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HomeMy WebLinkAbout94-00454 . t:'\ , " "," ;/" , "" II " .I'j!\\,' 'r " . ~;; " ~ "1:.1::- '):,; ."".1' ',\,.:,!," ',',.;1,1,' ,",' " 1,1 , , .; ) 1-" ,I" H,,,,' "I'." ,',: "'f " I.:"! "';" " .,." , " \,,',.; I, I" -Ill' \. 1 , ~,I\I ' ",,' ',',',;'<:.., ',:1' " ,I.", i.., i' ',.,1,,\':':',' " ' 'r 1 ')," ";jfl '"I,:',' '';:,'', \\ ;i " :" ',' .,1' , "':, "" 11""1' " ,y,. 'I. :,'. , "" IY'ol"L ."/,' ,'.') I' , .,' j " ~ 'I" I' I:.. ,d.I":I,:','i:~'I, ;" ~:,',': It ,Ii " ; {,i,:'i;:,,< j'l' "',' ,j' t, ' " ,',' ,,',f "I' ." '\'rl\I,,:.': , "". ,J" i'i' '" " " " " 'II ",'.. '" . . " " , 'j, , :': 'I" ,',I'll \' ,\")""1 .'( I.: , " , , " , " "I' ",' , , ,,11 " '", I,,', .1,,', ,. , " ,', ;, 1 '" ;,1. ,I;, ;,,1< " ,Il, " .. ,: (" "",', , '," " ,,:,t, . '_ 'I ,~l< ,~:I);' .' ' ",":" ,,'J ' ,1,1 t, ,'. , '.-n','I" Ih, ,1' '{" " ';~:/':' ,) ,I;,: ,'i:(!r;:'.':';!'<':\['~,:';', "";'" 'I I, ",' l" ,t '! ' ',.,',', , '.'(1/ II~ ,',"" 'I " ~, . , :.,1,'. " j " , , , I ,',:,:: !t:I',,:,I, 'I,', , " '. "'\' " I' , "",,"''', ::"tl:::,:,;j::;,;,'" ;., ",', ' .' :~ ~ i I, ,\" !' ",L, r,:""." ~ ~ ~ ,~' r -, ,',' \ ,,',Ii:' " " ")' '" , ",., .',,"\'1 !' ~ J " "~,".' \-t'il'! 0, II, \ il~,',;)',l.:,,: >, ,,/;'r,;,:,:tl, . 1,,\ :': '. 'e ',~ I ~,; \ ", 1",', . U' ,. 1,:;," " ~ ,.. , "": ';", " " Il \' I, , "1 ',; ',\'/:',', 1'\1"': ,,':>1 J. ~ ,~, . , . "~,'I I,: " .,' " '., I:, ",II' :'" 1 ,I ,;;'.',' :111 ".,'!' ,\' , ",'n','.:'" . "I, ,l~," ,\'" J',,! ' 1:1' , , " ',1. '"h ", \: ';':0 " :' ~ ," , " ':1' '.' w.. o ~ II 1:. ...'. .... ',:'.., " ," III.. Ii',r .1'1." /,,' ~k .. ',',; ; }:'(, ~'; " " . t,'., ,,:'1/ I;' ,11' " ",:,)',: '\' " "It , "',,' , '\'1, ., !, '. " .~l ~ ' '.: I ' " ,'1',\",'" ,,' . .,1,,',,: ,i ,,1, 'I " I, ',1 " " ,",' " . , , , . 1,/,' j;', "',',~ , ,I",', " ... '..\\, ", ',,,,Ii I",' .':,'" i \' ~, ' " : , ' ,.,',1 ."/:'1' I'" ,',' . ',', I '" .rJ 'e'i;,' ;I , I'.'. ,~ \,,, " ,\1 1':....1:'" '1' i1" " 'i,1' 'PI J,', " "';1:, ," " 'J,',",:"". , ~! \ " ,.':;)>~~'l~\j , ',:j',: ";', 1,1,'; i:'I' :' " , ,r,;' ",'1" .",. .',' ,1.(:' .'11', I , ", ", '\'.' ., "" ,I " I" ,.,1,"::,' t.l/:: " 'j, .,' ., ,," " " " , .' ,,' \-,/:: 'I,': . ,,1', , ",I!;,. ,', ,il ",1"',1'" . ,\., ":',: .' ""I ,I'" I, , g ~ Q I \-';'",)'" ~~'\:~'i.t COMMOHWfA.lTll ')1 PENNSYlVANIA, DEPARTMENT 01 REVH-lUE OIP' 280601 HARIlI!IURO, ~... 111~'OUlI N ' M LA" ,AN MI /II" , 'I..' ; I INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) '/UV,15O? EX. pl1911 ~ ~~8 0139 Q,al Q, C I.. ~ ffi .. Q o Z u 0 Q, z o , ! .. z o >= g ~ o u S fOlo"n10POIATHAm112131191 CHICK HIli IP" lPOUSAL 0 l'OVII" CUDIT 'I CLAIMIO _ PILI HUM." 21 COUNTY CODE ImrnlT ADOA!SS Leader Nursing & Ilehab. Conter 1700 Market street Cump llill, PA 17011 C"'IV CUmberland County o 3, Remulnd" Relurn Ifor dOl" 01 dealh prlarla 12.13.821 05. Federal Ellale Tax Relum Regulred JL 8, TOlal Numb" 01 Sale Depollt Box.. - ~ I I l IlOUSElIOLDEIl, KA'rllRYN KRISE WCIAl SECURITV NUMm-----r-f AfIj A IIR 173-32-6694 I 2/18/94 '//3,0/(1/ Ilil 1. Original Return 0 2. Supplemenlal Return o 4, lImiled Ellale o 40, Fulure Inl"..1 Camprarni.. (far dol.. of dealh aher 12.12.B2) Iliil 6, Docedenl Died Tellale 181 7, Decedenl Malnlalned a lI,lng Tru'l . IAllach copy 0/ Willi (Allach copy of Tru'l) ALL CORRESPONDINCE AND CONPlDENTlAL TAX IN'ORMATlON SHOULD .1 DIRICTID TOI NA,Mf bMPlU! MAiliNG "'DD~U$ u:Mell R. Gates, Esq. lE HONE NUMe!R 1994 YEAR LI5 'I NU~BeR Lowell H. Gates, P.C. 600 N. 12th stroot, suite 2 LeJOC>yne, PA 1 7Q4~ '- ( 8) 238,361.25 1.717 731-9600 (11) (12) (13) . (141 8,498.65 229,862.60 0.00 229,862.60 13,791.76 0.00 13,791.76 1. Real Ellule ISchedul, A) I I) 2. Slack! and Bond. ISchedule B) I 2) 3. Cloltly Held Slock/Portnellhlp Inlere.1 (Schedule C) (3) 4, Morlgago. and NOI.. Recel,able (Schedule D) ( 4) 5, Ca.h. Bank Depol'" & MI",lIaneou. Pm anal Properlyl 5) (Schedule EI 6, Jalnlly Owned Properly (Schedule F) 7. Tranll... (Schedule GllSchedule L) 8. T 0101 Gro.. A..el. Ilolollln.. 1.7) 9. Funeral expenlt.. Admlnl.lrallve Call" MIl"llaneau. I 9) Expen... (Schedule HI 10, Debl.. Mortgaije lIoblllll.., lie" ISchedule II (10) 11. T 0101 De~ucHo", IIolollln.. 9 & 10) 12, Net Value of Ellale Illne 8 mlnu. line II) 13, Charitable and Governmenlal Bequell' (Schedule J) 14, Net Value Sublect 10 Tax Iline 12 mlnu. line 13) , , 15, Alllounl of line 14 loxoble 01 6% role Ilnclud""uf... from Schedule K or Schedule M.I 16, Amounl of line 14 laxuble 0115% role Ilnclude valu.. from Scredule K or Schedule 11I,1 17, Principal lax duelAdd lox Irom line 15 and from line 16.) 1 a, Credl" Spoulal Poverly Credll Prior Paymen" Dllcounl Inlor..1 --.Q..QQ._ + 13,102.17 + 689.59 ~~ 19, If line 18 II greol., Ihon line 17, enl., Ihe dlH.,enco on line 19. Thl.,.lhe OVERPAYMENT. me l"rr:r.I"i1'U'''I'''.loI'~lIhlU'III'1~11111c.i.-rn~~.''(~'I.Il''~IIrn..11Ualla 20, If line 17 I. grealer Ihon line 18, enler Ihe diH.,enco on line 20. Thll II Ihe TAX DUE. A, Enler Ine inlerllll on Ihe balance due on line 20A. 0.00 0.00 0.00 0.00 973.69 ( 6) (7) 1 ,779.90 235'207.66 )( .06.. )( .15.. (17) 1181 119) 13,791.76 0.00 7,865.65 633.00 115) ??q,A('? (,0 (20) (20A) (20B) 0.00 0.00 0.00 116) 0.00 B. Enler Ihe /0101 01 line 20 and 20A on line 20B. Thll Illhe BALANCE DUE. Make Check Payable 101 Regl,ler of Will., Agent .. BE SURE TO ANSWER ALL QUESTIONS ON REVIASE SIDE AND TO RICHECK MATH.. Under Plnalll.. oj perjury, I declare Ihol I ho.... uamlned this return, including occomponvlng Ichedull' and tlallm'n", and 10 lh, bUI of my knowllldgo and belinl, it II IrulI, corrlcl and complete, 1 dldor. rhol all r.al .11011 has bllln reported allrUt mark" valul, O.clarollon (II preparer olh,r than Ihe plnonal r'prellnrali'le il baled on olllnformalion of which prepare' hal any knowledgl, ATY,/.;}i' 11J:N ~lfi\IAL! fOR "LING WU'N AOORn! IUllidlll 1(. lIulHJeholJ",", l!:l<",",uLu" bAlEr'! ,-I, ~/!i.1'1 ' ,I( (IUA, (c' {, " 37 Fain;ay Ave., \'Iost Orange NJ 07052 .5/I~1 91' 'NA ,r ,.. ,- "n"ANU'lflIiilAfI,! - AOO'!IS Lowell H. Gatas, P.C. DAlE 600 N. 12th st. sto. 2, LeJOC>yno PA 17043 S/17/1i__ . . . , , , . " ,,' ..' ',' " '" ,.1,", , " 14i ,h' , " III' .' , 101 " '('. ,,\ '[' ,,' " 'f: d " {, " , ,I" " .' " ;1;' " . ", ., 'II ,.. " j', I' " >', ,('(.11 ;'" " ' " ", . " , " " ~ ,I .' ',', " i,' " ,.1; ..' " , 'I' iil', " \"-! " " 10" H " " I'll' I, "., I "I, '1'\', " I'q " ,. ,,; II I' .' . , ,'\ , , ~\ . " , " " "' . " , , , , " .' i, " \ " , ill t' . , ,I , , , " " " ,. i; " ,I ,", !' ..' Ij,l, , 1,', " i" ,,' ." ,. .. "; I; " " .' , . I:', " 4;' " .' , , ;, ii, 'i' , , , '1I'i I'; I " i, ,I , " . . ;l , ,. "J, , .' " . " , '. , " I; " ii' .. , ., EXHIBIT "E" ....', 'II, " .,.j'i ;:1 " Ii " " ,I' ,. . ii', " , ,,'(I" ',.1 , 1,1, ,., I\ii, ,'J " " , ii, 1 .! '1} 'I' 'I , ,. I"~. \id .' ,f,' , " '1 " ", t." ;\) j! " i'" , 'I'.' (, i' "i,' " ,,, ;1' II " ":\',;' \, II' (,1 II' l< , , " " , 1 " ,. , II' " .. " 1'1 H Y - :;) - '=' .... IHU lq.:~" t1AM1LrUH' YORK P. 12 , aIFICIA~ un OU~\1.I11\'CO 173-32-6694 LutN'IIl' HOUSEHOLDER HIIl\'A.