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HomeMy WebLinkAbout08-01-14 (2) 150561118S REV-4500 EX(02-11)(FI) OFFICIAL PA Department of Revenue County de ONLY Bureau of Individual Taxes County Cdde Year F8e Number PO BOX 280601 INHERITANCE TAX RETURN 21 13 01247 Harrisburg,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 11.152013 09181924 Decedent's Last Nance Suffix Decedent's Fast Name MI THOMPSON VIOLA E (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name M I Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW ® 1. Original Return ❑ 2. Supplemental Return ❑ 3. Remainder Return(Date of Death Prior to 12-13-82) ❑ 4.Limited Estate ❑ 4a. Future Interest Compromise(date of ❑ 5. Federal Estate Tax Return Required death after 12-12.82) ® 6. Decedent Died Testate ® 7. Decedent Maintained a Living Trust 8, Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) ❑ 9. Litigation Proceeds Received ❑ 10.Spousal Poverty Cred'd(Date of Death ❑ 11. Election to Tax under Sec.9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number DANIEL P- THOMPSON 717-761-7210 REGISTER OF WILLS USE(LILLY � O Y Q First Line of Address ,L7 5208 BRIGHTON LANE ` Second Line of AddressCI}- t �� r. �o a sE5 City or Post Office State ZIP Code TIED Q N ENOLA PA 170251281 Correspondents small address: DTHOMPSONa9CPABR•COM Under penalties of pedury,I declare that I have examined this return,Including accompanying schedules and statements,and tothe best of my knaMedge and belief, It is true,correct and complete.Declaration of phammar other than the personal representative Is based on all Information of which protester has any knowledge. SIGNATURE OF PERSON RESPONSIBLE F ETURN�� DA DANIEL P . THOMPSONg I T ADDRESS 5208 BRIGHTON LANE ENOLA, 17025-1281 SIGNATURE OF PREPARER OTHER THApt REPRESEFI7ATNE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side T 1505611185 OM40473.000 1505611185 1 1505611285 •-1 REV-1500 EX(Fl) Decedent's Social Security Number Decedents Name• THOMESON VIOLA _ E RECAPITULATION 1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 11-00 2. Stocks and Bonds(Schedule B). . . . . . . . . . . . . . . . . . . . . . . . . 2, 0 .00 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C). . . . . 3. 0.90 4. Mortgages and Notes Receivable(Schedule D) , , , , , , , , , , , , , , , , , 4, 131390- 00 5, Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E) , , . , , 5. 4301868-00 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested , , , , 0. 0.00 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) ❑ Separate Billing Requested . . . . 7. 1,0351401-00 8. Total Gross Assets(total Lines 1 through 7) , , , , , , , , , , , , , , , , , , 8. 1,4791659-00 9. Funeral Expanses and Administrative Costs(Schedule Fl). . . . . . . . . . . . . 9. 21,757-00 10. Debts of Decedent, Mortgage Liabilities,and Liens(Schedule I) , , , , , , , . . 10. 16,575-00 11. Total Deductions(total lines 9 and 10). . . . . . . . . . . . . . . . . . . . . 11, 38,332-00 12. Not Value of Estate(Line 8 minus Line 11) , , , , , , , , , , , , , , , , , , , 14, 1,4411327.00 13. Charitable and Governmental BequeststSec 9113 Tnists for which an election to tax has not been made(Schedule J), , , . . , , , , . , , 13, 13-00 14. Not Value Subject to Tax(Line 12 minus line 13) , , , , , , , , , , , , , , , 1q, 1,441,327.00 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(12)X.oU-- 0.00 15. 0.00 16. Amount of Line 14 xable at lineal rate--0 1,441,327 .00 16. 641860.00 17. Amount of Line 14 taxable at sibling rate X.12 0-011 17. 0.0 0 18. Amount of Line 14 taxable at collateral rate X.15 0.0 0 18. 0 .00 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 641860.00 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ Side 2 1505611285 1505611285 OM4648 3.aoa FEV-1500 EX(FI) Page 3 File Number Decedent's Complete Address: 21 13 01247 DECEDENT'S NAME THOMPSON VIOLA STREET ADDRESS USA CITY STATE LP ENOLA PA 17025-1281 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 64,860 . 00 2. Credits/Payments A.Prior Payments 58,000 - 00 B.Discount 3,053-00 Total Credits(A+B) (2) 61,053 . 00 3. Interest (3) 0 . 011 4. If Line 2 is greater than Line 1+Line 3,enter the difference.This is the OVERPAYMENT. Fill In box on Page 2,Line 20 to request a refund. (4) 0 " CIO 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE (5) Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN"X"IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or Income of the property transferred . . . . . . . . . . . . . . . . . . . . . . . . b. retain the right to designate who shall use the property transferred or its income . . . . . . . . . . X c. retain a reversionary interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d. receive the promise for life of either payments,benefits or pre? . . . . . . . . . . . . . . . . . . ❑ 2. If death occurred after Dec. 12, 1982,did decedent transfer properly within one year of death ❑ without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Did decedent own an"in trust for'or payable-upon-death bank account a 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 MUST COMPLETE SCHEDULE G AND FIE IT AS PART OF THE RETURN. Fa dates of death on or after July 1,1994,and before Jan. 1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse Is 3 percent[72 P.S.§9116(a)(1.1)()). For dates of death on or after Jan. 1, 1995, the lax rate imposed an the net value of transfers to a for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(11)1.The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements fa disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. Fa dates of death on or after July 1,2000: • The tax rate Imposed on the net value of transfers from a decease!child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent 172 P.S.§9116(a)(1.2)]. • The tax rate Imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted In[72 P.S.§9116(a)(1)]. • The tax rate Imposed on the net value of transfers to or for the use of the decedent's siblings Is 12 percent[72 P.S.99116(a)(1.3)].A sibling is defined, under Section 9102,m an individual who has at least one parent In common with the decedent whether by blood or adoption. on14e71 2.aoo REV-15e/IX-(BBa) SCHEDULE D C.OWONWEALTH OF PENNSYLVANIA MORTGAGES&NOTES INHERITANCE TAX RETURN ��� RESDENTDECEDENf ESTATE OF FILE NUMBER Viola E Thompson 21 13 01267 All property Jolmtyv med with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPftON OF DEATH 1 Note Receivable from Mark Thompson, valued at remaining principal balane due at date of death 13,390 TOTAL(Also enter on line a,Recapitulation) $ 13,390 3W4eAC 1 ODD (If mom space U needed,Insert soldl0onel sheets of same size) REV-15118 EX-((1&12) pennsylvania SCHEDULE E CEPARTM34TOF REVENUE CASH, BANK DEPOSITS&MISC. FESCE NCE ED RETURN RES PERSONAL PROPERTY FtITA E TM RE ESTATE OF: FILE NUMBER: Viola E Thompson 21 13 01247 Include the proceeds of litigation and the date the proceeds vere received bythe estate. All property joint( owned with right of sumlvonship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. PNC Checking Account #51-4006-4236 (Bank Statement Attached) 26,533 2 Fulton Bank Checking Account #XXXX5538 (Bank Statement Attached) 1,277 3 PA Treasury Dept Retirement Annuity Payment (direct deposited to Fulton Checking 11/27/13) 392 4 Cash in wallet 300 5 Receivable Guaranteed Abstract, Inc. 1,849 6 Receivable PTW Lending, LLC 5,783 7 Loan Receivable from Vernon Thompson Trust 14,333 Interest accrued to 11/15/2013 2,902 8 Bethany Village Retirement Entrance Fee Refund (copy of check from Asbury Communities, Inc. attached) 367,200 9 Personal Property, household goods, jewelery of decedent valued at executor's estimate of value 10,000 10 Susquehanna Bank refund 7 11 Insurance Refund 167 12 Miscellaenous Refunds PA Department of Revenue, etc. 125 TOTAL(Also enter on line 5,Recapitulafion) $ 430,860 2W46AD 2.060 If more space 15 needed.use eddilional sheets of paper of the same she. REVA510 EX+(0849) SCHEDULE G pennsytvania DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND R60UANCE TAX RETURN MISC.NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Viola E Thompson 21 1301247 This schedule must be completed and Filed if the answer to any of questions 1 through 4 on page three of the REVA 500 is yes. DESCRIPTION OF PROPERTY ITEM en,nenerw arcemus lrertaannowHVro®vnun DATE OF DEATH % DEWS EXCLUSION TAXABLE NUMBEF VALUE OF ASSET INTEREST VALUE 1 Viola E Thompson Revocable Trust, LeTort Management S Trust Co. , Trustee, Account No. 41 -0190-01-1 (Account Statement at fair market value as of DOD attached)- decedent's estate is beneficiary of the trust 971,792 100.0000 0 971,792 2 LeTort Management and Trust Company IRA Account N90-2014-01-6 in decedent's name, decedent's children are equal beneficiaries (Account statement of FMV at DOD attached) 63,609 100.0000 0 63,609 TOTAL(Also enter on line 7,Recapitulation)$ 1,035,401 If more space Is needed,use additional sheets of paper of the same sire. 9W4W 2.000 REV-1511 EX-( pe SCHEDULE H Pennsylvania 0EPN TMINTOF REVENUE FUNERAL EXPENSES AND CA-EWANCE TM RETURN ADMINISTRATIVE COSTS RESOearoECEOwr ESTATE OF FILE NUMBER viola a v Thompson 21 13012 7 Decedent's debts must be reported on Schedule 1. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERALEXPENSES: 1. Malpezzi Funeral Home 10,173 Total from continuation schedules . . . . . . . . . 9,284 B. ADMINISTRATIVE COSTS: t. Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: 2. Attorney Fees: 1,291 3. Family Exemption:(If decedent's address is not the same as claimant's,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: 984 5. Accountant Fees: 6. Tax Return Preparer Fees: 7. 1 Hank Fee 25 TOTAL(Also enter on Line 9,Recapitulation) $ 21,757 9W46AO 1000 If more space is needed,use additional sheets of paper of the same size. Estate of: Viola E. Thompson 21 13 01247 Schedule H Part 1 (Page 2) item No. Description Amount 2 West Shore Country Club funeral meals for guests 8,922 3 Funck's Meal expense for funeral guests 362 Total (Carry forward to main schedule) 91284 REV-1512 EX-(12-12) SCHEDULE Penn nsylvania DEPARTMENTOF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES&LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Viola E Thompson 21 13 01247 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. US Treasury Balance due 2013 Form 1041 10,649 2 PA Department of Revenue Balance Due 2013 PA 40 1,414 3 Verizon - cell phone bill 130 4 PA State EE Retirement System annuity return payment 196 5 West Shore Country Club account balance 1,454 6 Bethany Village - monthly fee final balance 2,503 7 Mike Thompson reimburse for purchase for decedent 91 8 Pinnacle Health 138 TOTAL(Also enter on Line 10,Recapitulation) $ 16,575 2W46AH 2.000 If more space is needed, insert additional sheets of the same size. REV-1513 EX+(01-10) SCHEDULE J pennsyNania OEPMIMENTOF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Viola E. Thompson 2113 01247 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE 1 TAXABLE DISTRIBUTIONS(Include outright spousal dWbutlons and transfers under Sec.9116(a)(1.2).] 1_ Michael Thompson 2225 Dover Court Mechanicsburg, PA 17055 20% of Residue: 288,265 Son 288,265 2 Steve Thompson 2108 W. Coventry Lane Enola, PA 17025 20% of Residue: 288,265 Son 288,265 3 Mark Thompson 19 Crescent Road Corte Madera, CA 94925-1313 20% of Residue: 288,265 Son 286,265 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON ONES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. 11 NONTAXABLE DISTRIBUTIONS A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. S.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II-ENTER TOTAL NONTAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ 0 9W48Al2 Wd If mare space is needed,use additional sheets of paper of the same size. Estate of: Viola E. Thompson 21 13 01247 Schedule J Part 1 (Page 2) Item No. Description Relation Amount 4 Julie Geiffin 1218 Grandview Ave. Ojai, CA 93023 208 of Residue: 288,265 Daughter 288,265 5 Daniel Thompson 5208 Brighton Lane Enola, PA 17025 20% of Residue: 288,265 Son 288,265 WILL I, VIOLA E. THOMPSON,,of Cumberland County, Pennsylvania, make-this will, revoking all my former wills and codicils. ARTICLE ONE BEQUEST OF TANGIBLE PERSONAL PROPERTY §1.1 I bequeath all my tangible personal properly, exclusive of any such property used in a trade or business, in accordance with the terms of a signed and dated memorandum I may prepare. If no such memorandum is located or received by the executor within 60 days after being appointed as such, after conducting a reasonable search for such memorandum, the executor shall be held harmless for distributing such property as hereinafter provided. §1.2 I bequeath any such property not disposed of by such memorandum, or i all of such property if no such memorandum is so located or received, to my husband, V. DAVID THOMPSON, if he survives me. If my said husband does not survive me, I bequeath such property to my children who survive me, to be divided among them as they agree. In case of disagreement among my children, the property that is the subject of such disagreement shall be sold and the proceeds added to the residue of my estate. §1.3 I direct that the expenses of storing, packing, shipping, insuring and delivering any such property to the beneficiary entitled thereto shall be paid by the executor as an administrative expense of my estate. In addition, to the extent practicable in the executor's sole ry discretion, I bequeath any policies of insurance on such property to the beneficiary aitle43ti� c o go M y 0 4? 