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HomeMy WebLinkAbout02-0307Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of WILLIAM J. LEVINE also known as Late of Camp Hill Borou,qh, Cumberland County, PA , Deceased No. 21-02-307 Social Security No. 132-05-9082 Petitioner(s), who is/are 18 years of age or older, apply(les) for: (COMPLETE "A" OR "B" BELOW:)  A. Probate and Grant of Letters and aver that Petitioner(s) is/are the executrix named in the Last Will of the Decedent, dated Au.qust 29, 1994 and codicil(s) dated N/A State relevant circumstances, e.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: [~ B. Grant of Letters of Administration (c.ta., d.b.n.c.t.a.: pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence at 3428 Loqan Street, Borou.qh of Camp Hill, Cumberland County, Pennsylvania 17011 (list street, number and municipality) Decedent, then 81 years of age, died March 7, 2002, at 3428 Logan Street, Camp Hill, Cumberland County, PA 17011 (Location) Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property ............................................... $ 1,500,000.00 (If not domiciled in PA) Personal property in Pennsylvania ............................. $ (If not domiciled in PA) Personal property in County .................................. $ Value of real estate in Pennsylvania ........................................................... $ Total ...................................................................... $ 1,500,000.00 Real Estate s tuated as fo ows: NONE Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: Signature Typed or printed name and residence Angelene A. Levine 3428 Logan Street, Camp Hill, PA 17011 Form RW-1 Page 1 of 2 (Dauphin County- Rev. 9/92) Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to and affirmed and subscribed v before me this 26~:h day of MARCH 2002. DECREE Of REGISTER Estate of William J. Levine also known as Social Security No: 132-05-9082 Deceased No. 21-02-307 Date of Death: March 7, 2002 AND NOW, NARC[-] 26 ,2002, in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters · Testamentary [] of Administration are hereby granted to An.qelene A. Levine (c.t.a.; d,b,n.c.t.; pendertte llte; durante absentia; durante rninoritate) in the above estate and that the instrument(s), if any, dated August 29, 1994 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters ........................... $ 865.00 Short Certificate(s) .......... $ 15.0o Renunciation .................. $ Affidavit ( ) ................. $ Extra Pages ( ) ............ $ 45.00 Codicil ..........................$ JCP Fee ........................ $ 5.00 Inventory & Tax Forms... $ Other ............................$ TOTAL ................ $ 930.00 Form RW-1 Page 2 of 2 (Dauphin County - Rev 9/92) Attorney: James A. Ulsh, Esquire I.D. No: 10169 Address: Telephone: DATE FILED: 3401 North Front Street, P.O. Box 5950 Harrisburg, PA 17110-0950 717-232-5000 29O487 W__!LLI..AM J. LEVINE I, WILLIAM J. LEVINE, of 3428 Logan Street, Camp Hill, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. STEM I: I direct that all inheritance and estate 'taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any property, shall be paid by the Executor out of the property psssing under ITEM VI of this Will, as an expense and cost of administration of my estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. .!~M II.: i direct the Executor to pay the expenses of my last illness and funeral expenses from 'the property passing under this Will as an expense and cost of administration of my estate. STEM II~: If I survive my wife, ANGELENE A. LEVINE, I give and devise my residential real estate located at 3428 Logan Street, Camp Hill, Pennsylvania, to THERESA CENTURIONE if she survives me. If she fails to survive me, this devise shall lapse and my said residence shall be sold and Page 1 the net proceeds from the sale thereof shall be added to my residuary estate to be distributed in accordance with ITEM VI of this Will. ITEM IV: If I predecease my wife, ANGELENE A. LEVINE, I give and bequeath to her absolutely and in fee simple all of my household furniture and furnishings, books, pictures, jewelry, silverware, automobiles, wearing apparel and all other articles of household or personal use or adornment and all policies of insurance thereon. If I do not predecease my said wife, I make the following gifts and bequests, absolutely and in fee simple: (a) All of my household furniture and furnishings, books, silverware, and other articles of household use, and all policies of insurance thereon to THERESA CENTURIONE; (b) Ail Edna Hibel artwork, including collector's plates, porcelain and lithographs to my wife's niece, CATHY SLUGA, Orlando, Florida; (c) All other porcelain and crystal items which I own at the date of my death to my wife's niece, MARY ANN SLUGA; (d) Ail Russian black lacquer boxes which I own at the date of my death to my wife's niece, MARY ANN SLUGA; (e) Ail other items of jewelry, wearing apparel, and personal adornment, and all policies of insurance thereon to my wife's nieces, CATHY SLUGA and MARY ANN SLUGA, to be divided among them as they shall agree. Page 2 ITEM V: If I survive my wife, ANGELENE A. LEVINE, I give and bequeath our Silver French Poodle "Sami Blue" to THERESA CENTURIONE together with the sum of TEN THOUSAND ($10,000) DOLLARS to defray the cost of caring for the animal and burial expenses including plot, casket, and marker at Pineview Pet Cemetery, Camp Hill, Pennsylvania. ITEM VI: I give, devise and bequeath all the rest, residue and remainder of my estate, not disposed of in the preceding portions of this Will, to my wife, ANGELENE A. LEVINE, as Trustee (hereinafter referred to as "Trustee"), IN TRUST NEVERTHELESS, to be further divided into two parts, each of which shall be held in trust and constitute a separate Trust Fund to be known as "Trust A" and "Trust B". "Trust A": There shall be placed in "Trust A" that sum equal to the largest amount that can pass free of Federal estate tax under this Item by reason of the unified credit and the state death tax credit (provided that the use of this credit does not require an increase in state death taxes) allowable to my estate but no other credit and after taking account of dispositions under other items of this Will and property passing outside of this Will which do not qualify for the marital or charitable deduction and after taking account of charges to principal that are not allowed as deductions in computing my Federal estate tax. For purposes of establishing the sum to be placed in "Trust A", the values finally fixed in the Federal estate tax proceeding relating to my estate shall be used. I recognize that such sum may be zero (0), in which case no property shall pass Page 3 ~ under "Trust A" and that said sum may be affected by the action of the Executor in exercising certain tax elections. "Trust B": The balance of my residuary estate not placed in "Trust A" shall be placed into "Trust B" to be held, administered and distributed in accordance with ITEM VIII of this Will. ITEM VII: apply to Trust "A": The following provisions shall (a) The Trustee shall pay to or for the benefit of my wife, ANGELENE A. LEVINE, all of the net income of this Trust in convenient installments not less frequently than annually and so much of the principal of this Trust as may be necessary in the sole discretion of the Trustee for the proper support, maintenance and medical care of my said wife. (b) Upon the death of my said wife, the then remaining principal of this Trust shall be distributed as follows: (1) The sum of Twenty-five Thousand ($25,000) Dollars shall be paid to the Church of the Good Shepherd, Camp Hill, Pennsylvania; (2) The sum of Ten Thousand ($10,000) Dollars shall be paid to the JAMES FORJAN ENDOWMENT FUND OF YORK CATHOLIC HIGH SCHOOL: Page (3) A sum which in the sole discretion of my Trustee shall be adequate to provide for perpetual care and maintenance of the graves of my deceased parents shall be distributed to the Perpetual Care Fund of Knollwood Park Cemetery, 57-80 Cooper Avenue, Ridgewood, NY 11385-6095. (4) The remaining balance of this Trust shall be distributed as follows: a. An amount equal to five (54) percent of the remaining balance shall be paid to SUSAN ZIPF, Bronxville, New York, if then living; b. An amount equal to five (5%) percent of the remaining balance shall be paid to MARIE MALESIC, if then living; c. The remaining balance shall be divided among the following individuals if then living or if not then living to their then living issue per stirpes: THERESA CENTURIONE, JAMES FORJAN, MARY ANN SLUGA, CATHY SLUGA, KARL ANTHONY SLUGA, and FRANK SLUGA. ITEM VIII: apply to "Trust B": The following provisions shall (a) Trustee shall have, hold, manage, invest and reinvest the assets of this Trust, collect the income and beginning at my death pay over the net income in monthly installments to my wife, ANGELENE A. LEVINE, during her lifetime. The Trustee shall also, from Page 5 time to time, pay to my said wife such amounts of principal of this Trust as the Trustee deems necessary for the proper support, maintenance and medical care of my said wife. (b) Upon the death of my said wife, the Trustee shall pay all accrued income and all income accumulated but undistributed to the estate of my deceased wife and shall thereafter transfer the then remaining principal of this Trust to "Trust A" to be held, administered and distributed in accordance with the provisions of ITEM VIII of this Will. (c) If my wife should not survive me, then the provisions of "Trust B" shall be void and the part of my estate which would have constituted "Trust B" shall be added to "Trust A" to be disposed of in accordance with ITEM VIII of this Will. (d) The Executor shall be authorized in the Executor's sole, exclusive and unrestricted discretion to determine whether to elect (under Section 2056(b)(7) of the Internal Revenue Code of 1986 as amended, or any corresponding provision of the Federal estate law), to qualify all, none or a fraction of "Trust B" for the Federal estate tax marital deduction. The decision of the Executor with respect to the exercise of the election shall be final and conclusive upon all persons whose interests in my estate are directly or indirectly affected by the election. Only property which is fully eligible for the marital deduction under Federal estate tax law Page 6 ~ shall be assigned to this Trust. Notwithstanding anything to the contrary contained in this Will, the Trustee of this Trust shall not retain beyond a reasonable time any property which may at any time be or become unproductive, nor shall Trustee invest in unproductive property. Notwithstanding the provisions of subparagraph (b) of this Item, the Trustee shall pay to the Executor of my wife's estate, out of the principal of this Trust upon the death of my wife, an amount equal to the estate, inheritance, transfer, succession and other death taxes ("death taxes"), Federal, state and other, payable by reason of the inclusion of the value of Trust property in my wife's estate. Such payment shall be equal to the amount by which (1) the total of such death taxes paid by my wife's estate exceeds (2) the total of such death taxes which would have been payable if the value of the Trust property had not been included in my wife's estate. The determination by my wife's Executor of the amount payable hereunder shall be final. I direct the Trustee to pay such amount promptly upon written request of my wife's Executor. The final determination of the amount due hereunder shall be based upon the value as finally determined for Federal estate tax purposes in my wife's estate. After payment of the amount finally determined to be due hereunder, the Trustee shall be discharged from any further liability with respect to such payment. My wife may waive her estate's right to payment under this subparagraph by Will, executed after my death, in which she specifically refers to the right to payment hereunder given to her estate. Page 7 ~/ ITEM IX: No part of the income or principal of the property held under any Trust created by this Will shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary prior to his or her actual receipt thereof. The Trustee shall pay over the net income and the principal to the parties herein designated, as their interests may appear, without regard to any attempted anticipation, pledging or assignment by any beneficiary under a Trust, and without regard to any claim thereto or attempted levy, attachment, seizure or other process against said beneficiary. ITEM X: In the settlement of my estate and during the continuance of the foregoing Trusts, the Executor and the Trustee shall possess, among others, the following powers: (a) To retain any investments I may have at my death, including specifically those consisting of stock of any bank even if I have named such bank as the Executor or Trustee herein, so long as the Executor or Trustee may deem it advisable to my estate so to do. (b) To vary investments, when deemed desirable by the Executor or Trustee, and to invest in such bonds, stocks, notes, real estate mortgages or other securities or in such other property, real or personal, as they shall deem wise, without being restricted to so-called "legal investments", and without being limited by any statute or rule of law regarding investments by fiduciaries. Page 8 ~ (c) In order to effect a division of the principal of a Trust or for any other purpose, including any final distribution of a Trust, the Executor or Trustee is authorized to make said divisions or distributions of the personalty and realty, partly or wholly in kind, and to allocate specific assets among beneficiaries and Trusts created hereunder so long as the total market value of any share is not affected by such division, distribution or allocation in kind. Should it appear desirable to partition any real estate, the Executor or Trustee is authorized to make, join in and consummate partitions of lands, voluntarily or involuntarily, including giving of mutual deeds, recognizances or other obligations, with as wide powers as an individual owner in fee simple. (d) To sell either at public or private sale and upon such terms and conditions as the Executor or Trustee may deem advantageous to the estate or Trust, any or all real or personal estate or interest therein owned by the estate or Trust severally or in conjunction with other persons or acquired after my death by the Executor or Trustee, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or Page 9 other writings which may be necessary or desirable in carrying out any of the powers conferred upon the Executor or Trustee in this paragraph or elsewhere in my Will. (e) To mortgage real estate, and to make leases of real estate. (f) To borrow money from any party, including the Executor or Trustee, to pay indebtedness of mine or of my estate, expenses of administration or inheritance, legacy, estate and other taxes, and to assign and pledge assets of my estate therefor. Provided, however, that this paragraph shall not authorize borrowing from "Trust B". (g) To pay all costs, taxes, expenses and charges in connection with the administration of my estate or a Trust. If any estate or inheritance taxes are payable from assets received by the Trustee, such taxes shall be paid from the assets constituting "Trust A" (h) To make distributions of income and of principal to the proper beneficiaries thereof, during the administration of my estate, with or without court order, in such manner and in such amounts as my Executor deems prudent and appropriate. (i) To vote any shares of stock which form a part of the estate or Trust, and otherwise to exercise all the powers incident to the ownership of such stock. Page 10 ~ (j) In the discretion of the Executor or Trustee, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securities form a part of the estate. (k) To disclaim any interest in property which would devolve to me or my estate by whatever means, including but not limited to the following means: as beneficiary under a will, as an appointee under the exercise of a power of appointment, as a person entitled to take by intestacy, as a donee of an inter vivos transfer, and as a donee under a third-party beneficiary contract. (1) To do all other acts in their judgment deemed necessary or desirable for the proper and advantageous management, investment and distribution of the estate or Trust. ITEM XI: Whenever and as often as any beneficiary hereunder, to whom payments of income or principal are herein directed to be made, shall be under legal disability, or, in the sole judgment of the Trustee, shall otherwise be unable to apply such payments to his own or her own best interests and advantages, the Trustee may make all or any portion of such payments in any one or more of the following ways: (a) Directly to such beneficiary; Page 11 (b) To the Legal Guardian or Conservator of such beneficiary; (c) To a relative of such beneficiary, to be expended by such relative for the benefit of such beneficiary; or (d) By itself expending same for the benefit of said beneficiary. Provided, however, that this power shall not apply to "Trust B". ITEM XII: Any person, other than my wife, who shall have died within thirty (30) days of my death, shall be deemed to have predeceased me. If my wife and I die simultaneously, or under such circumstances that the order of our deaths cannot be established by proof, my wife shall be deemed to have survived me. ITEM XIII: If at any time any beneficiary under the age of twenty-one (21) years shall be entitled to receive any assets hereunder, my then acting Trustee shall receive such assets as Custodian under the Pennsylvania Uniform Transfers to Minors Act for that beneficiary. Such Custodian may receive and administer all assets authorized by law, and shall have full authority as provided in the Pennsylvania Uniform Transfers to Minors Act to use such funds in the manner it deems advisable for the best interests of such beneficiary. In addition, said Custodian shall have all the rights and privileges as to the Custodianship and its assets as are herein 'granted to the Executor as to my estate and the assets therein. I also designate said Custodian as successor Page 12 ~ Custodian of any property for which I am custodian under any Uniform Gifts to Minors Act or Uniform Transfers to Minors Act. ITEM XIV: I hereby nominate, constitute and appoint my wife, ANGELENE A. LEVINE, to be my Executrix (herein referred to as Executor). In the event of her death or her inability or refusal to serve as Executrix, I nominate, constitute and appoint THERESA CENTURIONE to serve in her stead as Executrix. My wife, ANGELENE A. LEVINE, shall have the power to nominate and appoint a successor Trustee (individual or corporate) to serve upon her death or her inability or refusal to serve as Trustee. In the event of the death or the inability or refusal to serve of my wife, ANGENELE A. LEVINE, prior to her appointment or nomination of a successor Trustee, I nominate, constitute and appoint THERESA CENTURIONE to be the successor Trustee. In the event of the death or inability or refusal to serve of THERESA CENTURIONE, I nominate, constitute and appoint my wife's cousin, 3AMES FOR3AN, to be the successor Executor and Trustee. The Executor and Trustee are specifically relieved of the duty or obligation of filing any bond or other security. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding twelve (12) pages, at the end of each page of which I have also set my initials~for great, er security and better identification .... this ~L~/¢ day of ~~ , 1994. (SEAL) We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above- named Testator as and for his Last Will and Testament, in the presence of us, who, at his request and in his presence and in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testator was of sound and disposing mind and memory. ACKNOWLEDGEMENT COMMONWEALTLOFJ'PENNSYLVANIA ) ) SS: COUNTY 0F ) I, WILLIAM J. LEVINE, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. WILLiAM 3/ ~VI'NE (SEAL) Sworn to and subscribed befo~ me this ~g~ day of 6~~z , 1994. ~Notary Public ~ My Commission Expires: (SEAL) _Ma~_ M. ~, N~ Pub~ I Susquahan~a Twp., Dauphin Co~ly I M~m~er, Pennsylvania Assodalion o~ Notaries AFFIDA____VIT COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF ) SS: and v _ _ ~_ , 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 Testator, WILLIAM J. LEVINE, sign and execute the instrument as his Last Will and Testament; that Testator signed willingly and that he executed said Will as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as Witnesses; and that to the best of our knowledge the Testator was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. Witness ~ " Witness Sworn to and subscribed before me this ~2~2~ day of , 1994. f Notary Pu~Yic My Commission Expires: (SEAL) OF WILLIAM J. LEVINE '02 ~i~ 26 METTE, EVANS & WOODSIDE ATTORNEYS AT LAW HARRISBURG, PENNSYLVANIA 17108-0729 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: William J. Levine Date of Death: March 7, 2002 Will No. Admin. No. 21'02-0307 To the Register: I certify that notice 0festate administration required by Rule 5.6(a)~)fthe Orphans' Court Rules was served on or mailed to the following beneficiaries of the a;°ove-captioned estate on May ~ ~ 2002 · Name: Address: Angelene A. Levine 3428 Logan Street, Camp Hill, PA 17011 Angelene A. Levine, Trustee for William J. Levine Trusts A & B 3428 Logan Street, Csmp Hill, PA 17011 Church of the Good Shepherd James For]an Endowment Fund Of York Catholic High School Perpetual Care Fund Of Knollwood Park Cemetery Susan Zipf Marie Malesic Theresa Centurione James Fo~an Mary Ann Sluga Cathy Sluga Wolfrey Karl Anthony Sluga Frank Sluga 3435 Trindle Road, Camp Hill, PA 17011 601 Springettsbury Avenue, York, PA 17403 57-80 Cooper Avenue, Ridgewood, NY 11385-6095 3 Dusenberry Road, Bronxville, NY 10708 690 Woodview Street, Bressler, PA 17113 257 Winding Way, Csmp Hill, PA 17011 2376 Mardale Drive, York, PA 17403 4650 N. Washington Blvd., Apt. 828, Arlington, VA 22210 2102 Stone Cross Circle, Orlando, FL 32828 6377 Golfview Drive, Clarkston, MI 48346 754 Pavilion Drive, Fairfield, CA 94585 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None Date: May q , 2002 ~~ignature James A. Ulsiq, Esquire, I.D. #10169 Name 3401 North Front Street, P.O. Box 5950 Harrisburg, PA 17110-0950 Address (717) 232-5000 Telephone Capacity: __ Personal Representative x Counsel for Personal Representative :293908_1 - 2 - JUN-0S-02 14: 11 FROM:M£TTE EVANS WOODSIDE ID:717 236 1816 PAGE P. D,~/z~ ANO~ FL DowL~rvc M]C1L~L D. P~Vz.~ J. GA.eY J. DAV~O A. FllrZSI24ONS GU~ P. l~:Ngv~rr~o 'f'do~s F. SmoA OF COUNS~.L .h,x~S W. EVANS June 5, 2002 Mary C. Lewis Re~ ster of Wil] ~ C%,mberland County Courthouse One Courthouse Square Carlisle, PA 1';013 RE: Estate of Willlnm J. Levin File No. 21-02-0307 11375.1 Dear Ms. Lewis: Enclosed please find a cheek payable to "Register of Wills, Agent" in the amount of $90,000, representing a prepayment of inheritance tax in the above- referenced estate. Please send a receipt for this payment to the attention of Lisa J. Knode in the enclosed envelope. Thank you for your assistance. /t~san D. Anderson Enclosures cc: Angelene A. Levin, Executrix :297030 _l JUN 85 2882 14:2~ 7172361816 PAGE.82 JANNEY MONTGOMERY SCOTT LLC LEMOYNE, PA 17043-1109 DATE ACCOUNT NO, AMOUNT DESCRIPTION 06-05-02 5192-0374-1 **$90,000.00'* MONEY MARKET WITHDRAWAL FOR PAYMENT OF TAXES LOA ON FILE Janney Montgomery ScottL~ 20 Erford Road Suite 315 Lemoyne, PA 17043-1109 MARY C LEWIS REGISTER OF WILLS CUMBERLAND COUNTY COURTHOUSE ONE COURTHOUSE SQUARE CARLISLE PA 17013 h.lih,,lll,,,.,ih,lt,,,ll,,,ll,hh,,,hl,,i,lh,l,,,,ll COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD REV-1162 EX(11-96) 001263 METTE EVANS & WOODSIDE P O BOX 5950 HARRISBURG, PA 17110-0950 ........ fold 'ESTATE INFORMATION: SSN: 132-05-9082 FILE NUMBER: 2102-0307 DECEDENT NAME: LEVINE WILLIAM J DATE OF PAYMENT: 06/06/2002 POSTMARK DATE: 06/05/2002 COUNTY: CUMBERLAND DATE OF DEATH: 03/07/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $90,000.00 REMARKS: TOTAL AMOUNT PAID: METTE EVANS & WOODSIDE $90,000.00 SEAL CHECK# 00005280 INITIALS: DO RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS HOWELL C. METTE ROBERT MOORE CHARLES B. ZWALLY PETER J. RESSLER LLOYD R. PERSUN CRAIG A. STONE JAMES A. ULSR DANIEL L. SULLIV~ S?EVEN D. S~/I)ER JEFFREy A. ERNICO KATHRYN L. SIMPSON P. DANIEL ALTLANO A~OREW H. DOWLING MICHAEL D. REED PAULA J. LEICHT GARY J. HElM DAVID A. FITZSlMONS GuY P. BENEVENTANO T~OM~S F. SMIDA JOHN F. YANINEK* t METTE, EVANS & WOODSIDE A PROI~SSION~J~ CORPORATION ATTOI~N~YS AT LAW 3401 NORTH PRONT STREET P.O. BOX 5950 ~BLrRGo PA 17110-0950 ~ NO. 23-1985005 T~ ,~HON~ F~X ¢717) 239~5000 (717) 2351510 h~p://www, m®tt®.com VICKY ANN TRIMMER TIMOTHY A. HOY KATHLEEN DOYLE YANINEK JAMES M. STRONG JENNIFER A. YANKANICH RANDALL G. HURST* MARK D. HIPP OF COUNSEL JAMES W. EVANS *M~atYL~ B~ December 4, 2002 VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED Mary C. Lewis Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 RE: Estate of William J. Levine File No. 21-02-0307 Dear Ms. Lewis: 11375.1 Enclosed please find the following documents: 1. The original and one (1) copy of an Inventory; The original and one (1) copy of an Inheritance Tax Return, along with a cover page of the return; o A copy of Form 706, United States Estate Tax Return, along with a cover page of the return; A check payable to "Register of Wills, Agent" in the amount of $936.71 in payment of the balance of inheritance tax owed; A check payable to "Register of Wills" in the amount of $37.00 in payment of your filing fees; 6. A self-addressed, postage envelope for return mail. December 4, 2002 Page 2 Please file the Inventory, Inheritance Tax Return and United States Estate Tax Return. Please return a date-stamped copy of the Inventory and cover pages of the two tax returns, along with a receipt for the inheritance tax payment, to my attention in the enclosed envelope. Thank you for your assistance. Please do not hesitate to call with any questions or concerns. Enclosures cc: Mrs. Angelene A. Levine (w/encs.) Sincerely, Lisa J. Kno~l~ Paralegal to James A. Ulsh, Esq. :312231 1 7001 L~40 0002 5055 8621 REV-1500 EX + (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 28O601 HARRISBURG, PA 17128-0601 I OFFICIAL USE ONLY REV-1500 t ~7-,., ~.~ INHERITANCE TAX RETURN F~,E.u----~"~. ~ RESIDENT DECEDENT j21 2002 0307 /COUNTY CODE YEAR NUMBER DECI=L)ENT'S NAME (LAST, FIRST. AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Levine, William J. 132-05-9082 DECE- DENT DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE 03/07/2002 I 10/02/1920 WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Levine, Angelene A. CHECK APPRO- PRIATE BLOCKS COR- RE- SPON DENT RECA- PITULA- TION 1. Odginal Return 4. Limited Estate 6. Decedent Died Testate (Attach copy of Will) 9. Litigation Proceeds Received  2. Supplemental Return 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach a copy of Trust) 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes  1 1. Election to tax under Sec. 9113(A) (Attach Sch O) NAME James A. Ulsh, Esquire FIRM NAME (If Applicable) Metre, Evans & Woodside TELEPHONE NUMBER 717-232-5000 COMPLETE MAILINGADDRESS 3401 North Front Street P.O. Box 5950 Harrisburg, PA 17110-0950 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested (6) 0.00 1,371,144.65 0.00 0.00 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 80,424.84 0.00 (7) 21,778.62 OFFICIAL USE ONLY 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H)(9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)(10) 0 · 0 0 11. Total Deductions (total Lines 9 & 10) (11) 12. Net Value of Estate (Line 8 minus Line 11) (12) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax (13) has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) (8) 1,473,348.11 44,744.37 44,744.37 1,428,603.74 384,162.38 TAX COMPU- TATION SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES 1,044,441.36 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec, 9116 (a){1.2) 406,617.67 x .00 (15) 0.00 16. Amount of Line 14 taxable at lineal rate 0 · 00 X .045 (16) 0. 00 17. Amount of Line 14 taxable at sibling rate 0. 00 X .12 (17) 0 · 00 18. Amount of Line 14 taxable at collataral rate 637,823.69 x .15 (18) 95,673.55 19. Tax Due (19) 95,673.55 20. ~ ICHECK ~ERE i~yoU A~ERE~ESTING A REF~D OF~N OVE~PAYM~ ] q PA15001 NTF 29755 Copyright 2000 Greatland/Nelco LP- Forms Software Only PA REV-1500 EX (6-00) Page 2 Decedent's Complete Address: STRH- ~ ADDRESS 3428 Logan Street CITY I STATE I ZIP Camp Hill PA 17011 Tax Payments and Credits: 1. Tax Due (Page l Line19) (1) 95,673.55 2. Credits/Payments A. Spousal Poverty Credit 0.00 B. Pdor Payments 90,000 o 00 C. Discount 4,736.84 0.00 0o00 Interest/Penalty if applicable D. Interest E. Penalty Total Credits (A + B + C) (2) Total Interest/Penalty (D + E) (3) If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page I Line 20 to request a refund (4) If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 94,736.84 0.00 936.71 0o00 936.71 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 trarlsferred; ....................................... ~ ~ b. retain the right to designate who shall use the property transferred or its income; ................. c. retain a reversionary interest; or ........................................................ d. receive the prom se for fe of ether payments, benefits or care? .............................. 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................... ~ ~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................ ~ ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Jnnde.r p.enaltie.s ,of.pe. dury I declare that I have examined this return, including accompanying schedules and statements and to the best of my owieoge an(] oe,et, it is true, correct and complete. Declaration of preparer other than the personal representat ves based on information of which preparer has any knowledge. SIG,~J_ 2E_. O~F~_RSON RE)~DNSI~R FILING RETURN ADDRE,~ -3428- L~g~n- S~re~ ~/ Camp .1, PA 17011 / ~z__//~k~)TE J SIGNATURE OF PRE ADDRESS PA ,~NTATIVE 17110-0950 . TE For dates of death on or after July 1, 1994 and before January 1, 1995, th e tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. ~19116 (a)(1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate is imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. § 9110 (a)(1.1)(ii)]. Th e statute does not exempt a transfer to a surviving spouse fro m tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the ch lid is 0% [72 P.S. §9116(aX1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72.P.S, § 9116(1.2) [72 P.S. § 9116(aX1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. § 9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. 0 PA15002 NTF 29756 Copyright 2000 Greatland/Nelco LP- Forms Software Only REV-1503 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF Levine, William J. FILE NUMBER 21-2002-0307 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NO. 1. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Abington PA Sch Dist Bond CPN 4.85%; DUE 05/15/18 Allegheny Cty PA Bond CPN 5.0%; DUE 10/01/08 Allegheny Cnty PA San Auth BondCPN 6.0%; DUE 12/01/11 Allegheny PA Hosp Dev Bond CPN 6.0%; DUE 10/01/04 Altoona PA Bond CPN 4.625%; DUE 09/01/18 Berks Cry PA FGIC Bond CPN 5.5%; DUE 11/15/05 Blairsville-Saltsburg Sch Dist PA Bond CPN 6.25%; DUE 05/15/07 Central Dauphin PA SD Bond CPN 5.0%; DUE 12/01/08 Central Dauphin PA Sch Bond CPN 4.2%; DUE 06/01/03 Central Dauphin PA Sch Dist BondCPN 4.5%; DUE 12/01/12 Derry PA Area Sch Dist Bond CPN 5.5%; DUE 02/01/21 Derry PA Area Sch Dist Bond CPN 5.5%; DUE 02/01/14 Derry Twp PA San Swr Auth BondCPN 6.25%; DUE 08/01/12 Derry Twp PA Sch Dist Bond CPN 4.5%; DUE 11/15/02 Erie PA Wtr Auth Bond CPN 7.15%; DUE 07/01/07 Gateway PA Sch Dist Bond CPN 4.7%; DUE 07/15/05 General McLane School Dist BondCPN 4.7%; DUE 10/15/12 Lancaster PA Area Swr Auth BondCPN 6.0%; DUE 04/01/12 Lower Bucks Cnty PA Bond CPN 6.2%; DUE 11/15/12 Lower Providence ~ Bond CPN 6.1%; DUE 05/01/02 Methacton PA Sch Dist Bond CPN 6.5%; DUE 04/01/07 DESCRIPTION Total from continuation pages .... TOTAL (Also enter on line 2. Recapitulation) (If more space is needed, inser~ additional sheets of the same size) 0 PA15031 NTF 33300 Copyright 2000 Greatland/Nelco LP- Forms Software Only VALUE AT DATE OFDEATH 14,783.55 26,290.00 11,075.40 5,223.55 14,339.55 10,282.40 5,056.25 26,838.75 20,603.40 5,060.90 20,090.80 15,357.15 10,925.60 15,110.10 10,201.00 5,281.00 20,434.40 5,556.00 25,843.00 10,091.30 28,460.00 1,064,240.55 $ 1,371,144.65 Emtate oE: Levlne, ~illiam ~. Item Schedule B -- Stocks & Bonds Description Page 2 21-2002-0307 Value at Date of Death 22 Montgomery Cnty PA Bond CPN 5.375%; DUE 07/15/10 23 North Penn PA Sch Dist Bond CPN 5.4%; DUE 03/01/13 24 PA Hsg Fin Agy 5.45% Bond CPN 5.45%; DUE 10/01/17 25 PA Hsg Fin Agy Bond CPN 5.3%; DUE 10/01/05 26 PA Intergovtl Coop Bond CPN 5.0%; DUE 06/15/21 27 PA Intergovtl Coop Bond CPN 5.05%; DUE 06/15/06 28 PA Intergvrmnt Coop Bond CPN 6.7%; DUE 06/15/08 29 PA Intergvtl Coop Ath Bond CPN 5.0%; DUE 06/15/06 30 PA St First Ser Bond CPN 5.0%; DUE 03/01/07 31 PA St First Ser Bond CPN 5.125%; DUE 03/15/07 32 PA St HEFA 5.35% Bond CPN 5.35%; DUE 01/01/08 33 PA St HFA SFM Bond CPN 5.9%; DUE 10/01/08 34 PA St Highr Edl Facs Bond CPN 4.5%; DUE 07/15/21 35 PA St Indl Dev Auth Bond CPN 5.5%; DUE 01/01/14 36 PA St Second Ser Bond CPN 5.2%; DUE 06/15/04 37 PA St Second Series Bond CPN 5.0%; DUE 10/15/06 38 PA St Third Ser Bond CPN 4.5%; DUE 12/01/07 39 PA St Third Series B/E Bond CPN 4.5%; DUE 12/01/10 40 PA St Tpk Cmmn Bond CPN 5.25%; DUE 12/01/16 41 PA St Tpk Cmmn Bond CPN 5.25%; DUE 12/01/14 42 PA St Univ Bond CPN 5.5%; DUE 08/15/16 43 Penn Hills PA Ambac OID BondCPN 5.875%; DUE 10,846.40 10,836.30 10,137.30 15,909.00 14,870.55 5,168.35 22,421.20 16,050.45 26,703.75 26,859.50 26,000.25 26,065.25 4,554.75 31,284.30 10,639.80 10,767.50 26,232.75 15,460.20 36,292.90 52,477.00 10,312.30 10,332.40 Page 3 Estate of: Levine, William J. 21-2002-0307 Item Schedule B -- Stocks & Bonds Description Value at Date of Death 12/Ol/15 44 Penn Intergvrnmntl Coop BondCPN 5.15%; DUE 06/15/05 45 Penn Manor Sch Dist PA Bond CPN 5.2%; DUE 06/01/16 46 Penn St CTFS Partn Bond CPN 5.0%; DUE 07/01/15 47 Penn St Hghr Ed Bond CPN 7.05%; DUE 10/10/16 48 Penn St Hi Ed Facs Ath Bond CPN 4.9%; DUE 05/01/08 49 Penn-Trafford PA Sch Bond CPN 5.9%; DUE 05/01/11 50 Pittsburgh PA Wtr & Swr BondCPN 5.0%; DUE 09/01/19 51 Phil& PA Arpt Bond CPN 5.2%; DUE 06/15/03 52 Phil& PA Auth for IDA Bond CPN 4.4%; DUE 06/01/05 53 Phil& PA Auth for Indl Dev BondCPN 5.0%; DUE 07/01/23 54 Phil& PA Gas Wks Bond CPN 7.0%; DUE 05/15/20 55 Phil& PA Gas Wks Bond CPN 6.5%; DUE 04/01/07 56 Phil& PA Sch Dist Bond CPN 6.25%; DUE 09/01/05 57 Phil& PA Wtr a Wstwtr Bond CPN 5.626%; DUE 06/15/08 58 Pine Richland PA Bond CPN 5.5%; DUE 07/15/30 59 Pitts a Allegheny Co PA BondCPN 5.0%; DUE 02/01/16 60 Pittsburgh PA Rfdg Ser Bond CPN 4.5%; DUE 03/01/04 61 Pittsburgh PA Sch Dist Bond CPN 4.3%; DUE 09/01/08 62 Pittsburgh PA was Auth Bond CPN 5.0%; DUE 09/01/14 63 Pittsburgh PA Wtr a Swr BondCPN 5.0%; DUE 09/01/17 64 Pittsburgh PA Wtr a Swr BondCPN 4.7%; DUE 09/01/04 65 Pittsburgh PA Wtr & Swr 36,501.50 10,802.00 5,022.75 20,344.60 5,136.25 10,760.00 9,965.10 41,520.40 5,226.65 4,821.60 12,280.30 21,288.20 22,188.20 27,510.75 27,794.25 25,430.00 26,048.00 10,204.50 12,190.60 25,141.75 26,320.25 54,557.00 Page 4 Estate of: Levine, William J. 21-2002-0307 Item Schedule B -- Stocks & Bonds Description Value at Date of Death BondCPN 5.6%; DUE 09/01/22 66 Reading PA Sch Auth Bond CPN 6.5%; DUE 12/01/02 67 Ringgold PA Sch Dist Bond CPN 6.2%; DUE 01/15/13 68 Scranton PA Bond CPN 4.7%; DUE 04/01/10 69 Shaler PA Area Sch Dist BondCPN 4.4%; DUE 10/01/09 70 Silver Spring Twp Bond CPN 4.65%; DUE 05/01/16 71 Southeastern PA Trans Auth BondCPN 5.0%; DUE 03/01/07 72 St Pub Sch Bldg Auth PA BondCPN 4.35%; DUE 10/15/10 73 State Pub Sch Bldg Auth BondCPN 5.0%; DUE 07/15/14 74 Tarentum Bor PA Bond CPN 6.25%; DUE 09/01/18 75 Tredyffrin Twp PA Rfdg Bond CPN 4.85%; DUE 11/15/05 76 Trinity ASD PA Wash Cnty BondCPN 5.2%; DUE 11/01/12 77 Upper Allen ~ PA Bond CPN 5.6%; DUE 04/01/11 78 Wayne Cnty PA Hsp & Hlth BondCPN 6.25%; DUE 07/01/14 79 Wilkinsburg Penn PA Jt Wtr Ath Bond CPN 6.25%; DUE 08/15/07 80 York Cnty PA Hosp Auth Bond CPN 10.0%; DUE 12/01/07 5,123.00 40,704.65 15,572.10 5,129.05 4,947.45 10,662.50 30,562.20 15,337.20 15,268.20 10,682.80 10,506.40 16,246.95 10,896.20 5,113.35 6,211.65 TOTAL. (Carry forward to main schedule) ...... 1,064,240.55 REV-1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Levlne, William J. 21-2002-030'7 Include proceeds of litigation & date proceeds were received by the estate. All prop. jointly-owned with right of survlvorshl ITEM NO. DESCRIPTION Janney Montgomery Scott Money Market Account #5192-0425 TOTAL (Also enter on line 5, Recapitulation) $ must be disclosed on Sch. F. VALUE AT DATE OF DEATH 80,424.84 80,424.84 0 PA15081 NTF 333os (If more space is needed, insert additional sheets of the same size) Copyright 2000 Greatland/Nelco LP- Forms Software Only REV-1510 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER Levine, Willia.m J. 21-2002-0307 This schedule must be completed and filed ~[ the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY % OF INCLUDE NAME OF THE TRANSFEREE, THEIR ITEM~ RELATIONSHIP TO DECD & DATE OF TRANSFER. DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE NO. ATFACH COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) 1. J~ey Montgomery Sco~ 21,77~.62 100.O0 0.OO 21,77~.62 Individual Retirement Account ~5192-0830; beneficiary is decedent~ s spouse, Angelene A. Levine TOTAL (Also enter on line 7, Recapitulation) $ 21,778.62 (If more space is needed, insert additional sheets of the sam, size) 0 PA15101 NTF 33307 Copyright 2000 Greatland/Nelco LP- Forms Software Only REV-1511 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Levine, William J. 21-2002-0307 Debts of decedent mu~ be reported on Schedule I. ITEM NO. A. 1. DESCRIPTION FUNERAL EXPENSES: Neill Funeral Home, Camp Hill, PA Inc. ADMINISTRATIVE COSTS: Pemonal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN No. of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: AttomeyFees Name: Mette, Evans & Woodside 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 Probate Fees Accountant's Fees Tax Return Preparer's Fees Cumberland Law Journal legal Sentinel legal advertisement advertisement TOTAL (Also enter on line 9, Recapitulation) AMOUNT 1,594.00 0.00 42,000.00 0.00 955.00 0.00 0.00 75.00 120.37 $ 44,744.37 0 PA15111 NTF 33308 (If more space is needed, insert additional sheets of the same size) Copyright 2000 Greatland/Nelco LP- Forms Software Only REV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER Levine, William J. 21-2002-0307 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Mst Tru~ee(s) OF ESTATE NUMBER I 1. 2 II 1. TAXABLEDISTRIBUTIONS[includeoutdghtspousaldistributions, and tran~emunderSec. 9116(a)(1.2)] Levine, Angelene A. 3428 Logan Street Camp Hill, PA 17011 William Levine Trust A co Angelene A. Levine, Trustee 3428 Logan Street ~amp Hill, PA 17011 Spouse Unified Credit Trust 406,617.67 637,823.69 ENTER DOLLAR AMTS. FOR DISTRIBS. SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLEDISTRIBUTIONS: A. SPOUSALDISTRIBUTIONSUNDERSEC. 9113FOR WHICHANELECTIONTOTAXISNOTBEING MADE William Levine Trust B Marital Trust under Item VI PA B. CHARITABLEANDGOVERNMENTALDISTRIBUTIONS 1. James Forjan Endowment Fund of York Catholic High School, York, PA Charitable remainder interest in William Levine Trust A under Item VI 2 Perpetual Care Fund of Knollwood Park Cemetery Charitable remainder interest in William Levine Trust A under Item VI 3 Church of the Good Shepherd, Camp Hill, TOTAL OF PART II -- ENTER TOTAL NON-TAXABLE DISTRIBS. ON LINE 13 OF REV-1500 COVER SHEET 339,162.38 10,000.00 10,000.00 25,000.00 384,162.38 (If more space is needed, insert additional sheets of the same size) 0 PA15131 NTF 33293 Copyright 2000 Greatland/Nelco LP- Forms Software Only Estate of= Levine, William J. Schedule J Part 2 -- Charitable and Governmental Distributions Page 2 21-2002-0307 Item Description Charitable remainder interest in the William Levine Trust A under Item VI Amount or Share of Estate TOTAL. (Carry forward to main schedule) ...... 