HomeMy WebLinkAbout09-19-06
OFFICIAL USE ONLY
REV-150? EX ... (6.00)
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
..
FILE NUMBER
II
00055
06
NLJM~~rL
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
- (DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
LShires, Norman J.
I DATE OF DEATH (MM-DD.:vEAR)- - .."OATE OF BIRTH (MM-DD-YEAR)
I
i 12-17-2005 04-05-1928
I(lF APPLICABLE) SURVIVING SPOUSE-:SNAME (lAST, FIRST AND MIDDLE INITIAL)
i Shires, Ann G.
205-18-9788
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THIS RETURN MUST BE FILED IN DUPUCATE WITH THE
REGISTER OF WILLS
- - -' --.- " ~ . -., ---'--- ---. -._----
SOCIAL SECURITY NUMBER
182-22-5419
3. Remainder Retum (date of death prior to 12-13-82)
Lx] 1. Original Return
4. Limited Estate
iJ'J 6. Decedent Died Testate (Attach
copy of Will)
D 9. Litigation Proceeds Received
2. Supplemental Return
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4a. Future Interest Compromise (date of death after
12-12-82)
7. Decedent Maintained a Living Trust (Attach
copy of Trust)
10 Spousal Poverty Credit (date of death between
. 12-31-91 and 1-1-M)
5. Federal Estate Tax Return Required
1 8. Total Number of Safe Deposit Boxes
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COMPLETE MAILING ADDRESS
!NAME
, Marielle F Hazen
FIRM NAME (If applicable)
Law Office of Marielle F. Hazen
2000 Linglestown Road, Suite 202
Harrisburg, PA 17110
TELEPHONE NUMBER
f-"">
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FFICIM USE: Oft Y
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(1 )
(2)
(3)
(4)
(5)
(6)
(7)
186,260.00
29,354.55
None
None
16,976.53
None
12,889.43
(8)
20,333.28
None
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2. Stocks and Bonds (Schedule B)
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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)
I] Separate Billing Requested
7. Inter-Vivos Transfe~s& Miscellaneous Non-Probate Property
(Schedule G or L): : Separate Billing Requested
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
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245,480.51
(9)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
(11 )
20,333.28
225,147.23
(12)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental 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)
(13)
None
(14)
225,147.23
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax rate, 225,147.23 x .00 (15)
or transfers under Sec. 9116(a)(1.2)
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0 .045 (16)
t= 16.Amount of Line 14 taxable at lineal rate 0.00 x
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Q. 17. Amount of Line 14 taxable at sibling rate 0.00 x .12 (17)
:IE
0
0 18. Amount of Line 14 taxable at collateral rate 0.00 x .15 (18)
><
~ 19. Tax Due
(19)
0.00
0.00
0.00
0.00
0.00
] 20. D
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Form REV.1500 EX (Rev. 6-00;
Copyright 2002 form software only The Lackner Group, Inc.
c.
Decedent's Complete Address:
STREET ADDRESS
7 Oak Ridge Road
CITY Carlisle
STATE PA
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
0.00
Total Credits (A + 8 + C)
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (D + 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
Il1P 17013
(1 )
0.00
(2)
0.00
(3)
(4)
(5)
(SA)
(58)
0.00
0.00
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;.................................................................................. l!J
b. retain the right to designate who shall use the property transferred or its income;.................................... ~~~
c. retain a reversionary interest; or.......... ................................. ................. ................................................ x!
-'1
d. receive the promise for life of either payments, benefits or care?.............................................................. x j
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?.................................. ............ ......................................................... x
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?.........
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?........................... ....... .......... .......... ............. .............. ........... ...... ........ ........... L)(.!
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
com~~~.Q.edara~no!Jlreparer ~h13r than lhepersonalrepresentativedis based on all inforrnation of which preparerhas anyknowled~e~ ,,'. ... ___
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE
Elizabeth A. Lusk
PERSON RESPONSIBLE CFlII~G~E~-'
111 Spring Road
Dillsburg, PA 17019
ADDRESS
. ADDRESS
2000 Linglestown Road, Suite 202
Harrisburg, PA 17110
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~L,-~\.9 tc_ .
iDATE
.,.ql/~tE'-'-
- - <-- ....0 11<:'" of the
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value oj
surviving spouse is 3% [72 P.S. 39116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the u
[72 P.S. 39116 (a) (1.1) (ii)). The statute does not exemot a transfer to a surviving spouse from tax, and the st~
of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger
natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. s9116 (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.! .a ") O. (,\;\
s9116 1.2)[72 P.S. S9116 (a)(1)]. VHJI V U fJl
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 39116 (a) \ I.<>JJ. "w,_" ~\ rf
defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.w
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Rev-150~ EX+ (6-98)
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SCHEDULE A
REAL ESTATE
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT OECEDENT
ESTATE OF
Shires, Norman J.
FILE NUMBER
21-06-00055
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be
exchanged between a Willing buyer and a Willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real property which Is Jolntly-owned with right of survivorship must be disclosed on schedule F.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1
7 Oak Ridge Road, Carlisle, PA - Cumberland County Real Estate
Per Attached Assessed Value
186,260.00
TOTAL (Also enter on line 1, Recapitulation)
186,260.00
(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 A (Rev. 6-98)
Rev-150~ EX+ (6-98)
*'
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Shires, Norman J.
FILE NUMBER
21-06-00055
All property Jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
1 10 shares of MetLife - Stock 50.37 503.77
Inv. 10 No. 8065 7879 2860
2 20.119 shares of PP&L - Stock 30.11 605.78
3 EE Savings Bonds - Per Attached Bond Inventory 28.245.00
TOTAL (Also enter on Line 2, Recapitulation) 29.354.55
(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 B (Rev. 6-98)
ReV-15D~ EX+ (6-981
*
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Shires, Norman J.
FILE NUMBER
21-06-00055
Include the proceeds of litigation and the date the proceeds were received by the estate
All property jOlntly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Genworth Financial- Long Term Care Refund 594.44
2 M& T Bank - Checking Acct No. 59087331 869.11
3 M&T Bank - CD Acct. No. 31003913462625 5.112.98
4 1989 Chevrolet Suburban 1.350.00
5 1998 Dodge Neon 2,350.00
6 1998 Sunline - Travel Trailer 6,700.00
TOTAL (Also enter on Line 5, Recapitulation)
16.976.53
(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)
Rev-1510 EX+ (6-98)
*
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
Cot.9AONWEAL TIi OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Shires, Norman J.
FILE NUMBER
21-06-00055
ESTATE OF
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 DESCRIPTION OF PKU/"'t::K I Y DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE
NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
THE DATE OF TRANSFER. ATTACH A COpy OF THE DEED FOR REAL ESTATE
1 Jackson National Life - IRA#1 000274280 12.889.43 100.000 12,889.43
Ann Shires, Spouse & Beneficiary
TOTAL (Also enter on Line 7, Recapitulation) 12.889.43
(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 G (Rev. 6-98)
REV.115~ EX+ (12.99)
*'
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Shires, Norman J.
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-06-00055
ITEM
NUMBER
A. FUNERAL EXPENSES:
DESCRIPTION
AMOUNT
See continuation schedule(s) attached
4,433.00
B.
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Elizabeth A. Lusk
Social Security Number(s) I EIN Number of Personal Representative(s):
198-44-9732
Street Address 111 Spring Road
City DiIIsburg
Year(s) Commission paid 2006
State P A Zip 17019
11,894.50
2.
Attorney's Fees
Law Office of Marielle F. Hazen.
3,676.78
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
State
Zip
4.
Probate Fees
145.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
Other Administrative Costs
See continuation schedule(s) attached
184.00
TOTAL (Also enter on line 9, Recapitulation)
20,333.28
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
ReY-1502 EX+ (6-98)
*
SCHEDULE H-A
FUNERAL EXPENSES
continued
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Shires, Norman J.
FILE NUMBER
21-06-00055
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
JDK Catering - Funeral Reception
908.60
2
Malpezzi Funeral Home
3,524.40
Subtotal
4,433.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
Rev-150~ EX+ (6-98)
'*
SCHEDULE H.87
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Shires, Norman J.
FILE NUMBER
21-06-00055
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Cumberland Law Journal - Legal Publication
75.00
2
Penn Business Journal - Legal Publication
109.00
Subtotal
184.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
REV-1513 EX+ (9-00)
'*
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
NUMBER
Shires, Norman J.
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116(a)(1.2)]
RELATIONSHIP TO
DECEDENT
Do Not List Trustee/s)
FILE NUMBER
21-06-00055
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
I.
1
Ann G. Shires
7 Oak Ridge Road
Carlisle, PA 17013
Spouse
100%
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 Schedule J (Rev. 6-98)
Page 1 of 1
Detailed Results for Parcel 21-22-0128-044. in the 2004 Tax Assessment Database
DistrictNo 21
Parcel_ID 21-22-0128-044.
MapSuffix
HouseNo 7
Direction
Street OAK RIDGE ROAD
Ownerl SHIRES, NORMAN J & RUTH A
C/O
PropType R
PropDesc
Liv Area 2002
CurLandVal 50000
CurlmpVal 136260
CurTotVal 186260
CurPretV al
Acreage 0.89
CIGrnStat
TaxEx 1
SaleAmt
SaleMo
SaleDa
SaleCe
SaleYr
DeedBkPage 0021X-00659
YearSlt 1966
HF _File_Date 111212004
HF _Approval_Status A
http://taxdb.ccpa.net/details.asp?id=21- 22-0 128-044.&dbselect= 1
1/31/2006
~J
Savings Bond Calculator
12/2005
Value As Of
-
-
CALCU
BUIlII IlIto
EE Bonds
Series
Denomination
Serial Number
$11?? IIi
# Bonds
175
R e~lIlts
Total Price
$8,750.00
Total Interest
$19,495.00
Total Value
$28,245.00
Serial Number
C171345436
C171345201
C171345316
C170344964
C171345083
C170344857
C170344739
C170344492
C170344614
C170344377
C 170344256
C170344130
C 170344005
C170343895
C170343653
C170343772
C170343418
C170343537
C170343174
C170343300
C170343059
C146830402
C146142874
C146142749
C14fl14?6?.5
C 146142511
C146142387
C146142254
Issue Interest
Issue Date Series Denom Price Interest Value Rate
12/1988 EE $100 $50.00 $73.92 $123.92 4.00%
12/1988 EE 100 50.00 73.92 123.92 4.00%
12/1988 EE 100 50.00 73.92 123.92 4.00%
11/1988 EE 100 50.00 73.92 123.92 4.00%
11/1988 EE 100 50.00 73.92 123.92 4.00%
10/1988 EE 100 50.00 73.92 123.92 4.00%
10/1988 EE 100 50.00 73.92 123.92 4.00%
09/1988 EE 100 50.00 73.92 123.92 4.00%
09/1988 EE 100 50.00 73.92 123.92 4.00%
08/1988 EE 100 50.00 73.92 123.92 4.00%
08/1988 EE 100 50.00 73.92 123.92 4.00%
07/1988 EE 100 50.00 73.92 123.92 4.00%
07/1988 EE 100 50.00 73.92 123.92 4.000/0
07/1988 EE 100 50.00 73.92 123.92 4.00%
06/1988 EE 100 50.00 76.40 126.40 4.00%
06/1988 EE 100 50.00 76.40 126.40 4.00%
05/1988 EE 100 50.00 76.40 126.40 4.00%
05/1988 EE 100 50.00 76.40 126.40 4.00%
04/1988 EE 100 50.00 76.40 126.40 4.00%
04/1988 EE 100 50.00 76.40 126.40 4.00%
03/1988 EE 100 50.00 76.40 126.40 4.00%
03/1988 EE 100 50.00 76.40 126.40 4.00%
02/1988 EE 100 50.00 76.40 126.40 4.00%
02/1988 EE 100 50.00 76.40 126.40 4.00%
01/1988 EE 100 50.00 76.40 126.40 4.00%
0111988 EE 100 50.00 76.40 126.40 4.00%
01/1988 EE 100 50.00 76.40 126.40 4.00%
12/1987 EE 100 50.00 78.92 128.92 4.00%
http://wwws.publicdebt. treas.gov/BC/SBCPrice
Page 1 of6
Savini
Issue Date
I
YTDlm
$1,032
Next Final
Accrual Maturity
06/2006 12/2018
06/2006 12/2018
06/2006 12/2018
OS/2006 1112018
OS/2006 1112018
04/2006 10/2018
04/2006 10/2018
03/2006 09/2018
03/2006 0912018
02/2006 08/2018
02/2006 08/2018
01/2006 07/2018
0112006 07/2018
01/2006 07/2018
06/2006 06/2018
06/2006 06/2018
OS/2006 OS/2018
OS/2006 OS/2018
04/2006 04/2018
04/2006 04/2018
03/2006 03/2018
03/2006 03/2018
02/2006 02/2018
02/2006 02/2018
01/2006 0 1/2,Ol8
01/2006 01/2018
01/2006 01/2018
06/2006 12/2017
3/6/2006
Savings Bond Calculator
Page 2 of6
C146142134 12/1987 EE 100 50.00 78.92 128.92 4.00% 06/2006 12/2017
C146142017 1111987 EE 100 50.00 78.92 128.92 4.00% OS/2006 11/2017
C146141895 10/1987 EE 100 50.00 78.92 128.92 4.00% 04/2006 10/2017
CI46141648 10/1987 EE 100 50.00 78.92 128.92 4.00% 04/2006 10/2017
C146141769 10/1987 EE 100 50.00 78.92 128.92 4.00% 04/2006 10/2017
C146141535 09/1987 EE 100 50.00 78.92 128.92 4.00% 03/2006 09/2017
CI38612316 09/1987 EE 100 50.00 78.92 128.92 4.00% 03/2006 09/2017
C138612186 08/1987 EE 100 50.00 78.92 128.92 4.00% 02/2006 08/2017
C138612067 08/1987 EE 100 50.00 78.92 128.92 4.00% 02/2006 08/2017
C138611949 07/1987 EE 100 50.00 78.92 128.92 4.00% 01/2006 07/2017
C134816430 07/1987 EE 100 50.00 78.92 128.92 4.00% 01/2006 07/2017
C134816305 06/1987 EE 100 50.00 81.52 131.52 4.00% 06/2006 06/2017
C134816186 06/1987 EE 100 50.00 81.52 131.52 4.00% 06/2006 06/2017
C134816086 05/1987 EE 100 50.00 81.52 131.52 4.00% OS/2006 OS/2017
C134815972 05/1987 EE 100 50.00 81.52 131.52 4.00% OS/2006 OS/2017
C134815861 05/1987 EE 100 50.00 81.52 131.52 4.00% OS/2006 OS/2017
C134815744 04/1987 EE 100 50.00 81.52 131.52 4.00% 04/2006 04/2017
C134815643 04/1987 EE 100 50.00 81.52 131.52 4.00% 04/2006 04/2017
C134815526 03/1987 EE 100 50.00 81.52 131.52 4.00% 03/2006 03/2017
C134815404 03/1987 EE 100 50.00 81.52 131.52 4.000/0 03/2006 03/2017
C134815395 02/1987 EE 100 50.00 81.52 131.52 4.00% 02/2006 02/2017
C134815170 02/1987 EE 100 50.00 81.52 131.52 4.00% 02/2006 02/2017
C116926306 01/1987 EE 100 50.00 81.52 131.52 4.00% 01/2006 01/2017
C116926187 01/1987 EE 100 50.00 81.52 131.52 4.00% 01/2006 01/2017
C116925969 12/1986 EE 100 50.00 84.12 134.12 4.00% 06/2006 12/2016
C116926071 12/1986 EE 100 50.00 84.12 134.12 4.00% 06/2006 12/2016
C116925844 11/1986 EE 100 50.00 84.12 134.12 4.00% OS/2006 11/2016
C116925612 11/1986 EE 100 50.00 84.12 134.12 4.00% OS/2006 11/2016
116925729 11/1986 EE 100 50.00 84.12 134.12 4.00% OS/2006 11/2016
C116925503 10/1986 EE 100 50.00 99.20 149.20 4.00% 04/2006 10/2016
C116925382 10/1986 EE 100 50.00 99.20 149.20 4.00% 04/2006 10/2016
C116925144 09/1986 EE 100 50.00 99.20 149.20 4.000/0 03/2006 09/2016
C116925258 0911986 EE 100 50.00 99.20 149.20 4.00% 03/2006 09/2016
C116924911 08/1986 EE 100 50.00 99.20 149.20 4.00% 02/2006 08/2016
Cl16925037 08/1986 EE 100 50.00 99.20 149.20 4.00% 02/2006 08/2016
Cl16681731 07/1986 EE 100 50.00 99.20 149.20 4.00% 01/2006 07/2016
C116681853 07/1986 EE 100 50.00 99.20 149.20 4.00% 01/2006 07/2016
C116681628 06/1986 EE 100 50.00 102.16 152.16 4.00% 06/2006 06/2016
http://wwws. publicdebt. treas.gov/BC/SBCPrice
3/6/2006
Savings Bond Calculator
Page 3 of6
CI07236334 06/1986 EE 100 50.00 102.16 152.16 4.00% 06/2006 06/2016
CI07236131 05/1986 EE 100 50.00 102.16 152.16 4.00% OS/2006 OS/2016
CI06236224 05/1986 EE 100 50.00 102.16 152.16 4.00% OS/2006 OS/2016
CI07236043 05/1986 EE 100 50.00 102.16 152.16 4.00% OS/2006 OS/2016
CI07235955 04/1986 EE 100 50.00 102.16 152.16 4.00% 04/2006 04/2016
C93399451 04/1986 EE 100 50.00 102.16 152.16 4.00% 04/2006 04/2016
C93399365 03/1986 EE 100 50.00 102.16 152.16 4.00% 03/2006 03/2016
C93399279 03/1986 EE 100 50.00 102.16 152.16 4.00% 03/2006 03/2016
C93399187 02/1986 EE 100 50.00 102.16 152.16 4.00% 02/2006 02/2016
C93399100 02/1986 EE 100 50.00 102.16 152.16 4.00% 02/2006 02/2016
C93380502 01/1986 EE 100 50.00 102.16 152.16 4.00% 01/2006 01/2016
C93380333 12/1985 EE 100 50.00 105.20 155.20 4.00% 06/2006 12/2015
C93380247 12/1985 EE 100 50.00 105.20 155.20 4.00% 06/2006 12/2015
C85105035 11/1985 EE 100 50.00 105.20 155.20 4.00% OS/2006 11/2015
C85105124 11/1985 EE 100 50.00 105.20 155.20 4.00% OS/2006 11/2015
C85105201 11/1985 EE 100 50.00 105.20 155.20 4.00% OS/2006 11/2015
C85104946 10/1985 EE 100 50.00 105.20 155.20 4.00% 04/2006 10/2015
C85104861 10/1985 EE 100 50.00 105.20 155.20 4.00% 04/2006 10/2015
C85097168 09/1985 EE 100 50.00 105.20 155.20 4.00% 03/2006 09/2015
C85097254 09/1985 EE 100 50.00 105.20 155.20 4.00% 03/2006 09/2015
C81991221 08/1985 EE 100 50.00 105.20 155.20 4.00% 02/2006 08/2015
C81991306 08/1985 EE 100 50.00 105.20 155.20 4.00% 02/2006 08/2015
C81991133 07/1985 EE 100 50.00 105.20 155.20 4.00% 01/2006 07/2015
C81991048 07/1985 EE 100 50.00 105.20 155.20 4.00% 01/2006 07/2015
C81228346 06/1985 EE 100 50.00 108.32 158.32 4.00% 06/2006 06/2015
C81228272 05/1985 EE 100 50.00 108.32 158.32 4.00% OS/2006 OS/2015
C77874051 05/1985 EE 100 50.00 108.32 158.32 4.00% OS/2006 OS/2015
C78177082 04/1985 EE 100 50.00 108.32 158.32 4.00% 04/2006 04/2015
C75752437 03/1985 EE 100 50.00 108.32 158.32 4.00% 03/2006 03/2015
C78177011 03/1985 EE 100 50.00 108.32 158.32 4.00% 03/2006 03/2015
C75752367 02/1985 EE 100 50.00 108.32 158.32 4.00% 02/2006 02/2015
C75752309 02/1985 EE 100 50.00 108.32 158.32 4.00% 02/2006 02/2015
C75752237 01/1985 EE 100 50.00 108.32 158.32 4.00% 01/2006 01/2015
C75752174 01/1985 EE 100 50.00 108.32 158.32 4.00% 01/2006 01/2015
C93380420 01/1985 EE 100 50.00 108.32 158.32 4.00% 01/2006 01/2015
C68129225 12/1984 EE 100 50.00 111.48 161.48 4.00% 06/2006 12/2014
C68129156 12/1984 EE 100 50.00 111.48 161.48 4.00% 06/2006 12/2014
C75752105 12/1984 EE 100 50.00 111.48 161.48 4.00% 06/2006 12/2014
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Page 4 of6
C68129015 11/1984 EE 100 50.00 111.48 161.48 4.00% OS/2006 11/2014
C68129083 11/1984 EE 100 50.00 111.48 161.48 4.00% OS/2006 11/2014
C68098059 10/1984 EE 100 50.00 111.80 161.80 4.00% 04/2006 10/2014
C68098137 10/1984 EE 100 50.00 111.80 161.80 4.00% 04/2006 10/2014
C68097922 09/1984 EE 100 50.00 111.80 161.80 4.00% 03/2006 09/2014
C68097996 09/1984 EE 100 50.00 111.80 161.80 4.00% 03/2006 09/2014
C61933523 08/1984 EE 100 50.00 111.80 161.80 4.00% 02/2006 08/2014
C68097853 08/1984 EE 100 50.00 111.80 161.80 4.00% 02/2006 08/2014
C61933370 07/1984 EE 100 50.00 111.80 161.80 4.00% 01/2006 07/2014
C61933447 07/1984 EE 100 50.00 111.80 161.80 4.00% 01/2006 07/2014
C61933300 06/1984 EE 100 50.00 114.72 164.72 4.00% 06/2006 06/2014
C57983486 06/1984 EE 100 50.00 114.72 164.72 4.00% 06/2006 06/2014
C57983360 05/1984 EE 100 50.00 114.72 164.72 4.00% OS/2006 OS/2014
C57983247 04/1984 EE 100 50.00 119.52 169.52 3.14% 04/2006 04/2014
C57983182 04/1984 EE 100 50.00 119.52 169.52 3.14% 04/2006 04/2014
C57983069 03/1984 EE 100 50.00 119.52 169.52 3.14% 03/2006 03/2014
C579833121 03/1984 EE 100 50.00 119.52 169.52 3.14% 03/2006 03/2014
C57982936 02/1984 EE 100 50.00 119.52 169.52 3.14% 02/2006 02/2014
C57399510 01/1984 EE 100 50.00 119.52 169.52 3.14% 0112006 01/2014
C57399455 01/1984 EE 100 50.00 119.52 169.52 3.14% 0112006 01/2014
C57399392 12/1983 EE 100 50.00 122.20 172.20 3.46% 06/2006 12/2013
53463784 12/1983 EE 100 50.00 122.20 172.20 3.46% 06/2006 12/2013
C52463714 12/1983 EE 100 50.00 122.20 172.20 3.46% 06/2006 12/2013
C53463654 11/1983 EE 100 50.00 122.20 172.20 3.46% OS/2006 11/2013
C52979407 10/1983 EE 100 50.00 126.68 176.68 3.14% 04/2006 10/2013
C52979474 10/1983 EE 100 50.00 126.68 176.68 3.14% 04/2006 10/2013
C48358911 09/1983 EE 100 50.00 126.68 176.68 3.14% 03/2006 09/2013
C48358975 09/1983 EE 100 50.00 126.68 176.68 3.14% 03/2006 09/2013
C48347973 08/1983 EE 100 50.00 126.68 176.68 3.14% 02/2006 08/2013
C48347907 08/1983 EE 100 50.00 126.68 176.68 3.14% 02/2006 08/2013
C48327701 07/1983 EE 100 50.00 126.68 176.68 3.14% 0112006 07/2013
C48327765 07/1983 EE 100 50.00 126.68 176.68 3.14% 01/2006 07/2013
C48347850 07/1983 EE 100 50.00 126.68 176.68 3.14% 01/2006 07/2013
C48327633 06/1983 EE 100 50.00 129.44 179.44 3.47% 06/2006 06/2013
C48327577 06/1983 EE 100 50.00 129.44 179.44 3.47% 06/2006 06/2013
C48327524 05/1983 EE 100 50.00 129.44 179.44 3.47% OS/2006 OS/2013
C41470824 05/1983 EE 100 50.00 129.44 179.44 3.47% OS/2006 OS/2013
C41470715 04/1983 EE 100 50.00 136.64 186.64 3.20% 04/2006 04/2013
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C41470768 04/1983 EE 100 50.00 136.64 186.64 3.200/0 04/2006 04/2013
C41470604 03/1983 EE 100 50.00 136.64 186.64 3.20% 03/2006 03/2013
C41470659 03/1983 EE 100 50.00 136.64 186.64 3.20% 03/2006 03/2013
C41444429 02/1983 EE 100 50.00 158.28 208.28 4.00% 02/2006 02/2013
C41470593 02/1983 EE 100 50.00 158.28 208.28 4.00% 02/2006 02/2013
C41444372 01/1983 EE 100 50.00 158.28 208.28 4.00% 0112006 01/2013
4C 1444250 01/1983 EE 100 50.00 158.28 208.28 4.00% 01/2006 01/2013
C41444308 01/1983 EE 100 50.00 158.28 208.28 4.00% 01/2006 01/2013
C37476342 12/1982 EE 100 50.00 162.44 212.44 4.00% 06/2006 12/2012
C37476231 11/1982 EE 100 50.00 162.44 212.44 4.00% OS/2006 11/2012
C37476286 11/1982 EE 100 50.00 162.44 212.44 4.00% OS/2006 1112012
C37476177 10/1982 EE 100 50.00 172.64 222.64 4.00% 04/2006 10/2012
C37476123 10/1982 EE 100 50.00 172.64 222.64 4.00% 04/2006 10/2012
C33631619 09/1982 EE 100 50.00 172.64 222.64 4.00% 03/2006 09/2012
C33631675 09/1982 EE 100 50.00 172.64 222.64 4.00% 03/2006 09/2012
C33631508 08/1982 EE 100 50.00 172.64 222.64 4.00% 02/2006 08/2012
C33631563 08/1982 EE 100 50.00 172.64 222.64 4.00% 02/2006 08/2012
C33631447 07/1982 EE 100 50.00 172.64 222.64 4.00% 01/2006 07/2012
C31062023 07/1982 EE 100 50.00 172.64 222.64 4.00% 01/2006 07/2012
C31062077 07/1982 EE 100 50.00 172.64 222.64 4.00% 01/2006 07/2012
C31061971 06/1982 EE 100 50.00 1 77.12 227.12 4.00% 06/2006 06/2012
C31061911 06/1982 EE 100 50.00 177.12 227.12 4.00% 06/2006 06/2012
C31061861 05/1982 EE 100 50.00 177.12 227.12 4.00% OS/2006 OS/2012
C31061847 05/1982 EE 100 50.00 177.12 227.12 4.00% OS/2006 OS/2012
C30956660 04/1982 EE 100 50.00 1 77.12 227.12 4.00% 04/2006 04/2012
C30956612 04/1982 EE 100 50.00 177.12 227.12 4.00% 04/2006 04/2012
C30956551 03/1982 EE 100 50.00 177.12 227.12 4.00% 03/2006 03/2012
C30956503 03/1982 EE 100 50.00 177.12 227.12 4.000/0 03/2006 03/2012
C30956445 02/1982 EE 100 50.00 1 77.12 227.12 4.00% 02/2006 02/2012
C30956393 02/1982 EE 100 50.00 177.12 227.12 4.00% 02/2006 02/2012
C19010940 01/1982 EE 100 50.00 177.12 227.12 4.00% 01/2006 01/2012
C19010883 01/1982 EE 100 50.00 177.12 227.12 4.00% 01/2006 01/2012
C19010834 01/1982 EE 100 50.00 177. 12 227.12 4.00% 01/2006 01/2012
1iII~.' Viewing Bonds 1-175
Lpqelld
Note Description
NI Not Issued
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3/612006
Kelley Blue Book - Private Party Pricing Report - Chevrolet, Suburban
.'. '<"~IIIrt.
.......l~~~
Page 1 of3
advertisement
Home> Used Cars > ~ > Chevrolet > s.~ > 1500 Spol1Jltilill' > Equipment
useD CARS
Q Quick Dealer Price Quote 0 Search Used Car Listings 0 Lis
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1989 Chevrolet Suburban 1500 Sport Utility
:;. Trade-In Value
I ~ privat-:"p~~ V~I~;
j> Suggested Retail Value
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BLUE BOOK- PRIVATE PARTY VALUE < WHAT'S tHIS?
Condition Value
Excellent $2,025
...WHAt'S THIS?
Good $1,725
J.WHAt'S THIS?
. More Photos Fair $1,350
.l.WHA1'! THIS" (Selected)
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I--------------_:~:=---------
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Blue Book Private Party Value
o Change Equipment
Engine:
Transmission:
Drivetrain:
Mileage:
va 5.7 Liter
Automatic
2WD
128,669
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Selected Standard Equipment
Air Conditioning AM/FM Stereo
Power Steering
Private Party Value is what a buyer can expect to pay when buying a used
car from a private party. The Private Party Value assumes the vehicle is sold i
"As Is" and carries no warranty (other than the continuing factory
warranty). The final sale price may vary depending on the vehicle's actual
condition and local market conditions. This value may also be used to derive
Fair Market Value for Insurance and vehicle donation purposes.
Vehicle Condition Ratings
o Check Vehicle Title History
Excellent
Ot~
$2,025
Kelley Blue Book - Private Party Pricing Report - Chevrolet, Suburban
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"Excellent" condition means that the vehicle looks new, is in excellent
mechanical condition and needs no reconditioning. This vehicle has never
had any paint or body work and is free of rust. The vehicle has a clean
title history and will pass a smog and safety Inspection. The engine
compartment is clean, with no fluid leaks and is free of any wear or visible
defects. The vehicle also has complete and verifiable service records. Less
than 5% of all used vehicles fall into this category.
Good
tx.D''] $1,725
"Good" condition means that the vehicle is free of any major defects. This
vehicle has a clean title history, the paint, bOdy and interior have only
minor (if any) blemishes, and there are no major mechanical problems.
There should be little or no rust on this vehicle. The tires match and have
substantial tread wear left. A "good" vehicle will need some reconditioning
to be sold at retail. Most consumer owned vehicles fall into this category.
Fair (Selected)
CXXW:.:l'!] $1,350
"Fair" condition means that the vehicle has some mechanical or cosmetic
defects and needs servicing but is stlll in reasonable running condition. This
vehicle has a clean title history, the paint, body and/or interior need work
performed by a professional. The tires may need to be replaced. There may
be some repairable rust damage.
Poor
r.Jf;'I'__T~Y,~ N I A
"Poor" condition means that the vehicle has severe mechanical and/or
cosmetic defects and is in poor running condition. The vehicle may have
problems that cannot be readily fixed such as a damaged frame or a
rusted-through body. A vehicle with a branded title (salvage, flood, etc.) or
unsubstantiated mileage is considered "poor." A vehicle in poor condition
may require an independent appraisal to determine its value.
* Pennsylvania 03/06/2006
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Copyright @ 2006 by Kelfey Blue Book Co., All Rights Reserved. 2006 Edition. The
specific information required to determine the value for this particular vehicle was
supplied by the person generating this repolt. Vehicle valuations are opinions and may
vary from vehicle to vehicle. Actual valuations will vary based upon market conditions,
specifications, vehicle condition or other particular circumstances pertinent to this
particular vehicle or the transaction or the parties to the transaction. This report is
Intended for the individual use of the person generating this report. only and shall not
be sold or transmitted to another party. Kelley Blue Book assumes no responsibility for
errors or omissions. (v. 06031)
Kelley Blue Book - Private Party Pricing Report - Dodge, Neon
.t~
D~E
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1998 Dodge Neon Highline Sedan 4D
:;. Trade-In Value r'~=------ ---=-..~._--=._-_.
r~"pri;~t~'~~rtY'''valu~'~_ BLUE 800Ke PRIYATE PARTY VALUE <WHAT'S TKIS?
)> Suggested Retail Value 1 w...._w.._w.._-_...w..w.._..._..............~~~di;i.~.~............
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ZIP Code 117013 I
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Value
$2,675
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Excellent
... u..IHfH'S THIS?
II> Your Cree
Good
$2,350
(Selected)
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iA. WHAT'S THIS .,
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Fair
$1,975
"'WHAT':>: TI-I15'1'
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. Change Equipment
Engine:
Transmission:
Drivetrain:
Mileage:
4-Cyl. 2.0 Liter
5 Speed Manual
FWD
68,672
Selected Standard Equipment
Air Conditioning AM/FM Stereo
Power Steering
Dual Front Air Bags
B
Blue Book Private Party Value
Private Party Value is what a buyer can expect to pay when buying a used
car from a private party. The Private Party Value assumes the vehicle is sold
"As Is" and carries no warranty (other than the continuing factory
warranty). The final sale price may vary depending on the vehicle's actual
condition and local market conditions. This value may also be used to derive
Fair Market Value for Insurance and vehicle donation purposes.
Vehicle Condition Ratings
Q Check Vehicle Title History
Excellent
arxJl10
$2,675
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Kelley Blue Book - Private Party Pricing Report - Dodge, Neon
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Page 20f3
"Excellent" condition means that the vehicle looks new, is in excellent
mechanical condition and needs no reconditioning. This vehicle has never
had any paint or bOdy work and is free of rust. The vehicle has a clean
title history and will pass a smog and safety Inspection. The engine
compartment is clean, with no fluid leaks and is free of any wear or visible
defects. The vehicle also has complete and verifiable service records. Less
than 5% of all used vehicles fall into this category.
Good (Selected)
C'X.M~:1 $2,350
"Good" condition means that the vehicle is free of any major defects. This
vehicle has a clean title history, the paInt, bOdy and interior have only
minor (if any) blemishes, and there are no major mechanical problems.
There should be little or no rust on this vehicle. The tires match and have
substantial tread wear left. A "good" vehicle will need some reconditioning
to be sold at retail. Most consumer owned vehicles fall into this category.
Fair
DC'.X'I..Jt1 $1,975
"Fair" condition means that the vehicle has some mechanical or cosmetic
defects and needs servicing but is stili in reasonable running condition, This
vehicle has a clean title history, the paint, body and/or interior need work
performed by a professional. The tires may need to be replaced. There may
be some repairable rust damage.
Poor
CIf;J:~W~7~~ N / A
"Poor" condition means that the vehicle has severe mechanical and/or
cosmetic defects and is in poor running condition, The vehicle may have
problems that cannot be readily fixed such as a damaged frame or a
rusted-through body. A vehicle with a branded title (salvage, flood, etc.) or
unsubstantiated mileage is considered "poor." A vehicle In poor condition
may require an independent appraisal to determine its value.
* Pennsylvania 03/06/2006
Accurate Condition Appraisal 0 Change Condition
Accurately appraising the condition of a vehicle is an Important aspect in
determining its Blue Book value. Taking our 16 question condition quiz will
ensure you know the correct condition rating.
NEXT STEPS:
o Search Local Listings
o List Your Sedan For Sale
Copyright @ 2006 by Kelley Blue Book Co., All Rights Reserved. 2006 Edition, The
specific information required to determine the value for this particular vehicle was
supplied by the person generating this report. Vehicle valuations are opinions and may
vary from vehicle to vehicle. Actual valuations will vary based upon market conditions,
specifications, vehicle condition or other particular circumstances pertinent to this
particular vehicle or the transaction or the parties to the transaction. This report is
intended for the individual use of the person generating this report only and shall not
be sold or transmitted to another party. Kelley Blue Book assumes no responsibility for
errors or omissJons.(v.06031)
http://www.kbb.comlkblki.dll/kw.kc.ucp?kbb.PA;;PA041;& 170 13&764044&;ucp;&9;DO;B2 3/6/2006
LAST WILL AND TESTAMENT
OF
NORMAN J. SHIRES
Dated: r, J 3 , 2002
Prepared by:
Byron R. Prusky, Esq.
Two Penn Center Plaza, Suite 620
Philadelphia, P A 19102
215-563-6000
LAST WILL AND TESTAMENT
OF
NORMAN J. SHIRES
I, Norman J. Shires, make, publish and declare this to be my Last
Will and Testament, revoking all wills and codicils at any time heretofore made by
me. I am married to Ann G. Shires. I have three children whose names are
Elizabeth A. Lusk, Richard N. Shires and Ralph E. Shires. I reside and am
domiciled in Cumberland County, Pennsylvania.
FIRST: I direct that the expenses of my last illness and funeral, the
expenses of the administration of my estate, and all estate, inheritance and similar
taxes payable with respect to property included in my estate, whether or not
passing under this will, and any interest or penalties thereon, shall be paid out of
my residuary estate, without apportionment and with no right of reimbursement
from any recipient of any such property. The provisions of this Article FIRST
shall not apply to the extent that contrary provisions concerning the payment or
apportionment of any such taxes have been or shall be made in any inter vivos in-
strument executed by me relating to any insurance, trusts, gifts or other transfers,
jointly owned property or accounts, or property subject to power of appointment.
SECOND: I give certain items of tangible personal property as listed
in a separate unsigned memorandum.
I give and bequeath all other tangible personal property owned by me
at the time of my death, including without limitation personal effects, clothing,
jewelry, furniture, furnishings, household goods, automobifes and other vehicles,
together with all insurance policies relating thereto, to my wife Ann G. Shires, if
she survives me, or if she does not survive Ine, to those of my children (Elizabeth
A. Lusk, Richard N. Shires and Ralph E. Shires) who survive me, in substantially
equal shares, to be divided among them as they shall agree, or if they cannot agree,
as my Executor shall determine.
THIRD: I give, devise and bequeath all the rest, residue and
remainder of my property and estate, both real and personal, of whatever kind and
wherever located, that I own or to which I shall be in any manner entitled at the
time of my death (collectively referred to as my "residuary estate"), to the trustee
under the following trust to be held and disposed of in accordance with the terms,
covenants and condnp'(On of such trust: Norman J. Shires and Ann G. Shires
Living Trust Dated 23, 2002
\
In connection with the preparation of any tax return for me or my
estate, I authorize my Executor: to determine whether to elect to qualify any
property as qualified terminable interest property for Federal and/or State estate tax
purposes; to make any election available under Section 2652(a)(3) of the Internal
Revenue Code with respect to qualified terminable interest property as my
Executor may deem advisable; to make any election available with respect to
Chapter 13 of the Internal Revenue Code and to allocate the same to property
eligible for such allocation, whether or not such property is held hereunder,
including property transferred by me during my life as to which I did not make an
allocation prior to my death, in such amounts and proportions as my Executor may
deem advisable; to determine whether to include or exclude any item of property;
to determine within permitted limits the date of valuation of my estate; to
determine whether certain deductions shall be taken as income tax deductions or
estate tax deductions; and to determine whether to adjust between principal and
Income.
FOURTH: I appoint my wife Ann G. Shires to be my Executor. If
my wife does not survive me, or shall fail to qualify for any reason as my
Executor, or having qualified shall die, resign or cease to act for any reason as my
Executor, I appoint Elizabeth A. Lusk as my Executor. If Elizabeth A. Lusk shall
fail to qualify for any reason as my Executor, or having qualified shall die, resign
or cease to act for any reason as my Executor, I appoint Richard N. Shires as my
Executor. If Richard N. Shires shall fail to qualify for any reason as my Executor,
or having qualified shall die, resign or cease to act for any reason as my Executor, I
appoint Ralph E. Shires as my Executor. I direct that no Executor shall be required
to file or furnish any bond, surety or other security in any jurisdiction.
F1.F'fH: 1 grant to my Executor all powers conferred on executors
under the Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any
successor thereto, and all powers conferred upon executors wherever my Executor
may act. I also grant to my Executor power to retain, sell at public or private sale,
exchange, grant options on, invest and reinvest, and otherwise deal with any kind
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of property, real or personal, for cash or on credit; to borrow money and encumber
or pledge any property to secure loans; to pay any legacy or distribute, divide or
partition property in cash or in kind, or partly in kind, and to allocate different
kinds of property, disproportionate amounts of property and undivided interests in
property among any parts, funds or shares, and to determine the fair valuation of
the property so allocated, with or without regard to tax basis; to exercise all powers
of an absolute owner of property; to compromise and release claims with or
without consideration; and to employ attorneys, accountants and other persons for
services or advice. The term "Executor" wherever used herein shall mean the
executors, executor, executrix or administrator in office from time to time.
SIXTH: If my wife and I shall die in a common accident or disaster
or under such circumstances that it is difficult or impracticable to determine who
survived the other, then I direct that for purposes of this will she shall be deemed to
have survived me. If any beneficiary under this will (other than my wife) and I (or
any other person upon whose death the interest of such beneficiary depends) shall
die in a common accident or under circumstances in which it is difficult or
impractical to determine who survived the other, then I direct that for purposes of
this will such beneficiary shall be deemed to have predeceased me (or such other
person).
IN WITNESS WHEREOF, I, Norman J. Shires, sign, seal, publish
and dL~~. e this instrument as my last will and testament this .2 "3,e]) day
of n ' 2002.
7J~ ~ L.S.
f/ -""-! NomfiiilJ Shires .
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The foregoing instrument was signed, sealed, published and declared
by Norman J. Shires, the above-named Testator, to be his last will and testament in
our pres ce, all being present at the same time, and we, at his req4est and in his
presence d in the presence of each other, have subscribed our names as witnesses
on the da bove written.
residing at:
701 Knox Rd.
Villanova, P A 19085
. residing at:
205 Springhouse Pond
Wayne, PA 19087
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,
ACKNOWLEDGMENT AND AFFIDAVIT
COMMONWEAL TH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss.
We, Norman J. Shires and Jay Cohen and Kevin Murphy, the Testator
and the witnesses respectively, whose names are signed to the attached or
foregoing instrument, being first duly sworn, do hereby declare to the undersigned
authority that the Testator, Norman J. Shires, signed and executed said instrument
as his last will and testament in the presence and hearing of the witnesses, and that
he had signed willingly, and that he executed it as his free and voluntary act and
deed for the purposes therein expressed, and that each of the witnesses at the
request of the Testator, in the presence and hearing of the Testator and each other,
signed the will as witness, and that to the best of his or her knowledge the Testator
was at the time at least eighteen years of age, of sound mind and under no
constraint, duress, fraud or undue influence.
Subscribed, sworn to and acknowledged before me by the said
Norman J. Shires, Testator, and subrcred and sworn to before me by the above-
named witnesses, this}3 day of ~ ~ ~
Notary Publi .
My commission,expires on . .
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