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HomeMy WebLinkAbout06-22-05 REV-1500 EX (6-00) OFFlClAL USE ONLY . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ~L COUN1Y CODE -.9L 0433 ___ YEAR NUMBER I- Z LU C LU U LU C DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) Newcomb Kath n DATE OF DEATH (MM-DD-YEAR) DA1E OF BIRTH (MM-DD-YEAR) 2/19/2005 3/25/1912 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) T SOCIAL SECURJTY NUMBER 156-38-3117 THISRETURH MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOC~LSECURnYNUMBER Decedent Died Testate (Attach copy of 'N1U) litigation Proceeds Received o 2. Supplemental Return D '3. Remainder Return (elate of eleath priorto '2-13-82) o 4a. Future Interest Compromise (dale of death efter 12-12-82) D 5. Federal Estate Tax Return Required [i] 7. Decedent Maintained a Living Trust (Attach copy of Trust) L 8, Total Number of Safe Deposit Boxes o 10. Spousal Poverty Credlt \1I"t~ n\ lIealh belwun 12.31-91 "'" 1-1-95) D 11. Elect\on to tax under Sec. 9113(A) (Att$ch SchO) w ... x:::!;t/) (J"'''' w"(J ::c:~o Ua..ca .. .. 00, D. 006 D9. limited Estate Original Return ... z w o z o .. '" W 0: 0: o (J THIS SECTION MUST BE COMPLETEO, ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPlEiE MA1UNG ADDRESS oner, CPA 5006 E Trindle Road & Daub Mechanicsburg, PA 17050 717-506-1222 1. Real Estate (Schedule A) (1) (2) OFF\C\Il,lUSE ONl"f 2, Stocks and Bonds (Schedule B) c, 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) .. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) Z 6. Jointly OlNlled Property (Schedule F) 16) 0 D Separate Billing Requested i= ~ 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) :J (Schedule G or L) l- n: 8. Total Gross Assets (total Lines 1-7) ..; U LU 9. Funeral Expenses &. Administrative Costs (SchedUle H) (9) c:: 10. Debts of Decedent, Mortgage Liabilities, & Liens \Sct\~I:l\lle I) (10) 11. Total Deductions (lotal Lines 9 &. 10) 674,530 (13) 16,545 657,985 o (11) 12. Net Value of Estate (Line B minus line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) (12) 14. Net Value Subject to Tax (Line 12 minus Line 13) (1') 657,985 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a){1.2) z o >= .. ... => .. ::0 o (J >< .. ... 17. Amount of Line 14 taxable at sibling rate o 647,986 o 10,000 x .0 ~(15) x .0 ~(16) x .12 117) x .15 (18) (19) o 29,159 o 16. Amount o'f line 14 taxable allinea! rate 19. Tax Due 1,500 30,659 18. Amount ofllne 14 taxable at collateraJ rate 20 o CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < 3W464510QO . . /ft1) [UkL'1 .PrG~ .1ID~. t~1lG i}.tct ~ . Co \J.\ \05 Decedent's Complete Address: S1REET ADDRESS ~~5 Mefsiah Circle Cumberland CITY Mechanicsburcr ISTA1E PA I ZIP 17055- Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CreditslPayments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) 30.659 o 27.000 1.421 Total Credits (A + 6 + C) (2) 28.421 3. Interest/Penalty if applicable D. Interest E. Penalty o o TotallnteresVPenalty (D + E) (3) o 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 (4) o 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 2.238 A. Enter the interest on the tax due. (SA) o 6. Enter the total of line 5 + SA. This is the BALANCE DUE. (56) Make Check Payable to: REGISTEROFWILLS,AGENT ~;:~.~.:,.L.+c "//~" 2.238 PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 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? . . . . . . . . . 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . .. (XJ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? D 4. Did decedent awn an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designatjon? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D []a IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties 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, corract and complete Declaration of preparer other than the personal representative is based on atiO() of which prep has any knowledge Yes [KJ [KJ [KJ D D D D ~ o ~ No IGNATURE Of PERSON RESPONSIBLE FOR FILING R Peter E Newcomb ADDRESS 8707 182nd Street E SIGNATURE OF PREPARER 01HER 1HAN REPRESENTA Ti.moth C Wa oner, CPA ADDRESS Paya1lup, WA 98375-6240 DA '/. ot' Mechanicsburg PA 17050 '';JJII,liY':'~'~':w1TLtG;: '2'f$JJIIi;d<iJ'" 'r00iL\ :~t:'~;j" For dates 01 death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S, ~ 9916 (a) (1.1) (i)]. For dates of death 01'1 or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~ 91 16 (a) (1,1) (ii)] The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after Jufy 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 OTfor the use of a natural p~ren\, an adoptive parent, or a stepparent ofthe chiid is 0% [72 P,S. ~ 9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedellt's lir'oea\ beneficiaries \s 4.5%, except as noted in 72 P,S. S 9116{1.2) 172 P.S. ~9' 16(a)(1 )]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% (72 P.S. 99116(a)(1.3)] A sibling is defined, under Section 9102, as an individual who has at least olle parent in common with the decedent, whether by blood or adoption, 3W46461QOO . LAST WILL . AND TESTAMENT I, Kathryn T. Newcomb, now of the Borough of Lemoyne, Cumberland County, Pennsylvania, being of sound mind, make this will, hereby revoking all my former wills and codicils. PAYMENT OF DEBTS AND FTJNF:8AL CLA1JSF. FIRST: I direct the payment of my just debts and funeral expenses, the expenses of my last illness and the expenses of administering my estate be paid out of my estate. In addition, during my lifetime, I have made arrangements for my body to be cremated upon my death, and the remains to be inserted in the Fairview Cemetery, in Westfield, New Jersey, with the remains of my late beloved husband, M. Edgerton Newcomb, Jr.; and I confirm my desire for such arrangements to be followed. EXECUTOR AND SUCCESSOR SECOND: I appoint my son Peter E. Newcomb as executor of this will. If Peter E. Newcomb is unable or unwilling to act or continue as executor, for any reason whatsoever and whether before or after my death, I appoint my daughter, Mary N. Parker as successor executrix. 1 t(,T, A). initials , , ) DISTRIBUTION OF REAL PROPERTY AND RF,SIDlJAL REAL AND PERSONAT, PROPERTY AND POUR OVF.R '1'0 REVOCABLE INTF.RVIVOS TRUST THIRD: Any residual real or personal property deemed not to have been transferred to my Revocable Intervivos Trust shall nevertheless pour over from this my Last Will and Testament into the Trust for disposition under the Newcomb dated the Revocable Intervivos Trust of Kathryn T. t-d a3 - day of November, 1994, as amended provisions of the at any time prior to my death, or, if said Trust is no longer in effect, to hold In Trust or be distributed on the terms and conditions specified in said Trust Agreement or its schedules or attachments on the date of this Will or of the last Codicil hereto, with like effect as if they were set forth herein verbatim. DISTRIBUTION OF' PERSONAL OR REAr, PROPERTY TO MINORS FOURTH: Any such property to which a minor would otherwise become entitled but which the executor thinks unsuitable for such minor shall be held in safekeeping by the guardian or shall be sold and the proceeds thereof shall be distributed to the guardian of the estate of such minor hereinafter named, without bond, and the receipt of such guardian shall be a complete release of the executor. Any such property to which a minor thus becomes entitled may be delivered to the guardian named herein, without bond, and the receipt of such person shall be a complete release of the executor. 