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Home My WebLink About01-1167 r-M~- ------- ~t~.;J~fJr.i'FL;;;~~-J.Ji.....i.---~" I I 7001 O::I,~O O[I[~ 8 i6:3 If[ F~~~N' First Union\;alional Bank PA] 308 CMG Fiducial) Tax Del',lrtl'j'l ! PO Box -'558 123 Soulll Bro,,d Stred Philadelphia, P~\ 191(19- -.:;~,> Register of Wills Cumberland County Court House 1 Courthouse Square Carlisle, !?A t701 J- '"\ -{w " ...., ~,I. " ~ UNITED STATES POSTAL SERVICE 0000 First Clas~ 30680 I (50pkg) .;;i)1!;-:' &7b -4:,f/~ I tJ,1'7'1./J;. ~ First Union National Il.anlk PA 1308 Capital Management Group - Tax P.O, Box 7558 Philadelphia, Pennsylvania -1 Sl1 01-7558 F..srN <jO nfl~nb ~ ,:. c. ~:,I? o .-- " c.,:; c:;;:l ,j en leI: ."i~; -"~'': (1.1 ';.J 'f'~ l"'" p Register 07 vvmr of CUml)eiI2,ld County One C.Ourt!lou~e Squall? Carlisle, PA '170'13-3387 Attn.: Ch_€!.~YJ .s.N~~~'-P.\ -?O \. ~=::;$":'"~ (: ~ 111'11111 fI, I/HI/II,I.IHIHI/ llllH 111111 F~N@ First Union National Bank PA1308 Inheritance Tax Department 123 South Broad Street Philadelphia, P A 19109-1199 Tel 215 985-6000 Certified Mail No. 70010320000185634235 ,...,." cJ .~ Direct (215) 670-6421 Fax (215) 670-6422 a rth ur.au l@firstunion.com 3rd November, 2001 Register of Wills of Cumberland County Court House 1 Courthouse Square Carlisle, P A 17013-3387 Re: Estate of Theodore S. Shelley #1519139574 SSN: 175-10-0229 Date of Death: 3/2/2001 County File No.: None assigned yet Dear Madam/Sir: First Union - Wachovia acts as the Trustee for Theodore S. Shelley. I enclose the Shelley Pennsylvania Inheritance Tax Return, in duplicate, for filing with your office. The tax return results in no inheritance tax or refund due. Please acknowledge receipt of this filing by date stamping and returning to me, the enclosed duplicate ofthis transmittal letter. A self-addressed return envelope is supplied. Sincerely, '--~~ Arthur S. Au Assistant Vice President enclosures cc: Nancy Klahold, Vice President REV-1500 EX + (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 260601 HARRISBURG, PA 17128-0601 DECE- DENT CHECK APPRO- PRIATE BLOCKS COR- RE- SPON DENT RECA- PITULA- TION TAX COMPU- TATION o PA 15001 . REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Shelle , Theodore S. DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) 3/2/01 12/15/1913 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) S. Louise Shelle ~ 1. Original Return 4. Limited Estate 6. Decedent Died Testate (Attach copy of Will) 9. Litigation Proceeds Received ~ 2. Supplemental Return 4a. Future Interest Compromise (date of death after 12~12-82) 7. Decedent Maintained a Living Trust (AttachacopyofTrust) 10. Spousal Poverty Credit(date of death between 12-31-91andl-1-95} OFFICIAL USE ONLY .~ - ;2 9-0 FILE NUMBER 21 2001 COUNTY CODE YEAR NUMBER SOCIAL SECURITY NUMBER 175-10-0229 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER ~ : o 8. D" Remainder Return (date of death prior to 12-13-82) Federal Estate Tax Return Required Total Number of Safe Deposit Boxes Election to tax under Sec. 9113(A) (Attach Sch 0) tll\$:~P~MQ$tllE.POWlllI.;lffl;!!iAJ;QQQRjjj;~~fjq!.~9~~ipgN;tIAttAliINFQRMI\j'j9!'!$ijQi.i4tillEblREPj'i\P.fj;lf NAME COMPLETE MAILING ADDRESS Arthur S. Au, A.V.P. PAl308, P.O. Box 7558 FIRM NAME (If Applicable) Philadelphia, PA 19101-7558 First Union - Wachovia TELEPHONE NUMBER (215) 670-6421 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. 4. 5. (1) (2) Closely Held Corporation, Partnership or Sole-Proprietorship (3) Mortgages & Notes Receivable (Schedule D) Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested (4) (5) (6) 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) (7) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H)(9) 10. Debts of Decedent, Mortgage Liabilities, & liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) None No~"" N I'D o 7:' No ". OFFICIAL USE ONLY ~.I 100.'12 9 :0 (1) () c::l ~;,' ['" C""J I 0'> -0 N N .l'> None ~)'." .,;,..'.".'l 519,977.13 (8) 5,947.00 None (11) (12) (13) 520,077.13 5,947.00 514,130.13 397,988.13 (14) 116,142.00 SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES 15. Amountof Line 14taxableatthespousaltax rate, or transfers under Sec. 9116(a)(1.2) 116,142.00 X.O 0 (15) 16. Amount of Line 14 taxable at lineal rate 0.00 X.O 45 (16) 17. Amount of Line 14taxableatsiblingrate 0.00 X .12 (17) 18. Amount of Line 14taxable at collateral rate 0.00 X .15 (18) 19. Tax Due (19) 20. D l.qijI;PK.HEJ;Jl;ii'yPQ.@\lEREQUE$I\@A.J;JEFiji-lp.Oi'.Ai-lpVl;j;jPl>.mei-lt.1 0.00 0.00 0.00 0.00 0.00 NTF 29755 Copyright 2000 Greatland/Nelco LP- Forms Software Only PA REV-1500 EX (6-00) Decedent's Com lete Address: STREET ADDRESS 304 West Main Street . . Page 2 CITY Mechanics Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount STATE PA ZIP 17055 (1) 0.00 Total Credits (A + B + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (0 + E) 4. If Line 2 is greater than Line 1 + line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 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. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check to: REGISTER OF (3) 0.00 (4) (5) 0.00 (5A) 0.00 (5B) 0.00 2. 1. Did decedent make a transfer and: a. retain the use or income of the property transferred; . . . . . . . . . . . . b. retain the right to designate who shall use the property transferred or its income; ........ c. retain a reversionary interest; or. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d. receive the promise for life of either payments, benefits or care? If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Yes No ~ ~ B ~ 3. 4. o Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on information of which preparer has any knowledQe. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE First Union - Wachovia, Trustee b Arthur S. Au, A.V.P. ADDRESS See Schedule attached SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS onor on or use [72 P.S. 9 9116(a)(1.1)(i)J. For dates of death on or after January 1, 1995,the tax rate is imposed on the net value of transfers to orfortheuseofthesurvivingspouse isO%[72 P.S. 99116(a)(1.1)(ii)]. The statute doP.snntP'l<p.mntatransferto asurvivingspousefromtax,andthestatutoryrequirementsfor disclosure of assets and filingataxreturn are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to orfor the use of a natural parent, an adoptive parent, or a stepparent of the child isO% [72 P.S.99116(a)(1.2)). The tax rate imposed on the net value of transfers to orforthe use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72.P.S. 9 9116(1.2) [72 P.S.99116(a)(1)]. The tax rate imposed on the net value of transfers to orfor the use of the decedent's siblings is 12% [72 P.S. 99116(a)(1.3)J. A sibling is defined, under Section 9102, asan individual who has at least one parent in common with the decedent, whether by blood or adoption. o PA15DD2 NTF 29756 Copyright 2000 Greatland/Nelco LP- Forms Software Only . . Estate of: Theodore S. Shelley 21-2001-None yet The following person(s) are signing the retUTIl as representative(s) of the estate: First Union - Wachovia, Trustee c/o Arthur S. Au, A.V.P. PA1308, P.O. Box 7558 Philadelphia, PA 19101-7558 REV-15GB EX + (1-97) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Theodore S. Shelley 21-2001-None yet Include proceeds of litigation & date proceeds were rec!!ived by the estate. All prop. Jointly-owned with right of survivorship must be disclosed on 5ch. F. ITEM NO. DESCRIPTION VALUE AT DATE OF DEATH 1 Personal jewelry - Value estimated by S. Louise Shelley. 100.00 7 CPA81 NTF 10908 Copyright Forms Software Only, 1997 Nelco,lnc. TOTAL (Also enter on line 5, Recapitulation) (If more space is needed, insert additional sheets of the same size) $ 100.00 REV-1510 EX + (1-97) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Theodore S. Shelley SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER 21-2001-None yet This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NO. DESCRIPTION OF PROPERTY INCLUDE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECD & DATE OF TRANSFER. ATTACH COpy OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF EXCLUSION DECD'S (IF INTEREST APPLICABLE) TAXABLE VALUE First Union - Wachovia, Successor to Hamilton Bank, Trustee Under Rev=able Agreerrent dated 2/1/1991 with the Lecedent, Account No. . 1519139574. Copy of Agreement supplied. 1 41,489.908 units Evergreen PA Municipal Bond Fund, Class I @ $11. 31. 469,250.86 Dividend accrued to 3/2/2001. 126.32 2 Cash held in First Union PA Trust Money Market Fund. 50,996.22 Interest accrued to 3/2/2001. 13 .14 3 Less: Trustee fee accrued to 3/2/2001. (409.41) 4 FDR INFDRMATION ONLY - Non-probate annuity held jointly with surviving spouse. Benefits continue for her life. 7 CPAO' NTF 10910 TOTAL (Also enter on line 7, Recapitulation) $ (If more space IS needed, Insert additional sheets of the same size) 519,977 .13 Copyright Forms Software O"ly, 1997 Neice, Inc. REV-1511EX + (1-97) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Theodore S. Shelley SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-2001-None yet Debts of decedent must be reported on Schedule 1. ITEM NO. A. FUNERAL EXPENSES: DESCRIPTION AMOUNT 1 Cretl'ation Society of Pennsylvania - Professional services. 947.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN No. of Personal Representative(s) Street Address 0.00 City State Zip Year(s) Commission Paid; 2. 3. Attorney Fees Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 0.00 0.00 4. Probate Fees 0.00 5. Accountant's Fees 0.00 6. Tax Return Preparer's Fees 0.00 7 First Union - Wachovia - Fee for settling estate tl'atters and preparation of death tax retUll1S . 5,000.00 7 CPA11 NTF 10911 Copyright Forms Software Only, 1997 Nelco, Inc. TOTAL (Also enter on line 9, Recapitulation) $ <If more space is needed, insert additional sheets of the same size) 5,947.00 REV-1513 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF . SCHEDULE J BENEFICIARIES FILE NUMBER Theodore S. Shellev No. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 21-2001-None vet RELATIONSHIP TO DECEDENT AMOUNT OR Do Not List Trustee(s) SHARE OF ESTATE 1 S. Louise Shelley 304 West Main Street Mechanicsburg, PA 17055 Surviving spouse 116,142.00 ENTER DOLLAR AMTS. FOR DISTRIBS. SHOWN ABOVE ON LINES 15 THROUGH 17 AS APPROPRIATE ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE None B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1 T. S. Shelley NIMCRur fbo S. Louise Shelley First Union - Wachovia, Trustee PA1308, P.O. Box 7558 Philadelphia, PA 19101-7558 397,988.13 TOTAL OF PART II -- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 397,988.13 7 CPA13 NTF 10913 (If more space is needed, insert additional sheets of the same size) Copyright Forms Software Only, 1997 Nelco, Inc. C'\IO:\.I,)" REV:O'JIOI)I This wich IS co certifY chac chis is a true co~f the record, which IS on flit: in che Acr GG. P.L 304. "pproved by rh"W'era].A"emblv. June 29.1953. Pennsylvania Division of Viral . Records in accordance WARNING: It is illegal to duplicate this copy by photostat or photograph. G:~5~/~ Robw S.6nJnerman. Jr" MPH Secretary of Health .---...." 1111'lt'~~'H'aF}f;;'.'~~ "~.'" ,.'YA,. "~,"', .~-"-,," '," ,,' \ S.' ~ c- -, V..J.:"- I~"\ ~$ "'..' \-p~ ~~ t' .a_ ',%~ ..~. ,,~" ..i;;~ \d"'-'-.'~"." /*/ ~;:c;. '~-.?". " /~'" '~ " , ~" '"<!IMENT ~~ 't-";",,'" "~'"'''',,,u,,''II''''' GjJ J/~ Charles Hardesrer Scate Registrar 1396398 MAR 1 4 2001 No. Date ;..-- . . H\05. ~1I....Z/1IT COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEAL.TH . VITAL. RECORDS CERTIFICATE OF DEATH rY~~NT '. PI!.R"N<f:IH IJU,Cll;JIoII( '" s..u.'U.'oIJ....EIl SOCl.ll.Slf:Cl,lIlITY....,""EIIl O"'<<OF OE,Al'k,_, 0.,. '_. 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W(1Il<<.....fl)!OS'1~!HOINGS -....Jl.(P'tUOAl'O COOoIO'I.ltTlONOI'CAu$l Ol'OE.o\1H' ........t:IIlOl'OEAlH -. );r'" o o D"'E OF '''''11'''' ,........,~,-, T'wt:Of'lN,N1l'f ''''ItJIIl""zWOllIll?i)l(SC''U!lE><QH~OCC\lIl!Ol!O. - ,.,,--- o o o P'VoCl!Of"....UIll"...._._._,_....... ... __.,Sooo:.M - c ....0 1Il€Cl~~~ :..~ S:-""'~?7u;.~-- '-'<;..... ~. .',!./ ~~ ~ ,.._~.;:..,~~..;'"....~..~ 1.2,/,.<./( 1 k.-p _0 ~(] ~ c.,..,._...__ - ,~ QJr1'...It:"'C~__.,......, .CUfT~I~_'fSlCl..H'''''.-:_<.._ea.>M'''.,......_,.......~...an.''''....~a1'''~".........<'"".....,"....}J, ...__.....,~....__......._..._c.~"'.l_"'_........... , , ~ o ~ i . .~OOOlIHOHGAHOetlOTl....'HO_"ICl_'__"""',............""''''''..~....c~"c-..'''_, ......_.....,.....__. ~.....GC<:....-..__. 00'., _~OC.._~_'.._c_.I_"'.........".,.. ...'EO'C..lEX........e../CO~ON'E1Il :;->":::-...b:::,::,::.,",".1I0" ..........;""..~1I9.h..". ," '"'fOQ,ft'Oft. du'" ....~~"..,... ,..."..... d.'.,..... QI..,.. _ d~. ,a '..... c.....l.l...., 0 ". /' 0/ . . LAST WILL AND TESTAM~~~~ OF THEODORE S. SHELLEY 1J TABLE OF CONTENTS I. IDENTIFICATION OF FAMILY. A. Definition of Family Terms. 1 1 II. PAYMENT OF BURIAL EXPENSES AND DEBTS. 1 III. SPECIFIC BEOUESTS. 1 IV. DEVISE OF RESIDENCE TO SPOUSE. 1 . V. DISPOSITION OF RESIDUARY ESTATE. A. Disposition to Trust. B. Disposition if Trust Not in Effect. 2 2 2 VI. POWERS OF ADMINISTRATION. A. Grant of Powers. . . B. Retention of Assets. C. Transfer of Assets. D. Inyestment. .... E. Power to Borrow. . . F. Power to Hold Property in Nominee Form. G. Distribution in Cash or in Kind. . H. Distribution to Minors and Persons Disability. . . . . . . . . . . . I. Disposition of Business Interests. J. Employment of Aqents. K. Commissions. . . . . . . . . . . L. Third Party Reliance. ..... M. Protection of Marital Deduction. 2 2 2 3 3 3 3 3 Under 3 4 4 4 4 4 VII. PAYMENT OF DEATH TAXES. . . A. Payment of Estate Taxes. B. Inheritance Tax. . . . . C. Protection of Marital Deduction. 5 5 5 5 VIII. APPOINTMENT OF EXECUTOR. A. Appointment. . . . B. Bond Not Required. 5 5 5 IX. LIABILITY OF EXECUTOR. 5 A. Liability Limited to Actual Fraud or Willful Misconduct. 5 X. INTERPRETATION. A. Successors of Fiduciaries. B. Number and Gender. C. Headinqs. D. Goyerninq Law. . . 6 6 6 6 6 . . LAST WILL AND TESTAMENT OF THEODORE S. SHELLEY I, THEODORE S. SHELLEY, a resident of Newberry Township, County of York, Commonwealth of Pennsylvania, declare this to be my Will. I revoke any and all Wills and Codicils that I have previously made. I. IDENTIFICATION OF FAMILY. I declare that I am married to S. Louise Shelley and that I have no children, either of this marriage or any other marriage. A. Definition of Familv Terms. As used in this will, the term "my spouse" shall mean only S. Louise Shelley. II. PAYMENT OF BURIAL EXPENSES AND DEBTS. I authorize my executor to pay all the expenses of (') a funeral or memorial service; (2) the interment of my remains, including the costs of a gravesite, if necessary; and (3) the installation and inscription of a suitable marker at, and perpetual care of, the gravesite. I further direct my executor to pay all of my debts that my executor in his or her sole discretion may allow as claims against my estate. III. SPECIFIC BEOUESTS. I give and bequeath: A. $20,000.00 to my sister, Minerva Nagle, Pennsylvania, or to her issue, per stirpes. York, B. $20,000.00 to my brother Rodney Koch, York Haven, Pennsylvania, or to his issue, per stirpes. C. $20,000.00 to my spouse's son, Michael Nailor, Mechanicsburg, Pennsylvania, or to his issue, per stirpes. IV. DEVISE OF RESIDENCE TO SPOUSE. I give and devise to my spouse, S. Louise Shelley, the house and furnishings that I and my spouse now use as our principal residence, located at 3395 Grandview Avenue, York Haven, Pennsylvania, together with surrounding acreage to the aggregate of two (2) acres, which shall include the land upon which the house is located. The two (2) acres shall have boundaries identified in any manner and in any location suitable to my spouse, so long as the house is on the land so identified and such identification is consistent with all laws and regulations relevant to the use and boundaries of such land. The cost of any survey, subdivision, or other things necessary to accomplish this devise shall be paid from my residuary estate as an expense of the administration of my estate. . . LAST WILL AND TESTAMENT OF THEODORE S. SHELLEY PAGE 2 OF 7 V. DISPOSITION OF RESIDUARY ESTATE. I direct that all of the rest, residue, and remainder of the property that I own at the time of my death, both real and personal, and of every kind and description, wherever situated, to which I may be legally or equitably entitled at the time of my death (my "residuary estate"), be distributed as follows: A. Disposition to T~ust. I give my entire residuary estate to the trustee under a certain instrument of revocable trust (referred to as the "Trust Agreement") previously entered into between myself, as the grantor, and Hamilton Bank, York, Pennsylvania, as trustee, or any successor trustee, dated even date herewith but prior in time hereto, entitled Revocable Trust, as such trust now exists or is amended from time to time. My residuary estate shall be added to the trust fund already established as an integral part of that fund, to be held, administered, and distributed by the trustee in accordance with all the terms and provisions of the Trust Agreement. The receipt of the trustee under the Trust Agreement shall be a full acquittance and discharge to ny executor for the property so distributed. On distribution to the trustee, the administration of my estate shall cease with respect to the assets passing to the trustee, and the trustee shall not be subject to the control of the court in which my will is probated. B. Disposition if Trust Not in Effect. If for any reason the trust described in Paragraph A of this Article is not in existence at the time of my death, or if for any reason a court of competent jurisdiction shall declare this testamentary transfer to the trustee of that trust to be invalid, then I direct that my residuary estate be held, managed, invested, and reinvested in exactly the same manner described in the Trust Agreement, giving, if the court shall allow, effect to all then existing amendments of the trust, and managed by the same trustee or the successor or successors named and defined in the Trust Agreement. VI. POWERS OF ADMINISTRATION. A. Grant of Powers. In the administration of my estate my executor shall have the powers and authority set forth in this Article. These powers may be exercised by my executor in his or her sole and absolute discretion, without the permission or order of any court. These powers shall be supplementary to the powers conferred by law, including, but not limited to those set forth in Title 20, Chapter 33, of the Pennsylvania Consolidated Statutes. B. retain Retention of Assets. My executor shall have the power to any or all property of my estate, however received or . . LAST WILL AND TESTAMENT OF THEODORE S. SHELLEY PAGE 3 OF 7 acquired, for so long as my executor deems appropriate. C. Transfer of Assets. My executor shall have the power to sell, trans fer, and convey any property, of whatever nature, including real property, and wherever situated, that I may own at the time of my death, or that may come into my estate at or after my death. The sale, transfer, or conveyance may be by public or private sale, at such time, on such terms and conditions, including selling price and credit, .in such manner, and for any reason that my executor deems appropriate, including, but not limited to, the purpose of obtaining net proceeds to be distributed to my residuary beneficiaries. D. Investment. My executor shall have the power to invest and reinvest in preferred and common stocks, bonds, notes, common trust funds (including any managed by any corporate executor), interests in investments, trusts, mutual funds, leases, mortgages on property wherever located, and, generally, in any property and in proportions of property as my executor deems advisable, even though such investments are not of the character or proportions authorized by applicable law for the investment of such funds. E. Power to Borrow. My executor shall have the power to borrow money for any purpose, for any periods of time, and on any terms and conditions as my executor deems advisable (including the power to borrow from any corporate executor), and to pledge, mortgage, or otherwise encumber any property to secure repayment of any loan, as well as the power to renew existing loans either as maker or endorser. F. Power to Hold Property in Nominee Form. My executor shall have the power to hold any property in the name of a nominee or in bearer form. G. Distribution in Cash or in Kind. My executor shall have the power to make distributions in cash or in kind, or partly in each, in divided or undivided interests and the power to determine which assets shall be sold and which shall be distributed in kind, without