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Home My WebLink About01-0736 / t:. '"J~9 ,~/ ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 171Z8-0601 Recorded Reg;~tcc COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER _~, c! DATE ESTATE OF DATE OF DEATH FILE NUMBER JUN -2 All:1 8 COUNTY ACN *' REV~756 EX AFP C81-02) 05-26-2003 BURKLE 11-08-2000 21 01-0736 CUMBERLAND 202 JOSEPH S DAVID R KLUNK PHILIP R FRIEDMAN & ASS 1601 S QUEEN ST CiE.,rL YORK PA l7(Unbenanc; .03 Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ~ Rifv=;36--Ex-l(FP--{oi~-o2i-----.3i-NcrficE--oF-jjETE-iMINl(fIo-N-Aiin-As-iESStfENir---------------------------- OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER .. ESTATE OF BURKLE JOSEPH S FILE NO.2l 01-0736 ACN 202 DATE 05-26-2003 ESTATE TAX DETERMINATION 1. Credit For State Death Taxes as Verified 6,550.00 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest) 10,436.00 3. Inheritance Tax Assessed by Other States or Territories of the United States (Excluding Discount and/or Interest) .00 4. Total Inheritance Tax' Assessed 10,436.00 5. Pennsylvania Estate Tax Due .00 6. Amount of Pennsylvania Estate Tax Previously Assessed Based on Federal Estate Tax Return .00 7. Additional Pennsylvania Estate Tax Due .00 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 -IF PAID AFTER THIS DATE, SEE REVERSE SIDE (IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRl.. YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) /b -o.;;?'?-a.2/ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DAVID R KLUNK PHILIP R FRIEDMAN & ASS 1601 S QUEEN ST YORK '02 ItPR 19 DATE ESTATE OF DATE OF DEATH FILE NUMBER :f",UNTY A'CN 04-15-2002 BURKLE 11-08-2000 21 01-0736 CUMBERLAND 101 '* REV-1547 EX AFP CUI-82) JOSEPH S Allount Rellitted t'~.;. , PA 1740?cwnL MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REY=is4-j-ix--AFP--fo1-:oz'r-NOTici--OF-'rtiHiifiTANCE-TAX-A-PPR1risEi'-ENT~--ALi-oWAN-CE-ifR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BURKLE JOSEPH S FILE NO. 21 01-0736 ACN 101 DATE 04-15-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (S) (6) (7) .00 .00 .00 .00 .00 .00 523,968.00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) llO) 22,103.00 .00 lll) ll2) (13) ll4) NOTE: I~ an assessment was issued previously, lines re~lect ~igures that include the total o~ ALL ASSESSMENT OF TAX: IS. Allount of Line 14 at Spousal rate (IS) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 523,968.00 22.103 00 501,865.00 .00 501,,865.00 14, IS and/or 16, 17, 18 and 19 will returns assessed to date. 269,952.00 X 00 = 231,913.00 X 045 = .00 X 12 = .00 X 15 = (19)= .00 10,436.00 .00 .00 10,,436.00 , n, ...." , K~t;~~rl (+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 08-08-2001 CDOOO127 .00 10,436.00 TOTAL TAX CREDIT 10,436.00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ~ I " -0' yp- c:2-- BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN *' REV-US EX AFP (01-02> DAVID R KLUNK PHILIP R FRIEDMAN & ASS 1601 S QUEEN ST C.;"l YORK Cl~IDil~03 .02 APR 12 P 1 :s 3 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-15-2002 BURKLE 11-08-2000 21 01-0736 CUMBERLAND 201 JOSEPH S Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ~ RE-V =48i--Ex--AFP--[oi":.-o2j-----.i-Niffic'E-of:--liETi-RM'iiiAT'Ioti-Aifli-AssESS-MENy------------------------ -- --- OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN .. ESTATE OF BURKLE JOSEPH S FILE NO.21 01-0736 ACN 201 DATE 04-15-2002 ESTATE TAX DETERMINATION 1. Credit For State Death Taxes as Verified 6.550.00 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest) 10.436.00 3. Inheritance Tax Assessed by Other States or Territories of the United States (Excluding Discount and/or Interest) .00 5. Pennsylvania Estate Tax Due 10.436.00 .00 4. Total Inheritance Tax Assessed TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 -IF PAID AFTER THIS DATE, SEE REVERSE SIDE (IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A ..CREDIT.. (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT KLUNK DAVID R 1601 S QUEEN STREET YORK, PA 17403 -------- fold ESTATE INFORMATION: SSN: 070-12-2264 FILE NUMBER: 21-2001- 0736 DECEDENT NAME: BURKLE JOSEPH S DA TE OF PAYMENT: 08/08/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 11/08/2000 NO. CD 000127 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $10,436.00 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: DAVID R KLUNK CPA CHECK#1074 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS $10,436.00 MARY C. LEWIS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT JEAN L JORDAN 218 NORTH PITT STREET CARLISLE, PA 17013 -------- fold ESTATE INFORMATION: SSN: 174-05-1742 FILE NUMBER: 21-1997- 0736 DECEDENT NAME: ROBINSON FRANK E DA TE OF PAYMENT: 01/04/2002 POSTMARK DATE: 01/03/2002 COUNTY: CUMBERLAND DATE OF DEATH: 08/09/1997 NO. CD 000721 ACN ASSESSMENT CONTROL NUMBER AMOUNT 99002427 I $25.00 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: JEAN L JORDAN CHECK# 3351 SEAL INITIALS: CW RECEIVED BY: REGISTER OF WILLS $25.00 MARY C. LEWIS REGISTER OF WILLS COMMONWEALTH OF PENNSYl VANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT WRIGHT RALPH H JR ESQ 301 MARKET STREET PO BOX 109 LEMOYNE, PA 17043 __n____ told ESTATE INFORMATION: SSN: 184-12-4526 FILE NUMBER: 2101-0746 DECEDENT NAME: DAVIS JEAN M DATE OF PAYMENT: 06/12/2002 POSTMARK DATE: 06/11/2002 COUNTY: CUMBERLAND DATE OF DEATH: 07/25/2001 NO. CD 001285 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $602.87 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: WILLIAM M DAVIS JR C/O RALPH H WRIGHT JR ESQUIRE CHECK# 97 SEAL INITIALS: CW RECEIVED BY: REGISTER OF WILLS $602.87 MARY C. LEWIS REGISTER OF WILLS w '"' ",$", U"'''' wl1.U ",00 U"'~ 11.'" 11. <( COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-1l601 REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT --~'- .....'ER OFFICIAL USE ONLY FILE NUMBER ~_-~L COLMY CODE YEAR ~ Z W C W () W C DECEDENTS NAME (lAST, FIRST, AND MIDDLE INmAL) BURKLE, JOSEPH S DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD- YEAR) SOCV\L SECURrTY NUMBER 070-12-2264 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCV\LSECURrTYNUMBER 11/08/2000 07/28/1919 (IF APPlICABLE) SURVMNG SPOUSE'S NAME (LAST FIRST AND MIDDLE INITV\L) BURKLE, ANGELA A. IZI 1. Origin~ Retum IZI 4. Umned Estate o 6. Decedent Died Testate (A1ta<h copy of w~ o 9. Lit~ation Proceeds Received o 2. SUpplemental Return [XI 4a. Future Interest Compromise (dale of death aft<< 12-12-82) IZI 7. Decedent Maintained a U~ng Trust i-"" ofT""') o 10. Spousal poverty Credn (date of death between 12.31.91 ard 1-1-95) o 3. RemainderRetum(datllofdeathptiorto12-13-82) IZI 5. Federal Estate Tax Retum Required ~ 8. Total Number ri Safe Deposn Boxes 1ZI11. ElectiontotaxunderSee.9113(A)i""""Sd>0) SlFPA42021F.1 NAME DAVID R. KLUNK, CPA FIRM NAME (W Appicable) PHILIP R FRIEDMAN AND ASSOCIATES LLP TELEPHONE NUMBER (717) 843-3804 COMPLETE MALlNG ADDRESS 1601 S QUEEN STREET YORK, PA 17403 z o ~ ::l ~ ii: <I: () W 0:: 1. Real Estate (Schedule A) 2. Stocks lIld Bonds (Schedule B) 3. Closely Held Corporation, Partnership or SoIe-PropnelCl1lhip 4. Mori9ages & Noles Receivable (Schedule D) 5. Cash, Bank Deposns & Misoelaneous Persoral Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vwos Transfers & MisceIIlIlBOUS Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Unes 1 - 7) 9. FlI1OI1li Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mori9age Uabilnies, & Uens (Schedule 0 11. Total Deductlons (total Unes 9& 10) 12. Net Value of Estate (Une 8 minus Une 11) 13. Charitable lI1d Goverrmentai Bequests/See 9113 Trustsforwhioh III election to tax hes not been made (Schedule J) (11) (12) (13) 22,103 501,865 (1) (2) (3) (4) (5) OFFICIAL USE ONLY o o o o (6) (7) 523,968 (9) (8) 22,103 o 523,968 (10) 14. Net Value Subjscl to Tax (Une 12 minus Une 13) (14) 501,865 SEE INSTRUCTIONS FOR APPLICABLE RATES z o !;( I-' ::l a.. ::E o () X ~ 15. Amount of Une 14 taxable atlhe spousal tax rate, or transfers under See. 9116 (a)(1.2) 269,952 x.o--2. (15) 231,913 X.o 45 (16) o 10,436 16. Amount of Line 14 taxable at linear rate 17. Amount of Une 14 taxable at siblin9 rate X .12 (17) X .15 (18) 18. Amount of Une14 taxable at <Xlllateralrate 19. Tax Due (19) 10,436 .. ~~~MlI'lL Decedent's Complete Address: STREET ADDRESS 121 WALNUT BOTTOM ROAD CITY SHIPPENSBURG I STATE PA I ZIP 17257 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Pnor Payments C. Discount (1) 10,436 3. InteresUPenalty if applicable D. Interest E. Penalty Total Credits (A + B + C) (2) TotallnteresUPenaity (D + E) (3) 4. If Line 2 is greater tIlan Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. . Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) o 10,436 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is tile BALANCE DUE. (5B) 10 , 43 6 Make Check Payable to: REGISTER OF WILLS, AGENT .__IIIt.~-, .~~~-- maUl 111_, PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a t",nster and: Yes a. retain tile use or income of tile property transferred; ........................................ IX] b. retain tile nght to designate who shall use tile property transferred or its income; . . . . . . . . . . . . . . . . . .. IZI c. retain a reversionary interest; or . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .. 0 d. receive tile promise for lile of either payments. benefits or care? ............................... 