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HomeMy WebLinkAbout97-00825 , , ~ ~ , C'oo 0"- .,' I , - ~ ~ . t 0 1;; z . u.I ~ EGM/Novemhcr 14,1991/11601 making this gift for her benefit, Idev.lse and bequeath unto DAUPHIN DEPOSIT BANK AND TRUST COMPANY, IN TRUST, the least amount (based upon the values as finally determined for federal estate tax purposes) as shall be needed for the federal estate tax unlimited marital deduction to reduce the federal estate tax to the lowest possible figure after full use of all other deductions and credits allowable in oalculating the federal estate tax, except that such amount shall be calculated without regard to the augmenting of my taxable estate by reason of generation-skipping transfers and without regard for any credit for state death taxes that would not otherwise be payable. Accordingly I direct that: A. If the marital deduction or any similar benefit is allowable with respect to any property, including property held by entireties, which my wife has received prior to my death or at my death will receive ot:herwise than pursuant to this Article III, the value of such property shall be taken into consideration in calculating the size of the gift under this Article III. B. No property ineligible for the marital deduotion or any similar benefit shall be distributed to this gift for my wife, JO ANN MUSSELMAN, pursuant to this Article III. C. Either cash or investments or both may be allocated to this gift under this Article III. b. Any property allocated under this Article III in kind shall be valued at the value at which it is finally included in my gross estate for federal estate tax purposes, provided that the aggregate market value thereof on the date of allocation (plus the value is finally determined for federal estate tax purposes of all other property qualifying for the -2- EGM/Novcmhcr 14, 1991111601 marital deduction) is at least equal to the dollar value of the marital deduction as finally determined for federal estate tax purposes. E. My wife, JO ANN MUSSELMAN, shall be paid the entire inoome from the principal in monthly installments. F. My wife, JO ANN MUSSELMAN, is hereby given a power to appoint by will to her estate or to others, in such manner and for such estates as she may appoint, exercisable only by specific reference by her alone and in all events over the prinoipal of this Trust. G. As much of the principal of this Trust as the Trustee may from time to time think advisable for the support of my wife or during illness or emergency shall either be paid to her or else applied directly for her benefit by the Trustee. H. In addition to the above provisions, my wife, JO ANN MU8SELHA'N, shall have the power to withdraw such amounts from principal as she shall desire from time to time including the entire exhaustion of principal. 1. If my wife, JO ANN MUSSELMAN, shall fail, either wholly or in part, to exercise effectively the power of appointment created in the preceding Paragraph F, the unappointed principal shall be added to, and thereafter treated as a part of, the principal of my residuary estate passing under Article IV hereof, provided that the Trustee shall first deduct and pay to the personal representative of my wife I s estate an amount equal to the increase in federal and state death taxes and any increased administration expenses which her estate -3-- EGM/Novcmhcr 14, 1991/11601 my estate, of whatever nature and wherever situate, including any property over which I have a power of appointment given to me in the will or 'rrust of my wife, JO ANN MUSSELMAN, unto my children, BRIAN c. MUSSELMAN, DANE C. MUSSELMAN and LESLEY JO VEREEN, l.n equal shares, the issue of any said beneficl.aries who predeceases me to receive the share of the deceased beneficiary per stirpes, by representation. ARTICLE VIII Should my wife, JO ANN MUSSELMAN, and I die under such circumstances that it is dIfficult or impossible to determine who died first, I shall be deemed to have predeceased my wife, JO ANN MUS BELMAN . ARTICLE IX I direct that all estate, inheritance, legacy, succession or transfer taxes (including any interest and penalties thereon) imposed by the laws of any state or the federal government now or hereafter in force with respect to all property taxable under such laws by reason of my death, whether such taxes be payable. by my estate or by any recipient of such property, shall be paid by my Executor or Successor out of my residuary estate (described in Article IV or Article VII as the case may be) as part of the expenses of administration thereof without apportionment and with no right to reimbursement from any recipient of any such property. ARTICLE X In the event that any beneficiary of my will shall not have reached the age of twenty-f i ve (25) years at the time for distribution of his or her share, I give, devise and bequeath such share unto DAUPHIN DEPOSIT BANK AND TRUST COMPANY, Harrisburg, I?ennsyl vania, IN SEPARATE TRUST to hold, manage I invest and -6- EGM/Novemhcr 14, 1991/11601 re.invest the share so reoel.ved I Bndthe accumulation of income thereon, and to use and apply the income and principal, or so much thereof as, in 'rrufltee' s d iscrotl.on, may be necessary or appropriate for such benef iciary I s support. and education (.including college education, both graduate and undergraduate, and vocational training) without regard to his or her ability to provide for suoh support or education or to make payment for these purposes, without further responsibil ity, to such benef iciary or to any person taking oare of such beneficiary. When such beneficiary shall reach the age of twenty-five (25) years, Trustee shall distribute the then- remaining principal and any income accumulated thereon unto such beneficiary absolutely, and the Trust as to that beneficiary shall terminate. In the event any benef iciary dies before receiving his or her final distr ibution hereunder, such beneficiary I s Trust shall terminate and the balance of principal and income shall be paid over to my then-living issue per stirpes by representation. ARTICLE XI During the time any portion of my Estate remains in Trust, the same shall not be subject to attachment, levy or seizure by any oreditor, spouse, assignee or trustee or receiver in bankruptcy of any benefioiary prior to his or her actual receipt thereof. The Trustee shall pay over income and principal as hereinbefore determined to the parties designated, as thei I' interest may appear, without regard to any attempted anticipation, pledge or assignment by any beneficiary, and without regard to any claims thereto or attempted levy, attachment, seizure or other process, provided that if any such levy or seizure, or other process, shall be authorized by law or specific order of any Court having jurisdiction, Trustee shall not be liable to any beneficiary for violation hereof by reason of the same. -7- EGM/Novemher 14, 1991/11601 ARTIOLE XII If at any time during t.he oontinuance of any 'rrust created hereunder, the Trustee in its sole and absolute discretion determines that the size of any individual 'l'rust account has become so small as to be impractioal to continue to hold in 'I'rust and uneconomical to continue to i1dminister as a Trust, then in such circumstances, the Trustee may without further authorization distribute the ba lance of the pr incipa 1 and income in such Trust account to the beneficiary then-entitled to the income therefrom, and upon such distribution the Trust.ee shall be released from further obligation with respect to that account and shall not be subject to any claim from any person who may have had a future interest in such Trust account had it been continued in Trust. ARTICLE XIII I name, constitute and appoint my wife, JO ANN MUSSELMAN, to be the Executrix of this, my Last Will and Testament. If my wife, JO.ANN MUSSELMAN, fails to qualify or so ceases to so act, I name, constitute and appoint my sons, BRIAN C. MUSSELMAN and DANE C. MUSSELMAN, or the survivor of them as alternate ExecUtors to complete the administration of my Estate. ARTICLE XlIII In addition to the powers granted by law, my Executor(s) and Trustee shall have the following discretionary powers, applicable to principal and income, which shall be exercisable without leave of court and shall continue until distribution is actually made: A. To accept and retain any or all property, inoluding stock or other securities of the Trustee or of a holding company controlling the Trustee; -8- - V~l, C-(J I J-,O ,f ~"] '-\lL li~ tJ\ o.~ , ,d. -oJ 00 \.0 . t I . Ii' ~ ~ !>o . .... , I I ~ u 0 ! I t'" 0- j I I ..... ("6 , I I I " " . . . {, 1-, , ~" ~, ~ ~ ffi ~ ~ Wz ~ ~ Eo In Z :dii ~ ~ o ~ ~ !!I , o1l ~ ~ ~ i( 0 ~ ~ :t o ., " . - .' z ~I I"~ o U I':;' ,",J(! 7" \.. REV.1500 INHERITANCE TAX RETURN RESIDENT DECEDENT ffi ~ ~ Q .... --. ..,)i"[j;;L,\E.lii,i-;hh......<!~....j 'r~~I~~~~7Jll'~/)rrf;;r'"'1'~J';r~Ir;,lt1 ,,'" ...__.~-"q" "';:'fi,-t'T"'_,';;>',i";,'" "n:I,;'p':' ! , . .~... "....Jl ,., j' '1\,' 'I I : " ,1,.,,1. _I ." DATE Of BIRTH ., . ',"no" .'...,.,-.\/...,'.-..-"c.,.,.........\1,.." ,. ..i..;..1 ii. ',,,','" 5' 3 . 3: , 'I' . '"'' -;/" .. \, "';""''1'':;i)~ R I Ii 9.13.I~jq TIllS RElIIRN MUST BE FILED IN DUPLICATE WITH THE- REGISTER OF WillS - ,~.\~IX.lt'll ~t. COMMO~~YLVANI/I D~PARTMENT DF Rf.Vl!NUE DEPT.211\l6l11 R !l<CEOEN1'.""'a.(WT..'IRIT:.~,"'OO.lfi"~~\Il)"" w"!'<!!9<' ~,Mj>',"~'\...... ,....,,/..,. ,.." .... M'IIS 9I'~:I,M:AiN: InIOiNiA11,'1l, Ci " '" ,..', ... . .., ,''', '- -... ., aocw. 6eCVIUrO~l,),tB[~ DATt! Of OEATH .. 2 n 1 - ]i~~.9 Ui4'.~;."ir;I;!i4/IJ9. 917 i1F A'PllCA!l1) SURV>.1t,1l Sl'OOsrl "'ME (lAST. fiRST. AAO "OOIE INJT1IlI SOC'" SECURITY NIMBEIl '", .-', "\ , Jo Ann C. MllAflHlm'm ].ll 7. 'S 2 7. :~' 7 D 1, Original Rehlm 02,SupplomentalRelum 03.RemelnderRetum('''o/''''''P''<<011'IHI! o Hlrnhed Estale 0 4B, Fulure Inlerest Compromls& 1''''0/''''' "'" 1/.11-111 Klr 5. Federal Estale Tax Retum Required Ki 6. DecedBnl Died Testale (MJe'''''lolW~ 0 7, Decedenl Maintained e living Trusl (MJe' "'"01 TrusQ _ 6. TotalllumblJr of Sefe Depoth Soxes o 9. LIIIg.lIon Proceeds R&:elved 010, Spousal Poverty Credll I'''' 01"'" botll'" II.MI 1M 1,1oI~ 011, Election 10 lax under See. 9113(A)(AllodI1cII0) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE'AND CONPIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: fW.ll! COMPlETE IMIUNO A1:l0RfSS 3lJ] Market St.., P. o. I10x IlJ9 l.enDyne, PA 17lJ43-0109 12, NetV.tu. 01 EsIlI. (LIne 6 minus Lln.l1) 13. Chadlable end Governmental Bequests/SBO 9113 Tru.1s for which en election 10 lax has nol been made (Schedule J) 14. N.tValue SubJect to Tax (LIne 12 minus Line 13) 15, Amounlofnne14laxeble ') '\' .' etll1espo,sallax rale " i.,.>.' ;\), 7..:..',l..,....~,i". 5..3,. See Inslruo1ions on ra,o"e side for epplloableperoenlage 16,Amounlofllnel4laxeble . 'i:: ....... , at 6% rale.. ". 17. Amount of One 14taxeble ,ii;' al15\1rale ., .' II! Stewart & Weid~~r z o ~ E ~ ~ 1. Real Eslate (SoIledule A) 2, SlocI<l Bnd Bonds (Schedule B) 3. Close~ He!d Corporallon,Panlle"hlp or SOle.PropdBlo"hlp 4. Mong.ges & Notes Recelvabla (Sch,dule 0) 5. Cash. B.nk Deposits & Mlsoellaneous PB"onal Property (Schedule E) 6. Jointly CNlned Property (SoIledule F) 7, Inler.Vlvos Transfa" & Mlaoenaneous Non.Probate Property (Schedule G or L) 6. Total GrOll Amts (Iolal Lines 1.7)- 9. Funeral Expenses & AdmlntalTallve Costa (Schedula H) 10. Debla 01 DecedBnL MortgBge L1abnrnes, & Ller" (SoIledulal) 11, Total Deduotlon. (Iolal Lines 9 & 10) (1) ;-j' '1''''\,;;,' \~. .;' (2) .. """i~" ] ,I. 8 3, 4'~..4 '..7 .'. (3) i" "".,'~:;. ., 9, O. . '~i(~'.~f:~'\ ifj "') ,.:."'.,......1,,.,.....' " . U" ~~ - _' -.i::. "-'''''i:!j."",J}('<''d':;;:. (4) t~.~,-,);c)~.:;:c, ",;,r,:>~, ,_ t. \ :-:L '''_':\'<'~'''.,\, 'Ii, t=; (5) fi I ~,~ . 3 : 1 i 3 ' 8: 7 .'.: 3 ' 3:' h.' (6) :t'''''f'''"'~l'''' ',':C"T"'>"Vi";"T":')t";r';"'\;~~ '-J '> ; f,,,, ' . ."....,,\. t.;",.__,. 'f" "-' c.... ,~,.., ,,""<, "K- ''1-. I. ~. ,. "d., '.'''' '.',fA<I.'.i.,."',,....:.., .....:~IJl..,.<":",t'd..,.-,".... .'" (7) ,~;. L".i;:;,3 : 4.1_.5 4',1.;6,.w5i:~~.6,L,4".6~ ( \ (8) tLL, ~~iLfGI~.:C~:,J'. V,~.l.'~ """'je.-,.." .,..-.~"..~..,,~....---~~~...... . (1." "'. ',^" ..' :.< . "" 7,'}.I,J,l,~.},J.1 ~ N! . i ,'.2:]17;618'/\' r , ',' I, ",,', .! .!' . "" ." . ..~.,' (11) ~,:/, 'I' ',~ . \ '". \ ". 'l'... ,: : 7": .5.! 33. 8 4 !~ 3 719''118 is' '~. ;.~ " · 0 . '1'" t::_,_..~,. ....t",,,..,;.".. "l',+,,~,~'~1<'f.t!~fY""! ','. y -10 ,- .', t .... - o=r-iCiilwaOHLY :0 ::'1 :1:' \ " ~ " " (9) ljC' 'T~'~r' ~'~" .--:.;-- '.:.{,,~ (10) b i m ,< ,...., (12):~ , (13) .. "::... " - 18. Tax Due (14) :. \" . . r. -- --. . ',' ""I,t ' ',' (-':,. - , 1 3' 7' 9' 815 3;: 6 : 0 ",v.t.,_,..I... ,l.."..,....."._.,. 1.""',.-...,,,,.....,_ . ':,I:.,:r;;,...:-.lf:d.cJSs"L:... . i (~, t -- ~O : - '~~ . '; !:'-\'.l; ',"l<~.Y.r:f.:, "''Wl:>~'~ ',I. I, /610 "".',"'.', \~ (15) r, ,~ x ;',.0 " ",~;:l x ,06 ,15 (16) (17) (16) ;,l)",~'" (\'.-'- - .,.,.....t-:.,~t..,,';:: . :'-',~.{ ;'J', ,:.. ,.' .:~.; , , x " -0 ',<" 1~ . . . '1:L':,:": II',-); f'.' ..{, > > BESURE.To. ANSWER ALL QUESTIONS.ON REVERSE SIDE AND RECHECK MATH..~,~ d,," ,', . f;:(,,' .,. Urdor ponollleo 01 p81ju~.1 doc'lII ~at I hm ...nlntcl ~II ~Mn, Including """",pII\~ng schedules and .Iat.""ntt. r<l ~ \he bool 01 my """"'ocIgo ond benof, h ~!rue. COITe<1 r<l ton'jIItto. Doc:W.1Icn 01_" o\her lIan!hl fIIlIMlI rtDftidnI8U~.11 based 0I'I1II1n~ ofwhleh DflO&IIl' hall any knowledae. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS 4lJO SlIIlITlit. St. DATE ~ a.n...) C, hyu I L('.