HomeMy WebLinkAbout02-0475
~
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of
Helen E. Sullivan
No 21-02- LIlES
also known as
, Deceased
Social Security No. 206-24-8047
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(COMPLETE "An OR "B" BELOW:)
f\A. A. Probate and Grant of Letters and aver that Petitioner{s) is/are the executOr named III the Last Will of the
... Decedent, dated February 17,1999 and codrcills} dated -
5,.,. ,ele~..." <:Heur,...,.."c.., ..y.. ."nuncia,i,,",. ~e",h "f e~ew"'r, ole
Except a follows, Decedent did not marry, was not divorced. and did not have a child born or adopted after execution of the documents offered
t~; was not the victim of a killing and was never adjudicated incompetent:
B. Grant of Letters of Administration
10.',".".h.'''':.I... 1"""."'0"'";'\'''''''''"'''''''''".''''''.''.''''''''''"''''
Petitioner(sl after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse
(if any) and heirs:
I Name Relationship Residence I
{COMPLETE IN ALL CASES:} Attach additional sneets IT necessar
y
Decedent was domiciled
residence at 7
Cumberland
RadM IC ur P
r~", '''~"', "",,,b~, '.,d ''''''''C"pnl''yl
Decedent. then ~ years of age, died March 9, 2002
at Hershey Medical Center, Dauphin County, PA
fLu""""'"
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property
(If not domiciled in PAl Personal property in Pennsylvania.
IIf not domiciled in PAl Personal property;n County.
Value of real estate in Pennsylvania
Real Estate situatedT::af1ollows: . 1 b7 Sample Bridge Road; MechanlCsburg; PA'
900,000.00
... $
$
$
$
$
J 67.050.00
1 067 0,0 00
Wherefore. Petitioner(sl respectfully request[s) the probate of the last Will and Codicilis) presented with this Petition and the grant of letters in the
appropriate form to t undersigned:
/
Typed or printed name and residence
John C. Sullivan
e Road Mechanicsbur P A 17055
RW-7
I~I- ld'l/..f
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
before me this
15th
Sworn to and affirmed and subscribed
day of
The Petitioner{s) above-named swear(s) and
correct to the best of the knowledge and belief of P
Petitioner(s) will well and truly administer the est t
MAY 2002, ~
:-l/1~fJ1-'1, .
Y C IS c,~
Estate of Helen E. Sullivan
DECREE OF REGISTER
No.
also known as
Deceased
21-0'2.- ~15
Date of Death: March 9, 2002
Social Security No: 206-24-8047
AND NOW. MAyan ,. 2002. in consideration of the Petition
on the reverse side hereon, satisfactory proof hi'ving been presented before me, [') j ~J ~ :-/)
IT IS DECREED that Letters 0 Testamentary 1" of Administration "f'F.:1'1'1\1,lE1JfA:RY r:i~tvtt-' I ! IX1
,... I.. ",." , ,.."..Ie'",- '''''. """",,.. ''''''''''''', '"''~''''' """""''''''1 I
are hereby granted to John C. Sullivan . !
"ru01..
in the above estate and that the instrument(s), if any, dated February 17,2002 -..!J VV
described in the Petition be admitted to probate and filed of record as the last Will of Decedent. '
FEES
letters........................... $ 865.00
'---/) '.)
2j t!-t -( /,--(.4.
Short Certificate(s)..........
Renunciation..................
Affidavit ( ).................
Extra Pages ( 9 )............
Codicil. __............__........
JCP Fee
Inventory & Tax Forms...
Other.... __.....................
TOTAL.....
RW-7a
i;
$ o...;;? 6. 00
$ 10.00
$
$ 27.00
$
$ 5.00
$
$
Attorney: John C. Sullivan, Esquire
I.D. No: 07257
Address: P. O. Box 840
Harrisburg PAl 71 08-0840
Telephone: (717) 236-3010
DATE FilED: 5-15--2002
called Qtty on 5-16-2002
$
943.00
RENUNCIATION
'21-0'2,.- 415
IN RE: ESTATE OF HELEN E. SULLIVAN, DECEASED.
TO THE REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA.
The undersigned, Michael K. Sullivan, son of the above Decedent, hereby renounces the right
..: ~ -rg
to administer the Estate and respectfully asks that Letters of Administratiolbe issued to John C.
Sullivan.
1'-
WITNESS, my hand this 7_5 day of March, 2002.
l~-
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Michael K. Sullivan, Trustee under the
Residuary Clause of the Will of Helen E.
Sullivan
RENUNCIATION
2 I - 0 '2. - 4'5
IN RE: ESTATE OF HELEN E. SULLIVAN, DECEASED.
TO THE REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA.
The undersigned, Elizabeth F. Sullivan, daughter of the above Decedent, hereby renounces
t / e- .-;1:2-
the right to administer the Estate and respectfully asks that Letters of AdministratiOl(be issued to
~pz-t. o?
John C. Sullivan. .
WITNESS, my hand this;).1O day of March, 2002.
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Cu.mbVtR.and I<>wnah",? 17d.D :;,~~~':7:i::';"~:O'
MOTHER'S NAME (f"M, Middle. Maod8f1 Su,n...-ne)
LAST WILL AND TEST AMENT
OF
HELEN E. SULLIVAN
2 \- o-z. . 4'5
I, HELEN E. SULLIVAN, of Silver Spring Township, Cumberland County, Pennsylvania,
declare this to be my Last Will and Testament, hereby revoking all prior Wills and Codicils.
ITEM !.
1 direct t.lJat my just dents, the ~xpen~e~ of my last illness, funeral and burial,
shall be paid from my estate as soon as practicable after my death.
GIFTS
ITEM II.
Tangible Personal Gifts.
I give all tangible personal property owned by me at my death, and all insurance policies on
such property as follows:
(a) To those individuals who survive me by thirty (30) days who are designated on a list
or memorandum signed by me which list refers to this Will or is found with a copy thereof, the items
listed beside their names. If no such list is found within thirty (30) days of my death, it shall be
presurned thz.t no such list exists.
(b) The balance (including any item under subparagraph (a), the bequest of which has
lapsed) to my husband, John C. Sullivan, if he survives me by thirty (30) days; and if not, in as
nearly equal shares as is practicable to such of my children, Timi, Michael and Elizabeth, as survive
Page 1 oflO
Ii. f. S.
H.E.S.
me by thirty (30) days, or the issue of my aforementioned children as survive me by thirty (30) days,
per stirpes.
(c) In the event of disagreement among my children as to the bequest made under
subparagraph (b) above, my Executor is authorized to make the division, having due regard for the
personal preferences of my children, but making such division in as nearly equal shares as the
Executor deems practical.
(d) With respect to any item passing under subparagraph (a) or (b) to a minor, my
Executor (I) may hold and deliver it to the minor at majority or earlier, or deliver it to any person
to hold for the minor; or (2) may sell it, hold and invest the proceeds for the minor's benefit for any
reason without considering other funds available to the minor. The receipt of any person who
receives an item or payment hereunder shall be a complete discharge to my Executor.
(e) My Executor shall pay, as an expense of settling my estate, all costs of delivering
such tangible personal property, including the costs of packaging, delivery and insurance.
RESIDUARY ESTATE
ITEM III. I give IN TRUST the residue of my estate, real and personal, to the Trustee
under that certain Trust Agreement signed by me on February 17, 1999, to be managed and invested
under the terms of said Trust Agreement and all valid amendments thereto, to be added to the trust
estate under that Trust Agreement as in effect at my death.
Page 2 oflO
H.ES-.
H.E.S.
TAX PROVISIONS
ITEM IV.
1. Death Taxes. Except as otherwise may be provided in my husband's will or trust,
or in any other trust, all federal, state, and other death taxes, payable because of my death, on the
property forming my gross estate for tax purposes, whether or not it passes under this Will, shall be
paid out of the principal of my probate estate so that the burden falls on my residuary estate, and
none of those taxes shall be charged against any beneficiary. The provisions concerning payment
of taxes shall not apply to generation-skipping taxes and any property over which I have a general
power of appointment for federal estate tax purposes.
2. Survivorship. My husband shall be deemed to have survived me if the order of our
deaths is not clear.
3. Tax Options. I hereby authorize my Executor, in my Executor's sole discretion, in
whole or in part, to elect to treat in whole or in part as qualified, terminable interest property for the
purpose of qualifying for the marital deduction, any property passing under my Will, said Trust
Agreement, or otherwise (in which my husband has a qualified income interest for life.) My
Executor shall be without liability to anyone for making or failing to make such election.
4. I hereby authorize my Executor, in my Executor's sole discretion, to make an
election, in whole or in part, to cause the Pennsylvania Inheritance Tax to be payable by my estate
on property passing to or for the benefit of my spouse, or to defer Pennsylvania Inheritance Taxes
Page 3 of 10
1-1. ~.).
H.E.S.
on such property. My Executor shall be without liability to anyone for making or failing to make
such election.
4. I hereby authorize my Executor and my Trustee under the Trust Agreement dated
February 17, 1999, to exercise any options available in determining and paying any taxes in my
estate, and to allocate my generation-skipping tax exemption. These decisions may, including
income and gift taxes, be made without requiring adjustments between income and principal. The
decision of my Executor or my Trustee shall be conclusive upon all persons concerned.
5.
Generation-Skippin~ Tax.
The primary purpose of this paragraph is to use my
federal generation-skipping ("GST") tax exemption (now $1 million) more effectively if my property
ultimately could be subject to that tax. I direct that:
A. Division of Trusts. Any trust or addition which otherwise would be partially
exempt from federal generation-skipping tax shall be divided fractionally to
form separate trusts so that my federal generation-skipping tax exemption
may be allocated exactly to one or more trusts. The trusts which have been
divided shall have the same terms unless otherwise specified in this
paragraph, but may be administered differently. Any trust or addition may
be held as a separate trust if it is not possible to separate it into exempt and
non-exempt trusts.
Page 4 oflO
J~. (:.5.
H.E.S.
B. Power of Appointment to Reduce Tax. The limited powers of appointment
which are exercisable by a Will hereunder, shall be expanded as follows if
certain taxes can be reduced:
I. A child who has a power of appointment exercisable by his or her
will may, by a will specifically referring to the power of appointment,
appoint the trust to his or her estate to the extent the aggregate of the
federal estate tax and GST tax due as a result of the child's death can
be reduced.
2. Any increase in death taxes in the beneficiary's estate caused by the
inclusion of the trust in it for tax purposes, shall be paid out of the
unappointed principal of the trust, and a written statement by his or
her personal representative may be accepted as being correct.
BENEFICIARIES UNDER 23
ITEM V.
Any property passing under this Will to a person under twenty-three (23)
years of age, or is disabled, physically or mentally at the time an interest is distributable outright to
him or her under this Will, the property shall be paid to his or her parent as custodian for that
beneficiary under the Uniform Transfer to Minors Act of Pennsylvania. If his or her parent for any
reason fails to qualify or ceases to act as custodian, my Executor shall appoint the custodian in his
or her place.
Page 5 of 10
IU~'.S.
H.E.S.
ITEM VI.
Powers of Appointment: No provision of this Will shall exercise any power
of appointment I may have.
ITEM VII. Power to Disclaim: Any beneficiary under this document (or his or her
personal representative, guardian or agent acting under a power of attorney) may, at any time and
from time-to-time, by written instrument, release, disclaim or otherwise limit, in whole or in part,
any power or interest granted to such beneficiary under this document. The disclaimer need not take
effect immediately and may be contingent upon the occurrence or non-occurrence of any event.
PROTECTIVE PROVISIONS
ITEM VIII. To the greatest extent permitted by law, before actual payment to a beneficiary
or to his or her account, no interest in income or principal shall be assignable by a beneficiary or
available to anyone having a claim against a beneficiary.
MANAGEMENT PROVISIONS
ITEM IX. I authorize my Executor to:
I. Retain/Invest: Retain and invest in any form of real or personal property anywhere
which, in my Executor's opinion, is appropriate for my estate, without being required to diversify;
2. Compromise: Compromise claims and abandon any property which, in my
Executor's opinion, is oflittle or no value;
Page 6 oflO
J-f.f.5.
H.E.S.
3. Borrow: Borrow from anyone and pledge property as security for repayment of any
funds borrowed;
4. Sell/Lease: Sell at public or private sale, exchange, lease or lend for any period of
time any real or personal property, and give options for sales or leases;
5. Capital Changes: Join in any merger, reorganization, voting trust plan, or other
concerted action of security holders and delegate discretionary duties with respect to these powers;
and,
6. Disclaim: Disclaim any part or all of any property, power, or interest passing to me
or for my benefit under any will, trust or otherwise; and
7. Distribute: Distribute in cash or in kind, and allocate specific assets among the
beneficiary (including any custodianship) in such proportions as my Executor may think best, so
long as the total market value of any beneficiary's share is not affected by such allocations.
