HomeMy WebLinkAbout09-02-0815056041158
REV-1500 EX (06-05> OFFICIAL USE ONLY
PA Department of Revenue
Bureau of Individual Taxes County Code Year Flle Number
Po Box 2t'10801 INHERfTANCE TAX RETURN 21 0 8 0 2 9 5
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
204-26-9792 12182007 05191932
Decedent's Last Name
RILEY
Suffix Decedent's First Name
JANE
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name
Spouse's Social Security Number
FILL IN APPROPRU~TE BOXES BELOW
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
MI
F
MI
a 1. Original Retum ^ 2. Supplemental Retum ^ 3. Remainder Retum (date of death
prior to 12-13-82)
^ 4. Limited Estate ^ 4a. Future Interest Compromise (date of ^ 5. Federal Estate Tax Return Required
death after 12-12-82)
6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes
^ (Attach Copy of Will)
^ 10 (Attach Copy of Trust)
f death
d
te
l P
C
dit
S
rt
^ 11
9113(A)
Election to tax under Sec
9. Litigation Proceeds Received . o
ove
re
(
a
pousa
y . .
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 Telephone Number
THOMAS W SHIELDS, VICE PRESIDENT 717-291-2726
Firm Name (If Applicable)
FULTON FINANCIAL ADVISORS, NA
First fine of address
P•0• BOX 3215
Second line of address
City or Post Office
LANCASTER
REGISTER OF WILLS USE ON~
~ '
Cr
7
t"tt
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State ZIP Code
PA 17604-3215
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Correspondent'se-mailaddress: TSHIELDSaFULTONFINANCIALADVISORS • COM
Under penalties of perjury, I declare that I have examined this return, including 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.
SIGNATURE OF PERSON RESPONS{BLE FOR FIL{NG RETURN DATE
FULTON FINANCIAL ADVISORS, NA BY: 1~~~- %~~~~~~ 8/20/2008
ADDRESS
P•0• BOX 3215 LANCASTER, PA 17604-3215
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
15056D41158 6M46473.000 15D56041158 J
15056042159
REV 1500 EX
Decedent's Social Security Number
204-26-9792
Decedent's Name I L E Y IAN F
RECAPITULATION
1. Real estate (Schedule A) 1.
0. 00
2. Stocks and Bonds (Schedule B) . .. . 2. 0 • 0 D
3. Closely Held Corporation, Partnership wSole-Proprietorship (Schedule C) . 3. 0 • 0 0
4. Mortgages & Notes Receivable (Schedule D). 4. D • 0 0
5. Cash, Bank Deposits 1£ Miscellaneous Personal Property (Schedule E) . 5. 816 - 0 0
6.
7. Jointly Owned Property (Schedule F) ~ Separate Billing Requested
Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ~ Separate Billing Requested .... . 6.
. 7. 0 • D D
9 318 5 3 - 3 4
8. Total Gross Assets (total Lines 1-7). 8. 9 3 6 6 9 3 4
9. Funeral Expenses & Administrative Costs (Schedule H) .............. . 9. 19 911 - 9 7
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I). 10. 2 7 8 O • D 4
11. Total Deductions (total Lines 9 & 10) . 11. 2 2 6 9 2 • 01
12.
13. Net Value of Estate (Line 8 minus Line 11) ...................
Charitable and Governmental Bequests/Sec 9113 Trusts for which 12. 9 O 9 9 7 7 - 3 3
an election to tax has not been made (Schedule J) ................ 13. 5 8 3 3 8 8 - 3 0
14. Net Vatue Subject to Tax (Line 12 minus Line 13) 14. 3 2 6 S 8 9 0 3
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers un Sec. 9116
1
2
X
~
(a)(
.
)
.O 0.OD 15• D-DD
16. Amount of Line 14 taxable
at lineal rate X .015 0.0 0 16 ~ D - 0 0
17. Amount of Line 14 taxable
at siblingrateX.12 321589.03 17. 38590.68
18. Amount of Line 14 taxable
at collateral rate X .15 5 0 0 0. 0 0 1 s. 7 5 0. 0 0
19. TAX DUE 1s. 39340 • 68
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
15056042159 6M46482.000 15056042159
REV-1500 EX Page 3
Decedent's Complete Address:
Fib Numl»r
0295
DECEDENT'S NAWE
STREET ADDRESS
CITY
M HA STATE ZIP
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19) (1) 3 9 3 4 0. 6 8
2. Credits/Payments
A. Spousal Poverty Credit D • D D
B. Prior Payments 3 6 9 6 4.5 0
C. Discount 19 4 5.5 0
Total credits (A + s + c> (2) 3 a 91 D • 0 0
3. InteresUPenalty if applicable
D. interest D • D 0
E. Penalty 0 • D 0
Total InteresUPenalty (D + E) (3) D • D D
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in box on Page 2, Line 20 to request a refund. (q) ~ , ~ ~
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 4 3 0 •6 8
A. Enter the interest on the tax due. (5A) 0 - D 0
B. Enter the total of Line 5 + 5A -this is the BALANCE DUE. (58) 4 3 0 • 6 8
Make Check Payable to: REpSTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred; .
b. retain the right to designate who shall use the property transferred or its income; 0
c. retain a reversanary interest; or .
^
d. receive the promise for life of either payments, benefits or care?
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death ^
without receiving adequate consideration? . .
"
^
or payable upon death bank account or security at his or her death?
3. Did decedent own an "in trust for
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which ^ ^
contains a beneficiary designation?
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE R 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.§9116 (a) (1.1) (i)].
Far 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. 9116 (a) (1.1) (ii)I. 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 use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116{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-haH (4.5) percent, except as noted in
72 P.S. §9116(1.2) [72 P.S.§9116(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. ~9116(a)(1.3)]. A siding is defined,
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
6M4671 1.000
REV-1508 F>(+ (6-96)
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA G'A'SH, BANK DEPOSITS, 8c MISC.
INHERITANCE TAX RETURN
RESIOENr oECEOENr PERSONAL PROPERTY
ESTATE l~F FILE NUMBER
Jane F Riley 21 08 0295
Include the proceeds of litigation and the date the proceeds were receNed by the estate.
3W46AO i.ooo (If more space is needed, insert additional sheets of the same size)
REV-1510 EX+(8-9a)
COMMOPIWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESwENroECEOENr
SCHEDULE G
INTER-VIVOS TRANSFERS S
MISC. NON-PROBATE PROPERTY
of
Jane F. Rilev 21 08 0295
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM
NUMBE DESCRIPTION OF PROPERTY
INCUDETFEwMEOFn-E7RANSFEREE,TFFJRREU710NSHPTODECEDENrAro
trenalEOFTR4~.ATTACFiACOWOFTFEDEEDFORREALESTATE.
DATE OF DEATH
VALUE OF ASSET
%OFDECD'S
INTEREST
EXCLUSION
FAPPLICABLE
TAXABLE
VALUE
~• Jane F Riley Revocable
Agreement of Trust as amended
oa July 9,2001, with Fulton
Bank (Fulton Financial
Advisors, NA) as Trustee.
See copy of trust agreement and
amendments.
Assets are listed below:
18 Shares
NOBLE CORPORATION SHS New York
Stock Exchange
CUSIP: 665422100 902.52 100.0000 0.00 902.52
2 24 Shares
wEATHERFORD INTERNATIONAL LTD
COM New York Stock Exchange
CUSIP: 695089101 1,542.12 100.0000 0.00 1,542.12
3 5 Shares
ALCON INC COM SHS New York
Stock Exchange
CIISIP: H01301102 726.10 100.0000 0.00 726.10
4 21 Shares
AETNA INC NEW COM New York
Stock Exchange
CUSIP: 00817Y108 1,211.07 100.0000 0.00 1,211.07
5 15 Shares
AMERICAN TOWER CORP CL A New
York Stock Exchange
CUSIP: 029912201 610.73 100.0000 0.00 610.73
6 16 Shares
ANHEUSER BII5CH COS INC COM New
York Stock Exchange
CUSIP: 035229103 846.24 100.0000 0.00 846.24
Total from continuation sched les 926,014.56
TOTAL (Also enter on line 7, Recapitulation) ~ $
1,853
(If more space is needed, inseR additional sheets of the same size)
3 W46AF 1.000
Estata of: Jane F. Riley
Schedule G (Fags 2)
Item DOD Value
No. Description of Asset ~ Interest Exclusion
7 17 Shares
APPLB INC COM The NASDAQ Stock
Market LLC
CUSIP: 037833100 3,110.41 100.0000
8 15 Shares
AUTOMATIC DATA PROCESSING INC COM
New York Stock Exchange
CUSIP: 053015103 668.25 100.0000
Dividend accrued on 12/18/2007 4.35 100.0000
9 9 Shares
BARER HUGHES INC COM New York
Stock Exchange
204-26-9792
Taxable
Value
0.00 3,110.41
0.00
668.25
4 .35
CUSIP: 057224107 724.55 100.0000 0.00
10 29 Shares
BEST BUY INC COM New York Stock
Exchange
CUSIP: 086516101 1,457.69 100.0000
11 19 Shares
BOEING CO COM New York Stock
Exchange
CUSIP: 097023105 1,653.67 100.0000
12 21 Shares
BROADCOM CORD CL A The NASDAQ
Stock Market LLC
CUSIP: 111320107 553.25 100.0000
13 69 Shares
BROCADE COMMUNICATIONS SYS INC COM
NEW The NASDAQ Stock Market LLC
CUSIP: 111621306 488.52 100.0000
14 32 Shares
CVS CAREMARR CORPORATION COM New
York Stock Exchange
CUSIP: 126650100 1,250.40 100.0000
15 16 Shares
CELGENS CORP COM The NASDAQ Stock
Market LLC
CUSIP: 151020104 804.00 100.0000
Total (Carry forward to main schedule)
724 .55
0.00 1,457,69
0.00 1,653.67
0.00 553.25
0.00 488.52
0.00 1,250.40
0.00 804.00
10,715.09
8state of: Jane F. Riley
Schedule G (Page 3)
Item DOD Value
No. Description of Asset ~ Interest 8xclusion
16 18 Shares
CEPHALON INC COM The NASDAQ Stock
Market LLC
CIISIP: 156708109 1,333.98 100.0000
17 74 Shares
CISCO 3YS INC COM The NASDAQ Stock
Market LLC
CUSIP: 172758102 2,073.85 100.0000
