HomeMy WebLinkAbout11-05-081505607120
REV-1500 EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue County Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN
Po Box.2sosoi 2 :~ 0 8 1015
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
164 30 4403 08 07 2007 04 07 19:39
Decedent's Last Name Suffix Decedent's First Naire MI
KERTULIS SR. ANTHONY S
(If Applicable) Enter Surviving Spouse's Info rmation Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
__
1. Original Return '~
2. Supplemental Return '~ ~'~ 3. Remainder Return (date of death
- prior to 11-13-82)
-
4. Limited Estate f _.
4a. Fuwre Interest Compromise 5. Federal Estate Tax Return Required
- (date of death after 12-12-82) ~-
~(' g Decedent Died Testate r 1
(Attach Copy of Wilq J ~ Decedent Maintained a Living Trust 8. Total Number of Safe De osit Boxes
(Attach Copy of Trust) p
~ _ 9. Litigation Proceeds Received ~ ~ 10. betweenP231 y9lCandt (d; t95~f death r _~ 11. Election to tax under Sec. 9113(A)
1
(Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL 1'AX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
EDMUND G. MYERS (717) 761 4540
F' N If A I' bl
Irm ame ( pp Ica e)
JOHNSON DUFFIE
First line of address
301 MARKET STREET
Second line of address
PO BOX 109
City or Post Office State ZIP Code
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LEMOYNE PA 17043 r7
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Correspondent's a-mail address:
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 gf preparer other than the personal representative Is based on all information of which preparer has any knowledge.
,SISd979rURE OF PERSON RESP4NSIBF E F~RIFILING RETURN neTo
ADDRESS
111 Center
IGN E OF PR
t, Enola, PA 17025
OTHER THAN REPRESENTATIVE
EDMUND G. MYERS
301 MARKET STREET, LEMOYNE, PA 17043
DATE
Side 1
1505607120
Barbara E. Kertulis
1505607120
,~
REV-1500 EX
1505607220
~eoedent~sName: Anthony S Kertulis Sr.
RECAPITULATION
(Decedent's Social Security Number
164 30 4403
1. Real Estate (Schedule A) .......................................................................................... 1.
2. Stocks and Bonds (Schedule B) ............................................................................... 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C).......... 3.
4. Mortgages & Notes Receivable (Schedule D) .......................................................... 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ................ 5.
6. Jointly Owned Property (Schedule F) ~_] Separate Billing Requested ............. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) [~ Separate Billing Requested ............. 7,
8. Total Gross Assets (total Lines 1-7) ....................................................................... 8.
9. Funeral Expenses & Administrative Costs (Schedule H) ......................................... 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................................ 10.
11. Total Deductions (total Lines 9 & 10) ......................................................................11
12. Net Value of Estate (Line 8 minus Line 11) .............................................................12.
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ................................................. 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) ...
-- -- ......................................... ..... 14.
- ---- -----------
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES -------
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) x .o0 7 5, 0 5 8 4 8 15.
16. Amount of Line 14 taxable
at lineal rate X .045 0 0 0 16.
17. Amount of Line 14 taxable
at sibling rate X .12 0 0 0 17.
18. Amount of Line 14 taxable
at collateral rate X .15 0 _ 0 0 18.
19. Tax Due ...................................................................................................................19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
304,405.33
72,058.48
376,463.81
38,118.85
38,118.85
338,344.96
263,286.48
75,058.48
0.00
0.00
0.00
0.00
0.00
Side 2
1505607220 1505607220
REV-1500 EX Page 3
File Number 21-08-1015
DECEDENT'S NAME
Anthony S Kertulis Sr.
STREET ADDRESS
111 Center Street
---- ----
-- - - ----_- - STATE ZIP
CITY
Enola PA 17025
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19}
2. GreditslPayments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
0.00
Total Credits (A + B + Cj
(1> 0.00
{2) 0.00
3. InterestJPenalty if applicable
p. Interest
E. Penalty
Total Interest/Penalty (D + El
q. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 2 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
g. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
Make Check Payable to: REGISTER OF WILLS, AGENT
(3)
(4)
{5} 0.00
(5A)
(5B) Q . ~ ()
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN T'HE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred :.................................................................................[l Ox
b. retain the right to designate who shall use the property transferred or its income :.................................... [ ~ ~x
c. retain a reversionary interest; or ..............................................................................................................~~ ~_
d. receive the promise for life of either payments, benefits or care? ............................................................. ~ x
~~ ~~
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?......... [] U
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ...................................................................................................................:.x]
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is three (3) percent [72 P.S. §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 zero
(0) percent [72 P.S. §9116 (a) (1.1) {ii)]. The statute does not exemo~ transfer to a surviving spouse from tax, and the statutory requirements
for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a
natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §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-half (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) F>ercent [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.
