HomeMy WebLinkAbout11-14-13 (2) � 150561�105
REV-1500 Ex�oz_�s,��, .
enns lvarria OFFICIAL USE ONLY
� PA Department of Revenue P Y County Code Year File Number
Bureau of IndividualTaxes �P'�FTN:9TUFRPrYUE
INHERITANCE TAX RETURN ______. __ _
Po BoX Zs�o� 6�
Harrisbur PA i 1z8-o6o1 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMODYYYY Date of Birth MMDDYYYY
_.........._._........_..........................................._................................................._......, ,...................................................................._..................................., ;..._..........._...._........_........................................__...._....._._..............,
07/08/2012 04/21/1912
___ __ _. __ __: _ _ . _.__ __ _ __ _ __:
Decedent's Last Name Suffix DecedenYs First Name MI
Pochatko Edna D
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
,. . ..
Spouse's Social Security Number ,
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
. _ _ __ _ _
REGISTER OF WILLS
� FILL IN APPROPRIATE OVALS BELOW
y � 1.Original Retum O 2.Supplemental Retum O 3. Remainder Retum(Date of Death
E Prior to 12-13-82)
;
� Q 4.Limited Estate O 4a.Future Interest Compromise(date of p 5. Federal Estate Tax Retum Required
,
r death after 12-12-82)
� � 6.Decedent Died Testate O 7.Decedent Maintained a Living Trust � 8. Total Number of Safe Deposit Boxes
' (Attach Copy of Will) (Attach Copy of Tn�st.)
a �
z O 9.l.itigation proceeds Received O 10.Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A)
i Between 12-31-91 and 1-1-95) (Attach Schedule O)
� CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
• Name Daytime Telephone Number
_.....�
w. RI . .
� _
_..... ......._
: Shaun E O'Toole (717)f�5 0389 ° � �
- ___ _�*i._
;
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..............................
7 R SAIZ OF WIL SE YCC�
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� First Lme of Address � 2 � ,.L � Q 5
:.:.................:.................................................................................................................................................................................................................................................................................................................
220 Pine Street � � `
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d c� � � -�*� „`�
� Second Line of Address _ _ _ __; � C "'� $ � '
,__ . _ _
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�i .........................................................................................................................................................................................................................................................: � DATE FIL� V�
City or Post Office State ZIP Code
_._..... . .._.._ _..._..... _ _... _.... ....... ....
Harrisburg ' PA 17101
� Correspondent's e-mail address:sotoole a�otoolelawoffice.com
� __—
Under penalties of perjury,l declare that I have examined this retum,inGuding accompanying schedules ancf statements,and to the best of my knowledge and beliei,
it i ,carrect and complete.Declaration of preparer other than the personal representative is based on all infoRnation of which preparer has any k�owledge.
I RE OF P �tES IB OR FI NG RETURN DATE
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� � � —' Z e!
ADDRESS
.� 12309 01d Sfillhouse Road, Boston,Virginia 22713
�� SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
'��
, -
� ADDRESS
�{ PLEASE USE ORIGINAL FORM ONLY
1
,
;�
� Side 1
,� �
� � 1505610105 1505610105
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_ � 1505610205
REV 1500 EX(FI) DecedenYs Social Security Number
.......................................................................................................................................:.:
DecedenYs Name: POCF18tIC0, Edna D. : 180-10-1738
= RECAPITULATION
.....................................................................:
1. Rea1 Estate(Schedule A). ............................................ 1. .... ....... �..��w..� ._�,..... ........ _ .,...�_.�. ��.��
2. Stocks and Bonds(Schedule B) ....................................... 2. �,..,..._........�.�....N.�.....��.,_.�.....�w.�.._.�..w�_...�.�...r�....��.w.w.��.����.
3. Closeiy Held Corporation,Partnership or Sole-Proprietorship(Schedule C) ..... 3.
4. Mortgages and Notes Receivabie(Schedute D)........................... 4
� 5. Cash,Bank Deposits and Misceilaneous Personal Property(Schedule E)....... 5. .. ,.y .............:.......�....�........,..w_.,,.,,......H...,...w....,.w,..,......
� ,.:... .
� 6. Jointly Owned Property{Schedule F) O Separate Biiling Requested ....... 6 102,45Q 00
.._.. .. .. . .. ...... ...,..�. ...... . .. M ..
