HomeMy WebLinkAbout04-0822CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: Richard J. Pasco, Sr.
Date of Death: 8/30/2004
Will No. 2004-00822 Admin. No.
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphan's Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on 12/13/2004
Name Address
Christine E. Reed, individually and as Trustee
Richard J, Pasco, Jr,
Lisa El~oru
215 South 16th Street
Camp Hill, PA 17011
Lot 163, 7073 Cadisle Pike
Carlisle, PA 17013
1306 Chatham Road
Camp Hill, PA 17011
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except:
Date: 1~ 3f2004:~-
Name: E. Ralph Godfrey, Esquire
Address: 17 W, South Street
Carlisle PA 17013
Telephone(717). 2435100
Capacity:
Personal Representative
Counsel for Personal
Representative
PETITION FOR PROBATE and GRANT OF LETTERS
No.
Social Security No./~'7 ~,~' /~q&,%_eceaged.D
The petition of thc undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execnt~'g~E
in the last will of thc above decedent, dated
and codicil(s) dated 7,//~/'o3~
Register of AWiIIs for the
County of ~[2&L~2~z~,~ in the
Commonwealth of Pennsylvania
named
,190b
Decendent was domiciled at death in _{~n~_JO~:],~ County, Pennsylvania, with
h/5 last family or principal residence at. o~/,<F 5 /&'al ,5'P
(list street, number and muncipality)
Decendent. then '7¢ years ofagei died f~ 30 , 19 t~¢ ,
at
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) AIl personal property $ /o~0' OO& O0
(If not domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvallja ~ $
situated as follows: ri,q/ ,FSo~g~]e~ ~
WHEREFORE, petitioner(s) respectfully rgqugst(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters
(testamenfa~; administration c.t.a4 administration d.b.n.c.t.a.)
theron.
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL,~TH OF PEI~INSYLVANIA
COUNTY OF ( .O-~tl~e-lO,,eX-~ J
The petitioner(s) above-named swear(s) or affirm(s) that the stat~aents in the foregoing petition are
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
Sworn to or affir~alg_d,_ and subscribed c
bef~e m.e this _ t~3~x- . day of ~
'~v- ~. ~RegLOer I
Estateof~ ~'~¢~qa~c~ ~' ~,~
, Deceased
DECREF~ OF PROBATE AND GRANT OF LETTERS
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated.
described therein be admitted to probate and ~ed of record ns the lazt will of
and Letters
are hereby granted t°
FEES
Probate, Letters, Ere .......... $~_~_
Short Certificates( ) .......... $
-- TOTAL
.ed .q:
ATTORNEY (Sup. Ct. I.D. No.)
ADDRF~S
PHONE
O0
',l:3 55 ,.1
his is to certify that the information here given is correctly copied tYom an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for perlnanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph. ~
3 ,
eglstr
P 10729500
No.
COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH * VITAL RECORDS
CERTIFICATE OF DEATH
691 Barnstable P,d.
PA 17013
Pasco
Road
·
200~
PA 17011
Grantville PA
LAST WILL AND TESTAMENT
(Pour-Over Will)
OF
RICHARD J. PASCO, SR.
Recor, of
II)ENTITY
I, RICHARD J. PASCO, SR., residing in the County of ~,}t~mberland, Commonwealth of
Pennsylvania, being of sound mind and memory, and not acting under duregS or undue influence of any
person whomsoever, hereby declare this to be my Last Will and Testament, and I do hereby revoke all
other former Wills and Codicils to Wills heretofore made by me. My Social Security Number is 167-24-
0965.
Ihave the following children: ChristineE. Reed, bom February 15, 1957, and Richard J. Pasco,
Jr., born June 21, 1958, and Elizabeth N. Eimore, born December 3, 1959
DEBTS, TAXES AND ADMINISTRATION EXPENSES
I have provided for the payment of all my debts, expenses of administration of property wherever
situated passing under this Will or otherwise, and estate, inheritance, transfer, and succession taxes, other
than any tax on a generation-skipping transfer that is not a liability of my Estate (including interest and
penalties, if any) that become due by reason of my death, under THE RICHARD J. PASCO, SR.
REVOCABLE LIVING TRUST executed on even date herewith (the "Revocable Trust"). If the
Revocable Trust assets should be insufficient for these purposes, my Executor shall pay any unpaid items
from the residue of my Estate passing under this Will, without any apportionment or reimbursement. In
the alternative, my Executor may demand in a writing addressed to the Trustee of the Trust an amount
necessary to pay all or part of these items, plus claims, pecuniary legacies, and family allowances by court
order.
PERSONAL AND HOUSEHOLD EFFECTS
It is my intent that all my personal and household effects were transferred to the Revocable Trust
as a result of the Declaration of Intent signed this date. If there are any questions regarding the ownership
or disposition of these assets, it is my desire that such assets pour into the Revocable Trust, signed by me
this date in accordance with the provisions of the section titled "Residue of Estate."
RESIDUE OF ESTATE
I give, devise and bequeath all the rest, residue and remainder of my property of every kind and
description (including lapsed legacies and devices), wherever situated and whether acquired before or
after the execution of this Will, to the Trustee under that certain Trust executed by me on the same date of
the execution of this Will. The Trustee shall add the property bequeathed and devised by this item to the
corpus of the above described Trust and shall hold, administer and distribute said property in accordance
with the provisions of the said Trust, including any amendments thereto made before my death.
If for any reason the said Trust shall not be in existence at the time of death, or if for any reason a
court of competent jurisdiction shall declare the foregoing testamentary disposition to the Trustee under
said Trust as it exists at the time of my death to be invalid, then I give all of my Estate including the
POUR-OVER WILL
Page 1
Testator
residue and remainder thereof to that person who would have been the Trustee under the Trust, as
Trustee, and to their substitutes and successors under the Trust, described herein above, to be held,
managed, invested, reinvested and distributed by the Trustee upon the terms and conditions pertaining to
the period beginning with the date of my death as are constituted in the Trust as at present constituted
giving effect to amendments, if any, hereafter made and for that purpose I do hereby incorporate such
Trust by reference into this my Will.
EXECUTOR
I hereby nominate and appoint Christine E. Reed to serve without bond as my Independent
Executor of this my Last Will and Testament.
In the event the first named Executor shall predecease me or is unable or unwilling to act as my
Executor for any reasons whatsoever, then and in that event, I hereby nominate and appoint Elizabeth iV.
Eimore to serve without bond as my Independent Executor.
In the event the second named Executor shall predecease me or is unable or unwilling to act as my
Executor for any reasons whatsoever, then and in that event, I hereby nominate and appoint Richard J.
Pasco, Jr. to serve without bond as my Independent Executor.
Whenever the word "Executor" or any modifying or substituted pronoun therefore is used in this
my Will, such words and respective pronouns shall be held and taken to include both the singular and the
plural, the masculine, feminine and neuter gender thereof, and shall apply equally to the Executor named
herein and to any successor to substitute Executor acting hereunder, and such successor or substitute
Executor shall possess all the rights, powers, duties, authority, and responsibility conferred upon the
Executor originally named herein.
EXECUTOR POWERS
By way of Illustration and not of limitation and in addition to any inherent, implied or statutory
powers granted to executors generally, my Executor is specifically authorized and empowered with
respect to any property, real or personal, at any time held under any provision of this my Will: to allot,
allocate between principal and income, assign, borrow, buy, care for, collect, compromise claims, contract
with respect to, continue any business of mine, convert, deal with, dispose of, enter into, exchange, hold,
improve, incorporate any business of mine, invest, lease, manage, mortgage, grant and exercise options
with respect to, take possession of, pledge, receive, release, repair, sell, sue for, make distributions in cash
or in kind of partly in each without regard to the income tax basis of such asset and in general, exercise all
of the powers in the management of my Estate which any individual could exercise in the management of
similar property owned in its own fight upon such terms and conditions as to my Executor may seem best,
and execute and deliver any and all instruments and do all acts which my Executor may deem proper or
necessary to carry out the purpose of this my Will, without being limited in any way by the specific grants
or power made, and without the necessity of a court order.
My Executor shall have absolute discretion, but shall not be required, to make adjustments in the
fights of any Beneficiaries, or among the principal and income accounts to compensate for the
consequences of any tax decision or election, or of any investment or administrative decision, that my
executor believes has had the effect, directly or indirectly, of preferring one Beneficiary or group of
Beneficiaries over others. In determining the Federal Estate and Income Tax liabilities of my Estate, my
POUR-OVER WILL
Page 2
Testator
Executor shall have discretion to select the valuation date and to determine whether any or all of the
allowable administration expenses in my Estate shall be used as Federal Estate Tax deductions or as
Federal Income Tax deductions.
CONTESTS AND SPECIFIC OMISSIONS
If any beneficiary under this will, singly or in conjunction with any other person or persons, directly or
indirectly:
1. contests in any court the validity of this will or, in any manner, attacks or seeks to impair or
invalidate any of its provisions;
2. contests in any court the validity of the Testator's/Testatrix's Will or, in any manner, attacks or
seeks to impair or invalidate any of its provisions;
3. seeks to obtain an adjudication in any proceeding in any court that this trust or any of its
provisions or that Testator's/Testatrix's Will or any of its provisions is void;
4. claims entitlement by way of any written or oral contract to any portion of the
Testator's/Testatrix's estate, whether in probate or under this instrument;
5. unsuccessfully challenges the appointment of any person named as Executor or successor
Executor of the Testator's/Testatrix's Will;
6. objects in any manner to any action taken or proposed to be taken in good faith by the Executor
of the Testator's/Testatrix's Will;
7. objects to any construction or interpretation of this Will, or any provision of it, that is adopted or
is proposed in good faith by the Executor;
8. unsuccessfully seeks the removal of any person acting as the Executor of the
Testator 's/Testatrix's Will;
9. files any creditor's claim in Testator's/Testatrix's estate (without regard to its validity), whether
the claim arose before or after the date of this instnnnent, but excepting claims for cash advanced
or paid for expenses of the Testator's/Testatrix's last illness or funeral paid by said claimant;
10. attacks or seeks to invalidate any designation of beneficiaries for any life insurance policy on
Testator's/Testatrix's life;
11. attacks or seeks to invalidate any designation of beneficiaries for any pension or IRA or other
form of qualified or non-qualified asset or deferred compensation account, agreement or
arrangement;
12. attacks or seeks to invalidate any will which Testator/Testatrix has created or may create during
Testator's/Testatrix's lifetime, or any provision thereof, as well as any gift which
Testator/Testatrix has made or will made during Testator's/Testatrix's lifetime, whether before or
after the date of this instrument;
13. attacks or seeks to invalidate any transaction by which Testator/Testatrix sold any assets (whether
to a relative of Testator's/Testatrix's or otherwise); or
14. refuses a request of Testator's/Testatrix's, Executor or other fiduciary to assist in the defense
against any of the foregoing acts or proceedings,
then that person's right to take any interest given to him or her by this trust shall be determined as it would
have been determined if the person had predeceased the execution of this will instrument without issue
surviving.
The provisions of the foregoing paragraph shall not apply to any disclaimer by any person of any benefit
POUR-OVER WILL
Page 3
Testator
under this will. In the event that any of this provision is held to be invalid, void or illegal, the same shall
be deemed severable from the remainder of this provision and shall in no way affect, impair or invalidate
any other provision in this will; and if such provision shall be deemed invalid due to its scope or breadth,
such provision shall be deemed to exist to the extent of the scope or breadth permitted by law.
SIMULTANEOUS DEATH
If any other Beneficiary should not survive me for sixty (60) days, then it shall be conclusively
presumed for the purpose of this my Will that said Beneficiary predeceased me.
RICHARD J. PASCO, SR.
Testator
This instrument consists of 6 typewritten pages, including the Attestation Clause, Self-Proving Clause,
signature of Witnesses, and acknowledgment of officer. I have signed my name at the botto/~of each of
the prect~di,n~g~ages.,~;n.stmment is being signed by me on this /]~..~ day of
POUR-OVER WILL
Page 4
ATTESTATION CLAUSE
The Testator whose name appears above declared to us, the undersigned, that the foregoing
instrument was his/her Last Will and Testament, and he or she requested us to act as witnesses to such
instrument and to his/her signature thereon. The Testator thereupon signed such instrument in our
presence. At the Testator's request, the undersigned then subscribed our names to the instrument in our
own handwriting in the presence of the Testator. The undersigned hereby declare, in the presence of each
of us, that we believe the Testator to be of sound and disposing mind and memory.
Signed by us on the same day and year as this Last Will and Testament was signed by the
Testator.
WITNESSES:
ADDRESSES:
City, State, Zip
{Printed Name of Witness)
(Printed Name of Witness)
POUR-OVER WILL
Page 5
lestator
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SELF-PROVING CLAUSE
~F~,~qEi/~he undersigned authority, on this ~. pe~s~gt~all3~/ppqared RICHARD J. PASCO,
SR., //[~l/l~Pt/,. /~,l~ and r~'"~rg~- /]~/'~q~ known to
~ne to'~be the Testatto~ and the witnesses, respectively,' whose namds'are subscribed to the' foregoing
instrument in their respective capacities, and all of them being by me duly sworn, RICHARD J. PASCO,
SR., Testator, declared to me and to the witnesses, in my presence, that the inslnnnent is his/her Will and
that he or she had willingly made and executed it as his/her free act and deed for the purposes therein
expressed; and the Witnesses, each on his or her oath, stated to me in the presence and hearing of the
Testator, that the Testator had declared to them that the instrument is his Will and that he or she executed
the same as such and wanted each of them to sign it as a witness; and upon their oaths, each witness stated
further that he or she did the same as a witness in the presence of the Testator, and at his request and that
he or she was at that time eighteen (18) years of age or over and was of sonnd mind, and that each of the
witnesses was then at least fourteen (14) years of age.
RICHARD J. PA~L~O, SR.
