HomeMy WebLinkAbout05-09-06
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of
Joan C. Beren
No.
21-- iXL) - 0390
also known as
. Deceased
Social Security No. 056-28-9224
Daniel E. Beren
Petitioner(s), who is/are 18 years of age or older. appl(ies} for.
(COMPLETE 'A' or 'B' BELOW)
[!] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) isfJl\ledhe
the Decedent, dated 12/05/2005 ~
Executor
named in the last Will of
State relevant circumstances, e.g., renunciation, death of executor, etc.
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents
offered for probate; was not the victim of a killing and was never adjudicated incompetent:
(c.t.a; d.b.n.c.t.a; pedente lite; durante absentia; durante minoritate)
Petitioner(s) after a proper search haslhave ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs:
o B. Grant of Letters of Administration
r Name Relationship Residence I
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania wittm'her family
or principal residence at 59 S. Terrace, Wormsleysburg, PA 17043 '
(list street, number, and municipality)
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Decedent, then
71
years of age, died
02108/2006
at Holy Spirit Hospital, East Pennsboro Twp, PA
(Location)
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Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in PAl Personal property in County
Value of real estate in Pennsylvania
situated as follows:
40,000.00
$
$
$
$
0.00
Wherefore, Pe . . er(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant
of letters in th a propnate form to the undersigned: .
ignature yped or printed name and residence
Daniel E. Seren 59 S. Terrace
Wormleysburg, PA 17043
Prepared by !he Pemsylvania Bar Association
Copyrtghl (e) 2004 farm software only The Lackner Group. Inc_
Form RW.1 (1991) vc
I
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct
to the best of the knowledge and belief of Petitioner(s) and that, a personal representative(s} of the Decedent, Petitioner(s) will
_11 ",<I truly ,<lm'ol,.... th, "tat, '=""09 to I,,", i /# ~
Swom to or affirmed and subscribed
before me this ,2 n d day of
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For ~eg, ,er / '
I~L L 1 ~~) .u ("LuL L,--
No.
21-- Q4;. ,- 03'10
Estate of
Joan C. Beren
, Deceased
also known as
Social Security No: 056-28-9224
Date of Death:
02/08/2006
AND NOW,
, in consideration
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters [RJ Testamentary 0 of Administration
are hereby granted to Daniel E. Beren, Executor
(c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
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in the above estate and that the instrument(s) dated
12/5/2005
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described in the Petition be admitted to probate and filled of record as the last Will of Decedent.
FEES
0/'" 0-'
Letters..........................................$ :LV
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f 1<7, 00
Short Certificate(s)...................... $ T:!...
Renunciation............................... $
Affidavits ( )...........................$
I.D. No: 08529
Extra Pages }......................$
Address: 213 Market Street, 3rd Floor
COdicil.......................................... $
JCP Fee.......................................$
JD,OO
Harrisburg, PA 17101.2121
Telephone: (717) 237-4801
Inventory...................................... $
~Il ://
Other. fJP.:f:?...4!;... ................... $
E-Mail:
/600
500
TOTAL............................ $ /~o: Cf.)
Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc.
Form RW-1(1991)
-
WILL
OF
JOAN C. BEREN
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WILL
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I, JOAN C. BEREN, of~in County, Pennsylvania, make this will, hereby
revoking all my former wills and codicils.
ARTICLE ONE
SPECIFIC BEQUEST OF TANGIBLE PERSONAL PROPERTY AND CASH BEQUESTS
S 1.1 I bequeath all my tangible personal property, exclusive of any such
property used in a trade or business, in accordance with the terms of a signed and dated
memorandum I may prepare. If no such memorandum is located or received by the executor
within sixty (60) days after being appointed as such, after conducting a reasonable search for
such memorandum, the executor shall be held harmless for distributing such property as
hereinafter provided.
S 1.2 I bequeath any such property not disposed of by such memorandum, or all
of such property if no such memorandum is so located or received, to my husband, DANIEL E.
BEREN, ifhe shall survive me. Ifmy said husband shall fail to survive me, I give such property
to our children who survive me to be divided among them a they may agree. In the event they
fail to agree, the oldest child shall select one item to be followed by the next oldest child who
shall likewise select one item to be followed by the youngest child. The selection process shall
continue in a like order (oldest to youngest) until all items have been selected.
