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HomeMy WebLinkAbout03-0420BUREAU OF TNDZVZDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG,, PA 17128-0601 COMHONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACGOUNT REV-1607 EX kFP ¢01-0S) EDHUND G MYERS JOHNSON ETAL PO BOX 109 LEHOYNE PA 170q$ DATE 06-1q-200~ ESTATE OF SULLIVAN DATE OF DEATH 05-05-2005 FILE NUMBER 21 05-0~20 COUNTY CUMBERLAND ACN 101 Amoun~ Rem/t'l~ed WILLIAM A MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subm/t the upper port/on of this form with your tax payment. CUT ALONG THIS L'rNE ~ RETAIN LOWER PORTTON FOR YOUR RECORDS ~ REV-1607 EX AFP (01-03) ESTATE OF SULLIVAN ~.~ INHERITANCE TAX STATEMENT OF ACCOUNT ~- WILLIAM A FILE N0.21 03-0q20 ACN 101 DATE 06-1q-200q THIS STATEMENT ZS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACM ZN THE NAMED ESTATE. SHOWN BELOW ZS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, ZF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-19-Z00~ PRINCIPAL TAX DUE: ........................................................................................................................................................................................................................... PAYMENTS (TAX CREDITS): 3,~25.96 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 20.68- 01-ZO-Z00q 06-01-Z00~ CD003~66 REFUND .0O ZF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADD/TZONAL INTEREST. { ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), 3,q51.9Z 5.28- TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 3,~25.96 .00 .00 .00 PAYMENT: 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: REGTSTER OF NZLLS, AGENT. -- If NON-RESIDENT DECEDENT make check or money order payable to: COMMONNEALTN OF PENNSYLVANTA. REFUND ECR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" [REV-1513). Applications ara available at the Office cf the Register of Hills, any of the Z3 Revenue District Offices or from the Oepartaent"s Z4-hour answering service for forms ordering: i-BOO-36Z-ZO50; services for taxpayers with special hearing and / or speaking needs: 1-800-447-5020 (TT only). REPLY TO: guastlons regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. ZB0601, Harrisburg, PA 171Z8-0601, phone (717) 787-6SOS. DISCOUNT: If any tax due is paid within three (5) calendar months after the decedent's death, a five percent (SI) discount of the tax paid is allowed. 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 and of the tax amnesty period. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 19BI bear interest at the rate of six (6Z) percent per annum calculated at a daily rate of .000164. Ail taxes which became delinquent on and after January l~ 198Z will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest Interest Daily Interest Daily rates for 198Z through 2004 are: Year Rata Factor Year Rate Factor Year 1982 ZOZ .O00S4B 1988-1991 llZ .000501 gool 1983 16Z .000438 199Z 9Z .000247 ZOOZ 1984 IIZ .000501 1995-1994 7Z .00019Z ZOO5 1985 X3Z .000356 1995-1998 9Z .000Z47 2004 1986 lOZ .000274 1999 72 .O0019Z 1987 9Z .000Z47 ZOO0 8Z .000219 Interest Daily Rate Factor 9X .000Z47 6Z .000164 SZ .000157 ~Z .000110 --Interest is calculated as follows: I'NTBRBST = BALANCE OF TAX UNPATD X NUNBER OF DAYS DELTNQUENT X DATL¥ INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. Estate of WILLIAM A. SULLIVAN Deceased Register of Wills of Cumberland, County, Pennsylvania PETITION FOR GRANT OF LETTERS Social Security No. 183-24-4144 PATRICIA C. SULLIVAN Petitioner(s), who is/are 18 years of age or older, apply(les) for: (COMPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letters and aver that Petitioner is the executrix named in the Last Will of the Decedent, dated July 7, 1994 and codicil(s) dated State relevant circumstances, e.g. renunciation, death of Executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not to victim of a killing and was never adjudicated incompetent: B. Grant of Letters of Administration (d.b.n.c.t.a.: pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence at 280 Winding Way, Lower Allen Township (List street, number and municipality) Decedent, then 70 years of age, died March 3, 2003 at Holy Spirit Hospital (Location) Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property ..................................................................... $ (If not domiciled in PA) Personal property in Pennsylvania ..................................... $ (If not domiciled in PA) Personal property in County .................................................... $ Value of real estate in Pennsylvania ...................................................................................................................... $ Total ......................................................................................................... $ 25,000.00 150,000.00 175,000.00 Real Estate situated as follows: One half interest in real estate known as 3028 Market Street, Borough of Camp Hill, Cumberland County, Pennsylvania. Wherefore, Petitioners respectfully request the probate of the last Will presented with this Petition and the grant of letters in the appropriate form to the undersigned: Signature Typed or printed name and residence IPatricia C. Sullivan 280 Winding Way, Camp Hill, PA 17011 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA · COUNTY OF CUMBERLAND · The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to and affirmed and subscribed Before me this .~. ~-~la day of ~'~)h ~ ~, ,2003. PATRICIA C. SULLIVAN NO. Estate of , 1-o q-;Z.O WILLIAM C. SULLIVAN Social Security No: 183-24-4144 Date of Death: March 3, 2003 , Deceased AND NOW, ~ oq© ,2003, in consideration of the Petition on the reverse side hereon, satisfactor(fiproof having been presented before me, IT IS DECREED that Letters Testamentary d.b.n.c.t.a.; pendente lite; durante absentia; durante rninoritate are hereby granted to PATRIClA C. SULLIVAN in the above estate and that the instrument(s) dated July 7, 1994 described in the Petition be admitted to probate and filed of record as the last Will of the Decedent. FEES Letters ........................... $ Short Certificate(s) $ Renunciation .............. $ Affidavit ( ) .................. $ Extra Pages ( ) .......$ Codicil ............................ $ JCP Fee ....................... $ Inventory..: ................... $ Other .............................. $ TOTAL .........$ 9.00 Register ~-,Wills -' ,,., * 0 ~ '7, t9 0 /o. oO Attorney: Edmund G. Myers I.D. No: 20558 Address: Johnson, Duffie, Stewart & Weidner, 301 Market Street, P.O. Box 109, Lemoyne, PA 17043- Telephone: 717-761-4540 his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Off]ce for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 No. Date COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH William A. Sullivan Male 183 24 -- 70 ~,,,. : ! Aug. 18,'3~ Pittsburgh, PA ~.~ ~-;-----O oo~[] Cumberland East Pennsboro lclan self-employed , 280 Wi~i~ Way ~p Hill PA 17011 4144 Robert Sullivan Dietrich Sullivan .' 280 2003 BFH Crematory 014404-L PA Crem. PA 17011 Grantville, PA 17028 3125 Walnut St. 008644-00002/July 20, 1994/JRD/DKL/33746 OF WILLIAM A. SULLIVAN I, WILLIAM A. SULLIVAN, of Lower Allen Township, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. I direct that all my legal debts and funeral expenses, including my gravemarker and all expenses of my last illness, shall be paid, unless otherwise provided, from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. II. I bequeath my automobiles, household goods and personal effects and other tangible personalty of a like nature (not including cash or securities), together with any existing insurance thereon, to my wife, PATRICIA C. SULLIVAN, provided she shall survive me. Should my wife, PATRICIA C. SULLIVAN, predecease me, I bequeath such tangible personalty and insurance thereon, to my children, CAROL ANN MCKISSICK, KATHLEEN SULLIVAN, SUZANNE SULLIVAN and JOHN P. SULLIVAN, to be divided among them with due regard for their personal preferences in as nearly equal shares as practical. III. I give to my Co-Trustees, hereinafter named, to hold IN TRUST (hereinafter referred to as the "Credit Shelter Trust"), in addition to all assets received directly by Co-Trustees that are excludable from my gross taxable estate for federal estate tax purposes, assets of a total value equal to the largest amount, if any, that can be passed free of federal estate tax by reason of the unified credit and any other credits available for federal estate tax purposes except: 008644-O0002/July 20, 1994/JRD/DKL/33746 (i) The state death tax credit to the extent the use would require an increase in the amount of state death taxes paid; and (ii) The credit for tax on prior transfers to the extent that credit arises from transfers to me from individuals who die after me. Such latter amount shall be reduced by the value for federal estate tax purposes of any gift which do not qualify for the marital or charitable deduction made by me under this Will, or otherwise, and further reduced by an amount equal to the sum of all charges to principal, except death taxes (since I direct hereafter that such death taxes be paid from this Trust), that are not deducted in computing my federal estate tax. I recognize that depending upon the amount of bequests under my Will, my non-testamentary dispositions, the amount of state death taxes and administration expenses, and other factors, this Trust might be nonexistent or might consume all estate assets, so that no assets may remain to pass outright to my wife pursuant to the residuary gift. The assets of the Credit Shelter Trust shall be held by the Co-Trustees and distributed on the following terms: During the lifetime of my wife, PATRICIA C. SULLIVAN, Co-Trustees (corporate trustee) shall pay and distribute to her or for her benefit the entire net income therefrom, which payments shall be made to her periodically, but not less frequently than quarterly. In addition, the Co-Trustees (corporate trustee) shall from time to time pay to my wife, or apply directly for her benefit, as much of the principal of this Credit Shelter Trust as my Co-Trustees may consider desirable for her health, maintenance and support, after considering all resources available to her. My wife, PATRICIA C. SULLIVAN, shall have the right to withdraw annually the greater of Five Thousand ($5,000.00) Dollars or five (5 %) percent of the principal of this -2- 008644-O0002/July 20, 1994/JRD/DKL/33746 Credit Shelter Trust valued at the end of the calendar year in which the withdrawal is made. The right of withdrawal shall be exercised only in writing and delivered to the Trustee in the lifetime of my wife and the right of withdrawal shall be noncumulative. Co Upon the death of my wife, PATRICIA C. SULLIVAN, or at my death if my wife, PATRICIA C. SULLIVAN, shall predecease me, the Co-Trustees shall distribute, in equal shares, the principal of the Credit Shelter Trust to my children, CAROL ANN MCKISSICK, KATHLEEN SULLIVAN, SUZANNE SULLIVAN and JOHN P. SULLIVAN. In the event that any of my children, CAROL ANN MCKISSICK, KATHLEEN SULLIVAN, SUZANNE SULLIVAN or JOHN P. SULLIVAN, shall not be living at that time, then his or her share shall be distributed to his or her then living issue, per stirpes, and in default of said issue his or her share shall be distributed to my surviving children or their issue, per stirpes, as applicable. IV. I devise and bequeath the residue of my estate of every nature and wherever situate to my wife, PATRICIA C. SULLIVAN, provided she shall survive me. Ve Should my wife, PATRICIA C. SULLIVAN, predecease me, I bequeath the sum of Fifty Thousand ($50,000.00) Dollars to my daughter, CAROL ANN MCKISSICK, provided she shall survive me. Should my daughter, CAROL ANN MCKISSICK, predecease me, then I bequeath said sum to her then living issue, per stirpes. Vie Should my wife, PATRICIA C. SULLIVAN, predecease me, I bequeath the sum of Fifty Thousand ($50,000.00) Dollars to my daughter, KATHLEEN SULLIVAN, provided she shall survive me. Should my daughter, KATHLEEN SULLIVAN, predecease me, then I bequeath said sum to her then living issue, per stirpes. -3- 