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HomeMy WebLinkAbout06-24-13 ' � Z505byD143 . REV-��oo �{�.,,,�� . • PA D�partment of Revenue OFFICIAL USE ONLY pennsylvania cou�rr coa� Y�ar File Number • Bureau of Indiv�idual Taxes ����� � Po Box.zs�o� INHE�iITANCE 71�.X R�TURN �1 12 122 9 � Harriabur�, PA �7128-0601 RESIDENT DECEDENT ? EN'i'�R DECEDENT INFORMATIQN BELOW Social Security Number Date of Death Date of Birth 09 2s 2oiz x.s 29 l�ao E DecedenYs Last Name Suffix laec�dent's First Narne MI � 'JUDG� DOR4TY�Y � � ! (If Applicablsy Enter 3urvlvin�Spouse's�(nformation Below f ; Spouse's Last Name Su�x Spausa's First Name �� , 1 ' S�p�use's Svcial Socurity Number . THIS RETURN MUST BE F'IL�D (N DUPLtCATE WITH THE � REGISTER OF WILLS � FtLL IN APPROpR1ATE OVALS BELOW i' Q 1. Orfginal Rstum 2. Supplemerrfal Retum � Q 3� Arbr to d�r R�8?{Date of D�th � � Q. Limited Estate � 4g.Futur�Irnerest Comoromfae ' (daW of death after 12.�x-82) ❑ b• Fed�ral Estate Ta�c Return Required g, Decedent[}ierl7estate Meineined a Livi Trust . 0 (Attacn Copy af vVfu) ❑ �• Itt �opy o�Trust} � 8. 7atal Numbet of Safe Deposit Boxes � 8. Lftigation�Proceeds Receiv�d � 70.�����r�,��a��d paath �r� �1,�lectlon t�tax under Sec.9113(A) r {A#ach SchedulQ�} ; GORRESPONDENT.'1'HI8 3EG714N MUS7 B�COMPLE`f'ED.ALL CORItE3PONp�NCE AND C4NFipEM'IA�TAX lNF�RMATION SHQULD 8E DIR�C7ED T0: Name Daytime Telephone Number � SEA,N 1� SHULT� 717 2�3 fi2�2 ; i �..: � � � REC�TER OF�.LS��ILY I 3` � � � U i First i.ine of Address � � � � t,n � r 26 W AIGH STREET �'' � r-- � rn s � � Second Lin�of Address Z � � c� � [7 � Q T? 'r� �'""E � .�,- � j �"� � "�.i .���:, ---- � G ~`. `�^g Gity or Post Office DAT��Ii..ED�°�- � State �iP Code ��=S� PA 17013 > ° u' � � coRespondent�s e-mail address: dhockenbe�ry�a ssr-attorneys.com ; �txier penaitfes of pe�jury,I declare fhat I have examined thts retum,indudit�g ac:aomparrying�c�les and statements,and io tf�e besi of my knowledge and beli�, ' it is bue,correat and campl�te.declaration of pr�eparer aihsr than the personai represcnfative�s based on all informafion of whlch prepare�has arry knowledge. � SI� �PER N RESPONSI E��R F G RE7URN pA7E ' ° � Deidra L. Randles �3 Aooa�ss i 73 Trent Road �Ikton MD 2192�t 1 SI TURE QF P EPARER OTH Ti-tAN REPRE5ENTA'TN� DAl'E i Sean M.Shuitt � 2, /� 1 AQDRES& � E 26 W. High Street� C81�isley PA 17 ; 1 ' Side 1 1 � �, 1�50561�143 15Q56101�F3 � � � , i J 1505610243 ' REV-1500 EX DecedenYs Sociai Security Number Decedent'S Name: Judge� DOI'Othy A. - -------------- - ____ RECAPITULATION 1. Reai Estate(Schedule A)....................................................................................... 1. 2. Stocks and Bonds(Schedule B)............................................................................. 2. 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3. ` 4. Mortgages 8�Notes Receivable(Schedule D)........................................................ 4. ' 5. Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 213 , 3 98 . 02 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 1 , 6 7 4 . 2 2 7. Inter-Vivos Transfers&Miscellaneous I�q Probate Property ` (Schedule G) L_� Separate Billing Requested............ 7. 19, 715 . 90 ` 8. Total Gross Assets (total Lines 1 through 7)........................................................ 8. 2 3 4 , 7$8 . 14 � 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 16, 8 65 . 0 4 : 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................ 10. 2 4 , 3 0 4 . 9 7 11. Total Deductions(total Lines 9 and 10)................................................................ 11. 41.� 17� . �1 12. Net Value of Estate(Line 8 minus Line 11)....................................... � ................... �2. 19 3 , 618 . 13 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J)............................................... 13. ' 14. Net Value Subject to Tax(Line 12 minus Line 13)............................................... 14, 193 , 618 . 13 : -- - -- -- -----. ----- -- -_ ___----- -_ ___ __ --- _ _ _ ; TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable ' at the spousal tax rate,or transfers under Sec.9116 (a)(1.2)X.00 15. 0 . 0 0 16. Amount of Line 14 taxable 193 618 . 13 16. 8 7 at lineal rate X .045 � r 12 • 82 17. Amount of Line 14 taxable at sibling rate X.12 0 . 0 0 17. 0 . 0 0 18. Amount of Line 14 taxable ` at collateral rate X.15 0 . 0 0 18. 0 . 0 0 19. TAX DUE................................................................................................................ 19. 8 , 712 . 82 ' E 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. � Side 2 � 1505610243 1505610243 � � REV-1500 EX Page 3 File Number 21-12-1229 Decedent's Complete Address: DECEDENT'S NAME Judge, Dorothy A. STREET ADDRESS 1009 Jenkins Grove CITY ----—--- ° STATE ZI P Enola PA 17025 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 8,712.82 2. Credits/Payments A. Prior Payments 10,000.00 B. Discount 435.64 Total Credits(A +B) (2) 10,435.64 3. Interest (3) � _ _ _ _ _ } 4, If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4) 1,722.82 . ;, Check box on Page 2,Line 20 to request a refund r 5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. �5� h� , � � � Make Check Payable to REGISTER OF WILLS, AGENT. :g:+ < .,_;} 'y.__.:: :s -�� � ..: �F��'.�t^� ���w.� ��r��:'�.:����_�� `.;::.w.'��.., �;:x �, ..:s x a �;' .� - ,:F:i�,r .;':<.,�i.�`.,,�ke�'���.F,��a�...., �az�&x',�'S�6;'-.u�'':;�;,Yx.�a �� .�.a�,<. . ° - � . . � . �� 4T .r.�._,.�, ., ;kA�� x,..:e M.�.au.�..;.��Ya,J„f;,,.::,..�.., .,�. :;._,. . " ... ��� � •" �, , PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred:............................................................................... [� Lx� b. retain the right to designate who shall use the property transferred or its income:.................................. ❑ Ox ; c. retain a reversionary interest;or............................................................................................................... � 0 , d. receive the promise for life of either payments,benefits or care?............................................................ ❑ �x 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without ss receiving adequate consideration?.................................................................................................................... � � � 3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... ❑ �x ; 4. Did decedent own an individual retirement account,annuity,or other non-probate property which _ contains a beneficiary designation?...................... ............................ �x [__� ;_' ................................................................ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. �, . . > For dates of death on or after July 1, 1994 and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after January 1, 1995,the tax�ate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)]. The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an adoptive parent,or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedenYs lineal beneficiaries is 4.5 percent,except as noted in [72 P.S.§9116(a)(1)]. . The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)). A sibling is defined under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. � Rev-1508 EX+(11-10) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF REVENUE INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Jud e, Doroth A. 21-12-1229 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OFDEATH 1 Metropolitan Capital Management/Schwab Trust Account#67865632-See attached 199,463.94 Statement dated September 29,2012 2 Regions Bank Checking Account No.635046796-See attached Statement dated September 4,361.57 ' 28,2012 . € 3 Regions Bank Savings Account No.8142989441 -See attached Statement dated September 9,565.51 20,2012 through October 22,2012 s 4 US Treasury Refund 7.00 � z r � TOTAL(Also enter on Line 5, Recapitulation) 213,398.02 (If more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group,Inc. 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Beginning Balance $4,367.46 Annual Percentage Yie#d Earned This Periad t1.01% Deposits&Credits . $Q.QO + Interest This Period $0.11 Net lnterest Earned $0.11 + Avg Coil�cted Balance This Period $4,367.4G Withdrawals $0.00 - 2012 YTQ interest $0.61 Fees $0.00 - Auiomatic Transfers $0.00 + Ending Balance $4,361.57 „a,;. •,r�? •me.aer:•��r'e:� �'r-u, w». +v�..erra .x:•'.