� 7. Inter-Vivos 7ransfers 8�Miscellaneous Non-Probate Property
; (Schedule G) O Separate Billing Requested........ 7 ;
' ............. 8.; 102,450.00 ;
; 8. Total Gross Assets(total Lines 1 through 7)................
:
� 9. Funeral Expenses and Administrative Costs(Schedule H)................... 9. ' 30,473.83 ;
. ........m_...._x..�.�...�...r..._._.�,......._..M��.,........_�...__�.��,.�.�...._...,�,..�..�.
i ;
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............... 10. ; 20,409.27 '
. M�,.__m�...�...................��....�M....,�.....�....,..�.._....µm....��.�.�,..�,..�..�...,.
� �
: 11. Total Deductions(total Lines 9 and 10)................................. 11. 50,883.10 ;
-
� . ......... . ......:. _........ ,.,......_ ......w,._.......�.._.�...w._.�..
• 12. Net Value of Estate(Line 8 minus Line 11).............................. 12. 51,566.90
_ ,..,.,�.,,..�.........:......:..�....:..:.,..,....�..,....:...,.,.�,.�.�..w,.,.._.:.��..w....,,.�..�..�._.......�,.�.�..,,..,.�_�.,.�._.�,��,<
= 13. Charitable and Govemmental Bequests/Sec 9113 Trusts for which
� an election to tax has not been made(Schedule J) ........................ 13. : 0.00 :
� _..,..�., ........w ...,.;n.. .,..w,.�.�,�.. .��..,M...�...��.,�.,�,�
� 14. Net Value Subject to Tax(Line 12 minus Line 13) ........................ 14. 51,566.90
- TAX CALCULATION-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.0- 15. '
_ ..,... .: ..:..:.. ........ ....... ..r.., .:..... .... .. . ... ....�.... ,.. .,. .
= 16. Amount of Line 14 taxable
: 51,566.90 �s. 2,320.51 ,
- at iineal rate X.0 45
� .,....,....v__ �. ......._ . .�_... ..w .�,....� .....,...��.... ......._, ..... ..... ......�.,_ ..... ....._.vr_�..�..� .. .,v.._.,.
: 17. Amount of Line 14 taxable
_ `
� at sibling rate X.12 17.
.
; ..�_�__._...�..�.�_��.............�_...,.�..__..�.� ..._ �.��..� .....� ._w...,_.�.� ..��_....,...����.._.x.�.._�.....�.h.....M..�.�.....,....M���.M��.���.._.,_..�w...._�
; 18. Amounf of Line 14 taxable
= at collateral rate X.15 ' 18.
� ,... ........� _ ....�..............�.........._.. .__..�, ,. �.�_....
_..... _...
� .
�
� 19. TAX DUE....................... .. ........................... 19.:........ ...........................
2,320 5
�
� 20: FILL IN THE OVAL IF YOU ARE RE�IUESTING A REFUND OF AN OVERPAYMENT O
:
:
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_ $IC1@ 2
� 1505610205 1505610205 ,J
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REV-1500 EX(FI) Page,3 File Number
Decedent's Complete Address:
DECEDENTS NAME
Edna D. Pochatko
STREET ADDRESS
1002 Crystal Creek Circle
CITY STATE ZIP
Mecl�anicsburg PA 47050
Tax Payments and Credits:
L Tax Due(Page 2,Line 19) (1) 2,320.51
2. Credifs/Payments
A.Prior Payments
B.Discount
- Total Credits(A+B) (2)
- 3. Interest
_ (3) 42.05
4. If Line 2 is greater than Line 1+Line 3,enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2,Line 20 to request a refund. (4}
- 5. If Line 1+Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5} 2,362.56
Make check payabie to: REGISTER OF WILLS,AGENT.
�' • . ....... ... .... . .�. .,ti..�..:".,..., y,..� . .. .. �j...� ... 'N.
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.......................................................................................... � �
= b. reiain the right to designate who shall use the property transferred or its income ............................................ ❑ �
- c. retain a reversionary interest.............................................................................................................................. � �
�
d receive the promise for life of either payments,benefits or care?...................................................................... � �
_ 2. If death occuRed after Dec.12,1982,did decedent transfer properry within one year of death
- without receiving adequate consideration?.............................................................................................................. � �
= 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?.............. ❑ �
= 4. Did decedent own an individual retirement account,annuity or other non-probate property,which
containsa beneflciary designation? ........................................................................................................................ ❑ �
� IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
- For dates of death on or after Jufy 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)J.
