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HomeMy WebLinkAbout04-03-06 ., REV-1500 EX + (6-00) .. .'~. ., . I l!! ~~~ ~~g XO...J ofm ~ 0( OFFICIAL USE ONLY COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER II 05 COUNTY CODE YEAR SOCIAL SECURITY NUMBER 1074 NUMBER .... Z W C W o w c DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) Mott, Elizabeth Key DATE OF DEATH (MM-DD-YEAR) 095-20-1869 THIS RETURN MUST BE ALED IN DUPUCA TE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach copy of Trust) 10 Spousal PovertY Credit (date of death between . 12-31-91 and 1-1-95) D 3. Remainder Return (date of death prior to 12-13-82) D 5. Federal Estate Tax Return Required o 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113{A) (Attach Sch 0) D 1. Original Return o 4. Limited Estate ~ 6. Decedent Died Testate (Attach copy of Will) o 9. Litigation Proceeds Received D D [!J o 2. Supplemental Return ) . i..J ":":,. (8) (11 ) (12) (13) (14) 15.Amount of Line 14 taxable at the spousal tax rate, 0.00 x .00 (15) z or transfers under Sec. 9116(a)(1.2) 0 (16) ~ 16. Amount of line 14 taxable at lineal rate 0.00 x .045 c( .... :) a.. 17. Amount of Line 14 taxable at sibling rate 0.00 x .12 (17) :!E 0 0 18. Amount of Line 14 taxable at collateral rate 465,275.35 .15 (18) >< x c( .... 19. Tax Due (19) DATE OF BIRTH (MM-DD-YEAR) 11-12-2005 06-14-1927 COMPLETE MAILING ADDRESS ,.... z w Cl z o ~ th W << << o (.) 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship z o ~ ~ :) .... 0:: c( o w 0:: 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7 . Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 0 Separate Billing Requested 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) One West Main Street Shiremanstown, PA 17011 OFFICIAL USE ONLY (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) NAME James D. Bogar FIRM NAME (If applicable) Bogar & Hipp Law Offices TELEPHONE NUMBER 717-737-8761 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11, Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) (1 ) None (2) None (3) None (4) None (5) 6,877.83 (6) 72,864.30 (7) 439,143.58 (9) 32,595.02 (10) 21,015.34 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) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 20. [K] CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. I (.,,) (}1 518,885.71 53,610.36 465,275.35 0.00 465,275.35 0.00 0.00 0.00 69,791.30 69,791.30 Copyright 2002 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00: ~~ Decedent's Complete Address: STREET ADDRESS 317 West Green Street CITY Camp Hill I STATE PA I ZIP 1 70 11 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1 ) 69,791.30 69,750.00 3,489.57 Total Credits (A + 8 + C) (2) 73,239.57 3. InteresUPenalty if applicable D. Interest E. Penalty TotallnteresUPenalty (0 + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) 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. (5) A. Enter the interest on the tax due. (SA) 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) 3,448.27 i%~~:t;;I'l"{Jt(:r~;i~E~~~I~t~~~t~\lff J~~:~f{;:^~~i5~';Tht~~~ty;0fI1;rw;;TjJili~S "l1;1~~;igh'd~I~~if~11tf~Y%'~~~:~~~~1l~.tif;:'~r@~~!11:1k~"~!~",Th*~1;1?!f~: ,~it~ili.~~!z', >,~Ai;;~G1~>1@1:~J;t't Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;.................................................................................. D [!] b. retain the right to designate who shall use the property transferred or its income;.................................... D [!] c. retain a reversionary interest; or..... .......... ............... ....... .................. ............... ............... ....... .............. .... .... D [!] d. receive the promise for life of either payments, benefits or care?.........................................:................... D [!] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.......... ...... .............. ............. ......................... .......... ....... .............. ............... .... D [!] 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 own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?................. ............ .............. ........................... ....... .................... .................... [!] 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES. YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties 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 all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS Barbara Ann Dobie DATE oSL/ 317 West Green Street Shiremanstown, PA 17011 ".,--~ /~ ::J-/o & DATE ADDRESS ADDRESS 31~JbGo DATE One West Main Street Shiremanstown, PA 17011 For dates of 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. 99116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P .S. 99116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 99116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116 1.2) [72 P.S. 99116 (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 one parent in common with the decedent, whether by blood or adoption. Rev.1508 EX+ (6-98) .... . t... . I SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Mott, Elizabeth Key FILE NUMBER 21-05-1074 ESTATE OF Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Capital BlueCross - Premium Refund 115.60 2 Commerce Bank - Savings Account No. 616164662, date of death balance $4,901.75, 4.903.23 accrued interest $1.48 3 Hilliard, Lyons, Inc. - Retirement Distribution 500.00 4 Mid-Atlantic Insurance Group - Insurance Refund 54.00 5 Personal Property - Value as listed on attached appraisal 1.305.00 TOTAL (Also enter on Line 5, Recapitulation) 6.877.83 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) To: James D. Bogar, Attorney One West Main Street Shiremanstown, PA 17011 From: William G. Rowe, Appraiser 211 Old Stone House Rd. Carlisle, PA 17013 Re: Personal Property Appraisal Elizabeth K. Mott Estate 317 West Green Street Shiremanstown, PA DOD - 11/12/05 Date: January 12, 2006 LINDEN HALL ANTIQUES 211 OLD STONE HOUSE ROAD CARLISLE, PA 17013 717 -249-1978 Antique 2-d rawer stand Bedroom set - 3 pc. Occasional chair - upholstered Lamps (2) Water color - house Print Stand Fashion prints (2) Pocket watch Dresser set - 3 pc. Sterling frames (2) Knick knacks Mott Appraisal TOTAL . --""t. ... _ William G. Rowe $250.00 $650.00 $45.00 $15.00 $65.00 $20.00 $5.00 $50.00 $35.00 $50.00 $100.00 $20.00 $1,305:00 /'--. ~ \t~ 01/12/2006 4 Rev-1509 EX+ (6-98) . SCHEDULE F JOINTL V-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Mott, Elizabeth Key FILE NUMBER 21-05-1074 ESTATE OF If an asset was made joint within one year of the decedenrs date of death, It must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME A. Barbara Ann Dobie ADDRESS RELATIONSHIP TO DECEDENT 317 West Green Street Shiremanstown, PA 17011 Friend B. c. JOINTLY OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR VALUE OF ASSET INTEREST DECEDENTS INTEREST JOINTLY-HELD REAL ESTATE. 