The powers, authorities and discretion given under my Will shall be in addition to those
granted by law, shall continue until the distribution of the property, and shall be exercisable without
court authorization.
Page 7 of 10
~.
H.E.S.
FIDUCIARIES
ITEM X.
1. I hereby appoint my son, Michael K. Sullivan, as Executor of this Will. Ifmy son,
Michael K. Sullivan, fails to qualifY or ceases to act for any reason, I appoint my daughter, Elizabeth
F. Sullivan, as Successor Executrix in his place.
2. Except as provided in Paragraph 1 above, each individual Executor/Executrix then
serving, may appoint, in writing, an individual to succeed him or her. My individual Executors then
serving may unanimously appoint, in writing, an individual to serve with them.
3. My individual Executors then serving may unanimously appoint, in writing, a
corporation organized under the laws of the United States or any state thereof and possessed of trust
powers, which has trust assets of at least One Hundred Million Dollars ($100,000,000.00), as
corporate Executor.
Page 8 of 10
({.{C's.
H.E.S.
IN WITNESS WHEREOF, I, HELEN E. SULLIVAN, the Testatrix to this Last Will and
Testament, have hereunto set my hand and seal this \ 1 day of 1- ~ ,1999.
l~f~
Helen E. Sullivan
In our presence, Helen E. Sullivan, signed this and declared it to be her Last Will and
Testament, and now at her request, in her presence, and in the presence of each other, we sign as
witnesses:
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Witness
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Address
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Page 9 of 10
COMMONWEALTH OF PENNSYLVANIA
ss:
COUNTY OF DAUPHIN
I, Helen E. Sullivan, having been duly qualified according to law, acknowledge that I signed
the foregoing instrument as my Last Will and Testament, and that I signed it as my free and
voluntary act for the purposes therein expressed.
I~t
~
Helen E. Sullivan
We, f?",,/ A 1\)0,,,,".. and L:\ I) , \.j1,UU2/ , having been duly
qualified according'to law, depose and say that w er resent and saw Helen E. Sullivan sign the
foregoing instrument as her Last Will and Testament, that she signed it as her free and voluntary act
for the purposes therein expressed; that each of us, in her sight and hearing, and at her request,
signed the Last Will and Testament as witnesses; and that to the best of our knowledge, she was at
that time 18 or more years of age, of sound mind, and under no constraint or undue influence.
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Witness
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[):.'!d a ~
j
Subscribed, sworn to or affirmed and
acknowledged before me by the above-
named Testatrix and by the witnesses
whose names appear 0 posite, on this
/711. day of e 't<AR ,1999.
otary Public
My Commission Expires:
NOTARIAL SEAL
JEANNETTE CHELGREN, NotaJY PublIc
Coty of Harrisbt"g, Dauphin CounlV
Comml.sion E 'res Feb. 15 2001
Page 10 oflO
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV~1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NAUMAN SMITH SHISSLER & HALL
POBOX 840
HARRISBURG, PA 17108-0840
_nn_n fold
ESTATE INFORMATION: SSN: 206-24-8043
FILE NUMBER: 2102-0475
DECEDENT NAME: SULLIVAN HELEN E
DATE OF PAYMENT: 06/06/2002
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 03/09/2002
NO. CD 001265
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $24,535.00
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: NAUMAN SMITH SHISSLER & HALL
CHECK# 25186
SEAL
INITIALS: SK
RECEIVED BY:
REGISTER OF WILLS
$24,535.00
MARY C. LEWIS
REGISTER OF WILLS
J-
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: HELEN E. SULLIVAN
Date of Death: March 9. 2002
Will No.
0475
Admin. No.
2002
To the Register:
1 certifY that notice ofbeneficiaI interest required by Rule 5.7(a) of the Orphans' Court RuIes
was served on or mailed to the following Beneficiaries of the above-captioned estate on June 5,
2002:
Name:
Address:
John C. Sullivan
107 Sample Bridge Road, Mechanicsburg, PA 17050
2005 Ewing Road, Cochranville, PA 19330
2527 Aspen Street, Philadelphia, PA 19130
107 Sample Bridge Road, Mechanicsburg, P A 17050
107 Sample Bridge Road, Mechanicsburg, P A 17050
Elizabeth F. Sullivan
Michael K. Sullivan
Timi A. Sullivan
John C. Sullivan, III
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except N/A
/
/
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( "
'!~d ~ t ~--.
Date: June 5, 2002
{th
Si~afure ' I
Iohn C. SUllivan~ Esquire
Nauman, Smith, Shissler & Hall, LLP
Supreme Court J.D. No. 07257
200 N. 3'd Street, 18th Floor
P. O. Box 840
Harrisburg P A 17108-0840
Capacity:
Personal Representative
x
Counsel for Personal Representative
<::.
IN THE COURT OF COMMON PLEASE OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
INRE:
EST ATE OF HELEN E. SULLIVAN,
DECEASED
NO. 21-02-0475
DISCLAIMER
The undersigned, Michael K. Sullivan, being the son of Helen E. Sullivan,
intending to be legally bound, makes the following disclaimer:
Disclaimant hereby disclaims all right, title and interest he may have in Stein Roe
Mutual Fund Account #337-98169083.
This Disclaimer is irrevocable and unqualified.
IN WITNESS WHEREOF, the undersigned has set his hand and seal this 27th
doy 7tmbec 2002.
l'I,^~, ~f$C;ld
Witness Ml ael K. SUl~~an \
COMMONWEALTH OF PENNSYLVANIA
COUNTYOF ?f-\It..A.~)(i:t..r'fII.A
On this, the :i 7 'Day of NoveWl he y , 2002, before me, a Notary Public, the
undersigned officer, personally appeared Michael K. Sullivan, known to me (or satisfactorily
proven) to be the person whose name is subscribed to the within instrument, and acknowledged
that he executed same for the purposes therein contained.
SS
IN WITNESS WHEREOF, I hereunto set my hand and notarial seal.
otJ-'rMU-1h. ~
Notary Pu
My Commission Expires:
(SEAL)
Notarial Seal
Donna M. EUGcimGm, Not?ry Pcbl:c
M~i:*~~H[~2i!~~~~~',;J;;~~';;m~~s
HEATH L. ALLEN
N. DAVID RAHAL
CHARLES W. RUBENDALL II
ROBERT L. WELDON
EUGENE E. PEPINSKY,.JR
JOHN H. ENOS m
GARY E. FRENCH
DONNA 5. WELDON
BRADFORD DORRANCE
.JEFFREY S. STOKES
ROBERT R. CHURCH
STEPHEN L. GROSE
R. SCOTT SHEARER
WAYNE M. PECHT
ELYSE E. ROGERS
CRAIG A. LONG YEAR
DONALD M. LEWIS nr.
BRIDGET M. WHITLEY
.JOHN A. FEICHTEL
ANN McGEE CARBON
ELIZABETH J. GOLDSTEIN
BARBARA A. GA\..L
STEPHANIE KLEINFELTER
KEEFER WOOD ALLEN & RAHAL, LLP
415 F ALLOWFIELD ROAD, SUITE 301
CAMP HILL, PA 17011-4906
ESTABLISHED IN 1878
OF COUNSEL:
SAMUEL C. HARRY
PHONE 717-612-5800
FAX 717-612-5805
HARRISBURG OFFICE:
210 WALNUT STREET
HARRISBURG, PA 17101
EIN No. 23-0716135
WoNW.keeferwood.com
PHONE 717-255-8000
December 6, 2002
717-612-5801
erogers@keeferwood.com
Via: Certified Mail
Cumberland County Register of Wills
Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013
Re: Estate of Helen E. Sullivan
File #21-02-0475
Dear SirlMadam:
Enclosed herewith for filing please find the following:
1. Pennsylvania Inheritance Tax Return (filed in duplicate;)
2. Inventory;
3. Check in the amount of $25.00 in payment of your filing fee.
4. Check in the amount of $2,458.16 in payment of tax due.
Kindly acknowledge receipt of these documents by time-stamping the
enclosed copy ofthis letter and returning it to our office. Thank you.
EER/cds
90873
Enclosure
,
REV-1500 EX + (6-00) I OFFICIAL USE ONLY I
COMMONWEALTH OF PENNSYLVANIA REV-1500
DEPARTMENT OF REVENUE /7- ~?r N
DEPT. 280601 INHERITANCE TAX RETURN FILE NUMBER
HARRISBURG, PA 17128-0601 RESIDENT DECEDENT 21 2002 0475
COUNTY CODE YEAR NUMBER
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
Sullivan, Helen E. 206-24-8043
DECE- DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD.YEAR) THIS RETURN MUST BE FILED IN DUPLICATE
DENT
03/09/0il 04/13/1931 WITH THE REGISTER OF WILLS
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
Sullivan, John C.
3. Remainder Return
CHECK ~' Original Return ~' Supplemental Return ~ (date of death prior to 12-13-82)
APPRO- 4. Limited Estate 4a. Future Interest Gompromise 5. Federal Estate Tax Return Required
(date of death after 12-12,-B2)
PRIATE 6. Decedent Died Testate 7. Decedent Malntamed a LIving Trust 8. Total Number of Safe Deposit Boxes
(Attach copy of Will) (Attach a copy 01 Trust)
BLOCKS 9. Litigation Proceeds Received 10. Spousal Poverty Credit (date 01 death between ~ 11. Election to tax under Sec_ g, 13(A)
12-31-91 and 1.1-95) (AtlachSchO)
'fflf$!!si;\Qt\pi>jMQwrillli;PPMll'!il5iiiiti/N\.@PPlljltj$!iPi-IQtlffi;$lf.$PffPjJJgNffiIMifi9i1N$:l!lM.ilfjQNSW:ll!iiP~g.pj!lli;qttjpffiQS
NAME COMPLETE MAILING ADDRESS
COR- John C. sullivan 107 Sarrple Bridge Road
RE- FIRM NAME (If Applicable) Mechanicsburg , PA 17050
SPON
DENT
TELEPHONE NUMBER
717-766-4347
None. OFFICIAL USE ONLY
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2) 997,261.75
3. Closely Held Corporation, Partnership or Sale-Proprietorship (3) None
4. Mortgages & Notes Receivable (Schedule D) (4) None
5. Cash, Bank Deposits & Miscellaneous Personal
Property (Schedule E) (5) 16,540.48
6. Jointly Owned Property (Schedule F)
0 Separate Billing Requested (6) None
RECA-
PITULA- 7. Inter-Vivos Transfers & Miscellaneous
TION Non.probate Property (Schedule G or L) (7) 59,536.94
8. Total Gross Assets (total Lines 1-7) (8) 1,073,339.17
9. Funeral Expenses & Administrative Costs (Schedwle H) (9) 10,869.36
10. Debts of Decedent, Mortgage Liabilities, & liens (Schedule I) (10) 978.14
11. Total Deductions (total Lines 9 & 10) (11) 11,847.50
12. Net Value of Estate (Line 8 minus Line 11) (12) 1,061,491. 67
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax (13) 7,154.74
has not been made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 1,054,336.93
SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, ortranslersunderSec. 9116 (a)(1.2) 425,793.19 X.O 0 (15) 0.00
TAX 16. Amount 01 Line 14 taxable af lineal rate 628,543.74 X.O 4s- (16) 28,284.47
-
COMPU- 17. Amount 01 Line 14 taxable at sibling ratB 0.00 x.12 (17) 0.00
TATION 18. Amount 01 Line 14 taxable at collateral rate 0.00 X .15 (18) 0.00
19. Tax Due (19) 28,284.47
20. 0 IqH"'\'*ij$!\Eif8Q1r!$$ijf;Qiji!($'Pi>jti'@fi~R'Pl!A\iliQjiEillj.ilYMI$I,jJ1
C-
. . '.' ~> Be SUFlETO ANSWel'l ALL QUESTIONS 01'1 PAGE 2ANO ReCHECK MATfl<<
o PA15001
NTF 29755
Copyright 2000 Greatland/Nelco LP - Forms Software Only
PA REV.1500 EX (6-00)
Decedent's Com lete Address:
STREET ADDRESS
107 S Ie Brid e Road
Page 2
CITY
Mechanicsb
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
STATE
PA
ZIP
17050
(1)
28,284.47
24,535.00
1,291.31
Total Credits (A + B + C)
(2)
25,826.31
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (0 + E)
4. It line 2 is greater than Une 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
5. It Line 1 + Line 3 IS greater than line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of line 5 + SA. This is the BALANCE DUE.
Make Check Payable 10: REGISTER OF WILLS, AGENT
(3) 0.00
(4)
(5) 2,458.16
(5A) 0.00
(58) 2,458.16
· .' . PLEASE ~NsViE~THEFOLl.OWINGQUESTI()NS~~P~CIN6 ~~'.
