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HomeMy WebLinkAbout80-00204 No. 21-80 C"- 204 PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate of HAmil R Pp7.7.lIti, A/k/a H. R. P07.7.lIti , deceased. Ta Harold B. McLane, Deputy , Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvania. is Petitioner(s) are the executor named in the Last Will and Testament of J.I~mil R l'P7.7.lIti, A/k/A H. IL~ZU.tL- dated Hit>, 18, 1978 Decedent was a citizen of the United States and a resident of ~ Borough, Cumberland County, Cammonwealth Camp Hill of Pennsylvania. Decedent died on ~lmr1:lY the JftCh..__ day of Harch A. D. 19 80 ,in the County of Cumberland State of ppnn~y1vAniA at the age of. 72 years. >la~ Jhms lbar Decedent has not been married and has not had children born to him since the execution of the above described Will. Decedent was possessed of personal property to the value of 50,000.00 and of real estate to the value of 125,000.00 as near as can be ascertained; said real estate situated as follows 303 North 28th. Street. Camp Hill. Cumberl and County, Pennsylvania apply Therefore, your petitioner(s) respectfully applies for the probate of the said Last Will and Testament and for Letters Testamentary thereon. Dated Harch 24. 1980 /Ytr,J P..t.t...t; P,...J~"'''J<f,.. ,L tf.l<. P...:.. l... f j P....h: C(tc~J' :,1'. l'i'I'l Name and address iJ/JA - ...._~ no of Petitioner(s) Assistant Vi~;~idlnt & Trust Officer CCNB Bank, N.A. 21st. & Harket Streets Camp Hill, Pennsylvania 17011 COMMONWEALTH OF PENNSYLVANIA} ss COUNTY OF CUMBERLAND R. C. Kramer, Assistant Vice President and Trust Officer named in above application, being duly --BWnrn according to law say(s) that the statements set forth in this petition are true to the best of his knowledge and belief. ~ Harch 24. , I......' ~. (J,') CV1-JR, k\yt J-'(~ Register 19. 80 -$~ Assistant Vice President and Trust Officer ceNB Bank. N.A. ~t.J'nrn and subscribed before Deputy 21st. & Market Streets C~mp Hi 1 l. Pennsvlvania 17011 \}(~ Filed: .2../-5'0- ;1.0<1 March 27, 1980 Attorney: ",<..1...1'" cI L. PI 4.f,.~~-1::;::;1l ~y " '" " LAST WILL AND TESTAMENT OF HAMIL R. PEZZUTI, A/K/A H. R. PEZZUTI I, HAMIL R. PEZZUTI, a/k/a H. R. PEZZUTI, of the Borough of Camp Hill, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke all prior wills and codicils made by me. ITEM 1. I give all of my household furniture, miscel- l!neous household goods, wearing apparel and automobiles, together with any existing insurance thereon to my wife, DOROTHEA M. PEZZUTI, provided she shall have survived me by sixty (60) days. Should my wife, DOROTHEA M. PEZZUTI, predecease me or die on or before the sixtieth day following my death, I give the same in equal shares to my children, SARA ANN PEZZUTI and THO}ffiS A. PEZZUTI, particular items to be allocated among them as they agree, or if they cannot agree, as my Executor decides. ITEM II. If my wife, DOROTHEA M. PEZZUTI, survives me by sixty (60) days and at my death our usual home is owned by me or by my wife and me, but in a manner which would not result in passage of full title to her by operation of law, I devise my entire in~erest in said home to her. ITEM III. All of the rest, residue and remainder of my estate of every nature and wherever situate, I give and devise unto CCNB BANK, N.A., of New Cumberland, Pennsylvania (herein- after called the "Trustee"), wPo shall hold such property, together with any other property that may be added to this trust (all of such property being hereinafter called the "principal"), IN TRUST, pursuant to the following articles of trust: ~~~:+IlqP/7~ . . .' .. .' .' FIRST: Marital Deduction Trust: If my wife, DOROTHEA M. PEZZUTI, survives me, and here I direct that for the purposes of this Article FIRST, she shall be deemed to have survived me unless it appears unmistakable that she has predeceased me, and if the federal estate tax falling due because of my death will be reduced by making this gift for her benefit, upon my death, Trustee shall set aside in a separate trust under this Article FIRST, a share of the principal equal to the greater of Two Hundred Fifty Thousand ($250,000.00) Dollars or one-half (1/2) of my adjusted gross estate for federal estate tax purposes, less the value of all other assets in my gross estate, which qualify for the federal estate tax marital deduction and which pass or have passed to my said wife under other provisions of this Will or otherwise; provided, however, that if the marital gift in such amount will result in the estate tax with respect to my estate under section 2001 of the Internal Revenue Code of 1954, as amended (hereinafter "the code"), (after taking into account all other deductions and all credits except the unified credit under Section 2010 of the code), being less than the unified credit available with respect to such tax under section 2010 of the Code, the marital gift under this section shall be reduced to an amount which will result in such tax being equal to such unified credit. Trustee shall keep the principal of such trust invested and