�7:. -*y. .s+�a°ae ! 'S:'"A�� A!. s'.:'iP. .l��K" K'� k� ��1r'r '.4 �."A.�`e .:h.. .�Y' '!'f�.'�C. �� 'i'�e4�:.• �"�..'�. 'v� �.''T ..Ye+ �.,e. F� .'� s�,. .A�.�...,f.�.. .;� '�' ..t;` .A A: C S ':Si.L.. s� 4. '� `a� .l:.' 7G��'. •F�C Mlt- e.� .Y 2,p �TVL�F�.O.Dt r. '�. ..'Niv��.F -'��. �' >� _a.. +c ,�+,.. :f.''. a;r 4�S�.3+Y v� .* �.''Ce-, 4 e.4. .� .s .t� e. A.1�� r. ..F'r.. �t.i',E .F. '+:: r.+s-� � �. 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', h x ,�' .z� ...,.,.. ....,.,....:r.;s.,.;t�,7�.............:. , _•'.�.,, s� .,�, ..,-. ., .. ��: , ., Y >i:, '�e�Z`c r.�.. `<. .,,..�. :......... .. ...:...�..,...,.... ..:�: ...,. �.. .K. x.:.. 'k�. , ...�..�] . .... :�.�(�./�f�..:�.'�r.<� ' .:�2>, � ,�e �� �x. .. i„ �.�.: < T:.:i.� / -.': •�"fi,i.C` � .P'.`:'� 'r�?".�... � ; .,:� �,,0✓����';����lt�.•Viw:������'■ '��.�A,rWP 7:+�� .�';;,,c:.cc r'`�6;..<r�;�.,r.�.�Yw��,�'� ��,�.. �� .. � . . .. , , ,.., . . . .�. .... . .. .. ....... . ., r > . Date Balance Date Balance Date Baiance 09/28 4,3&1.57 You may request account disclosures containirtg terms,fees,and rate information (if applicable) for your account by con#acting any Regions office. For all your b�n�Cing needs,please call i-800•REGiONS(734-4fi67). or visit us on the Int�rne#ai www.regions.com. Thank You For Banking With Regions! _ __ __ __ _ _..____. __ _ .. _.. _........ .._........._ __ __ _ _.. _ ,: � ,M�;:: F; Regions Bank Carr-nona ---- 6�6 Desoto E3h�d Hot Springs,AR 7i9D9 i���f��lli,��i����»i�y„�������ll�,��,��ii�li�h�li���ll�y���� ..�� oao�Q�3e o� MB o.aai fla� . ��� DOROTHY JUDGE � FUGENE M NESSION 73 TRENT RD ELKTON MD 21921-7570 1 ' � AccouN-r # �; ���-����� .:: ��� Cycle 11 Enclosures 0 Pa��. 1 0(2 50+ L.IFEGREEN CNECKING Saptember 20,2012 through Octvber 22,2012 ; ; . ,, : .; ., �: ���� ��. �� Beginning Balance $9,519.48 Minimum Balance $9,519 Ueposits&Credits $2,650.75 + Average Balance $9,805 Wiihdraw�ls $1.729.03 — F��s $0.00 — Automatic Transfers $OAO + Checks $O.OQ — Ending Balance $10,44i.20 -:� .. . • z;: . x � �� }� �;F�a, .� � x r . ; 'F . °;> ;:� , '.... , .'.°;`, � <`;L�����.��'�:�±������ � '� ,; s .... �.,:� t)�!28 Monarch Life ODP Credit Dorothy A Judg 46.03 1t�;03 US Treasury 303 Xxsoc Sec Dorothy A Judg 1,683.00 10117 Vale inco Americ Pn Pmts/Cp Judge 921.72 • Total Deposits&Credits $2,650.75 _ _, ,. _..._....:.,.. .. . v� _ , �, . .�:. ���.• �� �.� .<�: ��'v� �r v� � ....,�r�f ,� 4 .. • .�.. yp:••�z �f: C. "k,.cr >��,yxK...x�� ti :u. x F'x:�f r�4��� r :' ; >; F ni- �r r "F. .. .�,':.,.,r a �,�.. i�"S�'''�'.,r.� . . ����.... ..�^��!�,`r��` `,. ,, r3t r, � x, .., ., ,..��.r '` .a^ '�'� �� x , �� �� , . , � .. ,.. _ . ..... . ,. . . ,.:- ... ,.., -,- , x > , � ' 10�`n5 Regi�ns Bank Reciaims aorothy A Judg 1,683.ofl 1�/1 G �lonarci�Li4� ��v��•sal Gurothy�'�Ju�� __ 46.03 Total Withdrawals $1,7.?_9.03 Totai For This Total Cale�dar Statement Period Year-#o-Date Total C?v�rdr�ft Fees(m�y include waived fees) a.00 36.Q0 Total Returned(tem Fess ma include waived fees 0.0� �•4� ; , �, , ��..� � . - ; . : . <' , -�., .. :: . .. ... ..._ .. . . � v . . . . . .. . . . .. ... .. . .._ . _ . �.:;:.f,.���4��.�'•A� .� ���F���t�'�:�: � : � 1 � , Dat� Balance Date Balance Date Balance o912a �.565.5� 1 ofo5 s,5s5.51 t oI�7 �a,441.20 l 0iO3 11,248.51 10/10 9.519.48 __................... __ _ _ Rev-1508 EX+(01-10) pennsylvania SCHEDULE F DEPARTM�NT OF REVENUE JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Jud e, Doroth A. 21-12-1229 If an asset was made joint within one year of the decedenYs date of death,it must be repoRed on schedule G. ' SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT A. Deidra L. Randles 73 Trent Road Daughter Elkton, MD 21921 B. C. JOINTLY OWNED PROPERTY: DESCRIPTION OF PROPERTY %OF DATE OF DEATH LETTER DATE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT VALUE OF ITEM FOR JOINT MADE NUMBER OR SIMILAR IDENTIFYING NUMBER.ATTACH DEED FOR DATE OF DEATH DECD�S DECEDENT'S INTEREST NUMBER TENANT JOINT VALUE OF ASSE �NTEREST JOINTLY-HELD REAL ESTATE. 1 A 09/02/2004 Adirondack Trust Checking Account No. 52.36 50.000% 26.18 5342912 -See attached ledger dated 6/1/2012 through 12/1/2012 2 A 04/24/2006 Adirondack Trust Savings Account No. 457.65 50.000% 228.83 214059-See attached ledger dated 3/1/2012 through 1/1/2013 3 A 1992 Regions Bank Savings Account No. 2,838.41 50.000% 1,419.21 635046795-See attached Statement dated September 28,2012 TOTAL(Also enter on Line 6, Recapitulation) 1,674.22 (If more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group,Inc. 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NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Judge, Dorothy A. 21-12-1229 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH °�OF DECD�s EXCLUSION TAXABLE NUMBER THE DATE OF TR�ANSFERSATTACFi A CO Y OF T��HE DEIED F�REREAL EST TE. VALUE OF ASSET INTEREST (IF APPUCABLE) VALUE 1 Morgan Keegan IRA#76264001 -See attached 9,574.69 9,574.69 Statement dated October 1,2012 2 Morgan Keegan IRA#76264290-See attached 10,141.21 10,141.21 Statement dated September 30,2012 TOTAL(Also enter on Line 7, Recapitulation) 19,715.90 (If more space is needed,additional pages of the same size) ' Copyright(c)2009 form software only The Lackner Group,Inc. 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' � �� o@x� ��"� �?cco�?��`°..���.,�c �,� 3 0, o�.��� w m�g p O ta = y m -.+cz� -n�,�'i�'2 n v�µo �--�! � K v G� �Q � O, m C7 3 c0 •-., � -,u,7��m ��m -••w a;�; � �p r, �c �, �..O n ; ro �� g�m o. a m_ � m o •m o m�.�.p� m � Q-?m �C [s� ��b�� � � p� t3iv�i�p v�i�0 7-°��p° �����'��m.Q���mi5, � � �•�,com am ��Z41 .o � �o �°f�a� "3-°�m,c ?'::.o.», �`6' m � � mv � d� � � � �� �`n C U �� ��� �'��c�D � ��Q�3 v � � N � ~���� p� O n�� � i cJ� �m �-ymro �m o��,$�N�c�"'.Na3� my,�m�, �n .06��'30 �m yo- �rnnr�n mp �] { m ? romro � �im roo °t7_4� um, � � < � "•�'� °'c^nc7m�' � o ° m� � 07 -t'�y 'n' � cn �' �.��� sn S.'. 3 c�n `n `^ v'wco ai �,3 � �� �D � o � oroi�m m Vi � r d mD m3 � � � v o� y o� � co � a,�y� c.� cc, m�. � m o� pN�Z 20 ; � m oD O �:� p c� � O w� 3 0 � tl 3 a n �� ,�.� � ����.�t� � � m;-i C�° D ` a <o �n �: �c a � m a? �o �� < c c� ? c � m „c m z g n ...._. � ; =s m � � .fli m R, _ 4, � R, . ,,;<u�.c .,m �'.' ', v �1 .� °� t� u+ � ..%h �i < O ..... � = <.. m -+� '� u ��G (D t�'tA i :] C -� N n'�� < � �'N� tb y'O�41 CU� (D �'O m'7s QY :o �cn c � µ� � p �� .� 7'0 - � cn � s N v`°, �C7 S a n £ � �`c c�n � C y N�y N = ro N m a; � ,� � f a �� d ���.� _'� cn ro � �cn �_ � M 2 p� Q> ; � ro m � � �, y �� m�' �cim -.. o'� 3m c� ci ,� a, � � 2,� ,p ; �> ,D r� r� a tu iy� .n.. ro � c .p» '� � o C7- N ; �� v � � �a X ; a� � = o C'F, ; � � REV-1511 EX+(10-09) gCHEDULE H pennsylvania DEPARTMENTOFREVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Judge, Dorothy A. 21-12-1229 Decedent's debts must be reported on Schedule i. ITEM DESCRIPTION AMOUNT BER q, FUNERAL EXPENSES: See continuation schedule(s)attached 13,814.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zio Year(s)Commission Paid 2, Attornev's Fees Saidis, Sullivan & Rogers 2,500.00 3, Family Exemption: (If decedent's address is not the same as claimant's,attach explanation) Claimant Street Address City State Ziq Relationshiq of Claimant to Decedent 4. Probate Fees 120.50 5. AccountanYs Fees ` 6. Tax Return Preparer's Fees 7. Other Administrative Costs 430.54 See continuation schedule(s)attached TOTAL(Also enter on line 9, Recapitulation) 16,865.04 Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev. 10-09) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Judge, Dorothy A. 21-12-1229 ITEM NUMBER DESCRIPTION AMOUNT Funeral Ex e� nses 1 Funeral 13,814.00 H-A 13,814.00 Other Administrative Costs 2 Cumberland Law Journal-advertise letters 75.00 3 Executrix's trip to New York City to oversee and attend funeral -300 miles at 55.5 cents per 166.00 mile 4 The Sentinel -advertise letters 189.54 H-B7 430.54 J Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98) Rev-1512 EX+(�2-08) SCHEDULE 1 pennsylvania DEBTS OF DECEDENT, DEPARTMENT OF REVENUE INHERITANCETAXRETURN MORTGAGE LIABILITIES AND LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Judge, Dorothy A. 21-12-1229 ' Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Armesto 3.15 2 Camp Hill Emergency Physicians 5.67 3 Cont.Care 544.26 4 Diakon-May 14,2012 through May 31, 2012 4,935.00 5 Diakon-June 1,2012 through June 30,2012 9,182.00 6 Diakon-July 1,2012 through July 1, 2012 8,215.00 7 Dr.Guistwaite 75.00 8 Holtgate Podiatry 3.08 9 Management Fee-Capital Management(Fourth Quarter) 598.42 10 Management Fee-Capital Management(Third Quarter) 713.50 11 PA Dept of Revenue 13.27 12 PHCVI Cardiologists 1.62 13 Pinnacle Health Cardiology 2.52 14 Spirit Physicians 12.48 TOTAL(Also enter on Line 10, Recapitulation) 24,304.97 (If more space is needed,additional pages of the same size) Copyright(c)2008 form software only The Lackner Group,Inc. Form PA-1500 Schedule I(Rev. 12-08) REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Jud e, Doroth A. 21-12-1229 RELATIONSHIP TO NUMBER NAME AND ADDRESS OF DECEDENT SHARE OF ESTATE AMOUNT OF ESTATE PERSON(S)RECEIVING PROPERTY te (Words) ($$$) I TAXABLE DISTRIBUTIONS [include outright spousal • distributions,and transfers under Sec.9116 a 1.2 Deidra L. Randles Daughter 100 percent of 193,618.13 73 Trent Road residue per Elkton, MD 21921 terms of Trust (attached) Total 193,618.13 Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 1500 cover sheet,as a ro riate. NON-TAXABLE DISTRIBUTIONS: II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B.CHARITABI.E AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule J(Rev.01-10) LAST WILL AND TESTAMENT OF � DORt7THY A. JUDGE ; (POUR-OVER WILL) I, DORQTHY A. JUDGE, of the State of Arkansas, da her�by revoke all Wills and Codicils heretofore made by me and do make and declare thi� to be my Last Will and Testament, in the manner and form following: � FIRST FAM;�LY STATUS � I am single. There was one (1) child born ta me, namely DEIDRA ' L. RANDLES. There were no a�her children born to me, nor adapted b� me, nor do I have any children who predeceased me, leaving issue surviving. SECOND �..�MINIS�'RATION OF I�I�'._,�'j'ATE (a) o' n a P es tat'v ; I appoint EUGENE M. HESSI4N as Personal Representativ� af thi�, my Last Will and ; Testament. In the event he should be unable r�r unwilling to serve, ; I appoint the following, in the order named, to serve in his place ; e and stead: 1. DEIDRA L. RANDLES 2 . KEITH IAN BAITSELL ; (b) ���3ond Req.u�red: I direct that na bond car other security ` shall be required in any jurisdiction caf my said Personal Representative and Trustee for the faithful performance of their duties hereunder. � {G� W � 1 Repx�esen�at.�ve ta ,�..ct: Without restrictian c�f �Ghe powers vested in them by law, or elsewhere in �his Will, and subj�ct to ali othe�- provisions of this Will, my Personal Representative ar Trustee, with.caut the necessity of pracuring any Probate Court authQrization or approval, shall be authorized to exercise those fiduciary pawers which may be incorporated by reference in a Will or Trust and set for�h in Arkansas Code of 1987 Annotated §28-69-304 , as amended. t Page 1 of the Las� Will ancl Testament of DOR�THY A. JUDGE � 'I'HIRD �,���_. TA�'„�S AND EXPEN��S. (a) s s d E e �es: In my tr.u�� referred to hereinafter, I have directed the �ruste� to provic�e fc�x payment of all (a.) my legally enforceable debts, includinc� c3�Ut� r�wed by me to a trustee i.ndividually, �xcept debts wt�ich ar� �n e�ncumbrance on real property, (b) �.he expen�e� Qf my la ry� i1 1ne:�s and funeral, (c} the ac.�mini.s�.ratican expen��s pay�k,l� by rea�an Q� my death, (d) the e�ta.te and inheritance taxe� (includinc� a..nter�-a:��: and penaltie�, if any} payable a.n any jurisdiction by reasan of my death (incl�.zding tk��se tax�s and exp�nses p�,yable with r�.sp�ct �c� a�sets which do not pas� under �hat trust�} . � {b) ��r�o��,l Re���sentat '�v.e �`c� �?ay �eb�s� �'� �� an.c�,...,.�.x,��� .�. "' � • ' � s �' e �a ld F.�c�m �'?��.�_..�3..�°�..�_��.X�� .��:�. ������, Wi��t��t A;�,�o '�-.o��.g�) ; D��pi�e� the provisir�n� �� paragra�h (a) �af thi� Ar�.i.c�.e, my �er�anal r�presen�.a�i.��e sh��l l �a�T the amQUnt caf thase a�bts, expenses, and taxes �ef��rred to in paragraph (�) of this Article direc�ec� �.a be ��id k�y t-:he tru�tee but certified by the tru�tee as exc:eedinc� t.h� principal out c�f < which th� i�ru�tee is directec� to provz.de fr�r p�ym�nt. Any Cuch amouunt payable by my p�rsr�nal represen�ativ� becau�� of any �uch certi�icat�ion by the tru�te� shall k�e �aic� oti�t a� and charc�ee� � genera].ly against the prini��ipa.l of my resic:��xary �at�t�, wi�hout. r ���par.tiQnn�ent and witk�out seek�ng rei.mbur��ment, r�covery, o.r cantri_bution fram any �aersan. FOURTH GIFTS C7F' PERSONAL ARTICLES AND ��SC.�.��.�,.�QT._.1� �NSTRUCTI4N� I re�erve the right to enclase with this Will (or my photostatic copy �� thi.s Wi.11 , or my Trust) a wri.tten st�tement signed by m� and d�ted, d�signating hc�w cer�:ain item:� of r�y t�ng.�ble pe�sanal prc�p�rty shall be c�istributed and det�ilinc� my funeral and burial instructions. This provisi�n is made p�.irsuant to the authority grant�d under Arkansas CQde of 1��37 Ann�fiated §2�- 25-107 , as am�nded. FIFTH GIF'I' QF $A��C� 4,�' ES'�'�'� TQ TRU�,� (POUR-OVER PROVISI4N) All th+� rest, residu�:- and remainde.r c�f my es�ate of �ver_y kind and character, I give, c�ev a �e and bequeath ta the th�n GC7T"lS C.1�U�.E�C� Trustee of the DORQTF�Y A. JUDGE TRU�T da�ed th� 13th day of May, 2002 , as amended, to be held subject to the texms ancl conditions set forth �herein (or if said Trust is not in existence, to my Page 2 of �he Last Will and Testament o� DaRQTHY A. JUDGE � > Trustee, to �e administered pursuant to the terms �nd condition� of said Tru:�t Agreement as it exi�ts as of date of execution of tha� Will, whi�h terms and conditians are expressly incorpora�ed by referenc�) . f: IN TESTIMONY W�IEREC?F, I have hereunto set my hand and do hereby decl.are this to be my La�� Will and Testament, which I hav� signed in the presence af Sh�r,�i.l Ni�.c�losi and �F,��� �„ ����r , who, at my request, attest the same in my presence an �his 13th day of May, 2002 . � �' �r " • � ,�� , � ,� . .,, . � � ��,��`,�-a.,�' �: ,�. , . � .�. .�,�..�,_..,�;.�..�:.:_,.....__.. DQRO`�'HY A. �JU��� We, Sherrill NicQlos.i and Diane L. Eaker , do hereby certify ; that DQROTHY A, JUDGE, the Testatrix in �.he above and foregcazng Iaast W�..11 and Testamen�, �ubscrib�d the same in our pre�ence, at ` th� time declaring ta u� that said instrument was her I�ast Wil1 ��nd � Testament, and w� at her rec�uest, and in her presence, and in the pres�nce o�' each other, naw sign our names hc�r�t� as atte�t.inc� � wi�nesses. ' .r..- r � �:: � �¢ �Y ,° ; ' �' � ; > , : , j > A dress: 112 DeSa�.r� Center Dr. Address: 112 D�Sota Center Dr. Hot 5prings Village, AR Hot �priric�s Vill�ge, A� $ Page 3 and Final Page of the Last Will and Testament af DQROTHY A. JuncE �:'`C'l ii ttl��.juc<�t'1�t'tllttil�N-cftl� � STATE 4F ARKANSAS ) )SS COUNTY OF GART.,�iND ) �,�F�7�VIT I�T P$�QF 0�,,, WT.� BEFaRE ME, the undersigned au�hority, on thi� day �er�onally a�peared the wi�nes�es named h�reinbea.ow, anc� further, tr�e Testatrix, respectively, whc�se nam�s ar� �ubscribe� tc� the ��ne�:�ri Will in th�ir resp�ctive capac,i�.i�s, anc� all of th� :�aid p�r�;��:�t� k�eing by me duly swnrn, the s�ic� Testa�rix c�ec7.ared �c� me anci t�o the said witn�sses in my presence that saici instrument is Y�er L�.��t� Will and Tes�ament, and that� she had wi�.lingly made and execu��-�d i�: �s her �ree act and deed fcar the purposes therein expre���:d; anc� th� said witnesses, each on his or her c�a�h stated to m�, in �.he �res�nce and hearing of �he ��id Testatrix, and in the pre��nce of each other, that �.he s�id Testatrix h�d declarec� to th�m �ha� �aic� in�trument is h�r Last Will and T��tament, anc� tha�. �he �x�c�.<t�c� the �ame �s suc� and wanted each af them ta sign it as an a���ata_nc� witness; and upon their oaths each wi�nes� stated further �h�.t he or she did sign the s�mQ as witnesses in the pre��nc� of �.he :�<�ic� ! Test�trix anc� in �.he �resence of each a�.h�r at Y7er rec�ue��.; �h�� �he was �,t tha� t:i.me eight�en years uf ac�e or Uver, ancl wa� c�f sound mind; ana that �ach of s�id wi.tn�sse�s wa� then at- 1.e�;_:t �ic�hteen years ot� ac�e. �� , :,,� � i � �� ��°'" �. i3C'�RC�THY A,,% JUI�E, t, e�t�fi-r�_x C-. ...,,,..,,._. ,;' �, ,•• , � _ ` � � � �° _ � r ; : . �.. _.