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HomeMy WebLinkAbout04-05-10 la ^6 ^II^^ REV-1500 Ex (06-05) OFFICIAL USE ONLY PA Department of Revenue County Code Year FileNumber Bureau of Individual Taxes INHERITANCE TAX RETURN PO BOX 280801 Harrisburg, PA 17128-0801 RESIDENT DECEDENT 21 08 1260 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 178 16 6119 12 09 2008 01 09 1922 Decedent's Last Name Suffix Decedent's Frst Name MI DeSilvestri Margaret E (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's Frst Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW f~ 1. Original Retum o 2. Supplemental Retum (~ 3. Remainder Retum (date of death prior to 12-13-82) D 4. limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Retum Required death after 12-12-82) f~ 6. Decedent Died Testate [~ 7. Decedent Maintained a Living Trust ~ S. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) p 9. Utigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - Thls section must be completed. All Correspondence and ConfldenBal Tax Information Should be Directed to: Narrle Daytime Telephone Number Robert R. Church, Esq. 717 255 8059 Frm Name (If Applicable) Keefer Wood Allen & Rahal, LLP Frst line of address P.O. Box 11963 State ZIP Code .;~ _} _ ._ry `~, _, _-,, -'-ri ~~ Second line of address City or Post Office Harrisburg Correspondent's a-mail address: rchurch@keeferwood.com t~ WILLS USE~Y REGISTE~F - - ~, 3:~ ~~ - ~ -,o 1 f:} ~ c ~ ' -, ~-„ ~ ,, ~ .~- ` ~7 ~ ' D7~E FILED (V .~ PA 17108-1963 Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the bestof my knowledge and belief, it is true, correctand complete. Declaration of the preparer otherthan personal representative is based on all information of which preparer has any knowledge. SIGN RE OF PERSON RESPONSIB E FO FILING RETURN DATE ~Q~ .0 3. s _ ad ~ ~, A ~' /' ~ • ~~lts~~-. rid ~~a ~9 - 919 r~-~2~ -~, ~ SIGNATURE OFPREFj14RE]iIOJrF1~R~ EPRESE TATIVE • /• ~ Q~~f~ ~ ~' Zd /~ ADDRESS Robert R. Church, Esq. P.O. Box 11963, Harrisburg, PA 17108-1963 PLEASE USE ORIGINAL FORM ONLY Side f L i o ^a ^I i ^^ l a ^a ^I 1 ^^ J Rev-1500 D( Decedent's Name: Margaret E. DeSilvestri RECAPITULATION 1. Real estate (Schedule A) ......................................... 1. 2. Stocks and Bonds (Schedule B) .................................... 2. 3. gosely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) • • • • • • 3. 4. Mortgages&NotesReceivable (Schedule D) ••••••••••••••••••••••••••• 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule ~ • • • • • • • • • 5. Decedent's Social Security Number 178 16 6119 0.00 0.00 0.00 0.00 476,658.48 6. Jointly Owned Property (Schedule F) D Separate Billing Requested ... • . • 6. O.OO 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property O.OO (Schedule G) 0 Separate Billing Requested ..... • 7. e. Total Gross Assets (total Lines 1-7) ................................ s. 476,658.48 9. Funeral Fx enses & Administrative Costs Schedule H ............ 9. 34,835.06 P ( )........ 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .... • .. • • • • • • • • 10. 39,244.09 11. TotalDeductlons(totalLines9&10) •••••••••••••••••••••••••••••••• 11. 74,079.15 12. Net Value ofEstate(Linet3minusLinell)........•...•.••••••••••••••• 12. 13. Charitable and Governmental BequestslSec 9113 Trusts for which an election to tax has not been made (Schedule J) . • • . • .. • • • . • • • • • • • • • • • • 13. 14. Net Value Subject to Tax (Line l2 minus Line l3) ....••••••••••••••••••• 14. TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 O OO (a)(1.2) X .00 . 15. 1s. Amount of Line 14 taxable 5 000 00 at lineal rate X .045 . + 16. 17. Amount of Line 14 taxable O OO at sibling rate X .12 . 17. 18. Amount of Line 14 taxable 397 579 33 at collateral rate X .15 . 18• 19. TAX DUE .................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Slde 2 ~ ^~ ^^I ^^ I ~ ^a ^^I ^^ 402,579.33 0.00 402,579.33 0.00 225.00 0.00 59,636.90 59,861.90 O Rev-1500 EX Page 3 Decedent's Complete Address: Fle Number 21 08 1260 DECEDENTS NAME Mar aret E. DeSilvestri DECEDENTS SOCIAL ECURITY NUMBER 178-16-6119 STREET ADDRESS 22 Count Club Place West CITY Camp Hill STATE PA ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 59,861.90 2. Credits/Paymerns 0 00 . A. Spousal Poverty Credit B. Prior Paymerns 10,000.00 C. Discourn 0.00 Total Credits (A+ B + C) (2) 10,000.00 3. Interest/Penalty if applicable 0 00 . D. I merest E. Penalty 0.00 Total Irnerest/Penalty (D + E) (3) 0.00 4. If Llne 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. FIII In oval on Page 2, Line 20 to request a refund. (4) 5. If Line 1 + Une 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 49,861.90 Erner the interest on the tax due. A (5q) 0.00 . Erner the total of Line 5 + 5A. This is the BALANCE DUE. B (5B) 49,861.90 . 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 theproperrytransferred;,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ^ 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 paymerns, benefits or care? • • • • • • • • • • • • • • • • • • • • • • • • ^ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .................................... ^ 3. Did decedent own an in trust for" or payable upon death bank accourn or security at his or her death? ^ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which cornainsabeneficiarydesignation? •••••••••••••••••••••••••••••••••••••••••• ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. Sect. 9116(a)(1.1)(i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) peroern [72 P.S. Sect. 9116(ax1.1)(ii)]. The statue does not exempt a transfer to a surviving spouse from tax, and the statutory requiremerns 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 parern, or a stepparern of the child is zero (0) percent [72 P.S. Sect. 9116(ax1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedern's lineal beneficiaries is four and one-half (4.5) peroern, except as noted in 72 