0.00 REV-1514 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE K LIFE ESTATE, ANNUITY & TERM CERTAIN (Check Box 4 on Rev-1500 Cover Sheet) ESTATE OF FILE NUMBER Levine, Willia.m J. 21-2002-0307 This schedule is to be used for ail single life, joint or successive life estate and term certain caiculations. For dates of death prior to 5-1-89, actuariai factors for single life caiculations can be obtained from the Department of Revenue, Speciaity Tax Unit. Actuarial factors can be found in IRS Publication 1457, Actuariai Vaiues, Alpha Volume for dates of death on or after 5-1-89. Indicate the type of instrument which created the future interest below and attach a copy to the tax return. Will Intervlvos Deed of Trust Other NAME(S) OF NEAREST AGE AT TERM OF YEARS LIFE ESTATE IS LIFE TENANT(S) DATE OF BIRTH DATE OF DEATH PAYABLE Levine, Angelene A. 1 ! / 16/1923 78 ~ Life or N Term of Yeare ~ Life or ~ Term of Years ~ Life or N Term of Years ~-~ Life or N Term of Years 1. Vaiue of fund from which life estate is payable $ 1,067,662.78 .36045 2. Actuariai factor per appropriate table Interest table rate -- D 3 1/2% D 6% 3. Value of life estate (Line I multiplied by Line 2) 10% ~ Variable Rate % $ 38,~, 839.05 NAME(S) OF NEAREST AGE AT TERM OF YEARS ANNUITANT(S) DATE OF BIRTH DATE OF DEATH ANNUITY IS PAYABLE L--] Life or ~ Term of Years ~ Life or ~ Term of Years ~ Life or ~] Term of Years ~ Life or ~ Term of Years 1. Vaiue of fund from which annuity is payable 2. Check appropriate block below and enter corresponding (number) Frequency of payout -- D Weekly (52) ~-] Bi-weekly (26) [-~ Monthly (12) D Quarterly (4) D Semi-annually (2)[~ AnnuaJly (1)i-lEi Other ( ) 3. Amount of payout per period 0 $ 4. Aggregate annuai payment, Line 2 multiplied by Line 3 5. Annuity Factor (see instructions) Interest table rate D 3 1/2% D 6% D 10% D Variable Rate % Adjustment Factor (see instructions) Value of annuity -- If using 3 1/2%, 6%, 10%, or if variable rate and period payout is at end of period, calculation is: Line 4 x Line 5 x Line 6 $ If using variable rate and period payout is at beginning of period, calculation is: (Line 4 x Line 5 x Line 6) + Line 3 $ NOTE: The values of the funds which create the above future interests must be reported as part of the estate assets on Schedules A through G of this tax return. The resulting life or annuity interest(s) should be reported at the appropriate tax rate on Lines 13, 15, 16 and 17. 0 PA15141 NTF 33311 (If more space is needed, insert additional sheets of the same size) Copyright 2000 Greatland/Nelco LP - Forms Software Only Annuity, Life Estate, and Remainder Factors Transfer Date: 3/2002 §7520 Rate: 5.40% Calculation Type: Life Principal: $1,067,663 Lives: 1 Ages: 78 $1,050,000_ $1,000,000_ $950,000_ $900,000.. $850,000.. $800,000_ $750,000. $700,000. $650,000. $600,000. $550,000~ $500,000. $450,000. $400,000_ $350,000- $300,000. $250,000~ $200,000_ $150,000_ $100,000_ $50,000_ $0 ] Life Estate Remainder Factor: 0.36045 0.63955 Value: $384,839.05 $682,823.73 Life Estate and Remainder PrinCipal Life Estate Rerr~inder REV-1649 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE O ELECTION UNDER SEC. 9113(A) (SPOUSAL DISTRIBUTIONS) ESTATE OF FILE NUMBER Levine, ~ill£am J. 21-2002-0307 Do not complete this schedule unless estate Is making election to tax assets under Section 9113(A) of Inheritance & Estate Tax Act. If the election applies to more than one trust or similar arrangement, a separate form must be filed for each trust. This election applies to the Trust(marital. residual A. B, By-pass, Unified Credit, etc.). If a trust or similar arrangement meets the requirements of Section 9113(A), and: a. The trust or similar arrangement is listed on Schedule O, and b. The value of the trust or similar arrangement is entered in whole or in part as an asset on Schedule O, then the transferor's personal representative may specifically identify the trust (all or a fractional portion or pementage) to be included in the election to have such trust or similar property treated as a taxable transfer in this estate. If less than the entire value of the trust or similar property is included as a taxable transfer on Schedule O, the personal representative shall be considered to have made the election only as to a fraction of the trust or similar arrangement. The numerator of this fraction is equal to the amount of the trust or similar arrangement included as a taxable asset on Schedule O. The denominator is equal to the total value of the trust or similar arrangement. PART A: Enter the description and value of all interests, both taxable and non-taxable, regardless of location, which pass to the decedent's surviving spouse under a Section 9113 (A) trust or similar arrangement. 1 William Levine Trust BDESCRIPTION 2 William Levine Trust A VALUE 339,162.34 1,067,662.78 Part A Total $ 1,406,825.12 PART B: Enter the description and value of all interests included in Part A for which the Section 9113 (A) election to tax is being made. 1 William Levine Trust ADESCRIPTION VAL~E, 067,662.78 Part B Total $ 1,067,662.78 (If more space is needed, insert additional sheets of the same size) 0 PA16491 NTF 33310 Copyright 2000 Greatland/Nelco LP- Forms Software Only ESTATE OF WILLIAM J. LEVINE CALCULATION OF THE WILLIAM J. LEVINE RESIDUARY TRUST The trusts under Item VI of the Last Will and Testament of William J. Levine is to be funded with the residue of his estate. Basis of Calculation All references are to the Federal Estate Tax Schedules Gross Estate Less Property Passing to Spouse: Schedule D, Item 1 Schedule E to Spouse Schedule G, Item 1 Less Deductible Charges: Schedule J Remaining Balance of Gross Estate Less Pennsylvania Inheritance Tax: Net to Distribute $ (95,673.55) $ 1,586,935.30 $ (44,744.37) $ 1,406,825.12 $ 1,311,151.57 $ (15,ooo.oo) $ (98,587.19) $ (21,778.62) Calculation of Wimam Levine Trust A, Unified Credit Trust William Levine Trust B, Marital Trust Trust A, Unified Credit Trust - Initial Calculation Maximum amount sheltered by applicable credit: Less: Taxable Gifts: Subtotal: Plus State Death Tax Shelter Amount: Less Pennsylvania Inheritance Tax: The William Levine Trust A, Unified Credit Balance: The William Levine Trust B, Marital Trust $ $ 1,000,000.00 0.00 1,000,000.00 67,662.78 (95,673.55) 971,989.23 339,162.34 wimam J. Levine Estate Supporting Schedule Pennsylvania Inheritance Tax Return Allocation of Assets to Beneficiaries of Estate Total Gross Assets Less: Schedule H Net Value of Estate for Pennsylvania Inheritance Tax Purposes Schedule G to Angelene A. Levine Net to divide in trusts Gross Value - William Levine Trust A William Levine Trust B $ $ $ $ $ 1,473,348.11 (44,744.37) 1,428,603.74 (21,778.62) 1,406,825.12 1,067,662.78 339,162.34 Pennsylvania Inheritance Tax Return Calculation of The William Levine Trust A, Unified Credit Trust The William Levine Trust B~ Marital Trust Residuary Trust - Initial Calculation Maximum amount sheltered by applicable credit: Less: Taxable Gifts: Subtotal: Plus State Death Tax Shelter Amount: For Pennsylvania Inheritance Tax Purposes: The William Levine Trust A Balance: The William Levine Trust B $ $ 1,000,000.00 0.00 1,000,000.00 67,662.78 $ $ 1,067,662.78 1,067,662.78 339,162.34 :311947 1 WILLIB~ J. LEVINE I, WILLIAM J. LEVINE, of 3428 Logan Street, Camp Hill, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate 'taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any property? shall be paid by the Executor out of the property pass~.ng under ITEM VI of this Will, as an expense and cost of administration of my estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passe, rig under this Will. ITEM II: i direct the Executor to pay the expenses of my last illness and funeral expenses from 'the property passing under this Will as an expense and cost of administration of my estate. ITEM III: If I survive my wife, ANGELENE A. LEVINE, I give and devise my residential real estate located at 3428 Logan Street, Camp Hill, Pennsylvania, to THERESA CENTURIONE if she survives me. If she fails ~:.o survive me, this devise shall lapse and my said residence shall be sold and Page 1 ~} the net proceeds from the sale thereof shall be added to my residuary estate to be distributed in accordance with ITEM VI of this Will. ITEM IV: If I predecease my wife, ANGELENE A. LEVINE, I give and bequeath to her absolutely and in fee simple all of my household furniture and furnishings, books, pictures, jewelry, silverware, automobiles, wearing apparel and all other articles of household or personal use or adornment and all policies of insurance thereon. If I do not predecease my said wife, I make the following gifts and bequests, absolutely and in fee simple: (a) Ail of my household furniture and furnishings, books, silverware, and other articles of household use, and all policies of insurance thereon to THERESA CENTURIONE; (b) Ail Edna Hibel artwork, including collector's plates, porcelain and lithographs to my wife's niece, CATHY SLUGA, Orlando, Florida; (c) Ail other porcelain and crystal items which I own at the date of my death to my wife's niece, MARY ANN SLUGA; (d) Ail Russian black lacquer boxes which I own at the date of my death to my wife's niece, MARY ANN SLUGA; <e) Ail other items of jewelry, wearing apparel, and personal adornment, and all policies of insurance thereon to my wife's nieces, CATHY SLUGA and MARY ANN SLUGA, to be divided among them as they shall agree. Page 2 ITEM V: If I survive my wife, ANGELENE A. LEVINE, I give and bequeath our Silver French Poodle "Sami Blue" to THERESA CENTURIONE together with the sum of TEN THOUSAND ($10,000) DOLLARS to defray the cost of caring for the animal and burial expenses including plot, casket, and marker at Pineview Pet Cemetery, Camp Hill, Pennsylvania. ITEM VI: I give, devise and bequeath all the rest, residue and remainder of my estate, not disposed of in the preceding portions of this Will, to my wife, ANGELENE A. LEVINE, as Trustee (hereinafter referred to as "Trustee"), IN TRUST NEVERTHELESS, to be further divided into two parts, each of which shall be held in trust and constitute a separate Trust Fund to be knownas "Trust A" and "Trust B" "Trust A": There shall be placed in "Trust A" that sum equal to the largest amount that can pass free of Federal estate tax under this Item by reason of the unified credit and the state death tax credit (provided that the use of this credit does not require an increase in state death taxes) allowable to my estate but no other credit and after taking account of dispositions under other items of this Will and property passing outside of this Will which do not qualify for the marital or charitable deduction and after taking account of charges to principal that are not allowed as deductions in computing my Federal estate tax. For purposes of establishing the sum to be placed in "Trust A", the values finally fixed in the Federal estate tax proceeding relating to my estate shall be used. I recognize that such sum may be zero (0), in which case no property shall pass Page 3 /~.~?}~. under "Trust A" and that said sum may be affected by the action of the Executor in exercising certain tax elections. "Trust B": The balance of my residuary estate not placed in "Trust A" shall be placed into "Trust B" to be held, administered and distributed in accordance with ITEM VIII of this Will. ITEM VII: apply to Trust "A": The following provisions shall (a) The Trustee shall pay to or for the benefit of my wife, ANGELENE A. LEVINE, all of the net income of this Trust in convenient installments not less frequently than annually and so much of the principal of this Trust as may be necessary in the sole discretion of the Trustee for the proper support, maintenance and medical care of my said wife. (b) Upon the death of my said wife, the then remaining principal of this Trust shall be distributed as follows: (1) The sum of Twenty-five Thousand ($25,000) Dollars shall be paid to the Church of the Good Shepherd, Camp Hill, Pennsylvania; (2) The sum of Ten Thousand ($10,000) Dollars shall be paid to the JAMES FORJAN ENDOWMENT FUND OF Y0~( CATHOLIC HIGH SCHOOL: Page 4 <3> A sum which in the sole discretion of my Trustee shall be adequate to provide for perpetual care and maintenance of the graves of my deceased parents shall be distributed to the Perpetual Care Fund of Knollwood Park Cemetery, 57-80 Cooper Avenue, Ridgewood, NY 11385-6095. (4) The remaining balance of this Trust shall be distributed as follows: a. An amount equal to five (5%) percent of the remaining balance shall be paid to SUSAN ZIPF, Bronxville, New York; if then living; b. An amount equal to five (5%) percent of the remaining balance shall be paid to MARIE MALESIC, if then living; c. The remaining balance shall be divided among the following individuals if then living or if not then living to their then living issue per stirpes: THERESA CENTURIONE, 3AMES FORJAN, MARY ANN SLUGA, CATHY SLUGA, KARL ANTHONY SLUGA, and FRANK SLUGA. ITEM VIII: apply to "Trust B": The following provisions shall (a) Trustee shall have, hold, manage, invest and reinvest the assets of this Trust, collect the income and beginning at my death pay over the net income in monthly installments to my wife, ANGELENE A. LEVINE, during her lifetime. The Trustee shall also, from Page 5 time to time, pay to my said wife such amounts of principal of this Trust as the Trustee deems necessary for the proper support, maintenance and medical care of my said wife. Cb> Upon the death of my said wife, the Trustee shall pay all accrued income and all income accumulated but undistributed to the estate of my deceased wife and shall thereafter transfer the then remaininE principal of this Trust to "Trust A" to be held, administered and distributed in accordance with the provisions of ITEM VIII of this Will. Cc> If my wife should not survive me, then the provisions of "Trust B" shall be void and the part of my estate which would have constituted "Trust B" shall be added to "Trust A" to be disposed of in accordance with ITEM VIII of this Will. Cd> The Executor shall be authorized in the Executor's sole, exclusive and unrestricted discretion to determine whether to elect Cunder Section 2056Cb>C7> of the Internal Revenue Code of 1986 as amended, or any corresponding provision of the Federal estate law>, to qualify all, none or a fraction of "Trust B" for the Federal estate tax marital deduction. The decision of the Executor with respect to the exercise of the election shall be final and conclusive upon all persons whose interests in my estate are directly or indirectly affected by the election. Only property which is fully eligible for the marital deduction under Federal estate tax law Page 6 shall be assigned to this Trust. Notwithstanding anything to the contrary contained in this Will, the Trustee of this Trust shall not retain beyond a reasonable time any property which may at any time be or become unproductive, nor shall Trustee invest in unproductive property. Notwithstanding the provisions of subparagraph (b) of this Item, the Trustee shall pay to the Executor of my wife's estate, out of the principal of this Trust upon the death of my wife, an amount equal to the estate, inheritance, transfer, succession and other death taxes ("death taxes"), Federal, state and other, payable by reason of the inclusion of the value of Trust property in my wife's estate. Such payment shall be equal to the amount by which (1) the total of such death taxes paid by my wife's estate exceeds (2) the total of such death taxes which would have been payable if the value of the Trust property had not been included in my wife's estate. The determination by my wife's Executor of the amount payable hereunder shall be final. I direct the Trustee to pay such amount promptly upon written request of my wife's Executor. The final determination of the amount due hereunder shall be based upon the value as finally determined for Federal estate tax purposes in.my wife's estate. After payment of the amount finally determined to be due hereunder, the Trustee shall be discharged from any further liability with respect to such payment. My wife may waive her estate's right to payment under this subparagraph by Will, executed after my death, in which she specifically refers to the right to payment hereunder given to her estate. Page 7 _~,/ ITEM IX: No part of the income or principal of the property held under any Trust created by this Will shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary prior to his or her actual receipt thereof. The Trustee shall pay over the net income and the principal to the parties herein designated, as their interests may appear, without regard to any attempted anticipation, pledging or assignment by any beneficiary under a Trust, and without regard to any claim thereto or attempted levy, attachment, seizure or other process against said beneficiary. ITEM X: In the settlement of my estate and during the continuance of the foregoing Trusts, the Executor and the Trustee shall possess, among others, the following powers: (a) To retain any investments I may have at my 'death, including specifically those consisting of stock of any bank even if I have named such bank as the Executor or Trustee herein, so long as the Executor or Trustee may deem it advisable to my estate so to do. (b) To vary investments, when deemed desirable by the Executor or Trustee, and to invest in such bonds, stocks, notes, real estate mortgages or other securities or in such other property, real or personal, as they shall deem wise, without being restricted to so-called "legal investments", and without being limited by any statute or rule of law regarding investments by fiduciaries. P ag e 8 ~!