HomeMy WebLinkAbout10-06-111505610140
REV-1500 ~ (01 foj OFFICIAL USE ONLY
PA Department of Revenue County Codi Year File Number _
Bureau of Individual Taxes INHERITANCE TAX RETURN ~Lj ~ I
PO BOX 280601
Harrisburg PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
1 7 7 D 3 5 1 8 6 0 7 0 3 2 0 1 1 0 2 1 4 1 9 1 8
Suffix Decedent's First Name MI
Decedent's Last Name
G A N S T E R R E X F O R D ~
(If Applicable) Enter Surviving Spouse's Information Below MI
Spouse's Last Name Suffix Spouse's First Name
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
t
l R
^
2. Supplemental Return
^
3. Remainder Return (date of death
urn
e
X 1. Origina
^ prior to 12-13-82)
^ 4. Limited Estate ^ 4a. Future Interest Compromise (date of ^ 5. Federal Estate Tax Return Required
Decedent Died Testate
^ 6
^ death after 12-12-82)
7. Decedent Maintained a Living Trust
8. Total Number of Safe Deposit Boxes
~~
n
.
(Attach Copy of Will)
ds Received
P ^ (Attach Copy of Trust)
10. Spousal Poverty Credit (date of death ^ "
Sec. 9113(A~
11. Electi~t x under
~
rocee
9. Litigation
^ between 12-31-91 and 1-1-95) 0)
(Attac~5
T BE COM ALL CORRESPONDENCE AND CONFID
PLETED ENTI AL TAX INFORN(1~3(QN~OULD~~ DIRECTED T0:
CORRESPONDENT -THIS SECTION MUS . Daytime Telepffo~ 6~mber cr,
Name
E R B I
R W
I N E S Q U I R E v>
7 1 7 B ;4«9 2•~ 3 5 3 _
R O G ~
;
--r,
First line of address
I R W I N &
Second line of address
6 0 W E S T
City or Post Office
C A R L I S L E
M c K N I G H T, P C
P O M F R E T
S T R E E T
State ZIP Code
P A 1 7 0 1 3
Correspondent's a-mail address:
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, rrect and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGN RE OF PERSON R~SPONSIBL FgR FILING RETJrIRN / ~ /DATE ~ ~n`~
/CDD~ESS / CARLISLE PA 17013
403 B STREET DAT
SIGNATUftti~O~ PREPARER OJHER T ,N REPRESENTATIVE ~ y fb ~~ t
.S5
WEST MFRET STREET CARLISLE PA 170
PLEASE USE ORIGINAL FORM ONLY
Side 1
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RE,VV-1500 EX Page 3
Decedent's Complete Address:
DECEDENT'S NAME
File Number
0 I)
REXFORD J. GANSTER
STREET ADDRIESS---
403 B STRf=ET
cITY
STATE
F'A
ZIP
17013
Tax Payments and Credits:
1 • Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments
B. Discount 643.63
(1) 12 872.67
3. Interest Total Credits (A + B) (2)
643.63
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (3)
Fill in oval 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. (4) 0.00
(5) 12 229.04
Make check payable to: REGISTER OF WILL-, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred; Yes No
b, retain the right to designate who shall use the property transferred or its income; ........... ........
c. retain a reversionary interest; or .............................. ^
d. receive the promise for life of either payments, benefits or care? .. ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~'
....... X
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death ^
without receiving adequate consideration?
.. ... ............. ^ X
3. Did decedent own an "intrust for" or payable-upon~ieath bank account or security at his or her death? ......... ^
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 oi` transfers to or for the use of
3 percent (72 P.S. §9116 (a) (1.1) (i)j. the surviving spouse
For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the uses 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 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 21 years of age or younger at death to or for the use of a natural parent, an
adoptive parent ar 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)j.