notice to or consent by any beneficiary. H. Distribution to Minors and Persons Under Disability. My executor shall have the power to make distribution or payments to or for the benefit of any beneficiary who is a minor, an incompetent, or who in the executor's judgment is incapacitated. The distributions or payments shall be made in anyone or more of the following ways: (1) directly to the beneficiary; (2) directly to the creditor in payment of the debts or expenses of the beneficiary; (3) to the guardian of the person or estate of the beneficiary; (4) to any custodial parent of a minor beneficiary; . . LAST WILL AND TESTAMENT OF THEODORE S. SHELLEY PAGE 4 OF 7 (5) to a custodian for the beneficiary under any law related to gifts to minors, including to my executor in that capacity; or (6) to any other person who shall have the care and custody of the person of the beneficiary. There shall be no duty to see to the application of funds so paid, provided due care was exercised in the selection of the person to whom the funds were paid, and the receipt of the person shall be full acquittance of the executor. I. Disposition of Business Interests. My executor shall have the power to continue or to permit the continuation of any business, incorporated or unincorporated, in which I may have any interest at the time of my death for any period of time, or to liquidate the business on any terms, as my executor deems appropriate. This power includes, but is not limited to (1) the power to invest additional sums in any business, even to the extent that my estate may be invested largely or entirely in the business, wi thout liability for any loss resulting from lack of diversification; (2) the power to act as or to select other persons to act as directors, officers, or employees of any business, to be compensated without regard to being an executor under this will; and (3) the power to make any other arrangements as my executor shall deem proper. J. Emplovment of Aqents. My executor shall have the power to employ and pay the compensation of any and all attorneys, agents, custodians, attorneys-in-fact, experts, investment counsel, accountants, bookkeepers, or other agents or providers of services as my executor deems advisable in the administration of my estate. K. Commissions. My executor shall have the power to take reasonable commissions on account at any time during the administration of my estate without the approval of any beneficiary or of the court, but subject to allowance or disallowance on the settlement of the final account of my executor. L. Third Party Reliance. No person or corporation dealing with my executor shall be required to see to the application of any property paid or delivered to my executor, or to inquire into either the authority of my executor to enter into any transaction or the expediency or propriety of any transaction entered into by my executor. M. Protection of Marital Deduction. It is my intention that any property passing under Articles IV and V of this Will to my spouse's interest shall be available for the marital deduction allowed by the Internal Revenue Code estate tax provisions applicable to my estate. Accordingly, I direct that the powers, authorities, and discretions of my executor shall not be exercised or exercisable except in a manner consistent with this intention. . . LAST WILL AND TESTAMENT OF THEODORE S. SHELLEY PAGE 5 OF 7 VII. PAYMENT OF DEATH TAXES. A. Payment of Estate Taxes. I direct that all federal and Pennsylvania estate taxes payable as a result of my death shall be paid from my residuary estate as an expense of the administration of my estate. B. Inheritance Tax. I direct that the Pennsylvania inheritance taxes payable ps a result of my death, not limited to taxes assessed on property passing under this Will, shall be paid from my residuary estate as an expense of the administration of my estate. C. Protection of Mari tal Deduction. Anything in this will to the contrary notwithstanding, I direct that no payment on account of the taxes referred to in Paragraph A and B above, or on account of any of my debts or any expenses of administering my estate, shall be paid, in whole or in part, out of or charged to (1) any share, interest, or property qualifying for the marital deduction for federal estate tax purposes; or (2) the proceeds of any asset received by my executor that would not otherwise be subject to Federal estate tax purposes, or to state death taxes unless payable to or for the benefit of my of my estate, except to the extent that my residuary estate does not include sufficient other property to make such payment or payments. VIII. APPOINTMENT OF EXECUTOR. A. Appointment. I name, constitute, and appoint my spouse, S. Louise Shelley, as executor of my estate. If my spouse shall not survive me, shall refuse or fail to serve as executor for any reason, or shall cease to serve as executor for any reason after having been appointed, Hamilton Bank, York, Pennsylvania, shall act as executor. B. named as furnish a executor. Bond Not Reauired. None of the person Executor or substitute Executor shall bond for the faithful performance of his or institutions be required to or her duties as IX. LIABILITY OF EXECUTOR. A. Liabilitv Limited to Actual Fraud or Willful Misconduct. My executor shall not at any time be liable for mistake of law or of fact, or both law and fact, or errors of judgment, nor for any 1055 coming to any beneficiary under this Will, or to any other persons, except through actual fraud or willful misconduct on the part of the executor. My executor may, from time to time, consult with counsel with respect to the meaning, construction, and . . LAST WILL AND TESTAMENT OF THEODORE S. SHELLEY PAGE 6 OF 7 operation of this Will, particularly with respect to the apportionments, allocations, and disbursements, and may act on the advice of counsel in all matters without incurring liability on account of her actions. X. INTERPRETATION. A. Successors of Fiduciaries. All pronouns referring to an executor or trustee, and t,he terms "executor" and "trustee" shall be construed to mean any person acting as my executor or administrator with will annexed, or trustee as the case may be. B. Number and Gender. If required by the contest of this Will, singular language shall be construed as plural, plural language shall be construed as singular, and the gender of personal pronouns shall be construed as either masculine, feminine, or neuter. C. Headinqs. All headings used in this Will to describe the contents of each article, paragraph, or other division are provided for convenience only and shall not be construed to be part of this Will. D. Governinq Law. This Will shall be construed in conformity with the law of the Commonwealth of Pennsylvania. IN WITNESS WHEREOF, I, the said Testator, have to this my Last Will set my hand and seal this 1st day of February, 1991. ',;/!~~ JiJd~c TjlE DORE S. SHELLEY , Signed, sealed, published and declared by the above-named Testator, as and for his Last Will and Testament, in the presence of us, who, at his request, in his pr e and in the presence of each other, all being present at he ame time, have hereunto subscribed our names as witnesse . ~ t&~ 2-d, . A-~ yj a&Wd'~ . . LAST WILL AND TESTAMENT OF THEODORE S. SHELLEY PAGE 7 OF 7 COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF YORK I, THEODORE S. SHELLEY, the Testator, whose name is signed to the attached or foregoing Last Will and Testament, having been duly qualified according to law, do hereby acknowledge that I signed and executed my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. 1:lrn~02~#~ . EODORE S. SHELL Y Sworn and subscribed to before me, this 1st day of Februa,.E 1991. ~ .",f I. r&- Nolar'.aIs...! ( '/' " ! ; ~ Kelly L BrO'lrin, Nctary Pubflc @U ~~ J );1 Sprlngettsl:u'Y rOwn30'ip, Yort c.oUIlly , I ." My Coml:1l!:S1on Et~IIt! All;. 5, lDfl COMMONWEALTH OF PENNSllll/ll1<AMrIlr"~hj, ........iIlIG" 01 Nobtleo ( SS. COUNTY OF YORK ) We, the undersigned witnesses whose names are signed to the attached or foregoing Last Will and Testament, being duly qualified according to law, do depose and say that we were present and saw the Testator, sign and execute his Last Will and Testament, that the said Testator signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator, signed the Will as witnesses; and that to the st of our knowledge the Testator, was at that time eight e or more years of age, of sound , mind and under no constraint or due inf~~. . ;lL4~ m ; Sworn and subscribed to before me, this 1st day ~~~;:f&~ . I - hoUt\Ji ScBI \ ~e1ly l. Br..." NolBl"j PIlbllc . ge\t>l>ury TOW1IoIIlp, Van eo_Illy ~~~om"'lsslon s:"... "'og. 5, 1"1 ~ ""e:m0er, Pennsylvli'lia ~$;i4c:\atlon of HobrieS . . THEODORE S. SHELLEY REVOCABLE TRUST ACCOUNT I. APPOINTMENT/ESTABLISHMENT OF TRUST. A. Trustee Appointment. . . B. Establishment of Trust. C. Trustee's Duties. 1 1 1 1 II. TRUSTEE'S POWERS. A. Powers. B. Leqal Investments. 1 1 2 III. ADDITIONAL TRUST CONTRIBUTIONS. 2 IV. TRUSTEE COMPENSATION. 2 V. TAX RETURNS. 2 VI. TERMINATION. 2 VII. DISTRIBUTION/FURTHER TRUST UPON GRANTOR'S DEATH. and ............. A. Payment of Unitrust Amount. ... B. Deferral Provision. ....... C. Proration of the Unitrust Amount. D. Distribution to Charity. . E. Additional Contributions. F. Prohibited Transactions. G. Taxable Year. ..... H. Governinq Law. . . . . . . I. Limited Power of Amendment. J. Investment of Trust Assets. 2 2 3 3 3 4 4 4 5 5 5 5 VIII. MISCELLANEOUS. . . . . . . . . A. Grantor Domicile. ....... B. Grantor's Social Security Number. C. Chanqe of Residence. D. Interpretation. E. Headinqs. . . . . . 