S 1.3 I direct that the expenses of storing, packing, shipping, insuring and
delivering any such property to the beneficiary entitled thereto shall be paid by the executor as an
administrative expense of my estate. In addition, to the extent practicable in the executor's sole
discretion, I bequeath any policies of insurance on such property to the beneficiary entitled to
such property.
S 1.4 I bequeath five thousand dollars ($5,000) to my following named nieces
and nephews who survive me: LLOYD TRIMMER, DAVIS TRIMMER, JULIA TRIMMER
and BETH MCKINLEY.
ARTICLE TWO
MARITAL DEDUCTION TRUST
S2.1 If my husband, DANIEL E. BEREN (hereinafter referred to as the
Beneficiary), survives me, or is presumed to have survived me as hereinafter provided, I devise
and bequeath to the trustee hereinafter named an amount equal to the value of the residue of my
estate, (determined on the basis of the values finally determined for federal estate tax purposes)
reduced by the maximum amount, if any, which will produce a federal taxable estate of a value
that, after allowing for my available applicable credit amount (also known as the unified credit)
will result in the minimum amount of federal estate tax being imposed on my estate. This trust,
to be known as the Marital Trust, may be composed of cash, or partly of cash and partly of
property in kind, and shall be funded only with property which qualifies for the federal estate tax
marital deduction in my estate, valued at the date of distribution, and which, to the extent other
property is available, shall not include property for which a foreign death tax credit is available.
S2.2 The trustee shall hold, manage, invest and reinvest the trust property, shall
collect the income thereof and shall distribute the net income in quarter-annual installments, or
more frequently if the trustee deems it advisable, to or for the benefit of the Beneficiary.
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~2.3 The trustee shall distribute to the Beneficiary such amounts from the
principal of the trust property as the Beneficiary shall from time to time request, without any
limitation in amount.
~2.4 The trustee shall distribute to or for the benefit ofthe Beneficiary so much
of the principal of the trust property as the trustee shall from time to time deem necessary or
proper for the Beneficiary's health, maintenance, comfort and support, taking into account other
available funds, including the Beneficiary's assets, and it is my desire that the trustee make liberal
expenditures for such purposes.
~2.5 Upon the Beneficiary's death, the trustee shall distribute the trust property
to such persons or corporations (including the Beneficiary's estate), in such amounts and upon
such trusts, terms and conditions as the Beneficiary by the Beneficiary's last will may appoint by
specific reference to this general power of appointment. Any property not so appointed shall be
added to and distributed as part of the portion of my estate disposed of by ARTICLE THREE of
this will.
ARTICLE THREE
DISPOSITION OF RESIDUE
~3.1 I devise and bequeath to the trustee hereinafter named the balance of the
residue of my estate for the benefit of my husband, DANIEL E. BEREN (hereinafter referred to
as the Beneficiary), in trust, for the following purposes:
~3.2 The trustee shall hold, manage, invest and reinvest the trust property, shall
collect the income thereof and shall distribute the net income in quarter-annual installments, or
more frequently if the trustee deems it advisable, to or for the benefit of the Beneficiary.
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93.3 The trustee shall distribute to or for the benefit of the Beneficiary so much
of the principal of the trust property as the trustee shall from time to time deem necessary or
proper for the Beneficiary's health, maintenance and support, taking into account other available
funds, including the Beneficiary's assets; provided, however, it is my wish and not my direction
that no such distribution be made until the principal of the trust created by ARTICLE TWO of
this will is expended or exhausted.
93.4 Upon the Beneficiary's death, the trustee shall distribute the balance of the
trust property to such one or more of my issue, in such amounts and upon such trusts, terms and
conditions as the Beneficiary by the Beneficiary's last will may appoint by specific reference to
this special power of appointment. Any such property not so appointed shall continue, or upon
my death if the Beneficiary does not survive me all the residue of my estate shall be held, as one
fund for the benefit of my then living issue, in trust for the following purposes:
93.5 The trustee shall divide the trust property into the same number of equal
shares as there are children of mine then living and deceased children of mine with issue then
living. One (1) such share shall be distributed to the then living issue, per stirpes, of each
deceased child of mine, subject to the provisions of ARTICLE FOUR of this will, and one (1)
such share shall be held for the benefit of each of my then living children, in trust for the
following purposes:
93.6 The trustee shall hold, manage, invest and reinvest the trust property, shall
collect the income thereof and shall distribute the net income in quarter-annual installments, or
more frequently if the trustee deems it advisable, to or for the benefit of such beneficiary.