1.
"X" IN THE APPROPRIATE BLOCKS
Did decedent make a transfer and:
a. retain the use or income of the property transferred; . . . . . . . .
b. retain the right to designate who shall use the property transferred or its income;
c. retain a reversionary interest; or . .
d. receive the promise for life of either payments, benefits or care?
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration?
3. Did decedent own an "in trust tor" or payable upon death bank account or security at his or her death?
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? . . . . . . . . . .
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MU OMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Itles p jurY, I d~lar t I have examined this returnJ including accompanying schedules and statements, and to the best of my
elle j is true, cor a omplete. Declaration OT preparer other than the personal representative is based on information of
n knowled
R 0
Yes No
~ I
B ~
E3
o
(
LJ"-L--
DA TE/ / "-:?
,O'lIOL-
PA 17050
'"
2P.S. 89116(a)(1.1)(i}).
For dates of death 0(1 or after Janual)'1, 1995, the tax rate is imposed on the net value of transfers to arforthe use of the surviving spouse is 0% [72 P,S Ii 9116 (a) (1.1) (iiJl.
The statute does not exp.mnt a trans/erto a surviving spouse from tax, and the statutoI)' requirements for disclosure of assets and filin\! a tax return are sli\\ applicable Bven it
fhe surviving spouse is the only henelicisl)'.
For dates of death 011 or after Juiy 1. 2000:
The tax rate imposed on the net value of transfers lrom a deceased child twenty-ane years 01 age or younger at dsath 10 or lor Ihe use of a natural parent, an adOPtive perent,
ar a stepparent althe child is 0% \72 P.S. 1191 16(a}(1.2)].
The tax rate imposed on the net value of transfers to or lor the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72.P.S. S 9116(1.2) \72 P.S, ~9n6(a)(1)J
The tax rate imposed on the net value 0\ translers 10 arlorthe use ot the decedent's siblings is 12% [72 P,S. 89116(21)(1.3)]. A sibling is defined, under Section 9102, as an individuai
who has at least one parent in common with the decedent, whether by biood or adoption.
o PA15002
NTF 29756
Copyright 2000 Greatland/Nelco lP - Forms Software Only
Estate of: Helen E . Sullivan
21-2002-0475
The following person(s) are signing the return as representative(s) of the estate;
John C. Sullivan
107 Sample Bridge Road
Mechanicsburg, PA 17050
REV-1503 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Helen E. Sullivan
SCHEDULE B
STOCKS & BONDS
FILE NUMBER
21-2002-0475
All property Jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NO. DESCRIPTION
VALUE AT DATE
OF DEATH
1 29,306.637 shares of Vanguard Ins. Long Tenn Tax Exempt Fund at
$12 A55/share
365,014.16
Accrued interest on above asset as of decedent's date of death
430.87
2 3,945.758 shares of Vanguard Tax-Managed Capital Appreciation
Fund at $52.55/share
207,349.58
3 99.895 shares of Vanguard Tax-Managed Capital Appreciation Fund
at $26.18/share
4 6,587.29 shares of Vanguard Explorer Fund Adm at $56.29/share
2,615.25
370,798.55
5 Steinroe Account #337-98169083 joint with decedent's son Michael
K. Sullivan
51,053.34
Decedent's son, Michael K. Sullivan has disclairred his right,
title and interest in this asset. See Disclairrer attached.
7 CPA31 NTF 10905
Copyright Forms Software Only, 1997 Nelco. Inc.
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
997,261. 75
Mr. John Sullivan
107 Sample Bridge Road
Mechanicsburg, P A 17055-1940
Dear Mr. Sullivan:
~
itt. ~..:'"'. T...
\ ,,- '.-
, . 1 ,_:
.
TH~ROUP.
March 21. 2002
RE: Estate of Helen E. Sullivan
Please accept our sincere condolences on the loss of your wife, Helen E. Sullivan. I can understand this
may be a difficult time for you. Please be assured that we will make the transition of the accounts as easy
as possible for you.
As you requested, I am sending a valuation of Mrs. Sullivan's accounts as of March 9, 2002. Since March
9,2002 was a Saturday, I have provided the share prices for Friday, March 8,2002 and Monday, March
ll,2002.
Helen E. Sullivan
Individual Account 9896872663
Fund Name
CUSIP Number
Shares
Owned
Tax-Managed Capital
Appreciation Fund Inv.
CUSIP 921943205
Ins. Long-Term Tax-
Exempt Fund Adm.
CUSIP 922907852
Explorer Fund Adm.
CUSIP 921926200
Tax-Managed Capital
Appreciation Fund Adm.
CUSIP 921943866
99.895
29,306.637
6,587.290
3,945.758
Helen E. Sullivan
Traditional IRA. Account 9898838294
Share Accrued Principal Ralauce as of
Price Interest 03/09/2002
03/08/02 I
03/11/02
$26.15 N/A $2,612.25 $2,612.25 Jj
$26.20 2,0IS. ;LoS'
" :/". /8#
$12.46 $430.87 $365,160.70 $365,591.57 ...
$12.45 -~""-~J 014 i("
Jl. I'd."''''
-~~~:f~~Cj.c~/A - "'$370,403,32T $370,403.32 I
$52.34 N;A $207,704.70 $207,704.70
$52.76
-Z,S:2.s.>;:
Fund Name Shares Share Price Accrued Balance as of
CUSIP Number Owned 03/08/02 Interest 03/0912002
03/11/02
Selected Value Fund 739.205 $14.02 N/A $10,363.65
CUSIP 921946]09 $14.03"'" "
Growth Index Fund 1,835.233 $26.79 N!A $49,165.89
CUSIP 922908504 $26.79
(3 '(',',... ~- < c ; ",,- '1' r;.
!:...." 'j
C!. ~,._L.t,-.;...~,--
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'Vanguardr)i. Fbgship Service
Pas: Office Bo); lraj, \'alley Forge, Penm:-h'<mia 1945::
(Roo) 34.5-1:\44. ww\u"J.ng:u~d.(()m
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stein roe
June 5, 2002
John C Sullivan
107 Sample Bridge Rd
Mechanicsburg P A 17050-1940
RE: COl1"espondcn.ce # 0'0168078
Account Numbers: 337-98166426
337-98169083
John C Sullivan &
Helen E Sullivan JT\VROS
Dear Mr. Sullivan:
Thank you for your recent inquiry concerning the value for the referenced accounts. Due to the
fact that the date referenced is a weekend I am providing the requested information as of
03/08/2002.
As of 03/08/2002:
Account: 337-98166426
. The share balance was 2498.093
. The net asset value (price per share) was $ 8.77
. The total value ofthis account was $ 21,908.28
Account: 337-98169083
. The share balance was 5,821.362
. The net asset value (price per share) was $ 8.77
. The total value of this account was $ 51,053.34
1f you need more information, please call a Liberty Funds Services representative at 1-800-962-
1585. We will be happy to help you in any way we can.
We look forward to serving you again in the future.
Sincerely,
Eric Brauchler
Account Representative
L i '-I
i I
>.' I
'i';,> ;";'-i' 'I,"
IN THE COURT OF COMMON PLEASE OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
INRE:
ESTATE OF HELEN E SULLIVAN,
DECEASED
NO. 21-02-0475
DISCLAIMER
The undersigned, Michael K Sullivan, being the son of Helen E. Sullivan,
intending to be legally bound, makes the following disclaimer:
Disclaimant hereby disclaims all right, title and interest he may have in Stein Roe
Mutual Fund Account #337-98169083,
This Disclaimer is irrevocable and unqualified,
IN WITNESS 'WHEREOF, the undersigned has set his hand and seal this 27th
dav ofbhpvember, 2002.
~ Ii /)
// ~/.
Jw- !(L~ r itL,"-C,
Ifc('r- /1
~/!(, "-:;i! JA
Mic'hael K~ Su1tivan \
Witness
COMMONVlEAL TH OF PENNSYLVANIA
COUThTTY OF ,.. f c). "'" I cftl,.,
11"1 .; Hi L-I" \- \;. .-
SS
On this, the :i 7 (-Day of NovoYl b.e y , 2002, before me, a Notary Public, the
undersigned officer, personally appeared Michael K Sullivan, known to me (or satisfactorily
proven) to be the person whose name is subscribed to the within instrument, and acknowledged
that he executed same for the purposes therein contained,
IN WITNESS WHEREOF, I hereunto set my hand and notarial seal,
~"M-7n. ~~
Notary PuJ~h" -I
I Noj,?';is.: SSQ!
r..ktrll'lf.. t,t E':\,.!(':;:2~;;'::L ;';'~\'~'::~V C';1,~:j;I;::;
My Commission Expires: ['"';",;:.'C',:!:,, :','l::,!, ',:' >,.,,",
(SEAL) l. i'"L.(;L'.:';.;:.'..~."", ,,' ,', . .i
t~1:;;\tlr.;'::;;'1 ;' ;~~'~: ;:;,j.-.~>;';',.... L:,'~~":.::'.:..,:,
REV.15GB EX + (1.97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Helen E. Sullivan
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
21-2002-0475
Include proceeds 01 litigation & date proceeds were received by the estate All prop, Jointly-owned with right of survlvorshlo must be disclosed on Sch. F.
ITEM VALUE AT
NO. DESCRIPTION DATE OF DEATH
1 M&T Bank Checking Account #3741371714
3,040.48
2 Jeep
13,500.00
7 CPA81 NTF '0908
Cooyright Forms Sol/ware Only, 1997 Nelco,lnc.
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
16,540.48
~ M&rBank.
ManlJlacturers ar:d Traaers Trust ::omD2n~.', 1100 \N~hrI€- Crlve :;lC, Eox 757. Butta!c, NY 14240.0767
September 23, 2001
RE:
Estate Searo.h
The Estate of:
Date of Death (D.O.D.)
HELL'l E SlJLLIV AN
31912002
To V;lbDm It May C_=:
Identified below is we account infonnarion requested.
!. M&T Bank accounts in which the decedent's name appea.",:
At:.e-aunt
Type
A.ccou.nt Number
Account Title
Opening Branch
D.O.D. Accrued 1mcrest
Balanc::>
(Inciuries Ac",-.
InL)
$3767.36 $.00
em:.
3740105998
HELEN E Suurv AN
JOHN C SUlllV AN
HEl.J::'""N E SULUVAl'l
4.342
CHK
374\371714
4342
$3040.48 S.OO
1. Loans! Mortgages, or other obligations titled in the decedent's name
Account Number
Amount Owed
A.:count Description
NO Sare Deposit Box titled in the- Decedent's name existed at our office.
If you have any queslions abouI tho information provided, plosc con1aJ;t our Records Department al (716) 635-40 10 or 1-800-724-
2440 OUtside of tho Buffalo, NY calling arc.a. T=i:: you.
Sincerely,
M&T BANK. CORPORATION
?1tl-1~~ ~~
Authonzed SignalUre '-'
BY:
DATE:
1-2,..7,,-0 Z-
~ C T!; , ,) q
~i\:\\!::""'I,,!'~t: .~CaC2::- ,IN~'~ .:.;~,!,),)
\\',:)US':
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:B c,
REV.1510 EX + 11.97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Helen E. Sullivan
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
FILE NUMBER
21-2002-0475
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes,
ITEM
NO.
DESCRIPTION OF PROPERTY
INCLUDE NAME OF THE TRANSFEREE, THEIR
RELATIONSHIP TO DECD & DATE OF TRANSFER.
ATTACH COPY OF THE DEED FOR REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET
% OF EXCLUSION
DECO'S (IF
INTEREST APPLICABLE)
TAXABLE VALUE
1 1835,233 shares of Vanguard Growth
Index. Fund at $26,79/ share (IRA)
Beneficiaries: Timi A, Sullivan
and Elizabeth F . sullivan
49,165.89
100%
49,165.89
2 739.205 shares of Vanguard Selectee
Value Fund at $14.03/share
Beneficiaries: Decedent's
daughters, Timi A. Sullivan and
Elizabeth F. Sullivan
10,371.05
100%
10,371. 05
7 CPA01 NTF 10910
TOTAL (Also enter on line 7, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
59,536.94
Copyright Forms Software Only, 1997 Nelco, Inc.
-!-
~~....~..
,I.' ", 1 ..
.
THl:VanguardJROUr.
March 21, 2002
Mr. John Sullivan
] 07 Sample Bridge Road
Mechanicsburg, PA 17055-1940
RE: Estate of Helen E. Sullivan
Dear Mr. Sullivan:
Please accept our sincere condolences on the loss of your wife, Helen E. Sullivan. ] can understand this
may be a difficult time for you. Please be assured that we will make the transition of the accounts as easy
as possible for you.
As you requested, I am sending a valuation of Mrs. Sullivan's accounts as of March 9, 2002. Since March
9,2002 was a Saturday, I have provided the share prices for Friday, March 8,2002 and Monday, March
11,2002.