shall distribute the net income from it and the principal of it as follows: A. During the lifetime of my wife, the net income shall be paid to her at least quarterly and as much of the principal as she may, from time to time, request without qualification. F'lrther, Trustee may, if in its option she is under a legal disability or is, because of a mental or physical disability, un- able to make reasoned demand for amounts of principal, to pay for her benefit, such amounts from the principal of this trust as may be necessary to maintain for her a standard of living 4l,,-,~;-f /(rLt'>>~C/ -' . . .. .. , approximately equal to that maintained by her during my lifetime and to meet her expenses arising from ill health. . Trustee shall be liberal in expending the principal pursuant to this provision. B. Upon the death of my wife, DOROTHEA M. PEZZUTI, the principal remaining in the trust created under this Article FIRST shall be paid over to such persons or organizations, including but not limited to her estate and for such estates and in such manner and in such amounts or proportions as my wife, DOROTHEA M. PEZZUTI, shall appoint by a Will containing a specific reference to this power of appointment, which power of appointment may be exercised by my wife alone and in all events~ C. In the event that my wife shall have, at her death, failed, either wholly or in part, to exercise her power of appointment created in the preceding paragraph, then the unappointed principal of this trust shall be added to and thereafter treated as a part of the principal of the trusts created under Article SECOND hereof. In the event that my wife fails to effectively exercise her power of appointment as aforesaid, the following taxes and expenses shall be paid out of the unappointed principal of this marital deduction trust to the fiduciaries of the estate of my wife whose written statement to Trustee may be accepted by Trustee hereunder as being correct, namely: (1) Any increase in estate or other death taxes caused by my wife's possession of the power of appointment; (2) An increase in administration expenses in the estate of my wife resulting from inclusion therein of the unappointed principal. D. Any property allocated to this marital deduction trust 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 of the gift, from the date of allocation, is at least equal to the dollar value of the marital deduction as finally determined for federal estate tax purposes. . ~ ~#:~~fl{~lr-;.i-t I' -3- " " . " , the use that my wife may make of any distribution hereunder for her benefit. c. Notwithstanding the above provisions of paragraph B hereof, during any calendar year of the trust, my wife shall have the unqualified right, at her sole discretion, to demand in writing, delivered by her to Trustee, that she be paid from the principal of this residuary trust an amount not in excess of the greater of Five Thousand ($5,000.00) Dollars or five (5%) percent of the aggregate market value of the assets of this trust as of January 1st of the calendar year during which time the demand is made. The right permitted my wife under this provision must be exercised by her as therein provided on or before December 31st of the calendar year applicable and any amount as to which such right is not so exercised for any given calendar year shall lapse and shall not aGcumulate or carryover to any future calendar year. D. Upon the death of my wife, the then remaining pr~ncipal of this residuary trust and any undistributed income of it shall be paid by Trustee in such amounts or proportions or in such manner as my wife may appoint by a Will containing a specific reference to this power of appointment, however, in the exercise of such power of appointment, my wife shall be limited to appointing the same unto our children or their children provided that in no event shall my wife have the power to appoint the same or any portion of the same for the benefit of her estate, her creditors or in any manner which would vest in her a general power of appointment over such funds. other than this limitation, my wife shall have full power, at her discretion, to determine the bene- ficiaries within such class of persons ,who shall take and in what proportions and in what manner they shall take by virtue of her exercise of this power. E. If my wife shall fail, either wholly or in part, to exercise effectively the above-given power of appointment, (or in ~-"<~flllk//'[t, / .' " " , the event that my wife shall have predeceased me) then the remaining or unappointed principal of this residuary trust (or in the event of the predecession of my wife, the entire principal of this residuary trust) and any other funds which may be added thereto from any source whatsoever, shall be held and distributed by Trustee as follows: 1. Trustee shall first compute the principal or corpus of said trust and shall pay to my son, THOMAS A. PEZZUTI, the sum of Ten Thousand ($10,000.00) Dollars or the amount by which the trust exceeds Two Hundred Fifty Thousand ($250,000.00) Dollars, whichever is greater. The remaining balance of said trust shall be held and administered as a separate trust for my daughter, SARA ANN PEZZUTI. 