Loading...
HomeMy WebLinkAbout11-17-11 (2)1505610140 REV-1500 ~` ~°'~'°' OFFICIAL USE ONLY PA Department of Revenue Coun Code Year File Number Bureau of Individual Taxes ~' Po Box 2sosol INHERITANCE TAX RETURN 2 1 1 1 0 0 5 0 4 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 1 9 9 0 7 3 1 0 5 0 4 0 6 2 0 1 1 0 1 1 1 1 9 1 7 Decedent's Last Name Suffix Decedent's First Name MI P A T T E R S O N E D G A R (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required death after 12-12-82) QX 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORR ESPONDENT -THIS SECTION MUST BE COM PLETED. ALL CORRESPONDENCE AND CONFID ENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number J I L L M WI N E K A, ES QU I RE 7 1 7 2 34 4 1 7 8 First line of address 1719 NORTH Second tine of address City or Post Office H A R R I S B U R G State P A ZIP Code L 1 7 1 0 2 REGISTER ~F~YVfdLS USE ONLY r: ~ -~) _.. _ ., ~~ °.~ , i,. , DATE FILED ` ' Correspondent's a-mail address: jWtni'ka@pkh.COm Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF QBRSON RF,.~PON$,IBLE FOR FILING RETURN '--7/ ~_., fl DATE ADDRESS Walter R. Meyer, 0 Walnut Bottom Rd. Ka y M. Studer, 4 Keswick Dr. REPRESENTATNE Jill (~19. Wineka, Esq., 1719 N. Front Street Harrisbur PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 F R O N T S T R E E T DAT it l5 ~ PA 17102 1505610140 ~'l .. 1505610240 REV-1500 EX Decedent's Social Security Number Decedents Name: EDGAR PATTERSON 1 9 9 0 7 3 1 0 5 RECAPITULATION 1. Real Estate (Schedule A) ......................................... .. 1. 2. Stocks and Bonds (Schedule B) .... _ . ........ , , , . 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3. 4. Mortgages and Notes Receivable (Schedule D) ........................ .. 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)..... .. 5. 4 $ 7 1 4 2 6. Jointly Owned• Property (Schedule F) ^ Separate Billing Requested ..... .. 6. 7. Inter-Vivos Transfers & Miscellaneous No -Probate Property (Schedule G) ~ S 2 5 4 2 9 6 eparate Biliing Requested ..... .. 7. . 0 8. Total Gross Assets (total Lines 1 through 7) ......................... .. 8. 3 0 3 0 1 0 9. Funeral Expenses and Administrative Costs (Schedule H) .................. 9. 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ............. 10. 11. Total Deductions (total Lines 9 and 10} ............................... 11. 12. Net Vatue of Estate (Line 8 minus Line 11) ....... .............. ..... .. 12. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) . .............. ..... .. 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) . .............. ..... .. 14. TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 16. Amount of Line 14 taxable at lineal rate X .045 2 1 7 9 5. 3 1 1s. 17. Amount of Line 14 taxable at sibling rate X .12 0 . 0 0 17. 18. Amount of Line 14 taxable 0 0 0 at collateral rate X .15 1 g. 19. TAX DUE ...................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 8 3 1 9. 5 8 1 8 6. 1 3 8 5 0 5. 7 1 2 1 7 9 5. 3 1 2 1 7 9 5. 3 1 0. 0 0 9 8 0. 7 9 0. 0 0 0. 0 0 9 8 0. 7 9 Side 2 1505610240 1505610240 tEV-1500 EX Page 3 File Number Decedent's Complete Address: 20 11 00504 DECEDENT'S NAME EDGAR PATTERSON STREET ADDRESS 210 BENT CREEK BOULEVARD 'APARTMENT 210 CITY STATE ZIP MECHANICSBURG PA 17050 Tax Payments and Credits: 1• Tax Due (Page 2, Line 19) (1) 980.79 2. CreditslPayments A. Prior Payments 0.00 B. Discount Total Credits (A + B) (2) 0.00 3. Interest (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 980 7g Make check payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPR OPR IATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred : ...................................................................... ^ X^ b. retain the right to designate who shall use the property transferred or its income; ............................... ^ Q c. retain a reversionary interest; or ................................................................................................ ^ 0 d. receive the promise for life of either payments, benefits or care? ....................................................... ^ X^ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... ^ Q 3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? ......... ^ Q 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? .................................................................................................. ~ ^ IF 7HE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN For dates of death on or after July 1,1994, and before Jan. 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax 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 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)). • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1,3)]. Asibling is defined, unde Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1506 EX + (6-98) SCHEDULE E COMMONWEALTH OF PENNSYlVAN1A CASH, BANK DEPOSITS, & MISC. IN RESIDENTEDECEDENTRN PERSONAL PROPERTY ESTATE OF FILE NUMBER EDGAR PATTERSON 20 11 00504 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Personal property in apartment - N, TV stand, radio, 2 dressers, desk, nightstand, 100.00 2 chairs, 4 lamps, 1 lawn chair, small stand 2. PNC Bank Checking Account No. 12075889494 2,909.01 3. PNC Bank Savings Account No. 5140048631 1,862.41 (See 7/26/11 letter from PNC Bank confirming Decedent's sole ownership of accounts and date of death balances.) TOTAL (Also enter on line 5, Recapitulation) I $ 4 871.42 (If more space is needed, insert additional sheets of the same size) REV-1510 EX+ (08-09) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER EDGAR PATTERSON 20 11 00504 This schedule must be completed and filed 'If the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDETHENAMEDFTHETRANSFEREE,THEIRRELATIDNSHIPTODECEDENTAND THE DATE OF TRANSFER. ATTACHA COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET %OFDECD'S INTEREST EXCLUSION (IFAPPLICABIE) TAXABLE VALUE 1. New York Life Annuity Policy No. 75604562 25,429.60 100.00 25,429.60 (See 8/9/11 letter from New York Life Annuity confirming beneficiaries were Decedent's two children, Walter R. Meyer and Kathy M. Studer and date of death value.) TOTAL (Also enter on Line 7, Recapitulation) I $ 25,429.60 If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+ (10-09) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER EDGAR PATTERSON 20 11 00504 Decedents debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Rolling Green Cemetery Company - gravemarker 1,609.00 2. Parthemore Funeral Home and Cremation Services, Inc. -funeral services 1,200.00 3. CURA Hospitality -post-funeral luncheon 243.00 4. Flowers 200.