~- (c) In order to effect a division of the principal of a Trust or for any other purpose, including any final distribution of a Trust, the Executor or Trustee is authorized to make said divisions or distributions of the personalty and realty, partly or wholly in kind, and to allocate specific assets among beneficiaries and Trusts created hereunder so long as the total market value of any share is not affected by such division, distribution or allocation in kind. Should it appear desirable to partition any real estate, the Executor or Trustee is authorized to make, join in and consummate partitions of lands, voluntarily or involuntarily, including giving of mutual deeds, recognizances or other obligations, with as wide powers as an individual owner in fee simple. (d) To sell either at public or private sale and upon such terms and conditions as the Executor or Trustee may deem advantageous to the estate or Trust, any or all real or personal estate or interest therein owned by the estate or Trust severally or in conjunction with other persons or acquired after my death by the Executor' or Trustee, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or Page 9 other writings which may be necessary or desirable in carrying out any of the powers conferred upon the Executor or Trustee in this paragraph or elsewhere in my Will. (e) To mortgage real estate, and to make leases of real estate. (f) To borrow money from any party, including the Executor or Trustee, to pay indebtedness of mine or of my estate, expenses of administration or inheritance, legacy, estate and other taxes, and to assign and pledge assets of my estate therefor. Provided, however, that this paragraph shall not authorize borrowing from "Trust B". (g) To pay all costs, taxes, expenses and charges in connection with the administration of my estate or a Trust. If any estate or inheritance taxes are payable from assets received by the Trustee, such taxes shall be paid from the assets constituting "Trust A". (h) To make distributions of income and of principal to the proper beneficiaries thereof, during the administration of my estate, with or without court order, in such manner and in such amounts as my Executor deems prudent and appropriate. (i) To vote any shares of stock which form a part of the estate or Trust, and otherwise to exercise all the powers incident to the ownership of such stock. Page 10 ~/ (j) In the discretion of the Executor or Trustee, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securities form a part of the estate. (k) To disclaim any interest in property which would devolve to me or my estate by whatever means, including but not limited to the following means: as beneficiary under a will, as an appointee under the exercise of a power of appointment, as a person entitled to take by intestacy, as a donee of an inter vivos transfer, and as a donee under a third-party beneficiary contract. (1) To do all other acts in their judgment deemed necessary or desirable for the proper and advantageous management, investment and distribution of the estate or Trust. ITEM XI: Whenever and as often as any beneficiary hereunder, to whom payments of income or principal are herein directed to be made, shall be under legal disability, or, in the sole judgment of the Trustee, shall otherwise be unable to apply such payments to his own or her own best interests and advantages, the Trustee may make all or any portion of such payments in any one or more of the following ways: (a) Directly to such beneficiary; Page 11 (b) To the Legal Guardian or Conservator of such beneficiary; (c) To a relative of such beneficiary, to be expended by such relative for the benefit of such beneficiary; or (d) By itself expending same for the benefit of said beneficiary. Provided, however, that this power shall not apply to "Trust B" ITEM XII: Any person, other than my wife, who shall have died within thirty (30) days of my death, shall be deemed to have predeceased me. If my wife and I die simultaneously, or under such circumstances that the order of our deaths cannot be established by proof, my wife shall be deemed to have survived me. ITEM XIII: If at any time any beneficiary under the age of twenty-one (21) years shall be entitled to receive any assets hereunder, my then acting Trustee shall receive such assets as Custodian under the Pennsylvania Uniform Transfers to Minors Act for that beneficiary. Such Custodian may receive and administer all assets authorized by law, and shall have full authority as provided in the Pennsylvania Uniform Transfers to Minors Act to use such funds in the manner it deems advisable for the best interests of such beneficiary. In addition, said Custodian shall have all the rights and privileges as to the Custodianship and its assets as are herein granted to the Executor as to my estate and the assets therein. I also designate said Custodian as successor Page 12 /~ ,~,~.. Custodian of any property for which I am custodian under any Uniform Gifts to Minors Act or Uniform Transfers to Minors Act. ITEM XIV: I hereby nominate, constitute and appoint my wife, ANGELENE A. LEVINE, to be my Executrix (herein referred to as ExecUtor>. In the event of her death or her inability or refusal to serve as Executrix, I nominate, constitute and appoint THERESA CENTURIONE to serve in her stead as Executrix. My wife, ANGELENE A. LEVINE, shall have the power to nominate and appoint a successor Trustee <individual or corporate> to serve upon her death or her inability or refusal to serve as Trustee. In the event of the death or the inability or refusal to serve of my, wife, ANGENELE A. LEVINE, prior to her appointment or nomination of a successor Trustee, I nominate, constitute and appoint THERESA CENTURIONE to be the successor Trustee. In the event of the death or inability or refusal to serve of THERESA CENTURIONE, I nominate, constitute and appoint my wife's cousin, 3AMES FOR3AN, to be the successor Executor and Trustee. The Executor and Trustee are specifically relieved of the duty or obligation of filing any bond or other security. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding twelve (12) pages, at the end of each page of which I have also set my initials.for greater security and better identification this ~'g.a day of ~/g~f/z~j'C , 1994. WILLIAM J. ~IN~ - (SEAL) We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above- named Testator as and for his Last Will and Testament, in the presence of us, who, at his request and in his presence and in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testator was of sound and disposing mind and memory. (SEAL) (SEAL) (SEAL) ACKNOWLEDGEMENT COMMONWEALTh0F/'PENNSYLVANIA ) ) ss' COUNTY ) I, WILLIAM J. LEVINE, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~f'~ - ,,7 ~:~i.~ · ~ ~>' . / ~I~,.~.+~'.. ~ J~z~,~Z, WiLL~AM j'.' ~VI~E (SEAL) Sworn to and subscribed ofbef°r~e me thi ' 1994. ~[-~-.~-~'~ s ~ day ~ Notary Public ~ My Commission Expires: (SEAL) Nota.,JaJ Se~t Margaret M. Kenwo~hy, N..~a~_Pt~. Susquehanna Twp., Dau_p,,~n L;ounty My Commission Expires ~ept 28, 1997 I',~,.~m~;, PennsylvaniaAssoci~on of Notaries AFFIDAVIT C 0MMONWEALTH 0F PENNSYLVANIA COUNTY OF D~ SS' and [~---O~x\ ~.~_~3~f~ , 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 Testator, WILLIAM J. LEVINE, sign and execute the instrument as his Last Will and Testament; that Testator signed willingly and that he executed said Will as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as Witnesses; and that to the best of our knowledge the Testator was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. ,./"' ~ Witness Sworn to and subscribed before me this ~ day ~ Notary My Co~ission Expires: (SEAL) r ,-4 3111t2002 10:53:43 AM 51920425 - LEVINE WILLIAM J Account Workbook Positions -SEO---i.y~ .... -SEG "-; Ye~'" r -SE(3-- Ye~ 4-! [O~301T 017357;P1~-1--:--017357;PH-1' :-ALI~GHN~ PA~3C~T~ O~ -- --~~ --~7~40- -SEG Yes --- 5 .... ~0', '02'178~~0217B~H;4' ~TOONA-PA--~625*0g01't8 ..... 9[5970 ~4-339-55 'SEG--- ~e~ ~- El 10,0~0. ~;DD;7 ~ "O~9:D~B~KSTA-FGIC 5.5-111505 ......... 102.8240'-I ........~0;282740~T -SEG~ ~-~8 ~"~~*-~ -~53~0-FH~6 -*-1~3oo~-I CENT DAUP~A-4;2*~0103 .... ~---103;0~0'1~20~03~0--I~SEG--- ~ i 9~-~25,000 i ....... ~-~330~GP:7 .... ~ .... ~30~-CE~OAUPH'PA-5;O-120'I'OB~'~107;~50'-I .... 26,~a.75' I ....... ; SEG'- Yes '. ' ' ~ ......, *1 ....... ]-2~57~ : ..... 2~057;HH:2--OERR~SD-'5;5'020121 ...... 100:4540 ~* 20~090;~* * 1 ....... ISEG---;'~ "-'1 ~ I3T~1~0'~ ..... [2~900~-~ ...... 24~01-HA:O'-DERRYP~SD~4;5-I-T150Z ~--100~E~r~15-1'10~10-~'l ' ISEG ........... .... PA s9 s:s ...... ~ ~ ..... I0;0~0--- ~9~BK:9 .... i *205~2~B~9~ER~-PA~R-7:15-OT0107 ......... 102;0100' ~ -" t0,201;00~ 1 ........ ~SEG-"-'j ........ ' 16-. 5;000'; ......... ;-3~6~R~~:~-9 ~19 ] ..... 25~----~--~-~788%DX-7 --~SS-I;D~I-L~ BUCKS PA 6.2 111512' ; 103.3720~ I ' - '25;~3;00-'-1 .... ~-SEG-'I YE~ -~0 ..... 10~O I~B5OS~BB-5 -; ~BS~B~PR~NC PA 6.1 ~102 ? '100.9130 { ..... 10;~T;30':-~-SEG--I ..... ~ .... ~0DO ' 68~17:NE:B' "'~ 651517-NE-8 N~A~D5:~-0301-1'3 '--108:~30 '~ .... I0,836:30 ....... ~-SEG ..... ~2~; --10;000' 707483-CG~'- ~O~B~;~ENN*HLL'PA 5.875 120115 ' *1- '103:32~ ~ -25~0;000 ..... ~-70787~~ .... 70787~FL~ ~-PENN~D-PA[9-050'IT~T0~0~ ~6-~-'"'"-5;000; - - - T7091~:D~1 ~I-~09~*~i-PA-ST SRA 5 0 070115 ....... ~ ' ~00 45~*' ....... 5:022~5- ~29~ .... ~1 / 7~GE:O- '~" 7~193~E:~TIOA~5:5'0101'I~ ............... 1~4;2810'l .........31,284:30' ~-" 30:.' --25~0-I .......... "'~ 709172~~0~6TPAST HEFA 5.~ 010108 ............. -- 31 ..... 35~0-I ~'709221~Z;6-~:---TOg~:C~8-I-PA-ST ~K CMM5.25 120116 ' 103.6~0' I ...... ~-32-:--- I5,,000: ............ -708~!0:GQ-0 ' '~?-----5;000: /0B840:DU:~ I -- -7088~.0;FU:2 ..... · 70E~8~f0--GQ:-0~- P'A-ST;INTR'GO~rs:0-O6'1521-- ~ --9971'370' ........... 1:4;870.55, PA-ST 1NTERGOS;05061506 ~ 3~670'- 5.- -- I"--I'f2:1060'- -- i SEG--~e-s .... -SEG .... Ye~--- 506 .... 46 "' 15;000' " "47 .... 25~000 SEG SE~Il i Yes --' Page: 1 3/11/2002 10:53:43 AM 51920425 - LEVINE WILLIAM J Account Workbook Positions 1 ' ' '1 ~uan.~/ I ~qnDm I '"~eoaoty I' uU.~!~.-: I - Name ,- I ~ ~"~ · t - Value.' ' '~'gy~ I ' LOC t ~n ~'-'~,~u I ~ 70~4-1:'J~FT0914-1:~M:B~~tRD~5~2~ I ..... I I F 5~10;~ .... : TI7~3~Q~ /z3 zu23~Q;0-1 PH~~ST:0-05T520-- : 12z.uu~? 12;280.~T~E~__ ~ ~21~00'I .... I-7~78s0:~ '"7176~1 ~ ~R~CDLPR~0~~[~l'10:g410 ~--~227~8:20-f-'1 ....... I SEO-- I~ 53] .... 2=o[F ..... ~7823-~;8 '-717823:~R~LHA-PA'5:25-~01~---I--'-lO6:~10*' ---2~~SEG-'~'Yei .... [--55" ~~ .... 71781EcAW-5~-- 71781E:A~-PA'AUT~7~3 ~g8:4320: I ...... 4~2%5071 .... ?8EO--r~ ~58~5:000]--~J7253~C~9~'-~" ' 7253~:9'7'P~B~R~4:7~104- ]"'"~:2~0 ~26;~0'.25 I I ..... FSEG~~ i'-s~L:~ool ..... F25=TS-L7:2~-- z2s27~m~au RGH PA~:~0S ~---m2:0~* Y .... ~o,~o~.~u,I ~ ....... I SE~--I F.61 ]-~00-; ....... 7253~~---72530~pl~SBURGH pA-5~-0g~122~ ~ i -- --lOg:~ ~ 4U~' ~5~0~I ..... ~- 6~ .....2[000~ ...... 77252~ ..... ~ 725208:3X-8 IPI~SBRGHPA' 4.50301~ ..... I--I04:1920 ~ .... 26;0~8~00--1 "SEG-'-'~ Ye~ i--6Tl- '-2~ ..... ~25~HP;7~530~;H~:[.~G~&S-'5:O'090~z ' ~0~70'-I ..... 2~4I~1 ; SEG-" ?Yes I--"'~5~--25:~e I '-172~7~-~---: "-72~78~A~2-:'PGH-PA~~20116 ........ -10~~25~430:~-1-~EU : Yes ~--66 ..... ~;~ ......... ~55635-6~3'~~35-B~~ING~A"SCH6:~'12~TO2~102746~* I ____~ff23~l__~SEG ........... ~-67j '~5;000 .......... ~766~g:DZ;7- "~809;DZ;7'~ RING~ED-P~S~.2 01 ~513' ; !16.2g~" ~ ...... .... 68~-'~[0oo .... :-8~'~:5--- I "-8~'~~ sc~o~~o~-~'o ..... ~-'--f~~15;572:101-I I SEG ~Yes ~ 7~--30;~01 ..... , ~3~-5 ..... 1'--~32~-' ST'PUBliC.lO?510 .... [--~:8~0~~62:201 1 ....... SE~ ~~10;~ '-1-~4~5 ......... g~~'WAYNE-PA-HSP~Z0~ '- l~:96~-~-~[896~I-I----I-8EG-"-~'Yei Page: 2 351112002 10:53:43 AM 51920425 - LEVINE WILLIAM J 5192-O425 IO A HB23 CSt 4C WILLIAM J LEVtNE 3428 LOGAN ST Home 717/737-3853 CAMP HILL PA ~7011 Account Workbook Positions Total Market Val 1,371,144.65 Total Acct Val ! ,451,569.49 MMF Bal 80.424.64 Fun~ AvailaMe 60,434.84 Page: 3 ACCOUNT IIqFORMATiOiS! (FIRM ~i~ ~f~a~ion ~ not ~he official t~rd ~fymu r~ffi. ~i~ i~ffo~ation ~ Dot a su~titum for cther imp~t · ~c~ds to you. ~e ~bovo may not ~ u~d -' 9c~ ~ d~en~tiun m~ding your r,:count 3tl lJ20D2 10:53:24 AM 51920830 - LEVINE WILLIAM J Account Workbook Positions i '. c;Usit~. ~. r~ame I MI~ZPr,:e t Value 1 ~ylle I loc 'l'.Mgn ; Page:l O_ (~ O 5192-0830 HB23 WILLIAM J LEVINE (IR~) J M S LLC CUST FBO 3428 LOGAN T CAMP HILL PA 17011 lO F CSl 4C MMF Bal 21,778.62 Tetal Acct Val 21,778.62 Fuads Availab~e 21,778.62 ACCOUNT 1FIFORMATIOI~I (FIRM GENERATED) This information is not the official ~ecord of your account and is subjec! lo changes, errom and omissions and ¢aaao~ be gttarantced ~s to its accurac~ or compl~tenc~s. · statements constitute },our offJci:'! prLntcd confmnalioJts and periodic account ~.-':ord- Tlds information isnot a substimt~ for other im~t in[-orn~tion -ds lo ¥Oii, ThC above may nol:bc used for tax ml)offing Pmlo°ses' J['g~; **%~' :-. - ~leo, tm~on ~eg~ardbtg yot~ -,ccount to you bs' matt. Neill Funeral -Iome, Inc. 3501 Derry Street Harrisburg, PA 17111 (717) 564-2633 Stephen J. Wilsbach, ED., Supervisor 3401 Market Street Camp Hill, PA 17011 (717) 737-8726 Robert J. Pramik, ED., Supervisor 2608 STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED CASE # Charges are only for those items that you select or that are required. If we are required by law or by a cemetery or crematory to use any item, we will explain the reason in writing below. Arrangementstor: ~t,~[I {l'~,, ~',, L.~L/t/~b Date of Arrangement'. /v~/"/l ~.~ SERVICES, FACILITIES, AUTOMOBILE, OTHER EQUIPMENT AND OTHER SERVICES: Itemized General Price Mat: Basic Professional Services of Funeral Director and Staff: $ / ~''' [ Other Care of the Deceased: Embalming $ Sanitary Care of the Unembalmed Remains /,~ c I Dressing, Casketing and Cosmetology Post Autopsy Care/Post Organ Donation Restoration Charge Refrigeration t ~-'- ( Care and Custody While Sheltering Remains / .~- ~ I Other Care of the Deceased: Total Care of the Deceased Directing of Services and Uae of Facilities: Visitation Funeral Ceremony Memorial Ceremony Graveside Special Hrs. Charge Date of Death: MERCHANDISE: Casket: Outer Burial Containers: 20~ $ Cremation n' Cremation Container: Clothing as Selected: Grave Marker: Acknowledgment Cards as Selected Memorial Register Memorial Folders/Prayer Cards Combination Shipping Unit/Air Tray __ Total Merchandise CASH ADVANCES: Sales Tax: Cemetery: Death Certificates (No. /,-- @ $2,~'c ) Permit Disposition/Burial Permit __ Medical Examiner's Charge Honorarium: Musicians/Vocalist: Air or Other Transport: Out of Town Funeral Homes: $ Newspaper Notices: Telephone/Telegraph/Fax: Motor Escort: Total Cash Advances We charge you ior our services in obtaining: Total Directing of Services and Use of Facilities $ Automotive, Other Equip., Other Services and Other Charges: Transfer of Remains to Funeral Home $ /~'~ [ Hearse/Coach and Ddver Limousine/Other Passenger Vehicle and Driver Safety/Lead Vehicle and Driver Flower Van and Driver Utility Vehicle and Driver /.~u ~. t Cemetery tent and grave equipment Additional Transportation Charges: Total Auto. Other Equipment and Services $ And/or Personalized Service Program Package (a complete description of the package that you selected ls in the General Price List provided you): $ Other Services: Immediate Budal $ Direct Cremation Without a Service $ __/c/ff' J-. Cc, Fonvarding Remains to Another Funeral Home $ Receiving Remains from Another Funeral Home $ $ Total Service Charges with Personalized Packages SUMMARY: Basic Professional Services of Funeral Director and Staff Other Care of the Deceased Directing Services and Use of Facilities Automotive, Other Equip. and Services and/or Personalized Service Program Package Other Services Total Service Charges with Personalized Package8 Merchandise Cash Advances Total Charges (Credits) to Account: Payments (cash. check, or credit card) Balance due after credits Z724 L~,Y/N I A 9/28/96 -- AL. AK, AR, CO. CT. ~C, FL. GA, HI, IA. ID, IL, IN, KS, KY, MA. ME, MD, MI, MO, MS. ND, NE, NH. NJ, NM, NV, OH, OK, PA, PR. RI. $C, ~D, TN, VA, WA, WI, WV, WY) Page I OF 2 Register of Wills of Cumberland County, Pennsylvania INVENTORY Estate of William J. Levine No. 21-02-0307 also known as Date of Death March 7, 2002 late of the Borough of Camp Hill, Cumberland County, Pennsylvania, Deceased Social Security No. 132-05-9082 Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/VVe verify that the statements made in this Inventory are true and correct, lANe understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unswom falsification to authorities. Name of Attorney: James A. Ulsh 10169 3401 N. Front Street, P.O. Box 5950 Harrisburg, PA 17110-0950 Personal Representative: Angelene A. Levine I.D. No.: Address Telephone: (717) 232-5000 Real Property: NONE Personal Property: See Attached DESCRIPTION TOTAL VALUE 1,451,569.49 (Attach Additional Sheets If Necessary) NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. Form RW-7 (Dauphin County) - Rev. 9/92 311507 Inventory Estate of William J. Levine From 03/07/2002 To 03/07/2002 Description Money Market Accounts Janney Montgomery Money Market Municipal Bonds Abington PA Sch Dist Bond Allegheny Cty PA 5.0% Bond Allegheny Cty PA 6.0% Bond Allegheny PA Hosp Der Bond Altoona PA Bond Berks Cty PA FGIC Bond Blairsville-Saltsburg Bond Central Dauphin PA 5.0% Bond Central Dauphin PA Sch Bond Central Dauphin PA Sch Dist 4.5% Derry PA Area Sch Dist 02/01/21 5.5 Derry PA Area Sch Dist 5.5% 2/01/14 Derry Twp PA San Swr Auth Bond Derry TWl0 PA Sch Dist 4.5 11/15/02 Erie PA Wtr Auth Bond Gateway PA Sch Dist Bond General McLane School Dist Bond Lancaster PA Area Swr Auth Bond Lower Bucks Cnty PA Bond Lower Providence Twp Bond Methacton PA Sch Dist Bond Accrued Income 36.29 Value 14,783.55 26,290.00 11,075.40 5,223.55 14,339.55 10,282.40 5 056.25 26.838.75 20 603.40 5,060.90 20,090.80 15,357.15 10,925.60 15,110.10 10,201.00 5281.00 20 434.40 5,556.00 25,843.00 10,091.30 28,460.00 Total 80,424.84 15:55 Inventory Estate of William J. Levine From 03/07/2002 To 03/07/2002 Description Montgomery Cnty PA Bond North Penn PA Sch Dist Bond PA Hsg Fin Agy 5.45% Bond PA Hsg Fin Agy Bond 5.3% PA Intergovtl Coop Bond 06/15/21 PA Intergovtl Coop Bond 5.05% PA Intergvrmnt Coop Bond 6.7% PA Intergvt Coop Bond 5.0% 06/15/~6 PA St First Ser 5.0% Bond PA St First Ser 5.125% Bond PA St HEFA 5.35% Bond PA St HFA SFM 5.9% Bond PA St Highr Edl Facs Bond PA St Indl Der Auth Bond PA St Second Ser Bond 5.2% PA St Second Series 5.0% Bond PA St Third Ser 4.5% Bond 12/01/07 PA St Third Ser 4.5% Bond 12/01/10 PA St Tpk Cmmn 5.25% Bond 12/01/16 PA St Tpk Cmmn Bond 12/01/14 PA St Univ Bond Penn Hills PA Ambac OID Bond Penn Intergvrnmntl Coop Bond 5.15% Accrued Income Value 10,846.40 10,836.30 10,137.30 15,909.00 14,870.55 5,168.35 22,421.20 16 050.45 26,703.75 26859.50 26 000.25 26,065.25 4,554.75 31,284.30 10,639.80 10 767.50 26,232.75 15460.20 36 292.90 52,477.00 10,312.30 10,332.40 36,501.50 Total 15:55 Inventory Estate of William J. Levine From 03/07/2002 To 03/07/2002 Description Penn Manor Sch Dist PA Bond Penn St CTFS Partn Bond Penn St Hghr Ed Bond Penn St Hi Ed Facs Ath Bond Penn-Trafford PA Sch Bond Pgh PA Wtr & Swr 5.0% Bond Phila PA Arpt Bond Phila PA Auth for IDA Bond Phila PA Auth for Indl Der Bond Phila PA Gas Wks Bond Phila PA Gas Wks Bond 5.25% Phila PA Sch Dist Bond 6.25% Phila PA Wtr & Wstwtr Bond Pine Richland PA Bond Pitts & Allegheny Co PA Bond Pittsburgh PA Rfdg Ser Bond 4.5% Pittsburgh PA Sch Dist 4.3% Bond Pittsburgh PA W&S Auth Bond Pittsburgh PA Wtr & Swr 5.0% Bond Pittsburgh PA Wtr & Swr Bond 4.7% Pittsburgh PA Wtr & Swr Bond 5.6% Reading PA Sch Auth Bond Ringgold PA Sch Dist Bond Accrued Income Value 10,802.00 5,022.75 20,344.60 5,136.25 10,760.00 9,965.10 41,520.40 5,226.65 4,821.60 12,280.30 21,288.20 22,188.20 27,510.75 27,794.25 25,430.00 26048.00 10 204.50 12,190.60 25,141.75 26,320.25 54,557.00 5,123.00 40,704.65 Total 15:55 - 3 - Inventory Estate of William J. Levine From 03/07/2002 To 03/07/2002 Description Scranton PA Bond Shaler PA Area Sch Dist Bond Silver Spring Twp Bond Southeastern PA Trans Auth Bond St Pub Sch Bldg Auth PA Bond State Pub Sch Bldg Auth Bond Tarentum Bor PA Bond Tredyffrin Twp PA Rfdg Bond Trinity ASD PA Bond Upper Allen Twp PA Bond Wayne Cnty PA Hsp & Hlth Bond Wilkinsburg Penn PA Bond York Cnty PA Hosp Auth Bond Accrued Income Value 15,572.10 5,129.05 4,947.45 10,662.50 30562.20 15,337.20 15,268.20 10,682.80 10.506.40 16 246.95 10,896.20 5,113.35 6,211.65 Total 1,371,144.65 15:55 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD REV-1162 EX(11-96) 001 91 5 ULSH JAMES A ESQUIRE 3401 N FRONT STREET P O BOX 5950 HARRISBURG, PA 17110-0950 ........ fold ESTATE INFORMATION: SSN: 132-05-9082 FILE NUMBER: 2102-0307 DECEDENT NAME: LEVINE WILLIAM J DATE OF PAYMENT: 12/05/2002 POSTMARK DATE: 1 2/05/2002 COUNTY: CUM BERLAN D DATE OF DEATH: 03/07/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 ~936.71 TOTAL AMOUNT PAID' $936.71 REMARKS: ANGELENEA LEVINE C/O JAMES A ULSH ESQUIRE SEAL CHECK# 0393 INITIALS: CW RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS BUREAU OF ZNDTVZDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG., PA 171Z8-0601 JAMES A ULSH ESQ METTE ETAL PO BOX 5950 HBG PA 17110 COMMONNEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF DETERHZNATZON AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN DATE 03-31-2003 ESTATE OF LEVINE DATE OF DEATH 05-07-Z002 FZLE NUMBER 21 02-0307 COUNTY CUMBERLAND ACM 201 Amount WILLIAM J MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF gILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper port/on of this form w/th your tax payment. CUT ALONG THIS LINE ~* RETAIN LONER PORT'rON FOR YOUR F'rLES ~ REV-483 EX AFP (01-03) ~ NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN ~ ESTATE OF LEVINE NILLIAM J FILE N0.21 02-0307 ACN 201 DATE 03-31-2003 ESTATE TAX DETERM'rNATZON 1. Credit For State Death Taxes as Verified Z7~7q1.7q Z. Pennsylvania Inher/tance Tax Assessed (Excluding Discount and/or Interest) 3. Inheritance Tax Assessed by Other States .00 or Territories of the Un/ted States (Excluding O/scount and/or Interest) q. Tote! Inheritance Tax Assessed 95~657.55 5. Pennsylvania Estate Tax Due .00 TAX CREDITS: 95~657.55 PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID ~ZF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. TOTAL TAX CREDIT I .00 BALANCE OF TAX DUEI .00 INTEREST AND PEN. I .00 TOTAL DUE I . O0 {IF TOTAL DUE ZS LESS THAN $1~, NO PAYMENT ZS REiiUZRED ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.