• 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)]. Asibling is defined, unde
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1510 EX+ (OB-09)
pennsylvania
~ DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
err ~ T.- .,
~... ~+. ~ yr
REXFORD J. GANSTER
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
ITEM DESCRIPTION OF PROPERTY
NUMBER INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH
THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE.
t• M&T BANK -CHECKING ACCOUNT#2677074375 %OFDECD'S EXCLUSION
VALUE OF ASSET INTEREST
(IFAPpLI~ggLE)
3,1;~4.;~0 100.00
2. IM&T BANK -SAVINGS ACCOUNT #15004200018213
3. M&T BANK -CERTIFICATE OF DEPOSIT
#31003918610807
4• M&T BANK -CERTIFICATE OF DEPOSIT
#31003912753570
5. M&T BANK -CERTIFICATE OF DEPOSIT
#31003918611079
6. TRANSAMERICA LIFE INSURANCE COMPANY
ANNUITY #02CBT035400
7• INVESCO
ACCOUNT #0000467925
8. 2002 BUICK CENTRUY -SOLD
41,929.Ei2 ~ 100.00
51,09'1.07100.00
11,30 i'.2:? ~ 100.00
36,511.74100.00
113,182.54 ~ 100.00
31,039.32 ~ 100.00
2, 700.00' 100.00
TAXABLE
VALUE
3- 134 5
41, 929.62
51,091.07
11, 307.22
36, 511.74
113,182.54
31, 039.32
2,700.00
0.00
SCHEDULE G
INTER-VIVOS TRANSFERS AND
MISC. NON-PROBATE PROPERTY
FILE
If more space is needed, use additional sheets~of Also enter on Line 7,
paper of the same size.
0
Rt<V-1511 EX+ !19-09)
~>fennsylvania
DI=PARTMENT OF REVENUE
IN4ERITANCE TAX RETURN
RESIDENT DECEDENT
ESTA
SDHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
FILE
n
Decedent's debts must be reported on Schedule
ITEM
NUMBER
A• FUNERAL EXPENSES: DESCRIPTION
~• HOFFMAN-ROTH FUNERAL HOME
2• CARLISLE MEMORIAL SERVICE, INC.
B• ADMINISTRATIVE COSTS:
~ • Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City
State Zip
Year(s) Commission Paid:
2. AttomeyFees: IRWIN & McKNIGHT, P.C.
3• Family Exemption: (If decedents address is not the same as claimants, attach explanation.)
Claimant
Street Address
City
State ~_ ZIF~
Relationship of Claimant to Decedent
4• Probate Fees:
5• Accountant Fees:
6• Tax Retum PreparerFees: PATRICIA A. ROSENDALE, CPA
~• REGISTER OF WILLS -FILING FEE
AMOUNT
1,243.28
185.00
3,000.00
375.00
15.00
TOTAL (Also enter on Line 9, Recapitulation) S
If more space is needed, use additional sheets of paper of the same size.
1
REV-1512 EX+ (12-08)
Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTA
SDHEDULEI
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
~~nrvKU J. C~ANSTER FILE NUMBER
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, iincluding anreimbursed medical ex enses
ITEM p
NUMBER - '
DESCRIPTION VALUE AT DATE
1. SPRING ROAD FAMILY PRACTICE -MEDICAL - OF DEATH
6.25
2~ VASCULAR ASSOCIATES -MEDICAL
8.12
3. HERSHEY KIDNEY SPECIALISTS, INC. -MEDICAL
4.02
TOTAL (Also enter on Line 10, Recapitulation) $
If more space is needed, insert additional sheets of the same size. ~-'
18.
REV-1513 EX+ (01-10)
Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
~~
eerw~.,~
EXFORD J.
SCHEDULE J
BENEFICIARIES
NUMBER -~
NAME AND ADDRESS OF PERSON(S) RECEIVIN3 PROPERTY
I, TAXABLE DISTRIBUTIONS [Include oufight spousal distributions and transfers under
Sec. 9116 (a) (1.2).]
1• LORENE M. GANSTER
403 B STREET
CARLISLE, PA 17013
2~ BARBARA A. GRAINGER
400 ANCR 492
ATHENS, TX 75751
3. ANNE M. GANSTER
403 B STREET
CARLISLE, PA 17013
FILE
0
RELATIONSHIP TO ~
_ Do Not List Tru
AMOUNT OR SH
OF ESTATE
Lineal
114,423.74
40% REMAINDER
Lineal
114,423.73
40% REMAINDER
Lineal
57,211.87
20% REMAINDER
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER MEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NO7' TAKEN: ~ AS APPROPRIATE.
1.
I B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVED SHEET.
If more space is needed, use additional sheets of paper of the same size. $
LAST WII,L AND TESTAMENT
(Pour-Over Wes)
OF
REXFO~ J. GANSTER
IDENTITY
I' REXFORD J• GANSTER, residing in the Coun
Pennsylvania, being of sound mind and memo ~' of Cumberland, Commonwealth of
person whomsoever, hereby declare this to be my L stoWill and Testament, and I do her
other former Wills and Codicils to Wills heretofore ma g under duress or undue influence of any
5186. de by me. My Social Security Numbers 177e031
I have the following children: Lorene M. Ganster, born relay 26, 1949, and Bar
Grainger, born September 2, 1943.
bara A.
