HomeMy WebLinkAbout03-1018Jan M. Wiley
David J. Lenox
Timothy J. Colgan
Christopher J. Marzzacco
December 19, 2003
THE VZILEY GROUP
Attorneys at Law
Wiley, kenox, Colgan & Marzzacco, ?.C.
David E. Hershey
Diana Woodside
Bradley A. Winnick
Jennifer L. Frechette
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
In Re: Joseph J. Koscevic, Deceased
Dear Register:
Enclosed for filing please find the inheritance tax return in duplicate with regard to the above
captioned decedent. Also enclosed is a check in the amount of $15.00 representing the filing fee.
Please return the recording receipt to my attention in the enclosed envelope.
Thank you for your cooperation.
Sincerely,
/dg
encl.
130 W. Church Street, Suite 100 · Dillsburg, PA 17019 · Phone: (717) 432-9666 · (800) 682-4250 · Fax: (71 7) 432-0426
Offices in Harrisburg · York · Carbondale
www.wileygrouplaw, com
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Koscevic, Joseph J.
~ATE~ DEATH (MM-D-DD-YEAR) l ~3ATE OF BIITI~C(I~i:YEA~]'
09/] 1/2003 ~ 05/29/]924
(IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL)
"E;oUu~ 03 /~)/,o~
ODE YEAR NUMBER
SOCIAL SECURITY NUMBER
211-22-6809
THISRETi~RN MUST-BE FiLED~IN ~UPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
[] 1. Original Return [] 2. Supplemental Return [] 3. Remainde~:Returff(date-oUdeathp~6?to'f2-13~2)
< ~ [] 4. Limited Estate
~¢ ~: v [] 4a. Future Interest Compromise (date of death
o ~. o after 12-12-82) [] 5. Federal Estate Tax Retum Required
~:oo
,, ~ [] 6. Decedent Died Testate (Attach copy [] 7. Decedent Maintained a Living Trust (Attach 8. Total Number of Safe Deposit Boxes
0 ~ m of Will) copy of Trust)
<
TELEPHONE NUMBER
717/432-9666
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
[] Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
12.
1 S. Baltimore Street
Dillsburg, PA 17019
(1) Non~
(2) None
(3) None
(4) None
(5) 2,402.00
(6) 13,634.48
(7) 69,000.00
(9) 3,741.00
(10) 622.46
Net Value of Estate (Line 8 minus Line 11)
14. Net Value Subject to Tax (Line 12 minus Line 13)
- ~EE iNS~RuC~,0NS ON REVERSE SIDE FOR APPLICABLE RATES
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not
been made (Schedule J)
(8) 85,036.48
(11) 4,363.46
(12) 80,673.02
(13)
(14) 80,673.02
Z
15. Amount of Line 14 taxable at the spousal tax rate,
or transfers under Sec. 9116(a)(1.2)
16.Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
80,673.02
x .00
x .045
x .12
x .15
(15)
(16)
(17)
(18)
3,630.29
(19) 3,630.29
Copyright 2000 form software only The Lackner Group, Inc. Fonm REV-1500 EX (Rev. 6-00)
Decedent's Complete Address:
I~TREET ADDRESS
CITY
224 Old Cabin Hollow Road
Dillsburg
Tax Payments and Credits:
1. Tax Due (Page I Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
18i.51
InterestJPenalty if applicable
D. Interest
E. Penalty
TSTJ~TE PA '" 1 ZI-P 1701¢ ' --
Total Credits (A + B + C)
(1)
3,630.29
Total Interest/Penalty (D + E)
(2) 3,631.86
4. If Line 2 is greater than Line I + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
5. If Line I + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE,
(3) 0.00
(4) 1.57
(5)
(5A)
(5B) 0o00
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; ............................................................................. [] []
b. retain the right to designate who shall use the property transferred or its income; ................................ [] []
c. retain a reversionary 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? ................................................................................................................ [] []
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ...... [] []
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 IT AS PART OF THE RETURN.
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 an~ complete~ -
Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS
nn.W. Carri~ato ~-
'~IGNATURE OF PERSON RESI:~)I~[F'~I~IqGRETURN ADDRESS
224 Old Cabin Hollow Rd.
Dillsburg, PA 17019
DATE
~TG~NATURE OF PREPAR~EROTHER~T~ REPRESENTATI~'E ADDRES~ -'
David J,-L-e~x f '~/' /f . ~'=.
/ \ / X , /' / 1 S. Baltimore Street /
~ Dillsburg, Pa 17019 /.7~ /~ ~ .~
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 3% [72 P.S. §9116 (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 0%
[72 P.S. §9116 (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 0% [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 4.5%, 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 12% [72 P.S. §9116 (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.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Koscevic, JosephJ.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
21 - 03 -
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of
survivorship must be disclosed on schedule F.
ITEM
NUMBER
DESCRIPTION
Sale of 1994 Buick Century:
Personal Property:
Teamsters (funeral benefit):
TOTAL (Also enter on Line 5, Recapitulation)
VALUE AT DATE
OF DEATH
1,ooo.oo
1,250.00
152.00
2,402.00
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF Koscevic, Joseph J. FILE NUMBER
21 - 03 -
If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G.
SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT
A Dianne W. Carricato 224 Old Cabin Hollow Rd. s~ep-~hild
Dillsburg, PA 17019
ITEM
NUMBER
JOINTLY OWNED PROPERTY:
..... iinclude name of financial institution and bank account number
FOR JOIN' ~c~ Ior similar identifying number. Attach deed for jointly-held real
TENANT ...... estate.
1 A 03/16f1973 Citize~ Bank~cco~uht ~-1~0-~4028~.·
2 A 04/10/1985 Citizens Bank Account #6140168643:
DATE OF DEATH
VALUE OF ASSET
DATE OF DEATH
VALUE OF
DECEDENT'S INTEREST
% OF !
DECD'Sl
INTEREST1
56°/4 4,166.56
50°/~ 9,467.92
8,333.i~
18,935.83
TOTAL (Also enter on line 6, Recapitulation)
13,634.48
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF FILE NUMBER
Koscevic, Joseph J. 21 - 03 -
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes.
ITEM
NUMBER
DESCRIPTION OF PROPERTY
Include the name of the transferee, their relationship to decedent and the date of transfer.
Attach a copy of the deed for real estate.