18 14 Shares
COACH INC COM New York Stock
Exchange
CUSIP: 189754104 450.87 100.0000
19 23 Shares
COLGATE PALMOLIVE CO COM New York
Stock Exchange
CUSIP: 194162103 1,807.69 100.0000
20 14 Shares
CONOCOPHILLIPS COM New York Stock
Exchange
CUSIP: 208250104 1,162.42 100.0000
21 80 Shares
CORNING INC COM New York Stock
Exchange
CUSIP: 219350105 1,863.60 100.0000
22 5 Shares
COVANCE INC COM New York Stock
Sxchange
CUSIP: 222816100 437.53 100.0000
23 31 Shares
CROWN HOLDINGS INC COM New York
Stock Exchange
CIISIP: 228368106 800.89 100.0000
24 20 Shares
DANAHER CORP DEL COM New York
Stock Exchange
CUSIP: 235851102 1,705.20 100.0000
204-26-9792
Taxable
Value
0.00 1,333.98
0.00 2,073.85
0.00 450.87
0.00 1,807.69
0.00 1,162.42
0.00 1,863.60
0.00 437.53
0.00
800.89
0.00
1,705.20
Total (Carry forward to main schedule) 11,636.03
8state of: Jane F. Riley
204-26-9792
Schedule G (Page 4)
Item DOD Value Taxable
No. Description of Asset ~ Interest Exclusion Value
25 11 Shares
DEVON ENERGY CORP NEW COM New York
Stock Exchange
CIISIP: 25179M103 957.33 100.0000 0.00 957.33
Dividend accrued oa 12/18/2007 1.54 100.0000 1.54
26 75 Shares
DISNEY WALT CO COM DISNEY New York
Stock Exchange
CIISIP: 254687106 2,471.63 100.0000 0.00 2,471.63
Dividend accrued on 12/18/2007 26.25 100.0000 26.25
27 63 Shares
E M C CORD MASS COM New York Stock
Exchange
CIISIP: 268648102 1,156.37 100.0000 0.00 1,156.37
28 15 Shares
EBAY INC COM The NASDAQ Stock
Market LLC
CUSIP: 278642103 480.68 100.0000 0.00 480.68
29 2,898.551 Shares
FEDERATED TOTAL RETURN SERS TOTL
RET INSTL Mutual Fund (as quoted
by NASDAQ)
CUSIP: 31428Q101 30,898.55 100.0000 0.00 30,898.55
30 16 Shares
FEDEX CORP COM New York Stock
Exchange
CUSIP: 31428X106 1,540.88 100.0000 0.00 1,540.88
Dividend accrued on 12/18/2007 1.60 100.0000 1.60
31 1,484.018 Shares
FIDELITY FIXED INCOME TR SH TRM BD
PORT Mutual Fund (as quoted by
NASDAQ)
CUSIP: 316146208 12,747.71 100.0000 0.00 12,747.71
32 9 Shares
FRANKLIN RES INC COM New York
Stock Exchange
CUSIP: 354613101 995.90 100.0000 0.00 995.90
Total (Carry forward to main schedule) 51,278.44
Estate of: Jane F. Riley
Schedule G (Page 5)
Item DOD Value
No. Description of Asset ~ Interest Exclusion
33 11 Shares
GENERAL DYNAMICS CORP COM New York
Stock Exchange
CIISIP: 369550108 974.05 100.0000
34 9 Shares
GENERAL ELECTRIC CO COM New York
Stock Exchange
CIISIP: 369604103 329.27 100.0000
35 25 Shares
GILEAD SCIENCES INC COM The NASDAQ
Stock Market LLC
CIISIP: 375558103 1,139.50 100.0000
36 11 Shares
GOLDMAN SACHS GROIIP INC COM New
York Stock Exchange
CIISIP: 381416104 2,240.87 100.0000
37 326.926 Shares
HARBOR FD INTL FD INTTL Mutual
Fund (as quoted by NASDAQ)
CUSIP: 411511306 24,019.25 100.0000
38 10 Shares
HARTFORD FINL SVCS GROIIP INC COM
New York Stock Exchange
CIISIP: 416515104 874.35 100.0000
Dividend accrued on 12/18/2007 5.30 100.0000
39 14 Shares
HOLOGIC INC COM The NASDAQ Stock
Market LLC
CUSIP: 436440101 915.18 100.0000
40 22 Shares
ITT CORP NEW COM New York Stock
Exchange
CUSIP: 450911102 1,336.83 100.OOOC
41 99 Shares
INTEL CORP COM The NASDAQ Stock
Market LLC
CUSIP: 458140100 2,560.64 100.000C
Total (Carry forward to main schedule)
0.00
204-26-9792
Taxable
Value
974 .05
0.00 329.27
0.00 1,139.50
0.00 2,240.87
0.00 24,019.25
0.00 874.35
5.30
0.00 915.18
0.00 1,336.83
0.00 2,560.64
34,395.24
8state of: Jane F. Riley
Schedule G (Page 6)
Item DOD Value
No. Description of Asset ~ Interest Exclusion
42 24 Shares
INTERNATIONAL BUSINESS MACHS COM
New York Stock 8xchange
CUSIP: 459200101 2,533.20 100.0000
43 58 Shares
JOHNSON & JOHNSON COM New York
Stock Exchange
CUSIP: 478160104 3,917.32 100.0000
44 10 Shares
LABORATORY CORP AMER HLDGS COM NSW
New York Stock Exchange
CUSIP: 505408409 748.00 100.0000
45 1,644.049 Shares
LAZARD FDS INC MID CAP INSTL
Mutual Fund (as quoted by NASDAQ)
CUSIP: 52106N723 22,704.32 100.0000
46 428.266 Shares
LOOMIS SAXLSS FDS I SML CP VAL INS
Mutual Fund (as quoted by NASDAQ)
CUSIP: 543495816 10,415.43 100.0000
47 28 Shares
MCDONALDS CORP COM New York Stock
Exchange
CUSIP: 580135101 1,680.28 100.0000
48 11 Shares
MCGRAW HILL COS INC COM New York
Stock Exchange
CUSIP: 580645109 496.71 100.0000
49 15 Shares
MCRESSON CORP COM New York Stock
8xchange
CUSIP: 58155Q103 967.58 100.0000
Dividend accrued on 12/18/2007 0.90 100.0000
50 15 Shares
METLIFS INC COM New York Stock
8xchange
CUSIP: 591568108 910.65 100.0000
204-26-9792
Taxable
Value
0.00 2,533.20
0.00 3,917.32
0.00 748.00
0.00 22,704.32
0.00 10,415.43
0.00 1,680.28
0.00 496.71
0.00 967.58
0.90
0.00 910.65
Total (Carry forward to main schedule) 44,374.39
8state of: Jaae F. Riley
Schedule G (Page 7)
Item DOD Value
No. Description of Asset ~ Interest Exclusion
51 144 Shares
MICROSOFT CORP COM The NASDAQ
Stock Market LLC
CIISIP: 594918104
52 23 Shares
NETWORK APPLIANCE INC COM The
NASDAQ Stock Market LLC
CIISIP: 64120L104
53 101 Shares
NEWS CORP CL A New York Stock
Exchange
CIISIP: 65248E104
54 18 Shares
NIKE INC CL B New York Stock
Exchange
CUSIP: 654106103
Dividend accrued on 12/18/2007
55 120 Shares
ORACLE CORP COM The NASDAQ Stock
Market LLC
CUSIP: 68389X105
56 35 Shares
PEPSICO INC COM New York Stock
Exchange
CUSIP: 713448108
Dividend accrued on 12/18/2007
57 31 Shares '
PETSMART INC COM The NASDAQ Stock
Market LLC
CUSIP: 716768106
58 11 Shares
PRAXAIR INC COM New York Stock
Exchange
CUSIP: 74005P104
59 161.247 Shares
PRINCIPAL INVS FD INC INTL MSRG MK
I Mutual Fund (as quoted by
NASDAQ)
CUSIP: 74253Q804
Total (Carry forward to main schedule)
4,983.12 100.0000
580.52 100.0000
2,039.70 100.0000
1,134.18 100.0000
4.14 100.0000
2,512.80 100.0000
2,705.50 100.0000
13.13 100.0000
791.28 100.0000
964.10 100.0000
5,595.27 100.0000
204-26-9792
Taxable
Value
0.00 4,983.12
0.00 580.52
0.00 2,039.70
0.00 1,134.18
4 .14
0.00 2,512.80
0.00 2,705.50
13.13
0.00 791.28
0.00 964.10
0.00 5,595.27
21,323.74
8state of: Jane F. Riley
8chadule G (Page 8)
Item DOD Value
No. Description of Asset ~ Interest Bxcluaion
60 56 Shares
PROCTER & GAMBLE CO COM New York
Stock Exchange
CIISIP: 742718109
61 7 Shares
PRUDENTIAL FINL INC COM New York
Stock Exchange
CIISIP: 744320102
Dividend accrued on 12/18/2007
62 20 Shares
QUALCOMM INC COM The NASDAQ Stock
Market LLC
CIISIP: 747525103
Dividend accrued on 12/18/2007
63 14 Shares
ROCKWELL AUTOMATION INC COM New
York Stock Exchange
CIISIP: 773903109
64 26 Shares
ROPER INDS INC N"SFJ COM New York
Stock Exchange
CIISIP: 776696106
65 22 Shares
ST JU'DB MED INC COM New York Stock
Exchange
CIISIP: 790849103
66 18 Shares
SCHLUMBERGER LTD COM New York
Stock 8xchange
CIISIP: 806857108
Dividend accrued on 12/18/2007
67 13 Shares
STRYRER CORP COM New York Stock
Exchange
CIISIP: 863667101
68 22 Shares
TEVA PHARMACEUTICAL INDS LTD ADR
The NASDAQ Stock Market LLC
CIISIP: 881624209
Total (Carry forward to main schedule)
204-26-9792
Taxable
Value
4,092.76 100.0000 0.00 4,092.76
648.20 100.0000 0.00 648.20
8.05 100.0000 8.05
776.30 100.0000 0.00 776.30
2.80 100.0000 2.80
954.59 100.0000 0.00 954.59
1,602.38 100.0000 0.00 1,602.38
894.41 100.0000 0.00 894.41
1,626.57 100.0000 0.00 1,626.57
1.58 100.0000 1.58
958.59 100.0000 0.00 958.59
971.74 100.0000 0.00 971.74
12,537.97
Estate of: Jaae F. Riley
Schedule G (Page 9)
Item DOD Value
Ko. Descriptioa of Asset ~ Interest Exclusion
69 49 Shares
TEXAS INSTRS INC COM New York
Stock Exchange
CIISIP: 882508104 1,629.01 100.0000
70 20 Shares
UNITED TECHNOLOGIES CORP COM New
York Stock Exchange
CIISIP: 913017109 1,508.10 100.0000
71 502.085 Shares
VANGUARD INTL EQUITY INDBX FD PAC
ST IND INS Mutual Fund (as quoted
by NASDAQ)
CIISIP: 922042403 6,426.69 100.0000
72 433.712 Shares
VANGUARD INTL EQUITY INDEX FD EURO
STINDX IN Mutual Fund (as quoted
by NASDAQ)
CUSIP: 922042502 17,465.58 100.0000
73 152.917 Shares
VANGUARD INTL EQUITY INDEX FD
BMFtGMRTIDX SIG Mutual Fuad (as
quoted by NASDAQ)
CUSIP: 922042817 6,287.95 100.0000
74 346.402 Shares
VANGUARD INDEX FDS S CP STR INST
Mutual Fund (as quoted by NASDAQ)
CUSIP: 922908876 11,289.24 100.0000
75 8 Shares
VERIZON COMMUNICATIONS COM New
York Stock Exchange
CUSIP: 92343V104 347.68 100.0000
76 Federated Treas Oblig MMF #398
Income Cash
CUSIP: 60934N-87 3,799.73 100.0000
77 Federated Treas Oblig MMF #398
Principal Cash
CUSIP: 60934N-87 16,507.20 100.0000
Interest accrued to 12/18/2007 40.19 100.0000
Total (Carry forward to main schedule)
204-26-9792
Taxable
Value
0.00 1,629.01
0.00 1,508.10
0.00 6,426.69
0.00 17,465.58
0.00 6,287.95
0.00 11,289.24
0.00 347.68
0.00 3,799.73
0.00 16,507.20
40.19
65,301.37
Estate of: Jane F. Riley
Schedule G (Page 10)
Item DOD Value
No. Description of Asset ~ Interest Exclusion
78 48,088 Units
Fulton Financial Advisors, NA
Fixed Income Fd
CUSIP: 999331-00
79 5,732 Shares
Fulton Financial Advisors, NA
Value Stock Fd
CUSIP: 999328-00
411,300.89 100.0000
62,178.08 100.0000
Jane F Riley Charitable Remainder
Unitrust, dated June 7th, 2000,
with Fulton Financial Advisors, NA
as Trustee.