P.S. Sect. 9116(1.2) [72 P.S. Sect. 9116(a)(1)]. The tax rate imposed on the rret value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. Sect. 9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parern in common with the decedent, whether by blood or adoption. REV-1508 EX+(8-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCETAXRETURN ''. RESIDENTDECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Margaret E. DeSilvestri 21 08 1260 include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Scheduel F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Decedent's 50% remainder interest in the Testamentary Trust (the "Trust") 400,000.00 established under the Last Will of her mother, Mabel Reigle, who died in 1966. The other 50% remainder beneficiary is the Decedent's nephew, Roger Pleva. The Trustee is BNY Mellon. The Trust was established under the mother's Will to own a parcel of commercial real estate, which was sold in the Spring of 2008, thereby causing the termination of this Trust. However, termination and distribution of the Trust was delayed for various reasons, including a dispute with the Decedent's nephew over his percentage share of the trust corpus. Following negotiations, he agreed to equal division of the Trust's residue, in exchange fora $5,000 share of the Decedent's 50% interest in the Trust. BNY Mellon, as Trustee, subsequently distributed the trust property on March 17, 2010 and the Decedent's Estate received $409,768.36, which included interest earned after the date of the Decedent's death. Copies of the relevant documents are attached. The Executor hereby requests abatement of all interest due for the Decedent's inheritance tax because the Estate had no funds available until the distribution from the Trust was made on March 17, 2010. 2 Members 1st Federal Credit Union Checking Account #328423-11 3 Members 1st Federal Credit Union Savings Account #328423-00 4 2008 Form 1040 Refund 5 Uncashed Social Security checks for the months August, 2008 through December 2008 6 12008 Form PA-40 Refund 65,113.54 5.00 8,628.44 1, 741.00 1,170.50 TOTAL (Also erner on line 5, Recapitulation) I 476,658.48 (If more space is needed, insert additional sheets of the same size) REV-1511 EX+(10-OB) COMMONWEALTH OF PENNSYLVANIA INH E RITANCE TAX RETU RN RESIDENTDECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Margaret E. DeSilvestri 21 08 1260 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL IXPENSES: 1 Neill Funeral Home, Inc. 3,662.00 12/19/08 cremation B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees 28, 000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees See schedule attached 3,173.06 TOTAL (Also enter on line 9, Recapitulation) 34,835.06 (If more space is needed, insert additional sheets of the same size) Estate of: Margaret E. DeSilvestri Schedule H, Part 6 -Administrative Costs Miscellaneous Expenses Item Number Description 7 UHAUL -moving expense 8 Brooks Bello cleaning service for apartment 9 Howard C. Gale Dev. Co., Inc. Dec. 2008 rent expense 10 Robert E. Rankin, Jr. wash windows in apartment 11 Montour Home Comfort Services 10/6/08 heating fuel 12 Pennsylvania American Water Nov. and Dec. 2008 water 13 William Heffner replacement of inside door at apartment 14 Stehr's 8/5/08 pst control 15 V. Fleming Tax & Accounting Service 2007 tax return preparation 16 Keefer Wood Allen & Rahal, LLP attorneys' disbursements to March 31, 2009 17 Attorney's estimated disbursements to complete administration Page 2 21 08 1260 Amount 77.66 60.00 585.00 90.00 795.15 52.10 321.61 37.10 80.00 574.44 500.00 TOTAL. (Carry forward to main schedule) ...... 3,173.06 REV-1512 EX+(12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENTDECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS - - ESTATE OF FILE NUMBER Margaret E. DeSilvestri 21 08 1260 Report debts Incurred by decedent prior to death which remained unpaid as of date of death, including unrelmbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 2008 Form PA-40 ES tax payment, paid post-mortem 2,000.00 2 ~ 2008 Form 1040 ES tax payment, paid post-mortem ~ 10,000.00 3 Debbie Lupold, Treasurer 11.00 2008 personal taxes 4 Verizon 453.91 Sept. through Dec. telephone expense 5 PPL Electric Utilities 206.78 Nov. and Dec. 2008 electric expense 6 I Comcast I 36.91 Nov. and Dec. cable expense 7 Keefer Wood Allen & Rahal, LLP 23,335.49 pre-mortem attorney fees and disbursements for guardianship litigation and trust matters 8 James Duryea Cameron, Esq. 200.00 6/23/08 legal expense 9 Steve C. Nicholas, Esq. -attorney fees and disbursements re: guardianship 1,620.00 litigation 10 James L. Walsh, Esq. -attorney fee and disbursements re: guardianship 1,380.00 litigation TOTAL (Also enter on line 10, Recapitulation) I 39,244.09 (If more space is needed, insert additional sheets of the same size) REV -1513 EX+(9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA ( BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Margaret E. DeSilvestri 21 08 126 0 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBE NAME AND ADDRESS OF PERSONS RECEIVING PROPERTY Do Not Llst Tru s OF ESTATE i TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)] Cynthia D. Meyers f/k/a Cynthia D DeSilvestri daughter-in-law 5,000.00 1115 Green Street Harrisburg, PA 17102-2920 Anna K. Bailey Friend 397,579.33 18 Central View Road Dillsburg, PA 17019 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LIN ES 15 TH ROUG H 18, AS APPROPRIATE, ON REV-1500 COVER SH EET ii NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SEC. 