Sale of 20 South Chesmu(St.,~}ianicsb~gSPA. '
Property owned by the Joseph J. Koscevic Trust:
DATE OF DEATH % OF
EXCLUSION TAXABLE VALUE
VALUE OF ASSET DECD'S 0F APPLICABLE) INTEREST
' 69,000100- i600/o 0.00 69,000~00
1
TOTAL (Also enter on line 7, Recapitulation)
69,000.00
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Koscevic, Joseph J.
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION
A. FUNERAL EXPENSES:
1 St. Elizabeth Church:
SCI-IWAJ~ H
R. ItaERN. EXPENSES &
~TNECOSTS
FILE NUMBER
21 - 03 -
2
3
Kyle & Elise Manning (alter service):
South Mountain Post 6711 (plaque):
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Social Security Number(s) / EIN Number of Personal Representative(s):
Street Address
City State Zip
Year(s) Commission paid
Attorney's Fees The Wiley Group:
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
C~ty
Relationship of Claimant to Decedent
Probate Fees
State Zip
Accountant's Fees
Tax Return Preparer's Fees
Other Administrative Costs
Real Estate closing costs:
Final Medical Expenses:
AMOUNT
250.00
20.00
100.00
1,750.00
706.00
900.00
Total of Continuation Schedule(s) 15.00
TOTAL (Also enter on line 9, Recapitulation) ' -- ' 3-,741.0~ *
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Koscevic, Joseph J.
3 Filing Fee:
~H
!FILE NuMBE~
_ 21 - 03 -
15.00
Page 2 of Schedule H
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Koscevic, Joseph J.
SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
FILE NUMBER
21 - 03 -
Include unreimbursed medical expenses.
ITEM
NUMBER
DESCRIPTION
PP&L (electric);
United Water Company:
Comcast Cable:
Mechanicsburg Borough (sewer/refuge):
Final Utility and Muni. services
TOTAL (Also enter on Line 10, Recapitulation)
AMOUNT
65.65
41.85
118.92
196.04
200.00
622.46
REV-1515 EX+ (94)0) ~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Koscevic, Joseph J.
SCHEDULE J
BENEFICIARIES
FILE NUMBER
21 - 03 -
NUMBER
II,
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS (include outright spousal distributions)
Diann W. Carricato
224 Old Cabin Hollow Road
Dillsburg, PA 17019
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover she.
NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
=B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
RELATIONSHIP TO AMOUNT OR SHARE
DECEDENT OF ESTATE
_ _ Do Not List Trustee(s) .....
step-daughter one hundred percent.
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHE T
REVOCABLE
TRUST AGREEMENT
MADE this 27th day of January, 1998 by and between Joseph J. Koscevic, individual
and resident of Cumberland County, Pennsylvania, (hereinafter alternatively referred to as the
"Settlor"), and Joseph J. Koscevic, Individual and resident of Cumberland County,
Pennsylvania, as the Trustee (hereinafter alternatively referred to as the "Trustee").
WITNESSETH:
ARTICLE ONE
(A) ..Establishment of Trust Estate: The Settlor has transferred and delivered to
the Trustee that property more fully described in Schedule "A", attached hereto and made part
hereof (the "Property"). The Trustee shall hold and administer the Property, together with all
other cash or property of any kind which the Trustee at any time may acquire from the Settlor
or from others by inter-vivos transfer or pursuant to beneficiary designations by Last Will and
Testament or otherwise, including, but not limited to, the residue and remainder of Settlor's
Estate as provided for in Settlor's Last Will and Testament ("Additions"), together with the
proceeds, investments and reinvestments with respect thereto as a trust estate ("Trust Estate")
on the terms and conditions hereinafter set forth.
The name of the Trust herein created shah be THE JOSEPH J. KOSCEVIC
REVOCABLE LIVING TRUST.
(B) Distributions to Settlor During Settlor's Lifetime: During the lifetime of the
Settlor, the Trustee shall pay to the Settlor or expend for the Settlor's benefit the entire net
income produced by the Trust Estate ("Income") in convenient installments or otherwise as
Settlor may from time to time direct, together with such portion of the principal of said Trust
Estate as Settlor may from time to time direct in writing or, if Settlor gives no directions, as the
Trustee deems advisable to provide for the health, welfare and comfortable support of the
Settlor, and to continue Settlor's accustomed pattern of giving to individuals and organizations.
Any unexpended Income shall be added to principal and invested as such.
(C) Distributions of Trust Estate in the Event a Settlor BeCOmes Incapacitated.-
If at any time Settloris under a legal disability, or if by reason of illness or mental or physical.
disability Settlor is "incapacitated," as such term'is defined below, and is unable to make or
communicate responsible decisions concerning Settlor's affairs, the Trustee shall use the income
and part or all of the principal of the Trust Estate for the care, comfort and support of the
Settlor, or for any other purpose which the Trustee, in their sole and absolute discretion, deem
to be for the best interests of the Settlor.
mcap=c~ry of a Settlor shall be determined by the existence of one or more of the folioMng:
(1) There is a court order, which such Trustee or beneficiary deems to be
jurisdictionally proper and still concurrently applicable, holding a person to be legally
incapacitated to act on his or her own behalf or appointing a guardian to act for him or her, or
(2) There are duly executed, witnessed, and acknowledged written certificates of a
licensed physician (whom represents that he or she is certified by a recognized medical board),
to the effect that the physician has examined the Settlor and has concluded that such person has
become incapacitated to act rationally and prudently in his or her own financial best interests,
or
(3) There is evidence which such TruStee Or beneficiary deems to be creditable and
still currently applicable that the Trustee has disappeared, is unaccountable absent, or is being
detained under duress where he or she is unable effectively and prudently to look after his or
her own best interests.
Given the occurrence of such events or circumstances, the affected Settlor shall be
deemed to have become incapacitated. Such incapacity shall be deemed to continue until such
court order, certificates, and/or circumstances have become inapplicable or have been revoked.
Any physician's aforesaid certificate may be revoked by a similar certificate to the effect
that the person is no longer incapacitated executed either: (a) by the originally certifying
physician(s) or (b) by another licensed, board certified physician. No Trustee shall be under any
duty to institute any inquiry into the person's possible incapacity, but the expense of any such
inquiry reasonably instituted may be paid from the Trust assets. Payment for such inquiry refers
both to a reasonable inquiry as to the incapacity of such individual and to that inquiry as to the
revocation of such a certificate.
(D) Distributions Following the Death of the Settlor:
1. Income Distribution Upon Death of Settlor:
Upon the death of the Settlor, the Successor Trustee shall pay to the personal representative of
the estate of the Settlor, all Income accrued but undistributed as of the date of death of the
Settlor.