0 such property.. rn� n r, r-.3 M M n Cn � ~ � ° zN �: o0 U n . m ry r rn r co n ARTICLE TWO DISPOSITION OF RESIDUE §2.1 I devise and bequeath all the residue of my estate to my husband, V. DAVID THOMSON, if he survives me. If my said husband disclaims any portion of the residue of my estate by a qualified disclaimer, within the meaning of Section 2518 of the Internal Revenue Code, said disclaimed portion shall be distributed in accordance with the provisions of ARTICLE THREE of this will. If my said husband does not survive me, I devise and bequeath all the residue of my estate to my issue who survive me, per stirpes, subject to the provisions of ARTICLE FOUR of this will. If neither my said husband nor any of my issue survives me, all the residue of my estate shall be distributed in accordance with the provisions of ARTICLE FIVE of this will. ARTICLE THREE DISCLAIMER TRUST 0.1 Any property which may become subject.to the provisions of this Article of this will by reason of my husband, V. DAVID THOMPSON (hereinafter referred to as "David"),having filed a qualified disclaimer, within the meaning of Section 2518 of the Internal Revenue Code,with regard to such property shall be held by the trustee hereinafter named for the benefit of David, in trust for the following purposes: §3.2 The trustee shall hold, manage, invest and reinvest the trust property, shall collect the income thereof and.shall distribute the net income in quarter-annual installments, or more frequently if the trustee deems it advisable, to or for the benefit of David. §3.3 The trustee shall distribute to or for the benefit of David so much of the principal of the trust property as the trustee shall from time to time deem necessary or proper -2- for David'.s health, maintenance and support, taking into account other available funds, including David's assets. §3.4 Upon David's death, the trustee shall distribute the remaining trust property to my then living issue, per stirpes, subject to the provisions of ARTICLE FOUR of this Will, If I have no issue then living, such property Shall be distributed in accordance with the provisions of ARTICLE FIVE of this will. ARTICLE FOUR TRUSTS FOR ISSUE §4.1 If any beneficiary(other than an appointee under any power of appointment granted in this will)entitled to receive a mandatory distribution of property from my estate or from any trust created by this will is under 30 years of age,I devise and bequeath such property to the trustee hereinafter named for the benefit of such beneficiary,in trust for the following purposes: §4.2 The trustee shall hold, manage, invest and reinvest the trust property, shall collect the income thereof and shall apply to or for the benefi t of Such beneficiary so much of the net income and, if the net income is insufficient, so much of the principal of the trust property as the trustee shall from time to time deem necessary or proper for such beneficiary's health, maintenance, support and complete education, including college and graduate education, and professional,vocational and technical training, and to assist such beneficiary with his or her . reasonable wedding expenses, in the purchase of a principal residence and in the establishment of a profession or of a business considered a good risk by the trustee,taking into account other available funds, including such beneficiary's assets. The trustee shall annually accumulate any net income not so distributed and add the same to the principal of the trust property. -3- §4.3 At any time after such beneficiary attains 30 years of age, such beneficiary may withdraw any or all of the principal of his or her trust. §4.4 If such beneficiary dies before the complete termination of his or her trust, the trustee shall distribute the property then held in trust for such beneficiary to such persons or corporations (including such beneficiary's estate), in such amounts and upon such trusts, terms and conditions as such beneficiary by his or her last will may appoint by specific reference to this general power of appointment;provided,however, any portion.of the trust property not subject to such beneficiary's power of withdrawal immediately prior to his or her death may only be appointed to one or more of such beneficiary's issue, in such amounts and upon such trusts, terms and conditions as such beneficiary by his or her last will may appoint by specific reference to this special power of appointment. Any property not so appointed shall be l distributed to such beheficiary's then living issue,per stirpes, or if none,to the then living issue, per stirpes, of the beneficiary's nearest lineal ancestor who is a descendant of mine with issue then living, or if none,to my then living issue, per stirpes,each such distribution subject to being held in trust by the trustee hereinafter named upon the terms and conditions of this ARTICLE FOUR; provided,however, if I have no issue then living, the trustee shall distribute such property in accordance with the provisions of ARTICLE FIVE of this will. ARTICLE FIVE FAILURE OF ISSUE §5.1 Any property to be distributed ih accordance with the provisions of this Article shall be distributed as if my husband,V. DAVID THONiPSON, and I had each then died seized and possessed of one-half of such property, intestate and unmarried, and domiciled in the Commonwealth of Pennsylvania. -4 ARTICLE Six APPOINTMENT OF FIDUCIARIES §6.1 I appoint my husband, V. DAVID THOMPSON, executor of this will. If my said husband is unable or unwilling to act or continue as executor, for any reason whatsoever, I appoint my son, DANIEL P. THOMPSON, and my son, STEPHEN J. THOMPSON, co-executors of this Will. If either of my said sons shall be unable or unwilling to act or continue to act, for any reason whatsoever, I direct that the vacancy not be filled and that the then serving executor shall serve as sole executor. §6.2 I appoint my husband, V. DAVID THOMPSON, trustee of any trust created by this will. If my said husband is unable or unwilling to act or continue as trustee, for any reason whatsoever, I appoint my son, DANIEL P. THOMPSON, and my son, STEPHEN J. THOMPSON, successor co-trustees. If either of my said sons shall be unable or unwilling to act or continue to act as co-trustee, for any reason whatsoever,I direct that the vacancy not be filled and that the then serving trustee shall serve alone as trustee. ARTICLE SEVEN POWERS OF FIDUCIARIES §7.1 No fiduciary under this will shall be required to give bond or other security for the faithful performance of the fiduciary's duties. , §7.2 Any such fiduciary shall have the following powers, in addition to those given by law: §7.3 To invest in, accept and retain any real or personal property, including stock of a corporate fiduciary or its holding company, without restriction to legal investments; §7.4 To invest in, accept and retain stock in an S Corporation and to take { any action that the trustee,deem necessary or proper, including the power to. petition a court of competent,jurisdiction to reform any trust created hereunder, in =5; order to assure that any trust created hereunder be deemed a Qualified Subchapter S Trust within the meaning of Section 1361(d)(3) of the Internal Revenue Code; §7.5 To sell, exchange, partition or lease for any period of time any real or personal property and to give options therefor for cash or credit, with or without security; §7.6 To borrow money from any person including any fiduciary acting hereunder, and to mortgage or pledge any real or personal property; §7.7 To hold shares of stock or other securities in nominee registration form, including that of a clearing corporation or depository, or in book entry form or unregistered or in such other form as will pass by delivery; §7.8 To engage in litigation and compromise, arbitrate or abandon claims; §7.9 To make distributions in cash, or in kind at current values, or partly in each, allocating specific assets to particular distributees on a non-pro rata basis, and for such purposes to make reasonable determinations of current values; §7.10 To make elections, decisions, concessions and settlements in connection with all income, estate, inheritance, gift or other tax returns and the payment of such taxes,without obligation to adjust the distributive share of income or principal of any person affected thereby; §7.11 To merge any trust created hereunder with any other trust or trusts created by me or my spouse under will or deed, if the terms of any such trust are then substantially similar and held for the primary benefit of the same person or persons; §7.12 To allocate, in the executor's sole and absolute discretion, any portion of my exemption under Section 2631(a) of the Internal Revenue Code to any properly as to which I am the transferor, including any property transferred by me during my lifetime as to which I did not make an allocation prior to my death; §7.13 To disclaim any interest I may have in any estate if the executor deems such disclaimer to be in the best interests of my estate and the beneficiaries thereof, §7.14 To terminate any trust created herein, the principal of which is or becomes too small in the trustee's discretion to make the establishment or continuance of.the trust advisable, and to make immediate distribution of the then. remaining trust property to the beneficiary then entitled to the income of the trust property or, if there is more than one beneficiary, to the beneficiaries then entitled to the income of the trust property in proportion to their respective interests `— therein or, if such interests are not defined, in equal shares to such beneficiaries; provided, however, no trustee shall participate in any decision to terminate such 6- trust if by reason of such termination such trustee could receive a distribution of trust property from such trust as aforesaid. The receipts and releases of the distributee(s) will termilzate absolutely the right of all persons who might otherwise have a future interest in the trust,whether vested or contingent,without notice to them and without the necessity of filing an account in any court; and §7.15 To engage the services of any professional investment advisor or firm to manage or advise on the investment of estate assets or the principal of any trust created hereunder, to invest such assets in mutual funds and to act as a broker or dealer to execute transactions and to provide other services with respect to the assets, including the purchase and sale of any securities. The compensation paid to any investment advisor or firm retained hereunder shall not result in any diminution in the compensation otherwise payable to the fiduciaries. ARTICLE EIGHT PROVISION FOR TAXES §8.1 All estate taxes, inheritance taxes, transfer taxes and other taxes of a similar nature payable by reason of my death to any government or subdivision thereof upon or with respect to any (a)property passing under the terms of this will subject to any such tax and i (b) trust includible in my estate for federal estate tax purposes that is a charitable remainder trust within the meaning of Section 664 of the Internal Revenue Code, and any penalties thereon, shall be paid by the executor out of the principal of that portion of my estate disposed of by ARTICLE THREE of this will, or if such property is insufficient then out of the principal of that portion of my estate disposed of by ARTICLE TWO of this will, and all interest with respect to any such taxes shall be paid by the executor out of the income or principal or partly out of the income and part ly out of the principal of such portion of my estate, in the absolute discretion of the executor, without reimbursement from or apportionment among the beneficiaries, recipients or owners of such property for any such taxes,penalties or interest; provided, however,that no such taxes, penalties or interest shall be charged against any property of such portion of my estate that otherwise passes to charity and for which my estate would be entitled to a charitable deduction for federal estate tax purposes. As to any other property, the tr ansferee thereof or any fiduciary -7- holding legal title to such property, as the case may be, shall bear liability for all such taxes, penalties and interest thereon. In accordance therewith, I direct the executor to exercise all rights of reimbursement granted under Sections 2206, 2207, 2207A and 2207B of the Internal Revenue Code (to the full extent permitted therein) and under state law as to any property subject thereto. §8.2 Notwithstanding any other provision of this will to the contrary, no such taxes, interest and penalties shall be paid from Plan benefits (or the income on or proceeds from any investment of any withdrawal from any Plan) on or after September 30 of the calendar year following the year of my death for any such purpose. As used in this will, the term "Plan" shall mean qualified retirement plan under Section 401(a) of the Code, an individual retirement account under Section 408 of the Code, an annuity contract or custodial account under Section 403(b) of the Code or any other retirement arrangement subject to the"minimum distribution rules" of Section 401(a)(9) of the Code. ARTICLE NINE RETIREMENT PLAN PROCEEDS §9.1 If a trust or the trustee of a trust established under this will is named, in the trustee's fiduciary capacity, as a beneficiary of any Plan,then notwithstanding any provision of this will to the contrary, the following provisions shall also apply to such trust: (a) The trustee shall direct that the Plan, as of my death and thereafter, distribute to the trust at least annually an amount at least equal to the minimum distribution amount required under Section 401(a)(9), 403(b)(10), 408 (a)(6) or 408(b)(3)of the Code, as amended from time to time, and the regulations thereunder(referred to herein as the "Minimum Required Distribution"). Any current beneficiary shall have the right to compel the trustee to l 8 demand the Minimum Required Distribution from the Plan, from time to tine; but no amount in excess thereof (b) The trustee shall elect distribution option under the Plan which allows the trustee, in its sole discretion, to accelerate distributions and to receive one or more lump sum payments from the Plan so that the trustee has flexibility to withdraw principal from the Plan. If such an option is not available under the Plan, the trustee shall take all necessary action to cause such Plan to be transferred to an individual retirement account established in the grantor's name.of which the trust is a named beneficiary and which offers such flexibility and is . qualified under Code Section 408; provided,however, that such transfer is not treated as a taxable distribution for income tax purposes. The trustee may exercise any and all options available to it under the Plan as the trustee deems necessary or proper, including the right to ( demand distributions from the Plan at any time. (c) The trustee shall immediately distribute any distribution received from the Plan to, or for the benefit of,the current income beneficiary upon receipt by the trustee, regardless of whether such distribution is allocated to.principal for trust accounting purposes. It is the grantor's intent that the beneficiary of any such trust be treated as the "sole beneficiary" of the trust for purposes of the minimum required distribution rules applicable to any such Plan. (d) The trustee shalt take all requisite action and shall submit to the administrator of the Plan all required documentation necessary to cause the current income beneficiary of his or her separate trust to be treated, to the extent possible, as a"designated beneficiary" for purposes of Sections 401(a)(9); 403(b)(10), 408(a)(6) and 408(b)(3)of the Code. -9- ARTICLE TEN GST ADMINISTRATIVE PROVISIONS §i 0.1 Notwithstanding any other provision of this will: (a) If a trust created under ARTICLE FOUR of this will (the "original trust') would otherwise be partially exempt from federal generation-skipping tax after the intended allocation of GST exemption to it, then, before such intended allocation and as of the relevant valuation date under Section 2642 of the Code with respect to such allocation,the trustee may (but need not) create instead two separate trusts of equal or unequal value which shall be funded fractionally out of the available property, and which shall be identical in all other respects to the original trust, so that the allocation of GST exemption can be made to one trust which will be entirely exempt from federal generation-skipping tax. In such event, the trustee shall act within the time period specified in any applicable Treasury Regulation and in such manner as is so specified in order to permit each trust to be recognized as a separate trust for generation-skipping transfer tax purposes. The two trusts created under this §10.1(a) shall have the same name as the original trust except that the trust to which the GST exemption is allocated shall have the phrase"GST exempt' added to its name, and are sometimes referred to herein as "related." As used in this will,the"GST exemption"means the exemption from federal generation-skipping tax allowed under Section 2631 of the Code. (b) If property which is held in, or is to be added or allocated to, a trust pursuant to ARTICLE FOUR of this will is subject to different treatment for any reason for purposes of the federal generation-skipping tax than other property being added or allocated to, or also held in, that trust,then the trustee may(but need not) hold such property instead as a separate trust that is appropriately designated to distinguish it from the trust to which the property -i 0- otherwise would have been allocated, but that is identical in all other respects to that trust. The identical trusts resulting from application of this §10.1(b) are also sometimes referred to herein as "related." (c) It is my intent that the trustee shall not be required to create or administer a trust under ARTICLE FOUR of this will that is only partially exempt from federal generation-skipping tax, or to commingle property subject to different treatment for federal generation-skipping tax purposes whether because the transferors with respect to the property are assigned to different generations or otherwise. The provisions of§10.1(a)-(c) of this will are intended to enable the trustee to avoid such situations by empowering the trustee to segregate trust property (1)that is entirely exempt from federal generation-skipping tax from trust property that is not exempt, or (2)that is otherwise treated differently from other trust property for purposes of the federal generation-skipping tax, and the provisions of§10.1(a)-(c) of this will should be applied in a manner consistent with this intention. §10.2 To the extent it is consistent with the trustee's fiduciary obligations, the trustee, in making discretionary distributions of net income and principal from the related trusts referred to earlier in this Article, shall take advantage of the opportunities provided by the creation of such related trusts to avoid or delay federal generation-skipping tax when making discretionary distributions,to pursue different investment strategies for those trusts, if appropriate, and to maximize the amount of trust property that eventually may be distributed to my grandchildren or more remote descendants without transfer tax of any kind at the terarination of all trusts created under this will. §10.3 The trustee may at any time merge and consolidate any related trusts under this will and thereafter administer them as a single trust hereunder, if the trustee _11_ determines that maintaining the trusts as separate entities will not serve to,minimize federal generation-skipping taxes. §10.4 If any portion of a trust for the benefit of a descendant of mine,in the absence of any testamentary power of appointment granted under this will to that descendant, would immediately incur a federal generation-skipping tax upon the descendant's death as a result of a taxable termination,then in addition to any other power of appointment granted to that descendant under this will, the descendant may appoint that portion to the creditors of his or her estate. To the extent that the foregoing general power of appointment is in existence on the descendant's death,then unless the descendant directs otherwise by will,the trustee shall pay to the executor of the descendant's estate,from the portion of the trust to which the power pertains, the amount, if any, by which the estate and inheritance taxes payable in any jurisdiction by reason of the descendant's death shall be increased as a result of the inclusion of that,portion in the descendant's estate for such tax purposes, as certified in writing by that executor. §10.5 If the trustee acting under the authority of this Article is administering two or more related trusts named for a descendant of mihe,'then the amount subject to any power of withdrawal granted to such descendant under this will shall be determined with reference to the aggregate principal of those related trusts, but the withdrawal right shall apply to, and be satisfied first from, the trust or trusts having-the highest inclusion ratio for federal generation- skipping tax purposes before applying to any trust having a lower inclusion ratio. §10.6 No trustee who is also a beneficiary hereunder on or after the division date shall participate in exercising discretion under this Article to create separate trusts,to merge and consolidate trusts,or to allocate GST exempt and nonexempt property among trusts. If no " trustee, who would qualify to exercise those discretion, is then acting,then the trustee may y12 petition a court of competent jurisdiction to appoint a corporate fiduciary as a special trustee, whose authority shall be limited to exercising those discretion. ARTICLE ELEVEN MISCELLANEOUS PROVISIONS §11.1 Any term used in the singular or plural, or in the masculine,feminine or neuter form,shall be singular or plural, or masculine, feminine or neuter as a proper reading of this will may require. §11.2 As used in this will,the term"Intenlal Revenue Code' shall mean the Internal Revenue Code of 19 86, as amended from time to time, or the corresponding provision of subsequent law. §11.3 If at the time a mandatory distribution of property from any trust created'by this will would otherwise be made to a beneficiary there is in existence any trust(other than the trust from which such distribution is made)created by this will for the benefit of such beneficiary,the property otherwise to be distributed to such beneficiary shall continue in trust for the benefit of such beneficiary in accordance with the terms of the trust herein created for such beneficiary. §11.4 Notwithstanding any other provision of this will,the general discretionary powers of the trustee are limited so that(a)no trustee shall participate in any decision regarding a discretionary distribution to that trustee personally, except to the extent governed by and made pursuant to a standard under this will that constitutes an ascertainable standard within the meaning of Section 2041 and 2514 of the Internal Revenue Code, and(b) no trustee may use trust income or principal to discharge the legal obligation of that trustee individually to suppoit or educate a beneficiary hereunder. Furthermore,no trustee shall enter -13 into any reciprocal agreement with any other trustee for the purpose of indirectly exercising a power prohibited hereunder. §11.S Except as otherwise may be provided in this will, whenever the trustee is authorized or directed to distribute property"to or for the benefit of"any beneficiary who is under(a) twenty-one years of age, or(b) a legal disability or otherwise suffers from an illness or mental or physical disability that would make distribution directly to such beneficiary inappropriate(as determined in the trustee's sole discretion exercised in good faith),the trustee may distribute such property to the person who has custody of such beneficiary, may apply such property for the benefit of such beneficiary,may distribute such property to a custodian for such beneficiary, whether then serving or selected and appointed by the trustee (including any trustee), under any applicable Uniform Transfers to Minors Act or Uniform Gifts to Minors Act,may t ' distribute such property to a guardian of such beneficiary's estate, or may distribute such property directly to such beneficiary (except if any of the conditions hereinbefore described in(b) apply), without liability on the part of the trustee to see to the application of such property. This provision shall not in any way operate to suspend such beneficiary's absolute ownership of such property or to prevent the absolute vesting thereof in such beneficiary. §11.6 Except as otherwise may be provided in this will, during the continuance of any of the trusts created under the provisions of this will, and thereafter until the property is distributed to and received by any beneficiary hereunder,the principal sums thus held in trust for any beneficiary,respectively, and the income thereof shall not be subject to or liable for any contracts, debts, engagements, liabilities or torts of such beneficiary now or hereafter made, contracted,incurred or committed,but shall be absolutely free from the same, and such beneficiary shall have no power to sell, assign or encumber all or any part the principal sums 14 or such beneficiary's interest therein, respectively, or the income thereof, or to anticipate the income. §113 An individual fiduciary shall be entitled to receive reasonable compensation for such fiduciary's services hereunder. §11.8 A corporate fiduciary shall be entitled to receive compensation for its services hereunder in accordance with its schedule in effect when the services are performed,but not in excess of such compensation as would be approved by a court of competent jurisdiction. §11,9 Every successor or additional fiduciary shall have all rights, powers, privileges and duties,whether discretionary or otherwise,herein given to the original fiduciaries and shall be subject to the same reservations, limitations, terms and conditions. §11.10 In case of the merger or consolidation of a corporate fiduciary,the resultant company shall become such fiduciary's successor without notice to any party. IN WETNESS WHEREOF,I have hereunto set my hand and seal this 16 day of Fpb rum 2007. VIOLA E. TAONDSON Signed, sealed,published and dec?ared by the above-named VIOLA E. THOMPSON as and for her last will, in the presence of us and each of us, who, at her request and in her presence and in the presence of each other,have hereunto subscribed our names as witnesses thereto the clay and year last above v✓ritten. -residing at C' PPS l�osti residing at h�tArtcnd rc4-- Ekes d$ng at 1�2 S �L X3 121 �c lY7 i tArufcS �a[��� -�P I?es t6_ ~J � Revocable Trust Account Application L ETORT, i And Agreement Section 1: Appointment of Trustee I(We ("Settlor') appoint LeTort Name 2(fast)(middle)(last) Management & Trust Company ("Trustee') to - hold, as Trustee, certain property or interests which Settlor has turned over to Trustee, which Social Security No.or Tax Identification No. property or interests are set forth on Schedule A attached hereto and made a part hereof,together with such property as may from time to time be Date of Birth delivered by Settlor or any other person and accepted by Trustee to be subject to the terms of this Agreement. Said property and the earnings Telephone Number thereon and appreciation therein shall constitute Settlor's Revocable Trust Account("Account"). Address Section 2: Settlor Owner Information Account Type: city State Zip Name I (first) (middle)(last) Drivers License-No. Social Security No.or Tax Identification No: Settlor declares that Settlor is a: Date of Birth Section 3: Account Statements Telephone Number Trustee shall furnish to Settlor a statement of all transactions in the Account during the period of the statement ("Periodic Statements"). Statements shall be provided on a Address quarterly or annual basis. The Trustee shall not be liable with City State Zip respect to the accuracy of the Periodic Statements, except with respect to any such transaction to which Settlor shall object, within Drivers License No. ninety (90) days after the famishing of the �- Periodic Statement, in writing to the Trustee. Unless Trustee receives written objection to the I 1 Periodic Statement within ninety (90) days after A joint account may be terminated in .the date shown'on such Periodic Statement, the whole or in part in accordance with Section 12 Periodic Statement shall be deemed approved. hereof by the Settlors (acting jointly), or by the Approval of the Periodic Statement shall be final survivor Settlor, in either case by written notice and binding on all persons who have an interest to the Trustee, whereupon the securities and in the Account then or in the future. other property as to which said termination extends shall be delivered to the Settlors as joint Section 4: Distributions tenants with right of survivorship, or in the case of spouses, as tenants by the entireties, or