1 A 6/23/2000 Commerce Bank - Checking Account No. 2.349.40 50.000% 1.174.70 513175000, date of death balance $2,349.40, accrued interest .09 2 A 6/23/2000 Commerce Bank - Checking Account No. 2.709.19 50.000% 1.354.60 513175018, date of death balance $2,709.10, accrued interest .09 Total of Continuation Schedule(s) ~ee attached page TOTAL (Also enter on Line 6, Recapitulation) 72.864.30 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) Rev-1509 EX+ (6-98) *' SCHEDULE F JOINTLY-OWNED PROPERTY continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Mott, Elizabeth Key FILE NUMBER 21-05-1074 ESTATE OF If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. JOINTLY OWNED PROPERTY DESCRIPTION OF PROPERTY %OF ITEM LETTER DATE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH DATE OF DEATH FOR JOINT MADE DECO'S VALUE OF NUMBER NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR VALUE OF ASSET TENANT JOINT INTEREST DECEDENTS INTEREST JOINTLY-HELD REAL ESTATE. 3 A 7/11/1988 Real Estate - All that certain piece or 140,670.00 50.00001'0 70,335.00 parcel of real estate having erected thereon a dwelling house being known and numbered as 317 West Green Street, Shiremanstown, Pennsylvania. The property was acquired by Barbara A. Dobie and Elizabeth K. Mott, single persons, as joint tenants with the right of survivorship, by Deed dated July 11, 1988 and recorded July 15, 1988 in the Cumberland County Recorder of Deeds Office. A copy of said Deed is attached hereto and incorporated herein. It is respectfully suggested that the County Assessed Value be used as the value of the real estate for purposes of Pennsylvania Inheritance Tax. The County Assessed Value is $140,670.00. TOTAL (Also enter on Line 6, Recapitulation) 72,864.30 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) .. Commerce _Bank.. December 16/ 2005 James D Bogar Jennifer B Hipp Attorneys At Law 1 W Main St Shiremanstown/ PA 17011-6371 RE: Estate of: Elizabeth Key Mott Social Security #: 095-20-1869 Date of Death: November 12/ 2005 Dear Sirs: In reference to the letter regarding the above mentioned Estate/ we would like to inform you of the information that we have researched and found. Type: Checking Account #: 513175000 Date Opened: 6/23/00 Primary Owner: Elizabeth Key Mott Secondary Owner: Barbara A Dobie Date of Death Balance: $2,349.49 Accrued Interest: $.09 Principal Balance: $2/349.40 Type: Checking Account #: 513175018 Date Opened: 6/23/00 Primary Owner: Elizabeth Key Mott Secondary Owner: Barbara A Dobie Date of Death Balance: 2,709.19 Accrued Interest: $.09 Principal Balance: $2/709.10 Commerce Bank / Harrisburg, N.A. P.O. Box 8599 100 Senate Avenue Camp Hill, Pennsylvania 17001-8599 Commerce tlBankNA Type: Savings Account #: 616164662 Date Opened: 8/25/00 Primary Owner: Elizabeth Key Mott Date of Death Balance: $4,903.23 Accrued Interest: $1.48 Principal Balance: $4,901.75 If there are any questions or additional information that is needed, please feel free to contact me at (717) 795-7118 ext. 3151. Sincerely, \.U~C\Q ~ ~~ Wanda J Morris Senior elF Specialist Commerce Bank / Harrisburg, N.A. P.O. Box 8599 100 Senate Avenue Camp Hill, Pennsylvania 17001-8599 11\'-vV'\L._',) .or... '..Jt., ..l& ..' Made the mitis l1ttit \\~L dayo! W f1 EC 0 r.:~ .: i;. -.::;: c;;::: L S i ~ ~..; f ' ~ . ' r: . . ',. ~ ' ~ ';- ,:. . , 8D JUL 15 AH II 5tJ , in the year Nineteen hundred and eighty-eight (1988) 1Bttwttn CAROLYN L. LAMASON, now known as CAROLYN S. RUTHERFORD, and JERE E. RUTHERFORD, her husband, of Dillsburg, Pennsylvania, GRANTORS, AND BARBARA A. DOBIE and ELIZABETH K. MOTT, single persons, 6f Harnden, Connecticut, as joint tenants with the right ot" survivorship, GRANTEES, JIlIitntssttlt, That in consideration of Ninety-one Thousand Nine Hundred and NO/lOO--------------------- ($91,900.00) ---------------------- Dollars, in hand .paid, the receipt whereof is hereby acknowledged, the said grantor s do hereby grant and convey to the said grantee s their heirs and assigns, ALL THAT CERTAIN piece or parcel of land situate in the Borough of Shiremanstown, County of Cumberland and State of Pennsylvania, bounded and described as follows, to wit: BEGINNING at a point on the northern line of Green Street, said point being at the dividing line between Lots Nos. 9 and 10 on the herein- after mentioned Plan of Lots; thence along said dividing line, North twenty-three (23) degrees twenty-four (24) minutes West, one hundred forty-five and ninety-eight one-hundredths (145.98) feet to a point on the southern line of Lot No. 16; thence along the southern line of Lot No. 16, North seventy-four (74) degrees ten (10) minutes East, eighty and seventy one-hundredths (80.70) feet to a point on the southern line of Lot No. 17; thence along the dividing line between Lots Nos. 8 and 7, South twenty-three (23) degrees twenty-four (24) minutes East, one hundred thirty-five and thirty-five one-hundredths (135.35) feet to a point on the northern line of Green Street; thence along the ~orthern line of Green Street, South sixty-six (66) degrees thirty-six (36) minutes West, eighty (80) feet to a point, the place of BEGINNING. BEING LOT NO.9, Block "G" on Plan No. 7 of Shireman Manor, said plan being 'recorded in the Cumberland County Recorder's Office in Plan Book No. 14, Page 4. IT BEING the same premises which Charles W. Lamason, by his deed dated November 18, 1976 and recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania, in Deed Book C-27, Page 155, granted and conveyed unto Carolyn L. Lamason, single woman. The said Carolyn L. Lamason has since intermarried with Jere E. Rutherford and together they are the grantors herein. ..rough 0' oS ~;.... l! ...... 2."\J l-" l'- "I Cu~b: c:::. p~:".."" ~ t ~/,l; c. .1 .Iv,.. S.c:hool Did. Cumbo Co., P. BOO~ '0\33 PACE .!-~ RuIEst.t. Transfer T.. j t -;; -I s~k'lr lj. S-C/. n."l 6669~~:~ ~ .I..~~ ~umb. Co. Di.... Col. It4I.. .~ Anb the said grantors do hereby generally warrant the property hereby...gon!S';~1~OtNvEALII-I OF PE1'J~~S'I'LV.6.,NI.t\ :,~ nF.f'.:',RTiv\f:Nr OF f~;~Yf..t:lIE ___ __..... ~:: I '" I ~"/ ::.:..:=::-::: l' (~; ~~_:..