2. Distribution of Principal to Estate of Settlor to Pay "Death Taxes". T h e
Successor Trustee shall then make payment to the personal representative of the estate of Settlor,
out of the principal of the Trust, an amount equal to the estate, inheritance, transfer, succession
or other death taxes ("death taxes") federal, state and other, payable by reason of the inclusion
of part or all of the trust property in his or her estate. The determination by the personal
representative of the estate of the Settlor, of the amount payable hereunder shall be £mal and
conclusive. The final determination of the amount due hereunder shall be based upon the values
as finally determined for estate tax purposes in the estate of the Settlor. The Settlor hereby
directs the Successor Trustee to pay such amount promptly upon written request of the personal
representative of the estate of the Settlor, and upon payment of the amount finally determined
to be due hereunder, the Successor Trustee shall be discharged from any further liability with
respect to such payment.
3. Power of Appointment Exercisable by the Settlor: Upon the death of the Settlor,
the remaining principal and any accrued or undistributed Income shall be transferred and
delivered to or for the benefit of such one or more persons, Corporations or other organizations,
including the estate of the Settlor or to the creditors of the Settlor, in such portions or amounts
and subject to such trusts, terms and conditions as the Settlor, may appoint by specific reference
in the Last Will and Testament of the Settlor to the power of appointment contained in this,
Paragraph (D) 3 of Article One. If the Settlor does not exercise this power in full, the
unappointed principal and accumulated and undistributed Income shall be distributed as
hereinafter provided.
4. Distributions of Remaining Income and Principal: Upon the death of the Settlor,
the remaining principal of the Trust and any accumulated or undistributed income shall be
distributed 'as Ibilows:
(a) Specific Distributions from the Trust Estate:
Prior to any distribution of the balance of the Trust Estate, the following specific
distributions shall be made by the Successor Trustee.
NONE
(b) Distribution of the Balance of the Trust Estate:
After provision has been made for the above-noted specific distributions, the
balance of the Trust Estate shall be distributed:
To my, step-daughter, DIANN W. CARRICATO, if she survives me, and
if she does not survive me then'to her childrenl in equal shares, per stirpes.
3
ARTICLE TWO
(A) Minor Beneficiary Provisions: If any beneficiary who is entitled to receive a share
of the principal, of the balance of the Trust Estate pursuant to Paragraph 5 of Section (D) in
Article One, shall not have attained the age of twenty-one (21) years, or has been adjudicated
incompetent or certified by a physician to be incompetent then the Trustees are hereby
authorized and empowered in his discretion to distribute said amount to the parent or the then
custodian of said beneficiary as guardian of the minor's estate to hold and manage and apply
such property for the benefit of said beneficiary until such beneficiary attains the age of 21, or
otherwise is released from said incompetency and without liability on the part of the Trustee to
see to the application of said payments by the payee, or. to keep said amount or any earnings
thereon in this Trust for distributions applied for the health, education, maintenance and support
of said beneficiary, until said beneficiary attains the age of twenty-one (21) years, at which time
said share shall be released directly to said beneficiary:
(B) Perpetuities Savings Provision: Notwithstanding anything to the contrary herein
contained, upon the expiration of twenty-one (21) years following the death of the survivor of
all the beneficiaries herein named or described who are living at the death of the first Settlor to
die, all Trusts remaining hereunder shall terminate, and the principal shall be transferred and
delivered to the person then entitled to the Income therefrom
(C) Spendthrift Clause: Neither the principal nor the Income of any portion of the
Trust Estate shall be liable or subject to the contracts, debts, liabilities or torts, now or hereafter
made, contracted, incurred or committed, or any beneficiary or remainderman; nor shall the
principal or Income of the Trust Estate be liable to attachment by garnishment proceedings or
other legal process; nor shall any assignment or order either of principal or income, given by
any beneficiary or remainderman be valid, but the principal and Income shall be paid by the
Trustee directly to or for the use of the beneficiary entitled thereto, without regard to any
assignment, order, attachment or claim whatever. Every such attempted assignment or other
disposition by any beneficiary or remainderman shall not be merely voidable, but absolutely
void, except that this provision shall not impair or restrict the exercise of any p.ower of
appointment granted hereunder. No payment hereunder shall become the property of any
beneficiary or remainderman until it is received by him or his guardian.
(D) Disposition of Accrued Income Following Death of Income Beneficiary: Upon
the death of any Income beneficiary, any Income accrued or received by the Trustee subsequent
to the last Income payment date shall be paid to the person or persons for whose benefit the
principal producing such Income is continued in trust or to whom such principal is distributed
under the terms hereof.
(E) ..Stock Dividends Allocated To Principal: Corporate distributions received in shares
of the distributing corporation shall be allocated to principal, regardless of the number of shares
and however described or designated by the distfi, buting corporation.
4
(Y) Characterization of "Income"l "Accrued Income": income accrued on any
property received by the Trustee, either at the inception of the Trust Estate or as an addition
thereto, shall be treated as Income and not as principal; PROVIDED, HOWEVER, that any
lump-sum distribution payable to the Trustee under any employee benefit plan or individual
retirement account in which the Settlor has an interest shall be treated as principal
notwithstanding the options, elections or privileges that may be exercised by the Trustee, the
Settlor or any beneficiary for income, estate or death tax purposes. Upon the death of any
beneficiary of Income, any undistributed income then held by the Trustee for such beneficiary
shall be paid to the person or persons for whose benefit the principal producing such income is
continued in Trust or to whom it is distributed under the terms hereof.