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93.7 The trustee shall distribute to or for the benefit of such beneficiary so
much of the principal of the trust property as the trustee shall from time to time deem necessary
or proper for such beneficiary's health, maintenance, support and complete education, including
college and graduate education, and professional, vocational or technical training, and to assist
such beneficiary with his or her reasonable wedding expenses, in the purchase of a principal
residence or in the establishment of a profession or of a business considered a good risk by the
trustee, taking into account other available funds, including such beneficiary's assets.
93.8 At any time after such beneficiary attains thirty (30) years of age and prior
to attaining thirty (35) years of age, such beneficiary may withdraw such sums as do not exceed
one-third (1/3) of the market value of the principal of his or her trust as constituted on his or her
thirtieth (30th) birthday, or on the later establishment of his or her trust.
93.9 At any time after such beneficiary attains thirty-five (35) years of age and
prior to attaining forty (40) years of age, such beneficiary may withdraw such sums as do not
exceed one-half (1/2) ofthe market value of the principal of his or her trust as constituted on his
or her thirty-fifth (35th) birthday, or one-half (1/2) ofthe market value of the principal of his or
her trust as constituted on the establishment thereof if such beneficiary's trust is established on or
after his or her thirty-fifth (35th) birthday.
93.10 At any time after such beneficiary attains forty (40) years of age, such
beneficiary may withdraw any or all of the principal of his or her trust.
93.11 If such beneficiary dies before the complete termination of his or her trust,
the trustee shall distribute the property then held in trust for such beneficiary to such one or more
of my issue, in such amounts and upon such trusts, terms and conditions as such beneficiary by
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his or her last will may appoint by specific reference to this special power of appointment. Any
property not so appointed shall be distributed to such beneficiary's then living issue, per stirpes,
or if none, to my then living issue, per stirpes. If I have no issue then living, the trustee shall
distribute the trust property as though my husband and I had then died unmarried and intestate,
each seized and possessed of one-half (112) of such property and residents of the Commonwealth
of Pennsylvania.
ARTICLE FOUR
TRUST FOR BENEFICIARY UNDER 35 YEARS OF AGE
94.1 Except as otherwise provided in this will, if any beneficiary (other than a
child of mine or an appointee under any power of appointment granted by this will) is entitled to
receive a mandatory distribution of property (other than trust income), and is under thirty-five
(35) years of age, the trustee shall hold such property for the benefit of such beneficiary, in trust,
for the following purposes:
94.2 While such beneficiary is under twenty-one (21) years of age, the trustee
shall hold, manage, invest and reinvest the trust property, shall collect the income thereof and
shall apply to or for the benefit of such beneficiary so much of the net income and, if the net
income is insufficient, so much of the principal of the trust property as the trustee shall deem
necessary or proper for such beneficiary's health, maintenance, support and complete education.
The trustee shall annually accumulate any net income not so distributed and add the same to the
principal of the trust property.
94.3 After such beneficiary attains twenty-one (21) years of age, the trustee
shall continue to hold, manage, invest and reinvest the trust property, shall collect the income
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thereof and shall distribute the net income in quarter-annual installments, or more frequently if
the trustee deems it advisable, to or for the benefit of such beneficiary.
94.4 After such beneficiary attains twenty-one (21) years of age, the trustee
shall distribute to or for the benefit of such beneficiary so much of the principal of the trust
property as the trustee shall from time to time deem necessary or proper for such beneficiary's
health, maintenance, support and complete education, including college and graduate education,
and professional, vocational or technical training, and to assist such beneficiary with his or her
reasonable wedding expenses, in the purchase of a principal residence or in the establishment of
a profession or of a business considered a good risk by the trustee, taking into account other
available funds, including such beneficiary's assets.
94.5 At any time after such beneficiary attains twenty-five (25) years of age and
prior to attaining thirty (30) years of age, such beneficiary may withdraw such sums as do not
exceed one-third (113) of the market value of the principal of his or her trust as constituted on his
or her twenty-fifth (25th) birthday, or on the later establishment of his or her trust.
94.6 At any time after such beneficiary attains thirty (30) years of age and prior
to attaining thirty-five (35) years of age, such beneficiary may withdraw such sums as do not
exceed one-half (1 /2) of the market value of the principal of his or her trust as constituted on his
or her thirtieth (30) birthday, or on the later establishment of his or her separate trust.
94.7 At any time after such beneficiary attains thirty-five (35) years of age, such
beneficiary may withdraw any or all of the principal of his or her trust.
94.8 If such beneficiary dies before the complete termination of his or her trust,
the trustee shall distribute the property then held in trust for such beneficiary to such persons or
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corporations (including such beneficiary's estate), in such amounts and upon such trusts, terms
and conditions as such beneficiary by his or her last will may appoint by specific reference to this
general power of appointment; provided, however, any portion of the trust property not subject to
such beneficiary's power of withdrawal immediately prior to his or her death may only be
appointed to such persons or corporations (other than such beneficiary's estate, his or her
creditors or the creditors of his or her estate), in such amounts and upon such trusts, terms and
conditions as such beneficiary by his or her last will may appoint by specific reference to this
special power of appointment. Any property not so appointed shall be distributed to such
beneficiary's then living issue, per stirpes, or if none, to my then living issue, per stirpes. If I
have no issue then living, the trustee shall distribute the trust property as though my husband and
I had then died unmarried and intestate, each seized and possessed of one-half (112) of such
property and residents of the Commonwealth of Pennsylvania.
ARTICLE FIVE
APPOINTMENT OF FIDUCIARIES
~5.1 I appoint my husband, DANIEL E. BEREN, executor ofthis will. Ifhe is
unable or unwilling to act or continue as executor for any reason whatsoever, I appoint my
children, DAY BEREN, SANDRA B. RITTER and JANE BEREN, successor executors.
~5.2 I appoint my husband, DANIEL E. BEREN, trustee of any trust created by
this will. Ifhe is unable or unwilling to act or continue as trustee for any reason whatsoever, I
appoint my children, DAY BEREN, SANDRA B. RITTER and JANE BEREN, successor
trustees.
~5.3 I appoint my husband, DANIEL E. BEREN, guardian of the estate of any
minor beneficiary of my estate. Ifhe is unable or unwilling to act or continue as guardian of the
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estate, I appoint my children, DAY BEREN, SANDRA B. RITTER and JANE BEREN,
successor guardians of the estate.
95.4 Every successor or additional trustee shall have all rights, powers,
privileges and duties, whether discretionary or otherwise, herein given to the original trustee and
shall be subject to the same reservations, limitations, terms and conditions.
AR nCLE SIX
COMPENSA nON OF FIDUCIARIES
96.1 An individual fiduciary shall be entitled to receive reasonable
compensation for such fiduciary's services hereunder.
ARTICLE SEVEN
POWERS OF FIDUCIARIES
97.1 No fiduciary under this will shall be required to give bond or other security
for the faithful performance of the fiduciary's duties.
97.2 Any such fiduciary shall have the following powers, in addition to those
given by law:
97.3 To invest in, accept and retain any real or personal property, including
stock of a closely held corporation or stock of a corporate fiduciary or its holding
company, without restriction to legal investments; provided, however, if any
property that forms a part of the principal ofthe trust established by ARTICLE
TWO ofthis will is unproductive, my husband, DANIEL E. BEREN, may at any
time and from time to time by a written notice require the trustee of said trust
either to make any or all of such property productive or to convert such property
within a reasonable time after the trustee receives such notice;
97.4 To sell, exchange, partition or lease for any period oftime any real or
personal property and to give options therefor for cash or credit, with or without
securi ty;
97.5 To borrow money from any person including any fiduciary acting
hereunder, and to mortgage or pledge any real or personal property;
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97.6 To hold shares of stock or other securities in nominee registration form,
including that of a clearing corporation or depository, or in book entry form or
unregistered or in such other form as will pass by delivery;
97.7 To engage in litigation and compromise, arbitrate or abandon claims;
97.8 To make distributions in cash, or in kind at current values, or partly in
each, allocating specific assets to particular distributees on a non-pro rata basis,
and for such purposes to make reasonable determinations of current values;
97.9 To determine the apportionment of receipts and expenses, including
extraordinary cash dividends, stock dividends, capital-gain dividends of regulated
investment companies and proceeds and expenses of the sale of unproductive real
estate, between income and principal, such apportionment to be made so as to
balance fairly the interests of any income beneficiary and the remaindermen;
97.10 To make elections, decisions, concessions and settlements in connection
with aU income, estate, inheritance, gift or other tax returns and the payment of
such taxes, without obligation to adjust the distributive share of income or
principal of any person affected thereby;
97.11 To payoff any loans I may have taken against any life insurance policies
owned by me that remain unpaid at the time of my death;
97.12 To merge any trust created hereunder with any other trust or trusts created
by me or my spouse under will or deed, if the terms of any such trust are then
substantially similar and held for the primary benefit of the same person or
persons;
97.13 To allocate, in the executor's sole and absolute discretion, any portion of
my exemption under section 2631(a) of the Internal Revenue Code to any property
as to which I am the transferor, including any property transferred by me during
my lifetime as to which I did not make an allocation prior to my death;
97.14 To disclaim any interest I may have in any estate if the executor deems
such disclaimer to be in the best interests of my estate and the beneficiaries
thereof; and
97.15 To allocate between the trusts established by ARTICLE TWO and
ARTICLE THREE ofthis will any property that is not includible in my estate for
administration purposes, but which is paid directly to the trustee and is not
otherwise designated for a specific trust, in such shares as the trustee deems
appropriate, except that a sufficient amount of such property shall be allocated to
the trust established by ARTICLE TWO of this will to enable my estate to take
advantage of the federal estate tax marital deduction to the extent indicated;
provided, however, any portion of such property that does not form a part of my
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gross estate for federal estate tax purposes shall be allocated to the trust
established by ARTICLE THREE of this will and shall not be used for the
payment of death taxes, debts or administrative expenses.
ARTICLE EIGHT
PROVISION FOR TAXES
98.1 All estate taxes, inheritance taxes, transfer taxes and other taxes of a
similar nature payable by reason of my death to any government or subdivision thereof upon or
with respect to any property subject to any such tax, and any penalties thereon, shall be paid by
the executor out of the principal of that portion of my estate disposed of by ARTICLE THREE of
this will, and all interest with respect to any such taxes shall be paid by the executor out of the
income or principal or partly out of the income and partly out of the principal of such portion of
my estate, in the absolute discretion of the executor, without reimbursement from or
apportionment among the beneficiaries, recipients or owners of such property for any such taxes,
penalties or interest; provided, however, except as hereinafter indicated, the executor shall not
pay any such taxes, penalties or interest attributable to any property included in my estate solely
because of a power of appointment thereover which I possess but have not exercised or any
qualified terminable interest property.
ARTICLE NINE
MISCELLANEOUS PROVISIONS
99.1 Any term used in the singular or plural, or in the masculine, feminine or
neuter form, shall be singular or plural, or masculine, feminine or neuter as a proper reading of
this will may require.
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99.2 As used in this will, the term "Internal Revenue Code" shall mean the
Internal Revenue Code of 1986, as amended from time to time, or the corresponding provision of
subsequent law.
99.3 If at the time a mandatory distribution of property from any trust created
by this will would otherwise be made to a beneficiary for whom there is in existence any trust
(other than the trust from which such distribution is made) created by this will for the benefit of
such beneficiary, the property otherwise to be distributed to such beneficiary shall be added to,
form a part of, and be distributed in accordance with the terms of the trust herein created for such
beneficiary.
99.4 Whenever the trustee is authorized or directed to distribute property "to or
for the benefit of' any beneficiary under the age of twenty-one (21) years, the trustee 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 the trustee (including the trustee),
under any applicable Uniform Transfers to Minors Act or Uniform Gifts to Minors Act, may
distribute such property to a guardian of such beneficiary's estate, or may distribute such property
directly to such beneficiary, without liability on the part of the trustee to see to the application of
such property.