\ [ I ..': .." I,:..,' \f'~\~II'Y.,\1 n I 11 \l'j I .... 1_ ~~:~-:~~jW: .lUlIs'aa \~:;;~.:! ~ I d. u l I ~~:: !!':'...lC_ ~-_..__.!_- 1Jn _ltntss m~trtnff said grantors ha ve hereunto set their hand 5 and seal s the day and year first abO'/Je written. ~i!lntb, ~taltb anb itliutrtb 1In t1Jt ct of (;;'~/.,~~,--~~ .*. CAROL N L. A UN ~ '. ~.az;/*",dJl . . UTlIERF. ~4 '. - It (I atommonwtaltlt of 'tnnst!luania atountU1lf ~ On. this, the \, -th day of J u 1 Y f 1111. 1988 ' before 1M a notary public theu:ndersigned officer, pers01UJ.lly a:ppeared Carolyn S. Rutherford, formerly CArolyn L. Lamason,and Jere E. Rutherford Irnown to 1M (or satisfactorily proven) to be the person swkose namlS are subs~~.~~ l'o J~, ~thi1'J., '. instrument, and acknowledged that they executed the same for:ffirpose therein contained. ;:,' ,ri)"::.'.. .....'...., . . ..... ".;~....'..: :. : .... '." INWITNESSWHEREOF,Ihavehereunt.setm ha and n~ia~.~.... ':" -.:.\ :' oJ(2~~ m ; :. .. "~;..." PATRICIA M. BRUCE. NOTA~RY:P,t,B.LIC; . ...:".:.~?.':j' ,/ My Commission Expires May .i;)9~tJ.>:.... ..,.. .~~~: >..:' PUIIY lU"'Rslli~. p~ G8111l1li" S~IIII~(' ~ ~:,,~'..... :."i' ;--t.. ,1'1 atommonwtaltlt of'tnnsuluania at~untt! of ~ 1111. On this, the day of 19 , before 1M the undersigned off1.Cer, personally appeared Irnown to 1M (or satisfactorily proven) to be the person whose na1M subscribed to the within instrument, and acknowledged that he executed the sa:mefor the purpose therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and seal. 11 q.er.eby or.ertify that the precise address of the grantee oS ~ \ l Wt-~ C:,~ sr ~~bu'i) l~~ \70\( i)'OOK <x 33 r~.CE 667 herein is ~,tLrl..Q S.e~~ ~ ~v- Co~~ ...., matt Dt QIounty of I 1111. On this, the day of 19 , before me the undersigned officer, personally appeared known to me (or satisfactorily proven) to be the person whose name subscribed to the within instrument, and acknowledged that he executed the same for the purpose therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and seal. I C ~ 0 f/l rtl +J ~ .. e .c: rtl tn O~ .r-! ~ 0:: U) S-f o · IlJ ~ ~ r:z..~ Cl .c: 0:: 0:: E-t+J ~ ~ M C 0 M E-t . ,-i ~ ::c:>, r:z.. H 0:3:0., E-tr-i 0:: 0 ro :E: .,-i ~ ~ :::> 0 M 0 f/l.c: 0:: ~ ::c ~ Cl · +J f/l rtlClE-t ~c~ · () :z; ::> rtl 0 ~ ~ (/) ~~ ..:J::O::CC> :>, Z E-t QI-,-i Zr-i ..:J::.:CM+J> :>t ~ riI 0:: ro ~ ~"' ~ (]) ..:J:: .:C+J::l I o e oM ro NCf/l ~ ~ S-f " a:: p::: H .,-i ..:J:: 0' M ~ ...:l04-l t.::s ()4-l t-:l t:O M'no ~ arommonWtal~ of 'tnn.6yluania ClIountn of ~/culk <d ~ss. mttnrbtb in the Office for Recording of Deeds in and for (J01-v^- it) in Deed Book if page ~ ~ (0 Etc. ~M-h No. 33 / iJ, lIIitneas m'V hand a.nd soal of Office this S"" .~~ 't.~~ day of Redo.,.der Rev-1510 EX+ (6-98) . SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Mott, Elizabeth Key FILE NUMBER 21-05-1074 ESTATE OF 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 DESCRIPTION OF PROPERTY DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. 1 PNC Investments - Retirement Account No. 96.564.61 96,564.61 53719434, date of death value $96,564.61 2 Trusto Bank - Trustco Bank as Trustee of 342.578.97 342.578.97 Revocable Trust U/A Elizabeth Key Mott, Account No. 7010453442, date of death value of Trust $342,578.97, a copy of the Trust Agreement is attached hereto and made a part hereof TOTAL (Also enter on Line 7, Recapitulation) 439.143.58 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) · 01/26/2666 19:26 7177638423 PNC BANK Q PNC INVESTMENTS MemDII NA.U) -' SII'C TO PHONE DATE FROM PHONE " PAGE 01 " 'l 1(;Aw...~ \>. ~ o.f" FAX -'~l- ~O~Co PAGES (INCLUDING COVER) 3 ~~ '" ~ ~ e... YeA ~~ FAX 7 I 7 ~ 7" 3 - 21 ~ '3 \e..lu.~.l FAXl ~ This f~x may contain privlleecd and confldentlallnform:atJon inll!ndad only for We usa of the addr'Q$$Q(s) named above. It the rt!ader of tN, message Is not the IntltFld~d redpiem Or the employee or agent re..ltponsible for dtIlv@1'ir18 thc! meJ9ase to tht intended r~tplent(s). please notQ that lJflY dissemjnatloTl. dls~ributlon Dr copying of thJs c:ommunfc3Uon Is strictly prohlbtte<l. Anyone who ~celves Lhis communIcation In error shouJd notify ut Immed.tately by ~eJephone and return the original message to us at thl~ 3ddRss aboVQ vIa Chit U.s, Mau. or d@SUOY th~ mesuse In It$ onurery. 'J Hard copy to follow ;:: H.1rd c::opy to follow upon request [I Important lnvestor lnformation: Securities and brokerage services are provided by PNC tnv~1ments " -May Lose Value LLC, member NASD and SIPC. Annuities and other insurance productS are offered by PNC Insurance . . · No Bank Gwuantee Services. Inc. a licensed inswance agency. fOf(M 1111)40-0104 , 01/26/20e6 19:20 7177638423 PNC BANK PAGE e2 EST A IE OF ELIZABETH KEY MOlT (000 VALUATJON NOVEMBER 12, 2005) The information provided in this report is believed to be reliable, but its accuracy cannot be guaranteed. A mean price is calculated as an average of the high and low on the valuation date when available. If these prices are not available, such as on weekends or holidays, the mean price is the inversely weighted average of the high and Jow on the nearest trading dates before and after, when these prices are available within one week of the valuation date. If actual trades are not available, the nearest bid and ask prices are substituted. Note that securities traded on the Toronto Exchange are in Canadian dollars. If an equity is ex-dividend for a cash distribution on or before the valuation date but is of record- after the valuation date, the dividend is included in the valuation report and is added to the security's value. This is reported as an adjusted value on the report If the date of death is on or after the record date and the dividend is payable after that date, the accrued dividend is listed separately on the report and added to the portfolio's total value. Prices for which daily updates are not available are priced according to a Corporate Pricing Cycle. These pricing dates occur on the last business day of the week, and the last business day of the month, unless the end of the week update falls within three business days or less, of the end-af-month update. Prepared 20 January 2006 -01/26/2086 19:20 7177638423 PNC BANK PAGE 03 Estate Valuation Shal;'es or Par Security l)escription High/Ask Low/Bid ietate of: Bliz~th ley Mott Account: 5371-~434 R.eport TypeJ Pate or OI?4-.th ~ber of Securities: 2 rile IDc Mott,El_11-12-05 MMn a:4d/or Div an~ Int Security Adju~tmenes Accruals Value Date of Death: 11/12/200S vAluacion D~t~t 11/12/2005 ~~oee8~~ng DateJ 01/20/2006 1) 6039.8S1 MFa 8B1 Tl V (SS2981300; MSc~) TO'1'AI.. RETURN' A Mutual Fund (as quoted by PSD~Q) n/ll{200S 15.99000 Mkt 15.990000 96tSGl.