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City State Year(s) Commission Paid: 2. Attorney Fees: PUrC211, Krug & Haller 3. Family Exemption: (If decedents address is not the same as claimants, attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. ~ Probate Fees: Register of Wills of Cumberland County 5. I Accountant Fees: Elizabeth M. Seidel, CPA 6. I Tax Return Preparer Fees: 7. Register of Wills -Short Certs; fee to file Will; JCS fee; Automation fee 8. Register of Wills -fee to file Inheritance Tax Return 9. Register of Wills -fee to file Family Settlement Agreement 10. Postage 11. Mileage reimbursement to Wafter R. Meyer 12. Mileage reimbursement to Kathy M. Studer 4,700.00 30.00 110.00 67.50 15.00 20.00 54.62 47.75 22.71 TOTAL (Also enter on Line 9, Recapitulation) I $ ZIP 319.5 If more space is needed, use additional sheets of paper of the same size. REV-1512 EX+ (12-08) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES, 8~ LIENS ESTATE OF FILE NUMBER EDGAR PATTERSON 20 11 00504 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Guardian Pharmacy -medications 3.18 2. Senior Care Home Instead -services 169.95 3. Park Forest Village -haircut 13.00 TOTAL (Also enter on Line 10, Recapitulation) ~ $ 186.1 )f more space is needed, insert additional sheets of the same size. REV-1513 EX+ (01-10) Pennsylvania ~ SCHEDULE J DEPARTMENT OF REVENUE I BENEFICIARIES INHERITANCE TAX RETURN II RESIDENT DECEDENT ESTATE OF: FILE NUMBER: EDGAR PATTERSON ~o ~ ~ nn5n4 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. Walter R. Meyer Lineal 950 Walnut Bottom Road, Suite 15-202 1/2 of residuary Carlisle, PA 17015 2. Kathy M. Studer Lineal 4 Keswick Drive 1/2 of residuary Mechanicsburg, PA 17050 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER S HEET, AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: 1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ It more space Is neeoeo, use addltionai sheets of paper of the same size. IN RE: ESTATE OF EDGAR PATTERSON, DECEASED IN THE COURT OF COMMON PLEAS CUMBERLAND CO., PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-11-0504 TABLE OF CONTENTS Last Will and Testament of Edgar Patterson dated December 27, 2006. 2. Edgar Patterson Revocable Living Trust executed December 27, 2006. 3. PNC Bank letter dated July 26, 2011 confirming the Decedent's sole ownership and the date of death balances on his two Checking Accounts. 4. New York Life Annuity letter dated August 9, 2011, confirming the Decedent's two children were his beneficiaries and the date of death value of the non-probate Annuity. 5. Letter dated November 1, 2011 explaining the calculation of inheritance taxes and need to use a portion of the non-probate Annuity proceeds to pay the Decedent's debts and Estate administrative expenses not covered by the probate assets; and explaining the only beneficiaries were the Decedent's two children who were to share equally in accordance with the Decedent's Will and Revocable Living Trust. ~.,~~~ ~~ ~~~1 °~°~~~~.H~~Irlt~ ®~ I, EDGAR PATTERSON, having my legal residence at 1179 Shoreham Road, Camp Hill, Cumberland County, Pennsylvania, do declare this to be my Last Will and Testament, revoking all my previous wills and codicils. WITNESSETH: FIRST: I declare that I am widowed and that I have the following two (2) children born to me; WALTER R. MEYER and KATHY M. STUDER. SECOND: I appoint my son, WALTER R. MEYER and my daughter, KATHY M. STUDER, or the survivor of them to be my Personal Representative(s). A. No bond or undertaking shall be required of any Personal Representative nominated in my will. B. My Personal Representatives} shall have full authority to administer my estate under the laws of the Commonwealth of Pennsylvania relating to the powers of fiduciaries. My Personal Representative shall have the power to administer my estate under the Independent Administration of Estate Act. THIRD: I give aII of my property of whatever nature and kind and wherever located to my revocable living trust of which I am the Settlor known as the EDGAR PATTERSON REVOCABLE LNING TRUST dated December 27, 2006. A. If my revocable Living trust is not in effect for any reason, I give all of my property to my Personal Representative under this will as Trustee who shall hold, administer and distribute my property as a testamentary trust the provisions of which are identical to those of my revocable living trust on the date of execution of my Will. FOURTH: The term "death taxes," as used in my Will, shall mean alI inheritance, estate, succession and other similar taxes that are payable by any person on account of that person's interest in the estate of the decedent or by reason of the decedent's death including penalties and interest. A. Pursuant to the terms of my revocable living trust, all death taxes whether or not attributable to property inventoried in my probate estate shall be paid by the Trustee from that trust. However, if that tnzst does not exist at the time of my death or if the assets of that trust are insufficient to pay the death taxes in full, I direct my personal representative to pay any death taxes that cannot be paid by the trustee from the assets of my probate estate by prorating and apportioning those taxes among the beneficiaries of this Will. B. Notwithstanding any other provision in my trust, all death taxes incurred by reason of assets transferred outside of my trust or probate estate shall be assessed against those persons receiving such property. FIFTH: If any person or entity other than me singularly or in conjunction with any other person or entity directly or indirectly contests in any court the validity of this Will including any codicils thereto, then the right of that person or entity to take any interest in my estate shall cease and that person or entity shall be deemed to have predeceased me. SIXTH: Should any of the provisions of my Will be for any reason declared invalid, such invalidity shall not affect any of the other provisions of this Will and all invalid provisions shall be wholly disregarded in interpreting this Will. SEVENTH: This Will shall be construed, regulated and governed by and in accordance with the laws of the Commonwealth of Pennsylvania. I signed this, my last Will and Testament consisting of two (2} pages plus the Acknowledgement, Affidavit and Certification on December 27, 2006. 'U; _ ..