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HomeMy WebLinkAbout12-04-14 � 1505610140 REV-1500 EX (02-11)(FI) PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO Box 2so6o� INHERITANCE TAX RETURN 2 1 1 4 0 4 4 8 Harrisbur4 PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 0 2 0 8 2 0 1 4 0 5 0 8 1 9 2 4 DecedenYs Last Name Suffix DecedenYs First Name M� H I L L H A R 0 L D B (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW Q 1.Original Return � 2.Supplemental Return � 3. Remainder Return(Date of Death Priorto 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 QX 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 Credit(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 T0: Name Daytime T�ephone Num� � B E N J A M I N J B U T L E R 7 1 � � 3 6�1 � �5 � --�j-- i RE , E6C0�,�111LLS USE O Yp � � �;� rn ��:' ,:_ � s -� c;� �i First�ine of Address � � �� �'°� �� O �.� � C5 'T] -'p1 "�7 1 0 0 7 M U M M A R 0 A D I� ;:.� � �'' � -� � ' Second Line of Address ` "� ~ r rn . —�t r S U I T E 1 D 1 '' s � � , City or Post Office State ZIP Code . DATE FILED � L E M 0 Y N E P A 1 7 0 4 3 Correspondent's e-mail address: LAWYERS(ct�BUTLERLAWFIRM.COM Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete. c rati 'of preparer other t the per nal rep entative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON ESP BLE FOR FILING R U N � DA - � �� �� ADDRESS � 4- 8 SHADY RO CAMP HILL PA 17011 SIGNATURE OF PREPARER HER N E TA DATE .2 -3- � � ADDRESS 1007 MUMMA ROAD, SUITE 101 LEMOYNE PA 17043 PLEASE USE ORIGINAL FORM ONLY Side 1 � 1505610140 1505610140 J � � 1505610240 REV-1500 EX(FI) DecedenYs Social Security Number oeoedent's Name: H A R 0 L D B • H I L L RECAPITULATION 1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �� � 2. Stocks and Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2� ' 3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) . . . . . 3. ' 4. Mortgages and Notes Receivable(Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . 4. ' 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E). . . . . . . 5. 1 2 2 0 . 6 6 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . . . . . . . 6. 3 9 9 8 . 9 1 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property ], 7 3 2 7 3 . 2 6 (Schedule G) � Separate Billing Requested . . . . . . . 7. 8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. 1 7 8 4 9 2 . 8 3 9. Funeral Expenses and Administrative Costs(Schedule H) . . . . . . . . . . . . . . . . . . 9� 5 2 2 4 . 5 7 10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule I) . . . . . . . . . . . . . 10. 4 6 3 3 . 9 6 ��. Total Deductions(total Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 9 8 5 8 . 5 3 12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . �2• 1 6 8 6 3 4 . 3 0 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J) . . . . . . . . . . . . . . . . . . . . . . 13. • 14. Net Value Subject to Tax(Line 12 minus Line 13) . . . . . . . . . . . . . . . . . . . . . . 14. 1 6 8 6 3 4 . 3 0 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(1.2)X.0 _ � . 0 O 15. O . 0 � 16. Amount of Line 14 taxable at�inea�rate x .oa5 1 6 8 6 3 4 . 3 O 16. 7 5 8 8 . 5 4 17. Amount of Line 14 taxable at sibling rate X.12 � . � � 17. � • � � 18. Amount of Line 14 taxable at collateral rate X .15 � • � 0 18. � • � 0 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 7 5 8 8 • 5 4 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ Side 2 � 1505610240 1505610240 J REV-1500 EX(FI) Page 3 File Number D�cedent's Complete Address: 2i ia 0448 DECEDENT'S NAME HAROLD B. HILL STREET ADDRESS 5225 Wilson Lane _ __ _ —_ - --- _ _ — _�- _ CITY STATE ZIP Mechanicsburg �, PA 17055 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 7,588.54 2. CreditslPayments A.Prior Payments 8,000.00 B.Discount 379.43 Total Credits(A+g) �2� 8,379.43 3. I nterest (3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT. Fill in oval on Page 2,Line 20 to request a refund. (4) 790.89 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 0.00 Make check payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Ditl decedent make a transfer and: Yes No a. retain the use or income of the property transferred ...................................................................... � O 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 care? ....................................................... X 2. If death occurred after December 12, 1982,ditl decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... � � 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? ......... ❑ X❑ 4, Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation?.................................................................................................. ❑ X❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994, and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)].The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedenYs lineal beneficiaries is 4.5 percent,except as noted in p2 P.s.§s��s(a)(���. • The tax rate imposed on the net value of transfers to or for the use of the decedenYs siblings is 12 percent[72 P.S. §9116(a)(1.3)].A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent,whether by blood or atloption. REV-1508 E?(+(OS-12) � � pennsylvania SCHEDULE E DEPARTMENTOFREVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN RESIDENT DECEDENT PERSONAL PROPERTY ESTATE OF: FILE NUMBER: HAROLD B. HILL 21 14 0448 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. United States Steel Corporation-Final Pension Payment 1,220.66 TOTAL(Also enter on Line 5,Recapitulation) $ 1 220.66 > If more space is needed, use additional sheets of paper of the same size. REV-1509 EX+(01-10) � pennsylvania SCHEDULE F DEPARTMENT OF REVENUE JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: HAROLD B. HILL 21 14 0448 If an asset was made jointly owned within one year of the decedent's date of death,it must be reported on Schedule G. SURVIVING JOINT TENANT(S)NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A. Timothy A. Poole 3026 Logan Street Son-In-Law Camp Hill,PA 17011 B. C. JOINTLY•OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENT'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A, 8/19/96 PSECU-Account No. 0143169424-57 2,432.75 50. 1,216.38 2. A. 8/19/96 PSECU-Account No. 0143169424-54 5,560.05 50. 2,780.03 3. A. 8/19/96 PSECU-Account No. 0143169424-SI 5.00 50. 2.50 TOTAL(Also enter on Line 6,Recapitulation) $ 3 998.91 If more space is needed,use additional sheets of paper of the same size. REV-1510 EX+(08-09) � � SCHEDULE G � pennsylvania DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCETAXRETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER HAROLD B. HILL 21 14 0448 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE,THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH %OF DECD�S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER.ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST pF nPPucne�e) VALUE 1. H.B. Family Trust Share B-Account No. JAV-564974 102,518.17 100.00 102,518.17 Beneficiary: Nancy S. H. Richwine(Hill) [lineal]; Christopher B. Hill [lineal] and Meredith L.H.Poole(Hill) [lineal] 2. H. B. Hill Family Trust-Account No. APJ-579173 61,755.09 100.00 61,755.09 Beneficiary: Nancy S. H. Richwine(Hill) [lineal]; Christopher B. Hill [lineal] and Meredith L. H.Poole(Hill) [lineal] 3. Cash transfer from H. B.Hill Family Trust-Account No.APJ-579173 to 12,000.00 100.00 3,000.00 9,000.00 PSECU-Account No. 0 1 43 1 69424-S4 on February 5,2014 TOTAL (Also enter on Line 7,Recapitulation) $ 173 273.26 If more space is needed,use additional sheets of paper of the same size. REV-1511 EX+(08-13) • pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCETAXRETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER HAROLD B. H1LL 21 14 0448 DecedenYs debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Zimmerman-Auer Funeral Home 1,795.00 2. Flowers 75.00 3. Funeral Reception 352.00 8, ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: 2. Attorney Fees: Butler Law Firm 2,080.00 3, Family Exemption:(If decedenYs address is not the same as claimanYs,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: 5 Accountant Fees: 6, Tax Return Preparer Fees: 2012 PA-40X,2012 1040X,2014 1040 and 2014 PA-40 455.00 7, Overnight Mail 19.72 8. Cumberland County Register of Wills-Filing Fees 15.00 9. Death Certificates 90.00 10. U-Haul 317.85 11. Miscellaneous Expenses 25.00 TOTAL(Also enter on Line 9,Recapitulation) $ 5 224.57 If more space is needed,use additional sheets of paper of the same size. REV-1512 tX+(12-12) � pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT� INHERITANCETAXRETURN MORTGAGE LIABILITIES& LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER HAROLD B. HILL 21 14 0448 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. Asbury Bethany Village 4,110.44 2. James R.Norton,DPM 25.15 3. MedOptions 81.65 4. 2013 PA-40 146.00 5. CCR�c 3032 6. Hampden Physician Associates 30.40 7. 2012 PA-40X 174.00 8. Lower Allen Township 36.00 TOTAL(Also enter on Line 10,Recapitulation) $ 4,633.96 If more space is needed, insert additional sheets of the same size. REV-1513 EX+-(01-10) . � � � pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: HAROLD B. HILL 21 14 0448 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec.9116(a)(1.2).] 1. Nancy S. H. Richwine Lineal 54,878.47 8 Shady Road Camp Hill,PA 17011-1723 2. Christopher B.Hill Lineal 54,878.46 2110 W.Fairview Street Allentown,PA 18104-6430 3. Meredith L. H. Poole Lineal 54,878.46 3026 Logan Street Camp Hill, PA 17011-2947 4. Timothy A. Poole Lineal 3,998.91 3026 Logan Street Camp Hill, PA 170ll-2947 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed,use additional sheets of paper of the same size. , • ' , REV-1500 Discount, Interest and Penalty Worksheet Discount Calculation Total Amount Paid within three calendar months of the decedent's date of death: _ 8,000.00 Discount: 379.43 Interest Table i__ _ _ __ __. _T- Year Days Delinquent Balance Due � Interest this time period this year this period Before 1981 � 1982 i 1983 T _ _�_ _ _ _�_.__ 1984 ' _ - - - _ _ 9985 ' � . - - _ - '__ . _ __ ___ _.� 1986 � - - - - -_ __ �- _ � 1987 __ - - r - _ _ __ _� _ - -- _ 1988 through 1991 ! _ __ I _ 1992 �.__ __- ---- 1993 through 1994 � -- 1995 through 1998__ _ - - __ _ - , 1999 - -__ _ i - -_ __ - - 2000 _ _ _- -- __ __ _-� _ - - --_ �2001 . , - - __ _ _ _ _ __ _ 2002 _ __ _ ._ — _ - - - - - - - _ � 2003 - _ _ ___ _ _ _ _ I � --_ 2004 _ ___ -_- - -- _ __ -- _2005 � 2006 _ � 2007 2008 _ 2009 ' ' ._ _ - - -- ' 2010 � , _ __ _ _- - �-- - --�-_ _ _ '-- _ _ 2011 throu h 2014 ' _ __ ' -- - -�I - __._ , -- - - - ._ -_ ._ __ __� _ _ _-- _ __ _. _! _ �_ TOTALS _ - _ - - L --- -__- _ Penalty Calculation If the decedent's date of death was on or before March 31, 1993, insert the applicable amount: Total Balance Due on January 17, 1996: __ __ _ __ Penalty: PLEASE NOTE THE FOLLOWING STATEMENT IS APPLICABLE TO THIS ESTATE When a tax is imposed upon a transfer of jointly owned property by right of survivorship (see Schedule F) or a taxable inter vivos transfer (see Schedule G), the deductions will be allowed to the transferee only to the extent that the transferee has actually paid the deductible items and either the transferee was obli�ated to�av the deductible items or the estate subject to administration by a personal representative is insufficient to pay the deductible items. The transferee must show that the same debts are not also claimed by an executor, administrator, or other personal representative handling the administration of the decedent's estate. ! ' REVOCABLE LIVING TRUST AG H. B. HII.L FAMu„Y TRUST HAROLD B. HII,L and HELEN B. HII,L SETTLORS AND HAROI.D B. HII.L and HELEN B. HTT T" TRUSTEES Law Office MARSHALL & DRIER 303 Allegheny Street Jersey Shore, Pennsylvania 17740 717-398-7603 � REVOCABLE LIVING TRUST AGREEMENT This TRUST AGREEMENT entered into this � day of OZ�e� , 1991, by HAROLD B. HILL and HELEN B. HILL, who both cu�rently reside at 733 Market Street, Mifflinburg, Union County, Pennsylvania 17844, and who are hereafter referred to as "Settlors, " and A N D HAROLD B. HILL and HELEN B. HILL, who both currently reside at 733 Market Street, Mifflinburg, Union County, Pennsylvania 17844, and their successors, in the capacity of Trustee of the Trust, hereafter jointly referred to in the singular as "Trustee." ARTICLE 1. TRUST ESTATE 1.01 NAME OF TRUST. The name of the Trust will be the H.B. HILL FAMILY TRUST. 1.02 TRANSFER IN TRUST. The Settlors shall initially fund this Trust with the assets described in Exhibit "A" attached hereto. By execution hereof, Settlors hereby assign, convey, transfer and deliver the described assets to Trustee effective on the date of this agreement. Said assets and all other property transferred to and received by the Trustee to be held pursuant to this trust shall constitute the "Trust Estate" and shall be held, administered, and distributed by the Trustee as hereinafter provided. 1.03 ADDITIONS TO THE TRUST ESTATE. The Settlors, either during life or by will, or any other person shall have the right at any time to add other property acceptable to the Trustee to this trust. Such property, when received and accepted by the Trustee, shall become part of the Trust Estate. 1.04 STATUS OF TITLE IN TRUST ASSETS. HAROLD B. HILL and HELEN B. HILL, although husband and wife, agree that they shall each hold their interest in the H.B. HILL FAMILY TRUST as tenants in co�on in the trust assets, and not as tenants by the entireties. ARTICLE 2. ANIENDMENT AND REVOCATION 2.01 REVOCATION DURING LIFE OF BOTH SBTTLORS. During the lives of both of the Settlors, this trust (or any provision hereof) may be amended, altered, revoked, or terminated, in whole or in part, by an instrument in writing signed by the Settlors, or either of them, and delivered to the Trustee. 2.02 CONSENT OF TRUSTEE TO AMENDMENT. The trust may not be amended to change the obligati'ons, duties, or rights of the Trustee without the written consent of the Trustee to such amendment. ' ,4, 2.03. TRUSTEE'S DUTIES ON REVOCATION. If the entire trust is revoked by the Settlors, the Trustee shall transfer to the Settlors all of the Trust Estate and shall execute and deliver to the Settlors all instruments which are necessary or appropriate to release all interests of the Trustee in the Trust. 2.04. IRREVOCABILITY OF TRUST ON DEATH OF ONE OF SETTLORS. Upon the death of one of the Settlors the trust estate shall be distributed to the H.B. HILL FAMILY TRUST SHARE A TRUST and the H.B. HILL FAMILY TRUST SHARE B TRUST as set forth hereinafter and the H.B. HILL FAMILY TRUST SHARE B TRUST shall be irrevocable and shall not be altered or amended. ARTICLE 3. DISTRIBUTIONS BY THE TRUSTEE WHILE SETTLORS ARE LIVING 3.01 NET INCOME TO SETTLORS. While Settlors are both living, the Trustee shall pay to or apply for the benefit of the Settlors, in quarterly or other convenient and reasonable installments as the Settlors require, all of the net income from the Trust Estate, unless otherwise directed by the Settlors. 