ARTICLE THREE
(A) Powers of the Trustee: The Trustee hereunder shall have the following powers,
in addition to and not in limitation of those granted by law:
1. Accept, Purchase and Retain Assets: To accept assets in kind from the
Settlor, his estate or elsewhere, to purchase assets from the estate and to retain
such assets in kind;
2. Sale and Investment of Other Assets: To sell assets and to invest and reinvest
the proceeds and any other cash in any kind of property, real or personal, or part
interest therein, located in the United States oi: abroad, including interest bearing
accounts in or certificates issued by any firm, including a corporate fiduciary, and
securities underwritten by syndicates of which the corporate fiduciary is a
member but not purchased from the Trustee, all statutory and other limitations as
to the investment of funds, now or hereafter enacted or in force, being waived;
3. Hold Cash: To hold Income 'cash uninvested until the next regular payment
date, without liability for interest thereon;
4. PurchaSe Life Insurance: To retain or to purchase policies of life insurance,
to pay premiums thereon from income or principal and to exercise all rights of
ownership thereof;
5. EnCumber Assets: To pledge, exchange or mortgage real or personal property
and to lease the same for terms exceeding five (5) years;
6. Give Options: To give options for sales, leases and exchanges;
7. Compromise Claims: To compromise claims and controversies;
5
8. Vote Common Stock: To vote shares of corporate stock, in person or by
proxy, in favor of or against management proposals;
9. Carry_ Securities Without Identif_¥ing Trust Estate: To carry securities in the
name of a nominee, including that of a clearing corporation or depository, or in
book entry form or unregistered or in such other form as will pass by delivery;
10. Distribution in Kind: To make division or distribution hereunder either in
cash or in kind; and, in connection therewith, to allocate to different kinds of, or
interests in, property and property having different bases for federal income tax
purposes, all as the Trustee deem equitable;
1i. Investment of Trust Estate Assets:' To invest and reinvest the Trust Estate
funds (or leave them temporarily uninvested), in any type of property and every
kind of investment, without regard to any principle of diversification of risk, and
without being limited to "legal investments", including (but not limited to)
corporate obligations of every kind, preferred or common stocks, securities of
any regulated investment trust, and partnership interests.
12. Participate in Business Operations: To participate in the operation of any
business or other enterprise for whatever period of time the Trustee deed proper,
with full power to do any and ali things deemed necessary or appropriate,
including the power to incorporate any unincorporated business; to vote any and
all shares of stock owned in any such business; to borrow and to pledge assets as
security for such borrowing; to assent to, join in, or vote in favor of or against
any merger, reorganization, voting trust plan, or similar action, and to delegate
discretionary duties with respect thereto; to delegate all or any part of the
supervision, management and operation of the business to such person or persons
as may be selected; and to close out, liquidate, or sell the business at such time
and upon such terms as the Trustee deem advisable.
13. Deposit Funds: To deposit Trust Estate funds in any commercial savings or
savings and loan accounts, or in "money market" or similar accounts maintained
by any corporate fiduciary.
14.- Borrow Funds: To borrow money for any reasonable Trust EState purpose
from any lender, including the power to borrow from the probate estate of Settlor
for the purpose of payment of taxes or on behalf of any separate trust hereunder
from any other separate trust hereunder, upon such terms, including (but not
limited to) interest rates, security, and loan duration, as they deem advisable.
15. Make Loans: To lend Trust Estate funds to such persons and on such terms,
including (but not limited to) interest rates, security, and loan duration, as the
Trustee deem advisable, including the power to make loans to the Settlor during
his lifetime.
6
ltS. Sale of Trust Estate Assets: To sell or otherwise dispose of Trust Estate
assets, including (but not limited to) Trust Estate real Property, for cash or credit,
at public or private sale, and with such warranties or indemnifications as the
Trustee deem advisable.
17. Alteration or Disposal of Trust Estate Assets: To improve, develop, manage, lease,
or abandon and Trust Estate assets, as the Trustee deems advisable.
18. Hold Property .Without Identifying Trust Estate: To hold property in the
name of any Trustee or any custodian or nominee, without disclosing this trust,
but the Trustee are responsible for the acts of any custodian or nominee the
Trustee so use.
19. Compensate for Administration' To pay and advance money for the Trust
Estate's protection and. for all expenses, losses, and liabilities sustained in its
administration.
20. Act as Legal RePresentative: To prosecute or defend any action for the
protection of the Trust Estate, the Trustee in the performance of their duties, or
both, and to pay, contest, or settle any claim by or against the Trust Estate or the
Trustee in the performance of their duties.
21. Hire Consultants, etc: To employ and dismiss agents, brokers, investment
advisors, accountants, attorneys and emplOyees, regardless of whether they are
associated with the Trustee, or the Trustee 0r affiliates or employees thereof, and
to advise or assist them in the performance of their duties.
22. Allocate Between Principal and Income: To determine what is principal or income
and what items shall be charged or credited to either.
23. Execute Binding Legal InstrUments: To execute and deliver any instruments
necessary or useful in the exercise of any of the foregoing powers.
24. Retain Non-Income Producing Property: To retain, during the lifetime of
the Settlor, for 'so long as the Trustee may deem advisable any property
whatsoever, regardless of whether or not such _property income producing.
25. Retain Settlof's personal Residence: Following the death of the Settlor, the
Trustee are authorized to retain as part of the Trust Estate for the personal use
of the Settlor, any property occupied by Settlor and the Settlor at the death of
Settlor as their principal place of residence for so long as the Settlor wishes to
occupy said residence. During such period of retention, the Trustee shall pay
from the Income or principal of the separate trusts established hereunder as the
7
Trustee may deem to be in the best interests of such trusts and their beneficiaries, all
taxes and assessments levied upon or assessed against residence, and ali costs of
maintaining, repairing and insuring said residence.
No obligation of rent shall be imposed upon the Settlor during any period of
occupation of said residence. On written or oral request of the Settlor, the
Trustee may sell said residence and replace it with other property which in the
opinion of the Trustee is suitable as a residence for the Settlor, to be retained in
the trust in the same manner as the property which was replaced.
26. Authority to Sign Documents: Either Trustee shall have the power to
execute individually any and all documents necessary to carry out the powers,
functions, and duties of the position of Trustee. Such power shall include, but
shall not be limited to: the signing of checks, the opening of bank or other
financial accounts, the disbursement of Trust funds, the execution of contracts,
and other such financial transactions.
(B) Resignation of Trustee: Any Trustee may resign at any time during Settlor's
lifetimes by written notice to Settlor. After the death of the Settlor, a Trustee may resign at
any time, without stating cause, by notice to the remaining Trustee(s); provided, however that
prior to the resignation of a sole remaining individual Trustee, such Trustee's resignation shall
not become effective until after Such Trustee has appointed a corporate trustee as successor, and
such corporate trustee has accepted such appointment. Absent such appointment and acceptance,
said Trustee's resignation shall not become effective until said Trustee has petitioned a court of
competent jurisdiction to designate a successor Corporate trustee.
(C) Successor Trustee{s): Upon the death, disability, incapacity or resignation of any
Trustee, during the lifetime of the Settlor, the Settlor may appoint one or more successor
Trustees. Upon the death, disability, incapacity or resignation of any individual Trustee
following the death of the Settlor, the then remaining: Trustee if any may appoint one or more
successor Trustees, who may either be individuals or a corporate trustee; provided, however,
that such right of appointment shall not exist to the extent a corporate trustee has already been
appointed hereunder.
