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HomeMy WebLinkAbout10-12-07 '", ., ", ...J 15056041192 REV -1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes PO BOX 280801 Harrisburg, PA 17128-0601 County Code Year File Number INHERITANCE TAX RETURN RESIDENT DECEDENT 21 07 0784 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 186 38 0954 08 02 2007 Decedent's Last Name Suffix Decedent's First Name MI Stapf Mary S (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW _ 1. Original Return c:J 2. Supplemental Return c:J 3. Remainder Return (date of death prior to 12-13-82) c:J 5. Federal Estate Tax Return Required c:J 4. Limited Estate c:J 4a. Future Interest Compromise (date of death after 12-12-82) _ 7. Decedent Maintained a Living Trust (Attach Copy of Trust) c:J 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) o 8. Total Number of Safe Deposit Boxes _ 6. Decedent Died Testate (Attach Copy of Will) c:J 9. Litigation Proceeds Received c:J 11. Election to tax under Sec. 9113(A) (Attach Sch. 0) CORRESPONDENT - This section must be completed. All Correspondence and Confidential Tax Information Should be Directed to: Name Daytime Telephone Number Robert R. Church, Esq. 717 255 8D59 .._..1 Firm Name (If Applicable) REGISTEROF WILLSW;E ONl:.Y'j Keefer Wood Allen & Rahal, LLP r', First line of address p.o. Box 11963 Second line of address en City or Post Office Harrisburg State ZIP Code DATE FILED PA 17108-1963 Correspondent's e-mail address:rchurch@keeferwood.com Under penalties of perjury, I declare that I have examined this return, including accompanying sc hedules and statements, and to the best of my knowledge and belief. it is true, correct and complete. Declaration of the pre parer other than personal representative is based on all information of whic h preparer has any knowledge. DATE 10-9-07 Road, Harrisburg, PA 17112 DATE 0-2- -O~ ADDRESS PO Box 11963, Harrisburg, PA Rahal, LLP Side 1 L 15056041192 15056041192 ...J ~ 'Ii ~ ...J 15056042193 Rev-1500 EX Decedent's Social Security Number 186 38 0954 Decedent's Name: Mary S. Stapf RECAPITULATION 1. Real estate (Schedule A) 1. 0.00 2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2. 0.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . . .. 3. 0.00 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . . .. 5. 0.00 1,654.54 4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . .. 4. 6. Jointly Owned Property (Schedule F) c:::J Separate Billing Requested . . . . .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) c:::J Separate Billing Requested . . . . . . 7. 0.00 8. Total Gross Assets (total Lines 1-7) 8. 242,032.58 243,687.12 23,157.69 9. Funeral Expenses & Administrative Costs (Schedule H) . . . . . . . . . . . . . . . . . . .. 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) . . . . . . . . . . . . . .. 10. 9,441.12 11. Total Deductions (total Lines 9 & 10) ... . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 11. 32,598.81 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. 211,088.31 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 .00 0.00 16. Amount of Line 14 taxable at lineal rate X .045 211 ,088 . 31 17. Amount of Line 14 taxable at sibling rate X .12 0 . 0 0 18. Amount of Line 14 taxable at collateral rate X .15 0 . 0 0 0.00 211,088.31 15. 0.00 16. 9,498.97 17. 0.00 18. 0.00 19. TAX DUE .................................................... 19. 9,498.97 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT c:::J Side2 L 15056042193 15056042193 ...J Rev-1500 EX Page 3 File Number 21 07 0784 DECEDENTS SOCIAL SECURITY NUMBER 186-38-0954 CITY Mechanicsburg STATE PA ZIP 17055 Tax Payments and Credits: 1. 2. Tax Due (Page 2 Line 19) Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 9,498.97 0.00 0.00 474.95 Total Credits (A + B + C) (2) 474.95 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (D + E) If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Une 20 to request a refund. 0.00 0.00 (3) (4) (5) (5A) (5B) 0.00 4. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. 9,024.02 0.00 9,024.02 A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. 