HomeMy WebLinkAbout01-12-15 � 1505610143
REV-1500 Ex`°Z_,,, �
PA De artment of Revenue y OFFICIAL USE ONLY
p penns Ivania Counry Code Year File Number
Bureau of Individual Taxes oeaaarmeNTOFaeveNue
Po Box.2so6o1 INHERITANCE TAX RETURN 21 14 0432
Harrisburg, PA 17128-osol RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
10 09 2013 10 31 1946
DecedenYs Last Name Suffix DecedenYs First Name MI
COSSICK FRANCIS G
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
MCGILL—COSSICK FAITH H
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
r� 1. Original Return � 2. Supplemental Retum � 3. Remainder Retum(Date of Death
Prior to 12-13-82)
� 4. Limited Estate � 4a. Future Interest Compromise � 5. Federal Estate Tax Return Required
(date of death after 12-12-82)
n 6 Decedent Died Testate i � Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
L^J (Attach Copy of Will) (Attach Copy of Trust)
� 9. Litigation Proceeds Received � 10. between i2�3i�3i andt,(Da95of Death � 11.Election to tax under Sec.9113(A)
(Attach Schedule O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
SCOTT ALAN MITCHELL ESQUI 717 233 5731
REGISTER OF WILLS USE ONLY
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First Line of Address
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PO BOX 1146 ;':`� �" � `-'�'- �'
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HARRI SBURG PA 1710 8 `"R ��
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CorrespondenYs e-mail address: smitchell�rhoads-sinon.com
Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and staternents,and to the best of my knowledge and belief,
it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBI E FOR FILING RETURN DATE •
l—�. ti ��f1,�/� /1
�_7�2.c�� �, �'�,��"�"—C�-���u�C.� Faith H. McGill-Cossick � /
ADDRESS ' —r
27 South 17th Street, Camp Hill, PA 17011
��SI NATU�F PR PA THER THAN REPRESENTATIVE DATE
,ti �� �,W(, Scott Alan Mitchell, Esquire 1 �� ��
ADDRESS
P.O. Box 1146, Harrisburg, PA 17108
Side 1
� 1505610143 150561�143 � 1
� 1505610243
REV-1500 EX
Decedent's Social Security Number
DecedenCsName: COSSICIC, Francis G. ,
RECAPITULATION
1. Real Estate(Schedule A)....................................................................................... 1.
2. Stocks and Bonds(Schedule B)............................................................................. 2. 84 . 48
3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C)......... 3.
4. Mortgages&Notes Receivable(Schedule D)........................................................ 4.
5. Cash, Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. � . �0
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 9 , 637 . 02
7. Inter-Vivos Transfers&Miscellaneous N -Probate Property
(Schedule G) �] Separate Billing Requested............ 7. 553 , 354 . 47
g. Total Gross Assets(total Lines 1 through 7)........................................................ 8. 5 63 , 0 7 5 . 97
9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9.
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................ 10. 14 , 931 . 51
11. Total Deductions(total Lines 9 and 10)................................................................ �� 14 , 931 . 51
12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 54 S , 144 . 4 6
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. 54 8 , 14 4 . 4 6
TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116 5 4 8 14 4 . 4 6 15. 0 . 0 0
(a)(1.2)X.00 �
16. Amount of Line 14 taxable
at lineal rate X .045 0 . 0 0 16. 0 . 0 0
17. Amount of Line 14 taxable
at sibling rate X.12 � . �� 17. 0 . 0�
18. Amount of Line 14 taxable
at collateral rate X.15 0 . 0� 18. � . ��
19. TAX DUE................................................................................................................ 19. � . ��
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. �
Side 2
� 1505610243 1505610243 �
REV-1500 EX Page 3 File Number 21-14-0432
Decedent's Complete Address:
DECEDENT'S NAME
Cossick, Francis G.
STREETADDRESS
27 South 17th Street
GTY STATE i ZIP
Camp Hill PA 17011
Tax Payments and Credits:
1. Tax Due(Page 2, Line 19) (1) 0.00
2. Credits/Payments
A. Prior Payments
B. Discount 0.00
Total Credits(A +B) (2) 0.00
3. Interest (3)
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4)
Check box on Page 2,Line 20 to request a refund
5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) Q.QQ
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:............................................................................... ❑ ❑x
b. retain the right to designate who shall use the property transferred or its income:.................................. ❑ ❑x
c. retain a reversionary interest;or............................................................................................................... ❑ 0
d. receive the promise for life of either payments,benefits or care?............................................................ ❑ �
2. If death occurred after Dec. 12, 1982, did 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?....... 0 ❑
4. Did decedent own an individual retirement account, annuity,or other non-probate property which
contains a beneficiary designation?.................................................................................................................. ❑X ❑
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
,�-.
