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HomeMy WebLinkAbout03-17-11 (2)f { REV-1500 E"(01-'°' 1505610143 OFFICIAL USE ONLY PA Department of Revenue Pennsylvania County Code Year File Number Bureau of Individual Taxes DEPARTMENT of REVENUE Po Box.2sosol INHERITANCE TAX RETURN 2 1 10 0 0 4 19 Harrisburg, PA 17128-osol RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 181 36 5759 04 23 2009 03 Ol 1946 Decedent's Last Name Suffix Decedent's First Name MI MCKELVEY GERALD J (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW ® 1. Original Return ^ 4. Limited Estate ® g Decedent Died Testate (Attach Copy of Will) ^ 9. Litigation Proceeds Received THIS RETURN MUST 6E FILED IN DUPLICATE WITH THE REGISTER OF WILLS ^ 2. Supplemental Return ^ ~ Future Interest Compromise (date of death after 12-12-82) ^ ~. Decedent Maintained a Living Trust (Attach Copy of Trust) ^ 10. Spousal Povertyy Credit (date of death between 12-31-91 and 1-1-95) ^ 3, Remainder Return (date of death prior to 12-13-82) ^ 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes ^ 11.Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number SAMUEL L ANDES 717 761 5361 ~_ First line of address 525 NORTH 12TH STREET Second line of address City or Post Office State ZIP Code LEMOYNE PA 17043 Correspondent's a-mail address: l a w a n d e s@ a o l. c o m REGISTER OF WILLSJt~~ ONLY __.. ~1~:. ~; 7 ,. ~.._- _ _~ .~ ,v : ,r,7 ~~ ' -~J ,, ~ ~... `~_J <~,,--~ r~;~ ~~~7 =~-~ - .. ~ v~ ~ ... ~ DATE FILED r_, ~-t7 ~_~ ~"~ C='~ '7 Under nalties of pery'ury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is rrect and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIG E OF P ON RESPONSIBLE FOR FILING RETURN DATE Gerald D. McKelvey ~ ~ ~ ~' an s~ 11 Wiltshire West, Carlisle, PA 17013 SIGNATi~RE OFPREP/kREfit O ER AN R RES6NTATIVE Samuel L Andes DATE ADDRESS "" - 525 North 12th Street, Lemoyne, PA 1 T043 Side 1 L 1505610143 1505610743 J I I~AJ r , ~~ 1505610243 REV-1500 EX Decedent's Social Security Number Decedents Name: M C K E L V E Y, GERALD J. 181 3 6 5 7 5 9 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 S Notes Receivable (Schedule D) .......................................................... 4. 5• Cash, Bank De osits & Miscellaneous Personal Pro e p p rty (Schedule E) ................ 5. 1 6 , 1 0 5 . 2 3 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ............. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested ............. 7. 4 5 , 4 3 8 . 4 0 g. Total Gross Assets (total Lines 1-7) ....................................................................... g, 6 1, 5 4 3. 6 3 9. Funeral Ex enses 8~ Administrative Costs (Schedule H) p ....................................... g. 1 2 , 1 8 4 . 7 9 10. Debts of Decedent, Mort a e Liabilities 8~ Liens (Schedule I) 9 9 ............................... 10. 9 , 9 3 9.17 11. Total Deductions (total Lines 9 8~ 10) ...................................................................... 11 2 2 , 12 3 9 6 12. Net Value of Estate (Line 8 minus Line 11) ............................................................. 12. 3 9 , 4 19.6 7 13. Charitable and Governmental Bequests/Sec 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. 3 9 , 4 19.6 7 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 15. 16. Amount of Line 14 taxable at lineal rate X .045 3 9, 4 19.6 7 1 s. 1, 7 7 3 8 9 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 18. 19. Tax Due ..................................................................................................................... 19. 1, 773.89 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ^ Side 2 L 1505610243 1505610243 J ADDITIONAL Personal Representatives McKelvey, Gerald J. SS# 181-36-5759 4/23/2009 Under penalties of perjury, the undersigned declare that they have examined this return, including accompanying schedules and statements, and to the best of their knowledge and belief, it is true, correct and complete. 2 Signature Name Catherine Anne Lesny Address 219 Steamboat Avenue City, State, Zip Date 3 Signature Name Address City, State, Zip Date 4 Signature Name Address: City, State, Zip Date 5 Signature Name Address: City, State, Zip Date 6 Signature Name Address: Queenstown MD 21658 L~•3•tl City, State, Zip Date REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 - 10 - 0 0 419 D D T NA McKelvey, Gerald J. STREET ADDRESS 11 Wiltshire West CITY STATE Carlisle PA ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A• Prior Payments B. Discount 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. Total Credits (A + B} (2) (3) (4) {5) 1,773.89 0.00 0.00 1,773.89 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 :.................................................................................. [ ] x^ b. retain the right to designate who shall use the property transferred or its income :.................................... _ ^ c. retain a reversionary interest; or .................................................................................................................. ^ 0 d. receive the promise for life of either payments, benefits or care? .............................................................. ^ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................................................... ^ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... [~ x^ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ...................................................................................................................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 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 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 rectum 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 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0 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 4.5 percent, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)]. (1} • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 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 bloo~ or adoption COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER iTATE OF McKelvey, Gerald J. 21 - 10 - 00419 :,lude the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of irvivorship must be disclosed on schedule F. ITEM DESCRIPTION VALUE AT DATE OF JMBER DEATH 1 Decedent's automobile 2,245.25 2 Miscellaneous items of clothing, small furnishings, and other personal effects 500.00 3 Investment account with Merrill Lynch 13,359.98 I TOTAL (Also enter on Line 5, Recapitulation) I 16,105.23 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF McKelvey, Gerald J. FfLE NUMBER 21 -10-00419 Tn~~ ~rnpdu~e must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. ITEM NUMBER DESCRIPTION OF PROPERTY Include the name of the transferee, their relationship to decedent and the date of transfer. Attach a copy of the deed for real estate. DATE OF DEATH VALUE OF ASSET % OF INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 1 USAA SEP/IRA account (see statement attached) i 17,204.07 17,204.07 2 T. Rowe Price retirement account (see statement 1 17,511.51 17,511.51 attached) 3 2nd retirement account with USAA (see statement 240.05 ~ 240.05 attached) 4 IRA with Merrill Lynch i 7 i 10,482.77 ~ 10,482.77 i ~, -- TOTAL (Also enter on tine 7, Recapitulation) 45,438.40 S(:HEDIJLE H FUNERAL E~ENSES & COMMONWEALTH OF PENNSYLVANIA ~~'y~~~~p~ INHERITANCE TAX RETURN /"~r1Ar1~ 1 1~W~ RESIDENT DECEDENT ~ ~ ~ ~I"~, , -` VW ~ V ESTATE OF McKelvey, Gerald J. FILE NUMBER ~ 21 -10-00419 Debts of decedent must be reported on Schedule I. ITEM -- NUMBER FUNERAL EXPENSES: DESCRIPTION ~ AMOUNT A. 1 Wackerman Funeral Home (funeral expenses) 7,216.00 2 Williamson Restaurant (post-funeral service luncheon) 1,583.99 B. 1 DMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Street Address 2. 3. City State Zip Year(s) Commission paid Attorney's Fees Samuel L. Andes Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant 4 5. 6. 7. 1 Street Address City State Zip Relationship of Claimant to Decedent Probate Fees Register of Wills (probate, certificates, filing fees) Cumberland Law Journal (advertising) The Sentinel (advertising) 4ccountant's Fees fax Retum Preparer's Fees ether Administrative Costs 3,000.00 143.50 75.00 166.30 TOTAL (Also enter on line 9, Recapitulation) 12,184.79 i SCHEDULEI DEBTS OF DECEDENT, MORTGAGE COMMONWEALTH OF PENNSYLVANIA LIABILITIES, & LIENS INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ESTATE OF McKelvey, Gerald J. 21 - 10 - 00419 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM DESCRIPTION AMOUNT NUMBER 1 Emergency Transport System (fee for transportation of body) 670.00 2 USAA Savings Bank (Visa credit card balance) 9,269.17 TOTAL {Also enter on Line 10, Recapitulation) ( 9,939.17 REV-1513 EX+ (11-08) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RES{DENT DECEDENT ESTATE OF FILE NUMBER McKelvey, Gerald J. 21 - 10 - 00419 RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) DECEDENT (Words) ($$$) RECEIVING PROPERTY Do Not List Trustee(s) I TAXABLE DISTRIBUTIONS [nclude outright spousal • distributions, and transfers under Sec. 9116 (a) (1.2)) 1 Catherine Anne Lesny Daughter 50°l0 219 Steamboat Avenue Queenstown, MD 21658 2 Gerald D. McKelvey Son 50% 11 Wiltshire West Carlisle, PA 17013 Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet, as appropriate. III NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00 08/17/2010 09:34 410-643-4710 M&T BANK-KENT ISLAND PAGE 02/12 v •, ~~ lYlerrill L nch a«•?z~ y z~~ CHASE ! i , ~.. 6A4Q Ts~rbell Road 5yracusc, N.Y. 13206 To The Order Of GERAI~U J MGKEI.VEY EST' MC1G~L.YEY & LESNY EXEC 21 ~ STEAIVIBOAT AVE QUEENSTOWN MB 2165$ Office ~ ' , .. ' .: ' Merrill~Lype'It~ ~;"AiAbarse~inedt Acconnt . ~ Pierce,' Fenger ~& Smith inc. P.O. Box' 4324? ~ ~ ~ ~ ~~ . Jacksonville, FL 3223'1=324? ~~ ~ ~~ ~~ Check .Ndntbcr~ 53231-38280 Date Branch A~,iiouet 08113!"2010 SBA PAX X13,359.9$"' riot valid after 180 days ~~ ~ ~~~53 23 X38 280n' ~:0 2 i309379~:60186704~~i' `~~1n 06/17/2010 09:34 410-643-4710 M&T BANK-KENT ISLAND PAGE 06/12 9800 ~Rdcncf~`sburg Road SanAa-tauo.'~ccw "82L8 ~5~~ Au~tist 13, 2014 Estate of Gexeld 3 Mc]~elvay GO ~athcrinc ~ ~.esny 2l9 8ioarnbuat eve ~ueenstow~~; MY} Z) 65A• t291 De~u Mrs. ~.esn~; As you rcqucsted, bciarxr i~ for account ~valuc information as c• ~ A,p~~:l 23, '' ~+~9 for U5~1A ~3rvkeragc Accaur-t nuinbcr ending in 3895. ~SAA I";~D SV'(~S I3NK ~/,~ SD~tA SI~,~ GERALD JOLT M~ R~LY~'~ 9 mbQl Shares 5Kare Prlrs Oa11ar flatus _.....1'~3 8 ~~ 0 1,931.89 CSCp ai,oa0 ~9T.63 S7Z3A3 INTC $2.316 516.53 ~i81x.47 MON 37.08s saa.a9 ~?,9od.36 oRCL aoo.ooo ~~la.6e $y,s~~.oa PFD 184.018 X13,38 Sx~,443.7s E40V 2x0.413 x6.2lf ~1,347.1y TOl'AI- ~47~z0a.ay if you nc^d :~r:hcr ~nfcnnatian, picric contawt a mernl7ex service rc~rescntal"it~c at ~ -800-~3 I -8 l 81. Sin.:erely, ranl liamo:, 1~vestor Accci~nt Services ~'8~-A 6kokerape Bahk.ei M a C+iM1alan of uSM tlrtanda Rc•~Srxa, 1++a, a ro~binrod txvker de~ltr, S~ ~ 08/17/2010 09:34 410-643-4710 M&T BANK-KENT ISLAND PAGE 07/12 Gerald McKelvey Retirement Account Summary April 1, 2009 to June 30, zoos BOUT YOUR SAVINGS Pi.aN NeM Web Site, Exhibit, and Online Game Help Families Talk About Money Talking with children about saving a.nd planning for the future is perhaps more important than ever. That's the purpose of The Great Piggy Sank Adventure(SM} online game, a collaborative effort between Tr Rowe Price and Watt Oisney Parks 8 Resorts Online. The game is a feature of the new T. Rowe Price Family Center, an interactive Web site that can help you talk with children about saving and spending wisely. You'll find stories from parents about their past experiences with money, The Great Piggy Bank Adventure(SM) online game, and more about our commltmentto education, It's all part of the sponsorship of a new interactive theme park experience---The Great Piggy BankAdventure(SM) --nnow open at INNOVENTIONS at Epcot at the Walt Disney World Resort in Florida. The experience, combined with the T, Rowe Price Family Center Web sfte and The Great Piggy Bank Adventure(SM) online game, reflects a broader effort by T. Rowe Price to make financial aducatlon concepts more accessible and engaging for children. Log in, learn, and play at rps.troweprice.comr T. Rowe Price and Wait Oisney World Company are not affiliated companies, BENFFICIAR~ 1NFURMAjIUN ....... ~ , t!~ Mr~"{~ SN4' { 1 ,,,, r"~'r'• •.•.u:.t •.~ °•'aN"•,a"~rbnl•ra•r-,Itl•H.Ih•M.r•:rT':'~il : ~•I~b'44WI1AY11•r.raBr,NUI1111 ~rrrrrllurrrrrr . rlu rr.rnw. ,r r .:1,.;.~..~r1.,d::rM:l~c;ruk:v:muirnf :.lull; ~•~rr~rw:r.f: ur7.rrro-r,.r.e~.dq_}..... ,o•,.r•.1...1.. , ~ ::a; •,!pr.t,w.:,'. r,+~'r•w • .•,.., r~ ...r ...... ...... ... ... .,M •'~;1.:.:,•^ . , , 1raa;In~i7+1-wufi•Ydrrrr;....r.w-: r,hlh~~:l=1, ~a;: BiR.~:r:,.:~.P::ul4.,•CI.1::1 Ilul:fdi T, Rowe Price Retirement 2010 $7,182.59 $0,00 $1,068,31 $8,250.90 rrr ,~ wrr r m'nirrr..,~• r,, grrPTr•i ~ :ilii .'),' ...i.r,..... .. .. rl.-a,.l •I..r•.N4 e..}p„ i; N MJW I,:rnJ/.r 11 F,rl~ n.`:' • ..,• Il x 1~ 1u1,rr r.nM.-..rut,.. r. n l~•!:lhd •u•.. .•~.. .:q- rp; n P'r•~d,;, :., .. •1M • y.'. ti..r~~ ,.. q r u /" I, v rill: r~rY~..l .~NI r~~~dr 1,i1 ...a h ~• .'~:': .r ,d~~r.A:•..1..~.III..u...rr.~.tai.Jal`.I/rr.rllrl~y..p,.r..r•lirrhrh, r.llrlh..~11.•.~1:9:..~" J r • I~,:fYl ~A HIfJY.•trr•..a.,r..~.r.:rr.~rr~rrlr.rrprd INr f r~~'.!-.•'• . IP~t": 1 lu unl U. sanofi~aveatls Stable Value Fund $9,i 73.86 $0.00 $86.75 $9,260,61 -< - '+1'M;hI~T~Fp q -~,-I~••p. ~~ M•n.w.w. ww+nrnrnrrnww.rn.r.wo.rne.rwwwnrM.• N -' 1 k r u r'{. ~.._. 1~~611n.~1-!.Tr:riM~.lw•:h r/,r:.'"Nri~.y,:,::.•:~ I~rl ~.! -. .':'ir.~~lyy?~~ ,r. Iri,lrrpu,•I.w rrfriu•r•-ul..u fr.ra 4rrru ~p~~rrr~rrn:r ~II11~7 !Jt~ 4M1t ~lrtrtN~l r W~Y,~~hl7uoa..r, Mn881Npi~{G11i1(1 ~YrK; tY~M 4~"'"_' 1 VJ. I !- ~ Kilf~lu...: ::~::..:.;T,~:, ,,~,~ 1'L ~+VY; ";!h ,:: u:S.: r:tl•Sl.,lr t. rrt~!!rr ,~~ Wf I;tI(.u ~Mrulilhlilrllrflii~ll~:~u ~..r..~,~ ... ~ . .,r... .... ., .. ~.. ... ~..,..nwa.l-~•!h+I~I~nl+l~h N~If 1'P~at•-^-•M'• .. ..:Ir111•I.u.aarl :lull llf.~u x'lul,lia~: nldnar ,,,,., .. r1411w••rn~lr~ rrrul.,.,. .. ... u 1 .r , ' , ~ 444 ~ ~ i1N„dl,t.111' .. ,...,. ~Krh~ Money In/Money Out Js the net total ofa/l contributions, payments, vthercredlts, withdrawals, obherde6its, and iransfets made to and fmm your investment(s), You are invested in multiple Retirement Funds or mixing them with otherfunds. These funds are designed as a one step investment, The T. Rowe Price Retirement 2010 may be appropriate for you. However, based on your circumstances, you should carefully evaluate your Investments. To make a change, call 1-500-839-1901 or log into rpsrtroweprice.com. The funds' investment In underlying funds means that they will be exposed to the risks of different areas of the market. Call 1900 922-9945 to r+egvest a prospectus, which includes investment objectives, risks, fees, expenses, and other information that you should read end consider carefully before investing T. Rvwe Price /nvestment Services, lna, distrfburor, T. Rowe Price mutual fundsr a Page Z of 3 ~.~ VI RETIRE WITH CONFID6NC1{ ~' You have not designated abeneficiary fveyvurret/rementaccoun~. Federallaw generally dictates that your spouse is automatically the beneficiary of all or a portion of your savings plan if yov die. Contact T. Rowe Price or log on to rps trowepr/cs.cam if you want to designate a new @eneflclary. ' 08/17/2010 09:34 410-643-4710 A;~~ ~~, 1U1t; ~2:3;~P;~ 9800 Fnklerickb u rg ko aJ Sse: Ar-IOdiA,'rerlCe 78Z$8 ~~~~ ~S•!' 0~ Cir$1ZAI,p ~ 1riC KELVEY C O CATi~iE1Z1~lE A L~ShfY 2~9 STEAMBO:~T A~-TF. f~UEENSTOV~i~! 1~B 21658-129] M&T BANK-KENT ISLAND PAGE 05/12 August i3r 20Y~0 Dear ;4[ ~s. I.osny; USA11 i5 cam~nittad to providing excc~lent service Co its mu;mbcss. Aa you requtstcd, ~i am prof-iding the follovuing isifolrnatio~l fox the ret.ia~e;~rnt ~ccat,~nt,s al't~ta lace Gerald .T Mckelvey. usAA #: 277 ~ ~4 Arr~unt # snd' in 'Fund Nauss Q992 S ~.~' SQO L ndex Fund M c~nbcr Shares 6252 Money M$r!cot Fund The account valves an April 23, 2009 were: Account # ShaTa Accrued Account end~n Sb~axcs P, rime Divt~ 'V'alue 4992 1 S,16S S 12.77 t'~A; $291, a7 62S2 5.0~l0 ~ i.00 ~-©.01 S$.Og ~`otal Value SxA0.05 ''Fund dotes ~~t accrue 3sily dividends, If you have uc.tioae,_-pTease call a USAA ~re~r~ber service rcpz~exentativa at Thaw yon, USAA ahateholdcr Axouni 5crviccs z~7 ~o ss•~s~~ossra•nacv~zo-s~:~.s~w~ salsc•ota-e ~c~ ~ i ~1~^~. 0~ GERAT~ J. 1'4cREGVEY I, GERALD J. McRLLVEY, of Hampden Township, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I. I direct that all my just debts and funeral expenses, including my \.a gravemarker and all expenses of my last illness, and any and all taxes and assessments imposed by any governmental body as a result of my death, whether on property passing under this will or otherwise, shall be paid from my residuary estate as soon as practi-- cable. after my decease as a part of the expense of the administration of my estate. ITIIK II. I give and bequeath all of my household goods, automobiles, jewelry, and all other articles of household and personal use, equipment and ornament., together with all insurance thereon and relating thereto, to my wife, CATHERINE R. McK.ELVEY, provided she survive my death by thirty (30) days. Should my said wife predecease me or be deceased on the thirty-first day after my death, I give, devise, and bequeath all such ~~ite~ns and insurance thereon in equal shares to those of my issue, per stirpes, who survive my death by thirty (30) days. ITEM III. I give, devise, and bequeath all the rest, residue, and remainder of my possessions and estate of every nature and wherever situate to mY wife, CATHERINE R. McKELVEY, provided she survive mY death by thirty (30) days. Should my said wife predecease me or be deceased on the thirty--first day after my death, I give, devise, and bequeath all the rest, residue, and remainder of my possessions and estate of every 1 nature and wherever situate in equal shares to those of my issue, per stirpes, who survive my death by thirty (30) days. ITFM IV. In the event neither my wife nor any of my issue survive my death by thirty (30) days, I give, devise, and bequeath all of my possessions and estate of every nature and wherever situate to my father, GERALD J. McKELVEY, SR., of Palmerton, Pennsylvania. ITEM V. In the event my daughter, CATHERINE A. McKELVEY, is under the age of ~_{~{ twenty-five (25) years at the time for distribution to her, I devise and bequeath her share of my estate to my hereinafter named trustee, IN TRUST, to hold, :manage, invest, re--invest, the share so received, and the accumulation of income thereon, and to use and apply from time to time such portion of income and principal thereof as my -~_~-~, trustee thinks ro r for the comfortable su ort maintenance health welfare and P ~ pP - - , education of my daughter or to make payment for such purposes, without .further responsibility, directly to my daughter, or directly to any person taking care of my daughter.. Any principal or income not so applied shall be distributed t,o my daughter .when she attains the age of twenty--five (25) years. Should my daughter fail to attain ~ the age of twenty--five (25) years, such principal and income shall be distributed to her issue, per stirpes, if any, living on the date of her death and, in default thereof, to my issue, per stirpes, living on the date of her death. Should there be no issue of my daughter or of mine living on the date of my daughter's death, such principal and income shall be distributed to my father, GERALD J. McKELVEY, SR. ITEM VI. I appoint my son, GERALD D. McKELVEY, trustee of the trust or trusts created by this my last will. Should my son fail to qualify or cease to serve as 2 trustee, I appoint my father, GERALD J. McKELVEY, SR., trustee of the trust or trusts created by this my last will. In addition to the other powers and authorities granted to my trustee by Pennsylvania Law and by the preceding paragraph of this my last will, I hereby give my trustee the following special powers and authorities: '~ A. To retain any or all of the assets of my estate, real or personal (including any stock or securities of any corporate fidu-- ciaries~, without any regard to any principle of diversification, risk, or productivity; B. To invest and re--invest in all forms of property without restriction to investments authorized for Pennsylvania Fiduciaries, as my trustee deems proper, without regard to any principle of diversification, risk or productivity; C. To sell at public or private sale, to exchange or to lease, for any period of time, any real or personal property and to give options for sales, exchanges, or leases, for such prices and upon such terms or conditions as my trustee deems proper and in the best interests of the beneficiary or beneficiaries of said trusts; D. To allocate receipts and expenses to principal or income or partly to each as my trustee from time to time deems proper in its sole discretion; B. To compromise any claim or controversy; F. To exercise any option, right, or privilege granted in insurance policies or in other investments; 3 G. My trustee may accumulate the income from this trust during the term thereof but may, from time to time, distribute from current income or from accumulated income or from principal such amounts as my trustee, in its sole discretion, deems advisable .for ~I the education, welfare, and comfort of the trust beneficiary. ITII~I VII. All of the interests of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation nor shall they be jest to any execution or attachment. ITII~I VIII. I appoint my son, GERALD D. McKELVEY, guardian of the person of my 1\`\~ daughter. Should son fail to alif or cease to serve as uardian I a oint rn ~ ~ mY ~ Y g . PP Y father, GERALD J. McKELVEY, SR., guardian of the person of my daughter. ITEM IX. The words "child", "children", and "issue", as used in this will shall interpreted and construed to include persons who have been born to or adopted by me ter the execution of this will, if any. ITFM X. I appoint my wife, CATHERINE R. McKELVEY, executrix of this my last will. Should my said wife predecease me or otherwise fail to qualify or cease to serve as executrix of this my last will, I appoint my son, GERALD D. McKELVEY, executor of ~ this my last will. ITEM XI. In addition to the other powers and authorities granted to my personal representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby give to my personal representatives the following powers and authorities effective without court approval and until actual distribution of all property: to compromise any claim or controversy; to make distribution in cash or in kind, or partly 4 in cash and partly in kind, and in such manner as my personal representatives may determine and at valuations finally to be fixed by them; to invest in all forms of property, including any stock or other securities in any corporate fiduciary or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my personal representatives deem proper, without regard to any principle of risk or diversification; to retain any or all assets of my estate, real or personal, without regard to any principle of risk or diversification; to sell at public or private sale, to exchange, or to lease for any period of time, any real or personal property and to give options for sales, exchanges, or leases, for such prices and upon such terms or conditions as my personal representatives deem proper; and to allocate receipts and expenses~to principal or income or partly to each as my personal representatives deem proper in their sole discretion. ITF~'I XII. I direct that my personal representatives and fiduciaries shall not be I required to give bond for the faithful performance of their duties in any jurisdiction. D IN WITNESS ~HOF, I have herE of ~ , 1990. 5 '0 The preceding instrument, consisting of this and five other typewritten pages, each identified by the signature of the testator was on the date thereof signed, published, and declared by GERALD J. McKELVEY, the testator therein named, as and for his last will, in the presence of us, who at his request, in his presence, and in the presence of each other, have subscribed our names as witnesses hereto. ~ ~~~ -~~. r~w~' r 6 CONIl~IONWEALTH OF PENNSYLVANIA ) ( SS . COUNTY OF CUMBERLAND ) The undersigned, being the testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, does hereby acknowledge that I signed and executed the foregoing instrument as my last will, that I signed it willingly; and that I signed it as my free a voluntary act for the purposes therein expressed. ~ ~ Sworn or affirmed to and acknowledged before by the to tator a e this ~ day f ,'"~ , 1 ~~ . Notary 1 ' c NOTARIA! SEAL WINDY K. STRAUB, NOTARY PUBLIC LEMOYNE BORO, CUMBERLAND CO. MY COMMISSION EXPIRES MAY 6,1991 COMMONUdEALTH OF PENNSYLVANIA ) SS . . ( COUNTY OF QJMBERLAND ) WE, GEORGE A. VAUGHN, III, and MICHAEL L. BANGS, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testator sign and execute the instrument as his last will; that he signed it willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testator signed the will as witnesses; and that to the best of our knowledge, the testator was at that time 18 or more years of age, of sound mind, and under no constraint or undue influence. Sworn or affirmed to "and ac la Y o fore ~~-~is ~/~ ~~ ~ , 19 Notary P~`.._ J c ~ NOTARIAL SEAL WENDY K. STRAUB, NOTARY PUBLIC lEMOYNE 80R0, CUMBERLAND CO. MY COMMISSION EXPIRES MAY 6,1991