0 2. if death occuned after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? ... . . . . . . . . . . .... .... .. . . . . . . . . . . . . . . . . . ... . .. . . .. 0 3. Did decedent own an "in trust for" or payable upon death bank account or secunty 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? ....................................................... IX] 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties ci pe!j<Jy, I declaoe.1haI1 have examined this return, including """"'pmying schedules!l1d statements, and to the best of my knowIedge,.,d belief, ,~true, carect!l1d canplete. Declaration ci prep"", other ~ the personal representative is based on all infonnation ciwhich _ has any knowledge. SIGNATURE OF PERSON RES~IBLI; F~I~)JRN 11 &, ;Ua,~~, _4.ue....~,..,p_ ADDRESS ;J c5~t/ ,peCJLi ,S:l<. €€' r c?;. -:4 / 7 SIGNATURE OF REPARER OTHER THAN REP SENTATIVE No o o [ZJ [ZJ [ZJ [ZJ DATE /. / 8': 5'/0/ ADDRESS 1II'~"li!iP~.~1 '-~-III'III'III'III'~ ... ~r I .~ For dates of death on or after July 1, 1994 and before January 1, 1995, tile tax ",te imposed on the net value oft",nslers to or for tile use of tile surviving spouse is 3% [72 P.S. ~9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, tile tax ",te imposed on tile net value oft",nsters to or for the use olthe surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not examot a t",nsfer to a surviving spouse from tax, and tile statutory requirements for disciosure of assets and filing a tax return are still applicable even if tile surviving spouse is the only beneficiary. For dates of deatl1 on or after July 1, 2000: The tax rate imposed on the net value of t",nsters from a deceased child twenty,"ne 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% [72 P.S. ~9116(a)(1.2)]. The tax rale imposed on the net value oft",nsters to or for the use olthe decedenfs lineal beneficianes is 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(I)]. The tax rate imposed on the net value oftranslers to or for the use olthe decedenfs siblings is 12% [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. STF PA42021F.2 REV-1510 EX + (1-97) (I) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF JOSEPH S BURKLE FILE NUMBER This schedule must be completed and filed ~ the answer to any of questions 1lhrough 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROFERTY %OF ITEM IN:llllE Tl-E KAME OF Tl-E TRANSFEREE, TI-EIR RElATlONSHP TO OECEDENT Aft) Tl-E DATE DATE OF DEATH DECO'S EXCLUSION TAXABLE VALUE NUMBER OF Tfl.IVISFER. ATTACH A COPY OF Tl-E DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) 1. CECILIA B. JANKURA, TRUSTEE JOSEPH S. BURKLE TRUST, UIA DATED JULY 22, 1996 FBO JOSEPH S. BURKLE 476,248 100. 476,248 2 . INDIVIDUAL RETIREMENT ACCOUNT FIRST UNION BANK AIC if 090-0275038 41,665 100 41,665 3. INDIVIDUAL RETIREMENT ACCOUNT FIRST UNION BANK AIC if 257410098863806 6,055 100 6,055 TOTAL (Also enter on line 7, Recapitulation) $ 523 968 STFPA42021F.11 (If more space is needed, insert additional sheets of the same size) REV-1511 EX + (1-97) (Q COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF JOSEPH S BURKLE FILE NUMBER Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. FOGELSANGER-BRICKER FUNERAL HOME, INC 3,103 B. ADMINISTRATIVE COSTS: 1. Persooal Representative~s.Commisslons N,."eof Personal Representalive(s) PHILIP R FRIEDMAN AND ASSOCIATES LLP Soci~ Security Numbeljs) I EIN Number of Personal Represenlalwe(s) StreelAddress 1601 S QUEEN STREET City YORK StalePA Zip 17403 Year(s) Commission Paid: 7,500 2. Attorney Fees 6,500 3. F,."ily Exemption: (ff decedenfs address is noIlI1e same as daimanls. aIlach explanation) Claimant . StreelAddress CITy Stale Zip Relationship of CI~mant to Decedent 4. Probate Fees 5. Accountant'sFees 5,000 6. Tax Return Prepa-er's Fees 7. TOTAL (Also enter on line 9. Recapitulation) $ 22.103 STFPA42021F.12 (If more space is needed. insert additional sheets of the same size) REV-1513 EX + (9-00) COMMONlNEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF JOSEPH S BURKLE FilE NUMBER RELATIONSHIP TO DECEDENT NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not list Trustee(s) I. TAXABLE DISTRIBUTIONS Dnclude outright spousal distributions, and transfers under Sec. 9116 (a)(I.2)] ANGELA A. BURKLE 1. 3329 ORRSTOWN ROAD ORRSTOWN, PA 17244 SPOUSE 2 FRANK BURKLE 3193 HORSE FRARM ROAD WEYBRIDGE, VT 05753 SON 3 JOSEPH BURKLE 134 DEL PRADO LAKE OSWEGO, OR 97035 SON 4 CECILIA JANKURA 72 COVERED BRIDGE ROAD NEWBURG, PA 17240 DAUGHTER AMOUNT OR SHARE OF ESTATE LIFE ESTATE 1/3 REMAINDER 1/3 REMAINDER 1/3 REMAINDER ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. 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, insert additional sheets of the same size) STFPA42021F.14 REV.1514 EX + (1-97) (I) COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESlOENT DECEDENT SCHEDULE K LIFE ESTATE, ANNUITY & TERM CERTAIN (Check Box 4 on Rev-1500 Cover Sheet) ESTATE OF FILE NUMBER JOSEPH S BURKLE This schedule is to be used for all single life, joint or successive life estate and term certain calculations. For dates of death prior to 5-1-89, actuarial factors for single life calculations can be obtained from the Department of Revenue, Specialty Tax Unit. Actuarial factors can be found in IRS Publication 1457, Actuarial Values, Alpha Volume for dates of death on or after 5-1-89. Indicate the type of instrument which created the future interest below and attach a copy to the tax return. DWiIl ~Intervivos Deed of Trust DOther I NAME(S) OF LIFE TENANT(S) ANGELA A. BURKLE DATE OF BIRTH 08/23/1920 NEAREST AGE AT TERM OF YEARS LIFE ESTATE IS DATE OF DEATH PAYABLE 80 1. Value of fund from which life estate is payable 2. Actuarial factor per appropriate table Interest table rate - 03112% 06% 3. Value of life estate (Line 1 multiplied by Line 2) 010% 7.1% o Variable Rate IXI Life or o Term of Years o Life or OTerm of Years o Life or o Term of Years o Life or o Term of Years $ 385,680 .39869 $ 153,767 NAME(S) OF ANNUITANT(S) DATE OF BIRTH NEAREST AGE AT DATE OF DEATH N/A 1. Value of fund from which annutty is payable 2. Check appropriate block below and enter corresponding (number) Frequency of payout - o Weekly (52) 0 Bi-weekly (26) DQuarterly (4) 0 Sem~annually (2) o Annually (1) 3. Amount of payout per period 4. Aggregate annual payment, Line 2 multiplied by Line 3 5. Annuity Factor (see instructions) Interest table rate 03 112% 06% 0 10% 6. Adjustment Factor (see instructions) 7. Value ofannuity -If using 3112%, 6%,10%, or if variable rate and period payout is at end of period, calculation is: Line 4 x Line 5 x Line 6 If using variable rate and period payout is at beginning of period, calculation is: (Line 4 x Line 5 x Line 6) + Line 3 $ TERM OF YEARS ANNUITY IS PAYABLE o Life or OTermofYears o Life or o Term of Years o Life or o Term of Years o Life or o Term of Years o Monthly (12) o Other ( ) D Variable Rate % $ $ $ NOTE: The values of the funds which create the above future interests must be reported as part of the estate assets on Schedules A through G of this tax return. The resulting life or annutty interest(s) should be reported at the appropriate taxrate on Lines 13, 15,16 and 17. STF P A42021 F. 15 (If more space is needed, insert additional sheets of the same size) REV.1647 EX + (9-()O) SCHEDULE M FUTURE INTEREST COMPROMISE COMMONWEALTH OF PENNSYLVANiI INHERITANCE TAX RETURN RESIDENT DECEDENT (Check Box 4a on Rev-1500 Cover Sheet) ESTATE OF FILE NUMBER JOSEPH S BURKLE This schedule is appropriate only for estates of decedents dying after December 12, 1982. This schedule is to be used for all future interests where the rate of tax which will be applicable when the future interest vests in possession and enjoyment cannot be established with certainty. Indicate below the type of instrument which created the future interest and attach a copy to the tax return. o Will IXITrust o Other L Beneficiaries NAME OF BENEFICIARY RELATIONSHIP . . DATE OF BIRTH AGE TO NEAREST BIRTHDAY 1, ANGELA A. BURKLE WIFE 08/23/1920 80 2. CECILIA B. JANKURA DAUGHTER 3. FRANK A. BURKLE SON 4. JOSEPH S. BURKLE, JR SON . 5. IL For decedents dying on or after July 1, 1994, if a surviving spouse exercised or intends to exercise a right of withdrawal within 9 months of the decedenfs death, check the appropriate block and attach a copy of the document in which the surviving spouse exercises such withdrawai right. 0 Unlimited right of withdrawal 0 Limited right of withdrawal IlL Explanation of Compromise Offer: REMAINDER INTEREST IN CREDIT SHELTER TRUST UPON THE DEATH OF ANGELA A. BURKLE, THE REMAINDER IN THE CREDIT SHELTER TRUST GOES TO HER CHILDREN, CECILIA B. JANKURA, FRANK A. BURKLE, AND JOSEPH S. BURKLE, JR. SINCE THE REMAINDER INTEREST IN THE TRUST WILL GO TO LINEAL HEIRS OF THE DECEDENT, IT SHOULD BE TAXED AT THE RATE OF 4.5%. Iv. Summary of Compromise Offer: 1. Amount of Future Interest. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . . .. . . . . . . . .. .. . . . . . . . $ 231,913 2. Value of Line 1 exempt from tax as amount passing to charities, etc. (aiso include as part of total shown on Line 13 of Cover Sheet) ........... $ 3. Value of Line 1 passing to spouse at appropriate tax rate Check One 06%, 03%, 00% .......................... $ (also include as part of total shown on Line 15 of Cover Sheet) 4. Value of Line 1 taxable at lineal rate Check One 06%. llij4.5%................................. $ 231,913 (also include as part of total shown on Line 16 of Cover Sheet) 5. Value of Line 1 Taxable at sibling rate (12%) (also include as part of total shown on Line 17 of Cover Sheet) ........... $ 6. Value of Line 1 Taxable at collateral rate (15%) (also include as part of total shown on Line 18 of Cover Sheet) ........... $ 7. Total value of Future Interest (sum of Lines 2 thru 6 must equal Line 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... $ 231,913 STFPA42021F.16 (If more space is needed, insert additional sheets of the same size) REV.1649 EX + (1-97) (I) COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIOENT DECEOENT SCHEDULE 0 ELECTION UNDER SEC. 9113(A) (SPOUSAL DISTRIBUTIONS) ESTATE OF FILE NUMBER JOSEPH S BURKLE Do not complete this schedule unless the estate Is making the election to tax assets under Section 9113 (A) 01 the Inheritance & Estate Tax Act. II the election applies to more than one trust or similar arrangement, a separate form must be filed for each trust. This election applies to the CRE D I T SHELTER Trust (marital, residual A, B, By-pass, Unified Credit. etc.). II a trust or similar arrangement meets the requirements 01 Section 9113 (A). and: a. The trust or similar arrangement is listed on Schedule 0, and b. The value 01 the trust or similar arrangement is entered in whole or in part as an asset on Schedule 0, then the transferor's personal representative may specifically identify the trust (all or a fractional portion or percentage) to be included in the election to have such trust or similar property treated as a taxable transfer in this esiate. II less than the entire value 01 the trust or similar property is included as a taxable transfer on Schedule 0, the personal representative shall be considered to have made the election only as to a fraction 01 the trust or similar arrangement. The numerator 01 this fraction is equalto the amount 01 the trust or similar arrangement included as a taxable asset on Schedule O. The denominator is equal to the total value 01 the trust or similar arrangement. PART A: Enter the description and value of all interests, both taxable and non-taxable, regardless of location, which pass to the decedent's surviving spouse under a Section 9113 (A) trust or similar arrangement. DESCRIPTION VALlE JOSEPH S. BURKLE TRUST, U/A DATED JULY 22, 1996 (CREDIT SHELTER TRUST) SEE SCH G (1) AND ATTACHED SUPPORTING DETAIL AND TRUST INSTRUMENT. 476,248 Part A Total $ 476 248 PART B: Enter the description and value of all interests included in Part A for which the Section 9113 (A) election to tax is being made. DESCRIPTION VALLE FUTURE INTEREST--JOSEPH S. BURKLE TRUST, U/A JULY 22, 1996 (CREDIT SHELTER TRUST) SEE SCH G (1), AND ATTACHED SUPPORTING DETAIL AND SCH M -- FUTURE INTEREST COMPROMISE, AND TRUST INSTRUMENT. 231,913 Part B Total $ (II more space is needed, insert additional sheets 01 the same size) 231,913 STFPA42021F.17 706 United States Estate (and Generation-Skipping Transfer) Form Tax Return (Rev. July 1999) Estate of a clllzen or resident of the United States (.ee separate Instrucllon.). Department ofthe Treasury To be filed for decedents dying after December 31, 1998 Internal Revenue Service For Paperwork Reduction Act Notice, see a e 1 oftha sa arate instructions. 1a Decedent's first name and middle initial (and maiden name, if any) 1 b Decedent's last name JOSEPH S BURKLE ~ o ~ 3a " " w -g 6a .. ~ c " il () " C Legal residence (domicile) at time cfdeath (county, state, and ZIP code, orforelgn country 3b CUMBERLAND COUNTY, PENNSYLVANIA Name of executor (see page 4 of the instructions) DAVID R KLUNK OMS No. 1545-0015 2 Decedenrs Social Security No. 070-12-2264 Year domlclle established 2000 4 Date of birth 5 Date of death 07/28/1919 11/08/2000 6b Executor's address (number and street including apartment or suite no. or rural route; city, town, or post office; state; and ZIP code) 6c Executor's social security number (see page 4 ofthe instructions) 169-38-5643 1601 SOUTH QUEEN STREET YORK 7a Name and location of court where will was probated or estate administered ..: 1:: 8 If decedent died testate check here ~ D and attach a certified co of the will. ~ 10 If Schedule R-ll. attached check here ~ 1 Total gro.s estate less exclu.ion (from Part 5, Recap~ulation, page 3, ~em 12) ........................ ................ 2 Total allowable deduction. (from Part 5, Recap~ulation, page 3, item 23) ............................... ..................... 3 Taxable estate (subtract line 2 from line 1) ...... ............................... 4 Adjusted taxable gifts (total taxable gifts (within the meaning of section 2503) made by the decedent after December 31, 1976, other than gift. that are includible in decedent'. gro.s estate (section 2001 (b))).. ............ ............... 5 Add lines 3 and 4 ...................... ................................. ........................... ..................... ...... 6 Tentative tax on the amount on line 5 from Table A on page 12 ofthe in.tructlon. ..................... .................. 7a If line 5 exceed. $10,000,000, enter the lesser of line 5 or $17,164,000. If line 5 is $10,000,000 or iess, skip lines 7a and 7b and enter-D- on line 7c ..... 7. b Subtract $10,000,000 from line 7a ...................... ..................... 7b c Enter 5% (.05) of line 7b ............................. .................... ................................ ......... .............. 8 Total tentative tax (add lines 6 and 7c) ................. .................... ................................ ............... g Total gift tax payable w~h respect to gifts made by the decedent after December 31, 1976. Include gift taxes by S the decedent's spouse for such spouse's share of split gifts (section 2513) only if the decedent was the donor of i these gifts and they are includible in the decedent's gross estate (see instructions)". ................ ...................... ~ 10 Grossestatetax(subtract line 9 from line 8) ........ ............................. ................. ....... .................................... ~ 11 Maximum unified credit (applicable cred~ amount) against estate tax .......... 11 220, 550 . o ~ 12 Adjustment to unified cred~ (applicable credit amount). (This adjustment may ~ not exceed $6,000. See page 4 of the instructions.) .................................... 12 c,j 13 Allowabie unified credit (applicable credit amount) (.ubtract line 12 from line 11) ... ........... ........................... i 14 Subtract line 13 from Iin.l0 (but do not enter less than zero) ................... .............. ............... D. 15 Credit for state death taxes. Do not enter more than line 14. Figura the credit by using the amount on line 3 less $60,000. See Table B in the instructions and attach "ed" evidence (see instruction.) . ...................... 16 Subtract line 15 from line 14 17 Cred" for Federal gift taxes on pre-1977 gift. (section 2012) (attach computation) ... 18 Creditforforeign death taxes (from Schedule(s) Pl. (Attach Form(s) 706-CE.) ....... 19 Creditfortax on pnor transfers (from Schedule Q) ........ ........................ 20 Total (add line. 17, 18, and 19) ............................ ............................ 21 Net estate tax (subtract line 20 from line 16) .......... ....................... ................ ................................... 22 Generation-skipping transfer taxes (from Schedule R, Part 2,Iine 10) 23 Total tran.fer taxes (add line. 21 and 22) ..................... ...................... 24 Prior payments. Explain in an attached statement .. ....................... ..................... 24 25 Un"ed States Treasury bonds redeemed in payment of estate tax 25 26 Total (add lines 24 and 25) .............. ............. ...................... .................. ......................... 27 Balance due orover a ment subtraclline 26 from line 23 .... ..................... ....................... ............... ......... 7b Case number g if Form 4768 is attached check here ~ D 17 18 19 1 2 3 4 5 6 7c B 13 14 660,914. 268,684. 392,230. 300,473. 692,703. 227,100. o. 227,100. 227,100. 220,550. 6,550. 6,550. O. o. o. Underpenaltles of cerlury, 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. Declaration 'of pntpal"8f other than the executor Is based on all information 01 whleh p~arer has any knowledge. Signature(.) ofexecutor(.) PHILIP R. FRIEDMAN AND ASSOC. LL 1601 SOUTH QUEEN STREET YORK, PA 17403-4630 Address (and ZIP code) Signature of preparer other than executor 905001 10-05-99 LHA 11220808 781784 10300-EST 1 1999.08200 BURKLE, JOSEPH S Date Date 10300-E2 Form 706 (Rev. 7-99) Estate of: JOSEPH S BURKLE Part 3 - Elections by the Executor Ple..e check the "Yes" or "No. box for each quesllon. (See Instructions beginning on page 5.) Yes No 1 00 you elect alternate valuation? .............................. ............................ 2 Do you elect special use valuation? .. .............. ................................... if 'Yes,' you must complete and attach Schedule A-I. 3 Do you elect to pay the taxes In Installments as described in section 6166? ..................................................... If "Yes. au must attach the additional information described on a e 8 of the instructions. 