HomeMy WebLinkAbout11-02-06
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15056051058
REV-1500 EX (06-05)
PA Department of Revenue *'
Bureau of Individual Taxes ,
PO BOX 280601
Harrisburg, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Number Date of Death
OFFICIAL USE ONLY
~o~~ty~o.de Year
INHERITANCE TAX RETURN
RESIDENT DECEDENT
File Number
21
06
0613
Date of Birth
170-10-0927
06/24/2006
08/03/1911
Decedent's Last Name
Suffix
Decedent's First Name
MI
WERT
SR.
FRANKLIN
D
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name
First Name
MI
~p()u~e.'~ ,,~l:)?i13I~e.c.~~o/""~rT1~e.r, "
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
ca:; 1. Original Return
c:::>
2. Supplemental Return
c::>
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
c::>
4. Limited Estate
c:::>
ct>
c::> 4a. Future Interest Compromise (date of
death after 12-12-82)
c=:> 7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
c::> 10. Spousal Poverty Credit (date of death c=:> 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 0)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Namel:l13ytil11e."!e.leph()~e.",t-J,~,ITl~e.r",,,
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
8. Total Number of Safe Deposit Boxes
C)
(717) 737-3405
SAIDIS, FLOWER, LINDSAY
REGISTER O'S:'ILLS USE
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First line of address
or Post Office
State
ZIP Code
Second line of address
17011
co
Correspondent's e-mail address:tflower@sfl-Iaw.com
Under penalties of pe~ury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which pre parer has any knowledge.
SI NA URE OF I?ERSON ES SIBLE FOR FILING RETURN DATE
1 0/27/06
ADDRESS
F. Douglas Wert, Jr., xecutor, 645 Sawmill Road, Mechanicsburg, PA 17055
~2fJrj~VE
A ESS ,
Saidis, Flower & Lindsay, 2109 Market Street, Camp Hill, PA 17011
PLEASE USE ORIGINAL FORM ONLY
DATE
10/27/06
Side 1
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15056051058
15056051058
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15056052059
REV-1500 EX
Decedent's Name:
RECAPITULATION
FRANKLIN
o WERT
1. Real estate (Schedule A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1.
2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . .. 3.
4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . .. 5.
6. Jointly Owned Property (Schedule F) C=> Separate Billing Requested. . . . . .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) c:::> Separate Billing Requested.. . . . . .. 7.
8. Total Gross Assets (total Lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8.
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). . . . ... .. . .. .. ... ....... ... . .... . . . 11.
12. Net Value of Estate (Line 8 minus line 11) .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . 12.
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13.
14. Net Value Subject to Tax (line 12 minus line 13) . . . . . . . . . . . . . . . . . . . . . . . . 14.
TAX COMPUTATION. SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0_ 15.
16. Amount of line 14 taxable
at lineal rate X.O 45 941,452.03 16.
17. Amount of Line 14 taxable
at sibling rate X .12 10,000.00 17.
18. Amount of line 14 taxable
at collateral rate X .15 18.
19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
L
15056052059
Side 2
Decedent's Social Security Number
,.'..'.......................'.',.".............................................................-........-.....-.-.--.
1170-1 0-0927
186,000.00
718,060.61
71,832.13
42,000.00
1,017,892.74
56,097.39
;
42,365.34
1,200.00
:
1 43,565.34
C;)
15056052059
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REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENfS NAME
FRANKLIN D WERT
STREET ADDRESS
5511 SILVER CREEK DRIVE
21
DECEDENfS SOCIAL SECURITY NUMBER
170-10-0927
CITY
MECHANICSBURG
STATE
PA
ZIP
17050
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1 )
43,565.34
34,000.00
1,789.42
Total Credits (A + B + C ) (2)
35,789.42
3. Interest/Penalty if applicable
D. Interest
E. Penalty
TotallnteresUPenalty ( 0 + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 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)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(5A)
(58)
0.00
0.00
7,775.92
0.00
7,775.92
A. Enter the interest on the tax due.
Make Check Payable to: REGISTER OF WILLS, AGENT
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;.......................................................................................... 0 Ij]
b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 Ij]
c. retain a reversionary interest; or.......................................................................................................................... 0 [iJ
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 Ij]
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. [KJ 0
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 Ij]
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ 0 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.
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 three (3) percent [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 zero (0) percent
[72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure 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 at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent [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 four and one-half (4.5) percent, 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 or for the use of the decedent's siblings is twelve (12) percent [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.
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REV-1502 EX+ t.."W
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF
FRANKLIN D. WERT, SR.
FILE NUMBER
21-06-0613
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 properly 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 jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
VALUE AT DATE
OF DEATH
DESCRIPTION
1. DWELLING HOUSE AND LOT, 5511 SILVER CREEK DRIVE, HAMPDEN TOWNSHIP
MECHANICSBURG, PA 17050 - PER ATTACHED APPRAISAL
TOTAL (Also enter on line 1, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
186,000.00
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Capital Property Appl1llsers
P.O. Box4072
Harrisburg. Pa. 17111
07120/06
The Wert Family
5511 Sllv8r Creek DrIve
Mechanlcsburg, PA 17050
Re: Property: 5511 Silver Creek DrIve
Mechanlcsburg, Pa 17050
Borrower: NJA
FHe No.:
In accordance with your request, we have appraised the above referenced property. The report of that appraisal Is
attached.
The purpose of this appralsallB to estimate the market velue of the property described In thIB appraisal report, as
Improved, in unencumbered fee smple title of ownership.
This report is baud on a physical analysis of the site and mprovements. a Iocational analysis of the neighborhood and
city, and an economic analysis of the market for properties such as the subject. The appreisal was developed and the
report was prepered In accordance with the Uniform Standards of Professional Appraisal Practice.
The vew conclusions reported are as of the effective date stated In the body of the report and contingent upon the
certlficetion and imiting conditions attached.
It has been a pleasura to assist you. Please do not hesitate to coriact me or any of my staff if we can be of additional
seNtce to you.
i:IL~
LauriAWemer
Cartlfled Resi:lential Appraiser
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SUMMARY OF SALIENT FEATURES
SubJect Address 5511 Silver Creek Drtve
legal Description Deed Book 00201 Page 00851
City Mechanlcsburg
CllIIlY Cumberland
Slate Pa
Zip Code 17050
Census Tract 113.02
Map Reference 38"()7..()459-123
SlH Prlce $ N1A
Date of Sale N1A
Borrower I CHent N/A
lender The Wert Family
Size (Square Feel) 1.676
Prlce per Square Fool $ 100.97
locaUon SwurbanlAvg
Age 25 Yrs Est
Condition Average
Total Rooms 6
Bedrooms 2
Baths 2
Appraiser Laurt A.Wemer
Date of Appraised Value 07120/06
final EsIlmaIe of Value $ 186,000
Form SSD - "TOTAl lor Windows" appraisal software by a 1a mode, 100. -1-300-ALAMQIlE
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REV-1503 EX+ 16-98.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
FRANKLIN D. WERT, SR.
FILE NUMBER
21-06-0613
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
1,770.198 SHARES GABELLI VALUE FUND-CLASS A@ 19.045, CU. 36240H106
2. WACHOVIA SECURITIES ACCT. #8673-0433 (SEE CONTINUATION SHEET ATTACHED)-
VALUE AT DATE
OF DEATH
718,060.61
THIS ACCOUNT WAS TITLED "MILDRED S. WERT, DECEASED." IT WAS TREATED AS A
TESTATMENTARY TRUST F/B/O SURVIVING SPOUSE, FRANKLIN D. WERT, AND CAME
INTO BEING UPON DEATH OF MILDRED S. WERT 07/07/2003. IT WAS A SOLE-USE TRUST
(SEE ATTACHED WILL OF MILDRED S. WERT).
3. WACHOVIA SECURITIES ACCT. #38673-0219 (SEE CONTINUATION SHEET ATTACHED)
TOTAL (Also enter on line 2, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
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REV.' 503 EX+ 16.....
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Uvt~~ - ~
SCHEDULE B
STOCKS & BONDS
ESTATE OF
WACHOVIA ACCOUNT #8673-0433
FILE NUMBER
All property jolntly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
2,224.986 shares BELLSOUTH CORP @ 35.4275
2. 839.392 shares QUEST COMMUNICATIONS @ 7.595
VALUE AT DATE
OF DEATH
3. 921.499 shares VODAFONE @ 20.905
4. 20,000 WESTMORELAND COUNTY REVEVELOPMENT AUTHORITY BOND
5. 3,099.174 shares FEDERATED FIXED INCOME SEC STRATEGIC INCOME FD @8.415
6. 6,475.476 shares DRYDEN GOV'T INCOME FUND CL-A @ 8.59
7. CASH DEPOSIT/ACCESS FUND WITHIN SECURITIES ACCOUNT 8673-0433
78,825.69
TOTAL (Also enter on line 2, Recapitulation)
(If more space is needed. insert additional sheets of the same size)
.
REV-'503 EX+ (6-9'.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
~~~- '3
SCHEDULE B
STOCKS & BONDS
~
ESTATE OF
WACHOVIA ACCOUNT #8673-0219
FILE NUMBER
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
4,696.991 shares AT&T @ 27.345
2. 53sharesAVAYA@ 11.515
3. 647.585 shares LUCENT @ 2.4075
4. 17 shares AGERE @ 13.78
5. 58 shares NCR CORP @ 35.6925
6. 1,969.045 shares VERIZON @ 32.82
7. 366 shares COMCAST @ 31.6425
8. 25,000 WESTMORELAND COUNTY REDEVELOPMENT AUTHORITY BOND
9. 4,088.398 shares FEDERATED WORLD INVT SER INC INTL HI INCOME FD CL B @ 8.575
10. 4,537.905 shares FRANKLIN PA TAX FREE INC FD CLA@ 10.195
11. 1,639.327 shares PUTNAM HI YLD ADVANTAGE FUND SBI CL A@ 5.9
12. CASH DEPOSIT/ACCESS FUND WITHIN WACHOVIA SECURITIES ACCOUNT
TOTAL (Also enter on line 2, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
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SAID IS
SHUFF, FLOWER
& LINDSEY
AlTORNEYSoAToLAW
26 W. High Street
Carlisle, P A
Wert, Franklin D. Sr; Codicil for Franl<
CODICIL
TO THE LAST WILL AND TESTAMENT
OF
MILDRED So WERT
I, MILDRED S. WERT, of Camp Hill, Cumberland County, Pennsylvania,
declare this to be the First Codicil to my Last Will and Testament, dated November 9,
1999.
ITEM I:
This Codicil to my Will is prepared to adjust the shares of my
residuary estate to take into account an advancement made to our son, DONALD R.
WERTo This advancement and the adjustment described herein should be applicable
whether my spouse predeceases me and my children inherit directly through my estate,
or whether they inherit as residuary beneficiaries under any Trust I have established in
my Will.
Our son, DONALD R. WERT, made certain investments on our behalf
with our funds, but in his name, in 1986 in Fairmont Associates Limited Partnership in
the form of a loan. The loan was converted to stock in Integrated Health Services and
then sold on January 24, 1992. Our initial investment was $25,000.00. However, when
the investment was sold it yielded $69,103.00, for a gain of $44,103.00, on which it is
estimated that he would have paid tax at 30.8%, or $13,583.74. Consequently, the
amount that he held at that time on our behalf was $55,519.00. This investment was
commingled in Donald's portfolio with the intent of returning the investment when a
,
SAIDIS
~HUFF, FLOWER
& LINDSEY
ATJ'ORNEYSeA TeLA W
26 W. High Street
Carlisle, P A
Wert, Franklin D. Sr.; Codicil for Fral
to
targeted asset was sold. However, in the meantime, he paid tax on the initial investment
and has reported any earnings in his name from the date of the sale forward.
Rather than reclaim the investment, we gifted it to him. We gifted
$20,000.00 at the end of 1991, and $20,000.00 at the end of January of 1992, and the
remainder in 1993. My spouse and I each gifted one-half of the total gift to him each
year.
Since we have made no such significant gifts to any of our other children,
and in order that disbursement of our final estate be made in an equal fashion among all
of our children, it is our desire to value the advancement by assuming that it would have
increased in value by a rate of 6.5% compounded annually. For the purposes of this
computation, the amount initially to bear interest shall be $55,519.00, and the date from
which it shall be assumed to have increased in value in such fashion will be February 1,
1992. The resulting amount shall be considered to be an advancement, and each of our
children shall received the same amount from either my residuary estate, or from the
residuary of any Trust created under my Will prior to division of the remaining residuary
which. shall be paid equally to all of our children, including DONALD R. WERT. We
arrived at the interest rate of 6.5% considering that it is high enough to be fair to our
other children, but significantly lower than Donald would have paid for a commercial
business loan. The lower interest rate partially reflects the family nature of this
transaction, and the value of Donald's advice on the investment to us.
2
,
. II
SAIDIS
"FlUFF, FLOWER
& LINDSEY
AlTORNEYS'AT.LAW
26 W. High Street
Carlisle, PA
Wert, Franklin D. Sr.; Codicjl for Fral
Although this language also appears in my spouse's Codicil, we do not
want the advancement to be duplicated, but wish for the adjustment to take place only
once.
ITEM II: In all other respects, I hereby ratify, confirm and republish my
Last Will and Testament dated November 9, 1999, together with this First Codicil, as
and for my Last Will.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this/6Y(
fk,,~ ,2001.
r
day of
SIGNED, SEALED, PUBLISHED and
DECLARED in the presence of:
,-tq~--<~ .~ I ZJ ~
Mildred S. Wert
3
SAIDIS
'HUFF, FLOWER
& LINDSEY
ATroRNEYSoAToU. w
26 W. High Street
Carlisle. PA
W~.rt, Franklin D. Sr.; Codicil for Fra"
..
COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
I, MILDRED S. WERT, 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 a First Codicil to 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 MILDRED So WERT, the
day of :d-c-b~~, , 2001, at
J
Testatrix, this
t lQ~
Cbhl~h
, Pennsylvania.
~~L ~ ZU~
Mildred S. Wert, estatrix
NOTARIAL SEAl. .
MERLENE J. MAAHEvKA. NOTARY PUSUC
, CAAUSl.E, CI.JU8ERI.AND COUH1'Y PA
';j MY COMMISSION EXPIRES JUNE 8 ~
.-:t,.....1t1 '
4
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SAIDIS
;HUFf, FLOWER
& LINDSEY
ATI'ORNEYSoAToLA W
26 W. High Street
Carlisle, PA
W.~rt, Franklin D. Sr.; Codicil for Fra
COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
We James D. Flower I Jr.
,
and Johnna Jo Kopecky
the witnesses whose names are signed to the attached or foregoing instrument, being
duly qualified according to law, do depose and say that we were present and saw
Testatrix sign and execute the instrument as a First Codicil to 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
Codicil 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 affirmed to and subscribed to before me by James Do Flower, Jr.
and Johnna J.Kopecky
~())
this --' l 0 ~ day of
,2001.
1~~
5
NOTARIAL SEAL
MER1.ENE J. MAAHEVKA. NOTARY PUBUC
CARUSl.E, CUUBEAtAND COUNTY, PA
MY COMMI8SION EXPIRES JUNE 8, 2002
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1Ettsl 3IIIIillttnb QItsbunettl
OF
MILDRED S. WERT
I, MILDRED S. WERT, of Camp Hill, Cumberland County, Pennsylvania, declare
this to be my Last Will and Testament, and revoke any and all Wills and Codicils made by
me.
ITEM I:
I direct that all my just debts and funeral expenses, including my grave
marker and all expenses of my last illness,. shall be paid from my residuary estate as soon
as practicable after my decease, as a part of the expense of administration of my 'estate.
ITEM II:
I give my household and personal effects and other tangible perSonal
property of like nature to my husband, FRANKLIN 0... WERT, SR., if he survives me,
together with all insurance policies thereon, if any. If my husband, FRANKLIN O. WERT,
SR., does not survive me, I give such property to those of my children who survive me, in
approximately equal shares. In.. the event of any disagreement among my children with
regard to any such assets, all such disagreements shall be conclusively resolved by my
Co-Executors or Executor.
ITEM III:
I give and bequeath the sum of Two Thousand ($2,000.00) Dollars to
GOOD SHEPHERD ROMAN CATHOLIC CHURCH.
ITEM IV:
I give and bequeath the sum of One Thousand ($1,000.00) Dollars to
MARIAN 1ST MISSIONS.
ITEM V:
I give and bequeath the sum .of One Thausand ($1,000.00) Dallars ta
OBLATES MISSIONS.
ITEM VI:
If my husband, FRANKLIN o. WERT, SR., survives me by thirty (30)
days, I give, devise and bequeath ta my Trustee, hereinafter named, ta be held IN TRUST,
during the life of my said husband, FRANKLIN 0.. WERT, SR.., a sum equal ta the
maximum dallar amaunt, if any, which can then pass free .of federal estate tax in my estate
by rea san Of the unified credit against federal estate tax allawable ta my estate 'an' the date
, '
.of my death (the "credit shelter amaunt"), reduced by the aggregate .of (1) all items
includable in my estate far federal estate tax purpases which either are ,dispased .of in
previaus articles .of this Will or pass .outside .of this Will but ,.only ,if such items da nat qualify
far the federal estate tax marital ded~ctian .or the federal estate tax charitable deductian,
and (2) the amount of 'any administratian expenses claimed as incame tax rather, than
estate tax deductians and (3) the amaunt .of any state death taxes payable by my estate~
.
This Trust shall be referred ta and knawn as my CredifShelter Trust. The aforementianed
sum shall be held farthe follawing uses and purpases~
A. T.o pay the incame to him inc.onvenient installments, at least quarter-
annually. "
B. The Trustee may apply the net incame of th,is Trust far the benefit .of
my said h~sband should he by reason of age or illness be incapable of disbursing it.
C. As much of the principal of this Trust as the Trustee, in its sale and
, , absolute discretion may fram time ta time think advisable far the suppart .of my husband
to maintain h,im in the statian .of life ta which he is accustamed at my death and after taking
inta cansideratian his other readily available assets and sources '.of incame .or during illness
or emergency, may be either paid ta him .or applied directly far him.
, 2
D. Upon the death of my husband, FRANKLIN D. WERT, SR., the then-
remaining principal and any accumulated or undistributed income shall be distributed as
follows:
1. The sum of Ten Thousand ($10,000.00) Dollars to my sister',
JOAN K. WOODBRIDGE. Should she die prior to receiving this bequest, I direct said sum
to be paid to her children, in equal shares, JOHN WOODBRIDGE, STEVEN/STEPHEN
. WOODBRIDGE, MICHAEL WOODBRIDGE, KENNETH WOODBRIDGE, JOANNE
WOODBRIDGE and GREGORY WOODBRIDGE.
2. The balance in equal shares among my six' (6) children,
FRANKLIN D. WERT, JR., CAROL M. SMITH, DAVID K. WERT, BARBARA J. HAGUE,
DONALD R. WERT, and DEBORAH K. EMIG, or their issue, per stirpes, provided that if
any beneficiary entitled to distribution shall then be under age twenty-two (22),.the share
of such beneficiary shall be held by the Trustee, in further separate Trust, for the following
uses and purposes:
a. ' If the beneficiary is under age eighteen (18), to expend
and apply so much of the net income (any income not expended or applied to be
accumulated and added to principal) and so much orthe principal of each Trust as the
Trustee, after consultation with the guardian of said beneficiary, shall consider advisable
for the ~upport, maint~nance and education (including college education, both graduate
and undergraduate). '
b. After the beneficiary attains the age of eighteen '(18),
thereafter to pay to such beneficiary the net income together with so much of the principal
thereof as Trustee shall consider advisable for the support and education (including college
education', bot~ graduate and undergraduate) of such beneficiary, after taking into
consideration his other readily available assets and sources of inco,me. '
c. Up to the entire balance of principal and undistributed
income, of the then-remaining share of such beneficiary shall be distributed to that
beneficiary at or after age twenty-two (22). Distribution at or after this stated age shall be
made only in the event the beneficiary requests such distribution by a writing intended to
take effect during his lifetime, executed by him upon or after attaining age twenty-two (22)
and delivered to my Trustee.
d. If any Trust beneficiary shall die before receiving final
distribution of his entire share, the undistributed balance shall be distributed to the
beneficiary. he names specifically in his Will, referring to this Trust. Should said beneficiary
die without a wm provision specifically referring to this Trust, then his share shall be paid
to his heirs at law.
. 3
..
e. In the event that any of my children predecease me,
leaving no issue surviving, then whatever gift or bequest would have passed to such child
shall be distributed to my surviving children, or their issue, per stirpes.
E. I direct that my Co-Executors and their successors shall not elect that
this Trust be included in my husband's estate .as. a part-of the marital deduction.
ITEM VII: It is my expectation that my husband shall have established a.
revocable Trust appointing my sons, DAVID K. WERT and FRANKLIN D. WERT~ JR., as
Trustees, and paying the income to him for life. If such a revocable Trust exists as of the
date of my death, I give, devise and bequeath the rest, residue and remainder of my estate
of every nature and wherever situate to said Trustees, DAVID K. WERT and FRANKLIN
D.WERT, JR., for the benefit, n~vertheless of my husband, ~RANKLIN D. WERT, SR.
Should he not have established such a Trust, or should he have revoked it prior to the
time this bequest takes .effect, I give, devise and bequeath the rest, residue and remainder
. of my estate of every nature and wheresoever situate outright to my husband, FRANKLIN
D. WERT, SR.
ITEM VIII: Should my husband, FRANKLIN D. WERT, SR.., fail to survive me by
thirty (30) days, I give, devise and bequeath the rest, residue and remainder of my estate
of every nature and wheresoever ~ituate to FRANKLIN D. WERT, JR., CAROL M. SMITH, .
DAVID K.. WERT, BARBARA J. HAGUE, DONALD R. WERT and DEBRA K. WERT, or
their issues, per stirpes, provided that if any beneficiary entitled to distribution shall then
be under age 22 years, the share of such beneficiary shall be held by the Trustee, in
accordance with. the terms set forth in Item VI, 0,2, above.
4
ITEM IX:
If my husband, FRANKLIN D. WERT, SR., makes a qualified
disClaimer (as defined in Section 2518 of the Internal Revenue Code, as amended) with -
respect to all or any portion of the interest in property given to him under any provision of
my Will, I give such disclaimed property interests to the Trustee of my Credit Shelter Trust,
IN TRUST, for the benefit of my said husbanp'during his lifetime with the balance of the
principal and interest passing in conformity with the terms of Item VI-D-2 ~ereof.'
ITEM X:
My Co-Executors, Co-Trustees, and their successors 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 borrow money from any person or institution, including my fiduciary
and to ,mortgage .or pledge any or all real or personal property as they in their sole
discretion shall choose, without regard for the dispositive provisions of this
instrument, except that no property passing to the marital deduction share shall be
so mortgaged or pledged. '
B.' To reasonably compromise claims asserted by or against my estate:
c. To join with my husband in filing a joint income tax return 'without
requiring him to indemnify my estate against liability for the tax attributable to his
income, and to consent to any gifts made by my husband being treated as having
been made one-half by me for the'purpose of federal laws relating to gift tax.
D. To retain any or all of the assets of my estate, real or personal, without
regard to any principle of diversification or risk.
E. To sell at public sale, to exchange, or to lease for any period of time,
any real or personal property and to give option for sales, exchanges, or leases, for
such prices and upon such terms or conditions, as they deem proper.
5
F. To make loans to, to sell to, and to buy property from my or my
husband's executor or adm'inistrator or my Trustee. This shall not be construed as
a command to exercise these powers under any circumstances. All sums payable.
to the Trust established in Item VI hereof from whatever source shall be utilized for
s~ch loans or to purchase assets from my Co-Executors at final federal estate tax
values.
G. To exercise any law-given option to pay death taxes in installments,
the payment of interest due on such installments to be a charge against principal of
my Credit Shelter Trust. .
H. Notwithstanding any power granted expressly or impliedly herein, such
shall be void and of no effect as to the marital gift if such would either eHminate said
gift or reduce it below that e'lected by my Executor. ,
ITEM XII: All shares of principal and income hereby given shall be free from
. anticipation, assignment, pledge ~r obligation to the beneficiaries and any of them, and .
shall not be subject to any execution, attachment, levy or sequestration or other claims of
the creditors of said be'neficiaries or'any of them.
ITEM XIII: All federal, state and other death taxes payable because of my death,
with respect to the property passing under this Will and forming my gross 'estate for tax
purposes, including any interest or penalty imposed in connectio~ with such tax, shall be.
paid out ~f the non-marital residue of my estate, if any. Any such tax, including interest or
penalty imposed, due by virtue of taxable property forming my gross estate, passing u'nder
this Will shall be paid directly from such property and shall not be paid out of the marital
. or charitable deduction share of my estate. It is my specific command and intent herein that
no property forming part of the marital or charitable deduction share of my estate be
6
I
utilized to payor be reduced by any federal estate or Pennsylvania (or other state)
inheritance or estate taxes.
ITEM XIV: I appoint my sons, DAVID K. WERT and FRANKLIN D. WERT, JR.,
-
to serve as Co-Trustees under this Will. Should either of my sons, DAVID K. WERT and
FRANKLIN D. WERT, JR., fail to qualitY or cease to act as Co-Trustees,. I appoint my
,-
daughter, DEBORAH K. EMIG, as successor Co-Trustee of this my Last Will and
Testament. Should both of my remaining son and my daughter, DEBORAH K. EMIG, fail
to qualify or cease to act as Trustee, I appoint -FIRST UNION NATIONAL BANK, to serve
as successor Trustee under this Will. I direct that a majority of my then-surviving children
shall have the right to remove FIR.ST UNION NATIONAL BANK as fiduciary and appoint
a successor corporate fiduciary.
ITEM XV: I direct that no Executor, Trustee or their successors serving
hereunder be required to post bond or enter security in any jurisdiction.
ITEM XVI: I appoint my sons, DAVID K. WERT and FRA~KLI-N
D. WERT, JR., or th~ survivor of them, as Co-Executors of this my Last Will and
Testament. Should both my Co-~xecutors, DAVID K. WERT and FRANKLIN D. WERT,
JR., fail to qualify or cease to act as Co-Executors, I appoint my daughter, DEBORAH K.
EMIG, as Executrix of this my Last Will and Testament.
ITEM XVII: As Guardian of any property which passes under or outside of my Will
to a minor and with respect to which I am authorized to appoint a Guardian and have not
7
specifically done so outside of my Will, I appoint my sons, DAVID K. WERT and
FRANKLIN D. WERT, JR., or the survivor of them.
ITEM XVIII: All references herein to the singular or the masculine shall include
the plural or the feminine respectively, where appropri~te throughout this my Last Will and
Testament.
IN WITNESS WHEREOF, have hereunto set my hand and seal this
'ii/t
I
day of .
IV .
~~~.
, 1999.
/}J.J.~ ><f 2t/~
Mildred S. Wert .
SIGNED, SEALED, PUBLISHED and
DECLARED in the presence of:
8
\
COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
I, MILDRED S. WERT, Testatrix, whose flame 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 express~d.
Sworn or affirmed to and acknowledged before me, by MILDRED S~ WERT,
the Testatrix, this qi:1\ day of , 1999.'
fr7~ xf, ZA/~
Mild red S . Wert, Testatrix
, NOTAAlALSEAL
MERLENE J. MARHEvKA. NOTARY PUBLJC
CARLISLE, CUMBEALAND COUNIY. PA
MY COMMISSION EXPIAES JUNE 8. 2DD2
9
),
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss
We, James D. Flower, Jr. and .Linda Jumper ,
the witnesses whose names are signed to the attached or foregoing instrument, being duly
qualified according to law, qo depose and say that we were present and saw Testatrix sign
and execute the instrument as her Last Will; that she signed willingly and that she executed
it as her free and voluntary act for the pu.rposes 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 affirmed to and subscribed to before me by James
and Linda Jumper this -a ~. day
.Flowe:r;:-, Jr.
1999.
NOTAFIIALSEAL
MEAUiNE! J. MAAHE\IKA. NOTARY PUBLIC
OAAUst.!. CUMBERLAND COUNTY, PA
", MV OOMMISSION mcPIAES JUNE 8. 2002
. 10
:f'"
GAB ELL I FUN D 5
PortfoliD Summary January 1, 2006 through June 30, 2006
Page 2 of 3
For more information about your account:
t) Visit our website www.gabelli.com
~ Or call 1-BOO-GABELLI ( 1-800-422-3554)
914-921-5100
e Fax information 914-921-5118
~ E-mail commentsinfo@gabelli.com
Account Summary . As of June 30, 2006
Change In
Fund Owner Beginning Investment Closing
Fund Name Account Number Account Type Value 0 Additions = Withdrawals 01= Value 51 Market Value
MILDRED S WERT
Gabelll Value Fund-Class A 872610 Non-RetIre $32,058.29 $0.00 $0.00 $2,637.59 $34,695.88
Total Investment Value $32.058.29 $0.00 $0.00 $2.637.59 $34.695.88
Distributed by GabelH & Company, Inc.. One Corporate Center. Rye, NY 10580
~
C\l
co
~
I ~I~IIIIII ~IIIIIIIIIIIIIIII ~II
Date Open
26-Jun-06
23-Jun-06
High Low
35.69
35.82
Close
35.24
34.96
Volume
Adj. Close*
BELLSOUTH
Date Open
26-Jun-06
23-Jun-06
High Low
7.68
7.67
Close
7.58
7.45
Volume
Adj. Close*
QUEST
.
Date Open
26-Jun-06
23-Jun-06
High Low
21.13
20.99
Close
20.88
20.62
Volume
Adj. Close*
VODAFONE
T: Historical Prices for AT&T INC. - Yahoo! Finance
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Franklin PA Tax-Free Income A (FRPAX)
On Aug 8: 10.32
OM tlJI'to
50' FFEE TRADES
. +$100 CASH
m......'IIADE
Scottrade
~ " s:(,:~{ tlc~cjes
Acti'\.ie Tr.ader s
:I Fidelity
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Start Date: L~ 123 ! 12006 I ;60;an 1,
End Date: ~ ~J ~J
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PRICES
Date Open High Low Close Volume Adj
Close*
26-Jun-06 10.19 10.19 10.19 10.19 0 10.19
23-Jun-06 10.20 10.20 10.20 10.20 0 10.20
* Close price adjusted for dividends and splits.
First I Prey I Next I Last
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http://finance.yahoo.com/q/hp?s=FRP AX&a=05&b=23&c=2006&d=05&e=26&f=2006&g=d 8/9/2006
REV~1508 EX+ (6-98) ..
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
FRANKLIN D. WERT, SR.
FILE NUMBER
21-06-0613
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jolntly.owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
DESCRIPTION
1. BELCO COMMUNITY CREDIT UNION ACCT #038770
2. BELCO COMMUNITY CREDIT UNION ACCT #107590
3. WACHOVIA CHECKING ACCT. #1010080253578, PRINCIPAL $1,584.69, PLUS ACC. INT. $0.08
4. WACHOVIA SAVINGS ACCT. #1010092968262, PRINCIPAL $49,129.02, PLUS ACC. INT. $36.58
5. HOUSEHOLD GOODS AND FURNISHINGS, PER ATTACHED APPRAISAL
6. 1994 CAPRICE CLASSIC AUTO, 41,500 MILES, BLUE BOOK VALUE
7. COIN COLLECTION, APPRAISAL ATTACHED
8. JEWELRY, APPRAISAL ATTACHED
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed. insert additional sheets of the same size)
VALUE AT DATE
OF DEATH
. BELeo
Community Credit Union
L getting you there
II
STATEMENT OF ACCOUNT
Page
2
MAIN OFFICE:
403 N. 2nd S1r8et
P.O. Box 82
Harrisburg. PA 17108
FRANKLIN D WERT
JOINT OWNERS
MILDRED KENNEY-WERT
0601 PREVIOUS BALANCE II .=. SAVINGS 216595
0630 DIVIDEND 178 216773
THE ANNUAL PERCENTAGE RATE IS 1.00
THE ANNUAL PERCENTAGE YIELD IS 1.00
THE ANNUAL PERCENTAGE YIELD EARNED IS 1".00
0630 NEW BALANCE 216773
TOTAL DIVIDEND YEAR- TO-DATE
far II savings elcept IRA.
Dividends shawn, If S 1 0 ar DV8r, wi! be
~d to the In1lmll RIVlIIUI Service
fDi' this caIBndar year.
10.72
TOTAL FINANCE CHARGE YEAR- TO-DATE
far "laans.
0.00
NOTICE: Seel1Mlrse side far inpartant infarmation.
07010RR
Community Credit Union
L getting you there
II
STATEMENT OF ACCOUNT
Page
1
. .BELeO
MAIN OFFICE:
403 N. 2nd S1nIIt
P.O. Box 82
Hlrrisburg, PA 17108
111111I11I11I1111111111111111 U.lllllllllllllllllllllllllllllllofOINT OWNERS
f"~\4Q~.iD,;\,Ki~),;W.~~~jI;:~i~~!~~1' >,F'RANKL IN D. WERT
5511 SILV'ER CREEK DR
MECHANICSBURG PA 17050-1972
0601 PREVIOUS BALANCE ~ ~ SAVINGS
0630 DIVIDEND 178
THE ANNUAL PERCENTAGE RATE IS 1.00
THE ANNUAL PERCENTAGE YIELD IS 1.00
THE ANNUAL PERCENTAGE YIELD EARNED IS 1.01
0630 NEW BALANCE 216603
TOTAL DIVIDEND YEAR- TO-DATE
far II savings except IRA.
DividInds shawn, if $10 Dr DYIr, wi be
~ 11 1hIIln1lmll RIMIIIUI Service
far 1his caI8nd.- year.
.INnlr.6TF~ FFFFr.TIVF nATF
10.71
TOTAL FINANCE CHARGE YEAR- TO-DATE
far alllaans.
0.00
NOTICE: S.. ",verse side far important information.
0601823
r4A ~~ 4UOIJl.1.00.1.VU
.J.,VI ..1..\..1, L..V"''''''' ....,........., ........a
:.. >X ,.-
-;;:5...-[:-~
~HOVIA
Reference 10: 179 SO 11
Wachovia Bank N.A.
Balance Confirmation Services
POBox 40028
Roanoke, VA 24022-7313
October 18, 2006
SAlOIS SHUFF FLOWER & LINDSAY
2109 MARKET STREET
CAMP lllLL, P A 17011
SUBJECf: Verification I Confirmation of Account and Balance Information provided for:
Customer: FRANKLIN D. WERT (SSN# 170-10-0927)
Date of Deatb: June 24, 2006
Deposit Accoont Information
Account
Type
Account
Number
Date of Death
Ba.lllDCC
Average
Balance.
Date
Opened
Maturity Interest .Accrued YTD Date
Date Rate Interest Interest Paid Closed
CAP CHECKING ACCOUNT 9620837874
LEGAL TI'lLE: :MILDRED S. WERT
CAP,BROKERAGE AND SELF-DIRECTED IRA ACCOUNTS HAVE BEEN CONVERTED TO W ACHOVlA SECURITIES. YOUR REQUEST HAS BEEN'FORW ARDED
FOR PROCESSING AND WILL BE MAILED UNDER SEPARATE COVER.FOR QUESTIONS PLEASE CALL WACHOVlA SECURITIES AT 1-866-874-2717.
3/30/2000
9/1212006
CAP CHECKING ACCOUNT
9620837861
3/30/2000
9/1212006
LEGAL TITI..E: FRANKLIN D. WERT SR.
CAP,BROKERAGE AND SELF-DIRECTED lRAACCOUNTS HA VB BEEN CONVERTED TO W ACHOVlA SECURITlES.YOUR REQUEST HAS BEEN FORWARDED
FOR PROCESSING AND WILL BE MAILED UNDER SEPARATE COVER.FOR QUESTIONS PLEASE CALL W ACHOVIA SECURITIES AT 1-866-874-2717.
CHECKING 1010080253578
LEGAL TITLE: ESTATE OF MILDRED S. WERT
FRANKLIN D. WERT JR. EXECUTOR
$1,584,69
8/18/2003
SO.OB
$1.14
CFrECKING 1010092968262
LEGAL TI'lLE: ESTATE OF MILDRED S. WERT
FRANKLIN D. WERT JR. EXECUTOR
$49,129.02
2/12/2004
$36.58
$531.48
. Due to system limitatioIlS,. we can emly provide a twelve month average balance on depository accounts.
Other Account Information
Account
Type
BROKERAGE
Account
Number
86730217
Date of Balance
Date
Opened
3/24/2000
Date
Closed
Ledger
Collected
BROKERAGE
86730219
313012000
0(
APPRAISAL SUMMARY
It is in my opinion, that as of d.o.d June 24, 2006, the Fair Market Value of the personal
property of Franklin D. Wert, deceased, 5511 Silver Creek Rd. Mechanicsburg, PA
17050:
(Eight Thousand Four Hundred Fifty Eight Dollars and Zero Cents)
($8,458.00)
mIS APPRAISAL
SER VICES
The reoort must be read in its entiretv. The Aooraisal Summarv ONLY is
not the aooraisal reoort.
'.
4
,
..
ll}
'0
APPRAISAL CERTIFICATE
I hereby certify that, upon the request for the estate appraisal of the personal property of
Franklin D. Wert, deceased, 5511 Silver Creek Rd. Mechanicsburg, PA 17050, I have
personally and physically inspected the listed personal property. The personal property
was appraised to determine the FAIR MARKET VALUE, AS OF d.o.d. June 24, 2006 &
reported on July 21,2006. The date of inspection was July 11,2006.
The information and values contained in this report are based upon my experience as an
appraiser and other reliable sources. The personal property was found to be in FAIR to
EXCELLENT condition, unless otherwise noted. Values are reported piece-by-piece,
and/or as a whole. All values reported have been determined with consideration to the
condition of the item, market conditions, and salability factors.
IBIS APPRAISAL
SERVICES
3
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Vehicle Condition Ratings
-0 Check Vehicle Title History
Excellent
t'XlOt'JO $3,070
"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)
CXXlO $2,720
"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
r..x.:JD;',:,T $2,325
"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
O"{'~{';' NI 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 07/02/2006
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.
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@ 2006 Kelley Blue Book Co., Inc. All rights reserved. Jul-Aug 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'lndividual 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. 06070)
http://www.kbb.comlkb/ki.dll/kw.kc.ucp?kbb.PA;;PA041 ;&17055&584032&;u... 71212006
--
USA
QS(9
F. Douglas Wert Jr.
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ROSE MARIE'S ANTIQUES
Jewelry, Estate Liquidations, Appraisals
2136 Market Street
CAMP HILL, PENNSYLVANIA 17011
(717) 763-8998
,I.l}j J
~
:~.
Ilf
~
TO WHOM IT MAY CONCERN:
This is to certify that we are engaged in the jewelry business, appraising diamonds, watches, jewelry and
precious stones of all descriptions.
We herewith certify that we .J:ulve .this.-J!.ay car~ully examined the following listed and described
articles, the property of: ~ or-. ~
NAME Fra-rJL&n D. Wut
"... ..
. t 1/\ ..'
~:),
ADDRESS
We estimate the value as listed for insurance or other purposes at the current retail value. excluding
Federal and other taxes. In making this Appraisal. we DO NOT agree to purchase or replace the
articles.
REV-15lO EX. (6-9'.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF
FRANKLIN D. WERT, SR.
FILE NUMBER
21-06-0613
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REY-1500 COYER SHEET is yes.
DESCRIPTION OF PROPERTY EXCLUSION TAXABLE
ITEM INCLUDE THE NAME OF THE TRANSFEREE. THEIR RELATIONSHIP TO DECEDENT AND
NUMBE THE DATE OF TRANSFER ATTACH A COPY OF THE DEED FOR REAL ESTATE. (IF APPLICABLE) YALUE
1. CAROL M. SANCHEZ, DAUGHTER, GIFT OF APRIL 6, 2006
2. TERRY WEIST, DAUGHTER IN LAW, GIFT OF APRIL 6, 2006
3. BARBARA J. HAGUE, DAUGHTER, GIFT OF APRIL 6, 2006
4. DONALD R. WERT, SON, GIFT OF APRIL 6, 2006
5. DEBORAH K. EMIG, DAUGHTER, GIFT OF APRIL 6, 2006
6. FRANKLIN D. WERT, JR., SON, GIFT OF APRIL 6, 2006
TOTAL (Also enter on line 7 Recapitulation)
(If more space is needed, insert additional sheets of the same size)
42,000.00
REV.1511 EX+ 112.99>.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
FRANKLIN D. WERT, SR.
FILE NUMBER
21-06-0613
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
DESCRIPTION
FUNERAL EXPI;NSES.:
Myers-Hamer Funeral Home, professional services & use of facilities
2, Casket
1.
3. Vault
4. Cash advanced for flowers, organist, obituary, death certificates, alter servers and mass offering
5. Funeral Luncheon/Reception, food (1,896.30), beverages (367.20) and misc. (265)
6. Grave opening and Interment
B. ADMINISTRATIVE COSTS:
1 . Personal Representative's Commissions
Name of Personal Representative(s) Franklin D. Wert, Jr.
Social Security Number(s)/EIN Number of Personal Representative(s) 209-28-7663
Street Address ..645 Sawmill Road
City.. Mechanicsburg
Year(s) Commission Paid: 2007
State PA Zip 17055
2. Attorney Fees
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
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
Marie Huber, 2006-2007 school real estate tax
Real Estate appraisal
8.
9. Personal property appraisal
10. Executors Notices
11. Lawn mowing & home repairs, 5511 Silver Creek Drive
AMOUNT
1,465.00
300.00
TOTAL (Also enter on line 9, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX+ (12-03)
'*
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FRANKLIN D. WERT, SR
FILE NUMBER
21-06-0613
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, Including unrelmbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Carol Sanchez, gift check dated April, 2006, deposited after death, also shown as gift on Schedule G
3. Com cast
2. hampden Twp, water-sewer service
4. Holy Spirit Hospital
5. PPl
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX+ (9-00)
'*'
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FRANKLIN D. WERT, SR.
FILE NUMBER
21-06-0613
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
Do Not List Trustee(s) OF ESTATE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a)(1.2)]
1. JOAN K. WOODBRIDGE, 1120 Rundle St., Scranton, PA 18504
SISTER-IN-LAW
2.
JENNIFER JONES, 1444 Timber Brook Dr., Mechanicsburg, PA 17050
GRANDDAUGHTER
3. MICHAEL WERT, 4406 N.E. 33rd St., Portland, OR 97211
4. BARBARA J. HAGUE, 5344 East Rock Ridge Rd., Phoenix, AZ 85018
5. CAROL M. SANCHEZ, 7530 Lost Range Peak, Littleton, CO 80127
6. DONALD WERT, 647 Sawmill Rd., Mechanicsburg, PA 17055
7. DEBORAK K. EMIG, 792 Big Mount Rd., Thomasville, PA 17364
8. FRANKLIN D. WERT, JR., 645 Sawmill Rd., Mechanicsburg, PA 17055
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
(If more space is needed, insert additional sheets of the same size)
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
, ,
SAIDIS
SHUFF, FLOWER
& LINDSEY
ATfORNEYSeAT-LAW
26 W. High Street
Carlisle, PA
Wert, Franklin D. Sr; Codicil for Franldin
CODICIL
TO THE LAST WILL AND TESTAMENT
OF
FRANKLIN D. WERT, SR.
I, FRANKLIN D. WERT, SR., of Camp Hill, Cumberland County,
Pennsylvania, declare this to be the First Codicil to my Last Will and Testament, dated
November 9, 1999.
ITEM I:
This Codicil to my Will is prepared to adjust the shares of my
residuary estate to take into account an advancement made to our son, DONALD R.
WERT. This advancement and the adjustment described herein should be applicable
whether my spouse predeceases me and my children inherit directly through my estate,
or whether they inherit as residuary beneficiaries under any Trust I have established in
my Will.
Our son, DONALD R. WERT, made certain investments on our behalf
with our funds, but in his name, in 1986 in Fairmont Associates Limited Partnership in
the form of a loan. The loan was converted to stock in Integrated Health Services and
then sold on January 24, 1992. Our initial investment was $25,000.00. However, when
the investment was sold it yielded $69,103.00, for a gain of $44,103.00, on which it is
estimated that he would have paid tax at 30.80/0, or $13,583.74. Consequently, the
amount that he held at that time on our behalf was $55,519.00. This investment was
commingled in Donald's portfolio with the intent of returning the investment when a
SAIDIS
HUFF; FLOWER
& UNDSEY
ATJ'ORNEYS-AT"IAW
26 W. High Street
Carlisle. PA
Wert, Franklin D. Sr.; Codicil for Franklin
targeted asset was sold. However, in the meantime, he paid tax on the initial investment
and has reported any earnings in his name from the date of the sale forward.
Rather than reclaim the investment, we gifted it to him. We gifted
$20,000.00 at the end of 1991, and $20,000.00 at the end of January of 1992, and the
remainder in 1993. My spouse and I each gifted one-half of the total gift to him each
year.
Since we have made no such significant gifts to any of our other children,
and in order that disbursement of our final estate be made in an equal fashion among all
of our children, it is our desire to value the advancement by assuming that it would have
increased in value by a rate of 6.5% compounded annually. For the purposes of this
computation, the amount initially to bear interest shall be $55,519.00, and the date from
which it shall be assumed to have increased in value in such fashion will be February 1,
1992. The resulting amount shall be considered to be an advancement, and each of our
children shall received the same amount from either my residuary estate, or from the
residuary of any Trust created under my Will prior to division of the remaining residuary
which shall be paid equally to all of our children, including DONALD R. WERT. We
arrived at the interest rate of 6.5% considering that it is high enough to be fair to our
other children, but significantly lower than Donald would have paid for a commercial
business loan. The lower interest rate partially reflects the family nature of this
transaction, and the value of Donald's advice on the investment to us.
2
SAIDIS
illlJFE FLOWER
& LINDSEY
AlTORNEYSeAT-LAW
26 W. High Street
Carlisle, P A
Wert, Fnmldin D. Sr.; Codicil for Franklin
Although this language also appears in my spouse's Codicil, we do not
want the advancement to be duplicated, but wish for the adjustment to take place only
once.
ITEM II: In all other respects, I hereby ratify, confirm and republish my
Last Will and Testament dated November 9, 1999, together with this First Codicil, as
and for my Last Will.
day of
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 1Jd(
hJ.-,/ it!' ? ' 2001.
d~'o:0~
Franklin D. Wert, Sr.
SIGNED, SEALED, PUBLISHED and
DECLARED in the presence of:
3
. .
SAlDIS
;HUFF, FLOWER
& UNDSEY
A1TORNEYSoA,..U W
26 W. High Street
Carlisle, PA
Wert, Franklin D. Sr.; Codicil for Franklin
COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
I, FRANKLIN D. WERT, SR., Testator, whose name is signed to the
attached or foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as a First Codicil to 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 FRANKLIN D. WERT,
SR., the Testator, this -----1l~ day of ~~6 ,2001, at
Co.~ , Pennsylvania.
cP~~YJ~
Franklin D. Wert, Sr., Testator
NOTARIAL SEAL
MERLENE J. MAAHIMCA, NOTARY PU8UC
CARUSI.E. CIJM8EFIN<<) COUNTY, PA
_MY COMMI88ION EXPIRES JUNE 8. aoae
4
SAIDIS
HUFF, FLOWER
& UNDSEY
ATJ'ORNEY5-AToU W
26 W. High Street
Carlisle. PA
Wert, Fnmk1in D. Sr.; Codicil for Franklin
. .
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss
We, James D. Flower, Jr..
and Johnna J. Kopecky
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
Testator sign and execute the instrument as a First Codicil to his Last Will; that he
signed willingly and that he executed it as his free and voluntary act for the purposes
therein expressed; that each of us in the hearing and sight of the Testator signed the
Codicil as witnesses; and that to the best of our knowledge the Testator was at that time
18 or more years of age, of sound mind and under no constraint or undue influence.
Sworn or affirmed to and subscribed to before me by James D.. Flower, Jr.
and Johnna J. Kopecky
~~(r-
this --.1 (0 Ch day of
, 2001.
NOTNUAL SEAL
MERl.ENE J. MAAHEVKA. NOTARY PU8UC
CARUSLE. ClIlMBEFILAND COUNTY, PA
5 MY COMMISSION I!XPIAeB JUNE I,IOG2
'!II
_ ~. ..... . ~:;1.;rj8/rj8/ WI_
-rr ~~ FILE COpy
)Lagt llIJill attb Qlt!itctttttnl
,
OF
FRANKLIN D. WERT, SR.
I, FRANKLIN D. WERT,IR., of Camp Hill, Cumberland County, Pennsylvania,
declare this to be my Last Will and Testament, and revoke any and all Wills and Codicils
made by me.
ITEM I: I direct that all my just debts and funeral expenses, including my grave
marker ~nd all expenses of my last illness, shall be paid from my residuary estate as soon
as practicable after my decease, as apart of the expense of administration of my estate.
ITEM II: I give my household and personal effects and other tangible personal
property of like nature to my wife, MILDRED S. WERT, if she survives me, together with'
all insurance policies thereon, if any. If my wife, MILDRED S. WERT does not survive me,
I give such property to those of my children .who survive m~, in approximately equal
shares. In the event of any disagreement among my children with regard to any such
assets, all such disagreements shall be conclusively resolved by my Co-Executors or
Executor.
ITEM III: If my wife, MILDRED S. WERT, survives me by thirty (30) days, I give,
devise and bequeath to my Trustee, hereinafter named, to be held IN TRUST, during the
life of my said wife, MILDRED S. WERT, a sum equal to the maximum dollar amount, if
'"
arw, which can then pass free of federal estate tax in 'my estate by reason of the unified
credit against federal estate tax allowable to my estate on the date of my death (the "credit
shelter amount"), reduced by the aggregate, of '(1) all ,items includable in my estate for
federal estate tax purposes which either are disposed of in previous articles of t6is Will or
pass outside of this Will b~t only if such items do not qualify for the federal estate tax
marital deduction or the federal estate tax charitable deduction, and (2) the amount of any
administration expenses claimed as income tax rather than estate tax deductions and (3)
, ,
the amount of any state death taxes payable by my estate. This Trust shall be r~ferred to
and known as my Credit Shelter Trust. The aforementioned sum shall be held for the
foUowing uses and purposes: '
annually.
A. To pay the income to her in convenient installments, at least quarter-.
B. The Trustee may apply the net income of this Trust for the benefit of
my said wife: should she by reason of age or illness be incapable of disbursing, it.
C. As much of t~e principal of this Trust as the Trustee, in its sole and
absolute'discretion may from time to time think advisable for the support of my ,wife to
maintain her in the s18ti,on of life to which she is accustomed at my death and after taking
into consideration her other readily available assets and sources of income or during illness
or emergency, may be either paid to her or applied directly for her.
D. Upon the death of my wife, MILDRED S. WERT, the then-remaining
principal and any accumulated or undistributed income shall be distributed as follows:
v'
1. The sum ofTen Thousand ($,10,000.00) Dollars to my sister-in-
law, JOAN K. WOODBRIDGE. Should she die prior to receiving this bequest, I direct said
Sl.:lm to be paid to her children, in equal shares, JOHN WOODBRIDGE,
STEVEN/STEPHEN WOODBRIDGE, MICHAEL WOODBRIDGE, KENNETH
WOODBRJD'GE, JOANNE WOODBRIDGE and GREGORY WOODBRIDGE.
2
2. The balance in equal shares among my six (6) children,
FRANKLIN D. WERT, JR., CAROL M. SMITH, DAVID K. WERT, BARBARA J. HAGUE,
DONALD R. WERT, and DEBORAH K. EMIG, or their issue, per stirpes, provided that if
any beneficiary entitled to distribution shall then be under age twenty-two (22), the share
of such beneficiary shall be held by the Trustee, In further separate Trust, for the following
uses and purposes:
a. If the beneficiary is under age eighteen (18), to expend
and apply so much of the net income (any income not expended or applied to be
accumulated and added to' principal) and so mu.ch of the principal. of each Trust as the
Trustee, after consultation with the guardian of said beneficiary, shall consider advisable
for the support, maintenance and education (including college education, both graduate
and undergraduate).
b. After the beneficiary attains the age of eighteen f18),
thereafter to pay to such beneficiary the net income together with so much of the principal
thereof as Trustee shall consider advisable for the support and education (including college
education, both graduate and undergraduate) of such beneficiary, after taking into
'consideration his other readily available assets and sources of income.
c. Up to the entire balance of principal and undistributed
income, of the then-remaining share of such bene~ciary shall be. distributed to that
beneficiary at or after age twenty-two (22). Distribution at or after this stated age shall be
made only in the event the beneficiary requests such d.istribution by a writing intended to
take effect d,uring his lifetime, executed by him upon or after attaining age twenty-two (22)
and delivered to my Trustee.
d. If any Trust beneficiary shall die before receiving final
distribution' of his entire share, the undistributed balance shall be distributed to the
beneficiary he names specifically in his Will, referring to this Trust. Should said beneficiary
die without a Will p'rovision specifically referring to this Trust, then his share shall be paid
to his heirs at law.
e. In the event that any o(my children predecease me,
leaving no issue surviving, then whatever gift or bequest would have passed to such child
shall be distributed to my surviving children, or their issue, per stirpes.
E. I direct that my Co-Executors and their successors shall not elect that
this Trust be included in my wife's estate as a part of the marital deduction.
3
..
ITEM IV:
It is my expectation that my wife shall have established a revocable
Trust appointing my sons, DAVID K. WERT and FRANKLIN D. WERT, JR., as Trustees,
and paying the income to her for life. If such a revocable Trust exists as of the date of my
death, I give, devise and bequeath the rest, residue and remainder of my estate of every
nature and wherever situate, to said Trustees, DAVID K. WERT and FRANKLIN D. WERT,
JR., for the benefit, nevertheless of my wife, MILDRED S. WERT. Should she not have
established such a Trust, or should she have revoked it prior to the time this bequest takes
. .
effect, I give, devise and bequeath the rest, residue :~r of my estate of every
nature and wheresoever situate outright to my wife,. . S. WERT.
ITEM V:
Should my wife, MILDRED S. WERT, fail to survive me by thirty (30)
days, I give, devise and bequeath the rest, residue and remainder of my estate of every
nature and wheresoever situate to FRANKLIN D. WERT, JR., CAROL M. SMITH, DAVID
K. WERT, ~ARBARA J. HAGUE, DONALD R. WERT and DEBRA K. WERT, or their
issues, per stirpes, provided that, if any beneficiary entitled to distribution shall then be
under age 22 years, the share of such beneficiary shall be held by the Trustee, in
accordance with the terms set forth in Item III, 0,2, above.
ITEM VI:
If my wife, MILDRED S. WERT, ma~es a qualified disclaimer (as
defined in Section 2518 of the Internal Revenue Code, as amended) with respect to all or
any portion of the interest in property given to her under any provision of my Will, I give
such disclaimed property interests to the Trustee of my Credit Shelter Trust, IN TRUST,
4
for the benefit of my said wife during her lifetime with the balance of the principal and
interest passing in conformity with the terms of Item II.I-D-2 hereof.
ITEM VII:
My Co-Executors, Co-Trustees, and their successors shall have the
following powers in addition to those vested in them by law and by other provisions of my
Will, applicable to all'prop~rty, whether principal or income, including property held for
minors, exercisable without court approval, and effective until actual distribution of all
property:
A. To borrow money from any person or institution, including my fiduciary
and to mortgage or pledge any or all real or personal property as they in 'their sole
discretion shall choose, without regard for. the dispositive provisions of this
instrument, except that no property passing to the marital deduction share shall be
so mortgaged or pledged.
B. To reasonably compromise claims asserted by or against my estate.
C. To join with my husband in filing' a joint income'tax return without
requiring him to indemnify my estate against liability for the tax attributable to his
income, and to consent to any gifts made by my' husband being treated .as having
been 'made one-half by me for the purpose of federal laws relating to gift tax.
D. To retain any or all of the assets of my estate, real or personal, 'without
regard to any principle of diversification or risk.
E. ' To sell at public sale, to exchange, or to lease for any period of time,
any real or personal property and to give option for sales, exchanges, or leases, for
such prices and upon such terms or conditions, as they deem proper.
F. To make loans to, to sell to, and to buy property from my or my
husband's executor or administrator or my Trustee. This shall not be construed as
a command to exercise these .powers under any Circumstances. All sums payable
to the Trust established in Item VI hereof from whatever source shall be utilized for
such loans or to purchase assets from my Co-Executors at final federal estate tax
values.
5
G. To exercise any law-given option to pay death taxes in installments,
the payment of interest due on sych installments to be a charge against principal of
my Credit Shelte~ Trust. .
H. Notwithstanding any power granted .expressly or impliedly herein, such
shall be void and of no effect as to the marital gift if such would either eliminate said
gift or reduce it below that elected by my Executor. --
ITEM VIII: All sha'res of principal and i~come hereby given shall be free from
anticipation, assignment, pledge or. obligation to the beneficiaries and any of them, and
shall not be subject to' any execution, attachment, levy or sequestration or other claims of
the creditors of said beneficiaries or any of them.
ITEM IX:
All federal, state and other death taxes payable because of my death,
with respect to the property passing under this Will and ~orming my gross estate for tax
purposes, including any interest or penalty imposed in connection with such tax-, shall be
paid out of the non-marital residue of my estate, if any. Any such tax, including interest or
penalty imposed, due by virtue of taxable property forming my gross estate, passing under
this Will shall be paid directly from such property and shall not be paid out of the -marital
or charitable deduction share of my estate. It is my specific command and intent herein that
no property forming part of the marital or charitable deduction share of my estate be
utilized to payor be reduced by any federal estate or Pennsylvania (or other state)
inheritance or estate taxes.
ITEM X:
I appoint my sons, DAVID K. WERT and FRANKLIN D. WERT, JR.,
to serve as Co-Trustees under this Will. Should either of my sons, DAVID K. WERT and
6
.
..
FRANKLIN D. WERT, JR., fail to qual,ify or cease to act as Co-Trustees, I appoint my'
daughter, DEBORAH K~ EMIG, as successor Co-Trustee of this my Last Will and
Testament. Should both of my remaining son and my daughter, DEBORAH K.I;MIG, fail
~o qualifY or cease to act.as Trustee, J appoint FIRST UNION NATIONAL BANK, to serve
as successor Trustee under this Will. J direct that a majority of my then-surviving children
shall have the right to remove FIRST UNION NATIONAL BANK-as fiduciary and appoint
a successor corporate fiduciary.
ITEM XI:
I direct that no Executor, Trustee or their successors serving
I
hereunder be required to post bond ot enter security in ,any jurisdiction.
ITEM XII:
I appoint my sons, DAVID K. WERT ,and FRANKLIN
D. WERT, JR., or the survivor of them, as Co-Executors of -this' my Last 'WiII and
Testament. Should both my Co-Executors, DAVID K. WERT and FRANKLIN p. WERT,
JR., fail to qualify or cease to act ~s Co-Executors, I appoint my daughter, DEBORAH K.
EMIG, as Executrix of~hi.s my Last Will and Testament.
ITEM XIII: ' As Guardian of any property which passes under or outside of my Will
, t~ a minor and with respect to which I am authorized to appoint a Guardian and have not
specifically done so outside of my Will, I appoint my sons, DAVID K. WERT and
FRANKLIN D. WERT, JR., or the survivor of them.
7
..
ITEM XIV:
All references h~rein to the singular or the masculine shall include
the plural or the feminine respectively, where appropriate throughout this my Last Will and
Testament.
IN- WITNESS WHEREOF, I have hereunto set my hand and. seal this
N'D~ ~
914
day of
, 1999.
..if~-.~~>>yt--~
Franklin D. .Wert, Sr.
SIGNED, SEALED, PUBLISHED and
DECLARED in the presence of:
8
..
.
t,
.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss
I, FRANKLIN D. WERT, SR, Testator, whose name is signed to the att~ched 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
r signed it as my free and vC?luntary act for the purposes therein expressed.
Sworn or affirmed to and acknowledged before me, by FRANKLIN D. WERT, SR.,
the Testator, this -9. bt-'\ day ~ l1/Vl'tJG ~ ~ . 1999..
d~gh7~Y1~
Franklin D. Wert, Sr., Testator
NOTAAlAL8EAL
. MEAlENE J. MAAHEvICA. NOTARY PI&IC
~ OAAUSI.E. CUIGIEALAND COUNTY, PA
'( "'" COMMISSION ~JUNI
. ,..
9
..
-.
.. .
{,
...
~
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss
We, James ,D. Flower. Jr. and LindaJmnper , ,
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 Testator sign
and execute the instrument as his Last Will; that he signed willingly and that he executed it
as his free and voluntary act for the purposes therein expressed; that each of us in the
hearing and sight of the Testator signed the Will as witnesses; and that to the best of our
knowledge the Testator was at that time 18 or more years of age, of sound mind and under
no constraint or undue influence.
, Sworn or affirmed to and subscribed to before me by
q~
and
Linda Jumper
'1999.
D. Flower, Jr.
this
kk.
w~
NOTAAlAL8EAL
", ':ERLENe J. MAAIEVKA. NOrARY PUBUC
OAFIUSI.E, a IIBERLAND COUNTY. PA
, MV COMMISSION EXPIFIE8 JUNE 8, 1002
10