2 r(, 0~initials ) In case of disagreement among my children, the executor is authorized to make the division having due regard for the personal preferences of my heirs, but making such division in as nearly equal shares as the executor deems practical. I direct that the expense of packing, shipping, insuring and delivering any such property to a beneficiary entitled thereto shall be paid by the executor as an administrative expense of my estate. In addition, to the extent practical in the executor's sole discretion, I bequeath any policy of insurance on such property to the beneficiary to whom such property is bequeathed. C:;UARDTANSHIP CLAUS? FIFTH: If any beneficiary of my estate is under the age of 18 years at the time at which distribution of any property devised and bequeathed by this will would otherwise be made to such beneficiary, the executor shall distribute all such property to the guardian of the estate of such beneficiary hereinafter named, or to the natural guardian of said beneficiary, at the sole discretion of hereinafter my named guardian of the estates of any minor beneficiaries. The guardian shall hold, manage, invest and reinvest the property, shall collect the income thereof, and shall apply so much of the net income and, if the net income is insufficient, so much of the principal of the property held for such beneficiary as the guardian shall deem necessary or 3 K:i. N. initials advisable for such beneficiary's health, maintenance, support and education. The guardian shall accumulate any surplus net income annually and add the same to the principal of the property held for such beneficiary. No interest in income or principal shall be assignable by a beneficiary or available to anyone having a claim against a beneficiary before actual payment to the beneficiary. When such beneficiary attains the age of 18 years, the guardian shall distribute to such beneficiary all property held by the guardian for such beneficiary. If such beneficiary dies before attaining the age of 18 years, the guardian shall distribute to the personal representative of such beneficiary's estate all property held by the guardian for such beneficiary. POWERS CI,AlTSE SIXTH: No fiduciary under this will shall be required to give bond or other security for the faithful performance of the fiduciary's duties. Any such fiduciary shall have the following powers, in addition to those given by law: To invest in, accept and retain any real or personal property, including stock of a corporate fiduciary or its holding company, without restriction to legal investments; To sell, exchange, partition or lease for any period of time any real or personal property and to give options therefore for cash or credit, with or without security; 4 K(1)'(. initials ) To borrow money from any person including any fiduciary acting hereunder, and to mortgage or pledge any real or personal property; To hold shares of stock or other securities in nominee registration form, including that of a clearing corporation or depository, or in book entry form or unregistered or in such other form as will pass by delivery; To engage in litigation and compromise, arbitrate or abandon claims; To make distributions in cash, or in kind at current values, or partly in each, allocating specific assets to particular distributees on a non-pro rata basis, and for such purposes to make reasonable determinations of current values; To make elections, decisions, concessions and settlements in connection with all income, estate, inheritance, gift or other tax returns and the payment of such taxes, without obligation to adjust the distributive share of income or principal of any person affected thereby; To payoff any loans I may have taken against any life insurance policies owned by me that remain unpaid at the time of my death; and To retain uninvested cash, in such amounts and for such period of time as the fiduciary shall deem advisable for the proper administration of the property. PROVISION FOR TAXF.S SEVENTH: All estate taxes, inheritance taxes, transfer taxes and other taxes of similar nature payable by reason of my death to any government or subdivision thereof upon or with respect to any property subject to any such tax, and 5 1(./,)1/ initials any penalties thereon, shall be paid by the executor out of the principal of that portion of my estate disposed of by any ARTICLE of this will, and all interest with respect to any such taxes shall be paid by the executor out of the income or principal or partly out of the income and partly out of the principal of such portion of my estate, in the absolute discretion of the executor, without reimbursement from or apportionment among the beneficiaries, recipients or owners of such property for any such taxes, penalties or interest; provided, however, that the executor shall not pay any such taxes, penalties or interest attributable to any property included in my estate solely because of a power of appointment thereover which I possess but have not exercised or any transfer subject to generation-skipping transfer tax. INTERCHANGEABILITY OF LANG1JAGF: AND HEADINGS EIGHTH: Any term used in the singular or plural, or in the masculine, feminine or neuter form, shall be singular or plural, or masculine,. feminine or neuter as a proper reading of this will may require. The words child or children shall include stepchild or stepchildren. The headings used in the various paragraphs of this will are included for convenience only and shall have no legal significance. GOVERNING LAW NINTH: Questions pertaining to the validity, construction and powers created under this will shall be 6 .y:r; JI. ini tials determined in accordance with the Laws of the Commonwealth of Pennsylvania. PRF,F,MPTION TENTH: The terms of my Revocable Intervivos Trust shall supersede, take precedent over, preempt and prevail over the provisions of this my Last will and Testament. IN WITNESS WHEREOF I have hereunto set my hand and seal -' this my will comprised of seven pages this ;} j - day of ~ , 1994. Ka~~w~4U~EAL) Signed, sealed, published and declared by the above- named Kathryn T. Newcomb, as and for her last will, in the presence of us and each of us, who, at her request and in her presence and in the presence of each other, have hereunto subscribed our names as witnesses thereto the day and year last above written. ;1hffA'Lr. pl'rJl,!kifJ ",,,;; X IIfih M, ~IIJlI1Ior/ f7()S5 7 k',{: II. initials COMBINED ACKNOWLEDGMENT AND AFFIDAVIT Commonwealth of Pennsylvania County of Cumberland ss: -r We, ~ts; T. Newcomb, the t statrix in, IGrf'2.