" For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
- (72 P.S.§9116(a)(1.t)(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 retum are still applicable even if the surviving spouse is the only beneficiary.
= Foc dates of death on or after July 1,2000:
_ • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an
_ adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)].
= . The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)].
_ • The tax rate imposed on the net vafue 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.
�
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REV-i5og EX+(oi-io)
� pennsylvania SCHEpVLE F
DEPARTMENT OF REVENUE �pINTLY-OWNED PROPERTY �
INHERITANCE TAX REft1RN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Pochatko,Edna D. 21-12-1087
If an asset became jointly owned within one year of the decedent's date of death,it must be reported on 5chedule G.
SURVIVING)OINT TENANT(S)NAME(S) ADDRESS RELATIONSHIP TO DECEDENT
_ __ _. _
A•Daniel T.McMahon 12309 Oid Stiilhouse Road Son-in-law
'Boston,Virginia 22713
B., _ _ _ ;
. _ _ _
C. _
__ __
�
,
)OINTLY OWNED PROPERTY:
1 � pq� DESCRIPTION OF PROPERT`f %oF �ATE OF DE�`TH
ITEM FOR]OINT MADE INCLUDE NAME OF fINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENT'S VALUE OF
! WUMgER T�NANT. ]OINT IDENTIFYING NUMBER.ATTACN DEED FOR JOINTLY HELD REAL ESTATE. VALUE�ASSET INTEREST DECEDENT'S INTEREST
__ ,
1. A• pg/24/$0 'Residence:1002 Crystal Creek Circle,Mechanicsburg,PA 17050 204,900.00 ' 1/2 102,450.00 i
' V ;, ;(Settlement Sheet attached) ;' '
� ' _ �
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; _ _ - _ ,
, _ . .'.
I _ _
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� _ _ -_ : , . . ;
� . _ _ __ : ..: �
TOTAL(Also enter on Line 6,Recapitulation) $ 102,450.00:
� If more space is needed,use additional sheets of paper of the same size.
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h a EotalY�1W moMh�►�m��o�d of i1�318.55.ThN hdudss
p�t�dpel,Intereef,any mortpaqe hxxar�ae and enY Rems d�edced bebw
� ProPerlY tazes [k] ►�or"eo�s insuranoe
� Flood inwranoe ❑
a �
Nots: If you hws snY 4���m8
t�haryes and Loen Terms kted on tt�torm.Piesse ao�b�Y��
HUD-1
page 3 0(3 (BENDER.1002.PFDIBENDER.1002158)
HUD-1 Attachment
Borrvwe�(a):John R.Bende and Jacqueline F.
Sell�(s): Daniel T.I�AcMa►hon
Bender �pp2 Crystal C�eek
21 Woodside e Mechank:sburg,PA 17050 '
t�lton,PA 1784
Daniei 7 McMahon,Executor
I.,�nd�r.MORTGAGE N ORK,INC.
3�m�nt/�p�n�PURITY ABST CT COMPANY
(717)T37-8359
Plau d�tlem�n�Century 21 Re Servk:es
3315 Market St Camp Hill,PA
g�td�m�nt Daba:October 12.20 2
prop�rty lrowtlon:1002 Ctystal C k C�de
Mec��anicsburg PA 17050
Hampden Twp,Cumbe�land Co.
Bonrower Losn PaYon Details
�E�sE to ANIEL T.McMAHON .
Loan Payoff As of
Total Additfonal Intereat
days� Per Diem
Total Losn Payoff 8T5.00
Seller Loan PaYoff Da�ails
Payott Flrst IiAorty��p to EMBERS 1ST FCU
loan Payoff 4 ,918.54 As of 10117l12 4.450000 Per Diem
Total Additicnal Interest days�
Total L.osn Payoff �918.54
ARljusbed O�ipinakion Charge Is
Ori�natlon Charp� 895.00
ORIGINATION CHARGE
to MORTGAGE NETWO K,INC. Tctal i 895.00
o�t�nac�on cnatUCnaree(pa )fa the speciflc interost rate chosen
Tatal i-
Adj�t�d O�igination Charg�s i 895.00
i
�Is�pat�nNMs to th�Unit�d Stabs on thb or a�Y sM�lartortn.P�nelti�s upon ew�vfetton esn
VMRNqIt�N Is a c�to kiwwl��h► 16 U.s.Cod��o^1001 end�aNa+1010.
