HomeMy WebLinkAbout04-23-07
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15056041046
REV-1500 EX (05-04)
PA Department of Revenue
Bureau of Individual Taxes
Dept. 280601
Harrisburg, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
County Code Year
File Number
Date of Birth
Decedent's Last Name Suffix
Decedent's First Name
MI
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's First Name
MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
_ 1. Original Return
c:::J
2. Supplemental Return
c:::J
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
c:::J
c:::J 4a. Future Interest Compromise (date of
death after 12-12-82)
c:::J 7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
c:::J 10. Spousal Poverty Credit (date of death c:::J 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 0)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Tel~hone NumbEll'''::::;
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
8. Total Number of Safe Deposit Boxes
c:::J
4. Limited Estate
c:::J
c:::J
Firm Name (If Applicable)
REGISTER'of.T'ILLS~~E ONLY
....~~,~ W
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Correspondent's e-mail address:
OL .. C!-O
Under penalties of perjury, I declare that I have examined thi retum, incl ng accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
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Side 1
L
15056041046
15056041046
....J
-I
15056042047
REV-1500 EX
RECAPITULATION
Decedent's Name:
Decedent's Social Security Number
02,-::fo .'Ib ;t; l' /'1
1. Real estate (Schedule A). ........... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1.
.
2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " 2.
.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . .. 3.
.
4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4.
.
8. Total Gross Assets (total Lines 1-7). . . . . . . . .
.. .. ......... 8.
291 TJ{).&,h
73<0 9''().'~~
~.r ll.ftf':,f-~~3.
~sC?'8.~'i
2. ~ ~ ':2-.8 2-.
1')-8?- .8S'
":30 950 0-;
.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . .. 5.
6. Jointly Owned Property (Schedule F) c:::) Separate Billing Requested . . . . . .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) c:::) Separate Billing Requested.. . . . . .. 7.
9. Funeral Expenses & Administrat~ve Costs (Schedule H). . . . . . . . . . . . . . . . . . . .. 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) . . . . . . . . . . . . . . . . 10.
11. Total Deductions (total Lines 9 & 10). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.
12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . .
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J)
. . . . . . . 12.
.
. . . . . . . . . 13.
.
14. Net Value Subject to Tax (Line 12 minus Line 13)
. . . . . . . . 14.
(, ;2,$"'1 / '1 . 1 1-
TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) XO_
16. Amount of Line 14 taxable
at lineal rate X.O ~~
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
.
15.
.
~ ;2, -5'/11
r.91
16.
~8:/rq3.8/
~ :
.
17.
.
.
18.
.
19. TAX DUE. .
................19.
.28 o 9 Lf,.o /
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
..
Side 2
L
150560.42047
15056042047
--.J
REV-,:! 500 EX Page 3
File Number ;? / r:?? _ 00 / !;?-r:;
Decedent's Complete Address:
DECEDENT'S NAME _
------ --~~t.:.~~_ _ _d~// (i./c;~ _== ~__________
STREET ADDRESS '7J l
----- --/ ~_~_3_____G~.;;;>? ~_~_,<l ~__~ cl
CITY
-- -.-.-----.-~-----._. _~__. .._____m____.._.___ ___ _____ ._.". ___".__'___"_____' _ ___._ ___.__. . .... ~____.._________
/--'1/, 7,~ /. -/7'-
(-7/.... {<:.p-. V (.:'1"'- .:>
STATE ?,42
ZIP /?-32-~
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1) ~8/ /"9'3; 8/
'"
---'?';) -.r:;;v-..-.--.....--. --- -----..'-- -----. --
~ ...7. --~ -- " .-~'~.-,
--=2;-.~'2~~~__~?:EL_
li t I C d't (A 8 C) (2) ---?q, ./ /"2...3, / a
o a re IS + + "..e:;.. / <- -r /. ~./'
,
3, InterestfPenalty if applicable
D. Interest
E. Penalty
- --. . ---------- -- -- ------ ---- TotallnterestfPenalty ( 0 + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund. (4)
/,329, 87
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
(5)
(SA)
(58)
B. Enter the total of Line 5 + SA. This is the BALANCE DUE.
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;.......................................................................................... 0 l8J
b. retain the right to designate who shall use the property transferred Or its income; ............................................ 0 ~
c. retain a reversionary interest; or......................................................................................................................... 0 g]
d. receive the promise for life of either payments, benefits or care? .................................................................... 0 ~
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate consideration? ............................................................................................................. !2J. 0
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 ~
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ ~ 0
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 P.S. 99116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
[72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. 99116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 P.S. 99116(1.2) [72 P.S. 99116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. 99116(a)(1.3)]. A sibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent. whether by blood or adoption.
LETTER OF EXPLANATION AND PETITION FOR APPEAL
(Estate of Julie Ann Russ, Deceased, No. 2105-0156)
This letter is intended to enable an easier ras of the primary assets affecting this estate
inheritance tax return. It IS also intended to file written protest wit specific objections
and underlying justification for favorable determination in timely appeal of two isolated
assessments (ACN 06114163 and ACN 06114164) of separate local bank accounts within
decedent's estate. Schedules "E," "F" and "G" of the Return include, with supporting
documentation, all assets. An array of the individual financial accounts and their
respective dispositions are as follows:
ACCOUNT
1. MFCU # 21441
2. MFCU # 108184
3. Orrstown Bank # 706002-046
4. Orrstown Bank # 106002-259
5. LegacyDirect # 4800-661-4652
STATUS
Disclaimed
Joint with survivorship
Disclaimed
Joint with survivorship
In Trust ("T" Bills)
CLAIMED ON
Sked E
Sked F
Sked E
Sked F
Sked G
Two separate statements were issued by the Department of Revenue on the two local
(Orrstown) bank accounts (#046 and # 259). (The first four of the above cited five
accounts were originally held in joint ownership at death of decedent). Post-mortem
planning disclaimed two accounts: one from Orrstown (# 046), (and one from Marine
Federal Credit Union [# 441]) .
Separate Department of Revenue appraisements and assessments (Orrstown Bank
accounts # 046 and # 259) attached for convenience, are incorrect because: (1) both
accounts were integrated into the decedent's inheritance tax return, for which (2)
inheritance taxes at the correct rate of 4.5 percent (.045) were paid in advance at discount,
with # 259 having inheritance tax liability at one-half date-of-death value, and # 046
being disclaimed by the surviving joint owner as taxable at full value.
The separate Department of Revenue statements for local joint accounts had been
received and unintentionally overlooked until respective assessments were delivered.
This inattention was prolonged by need to coordinate among beneficiaries of an intestate
estate (one of whom is overseas and one of whom resides out of state) the selection and
establishment of a personal representative for the estate. Thereafter, post-mortem
disclaimers were undertaken with focus on best enabling the intestate dispositive scheme
to be achieved.
It is requested that the within inheritance tax return be approved as submitted and found
determinative of the accounting pertinent to proper treatment of the contested bank
accounts. Accordingly, the corresponding and erroneous assessments should be dismissed
encls
~:;z::za~
William S. Daniels
~3 ~r 'f I-
REV-1S08 EX+ (7-83)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE "E"
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
.--.. - C
'vi C./ '-Ie
/! /t/ .,II
FILE NUMBER
?/ .", f" ".... _ ,.,'"
e:J'" vc.c, -u l";'-' t_
(All property Jolntly-owned with the Right of Survivorship must be disclosed on Schedule "F")
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OF DEATH
? ;2 9~?6-
J
1.
,...,L. /<: S c/2t:::7<< /;/i)
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--:--L ~/~'/ T
7'~/ =_r '7 ~, '-
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I
'14/./ (/ !3~ E /'JL/z.SC;// /1C
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3.5
.'
TOTAL (Also enter on line 5, Recapitulation)
1) ,---. ! --r 2.""" ./ /
$ ~-111 i..,):""", ~(,?
!If more space Is needed insert eddltional sheets of same size)
FEB 23 2000 1:50PH
HP U:tSERJE T 3200
~,. 2-1- (/6 F'. 1
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:/ <:0 '"!{{(..:".',~.:,..'.:.~..:.~.(':,.....:...4..,~..\.:.,.~I'.',;.i.:.'
February~~~~!)"l<~,iV . _ _ ...:-
TO Hurner & Datlieis
Attn: \I~iIliam S Daniels.' ,
a05Farmers tT\JstBulldirl9
One West High Street
Car1isle, PA 1101~. .
FROM;:timothea MOo6e .
. . Cl.lSt.;sel'YiceSpeClaUst
. P.O. aoX250, . . .
. ..SHIPPENSBURGPA17257-02~O,
RE: 'ESTATE QF Julie A Russ ..
bATE bFD~TA: No~~ 26, 2095
" .,' '.' .,' ,'... ",' .: ,'.. ..
: rFI$ HERESY CI;RTIF'IEDTHATTH~,Aa9VE~Ed.OJ:~EO~NT'HAri. ON rHEABOV~:'DATE, THE
~OLlOWING ACCOJNTSWJT-H'OR'RSTOWNSANi\: ".' . . . . ,
CHECKlNGACCP.UNTS . .
Ae90~NTNQ,'mL=OF ~CCOUNTOATE'OPENEQ F~t~& ;ACCRlJED INTER;ST
100002559 Julie A Russ,' . . g125l0l ". " .S9,24~_~5 '.;' 95 --
. . . '" . . Jul~nn~RDaniels-
.'sAVING~Ar;COUNTS
ACCO~f'1'TNO; 'TlTLE'OF ACQOlJNT:'. DATjS OPE~ED".PRlr-JCIPAL'& ACC~UEOINTEREST
70000. 046 . . '. Jlflie A Russ' .... '," 1.Q/31105.'.' ....',. 98,292.~ . 245.06 .
. '. JLJtlanneR DaRiellS .
. CERTlFICA res OF pEPQSrr
.~,
ACCOUNT'NO. . TITLE OF ACCOP~FQA rEOPENED PRI.~C1PAL&;AceRUED'NTEREST
, .
. .: ;' ~ . . '. .. . h
PO Box 250 .:$htpptansbu~JPA17257. ('1'7)_532061'~'d1.11}'.S32~t4lfax.~.orrstowr\.com
. ~'. .' '". ,
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A TRUE COpy FROM RECORD
In T.ltimony wherof, I hereunto
lit my hand and the seal
of nld Court at Carlisle, PA
~aJ
COURT OF COMMON PLEAS CIoIkal~OtpIlona - II !litf
Oumbertand Co
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 2106-0156
ESTATE OF JULIE A. RUSS, DECEASED
3 PId' 3: 36
[GGG M~R I n
CLER\\ Of
ORPHAN'S CQV~T
0U~lr'.--:'--' ()} PA
vI'"
DISCLAIMER
I , JULIANNE R. DANIELS, hereby exercise the rights granted to me in Chapter 62 of
the Pennsylvania Probate, Estates and Fiduciaries Code, 20 Pa.C.S. ~~6201-6207, and I
hereby disclaim any and all interest which I may have in the savings account at Orrstown
Bank, c/o 427 Stonehedge Drive, Carlisle, PA 17013, account number 706002046,
having a date-of-death balance of approximately $98,500, and which is jointly titled in
the names of the decedent, Julie A. Russ, who died on 26 November 2005, and myself,
the surviving joint tenant with right of survivorship.
This disclaimer is intended to serve as a "qualified disclaimer" for federal tax purposes
under the provisions of I.R.C. ~2518, as well as complying with Pennsylvania property
law and inheritance tax requirements:
I. Disclaimant, JULIANNE R. DANIELS, hereby makes an irrevocable refusal
in writing of all interests in said account to which she may be legally entitled.
This refusal is not subject to any qualifications or conditions, and does not
prejudice the rights of any creditors.
2. This disclaimer is timely made within the nine-month time limit prescribed for
the delivery of a valid disclaimer by appropriate filing and delivering prior to
the expiration of nine months after the death of the first joint tenant, Julie A.
Russ, who died on 26 November 2005.
3. The surviving co-tenant and disclaimant herein, JULIANNE R. DANIELS,
made no contribution and furnished no consideration to the said account,
which was established jointly for purposes of convenience and intended to
serve in effect as a convenience account belonging solely to the decedent,
Julie A. Russ.
4. The Disclaimant has never exercised any affirmative action in a manner
consistent with ownership, neither accepting any interest nor taking any
benefits from the disclaimed account.
5, There has been no consideration exchanged in return for making this
disclaimer. Disclaimant's interest herein shall completely pass to a person
other than the Disclaimant..
It is requested that subject account thus be deemed an individual account of the
decedent's alone. I wish that the proceeds therefrom be administered by the personal
representative strictly in accordance with the foregoing declarations in order to
redistribute the assets of this estate, enabling each beneficiary/intestate heir of the same
degree to receive exactly equal shares of the total distributable assets of the estate.
IN WITNESS WHEREOF, and intending to be legally boun~ hereby, and intending that
this Disclaimer shall be filed of record in the Office of the Clerk of the Orphans' Court
Division of the Court of Common Pleas of Cumberland County Pennsylvania, as
provided in 20 Pa.C.S. ~6204, I have hereunto set my hand this /~t4.-day of March,
2006.
~lC~
J IANNE R. DANIELS
1463 Goodyear Road
Gardners, P A 17324
(SEAL)
Signed and Delivered
In the presence of
~
~~
COMMONWEALTH OF PENNSYLVANIA )
SS:
COUNTY OF CUMBERLAND
)
On this /?A. day of March, 2006, personally appeared the above named JULIANNE
R. DANIELS, who is known (or has been satisfactorily identified) to me to be the person.
whose name is subscribed to the foregoing disclaimer and acknowledged that she
executed the same for the purposes therein specified; and further stated that she desired
that such disclaimer be recorded as such.
/
//
NONW. SEAL
WlGlMH~
NoIary N1Ic
cwm.tICIOUQII. om.B'Jwc)COUNI't
_Cclmlfhlnn......17,..
The daily periodic rate and the ANNUAL PERCENTAGE RATE used 10 compule Ihe FINANCE CHARGE
for each open-end loan is printed above tile transaction relating 10 the loan. THE FINANCE CHARGE for
an open-end loan is computed by applying the period rate to each unpaid balance for Ihe exact number
of days each balance was olltstanding. The balance used to compute the FINANCE CHARGE is that
balance each day after credits are subtracted and new advances or other charges are added.
. j P~~~~r~~tt~vel-'~:~::;~~.~:::;t::~-""~'=-'~'='~'-=-"
Vl/11 01 ID 01 PRIMARY SHARE Be innin Balance
11/01 Deposit Dividend 1.800%
Annual Percentage Yield Earned 1.82% from 10/01/05
Based on Average Daily Balance of 29,686.27
Ending Balance
Dividends Paid Year to Date
A 1.800% Dividend of $43.99 will be posted on 12/01/05
...;
-
-
-
...........
-
----
-
iiiiiiiiiiiiiii
=
iiiiiiiiiiiiiii
iiiiiiiiiiiiiii
~
11/30
.0: MEMBERS STATEMENT OF ACCOUNT 72i..0"' <"'.'
M · NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION REG~~lING
a r I n e YOUR RIGHTS TO DISPUTE BILLING ERRORS.
~ NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION REGARDING
r Federal Credit Union YOUR RIGHTS TO DISPUTE REGULATION ERRORS.
-=- PO Um lS!il . fdcksonvilh', NC. 211541.1~51
910.5ii.7:!:n.800.22539(.7
JLAR SHARE .^CCCllNTS ARE NOT TRANSFERABLE EXCEPT ON THE RECORDS OF THIS CREDrr UNION.
ACCOUNT 21441
NUMBER
SOCIAL SECURITY
NUMBER
STATEMENT FROM I TO
DATE 11/01/05 11/30/05
PAGE 1 -PC:,-' I /2.~
111..1111..1..1.1.1..1...1..1.1.1111..1.1..1.11...1.1..11.1..1
JULIE A RUSS 32210
DIANE E RUSS 132
74 GLEN HILL RD 116
WILTON CT 06897-2422
We wish you the best this
Holiday Season.
All offices will be closed
December 26 and J~nuary 2
in observance of Christmas
and New Years.
Make holiday shopping
easier in 2006 - open a
Christmas Club today.
29731.66
510.82
ID 09 CHECKING Be innin Balance 15 665.61
Deposit Dividend 1.000% 134.45
Annual Percentage Yield Earned 1.00% from 10/01/05 through 10/31/05
Deposit ACH TREASURY DIRECT 625.63
TYPE: REFUND XA4 ID: 3031036166
Ending Balance 159425.69
Dividends Paid Year to Date 1242.32
A 1.000% Dividend of $131.01 will be posted on 12/01/05
Total Dividends Paid Year to Date
Account Balance Summary
Balance Total Loans
29731.66
159425.69
- -/~~:>~~ 9~~
(, 'J
'--------"-----..-..-.
1753.14
otal Shares
RlMARY SHARE
HECKING
Balance
/~/~ r. (j D ;--. -.
-l./\_:i ;, ;....J\ r"1 ,-_
" ;;'..'~...!J L.}~t-/Ct.
i ;\
-
COURT OF COMMON PLEAS 2D064PH 18 PH 3, 19
CUMBERLAND C?UNTY, PENNSYL V ANtipS~fFi,'\ ~qF
ORPHANS COURT DIVISION Cu" I "" V .,'j eX) in,
, NO. 2106-0156 ., ,---~~' 'I
ESTATE OF JULIE A. RUSS, DECEASED
DISCLAIMER
"'"t......:.. "
I, DIANE E. RUSS; hereby exercise the rights granted to me in Chapter 62 of the
Pennsylvania Probate, Estates and Fiduciaries Code, 20 Pla.C.S. ~~6201~6207, and I
hereby disclaim any and all interest which I may have in the account at Marine Federal
Credit Union, c/o P.O. Box 1551, Jacksonville, NC 28541-1551, account number 21441,
having a date-of-death balance of approximately $189,150, and which is jointly titled in
the names of the decedent, Julie A. Russ, who died on 26 November 2005, and myself,
the surv:iving joint tenant with right of survivorship.
This disclaimer is intended to serve as a "qualified disclaimer" for federal tax purposes
under the provisions of I.R.C. ~2518, as well as complying with Pennsylvania property
law and inheritance tax requirements:
,
1. Disclaimant, DIANE E. RUSS, hereby makes an irrevocable refusal in
writing of all interests in said account to' which she may be legally entitled.
This refus.al is nQt ~ubject to any qualifications or conditions, and does not
prejudice'the rights of any creditors.
2. This disclaimer is timely made within the nine-month time limit prescribed for
the delivery of a valid disclaimer by appropriate fili~g and delivering prior to
the expiration of nine months after the death of the first joint tenant, Julie A.
Russ, who died on 26 November 2005.
3. The surviving co-tenant and disclaimant herein, DIANE'E. RUSS, made no
contribution and furnished no consideration to the said account, which was
' . ,
established Jointly for purposes of convenience and intended to serve in effec1
as a convemence account belonging solely to the decedent, Julie A. Russ.
4. The Disclaimant has never exercised any affirmative action in a manner
consistent with ownership, neither accepting any interest nor taking any
benefits from the disclaimed account.
5. There has been no consideration exchanged in retuni for making this
disclaimer. Disclaimant's interest herein shall completely pass to a person
other than the Disclaimant..
,j
/
It is requested that subject account thus be deemed an individual account of the
decedent's alone. I wish that the proceeds therefrom be administered by the personal
representative strictly in accordance with the foregoing declarations in order to
redistribute the assets of this estate, enabling each beneficiary/intestate heir of the same
degree to receive exactly equal shares of the total distributable assets of the estate.
/'
IN WITNESS WHEREOF, and intending to be legally bound hereby, and intending that
this Disclaimer shall be filed of record in the Office of the Clerk of the Orphans' Court
Division of the Court ofCommori Pleas of Cumberland County Pe~lva,nia, as
provided in 20 Pa.C.S. ~6204, I have hereunto set my hand this ., Xday of~,
2006. . . : . ~"/C.I....
~c.'f2
DIANE E. RUSS
74 Glen Hill Road
Wilton, CT 06897-2422
.
Signed and Delivered
in the presence of 0
~cwJ:: f f(1 (V; 0. /J
S H AMI rz P (( Its-MJ .
, .
I
STATE OF CONNECTlCVT
COUNTY OF F'~ ~ J
(SEAL)
A TRUE COpy FROM RECORD
In Testimony wherof, I hereunto
set my hand and the 8eaJ~,
of ~aid Court at Carfi~I', PA, '
'~~JZ;~~' L
CI.11< of the Olphanf CaUIl . . ~
pum~'1v1 r11rj
)
: SS:
) "
.
l0J}-dYJ
..-, f{A .{}v;J "
On this , day of-Ma.toh, 2006, pe~sonally appeared the above 'named DIANE E.
RUSS, who is known (or haS been satisfactorily identified) to me to be the person whose
name is subscribed to the foregoing disclaimer and acknowledged that she executed the _
same for the purposes tIferein specified; and further stated that she desired that such
disclaImer be recorded as such.
~~
f< fc1 ClOiAJ.
Notary Publi,c
RfV.1509 EX+ 13.86)
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RHURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
("i> ,-.:_
."1 "- ...:,.
~ I ? /,T"
........,r:~ t..-.,,- c:
/~?,y/v
FILE NUMBER
;;?/~C. -o/s-f;
Joint tenant(s):
NAME
,-( :: ':
ADDRESS
/-4/" ;:;:;> G ,'t.> :;;';;i~'> F. r' /..:.~.
C; r;''::'j;>...~er'(...r, jY; I?- 22.tf
"91" (J./E/J/-i.- L-L K<:/
All / ieI') ) C-i ot 817-
RELATIONSHIP TO DECEDENT
A.
:::;r:..! ;".,1 t:J ,v.......' C
~''':'.';'
"'
i'< J
" " ',," l' ,$ ,..
j,;.:.,
B.
<""'10
...') I t,'.;- ~'::
,II"-
........
, '4'),</";:;
C.
Jointly-owned property:
LETTER DATE
ITEM FOR TOTAL VALUE DECD'S DOLLAR VALUE OF
NUMBE~ JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST
TENANT JOINT
1. ~ 18'. ~ i,_/l o /~/Z.$"~~"',j' Y rr.;; ," 1,<- 3~.211;' C<J 7z. :<~ .' ') :> ",
~'/;,?I d""'0, --
('//9 ...,...,., ~.'~ '0::; ') 25'?
f"/
f3 , /' 1'.'..;.,6-"/",,;
J , m~;r,//; C i'"._._
. , fi-
~, Q .' 9.3
{ .. . .. ~ "'.? ,..":.. '2~..~~ ,~ " -" -4
(- /. ... ,. y.;:. .,
i , ...... ,"-c Cot , ~,'7
r- " ""' '~~ ,,-:; /
p .#' " " '~
.r #
TOTAL (Also enter on line 6, Recapitulation) S 73; ,...., e>; 0, r?
'-"
::t..J
s
.?
(If more space is needed insert additional sheets of same size)
rEB 23 2000 1:50PM
HP LASERJET 3200
.~ ~ 21- tJG
p. 1
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)" ,.t"",lOf C!;!:\\. .
11';..'fi f':J..~ :}."'-~l..~':~.
A..~'!;. . s, "~
~1;~.,~;;j~~ ~.t:.:':J~'
1l:~.'" '....~'..... ~....~
~', ""'If""
Februa~ 2*~~nf;:~:{
TO: Humer & Daniels
Attr.: WiIli8m S DanielS.' ,
aos -F'armef1 tr\Jst Bulk1lng
One West High Street ..
Carllsle~ PA 1101~.
. ,
'. FROM:, Timothea MOose '.
. . C\JSt.;seNlc:eSpedallst'
. t:'.O.aoX250. '. .
. .:SHiPPENSBURGPA17267-<l2pO,'
RE: . ESTATE OF Julie ARuu'
, . .
r>ATE OF DtATH: Nove~ 2.6.2095
IT-iS H!:.RE6Y CeRTiFIeD THAT THe,AB9VE~Ed,OE~EOENT;HAri. ON THE AaOV~DATE, THE
~OLLOWING ACCOuNTSWlTi-l'OR'RSTOWNSAN/<;: ': '. '.:" .: . .
~HEC~N?ACCQV~TS; .... . .', '
AOCOUNrr.o.,tr.rLEOF ~CCO(JNT.DA.TE'QPENeQP~lN.9lPA1.& ;gCRUED INTER;S1
'1oeOO~559 '.JufieA RUM," . .. 9125:'Ol ...., ;SQ,24~.f35. . 1:.95
',).. . '~ul'-Mj RDari1e~ . ... ,
;....
. ~ylNG~ A!fQOUfljr-S
ACCO~NT NO~"llrLE: OF AC<<OUNT> ,~t; OPE~E~:. ,PR1NC I PAL 's. AyCR UEOINTEREST
. . 70600. 04$ '. . '. Julie A RUiI .... ' .' ," TQ/31!o5" '. .: . ~8.29~.~ . 245,06 -
. , J\.lUanne R OaRle,Is
CERTIFICATES 9F PEPQSII
: ."
A'Cc6uf'JT-:No, . TITLE QFAC69Uf'jT.DATEOPENED . PR !.NCJ PAL & .:r6,ctRUEDINTEREST
.. . . "' .
PO BOX250.'Shrppg\,\sburp,PA11157 · (711l.532.6114'!'(11 't}'.S32~t4')f~X...~.Ofl'Stt)Wr\.tOm
. . ~. . . ." . I
. .-,.
::oend 10: MEMBERS STATEMENT OF ACCOUNT /J:?-? ~ ('.r ~
' .. M · NOTICE: SEE REVERSE SIDE FOR IMPORTANT IJ'ORMATION;?G"}~bING
/', a e YOUR RIGHTS TO DISPUTE BILLING ERRORS.
~. I . ..." '. r I n NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION REGARDING
. Federal Credit Union YOUR RIGHTS TO DISPUTE REGULATION ERRORS.
-"- f'u Gm. '1.751 . J,H,.'ksonvillt" NC. 28541.15';1
9HLI)77.73:n .800.225.3!I67
REGULAR SHARE ACCOUNTS ARE NOT TRANSFERABLE EXCEPT ON THE RECORDS OF THIS CREDiT UNION.
ACCOUNT 108184
NUMBER
SOCIAl. SECURrry
NUMBER
STATEMENT FROM I TO
DATE 10/01/05 11/30/05
PAGE 1
~
-
-
-
11'""""",1""""'."""."""""",11"",1,.11,',.1
JULIE A RUSS 32211
DIANE E RUSS 132
74 GLEN HILL RD 116
WILTON CT 06897-2422
We wish vou the best this
Holiday Season.
All offices will be closed
December 26 and January 2
in observance of Christmas
and New Years.
The dally periodic rate and the ANNUAL PERCENTAGE RATE used to compute the FINANCE CHARGE
for each open-end loan is printed above the transaction relating to the loan. THE FINANCE CHARGE for
an open-end loan is computed by applying the period rate to each unpaid balance for the exact number
of days each balance was outstanding. The balance used to compute the FINANCE CHARGE is that
balance each day after credits are subtracted and new advances or other charges are added.
pg~~~gr~~~v;r=""";~:~:~;~~~e~:~~ti~n.' .... .._-~.-
Additional Joint Owner:
WILLIAM S RUSS
Make holiday shopping
easier in 2006 - open a
Christmas Club today.
10 01 ID 01 P IMARY SHARE Be innin Balance
10/01 Deposit Dividend 1.800%
Annual Percentage Yield Earned
Based on Average Daily Balance
Deposit Dividend 1.800%
Annual Percentage Yield Earned
Based on Average Daily Balance
11/02 11/03 Deposit ACH sac SEC
II/3~ Ending Balance
Dividends Paid Year to Date
A 1.800% Dividend of $128.51 will be posted on 12/01/05
11/01
1.82% from 09/01/05
of 84,551.96
1.81% from 10/01/05
of 85,689.47
131.00 85887.89
through 10/31/05
1045.00
1380.60
86932.89
86932.89
10/01 ID 83 MASTERCARD Beqinninq Balance
11/28 ID 83 MASTERCARD Closed
*** This is the final statement you will receive for this account ***
*** Please retain this final statement for tax reporting purposes ***
Dividends Paid Year to Date 0.00
0.00
Total Dividends Paid Year to Date
1380.60
otal Shares
RIMARY SHARE
ASTER CARD
Account Balance Summary
Balance ~ Total Loans
86932.89
0.00
- ~.;;,:-'..:"-:.::'>::":-=-=-::..,:;-.o.;;.,_
\. 8~932. 89 )
.'---- .' ._-_//
Balance
~J~/_i;~::/:;C1~3~J 14~:;J 2EL3~1b22148
CHR''(''3:~LIS ';R:]UP
Pp:;;.GE-: 01
35.1 HOn IQ:4Zr.tI Frllr
T-!za ~ na'/QC~ ;.".
Corp.ret. Branch
Voie.: 9'10.577.7333
or 800.2;~5.3967, ext. 5302
Felt: 910.355.7883
JJ' -.~~
Qj\\\'D~VI' ( , · .. I
r-Ag \ . n
\\/ l(vJJ _
V ~ 0, 1I0l( 1561 . J_OkIOI'Ivllle,; 2854'.'551
".... www.:Tltn".d.~.' off
mfcuOn- ,.rtl'!".~r.l.org
FA)~ Cover Sheet
TO: DIINE RUSS
- ---------
FRONI: VINNIE STEVENS, '-800-225-3887 ,X53~.O
~ .... l.L .-...-.. ~
DATE: 05/18/08
---......-....-
Numbl3r of pages including cover:.!_________
Comments: DIANE RUSS, HOPEFULLY THESE
J .LI:>-
TWO STATEMENTS, BEING FAXED TO YOU, WILL
~ I 11
.~SI~~yOU'~~mRM!N.!~~HEN YOUR N~MJ:
"'-----~
WAS ADDED TO THE ACCOUNT.
.. J llll. __.--,
PLEAIIE CALL ME WITH ANY CONCERNS.
THAI. yOU.
I~
~ Ja -~"_-
JS!la;!~0Bb 14:28
2BT7622148
CHRVSALI S GROLP
PAGE 03
.
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le~.. Frill'"
T-IZC P OC~/D~3 F-III
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~
i
'~~'i" 'I
.,:;.;.-"'_ .1 ~
O~7.1'-6(_OlJAN3~
: 0 7 i
I
ANNOAL MEETINC - FEe 17TH - 5:0:) ?k I
MA~STON PAVIL~ION, CAMP LE~t~~t I
I
':OLZt i~ ~i)SS
i1fI.'LLIAU S J1{US~. .
O;:;ANE 1: RUSS . -.. '.......
24 ::;LE:r:eA.~R't OR
.;LMIN(~ON Ct 19908-1365
J~CKSONVllLt CAR SA:ES
MOO~E eUICK - rES e - :~
HO~IDA~ CHR?S~tR - MAF 1 - 3
--",
fd~
HOLZtAY. MON FiB 21
ALL MFCU OFFICES WILL E~ CL03r.O
SAVIN;:;9
Suffix 0
Your bel.nee et the b&qi"nin9 of the pecicd.. ......... _.,. .-.s
Cl~AN DIVIDEND et Variable , 67.~1 .
a':AN W!!'flOP.AWA:' A;JOIO p,.ESPCNS~ POST ~ ~C'O, CO .
':'eut" r.,.. l;l,l..nl;. on 31JJ\N9if..,....,............ ....,........ $
OIvrnE~O$ PAlO TO YOU IN 1994 ON SUrFIX C S 67.31
:;~::1j~
sc..,. '4
50<14. -Ii
I
------.-~--~-.-----.a------~a---.c=._...ea____~;*.___.c=.-....:a-..----~~.-----~~-r
~o.n 39 tour ~41anc. .t the b.iinn.~9 ot the pet~Qa........... .. ....$ O.
14.~' .**ANNUAL p~RCENrAGt RATtw..
.OJ9i2E' O~ily t.riodic Rate I
tour n.~ bal<<nce on j~:AN94........, ...........,....., "" ..$ o.er
F!~~NCE CHA~GES PArD :N 1994 ON LO~~ ~9 S O.J0
I
i
---- '" :. ._~- ......... --- -. ---..""-----.30.__..~ "'......"'::I..___.E...___........ --.. .""..__.. __.=_.___."""'"1-
't'o~.t; lo...r t:;>~...l SAVIN~S bcslanc:eo....................,......".... $ 5, 041L~~
~lnanciQl Yo.;~ ::0:a1 :'o.n .\:Ia.:anc4!a.......................,............,S O'Of
S Wtm',. t Y
I
I
.~~t
198.4 J
i
I
I
!
I
'1."; 0 Tax
S wnm<< l' Y
n:AR"'TO':lA':'E .rNfORMA'l'10N FeR TAX PUP.POSES:
'rota: r./m- IRA dJ. v ic:1.nd~ c<<.nad
(Hill !:;II! r.port.d to IP,S as inte:e,t for this cel4ilodar y.b: i . ~
Tot<<l f;.nance c:harge" paid on loans thi.~ C'41\!t'ld~H' y'e<<r. ~ . . . . . $
Pr.1,'tou8
~..r
s t:..~II'l'l& ry
PRlC~ Y:~ SUMMARr FOR TAx PURPOSES:
Total r.(ll"l-I~A O.1.v1den:1* ..rn.d
{\hll be, repOl:'ted to IRS as 1ntctU3t tor 93....,. . ~ '" . ......$
[1:./12'/:'::'U[1::. 1 ,j: 20
2037S22148
CHRVS,~L r S GRDLF
j::j~(;[ ~.!...'
rrf..I~.:OO' IC'~'PM fr;r.
T-t%O P ~OtlCri ~11'
108184 .:
"..------.-- . '...........
027-l6-'64 H (OlJANSiJ 3!,:;AN9:i
, ..-J.---'"
----
l J 7
JULII A. !(~SS
W;t>U.\M S Rt.1SS
Z. GU:N 3AIUl.r :R
W:LMIN~':'ON :n: 19808-1365
EXCIUI.ENT av):'s ON ~E?O V:t;"ICl.ES
WITH SP!tCIAI. rnlANC1NG RATES
STOP 8~ AN~ aRANC~
*.*....w~.**~.~**..*'....~.......~.*._i
JACKSCNVI:LZ CA~ SA~E
FE5 12 " 13
MOOl'E eo-::C~ rON'I'JAC
SAVIUGS
!ut'Ux 0
~O~~ ooJanoe a~ ~h. beqtnnin9 of the p.r~oo... .....,., ,.... ..,
01JAN OIVIDENO.t V.riable ,
12~AN WITHD~AWAL AGOIO RESPCNst POST
12:~N WITHDRAWAL AUDrO ~SPONSE rOST
lOUr n.... baler:ee on 31 .rAN!;:; . . . . . . . . . . , . . , . . . . . . . . . , . . . . . . .. . . ~
C!VIDEN:S PAIe TO tou IN 1993 ON SUFFIX 0 S ~'.tC
Si.66 ..
:~~o.oc co
2;,)0.:3C ..
,
. '..-."".....:>>......=..._c .'....--.c..--......=--.....Il:.__..:..__....__c ..._.........." ;::....__"".._...~.. __..1
;,oen 30 1Qur bolnnoo at <lIo ..ginning of the period ................. $ ;.00 i
14 5' ~w.ANNUAL P~RCINTACE ~~E.w* I
.0:,972', Oail;t Peri ocliC' Rote
~Qur n.~ b.l<<nce on 31JANi3.. ............. ..... .... .... ...,.~ 0.00;
;'!NANCt ('HARGES PA!D IN 1993 ON l.OAN H $ C. 00
1
i
~---_._--~-_.w.--.~...~~.......___=..__E..__C.__~.....~..__.=.__E__-....__c~____=.._._...__.~:
You~ Y~ur totel SAVINGS b.l.r.ces............... ..... ...... ...,. .,.$ 2,~63.63 I
"~.neu: Your totU LOon belane... . · . . .. .. . .. . . .. _ . .. . . . . .. . . . . .. . . . . . $ C. 00 j
S :.Jm't'\& t y
s
J . CC:
~ .O~i
~':o ~.~
S ;unrn& J; Y
'tEAA- :'O.-tlATE INFORI"J\': :ON FOR tAX ~URPOSE,S;
Total non-IRA d1vld.nQ. earned
{Will be repQ.ted to IRS .5 i~te.t".at for thi!l e.lenear YbU';. S
Toe.l !unnce cherg.. pe.id on 1:1am; tt',is c.18:'\d.u' YElI.':-... . . . . S
5i.~6
O. J..
P'e" ..I;IU~
%',.'.:
S 11lV'ia r~
~~:OR YiA~ SUMMARr FOR ~AX P~R~OSES:
To~.l non-IRA d1vid.nd. ~ar~.d
(W:tl~ be~.iX'r!;.d to a.S B' ;i..:lt.eres~ for n....,...,......... ~
~63.7~
REV-1510 EX+ 17-83)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE "G"
TRANSFERS
ESTATE OF
FILE NUMBER
2/0(;. -(::;15'-
THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OF THE COVER SHEET IS YES.
ITEM TOTAL VALUE DECO, DOLLAR VALUE
NUMBER DESCRIPTION OF PROPERTY EXCLUSION OF ASSET I~. OF I~JT1~~~~T'S
I. PC;"~, L Sr/S.5' (.:;c-n-IN-!/I 3000 .;,.,.-....;,./ /</0 6 ceo
_. C4 <;/,,' '9;'~;- ,~// -~.,c.- },c/;ir
<<"" ;56;.; -
r
..:?
,,"-., # -^l _
1.,// /-.'/ ~
c,
~"/"'"
'J.., ','!
o 0
?Y"
0~/9~)
C'/"./.t!. ~,i' -4 ,,'
300'0
. .. ."'1
""/;,,,....~
/c/c
,,' }~/J'O
~ C/" ,;' /_ ~ ' .,I
r( if €:;J
--r L -t:?
V (,,{. II} r 0 " .::; . '- ,
::-')..,
..[/ ~J'/ f"
,/ /'1
I; (("1;7;;1 y (,;.-. ;,'0
'OJ ;;.; ...7'0
Ice;
o
-:-'-- 0
.7.'
..
........-- ,
"".... ,-'.' C'! ,(-7 CN'/~
( /- ,- /- ,/;: /
cr;/' .J.).;.-:, -~;) -
';'--"'.-1
<2/..;f
~
L r-
"~ .
.........
'"
7 I' (. Co') """ ;-1' I~';; ?
c,.8sQ1.
,
I-SO .2&8,5/'/?-,73
/'
, .. ~ . -' .
.-. 111
;).. I 1.1 i
, ,-:_, , If...- ;;. ...... ..
>. , ;,;..... ;'
TOTAL (Also enter on line 7, Recapitulation) s.2
(If more space ;s needed insert additional sheets of same size.)
AMENDMENT OF
THE JULIE A. RUSS REVOCABLE LIVING TRUST
\X'HEREAS, I, Julie A. Russ, the undersigned, by Declaration of Trust, made and
dated the 9th day of December, 1997, assigned, transferred, and delivered to Julie A. Russ, as
Trustee therein named, certain of my property in said Declaration of Trust described, upon
certain trusts therein enumerated and accepted by said Trustee, and
WHEREAS, by article II subparagraph A of said Declaration of Trust, I reserved the
right to alter, amend, or modifY any of the terms and conditions thereof, by written notice,
to the Trustees, signed by me, and
WHEREAS, I now desire to alter and amend said Deed of Trust to the extent so
required so as to appoint a Co-trustee as hereinafter set forth,
NOW, THEREFORE, in consideration of the premises and by virtue of the power
expressly reserved by me as aforesaid, I hereby direct that said Deed of Trust be altered and
amended as follows:
My daughter, Diane E. Russ, is appointed to act with me as Trustee, vested with all
those powers granted in said Declaration of Trust to the original Trustee including and not
limited to those powers set forth in Article VIII of the Declaration of Trust.
v
It is also my intention, and I hereby direct, that as so altered and amended, said Deed
of Trust shall continue in full force and effect, subject to the conditions, limitations, and
powers therein contained, including my right to revoke and cancel the same, or to alter,
amend, or modif)r any of the terms and conditions thereof, at any time, as provided in
Article II, subparagraph A.
IN WITNESSETH WHEREOF, I Julie A. Russ, Trustor and Trustee, has set her
hand and seal the I ,~ day of ^'1l1Jt , 2003.
WITNESS:
~A.~
~E:/2
:/k<~/a-' 1~~-<?"
J ut1'A. Russ, Trustee.,.
- J
/~~
STATE OF
)
)
)
ss.:
COUNTY OF
<t1..
The foregoing instrument was acknowledged before me this the II
day of ArJ: "l.l ~r , 2003, by Julie A. Russ, T ustor and Trustee.
rCOINtil~~Ruttl .. F PENNSYlVANJA,
I Notarial Seat j
/' Barbara McClure, NoIary Public . J
South Middleton Twp., Cumberland Co~ty I
I My Commission Expires May 1, 200, :
"Ao~h",.r '"'!I___...._.___ ..._
DECLARATION OF THE
JULIE A. RUSS
REVOCABLE LIVING TRUST
This Instrument Prepared By:
Froehlich & Associates, PA.
"Mark H. Froehlich, Esquire
724 Y orklyn Road, Suite 135
Hockessin, DE 19707
(302) 235-1222
TABLE OF CONTENTS
DECLARATION OF TRUST.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
STATEMENT OF PURPOSE.
LIFETIME PROVISIONS
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UPON THE DEATH OF JULIE A.
RUSS.
. . . . . . . . . . . . . . . . . . . . .
MINORITY OR OTHER INCAPACITY
MERGER WITH SIMILAR TRUSTS.
. . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SPENDTHRIFT PROVISION..
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DEATH OF A BENEFICIARY
TRUSTEE'S POWERS..
(OTHER THAN TRUSTOR)
. . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PAYMENT OF INCOME
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
THIRD PARTIES NOT OBLIGED TO FOLLOW FUNDS.
SUCCESSOR TRUSTEE...
. . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SIMULTANEOUS DEATH...................................... 13
TRUST
SITUS.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DEFINITIONS.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
3
3
3-5
5-9
9,10
10
10
10,12
12
12
12
12,1.3
13
13,1.4
DECLARATION OF THE
JULIE A. RUSS
REVOCABLE LIVING TRUST
..p4
THIS TRUST AGREEMENT, made this 9 day of
iJ€Cl!M. BGR.. , 19 97, between JULIE A. RUSS, of New Castle
County, State of Delaware, herein designated as "Trustorll, and
JULIE A. RUSS, the same individual, also designated herein as the
original "Trustee". As used throughout this agreement, the term
"Trustee" will originally refer to JULIE A. RUSS, for so long as
she is willing and able to act as Trustee. However, in such event
that she is unable to act as Trustee, the term "Trustee" will refer
to any individual or corporation who is then acting in the capacity
of Trustee. The term "Trustee" may include co-Trustees, as the
case may be.
ARTICLE I.
STATEMENT OF PURPOSE
A. The purpose of this Trust, among others, is to provide for
the management of JULIE A. RUSS's assets, both presently and during
any future period of disability as a preferred alternative to
guardianship proceedings and a simplified means of accomplishing
both lifetime and death transfers of those assets.
B. Trustor is married to WILLIAM S. RUSS, and has three
children, JULIANNE R. DANIELS, JANET E. RUSS and DIANE E. RUSS.
C. Trustor desires to establish this trust for the property
described in the attached "Schedule A" and any other property which
may be added to this trust, from time to time, all of which
hereafter shall be referred to as the lltrust fund".
ARTICLE II.
LIFETIME PROVISIONS
A.
powers:
During Lifetime:
The Trustor reserves the following
1. To revoke this document entirely and to take back
all property held herein.
2. From time to time, to amend this document, in any
and every particular.
3. From time to time, to add, substitute or withdraw
any Trust property.
3
4. To receive the net income generated by the Trust
property.
5. To leave a memorandum devising specific items of
personalty to certain beneficiaries.
6.
To specify the
investment and
transaction.
kind, amount
the firm or
and timing of
agent handling
any
the
7. Any person may add property to any trust hereunder,
with the consent of the Trustee, and such property
shall thereafter be held by Trustee as a part
thereof.
8. Trustor may, unilaterally without notice, or by an
instrument in writing delivered to any successor
Trustee during her lifetime, modify, alter or
terminate this agreement, in whole or in part.
However, any successor Trustee's duties, powers,
liabili ties and compensation may not be changed
substantially without his or her consent.
B. Trust Propertv. The Trustor declares herself to be
Trustee of all property, real, personal or mixed which is listed on
"Schedule A" attached and made a part hereof, and any property
received by the Trustee from any source and held in trust.
c. Management of Trust. During JULIE A. RUSS's lifetime,
Trustee (originally JULIE A. RUSS) shall distribute the net income
to JULIE A. RUSS (or to herself, as the case may be for so long as
Trustor acts as Trustee). In addition, Trustee shall distribute to
JULIE A. RUSS as much principal as she requests at any time.
However, during any period when, in the successor
Trustee's sole discretion, JULIE A. RUSS, as a result of mental or
physical disability, is unable to manage her own affairs, said
Trustee may distribute the net income and the principal for the
benefit of JULIE A. RUSS and any portion of the net income to her
dependents in such manner as Trustee deems to be in their best
interest, or may accumulate the net income and add it to the
principal.
D. Incapacitv of JULIE A. RUSS. At such time when JULIE A.
RUSS is unwilling or unable to act as Trustee as the result of her
incapacity, then Trustor's husband, WILLIAM S. RUSS, shall act as
Trustee in her stead. However, if WILLIAM S. RUSS is unable to so
act, then Trustor's daughter, DIANE E. RUSS shall act as Trustee.
4
ARTICLE III.
UPON THE DEATH OF JULIE A. RUSS
A. Successor Trustee. Upon the death of JULIE A. RUSS,
Trustor's husband shall become Trustee of the Marital Trust created
herein. Trustor's husband and daughter, DIANE E. RUSS, shall
become Co-Trustees of the Credi t Shelter Trust created herein.
Trustor's husband shall not participate in any decisions with
regard to discretionary distributions of principal from the Credit
Shelter Trust. Such decisions shall be made by the other co-
trustees. If Trustor's husband is unable or unwilling to act as
Trustee of the Marital Trust, then DIANE E. RUSS shall act as sole
Trustee thereof and the Credit Shelter Trust.
If DIANE E. RUSS is unwilling or unable to act, then
JULIANNE R. DANIELS, of Gardners, Pennsylvania shall act as Trustee
in her stead. If JULIANNE R. DANIELS is unwilling or unable to
act, then JANET E. RUSS, shall so act.
At any time when there is more than one trustee, the Co-
Trustees may delegate ministerial duties among themselves in any
way they wish.
B. Additional Assets. Trustor reserves the right to add
property to this trust by her will. The trust may also be named as
beneficiary of annuities, employee benefit plans, insurance
policies and retirement plans.
C. Payment of Death Taxes, Debts and Ex~enses of
Administration. On Trustor's death, Trustee shall distribute to
Trustor's Personal Representative so much of the remaining assets
:/ of the Credi t Shelter Trust (established below) as he or she
certifies as necessary or desirable to provide Trustor's estate
wi th funds to pay her funeral expenses (regardless of legal
limitations), debts, the costs of administering her estate and any
transfer taxes resulting from her death. Trustee shall not
distribute for this purpose any property which is not includable in y
Trustor's gross estate for transfer tax purposes.
Trustee shall make such distributions directly to the
appropriate payee, if so directed by Trustor's personal
representative. This certification of Trustor's personal
representative will bind Trustee and all persons having any
interest in any trust hereunder.
v
D. Division of Trust. On JULIE A. RUSS's death, if her
husband, WILLIAM S. RUSS, survives her, Trustee shall set aside as
the "marital trust", property vlith the smallest aggregate value
needed to reduce federal estate tax to its lowest possible amount
after taking into account all credits and deductions against such
tax available to Trustor's estate, except to the extent that the
5
use of such credit (other than the unified credit) would increase
state death taxes.
Trustee shall only allocate to the Marital Trust assets which
will qualify for the marital deduction for federal estate tax
purposes and shall allocate such selected property to the Marital
Trust at the federal estate tax value finally assigned to it,
whether or not any of such property may have fluctuated in value at
the time of such allocation.
To the extent that there is sufficient other property, Trustee
shall not allocate to the Marital Trust any asset that would
constitute income in respect of a decedent for federal income tax
purposes or any asset which would produce a credit for foreign
death tax purposes in Trustor's estate.
The remainder of the Trust fund not set aside as the Marital
Trust, or all the Trust fund if Trustor's husband predeceases her,vr
shall be set aside as the "Credit Shelter Trust".
E. Marital Trust.
1. Durinq Trustor's Husband's Lifetime. Trustee shall
distribute the net income to Trustor's husband for life and so much
principal as he requests.
In addition, if Trustor's husband is incapacitated or
disabled, Trustee may, from time to time, distribute, so much, or
all, of the principal to Trustor's husband, as Trustee deems
appropriate to provide for his health, support and/or maintenance.
Trustee may, but need not, take into account other sources of funds
available to him.
Notwi thstanding any provisions of this trust agreement to
the contrary, if so instructed by Trustor's husband, Trustee shall
make productive or convert into income-producing property any non-
income-producing property or under productive property held in the
Marital Trust. Trustor intends the Marital Trust to qualify for
the marital deduction for the purposes of determining the transfer
taxes on her estate and Trustee shall not exercise any power or
discretion conferred upon Trustee in any manner which would prevent
Trustor's husband from receiving all the income of the Marital
Trust or which would otherwise cause the Marital Trust to be
ineligible for such deduction.
2. On the Death of Trustor's Husband. On the death of
Trustor's husband, Trustee shall distribute the principal, free
from this Trust, to such of Trustor's issue, in such manner and
amounts, and on such terms, whether in trust or otherwise, as
Trustor's husband effectively appoints by specific reference hereto
in the last written instrument which he executes and delivers to
the Trustee during his lifetime, or failing any instrument, in his
6
Will. If he fails to effectively appoint all or any portion of the
principal as aforesaid, Trustee shall distribute said principal to
the Credit Shelter Trust to be added to the principal thereof.
F. Credit Shelter Trust.
1. During Trustor's Husband's Lifetime. Trustee shall
distribute the net income to Trustor's husband, WILLIAM S. RUSS.
In addition, Trustee may, from time to time, distribute
any portion, or all, of the principal to Trustor's husband, if
Trustee deems it appropriate in order to provide for his health,
support and/or maintenance without regard to any other sources of
funds which might be available to him.
In addition, Trustee shall pay over to Trustor's husband,
during his lifetime, if he so requests, up to Five Thousand Dollars
($5,000) of principal in each calendar year, or, on December 31st
of each year, up to five percent (5%) of the trust principal less
any sums previously withdrawn by him during the year. He may
request estimated advances of the December 31st withdrawal at any
time during the year but shall not be entitled to receive it unless
he is alive on the date of disbursement. In determining this five
percent (5%) figure, the market value of the principal as of
December 31st of any given year shall not be reduced by any income
taxes chargeable to that principal. This power of withdrawal shall
not be cumulative from year to year.
2. On the Death of Trustor's Husband.
a. Division of Trust. As soon after the death of /
my husband, or upon my death if I am predeceased by my husband, the Y
Trustee shall divide the principal into such number of equal shares
as is necessary to set aside on such share for each ~en livIng
child of mine, and one such share for each then deceased child of
mine who is represented by then living issue.
b. Shares Held for Children. Trustee shall hold
each living child's share in further trust and distribute the net
income to her for life, and so much of the principal as she r-
requests in writing at any time. However, it should be made clear
to Trustor's children that they do not have to terminate their
respecti ve trusts. They may wish to maintain their respective
trust to retain the protection afforded by virtue of the
spendthrift provision (Article VIII) .
If a child becomes incapacitated or disabled
after her respective trust is created, Trustee may distribute any
amount or all, of the principal of a child's share to such child or
such child's issue, if Trustee, in Trustee's sole discretion, deems
it appropriate to do so to provide for their health, maintenance,
education and support, without regard to any other sources of funds
7
which might be available to them.
If a child dies during the continuance of her
trust, Trustee shall distribute so much of her share as is then
held hereunder, free from this trust, to such child's issue, in
such manner as the deceased child effectively appoints by specific
reference hereto in his or her Will.
To the extent a child fails to make such an
appointment, Trustee shall distribute the balance of her share,
free from trust, to her then living issue, per stirpes. However,
any principal distributable to any issue of Trustor for whose
benefit a portion of the Credit Shelter trust is then held, shall
instead be distributed to the Trustee of such portion, to be added
to its principal and disposed of as a part of it.
If a child of Trustor has predeceased the
survivor of Trustor and Trustor's wife, then the share set aside
for the issue of such child shall be distributed to such issue,
free from trust at the initial time for division. However, if any
such distribution is to a grandchild of Trustor who is under the
age of twenty-one (21), then Trustee may retain said share(s) in
further trust according to the provisions of Article V below.
c. Failure of Issue. If at any time Trustee
holds any portion of the principal of the Credit Shelter Trust not
disposed of effectively under the previous provisions, then at such
time Trustee shall distribute fifty percent (50%) to Trustor's
intestate distributees and the balance shall be distributed to the
intestate distributees of Trustor's husband, William S. Russ.
G. Real Property Held in Trust.
If Trustee holds, as a part of the principal of any trust
created hereunder, property used by Trustor as a personal residence
during her lifetime, Trustor's husband may reside in such property,
rent-free, at such times as he may wish.
Trustor's husband need not give bond or furnish security
with respect to such property during his tenancy and shall not be
liable for waste, damage or destruction.
Whenever such property is not occupied by Trustor's
husband, Trustee may retain such property if requested to do so by
Trustor's husband, and if Trustee, in Trustee's sole discretion,
deems it financially feasible to do so. Whenever such property is
not occupied by Trustor's husband, Trustee may, with the consent of
Trustor's husband, make such property income-producing or allow
such property to remain vacant.
Trustor's husband may direct Trustee, in writing, to sell
any residential real property held hereunder and apply all, or a
8
portion of, the net proceeds thereof to the purchase of other
residential real property selected by Trustor's husband. The real
property so purchased shall be held as a part of the principal of
such trust, and any net proceeds of the sale of the previously
owned property not so applied to such purchase shall be added to
the principal of the trust.
Trustee shall pay all assessments
residential real property and all expenses
repairing and insuring such real property.
levied on such
of maintaining,
ARTICLE IV.
MINORITY OR OTHER INCAPACITY
If any property is otherwise required to be distributed to a
beneficiary who has not attained age twenty-one (21) or is, in
Trustee's opinion, unable to manage funds due to illness or
infirmity, Trustee may:
A. Distribute such property to such beneficiary; or
B. Apply such property for the health, maintenance,
education, recreation or general welfare of such beneficiary, in
such amounts as Trustee deems to be in the beneficiary's best
interests; or
c. Hold the property not so distributed or applied in a
separate trust hereunder for the benefit of such beneficiary, and
distribute or apply the net income and principal thereof as
provided in subparagraphs A and B of this Article IV.
Trustee shall distribute the property in such trust to the
beneficiary upon his or her attaining age twenty-one (21), or upon
the termination of his or her incapacity (as the case may be). If
the beneficiary dies prior to such distribution, Trustee shall
distribute the property to the beneficiary's estate.
If DIANE E. RUSS is unwilling or unable to so act then
JULIANNE R. DANIELS, of Gardners, Pennsylvania shall act as Trustee
in her stead. If JULIANNE R. DANIELS is unwilling or unable to so
act then JANET E. RUSS shall so act.
ARTICLE V.
MERGER WITH SIMILAR TRUSTS
If at any time a trust is set aside for any person or persons
under the terms of this agreement which is substantially the same
as any other trust established for that person or persons by
Trustor or Trustor's husband, Trustee may, in Trustee's sole
discretion, merge the trust created hereunder with the other trust
for such person or persons, and the two trusts shall thereafter be
held, administered and distributed as one.
9
ARTICLE VI.
SPENDTHRIFT PROVISION
A beneficiary may not alienate or in any other manner assign
or transfer his or her interest in any trust hereunder, and no one
may attach or otherwise reach any interest of any beneficiary
hereunder to satisfy a claim against that beneficiary, whether the
claim is legal or equitable in origin. The provisions of this
paragraph shall not limit or otherwise affect any power of
appointment conferred upon a beneficiary or the right of a
beneficiary to disclaim or release any interest created hereunder.
ARTICLE VII.
DEATH OF A BENEFICIARY (OTHER THAN TRUSTOR).
On the death of the beneficiary of any trust created
hereunder, if the principal of such trust is included in the estate
of the beneficiary for transfer tax purposes, Trustee shall
distribute from such trust to the Personal Representative of the
beneficiary's estate, an amount equal to the sum of all additional
transfer taxes and costs of administration payable by such Personal
Representative as a result of the inclusion of the trust in the
beneficiary's estate. Certification of such Personal Representative
as to the amount of such additional taxes and costs will be
determinative for all purposes.
Trustee shall make such distributions directly to the
appropriate payee, if so directed by such Personal Representative.
ARTICLE VIII.
TRUSTEE'S POWERS.
In addition to those powers granted by
specif ically authorized and empowered, in
discretion:
law, Trustee is
Trustee's sole
A. To sell at public or private sale, exchange for like or
unlike property, convey, lease for terms longer or shorter than the
trust, and otherwise dispose of any or all property held hereunder,
for such price and upon such terms and credits as deemed proper.
B. To invest in any kind of property, real, personal, or
mixed, irrespective of the laws of the state of Delaware, or
elsewhere, pertaining to investments by Trustee, without any duty
to diversify investments.
C. Unless otherwise directed by Trustor to execute
securities transactions of any nature, without necessity of
providing written confirmation thereof to Trustor at the time of
settlement.
10
D. To vote directly or by proxy at any election or
stockholders' meeting any shares of stock.
E. To deposit, or arrange for the deposit of, securities at
any other securities depository or clearing corporation.
F. To make any division or distribution in cash or in kind, v'
or partly in cash and partly in kind; to make reasonable valuations
of the property so divided or distributed, and to elect to
recognize ~~~.'h~_ggi.n_.QL."l~ resulting from a distribution. v"'"
Trustee may consider the income tax basis of the property then
available for division or distribution, as well as the
circumstances of the beneficiaries, and need not make division or
distribution on a pro rata, asset by asset basis. Trustee shall
not adjust the interest of any beneficiary as a result of any
action taken or forborne under the provisions of this subparagraph.
G. To make loans, against adequate collateral, to the
Personal Representative of the estate of any Beneficiary and/or to
purchase any property belonging to his or her estate.
H. To borrow money from any person or corporation, including
Trustee, and to pledge or mortgage as security any real or personal
property.
I. To litigate, submit to arbitration, compromise or settle
any claim in favor of or against any trust hereunder, and to
execute all agreements, deeds and releases necessary or proper in
connection therewith.
J. To retain accountants, investment counsel, attorneys-at-
law, and other professional advisers without diminution of
compensation otherwise payable to Trustee.
K. To pay the taxes and expenses of maintaining, repairing,
improving and insuring any real property held hereunder.
L. Except as otherwise provided, to determine whether
receipts and disbursements, including commissions, are allocable or
chargeable to income or principal.
M. To receive the proceeds of any life insurance made
payable to Trustee, to institute any suit or proceedings, and to
take any action necessary to collect such proceeds. However,
Trustee need not institute any suit or proceeding unless Trustee's
expenses, including counsel fees and costs, are available in the
trust fund or are advanced or guaranteed in an amount and in a
manner reasonably satisfactory to Trustee.
N. To terminate any trust established hereunder if Trustee,
in Trustee's sole discretion, determines either that the costs of
administration thereof are such that continuation of the trust
11
would defeat or substantially impair the purpose of the trust, or
that the purposes for which the trust was established can no longer
be effectively carried out because of a change in the law affecting
t~e trust and. its benefici~ries. or any other ~.~.=-~ <in
{~rcumstance.s whJ.ch makes contJ.nuatJ.on of the trust unwarranted.
.such<. <event, Trustee shall distribute the princ~pal to the
beneficiaries then entitled to receive the net inCOi'ife--of the trust v/
in proportion to their respective interests'tnereiri, or if their
interests are not then determinable, then in such proportion as
Trustee, in Trustee's sole discretion, determines.
O. To divide any trust hereunder into separate trusts if the
purposes for which the trust was created are better served thereby.
ARTICLE IX.
PAYMENT OF INCOME
Except where otherwise provided, the payment of the net income
of any trust hereunder shall be made at such times as are
convenient to the beneficiary and agreed to by Trustee.
ARTICLE X.
THIRD PARTIES NOT OBLIGED TO FOLLOW FUNDS
No person or corporation dealing with Trustee shall be obliged
to see to the application of money paid or property delivered to
Trustee, to inquire into the propriety of Trustee's exercising
Trustee's powers, or to determine the existence of any fact upon
which Trustee's power to perform any act hereunder may be
conditioned.
ARTICLE XI.
SUCCESSOR TRUSTEE
Any successor Trustee appointed hereunder shall become vested
without any further action and shall immediately become vested with
all powers granted to the original Trustee herein, without Court
accounting.
Notwithstanding anything else in this agreement to the
contrary, the Trustor shall have during her lifetime, by written
instrument delivered to the successor trustees, the right to change
the successor trustee or trustees.
Any individual trustee may resign at any time without court
approval. No trustee shall be required to post bond or security.
12
ARTICLE XII.
SIMULTANEOUS DEATH
If Trustor and Trustor's husband die under circumstances where
the order of deaths cannot be determined, then for the purposes of
this trust agreement, Trustor's husband shall be deemed to have
survived Trustor.
v
ARTICLE XIII.
TRUST SITUS
This agreement creates a Delaware trust, and all matters
pertaining to the validity, construction and application of this
agreement or to the administration of the trusts created by it
shall be governed by Delaware law.
ARTICLE XIV.
DEFINITIONS
A. "Trustor's Husband" refers to WILLIAM S. RUSS.
B. "Issue" of a person means all the lineal descendants of
that person of all generations.
C. "Code" means the Internal Revenue Code of 1986, as
amended, or any corresponding federal tax statute enacted after the
date of this agreement. A reference to a specific section of the
Code refers not only to that section but also to any corresponding
provision of any federal tax statute enacted after the date of this
agreement, as in effect on the date of application.
/)
D. "Transfer taxes" means all applicable federal estate taxes
~-_.-',-......-",...-.--
(except additional estate taxes imposed under Section 2032A of the
Code), s.tate__~JEte or iJ}lt~:J;i:t~_ncg...t~:P{, and generation-skipping
taxes imposed on any "direct skip" (as defined in Chapter 13 of the,
Code), and any interest and penalties thereon. The term does.~l!9~~:'
include federal or state gift taxes, generation-skipping taxes
imposed on taxable terminations or taxable distributions (as
~--_.-._.~,._~~--_...........--_.,~.^' -
defined in C~1.~___Qf the Code), ~~9m~ taxe&, real estate
transfer taxes, or any tax or duty imposed by a foreign country or
political SUbdivision thereof.
~)
/<~f-
V
E. Use of the masculine gender in this agreement includes
the feminine and neuter genders unless the content clearly requires
otherwise. Use of the singular number includes the plural and vice
versa unless the content clearly requires otherwise.
F. In applying any provision of this agreement which refers
to a person's issue, "per stirpes," the children of that person
are the heads of their respective stocks of issue, whether or not
any child is then living.
13
G. "Personal Representative" means the executor or
administrator of a decedent's estate and shall include all persons
serving in such capacity from time to time.
H. Use of the verb "shall" in this agreement indicates a
mandatory direction to Trustee and use of the verb "may" indicates
authorization to Trustee to take action if he deems it appropriate
to do so in the exercise of his sole and absolute discretion.
I. Captions, headings and sub-headings, as used herein, are
for convenience only and have no legal or dispositive effect.
IN WITNESS WHEREOF, JU~E A. RUSS~Trustor and Trustee, has
set her Hand and Seal the ~ day of ,~, 19~, which
date shall be the effective date of this instrument.
WITNESS:
c::-- ~ I
~~/"'- ,l,,---- ~-
~ cz. f?-~~
JULIE . RUSS, Trustor
~.e--~
JULIE . RUSS, Trustee
( SEAL)
( SEAL)
14
"SCHEDULE A LIST OF ASSETS"
I DESCRIPTION OF ASSET I DATE OF I
TRANSFER
15
"
STATE OF DELAWARE
COUNTY OF NEW CASTLE
SS
this
The foregoing instrument was acknowledged before me
9 y1l day of D~ , 19J..J, by
JULIE A. RUSS, Trustor and Trustee.
WILLS97.NOV\RUSS1.TST
16
~~
Public
1,.reas::;li:tail ~;::ities //- ;z-te ~~:"clf,~~~;,~,
P.O. Box 426
Porkersburg, WV 26106-0426
1-800-722-2678
April 13, 2006
Refer to:
0101408327C
JULIE A RUSS
IIIOIUI.UIIIIIII
DIANE E RUSS
74 GLENHILL ROAD
WILTON, CT 06897
, De,ar Ms. Russ:
We received your request for information regarding the Legacy Treasury Direc~ account in the
name of Julie A Russ Trustee of the Julie A Russ Revocable Living Trust utA dtd 12/09/97. As --
of November 26, 2005, the account had a par amount of $270,000. We are also-providing you
with the following chart that summarizes each security. - ....;.
Legacy Treasury Direct Account: XXXX-XXX-4652
Regis~ered: Julie A Russ Trustee of the Julie A Russ Revocable Living
Trust UtA dtd 12/09/97
~
Par Issue Maturity Status/Notes
CUSIP Amount Date Date ~
912795WC1 $60,000 '06/02f05 12/01/05 Reinvested into cusip 9127915XE6.J ]
{ '912795XE6 · '$60,000 12/01/05 06/01/06 ./ . Open on the ac~
912795WD9 $60,000 06/09/05 12/08/05 Reinvested into cusip 912795XF3 },
I- 912795XF3 $60,000 12/08/05 06/08/06 ;.-- Open on the account
912795WE7 V' $30,000 06/16/05 12/15/05 Reinvested into cusip 912795XG 1 ~
1- 912795XG1 $30,000 12/15/05 06/15/06 - -d . Open on the account
912795Wj6 ~ $30,000 07/14/05 01/12/06 Redeemed
912795WL1 · $30,000 07/28/05 01/26/06 - Redeemed
-\pi 912795WY3. $30,000 10/20105 04/20/06 it' Frozen fj~
v 912795XA4 · $30,000 11/03/05 05/04/06 v' Open on the account
-
f
J:~
This office does not maintain records concerning the market value of securities. In order to
determine the market value at the time of the owner's death, contact a broker or financial
institution that handles the buying and selling of marketable securities. Back issues of financial
publications containing these values may also be consulted.
Complete the enclosed Transaction Request (PO F 5178) if:
· The Legacy Treasury Direct account is to retain the original Taxpayer Identification
Number (TIN), .
· The successor trustee will be named in the registration, and
· Only the address, telephone number, and banking information need to be chan'ged,
L...... :_&.____.a.:__ _L_
~;.
-X E I,
f3 (..0
_X
"1 ~,
y.,
~(;
:=- 3{)_
3G-
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;
,.., ~,:....",.....
:.J ':}lj
')ate. Printed: 24-Apr-2006
. '- _ i ~c
Edward Jones
Phone: 717-258-4688
Page 1 of 1
Historical Pricing
Symbol DescriptionlType Date Value
/Vcr
/912795*Et5 . UNITED STATES TREAS BILLS DT 120105-0601
Closing (unadjusted) 25-Nov-2005 $ 91:-9239- v'
~12795WJ6 UNITED STATES TREAS BILLS DT 071405-0112
---, Last day of prices 12-Jan-2006
t-<- ~.~. (~'":- J ';
Closing (unadjusted) 25-Nov-2005 $ 99.5400
~12795WL 1 UNITED STATES TREAS BILLS DT 072805-0126
'-1<':rf S' .flfle ..];> Last day of prices 26-Jan-2006
Closing (unadjusted) 25-Nov-2005 $ 99.3924
./ 912795WY3 ,,/ UNITED STATES TREAS BILLS DT 102005-0420
Last day of prices 20-Apr-2006
Closing (unadjusted) 25-Nov-2005 $ 98.4168 J
Vi .-
v912795XA4 UNITED STATES TREAS BILLS DT 110305-0504
Closing (unadjusted) 25-Nov-2005 $ 98.2450 ~ .
This report is provided by Edward Jones. The report was calculated using third party information. This report is not intended to replace official
documents such as confirmations and/or account statements that should be retained for tax purposes. Past performance is no guarantee of future
results. Edward Jones does not provide tax or legal advice. You should consult your tax and/or legal advisor for your particular situation. The historical
cost basis information furnished herein ("Information") is for use by customer ("you") only and is based on the purchase and sale information provided.
While Edward Jones believes that the information was obtained from reliable sources, Edward Jones does not guarantee the accuracy or completeness
of the Information and is furnishing the Information to You on an "as-is" basis. EDWARD JONES MAKES NO WARRANTY OF ANY KIND, EXPRESS
OR IMPLIED, WITH RESPECT TO THE MERCHANTABILITY, FITNESS, CONDITION, USE OR APPROPRIATENESS OF THE INFORMATION. Edward
Jones is supplying the Information on the basis that the Information will be used by You for Your own use and benefit and not for resale or other transfer
to, or use by or for the benefit of, any other person or entity.
Date Printed: 04-May-2006
fK Name: Art Amundsen
Ph~ne: 717-258-4688
Page 1 of 1
EdwardJones
Historical Pricing
Symbol DescriptionfType Date Value
912795WD9 't' UNITED STATES TREAS BILLS DT 060905-1208
)( P/~ Last day of prices 08-Dec-2005 V
Closing (adjusted) 25-Nov-2005 $ 99.9062 ·
912795WE7 UNITED STATES TREAS BILLS DT 061605-1215
Last day of prices 15-Dec-2005 $ 99.8125~ /
(C,.L Closing (adjusted) 25-Nov-2005
,
.;
This report is provided by Edward Jones. The report was calculated using third party information. This report is not intended to replace official
documents such as confirmations and/or account statements that should be retained for tax purposes. Past performance is no guarantee of future
results. Edward Jones does not provide tax or legal advice. You should consult your tax and/or legal advisor for your particular situation, The historical
cost basis information furnished herein (.Information.) is for use by customer ("you.) only and is based on the purchase and sale information provided,
While Edward Jones believes that the information was obtained from reliable sources. Edward Jones does not guarantee ttle accuracy or completeness
of the Information and is furnishing the Information to You on an "as-is. basis. EDWARD JONES MAKES NO WARRANTY OF ANY KIND, EXPRESS
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RE\I.";jll EX + (7.88)
ESTATE OF
ITEM
NUMBER
A.
B.
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
~ik
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
....."
~
////.i '
. 1~...1
Please Print or Type
FILE NUMBER
~/Oc, -- C/-S,
AMOUNT
1.
Funeral Expenses:
//v L L/ /v C C ,-2.. ,L ,-;>r,.1~ C>::'~;' L ,/;':"f~.:.-: /;?>c:: ,v
q
912, c:>:::J
Administrative Costs:
1.
DESCRIPTION
C-tf,,-J
/? -:; /'1 /'c ,{.::. 7
Personal Representative Commissions
Social Security Number of Personal Representative:
Year Commissions paid
2.
Allorney Fees //;:t /I'll: f:l '"
,;J7::1S €?I?"
3.
Family Exemption
Claimant
DI,c/," C/-;C/CL?,
Relationship
Address of Claimant at decedent's death
Street Address
City
Probate Fees
r i
Miscellaneous Expenses:
;.....,..''''. ,.- ",'-
...... .-
r-
......' /7;' / ''/--
\....- .:.-.-
;.2 13....-
,~
/
--J....- r"
I... "," ....
State
Zip Code
/f~/tE
2~99S, 00
:? ,),"";0
_-,-yc-' ~~~vC
2.3$;'0(;;>
;Zoe. CO
:Y;:; .A?
7 ---,
/ .2~, :;:;z
~,1. tb
'/0, CJQ,
~s,cO
222, oS-
/..:J 2, /7 /? /?
: - ,. '...../ ,.,.,'
/
,-,1 ",
r
/.
.-..."
.:::7 -<- '7"~,'
/~. (.... ~.
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TOTAL (Also enter on line 9, Recapitulation)
$ 2' I z;, t2~ CJ~
(If more space is needed, insert additional sheets of same size.)
--:
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/_.
--
-
REV.1512 EX. 11.93)
ESTATE OF
ITEM
NUMBER
'.2
3
J
~
1.
-7
/
6
'*
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
COMMONWEALrH Of PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
,..- ,-
..., ~ ,
"_.,...."-'-.~
\../ W ~ ~/.:;:
fJ .,' J'
/'/ /;/ ""it'
Please Print or Type
FILE NUMBER
;:2/CJ'~ - c7/S--6
DESCRIPTION
p;4'
:":/J. r i /2C V C//.:~) ;?OO.l:>-' jJC/ZS;;V"-/? '-
/rV"CCn~c. Tares
L c G/?C
j),/I.'? "" /"..,....
w.<::c........... !
~// /tlU/9 <-_ /77/,///,-4,c L.//?Y/)
/:CtF
Ill/)/ 2/;, E
r-c;: .",,", =,,~ ..,.
r--t. .' /' / /" 'j / ./. "
I ...... - ...,.. '-)
W / /..Zc.- 7/Z../.',//o rE/2-
/= c:. 1:-.)
o t<. g C4/2/<-'E..77/
/_. - ,:-'v/'-
In~J, .->r'-"">J
(? U l?j /3 C/Z V'c:;/'/..~
1"'"1/) -,'- ."- ",
1../<_ v_:' .> I
c// //7 0.,5-:-,'::"/-', /---
-
/l f) .- .-___ /j //,'-' i"l / ...., -
L.:A'G:.-/">":'; -- , '" (,......:> I /,"'/'1 .-,,'/ /7'/:' C 7
7,
//7 / ..i)Cf./ /,7 Y
.(:7
S.........vr <:..... .....)~ ! "?7 C""... /"'7-r" ~l r-..f
.77,;.;' /'.. ':5 / ? 4.. //:;J :.. )) 72/ r.--j
TOTAL (Also enter on line 10, Recapitulation)
(If more space ;s needed, insert additional sheets of some size.)
AMOUNT
#'
128: 00
;25,0
;2.0, ocr
20/ 00
3 .2&3,. CO
)
~,/ as-'
79S,C:O
$ Lj J., 8~ as
REV-t5\~"'/.." (l-9!)
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF 0.....:;,...
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4"'" ,.,
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FILE NUMBER,
~/O~-G/S-
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
Do Not List Trustee(s) OF EST A TE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
1. TAXABLE DISTRIBUTIONS (include outright spousal distributions)
,
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~'
d /leL.
/
1,
2)/
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.L,e:'/I !)e.-'}; S~ 3 "7S l./ c/IC:L/l"./.f)
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1,
',"
TOTAL OF PART II. ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)