5 5 5 5 5 5 . . THEODORE S. SHELLEY REVOCABLE TRUST ACCOUNT THIS AGREEMENT executed this 1 st day of February, 1991, between THEODORE S. SHELLEY (hereinafter called "Grantor") and HAMILTON BANK, York, Pennsylvania, (hereinafter called the "Trustee") . WITNESSETH: I. APPOINTMENT/ESTABLISHMENT OF TRUST. A. Trustee Appointment. HAMILTON BANK, York, Pennsylvania, is hereby appointed Trustee for Grantor upon the terms hereinafter specified. B. Establishment of Trust. Grantor hereby delivers to Trustee certain property of Grantor and Trustee hereby acknowledges to have received from Grantor such property (hereinafter called the "trust estate") set forth in a separate receipt executed on behalf of Trustee and given to Grantor this date. C. Trustee's Duties. The Trustee shall hold, manage, invest and reinvest the trust estate, collect the income and pay over the net income to Grantor at periods mutually agreeable to Grantor and Trustee, for and during the term of Grantor's natural life. If the Grantor becomes mentally or physically incapacitated, during the period of the Trust; the Trustee is authorized and empowered in its sole and absolute discretion to use and expend income and/or principal in and about said Grantor's maintenance and support, in the manner to which he or she has been accustomed, directly without the appointment of a guardian. Trustee shall periodically furnish income and principal statements to the Grantor not less frequently than quarterly. II. TRUSTEE'S POWERS. A. Powers. Trustee shall have the following powers with respect to the trust estate: 1. to hold investments in the name of a nominee; 2. to retain, purchase, sell, and exchange securities and investments, including common trust funds. Grantor, may direct Trustee in writing to use a specific broker, including an affiliated broker of the Trustee; 3. to enter into, consent to, or oppose corporate 1 . . mergers, dissolution, reorganizations or other adjustments to capital structure; 4. conversion or 5. instruments; to retain, exercise, sell, or waive rights of subscription or stock dividends; to execute proxies, consents, waivers, and similar 6. to do all other acts in its judgment necessary or desirable for the proper and advantageous management, investment, and distribution of the trust estate. B. Leqal Investments. In exercising its powers hereunder, Trustee shall not be limited to the definition of legal investments for fiduciaries as defined in the Pennsylvania statutory law. Trustee may in its discretion hold monies uninvested and may acquire, hold, and maintain assets which are unproductive of income. III. ADDITIONAL TRUST CONTRIBUTIONS. investment may be deposited from time to Grantor, by lifetime transfer or by Will, Trustee under the terms of the Agreement. Additional cash and time wi th Trustee by to be administered by IV. TRUSTEE COMPENSATION. Trustee shall be entitled to receive compensation Ior its services hereunder, which compensation shall be charged against or payable from both principal and income received on an annual basis at such rates as may be provided in its published fee schedule in effect at the time said services are performed. V. TAX RETURNS. Trustee shall be responsible for preparing and filing any required fiduciary tax returns and will provide Grantor with a tax information letter. VI. TERMINATION. This Agreement prior to Grantor's death, shall terminate upon the receipt of written notice from the Grantor to the Trustee with all assets and undistributed income net of all fees, expenses of administration, and taxes, if any owed by the Trust being paid to the Grantor as soon as practical in accordance with Trustee's standard administrative practices and procedures. Following Grantor's death this Trust shall become irrevocable except to the extent provided in Article VII paragraph I. VII. DISTRIBUTION/FURTHER TRUST UPON GRANTOR'S DEATH. Upon the death of the Grantor, if the Trust fund is still in effect, and the Grantor's estate is insufficient to pay his or her funeral expenses, all claims against the estate, the expenses of administering the estate and all death taxes chargeable to his or her estate, or to the Trust Funds hereby created, the Trustee shall pay to said Grantor's legal representative out of the funds in this Trust such sum or sums as such legal representative shall certify 2 . . to be required to make good such deficiency. After the payment of such aforementioned items, if there be additional property held by the trustee, then it is Grantor's desire to establish a charitable remainder unitrust within the meaning of section 4 of Rev. Proc. 90-31 and section 664(d)(2) and (3) of the Internal Revenue Code (hereinafter referred to as "the Code"), such Trust to be known as the Theodore S. Shelley Charitable Remainder Trust. A. pavment of Unitrust Amount. In each taxable year of the Trust, the Corporate Trustee shall pay to my spouse, S. Louise Shelley (hereinafter referred to as "the Recipient") during the Recipient's life a unitrust amount equal to the lesser of: (a) the Trust income for the taxab~e year, as defined in section 643(b) of the Code and the regulations thereunder and (b) five (5%) percent of the net fair market value of the assets of the Trust valued as of the first day of each taxable year of the Trust (the "valuation date"). The unitrust amount for any year shall also include any amount of the trust income for such year that is in excess of the amount required to be distributed under (b) (above) to the extent that the aggregate of the amounts paid in prior years was less than the aggregate of the amounts computed as five (5%) percent of the net fair market value of the Trust assets on the valuation dates. The unitrust amount shall be paid in quarterly installments. Any income of the Trust for a taxable year in excess of the unitrust amount shall be added to principal. If for any year the net fair market value of the Trust assets is incorrectly determined for federal tax purposes, the Corporate Trustee shall pay to the Recipient (in the case of an undervaluation) or receive from the Recipient (in the case of an overvaluation) an amount equal to the difference between the unitrust amount properly payable and the unitrust amount actually paid. B. Deferral Provision. The obligation to pay the unitrust amount shall commence with the date of my death, but payment of the unitrust amount may be deferred from such date until the end of the taxable year of the Trust in which occurs the complete funding of the Trust. Within a reasonable time after the end of the taxable year in which the complete funding of the Trust occurs, the Trustee must pay to the Recipient (in the case of an underpayment) or receive from the Recipient (in the case of an overpayment) the difference between: (1) any unitrust amounts actually paid, plus interest compounded annually, computed for any period at the rate of interest that the federal income tax regulations under section 664 of the Code prescribe for the Trust for such computation for such period; and (2) the unitrust amounts payable, plus interest compounded annually, computed for any period at the rate of interest that the federal income tax regulations under section 664 prescribe for the Trust for such computation for such period. C. Proration of the Unitrust Amount. In determining the unitrust amount, the Corporate Trustee shall prorate the same on a 3 . . daily basis for a short taxable year and for the taxable year ending with the Recipient's death. D. Distribution to Charity. Upon the death of the Recipient, the Corporate Trustee shall administer all of the then principal and income of the Trust (other than any amount due the Recipient or the Recipient's estate under the provisions above) as follows: 1. The trustee shall continue to hold the entire fund for the purpose of administering a scholarship fund to be named the "Buck and S. Louise Shelley Scholarship Fund", with scholarships to be awarded to graduates of Northeastern Senior High School for the purpose of attending an ,!-ccredited four (4) year undergraduate college. The trustee shall adopt such procedure for administration of the scholarship as shall be necessary to obtain such approval as is then necessary from the Internal Revenue Service to qualify such scholarship and scholarship procedures as an organization as described in Sections nO(c), 2055(a), and 2522(a) of the Code, such qualification to be as of the death of Grantor. In the event that the Trustee is unable to so qualify the scholarship and scholarship procedures, so that a charitable deduction for Grantor's estate is not available, then, 2. The trustee shall distribute the entire remaining balance of principal and income of the Trust to Newberry Township,_ York County, Eennsylvania to be used for the Buck and Katie Shelley Recreation Center (hereinafter referred to as "the Charitable Organization"). If the Charitable Organization is not an organization described in sections 170(c), 2055(a), and 2522(a) of the Code at the time when any principal or income of the Trust is to be distributed to it, then the Corporate Trustee shall distribute such principal or income to such one or more organizations described in section 170(c), 2055(a) and 2522(a) as the Corporate Trustee shall select in its sole discretion. E. Additional Contributions. No additional contributions shall be made to the Trust after the initial contribution due to the Grantor's death, however, the initial contribution shall be deemed to consist of all property in this trust account as of the date of Grantor's death, which property shall continue to be held for the charitable remainder unitrust purposes set forth herein. F. Prohibited Transactions. The Trustee shall make distributions at such time and in such manner as not to subject the Trust to tax under section 4942 of the Code. Except for the payment of the unitrust amount to the Recipient, the Corporate Trustee shall not engage in any act of self-dealing, as defined in section 4941 (d), and shall not make any investments that jeopardize the charitable purpose of the Trust, within the meaning of section 4944 and the regulations thereunder, or retain any excess business holdings, within the meaning of section 4943(c). 4 . . G. Taxable Year. The taxable year of the Trust shall be the calendar year. H. Governinq Law. The operation of the Trust shall be governed by the laws of the state of Pennsylvania. The Corporate Trustee, however, is prohibited from exercising any power or discretion granted under said laws that would be inconsistent with the qualification of the Trust under section 664(d)(2) and (3) of the Code and the corresponding regulations. I. Limited Power of Amendment. The Trustee shall have the power, acting alone, to amend the Trust in any manner required for the sole purpose of ensuri~g that the Trust qualifies and continues to qualify as a charitable remainder unitrust within the meaning of the section 664(d)(2) and (3) of the Code. J. Investment of Trust Assets. Nothing in this Trust instrument shall be construed to restrict the Corporate Trustee from investing the Trust assets in a manner that could result in the annual realization of a reasonable amount of income or gain from the sale or disposition of Trust assets. VIII. MISCELLANEOUS. A. follows: Grantor Domicile. The domicile of the Grantor is as 3395 Grandview Avenue, York Haven, Pennsylvania 17370. B. Grantor's Social Securitv Number. Security number is: 175-10-0229. The Grantors' Social C. Chanqe of Residence. The Grantor agrees to notify Trustee of any change of residence. D. Interpretation. This interpreted according to the Pennsylvania. Agreement shall be construed and laws of the Commonwealth of E. Headinqs. All headings used in this Trust to describe the contents of each article, paragraph, or other division are provided for convenience only and shall not be construed to be part of this Trust, except as the same are consistent with the provisions of Internal Revenue Service Revenue Procedure 90 - 31. 