HomeMy WebLinkAbout06-10-15 (2) 1
pennsylvania 1505618403
DEPARTMENT OF REVENI=X(03-14)
REV-150110 OFFICIAL USE ONLY
County Code Year File Number
Bureau of Individual Taxes
PO BOX 280601 INHERITANCE TAX RETURN Harrisburg, PA 17128-0601 RESIDENT DECEDENT 21 15 0354
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
03 10 2015 03 13 1918
Decedent's Last Name Suffix Decedent's First Name MI
BROWN ROGER W
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
0 1. Original Return 2. Supplemental Return El 3. Remainder Return(date of death
prior to 12-13-82)
4. Agricultural Exemption(date of 5. Future Interest Compromise(date of 6. Federal Estate Tax Return Required
death on or after 7-1-2012) death after 12-12-82)
0 7. Decedent Died Testate ❑ 8. Decedent Maintained a Living Trust 0 9. Total Number of Safe Deposit Boxes
(Attach copy of will) (Attach copy of trust.)
10. Litigation Proceeds Received 11. Non-Probate Transferee Return 12. Deferral/Election of Spousal Trusts
(Schedule F and G Assets Only)
13. Business Assets 14. Spouse is Sole Beneficiary
(No trust involved)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
EDMUND G MYERS (717 ) 761 4540
First Line of Address
301 MARKET STREET
Second Line of Address
PO BOX 109
ri r-n
Ci or Post Office State ZIP Code
LEMOYNEPA 17043 C_
Correspondent's email address: egmpjdsw.com ;.,- r-,_�
REGISTER OF WILL5 USE ONLY, •
REGISTER OF WILLS USE ONLY ��`
DATE FILED MMDDYYYY .r' ►-�
j CD
Cn
DATE FILED STAMP
Side 1
IIIIII ILII IIII VIII II II VIII VIII VIII VIII VIII IIII III
1505618403 1505618403
1505618411
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: Brown, Roger William
RECAPITULATION
1. Real Estate(Schedule A)....................................................................................... 1.
2. Stocks and Bonds(Schedule B)............................................................................. 2. 1 ,464 ,498 - 83
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3.
4. Mortgages and Notes Receivable(Schedule D).................................................... 4.
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E).......... 5. 71 ,637 - 60
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) ❑ Separate Billing Requested............ 7.
8. Total Gross Assets (total Lines 1 through 7)........................................................ 8. 1 -,5316,136 - 431
9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 30 ,282 - 30
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 167 - 06
11. Total Deductions(total Lines 9 and 10)................................................................ 11. 30 -1449 - 36
12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 1 ,505,687 - 1017
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. 1 ,5051687 - 07
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.00 15. 0 . 00
16. Amount of Line 14 taxable
at lineal rate X .045 1 ,5051687 . 07 16. 67,755 . 92
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 . 0 0
19. TAX DUE................................................................................................................ 19. 67 ,755 . 92
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑
Under penalties of perjury,I declare 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 person responsible for filing the return is based on all information of which preparer has
any knowledge.
SIGNATU�REE O�F�PERSON RESPONSIBLE FOR FILING RETURN Debra L Shevenock DATE _
0:��=S --4,
ADDRESS
218 Ridgeview Drive, Marysville, PA 17053
SIGNAWE OF PREP'RE�TH�N REPRESENTATIVE Edmund G. Myers DATE
Di1��1/hA 6 �`lt r
ADDR SS
301 MARKET STREET, Lemoyne, PA
111111111111111111111111111111111111111 IN Side
1505618411 1505618411 '
REV-1500 EX Page 3 File Number 21-15-0354
Decedent's Complete Address:
DECEDENT'S NAME
Brown, Roger William
STREET ADDRESS
2100 Bent Creek Blvd. Apt 135
CITY STATE ZIP
Mechanicsburg PA __j17050
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 67,755.92
2. Credits/Payments
A. Prior Payments
B. Discount 3,387.80
Total Credits(A +B) (2) 3,387.80
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) 64,368.12
Make Check Payable to REGISTER OF WILLS, AGENT.
,.,w, a` b /i/7�.,. `.� u6•y. prn
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;............................................................................... ❑ ❑x
b. retain the right to designate who shall use the property transferred or its income;.................................. ❑ ❑z
c. retain a reversionary interest;or........................................................................................................I...... ❑
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 consideration?.................................................................................................................... ❑ 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?.................................................................................................................. ❑ 0
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 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 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 step-parent 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.§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-1503 EX+(08-12)
SCHEDULE B
pennsylvania STOCKS & BONDS
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Brown, Roger William 21-15-0354
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
Assets of Roger Wm Brown Trust Under Agreement dated
December 6. 1993-Estate Beneficiary
Line Items 1 through 31. EstateVal Valuation is Attached to
this Return
1 00758M360 1,886.67 shares of Advisors Inner Circle Fund-Sirach 23.57 44,468.81
Growth 1
2 Cash 17,564.74
3 261980759 3,808.57 shares of Dreyfus/Laurel Funds Trust-Premium 6.52 24,831.88
HI Yld R
4 261980759 Dreyfus/Laurel Funds Trust-Premium HI Yid R 41.22
5 277923751 611.417 shares of Eaton Vance Mutual Fund TR 13.66 8,351.96
6 314172560 14,444.74 shares of Federated Equity FDS-Strg Val Dv Inst 5.74 82,912.81
7 31428121101 9,014.59 shares of Federated Total Return Series-Total Ret 11.07 99,791.51
Institutional
8 31428Q101 Federated Total Return Series-Total Ret Institutional 84.58
9 34987A160 406.469 shares of Forward FDS-Slct Incm Instl 25.83 10,499.09
10 353496847 10,042.19 shares of Franklin Custodian Funds Inc-Inc 2.35 23,599.15
Series ADV CL
11 369604103 1,596 shares of General Electric Co-Com 25.405 40,546.38
12 369604103 General Electric Co-Com 367.08
Total of Continuation Schedules See attached
pages
TOTAL(Also enter on Line 2, Recapitulation) 1,464,498.83
(If more space is needed,additional pages of the same size)
Copyright(c)2012 form software only The Lackner Group, Inc. Form PA-1500 Schedule B(Rev.08-12)
Rev-1503 EX+(08-12)
SCHEDULE B
pennsylvania STOCKS & BONDS
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN continued
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Brown, Roger William 21-15-0354
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
13 411511306 449.028 shares of Harbor Fund-Intl Fund Institutional 65.92 29,599.93
14 457751-408 1,581.51 shares of Institutional Equity Funds Inc-Lgcap 28.52 45,104.67
Growth
15 464287481 250 shares of iShares Trust-Russell Mcp Growth 96.0643 24,016.08
16 464287473 675 shares of iShares Trust-Russell Mcp Val 73.85 49,848.75
17 56063J864 1,758.1 shares of Mainstay FDS TR 19.25 33,843.43
18 552981854 323.834 shares of MFS Series Trust V-Intl New Discount 1 28.24 9,145.07
19 766287678 8,545.25 shares of Ridgeworth FDS 8.86 75,710.92
20 766287678 Ridgeworth FDS 95.90
21 779546100 762.866 shares of Rowe T Price Dividend Growth Fund- 36.26 27,661.52
Com
22 81369Y886 250 shares of Sector SPDR Trust-Sbi Int-utils 43.59 10,897.50
23 78464A763 500 shares of SPDR Series Trust 77.24 38,620.00
24 921937801 4,375.8 shares of Vanguard Bond Index Fund Inc-Interest 11.52 50,409.22
Term Bond Adm
25 921937801 Vanguard Bond Index Fund Inc-Interest Term Bond Adm 37.85
26 922031810 9,837.43 shares of Vanguard Fixed Income Securities Fund- 9.89 97,292.18
Intrm Invgrdad
27 922031810 Vanguard Fixed Income Securities Fund-Intrm Invgrdad 81.69
Copyright(c)2012 form software only The Lackner Group,Inc. Form PA-1500 Schedule B(Rev.08-12)
Rev-1503 EX+(08-12)
SCHEDULE B
pennsylvania STOCKS & BONDS
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN continued
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Brown, Roger William 21-15-0354
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
28 922908553 310 shares of Vanguard Index Trust-REIT Vipers 80.99 25,106.90
29 922908793 1,583.86 shares of Vanguard Index Trust-Small CP Value 25.26 40,008.30
Investment
30 922040100 331.026 shares of Vanguard Institutional Index Fund- 188.08 62,259.37
Shares Ben Interest
31 921946505 1,231.81 shares of Vanguard Whitehall FDS Inc 26.83 33,049.46
Susquehanna Bank Individual Investment Account No.
