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HomeMy WebLinkAbout03-30-06 ., -.J 15056051058 REV-1500 EX (06-05) PA Department of Revenue '*' Bureau of Individual Taxes . PO BOX 280601 Harrisburg, PA 17128-{)601 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY County Code Year File Number ~ , <0 Ix:; '\J~~ '\ Date of Birth 204-18-1178 11/18/2005 06/03/1925 Decedent's Last Name Suffix Decedent's First Name MI Hutchinson Mary E (If Appncable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Not Applicable Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW (8) 1. Original Return c:) 2. Supplemental Return 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required c::::> 4. Limited Estate c::::> C) 4a. Future Interest Compromise (date of death after 12-12-82) (8) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) C.) 10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received o 8. Total Number of Safe Deposit Boxes C-:J James E. White, VP & TO (717) 731-9604 ",C' , l.c~; .~ Firm Name (If Applicable) Community Trust Company First line of address c:..... 3907 Market Street -T."J Second line of address J..-' or Post Office State ZIP Code DATE FILED Camp Hill PA 17011 Correspondent's e-mail address:jwhite@communitytrustco.com 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. ~~; :E~~L~0;;ILP:l"~~d_d' _Tcvsit2f/;<:'f-- 3i;9/~. 6'_ ~~;_rT1~n~y Tr~~t <:;Cll1'lpanY,T!,:!stee, 3907_Market Street, Camp Hill, PA 17011 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY L 15056051058 Side 1 15056051058 .....J ~ -I 15056052059 REV-1500 EX Decedent's Name: Mary E Hutchinson RECAPITULATION 1. Real estate (Schedule A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1. 2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . .. 3. 4. Mortgages & Notes Receivable (Schedule D). . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . 6. Jointly Owned Property (Schedule F) Separate Billing Requested . . 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) c::::J Separate Billing Requested.. . . . . .. 7. 8. Total Gross Assets (total Lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8. 9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . .. 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I). . . . . . . . . . . . . . . . 10. 11. Total Deductions (total Lines 9 & 10).. ... ...... . ................ . .. ... . 11. 12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) . . . . . . . . . . . . . . . . . . . . . . . . 14. TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0 45 190,116.38 16. Amount of Line 14 taxable at lineal rate X.O_ 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 15. 16. 17. 18. 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT L 15056052059 Side 2 204-18-1178 Decedent's Social Security Number 5. 0.00 0.00 0.00 0.00 0.00 0.00 196,879.87 196,879.87 6,763.49 0.00 6,763.49 190,116.38 0.00 190,116.38 8,555.23 8,555.23 15056052059 ---I REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME M~I't__ E Hutchinson STREET ADDRESS West Shore Health and Rehabilitation Center DECEDENT'S SOCIAL SECURITY NUMBER 204-18-1178 ----- -- -----.- 770 Poplar Church Road CITY Camp Hill STATE PA ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 8,555.23 3. InteresUPenalty if applicable D. Interest E. Penally Total Credits ( A + B + C ) (2) TotallnteresUPenally ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5) (5A) (5B) 8,555.23 A. Enter the interest on the tax due. 8,555.23 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;.......................................................................................... 00 0 b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 00 c. retain a reversionary interest; or.......................................................................................................................... 0 00 d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 00 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. 0 [i] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 00 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ 0 00 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. ~9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. ~9116 (a) (1.1) (ii)). The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only 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 zero (0) percent [72 P.S. ~9116(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 four and one-half (4.5) percent, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)). The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. ~9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. !. THE HUTCHINSON FAMILY TRUST THIS TRUST AGREEMENT is executed in triplicate on this Y' q:. day of September, 1998, by and between MARY E. HUTCHINSON, now of 1112 Bellevue Avenue, Laureldale, a resident of Berks County, Pennsylvania (hereinafter called "Settlor") and PENNSYLVANIA FIDUCIARY AND ESTATE SERVICES, INC., now of 1013 Mumma Road, Suite 202, Lemoyne, Cumberland County, Pennsylvania (hereinafter called "Trustee") . ARTICLE I. TRUST ESTATE 1.01. Initial Principal. Settlor, desiring to establish an irrevocable trust, does hereby irrevocably transfer, assign and deliver to the Trustee and its successors, and assigns the assets listed on Schedule A, attached hereto and made a part hereof. As further evidence of such assignment, the Settlor has executed or will execute or cause to be executed such other instruments as may be required for the purposes of completing the assignment or transfer of title to such property to the Trustee. The Trustee accepts such transfer and assignment to itself as Trustee, and undertakes to hold, manage, invest and reinvest the assets of this Trust, and to distribute the income and principal of the Trust in accordance with the provisions of this Agreement. 1.02. Additional Principal. The Settlor and any other person or persons, with the consent of the Trustee, shall have the right at any time to make additions to the corpus of this Trust or any share thereof hereby established. All such additions shall be held, governed, and distributed by the Trustee in accordance with the terms and conditions of this Agreement. The Trustee, in its sole discretion, may require, as a prerequisite to accepting property, that the transferring party provide evidence satisfactory to the Trustee that (i) the property is not contaminated by any hazardous or toxic materials or substances; and (ii) the property is not being used and has never been used for any activities directly or indirectly involving the generation, use, treatment, storage, disposal, release or discharge of any hazardous or toxic materials or substances. 1.03 Disclaimer. The Trustee shall have the right to disclaim, in whole or in part, prior to its acceptance by the Trustee, any interests in property for any reason, including but not limited to a concern that such property could cause potential liability under any federal, state, or local environmental law. ARTICLE II. IRREVOCABILITY OF TRUST 2.01. Irrevocabilitv. Settlor has been advised of the consequences of an irrevocable trust and hereby declares that this Trust shall be irrevocable and shall not be altered, amended, revoked, or terminated by Settlor or any other person or persons. ARTICLE III. LIFE INSURANCE POLICIES 3.01. General Provisions. If any insurance policies are transferred into this Trust, the Trustee shall be vested with all right, title, and interest in and to the transferred policies of insurance, and is authorized and empowered to exercise and enjoy, for the purposes of the Trust herein created and as absolute owner of such policies of insurance, all the options, benefits, rights and privileges under such policies, including the right to borrow upon and to pledge them for a loan or loans. The Trustee takes all rights, title, and interest in and to the above stated insurance policies subject to any prior split-dollar life insurance agreement and assignments, which may be in effect at the time of transfer. The insurance companies which have issued policies are hereby authorized and directed to recognize the Trustee as absolute owner of such policies of insurance and as fully entitled to all options, rights, privileges, and interests under such policies, and any receipts, releases, and. other instruments executed by the Trustee in connection with such policies shall be binding upon all persons interested in this Trust. The Settlor hereby relinquishes all rights, title, interest and powers in such policies of insurance which Settlor may own and which rights, title, interest and powers are not assignable, and will, at the request of the Trustee, execute all other instruments reasonably required to effectuate this relinquishment. 3.02. Payment of Premiums. The Trustee shall be under no obligation to pay the premiums which may become due and payable under the provisions of any policy of insurance which may be transferred or assigned to this Trust, or to make certain that such premiums are paid by the transferor of such policy, or to notify any persons of the nonpayment of such premiums, and the Trustee shall be under no responsibility or liability of any kind in case such premiums are not paid, except the Trustee shall apply any dividends received on such policies to the payment of premiums thereon. Upon notice at any time during the continuance of this Trust that the premiums due upon such policies are in default, or that premiums which will become due will not be paid, either by the transferor or by any other person, the Trustee, within its sole discretion, may apply any cash values attributable to such policy to the purchase of paid-up insurance or of extended insurance, or may borrow upon such policy for the payment of premiums due thereon, or may accept the cash values of such policy upon the policy's forfeiture. In the event that the Trustee receives the cash value of such policy upon its forfeiture for nonpayment of premiums, the amount received shall be added to the corpus of this Trust, and shall be administered according to the terms of this Agreement. If the insured under such policies of insurance, becomes totally and permanently disabled within the meaning of any policies and because thereof the payment of premiums, or any of them, shall during the pendency of such disability, be waived, the Trustee, upon receipt of such knowledge, shall promptly notify the 2 I' insurance company which has issued such policies, and shall take any and all steps necessary to make such waiver of premium provision effective. 3.03 . Duties of Trustee With Reqard to Life Insurance Policies. The Trustee shall be under no obligation or duty whatever except with respect to the safekeeping of such policies of insurance and the duty to receive such sums as may be paid to them, in accordance with the requirements of this Trust, by the companies issuing such policies, and to hold, manage and disburse such proceeds subject to the terms of this Agreement. Upon the death of the insured, the Trustee shall make reasonable efforts to carry out the provisions of this Agreement, including the maintenance or defense of any suit, provided, however, the Trustee shall be under no duty to maintainor enter into any litigation unless its expenses, including counsel fees and costs, have been advanced or guaranteed in an amount and in a manner reasonably satisfactory to the Trustee. The Trustee may repay any advances made by it or reimburse itself for any such fees and costs from any corpus or income of this Trust. ARTICLE IV. TRUST DISTRIBUTIONS 4.01. Trust Principal. The entire corpus of this Trust, including the assets initially transferred to this Trust, subsequent additions to this Trust, and the proceeds of any sale, exchange or investment of such Trust assets, shall be used for the purposes herein contained. 4.02. Income Distribution. During the Settlor's lifetime, the Trustee shall distribute all of the net income of the trust to, or for the benefit of the Settlor, MARY E. HUTCHINSON. The Trustee shall make no distributions of principal to MARY E. HUTCHINSON. 4.03. Principal Distributions. Upon the death of the Settlor, MARY E. HUTCHINSON, the Trust shall terminate. Upon termination of the Trust, the remaining Trust estate shall be divided into the following shares and amounts for distribution to each of the following named individuals, with the provision that if any of the named individuals predecease the termination of this Trust, the predeceased individual's share shall be distributed, unless otherwise stated, equally to the predeceased individual's issue, per stirpes, provided that if any named individual predeceases the termination of this Trust without leaving issue, then such predeceased individual's share shall be distributed equally to the surviving named individuals, per stirpes, according to the terms and conditions for each individual: (A) One-third (1/3) of distributed to the Settlor's stirpes. the son, Trust estate shall JOHN N. HUTCHINSON, be per (B) One-third (1/3) of the Trust estate shall be distributed to the Settlor's son, JEFFREY S. HUTCHINSON, per stirpes, provided that if JEFFREY S. HUTCHINSON is in the 3 process of obtaining a divorce or is otherwise separated from his wife, then this share shall be held IN FURTHER SEPARATE TRUST for his benefit, according to the following terms and conditions: (I) The Trustee may pay any and all income and/or principal of this separate trust to JEFFREY S. HUTCHINSON for his health, education, support, and maintenance, at the Trustee's discretion. (2) The Trustee may, at Trustee's sole discretion, payor assist in the payment of legal fees for JEFFREY S. HUTCHINSON but shall in no event pay the legal fees or assist in the payment of legal fees for any estranged spouse of JEFFREY S. HUTCHINSON. (3) This separate Trust shall terminate upon any of the following: (a) the death of JEFFREY S. HUTCHINSON; (b) the death of the estranged spouse of JEFFREY S. HUTCHINSON; (c) a final decree in divorce; or (d) a receipt by the Trustee of a written release of claim to Trust assets by the spouse of JEFFREY S. HUTCHINSON. Upon termination, the remaining Trust assets shall be distributed to JEFFREY S. HUTCHINSON, per stirpes, provided that if JEFFREY S. HUTCHINSON is survived by children, that the money be held by the Trustee of this Trust until they obtain the age of majority. (C) One-third (I/3) of the remaining Trust estate shall be held IN FURTHER TRUST by the current or successor Trustee of this Trust for the benefit of the children of Settlor's son, JAMES D. HUTCHINSON, for the following purposes: (I) To pay any part or all of the income and/or principal to, or for the benefit of, the children of JAMES D. HUTCHINSON, or to accumulate any part or all of the income or principal, which in the sole discretion of the Trustee, is determined to be reasonably necessary for the needs of each child of JAMES D. ~U~CH!NSON, for ,~oalth, education, support and maintenance. Any income not so paid shall be added to the principal of the Trust. To the extent possible, all payments of principal or income shall be paid dir~ctly to the third- party for the benefit of the Beneficiary rather than directly to the Beneficiary. (2) Upon the eldest child obtaining the age of thirty (3D) years, the Trust shall be divided into separate and equal shares, with one share for each then-surviving child of JAMES D. HUTCHINSON. The Trustee shall distribute to, or for the benefit of, each child of JAMES D. HUTCHINSON, upon his 4 attaining the age of thirty (30) years, the principal and accumulated income of his separate Trust at that time. If any child of JAMES D. HUTCHINSON predeceases this distribution, his share shall be distributed to. the issue of such predeceased child, per stirpes. If any child of JAMES D. HUTCHINSON predeceases this distribution without issue, his share shall be distributed to the surviving children of JAMES D. HUTCHINSON, with the provision that any such distribution shall be made to such surviving children's separate trust under this instrument, if such trust is then in existence. 4.04. General Power of Appointment. Settlor's children, JOHN N. HUTCHINSON and JEFFREY S. HUTCHINSON, or the survivor of them, are hereby jointly granted the general power to appoint some or all of the principal of this Trust to themselves and/or their estates, in such proportions and upon such terms (in trust, outright gifts, or in any other manner) as they jointly deem advisable. This power shall not be exercisable under either of their separate Wills and may only be exercised by written request to the Trustee. If Settlor's children fail, either in whole or in part, to exercise this general power of appointment herein granted, the unappointed principal shall continue in trust and shall be administered according to the terms of this Trust. Upon the death, resignation, removal or incapacity of either JOHN N. HUTCHINSON or JEFFREY S. HUTCHINSON, then the survivor of them shall exercise the general power of appointment under the terms and conditions of this provision. 4.05. Broad Special Power of Appointment. MARY E. HUTCHINSON is are hereby granted the special power to appoint, at any time and from time to time, the principal of this Trust, in whole or in part, and in any manner and in such proportions as she deems advisable to whomever she desires. This power shall be exercisable by her Will, specifically referring to this special power of appointment in this paragraph 4.05 of this Trust. This special power of appointment does not grant to MARY E. HUTCHINSON the power to appoint the principal of this trust to herself, her estate, her creditors, or the creditors of her estate. If MARY E. HUTCHINSON fails, either in whole or in part, to exercise this special power. of appointment herein granted, the unappointed principal shall continue in trust and shall be administered according to the terms of this trust. ARTICLE V. POWERS OF TRUSTEE 5.01. Manaqement of the Trust. (A) have the purchase, assets. Settlor's power to direct investments. Settlor shall power in a fiduciary capacity to direct the Trustee to sell, exchange, or otherwise acquire or dispose of In the case of a variable life insurance or annuity 5 policy, Settlor shall have the power in a fiduciary capacity to direct the investment of the cash value of the policy among the investment fund options provided in the policy. During the Settlor's lifetime, the Trustee shall not exercise any of the Trustee's powers over these matters without receiving written directions from the Settlor. Notwithstanding the Settlor's authority or the Trustee's limitations, contained in this section, if the Trustee, in the exercise of its fiduciary. duties, is required (1) to make a discretionary or non-discretionary distribution to a trust beneficiary, (2) to pay trustee's fees, (3) to pay any taxes relating to the trust, or (4) to pay any other costs or disbursements relating to the trust, the Trustee shall provide the Settlor written notice of such payment and an estimate of the liquidity requirements, and the Settlor shall have fifteen (15) calendar days (from the mailing of the notice) to advise the Trustee which trust assets to liquidate in order to make the payment and meet the liquidity requirements. If the Settlor does not provide the advice to the Trustee within the fifteen (15) day period, then the Trustee is authorized to liquidate those trust assets which it deems appropriate to meet the liquidity requirements based on the Uniform Prudent Investor Act contained in section 5.01 (B) . During the Settlor's lifetime and unless the foregoing powers have been relinquished, the Trustee shall have no duty to review investments or to suggest investments and shall not be liable to any beneficiary of this trust or any heir of the Settlor for losses resulting from such investments or from failure to make investments while the Settlor retains these powers. Settlor may release his power to control trust investments by written instrument delivered to the Trustee and may reassume the power at any time be written instrument delivered to the Trustee. If Settlor dies or the Trustee received certificates of two state licensed physicians that Settlor cannot exercise any of these powers, Settlor shall be deemed to have released the powers and the Trustee shall have full power to take any such action. Settlor shall be deemed to have reassumed the powers if the Trustee receives certificates from two licensed physicians that Settlor has recovered the ability to exercise the powers. Settlor acting under this clause shall be deemed to have waived the doctor-patient privilege to the extent necessary to implement this clause. Any person may transact business with the Trustee without inquiring whether the Settlor has directed the action and without inquiring whether the Settlor has relinquished or become unable to exercise the power. (B) Incorporation of Unifonn Prudent Investor Act. The Trustee shall be subject to the Uniform Prudent Investor Act (the "UPIA" ) as if the UPIA had been enacted in the Commonwealth of pennsyl vania in the form promulgated by the Commission on the Uniform State Laws in its exercise if any power to manage and invest the assets of the trust. 6 The Settlor desires that the Trustee, consistent with the standards of the UPIA, continuously assess the appropriate investment risk tolerance of the trust beneficiaries, and then invest the trust assets seeking the maximum total return at that level of risk. The Settlor believes, consistent with modern portfolio theory, that the trust total investment return will be determined primarily by the trust's asset allocation; not market timing or active management in security selection. The Settlor believes that the trust should diversify its investments with regard to assets classes and individual securities to avoid uncompensated risk. The Settlor does not intend to prohibit the Trustee from engaging in active management of trust assets where the Trustee reasonable believes active management can aid in achieving the desired balance between risk and return. (C) Creation of Investment Policy Statement. The Settlor directs that any Trustee other than the Settlor, in managing and investing the assets of the trust estate, establish, in writing, an appropriate investment policy statement. The investment policy statement shall be reviewed and updated at least annually. (D) Emplovment of Investment Counsel. The Trustee may retain professional investment counsel of the Trustee's choice; provided, however, a counsel so selected shall be either registered as an investment adviser with the U.S. Securities and Exchange Commission or a state chartered or national bank with fiduciary powers. If investment counsel is retained, the Trustee shall abide by the counsel's decision but shall not be held liable or otherwise surcharged for losses directly attributable to investments made on the investment counsel's advise. While the Trustee retains investment counsel, the Trustee shall not be required to review trust investments or take action on trust investments unless the Trustee receives written instructions from investment counsel. The Trustee shall have the power exercisable in the Trustee's discretion to discharge such investment counsel and to employ other counselor to administer the trust without such counsel. Consistent with the standards of the UPIA, the Trustee shall have the responsibility to prudently select any investment counsel, to periodically review the performance of any investment counsel and to take appropriate action if apprised of facts clearly indicating that counsel is not performing competently. (E) Nonliabilitv of Settlor for Directed Investments. The Settlor shall not be liable to any beneficiary or to any heir for the Settlor's acts or failure to act, except for willful misconduct or gross negligence, in directing the investments of the trust. 5.02. General Powers. In addition to such other powers and duties as may have been granted elsewhere in this Trust, but subject to any limitations contained elsewhere in this Trust, the Trustee shall have the following powers and duties: 7 A. In the management, care and disposition of this Trust, the Trustee shall have the power to do all things and to execute such deeds, instruments, and other documents as may be deemed necessary and proper, including the following powers, all of which may be exercised without order of or report to any court: (1) To sell, exchange, or otherwise dispose of any property, real, personal or mixed, wheresoever located, at any time held or acquired hereunder, at public or private sale, for cash or on terms as may be determined by the Trustee, without advertisement, including the right to lease for any tenn notwithstanding the period of the Trust, and to grant options, including an option for a period beyond the duration of the Trust. (2) To invest and reinvest all or any part of the Trust Estate in any common or preferred stocks, shares of investment trusts and investment companies, bonds, debentures, mortgages, deeds of trust, mortgage participations, notes, real estate, or other property the Trustee, in the Trustee's discretion, selects; provided that the Trustee may not invest in any stock or securities issued by the corporate Trustee or issued by a parent or affiliate company of such Trustee; in the manner that, under the circumstances then prevailing (specifically including, but not limited to, the general economic conditions and the anticipated needs of the Trust and its benefiCiaries), persons of skill, prudence, and diligence, acting in a similar capacity and familiar with those matters would use in the conduct of an enterprise of similar character and similar aims, to attain the Settlor's goals under this trust agreement. (3) To retain for investment any property deposited with the Trustee hereunder. (4) To vote in person or by proxy any corporate stock or other security and to agree to or take any other action in regard to any reorganization, merger, consolidation, liquidation, bankruptcy or other procedure or proceedings affecting any stock, bond, note or other security held by this Trust. (5) To use lawyers, real estate brokers, accountants and any other agents, if such employment is deemed necessary or desirable, and to pay reasonable compensation for their services. (6) To compromise, settle or adjust any claim or demand by or against the Trust and to agree to any rescission or modification of any contact or agreement affecting the Trust. (7) To renew any indebtedness, as well as to borrow money, and to secure the same by mortgaging, pledging or 8 conveying any property of the Trust, including the power to borrow from the Trustee (in the Trustee's individual capacity) at a reasonable rate of interest. (8) To retain any business interest transferred to the trustee, as shareholder, security holder, creditor, partner or otherwise, for any period of time whatsoever, even though the interest may constitute all or a large portion of the trust principal; to comply with the provisions of any agreement restricting transfer of the interest; to participate in the conduct of the related business or rely upon others to do so, and to take or delegate to others discretionary power to take any action with respect to its management and affairs which an individual could take as outright owner of the business or the business interest, including the voting of stock (by separate trust or otherwise regardless of whether that separate trust will extend for a term within or beyond the term of the trust) and the determination of all questions of policy; to execute and amend partnership agreements; to participate in any incorporation, reorganization, merger, consolidation, sale of assets, recapitalization, liquidation or dissolution of the business, or any change in its nature, or in any buy- sell, stock restriction, or stock redemption agreements; to invest in additional stock or securities of, or make secured, unsecured, or subordinated loans to, the business with trust funds; to take all appropriate actions to prevent, identify, or respond to actual or threatened violations of any environmental law or regulation thereunder; to elect or employ with compensation, as directors, officers, employees, or agents of the business, any persons, including a trustee of any trust held under this instrument, or any director, officer, employee, or agent of a corporate trustee of any trust held under this instrument, without adversely affecting the compensation to which that trustee would otherwise be entitled; to rely upon reports of certified public accountants as to the operations and financial condi tion of the business, without independent investigation; to deal with and act for the business in any capacity (including in the case of a corporate trustee any banking or trust capacity and the loaning of money out of the trustee's own funds) and to be compensated therefor; and to sell or liquidate the business or any interest in the business. (9) To register any stock, bond or other security in the name of a nominee, without the addition of words indicating that such security is held in a fiduciary capacity, but accurate records shall be maintained Showing that the stock, bond or other security is a trust asset and the Trustee shall be responsible for the acts of the nominee. 9 (10) To set aside as a separate trust, to be held and administered upon the same terms as those governing the remaining trust property, any interests in property, for any reason, including but not limited to a concern that such property could cause potential liability under any federal, state, or local environmental law. B. Whenever the Trustee is directed to distribute any trust principal in fee simple to a person who is then under twenty-one (21) years of age, the Trustee shall be authorized to hold such property in trust for such person until he becomes twenty-one (21) years of age, and in the meantime shall use such part of the income and the principal of the trust as the Trustee may deem necessary to provide for the proper support and education of such person in the standard of living to which he has become accustomed. If such person should die before becoming twenty-one (21) years of age, the property then remaining in trust shall be distributed to the personal representative of such person's estate. c. In making distributions from the Trust to or for the benefit of any minor or.other person under a legal disability, the Trustee need not require the appointment of a guardian, but shall be authorized to payor deliver the distribution to the custodian of such person, to payor deliver the distribution to such person wi thout the intervention of a guardian, to payor deliver the distribution to the legal guardian of such person if a guardian has already been appointed, or to use the distribution for the benefit of such person. D. In the distribution of the Trust and any division into separate trusts and shares, the Trustee shall be authorized to make the distribution and division in money or in kind or in both, regardless of the basis for income tax purposes of any property distributed or divided in kind, and the distribution and division made and the values established by the Trustee shall be binding and conclusive on all persons taking hereunder. The Trustee may in making such distribution or division allot undivided interests in the same property to several trusts or shares. E. If at any time after Settlor's death the total fair market value of the assets of any trust established or to be established hereunder is so small that the corporate Trustee's annual fee for administering the trust would be equal to or less that the minimum annual fee set forth in the Trustee's regularly published fee schedule, then the Trustee in its discretion shall be authorized to terminate such trust or to decide not to establish such trust, and in such event the property then held in or to be distributed to such trust shall be distributed to the persons who are then or would be entitled to the income of such trust. If the amount of income to be received by such persons is to be determined in the discretion of the Trustee, then the Trustee shall distribute the property among such of the persons to whom the Trustee is authorized to distribute income, and in such proportions, as the Trustee in its discretion shall determine. 10 F. The Trustee shall have discretion to determine whether items should be charged or credited to income or principal or allocated between income and principal as the Trustee may deem equitable and fair under all the circumstances, including the power to amortize or fail to amortize any part or all of any premium or discount, to.treat any part or all of the profit resulting from the maturity or sale of any asset, whether purchased at a premium or at a discount, as income or principal or apportion the same between income and principal, to apportion the sales price of any asset between income and principal, to treat any dividend or other distribution on any investment as income or principal or to apportion the same between income or principal, to charge any expense against income or principal or apportion the same, and to provide or fail to provide a reasonable reserve against depreciation or obsolescence on any asset subject to depreciation or obsolescence, all as the Trustee may reasonably deem equitable and just under all of the circumstances. 5.03. Votinq bv Trustee. When the authority and power under this Trust is vested in two (2) or more Trustees or Co- Trustees, the authority and powers are to be jointly by the Trustees or Co-Trustees. A majority of the Trustees or Co-Trustees may exercise any authority or power granted under this Trust Agreement or granted by law, and may act on behalf of the Trust. Any attempt by one such Trustee to act for the Trust on other than ministerial acts shall be void. The action of one such Trustee on behalf of the Trust may be (but need not be) validated by a subsequent ratification of the act by a majority of the Trustees or Co-Trustees. 5.04. Trustees Power to Deal with Environmental Hazards. The Trustee shall have the power to use and expend the trust income and principal to (i) conduct environmental assessments, audits, and site monitoring to determine compliance with any environmental law or regulation thereunder; (ii) take all appropriate remedial action to contain, clean up or remove any environmental hazard including a spill, release, discharge or contamination, either on its own accord or in response to an actual or threatened violation of any environmental law or regulation thereunder; (iii) institute legal proceedings concerning environmental hazards or contest or settle legal proceedings brought by any local, state, or federal agency concerned with environmental compliance, or by a private litigant; (iv) comply with any local, state or federal agency order or court order directing an assessment, abatement or cleanup of any environmental hazards; and (v) employ agents, consultants and legal counsel to assist or perform the above undertakings or actions. Any expenses incurred by the trustee under this paragraph may be charged against income or principal as the trustee shall determine. ARTICLE VI. SPENDTHRIFT PROVISION 6.0~. General Provision. No beneficiary shall have the power to anticipate, encumber or transfer his interest in the Trust Estate in any manner other than by the valid exercise of a Power of Appointment. No part of the Trust Estate shall be liable for or 11 charged with any debts, contracts, liabilities or torts of a beneficiary or subject to seizure or other process by any creditor of a beneficiary. ARTICLE VII. CONSTRUCTION OF TRUST 7.01. Choice of Law. This Trust shall be administered and interpreted in accordance with the laws of the Connnonwealth of Pennsylvania. 7.02. Code. Unless otherwise stated, all references in this Trust to section and chapter numbers are to those of the Internal Revenue Code of 1986, as amended, or corresponding provisions of any subsequent federal tax laws applicable to this Trust. 7.03. Other Tenns. Unless the context otherwise requires, the use of one or more genders in the text includes all other genders, and the use of either the singular or the plural in the text includes both the singular and the plural. 7.04. Captions. The captions set forth in this Agreement at the beginning of the various divisions hereof are for convenience of reference only and shall not be deemed to define or limit the provisions hereof or to affect in any way their construction and application. 7.05. Si tus of Trust. The Trust shall have its legal situs in Cumberland County, Pennsylvania. ARTICLE VIII. COMPENSATION OF TRUSTEE AND APPOINTMENT OF SUCCESSOR TRUSTEE 8.01. Compensation. The Trustee shall receive as its compensation for the services performed hereunder that sum of money, based on an hourly charge or percentage rate, which the Trustee normally and customarily charges for performing similar services during the time which it performs these services. 8.02. Removal of Trustee. Settlor may remove the Trustee, at any time or times, with or without cause, upon thirty (30) days written notice given to the current Trustee. Upon the death of the Set tlor , a rnaj ori ty . of the current beneficiaries may remove the Trustee, at any time or times, with or without cause, upon thirty (30) days written notice given to the Trustee. Upon the removal of the Trustee, a successor Trustee shall be appointed in accordance with the terms set forth in Paragraph 8.03. 8.03. Appointment of Successor Trustee. The Trustee may resign at any time upon thirty (30) days written notice given to the Settlor if Settlor is living, or in the event of Settlor's death, upon thirty (30) days written notice given to the current beneficiary or beneficiaries (including a beneficiary's natural or legal guardian or legal representative), hereunder. Upon the 12 death, resignation, removal or incapacity of the Trustee, a successor trustee may be appointed by the Settlor during Settlor's lifetime, or, after Settlor's death, by a majority of the current income beneficiaries. Any successor trustee thus appointed, or, if the Trustee shall merge with or be consolidated with another corporate "fiduciary, then such corporate fiduciary, shall Succeed to all the duties and to all the powers, including discretionary powers, herein granted to the Trustee. 8.04 Exoneration of Trustee. No Trustee shall be liable for any loss or depreciation in value sustained by the Trust as a result of the Trustee retaining any property upon which there is later discovered to by hazardous materials or substances requiring remedial action pursuant to any federal, state, or local environmental law, unless the Trustee contributed to the loss or depreciation in value through willful default, willful misconduct, or gross negligence. 8.05 Indemnification of Trustee Upon Distribution. Notwithstanding any contrary provision in this Trust Agreement, the Trustee may withhold .a distribution to a beneficiary until receiving from the beneficiary an indemnification an agreement in which the beneficiary agrees to indemnify the Trustee against any claims filed against the Trustee as an "owner" or "operator" under the Comprehensive Environmental Response, Compensation and Liability Act of 1980, as from time to time amended, or any regulation thereunder. ARTICLE IX. PERPETUITIES CLAUSE 9.01. General Provision. Notwithstanding anything to the contrary in this Trust, each disposition I have made here, legal or equitable, to the extent it can be referred in its postponement of becoming a vested interest to a duration measured by some life or lives in being at the time of my death is definitely to vest in interest, although not necessarily in possession, not later that twenty-one (21) years after such lives (and any period of gestation involved); or, to the extent it cannot be referred in any such postponement to such lives, is to so vest not later than twenty-one (21) years from the time of my death. ARTICLE X. ACQUISITION OF UNITED STATES TREASURY BONDS ELIGIBLE FOR TAX PAYMENT; PAYMENT OF TAXES, FUNERAL EXPENSES, AND EXPENSES OF ADMINISTRATION 10.01. Acauisi tioD of Bonds. The Trustee may, at any time, without the prior approval or direction of the Settlor and whether or not the Settlor is able to manage Settlor's own affairs, acquire United States Treasury Bonds selling at a discount, which bonds are redeemable at their par value plus accrued interest thereon for the purposes of applying the proceeds to the paYment of the United States estate tax on the Settlor's estate; and the Trustee may borrow from any lender, including itself, with or without security, to so acquire these bonds. 13 10.02. Payment of United States Estate Tax bv Bond Redemption. The Settlor directs that any United States Treasury Bonds which may be redeemed at their par value plus accrued interest thereon for the purpose of applying the proceeds to the payment of the United-States estate tax imposed on the Settlor's estate, and which are held by the Trustee, shall, to the extent of the amount determined to be required for payment of the estate tax, be distributed to the legal representative of the Settlor's estate to be used by the legal representative ahead of any other assets and to the fullest extent possible to pay the estate tax. 10.03. Payment of Death Taxes and Other Estate Settlement Costs. After the Trustee has complied with paragraph 10.02, above, and ascertained from the legal representative that all such bonds have been redeemed in payment of the United States estate tax, the Trustee shall also ascertain from the legal representative whether the legal representative has sufficient assets to pay the remaining legacy, succession, inheritance, transfer, estate and other death taxes or duties (except the additional estate tax imposed by Section 2032 (c), or corresponding provisions of the Internal Revenue Code of 1986 applicable to the Settlor's estate and imposing the tax) levied or assessed against the Settlor's estate (including all interest and penalties thereon), all of which taxes, interest and penalties are hereafter referred to as the death taxes, interest and penalties. If the legal representative advises the Trustee that insufficient funds exist to pay all the death taxes, interest and penalties, the Trustee shall then pay to the legal representative from the trust property, an amount equal to all the death taxes, interest and penalties in excess of the funds available to the legal representative for this purposes, which payments are to be made without apportionment. In making the payments, the Trustee shall use only those assets or their proceeds which are includable in the Settlor's gross estate for purposes of the United States estate tax and shall not impair the marital portion without first exhausting the entire non-marital portion. If the Executor of the Settlor's estate, in such Executor's sole discretion, shall determine that appropriate assets of Settlor's estate are not available in sufficient amount to pay (1) the Settlor's funeral expenses, and (2) expenses of administering the Settlor's estate, the Trustee shall, upon the request of the Executor of the Settlor's estate, contribute from the principal of the trust estate the amount of such deficiency; and in connection with any such action the Trustee shall rely upon the written statement of the Executor of the Settlor's estate as to the validity and correctness of the amounts of any such expenses, and shall furnish funds to such Executor so as to enable such Executor to discharge the same, or to discharge any part of all thereof itself by making payment directly to the person entitled or claiming to be entitled to receive payment thereof. No consideration need be required by the Trustee from the Executor of Settlor's estate for any disbursement made by the Trustee pursuant hereto, nor shall there be any obligation upon such Executor to repay to the Trustee any of the funds disbursed by it hereunder, and all amounts disbursed by the Trustee pursuant to the authority 14 hereby conferred upon it shall be disbursed without any right in or duty upon the Trustee to seek or obtain contribution or reimbursement from any person or property on account of such paYment. The Trustee shall not be responsible for the application of any funds. delivered by it to the Executor of the Settlor's estate pursuant to the authority herein granted, nor shall the Trustee be subject to liability to any beneficiary hereunder on account of any paYment made by it pursuant to the provisions hereof. the Settlor and Trustee have hereunto set of the day and year first above written. ~;').4.r~OR (SEAL) { uVL---- COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND On this, the ~day of September, 1998, before me, a Notary Public, the undersigned officer, personally appeared MARY E. HUTCHINSON, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Trust Agreement, and acknowledged that she executed the same for the purposes therein contained. SS: IN WITNESS WHEREOF, I have set my hand and official Seal. ~11~;(, ~.1~ UkA~ ~ary Public Mr- CUllllll.i"'i:>..i.on Exp:t-res-: Notaric:l Seal I Janet C. Nacleno. f\!otarv Public I Lemoyne Bora, Cumteriand County , My Comr,lission Expire!:: April' 9. : ,..~CJ I . {'.:2fr...;.:;r. i-(;~ns."':Vc~;a.~-:;:"=-.'~~7-~_: ~~l The foregoing Trust Agreement was delivered, and is hereby accepted, at Lemoyne, Pennsylvania, on September //~ 1998. ATTEST: ~#I/~ PENNSYLVANIA FIDUCIARY AND SERVICES, INC., TRUSTEE ~~/LlAu/ I RLY -~LER, S IOR VICE-PRESIDENT AND TRUST MANAGER 15 SCHEDULE HAlf SCHEDULE REFERRED TO IN THE ANNEXED TRUST AGREEMENT DATED: SEPTEMBER ~, 1998 FROM MARY E. HUTCHINSON, SETTLOR TO PENNSYLVANIA FIDUCIARY AND ESTATE SERVICES, INC., TRUSTEE ----------------------------------------------------------------- PROPERTY DESCRIPTION: 16 REV-1502 EX+ (6-9. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF Mary E. Hutchinson All real property owned solely or as a tenant In common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neRher being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which Is jointly-owned with right of survivorship must be disclosed on Schedule F. FILE NUMBER ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 0.00 REV-1503 EX+ (6-98* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF Mary E. Hutchinson FILE NUMBER All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 0.00 REV-1504 EX+ (6-9S* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE C CLOSELY-HELD CORPORATION, PARTNERSHIP OR SOLE-PROPRIETORSHIP ESTATE OF Mary E. Hutchinson Schedule C-1 or C-2 (including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships. FILE NUMBER ITEM NUMBER NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH TOTAL (Also enter on line 3, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 0.00 . ' , REV-1507 EX+ (6-98) '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE D MORTGAGES & NOTES RECEIVABLE ESTATE OF Mary E. Hutchinson FILE NUMBER All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH TOTAL (Also enter on line 4, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 0.00 . ' , REV-150B EX+ (6-9B) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Mary E. Hutchinson FILE NUMBER Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed. insert additional sheets of the same size) 0.00 . ~ REV-1509 EX+ (6-9S. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF Mary E. Hutchinson FILE NUMBER If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. 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 NUMBER OR SIMILAR DATE OF DEATH DECD'S VAlUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. . TOTAL (Also enter on line 6, Recapitulation) $ 0.00 (If more space is needed, insert additional sheets of the same size) . t , REV-1510 EX+ (6-98* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF Mary E. Hutchinson 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. FILE NUMBER DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER. ATTACH A COpy OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1. Hutchinson Family Irrevocable Trust at Community Trust Company that contained the following assets: A. American Skandia Annuity # 000276824 41,323.13 100 41,323.13 B. American Skandia Annuity # 000276826 11,931.02 100 11,931.02 C. ING I Golden Select Variable Annuity # 0054704X 143,498.68 100 143,498.68 D. Federated Government Obligations Fund # 395 126.95 100 126.95 E. Accrued Interest on Item D above 0.09 0.09 TOTAL (Also enter on line 7 Recapitulation) $ 196,879.87 (If more space is needed, insert additional sheets of the same size) . . RPFlLE3C #4.01 Account: 2100222 HUTCHINSON FAMILY IRREV TR CUSIP Asset Number Type Asset Name 990276824 740 AMERICAN SKANDIA ANNUITY #000276824 ANNUITY #000276824 740 AMERICAN SKANDIA ANNUITY #000276826 ANNUITY #000276826 740 ING/GOLDEN SELECT ES II VARIABLE ANNUITY #0054740X 990276826 99G54740X Trust Holdings Ledger COMMUNITY TRUST COMPANY Trust Type: 210 Rate or Yield 0.00000000 0.00000000 0.00000000 Report backdated to 11/18/05 Income and Principal Cash are invested in FEDERATED GOV'T OBLIGATIONS FD #395 126.95 Total Cash 3.000000 Total Units 3 tax lot(s) printed on 03/27/06 at 09:49 by JEW from f:\tnet\ Opened: 09/08/98 Maturity Date Separate I/P Tax Lot Book Units Value 1.000000 1. 000000 1.000000 Investment Balance Income Cash Balance Principal Cash Balance Total Assets 32,491.97 7,723.48 143,123.42 183,338.87 126.95 0.00 183,465.82 TNET vl.98 PAGE 1 03/27/2006 Officer: 04 Market Value 41,323.13 11 ,931. 02 143,498.68 196,752.83 126.95 0.00 196,879.78 : ( " t REV-1511 EX+ (12-99. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Mary E. Hutchinson FILE NUMBER Debts of decedent must be reported on Schedule 1. ITEM NUMBER A. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: Neill Funeral Home, 3401 Market Street, Camp Hill, PA 17011-4428 2,763.10 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/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 6. Tax Return Preparer's Fees 275.00 7. Trustee's Fee for month ending 11/30/05 233.98 8. Trustee's Fee for month ending 12/31/05 234.38 9. Trustee's Fee for month ending 1/31/06 235.09 10. Trustee's Fee for month ending 2/28/06 227.26 11. Trust Termination Fee 2,794.68 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 6,763.49 : 1, " ~ REV-1512 EX+ (12-03) '* SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Mary E. Hutchinson Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH FILE NUMBER 1. TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 0.00 .. f , It REV-1513 EX+ (9-00) '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Mary E. Hutchinson SCHEDULE J BENEFICIARIES FILE NUMBER RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 2. John N. Hutchinson, 394 N. 48th St., Harrisburg, PA 17111 Son 63,372.13 3. Jeffrey S. Hutchinson, 800 N. 2nd St. #34, Pottsville, PA 17901 Son 63,372.13 4. Erin K. McHatton, 6700 Etiwanda Ave, Unit 180, Tarzana, CA 91356 Granddaughter 21,124.04 5. Brandon J. Hutchinson, 18757 Linnet St., Tarzana, CA 91366 Grandson 21,124.04 6. Jason D. Hutchinson, 851 Domingo Dr. #31, Newport Beach, CA 92660 Grandson 21,124.04 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 (If more space is needed, insert additional sheets of the same size)