5 . . WHEREOF, the parties hereto have executed this , V1c~ I:"T'":'~'i"I>=?d'" ~,"J~ c:-.':'-,:" ...~II~l" O'=<::lC-" - I r,_.....,-'_.c I t-,. -;0' '-- _ , I. .!..,...'-. ',.. t:.~ ~~~ HEO~ORE S. SHELL Y . ) HAMILTON BANK BY'/!)&;471u~1- 6 . Charitable Remainder Unitrust Report for Estate of Theodore Shelley Inputs Calculation Type: Transfer Date: 97520 Rate: FMV of Trust: Percentage Payout: Payment Period: Months Valuation Precedes Payout: Ages: Summary . Life 3/2001 6.20% $514,130.13 5.000% 4 3 86 0.963238 4.816% Payout Sequence Factor: Adjusted Payout Rate: Interpolation: Factor at 4.8%: Factor at 5.0%: Difference: (4.816% - 4.8%) / 0.2% = X / 0.00775; Therefore X: One Life Remainder Factor = Factor at 4.8% Less X: Present Value of Remainder Interest: Donor's Deduction: Donor's Deduction as Percentage of Amount Transferred: 0.77472 0.76697 0.00775 0.00062 0.77410 $397,988.13 $397,988.13 77.410% 11/19/2001 Form 706 Uni States Estate (and Generation- ping (Rev. July 1999) Transfer) Tax Return OMS No. 1545-0015 Estate of a citizen or resident of the United States (see separate Instructions). Departmentofthe Treasury To be flied for decedents dying after December 31, 1998 Internal Revenue Service For Panerwork Reduction Act Notice see-Dace 1 of the sen-arate Instructions. 1a Decadent's first name and middle initial (and maiden name, if any) I 1b Decedent's last name 2 Decedent's SSN No. Theodore S. Shelley 175-10-0229 3a Legi.ll rasldence(domiCIIIl)i.lttimeof death (county, state,and 3b Year domicile j 4 Dateofbirth 5 Dateof death ZIP code, or foreign country) established Cumberland, PA 17055 2000 12/15/1913 3/2/01 6a Nameof Ilxecutor(seepage4 of the instructions) 6b Executor'saddress(numberandstreetlncluoingapartmentorsU1teno. " rural route; City, town, orpostoffice;state;and ZIP code) First Union - Wachovia, Trustee 6c Executor'ssoclalsecuntynumber(see page4ofthelnstructions) See Schedule attached 7a Name and location of court where will was probated or estate administered I?b Case number Will not orobated. Unassianed 8 If decedent died testate, check here ~ I I and attach a certified copy of the will. 19 If Form 4768isattached,check here ~ I I 10 If Schedule R-llsattached, check here. ~ I I 1 Total gross estate less exclusion (from Part 5.. Recapitulation, page 3, item 12) 1 1,054,190.36 2 Total allowable deductions (from Part 5, Recapitulation, page 3, item 23). 2 1,049,190.36 3 Taxable estate (subtract line 2 from line 1) 3 5,000.00 4 Adjusted taxable gifts (total taxable gifts (within the meaning of section 2503) made by the decedent after Dec. 31, 1976, other than gifts that are includible in decedent's gross estate (section 2001 (b))) . 4 0.00 5 Add lines 3 and 4 . . ....... ............................ 5 5,000.00 6 Tentative tax on the amount on line 5 from Table A on page 12 of the instructions. ..... 6 900.00 7a If tine 5 exceeds $10,000,000, enter lesser of line 5 or $17,184,000. If I 7a I line 5 is $10,000,000 or less, skip lines 7a & 7b & enter -0- on line 7c b Subtract $10,000,000 from line 7a. .............. 7b I CEnter 5% (.05) of line 7b . .......... ........ 7c 0.00 8 Total tentative tax (add lines 6 and 7c) . 8 900.00 9 Total gift tax payable with respect to gifts made by the decedent after December 31, 1976. Include gift I taxes by the decedent's spouse for such spouse's share of split gifts (section 2513) only if the decedent was the donor of these gifts and they are includible in the decedent's gross estate (see instructions) 9 0.00 10 Gross estate tax (subtract line 9 from line 8) . 10 900.00 11 Maximum unified credit (applicable credit amount) against estate tax. 11 220,550.00 12 Adjustment to unified credit (applicable credit amount). (This adjust- ment may not exceed $6,000. See page 4 of the instructions.) . . 12 0.00 13 Allowable unified credit (applicable credit amount) (subtract line 12 from line 11). ............ 13 220,550.00 14 Subtract line 13 from line 10 (but do not enter less than zero) 14 0.00 15 Credit for state death taxes. Do not enter more than line 14. Figure the credit by using the amount on line 3 less $60,000. See Table B in the instructions and attach credit evidence (see instructions). 15 0.00 16 Subtract line 15 from line 14 . 16 0.00 17 Credit for Fed. gift taxes on pre-1977 gifts (sec. 2012)(attach computation) 17 0.00 i 18 Credit for foreign death taxes (from Schedule(s) Pl. (Attach Form(s) 7OS-CE.). 18 0.00 i 19 Credit for tax on prior transfers (from Schedule Q) . 19 0.00 .................... 20 Total (add lines 17, 18, and 19). 20 0.00 21 Net estate tax (subtract line 20 from line 16) . ............................................ 21 0.00 22 Generation-skipping transfer taxes (from Schedule R, Part 2, line 10) .... 22 0.00 23 Total transfer taxes (add lines 21 and 22) . ............... '124'1' 23 0.00 24 Prior payments. Explain in an attached statement. . 0.00 i 25 United States Treasury bonds redeemed in payment of estate tax .... I 25 0.00 26 Total (add lines 24 and 25) . 26 0.00 27 Balance due (or overpayment) (subtract line 26 from line 23) . 27 0.00 . . Under penalties of perJury, I d!,lcli.lre thil,t I have exammed thiS return, Includmg accomoanYlng schedules and statements, and to the best 01 my knowledge and belief, it IS true, correct, il,nd complete. Declaration of preparer other than the executor IS based on all information of which preparer has any knowledge. First Union - Wachovia, Trustee by: ^~ Signature(s) of executor(s) Date /2/! /2-0':;'/ " , - Arthur S. Au, A.V.P. Signature of preparer other than executor Address (and ZIP code) Date CAA 9 7051 NTF 22062A Copyright 1999 Greatland/Nelco L? - Forms Software Only . . Estate of: Theodore S. Shelley 175-10-0229 First Union - Wachovia, Trustee c/o Arthur S. Au, A.V.P. PAl308, P.O. Box 7558 Philadelphia, PA 19101-7558 Form 706 (Rev. 7-99) . . Estate of: Thecx:lore S. Shelley Part 3 -- Elections by the Executor 175-10-0229 Please check the "Yes" or "No" box for each question. (See Instructions beginning on page 5.) Yes I No ! 1 Do you elect alternate valuation? . 1 X 2 Do you elect special use valuation? . X If 'Yes," you must complete and attach Schedule A-1. 2 <( >( 3 Do you elect to pay the taxes in installments as described in section 6166? X If "Yes," you must attach the additional information described on page 8 of the instructions. 3 ( 4 Do you elect to postpone the part of the taxes attributable to a reversionary or remainder interest as described in section 6163?, ..... 4 X Part 4 -- General Information (Note: 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 for the executor: Name of representative (pnnt or type) State Address (number, street, and room or suite no., city, state, and ZIP code) I declare that I am the attorneyl ~~~~.tn~~~fl enrolled agent (you must check applicable box) for the executor & prepared this return for the executor. I am not under suspension or disbarment from practice before the IRS and am qualified to practice in the state shown above. Signature CAF number Date Telephone number 1 Death certificate number and issuing authority (attach a copy of the death certificate to this return). No. 1396398 issued the local r istrar 2 Decedent's busn. or occupation. If retired, check here" X and state decedent's former business or occupation. Owned business 3 Marital status of the decedent at time of death: [K] Married D Widow or widower -- Name, SSN, and date of death of deceased spouse .. Single Legally separated Divorced -- Date divorce decree became final .. 4a Surviving spouse's name S. Louise Shelle 5 4b Social security number 183-12-2724 4c Amount received (see page 9 of the instructions) 650,255.23 Individuals (other than surviving spouse), trusts, or other estates who receive benefits from the estate (do not include charitable beneficiaries shown in Schedule 0) (see inst.). For Privacy Act Notice (applicable to individual beneficiaries only), see the Instructions for Form 1040. Name of individual, trust, or estate receiving $5,000 or more Identifying number Relationship to decedent Amount (see inst.) NIMCRUT fb:> S. Louise Shelley 25-6771249 Trust-see Sch. M & C 0.00 All unascertainable beneficiaries and those who receive less than $5,000. ~ 0.00 Total. 0.00 Please check the "Yes" or "No" box for each question. Ves No 6 Does the gross estate contain any section 2044 property (qualified terminable interest property (QTIP) from a prior gift or estate) (see page 9 of the instructIons)? .... X (continued on next page) CAA 9 7052 NTF 22063A Copynghl 1999 Greatland/NelCo LP - Farms Software Only Page 2 Form 706 (Rev. 7-99) . . Part 4. -- General Information (continued) Please check the "Yes" or "No" box for each question. Yes I No 7a Have Federal gift tax returns ever been filed? IX If "Yes," please attach copies of the returns, if available, and furnish the following information: >> 7b Period(s) covered 17C Internal Revenue office(s) where filed I.........U... \\ \U i~< If you answer "Ves" to any of questions 8-16, you must attach addltlonallntormatlon as described In the Instructions. I> 8a Was there any insurance on the decedent's life that is not included on the return as part of the gross estate? . b Did the decedent own any insurance on the life of another that is not included in the gross estate? . X 9 Did the decedent at 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 is included on the return as part of the gross estate? If 'Yes," you must complete and attach Schedule E . . X 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 corporation? . ...... X 11 Did the decedent make any transfer described in sedion 2035, 2036, 2037, or 2038 (see the instructions for Schedule G beginning on page 11 of the separate instructions)? If "Yes," you must complete and attach Schedule G, . X 12 Were there in existence at the time of the decedent's death: U;, ..........U........ a Any trusts created by the decedent during his or her lifetime? . X b Any trusts not created by the decedent under which the decedent possessed any power, beneficial interest, or trusteeship? X 13 Did the ::!ecedent ever possess, exercise, or release any general power of appointment? If '"Yes," you must complete and attach Schedule H . X 14 Was the marital deduction computed under transitional rule of Public Law 97-34, sec, 403(e)(3) (Economic Recovery Tax Act of 1981)? X If 'Yes," attach a separate computation of the marital deduction, enter the amount on item 20 of the Recapitulation, and note ..................... ..................... on item 20 "computation attached." 