Helen E. Sullivan
Individual Account 9896872663
I Fund Name Shares Share Accrued Principal Balance as of
CUSIP Number Owned Price Interest 03/09/2002
I 03/08/02
I
03/11/02
Tax-Managed Capital 99.895 $26.15 N1A $2,612.25 $2,612.25 A
Appreciation Fund !nv. $26.20 :) ,I...:" oS ;l.,s'
CUSIP 921943205 " :i0.186
Ins. Long-Term Tax- 29,306.637 $12.46 $430.87 .$365,160.70 $365,591.57 ...
Exempt Fund Adm. $12.45 ~I..::-;'J 014 i<.,
CUSIP 922907852 ..
.. 1:J....,t..
Explorer Fund Adm. 6,587.290 -$56.:f3:r NJA -, '$370,403.32-' $370,403.32 'I ("1~
CUSIP 921926200 'Ole "'"
$56.35 s ' ).<:-j ,
Tax-Managed Capital 3,945.758 $52.34 N/A $207,704.70 $207,704.70
Appreciation Fund Adm. $52.76 SLCI. '3 -..{cl 5"
CUSIP 921943866 .J!. sa ,5",-;: ~""I
C"'-j.s . I'll
Helen E. Sullivan
Traditional IRA Account 9898838294
Fund Name Shares Share Price Accrued Balance as of
CUSIP Number Owned 03/08/02 Interest 03/09/2002
03/11/02
Selected Value Fund 739.205 $14.02 NJA $10,363.65
. "
CUSIP 921946109 $14.03 ''-I
Growth Index Fund 1,835.233 $26.79 NJA $49,165.89
CUSIP 922908504 $26.79
i C I -; "11
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Vanguard~' Flagship Sell'ice
Posr Office Box n03. Valle)' Forg~, Pennsyk1l1ia 1l)48:!
(goo} .'45-1344. WW\.u'anguard.com
,,;---C~ /:i""t.:.
REV-1511EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Helen E _ Sullivan
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
21-2002-0475
Debts of decedent must be reported on Schedule I
ITEM
NO. DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1 C.S. of PA Crenation 1,145.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions 0.00
Name of Personal Representative(s)
Social Security Number(s)/EIN No. of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees 5,000.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 3,500.00
Claimant Jorm C. Sullivan
Street Address 107 Sample Bridge Road
City Mechanicsburg State PA Zip 17050
Relationship of Claimant to Decedent Survi vinq Spouse
4. Probate Fees 943.00
5. Accountant's Fees 0.00
6. Tax Return Preparer's Fees 0.00
7 PA Departrrent of Transportation, jeep registration 36.00
8 Patriot news, ads for jeep 44.00
9 Patriot News, notice of grant of letters 126.36
10 CUmberland law Journal, notice of grant of letters 75.00
TOTAL (Also enter on fine 9, Recapitulation) $ 10,869.36
(If more space is needed, insert additional sheets of the same size)
7 CPA11 NTF 10911
Copyright Forms Sotlware Only, 1997 Nelco, Inc
REV.1512 EX + (1.97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Helen E. Sullivan
Include unreimbursed medical expenses
ITEM
NO.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
FILE NUMBER
21-2002-0475
DESCRIPTION
AMOUNT
1 West Shore Errergency Services
444.78
2 West Shore Pathology
78.36
3 MSHMC Physicians
100.00
4 Silver Spring Ambulance
355.00
7 CPA12 NTF 10912
TOTAL (Also enter on Hne 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
978.14
Copyright Forms Sottware Only, 1997 Nelco, Inc
REV.1513 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
FILE NUMBER
No. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I. TAXABLE DISTRIBUTIONS (include outright spousal distributions)
21-2002-0475
RELATIONSHIP TO DECEDENT AMOUNT OR
00 Not List Trustee(s) SHARE OF ESTATE
Helen E. Sullivan
1 John C. Sullivan
107 Sarrple Bridge Road
Mechanicsburg, PA 17050
Surviving S]X)use 13,500.00
2 Timi A. sullivan
107 Sarrple Bridge Road
Mechanicsburg, PA 17050
3 Elizabeth F. Sullivan
2005 Ewig Road
Cochranville, PA 19330
Daughter 29,768.47
Daughter 29,768.4 7
4 Sullivan Tax Exerrpt Trust
107 sarrple Bridge Road
Mechanicsburg, PA 17050
981,299.99
ENTER DOLLAR AMTS. FOR DISTRIBS. SHOWN ABOVE ON LINES 15 THROUGH 17 AS APPROPRIATE ON REV 1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1 Sullivan Marital D:=duction Trust
See Attached Calculation
7,154.74
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
None
TOTAL OF PART II.. ENTER TOTAl. NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $
7,154.74
7 CPA13 NTF 10913
(If more space is needed, insert additional sheets of the same size)
Copyright Forms Software Only, 1997 NelCQ,l(lC
REV-1514 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE K
LIFE ESTATE, ANNUITY
& TERM CERTAIN
ESTATE OF
Helen E _ Sullivan
(Check Box 4 on Rev-1500 Cover Sheet)
FILE NUMBER
21-2002-0475
This schedule is to be used tor all single lite, joint or successive life estate and term certain calculations. For dates of death prior to 5-1-89,
actuarial tactors for single Ijfe calculations can be obtained from the Department of Revenue, Specialty Tax Unit. Actuarial factors can be found
in IRS Publication 1457, Actuarial Values, Alpha Volume for dates of death on or after 5-1-89.
Indicate the type of instrument which created the future interest below and attach a copy to the tax return.
O. ,l.'{,I_lt, _ _.'_' _", _ ?8flrlterv_'vo~ _I:)e~~, ~f ~r~_~~ ',' _ _ _, '_,' _ _ _ _, ',' n... ~~e,r
...................iliIRlf;eSltAJ;EiI"fl$RESlllCAUCtlLA'IlON............. ..
NEAREST AGE AT TERM OF YEARS LIFE ESTATE IS
DATE OF DEATH PAYABLE
NAME(S) OF
LIFE TENANT(S)
DATE OF BIRTH
John C. Sullivan
10/23/27
74
Term of Years
Term of Vears
T arm of Years
Term of Years
$ 981,299_99
.42015
5.4 %
$ 412,293.19
1. Value of fund from which life estate is payable
2. Actuarial factor per appropriate table
Interest table rate n 03 1{2%, 0 6% 0 10% Wariable Rate
3. Value of life estate (LIne 1 multiplied by Line 2)
NAME(S) OF
ANNUITANT(S)
... .ANNOltvlI"fl$At:lSltiCALCUtAtlONt....
NEAREST AGE AT TERM OF YEARS
DATE OF BIRTH DATE OF DEATH ANNUITY IS PAYABLE
Term of Years
Term of Years
Term of Years
Term of Years
1. Value of fund from which annuity is payable $
2. Check appropriate block below and enter corresponding (number)
Frequency of payout -- 0 Weekly (52) 8 Bi-weekly (26) 8 Monthly (12)
o Quarterly (4) 0 Semi-annually (2) Annually (1) Other ( )
3. Amount of payout per period
$
4. Aggregate annual payment, Line 2 multiplied by Line 3
5. Annuity Factor (see instructions)
Interest table rate 0 3 112%~ 0 6<;1/0 0 10%
o Variable Rate
%
6. Adjustment Factor (see instructions)
7. Value of annuity -- If using 31/2%,6%, 10%, or if variable rate and period payout is at end of period,
calculation is; Line 4 x Line 5 x LIne 6
If using variable rate and period payout is at beginning of period, calculation is:
(LIne 4 x Line 5 x LIne 6) .... LIne 3
$
$
NOTE: The values of the funds which create the above future interests must be reported as part of the estate assets on Schedules A through G
of this tax return. The resulting life or annuity interest(s) should be reported atthe appropriate tax rate on Lines 13, 15, 16 and 17.
(If more space is needed, insert additional sheets of the same size)
7 PA15141 NTF 10881
Copyright Forms Software Only, 1997 Nelco, Inc
REV-1649 EX + (1.97)
COMMONWEALTH OF
PENNSYLVANIA
INHERITANCE TAX RETURN
RESIOENT DECEDENT
ESTATE OF
Helen E. SUllivan
SCHEDULE 0
ELECTION UNDER SEC. 9113(A)
(SPOUSAL DISTRIBUTIONS)
FILE NUMBER
21-2002-0475
Do not complete this schedule unless estate Is making election to tax assets under Section 9113(A) of Inheritance & Estate Tax Act.
If the election applies to more than one trust or similar arrangement, a separate form must be filed for each trust
This election applies to the Sullivan Tax Exerrption Trust Trust(marital. resitiual A, B, By-pass, Unified Credit, etc,}
If a trust or similar arrangement meets the requirements of Section 9113(A), and:
a. The trust or similar arrangement is listed on Schedule 0, and
b. The value of the trust or similar arrangement is entered in whole or in part as an asset on Schedule 0,
then the transferor's personal representative may specifically identify the trust (all or a fractional portion or percentage) to be included in the
election to have such trust or similar property treated as a taxable transfer in this estate. If less than the entire value of the trust or similar property
is included as a taxable transfer on Schedule 0, the personal representative shall be considered to have made the election only as to a fraction of
the trust or similar arrangement. The numerator of this fraction is equal to the amount of the trust or similar arrangement included as a taxable
asset on Schedule 0, The denominator is equal to the total value of the trust or similar arrangement.
PART A: Enter the description and value of aU interests, both taxable and non-taxable, regardless of location, which pass to the decedent's
surviving spouse under a Section 9113 (A) trust or similar arrangement.
DESCRIPTION VALUE
1 SUllivan Tax Exenption Trust 981,299.99
An election under section 9113 to tax the assets in the
Tax Exenption Trust is hereby rrade.
Total Value of Trust is $981,299.99
Spousal portion is $412,293.19
Rerrainder portion is $569,006.80
Part A Talal $ 981,299.99
PART B: Enter the description and value of all interests included in Part A for which the Section 9113 (A) election to tax is being made.
DESCRIPTION VALUE
1 SUllivan Tax Exemption Trust 981,299.99
An election under section 9113 to tax the assets in the
Tax EKenption Trust is hereby rrade.
Total Value of Trust is $981,299.99
Spousal portion is $412,293.19
Rerrainder portion is $569,006.80
7 PA16491
NTF 10882
Part B Talal $
(If more space is needed, insert additional sheets of the same size)
981,299.99
Copyright Forms Software Only, 1997 Nelco. Inc.
REV-1649 EX + (1-97)
COMMONWEALTH OF
PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Helen E. Sullivan 21-2002-0475
Do not complete this schedule unless estate Is making election to tax assets under SectIon 9113(A) of Inheritance & Estate Tax Act.
If the election applies to more than one trust or similar arrangement, a separate form must be filed tor each trust.
This election applies to the Sullivan Marital Deduction Trust Trust(nlarital, residual A, B, By-pass, Unitied Credit, elc.).
If a trust or similar arrangement meets the requirements of Section 9113(A), and:
a. The trust or similar arrangement is listed on Schedule 0, and
b. The value of the trust or similar arrangement is entered in whole or in part as an asset on Schedule 0,
then the transferor's personal representative may specifically identify the trust (all or a fractional portion or percentage) to be included in the
election to have such trust or similar property treated as a taxable transfer in this estate. If less than the entire value of the trust or similar property
is included as a taxable transfer on Schedule 0, the personal representative shall be considered to have made the election only as to a fraction of
the trust or similar arrangement. The numerator of this fraction is equal to the amount of the trust or similar arrangement included as a taxable
asset on Schedule O. The denominator is equal to the total value of the trust or similar arrangement.
SCHEDULE 0
ELECTION UNDER SEC. 9113(A)
(SPOUSAL DISTRIBUTIONS)
PART A: Enter the description and value of all interests, both taxable and non-taxable, regardless of location, which pass to the decedent's
surviving spouse under a Section 9113 (A) trust or similar arrangement.
DESCRIPTION VALUE
2 Sullivan Marital Deduction Trust 7,154.74
Part A Total $ 7,154.74
PART B: Enter the description and value of all interests included in Part A tor which the Section 9113 (A) election to tax is being made.
DESCRIPTION VALUE
2
0.00
7 PAl6491
NTF10882
Part B Total $
(If more space is needed, insert additional sheets of the same size)
0.00
Copyright Forms Sottware Only, 1997 NeIco, Inc
ESTATE OF HELEN E. SULLIVAN
CALCULATION OF
THE HELEN E. SULLIVAN TAX EXEMPTION TRUST
and
MARITAL DEDUCTION TRUST
Under Item III of the Last Will and Testament of Helen E. Sullivan, the residue of
her estate is to be distributed to the Trustee under a Trust Agreement dated
February 17, 1999, to be administered and distributed as provided therein.
Article II of the Trust Agreement provides for the funding of a Tax Exemption
Trust. The Trust is to be funded with the Tax Exemption Amount. The Tax
Exemption Amount is defined as "the amount of principal exactly sufficient to use
fully [Decedent's] federal estate tax unified credit, adjusted by (i) any increase
necessary to give the estate the full benefit of the state death tax credit (but not
increase state death taxes), and (ii) the reduction, if required, to needed to reduce
federal estate tax payable to the lowest possible figure, taking into account items
such as adjusted taxable gifts, property included in the gross estate which does not
qualify for the marital or charitable deduction, and charges to principal that are not
allowed as deductions for federal estate tax purposes.
Article III of the Trust Agreement provides that the balance of the principal is to be
held in a separate Marital Deduction Trust for the benefIt of Decedent's spouse,
John C. Sullivan, Jr.
me by thirty (30) days, or the issue of my aforementioned children as survive me by thirty (30) days,
per stirpes.
(c) In the event of disagreement among my children as to the bequest made under
subparagraph (b) above, my Executor is authorized to make the division, having due regard for the
personal preferences of my children, but making such division in as nearly equal shares as the
Executor deems practical.
(d) With respect to any item passing under subparagraph (a) or (b) to a minor, my
Executor (I) may hold and deliver it to the minor at majority or earlier, or deliver it to any person
to hold for the minor; or (2) may sell it, hold and invest the proceeds for the minor's benefit for any
reason without considering other funds available to the minor. The receipt of any person who
receives an item or payment hereunder shall be a complete discharge to my Executor.
(e) My Executor shall pay, as an expense of settling my estate, all costs of delivering
such tangible personal property, including the costs of packaging, delivery and insurance.
RESIDUARY EST ATE
ITEM III. I give IN TRUST the residue of my estate, real and personal, to the Trustee
under that certain Trust Agreement signed by me on February 17, 1999, to be managed and invested
under the terms of said Trust Agreement and all valid amendments thereto, to be added to the trust
estate under that Trust Agreement as in effect at my death.
Page 2 oflO
1-1 [. .'
H.E.S.
T AX PROVISIONS
ITEM IV.
1. Death Taxes. Except as otherwise may be provided in my husband's will or trust,
or in any other trust, all federal, state, and other death taxes, payable because of my death, on the
property forming my gross estate for tax purposes, whether or not it passes under this Will, shall be
paid out of the principal of my probate estate so that the burden falls on my residuary estate, and
none of those taxes shall be charged against any beneficiary. The provisions concerning payment
of taxes shall not apply to generation-skipping taxes and any property over which I have a general
power of appointment for federal estate tax purposes.
2. Survivorship. My husband shall be deemed to have survived me if the order of our
deaths is not clear.
3. Tax Options. I hereby authorize my Executor, in my Executor's sole discretion, in
whole or in part, to elect to treat in whole or in part as qualified, tenninable interest property for the
purpose of qualifying for the marital deduction, any property passing under my Will, said Trust
Agreement, or otherwise (in which my husband has a qualified income interest for life.) My
Executor shall be without liability to anyone for making or failing to make such election.
4. I hereby authorize my Executor, in my Executor's sole discretion, to make an
election, in whole or in part, to cause the Pennsylvania Inheritance Tax to be payable by my estate
on property passing to or for the benefit of my spouse, or to defer Pennsylvania Inheritance Taxes
Page 3 of 10
H.E.S.
B. Power of Appointment to Reduce Tax. The limited powers of appointment
which are exercisable by a Will hereunder, shall be expanded as follows if
certain taxes can be reduced:
1. A child who has a power of appointment exercisable by his or her
will may, by a will specifically referring to the power of appointment,
appoint the trust to his or her estate to the extent the aggregate of the
federal estate tax and GST tax due as a result of the child's death can
be reduced.
2. Any increase in death taxes in the beneficiary's estate caused by the
inclusion of the trust in it for tax purposes, shall be paid out of the
unappointed principal of the trust, and a written statement by his or
her personal representative may be accepted as being correct.
BENEFICIARIES UNDER 23
ITEM V.
Any property passing under this Will to a person under twenty-three (23)
years of age, or is disabled, physically or mentally at the time an interest is distributable outright to
him or her under this Will, the property shall be paid to his or her parent as custodian for that
beneficiary under the Uniform Transfer to Minors Act of Pennsylvania. Ifhis or her parent for any
reason fails to qualify or ceases to act as custodian, my Executor shall appoint the custodian in his
or her place.
Page 5 of 10
N ;. .::;
H.E.S.
ITEM VI.
Powers of Appointment: No provision ofthis Will shall exercise any power
of appointment I may have.
ITEM VII. Power to Disclaim: Any beneficiary under this document (or his or her
personal representative, guardian or agent acting under a power of attorney) may, at any time and
from time-to-time, by written instrument, release, disclaim or otherwise limit, in whole or in part,
any power or interest granted to such beneficiary under this document. The disclaimer need not take
effect immediately and may be contingent upon the occurrence or nOD-occurrence of any event.
PROTECTIVE PROVISIONS
ITEM VIII. To the greatest extent permitted by law, before actual payment to a beneficiary
or to his or her account, no interest in income or principal shall be assignable by a beneficiary or
available to anyone having a claim against a beneficiary.
MANAGEMENT PROVISIONS
ITEM IX. I authorize my Executor to:
1. RetainlInvest: Retain and invest in any form of real or personal property anywhere
which, in my Executor's opinion, is appropriate for my estate, without being required to diversifY;
2. Compromise: Compromise claims and abandon any property which, in my
Executor's opinion, is oflittle or no value;
Page 6 of 10
/--/ { ~.-
H.E.S.
3. Borrow: Borrow from anyone and pledge property as security for repayment of any
funds borrowed;
4. Sell/Lease: Sell at public or private sale, exchange, lease or lend for any period of
time any real or personal property, and give options for sales or leases;
5. Capital Changes: Join in any merger, reorganization, voting trust plan, or other
concerted action of security holders and delegate discretionary duties with respect to these powers;
and,
6. Disclaim: . Disclaim any part or all of any property, power, or interest passing to me
or for my benefit under any will, trust or otherwise; and
7. Distribute: Distribute in cash or in kind, and allocate specific assets among the
beneficiary (including any custodianship) in such proportions as my Executor may think best, so
long as the total market value of any beneficiary's share is not affected by such allocations.
The powers, authorities and discretion given under my Will shall be in addition to those
granted by law, shall continue until the distribution of the property, and shall be exercisable without
court authorization.
Page 7 of 10
,
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H.E.S.
FIDUCIARIES
ITEM X.
1. I hereby appoint my son, Michael K. Sullivan, as Executor of this Will. If my son,
Michael K. Sullivan, fails to qualify or ceases to act for any reason, I appoint my daughter, Elizabeth
F. Sullivan, as Successor Executrix in his place.
2. Except as provided in Paragraph 1 above, each individual ExecutorlExecutrix then
serving, may appoint, in writing, an individual to succeed him or her. My individual Executors then
serving may unanimously appoint, in writing, an individual to serve with them.
3. My individual Executors then serving may unanimously appoint, in writing, a
corporation organized under the laws of the United States or any state thereof and possessed of trust
powers, which has trust assets of at least One Hundred Million Dollars ($100,000,000.00), as
corporate Executor.
Page 8 of 10
1-/ ( :;.
H.E.S.
IN WITNESS WHEREOF, I, HELEN E, SULLlV AN, the Testatrix to this Last Will and
Testament, have hereunto set my hand and seal this
-"
day of
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, 1999,
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Helen E. Sullivan
In our presence, Helen E, Sullivan, signed this and declared it to be her Last Will and
Testament, and now at her request, in her presence, and in the presence of each other, we sign as
witnesses:
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Page 9 oflO
COMMONWEALTH OF PENNSYLVANIA
ss:
COUNTY OF DAUPHIN
I, Helen E. Sullivan, having been duly qualified according to law, acknowledge that I signed
the foregoing instrument as my Last Will and Testament, and that I signed it as my free and
voluntary act for the purposes therein expressed.
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Helen E. Sullivan
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e, /'\:'Tlrll/ A.{ "\;: '. ~/'...:, an ~/,L.-~' ,.':' .:J.rnc-.--" , aVlng een uy
qualified according tolaw, depose and say that we were piesent and saw Helen E. Sullivan sign the
foregoing instrument as her Last Will and Testament, that she signed it as her free and voluntary act
for the purposes therein expressed; that each of us, in her sight and hearing, and at her request,
signed the Last Will and Testament as witnesses; and that to the best of our knowledge, she was at
that time 18 or more years of age, of sound mind, and under no constraint or undue influence.
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Witness
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Witness
Subscribed, sworn to or affirmed and
acknowledged before me by the above-
named Testatrix and by the witnesses
whose names appear opposite, on this
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I! day of f. ie'.ur.",,, , 1999.
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My Commission Expires: .':.i..." 'c. "~ .' ,( I
Page 10 of 10
REVOCABLE TRUST
OF
HELEN E. SULLIVAN
ONTIDS /7/-1? dayof hbnUdi , 1999, I, HELEN E. SULLIVAN, of Silver
Spring Township, Cumberland County, Pennsylvania, transfer the property listed on the annexed
Schedule "A" to myself, Helen E. Sullivan, as Initial Trustee and Michael K. Sullivan, as Successor
Trustee. Upon my death, my Trustee shall collect any life insurance payable to this Trust. All the
property and any additions shall be held IN TRUST as follows:
DURING MY LIFETIME
1. Mv Personal Trust: During my lifetime, my Trustee shall invest and manage the property
as a separate Trust and make distributions as follows:
A. Pavments/Control: As much, even if all, of the net income and principal as I may
from time-to-time direct, in writing, shall be paid to me or as I may specify. IfI
notify my Trustee in writing, I may direct and control the sale, purchase,
management or retention of any investment, in which event no Trustee shall review'
the investment at any time nor be subject to liability for acting in accordance with
those directions.
B.
Disabilitv:
However, ifI am, in my Trustee's opinion, disabled by illness or other
cause and unable to manage funds properly, as much of the net income and principal
as my Trustee from time-to-time determine to be desirable for me or my husband's
welfare, comfort, support or emergency needs shall be paid to either of us or applied
directly for those purposes. My Trustees shall manage any investments I had
controlled. Any corporate trustee shall have no duty to exercise its powers under this
paragraph, unless it is notified in writing by a family member of mine or by a
physician of mine that he or she believes I am disabled.
C. Balance: Any remaining net income shall from time-to-time be accumulated
and added to principaL
AFTER MY DEATH
II. Tax Exemption Trust: After my death, my Trustee shall set aside the Tax Exemption
Amount if my husband survives me, or all the principal if he does not survive me. (The Tax
Exemption Amount on the date this Agreement is executed is $650,000.00 in have not used my tax
exemption during my lifetime.) My Trustee shall invest and manage the amount as a separate trust
and make distributions as follows:
A. Trust for Husband: If my husband, John C. Sullivan, Jr., survives me:
1. During his lifetime:
a. The net income shall be paid to him at least monthly;
b. As much of the principal as my Trustee may think desirable from
time-to-time for the welfare, comfort, health, education or other needs
of my husband or any of my descendants living from time-to-time
2
shall be paid to or for the benefit of that person. My husband's
approval (unless my Trustee believes he is disabled and unable to
give his approval) shall be needed for any distribution to a
descendant, and none of the principal of this Trust shall be paid to or
applied for the benefit of my husband unless the principal of the
Marital Deduction Trust has been exhausted.
I intend that my husband be given primary consideration, and I hope that to
the extent possible, he shall be able to maintain the standard of living to
which he has been accustomed during my lifetime.
2. Upon my husband's death, the then remaining principal shall be paid to or in
trust for anyone or ore persons or organizations - excepting only his estate,
his creditors, and the creditors of his estate - on any terms which my husband
may specify in his will specifically referring to this power of appointment;
and to the extent he does not make an effective appointment, shall be held in
accordance with the following paragraphs of this article.
B.
Trusts Primarilv for Children:
After my husband's death (or mine ifI survive
him), my Trustee shall hold the then remaining principal not effectively appointed by my husband
as one trust. The Trustee shall divide the Trust principal into equal shares ("Trusts") to provide
separate equal shares for each of my children, Timi, Elizabeth, and Michael, who shall survive me
3
by thirty (30) days, AND one (1) separate equal share, which shaIl be a Sprinkle Trust for the benefit
of all my children.
C. Sprinkle Trust for the Benefit of Our Children:
1. The Trustee shall distribute the income of the Sprinkle Trust for the benefit
of my children in such amounts and for the benefit of such child or children, as
he/she may elect in his/her absolute discretion. Such election shaIl be made after
considering their health, maintenance and support, and after considering all resources
available to them, including federal and state public assistance, such as Social
Security Administration benefits.
2. Although all my children are intended to be the primary beneficiaries of the
Sprinkle Trust, it is my desire that the Trustee consider contributing such income and
principal of the Sprinkle Trust as the Trustee deems appropriate to supplement the
resources available to our son, John, III, for his health, maintenance and support.
Notwithstanding the hereinabove provisions, in no event is the Trustee obligated to
distribute the income or principal of the Sprinkle Trust for our son, John, III, but only
if the Trustee, in hislher absolute discretion, decides to do so. In no event shall the
Trustee reimburse any amounts to the federal or state governments, agencies, or any
subdivision of them.
3. On the death of our son, John, III, I give the principal and undistributed
income of the sprinkling trust equally to our children, Timi, Michael and Elizabeth,
4
who survive this event by thirty (30) days. However, if a child does not survive to
this event by thirty (30) days and leaves descendants who so survive, such
descendants shall receive, per stirpes, the share the child would have received had
he or she so survived the event.
D. Trusts for the Benefit of Our Children. Timi. Michael and Elizabeth.
With reference to the several trusts established under Paragraph II, B "Trusts Primarily for
Children", during the lifetime of Timi, Michael and Elizabeth:
(1) The net income from hislher trust shall be paid to him or her at least
quarterly;
(2) As much of the principal of hislher trust as my Trustee may from time-to-
time deem desirable for the welfare, comfort, health, education, or other
needs of that child, or any of his or her descendants living from time-to-time,
shall be paid to or for the benefit of that person; and
(3) Each child shall have the cumulative rights to withdraw up to one-third ('Is)
of the principal of his or her trust at any time after reaching fifty (50) years
of age, up to one-half (Yz) of the balance of the trust at any time after reaching
fifty-five (55) years of age, and the entire trust balance at any time after
reaching sixty (60) years of age. A reasonable number of partial withdrawals
for each fraction is permitted. (The aggregate principal subject to withdrawal
for each fractional drawcdown shall be determined by multiplying the
5
applicable fraction times the sum of the then principal balance of his or her
trust after adding back the prior partial withdrawals.)
(4) At the death of each child or at the time for the setting apart of shares in the
case of a child who dies before that time, any then remaining principal of his
or her trust shall be paid:
(a) To or in trust for anyone (1) or more persons or organizations -
excepting only his or her estate, his or her creditors, and the creditors
of his or her estate - on any terms which he or she may specify in his
or her will specifically referring to this power of appointment; and to
the extent he or she does not make an effective appointment;
(b) To his or her then living descendants, per stirpes; or, in the default of
such descendants;
(c) To my then living descendants, per stirpes, excluding my son, John,
III; or in default of such descendants;
(d) One-half(Yz) to the person(s) and in the share(s) determined as ifmy
husband had then died unmarried domiciled in Pennsylvania without
a will, and the balance to the persons and in the shares determined as
if I had then died unmarried domiciled in Pennsylvania without a
will.
6
/\ny portion paid in trust for a descendent of mine under paragraph (b) or (c) shall be held
in accordance with the provisions of the trusts under this Article II
III. Marital Deduction Trust: Ifmy husband, John C. Sullivan, Jr., survives me, my Trustee
shall invest and manage the balance of the principal as a separate trust, and make distributions as
follows:
A. Payments During Husband's Lifetime: During my husband's lifetime:
1. The net income shall be paid to him at least monthly; and
2. As much of the principal as my Trustee may from time-to-time think
desirable for his welfare, comfort, support, or other needs shall be paid to
him.
I intend my Trustee to use principal liberally for my husband to enable him to
maintain insofar as possible the standard ofliving to which he has been accustomed
during my lifetime.
B. Payments Upon Husband's Death: On my husband's death:
1. Except as otherwise provided by a specific reference to this trust in my
husband's will, any increase in death taxes or administration expenses in his
estate caused by the inclusion of this trust in it for tax purposes, shall be paid
out of the unappointed principal, and a written statement by his personal
representative ofthe-arnounts payable may be accepted as being correct; and
7
The balance of the then remaining income and principal shall be paid to or in
trust for anyone or more of my descendants on such terms which he may
speed:y in his will specifically referring to this power of appointment, except
that he may also appoint the income to his estate in the same manner; and to
the extent the balance is not effectively appointed, shall be added to and
administered as part of the Tax Exemption Trust in the manner provided
under Article II of this Trust.
C. Election for Marital Deduction: If an election is made to qualify only a fraction of
')
this trust for the marital deduction in my estate, my Trustee shall hold each fractional share as a
separate trust under the same terms contained in this article.
IV. Adopted Persons: Persons adopted during minority shall be considered as children of
their adoptive parents, and they and their descendants shall be considered as descendants of their
adoptive parents.
v.
Survivorship:
deaths is not clear.
TAX PROVISIONS
My husband shall be deemed to have survived me if the order of our
8
,
/.,;,."",
VI.
Intent and Funding of Trusts:
I direct that:
A. Intent: Every provision of this document shall be interpreted, and all powers,
authorities, and discretion given under this document shall be exercised, in
accordance with my primary intent that the Marital Deduction Trust shall qualifY, or
eligible to qualifY, for the federal estate tax marital deduction. In particular, all
payments from t.he Marital Deduction Trust during my husband's lifetime may only
be to him, to his legal representative, or directly for his benefit. Also, he shall have
the right to require my Trustee to make all property held by the Marital Deduction
Trust productive of a reasonable amount of income.
B. Funding: Property distributed in kind to the Tax Exemption Trust shall be valued
at its date of distribution. If my husband survives me, to the extent possible, all
property ineligible for the federal estate tax marital deduction shall be distributed to
the Tax Exemption Trust.
C. Change to Save Income Taxes: Calculated as of the date of my death, if any
principal passing to the Tax Exemption Trust would consist of property known as income in respect
of decedent (IRD), assuming all my other applicable trusts are funded first with the IRD property,
I change the formula to a fractional share applied against the principal, so no capital gains are
incurred. The numerator of the fractional share shall be the amount determined under the current
formula stated in the Tax Exemption Trust; the denominator and "the principal" shall mean the sum
of (i) the-principal held under this instrument army death, (ii) the amount of the proceeds of any
9
Pennsvlvania Inheritance Tax Return
Calculation of
The Helen E. Sullivan Tax Exemntion Trust
The Helen E. Sullivan Marital Deduction Trust
Tax Exemption Trust - Initial
Calculation
Maximum amount sheltered $ 1,000,000.00
by applicable credit:
Less: Taxable Gifts: $ 0.00
Less: Schedule G to persons $ (59,536.94)
other than spouse:
Less: Federal Schedule D $ (25,000.00)
property passing to persons
other than spouse
Subtotal: $ 915,436.06
Plus State Death Tax Shelter $ 65,836.93
Amount:
For Pennsylvania Inheritance $
Tax Purposes: The Helen E.
Sullivan Tax Exemption
Trust
981,299.99
Balance: The Helen E. $
Sullivan Marital Deduction
Trust
7,154.74
in investment and administration:. provided that any combination of trusts for this
purpose shall not alter their status as separate trusts; and
1. Distribute: Distribute in cash or in kind or partly in each.
The powers, authorities and discretion given under this document shall be in addition to those
granted by law, shall continue until the distribution of the property, and shall be exercisable without
court authorization.
XII. Payments to Aid in Settlement of Estate: My Trustee shall pay the balance of any cash
gifts under my will which cannot be paid from my probate estate. A written statement by my
personal representative of the amount payable may be accepted as being correct. My Trustee shall
have the power, but not the duty, to make payments which my Trustee may think desirable to
facilitate the settlement of my estate. In the exercise of this power, my Trustee may pay directly or
to my executor or administrator, any or all of (1) my debts, (2) the expenses of my funeral and
burial, and (3) death taxes and administration expenses in cOlmection with my estate. These
payments shall be made from fhe Tax Exemption Trust.
XIII. Exercise of Discretion: Where my Trustee is given discretion under this document, I direct
that:
A. Shares of Beneficiaries: In the administration of a sprinkle trust, subject to a
specified person being- considered as the primary beneficiary, one or more of the
14
eligible distributees may be wholly excluded from any or all periodic distributions:
all distributees need not be treated equally or proportionately; the pattern followed
in one distribution need not be followed in others; and income may be accumulated
to whatever extent and in whatever amounts my Trustee may think appropriate.
B. Other Resources: In making decisions on distributions, my Trustee may take into
account funds available to the beneficiary from other sources to whatever extent my
Trustee thinks appropriate.
C. Conclusive Upon All Parties: Any discretion under this document - if exercised or
not exercised as long as done so in good faith - shall be conclusive upon all persons
concerned. My Trustee shall have no further responsibility over funds paid or
applied using this standard of care.
XIV. Beneficiaries Under 23 or Disabled: If any beneficiary becomes entitled to an outright
distribution of income or principal and is (1) under the age of twenty-three (23), or (2) in my
Trustee's opinion disabled by illness or other cause and unable to manage the funds properly:
A. Payments: As much of the income or principal as my Trustee may from time-to-time
think desirable for that beneficiary, shall be paid to or for the beneficiary. Payments
may be made to any person or organization taking care ofthe beneficiary.
B. Balance: The balance of the income and principal- and the net income from those
funds -"shaUbe fuanagedaS it separate trUst for that beneficiary. FUiids shall be paid
15
to or for the beneficiary in accordance with the prOVISions of the preceding
paragraph. When the beneflciary reaches twenty-three (23) years of age, or in my
Trustee's opinion becomes free of disability, as the case may be, the then remaining
balance shall be paid to the beneficiary. If the beneficiary dies before that time, the
balance shall be paid to his or her personal representative.
XV. Early Ending of Trusts: If my Trustee determines that it is desirable to do so, my Trustee
may end any trust under this document in the following manner:
A. Method: My Trustee may end any trust by paying the then remaining principal and
income of that trust to the person then eligible to receive the income, or if there is
more than one person, to them in the proportions which my Trustee thinks
appropriate. Alternatively, any payment may be made to any trust which my Trustee
believes will be more appropriate, even though there may be other beneficiaries
B. Disabled Persons: If any person is a minor, or in my Trustee's opinion disabled by
illness or other cause and unable to manage the funds properly, my Trustee may pay
the funds to the person's parent, guardian, legal representative or any person or
organization taking care of the person. If a person is a minor, my Trustee shall
deposit the funds into a savings account in the minor's name and payable to the
minor at majority, or appoint and pay the funds to a custodian for the minor under the
. Uniform Gifts or Transfer to Minors Act of any state.
16
XVI. Rights to Income: If a trust is funded from a larger trust or share, it shall be entitled to
proportionate amount of the income from the time the trust is to begin, until the actual fimding.
During that period, income and principal may be distributed directly to the beneficiaries, subject to
the terms of the trust. All income undistributed at a beneficiary's death shall be treated as if it had
accrued after his or her death.
XVII. Protective Provision: To the greatest extent permitted by law, before actual payment to a
beneficiary or to his or her account, no interest in income or principal shall be assignable by a
beneficiary or available to anyone having a claim against a beneficiary.
XVIII. Insurance Policies: My Trustee shall have no duty to pay premiums on any insurance
policies payable to my Trustee, and the companies issuing the policies shall have no responsibility
for the application of the proceeds or the fulfillment of the trust.
XIX. Situs and Governing Law: The situs of the trust shall be in Pennsylvania. All questions
as to the validity, effect, or interpretation of this document or the administration of the trusts shall
be governed by the law of Pennsylvania.
XX. Accounting:: At least quarterly, my Trustee shall send the beneficiaries who receive income
currently or their legal' representatives statements showing the transactions in their trusts:' No
17
accounting shall be required routinely by a court, but my Trustee and any beneficiary shall be
entitled at any time to seek a judicial settlement of a trust account in any court of competent
jurisdiction selected by my Trustee. Also:
A. Out of Court Settlement: My trustee may at any time settle any account or question
concerning the administration of a trust by agreement with all the then legally
competent beneficiaries who are eligible to receive income - and if there are any -
either (I) with all their then legally competent living descendants, or (2) with all the
legally competent persons whom my Trustee determines would be entitled to receive
a share of the principal if all the beneficiaries who are eligible to receive income had
died immediately prior to the date of the agreement (disregarding powers of
appointment). However,
1. If my Trustee determines that there is no legally competent person to make
an agreement, then the agreement may be made by the legal representative,
legally competent spouse, or oldest legally competent relative of the closest
degree of each person specified above; and
2. If an addition is made by will or from another trust, my Trustee may accept
the statement of the fiduciary that the property delivered to my trustee
constitutes all the property to which my Trustee is entitled. My Trustee shall
have no duty to require the fiduciary to state an accounting of his, her, or its
18
administration, or to inquire into any action of the fiduciary, and only shall
be responsible for the property which my Trustee receives.
B. Effect: Any settlement under the above paragraph shall bind all persons who may
ever be interested in the trust, and shall effectively release and discharge my Trustee.
XXI. Additions: I and my husband and, with my Trustee's approval, anyone else may add to any
of the trusts. However, my Trustee shall have the right to refuse any addition which my Trustee
believes would put my Trustee at risk individually, such as environmentally contaminated property.
If any addition, including one from a trust to another trust under this document, does not have the
same GST tax inclusion ratio as the trust to which it otherwise would be added, it shall instead be
held in a separate trust with identical terms at that trust.
XXII. Rights Reserved: I reserve the following rights, each of which may be exercised whenever
and as often as I may wish:
A. As to Insurance: All rights vested in me as the owner of any insurance policies
payable to my Trustee.
B. As to Revokin~ this Trust: The right by an instrument in writing - other than a will-
to revoke or amend part or all of any trust. However, no alteration shall increase my
Trustee's responsibilities or change my Trustee's compensation "vithout my Trustee's
- written consent
19
FIDUCIARIES
XXIII.
1.
Provisions Regarding Mv Trustee:
A. I, Helen E. Sullivan, will be the initial Trustee of this Trust. If I am unable or
unwilling to continue to serve, my son, Michael K. Sullivan, shall be the Successor Trustee of all
trusts created hereunder, and if both I, Helen E. Sullivan, and Michael K. Sullivan, are ever both
unable or unwilling to serve or to continue to serve, my daughter, Elizabeth F. Sullivan, shall be the
Successor Trustee of all trusts hereunder. Any reference to the "Trustee" equally refers to the
"Successor Trustee."
B. Division ofDutiesfDelegation: My Trustee shall be custodian of all the securities in
my estate, may hold the securities in the name of a nominee, and shall maintain the records. Any
individual Trustee may delegate in writing from time-to-time to my Trustee, any or all of the
individual Trustee's powers and duties. Unless any individual Trustee otherwise directs in writing,
I authorize my Trustee to rely upon any oral instructions or approvals as long as my Trustee believes
in good faith they are genuine.
C. Resignation: Any Trustee may resign at any time without court approval by written
instrument delivered to the Trustee and to the individuals who could approve an account under the
"Accounting" article of this document.
D. Successor Individual Trustee Appointment: Each individual Trustee shall have the
power during his or her lifetime, or by Will, to appoint his or her successor for such term as he or
20
she shall specify. In default of appointment, a majority of my then living descendants who have
legal capacity and who are beneficiaries of the particular trust, shall have that right.
E. Removal: A majority of the then individual Trustee or Trustees of a trust shall have
the power to remove the then acting corporate Trustee of that trust and appoint a successor corporate
Trustee by written instrument delivered to each of them. The successor corporate Trustee appointed
in this manner shall have no powers under the "Early Ending of Trusts" article, may only exercise
its discretion over principal for the health, support, maintenance, or education of a beneficiary, and
shall have no power to exercise its discretion for the support of someone a Trustee has an obligation
to support. It is my hope that a corporate Trustee faced with removal would resign.
F. Successor Trustee Liability: No Successor Trustee shall be obliged to examine the
accounts, records, and acts of the previous Trustee or Trustees, nor shall such Successor Trustee in
any way be responsible for any act or failure to act on the part of the previous Trustee or Trustees.
The Successor Trustee shall be responsible only for the assets which have been actually delivered
to him or her.
G. .8.mlQ: No Trustee shall be required to give bond or security in any jurisdiction.
H. Compensation: Any corporate Trustee shall receive compensation in accordance
with its standard schedule offees in effect while its services are performed. No individual Trustee
who is a beneficiary of any trust under this document shall receive compensation.
21
XXIV.
DEFINITIONS AND MISCELLANEOUS
I am married to John C. Sullivan, Jr. at the time this Trust is executed, and all
A.
references to my "husband" are to him.
B. A Trustee is "disabled" or under a "disability" under this Trust whenever any Trustee.
other than a disabled Trustee, or ifthere is no such Trustee, any person who would become successor
Trustee on such determination of disability, receives written certification from two (2) physicians
regularly attending me or Trustee (as the case may be), at least one (1) of whom is board-certified
in the specialty most closely associated with the alleged disability, that such person has become
physically or mentally incapacitated, regardless of cause and regardless of whether or not there has
been any adjudication of incompetence, mental illness, or need for a committee, conservator,
guardian, or other personal representative. A Trustee is recovered from his or her disability
whenever the then-serving Trustee receives written certification from two (2) physicians regularly
attending such disabled person, at least one (1) of whom is board-certified in the specialty most
closely associated with the alleged disability, that he or she is no longer incapacitated and is again
able to manage his or her own personal and financial affairs. No Trustee is liable to anyone,
including me, for removing me or any other person from the Trusteeship, if the Trustee relied in
good faith on the aforementioned physicians' certifications. No one else is liable to me or any other
person for dealing with a Trustee other than the one removed for disability, if such removal was
made upon good faith reliance on the aforementioned physicians' certifications.
22
D. No person shall be deemed to have survived me for purposes of this trust unless he
or she is living on the date thirty (30) days after the date of my death, as determined by the respective
legal death certificates.
E. All tax-related terms mean the same things in this trust instrument as they mean in
the Internal Revenue Code of 1986, as amended.
F. "Personal representative" shall include any executor, ancillary executor,
administrator, or ancillary administrator, whether local or foreign, and whether of all or part of the
decedent's estate. Whenever this tmst requires or permits the Trustee to act on the direction or in
conjunction with a personal representative, if no personal representative has been appointed, the
Trustee shall (if required) or may (if permitted) take such action alone and without the consent or
concurrence of a personal representative.
G. "Death taxes" means all estate, inheritance, legacy, succession, transfer, and other
taxes (including any tax on excess retirement accumulations) imposed with respect to my death by
any state, the United States, or by any foreign country, and all interest and penalties imposed with
respect to such taxes. Death taxes shall include neither generation-skipping transfer taxes for which
my estate is not legally responsible, nor taxes imposed on a taxable event with respect to a qualified
domestic trust, under federal estate tax law.
H. Notwithstanding anything in this instrument to the contrary, all trusts created
hereunder shall terminate and their funds be distributed if all interests in such trusts have not vested
twenty-one (21) years after the death of the last to die-of those of my husband -andmy descendants
')"
-~
who shall have been alive on the date of my death. Distribution under this article shall be made to
the persons to whom the trustee must or may then pay the trust's income, in proportion to their
interests in trust income or, if such interests are indefinite, equally to such beneficiaries without
regard to their relationship to me. For purposes of this paragraph, any beneficiary entitled to receive
support is entitled to receive income.
1. There is only one (1) signed original of this trust. Anyone may rely on a copy of said
document as certified by a notary public or similar official to be a true copy of the signed original
(and of the amendments or other writings, if any, endorsed on or attached thereto) to the same effect
as if such copy were the signed original. Anyone may rely upon any statement of fact certified by
anyone who appears from the original document or a certified copy thereof to be a Trustee
hereunder.
J. This trust shall be governed by and construed according to the laws of the
Commonwealth of Pennsylvania.
K. Whenever the context of this trust requires, the masculine gender includes the
feminine and neuter, and vice versa, and the singular nunlber includes the plural, and vice versa.
24
IN WITNESS WHEREOF, I have hereunto set my hand and seal all as of the day and year
first above writien.
WITNESS:
-5?/~~/d,~
I ///
{/
S/ltL t~. ~
Helen' E. Sullivan '
WITNESS:
TRUSTEE:
1}}+/i~
~dj~v CZj~
HClen E. Sullivan
WITNESSES:
d(~ b1.~
W~ess /,
daA0wl~ yJA
Address
/
.-;/~Y)_.":\i
il /\
"I I
,f"1 r.- -
.,
,
r -~
Witness
I '~."".'-"r'-".?;:
Address
25
SCHEDULE "A"
TRUST ASSETS
This Schedule "A" is included only for the convenience of the Trustee and beneficiaries, and
any failure to list trust assets on Schedule A shall in no way affect the trust's ownership of those
assets.
Established
Initial Value
Gross Value
Cash Status
Policv No.
26
COMMONWEALTH OF PENNSYLVANIA
:ss
COUNTY OF DAUPHIN
ON THIS 12- day of hbrP-d (2 q , 1999, before me, a Notary Public within and for
/
the aforementioned County and State, personally appeared Helen E. Sullivan, to me known to be the
person described in and who executed the foregoing instrument and acknowledged that she executed
the same as her free act and deed, in her respective capacities.
FURTHER, that said Helen E. Sullivan, signed in the presence of both witnesses, and that
both witnesses signed at the request of the said Helen E. Sullivan in her presence and in the presence
of each other.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the
day and year in this certificate first above written.
:sf {Jh_~.d.2P_~
Nb~jPublic "
M:jLe"omrnission Expires: hb. /,;;- c2 C <71
/
Register of Wills of Cumberland County, Pennsylvania
~
INVENTORY
Estate of Helen E. Sullivan
No. 21-02-0475
also known as Date of Death 03/09/02
Deceased Social Security 206-24-8043
No.
John C. Sullivan
Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the
personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation
placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned
no real estate outside of the Commonwealth nsylvania except that which appears in a memorandum at the end of this inventory.
IlWe verify that the statements made in tnv tory are tr~nd correct. I/We understand that false statements herein are made
subject to the penalties o'f 18 Pa. C.S. e~~arr- 04 relatin un orn 'falsification to authorities.
Name of / It' ~ . ) Personal Representative:
Attorney: John C. Sulliv vi:
John C. Sullivan
LD. No.:
Dated: I~/Y/O J-.
Address
107 Sample Bridge Road
Mechanicsburg, PA 17050
717-766-4347
Telephone
DESCRIPTION VALUE
1. M&T Bank Account #3741371714 $ 3,040.48
2. 29,306.637 shares of Vanguard Ins. Long Term Tax Exempt $ 365,445.03
3. 3945.758 shares of Vanguard Tax Managed Capital Appreciation $ 207,349.58
4. 99.895 shares of Vanguard Tax-Managed Capital Appreciation $ 2,615.25
5. 6587 shares of Vanguard Explorer Fund Adm $ 370,798.55
6. Steinroe Account #337-98169083 $ 51,053.34
7. Jeep $ 13,500.00
Total $1,013,802.23
(Attach Additional Sheets If Necessary)
NOTE: The Memorandum ofrealestate outsidetTle Commonwealth Qfpennsylvania may, atthe election of the personal representative, indudethevalue of each item,
but such figures should not be extended into the total of the Inventory.
Form RW-7 lDaupl1'ln County) - Rev.1II92
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.2B0601
HARRISBURG. PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
SULLIVAN JOHN C ESQUIRE
200 N 3RD STREET 18TH FLOOR
POBOX 840
HARRISBURG, PA 17108-0840
__nnn fold
ESTATE INFORMATION: SSN: 206-24-8043
FILE NUMBER: 2102-0475
DECEDENT NAME: SULLIVAN HELEN E
DATE OF PAYMENT: 12/09/2002
POSTMARK DATE: 12/06/2002
COUNTY: CUMBERLAND
DATE OF DEATH: 03/09/2002
NO. CD 001923
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $2,458.16
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: JOHN C SULLIVAN ESQUIRE
CHECK# 3434
SEAL
INITIALS: CW
RECEIVED BY:
REGISTER OF WILLS
$2,458.16
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG. PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF DETERMINATION AND
ASSESSMENT OF PENNSYLVANIA
ESTATE TAX BASED ON FEDERAL
ESTATE TAX RETURN
*'
REV-~B3 EX iFP IDl-On
JOHN C SULLIVAN
107 SAMPLE BRIDGE RD
MECHANICSBURG PA 17050
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
03-31-2003
SULLIVAN
03-09-2002
21 02-0475
CUMBERLAND
201
HEL EN
E
Allaunt Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CD CDURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account7 submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ~
RE-y=48Ji-Ex-IiFP--[oi:-ojj-----iii-NiificE--oF--DETE-RHINIiflo-N-AiiD-As-sESS-HENT-----------------------------
OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN ..
ESTATE OF SULLIVAN
HELEN
E FILE NO.21 02-0475
ESTATE TAX DETERMINATION
ACN 201
DATE 03-31-2003
1. Credit For State Death Taxes as Verified
26.993.15
2. Pennsylvania Inheritance Tax Assessed
(Excluding Discount and/or Interest)
45.546.34
3. Inheritance Tax Assessed by Other States
or Territories of the United States
(Excluding Discount and/or Interest)
.00
4. Total Inheritance Tax Assessed
45.546.34
5. Pennsylvania Estate Tax Due
.00
TAX CREDITS:
PAYMENT RECEIPT DISCDUNT (+) AMDUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
-IF PAID AFTER THIS DATE, SEE REVERSE SIDE (IF TDTAL DUE IS LESS THAN $1, NO PAVMENT IS REQUIRED
FDR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" [CRI, YOU NAV BE
DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS.!
I?.<S 3-/-'/
'\.. BuREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
DEPT. 260601
HARRISBURG, PA 17128-0601
TAXES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEOUCTIONS AND ASSESSMENT OF TAX
JOHN C SULLIVAN
107 SAMPLE BRIDGE RD
MECHANICSBURG PA 17050
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
03-31-2003
SULLIVAN
03-09-2002
21 02-0475
CUMBERLAND
101
'*'
REY-l!i47 EIt lFP tOl~Qll
HELEN
E
Allount Rellitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REv=m-j-Ex--Aiij>--fiiFiiiy-ijiiYIcE--oF-i-N"HEifIi'ANcE-YAx-APPRAIsEHEij:r-,--ALLowANCE-oi-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
HELEN E FILE NO. 21 02-0475 ACN 101
ESTATE OF
SULLIVAN
TAX RETURN WAS: I
) ACCEPTED AS FILED
I X) CHANGED
SEE
DATE 03-31-2003
ATTACHED NOTICE
If an assessment was issued previously, lines 14, IS and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Allount of Line 14 at Spousal rate (15)
16. Allount of Line 14 taxable at Lineal/Class A rate (16)
17. Allount of Line 14 at Sibling rate (17)
18. Allount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. stocks and Bonds {Schedule BJ
3. Closely Held stock/Partnership Interest (Sehedule C)
4. Mortgages/Notes Receivable lSehedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
IS)
(6)
17J
.00
997,261.75
.00
.00
16.540.48
.00
59.536.94
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule HJ
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Hon-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
(10)
10,869.36
978.14
Ill)
(12)
(13)
(14)
NOTE:
13,500.00 X
1,040,836.93 X
.00 X
.00 X
NOTE: To insure proper
credit to your account}
sub.it the upper portion
of this for. with your
tax payltent.
1,073,339.17
11 .R47 ~o
1,061,491.67
7,154.74
1,054,336.93
00 ,
045,
12 ,
15 ,
.00
46,837.66
.00
.00
46,837.66
(19)'
TAX CREDITS:
'ft,n<n, ,+I AMOUNT PAID
DATE NUM8ER INTEREST/PEN PAID (-)
06-06-2002 CDOO1265 1,291.32 24,535.00
12-06-2002 CDOOl9Z3 .00 2,458.16
INTEREST IS CHARGED THROUGH 04-15-2003 TOTAL TAX CREDIT 28,284.48
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 18,553.18
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 333.83
TOTAL DUE 18,887.01
. IF PAID AFTER DATE INDICATED} seE REVERSE
FDR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
. .
REV-1470 EX (&-88)
'*
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME
FILE NUMBER
2102-0475
101
Helen E. Sullivan
REVIEWED BY
ACN
Bill Lyons
SCHEDULE ITEM
NO.
EXPLANATION OF CHANGES
Under the terms of the Tax Exemption trust, the trustee may distribute principal to issue
during the lifetime of the surviving spouse. In the absence of a request for a future interest
compromise, the Department has the right to assess tax at the highest rate in the chain of
potential distributions. Therefore, the tax has been assessed at 4.5% on the value of the
residuary trust.
ROW
Page 1
/'}-6.3 -F/ ..~
~ BUREAU OF INOIVID~ TAXES
IHHERll ANtE TAX 'iIV1S: .,
DEPT. 280601 '
HARRISBURGJ PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
RECORD ADJUSTMENT
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
10-15-2003
SULLIVAN
03-09-2002
21 02-0475
CUMBERLAND
101
ELYSE ROGERS
415 FALLOWFIELD
STE 301
CAMP HILL
RDD
PA nOll
Allaunt Remitted
*
REY-l~U EX AFP [01_05)
HELEN
E
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account} subMit the upper portion of this form with your tax pay.ent.
CUT ALONG THIS LINE __ RETAIN LOWER PORTION FOR YOUR RECORDS ~
RE-Y = iS93Ti-iif'P-foFo3y-----j,-..-iiftiERYiiiNCri-TAX-RE-ciiRD--iiii:.-uS'i'MENT--....----------------------- -- - ---
ESTATE OF SULLIVAN
HELEN
E FILE NO. 21 02-0475
ACN 101
DATE
10-15-2003
ADJUSTMENT BASED ON:
VALUE OF ESTATE:
PROTEST BOARD DECISION
1. Real Estate (Schedule AJ
2. stocks and Bonds {Schedule Bl
3. Closely Held stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable lSchedule DJ
5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule fJ
7. Transfers (Schedule G)
8. Total Assets
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/
Miscellaneous Expenses (Schedule H)
Deb~s/Hortgage Liabilities/Liens (Schedule I)
Total Deductions
Net Value of Tax Return
Charitable/Governmental Bequests; Non-elected 9113 Trusts
Net Value of Estate Subject to Tax
10.
II.
12.
13.
14.
TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B
19. Principal Tax Due
TAX CREDITS:
rate
(9)
(10)
(15)
(16)
(17)
I1B)
(1)
(2)
(3)
(4)
IS)
(6)
171
.00
997,261.75
.00
.00
16,540.48
.00
59,536.94
IB)
10,869.36
978.14
(II)
(12)
(13)
(14)
(Schedule oJ)
425.793.19X 00 =
628.543. 74X 045=
.OOX 12 =
.OOX 15 =
(19)
1,073,339.17
11,847.50
1,061,491.67
7,154.74
1,054,336.93
.00
28.284.47
.00
.00
28,284.46
RE~.rPl '+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-06-2002 CDOO1265 1,291.32 24,535.00
12-06-2002 CDOO1923 .00 2,458.16
TOTAL TAX CREDIT 28,284.48
BALANCE OF TAX DUE .02CR
INTEREST AND PEN. .00
TOTAL DUE .02CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE I IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
BOARD OF APPEA"" ,
DEPT.281021" .. \ '
HARRISBURG,PA 1712jl-1021
COMMONWEALTH OF PENNSYLVANIA
. DEPARTMENT OF REVENUE
ELYSE E ROGERS ESQ
KEEFER ET AL
415 FALLOWFIELD RD STE 301
CAMP HILL PA 17011-4906
IN RE ESTATE OF:
SULLIVAN HELEN E
DOCKET NO.:
TAX TYPE:
APPEAL TYPE
FILE NUMBER:
ACN:
APPRAISEMENT:
PETITION FILED:
EXAMINER:
MAILING DATE:
DECISION AND ORDER
0307610
Inheritance
Protest
2102-0475
101
3/31/2003
4/11/2003
DONNA E AUMENT
Direct Dial: (717) 783-7894
Fax: (717) 787-7270
Email: daument@state.pa.us
September 26, 2003
In its appraisement and assessment of the estate's inheritance tax return, the
Department determined that, in the absence of a request for a future interest compromise,
tax on the entire $981,299.99 Tax Exemption Trust is due at the 4.5% rate, the highest rate
in the chain of potential distributions. Petitioner states that the trust is a sole use trust
for which an election to tax in this estate has been made. Petitioner further contends that
tax should be assessed on the basis of a life interest to the surviving spouse at the 0%
rate and a remainder interest to the decedent's issue at the 4.5% rate.
Article II of the decedent's revocable trust establishes a Tax Exemption Trust from
which the trustee must pay the net income to the surviving spouse. In addition, at the
trustee's discretion, he may distribute as much of the principal as desirable for the
welfare, comfort, health, education or other needs of the spouse or any of the decedent's
living descendants. The spouse's approval is needed for any distribution to a
descendant. Upon the decedent's death, the remaining principal passes to whatever
,
SULLIVAN fl~LEN E
BOARD DOCKET NO. 0307610
Page 2 of 3
persons or organizations the spouse designates in his will and, absent such
appointment, will pass in equal shares to the decedent's three children.
Section 2113 of the Inheritance and Estate Tax Act of 1991, 72 P.S. S 9113, as
amended, defers the taxability of assets transferred for the sole use of the transferor's
surviving spouse during the surviving spouse's entire lifetime, unless the estate elects
not to defer the taxability. In the opinion of this Board, the term "sole use" means that
the spouse is the only person who may receive or direct receipt of the trust income and
corpus during his lifetime. The Board finds that the Tax Exemption Trust is a sole use
trust and that the estate elected to pay the tax in this estate on a timely filed return. As
the estate has supplemented its original future interest compromise request with the
affidavit of the surviving spouse confirming that he shall not, during his lifetime, consent
to the distribution of principal to any of the decedent's descendants, the Board agrees
that tax on the trust shall be computed on the basis of a life estate to the spouse at the
0% rate and a remainder interest at the 4.5% rate. We confirm Petitioner's calculation
based on a life estate factor of 0.42015 using the federal 5.4% table for a person aged 74
in March of 2002.
Accordingly, it is hereby Ordered that the protest is sustained.
The Department is directed to issue an amended appraisement and assessment
reflecting that the $981,299.99 Tax Exemption Trust is taxable to the extent of $412,293.19
at the 0% rate and $569,006.80 at the 4.5% rate.
FOR THE BOARD OF APPEALS
GERARD J. SALLAVANTI, CHAIRMAN
-
,
SULLIVAN I4i\LEN E
BOARD DOC~ET NO. 0307610
Page 3 of 4
JOSEPH R. SLEEK, MEMBER
A STATEMENT OF ACCOUNT WILL BE MAILED TO YOU BY THE BUREAU OF
INDIVIDUAL TAXES.
ANY APPEAL FROM THIS DECISION MUST BE FILED WITH THE ORPHANS' COURT
WITHIN SIXTY (60) DAYS OF RECEIPT OF THIS DECISION.
IF YOU REQUIRE THIS INFORMATION IN AN ALTERNATE FORMAT UNDER THE
PROVISIONS OF AMERICANS WITH DISABILITIES ACT OF 1990, PLEASE CALL
(717) 783-3664, OR FOR SERVICES FOR TAXPAYERS WITH SPECIAL HEARING
AND SPEAKING NEEDS: 1-800-447-3020 (TT ONLY).
v
D/
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Helen E. Sullivan Estate
Date of Death:
March 9, 2002
Will No.
Admin. No.
2002-00475
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the
following with respect to completion of the administration of the above-captioned
estate.
1. State whether administration of the estate is complete:
Yes~ No
2. If the answer is No, state when the personal representative reasonably
believes that the administration will be complete:
3. If the answer to No.1 is Yes, state the following:
a. Did the personal representative file a final account with the Court?
Yes No----X-
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
c. Did the personal representative state an account informally to the
parties in interest? Yes X No
,-__/-<fohn C. Sullivan, Esquire
Name (Please type or print)
107 Sample Bridge Road
Address
Mechanicsburg, P A 17050
(717) 766-4347
Telephone
Capacity: X Personal Representative
_ Counsel for Personal Representative
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 2806Dl
HARRISBURG I PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'04
NOTICE OF DETERMINATION AND
ASSESSMENT OF PENNSYLVANIA
ESTATE TAX BASED ON FEDERAL
CLOSING LETTER
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
*'
REV-1!'EXAFP[Ol-OZl
ELYSE ROGERS
415 FALlOWFIELD
STE 301
CAMP HILL
fEB 20 jill :20
02-16-2004
SULLIVAN
03-09-2002
21 02-0475
CUMBERLAND
202
HELEN E
RDD
L':"_._;~(I
Cffor,~lP,~;i,i_ ';0., PA
Allount Rellitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account I subllit the upper portion of this for.. with your tax paYllent.
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR FILES ~
REV =736--E;(AFP--m:-ozr----.....-ii1offci;:--OF--IiEi'E-RMiNAfiiftriiifli-iis-sElilfHEiily----------------------- - ----
OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER ..
ESTATE OF SULLIVAN
HELEN
E FILE NO.21 02-0475
ACN 202
DATE 02-16-2004
ESTATE TAX DETERMINATION
1. Credit For State Death Taxes as Verified
26,993.15
2. Pennsylvania Inheritance Tax Assessed
(Excluding Discount and/or Interest)
26,993.14
3. Inheritance Tax Assessed by Other States
or Territories of the United states
(Excluding Discount and/or Interest)
.00
4. Total Inheritance Tax Assessed
26.993.14
5. Pennsylvania Estate Tax Due
.01
6. Amount of Pennsylvania Estate Tax Previously Assessed
Based on Federal Estate Tax Return
.00
7. Additional Pennsylvania Estate Tax Due
.01
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .01
INTEREST AND PEN. .00
TOTAL DUE .01
-IF PAID AFTER THIS DATE, SEE REVERSE SIDE (IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL OUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE
DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)