HomeMy WebLinkAbout08-17-10 (2)J 1505610143
REV-1 S00 ~"°'-'°' .-
OFFICIAL USE ONLY
PA Department of Revenue penrrsylvania courny cod• veer File Number
euroau of Individual Taxes °~~""^~NTO1e~x
Po Box.2eo6ot INHERITANCE TAX RETURN 21 10 0167
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
210 12 0512 11 19 2009 03 31 1921
Decedent's Last Name
VAN ORMAN
Suffix Decedent's First Name
ELLIS
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name
MI
MI
Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL INAPPROPRIATE OVALS BELOW
O t. Original Retum ~ 2. Supplemental Retum ~ 3, P oroind2r13~82) (date of death
C 4. Limited Estate ~ 4a. Palate Interest compromise ~ 5. Federel Estate Tax Retum Required
(data of tleath coat 2-12%1)
r' g, Decedent Died Testate ~ Ma' nod a Lrvinp Tnisl ~ 8. Total Number of Safe De It Boxes
U (Attach Copy Of wlq ® An ~GtuPN ~ Trust) Pos
9. Litigation Proceeds Received ~ 10. b~se an 12-37 81 a +nd T-1-95) death ~ 11.~A ~on~ O) nder Sec. 9113(A)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
AMY M MOYA 717 652.7323
First line of address
5011 LOCUST LANE
Second line of address
City or Post Office
HARRISBURG
Correspondents e-mail address:
State ZIP Code
PA 17109
REGISTE~F WILLS U~ONLY
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Under penalties of perjury, I deGare that I have examined this rotum, inGuding atxbmpatrying schedules and statements, and to the beat Of my knowledge and belief,
ft is true, ported and compleb. Declaration of preparar other than the personal representative is based on all Information of which
proparer has any knowledge.
Paul Van Orman
~~
1505610143
1505610143
J~
5011 Locust Lane, Harrisburg, PA 17109
Side 1
J
REV-1500 EX
150561D243
Decedent's Social Security Number
o.ad.rn~:Name: Van Duman, Ellis 210 12 0512
RECAPITULATION
1. Real Estate (Schedule A) ....................................................................................... 1.
2. Stocks and Bonds (Schedule B) ............................................................................. 2.
3. Closely Heid Corporation, Partnership orSole-Proprietorship (Schedule C)......... 3.
4. Mortgages & Notes Receivable (Schedule D) ........................................................ 4.
5. Cash, Bank Deposka 8 Miscellaneous Personal Property (Schedule E) ............... 5.
8,625.40
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers & Miscellaneous lyoq Probate Property
(Schedule G) u Separate Billing Requested............
7, 1 374 738.25
i i
8. Total Gross Assets (total Lines 1-7) ..................................................................... g, 1 , 383 , 363.65
9. Funeral Expenses 8 Administrative Costs (Schedule H) ....................................... 9.
10. Debts of Decedent, Mortgage Liabilities, 8 Liens (Schedule 1) ............................. 10.
11. Total Deductlona (total Lines 9 & 10) .................................................................. 11.
' 12 Net Value of Estate (Line 8 minus Line 11) ...:..............
:.: .....................:.................. t 2.
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 12 minus Line 13) ............................................... 14.
25,223.92
1,751.35
26,975.27
1,356,.388..38
1,356,388.38
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .00 15.
16. Amount of line 14 taxable 1 356 388
38 16
at lineal rate X .045 .
~ ~ .
17. Amount of Line 14 taxable
at sibling rate X .12 0.00 17.
18. Amount of Line 14 taxable
at collateral rate X .15 0 . 0 0 18.
19. Tax Due .............................................. ................................................................... . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
0.00
61,037.48
0.00
0.00
61,037.48
Side 2
1505610243 1505610243
REV-1500 EX Page 3
Decedent's Complete Address:
FIIeNumber 21-10-0167
DECEDENT'S NAME
Van Orman, Ellis
STREET ADDRESS
1700 Market Street
CITY STATE ZIP
Camp Hill PA 17017
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Crodits/Payments
A. Prior Payments
B. Discount
3. Interost
56,500.00
2,973.68
(1) 61,037.48
Total Credits (A + B) (2) 59,473.68
- (3)
(4)
4, If Line 2 is greatertharr Line 1 + Line 3, enter the difference. This is the OVERPAYMENT
Cheek box on Page 2 Llne 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
(5) 1,563.80
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 :............................................................................... x
b. retain the right to designate who shall use the property transferred or its income :.................................. x
c. retain a reversionary interest or ............................................................................................................... x
d. receive the promise for life of either payments, benefits or care? ............................................................ x
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without ^ ^
receiving adequate consideretion? .................................................................................................................... x
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?....... ^ ^x
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? .................................................................................................................. ^ ^x
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
~r. _ . _
For dates of death on or after July 1, 1994 and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving
spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of
assets and filing a tax rotum are still applicable even K the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
• The tax rete imposed on the net value of trensfers from a deceased child 21 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 percent (72 P.S. §9116 (a) (1.2)].
. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in
72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)].
. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [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.
Rw•760s Ex. (e-ssl
corsrsDNwE,LLTN of pENNSnvANw
INHERITANCE TAX RETURN
RESIDENT DECEDEM
ESTATE OF
Van
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
Ellis FILE NUMBER
2~_~n~wa~
Include the proceeds d liligetipn and Ina Eate the proeesds were received py tM Ostate. - - _ _
All properly )olMlyowned th the dgtrt of eurvWorshlp must W dlsebsed on sehedub F.
ITEM
NUMBER DESCRIPTION VALUE AT DATE
OF DEATH
1 Check from HCR Manor Care - (patient refund) 3,340.00
2 Check from Heartland Healthcare Services - (refund)
12.40
3 Check from United States Treasury (refund of Federal Income Tax) 5,273.00
TOTAL (Also enter on Line 5, Recapitulation) I 8 625 40
pf more space is needed, additional pages of the same size) '-
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98)
Rev-tsto Ex+ta-se>
SCHEDULE G
INTER-VIVOS TRANSFERS 8~
MISC. NON-PROBATE PROPERTY
COMMONVYFALTH OF PENN°VLVANIA
INHERITANCE TAX RETI°tN
REa1DENT OECEOENT
ESTATE OF FILE NUMBER
Van Orman, Ellis 21-10-0167
This schedub must y completed end fibd H the ensurer to eny of questions t Ihnwph 4 on the revery side of the REV-7500 COVER SHEET is yea.
ITEM
NUMBER DESCRIPTION OF PROPERTY
INCLUDE NAME OF TRANSFEREE THEIR RELATIONSHIP TO DECEDENT AND
THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH
VALUE OF ASSET %OF DECD'S
INTEREST
EXCLUSION
(IF APPLICABLE)
TAXABLE
VALUE '
1 Certificate of Deposit No. 309002360, held at Mid Penn 119
242
84 100
000'/
Bank, titled to EIIia Van Orman Living Trust (51,972,08 ,
. .
0 119,242.84
accrued interest)
2 Certificate of Deposit No. 3066721, held at 1st National 51,710.84 100.000°h 51
710
84
Bank of Marysville, titled to the Ellis Van Onnan Livin ,
.
Trust (5407.75 accrued interest)
3 Certificate of Deposit No. 3066727, held at 1st National 57,763.52 100.000°~ 57
763:52
Bank of Marysville, titled to the EIIia Van Orman Livin ,
Trust (5455.47 accrued interest)
4 Certificate of Deposit No. 31003917889560, held at 61,561.26 100.000°~ 61
561:
28
MBrT Bank, titled to the Ellis Van Orman Living Trust ,
.
.
dated December 14, 1994 (51,561.26 accrued interest)
5 Checking Account No. 98317151, held at M&T Bank, 77,334.20 100.000% 77
334
20
titled to the EIIis Van Orman Living Truat dated ,
.
December 14, 1994 (50.21 accrued interest)
6 Certificate of Deposit No. 049-3008438, iaaued by 81,220.51 100.000°~ 81
220
51
Columbia Bank f/k/a Hagerstown Trust Co., held at ,
.
Fulton Bank, titled to the EIIis Van Orman Living Trust
(S1,Z20.51 accrued interest)
7 Certificate of Deposit No. 8800745146, issued by The 93,102.78 100.000°h 93
102
78
Bank, held at Fulton Bank, titled to the EIIis Van ,
.
Orman Living Trust (51,102.78 accrued interest)
8 Certificate of Deposit No. 025-0323248, held at Fulton 138,050.86 100.000°~ 138
050
86
Bank, titled to the Ellla Van Orman Living Trust ,
.
(S3,050.86 accrued interest)
Total of Continuation Schedules see attached
pages
TOTAL (Also enter on Line 7, Recapitulation) 1,374,736.25
(If more apace is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1300 Schedule G (Rev. 8-98)
Rw-taro Ex.le-sel
SCHEDULE G
INTER-VIVOS TRANSFERS ~
MISC. NON-PROBATE PROPERTY
colwnoNVUEn~n~ of RENNanvANu
INNERRANCE TAX RETURN continued
RESIDEM DECEDENT
ESTATE OF
Van Orman, Ellis
LE NUMBER
21-10-0167
ITEM
NUMBER DESCRIPTION OF PROPERTY
7j{E DATE OAF TERO4NSFE~RSgTTgCli A COPY OF THE OE~ED FOOREREAL ESTA E. DATE OF DEATH
VALUE OF ASSET % OF DECD'S
I~REST
(~F APP~IS~IOeLE)
TAXABLE
VALUE
9 Certificate of Deposit No. 049-0141878, issued by 55,819.44 100.000°~ 55
619
44
Lafayette Ambassador Bank, held at Fulton Bank, ,
.
titled to the Ellis Van Orman Living Trust (5619.44
accrued interest)
10 Certificate of Deposit No. 049-1012082, issued by 50,781.05 100.000°/. 50
781
05
5winefoM National Bank, held at Fulton Bank, titled to ,
.
the Ellis Van Orman Living Trust (5781.05 accrued
interest)
11 Certificate of Depoait No. 049-1 01 2 064, issued by 50,672.67 100.000°k 50
672:67
SwinefoM National Bank, held at Fulton Bank, titled to ,
the Ellia Van Orman Living Trust (5672.67 accrued
interest)
12 Certificate of Deposit No. 53010184, issued by 85,158.10 100.000% 85
158:10
3kylands Community Bank, held at Fulton Bank, titled ,
to the Ellis Van Orman Living Trust (5158.10 accrued
interest)
13 525,000 -face value, Chester County PA Health Bond, 25,088.61 100.000% 25
088
61
CUSIP No. 16557HBT1, 5.375%, due 5/15/2027, at ,
.
100.235, held at Wells Fargo Account No. 2686-3353,
titled to Paul Curtis Van Orman, Trustee of the Ellis
Van Orman Living Trust dated December 14, 1984
(528.86 accrued interest)
14 55,000 -face value, Cumberland County PA Bond, 5,086.76 100.000°h 5
086
76
CUSIP No. 23061 NBVB, 5.125%, due 10/1/2015, at ,
.
100.34, held at Wells Fargo Account No. 2686-3353,
titled to Paul Curtis Van Orman, Trustee of the Ellis
Van Orman Living Trust dated December 14, 1994
(569.76 accrued intereat)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98)
Rw-1510 EX+1s•°°)
SCHEDULE G
INTER-VIVOS TRANSFERS 8
MISC. NON-PROBATE PROPERTY
coMewNwt:,urN of vENNSnvANu
INHERITANCE TAx RETURN continued
RE°IDENT OECEDEM
ESTATE OF FILE NUMBER
Van Orman, Ellis 21-10-0167
ITEM
NUMBER E pF DESCRIPTION OF PROPERTpY
TME pgTEErpF TRANSFE~R.SATTACN A CI~Y~OFTTHE DEED FOR REAL EsT~nTE. DATE OF DEATH
VALUE OF ASSET % OF DECD'S
INTEREST
(IF ~PUCAOBLE)
TABLE
VALUE
15 525,000 -face value, Delaware County PA Bond, 28,017.32 100.000% 28
017
32
CUSIP No. 245913ED6, 5.75%, due 12115/2022, at ,
.