~ EDG ATTERSON The foregoing Will was, on the day and year written above, published and declared by EDGAR PATTERSON in our presence to be his Will. We, in his presence and at his request, and in the presence of each other, have attested the same and have signed our names as attesting witnesses. We declare that at the time of our attestation of this Will, EDGAR PATTERSON was, according to our best knowledge and belief, eighteen (18) years of age or older, of sound mind and memory and under no undue duress or constraint. SS COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPH]N SS: I, ROBERT P. GRUBB, the Testator whose name is signed to that attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed this instrument on December 27, 2006, 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. ~. EDG PATTERSON, Testator Sworn or affirmed to and acknowledged before me by EDGAR PATTERSON, the Testator, on December 27, 2006. Attorney (Zvr~; P C--~tc~ -~f~ 3 COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SS: UWe, the undersigned witness(es) whose names} is/are signed to the attached or foregoing instrument, being first duly qualified according to law, do depose and say that Uwe were present and saw EDGAR PATTERSON, the Testator, sign and execute the instrument as his last Wi11 and Testament; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that I (each of the us) in the hearing and sight of the Testator signed the said Will as a witness; and that to the best of my/our knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraints or undue influence. v'/~//~~ WITNESS/ ~ WITNESS Sworn or affirmed to and acknowledged before me by ~ ~~ L,, ll/1~ and ,the witnesses, on December 27, 2 06. PA ttorney COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SS: On December '~~~ 2006, before me the undersigned officer, personally appeared ROBERT P. GRUBB, Esq. (Pennsylvania Supreme Court ID No. 76057), known to me or satisfactorily proven to be a member of the bar of the highest court of Pennsylvania and certified that: 1. He was personally present when the foregoing acknowledgment and affidavit were signed by the Testator, EDGAR PATTERSON and the witness(es); and 2. He was one of the witnesses whose names are signed to the attached or foregoing instrument, and that being duty qualified according to law, did depose and say that he was present and saw EDGAR PATTERSON, the Testator sign and execute the instrument as his Last Will; that the Testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testator signed the will as a witness; and that to the best of his knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Robert IN WITNESS HEREOF, I hereunto set me hand and o~f`icial seal. Notary Public CCjf~€P~lC3E~V~EALTN OF PE€~NSYL1~AtVlA NOTARIAL SEAL CAROL A. L~ER~ Notary Rubikc City of F~arslst~org, Qauphln Coo~ty !:,~,,~ ^o-~:~lsslon Expfros Dec, 28, 20Dp 5 ,- _ _,_ _ Ji~~~~~ JC ~~~~~~®~ This informal letter of instruction to my family, Executor and Trustee serves to convey my personal wishes concerning distribution of selected personal effects. In any situation where the provisions of this letter may be deemed to be inconsistent with or contrary to the terms of my Will, Living Trust or other formal Estate Planning Documents, it is my desire and intent that the provisions of my Will my Trust and other formal Estate Planning instruments shall govern and be controlling since I do not intend that this letter shall serve in any respect as a Will nor shall the terms of this letter override the provisions of a Will or a Trust executed by me whether it was signed prior or subsequent to the date of this letter. Distribution of Personal Property Description of Property Beneficiary 1. Z. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 1 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. r :~~F* - - - Description of Property 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. Beneficiary 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. Other Directions To My Family: 2 ~J11/G~R ~d~~~~R~®~ R~~®~1-~~I~~ I~I~II~TG ~CI~lC7~~I° THIS AGREEMENT OF TRUST executed in duplicate on December 27, 2006, among and between EDGAR PATTERSON, of Cumberland County, Commonwealth of Pennsylvania as Settlor (hereinafter referred to as "Settlor"), and EDGAR PATTERSON, WALTER R. MEYER and KATHY M. STUDER as the Initial Trustees (hereinafter referred to as "Trustee"). I hereby declare that I am widowed and that the following two (2) children are born to me; WALTER R. MEYER and KATHY M. STUDER. All references to my children are to these. WITNESSETH: WHEREAS, I wish to create a trust to hold and own the property set forth in Schedule A attached hereto and made a part hereof, together with such monies, securities and all other assets, real or personal, as the Trustee may hereafter at any time hold or acquire hereunder (such property and additions being hereinafter called principal), for the purposes hereinafter set forth; NOW, THEREFORE, in consideration of the premises and the mutual covenants herein contained, I agree to transfer the aforesaid property to the Trustee and the Trustee agrees to hold the trust estate, IN TRUST, NEVERTHELESS, for the following uses and purposes and subject to the terms and conditions hereinafter set forth: ARTICLE FIRST GENERAL PROVISIONS A. Name of Trust. This trust shall, be known as the "EDGAR PATTERSON REVOCABLE LIVING TRUST dated December 27, 2006," and it shall be sufficient that it be referred to as such in any deed, assignment bequest or devise. B. Trust Estate. Settlor grants, assigns, and sets over to Trustee and its successors all the property described in Schedule "A" annexed hereto, and made part of this trust agreement. My Trustee acknowledges receipt of all assets listed on the attached Schedule A. All such assets, together with all other assets, real or personal, as the Trustee may hereafter at any time hold or acquire whether in the name of the trust or in the name of the Trustee, shall comprise the trust estate. Settlor, or any other person with the consent of my Trustee, may add to the principal of this trust by deed or will or otherwise. All property transferred to my trust and not disclaimed by my Trustee shall be held, administered and distributed according to the terms of this agreement. C. Revocable Living Trust. This trust agreement creates a revocable living trust. D. Definitions and Interpretations. 1. The term "child" means a natural blood descendant to the first degree of a designated person. In addition, a person who is adopted prior to attaining the age of eighteen (18) years shall be deemed to be the "child" of the adopting parent(s); a person conceived by means of in vitro fertilization or artificial insemination shall be deemed to be the "child" of my descendant who is a biological parent or whose spouse is a biological parent; and a person born out of wedlock shall be deemed to be the "child" of the natural mother and, if the natural father acknowledges paternity, of the natural father. Any step- child(ren) of myself or my designated beneficiaries not adopted during their minority, unless specifically included are excluded for any interest in my trust estate. The term "children" shall mean more than one "child". 2. The term "issue" means the lawful blood descendants of any degree of the party designated; provided that any person who is a child of a lineal descendant of the party designated and the lineal descendants of such person shall be lineal descendants of the party designated. The terms "child," "children," "issue," "descendant," and "descendants" or those terms preceded by the terms "living" or "then-living" shall include the lawful blood descendants in the first degree of the parent designated even though such descendant is born after the death of such parent. 