See copy of trust agreement.
80 702.837 Shares
FEDERATED TOTAL RETURN SERS TOIL
RET INSTL Mutual Fund (as quoted
by NASDAQ)
CUSIP: 31428Q101 7,492.24 100.0000
81 431.044 Shares
FIDELITY FIXED INCOME TR SH TRM BD
PORT Mutual Fund (as quoted by
NASDAQ)
CUSIP: 316146208 3,702.67 100.0000
82 130.334 Shares
HARBOR FD INTL FD INSTL Mutual
Fund (as quoted by NASDAQ)
CUSIP: 411511306 9,575.64 100.0000
$3 684.844 Shares
LAZARD FDS INC MID CAP INSTL
Mutual Fund (as quoted by NASDAQ)
CUSIP: 52106N723 9,457.70 100.0000
204-26-9792
Taxable
Value
0.00 411,300.89
0.00 62,178.08
0.00 7,492.24
0.00 3,702.67
0.00 9,575.64
0.00 9,457.70
Total {Carry forward to main schedule) 503,707.22
Estate of: Jane F. Riley
Schedule G (Page 11)
Item DOD Value
No. Description of Asset ~ Interest Exclusion
84 177.214 Sharea
LOOMI3 SAYLSS FDS I SML CP VAL INS
Mutual Fund (as quoted by NASDAQ)
CUSIP: 543495816 4,309.84 100.0000 0.00
85 78.439 Shares
PRINCIPAL INVS FD INC INTL MSRG MR
I Mutual Fund (as quoted by
NASDAQ)
CUSIP: 74253Q804 2,721.83 100.0000 0.00
86 299.785 Shares
VANGUARD INTL EQUITY INDEX FD PAC
ST IND INS Mutual Fund (as quoted
by NASDAQ)
CUSIP: 922042403 3,837.25 100.0000 0.00
87 147.985 Shares
VANGUARD INTL EQUITY INDEX FD EURO
STINDX IN Mutual Fund (as quoted
by NASDAQ)
CUSIP: 922042502 5,959.36 100.0000 0.00
88 45.447 Shares
VANGUARD INTL EQUITY INDEX FD
EMRGMRTIDX SIG Mutual Fund (as
quoted by NASDAQ)
CUSIP: 922042817 1,868.78 100.0000 0.00
89 149.419 Shares
VANGUARD INDEX FDS S CP STK INST
Mutual Fund (as quoted by NASDAQ)
CUSIP: 922908876 4,869.57 100.0000 0.00
90 Federated Trees Oblig MMF #398
Income Cash
CUSIP: 60934N-87 10.74 100.0000 0.00
91 Federated Trees Oblig MMP' #398
Principal Cash
CUSIP: 60934N-87 9,567.70 100.0000 0.00
92 445 IInits
Fulton Financial Advisors, NA
Common Stock Fd 30,028.47 100.0000 0.00
Total (Carry forward to main schedule)
204-26-9792
Taxable
value
4,309.84
2, 721 .83
3, 837 .25
5,959.36
1,868.78
4,869.57
10.74
9,567.70
30,028.47
63,173.54
88tate of: Jane F. Riley
Schedule G {page 12)
204-26-9792
Item DOD Value Taxable
Ko. Description of Asset ~ Interest 8xclusioa Value
93 2,296 Shares
Fulton Financial Advisors, NA
Value Stock Fd 24,905.94 100.0000 0.00 24,905.94
94 9,665 IInits
Fulton Financial Advisors, NA
Fixed Income Fd 82,665.59 100.0000 0.00 82,665.59
Total (Carry forward to main schedule) 107,571.53
REV-1511 EX+i10.O6)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES 8~
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Jane F. Riley 21 08 0295
Debts of decedent must be reported on Schedule I.
REM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
~ Parthemore Funeral Home & Cremation - funeral
service 10,193.97
Total from continuation schedules .
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s) Fulton Financial Advisors ~ NA
Street Address One Penn Square
City Lancaster State PA Zip 17602
Year(s) Commission Paid:
2. Attorney Fees
3. Family Exemption: (If decedent's address is not the same as claimant's, attach e~lanation)
Claimant
4.
5.
6.
7.
1
Street Address
City State Zip
Relationship of Claimant to Decedent
Probate Fees
Accountant's Fees
Tax Return Preparer's Fees
Hess & Hess, CPA - 2007 income tax preparation fee
2,500.00
5, 000 .00
1,968.00
250.00
TOTAL (Also enter on line 9, Recapitulation) ~ $ 19 , 911.97
7W46AG 1.000 (If more space is needed, insert additional sheets of the same size)
Estate of: Jane F. Riley
Schedule H Part 1 (Page 2)
Item
No. Description
2 Office of Catholic Cemeteries - internment expease
204-26-9792
Amount
850 .00
3 Office of Catholic Cemeteries - grave marker 1,650.00
Total (Carry forward to main schedule) 2,500.00
REV-1512 EX+ (12-03}
SCHEDULEI
CoMnnoNwEALTH of PENNSYLVANIA DEBTS OF DECEDENT,
~~~A~~~RN MORTGAGE LIAB{LITIES, 8s LIENS
ESTATE OF FILE NUIYE;ER
Jane F. Riley 21 08 0295
Report debts Incurred by the decedent prior to death which remained unpaid as of the date of death, including unrelmbursed medical expenses.
3wasnH 2.000 (If more space is needed, insert additional sheets of the same size)
REV-1513 EX+ (9.00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
OF
FILE NUMBER
Jane F. Ril 21 08 0295
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEMNG PROPERTY Do Not Llst Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers
under Sec. 9116 (a) (1.2)]
1 Ann Healy
1028 Reith Aveaue
Berkeley, CA 94708
Life estate in the Jane Riley Trust
See Schedule R Sister 321,589.03
2 Pamela Jennings
1485 betters Mill Road
Dover, PA 17315
General Bequests: 5,000.00 Friend 5,000.00
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 18, AS APPROPRIATE, O N REV-1500 COVER SHEET
II NON-TAXABLE D-STRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
See Attached
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 583 38 8.30
(If more space is needed, insert additional sheets of the same s¢e)
3 W 46AI 1.000
8state of: Jaae F. Riley
Schedule J Part 2B (Page 1)
Item
No. Description
1 The Paradise School
RD 1
Abbottstowa, PA
60~ of the Jane Riley Charitable
Remainder Trust
(60~ X 200,973.32)
2 St Josephs Catholic Church
420 East Simpson Street
Mechanicsburg, PA
40~ of the Jane Riley Charitable
Remainder Trust
(40~ X 200,973.32)
3 The Paradise School
RD 1
Abbottstown, PA
60~ of the Jane Riley Trust fbo
Ann Healy
4 St Joseghs Catholic Church
420 East Simpson Street
Mechanicsburg, PA
40~ of the Jane Riley Trust fbo
Ann Healy
204-26-9792
Amount
120,583,99
80,389.33
229,448.99
152,965.99
REV-1514 EX+ (12-03)
COMv10NWEALTH OF PENNSYLVANIA
INHERRANCE TAX RETURN
ESTATE OF
FILE NUMBER
Jane F. Rilev 21 08 0295
This schedule is to be used for all single life, joint or successive life estate and term certain ca~ulatans. For dates of death prior to 5-1-89,
actuarial factors for single I'Ife calculations can be obtained from the Department of Revenue, Specialty Tax Ur~t.
Actuarial factors can be found in IRS Publication 1457, Actuarial Values, Alpha Volume for dates of death from 5-1-89 to 430-99,
and in Aleph Volume for dates of death from 5-1-99 and thereafter.
Indicate the type of instrument which created the future interest below and attach a coov to the tax return-
^ Will I n l Intervivos Deed of Trust ^ Other
NAME(S) OF LIFE TENANT(S) DATE OF BIRTH NEAREST AGE AT TERM OF YEARS
DATE OF DEATH LIFE ESTATE IS PAYABLE
Ann Healy 07/26/1937 70 X Life or Term of Years
Life or Term of Years
Life or Term of Years
Life or Term of Years
Life or Term of Years
1. Value of fund from which fife estate is payable , , , , , , , , , , , , , , , , ,
2. Actuarial factor per ap ro riate table .. ... ............. .
Interest table rate- ^ 3 1/2% ^ 6% ^ 10% ^ Variable Rate 0.00000%
3. Value of life estate (Line 1 multiplied by Line 2) ,
......$ _ 704,004.01
• 0.45680
..,.$ 321,589.03
NAME(S) OF LIFE ANNUITANT(S) DATE OF BIRTH NEAREST AGE AT
DATE OF DEATH TERM OF YEARS
ANNUITY IS PAYABLE
Life or Term of Years
Life or Term of Years
Life or Term of Years
^ Life or ^ Term of Years
1. Vafueoffundfromwhichannuityispayable $ 0.00
2. Check appropriate block below and enter corresponding (number) . , , , , , , , 0.000
Frequency of payout -^ Weekly (52) Bi-weekly (26 Monthly (12)
^ Quarterly (4) ^Seml-annually (2) ^ Annually (1) Other ( ) 0
3. Amount of payout per period ....................................... $ 0.00
4. Aggregate annual payment, Line 2 multiplied by Line 3 . , . , . , . _ , , 0.00
5. Annuity Factor (see instructions)
Interest table rate -^ 3 1 i2°fo ^ 6% ^ 10% ^ Variable Rate 0.00000 % 0.00000
6. Adjustment Factor (see instructions) . . ... . , , , , , , , , , 0.00000
7. Value of annuity - If using 3 1/2%, 6%, 10%, or if variable rate and period
payout is at end of period, calculation is: Line 4 x Line 5 x Line 6 .... $ 0.0 0
If using variable rate and period payout is at beginning of period, calculation is:
(Line 4 x Line 5 x Line 6) + Line 3 ... .... ................ ..... ... .. $ _ 0 .00
NOTE: The values of the funds which create the above future interests must be reported as part of the estate assets on Schedules A through
G of this tax return. The resulting life or annuity interest(s) should be reported at the appropriate tax rate on Lines 13 and 15 through 18.
(If more space is needed, insert additional sheets d the same size)
SCHEDULE K
LIFE ESTATE, ANNUITY
8 TERM CERTAIN
3W46AJ 3.000
--------
4
Copy of Revocable Agreement of Trust dated September 20, 1984
to be attached
Exhibit "A"
__ _ .. _---5'
R'"VOCA:I,F AGRrHM.'~NT OF TRLST
This TRQS:' AGFtrHM;NT is made and executed t~'.is Zo~day
o g , 19 8 4 , by aad between JANH F . RII,_~'~' , o f li
Cumberland Cou;:ty, Pennsylvania, here~na~ ter called Sett? or,
a.:d FT7.,TON Br'1N:K, Ha=risburc, Peunsylva: ia, hereizzfter i
called Tn:stee.