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; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. IZl D b. retain the right to designate who shall use the property transferred or its income; ............. 0 IZJ c. retain a reversionary interest; or ................................................ 0 IZJ d. receive the promise for life of either payments, benefits or care? ........................ 0 IZJ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .................................... 0 IZJ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 0 IZJ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .......................................... 0 IZI 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. Sect. 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. Sect. 9116(a)(1.1 )(ii)). The statue 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. Sect. 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. Sect. 9116(1.2) [72 P.S. Sect. 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. Sect. 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. REV -1508 EX+ (8-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECED ENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONALPROPERTV ESTATE OF Mary S. Stapf FILE NUMBER 21 07 0784 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 Scheduel F. ITEM NUMBER DESCRIPTION Social Security Benefit Payment for July VALUE AT DATE OF DEATH 1,521.10 2 Capital Blue Cross premium refund 133.44 TOTAL (Also enter on line 5, Recapitulation) 1,654.54 (If more space is needed, insert additional sheets of the same size) REV-1510 EX+(6-98) COMMONWEAL TH OF PENNSYLVANIA INH ERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF Mary S. Stapf FILE NUMBER 21 070784 Th is schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVE R SH E ET is yes. DESCRIPTION OF PROPERTY ITEM INCLUDE NAME OF TRANSFEREE, RELATIONSHIPTO DECEDENT & DATE OF DEATH %OFDEC'S EXCLUSION TAXABLE NUM DATEOFTRANSFER. ATTACH COPYOF DEED FOR REAL ESTATE VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1 Mary S. Stapf Revocable Trust under Trust 0.00 0.00 Agreement dated June 18, 1996, Hershey Trust Company, Trustee. Per the Trust Agreement the Settlor's Probate Estate is the sole beneficiary upon Settlor's death. Assets held in trust at DaD Value: 2 22 units Equity REIT CTF 5,495.79 100 0.00 5,495.79 3 Accrued Income to DaD on Equity REIT CTF 7.40 100 0.00 7.40 4 138 units Value Equity Fund CTF 61,607.14 100 0.00 61,607.14 5 Accrued Income to DaD on Value Equity CTF 75.76 100 0.00 75.76 6 127 units Fixed Income CTF 125,345.77 100 0.00 125,345.77 7 Accrued Income to DaD on Fixed Income CTF 513.63 100 0.00 513.63 8 $25,000 JP Morgan & Co. 6% Bond due 1/15/09 25,166.93 100 0.00 25,166.93 9 Accrued Income to DaD on JP Morgan 6% 70.83 100 0.00 70.83 Bond 10 $10,000 FHLM 4.5% Bond due 11/15/11 9,773.14 100 0.00 9,773.14 11 Accrued Income to DaD on FHLM 4.5% Bond 96.25 100 0.00 96.25 12 Money Market Cash 13,879.94 100 0.00 13,879.94 TOTAL (Also enter on line 7, Recapitulation) 242,032.58 (If more space is needed, insert additional sheets of the same size) . . REV-1511 EX+(10-06) COMMONWEAL TH OF PENNSYL VANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Mary S. Stapf FILE NUMBER 21 07 0784 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT 1 FUNERAL EXPENSES: Neill Funeral Home 11,349.06 A. 2 Harrisburg Country Club funeral luncheon 963.01 3 Brachendorf Memorials stone inscription 250.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees 10,000.00 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 369.