~3 2) 3.38 MMF (BVP01) MMF HL 11/12/2005 1. 00000 1.00000 1. 000000 3.38 'rotal Value: Total ACClrual: . Total: $9~,564.~1 $0.00 $96t~64.U hQ't 1 '1'b.:l.s report: "u produced with H~taeeval, a prOduClt of Estate Val~tionf:l iii: h'icing SystemBl Inc_ If you have que~tions, please contact ~ Syatema ~t (SlS) 313-6300 or www.evpBYs.cam. (~evision 7.0.4) . . ~~ TRUSTeD ~~ BANK@ . ,II January 30, 2006 James D. Bogar, Esq. Attorney at Law One West Main Street Shiremanstown, PA 17011 Re: Trustco Bank as Trustee o{Rev Tr U/A Elizabeth Key Mott Account # 7010453442 Date of Death: November 12,2005 Dear Mr. Bogar: Please be advised that as ofNovembet 12,2005, the value of the above captioned account was $342,578.97. The value was computed using a combination of an estate valuation program for the shares of General Electric Stock and an Inverse. Weighted Average for the Trustco Bank Common Funds. A breakdown of the account assets is. attached for reference. Please call me should you have any questions or require further information. Sincerely, /J V'-t:-z ~ ~ ~ .;- Craig C. Chenevert, CTP A Trust Officer 3 Sarnowski Drive Glenville~ NY 12302 · (518) 381-3644 Elizabeth Key Mott - Rev. Trust Ale #7010453442 Date of Death: November 12th, 2005 General Electric Co. - 2685 shares $ 92,726.48 $ 48,369.61 $148,503.05 $ 4,041.69 TrustCo Bank Common Stock Fund Trusteo Bank Fixed Inc6n1e Fund Cash - Money Market (Principal) Cash - Money Market (Income) $ 48,938.14 TOTAL $342,578.97 (.;,j TRUST AGREEMENT BETWEEN ELIZABETH KEY MOTT AND TRUSTCO BANK OF SCHENECTADY, NEW YORK DATED: JULY 11, 2000 THIS AGREEMENT OF TRUST, executed this II-#- day of ~ ~uly , 2000, by and between ELIZABETH KEY MOTT, of 317 West Green street, Shiremanstown, Cumberland County, Pennsylva- nia, hereinafter referred to as "SETTLOR", and TRUSTeO BANK, of P.o. Box 1082, Schenectady, New York, hereinafter referred to as "TRUSTEE". ARTICLE I TRUST 1.01 TRANSFER IN TRUST The Settlor has transferred and delivered to the Trustee the property described in Schedule nAil, which is attached hereto and is made a part hereof, the receipt of which is hereby acknowledged by the Trustee. It is understood that all property transferred and delivered by the Settlor to the Trustee, as set forth in Schedule "A", shall be deemed property owned by ELIZABETH KEY MOTT. Such property and all other property trans- ferred to and received by the Trustee to be held pursuant to this trust shall constitute the "Trust Estate" and shall be held, administered and distributed by the Trustee as hereinafter provided. 1.02 ADDITIONS TO TRUST ESTATE The Settlor, either during her life or by will at her death, or any other person, shall have the right at any time to add other property acceptable to the Trustee to the trust. Such property, when received and accepted by the Trustee, shall become part of the Trust Estate. ARTICLE II REVOCATION OF TRUST 2.01 REVOCATION DURING LIFE OF SETTLOR During the life of the Settlor, this trust may be amended, altered, revoked or terminated, in whole or in part, or any provision hereof, by an instrument in writing signed by the Settlor and delivered to the Trustee. 2.02 DETERMINATION OF SETTLOR Settlor shall have the right to determine whether Trustee is to retain complete investment discretion or whether Trustee shall be required to consult with Settlor concerning any changes to be made in the investment portfolio. 2.03 CONSENT OF TRUSTEE TO AMENDMENT The trust may not be amended to change the obliga- tions, duties or rights of the Trustee without the written consent of the Trustee to such amendment. 2.04 TRUSTEEIS DUTIES ON REVOCATION If the entire trust is revoked by the Settlor, the Trustee shall transfer to the Settlor all of the Trust Estate and shall execute and deliver to the Settlor all instruments which are necessary or appropriate to release all interests of the Trustee in the trust. 2.05 IRREVOCABILITY OF TRUST ON DEATH OF SETTLOR From and after the death of the Settlor the trust created hereby shall become irrevocable and shall not be altered or amended. 2 ARTICLE III DISTRIBUTIONS BY TRUSTEE 3.01 NET INCOME TO SETTLOR During the life of the Settlor, the Trustee shall pay to or apply for the benefit of the Settlor in quarterly or other convenient installments all of the net income from the Trust Estate unless otherwise directed in writing by the Settlor. Any undistributed income will be added to principal. 3.02 INVASION OF PRINCIPAL FOR SETTLOR The Trustee may pay to or apply for the benefit of the Settlor, in addition to the net income from the Trust Estate, such amounts from the principal of the Trust Estate, up to the whole thereof, as the Trustee in its discretion may from time to time deem necessary or advisable for the Settlor's use and benefit or as the Settlor may from time to time request in writing. If at any time or times the Settlor is under a legal disability, or by reason of illness or mental or physical dis- ability is, in the opinion of the Trustee, as certified by Settlor's personal physician, unable to manage her affairs, the Trustee shall use the income and such part or all of the prin- cipal of the Trust Estate as it deems necessary or advisable, in such manner as it deems best, for the care, support, comfort and maintenance of the Settlor, or for any other purpose the Trustee deems to be in the best interest of the Settlor. 3.03 PAYMENT TO SETTLOR'S ESTATE On the date of death of the Settlor, Trustee shall pay out of the income or principal of the Trust Estate, at its 3 discretion, the expenses of the funeral and burial, including a grave site, marker and perpetual care, if deemed appropriate, of the Settlor, along with any and all lawful and necessary adminis- tration expenses and Federal and state Inheritance taxes due, unless the Trustee determines that other adequate provisions have been made for such expenses. Said payment or payments shall be made to Settlor's estate. 