'Rev-1508 E7(+ (8.98)
COMMONVYEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF (FILE NUMBER
Kertulis, Anthony S Sr. 21-08-1015
Include the proceeds of litigation and the date the proceeds were received by the e:~tate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Cash 5.00
2 Members First Federal Credit Union Individual Account 188373-05 257,063.13
3 Members First Federal Credit Union Individual Savings Account 1883'73-00 56.75
4 Orrstown Bank Money Market Account 2207853301 44,280.45
5 Miscellaneous Individual Personal Property 3,000.00
TOTAL (Also enter on Line 5, Rec:~pitulation) I 304,405.33
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98)
Rev-1510 E~(+ (698)
SCHEDULE G
INTER-VIVOS TRANSFERS 8~
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF (FILE NUMBER
Kertulis, Anthony S Sr. 21-08-1015
This schedule must be completed and filed 'rf the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM
NUMBER RI I N
INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND
THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH
VALUE OF ASSET % OF' DECD'S
INTEREST EXCLUSION
(IF APPLICABLE) TAXABLE
VALUE
1 PNC Investments -Hillard Lyons Custodian for 62,224.41 62,224.41
Anthony Kertulis, Sr. IRA -Account No. 47206340
Barbara E. Kertulis, Beneficiary
2 The American Funds -Custodian for Anthony 9,834.07 9,834.07
Kertulis, Sr. IRA -Account No.
8223-0447-06/08/12
Barbara E. Kertulis, Beneficiary
TOTAL (Also enter on Line 7, Recapitulation) I 72,058.48
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98)
'REV-1151 EX+~12-99)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF I FILE NUMBER
Kertulis, Anthony S Sr. 21-08-1015
Debts of decedent must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Barbara E. Kertulis
Social Security Number(s) / EIN Number of Personal Representative(s):
Street Address 111 Center Street
City Enola State PA zip 17025
Year(s) Commission paid
2. Attorney's Fees JOHNSON DUFFIE
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
20,059.23
15,000.00
4. Probate Fees 580.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 2,479.62
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 38,118.85
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Kertulis, Anthony S Sr. 21-08-1015
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Expenses
1 Church of the Brethren 100.00
2 Food & Refreshments for Funeral Reception 150.00
3 Gingrich Memorials 7,670.00
4 Malpezzi Funeral Home 10,854.23
5 Mechanicsburg Cemetery -Burial Plot 1,285.00
H-A Subtotal 20,059.23
Other Administrative Costs
6 Chuck Bricker, Auctioneer -Appraisal of Personal Property 250.00
7 David E. Coffman, Business Valuations & Strategies -Appraisal of Penn Sign 2,000.00
Company
8 The Cumberland Law Journal 75.00
9 The Cumberland Law Journal 154.62
IH-B7 subtotal 2,479.62
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98)
'REV-1513 EX+ (900)
SCHEDULE J
COM NHERITANCE~TAXRETURNANIA BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF I FILE NUMBER
Kertulis, Anthony S Sr. 21-08-1015
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(S) RECEIVING PROPERTY DECEDENT (Words) ($$$)
Do Not List Trustees
I~ TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116(a)(1.2)]
1 Barbara E Kertulis Spouse 3,000.00
111 Center Street
Enola, PA 17025
Total 3,000.00
Enter dollar amounts for distributions shown above on lines 1 5 through 18, as appropri ate, on Rev 1500 cove r sheet
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO YAX IS NOT
BEING MADE
See continuation schedule(s) attached 263,286.48
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1;100 COVER SHEE 283,286.48
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98)
SCHEDULE J-IIA
SPOUSAL DISTRIBUTIONS UNDER
SECTION 9113 FOR WHICH AN
ELECTION TO TAX IS NOT BEING MADE
continued
ESTATE OF (FILE NUMBER
Kertulis, Anthony S Sr. 21-08-1015
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J-IIA (Rev. 6-98)
ESTATE OFANTHONYS. KERTULI.S, SR.
SCHEDULE OF EXHIBITS
EXHIBIT A Copy of the Last Will and Testament of Anthony S. Kertulis, Sr.,
signed and dated March 4, 2003.
EXHIBIT B Date of Death Letter from Members First Federal Credit Union
EXHIBIT C Date of Death Letter from Orrstown Bank
EXHIBIT D Copy of Letter from PA Department of Revenz~e granting Extension
349580
~~tt~# tll end ~E~#ttment
OF
ANTHONY S. KERTULIS
I, ANTHONY S. KERTULIS, residing in the Township of East Pennsboro, Cumberland County,
Pennsylvania, declare this to be my last Will and revoke any Will previously made by me.
ITEM I: DEBTS: I direct the payment of all my debts and funeral expenses, including a grave marker
and all expenses of my last illness that my estate is legally obligated to pay, shall be paid from my residuary
estate as a part of the expense of the administration of my estate.
ITEM II: TANGIBLE PERSONAL PROPERTY: I give all my tangible personal property, including,
but not limited to, any and all automobiles, furniture, furnishings, china, silverware, jewelry, ornaments, works of
art, books, pictures and wearing apparel, together with all policies of insurance thereon, to my wife, BARBARA
E. KERTULIS, if she survives me by thirty (30) days. If she does not survive me by thirty (30) days, then I give
all of said tangible personal property, but excluding that tangible personal property which is a part of Penn Sign
Company business, to those of my children who survive me by thirty (30) days, to be divided equally among
them, as they may agree, or, in the absence of agreement, as my Executrix or Executor (hereinafter Personal
Representative) in said personal representative's sole discretion may determine. Should my Personal
Representative determine to sell said articles, the proceeds thereof shall be added to my residuary estate. My
Personal Representative may, without further responsibility, distribute properly passing to a minor under this
paragraph to the minor or to a person to hold for the minor. If neither my said wife nor any of my children
survive me by thirty (30) days, this bequest shall lapse.
While this bequest is absolute, it is my wish that any memorandum I may leave addressed to my personal
representative indicating my desire with respect to the disposal of these items, or any of them, shall be regarded.
Notwithstanding the exclusion of that tangible personal property which is a part of Penn Sign Company business,
1
if said memorandum involves an item or items of that business, I want said memorandum to control the
disposition of said item or items.
ITEM III: DISPOSITION OF ESTATE IF WIFE SURVIVES ME: I devise and bequeath all the rest,
residue and remainder of my estate of every nature and wherever situate as follows:
A. If my wife, BARBARA E. KERTULIS, survives me (and I direct that for purposes of this Item
of my Wi11 she shall be deemed to have survived me unless it appears unmistakably that. she
predeceased me), and if the federal estate tax due because of my death will be reduced by making
this gift for her benefit, I give, devise and bequeath to my wife, BARBARA E. KERTULIS,
absolutely, the least amount (based upon values as finally determined for federal estate tax
purposes) as shall be needed for the federal estate tax unlimited marital deduction to reduce the
federal estate tax to the lowest possible figure after full use of all other deductions and credits
allowable in calculating the federal estate tax, except that such amount shall be calculated without
regard to the augmenting of my taxable estate by reason of generation skipping transfers and
without regard for any credit for state gift taxes that would not otherwise be payable.
Accordingly, I direct that:
L If the marital deduction, or any other similar benefit, is allowable with respect to any
property, including property held by entireties, which my wife, BARBARA E.
KERTULIS, has received prior to my death or at my death will receive otherwise than
pursuant to this Item III, the value of such property shall be taken into consideration in
calculating the size of the gift under this Item III A.
2. No property ineligible for the marital deduction, or any similar benefit, shall be distributed '
to this gift for my wife, BARBARA E. KERTULIS, pursuant to this Item III A.
3. Either cash or investments or both maybe allocated to any gift under this Item III A.
2
4. Any property allocated under this Item III A in kind shall be valued at the value which it is
finally included in my gross estate for federal estate tax purposes provided that the
aggregate market value thereof on the date of allocation (plus the value as finally
determined for federal estate tax purposes of all other property qualifying for the marital
deduction) is at least equal to the dollar value of the marital deduction as finally
determined for federal estate tax purposes.
5. If any provision of my Will shall result in depriving my estate of the marital deduction for
federal estate tax purposes, such provision is hereby revoked'and my Will shall be read as
if any portion thereof inconsistent with allowance of the marital deduction for federal
estate tax purposes is null and void.
B. The balance of said rest, residue and remainder of my estate I give, devise and bequest, IN
TRUST, to the Trustee designated in Item IX of this my last Will. Said trust shall be known as
the Barbara E. Kertulis Trust and shall be for the following uses and purposes:
1. To pay the net income therefrom at least as often asquarter-annually to my wife,
BARBARA E. KERTULIS, for and during her life time. Any undistributed income at
the time of my wife's death shall be distributed to my wife's estate.
2. As much of the principal of this Trust as Trustee in its sole discretion may from time to
time think advisable for my wife's, BARBARA E. KERTULIS, support in her
accustomed manner of living or during illness or emergency shall be either paid to her or
else applied directly for her benefit by my Trustee after taking into account other readily
available assets and sources of income.
3. Trustee may apply the net income of this Trust for the support of my wife, BARBARA E.
KERTULIS, should she by reason of age, illness or any other cause in the opinion of my
Trustee be incapable of dispersing it.
3
4. Upon the death of my wife, BARBARA E. KERTULIS, the remaining principal shall be
distributed pursuant to the provisions of ITEM IV hereof as though my wife failed to
survive me.
ITEM N: DISPOSITION OF ESTATE IF WIFE FAILS TO SURVIVE ME.
A. ONE QUARTER INTEREST IN PROPERTY LOCATED IN ABBOT TOWNSHIP, POTTER
COUNTY.
Should my wife, BARBARA E. KERTULIS, fail to survive me, I give, devise and bequeath my
one-quarter interest in property located in Abbot Township, Potter County, which was jointly
owned by me and my wife, to my son, ANTHONY S. KERTULIS, JR., providing he survives
me.
B. PENN SIGN COMPANY/REST RESIDUE AND REMAINDER.
1. UNINCORPORATED/JOINTLY OWNED. My wife and I are joint owners of an
unincorporated business trading under the fictitious name of Penn Sign Company. For the
purpose of assisting in the identification of Penn Sign Company assets, my wife and I
have prepared a document entitled "Penn Sign Company - Inventor' which lists the
present assets of Penn Sign Company. Assets and accounts thereon subsequently replaced
by other assets or accounts are assets of Penn Sign Company. Any doubt as to whether an
asset is a Penn Sign Company asset shall be determined to be a Penn Sign Company asset.
This "Inventory" or a photograph thereof shall be kept with this Will.
2. VALUE OF PENN SIGN COMPANY LESS THAN ONE-FOURTH OF TOTAL
VALUE OF REST RESIDUE AND REMAINDER. If my wife, BARBARA E.
KERTULIS, fails to survive me and the value of Penn Sign Company, as determined for
Federal Estate Tax purposes, is equal to less than one-fourth of the value of the rest;
residue and remainder of my estate (including the Penn Sign Company assets), and if prior
4
to the one hundredth twentieth day following my death, my son has given written notice to
my estate that he wants the Penn Sign Company assets, I give all the rest, residue and
remainder to my children, KAREN J. STEVENS, ANTHONY S. KERTULIS, JR.,
KIMBERLY J. POTTS, and GINA KERTULIS, provided, however, ANTHONY S.
KERTULIS, JR., share shall include a distribution in kind of the assets of Penn Sign
Company.
3. VALUE OF PENN SIGN COMPANY GREATER THAN ONE-FOURTH OF TOTAL
VALUE OF REST, RESIDUE AND REMAINDER. If my wife, BARBARA E.