2. Thereafter, Trustee shall invest and reinvest the trust held for my daughter, SARA ANN PEZZUTI, and shall payor apply all of the income to her or for her benefit and so much of the prinicipal as the Trustee, in its sole discretion, deems necessary for the welfare, comfort, support, maintenance and education of my daughter. 3. Notwithstanding the foregoing provisions of this paragraph, during any calendar year of the trust, my daugther, SARA ANN PEZZUTI, shall have the unqualified right, at her sole discretion, to demand in writing, delivered by her to Trustee, that she be paid from the principal of this trust an amount not in excess of the greater of Five Thousand ($5,000.00) Dollars or five (5%) percent of the aggregate market value of the assets of this trust as of January 1st of the calendar year during which time the demand is made. The right permitted my daughter under this provision shall be exercised by her as provided on or before December 31st of the calendar year applicable and any amount as to which such right is not so exercised for any given calendar year shall lapse and shall not accumulate or carryover to any future calendar year. /pj~~~~ll!e ff';;: i -6- .. '. . , 4. Upon the marriage of my daughter, SARA ANN PEZZUTI, this trust shall terminate and the then remaining principal and any undistributed income of it shall be paid by my Trustee in equal shares to my son, THOMAS A. PEZZU'rI, and my daughter, SARA ANN PEZZUTI, and the trust shall terminate. 5. Upon the death of my daughter, SARA ANN PEZZUTI, the then remaining principal of this trust and any undistributed income shall be paid by my Trustee to my son, THOMAS A. PEZZUTI, or his issue, per stirpes. Should he not then be living and not be survived by issue and should the undistributed principal and undistributed income of the trust exceeq Fifty Thousand ($50,000.00) Dollars, the same shall be paid as follows': (a) The sum of Five Thousand ($5,000.00) Dollars to GOOD SHEPHERD RO}~N CATHOLIC CHURCH, Ca"p Hill, Pennsylvania. (b) The sum of Five Thousand ($5,000.00) Dollars to JEFFERSON'MEDICAL COLLEGE OF PHILADELPHIA, Philadelphia, Pennsyl- vania. (c) The remainder in equal shares to the then living children of my brother, JOHN E. PEZZUTI. (d) Should the undistributed principal and income not exceed Fifty Thousand ($50,000.00) Dollars, then the same shall be paid in equal shares to the then living children of my brother, JOHN E. PEZZUTI. THIRD: 11ife's predecession: In the event that my wife shall have predeceased me, then all of the property passing pursuant to these articles of trust shall be included in the Residuary Trust pursuant to Article SECOND, and there shall be no marital deduction provision pursuant to Article FIRST hereof. FOURTH: Trustee's Powers: In addition to the powers given it by law, my Trustee, in the administration of the trusts created herein shall have the following discretionary powers except as specifically limited in Item FIFTH hereof, applicable /a~~//(~//jl -I " " " , . . ' to all real and personal property held by it, including property held for minors, effective without court order until actual distribution: A. TO retain any property received by it; B. TO invest in all forms of property without restriction as to investments authorized for Trustee: c. To operate any business, cause or join in any in- corporation, partnership, recapitalization, merger, reorganization or voting trust plan and to delegate authority with respect thereto: to deposit investments under agreements and pay assesS- I and generally to exercise all rights of investors: ments: D. To hold investments in the name of a nominee: E. To compromise controversies: F. To exchange or sell for cash, property or credit, publicly or privately, or to lease for any term regardless of the duration of the trust hereunder: without liability on the purchasers or lessees to see to the application of the consideration and to give options for those purposes without obligation to repudiate them in favor of a higher offer: G. TO allocate items of receipt or disbursement between principal or income as it deems equitable regardless of the character given such items by law: to distribute in cash or kind or partly in each at valuations fixed by i.t: H. TO borrow money, including the right to borrow from any corporate trustee and to mortgage or pledge as security or to hold its own stock if a corporate trustee: I. To exercise and dispose of warrants: J. To loan to and to b'lY property from the estate, even if Trustee is also acting as Executor or Administrator thereof: K. To apply income or principal to which any beneficiary is entitled, directly for his or her comfort, maintenance and support should it deem such beneficiary incapable of receiving /~411e,ff~' r, ....7 -8- 'r'Pt . , ' " the same by reason of age, illness, infirmity or incapacity, or to pay the same to such person as it selects to disburse it, whose receipt shall be a complete acquittance therefor without inter- vention of any guardian; L. To assume continuance of the status of any beneficiary with reference to death, marriage, divorce, illness, incapacity or other change in the absence of information deemed reliable without liability for disbursements made on such assumptions; M. To permit the proceeds of any policy to remain with the issuing insurance company even though the amounts payable to such beneficiary exceed the amount otherwise payable thereunder and encroaches upon principal or income which would otherwise accrue to another person; N. All principal and income shall, until actual dis- tribution to the beneficiary, be free of the debts, contracts, alienations and anticipations of any beneficiary and the same may not be liable for any levy, attachment, execution or sequestra- tion while in the hands of the Trustee. FIFTH: Limitation on Trustee's Powers: In the event that my hereinabove named Trustee shall, by virtue of my wife's death or predecession, acquire title to my personal residence as a part of the corpus of the trusts to be held for my children, I hereby direct that Trustee shall not have the power to sell or otherwise dispose of said personal residence without the express consent of my children. SIXTH: Payment of Federal, State and Other Death Taxes: All federal or state, estate, inheritance and succession taxes that may be assessed in consequence of my death, of whatever nature or by whatever jurisdiction imposed, shall be paid from the principal of the residuary trust created under Article SECOND hereof, and no part of such taxes shall be charged against the marital deduction trust created in Article FIRST hereof. All ,~/A~ /f~J?Ol( OATH OF SUBSCRIBING WITNESS COMMONWEALTH OF PENNSYLVANIA I HH: C TY OF CUMBERLAND ( This......... ..... ........................................................ day of........................................................ ....... A.D., 19.....:.., ~efore me Ri~hara'E-;,,~.nderson, Regist~r for the Probate of' Wills and granUngyers of' Aclministration m and for Said County of!(umberland, 111 the Commonwealth of pennszy!va me personally came .............. " ..................................................:..~............................................................ .......................................................... . " the subscribing witnesses to the IOregoing instrument of wri . g purporting to be the last Will and '. " Testament of ................................................:;,......................... ........................ Dated ......................................... , , late of.....................................................................':.,;;,:... . ..................,.......... Cumberland County Pa., deceased , ", who being duly............................................ acco' mg to Inw, depose and say, that ........................................ ........ present, and saw and heard the testa...... ........................., ),......................................................................... .,'....., , sign, seal, publish, pronounce and . are the said instrument of wl'iting as and for h................ Testament , and Last Will, and at the ti of so doing .............................................:~v'!s of sound and disposing mind g, to the best of ..............................................kno~ge, observation and belief. , " . "'. .................... ......................... and subscribed before ............. ............................................................<:~............... ....................................................................'>............. '. .... .................................................................................... ................................................................................... Richard E. Anderson, Register AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA I ss: COUNTY OF CUMBERLAND \ ... .R.. ..C.... .l$x RlQflr... .A(<$J.$.~.~.I).~.. .Y.t~fl.. r.!:~~~. 9. ~.n t.. .~.l).9.. .l~!!!l.~.. 9K K ~ >:s-.r.............................................. .being duly ........~\I,o.r.u.............................. says that as nearly as can be ascertained the said decedent .......................... Hamil R. Pezzuti, a/k/a H. R. Pezzuti . ..................................... ............................ ................ ...... ...... ...... ............ .......... ........... ..... .......... .................dled on .........~.'!.l'!.~.'.!X............................ the ......~.~.~!~.'..................day of ....................:!~~~~....................... A.D., 19...80, at or about .......................................... o'clock, ~:.M. ~~?!:~..........................................and subscribed this .~~.~!!:....................................... day of ....)!~~.~.\.'......... 19, ~9....., before ...~............................................. Assistant Vice President & Trust Officer CCNB Bank, N.A. 21st. and Narket Streets Camp Hill, Pennsylvania 17011 '- fl ..1JC?v.14~~t:J;\)0Z<;...j,. f~;~\P......}?~I?~~.Y.. Kkluud E. .n.ud~I,~ulIl Register . OATH OF PERSONAL REPRESENTATIVE . COMMONWEALTH OF PENNSYLVANIA} COUNTY OF CUMBI.;RLAND SS: Before me, the Register for the Probate of Wills and Jjranting of Lelters of Administration in and for th C t I' C nlb '1 nd el" 111'llly C'llne R. C. Kramer. AssIstant VIce PresIdent & Trust Officer o oun you 01 a ,p se, , ""cciili"'li,iiil,'; " N:'i'i:' " ""." "" ",,"" " ".". " "",," " """ " " " """",,"'" who, being duly "".~.\':9D!""""""", do """"" depose and say that as'"".""""".I?~~~~!~~::"""."""."".""".""", of the last Will and 'l'estament of ".\l.~.~\~.L,I!,:...~~.",.",~~~I".~(,1.~(~".I.I.:."r!:",r.~~~:!~L""."""""".""."".deceased """.""""".""." will well and truly administer the goods and chattels, rights and credits of said deceased according to law, And also will diligently comply with the provisions of the law relating to Transfer Inheritances. """..~.\~9X.1)........... and subscribed before me. ""..""""~~~.:.':~".~.~.~.......................,, A. D., 19 ""~~..." ....~tL\<~.~~"Jj.~.~.......?~~.~~.'( R:....L.....d E. .\R80 n, Register lr."'~Ice"pres:"'!l''1'tii'S.t''O'f'fJ.cer CCNB Bank, N.A. .................................................................................. :"ti 0: ."",,: ill ...: Ul co: ::>: co a> N: Il> N: u ~r Il>' Il> o-:p J! . : u.. .' l"\l : "': C) : 0 ('Ij: ~~ ! ......: ll:1f q. ",,: ~ 0 0 .....I --..; 0 ~ tU: 0 N N .....I ~ N: I " 0 'rl: - ,c: - .: co - ...: .~ ~ ::>: s: u: U: I N: E': 1.<: rl N: .5 fil! Ill: 0 N Il>: ~! P-o: "tl 00 ~ .' Il> 0: I 0;: "tl ....: - .... W: N ....,: 0 $ u ~r-: ......: Il> .5 ,,: .... Il> "tl ~ co: "tl bll Il> Ul "'! - fiI '" co .~ '" Po. ... DECREE Be it remembered that on the ........~.2~.1.:....... day of ................~.~~~.?................."., A, D., 19 ~.~...., there was probated and recorded the last Will and Testament of ....,~~1.~~...!:-.:...~.'7.::~~.~~,!...~!~!..~.................., , H. R. PCZZUt1 late of ..........~~,~p....~~?J.~..........".....".""....,""". """'" Cumberland County, Pennsylvania, Deceased. Letters ...:.."....... .?:~.f!l.!;.':.I!:!: .t;1.~~.l?):..,.,..,... were gran ted to ..........,......." ~~.~~...~ ~.~.~.'....~:..,.':..~....."....".,..,......."........ Witness my hand and official seal the day and year aforesaid. J~ J1' ~ .' \ (f." I;; . '- ',. Deputy .... ..."" ... ...l:)..l))...".;X,,;j,Q.................. lUdhud .0. AIIG"'~>-l\.u~J Register. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 5S: _R_~_.~~_!<~al1l.~r...~sst. Vice President an~TruELQfJic::gLu being duly sworn __.._.. __....._ "ccording to law, deposes and says that he .~s_.~xef.,,-t;.()';:'-H.n-- .-..- _.______.__..._____.. _ .. of the Estate of Hami}~~zzuti--..--_ lato of 303 N. 28th st.. Camp-KilL ...__, Cumberland County, Po., deceased and th.t tho within is an inventory made by. c.CNB..Bank... N .8.... -- - ..m .-....-, the said~ecutors of tho entire estate of said decedent, consisting of all the personal prop arty and real estate, except real estate outsido tho Commonwealth of Pennsylvania, and th"t the figures opposite each item of the Inventory represent it's fair valuo as of the date of decodent's de"th. CCNB Bank. N.A.. Executor of the Hamil R. Pezzuti Estate . ---0(lIC,r;!.,) and subscribed before me. BY.: . - Exocutor . ~ 4( President and Asst. Vice Trust Officer 19..8:rL- ( ._.._----_._----_._-_.~ YLUi J. ROSS. Notllry Public. Comp Hill, CumbNlr.md e.... 'JI. Mv Comm~~~ '&t:piros )~ fir. WQ1 ...2}..st_ ~_!'Iarke.L~ tree~ Cal!lE.lliU.,-Pa. Addreu 17011 Date of Death ____.__.._16_...________.____ D.y March Month 1980 Year INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may bo attachod as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. ~ ~ ~ ~ >- -ci ~ ~ I I- W ~ ~ ~ '" I- ~ W <( 'jl ~ 0.. I- u 0 0 Vl ~ ~ w w 0 '" >- :r '" .-I II> ~ I- 0.. ~I "- c I Z I- ..J iJ. .-I ~ ~ <( 0 0 ~ L1. ..J .,.; 0.. :t: w 0 <( w WI J ,;. i > z '" 1'<1 - <( Z 0 0 c I , .; II Vl z ~I B\ 0 '" U Z w <( ... 0.. .-II .." c .,.;1 ~ 'I e1 - 0:: 0 . <ll' .D -" :11: . E - , 0 I ~ 0 , ..J U '" , , . GENERAL INHERITANCE TAX INFORMATION Unsatisfied liabilities incurred by the decedent prior to his/her death are deductible against his/her taxable estate. In addition to debts incurred by the decedent or estate, other items are claimable including the cost of administration, attorney fees, fiduciary fees, funeral and burial exp~nses including the cost of a burial lot, tomhstone or grave marker. All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the Inheritance Tax Return is filed. Evidence to support the decedent's or the estate's liability for the debts being claimed should be attached to this schedule. A family exemption of $2,000 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania. If there is no spouse, or if the spouse hus forfeited his/her rights, then any child of the decedent who is a member of the same household can claim the exemption. In the event there is no such spouse or child, the exemption can be claimed by a parent or parents who are members of the same household as the decedent. Tile family exemption is allowable only against assets which pass by a will or by the Pennsylvania Intestate Laws. C ." 0 n :>- i"1 ;.. ~ Z ;.. 0 0 0 t/l 0 C1 n C 0 -l Z ~ Z t"" i"1 > 9 0 t"" i"1 ;>; Z ;;:J - z Z i"1 -l tTl -l Z 9 9 -i ><: t/l i"1 - t/l Z 0 t/l 0 .., 9 "T1 "T1 ;;:J ;.. ~ 0 >oj "l - 0 "l - Z n - ;.. t"" C t/l i"'l 0 Z t"" ><: ><: -< i"'l tTl ~ ;.. :>- ;;:J ;;:J INSTRUCTIONS FOR COMPLETING SCHEDULE "F" 1. If the family exemption is being claimed, indicate the claimant's name, address and his/her relationship to the decedent. Enter "family exemption" in the remarks column and the amount claimed in the amount column. 2. Assign consecutive numbers to each item listed. 3. Enter the date on which each debt was incurred and/or paid. 4. Enter the names of each payee. 5. Provide a brief explanation in the remarks column for each debt claimed. 6. Enter the amount of each debt being claimed. 7. The form must be signed by the person who has assumed the responsibility for paying the debts. .' . . <' , 'I-i-to _.- ----.~..- - ..- ';:':'=;;:==."~':~'''' ~- ,,-~ :;'-:":''':-~'.':- ...,,-_....~..,._- ."._--.,.--~-,.._-- Rf;:Y-440 (1~1l01 COMMONWEAL TH OF PEHHSYI. VANIA DEPARTMENT OF REVENUE TRANSFERINHERITAHCE TAX RESIDENT DECEDENT AFFIDAVIT OF FIDUCIARY (Io\trudlons 011 RovnBto Sldo) Estate 0/ Hamil _~~Z;~~J._____,.". Dote of Deorl, March 16, 1980 Lost Address ..J..Q.L~.._ 2~t,b_,~.t)::cg...t.._.___ " ~I!llU:I.L1L",-J'A.,,_.__lI9JJ_.___ 50ciol Security No, 193-24-1076 Bureau File No. ((:lrvl (til^"1 (/11'1 Counly File No. 21-80-204 I. Docedont diod: ( ) Intostot~ (wilhoul " will) ( X) Tostotu (leaving a lost will--copy ottoched) 2. Is tho Iillnll 01 0 FOlletol Estote T,,~ Return required lor this estate? 3. Yes-L No ( X ) Exocu 10r/Executrix CCNB Buill<, ) Administrotorl Administratrix NOllie N.I\. Addrm _~_~~.~",.s._"tl_iJ.r.~.c:_t___~I:.r~ets _Gill.11P"lHJJ,I_.l?.<:t.. 17011 j(',11YI I~TIITEI {ZIP) 4. All corrospandonce should bo moiled 10 ( ) Attorney ( X) Fiduciary. 5. II on attarnoy is replllsentinll Ihc estate, indicate: Namo ~..!:(Jh~rd..!.:':__.!:.~acey Address __~~3_ N~rth Sec:ond St. _tlarrj,sbur.9J Pa. 17108 ICITY) ~"T^TEI (ZIP) List 011 solo deposit boxes rellistered in the decedent's individual namel or jointly with,or os on ageot or deputy 0/ another, or in decodent's individual nome with right 01 access by anotner os agent or deputy. Include the nome and oddross 01 the bonk or other institution whore the sole deposit box is located, the nome (5) in which the box is roglstorod and tho relotionship 01 the joint holders to the decedent. .~,,-_._. ~=--" NAME ANa ADDRESS OF OANr. on OTlleR INSTITUTION NAME OR NAMES IN WHICH IN WHICH DECEDENT MAINTAINW A SAFE DEPOSIT BOX SAFE DEPOSIT BOX IS REGISTERED - '=:"-===~=.-;,,::;;;;c:::'.;',::=.=--=::,.= ~- RELATIONSHIP OF JOIHT HOLDERS TO DECEDENT CCNI3 l3ank,_N.~.. 21 B t &~!}r.l<.9.!:.!:I_.(1,tr.~(! t s Camp_JIH..L,_.l~a .__LlQl1___ H. R. Pezzuti Undor lienal Ii liS of p"'iury, I declare that I hove exami,!!.,o.4Jhis.re.turn,_~ accompanying schedules and stotomonts, nnt! to the uost 01 my knowledge and beliofGQ~au~~tl',jh(J'c:amplete. BY~ AS'" 'tite Plli\$.&. 1~ Off. ,> .. SIGNATURE OF FIDUCIARY ~ .1~ 191t> aATE . '",'", "1..',"', i. ", ',' '---:7,-'---'_.," ',, ,..-.~......,...,~-:': '.,' . ~"M k_ '. PENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION 1. PERSONS RESPONSIBLE FOR RETURN Section 701 of the Inheritance and Estate Tax Act of 1961 provides that the following persons shall prepare and file a return: a. The personal representative of the eS'wte of the decedent as to property of the decedent administered by him and such additional property which is or may be subject to Inheritance Tax of which he/she shall have or acquire knowl edge; b. The transferee of property upon the transfer of which Inheritance Tax is or may be imposed by the 1961 Statute, including a trustee of property transferred in trust, provided that no separate return need be made by the transferee of property included in the return or a personal representati ve. 2. PLACE FOR FILING The return is to be filed in duplicate w:th the Register of Wills or the county wherein the decedant resided. 3. TIME FOR FILING The return is due nine months after the decedent's death, unless an extension for filing has been applied for and granted by the Secretary of Revenue within the nine-month period. 4. FAILURE TO FILE RETURN Section 791 of the 1961 Statute provides that" . . .any person who willfully fails to file a return or other report required of him. . .shall be personally liable.. .to a penalty of 25% of the tax ultimately found to be due or $1,000 whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by law." 5. TAX RATES Inheritance Tax is payable at the rate of 6% on transfers to lineal descendants, such as father, mother, husband, wife, s~n,daughter, grandchildren, grandparent, son-in-law and daughter-in-law and at the rate of 15% as to all others. 6. PAYMENT OF TAX The tax assessed on the transfer of property reported in the return is due 9 I~onths after the decedent's death. Interest at the rate of 6% per annum accrues thereafter until payment is made. All payments received are first applied to any interest which may be due with any remainder applied to the tax. IF TAX IS PAID WITHIN 3 MONTHS AFTER THE DECEDENT'S DEATH, A DISCOUNT OF 5% OF TH E TAX PAYMENT IS ALLOWED. All checks should be made payable to the Register of Wills of the county wherein the decedent resided and are received subject to the final determination of the Department of Revenue. 7. FAILURE TO PAY The taxes imposed, together with any interest thereon, are a lien upon real property, which lien remains in effect until the taxes and interest have been paid in full. The taxes may be sued for against any real property in the decedent's estate Dr against any property belonging to a transferee liable for the tax. 8. FILING OF FALSE RETURN Any person who willfully makes a false return or report required of him shall, in accordance with Section 793 of the 1961 Statute, be guilty of a misdemeanor and, on conviction thereof, shall be sentenced to pay a fine not exceeding $1,000 Dr undergo imprisonment not exceeding one year or both. INSTRUCTIONS FOR COMPLETING SCHEDULE "8" Schedule "B" must include all tangible and intangible personal property owned individually by the decedent at the time of death. Property owned jointly with another party or parties should be listed on Schedule "E" - . Jointly Owned Property, Intangible personal property, titled in the name of the decedent, but payable at death to another party or parties, including but not limited to P. O. D. U. S. Savings Bonds and Tentative Trust Accounts, must be listed on Schedule "B". Tangible personal property should be listed first. Examples of tangible personal property are jewelry, wearing apparel, household goods and furnishings, books, paintings, automobiles, boats, snowmobiles, aircraft, etc. Intangible personal property includes cash.on-hand and in the bank, stocks, dividends, bonds, mortgages, treasury certificates, notes, together with accrued interest, salaries or wages, insurance payable to the estate or fiduciary in said capacity, partnership interest, etc. An interest in any undistributed estate or income from any property held in trust under the will or agreement of another even though located outside of Pennsylvania at the time of death should be listed on Schedule "B". A completed Partnership Interest Report (REV-894) must be attached for each partnership or joint venture, and a completed Closely Held Corporate Stock Information Report (REV-893) must be attached for each closely-held business interest or sole proprietorship reported on Schedule "B". QUESTIONS CONCERNING PROPERTY TRANSFERS , 1. Oid decedent, within two yems 01 death, malw any transfer of any lIIaterial pail of his estate without receiving valuable and adequate consideration? (Answer "Yes" or "No".) _ NO 2. Did decedent, within two years of death, tmnsler proporty from hilllsel f I hersell to himsel f/hersel 1 and another party or parties (including a spouse) in joint ownership? (Answr:r "Yes" or "No".) ~ 3. If the answer 10 one 01 two above is "Yes" and IIle tr;lIIsfi:ls are clilll:1ed to be nonlaxahle, provide the following information: a. Age of decedent al time of transfer. b. Copy of dealh certificate. c. Affidavit by the a!lending physician indic,rting fhe slato of docodent's healllr allime of transler. d. All other information supporling nontaxahilily of 11;1I1slor. 4. Did decedent, in his/her lifetime, lIIake any Iransfer 01 property withoul receiving a valuable or adequate consideration therefor which was 10 lake effect in posseSSion or enjoymenl at or ailer his/her doalh7(Answer "Yes" or "No".) NO a. Was there any possibility 1I1i11the properly lmnsferred might relurn to transferol or his/llOr oslalo or be subject to hiS/her power of disposition? (Answer "Yes" or "No".) b. Whal was Ihe transleree's age al timo of (Iecedent's dealll? 5. Did decedent in his/her lifetime mal~o any tmnsfer without receiving a valuable and adequate consideration Iherefor under which tmnsferor expressly or impliedly reserves for hiS/her life or any peried which does in fact end before his/her death: a. The possession or enjoyment of or the right to income from the property transferred? (Answer "Yes" or "No".j ~ b. The right to designate the persons who shall possess or enjoy the properly translerred or income therefrom? (Answer "Yes" or "No".).R~ 6. If the answer to five b. alxJVC is "Yes," state whether tho right \ViiS reserved in decedent alone or others. 7. Did decedent in his/her liletime make a transler, the consideration for which W,1S transferee's promise to pay income to or for lhe benefit or care of transferor7 (Answer "Yes" or "No".) -HQ_ 8. Did decedent, at any time, transfer property, tile bmeficial enjoyment of which was subject 10 change, because of a reserved power to alter, amend, 01 revoke, or which could revert to der.edentunder lerms of transfer or by operation of law? (Answer "Yes" or "No".) NO 9. If the answer to eight ;]bove is "Yes," was the power to alter, amend or revoke the interest of the beneficiary reserved ,fnthe decedent alone or the decedent and others'! (Answer "Yes" or "No".) NO .REi:V.454' EX+ (3.801 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT DECEDENT SCHEDULE "E" JOINTL Y OWNEO PROPERTY (Instructions on Reverse Side) Estate of Hamil R. pezzuti DESCRI PTION u. S. Savings Bonds, Series E as follows: $25 Registered Sara Ann Pezzuti or Dr. Hamil R. Pezzuti dated 9/43 and #Q267381953E $25 Registered Thomas A. Pezzuti or Dr. Hamil R. Pezzuti dated 9/43 and #Q267381951E $25 Registered Thomas A. Pezzuti or Dr. Hamil R. Pezzuti dated 2/44 and #Q326870956E Dauphin Deposit Checking Account #685B4822 in names of Thomas Pezzuti or II. R. l'ezzuti or J. E. Pezzuti established 9-21-76 with a balance of $1,575.42 1/3 taxable If} , ~/2 ,odfc ~/2 1;' 77.16'/ 1?t2 ~.58) TOTAL MARKET VALUE 78.45,1 78.451/ P ER \ T '* VALUE OF DECEDENT'S INTEREST DEPARTMENT VALUATION (Official Use Ollly) (39.23) 'I f, iff) 69.23) 'I h', 'I- 5"' 71, / f., 525.14 TOTAL THIS PAGE 017.04 15"7, J..O ~ ... ~." ..... 31'0'0 09/90/n HJ51VUddV (/'" ""if IIJ/J/~/ t.,' 1)'J.'j,l{ '511!M jO J015!5al:j atH 4l!M ^~p SilH pal!l uaaq s~q pu~ MCI C!UC^I^SUUDd 'HIM ^l!WJOjUOJ U! apcw 5! lUDlUOS!~Jdd~ a^oqc DL111~ql ^l!lJaJ ^qaJaq op I NOI.L\f1nOWO A1InNN'I1'!:fO 31'l1'lS3 3:!1'l vE .169' L61 S13SS'I1' SSOlm W101 anoN A1l:l3dOl:ld G31l:l0d3l:1Nn "1'11'101 H1l'11'3MNOII'JIi\IO:> 3H.L AS 03SI'I1'l:Idd\11nS N!:fnl3l:1 NI 030n10NllON All:l3dOl:ld l1E.169' L61 All:l3dOl:ld 031l:l0d3l:11'11'101 OZ'6,L ,,3.. 31n03HOS - Alll3dOlld 03NMO A llNIOr 1'0'101 .~ o 0 . . ..0.. 31n03HOS - SIl3~SN'o'Il.L 1'0'101 of: ..8.. 31n03HOS - Alll3dOlld 1'o'NOSIl3d 1'o'l01 oz o 0 ..V.. 31n03HOS - Alll3dOlld 1'o'31l1'o'l01 .~ auoN VT'ZE6'TL OO.OOO',ZT . 3n1\1^ 03SI\1l:1dd\1 S.lN3V11.l.l:I'I1'd30 31'11'lS3 3H1 AS 031l:l0d3l:1 A1l:l3dOl:ld '15GJ01UI SJnlnj lions AUR uo 'UtA IRJSaeIlO:) In}M1l'1 alll n saxm S:IIJIlUJ(14UI JS,lUlI'Ja 5~SSU PUUOSllIJdde Dlltj6!J 941 $8^JKlIJ ^1SS(lJd)(o }.QGJB4 411B8MUOWWOO 8l1a 'sJveA JOj JO 8m JOj eaBlS8 }.UR ,0 UOIlRJldXB BIn JSHe aUBpDaop DIn ,0 SJl9lj IIlJBlDIIO:) oa lUDWAofu9 JD llo!sSClSSod Uj pDJ~B'SUeJl 51 elnase 114l UIl$BJ8aUI BJnln, !lUB 1IU.jllU8^lJ 84a uJ 09/91/EO ql~ao 10 alCO puepaqumo AlunoO vOZQ-OB-TZ 'ON a!!:! .U l,weH 'IJnZZ~d ~O alBlS3 * .~.. =- - 1N311'J3SIVl:Idd\1 X'I1'130N\111l:f3HNI lN3C303C lN3CIS3~ XVl30NVll~3HNI ~3~SNV~l 3nN3^3~ ~o lN3Wl~Vd3C VINV^1^SNN3~ ~o HJ. llt3MNOWWOO (OS"lllSV"^3l:j . ,.,6. '"' .... OJ .... OJ 0 '" ..... '"' .... .,.., Ul ~ ~ ~ '"' ~ " .c <r: N '"' .,; Z ~ ~ N <Xl "" OJ N 0 :>< "" . '" .., ~ .c .... ~ '" '"' .... '" ~ '" 'M .... ;:l 0 :I: '" ... .... Z OJ 'g 0. il :S '" 6 l\l 0 l\l " .... ..... U Z :I: '" u u .... N '" - 0 ~ - ~ ~ 0 ~ 0 ~ ~ ~ 0 '" 0 Z ci '" ~ '" :>< f-< ci - ~ f-< ~ Z Z z 8 ..< ci - ci ~ 5 ~ ~ ~ ::;; 0 u " ..< z .~ z ~ 0 0 <r: z ~ '" ~ ~ u 0 ~ I:. PRINCIPAL RECEIPTS Inventory Filed 8-27-80 4-3-80 5-2-80 9-16-80 10-8-80 10-10-80 11-14-80 4-15-80 4-16-80 4-23-80 6-16-80 7-14-80 7-22-80 8-29-80 Per copy of Inventory Attached $196,934.03 CCNB Bank, N.A. - Additional interest to date of death on CCNB Savings Acct. #002-707095-2 U. S. Treasury - Social security death benefits Sellers Share Real Estate Tax on property at 303 North 28th st., Camp Hill, Pa. Sammons communications - Refund U.S.F.&G. - Refund on policy #NE4-5270385 Commonwealth of Pa. - Refund of withholding tax TOTAL PRINCIPAL RECEIPTS PRINCIPAL CONVERSIONS INTO CASH Gain $946 Trust for Short 'Term Gov't Sec. Proceeds $ 946.00 Account Value 946.00 $2,794 Trust for Short Proceeds $ Account Value Term Gov't 2,794.00 2,794.00 Sec. $100 Trust for Short Proceeds $ Account Value Term Gov't 100.00 100.00 Sec. $9,120 Trust for Short Term Gov' t Sec. Proceeds $ 9,120.00 Account Value 9,120.00 $40 Trust for Short Term Gov't Sec. Proceeds $ 40.00 Account Value 40.00 $948 Trust for Shot Term Gov't Sec. Proceeds $ 948.00 Account Value 948.00 $469 Trust for Short Term Gov't sec. proceeds $ 469.00 Account Value 469.00 -3- lI8Er. '..;, j nj~ \JJJ 27.49 255.00 868.07 6.34 173.00 2, 232 . 13 $200,496.06 ~ PRINCIPAL DISTRIBUTIONS TO BENEFICIARIES 10-3-80 Thomas A. Pezzuti - 1977 Oldsmobile Title !fA 2 89 3 3 7 3 7 Sarah Pezzuti - 1968 Plymouth Title #B19414784 Sarah Pezzuti - Household contents Thomas A. Pezzuti - Household contents Hamil R. Pezzuti T/U/W - Distribution as per Last Will & Testament Thomas A. Pezzuti - Advance distribution 4-1-80 TOTAL PRINCIPAL DISBURSEMENTS $ 2,625.00 200.00 2,834.13 2,834.12 49,789.02 15,000.00 $ 73,282.27 4-1-80 9-20-80 9-20-80 9-24-80 PRINCIPAL INVESTMENTS 4-3-80 $ 56,500 Trust for Short Term Gov't Sec. $ 56,500.00 7-10-80 11,188 Trust for Short Term Gov't Sec. 11,188.00 7-15-80 4,000 Trust for Short Term Gov't Sec. 4,000.00 7-21-80 5,000 Trust for Short Term Gov't Sec. 5,000.00 8-19-80 1,000 Trust for Short Term Gov't Sec. 1,000.00 9-16-80 109,618 Trust for Short Term Gov't Sec. 109,618.00 11-6-80 1,30!) Trust for Short Term Gov't Sec. 1,300.00 11,,18-80 2,200 Trust for Short Term Gov't Sec. 2,200.00 -6- UBE? ~7 11I1~t ,". t,,, \)