008644-00002/July 20, 1994/JRD/DKL/33746 VII. Should my wife, PATRICIA C. SULLIVAN, predecease me, I bequeath the sum of Fifty Thousand ($50,000.00) Dollars to my daughter, SUZANNE SULLIVAN, provided she shall survive me. Should my daughter, SUZANNE SULLIVAN, predecease me, then I bequeath said sum to her then living issue, per stirpes. VIII. Should my wife, PATRICIA C. SULLIVAN, predecease me, I bequeath the sum of Fifty Thousand ($50,000.00) Dollars to my son, JOHN P. SULLIVAN, provided he shall survive me. Should my son, JOHN P. SULLIVAN, predecease me, then I bequeath said sum to his then living issue, per stirpes. IX. Should my wife, PATRICIA C. SULLIVAN, predecease me then I devise and bequeath the residue of my estate of every nature and wherever situate, in equal shares, to my children, CAROL ANN MCKISSICK, KATHLEEN SULLIVAN, SUZANNE SULLIVAN and JOHN P. SULLIVAN. Xe If my wife, PATRICIA C. SULLIVAN, disclaims all or any part of her imerest in the residuary gift provided in Paragraph IV, such disclaimed property shall be added to and held and distributed in accordance with the terms of the Credit Shelter Trust. If for any reason the Credit Shelter Trust shall not have been created or shall have been exhausted, such property shall be held and distributed under the same terms as set forth for the Credit Shelter Trust. Xlo If my wife, PATRICIA C. SULLIVAN, and I shall die under circumstances which render the order of our death uncertain, for purposes of residual marital gift, as set forth in Paragraph IV, it shall be conclusively presumed that my wife survived me. 008644-00002/July 20, 1994/JRD/DKL/33746 XII. Should any of my issue, except my children, CAROL ANN MCKISSICK, KATHLEEN SULLIVAN, SUZANNE SULLIVAN and JOHN P. SULLIVAN, entitled to a share of my estate not attained the age of twenty-five (25) years at the time of distribution to him or her, I devise and bequeath the share of each such issue to DAUPHIN DEPOSIT BANK AND TRUST COMPANY, of Harrisburg, Pennsylvania, IN SEPARATE TRUST, to hold, manage, invest and reinvest the shares so received and the accumulation of income thereon, and to use and apply the income and principal, or such much thereof as, in Trustee's sole and absolute discretion, may be necessary and appropriate for such issue's support and education (including trade school and college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support and education and to make payments for these purposes, without further responsibility, to such issue or such issue's parent or to any person taking care of such issue. Any income not so used or applied shall be accumulated and added to and thereafter treated as part of principal. After each such issue shall attain the age twenty-one (21) Trustee shall distribute to each such issue the net annual income from his or her separate trust at least as often as quarter-annually. When each such issue shall attain the age of twenty-five (25) years, his or her separate trust shall terminate and the principal and any accumulated and undistributed income shall be distributed to him or her absolutely. If he or she dies before attaining the age of twenty-five (25) years, the Trust shall terminate and the then remaining principal together with any accumulated and undistributed income shall be distributed to said issue's then living issue, per stirpes, and in default of said issue said share shall be distributed to said issue's personal representative. XIII. No interest in income or principal shall be assignable by a beneficiary available to anyone having a claim against a beneficiary before actual payment to the beneficiary. XIV. My Executrix and Co-Trustees, and their successors, shall have the following powers in addition to those given by law to be exercised by them in their absolute discretion, which powers shall be applicable to all property held by them, effective without the order of any court and until actual distribution of all such property: -5- 008644-00002/July 20, 1994/JRD/DKL/33746 Ao To retain any investments at discretion including stock of any corporate fiduciary, or the holding company controlling it. To invest and reinvest at discretion without restriction to the so called "legal investments" with a specific right to invest in common and preferred stocks and in such common stock, diversified, money market and mutual funds as they deem appropriate. Co To sell, grant options for sale of, or otherwise convert any real or personal property, or interest therein, at public or private sale, for such prices, at such times, in such manner and upon such terms and they may think proper, and to execute and deliver good and sufficient conveyances, assignments and transfers thereof without liability of any purchaser to see to the application of the purchase price. Do To borrow money and secure its repayment by mortgage of real estate or personal property, pledge of investments or otherwise, without liability on the part of the lender to see to its application. E. To compromise claims by or against my estate or any trust created by this, my last Will. F. To make distributions in cash or in kind, or partly in each. Go To register investments in the name of a nominee or to hold the same unregistered in such form that they will pass by delivery. Ho To manage, operate, repair, alter or improve real estate or other property, and to lease real estate and other property upon such terms and for such period as my Executor and Trustee deems advisable even for more than five (5) years and beyond the duration of any trust. 008644-00002/July 20, 1994/JRD/DKL/33746 To deduct administration expenses upon either the federal estate tax or fiduciary income tax return, with or without adjustment between principal and income, as my Executrix shall determine. To join with my wife and file any income tax or gift tax returns that may be due on my behalf and to pay so much of such taxes as my Executrix may deem appropriate and to consent to any gifts made by the wife being treated as having been made one-half (1/2) by me. To retain accountants, custodians, investment advisors and other agents as my Executrix and Trustee shall determine and to compensate them out of principal or income or both as my Executrix and Trustees shall determine. Lo To do all acts and things necessary or appropriate in the management, administration and distribution of my estate. XVe My Executrix and Co-Trustees shall pay all estate, inheritance and other death taxes (including the supplemental estate tax on certain qualified plans but not including any generation skipping tax imposed on a direct skip), together with any interest and penalties, which shall be payable with respect to property or interests subject to taxation by reason of my death and whether passing under my Will or otherwise, including jointly held or other non-testamentary property. My Executrix and Co-Trustees shall pay the same out of principal of the Credit Shelter Trust without apportionment. Only to the extent that the Credit Shelter Trust is insufficient or unless my wife predeceases me shall any such payments be made from my residuary estate. XVI. No property received by my Executrix and Co-Trustees which is exempt from federal estate tax that may be assessed against my estate shall be available for the payment of debt, inheritance and estate taxes or penalties and interest, or administration expenses in the settlement of my estate. -7- 008644-00002/March 17, 1994/JRD/DKL/33746 XVII. I appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY and my son, JOHN P. SULLIVAN, Co-Trustees of any Trust created by this, my last Will. XVIII. I appoint my wife, PATRICIA C. SULLIVAN, Executrix of this, my last Will. Should my wife, PATRICIA C. SULLIVAN, fail to qualify or cease to act as Executrix, I appoint my children, CAROL ANN MCKISSICK, KATHLEEN SULLIVAN, SUZANNE SULLIVAN and JOHN P. SULLIVAN, Co-Executors of this, my Last Will. XIX. I direct that my Corporate Trustee shall be entitled to compensation based on its regular schedule of fees for such services in effect from time to time during the period over which its services are performed. XXe I direct that my Executrix, Co-Executors and Co-Trustees, or their successors, shall not be required to post bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this --~FS'\ day of '~ u l ~ ,1994. J't~..t.t.~ ~,_~, ~4. '-<~-cz-~-e~t/~tc.x (SEAL) WILLIAM A. SULLIVAN 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 request, in his presence and in the presence of each other have hereunto subscribed our names as witnesses. -8- 008644~00002/March 17, 1994/JRD/DKL/33746 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA · · SS: COUNTY OF CUMBERLAND · I, WILLIAM A. SULLIVAN, Testator, whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. WILLIAM A. SULLIVAN this Sworn or affirmed to and acknowledged before me, by WILLIAM A. SULLIVAN, the Testator, ~ day of ~L~' ,1994. Notary~P~blic ~3 -9- 008644-00002/March 17, 1994/JRD/DKL/33746 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND signed to the foregoing instrument, being duly qualified according to law, do depose and say that we 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 time at least 18 years of age, of sound mind and under no constraim or undue influence. Sworn or affirmed to and subscribed to before me by~-~7~ ~v':,L-and~~ K witnesses, this ?'09 day of CTc4~k,/ ,1994. Notary Public -I0- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: WILLIAM A. SULLIVAN Date of Death: MARCH 3, 2003 Will No.: 2003-00420 Admin. No.: To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on June //4~ ~' , 2003. Name Patricia A. Sullivan, Spouse/Executrix John P. Sullivan Kathleen Sullivan Address 280 Winding Way, Camp Hill, PA 17011 183 S. Spring Rd., Villanova, PA 19085 2100 Milltown Rd., Camp Hill, PA 17011 Suzanne S. Grossman 140 Silver Dr., Elizabethtown, PA 17022 Carol Ann McKissick 8 Dishley Dr., Mechanicsburg, PA 17055 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except None. Signature Name Edmund G. Myers, Attorney Address 301 Market St. P. O. Box 109 Lemoyne, PA 17043-0109 Telephone:~'~17) 761,-4540 ~ Capacity: Personal R~.~i-esentative :.'::' '~ X Counsel for pers~al repr~sentabve.. ' REV-1500 COMMONWEALT. OF PENNSYLV^.,A INHERITANCE TAX RETURN DEPARTMENT OF REVENUE ' ~EPT. 28o~o~ RESIDENT DECEDENT HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) :J SULLIVAN, WILLIAM A. DATE OF DEATH (MM-DD-YEAR) OFFiCiAL USE ONLY FILE NUMBER 21 COUNTY CODE 03 00420 YEAR NUMBER SOCIAL SECURITY NUMBER 183-24-4144 DATE OF BIRTH (MM-DD-YEAR) 03/03/2003 !08/18/1932 (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) , SULLIVAN, PATRICIA C. ' [] 1. Original Return [] 2. Supplemental Return THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 183-26-8527 ] 3. Remainder Return (date of death prior to 12-13-82) "~ e [] 4. Limited Estate [] 4a. Future Interest Compromise (date of death after ~ o. o 12-12-82) [] 5. Federal Estate Tax Return Required :co0 o [ "' m '~ [] 6. of Decedentwill) Died Testate (Attach copy[] 7. copyDecedentof Trust)Maintained a Living Trust (Attach 8. Total Number of Safe Deposit Boxes '~ [] 9. Litigation Proceeds Received [] 10. Spousal Poverty Credit (date of death between [] 11. Election to tax under Sec. 9113(A) (Attach Sch O) EDMUND G. MYERS ~ ~ ~:IRM NAME 301 Market Street ~ (If applicable) oo ~o i Johnson, Duffie, Stewart & Weidner P.O. Box 109 TELEPHONE NUMBER Lemoyne, PA 17043-0109 717/761-4540 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) (6) [] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 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) 12. Net Value of Estate (Line 8 minus Line 11) 192,000.00 56,347.~0 None None 24,425.00 22,839.75 1,152,619.20 11,909.88 23,795.70 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax(Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15.Amount of Line 14 taxable at the spousal tax rate, 1,4 1 2,5 2 5.9 7 x .00 or transfers under Sec. 9116(a)(1.2) OFFICIAL USE ONLY (8) 1,448,231.55 (11) 35,705.58 (12) 1,412,525.97 (13) (14) 1,412,525.97 (15) 0.00 (16) (17) (18) (19) 0.00 16.Amount of Line 14 taxable at lineal rate x .045 17.Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due x .12 x .15 20. [] Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) Decedent's Complete Add, ress: ISTREETADDRESS 280 Winding Way CITY Camp Hill ~STATE i Zip PA 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) Total Credits (A + B + C) (2) 0.00 0.00 3. interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (D + E) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is theOVERPAYMENT. (4) Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE. (5) 0.00 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is theBALANCE DUE (5B) 0. 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 cons derat 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death2 ....... [] [] 4. Did decedent own an Individual Ret rement Account, annuity, or other non-probate property which contains a beneficiary des gnat on? 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 and complete. Declaration 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 Patricia C. Sullivan SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS  ADDRESS Si~RER ~REPRESENTATIVE 280 Windin~ Way Camp Hill, PA 17011 DATE DATE EDMUND G. MYERS 301 Market Street DATE P. O. Box 109 Lemoyne, PA 17043-0109 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 statutedoes 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. OF WILLIAM A. SULLIVAN I, WILLIAM A. SULLIVAN, of Lower Allen Township, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. I direct that all my legal debts and funeral expenses, including my gravemarker and all expenses of my last illness, shall be paid, unless otherwise provided, from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. II. I bequeath my automobiles, household goods and personal effects and other tangible personalty of a like nature (not including cash or securities), together with any existing insurance thereon, to my wife, PATRICIA C. SULLIVAN, provided she shall survive me. Should my wife, PATRICIA C. SULLIVAN, predecease me, I bequeath such tangible personalty and insurance thereon, to my children, CAROL ANN MCKISSICK, KATHLEEN SULLIVAN, SUZANNE SULLIVAN and JOHN P. SULLIVAN, to be divided among them with due regard for their personal preferences in as nearly equal shares as practical. HI. I give to my Co-Trustees, hereinafter named, to hold IN TRUST (hereinafter referred to as the "Credit Shelter Trust"), in addition to all assets received directly by Co-Trustees that are excludable from my gross taxable estate for federal estate tax purposes, assets of a total value equal to the largest amoum, if any, that can be passed free of federal estate tax by reason of the unified credit and any other credits available for federal estate tax purposes except: (i) The state death tax credit to the extent the use would require an increase in the amount of state death taxes paid; and (ii) The credit for tax on prior transfers to the extent that credit arises from transfers to me from individuals who die after me. Such latter amount shall be reduced by the value for federal estate tax purposes of any gift which do not qualify for the marital or charitable deduction made by me under this Will, or otherwise, and further reduced by an amount equal to the sum of all charges to principal, except death taxes (since I direct hereafter that such death taxes be paid from this Trust), that are not deducted in computing my federal estate tax. I recognize that depending upon the amount of bequests under my Will, my non-testamentary dispositions, the amount of state death taxes and administration expenses, and other factors, this Trust might be nonexistent or might consume all estate assets, so that no assets may remain to pass outright to my wife pursuant to the residuary gift. The assets of the Credit Shelter Trust shall be held by the Co-Trustees and distributed on the following terms: During the lifetime of my wife, PATRICIA C. SULLIVAN, Co-Trustees (corporate trustee) shall pay and distribute to her or for her benefit the entire net income therefrom, which payments shall be made to her periodically, but not less frequently than quarterly. In addition, the Co-Trustees (corporate trustee) shall from time to time pay to my wife, or apply directly for her benefit, as much of the principal of this Credit Shelter Trust as my Co-Trustees may consider desirable for her health, maintenance and support, after considering all resources available to her. Bo My wife, PATRICIA C. SULLIVAN, shall have the right to withdraw annually the greater of Five Thousand ($5,000.00) Dollars or five (5 %) percent of the principal of this -2- Credit Shelter Trust valued at the end of the calendar year in which the withdrawal is made. The right of withdrawal shall be exercised only in writing and delivered to the Trustee in the lifetime of my wife and the right of withdrawal shall be noncumulative. Co Upon the death of my wife, PATRICIA C. SULLIVAN, or at my death if my wife, PATRICIA C. SULLIVAN, shall predecease me, the Co-Trustees shall distribute, in equal shares, the principal of the Credit Shelter Trust to my children, CAROL ANN MCKISSICK, KATHLEEN SULLIVAN, SUZANNE SULLIVAN and JOHN P. SULLIVAN. In the event that any of my children, CAROL ANN MCKISSICK, KATHLEEN SULLIVAN, SUZANNE SULLIVAN or JOHN P. SULLIVAN, shall not be living at that time, then his or her share shall be distributed to his or her then living issue, per stirpes, and in default of said issue his or her share shall be distributed to my surviving children or their issue, per stirpes, as applicable. IV. I devise and bequeath the residue of my estate of every nature and wherever situate to my wife, PATRICIA C. SULLIVAN, provided she shall survive me. Ve Should my wife, PATRICIA C. SULLIVAN, predecease me, I bequeath the sum of Fifty Thousand ($50,000.00) Dollars to my daughter, CAROL ANN MCKISSICK, provided she shall survive me. Should my daughter, CAROL ANN MCKISSICK, predecease me, then I bequeath said sum to her then living issue, per stirpes. VI. Should my wife, PATRICIA C. SULLIVAN, predecease me, I bequeath the sum of Fifty Thousand ($50,000.00) Dollars to my daughter, KATHLEEN SULLIVAN, provided she shall survive me. Should my daughter, KATHLEEN SULLIVAN, predecease me, then I bequeath said sum to her then living issue, per stirpes. -3- Should my wife, PATRICIA C. SULLIVAN, predecease me, I bequeath the sum of Fifty Thousand ($50,000.00) Dollars to my daughter, SUZANNE SULLIVAN, provided she shall survive me. Should my daughter, SUZANNE SULLIVAN, predecease me, then I bequeath said sum to her then living issue, per stirpes. Should my wife, PATRICIA C. SULLIVAN, predecease me, I bequeath the sum of Fifty Thousand ($50,000.00) Dollars to my son, JOHN P. SULLIVAN, provided he shall survive me. Should my son, JOHN P. SULLIVAN, predecease me, then I bequeath said sum to his then living issue, per stirpes. IX. Should my wife, PATRICIA C. SULLIVAN, predecease me then I devise and bequeath the residue of my estate of every nature and wherever situate, in equal shares, to my children, CAROL ANN MCKISSICK, KATHLEEN SULLIVAN, SUZANNE SULLIVAN and JOHN P. SULLIVAN. Xe If my wife, PATRICIA C. SULLIVAN, disclaims all or any part of her imerest in the residuary gift provided in Paragraph IV, such disclaimed property shall be added to and held and distributed in accordance with the terms of the Credit Shelter Trust. If for any reason the Credit Shelter Trust shall not have been created or shall have been exhausted, such property shall be held and distributed under the same terms as set forth for the Credit Shelter Trust. XIe If my wife, PATRICIA C. SULLIVAN, and I shall die under circumstances which render the order of our death uncertain, for purposes of residual marital gift, as set forth in Paragraph IV, it shall be conclusively presumed that my wife survived me. XII. Should any of my issue, except my children, CAROL ANN MCKISSICK, KATHLEEN SULLIVAN, SUZANNE SULLIVAN and JOHN P. SULLIVAN, entitled to a share of my estate not attained the age of twenty-five (25) years at the time of distribution to him or her, I devise and bequeath the share of each such issue to DAUPHIN DEPOSIT BANK AND TRUST COMPANY, of Harrisburg, Pennsylvania, IN SEPARATE TRUST, to hold, manage, invest and reinvest the shares so received and the accumulation of income thereon, and to use and apply the income and principal, or such much thereof as, in Trustee's sole and absolute discretion, may be necessary and appropriate for such issue's support and education (including trade school and college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support and education and to make payments for these purposes, without further responsibility, to such issue or such issue's parent or to any person taking care of such issue. Any income not so used or applied shall be accumulated and added to and thereafter treated as part of principal. After each such issue shall attain the age twenty-one (21) Trustee shall distribute to each such issue the net annual income from his or her separate trust at least as often as quarter-annually. When each such issue shall attain the age of twenty-five (25) years, his or her separate trust shall terminate and the principal and any accumulated and undistributed income shall be distributed to him or her absolutely. If he or she dies before attaining the age of twenty-five (25) years, the Trust shall terminate and the then remaining principal together with any accumulated and undistributed income shall be distributed to said issue's then living issue, per stirpes, and in default of said issue said share shall be distributed to said issue's personal representative. XIII. No interest in income or principal shall be assignable by a beneficiary available to anyone having a claim against a beneficiary before actual payment to the beneficiary. XIV. My Executrix and Co-Trustees, and their successors, shall have the following powers in addition to those given by law to be exercised by them in their absolute discretion, which powers shall be applicable to all property held by them, effective without the order of any court and until actual distribution of all such property: -5- Ao To retain any investments at discretion including stock of any corporate fiduciary, or the holding company controlling it. Bo To invest and reinvest at discretion without restriction to the so called "legal investments" with a specific right to invest in common and preferred stocks and in such common stock, diversified, money market and mutual funds as they deem appropriate. To sell, grant options for sale of, or otherwise convert any real or personal property, or interest therein, at public or private sale, for such prices, at such times, in such manner and upon such terms and they may think proper, and to execute and deliver good and sufficient conveyances, assignments and transfers thereof without liability of any purchaser to see to the application of the purchase price. To borrow money and secure its repayment by mortgage of real estate or personal property, pledge of investments or otherwise, without liability on the part of the lender to see to its application. E. To compromise claims by or against my estate or any trust created by this, my last Will. F. To make distributions in cash or in kind, or partly in each. To register investments in the name of a nominee or to hold the same unregistered in such form that they will pass by delivery. To manage, operate, repair, alter or improve real estate or other property, and to lease real estate and other property upon such terms and for such period as my Executor and Trustee deems advisable even for more than five (5) years and beyond the duration of any trust. -6- ooso44-ooo02/July '~'o, I tC~4IJ_KDIDKL,i..J3 140 To deduct administration expenses upon either the federal estate tax or fiduciary income tax return, with or without adjustment between principal and income, as my Executrix shall determine. To join with my wife and file any income tax or gift tax returns that may be due on my behalf and to pay so much of such taxes as my Executrix may deem appropriate and to consent to any gifts made by the wife being treated as having been made one-half (1/2) by me. To