3.04 TERMINATION After the death of the Settlor and payment of the expenses, if any, of her last illness, funeral and burial, and other expenses authorized by this Trust Agreement, this Trust Agreement shall be deemed terminated and the Trustee shall distribute all the rest, residue and remainder of all principal and accumulated income, in equal shares, to the following named individuals: BARBARA ANN DOBIE, SHELLY MOTT VERBER, MARIA MOTT SEFEROVICH, REBECCA MOTT MAGUIRE and HOWARD OTIS MOTT, JR. Should any of these individuals predecease me, I direct that their share under this Trust pass to their issue per stirpes by representation, and if there be a failure of same, then I give and bequeath such deceased individual's share to those surviving individuals specifically named herein, in equal shares. ARTICLE IV POWERS OF TRUSTEE 4.01 RETAIN INVESTMENTS OF SETTLOR The Trustee is authorized to retain in the trust for such time as it may deem advisable any property, including shares 4 of its own stock, received by it from the Settlor, whether or not such property is of the character permitted by law for the investment of trust funds, and to operate at the risk of the Trust Estate any business or property received by it from the Settlor. 4.02 MANAGEMENT OF TRUST PROPERTY The Trustee shall with respect to any and all property which may at any time be held by it in trust pursuant to this Agreement, whether such property constitutes principal or accumu- lated income of any trust provided for this Agreement, have power, exercisable at the Trustee's discretion at any time and from time to time on such terms and in such manner as Trustee may deem advisable, to: (A) Sell, convey, exchange, convert, improve, repair, manage, operate and control; (B) Lease for terms within or beyond the term of any trust provided for in this Agreement and for any purpose, includ- ing exploration for and removal of gas, oil, and other minerals; and enter into any covenants and agreements relating to the property so leased or any improvements which may then or there- after be erected on such property; (C) Encumber or hypothecate for any trust purpose by mortgage, pledge or otherwise; (D) Carry insurance of such kinds and in such amounts at the expense of the trusts provided for in this Agreement as the Trustee may deem advisable; 5 (E) Commence or def~nd at the expense of any trust provided for in this Agreement such litigation with respect to any such trust or any property of the Trust Estate as it may deem advisable; (F) Invest and reinvest. the trust funds in such property as the Trustee may deem advisable, whether or not of the character permitted by law for the investment of trust funds, specifically including, but not by way of limitation, interests in any common trust fund or funds now or hereafter established and administered by the Trustee solely for the investment of trust funds; (G) Vote and give proxies to vote any securities, including stock of the Trustee, held by it in trust pursuant to this Agreement, having voting rights; (H) Pay any assessments or other charges levied on any stock or other security held by it in trust pursuant to this Agreement; (I) Exercise any subscription, conversion or other rights or options which may at any time attach, belong or be given to the holders of any stocks, bonds, securities or other instruments held by it in trust pursuant to this Agreement; (J) Subject to any limitations expressly set forth in this Agreement and the faithful performance of its fiduciary obligations do all such acts, take all such proceedings, and exercise all such rights and privileges as could be done, taken or exercised by an absolute owner of the trust property. 6 ~ 4.03 POWER TO BORROW MONEY The Trustee shall have the power to borrow money from any person, firm or corporation, for any trust purpose on such terms and conditions as the Trustee may deem proper and to obligate the trust to repay such borrowed money. 4.04 POWER TO LOAN MONEY TO TRUST The Trustee is authorized to loan or advance its own funds to the trust for any trust purpose at the rate of interest being charged by the Trustee at the time such loan or advance is made to other persons having a net worth equal to that of the Trust Estate for similar loans or advances. Any such loan or advance, together with the interest accruing on such loan or advance, shall be a first lien against and shall be repaid from the Trust Estate. 4.05 DEALINGS WITH SETTLOR'S ESTATE The Trustee is authorized to purchase securities or other property from and to make loans and advancements from the Trust Estate with or without security to the executor or other representative of the Settlor's estate. 4.06 MANNER OF HOLDING TRUST SECURITIES The Trust may hold securities or other property subject to this Agreement in its name as Trustee under this Agreement, in its own name without a designation showing it to be Trustee under this Agreement, in the name of its nominee, or the Trustee may hold such securities unregistered in such condition that ownership will pass by delivery. 7 4.07 DETERMINATION OF PRINCIPAL AND INCOME Except as otherwise specifically provided in this Agreement, the Trustee shall have full power and authority to determine, in its discretion,. what shall constitute principal of the Trust Estate, gross income from the Trust Estate and net income of the Trust Estate distributable under the terms of this Agreement. 4.08 TAXES AND EXPENSES OF TRUST All property taxes, assessments, fees, charges and other expenses incurred by the Trustee in the administration or protection of the trusts created by this Agreement, including the compensation of the Trustee provided for in this Agreement, shall be a charge on the Trust Estate and shall be paid by the Trustee prior to final distribution of the Trust Estate in full out of the principal or in full out of the income of the Trust Estate, or partially out of the principal and partially out of the income of the Trust Estate, in such manner and proportions as the Trustee may deem advisable. ARTICLE V ADMINISTRATIVE PROVISIONS 5.01 UNDISTRIBUTED INCOME ON TERMINATION OF BENEFICIAL INTEREST Whenever the right of any beneficiary to payments from the net income or principal of the Trust Estate shall terminate, either by reason of death or other cause, any accrued or undis- 8 tributed net income from the Trust Estate undistributed by the Trustee on the date of such termination shall be held, adminis- tered and distributed by the Trustee in the same manner as if such income had accrued and been received by the Trustee after the date such beneficiary's right to receive payments from the trust terminated. 5.02 OTHER INCOME OF BENEFICIARY FOR DISCRETIONARY PAYMENTS In exercising its discretionary authority under this Agreement to make payments to or for the benefit of any benefi- ciary from the net income or principal of the Trust Estate, the Trustee shall take into consideration any income or other means of care, maintenance, support or education available to such beneficiary from sources outside the trust that may be known to the Trustee. 