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HomeMy WebLinkAbout11-09-06 REV-1500 EX + (8.00) . W I- ll::!!1n Ull:ll: wILU :1;00 ulI:..J ILIll IL C COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 OFFICIAL USE ONLY REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENTS NAME (lAST, FIRST, AND MIDDLE INITIAL) Kough, Phyllis H DATE OF DEATH (MM-DD-YEAR) I- Z W Q W o W Q 02-14-2006 (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) 09-03-1930 [!] 1. Original Return o 4. Limited Estate [!] 6. Decedent Died Testate (Attach copy of Will) o 9. Litigation Proceeds Received DATE OF BIRTH (MM-DD-YEAR) o 2. Supplemental Return o o o I FILE NUMBER II 06 COUNTY CODE YEAR SOCIAL SECURITY NUMBER 210-26-9799 0165 NUMBER THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 4a. Future Interest Compromise (date of dealh after 12-12-82) 7. Decedent Maintained a Living Trust (Attach copy of Trust) 10 Soousal PovertY Credit (dale of death between . 12-31-91 and 1-1-115) o 3. Remainder Retum{dateofdealh prior to 12-1382) o 5. Federal Estate Tax Return Required o 8. Total Number of Safe Deposit Boxes o 11.Election to tax under Sec. 9113(A) {Attach Sch 0) I- Z W Q Z o IL In W II: II: o U NAME Richard L Webber, Jr., Esquire FIRM NAME (If applicable) Weigle & Associates, P.C. TELEPHONE NUMBER 717-532-7388 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) o Separate Billing Requested 7 . Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 0 Separate Billing Requested 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) z o i= ~ :) l- ii: c( o w << 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) COMPLETE MAILING ADDRESS 126 East King Street Shlppensburg, PA 17257 (1 ) (2) (3) (4) (5) (6) (7) OFFICIAL USE ONLY 152,510.00 8,836.34 None None o :J ~ ,-n..,-O :D~C ".- m 'j::,.. -:0 ~, U) 7' uno ,"')0 -n ;.)c . ::0 :-o:......j )> 12,085.99 1,778.52 1,596.51 r....;I c::::> c::::> 0"\ % o < I \0 on Fh ("') C) ;~?, 01 C:J C) , ~~:i-i ("5 r-l"l ::pit :x 9 CN (8) 176,807.36 (9) (10) 11,576.58 1,988.60 (11 ) (12) (13) (14) 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) SEE INSTRUCTIONS (JII REVERSE SIDE FOR APPLCABLE RATES 15.Amount of Line 14 taxable at the spousal tax rate, 0.00 x .00 (15) z or transfers under Sec. 9116(a)(1.2) 0 i= 16. Amount of Line 14 taxable at lineal rate 163,242.18 x .045 (16) c( I- :) l1. 17. Amount of Line 14 taxable at sibling rate 0.00 x .12 (17) :E 0 (,) 18. Amount of Line 14 taxable at collateral rate 0.00 .15 (18) ~ x 19. Tax Due (19) 20. D CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 13,565.18 163,242.18 0.00 163,242.18 0.00 7,345.90 0.00 0.00 7,345.90 Copyright 2002 form software only the Lackner Group, Inc. Form REV.1500 EX (Rev. 6-00 Decedent's Complete Address: STREET ADDRESS 317 Bulls Head Road, Newville, PA 17241 CITY Newville ISTATE PA IZIP 17241 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) 7,345.90 6,550.00 344.74 Total Credits (A + 8 + C) (2) 6,894.74 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 theOVERPAYMENT. 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 theTAX DUE. A. Enter the interest on the tax due. 8. Enter the total of Line 5 + 5A. This is theBALANCE DUE. (3) (4) (5) 451.16 (5A) (58) 451.16 Make Check Payabe to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FCLLOWlNG QUESTIONS BV PlACING AN "X" IN lHE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Ves No a. retain the use or income of the property transferred;................................................................................. 0 ~ b. retain the right to designate who shall use the property transferred or its income;................................... 