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7 Patriot News Trust Advertising Fee 226.62 TOTAL (Also enter on line 9, Recapitulation) 23,157.69 (If more space is needed, insert additional sheets of the same size) . . '. REV-1512 EX+(12-03) COMMONWEALTH OF PENNSYLVANIA INH ERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER Mary S. Stapf 21 07 0784 Report debts incurred by decedent prior to death which remained unpaid as of date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Messiah Village 264.75 final nursing home bill 2 Hershey Trust Co 216.67 Trustee's Fee 3 Alert Pharmacy 513.63 prescription drugs for decedent 4 Messiah Village 8,046.07 nursing expenses 5 Reserve for preparation of 2007 1040/PA-40 Returns 400.00 TOTAL (Also enter on line 10, Recapitulation) 9,441.12 (If more space is needed, insert additional sheets of the same size) , . '. REV-1513 EX+(9-00) COMMONWEAL TH OF PENNSYL VANIA INH ERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF Mary S. Stapf FILE NUMBER 21 070784 RELATIONSHIP TO DE~~ENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(SI RECEIVING PROPERTY Do Not List Truste s OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)] John S. Stapf, Jr. Son 70,362.77 771 Fishing Creek Valley Road Harrisburg, PA 17112 Mary Barbara Stapf Cleveland Daughter 70,362.77 409 Central Drive Briarcliff Manor, NY 10510 Thomas G. Stapf, Jr. Grandson 35,181.38 514 Ridge Road Elizabethtown, PA John N. Stapf Grandson 35,181.39 89 Ashley Drive Marietta, PA 17547 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SH EET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SEe. 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 (If more space is needed, insert additional sheets of the same size) REGISTER OF WILLS CUMBERLAND County, Pennsylvania CERTIFICATE OF GRANT OF LETTERS No. 2007-00784 Estate Of: MARY S STAPF PA No. 21-07-0784 (First, Middle, Last) Late Of: LOWER ALLEN TOWNSHIP CUMBERLAND COUNTY Deceased Social Securi ty No: 186-38-0954 WHEREAS, on the 21st day of August 2007 an instrument dated March 20th 1996 was admitted to probate as the last will of MARY S STAPF (First, Middle, Last) late of LOWER ALLEN TOWNSHIP, CUMBERLAND County, who died on the 2nd day of August 2007 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, GLENDA FARNER STRASBAUGH Register of wills in and for CUMBERLAND CountYr in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to: JOHN S STAPF JR who has duly qualified as EXECUTOR(RIX) and has agreed to administer the estate according to law, all of which fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 21st day of August 2007. {)fl1 ~ (Z;g;"e", / Deputy **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) LAST WILL AND TESTAMENT OF MARY S. STAPF I, MARY S. STAPF, of Cumberland County, pennsylvania, do hereby make this my Last will and Testament, revoking any former wills and Codicils made by me. FIRST: I direct that all my legally enforceable debts, secured and unsecured, be paid as soon as practicable after my death. SECOND: I give my tangible personal property and all casualty insurance that I am carrying on said tangible personal property to my children who survive me, to be divided equitably among or between them as they may determine, or, if they are unable to agree, as my Executor shall determine, after consider- ing the wishes of such children. I have complete confidence that my children or my Executor will honor any written instructions that I may leave with regard to said tangible personal property. Any such property not so distributed shall be sold, and the proceeds added to my residuary estate to pass as hereafter described. THIRD: I give, devise and bequeath the rest, residue and remainder of my estate, real and personal, to my children, John S. Stapf, Jr., Thomas G. Stapf and Barbara S. Cleveland, per stirpes. . ,-/I"-~'/Aj I --:/ . /. . "/ry.i/ ~ ~:~. ~ -1- FOURTH: If any person under the age of twenty-one (21) years shall become entitled to any share hereunder, then such share shall immediately vest in such beneficiary, but notwith- standing the provisions herein, my Executor may distribute such beneficiary's share to any adult person standing in loco paren- tis, or to a legal guardian of such beneficiary, or to a custodi- an (to be selected by my Executor) under the applicable Uniform Transfers to Minors Act, without requiring bond of such adult person, guardian or custodian. The receipt of such adult person, guardian or custodian shall constitute a full release of my Executor for any property so distributed. FIFTH: No person shall benefit hereunder unless such beneficiary shall survive me by thirty (30) days. SIXTH: (1) I name my children, John S. Stapf, Jr., Thomas G. Stapf" and Barbara Cleveland, as my