3. When a distribution is to be made to the issue of a designated person "per stirpes", the property to be distributed shall be divided into as many equal shares as there are then-living children of such beneficiaries and deceased children of such beneficiaries who left then-living descendants. Each then- living child of the beneficiary shall receive one share and the share that is allocated to each deceased child of the beneficiary shall be divided equally among such decease child's then-living descendants. 4. The term "education" means technical, preparatory, college, graduate and professional education while enrolled in good standing in a recognized educational institution. 5. The term "adult" means a person who has attained twenty-one (21) years of age and the term "minor" means a person who is not an adult. 2 6. The term "personal representative" shall mean Trustee, executor, executrix, administrator, administratrix, conservator, guardian, custodian or any other type of personal representative. 7. References to a "Code Section" mean the specified section of the Internal Revenue Code of 1986, as amended, or the corresponding provisions of any future United States internal revenue law. 8. At any particular time with respect to any trust, the phrase "trust estate" means the assets then constituting the principal, including any accumulated income, and any undistributed income. 9. The singular includes the plural and the plural includes the singular; the masculine, feminine and neuter genders shall each be deemed to include the other two. 10. The headings, titles and subtitles in this trust have been inserted solely for convenient reference and shall be ignored in its construction. 11. For all purposes under this agreement a person shall be deemed disabled, incompetent or legally incapacitated if and so long as a guardian or conservator of his or her person or estate duly appointed by a court of competent jurisdiction continues to serve, or upon certification by two licensed physicians that such person is unable properly to care for his or her person or property. ARTICLE SECOND SETTLOR'S LIFETIME RIGHTS A. Right to Income and Principal. During the Settlor's lifetime, to pay to him the net income therefrom and so much of the principal as shall be requested by Settlor or as Trustee in their discretion from time to time deem advisable for Settlor's support to maintain him in the standard of living to which Settlor was accustomed at the creation of the trust. If Settlor is, in the opinion of the Trustee, disabled by reason of age, illness or any other cause, Trustee shall apply for the Settlor's benefit so much of the net income and principal of this trust as Trustee, may from time to time deem advisable for Settlor's support to maintain Settlor in the standard of living to which Settlor was accustomed at creation of this trust. B. Right To Revoke Agreement. Settlor, while legally competent, shall have the right to revoke or terminate this trust or any separate trusts created under this agreement at any time. Any revocation of this trust agreement must be delivered to the Trustee in writing. The power to revoke or terminate this trust is personal to the Settlor and may not be exercised by any other person or entity. 3 After any revocation or termination of any trust created by this agreement the Trustee shall promptly deliver the designated trust property to the Settlor, EDGAR PATTERSON. The Trustee shall be entitled to retain sufficient assets to reasonably secure the payment of liabilities Trustee has lawfully incurred in administering the trust and any fees that have been earned by my Trustee until such time as those liabilities have been discharged and fees paid, unless I indemnify the Trustee against loss or expense. C. Direction of Investments. Settlor shall have the right to direct investments of trust property including the investment, retention, encumbrance, sale or disposition of trust funds in specified securities, properties or other forms of investments. D. Settlor/Trustee Bank Accounts. It is contemplated that Settlor may establish a joint bank account or accounts with the Trustee and create powers of attorney in respect thereof in other persons. Deposits from time to time made by me or other authorized persons into such accounts shall constitute transfers to the trust estate and withdrawals therefrom which may be made without the co-signature of my Trustee shall constitute withdrawals from the trust estate. However, my capacity and other authorized persons with respect to any such account shall be that of nominee of my Trustee and not co- owner. At any given time the trust estate shall include the then balance of such account. E. Right to Amend Agreement. Settlor, while legally competent, shall have the right to amend, modify or alter this trust or any separate trusts created under this agreement at any time in whole or in part provided that the duties, powers and liabilities of the Trustee shall not be changed without their written consent. Any amendment of this trust agreement must be delivered to the Trustee in writing. The power to amend this trust is personal to the Settlor and may not be exercised by any other person or entity. After my death, this trust or any trust created by this agreement shall be irrevocable and not subject to amendment. (The following Section is Article Third, Diapositive Provisions) 4 ARTICLE THIRD DISPOSITIVE PROVISIONS A. Division and Distribution of the Trust Estate. Upon my death, my Trustee shall divide all trust property not previously distributed into separate shares of equal market value being one share for each of my children WALTER R. MEYER and KATHY M. STUDER and shall hold, administer and distribute such shares as follows: 1. Distribution of Personal Property. My Trustee shall distribute my tangible personal property to my children under paragraph A. of this Article as follows: a. All items of tangible personal property shall be inventoried and valued at a fair market value. b. I may leave a Memorandum listing some of the items of my tangible personal property which I wish certain persons to have and request that my wishes as set forth in the Memorandum be observed by my Trustee. Any items of tangible personal property not so designated shall be divided and distributed among my children as follows: c. Each of my children may select one item, in rotation, in order determined by lot, until such time at which the items chosen by that child reach such child's proportionate share of the total value of the trust estate, or until such time as the child wishes to make no further selections d. Any items not selected shall be sold and the net proceeds shall pass with the balance of my trust property under paragraph A. of this Article. e. To the extent my children are unable to agree, the decision as to what may constitute "one item" for purposes of this selection shall be made by my Trustee. f. Any disputes concerning this method of allocation shall be resolved by my Trustee in my Trustee's sole discretion or when more than one Trustee is acting, by a majority vote of my Trustees. In the event my Trustees are unable to resolve any such dispute by majority vote, I direct my Trustee to sell all of my tangible personal property at public auction with the proceeds being divided and distributed to my beneficiaries under paragraph A. of this Article Third, above. 