2TT00578
Line Items 32 through 44. Date of Death Valuation from
Susquehanna Bank is Attached
32 629 shares of Barclay's BK PLC (Path 28.12 17,687.48
33 Cash 11,825.88
34 175 shares of Deutsche X Trackers MSCI 28.54 4,994.50
35 227 shares of Deutsche X Trackers MSCI Japan 40.22 9,129.94
36 1,183 shares of Indexiq ETF TR 29.60 35,016.80
37 224 shares of(Shares International 30.035 6,727.84
38 39 shares of(Shares MSCI South Korea 54.97 2,143.83
39 8,845 shares of SPDR 23.93 211,660.85
40 366 shares of SPDR S&P 500 ETF Trust 204.98 75,022.68
Copyright(c)2012 form software only The Lackner Group,Inc. Form PA-1500 Schedule B(Rev.08-12)
Rev-1503 EX+(08-12)
SCHEDULE B
pennsylvania STOCKS & BONDS
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN continued
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Brown, Roger William 21-15-0354
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
41 1,480 shares of Vanguard FTSE Developed 38.93 57,616.40
42 325 shares of Vanguard FTSE Emerging Markets 39.151 12,724.08
43 65 shares of Vanguard Russell 2000 96.13 6,248.45
44 97 shares of Vanguard Sector Index Fds 80.95 7,852.15
TOTAL(Also enter on Line 2, Recapitulation) 1,464,498.83
Copyright(c)2012 form software only The Lackner Group, Inc. Form PA-1500 Schedule B(Rev.08-12)
Rev-1508 EX+(08-12)
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Brown, Roger William 21-15-0354
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 M&T Bank Checking Account No.9859755986-Date of Death Letter from M&T Bank is 69,149.60
Attached to this Return
2 U.S.Treasury-2014 Individual Income Tax Return Refund 2,488.00
TOTAL(Also enter on Line 5, Recapitulation) 71,637.60
(If more space is needed,additional pages of the same size)
Copyright(c)2012 form software only The Lackner Group, Inc. Form PA-1500 Schedule E(Rev.08-12)
REV-1511 EX+(08-13)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX
RESIDENT DECEDENT RETURN ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Brown, Roger William 21-15-0354
Decedent's debts must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 7,084.90
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State ZiD
Year(s)Commission Paid
2. Attorney's Fees JOHNSON DUFFIE 20,000.00
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation)
Claimant
Street Address
City State Zio
RelationshiD of Claimant to Decedent
4. Probate Fees 1,075.50
5. Accountant's Fees
6. Tax Return Preparer's Fees 300.00
7. Other Administrative Costs 1,821.90
See continuation schedule(s) attached
TOTAL(Also enter on line 9, Recapitulation) 30,282.30
Copyright(c)2013 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.08-13)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Brown, Roger William 21-15-0354
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Expenses
1 Zimmerman Auer Funeral Home 7,084.90
H-A 7,084.90
Other Administrative Costs
2 Reserves-Additional Miscellaneous Administrative Expenses 1,500.00
3 The Cumberland Law Journal -Notice of Estate Administration 75.00
4 The Patriot News Co. -Notice of Estate Administration 246.90
1-1-137 1,821.90
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
Rev-1512 EX+(12-12)
SCHEDULE 1
pennsylvania DEBTS OF DECEDENT,
DEPARTMENT OFMORTGAGE LIABILITIES AND LIENS
RET
INHERITANCE TAXAXRETURRNN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Brown, Roger William 21-15-0354
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 The Bridges At Bent Creek 167.06
TOTAL(Also enter on Line 10, Recapitulation) 167.06
(If more space is needed,additional pages of the same size)
Copyright(c)2012 form software only The Lackner Group, Inc. Form PA-1500 Schedule I(Rev. 12-12)
REV-1513 EX+(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Brown, Roger William 21-15-0354
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT (Words) ($$$)
Do Not List T stee(s)
I TAXABLE DISTRIBUTIONS [include outright spousal
• distributions,and transfers
under Sec.91 16 a 1.2
Roger W Brown Jr Son 112 of Estate
4634 Clearview Drive
Camp Hill, PA 17011
Debra L Shevenock Daughter 1/2 of Estate
281 Ridgeview Drive
Marysville, PA 17053
Total
Enter dollar amounts for distributions shown above on lines 15 throw h 18 on Rev 1500 cover sheet,asappropriate.
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)
ESTATE OF ROGER W. BROWN
A/K/A ROGER WILLIAM BROWN
SCHEDULE OF EXHIBITS
EXHIBIT A Last Will and Testament of Roger W. Brown signed and dated
November 7, 2012
EXHIBIT B Revocable Trust Agreement for Roger W. Brown dated December
6, 1993
EXHIBIT C Estate Val Valuation for Roger W. Brown Trust Agreement—M&T
Bank, Trustee
EXHIBIT D Susquehanna Bank Individual Investment Account- Date of Death
Valuation of Account
EXHIBIT E M&T Bank Date of Death Letter for Individual Checking Account
705817
Last Will and Testament
OF
ROGER W.BROWN
I, ROGER W. BROWN, of Silver Spring Township, Cumberland County, Pennsylvania,
being of sound and disposing mind, memory and understanding, do hereby make, publish and
declare this as and for my Last Will and Testament, hereby revoking and making void any and all
Wills or Codicils at any time heretofore made by me.
ARTICLE I
DEBTS
I direct the payment of all my legal debts and the expenses of my last illness and funeral
from my Estate as soon after my death as conveniently may be done.
ARTICLE II
TANGIBLE PERSONAL PROPERTY
I give and bequeath my motor vehicles(s), household and personal effects and other
iarigible personalty of like nature (not including cash or securities), together with any existung
insurance thereon, unto my wife, MARIAN L. BROWN, if she survives me by thirty (30) days.
Should my wife, MARIAN L. BROWN, not be living on the thirty-first(31 S) day after my death,
I bequeath such tangible personalty and insurance thereon to those of my children who are living
on the thirty-first (31St) day after my death, to be divided between them by my Personal
Representative with due regard for their personal preferences in as nearly equal shares as practical.
EXHIBIT A
ARTICLE III
REST,RESIDUE AND REMAINDER
I give, devise and bequeath all the rest, residue and remainder of my Estate, of whatsoever
nature and wheresoever situate, unto my wife, MARIAN L. BROWN, provided she survives me
by thirty(30) days. Should my wife, MARIAN L. BROWN,not be living on the thirty first (31S)
day following my death, I give, devise and bequeath all of the rest, residue and remainder of my
Estate in equal shares unto my son, ROGER W. BROWN, 3R., and my daughter, DEBRA L.
SHEVENOCK. The share of a deceased child shall be distributed unto his or her then-living
issue,per stirpes.
ARTICLE IV
DISTRIBUTION TO BENEFICIARIES UNDER THE
AGE OF 25/INCAPACITATED BENEFICIARIES
Whenever my Personal Representative is directed to distribute property to or for the benefit
of any beneficiary who is under (a) twenty-five years of age, or (b) a legal disability or otherwise
suffers from an illness or mental or physical disability that would make distribution directly to such
beneficiary inappropriate (as determined in my Personal Representative's sole discretion exercised
in good faith), my Personal Representative may distribute such property to the person who has
custody of such beneficiary, may apply such property for the benefit of such beneficiary, may
distribute such property to a custodian for such beneficiary, whether then serving or selected and
appointed by my Personal Representative (including'my Personal Representative), under any
applicable Uniform Transfers to Minors Act— or Uniform Gifts to Minors Act, or may distribute
such property directly to such beneficiary without liability on the part of my Personal
Representative to see to the application of such property. This provision shall not in any way
operate to suspend such beneficiary's absolute ownership of such property or to prevent the
absolute vesting thereof in such beneficiary.
2
,
ARTICLE V
POWERS OF FIDUCIARIES
My fiduciaries shall have the following powers in addition to those vested by law and by
other provisions of my Will applicable to all property, whether principal or income, including
property held for minors, exercisable without court approval and effective until actual
distribution of all property:
A. To make distribution in cash or in kind, or partly in cash and partly in kind, and in
such manner as my fiduciaries deem appropriate.
B. To retain any or all of the assets of my estate,real or personal, without restriction to
investments authorized for Pennsylvania fiduciaries, as they deem proper, without
regard to any principle of diversification or risk.
C. To invest in all forms of property without restriction to investments authorized for
Pennsylvania fiduciaries, as my fiduciaries deem proper, without regard to any
principle of diversification or risk.
D. To sell at public or private sale, to exchange, or to lease for any period of time any
real or personal property and to give options for sales, exchanges or leases,for such
prices and upon such terms or conditions as.deemed proper.
E. To allocate receipts and expenses to principal or income or partly to each as from
time to time considered proper.
F. To compromise any claim or controversy.
3
t
G. To make such elections, decisions, concessions and settlements in connection with
all income, estate, inheritance, gift, generation skipping or other tax refunds and the
payment of such taxes as my fiduciaries shall deem appropriate, without obligation
to adjust the distributive share of any person thereby affected.
ARTICLE VI
TAXES
I direct that all estate, inheritance, transfer and other taxes of similar nature payable by
reason of my death, together with any interest or penalties thereon, and imposed with respect to
any property, whether or not disposed by this Will, shall be paid out of the residue of my Estate
and shall be considered a part of the expense of the administration of my Estate. I further direct
that my Personal Representative shall have the absolute power in his or its discretion to pay the
same at once whether or not the law under which they are imposed permits the postponement of all
or part to a later date.
ARTICLE VII
PERSONAL REPRESENTATIVE
I name, constitute and appoint my son, ROGER W. BROWN, JR., and my daughter,
DEBRA L. SHEVENOCK, Co-Executors of this my Last Will and Testament. Should either fail
to qualify or cease to so act,I direct that the other shall complete the administration of my Estate. I
direct that no fiduciary acting under this Will, whether or not named herein, shall be required to
post bond for the faithful administration of the duties required in any jurisdiction.
4
S
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will
and Testament,this _7a day of /Jo 2012.
1VC ml W (SEAL)
ROG R W. BROWN
Signed, sealed, published and declared by the above-named TESTATOR, as and for his
Last Will and Testament, in the presence of us, who at his request, in his presence and in the
presence of each other,have hereunto subscribed our names as witnesses.
5
i
a o
AFFIDAVIT AND ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
: SS
COUNTY OF CUMBERLAND
We, ROG W. BROWN, , (� (,��'1 r-) _ (��_t1 ry l and
� �,rak' A 066 ( , the TESTATOR and the witnesses, respectively,
whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby
declare to the undersigned authority that the TESTATOR signed and executed the instrument as
his Last Will and that he had signed willingly and that he executed it as his free and voluntary act
for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of
the TESTATOR, signed the Will as witness and that to the best of his/her knowledge the
TESTATOR was at that time eighteen years of age or older, of sound mind and under no constraint
or undue influence.
A �j 1 4u"%,
GEk W.BROWN
Wi s
v l.�
W' es
Subscribed, sworn to and acknowledged before e by ROGER W. BROWN,
STATOR, and subscribed and sworn to befor me by () Th Y}') and
witnesses,this ? day of ,2012.
Edmund G.'Myers
Attorney I.D. #20558
Supreme Court of Pennsylvania
6
COMMONWEALTH OF PENNSYLVANIA
ss:
COUNTY OF CUMBERLAND
On this r]""' day of �6V� b'1�1�� �' , 2012 before me, the undersigned
officer, personally appeared EDMUND G. MYERS,I.D.#20558,known to me (or satisfactorily
proven)to be a member of the bar of the highest court of Pennsylvania and certified that he was
personally present when the foregoing acknowledgment was given by the TESTATOR and the
affidavits were sworn to by the witnesses.
IN WITNESS WIIEREOF, I hereunto set my hand and official seal.
SEAL
Notary Public
EGM:lab:522717 COMMONWEALTH OF PENNSYLVANIA
Nots"seal
Dana L 1NIP genian,Notary Public
Lemoyne sora,Cumberland County
My Commiaalon Expires Jan.15,2013
Member,Pennsylvania Asssdgtioh Of tj
7
REVOCABLE TRUST .AGREEMENT
by and between
Roger.Wm: Brown &
Marian Le Brown
Settlors
and
Dauphin Deposit Bank and 'frust Company,
Trustee
7/89
EXHIBIT B
We, Roger Wm. Brown and Marian L. Brown (Settlors) of Camp Hill,
Pennsylvania, hereby transfer to Dauphin Deposit Bank and Trust Company
(hereinafter called the Trustee), a Pennsylvania bank and trust company, such
property as may be delivered contemporaneously herewith, or at such time or
times hereafter, to be held in Trust as follows:
FIRST: Dispositive Provisions For Our Benefit-During our lifetime:
A. All of the net income shall be paid to us at least quarterly or shall be paid or
accumulated and added to principal, as we, or the survivor of us, may direct in
writing;
B. As much of the principal as we may from time to time request in writing
shall be paid to us,or as we, or the survivor of us,-may otherwise direct;
C. If, in the Trustee's opinion,either of us at any time is unable to actor to apply
the payments to our own best interest and.advantage, the Trustee may apply
directl for our benefit as much of the income. and/or•principal as the Trustee
may, from time to time, deem appropriate for our welfare, comfort, support or
emergency needs, directly and without the intervention of a guardian, and may
add to principal as much of the income as the Trustee deems advisable.
D. Trustee shall keep true and correct books of account, which books of account
shall at all reasonable times-be open_to the inspection of Settlors or their duly
appointed representative. Trustee---shall also render quarterly to Settlors a
detailed statement showing all -receipts and disbursements on account of the
trust estate and the manner and.form in which the trust estate is invested at the
time of the rendition of such statement.
SECOND: Dispositive Provisions After Death -Upon the death of either Settlor,
this trust shall continue in existence for the use of the surviving Settlor. Upon the
death of the survivin& Settlor, while the trust continues, the Trustee shall pay the
then-remaining principal and income to the Executor or Administrator of the
Estate of the surviving Settlor.
THIRD: Right to Revoke and Amend: Settlors reserve the right to revoke or
amend this trust, in whole or in part, at any time and from time to time by an
instrument in writing, delivered to the Trustee and intended to take effect during
our lifetimes; except that the duties, powers and liabilities of the Trustee shall not
be changed without its written consent. This right of revocation and amendment
also is reserved for the survivor of us, and is exercisable by the survivor by himself
or herself alone. The Trustee reserves the right, at any time upon tlurty (30) days
advance written notice to Settlors, to resign the trust and deliver the trust estate to
us, or to the survivor of us, after deducting therefrom its fees and any expenses
then due and payable.
FOURTH: Additions to Trust: Subject to the approval of the Trustee, either of us,
or any .other entity, may add property, real and personal, to the principal of this
trust.
FIFTH: 'T'rustee's Powers: In addition to the powers granted by law, our Trustee
shall have the following discretionary powers, applicable to principal and income,
wluch shall be exercisable without leave of court and shall continue until
distribution is actually made:
A. To accept and retain any or all property at any time hereafter delivered or in
any other manner hereafter acquired, including stock or other securities of the
Trustee, or of a holding company controlling the.Trustee;
B. To invest in all forms ofproperty (including, but not by way of limitation,
real estate, all types of stacks, bonds,,options; and participations in common
trust funds and money market funds);.-without being confined to investments
prescribed by statute and without being required to diversify;
C. To buy investments at a premium or d_iscount;
D. To hold property unregistered.or in the name of a nominee;
E. To give proxies, both ministerial-and discretionary;
F. To compromise claims;
G. To join in any merger, -consolidation, reorganization, voting trust plan, or
other concerted action of security holders, and to delegate discretionary duties
with respect thereto.-
H.
hereto;H. To borrow from Dauplun Deposit Bank and Trust Company or frown others,
and to pledge real or personal property as security therefor; to loan cash- or
securities upon such terms and conditions as trustees deem appropriate.
I. To sell at public or private sale for cash or credit or partly for each to
exchange, to improve or to lease for any period of time, any real or personal
property;and to give options for sales, exchanges,or leases.
J. To allocate any property received or charge incurred to principal or income
or partly to each, without being obliged to apply the usual riles of trust
accounting;
K. To distribute in cash or in kind or partly in each;
L. To retain any part or all of my business interests held in this Trust as long as
the Trustee considers it advisable to do so; and to conduct, alone or with others,
any such business in which either or both of us are engaged, with all the powers
of an owner or with respect thereto, including the power to delegate
discretionary duties to others and to pay adequate compensation to any such
person; to invest other property in such business, and to incorporate it or change
its form. This power includes the right to take all appropriate actions to prevent,
identify, or respond to actual or threatened violations of any environmental law
or regulation thereunder.
M.To disclaim, in whole or in part, any interests in property for any reason,
including but not limited to a concern that such property could cause potential
liability under the federal,state or local enviroxunental law.
SIXTH: Compensation: The trustee shall be compensated in accordance with its
standard schedule of charges in effect from time to time during the period of its
services, and this compensation shall be paid from principal or income or partly
from each in the sole discretion of the Trustee. Settlors hereby acknowledge
receipt of Trustee's current fee schedule, which='3s-subject to revision from time to
time.
SEVENTH: Non-Assignment: No part of the income or principal of the property
held under this Trust shall be subject to. attachment, levy or seizure by any
creditor, spouse, assignee or trustee=or receiver in bankruptcy prior to actual
receipt thereof. The Trustee shall tay over the net income and the principal to the
persons herein designated, as their interests may appear, without regard to an
attempted anticipation (except as specifically provided in this a�reementT, .
pledging or assignment undeii the Trust,..and without regard to any claim thereto
or attempted levy, attachment,seizure-or-other process against either or both of us.
EIGHTH: Law Governing Trust: This trust is created and accepted in the
Commonwealth of Pennsylvania..and shall in all respects be governed by its laws
and shall have its situs at Cumberland County,Pennsylvania.
Executed on , 1993
NOTE:
Before executing this document you may
want to consult with your Attorne to
assure that your wishes are being set orth
accurately and in proper legal form.
WITNESS:
f� (SEAL)
RogeY Wm. Brown
WITNE .p �a
,C. / t ►�-�' C /1.1� (SEAL)
Marian L. Brown
The foregoing trust is hereby accepted.
Executed on 199
Dauphin Deposit Bank and Trust Company
By
assistant Vice President
and Trust Officer
COMMONWEALTH OF PE fZSYLVANJA )
COUNTY OFZ6i"'
his, th&��da 1993, before me, a notary public in and for the
said Commonwealth and County, personally appeared-Roger Wm. and Marian L.
Brown, known to me (or satisfactorily proven) to be thepers ons, whose names are.
subscribed to the foregoing Revocable Trust Agreement and acknowledged that
they executed the same for the purposes therein contained.
WITNESS my hand and notarial seal
_ of-,ry blic
-- My Commission Expires:
-----(S EAL)
MwyAmAmWmm' Pk�ariat Seal
*i Co P,
by ► o19%:L30,.
of
Estate Valuation
Date of Death: 03/10/2015 Estate of: Roger Brown
Valuation Date: 03/10/2015 Account: 1100197206
Processing Date: 03/27/2015 Report Type: Date of Death
Number of Securities: 25
File ID: Brown, Roger 3-50-15
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals value
1) 17564.74 Cash (CASH) 17,564.74
2) 14444.74 FEDERATED EQUITY EDS (314172560)
STRG VAL DV INST
Mutual Fund (as quoted by NASDAQ)
03/10/2015 5,74000 Mkt
5.740000 82,912.81
3) 406.469 FORWARD FDS (34987A160) '
SLCT INCM INSTL
Mutual Fund (as quoted by NASDAQ)
03/10/2015 25.83000 Mkt
25.830000 10,499.09
4) 10042.19 FRANKLIN CUSTODIAN FDS INC (353496847)
INCOME ADVISR
Mutual Fund (as quoted by NASDAQ)
03/10/2015 2.35000 Mkt j
2.350000 23,599.15
5) 1596 GENERAL ELECTRIC CO (369604103)
COM
New York stock Exchange
03/10/2015 25.64000 25.17000 HA
Div: 0.23 Ex: 02/19/2015 Rec: 02/23/2015 Pay: 04/27/2015 25.445000 367,08 40,596.38
6) 449,028 HARBOR FD (411511306)
INTL FD INSTL
Mutual Fund (as quoted by NASDAQ)
03/10/2015 65.92000 Mkt
65.920000 29,599.93
7) 250 ISHARES TR (464287481)
RUS MD CP GR ETF
NYSE Arca Equities Exchange
03/10/2015 96.33000 95,79860 H/L
96.064300 24,016.08
8) 675 ISHARES TR (464287473)
RUS MDGP VAL ETF
NYSE Arca Equities Exchange
03/10/2015 74.11000 73.59000 HA
73.850000 49,848,75
9) 1886,67 ADVISORS INNER CIRCLE FD (00758M634)
LSV VAL EQ FD
Mutual Fund (as quoted by NASDAQ)
03/10/2015 23.57000 Mkt
23.570000 44,468.81
10) 1758.1 MAINSTAY FDS TR (560635864)
EPOCH GBL EQT I
Mutual Fund (as quoted by NASDAQ)
03/10/2015 19,25000 Mkt
19.250000 33,843.43
11) 323,834 MFS SER TR V (552981859)
INTL NEW DIS I
Mutual Fund (as quoted by NASDAQ) f
03/10/2015 28.24000 Mkt
28.240000 9,145.07
12) 611.417 EATON VANCE MUT FDS TR (277923751)
PRMTR STR EMRG I
Mutual Fund (as quoted by NASDAQ)
03/10/2015 13.66000 Mkt
13.660000 8,351.96
Page 1
i
i
This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions,
please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.3.1)
EXHIBIT C
Date of Death: 03/10/2015 Estate of: Roger Brown
Valuation Date; 03/10/20I5 Account: 1100197206
Processing Date: 03/27/2015 Report Type: Date of Death
Number of Securities: 25
File ID: Brown, Roger 3-10-15
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals value
13) 500 SPDR SERIES TRUST (78464A763)
S&P DIVID ETF
NYSE Arca Equities Exchange
03/10/2015 77.51000 76.97000 HA
77.240000 38,620.00
14) 1581.51 INSTITUTIONAL EQUITY FDS INC (45775L408)
LGCAP GROWTH
Mutual Fund (as quoted by NASDAQ)
03/10/2015 28.52000 Mkt
28.520000 45,104.67
15) 762.866 ROWE T PRICE DIVID GROWTH FD (779546100)
COM
Mutual Fund (as quoted by NASDAQ)
03/10/2015 36.26000 Mkt
36.260000 27,661.52
16) 250 SELECT SECTOR SPDR TR (81369Y886)
SBI INT-UTILS
NYSE Arcs Equities Exchange
03/10/2015 43.91000 43.27000 HA
43.590000 10,897.50
17) 1231.81 VANGUARD WHITEHALL FDS INC (921946505)
HIGH DIVD INVS
Mutual Fund (as quoted by NASDAQ)
03/10/2015 26.83000 Mkt
26.830000 33,049.46
18) 331.026 VANGUARD INSTL INDEX FD (922040100)
SH BEN INT
Mutual Fund (as quoted by NASDAQ)
03/10/2015 188.08000 mkt 188.080000 62,259.37
19) 310 VANGUARD INDEX FDS (922908553)
REIT ETF
NYSE Arcs Equities Exchange
03/10/20I5 81.33000 80.65000 H/L
60.990000 25,106.90
20) 1583.86 VANGUARD INDEX FDS (922908793)
SUL CP VAL*INV
Mutual Fund (as quoted by NASDAQ)
03/10/2015 25,26000 Mkt
25.260000 40,008.30
21) 3808.57 DREYFUS/LAURFL FDS TR (261980759)
DREYF HIYLD I
Mutual Fund (as quoted by NASDAQ)
03/10/2015 6,52000 Mkt
Daily Div. Accrual as of 03/10/2015 6,520000 41.22 24,831.88
22) 9014.59 FEDERATED TOTAL RETURN SERS (31428Q101)
TOTL RET INSTL
Mutual Fund (as quoted by NASDAQ)
03/10/2015 11.07000 Mkt
Daily Div. Accrual as of 03/10/2015 11.070000 84.58 99,791.51
23) 8545.25 RIDGEWORTH FDS (766287678)
SZIX FLRT HI I
Mutual Fund (as quoted by NASDAQ)
03/10/2015 8.86000 Mkt
Daily Div. Accrual as of 03/10/2015 8.860000 95.90 75,710.92
Page 2
.This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions,
please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.3.1)
Date of Death: 03/10/2015 Estate of: Roger Brown
Valuation Date: 03/10/2015 Account: 1100197206
Processing Date: 03/27/2015 Report Type: Date of Death
Number of Securities; 25
File ID, Brown, Roger 3-10-15
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
24) 4375.8 VANGUARD BD INDEX FD INC (921937801)
INT TRM BD ADM
Mutual Fund (as quoted by NASDAQ)
03/10/2015 11.52000 Mkt
11.520000 50,409.22
Daily Div. Accrual as of 03/10/2015 37.85
25) 9837.43 VANGUARD FIXED INCOME SECS FD (922031810)
INTRM INVGRDAD
Mutual Fund (as quoted by NASDAQ)
03/10/2015 9,89000 Mkt
9.890000 97,292.18
Daily Div. Accrual as of 03/10/2015 81.69
Total Value: $1,005,139.63
Total Accrual: $708.32
Total: $1,005,847.95
Page 3
This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions,
please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.3.1)
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EXHIBIT D
M M&TBank
499 Mitchell Road,Millsboro,DE 19966 Records Management
Phone 888-502-4349
F ax (302)934-2955
April 29,2015
Law Offices of Johnson Duffie
301 Market Street
P.O. Box 109
Lemoyne, PA 17043-0109
Re: Estate of. Roger W Brown
Social Security:
Date of Death: March 10,2015
Dear Sir or Madam:
Per your inquiry on April 16, 2015,please be advised that at the time of death, the above-named
decedent had on deposit this bank the following:
1. Type of Account Checking
Account Number 9859755986
Ownership(Names of) Marian L Brown
Roger W Brown
Debra L Shevenock(POA)
Opening Date 11/08/2012
Balance on Date of Death $69,149.37
Accrued Interest $ 0.23
Total $69,149.60
For any additional information on the above accounts, including ownership and any changes,
closures and/or reimbursement of funds, please call Harrisburg Main at 717-255-2070.
We were unable to locate any safe deposit box for the above-mentioned decedent.
This letter does not include any accounts in which the deceased may have been listed as Power of
Attorney, Custodian of Uniform Transfers, Representative Payee, or Trustee under a Written
Agreement.
Sincerely,
Tomara Williams R E C E I V Er D
Records Management
MAY .0 4 2015
JOHNSON DUFRE
1
EXHIBIT E