For dates of death on or after July 1,1994 and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is 3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or after January 1,1995,the tax 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 beneflciary.
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)J.
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal benefciaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)j.
. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)]. A sibling is defined,
under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
Rev-1503 EX+(6-98)
SCHEDULE B
� �� STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENTDECEDENT
ESTATE OF FILE NUMBER
Cossick, Francis G. 21-14-0432
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
1 United States Savings Bond -Owned by decedent alone. 84.48
TOTAL(Also enter on Line 2, Recapitulation) 84.48
(If more space is needed,additional pages of the same size)
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B(Rev.6-98)
Rev-1508 EX+(11-10)
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPARTMENT OFREVENUE
INHERITANCETAXRETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Cossick, Francis G. 21-14-0432
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Travelers UIM litigation claim -Litigation concerning the UIM claim is pending with no known
value at this time. Supplemental return to be filed upon settlement or decision by the court.
TOTAL(Also enter on Line 5, Recapitulation)
(If more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule E(Rev. 11-10)
Rev-1509 EX+�01-10)
pennsylvania SCHEDULE F
DEPARTMENTOFREVENUE JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Cossick, Francis G. 21-14-0432
If an asset was made joint within one year of the decedenYs date of death,it must be reported on schedule G.
SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT
A. Faith H. McGill-Cossick 27 South 17th Street Spouse
Camp Hill, PA 17011
B. Matthew Cossick 27 South 17th Street Son
Camp Hill, PA 17011
C. Kathleen Hellmann and Thomas Sister
G. Cossick
JOINTLY OWNED PROPERTY:
DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR OINT MADE INUMB�ER OR SEMILARNDENTIFYI G INUMB RAATT CNKDEED�FOR DATE OF DEATH DECD�S DECE ENT'S INTEREST
NUMBER TENANT JOINT JOINTLY-HELD REAL ESTATE. VALUE OF ASSE INTEREST
1 C 51 acres in Clearfield County-Jointly owned 0.00 33.333% 0.00
with sister and brother. Value being held in
abeyance pending appraisal.
2 C Gas Rights Partnership-Gas Rights 19,200.00 50.000°/a 9,600.00
partnership with brother and sister.
3 B United States Savings Bond jointly owned 74.04 50.000% 37.02
with Matthew Cossick
TOTAL(Also enter on Line 6, Recapitulation) 9,637.02
(If more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule F(Rev.01-10)
Rev-1510 EX+(08-09)
SCHEDULE G
pennsylvania lNTER-VIVOS TRANSFERS AND
DEPARTMENT OFREVENUE
INHERITANCETAXRETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Cossick, Francis G. 21-14-0432
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE
NUMBER INCLUDE NAME OF TRANSFEREE,THEIR RELATIONSHIP TO DECEDENT AND INTEREST (IF APPLICABLE) VALUE
THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET
1 Highmark Retirement-Spouse, Faith McGill-Cossick 553,354.47 553,354.47
is beneficiary.
TOTAL(Also enter on Line 7, Recapitulation) 553,354.47
(If more space is needed,additional pages of the same size)
Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule G(Rev. 08-09)
Rev-1512 EX+(12-08)
SCHEDULE 1
pennsylvania DEBTS OF DECEDENT,
DEPARTMENT OF REVENUE
INHERITANCETAXRETURN MORTGAGE LIABILITIES AND LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Cossick, Francis G. 21-14-0432
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 American Express Centurion Bank-Balance of credit card. 14,931.51
TOTAL(Also enter on Line 10, Recapitulation) 14,931.51
(If more space is needed,additional pages of the same size)
Copyright(c)2008 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08)
REV-1513 EX+�Ot-10)
pennsylvania $CHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Cossick, Francis G. 21-14-0432
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(S1 RECEIVING PROPERTY DECEDENT (�/�/ords) ($$$)
Do Not List Trustee s
I. TAXABLE DISTRIBUTIONS [include outright spousal
distributions,and transfers
under Sec.9116 a 1.2
Thomas G. Cossick Brother 1/6 interest in 51
PA acres in
Clearfield County
and gas rights
Kathleen Hellmann Sister 1/6 interest in 51
PA acres in
Clearfield County
and gas rights
1 Matthew Cossick Son Savings Bond
27 South 17th Street co-owned with
Camp Hill, PA 17011 decedent.
Z Faith H. McGill-Cossick Spouse Entire estate.
27 South 17th Street
Camp Hill, PA 17011
Total
Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 1500 cover sheet,as a ro riate.