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 SHEET (If more space is needed, insert additional sheets of the same size) LAST WILL AND TESTAMENT OF MARGARET E. DeSILVESTRI I, MARGARET E. DeSILVESTRI of 22 Country Club Place West, Camp Hill, Cumberland County, Pennsylvania 17011, declare this to be my Last Will and revoke any Will or Codicil previously made by me. ITEM I: I direct that all expenses of my last illness and funeral shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM II: I direct that all taxes -that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate, without apportionment. ITEM III: I give, devise and bequeath the sum of Five Thousand and 00/100 ($5,000.00) Dollars to my daughter-in-law, CYNTHIA D. DeSILVESTRI of 1115 Green Street, Harrisburg, Pennsylvania providing that she shall-survive me by thirty (30) days. ITEM IV• I give, devise and bequeath all the rest, residue and remainder of my estate of every nature and wherever situate, to my friend, ANNA K. BAILEY of 18 Central View Road, Dillsburg, Pennsylvania 17019, providing that she shall survive me by thirty (30) days. IT_ EM V: I hereby authorize and empower my Executrix hereinafter named to sell all of the real property and any or all of the personal property not specifically bequeathed herein, which I may own or to which I am entitled at the time of my death, in the sole di order of Cou ty at esuchltimet o r times and public sale, without an upon such terms as the said Executrix shall deem proper for the thereby best interests of my estate or of my beneficiaries, converting the same into cash. I further authorize and empower my said Executrix to execute, ackno~ledge and deliver all proper writings and deeds of conveyance ,and transfer thereof. ITEM VI: The principal and income of any bequests created hereunder shall be free from anticipation, assignment, pledge or obligation of any beneficiaries and shall not be subject to an execution or attachment or to voluntary or involuntary alienation. ITEM VII: I appoint my friend, ANNA K. BAILEY, Executrix of this m Will. Should ANNA K. BAILEY be unable to serve as Executrix for any reason, I then appoint my attorney, STEVE C. NICHOLAS, Esquire, Executor of this my Last Will. ITEM VIII: I direct that my Executrix or her successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 29th day of September 2005. RG ET E. Des VESTRI A 2 ~ 4 - The preceding instrument, consisting of this and two (2) other typewritten pages, identified by the signature of the Testatrix, MARGARET E. DeSILVESTRI, was on the day and date thereof signed, published and declared by MARGARET E. DeSILVESTRI, the Testatrix therein named, as and for her Last Will, in the presence of us, who, at her request and in her presence and in the presence of each other, have subscribed our names as witnesses hereto. rte- ~ aec~- ~~ ~ Of c ~'~ !~?1~ 2 o f P~~ ~' " ~ ~ ~~ Z P 3 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA . SS. COUNTY OF DAUPHIN I, MARGARET E. DeSILVESTRI, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by MARGARET E. DeSILVESTRI, Testatrix, this 29th day of September 2005. R ET E. DeSIL STRI C~~:~,~11~,,.~~-~. Notary Public Y.. COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL CHRISTINA L. NICHOLAS, Notary PubNc Lower Paxton Twp., Qauphin County Comrnitelon Ex irea Jury 20, 2009 4 COMMONWEALTH OF PENNSYLVANIA , SS. COUNTY OF DAUPHIN ' WE, the undersigned, witnesses whose names arefiednaccooding oin instrument, being duly quali attached or foreg g resent and saw the to law, do depose and say that we were p Testatrix, sign and execute the instrument as aer thate each voluntary act for the purposes therein expresse , witness in the hearing and sight of the Testatrix subscribing and that to the best of our signed the Will as a witness; the Testatrix was at that time 18 or more years of knowledge, age, of sound mind and under no constraint or undue influence. Sworn to or affirmed and subscribed before me by the undersigned witnesses, this 29th day of September 2005. Witness Witness C'~~~I~ ~----- Notary Public COMMOr'~WE LTH OF PENNfI/L.VANIA - . NOTARIAL SEAL CHRISTINA L. NICHOLAS, Notary Public _ - LtriC wp., l~i~i^ t,,ouMy ~ _ - -- - _ June 20, 2009 LJl,7lJ LJLh L"1 LJI~L~LJ L`7LJ 'L• I!JLJ 'L7' ELI L•7l"J t~l~i'r~ica3rs~:i~y.rtfl .i.•na ~• ti .• •.~.,i:,,,~»e~ ;inr~r~rir~r.~rir~r uuu ul.~Lt71~1~~1~'JIJ I~Lyi~LyLh~ ~] ' J 5 123 L-S J ' - BNY Mellon, N A: ~ BNY MELLON 11:0 FS ~ ~ J Check No.: 11254814 ~ ~ ~ ~ Pay Four hundred nine thousand seven hundred sixty eight and 36/1.00 Dollars ~ ~ To the Order Of Date 03/17/10 A ' ount $409 768 36 ESTATE OF MARGARET E DES(LVESTRI , . ~ ~ C/O ANNA K BAILEY, EXECUTOR ~ ~ P.O. BOX 11963 HARRISBURG, PA 17108 1963 ~ - I ~AUihonzed.5ignature NoC.Y-slid AfterSix;Monihs ~ ~ r II'OOi~2548L411' ~:O~~OOL234~: 29 992 811' `~ BNY MELLON Account Number and Name Transaction Explanation BNY Mellon, N.A. Check No.: 11254814 Date Amount - 03/17/10 $409,768.36 Batch Transaction No. Portfolio Amount Account Administrator 101704186N6 CK 2410 REIGLE MABEL R TNV 157 AMT OWED PER FAMILY SETTLEMENT AGREEMENT LESS UNACCOUNTED LEGAL FEE & TAX RESERVE Detach and Retain this Statement For Your Records 3 PRINCIPAL $409,768.36 JACQUELYN STECK-KAFES 2a of 25 PHIL THIS PORTION IS NON-NEGOTIABLE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: BAILEY ANNA K 18 CENTRAL VIEW ROAD DILLSBURG, PA 17019 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX111-961 NO. CD 01 1726 ACN ASSESSMENT AMOUNT CONTROL NUMBER fold ESTATE INFORMATION: SSN: 178-16-6119 FILE NUMBER: 2108-1260 DECEDENT NAME: DESILVESTRI MARGARET E DATE OF PAYMENT: 09/ 10/2009 POSTMARK DATE: 09/09/2009 couNTY: CUMBERLAND DATE OF DEATH: 12/09/2008 REMARKS: SEAL CHECK# 1019 101 ~ $10, 000.00 TOTAL AMOUNT PAID: S 10, 000.00 INITIALS: JN RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER St MEMBERS 1St AEDERALCREDIT UNION SAVINGS ACCOUNT: Account Number/Suffix -~___~ Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner CHECKING ACCOUNT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner Estate of: MARGARET DESILVESTRI Date of Death: 12/09/2008 Social Security Number: 178-16-6119 328423-00 04/24/2008 $5.00 $.00 $5.00 None 328423-11 05/09/2008 $65,109.97 $3.57 $65,113.54 None BERS 1ST FEDERAL CREDIT UNION ~_~~~. Danielle A. Kline Insurance Services Specialist July 28, 2009 5000 Louise Drive P.O. Box 40 Mechanicsburg, Pennsylvania 17055 (800) 283-2328 wwwmemberslst.org __ _ _ r CODICIL I, MABEL R. REIGLE, of the Borough of Camp Hill, Cumber- land County, .Pennsylvania, do make and publish this writing as a Codicil to my Last Will and Testament executed June 1~+, 1y62. ITEM 1. I hereby amend Item 5 of my said 4lill so that it will read as follows: A11 the rest, residue and remainder of my estate, both real and personal, I give, devise and bequeath to The Harrisburg Plational Bank and Trust Company, the Trustee hereinafter named, in trust nevertheless, to hold, manages invest and reinvest the same, to collect the income, and to pay over the net income in at least quarterly installments, one- half to my daughter, Margaret E. UeS;i.lvestri, now of Camp Hill, Pennsylvaniag one-fourth to my daughter, Kathryn A. Fleva, of Camp Hill, Pennsylvania; and one- fourth to my daughter, Ethel A1. Peigle, of Camp Fii11, Pennsylvania, or to their issue by representation if any of my children dies before me or during the existence of this trust. If any of my children dies without issue during the existence of this trust, I direct that her share should be paid to the surviving children or their issue. I direct that the aforesaid trust shall terminate upon the death of my last sur- viving child of oresaid, or upon the sale and conveyance of the filling station and restaurant property located at the northwest corner of 32nd and Market Streets, Camp Hill, Pennsylvania, whichever event occurs first. c~' 4 Upon termination of the aforesaid trust, the principal then remaining shall be divided one-half to my daughter, Margaret E. DeSilvestri; one-fourth to my daughter, Kathryn A. P1eva; and one-fourth to my daughter, Ethel M. Reigle, o.^ to their issue by representation if any of my children is then deceased. If any of my children dies without issue during the existence of this trust, I direct that her share should be paid to she surviving children or their issue. ITEM 2. I hereby nominate, constitute and appoint my daughter, Margaret E. DeSilvestri, of Camp Hill, Pennsylvania, as Co Executor with The Harrisburg I~atiorial Bank and Trust Company to carry out the terms of this Wi11, both Executors to hive all the powers and duties and to be subject to all of the provisions set forth in my said Will. In ail other respects I hereby reaffirm and republish my Last 4Ti11 and Testament executed June 14, 7.962. IN WITNESS WHEREOF, I have hereunto set my hand and seal this _~_ day of May, A.D. 1964. ,. (SEAL) G Signed, sealed and delivered (' in the presence of: G. p /? ~~ts.' . L. ~~. ~h' ~ ;+^ ~ ' _ f SST WILL A~iD TEST~E~1,T, I, Mt~BEL R. REIGLE, of the Borough of Camp .Hill, Cumberland County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all prior wills, codicils, and other testamentary dispositions: by me at any time made. ITEM 1. I direct my Executor hereinafter named to pay, as soon as conveniently can be done after my decease, a1"1 my dust debts, the expenses of my last illness and burial, and the cost of suitably marking my grave. I'PEM 2. I direct that all estate, inheritance, and succession taxes that may be imposed by the United States of a~merica, by the Commonwealth of Pennsylvania, or by any other state of the United States, whether levied upon the estate which i :;~ passes under this my will or upon any other estate which comes into being by reason of my death, shall be paid out of the ~.i principal of my general estate to the same effect as if said { .; taxes were expenses of administration; and that all legacies, -' devises and other gifts of principal and. income made by this i my will or by any codicil hereto shall be free and clear of al"l , such taxes. In the absolute discretion of my Executor, such taxes may be paid Immediately or their payment may be postponed on future or remainder interests until the time when possession ~` thereof accrues to the legatee or beneficiary. It is my intention A 1. that all inheritance or estate taxes levied as a result of my death on property number 30Q5 Market Street, Camp Hill, Pennsyl- vania, shall be paid as directed aforesaid. `; . 34g ITLM 3. I give, devise and bequeath all my personal1 effects, including wearing apparsl, jewelry, silverware, linens, tiouseholdfurniture and furnishings, equally to my three children, Margaret E. DeSilvestri, of Baltimore, Maryland; Kathryn A. Fleva, of Camp H111, Pennsylvania; and Ethel M. Reigle, of Comp Hill, ~'ennsylvania, or to their issue by representation if any of my children ,dies before me. ITEM 4. I give, devise and-bequeath my d•::~lling known as ~ North 30th Street, Camp Hill,. Pennsylvania, subject to the ,payment of any mortgage indebtedness, to my daughter, Margaret E. DeSilvnstri, of Baltimore, Maryland. ITF~I ~. All the rest, residue-anal remainder of my estate, both real and personal, I give, devise and bequeath toy The Harrisburg Nationa:L Bank and. Trust Company, the Trustee hereinafter named, in trust nevertheless, to hold, manage, in vest and reinvest the same, to collect the income, and to pay over the net income in at least quarterly installments equally to my three children aforesaid, or to their issue by represen- tation if any of my children dies before me or during the existence of this trust. If any of my children dies without issue during the existence of this trust, 7 direct that her share should be paid to the surviving children. or their issue. I direct that the aforesaid trust shall terminate upon the death of my last surviving child txforpsaid, or upon the stile and conveyance of the filling station and restaurant property located at the northwest corner of 32nd acid Market Streets, Camp Hill, Pennsylvania, whichever event occurs .first. Upon -2- r . 34~ ~. .~., ^+r~m w+F.~y~.-,r~,°ur,';~.„^*.~,.,-:e..k~'7'.r -•:~'-r~*z;..~rtiry ~n rw~. ;,x- M,:.~. :re~M m~i~~ ""-.r~^".^k~ a,oa,. ,.„_ __ _ l.1 ~. anu .....,. ~. ,y termination of the aforesaid trust, the principal then remaining shall be divided equally among my children then living, or to their issue by representation if any of my children is then deceased. If any of my children dies without issue during the ~~ , c ,, existence of this trust, I direct that her share should be paid l: to the surviving children or their issue. It is my desire that the filling station and restaurant property aforementioned shall be held intrust and leased in order to provide .income for my three children but I hereby empower my Trustee to sell the aforesaid property if it is desirable or wise to do so, on such terms and conditions and for such a price as it deems desirable, but said sale shall take place only after consultation between my Trustee and my three ~ children, and only after my daughter, Margaret E. DeSilvestri,° r r d reef that m consents in writing to said .,ale. I fu..the i y Executor and Trustee shall consult with my three children in connection with any lease of the said filling station a.nd restaurant property. r ITEM 6. The principal of this trust and the income I therefrom shall be free from the control, debts, liabilities .and engagements of the beneficiaries hereLtnder, or anyone beneficially interested herein, and shall not be subject to assignment, liens, attachments, executions, sequestrations, I or claims of any-sort whatsoever against them. ITEM 7. The Executor and Trustee shall not be responsible for, liable for, or charged with any loss or de- preciation that may arise from said trust estate, or any other t :;: securities and real estate purchased by it forming any part of ': I ~, 1 ~,- -3- ... 343 ,_ . this trust estate hereby created, it being expressly understood that the Executor and Trustee shall be liable for gross negligence only. ITEM 8. The Executor and Trustee at its election, but it shall not. be under any obligation to do so, may make advances and borrow money on Bach terms and conditions, at any time or times, .for such purpose as it mr~y deem desirable or proper for the improvement, protection or preservation of my trust estate, or for the payment of any taxes which may be levied on or payable out of my estate, such as inheritance or Federal Estate taxes. For the repayment of such advances, with interest, the Executor and Trustee shall have a lien upon the trust estate, and for sums so borrowed may issue its note or notes as Executor and. Trustee and secure the repayment by mortgaging or p7_edging any part or all of the trust estate. ITEM 9. I hereby nominate, constitute and appoint The Harrisburg National Bank and .Trust Company, with its main office at Harrisburg, Pennsylvania, us Executor to carry out tY:z terms of this will, as Trustee to carry out the trust herein set forth, and as Guardian for any minors who may inherit under the terms of this will or the trust herein set forth. I also appoint said banY. as Guardi~xn for my daughter, Ethel M. Reigle, in the event that the trust has terminated before her death. I confer upon my Executor, Trustee and Guardian the following powers and authority in addition to any others conferred under i this will or by law: (a) To retain any asset which I may otm at my decease, whether or not said asset is a legal investment for trust --~-~ - . 3~4 ,- T :mac funds under Pennsylvania law. (b) To .sell at public or private sale, on such terms and conditions as it may deem desirable, any real or personal property constituting my estate, subject to the provision that the filling station and restaurant property shall not be sold without consultation between The Harrisburg Nationa,i Bank and Trust Company and my three children. (c) To lease any real estate which I may own at my decease, on such terms and conditions, for such periods of time, as it may deem fitting and proper, bearing in mind that I desire the filling station and restaurant property to be a source of income for my children during their lifetimes. (d) To pay out of principal to the extent necessary, such portions as it-may in its sole discretion deem fitting rand proper, for the health, welfare,.edu- cation and maintenance of any per. sons who may bE~ beneficiaries off' the trust herein set forth. Said portions of principal so used shall be charged against the share. of such beneficiary or her issue upon the termination and distribution of the trust assets. (e; To make alterations, repairs and addi- tions to, and to erect improvements. upon my real estate, together with the power to borrow money to do so if necessary. IN WITP3ESS WHEFECF, I have hereunto set my ildnd and 1~~, day of June, A.D. 1962. seal this y~ ,/~ r ~~..~~ (.SEAL ) Signed, se died, published and declared by M~-BEL R. C' - ~,~w , N,,~1gS: i REIGLE, the testatrix above named, as rsnd for her Last Will and Testament in the presence of us, who, in her presence, at her -5- 3~5 request, and in the presence of each other, hive hereunto set our names ~s witnesses. ~J ~ .~ ~ • l V ~- i ~ pennsylvan~a ,~~ ~ DEPARTMENT OF REVENUE March 9, 2010 Robert R Church 210 Walnut Street P O Box 11963 Harrisburg, Pa 17108 Re: Estate of Margaret E DeSilvestri File Number 2108-1260 Dear Attorney Church: This is in response to your letter of March 4, 2010 concerning the inheritance tax return due in the above referenced estate. Since it is apparent that you will be unable to file a tax return in the near future, the estate record will be placed in an informal hold status for an additional period of six (6) months so that the department will initiate no enforcement activity until September 9, 2010. At the end of that period we would ask that you contact us to provide an updated status for our file. The return may be filed at any time during the informal hold period. Kindly note that this action will avoid the imposition of a penalty for failure to make a timely return. However, it does not prevent interest from accruing on any tax remaining unpaid after the delinquent date. Thank you for your cooperation, and, if I may be of any further assistance, please feel free to contact my office. Bureau of Individual Taxes 15`h Floor Strawberry Square I Harrisburg, PA 17128 1717.787.6505 I www.revenue.state.pa.us Supervisor Inheritance Tax Division IfulmerCa~state. pa.us COO P~7 IN THE COURT pF COMMON PLEAS OF CUMBERLAND COUNTY COIVIMONWEALTI-I OF PENNSYLVANIA ORPHANS" COURT DIVISION In the matter of the Estate of MABEL R. REIGLE, No. 2871 of 1966 Deceased ADDENDUM TO FAMILY SETTLEIVIENT AGREEMENT WHEREAS, BNY Mellon, NA., is the Trustee of the Trust under the Last Will and Testament of Mabel R. Reigle .dated June 14, .1962 {hereafter the "Trust") and the Codici] to the sanle dated May 4, 19.64; and. WHEREAS the remaining beneficiaries of the Trust are Margaret E. deSilvestri {deceased] and Roger J, Pleva; and WHEREAS the beneficiaries intended to enter into a Family Settlement Agreement for the purpose of terminating and .distributing the Trust res, a copy of which is attached as Exhibit "A"• and WHEREAS the said Roger J. Pleva executed said Family .Settlement Agreemen# on November 17, 2008 and his chi9dren as contingent beneficiaries executed the same shortly thereafter, and WHEREAS- the said :Margaret E. deSiIvestri died on December 9, 2008 and before she could execute said Family:Settlement Agreement; and WHEREAS .Anna K. Bailey has been appointed as Executrix of the ViWill of Margaret E. deSilvestri by the Cumberland County Register of Wills to Cumberland County Estate No. 2:1- 2008-1260; and WHEREAS certain questions have arisen as to the enforceability of the said Family Settlement Agreementand as to 'the rights of the respective parties thereto concerning the Trust; and WHEREAS the said parties., intending to be legal bound, have entered into a certain .letter .agreement dated July 22, 2009, a copy of which is attached as Exhibit "B" describing the respective parties rights to the Trust res and as described as follows: "The parties agree that the balance of the Trust fund. available for final distribution shall be divided and paid as .follows: 1. an amount equal to one-half (112) of the said balance plus $5,000.00 shall be paid to Roger J. Pleva; and 2. an amount equal to one-half (1/2) of said balance, less $5,00.0.00, will be paid. to Anna K. Bailey, Executrix undex the Last Will and Testament of Margaret E. deSilvestri.", and WHEREAS .the Trustee has provided a statement of trust holdings available for distribution dated November 3, 2009 which is attached hereto as Exhibit "C" and a subsequent Statement of Holdings dated. January 4, 2010 which is attached hereto as Exhibit "D" NOW THEREFORE, KNOW ALL BY THESE PRESENTS, that the undersigned does incorporate and amend the original Family Settlement Agreement aril hereby requests .BNY Mellon, NA.. to make distribution of the balance of the estate without the filing of an accounting for audit and approval by the court having jurisdiction. The undersigned in consideration of the payment and deliveryto them of the following: 1. To ROGER J, PLEUA, the -cash surn of FGUR HUNDRED AND TWEN'I'I' THOUSAND FOUR HUNDRED SEVENTY FOUR. DOLLARS AND TWENTY EIGHT -CENTS ($420,474.28); and 2. To ANNA K. BAILEY, EXECUTRIX under the Last Will and Testament of Margaret E. deSilvestri, (deceased) the cash sum of FOUR HUNDRED AND TEN THOUSAND FOUR HUNDRED SEVENTY FOUR DOLLARS AND TWENTY EIGHT CENTS ($410,474.28) the receipt of which is hereby acknowledged, for themselves, their heirs, personal representatives, successors and assigns does remise, release, quit-claim and forever discharge BNY Mellon, NA., individually and as Trustee aforesaid, their respective successors and assigns, of and from all actions, suits, payments, accounts, claims and demands whatsoever or by reason .thereof, and from .any suit, payment, claim or liability arising from the administration of the Trust, including, but not limited to, the administration of any common trust -fund by BNY Mellon, NA. or arising fronn any losses on investments including, but not limited to, investments in any common trust fund administered by BNY Mellon, NA., and hereby agrees that any court having jurisdiction may by its decree.discharge BNY lVlellon, NA..as Trustee. The undersigned further agrees to indemnify and hold harmless BNY Mellon, NA., its successors and assigns, from -and against any and all claims, loss, liability or damage which it may suffer or to which it may be subjected by reason of the settlement of the account and the distribution of the assets of the said Trust without approval of the court having jurisdiction. In consideration of the distribution to the undersigned of the property described above, the undersigned .agrees to pay BNY Mellon, N.A. any amount up to the value of the property that may be necessary in the future to discharge any liabilities of the Trust. 2 The undersigned further declares that it is her/his/their intention to be legally bound by the execution of this A.greeznent. IN WITh7ESS WHEREOF, the undersigned have hereunto set his/her/their hand and seal. WITNESS: ~~ Q c ''(, ANNA K. BATLEY, Executrix under the Last Will and Testament of MARGARET E. DESILVESTRI, deceased, Beneficiary Dated: ~a -, K a r~/ dam, 2 a l 0 ROGER J. PLEVA Beneficiary Dated: r EXHIBIT "A" Original Family Settlement Agreement TN THE COURT OF COMMON PLEAS OF CUMI3ERI~AND COUNTY COMMONWEALTH OF PENNSYLVANIA ORPX3ANS" COURT DIVISION' In the matter of the Estate of MABEL R. REIGLE, No. 2871 of 19G6 Deceased FAMILI' SETTLEII~ENT AGREEMENT' WHEREAS, BNYMellon, NA., is the Trustee of the 1'nist under the Last Will :and Testament of Mabel R, Reigle dated June 14, ] 9fi2 a~~d the Codicil to the same dated May 4, 196A. WHEREAS the said Mabel R. Reigle died on November 20, 1966 with her said zast 1Wi11 and Codicil being f led in the office of the Register of Wills in and for Cumberland County, Pe~msylvania to Estate,No. 28'1.1 of 1966. WHEREAS the said estate was administered acid .distributed as accounted for in the. First and Partial Accotmt and Proposed Distribution of the Executor and Ti-usiee dated February 6, l 974. WHEREAS since said Account and .distribution, the sole principal asset held in trust was a certain parcel of real property with the improvements thereon known and numbered as 3200 Market Stl•eet, being the northwest corner of 32"`~ and Market Streets, Camp Hill Borough, Cumberland County, Pennsylvania 1701 1. WHEREAS Item 5. of said Will states in part; "] hereby empower my Trustee to sell the aforesaid property if it is desirable or wise to do so, on such terms :and conditions aazd for such a ,price as it deems desirable, but said sale shall take place only -after consultation between my Trustee and my three children and only after my daughter, Margaret E. DeSilvestri, consents in writing to said sale. WHEREAS the three (3) children of Mabel R. Reigle are Margaret E. DeSilvestri, Kathryn A. Pleva (deceased and survived by Roger Pleva, her only child) and Ethel M. Reigle (deceased without issue). 399593-1 WHEREAS after consultation with the surviving child and other heir(s) of Mabel R. Reigle, and upon written consent of Margaret E. DeSilvestri, dated March 13, 2008, the Trustee sold said real property on May 23, •2008 and in accordance with a certain Agreement of Sale dated March 24, 2008 for the cash sum of $1,250,000.00. WHEREAS Item ] . of said Codicil states in part: "I direct that the aforesaid trust shall tenni.nate :upon the death of my last st[rviving :child aforesaid, or upon t]ae sale and conveyance of the f hitig station and restaurant property located at the northwest corner of ~2"d and Market. Streets,'Camp:Hill, Pennsylvania, whichever occurs first:" WHEREAS the surviving beneficiaries of the trust with vested interests axe Margaret E. DeSilvestri and Roger Plena. Said beneficiaries by Agreement dated March 13, 2008, agreed as follows: " 3. As soon as practicable after the completion of the sale, the trust shall termiztate and the entire net trust estate, whether income or principal, shall be divided equally beriveen Margaret E. DeSih~estri (Margaret) and Roger Plena (Roger),; and 4. The -trust shall be terminated inforn~alJy, with a Family Settlement Agreetent prepared by my .office as .counsel for the Trustee. Margaret and Roger each agree to waive a formal accounting. Margaret agrees to execute th.e Family Settlement Agreement and Roger, together with each of his children. (as contiatgent beneficiaries) agree to execute the Family Settlement Agreement." WHEREAS, BNYMeJlon, NA., as Trustee is willing to make such distribution upon receipt of the release and indemnificationpronided for in ihis.Agreement. WHEREAS Margaret E. DeSilvestri and Roger Plena have each .examined the attached accounting (holdings statement dated 11/4/2005) and acknowledges that it is compete and accurate, hereby waiving any tight to demand the filing of a formal accounting by BNYMe)Ion, NA., and approves the acts and transactions of the Trustee in the administration of the Tn~st. NOW THEREFORE, KNOW ALL BY THESE PRESENTS, that the undersigned does hereby request BNYMellon, NA. to make distribution of the balance of the estate without the filing of an accounting for audit and approval by the court having jurisdiction. The undersigned in consideration of the payment and delivery to them of the following: The cash sum of FJVE HUNDRED EIGHTEEN THOUSAND FOUR HUNDRED AND NFNTY FOUR DOI,LAR.S AND THIRTY SEVEN CENTS ($518,494.37) +/- or SO%~ of the entire net income and principal of the ttvst estate on th.e date of distribution. A statement of holdings dated 11/4/2008 is attached hereto 39°593-1 the receipt of which is hereby acltnowledged, for themselves, .their heirs, personal representatives, successors aa~d assigns does remise, .release, quit-claim and forever discharge BIVYMeJIon, NA., individually and as Trustee aforesaid, their respective successors and assigns, of and froru all actions, suits, payments, accounts, claims and demands whatsoever or by reason thereof, and from any suit, payment, claim or liability arising from the administration of the Trust, including, but not limited io, the administration of any eornroon trust fund by BNYMellon, NA. or arising from any lasses on investments including, but not limited to, investments in any common trust fund administered by BNYMellon, NA., and :hereby agrees that any court having jurisdiction may by its decree discharge BNYMellon, NA. as Trustee. The undersigned further :agrees to inden~n,fy amd hold harmless BNYMellon, .NA., its successors and assigns, from and against any and .all claims, loss, liability or damage which it may suffer or o which it may be subjected by reason of the settlement of the account and the distribution of the assets of the. said Trust without approval of the court having jurisdiction. In consideration of the distribution to the undersigned of the property described above, the undersigned agrees to pay BNYMellon, N.A. -any amount up to the value of the property that may be necessary in the futw•e to discharge any liabilities of the Ti~~st. The undersigned further declares chat it is her/his/their intention to be legally bound by the execution of this Agzeement. IN WITNESS WHEREGF, the undersigned have hereunto set his/her/their hand and sea]. Witness: MA:}ZGARlrT E. DESILVESTRI Beneficiary Dated: l A-~.-. ~~ ROGER PL A Beneficiary Dated: ~ ~ ~ ~ 7y~~ 399593-1 Witness: ~-~~ `" - Tlalne; Richard C. Pleva Non-Vested 155Ue O~RO er Pleva Dated; 11-19 -~'~ Name; Dame ~. Pleva Iron-vested iss~e~ ~ er PJeva Dated: ~~~ G Nan1e; .Non-rested issue of Roger Pleva Dated.: 39.9593-1 EXHZBZT cc$99 Letter Agreement Dated Juiy 21, 2009 ~~~h ~ NL'AW OFFICE~~5^}~~n t/1'4CN(~T/!