Co-Executors. Should any child be unable or unwilling to serve, the others or other shall serve alone. I direct that my Co-Executors, herein referred to as my Executor regardless of number or gender, serve without bond in any jurisdiction in which called upon to act. (2) My Executor shall receive reasonable compensation for services rendered. SEVENTH: (1) I give to any Executor named in this will or any Codicil hereto or to any successor or substitute Executor all of the powers enumerated in this Will and all of the powers applicable by law to fiduciaries in the Commonwealth of Pennsyl- (/) /1" /1 , ' :( I " .j' i 1 ' . ,/ :r-:;; ;/ -2- vania and in particular through the Pennsylvania Probate, Estates and Fiduciaries Code, as effective and as in effect on the date of my death, during the administration and until the completion of the distribution of my estate. I direct that all such powers shall be construed in the broadest possible manner and shall be exercisable without court authorization. (2) My Executor is authorized and empowered to acquire and to retain, either permanently or for such period of time as my Executor may determine, any assets, including the capital stock of any closely held corporation, whether such assets are or are not of the character approved or authorized by law for investment by fiduciaries and whether such assets do or do not represent an overconcentration in one investment. (3) My Executor is authorized and empowered to dis- claim any interest, in whole or in part, of which I, or my Executor, may be the beneficiary, devisee, or legatee, by execut- ing an appropriate instrument (in accordance with section 2518 of the Internal Revenue Code of 1986, as amended, or such similar section as may then be in effect) . (4) My Executor is authorized and empowered to sell at public or private sale, or exchange, and to encumber or lease, for any period of time, any real or personal property and to give options to buy or lease any such property. Additionally, my Executor is authorized and empowered to compromise claims, to borrow from anyone (including a fiduciary hereunder) and to 1'7i-eIAAj --II /i -ktb-ifJ.1 j -3- ,,~.llj,< . .-~...,.-~f,... ~'r,"~~.- ., .._l'.~~,",.;l"__ .".'" ~~,:-,~_...,.,..., pledge property as security therefor, to make loans to and to buy property from anyone (including a fiduciary or beneficiary hereunder); provided that any such loans shall be adequately secured and at a fair interest rate. (5) My Executor is authorized and empowered to allo- cate property, charges on property, receipts and income among and between principal or income, or partly to each, without regard to any law defining principal and income. EIGHTH: All estate, inheritance, succession and other death taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property comprising my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid out of the residue of my estate, as if such taxes were expenses of administration, without apportionment or right of reimbursement. I authorize my Executor to pay all such taxes at such time or times as deemed advisable. I..'} , 1,1" (1' (/ , -/ :./' .~/k / / 1/1 f/ -4- ~J>~_ -i\.(..-\-.. . -~, ~t ,_, o.,~'''''''~. , IN WITNESS WHEREOF, I have set my hand and seal on this my , 1996. Last will and Testament this oZ)~ day of j1J! II/UN SIGNED, SEALED, PUBLISHED, and DECLARED by MARY S. STAPF, as and for her Last Will and Testament, on the day and year last above written, in the presence of us, who, at her request, in her presence, and in the presence of each other, all being present at the same time, have hereunto subscribed our names as witnesses: h ,) (I, "l4<. j / /-~i -4.,,:11.1 J /' MARY s. ISTAPF I j ( SEAL) ~. -1 - vI;, t" ...... '" , ~~ J. fL";t~ /1 '/ // <jrv,,; Wv m cLh W V ~/,~/-- / -~- '. . WE, MARY g,.STAPF and~hj JlIJLO /tL/ :Jenntb M. -I-kIne , and --::;'"Ili/ J: lIyk.