107.054, held at Wells Fargo Account No. 2686-3353,
titled to Paul Curtis Van Orman, Trustee of the Ellis
Van Orman Living Trust dated December 14, 1994
(;1,253.82 accrued interest)
i6 ;20,000 -face value, Elizabethtown Regl Authority 27,060.04 100.000°~6 21,060
04
Bond, CUSIP No. 287077DD0, 5.4%, due 12/1/2025, at .
100.1 T2, held at Wells Fargo Account No. 2686-3353,
titled to Paul Curtis Van Orrnan, Trustee of the Ellis
Van Onnan Living Trust dated December 14, 1994
(;1,026.00 accrued interest).
17 ;30,000 -face value, Lehigh County Bond, CUSIP No. 35,361.20 100.000°~ 35
361
20
524805Y69, 5.375%, due 811512033, at 175.004, held at ,
.
Wells Fargo Account No. 2686-3353, Utled to Paul
Curtis Van Orman, Trustee of the Ellis Van Orman
Living Trust dated December 14, 1994 (;860.00
accrued interest)
18 x30,000 -face value, Lewistown Borough Bond, CUSI 31,612.20 100.000% 31
612
20
No. 528725FD1, 6.000%, due 1/112030, at 100.674, held ,
.
at Wells Fargo Account No. 2686-3353, titled to Paul
Curtis Van Ortnan, Trustee of the Ellie Van Orman
Living Trust dated December 14, 1994 (;1,410.00
accrued interest)
19 ;20,000 -face value, Montgomery County Bond, 20,612.75 100.000°~ 20
612
75
CUSIP No. 613604UQ8, 5.125°k, due 611/2027, at ,
.
98.195, held at Wells Fargo Account No. 2686-3353,
titled to Paul Curtis Van Onnan, Trustee of the Ellis
Van Onnan Living Trust dated December 14, 1994
(;973.75 accrued interest)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98)
Rw-0610 EX+ (&°B)
SCHEDULE G
INTER-VIVOS TRANSFERS 8r
MISC. NON-PROBATE PROPERTY
cor~oNUUew~rri of PENNSV~vgNw
'""~""^"'~T^"'~"°~ continued
RESIDENT DECEDENT
ESTATE OF
NUMBER
10-0167
ITEM
NUMBER DESCRIPTION OF PROPERTY
THE DATES pF TR~AFNSFER,gATT~ACEH A COPRYEOFTTHE DEED FOR REAL EsTaTE. DATE OF DEATH
VALUE OF ASSET % OF DECD'S
INTEREST
(IFEgpp~,sl~0 `E)
TAXABLE
VALUE
20 ;15,000 -face value, Pennsylvania State Turnpike
Bond, CUSIP No. 709221JX4, 5.00%, due 12/1/2023, at 15,837.90 100.000% 15,837.90
100.836, held at Wells Fargo Account No. 2686-3353
,
titled to Paul Curtis Van Orman, Trustee of the Ellis
Van Orman Living Trust dated December 14, 1994
(;712.50 accrued interest)
21 ;25,000 -face value, Pennsylvania State Higher Ed, 24,107.85 100.000% 24
107
85
CUSIP No. 70917N2Q0, 5.125°~, due 111/2033, at ,
.
92.416, held at Wells Fargo Account No. 2686-3353
,
titled to Paul Curtis Van Orman, Trustee of the Ellis
Van Orrnan Living Trust dated December 14,1894
(;1,003.65 accrued interest)
22 520,000 -face value, Perkiomen Valley School Bond, 27:857.22. 100.000% 22
857
22
CUSIP No. 71414SKK4,.S.00°~6, due 4/112026, at ,
.
112.925, held at Wells Fargo Account No. 2686-3353,
titled to Paul Curtis Van Orman, Trustee of the Ellis
Van Orman Living Trust dated December 14,1994
(;272.22 accrued interest)
23 ;25,000 -face value, Philadelphia PA Authority Bond, 25,072.67 100.000°k 25
072
67
CUSIP No. 71781 SAWS, 5.00%, due 711/2023, at 96.374, ,
.
held at Wells Fargo Account No. 2686-3353, titled to
Paul Curtis Van Orman, Trustee of the Ellis Van
Orman Living Trust dated December 14, 1994 (5979.17
accrued interest)
24 ;20,000 -face value, South Fork Municipal Bond, 18,869.33 100.000°k 18
869
33
CUSIP No. 83786DCZ8, 5.00%, due 71112028, at 90.43, ,
.
held at Wells Fargo Account No. 2686-3353, titled to
Paul Curtis Van Orman, Trustee of the Ellis Van
Orman Living Trust dated December 14, 1994 (;783.33
accrued interest)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98)
Rw-1670 EX+ (BA8)
SCHEDULE G
INTER-VIVOS TRANSFERS 8r
MISC. NON-PROBATE PROPERTY
coNlirONMEALTM of PENNBVLVANIA
IN/ER~TANCE*,~, continued
RESICENT DECEDEM
ESTATE OF
Ellis
LE NUMBER
21-10-0167
ITEM
NUMBER DESCRIPTION OF PROPERTY
jjl~ pq~~p Tp~pFjgFR pSATTACN A COQ O~FTTHE DEED ~OREREAEEST TE. DATE OF DEATH
VALUE OF ASSET %OF DECD'S
INTEREST EXCLUSION
(IF APPLICABLE) TAXABLE
VALUE
25 545,000 -face value, West Cheater PA Bond, CUSIP 49,918.60 100.000% 48,918.60
No. 982030QD9, 5.00%, due 4H 5/2021, at 109.958, held
at Wells Fargo Account No. 2686-3353, titled to Paul
Curtis Van Orman, Trustee of the Ellis Van Orman
Living Trust dated December 14, 1884 (:437.50
accrued interest)
26 545,000 -face value, West Shore Area Hospital Bond, 47,049.68 100.000°.6 ~ ' ' 47,049.68
CUSIP No. 955817CQ2, 5.65%, due 1H/2014, at
100.129, held at Wells Fargo Account No. 26863353,
titled to Paul Curds Van Orman, Trustee of the Ellis
Van Orman living Trust dated December 14, 1994
(51,991.63 accrued interest)
27 530,000 -face value, Weat Shore Area Hospital Bond, .:.31,855.60 100.000°~ 31,855
60
CUSIP No. 955817DB4, 5.8%, due 1/1/2016, at 101.642, , .
held at Wells Fargo Account No. 2688-3353, titled to
Paul Curtis Van Onnan, Trustee of the Ellis Van
Orman Living Tnaat dated December 14, 1994
(51,363.00 accrued interest)
26 525,000 -face value, West Shore Area Hospital Bond, 26,524.25 100.000% 26.524
25
CUSIP No. 855817DD0, 6.0%, due 1!1/2018, at 101.397, .
held at Wells Fargo Account No. 2686-3353, titled to
Paul Curtis Van Ortnan, Trustee of the Ellis Van
Orman Living Trust dated December 14,1994
(51,175.00 accrued interest)
29 U.S. Savings Bonds, tided to Ellis Van Orman and 23,588.40 100.000% 23,588.40
Paul Curtis Van Orman, Co-Trustees of the Ellis Van
Orman Living Trust dated December 14, 1994
TOTAL (Also enter on Line 7, Recapitulation)
1,374,738.25
Copyright (c) 2002 form software onty The Lackner Group, Inc.
Fonn PA-1500 Schedule G (Rev. 6-98)
ra:v.~iat ex+l~aael
coM~'91-E~UU1~?~~iw w
SCHEDULE H
FUNERAL EXPENSES ~
ADMINISTRATIVE COST:
ESTATE OF FILE NUMBER
Van Orman, EIIis 21 10-0167
Debts of decedent must be reporhtd on Schedule I.
ITEM
DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
See continuation schedule(s) attached
9,498.38
B.:
1. ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
Chy State Zip
Year(sl Commission paid
z. AttomeYs Fees Law Offices of Susan E. Lederer 15,000.00
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 Steven FahnestOCk, CPA 450.00
6. Tax Retum Preparer's Fees
7. Other Administrative Costs 277 ~
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 25,223.92
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Van Orman, Ellis 21-10-0167
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral EYOenses
1 Zimmerman Auer Funeral Home, Ine. 8,871.38
2 Brachendorf Memorials, Inc. - (memorial inscription) 250.00
3 Peachtree Family Dining - (funeral dinner) 375.00
H-A 9,496.38
Other Administrative Gosti
4 Cumberland Law Journal - (trust advertising) ~ 75.00
5 Carlisle Sentinel - (trust advertising) 187.54
B Cumberland County Register of Wills (filing fee - PA Inheritance Tax Return) 15.00
H-B7 277.54
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98)
R~v1572 EX+(72-05)
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
CCMNONYYEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Van Orman Ellis 21-10-0167
Rpwt dWfa MeurTW by M5 d~udMt pAor M WSdI thN ramNned unptld ~t the tl~N of dOHh, includlna unrNmburssd mMleal SXPenseS.
ITEM
NUMBER DESCRIPTION vAOF DEA~HTE
1 Public School Employees' Retirement System - (reimbursement of overpayment of benefit) 1,118.18
2 Michael Sams, D.O. - (Medical bill) 40.00
3 PA Department of Revenue (payment of personal state income tax) 571.00
4 Advanced Podiatry Services, LLC (medical bill) 2218
TOTAL (Also enter on Line 10 Recapitulation) I 1 751 35
(K more space Is needed, additional pages of the same size)
Copyright (c) 2009 form software only The Lackner Group, Inc. Forrn PA-1600 Schedule I (Rev. 12-08)
REV-1610 EX* 111-0DI
COMI~~~~Q~E:C:E~ANU1
SCHEDULE J
BENEFICIARIES
Van Orman, Ellis
NUMBER NAME AND ADDRESS OF
PERSON(Sl RECEIVING PROPERTY
I TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116 a 1.2
Esther Ruth Holz
4126 Woodcraft Street
Houston, TX 77025
Philip Curtis Van Orman
7004 Staghom Lane
Stroudsburg, PA 18360
Paul Curtis Van Orman
5235 Strathmore Drive
Mechanicsburg, PA 17050
II.
FILE NUMBER
21-10-0167
RELATIONSHIP TO SHARE OF ESTATE AMOU
DECEDENT __.
Daughter
Son
Son
1/3 of Residuary
Estate
1/3 of Residuary
Estate
1/3 of Residuary
Estate
T OF ESTATE
($$$)
452,128.46
452,129.46
452,129.46
Enter dollar amounts for distributions shown above on lines 15 thro h 18 on Rev 1500 co~erasheet as a I i
NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
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Form PA-1600 Schedule J (Rev. 11-08)
The
ELLIS VAN ORNiAN
LIVING TRUST
prepazed for
ELLIS VAN ORMAN
JAMES, SMITH & DURKIN
Attorneys-at-Law
20 Valley Road
Hershey, Pennsylvania 17033
(717) 533-3280 FAX (717) 533-2795
® Jamea, Smith & Durkin
All Rights Resen•ed
{ ~- ELLIS VAN ORMAN LIVING TRUST
Table of Contents
Article One Trust Creation ...................................... 1-1
Article Two The Trust Estate ..................................... 2-1
Article Three Appointment of Trustees ................................ 3-1
Article Four Trustor's Lifetime Rights . .............................. 4-1
Article Five Trust Administration Upon My Death ...................... 5-1
Article Six Specific Distributions of Trust Property ..................... 6-1
Article Seven Division into Survivor's Trust and Family Trust ................ 7-1
Article Eight The Survivor's Trust . ................................. 8-1
Article Nine The Family Trust .................................... 9-1
Article Ten Common Pot Trust .................................. 10-1
Article Eleven Division and Distribution of Trust Property . ................. 11-1
Article Twelve Distribution If No Designated Beneficiaries . ................. 12-1
Article Thirteen Trustee Administration ............................... 13-1
Article Fourteen Trustee Investment Powers ............................. 14-1
Article Fifteen General Provisions ................................... 15-1
i
ELLIS VAN ORMAN LIVING TRUST
Article One
Trust Creation
Section 1. Parties to My Trust
This trust agreement dated SEC ~ 4 1994 is made between ELLIS vAN ORMAN, the
Trustor, also known as ELLIS VAN ORMAN, and the following initial Trustee:
ELLS VAN ORMAN
ELVIRA VAN ORMAN
Section 2. Name of My Trust
This trust may be referred to as the:
ELLIS VAN ORMAN LIVING TRUST, dated DEC 14 1994
The formal name of my trust and the designation to be used for the transfer of title to the name
of my trust is:
ELLIS VAN ORMAN and ELVIRA VAN ORMAN, Trustees, or their successors in trust,
under the ELLIS VAN ORMAN LIVING TRUST dated DEC 14 1994 and
any amendments thereto
Section 3. Revocable Living Trust
My trust is a revocable living trust.