3 4 Do au elect to ost one the art of the taxes attributable to a reversiona or remainder interest as described in section 6163? ..................... 4 Part 4 - General Information (Nole: Please attach the necessary supplemental documents. You must attach the death certificate,) (See instructions on page 9.) Authorization to receive confidential tax information under Regs. sec. 601.504(b)(2)(i); to act as the estate's representative before the IRS; and to make written or oral presentations on behalf of the estate if return prepared by an attorney, accountant, or enrolled agent forthe executor: Name of representative (print or type) State Address (number, street, and room orsutte no., ctty, state, and ZIP code) 1601 SOUTH QUEEN STREET DAVID R. KLUNK PA ~ORK, PA 17403-4630 I declare that I am the D attomeyt [X] certified public accountant! D enrolled agent (you must check the applicable box) for the executor and prepared this return forthe executor. I am not under suspension or disbarment from practice before the Internal Revenue Service and am qualified to practice in the state shown above. Signature CAF number Date Telephone number 2605-01195R 717 843-3804 1 x X 2 1 Death certificate number and Issuing authority (attach a copy of the death certificate to this return). P6942357, COMMONWEALTH OF PA, DEPARTMENT OF HEALTH 2 Decedent's business or occupation. If retired, check here..... 00 and state decedent's former business or occupation. PHYSICIAN 3 Marttal status o!the decedent at time of death: [X] Married D Widow or widower - Name, SSN, and date of death of deceased spouse ~ D Single D Legally separated D Divorced - Date divorce decree became final ..... 4a Su rviving spouse's nama ANGELA A BURKLE 4b Social security number 198-05-8307 4C Amount received (see page 9 of the InstnJctlons) 246,581. 5 Individuals (other than the surviving spouse), trusts, or other estates who receive benefits from the estate (do not include charitable beneficiaries shown in Schedule 0\ {see instructions\. For Privacv Act NoticelaDnllcable to individual beneficiaries onlv\, seethe Instructions for Form 1040. Name of individual, trust, or estate receiving $5,000 or more I Identifying number Relationship to decedent Amount (see instructions) JOSEPH S BURKLE CREDIT bKNOWN SHELTER TRUST TRUST 385,680. All unascertainable beneficiaries and those who receive less than $5,000 ...................... ...... ..................... ............. ..... ........~ Total .................. ....... ................. ......................... ............................................................ 385,680. Please check the "Yes" or "Noll box for each question. Yes No 6 Does the gross estate contain any section 2044 property (qualified terminable interest property (QTIP) from a prior gift or estate) (see pane 9 of the instructiDns'?. .............................. ... .......................................................................... ...... X ~~~~-19 (continued on next page) 11220808 781784 10300-EST 2 1999.08200 BURKLE, JOSEPH S Page 2 10300-E2 Form 706 (Rev. 7-99) ESTATE OF JOSEPH S BURKLE Part 4 - General Information (continued) 070-12-2264 Please check the "Yes. or "No. bOI for each question. 7a Have Federal gift tax returns ever been filed? ....................... .................... If "Yes. lease attach co ias of the returns if available and furnish the followin information: 7b Period(s) covered 7c Intemal Revenue officers) where filed If you answer "Yes" fa any of questions 8-16. you must atlach additional Information as described in the instructions. a a Was there an insurance on the decedent's life that is not included on the return as art of the ross estate? .......... b Did the decedent own an insurance on the life of another that is not included in the ross estate? ......... ................. .................. .............. . 9 Did the decedent a!the time of death own any property as a joint tenant with right of survivorship in which (a) one or more of the other joint tenants was someone other than the decedent's spouse, and (b) less than the full value of the property ~ included on the retum as part of the ross estate? if 'Yes ' au must com lete and attach SChedule E .............. .................. .............. .................... ................... ..................... 10 Did the decedent, at the time of death, own any interest in a partnership or unincorporated business or any stock in an inactive or closely held co oration? ............. ............................ ........................... ................... ................ ................. ....................... Did the decedent make any transfer described in section 2035, 2036, 2037, or 2038 (see the instructions for Scheduie G be innin on a e 11 of the se arate instructions? If "Yes. ou must com lete and attach Schedule' G 12 Were there in existence at the time of the decedent's death: a Any trusts created by the decedent during his or her lifetime? . ....................... ................ .......................... ...................... b An trusts not created b the decedent under which the decedent ossessed an ower beneficial interest ortrusteeshi ? 13 Did the decedent ever possess, exercise, or release an eneral power of appointment? If "Yes,' ou must com lete and attach Schedule H 14 Was the mar~al deduction computed under the trans~ional rule of Public Law 97-34. section 403(e)(3) (Economic Recove'Y Tax Act of 1981)? If "Yes,. attach a separate computation of the marital deduction, enter the amount on item 20 ofthe Recapitulation, and note on item 20 .computation attached.. 15 Was the decedent. immediately before death. receiving an annuity described in the 'General' paragraph o!the instructions for Schedule I? If 'Yes,' you must complete and attach Scheduie I .. .......................... ...................... ............................ ............... 16 Was the decedent ever the beneficiary of a trust for which a deduction was claimed by the estate of a pre-deceased spouse under section 2056 b 7 and which is not re orted on this return? If "Yes. attach an ex lanation .......... ........ ...................... ........................... 11 Part 5 - Recapitulation x x x x x x Item Gross estate Alternate value Value at date of death number 1 Schedule A - Real Estate ......................... .................................... ........... .. .... 1 O. 2 Schedule B - Stocks and 80nds ............... ... ........ .... ......... .............. .......... 2 O. 3 Schedule C - Mortgages. Notes. and Cash ........ ............................. .. .................. 3 O. 4 Schedule D -Insurance on the Decedent's Life (attach Form(s) 712) ......... ......... ...... 4 103,499. 5 Scheduie E - Jointly Owned Property (attach Form(s) 712 for lite insurance) ................ 5 33,447. 6 Schedule F - Other Miscellaneous Property (attach Form(s) 712 for lite insurance) ..... 8 47,720. 7 Schedule G - Transfers During Decedent.s Lite (attach Form(s) 712 for life insurance) ...... 7 476,248. 8 Schedule H - Powers of Appointment ................ ............................ ....... ......... 8 O. 9 Schedule 1- Annuities ................... ....................... .......... .................. ............... 9 O. 10 Total oross estate (add items 1 through 9). ............................... ........................ 10 660,914. 11 Schedule U - Qualified Conservation Easement Exclusion ................................... 11 12 Total gross estate less exclusion (subtract ~em 11 from ~em 10). Enter here and on line 1 of Part 2 - Tax Computation ... ........................ ................ .................... 12 660,914. Item Deductions Amount number 13 Scheduie J - Funeral Expenses and Expenses incurred in Administering Property SUbject to Claims ........... .. ............... 13 22,103. 14 Schedule K - Debts of the Decedent ................. .............. ....... ............. ..... ......... ...................... ..... ........... 14 15 Schedule K - Mortgages and Uens .............. ...... .......... ..................... .............. .................... ....................... 15 16 Total of items 13 through 15 .......... .................. ........... ........ ............. ............... ... ........................ 16 22,103. 17 Allowable amount of deductions from ~em 16 (see the instructions for ~em 17 o!the Recapitulation) .... 17 22,103. 18 Schedule L - Net Losses During Administration ... ................... ................................ .............................. ....... 18 19 Schedule L - Expenses Incurred in Administering Property Not Subject to Claims ................ .............. ....... ...... 19 20 Schedule M . Bequests, etc., to Surviving Spouse ................ .................. .............. ........................... .... .... 20 246,581- 21 Schedule 0 - Charitable, Public, and Similar Gifts and Bequests ......... ................. .......................... 21 22 Schedule T - Qualified Familv-Owned Bus'iness Interest Deduction .......-................................... 22 23 Total allowable deductions (add items 17 through 22). Enter here and on line 2 of the Tax Computation 23 268,684 . Page 3 905011 og..10-99 11220808 781784 10300-EST 3 1999.08200 BURKLE, JOSEPH S 10300-E2 Form 706 (Rev. 7-99) Estate of: JOSEPH S BURKLE SCHEDULE D - Insurance on the Decedent's Life You must list all nolicies on the life ofthe decedent and attach a Form 712 for each oolicv. Item Description Anernate Alternate value Value at date of death number valuation date 1 ~EW YORK LIFE ~OLICY # 32372414 54,016. 