Unless the Settlor makes other provisions during Settlor's lifetime as is his unlimited right
then upon the death or incapacity of the Settlor, DIANN W. CARRICATO, Settlor's step-
daughter, shall serve as Successor Trustee without bond.
(D) Replacement of A Corporate Trustee: If at any time a corporate trustee has been
appointed during the lifetime of Settlor, the Settlor may replace such corporate trustee by written
notice to said corporate trustee, and may, but shall not be required to, designate a Successor
corporate trustee. Following the death of the Settlor, an individual Trustee may replace a
corporate trustee by written notice thereto, and may, but shall not be required to, designate a
successor corporate trustee. ~
8
(E) Compensation of Trustee: The Trustee shall be entitled to receive annual
compensation for their services hereunder but not in excess of such compensation as would be
approved by a court of competent jurisdiction. Payment of such compensation to a Trustee, in
his, her or its capacity as such shall not preclude payment to any Trustee for the rendition of
professional services for, or on behalf of, the Trust Estate. For any services performed by the
Trustee in connection with Settlor's estates, which services are normally performed by the
personal representative, the Trustee shall be entitled to such additional compensation as may be
fair and reasonable under the circumstances.
(F) Authority to Terminate Small Trusts: Should the principal of any Trust Estate
herein provided for, be or become too small in the Trustee' discretion to make establishment or
csntinuance of the Trust Estate advisable, the Trustee may make immediate distribution of the
remaining principal and Income outright to the Income beneficiaries in the proportion to which
they are then entitled to the Income. The receipts and releases of the distributee will terminate
absolutely the right of all persons who might otherwise have a future interest in any portion of
the Trust Estate, whether vested or contingent, without notice to them and without the necessity
of filing an account with the court.
(G) Merger: The Trustee may merge or consolidate for administrative purposes any
trust established under this Trust Agreement with any other trust established by Settlor of the
Settlor having the same Trustee and substantially the same dispositive provisions.
(H) Division and Delegation of Duties by Trustee: One or more of the Trustee may,
whenever, as often, and for such period as they shall deem it advisable to do so, delegate to one
or more of the other Trustee, any or all ministerial and administrative duties, including the
keeping of books and records, acting as custodian of the Trust Estate property, and preparing
all necessary tax returns, as well as the authority to exercise in their names and behalf any or
all the powers, authorizations, discretion, and duties vested in or devolving upon them as Trustee
under the provisions of this Trust Estate. Any action taken by the Trustee to which such
division or delegation shall be made shall have the same force and effect as if taken and
exercised by the designating or delegating Trustee(s) acting in conjunction with the designated
or delegated Trustee(s). Any such delegation shall be sufficiently evidenced for any and every
purpose if contained in a writing, signed by the designating Trustee(s) and delivered to the
designated Trustee(s).
(I) Fiduciatw Restrictions, Discretion and Elections: The powers and discretion
granted to the Trustee are exercisable only in a fiduciary capacity and may not be used to shift
or enlarge any beneficial interest except as an incidental consequence of the discharge of
fiduciary duties. The Trustee may make discretionary payments of income and principal in
unequal shares to the beneficiaries of any trust established hereunder, and may, but shall not be
required to, consider other resources available to any beneficiary. The Trustee may make tax
elections without regard to the relative interests of any beneficiaries and may, but shall not be
required to, make equitable adjustments among beneficiaries.
9
ARTICLE FOUR
(A) Additions to Trust Estate: The Settlor or others may, by Last Will and Testament,
inter-vivos transfer or beneficiary designation, add to the Trust Estate, cash or such property in
kind as is acceptable to the Trustee at any time during the term of the present Trust Agreement.
(B) Settlor's Right to Revoke Agreement: The Settlor expressly reserves the right at
any time and from time to time to revoke this Agreement, in whole or in part, by written notice
delivered to the Trustee during Settlor's lifetime. The Settlor shall have the right to revoke, in
'whole or in part, any portion of the present Trust Agreement relating to the Trust created herein.
Upon the death of the Settlor, the Trust and all of its terms and conditions shall become
irrevocable and not subject to amendment or modification.
(C) Settlor's Right to Amend Trust Agreement: The Settlor further reserve the right
at any time and 'from time to time to amend this Agreement at any time during his life by a
proper instrument in writing,' executed by the Settlor and delivered to the Trustee during
Settlor's lifetime and accepted by the Trustee. The Settlor shall have the right to amend, in
whole or in part, any provision in the present Trust Agreement relating to the Trust created
herein. Upon the death of the Settlor, the Trust and of its terms and conditions shall not be
subject to amendment Or modification.
(D) Life Insurance: If Settlor designate the Trustee as beneficiary of the proceeds of
any policies of insurance on their lives, the duty and responsibility for the payment of premiums
and other charges on such policies during the Settlor's lifetimes shall rest solely upon Settlor.
The only duty of the Trustee shall be the safekeeping of such policies as are deposited with it,
and the Trustee shall be under no duty to notify the Settlor that any such premium or other
charge is due and payable.
All options, rights, privileges and benefits exercisable by or accruing to the Settlor during
their lifetimes by the terms of the policies shall be for the Settlor's sole benefit. The Settlor
agree, however, not to exercise any options whereby the proceeds would be payable to the
Trustee other than in one sum. Upon the written request of the Settlor, the Trustee shall execute
and deliver such Consents and instruments as may be requisite to enable the Settlor to exercise
or-avail themselves of any option right, privilege or benefit granted by any of the policies.
Upon the Settlor's/Settlor's death(s), or at such later time as may be specified in the policies,
the net proceeds of any Policies then paYable to the Trustee hereunder shall be collected by the
Trustee; the receipt of the Trustee for such proceeds shall release the insurance companies from
liability on .the policies, and the insurance companies shall be under no duty to see to the
application of such proceeds. The Trustee may take all steps necessary in their opinion to
enfoice payment of said policies and shall be entitled to indemnify themselves out of any
property held hereunder against all expenses incurred in taking such action.
