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A j 1505610143 REV-1500 Ex(p2-„) OFFICIAL USE ONLY PA Department of Revenue Pennsylvania C.emy cod. veer run Number i Bureau of individual Taxes PO 60x.280601 INHERITANCE TAX RETURN 21 13 0566 - Hartisburg,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 04 13 2013 02 18 1929 Decedent's Last Name Suffix Decedent's First Name MI ` ME REDITH WILLIAM J (N Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name - Suffix Spouse's First Name MI MEREDITH CONSTANCE M Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS � FILL IN APPROPRIATE OVALS BELOW IJ 1. Original Return 2. Supplemental Rehm 3. Remainder Return(Date of Death Prior to 12-13-82) 4. Limited Estate ❑ 4a.Future Interest Compmmse 6. Federal Estate Tax Return Required (darned death ever 12-12-82) ® 6. Demdent oleo Testate ❑ 2 OacetleVt Mam11vIreE a LM,Trost 8. Total Number of Safe Deposit Boxes (AfleGh C',Of Will) (An e0 py o(TNat) 9. Litigation Proceeds Received 10.Sgga PIVn� dditi(Da95�rDeath it.Elecbon to tax under Sec.8,13(A) J� (Attach Schedule O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number LINDA J OLSEN ESQ 717 540 4332 REGISTER OF Wkr E ONLYj' `, ICU-a_. cD First Line of Address "i rl 2000 LINGLESTOWN ROAD S 3 1.� Second Line of Address SUITE 202 l City r Post Office DATE FILf� Y state ZIP Code HARRISBURG PA 17110 Correspondent's e-mail address: lolsemphazerield rl w corn Under penalties of perjury,I declare that I have examined this return,including accempanying Schedules and statements,and to the best of my knowledge and belle(, it is true,correct and complete.Declaration of preparer other than the Personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE 6.Llw, tgj.r'-- William R Meredith ADORESS 404 Pine Grove Rd.,Gardners PA 17324 SIG -Tl FPREPARER TI IER fAN REPRESENTATIVE DATE ��— kkd0 Linda J.Olsen Esq. /` C:F1DRI6_AY __T 2000 Linglestown Road Ste 202 Harrisburg PA 17110 Side 1 1 1505610143 1505610143 1505610243 REV-1500 EX Decedent's Social Security Number Decedent's Name. Meredith, William J. RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... 1. 135 , 000 . 00 2. Stocks and Bonds(Schedule B)............................................................................. 2. 69, 074 . 87 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3. 4. Mortgages&Notes Receivable(Schedule D)........................................................ 4. 5. Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 121 , 461 . 54 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers&Miscellaneous NtProbate Property (Schedule G) Separate Billing Requested............ 7, 125 , 861 . 96 8. Total Gross Assets(total Lines 1 through 7)........................................ . ..... 8. 451 , 398 . 37 9: Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 47 , 707 . 31 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 870 . 49 11. Total Deductions(total Lines 9 and 10)................................................................ 11. 48 , 577 . 80 12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 402 , 820 . 57 13. 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. 402 , 820 . 57 TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 88 , 486 . 23 15. 0 . 00 (a)(1.2)X.00 16. Amount of Line 14 taxable 314 , 334 . 34 16. 14 , 145 . 05 at lineal rate X .045 17. Amount of Line 14 taxable at sibling rate X.12 0 . 00 17. 0 . 00 18. Amount of Line 14 taxable 0 . 00 18. 0 . 00 at collateral rate X.15 19. TAX DUE................................................................................................................ 19. 14 , 145 . 05 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. El Side 2 1505610243 1505610243 J REV-1500 EX Page 3 File Number 21-13-0566 Decedent's Complete Address: DECEDENT'S NAME Meredith,William J. STREET ADDRESS 165 Linn Dr. CITY STATE ZIP Carlisle PA 17013 Tax Payments and Credits: 1. Tax Due(Page 2, Line 19) (1) 14,145.05 2. Credits/Payments A. Prior Payments 11,500.00 B. Discount 605.26 Total Credits(A +B) (2) 12,105.26 3. Interest (3) 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) 2,039.79 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;............................... ..........................-................... ❑ 0 b. retain the right to designate who shall use the property transferred or its income;.............................I.... ❑ ❑ c. retain a reversionary interest;or............................................................................................................... x d. receive the promise for life of either payments,benefits or care?............................................................ ❑ ❑x 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate considerat ion?.................................................................................................................... ❑ 0 3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... ❑ ❑x 4. Did decedent own an individual retirement account,annuity,or other non-probate property which contains a beneficiary designation?.................................................................................................................. lxl ❑ 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 dales 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)]. 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 dales of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an adoptive parent,or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in 172 P.S.§9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)]. A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. Rev-1502 EX.(01-10) SCHEDULE A pennsylvania REAL ESTATE DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Meredith William J. 21-13-0566 All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property 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 sold Include a copy of the dead showing decedent's Interest if owned as tenant in common. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Real Estate-165 Linn Dr., Carlisle-see attached Agreement of Sale for settlement of real 135,000.00 property on July 31,2014. TOTAL(Also enter on Line 1, Recapitulation) 135,000.00 (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 A(Rev.01-10) Rev-1503 EX-(6-98) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENTOECEOEW ESTATE OF FILE NUMBER Meredith William J. 21-13-0566 All property)ointlya ned with right of survivorship must be disclosed on Schedule F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 M&T Bank Brokerage Acct.#AZD-821999 69,074.87 TOTAL(Also enter on Line 2, Recapitulation) 69,074.87 (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, & MISC. DEPARTMENT OF REVENUE INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Meredith William J. 21-13-0566 Include 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 Refund from IRS-Treasury-2013 personal income tax 1,361.00 2 M&T Bank-cking acct.#9843118929 31,576.07 3 M&T Bank-cking acct.#9843118929 88,495.27 4 Refund from Century Link 25.28 5 Refund from Dominion Retail 3.92 TOTAL(Also enter on Line 5, Recapitulation) 121,461.54 (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-1510 EX-(08-09) SCHEDULE G pennsylvania INTER-VIVOS TRANSFERS AND DEPARTMENT OF REVENUE INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Meredith,William J. 21-13-0566 This sohi must be completed and filed K the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF DECDS EXCLUSION TAXABLE NUMBER THE DATE ONAME ROANSFERSATfACH A CORELATIONSHIP Y OF THE DEED FOR DECEDENT EAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1 Jackson National Life Ins. Co.Annuity Act. 116,447.18 116,447.18 #1006613760 -Beneficiary are decedent's two sons. 2 Promissory Note-William R. Meredith -Note signed 9,414.78 9,414.78 by William R. Meredith on 4/30/2012 TOTAL(Also enter on Line 7, Recapitulation) 125,861.96 (If more space is needed,additional pages of the same size) Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule G(Rev.08-09) REV-1511 EX«(10-09) Pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RESIDENT DECEDENT RETURN ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Meredith, William J. 21-13-0566 Decedent's debts must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s) attached 4,915.53 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) William R Meredith Steven Meredith Street Address 404 Pine Grove Rd. City Gardners State PA zip 17324 Year(s)Commission Paid 2014 10,000.00 2. Attorney's Fees Hazen Elder Law 14,500.00 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Register of Wills 458.50 5. Accountant's Fees 6. Tax Return Preparer's Fees Groups Tax and Payroll Service 120.00 7. Other Administrative Costs 17,713.28 See continuation schedule(s) attached TOTAL(Also enter on line 9, Recapitulation) 47,707.31 .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 Meredith,William J. 21-13-0566 ITEM NUMBER DESCRIPTION AMOUNT Funeral Expenses 1 CUMG-burial monument 3,860.00 2 Ewing Brothers Funeral Home 855.53 3 Grace United Methodist Church-funeral luncheon 200.00 H-A 4,915.53 Other Administrative Costs 4 Averils Xterior Xpressions-trim bushes,shrubs and dispose of materials getting real 200.00 property ready for sale 5 Borough of Carlisle,sewer utility-is being maintained while the real property is for sale 377.34 6 Carlisle Borough Tax Collector-real estate tax -being paid while real property is being sold 2,911.95 7 Cumberland Law Journal-advertising estate 75.00 8 Hazen Elder Law Disbursements 25.12 9 Journal Multimedia-advertising of estate 185.00 10 Koughs Oil Service-fuel oil for furnace-being maintained while real property is being sold 740.37 11 Lititz Mutual Insuranc Co. -homeowners insurance-being maintained while real property is 429.25 being sold 12 PP&L-electric utility-being maintained while real property is for sale 766.18 13 Real estate closing costs on sale of 165 Linn Dr., Carlisle-settlement is July 31, 2014.We 9,613.27 have estimated 1%transfer tax$1350+6%realtor fee$8100+ 1 month school tax$163.27. Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Meredith,William J. 21-13-0566 ITEM NUMBER DESCRIPTION AMOUNT 14 Ron Koser Electric--updates to electric for sale of real property 285.00 15 S.W. Barrett Real Estate&Appraisal Services-house appraisal 375.00 16 William Meredith -lawn mowing and maintenance of real property while being sold 1,729.80 H-B7 17,713.28 Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.6-98) Rev-1512 EX+(12-0a) SCHEDULE 1 pennsylvania DEBTS OF DECEDENT, DEPARTMENT OF REVENUE INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Meredith,William J. 21-13-0566 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,Including unreimbumed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Century Link- utility 176.51 2 Giant-ck.Written before death,cleared after 41.90 3 Highland Tire-ck.Written before death,cleared after death 280.78 4 Home Depot#6035320153124845 222.91 5 PA Dept.of Revenue-2013 personal state income tax 46.00 6 PP&L-electric utility 102.39 TOTAL(Also enter on Line 10, Recapitulation) 870.49 (if more space is needed,additional pages of the same size) Copyright(c)2008 form software only The Lackner Group, Inc. Form PA-1500 Schedule I(Rev. 12-08) REV-1513 EX.(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Meredith,William J. 21-13-0566 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT ($$$) Do Not List ste s (Words) I. TAXABLE DISTRIBUTIONS [include outright spousal distributions,and transfers under Sec.9116(a)(1.2)] 1 Stephen D. Meredith Son One-half residue 12 West Green Street Mechanicsburg, PA 17055 2 William R.Meredith Son One-half of 404 Pine Grove Road residue Gardners, PA 17324 Total Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet,as appropriate. 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 DISTRIBUTIONS 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) REGISTER OF WILLS CERTIFICATE OF CUMBERLAND COUNTY GRANT OF LETTERS PENNSYLVANIA No. 2013- 00566 PA No. 21- 13- 0566 Estate Of: WILLIAMJMEREDITH (First,Middle,Last) Late Of: CARLISLE BOROUGH CUMBERLAND COUNTY 0 Deceased Social Security No: WHEREAS, on the 17th day of May 2013 an instrument dated April 21st 2010 was admitted to probate as the last will of WILLIAM✓ MEREDITH !First,Middle,Last/ late of CARLISLE BOROUGH, CUMBERLAND County, who died on the 13th day of April 2013 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, GLENDA FARNER STRASBAUGH , Register of Wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARYto: WILLIAM R MEREDITH and STEPHEN D MEREDITH who have duly qualified as EXECUTOR(RIX) and have agreed to administer the estate according to law, all of which fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 17th day of May 2013. gtste o it Cj 7L ry **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) LAST WILL AND TESTAMENT C) OF C C, WILLIAM J. MEREDITH U� 1:7 '6'nnsyl 1,WILLIAM J.MEREDITH,now domiciled in Cumberland County.,P *ia,dedjd're this to be my Last Will. I revoke all other Wills and Codicils that I may have previously made. Article I My just debts and expenses of my last illness, funeral, and administration of my estate shall be paid by my Executor from the principal of my residuary estate as soon as practicable after my death. Article 11 All inheritance,estate,and succession taxes(including interest and penalties thereon,but not including any generation skipping tax) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate without reimbursement from any person. This provision is not a waiver of any right which my Executor has to claim reimbursement for any such taxes which become payable as the result of any property over which I have the power of appointment. Article III I give, devise and bequeath my tangible personal property in accordance with any memorandum I have either handwritten or signed, located with my Will or with my valuable papers and found within 30 days of the probate of my Will. Gifts may only be to persons who survive me or to organizations which exist at my death,and if there is a conflict, the memorandum having the latest date shall govern. To the extent no such memorandum is found, or all of my tangible personal property is not disposed of pursuant thereto, my tangible personal property shall be added to my residuary estate and pass under Article V hereof. Article IV If my spouse, CONSTANCE G. MEREDITH, survives me by one hundred seventy(170) days, I give,devise and bequeath to my spouse cash,securities or other property of my estate having a value equal to the amount, if any,that my spouse would be entitled to receive if she exercised her elective share rights as set forth in section 2201 et seq. of the Pennsylvania Probate, Estates and Fiduciaries Code (the "PEF Code"); provided, however, that this bequest shall be reduced to the extent my spouse has waived the right to elect under PEF Code section 2207 or forfeited the right to elect under PEF Code section 2208.In computing the amount of this bequest,it shall be assumed that my spouse has elected under PEF Code section 2204(c)to retain all beneficial interests in property that she would otherwise be required to disclaim if she exercised her elective share rights. Provided my spouse survives me for one hundred seventy(170)days and she has not waived or forfeited her elective share rights, it is my intention, that as a result of my death, she receive property having a value equal to (but not more than) that which she would receive if she were to exercise her elective share rights. My Executor shall have the sole discretion to select the assets which shall constitute this bequest. If my spouse does not survive me by one hundred seventy(170) days, or in the event my spouse (or her legal representative) disclaims any portion of this bequest, this bequest, or the disclaimed portion thereof, shall be distributed as part of my residuary estate. This bequest shall be distributed, in trust, to my hereinafter-named Trustee to be held, administered and distributed as follows: A. To expend and apply so much of the net income and so much of the principal of the 2 Trust as the Trustee shall consider advisable for the support, health, and care of CONSTANCE G. MEREDITH, for the remainder of her lifetime. B. In the event of CONSTANCE G.MEREDITH's death,the trust shall terminate,and the remaining principal and accumulated income of the trust shall be distributed in equal shares outright to my children WILLIAM R.MEREDITH and STEPHEN D.MEREDITH,perstirpes. C. No beneficiary or remainderman of this Trust shall have any right to alienate, encumber,or hypothecate his interest in the principal or income of the Trust in any manner,nor shall any interest be subject to claims of his creditors or liable to attachment,execution,or other processes of law. 'D. I hereby appoint my son, WILLIAM R. MEREDITH, as Trustee of any Trust(s) created in this Will for the benefit of my spouse. In the event of the renunciation, death,or inability to act,for any reason whatsoever of WILLIAM R.MEREDITH,I nominate,constitute and appoint my son,STEPHEN D.MEREDITH, successor Trustee,of anyTrust(s)created in this Will for the benefit of my spouse. E. In order to carry out the purposes of the Trust established by this Will for the benefit of CONSTANCE G.MEREDITH,the Trustee,in addition to all other powers granted by this Will or by law, shall have the following powers over the Trust estate,subject to any limitations specified elsewhere in this Will: (a) to retain in the form received and/or to sell either at public or private sale,any real estate or personal property except that which I specifically bequeath herein; (b) to manage real estate; (c) to invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification; -3- (d) to exercise any option or right arising from the ownership of investments; (e) to compromise claims without court approval and without consent of any beneficiary; (f) to file fiduciary/income tax returns and pay the tax due for any year for which such a return is required; (g) to make distributions in cash or in kind,or in both,and to determine the value of any such property; (h) to receive required minimum distributions from any individual retirement account of which the trust beneficiary is the beneficiary; to make elections with regard to individual retirement accounts;and to distribute the required minimum distribution to the trust beneficiary(ies). Payments made hereunder to or for the trust beneficiary's benefit from any qualified plan or individual retirement account payable to the trust by reason of my death shall equal at least the amount of the mandatory minimum distributions from such plans or accounts and shall comply with the requirements of Revenue Ruling 89-89, I.R.S. 1989-27. No qualified assets shall be used to pay administrative expenses or taxes of my estate; (i) to employ any attorney,investment advisor, or other agent deemed necessary by my Executor; to pay from my estate reasonable compensation for all their services; 0) to conduct along with or with others, any business in which I am engaged in or have an interest in at the time of my death; and (k) to receive reasonable compensation in accordance with their standard schedule of fees in effect while their services are performed. Article V All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever -4- situate, I give, devise and bequeath IN EQUAL SHARES to my children: WILLIAM R. MEREDITH, currently of Adams County, Pennsylvania, and STEPHEN D. MEREDITH, currently of Cumberland County,Pennsylvania,per stirpes. If a beneficiary does not survive me by thirty(30)days,but leaves descendants who survive me by thirty(30)days,those descendants shall receive,per stirpes, the share the beneficiary would have received had he or she survived me by thirty(3 0) days. Article VI I nominate,constitute, and appoint my sons,WILLIAM R. MEREDITH and STEPHEN D. MEREDITH, Co-Executors of my Last Will and Testament. I direct that my Co-Executors be permitted to serve without bond. In addition to those powers granted by law, I grant them power to distribute in cash or in kind, in like or in unlike shares, and to file any qualified disclaimer I could have filed if living. My Co-Executors shall receive reasonable compensation for services rendered to my estate. Article VII In addition to the powers conferred by law, I authorize my Co-Executors in their absolute discretion: (a) to retain in the form received and to sell either at public or private sale,any real estate or personal property except that which I specifically bequeath herein, (b) to manage real estate, (c) to invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification, (d) to exercise any option or right arising from the ownership of investments, (e) to compromise claims without court approval and without consent of any beneficiary, -5- (f) to file any federal income tax return for any year for which I have not filed such return prior to my death, (g) to make distributions in cash or in kind, or in both,and to determine the value of any such property, (h) to employ any attorney, investment advisor, or other agent deemed necessary by my Co-Executors; and to pay from my estate reasonable compensation for all their services, (i) to conduct alone or with others, any business in which I am engaged in, or have an interest in at time of my death, and 0) to receive reasonable compensation in accordance with their standard schedule of fees in effect while their services are performed. IN WITNESS WHEREOF, I, WILLIAM J. MEREDITH, hereby set my hand to this my Last Will and Testament, on 14/?/[' t 2 t , 2010, at Harrisburg, Pennsylvania. /ItiliLL'0C_'_I WILLIAM J.MEREDITH In our presence,the above-named WILLIAM J.MEREDITH signed this and declared this to be his Last Will and now at his request,in his presence, and in the presence of each other,we sign as witnesses. Name Address ( 'p w � 2000 Linglestown Rd., Suite 202, Harrisburg PA 17110 P 11A_1 C%iY c_) 2000 Linglestown Rd., Suite 202, Harrisburg, PA 17110 f 6 I,WILLIAM J. MEREDITH,Testator,who signed the foregoing instrument,having been duly qualified according to law,acknowledge that I signed and executed this instrument as my Will, and that I signed it willingly as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by WILLIAM J. MEREDITH, the Testator, on_ 0� 1 l 2010. i Notary Public WILLIAM J'."'MEREDITH COMMONWEALTH OF PENNSYLVANIA Notarial Sea! Melissa M.Ktin,Notary Public Susquehanna Up.,Dauphin County MY Commission Expires Aug.11,2010 We, the undersigned witnesses who signed the foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the Testator sign and execute this instrument as his Will; that he signed and executed it willingly as his free and voluntary act for the purposes therein expressed;that each of us in his sight and hearing signed the Will as witnesses,and that to the best of our knowledge, that he was at that time eighteen (18) years or more of age, of sound mind, and under no constraint or undue influence. Sworn to or affirmed and subscribed to before me ) by iv v- — s vwL2 2O-LLeU'4 and 21�L-ca-k V. 0cRn rrn Witness witnesses, on 444 / / 2010. Witn ss Notary Public COMMONwEI.TH��-r-ENPv_lrVAtJIA Notarial Seal Melissa M.I(ain,Notary Public Susquehanna T,ap.,Dauphin County My Commission Expires Aug.11,2010 7 —` ' EWER LAW F I L Estate Planning • Elder Lam • Special Needs Planning 2000 Linglestown Road TEu (7177)54011332 Suite 202 rnx: (717)5404313 Harrisburg, PA 17110 www.HazenE]dertaw.com December 20, 2013 VIA FA CS 147/LE(717) 772-0412 AND FIRST-CLASS AlttlL PA Department of Revenue Bureau of Individual Taxes Inheritance Tax Division ATTN: Laurel Fulmer PO Box 280601 Harrisburg, PA 17128-0601 Re: Estate of William J. Meredith Counly: Cumberland rile No. 21-13-0566 SSN: Date of Dcath: 4/13/2013 inheritance "rax Re(""'] — Extension of Time to rile Dear Ms. Fulmer Our office represents Wilham R. Meredith and Stephen D. Meredith in their capacity as Co-Executors of the Eslale of William R. Meredith. We are writing to request an extension of lime to file the Pennsylvania Inheritance Tax return — REV-1500. We are requesting an extension because the decedent owned residential real property which has been listed for sale and has not solcl. We would like to be able to report the actual sale price of the property and to properly deduct the expenses incurred to prepare the property for sale, as well as the costs associated with the sale, including transfer taxes and real estate commissions; on the Pennsylvania Inheritance Tax Return. An extension Of time to file the lax return would save the estate time and the additional expense of having to file a supplemental return. Please let me know at your earliest convenience if you determine that our request for an extension of time to file the IZCCV-1500 should not be granted. Should you have any questions or need any additional inlbrma(irnt. please do not hesitate to contact me. Sincerely. 1.A gofs<f_� Linda .1. Olsen/-',�.) 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Type of Account Checking Account Account Number 9843118929 Ownership(Names q/) William J Meredith William R Meredith(POA) Opening Date 0412312007 Balance on Date of Death $88,494.70 Accruedlmerest $ .57 Total $88,495.27 2. Type of Account Savings Account Account Number 15004220533043 Ownership(Names ofi William J Meredith William R Meredith(POA) Opening Date 1211512009 Balance on Date ofDeath $31,576.07 Accrued Interest $ .00 Total $31,576.07 JUN 0 5 2013 ��:T ----------------------- �zI � � O , N O 1 I I W Iz f I I IN ►--� l y I• I � ' a � �y 'F I I > I ll 1 I I I I • I � I ! � � l I I I I I lug z4"t I ' I 1 I I 1 of i _rIpgD ao N � ! d d 1 11 0 t i 1 4 1 doh y ^ I o I ;°� l I I ; ! f f I I ' l � : l "• ilk ! ' i II I ; ' , I w � �� W I I ' Il ' I ' l • li I IIIII ' ' ; I Ilf > 9 � I 1 I , Form 712 (Rev.April 2006) Life Insurance Statement OMB No.1545-0022 Depart ment of the Treasury Internal Revenue service LiMM Decedent—Insured (To be filed by the executor with Form 706,United States Estate(and Generation-Skipping Transfer)Tax Return,or Form 706-NA,United States Estate(and Generation-Skipping Transfer)Tax Return,Estate of nonresident not a citizen of the United States.) 1 Decedent's first name and middle initial 2 Decedent's last name 3 Decedent's social security number 4 Date of death William J Meredith (ii known) 04/13!2013 5 Name and address of insurance company Jackson National Life Insurance Co, 1 Corporate Way,Lansing, MI 48951 6 Type of policy 7 Policy number Annuity 1006613760 8 Owner's name. If decedent is not owner, 9 Date issued 10 Assignor's name.Attach copy of 11 Date assigned attach copy of application. assignment. 10/29/1996 12 Value of the policy at the 13 Amount of premium (see instructions) 14 Name of beneficiaries time of assignment $105,399.37 Stephen D Meredith,William R Meredith 15 Face amount of policy . . . . . . . . . . . . . . . . . . . . . . . . 15 $ 116,447.18 16 Indemnity benefits 16 17 $ 17 Additional insurance . . . . . . . . . . . . . . . . . . . . . . 18 Other benefits . 18 $ 19 Principal of any indebtedness to the company that is deductible in determining net proceeds . t9 $ 20 Interest on indebtedness (line 19) accrued to date of death. . . . . . . . . . . . . 20 21 Amount of accumulated dividends . . . . . . . . . . . . . . . . . . . 21 $ 22 Amount of post-mortem dividends . . . . . . . . . . . . . . . . . . . . . 21$ 23 Amount of returned premium . . . . . . . . . . . . . . . . . 23 $ 24 Amount of proceeds if payable in one sum . . . . . . . . . . . . . . . . . 24 $ 25 Value of proceeds as of date of death (if not payable in one sum) . . . . . . . . . 25 $ 26 Policy provisions concerning deferred payments or installments. , I # Note. If other than lump-sum settlement is authorized for a surviving spouse, attach a copy of '' a x,,,�t� the insurance policy. ... ..gx.S:: 27 Amount of installments . . . . . . . . . . . . m 28 Date of birth,sex,and name of any person the duration of whose life may measure the number of payments. - y 29 Amount applied by the insurance company as a single premium representing the purchase of installment benefits . . . . . . . . . . . . . . . . . . . . . . . 29 $ 30 Basis (mortality table and rate of interest) used by insurer in valuing installment benefits. ------------------------------------------------- 31 Were there any transfers of the policy within the three years prior to the death of the decedent? . . . ❑ Yes ® No 32 Date of assignment or transfer: Month Day Year 33 Was the insured the annuitant or beneficiary of any annuity contract issued by the company? . . . . ❑ Yes W1 No 34 Did the decedent have any incidents of ownership on any policies on his/her life, but not owned by him/her at the date of death? . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Yes © No 35 Names of companies with which decedent carried other policies and amount of such policies if this information is disclosed by your records. -------------------------------------------------------------------------- The undersigned officer of the above-named insurance company(or appropriate federal agency or retirement system official)hereby certifies that this statement sets forth true and correct information. Signature ► (/��4�691A:M� Title ► Vice President Date of Certffication ► 6124/2009 For Paperwork Reduction Act Notice,see page 3. Cat.No.10170V Form 712 (Rev.4-2006)