� : itness witn�ss Address: 112 DeSoto Center Dr. Ad��ress: 112" D�Soto C�nter Ur. Hot Springs Vill�ge, AR H�t Sp�-ings Village, �R Subscribed and acknowl�dged k�efc�re me by thP said na�o�r��Y A. JUDGE, Testatrix, and subscribed and sworn to before me by the s�ic�. Sh�rrill Nic4l�si �p� Diane L,. Baker 13th d�� of Ma 4 , witn�s�es, thi� Y y, �02 . X � � ,�+ �-`/',� ;.,'` ., =�'� � �,.+"�r'"r � 4 �.r'r :. J•��.�����y`��'�.., ° NOT�R� ''PU B I.,I C My Commission Expires: c:',LI I�Cfl[ti'�U�'�'C'.ilL�.}ll'I`,5�T�!-dlb � ..,. „���<:,�-...-.,�..�,_,.e�.. # ��t�,�i'�l���l...i..�� � f , -`..°'�4F T"����V .��.. $��..R . 1....w�;I��i 7 ' ���4 h yf:-::: .�'...L.w.�+L'ti..i L.,.,, ; �� �+fi�I!s i �(�„i�� i.........w..�,...w_... .��J .;: w.,w�� � � • t tn Test�mony whArt�t,t hereu�v r• r� ' aet my hsnd�nd thf�� �f oaid G�1��� .�; � - , �� � , rn�s '�d r zccr� � �� �, � � ,1%L� [ r.� c;,�-.;c� �� � �� DOROTHY A. J�jDGE TR�S' t rianQ Ccnsmjt This• Agreement made this 13th day of May, 2002 by and between DOROTHY A,. JUDGE af the State of Arkansas {hereinafter in certain E instancea i�dentified herein as the "Grantor") and DOROTHY A. JUDGE and �UGENE M. HESSION (hereinafter called "Co-Trustees") . � . W I T N E S S E T H: WHEREAS, I desire to provide for and create a Revocable Trust ` during my lifetime to manage and conserve my assets; and � � WHEREAS, I desire to provide for management of my asse�s in = the event of my disability, and further, to provid�for an::�ar �`� � . � �Y t transfer of my assets Zn the event of my death, sc�a� to �nin�i�e � the inconvenience to my family; �, ?? `.-; 4? c.-� � T't'1 � C^� ==-' �-�> =`-� i NOW, THEREFORE, the parties agree as follows�'"' � ��7 � r� �`� { � �,� � ,:� c;� ,� . �,, �..,. � ARTICLE ONE �� c:� �-� � °�a "�� TRUST _ESTATE AND ADDITIONS THERETO� � �''r -�' :: -�� .;��. ,..� ; . ° ,�` �""' �,� �,�'i � This Trust shall be known as the DoROTHY .:�. JUDC-� T��U�T. � Concurrent with execution of this Trust, I have transf�f'red Ten Dollars ($10. 00) to the Trustee, receipt which is hereby ; acknowledged by the Trustee, by my execution hereof. This property, ; together with any other property that may later become subject to this Trust, shall ,constitute the Trust Estate, and shall be held, 3 administexed and distributed by the Trustee as provided herein. I shall have the right at any time to add to this Trust oth�r � property. ; E � ARTTCLE TWO ` ' TRUSTEE � � A. ,�,' ia� Co-Trustees: The Co-Trustees of this Trust shall be AOROTHY A. JUDGE and EUGENE M. HESSION. In the event of the � death, resignation or incompetency of either Co-Trustee so he or � she cannot serve as Co-Trustee, then the other Co-Trustee named herein shall serve aa Sole Trustee. t B. Alternate Succe�sor Trustee: In the event that neither ; DOROTHY A. JUDGE nor EUGENE M. HESSION shall be able or willing to serve as Trustee, then in that event DEIDRA L. RANDLES shall serve ` as Alternate Successor Trustee. In the event none of said nominees shall be able or willing to serve, �hen KEITH IAN BAITSELL shall serve as Trustee. C. A�po�r}tment of Alternate Successor Trustee: In the even� of the death or disability of DOROTHY A. JUDGE, then DEZDRA L. RANDLES shall be authorized, from time to time, to appoiizt an } Alternate Trustee of her choice, as she shall deem to be in the ; best interest of the Trust. � � � ,- . �� t , �..�:,' , . x �'j + ARTICLE THREE �IENDMENT AND REVQCATION I shall have the right at any time to amend any of the provisions of this Trust Agreement, or of any Amendment thereto, by an agreement in writing executed by me and delivered to the Trustee, and to revoke this Trust in whole or in part by an instrument in writing executed by me and delivered to the Trustee. In the event I revoke this Trust in whole or in part, the Trustee shall redeliver to me, such assets as I direct. z ARTICLE FOUR LTVING �US�; DISTRIBUTION OF PRINCIPAL AND INCOME A. Distributions to DOROTHY A. JUDGE: The Trustee shall pay : to me, or for my benefit, so much or all of the net income (and so - much of the principal) of the Trust as I direct, from time to time. B. �ight of Withdrawal: I may, at any time and from time to time during the existence of said Trust, withdraw the entire or any � specified portion of the principal and accumulated income. � C. �,y I�com�e�encv: In the event of my incompetency or disability, the Trustee shall be authorized to continue to pay to, or expend for my benefit, such amounts of income and principal as ° the Trustee, in its sole discretion, shall deem appropriate to provide for my health, maintenance and support, in accordance with � my standard of living. ARTICLE FTVE f DIVISION OF TRUST ESTAT� UPON MY DEATH � � Upon my death, the Trustee shall pay over and distribute the remaining trust assets as follows: A. Debts�. Estate Taxes and Expenses (To Be Paid From the Residuary.��e Estate, Without Ap�ortionment) : The Trustee shall first pay all of my reasonable funeral expense, last illness expense, administration expense, and such other debts as the Trustee shall deem reasonable. Further, the Trustee shall pay all of my federal or state estate or inheritance taxes, which shall be � deemed to be paid from the residuary of my trust estate, without apportionment. ' . B. D�,.,vision of Balance o� Trust Amonc�Beneficiaries: All the rest, residue and remainder of trust assets shall be paid over and distributed as follows: 1. ��us� for Euc�ene M� Hessio�: In the event EUGENE M. HESSI4N shall survive DOROTHY A. JUDGE, then the Trust�ee shall set aside the sum of Fifty Thousand ; Dollars ($50,000) , in Trust, for EUGENE M. HESSI�N, 2 � i � t � . ., � � in accordance with the provisions set forth � hereinafter. � 2 . Residence: In the event EUGENE M. HESSION shall = survive DOROTHY A. JUDGE, then the residence shall ; be set aside for EUGENE M. HESSION, in accordance with the provisions set forth hereinafter. 3 . �istribution of Bal�nce of Trust: Al1 the rest, residue and remainder of Trust assets, following distributions made hereinabove, shall be paid over and distributed in fee simple and free of Trust unto my daughter, DEIDRA L. RANDLES. 4 � 4 . Prior ��a�h of Beneficiar�: In the event DEIDRA L. � RANDLES shall predecease me, then to her son, KEITH IAN BAITSELL, per stirpes. t t C. �istribution of Trust i� No Descendants Survive: If at ; � the time of my death, or at any time prior to fa.nal distribution hereunder, all of my descendants are deceased and no other � disposition of the property is directed by this Trust, then in that � event; the then remalning property of the Trust shall be paid over � and distributed as follows: � � 1. BRUCE B. RANDLES 4 ARTICLE SIX �ONTINUI�TION OF TRUST FOR EUGENE M. �iESSION � Upon the death of DOROTHY A. JUDGE, and in the event EUGENE M. � HESSION should survive, this Trust shall continue, subject to the f following provisions: . � A. Trustge: EUGENE M. HESSION shall serve as Trustee of this share of Trust. In the event he shall be unable or unwilling to � serve, then DEIDRA L. R.ANDLES shall serve as Trustee of this share ` of Trust. In the event neither of said nominees shall be able or { willing to serve then KEITH IAN BAITSELL shall serve as Trustee of this share of Trust. t t B. Use of Residence: The Trustee shall permit EUGENE M. HESSION, to reside in said residence, free of rent, for the shorter of �the remainder of his life, or until such time as he shall be � permanently unable to reside in said residence, as certified by his physician. C. �ayment of Expens��: During his period of occupancy, the sum set aside hereinabove ($50,000) shall be held in Trust and the income and principal therefrom shall be used as follows: 3 h � � , 1. The Trustee shall pay from said funds all the c real property taxes, insurance, repairs, maintenance b and upkeep related to the residence. � �; 2. The Trustee shall pay from said funds any mortgage t payments on said residence. ; s D. Term;�nation of Continuing Trust: This share of Trust shall terminate upon the earlier of the following: 1. The death of EUGENE M. HESSION; or � 2. In the event of the complete and total disabil.ity � } of EUGENE M. HESSION, such that he requires permanent institutional care, as certified by his � physician, such that he shall be