0 ~ c. retain a reversionary interest; or.................................................................................................................. 0 ~x d. receive the promise for life of either payments, benefits or care?............................................................. 0 ~ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?...................................................................................................................... o ~ ~ o 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?............................................ ......................................................................... 0 ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this relum, including accompanying schedules and statements, and to the best of my knowledga and belief, It is trua, correct and complete. Declaration of praparelOther than the personal repesentative is based on all information of which preparer has any knowledge. SIGNAT E OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS LI a . Webber DATE 319 Bulls Head Road Newville, PA 17241 If ( I ) o-/' DATE lll((~ ADDRESS 314 McAllister Church Road Carlisle, PA 17013 ADDRESS DATE 126 East King Street ( ( Shippensburg, PA 17257 (( (.0' For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. ~9116 (a)(1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (Ii)]. The statute does not exemota 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. ~9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116 1.2)[72 P.S. ~9116 (a)(1)]. The tax rate imposed on the net value of transfers to orfor the use of the decedent's siblings is 12% [72 P.S. ~9116 (a) (1.3)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Rev-1502 EX+ (6-98) *' SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAXREllJRN RESIOENT OECEDENT Kough, Phyllis H FILE NUMBER 21-06-0165 ESTATE OF All real property owned solely or as a tenant In common must be reported at felr market velulair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being:ompelled 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 VALUE AT DATE NUMBER DESCRIPTION OF DEAlH 1 Real Estate, together with improvement thereon, situate in North Newton Township, 152,510.00 Cumberland County, Pennsylvania, containing 4.75 acres. (152,510.00 county assessed value multiplied by 1.00 common level ratio) TOTAL (Also enter on Line 1, Recapitulation) 152,510.00 (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-1503 EX+ (6-98) *' SCHEDULE B STOCKS & BONDS COMMONWEALlH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Kough, Phyllis H FILE NUMBER 21-06-0165 ESTATE OF 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 DEA lH 1 Putnam Investments Account #A021 0020426377155 - 8,836.34 439.182 shares @20.12 per share TOTAL (Also enter on Line 2, Recapitulation) 8,836.34 (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-1508 EX+ (8-98) *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN . RESIDENT DECEDENT Kough, Phyllis H FILE NUMBER 21-06-0165 ESTATE OF 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 NUMBER ' DESCRIPTION 1 2000 Chevrolet Astro Motor Vehicle VALUE AT DATE OF DEA lli 5.245.00 2 Farmers National Bank Checking Account #12-215-7 1.350.96 3 Farmers National Bank Checking Account #12-215-7- Accrued Interest through date of death 0.14 4 Farmers National Bank Checking Account #9646557 2.326.52 Accrued interest on Item 4 through date of death 1.80 5 Household Furnishings 1.900.00 6 Orrstown Bank Checking Account #106000705 1.261.53 Accrued interest on Item 6 through date of death 0.04 TOTAL (Also enter on Line 5, Recapitulation) 12.085.99 (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-1509 EX+ (6-98) *' SCHEDULE F JOINTL V-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAXRETURN RESIDENT DECEDENT Kough, Phyllis H FILE NUMBER 21-06-0165 ESTATE OF If an asset