2. Distribution for WALTER R. MEYER. My Trustee shall distribute, free of the trust, as much of accumulated net income and principal of this trust share to my son, WALTER R. MEYER, as he may from time to time request in a writing directed to my Trustee, up to and including his entire trust share. In the event my son is mentally disabled or legally incompetent as defined under Article Two, my Trustee may: 1) pay to or apply for the benefit of my son, WALTER R. MEYER so much of the net income and principal of his trust share as my Trustee in its discretion deems advisable for my son's education, health, maintenance and support, considering all other sources of income and resources available to my son and known to my Trustee; and 2) pay to my daughter-in- 5 law, NANCY L, MEYER, as much of accumulated net income and principal of this trust share to my daughter-in-law as she may from time to time request in a writing directed to my Trustee, up to and including the entire trust share. Should WALTER R. MEYER die before the complete distribution of his trust share, his trust share shall terminate and my Trustee shall distribute the balance of the trust property to his wife, NANCY L. MEYER or if she fails to so survive my Trustee shall distribute the balance of the trust share to the then-living descendants of WALTER R. MEYER, per stirpes. If WALTER R. MEYER has no then living descendants, my Trustee shall distribute the balance of his trust share to my beneficiary(ies) under Paragraph A. of this Article in equal shares, per stirpes. 3. Distribution for KATHY M. STUDER. My Trustee shall distribute, free of the trust, as much of accumulated net income and principal of this trust share to my daughter, KATHY M. STUDER, as she may from time to time request in a writing directed to my Trustee, up to and including her entire trust share. In the event my daughter is mentally disabled or legally incompetent as defined under Article Two, my Trustee may pay to or apply for the benefit of my daughter, so much of the net income and principal of her trust share as my Trustee in its discretion deems advisable for my daughter's education, health, maintenance and support, considering all other sources of income and resources available to my daughter and known to my Trustee. Should KATHY M. STUDER die before the complete distribution of her trust share, her trust share shall terminate and my Trustee shall distribute the balance of the trust property to the then-living descendants of KATHY M. STUDER, per stirpes. If KATHY M. STUDER has no then living descendants, my Trustee shall distribute the balance of her trust share to the then-living beneficiary(ies) under Paragraph A. of this Article in equal shares per stirpes. 5. Distributions to Underage or Disabled Beneficiaries. Notwithstanding any other provision in this trust agreement, if any person otherwise entitled to receive a distribution of trust property is under the age of twenty-five (25) years of age or is mentally disabled or legally incompetent as defined in Article Two, the Trustee shall retain and administer that person's trust property for his or her benefit as follows: a. My Trustee may pay to or apply for the benefit of such beneficiary so much of the net income and principal of the trust as my Trustee in its discretion deems advisable for such beneficiary's education, health, maintenance and support, considering all other sources of income and resources available to such beneficiary and known to my Trustee. b. My Trustee is authorized to make payments under this Section either directly to the beneficiary, to the beneficiary's personal representative or to any other person the Trustee may deem proper to be used for the benefit of the beneficiary. c. All decisions by my Trustee as to those it makes payments to, the purpose for which these payments are made, and the amounts to be 6 paid out of the trust are within my Trustee's sole but reasonable discretion. d. All undistributed net income shall be accumulated and added to the principal of the trust. e. Beginning on the Settlor's first birthday following a beneficiary attaining the age of twenty-five (25) years, or when such beneficiary is no longer disabled as determined be a court of competent jurisdiction, or upon the certification by two licensed physicians that such beneficiary is able to properly care for his or her property and person, whichever is later, my Trustee shall distribute to such beneficiary as much of the accumulated net income and principal of such beneficiary's trust share as such beneficiary may from time to time request in a writing directed to my Trustee up to and including the entire trust share. f. Upon the death of a beneficiary under this Section, my Trustee shall distribute the balance of such beneficiary's remaining trust share, including the trust principal and accrued and undistributed income, to any person or entity and upon any trust, terms and conditions, or to or in favor of the estate of such deceased beneficiary, as he or she may direct by his or her last Will or living trust agreement. No exercise of this general power of appointment shall be effective unless it refers to this trust agreement and expressly indicates an intention to exercise this general power of appointment. In the event a beneficiary under this section fails to effectively exercise this general power of appointment, the balance of such beneficiary's trust share shall be distributed to the remaining beneficiary(ies) under Paragraph A. of this Article, per stripes. (The following Section is Article Fourth, Trustees) 7 ARTICLE FOURTH TRUSTEES A. I appoint myself, EDGAR PATTERSON, my son, WALTER R. MEYER and my daughter, KATHY M. STUDER, as the initial Co-Trustees on the trust creation date. B. If at any time the Settlor is serving as a co-Trustee under this agreement, any acting Trustee may make decisions and bind the trust in exercise of all powers and discretions granted to them under this agreement without the consent of any other Trustee. C. In the event EDGAR PATTERSON, is unable or unwilling to serve as Trustee, WALTER R. MEYER and KATHY M. STUDER, or the survivor of them shall serve as my surviving and successor Trustee(s). D. Unless otherwise provided for under this Article Fourth, the last named and acting named successor Trustee shall have the limited power to nominate his or her successor Trustee and in the event the named successor Trustee should cease to act as Trustee without having designated a successor, then a majority of the beneficiaries then-eligible to receive distributions. of income or principal under this agreement or their legal representatives shall appoint a successor Trustee. If any trust existing under this agreement lacks a Trustee and no successor is appointed pursuant to this Section, the vacancy shall be filled by a court of competent jurisdiction. E. Notwithstanding Section B of this Article, if at any time there are two or more Trustees serving under this agreement, none of whom are the Settlor, they shall act by majority vote and any exercise of a power or discretion by a majority of the Trustees shall have the same effect as an exercise by all of them. F. Notwithstanding any other provision of this agreement, any one or more of the co- Trustees serving under this agreement may from time to time delegate to another co- Trustee or co-Trustees routine acts of trust administration. G. No Trustee under this agreement shall be required to post any bond for the faithful performance of its responsibilities. H. My Trustee under this agreement shall be entitled to reasonable compensation for the performance of its functions hereunder payable without a court order. In calculating the amount of compensation customary charges for similar services in the same geographic area for the same time period shall be used as guidelines. Should a corporate trustee be acting, compensation shall be in accordance with its standard schedule of fees in effect from time to time during the period over which its services are performed. s L Any corporate successor to the trust business of any corporate Trustee named under this agreement or acting hereunder shall succeed to the capacity of its predecessor without reconveyance or transfer of trust property. J. Notwithstanding any language purporting to confer absolute, sole or unrestricted discretion on my Trustee, in exercising any discretionary power with respect to this trust, my Trustee shall at all times act in accordance with fiduciary principals and shall not act in bad faith or in disregard of the purposes of this trust. K. Notwithstanding any other provision in this trust agreement, no individual Trustee who is also a beneficiary hereunder shall have any right, power, duty or discretion concerning this trust if such right, power, duty or discretion conferred upon such Trustee under this trust agreement is determined to be a general power of appointment under I.R.C. Section 2041 or 2514, which would cause any assets of the Trust to be included in the estate of such Trustee-beneficiary. Any such right, power, duty or discretion with such effect shall be null and void with respect to such Trustee-beneficiary. No Trustee who is under a legal obligation to any beneficiary of this trust or other person shall under any circumstance partake in any decisions relating to any discretionary distributions of income or principal of this trust which can be used for any such legal obligation to any such beneficiary or other person. ARTICLE FIFTH TRUSTEE POWERS My Trustee shall have the following powers in addition to those vested in it by law and by other provisions of this trust, applicable to all property, whether principal or income, exercisable without court approval, and effective until actual distribution of all property: A. To retain any or all of the assets of the trust, real or personal, including any shares of stock or other securities Settlor may own of the corporate Trustee or its successor, or of a holding company controlling Trustee or its successor, without restriction to investments authorized for Pennsylvania fiduciaries, as it deems proper, without regard to any principal of diversification of risk. B. To invest in all forms of property (including stock or other securities of Trustee or its successor, or of a holding company controlling Trustee or its successor, and common trust funds and mortgage investment funds whether maintained by the corporate Trustee or its successor or others}, without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper, without regard to any principal of diversification or risk. C. To borrow funds from any person including my Trustee, guarantee indebtedness or indemnify others in the name of the trust and to secure any such 9 obligation by mortgage, pledge, security interest or other encumbrance and to renew, extend or modify any such obligation for a term within or extending beyond the administration of the term of the trust. No lender shall be bound to see to or be liable for the application of the proceeds of any obligation and my Trustee shall not be personally liable for any obligation. D. To sell at public or private sale, to exchange, or to lease for any period of time, any real or personal property and to give options for sales, exchanges or leases, at such prices and upon such terms or conditions as it deems proper. E. To allocate receipts and expenses to principal or income or partly to each as Trustees from time to time think proper in their sole discretion but in no event shall the income of the marital deduction trust under Article Third be reduced by the exercise of this power. F. To lend to, or purchase from, Settlor's executor, even though any Trustee is also such executor. G. To hold property in the name of Settlor, or in its name without designation of any fiduciary capacity, or in the name of a nominee, or unregistered. H. To compensate any guardian of the person of Settlor's minor children as directed by Settlor in his last Will or by Settlor's wife in her last Will. I. Settlor specifically authorizes Trustee to transfer assets to itself as Trustee by exercise of any power of attorney granted by Settlor to Trustee, such assets so transferred to be held IN TRUST under the terms of this trust. J. Trustee is authorized to invest in U.S. Treasury Bonds redeemable at par in payment of Federal estate tax and Trustee is directed either to use all such bonds held by the trust at Settlor's death to pay Federal estate tax in Settlor's estate to the fullest extent possible or to deliver to the personal representative of Settlor's estate after Settlor's death all such bonds held by this trust at Settlor's death for use by the personal representative to the fullest extent possible in payment of the Federal estate tax in Settlor's estate. No reimbursement shall be due from Settlor's estate to this trust for the bonds so used or distributed and provided herein. Trustee is further authorized to borrow monies to acquire such bonds. K. To contract with and arrange for Settlor's entrance to any hospital, nursing home, health center, convalescent home, residential care facility, or similar institution, to authorize medical, therapeutical and surgical procedures for Settlor, and to pay all bills in connection therewith. L. Should the principal of any trust herein provided for be or become too small in the sole discretion of the Trustee so as to make establishment or continuance of the trust inadvisable, the Trustee may make immediate distribution of the then-remaining principal to and any accumulated or undistributed income outright to the person or persons and in the proportions they are then entitled to income. Upon such termination, the rights of all persons who might otherwise have an interest as succeeding income beneficiary or in remainder shall cease. ARTICLE SIXTH MISCELLANEOUS A. Estate Expenses. Trustee shall have the power, but not the duty, to make such expenditures out of this trust as they, in their uncontrolled discretion, may consider desirable in order to facilitate the settlement of Settlor's estate. In exercising such power, Trustees may pay, in whole or in part, any or all of the following items: The expenses of Settlor's last illness and burial, including cost of gravemarker: her debts; her income taxes; the death taxes on any and all property included in her gross estate for tax purposes; and all other items in connection with the settlement of his estate. Any such items maybe paid directly by Trustees, or the funds for their payment may be transferred to Settlor's executor or administrator; and neither such executor or administrator nor any beneficiary of Settlor's estate shall be required to reimburse Trustees for any funds so paid. B. Spendthrift Protection. Neither the principal not the income of any trust created or contained under this agreement shall be liable for the debts of a beneficiary nor shall the same be subject to seizure by any creditor of any beneficiary under any lien or proceeding at law or equity. Except to the extent otherwise expressly provided in this agreement, no beneficiary shall have authority or power to sell, assign, transfer, encumber or in any manner to anticipate or dispose of a beneficial interest whether income or principal. The limitations herein shall not restrict the exercise of any power of appointment or the right to disclaim by any beneficiary. C. Income and Principal Payments. All payments of income or principal shall be made in such of the following ways as my Trustee determines appropriate: 1. To each respective beneficiary in person upon his or her personal receipt; 2. Deposited in any bank to the credit of such beneficiary in any amount carried in his or her name jointly with another or others; 3. To the parent or legal representative of the beneficiary; 4. To a Custodian under a Uniforn7 Transfers to Minors Act selected by the Trustee for such period of time under applicable law as our Trustee determines appropriate; 5. To some near relative, friend or institution having primary responsibility for the care and custody of the beneficiary; 6. By the Trustee using such payment directly for the benefit of such beneficiary; or 7. To the Trustee of any revocable trust of which the beneficiary is the Settlor. 11 D. Merger of Trusts. My Trustee may at any time after my death of merge any separate trust held hereunder with any other separate trust held by my Trustee under Agreement with Settlor or undex his last Will, if the terms of the trusts are then substantially similar and held for the primary benefit of the same persons. E. No-Contest Clause. If any person or entity, .other than the Settlor, or in conjunction with any other person or entity, directly or indirectly, contests in any court the validity of this trust agreement, including any amendments thereto, then the right of that person or entity to take any interest in the trust property shall cease, and that person (and his or her descendants) or entity shall be deemed to have predeceased me. F. Severability. Should any of the provisions of this agreement be for any reason declared invalid, such invalidity shall not affect any of the other provisions of this agreement and all invalid provisions shall be wholly disregarded in interpreting this agreement. G. Perpetuities Clause. Unless sooner terminated or vested in accordance with other provisions of this agreement, all interests not otherwise vested including but not limited to all trusts and powers of appointment created hereunder shall terminate twenty-one (21) years after the death of the last survivor of the group composed of me and my lineal descendants living on the date of my death. At that time distribution of all principal and all accrued, accumulated and undistributed income shall be made to -the persons then entitled to distributions of income in the manner and proportions herein stated or if not stated, equally irrespective of their then attained ages. H. Trust Situs and Applicable Law. The situs of this trust for administrative and accounting purposes shall be in the County of Cumberland, Commonwealth of Pennsylvania. The laws of the Commonwealth of Pennsylvania shall at all times govern the construction, validity, and effect of this Trust Agreement and the administration of the trust hereby created. I. Bindin Eg ffect. This Trust Agreement extends to and is binding upon the personal representatives, successors and assigns of the Trustee and Settlor. 12 IN WITNESS WHEREOF, Settlor and Trustee have hereunto signed and sealed this Trust Agreement as of the day and year first above written. ~y ~ / EDGAR ~` TTERS N, Settlor EDG PATTERSON, Trustee 2 ~ ~ -~~'~ y WALTER R. MEYER, rus e KATHY STUDER, Trustee COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN ss: On December 27, 2006, before me, a Notary Public personally appeared ROBERT P. GRUBB, Esquire, (PA Supreme Court ID No. 76057) known to me to be a member of the bar of the highest court of said commonwealth, and certified that he was personally present when EDGAR PATTERSON, as Settlor and EDGAR PATTERSON, WALTER R. MEYER and KATHY STUDER as Co-Trustees, whose names are subscribed to the within instrument, executed the same, and that said persons acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. _~ Notary Public (.;~rtr,,s,t~':'e`~p'4':f',~.TY~ CJ~~ Fciv.t ~., P~!OTF~RfAL SEAL G~RO~ A. LEER, Notary F~u~~!!c C[ty at Harrisburg, Dauphin County t,~y ~'arr~rn!^sslon Explr~s Dec. 28, 2Q08 13 Schedule A Property of EDGAR PATTERSON Institution Bank Accounts Certificates of Deposit Brokerage Accounts Mutual Funds Real Property Account Number All that real property located in Lower Allen Township, Cumberland County, known and numbered as 1179 Shoreham Road, Camp Hill, Pennsylvania 17011 Personal Property Personal Effects Furniture, Furnishings and Appliances Jewelry Tools Antiques 14 ~~~~. L~~?. Ll'I I I I;~t7",i~n rive: onion .A.. ~~ J t~ I~G Yt#~ VidY July 26, 2011 Purcell Krug & Haller Attn: Jill M Wineka 1719 N Front St Harrisburg, PA 17102 RE: Edgar Patterson SSN: 199-07-310 DOD: 04-06-2011 Dear Ms. Wineka: e v. ~; -i -rt i In response to your request for Date of Death (DOD) balances for the customer noted above, our records shoe the following: Checking Account Account # 1207589494 EDGAR PATTERSON WALTER R MEXER VA CUST DOD balance: S 2,909.01 non interest bearing Savings Account Account # 5140048631 EDGAR PATTERSON DOD balance: $ 1,862.41 non iniezest bearing Safe Deposit Boz The decedent maintained safe deposit box m 323 EDGAR PATTERSON Located at: Cedar CliffMall Branch 1104 Carlisle Camp Hill. PA 17011 (717) 761-3180 Established: O 1-1 ~-2011 Established: 04-01-1970 Page 1 of 2 Ju i. L['. Lv I I I I ;=iJ'~it'i i ivy: uniur. iV'J. ll7T f ~ L L Please note that this office provides date of death balances fur deposit accoupts (IRAs, CDs, Checking and 5avingsj. We do nut process s~ny financial transactions or provide statements. Lf you need assistance with any of these items, plea-;e call 1-888-PNC-BANK (1-888-762-2265j or stop by your local PNC Ban}: branch offtce, Sincerely, INational Financial Services Center Piv'C Bank, N.A_ Member FDIC This meSSage is intended for the use of the individual or entity° to which it is addressed and may contain informarrorl that i.; privileged, cor7fdential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient or tl7e employee or agent responsible for delivering this message to the intended recipient, you are hereby notified t)7at alzy dissemination, distribution or copying of tl-1is communications is strictly prohibited. If you hm~e received this comn7unication in error, please notify me immediately by reply or by telephone at 800-762-1775 and immediately de.sn•oy ihis faxed document. Page 2 of 2 Winner of the ~s Da{bar Service Award ~~ , from 2000-2010 August 9, 2011 Jill M Wineka Purcell, Krug & Haller 1719 North Front Street Harrisburg, PA 17102-2392 Policy Number: 75604562 Decedent: Edgar Patterson Dear Ms. Wineka: Thank you for your recent inquiry regarding the date of death value on the above policy. As of April 6, 2011 the value of the above-referenced policy was $25,429.60. The named beneficiaries to the policy were Walter R- Meyer and Kathy M. Studer. If you have any questions, our Client Services Representatives are available Monday through Friday from 8:30a.m. to 5:30p.m. Eastern Time at 1-800-762-6212. Sincerely, Nichelle Church Senior Service Associate New York Life Annuity Service Center • P.O. Box 9859 • Providence, RI 02940 • 1-800-762-6212 Annuities are issued by New York Life Insurance and Annuity Corporation (NYL{AC) (A Delaware Corporation) Variable annuities are distributed by: NYLIFE Distributors LLC, Member FINRAlSIPC NYLIAC and NYLIFE Distributors LLC are wholly owned subsidiaries of New York Life Insurance Company 51 Madison Ave, New York, NY 10010 LAW OFFICES HOWARD B. KRUG LEON P. HALLER JOHN W.PURCELLJR. 71LL M. WINEKA LISA A. RYNARD Purcell, Krug ~ Haller 1719 NORTH FRONT STREET HARRISBURG, PENNSYLVANIA 1 71 02-23 92 TELEPHONE (717) 234-4178 FAx (7I7) 783-4939 HERSHEY (717) 533-3836 JOHN W. PURCELL(]924-2009) JOSEPH NISSLEY (}9}0-1982) November 1, 2011 PA Department of Revenue Bureau of Individual Taxes Inheritance Tax Division P.O. Box 280601 Harrisburg, PA 1 7 1 28-0601 Re: Estate of Edgar Patterson File No.: 21-11-0504 Date of Death: April 6, 2011 SS#: 199-07-3105 Explanation of Calculation of Inheritance Living Trust Dear Department of Revenue, Inheritance Tax Division: Please be advised I have been retained by the Co-Executors, Walter R. Meyer and Kathy M. Studer to represent the Estate of their Father, Edgar Patterson. As reported on Schedule B, the value of the probate Estate totaled $4,871.42. The probate assets of the Estate were less than the Estate administrative expenses and the Decedent's debts listed on Schedules H and I, which totaled $8,505.71. The gross value of the non-probate asset had a date of death value of $25,429.60 as reported on Schedule G. The beneficiaries of the non-probate asset contributed $3,679.28 toward the debts and administrative expenses, resulting in the net taxable, non-probate asset balance of $21,750.32. The figure of $21,750.32 was taxed at the lineal rate of 4.5 percent. Item Third of the Decedent's Will distributed his net assets into his Revocable Living Trust with a caveat that if his Revocable Living Trust was not in effect when he died, then his assets were to be distributed as a Testamentary Trust identical to the terms of his Revocable Living Trust. When he died, the Decedent owned no real estate and his Revocable Living Trust had never formally been funded. According to the Third Article of the Revocable Living Trust, upon the death of the Decedent, his net assets were to be distributed equally between his two children, Walter R. Meyer and Kathy M. Studer. Thus, the Decedent's only beneficiaries were his two children, who were taxed at the lineal rate of 4.5 percent. Taxes Owed and Decedent's Revocable November 1, 2011 Page 2 Shou4d you have any questions regarding the calculations based on the non-probate assets to satisfy the Decedent's debts and administrative expenses or the identity of the beneficiaries, please contact me directly. Thank you. Sincerely, ~! t- M. Wineka JMW/bas G ~ `~' o ~ ~ /~-CJ ~ i V~ ~- CfJ 9 /a~~~ ~ O _L Q~' O LA ~_. ~ .~ Y~ ~~~ ~ ~ ~r ~ rv p O &~ ~ ~ cq ~ z GS 7 J S' N ~"' 4 ~31INt1 ~~ o g aa~idse8wo~ ~~e~ dluo~~d .~ `~~ 1 ~/ I, ~~ ~ .~ `-' ~ G-~~- •~ ~~ 7 r- N Y!N O r`1; ~~'~ .~i ~: ~,R1`r ~C r'~•::'•rhu=3~'~ 51 ~~~~':#t' as .r :~~.~-~~ - ' -~~ . _, ~` u . ~, ~ 4.. '~. , ... -. ~,-» J ' ' '-r ~. C,~ -. - ,_ . =_' ~. r--~ h~RS h-Li w ~ i ~ uJ h /~ h U ~++.J O ~ p S w -~+ z ~~ ~~ ~~ tV, a aa~ ~L N G7 m N N O h a a a C x N 0 U ~ ~ M - ~- ~ O y~~ o~ r =_ o ~~a¢. L ~ ~ U ~ -N~~~~ ~fYUOU LAW OFFICES Purcell, Krug ~ Haller HOWARD B. KRUG 1719 NORTH FRONT STREET LEON P.HALLER HARRISBURG, PENNSYLVANIA 17102-2392 JOHNW.PURCELLJR. TELEPHONE (717) 234-4178 _ JILL M. W[NEKA Fax (717) 783-4939 LISA A. RYNARD November 16, 2011 Register of Wills Cumberland County Court House One Courthouse Square Carlisle, PA 17013 Re: Estate of Edgar Patterson File No.: 21-11-0504 Date of Death: April 6, 2011 Dear Register of Wills: HERSHEY (717) 533-3836 JOHN W. PURCELL(1924-2009) JOSEPH NISSLEY (1910-1982) Enclosed for filing, please find two originals and three copies of the Inheritance Tax Return, along with a check in the amount of $15.00 for the filing fee. I am also enclosing a check payable to the Register of Wills, Agent in the amount of $980.79 for payment of the inheritance tax due. Please return three date-stamped copies of the document to me in the enclosed stamped, self-addressed envelope. Thank you. Sincerely, ~. i M. Wineka JMW/bas Enclosures cc: Walter R. Meyer, Exec. w/o enc. Kathy M. Studer, Exec. w/o enc.