unable to continue ; to reside in the residence, which is the subject of � . the terms of this continuing Trust. E. ���ribution U�on Termina�io�: Upon termination of this share of Trust, all of the then remaining assets shall be paid over and distributed in fee simple and free o� Trust unto DEIDRA L. RANDZES, or if she shall be deceased, to KEITH IAN BAITSELL, on a per stirpes basis. � _ In the event none of my descendants shall survive, then in the manner set forth hereinabove if none of my descendants shall , survive. ARTICLE SEVEN � CONTINUATION FOR GRANDCHILDREN 4R OTHER BENEFICIARIES UNDER AGE TWENTY--FIVE F` } If any grandchild (or other beneficiary herein) is entitled to distributions who shall not have attained the age of twenty--fa.ve (25) , then the share of such beneficiary sha11 be retained in trust ` subject to the following terms and conditions: � A. Trustee: DEIDRA L. RANDLES shall serve as Trustee of each share of this Trust. In the event DEIDR.A L. RANDLES shall be � unable or unwilling to serve, then KEITH IAN BAITSELL shall serve as Trustee of each share of this Trust. If neither DEIDRA L. $ RANDLES nor KEITH IAN BAITSELL shall be able or willing to serve, then BRUCE B. RANDLES shall serve as Trustee of each share if this Trust. � B. �_�'on In�o Se�arate Trust Shares: The Trustee shall create a separate trust share for each said beneficiary and transfer into said separate trust share the respective distribution that each beneficiary is to receive under the terms hereof. C. D�st�ibutions: So long as a share of this Trust is held 4 � , . , . ' , in trust for the benefit of said beneficiary, the Trustee, in its sole discretion, shall distribute to or for the benefit of such beneficiary, so much of the trust income and princ�pal, from said beneficiary's respective share of this Trust, as shall be necessary to prov�de for any of the following: 1. The health: education, maintenance and support of such beneficiary. F 2. To rovide ade ' ' ' � � p quate financial assistance to assist said beneficiary in obtaining a college, vocational and/or post-graduate education (taking into account 4' other resources reasonably available to provide for ; such educational assistance� . D. �ight of Beneficiary to Withdra� Princi��F o�, �rust s Ubon Attaining Certain Age: The share of said respective beneficiaries hereunder shall be retained in trust and distributed to him or her in fee simple and free of trust when he or she � F attains the age of twenty-five (25) . In the event of the death of the beneficiary prior to the distribution of said beneficiary�s remaining share hereunder, • said beneficiary's then remaining share shall be paid over and distributed as follows: 1. If said beneficiary shall have any descendants, to ` � his or her descendants on a per stirpes basis. 2 . If said beneficiary shall have no descendants, to ; his or her brothers and sisters on a per stirpes ° basis. � 3. If none of said beneficiaries survive, to my ; descendants on a per stirpes basis. � ARTICLE EIGHT FOWERS AND TRUST ADMINISTRATIQ,�I _ A. �ale of Trust A�se��,: The Trustee is authorized to sell any property, real or personal, constituting a part of this Trust, at such terms and conditions, as the Trustee deems best. B. Power� a�.l,d Trust A min�str�tion: The provisions of : Exhibit "1" attached hereto and made a part hereof shall govern the administration of all Trusts established under this instrument; and shall be deemed to be incorporated herein as a part of this document, for all purposes. ARTICLE NINE GUIDES TO CONSTRUCT.�ON . A. �m�osition of.�y Immed�ate, Fami�v: As of the signing of this instrument: 5 # � , . . 1. My only child is: e DEIDRA L. RANDLES � f IN WITNESS WHEREOF, the Grantor and Initial Co-Trustees have signed, sealed and acknowledged this agreement. � � ,.. � � � � . � DOROTHY A�/ UDG• , Gr tor � and Initi 1 Co rustee � . , � ; � � � EUG E M. HESSION, Initial Co-Trustee ` � F STATE �F ARKANSAS ) ; ) � COUNTY OF GARLAND ) ; f On this day personally appeared before the undersigned, a � Notary Public within and for the County and State aforesaid, duly qualified, commissioned and acting, DOROTHY A. JUDGE and EUGENE M. ' HESSION, to me well known as the Grantor and Initial Co-Trustees who signed the foregoing instrument and stated that they had executed the same for the consideration and purposes therein � mentioned and set forth. � � WITNESS my hand and seal as such Notary Public on this 13th � day of May, 2002. -� � � .. f Z OTARY PUBLIC My Commission Expires: , F �I �yp1�F��j�, �.��' •��p w`�:.•' o�A�y ,� cTn: ��'� :� G�„�• �'liPr�-�`� :'� �•� , '� . � c:�Clients\judgeltrust.herlSBN-dlb �� ,�.s f 6 ' ; . „ . � ` � f ; STANDARD � f ADMINISTRATIVE G PROVtSIONS: {` � F i € 2 6 . i EXHIBITS TQ THE � D4ROTHY A. JUDGE TRUST � r � � z � � � �. (This section of your Trus� includes standard administrative provisions that our Law Firm recommends be included in ail Trusts.) e . . , ; EXHIBIT "1" �4 THE DOROTHY �. JUDGF TF�UST � � � T. 4 1 � �ENE.�A_L PO'�n��RS AND TRUST ADMI�STRATION # The provisions of this exhibit are incorporated by reference for all purposes to the primary portion of the above-referenced trust. Reference herein shall include not only the initial trust established by this Trust Agreement, but also separate trusts that are to be established by the provisions of the Trust Agreemen� from = time to time. f } A. i 'ta 'on o 't o the C ' s A ai s st � �S endt����t �.ause�.: The interest of each beneficiary in the � � income or principal o� any trust created under this instrument, �hall be free from the control or interference of any creditor of � a beneficiary or of any spouse of a married beneficiary and shall � not be subject to the claims or creditors of any beneficiary, or to � judgment, levy, execution, attachment, bankruptcy proceedings, or � other legal or equitable process, or susceptible to anticipation o� alienation, and each beneficiary shall be without th�� power, E voluntarily or involuntarily, to sell, mortgage, pledge, or hypothecate any interest in or the income from such trust. Nothing � contained in this seGtion shall be construed, however, as � restricting in any way the exercise of any power of appointment ' granted hereunder, ox the right of the surviving spouse to the income from any trust qualifying for the marital deduction. E � B. Trust No� to C��tinue �o�g�� Than Maximum Duratio� � Allowed Under Law: Each trust maintained under this instrument shall terminate, if not previously terrninated under other provisions of this instrument, 21 years from the date of death of the last to die of my spouse and such of my descendants as are living at the date of my death. Al1 remaining trust property of a trust terminated under this item shall be distributed to the i beneficiary of such trust. � � C. Factors For Tr��tee's �o,ns ideration � Ma �a � ' s r ' ' ibu s t r n ' o O � f �eneficiaries: Among the circumstances and factors to be considered by the Truste� in determining whether to make 4 discretionary distributions of net income or principal to a ; beneficiary, shall include (but not necessarily be limited to� the � � following: 1. Qt�,er In�ome an Assets: Other income and assets � F known to the Trustee to be available to that 4 beneficiary, including funds which might be made available by enforcement of the legal obligation of any person to furnfsh support or education, and the advisability of supplementing such income or assets. 4 t f � . � � e i tl 2 . M�turi.�y. Good Citize�s�..i�.. and Disci��ine in �cademic �,tudies: The character and habits of the = beneficiary, the diligence, progress, and aptitude of the beneficiary in acquiring an education and the ability of the beneficiary to handle money usefully and prudently and to assume the responsibilities of adult life and self-support. 3. �tanc�ard of Living: Such beneficiary's accustomed standard of living. 