was made Joint within one year of the dacaden!'s date of death, It must be reportad on schedule G. SURVIVING JONT TENANT(S) NAME A. Linda K. Webber ADDRESS RELATIONSHIP TO DECEDENT Daughter 319 Bulls Head Road Newville, PA 17241 B. Karen K. Kough 314 McAlister Church Road Carlisle, PA 17013 Daughter C. JOINTLY OWNED PR>PERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT ~ATE OFDEAT~l DECO'S VALUE OF NUMBER TENANT JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR ALUE OF ASSE INTEREST DECEDENT'S INTEREST JOINTLY-HELD REAL ESTATE. \ 1 B 3/17/2000 Farmers National Bank Certificate of 2,873.80 50.000% 1,436.90 Deposit #3990804005 2 B 9/4/2001 Farmers National Bank Savings Account 636.18 50.000% 318.09 .#9115579 3 A,B 1/6/2001 Orrstown Bank Checking Account 70.58 33.333% 23.53 #106001888 TOTAL (Also enter on Line 6, Recapitulation) 1,778.52 (If more space is needed, additional pages ofthe same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) Rev-1510 EX+ (6-98) *' SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEAllH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT OECEDENT Kough, Phyllis H FILE NUMBER 21-06-0165 ESTATE OF This schedule must be completed and filed W the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH 'Y. 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 Farmers National Bank Checking Account 1.596.51 100.000 1.596.51 #17-559-5 - Held in trust for John M. Kough, son TOTAL (Also enter on Line 7, Recapitulation) 1.596.51 (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-1151 EX+ (12-99) *' SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Kough, Phyllis H Debts of decedent must be reported on Schedule I. FILE NUMBER 21-06-0165 ESTATE OF ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s} attached 6,205.50 B. ADMINISTRATIVE COS1S: 1. Personal Representative's Commissions Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City State Zip - Year(s) Commission paid 2. Attorney's Fees Weigle & Associates, P.C. 4,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 310.00 See continuation schedule(s} attached 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1,061.08 See continuation schedule(s} attached TOTAL (Also enter on line 9, Recapitulation) 11,576.58 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) R.y-1502 EX+ (6-98) *' SCHEDULE H.A FUNERAL EXPENSES continued COMMONWEAL lH OF PENNSYlVANIA INHERITANCE TAXRETURN RESIDENT DECEDENT Kough, Phyllis H FILE NUMBER 21-06-0165 ESTATE OF ITEM DESCRIPTION AMOUNT NUMBER 1 Funeral Bill 6,135.50 2 Funeral Flowers 70.00 Subtotal 6.205.50 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA.1500 Schedule H-A (Rev. 6-98) Rev-1502 EX+ 16-98) *' SCHEDULE H-84 PROBATE FEES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAXRE1URN RESIDENT DECEDENT Kough, Phyllis H FILE NUMBER 21-06-0165 ESTATE OF ITEM DESCRIPTION AMOUNT NUMBER 1 Cumberland County Register of Wills 310.00 Subtotal 310.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H.B4 (Rev. 6-98) Rev-1502 EX+ (6-98) *' SCHEDULE H.87 OTHER ADMINISTRATIVE COSTS continued COMMONWEALll-i OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT - Kough, Phyllis H IFILE NUMBER 21-06-0165 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 Cumberland County Register of Wills - Short Certificates 4.00 2 Cumberland County Register of Wills - Filing fee for inheritance tax return 15.00 3 Cumberland Law Journal - Legal Advertisement 75.00 4 Kough's Oil Service - Fuel Oil 323.85 5 PP&L - Electric Bill 171.39 6 PP&L - Electric Bill 80.73 7 PP&L - Electric Bill 66.56 8 PP&L - Electric Bill 72.59 9 PP&L - Electric Bill 80.90 10 Sprint - Telephone Bill 21.54 11 Sprint - Telephone Bill 25.91 12 Sprint - Telephone Bill 52.17 13 The Valley Times-Star - Legal Advertisement 71.44 Subtotal 1,061.08 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA.1500 Schedule H-B7 (Rev. 6-98) , Rey-1512 EX+ (8-98) *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS _ COMMONWEALTH OF PENNSYLVANIA INHeRITANCE T!\XRETURN RESIDENT DECEDENT Kough, Phyllis H FILE NUMBER 21-06-0165 ESTATE OF Includ. unr.lmbursed medlc.1 exp.n.... ITEM NUMBER DESCRIPTION 1 Direct TV - Bill VALUE AT DATE OF DEAlH 56.15 2 Home OWners Insurance 638.00 3 Kough's Oil - Heating 011 244.58 4 PPL - Electric Bill 176.65 5 Social Security Adminlnstration - Return of monthly payment 828.00 6 Sprint - Telephone Bill 45.22 TOTAL (Also enter on Line 10, Recapitulation) 1,988.60 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98) , REV-1513EX+ (9-00' *' SCHEDULE ..J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF NUMBER Kough, PhyJlis.H NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTDNS [include outright spousal aistributions). and transfers under Sec. ~116(a)(1.2)] RELATIONSHIP TO DECEDENT Do Not List Trust"" FILE NUMBER 21-06-0165 SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) I. 1 Karen K Kough 314 McAllister Church Road Carlisle, PA 17013 Daughter One-Half 81,621.09 2 Linda K Webber 319 Bulls Head Road Newville, PA 17241 Daughter One-Half 81,621.09 Total 163,242.18 Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet II. NON-TAXABLE DISTRIBUTIOIIS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION 1) TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIGJS TOTAL OF PART 11- ENTER TOT,6L NON-TAXABLE DISTRIBUTICNS ON LINE 13 OFREV-1500 COVER SHEET 0.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98) - --- "--. 1 I ! I ~ 1Eaf.lt .ill an~ Wt6t~mtttf -.- ----- --- ____-:--____~__c___________ -'-----~~-----l'----"'- ___m____ 'r- l I I I I- I OF i i , ~ II i t ~ 1 County, pennsylvania, declare this instrument to be my Last Will I I I I I I I PHYLLIS H. KOUGH I, PHYLLIS H. KOUGH, of North Newton Township, Cumberland and Testament, in manner and form following: 1. I hereby expressly revoke all Wills and Codicils heretofore made by me. 2. I hereby direct my Executrices to pay all my just debts, funeral and administrative expenses out of my estate, as soon as practicable after my death. 3. I direct that all taxes that may be assessed in consequence of my death of whatever nature and by whatever jurisdiction imposed shall be paid out of my estate as apart of the administration of my estate. rest of his life. Should both of my daughters predecease me or i i 1 fl ~ l' ~ ~ f I i I I I I I I 4. I give, devise and bequeath the remainder of my estate of w~atever nature and wherever situate to my daughters, Linda K. Webber and Karen K. Kough. Should either of my said daughters predecease me or die on or before the thirtieth day following my death, her share shall be distributed to the surviving daughter. I t I I I , i I i t I I ; I sincerely requ.est that my daughters, Linda K. Webber and Karen K. Kough, maintain and care for my son, John M. Kough, for the 1 die on or before the thirtieth day following my death, the remainder Of my estate shall be distributed to Dauphin Peposit Bank and Trust Company, IN TRUST, for the benefit of my son, John M., KOl,lgh, under the terms of Paragraph 5 hereafter set forth. 5. I nominate and appoint Dauphin Deposit Bank and Trust Company, Carlisle, PA, Trustee of the share of any b~~eficiary who may ,be under the age of twenty-two years, or' who may be adjudicated incompetent. The income and/or principal of said trust may be accumulated or expended for the maintenance, education and support of such beneficiary as my Trustee in its sole discretion may determine; and my Trustee, in the expenditure of income and/or principal for such purposes, may, at its discretion, apply the same directly without the intervention of a guardian or pay the same to any person having the care or control of said beneficiary or with whom the beneficiary resides, without duty on the part of the Trustee to supervise or inquire 'into the application of the funds by any person to whom any payment is so made. The balance of such income and/or principal shall be paid to such beneficiary upon reaching the age of twenty-two years or attaining competency, or to such beneficiary's estate in the event of death prior thereto. 6. I nominate and appoint my daughters, Linda K. Webber and Karen K. Kough, as Executrices of this my Last Will and 2 . _.' ,:;C' ",,;;~~,~~~~,,\.~ : '~__~.___._ _ _. . ._. _.- . Testament; and as substitute Executor I nominate and appoint Dauphin Deposit Bank and Trust Company, Carlisle, PA. 7. I direct that my personal representatives and Trustee shall serve as.such without the necessity of filing bond or security in any jurisdiction. 8. In addition to the powers above provided fo~,...and those given my law, my personal representative and Trustee, without any order of court and in their ~ole discretion, may: '.,,,,',' J I!' A. Retain any property owned by me at my death and any form of life insurance, annuity or endowment policies; and in so doing they may act without restriction to so- called legal investments and without responsibility for diversification. B. Repair, alter, improve or lease, for any period of time, any property, and give options for leases. C. Sell at public or private sale, for cash or credit~ with or without security, exchange or partition property and give options for sales or exchanges. O. Borrow money from any person, including my Executor or Trustee, and mortgage or pledge any property. E. Compromise Claims. F. Pay premiums on any life insurance, annuity or endowment policies which may have been retained or purchas~d h~rein; and' exercise any right, optio~ or privilege thereund~r~ . G. Vary or retain investments, when deemed desirable by Trustee, and invest .in such bonds, stocks (including bank stock of the Dauphin .Deposit Bank and Trust Company), notes, real estate mortgages or securities, common or diversified trust funds, or in such other property, real or personal, as Trustee shall deem wise, without being restricted to so-called "legal investments." 3 H. Place and carry any asset of the trust in the name of a nominee. I. Make distribution in cash or in kind or partly in each. J. Terminate said trust prior to the time designated herein, if, in the opinion of Trustee, the said trust res, together with accumulated interest, has diminished to the point that it is no longer economical or feasible to continue said trust. K. In the event that Dauphin Deposit Bank and Trust Company shall serve either as my Executor, my Trustee or both, I direct that said corporate fiduciary shall be compensated for the services which it renders in accordance with its prevailing scheduie of fees in effect puring the time when said services are rendered. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 15th day of August, 1989. C.7~~. ~LdSEAL) Phyl s H. Kough WITNESS: ~~ ~~I'~ l Ht~.-. 4 "".V. ""'. ~'::,' ": "", .. ~~~:: __.. _____... _.__....:.~_;......:;.z;;.;oo.._ __ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS. I, Phyllis H. Kough, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me, by Phyllis H. Kough, Testatrix, this 15th day of August, 1989. . Gf#-1:11- ~,/ Testa: rl.X ~-laf31~Ph~ NOTARIAL SEAL . LAURA A. BISTLINE, Notary Pub tic C4rlisle. Cumberland County My Cammi ssion Expires Harch":.z6.. .1993 . _r' ,- ~ . .i 5 COMMONWEALTH OF PENNSYLVANIA : : SSe COUNTY OF CUMBERLAND . . We, Roger M. Morgenthal and Janice E. Hertzler , the witnesses whose names are signed to the attached or foregoing instrument~ being duly qualified according to law, do depose and say that we were present and saw Testatrix, Phyllis H. Kough, sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her 'free and voluntary act for' the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or af finned Roger M. Morgentnal witnesses, this lSth to and subscribed to before me by and Janice E. Her~zler da.y of August , 1989~ ~~ \'Wit. s!3 . .' ~~~~l. M~~ ~A,)A /J il:dhAA a. , . NOTARIAL SEAL "...:.:..:"; LAURA ^.. BrSTLINE, Notary])u!ilic.. . Car.h S.1e, Cumberland, County: . -, ' " My Commlss1on Expires Harch 2o.~'l9'9.3 . .- .1 6 '." ....','" ......... '. ' .., ....... .,..", ,I '. ..' ""i' ." ."..,."." Pennsylvania/awrequiresthalalllfiil.l?statebe valLiedasofthemo$t "centcc>unty:-:wide~f;lS~ssm~ht. The/a,st reassessment; ortaxbf'$l1 y~r,was ?QQO.Sincf}theJa$t 1'88ssessmentin20Qp. Pf9~ftiesl)~tI!1:beftnass.$S~Pt1t 100% 0 Year 2000 'value(1"e ,~re...aetenniItl1dRati()',' . Th!1" n6'wt~'.,base.Year WiII,be.thfl.YftElr2()(1#('llithtlre'lf$'w~~s~.sed values becomingeffectlvefor th,~(j05tax yea,.. . TMPnraetermlnedRatiotemalns at 1 ()O%. Your neW aS8f;tss'dvaiueeqvals yo , Year 2004 market value. ' When the new 2004 .~ ba~e,isdetGrminedafterthis f8llsses$men4 all taxing district$a,re required bylaw to lower E millage rate by thesa,me pfOPortlcmthatthe tubase went up. Tl]e law provides thatin th.efirst yearaft'etreassessment (2005), the county and all townships andborougMmay not increase overall revenue on theirexistingtaxbaseby more than five percent (5%) and school districts may not Increase overall revenue on their existing taxbase by more than ten percent (10%). The county and the other taxing bodies will make these decisions next year, and may choose not to increase overall revenue. Of course.' some individual's taxes will go up or down by more than those pftrcentages; The essential point is th an increase In market values does not necessarily mean a corresponding increase in taxes. Individual changes in taxes will depend upon a specific property's change as compared to the overall change for the taxing district. The ESTIMATED impact statement printed below is our best estimate of change, based on 2004 COUNTY tax figures. THIS ESTIMATE DOES NOT INCLUDE ANY BOROUGH, TOWNSHIP, OR SCHOOL DISTRICT IMPACT. ESTIMATED COUNTY TAX IMPACT: Current 2004 County mills = 2.3 Adjusted 2004 County mills = 2.1 $ $ 329 326 2004 County Tax BEFORE Reassessment. 2004 County Tax AFTER Reassessment. PUT NAM INVESTMENTS Putnam Investor Services Post Office Box 41203 Providence, Rhode Island 02940.1203 www.putnaminv.com March 23,2006 RICHARD L WEBBER JR ESQ WEIGLE & ASSOC PC 126 EKING ST SHIPPENSBURG PA 17257-1397 Account No.: A0210020426377155 Registration: Phyllis H Kough Reference No.: '0448792386 Dear Mr. Webber: Thank you for contacting us regarding the above-referenced account. The following table provides the information requested as of February 14,2006. This letter confirms that the account was established on August 12, 1996 under the sole ownership of Phyllis H. Kough. The account was redeemed in full on February 23,2006 and the distribution check in the amount of $8,946.14 was mailed to the address of record. We hope that this information is hdpiul. To assist you with future inquiries concerning this letter, please provide the reference number shown above when calling or sending written correspondence. Should you have any questions, please call us toll free at 1-800-225-1581. One of our representatives will be pleased to assist you. Sincerely, Ord+ev adL Patricia Michelin Putnam Investor Services cc: Linda K Webber Karen K Kough . · Kelley Blue Book - Private Party Pricing Report - Chevrolet, Astro In partnership with ...Ieyllle 80. ; j ~ RESEARCH ! REVIEWS I TIPS ! ! . Kelley Blue Book THE TRUSTED RESOURCE . ------'.---."--- ....,... BLUE BOOK" PRIVATE PARTY REPORT Pennsylvania · February 20, 2006 2000 Chevrolet Astro Minivan 3D ,'" ,. ~,,~\ . y """'Mi~~r..~ Another B~QQ[t EreeC&BFAX Re~Q(gChepJs Sear~lJlJ~~<t'{e-'li~lebl~tjng~ tJmance YQ-YIYehlc:Je Insure Y_QIJJJLebiQ.!e Engine: V6 4.3 Liter Trans: Automatic Drive: AWD Mileage: 81,700 Equipment 7-8 Passenger Air Conditioning Power Steering AM/FM Stereo Dual Front Air Bags ABS (4-Wheel) Consumer Rated Condition: Fair "Fair" condition means that the vehicle has some mechanical or cosmetic defects and needs servicing but is still in reasonable running condition. This vehicle has a clean title_bLstQI'Y, 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. Private Party Value $5,245 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 liAs 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. Page 1 of2 _ ..http://www.kbb.com/kb/kLdll/kw .kc. ur?aolwp;802058 ;&;+p&723 ;Chevrolet;2000%20Ast... 2/20/2006 A~ FARMERS NATIONAL BANK OF NEWVILLE A Division of Adams County National Bank Mt..R 2 ,- ,Uut) February 28, 2006 Richard L. Webber, Jr., Esquire WEIGLE & ASSOCIATES, P.C. 126 East King Street Shippensburg, Pa 17257 RE: Estate.of Phyllis Kough, Deceased Date of death; February 14, 2006 Dear Mr. Webber: Mrs. Kough had a checking account #12-215-7 in her name alone, with a date of death balance of $1,650.96 plus .14C accrued interest. This account was opened 1/16/1985. A savings account #9646957 also in her name was opened 9/27/1982 with a February 14 balance of $2,326.52 plus $1.80 accrued interest. She also had a savings account #9115579 opened 9/4/2ID01, joint with Karen K. Kough, with a balance of $635.69 plus .49~ accrued interest; and a certificate of deposit#3990804005, also joint with Karen K. Kough, opened 3/17/2000 with a balance of $2,810.28 plus $63.52 accrued interest. There is also a checking account in the name of Phyllis H. Kough in , trust for John M. Kough which was opened 9/5/96 with a balance of $1,596.51. This account # is 17-559-5. If you have any questions, please call. Ae~~~ Yo~~,&. .-,- . . / Execut1ve V1ce Pr 1dent PO. Box 156, Newville, PA 17241 . (717) 776-5312 Nor 2 .. 2006 Appraisal Report Personal Property of Phyllis H. Kough, deceased For Estate of Phyllis H. Kough As of: October 23, 2006 By: Dan Hershey's Auctioneer Service Steven E. Ege and Chris Bream Auctioneer & Appraiser 790 West High Street Carlisle, PA 17013 717-532-4647 Personal Property of Phyllis H. Kough, deceased Furniture Appliances Kitchen ware Household & miscellaneous Total $900.00 $200.00 $200.00 $600.00 $1900.00 It is our opinion that the appraised auction value of the above items is $1900.00 as of October 23, 2006 .... i .br~ft[ ~~ Steven E. Ege, auctioneer appraIser ehri ~h A"'B ~a~. stop er. am, auctioneer appraIser ~ ORRSTOWN BANK MAR 2 - 2006 March 1, 2006 TO: Weigle & Associates Attorneys at Law 126 East King Street Shippensburg, PA 17257 FROM: Timothea Moose Cust. Ser\iice Specialist P.O. BOX 250 SHIPPENSBURG PA 17257-0250 RE: ESTATE OF Phyllis H Kough DATE OF DEATH: February 14, 2006 IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD, ON THE ABOVE DATE, THE FOLLOWING ACCOUNTS WITH ORRSTOWN BANK: CHECKING ACCOUNTS . ACCOUNT NO. 106000705 106001888 TITLE OF ACCOUNT Phyllis H Kough Phyllis H Kough Linda K Webber Karen Kough DATE OPENED PRINCIPAL & ACCRUED INTEREST 2/19/99 1,261.53.04 1/16/01 70.58 SAVINGS ACCOUNTS ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPAL & ACCRUED INTEREST CERTIFICATES OF DEPOSIT ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPAL & ACCRUED INTEREST PO Box 250 · Shippensburg, PA 17257 · (717) 532-6114. (717) 532-4143 Fax. www.orrstown.com