DEBTS, TAXES AND ADMINISTRATION EXPENSES
I have provided for the payment of all my debts, expenses of administration of ro
situated passing under this Will or otherwise, and estate, inheritance, h'arisfa;r, and successi
than any tax on ageneration-skipping transfer that is not a liability of my Estate p pertY wherever
penalties, if an on taxes, other
y) that become due by reason of my death, under THE (mcluding interest and
REVOCABLE LIVING TRUST executed on even date herewith (th.e "R~ocable~T J. GANSTER
Revocable Trust assets should be insufficient for these
from the residue of my Estate passing under this Will, wi~thoutsany appo~tio°nmeall a ~ st")' If the
the alternative, my Executor may demand in a writing addressed to the 'I'ntstee p y y unpaid items
necessary to pay all or part of these items, plus claims, pecuniary le acies nt or reimbursement. In
of the Trust an amount
order. g ,and family allowances by court
PERSONAL AND HOUSEHOLD EFFECTS
It is my intent that all my personal and household effects were trarisfc;rred to the Revocable
as a result of the Declaration of Intent signed this date. If there are an
or disposition of these assets, it is my desire that such assets pour into the Revocable Trn Trust
this date in accordance with the provisions of the section titled °~ y questions regarding'the ed b sme
Residue of Estate." st gn y
RESIDUE OF ESTATE
I give, devise and bequeath all the rest, residue and remainder of m
y property of every kind and
description (including lapsed legacies and devices), wherever situated anti vvhether ac uir
after the execution of this Will, to the Trustee under that certain Trust executed by me on the
the execution of this Will. The Trustee shall add the property bequeathed and de q ed before or
corpus of the above described Trust and shall hold, admtmster and distribute said ro same date of
with the provisions of the said Trust, including any amendments thereto vtsed by this item to the
P perry in accordance
made t~efore my death.
If for any reason the said Trust shall not be in existence at the time of death, or if for an reas
court of competent jurisdiction shall declare the foregoing testament
said Trust as it exists at the time of my death to be invalid, then I give allf osftmy Est to Tncl tee under
udtng the
POUR-OVER WILL
Page 1
Testator
residue and remainder thereof to that person who would have been the Trustee
Trustee, and to their substitutes and successors under the Trust, de:sc:ribed herein
managed, invested, reinvested and distributed by the Trustee upon the te: under the Trust, as
above, to be held,
'the period beginning with the date of my death as are constituted in thc; Trus
rms and conditions pertaining to
giving effect to amendments, if any, hereafter made and for that puz)po;;e I do herebpri sent constituted
"Trust by reference into this my Will.
y ncorporate such
EXECUTOR
I hereby nominate and appoint Lorene M. Ganster to serve without bond as m In
Executor of this my Last Will and Testament.
y dependent
In the event the first named Executor shall predecease me or is unable or unwillin to
Executor for any reasons whatsoever, then and in that event, I hereby nominate and a
Ganster to serve without bond as m g act as my
y Independent Executor. ppoint Anne M.
In the event the second named Executor shall predecease me or is unable or unwillin
my Executor for any reasons whatsoever, then and in that event, I hereby nominate and a
A. Grainger to serve without bond as my Independent Executor. g to act as
ppoint Barbara
Whenever the word "Executor" or any modi
my Will, such words and respective pronouns shall be he d andtakentto include bo h there is used in this
plural, the masculine, feminine and neuter gender thereof, and shall a 1~
herein and to any successor to substitute Executor acting hereunder, and such singular and the
Executor shall possess all the ri hts PP -~ e'qually to the Executor named
Executor originally named herein g ' P°wers, duties, authori successor or substitute
ty, and responsibility conferred upon the
EXECUTOR POWEg~
BY way of Illustration and not of limitation and in addition to am/ inherent, implied or s
powers granted to executors generally, my Executor is specifically authorized and empowered
res ect to an tatutory
P y property, real or personal, at any time held under an °f'i~
allocate between principal and income, assign, borrow, buy, care for, collect, compromise cla'
with respect to, continue any business of mine, convert, deal ~,it y prov7sion of this my Will: to allot,
improve, incorporate any business of mine, invest, lease, mana a mort a, a ice' c°ntract
h, dispose of, enter into, exchange, hold,
with respect to, take possession of, pledge, receive, release, repaigr, sell, sue foi•, make distribut'
or in kind of partly in each without regard to the income tax basis of s g g ~ grant and exercise options
uch asset and in general, exercise all
of the powers in the management of my Estate which any individual could Exercise in t ions in cash
similar property owned in its own right upon such terms and conditions as to rriy Executor management of
and execute and deliver any and all instruments and do all acts which my ]?xc;cutor ma dee
necessary to c y seem best,
arty out the purpose of this my Will, without being limited in any way by the specificoper or
or power made, and without the necessity of a court order.
