HomeMy WebLinkAbout11-15-05 (2)
REV-1500 EX + (6-00)
*'
OFFICIAL USE ONLY
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
II 05
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
!!Ill
NUMBER
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C
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(.)
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C
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Fawber, Dorothea C.
DATE OF DEATH (MM-DD-YEAR)
193-12-7808
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF W LLS
SOCIAL SECURITY NUMBER
DATE OF BIRTH (MM-DD-YEAR)
07-18-2005
05-26-1923
01 Original Return 0 2. Supplemental Return 0 3. Remainder Return (date of death prlorito 12-13-82)
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f- 0 0
:.:~en 04 Limited Estate 4a. Future Interest Compromise (date of death after 5. Federal Estate Tax Return ReqUired
ua::.: 12-12-82)
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:1:00 [!]6 Decedent Died Testate (Attach 0 7. Decedent Maintained a Living Trust (Attach 0 8. Total Number of Safe Deposit Bbxes
ua:...J
,,-In copy of Trust)
"- copy of Will)
<l: 09 Litigation Proceeds Received 0 10 Sf-ousal povert~ Credit (date of death between 0 11. Election to lax under Sec. 9113(fAl (Attach Sch 0)
. 1 -31-91 and '-1- 5)
(IF APPLICABLE) SURVIVING SPOUSE'S NAME ( lAST, FIRST AND MIDDLE INITIAL)
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THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED
NAME COMPLETE MAILING ADDRESS
James D. Bogar
FIRM NAME (If applicable)
Bogar & Hipp Law Offices
TELEPHONE NUMBER
717-737-8761
One West Main Street
Shiremanstown, PA 17011
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(1 )
(2)
(3)
(4)
(5)
(6)
(7)
")
None
None
None
None
3,707.37
None
None
(8)
1,445.90
188,936.60
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;.. -'>
,::.1
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
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4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L) 0 Separate Billing Requested
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
bEFICIAl;,IUSE ONt Y
~.'I
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
-~""""'l>-
, 1'\
c)'~
3,707.37
(9)
(11 )
190,382.50
(12)
iinsolvent
(13)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has
not been made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
0.00
(14)
0.00
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
20. D
0.00
0.00
0.00
0.00
0.00
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
15. Amount of Line 14 taxable at the spousal tax rate, 0.00 x .00 (15)
z or transfers under Sec. 9116(a)(1.2)
0
i= 16. Amount of Line 14 taxable at lineal rate 0.00 x .045 (16)
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l1. 17. Amount of Line 14 taxable at sibling rate 0.00 x .12 (17)
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0
(.) 18. Amount of Line 14 taxable at collateral rate 0.00 .15 (18)
>< x
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I- 19. Tax Due
(19)
>> BE. SURI;TOANSWEFlALLQUI;STIONS ONFlEVEFlSESIDE AND RECI.U;OKMATH << II
Copyright 2002 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00:
Decedent's Complete Address:
STREET ADDRESS
801 N. Hanover Street
CITY Carlisle
I STATE PA
IZIP 17013
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
0.00
Total Credits (A + B + C)
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (0 + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 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.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
Make Check Payable to: REGISTER OF WILLS, AGENT
(1 )
0.00
(2)
0.00
(3)
(4)
(5) 0.00
(5A)
(5B) 0.00
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
Yes No
o [!]
o [!]
o [!]
o [!]
o [!]
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ......... 0 [!]
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.
Under penalties of perjury. I declare that I have examined this return. including accompanying schedules and statements. and to the best of my knowledge and belief, it is true, correct and
complete. Declaration of pre parer other than the personal representative is based on all information of which preparer has any knowledge.
ADDRESS
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred;................................................................................
b. retain the right to designate who shall use the property transferred or its income;...................................
c. retain a reversionary interest; or...............................................................................................................
d. receive the promise for life of either payments, benefits or care? .............................................................
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? ............... .....................................................................................................
1017 Grantham Road
Grantham, PA 17027
ADDRESS
ADDRESS
One West Main Street
Shiremanstown, PA 17011
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the n<>t ""I. ,^ _, L.
surviving spouse is 3% [72 P.S. !:i9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net v
[72 P.S. !:i9116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a survivin
of assets and filing a tax return are still applicable even if the surviving spouse is
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty.,
natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. !:i91
The tax rate imposed on the net value of transfers to or for the use of the deceder
!:i9116 1.2) [72 P.S. !:i9116 (a) (1)].
f\jAPD
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DATE
L-I
I oj os:-
DATE
to or for the use of the
Jrviving spouse is 0%
lirements fdr disclosure
r for the use of a
noted in 72 P.S.
The tax rate imposed on the net value of transfers to or for the use of the deceder . . _' ,,~ . . v \ell \ ,.J)]. 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.
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Rev-1508 EX+ (6-98)
.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Fawber, Dorothea C.
FILE NUMBER
21-05-0788
ESTATE OF
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
NUMBER DESCRIPTION
1 Church of God Home - Resident Trust Account - refund - Account Number 1889
VALUE AT DATE
OF DEATH
155.51
2 M& T Bank -Checking Account No. 32391536 - date of death value -
Note: This account jointly owned with George F. Fawber, husband of decedent.
George F. Fawber died 10/19/2001. This account is subject to reclamation on
account of Social Security payments in the amount of $1,523.74, all per the August
23, 2005 letter from M & T Bank, a copy of which is attached.
3.546.17
3 Pennsylvania Employees Benefit Trust Fund - final benefit/refund
5.69
TOTAL (Also enter on Line 5, Recapitulation)
3.707.37
(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 E (Rev. 6-98)
I 000001 CHURCH OF GOD HOME, INC. I
i
I 801 N. HANOVER STREET
CARLISLE PA 17013
I Resident Trust Fund Statement
Resident Name : FAWBER DOROTHEA C Account Number: 1889
Resident Number: 000001889 Statement Date: 08/31/2005
Account Type : RESIDENT TRUST
Loc/Room/Bed : ** Discharged**
TEMPLIN KATHLEEN
5051 RAVENWOOD ROAD
MECHANICSBURG PA 17055
Date Description Withdrawals Deposits Balance
08/01/2005 Balance Forward 155.51
08/30/2005 WITHDRAWAL CK 1881 EST OF D FAWBER 155.51 .00 .00
-
Account Balance: .00
rlIM&TBank
499 Mitchell Road, MiIIsboro, DE 19966 Mail Code DE-MB-12
Phone (888) 502-4349
Fax (302) 934-2955
September 12, 2005
James D Bogar
Attorney At Law
One West Main Street
Shiremanstown, P A 17011
Re: Estate of Dorothea C Fawber
Social Security: 193-12-7809* on our files
Date of Death: Julv 18. 2005
Dear Sir or Madam:
Per your inquiry dated September 02, 2005, please be advised that at the time of death, the above-named decedent had on
deposit with this bank the following:
l.
Type of Account
Checking Account
Account Number
32391536
Ownership (Names oj)
Dorothea C Fawber *
George F Fawber *
Kathleen F Templin, POA
Opening Date
08/28/64
Balance on Date of Death
$3,546.12
$ 0.05
Accrued Interest
Total
$3,546.17
Please be advised, there was no safe deposit box found for the above decedent.
*For further account information, regarding ownership and any changes, closures and/or reimbursement 01' funds,
etc., please call the Mechanicsburg Office # 717-255-2031.
Sincerely,
~~~
Nancy Clagett
Records Management
M
P.O. Box 4650
ACH/EDI Dept
Buffalo, New York 14240-9975
1-800-724-2240
*** This is an Advice ***
-
DOROTHEA C FA WBER
GEORGEFFAWBER
5051 RAVENWOOD RD
MECHANTCSBURG P A 17055
Date: Tuesday, August 23,2005
Subject: Notification of Death / Reclamation
Funds Deposited to Account:
Funds Deducted from Account( s):
32391536
32391536 $1,523.74
This is to advise you that on 8/23/2005 we deducted from the account(s) shown above the amount of $1523.74,
for the Social Security Income of 8/3/2005.
Due to the fact that DOROTHEA C FA WBER has passed away prior to the issuance of the credit, the Treasury
of the United States is requesting reimbursement. In accordance with Federal Regulations, direct deposits may
not be retained by the beneficiary unless the beneficiary lived through the entire month prior to the date of
Issuance.
If the nu...-nber of the 'account deducted from' is different from the account into which the funds were originally
deposited, the deduction is authorized under the bank's rules for right of offset because one or more of the dwnen
on both accounts are the same.
Should you have any further questions about this charge, please call and refer to the case number below.
This advice is provided to facilitate the reconcilement of your monthly account statement.
Respectfully,
ACH/EDI Services
M&T
Case Number: 1662
II
REV-1151 EX+ (12-99)
*'
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Fawber, Dorothea C.
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-05-0788
ESTATE OF
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 14.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s) / EIN Number of Personal Representative(s):
Street Address
City State Zip
-
Year(s) Commission paid
2. Attorney's Fees Bogar & Hipp Law Offices 1,267.50
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 68.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 96.40
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 1,445.90
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
Rev-1502 EX+ (6-98)
*'
SCHEDULE H-A
FUNERAL EXPENSES
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Fawber, Dorothea C.
FILE NUMBER
21-05-0788
ESTATE OF
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Auer Memorial Home and Cremation Services, Inc. - Balance due on account of
funeral bill
14.00
Subtotal
14.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 Schedule H-A (Rev. 6-98)
Rev-1502 EX+ (6-98)
*'
SCHEDULE H-B7
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Fawber, Dorothea C.
FILE NUMBER
21-05-0788
ESTATE OF
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Register of Wills - Filing Fee-Pa. Inheritance Tax Return
15.00
2
State Employees Retirement System - Reimbursement (See August 23, 2005 letter
request from State Employees Retirement System, copy attached)
81.40
Subtotal
96.40
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
COMMONWEALTH OF PENNSYLVANIA
STATE EMPLOYEES' RETIREMENT SYSTEM
HARRISBURG REGIONAL COUNSELING CENTER
30 NORTH THIRD STREET, ROOM 319
HARRISBURG, PA 17101
TELEPHONE: (717) 783-9065
FAX: (717) 783-9599
TOLLFREE: 1-800-633-546\
www.sers.state.pa.us
August 23, 2005
Estate of Dorothea Fawber
c/o Craig Fawber
1017 Grantham Road
Grantham P A 17027-0338
Invoice #14779
RE:
SS#:
Dorothea Fawber
193-12-7808
Dear Mr. Fawber:
We have recently been informed of the death of Dorothea Fawber, a retired member of
this System. We wish to extend our condolences to you at this time.
Since Ms. Fawber died 7/18/05 and the July check was not returned to our office, this
account has been overpaid in the amount of$81.40 for the period from 7/19/05 -7/30/0$.
It will therefore be necessary for out office to be reimbursed for $81.40 to liquidate this
overpayment.
The reimbursement should be made payable to The State Employes' Retirement
System, and mailed with the enclosed copy of this letter to the address shown above.
We also need a certified copy or an original death certificate for our file.
Upon receipt of the reimbursement, this account will be closed. There are no further
benefits to be paid from this System.
Should you have any questions concerning this matter, please do not hesitate to contact
me at the above address or by telephone at (717) 783-9065 or 1-800-633-5461.
Thank you for your cooperation.
Sincerely,
~~
Linda Dolan, Administrative Assistant
Hani.sburg Regional Counseling Center
IlL lo/(?'~'5'
Rev-1512 EX+ (6-98)
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Fawber, Dorothea C.
FILE NUMBER
21-05-0788
ESTATE OF
Include unrelmbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1 Department of Public Welfare - Claim for restitution of medical assistance per
attached letter
VALUE AT DATE
OIF DEATH
188.936.60
TOTAL (Also enter on Line 10, Recapitulation)
188,936.60
(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 I (Rev. 6-98)
*'
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF PUBLIC WELFARE
BUREAU OF FINANCIAL OPERATIONS
DIVISION OF THIRD PARTY LIABILITY
ESTATE RECOVERY PROGRAM
PO BOX 8486
HARRISBURG, PA 17105-8486
August 18, 2005
JAMES D BOGAR ATTORNEY AT LAW
ONE WEST MAIN ST
SHIREMANSTOWN PA 17011
Re: DOROTHEA FAWBER
CIS #: 280143589
SSN: 193-12-7808
Date of Death: 7/18/2005
Dear Attorney Bogar:
Please be advised that the Department of Public Welfare maintains a
claim in the amount of $188,936.60 against the above-mentioned estate. This
claim is for restitution of medical assistance granted on behalf of the
decedent for which the Probate Estate is now responsible to reimburse the
Department according to Act 49, 62 P.S. 1412, effective August 15, 1994, asi
amended by Act 20-95, effective June 30, 1995. Enclosed is the Departmenti~
itemized statement of claim.
A portion of this medical expense, namely $19,193.94, was incurred
during the last six months of the decedent's life; therefore, it is a Class 3
claim pursuant to Section 3392 of the Decedents, Estates, and Fiduciaries
Code, 20 Pa. C.S.A. 3392(3). The balance of the claim, namely $169,742.66,
is to be entered as a priority Class 6 claim against the estate.
Please acknowledge receipt of this letter and advise whether the
Commonwealth's claim is admitted and when payment may be expected. If the
estate accounting is complete, please provide a copy. If the estate contai~s
real estate, please provide copies of the deed, the latest tax assessment,
and a current appraisal, if available.
Sincerely,
~:r.~
Barbara I. Aschenbrenner
TPL Program Investigator
717-772-6617
717-772-6553 FAX
Enclosure
REV-1513 EX+ (9-00)
.
SCHEDULE .J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
NUMBER
Fawber, Dorothea C.
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116(a)(1.2)]
FILE NUMBER
21-05-0788
ESTATE OF
RELATIONSHIP TO
DECEDENT
Do Not List Trustee(s)
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
I.
Craig E. Fawber
1017 Grantham Road
Grantham, PA 17027
George F. Fawber, Jr.
268 Camp Ground Road
Dillsburg, PA 17019
Kathleen D. Templin
5051 Ravenwood Road
Mechanicsburg, PA 17055
Son
1/3 of rest,
residue and
remainder
Son
1/3 of rest,
residue and
remainder
Daughter
1/3 of rest,
residue and
remainder
Total
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
0.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedwl,e J (Rev. 6-98)
I!
LAST WILL AND TESTAMENT
OF
DOROTHEA C. FA WBER
I, DOROTHEA C. FA WBER, of Cumberland County, Pennsylvania,
do hereby revoke my Will executed on or about November 1, 1996, and do make,
publish and declare this to be my Last Will and Testament, hereby revoking all
Wills and Codicils by me at any time made.
ITEM I: I direct that all inheritance and estate taxes becoming due
by reason of my death, whether such taxes may be payable by my estate or by
any recipient of any property, shall be paid by my Executor out of the property
passing under this Will, as an expense and cost of administration of my estate.
My Executor shall have no duty or obligation to obtain reimbursement for any
such tax so paid, even though on proceeds of insurance or other property not
passing under this Will. In the absolute discretion of my Executor, such taxes
may be paid immediately or may be postponed on future or remainder inte!liests
until the time possession: thereof accrues to the beneficiaries.
ITEM II: I direct my Executor to pay the expenses of my last
illness and funeral expenses from the property passing under this Will as an
expense and cost of administration of my estate.
~
ITEM III: I gIVe and bequeath the sum of five hundred dollars
($500.00) to the Community United Methodist Church, 16th and Bridge Streets,
New Cumberland, Pennsylvania.
ITEM IV: I devise and bequeath the residue of my estate of every
nature and wherever situate, to my then living children, Craig, Kathleen and
George in equal shares. Should any of my children predecease me or die on or
before the thirtieth (30th) day following my death, I devise and bequeath said
child's share to that child's then living children, in equal shares.
ITEM V: No interest of any beneficiary under this Will or any
Codicil hereto shall be subject to anticipation or voluntary or involuntary alienation,
and the personal receipt of such beneficiary shall be the sufficient and only
discharge of Executor unless otherwise provided herein.
ITEM VI: My Executor shall have the following powers in
addition to those vested in it by law applicable to all property, whether principa~ and
income, exercisable without Court approval and effective until actual
distribution of all property:
(a) To retain any investments I may have at my death,
including specifically those consisting of stock of any
bank, even if I have named such bank as my Executor
herein, as long as my Executor may deem it advisable to
my estate so to do.
2
'~
(b) To vary investments, when deemed desirable by my
Executor, and to invest in such bonds, stocks, notes,
real estate mortgages or other securities or in such other
property, real or personal, as the Executor shall deem
wise, without being restricted to so-called "legal
investments," and without being limited by any statute
or rule of law regarding investments by fiduciaries.
( c) In order to effect a division of the principal of my
estate or for any other purpose, including any final
distribution, the Executor is authorized to make said
divisions or distributions of the personalty and realty
partly or wholly in kind. In the event a division or
distribution is made in kind, such division or
distribution shall made at the fair market value of the
property at the date of division or distribution. Should
it appear desirable to partition any real estate, the
Executor is authorized to make, join in and consummate
partitions of lands, voluntarily or involuntarily, including
giving of mutual deeds, recognizances or other
obligations, with as wide powers as an individual owner
in fee simple.
(d) To sell either at public or private sale and upon
such terms and conditions as the Executor may seem
advantageous to the estate, any or all real or personal
estate or interest therein owned by the estate severally
or in conjunction with other persons or acquired after my
death by my Executor, and to consummate said sale or
3
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I I
sales by sufficient deeds or other instruments to the
purchaser or purchasers, conveying a fee simple title,
free and clear of all trust and without obligation or
liability of the purchaser or purchasers to see to the
application of the purpose money or make inquiry into the
validity of said sale or sales; also, to make, execute,
acknowledge and deliver any and all deeds,
assignments, options or other writings which may be
necessary or desirable in carrying out any of the powers
conferred upon my Executor in this paragraph or
elsewhere in my Will.
(e) To mortgage real estate, and to make leases of real
estate.
(f) To borrow money from any party, including the
Executor, to pay indebtedness of mine or of my estate,
expenses of administration or inheritance, legacy, estate
any other taxes, and to assign and pledge assets of my
estate therefor.
(g) To pay all costs, taxes, expenses and charges in
connection with the administration of my estate.
(h) To vote any shares of stock which form a part of
the estate, and to otherwise exercise all the powers
incident to the ownership of such stock.
(i) In the discretion of my Executor, to unite with other
owners of similar property in carrying out any plans for
4
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I!
the reorganization of any corporation or company whose
securities form a part of the estate.
(j) To do all other acts in the Executor's judgment
deemed necessary or desirable for the proper and
advantageous management, investment and distribution of
the estate.
ITEM VII: Any person who shall have died at the same time as I
shall have, or in a common disaster with me, or under such circumstances tHat it
is difficult or impossible to determine who died first, or within thirty (30) days of
my death, shall be deemed to have predeceased me.
ITEM VIII: I nominate, constitute and appoint Craig E. Fawber
as my Executor. My Executor is specifically relieved of the duty or obligation of
filing any bonds or other security.
IN WITNESS WHEREOF, I have set my hand and seal to this, my
Last Will and Testament, consisting of this and the preceding four (4). Pjsn~.t. t _h.e_ (
end of each page of whic.h I have also set my initials for greater !lec~~
identification, this ---1C(ft\. day of July, 2002. ./ (rI
U~
(SEAL)
Dorothea C. Fawber
5
II
We, the undersigned, hereby certify that the foregoing Will was
signed, sealed, published ad declared by the above-named Testatrix as and for her
Last Will and Testament, in the presence of us, who, at her request and in. her
presence and in the presence of each other, have hereunto set our hands and seals
the day and year first above written, and we certify that at the time of! the
execution thereof, the said Testator was of sound and disposing mind and memory.
EAL) Residing at
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(SEAL) Residing at A~-I/J1~ 4f-1!.fl!... jJ A .
6
I I
ACKNOWLEDGMENT
COMMONWEAL TH OF PENNSYL VANIA
COUNTY OF CUMBERLAND
I, DOROTHEA C. FA WBER, Testatrix, whose name is signed to the
attached or foregoing instrument, having been duly qualified according to :law,
do hereby acknowledge that I signed and executed the instrument as my Last Will;
that I signed it willingly; and that I signed it as my free and voluntary act fot the
purposes therein expressed.
Sworn or affirmed to and acknowledged before me, by
DOROTHEA C. FA WBER, the Testatrix, this \ GT t-J- day of July, 2002.
(SEAL)
~/ -" 4 rl/ L2
_/'- ~~
N err-An-'1
Official capacity of officer
NOTARIAL SEAL
THOMAS A. HAMILTON, Notary Public
Carlisle Bora. Cumberland County. PA
My Commission Expires July 7, 2005
7
II
AFFIDA VIT
COMMONWEAL TH OF PENNSYL VANIA
COUNTY OF CUMBERLAND
We, (;t;t).((a.~t1/P }~ /!II?.? Lt;; Y and
//JAR11 R. SmJ rl..; , the witnesses whose
names are signed to the attached or foregoing instrument, being duly qualified
according to law, do depose and say that we were present and saw Testatrix (sign
and execute the instrument as her last Will; that she signed willingly and that she
executed it as her free and voluntary act for the purposes herein expressed;i that
each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and
that to the best of our knowledge the Testatrix was at that time 18 or more years of
age, of sound mind and under no constraint or undue influence.
Sworn
/J
/9 It;
or affirmed to and
and
day 0 uly, 2002.
subscribed to before me by
If) rt=Il< If /e S'm /I If
. f
(SEAL)
-LZ- 4 ~._. 6Z
"-1 ort\R- "( --pu 6 l"3 C-
Official capacity of officer
8
NOTARIAL SEAL
THOMAS A. HAMILTON. Notary Publlc
Carlisle Boro. Cumberland County, PA
My Commission Expires July 7. 2005