retain accountants, custodians, investment advisors and other agents as my Executrix and Trustee shall determine and to compensate them out of principal or income or both as my Executrix and Trustees shall determine. Lo To do all acts and things necessary or appropriate in the management, administration and distribution of my estate. XVe My Executrix and Co-Trustees shall pay all estate, inheritance and other death taxes (including the supplemental estate tax on certain qualified plans but not including any generation skipping tax imposed on a direct skip), together with any interest and penalties, which shall be payable with respect to property or interests subject to taxation by reason of my death and whether passing under my Will or otherwise, including jointly held or other non-testamentary property. My Executrix and Co-Trustees shall pay the same out of principal of the Credit Shelter Trust without apportionment. Only to the extent that the Credit Shelter Trust is insufficient or unless my wife predeceases me shall any such payments be made from my residuary estate. No property received by my Executrix and Co-Trustees which is exempt from federal estate tax that may be assessed against my estate shall be available for the payment of debt, inheritance and estate taxes or penalties and interest, or administration expenses in the settlement of my estate. -7- 008644-00002/March 17, 1994/JRD/DKL/33746 XVII. I appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY and my son, JOHN P. SULLIVAN, Co-Trustees of any Trust created by this, my last Will. XVIII. I appoint my wife, PATRICIA C. SULLIVAN, Executrix of this, my last Will. Should my wife, PATRICIA C. SULLIVAN, fail to qualify o.r cease to act as Executrix, I appoint my children, CAROL ANN MCKISSICK, KATHLEEN SULLIVAN, SUZANNE SULLIVAN and JOHN P. SULLIVAN, Co-Executors of this, my Last Will. XIX. I direct that my Corporate Trustee shall be entitled to compensation based on its regular schedule of fees for such services in effect from time to time during the period over which its services are performed. XXe I direct that my Executrix, Co-Executors and Co-Trustees, or their successors, shall not be required to post bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this --{D/t:. day of ~'~' ~;~,4 1994. ! ' \ /t2~.t_.i.~ e,_~.._, fl{, (SEAL) WILLIAM A. SULLIVAN 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 request, in his presence and in the presence of each other have hereunto subscribed our names as witnesses. -8- ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA · · SS: COUNTY OF CUMBERLAND · I, WILLIAM A. SULLIVAN, Testator, whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. WILLIAM A. SULLIVAN this Sworn or affirmed to and acknowledged before me, by WILLIAM A. SULLIVAN, the Testator, ~ day of ,.~'Lt~,"/ ,1994· Notary Public ' NOT^RiAl. SEAL' . , [ DIANNE LEN1G, :~ ::;;~ Cublic ' [.. Lemoyne Borou~!~ ¢:~?erland CO: I : My Commission Ex~..s Dec. 21, lg~? [' ' -9- AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND signed to the foregoing instrument, being duly qualified according to law, do depose and say that we 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 time at least 18 years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me by~-~?'/~ ~.~,~7~, and(~/~ ,~/' . , witnesses, this ..~%'~ day of ~.~c,/k, ~/ ,1994. Notary Public -10- COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF SULLIVAN, WILLIAM A. i FILE NUMBER ~ 21 - 03 - 00420 All real property owned solely or as a tenant in common must be rel~orted at fair market valu~air market value is defined as the price at which properl~ would be exchanged between a willing buyer and a willing seller neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.Real property which is jointly-owne~ with right of survivorship must be disClosed on schedule F. ITEM NUMBER DESCRIPTION 1 One-half interest in the Commercial Office Building located at 3028 Market Street, Borough of Camp Hill, Cumberland County, PA - Deed Book 113, Page 124. Assessed value $384,000.00 - D ' ' - ecedent s one-half ~nterest TOTAL (Also enter on Line 1, Recapitulation) VALUE AT DATE OF DEATH 192,000.00 192,000.00 A.~mT~GES ARE IN ESCROW, FORWARD THIS BILL TO YOUR AGE CO. $1.00 FEE FOR ADDITIONAL RECEIPT. MICHAEL W. HARLING 206 S. 17TH ST. CAMP HILL, PA 17011 c: MAP NO: 01-21-0273-279 3028 MARKET STREET ACRES .480 DEED 00113/00124 BEVERLY PARK LOT 5 & PO 4&14&15&.16 BLK B PB Commercial - Office COMMERCIAL - OFFICE TAX SULLIVAN, WILLIAM A PAYER (~ ROBERT C ZABINSKI 3048 MARKET STREET CAMP HILL PA 17011 OFFICE HOURS: OFFICE FLOURS WEDNESDAYS 9AM-2PM & 4PM-6PM PHONE (717) 730-0230 TAXPAYER COPY Bill No: 2723 Control No: 001-002032 2003 Statement of Real Estate Taxes Bill Date: 3/01/200: Assessed Land I Improvement Mineral Total Values 105,000I 279,000 0 384,000 COUNTY OF CUMBERLAND Discount Face Penal~ Rates .00204600 .00204600 2 % 10 ~gqNTY R/E. 214.83 570.83 769.95 785.66 864.2 Rates .0q'0t0300 .00010300 2 % 10 COUNTY LIB 10.82 28.74 38.77 39.56 43.5 BOROUGH OFCAMP HIEL Rates .00212400I .00212400 2 % 10 NO~ZC. R/E 223.021 592.60 v99.31 815.6~ TAX AMOUNT DUE > St,608.03 $1,640.84 $1,804.93 Zf ~a~d On o= A~te= 3/01/2003 5/01/2003 If ~aid On Or Before 4/30/2003 6/30/2003 IF NOT PAID BY 12/12/2003 THIS BILL WILL BE ~TURL~TBD TO TAX CLAIM BUREAU FOR COLLECTION AND FILING OF A LIEN AGAINST YOUR PROPERTY. RetUrn Bill with Payment. For a Receipt, Enclose Self Addressed Stamped Envelope. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF SULLIVAN, WILLIAM A. FILE NUMBER 21 - 03 - 00420 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER ! DESCRIPTION UNIT VALUE 25,000 Shares eBags Series A Preferred ~ $1.00 per share 5,190 Shares eBags Series B Preferred ~ $6.04 per share VALUE AT DATE OF DEATH 25,000.00 31,347.60 TOTAL (Also enter on line 2, Recapitulation) 56,347.60 eBags, Inc. and Subsidiary Consolidated Balance Sheets Assets Current assets: Cash and cash equivalents Restricted cash Accounts receivable, net of allowance for doubtful accounts of $23,564 and $15,948, respectively Inventories, net of reserve of $10,250 Prepaid expenses and other current assets Total current assets Software, property and equipment, net Other assets Total assets Liabilities and shareholders' equity Current liabilities: Accounts payable Accrued liabilities Current portion of long-term debt Total current liabilities Long-term debt Commitments and contingencies Shareholders' equity: Convertible, redeemable preferred stock ($0.0001 par value): Series A (8,500,000 shares authorized, 8,046,875 shares issued and outstanding, liquidation preference of $1.00 per share) Series B (4,642,384 shares authorized, 3,643,104 shares issued and outstanding liquidation preference of $6.04 per share) Common stock ($0.0001 par value, 25,000,000 shares authorized 9,706,104 and 9,643,861 shares issued and outstanding, respectively) Additional paid-in capital Treasury stock Deferred compensation Accumulated deficit Total shareholders' equity Total liabilities and shareholders' equity See accompanying notes. June 29, June 30, 2003 2002 1,998,402 $ 1,123,250 65,357 111,801 766,123 532,295 1,116,705 538,404 324,966 230,710 4,271,553 2,536,460 917,866 1,158,187 36,753 36,753 $ 5,226,172 $ 3,731,400 $ 1,984,485 $ 956,753 1,904,193 1,609,557 232,867 - 4,121,545 2,566,310 242,308 - 8,025,771 8,011,774 21,987,538 21,976,331 971 964 566,008 537,467 (98,561) (85,312) (1,463) (21,462) (29,617,945) (29,254,672) 862,319 1,165,090 $ 5,226,172 $ 3,731,400 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT · I SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF SULLIVAN, WILLIAM A. FILE NUMBER 21 - 03 - 00420 Include the proceeds of litigation and the date the proceeds were received by the estate~,ll property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION Stem Drive Power Boat - Sale Price Office furniture and medical equipment used in decedent's practice located at 3028 Market Street, Camp Hill, PA Dr. Sullivan was semi-retired at the time of his death. His office contained equipment and furnishings he had retained during the many years of his private practive until his semi-retirement. The equipment and furnishings were old, worn and outdated. 1998 Buick Park Avenue Sedan Sale Price 1976 Cadillac Eldorado - 2 door Convertible Average condition - Sale Price 1991 Buick Station Wagon Date of death value Decedent's final payment for services rendered under a contract with EKG associates for readings and professional opinions. TOTAL (Also enter on Line 5, Recapitulation) VALUE AT DATE OF DEATH 3,600.00 500.00 7,000.00 8,000.00 3,325.00 2,000.00 24,425.00 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF SULLIVAN, WILLIAM A. I FILE NUMBER 21 - 03 - 00420 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 Robert C. Zabinski, DC 3028 Market Stre~et - Colleague/Friend Camp Hill, PA 17011 JOINTLY OWNED PROPERTY: ' DESCRIPTION OF PROPERTY ~ LETTER DATE ; o " ITEM FOR JOINTI MADE Ilnclude.. name of financial institut on and bank account number~ DATE OF ~,~,-~r"=^'ru ~ '/'o OF I DATE OF DEATH NUMBER or .s~.mllar ~dent~fy~ng number. Attach deed for jointly-held real I VALUE OF Aee'-'r I DECD S i VALUE OF i TENANT ~ JOINT lestate. '~'-"--IINTEREST DECEDENT'S INTEREST 1 ' 10/14/1994 [ Smith Barney 45,679.50 22,839.75 i Account No. 724-03705-15 TOTAL (Also enter on line 6, Recapitulation) i 22,839.75 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF I FILE NUMBER SULLIVAN, WILLIAM A. 21 - 03 - 00420 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. DESCRIPTION OF PROPERTY I , oftransfer DATE OF DEATH % OF ITEM Include the name of the transferee, their relationship to decedent and the date 'IVALUE OF ASSETI INTEREST NUMBER Attach a copy of the deed for real estate. DECD'S , ' ' 833,441.62 1 i Smith Barney - Keogh Account No. 724-66000-14 527 Beneficiary: Patricia C. Sullivan, Wife Various Investments Smith Barney - Individual Retirement Account Account No. 724-13456-15 527 Beneficiary: Patricia C. Sullivan, Wife Various Investments Smith Barney - Keogh 'Account No. 724-66592-18 527 ~ Beneficiary: Patricia C. Sullivan, Wife i Various Investments Travelers Life Insurance Co. Annuity - Policy Number - 9390549 i Beneficiary: Patricia C. Sullivan, Wife Commonwealth of Pennsylvania - State Employees' Retirement System Beneficiary: Patricia C. Sullivan, Wife. Date of death value - $177,192.00. 