15 Was the decedent, immediately before death, receiving an annuity described in the "General" paragraph of the instructions for Schedule I? If "Yes," you must complete and attach Schedule I . X 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 reported on this return? If 'Yes," attach an explanation. X Part 5. -- Recapitulation Item no. Gross estate Alternate value Value at date of death 1 Schedule A -- Real Estate. 1 0.00 2 Schedule B -- Stocks and Bonds ........... 2 0.00 3 Schedule C -- Mortgages, Notes, and Cash. 3 0.00 4 Schedule D -- Insurance on the Decedent's Life (attach Form(s) 712). . 4 0.00 5 Schedule E -- Jointly Owned Property (anach Form(s) 712 for life insurance). 5 534,113.23 6 Schedule F -- Other Miscellaneous Property (attach Form(s) 712 for life ins.) . 6 100.00 7 Schedule G -- Transfers During Decedent's Life (an. Form(s) 712 for life ins.). 7 519,977 .13 8 Schedule H -- Powers of Appointment 8 0.00 9 Schedule I -- AnnUIties. ... 9 0.00 10 Total gross estate (add items 1 through 9) . 10 1,054,190.36 11 Schedule U -- Qualified Conservation Easement Exclusion. . 11 I 0.00 12 Total gross estate less exclusion (subtract item 11 from item 10). Enter here and on line 1 of Part 2 -- Tax Computation. 12 1,054,190.36 item Deductions no. Amount 13 Schedule J -- Funeral Expenses and Expenses Incurred In Administering Property Subject to Claims. 13 947.00 14 Schedule K -- Debts of the Decedent. 14 0.00 15 Schedule K -- Mortgages and Liens 15 0.00 16 Total of items 13 through 15. 16 947.00 17 Allowable amount of deductions from item 16 (see the instructions for item 17 of the Recapitulation) 17 947.00 18 Schedule L -- Net Losses During Administration. 18 0.00 19 Schedule L -- Expenses Incurred in Administering Property Not Subject to Claims. 19 0.00 20 Schedule M -- Bequests, etc., to Surviving Spouse. 20 650,255.23 21 Schedule 0 -- Charitable, Public, and Similar Gifts and Bequests. 21 397,988.13 22 Schedule T -- Qualified Family-Owned Business Interest Deduction. 22 0.00 23 Total allowable deductions (add items 17 through 22). Enter here and on line 2 of the Tax Computation 23 1,049,190.36 Page 3 CAA 9 7063 NTF 22008 Copyright 1999 GreatlandlNelco LP - Forms Software Only Form 706 (Rev. 7-99) . Estate of: Thecdore S. Shelley SCHEDULE E Jointly Owned Property (11 you elect section 2032A valuation, you must complete Schedule E and Schedule A-1.) PART 1. -- Quali1ied Joint Interests -- Interests Held by the Decedent and His or Her Spouse as the Only Joint Tenants (Section 2040(b)(2)) . 175-10-0229 Item Description Alternate Alternate value Value at no. For securities, give CUSIP number. valuation date date of death See Schedule attached . Total from continuation schedules (or additional sheets) attached to this schedule. 1,068,226.47 1a Totals ... I ,. 1,068,226.47 1b Amounts included in gross estate (one-half of line la) ....... I 1b 534,113.23 PART 2. - All Other Joint Interests 2a State the name and address 01 each surviving co-tenant. 11 there are more than three surviving co-tenants, list the additional co-tenants on an attached sheet. Name Address (number and street, city, state, and ZIP code) A. B. C. Item Enter Description (including alternate valuation date i1 any) Percentage includible Includible value at letter for no. co-tenant For securities, give CUSIP number. includible alternate value date 01 death None Total from continuation schedules (or additional sheets) attached to this schedule. 0.00 2b Total other joint interests. 0.00 3 Total Includible joint Interests (add Jines 1 band 2b). Also enter on Part 5, Recapitulation, page 3, at item 5 . .................... ........ 534,113.23 (11 mo~e space IS needed, attach the continuatIon schedule from the end of this package or additional sheets 01 the same size.) (See the instructions on page 18.) Schedule E - Page 17 CAA 9 70SEl NTF 22135 Copyrrght 1999 Greatland/Nelco LP- Forms Software Only . Estate of: Thecdore S. Shelley . SatEDULE E, Part 1 -- Qualified Joint Interests Item No. Cescription 1 9,500 pM U.S. Series HH l::onds issued 4/1995. 2 7,000 pM U.S. Series HH l::onds issued 6/1995. 3 9,500 pM U.S. Series HH l::onds issued 9/1995. 4 78,000 pM U.S. Series HH l::onds issued 12/1995. 5 Drovers Bank Checking Account No. 401153 - Balance on 3/2/2001 $7,745.39 Int. accrued thereto 4.45 6 Farmers First Bank Checking Account No. 200004695 - Balance on 3/2/2001 $1,309.96 Int. accrued thereto 0 . 72 7 Farmers First Bank CD Account NO. 4400019730 - Balance on 3/2/2001 $100,000.00 Int. accrued thereto 206.44 8 WaypoiIlt Bank Checking Account No. 20076240 - Balance on 3/2/2001 $245,411.78 Int. accrued thereto 0.00 9 Waypoint Bank Checking Account No. 90645169 - Balance on 3/2/2001 $2,115.37 Int. accrued thereto 0 . 06 10 Waypoint Bank CD Account No. 8000054110 - Balance on 3/2/2001 $100,000.00 Int. accrued thereto 18.49 Unit val. CUSIP 1.00 1.00 1.00 1.00 Alternate Val. Date TOTAL. (Carry forward to main schedule) . . . . . . Alternate Value Page 2 175-10-0229 Value at Date of Ceath 9,500.00 7,000.00 9,500.00 78,000.00 7,749.84 1,310.68 100,206.44 245,411.78 2,115.43 100,018.49 560,812.66 . Estate of: Thecx:iore S. Shelley . SrnEDULE E, Part 1 -- Qualified Joint Interests Item No. Description 11 Mortgage Note dated 8/2/2000 with Tcx:ld M. Ahrens and Cynthia A. Ahrens - Principal balance on 3/2/2001 Interest accrued thereto Orig. Face Value Interest rate 10 yr. term thru 8/2/2010 Copy of Note supplied. $350,000.00 $14,589.l.!3 $350,000.00 7.1429% 12 2000 Ford Crown Victoria automobile, 1,800 miles. 13 SunArnerica Financial Annuity Contract No. A634051798D - Benefits continue for S. Louise Shelley's life. Balance on 3/2/2001. Unit val. CUSIP Alternate Val. Date TOI'AL. (Carry forward to l11ain schedule) . . . . . . Alternate Value Page 3 175-10-0229 Value at Date of Death 364,589.13 13,220.00 129,604.68 . 507,413.81 Form 706 (Rev. 7-99) . . Estate of: Thecclore S. Shelley 175-10-0229 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-1.) 1 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 Yes No artistic or collectible value combined at date of death exceeded $10,000? . X If 'Yes," submit full details on this schedule and attach appraisals. 2 Has the decedent's estate, spouse, or any other person, received (or will receive) any bonus or award as a result of the decedent's employment or death? X If 'Yes," submit full details on this schedule. 3 Did the decedent at the lime 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 depositor. Item no. Description For securities, give CUSIP number. Alternate valuation date If any of the contents of the safe deposit box are omitted from the schedules in this return, explain fully why omitted. Alternate value Value at date of death 1 Personal jewelry - Value estirrated by S. Louise Shelley. 100.00 Total from continuation schedules (or additional sheets) attached to this schedule. 0.00 TOTAL (Also enter on Part 5, Recapitulation, page 3, at item 6.) . 100.00 (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 on Page 20.) CAA 9 70SFl NTF",36 Schedule F -- Page 19 Copyright 1999 Greatland/Nelco LP - Forms Software Only Form 706 (Rev. 7-99) . . Estate of: 'ffieodore S. Shelley SCHEDULE G -- Transfers During Decedent's Life (If you elect section 2032A valuation, you must complete Schedule G and Schedule A-1.) 175-10-0229 Item Description Alternate Alternate value Value at no. For securities, give CUSI? number. valuation date date of death A. Gift tax paid by the decedent or the estate for all gifts made by the decedent or his or her spouse within 3 years before the decedent's death (section 2035(b)). ............ X X X X B. Transfers includible under section 2035(a), 2036, 2037, or 2038: See Schedule attached . Total from continuation schedules (or additional sheets) attached to this schedule. 519, 977 . 13 TOTAL (Also enter on Part 5, Recapitulation, page 3, at item 7.) ........ 519,977.13 Item Description Alternate Value at valuation date Alternate value date of death no. None Total from continuation schedules (or additional sheets) attached to this schedule. 0.00 TOTAL (Also enter on Part 5, Recapitulation, page 3, at item 8.) 0.00 SCHEDULE H -- Powers of Appointment (Include "5 and 5 lapsing" powers (section 2041 (b)(2)) held by the decedent.) (If you elect section 2032A valuation, you must complete Schedule H and Schedule A-1.) (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 the separate instructions.) Schedules G and H -- Page 21 CAA 9 70SG1 NTF 22137 Copyrighl1999 Greatland/Nelco LP - Forms Software Only . Estate of: Theodore S. Shelley . SGlEDULE G Transfers During Lecedent' sLife Item No. Lescription First Union - Wachovia, Successor to Hamilton Bank, Trustee Under Revocable Agreement dated 2/1/1991 with the Lecedent, AccOllilt No. 1519139574. Copy of Agreement supplied. 1 41,489.908 =its Evergreen PA Municipal Bond Fund, Class I @ $11.31. Dividend accrued to 3/2/2001. 2 Cash held in First Union PA Trust Money Market Fund. Interest accrued to 3/2/2001. 