Section 4. Trustor as Trustee
Notwithstanding any other provisions in this trust agreement, when I am serving as Trustee under
this trust, I may conduct business and act on behalf of the trust without the consent of any other
Trustee.
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Section 5. My Family
a. Marital Status
I am currently married and my spouse's name is ELVIRA VAN ORMAN. All
references to my spouse in this trust agreement are to her.
b. The name(s) and birth date(s) of the children of ELLIS VAN ORMAN are:
Name Birth date
PAUL CURTIS VAN ORMAN July 2, 1946
ESTHER RUTH HOLZ November 11, 1949
PHILIP CHARLES VAN ORMAN August 6, 1957
All references to the children of ELLIS VAN ORMAN in this instrument are to these
children and any children subsequently born to or adopted by him.
1-2
--
Article Two
The Trust Estate
Section 1. Initial Transfer of Property
I hereby assign, convey, transfer and deliver to my Trustee all trust property set forth on
Schedule "A" attached hereto and made part of this trust agreement. My Trustee acknowledges
receipt without consideration of all assets listed on Schedule "A".
All assets titled in the name of my trust or in the name of my Trustee, but not listed on Schedule
"A" shall be considered a part of my trust estate to the same extent as if set forth on Schedule
..A., •
Section 2. Additional Transfer of Property
My Trustee is authorized to accept additional transfers of property interests of all kinds, at any
time in any manner by me or any. other person or entity.
All property interests received by transfer, assignment, gift, bequest, devise or beneficiary
designation shall not become a part of my trust estate unless disclaimed by my Trustee.
Section 3. Composition of Trust Property
In addition to the property described in the previous Sections, my trust estate shall include the
following:
a. All insurance policies transferred to my trust or policies in which my
trust is named as beneficiary plus the proceeds of those policies;
b. Any interest in any pension, retirement or death benefit, bonus,
profit-sharing or employee's savings plan or any similar contract
created or entered into by an employer for the benefit of some or all
employees which is transferred to my trust or in which my trust is
named as beneficiary and all proceeds of any such benefit, bonus, plan
or contract; and
c. Any other property or interest in property which becomes subject to
my trust.
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Section 4. Acceptance of Trust Property
All property transferred to my trust and not disclaimed by my Trustee shall be held, administered
and distributed according to the terms of this agreement.
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Article Three
Appointment of Trustees
Section 1. Definition of Trustee
All references in this agreement to "Trustee" shall be deemed a reference to the person or entity
who is then serving as Trustee and shall include alternate or successor Trustees or Co-Trustees
unless the context requires otherwise.
Section 2. Resignation of a Trustee
Any Trustee may resign at any time without court .approval by giving written notice to me or to
my personal representative. If I am not living, written notice shall be given to the successor
Trustee or if there is no successor, to the beneficiaries then entitled to receive income or principal
distributions under this agreement, to their personal representatives or to the persons having the
caze or custody of minor beneficiaries.
Section 3. Removal of a Trustee
Any Trustee may be removed under this agreement as follows:
a. While I am Both Alive and Competent
While I am both alive and legally competent, I shall have the right to remove
any Trustee appointed under this agreement at any time with no requirement that
the removed Trustee receive any reason for such termination.
b. Removal by Others
After my death or legal incompetency, any Trustee may be removed by a
majority vote of the beneficiaries then entitled to receive income or principal
distributions under this agreement or their personal representatives. These
beneficiaries or their personal representatives shall not be required to give any
reason for such Trustee's termination.
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c. Notice to Removed Trustee
Written notice of removal under this agreement shall be effective immediately
when signed by the person or persons authorized to make the removal and
delivered to the Trustee personally or deposit by United States certified mail,
return receipt requested. The written notice removing a Trustee shall designate
a successor Trustee.
d. Transfer of Trust Property
The Trustee so removed shall promptly transfer and deliver to the successor
Trustee all property of the trust under its possession and control.
Section 4. Designated Successor Trustees
Whenever a Trustee is removed, dies, resigns, becomes legally incapacitated or is otherwise
unable or unwilling to serve, that Trustee shall be replaced as follows:
a. The Death or Disability of a Trustee While I am Serving as
Trustee
I may serve as the only Trustee or I may name any number of Trustees to serve
with me. If any of these other Trustees subsequently die, resign, become legally
incapacitated or are otherwise unable or unwilling to serve as a Trustee, I may
or may not fill the vacancy.
b. Disability Trustees of ELLIS VAN ORMAN
Upon the disability of ELLS VAN ORMAN, if he is then serving as an initial
Trustee he shall be replaced by the following Disability Trustee(s):
ELVIRA VAN ORMAN
If, for any reason, the Disability Trustee(s) named above aze unable or unwilling
to serve, the following successor Disability Trustee(s) shall serve until the
successor Disability Trustee(s) on the list have been exhausted. Unless otherwise
specified, if Co-Disability Trustees are serving, the next following named
successor Disability Trustee shall serve only after all of the Co-Disability
Trustees cease to act as Trustees.
(1) PAUL CURTIS VAN ORMAN AND
(2) ESTHER RUTH HOLZ AND
(3) PHILIP CHARLES VAN ORMAN, OR THE SURVIVOR OF THEM
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c. Death Trustees of ELLS VAN ORMAN
Upon the death of ELLIS VAN ORMAN, if he is then serving as an initial Trustee
he shall be replaced by the following Death Trustee(s):
ELVIRA VAN ORMAN
If, for any reason, the Death Trustee(s) named above aze unable or unwilling to
serve the following successor Death Trustee(s) shall serve until the successor
Death Trustee(s) on the list have been exhausted. Unless otherwise specified,
if Co-Death Trustees are serving the next following named successor Death
Trustee shall serve only after all of the Co-Death Trustees cease to act as
Trustees.
(I) PAUL CURTIS VAN ORMAN AND
(2) ESTHER RUTH HOLZ AND
(3) PHILIP CHARLES VAN ORMAN, OR THE SURVIVOR OF THEM
Section 5. No Designated Successor Trustees
If at any time there is no Trustee acting under this agreement and there is no person or institution
designated and qualified as a successor Trustee, a majority of the beneficiaries then eligible to
receive distributions of income or principal under this agreement or their personal representatives
shall appoint a successor Trustee. If any trust existing under this agreement lacks a Trustee and
no successor is appointed pursuant to this Section, the vacancy shall be filled by a court of
competent jurisdiction.
Section 6. Responsibility of Successor Trustees
A successor Trustee shall have the same rights, powers, duties, discretions and immunities as if
it had been named as initial Trustee under this agreement. No successor Trustee shall be
personally liable for any act or failure to act of any predecessor Trustee or shall have any duty
to examine the records of any earlier Trustee. A successor Trustee may accept the account
rendered and the property delivered by or on behalf of a predecessor Trustee as a full and
complete discharge of the duties of the predecessor Trustee without incurring any responsibility
or liability for so doing.
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~-
t
Article Four
Trustor's Lifetime Rights
Section 1. Rights While I am Alive and Legally Competent
During my lifetime while I am legally competent, I shall have the following powers over the trust
property and my Trustee:
a. Right to Trust Income
My Trustee shall pay to me or apply for my benefit all the net income from this
trust monthly or in other convenient installments as I may direct:
b. Right to Trust Principal
My Trustee shall pay to me or apply for my benefit such sums from the
principal of this trust as I may direct. I may not, however, direct my Trustee to
make gifts from trust property to third parties. If my Trustee inadvertently
makes a distribution I intended as a gift directly from the trust to a third party,
that distribution shall be construed as a distribution to me first then a gift to the
third party from me.
c. Right to Add and Remove Property
By written direction delivered to my Trustee. I may add other property to my
trust or withdraw property in any amount and at any time.
d. Right to Amend or Revoke My Trust
I shall have the right to amend, modify, alter, revoke or terminate my trust or
any separate trusts created under this agreement at any time in whole or in part.
Any amendment or revocation of this trust agreement must be delivered to my
Trustee in writing. The power to amend, revoke or terminate this trust is
personal to me and may not be exercised by any other person or entity.
After my death, this trust or any trust created by this agreement shall be
irrevocable and not subject to amendment.
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/' e. Delivery of Property After Revocation
l --
After any revocation or termination of any trust created by this agreement my
Trustee shall promptly deliver the designated trust property to me.
f. Trustee's Retention of Assets Upon Revocation
In the event of any revocation of all or part of my trust, my Trustee shall be
entitled to retain sufficient assets to reasonably secure the payment of liabilities
my Trustee has lawfully incurred in administering the trust and any fees that
have been earned by my Trustee until such time as those liabilities have been
discharged and fees paid, unless I indemnify my Trustee against loss or expense.
Section 2. Power to Direct Investments
I shall have the right to direct investments of trust property as follows:
a. Invest trust funds in specified securities, properties or other forms of
investment;
b. Retain as part of the trust estate for specified periods of time
securities, properties or other forms of investment held in trust under
this instrument; and
c. Sell, encumber, lease, abandon or dispose of any trust property.
My Trustee shall not be liable for any losses sustained as a direct or indirect
result of any action taken in accordance with the terms of the written direction.
All directions shall be in a writing signed by me, specifying, if applicable the
period of time during which the instructions shall remain in effect and describing
any other conditions affecting the directions.
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Section 3. Trustor's Rights During Disability
a. Disability Defined
I shall be considered disabled in the event a court of competent jurisdiction
determines that I am legally incompetent or, in the event that I am not
adjudicated incompetent but by reason of illness or mental disability, I am in the
opinion of two licensed physicians unable to properly handle my own affairs.
b. Income and Principal Distributions
My Trustee during the period of my disability shall pay to me or apply for my
benefit as much of the principal and net income of this trust as my Trustee, in
its sole discretion shall deem necessary or advisable.
c. Payment of Obligations
My Trustee during the period of my disability shall from time to time, pay my
valid obligations, my medical expenses and provide for my comfortable
maintenance and welfare taking into consideration my other income or resources.
d. Income and Principal Distributions for Spouse
My Trustee shall pay to or apply for the benefit of my spouse as much of the
principal and net income of my trust estate as my Trustee in its sole discretion
shall deem necessary or advisable from time to time for my spouse's health,
maintenance, support and education, taking into consideration her other income
or resources.
e. Trustee Guidelines
In making distributions under this Section my Trustee shall give primary
consideration to my needs and secondary consideration to the needs of my
spouse.
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f. Tax Planning
During my life if I should become disabled, my Trustee may exercise the
following powers as attorney in fact on my behalf, either alone or in conjunction
with any other attorney in fact under a durable power of attorney, but the
primary concern of my Trustee shall be for my welfaze and secondarily for the
welfaze of my lineal descendants for tax planning:
1. My Trustee may make additional distributions to my
lineal descendants equally by class for the purpose
of continuing any gift program initiated by me
which my Trustee reasonably determines will
achieve beneficial results for estate and/or income
tax planning purposes.