99.5 Except as otherwise may be provided in this will, during the continuance
of any of the trusts created under the provisions of this will, and thereafter until the property is
distributed to and received by any beneficiary hereunder, the principal sums thus held in trust for
any beneficiary, and the income thereof, shall not be subject to or liable for any contracts, debts,
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engagements, liabilities or torts of such beneficiary now or hereafter made, contracted, incurred
or committed, but shall be absolutely free from the same, and such beneficiary shall have no
power to sell, assign or encumber all or any part of the principal sums or such beneficiary's
interest therein respectively, or the income thereof, or to anticipate the income.
S9.6 Notwithstanding any other provision of this will, upon the expiration of
twenty-one (21) years after the death of the last survivor of my spouse and my issue living on the
date of my death, the trusts created hereunder shall forthwith terminate and the trust property
shall be distributed to the beneficiary then entitled to the income of the trust property or, ifthere
is more than one such beneficiary, to the beneficiaries then entitled to the income of the trust
property in proportion to their respective interests therein or, if such interests are not defined, in
equal shares to such beneficiaries.
S9.7 Ifmy husband, DANIEL E. BEREN, and I die under such circumstances
that it is impossible to determine which of us survived, it shall be conclusively presumed and this
will shall be construed as ifmy said husband had not survived me.
S9.8 If any trust created hereunder is (or becomes) the beneficiary of any
benefits from a stock bonus, pension, profit-sharing or other retirement benefit plan or any
individual retirement account (individually, a "Plan"), then as to each such Plan account:
(i) The trustee shall withdraw from such Plan and take such other action
as is necessary to assure that the Plan distributes to the trust annually an amount which shall not
be less than the greater of (i) the amount required to be distributed by Section 40 I (a)(9) of the
Code or Section 408(a)(6) of the Code, as the case may be, or (ii) an amount equal to the net
income earned by the Plan during such calendar year;
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(ii) Irrespective of whether my account in the Plan is designated as
principal for trust accounting purposes, the trustee shall allocate to income that portion of the
distributions received from the Plan during each annual period which is equal to the net income
earned by the Plan account during such period; and
(iii) If any of the property in my account in the Plan is non-income
producing or underproductive and the Plan benefits are payable to a trust for which a federal
estate tax marital deduction had been claimed, the trustee shall reallocate to income from
principal of the trust an amount which the trustee reasonably determines would have been earned
as net income on such property if it were income producing or fully productive, as the case may
be.
IN WITNESS WHEREOF I have hereunto set my hand and seal this 5~ day of
~Cs2~~ ,2005.
~
"t"iO--~ ('. C:J ~~
. j JOAN C. BEREN
(SEAL)
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Signed, sealed, published and declared by the above JOAN C. BEREN, as and for
her last will, in the presence of us and each of us, who, at her request and in her presence and in
the presence of each other, have hereunto subscribed our names as witnesses thereto the day and
year last above written.
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COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF -.D /t-UPH rJ..)
I, JOAN C. BEREN, the testator, 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, and that I signed it willingly and as my free
and voluntary act for the purposes therein expressed.
~~ C "00>ulT--.
. JOAN C. BEREN '
Sworn to or affirmed and acknowledged before me by JOAN C. BEREN, the
testator, this
Ih >'1'\ _ )
5 day of L/fJCerYIt:Je, r , 2005.
(SEAL)
~CD1~UOtkJt/
/'Not ry Public
NOTARIAL SEAL
TROY ROHRBAUGH NOTARY PUBLIC
CITY OF HARRISBURG, DAUPHIN COUNTY
MY COMMISSION EXPIRES JUNE 30. 2007
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COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF DA-U? ttrlJ
We,
and ~~:r. krtt(L Jr:
, 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 the testator sign and execute
the instrument as her last will; that the testator signed willingly and executed it as her free and
voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and
sight of the testator signed the will as a witness; and that to the best of our knowledge the testator
was at the time 18 or more years of age, of sound mind and under no constraint or undue
influence.
Sworn to or affirmed and subscribed to before me by (VIC>-f~ l{t.\.(\n~h L~d+
and ~D~" 7. l~("~ \ \ ~(". , witnesses, this Sit, day of ]:eeeMbe..c ,2005.
I
(SEAL)
~
ot ublic
NOTARIAL SEAL
TROY ROHRBAUGH NOTARY PUBLIC
CITY OF HARRISBURG, DAUPHIN COUNTY
MY COMMISSION EXPIRES JUNE 30, 2007
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