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HomeMy WebLinkAbout97-00180 I>>ETI'I'ION HlIt I'ROnATE \lnd (;RANT or U:TTERS /,.\.((//{' cd ~,!,.!' .Tlm1l!pllQII No. ~ 2.1-91- I~() (1Isr/ knol\'lI (/., ~"~'!"uFrllnk '('h"!,,'>flOI\ To; ~J1/~JL~'l:h,,"Qd\lrll FUllk 'Cl1fJIlW/JOll KeghlCl of Will, for the ~..~....~.~.u . Ik<,c'lI"c'd. {'Ollnlv of ClIlullu:lIlwl .~. in the Sorlal Security No. _271-,01".02.90 ('ntl\l1;onwelllih of !'enllsylvanill The petition nf the llnde"igtll'c\ ,e,p,"'tflllly represents thllt: Vnur petitiol1er(s), who hlllle IH yell I' of IIge or older llll the execlltJ:l1~-. .-----..---~.._~ named h\ the III't will of the IIbove de""leilt, dilted .~~ Jt!!y,l.:l._- .-.~~- u_~,__,,-~~_,,_~'___-'_'" 19JIA..- and eod!cll(s) dllted _~..nQnQ. .~--...--- .-..--.--.-~~.--.----..~_.--.._--~~-.-.._---~~- -----.....--_..~.__.<~_.-_._. _______~______~.._________..____,.,___.._.___ ,_,__'0___' ...__..___,.._~~-~.- .__T.-------'_.~_~.,.......--,~.--------.---------- r_-'-"~'_'U'__~'."_'___' .------.--,..----,.,-...-....-... --.-..,...--...-....-.--..-----------.-~..... -...----------- -------_.-~~--~_..._.._------'_..~-"---- .'.- ._.__.,>-_.~----._.._~--~--~._~ (!>taIC relrvlllIl dtl.'III1\SmIlCCS, c.p.. I'clluodatlon, death of executor, etc.) Decendent was domiciled at death in ...._.._~\!!I!l!!!d!l!l!l--~---- CmullY, Pennsylvania, with h i8 last family or principal residence at .__~_OIw.-ll.."f"rd Court. ..south Kidd1l'tolL..1IDID!!.hi1l-.~--~---'---' ....----- {list 'MCCI, Illl1l1bl'l (lnd ll)undpallty) -- Dreendent, then _~ 82.___ years of ag<:, (lied _____ .Ja~!!!l8rv...1...L_-~---' 19...2L.__, at __..---lianm:..~l\I'!,-.l!!!!Jllh-S!llYJ.cJlll------.~~-'''-'-~--- . Except as follows, deccdent did not marry, was not divorced and did not havc II child born or adopted after excclltion of the will oHered for probate; Wll' not Ihc victim of a killing and was never adJudicatcd inconlpctcnt: ____._~..____..._,.__..______. ___",~,_-,-~,,_-__"-~-"--H_~"~"----'--"--'--~-~----- Deeendcnt at death owncd property with estimated vlllues as follows: (If domiCIled \n Pa.) All personal property (If not domicilcd in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) pcrsonlll property in County Value of real eslUtC in Pennsylvania situated as follows: -._~---_.----..- $ 117.000.00 $.- $ $ .---- --------.-- ______-.....-----H~.~---.---------~ - ~---- __~_-_......------H~---- request(s) the probate of the last will and codiei\(s) teatgentarv ---- (tCSu\1l1CIlIRrY; udmlnl!ltratioll c,t.a'l admlnlstratlon d,b.n.c,t.a.) WHEREFORE, petitioncr(s) respectfully presented hercwlth and thc grllnt of lelters theron. i ~- .. . ~I '0',2 ~." -:n.~ ll"~ EO ~ VI W5dJ, ____==>--1 A 9 R. Tholll ~r:r-="-'- One We.1\for.!lJ;;ourL ..----.----- _.cw:J..iIl1I'. PA __.J.llUL.~----..-- .JJ.1,-~.3825-~. ---...-.------' ------ ------ H_____- -~----=---=-=-=-=.=.--;-..:=.._-- ::::--:::--- .::~-:;; ~""-=-.-:;-:==.-;:;;;::'.:::...----;;""- - _.~. OATH ()Ii" PERSONAL REPRESENTATIVE COMMONWEALTH OF I>ENNSYLVANIA }' COUNTY OF ~__CIJMl!I~I;AN1L-~-_..--.~~.- ~ tiS The petitioner(s\ above..munc,j swear(') or affirm(s) that the statements in the foregoing petition are trUC lInd correct In the best of tile knowledge and belief of petitioner(s) and that as personal represen. tativc(s) of tll<' above deeedent petitioncr(s) will well and truly administer the e'Wle according to law, t -_-I?A-;~cil~~1~tJ.dLml~ ~ ~..JL....Tbo~.~on--_. -------- ~ I:: .... ______"...~__.___..,.___. _.___....._~__..,_.__....~.~___..____"___~ f'tl ;::;- .____... ______. .__.__. .,___."___ _._ ______.__.n___. .._____.._.____..__...___.~ -...;. Sworn to or. a f..f.irnll'. 'd .<1. l~l..d ,ub,cribed before nle this_~ ~~,,-;o..n'~n~'-~~~ day of lma,~e'ofJXJ;;;~Za!~~~1~Ji~=. ._ I ~ ~Jp {H.a ~ Regis/<'f' /':r G,3-OJ l'hll, l~ 11ltl'llilr 111.11111(' i,'II\llll.lIlli11 flt'\(' l'I\('II I', (illlt'lll\ I"pwd IIIII11 .111 "II:',I!l.d Ith'IJ HtT,I\1I.II, j-Ill' tllil'1I1,llll'l!dlt,lll' \\11l111'11I1H,lldl'I!111 ,11,. \I.I!\' \'11,.1 1~1'("I.i, ?1-97-1HO "'11111\ ,H, (II ,1\.111111111" I,k,l Hili' !, II lh-lllI.lIli'1i1 fdlllf' \\lIflll\1 I. WARNING: It Is II10gnl to duplicate Ihls copy hy pholostrot "I pholonrnJlh. Nil, ij',iiii,'iii;/I";"iJ., i"",~,,1.1" Of p(~~'!," (I'~, 'i/'.F~ ;.~... ""...'~ Ii !,' ';. ~ ~.',.~....r~,.. ...,f~' , r.i.W:Jjil'\, "r~. . ..~i :?tMfN1 ~\ ~~I)""" ~!~WtJiJ.iW- li"(\2 ~,. \'I:..u.C~~~\""(l'l1.v 1.11'.Illtqr,i\II,ll .\ hT 101 Ihi~ U'tllliL111',\,~nll 4023940 ~ .~ J~~~::3J(19J IJ.l\l' Hli'I"I'HII..1I11 COMMONWIALTH 01' P8NNSYl.VANIA' OIPAATMENT QI' HEALTH' VITAL RICOAPa CERTIFICATE OF DEATH ."'"., , ,HIHI .~, 82 '" Theodo "" ~!-;- "ifl'lUllI......" !IOC1~Ir..S1CUIllIV,.UWIIII , ~'(3- 01 - 0290 OIJIOf'otAIH,_tlh....1 .January 2, 199? 'IU..t Of C 'Hl (I... "'01<.. ~"I , ,o(llil~.8_l'I I Ul.J,CfC'v..... ll....'lI'..OOQI\C.....vl Hudeon ",,0 _0 :'1'10 "'" ~ " Of:~~ MiH VI I~~~~:..~.::,~:T Propane 11 Owner , C n OICflltNI'IWAU..:JAOClAE../SO.....Cty"-, SlM_l~r_1 OICI NT'S AGfVAl 1 Wexford Court :::..~ II, Carllsle,Penna.1701J ,..,........"'~I '''''t(~~NA'''i.'''''''''ma''re W, Thompson I'< oiiii"uITiW,"'!(tI1WI',""l Agnes R. 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IHi I 'I' It' I : III '. :.1 ::1 Ii Illil:l,!III':II. ,1...1111.,:.:.1 1.:1 I::. ,1,11..:111 !.I.I"III.I'.I :'1..:1.'111111.11'.::1 I' Il'I'.:I.II)(II.!; , ; I "'" Ii! ,', .j;, ,;1 I .."1 'I 111111" II '1".11 . i ,I." !'.I!, II 'I I' 011 . I 'il, 1"11, ' ':1: -- III I: ':11 '~:: ,! li!'!( 'ir,\~--:II' IH :'i Iii Ii,' I:!I ,:i i: i :!II: ,( :'[1 ',:;Ii il:(1 'I I!'r':i:::':;l:: , , 'I ~, I, I: , ; : ., ,I I ,I i' '! i " ! " 'i': ',' I I . , , :' \ ' ," ,'" r ,; I: 'r, "I, I 'I, .li "" "I " ,,! i:.,. ,',I I". Iii , ,I ~ LAST WILL AND TESTAMENT 1,1'. F. THOMPSON, of South Middleton Township, Cumberland County, Pennsylvania, being of sound mind, disposing memory and full legal age, do hereby make, publish and declare this instrument to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. ONE: I dire(~t my Executor or Executrix, as the case may be to pay all of my debts, funeral and administrative expenses as 800n as may be done conveniently after my decease. Furthermore, I direct that all state, inheritance, succession and other death taxes imposed or payable by reason of my death and all interest and penalties thereon with respect to ail property composing of my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid by the Executor or Executrix of my estate. 