereunder,e�vithoug liabil ty on the the durahon o purchasers or lessees to see to application of the consideration, and to give options for these purposes �vithout obligation to repudia�e ihem in iavor of a higher ofizr; (F) �Vith respect to my residuary trust tinder Paragraph 4 hereof, to allocate items of receipt or disbursement bet�veen income and principal as they deem equitable regardless of the character given such items by law; (G) To apply incoine or principal to �vhich any beneficiary is entitled directly for his or l�er maintenance and support should they deem such beneficiary incapable of receiving the same by reason of age, illness �r a11y lnfelecttto�dis ur�seCity�vho e recupt same to such person as they s Doutlas, Doualas & Dau�las — Attorneys - at - La�v -- 4 shall be a coinplete acquittlnce therefore, ���ithottt the intervention of any guardian; (H) To borro�v money, includin�, the right to borro�v from any corporate fiduciary action hereunder, and mort�a;e or pled�e as security; (I) To hold investinents in the name of a nominee; (J) To distribute in cash or kind or partly in each at valuations fixed by them; (K) To assume continuance of the status of any beneficiary with reference to marriage, divorce, illness, incapacity or other change in the absence of inrorma�ion deerneci reliabie �vitizou't liability for disburseinents made on such assumption; (L) To elect to value my gross estate for Federal Estate tax purposes as of the date of my death or as of the alternate valuation date as allowed 1�esstha �oil1dsother��ise�qual fy as income tax deduchons expe estate tax deductions and other elections allo�vable under la�v; (M) Except to the extent necessary in order that the trust under Paragraph 3a hereof qualify for t11e marital deduction allowable under the Internal Revenue Code, it shall not be necessary to segregate investments as belong�ngel� aIp�i nldivided l fo��shara therein and all interests may single fund froin �vhich proportionate distributions are inade based on current reappraisals; (N) To merge any similar trust establislled by iny spouse where the terms of the same are identical; and (p) In the event that I an1 the beneficiary of a qualified terminal interest trust and the same is taxable in my estate, I direct that my Executor shal�ltee�ecaLl�eb�f the inclusion of such for all taxes due by my est trust in my estate, said computation of taxes due to be computed by taking taxes o�ved by my estate and such property included therein as compared to the taxeble i matestatettanci �4e in t11e event said property �vere not taxa y (p) To undcrtake any and all acts deemed necessary and proper by it for the proper ancl advantageous management of any trust and the settlement of my estate. Douglas, Doualas & Douglas - Attorneys - �t - La�v � 5 11. Any per�on, other t11an m�� Gpouse, «'ho shall have died �vithin thirty (30) days of my� death, shall be deeined to ha�'e predecelsed me. If my spouse and I die simultatleously, er under such circumstances that the order of our deaths cannot be established by proof, m�� spouse shall be deemed to have survived me. Any person (other than myself) �vho shall have died at the same time as any then recipient of incorne or in a common disaster �vith such beneficiary, or under such circumstances that it is difficult or impossible to determine ��l�o died first, shall b� dezmzd ta have predeceased such beneficiary. 