KERTULIS, fails to survive me and the value of Penn Sign Company, as determined for
Federal Estate Tax purposes, is greater than one-fourth of the value of the rest, residue-and
remainder of my estate (including Penn Sign Company assets), and if prior to the one
hundred twentieth day following my death, my son, ANTHONY S. KERTULIS, JR,
has given written notice to my estate that he wants the Penn Sign Company assets, I give
and devise said assets to my son, ANTHONY S. KERTULIS, JR., provided he gives my
estate a note and mortgage assignable, prepayable and interest free. The mortgage to be
secured by 650 Enola Road, Enola, Pennsylvania. Note shall be payable monthly over
thirty (30) years. The amount of said note shall be the difference between the value of the
Penn Sign Company assets and the value of one-quarter ('/4) of the rest, residue and
remainder, including Penn Sign Company assets. Example: Assume that the value of the
Penn Sign Company assets if $1,146,000. Assume that the value of the rest, residue and
remainder of my estate, including the Penn Sign Company assets, is $2,000,000. One
fourth of said $2,000,000 is $500,000. Difference between $500,000 and $1,146,000 is
$646,000. The amount of the note is $646,000. Hereinafter said amount is referred to as
the difference.
My estate shall give a special warranty deed for 650 Enola Drive and title to all
assets of Penn Sign Company. Any doubt as to whether an asset is an asset of Penn Sign
Company shall be determined to be an asset thereof. In lieu of the said mortgage and
note, my son, ANTHONY S. KERTULIS, JR., may pay said difference to my estate.
5
Said mortgage and note shall be assigned to my daughters, KAREN J. STEVENS,
KIMBERLY J. POTTS, and GINA KERTULIS. I give and devise the rest, residue
and remainder of my estate (not including Penn Sign Company) to my daughters,
KAREN J. STEVENS, KIMBERLY J. POTTS, and GINA KERTULIS.
4. SON ELECTS NOT TO RECEIVE THE ASSETS OF PENN SIGN COMPANY. If my
wife, BARBARA E. KERTULIS, fails to survive me and my son, ANTHONY S.
KERTULIS, JR., does not elect to receive the assets of Penn Sign Company or fails to
comply with the requirements of Paragraph B-3 of ITEM IV hereof, said assets shall be
liquidated, I give and devise all the rest, residue and remainder to my children, KAREN
J. STEVENS, ANTHONY S. KERTULIS, JR., KIMBERLY J. POTTS, and GINA
KERTULIS.
ITEM V: DEATH TAX PROVISION IF WIFE SURVIVES: If my wife, BARBARA E. KERTULIS,
survives me, all federal, state and other taxes payable because of my death, with respect to property forming my
gross estate for tax purposes, whether or not passing under this Wiil, including any interest or penalty imposed in
connection with such tax shall be considered a part of the expense of the administration of my estate and shall be
paid from that apart of my residuary estate passing under Item IlI B. hereof without apportionment or right of
reimbursement. All such taxes on present or future interests shall be paid at such time or times as my Personal
Representative may think proper, regardless of whether such taxes are then due.
ITEM VI: DEATH TAX PROVISION IF WIFE FAII.S TO SURVIVE ME: Should my wife,
BARBARA E. KERTULIS, fail to survive me, all federal, state and other taxes payable because of my death,
with respect to the property forming my gross estate for tax purposes, whether or not passing under this Wi11,
including any interest or penalty imposed in connection with such tax. shall be considered a part of the expense of
the administration of my estate and should be paid from my residuary estate passing under Paragraph B of ITEM
TV hereof without apportionment or right of reimbursement. All such taxes on present or future interest shall be
paid at such time or times as my personal representative may think proper regardless of whether such taxes are
then due.
6
ITEM VII: SPENDTHR~T PROVISIONS: The interest of the beneficiaries hereunder or the
beneficiaries of any Trust created herein shall not be subject to anticipation or to voluntary or involuntary
alienation.
ITEM VIII: POWERS OF FIDUCIARIES:
A. APPLICABILITY. The provisions of this ITEM shall be applicable (unless the context clearly
requires otherwise) to the administration and management of my estate and each fiduciary
account created under this Will, and the terms "Fiduciary" or "Fiduciaries" shall mean whichever
of my Executors, Trustee or other fiduciaries, and the term "trust estate" shall mean whichever of
my estate or such other fiduciary accounts, the provisions of this Item are being applied to at the
particular time.
B. ADMIl~IISTRATTVE POWERS OF FIDUCIARY. In the administration and management of
my estate and any fiduciary account created under this Will and in the management, investment
and reinvestment of the Trust estate thereof, my Fiduciaries shall have and may exercise (subject
to the provisions of B of this ITEM VIII and to any other provision of this Will limiting or
qualifying in any way any power, authority or discretion of my Fiduciaries) full power, authority
and discretion without the necessity of obtaining the order of any court to do alI acts, to execute,
acknowledge and deliver all writings and to exercise for the benefit of all persons who maybe or
become beneficiaries under the provisions of this Will any and all powers, authorities and
discretions given to or vested in such Fiduciaries by the provisions of this Will or by law. By
way of illustration but not limitation, my Fiduciaries shall have and may exercise the following
powers:
1. To retain property in the form and character in which the same shall be received;
2. To sell, convey, mortgage, lease for any term whatever, transfer, exchange and dispose
of, either publicly or privately, the whole or any part of the Trust estate;
7
3. To grant options for such period as my Fiduciaries shall deem advisable for the sale,
conveyance, lease, transfer, exchange or other disposition of the whole or any part of the
Trust estate and to exercise any option at any time held as part of the Trust estate;
4. To invest and reinvest the whole or any part of the Trust estate in any kind of property,
real, personal or mixed, or undivided or part interests therein, including stocks, bonds,
notes, securities, minerals and other natural resources, limited partnerships, common trust
funds, interest bearing accounts and other property of whatsoever character, located in the
United States or abroad, all statutory and other limitations as to the investment of funds,
now or hereafter enacted or in force, being hereby waived and without obligation to
diversify the same and without liability for any decline in the value thereof;
5. To purchase assets from my estate and to make loans to my Executors, all upon such
terms and conditions and with or without security as the Trustees shall determine;
6. To hold, manage, develop and operate all residential and other real property held as part
of the Trust estate, to release, partition, vacate or abandon any such property, to make
improvements, thereto or thereon, to construct, demolish, alter, repair, rebuild, maintain
and insure buildings and other improvements on any such property and to use other assets
of the Trust estate for any of such purposes;
7. To compromise and settle claims;
8. To carry any property in the name of a nominee, including a clearing corporation or
depository or in book entry form or unregistered or in such other form as will pass by
delivery;
9. To vote shares of stock, in person or by proxy, in favor of or against management and
shareholder proposals and to join in or dissent from and oppose the reorganization,
recapitalization, consolidation, merger, liquidation, or sale of corporations or properties;
8
10. To employ accountants, agents, attorneys, brokers, employees, investment counselors and
other representatives (any of whom may but need not be a person, association or
corporation acting as, or affiliated with a Fiduciary at the particular time) to perform any
act of administration (whether or not discretionary), to act without independent
investigation upon their recommendations and to determine and pay their compensation
and expenses out of the Trust estate;
11. To distribute, without the necessity of filing a judicial accounting or obtaining judicial
approval, the whole or any part of the Trust estate upon the receipt and release of the
beneficiary entitled to receive such distribution, in which event my Fiduciaries shall be
relieved of all further liability with respect to the property so distributed with like effect
as if such distribution had been made pursuant to an order of court;
12. To borrow money from any person in such amounts and upon such terms as my
Fiduciaries shall determine and to pledge all or any part of the assets of the Trust estate to
secure such borrowing;
13. To permit any beneficiary to occupy any rea] property forming part of the Trust estate
without rent or upon such other terms and conditions as the Trustee or my Executors shall
determine;
14. To organize or cause to be organized alone or in conjunction with others, one or more
associations, corporations, partnerships or other organizations;
15. To continue any business, incorporated or unincorporated, in which I may have had an
interest at the time of my death for such period or, if required herein, to liquidate the
same at such time and upon such terms, as my Fiduciaries may determine, to invest
additional sums in any such business even to the extent that the Trust estate may be
invested largely or entirely in such business, to act as, or select other persons, including
9
any Fiduciary or any beneficiary hereunder to act as, directors, officers, employees of any
such business, to pay compensation for so acting without regard to whether the person so
acting is a Fiduciary or a beneficiary hereunder, and to make such other arrangements in
respect thereof as my Fiduciaries shall determine; and
16. To make any distribution or division of the Trust estate either in cash or in kind, or partly
in cash and partly in kind and to allot different kinds of, or interests in, property to
different shares, all as my Executors or Trustees, as the case maybe, shall determine to be
equitable to effect such distribution or division.
G LIMITATIONS WITH RESPECT TO MARITAL TRUST. Any other provision of this Will to
the contrary notwithstanding, my Fiduciaries shall not have, nor shall they have the right to
exercise any power, authority or discretion given to or vested in them by the provisions of this
Will or by law if the effect of their having, or having the right to exercise, such power, authority
or discretion would be to prevent the property from qualifying or continuing to qualify for the
marital deduction allowable in determining the federal estate tax payable by reason of my death.
D. GENERAL LIMITATIONS. All powers, authorities and discretions given to or vested in my
Fiduciaries by the provisions of this Will or by law shall be exercisable by my Fiduciaries only in
a fiduciary capacity.
E. EXERCISE OF DISCRETIONARY POWERS. Each and every power, authority and discretion
given to or vested in my Fiduciaries or a class of Fiduciaries by the provisions of this Will or by
law, whatever maybe the nature or extent thereof, shall be freely exercisable by my Fiduciaries at
any time and from time to time in their sole anti absolute discretion, as they alone shall
determine. Each exercise thereof shall not be open to question in any manner whatsoever by, and
shall be binding upon, each person having an interest in the Trust estate.
10
F. DISCLAIMER BY EXECUTORS. I authorize my Executors to disclaim in whole or in part
any property or interest therein passing to me or to my estate by reason of a testamentary or inter
vivos transfer or an intestate disposition or by any other means.
G. OPTION WITH RESPECT TO EXPENSES. In the event any expense of administration of my
estate shall, at the option of my Executors, be deductible either in computing any federal income
tax payable during the administration of my estate or in computing the federal estate tax payable
with respect to my estate, my Executors shall exercise such option as my Executors shall deem to
be in the best interests of my estate and the beneficiaries thereof. In the event any such expense
is deducted for federal income tax purposes, my Executors may, but shall not be required to,
transfer from income to principal an amount equal to the additional federal estate tax which my
estate may be required to pay by reason of the failure to claim any such expense as a deduction
for federal estate tax purposes.
ITEM IX: TRUSTEE: I appoint PNC Bank, Trustee of a~iy trust created by me in this my last Will.
Should PNC BANK not accept this appointment, I appoint my Personal Representative, Trustee of such trust.
ITEM X: I appoint my wife, BARBARA E. KERTULIS, Executrix of this my last Will. Should my
wife, BARBARA E. KERTULIS, fail to qualify or cease to act as Executrix, I appoint ANTHONY S.
KERTULIS, JR., Executor of this my last Will. If he fails to qualify or ceases to act as Executor, I appoint
KAREN J. STEVENS as Executrix of this my last Will. If she fails to qualify or ceases to act as Executrix, I
appoint KIMBERLY J. KERTULIS, Executrix of this my last Will. If she fails to qualify or ceases to act as
Executor, I appoint GINA KERTULIS, Executrix of this my last Will. If all of the above fails to qualify or
ceases to act as Executor, I appoint PNC BANK, Executor of this my last Will.
11
ITEM XI: No bond shall be required of any fiduciary hereunder in any jurisdiction.
IN WITNESS WHE OF, I hereunto set my hand and seal this "day of
2003.
-"~
(SEAL)
THONY IS
Signed, sealed, published and declared by the above-named Testator as and for his Last Will and
Testament in the presence of us, who, at his reques ' ~ ~ "' `' `' -r have
hereunto subscribed our names as witnesses.
12
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
ss.
We, ANTHONY S. KERTULIS, ~~::,_,_:_ ;~ . ~~.~-~~,,-~ and
. ~~ `~ `~4..~~r~....~: ,the Testator and the witnesses whose names are signed to the foregoing
` ~..
instrument, being duly qualified accordingly to law, do depose and say that the witnesses were present and saw
the Testator sign and execute the foregoing instrument as his Last Will and Testament; that he signed willingly
and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the
hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge, the Testator
was that at least 18 years of age, of sound mind and under no constraint or undue influence. Testator
acknowledges the foregoing.
Sworn to or affirmed to and subscribed to before me by '~`~. - :;~ •-. ,_,v . and
:~ ~ `=~~ ~_, witnesses, this `~ ``~"~ da of ~~.
y ~,~.~,-~ , 2003.
A, ~
~ ,~! `,v
Notary Public
My Commission Expires:
167112
--- ~JfJ~"A~IFtL SEAL W~~
DlAV~Nk LENIfi, ~!~€ary t ut~lic
~e~oyne ~arougtE ~1ur;~~aprEan~ Cc.
q~~fu commission ~~~ires Dec. ~I, 2~05~
13
EXKIBIT B
St
MEMBERS 1St
FEDERAL CREDIT UNION
Account Ownership Name:
REGULAR SAVINGS ACCOUNT:
Account Number/ Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
Date Joint Ownership Established
Anthony S. Kertulis, Sr.
295510 -00 188373 -00
11 /10/2006 10/18/1999
$25.00 $56.85
$.00 $.01
$25.00 $56.86
Barbara Kertulis None
11 /10/2006
CHECKING ACCOUNT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
Date Joint Ownership Established
MONEY MANAGEMENT ACCOUNT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
Date Joint Ownership Established
CERTIFICATE OF DEPOSIT:
Account Number/Suffix
Date Account Established
Principal Balance bt Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
Date Joint Ownership Established
295510 -11
11 /10/2006
$1,990.05
$.08
$1,990.13
Barbara Kertulis
11 /10/2006
295510 -05
11 /10/2006
$66,272.35
$27.45
$66,299.80
Barbara Kertulis
11 /10/2006
188373 -05
10/18/1999
$256,938.11
$125.02
$257, 063.13
None
295510 -40
11/10/2006
$103,667.57
$85.04
$103,752.61
Barbara Kertulis
11/10/2006
5000 Louise Drive P.O. Box 40 Mechanicsburg, Pennsylvania 17055 (800) 283-2328 wwwmemberslst.org
ORRSTOti'VN
six
A Tradition of Excellence
77 East King Street
P.O. Box 250
Shippensburg, PA 17257
December 21, 2007
To: Johnson Duffie
301 Market Street
Lemoyne Pa 17043
From: Traci Shaffer
Orrstown Bank
Customer Service Center
PO BOX 250
Shippensburg, Pa 17257
Re: Estate of Anthony S Kertulis, Sr.
Date of death August 7, 2007
IT IS HERERBY CERTIFIED THAT THE ABOVE NAMED DECEDENT, ON THE
ABOVE DATE, HAD THE FOLLOWING ACCOUNTS WITH ORRSTOWN BANK.
CHECKING ACCO UNT
Account # Title of Account Date opened Principle Accrued Interest
2207853301 Anthony S Kertulis, Sr 03/24/04 44280.45 25.90
SA VINGS ACCO UNT
Account # Title of Account
Date opened Principle
Accrued Interest
CERTIFICATE OF DEPOSIT
Account # Title of Account
RECEIVED
JAN - 22008
JOHNSON DUFFI
Date Opened Principle
Accrued Interest
www.orrstown.com
:OMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG, PA 17128-0601
May 14, 2008
Johnson Duffie
301 Market Street
PO Box 109
Lemoyne, PA 17043-0109
Telephone
(717) 787-3930
FAX (717) 772-0412
Re: Estate of ANTHONY S. KERTULIS,
SR.
File Number 2107-1015
Dear Sir or Madam:
This is in response to your request for an extension of time to file the Inheritance Tax Return for
the above estate.
In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for
filing the return is extended for an additional period of six months. This extension will avoid the
imposition of a penalty for failure to make a timely return. However, it does not prevent interest from
accruing on any tax remaining unpaid after the delinquent date.
The return must be filed with the Register of Wills on or before 11/07/08. Because Section 2136
(d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s) will be
granted that would exceed the maximum time permitted.
Sincerely,
~' -.
Claudia Maffei, Supervi O
Document Processing Unit
Inheritance Tax Division
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