grants
My Executor shall have absolute discretion, but shall not be required, to make adjustments i
rights of any Beneficiaries, or anion the
consequences of any tax decision or election, or of any investment or adm~.inistrative dpensate for the
executor believes has had the effect, directly or indirectly, of preferring one Benefit ecision, that my
Beneficiaries over others. In determining the Federal Estate and Income Tai; liabilities of m or
rY group of
y Estate, my
POUR-OVER WILL
Page 2
~~~
Testator
Executor shall have discretion to select the valuation date and to df;teimine whether an or al
allowable administration expenses in my Estate shall be used as Federal Estate Tax deductio 1 of the
:Federal Income Tax deductions.
ns or as
CONTESTS AND SPECIFIC OMISSIONS
If any beneficiary under this will, singly or in conjunction with any o~~ther person or persons direc
indirectly: tly or
1. contests in any court the validity of this will or, in any mamier, attacks or seeks to im air or
invalidate any of its provisions; p
2. contests in any court the validity of the Testator's/Testatrix's ~JVi]!1 or, in any manner, attacks or
seeks to impair or invalidate any of its provisions;
3. seeks to obtain an adjudication in any proceedin in
provisions or that Testator's/Testatrix's Will or any of its provisions is voids trust or any of its
4. claims entitlement by way of any written or oral contract to an
Testator's/Testatrix's estate, whether in probate or under this ins~tru.ment; y p°rhon of the
5. unsuccessfully challenges the appointment of any person named as Executor or successor
Executor of the Testator's/Testatrix's Will;
6. objects in any manner to any action taken or proposed to be taken in good faith by the Executor
of the Testator's/T'estatrix's Will;
7. objects to any construction or interpretation of this Will, or any provision of it, that is ado ted or
is proposed in good faith by the Executor; P
8. unsuccessfully seeks the removal of any person acting as the Executor of the
Testator's/Testatrix's Will;
9. files any creditor's claim in Testator's/Testatrix's estate (without: regard to its validity), whether
the claim arose before or after the date of this instrument, but excepting claims for cash advanced
or paid for expenses of the Testator's/Testatrix's last illness or fiuieral paid by said claimant;
10. attacks or seeks to invalidate any designation of beneficiaries fir .any life insurance polic on
Testator's/Testatrix's life; y
11. attacks or seeks to invalidate any designation of beneficiaries for a.n
form of qualified or non-qualified asset or deferred compensation account~raa~ ment hor
arrangement;
12. attacks or seeks to invalidate any will which Testator/Testatrix has created or may create Burin
Testator's/Testatrix's lifetime, or any provision thereof, a;s well as an g
y gift which
Testator/Testatrix has made or will made during Testator's/Testafiix';~ lifetime, whether before or
after the date of this instrument;
13. attacks or seeks to invalidate any transaction by which Testator/Testatrix sold any assets (whether
to a relative of Testator's/Testatrix's or otherwise); or
14. refuses a request of Testator's/Testatrix's, Executor or other fiduci;iry to assist in the defense
against any of the foregoing acts or proceedings,
then that person's right to take any interest given to him or her by this trust shall be determined as it would
have been determined if the person had predeceased the execution of this will instrument without issue
surviving.
The provisions of the foregoing paragraph shall not apply to any disclaimer by any person of any benefit
POUR-OVER WII,I,
Page 3
~~~
Testator
under this will: In the event that any of this provision is held to be im~alid, void or ille al
be deemed severable from the remainder of this provision and shall in nog way affect im '
any other provision in this will; and if such provision shall be deemed invalid g 'the same shall
such provision shall be deemed to exist to the extent of the scope or breadth ermi ~ pair or invalidate
due to its scope or breadth,
P tted by law.
S~TANEOUS DEATH
If any other Beneficiary should not survive me for six
presumed for the purpose of this my Will that said Beneficiary p dece~ se3d meen it shall be conclusively
~~' J. (JA TER
Testator
This instrument consists of 6 typewritten pages, including the Attestations Clause, Self-Pro '
signa a of Witnesses, and aclrnowledgment of officer. I have signed my name at the bottom
vmg Clause,
the c ing pages. This 'nstrument is bein si 'each of
g fined by me on this _~~ day of
POUR-OVER Wn,i,
Page 4
ATTESTATION CLAUSE
The Testator whose name appears above declared to us, the undersigned, that the fo
instrument was his/her Last Will and Testament, and he or she requested us to act as wi
instrument and to his/her signature thereon. The Testator thereupon signed such i regoing
presence. At the Testator's request, the undersi messes to such
own handwriting in the presence of the Testator. The undersibscribed our names to the instrument in our
of us, that we believe the Testator to be of sound and disposing mi d and memory. in the presence of each
Signed by us on the same day and year as this Last Will and Testament was si ed
Testator.
gn by the
WITNESSES:
~, _~ ADDRESSES:
~ l OL_
~ _ ~~ ~~~
// ~ /
(Punted Name of Witness) j/ ~/ n"- /~D~~
Crty, State, Zrp
~ )
c ~
(Printed Name of Witness) M c;1~P ~ ~
City, State, Zip
POUR-OVER WII,I,
Page 5
1L__/`~
Testator
COMMONyIrEpS,TH OF PENIVSYLVAIVIA
COUNTY OF CUMBERLAND
SELF-PROVING CLAUSE
BEFORE ,the ~ er gne authori
GANSTER, 0 ~ t3', on this d rson~],~ a eared REXFORD J.
known to me to be the Testator and and ~ ~ ~~
foregoing instrument in their respective capacities, and 11 of hem be nros~e names are subscribed to the
CiANSTER, Testator, declared to me and to the witnesses, in m g b:Y me duly sworn, REXFORD J.
Will and that he or she had willingly made and executed it as his/her fieeeactaand deed fo the is his/her
purposes
therein expressed; and the Witnesses, each on his or her oah, stated to me in the presence and hearin of
the Testator, that the Testator had declared to them that the instrument is his Will and that he or she
executed the same as such and wanted each of them to si
witness stated further that he or she did he same as a witness in the presf:nc of the Testator~and~at his
request and that he or she was at that time eighteen (18) years of age or over and was of sound mind, and
that each of the witnesses was hen at least fourteen (14) years of age.
REXF J. GRAN ER
Testator
~' 1.
Witne
- ' ~ l( CGS'
(Printed Name fitness)
W' ss
~ ~
~ S A `fin
(Printed Name of Witness) T
SUBSCRIBED AND ACKNOWLEDGED befor e b RE
sub c 'bed worn to before me by O J ~ TER, Testator, and
witnesses, t ~ and
~e,~ ~ the f day of
_7`.
~ _~-r-7D
Public, Com~i ionwealth of Pennsylvania
1EROME T. LEWiS, NOTARY Pl1BLIC
TREDYffRIN TWP., CHESTER CfOUNTY
POUR-OVER WILL
Page 6
CERTIFICATE OF TRUST
THE
REXFORD J. GANSTER
REVOCABLE LIVING TRUST AGREEMENT
DATED ~ /~ 20_6 ,~
The undersigned hereby certifies that I created a Revocable Livin l T
THE ORD J. GANSTER REVOCABLE LIVING TRUST AGREEMENT, date thet is 1 ~o~a s
of _L_ Y
981 Crains Ga oad, Carlislety of CumberlandGCommoRw grantor, Settlor and Trustee, resides at
lth of Pennsylvania.
IT IS AGREED BETWEEN THE PARTIES HERETO AS FOLLOWS:
Description of Trust
The party hereto desires to confirm the establishment of a Revocable Trust on this date for the benefit of
the Settlor and containing herein the following provisions:
TERMS OF THE TRUST
1 • The Settlor is designated as the Trustee to serve until his death, re:si€mation, or incompetence.
2• Upon the end of the terms of the original Trustee, Lorene M. Ganster is designated as First
Successor Trustee. Anne M. Ganster is designated as Second Successor Trustee. Barbara A.
Grainger is designated as Third Successor Trustee.