<:::;O ,J. sa and . 0 witnesses to the last will, in the attac ed or for instrument, who have signed the instrument, havin qualified according to law do depose and say: , the oing been duly (a) that I, the testatrix, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it willingly and as my free and voluntary act for the purposes therein expressed; and (b) that we, the witnesses, were present and saw the testatrix sign and execute the instrument as her last will, that she signed it willingly and executed it as her free and voluntary act. for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will as a witness and that to the best of our knowledge the testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Notarial Seal ThomaS M. Devin. NotaIy PubfKJ Camp Hm Boro, CUmbel\ard Count'{ My Conm'1isSon Expires Sepl22, 1997 . ~oI NoIaIieS J(ndJ-~--r; h~r J~~ .1~4/ Witness ~/ AJJ(<Yfl- 71J. ]r/?/J/d Witness ( ~ /0 I?o~ Signature of officer or attorney (Seal and official capacity of officer or state of admission of attorney) 8 k,r:(I. initials } I :\WPWln\WILLS\NewcombK.Coolcll. Wpd Se~tember 3. 2002 ~CQ)[?)\1 FIRST CODICIL OF KATHRYN T. NEWCOMB I, KATHRYN T. NEWCOMB, ofLemoyne, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this my \ First Codicil to my Last Will and Testament dated November 23,1994. 1. Any and all references to the name MARY N. PARKER shall be changed to MARY N. PINES to reflect my daughter's name change. 2. Paragraph SECOND of my Last Will and Testament is hereby revoked and the following is substituted in its place: SECOND: F,XF,CUTOR AND SUCCESSOR. I appoint my daughter, MARY N. PTh~S, executor of this Will. If my daughter, MARY N. PINES, is unable or unwilling to act or continue as executor, for any reason whatsoever and whether before or after my death, I appoint my son, PETER E. NEWCOMB, as successor executor. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my First Codicil -y--d J. to my Last Will and Testament, consisting of one page, this 0 - day of , ~~~2002. ~Q~/-r( heu~ HRYN NEWCOMB, Testatrix Signed, sealed, published and declared by the above-named Testatrix, KATHRYN T. NEWCOMB, as and for the First Codicil to her Last Will and Testament, in the sight and presence of us, who, at her request, in her sight and presence and in the sight and presence of each other, have hereunto subscribed our namesaswim~. ~ ~~. ~4~ Address 2"3-,?1 /:h~J)b Wimess ~~/~ ~./7o/( ~. CZ.N~ Wimess 17 Address '"?? 7'Y ~h7a-..> r. ~~~ /,,4 /"7/// ) I :\WPWin\WI LLS\NeweombK. COOlell. wpd Se~tember 3, 2002 COMMONWEALTH OF PENNSYLVANIA ) : SS. COUN1Y OF CUMBERLAND ) I, KATHRYN T. NEWCOMB, THE TESTATRIX, WHOSE NAME IS SIGNED TO THE FOREGOING INSTRUMENT, HAVING BEEN DULY QUALIFIED ACCORDING TO LAW, DO HEREBY ACKNOWLEDGE THAT I SIGNED AND EXECUTED THE INSTRUMENT AS THE FIRST CODICIL TO MY LAST WILL AND TEST A.l\ilENT; THAT I SIGNED IT WILLINGLY; AND THAT I SIGNED IT AS MY FREE MID VOLUNTARY ACT FOR THE PURPOSES THEREIN EXPRESSED. SWORN OR AFFlRL\ilED TO AND ACKNOWLEDGED BEFORE 1<IE BY KATHRYN T. ]'iEWCOMB, THE TESTATRIX THIS 3'-'-" DAY OF ~b<--. ,2002. NOT AFlIAL SEAL CASSANDRA T. ROSENBAUM, Notary Camp Hill Boro, Cumberland County My Commission Expires December 4, ~ COMMONWEALTH OF PENNSYL V MlA COUNTY OF CUMBERLAND ) : SS. ) WE, s.:....~ /.{. (fVt~ AND r!-y/J-Ih,.... J: INe.irne, , THE WITNESSES WHOSE NAMES ARE SIGNED TO THE FOREGOING INSTRUMENT, BEING DULY QUALIFIED ACCORDING TO LAW, DEPOSE AND SAY THAT WE WERE PRESENT AND SAW THE AFORESAID TESTATRIX SIGN .<\ND EXECUTE THE INSTRUMENT AS THE FIRST CODICIL TO HER LAST WILL AND TESTAMENT; THAT SHE SIGNED WILLINGLY AND THAT SHE EXECUTED IT AS HER FREE AND VOLUNTARY ACT FOR THE PURPOSES THEREIN EXPRESSED; THAT EACH OF US IN THE HEARING AND SIGHT OF THE TESTATRIX SIGNED THE CODICIL AS WITNESSES; AND THAT TO THE BEST OF OUR KNOWLEDGE THE TESTATRIX WAS AT THE TIME EIGHTEEN (18) OR MORE YEARS OF AGE, OF SOUND MIND AND UNDER NO CONSTRAINT OR UNDUE INFLUENCE. SWORN OR AFFIRMED TO AND SUBSCRIBED TO BEFORE ME, THIS S~ DAY OF J;/,f"~' J_ ,2002. - NOTARIAL SEAL itn CASSANDRA T, ROSENBAUM, Notary PubIlc Camp Hill Boro, Cumberland Coullly My Commlsslon Expires December 4, 2004 itness ~~^ Notary Public { - " ) REVOCABLE INTERVIVOS TRUST OF KATHRYN T. NEWCOMB This trust agreement is made in duplicate this d 3 ~ day of h/l1~ ,1994, between Kathryn T. Newcomb, hereinafter called "settlor," and herself, hereinafter called "trustee,' and is to be called the "LIVING TRUST." FUNDING OF TRUST FIRST: Settlor hereby transfers to trustee the proceeds of any life insurance unless otherwise designated together with the assets listed in Schedule "A"; said schedule may be modified, amended or changed at any time by Settlor with the last dated, notarized document executed by Settlor to govern contents of the corpus of the Living Trust. Trustee shall hold any other property which may be added to this trust upon the terms herein set forth. The Living Trust shall be further funded by the pour over provisions of settlor's Will. LIFETIME TRUST SECOND: During the life of settlor, trustee shall pay and distribute to settlor any corpus, principal, interest, or income from the trust estate as settlor may direct in writing lodged with the trust records. Checks drawn on accounts in the name of this trust and signed by settlor as trustee shall constitute such writing. Any gifts to individuals and recognized charities, (IRS SOl (c) (3) organizations), directed by settlor to be made from this trust shall be considered a withdrawal by settlor and shall be deemed to have been made directly by settlor. ., } If at any time settlor shall become incapacitated by reason of age or mental or physical disability, the successor trustees, in their absolute discretion, may apply the income and principal hereunder to or for the benefit of settlor for her health, maintenance and support. AFTER DEATH OF SETTLOR THIRD: After my death, my trustee shall distribute the corpus, principal, interest and income of the Living Trust in accordance with Schedule "B" herein attached as if fully incorporated herein to govern the distribution of the trust. Schedule "B" may be modified, amended or changed at any time by settlor with the last dated, notarized document executed by settlor to govern the distribution of the trust. BENEFICIARY TRUSTS FOURTH: Any property passing under provisions of "After Death of Settlor" or under another provision