Inalud��AM ad N�'Fo� Is sw:TItN
(BENDER.1002.PF W BEP�DER.1002/56)
, HUD-1 Attactwnerrt- CoM��ued
Reserv�s D�poalted�Lend
219.00
Homeov�rners Insurence 348.30
4.000 at 54.75 month
COUNTYITOW 9S�a�a 0 month 727.05
SCHOOL TAXES -338.86
5.000 atl 45.41 month
AGGREGATE ADJUSTMEN'T month
at
Total i 955.49
Title Services and Lenders Titl Insurance Details
BORROWER SELLER
75.00
CPL Fee
to FlRST AMERICAN TIT E INSURANCE CO. 50.00
Emafl Doaiment Retrbve�
to PURITY ABSTRIICT �� 30.00
Notary Fee
to Notary Clerk 17.00
Ovemight FeelPacka9e
to PURITY ABSTRAC'T C M�� 1,751.00
ENH SALE
Lende�'s title insurence
to FIRST AN�RICAN TIT E INS.CO. s 1,823.00 i 0.00
Total ______ -
BORROWER SELLER
Owners Title Inwrsnce
18.50
Owner's Pol�y Premium
to FIRST AMERICAN TI LE iNS.CO. ; �g,g0 i 0.00
Total _____--
BORROWER SELI.ER
Lender's Title Insuronce ���,���s
�s a�ao snawn aeow tn TitN� �d�•nd.n
1,551.00
LendePs Policy Premwm
to FIRST AN�R�CAN TIT E INS.CO. 200.00
Lander's Endorsement Charges Endorsement Charge
Endorsement 200.00
ENHANCED PO��CY ENDORS N�N'TS s ��T51.00 s 0.00
Total
tNs�sfata�^u to th�Unit�d Stabs a�thls or arn►slmilar
fom�.P�naltles uPo�convictlon ean
yWtNMlpc It Is�o�to knowinpy� Ns�:Tltl�16 U.S.Cod��1001 s�d�et�on 1010.
Inotud�a An�and b�rb�• 1002158)
(BENDER.1002.PFDIBENDER•
REV-1511 Ex+(08-13)
� enns lvania SCHEDULE H
pPAR-rMEN,oFREVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF PILE NUMBER
Pochatko, Edna D. 21-12-1087
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. �UNERAL EXPENSES;_ _ ,
�. .__ _ __ 8,935.00
Myers-Buhrig Funeral Home,Mechanicsburg,PA ..
B, ADMINISTRATIVE COSTS:
1, Personal Representative Commissionr.
Name(s)of Personal Representative(s)
Street Address
: City State ZIP
Year(s)Commission Paid:---------------------------�----------
7,500.00 ''
2.. Attorney Fees:
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.)
Claiment
Street Address __ — ---
���-- --------- - -- — State_ ZIP---
Relationship of Claimant to Decedent _
75.50 '
4. Probate Fees: .
5. Accountant Fees: _
b. Tax Return Preparer Fees:
__ . 5,909.50 '
- �� Century 21 Realty Services-sales commission(1/2)
_ _ ,
. 1,024 50
8. Cumberland County-realty transfer tax(1/2) _
9. County and Township property taxes(112 . 204 03
_ _ _ _ _ _ .
._ _ : __ _ , 338 90
�o. AHS-Mome warrenty(1/2)
_ < 752 50
11.'� Enviroquest-radon and water treatment(112) ! . : : -
. . _
_ , . .
_
_ 5,733.90 '
�2. From Attached ,
� TOTAL(Also enter on Line 9, Recapitulation) $ 30,473 83
_ If more space is needed,use additional sheets of paper of the same size.
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATION COSTS
ESTATE QF: Pochatko,Edna D. FILE NUMBER: 21-12-1087
Item :
Number DESCRIPTION AMOIJNT
12. Notary Fee(1/2) $ 5.00
13. Purity Abstract Co.—posta.ge&tax certificate fee (1/2) $ 11.00
14. Jonathan Zeppa Contractor—electrical repairs(1/2) $ 417.50
15. Christopher McDermott—Repairs to house (1/2) $ 3 74.24
16. Seller's Assistance at closing(1/2) $ 4,926.16
TOTAL(Enter on Line 12 of Schedule H)
$ 5,733.90
;
;
REV-1512 EX+(12-12)
: ennsYlvania SCHEDULE I
aPARTME OF REVENUE DEBTS OF DECEDENT,
INHERTfANCE TAX RETURN MORTGAGE LIABILITIES 8�LIENS
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF
Pochatko, Edna D. 21-12-1087
Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses.