-' , the Testatrix and the witnesses, respective1Y~ whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she had signed willingly (willingly directed another to sign for her), and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the ~Jitnesses, in the presence and hearing of the Testatrix, signed the Will as witness and to the best of his or her knowledge the Testatrix was at that time eighteen (18) years of age or older, of sound mind, and under no constraint or undue influence. '''kcU/<4 xl)' --!;{;;}, ,/ MARY s.I STAPF, TesEq:,trix /'7/ /) /7- ~JU ,1Z~ 1tness J.; ik::;~ m. JA-Ltl> ~~ 4/- wltnessr- Subscribed, sworn to, and STAPF, the Testatrix, and -::JO h h l\e N I ( II I c...- -n M 07)../-1// ,:::J: -/-tv u J e- I T- of MMC i-I ' 1996. acknowledged before me by MARY S. subscribed and sworn to before me by J-i! nn " lfit. fv1. /fde ~ , and , witnesses, this .;:101/.4- day /1 J7 ~ t2 @7i Notary Public -6- Nat?ricJ Seal , Arden p~ O'Neal, Notary Public Lower Aiien Twp" cunioerland County My eo[l1l'l1ission Expires July 7, 1997 r, PennsytvaniaASSoc;ia1ionofNotaries TRUST AGREEMENT ~ THIS TRUST AGREEMENT, made the If day of June, 1996 between MARY S. STAPF of Derry Township, Dauphin County, Pennsylvania 17033, (herein called Settlor), and HERSHEY TRUST COMPANY, of Hershey, Pennsylvania, and its successors, (herein called Trustee), WITNESSETH THAT: 1. Trust Property. The Settlor does hereby transfer and deliver to the Trustee the property listed on the schedule annexed hereto, to have and to hold the same, and any cash, securities or other property which the Trustee may, pursuant to any of the provisions hereof, at any time hereafter hold or acquire, all of such property being herein referred to as the trust estate, in trust, for the uses and purposes and upon the terms and conditions following: 2. Dispositive Provisions. The Trustee shall hold, manage, invest and reinvest the trust estate, and shall collect the income thereof and dispose of the net income and principal as follows: (a) During the lifetime of the Settlor, the Trustee shall pay to or for the use of the Settlor, in quarter annual or more frequent instalhnents, the net income of the trust estate. Any income not 1 so distributed may be accumulated and invested in the same manner as the corpus of the trust estate. In addition to the income, there shall be paid to the Settlor or applied for her use out of the corpus, at any time and from time to time, such amounts, if any, as the Trustee in its discretion shall determine to be necessary for her maintenance, medical, dental, surgical, nursing, hospital, institutional and psychiatric care, comfort and welfare. In addition to such discretionary invasions of principal, the Trustee shall pay to Settlor at any time and from time to time such portion or all of the principal as she may request for any purpose including gifts to others. (b) Upon the death of Settlor, to distribute the trust estate to Settlor's personal representative to be disposed of in accordance with Settlor's will or applicable law. (c) The primary purpose and intent in creating this trust is to provide for the income beneficiary. The rights and interests of remaindermen and/or the 2 Settlor's Estate are subordinate and incidental to that purpose. The provisions of this Agreement shall be construed liberally by the Trustee in the interest and for the benefit of the income beneficiary. 3. Additional Property. The Settlor may at any time or from time to tim(~ transfer and deliver to the Trustee cash, securities and any other property to be added to the trust estate. All such property hereafter delivered and transferred to the Trustee by Settlor shall be held, administered and disposed of by the Trustee in accordance with the provisions of this Agreement without the execution of any further instrument or declaration. 4. Accounting by Trustee. The Trustee may at any time render an account to the income beneficiary, whose written approval shall be final, binding and conclusive upon all persons then or thereafter interested in the trust estate. The Trustee may also at any time render a judicial account of its administration. 5. Security. No bond or other security shall be required of the Trustee in this or any other jurisdiction. 6. Successor Trustees. No change in name of the Trustee hereunder nor any merger of its corporate powers with another corporation shall affect its appointment or 3 powers hereunder. The Trustee or any of its substitutes or successors may at any time resign the trust. Whenever in this Agreement reference is made to Trustee, such reference shall be deemed to include not only the Trustee expressly named herein, but also any and all substitutes and successors at any time qualified and acting hereunder, and all rights and powers given in this Agreement to the Trustee shall be vested in substitute and successor trustees. 7. Payments to Persons Under Disability. Whenever income or principal hereunder is to be paid to a person under legal disability, or to a person not adjudicated incompetent but who by reason of illness or mental or physical disability is unable in the opinion of the Trustee properly to administer such payments, then payment may be made (a) directly to such beneficiary; (b) to the legally appointed guardian or representative of the beneficiary; (c) to some near relative of the beneficiary to be applied for the benefit of the beneficiary; or (d) by expenditure by the Trustee directly to those furnishing property or services to the beneficiary. The receipt of any of the foregoing shall be a complete discharge to the Trustee which shall not be bound to see to the application of any such payment. 8. Situs.... This Agreement and trust estate shall be governed and construed in all respects according to the laws of the Commonwealth of Pennsylvania. 4 . . 9. Powers. \Vithout regard to any legal restrictions otherwise applicable to Trustees, the Trustee and its substitutes and successors are authorized and empowered in their sole and absolute discretion to exercise the following discretionary powers as well as any other powers conferred by law: (a) To retain, whether originally a part of the trust estate or subsequently acquired, and to purchase or otherwise acquire and to retain, any property, whether or not such property is authorized for invest- ment under the Pennsylvania Fiduciaries Investment Act of 1949 or by other law, all without diversifi- cation as to kind and amount. (b) To transfer, sell, exchange, partition, lease, mortgage, pledge, give options upon or otherwise dispose of any property at any time held by them, at public or private sale or otherwise, for cash or other consideration or on credit, and upon such terms and conditions, with or without security, and for such price as they may determine. (c) To hold any part of the trust estate in cash or uninvested for any period deemed advisable. (d) To borrow money for any trust purpose, create a security interest in, or pledge all or part of the 5 trust estate to secure such borrowing without incurring any personal liability therefor. (e) To pay, extend, renew, modify or compromise, upon such terms as they may determine, and upon such evidence as they may deem sufficient, any obligations or claim, including taxes, either in favor of or against the trust estate. (1) To register any securities at any time in their names as Trustee, or in the names of nominees, with or without indicating the trust character of the securities so registered. (g) With respect to any securities held hereunder, to vote upon any proposition or election at any meeting of the person or entity issuing such securities, and to grant proxies, discretionary or otherwise, to vote at any such meeting, to exercise conversion, subscription or other rights, and to receive or hold any new securities issued as a result of any reorganization, readjustment, merger, voting trust, consolidation, exchange or exercise of conversion, subscription or other rights and generally to take all action with respect to any such securities as could be taken by the absolute owner thereof. (h) To make allotments or distributions in kind. 6 10. Amendment and Revocation. Settlor may any time and from time to time amend, modify or revoke this trust in whole or in part. 11. Attorney to Acknowledge. Hershey Trust Company hereby appoints RA YMOND T. CAMERON as its attorney to aclrnowledge this Agreement before any officer authorized to take such acknowledgement. 12. Compensation of Trustee. Trustee shall receive compensation for its services under this Agreement at the same rate as is charged from time to time by Trustee in accordance with its published fee schedule for performing as trustee of revocable agreements of trust of approximately the same size and complexity as the within Trust. IN WITNESS WHEREOF, this Agreement has been executed by the Settlor and Trustee on the date first above mentioned. WITNESS: L.&e~~ k-r/ ~/(fW MARY S.- STAPF SETTLOR (SEAL) ATTEST: HERSHEY TRUST COMPANY ~r~~ 2/=- By: 7 COMMONWEALTH OF PENNSYLVANIA) )ss: COUNTY OF DAUPHIN ) -tt On this / g. day of June, 1996, before me, the undersigned officer, personally appeared Raymond T. Cameron, attorney-in-fact for Hershey Trust Company, the Trustee within-named, who, on behalf of his constituent, in due form of law, acknowledge the foregoing Trust Agreement to be its act and deed for the purposes therein contained. ~/ <f. ~-' dL~ ~otary Public (SEAL) iI Notarial Seal " Mary E. Lehman, Notary Public Derry Twp., Dauphin County My Commission Expires Nov. 23, 1999 8 . j?{2 G / f) --2 - 67 Mary S. Stapf Revocable Trust Dated 6/18/1996 Hershey Trust Company, Trustee Date of Death Value Units Security 22 Equity REIT CTF 138 Value Equity CTF 127 Fixed Income CTF 25,000 JP Morgan & Co 6% 1/15/09 10,000 FHLM 4.5% Bond due 11/15/11 Money Market Cash 000 Value Aced Inc $ 5,495.79 $ 7.40 $ 61,607.14 $ 75.76 $ 125,345.77 $ 513.63 $ 25,166.93 $ 70.83 $ 9,773.14 $ 96.25 $ 13,879.94 $ $ 241,268.71....... $ 763.87....... $ 242,032.58........ [ 5495-79+ 61607-14+ 125345-77+ 25166-93+ 9773-14+ 3879 - 94= 241268-7 pr~ l'L:M 241268-71+ 763-87= C" _b;"~O 32 - 5~ 'T01f\lr 7 - 4+ 75-76+ 513-63+ 70-83+ 96 - 23= ....-----..-... {)('c-~~ ~ ! . Estate Valuation Date of Death: Valuation Date: Processing Date: 08/02/2007 08/02/2007 08/03/2007 Estate of: Mary S. Stapf Account: Mary S. Stapf TUA Report Type: Date of Death Number of Securities: 2 File ID: Stapf, Mary TUA 2322 Shares or Par Security Description High/ASk Low/Bid Mean &/or Div & Int Security Adj'ments Accruals Value 1) 25000 MORGAN J P & CO Financial Times DTD: 01/25/1999 08/02/2007 INC MTN BE (61688AAX6) Interactive Data Mat: 01/15/2009 6% 100.66770 Mkt 100.667700 2~),166.93 Int: 07/15/2007 to 08/02/2007 70.83 2) 10000 FEDERAL HOME LN Financial Times DTD: 11/15/2004 08/02/2007 MTG CORP MTN (3128X3K69) Interactive Data Mat: 11/15/2011 4.5% 97.73140 Mkt 97.731400 91773.14 Int: 05/15/2007 to 08/02/2007 96.25 Total Value: Total Accrual: Total: $35,107.15 $341940.07 $167.08 Page 1 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions I please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.0.4) . HERSHEY TRUST COMPANY September 12, 2007 Sharon M. Garcia Keefer Wood Allen & Rahal, LLP 210 Walnut Street P.O. Box 11963 Harrisburg, P A 17108 Re: Mary S. Stapf Estate Dear Sharon: In response to your email, I am providing the following information. 1. The cash balance in the trust at date of death was $ 13,879.94 as per the attached. 2. Accrued income on our common trust funds to date of death is $ 596.79. I have set you up to receive a monthly statement for the trust. Enclosed you will find statements for the months of July and August, 2007 and a copy of the trust agreement. If you should need any additional information, please do not hesitate to contact me. Sincerely, ~thOllY Trust Administrator fnls encl. 100 MANSION ROAD EAST. P. O. Box 445 . HERSHEY, PENNSYLVANIA 17033-0445. (717) 534-3225 · FAX (717) 520-1111 · www.hersheyrrust.com '1oO' . HERSHEY TRUST COMPANY September 11, 2007 Sharon M. Garcia Legal Assistant Keefer Wood Allen & Rahal, LLP 210 Walnut Street P.O. Box 11963 Harrisburg, P A 17108-1963 Re: Estate of Mary S. Stapf, deceased Dear Sharon: Per your letter dated September 10, 2007, I am providing the date of death values for the assets held in the trust. ~~~~ The Estate Valuation is attached for the bonds held at date of death. J:J. 0l'1l fJ.'1 '-l _____ Our Commoo Trust Funds held at date of death are as follow.1LI--- + .- I ~ I ~ ~ -qJ1 fJ//J' ~\tA'6'::J . 1. 22 units Common Trust Fund-Equity Reit $ 5,495.79 2. 138 units Common Trust Fund-Value Equity $ 61,607.14 3. 127 units Common Trust Fund-Fixed Income $ 125,345.77 t- 35") /69-.IS The approximate charge for the preparation of the finall040/PA-40 is $ 400.00. / If you should need any additional information, please do not hesitate to contact me. Sincerely, .~ Nancy L. Sholly Trust Administrator Inls cc: ~b}~ ~~ ~~,J aW-@. WD 2; ~ ()~ ......e: .m ~T !-S' -;:: John S. Stapf, Jr., Executor --l"""~ . .." 0 ~ JI~+~~~ VJ~ 100 MANSION ROAD EAST. P. O. Box 445 . HERSHEY, PENNSYLVANIA 17033-0445. (717) 534-3225 . FAX (717) 520-1111 · www.hersheytrust.com . NEILL Funeral Home Inc. August 9, 2007 Barbara Cleveland 409 Central Drive Briar Cliff, NY 10510 RE: Mary Stapf 741200200104 Basic Professional Services of Funeral Director & Staff Embalming Dressing, Casketing, Cosmetology Funeral Service Transferring Remains to Funeral Home Funeral Vehicle/Hearse Funeral Vehicle/Service Memorial Book Prayer Cards Flowers Batesville Huntingdon Green Casket Eagle Burial Vault Cemetery Patriot News Obituary Certified Death Certificates ( 10 @ $6.00 each) Clergy Organist Hairdresser $2330.00 795.00 395.00 595.00 495.00 395.00 395.00 25.00 60.00 445.20 2795.00 1295.00 850.00 148.86 60.00 200.00 100.00 45.00 Total Amount of Services Rendered $11349.06 Please submit payment to: Neill Funeral Home 3501 Derry Street Harrisburg, P A 17111 Thank You! 3501 Derry Street Harrisburg, PA -17111-1817 tel 717 564-2633 fax 717 561-9918 Stephen J. Wilsbach, Supervisor 3401 Market Street Camp Hill, PA - 17011-4428 tel 717 737-8726 fax 717 737-1859 Rebecca J. Donahue, Supervisor _ .l ~ .. Page 1 of 1 .03~DDDD'lO. O&/i!D/2D07 10110310562'1 r- o o IU This Is a LEGAL COpy 01 .... m your check. You can us. i I ~ ~ the same way you would us. the or iglnal check. :;;it: ON ::r ~ ~ . =... f1~'W4~A.y ~ u,....u- g;~I~~~~~- ~ ~ C Cmnl'1S &\''''K ~r-" _ ~ ,&, "DU~~5" ':O.Ii07U~OI: U'::J01~-'--------'. - :.L.:- :...... :~....;..!.~~ I..J..~'...::~.t....-::..... 126&5 JOHN S. stAP'. .IR. AHM McMANUS st.., 1ft _ tNDl yN.U:f tIC. ....aJItCl.M '"\I_ Ilo\tt "'8" - ~-e 7 .."': 1 S 1~1rlJl :&fl DOLLA,.S !!'l !E!:' "0. ~I;I; 5" 1..:0 :U;'O 11; .50': I; lOO?3QSb 2" ...OOOOOqr.:.o.... v C '" ... ...~ ~. COo _~ . .....J;I v.,., elTlu.", bl(t4l..:a..:~J!~J ...~... ..'9i.... ....... ,....." ~Jyt,~.... ~. ..A-'i..... . (;) 115(>0 .;!() 41 ;:}f) 1 !f25 i I ~~ I C~ 111..... WI1l C Cl ..., if h nii l~iil;l~ 15I...~ I'fi~ Uv,l-iz.. 111"1i1! ~ ~~ ihi! g-i~i~c _4i~~~~~ f~"Il!;i ,i..""r . ~ ~ . . Cl CI 0 "" W '" ... ... ... '" C 0 CI C Cl '" CI Cl rCrCrO ..~.&~...."" ...c...o...'" 0.....00 ~ ~ ~o ",00.00" 01.........0...... "'...............111 ..,~C1~I1I~ ..... ..... N 1 '" 1\1 Cl ceo Cl Cl ..., ~ ..., 4DD nat....... ClI'''' bIIIclw.. .... Amount 2007 Aug 20 41179251 6100739562 12665 $963.01 Posting Date Posting Seq No Account Number Check Number ... ," .. .. ~.t~~~j.ah Form PB-01 100 MOUNT ALLEN DRIVE, MECHANICSBURG, PA 17055 HERSHEY TRUST CO ATTN: NANCY SHOLLY PO BOX 445 HERSHEY, PA 17033-0445 QUESTIONS? CALL: RESIDENT # UNIT 100511 276 D RESIDENT S Mrs. MARY STAPF 697-4666 STMT. DATE 07/31/2007 TOTAL AMOUNT DUE DATE DUE $8,046.07 08/31/2007 $ .....-----~.----------_._-----_._- - DATE DESCRIPTION RATE Daysl CHARGES CREDITS BALANCE Units Balance Forward I, 7,521.90 07/19/07 PAYMENT RECEIVED - THANK YOU!!! 441.90 7,080.00 07/19/07 PAYMENT RECEIVED - THANK YOU!!! 7,080.00 0.00 *** Nursin~ Care *** 07/01/07 MOTION MONITOR 07/01-07/31 0.16 2.00 0.32 0.32 07106/07 BARBERlBEAUTY SHOP 17.00 1.00 17.00 17.32 SHAMPOO/HAIRCUT/BD 07/13/07 BARBERlBEAUTY SHOP 13.00 1.00 13.00 30.32 SHAMPOO/SET 07/20/07 BARBERlBEAUTY SHOP 13.00 1.00 13.00 43.32 SHAMPOO/SET 07/27/07 BARBERlBEAUTY SHOP 13.00 1.00 13.00 56.32 SHAMPOO/SET 07/31/07 RM/ BRD - NURSING - SEMI-PVT 247.00 31.00 7,657.00 7,713.32 07/01-07/31 07/31/07 AIR MATTRESS 07/01-07/31 4.00 31.00 124.00 7,837.32 07/31/07 PREV AIL BRIEF XL 1.25 67.00 208.75 8,046.07 RESIDENT # CURRENT OVER 30 OVER 60 OVER 90 OVER 120 TOTAL AMOUNT DUE 100511 8,046.07 0.00 0.00 0.00 0.00 $8,046.07 RESIDENT NAME Mrs. MARY STAPF A 1 % finance charge may be assessed on accounts for which payment has not been received by the due date. Thank you! Form PB-01 N/A If you have any questions or concerns about your bill, please address them directly to Fiscal Services at 790-8220. Thank YOU!