TRUSTEE POWERS
Any Trustee/Settlor has the power and authority to manage and c~ontxol, buy, sell, mortgage, and
transfer the Trust property in such manner as the Trustee may deem advisable, and shall have,
enjoy and exercise all powers and rights over the concerning said. property and the proceeds
thereof as fully and amply as though said Trustee were the absolute and qualified owner of same
including the power to grant, bargain, sell and convey, encumber and hypothecate, real and
personal roe '
P P rty, and the power to invest in corporate obligations of every kind, stocks,
preferred or common, and to buy stocks, bonds and similar investments on margin or other
leveraged accounts, except to the extent that such management wou:fd cause includability of an
irrevocable trust in the Estate of a Trustee.
TRUST ADMINISTRATION
4• Following the death of Trustee, the Trust will continue or be distributed in whole or in part for the
benefit of other named Beneficiaries according to the terms of the Tru;;t.
5~ While Settlor is living and competent, except when there shall be a (~orporate Trustee, Trustee
may add money to or withdraw money from any bank or savings a;nd loan or checking account
owned by the Trust.
CERTIFICATE OF TRUST
Page 1
E~• Unless otherwise indicated to a prospective transferee, the 'Tnistee has full ower
assets held in the name of the Trust. Subsequent transferees are entitled to rely upona such
transfers provided that the chain of title is not otherwise deficif;nt.
~• The Trust Agreement also states that an
individual, may conclusively presume that the Trusteehas full poi errand autho rr ova entity or
Assets and such person or institution shall be held harmless and shall incur no liability bhr anon
of so presuming. y
g• The situs of the Trust is the COMMONWEALTH OF PENNSYLVANIA
9• Any conflict between this abstract and the Trust shall be decided iri Favor of the Trust.
~ wrTlvESS WHEREOF, the party has hereto executed this Summary of Trust this date.
SETTLOR/TRUSTEE
~'
~~ J. GANSTE:R
COMMONWEALTH OF PENNSYLVANIA}
COUNTY OF CUMB~RI_,AND} ss
On this, the ~.~
__~__-__ day of ____`~
appeared REXFORD J. GANSTER, person ly known to~ be the person whotsery Public, personally
on this instrument, and acknowledged that he/she executed ~t for the ~, name is subscribed
purpose,, herein expressed.
,~
Notat/v P~blic, Commonv~,,ealth of Pennsylvania
1EROME T. LEWRSANOTARY PUBLIC
TREDYFFRIN TWP., CHESTER COUNTY
MY COMA71SS10N EXPIRES SEPT. 25 2006
CERTIFICATE OF TRUST
Page 2
• ~~~ ~~~~
499 Mitchell Road, Millsboro, DE 19966 Adjustment Services
Irwin and McKnight PC
60 West Pomfret Street
Carlisle, PA 17013-3222
Re: Estate of Rexford Ganster
Social Security 177-03-5186
Date of Death• July 3 2011
Phone 888-502-4349
F ax (302) 934-2955
August 31, 2011
~;~~~~
~~~ 0 2 2ti~'i
?IZ4~IiV ~ ftfl~~ftf~l~fi
y_AW QF~fCES
Dcar Sir or Madam:
Per your inquiry on August 22, 2011, please be advised that at the time of de~atlt, the above-named decedent had
on deposit with this bank the following:
1 • Type of Account Checking Account
Account Number 2677074375
Ownership (Names o~ Rexford J Ganster (Grantor)
Lorene M Ganster (POA)
Opening Date 01/01/72
Balance on Date of Death $3,134.48
Accrued Interest $ 02
Total ------------- --------- - -
$3.134.50 ---- - --- ---- -- ------ ---- ---- -
2. Type of Account Saving Account
Account Number 15004200018213
Ownership (Names o~ Rexford J Ganster (Grantor)
Lorene M Ganster (POA)
Opening Date 12/17/82
Balance on Date of Death $41,927.60
Accrued Interest $ 2 02
Total - -- -- --------- -- ----
- ---------- -
$41, 929.62 - - - ---- --------- - --
3. Type of Account
Certificate of Deposit
Account Number 31003912753570
Ownership (Names o~ Rexford J Ganster (Grantor)
Opening Date 07/25/06
Balance on Date of Death $11,289.78
Accrued Interest $ 1744
Total -- -------------------------
$11.307.22 -----------------------------------
4• Type of Account Certificate of Deposit
Account Number 31003918610807
Ownership (Names oj~ Rexford J Ganster (Grantor)
Opening Date 0723/08
Balance on Date of Death $SI, 089.39
Accrued Interest $ 1.68
Total -- -------------------------
$51,091.07 -----------
5. Type of Account Certificate of Deposit
Account Number 31003918611079
Ownership (Names o~ Rexford Ganster Revocable Giving T,usr
(Grantor)
Rexford J Canster (Trustee)
Opening Date 1029/08
Balance on Date of Death $36,509.64
Accrued Interest $ 2.10
Total - -------------------------------------
$36,511.74
For any additional information on the above accounts, including ownership and any changes, closures and/or reimbursement of funds,
Please call the High Street Carlisle Office at#717-2411536.
We were unable to locate any safe deposit box for the above-mentioned decedent.
This letter does not include any accounts in which the deceased may have been ) ~ power of Attorney, Custodian of Uniform Transfers,
Representative Payee, or Trustee under a Written Agreement
Sincerely,
Tammy Spencer
Adjustment Services
i
~~® Lire iNSURANC~pA~
Transamerica Life Insurance Company
4333 Edgewood goad NE
PO Box 3183
Cedar Rapids, Iowa SZ406-3183
July 28, 2011
Lorene M Ganster
C/0 M&T Bank
Att:n Debbie Flyte
960 Walnut Bottom Rd
Caz•lisle PA 17015
RE: Annuity Number(s) 02CBT035400
Dear Lorene M Ganster:
We ]nave received notification, Rexford J Ganster, annuitant of the
above listed non-qualified tax deferred annuit~:Ls deceased.
office wishes to extend sincere condolences for your loss_ Our
The following is the current information on
Annu.i taut
Owner:
Primary Beneficiary:
Annuity Policy Date:
Full Value as of 07/28/2011:
Taxable Portion:
Full Value as of 07/03/2011:
this annuity:
Rexford J Ganster
Rexford J Ganster
Lorene M Ganaster 400
October 29, :?008
$113,505.67
$ 13,505.67
$113,182.54
The attached document reflects the options availa~~le to the
beneficiary.
The full value as of the date of death is for tax purposes only and is
not a guaranteed death benefit amount,
Operations performed on an automatic basis when applicable have been
terrni:nated, such as; Systematic Payouts or Automatic Billing.
The atttached document contains general tax information based on
Trans~alr-erica Life Insurance Company's interpretat:i~~n and should not be
relied upon for your personal tax planning. If
concez-ning the direct tax copse ~'oti have questions
may wish to consult a tax advisorences when select_ng an option, you
Member ofthe /AEGON. Group
.,
~r~~. _ D cL u
A r v ~ r'r F' N v iti.!
Er; EF E ~~,,~
~SERt; '~Np ;D -~~5 SAte
~eR1'!Cc Ai~4nD
___ ,~~~
- ~~
If you have any questions, please contact your financial professional,
or call us at 1-800-553-5957 Monday - Thursday, 7:00 a.m. - 5:30 p.m.
or Friday, 7:00 a.m. - 4:30 p.m. Central time. We appreciate your
business and look forward to serving you in the future.
Sincerely,
Robert VenHuizen
Claims
Transamerica Life Insurance Company
Enclosure(s): Annuity Claimant Statement Form
Death Option Packet
Postage Paid Return Envelope
Invesco
PERIODIC STATEMENT
April 01, 2011- June 30, 2011
>03092 7014882 001 08116
REXFORD J GANSTER TR
REXFORD J GANSTER REV LIVING TRUST
DTD 02/18/2004
403 B ST
CARLISLE PA 17013-1828
Accoun# i~Q04~i7925 T
PORTFOL'10 SG(UIMAr~Y
Value on 03/31/11 $30,732.00
Additions $0.00
Withdrawals $0.00
Exchange In $0.00
Exchange Out $0.00
Transferof Shares $0.00
Change in Market Value $307.32
Value on 06/30/11 $31,039.32
Your Financial Advisor:
JENIVIFERlEDWARD BUEHLER/MCKEE
FIRST CLEARING LLC C/O
WELLS FARGO ADVISORS LLC (PCG)
3 LEIMOYNE DR
LEMOYIVE PA 17043-1231
PHONE: 717-761-7344
For More Information on Your Invescos"" Account:
• Contact Your Financial Advisor
• Visit us online at www.invesco.com
• Talk to a Client Services Representative at
800 ~~59-4246 from 7:00 a.m. to 6:00 p.m. CT
Tired of finding room to file these statements? Then go paperless with ease using e-delivery and get your Invesco statements, daily transaction confirmations,
tax forms. prospectuses and annual and semiannual reports online via email. You'll still receive all thc; same service and shareholder information you've come
expect, just with an electronic service that's all about EEEEs: environmentally friendly, economical, efficient and easy. Once you sign up, we'll email you a link
access your documents, and you'll no longer receive paper copies by mail. To enroll, log in to your Invesco account at invesco.corNus, click on the "Service
Center" tab and select "Register for eDelivery." You can cancel the service and resume receiving paper copies at any Gme by going to the same Web page.
POR'TfOLlO ALLOCATfCN
8Y FUND
You are 100% invested in INVESCO VAN f(AMPEN U.S. MORTGAGE
FUND -CLASS A
PORTFOLIO ALLOCATION
BY INVESTMENT CA7EGORY~
You are 100%~ invested in TAXABLE FIXED-INCOME FUNDS
These Invesco funds are also available.
/ TARGET MATURITY FUNDS
/ Al_LO~CATION SOLUTIONS
/ INTEI3NATIONALIGLOBAL EQUITY FUNDS
/ DIJMESTIC EQUITY FUNDS
/ T{1X-I=REE FIXED-INCOME FUNDS
/ SE_CT'OR EQUITY FUNDS
/ At-TERNATIVE FUNDS
8116-Roll
Consistent with Invesco's policy regarding minimum investment amounts, we will assess a $12 low b+slance fee on fund(s) account(s) that are valued
below $750. This low balance fee is paid to the funds to offset servicing costs and will be deducteld on November 4, 2011 from each fund(s) that is below
$750. Please refer to your fund's prospectus for more information about this policy.
Important: This account statement reflects financial transactions for the period indicated. Carefully review all of the information to verify the
accuracy of the transactions. Please notify us immediately if there is an error. If you fail to notify us of an errorwithin 30 days of this statement,
you will be deemed to have ratified each transaction.
03092 7014882 006184 012194 00001/00002
FUNERAL HOME ~ CREMA:CORY, INC
219 North Hanover Street
Carlisle, Pennsylvania 17013
717.243.4511
toll free 1.866.451.4511
fax 717.243.3723
w~wv.hoffrnaruoth.com
infoC~?hoffmarroth.com
Attorney Roger B. Erwin Lorene Ganster September 19, 2011
Attn: Estate Of Rexford J. Ganster
,
60 West Pomfret Street
403 "B" Street
Carlisle, PA 17013 Carlisle, PA 17013
Statement of Funeral Expenses for: Re xford J. Ganster
Date of Death: July 3, 2011
Account Id: 16280-148
PACKAGE:
Traditional Funeral Service
TRADITIONAL FUNERAL SERVICE PACKAGE
$ 4,650.00
MERCHANDISE: Sub Total: $ 4,650.00
Casket: Pieta
Outer Container: Monarch -Concrete Vault ~~ 3,395.00
•6 '1,420.00
TOTAL FUNERAL HOME CHARGES: Sub Total: $ 4,815.00
CASH ADVANCES: $ 9,465.00
St. Patrick Catholic Church Cemete
ry
5 Certified Death Certificates at $ 6.00
each $~ 1,000.00
Newspaper Notice -Sentinel $ 30.00
Newspaper Notice -Patriot $ 175.84
Clergy $ 311.12
Flowers $ 250.00
Newspaper Notice-Meadville Tribun $ 106.00
e
Additional DC's 3 $ 105.00
Cantor $ 18.00
Organist $ 75.00
Altar Servers $ 150.00
~ 60.00
Sub Total: $ 2,280.96
Total Funeral Expense: $ 11,745.96
Payments Made: Total Payments Made: $ 11,759.28
Cumberland Cty VA Check
Allianz 821193
Aug 2
2011
Check
PreNeed Disc
nt ,
523242 Aug 8, 2011
Cont vs P
N 100.00
9,628.57
Irwin 8 McKnight/Estate Of Check r
Aug 8, 2011
30851
787.43
Sep 19, 2011 1,243.28
Accrued I_at;e Fees: $ 13.32
Balance: 0 oa
S E R V I N G OUR COMMUNITY S I N C E 1 9 0 7