NON-TAXABLE DISTRIBUTIONS:
II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule J(Rev. 01-10)
ESTATE OF FRANCIS G. COSSICK
PA 1500-Pennsvlvania lnheritance Tax Return
SSN: 208-36-1713
1. Last Will and Testament
2. Request for Six (6) Month Extension of Time to File
975694.1
ATTORNEYS A7 LAW
• � � .. - . - ONE SC;CITH M,P•,�i��:>OUARF � . . .
'� �,. .__- • * P.O. E3oX II�1f� ..___._.___..
1-1aa�i`��URc;, P�� 1710E3-I146
t
LAS'� WILL AND TESTAMENT
OF
FRANCTS G. COSSICK
I, FRANCIS G. COSSTCK, ot Camp Hill, Cumberl.and County,
Pennsylvania, being of sound and di.sposa.ng mind and mernory, do
make, publieh and declax'e this to be my Last Will and Testament,
hereby revoking all Wills and CodiGils by me at any time
previously made .
I am married to FAITH H. McGILL-COSSICK (hereinaftex'
reterred to as "My Spouse" ) and the children born, to date, of our
. marriage are MATTHEW JOSIAH COSSTCK and CAL�EB S . COSSICK.
1 . TANGIBLE PERSONALTY. I give and bequeath all of rny
�
household furniture and furnishings, automobiles , other motor
vehicles , books, pictures, jewel.ry, china, crygtal, appliances,
silverware, wearing apparel, articles ot househol.d or personal use
or adornment, collections , artworks, boats and recreational
equipment and vehicles, together with a11 policiea af insurance
tnereon, to My Spouse, ifi My Spause survives me . If My Spouse
does no� survive me, I give and bequeath said ar�icles to my then
living children in as nearly equal shares as they shall select
under the supervisian of my Executor. T£ I am survived by
neither My Spouse nor any ot my children, then I give and bequeath
Page 1 of 1.3 pages
the aforesaid tangible personalty among tha then living rnember� of
the group cansisting of T�?OMAS C , McGILL, BETTY L. McGILL, GARETH
F. COSSICK and KATHLEEN L. C08SZCK, to be distributed among them
as they may agree . My Executor 9ha11 select such articles , if
any, as my Executor deeme appropriate for any minar and deliver
such articles �a the minor or to any person or per�ons chosen by
my Executor whose receipt sha11 be a complete acquittance
there�ox. If any articles of my tangible personal�y cannot be
fairly divided or distributed in kind in the opinion of my
�xecutor, such articlea shall be sold and the proceeds thereof
shall pass as a part o� my residuary estate. Any cost of packing
and shipping tangible personalty to a beneficiary shall be paid by
said ben�ficiary and shall not be an expense of my estate .
2 . RESTDUE . I give, devise and bequeath all of the
rest, residue and remainder of my property, real, personal and
mixed, not disposed of in the preceding portione af this Will,
including a11 property over which I hold a power of appointment
(which powers of appointment T hereby exercise in favor of my
estate) , to My Spouse, it My Spouse survives me . If My Spouse
does not survive me, T give and bequeath said residue in equal
shares �o my then living children; provided, however, that (i}
should my youngest then living child no� then have attained the
age of twenty-two yearg, a'1 residuary assets payable to any child
o� mine sha11 be retained by my Trustee hereina£ter named, IN
^
yr
Page 2 of 1.3 page� 'y;
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TRUST NEVERTHELESS, to be held, adm��nister�d and dispoaed o� as
one �rust estate in accordance with the provisians of ITEM 3
hereof �or the bene�it of my children (the °Sprinkle Trust" } ; or
(ii) should my youngee� then �iving child have then attained thp
age of twenty-two yeaxs, but any child of mine has not ye�
attained the age of thirty years, then the separate share of any
such child who hae not yet a�tained the age of thirty years shall
be re�ained by my Trus�ee for such� child, IN TRUST NEVERTHELESS,
each to be held, administered and dispased of as a sepaxate truet
estate in accordance with the provisione of ITEM 4 hereof ';;£or the
benefit ot such child (the "Child' s Tru9t") . If I have no �
children then living, then to my issue Chen living, per stirpes,
or, if none, then I give, devise and bequeath �aid residue in
accordance with the pxovisions of ITEM 5 of this Wi11 .
3 . SPRINKLE 7'RLTST. My Trustee ahall have, hol,�.d,
manage, invest and reinvest the assete of the Sprinkle Trust,
collect the income and
(a) My Trustee shall from time to �ime pay to or
for �he benefit of such one or more of the group
consisting of my children living at the time of my death �
and living at the time of any distribution hereunder _,
(hereinafter individually referred to as a "Beneficiary"
and collectively a� the "Beneficiaries" ) , such amounCs
of tYae net a.ncorne and principal of the Sprinkle Trus�. as
my Trustee, in my Trustee' s sale discretion, may fro�,
�im� t,o time deem appropri.ate tor providing for the
maintenance, suppor� , medical and nursing care and
� education, including college and graduate educa�ion, �Fof
the aene�iciariea, taki.ng into consideration any othex'
means readily avaa.lable �or �uch pu�poses . At the en�
of each calendar year any unexpended income shall be �
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Page 3 0� 13 pages
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added to the prinCipal of the Sprinkle Txust . While it
is the intention of thie Sprinkle Trust to treat the
Beneficiaries alike, T recogniae that needs will vary
from Beneficiary to �eneficiary and from time to �ime .
AcCordingly, I direct tha� not all Beneticiaries need be
treated equal�y or proportiona�ely; that one or more of
the Bene�iciarie� may be wholly sxcluded from any or " all
distributions ; �hat �he pattern £ollowed in or:e caee
need not be �ollowed in others; that income may be
accumulated to whatever extent and in whatever amoun�e
my Trustee, in my Trustee' s sole discretion, may deem
appropriate; and tha� my Trus�ee in making dis�ributions
giv� consideration to any other sources of income a
Bene�iciary may have which may be available tor his or
her maintenance, support, medical and nursing care and .
education, including college and graduate education.
(b) In addition to the foregoing powers of my
Trustee to distribute income and/or principal of the
Sprinkl� Trust for the benefit of any or all
Bene�iciaries, my Trustee shall further be authorized to
make distributions o� Sprink�le Trust income and/or
principal to the Guardian (of the person) of the
Beneficiaries �or purposes ot reimbursing SllCh Guardian
� for ordinary and necessary �ood, clothing, support and
medical expenses of the Beneficiaries . Further, in
making distributions to the Beneficiaries hereunder, the
primary focue of my Trustee should be upon those
Beneficiaries who have not yet a�tained �he age of
twenty-two year� and the ordinary interests of those
Bene�iciaries wha have attained the age of twenty-two
years should carry somewhat lesser weigh�, with such
older Bene�iciaries receiving only auch distributions
frorn the Sprink�e Trust as a parent might provide to a
mature and independen� child, although the graduate
school expenses of such older Benefzciary should be
given special consideration.
(c) At the time the �hen living youngest
Beneficiary shall have attained the age of twenty-two
years, my Trustee eha11 divide �he then remaining
aasets, if any, of �he Sprinkle Trust into as many equal
shares as there are (i) deceas�ed children of mine who
have issue then living and (ii) then living children ;of
mine . Each share crea�ed with respect to a then liv�"ng
child of rnine shall be dis�ributed to such child;
provided, however, should any such child no� then have
attained the age of �hirty year9 the share of such c�ild
€:�.
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G
sha7.l be retained by my Trustee, IN TRUST NEVERTHELESS,
to be held, administered and disposed ot as a separa�e
trus� estate in accordance with ITEM 4 hereof for tha
benefit o� such child {the "Child' s Trust" ) . Each share
created with respect ta a deceased child o� mine who has
issue then livzng ehall be di�tributed, per stirpss, to
� the issue of the deceased child who are living at the
time the then living youngest Beneficiary of the
Sprinkle Trust skZa11 have attained the age of �wenty-two
years . If I have no issue then living, all such aasets
shall be digtributed in accordance with the pravisioris
o� ITEM S of this Will .
4 . CHTLD' S TRUST. My Trustee sha�l have, hold,
manage, invest and reinvest the assets of each Chi1d' s Trust,
collect the income and
(a) My Trustee shall pay �o the beneficiary o� the
Child' s Trust (the "Child"} the net income derived from
tne Child' s Trust in ina�allments not less frequently
than quarterly and such amounts of the prinaipal as, in
, the eole discretion of my Trustee, shall be necessary
for the Child' s main�enance, suppor�, medical and
nur�ing care and education, including college and
graduate education, taking into consideratian any other
means xeadily available for such purposes .
(b) If at the time of the creation o� the Child' s
- Trust the Child shall have then attained the age set .
forth below or if the Child �hall thereaftex attain that
age, upon receipt by my Trustee of a writ�en requeet
from the Chi1d, my Trustee shall distribute outright to
the Chi1d �he Eractional portion of the then rernaining
princi�al of the Chil.d` s Truat as set forth below;
Aae Fractional Share
25 years Cne-halt
30 years Bala�ce then remaining
(c) Tf a Child shall die� be£ore final dis�ribut;ion
of the asseta oF �he Child' a Trust is made, the then '
remaining principal and any undistrzbuted income of t°he
Child' 9 Trust shall be distributed ta the Child' s issue
then living, per s�irpes . If the Child has no issue ;
then living, �hen to my issue then living, per stirp�t�;
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Fage 5 of 13 pages ;
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provided, however, if any suCh issue is then a
beneficiary of a Child' s Trust hereun�e�, the share of
such is9ue shall be added to the principal of such
Child' s Trust as i£ an integral part th�reof, to be
held, administered and disposed of in accordance with
the terms tnereof . If I have no issue then living, all
such assets shall be distribu�ed in accardance with the
provisions of ITEM 5 af thi� Will .
5 . CONTZNGENT DISTRIBUTIpN. I give and bequeath any
assets to be distributed pursuant to this ITEM as follows :
(a) One-half thereof to My Spouse' s par�nte,
THOMAS C. McGILL and BETTY L. ,McGILL, ox the survivor of
the two of them. It both Thomas C. McGi11 and Betty L.
McGill are not then living, then in accordance with the
provisiona of subparagraph (b) below.
(b) One-half thereof to my parents, GAR�TH F ,
COSSTCK and KATHLEEN L. COSSICK, or the survivor of �he
two of �hem. if both Gare�h F , Cossick and Kathleen L.
Cossick are not �hen living, then to their i�sue then
. living, per stirpes ,
6 , SPENDTHRIFT PROVISION. Na interest in �ncome or
principal of my estate or any �rus� created hereunder shall be
subject to attachment, levy or �eizure by any creditor, spouse,
assignee ar trustee or receiver in bankruptcy of any beneficiary
of my es�ate or of any trust created hereunder prior to the
beneficiary' s actual receipt thereof . My Executor or Trustee
snall pay over the net income and the principal to the
b�neficiaries he�ein designa�ed, as �heir intereats may appear,
without regard �o any attempted an�icipation (except aa may be
speci��cally provided her�in} , pledging or assignment by a�y
beneficiary of my estate or ot any trus� created hezeunder and
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Page 6 of 13 pages
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without regard to any claim thereto or attempt�d levy, attachment ,
seizure or other procese against said beneficiary.
� , SURVIVAL PRESUMPTIONS . Any person who shall have
died at the same tirne as I o�- under euch circumstances that it is
difficult or impossible to determine who sha11 have died �ir5t ,
shall be deemed to have predeceased me . Any person other Ghan
me who shall have died at the same time as any then beneficiary of
income of my estate or a trust created hereunder or under such ,I .`{
,..�
circumstances that it is difficult or impo�eible to deterrnine who l,-
shal]. have died first, shall be deemed to have predeceased such
beneficiary,
a , FTDUCZARY POWERS . In the settlement ot my estate
and during the continuance of any trust created hereunder, m�
Executor and rny Trustee ehall possess, among others, the �ollowing
powers , exercisable without prioz court approval, but in a11 cases.
ta be exercised for the best interests o� the bene�iciarie� :
(a) To retain any investments I may have at my
death sa long aa my �xecutor or Trustee may deem it
advisable to my estate or trust so to do, includin.g
eecuritie� awned, iasued or underwrit�en by �ny
corporate Executor ar Trustee or any of their
a�filiates .
(b) To vary investmen�.s, when deemed desirable by
my Executor or Truatee, and �o invest in such bonds,
stocks, noteg, real estate mortgages or other securities
or in such other real or personal prop�rty, including
securities owned, i�sued or underwritt�fn�hY���nY
corparate Executor or Trus�ee or any
affiliates, or as to which my Corporate Executor ar II
Trustee ar any of their affilia�es are investment
advisors, as my Executor or Tru�tee shalJ� deem wise, �
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without being restricted to so call.ed ,"legal
investments" .
(c) In order to effect a division of the principaJ.
of my estate ar trus� or for any other purpose,
�ncluding any tinal distribution of my estate or txust ,
rny Executor or Trustee is authorized to make said
divisions ox distribution� of the personalty and realty
partl.y ar wholly in kind. If such division or
distribution is made in kind, eaid asse�s shall be
divided or distributed at their respective values on the
date or dates of their division or distribution , In
rnaking any division or distribution in kind, my Executor
or Trustee 9ha11. divide or diatribute said agsets in a
manner which will fairly a1loEate any unrealized
appreciation among the beneficiaries .
(d) To sell either at public or private sale and
upon such �.erms and condition� as rny Executor or Trus.�ee
may deem advantageous to my es�ate or trust, any or all
real or persanal estate or interest therein owned by my
estate or trust sevex'ally or in conjunction with other
persons or acquired after my death by my Executor or
. Trustee, and to consummate said sale or sales by
suffz�ient deeds or other instruments to the purchaser
or purchasers, conveying a fee simple title, tree and
clear of all trust and without obligation or liability
of the purchaser or purchasers to see to �he application
of the purchase money or to make inquiry into the
validity o£ said sal� or sales; also, to make, execute,
acknowZedge and deliver any and all deede, as�ignmenta,
options or other writings which may be necessary or
desirable in carrying out any of the powers con£ezred
upon my Executor or Trustee in this paragraph or
elsewhere in this Wili .