specifically making applicable these trust provisions to a bequest or devise to a beneficiary or to another beneficiary, who, at the time of my death, is under the age of thirty (30) (the "Beneficiary"), shall be held IN TRUST, nevertheless, by my Trustee, hereinafter named, for the benefit of such Beneficiary, upon the terms and for the purposes and uses, as follows: A. My Trustee shall hold and invest the principal of the Trust corpus, collect the income therefrom, and expend and apply so much of the net income (any income not so expended or applied ) to be accumulated and added to principal), and so much of the principal and accumulated income, as my Trustee shall deem necessary or advisable, in the sole and absolute discretion of my Trustee, for the support, maintenance, and education (including college education, both graduate and undergraduate) of the Beneficiary, after taking into consideration other readily available assets and sources of income. During illness or emergency, my Trustee may either pay a distribution to the Beneficiary, or may make a distribution for the benefit of the Beneficiary. B. At the time the Beneficiary attains the age of thirty (30), the Trust pertaining to the Beneficiary shall terminate, and my Trustee shall distribute the then-remaining principal and accumulated or undistributed income to the Beneficiary. c. If .the Beneficiary should die during the existence of this Trust, it shall be divided and then continued for the benefit of any then-living issues of the Beneficiary, per stirpes, with such beneficiaries being substituted for the Beneficiary for all purposes including distribution at certain ages as set forth above. D. If the Beneficiary should die before attaining the age of thirty (30) without leaving issues surviving as aforesaid, then that Trust shall terminate, and its assets shall be divided pursuant to the "Residuary Clause" hereof; provided, however, that if a Trust established hereunder for any such beneficiaries exists at the time of such distribution, then such distribution shall be made to that Trust for such beneficiary. PROTECTION OF BENEFICIARIES (SPENDTHRIFT PROVISION) FIFTH: No income or principal shall be assignable by a beneficiary or available to anyone having a claim against a beneficiary before actual payment to the beneficiary. POWERS OF TRUSTEE SIXTH: Trustee and her successors shall have the following powers in addition to those given by law to be exercised by her in her absolute discretion, which powers shall be applicable to all property held by her, including property held for minors or incapacitated persons effective without the order of any court, and until actual distribution of all such property. A. To retain any investments at discretion; B. To invest and reinvest at discretion without restriction to so-called "legal investments", with the specific right to invest in common and preferred stocks and in such common trust, diversified, money market and mutual funds as they deem appropriate; c. To sell, to grant options for the sale of, or otherwise convert any real or personal property or interest therein, at public or private sale, for such prices, at such times, in such manner and upon such terms as they may think proper, and to execute and deliver good and sufficient conveyances, assignments and transfers thereof without liability of any purchaser to see to the application of the purchase money; D. To borrow money and to secure its repayment by mortgage of real or personal property, pledge of investments or otherwise, without liability on the part of the lenders to see to the application thereof; E. To compromise claims by or against settlor's estate or any trust created hereunder; F. To make distributions in cash or in kind, or partly in each; G. To register investments in the name of a nominee or to hold the same unregistered in such form that they will pass by delivery; H. To join in any recapitalization, merger, reorganization or voting trust plan affecting investments; to deposit securities under agreement; to subscribe for stock and bond privileges; and generally to exercise all rights of security holders; I. To manage, operate, repair, alter or improve real estate or other property, and to lease real estate and other property upon such terms and for such period as trustee deems advisable even for more than five (5) years and beyond the duration of any trust; J. To receive from settlor or from any other source any real or personal property as additions to this trust by deed, will or in any other manner; K. To associate with them in the absence of a corporate fiduciary, an attorney, an accountant, custodian, investment advisor and other agents and to compensate them from principal or ) income or both, as trustees shall determine, such compensation to be a reduction of the compensation of trustees, if any; L. To associate with them at any time, in their absolute discretion and of their choice, a corporate fiduciary which shall have the same powers as trustee, such designation by trustee and acceptance by a corporate fiduciary to be in writing; M. To delegate to a corporate fiduciary the exercise of any powers, with the same effect as if the trustee delegating such power had joined in the exercise of such power, and to revoke any such power, provided, however, that the revocation of any such delegation shall be in writing delivered to and accepted by the corporate fiduciary; and N. To do all other acts and things necessary and appropriate in the management, administration and distribution of this trust.. PAYMENT OF TAXES ON SETTLOR'S ESTATE SEVENTH: Trustee shall pay any estate, inheritance and other death taxes, together with interest and penalties which shall be payable by reason of settlor's death upon the property comprising her gross estate for tax purposes including but not limited to any taxes to be paid by settlor's executor under her Will. For such purposes, trustee may advance to the executor of settlor such amount as may be required by the executor of settlor for the payment of such taxes. Trustee shall payor advance the same out of the principal of the Living Trust. ) A. Generation Skipping Tax: The primary purpose of this article is to use my federal generation skipping tax exemption (now $1 million) more effectively if my property ultimately could be subject to that tax. I direct that: 1. Division of Trusts: Any trust or addition which otherwise would be partially exempt for federal generation skipping tax may be divided fractionally to form separate trusts so that my federal generation skipping tax exemption may be allocated exactly to one or more trusts. The trusts which have been divided shall have the same terms unless otherwise specified in this article but maybe administered differently. Any trust or addition may be held as a separate trust if it is not possible to separate it into exempt and non-exempt trusts. B. Power of Appointment to Reduce Tax: The limited powers of appointment which are exercisable by a will hereunder shall be expanded as follows if certain taxes can be reduced: 1. If federal generation skipping tax would be imposed on any trust of mine upon the death of a beneficiary and at a rate higher than the marginal federal estate tax rate which would be imposed on his or her estate (assuming the trust were includable in the beneficiary's taxable federal estate), then the beneficiary - specifically referring to this power of appointment - may also appoint the trust to his or her estate to the extent the aggregate of the two taxes just mentioned can be reduced; and 2. Any increase in death taxes in the beneficiary's estate caused by the inclusion of the trust in it for tax purposes shall be paid out of the unappointed principal of the trust, and a written statement by his or her personal representative may be accepted as being correct. C. Tax Options: My trustee may use administrative or other expenses of the trusts hereunder as income tax deductions or may direct my executor to use them as estate tax deductions, and may compromise taxes on future interests. These decisions may be made without requiring adjustments between principal and income. LOANS AND ADVANCES TO EXECUTORS OF SETTLOR'S ESTATE EIGHTH: Trustee is further authorized in her absolute discretion, to make such loans, advances or expenditures out of the principal of the residuary trust as trustee may consider desirable in order to facilitate the settlement of the settlor's estate. In exercising such authority, trustee may pay in whole or in part the expenses of settlor's last illness and burial, debts, income taxes, estate or inheritance taxes, legacies, commissions, counsel fees and other administration expenses, owing by settlor or by reason of her death, which payments may be made directly by trustee or to the executor of settlor, and neither said executor nor any beneficiary shall be required to reimburse the trustee for any funds so loaned, advanced or expended. RIGHT TO REVOKE OR AMEND TRUST RESERVED NINTH: Settlor reserves the right to revoke or amend this trust agreement in whole or in part at any time and from time to time by written instrument delivered to the trust records during the lifetime of settlor. The duties, powers and liabilities of trustee shall not be changed without her written consent. APPOINTMENT OF SUBSTITUTED TRUSTEE TENTH: Following the resignation, incapacity or death of settlor, Peter E. Newcomb and Carol W. Newcomb and Mary N. Parker, by signifying their acceptance in writing delivered to the trust records, shall become cotrustees hereunder. If Peter E. Newcomb, Carol W. Newcomb or Mary N. Parker are unable or unwilling to act or to continue to act, then Peter E. Newcomb, Jr. and Leslie W. Newcomb, by signifying their acceptance in writing delivered to the trust records, shall become cotrustees hereunder in their place. On the concurrence of the accepting trustee, a corporate trustee may be appointed. Trustees shall serve without bond. DEFINITION OF INCAPACITY ELEVENTH: In determining whether settlor has become incapacitated and the successor trustee is authorized to exercise his/her or their authority as set forth herein, the successor trustee shall obtain certificates signed by two licensed physicians, stating that settlor is physically or mentally incapable of handling her own financial affairs and shall lodge such certificate with the trust records. I waive any physician-patient privilege in my favor, and I authorize physicians to examine me and disclose my physical or mental condition in order to determine my incapacity or capacity for purposes of establishing alternate trustees. COMPENSATION OF FIDUCIARIES TWELFTH: Settlor while acting as trustee shall serve without compensation. Any alternate trustee of settlor who serves as a trustee hereunder may accept compensation, but limited to the fees customarily received by executors for the administration of an estate for the marshalling for distribution of real or personal property. However, no trustee fee shall be paid for the mere distribution of liquid funds such as checking, savings, brokerage accounts, or similar stocks, bonds or other similar investments. Any corporate trustee serving hereunder shall be compensated as such in accordance with its standard charges for such trust services in effect from time to time during which such services are performed. PENNSYLVANIA LAW GOVERNS THIRTEENTH: Questions pertaining to the validity, construction and administration of the trusts created under this instrument shall be determined in accordance with the laws of the Commonwealth of Pennsylvania. INTERCHANGEABILITY OF LANGUAGE FOURTEENTH: Words used in the singular may be read to include the plural or the plural may be read as the singular. Similarly, the masculine form may be read to include the feminine and neuter; the feminine may be read to include the masculine and neuter; and the neuter may be read to include the masculine and feminine. PREEMPTION FIFTEENTH: This Living Trust shall supersede, replace or take precedent over the Last Will and Testament of Settlor. HEADINGS SIXTEENTH: The headings used on the various paragraphs of this trust are included for convenience only and shall have no legal significance. The settlor/trustee has signed this trust the day and year first above written. Signed, sealed and delivered in the presence of: Lu!f'le~5eJ2 : ~m JJA14 L:T 1(~ j; hPJ(R~,}r- (Settlo s Name) (Name of Corporate Trustee) Attest: By: . ,.' Commonwealth of Pennsylvania } } ss. County of Cumberland } On this, the )1yJ day of Jl/!.~ , 1994, before, m~underSig~ffiCer, personally appeared ~ ~~ , known to me, or satisfactorily proven, to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purposes therein contained. I have signed my name and affixed my seal. Notarial Seal TI-omas M. DevIn, Nolaly Public Camp Hm Bora, Cumbertand County My Commisslcn ExpIres Sept. 22, j 997 ,,- 72~11c M Notary Public My commission expires: 9-~d--17 SCHEDULE "A" This Schedule "A" shall govern the contents of the corpus of my Living Trust including but not limited to the following: 1. My real estate located at 808 Riverview Road, Lemoyne, Pennsylvania. 2. All my savings accounts. 3. All my brokerage accounts or other stocks, bonds, mutual funds, or treasury bills or other such securities if any. 4. My motor vehicles. 5. All my personal property. 6. Any and all other property or assets held in the name of Kathryn T. Newcomb. 1I1d.3 / q'<j DATE I .~~0~ KA BRYNa. NEWCOMB Commonwealth of Pennsylvania } } ss. } County of Cumberland On this, the ~ day of ~~ , 1994, before, m~1 the unde signed fficer, personally appeared ~ ~ , known to me, or satisfactorily proven, to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purposes therein contained. I have signed my name and affixed my seal. NoIariaI Seal Thomas M. DevIn, Notary Public Camp lf~ 80m, Cumberland County My Commission Expires Sept 22, 1997 Member, PennsylvamaAssodation of Notaries ~h~ Notary Public My commission expires: 1- ?-d- ~(7 i- Schedule "B" ~"' .~-, f----'-" -, f (....;..--.). /' (~'-...... \ r-) \ '.. \__/',; \ ". ,_ t, } 1 '~~<.J \'/' ~] '::.::::::.~,) u u This Schedule "B" shall govern the distribution of the corpus of the Living Trust of the undersigned Kathryn T. Newcomb as follows: A. A one-half share thereofto my son, Peter E. Newcomb, now ofPuyallup, Washington, if he survives me by thirty (30) days. If he does not survive me, then such share shall be distributed to his wife, Carol W. Newcomb, ifshe so survives me. Ifneither of them so survives me, then such share shall be distributed in equal shares to their children, Peter E. Newcomb, Jr. and Leslie W. Newcomb, provided if either of my grandchildren shall predecease me leaving issue who survive me, then I leave the share of that deceased grandchild to his or her issue, who survive me, per stirpes. B. A one-half share thereofto my daughter, Mary N. Pines, now ofLemoyne, Pennsylvania, if she survives me by thirty (30) days. If MaryN. Pines does not survive me, then such share shall be distributed to Peter E. Newcomb provided that ifhe is not then living, then I leave his share to his wife Carol W. Newcomb, if she so survives me. If neither of them so survives me, then such share shall be distributed in equal shares to their children, Peter E. Newcomb, Jr. and Leslie W. Newcomb, provided if either of my grandchildren shall predecease me leaving issue who survive me, then I leave the share of that deceased grandchild to his or her issue, who survive me, per stirpes. Such property shall be divided by my said beneficiaries as they shall agree. As to those items upon which they shall not agree, distribution shall be determined by my trustee or co-trustees. C. I give and bequeath the sum ofTen Thousand Dollars ($10,000.00) outright to each of the following named persons: my grandson, Peter E. Newcomb, Jr., my granddaughter, Leslie W. 1 I' Newcomb, and my friend, Debra A. Miller of Gardners, P A. D. My Trustee shall sell my real estate located at 808 Riverview Road, Lemoyne, Pennsylvania at public or private sale. I devise, bequeath, and give the proceeds from the sale of my real estate located at 808 Riverview Road, Lemoyne, Pellllsylvania, to my daughter, Mary N. Pines now ofLemoyne, Pennsylvania, if she survives me by thirty (30) days. If she does not so survive me, then such real property proceeds shall be distributed under the above provisions A alld E, and C to the extent that my other assets are not sufficient to provide for such bequests. / / /.!. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ..L.i..-- -day of ~4/e114-1.' 2003. . Z~ ./ 1\~:g/)~ TI /1).2J/Jc.mfJ;-- KAT RYN NEWCOMB e~A_X~ COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF CUMBERLM'D ) ON THIS 11,/:1- DAY OF ~ J')~ , 2003, BEFORE ME THE UN'DERSIGl\TED OFFICER, PERSONALLY APPE~ KATHRYN T. NEWCOMB, KNOWN TO ME (OR SATISFACTORY PROVEN) TO BE THE PERSON WHOSE NAME IS SUBSCRIBED TO THE FOREGOING INSTRUMENT, AND ACKNOWLEDGED THAT SHE EXECUTED IT FOR THE PURPOSES THEREIN CONTAINED. WITNESS MY HM'D AND OFFICIAL SEAL THE DAY AND YEAR AFORESAID. ARIAL SE CASSANDRA"'. ROS Nctary PUblic Camp Hill 80 . ,limo"rland My Corn . n axplre. Oecember 4,2004 ~L-r:~ NOTARY PUBLIC' t ,,-<:... ..,~ l"H'~ ;';'~~.' '.:_ '~'. .>' . ''''" ~~;-,:-' ._:;.. Ii", , ;:"- NOTARIAL SEAL CASSANDRA T. ROSENeAUM. HoI8ly PublIc Camp l1iU Boro, Cumberland CountY My Camllli.llon E~plrel D.c.mbfr 4, 2004 ~c ~ "" 2 .< -. .: ...."...-...c',:...:: ,-;.. " .,.," ...", ') BILL OF SALE AND NOW, this ;{ 3 ':! day of November, 1994, I Kathryn T. Newcomb fully convey unto the Revocable Intervivos Trust of Kathryn T. Newcomb the following items for $1.00 consideration, said consideration which is herein acknowledged as having been received: 1. All of my tangible personal property; 2. All of my intangible personal property; 3. All of my insurance policies or other securities or accounts where I have not otherwise named beneficiaries; 4; All of my savings accounts; 5. All of my brokerage accounts or other stocks, bonds, mutual funds or treasury bills or such other securities, if any; 6. My motor vehicle or vehicles; and 7. All of the residue of my personal and real property. IN WITNESS THEREOF, and intending to be legally bound, I have hereunder set my hand and seal by acknowledgment of this transaction. ;:~ KATHRY T. NEWCOMB (SEAL) , I ACKNOWLEDGMENT .AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA 5S: COUNTY OF CUMBERLAND On this, the ~ day of November, 1994, before me, the undersigned officer, personally appeared Kathryn T. Newcomb, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. WITNESS my hand and seal the day and year aforesaid. ~;t,,~ otary Public (NOTARY SEAL) DATED: 1!?-Y9Lf NolariaI Seal Thomes M. Devlin, I~ pubrlC Camp Hili Boro Cumberland Count! My Commiss\On 'E>pires Sept 22, 1997 Mamba<, iirsylvanlaAssotialion of Commonwealth of Pennsylvania ss: County of Cumberland AFFIDAVIT OF WITNESS REVOCABLE INTERVIVOS TRUST Before me, the undersigned notary public, personally appeared Rebecca M. Bloom, formerly Rebecca M. Zehring, whose address is 124 Diller Road, New Cumberland, PA 17070 and Teresa J. Sasa whose address is 818 Kent Drive, Mechanicsburg, PA 17055 to me known who being duly sworn according to law, doth depose and say that they witnessed the declarant Kathryn T. Newcomb on November 23, 1994, knowingly and voluntarily sign the Revocable Intervivos Trust document by signature in their presence. Both witnesses being 18 years of age or older. Witness signatures 1~t!1, ~ Rebecca M. Boom ~ i~Ll-t--~ ~AI1. / Teresa J. asa e SU~ and sworn to before - . (!J:- , 1997. ~h,~ Tnomas M. Devlin, Notary Public me thi~~ day of Nota.rial Seal Thomas M. DeVlin, Notary Public Camp Hill Bora, Cumberiand County My Commission Expires Sept 24, 2001 Member, Pennsylvania Association 01 Nolar",s RRSIGN A TION The undersigned settlor and trustee, KATHRYN T. NEWCOMB, in accordance with paragraph TENTH entitled Appointment of Substituted Trustee as set forth in that certain Amendment to Revocable Inter Vivos Trust of Kathryn T. Newcomb dated October~L., 2003, which amended paragraph TENTH of the Revocable Inter Vivos Trust ofKatbryn T. Newcomb date November 23, 1994, hereby resigns as Trustee. In Witness Whereof, and intending to be legally bound hereby, the undersigned executes this Resignation the '7 ~ay of October, 2003, the effective date ofthis Resignation. Witness: /~~ /' Settlor: (@J~TJ~ Kathryn! . Newcomb CeJMMONWEAL TH OF PENNSYLVANIA ) : SS: COUNTY OF CUMBERLAND ) On this ''/i:i> day of October, 2003, before me the undersigned officer, persona1Jy appeared KATHRYN T. NEWCOMB, known tome (or satisfactory proven) to be the person whose name is subscribed to the foregoing Resignation, and acknowledged that he executed it for the purposes therein contained. WITNESS my hand and official seal the day and year aforesaid. ~~~ NOTARY PUBLIC L /~~;,-'~,~ r7-':::;-'i'~"'" , '... I i. i !!c:::-:/ . , '.