57,353.761 208,477.57 53,346.251 0.00 TAXABLE VALUE 833,44].62 57,353.76 208,477.57 53,346.25 0.00 TOTAL (Also enter on line 7, Recapitulation) 1,152,619.20 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSIS ESTATE OF SULLIVAN, WILLIAM A. FILE NUMBER 21 - 03 - 00420 Debts of decedent must be reported on Schedule I. ITEM NUMBER i A. DESCRIPTION FUNERAL EXPENSES: AMOUNT BFH Crematory Rolling Green Cemetery - Marker Vesaggio's Restaurant - funeral lunch Pealer's Flowers Christ Presbyterian Church - coffee/desert after service ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address 1,888.50 2,925.00 2,790.00 101.71 200.00 City State Zip Year(s) Commission paid Attorney's Fees Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Patricia C. Sullivan Street Address 280 Winding Way City Camp Hill State PA Relationship of Claimant to Decedent Wife Probate Fees Register of Wills - Cumberland County Register of Wills - Short Certificates Zip 17011 3,500.00 281.00 9.00 5. Accountant's Fees 6. Tax Return Preparer's Fees Other Administrative Costs Cumberland Law Journal - legal advertisement The Patriot-News - legal advertisement Total of Continuation Schedule(s) 75.00 111.67 28.00 TOTAL (Also enter on line 9, Recapitulation) i 11,909.88 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SULLIVAN, WILLIAM A. FILE NUMBER 2 ! - 03 - 00420 3 Register of Wills - File Inventory & Inheritance Tax Remm 28.00 Page 2 of Schedule H COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF SULLIVAN, WILLIAM A. !FILE NUMBER i 21 - 03 - 00420 Include unreimbursed medical expenses. ITEM NUMBER 1 DESCRIPTION PSECU - Home Equity Loan - Account No. 0183244144-50 Loan was held jointly with Patricia C. Sullivan, Spouse Date of Death balance - $47,591.40 - decedent's one-half TOTAL (Also enter on Line 10, Recapitulation) AMOUNT 23,795.70 23,795.70 REV-1513 EX+ (9-00)~ ' ' ' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SULLIVAN, WILLIAM A. SCHEDULE J BENEFICIARIES FILE NUMBER 21 - 03 - 00420 NUMBER I. ! NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS (include outright spousal distributions) Patricia C. Sullivan 280 Winding Way Camp Hill, PA 17011 M&T Bank (successor by merger with Allfirst Bank f/n/a Dauphin Deposit Bank & Trust Company) and John P. Sullivan, Co-Trustees f/b/o Patricia C. Sullivan, Wife 213 Market Street Harrisburg, PA 17101 RELATIONSHIP TO DECEDENT ~[Llst Trustee{s.L ~ Wife Co-Trustees AMOUNT OR SHARE OF ESTATE Automobiles/ Household Goods/ Personalty/Office Equipment Residue Credit Shelter Trust II. Enter through 8, as appropriate, on Rev 1500 cover she t NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE ~B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE! Register of Will,of Cumberland County, Pennsylvania Estate of SULLIVAN, WILLIAM A. also known as 'INVENTORY , Deceased No. 21-03-00420 Date of Death 3/3/2003 Social Security No. 183-24-4144 Patricia C. Sullivan The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I/VVe verify that the statements made in this Inventory are true and correct. I/VVe understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Personal Representative Attorney: EDMUND G. MYERS Signature: ",~~ C Patricia C. Sullivan I.D. No.: 20558 Signature: Address: 301 Market Street P. O. Box 109 Lemoyne, PA 17043-0109 Telephone: 717/761-4540 Personal Property Signature: Address: 280 Winding Way Camp Hill, PA 17011 Telephone: (717) 761-3363 Dated: t' J ' ~ ~' -~ 25,000 Shares eBags Series A Preferred @ $1.00 per share 25,000.00 5,190 Shares eBags Series B Preferred (~ $6.04 per share 31,347.60 1983 - 19 Foot Fiberglass Dixie Boat - Model 199 - Stem Drive Power Boat - Sale Price 3,600.00 Office furniture and medical equipment used in decedent's practice located at 3028 Market Street, Camp Hill, PA Dr. Sullivan was semi-retired at the time of his death. His office contained equipment and furnishings he had retained during the many years of his private practive until his semi-retirement. The equipment and furnishings were old, won and outdated. 500.00 1998 Buick Park Avenue Sedan Sale Price 7,000.00 (Attach additional sheets if necessary) Total Personal Property and Real Estate $272,772.60 Estate of Register of Wills of Cumberland County, Pennsylvania SULLIVAN, WILLIAM A. INVENTORY continued also known as , Deceased 1976 Cadillac Eldorado - 2 door Convertible Average condition - Sale Price No. 21 - 03 - 00420 Date of Death 3/3/2003 Social Security No. 183-24-4144 8,000.00 1991 Buick Station Wagon Date of death value Decedent's final payment for services rendered under a contract with EKG associates for readings and professional opinions. 3,325.00 2,000.00 Total Personal Property $80,772.60 2 Register of Wills of Cumberland County, Pennsylvania Estate of SULLIVAN, WILLIAM A. also known as INVENTORY continued , Deceased No. 21-03-00420 Date of Death 3/3/2003 Social Security No. 183-24-4144 Real Estate One-half interest m the Commercial Office Building located at 3028 Market Street, Borough of Camp Hill, Cumberland County, PA - Deed Book 113, Page 124. Assessed value - $384,000.00 - Decedent's one-half interest 192,000.00 Total Real Estate $192,000.00 3 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 003466 MYERS EDMUND G 301 MARKET STREET P O BOX 109 LEMOYNE, PA 17043 fold ESTATE INFORMATION: SSN: 183-24-4144 FILE NUMBER: 2103-0420 DECEDENT NAME: SULLIVAN WILLIAM A DATE OF PAYMENT: 01/21/2004 POSTMARK DATE: 01/20/2004 COUNTY: CUMBERLAND DATE OF DEATH: 03/03/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $3,451.92 REMARKS: PATRICIA C SULLIVAN TOTAL AMOUNT PAID: ¢ CHECK# 847 ~' INITIALS' AC · SEAL RECEIVED BY: $3,451.92 GLENDA FARNER STRASBAUGH DEPUTY REGISTER OF WILLS REGISTER OF WILLS BUREAU OF ZND'rV'rDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 171ZS-OGOZ COHNONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR DISALLO#ANCE OF DEDUCTIONS AND ASSESSHENT OF TAX RE¥-1547 EX AFP (01-D3) DATE 01-19-200q ESTATE OF SULLIVAN DATE OF DEATH 05-05-Z003 FILE NUMBER 21 COUNTY CUMBERLAND ACN 101 J Aaoun~ WILLIAM A EDMUND G MYERS JOHNSON ETAL PO BOX 109 i LEMOYNE PA 170q3 I HAKE CHECK PAYABLE AND RENZT PAYMENT TO= REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV'Z547 EX AFP (01-03] NOTICE OF INHERITANCE TAX APPRAZSEMENT, ALLOWANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SULLIVAN WILLIAM AFZLE NO. 21 03-OqZO ACN 101 DATE 01-19-2004 TAX RETURN WAS: ( ) ACCEPTED AS F/LED (X) CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN DASED ON: ORIGINAL RETURN 1. Reel Es~a~a (Schedule A) (1) 2. S~ocks and Bonds (Schedule B) (2) $. Closely Held S~:ock/Par~:narship /n*eres~c (Schedule C) ($) ~. Hor~cgages/No~ces Receivable (Schedule D) (~) 5. Cash/Bank Daposi~s/Hisc. Personal Proper~y (Schedule E) (5) 6. doln*ly Owned Propar*y (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. To,al Assa~s APPROVED DEDUCTIONS AND EXEHPTZONS: 9. Funeral Expanses/Ada. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule T) (10) 11. To~a! Deductions 12. Ne* Value of Tax Re~urn 192;000.00 56;347.60 .00 .0O 24 ~ ~25. O0 22~839.75 1~152t619.20 11,909.88 Z3~795.70 (11) (12) 15. 1~. NOTE Cheri*able/Governeen~al Beques~cs; Non-elected 9115 Trusts (Schedule J) (1S) Ne* Value of Es~:a~e Subjac( ~o Tax (1~) :;~ an assessment was issued previously, lanes :14, 15 and/or 16, 17, NOTE: To insure proper credi~ ~o your account, subei~ ~ha upper portion of ~his form w~h your ~ex payment. 1,~48,231.55 35.705.58 1,412,525.97 .00 1,412,525.97 reflect flgures that lnclude the total of ALL returns assessed to date. 18 and 19 wi11 INTEREST IS CHARGED THROUGH 02-03-2004 TOTAL TAX CREDZT i AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE REVERSE SIDE OF THIS FORM //:g:'~ [; !"~-:'~':' ~ /~ ~ ~ / INTEREST AND PEN. ' "~'" L TOTAL DUE ~ IF PAID AFTER DATE ZNDZCATED~ SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR}, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCT/OHS.) .00 3,425.96 25.96 3,q51.92 DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID ASSESSMENT OF TAX: 15. Aaoun~ of Line 1~ a~ Spousal ra~e 16. Amoun~ of Line 1~, ~axable a~ Lineal/Class A ra~:a 17. Amoun'l: of Line lfi a~ Sibling ra~e 18. Aaoun~ of Line 1~ ~axeble a~ Colla4:eral/Class B ra~e 19. PrincipaZ Tax Due TAX CREDITS: PAYMEN1 J R~C~ZPT DATE NUHBER (15) 1,389,686.22 X O0 = .00 (16) .00 X 045= .00 (17) . O0 X 12 = . O0 (18) 22,839.75 x 15 = 3,425.96 (~9)= 3,q25.96 IN RE: ESTATE OF WILLIAM A. SULLIVAN · DECEASED, LATE OF LOWER ALLEN · TOWNSHIP, CUMBERLAND COUNTY, · PENNSYLVANIA. · COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-03-00420 PETITION TO APPROVE THE DECLINATION, RENUNCIATION AND DISCLAIMER OF M&T INVESTMENT GROUP, SUCCESSOR TO DAUPHIN DEPOSIT BANK AND TRUST COMPANY, AS TESTAMENTARY CO-TRUSTEE AND TO APPOINT LeTORT MANAGEMENT & TRUST COMPANY AS SUCCESSOR TESTAMENTARY CO-TRUSTEE TO: THE HONORABLE JUDGES OF THE SAID COURT: AND NOW, Patricia C. Sullivan, Executrix of the Estate of William A. Sullivan, deceased, through her attorneys, Johnson, Duffle, Stewart & Weidner, respectfully represents the following: 1. Petitioner is Patricia C. Sullivan, Executrix of the Estate of William A. Sullivan, Deceased. 2. William A. Sullivan ("Decedent") died on March 3, 2003, testate, leaving his Last Will and Testament dated July 7, 1994, which was duly probated before the Register of Wills of Cumberland County on May 20, 2003. A copy of said Last Will and Testament is attached hereto marked Exhibit "A" and made part hereof. 3. Pursuant to the provisions of Paragraph XVII, M&T Investment Group, Successor to Dauphin Deposit Bank and Trust Company, was appointed Testamentary Co-Trustee of any Trust created by said Will. 4. M&T Investment Group has elected to decline its appointm~i, as T~tame .rr~..f~ Co-Trustee pursuant to said Last Will and Testament, has renounced its right to act as Testar~_ ntaWC6,Trustee and disclaimed the right to receive any proceeds payable to the Testamentary Co-Truster,% pursuant lo the terms and conditions of Decedent's Last Will and Testament. ~ : 5. A copy of the Declination, Renunciation and Disclaimer of M&T Investment Group, dated April 12, 2004, is attached hereto, marked Exhibit "B" and made part hereof. 6. LeTort Management & Trust Company consents to act as Successor Testamentary Co-Trustee pursuant to the provisions of Paragraph XVII of Decedent's Last Will and Testament. A copy of the Consent of LeTort Management & Trust Company to act as Successor Testamentary Co-Trustee, dated April 8, 2004 is attached hereto marked Exhibit "C" and made part hereof. 7. The income beneficiary, Patricia C. Sullivan, wife of Decedent and the remainder beneficiaries, Carol Ann McKissick, Kathleen Sullivan, Suzanne Sullivan and John P. Sullivan, children of Decedent, have by Consents, attached hereto, marked Exhibit "D" and made part hereof, consented to the declination of M&T Investment Group to act as Co-Trustee and to the appointment of LeTort Management & Trust Company to act as Successor Testamentary Co-Trustee pursuant to the provisions of the Decedent's Last Will and Testament. WHEREFORE, Petitioner respectfully requests that this Honorable Court enter a Decree approving the Declination of M&T Investment Group as Co-Trustee and appointing LeTort Management & Trust Company, Successor Co-Trustee. Respectfully submitted JOHNSON, DUFFIE, STEWART & WEIDNER By: Edmund G. Myers, Attorney 301 Market Street P. O. Box 109 Lemoyne, PA 17043~0109 I.D. #20558 VERIFICATION I, Patricia C. Sullivan, the undersigned, Executrix of the Estate of William A. Sullivan, Deceased, verify that the statements contained herein are true and correct to the best of my knowledge, information and belief. I understand that statements herein are made subject to the penalties of 18PA. C.S.A.§4904 relating to unsworn falsification to authorities. Dated: Patricia C. Sullivan, Executrix EXHIBIT A OF WILLIAM A. SULLIVAN oq.i- I, WILLIAM A. SULLIVAN, of Lower Allen Township, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. I direct that all my legal debts and funeral expenses, including my graVemarker and all expenses of my last illness, shall be paid, unless otherwise provided, from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. I bequeath my automobiles, household goods and personal effects and other tangible personalty of a like nature (not including cash or securities), together with any existing insurance thereon, to my wife, PATRICIA C. SULLIVAN, provided she shall survive me. Should my wife, PATRICIA C. SULLIVAN, predecease me, I bequeath such tangible personalty and insurance thereon, to my children, CAROL ANN MCKISSICK, KATHLEEN SULLIVAN, SUZANNE SULLIVAN and JOHN P. SULLIVAN, to be divided among them with due regard for their personal preferences in as nearly equal shares as practical. HI. I give to my Co-Trustees, hereinafter named, to hold IN TRUST (hereinafter referred to as the "Credit Shelter Trust"), in addition to all assets received directly by Co-Trustees that are excludable from my gross taxable estate for federal estate tax purposes, assets of a total value equal to the largest amount, if any, that can be passed free of federal estate tax by reason of the unified credit and any other credits available for federal estate tax purposes except: (i) The state death tax credit to the extent the use would require an increase in the amount of state death taxes paid; and (ii) The credit for tax on prior transfers to the extent that credit arises from transfers to me from individuals who die after me. Such latter amount shall be reduced by the value for federal estate tax purposes of any gift which do not qualify for the marital or charitable deduction made by me under this Will, or otherwise, and further reduced by an amount equal to the sum of all charges to principal, except death taxes (since I direct hereafter that such death taxes be paid from this Trust), that are not deducted in computing my federal estate tax. I recognize that depending upon the mount of bequests under my Will, my non-testamentary dispositions, the amount of state death taxes and administration expenses, and other factors, this Trust might be nonexistent or might consume all estate assets, so that no assets may remain to pass outright to my wife pursuant to the residuary gift. The assets of the Credit Shelter Trust shall be held by the Co-Trustees and distributed on the following terms: Ao During the lifetime of my wife, PATRICIA C. SULLIVAN, Co-Trustees (corporate trustee) shall pay and distribute to her or for her benefit the entire net income therefrom, which payments shall be made to her periodically, but not less frequently than quarterly. In addition, the Co-Trustees (corporate trustee) shall from time to time pay to my wife, or apply directly for her benefit, as much of the principal of this Credit Shelter Trust as my Co-Trustees may consider desirable for her health, maintenance and support, after considering all resources available to her. Bo My wife, PATRICIA C. SULLIVAN, shall have the right to withdraw annually the greater of Five Thousand ($5,000.00) Dollars or five (5 %) percent of the principal of this -2- Credit Shelter Trust valued at the end of the calendar year in which the withdrawal is made. The right of withdrawal shall be exercised only in writing and delivered to the Trustee in the lifetime of my wife and the right of withdrawal shall be noncumulative. Co Upon the death of my wife, PATRICIA C. SULLIVAN, or at my death if my wife, PATRICIA C. SULLIVAN, shall predecease me, the Co-Trustees shall distribute, in equal shares, the principal of the Credit Shelter Trust to my children, CAROL ANN MCKISSICK, KATHLEEN SULLIVAN, SUZANNE SULLIVAN and JOHN P. SULLIVAN. In the event that any of my children, CAROL ANN MCKISSICK, KATHLEEN SULLIVAN, SUZANNE SULLIVAN or JOHN P. SULLIVAN, shall not be living at that time, then his or her share shall be distributed to his or her then living issue, per stirpes, and in default of said issue his or her share shall be distributed to my surviving children or their issue, per stirpes, as applicable. IV. I devise and bequeath the residue of my estate of every nature and wherever situate to my wife, PATRICIA C. SULLIVAN, provided she shall survive me. Should my wife, PATRICIA C. SULLIVAN, predecease me, I bequeath the sum of Fifty Thousand ($50,000.00) Dollars to my daughter, CAROL ANN MCKISSICK, provided she shall survive me. Should my daughter, CAROL ANN MCKISSICK, predecease me, then I bequeath said sum to her then living issue, per stirpes. Should my wife, 'PATRICIA C. SULLIVAN, predecease me, I bequeath the sum of Fifty Thousand ($50,000.00) Dollars to my daughter, KATHLEEN SULLIVAN, provided she shall survive me. Should my daughter, KATHLEEN SULLIVAN, predecease me, then I bequeath said sum to her then living issue, per stirpes. -3- Should my wife, PATRICIA C. SULLIVAN, predecease me, I bequeath the sum of Fifty Thousand ($50,000.00) Dollars to my daughter, SUZANNE SULLIVAN, provided she shall survive me. Should my daughter, SUZANNE SULLIVAN, predecease me, then I bequeath said sum to her then living issue, per stirpes. VIII. Should my wife, PATRICIA C. SULLIVAN, predecease me, I bequeath the sum of Fifty Thousand ($50,000.00) Dollars to my son, JOHN P. SULLIVAN, provided he shall survive me. Should my son, JOHN P. SULLIVAN, predecease me, then I bequeath said sum to his then living issue, per stirpes. IX. Should my wife, PATRICIA C. SULLIVAN, predecease me then I devise and bequeath the residue of my estate of every nature and wherever situate, in equal shares, to my children, CAROL ANN MCKISSICK, KATHLEEN SULLIVAN, SUZANNE SULLIVAN and JOHN P. SULLIVAN. Xo If my wife, PATRICIA C. SULLIVAN, disclaims all or any part of her imerest in the residuary gift provided in Paragraph IV, such disclaimed property shall be added to and held and distributed in accordance with the terms of the Credit Shelter Trust. If for any reason the Credit Shelter Trust shall not have been created or shall have been exhausted, such property shall be held and distributed under the same terms as set forth for the Credit Shelter Trust. If my wife, PATRICIA C. SULLIVAN, and I shall die under circumstances which render the order of our death uncertain, for purposes of residual marital gift, as set forth in Paragraph IV, it shall be conclusively presumed that my wife survived me. Should any of my issue, except my children, CAROL ANN MCKISSICK, KATHLEEN SULLIVAN, SUZANNE SULLIVAN and JOHN P. SULLIVAN, entitled to a share of my estate not attained the age of twenty-five (25) years at the time of distribution to him or her, I devise and bequeath the share of each such issue to DAUPHIN DEPOSIT BANK AND TRUST COMPANY, of Harrisburg, Pennsylvania, IN SEPARATE TRUST, to hold, manage, invest and reinvest the shares so received and the accumulation of income thereon, and to use and apply the income and principal, or such much thereof as, in Trustee's sole and absolute discretion, may be necessary and appropriate for such issue's support and education (including trade school and college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support and education and to make payments for these purposes, without further responsibility, to such issue or such issue's parent or to any person taking care of such issue. Any income not so used or applied shall be accumulated and added to and thereafter treated as part of principal. After each such issue shall attain the age twenty-one (21) Trustee shall distribute to each such issue the net annual income from his or her separate trust at least as often as quarter-annually. When each such issue shall attain the age of twenty-five (25) years, his or her separate trust shall terminate and the principal and any accumulated and undistributed income shall be distributed to him or her absolutely. If he or she dies before attaining the age of twenty-five (25) years, the Trust shall terminate and the then remaining principal together with any accumulated and undistributed income shall be distributed to said issue's then living issue, per stirpes, and in default of said issue said share shall be distributed to said issue's personal representative. No interest in income or principal shall be assignable by a beneficiary available to anyone having a claim against a beneficiary before actual payment to the beneficiary. XIV. My Executrix and Co-Trustees, and their successors, shall have the following powers in addition to those given by law to be exercised by them in their absolute discretion, which powers shall be applicable to all property held by them, effective without the order of any court and until actual distribution of all such property: -5- To retain any investments at discretion including stock of any corporate fiduciary, or the holding company controlling it. Bo To invest and reinvest at discretion without restriction to the so called "legal investments" with a specific right to invest in common and preferred stocks and in such common stock, diversified, money market and mutual funds as they deem appropriate. To sell, grant options for sale of, or otherwise convert any real or personal property, or interest therein, at public or private sale, for such prices, at such times, in such manner and upon such terms and they may think proper, and to execute and 'deliver good and sufficient conveyances, assignments and transfers thereof without liability of any purchaser to see to the application of the purchase price. To borrow money and secure its repayment by mortgage of real estate or personal property, pledge of investments or otherwise, without liability on the part of the lender to see to its application. E. To compromise claims by or against my estate or any trust created by this, my last Will. F. To make distributions in cash or in kind, or partly in each. To register investments in the name of a nominee or to hold the same unregistered in such form that they will pass by delivery. Ho To manage, operate, repair, alter or improve real estate or other property, and to lease real estate and other property upon such terms and for such period as my Executor and Trustee deems advisable even for more than five (5) years and beyond the duration of any trust. To deduct administration expenses upon either the federal estate tax or fiduciary income tax return, with or without adjustment between principal and income, as my Executrix shall determine. To join with my wife and file any income tax or gift tax returns that may be due on my behalf and to pay so much of such taxes as my Executrix may deem appropriate and to consent to any gifts made by the wife being treated as having been made one-half (1/2) by me. To retain accountants, custodians, investment advisors and other agents as my Executrix and Trustee shall determine and to compensate them out of principal or income or both as my Executrix and Trustees shall determine. Lo To do all acts and things necessary or appropriate in the management, administration and distribution of my estate. My Executrix and Co-Trustees shall pay all estate, inheritance and other death' taxes (including the supplemental estate tax on certain qualified' plans but not including any generation skipping tax imposed on a direct skip), together with any interest and penalties, which shall be payable with respect to property or interests subject to taxation by reason of my death and whether passing under my Will or otherwise, including jointly held or other non-testamentary property. My Executrix and Co-Trustees shall pay the same out of principal of the Credit Shelter Trust without apportionment. Only to the extent that the Credit Shelter Trust is insufficient or unless my wife predeceases me shall any such payments be made from my residuary estate. XVIe No property received by my Executrix and Co-Trustees which is exempt from federal estate tax that may be assessed against my estate shall be available for the payment of debt, inheritance and estate taxes or penalties and interest, or administration expenses in the settlement of my estate. -7- XVII. i appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY and my son, JOHN P. SULLIVAN, Co-Trustees of any Trust created by this, my last Will. XVIII. I appoint my wife, PATRICIA C. SULLIVAN, Executrix of this, my last Will. Should my wife, PATRICIA C. SULLIVAN, fail to qualify or cease to act as Executrix, I appoint my children, CAROL ANN MCKISSICK, KATHLEEN SULLIVAN, SUZANNE SULLIVAN and JOHN P. SULLIVAN, Co-Executors of this, my Last Will. XIX. I direct that my Corporate Trustee shall be entitled to compensation based on its regular schedule of fees for such services in effect from time to time during the period over which its services are performed. I direct that my Executrix, Co-Executors and Co-Trustees, or their successors, shall not be required to post bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this --/Pr,,. day of .'~'" ~t ~! ,1994. ?.[~LL~ e.,-,,~, ~. <.--~c~.c.£/C:~Lc~x (SEAL) WILLIAM A. SULLIVAN 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 request, in his presence and in the presence of each other have hereunto subscribed our names as witnesses. -8- ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA · · SS~ COUNTY OF CUMBERLAND ' I, WILLIAM A. SULLIVAN, Testator, whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. , ....... ~ WILLIAM A. SULLIVAN this Sworn or affirmed to and acknowledged before me, by WILLIAM A. SULLIVAN, the Testator, ~ day of C']'~V ,1994. Notary Public -9- AFFIDAViT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND We,,.'~'/~¥ ,~7 '~4,<';/c; and'~. '~,s~m ~( .