5.03 SPENDTHRIFT PROVISION Except as otherwise 'expressly provided in this Agree- ment, no beneficiary of any trust provided for in this Agreement shall have any right, power or authority to alienate, encumber or hypothecate his or her interest in the principal or income of such trust in any manner, nor shall such interest of any benefi- ciary be subject to claims of his or her creditors or liable to attachment, execution or other process of law. 5.04 PAYMENTS TO INCOMPETENTS In any case where payment is to be made to an incompe- tent, the Trustee may make such payment to the guardian for the person of such incompetent. 9 5.05 EXERCISE OF POWERS BY INCOMPETENT Unless otherwise specifically provided in this Agree- ment, all powers granted to any person by the provisions of this Agreement may be exercised by such person at any time during his or her life, except that if a guardian for the person or estate of any such person has been appointed by a court of competent jurisdiction then neither such person nor any such guardian shall have any power to exercise any powers granted such person by any provision of this Agreement. 5.06 DEFINITION OF "INCOMPETENT" AND "INCOMPETENCY" The terms "incompetent", "incompetency" or other words of similar import shall be construed as used in this Agreement to refer to all cases where a guardian for the person or estate of any person having rights under this Agreement has been appointed by a court of competent jurisdiction for any reason except minority of such person. Any person having rights under this Agreement shall be deemed "competent" and his or her "competency" shall be unquestioned by the Trustee until a court of competent jurisdiction has appointed a guardian for the person or estate of such person. 5.07 DISTRIBUTION IN KIND OR IN CASH On any final or partial distribution of the assets of the Trust Estate the Trustee may distribute or divide such assets in kind or make distribution or division in cash or partly in cash and partly in kind. 10 5.08 TAX PROVISION If upon the death of the Settlor any inheritance, estate, transfer or succession taxes are assessed against or by reason of the assets of this trust or the interest of any benefi- ciaries thereof, the Trustee shall pay such taxes, including any interest and penalties thereon, out of the principal of the trust estate as a whole, or make provision for such payment. If any such tax is assessed in part by reason of this Trust Estate and in part by reason of other property, the Trustee shall pay that proportion of the total tax which the assets of this trust bear to the total property taxed, taking into consideration deduc- tions, exemptions and other factors which it deems. pertinent, and the judgment of the Trustee as to what is a fair and reasonable apportionment shall be conclusive upon all parties interested in this Trust Estate. ARTICLE VI RESIGNATION AND COMPENSATION OF TRUSTEE 6.01 RESIGNATION OF TRUSTEE The Trustee shall have the right to resign at any time and on such resignation, the Settlor shall appoint a successor Trustee. In the event of the failure, refusal or inability of the Settlor to appoint such a successor Trustee, the Trustee or any beneficiary of any trust provided for in this Agreement may secure, at the joint expense of all trusts provided for in this 11 Agreement and then in existence, the appointment of a successor Trustee by a court of competent jurisdiction. 6.02 RIGHTS AND POWERS OF SUCCESSOR TRUSTEE Any successor Trustee app~inted as provided in section 6.01 of this Agreement because of the death, resignation or other act of the Trustee shall, on such appointment being made,. immedi- ately succeed to all title of the Trustee of the Trust Estate and to all powers, rights, discretions, obligations and immunities of the Trustee under this Agreement with the same effect as though -such successor were originally named as Trustee in this Agree- ment. 6.03 COMPENSATION OF TRUSTEE The Trustee shall be compensated for services rendered under this trust in accordance with its schedule of fees for services in effect at the time services are rendered. 6.04 BOND No bond shall be required of the original Trustee he~eunder or of any successor Trustee. If a bond is required by law, no surety shall be required on such bond. 6.05 ANNUAL ACCOUNTING The Trustee shall make an annual accounting to the primary beneficiary or beneficiaries of the trust created by this Agreement. The accounting shall include a report of the receipts, disbursements and the distributions since the last accounting, and the status of the principal and any undistributed 12 income on hand at the date of the accounting. The approval of any account by such primary beneficiary or beneficiaries shall be final and binding upon all persons as to the matters and trans- actions shown in that account. Notwithstanding the foregoing, th~ Trustee may at any time apply for judicial settlement of the accounts. Any primary beneficiary shall have the right to inspect the books and records of the Trustee relating to the trust, and the Trustee shall make such books and records avail- able for inspection by beneficiary, or by the representative of such beneficiary, at all reasonable hours. ARTICLE VII CONSTRUCTION OF TRUST 7.01 APPLICABLE LAW The trust created by this Agreement has been accepted by the Trustee who is located in the state of New York, will be administered by the Trustee in New York, and the validity, construction and all rights under this Agreement shall be governed by the laws of the state of New York. 7.02 INVALIDITY OF ANY PROVISION Should any provision of this Agreement be or become invalid or unenforceable, the remaining provisions of this Agreement shall be and continue to be fully effective. IN WITNESS WHEREOF, the Settlor has hereunto set her hand and seal and the Trustee has caused the execution hereof by 13 its President and affixing and attesting of its corporate seal the day and year first above written. WITNESS: LkPho ( (~ ATTEST: ~/f!fU- By: /~//1rs~?ftd K&! Ikfdtz=f- q~ --4 ~ (SEAL) ELIZABETH KEY MOTT . TRUSTeo BANK 14 SCHEDULE "A" (To Be Completed) COMMONWEALTH OF PENNSYLVANIA SSe COUNTY OF CUMBERLAND On this, the !