} PURPOSE OF NOTICE: PAYMENT: To fulfill the requirements of Section ZlqO (b) of the Inheritance and Estate Tax Act, Act Z3 of ZOOO. (TI P.S. Section 91qO). Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the reverse side. -- Make check or money order payable to: REGISTER OF HILLS, AGENT. REFUND (CR): A refund of a tax credit may bo requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register of Hills, any of the ?.-% Revenue District Offices or free the Department's Zq-hour answering service for fores ordering: 1-BO0-36Z-Z050; services for taxpayers eith special hearing and / or speaking needs: 1-800-q~7-SOZ0 (TT only). OBJECTXONS: Any party in interest not satJs;ied aith the assessment of tax as shown on this notice may object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. ZSIOZ1, Harrisburg, PA 17liB-lOll, --electing to have the matter determined at audit of the personal representative, OR --appeal to the Orphans' Court. ADHIN- ISTRATIVE CORRECTIONS: Factual errors discovered on this assessment should bo addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. IS0601, Harrisburg, PA 17liS-0601, Phone (717) 78?-6505. Sea page S of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. OR PENALTY: INTEREST: The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. For dates of death an or after 10-5-91, Pennsylvania Estate Tax based on the Federal Estate Tax return becomes delinquent at the expiration of nine (09) months from the date of death. For dates of death prior to 10-5-91, Pennsylvania Estate Tax based on the Federal Estate Tax return becomes delinquent at the expiration of eighteen (lB) months from the date of death. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (6Z) percent par annum calculated at a daiIy rate of .O00lgq. AIl taxes ahich became delinquent on or after January 1, 198Z wiI1 bear interest et e rate which will vary from calendar year to calendar year with that rate announced by the PA Bepartment of Revenue. The applicable interest rates for 198Z through ZOO5 are: Interest Daily Interest Daily Interest Daily Yaa~ Rate Factor Yea~ Rate Factor Yea._..r Rate Factor 198Z lOX .O00Sq8 1987 9Z .DOOZq7 1999 7Z .OOD19Z 1985 16Z .000q38 1988-1991 llZ .000501 ZOO0 8Z .O00Z19 198q llZ .000501 199Z 9Z .O00Zq7 2001 9Z .O00Z~7 1985 152 .000356 1995-199q 72 .O00IgZ ZOOZ 62 .O0016q 1986 lOX .O0027~ 1995-1998 9Z .000247 2005 5Z .000157 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date sheen on the Notice, additional interest must be calculated. BUREAU OF ZNDTVZDUAL TAXES INHERITANCE TAX DIVISION DEPT. 180601 HARRISBURG, PA 17118-0601 COHMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR DZSALLOHANCE OF DEDUCTIONS AND ASSESSMENT OF TAX JAMES A ULSH ESQ METTE ETAL PO BOX 5950 HBG PA 17110 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN REV-16U EX AFP CD'z-OS) 05-$1-2005 LEVINE WILLIAM J 05-07-2002 21 02-0507 CUMBERLAND 101 Amoun~ Remitted HAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF LEV/NE WILLIAM J FILE NO. 21 02-0307 ACN 101 DATE 03-31-2003 TAX RETURN NAS: ( ) ACCEPTED AS FILED (X) CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Stock/Partnership q. Mortgages/Notes Receivable (Schedule D) (q) E. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTZONS AND EXEMPTIONS: 9. Funeral Expansos/Ad.. Costs/Misc. Expanses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule Z) (10) 11. Total Deductions 12. Not Value of Tax Return 1/371/1fiq.65 .00 80/q2q.8q .00 .00 NOTE: To insure proper credit to your account, submit the upper portion .00 of this form with your tax payment. qq,7qq.37 .00 (11) 44.74~.37 (12) 1,q28,603.7q 15. NOTE: TAX CREDITS: PAYflENT DATE 06-05-2002 12-05-2002 ASSESSMENT OF TAX: 15. Amount of Line lq mt Spousal rate (15) 16. Amount of Line lq taxable at Lineal/Class A rata (16) 17. Amount of Line lfi mt Sibling rate (17) 18. Amount of Line lq taxable at Collateral/Class B rata (18) 19. Principal Tax Duo 406,617.67 x O0 = .00 6,395.50 x 045= 287.80 .00 x 12 = .00 654,043.94 X 15 : 98,106.59 (19)= 98,39q.39 RECEIPT NUMBER CD001263 CD001915 D/SCOUNT (+} INTEREST/PEN PAID (-) q,736.8q .00 INTEREST IS CHARGED THROUGH 04-15-2003 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM AMOUNT PAID 90,000.00 936.71 TOTAL TAX CREDIT ;BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 95,673.55 [ 2,720.8q 49.85 2,770.69 ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYHENT ZS REQUIRED. IF TOTAL DUE ZS REFLECTED AS A 'CREDIT" (CR), YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) Charitable/governmental Bequests; Non-elected 9115 Trusts (Schedule J) (15) 361,5q6.63 Nat Value of Estate Subject to Tax (lq) 1,067,057.11 If an assessment was issued previously, 11nas 14, 15 and/or 16, 17, 18 and 19 Nill reflect flgures that include the total of ALL returns assessed to date. 21/778.62 (8) 1,473,348.11 RESERVATION: PURPOSE OF NOTICE: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Estates of decedents dying on or before December 12, 19aZ -- if any future interest in the estate is transferred in possession or enjoyuant to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Coaaoneealth hereby expressly reserves tho right to appraise and assess transfer Inheritance Taxes at the laaful Class B (collateral) rate on any such future interest. To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act Z:5 of ZOO0. (72 P.S. Sectlon 9140). Detach the top portion of this Notice and submit aith your payment to the Register of Hills printed on the reverse side. --Make check or money order payable to: RBGXSTER OF #XLLS, AGENT A refund of a tax credit, mhich ams not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-l:51:5). Applications era available at the Office of the Register of #ills, any of the g$ Revenue District Offices, or by calling the special gq-hour answering service for forms ordering: 1-800-:56g-Z050; services for taxpayers with special hearing and / or speaking needs: 1-800-447-:5020 (TT Any party in interest not satisfied aith the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --arJttan protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Texas, ATTN: Post Assessment Review Unit, Dept. g80601, Harrisburg, PA 171Z8-0601 Phone (717) 787-650S. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-la01) for an explanation of administratively correctable errors. If any tax due is paid within three (:5) calendar months after the decedent's death, a five percent (5Z) discount of the tax paid is allowed. The 1SI tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you mould appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 198Z bear interest at the rate of six (62) percent per annum calculated at a daily rate of .000164. A11 taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which mill vary free calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through Z00:5 are: Interest Dally Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rats Factor 1982 207. . 000548 1987 97. . 000247 1999 77. . 000192 198:5 167. .0004:58 1988-1991 117. .000:501 ZOO0 87. .000219 1964 117. .000:501 1992 97. .000247 Z001 97. .000247 1985 1:57. . 000:556 1993-1994 77. .000192 2002 67. .000164 1986 107. .000274 1995-1998 97. .000247 200:5 57. . 0001:57 --Interest is calculated as folloes: TNTEREST = BALANCE OF TAX UNPATD X NUNBER OF DAYS DELTNQUENT X DATLy 1'NTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shswn on the Notice, additional interest must be calculated. PROBATE [] JBA [] DATE:3/21103 REV-1470 EX (6-88) EXPLANATION COMraONWEALTH OF PENNSYLV^.~ DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME FILE NUMBER William J. Levine 2102-0307 ACN 101 ITEM SCHEDULE NO. EXPLANATION OF CHANGES J lIB-2 The present value of this bequest, $6,395.50, is subject to tax at the lineal rate. J liB Items 1 and 3 have been reduced to present value, $6,395.50 and $15,988.75, respec'tively. TAX EXAMINER: Shawn E. Youn~l PAGE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 002447 ULSH JAMES A 3401 N.FRONT ST. P.O. BOX 5950 HARRISBURG, PA 17110-0950 ........ fold ESTATE INFORMATION: SSN: 132-05-9082 FILE NUMBER: 2102-0307 DECEDENT NAME: LEVINE WILLIAM J DATE OF PAYMENT: 04/15/2003 POSTMARK DATE: 04/1 4/2003 COUNTY: CUMBERLAND DATE OF DEATH: 03/07/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $2,770.69 REMARKS: JAMES ULSH ESQUIRE TOTAL AMOUNT PAID: $2,770.69 SEAL CHECK# 5628 INITIALS: VZ RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS METTE, EX~'ANS & B'OODSlDE A PROFESSIONAL CORPORATION ATTORNEYS AT LAW 3401 NORTH FRONT STREET P.O. BOX 5950 HARRISBURG, PA 17110-0950 7U31~ 1940 0002 5056 1829 Mary (?. Lewis Register of Wills Office Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 METTE, EVANS & WOODSIDE A PROlV~SSIONAL COI~POI~ATION ATTOI~YS AT LAW HOWELL C. METTE KATHRYN L. SIMPSON ROBERT MOORE P. DANIEL ALTLAND CHARLES B. ZWALLY ANDREW H. DOWLING PETER J. RESSLER MICHAEL D. REED LLOYO R. PERSUN PAULA J. LEICHT CRAIG A. STONE GARY J. HElM JAMES A. ULSH DAVID A. F1TZSIMONS DANIEL L. SULLIVAN GUY P. BENEVENTANO STEVEN D. SNYDER THOMAS F. SMIDA JEFFREY A. ERNICO JOHN F. YANINEK* 3401 NORTH lVRON? P.O. BOX 5950 H~I~I~SBUI~G. i~A 17~0-0950 23-1985005 ~E~O~ ~717) 232-5000 (717) 23~1816 hRp://www, meRz.com VICKY ANN TRIMMER TIMOTHY A. HOY KATHLEEN DOYLE YANINEK JAMES M. STRONG JENNIFER A. YANKANICH RANDALL G. HURST* MARK D. HIPP RONALD L. FINCK SCOTT C. SEUFERT OF COUNSEL JAMES W. EVANS *MARYLAND BAR April 14, 2003 VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED Mary C. Lewis Register of Wills Office Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 RE: Estate of William J. Levine File No. 21-02-0307 Dear Ms. Lewis: 11375.1 Enclosed is a check payable to "Register of Wills, Agent" in the amount of $2,770.69, representing the balance of inheritance tax owed in the above-referenced estate per the Notice of Appraisement received from the PA Department of Revenue, a copy of which is enclosed. Please send a receipt for the inheritance teu: payment to .my attention in the enclosed envelope. Thank you for your assistance. Very truly yours, Lisa J. Knbd~ Paralegal to James A. Ulsh Enclosures cc: Angelene A. Levine, Executrix :323260 ! BUReaU OF ZNDTVZDUAL TAXES INHERITANCE TAX DIVISInN DEPT. ZB0601 HARRISBURG, PA 1712B-0601 JAMES A ULSH ESQ METTE ETAL PO BOX 5950 HBG COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE PA 1711,0, NOTICE OF ZNHERZTANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTZONS AND ASSESSMENT OF TAX DATE 03-31-2003 ESTATE OF LEVINE DATE OF DEATH 03-07-2002 FILE NUMBER 21 02-0307 COUNTY CUHBERLAND ACN 101 Aeoun~ Reei*~ed REV-154? EX AFP WILLIAM J MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (0i-03) NOTICE OF ZNHERXTANCE TAX APPRAISEMENT, ALLOWANCE OR DXSALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF LEVINE WILLIAM J FILE NO. 21 02-0307 ACN 101 DATE 025-31-2003 TAX RETURN WAS: ( ) ACCEPTED AS FILED (X) CHANGED SEE ATTACHED NOTICE RESERVATION CONCERN/NG FUTURE INTEREST - SEE REVERSE APPRAZSED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Reel Es~e~e (Schedule A) (1) . O0 2. S{:ocks and Bonds (Schedule B) (2) 1~2571;lqq.65 3. Closely Held S~ock/Par~nership /n~eres~ (Schedule C) (3) . O0 q. Hor~gages/No:4es Rece/vable (Schedule D) (q) .00 E. Cash/Bank Deposits/Misc. Personal Proper~y (Schedule E) (5) 80 1 ~*2q. 8q 6. Jo/n~ly Owned Proper~y (Schedule F) (6) . O0 7. Transfers (Schedule G) (7) . 21;778.62 8. To{:el Asse~s (8) APPROVED DEDUCTZONS AND EXEHPTZONS: qq,Tq~.257 9. Funeral Expenses/Adm. Costs/Misc. Expanses (Schedule H) (9) 10. Debts/Mortgage L/ab/lilies/Liens (Schedule Z) (10) 11. To,al Deductions 12. Ne~ Value of Tax Re~:urn 15. lq. Chari~able/Governeen~al Bequests; Non-elected 9113 Trusts (Schedule J) Ne~ Value of Es~a~e Sub~ec~ ~o Tax .00 NOTE: To /nsure proper cred/~ ~o your account, subei~ ~he upper por~/on of ~h/s form w/~h your ~ax payment. NOTE: 1,q73,3q8.11 ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. REVERSE SIDE OF THIS FORM 06-05-2002 12-05-2002 TAX CREDITS: PAYMENT DATE RECE/P1 NUMBER CD0012625 CD001915 OZ$COUNT {+) ZNTEREST/PEN PAIO (-) q, 7256.8q .00 INTEREST IS CHARGED THROUGH 0q-15-2003 AT THE RATES APPLICABLE AS OUTLINED ON THE ASSESSMENT OF TAX.' 15. Aeoun'E of L/nm lq e~ Spousal ra~e (15) 16. Aeoun~ of L/ne lq ~axeble a~ Lineal/Class A ra~e (16) 17. Aeoun'l: of Line lfi a~ S/bl/ng ra~e (17) 18. Aeoun~ of Line lq ~axable a~ Collateral/Class B ra~e (18) 19. Pr/nc/pal Tax Dun q06,617.67 X O0 : .00 6,395.50 X Oq5: 287.80 .00 x 12 : .00 65q,Oq3.9q x 15 : 98,106.59 ~ . ~1~= 98,39q.259 AMOUNT pAID 90,000.00 936.71 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS REQUIRED. ZF TOTAL DUE 1S REFLECTED AS A "CREDIT" (CR), YOU MAY DE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) reflect figures that include the total of ALL returns assessed to date. 95,6725.55 2,720.8q q9.85 2,770.69 Z~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 wil1 (11) qq.7qq.~7 (lZ) 1,q28,6025.7q (13) 2561,5q6.63 (lq) 1,067,057.11 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0 601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ULSH JAMES A 3401 N.FRONT ST. P.O. BOX 5950 HARRISBURG, PA 1 71 1 0-0950 fold ESTATE INFORMATION: ssN: i 32-05-soa2 FILE NUMBER: 2102-0307 DECEDENT NAME: LEVINE WILLIAM J DATE OF PAYMENT: 04/ 1 5/2003 POSTMARK DATE: 04/14/2003 COUNTY: CUMBERLAND DATE OF DEATH: 03/07/2002 REMARKS: JAMES ULSH ESQUIRE SEAL CHECK#5628 ACN ASSESSMENT CONTROL NUMBER REV-1162EXI11-961 N0. CD 002447 AMOUNT 101 ~ 52,770.69 TOTAL AMOUNT PAID: 52,770.69 INITIALS: VZ RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES XHHERZTANCE TAX DZVTSZON DEPT. Z80601 HARR/SBURG., PA 171Z8-0601 JAMES A ULSH ESQ HETTE ETAL PO BOX 5950 HBG PA 171~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER DATE 08-0q-2003 ESTATE OF LEVINE DATE OF DEATH 03-07-2002 FILE NUMBER 21 02-0307 /:~ ~ .i/; ; ~iCOUNTY CUMBERLAND ACN ZO2 Amount RE¥-?S6 EX AFP (01-0~') WILLIAM J HAKE CHECK PAYABLE AND REMZT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS L'rNE ~ RETAIN LOWER PORT'rON FOR YOUR FILES ~ REV-736 EX AFP (01-02) az NOTICE OF DETERNZNATZON AND ASSESSNENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER az ESTATE OF LEVINE WILLIAM J FZLE NO.21 02-0307 ACN 202 DATE 08-0q-2003 ESTATE TAX DETERMZNATZON 1. Credit For State Death Taxes as Verified Z7,7ql.7q Z. PennsyIvania Inheritance Tax Assessed (Excluding Discount and/or Interest) 3. Inheritance Tax Assessed by Other States or Territories of the United States (Excludgng D~scount and/or Interest) Tote! Inheritance Tax Assessed 5. Pennsylvania Estate Tax Due 6. Amount of Pennsylvania Estate Tax Previously Assessed Based on Federa! Estate Tax Return .00 7. Additiona! Pennsylvania Estate Tax Due .00 TAX CREDITS: 93,657.55 .00 93/657.55 .00 PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX CREDIT I I BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ~ZF PAID AFTER THIS DATE, SEE REVERSE SIDE (TF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS REQUIRED FOR CALCULATTON OF ADDZTZONAL INTEREST. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CA), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) .00 .00 .00 .00 PURPOSE OF NOTICE: PAYMENT: REFUND CCR}: OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: PENALTY: INTEREST: To fulfill the requirements of Section Z140 of the Inheritance and Estate Tax Act, Act Z3 of ZOO0. (7Z P.S. Section 91q0). Detach the top portion of this Notice and submit with your payment to the Register of Nills printed on the reverse side. -- Make check or money order payable to: REGISTER OF #ILLS, AGENT. A refund of a tax credit amy ba requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1315). Applications are available at the Office of tho Register of Nills, any of the Z3 Revenue District Offices or from the Department's Iq-hour ansearing service for fores ordering: 1-800-362-Z050; services for taxpayers with special hearing and/or speaking needs: 1-800-q47-30ZO (TT only). Any party in interest not satisfied with the assessment of tax as shown on this notice may object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department af Revenue, Board of Appeals, Dept. ZalOZl, Harrisburg, PA 17liB-lOg1, --electing to have the matter determined at audit of the personal representative, OR --appeal to the Orphans' Court OR Factual errors discovered on this assessment should ba addressed in writing to: PA Department of Revenue, Bureau of Individual Taxesj ATTN: Post Assessment Review Unit, Dept. ZB0601, Harrisburgj PA 171Z8-0601, Phone [717) 787-650S. Sea page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. The 1SI tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the and of the tax amnesty parted. This non-participation penalty ts appealable tn the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Additional Pennsylvania Estate Tax assessed as a result of a change on the Federal Estate Tax closing letter becomes delinquent at the expiration of Dna (1) month from the date the final notice of the increase tn Federal Estate Tax is received. Taxes which became delinquent before January 1, 198Z bear interest at the rate of six (6Z) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on or after January 1, 198Z will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by tho PA Department of Revenue. The applicable interest rates far 198Z through ZOOZ ara: Year lnterast Rate Daily Interest Factor Year Interest Rate Daily lntarast Factor 199Z 92 ,OOOZ4? 198Z ZOZ .0005¢8 1983 162 .000438 1993-199¢ 72 .000192 1984 llZ .000301 1995-1998 92 .000Z¢7 1985 132 .000356 1999 72 .O0019Z 1986 10Z .00027¢ ZOOO 82 .O00Z19 1987 9X .000247 ZOO1 9Z .000Z¢7 1988-1991 llZ .go0301 ZOO2 6Z .00016¢ --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELTNI~UENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen £15) days beyond the date of tho assessment. If payment is made after the interest computation date shown on the Notice, additional interest must ba calculatad. BUREAU OF ZNDZVTDUAL TAXES ZNHERTTANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-n601 COMMONWEALTH OF PENNSYLVANZA DEPARTMENT OF REVENUE ZNHERZ'I'ANCE TAX STATEHENT OF ACCOUNT REV-260? EX AFP (01-03) DATE 05-05-2003 ESTATE OF LEVINE DATE OF DEATH 03-07-2002 FZLE NUMBER 21 02-0307 COUNTY CUMBERLAND dAMES A ULSH ESQ ACN 101 METTE ETAL PO BOX 5950 I Amount Remitted HBG PA 17110 WILLIAM MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To Lnsure proper credLt to your account, submit the upper portion of thLs form with your tax payment. CUT ALONG TH'rS LINE ~ RETAZN LONER PORT'rON FOR YOUR RECORDS -~ REV-1607 EX AFP (01-03) ~ 'rNHERZTANCE TAX STATEMENT OF ACCOUNT ~ ESTATE OF LEVINE WILLIAM J F/LE N0.21 02-0307 ACN 101 DATE 05-05-2003 THIS STATEHENT ZS PROV/DED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN ZN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PR[NCZPAL TAX DUE, APPLZCAT/ON OF ALL PAYHENTS, THE CURRENT BALANCE, AND, ZF APPLICABLE, A PROJECTED INTEREST F/gURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-31-2003 PRINCIPAL TAX DUE: ........................................................................................................................................................................................................................... PAYMENTS (TAX CREDITS): 98,39q.39 PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID q,736.8q 06-05-2002 12-05-2002 Oq-1q-2003 CD001263 CD001915 CDOOZqq7 .00 49.48- 90,000.00 956.71 2,770.69 ZF PAID AFTER THZS DATE, SEE REVERSE SZDE FOR CALCULATZON OF ADDITIONAL INTEREST. ( ZF TOTAL DUE ZS LESS THAN $1~ NO PAYMENT 1S REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" TOTAL TAX CREDIT BALANCE OF TAX DUE 98,394.76 · 37CR INTEREST AND PEN. .00 TOTAL DUE .37CR YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) PAYMENT: Detach the top portion of this Notice and submit with your payment made payabZe to the name and address printed an the reverse side. -- If RESIDENT DECEDENT make check or money order payable to: REGTSTER OF #/LLS, AGENT. -- If NON-RESIDENT DECEDENT make check or money order payabla to: COMMONWEALTH OF PENNSYLVANTA. REFUND (CR): A refund of a tax credit, mhich was not requested on the Tax Return, may be requested by completing an "Application for Rafund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register of NiIIs, any of the 13 Revenue District Offices or from the Department's Zq-hour ansaaring service for forms ordering: 1-800-361-Z050~ services for taxpayers with special hearing and / or spaaking needs: 1-800-qq7-3010 (TT REPLY TO: guestians regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau of IndividuaZ Taxes, ATTN: Post Assessment Review Unit, Dept. Z&060I, Harrisburg, PA ITIZS-06Ol, phone (717) 787-6S05. DISCOUNT: If any tax due is paid within three (3) calendar months after the decadent's death, a fiva percent (51) discount of the tax paid is alZomed. PENALTY: The 1SI tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became daIinquent before January 1, 1982 bear interest at the rate of six (61) percent per annum calculated at a daily rate of .00016q. A11 taxes which became delinquent on and after January 1, 1981 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Dapartment of Revenue. The applicable interest rates for 1981 through Z003 ara: Interest Daily Interest Oaily Interest Year Rate Factor Year Rate Factor Year Rate Daily Factor I982 ZOZ .0005q8 1987 91 .0002~7 1999 7Z .000191 1983 16Z .000438 1988-1991 llZ .000301 ZOO0 8Z .O00ZX9 1964 III .000301 1992 9Z .000247 ZOOl 9Z .000247 1985 13Z .000356 1993-1994 71 .000191 ZOOZ 61 ,O0016q 1986 IOZ .O00ZTq 1995-1998 9Z .000247 2003 52 .000137 --Xntarast is calculated as follows: INTEREST = BALANCE OF TAX UNPA/D X NUI~BER OF DAYS DELTNgIUENT X DATLY INTEREST FACTOR --Any Notice issued after the tax becomes dalinquant wilt refract an interest calculation to fifteen (15) days beyond tha date of the assessment. If payment is made after the interest computation date shown on tha Notice, additional interest must be calculated. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 2002-00307 FIRST AND FINAL ACCOUNT OF ANGELENE A. LEVINE, EXECUTRIX OF THE ESTATE OF WILLIAM J. LEVINI~ Date of Death: Date of Executrix's Appointment: Accounting for the Period: Date of Complete Advertisement of Letters in the Cumberland Law Journal: Date of Complete Advertisement of Letters in The Sentinel: March ~., 2002 March J6, 2002 March 7, 2002 to June 15, 2004 May 24, 2002 May 14, 2002 Purpose of Account: The Executrix offers this account to acquaint interested parties with the transactions that have occurred during her administration of the estate. It is important that the account be carefully examined. Requests for additional information or questions or objections can be discussed with: Angelene A. Levine 3428 Logan Street Camp Hill, PA 17011 or James A. Ulsh, Esquire Vicky Ann Trimmer, Esquire Mette, Evans & Woodside 3401 North Front Street P.O. Box 5950 Harrisburg, PA 17110-0950 (717) 232-5000 399959vl SUMMARY OF ACCOUNT Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Principal Receipts Net Gain (or Loss} on Sales or Other Dispositions Other Receipts Less Disbursements: Taxes Balance before Distributions Distributions to Beneficiaries Principal Balance on Hand For Information: Changes in Investment Holdings Page 1-5 6-il 12 13-17 18 19-29 Fiduciary Acquisition Value $1,473,348.11 -4,885.71 0.00 $1,468,462.40 93,707.40 $1,374,755.00 1,374,755.00 $ 0.00 Income Receipts Less Disbursements Balance before Distributions Distributions to Beneficiaries income Balance on Hand 30-47 48 91,314.94 0.00 91,314.94 68,559.76 22,755.18 Combined Balance on Hand $ 22,755.18 RECEIPTS OF PRINCIPAL Estate of William J. Levine As of 06/18/2004 Page 1 Assets Listed in Inventory (Valued as of date of death) Honey Market Accounts Janney Montgomery Honey Market $36.29 Accrued Interest Municipal Bonds Abington PA Sch Dist Bond 15,000 Units Allegheny Cry PA 5.0% Bend 25,000 Units Allegheny Cty PA 6.0% Bond !0,000 Units Allegheny PA Hosp Dev Bond 5,000 Units Alteena PA Bend 15,000 Units Berks Cry PA FGIC Bend 10,000 Units Blairsville-Saltsburg Bond 5,000 Units Central Dauphin PA 5.0% Bond 25,000 Units Central Dauphin PA Sch Bond 20,000 Units Central Dauphin PA Sch Dist 4.5% 5,000 Units Derry PA Area Sch Dist 02/01/21 5.5 20,000 Units Derry PA Area 8ch Dist 5.5% 2/01/14 15,000 Units Derry Twp PA San Swr Auth Bond !0,000 Units Derry Twp PA Sch Dist 4.5 11/15/02 15,000 Units Erie PA Wtr Auth Bend 10,000 Units Gateway PA Sch Dist Bend 5,000 Units General HcLane School Dist Bend 20,000 Units Lancaster PA Area Swr Auth Bond 5,000 Units Lower Bucks Cnty PA Bond 25,000 Units Lower Providence Twp Bond 10,000 Units Hethacten PA Sch Dist Bond 25,000 Units $ 14,783.55 26,290.00 1i,075.40 5,223.55 14,339.55 10,282.40 5,056.25 26,838.75 20,603.40 5,060.90 20,090.80 15,357.15 10,925.60 15,110.10 10,201.00 5,281.00 20,434.40 5,556.00 25,843.00 10,091.30 28,460.00 Fiduciary Acquisition Value 80,424.84 RECEIPTS OF PRINCIPAL Estate of William J. Levine As of 06/18/2004 Page 2 Assets Listed in Inventory {Valued as of date of death} Montgomery Cnty PA Bond 10,000 Units North Penn PA Sch Dist Bond 10,000 Units PA Hsg Fin Agy 5.45% Bond 10,000 Units PA Nsg Fin Agy Bond 5.3% 15,000 Units PA Intergovtl Coop Bond 06/15/21 15,000 Units PA Intergovtl Coop Bond 5.05% 5,000 Units PA Intergvrmnt Coop Bond 6.7% 20,000 Units PA Intergvt Coop Bond 5.0% 06/15/06 15,000 Units PA St First Ser 5.0% Bond 25,000 Units PA St First Set 5.125% Bond 25,000 Units PA St HEFA 5.35% Bond 25,000 Units PA St HFA SFM 5.9% Bond 25,000 Units PA St Hight Edl Facs Bond 5,000 Units PA St Indl Der Auth Bond 30,000 Units PA St Second Ser Bond 5.2% 10,000 Units PA St Second Series 5.0% Bond 10,000 Units PA St Third Set 4.5% Bond 12/01/07 25,000 Units PA St Third Set 4.5% Bond 12/01/10 15,000 Units PA St Tpk Crr~nn 5.25% Bond 12/01/16 35,000 Units PA St Tpk C~mn Bond 12/01/14 50,000 Units PA St Univ Bond 10,000 Units Penn Hills PA Ambac OID Bond 10,000 Units Penn Intergvrnmntl Coop Bond 5.15% 35,000 Units Penn Manor Sch Dist PA Bond 10,000 Units $ 10,846.40 10,836.30 10,137.30 15,909.00 14,870.55 5,168.35 22,421.20 16,050.45 26,703.75 26,859.50 26,000.25 26,065.25 4,554.75 31,284.30 10,639.80 10,767.50 26,232.75 15,460.20 36,292.90 52,477.00 10,312.30 10,332.40 36,501.50 10,802.00 Fiduciary Acquisition Value RECEIPTS OF PRINCIPAL Estate of William J. Levine As of 06/18/2004 Page 3 Assets Listed in Inventory (Valued as of date of death) Penn St CTFS Partn Bond 5,000 Units Penn St Hghr Ed Bond 20,000 Units Penn St Hi Ed Facs Ath Bond 5,000 Units Penn-Trafford PA Sch Bond 10,000 Units Pgh PA Wtr & Swr 5.0% Bond !0,000 Units Phila PA Arpt Bond 40,000 Units Phila PA Auth for IDA Bond 5,000 Units Phila PA Auth for Indl Dev Bond 5,000 Units Phila PA Gas Wks Bond 10,000 Units Phila PA Gas Wks Bond 5.25% 20,000 Units Phila PA Sch Dist Bond 6.25% 20,000 Units Phila PA Wtr & Wstwtr Bond 25,000 Units Pine Richland PA Bond 25,000 Units Pitts & Allegheny Co PA Bond 25,000 Units Pittsburgh PA Rfdg Set Bond 4.5% 25,000 Units Pittsburgh PA Sch Dist 4.3% Bond 10,000 Units Pittsburgh PA W&S Auth Bond 10,000 Units Pittsburgh PA Wtr & Swr 5.0% Bond 25,000 Units Pittsburgh PA Wtr & Swr Bond 4.7% 25,000 Units Pittsburgh PA Wtr & Swr Bond 5.6% 50,000 Units Reading PA Sch Auth Bond 5,000 Units Ringgold PA Sch Dist Bond 35,000 Units Scranton PA Bond 15,000 Units Shaler PA Area Sch Dist Bond 5,000 Units $ 5,022.75 20,344.60 5,136.25 10,760.00 9,965.10 41,520.40 5,226.65 4,821.60 12,280.30 21,288.20 22,188.20 27,510.75 27,794.25 25,430.00 26,048.00 10,204.50 12,190.60 25,141.75 26,320.25 54,557.00 5,123.00 40,704.65 15,572.10 5,129.05 Fiduciary Acquisition Value RECEIPTS OF PRINCIPAL Estate ef William J. Lev!ne As of 06/18/2004 Page 4 Assets Listed in Inventory (Valued as of date ef death} Silver Spring Twp Bond 5,000 Units Southeastern PA Trans Auth Bend 10,000 Units St Pub Sch Bldg Auth PA Bond 30,000 Units State Pub Sch Bldg Auth Bond 15,000 Units Tarentum Bor PA Bond 15,000 Units Tredyffrin Twp PA Rfdg Bond 10,000 Units Trinity ASD PA Bend 10,000 Units Upper Allen Twp PA Bond 15,000 Units Wayne Cnty PA Hsp & Hlth Bend 10,000 Units Wilkinshurg Penn PA Bend 5,000 Units Yerk Cnty PA Hosp Auth Bond 5,000 Units Individual Retirement Accts Janney Hentgemery Scett IRA TOTAL INVENTORY $ 4,947.45 10,662.50 30,562.20 15,337.20 15,268.20 10,682.80 10,506.40 16,246.95 10,896.20 5,113.35 6,211.65 Fiduciary Acquisition Value $1,371,144.65 21,778.62 $1,473,348.11 RECEIPTS OF PRINCIPAL Estate ef William J. Levine As of 06/18/2004 Receipts Subsequent to Inventory (Valued when received) 04/17/2002 Hopewell PA Area SD Bond TOTAL RECEIPTS SUBSEQUENT TO INVENTORY SUHMARY Tetal Inventery TOTAL RECEIPTS OF PRINCIPAL $ 0.00 Page 5 $ 0.00 $1,473,348.11 $1,473,348.11 GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS Estate ef William J. Levine For Period 03/07/2002 Through 06/18/2004 04/04/2002 Sale of 5,000 units of Penn St. Hi Ed Facs Ath Bond, CPN 4.9%; DUE 05/01/08 5,000 Units Net Proceeds $ 5,000.00 Fiduciary Acquisition Value 5,136.25 Net Loss 04/22/2002 Sale ef 20,000 units of Penn St Hghr Ed Bend; CPN 7.05%, DUE 10/01/16 20,000 Units Net Proceeds Fiduciary Acquisition Value Net Loss $ 20,300.00 20,344.60 05/01/2002 Redemption of Lower Providence Twp. municipal bend 10,000 Units Net Proceeds Fiduciary Acquisition Value Net Loss $ !0,000.00 10,091.30 05/15/2002 Redemption ef Blairsville-Saltsburg bond 5,000 Units Net Proceeds $ 5,000.00 Fiduciary Acquisition Value 5,056.25 Net Loss 05/15/2002 Redemption ef Derry Twp PA Sch Dist bend 15,000 Units Net Proceeds Fiduciary Acquisition Value $ 15,000.00 15,110.10 Gain Page 6 Loss $ 136.25 44.60 91.30 56.25 Net Loss 110.10 GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 7 05/30/2002 Sale of Pine Richland PA bond 25,000 Units Gain Loss Net Proceeds Fiduciary Acquisition Value Net Loss $ 27,436.19 27,794.25 07/01/2002 Redemption of Erie PA Wtr Auth bond 10,000 Units $ 358.06 Net Proceeds Fiduciary Acquisition Value Net Loss $ 10,000.00 10,201.00 08/15/2002 Sale of PA St Univ Second municipal bond !0,000 Units 201.00 Net Proceeds Fiduciary Acquisition Value Net Loss $ 10,200.00 10,312.30 08/15/2002 Sale of Wilkinsburg Penn PA municipal bond 5,000 Units 112.30 Net Proceeds Fiduciary Acquisition Value Net Loss $ 5,000.00 5,113.35 11/15/2002 Sale of Berks Cnty PA FGIC Rog Bond I0,000 Units 113.35 Net Proceeds Fiduc,ary Acquisition Value Net Less 11/18/2002 Sale of Lower Bucks Cnty PA Bond 25,000 Units $ 10,000.00 10,282.40 282.40 Net Proceeds Fiduciary Acquisition Value $ 25,000.00 25,843.00 Net Loss 843.00 GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 8 12/02/2002 Redemption of 10,000 units of Penn Hills PA Ambac OID bond 10,000 Units Gain Loss Net Proceeds Fiduciary Acquisition Value Net Loss $ 10,000.00 10,332.40 12/02/2002 Redemption of 5,000 units of Reading PA Sch Auth Bend 5,000 Units 332.40 Net Proceeds $ 5,000.00 Fiduciary Acquisition Value 5,123.00 Net Loss 01/02/2003 Redemption of 10,000 units of Allegheny Cnty PA Arpt 5.625% 01/01/23 10,000 Units 123.00 Net Proceeds Fiduciary Acquisition Value Net Gain $ 10,200.00 10,100.00 02/03/2003 Redemption of 20,000 units of Derry Twp. Area Sch Dist Bend, 5.5% DUE 02/01/21 20,000 Units 100.00 Net Proceeds Fiduciary Acquisition Value Net Loss $ 20,000.00 20,090.80 02/03/2003 Redemption of Derry PA Area Sch Dist Bond, 5.5% DUE 02/01/14 15,000 Units 90.80 Net Proceeds Fiduciary Acquisition Value $ 15,000.00 15,357.15 Net Loss 357.15 GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 9 04/02/2003 Sale of 50,000 units of Hopewell PA Area SD 0.00% 09/01/22 50,000 Units Gain Loss Net Proceeds Fiduciary Acquisition Value Net Gain $ 18,250.00 16,898.50 04/02/2003 Sale of 15,000 units of PA Intergovtl Coop 5.0% 06/15/21 15,000 Units $ 1,351.50 Net Proceeds Fiduciary Acquisition Value Net Gain $ 15,000.00 14,870.55 04/02/2003 Sale of 5,000 units of Phila PA Auth for Indl Der 5.0% 07/01/23 5,000 Units 129.45 Net Proceeds $ 4,950.00 Fiduciary Acquisition Value 4,821.60 Net Gain 04/02/2003 Sale of 25,000 units of Butler PA Area Sch Dist 4.75% 10/01/22 25,000 Units 128.40 Net Proceeds Fiduciary Acquisition Value Net Gain $ 24,750.00 23,897.25 04/02/2003 Sale of 35,000 units of Westmoreland Cnty 4.625% 12/01/21 35,000 Units 852.75 Net Proceeds Fiduciary Acquisition Value $ 34,431.25 35,000.00 Net Loss $ 568.75 GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 10 04/10/2003 Sale of 5,000 units of Hampton Twp. 02/01/27 5,000 Units PA 5.0% Gain Loss Net Proceeds $ 4,987.50 Fiduciary Acquisition Value 4,964.55 Net Gain 04/10/2003 Sale of 5,000 units of Pennsylvania PA Tpke 5.0% 07/15/31 5,000 Units 22.95 Net Proceeds $ 4,987.50 Fiduciary Acquisition Value 4,961.65 Net Gain 04/10/2003 Sale of 5,000 units of Red Lion PA Area SD 4.75% 04/15/22 5,000 Units 25.85 Net Proceeds $ 4,900.00 Fiduciary Acquisition Value 4,782.25 Net Gain 06/02/2003 Redemption of 20,000 units of Central Dauphin PA Sch municipal bond, 4.2%, 06/01/03 20,000 Units 117.75 Net Proceeds Fiduciary Acquisition Value Net Loss $ 20,000.00 20,603.40 06/16/2003 Redemption of 5,000 units of PA Intergovtl Coop municipal bend, 5.05%, 06/15/06 5,000 Units $ 603.40 Net Proceeds $ 5,000.00 Fiduciary Acquisition Value 5,168.35 Net Less 168.35 GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 11 06/16/2003 Redemption of 35,000 units of Penn Intergvrnmnntl Coop municipal bond, 06/15/05 35,000 Units 5.15%, Gain Loss Net Proceeds Fiduciary Acquisition Value Net Loss $ 35,000.00 36,501.50 06/16/2003 Redemption of 40,000 units of Phila PA Arpt municipal bond, 5.2%, 06/15/03 40,000 Units $ 1,501.50 Net Proceeds Fiduciary Acquisition Value Net Loss Total Gains and Losses Less Gain Net Loss $ 40,000.00 41,520.40 $2,728. 65 1,520.40 $7, 614.36 2,728.65 $ 4,885.71 DISBURSEMENTS OF PRINCIPAL Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 12 Taxes 06/05/2002 Cumberland County Register of Wills, Agent prepayment ef inheritance tax 12/24/2002 Register of Wills, Agent - balance ef inheritance tax (reimbursed te Angelene) 04/14/2003 Register of Wills, Agent - balance of PA inheritance tax TOTAL DISBURSEHENTS OF PRINCIPAL $ 90,000.00 936.71 2,770.69 $ 93,707.40 $ 93,707.40 DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 13 To: Angelene A. Levine Distribution to designated beneficiary 04/18/2002 Janney Montgomery Scott IRA $ 21,778.62 To: William Levine Trust A Distribution to Trust A, Unified Credit Trust 06/18/2003 Abingten PA Sch Dist Bond 15,000 Units 06/18/2003 Allegheny Cty PA 5.0% Bend 25,000 Units 06/18/2003 Allegheny Cty PA 6.0% Bond 10,000 Units 06/18/2003 Allegheny PA Hosp Dev Bond 5,000 Units 06/18/2003 Allentown PA FGIC 5.5% 10/15/14 10,000 Units 06/18/2003 Altoona PA Bond 15,000 Units 06/18/2003 Bucks Cry PA AMBAC W&S 4.5% 12/1/19 25,000 Units 06/18/2003 Central Dauphin PA Sch Dist 4.5% 5,000 Units 06/18/2003 Central Dauphin Prerefunded SR 5,000 Units 06/18/2003 Central Dauphin Unrefunded Balance 20,000 Units 06/18/2003 Centre Cnty PA Hghr Ed 0% 4/01/10 15,000 Units 06/18/2003 Delaware River Port 5.5% 01/01/26 20,000 Units 06/18/2003 Delaware River Port 5.5% 01/01/26 Accrued Interest 06/18/2003 Derry Twp PA San Swr Auth Bond 10,000 Units $ 14,783.55 26,290.00 11,075.40 5,223.55 11,042.00 14,339.55 25,000.00 5,060.90 5,367.75 21,471.00 11,289.00 22,000.00 507.22 10,925.60 DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 06/18/2003 East Marlborough Twp 2.9% 12/15/05 25,000 Units 06/18/2003 Gateway PA Sch Dist Bond 5,000 Units 06/18/2003 General McLane School Dist Bond 20,000 Units 06/18/2003 Lancaster PA Area Swr Auth Bond 5,000 Units 06/18/2003 Lower Makefield 4.05% 12/01/14 5,000 Units 06/18/2003 Methacton PA Sch Dist Bond 25,000 Units 06/18/2003 Montgomery Cnty PA Bond 10,000 Units 06/18/2003 North Penn PA Sch Dist Bond 10,000 Units 06/18/2003 North Penn Wtr Auth 7.0% 11/01/24 15,000 Units 06/18/2003 PA Convention Ctr Auth Bond 10,000 Units 06/18/2003 PA Hsg Fin Agy 5.45% Bond 10,000 Units 06/18/2003 PA Hsg Fin Agy Bond 5.3% 15,000 Units 06/18/2003 PA Intergvrmnt Coop Bond 6.7% 20,000 Units 06/18/2003 PA Intergvt Coop Bond 5.0% 06/15/06 15,000 Units 06/!8/2003 PA St First Set 5.0% Bond 25,000 Units 06/18/2003 PA St FirsE Ser 5.125% Bond 25,000 Units 06/18/2003 PA St HEFA 5.35% Bond 25,000 Units 25,918.50 5,281.00 20,434.40 5,556.00 5,000.00 28,460.00 10,846.40 10,836.30 16,622.70 11,550.00 10,137.30 15,909.00 22,421.20 16,050.45 26,703.75 26,859.50 26,000.25 Page 14 DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 06/18/2003 PA St HFA SFM 5.9% Bond 25,000 Units $ 26,065.25 06/18/2003 PA St Hight Edl Facs Bond 5,000 Units 4,554.75 06/18/2003 PA St Indl Dev Auth Bond 30,000 Units 31,284.30 06/18/2003 PA St Second Set 5.25% 10/01/09 10,000 Units 11,287.00 06/18/2003 PA St Second Ser 5.25% 10/01/09 Accrued Interest 3.12 06/18/2003 PA St Second Set Bond 5.2% 10,000 Units 10,639.80 06/18/2003 PA S~ Second Series 5.0% Bond 10,000 Units 10,767.50 06/18/2003 PA St Third Set 4.5% Bond 12/01/06 20,000 Units 21,907.80 06/18/2003 PA St Third Ser 4.5% Bond 12/01/07 25,000 Units 26,232.75 06/18/2003 PA St Third Set 4.5% Bond 12/01/10 15,000 Units 15,460.20 06/18/2003 PA St Tpk Cr~nn 5.25% Bond 12/01/16 35,000 Units 36,292.90 06/18/2003 PA St Tpk Cr~m Bond 12/01/14 50,000 Units 52,477.00 06/18/2003 Penn Manor Sch Dist PA Bond 10,000 Units 10,802.00 06/18/2003 Penn St CTFS Partn Bond 15,000 Units 15,122.04 06/18/2003 Penn St Tpk Con~ll Oil 6.0% 10,000 Units 11,049.00 06/18/2003 Penn St Tpk Comm Oil 6.0% 12/01/14 25,000 Units 27,444.25 Page 15 06/18/2003 Penn-Trafford PA Sch Bond 10,760.00 10,000 Units DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 06/18/2003 Phila PA Auth for IDA Bond 5,000 Units $ 5,226.65 06/18/2003 Phila PA Gas Wks Bond 10,000 Units 12,280.30 06/18/2003 Phila PA Gas Wks Bond 5.25% 20,000 Units 21,288.20 06/18/2003 Phila PA Sch Dist Bond 6.25% 20,000 Units 22,188.20 06/18/2003 Phila PA Ser B 6.0% 11/15/13 20,000 Units 22,056.60 06/18/2003 Phila PA Wtr & Wstwtr Bond 25,000 Units 27,510.75 06/18/2003 Pittsburgh PA Sch Dist 4.3% Bond 10,000 Units 10,204.50 06/18/2003 Pittsburgh PA Wtr & Swr Bond 4.7% 25,000 Units 26,320.25 Page 16 Total for William Levine Trust A To: William Levine Trust B Distribution to Trust B, Marital Trust 06/18/2003 Cash 06/18/2003 Pgh PA Wtr & Swr 5.0% Bond 10,000 Units 06/18/2003 Pitts & Allegheny Co PA Bond 25,000 Units 06/18/2003 Pittsburgh PA Rfdg Set Bond 4.5% 25,000 Units 06/18/2003 Pittsburgh PA W&S Auth Bond 10,000 Units 06/18/2003 Pittsburgh PA Wtr & Swr 5.0% Bond 25,000 Units 06/18/2003 Pittsburgh PA Wtr & Swr Bond 5.6% 50,000 Units 06/18/2003 Ringgold PA Sch Dist Bond 35,000 Units 62,650.60 9,965.10 25,430.00 26,048.00 12,190.60 25,141.75 54,557.00 40,704.65 $938,187.38 DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 06/18/2003 Scranton PA Bond 15,000 Units 06/18/2003 Shaler PA Area Sch Dist Bond 5,000 Units 06/18/2003 Silver Spring Twp Bond 5,000 Units 06/18/2003 Southeastern PA Trans Auth Bond 10,000 Units 06/18/2003 St Pub Sch Bldg Auth PA Bond 30,000 Units 06/18/2003 State Pub Sch Bldg Auth Bond 15,000 Units 06/18/2003 Tarentum Bor PA Bond 15,000 Units 06/18/2003 Tredyffrin Twp PA Rfdg Bond 10,000 Units 06/18/2003 Trinity ASD PA Bond 10,000 Units 06/18/2003 Upper Allen Twp PA Bond 10,000 Units 06/18/2003 Wayne Cnty PA Hsp & Hlth Bond 10,000 Units 06/18/2003 York Cnty PA Hosp Auth Bond 5,000 Units 06/20/2003 Wallingford Swarthmore 5.125% 10,000 Units 06/20/2003 Wallingford Swarthmore 5.125% Accrued Interest Total for William Levine Trust B TOTAL DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES $ 15,572.10 5,129.05 4,947.45 10,662.50 30,562.20 15,337.20 15,268.20 10,682.80 10,506.40 11,246.95 10,896.20 6,211.65 11,030.20 48.40 Page 17 $414,789.00 $1,374,755.00 PRINCIPAL BALANCE ON HAND Estate of William J. Levine As of 06/18/2004 Page 18 Money Market Accounts JMS Estate Money Market Less: Income balance on hand PRINCIPAL BALANCE ON HAND Current Value Carrying Value $ 22,755.18 $ 22,755.18 $ 22,755.18 $ 22,755.18 22,755.18 22,755.18 $ 0.00 $ 0.00 INFORMATION SCHEDULES Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 19 Changes in Investment Holdings JHS Estate Money Market 04/17/2002 Purchase of 50,000 units of Hopewell PA Area SD municipal bond 04/17/2002 Purchase of 5,000 units of Red Lion PA Area Sch Dist 4.75% 04/15/22 05/03/2002 Purchase of 25,000 units of Butler PA Area Sch Dist 4.75% 10/01/22 05/03/2002 Purchase of 5,000 units of Hampton Twp. PA 5.0% 02/01/27 05/03/2002 06/05/2002 08/02/2002 12/24/2002 01/31/2003 Purchase of 5,000 units of Pennsylvania PA Tpke 5.0% 07/15/31 Cumberland County Register of Wills, Agent - prepayment of inheritance tax Purchase of 15,000 units of Centre Cnty PA Hghr Ed municipal bond Register of Wills, Agent - balance of inheritance tax (reimbursed to Angelene) Purchase of 20,000 units of PA St Third Set municipal bond CPN 4.5% DUE 12/01/06 02/05/2003 Purchase of 25,000 units of Bucks Cnty PA AMBAC Water & Swr Bond 02/05/2003 02/05/2003 Purchase of 5,000 units of Lower Makefield Twp. PA bond Purchase of 10,000 units of PA Convention Ctr Auth Bend 02/05/2003 Purchase of 35,000 units of Westmoreland Cnty 4.625% 12/01/21 02/07/2003 Purchase of 15,000 units of North Penn Wtr Auth bond 02/07/2003 Purchase of 10,000 units of Penn St Tpk Co~ Oil Franchise bond $512,175.82 -16,898.50 -4,786.87 -24,019.30 -4,990.24 -5,040.12 -90,000.00 -11,289.00 -936.71 -22,067.80 -25,009.38 -5,006.50 -11,815.00 -35,121.41 -16,917.28 -11,167.33 INFORMATION SCHEDULES Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 20 02/07/2003 03/05/2003 03/31/2003 04/02/2003 04/02/2003 04/14/2003 06/12/2003 06/12/2003 Purchase of 20,000 units of Phila PA Set B bond Purchase of 10,000 units of Allentown PA FGIC 5.5% 10/15/14 Purchase of 10,000 units of PA St Second Set 5.25% 10/01/09 Purchase of 25,000 units of East Marlborough Twp. PA bond 2.9% 12/15/05 Purchase of 25,000 units of Penn St Tpk Comm Oil 6.0% 12/01/14 Register of Wills, Agent - balance of PA inheritance tax Purchase of 20,000 units of Delaware River Port bond, 5.5%, 01/01/26 Purchase of 10,000 units of Wallingford Swarthmore PA bond, 5.125%, 05/15/16 Janney Montgomery Money Market 03/15/2002 Collection of accrued dividends on JMS Money Market acct. 03/25/2002 Purchase of 10,000 units of Allegheny Cnty PA Arpt 5.625% 01/01/23 03/27/2002 Purchase of I0,000 units of Penn St CTFS Partn municipal bond 04/16/2002 Close-out of JMS Acct. #5192-0425 and journal into new Estate Acct. %5192-0374 Allegheny Cnty PA Arpt 5.625% 03/25/2002 Purchase of 10,000 units ef Allegheny Cnty PA Arpt 5.625% 01/01/23 10,000 Units $135.94 Accrued Interest 07/01/2002 Ce!lection of accrued tax exempt interest earned en municipal bend 8-22,346.60 -11,263.53 -11,290.12 -26,144.06 -27,969.25 -2,770.69 -22,507.22 -11,078.60 $ 87,354.28 -36.29 -10,235.94 -10,099.29 -66,982.76 $ 0.00 10,235.94 -135.94 $ 91,740.31 0.00 INFORMATION SCHEDULES Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 21 01/02/2003 Redemption of 10,000 units of Allegheny Cnty PA Arpt 5.625% 01/01/23 10,000 Units Allentown PA FGIC 5.5% 10/15/14 03/05/2003 Purchase of 10,000 units of Allentown PA FGIC 5.5% 10/15/14 10,000 Units $221.53 Accrued Interest 04/15/2003 Collection of accrued tax exempt interest earned on municipal bond Berks Cry PA FGIC Bond 11/15/2002 Sale of Berks Cnty PA FGIC Rog Bond 10,000 Units Blairsville-Saltsburg Bond 05/15/2002 Redemption of Blairsville-Saltsburg bond 5,000 Units Bucks Cry PA AMBAC W&S 4.5% 12/1/19 02/05/2003 Purchase of 25,000 units of Bucks Cnty PA AMBAC Water & Swr Bond 25,000 Units $9.38 Accrued Interest 06/02/2003 Collection of tax exempt interest earned on municipal bond Butler PA Area Sch 4.75% 10/01/22 05/03/2002 Purchase of 25,000 units of Butler PA Area Sch Dist 4.75% 10/01/22 25,000 Units $122.05 Accrued Interest $-10,100.00 $ 0.00 11,263.53 -221.53 $ 10,282.40 -10,282.40 $ 5,056.25 -5,056.25 $ 0.00 25, 009.38 9.38 $ 0.00 24, 019. 30 0.00 11,042.00 0.00 0.00 25,000.00 10/01/2002 Collection of tax exempt interest earned on municipal bond -122.05 INFORMATION SCHEDULES Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 22 04/02/2003 Sale of 25,000 units of Butler PA Area Sch Dist 4.75% 10/01/22 25,000 Units Central Dauphin PA 5.0% Bond 01/08/2003 Exchange from Central Dauphin PA 5.0% 12/01/08 to Central Dauphin PA Unrefunded Balance 5.0% 12/01/08 20,000 Units 01/08/2003 Exchange from Central Dauphin PA 5.0% 12/01/08 to Central Dauphin PA Prerefunded SR 5.0% 12/01/08 5,000 Units Central Dauphin PA Sch Bond 06/02/2003 Redemption of 20,000 units of Central Dauphin PA Sch municipal bond, 4.2%, 06/01/03 20,000 Units Central Dauphin Prerefunded SR 01/08/2003 Exchange from Central Dauphin PA 5.0% 12/01/08 te Central Dauphin PA Prerefunded SR 5.0% 12/01/08 5,000 Units Central Dauphin Unrefunded Balance 01/08/2003 Exchange from Central Dauphin PA 5.0% 12/01/08 to Central Dauphin PA Unrefunded Balance 5.0% 12/01/08 20,000 Units Centre Cnty PA Hghr Ed 0% 4/01/10 08/02/2002 Purchase of 15,000 units of Centre Cnty PA Hghr Ed municipal bond 15,000 Units $-23,897.25 $ 26,838.75 -21,471.00 -5,367.75 $ 20,603.40 -20,603.40 $ 0.00 5,367.75 $ 0.00 21,471.00 $ 0.00 11,289.00 0.00 0.00 0.00 5,367.75 21,471.00 11,289.00 INFORMATION SCHEDULES Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 23 Delaware River Port 5.5% 01/01/26 06/12/2003 Purchase of 20,000 units of Delaware River Port bond, 5.5%, 01/01/26 20,000 Units $507.22 Accrued Interest Derry PA Area Sch Dist 02/01/21 5.5 02/03/2003 Redemption of 20,000 units of Derry Twp. Area Sch Dist Bond, 5.5% DUE 02/01/21 20,000 Units Derry PA Area Sch Dist 5.5% 2/01/14 02/03/2003 Redemption of Derry PA Area Sch Dist Bend, 5.5% DUE 02/01/14 15,000 Units Derry Twp PA Sch Dist 4.5 11/15/02 05/15/2002 Redemption of Derry Twp PA Sch Dist bend 15,000 Units East Marlborough Twp 2.9% 12/15/05 04/02/2003 Purchase of 25,000 units of East Marlborough Twp. PA bond 2.9% 12/15/05 25,000 Units $225.56 Accrued interest 06/16/2003 Collection of tax exempt interest earned on municipal bond Erie PA Wtr Auth Bond 07/01/2002 Redemption of Erie PA Wtr Auth bond 10,000 Units $ 0.00 22,507.22 $ 20,090.80 -20,090.80 $ 15,357.15 -15,357.15 $ 15,110.10 -15,110.10 $ 0.00 26,144.06 -225.56 $ 10,201.00 -10,201.00 $ 22,507.22 0.00 0.00 0.00 25,918.50 0.00 INFORHATION SCHEDULES Estate ef William J. Levine For Period 03/02/2002 Through 06/18/2004 Page 24 Hampton Twp 05/03/2002 08/01/2002 04/10/2003 PA 5.0% 02/01/27 Purchase of 5,000 units ef Hampton Twp. PA 5.0% 02/01/27 5,000 Units $25.69 Accrued Interest Collection of tax exempt interest earned on municipal bond Sale ef 5,000 units e£ Hampton Twp. PA 5.0% 02/01/27 5,000 Units Hopewell PA Area SD Bond 04/17/2002 Purchase of 50,000 units of Hopewell PA Area SD municipal bond 50,000 Units 04/02/2003 Sale of 50,000 units of Hopewell PA Area SD 0.00% 09/01/22 50,000 Units Lower Bucks Cnty PA Bond 11/18/2002 Sale of Lower Bucks Cnty PA Bond 25,000 Units Lower Makefield 4.05% 12/01/14 02/05/2003 Purchase ef 5,000 units of Lower Hakefield Twp. PA bend 5,000 Units $6.50 Accrued Interest 06/02/2003 Collection of tax exempt interest earned on municipal bond Lower Providence Twp Bond 05/01/2002 Redemption of Lower Providence Twp. municipal bond 10,000 Units $ 0.00 4,990.24 -25.69 -4,964.55 $ 0.00 16,898.50 -16,898.50 $ 25,843.00 -25,843.00 $ 0.00 5,006.50 -6.50 $ 10,091.30 10,091.30 0.00 0.00 0.00 5,000.00 0.00 INFORMATION SCHEDULES Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 25 North Penn Wtr Auth 7.0% 11/01/24 02/07/2003 Purchase of 15,000 units of North Penn Wtr Auth bond 15,000 Units $294.58 Accrued Interest 05/01/2003 Collection of accrued tax exempt interest earned on municipal bond PA Convention Ctr Auth Bond 02/05/2003 Purchase of 10,000 units of PA Convention Ctr Auth Bond 10,000 Units $265.00 Accrued Interest 03/03/2003 Collection of accrued tax exempt interest earned on municipal bond PA Intergovtl Coop Bond 06/15/21 04/02/2003 Sale of 15,000 units of PA Intergovtl Coop 5.0% 06/15/21 15,000 Units PA Intergovtl Coop Bond 5.05% 06/16/2003 Redemption of 5,000 units of PA Intergovtl Coop municipal bond, 5.05%, 06/15/06 5,000 Units PA St Second Set 5.25% 10/01/09 03/31/2003 Purchase of 10,000 units of PA St Second Set 5.25% 10/01/09 10,000 Units $3.12 Accrued Interest PA St Third Set 4.5% Bond 12/01/06 01/31/2003 Purchase of 20,000 units o~ PA St Third Set municipal bond $ 0.00 16,917.28 -294.58 $ 0.00 11,815.00 -265.00 $ 14,870.55 -14,870.55 $ 5,168.35 -5,168.35 $ 0.00 11,290.12 $ 0.00 $ 16,622.70 11,550.00 0.00 0.00 11,290.12 INFORMATION SCHEDULES Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 CPN 4.5% DUE 12/01/06 20,000 Units $160.00 Accrued Interest 06/02/2003 Collection of tax exempt interest earned on municipal bond $ 22,067.80 -160.00 PA St Univ Bond 08/15/2002 Sale of PA St Univ Second municipal bond 10,000 Units $ 10,312.30 -10,312.30 Penn Hills PA ~k~bac OlD Bond 12/02/2002 Redemption of 10,000 units of Penn Hills PA Au~bac OID bond 10,000 Units 10,332.40 -10,332.40 Penn Intergvrnmntl Coop Bond 5.15% 06/16/2003 Redemption of 35,000 units of Penn Intergvrnmnntl Coop municipal bond, 06/15/05 35,000 Units 5.15%, $ 36,501.50 -36,501.50 Penn St CTFS Partn Bond 03/27/2002 Purchase of 10,000 units of Penn St CTFS Partn municipal bond 10,000 Units $ 5,022.75 10,099.29 Penn St Hghr Ed Bond 04/22/2002 Sale of 20,000 units of Penn St Hghr Ed Bond; CPN 7.05%, DUE 10/01/16 20,000 Units $ 20,344.60 -20,344.60 Page 26 $ 21,907.80 0.00 0.00 0.00 15,122.04 0.00 INFORMATION SCHEDULES Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 27 Penn St Hi Ed Facs Ath Bond 04/04/2002 Sale of 5,000 units of Penn St. Hi Ed Facs Ath Bond, CPN 4.9%; DUE 05/01/08 5,000 Units Penn St Tpk COMa Oil 6.0% 02/07/2003 Purchase of 10,000 units of Penn St Tpk Colnm Oil Franchise bond 10,000 Units $118.33 Accrued Interest 06/02/2003 Collection of tax exempt interest earned on municipal bond Penn St Tpk Co~n Oil 6.0% 12/01/14 04/02/2003 Purchase of 25,000 units of Penn St Tpk Com~ Oil 6.0% 12/01/14 25,000 Units $525.00 Accrued Interest 06/02/2003 Collection of tax exempt interest earned on municipal bond Pennsylvania PA Tpke 5.0% 07/15/31 05/03/2002 Purchase of 5,000 units of Pennsylvania PA Tpke 5.0% 07/15/31 5,000 Units $78.47 Accrued Interest 07/15/2002 Collection of tax exempt interest earned on municipal bond 04/10/2003 Sale of 5,000 units of Pennsylvania PA Tpke 5.0% 07/15/31 5,000 Units Phila PA Arpt Bond 06/16/2003 Redemption of 40,000 units ef Phila PA Arpt municipal bond, 5.2%, 06/15/03 40,000 Units $ 5,136.25 -5,136.25 $ 0.00 11,167.33 -118.33 $ 0.00 27,969.25 525.00 $ 0.00 5,040.12 -78.47 -4,961.65 $ 41,520.40 -41,520.40 0.00 11,049.00 27,444.25 0.00 0,00 INFORMATION SCHEDULES Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 28 Phila PA Auth for Indl Dev Bond 04/02/2003 Sale of 5,000 units of Phila PA Auth for Indl Der 5.0% 07/01/23 5,000 Units Phila PA Ser B 6.0% 11/15/13 02/07/2003 Purchase of 20,000 units of Phila PA Set B bond 20,000 Units $290.00 Accrued Interest 05/15/2003 Collection of accrued tax exempt interest earned on municipal bond Pine Richland PA Bond 05/30/2002 Sale of Pine Richland PA bond 25,000 Units Reading PA Sch Auth Bond 12/02/2002 Redemption of 5,000 units of Reading PA Sch Auth Bond 5,000 Units Red Lion PA Area SD 4.75% 04/15/22 04/17/2002 Purchase of 5,000 units of Red Lion PA Area Sch Dist 4.75% 04/15/22 5,000 Units $4.62 Accrued Interest 10/15/2002 Collection of tax exempt interest earned on municipal bond 04/10/2003 Sale of 5,000 units of Red Lion PA Area SD 4.75% 04/15/22 5,000 Units $ 4,821.60 -4,821.60 $ 0.00 22,346.60 -290.00 27,794.25 -27,794.25 5,123.00 -5,123.00 $ 0.00 4,786.87 -4.62 -4,782.25 $ 0.00 22,056.60 0.00 0.00 0.00 INFORMATION SCHEDULES Estate of William J. hevine For Period 03/07/2002 Through 06/18/2004 Page 29 Upper Allen Twp PA Bond 02/25/2003 Exchange 5,000 units of Upper Allen Twp. Bond (5.6% 04/01/11) for Upper Allen Twp. SPXXX Bond (5.6% 04/01/03) 5,000 Units Upper Allen Twp SPXXX 5.6% 04/01/03 02/25/2003 Exchange 5,000 units of Upper Allen Twp. Bond {5.6% 04/01/11) for Upper Allen Twp. SPXXX Bond (5.6% 04/01/03) 5,000 Units PA PA PA PA 04/01/2003 Redemption of 5,000 units of Upper Allen Twp. SPXXX bond 5,000 Units Wallingford Swarthmore 5.125% 06/12/2003 Purchase of 10,000 units of Wallingford Swarthmore PA bond, 5.125%, 05/15/16 10,000 Units $48.40 Accrued Interest Westmoreland Cnty 4.625% 12/01/21 02/05/2003 Purchase of 35,000 units of Westmoreland Cnty 4.625% 12/01/21 35,000 Units $121.41 Accrued Interest 04/02/2003 Collection of tax exempt interest earned on municipal bond 04/02/2003 Sale of 35,000 units of Westmoreland Cnty 4.625% 12/01/21 35,000 Units Wilkinsburg Penn PA Bond 08/15/2002 Sale of Wilkinsburg Penn PA municipal bond 5,000 Units $ 16,246.95 -5,000.00 $ 0.00 5,000.00 -5,000.00 $ 0.00 11,078.60 $ 0.00 35,121.41 -121.41 -35,000.00 $ 5,113.35 -5,113.35 $ 11,246.95 0.00 11,078.60 0.00 0.00 RECEIPTS OF INCOHE Estate ef William J. Levine For Period 03/07/2002 Threugh 06/18/2004 Page 30 Dividends JHS Estate Honey Harket 04/15/2002 Dividends earned on JHS Estate Heney Harket acct. 05/15/2002 Dividends earned on JMS Estate Money Market Acct. 06/14/2002 Dividends earned on JHS Estate Money Market Acct. 07/15/2002 Dividends earned on JMS Estate Money Market Acct. 08/15/2002 Dividends earned on JMS Estate Money Market Acct. 09/13/2002 Dividends earned on JMS Estate Money Market Acct. 10/15/2002 Dividends earned on JMS Estate Honey Market Acct. 11/15/2002 Dividends earned on JMS Estate Money Harket Acct. 12/31/2002 Dividends earned on JMS Estate Money Market Acct. 01/15/2003 Dividends earned on JMS Estate Money Market Acct. 02/14/2003 Dividends earned on JMS Estate Money Market Acct. 03/14/2003 Dividends earned on JMS Estate Money Market Acct. 04/15/2003 Dividends earned on JMS Estate Money Market Acct. 05/15/2003 Dividends earned on JMS Estate Money Market Acct. 06/13/2003 Dividends earned on JMS Estate Money Market Acct. 07/15/2003 Dividends earned on JMS Estate Honey Market Acct. 12.27 50.03 44.93 16.36 21.43 29.12 31.66 36.32 68.11 21.56 40.03 5.27 5.64 1.69 3.99 3.83 RECEIPTS OF INCOME Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 31 08/15/2003 09/15/2003 10/15/2003 11/15/2003 12/15/2003 01/15/2004 02/13/2004 03/15/2004 04/!5/2004 05/15/2004 06/15/2004 Dividends earned on JMS Estate Money Market Acct. Dividends earned on JMS Estate Money Market Acct. Dividends earned on JMS Estate Money Market Acct. Dividends earned on JMS Estate Money Market Acct. Dividends earned on JMS Estate Money Market Acct. Dividends earned on JMS Estate Money Market Acct. Dividends earned on JMS Estate Money Market Acct. Dividends earned on JMS Estate Money Market Acct. Dividends earned on JMS Estate Money Market Acct. Dividends earned on JMS Estate Money Market Acct. Dividends earned on JMS Estate Money Market Acct. Janney Montgomery Money Market 03/15/2002 Dividends earned on JMS Money Market acct. 04/04/2002 Dividends earned on JMS Money Market acct. 04/15/2002 Dividends earned on JMS Money Market acct. $ 2.83 1.77 1.79 1.87 2.88 1.01 2.01 1.53 1.52 1.52 1.57 412.54 $ 13.56 29.80 0.03 43.39 Total Dividends $ 455.93 RECEIPTS OF INCOME Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 32 Tax Exempt Interest Abington PA Sch Dist Bond 05/15/2002 Tax exempt interest earned on municipal bond 11/15/2002 Tax exempt interest earned on municipal bond 05/15/2003 Tax exempt interest earned on municipal bond Allegheny Cnty PA Arpt 5.625% 07/01/2002 Tax exempt interest earned on municipal bond 01/02/2003 Tax exempt interest earned on municipal bend Allegheny Cty PA 5.0% Bond 04/01/2002 Tax exempt interest earned on municipal bond 10/01/2002 Tax exempt interest earned on municipal bond 04/01/2003 Tax exempt interest earned on municipal bond Allegheny Cty PA 6.0% Bond 06/03/2002 Tax exempt interest earned on municipal bond 12/02/2002 Tax exempt interest earned on municipal bond 06/02/2003 Tax exempt interest earned on municipal bond Allegheny PA Hosp Dev Bond 04/01/2002 Tax exempt interest earned on municipal bond 10/01/2002 Tax exempt interest earned on municipal bond 04/01/2003 Tax exempt interest earned on municipal bond $ 363.75 363.75 363.75 1,091.25 $ 145.31 281.25 426.56 $ 625.00 625.00 625.00 1,875.00 $ 300.00 300.00 300.00 900.00 $ 150.00 150.00 150.00 450.00 RECEIPTS OF INCOME Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 33 Allentown PA FGIC 5.5% 10/15/14 04/15/2003 Tax exempt interest earned on municipal bond Altoona PA Bond 09/03/2002 Tax exempt interest earned on municipal bond 03/03/2003 Tax exempt interest earned on municipal bond Berks Cty PA FGIC Bond 05/15/2002 Tax exempt interest earned on municipal bond 11/15/2002 Tax exempt interest earned on municipal bond Blairsville Saltsburg Bond 05/15/2002 Tax exempt interest earned on municipal bond Bucks cry PA AMBAC W&S 4.5% 12/1/19 06/02/2003 Tax exempt interest earned on municipal bond Butler PA Area Sch 4.75% 10/01/22 10/01/2002 Tax exempt interest earned on municipal bond 04/01/2003 Tax exempt interest earned on municipal bond 04/02/2003 Tax exempt interest earned on municipal bond CenEral Dauphin PA 5.0% Bond 06/03/2002 Tax exempt interest earned on municipal bond 12/02/2002 Tax exempt interest earned on municipal bond Central Dauphin PA Sch Bond 06/03/2002 Tax exempt interest earned on municipal bond $ 53.47 346.88 346.88 693.76 $ 275.00 275.00 550.00 156.25 271.87 471.70 593.75 19.79 1,085.24 625.00 625.00 1,250.00 $ 420.00 RECEIPTS OF INCOME Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 34 12/02/2002 Tax exempt interest earned on municipal bond 06/02/2003 Tax exempt interes~ earned on municipal bond Central Dauphin PA Sch Dist 4.5% 06/03/2002 Tax exempt interest earned on municipal bond 12/02/2002 Tax exempt interest earned on municipal bond 06/02/2003 Tax exempt interest earned on municipal bond Central Dauphin Prerefunded SR 06/02/2003 Tax exempt interest earned on municipal bond Central Dauphin Unrefunded Balance 06/02/2003 Tax exempt interest earned on municipal bond Delaware River Port 5.5% 01/01/26 07/01/2003 Tax exempt interest earned on municipal bond Derry PA Area Sch Dist 02/01/21 5.5 08/01/2002 Tax exempt interest earned on municipal bond 02/03/2003 Tax exempt interest earned on municipal bond Derry PA Area Sch Dist 5.5% 2/01/14 08/01/2002 Tax exempt interest earned on municipal bond 02/03/2003 Tax exempt interest earned on municipal bond Derry Twp PA San Swr Auth Bond 08/01/2002 Tax exempt interest earned on municipal bond 02/03/2003 Tax exempt interest earned on municipal bond $ 420.00 420.00 1,260.00 112.50 112.50 112.50 337.50 $ 125.00 500.00 550.00 550.00 550.00 1,100.00 $ 412.50 412.50 825.00 $ 312.50 312.50 625.00 RECEIPTS OF INCOME Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 35 Derry Twp PA Sch Dist 4.5 11/15/02 05/15/2002 Tax exempt interest earned on municipal bond East Marlborough Twp 2.9% 12/15/05 06/16/2003 Tax exempt interest earned on municipal bond Erie PA Wur Auth Bond 07/01/2002 Tax exempt interest earned on municipal bond Gateway PA Sch Dist Bond 07/15/2002 Tax exempt interest earned on municipal bond 01/15/2003 Tax exempt interest earned on municipal bond General McLane School Dist Bond 04/15/2002 Tax exempt interest earned on municipal bond 10/15/2002 Tax exempt interest earned on municipal bond 04/15/2003 Tax exempt interest earned on municipal bond Hampton Twp PA 5.0% 02/01/27 08/01/2002 Tax exempt interest earned on municipal bond 02/03/2003 Tax exempt interest earned on municipal bond 04/10/2003 Tax exempt interest earned on municipal bond Lancaster PA Area Swr Auth Bond 04/01/2002 Tax exempt interest earned on municipal bond 10/01/2002 Tax exempt interest earned on municipal bond 04/01/2003 Tax exempt interest earned on municipal bond $ 337.50 136.94 357.50 117.50 117.50 235.00 $ 470.00 470.00 470.00 1,410.00 $ 47.92 125.00 51.39 224.31 $ 150.00 150.00 150.00 450.00 RECEIPTS OF INCOME Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 36 Lower Bucks Cnty PA Bond 05/15/2002 Tax exempt interest earned on municipal bond 11/15/2002 Tax exempt interest earned on municipal bond Lower Makefield 4.05% 12/01/14 06/02/2003 Tax exempt interest earned on municipal bond Lower Providence Twp Bond 05/01/2002 Tax exempt interest earned on municipal bond Hethacton PA Sch Dist Bond 04/01/2002 Tax exempt interest earned on municipal bond 10/01/2002 Tax exempt interest earned on municipal bond 04/01/2003 Tax exempt interest earned on municipal bond Montgomery Cnty PA Bond 07/15/2002 Tax exempt interest earned on municipal bond 01/15/2003 Tax exempt interest earned on municipal bond North Penn PA Sch Dist Bond 09/03/2002 Tax exempt interest earned on municipal bond 03/03/2003 Tax exempt interest earned on municipal bond North Penn Wtr Auth 7.0% 11/01/24 05/01/2003 Tax exempt interest earned on municipal bond PA Convention Ctr Auth Bond 03/03/2003 Tax exempt interest earned on municipal bond $ 775.00 775.00 1,550.00 $ 44.13 305.00 812.50 812.50 812.50 2,437.50 $ 268.75 268.75 537.50 $ 270.00 270.00 540.00 $ 230.42 35.00 RECEIPTS OF INCOME Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 37 PA Hsg Fin Agy 5.45% Bond 04/01/2002 Tax exempt interest earned on municipal bond 10/01/2002 Tax exempt interest earned on municipal bond 04/01/2003 Tax exempt interest earned on municipal bond PA Hsg Fin Agy Bond 5.3% 04/01/2002 Tax exempt interest earned on municipal bond 10/01/2002 Tax exempt interest earned on municipal bond 04/01/2003 Tax exempt interest earned on municipal bond PA intergovtl Coop Bond 06/15/21 06/17/2002 Tax exempt interest earned on municipal bond 12/16/2002 Tax exempt interest earned on municipal bond 04/02/2003 Tax exempt interest earned on municipal bond PA Intergovtl Coop Bond 5.05% 06/17/2002 Tax exempt interest earned on municipal bond 12/16/2002 Tax exempt interest earned on municipal bond 06/16/2003 Tax exempt interest earned on municipal bond PA Intergvrmnt Coop Bond 6.7% 06/17/2002 Tax exempt interest earned on municipal bond 12/16/2002 Tax exempt interest earned on municipal bond 06/16/2003 Tax exempt interest earned on municipal bond $ 272.50 272.50 272.50 817.50 $ 397.50 397.50 397.50 1,192.50 $ 375.00 375.00 233.33 983.33 $ 126.25 126.25 126.25 378.75 $ 670.00 670.00 670.00 2,010.00 RECEIPTS OF INCOME Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 38 PA Intergvt Coop Bond 5.0% 06/15/06 06/17/2002 Tax exempt interest earned on municipal bond 12/16/2002 Tax exempt interest earned on municipal bond 06/16/2003 Tax exempt interest earned on municipal bond PA St First Set 5.0% Bond 09/03/2002 Tax exempt interest earned on municipal bond 03/03/2003 Tax exempt interest earned on municipal bond PA St First Set 5.125% Bond 03/15/2002 Tax exempt interest earned on municipal bond 09/16/2002 Tax exempt interest earned on municipal bond 03/17/2003 Tax exempt interest earned on municipal bond PA St HEFA 5.35% Bond 07/0!