(e) To moztgage real es�a�e and �.o make lea5es of
real estate for any �erm.
(f) To borrow money from any party, including my
Executor or Trustee, to pay indebtednes� of mine or of
my estate or trust, expenses of administration, Death
Taxes or other taxes .
(g) To pay all cost�, expenses, legally :
enforceable debts, funeral expenses and chargea in
connection wi�h the administration o:E my ee�ace or
trust . �
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Page e of 13 pages �
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(h) To vate any share� of stock �which form a part
of my es�ate or trust and ta otherwise exercise a11 the
powers incident ta the ownership of such s�ock and to
actively manage and opera�e any incarporated or
unincQrporated business, including any joint ventures
and paxtnerships, and to incoxporate any such
unincorporated buginess, with all the z-ights and powe�s
of any owner thereof .
(i) In the discretion of rny Executor or Trustee,
to uni�e with other owners of similax property in
carrying out any plan� for the reorganization of any
carporation or company whose securities forrn a part of
my estate or trust .
(j ) 'To assign to and hald in my e�tate or trust an
undivided portion o� any asset .
(k) To hold inve��ments in the name of a nominee .
{1) To compromise controversies .
(m) To disclaim, in wh.ale or in part, any and all
, interests in property owned by me at the time of my
death, including those passing to me by Will , in�estacy,
contract, joint ownership, operation of law or
otherwise .
(n} To divide any �rust hereunder into two or more
separate trusts, but eaCr such separate tru9ti sha11 be
administered in accordance with the provisions of the
truat from which it was ciivided.
{o) To designate one or more persons or a
corporation to act as ancillary fiduciary in any
jurisdiction in which 'ancil.lary adminis�ration may be
necessary, such ancillary fiduciary to serve without
bond or sccurity and to have all powers, authorities and
discretions conferr�d hereunder.
(p) To employ and compensate from income or
principal, in the discretion of my Executor or Trustee,
inves�men� and legal counsel, accountants, brokers an�
other specialists , and, whenever there shall be no
corporate Executor or Trustee in office, a corporate ��
cus�odian, and to delegate to investment counsel
discretion with respec� to the invegtment and :
reinvestment of any or all of the assets held hereund�?r.
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9 , EXCULPATORY CLAUSES . In th� settlement of my
estate ;
(a) My Executor sha11 not be personally liable for
any loss to my estate or to any beneficiary ot my es�ate
resu�ting trom an election made in �ood faith ta cla�m a
deduction a� an income tax deduction or as an. estate tax
deduction.
(b) In valuing property in my groes estate for the .
purposes of any Deatn Tax, my Executor ehall not be
personally liable tor any losg to my eetate or �o any
bene�iciary of my estate reeulting from my Executor' �
decision made in good faith to use a paxCicular valua-
tion da�e .
10 . TAX CLAUSE . All inheritance, estate and similar
taxes becoming due by reasan of my death { "Death Taxes" ) , whe�her
such Death Taxes shall be payable by my estate or by any recipien�
. o� any property, sha11 be paid by my Executor out of the �roperty
passing urLder ITEM 2 of this Will as an expense and cost �f
adminigtration of my estate . Except to the extent above �rovided,
my Execu�or sha11 have no du�y or obligation to obtain
reimbursement £or any Death Taxe� paid by my Executor, even though
paid with respect to proceeds of insuxance or ather property not
passing under this Will .
11 . GUARDIAN OF MINOR PERSONS . If My Spouse does not
survive me , I appoint My' Spauge` s paren�s, fiHOMAS C . McGTLL and
BETTY L. McGILL, or the survivor of the two o� them, ae
Guardian (s) of the person of each of rny minor children, �� both
Thomas C. McGill and Betty L. McGill should fail or cease to ac�,
then I appoint GREGORY KCSICKT and LTNDA KOSZCKI , or the �uyvivor
. :�<
�" ��
Page 10 of 13 pages �
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of the two of them, as such Guardian(s) of ,the �erson of each of
my minor children.
12 . CUSTODTAN OF ESTATES . If at any time any
individual under the age ot twenty-one shall be entit�ed to
receive any assets free of �rust by reaeon of my death (excluding
tangible personalty) , whether payable hereunder, by operation of
�aw, contract or otherwise, I appoint BETTY L. McGILL as Custodian
for such individual under th� Pennsylvania Uniform Transfers to
Minors Act, but it she should fail or cease to act , �hen I appoint
JOHN R. HELLMANN as suCh Custodian.
13 . TRUST MERGERS AND TERMTNATIONS .
(a) If there should be �stab�ished by My
- Spouse, either by Last Wi11 and Testament or by inter
vivos Deed or Agreement, trusts similar to the trusts
�erein established for the benefit o� my issue, my
Trustee shall have the xight and power to merge tru�ts
herein established with simi7ar trusts for the same
beneficiaries established by My Spouse and to operate
each of the merged trusts a� a single trust ,
(b) Tf, in the sole discretion of my Trustee,
at any time any trust hereunder is or becomes too small
to justi�y its maintenance as a separate trust, my
Trustee, withouC any liability to any person or
remainderman whose interest may be af£ected thereby and
withau� the necessity of court approval, shall termina�e
such txust by distributing all the income and principal
ot the �ru�t to the then income beneficiary or
beneficiaries of said trust . If any additions to any
such trus� are received after its termination under this
ITEb2, such trust shall be revi�ed and this prpvision
shall continue to apply to it . The Trustee discretion
herein granted shal� in no event be construed as giving
any potential d�stributee of a trust the right to compel
a termination in whole or in part af such trus� .
Page 11 of 13 pages 3:
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14 . DEFINSTTON. As used herein,� the term "my children"
and the term "my issue" sha11 incl.ude such of my childxen as are
born of the blood and born of the body, as well as those of my
chzldren who are lawfully adopted by me . Further, the tertn "my
issue'� shall include the descendantg of those born of the blood
and born ot the body, as well ae the descendant� of those �awfull.y
adopted by me .
15 . EXECUTOR APPOINTMENT. T hereby appoint My °Spouse,
FAITH H. McGILL-COSSICK, as Executrix of this Wi11 , It tor any
reason My Spouee �hould fail or cease to act, I appoint B�fiTY L.
McGILL as Executrix and if she should �ail or cease to act, I
appoint JOHN R. HELLMANN as Executor . All references in this Will
to my "Executor" shall refer �o my originally named Execu���ix or
to my successor Executrix or Executor, as the case may be .:
1b . TRUSTEE APPOINTMENT. I hereby appoint BET'T'Y L.
McGILL as Trustee of any trust cxeated hereunder. If she "should
�ail or cease to act as Truetee, I appoin� THOMAS C. McGILL as
Trustee . If Thoma� C. McGill should fail or cease to act, I
appoin� SCOTT McMASTERS III as Trustee and if he should fail or
ceaae to act, I appoin�: KATHLEEN L. HELLMANN as Trustee . An
individual Tru�tee shall be deemed to have failed to serve ae
Tru�tee hereunder if, among other reasons, �he treating phxsician
of aaid individual Truatee sha].1, certify in writing that s:�Zch
Trustee pos�esse5 perman.c�nt mental or phys;cal incapacit�.es which
:;
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Page 12 of 13 pages �
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preclude such Trustee fxom diacharging his or her duties as
Trustee hereunder. Any Trustee serving hereunder shall have the
right to resign from such office at any time, with or w,�thout
cause and wit�out Court approval . No successor Trustee s�all be
,
, liable for the actione of a resigning or removed Trustee occurring
; prior ta such successor firu�tee taking office . All refer.ences in
� this Will to my "Tru9tee�� shall re�er to my ariginally named
Trustee or to my successor Trustee, as the case may be .
' l� • WAIVER OF BOND• F�DUCIARY FEES . Any Custodian,
7�
5
f,� Executor or Trustee shall qua].ify and serve without the duty or
��
�� obl.igation of filing any bond ox other security. Any individual
� ,
� fiduciary sha11 be entitled to reasonab�e hourly cornpensation
�
� based upon sex�,ices actually rendered in discharging fiduciary
L�
�y �
� duties hereunde�. ��
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�' IN WITNESS WHEREOF, I have set my hand and seal to this,
�
my Last Wa.11 and Testament , consis�ing of this and the preceding
�'.
��' twelve (12)
��
, Pages , thie � day of Q���_ , 1998 ,
�; ,� �
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� �j�.�,,,,c-�-�-�/. C..�+ou� �sE�)
�� Pa e ].3 of 13 �
� � pages Franc,,s G. Cossick
� w�, the undersigned, hereby certify that the to;regoing
�;. Wi11 was s�gned, aeal.ed, published az�d declaxed by the above-named
;;%j Testator as an� �or his Last Wz11 ancl Testam.en� , in �he presence
}: of us, who, at his request and in his pre�ence and in the. pre�ence
� ` of each othe�,
have hereunto set our hands and seals the ;;�t�ay and
�:
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Emily Milfer
From: Emily Miller
Sent: Thursday,June 26, 2414 4:12 PM
To: ra-inheritancetaxext@pa.gov
Cc: Kelly S, Shuffelbottom
Subject: Estate of Francis G. Cossick; File Np. 2014-00432
Attachments: Estate of Francis G. Cossick.pdf
Attached please find a letter dated June 26, 2014 from Scott Alan Mitchell, Esquire regarding the Estate of francis G.
Cossid<, requesting an extension on the filing of the Pennsylvania inheritance Tax Return, which is due 7/9/1A. Please
feel free to contact our office with any questions,
Emily Miller
Legal Assistant to
Kevin M. Scott, Esquire,
Scott Alan Mitchell, Esquire,
Yvonne R. Durham, Paralsgal,
Kelly S, Shuffelbottom, Paralegal and
Brian J. Murren, Paralegal
Rhoads & Sinon L.I.P
One South Market Square, 12th Floor
P.O. Box 1146
Harrisburg PA 17108-1146
717-237-6719 Direct Line
1
Scott Alan Mitchetl
pii(717)231-6CQ2
�Ho��s � s I�oN L,I.P ceU{717)4G8-5999
fx (717)260-4402
LANCASI'F.R IIOURS f]Y APPOIN9'MENT
Reply to 1-larrisburg 01'f'ice
F��e no; 6459l03
June 26, 2014
Re: �state of Frnncis G, Cossick
Social Security No.; 208-36-1713
llate of Dezth: Oet�ber 9, 2013
rile No.: 2014-00432
VIA EMAIL TO i•a-inheritancetaxexE cr,pa.�ov
Pennsylvania Departnlent of Revenue
I3ureau of Individual Taxes
Documet�t Review Unit—EXT
Departmeiit2806U1
Hv�risburg, PA 17128-0601
Dear Sir/Madaln:
As cour�sel for Faith McGill-Cossick, ExecutriY of the �state of Francis G. Cossick, we
are hereby xequesting a six (6} inonths' extension of time to file the Pen��sylvania liiheritance
Tax Rettun and a copy of the rederal Estatc Return for the Estate.
This extension is being requested as tllis estatc was opened primarily for litigatfon
purpc�ses, We anticipate resolution to the litigation within the extension time period whieh will
allow�or the filing o�C� return ar�d payment of Pennsylvania lnhet•itance Taxes.
Pleasc provide a written response to this request.
Very truly yours;
RHOADS 8L SINON LLP
Scott Alan Mitchell
�nclosures
One South Market Square, 12th Floor • P.O. Box 1146 • Harrisburg, PA 17108-1146 • ph; 717,Z33.5731
29 Dowlin Forge Road • Exton, PA 19341 • ph: 610.423.4200 • fax: 610.423.4201
95G155.1 _ _ 'W1UtU.l"�ZOQC�S-51ri0ri.GOtTI
Kelly S. Shuffelbottom
ph(717)237-6705
RHOADS & SINON LLP fX `"'>260_43°s
kshuffelbottom�rhoads-sinon.com
Reply to Harrisburg Oftice
Fi�r No: 6459/03
��
January 9, 2015 � � � rn
w � �,,, � ca
Re: Estate of Francis G. Cossick �i � r-, � �;, �
File No. 2014-00432 ��-' �'� �� �—' , �; ���
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,_,.� ; ..... .
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VIA CERTIFIED MAIL, RETURN `� �`-, � ;� "�i
i t. } ..-k"'� � -.. �
RECEIPT REQUESTED = '��'
. �
. :.�{ r� �: rn
Lisa M. Grayson, Esquire
_;�; r_
Register of Wills " � � Q
cn �
Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013
Dear Ms. Grayson:
Enclosed are the following for the above-captioned Estate:
l. Pennsylvania lnheritance"]�ax Return, in duplicate, showing no balance due.
2. Inventory.
;. A copy of this letter, the first page of the Pennsylvania lnheritance
Tax Return and the Inventory. Please stamp these copies and return
them to us in the enclosed self-addressed envelope.
Vcry truly yours,
RHOADS & SINON LLP
\ ,
\., �
By: �.
Kelly S. Shuffelbottom
Enclosures
cc: Mrs. Faith H. McGill-Cossick, Executrix
One South Market Square, 12th Floor • P.O. Box 1146 • Harrisburg, PA 17108-1146 • ph: 717.233.5731
29 Dowlin Forge Road • Exton, PA 19341 • ph: 610.423.4200 • fax: 610.423.4201
975688.1 www.rhoads-sinon.com
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