~'~J~-v', the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we 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 time at least 18 years of age, of sound mind and under no constraint or undue influence. , witnesses, this Sworn or affirmed to and subscribed to before me day of CT~/,. ~/ ., 1994. Notary Public -10- EXHIBIT B IN RE: ESTATE OF WILLIAM A. SULLIVAN, · DECEASED, LATE OF LOWER ALLEN · TOWNSHIP, CUMBERLAND COUNTY, · PENNSYLVANIA. · COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA, ORPHANS' COURT DIVISION NO. 21-03-00420 DECLINATION, RENUNCIATION AND DISCLAIMER OF M&T INVESTMENT GROUP {SUCCESSOR BY MERGER WITH DAUPHIN DEPOSIT BANK AND TRUST COMPANY) The undersigned, being a duly authorized officer, for and on behalf of M&T Investment Group, (Successor by merger with Dauphin Deposit Bank and Trust Company), the designated Co-Trustee pursuant to Paragraph XVII of the Last Will and Testament of William A. Sullivan, Deceased, hereby declines the appointment as Co-Trustee pursuant to the provisions of said Last Will and Testament. Further, M&T Investment Group, in addition to the forgoing declination of appointment as Co-Trustee, as described, also renounces and disclaims its right to receive the residue of the Estate, in trust, for the benefit of Patricia C. Sullivan or otherwise. IN WITNESS WHEREOF, M&T Investment Group, by its duly authorized officer, has caused this Declination, Refiunciation and Disclaimer to be executed on this{ 2"~day of April, 2004. Signed, Sealed and Delivered in the/yresence of: ,~SST. Vi(,~ ~ ~RUST M&T INVESTMENT GROUP /Joseph,. Mac~ Vice President2Trust Officer COMMONWEALTH OF PENNSYLVANIA · 'SS. COUNTY OF DAUPHIN · On the [Z-b/~-.. day of April, 2004, before me, the undersigned officer, personally appeared Joseph ~ Macri, who acknowledged himself to be the Vice President-Trust Officer for M&T Investment Group, a corporation, and that he as such Vice President-Trust Officer, being authorized to do so, executed the foregoing instrument for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. (Seal) Notary Public Daanna L. ?/els ,,:.:.:~,,., P,~btic My Commiszk~ [:~'i;,'c~, -"-~ .... Member, Pennsylvania Association ol EXHIBIT C IN RE: ESTATE OF WILLIAM A. SULLIVAN, : DECEASED, LATE OF LOWER ALLEN : TOWNSHIP, CUMBERLAND COUNTY, : PENNSYLVANIA. : : COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA, ORPHANS' COURT DIVISION NO. 21-03-00420 CONSENT OF LeTORT MANAGEMENT & TRUST COMPANY LeTort Management & Trust Company, does hereby consent and agree to accept ~he appointment as Successor Testamentary Co-Trustee pursuant to the terms and conditions of the Last Will and Testament of William A. Sullivan, Deceased. IN WITNESS WHEREOF, the LeTort Management & Trust Company, by its duly authorized officer, has caused this Consent to be executed on this ~ day of April, 2004. Signed, sealed and delivered in the presence off LeTORT MANAGEMENT & TRUST COMPANY Chief Operating Officer COMMONWEALTH OF PENNSYLVANIA · 'SS. COUNTY OF CUMBERLAND · On the d/ day of April, 2004, before me, the undersigned officer, personally appeared Phyllis Harmon, who acknowledged herself to be the Chief Operating Officer for LeTort Management & Trust Company, a corporation, and that she as such Chief Operating Officer, being authorized to do so, executed the foregoing instrument for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. (Seal) KATIE E. CLARKE, NOTARY PUBLIC NOTARIAL SEAL LOWER ALLEN TWP., CUMBERLAND CO. MY COMMISSION EXPIRES NOV.7, 2005 EXHIBIT D IN RE: ESTATE OF WILLIAM A. SULLIVAN, · DECEASED, LATE OF LOWER ALLEN · TOWNSHIP, CUMBERLAND COUNTY, · PENNSYLVANIA. COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA, ORPHANS' COURT DIVISION NO. 21-03-00420 CONSENT OF PATRICIA C. SULLIVAN, BENEFICIARY Patricia C. Sullivan, the income beneficiary of the Testamentary Trust created in accordance with the terms and conditions of Paragraph XVII of the Last Will and Testament of William A. Sullivan, deceased, does hereby specifically consent to the Declination, Renunciation and Disclaimer of M&T Investment Group, and to the appointment of LeTort Management & Trust Company as Successor Testamentary Co-Trustee pursuant to the provisions of said Will. IN WITNESS WHEREOF, the undersigned has hereunto set her hand and seal the April, 2004. day of Signed, sealed and delivered 1~ presence of: "-'~ ~~ ~ Patricia C. Sullivan IN RE: ESTATE OF WILLIAM A. SULLIVAN, · DECEASED, LATE OF LOWER ALLEN · TOWNSHIP, CUMBERLAND COUNTY, · PENNSYLVANIA. . COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA, ORPHANS' COURT DIVISION NO. 21~03-00420 CONSENT OF CAROL ANN McKISSICK, REMAINDER BENEFICIARY Carol Ann McKissick, a remainder beneficiary of the Testamentary Trust created in accordance with the terms and conditions of Paragraph XVII of the Last Will and Testament of William A. Sullivan, deceased, does hereby specifically consent to the Declination, Renunciation and Disclaimer of M&T Investment Group, and to the appointment of LeTort Management & Trust Company as Successor Testamentary Co-Trustee pursuant to the provisions of said Will. IN WITNESS WHEREOF, the undersigned has hereunto set her hand and seal the /,~' April, 2004. day of Signed, sealed and delivered Carol Ann McKissick IN RE: ESTATE OF WILLIAM A. SULLIVAN, · DECEASED, LATE OF LOWER ALLEN · TOWNSHIP, CUMBERLAND COUNTY, · PENNSYLVANIA. . COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA, ORPHANS' COURT DIVISION NO. 21-03-00420 CONSENT OF KATHLEEN SULLIVAN, REMAINDER BENEFICIARY Kathleen Sullivan, a remainder beneficiary of the Testamentary Trust created in accordance with the terms and conditions of Paragraph XVII of the Last Will and Testament of William A. Sullivan, deceased, does hereby specifically consent to the Declination, Renunciation and Disclaimer of M&T Investment Group, and to the appointment of LeTort Management & Trust Company as Successor Testamentary Co-Trustee pursuant to the provisions of said Will. IN WITNESS WHEREOF, the undersigned has hereunto set her hand and seal the April, 2004. day of Signed, sealed and delivered in the presence of: l~athleen Sullivan (SEAL) IN RE: ESTATE OF WILLIAM A. SULLIVAN, · DECEASED, LATE OF LOWER ALLEN · TOWNSHIP, CUMBERLAND COUNTY, · PENNSYLVANIA. . COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA, ORPHANS' COURT DIVISION NO. 21-03-00420 CONSENT OF SUZANNE SULLIVAN GROSSMAN, REMAINDER BENEFICIARY Suzanne Sullivan Grossman, a remainder beneficiary of the Testamentary Trust created in accordance with the terms and conditions of Paragraph XVII of the Last Will and Testament of William A. Sullivan, deceased, does hereby specifically consent to the Declination, Renunciation and Disclaimer of M&T Investment Group, and to the appointment of LeTort Management & Trust Company as Successor Testamentary Co-Trustee pursuant to the provisions of said Will. IN WITNESS WHEREOF, the undersigned has hereunto set her hand and seal the ~ (7 April, 2004. day of Signed, sealed and delivered in the presence off ~ Suzanne S~ullivan G~'ossman (SEAL) IN RE: ESTATE OF WILLIAM A. SULLIVAN, · DECEASED, LATE OF LOWER ALLEN · TOWNSHIP, CUMBERLAND COUNTY, · PENNSYLVANIA. . COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA, ORPHANS' COURT DIVISION NO. 21-03-00420 CONSENT OF JOHN P. SULLIVAN, REMAINDER BENEFICIARY John P. Sullivan, a remainder beneficiary of the Testamentary Trust created in accordance with the terms and conditions of Paragraph XVII of the Last Will and Testament of William A. Sullivan, deceased, does hereby specifically consent to the Declination, Renunciation and Disclaimer of M&T Investment Group, and to the appointment of LeTort Management & Trust Company as Successor Testamentary Co-Trustee pursuant to the provisions of said Will. IN WITNESS WHEREOF, the undersigned has hereunto set his hand and seal the /-~.]r April, 2004. day of Signed, sealed and delivered in t e presence~ J/~hn P. Sullivan IN RE: ESTATE OF WILLIAM A. SULLIVAN, : DECEASED, LATE OF LOWER ALLEN : TOWNSHIP, CUMBERLAND COUNTY, : PENNSYLVANIA. : COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA, ORPHANS' COURT DIVISION NO. 21-03-00420 FINAL DECREE ANDNOW, this ~~ day u~04 on of ~,~41, consideration of the Petition of Patricia C. Sullivan, Executrix of the Estate of William A. Sullivan, Deceased, late of the Borough of Camp Hill, Cumberland County, Pennsylvania, the Declination, Renunciation and Disclaimer of M&T Investment Group, the Consent of Patricia C. Sullivan, income beneficiary of the Testamentary Trust and the Consent of LeTort Management & Trust Company, it is hereby ORDERED AND DECREED that the Declination, Renunciation and Disclaimer of M&T Investment Bank be approved and it is further ORDERED AND DECREED that LeTort Management & Trust Company is hereby appointed as Successor Testamentary Co- Trustee pursuant to the provisions of Paragraph XVII of the Last Will and Testament of William A. Sullivan, deceased. BUREAU OF INDTVIDUAL TAXES TNHERTTANCE TAX DIVISION DEPT. 280601 HARRTSBURG, PA 17128-0601 COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAZSEHENT, ALLO#ANCE OR DZSALLOHANCE OF DEDUCTIONS AND ASSESSHENT OF TAX REV-15~7 EX AFP C01-03) EDHUND G HYERS JOHNSON ETAL PO BOX 109 LEHOYNE CUT ALONG THIS LINE ~ PA 170~.~ DATE ESTATE OF DATE OF DEATH FILE NUNBER COUNTY ACN I 01-19-Z00~ SULLIVAN 05-05-2003 21 03-ORZO CUHBERLAND 101 Amount Remitted~ RETAIN LOWER PORTION FOR YOUR RECORDS WILLIAH A HAKE CHECK PAYABLE AND: RENZT PAYNENT TO: REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF SULLIVAN WZLLZAN A FILE NO. 21 03-0~20 ACN 101 DATE 01-19-200~ TAX RETURN gAS: ( ) ACCEPTED AS FILED (X) CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: 0RIGZNAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) $. Closely Held Stock/Partnership Interest (Schedule C) 4. Hortgagas/Notes Receivable (Schedule D) (4) 5. Cash/Bank Daposits/Hisc. Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H) (9) 10. Dabts/Nortgaga Liabilities/Liens (Schedule I) (10) 11. Total Deductions 12. Nat Value of Tax Return 192z000. O0 56/3~7.610 · oo 2qzq25.0iO 22 z 839. 715 1/152z619.20 (8) 11,909.88 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 15. 14. NOTE: ASSESSNENT OF TAX: 15. Amount of Line 14 at Spousal rata 16. Amount of Line 14 taxable at Lineal/Class A rata 17. Amount of Line 14 at Sibling rata 18. Amount of Line 14 taxable at Collateral/Class B rata 19. Princi)al Tax Due TAX CREDITS PAYMENT RECEIPT DATE NUNBER 1,~8,231.55 23~795.7i0 (21) 35.705.58 (12) 1,~12,525.97 Charitable/Governmental Bequests; Non-elected 911:5 Trusts (Schedule J) (13) . O0 Nat Value of Estate Sub~ect to Tax (14) !, ~12,525.97 Zf an assessment was lssued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed; to date. (~) 1,589,686.22 x O0 = .00 (16) .00 x 0~5= .00 (17) .00 x 12 = .00 (18) 22,839.75 x ~15 = 3,~25.96 (19)= 3,~25.96 ANOUNT PAID .00 3,~25.96 25.96 3,R51.92 DISCOUNT INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH OZ-03-200q TOTAL TAX CREDIT AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE REVERSE SIDE OF THIS FORM INTEREST AND PEN.' TOTAL DUE [ ZF PAID AFTER DATE INDICATED, SEE REVERSE ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYNENT ZS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIt' (CR), YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR /NSTRUCTZONS.)..~J~-'~'~ RESERVATION: PURPOSE OF NOTICE: PAYHENT: REFUND (CR): OBJECTIONS: ADHZN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Estates of decedents dying on or before December 12) 1982 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. To fulfill the requirements of Section ZlfiO of the Inheritance and Estate Tax Act, Act 23 of ZOO0. (72 P.S. Section 91qO). Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the reverse sidm. --Hake check or money order payable to: REGISTER OF HILLS, AGENT A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-IS13). Applications are available at the Office of the Register of Hills, any of the 25 Revenue District Offices, or by calling the special Z4-hour answering service for forms ordering: 1-800-362-Z050; services for taxpayers with special hearing and / or speaking needs: 1-800-447-3020 (TT only). Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object aithin sixty (60) days of receipt of this Notice by: --aritten protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-060! Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for m Resident Decedent" (REV-1501) far an explanation of administratively correctable errors. If any tax due is paid within three (3) calendar months after the decedant's death, a five percent (52) discount of the tax paid is allowed, The 152 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. This nan-participation penalty 1s appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, er nine (9) months and one (l) day from the date of death, to the date of payment. Taxes which became delinquent before January l, 19az bear interest at the rate of six (62) percent per annum calculated at a daily rate of .000164. Al! taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through Z003 are: Interest Dally Interest Dally Interest Dally Year Rate Factor Year Rate Factor Year Rate Factor 1982 202 .000548 1987 92 .000247 1999 72 . O00192 1983 ISZ · 000¢38 1988-1991 llZ . 000301 ZOO0 82 . 000219 1984 llZ . 000301 1992 92 . 000247 Z001 92 . 000247 1985 132 .000356 1993-1994 72 .000192 ZOOZ 62 .000164 1986 10Z .000274 1995-1998 9Z .000247 2003 57. . 000137 --Interest ls calculated as follows: ZNTEREST= BALANCE OF TAX UNPA/D X NURBER OF DAYS DELZNQUENT X DALLY ZNTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. REV-1470 EX (6-88) . ~ INHERITANCE TAX EXPLANATION COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURGr PA 17128-0601 DECEDENT'S NAME FILE NUMBER SULLIVAN,WILLIAM A 2103-0420 REVIEVVED BY ACN Kathryn Harbilas 101 ITEM SCHEDULE NO. EXPLANATION OF CHANGES F Jointly held assets are taxable to the survivors. No deductions can be claimed against joint property as it was not the responsibility of the survivors to pay the debts. Row Page 1 BUREAU OF ZNDZVZDUAL TAXES ZHHER/TAHCE TAX DTV/STON DEPT. Z80601 HARRTSBURG, PA l?lZB-n601 EDMUND G MYERS JOHNSON ETAL PO BOX 109 LEMOYNE PA 170q$ COMMONWEALTH OF PENNSYLVANZA DEPARTMENT OF REVENUE NOTZCE OF DETERMZNATZON AND ASSESSMENT OF PENNSYLVANZA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN DATE ESTATE OF DATE OF DEATH FZLE NUMBER COUNTY ACN 06-08-Z00q SULLIVAN 05-05-Z005 Z10$-OqZO CUMBERLAND TO1 Aeoun~ Reei~ed RE¥-qSS EX AFP (01-05) WILLIAM A MAKE CHECK PAYABLE AND REMZT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 NOTE: To insure proper credi~c ~co your accoun~c, submit: ~he upper por~ton of ~his form wi~ch your ~cax payment. CUT ALONG THZS L/NE ~ RETAZN LOWER PORTZON FOR YOUR FZLES ~ REV-q83 EX AFP (01-03) aa NOTZCE OF DETERMZNATION AND ASSESSMENT OF PENNSYLVANZA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN #~ ESTATE OF SULLIVAN WILLIAM A FZLE ND.Z! 03-0q20 ACN Z01 DATE 06-08-Z00q ESTATE TAX DETERM/NATZON 1. Credit For State Death Taxes as Verified .00 Z. Pennsylvania Inheritance Tax Assessed ~51qZ5.96 (Excluding Discount and/or Interest) $. Inheritance Tax Assessed by Other States .00 or Territories of the Un/ted States (Excluding Discount and/or Interest) q. Tote! Inheritance Tax Assessed SzqZ5.96 .00 5. Pennsy!vania Estate Tax Due TAX CREDZTS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) aTF PATD AFTER THTS DATE, SEE REVERSE STDE FOR CALCULATTON OF ADDTTIONAL TNTEREST. TOTAL TAX CREDZT I .00 BALANCE OF TAX DUEI .00 ZNTEREST AND PEN. I .00 TOTAL DUE I .00 (TF TOTAL DUE IS LESS THAN $1, NO PAYMENT TS REQU/RED TF TOTAL DUE TS REFLECTED AS A "CREDTT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE S/DE OF THZS FORM FOR TNSTRUCTTONS.) PURPOSE OF NOT[CE= PAYHENT: REFUND (CR): OBJECTIONS: ADNIN- ISTRATZVE CORRECTIONS: PENALTY: INTEREST: To fulfill the requirements of Section 1140 (b) of the Inheritance and Estate Tax Act, Act 13 of ZOO0. (71 P.S. Section Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the reverse side. -- Hake check or money order payable to: REGISTER OF HILLS, AGENT, A refund of a tax credit may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-IS13). Applications are available at the Office of the Register of Nills, any of the Z3 Revenue District Offices or from the Department's Z4-hour answering service for forms ordering: 1-BO0-36Z-ZOSO; services for taxpayers with special hearing and / or speaking needs: 1-80D-447-30ZO (TT only). Any party in interest not satisfied with the assessment of tax as shown on this notice may ob~ect within sixty (60) days of receipt of this Not[ce by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. Z&lOZ1, Harrisburg, PA 17128-1011, --electing to have the matter determined at audit of the personal representative, OR --appeal to the Orphans' Court. OR Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. Z80601, Harrisburg, PA 171Z8-0601, Phone (717) 787-6505. See page 5 of the booklet "instructions for Inheritance Tax Return for a Resident Decedent" (REV-IS01) for an explanation of administratively correctable errors. 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. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. For dates of death on or after 10-3-91, Pennsylvania Estate Tax based on the Federal Estate Tax return becomes delinquent at the expiration of nine (09) months from the date of death. For dates of death prior to 10-3-91, Pennsylvania Estate Tax based on the Federal Estate Tax return becomes delinquent at the expiration of eighteen (ID) months from the date of death. Taxes which became delinquent before January 1, 198Z bear interest at the rate of six (6Z) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on or after January 1, 198Z wi11 bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through ZOO4 are: Interest Daily Interest Daily Yea..__r Rate Factor Year Rate Factor Yea__r 1981 ZOZ .000548 1988-1991 111 .000301 ZOOi 1983 XBZ .000¢38 199Z 9Z . O00Z~7 ZOOZ 1984 llZ .000301 1993-1994 7Z .000192 Z003 1985 137. .000356 1995-1998 9Z .000247 2004 1986 101 .000274 1999 71 .000192 1986 lOZ .000274 ZOO0 57. .000119 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID Interest Daily Rate Factor 92 .000147 6Z .000164 5Z .000137 42 .000110 X NUNBER OF DAYS DBLI'NI~UBNT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. BUREAU OF INDIVIDUAL TAXES ZNHERTTANCE TAX DTVTSTON DEPT. 280601 HARRISBURG, PA 171Z&-0601 EDMUND G HYERS JOHNSON ETAL PO BOX 109 LEMOYNE PA 170q$ COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF DETERHZNATZON AND ASSESSHENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSZNG LETTER DATE 07-05-Z00q ESTATE OF SULLIVAN WILLZAH A DATE OF DEATH 05-05-200:5 FILE NUHBER 21 05-0~20 COUNTY CUHBER LAND ACN ZOZ Amoun~ Remi~ed HAKE CHECK PAYABLE AND REHZT PAYHENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 NOTE: To insure proper credit: ~o your account:., submit: ~he upper por~:ion of ~his fore wi~h your ~ax payment. CUT ALONG THIS LINE ~1~ RETAIN LOWER PORTION FOR YOUR FILES ~ REV-736 EX AFP (01-02) NJ( NOTICE OF DETERHZNATZON AND ASSESSHENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER ~ ESTATE OF SULLIVAN WILLIAH A FILE NO.Z10$-O~ZO ACN 20Z DATE 07-05-Z00~ ESTATE TAX DETERHZNATZON .00 1. Credit For State Death Taxes as Verified Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest) 3. Inheritance Tax Assessed by Other States or Territories of the Un/ted States (Excluding Discount and/or Interest) Total Inheritance Tax Assessed 5. Pennsylvania Estate Tax Due 6. Amount of Pennsylvania Estate Tax Previously Assessed Based on Federa! Estate Tax Return 7. Additional Pennsylvania Estate Tax Due TAX CREDITS: 3,q25.96 .00 3~25.96 .00 .00 .00 PAYHENT RECEIPT DISCOUNT ¢+) DATE NUMBER INTEREST/PEN PAID ¢-) AMOUNT PAID TOTAL TAX CREDZT BALANCE OF TAX DUEI ZNTEREST AND PEN. TOTAL DUE aTF PATD AFTER THZS DATE., SEE REVERSE SZDE (ZF TOTAL DUE ZS LESS THAN $1., NO PAYMENT TS REQUZRED FOR CALCULATZON OF ADDTTZONAL ZNTEREST. ZF TOTAL DUE ZS REFLECTED AS A "CREDZT' (CR)., YOU MAY BE DUE A REFUND. SEE REVERSE SZDE OF THZS FORM FOR ZNSTRUCTZONS.) .00 .00 .00 .00 PURPOSE OF NOTICE: PAYMENT: To fulfill the requirements of Section 21q0 of the Inheritance and Estate Tax Act, Act Z3 of ZOO0. (7Z P.S. Section 91q0). Detach the top portion of this Notice and submit with your payment to the Register of Mills printed on the reverse side. -- Make check ar money order payable to: REGISTER OF NILLS~ AGENT. REFUND (CR): A refund of a tax credit may bm requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-ISIS). Applications are available at the Office of the Register of Wills, any of the ZS Revenue District Offices or from the Department's Zfi-hour answering service for forms ordering: 1-800-S6Z-ZOSO) services for taxpayers with special hearing and/or speaking needs: 1-800-qfiT-SOZO iTT only). OBJECTIONS: Any party in interest not satisfied with the assessment of tax as shown on this notice may object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. ZBiOZ1, Harrisburg, PA 17128-1021, --electing to have the matter determined at audit of the personal representative, OR --appeal to the Orphans' Court ADMIN- ISTRATIVE CORRECTIONS: PENALTY: INTEREST: OR Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTM: Post Assessment Review Unit, Dept. lBO601, Harrisburg, PA 171Z8-0601, Phone [717) 767-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. The 1SI 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. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Additional Pennsylvania Estate Tax assessed as a result of a change on the Federal Estate Tax closing latter becomes delinquent at the expiration of one (1) month fram the date the final notice of the increase in Federal Estate Tax is received. Taxes which became delinquent before January 1, 198Z bear interest at the rate of six (6g) percent par annum calculated at a daily rate of .00016~. All taxes which became delinquent an or after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA The applicable interest rates for 198Z through gO0~ are: Department of Revenue. Interest Daily Interest Daily Interest Yea..__r Rate Factor Ysa__r Rate Factor . Year Rate 1982 ZOZ .0005q8 1988-1991 Ill .000301 ZOOl 9Z 1983 16Z .OOOqSB 1992 9Z .OOOZq7 200Z 6Z 198q IIX .OOOS01 199S-199fi 7Z .00019Z ZOOS 5Z 1985 1SI .000S56 1995-1998 9Z .O00Zq7 ZO0~ ~Z 1986 IOZ .00027~ 1999 7Z .00019Z 1987 92 .OOOZq7 ZOO0 82 .000Z19 calculated as follows: --Interest is Daily Factor .O00Zq7 .O0016q .000137 .000110 INTEREST = BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DALLY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must bm calculated. PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY UNTIL COMPLETION. STATUS REPORT UNDER RULE 6.12 Name of Decedent: WilLIAM A. SULLIVAN Date of Death: MARCH 3. 2003 Will No.: 2003-00420 Admin No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes ~ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: . 3. If the answer to NO.1 is yes, state the following: A. Did the personal representative file a final account with the Court? Yes No ~ B. The separate Orphans' Court No. (if any) for the personal representative's account is:. C. Did the personal representative state an account informally to the parties in interest? Yes ~ No D. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. ~hlo5 ~~~ Edmund G. Myers, Attorney Johnson, Duffie, Stewart & Weidner 301 Market Street, P.O. Box 109 lemovne. PA 17043-0109 Address Date: c,.:) (717) 761-4540 Telephone No. Capacity: Personal Representative ~ Counsel for Personal Representative vA Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/02/2005 MYERS EDMUND G 301 MARKET STREET POBOX 109 LEMOYNE, PA 17043 RE: Estate of SULLIVAN WILLIAM A File Number: 2003-00420 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 3/03/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ..~~~~/!#W~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge J PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY UNTIL COMPLETION. STATUS REPORT UNDER RULE 6.12 ~" ";:-, . l,(r (""n ./ '." ~"I //\\[," : ,-', \' i Name of Decedent: WilLIAM A. SULLIVAN Date of Death: MARCH 3. 2003 Will No.: 2003-00420 Admin No.: Date: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes ~ No 2, If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to NO.1 is yes, state the following: A. Did the personal representative file a final account with the Court? Yes No ~ B. The separate Orphans' Court No. (if any) for the personal representative's account is:. C. Did the personal representative state an account informally to the parties in interest? Yes ~ No D. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. ~.f7105 ~~~ Edmund G. Myers, Attorney Johnson, Duffie, Stewart & Weidner 301 Market Street, P.O. Box 109 Lemovne, PA 17043-0109 Address (717) 761-4540 Telephone No. Capacity: Personal Representative ~ Counsel for Personal Representative F