3.02 INVASION OF PRINCIPAL FOR SBTTLORS. While the Settlors are both living, the Trustee shall pay to or apply for the benefit of the Settlors (in addition to the net income from the Trust Estate) such amounts from the principal of the Trust Estate, up to the whole thereof, as the Settlors may from time to time request or require. 3.03 INCAPACITY OF SETTLORS. While the Settlors are both living, if either or both of the Settlors become incapacitated through illness, age, or other cause, then such portion of the net income and principal of the Trust Estate shall be paid to or applied toward the support, care, and benefit of the Settlors as the Settlors shall request or require for their proper maintenance and support. ARTICLE 4. DIVISION OF TRUST ESTATE UPON DEATH OF FIRST SETTLOR TO DIE 4.01 DIVISION OF TRUST ESTATE INTO TWO TRUSTS. On the death of the first Settlor to die (the "deceased Settlor" ) , the trust estate shall be divided into two separate trusts, THE H.B. HILL FAMILY TRUST SHARE A TRUST (hereinafter referred to as "Trust A" ) and THE H.B. HILL FAMILY TRUST SHARE B TRUST (hereinafter referred to as "Trust B" ) . Trust A shall consist of ( 1) the surviving Settlor's interest in all property in the trust estate and (2 ) all other assets in the trust estate other than those allocated to Trust B. Trust B shall be funded from the deceased Settlor's tenancy in common interest in all property of the Trust estate and shall 2 consist of assets equal in value to the maximum amount, if any, that can pass free of federal estate tax by reason of the unified credit available to the estate of the deceased Settlor after considering any adjusted taxable gifts and bequests by Will or other dispositions which do not qualify for the marital deduction made by the deceased Settlor and all charges to principal of the estate which are not deducted in computing the federal esta�e tax of the estate of the deceased Settlor; provided, however, that the allocation to Trust B shall be satisfied with assets valued as of the date of allocation or distribution; and provided further that any assets which do not qualify for the federal estate marital deduction shall be used first to satisfy the allocation to Trust B. 4.02 ALLOCATION OF ASSETS TO THE TRUSTS. The Trustee shall have the power to distribute assets in cash or in kind to the respective trust shares and to select specific property to be distributed to the respective trust shares without regard to the income tax basis of such property. In making these allocations, the Trustee shall use the value of the assets as of the day or dates of distribution so that each distribution shares proportionately in the appreciation or depreciation of assets between the date of the death of the first Settlor to die and the date or dates of distribution. Unproductive property shall not be held as an asset of Trust A for more than a reasonable time during the life of the surviving Settlor without the consent of the surviving Settlor. To the extent that other assets which qualify for the marital deduction are available there shall not be allocated to Trust A: (a) assets with respect to which an estate tax credit for foreign taxes paid is allowable; (b) any payments under an employee's trust or retirement annuity contract of the type described in Section 2039 (c) of the Internal Revenue Code or subsequent provisions of similar import; or (c) United States Treasury bonds that are eligible for redemption at par value in payment of the federal estate tax. In computing the marital deduction all generation skipping transfers for which the first Settlor to die is the "deemed transferor" shall be disregarded. 4.03 SIMULTANEOUS DEATH. If both Settlors die simultaneously, or in circumstances which render it difficult to determine which died first, each Settlor shall be deemed to have survived the other for all purposes of this Article, to the extent that such survival will have the effect of maximizing the availability of the unified credit available to the estate of each Settlor. ARTICLE 5 MANAGEMENT OF TRUST A 5.01 DISTRIBUTION OF INCOME. The Trustee shall pay to the surviving Settlor for his or her lifetime, all of the net income of Trust A in quarterly or in other convenient installments, but in no event less often than annually. 3 5.02. DISTRIBUTION OF PRINCIPAL. If at any time in the discretion of the Trustee the surviving Settlor should be in need of additional funds, or if additional funds are requested by the surviving Settlor (in addition to the income payments hereinabove provided) the Trustee shall pay or apply for the benefit of the surviving Settlor such amounts from the principal of Trust A, up to the whole thereof, as the Settlor from time to time may request or require. 5.03 REVOCATION OF TRUST A. During the life of the surviving Settlor, Trust A may be amended, altered, revoked, or terminated, in whole or in part, by an instrument in writing signed by the surviving Settlor or the surviving Settlor's duly, authorized agent and delivered to the Trustee. In the event of such revocation the entire trust estate of Trust A shall be paid to, or as directed by, the surviving Settlor. 5.04 DISPOSITION OF TRUST A ON THE DEATH OF THE SURVIVING SETTLOR. After the death of the surviving Settlor, the Trustee shall, to the extent that the surviving Settlor's probate estate assets (other than real estate, tangible personal property or property that does not have readily realizable market value in the trustee's judgment) are insufficient, pay to the surviving Settlor's personal representative or directly, such sums as may be required to pay the surviving Settlor's debts, expenses of last illness, funeral expenses, costs of administration and claims allowed in the administration of the surviving Settlor's estate, income taxes due on surviving Settlor's final and estate returns, and all inheritance, transfer, estate, and similar taxes (including interest and penalties) assessed or payable by reason of the surviving Settlor's death. No reimbursement will be required from the surviving Settlor's personal representative, beneficiaries of insurance policies on the surviving Settlor's life, or from any other person. The Trustee shall thereafter distribute the then remaining balance of the trust estate of Trust A, including all principal, but not including undistributed income, to Trust B to be held, administered and distributed as part of the estate of Trust B as hereafter provided. Any income earned by Trust A prior to the surviving Settlor's death, but not distributed, shall be paid to Surviving Settlor's estate prior to distributing the remaining balance to Trust B. , ARTICLE 6 MANAGEMENT OF TRUST B 6.01. DURING THE LIFBTIME OF SURVIVING SETTLOR. During the lifetime of the surviving Settlor the Trustee shall pay all of the net income from the property of Trust B to the surviving Settlor. Payments under this Paragraph 6.01 shall be made in convenient installments at least as often as quarter-annually. 6.02. DISTRIBUTIONS FROM PRINCIPAL. Whenever the Trustee determines that the income and property conveniently available to 4 . � the surviving Settlor, from all sources known to the Trustee, is not sufficient for the surviving Settlor's reasonable support, maintenance and health, the Trustee shall pay to, or use for the benefit of the surviving Settlor, so much of the principal of Trust B as the Trustee determines to be necessary for those purposes. 6.03 UPON THE DEATH OF SURVIVING SETTLOR. Upon the death of the surviving Settlor, the Trustee shall distribute all of the remaining assets of Trust B • (as augmented with such additional assets as shall be received from Trust A) in equal shares to the children of the Settlors: DiANCY S. HILL, CHRISTOPHER B. HILL, and MERSDITH L. HILL. In the event that any of the said children shall fail to survive the surviving Settlor, the Trustee 'shall ,distribute said deceased child's share to those of the issue of deceased child who are living on t�e date of death of the surviving Settlor, per stirpes, by right of representation. If the deceased child has no issue, the deceased's child's share shall be added equally to the shares set aside for the other children of the Settlors. ARTICLE 7 GENERAL ADMINISTRATIVE DIRECTIONS 7.01 PAYI�NTS FOR THE BENEFIT OF A BENEFICIARY. If at any time any beneficiary entitled to receive income or principal from the trust estate is a minor or an incompetent or a person whom the Trustee in the Trustee's discretion deems unable to handle funds properly or wisely if paid directly to the beneficiary, the Trustee in the Trustee's sole discretion may make payments in any one or more of the following ways: ( 1) Directly to the beneficiary; (2j To the natural guardian or legally appointed guardian of the person or estate of the beneficiary; (3) By making expenditures directly for the care, support, maintenance, or education of the beneficiary; (4 ) To any person or organization furnishing care, support, maintenance, or education for the beneficiary; (5) To any custodial parent of a minor beneficiary; (6) Directly to creditors in payment of the debts and expenses of the beneficiary. (7) To a custodian for the beneficiary under any law related to gifts to minors, including to my executor in that capacity. The Trustee shall not be required to see to the application of any funds paid or applied in any of the aforementioned ways and the receipt of the payee shall be full acquittance of the Trustee. The decision of the Trustee with 5 . h regard to the selection of which of the aforementioned methods should be used in making payments shall be conclusive and binding on all parties concerned. 7.02 CONFLICTING CLAIMS. Whenever there are conflicting claims as to the person entitled to any payment or distribution from the trust estate, the Trustee may in his discretion withhold, without the payment of interest, all or any part of any disputed payment or distribution until the matter has been adjudicated and final judgment entered by an appropriate court. 7.03 SPENDTHRIFT PROVISIONS. No beneficiary or remainderman of any interest in any trust created by this instrument shall have any right to alienate, encumber, or hypothecate his or her interest in the principal or income of the Trust in any manner, nor shall any interest of any beneficiary or remainderman be subject to claims of his or her creditors or liable to attachment, execution, or other process of law. This paragraph shall not restrict the exercise of any power of appointment. 7.04 RULE AGAINST PERPETUITIES CLAUSE. All of the trusts created in this instrument shall in any event terminate on the death of the last survivor of the Settlors and the Settlors' children who are named as such in this trust agreement. 7.05 INCOME ACCRUED AT DBATH OF BENRFICIARY. Income payable to any beneficiary which is accrued and undistributed at the death of that beneficiary shall be held and accounted for or distributed in the same manner as if it had been received before the beneficiary's death. 7.06 CHANGE OF SITUS. This instrument and dispositions under it shall be construed and governed by the laws of the Commonwealth of Pennsylvania. However, the person, or a majority of the legally competent persons, then entitled to receive income may, with the written consent of the Trustee, change the situs of any trust established hereunder from the state in which the trust is then being administered to a new state. Any such action shall be accomplished by a writing signed by the person or persons so acting submitted to the Trustee which writing may be filed by the Trustee with the court then having jurisdiction over the trust. ARTICLE 8 POWERS OF FIDUCIARIES 8.01. POWERS OF TRUSTEES. The Trustees, including successor Trustees, serving hereunder shall have the following powers in addition to those vested in them by law and by other provisions of this agreement, applicable to all property, whether principal or income, including property held for minors, exercisable without court approval, and effective until actual distribution of all property: 6 '. ti ( 1) To continue to hold any and all property received by the Trustee or subsequently added to the trust estate or acquired � pursuant to proper authority (including, if a corporate entity is acting as trustee, shares of the Trustee's own stock and stock in any corporation controlling, controlled by,, or under common control with the Trustee) if and as long as the Trustee, in exercising reasonable prudence, discretion, and intelligence, considers that the retention is in the best interests of the trust; provided, however, that, after the death of a Settlor if the Settlor's spouse shall by written instrument delivered to the Trustee direct the Trustee to convert any nonincome-producing or unproductive property held in the Trust to income-producing property, the Trustee shall within a reasonable time after its receipt comply with the direction. (2 ) To invest in all forms of real and personal prQperty (including, without limitation, stock, option, or other securities, common trust funds and mortgage investment funds) , without restriction to investments authorized for fiduciaries, as the executor or trustee shall deem proper, without regard to any principle of diversification or risk. (3) To sell at public or private sale, to exchange, or to lease for any period of time, any real or personal property and to give options for sales, exchanges or leases, with such.prices and upon such terms or conditions as the trustee deems proper. (4) To allocate receipts and expenses to principal or � income or partly to each as the trustee from time to time thinks proper. (5) To borrow from, or to sell to, any of my fiduciaries even though the fiduciary is a trustee. (6) To choose the optional valuation date for Federal Estate Tax purposes. (7) To exercise any law-given option to treat administrative expenses either as income or as estate tax deductions, without regard to whether the expenses were paid from principal or income. (8) To hold property in the trustee's name without designation of any fiduciary capacity or in the name of a nominee or unregistered. (9) To enter into transactions with other fiduciaries including the trustees or executors of other trusts and estates in which any beneficiary under this instrument has any interest, and including themselves as fiduciaries for other estates and trusts, and in such transactions to purchase property, or make loans or notes secured by property, even though similar property constitutes a large portion of the trust property and to retain any such 7 property or notes as if they had been an original part of the estate or trust. ( 10) To exercise, respecting securities held by the trust estate, all the rights, powers, and privileges of an owner, including, without limitation, the power to vote, give proxies, and to pay assessments and other sums deemed by the Trustee to be necessary for the protection of the trust estate. ( 11) To sell for cash or on deferred payments at public or private sale, to exchange, and to convey any property of the estate or any trust estate. ( 12) On any division of the trust estate into separate shares or trusts, to apportion and allocate the assets of the trust estate in cash or in kind, or partly in cash and partly in kind, or in undivided interests in the manner deemed advisable in the discretion of the Trustee; after any division of the trust estate, the trustee may make joint investments with funds from some or all of the several shares or Trusts, but the Trustee shall keep separate accounts for each share or trust. ( 13) To abandon any trust asset or interest therein in the discretion of the Trustee. ( 14) To grant an option involving disposition of a trust asset and to take an option for the acquisition of any asset by any trust estate. ( 15) To lease any real or personal property of the trust for any purpose for terms within or extending beyond the duration of the trust. ( 16) To manage, control, improve, and repair real and personal property belonging to the trust estate. ( 17) To employ an attorney, investment adviser, accountant, broker, tax specialist, or any other agent deemed appropriate in the discretion of the trustee, including persons associated with or employed by any executor or trustee, and to pay from the trust estate reasonable compensation for all services performed by any of them; ( 18) To borrow money for any trust purpose from any person, firm, or corporation, including one acting as trustee hereunder, on the terms and conditions deemed appropriate by the Trustee and to obligate trust assets for repayment; to encumber the trust or any property thereof by mortgage, deed of trust or otherwise, using whatever procedures to consummate the transaction deemed advisable by the trustee; and to replace, renew, and extend any encumbrance and to pay any loans or other obligations of the trust deemed advisable by the Trustee. g ( 19) To procure and carry at the expense of the trust insurance of the kinds, forms, and amounts deemed advisable by the trustee against any hazard. (20) To compromise, submit to arbitration, release with or without consideration, or otherwise adjust claims in favor of or against the trust; to commence or defend litigation affecting the trust or any property thereof as deemed advisable by the Trustee. (21) To pay all taxes, assessments, compensation of the trustee, and all other expenses incurred in the collection, care, administration, and protection of the trust estate. (22) Except as prohibited in this agreement, the Trustee shall have the power to do all the acts, to take all the proceedings, and to exercise all the rights, powers and privileges which an absolute owner of the property would have, subject always to the discharge of fiduciary obligations and the enumeration of certain powers in this trust agreement shall not limit the general or implied powers of the Trustee; the Trustee shall have all additional powers that may now or hereafter be conferred on the Trustee by law or that may be necessary to enable the Trustee to administer the trust estate and any trust share in accordance with the provisions of this trust agreement, subject to any limitations specified herein. (23) To continue and operate, to sell or to liquidate, as the Trustee deems advisable at the risk of the trust estate, any business or partnership interests received by the trust estate, provided, however, that if, after the death of a Settlor, the Settlor's spouse shall by written instrument delivered to the Trustee direct the Trustee to convert any nonincome-producing or unproductive business or partnership interest held in the Trust to income-producing property, the Trustee shall within a reasonable time after its receipt comply with the direction. (24 ) If, after the death of a Settlor, the Settlor's spouse shall by written instrument delivered to the Trustee direct the Trustee to convert any nonincome producing or unproductive asset held in the Trust to income-producing property, the Trustee shall within a reasonable time after its receipt comply with the direction. (25) None of the powers or discretions granted in any provision in this trust agreement to the Trustee shall be exercised in a manner inconsistent with the allowance of the federal estate tax marital deduction, to which a Settlor's estate would otherwise be entitled, regardless of any provision in this trust agreement to the contrary. 9 ARTICLE 9 CHANGE OF TRUSTEE 9.01 RESIGNATION OF TRUSTEE. Any Trustee may resign by giving written notice, specifying the effective date of the resignation, to the beneficiaries then entitled to the trust income. 9.02 SUCCESSOR TRUSTEES WHILE BOTH SETTLORS ARE ALIVE. If either HAROLD B. HILL or HELEN B. HILL should be unable or unwilling to act or continue as trustee for any reason whatsoever, while both Settlors are alive, the remaining trustee shall have full power and authority to act as sole trustee under this trust agreement. If both HAROLD B. HILL and HELEN B. HILL should be unable or unwilling to act or continue as trustee for any reason whatsoever, while both Settlors are alive, the daughter of the Settlors, NANCY S. HILL, shall serve as successor trustee. In the event that NANCY S. HILL, should be unable or unwilling to act or continue as trustee for any reason whatsoever, CHRISTOPHER B. HILL AND MEREDITH L. HILL, shall serve as successor co-trustees. 9.03 SUCCESSOR TRUSTEES AFTER THE DEATH OF ONE OF THE SETTLORS. Upon the death of one of the Settlors, the daughter of the Settlors, NANCY S. HILL, shall serve as successor trustee of THE H.B. HILL FAMILY TRUST SHARE B TRUST, and the surviving Settlor shall be the Trustee of THE H.B. HILL FAMILY TRUST SHARE A TRUST. If the surviving Settlor should be unable or unwilling to act or continue as trustee of the Share A Trust for any reason whatsoever, NANCY S. HILL, shall serve as successor trustee of THE H.B. HILL FAMILY TRUST SHARE A TRUST. In the event that NANCY S. HILL, should be unable or unwilling to act or continue as trustee of either the Share A Trust and/or the Share B Trust for any reason whatsoever, CHRISTOPHER B. HILL AND MEREDITH L. HILL, shall serve as successor co-trustees. 9.04 DETERMINATION OF INCOMPETENCY, RESIGNATION, OR OTHl3R INABILITY OR REFUSAL TO ACT BY A PERSON NAMED OR SERVING AS TRUSTE$ OR SUCCESSOR TRUSTEE. For purposes of this trust agreement and all actions taken hereunder, the disability, incapacity, incompetency, resignation, lack of capacity as sui juris, refusal, or inability to act by any person appointed to serve or serving as Trustee or co-trustee shall be conclusively presumed by all persons if either a physician duly licensed to practice in the Commonwealth or Pennsylvania or another of the United States or the Trust's legal advisor (Jeffrey A. Marshall, Attorney at Law, whose current business address is 303 Allegheny Street, Jersey Shore, Pennsylvania 17740) , shall by written statement directed to the income beneficiaries of the trust declare that in his or her opinion the individual is disabled or incapacitated or incompetent, or is not sui juris, or has refused to act as trustee, or has resigned as trustee. All persons shall rely upon such a statement by said physician or the Trust's legal advisor (Jeffrey A. Marshall, Esq. ) and all persons hereby acting in reliance thereupon and any such physician and the Trust's legal advisor (Jeffrey A. 10 Marshall, Esq. ) , are hereby released from any and all liability of any nature in regard to the making or relying upon such statements regarding the disability, incapacity, incompetency, lack of capacity, refusal to serve, or resignation of any person. By acceptance of service as trustee the persons serving in such capacity hereunder waive any physician-patient and any attorney-client privilege in regard to such statements and authorize physicians and the Trust's legal advisor to make such statements. 9.05 POWERS OF SUCCESSOR TRUSTEE. Any successor Trustee shall have the title, duties, powers, and discretion as the Trustee succeeded without the necessity of conveyance or transfer. 9.06 POWERS OF GUARDIANS AND AGENTS. The guardian of a beneficiary under legal disability, or the parents or guardian of a minor beneficiary for whose estate no guardian has been appointed, and the then active Agent for any person acting under authorization pursuant to a Durable Power of Attorney, may act for the beneficiary in signing any instrument under this Trust Agreement. 9.07. FAILURE OF A CO-TRUSTEE TO ACT. If any person should be unable or unwilling to act or continue as co-trustee of the Trust or any share of the trust for any reason whatsoever, the remaining co-trustee shall have full power and authority to act as trustee of the Trust or trust share without the requirement for the appointment of an additional co-trustee. ARTICLE 10 MISCELLANEOUS PROVISIONS 10.01 MISC$LLANEOUS PROVISIONS. ( 1) As long as any income or principal to which any beneficiary under this trust may be entitled remains in the possession of the Trustee and is not actually distributed to the beneficiary, such income or principal shall not be subject to anticipation or alienation by the beneficiary by assignment or by any other means (except as specifically authorized herein) , and it shall be free and clear of the beneficiary's debts and obligations and shall not be taken, seized, or attached by any process whatsoever. (2 ) No person dealing with the Trustee, or the Trustee's successors or survivors, shall be bound to see to the application of any purchase money or other consideration or to inquire into the validity, . necessity, or propriety of any transaction to which such fiduciaries may be parties. (3) Any Trustee shall be entitled at any time to seek a judicial settlement of accounts in any Court of competent jurisdiction selected by my Trustee. As an alternative, the Trustee may at any time settle the account of any trust or trust 11 i share hereunder by agreement with the income beneficiary or beneficiaries of that trust or trust share who are not under any legal disability; and such agreement shall bind all persons whether or not then in being or sui juris, or then or thereafter entitled to any portion of the trust or trust share, and shall effectively release and discharge the Trustee for the acts and proceedings so accounted for. � (4) No individual Trustee appointed under this Trust Agreement shall at any time be held liable for any action or default of himself or his agent or of any other person in connection with the administration of the trust estate, unless caused by his own gross negligence or by the willful commission by him of an act of breach of trust. (5) The Trustee shall be entitled to receive reasonable fees for the expenses incurred and ordinary and extraordinary services rendered by the Trustee. (6) Whenever appropriate in this trust agreement, the singular shall be deemed to include the plural and vice versa; and the masculine shall be deemed to include the feminine, and vice versa, and each of them to include the neuter, and vice versa. (7 ) For all purposes hereunder, the word "property" shall be deemed to include real and personal property and any interest of any kind in any real or personal property; and �he word "give" shall be taken to include the words "devise" and "bequeath" wherever appropriate in order to effectuate the transfer of real or personal property. (8) For all purposes hereunder, the terms "executors, " "trustees, " "guardians, " "agents" and "fiduciaries, " and the singulars thereof, shall apply, respectively, to those who are then entitled and qualified to act as such, whether originally appointed, remaining, substituted, or succeeding. The term "corporate trustee, " if used herein, shall mean a corporation which is in the business of acting as a fiduciary and is duly authorized under the law of the situs of the trust to serve as Trustee. (9) The Trustee shall have the power, in the Trustee's discretion, to select assets to be sold by the trust estate for the payment of debts, and taxes in a manner that will minimize the recognition of gain for federal income tax purposes. The Trustee shall have the right to exercise any options and elections under the tax laws applicable to the trust estate as the Trustee determines should be made. No compensation adjustments between income and principal shall be made even though the elections may affect the interests of the beneficiaries. The action of the Trustee with respect to options and elections made shall be conclusive and binding upon all beneficiaries. ( 10) No Trustee or other fiduciary acting hereunder shall be required to give bond for the faithful performance of fiduciary 12 duties in any jurisdiction. IN WITNESS WH$REOF, we have hereunto set our hands and seals this llth day of November, 1991. SETTLORS: HAROLD B. HILL,� Settlor `� �J. �•�-�L HELEN B. HILL, Settlor TRUSTEE: , OLD B. HILL,� Trustee L��,. � ,� HELEN B. HILL, Trustee COMMONWEALTH OF PENNSYLVANIA . : SS COUNTY OF LYCOMING . On this, the llth day of November, 1991, before me a Notary Public for the Commonwealth of Pennsylvania, the undersigned officer, personally appeared HAROLD B. HILL, and HELEN B. HILL, known to be the persons whose names are subscribed to the within instrument, and acknowledged that they executed the same for the purpose therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and seal. J Notary Public Notarial Seal Gloria Macano Kizis.Notary Public Jer,ey Shore Boro.lycomu�g Courriy My Commission ExpiresApn'17,1994 My Commission Expires: 13 �- .. EXHIBIT A ASSETS TRANSFERRED TO TRUST Assets sold, assigned, or otherwise transferred by HAROLD B. HILL and HELEN B. HILL, Settlors, to the Trustee, under Agreement of Trust dated November 11, 1991 receipt of which is hereby acknowledged on said date by the Trustee. 1. All right, title and interest of the Settlors in that certain real estate as follows: TRACT NO. 1: AT•T• THAT CERTAIN lot or parcel of ground situate in the West Ward of the Sorough of Mifflinburg, County of Union and Commonwealth of Pennsylvania, at the Southeast corner of Eighth and Market Streets, and bounded as follows, to-wit: on the North by Market street; on the East by lot formerly of Mrs. Augustus Gemberling, now or formerly W. Edward Henry; On the south by Church Alley; and on the West by Eighth Street aforesaid; Having a frontage on Market Street of forty-six (46) feet and a width along said alley of one hundred six and one-half (106 1/2) feet and a depth of one hundred twenty (120) feet, more or less. Tract No. 1 being known as Parcel No. 216 on Sheet No. 30 of the Union County Tax Atlas. TRACT NO. 2: ALL THAT CERTAIN parcel and tract of land situate on the South side of Market street, between Seventh and Eighth Streets in the West Ward of the sorough of Mifflinburg, county of Union and Commonwealth of Pennsylvania, bounded and described as follows, to-wit: Bounded on the North by Market Street; On the East by property now or formerly of Alexander Freniere; on the South by church Alley; and on the West by property now or formerly of William Edward Henry; Having a width or frontage on Market Street of fifty (50) feet, more or less, and a depth of one hundred twenty-five (125) feet, more or less. Tract No. 2 being known as Parcel No. 215 on Sheet No. 30 of the Union county Tax Atlas. BEING the same premises granted and conveyed to Harold B. Hill and Helen Baker Hill, his wife, by deed of William Edward Henry, Single, dated the llth day of February, 1978 and recorded in the office of the Recorder of Deeds of Union County in Deed Book 139 at Page 382. The Settlors intend to convey other assets to the Trust by retitling said assets in the name of the trust. TRUSTEE: � HAROLD B. HILL, Trustee . , 1 �-3.�Q HSLEN B. HILL, Trustee 14 . . � ° � �' FIRST AMENDMENT OF REVOCA,BLE LIVING TRUST AGREEMENT HAROLD B. HILL and HELEN B. HILL, Settlors AND HA.ROLD B. HILL and HELEN B. HILL, Trustees LaW offi�es MARSHALL &ASSOCIATES 303 Allegheny Street Jersey Shore, Pennsylvania 17740-1405 570-398-7603 �. FIRST AMENDMENT OF REVOCABLE LIVING TRUST AGREEMENT This TRUST AMENDMENT is made and executed this 6t"day of January, 2000, by and between HAROLD B. HILL,who currently residing at 733 Market Street, Mifflinburg, Union County, Pennsylvania 17844, and HELEN B. HILL, who currently residing at 733 Market Street, Mifflinburg, Union County, Pennsylvania 17844, (hereinafter referred to as "Settlors"), and HAROLD B. HILL, who currently residing at733 Market Street, Mifflinburg, Union County, Pennsylvania 17844, and HELEN B. HILL,who currently residing at 733 Market Street, Mifflinburg, Union County, Pennsylvania 17844, (hereinafter referred to in the singular as "Trustee"). WHEREAS, Settlors and Trustee have previously entered into a Trust Agreement known as the H. B. HILL FAMILY TRUST, dated November 11, 1991 (hereinafter referred to as the "Agreement"), which Agreement was executed on the 11�' day of November, 1991, and WHEREAS, Settlors desires to amend the terms of the Agreement as directed herein, and WHEREAS, Trustee wishes to accept the Amendment desired by the Settlors, NOW, THEREFORE, intending to be legally bound, the parties do hereby execute this Amendment to the Agreement. 1. Article 6.03 of the Trust Agreement is deleted in it's entirety and restated to read as follows: 6.03. UPON THE DEATH OF SURVIVING SETTLOR. Upon the death of the surviving Settlor, the Trustee shall distribute all of the remaining assets of Trust B (as augmented with such additional assets as shall be received from Trust A) in equal shares to the children of the Settlors, NANCY S. H. RICHWINE, CHRISTOPHER B. HILL, and MEREDITH L. H. POOLE. In the event that any of the said children shall fail to survive the surviving Settlor, the Trustee shall distribute said deceased child's share to those of the deceased child's children who are living on the date of death of the surviving Settlor. If the deceased child has no then living children, the deceased child's share shall be added to the shares set aside for the other children of the Settlors. The "children" of an individual shall be interpreted to include persons who have been legally adopted by the individual but shall exclude stepchildren who have not been legally adopted. In all other respects, Settlors and Trustee hereby ratify, confirm, and republish the Trust Agreement dated the 11 th day of November, 1991, together with this Amendment, as constituting the entire Trust Agreement. � � . . � IN WITNESS WHEREOF, the Settlors and Trustee have hereunto set their hands and seals, to evidence their acceptance of this Trust Amendment, on this the 6th day of January, 2000. . � �. / (SEAL) Witness HAROLD B. HILL, Settlor ��k"„-""'` �j' '�,-"`"''' (SEAL) Witness HELEN B. HILL, Settlor .���c. � �/�� � (SEAL) Witness HAROLD B. HILL, Trustee ��L�.J�r,�'l. l��M � . �Qfl. (SEAL) Witness HELEN B. HILL, Trustee COMMONWEALTH OF PENNSYLVANIA : : SS COUNTY OF LYCOMING : ON THIS, the 6"' day of January, 2000, before me a Notary Public for the Commonwealth of Pennsylvania, the undersigned officer, personally appeared HAROLD B. HILL and HELEN B. HILL, known to be the persons whose names are subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and seal. NOTARIAL SEAL KAREN L.GRtSWOLO,NOTARY PUBLIC �� 1ERSEY SHORE BORO.,LYCOMfNG COUNTY MY COMMISSION IXPIRES JAN.14 2003 Notary Public My Commission Expires 2 , � ean.th��:::tiwe�Aerai��n€wr�5v�var3:A FiE'J-t 1��E?Ct t t-9�} �E�'PoH',r�aeh7 OP FEYEny�;E B�JRE��:,!CkF iNriViGlS��.L TAXES pEP7. ;��?08C��t '�'?ArZRI':��:vRi"x,FR 77328-iSfiOt PENI�JSYLVAttIIA REGEEVEC� �ROM: INHER1TAfVCE AND ESTATE 7'AX OFFIClAL RECEfP7 l�+1C�. CD 01913� RIC�iWINE NANCY S N 8 S:-1A�Y ROAD CAn�lP HILI�, PA 1701 1 AGN ASSESSME�lT AMd�lNT � C4NTROL � hlUME�ER ___.___ -----_._ �..� --------- 7 t�� { ss,�oo.c�c� �sra-r�. ir��o�Ma-r:�rv: ss�; ,��-�s-�aza i ���� rv��n�s��: �� ��-o��s 1 , ��cEo�-�v� �v�r��: HILL I�AFiC►LD B � D1�TE C�F �+AYNIEN�': 05J0$,I2014 ( PCJSTIVI4RK DATE; fl5/�712014 � CC�UNT'�: CUfi/1BER�AND � DATE OF DEATH. �72 f{?$/�i01$ � � TQTA�. AMOUNT PAlD: 5$,00�.00 REMA:�KS: ` GH�CK# 196 lNIT1ALS; CJ s��.� RECEIVEp SY: (�151� Ptt�. GRA`YSC�N, ESQ. REGI�TER OF WiLLS �axpav�� . , . 1� Pennsylvania State Employees Credit Union � � P.O. Box 67013 Harrisburg, PA 17106-7013 Member Number: 0143"'*** 800.237.7328 psecu.com Statement Period: 02/01/14 to 02/28/14 Direct inquiries regarding preauthorized electronic transfer or account errors to the above address. Page Number: Regular 1 of 3 Account Balances at a Glance Total Shares: $21,387.90 63504 1 AV 0.381 00.583 00.054 T193 P1 34 Total Certificates: $0.00 • HAROLD B HILL Total Loans: $0.00 TIMOTHY POOLE � 8 SHADY RD CAMP HILL, PA 17011-1723 �II�I��I��II�I�I�I��I�I�I��I�'ll�����l�ll����l�l��ll��l����lli�ll 001058 01 001287 001 D S2 SAP:1,2,3,4 G ET MO N EY for whatever you need WITH A LOW-RATE »psecu.com/heloc Q YEAR TO DATE INFORMATION Description Amount Total Dividends Year to Date $3.01 SHARES Posting Effective Transaction New Date Date Transaction Description Amount Balance REGULAR SHARES ID 01 02/01 Beginning Balance 5.00 02/28 Ending Balance 5.00 Dividend YTD: Year to Date 0.46 CH�CKING ID 04 02/01 Beginning Balance 5,727.80 02/03 Withdrawal Direct Deposit UHAUL 999999 WS -105.95 5,621.85 02/03 TYPE: PURCHASE ID: M911925808 02/03 DATA:033005570100NPNP6 02/03 CO: UHAUL 999999 WS 02/04 Withdrawal Direct Deposit VETS INSURANCE -61.80 5,560.05 02/04 TYPE: PREAUTHDEB ID:3031036221 02/04 CO:VETS INSURANCE 02/05 Payment: Direct Deposit NATL FIN SVC LLC 12,000.00 17,560.05� 02/05 TYPE: EFT ID:0368504603 ` 0?../05 CO: NATL FIN SVC LLC �� 17,494.22 02/19 Wit raw ec eposit LIBERTY MUTUAL -65.83 02/19 TYPE: PAYMENT ID:9267721101 0?./19 CO: LIBERTY MUTUAL 02/21 BILLPAYER CHECK 022103 FOR$25.15 02/21 WAS MAILED TO JAMES NORTON DPM. . / 02/26 Check 022103 - 5.15 V 17,469.07 02J28 Payment: Direct Deposit US TREASURY 310 17,727.90 �_ .c � 1� Pennsylvania State Employees Credit Union Member Name: HARo�o e Hi�� � � P.O. Box 67013 Harrisburg, PA 17106-7013 Member Number: 0143**"" 800.237.7328 psecu.com Statement Period: 02/01/14 to 02/28/14 Page Number: Regular2 of 3 Posting Effective Transaction New Qate Date Transaction Description Amount Balance 02/28 TYPE:XXVA BENEF ID:31 1 1 036002 02/28 CO: US TREASURY 310 02/28 Payment: Dividend 0.100% 1.22 17,729.12 Annual Percentage Yieid Earned 0.100%from 02/01/14 through 02/28/14 Based on Average Daily Balance of 15,842.99 02/28 Ending Balance 17,729.12 Dividend YTD: Year to Date 2 09 CLEARED DRAFT RECAP Draft# Date Amount Draft# Date Amount Draft# Date Amount 22103 02/26 25.15 `Indicates a break in check sequence. MONEY MARKET ID 07 02/01 Beginning Balance 1,220.75 02/03 Payment: Direct Deposit SSA TREAS 310 1,212.00 2,432.75 02/03 TYPE:XXSOC SEC ID:9031736026 02/03 CO:SSA TREAS 310 0?_/28 Payment: Direct Deposit USS PENSION FUND ' 1,220. 3,653.41 02/28 TYPE: BENEFIT ID: 1256067089 "'" 02/28 DATA: USS/CPF BENEFIT 02/28 CO: USS PENSION FUND 02/28 Payment: Dividend 0.200% 0.37 3,653.78 Annual Percentage Yield Earned 0.200%from 02/01/14 through 02/28/14 02/28 Ending Balance 3,653.78 Dividend YTD: Year to Date 0.46 LOANS Trans Post Payments,Credits Finance Fees or Transaction New Date Date Transaction Description or Debits Charge Charges Amount Balance ID 01 PSL LOAN (Open End) Additional Joint Owner(s): HELEN B HILL *"'ANNUAL PERCENTAGE RATE 12.900% �"` Periodic Rate (Daily) .035342% 02/01 Beginning Balance 0.00 02/?_8 Ending Balance 0.00 Credit Limit:$1,000.00 Available Credit:$1,000.00 Interest Charged YTD 0.00 *`The balance used to compute interest is the unpaid balance each day after payments and credits to that balance have been subtracted and any additions to the balance have been made. ,,,...«..FEES,,..�..... TOTAL FEES FOR THIS PERIOD $0.00 **'*"**`*INTEREST CHARGED**""""` Interest Charge on Loan 0001 -PSL LOAN $0.00 TOTAL INTEREST FOR THIS PERIOD $0.00 � /�R� HAROLD B HILL Pennsylvania State Employees Credit Union Member Name: � � P.O. Box 67013 Harrisburg, PA 17106-7013 „��„ 800.237.7328 Member Number: 0143"' psecu.com Statement Period: 02/01/14 to 02/28/14 Page Number: Regular 3 of 3 2014 Totals Year To Date Fees Charged YTD $0.00 , � , uu�enu nx iwo�vtraua� TA�ES ' Pennsy�vania tnheritance Tax . � [���'tC1Sa/LW3t11�! P6 BbX 2806U1 MRRRTSSURG PA 17178•o6p1 If�fpt'�'C1c�fiIDt1 NOfICt� pEPARTMENT AF R£VENUE And Taxpayer Response "`-'�<,£'�``x",.d-'�y F��.E CJO.2t t�t-O�kt$ ACN 14129571 �Al"E C}5-2$-2014 �`�pe v#Ac�ount Estate of HAAOi.�B�ElLL Savings SSN t 4�-t 6-9424 CheclCi�g Date pf De2th 02-OS-201� Tru�t TIMOTHY A PgOLE C�untyCUN16ERLAND CSrtifi��fe 302b L06AN ST GAMP HILL PA 17D11-294fi Ps�cu provided th�department with the infi�rmation below indicating that at the death �f the above-named decedent ou were a joint r�wner ar beneficiar of the accounC identi�ied. Remit Payment and Farms to: AccduntiJo.143169424 D�t�Est�blis�ted 08-19-i99S f��GISTEFt OF WILLS Accour�t Balance $ 17,560.�5 t C�3URTHOUSE SGtUARE Per�ent Taxable X 50 �ARt�ISLE PA i7013 ; Amvunt Subject to Tax $8,78a.03 � 'i'ax€�at� X 0.045 NOTE{: if tax payments are rrsade within three m�ntfis af the Potentiai Tax Oue $395.t 0 decedent's date of death,deduct a 5 percent dise�unt on the tax With 5°J�Disaount(T�x x 0.95} �{see AlD7E`) due. Any inheritance iax due wiil becorne delinquent nine manths � a�ter the date o!death. ���� �t�p 1: F'�eas�checK the apprc�priate boxes belc�w. 1 A [�No tax is due. 1 am the spous+�of th�dec+�ased or I am the parent of a decedeni whc�was 21 ye�rs aId or young�r at date o�d�ath. Proceed to Step�an revers�. Do nat check any olher bnxes and rlisregard the amounf shawn abUve as Pntentiai 7'ax t7ue. g �?'he iniormaii<an is The abave intorm�tion is carrec4>no deciuet�ons are be+ng faken.and paymenC wi31 E��serit carrect. with my response. Proceed to Step 2 an reverse, l�a not check any other bcaxes. � �The tax r�te is in�or�ect. � 4.5°1a I am a iineal ben�ficiarY{Parent,ch�3d,9randGh�i�l,eic.)of the deceas�d. {Select carrect xax rate at right,and cornpiete P�rt � ���la i am a siblin�of the dec�ased. 3 on reverse.) � t 5°fo AiI other relationships{inciuding nQnej. � oChanges ar deductions Th�i�formation above is incorrect andfor debts and deductians were paid. Eisted. Ccrrr�plete Part 2 and parf3 as appropriate an the back ot'thls fo�m. � i � �Assei wiH be re�anried on The abov�-identi€ied asse#t7as been or will be r�paned and tax paid with the PA Iflherifance 7ax inheritance tax lorm Rett�rn filed by the estats repreaentative. REV-150C�. P�t�ceed tc�Step 2 on reverse. Da not check any other boxes. Piease sign and dake the back af the form when finished. � { ___, . . „ ` F BUREAU dF IN�IVIDUAL TAXES Pennsylvania Mheritance Tax �... . i�'"�"'�J ������ pD �OX 389661 BEPkRTMEtiT OF REVENl1E r�nR�aseu�c wa i7�za-oboa �t1fOCCT'E1tIQ�t 1�4tiC� F atr•s5ss rx aac[xfc txs-�axt And T�payer Respt�nss �iL��O.2�i a-�a�ts AC1V 34t2957� ��T�o��zs-�a�a Type c�f AGccsunt Estate of HAR�Lp B HILI. Savings SS� 143-1Fi-942� Ch�cking Date ai€�eath 02-0$-2a14 Trust TIMQTHY A POOIE Gc�untyCUMBERLAND Certificate 302b GOGAN S7 CAMP HILI PA 1.7Q11-2947 � Ps� u pravided the departmertt with the infarmation b�low indicating t�at at the t�eath nf the abc�ue-named decedent c�u were a 'oint a�ner or b�neficiary of the accaunt id'entifiiecJ. � � � , �?emit P�yment anri�arms to. I aacoun:Nn.1a3'1sJ424 Oate Establishec��8-19-1396 R�GIS7ER t��WiLL5 Account Balance $2,432.75 1 COURTFi0U5E SG?UARE � P�rce��t Taxabte X�54 CA�t�ISLE PA 17U13 ' Amount Subject ta 1'ax $1,216,38 __ _ Tax Rate X 0,045 NbTE`; If tax payments are mads wiEhin three rnonths r�f the Ppiential T�c Due �54.74 decedent's date o1 deaih,deduct a 5 percent discount on tfie tax With 5°lo Discount{Tax x 0.95) $(see Nt�'fE"� due. Any inheriiance tax due�vi1!become delinquent nine r�onths after the date af death. PAFiT St�p �I : Please ct�eck the apprapriate boxes below. 3 � �No tax is due. ' I am ihe �pouse c►f ihe deceaseti or 1 am the parent s�i a dec�dent who was � �1 years old or yr�ur�ger at d�te of death. � Prnceed tc�Step 2 on reverse. D�nr�t�heck any rsther boxes and disregafa'tt�e arnount shown above as Pot�ntiat Tax Oue. g �The in(ormatiari is T`i,e abt�ve informatian is carrect,no d�ciuctions are b�ing taken.and payment wi(I be sent correct� wilh my respanse. Proeeed to Step 2 on rev�rse. E7r�noY check any other bryxes. � �Ttre ta.x rate is in�orrect. � [� 4.5'l� t am a lineai beneficiary(Parent,child,grandchild,etc.)ot the deceased,. � (Sstect correct tax r�te at raghf,and ccsmpiete Part � i 2°!0 !am a sibling of th�decsased. 3 nn reverse.} , D 15°!a A!I other relationships(including nonej. � I�Changes or deductiQns The inforrnatian above is incorrect anc�,'or debts and deductia�s were paid. lisfed, Cvm�tefe Part 2 and par13 as approprrate on the bacl�caf this 1orm. � l'�Asset will be reported on The abave-ide�tified asset has been ar wiii be reported and tax paid with the PA Inheri2ance Tax inheritance tax#orm Return fileci by the estate repre&entative. REV-1500. Pr�eed ta Slep 2 on reverse. Do not cheCk any oiher�xes. 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Hill 2114-0448 Dear Sir or Madam: I have enclosed two originals and one copy of a Pennsylvania lnheritance Tax return for the above referenced decedent. Please time stamp the enclosed copy and return it to me in the enclosed self-addressed stamped envelope. I have also enclosed a check for$I5.00 made payable to Register of Wills for filing fees. Your cooperation in this matter is appreciated. Very t ly yours, � /' ' � Benjamin J. Butler BJB/mot Enclosure N � � "�' � � � � � � r.� � � �.� � � "� �� � (7l .S -�^� Crn7 � ��y :, .. ;� ea Q '::yy � � -T7 ^r1 'Tl .,� � „f,� � „�,. 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