10
(E) Employee Death Benefits: The Settlor may designate the Trustee as beneficiary
of certain employee death benefits. In such case the Trustee shall collect the proceeds receivable
therefrom upon the Settlor's death and hold them as part of the Trust Estate. The receipt of the
Trustee for such proceeds shall be a full acquittance to the administrator of such benefit, and
said administrators shall not be liable to see to the application of such proceeds. To the extent
that such proceeds are not included in the Settlor's estate for federal estate tax purposes, they
shall not be used for the payment of death taxes or any administration expenses of Settlor's
estate. The Trustee may select any option available to it as to the time and method of payment
of such proceeds and may also exercise any option with respect to the income or death taxes
thereon as they in their sole discretion deem advisable, and their decision in these matters shall
be binding upon, and shall not be subject to question by, the beneficiafies~
ARTICLE FIVE
(A) Incontestability: The beneficial provisions of this instrument (and of Settlor's Last
Will and Testament) are intended to be in lieu of any other fights, claims, or interests of
whatsoever nature, whether statutory or otherwise, except bona fide pre-death debts, which any
beneficiary hereunder may have against or in Settlor's estate of the properties in Trust
hereunder~ AcCordingly, if any
beneficiary hereunder asserts any claim (except a legally enforceable debt), statutory election,
or other right or interest against or in Settlor's estate, Settlor's Will, or any properties of said
Will, or directly or indirectly contests, disputes, or calls into question, before any court, the
validity of this instrument or of said Will, then;
(a) Such beneficiary shall thereby absolutely forfeit any and all beneficial
interests of whatsoever kind and nature which such beneficiary might otherwise
have under this instrument and the interests of the other beneficiaries hereunder
shall thereupon be appropriately and proportionally increased and/or advanced.
(b) All of the provisions of this instrument, to the extent that they confer any
benefits, powers, or rights whatsoever upon such claiming, electing or contesting
beneficiary, shall thereupon become absolutely void and revoked, and
(c) Such claiming, electing, or contesting beneficiary, if then acting as a Trustee
hereunder, shall automatically cease to be a Trustee and shall thereafter be
ineligible either to select, remove, or become a Trustee hereunder. The
foregoing shall not be construed, however, to limit the appearance of any
beneficiary as a witness in any proceeding involving this instrument or said Will
nor limit any beneficiary's appearance in any capacity in any proceeding solely
for the construction of either of said documents.
11
(B) Payment of Debts, Taxes and Other Charges upon Settlor's Death: Upon each
Settlor's death, the Trustee may pay to or upon the order of Settior's personal representative
funds needed to pay Settlor's debts, funeral and burial expenses, costs of administration, death
taxes and specific bequests, if any, under the Setflor's Last Will and Testament. The Trustee
may rely upon Settlor's personal representative as to the amount of such charges. The decision
of the Trustee about whether to provide funds shall be final, except that the Trustee shall use
any U.S. Treasury securities that may be redeemed at par to pay federal estate taxes for that
purpose. Assets that are not included in Settlor's gross estate for federal estate tax purposes
shall not be used for such payments.
(C) Payment of Taxes at thelSettlor's Death: If the Settlor does not negate this
provision by specific reference to' this paragraph in the Last Will and Testament of the Settlor,
the Trustee shall, upon the death of the Settlor, pay to the estate of Settlor from the principal
of the Trust a sum sufficient to cover-the estate and inheritance taxes payable by reason of the
death of the Settlor and attributable to the principal of the Trust.
(D) Disclaimer: Any beneficiary hereunder, or the legal representative of any such
beneficiary shall have the right, within the time prescribed by law, to disclaim any benefit or
power under this Trust Agreement.
(E) Word Meanings: 'The words "herein", hereinbefore", ne~m m~r mad
"hereunder" refer to this Agreement as a whole and not merely to a subdivision in which such
words appear, unless the context requires otherwise. The singular shall include the plural, the
plural the singular, and the use of any' gender shall be applicable to all genders. The terms
"child" "children" and "issue" and similar terms shall include adopted children, regardless of
the date of adoption, with full effect as if they were the natural children of the adopting parents.
The term "minor" shall mean any person under the age of twenty-one (21) years, regardless of
the age of the majority provided by statute.
(F) Paragraph or Article Headings: Headings contained in this Trust Agreement are
inserted only as a matter of convenience and for reference, and shall not be construed in any
way to define, limit, extend or describe the scope of any of the provisions hereof.
(G) ' Governing Law: This Agreement shall be deemed to have been delivered to and
accepted by the Trustee in the State of Pennsylvania, regardless of the jurisdiction in which
actual execution may have occurred, and shall be interpreted-and governed in all respects by the
laws of said State which shall be applied to any dispute arising hereunder.
(It) Enforceability: The invalidity or enforceability of any particular provisions of
this Agreement shall not affect the other provisions hereofand this Agreement shall be construed
in all respects as if such invalid or unenforceable provision was omitted.
12
(I) Change of Allreement: Except as otherwise specifically provided herein, no
change, modification, amendment of, or waiver under, this Agreement shall be valid unless the
same be in writing and signed by all of the parties hereto.
(J) Notices: Any notice, request, direction, instruction or other communication
permitted or requested to be made hereunder by any party to the other shall be in writing
(including telex, telegram or telecopier ["fax"], signed by the party giving such notice and shall
be delivered personally, sent by registered or certified mail, postage prepaid, or by telex,
telegram or fax (in each such case followed by written confirmation) to the other parties, to the
addresses indicated below (or. to such other address as any or all of said undersigned may have
submitted therefor by written notification. The date of personal delivery, the date of receipt (if
mailed), when delivered by the telegraph company or in the case of telex or fax, when received,
as the case may be, shall be the effective date of such notice. Whenever under the terms hereof
the time for giving notice or performing an act falls upon a Saturday, Sunday or holiday, such
time shall be extended to the next business day.
Mr. Joseph J. Koscevic
20 South Chestnut Street
Mechanicsburg, PA 17055
IN WITNESS WHEREOF, with the intentions to be legally bound hereby, the Settlor
and the Trustee have executed this Trust Agreement on the day and year first above written.
WITNESS:
SETTLOR:
~i'O~EFrH'J. KOSCE¥I~ -
WITNESS:
TRUSTEE:
J~SEPi~ J. dl~OSCEVIC _
13
COMMONWEALTH OF PENNSYLVANIA )
) SS'
COUNTY OF )
On this, the 27th day of January, 1998, before me, a Notary Public, personally appeared
Joseph J. Koscevic, known to me or satisfactorily proven to be the person whose name is
subscribed to the within instrument as the Settlor and the Trustee and acknowledged that he
executed the same for the purposes therein contained.
/~~~ WITNESS wHEREOF I my hand and official seal this,~ 7 ~day of
. 199 J>. . hereunto set
-Notary Pu~id /
My Commission Expires:
I Notarial Seal
i S. Dawn Gladfelter, Notary Public
[ Dillsburg Boro, York Coum'y
~ My Commission Expires May ,,,17 2001
iVlember, Pennsylvania Association. of Notaries
CITIZENS
BANK
525 William Penn Place
Suite 153-2510
pittsburgh, PA 15219
November 24, 2003
THE WILEY GROUP
130 W CHURCH STREET
SUITE 100
DILLSBURG, PA 17019
Estate of JOSEPH J KOSCEVIC
Date of Death: Sep 11, .2003
SSN: 211-22-6809
Dear Sir/Madam:
la~ accordance with your request, the attached information sheet has been provided in the above decedent's
name as of his/her date of death.
For IL or LC accounts, contact oktr Loan Department at 1-800-708-6680. For all other inquiries, please
call 412-867-3858.
Sincerely,
Jonathan Stroud
Operations Services
CITIZENS BANK
Account Number
Account Title
Date Opened
Account Type
Principal Balance as of DOD
Interest from Last Posting to DOD
Account Balance as of DOD
6100740285
JOSEPH J KOSCEVIC OR DIANN W CARRICATO
3/16/73
Checking
$8333.12
$8333.12
YTD Interest to DOD $12.54
CITIZENS BANK
Account Number 6140168643
Account Title JOSEPH J KOSCEVIC OR DIANN W CARRICATO
Date Opened 4/10/85
Account Type
Principal Balance as of DOD
interest from Last Posting to DOD
Account Balance as of DOD
Savings
$18934.40
$1.43
$18935.83
YTD Interest to DOD $31.48
12,,/D9,~.~03 !2:22 7L77Bl!T99 KEVDTONE LA!qD TRANSF PAGE
....
.......... ~~~:
~.~V~
m.~V.
S~LEMENT STATEMENT 039~ 1 [ ~4591~B
' D, NAME ~D ADD~ESS OP BoRRowER: E, NAME AND ADD.S8 OF 8ELL~R: "["F. NAME A~'~
J~e~ J, K~vicTr~t [ 10741 ~g Will~m
Dall~, TX 7~0
G. PR()~DER~ LOCATION;
Mechantcsburg, PA l?q~5
I. s~- it LEMENT DATE:
December 11,20(33
H. SETTLEMENT AGENT: 2§-1878915
I
Keystone Land Trarl~r,
-P~cE OF 8E~EM/NT
~21 Manet
Cam~ HIIi, PA 170~ t
'~0. GROSS ~ouNl' DUE TO SEL~R:
'107. CounW Taxes 12/11103
110.,
120. GROSS AMOUNT DUE FROM BORROWER
!20b. &tOUNT8 PA,ID BY OR IN BEHALF OF BORROWER:
!201, r.J~q3o~it or ~,aarneSt money }
2O2. Prfncfl~at Amount or New Loan(s)
2-02. ExiSting loan{s) 'taKen 6ulaj~,e:t to
2{34. P~nC~p~,l Abiit of New Loan(s)
205.
z67: , ,
216.
69.UOO.Og
10.91
351
407. Coun~ T~ ~2/~ 1/03 ~ Oq/gl/04
"~BB, ~ Tax 1~111Ig3 ~ 07101/~
4-1 LJ,
'412, , i
420. GROSS AMOUNT DUE TO ~ELILER
SDO, REDUCTION5 1~ AMOUH'~ DUE TO-~LH~: '
~3. Exisang loan(s) taken $UDJe~ t0 ,
~, Payoff' ct fiat MOntage '
~07.
3~1 ,~
ii
i'2'i9- '51g.
J220. TOTAL PAID BY/FOR i~ORROW~R 8~,550.00 820.
~Oq, ~ss Am~nt ~e P~ ~er ~lne 120) T2,5~2.42
303. ~SH ( X F~M ) ( TO ) BORRO~R 7,032.~ GO3, ~3H ( X TO } ( FROM ) SELLER
88,6Tg.27
TOTAL REDUCTION AIvlOUNT DUE SELLER
Julius F. Carncato
Seller
Diann W. Carrir. a~:o, Successor Trustee of the Jossph J,
KosQevl¢ Trust
L. SETTLEMENT C~ARGEES ....
7O~-? ;OT~' ~"~"'-~:------:"~--!C:~I ~
· ~mp n ee
~. . ....
~, int~st Fr~ 1~11103 m 0t/01/~ ~ $ 9.883000/~y ( 21 Oays %"~"
· su~n~ r~um mort = ~: :
~~umn~ · m~ ~ . per mom
nOO~ ~/l~n T~s .......
. o ax ~', ~on 5 . ~ m
7-
Se~ement
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
REV-1162 EX(11-96)
CD 003326
LENOX DAVID J ESQUIRE
130 W CHURCH STREET
DILLSBURG, PA 17019
fold
ESTATE INFORMATION: SSN: 211-22-6809
FILE NUMBER: 2103- 1018
DECEDENT NAME: KOSECEVIC JOSEPH J
DATE OF PAYMENT: 12/10/2003
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 09/1 1/2003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $3,450.00
REMARKS:
TOTAL AMOUNT PAID'
DIANN CARRICATO
C/O DAVID J LENOX ESQUIRE
$3,450.00
SEAL
CHECK# 2019
INITIALS: AC
RECEIVED BY'
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF TNDZVIDUAL TAXES
INHERITANCE TAX D/VTS/ON
DEPT. Z80601
HARRTSBURG, PA 171Z8-0601
COHHONNEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
ZNHERZTANCE TAX
STATEMENT OF ACCOUNT
REV-1607 EX &FP (01-03)
DAVID J LENOX
150 N CHURCH ST
DILLSBURG
~eC:2' . ._ 21 DATE 05-01-200q
ESTATE OF KOSCEVTC
DATE OF DEATH 09-11-Z00$
FILE NUMBER Z1 03-1018
'04 APR -5 P3:04 COUNTY CUMBERLAND
ACN 101
PA~'~Z~ 1 9 : ' I Amoun'l: Remi~ed
JOSEPH J
HAKE CHECK PAYABLE AND REHIT PAYMENT TO=
REGISTER OF NILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 1701:5
NOTE: To insure proper credi~ ~o your accoun~c, submi~ ~he upper portion of ~his form wi~h your ~ax payment.
CUT ALONG THIS LINE ~ RETAIN LONER PORTION FOR YOUR RECORDS *-~
ESTATE OF KOSCEVTC JOSEPH J FILE NO. 21 05-1018 ACN 101 DATE 05-01-200q
THIS STATEHENT TS PROVIDED TO ADV/SE OF THE CURRENT STATUS OF THE STATED ACM TN THE NAMED ESTATE. SHO#N BELO#
TS A SUHNARY OF THE PR/NCTPAL TAX DUE, APPLTCAT/ON OF ALL PAYMENTS, THE CURRENT BALANCE, AND, TF APPL/CABLE..
A PROJECTED /NTEREST FTGURE.
DATE OF LAST ASSESSHENT OR RECORD ADJUSTHENT: 0Z-17-200~
PRINCIPAL TAX DUE: ...........................................................................................................................................................................................................................
PAYHENTS (TAX CREDITS):
PAYHENT
DATE
12-10-2005
OZ-17-ZO0~
RECEIPT
NUMBER
CDOO$$Z6
REFUND
DISCOUNT (+)
INTEREST/PEN PAID (-
181.51
.00
AMOUNT PAID
$,650.29
$,q50.00
1.22-
TOTAL TAX CREDIT
ZF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE ZS LESS THAN $1,
NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )
3,650.29
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
PAYNENT:
Detach the top portion of this Notice and submit with your payment made payable to the name and address
printed on the reverse side.
-- If RESIDENT DECEDENT make check or money order payable to: REGISTER OF WILLS, AGENT.
-- If NON-RESIDENT DECEDENT make check or money order payable to: CONHON#EALTH OF PENNSYLVANIA.
REFUND (CR): A refund of a tax credit, ~hich Has not requested an the Tax Return, may be requested by completing an
"Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at
the Office of the Register of gills, any of the Z3 Revenue District Offices or from the Department's Z4-hour
answering service for forms ordering: 1-800-36Z-Z050; services for taxpayers ~Jth special hearing and / or
speaking needs: 1-800-447-30Z0 (TT only).
REPLY TO:
Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau
of Individual Taxes, ATTN: Post Assessment Ravie~ Unit, Dept. Z80601, Harrisburg, PA 171Z8-0601, phone
(717) 787-6505.
DISCOUNT:
If any tax due is paid ~ithin three (3) calendar months after the decedmnt's death, a five percent (SI) discount
of the tax paid is alloaad.
PENALTY:
The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period.
INTEREST:
Interest is charged beginning ~ith first day of delinquency, or nine (9) months and one (1) day from the data of
death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of
six (62) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after
January 1, 1982 will bear interest at a rate ~hich will vary from calendar year to calendar year ~ith that rate
announced by the PA Department of Revenue. The applicable interest rates for 198Z through ZOO3 ara:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
1982 ZOZ .000548 1987 92 .000247 1999 72 .00019Z
1983 16Z .000438 1988-1991 112 .000301 ZOO0 82 .000219
1984 112 .000301 199Z 92 .0002~7 ZOOX 92 .O00Z~7
1985 13Z .000356 1993-1994 72 .OOOXeZ ZOOZ 6Z .000164
1986 IOZ .O00ZT~ 1995-1998 9~ .OOOZ47 ZOO3 5X .000137
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NU~IBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent Nil1 reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. Tf payment is made after the interest computation date sho~n on the
Notice, additional interest must be calculated.
BUREAU OF INDIVIDUAL TAXES
TNHERI'TANCE TAX DTVZSTON
DEPT. 280601
HARRTSBURG, PA 17128-n6nl
COHHONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLO#ANCE OR DISALLONANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
DAVID J LENOX
WILEY GROUP
I S BALTIHORE ST
DILLSBURG
~;:~i~ O~ATE 02-24-200q
~ ~ qiS ESTATE OF KOSECEVIC
DATE OF DEATH 09-11-Z005
FILE NUHBER 21 05-1018
FEB 27 71:(~NTY CUHBERLAND101
PA 17oz~,t~mb~*~r~~ Co., PA
JOSEPH J
Amoun~ Remitted
HAKE CHECK PAYABLE AND REHZT PAYHENT TO:
REGISTER OF WILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17015
CUT ALONG THIS LINE ~'~ RETAIN LOVER PORTION FOR YOUR RECORDS ~
REV-l$47 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAZSEHENT~ ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX
ESTATE OF KOSECEVIC JOSEPH J FILE NO. 21 03-1018 ACN 101 DATE 02-24-2004
TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Stock/Partnership Interest (Schedule C) (3)
~. Nortgagas/No~es Receivable (Schedule D)
6. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5)
6. Jointly Owned Property (Schedule F) (6)
7. Transfers (Schedule G) (7)
8. To,al Assets
APPROVED DEDUCTIONS AND EXEHPTZONS:
9. Funeral Expanses/Adm. Costs/Hisc. Expanses (Schedule H) (9)
10. Dabts/Nortgage Liabilities/Liens (Schedule Z) (10)
11. Total Deductions
12. Nat Value of Tax Return
2z402.00
691000.00
(8)
5,7q1.00
622.46
.00 NOTE: To insure proper
.00 credit to your account,
.00 subeit ~he upper portion
.00 of ~his form with your
tax payment.
15.
1~.
NOTE:
ASSESSMENT OF TAX:
15. Amoun~ of Line 1~ a~ Spousal rata
16. Amoun~ of L/ne 1~ taxable at Lineal/Class A rate
17. Amount of Line 1~ et Sibling rata
18. Amoun~ of Line 1~ taxable et Collateral/Class B rata
19. Principal Tax Due
TAX CREDITS:
PAYHENT RECE/P1 DISCOUNT
DATE NUHBER :]:NTEREST/PEN PAID (-)
12-10-2005 CDO0~SZ6 181.51
02-17-2004 REFUND .00
85,056.~8
(11) ~ .~6~. ~6
(la) 80,675.02
Charitabla/Governeen*al Bequests; Non-elected 9115 Trusts (Schedule J) (15) .00
Ne~ Value of Estate Subject to Tax (lq) 80,675.02
Zf an assessment Nas issued previously, 11nas 1~, 15 and/or 16, 17, 18 and 19 will
reflect f/gures that include the total of ALL returns assessed to date.
(15) .00 x O0 : .00
(16) 80,675.02 x 0~5: 5,650.29
(17) .00 x 12 = .00
(18) .00 x 15 = .00
(19)= 5,650.29
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
3,630 .Z9
.00
.00
.00
ANOUNT PAID ]
5,~50.00
1.22-,--'
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
( ZF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
ZF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE~'
A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS.)