VALUE AT DATE
ITEM DESCRIPTION OF DEATH
NUMBER __ ,; ,
__ __
1• Member's 1st Federal Credit Union:Mortgage$40,918.54(Decedent obligated for one-halfl 20,409 27
_ __
� ' ___ _
� '
. , _ ,
� __ __: _ _ _ _
= 20,409 27
- 70TAL(Also enter on Line 10,Recapitulation) $
i If more space is needed,insert additional sheets of the same size.
.
:
REV-1513 EX+(01-10)
pennsylvania SCH EDU LE �
OEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER:
ESTATE OF:
21-12-1087
Pochatko,Edna D.
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(5)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
i TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under
Sec.9116(a)(1.2).] , _, ;,
�. McMahan Family Revocable Trust,12309 Old Stillhouse Rd.,Boston,VA Trust for Grandson 100%
� .
� _ _ __
_
__ .
■' EN?ER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
!
= II NON TAXABLE DISTRIBUTIONS
= A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICN AN ELECTION TO TAX IS NOT TAKEN: :
- _ _
. __
_ 1
_.
� _ _ _ ,: . ,
� _ _
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1. : _
= TOTAL OF PART II—ENTER TOTAL NON TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ .
— If more space is needed,use additional sheets of paper of the same size.
�
_
.
��
LAST WILL AND TESTAMENT OF
EDNA D. POCHATRO
I, Edna D. Pochatko, of Cumberland County, Pennsylvania,
being of sound and disposing mind, memory and understanding and
considering the uncertainty of life, do therefore make, publish and
declare this to be my Last Will and Testament, hereby revoking and
making null and void any and a11 Wills and Testaments or writings
in the nature thereof by me at any time heretofore made.
FIRST: I direct the payment out of my estate of the expenses
of my last illness if any, my funeral expenses, and my just debts,
the same to be paid out of my estate by my Executor hereinafter
named, as soon as conveniently may be after my demise.
BECOND: I give, devise and bequeath all of the rest, residue
and remainder of my estate and property, real, personal or mixed,
of whatsoever nature and character and wheresoever situate, of
which I may die seized or possessed, or to which I am in any way
entitled at the time of my death, or over which I have any power of
testamentary disposition unto my daughter, Katherine A. McMahon, if
she survives me by thirty (30) days.
THIRD: In the event my daughter, Katherine A. McMahon,
predeceases me or does not survive me by thirty (30) days, I give,
devise and bequeath all the rest, residue and remainder of my
estate to the Trustee of that certain Trust Agreement established
on October 30, 1990, by my said daughter and her husband, Daniel T.
McMahon, with both being Settlor and Trustee, and with Berna Louise
Colestock as Successor Trustee, regarding my grandson, Shawn P.
1
�F. -� f '
/�c t �1� ���
�•
� . �
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McMahon, for the uses and purposes and under the terms and
conditions as therein set forth, if that Trust is .in existence at
� the time of my death; and if that Trust is not in existence at the
time of �y death, then I give, devise and bequeath all the rest,
residue and remainder of my estate unto my son-in-law, Daniel T.
McMahon.
FOIIRTH: I nominate, constitute and appoint my daughter,
Katherine A. McMahon, to be the Executor of this �y Last Will and
Testament. In the event she should predecease me, or is unwilling
or unable to serve as Executor for any reason, I nominate,
constitute and appoint my son-in-law, Daniel T. McMahon, as
Executor.
FIFTB: I direct and request that any fiduciary under this my
Last Will and Testament, shall not be required to enter bond or
security of any nature whatsoever in any jurisdiction in which such
fiduciary may act.
IN WITNE88 WBEREOF, I have hereunto set my name and af f ixed my
seal to this my Last Will and Testament which consists of three (3)
is � �� da of � ��"�- , 1990.
payes th y
,� -, ,
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, ' : }•��,��,,!�-�,�+� (SEAL)
`�.
����!�Y.�. ,�_ `. �
Edna D. Pochatko
s.s.# ll�� .�. « �" t�,� �
2
, � ,
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SIGNED, sealed, published and declared by the above-named
Testator as and for the said Testator's Last Will and Testament in
the presence of us who have hereunto subscribed our names at the
Testator's request as witnesses thereto, in the presence of the
said Testator and of each other. �
��
�
C
�
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�
�
3
�
,
. TRUST AGREEMENT
THIS AGREEMENT UF' TRUST �s made an �atober 30, 199�, by and
between, Daniel T. McMahon and Katherine A. McMahan, of Cumberland
County, Pennsylvania, hereinafter. r�ferred ta as "Settlor", and
Dani�l T. McMahan �nd Katherine A. M�MshOt't, of Cumberland Cau�stp,
Pennsy3.vania, herefnafter referred to as �Trustee�f, and 8erna
. Laufse Colestack, currently of 300 GZenn Road, Cam� Hill,
Cux►berl�►nd County, Pennsylvanf a, hereina�ter various ly referred to
as "Suc+cessor Trustee" or "Trustee�, whv, in consid�ration of the
�►utual agreements h�ereina��tex cantained, and intending to be
IagaZly bound h�reby, do hereby agree as fc�llaws, to wit:
WHEREAS, Settlor ha� or i� abo�t to e�stablish a Flexible
Premium Annuity with Equitalale Li�e of Iawa on behalf of this
Trust, �ahich firust shall be an absolute disc�etiozZary Trust and not
� trust far t,l�e pri�aary suppor� of any persan;
NQWi THEREFpRE, Trustee shall hold, ad�ainia�er and distribute
the safc3 Annuity, tageth�r with any other �roperty, real or
personal, that may be added to the t�rust {�aid Annuity and
additions beir►g herein$fter. called principal} , IN TRUST, as
folxows:
�IRST: A. For the duration of the li�e of Settlar's
chf ld, Shaw�t P. MeMahon � the Tsustes ma�r pay or apply far said
child's bene�'it, such amounts fxam th+e n�t income and principal of
t�is trust as the T�rus�ee in the exercise of the Trustee�s absolute
discretion deems advisable for the we�.fare of said chiZd. In
making such dfstributians to or for the benefi� af said �hild, �h�
. _ , ,
, . , , , ,
'
, ,
,
Trustse shall take into co��aid�ratian all oth�ar re�ources available
to said child, including any b�nefite to which �y child is, ar may
ber entitled through pub�.ic assistance, med�.caZ assistan�e, or
fro�n any other gcvernmental or vther xesources. My Tru�te� may
hold a�d retain any or all of the income and principal � of this
trust �s the Trustee, fn the exercise of the Trus�ee's a}�solute
discretion, shall de�an advisable for the uses and pur�aoses her�ain
set forth. •
,.
B. In exercisfng the discretionary pnwers herein
can�erred on the Trustee, the firu$tae► shall be guided by tbe
following st�ttem�nt of Settlor's purgoses and intentians. It is
s+�ttloz's �xpectatian that the trust ineon�e and principal wil]. not
be mad� available to �roviae �rimary sup�ort far Settlor�s sai�
child. Th�refore, t�e Trustee �.� direct�d �o inves�igate other
source� Qf suppart availab�e to Se�tlor's saicl cl�ild and ta take
� whntever steps necessary to enroll said chi.ld ��r such benefits or
assistanc�. The Trustee is a�uthori2ed to malce trust distrib�utions
to ar o» said child's behalf in such a way that said child's life
_ wi,ll be �nriched and made more en�c►yable, inoluding provid�ng
recreationa� a�nd vacatian oppartuni�ies far said child. The
Trustee is authorized ta expe�d the trust esta�� �o procure more
soph�.sticated ntedical, dental, raphthalmoloqical and other similar
tr�at�aent than may otherwisc: be available to sait� chil�d and to
seek private reh$bil3.tative and education�l training. Settlor
� desfres that Settlor's chfld be ab�e to mafntain con�act with any
siblings and other faanily �nentbers, and th� Tru��ee is authorized ta
exper�d trttst income, and other principal for transportation cos�s
. , . . , �
� .
for Settlor�s said c�ti2d or othe�c fa.mily me�abers to facilitate such
Gontact. Th$ Trus�te� is a�uth�orized to axpex�d such amounts of
income and pxincipal as shall enable said child to achieve
maximum potenti.al and to lead as camfartable a lifa as possible.
To tha� end, it is Settlar's desire, without it being legally
bir�z�ing� tbat the Tru�tee may expend "the income and principal of
.�„
this trust fn ways �tlzat shall protect, enforca and expand the
� riqhts of Settlox's saic�� chilc�, Settlor desires �he Trustee to
exercise the� discretianary power can�erred an th� Trustee hereunder
in a manner which will provide fle�cibility in the administration of
the trust unde�r candit�.ons from time to tim� �is�ing, and ir►
ex�rcisi�g such pawe�cs, the disc��atian c�f the Trus�ee shall he
�onclusive as to the advisability of any dist�.ributfon af inco�ne or
, prinaipal, a�d as to the person to ar for whom such distribution is
to he made, and the sam+� shal�. not be subject to �udicial review.
F�►i�'therm4=e� the Trustee is autharized to e�pend such amount� of
income and principal fvr the ben�fit and to last �he life �af said
child as shal3. best grovide for said chil+d's camfort and hagpiness
without regard tc� the effect that such distributians miqht have
upoan t�.he inter�st of the takers of the ren�ainder vf thfs trust.
C. Thfs trust -shall terminate upQn the death af
Settlp7C's said Child, Shawl'� P. MCMa13o�t; a�nd upon such terzttit�►atian,
the Trustee shall dfstribute all remaining princigal and accrued
�ncome unto Settlors, Daniel T. McMahon and Katherine A. McMahon,
or 'the 6u�cv'ivor c�€ them, if either or both af them are lfving at
t�e time such d�stribution� and if both of the�. are not �.iving at
the time'�u�h distribution, then th� same sha1Z be c�istribu�ed unto
. - . .
, . . . � , .
Berna Louf�e Colestock ur her issu� living at the time of such
distribution, per stfrpes.
D. In the event this trust will be cansidered by any
qavern�mental agena� or a�her provider as an ass�t or resaurce of or
far Settlor t s �aid child in deter�paining the contrib�tion to be ma�de
by ar fer said ch�.ld for any benefit�, services or care to be
provided by such entity to said child and if in the sole discr�:tion
of the �'ruste� it is deemed impracticable to centinue to adn►inister
. �
�his t�.~ust, �e Trustee is hereby authorized and empowered to
terminate th�s trust w��reupon the Tr�at�e shall distribute all
r�Ynair►inq princfpa�. and accrued i»come unto Settlars, Daniel T.
McMahon and Ka�.herine A. McMahon, or the su�.-vivor of them, if
eithez or both of them ar+� living at the time such distribution,
a;nd if bath of them ar� nt�t living at the time such distribution, ,
then the same sball be c�irtribute+d unto �erna Lauise Colestack or
her 3.ssue living at the time �af such distributian, per stirpes.
r
SECt'�ND: Settlor does hereby no�ninate, apgt�int �nd cQnfirm
Berna Louise colestock, as and ta be the successor Trustee
her�under im the ev+an� bath named Trust�es hereur�d�r are un�rilling
or unable to serve aS Truste� hereunder for any reasan, whereupon
Suca�s$o� �'rustee shall administQr this Trust and shall have �he
duties and powers of Trustee as herein set forth. The annuity
payments or pxaceeds to be p�id to this �rust or ta Txustee
hereuncter sha11 in such event be paid to Succ�ssor Trustee or �o
this Tx�ust as applicable, by the said company without liability or
further responsibility on the part of said company.
THIRU: This Tru�t �hall not be subject ta anticipatfon or to
� � • . �, • , .
, .
vo�untary or involuzitary alienation.
gpURTH; Trustee shall have the follow�.ng pcwers in addition to
thase ve�ted in it by law and by other grovisions af trust,
applicable to All prop�rty, whether pr�ncipal ar income, inciuding
prope.�ty held fo� minors, exercisable wi.thou� ccurt approv�l, and
eff�ctive until actual distribution of all property:
A. To hold and reta�n any or all of the asrsets of this
�xust, rsal or gersonal, including stvck of �rustee, withaut reqard
to any principle of di�er�itfcatian or risk,
B. To sell at public or private sale, to exchange, �r to
laasce for any periad of tim�, any real ax gerson�l property, and to
give options fo� �ales�, exchange� or le�ses, f�az such prices and
upon such �es-ms or conditions as Trustee de�ms graper.
C. To allocate receipts and expens�s to principa� or
income or pn�tly ta each as Trustee from time to time thinks proper
in Trustee�� sole di�cretiot�.
D. Tv �ompramise any claim or controversy.
gIFTH; Trustee shall have no duty to pay any premiums an any
life f»suran�ce policies Qr annuities regarr�ing this Trust, and the
campany issuinq any such policy or an�uit� or simil�r contraat
�hall have no responsibility to see the fulfil�.�aent of thi� Trust
or the appliaat�on of the proceeds ar paym+�nts of anY suah policY,
annuity or contract. Yn the event Trustee rea�on�ably �.nstitut�s
leqal action upon any such life insurarice policy, annuity ar
contract, the e�ense� of the� same, inclu+dinq but not limited to
all casts, r�a�onable legal fees and other expenses o� such action
shall be �reimbursed to Trustee or the Trust, a� th� case may be,
. . ,. . .
t
, � .
, ' a ��t� therefrom or �ram any funds which
from the proceeds or p Y�
T�uste� atherwfse holds hereunder.
SIXTH. Settlor reseY'ves unto Set�lor the �ollowing rights
E�
ach cf wh#.�1s �aaY be exex'Gised bY Settlar alone whenever and as
oftan a� Settlor m�y wish� :
A. All riqhts �ow ax here�fter vested in sattlor as the
ownor an�d the insured under t'�ie life insurance policies sub�ect
bereta, includinq� b�t . not �.imit�d ta, the riqhts ta chas�qe
ciarie� to borraw'. o�t policies either from the issuing
benef i ,
compani�s or fro�a ather institutfons or other persons, to assiqn
a�nd led e policies for anY loan, �nd ta rec�ive dividends and all
P g
oth�ar gaymex�ts ava�ilable �c tha owner and the insured;; and
�3, �he right by an instar�►ant in writing intended to
t�ke effect during Settlor's lif�tim� signed by Settlor an►d
e� t,� �ru��ee to revake cr amend this Agreement in whole ar
deliv�r ru
i.mpnxt.
SEVENTH: Subject tQ the approval of Trustee, an�yone may add
ro rt , real or perst�nal, to the principal of this trust by �eed,
P Fe Y
Wf 11 or otherwise.
EIGHT�: �.`he situs of this trust for administrative and
account�.ng purposes shall �re �M fihe� Cour►ty of Cwnberland and
Commanwealth of Penns�].vania, nnd a21 questfons pe=taining to the
cc►nstruction a= validity af the pravisians af this ins��ument shall
b� governed b� the law� o� that Cam�aonw�alth.
IK WITNESS WI3
E�,EpF, �he partie� l�ereto do hereby execu�e thf s
�,�s#,�Cr�m,en� on the date and year f irst abave wri��en.
— . • - , • • ,
�
�
�
^ ��SS: �
, �•
Dan e T. M�cM h , Set lor
r �
�� � er ne A. McM an, S�ttlor
� � �.
Dan el T. M ahan. Trustee
�
`� a er ne A. McMahan, Truetee
erna Lau �e Colestock,
Succeesor Trustee
+ t , � �. . . � � ,
�
Law Office of
SHAUN�E. O'TOOLE
220 Pine Street
Harrisburg,Pennsylvania 17101
(717)695-0389
Fax(717)213-0272
otoolelawoffice.com
November 12, 2013
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Cumberland County Register of Wills .���i
Cumberland Count Courthouse � � �
Y
1 Courthouse Square ,��. �`
Carlisle, Pennsylvania 17013 ��
Re: Estate of Edna Dorothy Pochatko
No. 21-12-1087
Dear Sir/Madam:
Enclosed for filing in each of the above-referenced matters are two original Pennsylvania
Inheritance Tax Returns and one original Inventory. Also enclosed axe a copy of the front page
of the Inheritance Tax Return and a copy of the Inventories. Please time sta.mp these copies and
return them to me in the enclosed envelope. Also enclosed is a check in the amount of$30.00
for the filing fees for these two matters.
Very truly yours,
�.
Shaun E. O'Toole
Enclosure '�
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Law Office of
SHAUN E. O'TOOLE
220 Pine Street
Hanisburg,Pennsylvania 17101
(7l7)695-0389
Fax(717)213-0272
otoolelawoffice.com
November 13, 2013
Cumberland County Register of Wills
Cumberland County Courthouse
1 Courthouse Square
Carlisle, Pennsylvania 17013
Re: Estate of Edna Dorothy Pochatko
No.21-12-1087
Dear Sir/Madam:
Yesterday I mailed you the Pennsylvania lnheritance Tax Return and Inventory for the
above-referenced estate. Although my cover letter referenced an enclosed check for the filing
fee, I forgot to enclose the check. I wish I had a secretary to blame this on. Enclosed is a check
in the amount of$30.00 for the filing fees for these two matters.
Very truly yours,
� �
.
Shaun E. O'Toole
Enclosure
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