12. I nominate, constitute and appoint my children, Darryl N1. NicLaughlin and Dianne Shuey, to be the Exectrtors, of this, iny Last Will and Testament. I further direct that they shall not be required to file bond or other security i n the Office of the Register of �Vills for the purpose of administering my estate. 13. I nominate, constitute and appoint my children, Darryl M. I�1cLaughlin and Dianne Shuey, as Trustees under this 4Vi11. �� �j� IN WIT ` ESS tiVHEREOF, I have hereunto set my hand and seal this �.�- � day of �'��-�--� 199�:t' _ � , � . �� � f. '� ��,� �� �y . �� 3 _. ;`_ . } ..:.`:z __":,. . ,. ,` - Gayle H. McLaughlin �; !; Signed, sealed, published and declared by the above named testatrix, as and for her last �vill and testament, �vho at her request, in her presence, in our presence, and in the presence of each other have hereunto subscribed our names as attesting �vitnesses: � -% , r t�. �. �1v`l"�;`{�,�? !z- �� J /�� � � �1�;,.-� '�' _,,. `;''�r � a / _ � , Douglas, Dou�las & DouRlas -- Attorneys - at - Law — 6 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND W e �J1 Q ��;., �' �-�-�'�,�.3 ����^- �=� anc� �%,-,a t ��'1�'�� • ��:?_.r, /;-� the witnesses �vhose names are signed to the�attached or foregoing instrument, being duly qualified according to law, do depose and say that �ve �vere present and saw the testatrix sign and execute the instrument as her last `vill, and that she signed �villingly and executed it as her last �vill , and that it was done freely and voluntarily for the purposes therein contained, that each of us i n the hearing and sight of the testatrix signed the �vill as �vitnesses; and that to the best of our kno�vledge, the testatrix �vas at that time 18 or more years of age, of sound mind and under no constraint or undue influence. � � � � 'r- t:3?;',�,�';,''��-� '� � �Y^ �� , , , � �-�3 t ;' __ ,`l ;%<;-} �i' "j ��;%,1 i.�. � � � ��� Sworn to and subscribed before , . ,:1;4,. me this- ' '�� �day of % ':�� .1995: ,�.�'�-.ti--.�..``�:-i-� t ` _,-,, Notary _--------------`.°_'.....�...; I �...," I -, J r 4 r � 1 C —_--_ __`..:--_.-__.__.«� Dou�las, Dou�las & Douglas — Attorneys - at - Law — 7 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUNIBERLAND I, Gayle H. NlcLaughlin, �vhose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby ackno�vledge that I sigized and executed the instrument as my last will, that I signed it willingly, c�I1C� t�1c1t, I signed it as my free and voluntary act for the purposes therein expressed. ��--�- ` „ • � ;; - %1 � -� . , ` '� �` ---���`,/�� 4,� �._ -%' �.-'✓i ; _". - �. i I _ '� % J Ga�tle H. McLaughlin ��� Sworn to and subscribed before �_�-1(- me this �''�'� day of -�-. -�995. ; �� �,,C. '�.•t,.�(` i �,;'`i .,�'�._-r.! Notary _.-; A y, ` S !�� I *i" �,r f' 4Y . A('na �/;.t C ��� �7 C��, ._ `_ ':;.�,,: .:t. �cc%' _,` i::;I.�_:."�':;�'-::����--------_-'-- I �,._r Douglas, Douplas & Douglas — Attorneys - at - Law — 8 Prudential Financial Inc., PRU Historical Quote - (NYSE) PRU, Prudential Financial Inc. ... Page 1 of 1 I I I I I I I �HF.::III�F$ I Enl,?r Sy'iT..�'�i5:�f KF '1�C5 �i SE.RCH y'.5' �� Are you comfortable in your retirement? 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By using��is Sitt,you agree�0 Me Termf ol Uae,Pmsey Polky,enC Cookie PoliCy �ntraEay Data proviEed Cy SIX finenne�Infortnatwn enC suE�ed ro terms o�use. Mhbriul�n0 tun�nt endal4ay Eata D���aea Cy SIX Financiat Informetion IntraOay Eala EeleyeE per exchenqe requxemenh.SBP�ow Jonec Intlrces(SM)hom Dow Jones B Company,Inc All quotes are in laal exc�ange time Real time last sale Osta provideC Dy NAS�AO. Mwe inblrrobon on NASDAO treCeE symDOk 0n0 Meir curtent fin0ncui Slatus Intreday deta CelayeE i5 mnNes br Nastlsa.snC 70 rtnnutes for other exchangas 58P/Dow Jones InOicea(SM)from Dow Jones b Company,Inc. SEHK�ntraaay Eata is prov�tleE Cy SIX Financu!ir.forma6on an�is at least 80-minutes delayeG. AII Quotee ere in bul ezC�ange hme Interest Vision McLaughlin to Rupp and Hulstine Loan or Annuity Variables: Start Date: Apr 1, 2000 End Date: Apr l, 2015 Start Payment: Apr l, 2000 No. of Payments: 88000 � Start Interest: Apr 1, 2000 Interest Rate: Payment Freq. : Monthly Initial Principal: $40000.00 Compound Freq. : Monthly Payment Amount: $382-2� Days in Mo. /Yr. : 30 / 360 Balloon: $-3 .17 Payment Mode: In Arrears Amortization Method: Simple Int. Payment Interest Interest � ��No. Date Amount Amount Rate/Yr. Principal Balance Cs r,� Apr 1, 2000 0. 00 0.00 0.000 0.00 40000.00 O 3.3 'S� 1 May 1, 2000 � 382.27 266.67 8.000 115.60 39884.40 ��`�3 2 Jun 1, 2000 '� 382.27 265.90 8.000 116.37 39768.02 ;; 3 y' 3 Jul 1, 2000� 382.27 265 .12 8.000 117.15 39650.87 L.;3%� 4 Aug 1, 2000� 382.27 264.34 8.000 117 .93 39532 .94 d ;3�( 5 Sep 1, 20006� 382.27 263.55 8.000 118.72 39414.22 �� sS;S 6 Oct 1, 2000 � 382.27 262.76 8.000 119.51 39294.72 L�.� � � 7 Nov 1, 2000 � 382.27 261.96 8.000 120.31 39174.41 C��` '� 8 Dec 1, 2000�� 382.27 261.16 8.000 121.11 39053 .30 ,SUBTOTAL: 3058.16 2111.46 946.70 � ; � � 9 Jan 1, 2001 ✓ 382.27 260.36 8.000 131,91 38931.39 ,-, c) y '7c � 10 Feb 1, 2001 382.27 259 .54 8 .000 122 .73 38808.66 �,� J 6` '� 11 Mar 1, 2001 � 382 .27 258.72 8 .000 123 .55 38685.12 p 1�j� 12 Apr 1, 2001�� 382 .27 257 .90 8 .000 124.37 38560.75 13 May 1, 2001•� 382.27 257.07 8 .000 125.20 38435.55 14 Jun 1, 2001 � 382 .27 256.24 8 .000 126.03 35309.52 �'y�f 15 Jul 1, 2001 � 382.27 255.40 5 .000 126.87 38182.64 G°?`�d� 16 Aug 1, 2001 f 382 .27 254.55 8 .000 127.72 38054.92 �-f+�"rl 17 Sep 1, 2001 `� 382 .27 253 .70 8 .000 128.57 37926.35 Q c�j 18 Oct 1, 2001 ✓ 382 .27 252 .84 8.000 129 .43 37796.93 P �/ f 19 Nov 1, 2001.r� 382 .27 251.98 8 .000 130.29 37666.63 � �/� 20 Dec 1, 2001/� 382 .27 251. 11 8 .000 131.16 37535.48 SUBTOTAL: �t;C� 4587 .24 3069.41. 1517.83 --�- 21 Jan 1, 2002<-� 382 .27 250.24 8 .000 132 .03 37403 .44 --�22 Feb l, 2002 ',�/ 382 .27 249.36 8 .000 132 .91 37270.53 �,.1 23 Mar 1, 2002/� 382 .27 248.47 8 .000 133 .80 37136.73 ! 24 Apr 1, 2002 � 382 .27 247.58 8.000 134.69 37002.04 •-�25 May 1, 2002 �� 3g2 ,27 246.68 8 .000 135.59 36866.45 `'26 Jun 1, 2002 � 382 .27 245.78 8 .00G 136 .49 36729.95 �7 Jul 1, 2002�/ 382 .27 244.87 8 .000 137 .40 36592.55 �-"'�8 Aug 1, 2002� � 382 .27 243 .95 8 .000 138.32 36454.23 "29 Sep 1, 2002 � 382 .27 243 .03 8. 000 139 .24 36314.99 '�- 30 Oct 1, 2002 � 382 .27 242 .10 8.000 140.17 36174.82 Payment Interest Interest No. Date Amount Amount Rate/Yr. Principal Balance �1 Nov 1, 2002 � 382 .27 241.17 8.000 141.10 36033 .71 -�32 Dec 1, 2002 L� 382 •27 2 22 8 .000 142 .05 35891.67 SUBTOTAL: �U6� 4587 .24 2943 .43 1643 .81 ��3 Jan l, 2003 382 .27 239 .28 8 .000 142 .99 35748.68 i/34 Feb l, 2003 382 .27 238.32 8.000 143 .95 35604.73 y35 Mar l, 2003 382 .27 237 .36 8 .000 144 .91 35459.83 ,�.36 Apr 1, 2003 382 .27 236.40 8 .000 145.87 35313.95 � 37 May 1, 2003 382 .27 235.43 8 .000 146 .84 35167.11 �38 Jun 1, 2003 382 .27 234.45 8 .000 147 .82 35019.29 �39 Jul 1, 2003 382 .27 233 .46 8 .000 148 .81 34870.48 �40 Aug 1, 2003 382 .27 232 .47 8 .000 149 .80 34720.68 y 41 Sep 1, 2003 382 .27 231.47 8.000 150 .80 34569.88 �42 Oct 1, 2003 382 .27 230.47 8 .000 151 .80 34418.08 ,i'�3 Nov 1, 2003 382 .27 229 .45 8 .000 152 .82 34265.26 (�44 Dec 1, 2003 382 .27 225.44 8.000 153 .83 34111.43 SU�TOTAL: 4587 .24 2807 .00 1780 .24 1�45 Jan 1, 2004 382 .27 227 .41 8 .000 154 .86 33956.57 1�46 Feb 1, 2004 382 .27 226.38 8 .000 155 .89 33800.67 �47 Mar 1, 2004 382 .27 225.34 8 .000 156 .93 33643.74 48 Apr 1, 2004 382 .27 224.29 8.000 157 .98 33485 .76 c' 49 May l, 2004 382 .27 223 .24 8 .000 159 .03 33326 .73 ` •'S0 Jun 1, 2004 382 .27 222. 18 8.000 160 .09 33166.64 � 51 Jul 1, 2004 382 .27 221.11 8.000 161 .16 33005.48 52 Aug 1, 2004 382 .27 220.04 8.000 162 .23 32843 .25 ,✓53 Sep 1, 2004 382 .27 218.95 8 .000 163 .32 32679 .93 �4 Oct 1, 2004 382.27 217. 87 8.000 164 .40 32515 .53 5 Nov l, 2004 382.27 216.77 8.000 165 .50 32350.03 �6 Dec 1, 2004 382 .2'i 215. 67 8 .OQ0 155 .60 32183 .42 !� SUBTOTAL: 4587.24 2659.24 1928 .00 � �57 Jan 1, 2005 382.27 214. 56 8.000 16 .71 32015.71 J 58 Feb 1, 2005 382.27 213.44 8 .000 168 .83 31846.88 �� 59 Mar l, 2005 382.27 212.31 8 .000 169 .96 31676 .92 60 Apr 1, 2005 382.27 211.18 8.000 171.09 31505 .83 61 May 1, 2005 382.27 210.04 8.000 172 .23 31333 .60 62 Jun l, 2005 382.27 208. 89 8.000 173 .38 31160.22 63 Jul l, 2005 382.27 207.73 8.000 174. 54 30985.68 64 Aug 1, 2005 382.27 206.57 8.000 175.70 30809.99 65 Sep 1, 2005 382.27 205.40 8.000 176. 87 30633.12 66 Oct 1, 2005 382.27 204.22 8.000 178 .05 30455.07 67 Nov 1, 2005 382.27 203 .03 8.000 179 .24 30275.83 68 Dec 1, 2005 382.27 201.84 8.000 180.43 30095.40 SUBTOTAL: 4587.24 2499.22 �' 2088.02 �� 69 Jan 1, 2006 382.27 200.64 8.000 181. 63 29913 .77 70 Feb 1, 2006 382.27 199.43 8.000 182.84 29730.92 71 Mar 1, 7.Q06 382.27 198.21 8.000 184.06 29546.86 72 Apr 1, 2006 382.27 196.98 8.000 185. 29 29361.57 73 May l, 2006 382.27 195.74 8.000 186.53 291'z5.04 74 Jun 1, 2006 382 .27 194.50 8 .000 187.77 28987.27 75 Jul 1, 2006 382.27 193 .25 8.000 189.02 28798.25 76 Aug l, 2006 382 .27 191.99 8.000 190.28 28607.97 -2- Payment Interest Interest No. Date Amount Amount Rate/Yr. Principal Balance 77 Sep 1, 2006 382 .27 190.72 8.000 191.55 28416 .42 78 Oct 1, 2006 382 .27 189. 44 8.000 192 .83 28223 .59 79 Nov 1, 2006 382 .27 188. 16 8.000 194.11 28029 .48 80 Dec l, 2G06 382 .27 186. 86 8.000 195.41 27834.07 SUBTOTAL: 4587 .24 2325.91 2261.33 81 Jan 1, 2007 382 .27 185. 56 8 .000 196.71 27637 .36 82 Feb 1, 2007 382 .27 184.25 8.000 198.02 27439.34 83 Mar 1, 2007 382 .27 182.93 8.000 199.34 27240.00 84 Apr 1, 2007 382 .27 181. 60 8.000 200.67 27039.33 85 May 1, 2007 382 .27 180.26 8 .000 202 .01 26837.32 86 Jun l, 2007 382 .27 178.92 8.000 203 .35 26633 .97 87 Jul 1, 2007 382.27 177.56 8.000 204.71 26429.26 88 Aug 1, 2007 382.27 176.20 8.000 206.07 26223 .18 89 Sep 1, 2007 382 .27 174.82 8 .000 207 .45 26015.73 90 Oct 1, 2007 382 .27 173.44 8 .000 208 .83 25806.90 91 Nov 1, 2007 382 .27 172.05 8.000 210.22 25596.68 92 Dec 1, 2007 382.27 170.64 8 .000 211.63 25385.05 SUBTOTAL: 4587 .24 2138.22 2449 .02 93 Jan l, 2008 382 .27 169.23 8 .000 213 .04 25172.01 94 Feb 1, 2008 382 .27 167.81 8 .000 214.46 24957.56 95 Mar 1, 2008 382 .27 166.38 8 .000 215. 89 24741.67 96 Apr 1, 2008 382 .27 164.94 8 .000 217 .33 24524.35 97 May 1, 2008 382 .27 163.50 8.000 218.77 24305.57 98 Jun l, 2008 382 .27 162.04 8 .000 220.23 24085.34 99 Jul 1, 2008 382 .27 160.57 8 .000 221.70 23863.64 100 Aug 1, 2008 382 .27 159.09 8.000 223 .18 23640.46 101 Sep 1, 2008 382 .27 157 .60 8 .000 224.67 23415.79 102 Oct 1, 2008 382 .2�' 15'0.11 8 .000 226.16 23189.63 103 Nov 1, 2008 382 .27 154.60 8.000 227 . 67 22961.95 104 Dec 1, 2008 382 .27 153.08 8 .000 229 •19 22732•76 SUBTOTAL: 4587 .24 1934.95 2652 .29 105 Jan l, 2009 382 .27 151.55 8.000 230.72 22502.05 106 Feb 1, 2009 382 .27 150.01 8 .000 232 .26 22269.79 107 Mar 1, 2009 382 .27 148.47 8.000 233 .80 22035.98 108 Apr 1, 2009 382 .27 146.91 8 .000 235.36 21800.62 109 May 1, 2009 382 .27 145.34 8 .000 236.93 21563.69 110 Jun 1, 2009 382 .27 143.76 8.000 238.51 21325.18 111 Jul 1, 2009 382 .27 142 .17 8.000 240.10 21085.07 112 Aug 1, 2009 382 .27 140.57 8.000 241.70 20843.37 113 Sep l, 2009 382 .27 138.96 8 .000 243 .31 20600.06 114 Oct 1, 20Q9 382 .27 137 .33 8.000 244_94 20355.12 115 Nov 1, 2009 382 .27 135 .70 8.000 246 .57 20108.55 116 Dec 1, 2009 382 .27 134.06 8 .000 248 .21 19860.34 SUBTOTAL: 4587 .24 1714.81 2872 .43 117 Jan 1, 2010 382 .27 132 .40 8.000 249 .87 19610.47 118 Feb 1, 2010 382 .27 130 .74 8.000 251 .53 19358.94 119 Mar 1, 2010 382 .27 129 .06 8.000 253 .21 19105.73 120 Apr 1, 2010 382 .27 127.37 8.000 254 .90 18850.83 121 May 1, 2010 382 .27 125 .67 8.000 256 .E0 18594.23 122 Jun 1, 2010 382 .27 123 .96 8. 000 258 .31 18335.92 -3- Payment Interest Interest No. Date Amount Amount Rate/Yr. Principal Balance 123 Jul 1, 2010 382.27 122 .24 8 .000 260.03 18075.89 124 Aug 1, 2010 382.27 120.51 8 .000 261.76 17814.13 125 Sep 1, 2010 382.27 118.76 8.000 263 .51 17550.62 126 Oct 1, 2010 382 .27 117.00 8 .000 265.27 17285.35 127 Nov l, 2010 382.27 115.24 8 .000 267 .03 17018.32 128 Dec 1, 2010 382.27 113.46 8.000 268 .81 16749.50 SUBTOTAL: 4587.24 1476.41 3110. 83 129 Jan 1, 2011 382.27 111.66 8.000 270. 61 16478.90 130 Feb 1, 2011 382.27 109.86 8 .000 272 .41 16206.49 131 Mar 1, 2011 382.27 108.04 8 .000 274.23 15932.26 132 Apr 1, 2011 382.27 106.22 8 .000 276.05 15656.20 133 May 1, 2011 382.27 104.37 8.000 277.90 15378.31 134 Jun 1, 2011 382.27 102 .52 8 .000 279 .75 15098.56 135 Jul 1, 2011 382.27 100.66 8.000 281.61 14816.95 136 Aug 1, 2011 382.27 98.78 8.000 283 .49 14533 .46 137 Sep 1, 2011 382.27 96.89 8.000 285 .38 14248.08 138 Oct 1, 2011 382.27 94.99 3.000 287 .28 13960.79 139 Nov 1, 2011 382.27 93.07 8.000 289 .20 13671.60 140 Dec l, 2011 382.27 91.14 8 .000 291.13 13380.47 SUBTOTAL: 4587.24 1218.21 3369.03 141 Jan 1, 2Q12 382.27 89.20 8 .000 293 .07 13087.40 142 Feb 1, 2012 382.27 87.25 8.000 295.02 12792 .38 143 Mar l, 2012 382.27 85.28 8.000 296.99 12495.40 144 Apr 1, 2012 382.27 83 .30 8.000 298.97 12196.43 145 May l, 2012 382.27 81.31 8.000 300.96 11895.47 146 Jun 1, 2012 382.27 79.30 8 .000 302.97 11592.50 147 Jul 1, 2012 382.27 77 .28 8 .000 304.99 11287.51 148 Aug 1, 2012 382.2"� 7�.25 g ,nnn 307.02 10980.49 149 Sep 1, 2012 382.27 73 .20 8 .000 309 .U7 10671.43 150 Oct l, 2012 382.27 71.14 8 .000 311.13 10360.30 151 Nov 1, 2012 382.27 69.07 8 .000 313 .20 10047 .10 152 Dec l, 2012 382.27 66.98 8 .000 315.29 9731.81 SUBTOTAL: 4587.24 938.58 3648 . 66 153 Jan 1, 2013 382.27 64.88 8.000 317 .39 9414.42 154 Feb 1, 2013 382.27 62.76 8 .000 319 . 51 9094.91 155 Mar 1, 2013 382.27 60.63 8.000 321.64 8773 .27 156 Apr 1, 2013 382.27 58.49 8.000 323 .78 8449 .49 157 May 1, 2013 382.27 56.33 8.000 325.94 8123 .55 158 Jun 1, 2013 382.27 54.16 8 .000 328.11 7795.44 159 Jul 1, 2013 382.27 51.97 8 .000 330.30 7465.14 160 Aug l, 2013 382.27 49.77 8.000 332 .50 7132 .64 161 Sep 1, 2013 382.27 47.55 8 .000 334.72 6797.92 162 Oct 1, 2013 382.27 45.32 8 .000 336.95 6460.97 163 Nov 1, 2013 382.27 43.07 8.000 339.20 7 1 � f 164 Dec 1, 2013 382.27 40.81 8 .000 341.46 5780.31 �-'•-`� O�' SUBTOTAL: 4587.24 635.74 3951.50 d��� ����,�,L 165 Jan l, 2014 382.27 38.54 8 .000 343 .73 5436.58 166 Feb 1, 2014 382.27 36.24 8 .000 346.03 5090 .55 167 Mar 1, 2014 382.27 33.94 8 .000 348.33 4742 .22 168 Apr 1, 2014 382.27 31 .61 8 .000 350.66 4391 .56 -4- Payment Interest Interest No. Date Amount Amount Rate/Yr. Principal Balance 169 May 1, 2014 382 .27 29.28 8.000 352.99 4038 .57 170 Jun 1, 2014 382 .27 26.92 8.000 355.35 3683 .22 171 Jul 1, 2014 382 .27 24.55 8.000 357.72 3325.51 172 Aug 1, 2014 382.27 22 .17 8.000 360.10 2965.41 173 Sep l, 2014 382 .27 19 .77 5.000 362.50 2602 .91 174 Oct 1, 2014 382 .27 17 .35 5.000 364.92 2237 .99 175 Nov 1, 2014 382 .27 14.92 8.000 367 .35 1870.64 176 Dec 1, 2014 382 .27 12 .47 8.000 369 .80 1500.84 SUBTOTAL: 4587 .24 307 .77 4279.47 177 Jan 1, 2015 382 .27 10.01 8.000 372.26 1128.58 178 Feb 1, 2015 382 .27 7 .52 5.000 374.75 753 .83 179 Mar l, 2015 382 .27 5 .03 8.000 377.24 376.59 180 Apr 1, 2015 379.10 2 .51 8.000 376.59 0.00 SUBTOTAL: 1525 .91 25.07 1500.84 GRAND TOTAL: 68805.43 28805 .43 40000.00 -5-