2 !NEW YORK LIFE POLICY # 31533689 26,988. 3 ~RAVELERS LIFE & ANNUITY POLICY # 1058EW63 10,000. 4 UNUM LIFE INSURANCE CO POLICY # 00100951 2,000. 5 DEPT OF THE TREASURY POLICY # V 17419501 10,495. Total from continuation schedules (or additional sheets) attached to this schedule TOTAL. IAlso enter on Part 5 ReCaD"ulation nane 3 at item 4.\ . 103,499. (If more space IS needed, attach the continuation schedule from the end of this package or addItional sheets of the same sIze.) ~Jf-~9 4 11220808 781784 10300-EST 1999.08200 BURKLE, JOSEPH S Schedule 0 - Page 15 10300-E2 Form 706 (Rev. 7-991 Estate of: JOSEPH S BURKLE SCHEDULE E - Jointly Owned Property (If you elect section 2032A valuation, you must complete Schedule E and Schedule A-t.) PART 1. - Qualified Joint Interests -Interests Held by the Qecedent and His or Her Spouse as the Only JointTenants (Section 2040(b)(2)) Item Description Alternate Vaiue at date of death number For securities, give CUSIP number. valuation date Altematevalue 1 EVERGREEN MONEY MARKET Ale # 9620298992 52,894. 2 1998 FORD WINDS TAR 14,000. Total from continuation schedules (or additional sheets) attached to this schedule ............... la Totals .................................. .................... .... ....................................... .. .. i la 66,894. lb Amounts included in oross estate 'one-ha~ of line lal.. ............................................. ..... Ilb 33,447. PART 2. - All other Joint Interests 2. State the name and address of each survivina co-tenant. If there are more than three survivina co-tenants list the additional co-tenants on an attached sheet. Name Address (number and street, city, stafe, and ZIP code) A. B. C. Item Enter Description Percentage Includible Includible value at I~~t~r f?:, (including atte~a~,valuation date if any) number co-enan For securities, ive CUSIP number. includible altematevalue date of death Total from continuation schedules (or additional sheets\ attached to this schedule ....... ................... 2b Total other ioint interests ................................ ..................... ........... ................................... 3 Total Includible joint interests (add lines 1 band 2b). Also enter on Part 5, Recapitulation, nane 3 at Item 5 .. ............................._-.................................. ...................... ................... 33,447. (If more space IS needed, attach the continuation schedule from the end of this package or additional sheets of the same size.) ~{~19 5 11220808 781784 10300-EST 1999.08200 BURKLE, JOSEPH S Schedule E - Page 17 10300-E2 Form 706 (Rev. 7-99\ Estate of: JOSEPH S BURKLE SCHEDULE F - Other Miscellaneous Property Not Reportable Under Any Other Schedule (For jointly owned property that must be disclosed on Schedule E, see the instructions for Schedule E.) (If you elect section 2032A valuation, you must complete Schedule F and Schedule A-I.) Did the decedent at the time of death own any articles of artistic or collectible value in excess of $3,000 or any collections whose artistic or collectible value combined at date of death exceeded $10,000? ....... .............. .................. ......... ...... .............. .......... ............ If "Yes' submit full details on this schedule and attach a raisals. 2 Has the decedent's estate. spouse, or any other person, received (or will receive) any bonus or award as a result oHhe decedent's employment or death? ........................ ...................... ................................ ........................ ................. ............... ........................... If "Yes . submtt full details on this schedule. 3 Did the decedent at the time of death have, or have access to, a safe deposit box? ............... If 'Yes; state location, and if held in joint names of decedent and another, state name and relationship of joint deposttor. If any of the contents of the safe deposit box are omitted from the schedules in this return, explain fully why omitted. Item Description number For securities, give CUSIP number. 1 INDIVIDUAL RETIREMENT ACCOUNT IRST UNION BANK IC # 090-0275038 2 INDIVIDUAL RETIREMENT ACCOUNT IRST UNION BANK Ic # 257410098863806 Aitemate valuation date Alternate value Total from continuation schedules or additional sheets attached to this schedule TOTAL. Also enter on Part 5 Reca itulation a e 3 at item 6. ................... .................... (If more space is needed. attach the continuation schedule from the end of this package or additional sheets of the same size.) ~i~9 6 11220808 781784 10300-EST 1999.08200 BURKLE, JOSEPH S Value at date of death 41,665. 6,055. 47,720. Schedule F - Page 19 10300-E2 Form 706 (Rev. 7-991 Estate of: JOSEPH S BURKLE SCHEDULE G - Transfers During Decedent's Life (If you elect section 2032A valuation, you must complete Schedule G and Schedule A-t.) Item Description Alternate number For securities, give CUSIP number. valuation date Alternate value Value at date of death A. Gift tax paid by the decedent orthe estate for all gifts made by the decedent or his or her spouse within 3 years before the decedent's death (section 203S(b)) "un ... ...n........ .............................. .......... X X X X B. ~;ransf.rs includible under section 203S(a). 2036. 2037, or 203B: ~ECILIA B. JANKURA, TRUSTEE, ~OSEPH S. BURKLE TRUST, U/A DATED TULY 22, 1996, FBO JOSEPH S BURKLE. DECEDENT RETAINED THE POWER TO REVOKE THE TRUST DURING HIS LIFETIME. (SEE COPY OF TRUST !l.GREEMENT ATTACHED) . 476,248. Total from continuation schedules (or additional sheets\ attached to this schedule .... .......... TOTAL. {Also .nter on Part S Recaoitulation. oaoe 3 at nem 7.1 ... ..................... .......... 476,248. SCHEDULE H - Powers of Appointment (include'S and Slapslng' powers (section 2041 (b)(2)) held by the decedent.) (If you elect section 2032A valuation, you must complete Schedule H and Schedule A-1,J Item Aitemate number Description valuation date Alternate value Value at date of death Total from continuation schedules (or additional sheets\ attached to this schedule ........ TOTAL. {Also enter on Part S R.cannulation nan.3 at nem 8.\ . (If more space is needed, attach the continuation schedule from the end of this package or additional sheets of the same size.) (The instructions to Schedules G and H are in th. separate instructions.) Schedules G and H - Page 21 905181 09-10-99 11220808 781784 10300-EST 7 1999.08200 BURKLE, JOSEPH S 10300-E2 Form 706 (Rev. 7-99) Estate of: JOSEPH S BURKLE SCHEDULE J - Funeral Expenses and Expenses Incurred in Administering Property Subject to Claims Note: Do not list on this schedule expenses of administering property not subject to claims. For those expenses, see the instructions for Schedule L. If executors' commissions, attorney fees, etc., are claimed and allowed as a deduction for estate tax purposes, they are not allowable as a deduction in computing the taxable income of the estate for Federal income tax purposes. They are allowable as an income tax deduction on Form 1041 if a waiver is filed to waive the deduction on Form 706 (see the Form 1041 instructions). Item number Description Expense amount Total amount A. Funeral expenses: 1 FOGELSANGER-BRICKER FUNERAL HOME, INC SHIPPENSBURG, PA CREMATION & MEMORIAL SERVICES 3,103. Total funeral expenses ............. ............ .................. .. ........................ ............. ~ B. Administration .xp.nses: 1 Ex.cutars' commissions - amaunt~~greed upan/~~ (Strik. out tho words that do not appiy.) ...l).'J;'.~'J;'...J. 3,103. 7,500. 2 Attam.y f.es - amount~~gre.d upan/~~(Strik. out tho words that do not apply.) l)'J;'~'J;'u2 6,500. 3 Accountant te.s - amaun~~agre.d upan/i!'K (Strik. out tho words that do not apply.) 5,000. 4 Miscellaneous expenses: Expense amount Total miscellaneous expenses from continuation schedules (or additional sheets) attached to this schedule ... ................ ..... ........................ ......... ....... ............................ ........ Total miscellaneous exnenses .............. ............... ....................... ................................ ........ ........ ~ TOTAL. 'Also enter on Part 5 R.cao~ulatian aao.3 at ~.m 13.