as the During Settlor's lifetime, the Trustee Settlors (acting jointly or survivor Settlor) may shall distribute the net income and the principal direct otherwise in writing. as follows: Except where the Settlors are expressly required under this Section 6 to act jointly in A. As much—even if all—of the net income writing, the Trustee shall follow the oral or and the principal as Settlor may direct from time written instructions of either Settlor. to time either orally or in writing. The provisions of this Section 6 supersede any other provisions of this B. As much of the income and the principal Agreement to the contrary if the Account is a of the Account as the Trustee, in its discretion, joint account shall deem advisable for the comfort, care, support and maintenance of the individual Settlor Section 7: Trustee's Powers and or both Settlors of a joint account, or of any Responsibilities - person dependent of either of them. In addition to the powers conferred by C. Any remaining net income shall from law, the Trustee shall have the following powers, time to time be accumulated and added to the to be exercised in its absolute discretion: principal. A. To retain all assets received in kind as Section 5: Instructions investments, without any duty of diversification, or to sell the same upon such terms as it shall Except as provided in Section 6 below, deem advisable; Trustee may rely on oral or written instructions which Trustee believes were genuine and B. To invest in all forms of property, as authorized. authorized under the Pennsylvania Prudent Investor Rule, including in one or more of the Section 6: Joint Revocable collective investment funds maintained by the Trust Accounts Trustee or any affiliate, or such other assets as If this is a joint account, it shall be treated are acceptable to the Trustee; as joint tenancies with right of survivorship,'or in C. To hold shares in any registered the case of spouses, as tenancies by the investment company which may be advised by entireties. In joint accounts, any distributions the Trustee and from which the Trustee or any shall be to the Settlors as joint tenants with right affiliate may receive compensation as advisor; of survivorship, or in the case of spouses, as tenants by the entireties, or as the Settlors (acting D. To exchange or lease for any period of i jointly)may direct otherwise in writing. time any real or personal property and to give If this is a joint account,after the death of options for sales,exchanges and leases; I the first of the Settlors to die, payments may be made only to the survivor Settlor, or in E. To exercise all rights of security holders accordance with the survivor's written including the right to vote personally or by directions. general or limited proxy,any shares of stock; t I 2 I i (see Section 6 concerning termination of joint person selected by Trustee with reasonable care accounts). or of any broker or Trustee engaged in the Upon the death of an individual Settler or purchase,sale or exchange of any asset. the survivor of the Setaors of a joint account, this Agreement shall terminate and the Trustee Section 13: Choice of Law shall deliver the assets as follows: The Agreement and the Account hereby R dTo the personal representative of such created shall be construed and governed by the deceased Settler within ninety (90) days . laws of Pennsylvania without regard to its of the deceased Settler's death. conflicts of law provisions. The sites of the dust shall be Cumberland County,Pennsylvania ❑ To the following person or persons: Section 14: Acknowledgement By signing this.Revoeable'Trust Account Application and Agreement, Settlor agrees to the terms and conditions of the Agreement. Trustee: , INIUMMOMMI LeTort Management&Trust Comps y The distributions to the foregoing will be in .equal. shares. if any of the named By: beneficiaries is not living at the death of the Sr Trtl Settlor(or survivor Settlor),then that equal share �ti L 1 shall be paid per.stirpes to the issue then living Date: of the deceased beneficiary, and if the deceased No: �j 0 00 81/.710 0(0 beneficiary has no issue then living, the share Account shall be added to the other shares created hereunder. - r . During any period of time after Setteo; �� � termination in which Trustee continues to have �uf�i custody of assets subject to termination, Trustee Individual Settler —4 ate shall have no duties other than the safekeeping of ! such assets and delivery of such assets upon Settler's instruction. Trustee shall have the right Joint Settlor Date to continue to charge fees in the amount then currently charged to.the Account for any post- termination period in which assets subject to Name ofrorporation,partnership,. Date termination remain in Trustee's custody and-to ' estate,trust or other fiduciary debit such fees from the Account. entity Section 12: Trustees By" Signanrre and Title Trustee may execute any of its powers under this Agreement and perform the duties requited of the Trustee by and through attorneys, sub-custodians, Trustees, affiliates or subsidiaries. The Trustee shall not be responsible for the performance or supervision of or liable for the default or negligence of any such 4 1 COMMONWEALTH OF PENNSYLVANIA j } SS: COUNTY OF CUMBERLAND ) On this,the =day of / T/ .2047,before me,the undersigned officer, personally appeared ?A 'I L- 1 i.3 . }��'t12j-ha.� who acknowledged h' 1 rself to a � V of LeTORT MANAGEMENT AND TRUS COMPANY, a corporation, and that he/she, as such officer, being authorized to do so, executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himseWherself as such officer. } IN WITNESS WHEREOF,I hereunto set my hand and official seal. Notary Public } My Commission Expires:' (Seal) COMMOMMALTH OF PENNSYLVANIA _ NOTARIALSEAL , CINDY L ENGARD,Notary public [_,A'-LuAw Allen Twp:,Cumbedend Couimj . Carrrlsvro b#res Ocher 22,2E708 i 3,3 f - I - r r 5 } COMMONWEALTH OF �� ) ' SS: COUNTY OF. kA) ) On this, the day of S. \ / 2007, before me, a notary public, the undersigned officer, personally appeared V f Q a �'�i� known to me (or satisfactorily proven)to be the person or persons whose name is (or names are) subscribed to the within Agreement, and acknowledged that he/she/they executed the same for the purposes therein contained. IN WITNESS WHEREOF,I hereunto set my hand and official seal. Siv otary public My Commission Expires: (Seal) NOMMI BEM . . $#IRAN N EDE . !bq#y Public . MAdPMrM..CUMBER,tAW OOUNN . My Comm m Expires Apr 28.,2010' . I I t r� I i f 6 I i Revocable Trust Account Schedule A I i i i k i 7 i Interest Cheddng Statement Q PNCBANK PNC Bank Primary account number:51-4006-4236 Page 1 of 4 For the period 11/07/2013 to 12/05/2013 Number of enclosures:0 001086 M,1,For 24-hour banking,and transaction or VIOLA E THOMPSON DECD +�interestrateinformation,signonto 5225 WILSON LN APT 3126 PNC BankOnline Banking at pnc.com. MECHANICSBURG PA 17055-6669 a For customer service call 1-888-PNC-BANK Monday-Friday:7 AM- 10 PM ET Saturday&Sunday: 8 AM-5 PM ET Para servic)o an espafiol, 1-866-HOLA-PNC Moving? Please contact us at 1-888-PNC-BANK ®Write to:Customer Service PO Box 609 Pittsburgh PA 15230.9738 Visit us at PNC.com TOO terminal:1-800-531-1648 For hearing impaired clients only Interest Checldng Account Summary Viola EThompson Decd Account number. 51-4006.4236 Overdraft Protection has not been established for this account. Please contact us if you would like to set up this service. Overdraft Coverage-Your account is currently Opted-Out. C u or your joint owner may revoke youropt-in oroptout choice at anytime. Team more about PNC Overdraft Solutions visit us online at pnc.com/overdraftsolutions. Call 1-877-588-3605,visit any branch,or Sign onto PNC Online Banking,and select the"Overdraft Solutions`link under the Account Services section to manage both your Overdraft Coverage and Overdraft Protection settings. Balance Summary Beginning Deposits and Checks and other Ending balance other additions deductions balance 26,597.90 .00 26,597.90 .00 Average monthly Charges balance and fees 18,737.30 .00 Transaction Summary. Checks paid/ Check Card POs Check Card/Bankwrd withdrawals signed transactions POS PIN transactions 1 1 0 Total ATM PNC Bank Other Bank transactions ATM transactions ATM transactions 0 0 0 Interest Summary As of 12/05,a total of$110 in interest was paid this year. Annual Percentage Number of days Average collected (merest Paid Yield Earned(APYE) in Interest period balance for APYE this period 0.007 15 26,558.79 .00 Kee Y PN D M LT01-J 0 644653.140-N N N N N N-002-002957 nterest Checking Statement Far the period 11/07/2013 to 12/05/2013 For 24-hour information,sign onto PNC BankOnline Banking VIOLA E THOMPSON DECD on pnc.00m. Primary account number.51-4006.4236 Account number.514006.4236-continued Page 2 of 4 kc"ty Det'ait :hecks and Substitute Checks leek Date Reference ember Amount paid number 328 53.00 11/14 086326s85 - . . . . . There is 1 check listed totaling $53.00. tanking/Check Card Withdrawals and Purchases rte Amount Description There was 1 other Banking Machine/Check 1/08 11.61 5919 Check Card Purchase Bethany Village Card deductions totaling $11.61. ether Deductions There were 2 Other Deductions tota ling rte Amount Description $28,53329. 1/22 .00 Outstanding item Close t/22 26,533.29 Debit Memo Reference No. 051269480 laity Balance Detail ue Balance Date Balance Date Date Balance 1/07 26,597.90 11/08 26,586.29 11/14 fi 533 99 11/22 .00 C.j l FORM166R-0111 OdZ-14U-NOMG B� P.O. Box , PA Page 1 of 3 Lancaster, PA 17604 c LISTENING 15 JUST THE BEGINNING.' fuitonbank.COm Statement Date: 11/25/13 through 12/25/13 �i Primary Account: XXXX5538 Temp-Retum Service Requested For information regarding your account please call customer service at 800.FULTON.4. loll 1111n1n16111E 111111111dd11111L(6111 loll '�II1Ii1��C�'1 020370 0.6500 AT 0.384 TR00083 VIOLA E THOMPSON C/O DANIEL THOMPSON 5208 BRIGHTON LN ENOLA PA 11025-1281 INTEREST CHECKING Account XXXX5538 Previous Statement Balance Total Deposits/Credits Total Checks/Debits Ending Balance 1,277.32 391.70 1,669.02 0.00 Account Activity Date Description Deposits/Credits Checks/Debits Balance 11/25 BEGINNING BALANCE 1,277.32 11/27 PA TREASURY DEPT ANNUITANT 391.70 1,669.02 VIOLA E THOMPSON 449460122043160 12103 CLOSING TRANS 1,669.02 0.00 12/25 ENDING BALANCE 0.00 Interest Earned Information 11125/13 through 12/25/13 Interest Paid This Year 2.58 Average Daily Collected Balance 376.38 Annual Percentage Yield Earned 0.00% Interest Earned 0.00 0 Service Fee Balance Information 11125/13 through 12/25/13 N O N Average Ledger Balance 376.38 Minimum Ledger Balance 0.00 Average Collected Balance 376.38 0 0 0 Service Fees 0 Total For This Period Total Year-to-Date 0 o Total OverdraftlOD Fees(Paid Items} 0.0D 0.00 o Total Non-sufficient Funds/NSF Fees(Returned Items) 0.00 0.00 F-N JO 7n Effective January 1, 2014,the Sweep Transfer Fee to a linked account for overdraft protection will be assessed,if applicable,to your account at the time of occurrence. Effective January 1,2014,the Extended Overdraft Fee will be charged per business day beginning on the 6th business day an account is overdrawn. Member FDIC. Member of the Fulton Financial Family NOTIOE:SEE REVERSE SWE FORIMPORTANT WOMATM IA _< m N N O' O � N O °4 3 ^: w o = pa o � H A N A O O W ' V O - O 0 N C _ 2 m = o m � � a � o N = m m V V D 0 0 3 0 0 0 p o c 0 0 o ? � m n S O N 2 L F V � A N .. N f!! W O V CD C ° N A O) N i VIOLA THOMPSON TRUST Account Number: 41-0190-01-1 Statement Period: 10/01/13 - 11/18/13 II FILE COPY I i Market % of Description Value Account Cash & Equiv 3,655.35 0.4% Fixed Income 335,693.63 34.6% Large Cap Equity 287,957.57 29.6% Mid Cap Equity 158,179.76 16.3% Small Cap Equity 94,023.57 9.7% Global Equity 92,033.51 9.5% Total Portfolio 5 971,543.39 100.0% Accrued Income 2AH.57 Total Valuation 71,791.9 .��QI1�gtw E<f}1: t x •.a.., s.A :x :..<x€...x x ..te.: Current Period Year To Date Beginning Market Value $ 962,461.27 $ 933,352.78 Income......................................................................................... 1,686.18 2,361.23 Disbursements .............................................................................. -26,948.79 -27,413.34 Realized Gains/(Losses)................................................................... 4,016.53 5,814.63 ChangeIn Accrued......................................................................... -143.19 -174.35 Unrealized Appreciation/(Depreciation) .............................................. 30,719.96 57,851.01 Ending Market Value S 971,791.96 $ 971,791.96 Page 1 of 5 VIOLA THOMPSON IRA Account Number: 90-0214-01-6 Statement Period: 10/01/13 - 11/18/13 FILE COPY pr- 0,"5 ; q � Market % of Description Value Account Cash & Equiv 122.05 0.2% Fixed Income 12,268.29 19.3% Large Cap Equity 23,239.97 36.5% Mid Cap Equity 12,819.52 20.2% Smell Cap Equity 7,696.46 12.1% Global Equity 7,453.68 11.7% Total Portfolio $ 63,599.97 100.0% Accrued Income 6 Total Valuation 63,609.03 } FF ' k'fl(e t e PnCllamenl Ea .� F<SF'�a�r� O 0111 <I�( w Current Period Year To Date Beginning Market Value $ 60,893.33 $ 58,743.38 Income......................................................................................... 96.22 125.22 Disbursements .............................................................. ............. -60.99 -90.23 Realized Gains/(Losses)............................................ . .. ....................... 0.18 268:33 Change In Accrued......................................................................... -4.73 -5.71 Unrealized Appreciation/(Depreciation) .............................................. 2,685.02 4,568.04 Ending Market Value $ 63,609.03 $ 63,609.03 Page 1 of 5 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-M DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 018746 THOMPSON DANIEL P 5208 BRIGHTON LANE ENOLA, PA 17025 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- Wd 101 $58,000.00 ESTATE INFORMATION: SSN: FILE NUMBER: 2113-1247 DECEDENT NAME: THOMPSON VIOLA E DATE OF PAYMENT: 02/10/2014 POSTMARK DATE: 02/10/2014 COUNTY: CUMBERLAND DATE OF DEATH: 11/15/2013 TOTAL AMOUNT PAID: $58,000.00 REMARKS: CHECK# 1016 INITIALS: DB1 SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS TAXPAYER