/~ day of ~~ , 2000, before me, the undersigned officer, p~soJallY appeared ELIZABETH KEY MOTT, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowl- edged that she executed same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. ~(]~ ~h~ N tary PublJ. t' My Commission Expires: Notarial Seal Lisa A. Kishbaugh, Notary Public Shiremanstown Boro, Cumberland County My Commission Expires Apr. 6, 2003 STATE OF NEW YORK COUNTY OF ..Jck..,Je.chsJ'I On this, the 11./* day of JCi..J1 ' 2000, before me, the undersigned officer, personally appeared MARY SLATER, known to me (or satisfactorily proven) to be the person whose name is subscribed as Trust Manager, and who acknowledges herself to be the Trust Manager of TRUSTCO BANK, and that as such officer, being authorized to do so, executed the within instrument for the purposes therein contained. SSe IN WITNESS WHEREOF, I official seal. have hereunto set my hand and ~~ Notary ~~C My ConunJ.ss J.on Expires: ;1.. -yo .'0 .l- lOIS J. BALCOM otary Public in the ~ of MP:r .,.. ReaJdlng In S:4 ~ ~ My CommiIIkM ~..... 10. .,~t:- REV-1151 EX+ (12-99) ~ ~ SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Mott, Elizabeth Key Debts of decedent must be reported on Schedule I. FILE NUMBER 21-05-1074 ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION AMOUNT See continuation schedule(s) attached 16,921.37 B. 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Barbara Ann Dobie Social Security Number(s) / EIN Number of Personal Representative(s): 049-24-7520 Street Address 317 West Green Street City Shiremanstown State Year(s) Commission paid 2006 PA Zip 17011 1,000.00 2. Attorney's Fees Bogar & Hipp Law Offices 12,675.00 3. Family Exemption: (If decedent's address is not t~e same as claimant's, attach explanation) Claimant Street Add ress City Relationship of Claimant to Decedent State Zip 4. Probate Fees 360.00 5. Accountant's Fees Greenawalt & Company, P.C. 345.00 6. Tax Return Preparer's Fees 7. Other Administrative Costs See continuation schedule(s) attached 1,293.65 TOTAL (Also enter on line 9, Recapitulation) 32,595.02 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1502 EX+ (6-98) . SCHEDULE H-A FUNERAL EXPENSES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Mott, Elizabeth Key FILE NUMBER 21-05-1074 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 Parthemore Funeral Home, Inc. - Funeral 12.037.15 2 TEK Cuisine, Inc. - Funeral Luncheon 4.884.22 Subtotal 16.921.37 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-A (Rev. 6-98) Rev-1502 EX+ (6-98) . SCHEDULE H.B7 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Mott, Elizabeth Key IFILE NUMBER 21-05-1074 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 Cumberland Law Journal - Executor1s Notice 75.00 2 Linden Hall Antiques - Personal property appraisal 85.00 3 Patriot-News - Executor1s Notice 103.65 4 Register of Wills - Filing Fee-Pa. Inheritance Tax Return and Inventory 30.00 5 RESERVES: - Costs to conclude administration of Estate including filing fee for . First & Final Account and preparation of Fiduciary Income Tax Returns 1.000.00 Subtotal 1.293.65 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) Rev-1512 EX+ (6-98) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Mott, Elizabeth Key FILE NUMBER 21-05-1074 Include unrelmbursed medical expenses. ITEM NUMBER DESCRIPTION 1 Internal Revenue Service - 2005 Personal Income Tax VALUE AT DATE OF DEATH 113.00 2 Messiah Village - Final Bill 946.89 3 Pennsylvania Department of Revenue - 2005 Personal Income Tax 161.00 4 SunTrust Mortgage, Inc. - One-half (1/2) outstanding balance of Mortgage Loan Number 0140526195 on date of death. Date of death principal balance was $39,588.91 19.794.45 TOTAL (Also enter on Line 10, Recapitulation) 21,015.34 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98) \111. SUNTRUST- MORTGAGE SunTrust Mortgage, Inc. Post Office Box 26149 Richmond, VA 23260-6149 Toll Free 1-800-634-7928 www.suntrustmortgage.com March 2, 2006 James D. Bogar Attorney at Law 1 West Main Street Shiremanstown, Pennsylvania 17011 Re: SunTrust Mortgage Loan Number: '0140526195 Dear Mr. Bogar: This letter is in response to your correspondence concerning the above mortgage loan. We appreciate any chance to be of service. As of March 1, 2006 the principal balance was $38,822.28. At the time of Ms. Mott death on November 12, 2005 the principal balance was $39,588.9]. Enclosed is a copy of a payment history for your review. If you have any questions or need further assistance, please call our Customer Service Department at 1-800-634-7928, Monday through Friday from 8:00 a.m. to 6:00 p.m. Eastern Time. ~~erelY, ~~ "e,x,rell Har69 Customer Relations Department Enclosure REV-1513 EX+ (9~O) *' SCHEDULE .J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT NUMBER Mott, Elizabeth Key NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal aistributions, and transfers under Sec. 9116(a)(1.2)] RELATIONSHIP TO DECEDENT Do Not List Trustee(s) I FILE NUMBER 21 ~05-1 074 SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) ESTATE OF I. See attached schedule Total 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 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98) .. SCHEDULE .J BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: Elizabeth Key Mott 095-20-1869 11/12/2005 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship. (Words) ($$$) 1 ~ ~ ~ i \~ ~~' - LAST~LLANDTESTAMENT OF ELIZABETH KEY MOTT I, ELIZABETH KEY MOTT, of the Borough of Shiremanstown, Cumberland County, Pennsylvania, make, publish and declare this as and for my Last will and Testament, hereby revoking all other wills and Codicils heretofore made by me. FIRST: I give and bequeath my household furniture and furnishings, my personal effects, jewelry, and all other tangible personal property, including my automobile, and excluding all cash, bank accounts of whatever nature, certificates of deposit, stock, bonds and other like securities, to BARBARA ANN DOBIE, for her use during her life and as long as she continues to reside at 317 West Green street, Shiremanstown, Cumberland County, Pennsyl- vania. Upon the death of BARBARA ANN DOBIE or upon her no longer continuing to reside at 317 West Green street, Shiremanstown, Cumberland County, Pennsylvania, I give and bequeath my household furniture and furnishings, my personal effects, jewelry, and all other tangible personal property, including my automobile, and excluding all cash, bank accounts of whatever nature, certifi- cates of deposit, stock, bonds and other like securities, in equal shares, to SHELLY MOTT VERBER, my niece, MARIA MOTT SEFEROVICH, my niece, REBECCA