\ ~ 22,103. (If more space is needed, attach the continuation schedule from the end of this package or additional sheets of the same size.) 5:~f-~ 8 11220808 781784 10300-EST 1999.08200 BURKLE, JOSEPH S Schedule J - Page 23 10300-E2 Form 706 (Rev. 7-99) Estate of: JOSEPH S BURKLE SCHEDULE M - Bequests, etc., to Surviving Spouse Election To Deduct Qualified Terminable Intere,t Property Under Section 2D66(b)(7). If a trust (or other property) meets the requirements of qualified terminable Interest property under section 2056(b)(7), and a. The trust or other property Is listed on Schedule M, and b. The value olthe trust (or other property) Is entered in whole or in part as a deduction on Schedule M, then unless the executor specifically identifies the trust (all or a fractional portion or percentage) or other property to be excluded from the election, the executor shall be deemed to have made an election to have such trust (or other property) treated as qualified terminabla interest property undersectlon 2056(b)(7). If less than the entire value of the trust (or other property) that the executor has included in the gross estate Is entered as a deduction on Schedule M, the executor shall be considered to have made an election only as to a fraction of the trust (or other property). The numerator of this fraction is equal to the amount olthe trust (or other property) deducted on Schedule M. The denominator Is equal to the total value olthe trust (or other property). Election To Deduct Qualified Dome,tic Tru,t Property Under Section 2066A. If a trust meets the requirements of a qualified domestic trust under section 2D56A(a) and this retum Is filed no later than 1 year afier the time prescribed by law (including extensions) for filing the return, and a. The entire value of a trust or trust property is listed on Scheduie M, and b. The entire value of the trust or trust property is entered as a deduction on Schedule M, then unless the executor specifically identifies the trust to be excluded from the election, the executor shall be deemed to have made an election to have the entire trust treated as ualified domestic trust ro e . Did any property pass to the surviving spouse as a result of a qualified disclaimer? ........................ ..................... ....................... If "Yes," attach a copy of the written disclaimerrequ;red by section 2518(b). 2a In what country was the surviving spouse born? b What is the surviving spouse's date of birth? c IS the surviving spouse a U.S. citizen? ........ .......................... ......................... ......................... .............................. ............... d If the surviving spouse is a naturalized citizen, when did the surviving spouse acquire citizenship? e If the surviving spouse is not a U.S. citizen, of what country is the sUlViving spouse a citizen? 3 Election Out of QTIP Treatment of Annunle, - Do you elect under section 2D56(b)(7)(C)(Ii) not to treat as qualified terminable interest property any joint and survivor annuities that are included in the gross estate and would otherwise be treated as qualified terminable Interest property under section 2D56(b)(7)(C)? (see instructions) .................... ........................ ..... ....................................... Item number Description of property interests passing to sUlViving spouse Amount 4 54,016. 1 EW YORK LIFE OLICY # 32372414 (SCHEDULE D, ITEM 1) 2 EW YORK LIFE OLICY # 31533689 (SCHEDULE D, ITEM 2) 3 RAVELERS LIFE & ANNUITY OLICY # 1058EW63 (SCHEDULE D, ITEM 3) UM LIFE INSURANCE CO OLICY # 00100951 (SCHEDULE D, ITEM 4) 5 EPT OF THE TREASURY OLICY # V 17419501 (SCHEDULE D, ITEM 5) 6 VERGREEN MONEY MARKET Ic # 9620298992 (SCHEDULE E, PART 1, ITEM 1) 7 1998 FORD WINDSTAR SCHEDULE E, PART 1, ITEM 2 Total from continuation schedules or additional sheets attached to this schedule ................ ................... 4 Tota' amount of property Interests listed on Schedule M ............................ 5a Federal estate taxes payable out of property interests listed on Schedule M .................. b other death taxes payable out of property interests listed on Schedule M c Federal and state GST taxes payable out of property Interests listed on Schedule M . ........................ ..................... ....................... d Add .ems 5a, b, and c ......................... ..................... ........................... 6 Net amount of property interests listed on Schedule M (subtract 5d from 4). Also enter on Part 5, Reca itulation a e 3 at item 20 .................................. (If more space is needed, attach the continuation schedule from the end of this package or additional sheets of the same size.) (See the instructions.) 26,988. 10,000. 2,000. 10,495. 26,447. 5a 6b 5. ............. .......... 5d 6 246,581. Schedule M - Page 27 905301 09-09-99 11220808 781784 10300-EST 9 1999.08200 BURKLE, JOSEPH S 10300-E2 Estate of: JOSEPH S BURKLE CONTINUATION SCHEDULE Continuation of Schedule M (Enter letter of schedule you are continuing.) Item number Description Amount 8 INDIVIDUAL RETIREMENT ACCOUNT FrRST UNION BANK ~/C # 090-0275038 (SCHEDULE F, ITEM 1) 9 INDIVIDUAL RETIREMENT ACCOUNT FIRST UNION BANK ~/C # 257410098863806 (SCHEDULE F, ITEM 2) 10 ~ECILIA B. JANKURA, TRUSTEE, JOSEPH S. BURKLE TRUST, UIA DATED JULY 22, 1996, FBO JOSEPH S BURKLE. DECEDENT RETAINED THE POWER TO REVOKE THE TRUST DURING aIS LIFETIME. (SEE COPY OF TRUST AGREEMENT ATTACHED). (SCHEDULE G) 41,665. 6,055. 61,915. TOTAL. (Carry forward to main schedule.) 109,635. 905131 ()8..1E>-99 11220808 781784 10300-EST 10 1999.08200 BURKLE, JOSEPH S 10300-E2 JOSEPH S BURKLE 070-12-2264 FORM 706 SCHEDULE J, EXECUTOR COMMISSIONS STATEMENT 1 DESCRIPTION ESTIMATED/ AGREED UPON/ PAID AMOUNT PHILIP R FRIEDMAN AND ASSOCIATES LLP YORK, PA AGREED UPON 7,500. TOTAL TO FORM 706, SCHEDULE J, SECTION B, LINE 1 7,500. FORM 706 SCHEDULE J, ATTORNEY FEES STATEMENT 2 DESCRIPTION ESTIMATED/ AGREED UPON/ PAID AMOUNT WILLIAM S EISENHART, ESQUIRE YORK, PA AGREED UPON 6,500. TOTAL TO FORM 706, SCHEDULE J, SECTION B, LINE 2 6,500. 11220808 781784 10300-EST 11 1999.08200 BURKLE, JOSEPH S STATEMENT(S) 1, 2 10300-E2 Hl()~.HO~ RF,V')IH(, This is to .certifY" that t~e. inforrn~tion he~e given is correctly copied from an original certificate of death duly'filed with Local RegIstrar. fhe ongtnal certlficate wtll be forwatded to the State Vital Records Office for permanent filing. me as WARNING: It is illegal to duplicate this copy by photostat or photograph. No. lllljt~(1"'Orpl;>~._ "'~""("._- l\\~ '. ''J',~"':. \'f?iif ' ,....-:;- $';Jt . '''' ~\ !~(~. .':.~. . ~\ \. - .' ..~- ~>",~'.j \* ..",.'" ~ll '-~ ' ~/ >----~liJIENl ~\ ~;"" ........"..",,"111/111 fee for this certificate, $2.00 P 6942368 :~ ,i ~&e? D e ".....,2181' COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH Gj '". .. . COUNTY~DERH SWE"'lENU"'BER :~Xm :d);CUR:i:1:R -~J-~fu/~~~~'-~I _._',. BlI'Inl"'-"CEIC",,_ Pl.ACl:Ol'O(ATHIC"""'""""""._."",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 31...,.fooeognC........., IfO$PtlAl,.: 1...._ ~ ~R/OI.ltpO'..'" 0 ;="",,0 7, Philadel i.a PA ... f.CII.rn'~MIIEp''''''....'M'''''.ao.o-!IlI"'.''''....-, W. SUFMVINGSI"OtJSE ,K_,~.....""""",""",,, M. Carlisle KI~OOl'BUSIHESSilNDVS7 .. ".l104ER'5N.Uolf:lf~I""'_,t... " Jose h INFOAIolAH1"SNAMlErr~ Cecelia Jankura "'ETHOOOl'OlSPOStTION M.. . 0......0 C......-eJ ~ OI....~ . ~l.. . 9IGNAnJ.!!IOI''''-NEIW. I'lVICE . ~~'I'l. ~......~....Iy-"~ 1II'IySjO........._.t_Of_tlIto .'*""Y......or....... ,~. Cumberland .. - M.. ~ 11'llD ~-::==... I.IOTHE"'SNA,MEIF..tM"'*.M_Sul'*"-l t.v.RfTA.l.S'TRUS.M......, N........."~.'M_ ~tS"""""'1 ,.. Married 1.,..IXI__1wd1fl I'. An ela Shinnensbun'! Aversa -~ 121 Walnut Bottom Shippensburg. PA Road 17257 - Burkl __....0 ". INf A,NT MAoltlNOA,llOAI!SSI_.ClIy(I:rom,_ZlpCoot.) 72 Covered Brid e Rd. Newbur PA 17240 Pl.A.CEOFOISPOSTTION.N.....alC-.y.c.......cGIy lOCATlON.C~.Sl....Z"IlICodit orOl.....~. z,,,. Smithsbur , MD ._IU."_""..-.......,by .____111 r PA O.T~ SfGN~O IM""""~}_~ n.. //- .:r-06 wo.SCA,f\!; REF "RED '10 MItOOCA,l nA,MIN~Il'CORONrR. ..\11" Sh. 21783 17257 ~ MMmATlCAUIlI(F_ _01_ '~"-I- a ,~""',. '",,-- :-.""-~ I ,...,.", OO........iIIell"'_~to_."'" ""'_itIQ"'__"lIoa__",,.,...,.t ---- N_.fMcIPIo;I"'_ _,If__IlL.,_ .c_~or~ .....-- '"'*'lI"_I~T I: OlJf:lO{l'JROSoCONSEOUENcrOf), ~A,NA.UtOI'sY MAli .UTtIPSVFINOIH08 PERl'ORMEo? -..llEAAlOR ro COMPlETJONOFCA,lISE ~~, _0 M.o\NNE"OFOEII7)I ~- ~ -- 0 - .........."-flvol..... 0 ..... 0 CouId......"".,.r.<m_ 0 Do:rE~INJUIl" ("'''''''.0..,,_) TIM~OI'INJUA't INJUflV /fifWORK1 OESCIlII~"OW 'NJURV OCCURflED .. 0 NoD :: 0 ~ -)( Y. 'IRDICAL U....INl!IVCOfIONE.. On 1tI,,1MW or ...",I...lIon .nd/oIl.......llgello<l. In Ill}' opinion, "'''" oe<:urre<:I' d 1M ""'.. "d". .nod pl<<1. IIId dul 10 !hi CIllM(IJ Incl "'.nn......tded....................,............................................................................. ~,.. "EO'S7R.R'SSfGN.o:rUREA,NONV...8ER I;;:.I,~,/.rr o - CIJl'71N"/CIIcIoMly_ .CI..,._l'l'<'l'.ICIoIl..""'-...........,...,..oI__.__..n...."'~""."'......_...""'"231 retM_d"",~........... ...".DCCu....r_...l".uuH(...nd.........'..II.IMl,..... H. Pl.ACEOI'~UfI.,."'_,_.."INI.!aeI.............. -.,.,...."SpIK>I.) _. " ..1 ..:.fO/C_.r.M)Cll'lTl'.,_......SlCl....(""......~boI~"'___~"'_..._l 'IlI...._oI""~no......d..l~....._.t'''.'IIIl..'''I...ndpllc...nd_lo....uuH(.I.nd'''.~n......_ a a ~2 000 'Y1~ ~Th~s trust agreement is made in duplicate this ~ day of -..J (j C,L!. ,1996, between JOSEPH S. BURKLE ("settlor") and CECILIA B.!JANKURA ("trustee"). Funding of Trust FIRST: Settlor transfers to trustee. the assets listed in Schedule A. Trustee shall hold the assets, proceeds of any life insurance policies, and any other property that may be added to this trust on the following terms. Lifetime Trust SECOND: During the life of settlor, trustee shall pay and distribute to settlor any principal and income from the trust estate as settlor may direct from time to time by writing lodged with the trustee. Trustee, in her discretion, may also apply the same directly for the benefit of settlor and settlor's spouse or issue. Credit Shelter Trust THIRD: On settlor's death, trustee shall segregate in a separate trust(hereinafter "credit shelter trust"), assets of a total value equal to the largest amount, if any, that can pass free of federal estate tax by reason of the unified credit and any other credits available for federal estate purposes except: (a) the state death tax credit to the extent that its use would require an increase in the amount of state death taxes paid; and (b) the credit for tax on prior transfers to the extent that credit arises from transfers to settlor from individuals who die afteI. settlor. Such latter amount shall be reduced by the value for federal estate tax purposes of any gifts that do not qualify for the marital or charitable deduction made by settlor under this trust or otherwise, and shall be further reduced by an amount equal to the sum of all charges to principal, except death taxes (since settlor directs below that such death taxes be paid from this trust), that are not deducted in computing settlor's federal estate tax. Trustee shall select and distribute to the credit shelter trust the cash, securities and other property that shall consti- tute the credit shelter trust, employing for the purposes of valuation the adjusted basis of the asset for federal estate tax purposes, provided that the assets distributed shall be -1- selected in such manner that they shall have an aggregate fair market value fairly representative of the appreciation or depreciation in the value to the date or dates of distribution of all assets then available for distribution. Settlor recognizes that depending on the amount of bequests under settlor's will and his non-testamentary dispositions, the amount of state death taxes and administration expenses, and other factoz's, this trust might be non-existent or might consume all the assets so that no assets may remain to pass under the provisions of Paragraph FOURTH hereof. The assets of the credit shelter trust shall be held and distri- buted on the following terms: (a) During the lifetime of settlor's wife, Angela A. Burkle, trustee shall pay and distribute to her the entire net income, which payment shall be made to her periodically, but not less frequently than quarterly. In addition, trustee shall from time to time pay to settlor's wife, or shall apply directly for her bene- fit, as much of the principal of this trust as trustee in her absolute discretion may consider desirable for her health, maintenance and support, after considering all resources available to her. . Settlor's wife shall have the right to withdraw annually the greater of Five Thousand ($5,000.00) Dollars or five (5%) per cent of the principal of this trust, valued at the end of the year in which the withdrawal is made. The right of withdrawal shall be exercised only in writing delivered to trustee in the lifetime of settlor's wife and the right of withdrawal shall be non-cumulative. (b) On the death of settlor's wife, or at settlor's death if she has predeceased him, trustee shall pay and distribute the remaining principal, together with any accumulated and undistributed income, in equal shares, to settlor's children, said Cecilia B. Jankura, Frank A. Burkle and Joseph S. Burkle, Jr., and their issue per stirpes. Distribution of Balance of Trust Assets FOURTH: If Settlor's said wife, Angela A. Burkle, survives him, trustee shall distribute the balance of the trust assets outright to her, free of all trust. If settlor's wife does not survive him, said assets shall be paid and distributed, in equal shares, to settlor's said children and their issue per stirpes. -2- Income Undistributed at Death of Beneficiary FIFTH: All income undistributed and accrued at a beneficiary's death shall be treated as if it accrued thereafter. Minors and Incapacitated Persons SIXTH: If any income or principal shall be payable to any person who shall be a minor or who shall be incapacitated for any reason, trustee shall hold such income and principal during minority or incapacity and shall be entitled to apply such income and principal to the health, maintenance, education and support of such person during minority or incapacity without the appointment of any guardian or committee or any authority of court. Trustee shall be entitled to make direct application or to make application by payment of income and principal to the parent or other person in charge of such minor or incapacitated person, or to his or her guardian or to a custodian under the Uniform Transfers to Minors Act. Any remaining income and principal to which such person shall be entitled shall be paid and distributed to such person upon the termination of minority or incapacity. Protection of Beneficiaries SEVENTH: The interests of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation. Powers of Trustee EIGHTH: In addition to the powers granted by law, trustee shall have the following powers: (a) To invest in and to retain all forms of real and personal property, without regard to any limitations imposed by law on investments by trustees; (b) To hold p:t'operty un:t'egistered o:t' in the name of a nominee; (c) To give proxies, both ministerial and discretionary; (d) plan, o:t' delegate To Jo~n in any merger, reorganization, voting-trust other consent action of security holders, and to discretionary duties with respect thereto; (e) To compromise claims; To buy investments at a premium or discount; (f) (g) (h) To borrow generally; and To distribute in cash or kind or partly in each. -3- Payment of Taxes on Settlor's Estate NINTH: Trustee shall pay any and all estate, inheritance and other death taxes, together with interest and penalties, which shall be payable by reason of settlor's death upon the property comprising his gross estate for tax purposes to the extent that the same shall not be paid by settlor's executor. For such purposes, trustee may advance to the executor of settlor's will such amount as may be required by the executor of settlor's will for the payment of such taxes. Trustee shall payor advance the same out of the principal of the credit shelter trust without apportionment. Only to the extent the cr~dit shelter trust is insufficient, or unless settlor's spouse predeceases settlor, shall any such payments or advances be made from the residuary gift. Loans and Advances to Executo:t'S of Settlo:t" swill TENTH: Trustee is further authorized in her discretion, to make such loans, advances or expenditures out of the principal of the credit shelter trust, as trustee may consider desirable in order to facilitate the settlement of settlor's estate. Only to the extent the credit shelter trust is insufficient or unless settlor's spouse predeceases settlor, shall any such loans, advances or expenditures be made from the residuary gift. In exercising such authority, trustee may pay in whole, or in part the expenses of settlor's last illness and burial, debts, income taxes, estate or inheritance taxes, legacies, commissions, coun- sel fees and other administration expenses, owing by settlor or by reason of his death, which payments may be made directly by trustee or to the executor of settlor's will and neither executor nor any beneficiary shall be required to reimburse the trustee for any funds so loaned, advanced or expended. Compromise of Insurance Claims ELEVENTH: Trustee may, without incurring liability, com- promise and settle any questions relating to any policy of life insurance upon such terms as she deems wise. Trustee need not institute litigation to collect any policy unless she is reasonably indemnified for costs, counsel fees and other expenses of such litigation. . Responsibility of Insurance Companies. TWELFTH: No life insurance company shall be respon- sible for the execution or performance of the trust. Payment of Insurance Premiums THIRTEENTH: Settlor shall pay all premiums on policies -4- held under this agreement but shall have no responsibility to see that policies are kept in force. Rights Reserved in Insurance Policies FOURTEENTH: Settlor reserves to himself alone all rights, options and powers granted to the insured by the policies held, and in particular the rights to: (a) change beneficiaries; (b) borrow on policies; and (c) receive dividends, benefits and all other sums payable to insured. After settlor's death, trustee may exercise all rights, options and powers granted by the insurance policies held in this trust. Right to Revoke or Amend Trust Reserved FIFTEENTH: Settlor reserves the right to revoke or amend this trust agreement in whole or in part at any time and from time to time by written instrument delivered to trustee in the lifetime of the settlor. Pennsylvania Law Governs SIXTEENTH: Questions pertaining to the validity, con- struction and administration of the trust created under this instrument shall be determined in accordance with the laws of the Commonwealth of Pennsylvania. Headings SEVENTEENTH: The headings used on the various paragraphs of this trust agreement are included for convenience only and shall have no legal significance. The parties have signed this agreement on the date set forth above. Signed, Sealed and Delivered in the presence of: sltf1i-~ "A."f/Wd }o~ B;;kl:~ (SEAL) ~ A. J./WtI (SEAL) -5- COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF YORK r]!! . / On this, the ~ day of VU~'1 ' 1996, before me, a Notary Public, the undersigned office , personally appeared Joseph S. Burkle, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed the same for the purposes expressed in it. I have signed my name and affixed my seal. /p;}/L~:iJ{,/ My Commission EXPir:esJ.,atye:XJ.ltlfo NOTARIAl.. SEAL .we P. WRIGHT. NOTARY pUBUC YORK YORK COUNTY. PA ""COMMIssioN EXPtRESJULY 20.1_ COMMONWEALTH OF PENNSYLVANIA :SS: COUNTY OF . On this, the ~IJJ-day of ~ it,! ' 1996, befo:r"e me, a Notary Public, t~ersigned office , personally appeared Cecilia B. J an k u r a, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purposes expressed in it. I have signed my name and affixed my seal. / Notary Publ', ! A _~ My Commission EXPires~,1t/9J NOTARIAL SEAl JANE P. WRIGHT. NOTARY PUSUC YORK. YORK COUNTY, PA MYCOMMISSlONEXPIRESJUlY20,1998 .JT"1n:..I.J 'L'L .1.,.",::;0. rK .JQ'fl".ll'lIUWI't ~J.~ ~:Ht;; ~ IU '~T(l.~W':;') ,...'.uy~ iJPmdential .... . .. n _ .......... JeolioB Caarc, Suile 4lIO. Sill Old 'flIIk lid. . ~PA lS04&-llDlJ TeI:ztEi8ll4-!l88lf 800 m-ilI5ll Fez 215 Iin-42Il8 Date of Death Valuation for Joseph Burkle TI1JSt Date of Death Wednesday 111812000 Mrs CecIlia B. Jankura nee Joseph S. Burkle Trust FBO Joseph Burkle AHW-146950 DllscripCion COIIlmand Money FIM NIcholas AppIegaIa Fund B Pro Globid Growth Fund B PIu 2Oi2O Fund B Pm ~ Fund A Pili Equity Fund B PruJenn Grawth Fund B Pulr1am Health Sci Tr B Quutily Symbol 82 CDMXX 1,755.836 NAGBX 566.267 PRGlX 2,217.4111 P1WBX 185.804 PBQAX 377.154 PBQFX 4,222.858 PJFBX 2111.345 PHSBX Sub-TotaJ AYg PIfce 1.00 Z1.94 19.il8 11.88 19.60 19.52 21.41 82.49 v..... 82.00 , 38,523..04 11.1.49.80 26,342.94 3,1541,78 7,382.05 90.411.39 24,033.06 n01,l126..D2 Mrs. Cecilia 8. Jankurs Ttee Joseph S. Burkle Trust FBO JespM S. Burlcle AHW-868283 QII8IIIfty Cusip DescdptIon 200 300 2000 150 150 .1!lO 38200.13 200 2i'lS 300 250 100 200 150 300 1!O T AT&T I..NI6A AT & T Corp l.i) Mad AW Alliecl w.te SAC Bank of America Corp ONE Sank One Corp eMY BdstcI Myens Sql.ibb NMMXX Money Fund CSCO CIsco System C Cillgmup, Inc COW now Chemical Co ENER Energy eon-s IM:es )(OM Exxon Mobil Corp INTC lm./ Corp JNJ JoIm&on & JohnsM L.MT Loc::lcheed MarlIn iIotWO Morgan StaIlI10ly D W & co Avg PIlc:e 22.00 17.94 11.69 48.75 ae.94 82.31 1.00 52.13 ll3.08 32.25 30.69 90.69 42.69 9144 32.79 73.D6 VIIIUe 4,400.00 5,381.25 23,375.00 7,312.50 5.&40.63 9,348.88 38,200.13 10.425.00 14,114.63 9,&75.00 7,871.88 9.06&.76 8,537.50 14,015.63 9.837.00 10,969.38 'IllI$..ncIl1le_leCCll'dof_.......... YOlO'I'..-JSecluIIiooSCGeat-. ,hoI'IIlB1heofti<i;l_<1Iyaur ......nt. ~.;r__allY~_""PG'tlllll!__CIIollll"",,",..lI,yau_I1lIyOl\ .... 0Il0nt8bdernont _....your_ _ ~_....q-. _. ,"on __ ____ _ _...... beIeo.W 10 b& __ bulwellO nota....- ftlEall8CJ. .JHN 1"( .l!J1. l.'!':1a::! ,..~ Jl::.f\KINIL'WN 215 ~.r.c:: 4"~ IU -:;1'(1.-(b'::.~.j ~ Prudential ~~ -'-"""' QuanlRy Symbol o.-.itAh-n Avg Pric:e Value 500 MOT MolcroIa Inc 23.25 11,825.00 100 NT Nortal Nwk$ Corp Hold 41.50 4.150.00 200 PG PRx:fDr & Gilmble 89.44 13,m.50 150 aCOM QuIIIcclnlm Inc 69.08 10,359.38 150 RD RayaI Cut Pe1e Co lSll.69 8,953.13 150 SPLS SlapIes Inc 13.25 1,987.50 200 $1/ SIiIIweIl Flnl SeIY 45.00 8,000..00 75 TWX Time Warner Inc. 83.20 11.240.00 150 vz Verlzon Communk:allons 55.08 ' . , 8,259.38 200 VSH \Iishay InfeItEdt 28.13 5.ll2ll.00 400 V\/COM Worfdc:om Inc. 16.54 &,775.00 SIlIl-fllltal $274,123.G1 TGC;d $478,248;.03 Tlll8is nolll1e_ MOld "'_""'- YourPrudentialSeariiesClontstmomentis ...~- oIY"'1' -. 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BURKLE ESTATE SSN: 070-12-2264 -- 000: 11/08/2000 SCHEDULE M FUTURE INTEREST COMPROMISE Taxable estate per Form 706 line 3 Less: credit for state death taxes -- Form 706 , Iine15 Value of fund from which life estate is payable -PA REV 1500 Sch K Actuarial factor per calculation - detail shown below Value of life estate -- PA REV 1500 Sch K Future Interest Compromise Sch M Calculation: Value of fund from which life estate is payable --PA REV 1500 Sch K Less Value of Life Estate Amount of Future Interest -- PA REV 1500 Sch M IV (1) Beneficiary of life estate age to nearest birthday at DOD IRC Section 7520 AFR for November 2000 per IRS Rev. Rul 2000-50 IRS Publication 1457 -- Table S Single Life Remainder Factors @ 7.1 % was calculated by averaging the 7.0% factor and the 7.2% factor for someone 80 years of age as shown here Total Single Life Remainder Factor calculated with a 7.1 % rate Life Estate = 1 minus Single Life Remainder Factor (1 - .60131) 392,230 (6,550) 385,680 0.39869 153,767 385,680 (153,767) 231,913 80 7.1% 7.0% factor 7.2% factor average 0.60497 0.59765 1.20262 0.60131 0.60131 0.39869 ....~i",;..""; , ./;&~;}/1: '~>~~",f:';f1 ~.. .~~~,,-~j ::::' 7~\~~ :.";,"'.,';,, ..>,>:;~:7';:~ II . fi :~:;f'~% ;fi:~J~ 502 . October 26, 2000 IRS Explains Impact Of Public Support Test On, Internet Donor-Advised Fund + Advanced Letter Ruling; 2000ARD 203-3 With the popularity of donor-advised . funds has come an increasingly watchful eye from the IRS. A recent pri- vate letter ru1ing highlightS the operation of these funds and explains how -in at least one advanced letterru1ing- their ad- ministrators may treat contributions as sup- port from the general public forpmposes of the Code's public support test Whet they are Donor-advised funds are a type ofp1anned giving instrument. A donor creates . an accountwith a donor-advised fund by con- tributing cash, bonds, stocks or other as- sets. A charity or foundation administers and manages the fund. The fund invests in other mutua1 funds and generates in- come for the account. In addition to se- curing a tax deduction, the donor can rec- ommend how and when to disttibute the contribution in the form of grants. to quali- fied non-profit organizations. ~ do- nor-advisedfunds require aminini.um con- ttibution of $1 00,000, but some charities hsve lowered that to $10,000. It is esti- mated that nearly $8 billion in aSsets are held in donor-advised accounts. Nti~~"1b~1" ..20'O()':~f~' !~i~~~,'~~j:8~a~li:a~V~~'-':;.', . Re..IW1. 2000-50 ..', ";'.; . ....;.c.%:;:.,:;.,"~.; . ';.,,; The IRS has released the short-toIm. mid,toIm. and I~-term: applicable interest.Iatos' for Novombor2000. :. . 'c . ,. .' _ ...... <,.' :.... ~~~.~~~~~~~1i~ 120%AFR 7.40% 7.27%'::;~:" ;,~"l.2'1%:: ."., 1.J6%- 130% AFR 8.04% 7.88% . 7.80%. .7.75% Mirt.Ttlnn AFR "0% AFR 1'20% AFR 130% AFR 150%AFR 175%AFR 6.01% 6.62% 7.23% 7.85% 9.08%. 10.63%:.' 5.92% 6.51% 7.10% 7.70% 8.88% '1'0.36% ". . 5.88% 5.85%. 6.46% 6.42% ". 7.04%., ,. .7.00% . .7.63%; :.. 7.58% . 8.78%":' 8.72% . i"l 0'.23%.'/' . ';:1 0.1 4%. Lmn_Term . ,.AfR'>'" 11 0% AFR 120% AFR 130% AFR . c..-, , ",'.",..".;'.C,,' 5.96% .: ~ 5.93%' ,6.55%. ,.6.51% .,.7..14%,: ..." 7.09% '.' !-73%,;" ::>.7.68:' .. .... .....- '. '6.0~ 6.71% . 7,33% 7.95% 6.00% ' 6.60% 7.20% 7..80% :":.>,~:,..c::?;:,,....,., Adjusted AFRsfo,Novemb., 2000 ..' ...., . .,,;. '.":;..' .c.' .. Short-termodjustedAfR "~~;~" "Sem~~;:~al:;~~~.:::.~~X Mid.term odjusted AFR . 4.68%' 4.58%':,' . ; 4.55% . 4.54% Long-ten:'odjustedAFR'5:3?,~",' .,.. 5:.32:t'," ',,5.29%>"'~': 5.26%", . .' .' ,"', '-"','.",;,"',''-.''':. <', :,,;.':,~,.,.t'~. ,,~.,;t..:.%~,~!"i~-~r<~:::':,:~> ',<.<.,. , The IRC p82 adjusted fedeni1limg:tolm rate i& 5.39%; the timg:tem.'iax~rato" ' i& 5.41%; theIRC ~42 (bX2) appropriate perceiltagesforthe70"1o and30o/.presentva1ue low-income housing credit are 8.42% and3.61 %,^'""PllClively; and the IRC ~7520AFR for dotormining the present va1ue of an annuity,an interest for life or a telm of years, or aremainderorreversionaryinterestis7.1%..' '.: ..' ',,: References; FED 1146,592; FTSJK;I2,143[IJ , Regulation The Clinton Administration has proposed some new rules for donor-advised funds. Under the Administration proposals, a d0- nor-advised fund would be required to dis- tnbute at least fIVe pen:ent of the fair tnar- klltvalueofthefundannual1y. Distributions woU1d be allowed only to charities, f0un- dations and some government-related or- ganizations. The proposals would hsve sanctioned c6nlp1iance failures by subject- ing the fund to the Code's private founda- tion rules. Th date, Congress has taken no action on the Administration" 'proposals. . Comment. Donor-advised funds share many similarities to foundations. Both are vehicles to fund philanthropic activities. HoW- ever, donor-advised funds are sub- ject to less federal regulation than private foundations. one concern about the lack of dOnor-advised fund . regulations is that donors may rec- ommend distributions that hsve di- rect or indirect personal benefits. Request for guidance Earlier this year, an online distnlmtor of philanthropic information questioned the IRS about the impact of the public sup- port test on its planned donor-advised fund. Individuals would be able to open a donor-advised fund account online at the organization's web site. They also would be able to recommend how the organiza- tion would disburse the income generated by their contlibutioru Potential donors would be instructed that contributions are irrevocable and they would have to ac- knowledge this. Wbile a donor would be able to recommend how and when a dis- bursement would be made, the ultimate decision wOuld be made by the 0rganiza- tion. Inaddition.recommendeddisburse- ments would be made ouly afterthe orga- nization confirmed that the proposed recipient qualified as a charity. The orga- nization maintained a list of qualified charities on its web site. continued on p, 504 ~ CCH FEDERAL TAX WEEKLY @2000,CCHINCORPORATED http://tax.cch.com/primesrclbinlhighwire.dll?a=dd&CLIB=3&DI =3BCEDDB6DDB7C4F ADS.. 8/2/01