-:'7 ~~,::~:.j U AMENDMENT TO REVOCABLE INTER VIVOS TRUST OF KATHRYN T. NEWCOMB I, KATHRYN T. NEWCOMB, the Settlor under a certain revocable Living Trust dated November 23, 19~4, hereby desires to amend Article Tenth, Appointment of Substituted Trustee, of said Living Trust by deleting the present language and the language set forth in an Amendment dated September 19, 2000 which Amendment I revoke in its entirety, and to substitute the following: TENTH: Following the resignation, incapacity or death of settlor, Peter E. Newcomb and Carol W. Newcomb and Mary N. Pines, by signifying their acceptance in writing delivered to the trust records, shall become cotrustees hereunder, with the power to serve jointly, as to all three or two of them, or individually. Except to the extent that Peter E. Newcomb, Carol W. Newcomb and Mary N. Pines are all unable or unwilling to act or to continue to act, then Peter E. Newcomb, Jr., and Leslie W. Newcomb, by signifying their acceptance in writing delivered to the trust records, shall become cotrustees hereunder in their place. On the concurrence of the accepting trustee, a corporate trustee may be appointed. Trustees shall serve without bond. In all other respects I ratify and confirm the herein referenced Living Trust. IN WITNESS WHERE01 )fave set my hjll}d and seal to this Amendment to my Revocable Inter Vivos Trust this - day of GC/(J ~ ,2003. Witness: I{;d-~-l, I~ Kathr ~. Newcomb \,\u, \\\~'t b\(\~\L.--- COMJ:vIONWEAL TH OF PENNSYLVANIA ) : SS. COUNTY OF CUMBERLAND ) ON TillS .,+f....-DAY OF SEPTEMBER, 2000, BEFORE ME THE UNDERSIGNED OFFICER, PERSONALLY APPEARED KATHRYN T. NEWCOMB, KNOWN TO ME (OR SATISFACTORY PROVEN) TO BE THE PERSON WHOSE NAME IS SUBSCRIBED TO THE FOREGOING INSTRUMENT, AND ACKNOWLEDGED THAT SHE EXECUTED IT FOR THE PURPOSES THEREIN CONTAINED. WITNESS MY HAND AND OFFICIAL SEAL THE DAY AND YEAR AFORESAID. , ~.~ NOTARIAL SEAL I CASSANDRA T. ROSENBAUM, Notaty Publ~ NOTARY PUBLIC Camp Hill Boro, Cumberland County My Commission E~pires December 4, 2004 ~ .'._"'''. ~.". <\(,CRPTANCR The undersigned PETER E. NEWCOMB, in accordance with paragraph TENTH entitled Appointment of Substituted Trustee of the Amendment to Revocable Inter Vivos Trust of Kathryn T. Newcomb dated October 7, 2003, having been advised of the written resignation of Kathryn T. Newcomb as Trustee, hereby accepts the appointment of co-trustee and agrees to abide by the terms of the Revocable Inter Vivos Trust of Kathryn T. Newcomb dated November 23, 1994, and any amendments thereto. In Witness Whereof, and intending to be legally bound hereby, the undersigned executes this Acceptance the 1-i:1 day of C:bt-c,l.o~......, 2003. Witness: JIL- - / COMMONWEALTH OF PENNSYLVANIA) : SS: COUNTY OF CUMBERLAND ) On tllls ~ day of October, 2003, before me the undersigned officer, personally appeared PETER E. NEWCOMB, known to me (or satisfactory proven) to be the person whose name is subscribed to the foregoing Acceptance, and acknowledged that he executed it for the purposes therein contained. WITNESS my hand and official seal the day and year aforesaid. NOTARIAL SEAL CASSANORA T. ROSENBAUM, Notary Public Camp Hill Boro, Cumberland County MV Commission Expires December 4, 2004 T~~ NOTARY PUBLIC ' ~-" .' - "i"-\'-'(<;'~I ",";"\ /7 , ,-', )" ~-' ,'I -. ,~~-:':j \..=--:::::...i ! J L.~ ACCEPTANCE The undersigned CAROL W. NEWCOMB, in accordance with paragraph TENTH entitled Appointment of Substituted Trustee ofthe Amendment to Revocable Inter Vivos Trust ofKatbryn T, Newcomb dated October 7, 2003, having been advised of the written resignation ofKatbryn T, Newcomb as Trustee, hereby accepts tbe appointment of co-trustee and agrees to abide by the terms of the Revocable Inter Vivos Trust of Kathryn T, Newcomb dated November 23, 1994, and any amendments tbereto, In Witness Wh9Wf, and intending to be legally bound hereby, the undersigned executes this Acceptance the ~day of crlr-hnr- ,2003. Witness: ~L ./ fJ;M~tTP~ Carol W. Newcomb COMMONWEALTH OF PENNSYL V A1"llA ) : SS: COUNTY OF CUMBERLAND ) On this 1!!:.. day of October, 2003, before me the undersigned officer, personally appeared CAROL W. NEWCOMB, known to me (or satisfactory proven) to be the person whose name is subscribed to the foregoing Acceptance, and acknowledged that she executed it for the purposes therein contained. WITNESS my hand and official seal the day and year aforesaid. NOTARIAL SEAL CASSANDRA T. ROSENBAUM, NOlary Public Camp Hill Bo.o, Cumberland County My Commission Expires December 4, 2004 ~~--r~~ - NOTARY PUBLIC (?~~/~,:'::'0, r::::"\,~-' \ ':-:'7I"j ji rj .. '.::.- ~/ 11 ACCEPTANCE The undersigned MARY N, PINES, in accordance with paragraph TENTH entitled Appointment of Substituted Trustee of the Amendment to Revocable Inter Vivos Trust of Kathryn T. Newcomb dated October 7, 2003, having been advised of the written resignation of Kathryn T. Newcomb as Trustee, hereby accepts the appointment of co-trustee and agrees to abide by the terms of the Revocable Inter Vivos Trust of Kathryn T. Newcomb dated November 23, 1994, and any amendments thereto. In Witness WherZ2!: and intending to be legally bound hereby, the undersigned executes this Acceptance the /'- C1ayof Ci:...tt,t;,.o r , 2003. Witness: //U--_ / ~' rYJCVft f). ~ MaryN. p' es COMMONWEALTH OF PENNSYLVANIA ) : SS: COUNTY OF CUMBERLAND ) On this 1fj. day of October, 2003, before me the undersigned officer, personally appeared MARY N. PINES, known to me (or satisfactory proven) to be the person whose name is subscribed to the foregoing Acceptance, and acknowledged that she executed it for the purposes therein contained. WITNESS my hand and official seal the day and year aforesaid. NOTARIAl-SEAL CASSANDRA T. ROSENBAUM, Notary Public Camp HfiI Boro, C~mberland ~n\y My Commission E~pires December 4, 2004 ~T~ NOTARY PUBLIC L REV-150S EX'" (6-98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Kathrvn T. Newcomb FILE NUMBER 21 05 0433 Include the proceeds of litigation and the date the proceeds were received by the estme. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 PA Dept of Revenue - tax refund 173 2 Verizon Telephone Co - Refund 14 3W46AD 1000 TOTAL (Also enter on line 5 Recanitulation' $ (If more space is needed. insert additional sheets of the same s'lze) 187 REV-151QEX + (6-98) , SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY GOMMONWEA~ TH OF PENNSYLVANIA lNHERlTANCETAX RETURN RESIDENT DECEDENT ESTATE OF Kathryn T. Newcomb FILE NUMBER 21 05 0433 ITEM NUMBER 1. DATE OF DEATH VALUE OF ASSET % OF DECO'S INTEREST 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. DESCRIP110N OF PROPER1Y INCLUJE Tf-E NOME OF Tt-E TRANSFEREE, THEIR RHATIDNSHIP TO DECEDENT ANa THE DATE OF TRANSFER ATTACHACOPV OF THE DEED FOR REAl- ESTATE TAXABLE VALUE Intervivous trust established on 11-23-1994, see attached printout for list of assets and date of death values Dividend accrued on 2/19/2005 636,305 100.0000 768 100.0000 2 Kathryn T Newcomb Rev Inter Vivos Tr TUA DTD 11/23/94 M&T Bank Checking Account # 63531372 21,270 100.0000 3 Transfer within one year of death, 11,000 to Mary Pines on 2/16/05 11,000 100.0000 4 Transfer within one year of death, 11,000 to Peter Newcomb on 2/16/05 11,000 100.0000 TOTAL (Also enter on line 7, Recapitulation) $ <If more space is needed, insert additional sheets of the same size) 3W46AF 100Q EXCLUSION (If APPUC;A8LE' 3,000 3,000 o 636,305 768 o 21,270 8,000 8,000 674 343 Estate Valuation Date of Death: Valuation Date: Processing Date: 02119/2005 02/19/2005 OS/25/2005 Estate of: Kathryn Newcomb Account: Kathryn Newcomb Liv Tr Report Type: Date of Death Number of Securities: 9 File 10: Newcomb Mean and/or oiv and lnt Security Adjustments Accruals Value Shares or Par Security Description High/Ask LoW/Bid 1) 150 CISCO SYS INC (17275R102) COM NASDAQ - Indus:rial 02/18/2005 02/22/2005 17.5B~OJ 17.55000 17.28000 H/L 17.15000 H/L 2) ~750 EXXON MOBIL CORP (30231G102) COM New York stock Exchange 02/16/2005 02/22/2005 59.85000 60.C8000 58.02000 H/L 58.25000 ElL 3) oiv: 0.27 Ex: 02/08/2005 Rec: 02/10/2005 Pay: 03/10/2005 400 INTERNATIONAL BUSINESS ~~CHS (459200101) COM New York Stock Exchange 02/18/2005 94.25000 02!22!20~5 93.50000 92.5500C H/L 92.23000 HIL Div: 0.18 Ex: 02/08/2005 Rec: 02/10/2005 Pay: 03/10/2005 4) 200 JOH~SON & JOHNSON (478160104) COM New Yo:k S:ock Exchange 02/18/2005 C2/22/2005 65.59000 65.87000 65.21000 H/L 65.05000 HIL oiv: 0.285 Ex: 02/11/2005 Re~: 02/:5/2005 Pay: 03/0B/2005 :;0) 7000 JPMORGAN 5: CHASE &: CO (46625El0D) COM New York Stc:k Exchange C2/lS/2005 02/22/2005 36.76000 36.63000 36.30000 H/L 35.90000 H/L 6) 5000 DOYLESTOWN TWP PA G.O. 8DS (261339BL8) Finan:ial ~imes Ir.teractive Data OTO: 06/15/199: Mat: 06/15/201: 7% 02/18/2005 101.14600 Mkt 02/22/2005 101.12500 Mkt Int: 12/15/2004 to 02/l9/2005 7) 15000 GREJI.'IER JCHNSTOWN PA SeH 018'1' GO REF B (392023LJ4) Financial Times Interactive Data DTO: 11/15/2001 Mat: OB101/2019 5% 02/18/2005 107.69800 Mkt 02/22/2005 107.69500 Mkt Tnt: 02/01/2005 to 02/19/2005 8) 10000 LANCASTER CNTY PA HDSP AUT::I RE REV BDS (5140455V6) Financial TiThes Interactive Data O~~: 04/15/1998 Mat: 07/01/2006 5% 02/18/2005 103.22100 Mkt 02/22/2005 103.21400 Mkt Int: 01/01/2005 to 02/19/2005 91 193704.36 Cash ICASH) Total Value: Total Acc!"lial: Total: $637,072.80 Page 1 2,608.54 103,337.50 37,253.00 13,086.00 254,782.5-8 5,056.78 16,154.48 10, 32l. 75 193,704.36 $636,304.91 Th.:s ::eport ",'as p::odu:::ed with EstateVa'..., a pIoduct 0: Esta':e Valuations (; Pricing Systems, Inc. !f vou have questions, please cont5ct EVP systems at (818) 313-6308 or ww~.evpsys.com. (Revision 7.0.4)- 17 .390250 59.050000 472.50 93.132500 72.00 65.430000 57.00 36.397500 101.:35500 62.22 107.696500 37.50 103.217500 66.67 $767,89 REV-1511 EX+(12-99} COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Kathrvn T. Newcomb FILE NUMBER 21 05 0433 Debts of decedent must be reported on Schedule I. ITEM NUMBER OESCRIPTION AMOUNT A FUNERAL EXPENSES: 1. Fairview Cemetery burial charge 375 Total from continuation schedules 1,180 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s} Social Security Number(s) I EIN Number of Personal Representative(s) - - Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 4,500 6. Tax Return Preparer's Fees 7. 1 MBNA America Executor's cost of travel to burial and funeral 2,133 TOTAL (Also enter on line 9, Recapitulation) $ 8.188 3W46AG1,OOO (If more space is needed, insert additional sheets of the same size) Estate of: Kathryn T. Newcomb 156-38-3117 Schedule H Part 1 (Page 2) Item No. Description Amount 2 Mary Pines reimbursement for funeral expenses 300 3 Mary Pines reimbursement for funeral expenses 100 4 Plainfield Granite Works Monument 780 Total (Carry forward to main schedule) 1,180 REV-1512 EX" (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Kathryn T. Newcomb SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21 05 0433 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death. including unreimbursed medical expenses. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH Elite Staffing Services Nursing care services for January 432 2 Messiah Village Nursing home care expense for January 4,224 3 Messiah Village Nursing home care expense for February 3,079 4 Mobile X-Ray Imaging Inc x-ray expense 12 5 Mobile X-Ray Imaging Inc x-ray expense 34 6 Verizon Telephone Co February phone bill 26 7 Waggoner Frutiger & Daub preparation of 2004 tax return 550 3W46AH 2000 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same site) B 357 REV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Kathr~rn T. Newcomb SCHEDULE J BENEFICIARIES FILE NUMBER 21 05 0433 NUMBER I NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE 1 TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] Eaton Place Leslie N. 16 Arthur Red Bank, NJ 07701 Granddaughter 10,000 2 Debra A. Miller 2809 Old Car1~sle Road Gardners, PA 17324 None 10,000 3 P. Edgerton Newcomb 2021 4th Ave Apt 609 Seattle, WA 98121 Grandson 10,000 4 Peter E. Newcomb 8707 182nd Street East Puya11up, WA 98375 50% Residue: 313,993 Son 313,993 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 3W46AI1,OOO TOTAL OF PART". ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET (If more space is needed, insert additional sheets of the same size) $ o state of: Kathryn T. Newcomb Item ~o. Description Mary N. Pines 30 Miller Street Apt 4C Lemoyne, PA 17043 50% Residue: 313,993 Schedule J Part 1 (Page 2) Daughter 156-38-3117 Relation Amount 313,993 Estate of: Kathryn T. Newcomb Item No. Description 5 Mary N. Pines 30 Miller Street Apt 4C Lemoyne, PA 17043 50% Residue: 313,993 Schedule J Part 1 (Page 2) Daughter 156-38-3117 Relation Amount 313,993 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT WAGGONER TIMOTHY C 5006 E TRINDLE ROAD MECHANICSBURG, PA 17050 ____u__ lold ESTATE INFORMATION: SSN: 156-38-3117 FILE NUMBER: 2105-0433 DECEDENT NAME: NEWCOMB KATHRYN T DATE OF PAYMENT: 06/21/2005 POSTMARK DATE: 06/21/2005 COUNTY: CUMBERLAND DATE OF DEATH: 02/19/2005 NO. CD 005461 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $2,238.00 I I I I I I I I TOTAL AMOUNT PAID: $2,238.00 REMARKS: NEWCOMB TIMOTHY C CHECK# 4796 SEAL INITIALS: SK RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS