HomeMy WebLinkAbout95-00918
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21. If Un. 18 i. great.r Ihan Un. 19, ,n'a' th. diU.,.nc. on Un. 21. This I, th. TAX DUE,
A. Enler rh. Inl."" on th. balanu d..,. an Una 21A.
B. Enler Ih,'otol of Un. 21 and 21A an Un. 218. This II,h, BALANCE DUE.
Make Check Pavabl. 'al,ReDI,'., of Will., Ag,n'
~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ,,"...
Und.r pualtlu of perlury, I declar. Ihal I hav. uamlnad Ihh r.lu,n. including accompanying uh.dur., Gnd .tolemenll, and 10 ,h. be,1 01 my knowledge and belir
it i, Iru8, co".ct and comple'.. I declar. rho I all ,.01 ..101. hal b..n reported 01 true mork.' yolue. O.c1aration 01 pr.par., olh., Ihon th. penonol r.pt...nroll....
baled on ollln'ormollon of wnich pr.par.' hot any knowledge.
$IOH"tU'" Of 'lUON AUPONSIIL' ,OA 'tUNO utuu.. ADOIIU 215 Wood Street DAn
::J. ""'~ Ph 17011 I~/T/<"t.s-
AV~UUdAI1Vl AODU$$ 650 DAIl 5 '
P.O, Box (2- '7S-
lQr.hgy, P,\ 17033 - -
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COMMONWfAlllt Of t(NNHIVANIA
Of PARI ME NT A. U....[NU[
Of PT. 'lobOl
HARIIlUURG. itA 1112l,ObOI
OI(IOlHl'," NA.M( 1''''',llut. AND MIOOH '''IUAU
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
fOR DAns o. DEATIt Ann 12/31/91 CHECK HfA
If A SPOUSAL
POYfRTY CUDII IS ClAIMfD CJ
flU NUMO-fR
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COUNTY CODE
DlctOIN'" CON,un ACoun
YEAR
NUMlt
215 Wood Street
Camp Hill, PA 17011
(1)0,11'0' limn
"'MOUt" '(ClIVID 1$11 tNU_VelIO""1
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'CK!AI ueUR.n NUMI(Il
14,8615.315
o 3. Remainder R,turn
{for dOl., at death prior to 12-13.0:
ex 5, F.deral Etlale Taa hlllrn Required
..Qa. Tolal Number of So" Oepo.it BOUI
DAn a. OIAIH
o 2. Suppllmenlal Relurn
00 1. Original Return
o A. llmiled hle'l 0 .10. future Inler." Compromhe
[for dole' 01 d.ath aher 12.12.821
00, OlCedenl Died hslale ~ 7, Oec,denl Maintained a living Trust
(Anath tapy of Will) (AllDth tOpy 01 TrulIl
AL~'CORRESPONDENCE AND CONFIDENTIAL TAX'INFORMATION SHOULD BE DIRECTED TO.
NAM[ (OMPUI[ MAI\lNG AOOI[U
Gary L, James, Esquire 134 Sipe Avenue
TUlPHONl NlIM'U P.O. Box 650
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I. Real Eltole ISch,dule AI (I)
2. Stoeb and Bonds ISchedul. El) ( 2)
3. Clollly Hlld SlotkJPartnenhlp Inl.r"l (Schedul. C) ( 31
4, Mortgages and Notes Receivable (Sch,dule D) ( 4)
5, Cash, Bonk Oepolill & Mlletllaneous Pononal Properly (S) 37,430.00
(Sch,d,', EI
6. Jolndy Owned Properly (5thedule FI (6)
7. Transfen (Schedule 01 (Sthedule LI ( 71 'i6'l,467,A'i
8. Tolal Ora.. Auels (lololUnes 1-71 10) 606.A'l7,R'i
9. Funeral e.~ens.., Admlnistrolive CasU, Mhcalloneous ( 91 11.320.00
bopenses ( chedule HI
10, Oobu, Mortgoge Liabilities, Lie", (5thedule II (101
11. Total Oeduelioru (10101 Lines 9 & 10) (Il) l' ,.,n nn
12, Net Value of Eslale lLine 8 minus line 111 (121 595,577.85
13. Charitable and Governmental eequesU 15thedulo J) (131
14, Net Value Sublect 10 Tax (Line '2 minus Line 13) (14) l;Ql;.C;77 A"
IS, SplOusal Transfen tfor dot.. of death oher 6.30.94)
S.e Instrudlon, flOr Atpllcoble Percentage on Revene (15) 'in1,<F!f; Q'7 x.O-II -0-
Sid.. (Include valuls rom 5chedull K or Schedule M.I
16. Amounl of L1no 1.4 laxabl. af 6% rato (161 92,290.88 x .06 II 5,537.45
(Include values from Schedule K or Schedule M.)
17, Amount of Line 1A laxoble at 15% rol. (17) )( .15 II
(Include values from Schldule K or Schedule M.I
10, Principalra" dUI (Add 10" from Lines 15, 16 and 17,) (101
19, CrediU Spousal Povlr1y Credil Prior Poymenls Ohc.ounf Inlerell
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20. If line 19 h greal.r fhon Un. 18. Inl.r Ih. diUerence on Un. 20. Thlslllh. OVERPAYMENT.
II O.-t:r.n...........I.....I'........'I..",..d.,II...I'1rrr:r:~....hl'._..'I,I.~..I"I'.,1
5,537.45
121)
(21AI
1218)
5.537.45
1(\'.1.510 IX. \2,111
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calolMONWUlfH O' '(I'<lNlYWANIA
lNHUIfAN(1 tAlC UrulH
USIDI~CrD1Nt
l
SCHEDULE G
TRANSFERS
PLEASE PRINr OR rYPE
ESTATE OF
FLE'l={, TIlQlI\S J.P.
FILE NUMO-ER
THIS SCHEDULE MUST BE COMPLETED AND FILED IFTHE ANSWER TO ANY OFTHE OUESTIONS ON THE REVERSE SIDE OfTlfI COVY SHEET IS YES.
EXCLUSION I TorAL vAlUe OlCD, OOU.....R VAlue
IfEM OESCKlPTlON Of 'ROPIRIY I~' OF OEceOENT'S
NUMBER I"ci"d. t10trl. 01 th.'totu/.,... Ih.., f.lollonthip 10 d.e.d.,." dol. al ItOtIl/.r. OF.usn INTEREST
1. I 646 shares common stock, International I
I Paper Company, certificate no.N371473 I
I held as Thomas F. Fletcher & Eileen M.
Fletcher ~ivlng Trust dated 6/4/94
I value as of date of death $72.69/share $46,957.74 1/2 $ 23,478.87
2. 200 shares common stock, Minnesota Power, ! I
I & ~ight Company, certificace no.ZQ-MN I
00088108; held ,w Thomas F. FletcheL: & I
Eileen M. Fletc;..-r ~iving Trusc daced I
I
€/4/94; vale', as 'Jf date of death I
$25,38/share i 5,076.00! 1/2 2,538.00
3. , I
Fidelity In'lL t:nents - acc~unt no, ,
I , I 31,410,001
I T10044771o: Tll...maE ?, Fletcher & Eileen ; 1/2 15,705,00
I M, ?letcher ~iving Trost dated 6/4/94 : I I
I ,
4-6 AARP/Scudder Investment Program: , 1
, I
Internacional FUnd no.9961351321-2 I I 1,939,42
I 3,878,84, 1/2
High Quality Money FUnd no.504703935-6 I 1,526,44 1/2 763.22
Capital Growth FUnd no. 504703935-6 I 25,558.16 1/2 12,779.08
held in Thomas F. Fletcher & Eileen M.
Fletcher, Living Trust dated 6/4/94
7. VanGuard Group - account no. 9892509011
held in Thomas F. Fletcher & Eileen M.
Fletcher ~iving Trust dated 6/4/94 74,953,85 1/2 37,476,93
8. 20th Century Mutual FUnd account no.
21001265219; held in Thomas F, Fletcher
& Eileen M. Fletcher ~iving Trust dated
6/4/94 10,758.38 1/2 5,379.19
9. Invesco account no. 996138-o-l5;,held in
Thomas: F~, Fletcher & Eileen M. Fletcher -
Living Trust dated 6/4/94. 7,102.33 1/2 3,551.17
10. Traveler's Tax Sheltered Annuity account
no.227-4428; held in decedent's name alo'e 96,787,31 100\ 96,787.31
11-16 Corestates Ira Accounts held in decedent s
Name alone:
No. 951141295-9902740 502.45 100% 502.45
No. 951141295-9320121 44,487.31 100% 44,487,31
No. 951141295-004 76,829.49 100% 76,829,49
No. 951141295-021 06,011.87 100% 106,011.87
TorAL IAha en'.r on "n_ 1. AecapilUIQIk>>n1 S
'" mat. .pan i. lI.ed.d. :".el1 arJdlliattoJ Ill__" 01._ Itte,)
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tinuation - Page 2.
SCHEDULE G
TRANSFERS
PLEASE PR'Nr OR rYPE
ESTATE OF
~, 'l'lICJ1II5 ~.
I
FILE NUMBifil
.
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~~
COMMONW',llfH o. 'lNN,nvANIA
IHHllITANe. 'AX "'UIN
IUID,N, DICIO'NT
THI5 SCHEDULE MU5T BE COMPLETED AND FILED iP THE AN5WER TO ANY OF THE OUESnON5 ON THE REVERSE 51 DE OPTHI COVE<< SHEET 15 YES,
ITEM DE5CRlPTlON OP PROPERTY TOTAL VALUE OlCD, DOLLAR VALOl
EXClU5iON ,~ Of DlCEDlNl'S
NUMIER '''e'''d.nom. 01 th. "0111/".., ,h," ,,/otiotull;p 10 fi.ud,n', Jol. 01 "0",1", Of AnET INTEREST
15 I Coreststes IRA accounts continued:
No. 951141295-023 51,564.64 100\ 51,564.64
16 No. 951141295-093 89,673.90 100\ 89,673.90
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TOTAL (Aha .n'" Oil Un. 7. RtCGplllllollonl 5 569,467.85
llf ,"Oil .pon i. "..d,d, in.." addilKMol JII.." a/.om. un.l
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COMMQNW'.AUH 0' ""''''SYlVANIA
INHUII""'(I tAl .nUI",
USIO''''' OICID..."
TA~, 'l'IDWl I!'.
ITEM
NUMBER
A. Funeral Exp.null
B,
4.
C,
1,
2.
3,
4.
5.
6,
7.
B.
SCHEDULE H
FUNERAL EXPENSES,
AOMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
f
Pluos. Print or Type
NU OER
DESCRIPTION
1.
2.
Neill Funeral Home - funeral services
Diocese of Harrisburg, Office of Catholic Cemeteries- plot
Admlnl.tratlyo co.u:
Pananol Representalive Commissions
Social Socurily Numbor of Po"onal Reprelonlal;ve:
Yaar Commissions paid
),
2.
Allornoy Foe. James, Smith & Durkin
Family Exompllan
Clolmon. . Eileen M. Fletcher Relolion.hip
Add.... of Clalman. al docodonl" deolh
SlroOI Address 215 Wood Street
City Camp Hill
3.
Probate Fe..
Mlscollanaaus Expenses:
wife
Slala t'A Zip Codo 17011
CUmberland County Register of wills - filing fee
(If more spac. Is n.~dod. Ins.rt addlllanal .h.... of sam. sizo.)
, TOTAL (Alsa onlor on IIno 9. Rocapil.lallon)
AMOUNT
$ 6,925.00
130.00
4,250.00
15.00
S 11,320.00
,0
IIV-UI)I.. Ulll
~
COMAIONwl""" ot 'fNNl'lVAH."
I"MllltANC' f"a IfrulN
"$lllINt DtelD'NI
SCHEDULE J
BENEFICIARIES
ESTATE 0'
FLE'lU1l<K, 'l'IICJl1I\S F.
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
A. To.obl. aequI'II:
I. a. Eileen M. Fletcher - 215 Wood Street
Camp Hill, PA 17011
b. Eileen M. Fletcher - 215 Wood Street
2. T. Michael Fletcher 852 Columbia Street
Berkley, MI 48072
Susan M. Fletcher - 22 Pine Tree Drive
Mechanicsburg, PA 17055
Theresa M. Kern - 50 Utz Drive
Hanover, PA 17331
Joseph A. Fletcher - 9 Taylor Court
Petersborough, NH 03458
Ellen M. Alric - 351 State Highway 349
Gloversvil1e, NY 12078
Issue of Mary Ann Moffett - 2 Catalpa Crest
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
8, CharUobl. and Govllnmlnlal BequI.tu
I,
FILE NUMBER
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
Spouse Sa 1 ance
(Spouse) inc $ 103,610.88
& principal
limited by 5 0
5 and ascertai
-able standard )
Beneficiary
U/A/D 6/4/94
Son 1/6
Daughter 1/6
Daughter 1/6
Son 1/6
Daughter 1/6
Grandchildren 1/6
AMOUNT OR
SHARE OF ESTATE
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Allo .nl., on Uno 13, Rocepllulollo,) S
(If more .pac. I. n..ded, In..rt additional ,h,.t. of lame III,)
United States Estate (and Generation-Skipping Transfer)
Tax Return
e.tat. of . elllz.n or ,,,'dent of 1h41 United St.t.. I..' ..pa,ate Imlructlonl), To b.
OlM)~m.>' 01 'h. f,."",ry "I,d for dluderrcl dying .n" October 8. 1000. For PIlp.lrwOrk neductlon Act Notlcl.
!flt~., A.....l.I. s....-:. ... DO .. t of thl InltNcllonll,
11 OK~nt'& 1'111' Mme ard mMjdl 1I\l1l~ \AM maoc:lln Mlftl,,' ""VI tb Oece(llW'ln tall name
T11Ct'1J\S F. ('I,E'l'CIlFII
'0,", 706
{ntH. AVQu'l 1993\
C~B No. 15015.0015
E..p.,.. 12.31.QS
2 DKecJ.nr. locl.1 "CUflty no,
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067 I 16
sO". 01 QMth
3b Y.., domlC~' "Iabb."~ 4 0.1101 b,nh
:141 OomlCll, It time 01 dl.lh {counry and Illltl, Of !orllQl"l ~u"tryl
Cumberland County Pennsylvania
1959
12-1-20
3-6-95
eb unculor', adO'''' (numDet .nd m..llnctUCIMQ .C4ttmltnl or lUll. no. or rut"
roul.; CHy. lown. Of poll ollie.; 11111; 1n4 ZIP codl'
215 Wood Street
Camp lIilt, PA 17011
Name 01 ...eculor \... "'lltUCuon.j
Eileen M. ~letcher
e..ec:UIOl'. IOCIII In::ur1tv numbet ('_ lfl.lfucllOn'l
I 46
3770
182
7b Cu. nWTItlef
,....m. anClloc:lllOn 01 court wn... W\II was ptooallMl Of ..1.1. .alTllnlll.'~
t:
.
..
8 If dlCedent Olld 10st81e, cneck hero Ii'- 0 and onnen II certified cop of Ih. Will, g If Form 4768 II attached, ChecK hor." 0
1 0 If Scnedulo R-' II attoched, chock hor. Ii'- 0
Totel graso .l1ato (from PIlII 5. ROCDIlrt.ladon. peg. 3, rt.m 10)
Totel e1lowlllll. ded.ctlon. ~rom PIlII 5. Racaplt.llItlon, pego 3, rt.m 20) .
Taxablo estale (subtmct Un. 2 from linG 1) .
Adjusted taxable gifts (total tax3ble gifts (WIthin the meanmg ot section 2~03) mnd. by tho d8Cltdent
an.r Docemb.r 31. 1976, othorthnn gifts that ora includiblo in decedent's gross.stat. (sectIon 2001(b))
Add lines 3 and 4
Tent:nive tax on the amount on line ~ from Table A in the Instl'\letlona.
71 If Une 5 ..eNds $10,000,000. inter th.liSHr of Ine 5 or $21,040.000, \I
line 5 il $10,000.000 Of les., sk1p \lnes 73 and 7b and ent.r.Q~ on line 7c. 7q
b S.btract S 1D.ODO,ODD 110m IIno 7a 7b
cEnter 5% (.05) of IIno 7b
8 TotaJ tentattve t3X (add Unes a ond 7el
1
2
~
~
1
2
3
5
e
.
5
8
-0-
151,258
39 203
7c
8
3
9 io1aJ 91ft tax payable with respect to gifts made by Ihe d9Cident 3rter Oecamber 31,1976, Includo 91n
t31M bV the decedent's spouso for such spousa's share of split gl~1 (section 2513) only If the d.cedent
was tho donor of thou gifts and they are IncJUdlblQ in the c:Iecodent's grots esl:lte tsee in!INctionSI
Greas eatalo tax (subtrnCt Une 9 from lln. 8) ,
Maximum umfllld credit against estate tax . . . . 11 t 92, gOO 00
Adjustment 10 unrfled credit. (Thts adjuatmant may nol aJ(caed $8,000.
SM page 6 at the Instl'\lctlona.) . . 12
AJloWable unlfted croat (subtract Une 12 from line 11).
Subtract line 1:1 trom line 10 (but dO not an1er loss than :oro)
Credit tor state death tUlS, Dc not enter more than IIn. ,,,. Compute the credit by using tho .unoun'
on IIna :11.... $150,000, See Table 8 in tho instruct/one and attach cNtdtt tvk:t.nce (580 i~aINcuons)
,e S.btract IIn01e from IIno 14 , . ,
17 Crodllfor Fedoral gift !>US on pro.lgn gins (section 2012)1.lttcllcomp.IaUon) 17
,e Cledll tor foreign d..1h taxes (~om Scllodulel') PI, (Alttcll Forml') 706CE) 18
'9 Crodllfor tax on prtor Inlnsf,,", (from Schodulo 01. 19
20 Total (odd IInos 17. 18. and 19) . .
2' Nol ootllte tax, (oubtract IIno 20 trom IIn. 16)
22 Gonorndon-.klpplng trun.for tax.. ~rom Soh_lo R. Pen 2. IIno 10)
2:1 Soc1Ion 4980A Ina_ 01111I0 tllX ~rom Scllod\Ilo S, Pent. nn. 17) (...In.tnlctlon.)
2~ Totallrensfor WOO (add IInoo 21. 22. and 23). , .
2.5 Prior payments. Exploln In an attached statement, ,
28 Uruted State. Treasury bond. redeamlld In payment ot estate tax .
27 Tolel (odd IIn.. 25 and 26). . . .
28 Balance dua or ev. a enU (subtract !lne 27 from linG 24). 28
Undlt penalUe. 01 petlUr'(, I rted.,. tNt I h..... e...mU'led thi. tltWIM, lnc:ludl"q .ccompaMylnQ tenedul.. ,nd Il.llemeflts, 'nd 10 tt1. Oell 01 my knooM8()Q. and belief,
.lla we, COtTKt. anc:I comJ*le. Oodat.bon at p'.par., oU'l1l' th.n the uacutor I' cued on ,d IRlormallon 01 wf1lch pr.patel' hat any knOwledqe,
!: ~ _ ";;,,, '--)e;L L ::l.-.:z:::...
Slgn,,","(.) of oxoc.tort.)
c
o
'"
.
:; 10
...
E "
o
u '2
R
.
"',
'0
N
t: ,~
:. 15
10
14
q
15
1e
20
21
22
23
24
:Ie
20
21 'i ~b'X'l Strppt,
r:~mD
H; 11, Ph 17m 1
( 7- ".l:i -A-
Date
James Smith & Durkin
P n
l..,n:n
{'l. - 5"'---5 ~
Oate
p,,",V t;t;('\ nn"'r:'!hn~ ~
Adl:1r8SS (and IP c e)
Cat, No, 205~8R
3
Form 'C6 IRIPV 8-9JI
Estate of:
'llltl'1l\S p, PI ,P.1'CIIElI
Part 3.-Electlons by the Executor
PI.. " ch.ck 'h. "y.." or "No" bo.r for ..ch que.tlon.
Yoo No
1 Do you elect IItemllll valuation? .
2 Do you elect Special UII valuation 1 . . , ,
11 "v"." you must compllte and a"aen Schedull A-1
3 Do you elect 10 paV thl taxe. in in.taJllTlflntl .. dltcnbed In section ete61 . .
11 "V..," you must attach Ihe additional informallon deacnblld In thl instructions.
.. Do you elect to poSIPon. thl p4l1 of the tue. at1nbutable to a rev'~lon41Y or remalndlr inler"l as ctlscnbed in Metlon
6'637 . ,.,.
Part 4.-Generallnformatlon (Noto: PIH.. .N.<h tho n....wy tupp/om"'''1 do""monU, You muol'lla<h tho d..th <o<lJflcato,)
Authonution to r.c:'''-I confidential tax InfOrTNflon under R~ull1JOfl' Metlon &01_504(bJ(2)(ij. to act _ the 'Itat". ,.pr..lnlltJvl b.te,.. the Intemal Rlv.nu.
Servic., and to malll w""ln or o,.j prwenlationl on bttllllf 0' tht ..tat. 11 ,.t\lm p,.pared by In atIomlY. .cecunt."t. or InJQUed 19."t for the IUCutOr:
Name of reprlMllntatrvl {pnnt or typl'
L. Ja
I dec:l.... ttlat I am Ihl l3l.nomeyl CJ clnrtitd pubic IICcountantl n tnJQlltd .q.nt tyol.l mu.t check lhe aDPlicllDla bOlll for lht UKI.I10r Ind preplred
thie Ntum for the 'llecutor. I am not under 1U1IP.".on or dilbarmlnt nvm prac:1fCI blta,. thl Intlm. Rlvenul S.w:e and tm qullifilld to p,.cncI 1M Ih.
CAF number
"1.-"1'1 S'~
Dati
2---5-'1'>-
T8Iephone number
,n-,!;':n- 'J,..~
1
oer and ISSUing authonty (atlacn a copy of the dHlh cenlfica1e 10 thIS return).
2 OecOO8nt' u5In or occupation. If r,ured, checK hi" .. a: ana statl decoden1" fOl'Tnlr bUllness or occupation.
Medical Doctor'
3 MDrrtaJ ,tatus of the decldent al tlrTIQ or death:
OMamOd
o WIdOW or wtdower-Narne, SSN, and dati of daath of doca.oaed ioOUH .. .........................................._...................