3 Less: Trustee fee accrued to 3/2/2001. Unit val. CUSIP 11.31 300326402 1.00 Alternate Val. Date TOTAL. (Carry forward to main schedule) . . . . . . Alternate Value Page 2 175-10-0229 Value at Date of Leath 469,250.86 126.32 50,996.22 13.14 (409.41) 519,977 .13 Form 706 (Rev. 7-99) . . Estate of: Theodore S. Shelley 175-10-0229 SCHEDULE I -- Annuities Note: Generally, no exclusion is allowed for the estates of decedents dying after December 31,1984 (see page 15 of the instructions). A Are you excluding from the decedent's gross estate the value of a lump-sum distribution described in section 2039m(2)? . . . . . . . . . . . . If 'Yes," you must attach the information required by the instructions. Item Description no. Show the entire value of the annuity before any exclusions. Yes No X . Alternate valuation date Includible alternate value Includible value at date of death 1 Armuity held jointly with 8p:)use. See Schedule E. Total from continuation schedules (or additional sheets) attached to this schedule. 0.00 TOTAL (Also enter on Part 5, Recapitulation, page 3, at item 9.). 0.00 (If more space is needed, attach the continuation schedule from the end of this package or additional sheets of the same size.) Schedule I -- Page 22 (The instructions to Schedule I are in the separate instructions.) CAA 9 70511 NTF 22138 COPYright 1999 GreatlandfNelco LP - Forms Software Only Form 706 (Rev. 7-99) . . Estate of: Theodore S. Shelley 175-10-0229 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 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 ot the estate for Federal income tax purposes. They are allowable as an income tax deduction on Form 1041 it a waiver is filed to waive the deduction on Form 706 (see the Form 1041 instructions). Item no. Description Expense amou nt Total amount A. Funeral expenses: 1 Crenation Society of Pennsylvania - Professional services. 947.00 Total funeral expenses. .. 947.00 B. Administration expenses: 1 Executors' commissions -- amount estimated/agreed upon/paid. (Strike out the words that do not apply.) . 2 Attorney fees -- amount estimated/agreed upon/paid. (Strike out the words that do not apply.). 3 Accountant fees -- amount estimated/agreed upon/paid. (Strike out the words that do not apply.) 4 Miscellaneous expenses: Expense amou nt None Total miscellaneous expenses from continuation schedules (or additional sheets) attached to this schedule. Total miscellaneous expenses 0.00 .. 0.00 TOTAL (Also enter on Part 5, Recapitulation, page 3, at item 13.) . . .. 947 . 00 (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 on page 24.) Schedule J -- Page 23 CAA 9 70SJ1 NTF 22074A Copyright 1999 Greatland/Nelco LP - Forms Software Only Form 706 (Rev. 7-99) . . Estate of: Theodore S. Shelley 175-10-0229 SCHEDULE M -- Bequests, etc., to Surviving Spouse Election To Deduct Qualified Terminable Interest Property Under Section 2056(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 of the 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 terminable interest property under section 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 10 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 of the trust (or other property) deducted on Schedule M. The denominator is equal to the total value of the trust (or other property). EJection To Deduct Qualified Domestic Trust Property Under Section 2056A. If a trust meets Ihe requirements of a qualified domestic trust under section 2056A(a) and this return is filed no later than 1 year after 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 Schedule 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 qualified domestic trust property. Yes No 1 Did any property pass to the surviving spouse as a result of a qualified disclaimer? . If "Yes," attach a copy of the written disclaimer required by section 2518(b). 2a In what country was the surviving spouse born? U. S .A. b What IS the surviving spouse's date of birth? 01/15/15 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 surviving spouse a citizen? 3 Election Out of QTIP Treatment of Annuities -- Do you elect under section 2056(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 2056(b)(7)(C}? (see instructions). . Item 1 2c 3 x no. Description of property interests passing to surviving spouse Amount 1 Items 1 through 13 on Schedule E - Part 1 534,113.23 2 Life interest in NIMCRUT per calculation supplied. 116,142.00 Total from continuation schedules (or additional sheets) attached to this schedule. 4 Total amount of property interests listed on Schedule M. 4 0.00 650,255.23 Sa 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 items 5a, b, and c. . . . . . . . . . . . . . 6 Net amount of property interests listed on Schedule M (subtract Sd from 4). Also enter on Part 5, Recapitulation, page 3, at item 20 . 6 (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 on page 28.) CAA 9 70SM1 NTF 22077 5a 5b 0.00 0.00 0.00 5c 0.00 5d 650,255.23 Schedule M -- Page 27 Copyright 1999 GreatlandfNelc:o LP- Forms Software Only Form 706 (Rev. 7-99) - t Estate of: Theodore S. Shelley 175-10-0229 SCHEDULE 0 -- Charitable, Public, and Similar Gifts and Bequests Yes No 1a If the transfer was made by wilt, has any action been instituted to have interpreted or to contest the will or any 01 its provisions affecting the charitable deductions claimed in this schedule? . ....... ..... X 11 "Yes," full details must be submitted with this schedule. ............... 1.........<..... b According to the information and belief of the person or persons filing this return, is any such action planned? . X If ''Yes,'' full details must be submitted with this schedule. iii I.................... 2 Did any property pass to chanty as the result of a qualified disclaimer? .......... X tf ''Yes,'' attach a copy of the written disclaimer required by section 2518(b). << i< Item Name and address of benefiqiary Character of institution Amount no. 1 T. S. Shelley NIMCRUT f]:x) S. Louise Shelley Charitable 397,988.13 First Union - Wachovia, Trustee PAl308, P.O. Box 7558 Philadelphia, PA 19101-7558 Total from continuation schedules (or additional sheets) attached to this schedule. . . . . . . . . . . . . . . . . . 0.00 3 Total. . ...... ..... ...... ...... ....... .... ............... 3 397, 988 . 13 4a Federal estate tax payable out of property interests listed above. 4a 0.00 i> ... << b Other death taxes payable out of property interests listed above. . 4b 0.00 << C Federal and state GST taxes payable out of property interests listed above 4c 0.00 < d Add items 4a, b, and c. . . ... 4d 0.00 5 Net value of property interests listed above (subtract 4d from 3). Also enter on Part 5, Recapitulation, page 3, at item 21 5 397,988.13 (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 Schedule 0 are in the separate instructions.) Schedule 0 - Page 31 CAA 9 70$01 NTF 22078A Copyright 1999 GreatlandfNelco LP - Forms Software Only Glenda Farner Strasbaugh Register of Wills and Clerk of Orphans' Court Marjorie A. Wevodau First Deputy Kirk S. Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 INVOICE Bill To: InvoiceNo: Invoice Date: Estate of: Estate No: FRED E KILGORE 2550 KINGSTON ROAD YORK, PA 17402 Qty 39 Fee Total Fee Description Copies 0.50 $19.50 Total: $19.50 ~\ ~ v--tl:-cl ctio3 Checks should be made payable to the Register of Wills. Terms: Net 30. Please return one copy of this invoice with yow: payment. Thank you. 357 5/11 /2005 Theodore Shelley 21-01-1167 CCP C'l t;[) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO lOX 210&01 HARRISIURG PA 17128-0'01 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ARTHUR S AU 1ST UNION WACHOVZA TST PO BOX 7558 PHILA ('I f=:-:'/ (',1r" \.JI-l..n:\ ~J ORr., 'I,' !':' [,':",1 'RT J"'(--,>..J'.; '.) l_)'..j',,~ l! 8l.p/'~ r" NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL I: 07 CLOSING LETTER DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN *' 7nOl ury 18 Pr'i ",' llr\ REV-7J' EX NP (O'-IS) PA 19101 05-21-2007 SHELLEY 03-02-2001 21 01-1167 CUMBERLAND 202 APPEAL DATE: 07-20-2007 (See reverse side under Objections) A.ount Re.ltted I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: THEODORE S REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To 1nsure proper cred1t to your account, subm1t the upper port1on of th1s form w1th your tax payment. CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR FILES +- . iE;;:73'--Ei-1rFP--(Oi:-025-----~-;-NO-ficE--OF-iiETE-iMiN1rfio-i-iN-n-is-SESS-MENT----------------------------- OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER .. ESTATE OF SHELLEY THEODORE S FILE NO.21 01-1167 ACN 202 DATE 05-21-2007 ESTATE TAX DETERMINATION 1. Credit For State Death Taxes as Verified .00 2. PennsYlvania Inheritance Tax Assessed (Excluding Discount and/or Interest) .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 .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 tl, NO PAYMENT IS REQUIRED ~I FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE ---rJ DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) /7 - ;J-1- ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN ,*v BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 REY-485 EX AFP 112-001 .02 D~TE n~STATE OF DATE OF DEATH FILE NUMBER P1C~TY AC1( 02-04-2002 SHELLEY 03-02-2001 21 01-1167 CUMBERLAND 201 THEODORE S ReC(.'-l"~ Rt,' ARTHUR S AU 1ST UNION WACHOVZA PO BOX 7558 PHILA FEB -1 TST ., L;}e-j-;\ Allount Rellitted PA 19101 Cllmb~ 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 ..... RtE-V=48i--EX--AFP--[i2~-OO)-----j(i-NifffcE--OF--jETE-RMiiiATio-N-Aiij-As-sEsSiMENT----------------------------- OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN .. ESTATE OF SHELLEY THEODORE S FILE NO.21 01-1167 ESTATE TAX DETERMINATION ACN 201 DATE 02-04-2002 1. Credit For State Death Taxes as Verified .00 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest) .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 .00 5. 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" (CR). YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) PURPOSE OF NOTICE: PAYMENT: To fulfill the requirements of Section 2140 (b) of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S. Section 9140). Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side. u Make check or money order payable to: REGISTER OF HILLS J AGENT, REFUND (CR): A refund of a tax credit may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register of Wills, any of the 23 Revenue District Offices or from the Department's 24-hour answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and I or speaking needs: 1-800-447-3020 (TT only). OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: PENALTY: INTEREST: Any party in interest not satisfied with the assessment of tax as shown on this notice may object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --electing to have the matter determined at audit of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601, Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. For dates of death on or after 10-3-91, Pennsylvania Estate Tax based on the Federal Estate Tax return becomes delinquent at the expiration of nine (09) months from the date of death. For dates of death prior to 10-3-91, Pennsylvania Estate Tax based on the Federal Estate Tax return becomes delinquent at the expiration of eighteen (18) months from the date of death. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on or after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2002 are: Year Interest Rate Daily Interest Factor Year Interest Rate oa ily Interest Factor 1982 20% .000548 1992 9% .000247 1983 16% .000438 1993-1994 7% .000192 1984 11% .000301 1995-1998 9% .000247 1985 13% .000356 1999 7% .000192 1986 10% .000274 2000 8% .000219 1987 9% .000247 2001 9% .000247 1988-1991 11% .000301 2002 6% .000164 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. 11-~9 -~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX Re:;! R? DATE ESTATE OF DATE OF DEATH FILE NUMBER (\1 C :48 COUNTY ACN 02-04-2002 SHELLEY 03-02-2001 21 01-1167 CUMBERLAND 101 '02 FEB 13 ARTHUR S AU 1ST UNION WACHOVZA TST PO BOX 7558 G8ii PHILA PA 191.e!tnb'c u* REY-1541 EX AFP 112-DDI THEODORE S Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iffY' = iS4-j-Ex-AFP--fi'2:ooY-NoTicE--oF-YNHEifiTAifcrTAirAPPR'A-isEi.fENT:--AL'rowAifcE-ifli-------------- - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SHELLEY THEODORE S FILE NO. 21 01-1167 ACN 101 DATE 02-04-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. 116,142.00 X 00 = .00 .00 X 045 = .00 .00 X 12 = .00 .00 X 15 = .00 (19)= .00 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) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 100.00 .00 519,977.13 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. 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) 5,947.00 .00 (11) ll2) ll3) ll4) NOTE: I~ an assessment was issued previously, lines re~lect ~igures that include the total o~ ALL ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 520,077.13 5.947 00 514,130.13 397,988.13 116,142.00 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 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.) RESERVATION: Estates Df decedents dying Dn Dr befDre December lZ, 198Z -- if any future interest in the estate is transferred in pDssessiDn Dr enjDyment tD Class B (cDllateral) beneficiaries Df the decedent after the expiratiDn Df any estate fDr life Dr fDr years, the CDmmDnwealth hereby expressly reserves the right tD appraise and assess transfer Inheritance Taxes at the lawful Class B (cDllateral) rate Dn any such future interest. PURPOSE OF NOTICE: PAVMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIDNS: DISCOUNT: PENALTV: INTEREST: TD fulfill the requirements Df SectiDn Z140 Df the Inheritance and Estate Tax Act, Act Z3 Df ZOOO. (7Z P.S. SectiDn 9140). Detach the tDP pDrtiDn Df this NDtice and submit with YDur payment tD the Register Df Wills printed Dn the reverse side. --Make check Dr mDney Drder payable tD: REGISTER OF HILLS, AGENT A refund Df a tax credit, which was nDt requested Dn the Tax Return, may be requested by cDmpleting an "ApplicatiDn fDr Refund Df Pennsylvania Inheritance and Estate Tax" (REV-1313). ApplicatiDns are available at the Office Df the Register Df Wills, any Df the Z3 Revenue District Offices, Dr by calling the special Z4-hDur answering service fDr fDrms Drdering: 1-800-36Z-Z050; services fDr taxpayers with special hearing and I Dr speaking needs: 1-800-447-30Z0 (TT Dnly). Any party in interest nDt satisfied with the appraisement, allDwance, Dr disallDwance Df deductiDns, Dr assessment Df tax (including discDunt Dr interest) as shDwn Dn this NDtice must Dbject within sixty (60) days Df receipt Df this NDtice by: --written prDtest tD the PA Department Df Revenue, BDard Df Appeals, Dept. Z810Z1, Harrisburg, PA 171Z8-10Z1, OR --electiDn tD have the matter determined at audit Df the accDunt Df the persDnal representative, OR --appeal tD the Orphans' CDurt. Factual errDrs discDvered Dn this assessment shDuld be addressed in writing tD: PA Department Df Revenue, Bureau Df Individual Taxes, ATTN: PDSt Assessment Review Unit, Dept. Z80601, Harrisburg, PA 171Z8-0601 PhDne (717) 787-6505. See page 5 Df the bDDklet "InstructiDns fDr Inheritance Tax Return fDr a Resident Decedent" (REV-1501) fDr an explanatiDn Df administratively cDrrectable errDrs. If any tax due is paid within three (3) calendar mDnths after the decedent's death, a five percent (5%) discDunt Df the tax paid is allDwed. The 15% tax amnesty nDn-participatiDn penalty is cDmputed Dn the tDtal Df the tax and interest assessed, and nDt paid befDre January 18, 1996, the first day after the end Df the tax amnesty periDd. This nDn-participatiDn penalty is appealable in the same manner and in the the same time periDd as YDU wDuld appeal the tax and interest that has been assessed as indicated Dn this nDtice. Interest is charged beginning with first day Df delinquency, Dr nine (9) mDnths and Dne (1) day frDm the date Df death, tD the date Df payment. Taxes which became delinquent befDre January 1, 198Z bear interest at the rate Df six (6%) percent per annum calculated at a daily rate Df .000164. All taxes which became delinquent Dn and after January 1, 198Z will bear interest at a rate which will vary frDm calendar year tD calendar year with that rate annDunced by the PA Department Df Revenue. The applicable interest rates fDr 198Z thrDugh ZOOZ are: Vear Interest Rate Daily Interest FactDr Vear Interest Rate Daily Interest FactDr 198Z ZO% .000548 199Z 9% .000Z47 1983 16% .000438 1993-1994 7Z .00019Z 1984 11% .000301 1995-1998 9% .000Z47 1985 13% .000356 1999 7Z .00019Z 1986 10% .000Z74 ZOOO 8% .000Z19 1987 9% .000Z47 ZOO 1 9% .000Z47 1988-1991 11% .000301 ZOOZ 6% .000164 --Interest is calculated as fDllDws: INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any NDtice issued after the tax becDmes delinquent will reflect an interest calculatiDn tD fifteen (15) days beYDnd the date Df the assessment. If payment is made after the interest cDmputatiDn date shDwn Dn the NDtice, additiDnal interest must be calculated. (f~ NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL I. ' CLOSING LETTER DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN * COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 2B0601 HARRISBURG PA 1712B-0601 REY-736 EX AFP (06-05) ARTHUR S AU 1ST UNION WACHOVZA TST PO BOX 7558 PHILA PA 19101 05-21-2007 SHELLEY 03-02-2001 21 01-1167 CUMBERLAND 202 APPEAL DATE: 07-20-2007 (See reverse side under Objections) Amount Remitted I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: THEODORE S REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. ~~-~-~~~-~~_!_~!~--~!~~----------~---~~!_~!~--~~~~-~-~~-~!!~-~-~~-~_!~-~~_!_~~~~----~------~----------------- REV-736 EX AFP (01-02) ~~ NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER ~~ ESTATE OF SHELLEY THEODORE S FILE NO.21 01-1167 ACN 202 DATE 05-21-2007 ESTATE TAX DETERMINATION 1. Credit For State Death Taxes as Verified .00 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest) .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 .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" (CR), YOU MAY BE ~ DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) PURPOSE OF NOTICE: PAYMENT: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S. Section 9140). Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side. Make check or money order paYable to: REG I STER OF WI LLS, AGENT. Failure to pay the tax, interest, and penalty due may result in the filing of a lien of record in the appropriate county, or the issuance of an Orphan's Court citation. REFUND (CR): A refund of a tax credit may be requested by completing an "Application for Refund of Pennsylvania Inheritance and and Estate Tax" (REV-1313). Applications are available online at www.revenue.state.pa.us. any Register of Wills or Revenue District Office, or from the Department's 24-hour answering service for forms orders: 1-800-362-2050; services for taxpayers with special hearing and/or speaking needs: 1-800-447-3020 (TT only). 08JECTIONS: Any party in interest not satisfied with the appraisement, allowance or disallowance of deductions or assessment of tax (including discount or interest) as shown on this Notice may object within 60 days of the date of receipt of this notice by filing one of the following: A) Protest to the PA Department of Revenue, Board of Appeals. You may object by filing a protest online at www.boardofappeals.state.pa.us on or before the expiration of the sixty-day appeal period. In order for an electronic protest to be valid, you must receive a confirmation number and processed date from the Board of Appeals website. You may also send a written protest to: PA Department of Revenue, Board of Appeals, P.O. Box 281021, Harrisburg, PA 1712B-I021. Petitions may not be faxed. B) Election to have the matter determined at the audit of the account of the personal representative. C) Appeal to the Orphans' Court. ADMIN- ISTRATIVE CORRECTIONS: PENAL TY: INTEREST: (1 -, Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, P.O. Box 280601, Harrisburg, PA 1712B-0601. Phone (717) 7B7-6505. See page 4 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Additional Pennsylvania Estate Tax assessed as a result of a change on the Federal Estate Tax closing letter becomes delinquent at the expiration of one (1) month from the date the final notice of the increase in Federal Estate Tax is received. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on or after January 1, 19B2 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 19B2 through 1999 can be found in the Pennsylvania Resident Instruction Booklet, (REV-1501), the Pennsylvania Non-resident Instruction Booklet{REV-1736) or on the Pennsylvania Dept. of Revenue web site www.revenue.state.pa.us. The applicable rates for years 2000 through 2007 are: Interest Da ily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 2000 8% .000219 2001 9% .000247 2002 6% .000164 2003 5% .000137 2004 4% .000110 2005 5% .000137 2006 7% .000192 2007 8% .000219 -- Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated.