The URL can be used to link to this page

Home My WebLink About05-08-06 Wachovia Bank, N.A. PA1308 Post Office Box 7558 Philadelphia, PA 19101-7558 Fax 215 670-6422 III ~~~.. ...-"'" ~.-...-, Direct Dial (215) 670-6395 Email: jamal.konata@wachovia.com ~ACHOVIA TRUST May 4, 2006 Certified Mail Return Receipt No. 7005 1820 0001 0684 9524 Register of Wills Cumberland County Courthouse 1 Courthouse Square, Room 102 Carlisle, P A 17013-3387 Re: Becker, Gertrude L. Date of Death: August 5, 2005 File No.: 2105-0816 Pennsylvania Inheritance Tax Return Gentlemen: Enclosed is the Pennsylvania Inheritance Tax Return, in duplicate, for the above captioned decedent who died a resident of Lebanon County, Pennsylvania. Also enclosed are copies of decedent's Will and Trust under Deed. A Federal Estate Tax Return is not required for this estate. The balance of Inheritance Tax due with this Return is $1,162.56. Our company's check in that amount is attached to the bottom portion of this letter. Please type the Postmark Date on the Official Receipt. Kindly receipt and return the accompanying copy of this letter to the undersigned. Very truly yours, ~~r;:~ ~al Konata Vice President Attachment/Enclosures cc: Henry Heiser, Esquire Patricia A. Jackson, Vice President REV-1500 EX + (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governrnental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES 15. Amount of Une 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X.O _ (15) TAX 16. Amount of Line 14 taxable at lineal rate 245,834. 71 x.o ~ (16) COMPU- 17. Amount of Line 14 taxable at sibling rate 0 . 00 X .12 (17) T A TION 18. Amount of Line 14 taxable at collateral rate 0 . 00 X .15 (18) 19. Tax Due (19) 20. D l:iQij~~::ij~:n~~::tptfjiije::jeQijI$jfiNQj:4Jf~lf.jiji::Pi:U::pWijpAVMekt:::1 DECE- DENT CHECK APPRO- PRIATE BLOCKS COR- RE- SPON DENT RECA- PITULA- TION OFFICIAL USE ONLY REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21 05 0816 NUMBER COUNTY CODE YEAR DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Becker, Gertrude L. 164-46-0354 DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE 08/05/05 04/21/1913 WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER ; 1. Original Return 4. Limited Estate 6. Decedent Died Testate (Attach copy of Will) 9. Litigation Proceeds Received ~ 2. Supplemental Return 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach a copy of Trust) 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) 3. Remainder Return D (date of death prior to 12-13-82) D 5. Federal Estate Tax Return Required o 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (Attach Sch 0) jjJ$:~'JY.$t~:II~:~9M'Un.#it.t~qQlij_.a:~i)~QijljMItJMtti\(JifQ"Min~ij!O~ijQij@d"t~iMRtwiJiR~ NAME COMPLETE MAILING ADDRESS Jarral Konata, Vice President P.O. Box 7558 /PA1308 FIRM NAME (If Applicable) Philadelphia, PA 19101-7558 Wachovia Bank, N .A. TELEPHONE NUMBER (215) 670-6395 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested (1 ) (2) (3) (4) None 182,887.67 None None (-) OFFICIAL ~~ ONLY r c..... .) ::-TJ '--;1 C) ~_-.J ;-~) - -- --'" ) - "::-1 o -) (....) .-, .-r"l --.:: J - ~~ ~=~~~ co (5) 23,060.77 None (6) (.'1 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) (7) 57,928.46 (8) 16,019.12 2,023.07 (11 ) (12) (13) 263,876.90 18,042.19 245,834.71 None (14) 245,834.71 11,062.56 0.00 0.00 11,062.56 :~:??:f::mt?t:f{m?tt:ff:{::?mf:tmfffwmffWt~~i::$.e:~$U~~4tfAN$.W~\~4~H~~ij~lQN$J'-NJfA$~~:~tANtfB~GH~WMA1HgWfffffffffJiIt::tm:~~:~tt:ff~JItttI?:tmt: o PA15001 NTF 29755 Copyright 2000 GreatlandlNelco LP - Forms Software Only Estate of: Gertrude L. Becker 21-05-0816 SUMMARY OF ALI.DCATIONS 'ID BENEFICIARIES Taxable at lineal rate Carl L. Becker - Deceased Catherine L. Riesbeck Carolyn B. Hayes Cynthia B. Meyerer Andrew C. Becker Constance G. Finnegan - Deceased Shann F. Hanrrons Carol B. Heiser Linda B. Baer 0.00 11,744.14 11,744.14 11,744.14 11,744.14 0.00 46,976.56 75,940.79 75,940.80 245,834.71 PA REV-1500 EX (6-00) Decedent's Com lete Address: STREET ADDRESS Bet Villa e Page 2 325 Wesle Drive CITY Mechanicsburg Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount STATE PA ZIP 17055 (1 ) 11,062.56 9,405.00 495.00 Total Credits (A + B + C) (2) 9,900.00 3. InteresVPenalty if applicable D. Interest E. Penalty Total InteresVPenalty (0 + E) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Une 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2. enter the difference. This is the TAX DUE. (5) 1,162.56 A. Enter the interest on the tax due. (SA) 0.00 B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5B) 1, 162 . 56 ;;iiIit[1mm@[ii;lm@;I;;H[@i@Mf.1Wilti;it~ii@i@ii;i~iiiii;lii~\I;;:i:;~;tiigimj@i@fIf~llmmt~@mfi:H@tt@illWI.;mm@ 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; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ ~ ~: ::~ :;e~~:i:::~::S;: .S.h~~I.~~~ ~~ ~~ ~~~~~~ .~r.~. i.=;. . . : : : : : : : : : : : : : : : . . 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 3. ~~=:::~~:::,,::~a::I~.~~ ~~~ ~~ .~~;~n~ ~r.~~~~ ~~ ~.~~; ~~~ .d~~;. . . . B ~ 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 ~nalties of pe~ury, I declare that I have examined this retum 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 personal representative is based on information of which re rer has an knowled e. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE Wachovia Bank, N.A., BY: Jamal' Konata, Vice Pres. 05 03 2006 ADDRESS See Schedule attached SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS [72 P.S. ~ 9116 (a) (1.1) (i)). For dates of death on or after January 1, 1995, the tax rate is imposed on the net value of transfers to or for the use of the surviving spouse is OOk [72 P .S. Ii 9116 (a) (1.1) (ii)). The statute does not exemDt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum 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 twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 89116(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%, except as noted in n.p .5. i 9116(1.2) (72 P .5. % 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% [72 P .5. i 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. o PA15002 NTF 29756 Copyright 2000 GreatlancllNelco LP . Forms Software Only Estate of: Gertrude L. Becker 21-05-0816 ~e following person{s) are signing the retUTIl as representative(s) of the estate: wachovia Bank, N .A. P.O. Box 7558 /PA1308 fJ. KOnata Philadelphia, PA 19101-7558 REV-1503 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Gertrude L. Becker SCHEDULE B STOCKS & BONDS FILE NUMBER 21-05-0816 All property Jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NO. DESCRIPTION VALUE AT DATE OF DEATH 1 Securities Received from Trust Reported on Schedule G, Item 1 per Attached Schedule 180,337.65 2 39 Shares Prudential Financial, Inc. 2,550.02 7 CPA31 NTF 10905 Copyright Forms Software Only, 1997 Nelco, Inc. TOTAL (Also enter on line 2. Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 182,887.67 ESTATE VALUATION Date of Death: Valuation Date: OS/05/2005 OS/05/2005 Estate of: GERTRUDE L. BECKER Account: 000001519202745 Report Type: Date of Death Number of Securities: S File ID: EVI_20050S26_1519202745 Shares or Par Security Description High/ASk Low/Bid Mean and/or Div and Int Adjustments Accruals Security Value 1) 25000 FEDERAL HOME LN BKS (3133M6R75) Government/Agency (Dealer Quotations) DTD: 11/25/199S Mat: 11/25/2005 5.265% OS/05/2005 100.46S75 100.43750 A/B 100.453125 25,113.2S Int: OS/25/2005 to OS/05/2005 255.94 2) 25000 FEDERAL HOME LN BKS (3133M7GAS) Government/Agency (Dealer Quotations) DTD: 01/27/1999 Mat: 01/27/2006 5.29% OS/05/2005 100.65625 100.62500 A/B 100.640625 25,160.16 Int: 07/27/2005 to OS/05/2005 29.39 3 ) 25000 DU PONT E I DE NEMOURS & CO (263534BJ7 ) Financial Times Interactive Data DTD: 10/20/1999 Mat: 10/15/2009 6.S75% OS/05/2005 108.7S125 A/B 10S.7S1250 27,195.31 Int: 04/15/2005 to 08/05/2005 525.17 4) 25000 LEHMAN BROS HLDGS INC (52490SCVO) Financial Times Interactive Data DTD: 01/29/2001 Mat: 02/01/2008 7% OS/05/2005 105.37500 A/B 105.375000 26,343.75 Int: OS/01/2005 to OS/05/2005 19.44 5) 25000 WAL MART STORES INC (931142BE2 ) Financial Times Interactive Data DTD: 08/10/1999 Mat: OS/10/2009 6.S75% OS/05/2005 10S.12500 A/B 10S.125000 27,031. 25 Int: 02/10/2005 to OS/05/2005 S35.50 6 ) 1842.3S7 AXP DIVERSIFIED BD FD (00245B100) CL A Mutual Fund (as quoted by NASDAQ) OS/05/2005 4.S3000 Mkt 4.S30000 S,S9S.73 7) 500 SUSQUEHANNA BANCSHARES INC PA (S69099101) COM NASDAQ Bank - Insurance OS/05/2005 26.67000 25.93000 H/L 26.300000 13,150.00 Div: 0.23 Ex: 07/2S/2005 Rec: OS/01/2005 Pay: OS/19/2005 115.00 S) 1665.459547 EVERGREEN EQUITY TR (30023C657) LRG CAP EQTY I Mutual Fund (as quoted by NASDAQ) 08/05/2005 15.41000 Mkt 15.410000 25,664.73 Total Value: Total Accrual: Total: $lS0,337.65 $17S,557.21 $1,7S0.44 Page 1 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 7.0.3) REV-15GB EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Gertrude L. Becker SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21-05-0816 Include proceeds of litigation & date proceeds were received by the estate. All prop. Jointly-owned with right of survivorship must be disclosed on Sch. F. ITEM VALUE AT NO. DESCRIPTION DATE OF DEATH 1 tJbney Market Accounts Received fran Trust Reported on Schedule G, Item 1: Wachovia PT tJbney Market 13,814.38 Interest accrued to 08/05/2005 5.99 2 Sovereign Bank 7,931.87 Checking Account No. 0034766851 Interest accrued to 08/05/2005 0.36 3 IDS Life Insurance Carpany 1,048.68 Uncashed Pension Check dated 07/29/2005 4 Sovereign Bank 118.00 Credit for returned check fran Buck & Buck 5 Blue Cross of Northeastem PA 141.49 Refund of uneamed premium TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 23,060.77 7 CPA81 NTF 10908 Copyright Forms Software Only, 1997 Nelco, Inc. REV-1510 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Gertrude L. Becker SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER 21-05-0816 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NO. DESCRIPTION OF PROPERTY INCLUDE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECO & DATE OF TRANSFER. ATTACH COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF EXCLUSION DECD'S (IF INTEREST APPLICABLE) TAXABLE VALUE 1 Decedent created a revocable Trust under Deed dated November 2, 1984, Camonwealth Bank and Trust Carpany, N.A. (now Wachovia Bank, N .A. ), trustee. Assets reported on Schedule B, Item 1 and Schedule E, Item 1. 0.00 2 IX=cedent created a revocable IRA Trust under Agreerrent date November 16, 1983 Camonwealth Bank and Trust Carpany, N.A. (~Wachovia Bank, N.A.), trustee. Payable to Carol B. Heiser and Linda B. Baer, daughters: Wachovia PI' IVbney Market Interest accrued to 08/05/2005 500.72 0.20 761.124836 Units Evergreen Core Bond Fund Inst Cl 8,029.87 1,282.808528 Evergreen Short-Inte:rnediate Bond Fund 7,709.68 3 Arreriprise Financial Annuity Contract No. 9900-9034494 Payable to Carol B. Heiser and Linda B. Baer, daughters Value per attached letter 41,687.99 4 For Info:r.m3.tion Only: At tirre of death, decedent was receiving pension benefits from IDS Life Insurance Carpany. All benefits tenninated at decedent's death. 0.00 7 CPA01 NTF 10910 TOTAL (Also enter on line 7, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 57,928.46 Copyright Forms Software Only, 1997 Nelco, Inc. AUG-23 05 17:44 FROM:H. HEISER, III, ESQ. 717-334-7616 TO: 7172913470 PAGE: 10 Ameriprise e Financial IDS Life Intlurance Comp~ny of Now York 20 Madison Ava. ~xt. P.O,~ox 5144 Albany, NY 12205 August 18, 2005 Carol Heiser 30 Ridgewood Trail Gettysburg PA 17325 Re: 9900-9034494 - Gertrude Becker Dear Ms. Heiser: Please accept our condolences on your loss. In order to complete processing oithis claim, the following requirements are needed at this time: . Any payments received after the date of death . "Death Claim Statement (fonn #38111, enclosed, each beneficiary) . The Original Policy or complete secllon D of page 4 on the Death Claim Statement (fonn #38111) . Certified copy of the Death Certificate (raised seal) . Newspaper clippings, if available These requirements must be cl')mpleted by Carol Heiser, daughter, and Linda Baer, daughter, as the named beneficiaries of the above referenced policy. The value for estate tax purposes for policy 9900..9034494, as of August 5, 2005, was $41,687.99. Please note that policy 9900-9034494 was annuitized January 29, 1999. under the settlement mode of Ten Years Period Certain. The guaranteed period will expire on December 29, 2008. Please note that the estate tax value is not the value that would be paid in a lump sum. Th;s amount represents what would be needed to purchase the remaining payments of policy number 9900-9034494. Please note that this policy only provides for a continuation of payments as stated in the contract. Pleast: remember to complete Death Claim Statement including the appropriate taX identificat10n number and \\'ithholding election. Failure to include this information or any other requirement may result in a delay in the valuation of the contract and payment of benefits. Should you have any questions, please feel free to contact me. S incerel y, ~ Nathan A. White. ALHC Claims Analyst 1-800-541-2251, option #] ,ext. 8361 InSUr'o;l(lCG and annuities fife iS5UE:ld by IDS Life Insurance Con'pany of New VOl'k. an ArT,eriprise Financial company. REV-1511EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Gertrude L. Becker SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-05-0816 Debts of decedent must be reported on Schedule I. ITEM NO. DESCRIPTION A. FUNERAL EXPENSES: AMOUNT 1 J. E . GibOOns Williarn9p:)rt Metrorial Carpany- Headstone inscription 70.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Wachovia Bank, N .A. Social Security Number(s)/EIN No. of Personal Representative(s) Street Address 123 South Broad Street, P.O. Box 7558 /PAl308 City Philadelphia State PA Zip 19101-7558 10,877.00 Year(s) Commission Paid: 2006 2. 3. Attorney Fees Narre: Henry Heiser, Esquire 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 2,640.00 0.00 4. Probate Fees 132.00 5. Accountant's Fees 0.00 6. Tax Return Preparer's Fees 0.00 See Schedule attached Total from continuation page (8) 2,300.12 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 16,019.12 7 CPA11 NTF 10911 Copyright Forms Software Only, 1997 Nelco, Inc. Estate of: Gert:rude L. Becker SCHEDULE H, PART B -- Administrative Costs Item No. Description 7 Selling expenses on sale of securities 8 Wachavia Bank, N.A. - Net rronthly t:rustee carmission paid for trust reported on Schedule G, Item 1 08/10/2005 to 09/09/2005 9 Wachavia Bank, N.A.- Net rronthly t:rustee carmission paid for trust reported on Schedule G, Item 2 08/10/2005 to 12/20/2005 10 Register of Wills- Short Certificate 11 Patriot-News- Legal advertising 12 Cumberland Law Journal- Legal advertising 13 Other miscellaneous administration expenses 'IOTI-\L. (Carry forward to rrain schedule) . . . . . . Page 2 21-05-0816 Arrount 50.53 766.43 565.42 4.00 238.74 75.00 600.00 2,300.12 REV-1512 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Gertrude L. Becker Include unreimbursed medical expenses. ITEM NO. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21-05-0816 DESCRIPTION AMOUNT 1 Bethany Skilled Nursing Hare- Balance due for nursing care 1,433.32 2 Albert Pharnecy Services, Inc. - Balance due for pharnecy se1:Vices 321.75 3 Bonnie Miller, Treasurer- Balance due for School Personal Tax 11.00 4 PA Department of Revenue- Balance due on 2005 PA Individual Incare Tax Retum 257.00 7 CPA12 NTF 10912 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 2,023.07 Copyright Forms Software Only, 1997 Nelco, Inc. REV-1513 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER Gert:rude L. Becker 21-05-0816 RELATIONSHIP TO DECEDENT AMOUNT OR No. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) SHARE OF ESTATE I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) See Schedule attached ENTER DOLLAR AMTS. FOR DISTRIBS. SHOWN ABOVE ON LINES 15 THROUGH 17. 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 None B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS None TOTAL OF PART 11-- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 0.00 7 CPA13 NTF 10913 (If more space is needed, insert additional sheets of the same size) Copyright Forms Software Only, 1997 Nelco. Inc. Estate of: Gertrude L. Becker SCHEDULE J, Part 1 -- Taxable Distributions Item No. Narre and Address of Beneficiary 1 Carl L. Becker - Deceased Children of Carl L. Becker: 2 Catherine L. Riesbeck 1/4 of 25% of Residue 1917 Bridg'ewater Drive Heathrow, FL 32746 3 Carolyn B. Hayes 1/4 of 25% of Residue 2752 Dunnore Drive Snellville, ~ 30078 4 Cynthia B. Meyerer 1/4 of 25% of Residue 11175 Watertrace Drive Tega Cay, se 29708 5 Andrew C. Becker 1/4 of 25% of Residue 5722 Crestview Drive Western ~rings, IL 60558 6 Constance G. Finnegan - Deceased Child of Constance G. Firmegan: 7 Shaun F. Hamrons 25% of Residue 102 Euphrates Circle Palm Beach Gardens, FL 33410 8 Carol B. Heiser 25% of Residue 30 Ridge\\aXi Trail Gettysburg, PA 17325 9 Linda B. Baer 25% of Residue 6 Ramsgate Drive HUmmelstown, PA 17036 Relationship Granddaughter Granddaughter Granddaughter Grandson Granddaughter Daughter Daughter Page 2 21-05-0816 Arrount 0.00 11,744.14 11,744.14 11,744.14 11,744.14 0.00 46,976.56 75,940.79 75,940.80 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT WACHOVIA BANK NA WEALTH MANAGEMENT GROUP POBOX 7558 PHILADELPHIA, PA 19101-9718 ____uu fold EST A TE INFORMATION: SSN: 164-46-0354 FILE NUMBER: 2105-0816 DECEDENT NAME: BECKER GERTRUDE L DATE OF PAYMENT: 05/08/2006 POSTMARK DATE: 05/04/2006 COUNTY: CUMBERLAND DATE OF DEATH: 08/05/2005 NO. CD 006667 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $1,162.56 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 49669872 SEAL INITIALS: MG RECEIVED BY: REGISTER OF WILLS $1,162.56 GLENDA FARNER STRASBAUGH REGISTER OF WILLS ~ .~ ; REVOCABLE DEED OF TRUST Made this ,{ ~ day of )z..(~,."..-- , 1984. GERTRUDE L. BECKER, of Williamsport, Pennsylvania, as the settlor, CARL L. BECKER, of Orlando, Florida, as the individual Trustee, and COMMONWEALTH BANK AND TRUST CO., N.A., a national banking association authori%ed to engage in trust business in the Common~ealth of Pennsylvania, as the corporate Trustee, hereby agree as follows: ONE: The Settlor hereby transfers and delivers to the Trustees the property listed in Schedule nAil attached hereto, together with all her interest therein. The Trustees shall hold said property, together with any additions thereto as hereinafter provided, as a Trust Estate, shall invest and reinvest the same and shall distribute the net income (hereinafter called "Income") and principal as set forth 1n the following provisions. (A) During the Settlor's lifetime, the Trustees shall pay the Income quarter-annually to her or for her benefit and shall also pay to her such sums from principal as she may direct in writing; PROVIDED, however, that in the event of the Settlor's mental or physical incapacity, as certified to the corporate Trustee by her personal physician, the corporate Trustee shall expend both Income and principal to such extent and in such manner as it in its discretion deems advisable for the welfare and comfortable support of the Settlor and her family during such period of incapacity. The corporate Trustee is specifically authorized, in the event of such incapacity, to continue the Settlor's pattern of making gifts to individuals and organizations. - -.1 ','c: i-1 -:.2 :::J . I . 1 ;--1 "'" C.:J ':.J (::.,...., ...."...~< I OJ en '~? ... , . (B) Upon the Settlor's death, the trust shall terminate, and the then principal and any accrued or undistributed Income shall be transferred and delivered to the personal representative of the Settlor's estate for distribution as part of her estate. TWO: (A) The Trustees hereunder shall have the following powers, in addition to and not in limitation of those granted by law: to accept and to retain assets in kind; to sell assets and to invest and reinvest the proceeds and any other cash in any kind of property, real or personal, or part interest therein, located in the United States or abroad, including interest-bearing accounts in or certificates issued by the banking department of the corporate Trustee and securities underwritten by syndicates of which the corporate Trustee is a member but not purchased from the corporate Trustee, all statutory and other limitations as to the investment of funds, now or hereafter enacted or in force, being waived; to hold income cash uninvested until the next regular payment date, without liability for interest thereon; to pledge, exchange or mortgage real or personal property and to lease the same for terms exceeding five (5) years; to give options for sales, leases and exchanges; to borrow money; to compromise claims; to vote shares of corporate stock, in person or by proxy, in favor of or against management proposals; to carry securities in the name of a nominee, including that of a clearing corporation or depository, or in book entry form or unregistered or in such other form as will _ i -. pass by delivery; and to make distribution either in cash or in kind; PROVIDED, however, that any sales or purchases made by Trustees shall be within guidelines established by Settlor in writing, which guidelines may at the option of Settlor be amended on an annual basis. The Trustees are specifically authorized to accept in kind and to retain any shares of COMMONWEALTH BANK AND TRUST CO., N.A., stock, with no duty on the part of the corporate Trustee to review the same for investment purposes, but shall vote the same only as directed by the Settlor. The Trustees shall have no liability for any mistake or error of judgment made in good faith. (B) As between the Trustees, the corporate Trustee shall per- form all ministerial and administrative duties, including the keeping of books and records, acting as custodian of the trust property and preparing all necessary tax returns. The indiVidual Trustee may delegate from time to time to the corporate Trustee, by an instrument in writing, any or all of said individual Trustee's rights, powers and duties hereunder. In the event of the inability or unwillingness of the original individual Trustee to continue in such capacity, EDWARD M. BAER shall become individual Trustee; but in case of the latter's inability or unwillingness to serve, no successor shall be appointed. . (c) Corporate distributions received in shares of the distribut- ing corporation shall be allocated to principal, regardless of the number of shares and however described or designated by the distributing corporation. (D) The Trustees shall furnish to the Settlor quarter-annual statements of income, principal and investments and, on or before April first of each year, a report of the income for the preceding calendar year for Federal and state income tax purposes. (E) The corporate Trustee may resign at any time by written notice to the Settlor. In case of the merger or consolidation of the corporate Trustee, the resultant company shall become successor corporate Trustee hereunder without notice to any party. (F) The corporate Trustee shall be entitled to receive annual compensation for its services hereunder in accordance with its schedule in effect when the services are performed, but not in excess of such compensation as would be approved by a court of competent jurisdiction. Such compensation shall be charged wholly against income, unless the Settlor directs otherwise in writing. The individual Trustee shall serve without compensation. THREE: (A) The Settlor may add hereto cash or such property in kind as is acceptable to the corporate Trustee. (B) The Settlor reserves the right to revoke this Deed of Trust at any time, in whole or in part, by written notice delivered to the corporate Trustee during the Settlor's lifetime. (C) The Settlor further reserves the right to amend this Deed of Trust at any time by a proper instrument in writing, executed by .. .l the Settlor, delivered to the corporate Trustee during the Settlor's lifetime and accepted by the Trustees. FOUR: This Deed of Trust has been delivered to and accepted by the corporate Trustee in the Commonwealth of Pennsylvania and shall be governed in all respects by the laws of said Commonwealth. WITNESS the due execution hereof the day and year aforesaid. ~I/~ f' ~L.~ ~ ---. f4 r. 0 . ',t fLa.b. t~. i..J <1 r J;.I'.J./ . . I (SEAL) Wi tnesses : ~ ~ /$--...~ Individual Trustee (SEAL) ?' Attest: ~ 0.... J..... ~tldl41 ~.Trust Officer By: -',.:-. : .. ," COMMONWEALTH OF PENNSYLVANIA COUNTY OF cd: ss. ~' On this, the ,~ day of nl-'lH-n1j~ 1984, before me, a Notary Public, personally appeared G~~T~UD~ L~. ~ECKER, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ~IAM-~ Nota Public O\ERYl \YILSHANS, !Jotary Public .' Wi\\i.msport, l'ltomlllg'c.o.. Pa. .' WrI Commission Expires June ~1.' 1~~~,,:,... ************ COMMONWEALTH OF PENNSYLVANIA ~....--IJ""\~ ss. COUNTY OF V'Y cr--<-' ,. . V On this, the ~day of r:JC'm~ , 1984, before me, a Notary Public, personally appeared CARL L. BECKER, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. '-i(f). /9 .yJ.C'j .--#p~~ Jtl Q " Notary ,Publ1.c;. ". ..:.- '.,,: IU.RFN C. ~~EvAL:Jotery eubltf Wi!!i~",sO{\Tt. :(vcomi"iJ County, Pa. My comin~~~';;Ex~j~,S ~~tember 2, 190 1M ... '!' J. . . . " COMMONWEALTH OF PENNSYLVANIA COUNTY OFo{~ On this, the 0~ day of ee;;r-~./ , 1984, before me, a Notary Public, personally appeared<;l.JOoAf}Q, (f),~~ . wbo acknowledged himself to be ~h"~~ ~OILl odp~of Commonwealth Bank and Trust Co.. N.A.. and that he as such ~ Jl>.c. 0/7 , ,being authorized to do SOt executed the foregoing instrument for the purposes SSe therein contained by signing the n~e of the Bank by himself as v <9. · QIL, ~O.tAQ.A..(b~. IN WITNESS WHEREOF J I hereunto set my hand and official seal. in /0 AN c.." <-fr1d;gi~ Notary Pubiid -, . ~ :. KAR~" c.. MAf-IEVAl,.N~Il~ublk::. =- ,:~,. William!port. lytomill9 Cou'ii~, Par ..... My commistion ExpI~ep'err.~r:.~J:-= .~~... a............ SWOPE, HEISER & McQUAIDE ATTOR N EYS AT LAW 104 BALTIMORE STREET cC~Utp)yLVAN IA 17325 ~~'.2 ~---~ ~ LAST WILL AND TESTAMENT OF GERTRUDE L. BECKER I, Gertrude L. Becker, of the City of Williarnsport, Lycoming County, Pennsylvania, do hereby make, publish and declare this as and for my last will and testament, hereby revoking any and all wills or testamentary writings by me at any time heretofore made. FIRST: I order and direct that all my just debts and funeral expenses be paid as soon as convenient after my death. SECOND: I bequeath my personal affects, such as household goods and other tangible personalty of like nature (not including cash or securities), together with any existing insurance thereon to such of my children as are living at the time of my death, to be divided among them by my e~~cutor dh >~~ C") ~= accordance with any memorandum I may leave, and int,~..._~bset!1ce!' I '..." --u." of any memorandum or as to items not covered by such , C) "0, j ~--:::, memorandum, then with due regard for their personal pretference.s. in ac nearly equal shares as practicable. , / c..11 ''''\ 1 THIRD: I devise and bequeath the residue of my estate of every nature and wherever situate in equal shares, per stirpes, to my following children: Carl L. Becker, Constance G. Finnegan, Carol B. Heiser and Linda B. Baer. FOURTH: I appoint Commonwealth Bank and Trust Co., N.A., of Williamsport, Pennsylvania, Guardian of any property which passes either under this will or otherwise to a minor and with respect to which I am authorizeq'l to appoint a Guardian and have /1 / ./1 ct1 PAf;Ja i _ ~-ktV(SEAL) .I not otherwise specifically done so, provided that this appointment of a Guard.ian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to the minor or to another for the minorIs benefit. Such Guardian shall have the power to use principal as well as income from time to time for the minor's support and education (including college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support and education, or to make payment for these purposes, without further responsibility, to the minor or to the minor's parent or to any person taking care of the minor. FIFTH: All federal, state and other death taxes payable because of my death, with respe.ct to property forming my gross estate for tax purposes, whether or not passing under this will, including any interest or penalty imposed in connection with such tax, shall be considered a part of the expense of the administration of my estate and shall be paid from my residuary estate without apportionment or right of reimbursement. SIXTH: My personal representative and guardian shall have the following powers in addition to those vested in them 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 retain any or all of the assets of my estateH real or personal, including any shares of stock or other ~~vt~/i, ./~a<:,,~VW-SEAL) I '~ securities I may own of the corporate fiduciary or its successor, or of a holding company controlling the corporate fiduciary or its successor, without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper, without regard to any principle of diversification or risk. B. To invest in all forms of property (including stock or other securities of the corporate fiduciary or its successor, or of a holding company controlling the corporate fiduciary or its successor, and cornmon trust funds and mortgage investment funds whether maintained by my corporate fiduciary or its successor or others), without restriction to investments authorized for . Pennsylvania fiduciaries, as they deem proper, without regard to any principle of diversification or risk. c. 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 they deem proper. D. To allocate receipts and expenses to principal or income or partly to each as they from time to time think proper in their sole discretion. SEVENTH: I direct that my personal representative and guardian, as well as their successors, shall not be required to give bond for the faithful performance of their duties in any fL ''-f-- ,I J C2 J ~) '" r r jurisdiction. EIGHTH: I appoint Commonwealth Bank and Trust .Co., N.A., of Williamsport, Pennsylvania, executor of this my last will. IN WITNESS WHEREOF, I have hereunto set my hand to this my last will and testament, containing four typewritten pages, to each of which I have affixed my hand and seal this 9+~h day of ~(lRJmhp.r ' in the year of our Lord one thousand nine hundred and ninety-five (1995). 1"1 ~J-V-t-A t J/iJ.&-k0 SE~) I ., Signed, .sealed, published and declared by the above-named Testatrix, Gertrude L. Becker, 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 subscribed our names as witnesses 1L rP>~ -J;::i$-j1~ STATE OF PENNSYLVANIA SSe COUNTY OF ADAMS ~ -;-- I. \ We, Gertrude L. Becker, KCSe..o.y\n.Do HOr-\'1 and ('0., 'r(J \ b ,\.\..e.. ~S.e...V" , the Testatrix 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 Testatrix signed and executed the instrument as her last will and that she had signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the will as witness and that to the best of the knowledge of each of the witnesses, the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. /1 Testatrix: ~e1..tAt-?{. ~~(/ :: ::::: :1'j;i~;;l1y1,:kJvV1- Subscribed, sworn to and acknowledged before me by Gertrude L. Becker, the Testatrix, and s.ubscribed and ~rn to be ore me by . S n n and I ~. . witn~sses, ~~ . Q.Q( , { l' '.'1 ,. / !L- " I l. ~~~.::_. .... ~~aP , .,1C J I / Lind:::! B H::.>""'~ l'.h...""''1 p: )""t. !i~~r.~~~~~;~':H~~~;;~:~~::~~ ., .-- :;::.- ::::-- ;..::: - -:""- 1.-::: ~ - =- .--; ~ _. - .::- ~ ~ -- i :=::., , . .. ~g~ () () a os. e:.g~~ rJ'l ~ H ...--~ ~g.~o ~ 0 ~ ~ ~~p.~ ." 0 ,.....,..... . \..l ~ ~Cf)grJ'l -a~ ~ ~~~ t.;.)o,....., , ~ \..l ~~g rfJ 0 ~ -..log. a g ~rJ'l 00 N .~~,. ~'i ~,. --n '- _I I (U ... ~~I en C J~ en _'I ... Qt .: CI~1 (.) c.'" ~ I.=- li ~!. '- t:~ .-1.- u. .- ...,........ c-\ >-O~~s € ~9&~ k 'P.o:J~~ 'to ~ ~ '?)" ~ ~-ltP?2+- '~" V\ M ?J ?J V\~" " ~~< "i:l _" ..... . ~"i:lZg ~~~"i:l \0 ____. ~ ----u.) rfj 00 ...... 7rf) g- -l ~ Vl Vl rf) ~ 0=== o === U'\ ::: \::"" ::::: CP _ ru :::: o =: o :: 0: 0: ~ o tr CP .s: ...n lJ"\ ru ..t: ":,11 o~ ~~ f"'lJ (:) "'''' g ~~ o 1'\", III ~ ~ ~: ~4 - ----~ ...-J~ :; ~ w ~ ~