.............:..............................................................-.............-...................................................
o Slngl.
o LegallV SOPllllltOd
o Divorced-Dale d1vorcll dGerlHl bec3ma "nal ..
q SUMvmg spOUSI'. noml o&b Social ,ecunty numoar 4c Amount rocIlVed (SM instructions)
il" I 601 297
5 IndIviduals (other than thlsUMVln9 spoulI8l. trustl. or Qlh8l' .states wno receive benen1. tram the estale (do nOI includl charrtabll b...,enClanll
S"own in SchedUle 0) 1188 InltNctlonsl. For ""vacy Act Notice (appllc4Dl1 to IndlVtduaJ benerlClan" ontvl. 1M the Instructtonl tor Fonn 1040.
Name or indtvlduII, lrull. or "llle t8ClfYlt'lq U.OOO 01 more
'dltttlfylno numbef
R"lllonanlP 113 dOCtd61t
Amaunt (lie InllrucllOnl'
$ 158,536
Family Trust created by the applied for
Thomas F. Fletcher' and, Eileen M.
Fletcher Living Trust dated 6/4/94
.
AJI unascar1mnable banlnclanls and those wno recalVelns than S5.0OO .
~
Total. . ,
(Con~fXJOd on next page)
Page 2
!:'Ofm 100 ;n." S.UI
Part 4.-Generallnformatlon (continued)
PI.ase ch.oc the "Ye." or "No" box (or e,ch que.Uon.
Yea No
15 00811 lhl grots IIlate con tam anv section 2044 proplny IqunUnld tlM'Tnlnabl1 Inlerest prop<<ty (QTIP) trom a puor Qln or
IItatll (1M 00 . 5 0' lhl Instructional? . , X
7a HovI FedlraJ grft tu return. ever been nlld? " , . . , . . . . . .
11 "V,.,'. Il45e at1ach COot_ 0' thl retuma, It ~Ilhable. iII1d fumlM the folloWln infonnatlon:
7b Perlod!al covlrod 7c Internal Alv.nue otftce(') wner. nled
It you an,wlr "V.." to .ny ot qUIIUonl &-'8. you mUlt attach addlUonlllnfonnaUon .. dller1bed In the ,"structIoM.
a. Was there any lnauronee on thl decedlnt" lI'e that is not Induded on thl return as Part of lhl fOIllstOt.?,
bOld thl decedent own any Insurance on Ihl Irfl of another tholls not included In lhl rOil Istatl' ,
Q Old lhl decedent It thl time of dlath own any p10plrty II a JOInt tenont wrth nght of SUl'VlvorsNp in which lD) onl or morl
of the olher Joint lenants W&I 3Of11eonl oth.r than the decedent'l 'POll", and \bll.u thon thl tull value of the propeny II
included on thl return .u oGl1 of the rosl latatl1 If -Yes: au mUlt complet. and attach Schedull e. . , . . . ,
10 Old thl decedent. at the time of death. own any interest in a paltnlH'Ship or unincorporated bulln", Of any stock In an inactlvl
or closely held corporation? . . , . .....
" Old tho d_nt mako any tranll1... dOllC!1bed In section 20:1S. 2036, 20:17. or 2038 (_ tho InlWellonl lor SchoeNlo a)7 ~
-Vos: ou mual comellte and attach SChedule a . . . . .
12 Were there U1lXlstlnce ar tho time of the dec8dlf1t't death:
a Any tNata created by the dlcedent dunng hi, or hlr IIfltlmo? . . . . . . . " .,..
b All INata not crN.led the decedent under wnlch thl dltC8Clent ClOtl5llHd iU1Y DOwer. benlflclIll intlrett. or INstMShIO?
.:1 Old lhe decedenl ever possess. exerCIse. or release any eneral oower of 1DPOtnrment1I1-Yes." "au must cornallll and attacn Scnedul. H
,. Was tho m.nbl de<lueUon compllted under ll11 lI1nslbolUl rule 01 P.1lI1c uw 97.34, "cUon 0103(01(31 (EconemlC Recovery Tax Acl 011981)7
If .V.t,. attach a ..parat. computation at thl rnantal deduction, enler the amount on Item 18 of the R~rtulaUon, and note
on Item 18 .comDutatlon attached:
15 Was the decodlnt. Imnealdely before dlath, recllVlng 3n annurfy descnbed in the .Olneuy. parDgn1S)h at the instructions
for ScnodUle 11 I' .Vel.. ou mult comollte and Mtoch Scheouto I . ' . . .
18 Old the dec8CIent havI a telaJ .oxcn, rltll'8ment accumulation. (as dinned In section 4980Afdll In qualifted ImplOyer planl
and indlvlduaJ retlremlt1t Diana? tf .V.... ou mull comolel' and attach Schedull 5 . . . ,
Part 5.-Recapitulation
"om
numDer
Glau ..tale
A1lemalevalLlI
Value a, dall or d..lh
, SCnod.lo A-flool E..oto .
2 SChedule B-Stocka and Bond"
3 SChedull c-Mortgagea. Netll, and Cash
. SChed.lo D-In""ranca on tho Oacadonl'l Ufo (lllloCl1 Fonn(l) 712)
6 SchedlJio E-,JoInUy owned PrcpO!1V (otloch Fonn(o) 712 fO( I~olno.rancol. .
6 Schedulo F-Other MlocaHOI1oouo Preporty (otlOCh Fonn(ol 712 lor 1110 ,"""ranco)
7 Schad.lo G-Tranll1'" DUM9 Oocedont'o Ufo (attach Fonn(o) 712 lor Ino inlUranca)
8 SchodlJio H-Powor.o 01 Appoln1mont , . . , , . , . . ,
g SChedtJIo 1-Ann.iU.., . " ,,"
10 TotaJ,glDOS ootalo (odd Ilomo 1 thlOlJgh 9), Enler ho... end on IIno 1 of ll10 Tax
COmplJ1otlon ' . . , ,
26,017
o
a
759,802
:tom
numblt Oeducoon.
Amount
" Sched.lo J-F.n.... Expon... and Expen_ Inc.rred in Ad/TInlotenng PrcpO!1V S.bloc1 to Clouno
'2 Schad.lo K-Dobl. 01 tho Oocodenl
, ~ SchedtJIo K-Mort9l1tJ.. end Wono .
'4 Total 0' Ilomo l' IhlOlJgh 13. ,
18 AJlowOlllo lIITlOlIn1 of ded.ellon. fnlm It om 14 (1M tho inotructlon,'or rtom IS 01 tho Re<:OpllulaUon)
IS Schedule L-Not l.o5M. Ounng AdmnlStnldon . . . . , . .
'7 Sched.lo ~-Ex_ Incurred In Adrrinlllonng Property Not Subject to CloJmo
.8 Schedule M-8equ8StIl, Itc., to SUMvlng Spouso . . , , , .
10 Schedullo-chontable. Public, and Slrnlar Q!n. and Baauosm . .
20 Total aJlowDtlle deductions (add it.ml 1S through t9). Enter hlM'l and on IIno 2 of the Tax Computation
Page 3
Form '00 (Rev, a.i.3)
Estate of:
SCHEDULE A-Real Estate
Iror Jointly oWf/fld property th.1 mU'1 be al.clo.od on Schedule Eo '88 fhe in.trucllon. for Schedule E,}
(Real e.l.f. Ih.113 part of. .ole propneforshlp .hould be .hown on Schedul. F. R.aI ..1I1e lhat 13 Included In lhe
gron IIt.t. under section 2035, 2036, 2037. or 2038 .hould be .hown on Schedule G, Re.f ..t.l. Ihel I. Included In
. ' the gron o.f.f. undersecllon 2041 .hould be .hown on Schedule H,) . ... '
af you .lecl .ectlon 2032A valu'flon, you must complol. Schedule A I1Id Schedule A. T ,}
II.. AIC~te ~
..mil., Dea:nlXlon ....1uIt1on date A1IWN1le value ~...... .t d.Ite 0' d..U,
,
"
~
..
. "
...
,
, ..
.
. ,,, ,
" ,"
" ~
"
Tolal from continuation .chodulo(o) (or additional .heel(.)) attach.d 10 thl. .chedul.. .
TOTAL. (Also onlor on Part 5, Recapitulation, oaao 3, alllem 1.1 ,
. .
01 more Ipace Is needod, Ittach the continuation Ichedule from tho ond o( thll pIckage or addlllonal sheets 01 the sIme size,)
(Seo the instructions on the rIYOI'lIe lido,)
Schedule A-Page 4
..
--~
..~- - --
,
"
Fo,m 706 (Aft. 1S.9Jl
Estate of:
T11CM/\S F, FLf;I\;mJ<
SCHEDULE C-Mortgages, Notes, and Cash
(For Jointly owllOd property thlt must be disclosed on Schedule E. see the Instruct/ons lor Schedule E,)
""" O,""poon ""I.-nale AUemal. ....Iue Va!\M .t d.l. of a..lh
numbot vllUabOn d.le
m One -half assets in financial institutions
held in the Thomas F. Fletcher and Eileen M,
Fletcher Living Trust dated 6/4/95:
1 Fidelity Investments - account no. T100447716 ~ 15,705
2 scudder International Fund - no. 9961351321-2 1,939
3 AARP - High Quality Fund no. 504703935-6 763
4, AARP - Capital Growth Fund no. 504703935-6 12,779-
5 VanGuard Group - account no.9892509011 37,477
6 20th Century Mutual Fund - account no. 210012- 5,379
65219
7 Invesco - account no. 996138-0-15 3,551
IRA ACCOUNTS (full value 1 :
8 Corestates - account no. 951141295 - 9320121 44,487
9 Corestates - account no. 951141295 - 9902740 502
10 Corestates - account no. 951141295 - 004 76,829
11 Corestates - account no. 951141295 - 021 106,012
12 Corestate~ - account no, 951141295 - 023 51,565
13 Corestates - account no. 951141295 - 093 . ' 89,674
14 Cash on Hand 30
..
.
, .
"
Total from continuation schedule(s) (or addlUonal sheet(s)) attached io this schedule ,
TOTAL IAlso entar on Pm'S, Recapitulation. Dane 3. at Item 3,1. " 446,692
(If more spaco Is noodod, attach the continuation schedulo from the end of this package 0/' additional sheets at the same size,)
(See the Inotructlons on the revorse sldo,) , . ,.
'Schedule c-Page 13
Form 106IR..... 8.031
Instructions for Schedule C.-
Mortgages, Notes, and Cash
If the tolal gross estate contains any mortgages, notes,
or cash, you must complete Schedule C and file it with
the return,
On Schedule C list mortgages and notes payable to
the decedent at the time of death. (Mortgages and
notes payable by the decedent should be listed Qf
deductible) on Schedule K.) Also list on Schedule C
cash the decedent had at the date of death.
Group the items In the following categories and list
the categories in the following order:
1. Mortgages.-Ust: (a) the face value and unpaid
balance; (b) date of mortgage; (c) date of maturity; (d)
name of maker. (e) property mortgaged; and (Q Interest
dates and rate of Interest. For example: bond and
,mortgage of $50,000, unpaid balance $24,000; dated
January 1, 1980; John Doe to Richard Roe; premises
22 Clinton Street, Newark, NJ; due January 1, 1993,
Interest payable at 10% a year January 1 and July 1.
,
I
"
"
. ,
Schedule C-Page 14
2. Promissory notes,-Describe In the same way as
mortgages.
3. Contract by the decedent to sellland.-LJst: (a)
the name of the purchaser. (b) date of contract: (c)
description of property; (d)' sale price; (e) Initial
payment; (Q amounts of Installment payment; (g)' ,
unpaid balance of principal; and (11) Interest rate.
4. Cash In possesslon.-Ust separately from bank
deposits. .
5. Cash In benks, savings and loan associations,
and other types of financial organlzalfons.-LJst: (a)
the name and address of each financial organization; .
(b) amount In each account; (c) serial number, and (d)
nature of account, Indicating whether c!1eckJng, '
savings, time deposit, etc. If you oblaln statements
from the financial organizations, keep them for IRS
Inspection.
F:"m 106 tRft, 8.0~)
estate of:
'l"lTl4A.q F _ Fr.~ m<:H
"'"' . Alternate
"""'.,., O-:npaon ...liuttlCn date A1tttfnale nlu. Valua a' d.Ile 01 "..."
1 Penn Mutual Life Insurance Company - policy 11,579
no. 4260728
2 Metropolitan Life Insurance company - policy 5,497
no. 023-495-936A
3 Northwestern Mutual Life - policy nos. 5-114- 49,428
796 & ,5-927-266
.
.
. .
. .
, .
, .
-
,
Total from contlnuadon schedule!s) (Dr additional sheet(s)) attached to this schedule .
TOTAL. (Also entlll' on Part 5. Recaoltulatlon. poao 3. otltam 4,1. 66,504
SCHEDULE D-Insurance on the Decedent's Life
You must list all policies on the life of the decedent and attach a Form 712 for each polley.
(II more space Is needed. attach the continuation schedula from the end of this package or additional sheets of the some size,)
(See the InstnJcUons on lI1e rovlll'Se side,)
Schedule, o-Page 15
Form 106 tR.v. 8.Q3)
Instructions for Schedule D.-Insurance on
the Decedent's Life
. The power to surrender or cancel the policy;
. The power to assign the policy or to revoke an
assignment;
. The power to pledge the policy for a loan;
. The power to obtain from lhe insurer a loan'
against the surrender value of the polley;
. A reversionary Interest if the value of the
reversionary interest was more than 5% of the
value of the policy immediately before lha
decedent died. (An interest in an insurance policy
Is considered a reversionary Interest if, for
example, lhe proceeds become payable to the
Insured's estate or payable as lhe Insured directs
, if the beneficiary dies before the Insured.)
Ufe Insurance not Includible In the gross estate
under section 2042 may be includible under some
other section of the Code. For example, a life
Insurance policy could be transferred by lhe decedent
in such a way that it would be includible in the gross
estate under section 2036, 2037, or 2038. (See the
instructions to Schedule G for a description of these
sections.)
Completing the Schedule
You must list every policy of insurance on the life of
the decedent, whether or not It Is Included In the gross
estate.
Under 'Description" list:
. Name of the insurance company and
. Number of the policy.
For every policy of life insurance listed on the
schedule, you must request a statement on Form 712,
Ufe Insurance Statement, from the company lhat
Issued the policy. Attach the Form 712 to the back of
Schedule D.
If the policy proceeds are paid in one sum. enter the
net proceeds received (from Form 712. line 24) In the
value (and allernate value) columns of Schedule D. If '
the policy proceeds are not paid in one sum, enter the
value of the proceeds as of the date of lhe decedent's
dealh (from Form 712, line 25).
If part or all of the policy proceeds are not Included
In lhe gross estate, you must explain why they were
not Included.
If there was any insurance on the decedent's life,
whether or not Included in the gross estate, you must
complete Schedule D and file it with the retum.
Insurance you must Include on Schedule D.-Under
section 2042 you must Include In the gross estate:
. Insurance on the decedent's life receivable by or
for the benefit of the estate; and
. Insurance on the decedent's life receivable by
beneficiaries other than the estate, as described
below.
The term 'Insurance" refers to life Insurance of every
deSCription. Including death benefits paid by fratemal
beneficiary societies operating under the lodge system.
and dealh benefits paid under no.fault automobile
insurance policies If the no. fault Insurer was
unconditionally bound to pay the benefit in the event
of the Insured's death.
Insurance In favor of the estate.-Include on
Schedule D the full amount of the proceeds of
Insurance on the life of the decedent receivable by the
executor or otherwise payable to or for the benefit of
the estate. Insurance in favor of the estate Includes
Insurance used to pay lhe estate tax, and any other
taxes, debts, or charges lhat are enforceable against
the estate. The manner In which the policy is drawn is
Immaterial as long as there is an obligation. legally
binding on the beneficiary, to use the proceeds to pay
taxes, debts, or charges. You must Include the full
amount even though the premiums or other
consideration may have been paid by a person other
than the decedent.
Insurance receivable by beneficiaries other than the
estate.-lnclude on Schedule D the proceeds of all
Insurance on the life of the decedent not receivable by
or for the benefit of the decedent's estate If the
decedent possessed at death any of the incidents of
ownership, exercisable either alone or In conjunction
with any person. ,
Incidents of ownership In a policy include:
. The right of the Insured or estate to Its eConomic
benefits; ,
. The powflr to change the benefICiary:
Schedule o-Page 16
...
, ,.
POLICY BENEFITS DEPARTMENT
LIFE BENEFITS DIVISION
STATEMENT OF POLICY BENEFITS
DATE
INSURED
DATE OF DEATH
LEGAL RE5IDENCE
05/0&/95
THOMAS F
03/06/95
PA
PAYEE
EILEEN H FLETCHER
TRUSTEE UIAID 6-4-94
TF & EM FLETCHER LVG TR
215 HOOD ST
CAMP HILL PA 17011
FLETCHER HD
""''''1I'''~~'!.Ik\W~ilXl'' iJZI!~!III::lj.'~<<.III!"I'
POLICY NUMBER ' 5 114 796 ,
CREDITS .
FACE AHT OF POLICY 11,421.00
POST MORTEM DIVIDEND I 69.75 ,
PARTIAL PREMIUM REFUND' 270.23
ADDL INS BY DIVIDEND 5.949.00
~
~
TOT AL CREDITS
DEDUCTIONS
TOTAL DEDUCTIONS
NET PROCEEDS PAYABLE
YOUR SHARE AND DISTRIBUTION
DEPOSITED IN ACCESS FUND
INTEREST K
AMOUNT DEPOSITED IN ACCESS FUN
17.709.9&
11
~
17.709.98
100.0~
17.709.98
r.
100.42
~~t~~l~ern
720 E... Wllconsln A'Ienue
MUwauke., Wisconsin ~202
COpy TO TURNER AGENCY
GENERAL AGENCY 072
SERVICING AGENTCS) 00061
PAYEE TAXPAYER ID NR 1&2-46-3770
~'JI~N!m'I:!n:~'IX~~.' ...,
5 927 266
24,593.00
1. 084.11
124.36
5.638.00 .'
.
31.439.47
e.
'I
~
i
,
31.439.47
100.0~
31,439.47
178.26
U,u..tH'C II It I,
~v ;"-~~ll~MI1l~!~''t',l.'.
TOTALS
36.014.0C
1.153.&~
394.5~
11,587.0l
K Intexest is xeportable tax tedexal inca.. taK puxposes.
.
49,149.4;
49,149.4
49.149.4
278.6
~IJIt'""'"HrNli:::Q'.
------------- --------------- ---------------
49,428.1
.
,,," 712
Life Insurance Statement
. "I! Ij t ~ l' .,';~'
I nO'. j,IJ~~' 1".,,11
0"1',\11;1''','1 ';' :1:.. ~,~ 1'".',
tt\I~'rI.l1 ~"\1"1I'" lit,'.d.,"
ecedent Insure (0 Be
Oer.cdr.nrs f1rSII1.lITH! ,11111 n1llllJlo !IIlll.ll
THOMAS F
5 Name .111d Ju!Jrcss ollnSlIf,lllcC cump,lnv
I ed Ih nile laleS
2 D'~Cmlfll\rC, 1,1SI rUlll!!
FLETCHER
slate ax RolUrn. orm 061
3 Dllct!(lcnl'c, 'iOCI.ll 'inCurllv llumh!!r
III knownl
.. D,lIc 1)1 '1lMlh
03 06 1995
6 KIIld 01 policy
MErqOPOLITAN LIFE INSURANCE COMPANY
700 OUAKER LANE. . 0, 60' 330
WARWICK. Rt 028a7-0330
1 POliCY numher
FAMILY !5
8 Owner's ".lmo. II decedent IS nOI ownOr.
ploase allach copy 01 appllc.luon,
9 0,110 Issuee
023'.95-936 A
10 AssIQnor's 0,11110, Ple,lso .Iltach COUV 11 Dale <lSSlgnP,IJ
01 .\SSlljnmcnl.
12 Value ollhe policy allhn
limo 01 asslonment.
07 .6 1958
13 Amount 01 premium l"eo 1I1slruCllonSI 14 N.lrno 01 bcnchCldrlflS EtLEE", M FLETCHER TRUSTEE UNDER:
THE FLETCHER TRUST OATED 6-3-9J
, 209.90
15 Faco amounl ot policy
16 Indemnlly benellts
17 Addllionallnsurance
18 Olher benelils
19 Pnnclpal at any Indebledness 10 Ihn company doductlble In eelCrrnll1lng nel proCd",ts
20 Inleresl on Indebledness Illem t91 accrued 10 dale olllo.llh.
21 Amount 01 .1ccumulaled dividends
22 Amount 01 pOSI-mOllem diVidends
23 Amount ol/elumed premium . .
24 Amount 01 proceeds ,t payable In eno sum . . ., .
25 Valuo 01 proceedS as 01 dale 01 dealh Id nOI payable m ana sum,.
26 Pollc'l provISions concermng delerrOd paymenls or inslallmenls,
Nata: /I a/her Ihan lump-Slim selllemem 's .lUIhorlled lor a survi,mQ spouse, please al/ach a copy 0/ the
msurance policy.
5 5,000.00
5 0.00
S 0.00
S 0.00
S 0.00
0.00
S 0.00
S ..27.23
S iS9.97
S 5... .~o
S
..............................................'............................................................................................................................,.,........................................,...
..................................................................................................................................,.......................................................................................
27 Amounl ollnSlallmenlS . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S
28 Dale 01 bl/lh. sex, and namo 01 any persoo Ihe duralion 01 whose life may measure Ihe number 01 paymenls,
..................................................................................................,.................................................................................,.....................................
....................,.............................................................................................................'.................................................................,.............,.......
29 Amount .1Oplled by Iho Insurance company as a slOOlo premium /epresenlino Ihe purchase ollOsl.lll1nelll
bnnellls .......,...................,..........
3B B.1SIS Imerlallly lablo ,1Od rale ollnloresll used by IOsurer In valulllO Insl.ll1monl benellls,
'3'i..'w~~'i'h~..i~;~;~d..ih~..~~'~;;;i'~'~i..~~..b~~~ij~;~';;:..~i...i'~;:..~~~'~;iy..;;o;;'i;~~'i';;~~~;j..b;:'i'h;j..c;j;;;j;~;;y?..:....:..':..':'..:....:'..':..':....:'..':....:..':"tf'yos'......O..;:;0"
32 Names 01 compames wllh which docedenl carried OIlier pollclOs and amouot 01 suCh poliCies ,llhlS inlorrnalien IS Illsclesed by yeur
records.
5
......................................................."...............................................................,...........................................................................................................................................................
'...........................................................................................................................................................................................................................................'.'....'...............................
Th, IIndtr'j~ntd olllCt/ 'll nil JOO~f,nJff>tIJ IMllflJ'" ccmpUlj ~"tll, ctfllr.n IhJt 11'11\ ,Ultmtn, "" l,}ll" u.... lI'ol wrKlllIrOlmJ'~
"'''I".~Il~
Instructions
Pilparwark Raducllan Act NoUe.. - W. .15k lor (hl$ ,"lorm.!llnn ~o c.1rrv
nul In. Int'IO:1I Rrooltnue 101M JI lne Un-Iell SUItS. We null 1110 .n5Uf, '''.11
you ,III comDI.,m~Nlln thIS' i..\~s ,'"ilia Jllow u. 10 flr~UIl .lnt! collett 111.
flQI1I.1mOUfll 01111. You ,U' (1!llUlfftd 10 Ol\'/t liS 1"" Iflform.111orl.
Th. lUnll ~efilw 10 compl!!l' JM Ill. Ih" 'Ofm ....111 ',ary Ilrpl!Mlng on
IflOn,uluaIClfCUI"U.1nces TtI..ulUn31,d,l\lH1Q.llnlllIS
FOfm Rnordkuplnw Prlp.rlna Ih. 101m
;"1: 18 nts. 25 mill 18 '"In
II you h.l\' ~ommllnl& cone'ltlUlQ tnl!lCCufJC'f ~lt~.ls II/TIll ot5llln'\!I iJr
juggnliOns tnr '"J~lI1q l111S 10lln mOil Slmplll.,'11I Y;UUI(j lJe "'JOItt 10 nur
f,llt ~ Ct.A [M APPI?QVER
o.alf~r;.:fI,IIl'.IIIO"~
09 25 1995
Irom you You t3rl....nt.IO IRS 0' tfl, art'e, ~I MM.\grmrnl olnd allrtQel1l1n.
JdlJ!rUn hIed ,n :h. mSUueMr,s lJl tn. 1,\1 1.lu," .....llh "'Illen !t',IS 'JIm IS ',I,d
'131.lnlnt olln,ulI1, _ ThiS sUtemrnl,nust tit ,nl\J'. 0" Or'"J11111h,
:",uf.tn(l eomp.tll. wnll:n 'U\I,d Ill, pohcy, l1y ,11\ otllw 01111' comp.lny ",1\1nO
leClU toth"f(.o'!Js Llt In, ccmoa!T'f. FllfllUtOOsuolln,s tU:~,f1'1l1 JI,\Ullnol"
iIlJn.ttulfmlVOl!'JS'tl'nllllucl.1,nanuJf$:OII.1tur'Jlld:l"at'J,sh.tlltlttlh'lllllQ
u J ,n.anU.11 SIO~JII.tr'
SIP.,lI1I Slal.m.nll. _ ,\ i@OJ'11. st1lrme"1 must :. hlltll ref "Jcn pollC"
L1n. 13. _ '1:, ::remlUm 10 rjl! "OOl:"j on lin, IJ snculd 011 tile .\nnu.tf
U/ltlfllum 1101 llle ~~lnuIJtl\ll D'"lnlum tOlJll! at i'lllllI II Jut" 'Xcurrrd Jllfl
!/'l''!rldcflt:tDfl!II1'Urnllt'lod IIl,lJS!JrIIlUJI DflmrUI1'l,nnuIOO,I#j)llllfd
t 1:ti56.SC (0491)1 Pnnltd III US"
Form 712 lflll'i. 10.'J01
'cvm 712
(Rev. September 19831
Department 01 the Trustlry
Inlernal Revenue ServIce
Life Insurance Statement
oue No. 150&5.0022
Part I. - Decodent Insurod To bo Flied with Fedoral Estate Tax Roturn
1.2 DECEDENT'S NA"'E
DR THOMAS F FLETCHER
Form 706
JOATEOFOEATH
03-06-95
.. NAue AND ADDRESS OF INSURANCE COUP ANY
PENN MUTUAL LIFE INSURANCE COMPANY
INDEPENDENCE SQUARE
PHILADELPHIA, PA 19172
6 KINO OF POLICY
WHOLE LIFE
8 OWNER'S NAue. I' deced,nt.' no1the owner. plene .nlen COP)' or .ppuc.uon.
DR THOMAS F FLETCHER
5 DECEDENT'S SOCIAL SeCURITY
NO.11F KNOWN)
NOT AVAILABLE
1 POLICY NUUBER
4260728
9 OA TE IssueD
02-28-5B
lO AGSIQNOR'S NAUE. PIe... IUach COP)' 0' IUIQM'lent
II OA TE ASSIGNEe
12 VALUE OF THE POLICY AT THE
TI...e OF ASGIONUENT
13 AUOUNT OF PREUIUU
,.. NAUES CF BENEFICIARIES
21.90
MONTHLY
EILEEN FLETCHER
215 WOOD ST
AMP HILL PA 17011
S 11560.00
15 Face amount 01 policy ...........,...,'
16 Indemnity benefits .",......,.....,....,..,......... ".....,.......,..
17 Addlllonal Insur.nce ......_".. ".......,.",....., ,..............",...,...,........,......
18 Other benefits ........." ................ .... ...,.. ...,.", ""...,.,.................,..,......., .............,..,..,....... ..........,....".........,-,...,.
19 Principal of anv Indebledness 10 the company deduc'lble in determining net proceedS ,..,................".....,.,.............,,,..
20 Interest on Indebledness litem 191 accrued to date of death ,.............,..,.,...,..,................"",....,."..,..........,........,..,.....,..',......."
21 Amount of .ccumulated dividends ........,...,.....,..............,..,...,...............................,...................,...............,-.-......,.., ................,...,..."......
22 Amount 0 f post. mor'em dividends ..."".,....,..,...., ........,..,.',...."..............,.....................,............... ..........'....,....",.....,........".."...',.....
23 Amount af returned premium ...................,.".,...."..,.......,.............,..,.....'.....'....... ................,..........."..,.................,........"........."..".....
24 Amount of proceedS if payable in one sum .......,..................,.,.'..............".............,."......,...'......".....".........,...............,....."...,.,...
25 Value of proceedS IS of date of duth lif not payable in onll suml -.........,.........................................,..............,.'.....,
26 Policy prOVISions concerning deferred payments or inslallments
Nole: If olher Ihan lump. sum seulemenl is aUlhOrlZed for a sur...lving spouse, ple.se a1l.ch I copy of the
insurance pollcV.
19.39
- - - - - .. .. - .. - - - - .. .. - - .. .. .. - .. - .. .. - .. - - - .. .. - - - - - - .. - .. .. .. - .. - .. - .. - .. .. - -
t,:;f'f;;~'-}~~,q.{tWk~)::;)Hl~
,ii.l:;.,.\i.:~:~ ~~~O:" ""~'~ a4.h' <i
r~X:'.r,r';~:;3\J~~'~ffit;/f:.~:*
hx"."00)i.-<~'>:..;~.~4":'>.\t.<.jg>.<
~1~~~~[~~y~~~~
- .. - .. - - .. .. - .. .. .. .. .. - .. .. .. .. .. - - .. .. - - .. .. - - .. .. .. - - - .. .. .. - - .. .. .. - - - - .. - - - - ..
27 Amounl of insllllments - - - .. - .. .. - - - - - .. - - .. - - .. - - - - - - - .. - - .. - - .. .. .. .. .. - .. - .. .. ..
28 Date of birth, sex, and name of any person lhe dural ion of whose life may measure the number of pavmenls
--....-- ------- ....-----_...... -- - - -- --- --- - ---- - --- - -- - -----
,:~s.;~~:;r;;r8w~~m
::"'<f'~\'f ":'l""";":\"'"J\:.A"-'2~!
~rf1~:1X~W;~~;fl:W~i}~;1
t~\~?::i~Mii<;;j(011
- - .. - - - - - .. - - - - .. - - .. .. - .. .. .. .. .. .. .. - - - - .. - - .. .. .. .. .. - - .. - .. .. - - - .. .. .. - - .. ..
29 Amounl applied by 'he insllrance company IS a Single premium representing the purchase of insl.llmenl
beneflls "....,........,..,.............."....,..............,........,..",..,.......,.".....,..........."...................",.....,.........,.,,".....,......,........,....,..........,..,..".........
30 Bllis (Mortality table and rale of interesU used bv insurer in valuing innlUmen' bene fils.
s
.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -f" -
31 Was the insured the annuitanl or beneficiary of anv annulIV contract Issued bV tne companvl Dyes eJNo
32 Names of companIes With which decedent c.rried other policies and amount of such poliCies If this information is disclosed by 'lour records.
~DNE_AeE_aKQ~~N_Dlle_eECORna___________________________-----------
tne underllQned ofne.r of In, abo\le namedltllurance company tleleby cert.fles It'lal UlllltateMenl sell forln true and conecllt'lfOlmaUon.
CLoHMS OFFICER
O'I,.IC,,!ilClt."
04-12-95
hllllllll' fit,
Inatruotlona
Paperwork Reduction Act Nollcl. - The Paperwork ReduCllon
Act of 1980 laVI we multle_ you why we are colecfltlQ trill informallon.
now we wll use II. and whether you haYIIO QIye II to UI. We uk fOl the
Intormatlon 10 cany Out Ihe Inlelnal Revenue lawI of Ihe UOlled Slalel.
We need It 10 enure \ha' you are COlnDly.:ng with l"eaelaWland to allow
ul 10 f!Qura and codec't"e flOht amoun' of la.. You are reQUlfldlO O'\le
UI lhilltlfolmallon.
Slalement of lnlurer. - This stiUemenl mull b. maele, on benll'
of Ihe II'Isurance cempanv wruCh ISlued lhe POliCY, by an olflc.r of lhe
company ha\llf'lC) accen to 1111 records of the cempanv. FOf purpoles of this
stalement, a facs"""e signature maV be used ItIl1eu of a manualslonature
anell' used. snail be bll'ldlno as a manuaIIIOna'ure.
Seplrlte Stltements. - A Slpallle slatemenl mus' be flied 'Of
eactl pellcy.
FOfm 712 (Rey.9-S3)
Form 106 (R...., B.931
Estate 01: T1KJo1T\S F. Fr.ETCIIER
SCHEDULE E-Jolntly Owned Property
M yOU elect secfJon 2032A vaJu~tion. ~u fT'IJst comolot. Schedule E ,nd Schedu" A.'.I
PART 1.-oualified Joint Inlerests-Interests Held by the Decedent and His or Her Spouse as the Only Joint Tenants
(Section 2040(b)(2)) . .
"...
numb.
Oe&cnofon
For MCUntlel. QIV. CUSIP number, ., ....allabl..
AlI.male
....Iuatten Clale
AJt.-nat. ...alu. Value '1 aale of d..th
1
House & lot located at 215 Wood Street, Camp
Hill, Cumberland County, Pennsylvania. Value
per Cumberland County Real Estate assessment:
assessed value lO,l70
common level ratio . l3.7
l39,329
2
3
PNC.Bank - checking account no.5l40020743
Dreyfus Worldwide Dollar Money Market Fund,
Inc. - account no. 762-0400550653
Corestates - checking account no. oo590l9B2l
3l,353
l,725
4
396
TotBlIrom contlnuaUon IChodulalel (ot adOitlonBl sheet(s!) a"""hod to thll achedull.
1. Tot~. . . , . . . . . . , _ . . . .
1b Amount. included In roll _ID'. (on..half ot line la). _ , . . , . , , .
PART 2.-A1I Other Jolnl Interests
2a Slate the nama and KJdrne ot NCh turvlVlng c,o..tlnant, If th.,. ar8 mora than thr.. suIVMnq c>>otanants. lilt thl additionaJ co-tenants
on an attached sh..t.
l72 B03
86 4 2
Nam.
Addr... ~mb" and ,tNet. City, stal., M'Id ZIP code'
A.
a.
C.
118m entw
numb.. len.. for
co-I..,.nt
Oucrlplon
(lncludlrq allemal. vaJuallon dal. ., any, Fo(
.ecuntl8ll. CUSIP numbet. " ..,.rIable.
PercmllQ.
inclUCJbIe
11'lC1Udible
.llam.l. ....Iue
InclUd!bt. ...a1ue .1
dale of d.ath
Total trom contlnuaUon achac1Jle(ellor additional sheet(l!) attached to thil achedul.. . . . .
2b Tot.. other int Int"","t" . . . . . . . . . . . . . . . . . . . . . .
o Totallncludlbl.jolnt Inter.... (add IIn.. lb and 2.1>1, Also ant... on Pall 5. RocaprtutaUon. paga
3, It i1am 5 , , , , . . . . . . . . , . . . , , . - . , , , - ,
(If more space IS noeded, attaen the continuation seneaule from the end of thiS pact<age or additional Sheets of the same size.)
(S.. the Instructions an lI1e r.ve... side,) Schedule E-page 17
Form 706 (~..... 8.;3)
Instructions for Schedule E.-Jolntly
Owned Property
You must complete Schedule E and file it with the
return if the decedent owned any joint property at the
time of death. whether or not the decedent's interest Is
includible In the gross estate.
Enter on this schedule ail property of whatever kind
or character. whether real estate, personal property, or
bank accounts, In which the decedent held at the time
of death an Interest either as a joint tenant with right to
survivorship or as a tenant by the entirety.
Do not list on this schedule property that the
decedent held as a tenant in common. but report the
value of the interest on Schedule A if real estate. or on
the appropriate schedule if personal property. Similarly,
community property held by the decedent and spouse
should be reported on the appropriate Schedules A
through I. The decedent's Interest in a partnership
should not be entered on this schedule unless the
partnership interest itself Is jointly owned. Solely
owned partnership interests should be reported on
Schedule F. "Other Miscellaneous Property:
Part 1.-ouallfled Joint Interests held by decedent
and spouse.-Under section 2040(b)(2), a joint interest
is a qualified joint. interest if the decedent and the
surviving spouse held the interest as:
. Tenants by the entirety, or
. Joint tenants with right of survivorship if the
decedent and the decedent's spouse are the only
joint tenants.
Interests that meet either of the two requirements
above should be entered In Part 1. Joint interests that
do not meet either of the two requirements above
should be entered In Part 2.
Under 'Descriptlon," describe the property as
required In the instructions for Schedules A, e, C, and
F for the type of property Involved. For example. jointly
held stocks and bonds should be described using the
rules given in the instructions to Schedule e.
Under "Altemate value' and "Value at date of
death," enter 11M fuil value of the property.
Note: You cannot claim the special treatment under
section 2040(b) for property held jointly by a decedent
and a surviving spouse who is not a a.s. citizen. You
must report theSe joint interests on Part 2 of Schedule
Co not Part 1.
Part 2.-Other jointlnterests.-AII joint interests that
were not entered in Part 1 must be entered In Part 2.
For each item of property, enler the appropriate
leller A, e, C, etc., from ilne 2a to Indicate the name
and address of the surviving co-tenant.
Under "Description," describe the property as
required in the instructions for Schedules A. e, C. and
F for the typo of property Involved.
In the "Percentage includible" column, enter U,e
percentage of the total value of the property that you
intend to include in the gross estate. .
Generally, you must include the fuil value of the
jointly owned property in the gross estate. Howev,er,
!he full value should not be Included if you can show
that a part of the property originally belonged to !he
other tenant or tenants and was never received or
acquired by the other tenant or tenants from the
decedent for less than adequate and full consideration
in money or money's worth, or unless you can show
that any part of the property was acquired with
consideration originaily belonging to the surviving joint
tenant or tenants. In this case, you may exclude from
the value of the property an amount proportionate to
the consideration fumished by the other tenant or
tenants. Relinquishing or promising to relinquish dower.
curtesy, or statutory estate created instead of dower or
curtesy, or other marital rights In the decedent's
property or estate Is not consideration In money or
money's worth. See the Schedule A instnJctlons for the
value to show for real property that is subject to a
mortgage.
If the property was acquired by the decedent and
another person or persons by gift, bequest, devise, or
Inheritance as joint tenants, and their Interests are not
otherwise specified by law, include.only that part of the
velue of the property that Is figured by dividing the fuil
value of the property by the number of Joint tenants.
If you believe that less than the full value of the
entire property Is Includible in the gross estate for tax
purposes. you must establish the right to Include the
smaller value by attaching proof of the extent. origin.
and nature of the decedent's interest and the '
intel1lst(s) of the decedent's co-tenant or co-tenants.
In the "Includible alternate value" and "Includible
value at date of death" columns. you should enter only
the values that you beileve are includible in, the gross
estate.
Schedule E-page 18
"
Form 106 (Rev. 8.93)
Estate 01: THCt1IIS F. FLt.1.u\I:;j(
SCHEDULE F-other Miscellaneous Property Not Reportable Under Any Other Schedule
(For jointly owned property fhat musf be dlsc/osod on Schedulo c. soe fho instructions for 5chedul. c.}
Of you elect soctlon 203M valuation. you must complero Schodule F and Schedule A.I,)
1 Old lI1a decedant at the time of daall1 own any artlclee 01 artlsUc Dr collectlbla value In excess 01 $3.000 or any
collactlons whose artistic or collectible volu. combined at date of death exceeded S10.000? . . . . . . .
II .Y.e.. submIt full datalls on II1ls schedul. and altllch appraisals.
2 Has tha decadent's astate. spouse. or eny other person. r,eceived (or will recelv.) any bonus Dr award as a result
of the d.cedenrs employment or death? . . . . . . . . . . . . . .
If 'Yes.. submit full details on this schedul., '
3 Old tha docedent at the time 01 death have. Dr have access to, a sate depOSIt box?
II .Yee" state IDeation. and If h.ld In Joint nomes Dr decedent and anoth.r. state name and talatlonshlp of lolnt
depositor. .
II any, 01 the contents 01 the safe deposit box are omitted tram tha schadules in II1ls return. explain fully why
omitted.
"..
number
Oescnpllon
For .ecuntiea, fJMI CUSIP numbel'. I' avall.ble.
,4Ilafr'l.le
....Iu.pon d.te
~1.n'l. ...alu. Vatu. .1 dll. 01 O..lh
1
2
3
Personalty
1994 Buick LaSabre
1986 Buick Skyhawk
l5,OOO
19,250
3,l50
TOTAL. (Also enter on Part 5. RecopltulaUon. page 3, at Item 6,) . . . . . . . 37 400
Of more space Is n.eded. altllch the continuation schedule trom the end of this package or additional she.t. or the same slz..)
(S.. the InstnJctlons on th. reverse side,)
Total trom continuation schedule(s) (or additional sh..Us)) attached to II1ls scheduls.
Schedule F-Page 19
Form 106 IR.v. 5.931
Instructions for Schedule F.-Other
Miscellaneous Property
You must complete Schedule F and file It with the
return.
On Schedule F list all items that must be Included in
the gross estate that are not reported on any other
schedule. including:
. Debts due the decedent (other than notes and
mortgages Included on Schedule C)
. Interests In business
. Insurance on the life of another (obtain and attach
Fonn 712, Life Insurance Statement, for each
policy)
Note for single premium or paid-up policies: In
certain situations, for example where the surrender
value of the policy exceeds its replacement cost, the
true economic value of the policy will be greater
than the amount shown on line 56 of Form 712. In
those situations. you should report the full economic
value of the po/icy on Schedule F. See Rev: Rul.
78-137, 1978-1 C.B. 280 forde/ails.
. Section 2044 property
. Claims Oncluding the value of the decedent's
interest in a claim for refund of Income taxes or the
amount of the refund actually receIVed)
. Rights
. Royalties
. Leaseholds
. Judgments
· Reversionary or remainder Interests
· Shares in trust funds (attach a copy of the trust
instrument)
Sc:hedule F-page '20
· Household goods and personal effects. including
wearing apparel
· Farm products and growing crops
. Uvestock
. Farm machinery
. Automobiles
If the decedent owned any interest in a partnership
or unincorporated business, attach a statement of '
assets and liabilities for the valuation date and for the
5 years before the valuation date. Also attach
statements of the net earnings for the same 5 years.
You must account for goodwlll in the valuation. In
general, fumish the same Information and follow the
methods used to value close corporations. See the
,Instructions for Schedule B.
All partnership Interests should be reported on
SChedule F unless the partnership interest. itself, is
jointly owned. Jointly owned partnership interests
should be reported on Schedule E. '
If real estate Is owned by the sole proprietorship. it
should be reported on Schedule F and not on
Schedule A. Describe the real estate wltlh the same
detail required for Schedule A.
Une 1.-1f the decedent owned at tlhe date of death
articles with artistic or Intrinsic value (e.g" lewelry, furs.
silverware. books. statuary, vases, oriental rugs, coin or
stamp collections), check the 'Yes' box on line 1 and
provide full details. If anyone article Is valued at more
than $3.000, or any collection of similar articles Is
valued at more than $10,000, attach an appraisal by
an expe~ under oatlh and the required statement
,regarding the appraiser's qualifications (see '
Regulations section 20.2031-6(b)).
Form 106 (R...., 8.Q31
Estate 01:
~AS F _ Ff.~wn
, SCHEDULE I-Annuities
Not.: Generall . no udJsIOn is aJlaw<<1 for t/NJ .tates ofdecedont. d .n., D<<ambM 3f, '984 ... ",.truClkJn.).
A lVe you excluding 'from the decodenrs gross estate tho value at a lump-sum dletr1bution descnbed In section
2039(1}(2)7. . . , . '. . . . . . . . . , , . . . .. .,.,. .,......'
II .Yes," au must attach tho Infonnadon raqulrod the Instructions,
''"'
numb.
OetCngtlcn
Show the ."rtr. vPJ. at the annUIty belor. .ny ..dUllonl.
AI_nal.
....IU.Uon d.t.
lnclUdib"
,Ilamal. ...."'.
""'Udiblo
a1ue 'I d.l. at d..1h
1
Traveler's Tax Sheltered Annuity - account
no. 227-442B: Grantor: Thomas F. Fletcher
215 Wood Street
Camp ~ill, PA l70ll
$ 96,7B7
Total from condnuatlon echedule(s) (or additional sheet!s)) attached to this schedule
TOTAL. Also enter on Port 5. Roca ltulatlon. a e 3, at Item 9,. . . . . . .". $ 96,787
( I more space Ie needed, ottach the continuation schedule from tho end of this package or additional sheets 01 tho some SIZe,)
Schedule I-Page 22 '(The InstnJctlons to Schedule 11/8 In lI1e separate InetnJctlons,)
Fonn 106 (RH. 8.931
Estate of:
SCHEDULE Q_ Transfers During Decedent's Life
Qf you elect JlcUon 2032A vaJu.tlon. you must complete Schedule G Ind Schedule A.'.J
ltom
num'*
, 0.....""'"
For -=untie.. QIW CUSIP number. il ava.able.
A1ternal.
....Iu.tlon date
A11.mala v.1ulI VaIue.t dal. of d.ath
A. Gift tax paid ~ the decedent or the estate 'or sll glfte made ~
,the decedent or his or her spouse within 3 yeare betore lI1e
decedent's death (Iectlon 2035(c)) . . . , , . , . . . .
B. Transfers includible undlll' section 2035(al. 2036.2037. or 2038:
1
x X X X X
Total from continuation schedule(s) (Dr additional sheet(s)) attached to !hIe schedule .
TOTAL. (Also enter on Part 5. Recapitulation. pa e 3. at Item 7.1. . . . . . .'.
SCHEDULE H-Powers of Appointment
(lnclud.'5 II1d 5,lapalng' POWII' (eeatlon 2041(b)(2l) hold by th. decedent.)
"'""t _tIon 2032A v/WllIon. mult'" lele Schedu/. H and Schedul. A.1.
110m
nwn...
o..c:ti~tiOn
A11.,,,.la
valU.t1on dala
Altemala ....iuel v...... .1 dale of d..m
Total from continuation schedule(e) (or additional sheet(s)) sttacl1ed to this schedule
TOTAL. Also enter on Part 5. RlIClIpltulatlon. a e 3. et Itlll'O 8,. . .'. . . .
(It more space Is needed. Ittach the continuation schedule from lI1e end ot this package or Iddltlonal sheets of the same size.)
(The InstnJcllons to Schedules G and H ere In the separate lnotnJctlons,) Schedules G and H-Page' 21
~orm 106 tR.... a.Q))
Instructions for Schedule J.-
Funeral Expenses and Expenses Incurred
In Administering Property Subject to
Claims
General.-You must complete and me Schedule J if
you claim a deduction on item 11 of Part 5,
Recapitulation.
On Schedule J, itemize funeral expenses and
expenses Incurred In administering property subject to
claims. Ust the names and addresses of persons to
whom the expenses are payable and describe the
nature of the expense. Do not list expenses Incurred
In administering property not subject 10 claims on
lhls schedule. Ust them on Schedule L Instead.
Funeral Expenses.-Ilemlze funeral expenses on line
A. Deduct from the expenses any amounts that were
reimbursed, such as death benefits payable by the
Social Security Administration and the Veterans
Administration.
Executors' Commlsslons.-When you file the retum.
you may deduct commissions that have actually been
paid to you or that you expect will be paid. You may
not deduct commissions If none will be collected. If the
amount of the commissions has not been fixed by
decree of the proper court. the deduction will be
allowed on the final exam Inatlon of the return, provided
that:
. The District Director Is reasonably satisfied that the
commissions claimed will be paid;
. The amount entered as a deduction Is within the
amount allowable by the laws of the jurisdiction
where the estate Is being administered;
. Ills In accordance with the usually accepted
practice In that jurisdiction for estates of similar size
and character.
If you have not been paid the commissions claimed
at the time of the final examination of the retum, you
must support the amount you deducted with an
affidavit or statement signed under the penalties of
perjury that the amount has been agreed upon and will
be paid.
You may not.deduct a bequest or devise made to
you instead of commissions. If, however. lhe decedent
fixed by will the compensation payable to you for' ,
services to be rendered In the administration of the
estate. you may deduct this amount to the extent It Is
not more than the compensation allowable by the local
law or practice.
Do not deduct on this schedule amounts paid as
trustees' commissions whether received by you acting
in the capacity of a trustee or by a separate trustee. If
such amounts were paid in administering property not
subject to claims, deduct them on Schedule L
Note: Executors' commissions are taxable income to
the executors. Therefore, be sure 10 include them as
income on your individual income fax retum.
Attorney Fees.-Enter tile amount of attorney fees
that have actually been paid or that you reasonably
expect to be paid. If on the final examination of the
return the fees claimed have not been awarded by the
proper court and paid, the deduction will be allowed
provided the District Director Is reasonably satisfied
that the amount claimed will be paid and that It does
not exceed a reasonable payment for the services
performed. taking into account the size and character
of the estate and lhe local law and practice. If the fees
claimed have not been paid at the time of final
examination of the retum, the amount deducted must
be supported by an affidavit. or statement signed
under the penalties of perjury, by the executor or the
attomey stating that the amount has been agreed
upon and will be paid.
. Do not deduct attomey fees incidental to litigation
incurred by the beneficiaries. These expenses are
charged against the beneficiaries personally and are
not administration expenses authorized by the Code.
Miscellaneous Expenses.-Mlscellaneous
administration expenses necessarily Incurred in
preserving and distributing the estate are deductible.
These expenses include appraiser's and accountant's
fees, certain court costs, and costs of storing or
maintaining assets of the estate.
The expenses of selling assets are deductible only if
the sale Is necessary to pay the decedent's debts, the
expenses of administration. or taxes, or to preserve the
estate or carry out distribution.
"
'..
Schedule J-Page 24
..
Form 106 lP...., 8-031
Estate of:
'l'ImAS F. F'LE'lulr;K
SCHEDULE K-Debts of the Decedent, and Mortgages and Liens
Item Debl' at 1M Oec:lldenl-C,ediUW .nd natura 01 Cllllm. .nd Ainount Ul'plid to dtla AtTIounl1n eanl.., NnoUl"iI cllmed Ii
""",bot allowable d..II1IU..' a dedUCbCn
1 One-half real estate tax due on house & $ 192
lot at 2l5Woocl street, Camp Ilill,
Cumberland, PA
.
.
,
Total from continuation schadule!sllor additional sheet(sll attached to this schedule .
TOTAl.. (Also enter on Part 5. Recaoltulatlon. oaoe 3. at Item 12.1 $ 192
. .
"em MoRga;_ and u.n.-oucnptlCX1 Am.","
""",bot
1 ,
.
,
, ,
,
, .
'.
. .
-
.
,
Total from continuation schedulelel10r additional sheelle\) attached to thls'sd.edule . . . '. .
TOTAl.. /Also enter on Pan 5. Recloltulatlon. OBoe 3. et Item 13.1 . .
. . .
(It more space Is needed. attach the continua don schedule from the end of thle package or additional shests 01 the same elze,)
(The Inetructlone to Schedule K are In th, separ~te InstnJcllons,) Schedule K -Page 25
.'
Fa,", 106 lP...., a.;.]1
Estate 01:
SCHEDULE L-Net Losses During Administration and
Expenses Incurred in Administering Property Not Subject to Claims
''''"
numbof
N.tlCl..... dUMQ .dmll"lllltlbCn
(Hotel 00 nol deduct Iou.. cI.",,.d on . F~.,., i1eome ru Nrurn.l
""'.....
1
Total tram continuation schedule(s) (or additional sheet(s)) attached to this schedule .
TOTAL. (Also enter on Pert 5. Reca ltulatlon. a e 3. atlllll'n 16, . . . : .
"'"'
numbof
exo-a... lncurrad In adm.u.tIMO propen'f nee ILlbject Ia
co..""_ ~ndIc:at. wnecner ..lirnallld, ~Hd upon. at s-Id.)
Amounl
1
Total trom continuation schedule(s) (or additional sheet(s)) attached to this schedule.
TOTAL. (Also enter on Pert 5. Recapitulation. po e 3. etltlll'n 17,). . . . . . .
(II more space Is needed. attach tha continuation schedule tram the end of this package or additional sheete of the same size,)
Schedule L -Page 26 (The InsttUctlons to Schedule L are In the separate InstnJctlons,)
r -~... .-.-......... - - - ~ -. -~,<.
.,
Form 108 lPev. 8.93)
Estate of: '1'llCMIIS F. FLETuIJ;lI
SCHEDULE M-Beql!ests, etc., to Surviving Spouse
Election To Deduct Qualllfed Terminable Intereet Properly Under Section 2056(b)l7l.-lf a trust (Dr other property) meets the
requirements of quallrled terminable Interest property undar section 2056(b)l7l. and
a. The lnJst or othar property Is listed on Schedula M. and
b. The value of tho tnJst (or other property) is entered In whole or In part as a deduction on Schedule M.
then unless the executor speCifically Identifies the tnJst (all or a fractional portion or percentage) or other proplll'1y to ba
exclud~d from the elactlon the executor shall be deemed to have made an elactlon to have such trust (or othlll' property) treated
as qualified terminable Interest property undar section 2056(b)l7l,
It less than the entire value of the tnJst (or othar property) that the executor has Included In lI1e gross estale Is entered as a
deduction on Schedula M. lI1e executor shall be conSidered to have mada an election only as to a traction of lI1e lnJst (or other
proplll'1y). The numerator of this fraction Is eQUal to the amount of lI1e tnJst (or ath... property) deducted on Schedule M. The
denominator Is eQUal to the total value olll1e tnJst (or other property). ,
Election To Deduct Qualllled Dome.tlo 1l'u.t Property Under aeatlon 2056A.-lf a tnJst meets the requ~ements 01 a qualified
domestic lnJst und... section 2056A(a) and II1ls return Is filed no later than 1 year an... the time prescnbed by law (inclUding
extensions) for filing lI1e return. and '
a. The entire value of a tnJst or tnJst property Is listed on Schedule M. and
b. The entire value of the tnJst or tnJst property Is entered as a deduction on Schedule M.
then unless the executor specifically Identifies the lnJst to be excluded from the election. the executor shall be deemed to have
made an election to have lI1e enl~e trust traated as ouallfied domestic trust prope ,
Yes No
Old any property pus to the suNlvlng spouse as a result of a qualified disclaimer? . . . . . . . . .
If 'Yes.' attach a copy of /he wliften dlsclllimer required by section 2578(b).
2a In WIlat country was the surviving spousa born? IIni tt>rl ~~,,~pq
b What Is the surviving spouse's date of birth? ?-1 q-?4
c Is the surviving spouse a U,S. citizen? . .. .......
d If the surviving spouse Is a naturalized cItizen; when did the surviving spouse acqu~e citizenship?
e It the surviving spousa Is not a U.S, citizen. 01 what country Is the surviving spouse a citizen?
3 E1eation out at QTIP Treatment 01 Annu/tie..-Oo you elect under section 2056(b)(7}(C)Qij not 10 treat as
qualified terminable Int...eslp'operty any Joint and survivor annuities that are Included In lI1e gross estate and
would otherwise be traated as qualified t...mlnablelnterest property und... section 2056(b)l7l(CI? (see InstnJctlons)
II,",
num"'"
OMCnptlcn of prcpeny lnt....... palllnQ to IUMVU''IQ .oou..
Amount
1 -7 Value of Mortgages, Notes & Cash, per Schedule C, Items 8-14
$ 369,l29
B
9"'l
l3-l5
l6
Value of Insurance on Decedent I s Life, per Schedule 0, Item'l
Jointly c:lwned Property, 'per Schedule 1::, Items 1-4
MiscellaneoUs Property, per Schedule F, Items l-3
Annuities, per Schedule I, Item 1
11,579
'B6,402
37,400
96,7B7'
"
"
Total from continuation schedule s) or additional sheet sl attached 10 II1ls schedUle
4 Total omount of property Interests listed on SchedUle M. . . . . . . . .
Sa Federal estate taxes Onciudlng section 4980A taxes) payobla out 01 property
Interests listed on Schedule M . . . . . . . . . . . . . . . . . Sa
b Other death taxes poyabla out of proplll'1y Interests listed on Schedule M'. . . Sb
c Federal and .tate GST taxes payabla out 01 proplll'1y Interests listed on
Schedule M. . . . . . . . . . .. . . . . t' . . . . . . . . 5c
d Add Items a. b. and c . . . . . . . .'. . . . . . . . . . .. .. . '. 5d
6 Net amount 01 property Interests listed on Schedule M (subtract 5d from 4), Also enter on Part 5.
Reca llulotlon. a 0 3, ctltem 16 . . , , , , , , . , . . , . . . . . . . .. 6
~, more spaco ~ f'liMdlld, ~ttACh t/UI conrinuatJon scJwJdu/. from tt1e end of this packlltfll or ;lQdltJonl/ ~t3 of the SImI Jize.)
(See the instructioN on tile nwene side.)
601,297
Schedule M-Page '1:l
FOtm 106IR...., 8.9~1
It.m
number
Examples 01 Listing of Property Interests on Schedule M
Amount
O.lCrtptlon 0' property Int.r.sts pI,"ng to survNlng spouse
On..hllt thl vaJUI 0' . houlI and lot, 255 South W..t St,...t. hek:t by deCedent and IUfVtvtng spous. as Joint tenants
with nonl of Ill...\/CfIhip undor deed dated July Ie. 1057 (SCnodUle E. PIlIlI. rtom II . . . . . . . . .
ProcHdl Dr Glbralter utOlnlllrance c""",any poIlc;y No, l04no. poyabloln "". sum to lunnvlno lPOU" (SChedull
O,1I1l'T13) . . . . . . . . , . . . . . . I I . . . . ," .........
2
$ 32,eOO
3
Caah beau..t undo< Porogr8llh Six of WlI . . . . . . . . . . . . .
. . . - . . . . .
20.000
100.000
Instructions for Schedule
M.-Bequests, etc., to
Surviving Spouse (Marital
Deduction)
General
You must complete Schedule M end nle
It W1th the return it you claim a
deduction on Itlll'n 18 01 Pen 5.
Recapitulation,
The mar~al deduction Is authOflzed by
section 2056 for certain property
Intlll'asts lI1at paIS from !he decedent to
the surviving spouse, You may claim the
deduction only for property Interests that
are Included In the decedenfs gross
estate (Schedules A through I).
Note: The marital deducdon is generally
not allowed II the sutviving spouse is not
aU,S. C1f/zen. The marifal deducf/on is
allowed lor properly passing Ie such a.
surviving spouse in a 'quallfled domestic
trust" Dr if such property is transferred or
irrevocably assigned to such a tnJst
belore the estate IaK return is /fled. The
lIXecutor musf elect qualified domestic
trust status on this return, See the
insfructlons an pages 27, 29. and 30 lor
details on the electlen, '
Property Interests That You May
Ust on Schedule M
Generally. you may list on Schedule M
all property Intlll'ests that pass from the
decedent to the surviving spouse end
are Included In the gross estate.
However., you should not list any
'Nondeductlbla terminable Interests'
(descrlbed below) on Schedule M unless
you are making a OTIP electJon. The,
property for which you make'lI1ls
election must be Included on Schedule
M. See 'Ouollned Termlnabla Interest
Property' on'thelollowlng page.
FOf the rules on common dlsisier and '
survlvallor a limited period, see section
2056(b)(3). "
You may list on Sd,edule M only
thOSll' Interests that the surviving spouse
takes:
1. As the decedenrs legatee. devisee.
heir. Dr don..;
2. As tha decedenrs surviving tenant
by the enlltety or joint tenant:
3. As an appointee under lI1e ,
decedent's ,IxercJse at a power or as a
taker In delault at the decedent's
nonexerclse at a power,
Page 28
4. A!J a benenclalY of Insurance on the
decedent's life;
5. A!J the surviving spousa taking
under dower Dr curtesy (Of similar
statutory Inleresq; end
5. A!J a transferee of a transter made
by !he decedent at any dme,
Property Interests That You May
Not Uet on Schedule M
You should not list on Schedule M:
1. The value of any ptllperty lI1at does
not pass from tha decedent to lI1e
S\Jnnvlng spouse.
2. Property Intlll'ests that are not
Wlcluded In the decedent's gross estate.
3. Tha lull value of a property Interest
lot which a deduction was claimed on
Schedules J through L. The value of the
property Interest should be reduced by
!he deductions claimed with respect to
it
4. The lull value of a property Interest
that passes to the surviVing spouse
subJect to a mortgage or other
encumbrance or an Obligation of the
surviving spouse, Include on Schedula
'M only the net valua at the Interest atter
rsducing It by the amount of the
mortgage or othar debt
5. Nondeductible terminable Interests
(descr1bed below).
5..Any property Interast disclaimed by
the surviving spouse.
Terminable Interests "
Certain Interests In property passing
from a decedent to a survMng spouse
are rellll'Ted to as terminable interests.
These are Interests that will terminate Of
, 1.11 atter the passage, 01 dme. or on the
OCCUITC!W1Ce or nonoccurrenclt of some
conlllngency. Examples are: life estates.
annultles. estal.. for terms of ye~,
and patents. ..' ;..
The ownership 01 a bond. note, or
other contractual obligation. which when
discharged would not have the effect of
an annuity tor life or for a term. Is not
considered a terminable Interest.
Nondedua1lble termlnobl. Interelta.-
A termlnabla Interest Is nondeducl1ble,
and should not be entered on Schedule
M (unless you are making a OTIP
electJonllt' '
1. Another Interest In the same
property pessed from the decedent to
some other person for less than
adequate and lull consideration In
money Dr money's worth; and '
2. ,By reason of Its passing. the other
person or that person's heirs may enjoy
part 01 the property attlll' the termination
01 the surviving spouse's Intarest.
This ",Ie applies even though the
Interest that pass.. from the decedent
to a person other than the surviving.
spouse Is not Included In lI1e gross
estata. and regardless of when the
Intarest passes. The rule also applies
regardless 01 whether the surviving
spouse's Interest and the other person's
IntareS! pass from the decedent at the
same time. Property Interests that are
considered to pass to a person other
lI1an the surviving spouse ara .ny
property interest thaC (.) passes undar a
decedent's will or intestacy; (h) was
transferred by a docedent during life; or
Ie) Is tWd by or passed on to any
person as a decedent's lalnt tenant as
appointee under a decedent's exercise
01 a power. as taker In default at a,
decedent's release or nonexercise at a
power, or as a beneficiary 0' Insurance
In the decedent.s life.
For example. a dacedont devised real
property to his wile for life. with
remaindlll' to hrs children., Tha life
, interest lI1at passed to the wife does not
qualify lor the marital deduction because
It will terminate at har death and, the .
children will thereatter possess'or enjoy
the property. , ", ,: '
,However. if the 'decedent purcliased a
Joint and survivor annuity for hlmsell and
his wife who survived him. the vwa of
the survivor's' annuity, to lI1e extent that
It Is Included In the gross estate.. . " .
quallnes, for the marital deduction'"
because even'though lI1e Intlll'BSt will
terminate on the Wile's death. no one
else will possess or enjoy any pen of lI1e
property.
The marital deduction Is not allowed
for an Interest that the decedent ,
directed lI1e executor Dr a tnJstee to
convert,. otter death. Into a terminable'
Interest tor the surviving spouse, The
marital deduction Is not allowed lor such
an Interest even If II1ll1'e was no Interest
(
This
LIVING TRUST
prepared for
THOMAS F, FLETCHER
and
EILEEN M. FLETCHER
by
Gary L James
JAMES, SMITH & DURKIN
20 Valley Road
P.O. Box 650
Hershey, PA 17033
~
Telephone: (717) 533-3280
Copyrlghtc 1994 Gary L. James
(
Table of Contents
The
THOMAS F. FLETCHER AND EILEEN M. FLETCHER
Living Trust
Introduction
Article One ............... Creation of Our Trust
Article Two ............... Our Family
Article Three .. . . . . . . . . . . . . Funding Our Trust
Providing for Us and Our Family during Our Lifetimes
Article Four . . . . . . . . . . . . . . . Administration of Our Trust during Our
Lives
Article Five ............... Insurance Policies and Retirement Plans
Providing for Us and Our Family upon Our Deaths
Article Six . . . . . . . . . . . . . . . . Administration of Our Trust upon the
Death of a Trustmaker
Article Seven . . . . . . . . . . . . . . Distribution of Our Tangible Personal
Property and Specific Distributions
Article Eight .............. Creation of the Marital and Family Trusts
Article Nine . . . . . . . . . . . . . . . The Marital Trust
.-\
(
Article Ten ............... The Family Trust
Article Eleven ............. The Common Trust
Article Twelve ............. Distribution of Our Trust Property
Article Thirteen ............ Ultimate Distribution Pattern
Article Fourteen . . . . . . . . . . . . Methods of Distribution and Trust Admi-
nistration with Regard to Minor and Dis-
abled Beneficiaries
Provisions Regarding Our Trustee
Article Fifteen ............. The Resignation, Replacement, and Suc-
cession of Our Trustees
Article Sixteen . . . . . . . . . . . . . General Matters and Instructions with
Regard to the Trusteeship
General and Administrative Provisions
Article Seventeen . . . . . . . . . . . Our Trustee's Administrative and Invest-
ment powers
Article Eighteen . . . . . . . . . . . . Definitions and General Provisions
\
II
(
The THOMAS F. FLETCHER AND EILEEN M. FLETCHER
Living Trust
Article One
Creation of Our Trust
Section 1. Our Trust
We are husband and wife. This Is our living Trust, dated Jun'l 3, 1994, by
THOMAS F. FLETCHER, the husband Trustmaker, EILEEN M. fLE rCHER,
the wife Trustmaker, and the following Initial Trustue':
THOMAS F. FLETCHER
EILEEN M. FLETCHER
Our trust Is a joint revocable living trust that contains our Instructions for
our own well.belng and that of our loved ones. All references to "our trust"
or "trust," unless otherwise stated, shall refer to this Living Trust and the
trusts created In It. All references to "Trustee" shall refer to our Initial Trustee
or Trustees, or their successor or successors in trust.
When the term ''Trustmaker'' Is used In our trust, it shall have the same
legal meaning as "Grantor," "Settlor," "Trustor," or any other term referring
to the maker of a trust.
Notwithstanding anything In our trust to the contrary, when either one of us
Is Is serving as Trustees under our trust, either of us may act for and
conduct business on behalf of our trust as a Trustee without the consent
of any other Trustee.
THOMAS F. FLETCHER AND EILEEN M. FLETCHER LIVING
TRUST, dated June 3, 1994
Section 2. The Name of Our Trust
For convenience, our trust shall be known as the:
\
"
1.1
(
For purposes of beneficiary designations and transfers directly to our trust,
our trust shall be referred to as:
THOMAS F. FLETCHER and EILEEN M. FLETCHER,
Trustees, or their successors In trust, under the THOMAS
F. FLETCHER AND EILEEN M. FLETCHER LIVING
TRUST, dated June 3, 1994, and any amendments
thereto.
'i
l.
1.2
(
Article Three
Funding Our Trust
Secllon 1. InlllBI Funding
We hereby transfer, assign, and convey all of our right, title, and Interest In
and to all of our property that Is permitted by law to be held In trust,
wherever situated, whether personal or real, tangible or Intangible, separate
or community, to our Trustee to hold and administer for our benefit and for
the benefit of our beneficiaries pursuant to the terms of this trust.
We shall also each Initially fund our trust with $10 concurrent with its
execution.
a. Reliance by Third Parties
Upon presentation by our Trustee of this Article of our trust and
a separate Affidavit of Trust stating the name and address of our
Trustee, affirming that our trust Is in full force and effect, and
containing any pertinent provisions of our trust, all third parties
shall rely on this transfer and follow all of our Trustee's lnstrucllons
without risk of Incurring any liability to us, our Trustee, or our
beneficiaries.
b. Specific Transfers of Property
Our trust may be additionally funded with property Interests of. all
kinds by either of us or by any other person in any manner. All
property Interests assigned, conveyed, or delivered to our Trustee
must be acceptable to our Trustee.
Secllon 2. Funding with Community Property
Any community property which is or becomes trust property, and the
proceeds from such community properlY, shall remain community property
during our lives.
(
3-1
(
Article Four
Administration of Our Trust
during Our Lives
Section 1. Our Lifetime Powers
While we are both living, we shall have the following powers:
a. Control and DIrect Payments
Our Trustee shall distribute or retain the principal and net Income
of the community estate, If any, as we may direct from time to
time, except that we shall have no power to direct our Trustee to
make gifts of principal or Income from the community estate to a
third party.
Our Trustee shall distribute or retain the principal and net income
of a Trustmaker's separate estate as that Trustmaker shall direct,
except that a Trustmaker shall have no power to direct our Trustee
to make gifts of principal or Income from the Trustmaker's
separate estate to a third party.
Any gift made directly by our Trustee to a third party in violation
of these provisions shall be construed as a distribution made
directly to either or both of us, and then a gift from one or both of
us to such third party.
Absent directions from us, our Trustee shall distribute the trust
Income from the community estate, If any, at least monthly and
shall distribute the trust Income from a Trustmaker's separate
estate to that Trustmaker at least monthly.
b. Investment Decisions
During our lifetime, except for any period of our incapacity, we
Individually reserve the right to specifically approve or disapprove
each and every trust investment, purchase, or sale before It Is
4.1
(
Trustmaker.
c. ProvIde for Our Obligations
Our Trustee shall provide as much of the principal and net Income
of our trust as our Trustee, In Its sole and absolute discretion,
deems advisable for the payment of any valid obligations as
confirmed by our Trustee. A payment shall be paid from any
community estate, If an obligation of both of us, and out of a
Trustmaker's separate share or out of a Trustmaker's share of the
community estate, If any, If an obligation of that Trustmaker.
In making distributions under this Section, our Trustee shall, at all
times, give primary consideration to the needs of the disabled
Trustmaker and thereafter to the other Trustmaker.
Our Trustee shall provide as much of the principal and net income
of our trust as our Trustee deems advisable for the payment of
Insurance premiums on policies owned by one of us, either
directly or beneficially, or our trust. Our Trustee shall pay
premiums for any life Insurance policies that are the sole and
separate property of one of us from that Trustmaker's sole and
separate property.
d. Procedural Guidelines
When making such distributions to the other Trustmaker, our
Trustee shall consider other Income and resources available to the
other Trustmaker and that are known to our Trustee.
A distribution made to a Trustmaker shall not be charged against
the ultimate share which may be distributable to the Trustmaker
under any other provision of this agreement.
Section 4. Undistributed Net Income
Any net income which Is not distributed under this Article shall be
accumulated and added to principal.
\
4.4
(
No provision of this agreement shall be construed to Impose any
obligation on either of us to maintain any Insurance policy, retire-
ment plan, annuity contract, or any other third-party beneficiary
contract In force.
Section 2. Upon II Trustmaker's Death
Upon the death of a Trustmaker, our Trustee shall make all appropriate
elections with respect to Insurance policies, retirement plans, and other
death benefits which constitute the separate estate of the deceased
Trustmaker. As to all Insurance policies, retirement plans, and other death
benefits which are a part of the community estate, our Trustee and the
surviving Trustmaker shall together make all appropriate elections
consistent with the laws of the state having jurisdiction over such property.
a. Collection of Insurance Proceeds and Other Nonretlrem.
ent Death Proceeds
Our Trustee shall make every reasonable effort to collect all sums
made payable to our trust or our Trustee under allllle Insurance
policies, or other nonretlrement death benefit plans, which provide
for death proceeds made payable to or owned by the trust.
In collecting policy or death benefit proceeds, our Trustee may, In
Its sole and absolute discretion, exercise any of the settlement
options that may be available under the terms of a policy or any
other third-party beneficiary contract with regard to the Interest of
the deceased Trustmaker In those policy or death benefit pro.
ceeds.
Our Trustee shall not be liable to any beneficiary for the settlement
option ultimately selected.
b. Retirement Plan Elections
Our Trustee shall have the right, in Its sole and absolute discre-
tion, to elect to receive any retirement plan death proceeds,
whether under a qualified pension, profit sharing, Keogh, Individu-
al retirement account, or any other retirement plan, either In a
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lump sum or In any other manner permitted by the terms of the
particular retirement plan, to the extent of the Interest of the
deceased Trustmaker.
Our Trustee shall not be liable to any beneficiary for the death
benefit election ultimately selected.
Our Trustee, In Its sole and absolute discretion, may disclaim the
benefits of any retirement plan payable to our trust, including
Individual retirement accounts that are payable to our trust. Such
disclaimed benefits shall be payable to the surviving Trustmaker.
c. Collection Proceedings
Our Trustee may institute proceedings, whether In law or equity,
administrative or otherwise, to enforce payment of such proceeds.
Our Trustee need not, except at its option, enter into or maintain
any litigation or take action to enforce any payment until it has
been Indemnified to its satisfaction for all expenses and liabilities
to which, In its sole judgment, It may be subjected.
Our Trustee Is expressly authorized, In its sole and absolute
discretion, to adjust, settle, and compromise any and all claims
that may arise from the collection of any death proceeds. The
decisions of our Trustee shall be binding and conclusive on all
beneficiaries.
d. Uabfllty of Payor
No person or entity which pays insurance proceeds or other death
proceeds to our Trustee as beneficiary shall be required to Inquire
Into any of the provisions of this trust or to see to the application
of any such proceeds by our Trustee.
The receipt of the proceeds by our Trustee shall relieve the payor
of any further liability as a result of making such payment.
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Article Six
Administration of Our Trust
upon the Death of a Trustmaker
Section 1. Payment of Expenses, Claims, and Taxes
Upon the death of the first one of us to die, our Trustee Is authorized, but
not directed, to pay the following:
Expenses of the last illness, funeral, and burial, Including memori-
als of all types and memorial services of such kind as our Trustee
In Its sole discretion shall approve.
Legally enforceable claims against the deceased or the estate.
Expenses with regard to the administration of the estate.
Federal estate tax, applicable state Inheritance or estate taxes, or
any other taxes occasioned by death.
Statutory or court-ordered allowances for qualifying family members.
The payments authorized under this Section are discretionary, and no
claims or right to payment by third parties may be enforced against our
trust by virtue of such discretionary authority. Notwithstanding any other
provision In this or any other Instrument, no death taxes, claims and
expenses payable under the provisions of this Article shall be paid from the
beneficial share owned by the surviving Trustmaker.
Our Trustee shall be Indemnified from the trust property for any damages
sustained by our Trustee as a result of Its exercising, In good faith, the
authority granted It under this Section.
The payments authorized under this Section shall be paid only to the extent
that the probate assets (other than real estate, tangible personal property,
or property that, In our Trustee's judgment, Is not readily marketable) are
Insufficient to make these payments.
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Section 2. Redemption of Treasury Bonde
If our trust holds United States Treasury Bonds which are eligible for
redemption at par in payment of the federal estate tax, our Trustee shall
redeem such bonds to the extent necessary to pay federal estate tax as a
result of a death.
Section 3. Coordination with the Personal Representative
This Section shall be utilized to help facilitate the coordination between the
personal representative of the deceased Trustmaker's probate estate, If
any, and our Trustee with respect to any property, whether owned solely
or held as community property, to the extent of the deceased Trustmaker's
Interest In such property owned by the Trustmaker outside of this trust
agreement on the Trustmaker's death.
a. Authorized Payments
Our Trustee, In Its sole and absolute discretion, may elect to make
the payments authorized under this Article either directly to the
appropriate persons or Institutions or to the personal representa-
tive of the deceased Trustmaker's probate estate.
Our Trustee may rely upon the written statements of the deceased
Trustmaker's personal representative as to all material facts
relating to these payments; our Trustee shall not have any duty to
see to the application of such payments.
b. Purchase of Assets and Loans
Our Trustee Is authorized to purchase and retain In the form
received, as an addition to our trust, any property which Is a part
of the deceased Trustmaker's probate estate. In addition, our
Trustee may make loans, with or without security, to the deceased
Trustmaker's probate estate. Our Trustee shall not be liable for
any loss suffered by our trust as a result of the exercise of the
powers granted In this paragraph.
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b. Property PassIng OutsIde Our Trust
Notwithstanding anything to the contrary In our trust, estate,
Inheritance, and death taxes assessed with regard to property
passing outside of our trust or outside of our probate estates, but
Included In the gross estate of a Trustmaker for federal estate tax
purposes, shall be chargeable against the persons receiving such
property.
Section 6. Our Trustee's Authority to Make Tax Elections
Our Trustee may exercise any aval/able elections with regard to state or
federal Income, Inheritance, estate, succession, or gift tax law.
a. Alternate Valuation Date
The authority granted our Trustee In this Section Includes the right
to elect any alternate valuation date for federal estate or state
estate or Inheritance tax purposes.
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b. Deduction of AdmInistration Expenses
The authority granted our Trustee In this Section shall Include the
right to elect whether al/ or any parts of the administration
expenses of a deceased Trustmaker's estate are to be used as
estate tax deductions or Income tax deductions.
No compensating adjustments need be made between income
and principal as a result of such elections unless our Trustee,'ln
Its sole and absolute discretion, shall determine otherwise, or
unless required by law.
c. Deferment of Estate Taxes
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The authority granted our Trustee In this Section shall Include the
right to elect to defer payment of all or a part of a deceased
Trustmaker's estate taxes, pursuant to any law permitting deferral,
and to enter into any agreement necessary to defer payment of
estate taxes even if doing so extends the statute of limitations and
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Article Seven
Distribution of our Tangible Personal property
and Specific Distributions
Section 1. Nonbusiness Tangible Personal Property
On the death of each 01 us, our Trustee shall distribute the nonbusiness
tangible personal property belonging to the deceased Trustmaker as
lollows:
a. US" of Memorandum
Our Trustee shall distribute the jewelry, clothing, household
lurnlture, furnishings and IIxtures, chlnaware, sliver, photographs,
works of art, books, boats, automobiles, sporting goods, artllacts
relating to the hobbles of the deceased Trustmaker, and all other
tangible articles 01 household or personal use In accordance with
any written, signed, and dated memorandum left by the deceased
Trustmaker directing the distribution 01 such property.
Any memorandum written, dated, and signed by the deceased
Trustmaker disposing 01 nonbusiness tangible personal property
shall be Incorporated by relerence Into this agreement.
Should the deceased Trustmaker leave multiple written memoran-
da which conflict as to the disposition 01 any Item of nonbusiness
tangible personal property, that memorandum which Is last dated
shall control as to those Items which are In conl\1ct.
b. Distribution of Property Not Distributed by Memorandum
If state law does not allow the use 01 a memorandum to distribute
nonbusiness tangible personal property or, to the extent that a
Trustmaker's nonbusiness tangible personal property which Is or
becomes trust property Is not disposed of by memorandum for
any reason, then that nonbusiness tangible personal property
shall be distributed under the terms 01 this trust agreement.
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Article Eight
Creation of the Marital and Family Trusts
Section 1. Division of Trust Property
Upon the death of the first one of us to die, our Trustee shall divide the
trust property Into two separate trusts, to be known as the Marital Trust and
the Family Trust.
a. Creation of the Marital Trust
The Marital Trust shall consist of the surviving Trustmaker's one.
half (1/2) Interest In all of the assets representing the trust
property held by our Trustee. In addition, the Marital Trust shall
consist of a dollar amount equal to the unlimited federal estate tax
marital deduction allowable to the deceased Trustmaker's estate,
subject to the following conditions:
1. Nontrust Marital Deduction Assets
The Marital Trust shall be reduced by the value, for
federal estate tax purposes, of any Interest in property
which qualifies for the marital deduction and which
passes or has passed from the deceased Trustmaker to
the surviving Trustmaker other than under this Article.
2. Amounts Not Taxable because of the Unified'
Credit
The Marital Trust shall also be reduced by that amount
of the deceased Trustmaker's gross estate which Is not
taxable by reason of the unified credit against federal
estate tax (after taking into account adjusted taxable
gifts, If any) as finally determined for federal estate tax
purposes, and the credit for state death taxes (but only
to the extent that the use of this credit does not require
an increase In the state death taxes paid).
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a. Nonqualifying Property
Our Trustee shall not allocate any property or the proceeds from
any property to the Marital Trust which would not qualify for the
federal estate tax marital deduction In the deceased Trustmaker's
estate.
b. Life Insurance policies on the Surviving Trustmaker's Life
Our Trustee shall not allocate any policies of life Insurance
Insuring the life of the surviving Trustmaker to the Marital Trust
that are the sole and separate property of the deceased Trust-
maker.
c. Insufficient Assets for Funding the Marital Trust
To the extent that there are Insufficient assets qualifying for the
marital deduction to fully fund the Marital Trust, the amount of the
funding to the Marital Trust shall be reduced accordingly.
Section 3. Distributions from Retirement Plan to the Marital Trust
If Retirement Plan distributions are Included In the Marital Trust our Trustee
shall comply with the following guidelines.
a. Form of Distribution
Our Trustee may elect to receive distributions from any pension. profit
sharing, Individual retirement account, or other retirement plan ("Retire-
ment Plan") for which our Trust Is named as beneficiary, In installments
or In a lump sum.
b. Income Requirement
Our Trustee shall elect to receive distributions from a Retirement Plan
payable to the Marital Trust In compliance with the minimum distribu-
tion rules of the Internal Revenue Code if applicable and also so that
at least all Income earned by the Retirement Plan each calendar year
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Is distributed to the Trust and allocated to trust Income during the
year. If distributions from the Retirement Plan total less than all
Income earned by the Retirement Plan for a calendar year, our Trustee
shall demand additional distributions equal to at least the shortfall so
that the surviving Trustmaker will receive all Income earned by the
Retirement Plan at least annually. The surviving Trustmaker shall have
full power, In his or her discretion, to compel our Trustee to demand
such distributions and to compel the Retirement Plan Trustee to
convert any nonproductive property to productive property.
c. Retirement Plan Expenses
In calculating "all income earned by the Retirement Plan," our Trustee
shall allocate all Retirement Plan expenses, including Income taxes and
trustee's fees, that are attributable to principal distributions so that all
Income distributions from the Retirement Plan are not reduced.
Section 4. The Valuation of Allocated Property
In making the computations necessary to determine the amount passing
to the Marital Trust, our Trustee shall use those values as finally determined
for federal estate tax purposes.
a. Valuation of Property at Distribution Date
In no event shall the aggregate fair market value of the deceased
Trustmaker's cash and property on the date or dates of distribu-
tion be less than the amount of the Marital Trust as finally
determined for federal estate tax purposes.
b. Consideration of Tax Consequences
When making the decision as to which of the deceased Trust.
maker's property shall be allocated to the Marital Trust, our
Trustee shall consider the tax consequences and advisability of
allocating property subject to foreign death tax, property on which
a tax credit Is available, or property which Is Income In respect of
a decedent under applicable Income or estate tax laws.
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Article Nine
The Marital Trust
Section 1. The Surviving Trustmaker's Right to Income
Our Trustee shall pay to or apply for the benefit of the surviving Trustma.
ker, at least monthly during the lifetime of the surviving Trustmaker, all of
the net Income from the Marital Trust.
Section 2. The Surviving Trustmaker's Right to Withdraw Principal
Our Trustee shall pay to or apply for the benefit of the surviving Trustmaker
such amounts from the principal of the Marital Trust as the surviving
Trustmaker may at any time request in writing.
No limitation shall be placed on the surviving Trustmaker as to either the
amount of or reason for such Invasion of principal.
Section 3. Principal Distributions In Our Trustee's Discretion
Our Trustee may also distribute to or for the benefit of the surviving
Trustmaker as much of the principal of the Marital Trust as Gur Trustee, In
Its sole and absolute discretion, shall consider necessary or advisable for
the education, health, maintenance, and support of the surviving Trustma.
ker.
Section 4. The Surviving Trustmaker's General Power of Appointment
The surviving Trustmaker shall have the unlimited and unrestricted general
power to appoint, by a valid last will and testament or by a valid living trust
agreement, the entire principal and any accrued and undistributed net
Income of the Marital Trust as It exists at the Trustmaker's death. In
exercising this general power of appointment, the surviving Trustmaker
shall specifically refer to this power.
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The payments authorized under this Section are discretionary, and
no claims or right to payment by third parties may be enforced
against the trust by virtue of such discretionary authority.
Our Trustee shall be Indemnified from the trust property for any
damages sustained by our Trustee as a result of Its exercising, In
good faith, the authority granted It under this Section.
It Is our desire that, to the extent possible, any payments autho-
rized under this Section be paid from the surviving Trustmaker's
probate estate before any payments are made pursuant to this
Section.
Our Trustee shall, to the extent that It Is reasonable and prudent,
coordinate with the surviving Trustmaker's personal representative
to minimize expenses and taxes resulting from the surviving
Trustmaker's death.
b. Redemption of Treasury Bonds
If the Marital Trust holds United States Treasury Bonds eligible for
redemption In payment of the federal estate tax, our Trustee shall
redeem the bonds to the extent necessary to pay any federal
estate tax due by reason of the death of the surviving Trustmaker.
c. Coordination with the Personal Representative
This Paragraph shall be utilized to help facilitate the coordination
between the personal representative of the surviving Trustmaker's
probate estate and our Trustee with respect to any property
owned by the surviving Trustmaker outside of this agreement'at
the surviving Trustmaker's death.
1. Authorized Payments
Our Trustee, in its sole and absoh..te discretion, may
elect to pay the payments authorized under this Section
either directly to the appropriate persons or Institutions
or to the surviving Trustmaker's personal representative.
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Article Ten
The Family Trust
Section 1. The Surviving Truetmaker's Right to Income
If there Is a surviving Trustmaker, our Trustee shall pay to, or apply for the
benefit of, the surviving Trustmaker, at least monthly during the surviving
Trustmaker's lifetime, all of the net Income from the Family Trust.
Section 2. The Surviving Trustmaker's Right to Withdraw Principal
The surviving Trustmaker shall have the noncumulative right to withdraw
from the principal of the Family Trust In any calendar year amounts not to
exceed $5000 in the aggregate.
In addition, on the last day of any calendar year, if the surviving Trustmaker
Is then living, the surviving Trustmaker may withdraw an amount by which
5 percent of the then market value of the principal of the Family Trust
exceeds the principal amounts, if any, previously withdrawn In that year
under this Section.
Without In any way limiting the noncumulative right of the surviving
Trustmaker to withdraw principal pursuant to this Section, we suggest that
this right not be exercised until the assets of the Marital Trust are exhaust-
ed.
All requests for principal distributions pursuant to this Section shall be In
writing delivered to our Trustee.
Section 3. Principal Distributions In Our Trustee's Discretion
Our Trustee may also distribute to or for the benefit of the surviving
Trustmaker and our descendants as much of the principal of the Family
Trust as our Trustee, in Its sole and absolute discretion, shall consider
necessary or advisable for their education, health, maintenance, and
support.
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Our Trustee shall, at all times, give primary consideration to the surviving
Trustmaker's education, health, maintenance, and support, and only
thereafter to our descendants.
In making discretionary distributions of principal to the surviving Trustma-
ker, our Trustee shall preferably make all distributions or principal from the
Marital Trust until it is exhausted, and only thereafter from the Family Trust.
If the surviving Trustmaker has the power to remove a Trustee of this
Family Trust, our Trustee shall not distribute any of the principal of the
Family Trust that would in any manner discharge the surviving Trustmaker's
legal obligation to a beneficiary of the Family Trust. If the surviving
Trustmaker is disabled, our Trustee shall Ignore this restriction during the
period of the surviving Trustmaker's disability, and the surviving Trustmaker
shall not have the power to remove a Trustee of the Family Trust.
Section 4. Discretionary Guidelines for Our Trustee
Our Trustee shall be mindful that our primary concern and objective Is to
provide for the education, health, maintenance, and support of the surviving
Trustmaker and our descendants, and that the preservation of principal Is
not as Important as the accomplishment of these objectives.
In making discretionary distributions pursuant to this Article, our Trustee
shall consider the following factors:
a. Other Resources Available to Our Beneficiaries
Our Trustee, In making distributions pursuant to this Article, shall
take Into consideration, to the extent that our Trustee, In Its sole
and absolute discretion, deems advisable, any Income or other
resources which are available outside of the Family Trust to our
beneficiaries.
b. Distributions to Our Beneficiaries According to Their
Needs
Our Trustee may make distributions to or for the benefit of one or
more of the beneficiaries of the Family Trust to the complete
exclusion of the other beneficiaries. These distributions may be
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Article Eleven
The Common Trust
It Is not our desire to create a Common Trust for the benefit 01 our children,
Upon the death 01 the second Trustmaker to dIe, all ollhe trust property
whIch has not been distributed under prior provisions of this agreement
shall be divIded, admInistered, and distributed under the Articles that
follow.
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Article Twelve
Distribution of Our Trust Property
Section 1. Division Into Separate Shares
The remaining trust property shall be divided Into as many shares as shall
be necessary to create one equal share for each of our then living children,
and one equal share for each of our deceased children who has then living
descendants.
Section 2. Distribution 01 Trust Shares lor Our Living Children
The share of each child who survives us shall be distributed as follows:
a. DistrIbution of Trust Share for THOMAS MICHAEL
FLETCHER
The trust share set aside for THOMAS MICHAEL FLETCHER shall
forthwith terminate and our Trustee shall distribute all undistribut-
ed net Income and principal to THOMAS MICHAEL FLETCHER.
free of the trust.
If THOMAS MICHAEL FLETCHER should die before the complete
distribution of his trust share, his trust shall termlllate and our
Trustee shall distribute the balance of the trust property to his then
living descendants, per stirpes.
If THOMAS MICHAEL FLETCHER has no then living descendants,
our Trustee shall distribute the balance of the trust property to our
then living descendants, per stirpes.
If we have no then living descendants, our Trustee shall distribute
the balance of the trust property as provided In Article Thirteen of
this agreement.
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d. Dlstrlbullon of Trust Share for THERESA MARIE KERN
The trust share set aside for THERESA MARIE KERN shall
forthwith terminate and our Trustee shall distribute all undistribut-
ed net Income and principal to THERESA MARIE KERN, free of
the trust.
If THERESA MARIE KERN should die before complete
distribution of her trust share, her trust shall terminate and our
Trustee shall distribute the balance of the trust property to her
then living descendants, per stirpes.
If THERESA MARIE KERN has no then living descendants, our
Trustee shall distribute the balance of the trust property to our
then living descendants, per stirpes.
If we have no then living descendants, our Trustee shall distribute
the balance of the trust property as provided in Article Thirteen of
this agreement.
e. Dlstrlbullon of Trust Share for JOSEPH ALAN FLETCHER
The trust share set aside for JOSEPH ALAN FLETCHER shall
forthwith terminate and our Trustee shall distribute all undistribut-
ed net Income and principal to JOSEPH ALAN FLETCHER, free of
the trust.
If JOSEPH ALAN FLETCHER should die before the complete
distribution of his trust share, his trust shall terminate and our
Trustee shall distribute the balance of the trust property to his then
living descendants, per stirpes.
If JOSEPH ALAN FLETCHER has no then living descendants, our
Trustee shall distribute the balance of the trust property to our
then living descendants, per stirpes.
If we have no then living descendants, our Trustee shall distribute
the balance of the trust property as provided In Article Thirteen of
this agreement.
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b. A Beneficiary's Right to Withdraw Principal
Our Trustee shall pay to or apply for the benefit of the beneficiary
such amounts from the principal as the beneficiary may at any
time request In writing.
No limitation shall be placed on the beneficiary as to either the
amount of or reason for such Invasion of principal.
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b. Retention 01 a Minor's or Disabled Descendant's portion
In Trust
If any portion of a share Is distributable under this Section to any
descendant 01 a deceased child who Is under 21 years 01 age, or
to any such descendant who Is disabled or Incapacitated as
defined In Article Eighteen of this agreement, then our Trustee
shall retain such portion In trust under the provisions of Article
Fourteen.
Secllon 4. Retenllon 01 Dlstrlbullons In Trust
Whenever a distribution Is authorized or required to be made by a
provision of this Artlcie to any beneficiary, then that beneficiary may direct
our Trustee In writing to retain such distribution In trust as follows:
a. A Beneficiary's Right to Income
Our Trustee, during the lifetime 01 the beneficiary, shall pay to or
apply for the benefit of the beneficiary from time to lime and at the
beneficiary's written direction all 01 the net Income from this trust.
c. Principal Distributions In Our Trustee's Discretion
Our Trustee may also distribute to or for the benellt of the
beneficiary as much of the principal of the trust as our Trustee, In
Its sole and absolute discretion, shall consider necessary or
advisable for the education, health, maintenance, and support of
the beneficiary.
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d. A Beneficiary's General Power of Appointment
The beneficiary shall have the unlimited and unrestricted general
power to appoint, by a valid last will and testament or trust
agreement, the entire principal and any accrued and undistributed
net Income of the trust as It exists at the beneficiary's death. In
exercising this general power of appointment, the beneficiary shall
specifically refer to this power.
The beneficiary shall have the sole and exclusive right to exercise
the general power of appointment.
this general power of appointment specifically grants to the
beneficiary the right to appoint property to the beneficiary's own
estate. It also specifically grants to the beneficiary the right to
appoint the property among persons, corporations, or other
entities In equal or unequal proportions, and on such terms and
conditions, whether outright or in trust, as the beneficiary may
elect.
Any property In the trust which is not distributed pursuant to the
exercise of the general power of appointment shall be distributed
to the beneficiary's then living descendants, per stirpes.
If the beneficiary has no then living descendants, our Trustee shall
distribute the remaining trust property as provided in Article
Thirteen of this agreement.
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Article Thirteen
Ultimate Distribution Pattern
None
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Article Fourteen
Methods of Distribution and Trust
Administration with Regard to
Minor and Disabled Beneficiaries
Section 1. General Guidelines for Distribution
Whenever a distribution Is authorized or required by a provision of this
agreement to any beneficiary who Is disabled or Incapacitated, such
distribution may be made by our Trustee:
Without continuing court supervision or the Intervention of a
guardian, conservator, or any other legal representative.
Without giving or requiring any bond or surety on bond.
Pursuant to any of the methods authorized under this Article.
In making distributions under this Article, disability or Incapacity shall
Include adjudicated mental Incapacity by a court of competent jurisdiction,
or Incapacity because of age, illness, or injury.
Before making any distributions to beneficiaries, other than a Trustmaker,
under this Article, it Is our desire that our Trustee, to the extent that It Is
both reasonable and possible:
Inquire Into the ultimate disposition of the distributed funds.
Take Into consideration the behavior of trust beneficiaries with
regard to their disposition of prior distributions of trust property.
Our Trustee shall obtain a receipt from the person, corporation, or other
entity receiving any distribution called for In this Article.
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Section 2. Methods of Payment
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Our Trustee may make the distributions called for In this Article In anyone
or more of the following ways:
Directly to a beneficiary.
To persons, corporations, or other entities for the use and benefit
of the beneficiary.
To an account In a commercial bank or savings Institution In the
name of the beneficiary, or In a form reserving the title, manage.
ment, and custody of the account to a suitable person, corpora.
tlon, or other entity for the use and benefit of the beneficiary.
In any prudent form of annuity purchased for the use and benefit
of the beneficiary.
To any person or duly licensed financial Institution, Including our
Trustee, as a custodian under the Uniform Transfers to Minors Act,
or any similar act, of any state, or In any manner allowed by any
state statute dealing with gills or distributions to minors or other
Individuals under a legal disability.
To any guardian or other person deemed by our Trustee to be
responsible, and who has assumed the responsibility of caring for
the beneficiary.
Section 3. Our Trustee's Clsc~etlon to Keep Property In Trust
If any trust property becomes distributable to a beneficiary whlln the
beneficiary Is under 21 years of age, or when the beneficiary Is under any
form of legal disability, as defined In Article Eighteen, our Trustee may
retain that beneficiary's share In a separate trust until he or she attains 21
years of age, or until his or her legal disability has ceased, as follows:
a. Distributions of Trust Income and Principal
Our Trustee shall apply to or for the benefit of the beneficiary as
much of the net Income and principal of the trust as our Trustee,
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In Its sole and absolute discretion, deems necessary or advisable
for the beneficiary's education, health, maintenance, and support.
In making any distributions of Income and principal under this
Article, our Trustee shall be mindful of, and take Into consideration
to the extent It deems necessary, any additional sources of
Income and principal available to the beneficiary which arise
outside of this agreement.
Any net Income not distributed to a beneficiary shall be accumu-
lated and added to principal.
b. Termination and Distribution
Our Trustee shall distribute the trust property to a beneficiary:
When he or she attains 21 years of age, or
When he or she ceases to be disabled.
'c. A Beneficiary's General Power to Appoint Trust Property
If a beneficiary should die before the complete distribution of his
or her trust, the trust shall terminate and all of the trust property
shall be distributed to such persons, corporations, or other
entities, Including the beneficiary's own estate, In the manner In
which the beneficiary shall elect.
This general power of appointment must be exercised by the
beneficiary by either a valid living trust or last will and testament,
either of which specifically refers to this power of appointment.
To the extent this general power of appointment Is not exercised,
our Trustee shall distribute the remaining trust property to the then
living descendants of the beneficiary, per stirpes.
If the beneficiary has no then living descendants, our Trustee shall
distribute the remaining trust property to our then living descen-
dants, per stirpes.
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If we have no then living descendants, our Trustee shall distribute
the remaining trust property as provided in Article thirteen of this
agreement.
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Article Fifteen
The Resignation, Replacement, and
succession of our Trustees
Section 1. The Reslgnallon of a Trustee
AnY Trustee may resign by giving thirty days' written notice to each of us
or to our respective legal representatives. If either of us Is not living, the
notice shall be delivered to the Trustee and to all of the benellciarles then
eligible to receive mandatory or discretionary distributions of net Income
from any trust created under this agreement.
If a benellclary Is a minor or Is legally Incapacitated, the notice shall be
delivered to that benellclary's guardian or other legal representative.
Secllon 2. The Removal of a Trustee
Any Trustee may be removed as follows:
a. Removal by Us
We reserve the right to remove any Trustee at any time, but only
\f we both agree.
b. Removal by One of Us
I
After one of us dies or during any period that one of us is
disabled and the other Trustmaker Is living and Is not disabled, '
the surviving nondlsabled Trustmaker may remove any Trustee.
c. Removal by Other Beneficiaries
After the death or Incapacity of both of us, a majority of the
beneficiaries then eligible to receive mandatory or discretionary
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distributions of net Income under this agreement may remove any
Trustee.
d. Notice of Removal
Neither of us, nor any of our beneficiaries, need not give any
Trustee being removed any reason, cause, or ground for such
removal.
Notice of removal shall be effective when made in writing by
either:
Personally delivering notice to the Trustee and securing
a written receipt, or
Mailing notice In the United States mail to the last known
address of the Trustee by certified mail, return receipt
requested.
Section 3. Replacement of Trustees
Whenever a Trustee Is removed, dies, resigns, becomes legally Incapacitat-
ed, or Is otherwise unable or unwilling to serve, that Trustee shall be
replaced as follows:
a. The Death or Disability of a Trustee While We Are Serving
as Trustees
We may serve as the only Trustees or we may name any number
of Trustees to serve with us. If any of these other Trustees
subsequently die, resign, become legally Incapacitated, or are
otherwise unable or unwilling to serve as a Trustee, we mayor
may not fill the vacancy, as we both agree. .
b. Disability Trustees of THOMAS F. FLETCHER
Upon the disability of THOMAS F. FLETCHER, EILEEN M.
FLETCHER shall serve as disability Trustee.
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lithe nondlsabled Trustmaker Is then serving as a Trustee, she
shall continue to serve upon the disability of THOMAS F.
FLETCHER.
If the dlsablllty Trustee is unwilling or unable to serve, or cannot
continue to serve for any other reason, then the following shall be
named as replacement dlsablllty Trustees In the order In which
their names appear:
First, SUSAN MARIE FLETCHER and THERESA MARIE
KERN; then If either or both are unable to serve,
Second, JOSEPH A. FLETCHER
c. Dlsablllty Trustees of EILEEN M. FLETCHER
Upon the disabl1lty of EILEEN M. FLETCHER, THOMAS F.
FLETCHER shall serve as disability Trustee.
If the nondlsabled Trustmaker Is then serving as a Trustee, he
shall continue to serve upon the disability of EILEEN M. FLETCH-
ER.
If the disability Trustee Is unwilling or unable to serve, or cannot
continue to serve for any other reason, then the following shall be
named as replacement disability Trustees In the order In which
their names appear:
First, SUSAN MARIE FLETCHER and THERESA MARIE
KERN; then if either or both are unable to serve,
Second, JOSEPH A. FLETCHER
d. Death Trustees of THOMAS F. FLETCHER
On the death of THOMAS F. FLETCHER, EILEEN M. FLETCHER
acting as our death Trustee shall replace all of our Initial Trustees,
If they are then serving, or all of the disability Trustees, If they are
then serving.
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Article Sixteen
General Matters and Instructions
with Regard to the Trusteeship
Section 1. Use of "Trustee. Nomenclature
As used throughout this agreement, the word ''Trustee'' shall refer to our
Initial Trustee as well as any single, additional, or successor Trustees. It
shall also refer to any Individual, corporation, or other entity acting as a
replacement, substitute, or added Trustee.
Section 2. No Requirement to Furnish Bond
Our Trustee shall not be required to furnish any bond for the faithful
performance of its duties.
If a bond Is required by any law or court of competent Jurisdiction, it Is our
desire that no surety be required on such bond.
Section 3. Court Supervision Not Required
All trusts created under this agreement shall be administered free from the
active supervision of any court.
Any proceedings to seek judicial Instructions or a Judicial determination
shall be Initiated by our Trustee In the appropriate state court having
original jurisdiction of those matters relating to the construction and
administration of trusts.
Sectfon 4. Our Trustee's Reeponslblllty to Make Informatfon Available to
Beneficiaries
Our Trustee shall report, at least semiannually, to the beneficiaries then
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eligible to receive mandatory or discretionary distributions of the net
Income from the various trusts created In this agreement all of the receipts,
disbursements, and distributions occurring during the reporting period
along with a complete statement of the trust property.
The trust's books and records along with all trust documentation shall be
available and open at all reasonable times to the Inspection of the trust
beneficiaries and their representatives.
Our Trustee shall not be required to furnish trust records or documentation
to any Individual, corporation, or other entity that Is not a beneficiary, does
not have the express written approval of a beneficiary, or Is not requesting
such pursuant to a court order.
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Section 5. Delegation among Our Trustees
Any Trustee may delegate to any other Trustee the power to exercise any
or all powers granted our Trustee In this agreement, Including those which
are discretionary, If allowed by law.
Our delegating Trustee may revoke any such delegation at will.
The delegation of any such power, as well as the revocation of any such
delegation, shall be evidenced by an Instrument In writing executed by the
delegating Trustee.
As long as any such delegation Is In effect, any of the delegated powers
may be exercised by the Trustee receiving such delegation with the same
force and effect as If the delegating Trustee had personally joined In the
exercise of such power.
Section 6. Utilization of Substitute Trustee
If our Trustee is unwilling or unable to act as to any trust property, our
Trustee shall designate, In writing, an Individual, bank trust department, or
trust company to act as a substitute Trustee with regard to such property.
The property being administered by the substitute Trustee, as well as the
net Income therefrom, shall be distributed or remitted as directed by the
delegating Trustee consistent with the terms of this agreement
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Each substitute Trustee shall exercise all of the fiduciary powers granted
by this agreement unless expressly limited by the delegating Trustee In the
Instrument appointing such substitute Trustee, or by any provision within
this Section.
Any substitute Trustee may resign at any time by delivering written notice
to our Trustee to that effect.
Secllon 7. Trustee's Fee
Our Trustee shall be entitled to fair and reasonable compensation for the
services It renders as a fiduciary. The amount of compensation shall be an
amount equal to the customary and prevailing charges for services of a
similar nature during the same period of time and In the same geographic
locale.
Our Trustee shall be reimbursed for the reasonable costs and expenses
Incurred In connection with Its fiduciary duties under this agreement.
Secllon B. A Malorlty of Trustees Required to Control
When more than two Trustees are acting, the concurrence and Joinder of
a majority of Trustees shall control In all matters pertaining to the adminis-
tration of any trust created under this agreement.
If only two Trustees are acting, the concurrence and loinder of both shall
be required.
When more than two Trustees are acting, any dissenting or abstaining
Trustee may be absolved from personal liability by registering a written
dissent or abstention with the records of the trust; the dissenting Trustee
shall thereafter act with the other Trustees In any manner necessary or
appropriate to effectuate the decision of the majority.
Secllon 9. Successor Corporate Fiduciaries
If any bank or trust company succeeds to the trust business of any
corporate fiduciary serving as a Trustee under this agreement, whether
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d. Allocation from an Exempt Trust First
Upon division or distribution of an exempt trust and a nonexempt
trust, our Trustee may allocate property from the exempt trust first
to a share from which a generation-skipping transfer Is mora likely
to occur.
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assets in an amount necessary to cause the exempt trust to be
entirely exempt from generation-skiPping tax. The other trust
share (the "nonexempt trust") shall consist of the remaining
fractional Interest of the total trust assets. For purposes of this
allocation, assets values as finally determined for federal estate tax
purposes shall be used.
b. Additions to a Separate Trust
If a trust under this agreement, whether created under this Section
or not, Is entirely exempt or nonexempt from generation-skipping
tax and adding property to It would partially subject the trust to
generation-skipping tax, our Trustee may hold that property In a
separate trust In lieu of making the addition.
c, Terms of the Trusts
If our Trustee divides a trust Into two separate trust shares or
creates a separate trust for additions, the trusts or trust shares
that result shall have the same terms and conditions as the
original trust. Our Trustee shall not make discretionary distribu-
tions from the Income or principal of the exempt trust to beneficia-
ries who are nonsklp persons as long as any readily marketable
assets remain In the nonexempt trust.
e. Taxable Distributions
if our Trustee considers that any distribution from a trust under
this agreement, other than pursuant to a power to withdraw or
appoint, Is a taxable distribution sublect to a generation-skipping
tax payable by the beneficiary, our Trustee shall augment the
distribution by an amount which our Trustee estimates to be
sufficient to pay the tax and shall charge the same against the
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Article Seventeen
Our Trustee's Administrative and
Investment Powers
Section 1. Introduction to Trustee's Powers
Except as otherwise provided In this agreement, our Trustee shall have
both the administrative and Investment powers enumerated under this
Article and any other powers granted by law with respect to the various
trusts created by this agreement.
Section 2. Powers to Be Exercised In the Best Interests of the Beneficia-
ries
Our Trustee shall exercise the following administrative and Investment
powers without the order of any court, as our Trustee determines in its sole
and absolute discretion to be In the best Interests of the beneficiaries.
Notwithstanding anything to the contrary in this agreement, our Trustee
shall not exercise any power In a manner inconsistent with the beneficiaries'
right to the beneficial enjoyment of the trust property In accordance with the
general principles of the law of trusts.
Section 3. Administrative and Investment Powers
Our Trustee is hereby granted the following administrative and Investment
powers:
a. Agricultural Powers
Our Trustee may retain, sell, acquire, and continue any farm or
ranChing operation whether as a sole proprietorship, partnership,
or corporation.
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It may sell or liquidate any business interest that Is part of the
trust property.
It may carry out the provisions of any agreement entered Into by
one or both of us for the sale of any business interest or the stock
thereof.
Our Trustee may exercise all of the business powers granted In
this agreement regardless of whether our Trustee is personally
Interested or an involved party with respect to any business
enterprise forming a part of the trust property.
C. Environmental Powers
Our Trustee shall have the power to Inspect any trust property to
determine compliance with any environmental law affecting such
property or to respond to any env/ronmenta/law affecting property
held by our Trustee. "Environmental Law" shall mean any federal,
state, or local law, rule, regulation, or ordinance relating to protec-
tion of the environment or of human health.
Our Trustee shall have the power to refuse to accept property if
our Trustee determines that there is a substantial risk that such
property is contaminated by any hazardous substance or has
previously, or is currentiy, being used for any activities directly or
IndIrectly Involving hazardous substances which could result In
liability to the trust assets. "Hazardous substance" shall mean any
substance defined as hazardous or toxic by any federal, state, or
local law, rule, regulation, or ordinance.
Our Trustee shall have the power to take any necessary action to
prevent, abate, clean up or otherwise respond to any actual 'or
threatened Violation of any environmental law affecting trust
property prior to or after the initiation or enforcement of any action
by any governmental body.
Our Trustee may disclaim or release any power granted to It or
Implied by any document, statute, or rule of law which the Trustee
determines may cause the Trustee to Incur liability under any
environmental law.
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Our Trustee may charge the cost of any inspection, review,
prevention, abatement, response, cleanup, or remedial action
authorized under this power against the trust property.
Our Trustee shall not be liable to any beneficiary or to any other
party for any decrease in value of the trust property by reason of
our Trustee's compliance with any environmental law, specifically
Including any reporting requirement under such law.
d. Common Fund Powers
For the purpose of convenience with regard to the administration
and Investment of the trust property, our Trustee may hold the
several trusts created under this agreement as a common fund.
Our Trustee may make Joint Investments with respect to the funds
comprising the trust property.
Our Trustee may enter into any transaction authorized by this
Article with fiduciaries of other trusts or estates in which any
beneficiary hereunder has an Interest, even though such fiducia-
ries are also Trustees under this agreement.
e. Compensation Powers
Our Trustee shall pay from Income or principal all of the reason-
able expenses attributable to the administration of the respective
trusts created In this agreement.
Our Trustee shall pay itself reasonable compensation for its
services as fiduciary as provided In this agreement, and shall
reasonably compensate those persons employed by our Trustee,
Including agents, auditors, accountants, and attorneys.
f. Distribution Powers
Our Trustee is specifically authorized to make divisions and
distributions of the trust property either In cash or in kind, or partly
In cash and partly In kind, or in any proportion It deems advisable.
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I. Investment Powers In General
Our Trustee may Invest and reinvest In such classes of stocks,
bonds, securities, commodities, options, metals, or other property,
real or personal, as It shall determine.
It may Invest In Investment trusts as well as In common trust
funds.
It may purchase life, annuity, accident, sickness, and medical
Insurance on the behalf of and for the benefit of any trust benefi-
ciary.
I. Ufe Insurance Powers
Our Trustee shall have the powers with regard to life Insurance as
set forth In this Paragraph j, except as otherwise provided In this
agreement.
Our Trustee may purchase, accept, hold, and deal with as owner
policies of Insurance on our Individual or joint lives, the life of any
trust beneficiary, or on the life of any person in whom any trust
beneficiary has an Insurable Interest.
Our Trustee shall have the power to execute or cancel any
automatic premium loan agreement with respect to any policy,
and shall have the power to elect or cancel any automatic
premium loan provision In a life Insurance policy.
Our Trustee may borrow money with which to pay premiums due
on any policy either from the company Issuing the policy or from
any other source and may assign any such polley as security for
the loan.
Our Trustee shall have the power to exercise any option contained
In a policy with regard to any dividend or share of surplus appor-
tioned to the policy, to reduce the amount of a policy or convert
or exchange the policy, or to surrender a policy at any time for Its
cash value.
Our Trustee may elect any paid-up insurance or any extended-
term Insurance nonforfeiture option contained In a policy.
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Trustee may choose.
m. Mortgage Powers
Our Trustee shall have the power to enter Into any mortgage
whether as a mortgagee or mortgagor, to purchase mortgages on
the open market, and to otherwise buy, sell, or trade In first or
subordinate mortgages.
It may reduce the Interest rate on any mortgage and consent to
the modification or release of any guaranty of any mortgage.
Our Trustee may continue mortgages upon and after maturity with
or without renewal or extension, and may foreclose any mortgage.
It may purchase the mortgaged property or acquire It by deed
from the mortgagor without foreclosure.
n. Nominee Powers
Our Trustee may hold any trust property in the name of our
Trustee, or In the name of a nominee, and may enter Into
agreements to facilitate holding such property. It may accomplish
such with or without disclosing Its fiduciary capacity.
o. Nonproductive Property
Our Trustee may hold property which Is non-Income producing or
Is otherwise nonproductive If the holding of such property Is, In
the sole and absolute discretion of our Trustee, In the best
Interests of the beneficiaries.
p. 011, Gas, Coal, and Other Minerai Powers
Our Trustee may do all things necessary to maintain in full force
and effect any 011, gas, coal, or other minerai Interests comprising
part or all of the trust property.
It may purchase additional 011, gas, coal, and other minerai
Interests when necessary or desirable to effect a reasonable plan
of operation or development with regard to the trust property.
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It may buy or sell undivided Interests In 011, gas, coal, and other
minerai Interests, and may exchange any of such Interests for
Interests In other properties or for services.
It may execute 011, gas, coal. and other minerai leases on such
terms as our Trustee may deem proper, and may enter Into
pooling, unitization, repressurizatlon, and other types of agree.
ments relating to the development, operation, and conservation of
minerai properties.
Any lease or other agreement may have a duration that our
Trustee deems reasonable, even though extending beyond the
duration of any trust created In this agreement.
It may execute division orders, transfer orders, releases, assign.
ments, farmouts, and any other Instruments which it deems
proper.
It may drill, test, explore, mine, develop, and otherwise exploit any
and all 011, gas, coal, and other minerai Interests, and may select,
employ, utilize, or participate In any business form, including
partnerships, joint ventures, co.owners' groups, syndicates, and
corporations, for the purpose of acquiring, holding, exploiting,
developing, operating, or disposing of 011, gas, coal, and other
minerai Interests.
It may employ the services of consultants or outside specialists In
connection with the evaluation, management, acquisition, dlsposl.
tion, or development of any minerai Interest, and may pay the cost
of such services from the principal or Income of the trust property.
Our Trustee may use the general assets of the trusts created
under this agreement for the purposes of acquiring, holding,
managing, developing, pooling, unitizing, repressurlng, or
disposing of any minerai Interest.
q. Powers of Attorney
Our Trustee may execute, deliver, and grant to any Individual or
corporation a revocable or Irrevocable power of attorney to
transact any and all business on behalf of the various trusts
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t. Powers of an Insured Trustee
Any Individual Trustee under this agreement, other than either of
us, Is prohibited from exercising any power conferred on the
owner of any policy which Insures the life of such Individual
Trustee and which Is held as part of the trust property.
If our Trustoe holds any such policy or policies as a part of the
trust property, tho powers conferred on the owner of such a policy
shall be exercised only by the other then acting Trustee.
If the Insured Trustee Is the only then acting Trustee, then such
powers shall be exercised by a substitute Trustee designated
pursuant to the provisions of this agreement dealing with the
trusteeship.
If any rule of law or court decision construes the ability of the
insured Trustee to name a substitute Trustee as an Incident of
ownership, the substitution process shall be Implemented by a
majority of the then current mandatory and discretionary Income
beneficiaries, excluding the Insured Trustee If the Insured Trustee
Is a beneficiary.
u. Real Estate Powers
Our Trustee may purchase, sell, transfer, exchange or otherwise
acquire or dispose of any real estate.
Our Trustee may make leases and grant options to lease for any
term, even though the term may extend beyond the termination of
any trust created under this agreement.
It may grant or release easements and other Interests with respect
to real estate, enter into party wall agreements, execute estoppel
certificates, and develop and subdivide any real estate.
It may dedicate parks, streets, and alleys or vacate any street or
alley, and may construct, repair, alter, remodel, demolish, or
abandon Improvements.
It may elect to Insure, as it deems advisable, all actions contem.
plated by this subsection.
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z. Trust Addition and Retention Powers
Our Trustee Is authorized to receive additional trust property,
whether by gift, will, or otherwise, either from us, from either of us,
or from any other person, corporation, or entity.
Upon receipt of any additional property, our Trustee shall admlnls.
ter and distribute the same as part of the trust property.
Our Trustee may retain, without liability for depreciation or loss
resulting from such retention, all property constituting the trust
estate at the time of its creation or thereafter received from other
sources.
The foregoing shall be acceptable even though such property may
not be of the character prescribed by law for the Investment of
trust funds or may result In Inadequate diversification of the trust
property.
aa. Trustees' or Fiduciaries' Powers Acts
In addition to all of the powers specifically granted our Trustee In
this Article, our Trustee may exercise those powers set forth under
the Trustees' or Fiduciaries' Powers Acts, or their equivalent, of the
State of Pennsylvania, together with any amendment to such laws.
Our Trustee may perform every act reasonably necessary to
administer each and every share or trust created under this agree-
ment.
All of the powers granted to our Trustee In this Article shall be In
addition to those powers conferred upon Trustees under all
applicable state and federal statutes.
Each power conferred upon our Trustee under this Article, or
upon Trustees In general, by applicable state or federal statutes,
shall be subject to any express limitations or contrary directions
contained In this agreement.
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The distributable assets are to be divided Into as many
shares as there are then living children of such person
and deceased children of such person who left then
living descendants.
Each then living child shall receive one share and the
share of each deceased child shall be divided among
such child's then living descendants In the same manner.
d. Education
As used In this trust, "educatfon" shall Include:
Any course of study or Instructfon at an accredited
college or university granting undergraduate or graduate
degrees.
Any course of study or instructfon at any Instftutfon for
specialized, vocational, or professional training.
Any curriculum offered by any Instltutfon that Is recog-
nized for purposes of receiving financial assistance from
any state or federal agency or program.
Any course of study or Instructfon which may be useful
In preparing a beneficiary for any vocatfon consistent
with the beneficiary's abilltfes and Interests.
Distributions for educatfon may Include tuition, fees, books,
supplies, living expenses, travel, and spending money to the
extent that they are reasonable.
e. Personal Representative
For the purposes of this agreement, the term 'personal represen-
tative' shall Include an executor, administrator, guardian, custodl.
an, conservator, Trustee, or any other form of personal represent
tatlve.
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f. Disability
Except as otherwise provided In this agreement, any Individual
may be treated as disabled, Incompetent, or legally Incapacitated
if:
The Individual has been declared or adjudicated as such
by a court of competent jurisdiction, or
A guardian, conservator, or other personal representative
of such Individual's person or estate has been appointed
by a court of competent Jurisdiction, or
The Individual has been certified as such In writing by at
least two licensed physicians, or
The Individual has disappeared or Is absent for unex-
plained reasons, or the Individual Is being detained
under duress where the Individual Is unable to effectively
manage his or her property or financial affairs.
Section 2. Dissolution of Our Marriage
If our marriage Is dissolved at any time, each spouse shall be deemed to
have predeceased the other for purposes of distributions under this
agreement. It Is our Intent that our respective property held In our trust
shall not be used for the benefit of the other spouse upon the dissolution
of our marriage.
Section 3. The Rule Against Perpetuities
Unless sooner terminated by the express provisions of this agreement,
each trust created in this agreement shall terminate twenty-one years after
the death of the last survivor of the group composed of the both of us and
those of our descendants living at the time the first one of us dies. At that
time, the property held in trust shall be discharged of any further trust, and
shall Immediately vest in and be distributed to those persons entitled to
receive or have the benefit of the Income from the respective trust.
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For purposes of distributions under this Section only, It shall be presumed
that any person then entitled to receive any discretionary payments of the
Income of a separate trust Is entitled to receive all of the Income, and It
shall be presumed that any class of persons entitled to receive discretion.
ary payments of Income Is entitled to receive all of such Income.
Section 4. Protective Clause
To the fullest extent permitted by law, the interests of all of the beneficiaries
In the various trusts and trust property subJect to this agreement, except for
our Interests In the various trusts or trust property subject to this agree.
ment, shall not be alienated, pledged, anticipated, assigned, or encum.
bered unless specifically authorized by the terms of this agreement.
Such Interests shall not be subject to legal process or to the claims of any
creditors, other than our creditors to the extent of each of our respective
Interests In the trusts or trust property, while such Interests remain trust
property.
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Section 5. Maintaining Property In Trust
If, on the termination of any separate trust created under this agreement,
a final distribution Is to be made to a beneficiary for whom our Trustee
holds a trust created under this agreement, such distribution shall be
added to such trust rather than being distributed.
The property that Is added to the trust shall be treated for purposes of
administration as though It had been an original part of the trust.
Section 6. Survivorship Presumptions
If the order of our deaths cannot be established by proof, the wife
Trustmaker shall be deemed to have survived the husband Trustmaker.
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See lion 7. Contest Clause
If any person, Including a beneficiary, other than one of us, shall In any
manner, directly or Indirectly, attempt to contest or oppose the validity of
this agreement, Including any amendments thereto, or commences or
prosecutes any legal proceedings to set this agreement aside, then In such
event such person shall forfeit his or her share, cease to have any right or
Interest In the trust property, and shall be deemed to have predeceased
both of us.
Should any person disclaim his or her Interest, In whole or In part, in any
trust created for his or her benefit in this trust agreement, the result of
which would be for that person to receive trust property free of trust earlier
than provided by the terms of the trust, then the disclaiming person shall
forfeit his or her Interest In the trust, shall cease to have any right or Interest
In the trust property, and shall be deemed to have predeceased both of us.
In the event the surviving Trustmaker successfully elects to take a statutory
share of the deceased Trustmaker's estate as provided under state law,
then the surviving Trustmaker's interest In the deceased Trustmaker's
property In this trust shall terminate and any of the deceased Trustmaker's
property previously held In trust for the benefit of the surviving Trustmaker
as provided In this agreement shall be held and distributed as though the
surviving Trustmaker had predeceased the deceasad Trustmaker,
notwithstanding any provision In this agreement to the contrary.
Section B. Changing the Trust Situs
After the death or disability of one of us, the situs of this agreement may
be changed by the unanimous consent of all of the beneficiaries then
eligible to receive mandatory or discretionary distributions of net Income
under this agreement.
If such consent is obtained, the beneficiaries shall notify our Trustee In
writing of such change of trust situs, and shall, if necessary, designate a
successor corporate fiduciary In the new situs. This notice shall constitute
removal of the current Trustee, If appropriate, and any successor corporate
Trustee shall assume its duties as provided under this agreement.
A change In situs under this Section shell be final and binding, and shall
not be subject to Judicial review.
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Section 9. General Matters
The following general matters of construction shall apply to the provisions
of this agreement:
a. Construction
Unless the context requires otherwise, words denoting the singular
may be construed as denoting the plural, and words of the plural
may be construed as denoting the singular. Words of one gender
may be construed as denoting another gender as is appropriate
within such context.
b. Headings of Articles, Sections, and Paragraphs
The headings of Articles, Sections, and Paragraphs used within
this agreement are Included solely for the convenience and
reference of the reader. They shall have no significance In the
Interpretation or construction of this agreement.
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c. Notices
All notices required to be given In this agreement shall be made
In writing by either:
Personally delivering notice to the party requiring It, and
securing a written receipt, or
Mailing notice by certllled United States mall, return
receipt requested, to the last known address of the party
requiring notice.
The effective date of the notice shall be the date of the written
receipt or the date of the return receipt, If received, or If not, the
date It would have normally been received via certified mall,
provided there Is evidence of mailing.
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d. Delivery
For purposes of this agreement 'delivery' shall mean:
Personal delivery to any party, or
Delivery by certified United States mall, return receipt
requested to the party making delivery.
The effective date of delivery shall be the date of personal delivery
or the date of the return receipt, if received, or If not, the date It
would have normally been received via certified mall, provided
there is evidence of mailing.
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e. Applicable State Law
The validity of this trust shall be determined by reference to the
laws of the State of Pennsylvania.
Questions with regard to the construction and administration of
the various trusts contained in this agreement shall be determined
by reference to the laws of the state in which the trust Is then
currently being administered.
f. Duplicate Originals
This agreement may be executed In several counterparts; each
counterpart shall be considered a duplicate original agreement.
g. Not Contractual
We are executing our wills at or about the same time, but even though
our wills are similar, they are not Intended to be, and shall not be
construed to be, contractual or reciprocal.
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h. Severability
If any provision of this agreement Is declared by a court of
competent Jurisdiction to be Invalid for any reason, such Invalidity
shall not affect the remaining provisions of this agreement. The
remaining provisions shall be fully severable, and this agreement
shall be construed and enforced as If the Invalid provision had
never been included In this agreement.
We have executed this agreement the day and year first written above.
We certify that we have read our foregoing revocable living trust agree.
ment, and that It correctly states the terms and conditions under which our
trust property Is to be held, managed, and disposed of by our Trustee. We
approve this revocable living trust In all particulars, and request our Trustee
to execute It.
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THOMAS F. FLETCHER, Trustmaker
~J.._ ~rl._'-"')~'~,
EILEEN M. FLETCHER, Trustmaker
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THOMAS F. F ETC ER, Trustee
A./. ,~_ ??-7 L ~ ~ ~IA./
EILEEN M. FLETCHER, Trustee
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STATE OF PENNSYLVANIA
COUNTY OF DAUPHIN
. )
) ss.
)
The foregoing living trust agreement was acknowledged before me on June
3, 1994, by THOMAS F. FLETCHER, as Trustmaker and Trustee.
Witness my hand and official seal.
My co
m Isslor1lW'lUllrreel7'l
CONNIE L. RI!ES~, Notary Public
oerry Twp" Oauphin County
My Commission Expires Feb. 1995
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,
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STATE OF PENNSYLVANIA
COUNTY OF DAUPHIN
)
) ss,
)
The foregoing living trust agreement was acknowledged before me on June
3,1994, by EILEEN M, FLETCHER, as Trustmaker and Trustee.
Witness my hand and official seal.
"" . I
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." ',' ...., \' I' My
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CONNIE L. REESE. Nolary Public
Derry Twp., Dauphin Counly
My Commission Ex Ires F
I'
.' "
,,'
18.9
.,/
I.
, .
, .'
,.
.. I
ACN
201
REV-483 EX AFP (lZ-9S*,
COMMONWEAltH OF P[NNSYlVANIA
DEPARt"ENt OF PEVlHUE
IlUAUU OF INDIVIDUAl Tun
DEPt. nOM. .
IIARRJSlUAG, PA Ull..0601
NOTICE OF DETERHINATION AND
ASSESSHENT OF PENNSYLVANIA
ESTATE TAX BASED ON FEDERAL
ESTATE TAX RETURN
DATE
05-20-96
S TE OF flETCHER THOMAS
DATE OF DEATH 03-06-95
F
FILE NO.21 95-0918
COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREOIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX
PAVHENT TO THE REGISTER OF WILLS. HAKE CHECK PAVABLE TO "REGISTER OF WILLS, AGENT".
REHIT PAYHENT TOI
GARY L JAMES ESQ
134 SIPE AVENUE
P.O. BOX 650
HERSHEY PA 11033
REGISTER OF WILLS
CUMBERLAND CO COURT
CARLISLE, PA 11013
I
HOUSE
AMount R...ltt.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ~
hifv:4Sii-EX--AFP" "iiz:-9si----".-.-Niificif"oF--PETE-RHiN -ATio-N-AN-P-AifsESS-HENT-----------------------------
OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN ..
ESTATE OF FLETCHER
THOMAS
F FILE NO.21 95-0918
ACN 201
DATE 05-20-96
ESTATE TAX DETERMINATION
1. Credit For Stata Daath Taxea aa Verified
2. Pennsylvanie Inharitance Tex Assessed
(Excluding Discount and/or Intarast)
3.048.18
3. Inheritance Tex Assessed by Other Stetes
or Territorias of the United States
(Excluding Discount and/or Interest)
.00
4. Tote 1 Inheritance Tax Assessed
5. Pannsylvania Estete Tax Dua
TAX CREDITS I
PAYMENT
DATE
DISCOUNT (+)
IIITEREST (-)
RECEIPT
NUMBER
AMOUtlT PAl D
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
-IF PAID AFTER THIS OATE, SEE REUERSE SIDE (IF TOTAL OUE IS LESS THAN '1. NO PAVHENT IS REQUIRED
FOR CALCULATION OF ADOITIONAL INTEREST. IF TOTAL OUE IS REFLECTEO AS A "CREOIT" (CRl, YOU HAV BE
OUE A REFUND. SEE REVERSE SIOE OF THIS FORH FOR INSTRUCTIONS.l
('
.00
~ -. .- ,"" .,- '" - '.
po ~~ :0
...... (:: :o(\}
j' ~. If. ,.
"-', .,
\. I ~
=<
, ~
--l
PURPOSE OF
HOTlCEI
To ful'lll the raqulra.ant. of Sactlon 2145 Ib>> of (ha Innarltanea and E.t.'a Ta.
(72 P.S. Sactlon 21'S>>.
~'-' ;')
"
:Ut:
Act, )i\:U of
:lJ
t.J
t~.
(,'i r;
PAYHENTI Datleh the top portion of thl. Notlc. ~d .ub.lt with your p.y.ant to th. Raal.tar of Will. prlntad on th.
r.var.. sid..
... "Ilka ehack or .on.y ord.r p.yabla tal REGISTER OF MILLS, AGENT.
All pay.ant. r.e.lv.d .h.11 b. .ppll.d flr.t to any Int.r..t which ..v ba du. with any r...lnd.r appll.d to th. ta..
REfUND (CR>>I A r.fund of a tall. cradlt .ay ba raqul.tad by co~l.tlng an "Application for R.,und 0' Plnn,Ylvanla
InnarU1NtC1 and Eltat. tall." (REY.UUJ. Application. arl avaUabl. at th. Offlca 0' tha Ragl.ter of WIlIt,
any 0' tha 25 R.vanu' DI.trlct O'flca. or fro' tha D.p,rt..nt'. 24-hour an.w.rlng .arvlel nu.bar. for far.. ord.rlngl
In pann.vlvanla 1-800-362-2050, out.lda Pann,vlvanla and within local H.rrl.burg ar.a (717) 767-6094,
ToOt (717)> 712.1252 ctt..rlng I.p.lr.d Only).
OIJECTIDNSI Any party In Int.r..t not .atl.,I.d with th. ........nt of tall. a. .hown on thl. notlcl "V obJ.et within
.I.tv c'OJ day. 0' r.calpt of thl. Hotlc. bYI
--wrltt.n protut to 'th. PA D.part.ant of R.v.nua, Board of Appa.lt, D.pt. 281021, Harrltburg, PA 17128.1021, DR
--alacUng to have thl .attar datlralnad It audit of tha par.anal rapnllnt.Uva, DR
....pp..l to thl Orphan.' Court.
ADHIN-
ISTRATlYE
CORRECTIONS I f.ctuII arror. dl.coverad on, thl. ........nt .hould be .ddr....d In writing tal PA Depart.ant of R.V.nul,
lur.lu of Indlvldu.1 Ta.a., ATTHI po.t A.......nt R.vlaw Unit, Dlpt. 2B0601, Harrl.burg, PA 17126.0601,
Phona (7171 787-6505. S.a p.g' 5 of thl booklat "In.tructlon. for Inn.rltanca Tall. Aaturn far a Ra.ldlnt
Dlcadant" CREY-1S011 for an I.plan.tlan of .dalnl.tratlvllY corrlctabll .rrar..
PENALTY I
Tha 15~ t'M aana.tv non-participation p.nalty I. cOlputad on th. total of tha ta. and Int.ra.t .......d, .nd not
paid bafa,. J.nuary 16, 1"6, tha first dlV Ift.r the gnd 0' the ta. aanuIY p.rlad. Thlt nan-participation
p.n.lty h .pp.llabl. In the .... alnn.r Ind In the the .e.. tI... p.rlad u you would appael th. ta. end lntarllt
that h.. baan .......d u Indlut.d an thl. notlc..
INTEREST I
far det.. of d.eth an or alt.r 10-3-91, P.nn,Ylvanla E.tata ra. ba..d on the fld.ral E.tat. 'e.
r.turn blco.., d.llnqu.nt at th. ..plratlan of nln. (09) .onth. fro. th. data of d..th.
far dat.. of d..th prior to 10-3-'1, P.nn,Vlvanla E.tat. 'aM ba.ad on thl fld.r.1 E.tat. ,.. rlturn
b.co.,' d.llnqu.nt It tha ..plratJon of .Ight.en (18) .anth. fro. the d.t. of da.th.
,.x" which b.c.,. dlllnqu.nt b.fare JanuerY 1, 1.82 baar Int.r..t at th. rat. of .1. (6~) p.rc.nt p.r annUl
c.lculat.d at a dallv r.t. 0' .000164. All t.... which b.ca.e d.llnqulnt an or .ft.r January 1, 19.2 will b.ar
Int.r..t .t . r.t. which will vary fro. cal.ndar ya.r to cal.ndar y.ar with that r.t. announc.d bV the PA
D.part..nt af R.vanu.. Th. applicable Intar..t rat_. for 1'82 through 1..6 er.,
Yaar Intar..t Rat. Dally Int.rut Factor y.er Int.rut Rat. Dally Inta,..t factor
198Z 20:< .000548 1981 ". .000Z,.7
19n 16:< .000438 1988-1991 U:C .000501
1984 11:< .000301 1992 ". .000Z,.1
1985 U~ .00OSS6 1993-1"" 7. .00019Z
198' 10:< .0002710 1995-1996 ". .000Z47
--Int.rllt It calculatad .. follawlI
INTEREST D BALANCE OF TAX UNPAID X NUKBER OF OAYS DELINQUENT X OAILY INTEREST FACTOR
--Any Hatlc. I..u.d .,t.r th. t.. b.ca.e. d.llnquent will rl,llct an Int.r..t calculation to fl,tl.n CI51 day'
b.vond the date of th. ........nt. If pav.ant I. .ad. .ftlr the Int.r..t co.putatlan date .hawn an the
Natle., addltlon.l Int.ra.t IU.t b. calculat.d.
f
P '7/- I'
REV-lS47 EX AFP 112-9SI*,1
COM"ONWfALtH or P[NNSVIVANIA . I
DlPAN1HLNI or Rli.VrHU[
BURU,U or 'NDIYliJUAl IAKI sf,. .
DlP'. n:i.ol I
11ARAlnUAG, PI 171la'UDl .
ESTATEOF FLETCR~~~
DATE OF DEATH 03-06-95
..
NOTICE OF INIlERITANCE TAX
APPRAISEHENT. ALLOWANCE OR OISALLOWANCE
OF DEDUCTIONS AND ASSISS"ENT OF TAX
ACN 101
FILE NO.
COUNTY
DATE 05-20-96
n.=-O~Til
CUH8ERLAND
NOTE, TO INSURE PROPER CREOIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX
PAVHENT TO THE REGISTER OF WILLS. HAKE CHECK PAVABLE TO "REGISTER OF WILLS. AGENT"
REMIT PAYMENT TO:
GARY L JAMES ESQ
134 SIPE AVENUE
P.O. BOX 650
HERSHEY PA 11033
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 11013
Allount Raltlt ted
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .....
hifv:isW-EX-"FP--nF9SY-NiificE--liF""fNHEiiii'A;icE-YAX-APPRAisEH€N,.-;-"Lrc:iwANcE"iilimm-----------
DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX
ESTATE OF flETCHER THOMAS F FILE NO. 21 95-0918 ACN 101 DATE 05-20-96
TAX RETURN WAS. I ACCEPTEO AS FILEO I XI CHANGED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I cat.t. (Schadule AI Cl)
2. stocks and Bond a (Schadule OJ (2)
3. Clos.ly Hdd stock/P.rtnership Int.rast (Sch.dul. C) UJ
~. Hortg_D.I/Not.. Racalvabl. ISchedule DI (4)
5. C..h/Dank Depolitl/Milc. Pa,.lonal Property (Sch.dul. EI (5)
6. Jointly ONnad Property ISchaduh f) (6)
7. T,.anlfa"l (Schadul. OJ 171
8. Total A...t.
If an assessment was issued previously, lines 14, IS and/or 16. 17 and 18
reflect figures that include the ~Dtal of ~ returns assessed tD date.
ASSESSHENT OF TAX:
15. Anou"t of Lina 1~ at Spou,.l rat. (15)
16. Aftount of Lina 14 taxabla at Lin..l/Cla.. A rat. (1&)
17. Ar.ount of LJne 14 bxabl. at Coll.taraI/Cla.. 8 rat. Cl7J
18. PrlnclPMI Tax Dua
APPROVED DEDUCTIONS AND EXEHPTIONS:
9. Fun.ral Expan.../Ad., Co.t./Hi.c, Expan... (Schedule HI C9J
10. D.bta/Hodgaga Liabilitie./U.n. (Sch.duh II nO)
it. Total Deductions
12. Hat Value of Tax R.turn
13. CharJtabla/Oov.rnM.ntal Daqu..ts tSch.dula J)
14. Hat Value of E.tate Subjact to Tax
NOTE:
TAX CREDITS:
PAVHEHT
DATE
12-06-95
RECEIPT
NUHBER
AA082317
OISCOUNT (al
INTEREST (-I
.00
.00
.00
.00
.00
31.430.00
.00
569.461.85
IBI
606.897. 85
11.320. DO
.00
111)
112)
1131
1141
11 . ~?O 00
595.511.85
.00
595.577.85
will
544.164.8e
50.812.91
.00
X .00.
K.061J
X .15.
1181
.00
3.048.18
.00
3.048.78
A"OUHT PAID
5,531.45
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
. IF PAIO AFTER OATE INOICATEO, SEE REVERSE
FOR CALCULATION OF AOOITIONAL INTEREST.
5.531.45
2.488.61CR
.00
2,488.61CR
IF TOTAL DUE IS LESS TItAN H, NO PAVHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU HAV DE DUE
A REFUNO. SEE REVERSE SIOE OF TllIS FORH FOR INSTRUCTIONS..
..
RESERVATIONr E.'at.. 0' dlcldant. dvl"g on or blfor. Dlc..b., 12, 1912 .. If any future Int.t..t In thl ..tat_ I, tran,l.rr.d
In po.....lon or .,.Jo","ent to Cl... . Icalla'ar.U banetlclarla. 0' the dlndant after thl ..plntlon of any ..tat. 'or
11'. or for v..r., thl Co..onw..lth harebY AMpr..,ly r...tv.. Ihl right to appral.. and ...... tran,'.r Inh.rltanca T....
at thl lawful Cia.. I Icol1ataral) r.t. on uny .ueh lutur. Int.r..t.
PURPOSE OF
NOTJCEI To fulfill the raqult...nt. 0' Slctlon ZI~O 0' thl Inh.rltanca and [,tat. Ta. Act. Act IZ of 1991. 72 P.S.
Sactlon '."0.
PAYMENT.
Detach thl top portion of thl. Hotlea and lubelt with your pIy'.nt to Ih. AIgllt.,. of Will. prlnt'd on thl tav.r.. .lda,
..Haka chIck Dr IOMY ordu payabl, tOI REGISTER OF HILLS, ADENT
All Plv.ant. rlcllvld .hlll 'Ir.t bl appllad to any Intara.t which ..y b. due with .nv ra.alnd.r appllld to the tax.
REFUND eCR)1 A r.'und a' a ta. cradlt, which w.. not r.qu..t.d an the Te. Return, a.y b. r.qua.t.d by coapl.tlng an "Application
'or RI'und of PaMsvlvanla Inherlt.nca end Est.ta T.... tREV-UU). Appllc.tlon. are avallabl. et tha OffiCI
a' tha R.gl.tar of Will., any of tha 25 R.v.nua Ol.trlct O'flca., or by c.lllng thl 'Plclal 24-haur
.n.~.rlng ..rvlc. nuab.r. 'or for.. ord.rlngl In P.nn.vlv.nle 1-100-56Z~ZOSO, aut. Ida P.nn.ylvanl. and
within local ttarrhburg .r.. (717) 787-1094, TOO' nl7J 77Z-Z2S2 lIt..rlng I.p.lr.d Only).
OBJECTIOHSI Any p.rty In Intar..t not .atl,flad with the .ppr.I....nt, ello~anc. or dl..llowanc. of d'ductlons, or ........nt
of t.x (Including dl.count or Int.r..tl .. .hown an thl. Notlca MU.t obJ.ct within .I.tv (601 days of rac.lpt of
thh Notlc. bYI
-~wrltt.n prot.st to the PI. D.p.rt..nt of R.v.nu., Board of App.als, O.pt. 2BI021, Ilarrl.burg, PI. 1712B-1021, OR
--.I.ctlon to h.ve the ..tter d.t.ralnad at audit of the .ccount of the p.r.onal r.pre..ntetlvl, OR
--.pp.al to th. Orphan.' Court.
ADHIN
ISTRATlVE
CORRECTIONS I
F.ctual .rrar. dl.covarad on thl. ........nt .hould b. .ddr....d In ~rltlnQ tal PI. O.part..nt of Rav.nu.,
Bur.au of Individual la..., ATTHI Po.t A.......nt R.vl.w Unit, D.pt. t8D601, Ilarrhburg, PI. 17UI-06DI
Phon. (7171 117-6S0S. 5.. page J of the bookl.t "In.tructlon. far (nh.rlt.nc. Ta. R.turn lar . Ra.ldlnt
D.c.dlnt" CREV-IS01) for .n ..pl.n.tlon of .d'lnl.tr.tlv'IY corr.ct.bl. .rror..
DISCOUNT I
If any t.. due I. p.ld within thr.. (5) cal.nd.r aonth. .ft.r th. dac.d.nt'. da.th, a flv. p.rc.nt (SXI discount of
tha t.. p.ld I. allo~ld.
PENAL tVI
Th. IS~ t.. ..oe.ty non-p.rtlclp.tlon p.n.lty I. co.put.d on the tot.l of the t.. and Int.r..t .......d, and not
p.ld blfor. Janu.ry II, 1996, the flr.t day .ftar the .nd of the ta. a.na.ly parlod. Thl. nan-partlclpallon
p~.lty I. .pp..labl. In the .... .'M.r .nd In Ih. Ihl .... II.. p.rlod a. you would app.al Ih. la. and Int.rl'I
th.t hac b.an .......d .. Indlc.I.d on Ihl. notlc..
INTEREST I
Inl.r..t I. ch.rg.d b.glnnlng with flr.I da~ of d.llnqu.ncy, or nln. 191 .onlh. .nd on. (I) day Ira. the dal. of
d.ath, 10 Ih. date of p.y..nt. T'M" which b.c... d.llnqulnt b.for. J.nu.ry I, 191Z b..r Inllr..t at Ih. r.I. of
.1. (6X) p.rcln' p.r annua c.lcul.I.d at a dall~ r.I. of .OOOI'~. All I,.e. which beca.. dallnquant on .nd .fl.r
J.nuarv 1, 1912 w~11 b..r Int.ra.t ftt a rata ~hlch will varv froo c.l.ndar ya.r 10 enlandar yaar wllh Ih.t r.la
announcld by Iha PI. Oap,rt..nt 01 R.venu.. Th. .ppllc.bl. Inl.re.t r.I.. for 1912 through 1996 ar.1
'!!!! Inter.st Rat. Oalh Inlar..t faclor :!!.!! Inhr..I Rala O.IIY Int.r..t fllc'or
I9IZ ,,~ .DOOS~I 1917 .~ .aaD2~7
1911 16X .aaouI 1911-1991 m .000301
191~ U:C .000301 1992 .. .aaD247
I9IS U:C .OO03S6 1993-1994 ,. .aaDI9Z
1916 I.~ .aaDZ1~ 1995al996 .~ .000247
--Inler..t I. calcul.lad a. followlI
INTEREST . BALANCE OF TAX UNPAID X NUHBER OF OAYS DELINQUENT X DAILY INTEREST FACTOR
_aAny Hotlc. l'lu.d afl.r the t.. baco.a, d.llnqu.nt will refl.ct an Intar..I c.lculatlon 10 Ilftaan (15) d.y.
b.yond the d.le of Ih. ........nl. If pay..nt I. .ad. .flar Ihe inl.r..t co.pul.tlon dal. .hown on Ih.
Hotlc., .ddltlonal Inl.r..t .u.t bo ulcul.tad.
.IYI"DI.....'
-
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEAlltl or PINN.YIVANIA
DEPARTMENT or RIVINUI
BUReAU O. INOIVIDUAL TAxn
PER 280601
HA,R'UURO, PA 17128,01101
DECEDENT'S NAME
ruE NUM8ER
it" " L:.t.:..J.l_J__-,-_I,__-1. ~L.c..'..__..____,_,~.
~. I
r.' \ f-'''
ACN
, ("
SCHEDULE
ITEM
NO.
E)C,LANATION 0' CHANGES
, . \ \-' ~
{\ \ \.
1i
I , r , I t
:~..,' , S'I y
t1j ~. I
I
('\
,..".~
.\
_!.~ I. f \.I.."L
_!,)-~^,-~,_ ~..c
.~
;.' ,
. .
J't ~ - r
I J l
\. '.:..._:_.:-~ 4..'
" -...
. . ~'.' ,
: .- -~ ''---J
l'_sA l:.,-. "- ......
. ""...~ .~... _\'fl" ~f_~
:o:l;\.t,,,J ~
i \'...:.~.,
TAX EXAMINER,..-
(."', 111 L....,..-.
- ---------/-'-
-'
PAGE -
~.
~.
: c.\/';
'.'",
'a.l!l
'I"-l ..,
;'Ul,.....
q~..-
....;'"
\.... ...
.....1t.,
u.- '"
t:.1111
..... ~ -
Ooj,;J
,-) ~
CIa;
cr.
'sA
-co
N
~
-fR-
',"t'
~'c-o
~
\ ',(
ill,
,~ -,
_J If!
'-.!.~
N
-
;.J
"~
i... .
r., r ~
wu:.
a:
\.0
p'
'. E
l!!::i
UU
PAYHENJ I
Detach the top portion of thh Nolin and .ub.1t with your pay..nt ..de payable to the n... and addr...
prlntad on the ,avar.. .Id..
If RESIDEH' DECEDENT .."'a check or aonay order payable tal REGISTER OF WILLS, AGEHT.
If HOH-RESIDENT OreEDENr ...... chack Dr aanay order payable tal COHMONWEAL TH OF PENNSVLVANIA.
All pay.antl nulvad ,hall ba appllad first to any In brut which ..y ba due wlth any r...lnde,. applied to the hlC,
REFUND ICAI, A r.fund of . ta. credit, which ..a. not raqua.tad on the TalC Return, ..y ba raqua.tad by coaplatlng an
"Application for R.fund of Pann.vlvanla Inherltanca and Eltat. 'ax" (REV.1515J. Application. at. avallabla at
the Office of the R.glsta' of Will., any of the 21 R.v.nu. DI.trlct Offlc.. or fro. the D.part..nt". 2'.hour
an.w.rlng .arvlc. nu.blr. far far.. ard.rlngl In P.nn.~lvanla 1.800-362.Z0S0, aut.ld. Pann.vlvanl.
and within local Harrl.burg .r.. (717) 787.809~, IDOl (717) 772~2252 (H.arlng I.palr.d anl~).
REPLV 101
Qua.tlan. ragardlng arrar. contaln.d on thl. natlca .hauld b. .ddr....d tal PA Dlpart..nt of R.v.nu., Bur.au
of Indlvldull ta_I', AllHl Pa.t A.......nt R.vl.w Unit, D.pt. 280601, Harrl.burg, PA 17128.0601, phona
(717) 787.6505.
NSCOUHT I
If any taM due Is paid within thr.. (3) calandar .onths .ftar tha d.c.dlnt.. d..th, . flv. p.rc.nt 15~) discount
of the taM paid I. allowad.
PEHALTVl
Th. 15~ taM a~..ty non.partlclpatlan p.n.ltv I_ coaputad an tha total of the ta. and Int.ra.t .......d, and not
paid b.for. January 18, 1996, the flr.t dav aft.r the and of tha ta_ a.n..ty parlad.
INTEREST I
Intar.st I. chargad baglnnlng with first dav of d.llnquancv, or nlna (9) .onth. and on. (1) dav fro. tha data of
daath, to the data of pa~a.nt. la_a. which baca.. d.llnquent b.for. January I, 198Z b.ar Intar..t at tha rat. of
,1M (6~l parcant par annu. calculatad at a dally rata of .000164. All ta_.s which b.ca.. dallnqu.nt on and aftar
Januarv 1, 1982 will baat Int.r..t at a rata which will vary fro. Cllandar yaar to cat.ndar y.ar with that rata
announcad by tha PA napart..nt of N.vanuI. Th. appllcabl. Int.r..t rat.. for 1982 through 1996 .ral
V.ar
Intar..t Rata nalty Jnt.ra.t Factor
Vaar
Int.r..t Rat.
Dally Int.r..t Factor
1982 ZO:t .0005~8 1987 .. .0002~7
19a1 16:t .000ltS8 1988.1991 1I:t .000101
198~ ll~ .000301 1992 .. .OOO2U
1985 U~ .000356 1993.199,. n .000192
1986 lOX .000274 1995'19'6 .. .OOD2U
ulnt.ra.t I. calculated ftS followll
INTEREST . BALANCE OF TAX UNPAIO X NUnBER OF OAYS DELINQUENT X DAILY INTEREST FACTOR
..Any Notlc. Is.uad aftar the t.M baco... d.llnqu.nt will raflact an Int.r..t calculation to flfte.n CIS) day.
bayond the data of the a......ant. If peyeent I. aada aft.r the lntar..t coaputatlon data shown on the
Hotle., additional Intar..t .u.t b. calcul_tad.
/
REV-736 EX AFP (12.9S~
CO~NW[Al'H Of PfNNSYlYAHIA
orPAR'~N' or "[Y[W(
BUREAU or INDIVIDUAl 1&1([$ .
DfPl, naltOl
HAAR'UUAG, Pi UUa-oul
/ :r- '7/ -- ?
ACN 202
{I t._-
NOTICE OF DETERHINATION AND
ASSESSHENT OF PENNSYLVANIA
ESTATE TAX BASED ON FEDERAL
CLOSING LETTER
DATE 01-08-96
STA E OF FLETCHER
DATE OF DEATH 03-06-95
THOMAS
F
FILE NO. 21 95-0918
COUNTY CUMBERLANO
NOTE, TO INSURE PROPER CREOIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION Of THIS FORH WITH YOUR TAX
PAVHENT TO THE REGISTER OF WILLS. HAKE CHECK PAYABLE TO "REGISTER OF WILLS. AGENT".
REHIT PAYHENT TOI
GARY L JAMES ESQ
134 SIPE AVENUE
P.O. BOX 650
HERSHEY PA 11033
REGISTER OF WILLS
CUMBERLAND CO COURT
CARLISLE, PA 11013
I
HOUSE
Anount R.lIlltt.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ~
h-iY:7i6--EX-"AFP--iiz:-9Sj-----.-.-NO-ficif-OF--OETE-RHiiiATio-N-Aiio-AiisESS"HENT--------------------------.--
OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER ..
ESTATE OF FLETCHER
THOMAS
F FILE NO.21 95-0918
ACN 202
DATE 01- 08-96
ESTATE TAX DETERMINATION
1. Credit For Stata Daath Taxas aa Verifiad .00
2. Pennsylvenia Inheritence Tax Assassed 3,048.18
(Excluding Discount end/or Intarast)
3. Inheritance Tax Assessed by Other States .00
or Territories of tha United States
(Excluding Discount and/or Interest)
4. Total Inheritance Tax AssBssad 3.048.18
5. PBnnsylvBnia Estate Tax Dua .00
6. Amount of Pennsylvania Estata Tax Previously Assassed
Basad on Federal Estata Tax Raturn .00
1. Additional Pannsylvania Estata Tax Due .00
TAX CREDITS I
PAYMENT
OATE
OISCOUNT (+)
INTEREST (-)
RECEIPT
NUMBER
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
o
o
o
· ~bRP~1~c6LI~~0~Ho~ 2ft~iT~D~A~EY~~~RE~fDE
I IF TOTAL OUE IS LESS THAN n, NO PAVHENT IS REQUIREO. IF TOTAL OUE IS REFLECTED AS A "CREDIT" ICRI,
YOU HAV BE DUE A REFUNO. SEE REVERSE SIOE OF THIS FORH FOR INSTRUCTIONS..
PIJIIPOSE OF
NOUCEI
PAYHEHT I
REFUND (eA) I
.i
,
OBJECTIONS I
I
),
ADIU"-
lSIAA JIVE
CORRECTIONS I
PENAl TV.
INTEREST I
N 1:~:
'i'-I
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l'\.
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~
;;1
<..' , 'n
wu: (ii 138
cr
To fulfUl the nqulnaenh of IHUon 21U Ib) of the Jnh.rltMCI IInd ht". Till Act, Act U: of 1"1. en P.I.
SHUon 2145).
aetlch the top portion of thl, Notlcl end ,ub.lt wIth your Ply.ent to the Algl,t,r of Will, printed on the
r,vI'" IIdl.
n M..... check Dr ~'Y ord.r Plrab" tal REGISTER OF MILLS, AGENT.
All plyeent. r.c.lvld shall b, 'PPlled '.,.,t to any Int.r..t which '.y b, due with any r...lndar .pplled to the t...
A nfW1d of . h. credit ..y b, r.qunt.d by cOllPl,Ung an "ApplluUon for R,fund of p..-.n.vlvanl.
IntMrltW\CI and Elht, r.... (REV.nUI. AppUutlon. ar. IVlllabl, at the OffiCI of thl RI.h"r 0' Wllh,
any of thl 25 A.venue DI.trlct OfficI' or 'rol the D.p,rt.,nt., 24-hour ,n'w.rlng ..rvlcl ~.r. for 'or., ordaring,
In P~.viv~la l-100-S6l-l050, out.lde Penntylvanla and within local H.rrl.burl .r.. (717) 7'7-10'4,
TDO' 1717J 77l-l252 (He.rlnl l~.lrld Dnlv).
Anv plrtv In Int.r..t not I.tl,'i.d with the ........nt 0' t.M .. .hown on thl. notic. ..V obJ.ct within
.Ixtv 16D) d.v. 0' r.c.lpt of thi. Hat ice bVI
"'writt." prote.t to the PA O.pert.."t of A.VMUI, Bo.rd 0' ApPI.h, Dlpt. laiDlI, HarrisbUrg, PA l7UI-lOlI, OR
--.I.ctlng to h.v. the ..tt.r dlt.r.ln.d at .udlt of the p.r.on.1 rlpr..antatlv., OR
--appa.1 to the Orphan.' Court
F.ctual .rror. di.cav.r.d on thl. ........nt .hould b. .ddr....d In writing tal PA O.p.rt.ant of R.v.nue,
Bur.ey of Individu.1 T.M.', ATTNI po.t A.......nt A.vi.w Unit, O.pt. lID6DI, Harrl'burg, PA 17Il8-D601,
Phona (717) 717-6505. S.. pag. 3 0' the bookl.t "In.tructlon. 'ar Inh.rltanc. T.~ Aeturn for. R..ld.nt
O.c.dent" (AEV-15DI) 'or an .Mplanatlon of adelnlttr.tlv.ly carr.etabl. errar..
The I.~ t,x .-natty non.pertlelpetlon pen.lty I. co.put.d an the total of the taM and Int.r..t .......d, and not
paid b.'ora Janu.ry II, .996, lh. flr.t d.y .'tlr tha and 0' the t.M .."..ty p.rlod. This non-Plrtlclp.tlon
panlih Is IPP.II.bla In 'he .... lIMIt and In 'ha tha .... tI.. p.rlod a. you would .pp..' the t.M and Inlerut
th.t h.. baan .......d .. Indlcet.d an thie notlc..
Addltlona. Pann.vlvani. E.t.t. Tax .......d .. . r..ult af . changa on tha rada'al E.t.t. fax ola.ing
1.ttl, b.eoe.. dallnquant at the ..plration of on. (I) IIOnth fro. tha data the 'Inal notle. of the Incn..a
In Fad.ral Eat.t. Tax it racelv.d.
T.... which bae... daUnquent bafor. Janu.ry 1, 1912 be.r lntarl.t at the rata 0' .he f6jC) pareant par 8MUtI
calcuhtad .t . d.lly rat. of .000164. All taMU Mhlch bac... d.llnquent on or aftar Januarv I, l'U ..UI bur
Int.r..t at a rat. which will v.ry fro. c.land.r v..r to c.l.nd.r v.ar wlth that r.t. ~.d bV tha PA
Dep.rt.."t 0' A.venu.. f~ .ppllc.bl. Intar..t rate. for 1912 through 1996 .r.1
'!!!! fnt.r..t Rat. O.llY fnl.r..t Feotor ~ Int.r..t R.t. 0_11r Intar.'1 Fector
19IZ ZO:C .0005'" 1917 n .OODZU
19n lOX .000411 1961-1991 m .00OSOI
1914 IlX .OODSOI 199Z 'X .000U7
1915 llX . DODS5' 1993-1994 1X .00019Z
.916 lOX .000274 1995.1'196 n .00OZ47
--Intlrllt 1. c.lculat.d a. fallow..
INTEREST D BALANCE OF TAX UNPAIO X NUHBER OF OAYS OELINQUENT X OAILY INTEREST FACTOR
.-Any Hatlce I..ued a't.r the t.x b.coaa. d.llnquent will r.'I.ct an Int.r..t c.lculatlon to flft.an 1151 d.r.
b.yand the d.t. 0' th. .......ent. I' p.y.ant I. ..da ,'t.r the Int.r..t coapulatlon d.t. .hown on the
Hotlc., ~Itlon.l lnt.r..t au.t b. c.lcul.t.d.
.,
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