1}YQ: My Executor or Executrix, as the case may be, may, at his or her discretion, compromise claims, borrow money, retain property for such length of time as he or she may deem proper; lease and sell property fbr such prices, on such terms, at public or private sales, as he or she may deem proper; and invest estate property and income without restriction to legal investments unless otherwise provided hereunder. I authorize and empower my Executor or Executrix to sell any realty and/or personalty owned by me at my death and not specifically devised or bequeathed herein, al public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefor, in fee simple, as I could do if living. My Executor or Executrix is authorized and empowered to engage in any business in which I may be engaged at my death, for such period of time after my death as seems expedient to said Executor or Executrix. ,} Y.:/ ~ E. From the Family Trust, the Trustee shall pay all of the net income to my spouse in monthly payments. The Trustee may distribute to my spouse such amounts from the principal of the Family Trust as provided hereunder, up to the whole thereof, as the Trustee in his discretion shall deem necessary or advisable to provide for the care, maintenance and support of my spouse, so as to support my spouse In my spouse's accustomed manner of living, provided, however, the Trustee shall consider any other sources of income available to my spouse when making payment hereunder. The Trustee shall, when requested by my spouse, pay five (5%) percent of the principal or $5,000.00, whichever amount is greater, annually to my spouse during my spouse's lifetime, but in no way shall the Trustee distribute more of the principal of this Family Trust to my spouse than in the above amounts. This limited right to make withdrawals from the principal of the trust estate is noncumulative, so that an amount ",hich might have been withdrawn during a particular year may not be withdrawn in any subsequent year. Notwithstanding the above, it is my intent to ensure that Carlisle Propane Company or any of its successor corporations remain in the control of my son George C. Thompson, who has worked hard these many years in make this corporation successful. In accordance with this desire, if there are MY shares of the corporation in this Family Trust at the death of my surviving spouse, George C. Thompson shall heve the first option to take as many of the corporation shares as he so desires as a part of' his inherited share hereunder. If, at the option of George C. Thompson, he shall desire any shares as a part of his inheritance hereunder, then in that event, the book value of the shares he so desires shall reduce his inherited share hereunder by the said book value amounts. If, at the option of George C. Thompson, he shall not take all of the shares of the corporation remaining in this Family Trust, the remaining shares shall be divided equally between my other two sons, John P. Thompson and Terry R. Thompson, per stirpes, and the book value of said shares being credited toward their respective inheritance amounts as set forth above. /1 ~j J J J, ' , . 3 ^ . F. If any of my beneficiaries or heirs are under the ase of twenty-one (21) years of age at the time of my death and inherit any assets hereunder by virtue of my death, the Trustee shall hold all of my remaining estate in trust according to the following terms and conditions: Upon the creation of the Trust, the Trustee shall divide this trust principal into individual shares in the name of each heir or beneficiary in the amount equal to the amount that said heir or beneficilll)' inherited hereunder. The Trustee, as well as my representative, is hereby authorized to retain, unconverted, any property, real or personal, that I may own at my death and shall be under no duty to convert it into legal investments. The Trustee shall have the power and authority to sell, transfer, convey, invest and reinvest and to pay over the net income of the. trust property, to or for the use of said heir or beneficiary, or to accumulate it in the sole discretion of the Trustee. The Trustee is also authorized and empowered to pay over to, or for the use and benefit of my heirs or beneficiaries such portion of or all of the principal of the trust estate as in the Trustee's sole discretion seems proper for their support, maintenance, education, or medical care. My primary object is to insure the support, maintenance, education and medical care of my heirs and beneficiaries until they reach the age of twenty-one (21) years. When each respective heir or beneficiary reaches the age of twenty-one (21) years, then of whatever remains of income or principal of the said heir's or beneficiary's divided share under this trust estate shall be distributed to said heir or beneficiary, per stirpes, which provides that the child or children of any deceased heir or beneficiary shall take the share their parent would have taken if living. G. In the event that my spouse predeceases me and I choose for whatever reason during my lifetime to withdraw all of the assets from the Marital Trust set forth above, then in that event, I hereby give, devise and bequeath all the rest, remainder and residue of my estate to be distributed equally between my children, George C. Thompson, John P. Thompson and Terry R. J' ,J;' j , . , 4 Thompson, per stirpes, which provides that the child or children of any deceased child shall take the share their parent would have taken if living. However, if my estate is distributed under this subparagrllph G, George C. Thompson shall have the tirst