{.'",~.,,_ Jennyne, PA 17043-0109 t.k"(5'<;:, f1A~~A'rIVE ADDRESS 301 Market HI:., P. O. llox 109 DATE Irnvyne, PA 17043-lJ]0<J ~tUI'/Jr Decedent'. Complete Address: STREET ADORESS 400 SUlTUnit StTed" CllY r emoyne , ~Pi\~~._,-2.7041 TotallnleresVPenally (0 + E) (3) _ -0- 4. If line 215 greater than line 1 + line 3. enler ths difference. This Is the OVERPAYMENT. Check box on Pegel Llnl19 to requael I refund (4) 5. If line 1 + line 3 Is greatsr Ihan line 2, enler Ihe difference. This Is the TAX DUE. (5) A. Enter Ihe Interast on Ihe tex due. (SA) 8. Enter the total of Line 5 + 5A. This Is the BALANCE DUE. (58) Make Cheok ~8.ble to: REGISTER OF WIL.LS AGENT .. -~- !!!!:;... PLEASE ANsweR THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Old decedent make a transfar and: Yea a. ralaln the usa or Incoma of the proparty transferrad: .......,.................................................... ~ ~: :::::~ ~h~e~~~:I~~~~:~~a~~s~~~. ~~~~~ .~.~~. ~.~.~.:.~.~.~.~.~..t,~~~~.~~.~~~~ .~~. ~~~ .I.~.~.~~.;. :::::::: :::: :::: [] d. receIve the promIse for life of either payments. benefits or cere? ......................................... 0 2. If death occurred on or before December 12.1982, did decedent within two years preceding death transfer property without receiving adequale consIderation? If death occurred aller December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .,............. .................................... ............................,."....."".. 0 IiU 3. Old decedent own an 'In trust for' or payable upon death bank account or security at his or her death? ...................................................................................................................... 0 !;W 4. Old decedent own an Individual retlremant account. annuity, or other non.probate property? ....I]) 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES. YOU MUST COMPLETE SCHEOULE G AND FILE IT AS PART' OF THE RETURN -'--.- 72 P.S. S9116 (a) (1.1) (I) provided for the reduction of the tex rate Imposed on the net v&lue oltransfers to or for the use ofthl lurvlvlng Ipouae from 6% to 3% for dates of death on or aller July 1, 1994 and before January 1,1995. 72 P.S. S9116 (a) (1,1) (II) provided for the reduction of tho rate Imposed on the net velue of transfars to or for the use of the surviving spouse from 3% to 0% for dates of death on or efter Jenuary 1, 1995. The stetute lIMs not exomDt 0 transfer to a survIving spouse from tax, and the statutory requirements for disclosure of assets end filing a tex return are etlll applicable even If the survlvlnq spouse II the only beneficiary. FOR DATES OF DEATH ON OR AFTER JANUARY 1,1995. Please enswer the followIng question by placing an 'x'ln the appropriate space. Old the decedent create a trult or 11m liar arrangement whloh la solely for the surviving apouse'e benefit for hI. or her entire IIfeUme? Yes IZ] No 0 If you answered yes to the above question, the tax on the trust or similar arrangement Is postponed until the death of the second Ipouse, at which time It will be fully taxeble at the rate(s) appllceble to the remainder beneficlary(les). Enter the value of the trust on Schedule J, Part II, In order to remove It from the calculation of the tax due In thIs estate. You may wish to file Schedule 0 In order to make the election available under Section 9113. lithe election Is mada, the trust cr similar arrangement Is taxed In the estate oflhe Ilrst decadent spouse, the portion of the trust or similar arrangement which benefits the survIving spouse Is taxed at the zero tax rate, and the remainder Is taxed at the rate(s) eppllcable to the remainder beneficlary(les). II you choose to make the election, you must attach Schedule 0 to a tlmely.fiIed tax return, along with Schedule(s) K and/or M In order to show the apportionment of the trust or ,'mllar arrangement between the surviving spouse and the remainder beneficlary(les). , Tax Payments and Credits: I. Tex Dus (Page 1 Une 18) 2. Credlts/Paymsnts A. Spousal Poverty Credit B. finO! Payments C. Discount (1)___ 3. Interesl/Psnally If applicable D. Intsrest E. Penalty Tolal Credits (A + B + C) (2) -()- , ',1/\"",. '\.... '. , ~',. ' .':', ~ ~f ),' ' . I -()", -0- -()- n III UIIIU II No ; . II~'.-.' ~"'~' '," _ ,,: oj l - i..... - ",'~' J t ,.<~1, 1 \ ,. ~, ~1V.t~IJ('II.tll . SCHEDULE C.2 PARTNERSHIP INFORMATION REPORT COMMONWEALTH OF PF.NNSVLUANIA INHERiTANCE TAX RETURN IN" T ESTATE OF MUflSI':!.MAN, IJONAJ.I) C. FILE NUMBER 21-'97-0825 1. NameolPanne"hlp "(,SA - I'I':NNSYLVANIA" Address 1'. O. Box 0,25 Date Business Commenced 1 9 9 2 Business Reperllng Year 2. 3. 4. City Lf!moynf'> Federal Employer 1.0. Number Type of Business Decedent was a rn General Slate --1lA.-. Zip Code 1 7 n d < Nont.:~ ProductlSerllce o Umlted panner. If decedoot was a limiled panner, provide Initial Investment $ 5. PARTNER NAME PERCENT OF INCOME -.0- -0- -0- -0- PERCENT OF OWNERS fliP BALANCE OF CAPITAL ACCOUNT A. ,James C. 11 erl B. Byerly Insurance C. Donald C. Musselman D. McMinn's As halt Co. 1 Rha re -0.- 2 Sha rc s -.0- 1 Rhare -0- 6 Rha re s -0- (See additional Sheet) 6. Value of the decedent's Inlerest $ 9 , 0 0 0 . 0 0 7. Was the Pannershlp Indebted to the decedent? 0 Yes m No II yes, provide amount of Indebtedness $ 8. Was there life Insurance payable to the pannershlp upon the death of Ihe decedent? 0 Yes ~ No II yes, Cash Surrender Value $ Net proceeds payable $ Owner 01 the pelley 9. Old the decedent sell Jr transfer an Interest In this pannershlp within one year pnor to death or within two yea" Iflhe date of death was pnor to 12.31-82? DYes IKJ< No II yes, 0 Transfer 0 Sale Percenlage transferred/sold Transferee or Purchaser Consideration $ Date Attach e separate 'heet lor 'dd~onatlran"elS andlor sales. 10. Was there a written pannelllhlp agreement In effect at the time of the decedent's death? II yes, provide a copy of the agreement !XI Yes 0 No 10. Was the decedent's panne"hlp Interest sold? If yes, provide e copy of Ihe agreement of sale, etc. 11, Was the panne"hlp dissolved or liquidated after the decedent's death? 0 Yes [l< No If yes, provide a breakdown of distribulions recslved by Ihe eslate, Including dates and amounts received. DYes ID< No 12 Was the decedent retated 10 any of the panne,,? DYes Kl< No II yes, explain 13. Old the pannershlp have an Intereslin olher colPOralions or panne"hlps? 0 Yes In< No II yes, repen the necsssary Informalion on a separate sheet, Including a Schedule C.1 or C.2 for each Interest I\:".'B;---..... ~iB:~'-"rr1''''w~,-~~~,'r-' '''''T'' "01' '""'''''"'''~'~\i~-''' 1. ,,,\,,,,,,,,.,, "',. '''~'N'I I -1' ,....., ,.""., ')11 '," ",;./. '10 . J ....{'j} ''0 'I -"',l \ I .!.f). "'1 t,~-,:J. -.1, ",,) , 'e J."" .i.14~'luLr. iJrJ-:t .i'A'^.J.