Testator
(Printed Name of Witness)
WitneSs
(Printed Name of Witness)
SUBSCRIBED AND ACKNOWLEDGED bef~ ~.RI~AR,D
and ,t . fore me by
/I ~ ~ ~' -- //'R-~ , witnesses, tl~s the
~ota~y Public. C~mmonw;alth
J. PASCO, SR., Testator,
and
day of
of Pennsylvania
POUR-OVER WILL
Page 6
COMMONWEALTH OF PENNSYLVANLA
DEPARTMENTOFREVENUE
BUREAU OFINDIVIDUAL TAXES
DEPT280601
HARRISBURG, PA 17128 0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX( 1 1 96)
NO. CD 004680
REED CHRISTINE E
215 S 16TH ST
CAMP HILL, PA 17011
f01d
ESTATE INFORMATION: SSN: 167-24-0965
FILE NUMBER: 2104-0822
DECEDENT NAME: PASCO RICHARD J
DATE OF PAYMENT: 11/30/2004
POSTMARK DATE: 1 1/30/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 08/30/2004
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $3,000.00
TOTAL AMOUNT PAID:
$3,000.00
REMARKS:
SEAL
CHECK//218
INITIALS: JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
Cumberland County - Register Of wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717)240-6345
Date: 12/06/2004
REED CHRISTINE E
215 S 16TH ST
CAMP HILL, PA 17011
RE: Estate of PASCO RICHARD J
File Number: 2004-00822
Dear Sir/Madam:
It has come to my attention that you have not filed the
Certification of Notice Under Rule 5.7 (a) 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 ten (10) days after giving proper notice to the
beneficiaries and intestate heirs as required by subdivision
(a) of Rule 5.7, shall file with the Register of Wills or Clerk
of the Orphans' Court his/her Certification of Notice.
This filing will become delinquent on 12/18/2004
Your prompt attention to this matter will be appreciated.
Thank You.
cc:
File
Counsel
Judge
GLENDA FARNER STRASBAUGH
Clerk of the Orphans' Court
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-961
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REED CHRISTINE E
21 5 S 16TH ST
CAMP Hill, PA 17011
_____n_ fold
ESTATE INFORMATION: SSN: 167-24-0965
FILE NUMBER: 2104-0822
DECEDENT NAME: PASCO RICHARD J
DATE OF PAYMENT: 08/08/2005
POSTMARK DATE: 08/08/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 08/30/2004
NO. CD 005665
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $2,120.00
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$2,120.00
REMARKS: C E REED
CHECK# 93
SEAL
INITIALS: VZ
RECEIVED BY:
TAXPAYER
GLENDA FARNER STRASBAUGH
REGISTER OF WillS
Inventory of the real and personal estate of
RICHARD J. PASCO SR.
,1. PP&L, 2 shares stock
2. Sprint Corporation, 52 shares stock
3. Sprint PCS, 38 shares stock
4. Members First Federal Credit Union, savings
5. Members First Federal Credit Union, checking
deceased
n
'--=0
- ~_,-.l
-!~?
$95. 0
$1,015.00
$359. 0
$8,281 00
$5,173 00
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- C.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
l
j
55:
Christine E. Reed
according to law, deposes and says that she ; s::. rhA Rv~,t-riy
of the Estate of Richard J. Pas= Sr.
late of ___..____We~!-_~toro'l'cJWnship ,Cumberland County, Pa., deceased and that the
within is an inventory made by her _, the said liYPr"llt-riv
of the entire estate of said decedent, consisting of all the personal property and real estate, except real estate outside
the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value
as of the date of decedent's death.
being duly
sv,urn
SWorn
and subscribed before me,
~CMJ
Executor - Administrator
215 South 16th Street
COM~ NWEALTH OF PENNS
Notarial Seal
Jacqueline L. Drawbaugh, Notary Public
South Midct!eton Twp., ~umberland COUnty
My Commission Ex sAug. 14, 2007
Date of Death Member, Fennsylvan;a Association of Notaries
Day
Carrp Hill, PA 17011
Address
August
2004
Month
Y..r
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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OFFCW.. USE ONLY
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COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NJMBER
~L
COUNTY CODE
~L 0822 ___
YEAR NUMBER
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Pasco Sr. Richard
DATE OF DEATH (MM-OD-YEAR) DATE OF BIRTH (MM-DD-YEAR)
8/30/2004 8/28/1930
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
REGISTER OF WILLS
SOCIAL SEClRIlY NUMBER
J
SOC~LS8CURnYNUM8ER
167-24-0965
lHlSRETURN MUST BE II'ILED IN DUPLICATE WITH THE
[X] 1. Original Return
D 4. Limited Estate
[X] 6. Decedent Died Testate (Attach copy of Wilt)
D 9. Litigation Proceeds Received
D 2. Supplemental Retum D 3. Remainder Retum (date of death prior to 12-13-82)
D 4a. Future Interest Compromise (date 01 death after 12-12-62) D 5. Federal Estate Tax Retum Required
D 7. Deeedent Maintained a Living Trust (AttachcopyofTrusl) L 6. Total Number of Safe Deposit Boxes
D 10. Spousal Poverf.yCredit (dale 01 dealhbelween 12-31-91.001-1-95) D 11. Election to tax under Sec. 9113(A)(AttachSc~O)
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THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
E. Ral h Godfre ,Es ire 95 Alexander Spring Road, Suite 3
FIRM NAME (If Applicable)
SALZMANN HUGHES PC
TELEPHONE NUMBER
Carlisle, PA 17013
717-249-6333
1. Real Estate (Schedule A)
o
1,469
o
o
13,454
o
<"~:J
-~USEON["fl
. J ,:"'"
,
-:J
'J
:?
(1)
(=
G,
I
0:>
2. Stocks and Bonds (Schedule B)
(2)
-:.--:2
~-" 1
. ~-j
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash, Bmk Deposits & Miscellaneous Personal Property
(Schedule E) (5)
Z 6. Jointly O...."ed Property (Schedule F) (6)
0 D Separate Billing Requested
~
:s 7. Inter-Vivos Trmsfers & Miscellaneous Non-Probate Property (7)
::;) (Schedule G or L)
l-
ii: 8. Total Gross Asse1s (total Lines 1-7)
00(
U
W 9. Funeral Expenses & Administrative Costs (Schedule H) (9)
It:
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
~~-l
-=j
-a
N
<::> 1'-1
<J\
172,582
187,505
70.666
116,839
o
12. Net Value of Estate (Line 6 minus Line 11)
13. Charitable and Governmental Bequests/See 9113 Trusts forYAlich an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
116,839
SEE INSTRUCTIONS ON REVERSE SlOE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
z rate, or transfers under Sec. 9116 (a)(12)
o
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I-
::>
...
::E
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V
)(
..
I-
o x.O L(15)
45 (16)
o
5,258
o
o
1.. Amount of Line 14 taxable at lineal rate 116 , 839 x .0
17. Amount of Line 14 taxable at sibling rate 0 x .12
18. Amount of Line 14 taxable at collateral rate 0 x .15
19. Tax Due
(17)
(18)
(19)
5,258
20 0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
3W46451.ooo
Decedent's Complete Address:
STHEET ADDRESS . ~_..... 1
691 Barnstable Road
Cumberland
CITY I STAlE I ZIP
Carlisle PA 17013-
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
5,258
o
3.000
158
Total Credits (A + 8 + C) (2)
3.158
3. Interest/Penalty if applicable
D. Interest
E. Penalty
o
o
Total Interest/Penalty (0 + E) (3)
o
4. If Line 2 is 9reater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
(4)
o
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
(5)
2.100
A. Enter the interest on the tax due.
(SA)
20
B. Enter the total of Line 5 + SA. This is
Make
(58)
2.120
PLEASE ANSWER THE FOLLOWING QUESTIONS 8Y PLACING AN "X" IN THE APPROPRIATE BLOCKS
Yes
D
D
D
D
without receiving adequate consideration? . ". . . . . . . . . . . . . . . . . . . . . . . . . .. D
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? D
4. Did decedent own an Individual Retirement Account. annuity, or other non-probate property which
contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. fXJ D
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of perjury, I declare Il'lat I haweJC8mined this retum, ...duding accompanying schedules and slatements, and to the best of my knowledge and belief, it is true. correct and axnplete.
Declaration of preparer other than the personal representatiw is based on all InformatiOn 01 which preparer has any knowledge.
SIGNA 1lFE OF PERSON RESPONSIBlE FOR A N
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred;. . . . . . . . . . . . . . .
b. retain the right to designate who shall use the property transferred or its income; .
c.retainareversionaryinterest;or .........................
d. receive the promise for life of either payments, benefits or care? . . . . . . . . .
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
No
0!1
0!1
0!1
U!1
09
09
DA1E
Christine E. Reed
AOORE
215 South 16th Street
SlGNAlURE OF PREPARER OTI-ER lHAN REPRESENTATIVE
8/2/2005
Camp Hill, PA 17011
DA1E
ire
B/2/2005
Spring Road, Suite 3
CarliSle, PA 17013
itj\J';;~;;;ii;'j;::iUtk/i2;"'@!!k\jgL'T!u!j&}0t;i1'\k";M<.Q;H~~0Jm!fJ.;'0fiL:diiiDt):TiftSdIili;ri:f';2!J;i!lE'5.YikiG?'}iti:;;JUr:.::UiX
.">if'iiiii?,il;;ii2.;~/!$'l;j1N'~:i:$:1*_lg~~llifu~-1f11.'itddif:;;0,1:,'<<1J;W0i!!f0f?Lltri!8j0isl;0L:;-e,~!;i5:
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value dtransfers to or for the use of the surviving spouse is 3%
[72 P.S. ~ 99'6 (0)(1.1) (ill.
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.$. ~ 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 ewn 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 d a natural parent an adoptive parent,
or a stepparent of the child is 0% [72 P.S. ~9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~ 9116{1.2) [72 P.S. €i9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% (72 P.S. ~ 9116{a)(1.3)]. A Sibling is defined, under Section 9102, as an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
3W46461.ooo
REV-1503 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE B
STOCKS & BONDS
FILE NUMBER
Richard J. Pasco Sr.
21 04 0822
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
I"!EM
NlJII1BER
CESCRlPTlON
VALLE AT DATE
OF DEATH
1. 2 Shares
Pennsylvania Power & Light Copmany
CUSIP: 709051106
95
2 52 Shares
Sprint Corporation, Fon Group
CUSIP: 852061100
1,015
3 38 Shares
Sprint PCS
CUSIP: 852061506
359
3W46961_000
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
1,469
REV-15OB EX + '6-98}
COMMONVVEAL TH OF PENNSYLVANIA
INt-ERlTANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Richard J. Pasco Sr.
FILE NUMBER
21 04 0822
Include the proceeds of litigation and the date the proceeds were receiwd by the estate.
AI property jointty-owned with the rlght of survivorship must be d*losed on Schedule F.
ITEM
NUMBER DESCRIPTION
VALUE AT DATE
OF DEATH
1 Members First Federal Credit
Union, regular savings account
8,281
2 Members First Federal Credit Union
5,173
3W46AD 1_000
TOTAL 'Also enter on line 5 Recaoitulatioo\ $
(If more space is needed, insert addition.. sheets cI the same size)
13,454
REV-1510 EX + (6-96)
CQMMONI/IJEAL"TH OF PENNSYLVANiA
INt-ERlTANCE TAX RETURN
RESIDENT DECEDENT
ESTATEOF
Richard J. Pasco Sr.
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
FILE NUMBER
21 04 0822
ThiS schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
DESCRIPTION OF PROPERlY
ITEM IN:L.L.I;E Tl-E l'.w.E OF Tl-E TJWIISFEREE, Tl-ElR RB.ATlONSHP TO DECEDENT ND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE
NtNBE' n-EOI'.1EOF~ ATTJIQo\AttP'f OF Tl-E OEED FOR REAl.. eSTATE VALUE OF ASSET INTEREST IF I>PPUCABLEl VALUE
1. 691 Barnstable Road
Carlisle, PA 17013 105,000 100.0000 0 105,000
2 Brown Co. IRA 67,582 100.0000 0 67,582
TOTAL (Also enter on line 7, Recapitulation) $ 172 582
(If more space is needed, Insert additional sheets of the same size)
3W46AF 1.000
REV_1511 EX+ (12_99)
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
If'l-ERITANCE TAX REllJRN
RESIDENT DECEDENT
ESTATE OF
Richard J. Pasco Sr.
FILE NUIIIlER
21 04 0822
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Cremation Society
1,126
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commssions 2,500
Name of Personal Representatille{s) Christine E. Reed
Social Security Number(s) I EIN Number of Personal Representative(s) 189-50-6203
Street Address 215 South 10th Street
City Camp Hill State PA Zip 17011
Year(s) Commission Paid: 2005
2. Attorney Fees 2,300
3. Family Exemption: (If decedent's address is not the same as daimant's. attaCh 9)lJJIanation)
Claimant
Street Address
Cdy State Zip
Relationship of Claimant to Decedent
4. Probate Fees 266
5. Accountanfs Fees
6. Tax Retum Preparer's Fees
7.
1 Cumberland Law Journal 75
2 Diller Disposal 100
3 Register of Wills 30
Tota~ from continuation schedules . 4,431
TOTAL (Also enter on line 9, Recapitulation) $ 10 828
3W46AG 1.000
(If more space is needed, insert additional sheets of the same size)
Estate of: Richard J. Pasco Sr.
167-24-0965
Schedule H Part 7 (Page 2)
4
5
Settlement charges
The Sentinel - Legal
4,316
115
Total (Carry forward to main schedule)
4,431
REV-1512EX+'12-03) "
COMMor-.NIIEALTH OF PENNSYLVANIA
INl-ERrrANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Richard J. Pasco Sr
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
FILE NUMBER
21 04 0822
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death. including unrelmbursed medical expenses.
ITEM
NlMBER
1.
DESCRIPTION
VAlUE AT DATE
OF DEATH
National City Mortgage
58,274
2
Thomas Thomas & Hafer
200
3
US Treasury
1,364
.
.
3W46AH 2.000
TOTAL (Also enter on line 10. Recapitulation) $
(If more space is needed. insert additional sheets of the same size)
59 838
REV-1513 EX+(9-QO)
SCHEDULE J
BENEFICIARIES
COMMONWEAL 1H OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESlDENTDECEOENT
ESTATE OF
Richard J Pasco Sr
FILE NUMBER
21 04 0822
.
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 [indude outright spousal distributions, and transfers
under Sec. 9116 (a) (1.2)J
1 Elizabeth A. Elmore
1306 Chatham Road
Camp Hill, PA 17011 Daughter one-third
2 Richard V. Pasco Jr.
7073 Carlisle Pike 11163
Carlisle, PA 17013 Son one-third
3 Christine E. Reed
215 South 16th Street
Camp Hill, PA 17011 Daughter one-third
ENTER OOlLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 1 B. AS APPROPRIATE. ON REV-1500 COVER SHEET
II NON- TAXABLE DISTRIBUTIONS:
A SPOUSAL DISTRIBUTlONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II . ENTER TOTAL NON-TAXABLE DlSTRlBUTlONS ON LINE 13 OF REV-1500 COVER SHEET $ 0
..
3W46AI1.000
(If more space IS needed, insert additional sheets of the same SIZe)
LAST WILL AND TESTAMENT
(pour-Over WiD)
OF
RICHARD J. PASCO, SR.
~I.O~ -.e~
IDENTITY
T:6. -' q "'-'
~:P -:; :' > :19
I. RICHARD J. PASCO, SR., residing in the County of Cumberland, Commonwealth of
Pennsylvania, being of sound mind and memory, and not acting under d~ess or undue influence of any
person whomsoever, hereby declare this to be my Last Will and Testament, and I do hereby revoke all
other former Wills and Codicils to Wills heretofore made by me. My Social Security Number is 167-24-
0965.
I have the following children: Christine E. Reed, born February 15, 1957, and Richard J. Pasco,
Jr., born June 21, 1958, and Elizabeth N. Elmore, born December 3, 1959
DEBTS, TAXES AND ADMINISTRATION EXPENSES
I have provided for the payment of all my debts, expenses of administration of property wherever
situated passing under this Will or otherwise, and estate, inheritance, transfer, and succession taxes, other.
than any tax on a generation-skipping transfer that is not a liability of my Estate (including interest and
penalties, if any) that become due by reason of my death, under TIlE RICHARD J. PASCO, SR.
REVOCABLE LIVING TRUST executed on even date herewith (the "Revocable Trust"). If the
Revocable Trust assets should be insufficient for these purposes, my Executor shall pay any unpaid items
from the residue of my Estate passing under this Will, without any apportionment or reimbursement. In
the alternative, my Executor may demand in a writing addressed to the Trustee of the Trust an amount
necessary to pay all or part of these items, plus claims, pecuniary legacies, and family allowances by court
order.
PERSONAL AND HOUSEHOLD EFFECTS
It is my intent that all my personal and household effects were transferred to the Revocable Trust
as a result of the Declaration of Intent signed this date. If there are any questions regarding the ownership
or disposition of these assets, it is my desire that such assets pour into the Revocable Trust, signed by me
this date in accordance with the provisions of the section titled "Residue of Estate."
RESIDUE OF ESTATE
I give, devise and bequeath all the rest, residue and remainder of my property of every kind and
description (including lapsed legacies and devices), wherever situated and whether acquired before or
after the execution of this Will, to the Trustee under that certain Trust executed by me on the same date of
the execution of this Will. The Trustee shall add the property bequeathed and devised by this item to the
corpus of the above described Trust and shall hold, administer and distribute said property in accordance
with the provisions of the said Trust, including any amendments thereto made before my death.
If for any reason the said Trust shall not be in existence at the time of death, or if for any reason a
court of competent jurisdiction shall declare the foregoing testamentary disposition to the Trustee under
said Trust as it exists at the time of my death to be invalid, then I give all of my Estate including the
POUR-OVER WILL
Page I
C!V
Testator
residue and remainder thereof to that person who would have been the Trustee under the Trust, as
Trustee, and to their substitutes and successors under the Trust, described herein above, to be held,
managed, invested, reinvested and distributed by the Trustee upon the terms and conditions pertaining to
the period beginning with the date of my death as are constituted in the Trust as at present constituted
giving effect to amendments, if any, hereafter made and for that purpose I do hereby incorporate such
Trust by reference into this my Will.
EXECUTOR
I hereby nominate and appoint Christine E. Reed to serve without bond as my Independent
Executor of this my Last Will and Testament.
In the event the first named Executor shall predecease me or is unable or unwilling to act as my
Executor for any reasons whatsoever, then and in that event, I hereby nominate and appoint Elizabeth N.
Elmore to serve without bond as my Independent Executor.
In the event the second named Executor shall predecease me or is unable or unwilling to act as my
Executor for any reasons whatsoever, then and in that event, I hereby nominate and appoint Richard J.
Pasco, Jr. to serve without bond as my Independent Executor.
Whenever the word "Executor" or any modifYing or substituted pronoun therefore is used in this
my Will, such words and respective pronouns shall be held and taken to include both the singular and the
plural, the masculine, feminine and neuter gender thereof, and shall apply equally to the Executor named
herein and to any successor to substitute Executor acting hereunder, and such successor or substitute
Executor shall possess all the rights, powers, duties, authority, and responsibility conferred upon the
Executor originally named herein.
EXECUTOR POWERS
By way of H1ustration and not of limitation and in addition to any inherent, implied or statutory
powers granted to executors generally, my Executor is specifically authorized and empowered with
respect to any property, real or personal, at any time held under any provision of this my Will: to allot,
allocate between principal and income, assign, borrow, buy, care for, collect, compromise claims, contract
with respect to, continue any business of mine, convert, deal with, dispose of, enter into, exchange, hold,
improve, incorporate any business of mine, invest, lease, manage, mortgage, grant and exercise options
with respect to, take possession of, pledge, receive, release, repair, sell, sue for, make distributions in cash
or in kind of partly in each without regard to the income tax basis of such asset and in general, exercise all
of the powers in the management of my Estate which any individual could exercise in the management of
similar property owned in its own right upon such terms and conditions as to my Executor may seem best,
and execute and deliver any and all instruments and do all acts which my Executor may deem proper or
necessary to carry out the purpose of this my Will, without being limited in any way by the specific grants
or power made, and without the necessity of a court order.
My Executor shall have absolute discretion, but shall not be required, to make adjustments in the
rights of any Beneficiaries, or among the principal and income accounts to compensate for the
consequences of any tax decision or election, or of any investment or administrative decision, that my
executor believes has had the effect, directly or indirectly, of preferring one Beneficiary or group of
Beneficiaries over others. In determining the Federal Estate and Income Tax liabilities of my Estate, my
POUR-OVER WILL
Page 2
:~~ 2 n:)
, -JC~
~:>:;rb '
Testator
Executor shall have discretion to select the valuation date and to determine whether any or all of the
allowable administration expenses in my Estate shall be used as Federal Estate Tax deductions or as
Federal Income Tax deductions.
CONTESTS AND SPECIFIC OMISSIONS
If any beneficiary under this will, singly or in conjunction with any other person or persons, directly or
indirectly:
1. contests in any court the validity of this will or, in any manner, attacks or seeks to impair or
invalidate any of its provisions;
2. contests in any court the validity of the Testator'srrestatrix's Will or, in any manner, attacks or
seeks to impair or invalidate any of its provisions;
3. seeks to obtain an adjudication in any proceeding in any court that this trust or any of its
provisions or that Testator'srrestatrix's Will or any of its provisions is void;
4. claims entitlement by way of any written or oral contract to any portion of the
Testator'sfTestatrix's estate, whether in probate or under this instrument;
5. unsuccessfully challenges the appointment of any person named as Executor or successor
.Executor of the Testator'sfTestatrix's Will;
6. objects in any manner to any action taken or proposed to be taken in good faith by the Executor
of the Testator'srrestatrix's Will;
7. objects to any construction or interpretation of this Will, or any provision of it, that is adopted or
is proposed in good faith by the Executor;
8. unsuccessfully seeks the removal of any person acting as the Executor of the
Testator'sfTestatrix's Will;
9. files any creditor's claim in Testator'sfTestatrix's estate (without regard to its validity), whether
the claim arose before or after the date of this instrument, but excepting claims for cash advanced
or paid for expenses of the Testator'sfTestatrix's last illness or funeral paid by said claimant;
10. attacks or seeks to invalidate any designation of beneficiaries for any life insurance policy on
Testator' sfT estatrix' slife;
II. attacks or seeks to invalidate any designation of beneficiaries for any pension or IRA or other
form of qualified or non-qualified asset or deferred compensation account, agreement or
arrangement;
12. attacks or seeks to invalidate any will which Testatorrrestatrix has created or may create during
Testator'srrestatrix's lifetime, or any provision thereof, as well as any gift which
Testator/Testatrix has made or will made during Testator'sfTestatrix's lifetime, whether before or
after the date of this instrument;
13. attacks or seeks to invalidate any transaction by which Testatorrrestatrix sold any assets (whether
to a relative of Testator'sfTestatrix's or otherwise); or
14. refuses a request of Testator'sfTestatrix's, Executor or other fiduciary to assist in the defense
against any of the foregoing acts or proceedings,
then that person's right to take any interest given to him or her by this trust shall be determined as it would
have been determined if the person had predeceased the execution of this will instrument without issue
surviving.
The provisions of the foregoing paragraph shall not apply to any disclaimer by any person of any benefit
POUR-OVER WILL
Page 3
~--~..-----
(~-
I "
, I .
Testator
under this will. In the event that any of this provision is held to be invalid, void or illegal, the same shall
be deemed severable from the remainder of this provision and shall in no way affect, impair or invalidate
any other provision in this will; and if such provision shall be deemed invalid due to its scope or breadth,
such provision shall be deemed to exist to the extent of the scope or breadth permitted by law.
S~TANEOUSDEATH
If any other Beneficiary should not survive me for sixty (60) days, then it shall be conclusively
presumed for the purpose of this my Will that said Beneficiary predeceased me.
O~~
RICHARD J. PAS ,SR.
Testator
This instrument consists of 6 typewritten pages, including the Attestation Clause, Self-Proving Clause,
signature of Witnesses, and acknowledgment of officer. I have signed my name at the botto$of each of
the prec ding ages. This instrument is being signed by me on this ! t _ day of
,p,3. .
POUR-OVER WILL
Page 4
ATTESTATION CLAUSE
The Testator whose name appears above declared to us, the undersigned, that the foregoing
instrument was hislher Last Will and Testament, and he or she requested us to act as witnesses to such
instrument and to his/her signature thereon. The Testator thereupon signed such instrument in our
presence. At the Testator's request, the undersigned then subscribed our names to the instrument in our
own handwriting in the presence of the Testator. The undersigned hereby declare, in the presence of each
of us, that we believe the Testator to be of sound and disposing mind and memory.
Signed by us on the same day and year as this Last Will and Testament was signed by the
Testator.
WITNESSES:
~~W~
14-fh. W. &\y-
ADDRESSES:
b f 3 ~rnskJ)~ Pol
PA
(Printed Name of Witness)
C1.rfis/e,
City, State, Zip .
170 i 3
~ ~ 1', ~-t~/
c;C;3 iVll?N<:;TflBl E
RD.
FRED [;, HAIR
(Printed Name of Witness)
CIlRLJSL~) P./!-. 170/1
City, State, Zip
POUR-OVER WILL
Page 5
(/;(;'-)
,--,/)~
~
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SELF-PROVING CLAUSE
e undersigned authority, on this P fs~all PP'lared RICHARD J. PASCO,
SR., and I:t- , known to
me to be the Testa or and the witnesses, respectively, whose nam s are subscribed to the foregoing
instrument in their respective capacities, and all of them being by me duly sworn, RICHARD J. PASCO,
SR., Testator, declared to me and to the witnesses, in my presence, that the instrument is hislher Will and
that he or she had willingly made and executed it as his/her free act and deed for the purposes therein
expressed; and the Witnesses, each on his or her oath, stated to me in the presence and hearing of the
Testator, that the Testator had declared to them that the instrument is his Will and that he or she executed
the same as such and wanted each of them to sign it as a witness; and upon their oaths, each witness stated
further that he or she did the same as a witness in the presence of the Testator, and at his request and that
he or she was at that time eighteen (I 8) years of age or over and was of sound mind, and that each of the
witnesses was then at least fourteen (14) years of age.
~~~
RICHARD J. PAsEo, SR.
Testator
~~W-~
Witne~f1". W. Hcuv-
(printed Name of Witness)
~ i C!. ~~-'
Witness
FRED t=" !/;1-i R
(Printed Name of Witness)
SUBSCRIBED AND ACKNOWLEDGED be~~UgIAR.D J. PASCO, SR., Testator,
and s bscribe d m t before me by #-. _ ._j ~ Pi and
. witnesses, s the ~ day of
, J.A?3 .
.,
Public, ommonwealth of Pennsylvania
TARlAl SEAL
IERO T.lEWIS, NOTARVPUBLlC
TREOYFfRIN TWP., CHESlER COUNTY
MY COMMISSION EXPIRES SEPT. 25 200
POUR-OVER WILL
Page 6
CERTIFICATE OF TRUST
THE
RICHARD J. PASCO, SR.
REVOCABLE LIVING TRUST AGREEMENT
DATED ?;0~ ,206.7
The undersigned hereby certifies that I created a Revocable Living Trust. This Trust is kn~ as
THE RIC J PASCO, SR. REVOCABLE LIVING TRUST AGREEMENT, dated the 1"_ day
of - ~ . RICHARD J. PASCO, SR., Grantor, Settlor and Trustee, resides
at 691 tabl oad, Carlisle, County of Cumberland, and Commonwealth of Pennsylvania.
IT IS AGREED BETWEEN THE PARTIES HERETO AS FOLLOWS:
Description of Trust
The party hereto desires to confirm the establishment of a Revocable Trust on this date for the benefit of
the Settlor and containing herein the following provisions:
TERMS OF THE TRUST
L The Settlor is designated as the Trustee to serve until his death, resignation, or incompetence.
2. Upon the end of the terms of the original Trustee, Christine E. Reed is designated as First
Successor Trustee. Elizabeth No Elmore is designated as Second Successor Trustee. Richard J.
Pasco, Jr. is designated as Third Successor Trustee.
TRUSTEE POWERS
3. Any Trustee/Settlor has the power and authority to manage and control, buy, sell, mortgage, and
transfer the Trust property in such manner as the Trustee may deem advisable, and shall have,
enjoy and exercise all powers and rights over the concerning said property and the proceeds
thereof as fully and amply as though said Trustee were the absolute and qualified owner of same,
including the power to grant, bargain, sell and convey, encumber and hypothecate, real and
personal property, and the power to invest in corporate obligations of every kind, stocks,
preferred or common, and to buy stocks, bonds and similar investments on margin or other
leveraged accounts, except to the extent that such management would cause includability of an
irrevocable trust in the Estate of a Trustee.
TRUST ADMINISTRATION
4. Following the death of Trustee, the Trust will continue or be distributed in whole or in part for the
benefit of other named Beneficiaries according to the terms of the Trust.
CERTIFICATE OF TRUST
Page 1
5. While Settlor is living and competent, except when there shall be a Corporate Trustee, Trustee
may add money to or withdraw money from any bank or savings and loan or checking account
owned by the Trust.
6. Unless otherwise indicated to a prospective transferee, the Trustee has full power to transfer
assets held in the name of the Trust. Subsequent transferees are entitled to rely upon such
transfers provided that the chain oftitle is not otherwise deficient.
7. The Trust Agreement also states that any bank, corporation, brokerage firm, or other entity or
individual, may conclusively presume that the Trustee has full power and authority over the Trust
Assets and such person or institution shall be held harmless and shall incur no liability by reason
of so presuming.
8. The situs of the Trust is the COMMONWEALTH OF PENNSYLVANIA.
9. Any conflict between this abstract and the Trust shall be decided in Favor of the Trust.
IN WITNESS WHEREOF, the party has hereto executed this Summary of Trust this date.
SETTLORffRUSTEE
Q?~@- ,C,
RICHARDJ.PA O,SR.
COMMONWEALTH OF PENNSYL V ANlA}
COUNTY OF CUMBERLAND} ss.
d
On this, the I J, -day of
appeared RICHARD J. PASCO,
on this instrument, and acknowle
,J 1:>3 , before me, a Notary Public, personally
er lly known to me to be the person whose name is subscribed
that he/she executed it for the purposes herein expressed.
onwealth of Pennsylvania
NOTARIAL SEAL
JEROME t lEWIS, NOTARY PUBLIC
TREOYFFRIN TWP., CHESTER COUNlY
MY COMMISSION EXPIRES SEPT. 25 2006
CERTIFICATE OF TRUST
Page 2
REVOCABLE LIVING TRUST AGREEMENT
T S AGREEMENT AND DECLARATION OF TRUST, made effective the It. tj day of
~ ,20 ~ ,by RICHARD J. PASCO, SR., Grantor, Settlor and Trustee, who resides at
able Road, Carlisle, County of Cumberland, Commonwealth of Pennsylvania, does hereby
e Iish a Trust upon the conditions and for the purposes hereafter set forth.
WITNESSETH:
WHEREAS, in order to provide the future comfort and security to himself and the other
beneficiaries hereafter mentioned, Grantor desires to create a revocable trust for the purposes hereinafter
set forth;
ARTICLE ONE
Terms of the Trust
Section 1.01 - Trust Estate Defined
NOW, THEREFORE, in consideration of the premises and of the Covenants herein contained this
Revocable Trust is formed to hold title to real and personal property for the benefit of the Settlor of this
Trust and to provide for the orderly use and transfer of these assets upon the death of the Settlor. The
"Trust Estate" is defined as all property transferred or conveyed to and received by the Trustee held
pursuant to the terms of this instrument. The Trustee is required to hold, administer, and distribute this
property as provided in this Trust Agreement.
The name of this Trust Agreement shall be:
THE RICHARD J. PASCO, SR. REVOCABLE LIVING TRUST AGREEMENT
DATED ,?)6, 20 t>J
Section 1.02 - Definitions of Terms
As used in this Trust Agreement:
I. The term "Settlor" shall mean RICHARD J. PASCO, SR..
2. The term "Descendant" shall mean the lawful issue of a deceased parent in the line of
descent, but does not include the issue of any parent who is a descendant of the deceased
person in question and who is living at the time in question.
3. The terms "Child" and "Descendant" include any issue born to decedent, a child legally
adopted by the decedent, and a posthumous child of a decedent. A posthumous child is to
be considered as living at the time of his or her parent's death.
4. The term "Survives" or "Surviving", unless otherwise indicated herein, shall be construed
to mean surviving the decedent for at least sixty (60) days. If the person referred to dies
REVOCABLE LIVING TRUST AGREEMENT
Page 1
within sixty (60) days of the death of the decedent, the reference to him or her will be
construed as if he or she had failed to survive the decedent; provided, however, that any
such person will have, during such period, the right to the use and enjoyment as a life
tenant of all property in which his or her interest will fail by reason of death during such
period.
5. The term "Issue" will include all natural and adopted children, if applicable, and
descendants and those legally adopted into the line of descent.
6. The term "Per Stirpes" means strict per stirpes and does not mean per capita with
representation. Beneficiaries entitled to take under a "per stirpes" clause will include
both natural and adopted children and their descendants.
7. The terms "Trust Assets" and "Trust Estate" include all assets of any trust created
hereunder and income derived from such assets and all proceeds of any description
derived from the sale, exchange, or other disposition of such assets.
8. When required to give reasonable effect to the context in which used, pronouns in the
masculine, feminine, or neuter gender include each other, and nouns and pronouns in the
plural or singular number include each other.
Section 1.03 - Trustee Designation
Settlor is hereby designated as Trustee. The term "Trustee" as used in this Trust Agreement shall refer to
Settlor so long as he or she serves as Trustee, and/or to any successor Trustee who assumes the role of
Trustee. These Trustees shall serve in the order as provided in Section 8.0 I of this Trust Agreement.
Section 1.04 - Additions to Trust Properties
I. The Trustee, at any time during the continuance of this Trust in his or her sole discretion after
consideration of the possible tax consequences to all concerned, is authorized to receive into the
Trust additions of cash and other properties from any source whatsoever, whether by gift, will, or
otherwise. However, the Trustee shall accept all assets which any person or persons may give,
devise, or bequeath by Last Will and Testament to this Trust, and shall accept all assets
transferred to this Trust pursuant to the provisions of any other Trust document or documents.
2. In addition. any person or persons may designate this Trust as the Beneficiary, Primary or
Contingent, of any death benefits to include insurance benefits, pension benefits, or other
benefits. Until such benefits mature, the Trustee shall have no responsibility with respect to those
benefits.
Section 1.05 - Apportionment
The Trustee of the Trust is directed to apportion receipts and expenditures of the types described below
between principal and income as follows:
I. Whenever the principal, or any part thereof, of the Trust property is invested in securities
purchased at a premium or at a discount, any premium will be charged against principal and any
discount will be credited to principal;
REVOCABLE LIVING TRUST AGREEMENT
Page 2
2. Any stock dividends and rights to purchase additional stock issued on securities held in trust will
be treated as principal. All other dividends, except liquidating distributions, will be treated as
income; and
3. The amount of any applicable depletion allowance for federal income tax purposes will be treated
as income.
Section 1.06 - Discretionary Termination
The Trustee may terminate any Trust when, in the opinion of the Trustee, the principal is reduced to such
an extent that it is not in the best interest of the Beneficiary or Beneficiaries to continue the Trust. The
judgment of the Trustee with respect to this decision to terminate will be final and not subject to judicial
review. If the Trustee terminates a Trust according to this Section, the date the Trust terminates will be
deemed the date fixed for termination of the Trust, and the Trustee will distribute the assets of the
terminating Trust to the Beneficiary or Beneficiaries pursuant to this Agreement.
Section 1.07 - Amendment and Revocation
At any time during the life of the Settlor, the Settlor may, by a duly executed instrument filed with the
Trustee:
1. Amend this Trust Agreement in any manne'r; and/or
2. Revoke this Trust Agreement in part or in whole. If the Trust Agreement is revoked in whole, the
Trustee shall transfer title to all Trust property of every kind and description back into the
individual name of the Settlor. The instrument of amendment or revocation shall be effective
immediately upon its proper execution by the Settlor, but until a copy has been received by a
Trustee, that Trustee shall not incur any liability or responsibility either (i) for failing to act in
accordance with such instrument or (ii) for acting in accordance with the provisions of this Trust
Agreement without regard to such instrument.
3. Withdraw from the Trust Estate all or any part of the principal and accumulated income of the
Trust to satisfY liabilities lawfully incurred in the administration of this Trust.
Section 1.08 - Revocation or Alteration by Settlor Alone
The rights of revocation, withdrawal, alteration, and amendment reserved in this Article may only be
exercised by the Settlor and may not be exercised by any other person, including an agent, a guardian, or
a conservator.
Section 1.09 - Irrevocability
Except as otherwise provided, on the death of Settlor, the designation of Beneficiaries of specific gifts in
this Trust shall become irrevocable and not subject to amendment or modification.
Section 1.10 - Settlor Powers
The Settlor shall be the Trustee unless and until he or she resigns in writing or is determined incompetent
under the terms provided herein. The Settlor shall retain all absolute rights to discharge or replace any
Successor Trustee so long as the Settlor is competent.
REVOCABLE LIVING TRUST AGREEMENT
Page 3
ARTICLE TWO
Trust Administration
Section 2.01 - Trust Income
During the life of the Settlor. the Trustee shall at least annually, unless otherwise directed by Settlor in
writing, pay to or apply for the benefit of Settlor, all of the net income from the Trust Estate.
Section 2.02 - Protection of Settlor in Event of Incapacity
During the life of the Settlor, should Settlor become incapacitated as defined in Section 2.03 below, the
Trustee may, in the Trustee's absolute discretion, pay income and principal for the benefit of the
incapacitated Settlor, and may pay to or apply for the benefit of that Settlor such sums from the net
income and from the principal of the Estate of the Trustee, in the Trustee's absolute discretion, believes is
necessary or advisable for the medical care, comfortable maintenance, and welfare of the Settlor.
Section 2.03 - Incapacity
In the event that any Trustee or any Beneficiary hereunder comes into possession of any of the following:
\. Ajurisdictionally applicable court order holding the party to be legally incapacitated to act on his
or her behalf and appointing a guardian or conservator to act for him or her; Or
2. Written certificates which are duly executed, witnessed, and acknowledged of two licensed
physicians, each certifYing that the physician has examined the person and has concluded that, by
reason of accident, mental deterioration, or other cause, such person has become incapacitated
and can no longer act rationally and prudently in his or her own financial best interest; or
3. Evidence which such Trustee or Beneficiary deems to be credible and currently applicable that a
person has disappeared, is unaccountably absent, or is being detained under duress, and that he or
she is unable to effectively and prudently look after his or her own best interests, then in that
event and under those drcumstances:
a. Such person is deemed to have become incapacitated, as that term is used in this Trust
agreement; and
b. Such incapacity is deemed to continue until such court order, certificates, and I or
circumstances are inapplicable or have been revoked.
A physician's certificate to the effect that the person is no longer incapacitated shall revoke a certificate
declaring the person incapacitated. The certificate which revokes the earlier certificate may be executed
by either the original certifying physician or by two other licensed, board certified physicians. No Trustee
shall be under any duty to institute any inquiry into a person's possible incapacity. The reasonable
expense of any such inquiry shall be paid from the Trust Assets.
Section 2.04 - Principal Invasion
During the life of the Settlor, should the net income of assets contained in this Trust at the time of the
Settlor's death be insufficient to provide for the care, maintenance, or support of the Settlor as herein
defined, the Trustee may, in the Trustee's sole and absolute discretion, pay to or apply for the benefit of
the Settlor or any of their dependents, such amounts from the principal of the Trust Estate as the Trustee
deems necessary or advisable for the care, maintenance, or support of the Settlor.
REVOCABLE LIVING TRUST AGREEMENT
Page 4
Section 2.05 - Residence
If the Settlor's residence property is a part of the Trust, the Settlor shal! have possession of and full
management of the residence and shall have the right to occupy it free of rent. Any expenses arising from
the maintenance of the property and from al! taxes, liens, assessments, and insurance premiums, are to be
paid from the Trust to the extent that assets are available for payment. It is the intent of the Grantor to
retain all homestead rights available to him or her under the applicable state law.
ARTICLE THREE
Administration/Distribution of Trust
Section 3.01 - Death
On the death of the Settlor, the Trustee shal! distribute the principal of the Trust and any accrued or
undistributed income from the principal of the Trust in such a manner and to such persons, including the
Estate of the Credi tors, as directed in this Trust Agreement.
Section 3.02 - Payment of Death Expenses
On the death of the Settlor, the Trustee shal! pay from the Trust Estate constituting the Settlor's last
illness, funeral, burial and any inheritance, estate, or death taxes that may be due by reason of the Settlor's
death, unless the Trustee in his or her absolute discretion determines that other adequate provisions have
been made for the payment of such expenses and taxes.
Section 3.03 - Trust Income and Principal Distribution
I. The Trustee shal! apply and distribute the net income and principal of each of the shares of the
resulting Trust Estate, after giving effect to the section of this Trust Agreement entitled "Special
Directives" to the following Beneficiaries in the indicated fractional shares:
Christine E. Reed
Richard J. Pasco, Jr.
Elizabeth N. Elmore
1/3
1/3
1/3
2. If any of the above Beneficiaries, or any other Beneficiary, is under the age of21 years when the
distribution is to be made, the Trustee shall have authority to distribute the same, in whole or in
part, to a custodian for the minor appointed under a Uniform Gifts or Transfers to Minors Act, or
the Trustee may retain any such property and administer and distribute the same for the benefit of
the minor, paying to or for the benefit of such minor so much of the income and principal of the
retained property from time to time as the Trustee deems advisable for the health, education,
support, and maintenance of the minor. When the person for whom the property is held attains
the age of 21 years, the property shall thereupon be distributed to him or her free of trust unless
otherwise stated in this Agreement. If the minor should die before attaining the age of majority,
the property shall then be paid and distributed to the estate of the minor.
3. If all of the Settlor's Beneficiaries and their children should fail to survive the final distribution of
the Trust Estate, all of the Trust Estate not disposed of as hereinabove provided shall be
distributed as provided for in this Trust Agreement.
REVOCABLE LIVING TRUST AGREEMENT
Page 5
Section 3.04 - Principle of Representation
If a Beneficiary of the Settlor should fail to survive to collect his or her share, that share shall pass to the
surviving issue of that deceased Beneficiary per stirpes and with right of representation.
ARTICLE FOUR
Trustee Powers & Provisions
Section 4.01 - Non-Income Producing Property
During the life of the Settlor, the Trustee is authorized to retain in the Trust, for so long as the Trustee
may deem advisable, any property received by the Trustee from the Settlor, whether or not such property
is of the character permitted by law for the investment of Trust funds.
Section 4.02 - Trustee Powers
The Trustee shall have all powers conferred upon a Trustee by law for the orderly administration of the
Trust Estate. If any property is distributed outright under the provision of this Trust Agreement to a
person who is a minor, distribution may be made under the Pennsylvania Uniform Transfer to Minors Act
("P AUTMA"). The Trustee is further authorized tQ sign, deliver, and/or receive any documents necessary
to carry out the powers contained within this Section.
The Trustee of any trust created under this Trust Agreement (including any substitute or successor
Trustee) will have and be subject to all of the powers, duties, and reSponsibilities granted or imposed by
the Pennsylvania Consolidated Statutes (20 Pa. e.S. Section 10 I et seq.) as such Statute may provide at
the time of administration of the Trust, except to the extent that the same are inconsistent with the
provisions of this Agreement.
Section 4.03 - Specific Powers of Trustee
In addition, the Trustee will have the following specific powers:
I. Trust Estate: The Trustee may leave invested any property coming into its hands hereunder in
any form ofinvestment even though the investment may not be of the character of investments
permitted by law to trustees, without liability for loss or depreciation in value. The Trustee may
sell, mortgage, exchange, or otherwise dispose of and reinvest property which may at any time be
a part of the Trust Estate upon such terms and conditions as the Trustee may deem advisable.
The Trustee may invest and reinvest the Trust Assets from time to time in any property, real,
personal, or mixed, including without limitation, securities of domestic and foreign corporations
and investment trusts or companies, bonds, debentures, preferred stocks, common stocks,
mortgages, mortgage participation, and interests in common trust funds, all with complete
discretion to convert realty into personalty or personalty into realty or otherwise change the
character of the Trust Estate, even though such investment (by reason of its character, amount,
proportion to the total Trust Estate, or otherwise) would not be considered appropriate for a
fiduciary apart from this provision and even though such investment caused part or all of the total
Trust Estate to be invested in investments of one type or of one business or company.
2. Holding Property: The Trustee may hold property in the Trustee's name, as trustee, or in the
name of a nominee without disclosing the Trust.
REVOCABLE LIVING TRUST AGREEMENT
Page 6
3. Release of Power: If the Trustee deems it to be in the best interest of the Trust and its
Beneficiaries, the Trustee, by written instrument signed by such Trustee, will have the power and
authority to release, disclaim, or restrict the scope of any power or discretion granted in this Trust
Agreement or implied by law.
4. Agents, Employees: The Trustee may employ one or more agents to perform any act of
administration, whether or not discretionary, including attorneys, auditors, investment managers,
or others, as the Trustee shall deem necessary or advisable. The Trustee may compensate agents
and other employees and may delegate to them any and all discretions and powers.
5. Leases: The Trustee may lease any Trust Assets generally or for oil, gas, and mineral
development, even though the lease term may extend beyond the term of the Trust of which the
property is a part. The Trustee may enter into any covenants and agreements relating to the
property so leased or concerning any improvements which may then or thereafter be erected on
such property.
6. Common Funds: The Trustee may hold any of the Trust Assets in a common fund with property
from other trust estates and may make investments jointly with any other trust, the property of
which is included in the common fund.
7. Securities: With respect to securities help in the Trust Estate, the Trustee may exercise all the
rights, powers, and privileges of an owner, including but not limited to, the power to vote, give
proxies, and to pay assessments and other sums deemed by the Trustee necessary for the
protection of the Trust Estate. In addition, the Trustee may participate in voting trusts,
foreclosures, reorganizations, consolidations, mergers, and liquidations, and in connection
therewith, to deposit securities with and transfer title to any protective or other committee under
such terms as the Trustee may deem advisable. In addition, the Trustee may exercise or sell stock
subscription or conversion rights and may accept and retain as an investment any securities or
other property received through the exercise of any of the foregoing powers, regardless of any
limitations elsewhere in this instrument relative to investments by the Trustee. In addition, The
Trustee may Buy, sell exchange, assign, convey, settle and exercise commodities future contracts
and call and put options on stocks and stock indices traded on a regulated options exchange and
collect and receipt for all proceeds of any such transactions. Establish or continue option accounts
for the principal with any securities of a futures broker. In general, exercise all powers with
respect to commodity and option transactions that the principal could if present.
8. Purchases from Estate: The Trustee may purchase property of any kind from the Executor or
Administrator of the Estates.
9. Lending: The Trustee may make loans, secured or unsecured, to the Executor or Administrator
of the Estate, to any Beneficiary of the Trust, or to the Trustee. Further, the Trustee may use
Trust Assets to guarantee obligations of any income Beneficiary of the Trust (unless such
Beneficiary is serving as Trustee).
10. Distributions to or for Beneficiaries: The Trustee may make any distribution contemplated by
this Trust Agreement (I) to the Beneficiary; (2) if the Beneficiary is under a legal disability or if
the Trustee determines that the Beneficiary is unable to properly manage his or her affairs, to a
person furnishing support, maintenance, or education for the Beneficiary or with whom the
Beneficiary is residing for expenditures on the Beneficiary's behalf; or (3) if the Beneficiary is a
minor, to a trustee of an existing trust established exclusively for the benefit of such minor,
whether created by this Trust Agreement or otherwise, or to a custodian for the Beneficiary, as
selected by the Trustee, under the Pennsylvania Uniform Transfer to Minors Act. Alternatively,
REVOCABLE LIVING TRUST AGREEMENT
Page 7
the Trustee may apply all or a part of the distribution for the Beneficiary's benefit. Any
distribution under this paragraph will be a full discharge of the Trustee with respect thereto. On
any partial or final distribution of the Trust Assets, the Trustee may apportion and allocate the
assets of the Trust Estate in cash or in kind, or partly in cash and partly in kind, or in undivided
interests in the manner deemed advisable at the discretion of the Trustee and to sell any property
deemed necessary by the Trustee to make the distribution. The Trustee may distribute gifts of up
to the maximum allowable per year per donee out of principal and/or interest.
11. Insurance: The Trustee may purchase new life insurance, pay the premiums on existing life
insurance on the life of any Trust Beneficiary, purchase annuities (either commercial or private)
from any corporation, trust, or individual, and may procure and pay the premiums on other
insurance of the kinds, forms, and amounts deemed advisable by the Trustee to protect the
Trustee and the Trust Estate.
12. Borrowing: The Trustee may borrow money from the Trust Estate and others. To secure the
repayment thereof, the Trustee may mortgage, pledge, or otherwise encumber part or all of the
Trust Assets, and in connection with the acquisition of any property, the Trustee may assume a
liability or may acquire property subject to a liability.
13. Repairs: The Trustee may make ordinary and extraordinary repairs and alterations to buildings
or other Trust Assets.
14. Reserves: The Trustee may establish such reserves out of income for taxes, assessments, repair,
and maintenance as the Trustee considers appropriate.
15. Continuation of Business: The Trustee may continue any business or businesses in which the
Trust has an interest at the time ofthe Settlor's death for so long as the Trustee may, in its sole
discretion, consider necessary or desirable, whether or not the business is conducted by the Settlor
at the time of hislher death individually, as a partnership, or as a corporation wholly owned or
controlled by him, with fuU authority to sell, settle, and discontinue any of them when and upon
such terms and conditions as the Trustee may, in its sole discretion, consider necessary or
desirable.
16. Retain Property for Personal Use: The Trustee may retain a residence or other property for the
personal use of a Beneficiary and to allow a Beneficiary to use or occupy the retained property
free of rent and maintenance expenses.
17. Dealings with Third Parties: The Trustee may deal with any person or entity regardless of
relationship or identity of any Trustee to or with that person or entity. The Trustee may hold or
invest any part of or aU of the Trust Estate in common or undivided interests with that person or
entity.
18. Partitions, Divisions, Distributions: The Trustee will have the power to make aU partitions,
divisions, and distributions contemplated by this Trust Agreement. Any partitions, divisions, or
other distributions may be made in cash, in kind, or partly in cash and partly in kind, in any
manner that the Trustee deems appropriate (including composing shares differently). The Trustee
may determine the value of any property, which valuation will be binding on aU Beneficiaries.
No adjustments are required to compensate for any partitions, divisions, or distributions having
unequal consequences to the Beneficiaries.
19. Claims, Controversies: The Trustee may maintain and defend any claim or controversy by or
against the Trust without the joinder or consent of any Beneficiary. The Trustee may commence
REVOCABLE LIVING TRUST AGREEMENT
Page 8
or defend at the expense of the Trust any litigation with respect to the Trust or any property of the
Trust Estate as the Trustee may deem advisable. The Trustee may employ, for reasonable
compensation, such counsel as the Trustee shall deem advisable for that purpose.
20. Merger of Trusts: If at any time the Trustee of any trust created hereunder shall also be acting as
trustee of any other trust created by trust instrument or by trust declaration for the benefit of the
same beneficiary or beneficiaries and upon substantially the same terms and conditions, the
Trustee is authorized and empowered, if in the Trustee's discretion such action is in the best
interest of the Beneficiary or Beneficiaries, to transfer and merge all of the assets then held under
such trust created pursuant to this Trust Agreement to and with such other trust and thereupon to
terminate the trust created pursuant to this Trust Agreement. The Trustee is further authorized to
accept the assets of any other trust which may be transferred to any trust created hereunder and to
administer and distribute such assets and properties so transferred in accordance with the
provisions of this Agreement.
2 I. Termination of Small Trust: Any corporate Trustee which is serving as the sole Trustee of any
Trust or any Share thereof may at any time tenninate such Trust or Share if, in the Trustee's sole
judgment, the continued management of such Trust or Share is no longer economical because of
the small size of such Trust or Share and if such action will be deemed to be in the best interests
of the Beneficiary or Beneficiaries. ill case of such termination, the Trustee will distribute
forthwith the share of the Trust Estate so terminated to the income Beneficiary, per stirpes. Upon',
such distribution, such Trust or Share will terminate and the Trustee will not be liable or
responsible to any person or persons whomsoever for its action. The Trustee will not be liable for
failing or refusing at any time to, terminate any Trust or a Share thereof as authorized by this
paragraph.
22. Power to Detennine illcome and Principal: Dividends payable in stock of the issuing
corporation, stock splits, and capital gains will be treated as principal. Except as herein otherwise
specifically provided, the Trustee will have full power and authority to determine the manner in
which expenses are to be borne and in which receipts are to be credited as between principal and
income. The Trustee has the power to detennine what will constitute principal or income and ,
may withhold from income such reserves for depreciation or depletion as the Trustee may deem
fair and equitable. In detennining such matters, the Trustee may give consideration to the
provisions of the Pennsylvania Statutes (or its successor statutes) relating to such matters, but it
will not be bound by such provisions.
23. Generation-Skipping Taxes and Payment: If the Trustee considers any distribution or
termination of an interest or power hereunder as a distribution or termination subject to a
generation-skipping tax, the Trustee is authorized:
a. To augment any taxable distribution by an amount which the Trustee estimates to be
sufficient to pay such tax and charge the same to the particular trust to which the tax
related without adjustment of the relative interests of the Beneficiaries;
b. To pay such tax, in the case of a taxable termination, from the particular trust to which
the tax relates without adjustment of the relative interests of the Beneficiaries. If such tax
is imposed in part by reason of the Trust Assets, the Trustee will pay only the portion of
such tax attributable to the taxable termination hereunder taking into consideration
deductions, exemptions, credits, and other factors which the Trustee deems advisable;
and
REVOCABLE LIVING TRUST AGREEMENT
Page 9
c. To postpone final termination of any particular trust and to withhold any portion or all of
the Trust Estate until the Trustee is satisfied that the Trustee no longer has any liability to
pay any generation-skipping tax with reference to such trust or its terntination.
Section 4.04 - Special Provision for S Corporation Stock
Notwithstanding what is otherwise provided in this Trust Agreement, if at any time the Trust contains any
stock of a corporation which elects or has elected treatment as an "s Corporation" as defined by Section
1361(a)(I) of the Internal Revenue Code (or any corresponding successor statute), such stock will be
segregated from the other assets of such and treated as a separate trust. The Trustee will further divide the
separate trust into shares for each Beneficiary and such shares will be distributed outright or held in trust
as herein provided. In addition, all other provisions of this Trust Agreement will apply to each share held
in trust (and constituting a separate trust) except that the Trustee will distribute all of the income from
each separate trust to its Beneficiary in convenient installments at least annually. It is the Settlor's intent
that each separate trust will be recognized as a "Qualified Subchapter S Trust" ("QSST") under Section
1361(d)(2) of the Internal Revenue Code (or any corresponding successor statute). Notwithstanding any
provisions of this Trust Agreement to the contrary, the Trustee's powers and discretions with respect to
the administration of each separate trust (including methods of accounting, bookkeeping, making
distributions, and characterizing receipts and expenses) will not be exercised or exercisable except in a
manner consistent with allowing each separate trust to be treated as a QSST as above described.
ARTICLE FIVE
Trustee Powers with a Probate Estate
Section 5.01 - Coordination with Settlor's Probate Estate
1. At any time during the continuance of this Trust, including subsequent to the death of Settlor, the
Trustees may, in their sole and uncontrolled discretion, distribute to the deceased Settlor's
Probate Estate cash and/or other property as a Beneficiary of the Trust.
2. All other provisions to the contrary notwithstanding, under no circumstances shall any restricted
proceeds, as hereinafter defmed, be either directly or indirectly: (i) distributed to or for the benefit
of the Settlor's Executors or the Settlor's Probate Estate; or (ii) used to pay any other obligations
of the Settlor's Estate. The term "Restricted Proceeds" means:
a. All qualified plans, individual retirement accounts, or similar benefits which are received
or receivable by any Trustee hereunder, and which are paid solely to a Beneficiary other
than the Executor of the Settlor's Gross Estate for Federal Estate Tax purposes; and
b. All proceeds of insurance on the Settlor's life which, if paid to a Beneficiary other than
the Settlor's Estate, would be exempt from inheritance or similar death taxes under
applicable state death laws.
Section 5.02 - Direction to Minimize Taxes
In the administration of the Trust hereunder, its Fiduciaries shall exercise all available tax related
elections, options, and choices in such a manner as they, in their sole but reasonable judgment (where
appropriate, receiving advice of tax counsel), believe will achieve the overall minimum in total combined
present and reasonably anticipated future administrative expenses and taxes of all kinds. This applies not
only to said Trust, but also to its Beneficiaries, to the other Trusts hereunder and their Beneficiaries, and
to the Settlor's Probate Estate.
REVOCABLE LIVING TRUST AGREEMENT
Page 10
Without limitation on the generality of the foregoing direction (which shall to that extent supercede the
usual fiduciary duty of impartiality), such Fiduciaries shall not be accountable to any person interested in
this Trust or to Settlor's Estate for the manner in which they shall carry out this direction to minimize
overall taxes and expenses (including any decision they may make not to incur the expense of a detailed
analysis of alternative choices). Even though their decisions in this regard may result in increased taxes
or decreased distributions to the Trust, to the Estate, or to one or more Beneficiaries, the Fiduciaries shall
not be obligated for compensation readjustments or reimbursements which arise by reason of the roarmer
in which the Fiduciaries carry out this direction.
Section 5.03 - Judgment and Discretion of Trustee
In the absence of proof of bad faith, all questions of construction or interpretation of any trusts created by
this Trust Agreement will be finally and conclusively determined solely by the Trustee, according to the
Trustee's best judgment and without recourse to any court. Each determination by the Trustee is binding
on the Beneficiaries and prospective Beneficiaries hereunder, both in being and unborn, as well as all
other persons, firms, or corporations. The Trustee, when exercising any discretionary power relating to
the distribution or accumulation of principal or income or to the termination of any trust, will be
responsible only for lack of good faith in the exercise of such power. Each determination may be relied
upon to the same extent as if it were a [mal and binding judicial determination. In the event of a conflict
between the provisions of this Trust Agreement and those of the Pennsylvania Statutes; "the provisions of
this Agreement will control.
ARTICLE SIX
Resolution of Conflict
Section 6.01 - Resolution of Conflict
Any controversy between the Trustee or Trustees and any other Trustee or Trustees, or between any other
parties to this Trust, including Beneficiaries, involving the construction or application of any of the terms,
provisions, or conditions of this Trust shall, on the written request of either or any disagreeing party
served on the other or others, shall be submitted to arbitration. The parties to such arbitration shall each
appoint one person to hear and determine the dispute and, if they are unable to agree, then the two persons
so chosen shall select a third impartial arbitrator whose decision shall be final and conclusive upon both
parties. The cost of arbitration shall be borne by the losing party or in such proportion as the arbitrator(s)
shall decide. Such arbitration shall comply with the commercial arbitration rules of the American
Arbitration Association, 140 West 51st Street, New York, NY 10200.
Section 6.02 - Incontestability
The beneficial provisions of this Trust Agreement are intended to be in lieu of any other rights, claims, or
interests of whatsoever nature, whether statutory or otherwise, except bona fide pre-death debts, which
any Beneficiary hereunder may have in Settlor's Estate or in the properties in trust hereunder.
Accordingly, if any Beneficiary hereunder asserts any claim (except a legally enforceable debt), statutory
election, or other right or interest against or in Settlor's Estate, or any properties of this Trust, other than
pursuant to the express terms hereof, or directly or indirectly contests, disputes, or calls into question,
before any court, the validity of this Trust Agreement, then:
\. Such Beneficiary shall thereby absolutely forfeit any and all beneficial interests of whatsoever
kind and nature which such Beneficiary or his or her heirs might otherwise have under this Trust
Agreement and the interests of the other Beneficiaries hereunder shall thereupon be appropriately
and proportionately increased; and
REVOCABLE LIVING TRUST AGREEMENT
Page 1 1
2. All of the provisions of this Trust Agreement, to the extent that they confer any benefits, powers,
or rights whatsoever upon such claiming, electing, or contesting Beneficiary, shall thereupon
become absolutely void; and
3. Such claiming, electing, or contesting Beneficiary, if then acting as a trustee hereunder, shall
automatically cease to be a Trustee and shall thereafter be ineligible either to select, remove, or
become a Trustee hereunder.
Section 6.03 - Trust Contests and Specific Omissions
If any beneficiary under this trust, singly or in conjunction with any other person or persons, directly or
indirectly:
1. contests in any court the validity of this trust or, in any manner, attacks or seeks to impair or
invalidate any of its provisions;
2. contests in any court the validity of the Settlor's Trust or, in any manner, attacks or seeks to
impair or invalidate any of its provisions;
3. seeks to obtain an adjudication in any proceeding in any court that this trust or any of its
provisions or that Settlor's Trust or any of jts provisions is void;
4. claims entitlement by way of any written or oral contract to any portion of the Settlor's estate,
whether in probate or under this instrument;
5. unsuccessfully challenges the appointment of any person named as Trustee or successor Trustee
of this Trust,
6. objects in any manner to any action taken or proposed to be taken in good faith by the Trustee
Settlor's Trust;
7. objects to any construction or interpretation of this Trust, or any provision of it, that is adopted or
is proposed in good faith by the Trustee;
8. unsuccessfully seeks the removal of any person acting as Trustee of any Trust created under this
instrument;
9. files any creditor's claim in Settlor's estate (without regard to its validity), whether the claim arose
before or after the date of this instrument, but excepting claims for cash advanced or paid for
expenses of the Settlor's last illness or funeral paid by said claimant;
10. attacks or seeks to invalidate any designation of beneficiaries for any life insurance policy on
Settlor's life;
II. attacks or seeks to invalidate any designation of beneficiaries for any pension or IRA or other
form of qualified or non-qualified asset or deferred compensation account, agreement or
arrangement;
12. attacks or seeks to invalidate any trust which Settlor has created or may create during Settlor's
lifetime, or any provision thereof, as well as any gift which Settlor has made or will made during
Settlor's lifetime, whether before or after the date of this instrument;
13. attacks or seeks to invalidate any transaction by which Settlor sold any assets (whether to a
relative of Settlor's or otherwise); or
14. refuses a request of Settlor's Trustee, Executor or other fiduciary to assist in the defense against
any of the foregoing acts or proceedings,
then that person's right to take any interest given to him or her by this trust shall be determined as it would
have been determined if the person had predeceased the execution of this trust instrument without issue
surviving.
REVOCABLE LIVING TRUST AGREEMENT
Page I2
The provisions of the foregoing paragraph shall not apply to any disclaimer by any person of any benefit
under this trust or under the Settlor's Trust. In the event that any provision of this Article is held to be
invalid, void or illegal, the same shall be deemed severable from the remainder of the provisions of this
Article and shall in no way affect, impair or invalidate any other provision in this Article; and if such
provision shall be deemed invalid due to its scope or breadth, such provision shall be deemed to exist to
the extent of the scope or breadth permitted by law.
Section 6.04 - Benefits Confidential
The Settlor further declare that it is hislher desire and intent that the provisions of this Trust Agreement
are to remain confidential as to all parties. The Settlor directs that only the information concerning the
benefits paid to any particular Beneficiary shall be revealed to such individual and that no individual shall
have a right to information concerning the benefits being paid to any other Beneficiary.
ARTICLE SEVEN
General Provisions
Section 7.01- Distribution in Kind or in Cash
On any division of the assets of the Trust Estate in to shares or partial shares; and on any final or partial
distribution of the assets of the Trust Estate, the Trustee, at his or her absolute discretion, may divide and
distribute undivided interests of such assets on a pro rata or non-pro rata basis, or may sell any part of or
all of such assets and may make divisions or distributions in cash or partly in cash and partly in kind. The
decision of the Trustee, either prior to or on any division or distribution of such assets, as to what
constitutes a proper division of such assets of the Trust Estate, shall be binding on all persons interested in
any trust provided for in this Trust Agreement.
Section 7.02 - Spendthrift Provision
Neither the principal nor the income of the trust shall be liable for the debts of a Beneficiary. Except as
otherwise expressly provided in this Agreement, no Beneficiary of any trust shall have any right, power,
or authority to alienate, encumber, or hypothecate his or her interest in the principal or income of this
Trust in any manner, nor shall the interests of any Beneficiary be subject to the claims of his or her
creditors or liable to attachment, execution, or other process of law. The limitations herein shall not
restrict the exercise of any power of appointment or the right to disclaim.
Section 7.03 - Definition of Children
The terms "Child" and "Children" as used in this Agreement mean the lawful issue of a Settlor. This
definition also includes children legally adopted by a Settlor.
Section 7.04 - Handicapped Beneficiaries
Any Beneficiary who is determined by a court of competent jurisdiction to be incompetent shall not have
any discretionary rights of a Beneficiary with respect to this Trust, or to their share or portion thereof.
The Trustee shall hold and maintain such incompetent Beneficiary's share of the Trust estate and shall, in
the Trustee's sole discretion, provide for such Beneficiary as that Trustee would provide for a minor.
Notwithstanding the foregoing, any Beneficiary who is diagnosed for the purposes of governmental
benefits (as hereinafter delineated) as being not competent or as being disabled, and who shall be entitled
to governmental support and benefits by reason of such incompetency or disability, shall cease to be a
REVOCABLE LIVING TRUST AGREEMENT
Page 13
Beneficiary of this Trust. Likewise, they shall cease to be a Beneficiary if any share or portion of the
principal or income of the Trust shall become subject to the claims of any governmental agency for costs
or benefits, fees, or charges.
The portion ofthe Trust Estate which, absent the provisions of this section, would have been the share of
such incompetent or handicapped person shall be retained in trust for as long as that individual lives. The
Trustee, at his or her sole discretion, shan utilize such funds for the maintenance of that individual. If
such individual recovers from his or her incompetency or disability and is no longer eligible for aid from
any governmental agency, including costs or benefits, fees, or charges, such individual shan be reinstated
as a Beneficiary after 60 days from such recovery and the allocation and distribution provisions as stated
herein shall apply to that portion of the Trust Estate which is held by the Trustee subject to the foregoing
provisions of this section. If said handicapped Beneficiary is no longer living and shall leave children
then living, the deceased child's share shan pass to those children per stirpes. If there are no children, the
share shan be allocated proportionately among the remaining Beneficiaries.
ARTICLE EIGHT
Successor Trustee Appointments
Section 8.01 - Trustees
An Trustees are to serve without bond. The fonowing win act as Trustees of any Trusts created by this
Trust Agreement, in the following order of succession:
First:
The undersigned, Richard J. Pasco, Sr.
Second:
At the death or incapacity of Richard J. Pasco, Sr., Christine E. Reed shall serve
. as First Successor Trustee.
Third:
Elizabeth N. Elmore shall serve as Second Successor Trustee.
Fourth:
Richard J. Pasco, Jr. shan serve as Third Successor Trustee.
Last:
A Trustee chosen by the majority of Beneficiaries, with a parent or legal guardian
voting for minor Beneficiaries; provided, however, that the children of any
deceased Beneficiary shan conectively have only one vote.
Section 8.02 - Allocation and Distribution of The Trust Assets
The Trustees shan allocate, hold, administer, and distribute the Trust Assets as hereinafter provided:
1. Upon the death of the Settlor, the Trustee shan make any separate distributions the Trust Assets
in the manner hereinafter prescribed.
Section 8.03 - Personal Property Distribution
Notwithstanding any provision of this Trust Agreement to the contrary, the Trustee must abide by any
memorandum by the Settlor, particularly that contained in the section entitled "Special Directives"
incorporated into this Trust Instrument, directing the disposition of Trust Assets of every kind including,
but not limited to, furniture, appliances, furnishings, pictures, china, silverware, glass, books, jewelry,
wearing apparel, and all policies of fire, burglary, property damage, and other insurance on or in
REVOCABLE LIVING TRUST AGREEMENT
Page 14
connection with the use of property. Otherwise, any personal and household effects of the Settlor shall be
distributed with the remaining assets of the Trust Estate.
Section 8.04 - Liability of Trustee
The Trustee will not be responsible or liable for any loss which may occur by reason of depreciation in
value of the properties at any time belonging to the Trust Estate nor for any other loss which may occur,
except that the Trustee will be liable for each Trustee's own negligence, neglect, default, or willful wrong.
The Trustee will not be liable or responsible for the acts, omissions, or defaults of any agent or other
person to whom duties may be properly delegated hereunder (except officers or regular employees of the
Trustee) if such agent or person was appointed with due care. The Trustee may receive reimbursement
from the Trust Estate for any liability, whether in contract or in tort, incurred in the administration of the
Trust Estate in accordance with the provisions hereof, and the Trustee may contract in such form that such
Trustee will be exempt from such personal liability and that such liability will be limited to the Trust
Assets.
Section 8.05 - Successor Trustees
Any Successor Trustee shall have all the power, rights, discretion, and obligations conferred on a Trustee
by this Trust Agreement. All rights, titles, and interest in the property of the Trust shall immediately vest
in the successor Trustee at the time of appointment-: "The prior Trustee shall, without warranty, transfer to
the Successor Trustee the existing Trust property. No Successor Trustee shall be under any duty to
examine, verity, question, or audit the books, records, accounts, or transaction of any preceding Trustee;
and no Successor Trustee shall be liable for any loss or expense from or occasioned by anything done or
neglected to be done by any predecessor Trustee. A Successor Trustee shall be liable only for his or her
own acts and defaults.
ARTICLE NINE
Rule Against Perpetuities
Section 9.01 - Perpetuities Savings Clause
Notwithstanding any other provision of this instrument, the Trusts created hereunder shall terminate not
later than twenty-one (2 I) years after the death of the last survivor of the Settlor and any other
Beneficiary or Beneficiaries named or defined in this Trust living on the date of the death of the Settlor.
The Trustee shall distribute remaining Trust principal and all accrued or undistributed net income
hereunder to the Beneficiary or Beneficiaries. If there is more than one Beneficiary, the distribution shall
be in the proportion in which they are Beneficiaries; if no proportion is designated, then the distribution
shall be in equal shares to such Beneficiaries.
ARTICLE TEN
General Provisions
Section 10.01 - Governing Law
It is not intended that the laws of only one particular state shall necessarily govern all questions pertaining
to all of the Trust hereunder.
I. The validity of the Trust hereunder, as well as the validity of the particular provisions of that
Trust, shall be governed by the laws of the state which has sufficient connection with the Trust to
support such validity.
REVOCABLE LIVING TRUST AGREEMENT
Page 15
2. The meaning and effect of the terms of this Trust Agreement shall be governed by the laws of the
Commonwealth of Pennsylvania.
3. The administration of this Trust shall be governed by the laws of the state in which the principle
office of the Trustee then having custody of the Trust's principal assets and records is located.
The foregoing shall apply even though the situs of some Trust Assets or the home of the Settlor, a
Trustee, or a Beneficiary may at some time or times be elsewhere.
Section 10:02 - Invalidity of Any Provision
If a court finds that any provision of this Trust Agreement is void, invalid, or unenforceable, the
remaining provisions of this Agreement will continue to be fully effective.
Section 10.03 - Headings
The use of headings in connection with the various articles and sections of this Trust Agreement is solely
for convenience and the headings are to be given no meaning or significance whatsoever in construing the
terms and provisions of this Agreement.
Section 10.04 - Internal Revenue Code Terminoiogy
As used herein, the words "Gross Estate," "Adjusted Gross Estate," "Taxable Estate," "Unified Credit,"
"State Death Tax Credit," "Maximum Marital Deduction," "Marital Deduction," and any other word or
words which from the context in which it or they are used refer to the Internal Revenue Code shall be
assigned the same meaning as such words have for the purposes of applying the Internal Revenue Code to
a deceased Settlor's Estate. Reference to sections of the Internal Revenue Code and to the Internal
Revenue Code shall refer to the Internal Revenue Code amended to the date of such Settlor's death.
REVOCABLE LIVING TRUST AGREEMENT
Page 16
SPECIAL DIRECTIVES
OF
RICHARD J. PASCO, SR.
I, RICHARD J. PASCO, SR., a resident of the County of CUMBERLAND, Commonwealth of
Pennsylvania, being of lawful age, and of sound and disposing mind and memory, and not acting under
duress, fraud, or undue influence, hereby make, publish and declare this to be my Special Directive, and I
incorporate THE RICHARD J. PASCO, SR. REVOCABLE LIVING TRUST AGREEMENT.
FIRST
The natural objects of my affection are:
My Children -
Christine E. Reed
Richard J. Pasco, Jr.
Elizabeth N. Elmore
SECOND
I direct that all estate and inheritance taxes payable as a result of my death, not limited to taxes
assessed on property, shall be paid out of the residue of my Estate, and shall not be deducted or collected
from any League, Devisee, or Beneficiary hereunder.
THIRD
In the event any of my named Beneficiaries should predecease me, all of that person's share of the
Trust Estate is to be divided equally among the remaining primary beneficiaries.
FOURTH
In the event all of my named beneficiaries predecease me, all of the trust estate is to be distributed
to my heirs at law.
FIFTH
I direct that all outstanding debts and/or loans owed by any beneficiary shall be forgiven and
deemed as having not existed.
SIXTH
I direct that, before any distribution of the assets of the Trust Estate to the named Beneficiaries,
certain specific distributions, if any, shall be made from the assets as set forth on the list attached hereto
and marked "Exhibit A."
REVOCABLE LIVING TRUST AGREEMENT
Page 1 7
DATED to be effective this
/6!! day o,-JI;
SETTLOR:
.;?:.(k7 j .
(/~-JF2 ~
RIC' ARD J. P ,SR.
ACCEPTED BY TRUSTEE:
/ /.----' 'J
" /?d~....p7 a~ >4
RICHARD J. PA , SR.
COMMONWEALTH OF PENNSYL V ANlA
COUNTY OF CUMBERLAND
This instrument was acknowledged before me on the date herein set forth by RICHARD J.
PASCO, SR. as Settlor and Trustee to certify which witness my hand and seal of office.
Public, Commonwealth of Pennsylvania
NOTARIAL SEAL
JEROME 1 lEWIS, NOTARY PUBLIC
TREOYFFRIN TWP.. CHESTER COUNTY
MY COMMISSION EXPIRES SEPT. 25 2006
REVOCABLE LIVING TRUST AGREEMENT
Page 18
THE RICHARD J. PASCO, SR.
REVOCABLE LIVING TRUST AGREEMENT
Declaration oflntent
The undersigned hereby declares that, as Trustee of THE RICHARD J. PASCO, SR.
REVOCABLE LIVlNG TRUST, he or she is acquiring and will hold in the name RICHARD J. PASCO,
SR., but without further reference to hislher fiduciary capacity, all items listed on the attached schedule(s)
hereto and incorporated herein as amended, from time to time, as well as household furnishings,
automobiles, jewelry, bank accounts, securities, bonds, clothing and other personal property of any kind
in hislher name and henceforth such assets shall and will belong to said Trust and not to him or her
individually; and he or she further declares that, except to the extent of interest provided to him or her
under the terms and provisions of said Trust, he or she has no personal interest in any of the above
itemized personal properties, it being intended and this Declaration constitutes an affirmation of Trust
ownership and an assignment to this Trust and shall be binding on hislher heirs, administrators, executors
and assigns.
~~~ W>d=igo<d b".=",'" <hi. i.._" ""
~/~ ~
'" d~ ~~
RICH J. PA ,SR.
Settlorffrustee
Ii
/~./ day of
COMMONWEALTH OF PENNSYL V ANlA
COUNTY OF CUMBERLAND
BEFORE ME, the undersigned authority, on this day personally RICHARD J. PASCO, SR.,
known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged
to me that he or she executed the same for the purposes and consideration therein expressed and in the
capacity therein stated.
SUBSCRIBED AND SWORN this
I"A
.3
'-'
NOTARIAL SEAL
JEROME T LEWIS. NOTARY puaL~~
lREOYffRINOTWN !:"P~RHi~~\~~Of5 2006
MY COMMISSI <^ .
SPECIAL INSTRUCTIONS FOR PREPARING AND ATTACmNG AN
"EXIDBIT A"
TO YOUR REVOCABLE LIVING TRUST AGREEMENT
If you have special instructions for bequests of property that were not included in the original
trust planning documents, it is important that they be prepared correctly in order to accomplish your
wishes. "Exhibit A" is not an amendment; it is a part of your original trust document.
1. The page(s) entitled "SPECIAL DIRECTNES OF RICHARD J. PASCO, SR." found
near the end of the trust document entitled TIIE RICHARD J. PASCO, SR.
REVOCABLE LNING TRUST AGREEMENT needs to have a paragraph that basically
says the following:
I direct that my trust estate (or personal property or
whatever the items in question are) be distributed
according to the list attached hereto and marked
"EXHmIT A".
2. . Make as many copies of your blank "EXHmIT A" as it takes to distribute your personal
items, listing the individual property, the beneficiary of the property, and, if applicable,
the dollar or percentage amount of trust property you wish to bequeath.
3. When you finish, number and initial each page, and sign the last page. Be sure to sign
your signature and initials in front of your witnesses and a notary public. Date your
"Exhibit A" the same date you signed your original trust agreement. (All gift pages
must be entitled "EXHmIT A." All pages must be numbered. Each page must have a
place at the bottom for your initials; the last page must have a line for your full signature.
Your signature must have two witnesses and a notary.)
4. Attach the original signed and witnessed copy to your original REVOCABLE LNING
TRUST AGREEMENT. Put a copy of your "EXHmIT A" with any trust copies you
have stored, i.e., safe deposit box.
5. See attached sample for further help. If you have any questions, please call the law finn.
LOOK FOR YOUR PERSONALIZED "EXHmIT A" PAGES BEHIND THE RICHARD J. PASCO,
SR. REVOCABLE LIVING TRUST AGREEMENT.
SAMPLE ONLY
"EXHIBIT A"
ADDITIONAL SPECIAL DIRECTIVES OF JOHN S. DOE,
TRUSTEE AND SETTLOR OF
THE JOHN S DOE REVOCABLE LIVING TRUST
I direct that JAMES DOE get my railroad pocket watch.
I direct that JANE DOE get the money in the FIRST NATIONAL BANK of Altuna, Texas,
Account #111-111-111.
I direct that JAMES DOE and JANE DOE each receive a Yz ownership in the house at 23
Lexington Avenue, Philadelphia, Pennsylvania.
I direct that my railroad stock be divided equally among the children of JAMES DOE.
I direct that my telephone stock be divided equally among the children of JANE DOE.
I direct that each of my grandchildren receive $5,000 from my trust estate. It is my intent that
this money be used for their college education.
I direct that my car go to my granddaughter, MELISSA DOE, and my truck go to my grandson,
JAMES DOE, JR.
"EXHIBIT A"
ADDITIONAL SPECIAL DIRECTIVES OF
JOHN S. DOE
Page of
"EXIllBIT A"
ADDITIONAL SPECIAL DIRECTIVES OF
RICHARD J. PASCO, SR.
TRUSTEE AND SETTLOR OF
THE RICHARD J. PASCO, SR. REVOCABLE LIVING TRUST
"EXIllBIT A"
ADDITIONAL SPECIAL DIRECTIVES OF
RICHARD J. PASCO, SR.
Page of
"EXHIBIT A"
ADDITIONAL SPECIAL DIRECTIVES OF
RICHARD J. PASCO, SR.
TRUSTEE AND SETTLOR OF
THE RICHARD J. PASCO, SR. REVOCABLE LIVING TRUST
"EXHIBIT An
ADDITIONAL SPECIAL DIRECTIVES OF
RICHARD J. PASCO, SR.
Page of
"EXHIBIT A"
ADDITIONAL SPECIAL DIRECTIVES OF
RICHARD J. PASCO, SR.
TRUSTEE AND SETTLOR OF
THE RICHARD J. PASCO, SR. REVOCABLE LIVING TRUST
"EXHIBIT A"
ADDITIONAL SPECIAL DIRECTIVES OF
RICHARD J. PASCO, SR.
Page of
"EXHIBIT AU
ADDITIONAL SPECIAL DIRECTIVES OF
RICHARD J. PASCO, SR.
TRUSTEE AND SETTLOR OF
THE RICHARD J. PASCO, SR. REVOCABLE LIVING TRUST
"EXIllBIT A"
ADDITIONAL SPECIAL DIRECTIVES OF
RICHARD J. PASCO, SR.
Page of
The foregoing instrument consists of
signature of Witnesses, and acknowledgment of officer.
the preceding pages.
, typewritten/handwritten pages including the
I have signed my name at the bottom of each of
DATED this
day of
RICHARD J. PASCO, SR.
Witness
Address
Witness
Address
COMMONWEALTH OF PENNSYL VANIA
COUNTY OF CUMBERLAND
This instrument was acknowledged before me on the day of
, by RICHARD J. PASCO, SR. as Settlor and Trustee to certify which witness my hand and seal
of office.
Notary Public, Commonwealth of Pennsylvania
REVOCABLE LIVING TRUST AGREEMENT
- ..,
A. TYPE OF LOAN:
U,S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 1DFHA 2.0FmHA :J.~CONV. UNINS. 4.0VA 5.1 ICONV. INS.
6 ~I~~ NUMBER: I 7. LOAN NUMBER:
SETTLEMENT STATEMENT 47
8. MORTGAGE INS CASE NUMBER:
C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown.
Items marked "[POCr were paid outside the closing; they are shown here for informational purposes and are not included in the totals.
1.Q ".. {4-SOJARDINE.?FDI....50J28)
D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER:
Dawn Jardine ChristineEReedTrusteeofThe American Home Mortgage
687 Barnstable Road Revocable TrustofRichardJPasco 5 East High Street
Carlisle, PA 17013 691 Barnstable Road Carlisle, PA 17013
Canisle, PA 17013
G. PROPERTY LOCATION: H. SETTLEMENT AGENT: i. SETTLEMENT DATE:
691 Barnstable Road Godfrey & Associates, P .C.
Canisle, PA 17013 November 5. 2004
Cumber1and County, Pennsylvania PLACE OF SETTLEMENT
17 W. South Street
Canisle, PA 17013
J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF ELLER'S TRANSACTI N
101. Contract Sales Price 105,000.00 401. Contract Sales Price -=- 105,000.00
102. Personal Pronert\l 402. P~rsonal Property I
103, Settlement Charnes to BorroweifUne 1400) , 5,103.77 403. ,
104. i 404. I.
105. 405. i
n r m rm m n rf I vn
106. County Taxes 11/06/04 to 01/01105 i 36.03 406. Countv Taxes 11/06/04 to 01/01/05 i 36.03
107. School Taxes 11/06/04 to 07/01/05 724.85 407. School Taxes 11/06/04 to 07/01/05 , 724.85
108. Assessments to ! 408. Assessments to ,
109. I 409. :
110. I 410.
111. i 411. I
,
112. 412. !
120. GROSS AMOUNT DUE FROM BORROWER 110,864.65 .420. GROSS AMOUNT DUE TO SELLER i 105,760.88
200, AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500, REDUCTIONS IN AMOUNT DUE TO SELLER:
201. Deoosit or earnest monev 100.00 501. Excess Deoosit (See InstructionsY- r
202. Princioal Amount of New Loanfs) 105,000.00 502. Settlement Charaes to Seller lLine 140m T 4,316.00
203. Existina loanls\ taken subiect to , 503. Existina loan(s taken subject to I
I
204. ; 504. Payoff of first Mortgage to National City Mortgage I 57,118.94
,
205. I 505. Pavoff of second Mortoaae
206. 506.
207. I 507. (Denosit disb. as oraceeds) I
208. , 508. I
209. I 509. !
flstments or terns n al e er ustments For Items Un 81 e er
210. County Taxes to 510. CauntvTaxes to ,
211. School Taxes to I 511. School Taxes to
212. Assessments to 512. Assessments to i
213. 513.
214. , 514. I
215. , 515. I
,
216. I 516. I
I
217. 517. I
218. , 518. I
219. . 519. I
220. TOTAL PA/D BY/FOR BORROWER , 105,100.00 520. TOTAL REDUCTION AMOUNT DUE SELLER I 61,434.94
300. CASH AT SETTLEMENT fROM/TO BORROWER: 600, CASH AT SETTLEMENT TO/FROM SELLER:
301. Gross Amount Due From BorrowerlLine 120) 110,864.65 601. Gross Amount Due To Seller (Line 420) I 105,760.88
302. Less Amount Paid By/For Borrower (line 220) i( 105,100.00 602. Less Reductions Due Seller (Une 520) i( 61,434.94
303. CASH ( X FROM)/ TO) BORROWER ! 5,764.65 603. CASH ( X TO) ( FROM) SELLER I 44,325.94
OMS NO 2502 0265 --=--
The undersigned hereby acknowledge receipt of a completed copy of pages 1&2 of thiS statement & any attachments referred to herein.
Borrower Seller
Dawn Jardine
Christine E. Reed. Trustee of the Re'locable Trust of
Richard J. Pasco, Sr.,
P!lOe2
L. SETTLEMENT CHARGES
700. TOTAL COMMISSION Based on Prlc . (ci) 0/. PAID FROM PAID FROM
Division of Commission (Jine 7001 as FolJows: BORROWER'S SELLER'S
701. $ to FUNDS AT FUNDS AT
702. $ to SETTLEMENT SETTLEMENT
703. Commission Paid at Settlement
704. to
800. tTEMS PAYABL E IN "ONNECTI N WITH L AN
801. Loan OriQination Fee 1.0000 % to American Home Mortqaoe 1,050.00
802. Loan Discount % to
803. Appraisal Fee to American Home Mortgage 275.00
804. Credit Report to American Home Mortgage 7.75
805. DU/LP Fee to American Home Mortgage 21.70
806. FundinalReview Fee to American Home Mortoaoe 430.00
807. Tax Service to American Home Mortgage 74.00
808. Flood Hazard Fee to American Home Mortgage 15.00
809. I
810.
811.
9no. ITEMS REoUIREn BY I ENDER BE PAl N ADVANCE
901. Interest From 11/05/04 to 12/01/04 @ $ /day ( 26 days %) 436.04
902. Mortaaae Insurance Premium for months to
903. Hazard Insurance Premium for 1.0 vears to Erie Insurance Group $385.00 POC
904.
905.
1000. RESERVES DEPO ITED WITH LEND
1001. Hazard Insurance 3.000 monthss $ 32.08 oer months 96.24
1002. Mort aae Insurance monthss $ oer months
1003. Countv Taxes . 10.000 monthss $ 16.70 er months 167.00
1004. School Taxes 6.000 monthss $ 94.93 er months 569.58
1005. Assessments monthss @ $ per months
1006. monthss Ci) $ per months
1007. Citv Taxes 11.000 monthss 1il $ 1.71 oer months 18.81
1008. Aooreaaate Adiustment monthss 1il $ aer months -364.10
110 . TITLE HARGES
1101. SetUement or Closino Fee to
1102. Abstract or Title Search ta .
1103. Title Examination ta
1104. Title Insurance Binder ta
1105. Document Preoaration ta Gadfrev & Associates, P.C. 50.00
1106. Natarv Fees ta Godfrev & Associates, P.C. 6.00
1107. Attorney's Fees to GOdfrey & Associates, P.C. 250.00
(includes above item numbers: )
1108. Title Insurance ta First American Title Insurance Comnanv 883.75
fincludes above item numbers: )
1109. Lender's Coverage $ 105,000.00
1110. Owner's Coverage $ 105,000.00
1111. Endarsements (100,300, 8.1) ta Godfrey & Associates, P.C. 150.00
1112. Closing Protection Letter ta First American Title Insurance Company 35.00
1113.
1200, GOVERNMENT RE ORDING ANn TRANSF~" "HARGES
1201. Recording Fees: Deed $ 38.50; Mortgage $ 72.50; Releases $ 111.00
1202. Citv/Caunlv Tax/Stamos: Deed . Mortoaae 1,050.00
1203. State Tax/Stamas: Deed 1,050.00; Martaaoe 1,050.00
1204.
1205.
1300. AnDlTlnNAL S~TTI ~MENT CHAR ES
1301. Survey to
1302. Pest Insoection ta
1303. Overniaht Mail Fees ta Commonwealth Realtv Settlement Services, Inc. Pka/Pavoff 1 16.00 16.00
1304. Wire In Fee ta Godfrev & Associates, P.C. 5.00
1305. Escrow For Inheritance Taxes to Godfrey & Associates, P.C. 3,000.00
1400. TOTAL SETTLEMENT CHARGES 'Enter on Lines 103, Section J and 502, Section K} 5,103.77 4,316.00
By signing page 1 of this statement, the signatories acknowledge receipt of a completed copy of page 2 of this two page statement.
Certified to be a true copy.
Godfrey & Associates, P .C.
Settlement Agent
THIS DEED
Dated this
/~ r!
day of
,2003.
BETWEEN Richard J. Pasco ( a Richard J. Pasco Sr.), whose address is 691 Barnstable
Road, Carlisle, Cumberland County, Pennsylvania 17013
AND Richard J. Pasco Sr., Trustee 0 THE RICHARD J. PASCO, SR. REVOCABLE
LIVING TRUST, u/d1t 7, II. ,2003, whose address is 691 Barnstable
Road, Carlisle, Cumberland County, Pennsylvania 17013
FOR GOOD AND SUFFICIENT CONSIDERATION, the above-named Grantor does
hereby GRANT and CONVEY unto the above-named Grantee, the real property below described,
together with appurtenances. This deed is given for estate planning purposes, without valuable
consideration in cash or property, to vest title to the property in a living trust established by
Grantor:
See legal description attached hereto as EXHIBIT "A".
Grantor WARRANTS that Grantor has good right and authority to execute and deliver this
deed to the Grantee, and that Grantor is the owner in fee simple of said premises, subject only to
those encumbrances of record, if any, which were made, suffered, or assumed by the Grantor.
When the context requires, singular nouns and pronouns include the plural.
Page I of 3
Signed by:
---2...... ~---)
/ "'//~A
'.......-. ~~ :7""/ ~
RICHARD J. P~O
~'~2 Q
f\./ .~" ~S'9-_
aIkIa RIC ' J. PASCO, SR.
STATE OF PENNSYLVANIA}
COUNTY OF CUMBERLAND} ss.
Onthi,,,,, :1. day 0' ~/ ,io"""",~J ,
before me, ,jPJ),tHS r ~~ , a Notary Public in and for said state,
personally appear~ Richard J. Pasco (alkfa Richard J. Pasco Sr.), known to me to be the person
who executed the within conveyance and acknowledged to me that he/she executed the same for
the purposes therein stated.
'-
NOTARIAL SEAL
JEROME 1 lEWIS, NOTARY PUBLIC
TREDYFFRIN TWP., CHESTER COUNTY
MY COMMISSION EXPIRES SEPT. 25 2006
I hereby certify the address of the within grantee is 691 Barnstable Road, Carlisle, County of
Cumberland, State of Pennsylvania 17013.
NOh\RIAl SEAL
JEROME T.lEW!S. NGTA"Y PlI8LlC
TREOYFFRIN TWP, CHES1ER COUNTY
MY COMMISSION EXPIRES SEPf. 25 2006
Page 2 of 3
EXHmIT "A"
Parcel No.
ALL THAT CERTAIN lot of ground situate in West Pennsboro Township, Cumberland
County, Pennsylvania, bounded and described as follows:
BEGINNING at a point in the center of the Public Road leading from the Governor Ritner
Highway to the Greason Road at line ofland now or formerly of J. Dale Jardine; thence by the
center of said Public road South 74-3/4 degrees West 100 feet to a point; thence through an iron
pin 20 feet from the center line of said Public Road along land now or formerly of Clarence H.
Line et ux, North 4-3/4 degrees West 250 feet to an iron pin; thence by same North 69-3/4 degrees
East 200 feet to an iron pin on the line of/and now or formerly of J. Dale Jardine; thence by same
and through an iron pin 25 feet from the center line of said Public road South 13-1/4 degrees West
300 feet to a point in the center line of said Public Road, the place of BEGINNING,
CONTAINING 0.88 acres, more or less.
THE above description is in accordance with a survey prepared by Earl D. Palm, Surveyor,
dated March 23,1963.
SUBJECT to the building and use restrictions of record in Deed recorded in Deed Book
"U," Vol. 20, page 1155.
UNDER AND SUBJECT to and together with the rights, privileges, agreements, rights-of-
way, easements, conditions, exceptions, restrictions and reservations as exist by virtue of prior
recorded instruments, deeds or conveyances.
AND WHEREAS, Jeri A. Pasco departed this life on the
day of
AND WHEREAS, Jeri A. Pasco owned said property as joint tenant with the right of
survivorship with Richard J. Pasco (aIkIa Richard 1. Pasco Sr.), Grantor, her interest, now
destroyed, is vested in fee in said Grantor.
For chain of title see Deed recorded in the aforesaid County in Deed Book K, Volume 33,
page 735.
This is a transfer from Grantor to himself and to his Revocable Living Trust and is not
therefore subject to transfer tax.
Page 3 of 3
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MEMBERS 1st
FEDERAL CREDIT lJNION
REGULAR SAVINGS ACCOUNT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
198326 -00
11/01/2000
$8,276.22
$4.36
$8,280.58
None
CHECKING ACCOUNT:
Account Number/Suffix
Date Account Established
I='rincipal Balance at Dale of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
1.98326 -11
08/02/2002
$5,171.84
$1.27
$5,173.11
None
Mr~BERS 1~ FEDERAL CREDIT UNION
AU;1t'a(d/~Z:'
Denise A. Wolfe
Insurance Servic ~ Supervisor
February 1, 2005
Estate of: RICHARD J. PASCO, SR.
Date of Death: 08/30/2004
Social Security Number: 167-24-0965
5000 Louise Drive. Po. Box 40 . Mechanicsburg, Pennsylvania 17055 . (717) 697-1161 . wwwmembers1st.org
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10-18-2005
PASCO
08-30-2004
21 04-0822
CUMBERLAND
101
APPEAL DATE: 12-17-2005
( See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
~~!_~~9~~_!~!~_~!~~______~___~~!~!~_~Q~~~_~Q~!!Q~_EQ~_YQ~~_~~~Q~~~__~____________________
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
RICHARD J FILE NO. 21 04-0822 ACN 101 DATE 10-18-2005
TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE
...
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~. ,,~~, ~r\ (\,-r,r.,- ,"\[
::-::1.1;>, > .) \NOTiI,tE :Of' INHERITANCE TAX
";:APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
10
~ t. ' ~'~~. ? 8.
;, .1-';. 1_
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
, ...;
...."
E RALPH GODFREY ESQ
SALZMANN HUGHES
95 ALEXANDER SPRG RD
CARLISLE PA 17013
ESTATE OF
PASCO
REV-1547 EX AFP (06-05)
RICHARD
J
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
1.469.00
.00
.00
13.454.00
.00
172,582.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
(10)
7,828.00
59.838.00
(11)
(12)
(13)
(14)
NOTE: I~ an assessment was issued previously, lines
re~lect ~igures that include the total o~ ALL
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15)
16. Amount of Line 14 taxable at Lineal/Class A rate (16)
17. Amount of Line 14 at Sibling rate (17)
18. Amount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TAX CREDITS:
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
187,505.00
67.666 00
119,839.00
.00
119,839.00
14, 15 and/or 16, 17, 18 and 19 will
returns assessed to date.
.00 X 00 =
119,839.00 X 045=
.00 X 12 =
.00 X 15 =
(19)=
.00
5,392.76
.00
.00
5,392.76
""'..",..r. l+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-30-2004 CD004680 157.89 3,000.00
08-08-2005 CD005665 .00 2,120.00
INTEREST IS CHARGED THROUGH 11-02-2005 TOTAL TAX CREDIT 5,277.89
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 114.87
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 22.78
TOTAL DUE 137.65
· IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. ,~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUI'\l-
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ~
~
REV-1470 EX (6-88)
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME
Richard J. Pasco, Sr.
FILE NUMBER
REVIEWED BY
ANITA MCCULLY
ACN
2104-0822
101
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
H 8(6)
#4
The deduction for real estate settlement costs is reduced from $4,316.00 to $1,316.00 as
escrow for inheritance tax is not an allowable administrative expense.
ROW
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BUREAU OF INDIVIDUAlPcm~,:-:r-"1 '~:r::;::I('\C
INHERITANCE TAX DIYISION'-'J>" ,.... ,..1 I ,)_.
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
REY-1607 EX AFP (03-05)
?V~ ,... G r:: ,.. : I Li
- !.:.
r. ,-L2 -' I 1 ,
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
11-28-2005
PASCO
08-30-2004
21 04-0822
CUMBERLAND
101
RICHARD
J
i'
E RALPH sttOFREY ESQ
SALZMANN"HUGHES
95 ALEXANDER SPRG RD
CARLISLE PA 17013
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS lINE
---------------------------------------------------------------------------
-+
RETAIN LOWER PORTION FOR YOUR RECORDS
+-
REV-1607 EX AFP (03-05)
*** INHERITANCE TAX STATEMENT OF ACCOUNT *-*
ESTATE OF PASCO RICHARD J FILE NO.21 04-0822 ACN 101 DATE 11-28-2005
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-18-2005
PRINCIPAL TAX DUE: 5,392.76
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-30-2004 CD004680 157.89 3,000.00
08-08-2005 CD005665 .00 2,120.00
10-31-2005 CD005947 22.75- 137.65
TOTAL TAX CREDIT 5,392.79
BALANCE OF TAX DUE .03CR
INTEREST AND PEN. .00
!Ii IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .03CR
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
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