HomeMy WebLinkAbout01-23-15 1505611185
REV-1500 EX(02-11)(FI)
OFFICIAL USE ONLY
PA Department of Revenue
County Code Year File Number
Bureau of Individual Taxes
PO BOX 280601 INHERITANCE TAX RETURN 22 14 0550
Harrisburg,PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
05142014 08021924
Decedent's Last Name Suffix Decedent's First Name M I
LOCK LEON I
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE BOXES BELOW
❑X 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 Return Required
death after 12-12-82)
6. Decedent Died Testate ❑ 7. Decedent Maintained a Living Trust !L-- 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
❑ 9. Litigation Proceeds Received ❑ 10. Spousal Poverty Credit(Date of Death ❑ 11. Election to Tax under Sec.9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
HOWELL C . METTE, ESQ - 717-232-5000
REGISTER OF WILLS USE ONLY
first Line of Addr
u,
k113401 NOR FRONT STREET `~ n I'1
Second Line of ddress '-3 31 C�
PO BOX 15950 7' r , r"
City or Post Office State ZIP Code 6Arl
7E FILED `� 7y
} ? l fit;
HARRISBURG PA 171100950 _j �
r7')
Correspondent's e-mail address: J E B R O T H E R S @METTE • COM �p cn cin p
Under penalties of perjury, I declare that I have examined this return,including accompanying schedules and statements,and to the best of my know edge and belief,
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.
SIG RE F PERSON RESPONSIBLE FOR FILING RETURN DAT
ADDRESS
3108 N • SECOND STREET HARRISBURG, PA 17110
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIV k. DA E 3
METTE, EVANS & WOODSIDE
ADDRESS
3401 N . FRONT STREET, PO BOX 5950 HARRISBURG, PA 17110- 950
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505611185 OM46473.000 1505611185
1505611285
REV-1500 EX(FI)
Decedent's Social Security Number
Decedent's Name: LOCK LEON I
RECAPITULATION
1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 0.00
2. Stocks and Bonds(Schedule B). . . . . . . . . . . . . . . . . . . . . . . . . 2. 255,000 -13
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. 1251755. 3 6
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested , , , , 6. 1041275. 0 0
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) ❑ Separate Billing Requested . . . . 7. 3661769 -37
8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . 8. 851-,799 . 8 6
9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . . . . . . . . 9. 40,318 .8 8
10. Debts of Decedent, Mortgage Liabilities,and Liens(Schedule 1) , , , , , , , , , 10. 1,435. 8 5
11. Total Deductions(total Lines 9 and 10). . . . . . . . . . . . . . . . . . . . . 11. 411754 .73
12. Net Value of Estate(Line 8 minus Line 11) , , , , , , , , , , . .
12. 810,045-13
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. 8101045-13
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(1.2)X.0 a- 0 . 00 15. 0 . 00
16. Amount of Line 14 taxable
at lineal rate x.0-4-5 8101045.13 16. 361452 . 03
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. 361452 . 03
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT X❑
Side 2
1505611285 1505611285
OM4646 3.000
REV-1500 EX(A) Page 3 File Number
Decedent's Complete Address: 22 14 0550
DECEDENTS NAME
LOCK LEON
STREET ADDRESS
11 KINGS ARMS
CUMBERLAND COUNTY
CITY STATE ZIP
MECHANICSBU G PA 17050
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 361452 - 03
2. Credits/Payments
A. Prior Payments 19,000-00
B. Discount 11000-00
Total Credits(A+B) (2) 201000 - 00
3. Interest
(3) 0 .00
4. If Line 2 is greater than Line 1 +Line 3,enter the difference.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) 16,4 52 •03
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 . . . . . . . . . . . . . . . . . . . . . . . . F0 El
b. retain the right to designate who shall use the property transferred or its income . . . . . . . . . . 0 ❑
c. retain a reversionary interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-1 Eyd
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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑
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[72 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)(ii)].The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an
adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.99116(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.
OM4671 2.000
REV-1503 EX+(8-12)
pennsylvania SCHEDULE B
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN STOCKS & BONDS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Leon I. Lock 22 14 0550
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. 2,607 Shares
Franklin Financial Services Corp. 49,533.00
2,607 shares of common stock at $19.00 per share
2 48 Shares
Comcast Corporation
CUSIP: CMCSA 2,398.32
Held as DRS shares in Wells Fargo Shareowner Services
Account #3501289820
Securities held in Merrill Lynch Account #872-23763, as
follows (see attached valuation) :
3 300 Shares
Annaly Cap Mgmt, Inc.
CUSIP: 035710409 3,489.15
300 shares of common stock at $11.6305 per share
4 100 Shares
Anheuser-Busch Inbev Adr
CUSIP: 03524AI08 10,945.00
100 shares of common stock at $109.45 per share
Dividend accrued on 5/14/2014 199.76
5 100 Shares
AT&T, Inc.
CUSIP: 00206R102 3,629.00
100 shares of common stock at $36.29 per share
6 20 Shares
Avis Budget Group, Inc.
CUSIP: 053774105 1,098.00
20 shares of common stock at $54.90 per share
7 10 Shares
Apple, Inc.
CUSIP: 037833100 5,945.50
10 shares of common stock at $594.55 per share
Dividend accrued on 5/14/2014 32.90
8 300 Shares
Bank of America Corp.
CUSIP: 060505104 4,474.35
Total from continuation schedules . 173,255.15
TOTAL (Also enter on Line 2,Recapitulation) $ 255,000.13
2w4696 2.000 If more space is needed,insert additional sheets of the same size
Estate of: Leon I. Lock 22 14 0550
Schedule B (Page 2)
Item Value at Date
No. Description of Death
300 shares of common stock at $14.9145 per share
9 100 Shares
Bank New York Mellon
CUSIP: 064058100 3,446.50
100 shares of common stock at $34.465 per share
10 300 Shares
CSX Corp.
CUSIP: 126408103 8,829.00
300 shares of common stock at $29.43 per share
11 400 Shares
Consolidated Edison, Inc.
CUSIP: 209114104 22,080.00
400 shares of common stock at $55.20 per share
Dividend accrued on 5/14/2014 252.00
12 30 Shares
Costco Wholesale Crp Del
CUSIP: 2216OK105 3,475.05
30 shares of common stock at $115.835 per share
13 200 Shares
Coca Cola Com
CUSIP: 191216100 8,200.50
200 shares of common stock at $41.0025 per share
14 250 Shares
Exxon Mobil Corp. Com
CUSIP: 30231G102 25,598.75
250 shares of common stock at $102.395 per share
Dividend accrued on 5/14/2014 172.50
15 449 Shares
Fulton Finl Corp. PA
CUSIP: 360271100 5,257.79
449 shares of common stock at $11.71 per share
16 200 Shares
KKR & Co, LP Del
CUSIP: 48248M102 4,654.00
200 units at $23.27 per unit
Dividend accrued on 5/14/2014 86.00
17 200 Shares
Lowe's Companies, Inc.
CUSIP: 548661107 9,063.00
Total (Carry forward to main schedule) 91,115.09
Estate of: Leon I. Lock 22 14 0550
Schedule B (Page 3)
Item Value at Date
No. Description of Death
200 shares of common stock at $45.315 per share
18 200 Shares
Nextera Energy, Inc. Shs
CUSIP: 65339FI01 19,336.50
200 shares of common stock at $96.6825 per share
19 200 Shares
Odyssey Marine Expl Nev
CUSIP: 676118102 336.00
200 shares of common stock at $1.68 per share
20 195 Shares
Pfizer, Inc.
CUSIP: 717081103 5,674.50
195 shares of common stock at $29.10 per share
Dividend accrued on 5/14/2014 50.70
21 200 Shares
Select Medical Holdings Corp.
CUSIP: 81619Q105 2,794.00
200 shares of common stock at $13.97 per share
22 62 Shares
Transocean, Ltd.
CUSIP: H8817H100 0.00
62 shares of common stock; worthless, no longer traded
23 100 Shares
UGI Corp. New
CUSIP: 902681105 4,752.50
100 shares of common stock at $47.525 per share
24 100 Shares
Vale SA
CUSIP: 91912E105 1,406.50
100 shares of common stock at $14.065 per share
25 100 Shares
Visa, Inc. Cl A Shrs
CUSIP: 92826C839 21,123.00
100 shares of common stock at $211.23 per share
26 100 Shares
Western Union CO
CUSIP: 959802109 1,620.50
100 shares of common stock at $16.205 per share
Total (Carry forward to main schedule) 57,094.20
Estate of: Leon I. Lock 22 14 0550
Schedule B (Page 4)
Item Value at Date
NO. Description of Death
27 126 Shares
Wells Fargo & Co. New Del
CUSIP: 949746101 6,238.26
126 shares of common stock at $49.51 per share
Dividend accrued on 5/14/2014 44.10
28 100 Shares
Enterprise Prodts Prtn LP
CUSIP: 293792107 7,307.50
100 units at $73.075 per unit
29 200 Shares
Plains All Amern Pipl LP
CUSIP: 726503105 11,330.00
200 units at $56.65 per unit
Dividend accrued on 5/14/2014 126.00
Total (Carry forward to main schedule) 25,045.86
REV-1508 EX+(08-12)
pennsylvania SCHEDULE E
DEPARTMENTOF REVENUE CASH, BANK DEPOSITS &MISC.
INHERITANCE TAX
RESIDENT DEC ENTTURN PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
Leon I. Lock 22 14 0550
Includethe proceeds of litigation and the date the proceeds were received by the estate.
All ro ert jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. 2007 Ford Focus sedan 5,788.00
See attached valuation
2 AAA Central Penn - refund on cancellation of membership 12.33
3 Accrued benefit from Veterans Administration 334.80
4 Capital Blue - refund, health insurance premium 217.63
5 Household goods and furnishings and miscellaneous
personal effects 1,000.00
6 Investors Business Daily - refund from cancellation of
subscription 19.72
7 M&T Bank Checking Account #56096704 90,655.07
Interest accrued to 5/14/2014 0.30
8 Money market funds, Merrill Lynch Account #872-23763 27,301.57
9 Uncashed dividend check, Registrar and Transfer Company 415.14
10 Uncashed dividend check, Wells Fargo Shareowner Services 10.80
TOTAL(Also enter on line 5,Recapitulation) $ 125,755.36
2W46AD 2.000 If more space is needed,use additional sheets of paper of the same size.
REV-1509 EX+(01-10)
pennsylvania SCHEDULE F
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN JOINTLY-OWNED PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Leon I. Lock 22 14 0550
If an asset became jointly owned within one year of the decedents date of death,it must be reported on Schedule G
SURVIVM JOINT TENANTS)NAME(S) ADDRESS RE ATIONSHIP TO DECEDENT
A Lock, Jason E 11 Kings Arms, Mechanicsburg, PA
17050 Son
JOINTLY OWNED PROPERTY:
LETTER DATE DESCWPf10N OF PROPERTY %OF DATE OF DEATH
�� FOR JOINT MADE INCLUDE NAM=OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMLAR DATE OF DEATH DECEDENTS VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER.ATTACH DEED FOR JCINTLVHELD REAL ESTATE. VALUEOFASSET INTEREST DECEDENTS INTEREST
1 A 3/22/2010 Residence located in
Hampden Township,
Cumberland County,
Pennsylvania, known as 11
Kings Arms; further
identified as Tax Parcel
Number 10-18-1323-032 208,550.00 50.0000 104,275.00
See attached copy of Deed.
Valuation is based on tax
assessed value of $215,000
multiplied by the
applicable Common Level
Ratio factor of .97.
$215,000 x .97 = $208,550
Decedent's fractional
ownership interest is 50%,
or $104,275
TOTAL (Also enter on Line 6, Recapitulation) $ 104,275.00
9w46AE 2.000 If more space is needed,use additional sheets of paper of the same size.
REV-1510 EX+(08-09) SCHEDULE G
pennsylvania
DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Leon I. Lock 22 14 0550
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 EXCLUSION TAXABLE
ITEM INCLLDETFENWEOFTFETRANSFEREE,THEIRRELATIONSHPTODECEDENT AND DATE OF DEATH %OFDECUS
NUMBER TFEDATE OFTRANSFER ATTACH ACOPY OFTHE DEED FOR REAL ESTATE. VALUEOFASSET INTEREST IFAPPLICABLE VALUE
1• The Leon I. Lock Charitable
Remainder Unitrust under
Declaration of Trust dated June
29, 1998, as amended. 319,512.90 100.0000 230,074.85 89,438.05
See attached copies of
Agreement and amendments. The
term interest of the successor
unitrust Recipient, Andrew M.
Lock, in the amount of
$89,438.05 is subject to
Inheritance Tax. The
beneficiaries of the remainder
interest in the amount of
$230,074.85 are Section 501(c)
(3) charities which are
excluded from tax.
Also see attached calculations
for the term and remainder
interests.
2 Charitable Remainder Unitrust
established by Leon I. Lock,
Donor, and GHF, Inc. , a
Pennsylvania non-profit
corporation, Trustee, under
Agreement dated June 29, 1998. 340,513.62 100.0000 63,182.30 277,331.32
TOTAL(Also enter on line 7,Recapitulation)$ 366 769.37
If more space is needed,use additional sheets of paper of the same size.
9W46AF 2.000 -
Estate of: Leon I. Lock 22 14 0550
Schedule G (Page 2)
Item DOD Value Taxable
No. Description of Asset % Interest Exclusion Value
See attached copy of Agreement.
Per Paragraph 2, the Donor
reserved the power to revoke and
terminate the interests of either
or both unitrust Recipients. This
retained interest makes the life
estates of the unitrust Recipients
in the amount of $277,331.32
subject to Inheritance Tax. The
remainder interest of the
charitable beneficiary in the
amount of $63,182.30 is excluded
from tax.
Also see attached calculations for
the life estate and remainder
interests.
Total (Carry forward to main schedule) 0.00
REV-1511 EX+(pg13) SCHEDULE H
Pennsylvania
DEPARTMENTOF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Leon I. Lock 22 14 0550
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1 Hetrick-Bitner Funeral Home 7,930.08
Total from continuation schedules . . . . . . . . . 2,900.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representative(s)
Street Address
City State ZIP
Year(s)Commission Paid:
2. Attorney Fees: 25,000.00
3. Family Exemption:(If decedent's address is not the same as claimant's,attach explanation.) 3,500.00
Claimant JASON E. LOCK
Street Address 11 Kings Arms
City Mechanicsburg State PA ZIP 17050
Relationship of Claimant to Decedent SON
4. Probate Fees: 473.50
5. Accountant Fees:
6. Tax Return Preparer Fees:
7.
1 Cumberland Law Journal
Legal advertisement 75.00
2 Harland Clarke
Check printing 32.30
Total from continuation schedules . . . . . . . . . 408.00
TOTAL(Also enter on Line 9,Recapitulation) $ 40,,318.88
3w46Ac 2.000 If more space is needed,use additional sheets of paper of the same size.
Estate of: Leon I. Lock 22 14 0550
Schedule H Part 1 (Page 2)
Item
No. Description Amount
2 Jewish Community Center
Funeral reception 500.00
3 Beth El Temple
Grave opening and closing 1,900.00
4 Rabbi for funeral 500.00
Total (Carry forward to main schedule) 2,900.00
Estate of: Leon I. Lock 22 14 0550
Schedule H Part 7 (Page 2)
3 Persun & Heim
Conference with Vicky Trimmer related to CRUT 308.00
4 Registrar and Transfer Company
Transfer fees charged by stock transfer agent 100.00
Total (Carry forward to main schedule) 408.00
REV-1512 EX+(12-12)
pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Leon I. Lock 22 14 0550
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
1• Checks written prior to death but still outstanding at
death 464.00
2 Kings Arms Association
Condominium association fees 440.00
3 New York Times
Balance owed on subscription 45.60
4 PA American Water Co. 25.21
5 PPL Electric 59.63
6 Verizon 401.41
TOTAL(Also enter on Line 10,Recapitulation) $ 1,435.85
2w46AH 2.000 If more space is needed,insert additional sheets of the same size.
REV-1513 EX+(Ot-10) SCHEDULE J
Pennsylvania
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Leon I. Lock 22 14 0550
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under
Sec.9116(a)(1.2).]
1. Andrew M. Lock
456 Corcoran Avenue
Apt. 4
Vallejo, CA 94589
General Bequests: 89,438.05 Son 89,438.05
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
[I 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 ONLINE 13 OF REV-1500 COVER SHEET. $ 0.00
9W46Ai 2.000 If more space is needed,use additional sheets of paper of the same size.
Estate of: Leon I. Lock 22 14 0550
Schedule J Part 1 (Page 2)
Item
No. Description Relation Amount
2 Jason E. Lock
11 Kings Arms
Mechanicsburg, PA 17050
2007 Ford Focus sedan
Inventory Value: 2,894.00
Residence located in Hampden
Township, Cumberland County,
Pennsylvania, known as 11 Kings
Arms; further identified as Tax
Parcel Number 10-18-1323-032
Inventory Value: 104,275.00
Charitable Remainder Unitrust
established by Leon I. Lock, Donor,
and GHF, Inc., a Pennsylvania non-
profit corporation, Trustee, under
Agreement dated June 29, 1998.
Inventory Value: 138,665.66
Household goods and furnishings and
miscellaneous personal effects
Inventory Value: 500.00 Son 246,334.66
3 Laura T. Lock-Wallace
1379 Tierra Circle
Winter Park, FL 32792
2007 Ford Focus sedan
Inventory Value: 2,894.00
Charitable Remainder Unitrust
established by Leon I. Lock, Donor,
and GHF, Inc., a Pennsylvania non-
profit corporation, Trustee, under
Agreement dated June 29, 1998.
Inventory Value: 138,665.66
Household goods and furnishings and
miscellaneous personal effects
Inventory Value: 500.00 Daughter 142,059.66
Estate of: Leon I. Lock 22 14 0550
Schedule J Part 1 (Page 3)
Item
No. Description Relation Amount
4 Trust U/W FBO Laura T. Lock-Wallace
3108 N. Second Street
c/o Barbara R. Lock, Co-Trustee
Harrisburg, PA 17110
45% of Residue: 149,495.74 Daughter 149,495.74
5 Trust U/W FBO Jason Eric Lock
3108 N. Second Street
c/o Barbara R. Lock, Co-Trustee
Harrisburg, PA 17110
45% of Residue: 149,495.74 Son 149,495.74
6 Trust U/W FBO Chelsea Tobey Lock
3108 N. Second Street
c/o Barbara R. Lock, Co-Trustee
Harrisburg, PA 17110
10% of Residue to Trust U/W FBO
Chelsea Tobey Lock
3108 N. Second Street
c/o Barbara R. Lock, Co-Trustee
Harrisburg, PA 17110: 33,221.28 Granddaughter 33,221.28