//v ~ C~~'W Y~~ FRANItE9~RGER PLAGE 219 EAST MAIN ¢TREET .P, O. (j0X 230 M ECHANICSBURG. PENNSYLVANIA 17055 717 691.7770 FAX 491.7772 July 22, 2009 Robert R, Church, Esquire Keefer Wood p,,11en & Rahal, LLP 210 Walnut Street P.O. Box 11963 Harrisburg, PA 17108-19.68 Re; Mabel R. Reigle Trust Dear Mr. Church.; m c ient, Roger J. Plena, .and your client, As you .know, y Anna K. Bailey, Executrix under the Last Wil and haveabeen of tember 29, 20.05, Margaret E. deSilvestr dated Sep involved in a dispute celcRrnReigleeTrust~naThat disputeaarises distribution of the Mab 23, 2008, and from from the sale of the Trust real estate on May 2.0.08, before final the death of Mrs. deSilvestxi an Drte~behave agreed orally to a distribution of the Trust. The p compromise resolution of the dispute ~eement~intwritingOSe of this letter to document their-oral ag The :parties agree thatutionbshallebefdvdeduandfpa~d as available for final distrsb follows: 1, an amountl~gbel a~doto-Roger(J/2Plevasaaddbalance, plus $5,.000.00, sha P 2 , an amount equal to one-half (1_/21 of sai Cd balar_ce, less $.5,000.00, will be paid to Anna K, Bailey, Executrix under the Last Will and Testament of Margaret E. deSilvestri. This final distribution shall be accompl1~hedTbusteenandithe Family Settlement Agreement to be prepared by parties .hereto covenant and agree to join in the execution of said Family Settlement Agreement. Tn additCourttapppovaleofasaid to cooperate with the Trustee in obtaining Family Settlement Agreement if such approval is determined to be necessary. In addition ('but not as part of the Family Settlement Agreement), Mrs. Bailey agrees to make available to Mr. Plena the Robert R. Church, Esquire Page 2 July 22, 2009 following ,temsookepwataha1hsfg~andfatherasVmantleEclock; ands grandfather's p hoto ra hs. the collection of family p g p This Agreement sha11 be legall~sb~ahas been executedrbyable against the parties hereto as soon both parties. Ve "y trul ours, Marlin R. McCaleb MRM/eaf AGREED TO B'Y ,~ r' r' , , ~-- Rog eva Date / ^; ~ti~ z ~ ~ yC' ~., '~- Da t e CR~nna'K. Bailey, Executrix under the Last Will and Testament of Margaret E. degi3vestri EXHIBIT "~" Statement of Trust Holdings .dated November 3, 2QU9 _ ~ .. .----..._ ... -r .i.111/. III. I I VV`LV~B VIU ~ n M ~~T.J ti '(E~ i M o tpO1 K C ~ro 9' i JI li V f l 4 ' H m 11 x 4' ? I*7 x-11-1 p ~ H am w t D ~ Y nn C ~ ii z~ , ya K tt nn ~ ~ HC BOG O O M ~ : C ~ ~ p p C °'M ~i ii ~n~ ii ~ ~ M- Mb ro Y yy yy -~ HH ny ~ o O o0 li ~~ t( h~ hfxl H in t+ 7 x x Y N r~tE y °-z ° Z ii ~ ro ' ~ z t + ~ Z ~o~ ~ ~ ii r 6 a M a m I w 11 M t' a jjj~~{ it N W he In IP P i p ~ ~ 7d W W A A q N 1 O I N I W Ih C~ ..1 M C H ~ I ~ h O mm u+ In ~o -I O .I l •.1 I m u M rM N C C M r tl i n n N I M I W W W ~ W N 1D VI A IP IC 1 p'H t0-W ~ H 1 ° O N N N I IP H J W i-' W O Y ~ O N .~ J O I J ~ ( il OI N ut W: N O N .~ V O ~1 I N N H H N 1 O ~ a i o ~ ~ ( ~ x C7 O 1 N <n H W b Ul ~ + u W ro V 1 HO I I In M I I M W I I I b (-I \ O u 1 1 H ~ O A I A O Y. ~ r I ~.+ ~ n of I ON oul r~ K I O O H O i ~ ~ H 1 N W b'.b Fi r'; Y 0 P to 0 J H aW EXHIBIT "D" Supplemental Stateznen of Trust Holdings dated January 6, 2010 n O ro M M ro C ro O r H O O 0 0 O ry w M r r r t~• l+ ~'' r F~ w N n N N N N N N 1-• L• ~~ I'' H G O ~ ~ ~ ~ ~ M ~ 4 t.7 O C: A U O O p ~~ 6 9 Vi J (Q n a P A r t N w'+ b :•a N N w O ~3r.v Hnn .~ncn onn~ ann ti,~l) I.,n ~ nv, onn •an'U I^1nn yin ~ ` ~! ~°~ yav~l ~r zOOy b'-~~s ~~~ ~~~ ~o zD~~~/ P,y ~~~ ~~'~ r °' a 5 n t~ x ~ o .n ~k b cs n s rn x ~ d~~ r ~~ ~i m :r; x 'r '°~ c"~pz~'' ~iu;v M~~, wj~v~r r.p- ~..~ MTV "^w w~n~~ ca-•~, ~n(~nx "ter n °i a Y~G ~'iKn Y'Cw ~y~; ~c Y Ktq ~a~M th7t~ tf ~w V~SnHnC p~to u: zt+J ~.2 td M H n H~ n }r Y tit ~ ?' ~~!f1 ~3 k n H K V•' ~I M H N Q kr p Y H ~ M H ra w H h y H r7 C~i tai I H T H f" N r H Rl '' H 'A .'3. n H H • m tlt~v NH r Mx ~~ r+ M ~ t^ W 7) ~ ' 1-' W G7 M i^' ~ `~ ~~qq ,q L'1 rr~~ I'1 ' S~ O W G) C'. ~j W 7.1 ~i +p .+i M t0 y G) t ~.tr" ~ ~h~ NrVAr J~r<~~ Nr~ ~~;H ~~'H I-'Cw ~nMt7 wt'vt Dh'IH OC'H Z T'~ ~+ r r N w rri r' r ~ ti ~' " t" AOw OG ~•O -•I'~SC•• ro ~N QO 00 ~O W~n4^ M ~ ~ OO ~O M to I~ x.~ r x ^-1 A.x ~-I••I ~~r11 N a w N <. ro r x ro ~_ Z~7 ro H l*J N~ to ~•+ ~ h) ~' Z M M k i o ~ + M o ~ t' i~ ~ ~ o tl ~ ~ o tt+' sn S N O {y ~ ~ n +3 yU rx u, ;Z + n toxO F+x~ t+"L tozt~•+, n ~ZO rx M~ •" -;+JH t r •. ' ~C ~tt++ D r+ -•-w O C~ ~ y ~ • y' O r w trO+ tr ~+ • 1 • O r O Y~ w~tp 7~ ro~n.oM b.~ ~~,roM w~~ .b~ "none.lt+ 7C w~ w~M ~ zN t>J t+ b x . t0 k [[~~ M o a " • ~[dy 7Yy ~ tTl yy ~ cn to O o r A n N H~ N H 41 D ~o Y - w h N ~ ] m ,hl ~H '~ ~ H ro ~~ tnH 3 O H O H '~f w o~n>~ D ~ H O H bb ~ O [tJ •1 ~ H w ~. 1A O '(yzyitJ~ O 't1 °1,'tl: r•+ '9 ~ M ICCCCC771777 ~ -CJ bJ N hl ">] tl 1 •e ~7 O d od ~ r t7 ot7 d~ E) o b od aLi it H w 7-1 0 1-f ~. .H b H.O w H O FI ~ rt ~o N O +b-N O n o.x n o n nz nx ~ w n ~z c:x o .•. .. v .- ... H ..- ._. v W ~ ~n O to 0 r 0 ro ~ ~Y H O x a ~b O N w o x ro 0 z H ~s 0 oo~ r r I•J F+ L A ~ c z W W W w W W Y W W N N w W N N W W I" N n N lP O O ~ O A N N l! O U7 NN b 0 • ~ (~ Ol w w A IP N O N W w rn W W O O "1' ~ A A to U7 W W O N N N Y A O O r I 1 t t t O H H H H H H O J N Ot N U C r !) r' r+ O O v C O t7 a. m a a t~ w P a U ti ~ ~ 7 ". 2 m ~ n ~ r m ~ x Ey" H H z r~ m h~ • ~~ ~ .~z m o ~ +n n ~a o ~ .~°~ r+ x 2 ~i r' () M N a 1 {tlyl pr o ha r+ o ~ ro o o M n 0 T o M F+ O 0 o~ ro. ~r No ~yy r r ro 0 H ~1 H0 zr~ oo""~ r r ~oZ .~ J N J J ~ W W ~ O ~. ~ x w ~ oro 0 J W m t~ L9 +~ ~; t, M o C K ~ f If to ~ O •~ M A q W u 51: Q ~+ M z'~' ~ r•pf ~N U H m n own M ~ ~ Zu~ ~ cnH hf 3 H O B ~ y N ~ a u b ' K m .y o ~f t^ 3 w ~ : n ry~ to '~~r; C~ S• f ~ YY~ ~~ ~ ~~ ~C 1 R { n ~n M 1 M x rx ~ oz w m +. ii ~ r ~ z ~ z H b ~a~ z -• ~ ~r m a tc I M m 6 r I W W '~ N A Utt N N r N ; .r+ ~r, r 50 y >7 i M to W ~1 O J I In N: b C9 H H ~ ~ f 1 [~ r OD fb W I ~ lD ~D C1 H w w w r ~o N ~o M N Y M M i MO ~D H 'F• H O .c. G. f J rn m c~ r a. a .o I JM aN J N N J J O U f N ~ b H ~ 1 ~n o I ~o ae o I a w ~ x o ~ N m H my p y w r• ro m -+ O t i - N h) ' I ~ ~ ~ Y ~ r I H F+ ,~ ~ ~ z o I ~ N '~ A o o i o.~ afn r• I Nn o . o o [>) C a I r r C ~ f r r G Y ~x 0 rn r o Rf o t~ Ov r