option to take as many of the corporation shares as he so desires as a part of his inherited share hereunder. If, at the option of George C. Thompson, he shall desire any shares as a part of his Inheritance hereunder, then in that event, the book value of the shares he so desires shall reduce his Inherited share by the aaid book value amounts. H. If George C. Thompson shall be desirous of purchasing any remaining shares of Carlisle Propane Company as provided for hereunder and his inherited share under this my Last Will and Testament shall be insufficient to purchase all of the shares he so desires, then in that event, George C. Thompson shall have the option of paying any remaining amount due within nine months of the date of my death of my spouse's death, whichever occurs last, or making equal monthly installment payments for a period not to exceed ten (10) years with interest to accrue at the then prevailing applicable federal rate until the same is paid in full. FOUR. The Trustee, as well as my Executor or Executrix, shall have the following powers, in addition to those vested in it by law, for my property held for the benetlt of my beneticialies, whether income or principal, exercisable without court approval and effective until the distribution of all property under the terms of the trusts set forth in Paragraph Three above: The Trustee, at its discretion, may compromise claims, borrow money or retain property for such length of time as it may deem proper, sell lease, pledge, mortgage, transfer, exchange, convert or otherwise dispose of or grant option of all or any portion of trust property for such plices and on such terms in public or private transactions as it may deem proper; and invest trust property and income without restrictions to legal investments. ;1 1"~ l , "', ' 5 1"\ ~~ '5(1) ~ 'F] 0 IJ)~J a! -" \ ! )~ ,"8 ~~'=~ ....., , , c- ~ N .,'1 ffi (1' ~":; Lj ~1, .u. '~~ O'~i> lil P\ !CI: ~~ ~ Cl9 (Il " ~ Z S i 0 ~.. " ~ 't . I e ~ ~ ~ ~ ~ ..s... - \;j ~ ~ - ell ~ P ~ CJ o-~Z~~;.J~ ~-~~~~ ~ . -..9~~t;mffiE Ill< - e: ~ Q. - . ....... . III S ~ ... Z ~ ~.~ ~ 0:: - ~ ,. , ~Il' '.,- . . ... . , . . . .. . . c> ~..N..QEHQIlCJi Name of Decedent: THEODORE FRANK THOMPSON Date of Death: JANUARY 2. 1997 Estate No.: 21-9'7.0180 To the Register: I certify that notice of the beneficial interest required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on March 12. 1997 ~ Address ..A&n~. Thompson Georlle C. Thompson One Wexford Court. Carlisle. P A 17013 505 Adams Road. Cafl~...u.. 17013 Notice has now been given to all persons entitled thereto under none. Dale: 03/12/97 Name James D. Iluehes. Esaulre \0 "- I,f) ..r; () ~':? ~, (L ~ .,., 0._ , ~- I fY"\ ) - 'I g;; .~ " ~.:! Q <"0' .U () OJU; p; "d a: iil 0 Addrcs'~'1 Pomlfel Street Cllrllsle. PA 17013 Telephoner71?) 249.2353 Capacity: __ Personal Representative X Counsel for Personal Representative (:~--- REV. Iboo EX' f (7"lJ~) FOR DATESol' D(:ATH MT€R 12/31191 CHtCK HEAl: If A ~if'Ol!SAL __ iL 1:'..QY.~RTYCRI;':OlT.IS Cv.l.M1i~. ______ FILE NUMBER OEGF.DENT'S NAME (LAST, nAST, AND MIDDLE INITIAl.) Th,-,-ml!:" 0"___.__ ___.._.------Ib."!.,]d5,l'O___.___x.:_ ~iOCIAL SF.CUPITY NUMBER DArE OF DEATH DATE OF BIRTH 273-01.0290 01/02/1997 03/01/1914 COU!)ty Cumber land (IF APPLICABLE) SlJfWIVINO SPQUSt:'s NAME (LA;rY~ST AND MIDDLE IMITIAL) ]'~OCIAL 5ECUAITr NUMBER Thom ,son L Agn9s R.. . _311.11,.. 80CU,_ K 1, Original Aetllrn "02, Supplemental Return L ~, Limitod Estate D 4a, Future Interest Compromise (for dates 01 d..th altor 12..12.821 05. [K] 6. Decedent Diad Testale [J 7, Decedent Maintained a living Trust 0 8. _ (Altac~ 01 Willi (Atta,h a coer 01 Tru,t) .._____. C P A~L CORRESPONDENCE AND C<?.H!lDENTIAI. T AX .INF<?RM~!!ON SHOULD BE DIRECTEl?, TO..!..__.__ o 0 R N R 0 E E S H T CAB H P L E P 0 C R C K 0 f( P S CO"'~~~lI.~Wfl~{t~~illa~ ANIA HARRlfiiSh~,~A '~i2ft'Of,01 INHERITANCE TAX RETURN AESIOENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS COUNTY CODE o E C E o E N T DI.'.r.EDf:NT'!J COMP\'tTE ADORE:;;, anu \loxfurd Court ell,. 1 I" 1 0, PA 1701:\ NAME J!:,mes D. Hughes, E>J.9.'::.1 re TELEPHONE NUMBER COMf'LfTE MAILING ADDRESS 21.97.0180 YE,\R NUMBER AMOUNT RECEIVf.O (SEE INSTRUCTIONS) 176,675.93 R8mainder Return (lor dato, 01 doath prior to 12~ 13.821 Fed6ral Estate Tax Return Required Total Number 01 Safe Deposit Boxes IRWIN, McKNIGHT & HUGHES 60 West Pomfrot Street Car11sl0 PA 17013 NonH None _.99,651.00 None 117,073.57 None None R E C A P I T U L A T I o N (9) 22,377.00 717-249.2353 1. Aaal Estate (Schedule A) 1 2, Stocks and Bonds (Schedule S) (2) 3. Closoly Hold Stock/Partnership Intere't (Schodule CI (31 4. Mortgages and Notes Receivable (Schedule D) (4) 5. Ca,h, Bank Depo,it' & Miscellanoous Porsonal Proporty (Sch EI (5) 6. Jointly Ownod Property (Schodule FJ (6) 7. Tran,fo" (Schedule GJ (Schodulo LI (7) 8. Total Gross Assets (tala I Lines 1" 7) 9. Funeral Expenses. Administrative Costs, Miscellaneous Expen,os (Schodulo H) 10. Dobts, Mortgage Liabilitios, Liens (Schedule I) 11. Tolal Deductions (total Lines 9 & 10) 12:. Net Value of Estate (Uno 8 minus Line 11) 13. Charitable and Goverl1mental Bequests (Sched....lo J) 14. Not Value SubJoct t~ Tax (Lino 12 minu, Line 131 15, Spousal Transfers (for dates of death alter 6-30--94) See Instrllctlons lor Applicable Percentage on page 2. (Include values from Schedule K or Schedule M.) 16. Amount (If lIno 14 taxable at6% rate (Include values from Schedule K or Schedule M,) 17. Amount of line 14 taxable at 15% rate (Include values from Schedule K or Schedule M.) 18, Principal tax due (Add lax from Line 15, 16 and 17.) 19. Credits/Sp Poverty Prior Payments Discount Interest 0.00 + 0 . 00 + 0.00 0.00 20. If Line 19 is groater than linE; 18. enler the difference on Lllle 20. This is the OVERPAYMENT. [[] 0 @F.eck here If you are requesting a r.lund 01 ~ o"erp!y..!"~ 21. If Line 18 is greater than line 19, enter tho difference on Line 21. This 15 tho TAX DUE. A. Enter lhe Interest on the bellance due on Lino 21 A, B. En!or the total of Lino 21 and 21A on Lino 21B Thi, I, the BALANCE DUE. Make Chock Pa abl. 10: Reglsler 01 Wills, Agenl . . BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH .. .. Under penltltlfls 01 perjury, I drll::litre thai I hllVfl e~aminltd this r'lturrl.lncludlng IH;companylng schedules and Slllt0I116r1ts, and tel the best of my kno.....ledgfl and b('\lIltl, It Is true. cOfll'lcland complote. ! declare thJI all realltstata has been reported atlrue miHk"I value. Declarallon 01 prflpilrflr othl'lr th!lI"Ilhe pnrsonal ropltl!l~nlallvfl Is ba~ed orllllllnlormallon (If which preparflr has any knowledge (10) 968.28 (1&) 193,379.29 X 0%' (16) o . 00 X06 ' T A X C o M P U T A T I o N (17) 0.00 X .15 ' SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN Agnos R. Thomps on "1;J~) .A~~i~~iz;r~/0.m13 R'R THEH THAN REPR ENTATlVE I RW 1N, McKN I GHT & HUCHES 60 '!~.~t:.. r.c~ll]fF(~t: _ ~..t:r:~~~_t~ __ Carl j s 10, PA 17013 (81 216,721.. 57 (11) (12) (13) (14) 23,345.28 193,379.29 Nono 193,379.29 0.00 0.00 0.00 (18) 0.00 (19) 0.00 (~0)__---9. 00 (21) 0.00 (21A) 0 . 00 (2181____ O.OQ,. DATE 1/- ,,(1 ,q 7 q~k, FN~ !UV.ISOSfh(H21 1~~ COMMONWEAl"fH Of PENNSYLVANIA INHERITANCE TAX RETURN RE5il)~NT DECWENT SCHEDULE C-' CLOSELY HELD CORPORATE STOCK INFORMATION REPORT .~ ~_._--_._--_.......,..._..'-,- UTATE OF THEODORt: .'. TIIOKPSON o~!.~~s.~_ T YP!~C:~ :rln~___~.____~.__._._.,__ FILE NUMBER 21-91-0180 The fo/lowi"!,! informali\ln fl)ust be submitted with this schedule: " .' A. Cetail.d dcucription showing the method of computatlon utilized In the valuation of the dG(l:Idont'l Itock. 8, Cornplete copies of flnanc!ol.totemflnts or camplele copies of the FedQral Tax Returns (Federal form 1120) for thfl yoar of death and.4 procftding yellrl. C. SIat6rnenl of dividends paid each yltar. lill thoso declared and unpaid. D. Ust nam.s of offk,ersl solndss, bonuses and ony other benefits received from Corporation. E. If the Company owned rnol 8slute, lubmit a Ust showing the complete address/e, and estimaled Fair Market Value/s. If R.al ESlUte Appraisals hove boen secured, pleale ottach copies. F, Ust prindpal stockholder, 01 dale of death, number of shores held, and relationship to decedent. G. Any olhftr Information relalive 10 the v(Jluotlon of the decodMt's Interest. 1. Nome of Corporation ~ CAil.LISLE-XR()~~E COKPANY. INC. Slate of Inc. PENNSYLVAtl.IA- Stroot Addre.. j'~o...Jl.OlL5n..._~.._.l2.5l.JlOlJ.Y pum ...._..___..... Dote of Inc._-'l~",5.I_____.______ City CARLISl.JL.._.......~.. SIOIt__~.l'A........~_~~_.~.....h..... Zip Code .J.lllll__ Total Number of Shoreholden __3..- 2. Fedoroll. D. Number __1l:-1J9.llJ.!H._______....._._.._ Buslno.. Roporling Yoor_,IM!!A.!W.~..l.__ ..___lo_.P.f.(;~EILll__ ISome As Federal Form 11201 3. Type of Busino.. RETAII._SALE:SlDISTIIJ.lll1TIOll Product 4. PRQl'ANE GAS STOCK TYPE TOTAL # SHARES OUTS1'ANOING PAR VALUE # SHARES OWNED BY DECEDENT Common 804 $1.00 255 Proferred Provld. all rlghtl and r...rlctions piltrtalnlng to .ach cia.. of .tock. 5. Was decedent employed by the Corporotionl 0 Yo. IXI No If yes, Position ___. Annual Salary $ _ Tlmft Devoted te business 6. Was the Corpornlion indebted 10 Ihe decedent' 0 Yes 1XI No If yes, provide amount of indflbtednen S ~__,_._ 7, Was thore life Insuranr.'ll payable to the corporallon upon death of decftdenf~ 0 Yes If ye., Co.h Surrender Volue: $ Net Proceod. Payable: S Owner of Policy. e. Old the decfldent sell or transfer Slack of this company within one year prlnr to death if Ihe date of death was on or (lfter 12/13/82 or within two years II the dolt of deoth was prior to 12/13/821 0 Yes IKI No If yell: 0 Transfer DSale It of Shores _.__~~__ Transferoe or Pur(;hClser [l!) No Consideration $ _~~____.. Date __ Attach 0 ~eparot8 Iheet for addltlonal transfors and/or sole" 9. Old 1hft corporation have an lnltlrest in other corporation$ or por1Mrships' 0 Yes Ci1 No If yes, report the necessary Information on a separate sheet I Including Schl9dule /'C.111 or IIC.2/1 for each Interest. 10. Was there a wrillen shareholder's agreement In effed 01 the lime of Ihe df3!cedenlls death' DYes If Y651 provide a copy of the agreement. 11. Was the decodent'. stock .oldl 0 Yo> []I No If )'&$, provide 0 cc"py of the agreement of sale, fltC. 12. WOIlhn (c.rporation dlnolved or liquidnted ahor the dor.edenl's dooth~ 0 Yas 00 No If yes, provide a breakdown of liquidation diuribution$, elc. Allach Cl separate ,heol, liI No LAST WILL AND TE'STAME'N'{ I, T. F. THOMPSON. of South Middleton Township, Cumberland County, Pennsylvania, being of sound mind, disposing memory and full legal age, do hereby make, publish and dtclare this Instrument to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. !!ME: I direct my Executor or Executrix, as the case may be to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. Furthennore, I direct that all state, inheritance, succession and other death taxes imposed or payable by reason of my death and all intemst and penalties thereon with respect to all property composing of my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid by the Executor or Executrix of my estate. lliQ: My Ex.ecutor or Executrix, as the case may be, may, at his or her discretion, compromise claims, borrow money, retain property for such length of time as he or she may d~em proper; lease and sell property for such prices, on such terms, at public or private sales, as he or she may deem proper; and invest estate property and income without restriction to legal investments unless otherwise provided hereunder. I authorize and empower my Executor or Executrix to sell any realty andlor personalty owned by me at my death and not specifically devised or bequeathed herein, at public or private sale or sales and to gille good and sufficient deeds and/or bills of sale therefor, in fee simple, as r could do if living. My Executor or Executrix is authorized and empowered to engage in any business in which I may be engaged at my death, for such period of time after my death as seems expedient to said Executor or Executrix. ,j 7J \ :IJiB,U;. I hereby give, devise and bequeath all of my estate of every nature and wherever situate to be distributed IN TRUST, for my spouse, AGNES R. THOMPSON, subject to the fonowing provisions: A. The estate shall be divided by the Trustee into two separate trusts, hereinafter referred to as Trust A (the Marital Trust), and Trust 8 (the Family Trust). 8. Trust A, the Marital Trust, shall consist of all of my assets other than those allocated to Trust 8, the Family Trust. C. Trust 8, the Family Trust, shall consist of my Two Hundred Fifty-five (255) shares of common capital stock of that Pennsylvania business corporation known as Carlisle Propane Company, owned by me at my death, or equivalent value thereof, together with any other amount necessary to permit my estate to use in full any federal estate tax unified credit which has not been claimed for distribution during my lifetime. D, From the Marital Trust, the Trustee shall pay all of the net income to my spouse in monthly payments. My spouse also has the right to receive from the Trustee all or a portion of the principal from the Marital Trust and to change the beneficiaries of this Marital Trust in my Spouse's discretion. At the death of my spouse, the Trustee shall distribute the principal and accumulated income to my children and my spouse's children, in equal shares, per stirpes, which provides that the child or children of any deceased child taking the share their parent would have taken if living. J :/!! 2 .. _~.. "., .~,. _..._ c '..~_h . _ E. From the Family Trust, the Trustee shall pay all of the net Income to my spouse in monthly payments, The Trustee may distribute to my spouse such amounts from the principal of the Family Trust as provided hereunder, up to the whole thereof, as the Trustee in his discretion shall deem necessary or advisable to provide for the care, maintenance and support of my spouse, so as to support my spouse in my spouse's accustomed manner of living, provided, however, the Trustee shall consider any other sources of income available to my spouse when making payment hereunder, The Trustee shall, when requested by my spouse, pay five (5%) percent of the principal or $5,000.00, whichever amount is greater, annually to my spouse during my spouse's lifetime, but In no way shall the Trustee distribute more of the principal of this Family Trust to my spouse than in the above amounts, This limited right to make withdrawals from the principal of the trust estate is noncumulative, so that an amount which might have been withdrawn during a particular year may not be withdrawn in any subsequent year. Notwithstanding the above, it is my intent to ensure that Carlisle Propane Company or any of its successor corporations remain in the control of my son George C, Thompson, who has worked hard these many years in make this corporation successful. In accordance with this desire, if there are any shares of the corporation in this Family Trust at the death of my surviving spouse, George C, Thompson shall have the first option to take as many of the corporation shares as he so desires as a part of his inherited share hereunder. If, at the option of George C, Thompson, he shall desire any shares as a part of his inheritance hereunder, then in that event, the book value of the shares he so desires shall reduce his inherited share hereunder by the said book value amounts. If, at the option of George C, Thompson, he shall not take all of the shares of the corporation remaining in this Family Trust, the remaining shares shall be divided equally between my other two sons, John p, Thompson and Teny R, Thompson, per stirpes, and the book value of said shares being credited toward their respective inheritance amounts as set forth above, (/J- J J, , , ' \ 3 F. If any of my beneficiaries or hell's are under the age of twenty-one (21) years of age at the time of my death and inherit any assets hereunder by virtue of my death, the Trustee shall hold all of my remaining estate in trust according to the following tel1ns and conditions: Upon the creation of the Trust, the Tru8tee shall divide this trust principal into individual shares in the name of each heir or beneficiary in the amount equal to the amount that said heir or beneficiary inherited hereunder. The Trustee, as well as my representative, is hereby authorized to retain, unconverted, any property, real or personal, that I may own at my death and shall be under no duty to convert it into legal investments. The Trustee shall have the power and authority to sell, transfer, convey, invest and reinvest and to pay over the net income of the trust property, to or fof' the use of said heir or beneficiary, or to accumul'lte it in the sole discretion of the Truste~. The Trustee is also authorized and empowered to pay over to, or for the use and benefit of my heirs or beneficiaries such portion of or all of tho principal of the trust estate as in the Trustee's sole discretion seems proper for their support, maintenance, education, or medical care. My primary obje~'t is to insure the support, maintenance, education and medical care of my heirs and beneficiaries until they reach the age of twenty-one (21) years. When each respective heir or beneficiary reaches the age of twenty-one (21) years, then of whatever remains of income or principal of the said heir's or beneficiary's divided share under this trust estate shall be distributed to said heir or beneficiary, per stirpes, which provides that the child or children of any deceased heir or beneficiary shall take the share their parent would have taken ifliving. G. In the event that my spouse predeceases me and I choose for whatever reason during my lifetime to withdraw all of the assets from the Marital Trust set forth above, then in that event, I hereby give, devise and bequeath all the rest, remainder and residue of my estate to be distributed equally between my children, George C. Thompson, John P. Thompson and Terry R. ,J. ,J,:/ 4 Thompson, per stirpes, which provides that the child or children of any deceased child shall take the share their parent would have taken if living. However, if my estate is distributed under this subparagraph G, George C. Thompson shall have the first option to take as many of the corporation shares as he so desires as a palt of his inherited share hereunder. If, at the option of George C. Thompson, he shall desire any shares as a part of his inheritance hereunder, then in that event, the book value of the shares he so desires shall reduce his inherited share by the said book value amounts. H. If George C. Thompson shall be desirous of purchasing any remaining shares of Carlisle Propane Company as provided for hereunder and his inherited share under tlus my Last Will and Testament shall be insufficient to purchase all of the shares he so desires, then in that event, George C. Thompson shall have the Option of paying any remaining amount due within nine months of the date of my death of my spouse's death, whichever occurs last, or making equal monthly installment payments for a period not to exceed ten (10) years with interest to accme at the then prevailing applicable federal rate until the same is paid in full. FOUR. The Trustee, as well as my Executor or Executrix, shall have the following powers, in addition to those vested in it by law, for my property held for the benefit of my beneficiaries, whether income or principal, exercisable without court approval and effective until the distribution of all property under the teOlls of the trusts set folth in Paragraph Three above: The Trustee, at its discretion, may compromise claims, borrow money or retain property for such length of time as it may deem proper, sell lease, pledge, mortgage, transfer, exchange, convel1 or otherwise dispose of or grant Option of all or any portion of trust property for such prices and on such terms in public or private transactions as it may deem proper; and invest trust prOpel1y and income without restrictions to legal investments. J,jJ 5 \ .~o,' /-h !fJ,J/ /,I,,!. SehMI Olot. Cumbo Co" Pu. ..1." Rell E.ts\~ 1'Ilnslof ~IK -'l?~rl .S'l]"O~ 0",,, ; "rn\.___ "., ~ f{dd.. I' ) '.J,J (, , - , Cum. C; Olll ~1. "'Vi j', I") Iv,. THIS DEED """'''I_,SJ- 1 1\ (J I, il. "'., Cumbo Co" P. .1" Aoal but, l't1nt1er T'll ~ . (" I /'" 0.,. J I ,;1 Atn\."~\.._:~' )~ "(, I /' / f'':_~':'- Cumb. co, 01_'" Co!. A.at ' I.'" /I...', MADE the 4+1--. doy ot HUI\dred Ninety Uno ('1991) BETWEEN: rvi~rc...h ' O' , One Thousand . Ni~ -::n ~ '" (1 In r: " (I " r" c) l,jJ n",1.) If'! \.-'.l Cl ~ 'II t~, fb~ ~ f~ n ~ .., " '" (-, '.\ - C) ('l c. L:"' rtl :if; I" <~ .... fll ." "'f ~ ...~ -u ~ l' ", MARBAIN, INC., a Pennsylvania business corporation, having ite offloe at 2933 Aroona ...,l Road, MPohaniosburg, PA 17055, party of the "1.' flret part, hereinafter called 'Grant.or', ::'3 ~ o c.D AND ~1100doro F. Tharp"ol1 and AgneR H. 'l'ha1p"on, hu.bMd and wife, partios of the second part, hereinafter called 'Granteos': .' WITNESSETH: that in consideratior of the sum of One Hundred F.i"ht""n Thousand I.'our Ilundred ane. No/IOO ($116,400.00) Dollars in hand paid by Grantees to Grantor, the reo9lpt of which is hereby aoknowledged by Grantor, the said Grantor does hereby grant. and oonvey unto the Grantees, their heirs and a9signs, ALL that certain piece or parcel of land situated in the Township of South Middleton, County of Cumberland and Commonwealth of Pennsylvania, more particularly bounded and described as follows: BEGINNING at a point on the eastern side of Woxford Court at the line dividing Lot No. S from Lots NOS. 4, J, 2 and 1 as shown on the hereinafter mentioned plan of lots, thence along said line diViding Lot NO.5 from Lots Nos. 4, 3, 2 and 1, South 84 degrees 35 minutes 12 seconds East, a distance of 193.06 feet to a point on the western side of Greenfield Drivel thence along said western side of Greenfield Drive, the fOllowing three (3) courses and distances: (1) South 8 degrees 59 minutes 20 seconds West, a distance of 19.66 feet to a point: (2) on a curve to the left having a radius of 525 feet, an arc distance of 72.87 feet to a point: and (3) South 1 degree 2 minutes 12 seconds West, a distance of 19.26 feet to a point on the same at the diViding line between Lots NOS. 5 and 6 as shown on the hereinafter mentioned plan of lots: thence along laid dividing line betwoen Lots 5 and 6, the following two (2) courses and distances: (1) North 56 degrees 7 minutes 56 seconds West, a distance of 147.03 feet to a point; and (2) North 79 degrees 4 minutes 54 seconds West, a distance of 41.20 feet to a point on the eastern side of Wexford Court; thence along the eastern side of Wexford Court, the following three (3) courses and distances: (I) on a curve to the left havinlj a radius of 60 feet, an Irc distance of 10.59 feet to a point; (21 on a curve to the right having a radius of II feet, an arc distance of 7.26 feet to a point: and (3) North 16 degrees 43 minutes 33 seconds West, a distance of 28.62 feet to a point on the same at the line dividing Lot No.5 from Lots NOS. 4, 3, 2 and 1 oS shown on the hereinafter mentioned pl~n of lots, the place of BEGINNING. BEING Lot No. 5 as shown on a certain subdivision plan of lots entitled 'Greenfieldl A Residential Development' (Phase One) as recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania, in Plan Book 60, Page 69. SEE ALSO, Plan Book 68, Page 8. BEING improved with a townhouse style dwelling house known and numbered as 1 Wexford Court. Carhle. BEING a portion of that certain larger premises which Greenfield Court Limited partnership by its deed dated July 2, 1990, and recorded in the Recorder's Office aforesaid in Deed Book '0', Volume 34, Page 861, granted and conveyed unto Macbain, Inc., the Grantor herein. SAID premises are conveyed under and SUbject, nevertheless, to: &OOKZ34 tA~t 798 ,Il/,'[" c,' :'r' I' ".i: ' I",~' 1/' 1 '.)' '''''tl',I' ','r^.!'1 ()r f\tt~I' ,r ','/\.0 ''"': ", I U' ,\ il'" . - , . I' I 1< !," '/ d " I .' I.. 'I,': (I) 'rho bulldin9 set-back lines, utility ea~ements, dr~ln~go oan.ments, and Intsroectlon sight triangles as appllcahle, If any, ao more fully shown, located and doflned on the above mentioned plan of lots. (21 The eansmentn and rights-Of-way of prior record heretofore granted to public utility companies and sooth Middleton Township Municipal Authority, as applicahle, for utility and municipal services. (3) The covenants, conditions and restrictions as more fully contained In a document entitled 'Declaration of Covenants, Conditions and Restrictions Applicable to nulldlng Lots, 'Greenfield', Phase Onoe, ao recorded in the Recorder's Office aforesaid in Miscellaneous Record nook Volums 383, Page 65. AND the Grantor hereby covenants and agrees that It will warrant specially the premises hereby granted. IN WITNESS WHEREOF, the Grantor has caused this Deed to be duly executed by Its properly authorized officers the day and year first above written. "I"','I'llkLtC''!'. IIII ,,~ rrt ' "I 0 b.........'7 'j')/h4u..' "~I..',, J '. ......~~ ,.1A ~ ",,'" ' '/ I Vf..- \;',,,,, 'I' ~ ~ ~.,-U' ,~...C)J.ll I' tI i:..;.secretary . "~\o.;\e' ..~,~r~rporate Seal) ",. " ',~ 4. ,'p..,,'" t" .,.~ ", ~..... .' . \. t:"',.....tO!o......_\~I' . '~.l!'~.,'.. cOMi~ONWEALTH OF PENNSYLVANIA MARB~~~I;C. . RY//cif~~ pres en SS. COUNT~ OF CUMBERLAND On this, the +r.. day of I'Adr-Cf-\ , 1991, before me, a Notary Public, the undersigned officer, personally appeared Max D. Marbain who acknOWledged himself to be the President of MARBAIN, INC., a corporation (Grantor herein), and that he as such president, being authorized to do so, executed the foregoing Deed on behalf of said oorporation for the purposes therein contaJned .~.' Signing the name of the corporation by himself as suoh presiden::<.'{i)--;'" IN WITNESS WHEREOF, I hereunto set my hand and Officia,l s~\.~; ,I' ~ . ,,'.....I'.~':tl"'..,,'~...~.; L"d,~. '.' . <. .))';.....".c.......,\''l.l ~ " <YO.......... ,",,'1,) ~\; . LrJ.#/4-' ~.", "'l..' ~"""a""'..f=:-" " ::...--"'" ~ _\4 "I ./ G' . ,Pt'" . . N,~tJIl,)1 ~,M! .. ~I'" e, I;r~~/'" NCI~'V pubnc HllmrJt,i, 'fO'''''I.J!'I,'). CI,,;nb()/:\Il,'l Co'mt)' ~~~'~.r.f'.p,"~O~], 19V2 !.l!l'!lbo', ~',M,\lIlvln.ll '\'~,"'l'0n (,,1 "I,JIJ'IC\1 CERTIFICATE OF RESIDENCE I hereby certify that the preoise reuldence and complete post office address of the within named Grantees is ~~.~...... h""-. \.~",,~~':t I. 1',1,. - ~ ' ~"'W.....I ...cu...-) ,II-, h'.'1I.J ~, . '" (1(41 ( ~~ " , 199' .... " ~ I ("I.\:::: /.J d....... ,,-;-;::~;f'r ": , .... (For Grantees II I, "II .HIIII' 1111 IIltJ l'\lGurdlng of O"uda .,'. '1'(' ::'~.," .', , .' ..: ' .' ,.~, I ":i.dl .till' Ii" ~.'Wllh\I/I'I[l t:ounlv..P1) , CJ", .....\ l'"~''''' " ( ~ -. , I( , '~4.I ' ,''',,,, Il,o'"."\. r{;...' f II ''':''!.,; tiook c;....._ Vol~.' ',Pug" /. "",,"'~.1' "~ I' . ,,: I~, ~ ' ,II wllneumvhancla '1J6aaIOfOH~C' . o.i' .:."'".'l-~'...,;.~.<. '~ Clrillle,PAlhll " . O_~I;:::.'.~~~I'~.":-~:(:~::.j,~.: &ooq..34 PACt 799 L. . DR--A... .1t.;..".:(:::\I~~,V~~,...~..:.O':~,' _VW'I ' V '. ~.,..;.,. ":"" . .,--~ . III:i; GO .... . N II!! I u. '" . 6 .... Ilil . '" N '" . en .... '" . tJ.~t' .... ~~; ~ A ~ i ~.i i ~i I hdi 00 toi ~ .... i~~~ . N I I I I ~ . I~~~ ~~:;I 00 CII . .... N ~ '" II> II> CO . ~ 4J II> '" 10 tl"" k .... U A U II> .... or-! 'f"4.cJ ....I>....,S .1"'( ",.r-! . t:CIl4J tJ k . . II> 4J 11>:11 ll. tJAtJ ~ i ~.S 8: 4J i.'" e ~ ~ ~ '" tllen...~CIl CII I I I I I , .Itl ... I ~CIltJf 00 lI.l... CIl Q 8 tl I ~ .. CO I t . r.. ~~McoB' II> .... is 8'~ k J ~ ~ .... U I II> ~ ~ II> .... ~.... ~ II: COll.l D>0l 8.~ 0' '~A'!8~ ... ~o .<:I A CII I u ~ I&) II!.... l'" U) I-tlto4 IVl v.I N ~ II> 10 10 IS I ll.lI.lll<1Il '" ... ~ Cl I , I I I , '" 8~~:Ol co co COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUM'ERLAND HI Agnes R. ThoUlP~s(,-n b.ing duly ~~_ll~o!"n. __ ,. occordlng to low, d.po,., and ,ay' th.t ~. .. ___~._.iJLthIL~, . J1;l!e~I!t.r~ 01 tho E,tat. 01 .nIllldQre..J!'rank--ThoJllll8QJ1~ ,.-- --~- late 01 .' South Middleton Township ,.. _n n' Cumberland County, Pa., d.c....d and that tho within i, en inv.ntory mad. by ~ her ~ .~'__, the ,.Id _._ExecuUix_ ~---~ 01 the .ntir. estete ollOid dec.d.nt, con,l,tlng 01 .11 the po"onal property end real OItete, e.copt real estete ouhldo the Commonwoalth 01 Ponrllylvenle, end thet tho Ilgur., oppo,lto .ech Item 01 the Inv.ntory r.~rOlent it', lelr .alu. 01 01 the det. 01 d.c.d.nt', d.eth. Sworn and subscrib.d belore m., W-." ~/I /) ___. ' ~ jv,-.,!'..~.L.~__.~ -- __Z1d.:EI1J~../-::?J Agnes Encutor . ~Omp8on One Wexford Court ~ Notarial Soal Jacquollno I Drawbaugh, Notory Public Carlll'lfl floro, Cumberland Count My Comm sSlon Expires Aug 14, 1~99 M"n'L'1lJI,-r,o;vi$yIvONB IIsOOiitiOO ol NolarioI D.eth __._____~__~!.._~___.___.~anuaJCL________ DIY Month ~_Carl~.lI..1e.' PA__ 17013 Add.... O.te 01 1997 Vur INSTRUCTIONS I. An inventory must be IIIed within three months eft.r appolntm.nt 01 pe"onal 'eprolO~~~e. 2. A supplement invontory mu,t bo II10d within thirty deys 01 dlscov.ry 01 edditionel u,e", . 3. Additional ,heets may be attached es to p.rsonelty or r.elty 4. See Article IV, Flducierles Act 011949. ,rl , , , , -.U t.d ,_~:i 'J 1'..1 c~' ~ ~ 1 -tl .. .. ~ .. ~ ~ ... .. ~ 3- l2 ... 0 II> 8 Cl ... ~ &: : :. .. u. ... ~ E Z 0 Ql 0 U. ... ~ ~ ... ~ LU o ~ ~ ~I f ~ 0 ~l c = 0 ~ - II> Z cj IJl 0 ~ Z ... < ~ ~ ... Ii "tJ c .. '1; -.: .. .4 "0 ... ~ E .. 0 .. J it 0 ... ... /' . / - . . ) /(I',) ,-) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INOIVIOUAI. TAXES INIUJllUNtT IAI( Oll/ISIOH f)[PT, i'1O&1l1 liAR" I SlURG , PA 1'711'1-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALI.ON^NCE OR OIS^lI.OWANCE OF D,DUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 02-02-98 THOMPSON 01-02-97 21 97-01S0 CUMBERLAND 101 E-.'''.----A;.ounr.j:f.Mi1t.d.-=:i~-. . ""'.'=~-"""",-~=,,~,,===,,,~ ...._~...._---_.-._--------_. MAKE CHECK PAYABLE AND REMIT PAYMENT TDI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ..... RfTAIN LOWER PORTION FOR YOUR RECORDS ~ ii{v: iSiii - iif -AFP - i ilii: 9:;-i - NoYic E - -OF -YNHEif if AN"c n'"A x - i,PPR'AY S E .fEN'r-; -A i:. i:eliANcE - iiri -- - -- - -" - - - - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX THEODORE F FILE NO. 21 97-0180 ACN 101 JAMES D HUGHES ESQ IRWIN l;TAL 60 W POMFRET ST CARLISLE PA 17013 ESTATE OF THOMPSON "(AX RETURN WAS: I ) ACCEPTED AS fUED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. R..l est.te ISchadule ^l 2. stocks end Bondi (SCtI8dul. 8) 3. Closely U.ld stock/Partnership Inhred (Schedule C) 4. 11odgauas/Not.. Receiv.ble (Schedule OJ 6. C..h/Bank Deposits/Hi.c. Person.l Property (Schedule E) 6. Jointly Owned Property (S~hGdule F) 7. Transfars CSchedul. G) 8. Tobl Assets '. .~., *' lI~-n,,' II ,,, IOf.!/1 THEODORE F ( X) CHANGED SEE ATTACHED NOTICE DATE 02-02-98 III Il) 13) 14) 15)_ 16) 17) .00 .00 99,651.00 .00 117.073.57 .00 .00 18) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funar.l Expanses/Adm. Costs/Hisc. Exp.n... (Sch.dule H) 10. Debts/Mortgage llab!litiQs/Liens ISchedul. X) 11. Total nadur.tlons 12. N.t Value of Tax R.turn 13. CharH.bla/Governman{al eequ.shl Non~e1.ctad 9113 Trusts (SClhaduh J) 14. N.t Value of Esta*a Subject to Tax If an assessment was issued previously, lines 14, lS and/or 16, 17 and 18 I'eflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: IS. Amount of Line 14 16. Amount of Lina 14 17. Amount of Lin. 14 18. Principal Tax Due NOTEI at Spousal taxable .t t.-x.hl. at ret. lineal/Clal' A rlt. Collat.ral/Cla,. 8 rate TAX CREDITS I PAYHENT DATE RECEIPT NUMBER DISCOUNT I') INTEREST IPEN PAID (-) 22,377.00 968.28 Ill) _ 112) (3) (4) (~) 110 ) US) (6) (7) .00 .00 .00 X .00. X .06. X .15. (8) NOTE: To inaura proper credit to your locount, SUbMit the upper portion of thi$ forn with your tax payment. 216 , 724. S". 23 . 34 ~ ?8 193,379.29 193,379.29 .00 will .00 .00 .00 .00 -~ .00 .00 .00 ----~- .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL OUE IS lESS THAN 81, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFlECTED AS A "CREDIT" (CRl, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) AMOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE RE~ERYATIOHI t,tatl' of dlGldlnt, dying on or b_for. Dtcl.olr 12, 1982 ~~ If .ny future Intar.,t In thl ..t,t_ 1. trlnlf,rr.d In po.....ton or tnJoy..nt to Cl,.. . (GG~l.t.r.l) b.n.flet,rl.. of th' d'G.dent aft.r the .xplratton of any I.tate for 11h or for yur., the Co..n,,"lth hli,.by Ixpr...1Y r.servn the right to appr,l.. .nd a..... trln.f,r Inh.rltanu Ta)(.. at th' la~ful Cl.., . (toll.t.ral) rat. on .ny lueh future tntlr..t. PURPOSE OF NOTICE I To fulfill the r.qulr...nt. of SAotIon 2140 0' tht Inhtrlt~. and E.tlt. tax Act, Act 21 of 1995. (72 P.S. Sletion 9140). PAVHENTt Dltach thl top pcrtlon 0' thlt Notlel and ,ub.lt with your ply..nt to thl R.gI.tlr of Will, prlntld on thl r.v.r'l .ld~. ~~"lIIk. Clhlck 01- IOnlY ordlr pI~l'Ibl. tOI REGISTER OF HILLS, AGENT REFUND (CR) I A re'und of , tl)( crldlt, which w.. not r.que.tld on tM TII)( Return, IllY be r.qulltld by eoltpl.Ung ftn "AppUcIUon for R,fund of Plnn.vivlnla Inherltlnel and E.tatl Tax" (REV-I!I]). Applications ere avallabl. at the Off Ie. of the RIgI.ter of Will., any of thl 2! Revlnul DI.trlet Offlc", or by cllllng the .poclal f4-hour an.".rlng I.rvlc. nu.blr. for for.. ord.rlngl In Penneylvanl. 1-800-!62-20S0, out.ld. P.nn'Vlvanl. and "Ithin local Harrl.burg ara. (717) 7&7-8094, TDUI (17) 172-2252 (HllrJng IMPaired OnlyJ. OBJECTIONSI Any party in Intlr..t not .atl.fled with the appr.I....nt, ullowanc. or dl.~11owanc. of dedUCltAon', or ........nt af tlK (IncludIng dl.Clount or Int.r..t) a. .hown on thl. Hot Ie. MU.t obj,ct ,,1 thin .I~ty (60) d.y. of r,ollpt of thh Notlc. b~1 ~-wrltt.n protl.t to the PA D.part..nt 0' R.v.nue, Soard 0' Appe.l', DIPt. 281021, HarrI.burg, PA 1712a~1021, OR --.l.ctlon to have the ..tt.r dat.r.lnld at audit of thl account of the plrlon.1 rlpr.,.ntatlv., OR ~-app..1 to the Orphan.' Court. AD"lH ISTRATIIJE CORRECTIONS I Factual .rror. dllcov.r.d Dn this ........nt ,hould b. addr....d In writing tOl PA nepert.ant of R.v.nut, Bureau of Jndlvldull fa)(a., ATTNI Pu.t A.......nt Revlaw Unit, Dept. 280601, H.rrl.burG, PA 17U8-0601 Phon. (717) 787-6505, S.. p.gl'l S of thl bOMlet "Inlltruotion. for Inhlrltanc. Tax R.turn for a RI.ident Dee.d.nt" (REV-ISOI) for an I)(planatlon of .d.lnl.trltlv.l~ correctabl_ Irror.. DtSCOUHTI If any t.~ due I, paid within thrl. (3) c.l.ndar 1I0nth. .fter the decld.nt'. d..th, . flva perc.nt (5%) di.count Q' the tax paid 1. .llo".d. PENAL TV I Th. 151. ta)( aln,.ty non-p.rtlclpatlon p.n.lty I. cOMput.d on the tot.l of the ta" and Int.r..t a......d, and not paid blfore January 18, 1996, the flr.t day .ftlr the end of the ta)( aanllty periOd. Thlt non~p.rtlolp.tion p.nlllty II 'PPllalabh In th. ..a(l IIlnner .nd In the thl fllIle t I.. per lad .. you would app..l the taM and intaralt that hll be.n .......d a. Indlcetad on thh noUolI. tNTEREST I tnterllt 11 ch.rg.d b.lllnnlng with Urtt d3~ of d.Unqu.ncy, or nln. (9) aonth.. ."d one (1) d.y 'rOIl the data of d.ath, to the dati of pe~..nt. TaxII which blca.. dlUnquent before Janullry 1. 19&2 bill' intere.t .t thl r.ta of .1)( (61.) perClnt p.r .nnUM c.lculated ~t I dally r.t. 0' .000164. All t.)(I. which bec..e a.llnqutnt on 'nd ,'t.r J.nuary 1, 1982 will b..r Intere.t at a ratl whloh will vary 'rD. csllnd.r ~..r to cel.ndar y~or with th.t rite .nnouno.d by the PA n.p.rt.ent of Revonu.. Th. appliolbl. Int.r..t rlt.. 'or 1982 through 1991 Iral l'.!!t Inter..t Rat. D.-Uy lnt.rlllt Faotor :!!.!! tnterllt A.te D.lly Inter.. t Footor 1912 20% ,OUDS48 1987 9X .000247 1983 16% .000438 1968-1991 11:< .OOnOl 1914 11% .000301 1992 9X .0002"7 1915 151. .0003S6 199!-1"" 7l. .000192 1916 101. .000l74 1995"1991 9~ .000247 ..tnt"'li1: it c.lculat.d II 'ollow'l INTEREST . B~LANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notic. Illu.d ,'t.r the t'K blcc.e. dlllnquont will r.fl.ct 11M lnt.r.,t c.lcul.tlon to flft.." (IS) dty. beyond tho dbt. 0' tha ........nt. If p.~..nt is ..dl .ft.r tho Int"OIt co.~utat Ion dat. thown on the Hotlc., addltlon.l Int.rllt .Ult b, calc~fl.t.d,