1. The Settlo_ does hereby ass~.ga, t: a:s~e- aid
de? lver to `sae Trustee ~~+e proper :y desczibec in Sczecu~,Q A
attac;~ed hereto, all ow whic shall be s~ject tc the
rese~ Tat:ors made by the Sett'.or z~ t:.rs._:.str".:mewt. As
~t..:t+'~er evide~cQ o_ Bach ass+y^zme^t, the Sett:.c- has
exec•~ ,ad ar wi'_? e:seca to or cause to be executed suca c tee,
~.r_st:.uaeTts aY may be rect::.rec ~cr t_".e a1:.:-: ases c=
coot: ~et:.nG tae assi, .meat or t: ans`er of title tc sec::
grope=ty tc tae T, :stee. The Tr'astes accepts such tra.^_s~er
a_^.c ass~.crme:~t to itse? ~ as T=ustee, a.~c u.~dertaites to hc? c,
maw ace, ;:~ve_t a d rQi~vest tae assets o= t:»s ~'r•:.st,
subject t:, t:~e approval of the Sattlcw du=i:~q ae, li~et~e,
' "a_~d clef= ^~:te tae iac~e a;~d pr.nci_ a'_ c~ tae t_.:s 4 _n
cord .c - L• .,~., s ~:- a _;
ac G o w; ;.a ~ e . _..vis 1C:1 c ~ _s Acre me~ 4.
2. DL'~,_ t e ? _ etw~e cc the Sete..", t_.e Est ..= cc:..e
_ ~
G: r.. L :e ~ .~ . L. ~~ C ~ Ci . w ~ ~.. .~ sll^G .... a zG'ZL:....5 .. ~~ ~.:AQ
`T'; uS ~°f: , S'~ ] 8C ~ ~... t7e ~C_.~CW~.:" „ ~e'~"~.I15 c.':d C :..C~ ~~^.r
~i'' - .
i ...:
I ~ .~r1~ .
_-
~'~ A. The net income of the trust sha31 be ga.d to the
Settlor is quar`er~annual installments, or shal? be
;,
dist~ribLted to her in such manner as she may from time tQ
~' time specify in written or other directions de:.ivered to the
Trustee.
B. Tye Settlor may w:.thdraw part or all of the trust
principal at any one time oz from t:..zae to time, by written
recuest signed by her and delivered ia~ her li.fet.me to the
Trl1S tSe•
C . Tn t:~e event o f the disa,.b; ? ity o f the ..Set tsar nor
a.^v rea.sor_, as much cf tKe come and principal as the
Trustee may deem proper fcr the wel_~-e, mai_^_tena_.nce zzd
s~;gpor, of the Settlor sha'_? be pa~.d tc or applied direbtiy
fo. he= benefit, grovid:.ns the T~.~stee takes in~o
ccrsicera t~.c_^. her o Owe, ~.:ccme a..:d etwer read? y avails _e
assets.
3. Ia additiea to t a rights to receive net iZCCZae
anz w}~+d.-aw pr~cipal, as sceci~'sZ is garac_aph Z hereof,
t_':e 5ett.cr reserves to herse? f the r~.c:Zt a*_ z;iv t:~^.e tc
t_ansfer ct:ri.Zg her lifet:.rte, cr at her cea~. by
~estame^ta: ;~ cispcs;t;cn, adcit? anal proper t,~ to t.'~e T_^~stee
?'1e~eL' C@~ E3_l^. ~G a.~°~, ~e^G C' ~a~ICtC2 ..:a w_^_C~tt G_ i. L".~C.
__
6,'
t
_7
4. IInan the den*„h oR the 5ettlor, the Trustee shill
G~15 ~.~
~~ Tribute tze P.rircipal ~d any accumulated or undist-
i, •
ributed income is the t:.'ttst, as follows
A. One-third (1/3~ to the Settlor's mo'..her,
MARGARET P. TR ?BEY, if she survives the Settlor by sixty (6D)
days.
B. Two-thirds (2/3~ to the Settlor`s sister, ANN L.
i
STERM, if •s~.e s~:rvives the Settlor by s~.xty (60) days.
If either benefic:a_~-y is not living or, the sixty-first
(61st) cay L c~ ~ OW:.AS •ths Settlor's death, the Stz-Yviving
beneficiz.'^,~ sha?.1 :.nhezit absolutely a'_1 of tµe remaini~-:g
fir' nci~al and Lnc.s',siw~:ted ~coiae c ~ the t--must . ? f bo t^
be::efic:.aries are not l:.v_ag or_ the sixty-first (6? st) ~•da~~
`c? ? cw_n5 t::e Sett? or' s dea~,..h , the Trc:stee s:.z' l di.s tsi.bu ~e
t~}e ~,_;ac_: a? anc a ~~ acc•,~Llated cr uncist_=bated income {n
the t,~^ust .z t'ac ec,~al shares : one share to ST . JOSE_ a' S
CELRCH, 420 East S:;,mzscn Stwest, Mechanicsbur?,
rer..-.sylva~wa , azd ore s €~e to TfiH PARAD2SE St,'*.~- OOZ , R. D . z 1,
Abtc t}stcwr,, Pp*~ s?? era ;iG, a :c each share is to he used ~.n
t:.e discretion cf their zest ective cff,;.cial gcve~ia5
'~ccar3s,
~. Su:^;act tc, ..tee Prcc_sior_s a~ this A~eemen_
- ~ z-- r = : r.: c Ly - Lea '_'w': 4tee
=:.a:,,°c tc _~e = o.~e ~ ese ed by a .,e _~_or. , ...
shat; ;eve and exercise exc? us i-re manag~ea t anc contra? c
~~e t=~st, anc she? ~ :.e vested witr. t»e fol' aw:~~ ~ spec'_,ic
_~_
..~ . i
j powers and discretion, is additior. to the powers as may be
gereralzy corfer:ed f_on time to time upo:: t.~•ustees by law:
A. To invest any f~:nds at a*~y time held in trust in
any stocks, bones, cotes or other securities or preperty,
'~ real or personal, including the Common Tz-ust Funds and stack j
of the Trustee, notwithstanding that such investzaents may
j~
' not be oy the character allowed to fiduciaries by statute or ~
I
' general rules of law, it being the intention of Settlar to
give Trustee the broadest investment powers possible.
B . To sell or other se d'.sp ore c r any prop e~y, real
cr persona? , a. an~J y~e heZd hereunder, fez cash or u, o;.
crezit, an such mzrnew and on sue. to ~s anc condit~.ors as
' it ~y dew best, cad ao person deal:~g w:,tn it shall be j
bou :c to ses tc the arc? ica tioa cf a.^.y moneys paid.
C. '?`c bcwow or lca~ money _cr nay pu+~ese in
connection W.},.:: ~ y,.be arn::is tration o f th:~.s trust upon sL'c:l
terms cad wi`..i•~ suc:~ see•~ ~.ty as i t may dete~:ne .
D. Tv mzKe anv d'_s ~w :uticn here~:nc,e, in cash, i.•~
k_zc, yr pz,*~?_r is cast anc partly in k::nd.
E . Ta mainta~ all pYcpe~y held _. t~ Ss t hereunnder
• in a s::r.gle _•:nd, anc to m,a~.ta:~ suc:_ ;eccr;s as may be
eC°S5~r~T t:. ~ ::~e_ 1'7 ~Gi'~..w~,ST.°w S~~C ~'`. :4~ a_`l~ ~..~ t;ZIS ~.
_ . ~ e~.1e sue... ,__ : r = e ~J, _ c_ d _c ~ c:._ _ s
Q~ .'.: SL•~c~ C3, Ci a:.i':$ ~ w~.C°~GTS t.~e~eC~, !: uC:: w ~ ......~°. O' '_~~
~~~
- _ - -- --
- --
9,
Sett?or, as may _rem time to time be deposited with it by
t?~e Settlor ar ary other person a,ZC to ad~ttinister such
property or policies and the proceeds thereof in accordance
wi tr t_he terms o f tk.?. s Agreement .
G. To dispose of all income producing prope_~^ty upon
whatever terms ar cond,;.tiots Trustee, in its sole
~seretion, deems advisable.
E. 'In general, tv exercise all powers in the ~~
i
zn~*~ageatent c f this tw Est which nay individual could exercise
iL the Ina.'Y2geme:~ t o f 5::mil~= prcpe_~ ter owned in his vwn
right, upar_ such tuts and canditions as to it may seem !~
i
best, a..~d to execute a.~d de?iver all :.,stz3ments a_*~c to co
all acts w~-. ch :.t may Zee~t necessa..~y az proper to ca^y o~:= ~,
the ptiwp 4ses os t ;:s t,.zst.
I . TC m~:{e SL:C h ~X: e~C.tL'=eS OCt O; t.'I~.S t~'L'S t ZS ~ ~,
i
is its sale dscretlon, may consider deli-able ill crd_r tc
fac;:~itate t:Ze settlement v S2ttlO~' S estate. In
exezc:s:,.ng sNch power, Trustee may pav, in whsle cr in past,
env or a:.l of t:~e fa' ? cwinc items : t_~:e exr e::5es of
Settwcr's last il?~ess awd bur.al, inc?,ud'.rs the cost of a
• ~C~~V@T.a_:Ser, dents; 3:ic::me t2.'LeS; t::e dcat_~!, ~^..ne~+.t3T:Ce aTd
est.s.tQ taxes cr. a:.y a.Yc a:.~ gra~cert-r :.: c_uced ^. t:~e cross
es~atE for tax pt:^cses; anc a~_ ct s. i=e.us __. cc ~~ect_;,r.
i
'+J., ~.. tie S~L~~P_.,1*' 4~?t Cr Sa~C e5 tam°. ~~r SuC:2 ;.tE'.*«S ~icV DE
NC7. w.~r ~•..r M44, v wv ~w4 ~...v Q~ ~w.~.M ~~ 1.v~ y~ Y Tr'^tr
v AO '1 v 1..~_e ~ 17. Cw i 1~.~ V WC..