MOTT MAGUIRE, my niece, and HOWARD OTIS MOTT, JR., my nephew, provided that should any of these individuals predecease me, I give and bequeath their share under this Clause, to their issue per stirpes by representation, and if there be a failure of same, then I give and bequeath such deceased individual's share to those surviving individuals specifically named in this Clause, in equal shares. It is my wish that said division be done in equal shares as nearly as is possible with said arrangements for division to be handled directly among the individuals named in this Clause. Any items . ~ /~ ~ ~ ~ of personal property so mentioned herein not claimed shall be and become a part of my residuary estate to be disposed of as set forth hereinbelow. BARBARA ANN DOBIE shall not be required to give bond for the safekeeping of any property passing to her under this Clause nor shall she be liable for any loss, damage or destruction of same no matter how it might occur. SECOND: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, in equal shares, to SHELLY MOTT VERBER, MARIA.MOTT SEFEROVICH, REBECCA MOTT MAGUIRE and HOWARD OTIS MOTT, JR., provided that should any of these individuals predecease me, I give and be- queath their share under this Clause SECOND, to their issue per stirpes by representation, and if there be a failure of same, then I give and bequeath such deceased individual's share to those surviving individuals specifically named in this Clause SECOND, in equal shares. THIRD: In addition to all powers granted to them by law and by other provisions of this will, I give the fiduciaries acting hereunder the following powers, applicable to all proper- ty, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it. (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivi- 2 t ~ ~\' . sion, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. (e) To compromise any claim or controversy and to abandon any property which is of little or no value. (D) To invest in all forms of property, including stocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws. (G) To make distributions to my herein named benefici- aries in cash or in kind or partly in each. (H) To borrow money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, to protect or improve any property held under my will, and for investment purposes. (I) To select a mode of payment under any qualified retirement plan (pension plan, profit Sharing plan, employee stock ownership plan, or any other type of qualified plan) to the extent the plan or the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. FOURTH: I direct that all inheritance, estate, transfer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with respect to property passing under this Will, shall be paid out of the principal of my residuary estate. FIFTH: All interests hereunder, whether principal or 3 A I . income, which are undistributed and in the possession of the fiduciaries acting hereunder, even though vested or distribut- able, shall not be subject to attachment, execution or sequestra- tion for any debt, contract, obligation or liability of any beneficiary, and furthermore, shall not be subject to pledge, assignment, conveyance or anticipation. SIXTH: I nominate and appoint BARBARA ANN DOBIE, Executrix of this, my Last Will and Testament. In the event of the death, resignation or inability to serve for any reason whatsoever of the said BARBARA ANN DOBIE, I nominate and appoint JAMES D. BOGAR, of Shiremanstown, Pennsylvania, Executor of this, my Last will and Testament. I direct that my Executrix or Executor, as the case may be, and their successors, shall not be required to post security or a bond for the performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this // ~ day of C?~ , 2000. ~~~~ ELIZABETH KEY OTT (SEAL) Signed, sealed, published and declared by the above- named Testatrix as and for her Last will and Testament in our presence, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. d/~/}6~ {" ~ ~ Q JY;haug/J Address Address 4 ,. Register of Wills, Cumberland County, Pennsylvania INVENTORY , Deceased No. 21-05-1074 Date of Death 11/12/2005 Social Security No. 095-20-1869 Estate of Elizabeth Key Mott also known as Barbara Ann Dobie The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. l!We verify that the statements made in this Inventory are true and correct. l!We understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Attorney: James D. Bogar Personal Representative .:---) _ Signature: ~~ ,J::::J~ Barbara Ann Dobie 1.0. No.: 19475 Signature: Signature: Firm: Bogar & Hipp Law Offices Address: One West Main Street Shiremanstown, PA 17011 Telephone: 717-737-8761 Address: 317 West Green Street Shiremanstown, PA 17011 Telephone: Dated: 3/ ():;;,)O ~ Personal Property Cash.............................................................................................. . Personal Property..... ... ............. ....... ... ...... .... ...... .... .... ..... .... ..... .... S toc ks/L isted . ... . .. ........ ..... ..... .... ... .... . . ..... .. . . ... . . .. ...... .. ............. . ..... Stocks/Closely Held ... ..... ......... ........ ............. .... ...... .......... ....... ..... Bonds........................................ ..................................................... Partnerships and Sole Proprietorships ..................................... Mortgages and Notes Receivable............................................... All Other Property. ........ ...... ............ ......... .................. .............. ..... 5,57~~83 1 ,305~0()~; i (_,.i<) (]i 1....0 Total Personal Property......................................... 6,877.83 Total Real Property................................................ Total Personal and Real Property......................... Total Out-of-State Real Property.......................... Register of Wills, Cumberland County, Pennsylvania INVENTORY state of Elizabeth Key Mott No. 21-05-1074 so known as I Deceased Date of Death 11/12/2005 Social Security No. 095-20-1869 ash Capital BlueCross - Premium Refund 115.60 Commerce Bank - Savings Account No. 616164662, date of death balance $4,901.75, accrued interest $1.48 4.903.23 Hilliard, Lyons, Inc. - Retirement Distribution 500.00 Mid-Atlantic Insurance Group - Insurance Refund 54.00 Total Cash 5.572.83 ersonal Property Personal Property - Value as listed on attached appraisal 1 .305.00 Total Personal Property 1.305.00 :d\t\ona\ sheets if necessary) Total Personal Property and Real Estate 6.877.83