\~Y.':L .:t .c~~1Jl;l~Jl.E!:.JJ. ,l!i;wt ._' 1'2,J ,,;_'[~ __ ... ...J A. Detailed calculations used In the valuation of Ihe decedent's panne"hlp Interest B. Complete copies of financial slatements 01 Federal Pannershlp Income Tax relums (Form 1065) for Ihe year of death and 4 preceding yea". C, If Ihe panne"hlp owned real estale, submit a 1151 showlnn the complete address/es and estlmaled fair markel value/s. If real estale apPlalsals have been secured, attach copies. D. Any other Informallon relating to the valualion of the decedent's panne"hlp Interest. G.S.A. PENNSYLVANIA SUMMARY OF OWNER PAYMENTS DUE AS OF FEBRUARY 1, 1996 IC7j;;> (./CJ:>- ",. ( /1 . ,( II WNER AMOUN'r DUE DATE PAID James C. Byerly $ 600.00 r "!;)c!?t.. Byerly Insurance 1,200.00 I 1/0/"7(, I I/S"flt Donald C. Musselman 600.00 McMinn's Asphalt Co. 3,600.00 1/IS'tlt. Cynthia B. Long 600.00 /j3/hl.. Nancy & Bud Lenunons 600.00 )/1' /9f.. TOTAL $7,200.00 ================================================~============== Estimated Expenses for 1996: Delrnarva.power Golden Sands Condo (Maint. Fee) Telephone Taxes/Sanitation & Insurance Cable TV Accounting Services Miscellaneous $ 850.00 3,200.00 300.00 1;600.00 250.00 370.00 630.00 TOTAL $7,200.00 $7,200.00 -:' l2 shares = ~600.00 per share: Please remit to GSA Pennsylvania c/o Byerly Insurance PO Box 525 Lemoyne, PA 17043 Total Expenses Previous Three Years: 1995 $ 6,342.11 See attached receipts and disbursement record for 1995 1994 1993 $12,718.69 $ 9,302.23 Contained extra expenses due to remodeling, etc. Contained extra expenses due to remodeling, etc. j,I' )'~(/C-r1.(r 1::'- (/,?!, - :;z~' . G.S.A. PENNSYLVANIA SUMMARY OF OWNER PAYMENTS DUE AS OF FEBRUARY 1, 1995 OWNER AHO DATE I James C. Byerly $ 600.00 Byerly Insurance 1,200.00 Donald C. Musselman 600.00 McMinn's Asphalt Co. 3,600.00 Cynthia B. Long 600.00 Nancy &: Bud Lemmons 600.00 I-TOTAL --_. $7,200.00 I "l . ================================~============================== Estimated Exoenses for 1995: Delmarva Power Golden Sands Condo (Maint. Fee) Telephone Taxes/Sanitation Insurance Cable '1'11 Accounting Services Unexpected Expenses Miscellaneous . . $ 600.00 2,750.00 350.00 1,550.00 150.00 250.00 600.00 500;00 450.00 . TOTAL $7,200.00 $7,200.00: 12 shares = $600.00 per share: Please remit to GSA Pennsylvania c/o Byerly Insurance PO Box 525 Lemoyne, PA 17043 Total Exoenses previous Three Yearsl 1994 . $12,718.69 . (See attached receipts and disbursements record for 1994 . Note $6,411.67 was spent for variou& costs involving renovations and repairs) $ 6,307.02 Nonnal Expenses 6.411.67 Extra Expenses $12,718.69 1993 1992 $9,302.23 $6,377.41 . " ~if.'>~u~/. \\,,'.' If,. 'Jf~~i/i \1\ . \ /)1' II"" . '~p' ~I uh t' J' P~RTNERSHIP~GREEMENT, THIS PARTNERSHIP AGREEMENT, made this _ day of' between: , 199_, is.by and BYERLY INSURANCE AGENTS & BROKERS, INC., of 525 North 12th Street, P.O. Box 525, Lemoyne,.PennsYlvania; JAMES C. BYERLY of Camp Hill, Pennsylvania; DIANE D. BYERLY of Camp Hill, Pennsylvania; CYNTHIA B. LONG and SAMUEL E. LONG of Camp Hill, Pennsylvania; O. F. LEMMONS and NANcY G. ELMER of Shiremanstown, Pennsylv~nia; McMINN'S ASPHALT CO., INC. of Lancaster, Pennsylvania; DONALD MUSSELMAN of Lemoyne, Pennsylvania; and ROSE M. SWEIGART of tititz, Pennsylvania. All of whose names and addresses, for purposes of this agreement, are listed on Schedule A attached hereto and made a part hereof and are hereinafter collectively referred to as the "Partners." WITNESSETH: ~EAS, the parties have associated themselves together as partners, and in their capacity as Partners, have become the owners of a condominium property which is identified as Unit l7ll of the Golden Sands Condominium Company, Inc., in Ocean City, Maryland; and WHEREAS, the parties hereto desire to set forth their respective rights in the property and the parties have reached an agreement as to the ownership, use, and management of the property. NOW, THEREFORE, for and in consideration of the above recitals and tne mutual covenants hereinafter contained, the Partners hereby form and create a general partnership (hereinafter called the "partnership"), under and pursuant to the Uniform '. .. Partnership Act of the Commonwealth of Pennsylvania for the purposes and upon the terms, conditions, and provisions hereinafter set forth. 1. The business of the Partnership shall be conducted under the name of "G S A _ Pennsylvania", in PennsylvanIa and under such variations of that name as may be necessary to comply with the laws of the other states in which the Partnership may do busines~ or may make investments. 2. The principal place of business of the Partnership shall be Lemoyne, Cumberland County, Pennsylvania, but additional places of business may be located elsewhere. 3. The mailing address of the Par.tnership shall be: G S A - Pennsylvania, P.O. Box 525, Lemoyne, Pennsylvania, l7043-0525. 4. The purpose of the Partnership shall be to invest in the aforementioned condominium real estate property and to take such actions as may be necessary to use, enjoy, and manage such property, including but not limited to the division of time in which the property shall be available for use by the Partners and by people using and claiming under them, the rental of the property, the maintenance and repair of the property, and such other items of management and use of the property as the Partners may deem necessary. 5. The Partners hereby acknowledge and agree that the PartnerShip interests are owned in the following portions or shares, the PartnerShip profits, rents, and incomes, shall be divided in the following portions or shares, the time usage of the Partnership property shall be divided and allocated in the following proportions or shares, and the voting and control of the Partnership shall be exercised in the proportions or shares as set forth on Schedule A which is attached hereto and made a part hereof. Each share as listed on said Schedule A shall have one vote in making all decisions which are required to be made by the Partners generally and all decisions will be made by a majority of the Partners so voting. All profits and losses, and assets and . 8. The death or retirement of any Partner shall not terminate or dissolve the Partnership, but the Partnership shall continue in effect, subject to the other terms of this Partnership Agreement, thereafter. 9. Upon the death or retirement, as the term is hereinafter defined, of any Partner or Partners, the Partnership, consisting then of the remaining Partners, s~all have the" right and Bole option to purchase th6 share or shares of any deceased or retired Partner or Partners. The share shall he purchased, sUbject to the procedures set forth in Paragraph 10 hereinbelow, for a price or consideration equal to one share of the original purchase price (including all taxes, commissions, and expenses relating to the purchase, but not inoluding any of the expense of furnishing the unit) of the condominium real property owned by the Partnership, as increased by five percent per year for every year from the original purchase of the property until the death or retirement of the deceased or retiring Partner. It is specifically agreed, however, that the Partners may, at their annual meeting as provided for in Paragraph l2 herein- below, determine and set, by a majority vote of all the Partners' shares at such meeting, an annual increase or increment in the value to replace and supplant the five percent increase provided under this agreement, in which case the said amount agreed upon unanimously by the Partners' shares at the said meeting shall be the amount of increase for that year. lO. Should the Partnership, consisting of the remaining Partners, decide to exercise its option to purchase the share of a deceased or retiring Partner, the following procedure shall be followed: A. Within thirty days of the date of death or retirement, as defined hereinbelow, the Partnership shall notify the retiring Partner or the pe!sonal representative of the deceased Partner, in writing and at the 4 .. address set forth in Schedule A attached hereto, as it shall be amended from time to time, of the Partnership's intention to so purchase that Partner's share. B. Within ninety days after the date of said notice, the Partnership shail tender to the retired Partner or the personal representative of the deceased Partner, the full sum due to purchase the share of the deceased or retired Partner. 11. A "retiring Partner" for purposes of this agreement, shall be a Partner who notifies the Partnership or the other Partners of his desire to terminate his affilia- tion with the Partnership, to withdraw therefrom, or to sell or assign his interest in the Partnership. The date of his retirement, for purposes of this Agreement, shall be the date the written notice of his retirement or his intention to retire is received by the managing Partner at the address set forth in Schedule A attached hereto, as it shall be amended from time to time. l2. The Partners shall meet, no less frequently than annually, to consider such matters as may relate to the Partnership and to review and ratify the actions of the managing Partner. 13. This Partnership may be terminated at any time at a specIally called meeting of the Partners upon the affirmative vote of at least 7 of the shares of the Partnership. 14. This Agreement shall be construed under and in accordance with the law of the Commonwealth of Pennsylvania, and all obligations to the parties created hereunder are performable under the laws of the Commonwealth of Pennsylvania. 5 COMMONWEALTH OF PENNSYLVANIA COUNTY OP CUMIIRLAND } u: do linn Musselman being duly __. Bworn according to law, depolOs and says that she _..ill.. Executri x - 01 the Estate 01 rnn"lrl (' Mllqq"lltl",,_ lote 01 ---l\lJ:QUgh-of.lelllCWnCL-_h___ , Cumberland Counly, Pa., deoea"d and that tho within" an Inventory mad. by .[" An'l M"q",~l",at:l ._ _____., the said li'v,,(',,~,.ilo:_ of tt.. entire estal. 01 said decedent, con,istlng 01 all the personal propdrty and real estalo, ..cept real estate outsld. Ihe Commonwealth 0; Pennsylvania, and Ihat Ihe ligures oppollte each Ilem 01 the Inventory r.prOlent It's 1.lr valu. os 01 the date 01 decedent's death, .....--- Sworn to and subscribed belore me, . Jt~f dc', ~aihC \ )\'~-N)" ./ 19_ 98 ,J.., <2..,_, (!, V)/L.-<'.L -;1..1-"" €"'n.."....."_ (;/ eUtutor '. Aclmlnh".tor ,Jo linn C. Musselman, Executrix 400 ~l1mmit ~trAAt -- lemoyne, PA 17043-0109 Add".. D.te of Duth _ Doy 1997 Vur INSTRUCTIONS I. An Inventory must be filed within three month, alter appointment 01 rersonal representative. 2. A supplement Inventory must be Wed within thirty days 01 discovery oladditlonal,OIsets. 3. Additional shoots may be attaohed 01 to personalty or realty 4. See Article IV, Fiduciaries Act 011949. '" C> 0-1 C> I M ... 0 I'- 0-1 ~~ -d ~ II lG ,~ ~ II . " ClJ co A. ~ U e rI 0 " [ ~ w o w fJj C ll\ I'- j!: l>: : '" A. ..J LL ~ ..; [ ..J ~, 0 A. 0-1 LL ~ = N W 0 -< :i: -< ~ l>: . Z . '" 0 u c ~ C> C ~ - VI Z 0 0-1 0 l>: ~ U Z w -< ... . ~ A. .." (~ c - ~ ] , 0 " " 0 .J:l .." ..., " e ..!! 0 . ~ ~ 0 n, ~ U u: II> .... f!lECOPY TO Register of Wills Office Cumbefl.a.nd..Q.Qu.nlY-Qou rthouse 1 Courthouse SQUlllll carull.Ie..EAJ 7013-3387 .FROM JOHNSON, DUFFIE, STEWART & WEIDNER Attorneys at Law P.O. Box 109 Lemoyne,PA 17043 (717) 761-4540 SUBJECT: Estate of Donald C. Musselman - No. 21-97-0825 June 26, 1998 Enclosed for filing In the above-captioned Estate are the following: 1. Original Inventory. 2. Original and copy of Inheritance Tax Return. 3. Copy of Form 706 - Estate Tax Return flied with the Internal Revenue. 4. Check In the amount of $20.00, filing charges. SIGNED: Edmund G. Myers ash , ~o ~ ro :n~ : ::~ (D o~ < ,'~ ~~ ~I;: ' ; :"i tc5 :1l .r_ ei N VS' C-l :P>:; JS. );.r,.;~ -h \0 ,,-, . ,-, ESTATE OF DONALD C. MUSSELMAN, DECEASED, LATE OF THE BOROUGH OF LEMOYNE, CUMBERLAND COUNTY PENNSYLVANIA COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-97-0825 PETITION CONFIRMING DECLINATION. RENUNCIATION AND DISCLAIMER OF DAUPHIN DEPOSIT BANK AND TRUST COMPANY, TRUSTEE AND APPOINTMENT OF MID.PENN BANK AS SUCCESSOR TESTAMENTARY TRUSTEE TO THE HONORABLE JUDGE OF THE SAID COURT: AND NOW, Jo Ann Musselman, Executrix of the Will of Donald C. Musselman, Deceased, through her attorneys, Johnson, Duffie, Stewart & Weidner, respectfully represents the following: 1. Petitioner is Jo Ann Musselman, Executrix of the Will of Donald C. Musselman, Deceased. 2. Decedent, Donald C. Musselman died on May 24, 1997, testate, leaving his Last Will and Testament dated January 9, 1992, which was duly probated before the Register of Wills of CU'l1berland County on October 9, 1997. A copy of said Last Will and Testament is attached hereto marked Exhibit "A" and made part hereof. 3. Pursuant to the provisions of Article IV of Decedent's Last Will and Testament, Dauphin Deposit Bank and Trust Company was appointed Trustee of the trust created by said Article. 4. Dauphin Deposit Bank and Trust Company has elected to decline the appointment as Trustee pursuant to said Last Will and Testament, renounced its right to act as Trustee and disclaims the right to receive any proceeds payable to the l'rustee pursuant to the terms and conditions of Decedent's Last Will and Testament. 5. A copy of the Declination, Renunciation and Disclaimer of Dauphin Deposit Bank and Trust Company, dated ~l.lst.12, 1998 is attached hereto, marked Exhibit "8" and made part hereof. exhibit A ~ ""~:';7,'~~'.:1~,"f,ft"~~~:.'\"a~"f.:M ;',' ':.";'.-....r..,.,-,"....-"...;(.../ ';,~~" " .,It., ':,\,(,'''' ~"''-.-, I....d,,~~,. '~<~,Lr('f.. ,"', . . 1"""1' ". ...., . , 'I < <'.. I >._''''' ,ift..;,.\::.t ~. ,~~t~ :11,~t . 'ft!5?,:' ',ftt l..~'jJ'~,,, .~l 1 ~ ' 1 I"! ~~,,'-r I' ~, l,. ~:' ",..,.,', ," " . .,:.A;.'__.~'..,i..,:...,. ..:..:-...'.,..:">......,1,,,",..<..., . '..~~~I),;;;..., ~I."_'" t', ;'{' ,;lOil',:,I\_o(<.- -"-'~"""'''''''.'_ ,.',:"',,\ ,~.',,'A,' I". 1,,\. 'I'k",t')~"'1~t!{;:':il' '~'~.It}":l-" , '\t', '/ '., ~.,';"I "!l' "':' I,' I :;_':.'...\I'..J!~l.:.:~''''::i;;:,,~\._.,;;~:~t\/:;_J'.'.t. ,:" '~',,:.!.~~:..,/,...I'~;}:,_.__ ,'I .' ;, "I"'J t :}.,.',:.' . .......'. v:. , ;i;';I~""':-,~; .; ~'';' .. I~;'," f."" ,'" iH.-' , .' '~);:'~'_:-:r", "y'~', ~ ,<: 3lICtst ~(liU ctttb Westament OF DONALD C. MUSSELMAN I, DONALD C. MUSSELMAN, of the Borough of Lemoyne, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last. Will and Testament, hereby revoking and making void any and all Wills or Codicils at any time heretofore made by me. ARTICLE I I direct my Executor hereinafter named to pay my legal debts and funeral expenses as soon after my decease as conveniently may be. ARTICLE II I give and bequeath my automobiles, household and personal effects and other tangible personalty of like nature (not including oash or securities), together with any existing insurance thereon, unto my wife, JO ANN MUSSELMAN, if she survives me by thirty (30) days. Should my wife, JO ANN MUSSELMAN. not be living on thp. thirty-first (31st) day after my deat.h, I give and bequeath the same unto such of my children as are living on the thirty-first (31st) day after my death, to be divided among them by my Executor with due regard for their personal preferences in as nearly equal shares as practical. ARTICLE III In the event my wife, JO ANN MUSSELMlW, survives me and if the federal estate tax due because of my death will be reduced by ',' --- - - ,-n"'-'-~~~~"__'.__"-------+'_~~""_'_~~__._n_'_..~,"._ making this gift for her benefit, I devise and bequeath \lnto DAUPHIN DEPOSIT BANK AND TRUST COMPANY, IN TRUST, the least amount (based upon ~he values as finally determined for federal estate tax purposes) as shall be needed for the federal estate tax unlimited marital deduction to reduce the federal estate tax to the lowest possible figure after full use of all other deductions and credits allowable in calculating the federal estate tax, except that such amount shall be calculated without regard to the augmenting of my taxable estate by reason of generation-skipping transfers and without regard for any credit for state death taxes that would not otherwise be payable. Accordingly I direct that: A. If the marital deduction or any similar benefit is allowable with respect to any property, including property held by entireties, which my wife has received prior to my death or at my death will receive otherwise than pursuant to this Artiole III, the value of such property shall be taken into consideration in calculating the size of the gift under this Article III. B. No property ineligible for the marital deduction or any similar benefit shall be distributed to this gift for my wife, JO ANN MUSSELMAN, pursuant to this Article III. C. Either cash or investments or both may be allocated to this gift under this Article III. D. Any property allocated under this Article III in kind shall be valued at the value at which it is finally included in my gross estate for federal estate tax purposes, provided that the aggregate market value thereof on the date of allocation (plus the value is finally determined for federal estate tax purposes of all other property qualifying for the -2- .....,--.'~,-.'.H....._."....,...__,... r.."'...."''''...... -".._, .,,,,. '" ".,. ,..,. marital deduotion) is.at least equal to the dollar value of the marital deduction as finally determined for federal estate tax pur.poses. E. My wife, JO ANN MUSSELMAN, shall be paid the entire income from the pri.ncipal in monthly installments. F. My wife, JO ANN MUSSELMAN, is hereby given a power to appoint by Will to her estate or to other.a, in such manner and for such estates as she may appoint, exercisable only by speoifio reference by her alone and in all events over the principal of this Trust. G. As much of the principal of this Trust as the Trustee may from time to time think advisable for the support of my wife or during illness or emergency shall either be paid to her or else applied directly for her benefit by the 'I'rustee. H. In addition to the above provisions, my wife, JO ANN MUSSELMAN, shall have the power to wi.thdraw such amounts from prinoipal as she shall desire from time to time including the entire exhaustion of principal. 1. If my wife, JO ANN MUSSELMAN, shall fail, either wholly or in part, to exercise effectively the power of appointment oreated in the preceding Paragraph F, the unappointed principal shall be added to, and thereafter treated as a part of, the principal of my residuary estate passing under Article IV hereof, provided that the Trustee shall first deduct and pay to the personal representative of my wife I s estate an amount equal to the increase in federal and state death taxes and any increased administration expenses which her estate -3- -- .." ._._~~_._._..._,.".~h""'''_____,,_......... ___,,__... , , ,,, 'Il<,.;\Jo~. will have to pay because of the inolusion of the prinoipal or this Trust in her estate for tax or administration purposes. , J. If any provision of my will shall result in depriving my estate of the mar i tal deduction for federal estate tax put'poses, such provision is hereby revoked and my Will shall be read as if any portion thereof inconsistent with the allowance of the marital deductlon for federal estate tax purposes is null and void. ARTICLE IV In the event my wife, JO ANN MUSSELMAN, survives me, I give, devise and bequeath all the rest, residue and remainder of my Estate of whatever nature and wherever situate, including any property over which I shall have a power of appointment other than such power given to me in any Will or inter vivos trust of my wife, unto DAUPHIN DEPOSIT BANK AND TRUST COMPANY, IN TRUST, for the following uses and purposes: A. To pay the MUSSELMAN I for installments. net income therefrom to my and during her lifetime, wife, in JO ANN monthly B. As much of the principal of this Trust as Trustee in its sole discretion may think necessary to maintain my wife I s standard of living at a level consistent with such standard at the time of my death or during illness or emergency, shall either be paid to her or else applied directly for her benefit by the Trustee after taking into account other assets and sources of income and support available to her; provided, however, that no part of the princIpal of this Trust shall be -4- "--- my estate, of whlltover nlltUrL1 Ilnd whorovtlr aitllllte, including any property over whioh I have a power of appointment given to me in the Will or Tr.ust of my wife, JO ANN MUSS.1LMAN, unto my children, BRIAN c. MUSSELMAN, DANE C. MUSSELMAN and LESLEY JO VEREEN, in equal shares, the issue of any said beneficiaries who predeceases me to receive the shar.e of the deceased benof ioiary per stirpes, by representation. ARTICLE VIII Should my wife, JO ANN MUSSELMAN, and I die under such circumstances that it is difficult or impossible to determine who died first, I shall be deemed to have predeceased my wife, JO ANN MUSSELMAN . ARTICLE IX I direct that all estate, inheritance, legacy, succession or transfer taxes (including any interest and penalties thereon) imposed by the laws of any state or the federal government now or hereafter in force with respect to all property taxable under such laws by reason of my death, whether such taxes be payable by my estate or by any recipient of such property, shall be paid by my Executor or Successor out of my residuary estate (described in Article IV or Article VII as the case may be) as part of the expenses of administration thereof without apportionment and with no right to reimbursement from any recipient of any such property. ARTICLE X In the event that any beneficiary of my Will shall not have reached the age of twenty-five (25) years at the time for distribution of his or her share, I give, devise and bequeath such share unto DAUPHIN DEPOSIT BANK AND TRUST COMPANY, Harrisburg, Pennsylvania, IN SEPARA'l'E 'rRUST to hold, manage, invest and -6- .~ -------......,.-... ".__""'~"._. .......n...-......"...,'~... ." ''''n'''''''''''',' _,__... ._,........__..":'~___,.___...,....._.__........_.._ __.".... reinveat the share so received, and the aocumulation of inoome thereon, and to use and apply the income and prinoipal, or so much thereof liB, in Trustee' B discretion, may be necessary or appropriate for such benefioiary 's support and education (including oollege education, both graduate and undergraduate, and vocational training) without regard to his or her ability to provide for such support or education or to make payment for these purposes, without further responsibility, to such beneficiary or to any person taking oare of such beneficiary. When such beneficiary shall reach the age of twenty-five (25) years, Trustee shall distribute the then- remaining principal and any income accumulated thereon unto such benefioiary absolutely, and the Trust as to that beneficiary shall terminate. In the event any beneficiary dies before receiving his or her final distribution hereunder, such beneficiary's Trust shall terminate and the balance of principal and income shall be paid over to my then-living issue per stirpes by reprp.sentation. ARTICLE XI During the time any portion of my Estate remains in Trust, the same shall not be subject to attachment, levy or seizure by any oreditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary prior to his or her actual receipt thereof. The Trustee shall pay over income and principal as hereinbefore determined to the parties designated I as their interest may appear, without regard to any attempted anticipation, pledge or assignment by any beneficiary, and without regard to any claims thereto or attempted levy, attachment, seizure or other process, provided that if any such levy or seizure, or other process, shall be authorized by law or specifio order of any Court having jurisdiction, Trustee shall not be liable to any beneficiary for violation hereof by reason of the same. -7- ARTICLE XII If at any time during the oontinuance of any Trust created hereunder, the Trustee in its sole and absolute discretion determines that the size of any individual 'rrust aocount has becJome so small as to be impraatical to continue to hold in Trust and uneconomioal to continue to administer as a Trust, then in such oircumstances, the Trustee may without further authorization distribute the balance of the principal and income in such Trust aocount to the beneficiary then-entitled to the income therefrom, and upon suoh distribution the Trustee shall be released from further obligation with respect to that account and shall not be subject to any claim from any person who may have had a future interest in such Trust aocount had it been continued in Trust. ARTICLE XlIX I name, constitute and appoint my wife, JO ANN MUSSELMAN, to be the Executri.x of this, my Last will and Testament. If my wife, JO ANN MUSSELMAN, fails to qualify or so ceases to so act, I name, constitute and appoint my sons, BRIAN C. MUSSELMAN and DANE C. MUSSELMAN, or the survivor of them as alternate Executors to complete the administration of my Estate. ARTICLE XlIII In addition to the powers granted by law, my Executor(s) and Trustee shall have the following discretionary powers, applicable to principal and income, which shall be exercisable without leave of court and shall continue until distribution is actually made: A. To accept and retain any or all property, inoluding stock or other securities of the Trustee or of a holding company controlling the Trustee; -8- .;,,,j;i,', ".. ''''.; .,., "",.di' (~) ,,b.- y _,I , L' Exhibit C A((,""t"'''''L'''''''''''Il''' ,,;',".'IP@ , , ~ . " ii, exhibit 0 IS~ de..:> - ,; COHHONWlALTH OF PlNNSYLVANIA DlPARTHlNT OF RlVlNUl ( . *' IUREAU Of INDIVIDUAL TAKES IMHERITA"CE tAM DIVISION OOPT. Zll0601 HARRISBURG, PA 11128*0601 NDTICE Of INHERITANCE TAK APPRAISEHENT. AllOWANCE DR DISAllOWANCE UF DEDUCTIONS AND ASSESSHENT Of TAK 1l~"1'4' n." 1".411 11-16-1998 MUSSELMAN 05- 24-1997 21 97-0825 CUMBERLAND 101 I ~~~t R..lt~.d -=j MAKE CHECK PAYABLE AND REMIT PAYHlNT Tal REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RlTAIN LOWER PORTION FOR YOUR RECORDS ~ REV: iS4i"ix- -AFP"io'Fj'ir Noi'-i ciuoF-YNHiiiifANcE-YA'i("XppiiA'isEHENr;-ALl."owiiNcE .oR-- - -----".-- ----- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DONALD C FILE NO. 21 97-0825 ACN 101 TAK RETURN WAS, I 1 ACCEPTED AS filED I x) CHANGED SEE EDMUND G MVERS 301 MARKET ST PO BOX 109 LEMOYNE DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN DONALD '...: ('\-\ PA 17043 ESTATE OF. MUSSELMAN DATE 11-16-1998 ATTACHED NonCE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED aNI ORIGINAL RETURN 1. R.ol Eatot. ISoh.dul. A) 2. stocks and Bondi CSohedule 8) 3. Clo..ly Held stock/Pertnership lnt.red (Schedule Cl 4. Hortllla"I./Not.. Receivable (Schedule DJ S. C..h/Bank Deposits/Hilc. Personal Property (Schedull [) 6. Jointly Ownld Property (Soh.dull F) 7. Transfers (Schedule GJ 8. Total A...h NOTEt To insure proper credit to your acoount, subnit the upper portion of this forR with your tax paYlllnt. ,1J!.. 1.834.47 9.000.00 .00 31.307.33 .00 345.165.6(, (8) 11) (2) 131 14) (5)_ (6) (7) 387.387.44 APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Funeral Explnsl,/Ad.. Costs/Hi.o. EXPlnsls (Schedull H) 10. Dobh/Modgogo Uobi.1ltloo/U.no (Soh.dul. I) 11. Total Deductions 12. Net Value of Tax Rlturn 13. Charitable/Gover""lntal Bequlsts; Non-elected 9113 Trustm (Sohldull J) 14. N.t Volu. 01 Eotet. Subj.ot to Tox 191 110) 7,316.16 217 .68 Ill) 112) 115) 114) 7.1i3~ Rei 379.853.60 24.000.00 355.853.60 If an als..SlRent was issued previously, 11nas 14, 15 and/or 16, 17 and 18 will reflect figure. that include tha total of ~ raturnl as.essed to date. ASSESSMENT OF TAXI 1&. Allount of Line 14 at Spous.l rete (1S) 16. A.ount 01 line 14 texobl. .t Linool/Cl... A r.t. 116) 17. A..unt 01 lIno 14 toxobl. .t Collotorol/CIo.. 8 rot. 1171 18. Princip.l Tox Due TAX CREDITSI PAYHENT DATE NOTE I 355.853.60 K .00= .00 K.06= .00 K .15=. (l81 .00 .00 .00 .00 RECEIPT NUMIER DISCOUNT I + ) INTEREST IPEN PAID 1-) AHOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 .00 .00 .00 . If PAID AfnR DATE INDICATED, SEE REVERSE fOR CALCULATION DF ADDITIONAL INTEREST. I If TOTAL DUE IS lESS THAN n. NO PAYHENT IS REQUIRED. If TOTAL DUE IS REflECTED AS A "CREDIT" (CR). YOU HAY IE OUE A REfUND. SEE REVERSE SIDE Of THIS fORH fOR INSTRUCTIOllS. I C RESERYATSOth Eltat.. of decact.ntl d~lng an or bafore OecHlMr 12, 1'8Z n If 1f1~ future Intarent In tha a,tat_ Is trahsf.rr.d In po.....lon or InJo~-.ot to Cl... B ~collatvral) beneflclarll' of the decadlnt aftar the IKPlratlon of ~y 'It~t. for lIf. or for ~a.rs, the C~nnwealth herlby IMpre..hnllrvu the right to appraise aM ...... tran,flr InherltlM'lcl 'IXII at the I...ful CII.. B (collatera1) rat. on .ny .uch future Inhre.t. PURPOSE Of NOTICE I To fulfill tho raquirlllffnh of Section 21ltO of the lnhlritance and Eltate TaM Act, Act 21 of 1995. (7Z P.S, SIOUom 91ltO) , PAYMENT I Detach the top portion ('If this NoUvl) IInrl lublllt \Illth your pfty.ent to the Reghter of Wllh printed on thl revlr" .ido. --Make check or lonlY order payable tOl REGISTER OF MILLS, AGENT REfUND (CR)l A flfund of . taM cradit, ",hich WIts not requested on the TalC Return, .ay be r.quuted by oOllflleUng an "AppllcaUon for Refund of PennSYlvania InherUanee IInrl Estate Till<" (REY-U13l. AppUc:ation, life avallabl. It the Offlee of the Raglatel' of Nlll1, any of Uw 23 Revellue District OffiCII, or by Clalllng the IPecl.l 24~hoU" enlwaflng ..rvJcI nuabers for fOf'S ordering: In Pannlylvanlft 1~800-362-20S0, outlid. Pennsylvania end within 10(;111 Hllrrlsburg .r8e (117) 781-8094, TDOII C7l7l 77Z~ZZ,2 Wearing I.palred OnlY). OBJECTIONS I Any party 1n 1nt.rast not .et1sfi.rI with the apprlll...ent, ailowence or di.allowlnce of ~ductionl, or a"'~I.ent of \ex (including discount or interest) a. .hown on this NoUee aust Object \Illtnln sixty (60) dllYI of r.ceipt of thls NDtice bYI --\Ilrltten protl.t to the PA ;-Iepart..nt of Revlnul, Board of App(ll!lh, Oap!. 01:81021, Harrisburll, PA 11128-1021, OR --alacUon to IlIlV. the eatt.r d.ter.ln.d lilt ftudlt of tha account of tho p<<trlonal r.pre..ntative, OR --epp.al to the Orphans' Court. AIlItIH lSTRATlVE CORRECTlOHSI OlSC0UHT1 Factual .rron dlscover.d on this ........nt should be .rldreued In wr lUng to: PA Depart.ant of Ravenue, Bureau of Individual TaMe., AllN: Po.t A.......nt Reviaw Unit, nep!. 280601, Harrisbura, PA 11128-0601 Phon. (717) 181-6505. Se. page 5 of the bookl.t "InstrucUons for lnh.rltanclA TllC Return for II Ruldent Dec.~nt" (REY-ISO}) for an elCplanation of .dllnl,trativ.1Y corractabl. .rrorl, If any talC dUa it p.ld within thl'.. (3) cal.ndar IlOnths aft.r the decedent's death, a fJV8 perclnt (5%) discount of thl tax paid il allowed, PENALTY I TtM 15% tax ..,.sty ncn~partJoipatJ4n penalty h eOllputad on U"I tohl of the t.lC and 1nhr..t ..so..ad, and not paid bafore Jlnuary 18, 1996, tha first day aftar the and of tha tax aane.ty period. This non"partlcipflUon penalty is app.alable In the ..... ..nner and in the the .... U.. periOd a, you would al_pelll Uti tal< end Intarnt that has baen ......od ft. Indlcat.d on thl. notlc.. rt41EREST 1 Intarest hi ohlrgad baglnnlng with first day of delinquency, or nlna (9) lIonthl Md one (1) ,day f,'OII tha date of da.th, to the dllta of plly..nt. Tax.. which baclI.. delinquant b.for. Jllnuar!r 1, 1981 bear int.r.st at the fate of she (6%) percent per annuM calculllt.d It .1 dIlly rate of ,000164. All taxu \Ilhich bec:a'e dellnquant on and eftar January 1, 1982 \IlUl bear lnt.,.a,t tit ft rate ",h.lc:h will vary fl'OIl calendar vear to Clalandar ~alr with that rata announead by ttM PA DaPllrt.ant of RaVlllnu" Tha IIppllcabh Int.rut ratao for 198Z through 1998 arel 't.!!r Intarut Rata Dally Int.fllst Factor ~ Inter.st R.te Dally Int.re.t rlctor 1912 20i: .000546 1987 9% .00021t? 1983 16i: .OO04~6 1986~1991 11:1. .000301 1984 lli: .000301 191)02 ~i: ,000247 1985 13% ,000356 1993-19'91t 7i: ,0001'92 1986 10i: .000274 1995~1'991\ 9% .OOOZlt7 --Interut i. cllculatad .1 folio"" INTEREST . SALANCE OF TAX UNPAID X HUNBER OF DAYS DELINQUENT X DAILY IHTEREST FACTOR --Any Notice Itluad .ftar the t.M haCtMI8S dal.lnqu.nt will raflect In Int.r.,' calculation to flftaen US) d.ys ba;yond the date of thlll .......Itl'lt. If pay..nt 11 .lId. aft.r tna intarest coaputlltlon date IhO\lln on the Notlc., additionAl lntara.t lust be clllcul.t.d. / ,~ . ) ()"; I., J ",,_, \t COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN *' c BUREAU OF INDIVIDUAL TAKES IHHEIUtANCE TAM DI\flSIOH DEPT. za0601 HARRISBURO, PA 11128-0601 In..''..''' UI..1I I DATE 11-16-1998 ESTATE OF MUSSELMAN DONALD C DATE OF DEATH 05-24-1997 FILE NUMBER 21 97 - 0825 COUNTY CUMBERLAND ACN 201 Eount R."Uted l MAKE CMECK PAYABLE AND REMIT PAYMENT TOl ';1 Ii /.1/ i :1 EDMUND G MVERS 301 MARKET ST PO BOX 109 LI LEMOYN!: eLI' I'A 17043 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE I To inlure proper or.dl t to your account, sub,1i t the upper port ion 0" this for.. w1 th your tal< pay..nt. CUT ALONG THIS LINE ~ RETAIN L.OWER PORTION FOR YOUR FILES .... R1fV:48ii-ix--AFP--(03~-9jj-----ii.-NOific1f-OF--iET1fRMiiiAfiiiN-Aiii-AiisESiiMENir---------------------------- OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN .. Es'rATE OF MUSSELMAN DONALD C FILE NO.2l 97-0825 ACN 201 DATE 11-16-l998 ESTATE TAX DETERMINATION 1. Credit For Stete Deeth Texes es Verified 2. Pennsylvenie Inheritence Tex Assessed (Excluding Discount and/or Interest) .00 3. Inheritence Tax Assessed by Other States or Territories of the United Stetes (Excluding Discount and/or Interest) .00 4. Totel Inheritance Tex Assessed 5. Pennsylvania Estete Tex Due TAX CREDITS I PAVMENT DATE DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID RECE! PT NUMBER TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 olF PAID AFTER THIS DATE, SEE REVERSE SIDE IIF TOTAL DUE IS LESS THAN U, NO PAY"ENT IS REClUIRED FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCRI, YOU HAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS.) .00 .00 .00 C/ PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED. FILE a 6.12 FORM YEARLY UNTIL COMPLETION. STATUS REPORT UNDER RULE 6.12 Name of Decedent: DONALD C MUSSELMAN Date of Death: May 24. 1997 Will No.: 1997..Q0825 Admin No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete:. 3. If the answer to NO.1 is yes, state the following: A. Did the personai representative file a final account with the Court? Yes No.K B. The separate Orphans' Court No. (if any) for the personal representative's account is:. C. Did the personal representative state an account infonllally to the parties in interest? Yes No X D. Copies of receipts, releases. joinders and approvals of fOnllal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: T(lll'l! ~ Signature Edmund G. Myers, Esq. Johnson, Duffie, Stewart & Weidner 301 Market Street, P.O. Box 109 Lemovne PA 17043-0109 Address .".] (717) 761-4540 Telephone No. Capacity: Personal Representative X Counsel for Personal Representative . -' ,.