~'"" KATHRYN K I'Ill'lOaTATUSllC__, I III 1\,.,. i:., ,I f., ' ,,0 'M'r1,'.fUII.lltl"lr.lv'" IlaUII'lIoalA!. IICU~'TVHUMBI~ ..0 MI'ri..,fl"...."lltly TO JOI", C',t.. ,.,TIII"'DI~tfI." IpoI.lU', j:t'rtnl,,",ltlldallfll'lI.'" oQ D.c"lu';,'lnaltlhllll c.I"Ia"" 2/18 94 RUICiHCT ITATUSI(ChodJ o.~ K" f'lnoT_ R,,"looq ,. jlA/iV..,AUld,ntf,olll ,US1. IWllrJ,.OORII! Wl!L """'" C""Il'Wtlf"'lI ,al' ""Plllt .nd ,..U tlllywan\', 't..tl",. ".1'tt/.~4f1" IAb,ln.d.,,,r, O/"CIA~ Ull Oc<:u/''OOII1 V.w'" RETIRED CORESTATES BANK TRUST TAX POBOX 3959 CltyltroollOlllU .. '\It. lip CUt 1RU LANCASTER PA 17604 Ch'*It"'''tfI''I..~.h'''''' a4Y1'IMI TlL"HOl'li NIJMQiA .......--....... (717) 581-2016 'CHOOL OIST"ICT "lAMII",ht" you UvU Ole '1. '1131 'CHQQI. COO! (.II' 'IU" VI' 41 YORK CITY 67900 1.. OROII COltl'ENS"TION, WI.II, "'lIlU, fill', uo, AHUh 'OllnWW"J" ,. . fb. UN"''''UR'iC IMF~OY"U!'HIlHXFINQI','" ....hl.) UI.. Tb e fo. NBT PA TAXABUi COMPEN~TION, SublrAClllnl 1 b 110m IInl 11 . . , . . .. , , . . . . . . . .. fo t 2. T^'<ABLli INTftRftST. From Inlch.d PA Schedule II, .. . .. . . .. .. .. . .. . .. .. . .. . ... a a 3. TflXA8LE DMDENOS. From Inachld PII Schedule B, . .. .. .. .. . .. . , .. .. .. . . .. '" 3 N 4. PA PROFIT OR (l.OSS) FROM II BUSINESS, PIIOFESSION OR FARM: ~ .q, From lIl1lOhed Behtdult(l) C Indlor 8<:hldule{l) F . . . , . . . . . 41 C 4Il. From InlChed PII Sohldule(l) RK-1..,.................. .. K ... T^'<ABLE PA PROFIT OR NET (LOSS). Tolol inti 41 Ind4b ....., . , .. . .. . . . . . . . .. 40 a e. PA <lAIN OR (1.095] FROM THIi SALE. I!)(CHANG! OR OISPOSrTlON OF PROPERlY: M Sa. Prom Inlched PA SOh.dulle.) 0 and/or PA Schldult(!) 0-1. . 5.1 i lb. FlUm InAChld PA Sahtdule(.) RK-l. . . . ....... . . , . ...... 51> v k From 1I1IChod 8chldul. PA-U, Sill of I Petlanll Ruld.nc., 50 i 5d. M1DUNT OF A~LOWABLIi EXCLUSION FROM UN!20 OF PA-" ........... , . . . . . 00 HOT IHCL ~H WN LN h, B k. NBT T^'<ABL! PA <lAIN OR NET (l.OSS), Toil/line! 51. 5b. & SO . . . . .. . . . . . . . . . . . . .' 50 ~ e. NETTA)(ABLE M INCOME OR N6T (LOSS) PROM RENTS, ROYALTIES, PATENlll AND COPYRIGHTS i FIom InlChld PA SChedule(l) ! andlor SCh.duIO(.) RK-f . . . . . . . . . . . , . . . . . . . . . , ,. I 7. TlIUST !NCOM!, Fram InlChld PA Schedule J . .. . .. . . .. .. .. , .. .. . .. .. .. .. . '" 7 ." GAMBUNG AND LOmAY WINNINGS. M.ch .chtdult ar expllnaUan af Income or (loll) . T .. PiNNMVANIATAX..LIINCOM"AUVllu It, I. S,4" It. I 'lIId I, 00 NOT eUIITRACT OI9U. . ~ 10. TAX LIABlllTY - 2.111 OF LINE 8 ultl Una 9 fl. TOTAL PA INCOME TAXES WmiHELD, From InlChld For11Xs) W-a. , , . . . . . . . . . . . .. If ~ PA ESTIMATED TAX PAYMENTS; 121. CredHrom 1992 Relurn. 12 ~ f2b. T0IIl1e9Hlumll1ldTDJC Pa)11lOnto . 264 H 120. Till Paid \'11th 1993 Extenllon. I II TOTAL R9f1MAft& ~A~!fJi'! AND 01\8DIT (Add UnN m. 12b and 1aO) ".. . , . . . .f2d A ft. TOTAL CREOIT FOR TAXeS PAID 8Y FA RftSlOENTS TO OTMER STAreS OR COUNTRIES o "'"IItU~11I ,....~.~\lI.(.lai'A 8e~ldwl. "K-IUOIlU'I"tlO'lnUClI tu du'aftll~""U'" , , , "I 13 a U. TAX POROIV6NiSS ClAIMED PA SCHEDUL! SP. c../..... IIh ""llh. S~W"\Ih'I1.14 . Ma. Ou,n".nlt C~"'f'"'" 111"'.111'1'1 I ,.0., C1.lt"'^t'.T'ltlnolttU)'lllnl'lltfl'l!I~n'1'o1t".tflWo'IIII'1"t Y ,II. Ctalllll"", T'UI811'~'" I""",, frOM Sit, I 01 '1'1. I'" WOl~.IIIU. . fl. EMPLOYMENT INCENTlV! PAYMENTS CR!DIT. From ,niched rll SChll'ulo(.) W. , , .. II fl. TOTAL PAYMSNTS AND CREDITS (Add Hnt! 11, 12d. 13.14. Ind 15).. '"'' . . . . , . " fl I f7. TAX DU!I'UiTF.AaT\I~IIHRO"'~'HIIOIMAKI C~!CK,"'V'I~I TO FA OIIIOF RIVIHUI . f7 . fl, OVEAPAYMENT(SUOl1lCT lJt1t10trom Unl1e)................................ 11 41 Oauble CMok YaurMIlh a f... Amourrt 01 U", 1110 bo REFUNDED, . . . .. .. , , . . . .. . . . . . .. .. , .. . .. .. . . , .. . . .. '11 41 e TIb. Amount of Une Te 10 bo CREDITED to YOUR fl14 ESTIMAT1!D TAX ACCOUNT, . . .. . . The TOIII 01 UOO! 191. fib ~ lib. Tlo, Ind 19d .. f~ Amount 01 UIIt 11 ta be DONATED to the WILD RESOURCE CONSERVIITION FUND. . , MUSTequlI Uoe 18, flc ~ lid, Amounl of Unl1810 bft DONATeD 10 tho U,S. OLYMPI~rTl!E. PA DIVISION. , . 194 lM.., ,nlIU.. ""'lw'v,1 dU'Af,I"., I hl'l' "'amln.d 'Ill. 11111111.111611,"111 .eeelWpatl)'I~D "hUIlIU & "fll'lM.nlt, Ind 1. '''' Olll,f m kllOWl'd ... bOW" II t. "w, ..".tt & ..",,111', ~!IIII'lvll Oall IIr\tM'tllllDP,"",OI "IPlIo'IUIqI,ytr,OUld."llln,.,mII1Uo W"lA'~ S1 .. T d' P'IUII"hulnVkno..'U,1 . I I:. gn.. axpayer Deceallft 2 18 94 XTrac Weinoldt 'oJ' hire '1lO~1I"IIQII.lI\III(I' 1IUnllol"II,. eorH mll",IOII '~'"ll o"!yon, ""'''Qom'l P"",.r', Tol'Phln. NlI"'lltr D.l, .X 87 'Ha'CATI HCWMANVO/ 'ACH Fa~M CR !CHIDU~( II ATT'CHID Farmu W-a SchlUE Forma 1091 Sohl A Soh. B Soht C Sohs P Bel'll RK-1 Plul. UIt Your Cor~ School Oll1llcl Codl Anlch All Rtq\Jnd DoCtlmenta TIll, AllUt'n MUll III Flod On Or ~,. Aprlll!, 1994 Sch.D Soh. 0.1 PA-TI Sd 322 Soh! e Sch. J @ 8 409 235 ~ Inl1l'llcllO~ For ClaImIng E&tIlT1I1ed Crad! 276 SIgn Yal( ReMn Sch.G 141 t4b 140 Soh! W 276 717-581-2016 4 06 94 . ._-~ -,.. ['" -,.... ....~... . ,-". ... .... -. --,.~ Anaah la rOlm PII-40R. Prlnl 01 ty~ aJllnlotTMilon, (b) Podo,olldor,tillcol:on Numb9\' , ' " 'I' " " i " " " " "I " ';" " " " \, "', 'I" " ", , " 'I" 'j',' "I, ,. " " " " " ',II' ,( , I,'" .' , " .~ \:'" , .' ",'1 "', , ' ,," ' " !I' \'. ,,' " "tl, " " I, " ,,: ,", '''1,'\: I, I' I' I' " " " ,'" !\' ", II' ,i' \' ", EXHIBIT "F'I I' ,,' "'" , ,'I ',I' "q " "i'! " ,\' \, ,.' " 'i,' l. '" ,I,:', 'I: , " 'I. ,I' \11, ". ,/'I! j.,''', ,', I" I, " i" ;" I;' ,,' ,', :i, {,',' I, .. '\'0.\ Ii, .1 ,I', .: ,.' , I \ ' I. " " I " ,',' , ," I, I .,'" " 'Il' ,", '.. ',; " " I'" 1/, " .' .' " '. I , " , , " ". IJ 1'01', "I' " " "" " 1,'" I, , II " .' I., I' " II';> " " , ", .\ , " " "I' , I"'.,' ,.I, "i' . ',I'. ", /. '" , , ,'; '\,' " " , " ;',1 'I!' I.. " i ,1 ,:" " " 00", ,,' , " ~ ',' I ", ,;,:/';, i,i " " " , I '. .. " , I' " '",' .' , , "II , I '.; I ~ I' " 1,'(/" "I.' " ',.L 'I " , , I" " I' .,' "I, I I' q' , " " , " .1.' II,: 'I ,.1 I,,' '" ",I ",' , ,1 ';; , ' , " , 1,,, "",, I" " ,',; I ." /'; '" ,,", '. " ,I" ,"' I,' ':' " ,,' I'" i " , " I, 1'. , , I.., 'I " 'I' ,,' ." I' ',. , .' '" I' , , j ~ " ,. ;1; ". " " " I, ,,:j'l., .' l( '.., ' 't' I', 'II' /, \, \' , , "'I , ." ;1 , >>, " '1 , \," 11"" 1'" ,', , ,jl' ""'1' '1 ", , r ~'~ 'I' 'I" " il\ I,' " I;,." " ",'1"', '," ,.', ,'. \' 'I " ,I, I, \ I. '" I' "I" " ,,, I' ",' ';, "., ".1 ii' ,', \, "0', ", I ;., I' " 'I' \'i " I, I, I.' L " IIV,\S09thl12'hl L " ~ SCHEDULE F COMMONW!ALTH O. P1NNSYLVAN'A JOINTLY .OWNED PR^PERTY INHIRIIANC! TAX RHURN .... RUIO!NT O!C!O!NT ---- ESTATE OP KATIlRm KRISE HOOSEHOLDER I PILE NUMBER 21-1994 Jolnl 'on"nl(I)' NAME A. William K. Householder ------------~--- -~---- ADDRESS 37 Fairway Avenue West orange, NJ 07052 RELATIONSHIP TO DECEDENT son 8. C. Jolnlly.own,d p,oporly. -- ITEM LmER DATE POR NUMBSI JOINT MADE DESCRIPTION OP PROPERTY TOTAL VALUE DECO'S DOLLAR VALUE OP TENANT JOINT OP ASSET % INT. DECEDENT'S INTEREST 1. A 1/64 CbreStates Hamilton Bank Checking Account No. 0231-5173 (see bank letter) $3,559.79 50% $1,779.90 ! " , , , " , i TOTAL (AI.o onte, on IIno 6, Rocopllulallan) S 1 , 779. 90 (II mall .paeo i. n..dod inll" addillona,.h.." of .am. Ii..) I" 0\ " " , 0> ", 1"1, ' ".I'ii '11 \. ,. ','" ,} .'1 ,1,'1:1 " 0>' ,.,' t., '.' '1' ~ I ' ,. ".j; ',I 'I' ,: "I'!' , "'\, " . II' il I ,Ii , ',,) , , " :1' , ii ;'," , ;.:';" I,,' ,,' .' 1\'., . " r,' 'Ii,"" "I, , , .. ., I, Ii'"., , ,. " '" 'i'I' ,. "I" ,!' , , "~I ;\.. if:' ,', " I'll I' " ,"I! , ,I" ." ,,, ',' 'I "\' ", ,.' It't',1 , , , " ," ~ i " " ,I " " 'I HY', '"~I,'"~ '" I" "1111 "f', """'1',\"1,'" " ,I .:"", , d, " :" I, '0> ,I " \\/' ',1' .' " I 1'1\"1 ". " , t', I ~ y' '(', j; . ' .' " '" ,I' d.' I , 'I" t " ~ : , :',"," "" " "', , 1';'" I " I , ,',' 'i,l I. "; I' ;, " " . . , '" ','I' ," , q, "/1.'. ,,'I \', " I' ", 11",1, 1,1\: ," '!.' I', >';"1' ,/,' I(' " " ,. " " ~ : .. ,I' \i " ,', 'jl ",1\ I,'; ,,', I" 1\1, " ,I' ", I' ,!I, " '.' 't\1 " "II' " , .. , 'I' , , , ' , (! " ,." " I' I';,',' ," ':, 11,' " " ," I!," "It ,,' ,'I, ,I It 1"'1 ", ;".' di, ( ,It, , " ,I: n ,- , II! 0> it' ;'" I ~ 1 " ." 0> " 1'1,', ., ", "l' " I', ,- I'! " ,I"~"~ , ", "j " :/, "', :"',, " 'f. I, ',,' 1\' ii":' .. " 1\ " " , " " , , " ", .' \, f',', " ',,\' " 'I' , "\, ,"" I '" ," t.,I' ;' " I, ,I." " ,:, 1'",1' ,I, ", , 0>, '.' q' I';" 0> " ',I, ,. , '. ", 0> " " " " !'-' " " ',' " ,j , , " II " I :' ,'i, '" . ., 'I,!' I", . .' ,I; I', I, ;1,' 'i" I' . ,,, " 'I' " It'", I' ,. ,." ,,', /r ',"1 ," " 'I " I ., .' " " 1:' '.'11' .,'1 0> !'I' " " " , , ')il '\, I' " " " j.'" t"I' -I' ,:,1" .' '" ... ;1' ,'I I " " ': 'I' II 'I', 'oJ\' ~ { I ,';':\1,' I' 'I", , .'" " 'I, '" " " " " , " !,i' /,,1 , .' I, ,it' " .. " .,', " , ., " .' ',I' I' ,." ',', if i1 " 'j!,! 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HOUSnOLDIR TRUST 06-16711-00 DATI or DBATHI PIBRUARY 18, 1994 SHARES ACCRUAL SECURITY OR PAR SECURITY DESCRIPTION VALUE VALUE 300 Equity Income Fd Unit 1st AT&T shs $ 67.90 $ 19,631.25 100 DuPont EI DeNeMours PFD $4.50 7,500.00 75 Monongahela Power Co PFD E 7.36% 7,687.50 88 Southwestern Pub svc Co Common 48.40 2,508.00 5,324 CoreStates Bond Trust 45,fl15.15 1,1941 CoreStates Intermediate Bond Trust 137,510.83 Core Fund Fiduciary Reserve 13436.35 Principal Cash Equivalent 13.436.35 SUBTOTAL $234,089.08 Core Fund Fiduciary Reserve 1402.28 Income Cash Equivalent 1.402.28 TOTAL $116.30 $235,491.36 Value of Securities Value of Accruals TOTAL VALUE OF PORTFOLIO $235,491.36 116.30 $235,607.66 " , " " 'I! " 'Ii " " " " , ,I\l " , " " , , ,. I. ',' '. : ", I;. , " , " , ,,' , , I ~ ' , , " (,1', " ", 1-' " ,1', " I ',I , , , " , , , , /; ", I" ,;,(.! ,j i , " " " " " ,.", , I' ' " , "., . " , " " " I, " ". , " , " I '" " ',' ,,' ,. I ", , ,; , " " ' ,. "I;" I;' " ,.' ,I _"I. 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',,/,' , I.'i ," ,I " " " I' , , ", " RESTATEMENT OF THE KATHRYN KRISE HOUSEHOLDER TRUST AGREEMENT DATED JULY 24, 1989 THIS R~'1;'ATEMENT OF TRUS!}, AG!{rENT is executed in triplicate on this fl1 day of ~:' , 1992, by and between KATHRYN KR BE HOUSEHOLDER,' ow of 4905 East Trindle Road, Mechanicsburg, Pennsylvania 17055 (hereinafter called "Settlor") and HAMILTON BANK, now of York, Pennsylvania (hereinafter called "Trustee"), and is a Restatement of the Revocable Management Trust by and between Kathryn Krise Householder, Settlor, and Hamilton Bank, Trustee, dated July 24. 1989. ARTICLE I. TRUST ESTATE 1. 01. Ini tia1 Principal. Settlor, desiring to establish an irrevocable trust, does hereby irrevocably transfer, assign and deliver to the Trustee and its successors, and assigns the assets listed on Schedule A, attached hereto and made a part hereof. As further evidence of such assignment, the Settlor has executed or will execute or cause to be executed such other instruments as may be required for the purposes of completing the assignment. or transfer of title to such property to the Trustee. The Trustee accepts such transfer and assignment to itself as Trustee, and undertakes to hold, manage, invest and reinvest the assets of this Trust, and to distribute the income and principal of the Trust in accordance with the provisions of this Agreement. 1. 02. Addi tiona1 principal. The Settlor and any other person or persons, with the consent of the Trustee, shall have the right at any time to make additions to the corpus of this Trust or any share thereof hereby established. All such additions shall be held, governed, and distributed by the Trustee in accordance with the terms and conditions of this Agreement. ARTICLE II. IRREVOCABILITY OF TRUST 2.01. consequences Trus t shall revoked, or Irrevocabili ty. Set tlor has been advised of the of an irrevocable trust and hereby declares that this be irrevocable and shall not be altered, amended, terminated by Settlor or any other person or persons. ARTICLE III. LIFE INSURANCE POLICIES 3.01. General Provisions. If any insurance policies are transferred into this Trust, the Trustee shall be vested with all right, title, and interest in and to the transferred policies of insurance, and is authorized and ~mpowered to exercise and enjoy, for th~ purposes of the Trust herein created and as absolute owner of such policies of insurance, all the options, benefits, rights and privileges under such policies, including the right to borrow upon and to pledge them for a loan or loans. 'rhe Trus tee takes all rights, title, and interest in and to the above stated insurance policies subject to any prior split-dollar life insurance agreement and assignments, which may be in effect at the time of transfer. The insurance companies which have issued policies are hereby authorized and directed to recognize the Trustee as absolute owner of such policies of insurance and as fully enti tled to all options, rights, privileges, and interests under such policies, and any receipts, releases, and other instruments executed by the Trustee in connection with such policies shall be binding upon all persons interested in this Trust. The Settlor hereby relinquishes all rights, title, interest and powers in such policies of insurance which Settlor may own and which rights, title, interest and powers are not assignable, and will, at the request of the Trustee, execut.e all other instruments reasonably required to effectuate this relinquishment. 3.02. Payment of premiums. ~'he 'rrus tee shall be under no obligation to pay the premiums which may become due and payable under the provisions of any pOlicy of insurance which may be transferred or assigned to this Trust, or to make certain that such premiums are paid by the transferor of such policy, or to notify any persons of the nonpayment of such premiums, and t.he Trustee shall be under no responsibility or liability of any kind in case such premiums are not paid, except the Trustee shall apply any dividends received on such policies to the payment of premiums thereon. Upon notice at any time during the continuance of this Trust that the premiums due upon such policies are in default, or that premiums which will become due will not be paid, either by the transferor or by any other person, the Trustee, within its sole discretion, may apply any cash values attributable to such policy to the purchase of paid-up insurance or of extended insurance, or may borrow upon such policy for the payment of premiums due thereon, or may accept the cash values of such policy upon the policy's forfeiture. In the event that the Trustee receives the cash value of such policy upon its forfeiture for nonpayment of premiums, the amount received shall be added to the corpus of this Trust, and shall be administered according to the tems of this Agreement. If the insured under such policies of insurance, becomes totally and permanently disabled within the meaning of any pOlicies and because thereof the payment of premiums, or any of them, shall during the pendency of such disability, be waived, the Trustee, upon receipt of such knOWledge, shall promptly notify the insurance company which has issued such policies, and shall take any and all steps necessary to make such waiver of premium provision effective. 2 3.03. Duties_ of Trustee With Reqard to Life Insuranoe Policies. 'I'he 'I'rustee shall be under no obligation or duty whatever except with respect to the safekeeping of such policies of insurance and the duty to receive such sums as may be paid to them, in accordance with the requirements of this Trust, by the companies issuing such polici8s, and to hold, manage and disburse such proceeds subject to the terms of this Agreement. Upon the death of the insured, the Trustee shall make reasonable efforts to carry out the provisions of this Agreement, including the maintenance or defense of any suit, provided, however, the Trustee shall be under no duty to maintain or enter into any litigation unless its expenses, including counsel fees and costs, have been advanced or guaranteed in an amount and in a manner reasonably satisfactory to the Trustee. The Trustee may repay any advances made by it or reimburse itself for any such fees and costs from any corpus or income of this Trust. ARTICLE IV. TRUST DISTRIBUTIONS 4.01. Trust Principal. The entire corpus of this Trust, including the assets initially transferred to this Trust, subsequent additions to this Trust, and the proceeds of any sale, exchange or investment of such Trust assets, shall be used for the purposes herein contained. 4.02. Income Distribution. During the Settlor's lifetime, the Trustee shall distribute all of the net income of the trust to, or for the benefit of, KATHRYN KRISE HOUf:lEHOl,DER. The Trustee shall make no distributions of principal to KATHRYN KRISE HOUSEHOLDER. 4.03. Principal DistributiollS. Upon the death of the Settlor, the Trust shall terminate. Upon termination, the remaining trust estate shall be distributed to Settlor's son, WILLIAM K. HOUSEHOLDER, per stirpes. If the Settlor's son, WILLIAM K. HOUSEHOLDER, predeceases the termination of this Trust, then his share shall be distribute equally to his issue, per stirpes. 4.04. General Power of Appointment. Settlor's son, WILLIAM K. HOUSEHOLDER, is hereby granted the general power to appoint some or all of the principal of this Trust to himself, his estate, his creditors, the creditors of his estate, in such proportions and upon such terms (in trust. outright gifts, or in any other manner) as he deems advisable. This power shall not be exercisable under his Will. If Settlor's son fails, either in whole or in part, to exercise this general power of appointment herein granted, the unappointed principal shall continue in trust and shall be administered according to the terms of this Trust. 3 ARTICLE V. POWERS OF TRUSTEE 5.01. General Powers. In add.i tion to such other powers and duties as may have been granted elsewhere in this Trust, but subject to any limitations contained elsewhere in this Trust, the Tnlstee shall have the fOllowing powers and duties: A. In the management, care and disposition of this 'rrust, the Trustee shall have the power to do all things and to execute such deeds, instruments, and other documents as may be deemed necessary and proper, inCluding the fOllowing powers, all of which may be exercised without order of or report to any court: (1) To sell, exchange, or otherwise dispose of any property, real, personal or mixed, wheresoever located, at any time held or acquired hereunder, at public or private sale, for cash or on terms as may be determined by the Trustee, without advertisement, inCluding the right to lease for any term notwithstanding the period of the Trust, and to grant options, including an option for a period beyond the duration of the Trust. (2) To invest all monies in such stocks, bonds, securities, investment companies or trust shares, mortgages, notes, choses in action, real estate, improvements thereon, and other property as the Trustee may deem best, without regard to any law now or hereafter in force limiting investments of fiduciaries; except that the Trustee may not invest in any stock or securities issued by the corporate Trustee or issued by a parent or affiliate company of such Trustee. (3) To retain for investment any property deposited with the Trustee hereunder; except that the Trustee may not retain for investment any stock or securities in the corporate Trustee or in a parent or affiliate company of such Trustee. (4) To vote in person or by proxy any corporate stock or other security and to agree to or take any other action in regard to any reorganization, merger, consolidation, liquidation, bankruptcy or other procedure or proceedings affecting any stock, bond, note or other security held by this Trust. (5) 'ro use lawyers, real estate brokers, account.ants and any other agents, if such employment is deemed necessary or desirable, and to pay reasonable compensation for their services. (6) To compromise, settle or adjust any claim or demand by or against the Trust and to agree to any 4 rescission or modification of any contact or agreement affecting the Trust. (7) To renew any indebtedness, as well as to borrow money, and to secure the same by mortgaging, pledging or conveying any property of the Trust, including the power to borrow from the Trustee (in the Trustee's individual capacity) at a reasonable rate of interest. (8) '1'0 retain and carryon any business in which the Trust may acquire any interest, to acquire additional interests in any such business, to agree to the liquidation in kind of any corporation in which the Trust may have ani' interest and to carryon the business thereof, to join with other owners in adopting any form of management for any business or property in which the Trust may have an interest, to become or remain a partner / general or Umi ted, in regard to any such business or property and to hold the stock or other securities as an investment, and to employ agents, and confer on them authori ty to manage and operate the business, property or corporation, without liability for the acts of any such agent of for any loss, liability or indebtedness of such business if the management is selected or retained with reasonable care. (9) To register any stock, bond or other security in the name of a nominee, without the addition of words indicating that such security is held in a fiduciary capacity, but accurate records shall be maintained showing that the stock, bond or other security is a trust asset and the Trustee shall be responsible for the acts of the nominee. B. Whenever the Trustee is directed to distribute any trust principal in fee simple to a person who is then under twenty-one (21) years of age / the Trustee shall be au thorized to hold such property in trust for such person until he becomes twenty-one (21) years of age, and in the meantime shall use such part of the income and the principal of the trust as the Trustee may deem necessary to provide for the proper support and education of such person in the standard of living to which he has become accustomed. If such person should die before becoming twenty-one (21) years of age, the property then remaining in trust shall be distributed to the personal representative of such person's estate. C. In making distributions from the Trust to or for the benefit of any minor or other person under a legal disability, the Trustee need not require the appointment of a guardian, but shall be authorized to payor deliver the distribution to the custodian of such person, to payor deliver the distribution to such person without the int.ervention of a guardian, to payor deliver the 5 distribution to the legal guardian of such person if a guardian has already beon appointed, or to use the distribution for the benefit of such person. D. In the distribution of the Trust and any division into separate trusts and shares, the Trustee shall be authorized to make the distribution and division in money or in kind or in both, regardless of the basis for income tax purposes of any property distributed or divided in kind, and the dist~ibution and division made and the values established by the Trustee shall be binding and conclusive on all persons taking hereunder. The Trustee may in making such distribution or division allot undivided interests in the same property to several trusts or shares. E. If at any time after Settlor's death the total fair market value of the assets of any trust established or to be established hereunder is so small that the corporate Trustee's annual fee for administering the trust would be equal to or less that the minimum annual fee set forth in the 'rrustee' s regularly published fee schedule, then the Trustee in its discretion shall be authorized to terminate such trust or to decide not to establish such trust, and in such event the property then held in or to be distributed to such trust shall be distributed to the persons who are then or would be enti tled to the income of such trus t. If the amount of income to be received by such persons is to be determined in the discretion of the Trustee, then the Trustee shall distribute the property among such of the persons to whom the Trus tee is authorized to distribut.e income, and in such proportions, as the Trustee in its discretion shall determine. F. The Trustee shall be authorized to lend or borrow, inCluding the right to lend to or borrow from the Settlor's estate, at an adequate rate of interest and with adequate security and upon such terms and conditions as the Trustee shall deem fair and equitable. G. The Trustee shall be authorized to sell or purchase, at the fair market value as determined by the Trustee, any property to or from Settlor's estate, the estate of Settlor's spouse, or any trust created by Settlor or Settlor's spouse during life or by will, even though the same person or corporation may be acting as executor of Settlor's estate or the estate of Settlor's spouse or as trustee of any other such trusts and as the Trustee of this Trust. Ii. The Trus tee shall have discretion to determine whether items should be charged or credi ted to income or principal or allocated between income and principal as the Trustee may deem equitable and fair under all the circumstances, inCluding the power to amortize or fail to amortize any part or all of any premium or discount, to trea t any part or all of the prof i t resulting from the 6 maturity or sale of any asset, whether purchased at a premium or at a discount, as income or principal or apportion the same between income and principal, to apportion the sales price of any asset between income and principal, to treat any dividend or other distribution on any investment as income or principal or to apportion the same between income or principal, to charge any expense against income or principal or apportion the same, and to provide or fail to provide a reasonable reserve against depreciation or obsolescence on any asset subject to depreciation or obsolescence, all as the Trustee may reasonably deem equitable and just under all of the circumstances. 1. The Trustee is hereby authorized and empowered to purchase such insurance policies as it deems appropriate. S. 02. Votinq by Trustee. When the author! ty and power under thi s Trus tis ves ted in two (2) or more Trus tees or Co- Trustees, the authority and powers are to be jointly by the Trustees or Co-Trustees. A majority of the 1'rustees or Co-Trustees may exercise any authority or power granted under this Trust Agreement or granted by law, and may act on behalf of the Trust. Any attempt hy one such Trustee to act for the Trust on other than ministerial acts shall be void. The action of one such Trustee on behalf of the Trust may be (but need not be) validated by a subsequent ratification of the act by a majority of the Trustees or Co-Trustees. ARTICLE VI. SPENDTHRIFT PROVISION 6.01. General Provision. No beneficiary shall have the power to anticipate, encumber or transfer his interest in the Trust Estate in any manner other than by the valid exercise of a Power of Appointment. No part of the Trust Estate shall be liable for or charged wi th any debts, cont.acts, liabili ties or torts of a beneficiary or subject to seizure or other process by any creditor of a beneficiary. ARTICLE VII. CONSTRUCTION OF TRUST 7.01. Choice of Law. This Trust shall be administered and interpreted in accordance wi th the laws of the Commonwealth of Pennsylvania. 7.02. Code. Unless otherwise stated, all references in this Trust to section and chapter numbers are to those of the Internal Revenue Code of 1986, as amended, or corresponding provisions of any subsequent federal tax laws applicable to this Trust. 7 7.03. Other Term'!. Unless the context otherwise requires, the use of one or more genders in the text includes all other genders, and the use of either the, singular or the plural in the text includes both the singular and the plural. 7.04. Caot1ons. 'l'he captions set forth in this Agreement at the beginning of the various divisions hereof are for convenience of reference only and shall not be deemed to define or limi t the provisions hereof or to affect in any way their construction and application. 7.05. Situs of Trust. The Trust shall have its legal situs in York County, Pennsylvania. ARTICLE VIII. COMPENSAT:ON OF TRUSTEE AND APPOINTMENT Ot<. SUCCESSOR TRUSTEE 8.01. Comoensat1on. The Trustee shall receive as its compensation for the services performed hereunder that sum of money, based on an hourly charge or percentage rate, which the Trustee normally and customarily charges for perfor.ming similar services during the time which it performs these services. 8.02. Removal of Trustee. Settlor may remove the Trustee, at any time or times, with or without cause, upon thirty (30) days written notice given to the current Trustee. Upon the death of the Settlor, a majority of the current income beneficiaries may remove the Trustee, at any time or times, with or without cause, upon thirty (30) days written notice given to the Trustee. Upon the removal of the Trustee, a successor Trustee shall be appointed in accordance with the terms set forth in Paragraph 8.03. 8.03. Aooointment of Successor Trustee. The Trustee may resign at any time upon thirty (30) days written notice given to the Settlor if Settlor is living, or in the event of Settlor's death, upon thirty (30) days written notice given to the current income benef iciary or benef iciaries (including a benef iciary' s natural or legal guardian or legal representative), hereunder. Upon the death, resignation, removal or incapacity of the Trustee, a successor trustee may be appointed by the Settlor or the survivor during Settlor's lifetime, or, after Settlor's death, by a majority of the current income beneficiaries. Settlor prohibits the appointment of Settlor as Trustee and any attempt to do so shall be wi thout authori ty under this Agreement. Any successor trustee shall be a financially sound and competent corporate tnlstee. Any successor trustee thus appointed, or, if the Trustee shall merge with or be consolidated with another corporate fiduciary, then such corporate fiduciary, shall succeed to all the duties and to all the 8 .' powers, including discretionary powers, herein granted to the Trustee. ARTICLE IX. PERPETUITIES CLAUSE 9.01. General Provision. Notwithstanding anything t.o the cont.rary in this Trust, each disposition I have made here, legal or equitable, to the extent it can be referred in its postponement of becoming a vested interest to a duration measured by some life or lives in being at the time of my death is definitely to vest in interest, although not necessarily in possession, not later that t.wenty-one (21) years after such lives (and any period of gestation involved); or, to the extent. it cannot be referred in any such postponement to such lives, is to so vest not later than twenty-one (21) years from the time of my death. ARTICLE X. ACQUISITION OF UNITED STATES TREASURY BONDS ELIGIBLE FOR TAX PAYMENT, PAYMENT OF TAXES, FUNERAL EXPENSES, AND EXPENSES OF ADMINISTRATION 10.01. ,,"cClUisition of Bonds. The Trustee may, at any time, without the prior approval or direction of the Settlor and whether or not the Settlor is able to manage Settlor's own affairs, acquire United States Treasury Bonds selling at a discount, which bonds are redeemable at their par value plus accrued interest thereon for the purposes of applying the proceeds to the payment of the Uni ted States estate tax on the Settlor's estate; and the 'l'rustee may borrow from any lender, inCluding itself, with or without security, to so acquire these bonds. 10.02. Payment of United States Estate Tax by Bond RedemPtion. The Settlor directs that any United States Treasury Bonds which may be redeemed at their par value plus accrued interest thereon for the purpose of applying the proceeds to the payment of the United States estate tax imposed on the Settlor's estate, and which are held by the Trustee, shall, to the extent of the amount determined to be required for payment of the estate tax, be distributed to the legal representative of the Settlor's estate to be used by the legal representative ahead of any other assets and to the fullest extent possible to pay the estate tax. 10.03. ~ent of Death Taxes and Other Estate Settlement Costs. After the Trustee has complied with paragraph 10.02, above, and ascertained from the legal representative that all such bonds have been redeemed in payment of the United States estate tax, the Trustee shall also ascertain from the legal representative whether the legal representative has sufficient assets to pay the remaining legacy, succession, inheritance, transfer, estate and other death 9 taxes or duties (except the additional estate tax imposed by Sect.ion 2032 (c) / or corresponding provisions of the Internal Revenue Code of 1986 applicable to the Settlor'~ estate and imposing the tax) levied or assessed against the Settlor's estate (including all interest and penalties thereon) / all of which taxes, interest and penalties are hereafter referred to as the death taxes, interest and penalties, If the legal representative advises the Trustee that insufficient funds exist to pay all the death taxes, interest and penalties, the Trustee shall then pay to the legal representative from the trust property, an amount equal to all the death taxes, interest and penalties in excess of the funds available to the legal representative for this purposes / which payments are to be made wi thout apportionment. In making the payments, the Trustee shall use only those assets or their proceeds which are includable in the Settlor's gross estate for purposes of the United States estate tax and shall not impair the marital portion without first exhausting the entire non-marital portion. If the Executor of the Settlor's estate, in such Executor's sole discretion, shall determine that appropriate assets of Settlor's estate are not available in sufficient amount to pay (1) the Settlor's funeral expenses, and (2) expenses of administering the Settlor's estate, the Trustee shall, upon the request of the Executor of the Settlor's estate, contribute from the principal of the trust estate the amount of such deficiency; and in connection with any such action the 'l'rustee shall rely upon the written statement of the Executor of the Settlor's estate as to the validity and correctness of the amounts of any such expenses/ and shall furnish funds to such Executor so as to enable such Executor to diSCharge the same / or to discharge any part of all thereof itself by making payment d.irectly to the person entitled or Claiming to be enti tled to receive payment thereof. No consideration need be required by the Trustee from the Executor of Settlor's estate for any disbursement made by the Trustee pursuant hereto, nor shall there be any obligation upon such Executor to repay to the Trustee any of the funds disbursed by it hereunder, and all amounts disbursed by the Trustee pursuant to the authority hereby conferred upon it shall be disbursed without any right in or duty upon the Trustee to seek or obtain contribution or reimbursement from any person or property on account of such payment. The Trustee shall not be responsible for the application of any funds delivered by it to the Execu tor of the Set tlor' s estate pursuant to the authority herein granted, nor shall the Trustee be subject to liability to any beneficiary hereunder on 10 .- SCHEDULE "A" SCHEDULE REFERRED TO IN THE ANNEXED TRUST AGREEMEN'l' DATED: MARCH 31, 1992 FROM KATHRYN KRISE HOUSEHOLDER, SETTLOR TO HAMILTON BANK, TRUSTEE , Shares Property Description Book Value Core Fund Fiduciary Reserve $ 11,779.78 1385 CS Intermediate Bond Trust 152,225.91 100 DuPont E I DeNemours pfd $4.50 7,834.49 100 General Motors Corp pfd $5 8,785.44 75 Monongahela Pwr Co pfd 7.36X 7,687.50 156 New VY Corp pfd Cl B Conv $3 5,172.49 26 New VY Corp Sr pfd CL A Inc Rate 3,652.51 600 Equity Incoma Fd 1st EKC AT&T 10,794.63 88 Southweetern Pub Svc Co. 1. 771. 00 Total Principal Account Value $209,703.75 Core Fund Fidiciary Reserve 1.402.12 Total Income Account Value $ 1,402. 12 " '" \, . , , Market Value $ 11,779.78 158,597.44 6,200.00 6,275.00 6,693.75 331.50 100.75 31,500.00 2.728.00 $224,206.22 1.402.12 $ 1,402.12 REV-1S47 EX AFP (10-93* COMMOHWEAl HI Of PENNSVLVAHIA DEPARTMENT Of REVENUE BUREAU Of INDIVIDUAL TAMES OEPT. 280601 . HARRISBURG, PA 171Z8-0601 Es-fA1'EiW'--ml1rS'!:mn:llt~~-mHRV 'I( = FILE NO. DATE OF DEATH 02-18-94 COUNTY CUMBERLAND NOTE. TO INSURE PROPER CREDIT TD YOUR ACCOUNT. SUBNIT THE UPPER PORTION OF TNIS FORN WITH VOUR TAM PAYNE NT TO THE REDISTER OF WILLS. NAKE CHECK PAYABLE TO "REDISTER OF WILLS, ADENT" REMIT PAYMENT TO: I ,;1. I ,') cb ACN 101 NOTICE O~ INHERITANCE TAM APPRAISENENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS. AND ASSESSNENT OF TAM LOWELL R GATES ESQ LOWELL R GATES 600 N 12TH ST STE 2 LEMOYNE PA 17043 DATE 09-13-94 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 r - A.Ou~t R.~ltt.d CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .. REV: isijj - Eif"ii jiii - i i 0-: m - - il1i'fi c r -oF - YNHEiii f AifcE - "fAx - iip pillii 9 EifENi'~ _oii L r oWAifcE"iiR" - - - _n - - - - - -" - -- DISALLOWANCE DF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HOUSEHOLDER KATHRYN K FILE NO. 21 94-0454 ACN 101 DATE 09-13-94 If an allelsment was ilsuad previouIly, lines 14, 15 and/or 1& and 17 will reflect figures that include the total of ALL returnl allelled to date. ASSESSMENT OF TAX: IS. A.ount of Lln. 14 t..obl. .t 6% r.t. 16. A.ount of Lln. 14 to.oblo .t 15% rot. Ii, Princlp~l T.~ DUI TAM RETURN ~ASI I X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. ROIl Eliot. I Sch.dulo A I III 2. Stocko .nd Bondo (Sohodulo B) (21 5. Cloo.ly H.ld Stock/Portnorohlp Intoro.t ISchodul. CI 151 4. Nortgogo./Noto. R.o.lvobl. (Sohodulo DI 14) S. C..h/B.nk Dopo.lt./Nloo. P.rlon.1 Proporty ISchodul. EI IS) 6. Jointly Ow nod Proporty (Sch.dulo F) 16) 7. Tron.hr. (Sch.dul. OJ 17) 8. Tot.1 A.o.to APPROVED DEDUCTIONS AND EXEMPTIONS: 9. FUnarll Expln.../Ad~ini.tr.tlY. Co.tal HilclUlnlaul E)(pln... (SChldull HJ (9) 10. D.bt./Nortg.g. Ll.bllltl../Ll.n. (Sch.dul. II (101 II. Tot.1 D.ductlon. 12. N.t V.lu. of T.. R.turn 15. Chorltoblo/Oovorn..ntol B.qu.ot. (Soh.dul. JI 14. N.t Volu. of E.toto Subj.ot to To. NOTE: llSI 1161 TAX CREDITS: PAYNE NT DATE RECEIPT NUNBER DISCDUNT 1+) INTEREST 1-) 05-18-94 886093 689.59 ) CHANDE,D .00 .Q.Q.. .00 .00 973.69 1, 77 9...iQ. 235.607.66 (81 _ 238,361.25 7,865.65 633.00 III I 1121 1151 1141 8.498.65 229,862.60 .00 229,862.60 229.862.60 .00 13.791.76 .00 13.791,76 M .06 ' M.1S , 1171 ANDUNT PAID 13,102.17 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE . IF PAID AFTER DATE INDICATED. SEE REVERSE FDR CALCULATION OF ADDITIONAL INTEREST. 13.791. 76 .00 .Ob .00 ( IF TOTAL DUE IS LESS THAN .1. NO PAVNENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRN FOR INSTRUCTIDNS.I " " 'REseRVATIONI E.t",. of dlc.dlnt. dvlng on or hlfor, D,c,.b,r 12, 1982 .~ If any future Int.rl.t 1n thl ..tat. 1. 'r,",flrred In pO.IQ..Jon or enJov..nt to ct... B (0011at.rll) bln,flel,r1,. of thl dlCldlnt after thl IMPlretlon of .nv I' tit. for 11f. or for y..r., thl CO'Monwealth htrtbv IKpr...lv rtl.rUI, thl right to appr,I.. and ...... tranl,.r Inherltlnol TIMI. at tht lawful Cia" B (0011at,ral) rat. on anv luch future Int.r..t. PURPOSE OF HOTlCEI To fulfill thl r.quir...nh of Slotion 2140 of the Inheritance and E.t.t. 18)( Aot, Act 22 of 1991. 12 P,S, Stotlon 2140. PAYttEHTI Detach thl top portion of thll Hottel llnd .ub... wlth your Ply.."t to thl R,ghhr of W11l1 prlnt.d on thl rIVlr.. lidl, ..Htkt chick or MonlV order payable tOI REGISTER OF MILLS, AGENT ' All ply..nt. rlo.lvld .hall fir.t b. IPpll.d to anv Int.r..t which ..y bo dUB with anv r...lnd.r appli.d to the t.M. REFUND (CRII A r.fund of . t.x or.dit, which w.. not r.qu..ted on thl Tax R.turn, lay b. r.qu..ted bv cOMpl.tlng an "Appllcltlon for Rlfund of P.nn.yl....nl. Inhlrlt.nc. and E.tat. Yalt" (REV'UU), AppllcatJon. Irt .....U.bl. at the O'flcl of the R.gI.t.r of Will., any of thl 23 R.....nu. Ol.trlct OffiCII, or by c.lllng th. .p.olal 2~'hour .n,wlring ..rvlc. nu.b.r. for for.. ord.rlngl In Penn.yl....nla 1~&00.362.20S0, out.ld. P.nn.vl....nt. .nd within 10c.1 H.rrl.burg aria (717) 7&7.e094, TOOl (717) 77?.22S2 (H..rlng IIp.ir.d Only). OBJECTIONS I Any p.rtv In Int.r..t not ..tl.fl.d with th. .ppr.I...."t, allowane' or di..llowanc. of d.ductlon., or ........nt of talt (Including di.count or Int.r..tl .. IhoHn on thl, Notlol MUlt obj.ct within .Ixty (60) d.y. of r,cllpt of thlt Notic. bYI .~writt.n protut to the PA O,pDrtl.nt of RIlIlnu., Board of App.all, DEPT. 281021, Harrhburg, PA 111211~1021, OR ...I.otlon to have the Matt.r d.t.r'ln.d at audit 0' the aooount of the p.r.cn.1 r,pr.'lntatlll', OR .~tlp,,"1 to 1h' Orph.n.' COIJrt. AO"I" ISTRATlVE CORRECTlO"S. DISCOUNT. F.ctual Irror' dl.ooy.r.d on thl. ........nt lhould bl .ddr.I..d In writing tal PA O.p.rtllnt of RIYlnu., Burllu of Indi...ldu.l Taltl., ATTNl POlt A.......nt R....I.w Unit, DEPT, 2110601, H.rrl.burg, pA 11128.0601 Phon. (717) 787-6505. S.. pig. 3 of thl bookl.t "In.truotlon. for Inh.rlt.nc. Tilt R.turn for aR..ld.nt o.eld.nt" (REY.ISOI) for an IltplanatJon of ad,lnl.tratlvIIY corrlctabll Irror., If .nv tax dUB JI paid within thrll (3) callndar lonth. aft.r thl dleldlnt'. d.ath, I flv. plrclnt (SX) dl.oou"' of thl talt paid II allowld, Intlrl.t II oh.rgld b.ginnlng with flr.t day of dtlJnqu.ncy, cr nlnl (9) Nonth. and one (1) d.y frol th. date of dllth, to th. date of paYllnt, Yalt.. whleh blc... dflllnqu.nt blfort J.nlJary 1, 19112 blar Inter..t at the rat. of .Ilt (6X) p.rc.nt p.r annul calculat.d at a dallY ratl of ,OOQ164, All talt" which b.c... dellnqu.nt on Ind eft.r Janulry 1, 1982 will blar int.rl.t at a rat. which will ....ry frol ~Il.nd.r Vlar tc c.llnd.r Y.lr with th.t rat, announcld bv the PA DIp.rt..nt of RIlIlnu., Th. .ppllcabl. llltlr..t r.t'l for 19112 through 1994 .r'l INTEReST. ~ Int.rut R.te DailY Intlr..t Factor :!!!r Inter..t Rat. Dally Interltt Factcr 1982 20X .000S48 1986 lOX .000274 1983 16X .0004!a 1987 9% .000247 1984 IlX .000301 1988'1991 1IX .000301 I98S I3X .0003S6 1992 9X .000247 1993-1994 IX .000192 ulnt.rllt I. calculat.d al followl! INTEREST D BALANCE or TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREBT FACTOR ..Any Hotlc. I..u.d aftlr the tax bICOI.. d.llnqulnt will r.fllct an lnt.rl.t oalculatlon to 'Iftl.n (IiI day. ~yond the d.te of the a.......nt. If p.y..nt 1. .ad. aft.r tha Int.r..t co,put.tlon date .hown,on the Notlcl, addltlon.l Int.r..t IU.t b. calculat.d.