2. My Trustee may initiate a gift program on my
behalf which my Trustee reasonably determines will
achieve beneficial results for estate and/or income
tax planning purposes by making distributions to my
lineal descendants equally by class so long as such
distributions are made in the form which qualify for
and aze limited to the annual exclusion for federal
gift tax purposes.
3. During any period when I am disabled, my Trustee
shall be under no obligation to initiate, recommend
or consider any tax planning objective or program
for me and any exercise of its discretion in this
regazd when conducted in good faith shall not
subject it to liability to any person affected thereby.
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Section 4. Exercise of Trustor's Rights and Powers by Others
Any right or power that I could exercise personally under the terms of this agreement except the
power to amend, revoke or terminate any trust created by this agreement may be exercised for
and on behalf of me by any attorney in fact who, at the time of the exercise, is duly appointed
and acting for me under a valid and enforceable durable power of attorney executed by me or,
if there is no such attorney in fact, by my duly appointed and acting conservator after petition
to a court of competent jurisdiction.
The power to amend, revoke or terminate any trust created by this agreement is personal to me
and may not be exercised by any other person or entity.
Section 5. Rights Concerning Standby Property
It is contemplated that certain assets may be added to the trust estate from time to time with the
possession and control thereof retained by or redelivered to me. If I execute and deliver to my
Trustee an instrument effectively transferring such assets to my Trustee together with any further
documentation necessary to effect the record transfer thereof, in the event of my death or
incapacity the assets shall be deemed to be assets of the trust estate and held by me as the
nominee of my Trustee. During the period such assets aze in my possession they shall be subject
to the following terms and conditions:
a. I may receive directly and devote to my own use and benefit
any dividends, interest, income or distributions from or upon
such assets and neither I nor my Trustee shall have any duty
of accounting to the other or to any other person with regard
thereto.
b. Any sale, exchange or other transfer of such assets by me
shall constitute a withdrawal of such assets from the trust
estate and my Trustee shall have no further interest therein
or duties with regazd thereto. Though not a condition
precedent to any such withdrawal, I agree to notify my
Trustee of all such withdrawals.
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(- c. I shall be responsible for the reporting of the income from
such assets to the appropriate taxing authorities and my
Trustee shall have no responsibility for including such
income on any fiduciary returns prepared by it or for the
preparation of any other income tax return with respect
thereto unless I duly notify my Trustee of such income items
and a full and adequate accounting thereof is made and
presented to my Trustee.
d. I shall protect and indemnify my Trustee against all losses,
liabilities and expenses which may result directly or
indirectly from my use, possession, management or control
of such assets.
e. Upon my death or incapacity, my Trustee shall be entitled to
the possession thereof and thereafter shall have all the rights,
powers and duties with respect to such assets which are
otherwise granted to my Trustee herein. It is understood that
my Trustee shall be responsible only for the assets which
actually come into its possession and control. However, it
is also understood that my Trustee shall use any reasonable
and prudent means to secure possession of any trust assets of
which it has knowledge. My Trustee shall have no duty,
accountability or responsibility to me or to any other person
with respect to any assets of which it has no knowledge or
of which it is unable to obtain possession and control.
Section 6. Trustor/Trustee Bank Accounts
It is contemplated that I may establish a joint bank account or accounts with my Trustee and
create powers of attorney in respect thereof in other persons. Deposits from time to time made
by me or other authorized persons into such an account shall constitute transfers to the trust estate
and withdrawals therefrom which may be made without the co-signature of my Trustee shall
constitute withdrawals from the trust estate. However, my capacity and other authorized persons
with respect to any such account shall be that of nominee of my Trustee not co-owner. At any
given time the trust estate shall include the then balance of any such account.
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Section 7. Life Insurance Premiums and Retirement Plans
During my lifetime I shall have all powers over life insurance policies and retirement benefits
owned by or made payable to my trust, including the following:
a. Payment of Premiums
I shall be responsible for the payment of premiums and other charges on each
policy or insurance owned by or made payable to my trust. My Trustee shall
have no duty to make any payment or be responsible to determine whether such
payments have been made.
b. Custody of Policies
My Trustee shall not be responsible for the custody or safekeeping of any life
insurance policy before its actual delivery to my Trustee nor after its withdrawal
by its owner.
c. Change Beneficiaries
I shall have the right to change the beneficiary and to receive any dividends or
other earnings of such policies or plans without accountability therefor to my
Trustee or any beneficiary in this agreement.
d. Assignment
I may assign any policy or plan benefits to any lender to the extent allowed by
law including my Trustee as security for any loan to me or any other person.
e. Surrendered Policies
If any life insurance policy is surrendered or if the beneficiary of any policy is
changed, this trust agreement shall be revoked with respect to such policy.
However, no revocation of the trust with respect to any policy whether pursuant
to the provisions of the preceding sentence or otherwise shall be effective unless
the surrender or change in beneficiary of the policy is accepted by the insurance
company.
Section S. Undistributed Net Income
Any net income not distributed under the provisions of this Article shall be added to the trust
principal.
4-7
~r
Article Five
Trust Administration Upon My Death
Section 1. Trustees Discretion to Pay My Debts and Taxes
After my death my Trustee in its sole discretion may pay all or any part of my following
expenses, debts, claims and taxes becoming due or payable by reason of my death:
a. My final medical expenses and all funeral costs;
b. Legally enforceable claims against me or my estate;
c. Reasonable expenses of administration of this trust and my probate
estate, if any;
d. Any allowances mandated by a court of competent jurisdiction to those
dependent upon me;
e. Any estate, inheritance, succession, death or similar taxes payable by
reason of my death; and
f. Any penalties or interest on any of the above claims, debts or taxes
owed by me or my estate.
Section 2. Payment by My Trustee or by My Personal Representative
My Trustee in its sole discretion may make distributions authorized under this Article either
directly to the person or entities to whom payment is owed or to the personal representative of
my probate estate. Written statements by my personal representative that such sums are due and
payable by my estate shall be sufficient evidence of their amount and propriety for the protection
of my Trustee. My Trustee shall be under no duty to see to the application of any such payments
made to my personal representative.
Section 3. Tax Elections
With regard to the payment of any income tax, gift tax, estate tax, inheritance tax or any other
tax required because of my death, my Trustee shall have the right to make any available elections
allowed under the law. My Trustee is authorized to sign and file any tax return required because
of my death.
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Section 4. Payment of Death Taxes, Claims and Expenses
a. Payment out of Trust Property
All death taxes, claims and expenses payable under the provisions of this Article
shall be paid by my Trustee out of the trust estate except as specifically provided
for elsewhere in this agreement.
b. Exception for Property Passing Outside of Trust
Notwithstanding any other provision in my trust all death takes, claims and
expenses incurred by reason of assets passing outside of my trust or probate
estate shall be assessed against those persons receiving such property.
c. No Payment from Survivor's Share
Notwithstanding any other provision in my trust unless all other assets available
to my Trustee have been exhausted, all death taxes, claims and expenses payable
under the provisions of this Article shall not be paid from the Survivor's Trust
as defined in Article Eight or from any property passing to my surviving spouse
that qualifies for the federal estate tax marital deduction.
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~ ~ Article Six
Specific Distributions of Trust Property
Section 1. No Specific Distributions
My Trustee shall make no specific distributions of trust property to any beneficiaries under this
trust agreement upon my death. All distributions of trust property shall be made in the Articles
that follow.
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Article Seven
Division into Survivor's Trust and Family Trust
Section 1. Division of the Trust Estate
Upon my death my Trustee shall allocate and distribute the remaining trust estate including any
property that becomes distributable or payable to my Trustee at my death into two sepazate shares
to be identified as the Survivor's Shaze and the Family Share.
a. Property Transferred to the Survivor's Share
The Survivor's Shaze shall consist of assets having a value equal to the
minimum amount necessary to eliminate or to reduce to the maximum extent
possible any federal estate tax at my death, taking into account the following:
1. The net value for federal estate tax purposes of all other
property that passes or has passed to my surviving
spouse under this trust agreement, my probate estate or
otherwise that qualifies for the federal estate tax marital
deduction;
2. All federal estate tax deductions actually allowed other
than the marital deduction;
3. The unified credit available to my estate;
4. The credit for state death taxes available to my estate, to
the extent that the use of that credit does not result in or
increase any death tax payable to any state; and
5. Any other allowable credits available to my estate,
except the credit for tax on prior transfers from a
"transferor", as defined in Internal Revenue Code
Section 2013, who dies within two years after the date
of my death but only to the extent that those credits do
not disqualify this gift from receiving the marital
deduction.
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FF b. Survivor's Share to be Administered as Survivor's Trust
l
The Survivor's Share shall be held, administered and distributed according to the
provisions of the Survivor's Trust as set forth in Article Eight of this trust
agreement.
c. Property Transferred to the Family Share
The Family Share shall consist of all assets not distributed to the Survivor's
Shaze.
e. Family Share to be Administered as Family Trust
The Family Shaze shall be held, administered and distributed according to the
provisions of the Family Trust as set forth in Article Nine of this trust
agreement.
Section 2. Allocation and Valuation of Assets
In allocating assets between the Survivor's Shaze and the Family Share, my Trustee shall allocate
the trust assets that qualify for the marital deduction between the Survivor's Share and the Family
Shaze in cash or in kind or partly in each on a pro rata or non pro rata basis and in undivided
interests or not; subject, however, to the following:
a. Qualification for Marital Deduction
Only assets that qualify for the marital deduction shall be allocated to the
Survivor's Shaze.
b. Valuations of Allocations in Kind
Assets allocated in kind shall be deemed to satisfy the marital deduction amount
on the basis of their values as finally determined for federal estate tax purposes
provided, however, that my Trustee shall act impartially, consistent with
equitable principles requiring impartiality among beneficiaries in allocating assets
in satisfaction of the marital deduction Shaze so that any distribution of assets in
satisfaction of the marital deduction share shall be made of assets including cash
fairly representative of appreciation or depreciation in the value of all property
thus available for distribution.
c. Income
The Survivor's Shaze shall be entitled to a pro rata Shaze of the income earned
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on deceased Trustor's residuary probate and trust assets from the date of
deceased Trustor's death including a share of income earned on assets used to
dischazge liabilities.
d. Foreign Death Tax Credit
My Trustee shall not allocate assets that qualify for the foreign death tax credit
to the Survivor's Share unless all other assets or interests available for allocation
have been so allocated.
e. Insurance on the Life of My Surviving Spouse
My Trustee shall not allocate any policy of insurance on the life of my surviving
spouse to the Survivor's Shaze that is my separate property.
f. Insurance on the Lives of Others
Any incidents of ownership to a policy of insurance on the life of a person other
than me shall be allocated to the Family Share.
g. Lack of Property to Fully Fund the Survivor's Share
If there is insufficient property qualifying for the federal estate tax marital
deduction to fully fund the Survivor's Share, the funding to the Survivor's Share
shall be reduced accordingly.
Section 3. Intention that Survivor's Share Qualify for Marital Deduction
I intend that the Survivor's Shaze qualify for the federal estate tax marital deduction and this
agreement shall be construed accordingly. All other provisions of this trust agreement shall be
subordinate to that intent. If the granting of any right, power, privilege, authority, or immunity
to my Trustee or another person and the imposition of any duty upon my Trustee or another
person by any provision of this trust agreement would disqualify any share or interest of a
beneficiary hereunder from qualifying for the federal estate tax marital deduction provided by
Section 2056 of the Code, such provision shall be ineffective if and to the extent that the same
if effective would so disqualify such share or interest. The provisions of this Section shall also
apply to my probate estate, personal representative and all beneficiazies, devisees and legatees.
Notwithstanding any other provision in this trust agreement to the contrary, my surviving spouse
at any time shall have the right to direct my Trustee in writing to convert within a reasonable
time any unproductive trust property to income producing property.
Section 4. Disclaimer of Property
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Any property or portion of property that is disclaimed by my surviving spouse shall be held,
administered or distributed according to the following terms:
a. Property Disclaimed
My surviving spouse may disclaim any property held or distributed to or for the
benefit of my surviving spouse under this trust agreement.
b. Time to Disclaim
My surviving spouse may disclaim within the time limits and under the
conditions permitted by the laws regulating disclaimers.
c. Delivery of Disclaimer to My Trustee
A disclaimer by my surviving spouse may be exercised by the delivery to my
Trustee of an irrevocable and unconditional refusal to accept any or all property
interests passing to my surviving spouse or the Survivor's Share.
d. Disclaimer of Survivor's Share
If my surviving spouse exercises a disclaimer with respect to any or all property
set aside as the Survivor's Share, such disclaimed interest shall be added to the
Family Share.
e. Disclaimer of Family Share
If my surviving spouse exercises a disclaimer with respect to any or all property
set aside as the Family Share, such disclaimed interest shall be distributed under
the relevant terms of this agreement as though my surviving spouse had
predeceased me.
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~- Article Eight
Survivor's Trust
Section 1. Rights of Surviving Spouse in the Survivor's Trust
My Trustee shall hold, administer and distribute the assets of Survivor's Trust as follows:
a. Payment of Income
My Trustee shall pay to or apply for the benefit of the surviving spouse so long
as the surviving spouse lives the entire net income of the Survivor's Trust in
monthly or other convenient installments agreed upon by the surviving spouse
and my Trustee, but not less often than annually.
b. General Power of Appointment Over Undistributed Net Income
Upon the death of the surviving spouse my Trustee shall distribute all of the
accrued but undistributed net income to any person or entity and upon any trust,
terms and conditions or to or in favor of the estate of the surviving spouse as the
surviving spouse may direct by his or her last will or living trust agreement. No
exercise of this general power of appointment shall be effective unless it refers
to this trust agreement and expressly indicates an intention to exercise this
general power of appointment. My Trustee may rely upon any instrument
admitted to probate as the last will of the surviving spouse in carrying out the
terms of the power of appointment and shall not be liable for any good-faith act
in reliance upon that will, even if for any reason it is later determined to be
invalid with respect to its purported exercise of this power of appointment.
c. Discretionary Payment of Principal
At any time or times during the trust term my Trustee shall pay to or apply for
the benefit of the surviving spouse so much of the principal of the Survivor's
Trust as my Trustee deems proper for the surviving spouse's health,
maintenance, support and education. In exercising discretion my Trustee shall
give the consideration that my Trustee deems proper to all other income and
resources then readily available to the surviving spouse for use for these
purposes that are then known to my Trustee.
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~- d. Limited Power of Appointment
By either a last will or by a living trust agreement the surviving spouse shall
have the limited testamentary power to appoint to or for the benefit of my
descendants some or all of the principal and any accrued but undistributed net
income of Survivor's Trust as it exists at the death of the surviving spouse. The
surviving spouse may appoint trust assets under this limited testamentary power
among my descendants in equal or unequal amounts, either directly or in trust
as the surviving spouse directs.
This limited testamentary power of appointment shall not be exercised in favor
of the surviving spouse's estate, the creditors of the surviving spouse, the
creditors of the surviving spouse's estate or in any way which would result in
any economic benefit to the surviving spouse.
Section 2. Trustee's Discretion to Pay Debts and Taxes
The Survivor's Trust shall terminate upon the death of the surviving spouse. My Trustee, shall
hold and administer the unappointed balance or remainder of the Survivor's Trust as follows:
a. Surviving Spouse's Debts and Taxes
My Trustee, in its sole discretion, may pay all or any part of the surviving
spouse's following expenses, debts, claims and taxes becoming due or payable
by reason of the surviving spouse's death:
1. Final medical expenses and all funeral costs;
2. Legally enforceable claims against the surviving spouse
or the surviving spouse's estate;
3. Reasonable expenses of administration of this trust and
the surviving spouse's probate estate if any;
4. Any allowances mandated by a court of competent
jurisdiction to those dependent upon the surviving
spouse;
5. Any estate, inheritance, succession, death or similaz
taxes payable by reason of the death of the surviving
spouse; and
6. Any penalties or interest on any of the above claims,
8-2
debts or taxes owed by the surviving spouse or the
surviving spouse's estate.
Section 3. Payment by My Trustee or Personal Representative
My Trustee in its sole discretion may make distributions authorized under this Article either
directly to the person or entities to whom payment is owed or to the personal representative of
the surviving spouse's probate estate. Written statements by the surviving spouse's personal
representative that such sums aze due and payable by the estate shall be sufficient evidence of
their amount and propriety for the protection of my Trustee. My Trustee shall be under no duty
to see to the application of any such payments made to the surviving spouse's personal
representative.
Section 4. Tax Elections
With regard to the payment of any income tax, gift tax, estate tax, inheritance tax or any other
ta~c required because of the death of the surviving spouse, my Trustee shall have the right to make
any available elections allowed under the law. My Trustee is authorized to sign and file any tax
return required because of the death of the surviving spouse.
Section 5. Administration of Survivor's Trust Remainder
After payment of debts, expenses and taxes, my Trustee shall hold and administer the
unappointed balance or remainder of the Survivor's Trust as provided in the Articles that follow.
8-3
~ Article Nine
Family Trust
Section 1. Rights of Surviving Spouse in the Family Trust
My Trustee shall hold, administer and distribute the assets of the Family Trust as follows:
a. Payment of Income
My Trustee shall pay to or apply for the benefit of my surviving spouse, so long
as my surviving spouse lives, the entire net income of the Family Trust, in
monthly or other convenient installments agreed upon by my surviving spouse
and my Trustee, but not less often than annually.
b. Discretionary Payment of Principal
At any time or times during the trust term, my Trustee shall pay to or apply for
the benefit of my surviving spouse so much of the principal of the Family Trust
as my Trustee, in its discretion, deems proper for my surviving spouse's health,
maintenance, support and education.
c. Guidelines for Trustee's Discretion
No amount paid or applied need thereafter be repaid to my Trustee or restored
to my trust. In exercising discretion, my Trustee shall give the consideration
that my Trustee deems proper to all other income and resources that are known
to my Trustee and that aze readily available to my surviving spouse for use for
these purposes. My Trustee shall accumulate and add to principal any net
income not distributed.
d. Surviving Spouse's Right to Withdraw Principal
My surviving spouse shall have the power to withdraw from the Family Trust
principal each calendaz yeaz those amounts that shall not exceed the greater of
five thousand dollars ($5,000) or five (5) percent of the assets, valued as of the
end of the preceding calendar year. My surviving spouse shall exercise this
power by a written instrument signed by him or her and delivered to my Trustee.
This power is noncumulative and to the extent it is not exercised by the end of
January of each calendaz yeaz, it shall lapse. This power shall exist each year
until the death of my surviving spouse.
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Section 2. Termination of the Family Trust
On the death of my surviving spouse, the Family Trust shall terminate. All undistributed trust
assets, including any accrued and undistributed net income, shall be held, administered and
distributed in the Articles that follow.
9-2
(~ Article Ten
Common Pot Trust
After the death of the Trustor my Trustee shall not create a Common Pot Trust. All trust
property that has not been distributed under prior Articles of this trust agreement shall be held,
administered, divided and distributed according to the provisions of the Aticles that follow.
10-1
Article Eleven
Division and Distribution of Trust Property
Section 1. Division of Trust Property Into Shares
My Trustee shall divide all trust property not previously distributed into sepazate shazes of equal
market value as follows:
a. One Share for Each Living Child
My Trustee shall create one shaze for each of my then living children.
b. One Share for Each Deceased Child
My Trustee shall create one share for each of my deceased children who has
then living descendants.
Section 2. Distribution of Trust Shares for My Living Children
The trust shaze of each of my children who survive me shall be held, administered and distributed
as follows:
a. Distribution of Net Income and Principal
My Trustee shall promptly distribute, free of the trust, all accumulated net
income and principal of the trust shaze to each of my living children who
survive me.
b. Distribution Upon Death of a Child Who Survives Me
If any child who survives me, dies before the complete distribution of his or her
trust share, that child's trust shaze shall terminate and my Trustee shall distribute
the balance of the trust property to such child's then living descendants, per
stirpes.
If such deceased child has no then living descendants, my Trustee shall distribute
the balance of the trust property equally to the other beneficiaries named in this
Article, per stirpes.
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Section 3. Distribution of Trust Share for Descendant of Deceased Child
My Trustee shall promptly distribute, free of the trust, all accumulated net income and principal
of the trust share set aside for each of my deceased children to their descendants, per stirpes.
Section 4. Distributions to Underage or Disabled Beneficiaries
Notwithstanding any other provision in this trust agreement, if any person otherwise entitled to
receive a distribution of trust property is under 35 yeazs of age or is mentally disabled or legally
incompetent as defined in Article Twelve, my Trustee shall retain and administer that person's
trust property for his or her benefit as follows:
a. My Trustee's Discretion
My Trustee may pay to or apply for the benefit of such beneficiary so much of
the net income and principal of the trust as my Trustee, in its discretion, deems
proper considering all other sources of income and resources available to such
beneficiary and known to my Trustee.
b. Payments Made to Beneficiary or Personal Representative
My Trustee is authorized to make payments under this Section either directly to
the beneficiary, to the beneficiary's personal representative or to any other
person my Trustee may deem proper to be used for the benefit of the
beneficiary.
c. Trustee's Decisions are Final
All decisions by my Trustee as to those it makes payment to, the purposes for
which these payments aze made, and the amounts to be paid out of the trust aze
within my Trustee's sole and absolute discretion.
d. Undistributed Net Income
All undistributed net income shall be accumulated and added to the principal of
the trust.
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f~ e. Termination and Distribution
My Trustee shall distribute the trust property to a beneficiary under this Section
as follows: One-half when such beneficiary reaches age 30 and the balance
when such beneficiary reaches age 35, or when he or she is no longer disabled
as determined by a court of competent jurisdiction, or upon certification by two
licensed physicians that such beneficiary is able to properly care for his or her
property and person, or at a later date if other trust provisions in this Article
direct.
f. Death of Disabled or Underage Beneficiary
Upon the death of a beneficiary under this Section, my Trustee shall distribute
all of such beneficiary's remaining trust shaze, including the trust principal and
accrued and undistributed income, to any person or entity, and upon any trust,
terms, and conditions, or to or in favor of the estate of such deceased
beneficiary, as he or she may direct by his or her last will or living trust
agreement. No exercise of this general power of appointment shall be effective
unless it refers to this trust agreement and expressly indicates an intention to
exercise this general power of appointment.
11-3
Article Thirteen
Trustee Administration
Section 1. Co-Trustees to Act by Majority Vote
At any time that there are two or more Trustees serving under this agreement they shall act by
majority vote and any exercise of a power or discretion by a majority of the Trustees shall have
the same effect as an exercise by all of them.
If the Trustees are not able to reach agreement on any decision as set forth in this Section they
shall petition a court of competent jurisdiction for instructions and shall take no action on the
disputed matter until a court order deciding the issue has been rendered.
Section 2. Power to Delegate
Notwithstanding any other provision of this agreement, any one or more of the Co-Trustees
serving under this agreement may from time to time delegate to another Co-Trustee or Co-
Trustees routine acts of trust administration.
Section 3. No Bond Required
No Trustee under this agreement shall be required to post any bond for the faithful performance
of its responsibilities.
Section 4. Trustee Compensation
My Trustee shall be entitled to reasonable compensation for services rendered payable without
the need for a court order. In calculating the amount of compensation customary charges for
similaz services in the same geographic azea for the same time period shall be used as guidelines.
My Trustee shall also be entitled to reimbursement for reasonable costs and expenses incurred
during the exercise of its duties under this agreement.
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Section 5. Change in Corporate Trustee
Any corporate successor to the trust business of any corporate Trustee named under this
agreement or acting hereunder shall succeed to the capacity of its predecessor without re-
conveyance or transfer of trust property.
Section 6. Power to Divide or Combine Trusts
My Trustee shall have the power to divide a single trust into separate shares each to be
administered in accordance with the terms and conditions of the single trust from which they
were created when my Trustee in its discretion determines that division is desirable or advisable
in view of tax considerations, including considerations related to the income tax, the gift tax, the
estate tax or the generation-skipping transfer tax or other objectives of the trusts and their
beneficiaries.
My Trustee shall not be required to make a physical segregation or division of the various trust
shares created under this trust agreement except as segregation or division may be required by
reason of the termination and distribution of any of the trusts, but my Trustee shall keep separate
accounts and records for different undivided interests.
My Trustee in its discretion shall have the further power to combine two or more trusts having
substantially the same terms into a single trust for purposes of administration when tax or other
factors indicate that such combination would be desirable or advisable.
In deciding whether to combine trusts, my Trustee should consider the generation-skipping
"inclusion ratio" of the trusts to be combined. Trusts having the same inclusion ratios may be
combined. Trusts having different inclusion ratios should generally not be combined unless their
inclusion ratios aze maintained unchanged through substantially separate and independent shares
of different beneficiaries within the meaning of I.R.C. Section 2654(b), and the applicable
regulations thereunder.
Section 7. Termination of Small Trust
My Trustee shall have the power in its discretion to terminate any trust created under this trust
agreement whenever it becomes so small in relation to the costs of administration as to make
continuing administration uneconomical. Upon termination my Trustee shall distribute the
principal and any accrued or undistributed net income to the income beneficiaries in proportion
to their shazes of the income. If no fixed amount of income is payable to specific beneficiaries,
my Trustee shall distribute the principal and any accrued or undistributed net income in equal
shares to those beneficiaries who would then be entitled to income payments from the trust.
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"~ Section 8. Limit on Trustee's Discretion
Notwithstanding any language purporting to confer absolute, sole or unrestricted discretion on my
Trustee in exercising any discretionary power with respect to this trust, my Trustee shall at all
times act in accordance with fiduciary principles and shall not act in bad faith or in disregard of
the purposes of my trust.
Section 9. Written Notice to Trustee
Until my Trustee receives written notice of any death or other event which triggers the right to
payments from any trust created under this agreement it shall incur no liability for distributions
made in good faith to persons whose interests may have been affected by such event.
Section 10. Duty to Account
My Trustee shall render accounts to the income beneficiaries under this trust agreement at least
annually, at the termination of a trust created hereunder and upon a change in the Trustees in the
manner required by law.
Section 11. No Court Supervision
No trust created under this agreement shall require the active supervision of any state or federal
court.
13-3
Article Fourteen
Trustee Investment Powers
Section 1. Trustee's Powers
To carry out the purposes of the trusts created under this agreement and subject to any limitations
stated elsewhere in this instrument my Trustee shall have all of the following powers, in addition
to all of the powers now or hereafter conferred on Trustees by law:
a. Retention of Property
My Trustee shall have the power to retain any property received into the trust
at its inception or later added to the trust without regard to whether the trust
investments aze diversified as long as my Trustee considers that retention is in
the best interests of the trust or in furtherance of my goals in creating the trust.
b. Additions
My Trustee shall have the power to receive additions to the assets of the various
trusts created under this agreement from any source.
c. Business Participation
My Trustee shall have the power to terminate, to continue or to participate in the
operation of any business enterprise including a corporation a sole proprietorship
or a general or limited partnership and to effect any form of incorporation,
dissolution, liquidation, reorganization including but not limited to
recapitalization and reallocation of classes of shares or other change in the form
of the business enterprise or to lend money or make a capital contribution to any
such business enterprise.
d. Permissible Investments
My Trustee shall have the power to invest and reinvest the assets of the trust as
my Trustee may determine to be in the best interests of the trust without
limitation by any law applicable to investments by fiduciaries. The permitted
investments and reinvestments may include securities such as common or
preferred stock, mortgages, notes, subordinated debentures and warrants of any
corporation and any common trust fund administered by a corporate fiduciary
or other property, real or personal, including savings accounts and deposits and
interests in mutual or money market funds or investment trusts, annuities and
14-1
C%" insurance whether or not such investments aze unsecured or of a wasting nature.
e. Dealing with Property
My Trustee shall have the power to acquire, grant or dispose of property,
including puts, calls and options (including options on stock owned by the
estate), for cash or on credit including maintaining margin accounts with brokers
at public or private sale upon such terms and conditions as the fiduciary may
deem advisable and to manage, develop, improve, exchange, partition, change
the chazacter of, abandon property or any interest therein or otherwise deal with
property.
f. Borrowing Authority
My Trustee shall have the power to borrow funds from any person including my
Trustee guazantee indebtedness or indemnify others in the name of the trust and
to secure any such obligation by mortgage, pledge, security interest or other
encumbrance and to renew, extend or modify any such obligation for a term
within or extending beyond the administration of the term of the trust. No
lender shall be bound to see to or be liable for the application of the proceeds
of any obligation and my Trustee shall not be personally liable for any
obligation.
g. Leasing Authority
My Trustee shall have the power to make, renew or amend for any purpose a
lease as lessor or lessee for a term within or beyond the term of the trust with
or without option to purchase.
h. Natural Resources
My Trustee shall have the power to enter into any arrangement or agreement
including a lease, pooling or unitization agreement, for exploration, development,
operation, conservation and removal of minerals or other natural resources.
i. Voting Rights
My Trustee shall have the power to vote a security in person or by general or
limited proxy, to participate in or consent to any voting trust, reorganization,
dissolution, liquidation or other action affecting any securities and to deposit
securities with and transfer title to a protective or other committee.
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j. Title to Assets
C
My Trustee shall have the power to hold securities and other property in
negotiable form or in the name of a nominee (including "street name" of a
broker) or by deposit to a clearing corporation with or without disclosure of the
Trustee relationship, but my Trustee shall be responsible for the acts of any
nominee or clearing corporation in connection with the property.
k Insurance
My Trustee shall have the power to insure the assets of the trust against any risk
and my Trustee against liability with respect to third persons.
I. Settlement of Disputes
My Trustee shall have the power to pay or contest any debt or claim and to
compromise, release and adjust any debt or claim and to submit any matter to
azbitration.
m. Payment of Expenses
My Trustee shall have the power to pay any taxes, assessments, reasonable
compensation of my Trustee and other expenses incurred in the collection,
management, caze, protection and conservation of the trust property.
n. Principal and Income
My Trustee shall have the power to allocate items of income or expenditure to
either income or principal and to create reserves out of the income all as
provided by law and to the extent not so provided to allocate or create reserves
as my Trustee in its discretion deems appropriate and my Trustee's decision
made in good faith with respect thereto shall be binding and conclusive on all
persons.
o. Division of Trust
My Trustee shall have the power to make any distribution or payment in kind
or in cash or partly in kind and partly in cash and to cause any share to be
composed of cash, property or undivided interests in property different in kind
from any other share either pro rata or non pro rata without regard to differences
in the tax basis of such property and without the requirement of making any
adjustment of the shares by reason of any action taken pursuant hereto.
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~" .. Any division, allocation, apportionment or valuation of the property to distribute
the assets to or among any of the trusts or beneficiaries shall be made by my
Trustee and the good faith determination of my Trustee shall be binding and
conclusive on all parties.
p. Litigation
My Trustee shall have the power to prosecute or defend actions, suits, claims or
proceedings for the protection or benefit of the trust and my Trustee in the
performance of my Trustee's duties.
q. Employment of Agents
My Trustee shall have the power to employ agents including attorneys,
accountants, investment advisors, custodians, appraisers or others to advise or
assist my Trustee and to delegate to them fiduciary powers and to indemnify
them against liability for positions taken in good faith and with reasonable basis.
r. Corporate Fiduciary
If any stock of a corporate Trustee or of any affiliate or successor of a corporate
Trustee shall be included in the assets of the trust, the Trustee shall have full
authority in the Trustee's sole discretion and notwithstanding any regulation or
rule of law to the contrary to retain the stock and any increases resulting from
stock dividends and stock splits and from the exercise of purchase rights and the
purchase of fractional shazes needed to round out fractional shaze holdings that
may arise concerning the stock. The Trustee shall vote the stock either directly
or by proxy except to the extent the Trustee is prohibited by law from voting the
stock in accordance with the written instructions of a majority of the living
beneficiaries then entitled to current distributions of income or their personal
representatives. In the event there aze no eligible beneficiaries to give
instructions, the Trustee is authorized to vote the stock in the best interests of
the beneficiaries in view of the purposes for which the trust was created.
s. Investment Transactions
With regazd to record keeping for investment transactions, my Trustee need not
provide copies of co~rmations or similar notifications each time a trade or
investment transaction occurs, but investment transactions shall be set forth in
my Trustee's periodic accounting.
14-4
t. Repairs and Improvements
My Trustee shall have the power to make ordinary or extraordinary repairs or
alterations in buildings or other structures, to demolish any improvements, to
raze existing or erect new party walls or buildings.
u. Business Personnel
My Trustee shall have the power to elect or employ directors, officers,
employees, partners or agents of any business and to compensate such persons
whether or not any such person is a Trustee, director, officer, partner or agent
of a Trustee or a beneficiary of the trust.
v. Farm or Ranch Property
With respect to farm or ranch property, my Trustee shall have the power to
participate in and operate any farming (including tree fanning) or ranch
operation personally or with hired labor, tenants or sharecroppers to lease any
farm for cash or a share of crops under a lease which permits or precludes the
material participation of my Trustee, to fertilize and improve the soil, to employ
conservation practices, and to participate in government programs and to perform
any other acts deemed necessary or desirable to operate the property. In making
a decision whether to materially participate in farming or ranch operations, my
Trustee shall consider whether an election should be made or has been made
under IRC § 2032A to qualify for special farm-use valuation.
w. Ancillary Trustees
If for any reason my Trustee deems it advantageous to act through an ancillary
Trustee, my Trustee may designate an ancillary personal representative or
Trustee qualified to serve in the jurisdiction where such ancillary Trustee is to
act and may delegate to such ancillary Trustee such of the powers granted under
this agreement as my Trustee deems advisable without being chargeable with
loss if any arising out of such designation or delegation. My Trustee may
specify whether any corporate Trustee or any person or persons acting in an
ancillary capacity hereunder shall serve with or without bond. Except as may
be otherwise specifically provided, no ancillary Trustee need comply with the
provisions of any Uniform Trustee's Accounting Act, the Uniform Trust Act or
similar acts in force in any state where the Trustee may be acting.
x. Retention of Closely Held Interest
My Trustee shall have the power to retain any real estate interests, closely held
securities or affiliated companies or business interests and to sell or dispose of
14-5
/' such interests only after careful consideration and after determining that sale or
disposition is in the existing circumstances in the best interests of the trust or its
beneficiaries.
y. Exercise of Authority
Except as otherwise provided in this agreement, my Trustee shall have the power
to do all acts that might legally be done by an individual in absolute ownership
and control of property.
z. Powers of as Interested Trustee
Any Trustee who has an interest as a beneficiary in this trust agreement or any
trust created by it shall be an interested Trustee. In all instances where an
interested Trustee distributes or participates in the distribution of trust income
or principal to or for the benefit of such Trustee which is limited by any
standazd other than the standards of education, health, maintenance and support,
the distribution shall be limited by the ascertainable standazds of education,
health, maintenance and support.
No individual Trustee shall exercise or participate in the exercise of any
discretionary power regazding distributions to any person or persons such Trustee
is legally obligated to support as to that support obligation.
14-6
~'- Article Fifteen
General Provisions
Section 1. Spendthrift Protection
Neither the principal nor the income of any trust created or contained under this agreement shall
be liable for the debts of a beneficiary nor shall the same be subject to seizure by any creditor
of any beneficiary under any lien or proceeding at law or equity. Except to the extent otherwise
expressly provided in this agreement, no beneficiary shall have authority or power to sell, assign,
transfer, encumber or in any manner to anticipate or dispose of a beneficial interest whether
income or principal. The limitations herein shall not restrict the exercise of any power of
appointment or the right to disclaim by any beneficiary.
Section 2. The Rule Against Perpetuities
Unless sooner terminated or vested in accordance with other provisions of this agreement, all
interests not otherwise vested including but not limited to all trusts and powers of appointment
created hereunder shall terminate twenty-one (21) years after the death of the last survivor of the
group composed of me and my lineal descendants living on the date of my death. At that time
distribution of all principal and all accrued, accumulated and undistributed income shall be made
to the persons then entitled to distributions of income and in the manner and proportions herein
stated or if not stated equally irrespective of their then attained ages.
Section 3. Incompetency and Disability
For all purposes under this agreement a person shall be deemed disabled, incompetent or legally
incapacitated if and so long as a guazdian or conservator of his or her person or estate duly
appointed by a court of competent jurisdiction continues to serve, or upon certification by two
licensed physicians that such person is unable properly to caze for his or her person or property.
Section 4. Income and Principal Payments
All payments of income or principal shall be made in such of the following ways as my Trustee
determines appropriate:
15-1
/ a. To each respective beneficiary in person upon his or her personal
r . receipt;
b. Deposited in any bank to the credit of such beneficiary in any
account carried in his or her name or jointly with another or others;
c. To the pazent or legal representative of the beneficiary;
d. To a Custodian under a Uniform Transfers to Minors Act selected by
my Trustee for such period of time under applicable law as our
Trustee determines appropriate;
e. To some neaz relative, friend or institution having primary
responsibility for the caze and custody of the beneficiary;
f. By my Trustee using such payment directly for the benefit of such
beneficiary; or
g. To my Trustee of any revocable trust of which the beneficiary is the
Trustor.
Section 5. Education
For all purposes under this agreement the term "education" shall be given broad interpretation and
may include but not be limited to:
a. High School
Education at public or private elementary or high schools including boazding
schools.
b. College
Undergraduate and graduate study in any and all fields whatsoever whether of
a professional character in colleges or other institutions of higher learning.
c. Specialized Training
Specialized formal or informal training in music, the stage, the handicrafts, the
arts or vocational or trade schools whether by private instruction or otherwise.
15-2
d. Other Educational Activities
Any other activity including foreign or domestic travel which shall tend to
develop fully the talents and potentialities of each beneficiary regazdless of age.
Section 6. No-Contest Clause
If any person or entity other than me singularly or in conjunction with any other person or entity
directly or indirectly contests in any court the validity of this agreement including any
amendments thereto the right of that person or entity to take any interest in the trust property
shall cease and that person or entity shall be deemed to have predeceased me.
Section 7. Disclaimer by Beneficiary
No beneficiary shall be entitled to accelerate any distribution to the beneficiary or to terminate
his or her trust interest and thereafter receive outright distribution by use of a disclaimer.
Section 8. Simultaneous Death
If any beneficiary under this agreement and I die under circumstances in which the order of their
deaths cannot be established, I shall be deemed to have predeceased the beneficiary and this
agreement shall be construed accordingly.
Section 9. Children and Issue
For purposes of this agreement "children" means the lawful blood descendants in the first degree
of the parent designated and "issue" and "descendants" mean the lawful blood descendants in any
degree of the ancestor designated provided, however, that if a person has been adopted that
person shall be considered a child of such adopting pazent and such adopted child and his or her
issue shall be considered as issue of the adopting parent or parents and of anyone who is by
blood or adoption an ancestor of the adopting parent or either of the adopting pazents. The terms
"child." "children," "issue," "descendant" and "descendants" or those terms preceded by the terms
"living" or "then-living" shall include the lawful blood descendant in the first degree of the parent
designated even though such descendant is born after the death of such pazent.
15-3
Section 10. Definition of Death Taxes
The term "death taxes" as used in this agreement shall mean all inheritance, estate, succession and
other similaz taxes that are payable by any person on account of that person's interest in the estate
of the decedent or by reason of the decedent's death including penalties and interest but excluding
the following:
a. Any addition to the federal estate tax for any "excess retirement
accumulation" under Internal Revenue Code Section 4980A.
b. Any additional tax that may be assessed under Internal Revenue Code
Section 2032A.
c. Any federal or state tax imposed on ageneration-skipping transfer as
that term is defined in the federal tax laws unless that generation-
skipping transfer tax is payable directly out of the assets of a trust
created by this instrument.
Section 11. Words Relating to the Internal Revenue Code
As used in this agreement the words "gross estate," "adjusted gross estate," "taxable estate,"
"unified credit," "state death tax credit," "maximum marital deduction," "marital deduction,"
"pass" and any other word or words which from the context in which it or they aze used refer
to the Internal Revenue Code shall have the same meaning as such words have for the purposes
of applying the Internal Revenue Code to my estate.
For purposes of this agreement my "available generation-skipping transfer exemption" means the
generation-skipping transfer tax exemption provided in section 2631 of the Internal Revenue Code
of 1986 as amended in effect at the time of my death reduced by the aggregate of (1) the amount
if any of my exemption allocated to my lifetime transfers by me or by operation of law, and (2)
the amount, if any, I have specifically allocated to other property of my gross estate for federal
estate tax purposes.
For purposes of this trust agreement if at the time of my death I have made gifts with an
inclusion ratio of greater than zero for which the gift tax return due date has not expired
including extensions and I have not yet filed a return, it shall be deemed that my generation-
skipping transfer exemption has been allocated to these transfers to the extent necessary and
possible to exempt the transfers from generation-skipping transfer tax.
Reference to Sections of the Internal Revenue Code and to the Internal Revenue Code shall refer
to the Internal Revenue Code amended to the date of my death.
15-4
C"- Section 12. Personal Representative
For purposes of this agreement the term "personal representative" shall mean Trustee, executor;
executrix, administrator, administratrix, conservator, guazdian, custodian or any other type of
personal representation.
Section 13. Gender and Number
In this agreement where appropriate except where the context otherwise requires, the singular
includes the plural and words of any gender shall not be limited to that gender.
Section 14. • Definition of Per Stirpes
As used in this agreement when a distribution to beneficiaries is "per stirpes" it shall mean that
the distributions are to be divided into as many equal shazes as there are then-living children of
such beneficiaries and deceased children of such beneficiaries who left then-living descendants.
Each then-living child of the beneficiary shall receive one share and the shaze that is allocated
to each deceased child of the beneficiary shall be divided equally among such deceased child's
then-living descendants.
Section 15. Captions
The captions of Articles, Sections and Pazagraphs used in this agreement aze for convenience of
reference only and shall have no significance in the construction or interpretation of this
agreement.
Section 16. Severability
Should any of the provisions of this agreement be for any reason declared invalid, such invalidity
shall not affect any of the other provisions of this agreement and all invalid provisions shall be
wholly disregarded in interpreting this agreement.
15-5
Section 17. Statutory References
Unless the context clearly requires another construction each statutory reference in this agreement
shall be construed to refer to the statutory section mentioned, related successor sections and
corresponding provisions of any subsequent law including all amendments.
Section 18. Governing State Law
This agreement and the trusts created under it shall be construed, regulated and governed by and
in accordance with the laws of the State of Pennsylvania.
I have executed this agreement on the date set forth on the first page of this agreement.
I certify that I have read the foregoing revocable living trust agreement and that it correctly states
the terms and conditions under which my trust property is to be held, managed and disposed of
by my Trustee(s). I approve this revocable living trust in all particulars and request my
Trustee(s) to execute it.
~.Q,P,~~ Uhl ~/~10Vv
ELLIS VAN ORMAN, Trustor
~~~tJ U~?~yt Oi'1,H,~.GYK
ELLIS VAN ORMAN, Trustee
~~GfLS(~ ~~Gn._~ ~-~c.~t~YI.~C J
ELVIRA VAN ORMAN, Trustee
15-6
STATE OF PENNSYLVANIA
SS
COUNTY OF DAUPHIN )
On this the ~`~day of ~~ , 19 ~ ,before me, 6 ~~ ~' ~52-
the undersigned officer, personally appeared ELLIS VAN ORMAN, Trustor, known to me (or
satisfactorily proven) to be the person whose name is subscribed to the within instrument and
acknowledged that he executed the same for the purposes therein contained.
set my hand and official seal.
Notary Public
Title of Officer
STATE OF PENNSYLVANIA
SS
COUNTY OF DAUPHIN '~ n,, )
On this the ~ d y of ~% , 19~ before me, ~I.IC.f~-~• ~~-
the undersigned officer, personally appeared ELLIS VAN ORMAN, and ELVIRA VAN ORMAN,
Trustees, known to me (or satisfactorily proven) to be the persons whose names are subscribed
to the within instrument and acknowledged that they executed the same for the purposes therein
contained.
In yvftness~whereof I hertiun~6 set my hand and official seal.
Notary Public
NOTARIAL SEAL
Title of Officer ~ .Notary Public
Derry Twp., Dauphin County
My Commission Expires Feb. 20.1995
15-7
FIRST AMENDMENT TO
THE ELLIS VAN ORMAN LIVING TRUST
On December 14, 1994, I, ELLIS VAN ORMAN, signed the ELLIS VAN ORMAN
LNING TRUST, as Trustor, more formally known as
ELLIS VAN ORMAN and ELVIRA VAN ORMAN, Trustees, or their successors in trust,
under the ELLIS VAN ORMAN LVNING TRUST dated December 14, 1994 and any
amendments thereto.
ELVIRA VAN ORMAN died on July 19, 2006, and I am currently acting as the sole
Trustee of my Trust.
Pursuant to the right reserved to me under Article Four of the original trust agreement
referred to above, which allows me to amend my Living Trust in writing at any time, I hereby
amend said trust agreement in the following respects:
1. Article Three, Section 4, of my original Living Trust Agreement is hereby revoked
and amended as follows:
ARTICLE THREE
Appointment of Trustees
Section 4. Designated Successor Trustees
Whenever a Trustee is removed, dies, resigns, becomes legally incapacitated or is otherwise
unable or unwilling to serve, that Trustee shall be replaced as follows:
a. The Death or Disability of a Trustee While I am Serving as Trustee
I may serve as the only Trustee or I may name any number of Trustees to serve
with me. If any of these other Trustees subsequently die, resign, become
legally incapacitated or are otherwise unable or unwilling to serve as a Trustee,
I may or may not fill the vacancy.
I hereby name PAUL CtJRTIS VAN ORMAN as a Co-Trustee to serve with
me.
b. Disability Trustees of ELLIS VAN ORMAN
Upon the disability of ELLIS VAN ORMAN, if he is then serving as an initial
Trustee he shall be replaced by the following Disability Trustee(s):
1. PAUL CURTIS VAN ORMAN; and then
2. PHILIP CHARLES VAN ORMAN; and then
3. ESTHER RUTH HOLZ
c. Death Trustees of ELLI5 VAN ORMAN
Upon the death of ELLIS VAN ORMAN, if he is then serving as an initial
Trustee he shall be replaced by the following Death Trustee(s):
1. PAUL CURTIS VAN ORMAN; and then
2. PHILIP CHARLES VAN ORMAN; and then
3. ESTHER RUTH HOLZ
2. Article Eleven, Sections 1 and 2, of my original Living Trust Agreement are hereby
revoked and amended as follows:
ARTICLE ELEVEN
Division and Distribution of Trust Property
My Trustee shall administer and distribute my remaining trust property (not distributed under
prior Articles of this agreement) under the terms of this Article.
Section 1. Division of Remaining Trust Property
My Trustee shall divide my remaining trust property into shares as follows:
Name Relationship Share
Paul Curtis Van Orman Son 1/3
Esther Ruth Holz Daughter 1/3
Philip Charles Van Orman Son 1/3
My Trustee shall administer the share of each beneficiary as provided in the Sections that follow.
Section 2. Distribution of Trust Shares for My Children
a. Distribution of the Share for Paul Curtis Van Orman
My Trustee shall distribute the share set aside for Paul Curtis Van Orman to
him outright, free of trust.
If Paul Curtis Van Orman is deceased, my Trustee shall distribute Paul Curtis
Van Orman's share to Denise Tschudy and Dustin Miller, or, if they are both
deceased, my Trustee shall distribute Paul Curtis Van Orman's share to the
other beneficiaries named in this Article, pro rata.
b. Distribution of the Share for Esther Ruth Holz
My Trustee shall distribute the share set aside for Esther Ruth Holz to her
outright, free of trust.
If Esther Ruth Holz is deceased, my Trustee shall distribute Esther Ruth
Holz's share to David Allen Holz, or, if he is deceased, my Trustee shall
distribute Esther Ruth Holz's share to the other beneficiaries named in this
Article, pro rata.
c. Distribution of the Share for Philip Charles Van Orman
My Trustee shall distribute the share set aside for Philip Charles Van Orman
to him outright, free of trust.
If Philip Charles Van Orman is deceased, my Trustee shall distribute Philip
Chazles Van Orman's share to Charles Lanaga and Philip Charles Van Orman,
Jr., or, if they are both deceased, my Trustee shall distribute Philip Charles
Van Orman's share to the other beneficiaries named in this Article, pro rata.
3. Article Eleven, Section 3, is hereby revoked in its entirety.
4. I confirm and readopt the remaining provisions of my original trust agreement,
reserving to myself the right to amend further that trust agreement, and this amendment thereto.
Dated: t'1 , 2006.
ELLIS VAN ORMAN, Trustor and Trustee
COMMONWEALTH OF PENNSYLVANIA)
COUNTY OF DAUPHIN )
We, ~m 1''1~ • 1'11c~`~~ and s,)(x cry ,,.v G L e ~i.~c(r c ~ the witnesses
whose names are signed to the attached or foregoing instrument, being duly qualified according to
law do depose and say that we were present and saw the trustor sign and execute the instrument as
the First Amendment to his Revocable Trust; that the trustor signed willingly and executed it as his
free and voluntary act for the purposes therein expressed; that each subscribing witness in the
hearing and sight of the trustor signed the instrument as a witness; and that to the best of our
knowledge the trustor was at that time eighteen or more years of age, of sound mind and under no
constraint or undue influence.
SS SS
I, ELLIS VAN ORMAN, trustor, 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 the First Amendment to my Revocable Trust; that I signed it willingly;
and that I signed it as my free and voluntary act for the purposes therein expressed.
ELLIS VAN ORMAN, Trustor
Subscribed and sworn to and acknowledged befo me by ELLIS VAN ORMAN, the
tru~tOr, and subscribed and sworn to before me by U 1~. ~; and
J a Cu r-e ~..r k 1~.,_ witnesses, on ` A, ~~~ 2006.
~ ~~s~
Notary Public
~OM[vIONWFALTH OF PENNSYLVAiviP.
Notarial Seal
Susan E. Lederer, No~ry Public
Lower Paxton Twp., Dauphin County
My Commission Expires May 3, 2
;amber, ~annsylvania Assoaation of Notaries
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MID PENN BANK
January 21, 2010
Susan E. Lederer Law Offices
5011 Locust Ln
Harrisbwg, PA 17109
Re: Estate of Ellis Van Orman
Date of Death: November 19, 2009
SSN: 210-12-0512
Dear Ms. Moya:
In response to yow letter requesting information on the accounts of Ellis Van Orman, I
have accumulated the necessary data below:
Account #: 309002360 -Certificate of Deposit
Account Name: Ellis Van Orman Living Trust
Paul Curtis Van Orman Trustee
Date Opened: 12/18/2008
Balance DOD: $117,270.76
Balance Accrued Interest DOD: $1,972.08
Total DOD Balance: $119,242.84
Joint Ownership Name: N/A
ff you have any further questions, please call me at 717-896-5381
Sincerely, ,(~~
Jessica Kerwin
Deposit Processing Specialist
349 Union Sheet, Millersburg, PA 17061 • 1-866~HAPPEN • 1-877-9HAPPEN • www.midpennbank.com
Member FDIC
JAN-28-2010 THU 09 56 All Halifax National Bank FAX N0, 7178968599 p, 02
at~o al
~~~
7anuary 28, 2010
Susan E Lederer Law Offices
5011 Locust Lanc
Hecrisburg, PA 17109
Account Number(s)
Type of Account
Date Opened
Sc'~d~~ C,, I -~-~., s z- 3
3066721 3066727
48 Month CD 48 Month CD
Treat Account Trust Account
Fobruary 5, 2009 March 5, 2009
Principal Balance at date of death 551,303.09 $57,308.05
Accrued interest not
disbursed as of deco of death
Maturity Date
Primary Owner of Account
Name of Joint Owner, If any
Beneficiary, if any
pate Joint Ownership was
Established
5407.75 $455.47
Febrtuuy 5, 2013 March 5, 2ot3
Ellis Van Orman Living Trust
Paul C Van Orman-Ttvstee
Ellis Van Orman Living Trust
Paul C Van Orman•Trustee
February 5, 2009 March S, 2009
Safe Deposit Box(s) and Location
Kristin Beaver
a~~
499 Mitchell Road, Millsboro, DB 19966 Mail Code DE-MB-12
Susan E Lederer
5011 Locust Lane
Harrisburg, PA 17109
Re: Estate of: Ellis Van Orman
Social Security 210-1 -0512
Date of Death: November 19 2009
Dear Sir or Madam:
Scl~. ~~ C,, 1 f~.-1 s Y-S
Phone (888) 502349
Fax (302)934-2955
January 28, 2010
Per your inquiry, please be advised that at the tune of death, the abovo-named decadent had on deposit with this bank the
following:
1. Type of Accoutu Certificate of Depoist
Account Number 31003917889560
Ownership (Names o, fl Alrs Van Onnme, graruor
Paul Van Or»u>rt, Trustee
Opening Date 12ASA78 closed 12~t77N9
Balance on Date of Death $ 60000.00
Accrued Interest $ 1561.26
Total - ----------------.----------------------....----__ __
$ 61561.26
2. Type ofAccount CheckingAccoum
Account Number 98317151
Ownership (Names o, fl EUis Van Onnmy grantor
Paul Van Omrum, Trustee
OPeninB Dare 03/1898
Balance on Date of Death $77333.99
Accrued /merest $ 0.21
Total ------____._-._~_
$ 77334.20 ---------------------.
Please be advised, these was no safe deposit box found for the above decedern. • If npon reviewing the hdormation
above, yon believe there are additional accounts not referenced, pkase pmvide ns with an account number and/or
name of any pt>aDible joint accamt holder. For aqy additional hdormstlon on the above accounts, including
ownership and any , claalues and/or reimbursement of ttrods, etc., pose contact our HAMPDEN branch,
3528 Carlisle Pike, Mechanicabrng, PA 17050. OlBce # 717-255.2293
Sincerely,
rissa Sears
A`tinclmvnt .CMarir-..e
February 26, 2010
Susan E. Lederer
5011 Locust Lane
Harrisburg, PA 17109
Dear Ms. Lederer:
~~
LISTENING IS JUST THE BEGINNING.'"
RE: Ellis Van Orman, deceased 11/19/09
In response to your recent inquiry concerning the accounts maintained in the name of the decedent
with multiple affiliate banks, please be advised that the following accounts were found to be open at the
date of death:
DATE OF DEATH ACC
CD# BALANCE INT ATE OP N ROLL OVER MAT RITY
Columbia Bank (Hagerstown Trust Co merged into Columbia 9/12/09)
0493008438 80,000.00 1,220.51 2.37 4/3/09 N/A 413/12
*titled Ellis Van Orman Living Trust with Paul Vaa Orman as Trustee
The Bank
8800745146 92,000.00 1,102.78 2.37 8/22/09 N/A 5/22/12
*titled Ellis Van OnYtatt Living Trust with Paul Van Orman as Trustee
Fulton Bank, N.A.
025-0323248 135,000.00 3,050.86 2.71 1/22/09 N/A 4/22/10
*titled Ellis Van Ortnan Living Trust with Paul Van Ortnan as Trustee
Lafayette Ambassador Sank
049-0141878 55,000.00 619.44 2.52 6/12/09 N/A 6/12!12
*titled Ellis Van Orman Living Trust with Paul Van Orman as Trustee
Swineford National Bank
049-1012062 50,000.00 781.05 2.67 4/24/09 N/A 4!24/12
*titled Ellis Van Orman Living Trust with Paul Van Orman as Trustee
049-1012064 50,000.00 672.67 2.37 4/30!09 N/A 4/30/12
*titled Ellis Van Orman Living Trust with Patti Van Orman as Trustee
Skylands Community Bank
0053010184 85,000.00 158.10 2.23 10/20/09 N/A 10/20/12
*titled Ellis Vaa Orman Living Trust with Paul Van Orman as Trustee
Please note that the following account is titled Elvira Van Om~att Family Trust with Paul Van Oman as Trustee
Fulton Bank, N.A. ~~~~
025-0323196 90,000.00 219.51 2.47 10/14/09 N/A 10/14/12
If you should have any further questions, please do not hesitate to contact me at (717) 291-2589.
So~d~~e C,, 1~s i~-~~
Wens Fargo Advisors, LLC Te1717-761-7344
Three Lemoyne Drive Fax 717-975-8426
Lemoyne, PA 17043 800-468-8685
March 8, 2010
Susan E. Lederer Law Offices
Attn: Amy M. Moya
5011 Locust Lane
Harrisburg, PA 17109
RE: Trust Estate of Ellis Van Orman
Deaz Amy,
I have attached a spreadsheet of the closing values and accrued interest of the municipal
bonds that were owned in the trust on the date of death. In reference to your other
questions to the letter dated January 19, 2010:
1) the exact title of the account: Ellis Van Orman Living Trust, Paul Curtis Van
Orman Trustee
2) The Account was established August 21, 2006
3) No beneficiary designations are on file.
Please do not hesitate to contact me if you have any more questions regarding the
information enclosed.
Thanks,
,~~ ^ .-
Michael McConahy, CRPC®
Financial Advisor
Mes~uerfu~wvstrc
Trust Estate of Ellis Van Orman
Account Values on November 19, 2008
ACCRUED
CUSIP QUANTITY PRICE VALUE INTEREST
Chester County PA Health 5.375% 16557HBT1 25,000.00 100.235 25,058.75 29.86
Cumberland County PA 5.125% 23061 NBV8 5,000.00 100.34 5,017.00 69.76
Delaware County PA 5.75% 245913ED8 25,000.00 107.054 26,763.50 1,253.82
Elizabethtown Regl Authority 5.4% 287077DD0 20,000.00 100.172 20,034.40 1,026.00
Lehigh County 5.375% 524805Y89 30,000.00 115.004 34,801.20 880.00
Lewistown Boro 6.00% 528725FD1 30,000.00 100.674 30,202.20 1,410.00
Montgomery County 5.125% 613604UQ8 20,000.00 98.195 19,639.00 973.75
Pennsylvania State Turnpike 5.00% 709221JX4 15,000.00 100.836 15,125.40 712.50
Pennsylvania State Higher Ed 5.125°h 70917NZQ0 25,000.00 92.416 23,104.00 1
003.65
Perkiomen Valley School 5.00°~ 714145i>~ 20,000.00 112.925 22,585.00 ,
272.22
Philadelphia PA Authority 5.00% 71781 EAW5 25,000.00 96.374 24,093.50 979.17
South Fork Municipal 5.00°~ 83786DCZ8 20,000.00 90.43 18,086.00 783.33
West Chester PA 5.00% 952030QD9 45,000.00 109.958 49,481.10 437.50
West Shore Area Hospita15.65% 955817CQ2 45,000.00 100.129 45,058.05 1,991.63
West Shore Area Hospita15.8% 955817DB4 30,000.00 101.642 30,492.60 1,363.00
West Shore Area Hospital 6.0% 955817DD0 25,000.00 101.397 25,349.25 1,175.00
TOTAL ACCOUNT VALUE ON 11!19!2009 414,590.95 14,341.18
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