.. r r ~ ~'
-__10
be transfe~ec by '~=-ustee to Settler's executor or
acs. istratow; and neither such e.~ec•.ztor ar adm:..nistrater
ncr a.zy beneFiciary cf Settler's estate shall be recuired to
reimburse Trustee for any funds se paid or transferred. All
such death taxes on present o_ fut-~:re interests shall be
paid at such time or Mmes as Trustee deems proper,
I
regardless of whetae= such taxes a.re then due, provided that
any postponed taxes on future interests shall be ch~ged i
agz=nst the particu? ar sha.=e w ~h respect to wh.;.ch the taxes I~~
ara unposed . j
5. Senior hereby no~zates, constitutes zad appoi:ts ~~
r^t1LTQN HAND, Ea_ris:.tir?, Pernsv'_va~ia, Testes of dry t_usts I,
he_e:.r crszted to exzrcise ail c= 'r.~e powers center: ec ~ apcn
t~sstpes by law, a~.c ai:. of t.~ie Esc=e_ oaa.,~y powers Srz.^~tsd
hers .a. Tre T=.:s tse ~c a::y SL2CCe55G.". t=.~stee sha11 be
e.tit?ed to c^.n~ensat:.cn for its se~icas based on its j
recl:iar sc edu?e of fses for such se.-~:.csg in efwec» fwom
time to tie d•::^;ns a per cd which i..s serv:.ces are
per;orned. j
r . Na interest c. any bane: ic:.~--y cf Sett,or's estate
i
• ~o= cw t_~e t,~s crea'~sd he==.•z, e.tzer is iaccme cr
~~ =1G~~a.~.~ S.~a.T.? ~e 5:.~"1eC~ ~:rw'i~~,. cL~C21 C~ tC C.~.e~~8r
ass_c:~er ~, Sae C= t~~.S_a~ ___ 2_'"_T ~~= 2'', ~C~ 5~ 2.... 8.~
SLT G ;.~, ~.2_ °S t L^e ? :~.i=~ CA 2C :^.ZI T. O ~ `~@ ~e~LS , C.^.Il t~ cC :.S ,
~C~ tea, O; Ct..'le~ 2.*1CeICG."~Q.^~~S Cw 2_:~T Jere'*.~.^.:.2~"T.
~~_
1 1'
e. The Trastee mgv resign at any time upon written
notice given to the Settlor if she is livi.~g, or in the
event of her death, upon wsitter notice to the cu_~-rent '~
income beneficiary or benefic~.aries beret;der. A successor
trustee may be appointed by the Sett?or dur:.ag her lifetime,
cr, after her death, by any cou.~ having jurisdiction ever ',
the trust. A.^.y successor trustee t.~.us appointed, or, if the
Trustee sha? 1 merge wit*~ or be ccnsolidated with anoi~.her
corporate f~Zucia.-y, :her. suca co~po~ate ~i~ucia.~y shah
succeed to a' 1 t:~e dutzes a.Zz to ai? t.~e pcwers, includ.:.,a,g
Z;.sc :et;.cna~-y powers , herei^~ gra: ted to tae Trustee.
9. I= at anv time the Tr.:stae, ir_ its absolute
d_scret'_on s~~ctl.d dete~ne fiat '~? s Tomas;., c_ a_~y shame
hewet-.^.dex, is =mprac_icz:~?e to adm::nister, the Trustee may,
in f~a?? ciscaa_ge c~ its cuties, w;.~.?-,o~:t ~c~ca? court
acccu.-~tina, ma:~e~. drst,:i<ution cf t e p_i_~cipzi the_eof to
t~:e pe: scn the.^. emit' ea tc t:~e is cane . Shoo+d any such
Ferscn i t,ae cpi^ cr. cf t'ae T_ zstee, be meny..a? iy or
physically incapacitated, t~:e Trastee may pay the s~~are to
tae pa: en, ar gaawdian c~ w':e bene~icza.- ~~, or tc any person
tai~i^g carA cf tae benefic;zw 1.
A
A ~ ~
I
I
- III
12
IIv WITDTESS W~R?QF , the Settlcx a.~d Trustee have
hereunto set their haaas aad sea15 this ?~ day of
1984.
Witness:
Attest:
i
~`__._~ ~
II
~i ice ~-ss./Truss Qf:icer
i
l~'ll~ ~ S sA=+}
~fP~N£ F . R.i'T~E`~
:di VLF l7i~i1
• ~
$v-
~~ s~ ~~°~ ~a~sim
~~_
13
Copy of First Amendment to Revocable inter-Vivos Trust Agreement
dated March 27, 1989 to be attached
Exhibit "B"
. ---1 4~
_ I
FIRST AbLNDI'~'NT
TC
REVCICABLE INTER-VIVOS TRLST AGRSFMEN:'
Z, ~~ F, RIT~EY, decl.a;e this to be the Fi=st azZ Sole
Amendment to said Trust Agreement made and executed
5eptembew 20, 1984, berweea aiysel~ and FULTCN P.,a:~rc,
Hasri.sbtxrc, Perxisylvania, Trt;steA.
I'?'~....~i I : T_ hereby revoke Paracraph 4 , i. its entirety
azc i. n 1_eu thereof prov;ce, zs fc'' laws
4 . Up cn the death e f the Set:.? cr, the T~stee steal:
cisbtr;::.~:te the pri3ci: a_ zad a.ay ac~smu? ated or
u:~d:.stricuted nGCme in tze t_ ~st tc Se tt? or ° s sister, ANId
i. E...~.F,.Y, if she s4rvives the 8ett:.a~ yv sixty ~60~ cat's.
~f s; e i s ntit Z{v..ZC ar. the s~..~sty-first (Slst) day ~
i
fo? lowt..~c the SettLar' s Zea ~, the T~5 tes sha'_l di,t~ :mute
tae pr i:.c^ = a? a :d any ac~.~: ated ar nrc:.st_ ~utez...:ccme i_^_ ~
i
t.~e trast as fclicws
?.. 5.'~'y (60~? percent to PA_~+7_SE SCLTcvL,
H. D . I , ~whcttstawr., Per.nsv? vaaia, to be uses :, : t^e ~,I
d:.5C~8..Q;, CC ].t5 Qf_...C~.?,.:. CC'0'er...~.nc bCa~:.. Ij
~. For~~ (4C~? pe=ce_t =:. S'r. SOS?:~'S C.'?`I'~CZIC
- -.
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CEURCH, 424 East Simpson Street, Mechanicsburg,
Pennsvlvaa'a, tc he used in tre d?scretioa of its of°icizl
gove~ira board.
ITEM I:: Ia all. other respects, * hereby ratify,
confirn and republish said Trost Agreement dated Septe~.ber
Z0, I98~4, tocether with this Amendment, as aad for the
caamlete Trost Agreement.
T~7 W TNzSS WEw~OF, the Sett? cr and Trustee have
:ze,e~~nto se, their hands and sea:.s this ~~ day c f
j~,~,~,~,~ , 19 8 5 .
~/ ~/I'~
. R.:.r~~
rr+m^ sett ~ ~r
~..+v .~ .
,.._. ~ c
=~`~.~ . `~ ~ B
V°.Ce P,..s. /"_'rast Ofc'_cer
- - ----
,,,
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Copy of Second Amendment tv Revocable Agreement of Trust
dated June 7, 2000 to be attached
1 6i
Exhibit "C"
' L•, -
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~l_~1\~~ A~1~,21Yi~i~±
p},..
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~~
TffiS AMENAME.'~'T' TO TRt~ST is executed in triplicate on this "~~ day of June, 2000,
by and between JANE F. RILEY, now of 312 west Green Street, Sbiremaaastown, Cumberland
County, Pennsylvania 17011 (herein called "Settlor") and FL'I.TON FLNA1vG'IAL ADVISORS,
N.A., now of Harrisburg, Pennsylvania (herein called "Trustee"}.
'oYHER'EAS, Se~Ior and Trustee entered into an Agreement of Trust dazed September 20,
1984, (herein coiled the "Trust") a coot' of which is attached. hereto and is identified as "Schedute A";
and
~ ~ ~ S, Sensor and Ta ~ gee amended this Trust as yiarch 27, 1989, (herein called the
"First Amendment"); and
WgEREAS, Senior now desires to amend and revise the Trust and the First ~nendment,
LC make the within described deletions. amendments and car. eons.
:tiOW, THEREFORE, ~~e Ya_^es he.Te:o, in consideraticn cf the mutual covenants herein
s'~ated, ag; °~ as follows:
1. Parag±aph 4 of ;he T:LSr and of the Fu-st :~aeadmeat is he: eby deleted in its cnr-'rety
and a new Parasuaah 4 is heresy insered to read as follows:
4. tpon the Se{Mors deatx, the T.~ust shill te*miriate. tpon te.~ination, the
Trustee shall dis~:ouie the : emainir.~ Trust asses and acr^sed income, aftex expenses,
tQ the Trustee oz ;he JAr~ F. RII.EY REVOCABLE TRI;ST, dated 7une'7""~.
?OOC; to beheld and administered ac:.oraina to its tens.
' .'4 „ 1 /
?. In aL' other re7arus; T,.he T~^,,:st ; efere: c~ above shall ; er.~a:n in ti.il farce and :,,::er and
s :.at azne. ded unless sne:,:ficail~ cro~~cea aerev^..
- _ __
~. , ~, `-°
1N wTTNESS WHEREOF, the Serlor and Trustee have hereunto set their hands and seals
as of the day and year first above writier..
wrr~-ESS:
CONLMQNWEALTS OF PE'YNSYLYr1NIA
CO~'N'I'Y OF CL'MBERLA_ti`D
3A.'~lE F. RILEY ;'
SS:
On this, the ~~ day of June, 2004, before me, a ?rotary Public, the undersigned officer,
personally appeared Ja'~E F. R~LEY, laowQ to me (or satisfactorily proven) to be the person
whose name is subscnbed to the within Amendment to Trust, and acknowledged that she executed
the same for the purposes therein contained.
Lei WITti'ESS wHEREUF, I have se: my hand and oiaical seal.
' ~~~~~
W
Notary Public
My Gammission Expires:
tuotariat seal
Teti L. Walks. Nasty Public
Lemoyne Bcro, Ctunberiar-ti Courny
My Cotrtmasion r'agairea .:art. 20, 2003
iwemoer. ?ennsvsvaRta Asscaattc~ of Nctanes
The forettoing Ameadrneat to T~ust was delivered, and is hereby accepted, at Harrisburg,
Permsyivania, an Tune ~,:, ?nCO.
~.T'IESI':
%' ~ Jr` / ~''~
1
FLZTON FL'V~.~iCIAL ADVISORS, ti.A.,
TRUSTEE:
.,
i
1. .~ ~~' ~ (SE.~iL}
i~~~~ ~~.,~'~ ,TrastOffcer
__ __ .
18
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~~~~~~'~` ~ ~k9
REVOC~~E AGREEMENT OF T UI~ST DATED SEPT~FMSER 20~ i98i
T$I8 AMENDMENT TO TRUBT dated this ~~' daY of J ~t~ ,
2001, by and between JANE F. RILEY, of 312 West Green Street,
Shiremanstown, Cumberland County, Pennsylvania 17011-6521 (herein
called "Settlor") and FIILTON FINANCIAL ADVISORS, H.A., of
xarrisburg, Pennsylvania (herein called "Trustee").
W$ER8A8, Settlor and Trustee entered into a Revocable
Agreement of Trust dated September 20, 1984, (herein called the
"Trust") a copy of which is attached hereto and is identified as
"Exhibit A"; and
WHEREAB, Settlor and Trustee amended this Trust by virtue of
a First Amendment to Revocable Inter-Vivos Trust Agreement, said
First Amendment being dated March 27, 1989, (herein called the
"First Amendment") a copy of which is attached hereto and is
identified as "Exhibit B"; and
WH~REA3, Settlor and Trustee amended this Trust by virtue of
a Second Amendment to Revocable Agreement of Trust, said Second
Amendment being dated June 7, 2000, (herein called the "Second
Amendment") a copy of which is attached hereto and is identified
as "Exhibit C"; and
WHEREAS, Settlor now desires to further amend and revise
the Trust, along with the First Amendment and Second Amendment
thereto and to make certain deletions, amendments and
corrections.
NOW, THEREFORE, the parties hereto, in consideration of the
mutual covenants herein stated, agree as follows:
1. Paragraph 4 of the Trust and of the First Amendment and
Second Amendment is hereby deleted in its entirety fzom those
respective documents and a new Paragraph 4 is hereby inserted
therein to read as follows:
4. Upon the death of the Settlor, the Trust
shall continue. The Trustee shall hold manage, invest
and reinvest the principal and any accumulated and
undistributed income of the Trust, IN TRUST, and shall
use and apply the income and principal thereof for the
use and benefit of my sister, ANN L. L. HEALY, all
under the following uses and following benefits:
~`
,,
(A) All income therefrom, absolutely,
same to be payable on a quarterly basis
commencing on the first (lst) day of the
first (lst) full calendar quarter following
my death.
(B} The principal thereof for health
and medical purposes only for the benefit of
my sister, ANN L. L. HEALY, all as
determined, in the sole discretion, of my
Trustee. My Trustee, in exercising its
discretionary authority with respect to the
payment of principal as set forth herein,
shall take into consideration any income or
other resources available to my my sister,
ANN L. L. HEALY, from sources outside this
Trust.
Upon the death of my sister, ANN L. L. HEALY, or in the
event that she predeceases me, I direct that any and all
remaining principal and income shall be distributed,
absolutely, as follows:
(A) Sixty (60$) percent thereof to THE
PARADISE SCHOOL, R.D.1, Abbottstown,
Pennsylvania, to be used in the discretion of
its official governing board.
(B) Forty (40$) percent thereof to ST.
JOSEPH'S CATHOLIC CH(IRCH, 420 East Simpson
Street, Mechanicshurg, Pennsylvania, to be
used in the discretion of its official
governing board.
2. In all other regards, the Trust referenced above shall
remain in full force and effect and is not amended unless
specifically provided herein.
IN WITD1ES8 WHEREOF, the Settlor and Trustee have hereunto
set their hands and seals as of the day and year first above
written.
WITNESS:
,_ ,
ATTEST:
__~_Y~~~
.,
JANE F. RILEY f
FULTflN FINANCIAL ADVTSORB, N.A.
i
ridra L. Brennan
~telationship Manager
- _-2,
F,
1
COMMONWEALTH OF PENNSYLVANIA:
• SS.
COUNTY OF CUMBERLAND
On this, the ~t~ day of J~..<<~ 2001, before
me, a Notary Public, personally appeared JANE F. RILEY, known to
me or satisfactorily proven to be the person whose name is
subscribed to the within instrument, and acknowledged that she
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
~, otary Pubic ~~
My Commission Expires:
~~ Natanat sea+
Joan E. F3rotlyn, Notary PuWtc
4 Snirnmaralown Boro, rrcf Cou
COMMONWEALTH OF PENNSYLVANIA : ~ "'~' C0M"~0h E'G`O` t=ao. ~x, 2Ca2~
. S $ . MamCar. PennayNanwti ~prxydq~ 0f Nat~-~
COUNTY OF CUMBERLAND
On this, the Q ~' day of .J.:.~`.~~ 2001, before
me, a Notary Public, personally appeared SANDRA L. BRENNAN
Relationship Manager, Fulton Financial Advisors, known to me or
satisfactorily proven to be the person whose name is subscribed
to the within instrument, and acknowledged that she executed the
same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
.1 Notary Public
My Commission Expires:
- _ *lotana~ Seal
~ o0an F Brotl+ors. rotary Pubtic
3hirsmensrewrt Pero. rumberland County
i tvty Citmo+:apron ExO+rn.~ F6t,. t2, ?AQ2
---- 3i
Mar>•aa~, r-rnnryMn:dn A! 1101 nt Nt~nnt-tA
~.
J I~X
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.~ caPY
JANE F. RILEY
CHARITABLE REMAINDER UNITRUST
THIS TRUST AGREEMENT is executed in triplicate on this ~ ~ day of 3une, 2000, by
and between JANE F. RII.EY, now of312 West Green Street, Shiremanstown, Cumberland County,
Pennsylvania 17011 (herein referred to as "Donor") and FULTON FINANCIAL ADVISORS,
N.A., (herein referred to as "Trustee").
WITNESSETH:
WHEREAS, Donor desires to establish a charitable remainder unitrust within the meaning
of Section 5 of the Internal Revenue Service, Revenue Procedure 90-31, 1990-25 I.R.B. 14, and
Section 664(d)(2) of the Internal Revenue Code of 1986, as now in effect or as may hereafter be
amended (the "Code").
NOW THEREFORE, for and in consideration of their mutual covenants and promises,
Donor and Trustee agree as follows:
ARTICLE I.
TRUST ESTATE
Donor, desiring to establish an irrevocable trust, does hereby absolutely and irrevocably
transfer, assign and deliver to the Trustee and the Trustee's successors and assigns all of Donor's
rights, titles and interests in and to the assets listed on Schedule "A", attached hereto and made a part
hereof (herein referred to as the "Trust Estate"). As further evidence of such assignment, Donor has
executed or will execute or cause to be executed such other instruments as maybe required for the
purposes of completing the assignment or transfer of title to the Trust Estate to the Tnistee. Trustee
accepts the transfer and assignment to the Trustee, and undertakes to hold, manage, invest and
reinvest the assets of this Trust, and to distribute the income and principal of this Trust, IN TRUST
NEVERTHELESS, in accordance with the provisions of this Agreement.
Donor, with the consent of the Trustee, shall have the right at any time to make additions to
the principal of this Trust or any share thereof hereby established. All the additions shall be held,
governed, and distributed by the Trustee, IN TRUST NEVERTHELESS, in accordance with the
terms and conditions of this Agreement.
ARTICLE II.
IRREVOCABILITY AND LIMITED POWER OF AMENDMENT
Donor has been advised of the consequences of an irrevocable trust and hereby declares that
this Trust shall be irrevocable and shall not be altered, amended, revoked, or terminated by Donor
or any other person or persons, except as provided below. The Trustee shall have the power, acting
alone, to amend the Trust in any manner required for the sole purpose of ensuring that the Trust
qualifies and continues to qualify as a charitable remainder unitrust within the meaning of Section
664(d)(2) and (3) of the Code.
ARTICLE III.
PAYMENT OF UNITRUST AMOUNT
(A) Calculations and Recipients of Unitrust Amount. In each taxable year ofthe Trust,
the Trustee shall pay to Donor, JANE F. RILEY, during her lifetime, (Donor herein referred to as
the "Recipient"}, a unitrust amount equal to seven percent 7% of the net fair market value of the
Trust Estate as of the first day of each taxable year of the Trust (said day herein referred to as the
"Valuation Date"). Any income of the Trust for a taxable year in excess of the unitrust amount shall
be added to the Trust principal.
(B) Monthly Payment of Unitrust Amount. The unitrust amount shall be paid in
monthly installments on the first business day of each month.
(C) Ad,(ustment of Errors. If for any year the net fair market value of the Trust Estate
is incorrectly determined, then within a reasonable period after the value is finally determined for
federal tax purposes, the Trustee shall pay to the Recipient (in the case of an undervaluation) or
receive from the Recipient (in the case of an overvaluation) an amount equal to the difference
between the unitrust amount properly payable and the unitrust amount actually paid.
ARTICLE IV.
PAYMENT OF FEDERAL ESTATE TAXES
AND STATE DEATH TAXES
[THIS ARTICLE IS INTENTIONALLY LEFT BLANK.]
ARTICLE V.
PRORATION OF THE UNITRUST AMOUNT
In determining the unitrust amount, the Trustee shall prorate the same on a daily basis for a
short taxable year or short monthly period.
ARTICLE VI.
DISTRIBUTION TO CHARITY
(A} Distribution of Trust Estate. Upon the death of the Recipient, the Trustee shall
distribute all of the then-remaining Trust Estate and any and all accrued income of the Trust
2
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(excluding any amounts due to the Recipient or her estate under the provisions of this Trust
Agreement). The Trustee shall distribute all of the net income and the then-remaining Trust Estate
of the Trust to the Recipient Charities named by Donor on the permanent allocation ("Permanent
Allocation") and the temporary allocation ("Revocable Allocation") detailed on a notice delivered to
the Trustee which form is attached hereto as Schedule "B". Any portion of the Trust Estate
designated as a Permanent Allocation shall be irrevocable and may not be amended at any time or
times by Donor. Any portion of the Trust Estate designated as a Revocable Allocation may be
amended or revised by Donor by delivering a new Revocable Allocation in the manner described in
paragraph (B) of this Article VI or by delivering a Permanent Allocation in the manner described.
The Recipient Charities named in the Permanent Allocation and Revocable Allocation must satisfy
the requirements of Sections 174(c), 2055(a) and 2522(x) of the Code, at the time when any of the
Trust Estate is distributed to them. If one or more, but not all, of the Recipient Charities named in
the Permanent Allocation and Revocable Allocation shall not qualify as an organization described in
Sections 170(c), 2055(a) and 2522(a) of the Code at the time when any the Trust income or Estate
is distributed to them, then the portion of the Trust Estate which would otherwise have been
distributed to the non-qualifying Recipient Charities shall be apportioned among the remaining
Recipient Charities on a pro rata basis. If all of the Recipient Charities named in the Permanent
Allocation and Revocable Allocation fail to satisfy the requirements of Sections 170(c), 2055(x) and
2522(x) of the Code at the time when any of the Trust Estate is distributed to them, then the Trust
Estate shall be distributed in the manner set forth in paragraph (C) of this Article VI.
(B) Revocable Allocations. Donor may amend the Revocable Allocation by delivering
written notice to the Trustee in the form attached hereto as Schedule "C". Such notice may be
changed at any time during Donor's lifetime by delivering a new Schedule "C" to the Trustee. Any
Recipient Charities named in Schedule "C" must satisfy the requirements of Sections 170(c), 2055(x)
and 2522(x) of the Code at the time when any of the Trust Estate is distributed to them.
(C) Failure to Designate Recipient Charities. If, upon the death of the Recipient,
Donor has not made any Permanent Allocation in the manner described above and has not made any
Revocable Allocation which were not revoked in the manner described above, or if none of the
Recipient Charities named in the Permanent Allocation and Revocable Allocation shall qualify as an
organization described in Sections 170(c), 2055(x) and 2522(x) ofthe Code at the time when any of
the Trust Estate is distributed to them, then the Trustee shall distribute the balance of the Trust Estate
to the following recipient charities ("Default Recipient Charities"), in the following percentages,
provided that the Default Recipient Charities qualify as a organization described in Sections 170(c),
2055(x) and 2522(x) of the Code at the time when any of the Trust Estate is distributed to them:
3
•.
NAME OF CHARITY PERCENTAGE
1)
2)
3}
4}
If any of the foregoing Default Recipient Charities fail to satisfy the requirements of Sections
170(c), 2055(a) and 2522(a) of the Code at the time when arty of the Trust Estate is distributed to
them, then the Trust Estate shall be distributed equally among the remaining Default Recipient
Charities. If Donor fails to designate any Recipient Chanties which satisfy the requirements of
Sections 170(c), 2055(a) and 2522(a) of the Code at the time when any of the Trust Estate is
distributed to them, and if none of the Default Recipient Charities shall satisfy the requirements of
Sections 170(c), 2055(a) and 2522(a} of the Code at the time when any of the Trust Estate is
distributed to them, then the Trustee shall select, in its sole discretion, such one or more
organizations, satisfying the requirements of Sections 170(c), 2055(a) and 2522(a) ofthe Code, each
of which is engaged in comparable activities and is located in the Central Pennsylvania area.
(D) Distribution of Unallocated Trust Estate. If Donor has not made a direction as to
the allocation of the entire Trust Estate, then the portion of the Trust Estate which is not otherwise
allocated shall be distributed in accordance with paragraph (C) of this Article VI.
ARTICLE VII.
ADDITIONAL CONTRIBUTIONS
If any additional contributions are made to the Trust after the initial contribution, the unitrust
amount for the year in which the additional contribution is made shall be equal to seven percent (7%)
of the sum of (i) the net fair market value of the Trust Estate as of the Valuation Date (excluding the
Estate so added and any income from, or appreciation on, such assets), and (ii) that proportion of the
fair market value of the assets so added that was excluded under (i), above, that the number of days
in the period that begins with the date of contribution and ends with the earlier of the last day of the
taxable year or the date of death of the recipient bears to the number of days in the period that begins
on the first day of such taxable year and ends with the earlier of the last day in such taxable year or
the date of death of the Recipient. In the case where there is no Valuation Date after the time of
contribution, the assets so added shall be valued as of the time of contribution. Any income of the
Trust for a taxable year in excess of the unitrust amount shall be added to the Trust principal.
4
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ARTICLE VIII,
PROHIBITED TRANSACTIONS
The Trustee shall make distributions at such time and in such manner as not to subject the
Trust to tax under Section 4942 of the Code. Except for the payment of the unitrust amount to the
Recipient, the Trustee shall not engage in any act ofself-dealing, as defined in Section 4941(d) of the
Code, and shall not make any taxable expenditures, as defined in Section 4945(d) of the Code. The
Trustee shall not make any investments that jeopardize the charitable purpose of the Trust, within the
meaning of Section 4944 of the Code and the regulations thereunder, or retain any excess business
holdings, within the meaning of Section 4943(c) of the Code,and the regulations thereunder.
ARTICLE IX.
TAXABLE YEAR
The taxable year of the Trust shall be the calendar year.
ARTICLE X.
GOVERNING LAW AND CONSTRUCTION OF TRUST
The Trust shall have its legal situs in Cumberland County, Pennsylvania, and shall be
administered and interpreted in accordance with the laws of the Commonwealth ofPennsylvania. The
Trustee, however, is prohibited from exercising any power or discretion granted under said laws that
would be inconsistent with the qualification of the Trust under Section 664(d)(2) and (3) of the Code
and the corresponding regulations. Unless otherwise stated, all references in this Trust to section and
chapter numbers are to those of the Internal Revenue .Code of 1986, as amended, or corresponding
provisions of any subsequent federal tax laws applicable to this Trust. Unless the context otherwise
requires, the use of one or more genders in the text includes all other genders, and the use of either
the singular or the plural in the text includes both the singular and the plural. The captions set forth
in this Agreement at the beginning of the various divisions hereof are for convenience of reference
only and shall not be deemed to define or limit the provisions hereof or to affect in any way their
construction and application.
ARTICLE XI.
INVESTMENT OF TRUST ESTATE
Nothing in this Trust instrument shall be construed to restrict the Trustee from investing the
Trust Estate in a manner that could result in the annual realization of a reasonable amount of income
or gain from the sale or disposition of Trust Estate.
5
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ARTICLE XII.
GENERAL POWERS OF TRUSTEE
In addition to such other powers and duties as may have been ganted elsewhere in this Trust,
but subject to any limitations contained elsewhere in this Trust, the Trustee shall have the following
powers and duties:
(A) In the management, care and disposition of this Trust, the Trustee shall have the
power to do all things and to execute such deeds, instruments, and other documents as may be
deemed necessary and proper, including the following powers, all of which may be exercised without
order of or report to any court:
(1) To sell, exchange, or otherwise dispose of any property, real, personal or
mixed, at any time held or acquired hereunder, at public or private sale, for cash or on terms
as maybe determined by the Trustee, without advertisement, including the right to lease for
any term notwithstanding the period of the Trust, and to grant options, including an option
for a period beyond the duration of the Trust and to do all things and to execute such deeds,
instruments and other documents as may be necessary and proper.
(2) To invest all monies in such stocks, bonds, securities, investment companies
or trust shares, mortgages, notes, choses in action, real estate, improvements thereon, and
other property as the Trustee may deem best, without regard to any law now or hereafter in
force limiting investments of fiduciaries; except that the Trustee may not invest in any stock
or securities issued by the corporate Trustee or issued by a parent or affiliate company of the
Trustee.
(3) To retain for investment any property deposited with the Trustee hereunder;
except that the Trustee may not retain for investment any stock or securities of the corporate
Trustee or of a parent or affiliate company of such Trustee.
(4) To vote in person or by proxy any corporate stock or other security and to
agree to or take any other action in regard to any reorganization, merger, consolidation,
liquidation, bankruptcy or other procedure or proceedings affecting any stock, bond, note or
other security held by this Trust.
(5) To use lawyers, real estate brokers, accountants and any other agents, if such
employment is deemed necessary or desirable, and to pay reasonable compensation for their
services.
6
(6) To compromise, settle or adjust any claim or demand by or against the Trust
and to agree to any rescission or modification of any contract or agreement affecting the
Trust.
(7) To renew any indebtedness, as well as to borrow money, and to secure the
same by mortgaging, pledging or conveying any property of the Trust, including the power
to borrow from the Trustee (in the Trustee's individual capacity) at a reasonable rate of
interest.
(8) To register any stock, bond or other security in the name of a nominee,
without the addition of words indicating that such security is held in a fiduciary capacity, but
accurate records shall be maintained showing that the stock, bond or other security is a trust
asset and the Trustee shall be responsible for the acts of the nominee.
(B) In making distributions from the Trust to or for the benefit of a person under a legal
disability, the Trustee need not require the appointment of a guardian, but shall be authorized to pay
or deliver the distribution to the custodian of the person, to pay or deliver the distribution to the
person without the intervention of a guardian, to pay or deliver the distribution to the legal guardian
of the person if a guardian has already been appointed, or to use the distribution for the benefit of the
person.
(C) In the distribution of the Trust and any division into separate trusts and shares, the
Trustee shall be authorized to make the distribution and division in money or in kind or in both,
regardless of the basis for income tax purposes of any property distributed or divided in kind, and the
distribution and division made and the values established by the Trustee shall be binding and
conclusive on all persons taking hereunder. The Trustee may in making the distribution or division
allot undivided interests in the same property to several trusts or shares.
(D) The Trustee shall have the power to use and expend the trust income and principal to
(i) conduct environmental assessments, audits, and site monitoring to determine compliance with any
environmental law or regulation thereunder; (ii) take all appropriate remedial action to contain, clean
up or remove any environmental hazard including a spill, release, discharge or contamination, either
on its own accord or in response to an actual or threatened violation of any environmental law or
regulation thereunder; (iii) institute legal proceedings concerning environmental hazards or contest
or settle legal proceedings brought by any local, state, or federal agency concerned with
environmental compliance, or by a private litigant; (iv) comply with any local, state or federal agency
order or court order directing an assessment, abatement or cleanup of any environmental hazards; and
(v) employ agents, consultants and legal counsel to assist or perform the above undertakings or
actions. Any expenses incurred by the trustee under this paragraph maybe charged against income
or principal as the trustee shall determine.
7
ARTICLE XIII.
SURETY AND COMPENSATION OF TRUSTEE
The Trustee shall serve without the duty or obligation of filing any bond or other security and
shall receive as its compensation for the services performed hereunder that sum of money, based on
an hourly charge or percentage rate, which the Trustee normally and customarily charges for
performing similar services during the time which it performs these services.
ARTICLE XIV.
SPENDTHRI)HT TRUST
No beneficiary shall have the power to anticipate, encumber or transfer his interest in the
Trust Estate in any manner. No part of the Trust Estate shall be liable for or charged with any debts,
contracts, liabilities or torts of a beneficiary or subject to seizure or other process by any creditor of
a beneficiary.
ARTICLE XV.
SUCCESSOR TRUSTEE
(A) Removal of Trustee. The then-current Recipient(s) may remove the Trustee at any
time or times, with or without cause, upon thirty (30) days' written notice given to the current
Trustee. Upon the removal ofthe Trustee, a successor Trustee shall be appointed in accordance with
the terms set forth in paragraph (B) of this Article XV.
(B) Successor Trustee. The Trustee may resign at any time upon thirty (30) days' written
notice given to the then-current Recipient(s). Upon the death, resignation, removal or incapacity of
the Trustee, a Successor Trustee may be appointed by the then-current Recipient or a majority of the
then-current Recipients. Any Successor Trustee shall be a financially sound and competent corporate
trustee. Any Successor Trustee thus appointed, or, ifthe Tnistee shall merge with or be consolidated
with another corporate fiduciary, then such corporate fiduciary, shall succeed to all the duties and to
all the powers, including discretionary powers, herein granted to the Trustee. Donor prohibits the
appointment of Donor as Trustee, and any attempt to do so shall be without authority under this
Agreement. Donor prohibits the appointment of Donor's legal guardian or legal representative as
Trustee, and any attempt to do so shall be without authority under this Agreement.
8
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IN WITNESS WHEREOF, Donor has hereunto set her hands and seals, and the Trustee has
caused this Agreement to be signed by its authorized officer and to have its seal affixed to and to be
attested to, all on the day and year first above written.
WITNESS:
r
DONOR:
~~L-
J F. RILEY
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF C U M3~2LAti1~D
SS:
On this, the ~ day of June, 2000, before me, a Notary Public, the undersigned officer,
personally appeared JANE F. RILEY, known to me (or satisfactorily proven) to be the person
whose name is subscribed to the within Trust Ageement, and acknowledged that she executed the
same for the purposes therein contained.
IN WITNESS WHEREOF, I have set my hand and official Seal.
Notarial Seal
Teri L. Walker, Notary Public
Lemoyne Boro, Cumberland County
My Commission Expires Jan. 20, 2
Member, Pennsylvania Association of Notaries
~~
Notary Public
My Commission Expires:
The foregoing Trust Agreement was delivered, and is hereby accepted, at
~-,'~oa p~ ,Pennsylvania, on June ~ 2000.
ATTEST: FULTON FINANCIAL ADVISORS, N.A.,
TRUSTEE
~~
BY: l/r`c ~s% FFICER
..~
SCHEDULE "A"
SCHEDULE
REFERRED TO IN THE ANNEXED
JANE F. RILEY
CHARITABLE REMAINDER UNTTRUST AGREEMENT
DATED: JUNE 7 , 2000
FROM JANE F. RILEY, DONOR
TO FULTON FINANCIAL ADVISORS, N.A., TRUSTEE
PROPERTY DESCRIPTION:
10
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SCHEDULE "B"
SCHEDULE
REFERRED TO IN THE ANNEXED
JANE F. RII.EY
CHARITABLE REMAINDER UNITRUST AGREEMENT
DATED: JUNE ~, 2000
FROM SANE F. RII.EY, DONOR
TO FULTON FINANCIAL ADVISORS, N.A., TRUSTEE
Designation of Recipient Charities
Pursuant to the power reserved by the Donor under paragraph (A) of Article VI of the
attached Trust Agreement, the Donor hereby designates the following Recipient Charities to receive
the Trust Estate as allocated below:
Permanent Allocation:
t0
to
t0
t0
t0
t0
Revocable Allocation:
60 % to The Paradise School now of R D #1 Abbottstown Pennsvlvania
40 % to St Joseph's Catholic Church now of 420 East Simpson St. Mechanicsburg. PA
t0
to
t0
y. • ~
Any Recipient Charity named herein must be an organization described in Sections 170(c),
2055(a), and 2522(a) of the Code at the time when any of the Trust Estate is distributed to it. Any
allocation made as a Revocable Allocation may be revoked or amended by the Donor at any time or
times by delivering an executed Schedule "C" to the Trustee. If the Donor has not made the direction
as to the allocation of the entire Trust Estate, or if any one or more of the Recipient Charities named
herein is not an organization described in Sections l70(c), 2055(a), and 2522(a) of the Code at the
time when any of the Trust Estate is distributed to it, then the portion of the Trust Estate not
distributed under this Schedule "B" shall be distributed in accordance with the provisions of Article
VI of the Trust Agreement.
WITNESS:
DONOR:
y ,~/~
JA F. RILEY ~.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Q ~ N~t3L~2f-~~
SS:
On this, the ---1-- day of June, 2000, before me, a Notary Public, the undersigned officer,
personally appeazed JANE F. RILEY, known to me (or satisfactorily proven) to be the person
whose name is subscribed to the within Designation of Recipient Charities, and acknowledged that
she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I have set my hand and official Seal.
Notarial Seal NOt Public
Teri L. Walker, Notary Public ~
Lemoyne eoro, Cumberland County My Commission Expires:
iVly Commission Expires Jan. 20, 2003
Member, Pennsylvania Association of Notaries
The within Designation of Recipient Charities was delivered, and is hereby accepted, at
1-~w~c ~~ in ~. ,Pennsylvania, on June ~, 2000.
ATTEST: FULTON FINANCIAL ADVISORS, N.A.
BANK, N.A., TRUSTEE
i
By; j ~ ,~ ,OFFICER
12
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:~~ ~
.I
SCHEDULE"C"
SCHEDULE
REFERRED TO IN THE ANNEXED
JANE F. RII.EY
CHARITABLE REMAINDER UNITRUST AGREEMENT
DATED: JUNE , 2000
FROM JANE F. RILEY, DONOR
TO FULTON FINANCIAL ADVISORS, N.A. BANK, N. A., TRUSTEE
Amendment of Revocable Allocations
Pursuant to the power reserved by the Donor under paragraph (B) of Article VI of the
attached Trust Agreement, the Donor hereby revokes the Revocable Allocation set forth in: 1) the
Designation of Recipient Charities, Schedule "B", dated June , 2000; and, 2) any Amendment
ofRevocable Allocation, Schedule "C", which Donor has heretofore executed. Donor hereby amends
said Schedule "B" by designating the following Recipient Charities to receive the Trust Estate as
allocated below:
Revocable Allocation:
t0
t0
t0
t0
°lo to
t0
Any Recipient Charity named herein must be an organization described in Sections 170(c),
2055(a), and 2522(x) of the Code at the time when any of the Trust Estate is distributed to it. Any
allocation made as a Revocable Allocation may be revoked or amended by the Donor at any time or
times by delivering an executed Schedule "C" to the Trustee. Ifthe Donor has not made the direction
as to the allocation of the entire Trust Estate, or if any one or more of the Recipient Charities named
herein is not an organization described in Sections 170(c), 2055(a), and 2522(a) of the Code at the
13
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i.
time when any of the Trust Estate is distributed to it, then the portion of the Trust Estate not
distributed under this Schedule and Schedule "B" shall be distributed in accordance with the
provisions of Article VI of the Trust Agreement.
This Schedule "C" shall not affect the Permanent Allocation set forth in Schedule "B", and
any defects in this Schedule "C" or the execution hereof shall not affect the validity and enforcement
of the Permanent Allocation set forth in Schedule "B". If Donor has executed this Schedule "C"
without designating any Recipient Charities herein, this instrument shall nonetheless operate as a
revocation of any Revocable Allocation previously made by Donor.
WITNESS:
DONOR:
SANE F. RILEY
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
SS:
On this, the day of June, 2000, before me, a Notary Public, the undersigned officer,
personally appeared JANE F. RII.EY, known to me (or satisfactorily proven) to be the person
whose name is subscribed to the within Amendment ofRevocable Allocation, and acknowledged that
she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I have set my hand and official Seal.
Notary Public
My Commission Expires:
The within Amendment ofRevocable Allocation was delivered, and is hereby accepted, at
,Pennsylvania, on June , 2000.
ATTEST: FULTON FINANCIAL ADVISORS, N.A.
BANK, N.A., TRUSTEE:
BY: ,OFFICER
14
LAST WILL AND TESTAMENT
OF
JANE F. RILEY
,,3
`~ L
I, JANE F. RILEY, of Shiremanstown, Cumberland County,
Pennsylvania, make, publish and declare this as and for my Last
Will and Testament, hereby revoking all other Wills and Codicils
heretofore made by me.
FIRST: I give and bequeath the sum of Five Thousand
($5,000.00) Dollars to PAMELA JENNINGS, of 1525 betters Mill
Road, Dillsburg, Pennsylvania, provided, however, that should she
predecease me, I direct that this bequest be and become a part of
my residual Estate to be disposed of as in Clause SECOND
hereinbelow.
SECOND: I devise and bequeath all the rest, residue
and remainder of my estate of whatever nature and wherever
situate, together with any insurance policies thereon, to FULTON
FINANCIAL ADVISORS, N.A., of Harrisburg, Pennsylvania, to be
added to and hereafter treated as a part of that certain Revoca-
ble Agreement of Trust created by me on September 20, 1984 with
Fulton Bank, now Fulton Financial Advisors, N.A., of Harrisburg,
Pennsylvania, of which Fulton Financial Advisors, N.A., of
Harrisburg, Pennsylvania is Trustee, to have and to hold, IN
TRUST, for the uses and purposes and subject to the terms and
provisions thereof, including any alterations and amendments
thereto, or any other inter vivos trusts which may hereafter be
substituted therefor. It is to be noted that as of the date
hereof, the Revocable Agreement of Trust has been amended as
follows: First Amendment to Revocable Inter-Vivos Trust Agree-
ment, same being dated March 27, 1989; Second Amendment to
Revocable Agreement of Trust dated September 20, 1984, same being
dated June 7, 2000; Third Amendment to Revocable Agreement of
Trust dated September 20, 1984, same being dated July 9, 2001.
THIRD: In addition to all powers granted to them by
law and by other provisions of this Will, I give the fiduciaries
acting hereunder the following powers, applicable to all proper-
ty, exercisable without court approval and effective until actual
distribution of all property:
(A) To sell at public or private sale, or to lease,
for any period of time, any real or personal property and to give
options for sales, exchanges or leases, for such prices and upon
such terms (including credit, with or without security) or
conditions as are deemed proper. This includes the power to give
legally sufficient instruments for transfer of the property and
to receive the proceeds of any disposition of it.
(B) To partition, subdivide, or improve real estate
and to enter into agreements concerning the partition, subdivi-
sion, improvement, zoning or management of real estate and to
impose or extinguish restrictions on real estate.
(C) To compromise any claim or controversy and to
abandon any property which is of little or no value.
(D) To invest in all forms of property, including
stocks, common trust funds and mortgage investment funds, without
restriction to investments authorized for Pennsylvania fiduci-
aries, as are deemed proper, without regard to any principle of
diversification, risk or productivity.
(E) To exercise any option, right or privilege granted
in insurance policies or in other investments.
(F) To exercise any election or privilege given by the
Federal and other tax laws, including, but not necessarily being
limited to, personal income, gift and estate or inheritance tax
laws.
(G) To make distributions to my herein named benefici-
aries in cash or in kind or partly in each.
(H) To borrow money from themselves or others in order
to pay debts, taxes, or estate or trust administration expenses,
2
to protect or improve any property held under my will, and for
investment purposes.
(I) To select a mode of payment under any qualified
retirement plan (pension plan, profit sharing plan, employee
stock ownership plan, or any other type of qualified plan) to the
extent the plan or the law permits them to do so, and to exercise
any other rights which they may have under the plan, in whatever
manner they consider advisable.
FOURTH: I direct that all inheritance, estate, trans-
fer, succession and death taxes, of any kind whatsoever, which
may be payable by reason of my death, whether or not with respect
to property passing under this Will, shall be paid out of the
principal of my residuary estate.
FIFTH: All interests hereunder, whether principal or
income, which are undistributed and in the possession of the
fiduciaries acting hereunder, even though vested or distribut-
able, shall not be subject to attachment, execution or sequestra-
tion for any debt, contract, obligation or liability of any
beneficiary, and furthermore, shall not be subject to pledge,
assignment, conveyance or anticipation.
SIXTH: I nominate and appoint FULTON FINANCIAL ADVI-
SORS, N.A., or their successors or assigns, of Harrisburg,
Pennsylvania, as Executor of this, my Last Will and Testament.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal to this, my Last Will and Testament, this :1)`~t day of
`L`id , Zoos.
~1i-z ~ SEAL
( )
J E F. RILEY
3
CLERM~~NT
WEALTH STRATEGIES
Writer's Direct Dial Number
(717) 291-2719
~,,~,~
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t. ~ ~~:
T.~,,
2008 SFP -2 PM 12~ 09
August 29, 2008(~~~ ~.
Register of Wills
Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013
Re: Estate of Jane F. Riley, Deceased
File No. 21-08-0295
Dear Sir/Madam:
Enclosed is the PA Inheritance Tax Return and a check in the amount of $430.68,
payable to the Register of Wills, Agent, for the balance of PA Inheritance Tax due. Also
enclosed is a check, in the amount of $15.00, for the filing of this document.
I am also enclosing front pages of the Inheritance Tax Return to be time stamped and
returned to me in the postage-paid envelope provided.
If you should have any questions, please let me know.
Thank you for your assistance.
Sincerely yours,
Carol R. Fahnestock, CTFA
Vice President
CRF:cIo
Enclosures
cc: James D. Bogar, Esquire
To ensure compliance with the requirements imposed by the Internal Revenue Service in Circular 230, we are informing you that any tax advice,
which may be contained in this document or any attachment hereto cannot be used, and is not intended to be used for the purpose of (i) avoiding
penalties that the IRS might attempt to impose under the U. S. Internal Revenue Code, or (ii) promoting, marketing or recommending to another
party any transaction or matter addressed in this communication.
One Penn Square, PO. Box 7989
Lancaster, PA 17604
- clermontwealth.com
Signed, sealed, published and declared by the above-
named Testatrix as and far her Last Will and Testament in our
presence, who, at her request, in her presence and in the
presence of each other, have hereunto subscribed our names as
attesting witnesses.
Address
~vnn cs ~C . L~.~~G~vt/~
Address
4