/2002 Tax exempt interest earned on municipal bond 01/02/2003 Tax exempt interest earned on municipal bond 07/01/2003 Tax exempt interest earned on municipal bond PA St HFA SFH 5.9% Bond 04/01/2002 Tax exempt interest earned on municipal bond 10/01/2002 Tax exempt interest earned en municipal bond 04/01/2003 Tax exempt interest earned en municipal bond 375.00 375.00 375.00 1,125.00 $ 625.00 625.00 1,250.00 $ 640.63 640.63 640.63 1,921.89 $ 668.75 668.75 668.75 2,006.25 $ 737.50 737.50 737.50 2,212.50 RECEIPTS OF INCOME Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 39 PA St Highr Edl Facs Bond 07/15/2002 Tax exempt interest earned on municipal bond 01/15/2003 Tax exempt interest earned on municipal bond PA St Indl Dev Auth Bond 07/01/2002 Tax exempt interest earned on municipal bond 01/02/2003 Tax exempt interest earned on municipal bond 07/01/2003 Tax exempt interest earned on municipal bond PA St Second Set Bond 5.2% 06/17/2002 Tax exempt interest earned on municipal bond 12/16/2002 Tax exempt interest earned on municipal bond 06/16/2003 Tax exempt interest earned on municipal bond PA St Second Series 5.0% Bond 04/15/2002 Tax exempt interest earned on municipal bond 10/15/2002 Tax exempt interest earned on municipal bond 04/15/2003 Tax exempt interest earned en municipal bond PA St Third Set 4.5% Bond 12/01/06 06/02/2003 Tax exempt interest earned on municipal bond PA St Third Ser 4.5% Bond 12/01/07 06/03/2002 Tax exempt interest earned on municipal bond 12/02/2002 Tax exempt interest earned on municipal bond 06/02/2003 Tax exempt interest earned en municipal bond $ 112.50 112.50 225.00 $ 825.00 825.00 825.00 2,475.00 $ 260.00 260.00 260.00 780.00 $ 250.00 250.00 250.00 750.00 $ 290.00 562.50 562.50 562.50 1,687.50 RECEIPTS OF INCOHE Estate ef William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 40 PA St Third Ser 4.5% Bond 12/01/10 06/03/2002 Tax exempt interest earned on municipal bond 12/02/2002 Tax exempt interest earned on municipal bond 06/02/2003 Tax exempt interest earned on municipal bond PA St Tpk Cmmn 5.25% Bond 12/01/16 06/03/2002 Tax exempt interest earned on municipal bond 12/02/2002 Tax exempt interest earned on municipal bond 06/02/2003 Tax exempt interest earned on municipal bond PA St Tpk Cnu!~n Bond 12/01/14 06/03/2002 Tax exempt interest earned on municipal bond 12/02/2002 Tax exempt interest earned on municipal bond 06/02/2003 Tax exempt interest earned on municipal bend PA St Univ Bond 08/15/2002 Tax exempt interest earned on municipal bond Penn Hills PA Amhac OID Bond 06/03/2002 Tax exempt interest earned on municipal bond 12/02/2002 Tax exempt interest earned on municipal bond Penn Intergvrnmntl Coop Bond 5.15% 06/17/2002 Tax exempt interest earned on municipal bond 12/16/2002 Tax exempt interest earned on municipal bond 06/16/2003 Tax exempt interest earned on municipal bond $ 337.50 337.50 337.50 1,012.50 $ 918.75 918.75 918.75 2,756.25 $ 1,312.50 1,312.50 1,312.50 3,937.50 $ 275.00 293.75 293.75 587.50 $ 901.25 901.25 901.25 2,703.75 RECEIPTS OF INCOME Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 41 Penn Manor Sch Dist PA Bond 06/03/2002 Tax exempt interest earned on municipal bond 12/02/2002 Tax exempt interest earned en municipal bead 06/02/2003 Tax exempt interest earned on municipal bond Penn St CTFS Partn Bond 07/01/2002 Tax exempt interest earned en municipal bond 01/02/2003 Tax exempt interest earned en municipal bond 07/01/2003 Tax exempt interest earned on municipal bend Penn St Hghr Ed Bond 04/02/2002 Tax exempt interest earned on municipal bond 04/22/2002 Tax exempt interest earned on municipal bond Penn St Hi Ed Facs Ath Bond 04/04/2002 Tax exempt interest earned on municipal bond Penn St Tpk Comm Oil 6.0% 06/02/2003 Tax exempt interest earned on municipal bond Penn St Tpk Comm Oil 6.0% 12/01/14 06/02/2003 Tax exempt interest earned on municipal bond Penn-Trafford PA Sch Bond 05/01/2002 Tax exempt interest earned on municipal bond 11/01/2002 Tax exempt interest earned on municipal bond 05/01/2003 Tax exempt interest earned on municipal bond $ 260.00 260.00 260.00 780.00 $ 375.00 375.00 375.00 1,125.00 $ 705.00 82.25 787.25 $ 104.13 181.67 225.00 295,00 295.00 295.00 885.00 RECEIPTS OF INCOME Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 42 Pennsylvania PA Tpke 5.0% 07/15/31 07/15/2002 Tax exempt interest earned on municipal bond 01/15/2003 Tax exempt interest earned on municipal bond 04/10/2003 Tax exempt interest earned on municipal bond Pgh PA Wtr & Swr 5.0% Bond 09/03/2002 Tax exempt interest earned en municipal bond 03/03/2003 Tax exempt interest earned on municipal bend Phila PA Arpt Bond 06/17/2002 Tax exempt interest earned on municipal bond 12/16/2002 Tax exempt interest earned on municipal bond 06/16/2003 Tax exempt interest earned on municipal bond Phila PA Auth for IDA Bond 06/03/2002 Tax exempt interest earned on municipal bond 12/02/2002 Tax exempt interest earned on municipal bond 06/02/2003 Tax exempt interest earned on municipal bond Phila PA Auth for Indl Dev Bond 07/01/2002 Tax exempt interest earned on municipal bond 01/02/2003 Tax exempt interest earned on municipal bond 04/02/2003 Tax exempt interest earned on municipal bond $ 46.53 125.00 62.50 234.03 $ 250.00 250.00 500.00 $ 1,040.00 1,040.00 1,040.00 3,120.00 $ 110.00 110.00 110.00 330.00 $ 125.00 125.00 66.67 316.67 RECEIPTS OF INCOME Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Phila PA Gas Wks Bond 05/15/2002 Tax exempt interest earned on municipal bond 11/15/2002 Tax exempt interest earned on municipal bond 05/15/2003 Tax exempt interest earned on municipal bond Phila PA Gas Wks Bond 5.25% 08/01/2002 Tax exempt interest earned on municipal bond 02/03/2003 Tax exempt interest earned on municipal bond Phila PA Sch Dist Bond 6.25% 09/03/2002 Tax exempt interest earned on municipal bond 03/03/2003 Tax exempt interest earned on municipal bond Phila PA Ser B 6.0% 11/15/13 05/15/2003 Tax exempt interest earned on municipal bond Phila PA Wtr & Wstwtr Bond 06/17/2002 Tax exempt interest earned on municipal bond 12/16/2002 Tax exempt interest earned on municipal bond 06/16/2003 Tax exempt interest earned on municipal bond Pitts & Allegheny Co PA Bond 08/01/2002 Tax exempt interest earned on municipal bond 02/03/2003 Tax exempt interest earned on municipal bond $ 350.00 350.00 350.00 1,050.00 525.00 525.00 1,050.00 $ 625.00 625.00 1,250.00 $ 310.00 703.13 703.13 703.13 2,109.39 $ 625.00 625.00 1,250.00 Page 43 RECEIPTS OF INCOME Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 44 Pittsburgh PA Rfdg Ser Bond 4.5% 09/03/2002 Tax exempt interest earned on municipal bond 03/03/2003 Tax exempt interest earned on municipal bond Pittsburgh PA Sch Dist 4.3% Bond 09/03/2002 Tax exempt interest earned on municipal bond 03/03/2003 Tax exempt interest earned on municipal bond Pittsburgh PA W&S Auth Bond 09/03/2002 Tax exempt interest earned on municipal bond 03/03/2003 Tax exempt interest earned on municipal bond Pittsburgh PA Wtr & Swr 5.0% Bond 09/03/2002 Tax exempt interest earned on municipal bond 03/03/2003 Tax exempt interest earned on municipal bond Pittsburgh PA Wtr & Swr Bond 4.7% 09/03/2002 Tax exempt interest earned on municipal bond 03/03/2003 Tax exempt interest earned on municipal bond Pittsburgh PA Wtr & Swr Bond 5.6% 09/03/2002 Tax exempt interest earned on municipal bond 03/03/2003 Tax exempt interest earned on municipal bond $ 562.50 562.50 1,125.00 $ 215.00 215.00 430.00 $ 362.50 362.50 725.00 $ 625.00 625. O0 1,250.00 $ 587.50 587.50 1,175.00 $ 1,400.00 1,400.00 2,800.00 RECEIPTS OF INCOME Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 45 Reading PA Sch Auth Bond 06/03/2002 Tax exempt interest earned on municipal bond 12/02/2002 Tax exempt interest earned on municipal bond Red Lion PA Area SB 4.75% 04/15/22 10/15/2002 Tax exempt interest earned on municipal bond 04/15/2003 Tax exempt interest earned on municipal bond Ringgold PA Sch Dist Bond 07/15/2002 Tax exempt interest earned on municipal bond 01/15/2003 Tax exempt interest earned on municipal bond Scranton PA Bond 04/01/2002 Tax exempt interest earned on municipal bond 10/01/2002 Tax exempt interest earned on municipal bond 04/01/2003 Tax exempt interest earned on municipal bond Shaler PA Area Sch Dist Bond 04/01/2002 Tax exempt interest earned on municipal bond 10/01/2002 Tax exempt interest earned on municipal bond 04/01/2003 Tax exempt interest earned on municipal bond Silver Spring Twp Bond 05/01/2002 Tax exempt interest earned on municipal bond 11/01/2002 Tax exempt interest earned on municipal bond $ 162.50 162.50 325.00 $ 114.13 118.75 232.88 $ 1,085.00 1,085.00 2,170.00 $ 352.50 352.50 352.50 1,057.50 $ 110.00 110.00 1!0.00 330.00 $ 116.25 116.25 RECEIPTS OF INCOME Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 46 05/01/2003 Tax exempt interest earned on municipal bond Southeastern PA Trans Auth Bond 09/03/2002 Tax exempt interest earned on municipal bond 03/03/2003 Tax exempt interest earned on municipal bond St Pub Sch Bldg Auth PA Bond 04/15/2002 Tax exempt interest earned on municipal bond 10/15/2002 Tax exempt interest earned on municipal bond 01/15/2003 Tax exempt interest earned on municipal bond State Pub Sch Bldg Auth Bond 07/15/2002 Tax exempt interest earned on municipal bond 04/15/2003 Tax exempt interest earned on municipal bond Tarentum Bor PA Bond 09/03/2002 Tax exempt interest earned en municipal bend 03/03/2003 Tax exempt interest earned en municipal bond Tredyffrin Twp PA Rfdg Bond 05/15/2002 Tax exempt interest earned on municipal bond 11/15/2002 Tax exempt interest earned on municipal bond 05/15/2003 Tax exempt interest earned on municipal bond $ 116.25 348.75 $ 250.00 250.00 500.00 $ 652.50 652.50 375.00 1,680.00 $ 375.00 652.50 1,027.50 $ 440.63 440.63 881.26 $ 242.50 242.50 242.50 727.50 RECEIPTS OF iNCOHE Estate e£ William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 47 Trinity ASD PA Bend 05/01/2002 Tax exempt interest earned on municipal bond 11/01/2002 Tax exempt interest earned on municipal bond 05/01/2003 Tax exempt interest earned en municipal bond Upper Allen Twp PA Bend 04/01/2002 Tax exempt interest earned en municipal bond 10/01/2002 Tax exempt interest earned on municipal bend 04/01/2003 Tax exempt interest earned on municipal bond Wayne Cnty PA Hsp & Hlth Bend 07/01/2002 Tax exempt interest earned en municipal bond 01/02/2003 Tax exempt interest earned on municipal bond 07/01/2003 Tax exempt interest earned on municipal bond Westmereland Cnty 4.625% 12/01/21 04/02/2003 Tax exempt interest earned en municipal bend Wilkinsburg Penn PA Bend 08/15/2002 Tax exempt interest earned en municipal bond York Cnty PA Hosp Auth Bond 06/03/2002 Tax exempt interest earned on municipal bond 12/02/2002 Tax exempt interest earned en municipal bond 06/02/2003 Tax exempt interest earned on municipal bond Total Tax Exempt Interest TOTAL RECEIPTS OF INCOHE $ 260.00 260.00 260.00 780.00 $ 420.00 420.00 420.00 1,260.00 $ 312.50 312.50 312.50 937.50 $ 247.31 156.25 250.00 250.00 250.00 750.00 90,859.01 91,314.94 DISTRIBUTIONS OF INCOME TO BENEFICIARIES Estate of William J. Levine For Period 03/07/2002 Through 06/18/2004 Page 48 To: Angelene A. Levine Income distribution to income beneficiary 04/15/2003 Cash $ 62,225.23 To: William Levine Trust A Distribution to Trust A, Unified Credit Trust 06/18/2003 Cash 1,734.79 To: William Levine Trust B Distribution to Trust B, Marital Trust 06/18/2003 Cash 4,599.74 TOTAL DISTRIBUTIONS OF INCOME TO BENEFICIARIES $ 68,559.76 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: ESTATE OF WILLIAM J. LEVINE, deceased No. 2002-00307 STATEMENT OF PROPOSED DISTRIBUTION Principal Balance on Hand Income Balance on Hand Combined Balance on Hand Less Reserve to Mette, Evans & Woodside for attorney's fees and costs for preparation of First and Final Accoum and final estate fiduciary income tax returns Proposed Balance for Distribution 0.00 22,750.00 (3,000.00) 22,755.18 19,755.18 Proposed Distribution: TO: William J. Levine Trust A Credit Trust Seventy-Four Percent (74%) TO: William J. Levine Trust B Marital Trust Twenty-Six Percent (26%) 14,618.83 5,136.35 40I 148vl ANGELENE A. LEVINE, Executrix under the Last Will and Testament of WILLIAM J. LEVINE, deceased, hereby declares under oath that she has fully and faithfully discharged the duties of her office; that the foregoing First and Final Account is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the Estate have been paid; that, to her knowledge, there are no claims now outstanding against the Estate; and that all taxes presently due from the Estate have been paid. ANG~L-E~I~ A~LE~Y~E, Executrix Subscribed and sworn to by ANGELENE A. LEVINE, Executrix, before me this 2. ~ ,.~c~day of ..~ ~3~5 ~:. ,2004. Notary/Public COMMONWEALTH OF PENNSYLVANIA Notarial Seal Vieky Ann Trimmer, Notary Public Susquehanna Twp., Dauphin County My Corem ss on Exp re~ Mar. 1, 2006 Member, Pennsylvania Association of Notates 399965vl PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 STATE OF PENNSYLVANIA : : COUNTY OF CUMBERLAND : SS. Roger M. Morgenthal, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, viz: MAY 10, 17, 24, 2002 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that ali allegations in the foregoing statements as to time, place and character of publication are true. Levlne, William J., dec'd. Late of the Borough of Cmnp 1till. Exccutrix: Artgclene A. Levine, 3428 Logan Street, Camp Hill, PA 17011. Attorneys: JalIle$ A. 1 llsh. Esquire. Metre, Evaias & X,Voodsidc. 3401 North Front Street. Harrisburg, PA 17110 0950, (7171 232 5000. Roger M. Morgenthal, Editor SWORN TO AND SUBSCRIBED before me this 24 day of MAY, 2002_ PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland. Lori Saylor, Classified Advertising Manager of THE SENTINEL, of the County and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a newspaper of general circulation in the Borough of Carlisle, County and State aforesaid, was established December 13th, 1881, since which date THE SENTINEL has been regularly issued in said County, and that the printed notice or publication attached hereto is exactly the same as was printed and published in the regular editions and issues of THE SENTINEL on the following dates, viz Copy of Notice of Publication E_~TATE HO_ TICE NOTICE IS HEREBY GIVEN that Letters Testamentary have been granted in the Estate ol WILLIAM J. LEVlNE, late of the Borough of Cemp Hill, Cumberland County, Pennsylvania, who died March 7, 2002, to Angelene A. Levine, 3428 Logan Street, Camp Hill, PA 17011, Executrix. All persons indebted to the said estate are required to make payment, and those having claims or demands to present the same without delay to the Executrix or her attorneys named below James A Ulsh, Esquire Metre, Evans & Woodside 3401 Nodh Front Street Harrisburg, PA 17110 (Tt 7)232 5000 April 30 & May 7 & 14, 2002 Affiant further deposes that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statement as to time, place and character of publication are true. October 15, 2002 Sworn to and subscribed before me this 15th day of October _, 2002. Notary Public My commission expires: · OBNIN, COMMONWEALTH OF PENNSYLVANIA OFFICE OF ATTORNEY GENERAL Gerald J. Pappert Attorney General July 29, 2004 Charitable Trusts and Organizations Section 14th Fir., Strawberry Sq. Harrisburg, PA 17120 Telephone: (717) 783-2853 Facsimile: (71 7) 787-1190 James A. Ulsh, Esquire METTE, EVANS & WOODSIDE 3401 North Front Street Post Office Box 5950 Harrisburg, PA 1 7110-0950 RE: Estate of William ]. Levine/No. 2002-00307 Dear Mr. Ulsh: This ~vill acknowledge receipt of your notice pursuant to Supreme Court Orphans' Court Rule 5.5 regarding the above-captioned matter. [ have reviewed the First and £inal Account, of Angelene A. Levine, Executrix of the Estate of William ]. Levine, Deceased, and have no objection. At your earliest convenience, kindly forward an executed copy of the Decree of Distribution. Please be advised that this review was conducted pursuant to the parens patriae function of this office and has no bearing on any matter unrelated to that function. Sincerely, /,~ ~/~J'ohn L. Downing Deputy Attorney General JLD/srh Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/02/2005 ULSH JAMES A 3401 N.FRONT ST. P.O. BOX 5950 HARRISBURG, PA 17110-0950 RE: Estate of LEVINE WILLIAM J File Number: 2002-00307 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 3/07/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, &t~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge J PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF THE ESTATE IS NOT COMPLETED, FILE A 6.12 FORM YEARLY UNTIL COMPLETION. STATUS REPORT UNDER RULE 6.12 Name of Decedent: WILLIAM J. LEVINE Date of Death: March 26. 2002 Will No. 2002-00307 Admin. No. 21-02-0307 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate. 1. State whether administration of the estate is complete: Yes i:2:I No D 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yesi:2:1 NoD b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes D No D d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court a may be attached to this report. Date: oa \ OLl \ O.s c;::) James A. Es uire LD. #10169 Name (Please type or print) 3401 North Front Street. P.O. Box 5950 Address Harrisburg, P A 17110-0950 (717) 232-5000 Telephone Capacity: D Personal Representative i:2:I Counsel for Personal Representative 416187vl " t) ~f