4. ��ucatic�n: As used throughout this instrument, the � term "education" includes, but is not limited to, # private schooling at �he elementary and secondary � &: school level, college, graduate and professional : education, and specialized or vocational training. � � Notwithstanding the foregoing, no Trustee hereunder shall be required to inquire intv and ascertain the ; income and assets available to a beneficiary from ` sources outside the Trustee's control and knowledge. � . D. ta e s To 'd Fr es ' a r ' ` Withou� Apbor��.onment) : The Trustee shall have the power to pay � any of my estate expenses Trustee deems appropriate, including but � not limited to, expenses of the last illness and burial, the � expenses of administration, or estate tax or other tax expense. � r The preceding items shall be paid from the residuary portion of the ` Trust, without apportionment. However, expenses and claims, and j � all esta�.e, inheritance, and death taxes assessed with regard to property passing outside of my revocable living trust or outside of = my probate estate, but included in my gross estate for federal ; estate tax purposes, shall be chargeable against the persons � receiving such property. � � E . . , c . . , . a : . ` Distribu�e�s: If any person to whom a fractional or complete distribution of remaining trust property is required to be made out ` of the Trust is under legal disability or is, in the judgment of the Trustee, incapacitated, the Trustee may utilize one or both of � �he following options, unless otherwise directed in this instrument: . ` l. Distribution of all or any part of such remaining trust property to the legal guardian of such person or to a custodian authorized to receive it for such person under the Arkansas Personal Custodian Law or � the Arkansas Transfer to Minors Law or any similar statute of any state, the receipt of any such € person shall fully discharge the Trustee from any ` further liability in connection with such ` � 2 a � • . distribution. For the purpose of making such f distributions the Trustee may designate a custodian to receive the property, if such custodian has not � previously been appointed. 2 . Retention of all or any part of such remaining ' � rust property as a separate trust for such person until, in the judgment of the Trustee, distribution F can be made to such person directly. The Trustee � may pay to or apply for such person such amounts of the net income and principal as it considers ` appropriate, and, at the death of such person, all � remaining trust property shall be distributed to ` his estate. � � F• �r�ici�ation in eci ions �te.,,� �inc„� to DiscrPtionarv ; D?sti"?bt?±-i n��; No individual (other than me) who i s a Trustee may � P participate in determining whether or to what extent, to make discretionary distributions of income or principal (l) to or for such individual for any purpose other than for such individual 's ' health, education, maintenance or .support, or (2) to or for any � beneficiary for the purpose of discharging a legal obligation, including a support obligation, of such individual . With regard to any trust herein, that is not a general � power of appointment trust share, no Trustee who is a beneficiary ' of any trust created herein that is not a general power of ' appointment trust, or who is obligated to support a beneficiary of any trust created hereunder, shall ever participate in, with � respect, to all trusts created hereunder, (i) the exercise of } discretion to allocate receipts or expenses between pr�incipal and ` income, (ii) the exercise of any power to amend or affect ' � beneficiaries � powers of withdrawal over additions, or (iii) the � exercise of any general power of appointment described under Sections 2041 or 2514 of the Internal Revenue Code of 1986, as � amended. The determination of the remaining Trustee or Trustees " � s all be final and binding upon the beneficiaries of such trust. � G. �tatus of Gitts from Trust: During my lifetime, he or she shall be the only permissible beneficiary of this Trust. Should any transfer of trust, property be. made directly from the Trust to any other person while I am living, as a gift by me to . said donee, such transfer, sha].1 be deemed first to have been made � to me, and then to the donee. H• e ' ati Tr i e m'c e; ? . The Trustee may terminate any trust maintained under this ' instrument if in the Trustee's sole discretion the trust has become uneconomical to,manage by reason of its small size. In the event of early termination, all remaining property of the trust terminated under this item shall be distributed to the beneficiary of such trust, or in the alternative, to an appropriate custodian f 3 � � , . and/or guardian for the benefit of such beneficiary (if such beneficiary is a minor or otherwise incapacitated) . I. �eneral Powers: Wi�hout restriction of the powers vested in the Trustee by law, or elsewhere in this Trust, the Trustees, without the necessity of obtaining any Court authorization, shall � be authorized to exercise those fiduciary powers which may be � incorporated by reference in a Trust as set forth in Arkansas Code � of 1987 Annotated, Section 28-69-304, as amended. These provisions are hereby incorporated herein by reference and made a part hereof. � � , II. � ACCOI�TNTS � A. Agcountin� by ��diyidual Trustees: Following my death or * � disability, any Successor Individual Trustee shall cause a � qualified Certified Public Accountant, on an annual basis, to � prepare a written account of the administration of each trust maintained under this instrument, in the manner set forth # hereinafter, in the manner that would otherwise be prepared by a ` Corporate Trustee, and cause this written account to be circulated ; in the manner set forth hereinafter. � � � � B. ,��ountina of CQrporate Trustees: At least annually, any 4 Corporate Trustee hereunder shall (1) prepare a written account of � the administration of each Trust maintained under this instrument � (a) detailing all receipts, credits, disbursements and charges which occurred during the period covered by such account and (b) � containing a statement listing the current assets of each such } Trust, and (2) mail or deliver a copy of such account to each � person who is a beneficiary of the Trust to which such account f � pertains, and to each person who is an immediate remainder � beneficiary of the Trust (or, if any such current or remainder �' beneficiary was under legal disability during such period, to such 4 beneficiary's legal guardian or parent(s) ) . i III. BDMI�TISTRA IVE P�ZOVISIONS REGA �ING TRUSTEE � � A. �rocedure to Replace Trustee Who Is Inc�,pacitated: If I or other individual Trustee shall be serving as Trustee for any Trust created hereunder, � and said Trustee shall become � incapacitated, the Successor Z'rustee shall immediately succeed to � the position of Trustee, upon receipt of a notarized statement from � the incapacitated Trustee's principal treating physician, verifying ; such incapacity. ("Incapacitated" being defined, for these i purposes, as the inability to properly tend to business affairs due � to physical or mental disability resulting from illness, in�ury, ' advanced age or other cause. ) Any person dealing with said � Successor Trustee shall be authorized to rely upon said physician's statement without further inquiry. If I, who was originally serving as Trustee, shall regain my capacity, then upon receipt of 4 � ; o � � a notarized. statement from my principal treating physician, r verifying that I had regained my capacity, as defined hereinabove, then I shall be entitled to be reinstated as Trustee, in the place of the Successor Trustee. B. Resi�nat�.on or Ref�sal to Ac�e�t��b„oir� ent: Any � Trustee may resign as Trustee of any trust established under this ° instrument by mailinq or delivering 30 days' written notice to (1) E each person who is a beneficiary of such trust or, if any such f person is under legal disability, such person's legal guardian vr ' parent(s) , and (2) each remaining Trustee. C. ��m��t�on of Liab'�lity of Trustee: So long as I am z serving as Trustee, I shall have sole decision rnaking authority w�ith respect to the trust estate and no liability shall be incurred by the Successor Trustee for decisions made by me while I am � serving as Trustee. Furthermore, no Successor Trustee shall be � liable for, nor have any obligation ta examine actions or accounts ` of any predecessor Trustee or Personal Representative. Further, _ any Trustee serving herein, shall not be responsible for any � mistake in judgment or for any decrease in the value of or loss of � the Trust estate, or for any cause whatever, except the Trustee's � own bad faith, willful misconduct ar gross negligence (except that � any corporate trustee shal�l be governed by the nox�mal standard of � care for corporate trustees) . D. ��g�.,c��se of Powgrs and Discretions: All powers and = discret,ions conferred by this instrument on the Trustee shall be � continuing and may be exercised without approval of any court, and ; the Trustee may not be compelled to exercise, or refrain from # exercising, any of such powers and discretions in any particular manner. � The Trustee shall make no compensating adjustmen�s between � incame and principal or between or among any trusts under this � instrument and/or any d.istributee of any such trust by reason of � its exercise of, or failure to exercise, any of such powers and � discretions in any particular manner. E. 8�pointm�n�o� Anc,i,��y Trustee,� (,�'or Administr�tion of O � - ea P o e ere State a r des the ' s 'n Trustee Fr�m Serving as Trustee�,: If at any time any of the Trust Estate shall consist in whole or in part of assets located in a jurisdiction in which a particular Trustee is not au�horized or � qualified to act, the remaining qualified Trustees shall act alone in regard to such assets (subject to any prohibitions on such Trustee's powers as contained in this Trust Agreement} . ; Alternatively, the Trustees may appoint an ancillary Trustee (again � subjec� to any restrictions) in the jurisdiction in which they are . � not authorized or qualified to act. This Trustee may confer upon that ancillary Trustee the necessary rights, powers, discretions and duties to act solely with respect to those assets as the Trustees may deem necessary or expedient. The ancillary Trustee Y' shall be answerable to the Trustees for all monies, assets and 5 e ' � C i other f properties which may be received by the ancillary Trustee in connection with the administration of those properties. � � F. �'_rustee's Compensation; The Trustee shall receive and � retain from said trust estate for services rendered hereunder, � reasonable compensation; and any Corporate Trustee shall receive � reasonable compensation in accordance with its schedule of � � compensation established from time to time by its Board of f Directors for the administration of trusts of a character similar � � to this Trust, and said Trustee shall retain from said estate all actual and necessary expenses including attorney's fees � accountant s and such other professional or expert counsel fees ` r incurred by it in its operation and management of my property. ' X IV• � C C �A• ��erchanaeability of Cert��n Words: Unless the context F otherwise requires, all words used in the singular include the 4 plural, all words used in the plural include the singular, and � words used in any gender include all genders. � � E B. Modif�ed Meaninq of Certain Terms: References to living � persons include those who are in gestation and later born alive. $ A1l pronouns used to refer to the Trustee, and that term itself, ` includes any person or corporation from time to time acting alone ` or jointly with one or more persons or corporations. The term � "available trust property�� includes all property then properly in � the possession of, or subject to collection by, the Trustee. ; C. � ea inct of Terms maken from Tntr�rna l � . , , , Revenue Cod : The = terms which follow in this item, wherever used in this instrument, ; have the same meaning as in the Internal Revenue Code �(and $ � applicable Treasury Regulations) as amended from time to time: � Alternate Valuation, Credit for State Death Taxes, Direct Skip, E Taxable Termination, Taxable Distribution, Non-Skip Person, Skip � Person, Generation-Skipping Transfer Tax, Gross Estate, Marital ` Deduction, Qualified Real Property, , Qualified Terminable Interest � r Property, Qualified Use, Qualifying Income Interest for Life, � Speci�ic Portion, Unified Credit. � D. Def�nitions: For purposes of this instrument: 1. �'Beneficiary�� means a person to or for whom payments of income of a given trust are currently ' permitted or required. � � � 2. "Incapacitated" means unable properly to attend to � business affairs due to physical or mental ' disability resulting from illness, injury, advanced , age or other cause. Any person dealing with this ' Trust shall be authorized to conclusively rely upon ' � 6 t E s . o t . a notarized statement from a medical physician who is the principal treating physician of the person who is incapacitated, of the incapacity of said person, whether it be me or any beneficiary hereunder and any said third person shall have no further duty of inquiry. 3 • "Remaining trust property" means all� remaining principal and accrued income and any undistributed or accumulated income in the possession o� the Trustee. � E. �istr'butions to Desc;Pndant�; Any property directed to be given or distributed to the descendants of any erson shal divided into a number of e p 1 be share with res ect to �al shares sufficient to create one such oldest p each then-living descendant occupying the generation in which there is at least one then--llving person and one such share with respect to each deceased descendant who occupied the sarne generation and who is then survived b one or more descendants. Each share so created with respect �to a then-living descendant shall be given or distributed to su descendant, and each other share so created shall be given or distributed to the descendants of the deceased descendant ' respect to whom such other share was crea�ed in the manner setWOUt in this item. �� Ft� �dopted Persons: The words "child'�, ��descendant" and issue include any person born or legally adopted before or aft the signing of this instrument, er Art �• �41 pC �v} Dui} �� iii54L-I.lII1PnT; The titles precedin the icles and Items do not constitute g have been included only as a convenien art of this instrument and t mode of reference. H. �overninq Law: The validity, construction and effect af � this instrument, the adrninistration of all trusts established under this instrument, and the rights and obligations of all beneficiaries and the Trustee shall be governed by Arkansas law. V. �UP?T FMENTAL POWFRS �F TRTTCm�F The Trustee is authorized in its absolute discretion with respect to, any property, real or personal, at any time held under and provision of this Trust and without authorization by any Court . in addition to any other rights,, powers, . authority and privileges granted by any other provlsion of this Trust or b statute or general rules of law: y A. Trust Assets: To retain in the form received an property or undivided interests in property donated to, or otherwise acquired as a part of the Trust Estate includ ' , ing 7 ' S ' e residential property and shares of the Trustee' s own st regardless of any lack of diversification, risk or non� productivity, as long as it deems advisable, and to exchan e a such security ,or property for other securities or properties and to retain such items received in exchange, althou h said represents a large percentage of the total property of the�Trust Estate or even the entirety thereof. � B. Sa e: To sell or dispose of or grant options to urchase any property, real or personal, constitutin a p Estate, for cash or upon credit, to exchan e a part of the Trust Trust Estate for other ro ert g nY property of the P p y, at such times and upon such terms and conditions as it may deem best, and no person dealin with it shall be bound to see to the application of any monies paid. C. Stock Sale�: To sell or exercise stock subscription or conversion rights. D. Vot�.nc� R�,q.hts: To refrain from voting or to vote shares of stock owned by the Trust Estate at shareholders ' meetin s ' person or by special, limited or eneral g ln exercise all the ri hts � g proxy and in general to g , powers and privileges of an owner in respect to any securities constituting a part of the Trust Estate. E. Borrowing Pow��: To borrow money and to encumber mortgage or pledge any asset of the Trust Estate for a term within or extending beyond the term of the Trust, in connection with the exercise of any power vested in the Trustee. F. Leases: To enter for any purpose into a lease as lessor or lessee with or without option to purchase or renew for a term within or extending beyond the term of the trust. G, rm�rovemen�s: To make ordinary or extraordinary repairs or alterations in buildings or other structures, to demolish an improvements, to raze existing or erect new part walls or buildings, y H• �et i ents: To, compromise, adjust, arbitrate, sue on or defend, abandon, or otherwise deal with and settle claims in favor of or against the Trust Estate as the Trustee .shall deem best, I. �'ax B sis: To make payment. in cash or in kind, or artl in cash and partly in kind upon any division or distribution of t y Trust Estate (including the satisfactions of any pecuniare distribution) without regard to the income tax basis of any specific property allocated to any beneficiary and to value y appraise any asset and to distribute such asset in kind at its appraised value. J. Trustee�s A�thoritv to Hi P ConGU� ants: The trustee shall have the authority to appoint an investment manager or 8 . . • ' managers to manage all or any part of the assets of the trust, and to delegate to said investment manager the discretionary power to acquire and dispose of assets of the trust. The trustee may charge the compensation and expenses of such attorneys, accountants, investment managers, specialists and other agents against the trust. The trustee may employ one or more agents to perform any act of administration (discretionary or otherwise) , including attorneys, accountants and inves�ment managers, as the trustee deems necessary or advisable. The trustee may charge the compensation and related expenses of such attorneys, accountants, investment managers, specialists and other agents against the trust. The trustee may employ persons, including attorneys, auditors, investment managers and agents, to perform any act of administration, discretionary or otherwise. The trustee may charge the compensa�ion and related expenses of such attorneys, accountants, investment managers, specialists and other agents against the trust. K. eneral Powers: In general, to exercise all powers in the management of the Trust Estate which any individual could exercise in his own right, upon such terms and conditions as it may deem best, and to do all acts which it may deem necessary or proper to carry out the purposes of this Trust. L. �nvest and $ei�vest: To invest and reinvest from time to time in any kind of property, real or personal, without adherence to any statute or law requiring diversifa.cation or otherwise regulating investments by fiduciaries. M. rokerage and arg,� �aunts: To establish security or � margin accounts, with brokerage firms, to pledge stocks and securities as collateral for margin account loans and other loans, and to borrow money and to encumber, mortgage or pledge any asset of the Trust Estate for a term within or extending beyond the term of the Trust, in connection with exercising power vested in the Trustee. N. Truste�'s Authoritv to D.�sc aim: Following the death or incapacity of the Grantor, the Trustee of any Trus�. created hereunder, to which any property or interest therein devolves, by whatever means, may at their sole discretian, disclaim it in who�e or in part by deli�rering a written disclaimer as provided under Ark. Code Ann. §8-2-101. The disclaimer may be of a fractional share or any limited interest, estate, beneficiary proceeds or survivorship rights. VI. ADJUSTMENTS FOR J�INT�,Y HELD PROPERTY AND/OR LQANS 0�2 �I�'TS F0� FA��L,�t 9 f � , ; O • The provisions of this exhibit shall, govern the adjustments for jointly held property and/or loans or gifts for family after my death, as follows: A. ��iustment for Jo'r�t-iy Held Pro�p�: Notwithstanding anything to .the contrary hereinabove, the Trustee shall make the following ad�ustments in said distributions in order to adjust for assets passing to any of said beneficiaries named hereinabove, by reason of their receipt of survivorship assets. Such adjustments shall be as follows: 1• It is my intent that the beneficiaries of this Trust receive equal shares (or if the Trust shall provide for other than equal shares, .proportionate shares in accordance with the provisions of the Trust) of my total estate, inclusive of both assets passing under the terms of this Trust, and assets passing to said beneficiaries by reason of survivorship rights, autside the terms of this Trust. 2 . The Trustee is directed to determine the total amount of distributions payable under the terms of this Trust, and the total amount of assets as received by the trust beneficiaries as a result of survivorship assets passing to said beneficiaries outside the terms of this Trust. , . 3 . The Trustee is directed to increase or decrease the amounts of distribution payable under the terms of this Trust, to the respective beneficiaries hereof, so as to as nearly as possible equalize (or ad 'ust on a proportionate basis for une � , qual gifts, if,the Trust should so provide) the total gifts received by the beneficiaries herein, taking into account the , distributions from this Trust, and further, taking into account both property passing to said beneficiaries outside the terms of this Trust, by reason of survivorship rights a.n various survivorship assets or otherwise. 4. For purposes of con:truing this provision, it is my �.ntent that the term "survivorship assets" include survivorship rights arising from joint tenancies, s accounts payable on death, survivorship beneficiary designations, life insurance, individual retirement account or other pension right designations, and any other survivorship rights that involve assets passing outside my probatable estate, or outside the terms of this Trust by reason of my prior designation of survivorship rights. 10 - ..es�.��- . D n � 7 J 5• Any such adjustments shall be done in conjunctian with the distributions from my spouse�s Trust, so as to avoid duplications of adjustments. B. ��iustments for LoanG �nc�„[�r Gifts for Farni �v; I hereby acknowledge that I have made, or anticipate that I �will make certain loans and/or gifts to one or more of my children (or grandchildren) during my� lifetime. A record of these loans and/or gifts is enclosed with my estate planning documents, together with the rate of interest, if any, to which these loans and/or gifts are ` subject (it being my intent that if a record, vr other evidence is � not so included, that any gifts shall not be subject to adaustment herein) , I direct that at the time of distribution of my estate to my beneficiaries, that all amounts of such loans andjor gifts, together with accrued interest, if any, be forgiven, but that such amounts be deducted from the share to which such persons would be entitled. In calculating the amount to be distributed, the Trustee shall distribute according to the follawing formula, to-wit: 1. Total value of all assets to be distributed � (excluding loans andjor gifts to my beneficiaries) . 2 . Add the total amount of all loans and/or gifts, together with accrued interest, if any, to all of my beneficiaries. 3. Divide the total of Line 1 and Line 2 by the to�al number of my children receiving shares herein. 4. Reduce the amount computed in Line 3 by the amount of the loans and/or gifts, together with accrued interest, if any, ta each beneficiary, and the sum remaining shall be the amount to be distributed to the respective beneficiary. I direct that the Trustee make these adjustments thraugh assets passing pursuant to this Trust. 5. It is my intent that each of my chil.dren (or in the event of the death of any of my children, that . share to which the descendants of said child would otherwise be entitled) be as equal as possible r F inclusive of assef.s received 'under this Trust and/or from other sources of my estate, and inclusive of loans and/or gifts. All provisions of ` , this Trust are to be construed accordingly, unless a contrary intent is set forth in other provisions vf this Trust. 6. Any loans and/or gifts to my grandchildren as noted in the manner set forth hereinabove shall be deemed � to b� subject to adjustment, as a part of the 11 f i a ' ' � � ; respective parent's share as provided herein, ` unless a contrary intez�t is otherwise noted. ' 7. Any such adjustments shall be done in conjunction with the distribution� from rny spouse's Trust, so as to avoid duplications of adjustments. tErm o� E�=s=T� i c:�clientsljudgelexhb.herlSBN-dlb 12