HomeMy WebLinkAbout08-07-12
15~561~143
Ex(ot-to> ,
REV-1500 ~
PA Department of Revenue
' OFFICIAL USE ONLY
Pennsylvania county code veer File Number
Bureau of Individual Taxes °°M*•~r~~~
PO 80X.280601 INHERITANCE TAX RETURN 21 11 00561
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
05 05 2011 05 06 1930
Decedent's Last Name Suffix Decedent's First Name MI
KRAFSIG DONALD C
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
KRAFSIG PAULINE
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
1. Original Retum ^ 2. Supplemental Retum ^ 3. Remainder Return (date of death
prior to 12-13-82)
4. Limited Estate
^ 4a. Future Interest Compromise
(date of death after t2-t2-82) ^ 5. Federal Estate Tax Retum Required
X 6. Decedent Died Testate
^ (Anach copy orwap ^ ~, ppecede2t Myio nest a Living Trust ~ 8. Total Number of Safe Deposit Boxes
(Attach ~oP t~ )
^ 9. Litigation Proceeds Received ^ 10. b~tw eni~1~~1~1 nddt{d~tesptdeath ^ 11,Election to tax under Sec. 9113(A)
B l
(Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
MATTHEW A FISCUS ESQ (412) 456 9700
First Ilne of address
330 GRANT STREET SUITE
Second line of address
City or Post Office
PITTSBURGH
State ZIP Code
PA 15219
REGISTER OF VQ~.LS USE ON `L~'-
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Corresp amt's e-mail a rasa: mfiscus~fiscusball.com
Under pe Itit+s of perjury, I are that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, and comple . DeGaretion of preparer other than the personal representative Is based on all information of which preparer has any knowledge.
SIGNAT PERSON R NSIBL R FILING RETURN
~~~ -~ Linda Leebov Goldston ~j~~,~~~~
TURE OF PREPARER OTHER THAN REPRESENTATNE
1521
_.,~-- Matthew A. Fiscus Esq. ~!~~`~~ Y
ADDRESS ~/
330 Grant Street, Suite 3100, Pittsburgh, PA 15219
Side 1
1505610143
1505610143
~~
15D561D243
REV-1500 EX
Decedent's Sociai Security Number
o.ceae~,r:Name: Krafsig, Donald C.
RECAPITULATION
1. Real Estate (Schedule A) ....................................................................................... 1. 6 0 0, 0 0 0. 0 0
2. Stocks and Bonds (Schedule B) ............................................................................. 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3.
4. Mortgages 8 Notes Receivable (Schedule D) ........................................................ 4.
5• Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............... 5. 57 , 63 9.25
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers & Miscellaneous f~oq Probate Property
(Schedule G)
Se
arate Billin
R
t
d
p
u
g
eques
e
............ 7,
8. Total Gross Assets (total Lines 1-7) ..................................................................... 8. 657 , 639.25
9. Funeral Expenses & Administrative Costs (Schedule H) ....................................... 9. 5 9 , 215.21
10. Debts of Decedent, Mortgage Liabilities, 8 Liens (Schedule I) .............................. 10. 347 , 000.49
11. Total Deductions (total Lines 9 8 10) ................................................................... 11. 4 0 6 , 215.7 0
12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. 251 , 423.55
13. Charitable and Govemmentai Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ............................................... 13. 7 , 88 6.64
14. Net Value Subject to Tax (Line 12 minus Line 13) ............................................... 1q, 2 4 3 , $ 3 6.91
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 .o0
10 0, 0 0 0. 0 0
15.
16. Amount of Line 14 taxable
at lineal rate X .045 0 , 0 0 16.
17. Amount of Line 14 taxable
at sibling rate X .12 0 . 0 0 17.
18. Amount of Line 14 taxable
at collateral rate X .15 14 3 , 5 3 6.91 18.
19. Tax Due .................................. ............................................................................... . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
0.00
0.00
0.00
21,530.54
21,530.54
Side 2
15D561D243 15D561D243
REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENT'S NAME
Krafsig, Donald C.
STREET ADDRESS
1505 High Meadows Lane
CITY STATE ZIP
Mechanicsburg PA 17055
Flle Number 21-11-00561
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments
B. Discount
(1)
21,530.54
0.00
0.00
Total Credits (A + B) (2)
3. Interest (g)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (q)
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. (5) Z'I ,530.54
Make Check Pa able to: REGISTER OF WILLS AGENT.
., ~.~
.. 9
..
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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 :............................................................................... ^
b. retain the right to designate who shall use the property transferred or its income :.................................. ^ ^x
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 "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 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, 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 )).
. 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 blood or adoption.
`I Rsv-1502EXr(11-08j~
cof~torrvvFUrn of pENNSVwANw
M1HF32RANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF FILE NUMBER
Krafsi ,Donald C. 21-11-00561
- _ _ ____.____ __ ._~_..__ _.._...._..,_..-.--.......~.....-..-,,,-,a..-....-,, as a~ Nnw a. wmui w~ ny wowa oa
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant ds.
Real property which is jointly-owned with right of survivorship must bs disclosed on sclwduls F.
(If more space is needed, additional pages of the same size)
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 11-08)
' Rav-1508 EX+t8-98)
coru.~oNwEAUN of PENNSrwANw
INHERRANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Krafsi ,Donald C. 21-11-00561
• - . -.- , . •••v-••••••-- ~•-• .••...y... ~..~.....,..,op ..,,,:a u• aisc,viea on srnaamo r.
ITEM
NUMBER
DESCRIPTION VALUE AT DATE
OF DEATH
1 Fulton Bank Account No. 1068-31683 55.86
2 Jon A. Donmoyer -Loan Re-payment 2,262.03
3 M 8~ T Bank Classic Checking Account No. 3440003204 105.91
4 Sovereign Santander Checking Account No. 0461143747 25,013.05
5 Sovereign Santander Premier Money Market Account No. 0574178422 400.15
6 U.S. Treasury - 2011 U.S. Individual Income Tax Refund 1,560.00
7 One Lot of Miscellaneous Tangible Personal Property located at 1505 High Meadows Lane, 28,233.00
Mechanicsburg, PA 17055-6769 -Arms Length Sale
8 Harrisburg Gastroenterology, Ltd. -Refund Overpayment 5.00
9 QLT Consumer Lease Services -Refund Overpayment 4.25
TOTAL (Also enter on Line 5, Recapitulation) 57,639.25
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98)
' REV-1751 EX+(10-08)
- CON~~~ANIA
SCHEDULE H
FUNERAL EXPENSES 8~
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Krafsig, Donald C. 21-11-00561
Debts of decedent must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
See continuation schedule(s) attached
10,606.00
B.
1. ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Linda Leebov Goldston
street Address 330 Grant Street Suite 3100
City Pittsburgh State PA Zio 15219
Year(sl Commission paid
2. Attomev's Fees FiSCUS 8~ Ball, P.C. 23,753.26
3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zio
Relationship of Claimant to Decedent
4. Probate Fees 439.76
5. Accountant's Fees
6. Tax Retum Preparers Fees
7. Other Administrative Costs 24,416.19
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 59,215.21
Copyright (c) 2009 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 10-06)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF ( FILE NUMBER
Krafsig, Donald C. 21-11-00561
ITEM
NUMBER DESCRIPTION AMOUNT
1 Funeral Ex enses
Funeral Meal
379.00
2 Gilbert I. Dailey Funeral Home -Funeral Expense 10,227.00
H-A 10,606.00
3 Other Administrative Costs
Deborah Yannone -Assistance in listing house including key changing and distribution;
525.00
auctioneer investigation, monitoring advertising, attendance at sale, and report on sale;
4 Fiscus & Ball P. C. -Reimbursement for Costs Incurred 153.38
5 Gilbert I. Dailey Funeral Home -Reimburse Out of Pocket Expenses 1,935.66
6 Leffler Energy -Gas Service 750.00
7 Leffler Energy -Gas Service 500.00
8 Leffler Energy -Gas Service 500.00
9 Leffler Energy -Gas Service
500.00
10 Leffler Energy -Gas Service 500.00
11 Leffler Energy -Gas Service 200.00
12 Leffler Energy -Gas Service
700.00
13 Linda Lebov Goldston, Executrix -Reimbursement for Mileage and Lodging Costs Incurred 2,915.00
re Estate Administration.
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
ITEM
NUMBER DESCRIPTION AMOUNT
14 M 8~ T Bank Classic Checking Account No. 3440003204 -Service Charge 49.50
15 Paralegal Partners, Inc. -Tax & Accounting Work 2,850.00
16 PPL -Electric Service 351.17
17 PPL -Electric Service 200.00
18 PPL -Electric Service 150.00
19 PPL -Electric Service 300.00
20 PPL -Electric Service 219.97
21 PPL -Electric Service 879.87
22 Robert R. Lane -Real Estate Appraisal 1,000.00
23 Siegel 8~ Associates -Homeowner's Insurance 6,140.00
24 Smith Lawn Supplies and Services -Lawn Maintenance 195.20
25 Smith Lawn Supplies and Services -Lawn Maintenance 269.80
26 Smith Lawn Supplies and Services -Lawn Maintenance 250.00
27 Smith Lawn Supplies and Services -Lawn Maintenance 250.00
28 Traveler's Insurance -Homeowner's Insurance 555.56
29 Traveler's Insurance -Homeowner's Insurance 267.84
30 Traveler's Insurance -Homeowner's Insurance 545.68
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Krafsig, Donald C. 21-11-00561
ITEM
NUMBER DESCRIPTION AMOUNT
31 Traveler's Insurance -Homeowner's Insurance 322,27
32 Verizon -Phone Service 145.75
33 Verizon -Phone Service 144.05
34 Verizon -Phone Service 150.49
H-67 24,416.19
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98)
' Rav-1512 FJ(+(12-08)
SCHEDULE 1
DEBTS OF DECEDENT,
' MORTGAGE LIABILITIES, 8~ LIENS
coMiaNwEAI.TH oa aENNSVwANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Krafsi ,Donald C. 21-11-00561
Report dabG incurred by tM daudant prior to death that remained unpaid at tM data or death, including unraimburaad medical aXpansea.
ITEM
NUMBER
DESCRIPTION VALUE AT DATE
OF DEATH
1 Cumberland County -Per Capita Tax 36.00
2 Cumberland County -Real Estate Taxes per Settlement Statement 4,148.09
3 Debra Jackson -Assistance with home care during final illness 950.00
4 Direct TV -Real Estate Taxes 242.30
5 Doris Mosley -Caregiver Services 1,377.50
6 Fiscus & Ball P. C. -Legal Services Prior to Death 3,917.85
7 G. E. Money - Credit Card 730.98
8 Hawk Industries, Inc. -Charges Prior to Death 3,750.00
9 Leffler Energy -Gas Service 1,768.59
10 Live In Care -Caregiver Services 285.00
11 Lower Allen Township -Trash Collection 218.43
12 Northwest Consumer -Charges Prior to Death 1,083.64
13 Northwest Consumer -Charges Prior to Death 116.36
14 Pauline Krafsig -Claim by Surviving Spouse for Unpaid Loan (In Dispute) 100,000.00
15 PPL -Electric Service 848.61
16 Smith Lawn Supplies and Services -Charges Prior to Death 445.20
17 Sovereign Santander Checking Account No. 0461143747 -Outstanding Checks 1,823.18
Total of Continuation Schedule See attached page
TOTAL (Also enter on Line 10, Recapitulation) 347,000.49
(If more space is needed, additional pages of the same size)
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08)
- Rav-1512 FJ(+ (8-98)
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
coMnarm~unioF~wrsv~vnrru
~R~T~R~ continued
r~swerrr oec~oeHr
ESTATE OF FILE NUMBER
Krafsig, Donald C. 21-11-00561
ITEM
NUMBER
DESCRIPTION VALUE AT DATE
OF DEATH
18 Sovereign Santander Home Equity Installment Loan Account No. 4527979167 213,269.23
19 Sovereign Santander Home Equity Line of Credit Account No. 4539013076 11,577.16
20 Traveler's Insurance -Homeowner's Insurance 267.83
21 Verizon -Phone Service 144 54
TOTAL (Also enter on Line 10, Recapitulation) ~ 347,000.49
Copyright (c) 2002 forth software only The Lackner Group, Inc. Fonn PA-1500 Schedule I (Rev. 6-98)
REV•1513 EX+ (11-08)
SCHEDULE J
coM~~7~p~~eF~~rANIA BENEFICIARIES
ESTATE OF
Krafsig, Donald C.
FILE NUMBER
2~_~~.nnsa~
NUMBER NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO
DECEDENT SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
I~ TAXABLE DISTRIBUTIONS (include outright spousal `
distributions, and transfers
under Sec. 9116 a 1.2
See attached schedule
Total 243,536.91
Enter dollar amounts for distributions shown above on lines 1 5 throw h 18 on Rev 150 0 cover sheet as a r o riate.
II NON-TAXABLE DISTRIBUTIONS:
. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
~ St. Jude's Children's Research Hospital 3,943.32
2 Christian Children's Fund 3,943.32
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 7,886 64
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08)
SCHEDULE J
BENEFICIARIES
(Part I, Taxable Distributions)
ESTATE OF:
Donald C. Krafsig 05/05/2011 162-22-7155
Item Name and Address of Person(s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($$$)
i waiter and Debpie Benedict Friend 1,577.33
40 Summer Drive
Dillsburg, PA 17019
2 Darryl and Pearl Brosius Friend 3,943.32
4 Tannenbaum Circle
Dillsburg, PA 17019
3 David and Gladys Carns Friend 3,943.32
316 Market Street
Newport, PA 17074
4 Ann Donmoyer Friend 7~ggg,64
Annville, PA 17003
5 Eugene Donmoyer Friend 7~ggg,64
Annville, PA 17003
6 Jason Donmoyer Friend 2,366.00
350 W. Queen Street
Annville, PA 17003
7 Jon Donmoyer Friend 15,773.29
Annville, PA 17003
8 Jane Frick Friend 7,ggg,64
10 Nailor Road
Dillsburg, PA 17019
9 Mark C. Friedman MD Friend 3,943.32
Harrisburg Gastroenterology LTD
4760 Union Deposit Rd
Harrisburg, PA 17111
1
SCHEDULE J
BENEFICIARIES
(Part 1, Taxable Distributions)
ESTATE OF:
Donald C. Krafsig 05/05/2011 162-22-7155
Item Name and Address of Person(s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($$$)
~ u Helen caarrett Friend 3,943.32
Harrisburg Gastroenterology LTD
4760 Union Deposit Rd
Harrisburg, PA 17111
11 Joseph and Rhonda Gibbs Friend 7~886.~
202 W. Siddonsburg Road
Dillsburg, PA 17019
12 Miranda Gibbs Friend 2,366.00
202 W. Siddonsburg Road
Dillsburg, PA 17019
13 Edward M, and Linda L. Goldston Friend 15,773.29
1309 Beachwood Boulevard
Pittsburgh, PA 15217
14 Barbara Holt Friend 2,366.00
69 Lake Shore Drive
Pasadena, MD 21122
15 Shelby Stephens Jones Friend 7,888,E
1525 Amherst Court
Mechanicsburg, PA 17050
16 Carl Kennedy Friend 1,577.33
517 E. Lisburn Road
Upper Allen Twp, PA 17050
17 Pauline Krafsig Wife 100,000.00
1505 High Meadows Lane
Mechanicsburg, PA 17055
18 Samuel C. and Deborah A. Leonard Friend 1,577.33
1408 Valley Road
Marysville, PA 17053
2
SCHEDULE J
BENEFICIARIES
(Part I, Taxable Distributions)
ESTATE OF:
Donald C. Krafsig 05/05/2011 162-22-7155
Item Name and Address of Person(s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($$$)
7y Patricia and Lucky Luckenbaugh Friend 3,943.32
115 Sholly Drive
Mechanicsburg, PA 17055
20 Nutan Parikh Friend 1,577.33
Sovereign Bank
3556 Old Gettysburg Road
Camp Hill, PA 17011
21 Jerry Risoldi Friend 7,886.64
68 Scenic Drive
Waynesville, GA 31566
22 Gina Scott Friend 7886,64
Annville, PA 17003
23 Richard and Gloria Stephens Friend 7,886.64
17100 Tamiami Trail
No. 258
Punta Gorda, FL 33956
24 Todd Stephens Friend 7,886.64
1525 Amherst Court
Mechanicsburg, PA 17050
25 Joan Holt Trovinger Friend 2,366.00
71 Lake Shore Drive
Pasadena, MD 21122
26 Barry Wagner Friend 1,577.33
3118 Harvard Avenue
Camp Hill, PA 17011
27 Tim and Crystal Warfield Friend 3,943.32
4710 Clarendon Street
Harrisburg, PA 17109
3
SCHEDULE J
BENEFICIARIES
(Part I, Taxable Distributions)
ESTATE OF:
Donald C. Krafsig 05!05/2011 162-22-7155
Item Name and Address of Person(s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($$$)
Total 243.536.97
4
REGISTER OF R~MiI_LS
CUMBERLAND ~(;gUNTY
PENNSYLVANId1,
CERTIFICATE OF
GRANT OF LETTERS
No . 201 1- 00561 PA No . 21- 1 1- 0561
Estate Of : DONALD C KRAFSIG
(First, Middle, LasU
Late Of : LOWER ALLEN TOWNSHIP
CUMBERLAND COUNTY
Deceased
Social Security No: 162-22-7155
WHEREAS, on the 9th day of May 2011 an instrument dated
March 24th 2010 was admitted to probate as the last will of
DONALD C KRAFSIG
/First, Middle, Lastl
late of LOWER ALLEN TOWNSH/P, CUMBERLAND County,
who died on the 5th day of May 2011 and,
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, GLENDA EARNER STRASBAUGH Register of Wi II s in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I have this day granted Letters TESTAMENTARY to:
LINDA L GOLDSTON
who has duly qualified as EXECUTOR(R/X)
and has agreed to administer the estate according to law, all of which
full y appears o.f record in my office a t 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 9th day of May 2011.
t / t t i~
eg/ster of1Wills
eputy
* *NOTE* * ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
LAST WILL AND TESTAMENT OF - .
DONALD C. KRAFSIG
I, DONALD C. KR.AFSIG, of Cumberland County, Pennsylvania, do make, publish and __
declaze this to be my Last Will and Testament, hereby revoking any and a1F prior Wills and -~'
Codicils.
FIRST: I direct that my just debts and expenses of my last illness and funeral be
paid as soon as possible after my death.
SECOND: In the event my wife, PAULINE KRAFSIG has deeded to me prior to my
death her interest in our residence at 1505 High Meadow Lane, Mechanicsburg, PA, I give to her
the sum of One Hundred Thousand ($100,000.00) Dollars. If she has not done so or if she files
an election against my Will, this bequest shall not be paid.
THIRD: A. I direct that my Corvette shall be sold as soon as possible after my
death; and the proceeds added to and become a part of the residue of my Estate.
B. I intend to leave one or more letter(s) among my effects directing
the disposition of my tangible personal property. To the extent I leave such letter(s), I direct they
be followed. If I do not leave such letter(s), or if they do not direct the disposition of all of my
tangible personalty, the balance shall be sold and the proceeds added to the residue of my estate.
FOURTH: I direct that my residence at 1505 High Meadow Lane, Mechanicsburg,
Pennsylvania, and the contents thereof, if I own the same at my death, be sold as soon as possible
after my death and the proceeds be added to and become a part of the residue of my estate.
FIFTH: I hereby make the following bequests:
A. I give the sum of Twenty Five Thousand ($25,000.00) Dollars to
ST. JUKE'S CHILDREN'S RESEARCH HOSPITAL, 332 N. Lauderdale Street, Memphis,
Tennessee 3 8105 in memory of my mother, Martha Krafsig and myself, to be used exclusively
for medical research and patient care.
B. I give the sum of Twenty Five Thousand ($25,000.00) Dollars to
CHRISTIA~t CHILDREN'S FUND, 2821 Emerywood Parkway, Richmond, Virginia 23294 in
memory of my mother, Martha Krafsig and myself, to be used exclusively to relieve the
suffering of children.
C. I give the sum of Fifty Thousand ($50,000.00) Dollars to ANN
DON1vI0YER of Annville, Pennsylvania if she survives me.
D. I give the sum of One Hundred Thousand ($100,000.00) Dollars to
JON A. DONMOYER of Annville, PA, provided he survives me.
.. F,-~. ~.~ _ _ _ _
_ _ __ ~- ~,
E. I give the sum of Fifty Thousand ($50,000.00) Dollars to GINA
SCOTT of Annapolis, Maryland provided she survives me.
F. I give the sum of Fifty Thousand ($50,000.00) to EUGENE
DONMOYER provided he survives me.
G. I give the sum of Fifteen Thousand ($15,000.00) Dollars to
JASON, the son of EUGENE DONMOYER subject to the minority provisions hereinafter set
forth in Article SEVENTH.
H. I give the sum of Twenty-five Thousand ($25,000.00) Dollars to
DR. MARK FRIEDMAN of Camp Hill, Pennsylvania provided he survives me and the sum of
Twenty-five Thousand ($25,000.00) Dollars to his assistant, HELEN GARRETT, provided she
survives me.
I. 1. I give the sum of Fifty Thousand ($50,000.00) Dollars to
JANE FRICK of Dillsburg, Pennsylvania, if she survives me.
2. I give the sum of Fifty Thousand ($50,000.00) Dollars to
JERRY RISOLDI of York County, Pennsylvania, if he survives me.
J. I give the sum of Twenty-five Thousand ($25,000.00) Dollars to
PATRICIA and LUCKY LUCKENBAUGH, provided one of them survives me.
K. I give the sum of Fifty Thousand ($50,000.00) Dollars to
RICHARD and GLORIA STEPHENS or the survivor of them. If neither of them survives me,
the bequest shall be paid to their issue. -
L. I give the sum of Fifty Thousand ($50,000.00) Dollars each to
TODD STEPHENS of Brandon, FL, if he survives me and the sum of Fifty Thousand
($50,000.00) Dollars to SHELBY STEPHENS of the Camp Hill, PA area, if she survives me.
They are the children of RICHARD and GLORLA STEPHENS.
M. I give the sum of Ten Thousand ($10,000.00) Dollars to BARRY
WAGNER of Camp Hill, PA, provided he survives me.
N. I give the sum of Twenty-Five Thousand ($25,000.00) Dollars to
DARRYL and PEARL BROSIUS of the Dillsburg, PA area, provided one of them survives me.
O. I give the sum of Twenty-five Thousand ($25,000.00) Dollars to
TIM and CRYSTAL WARFIELD of the Colonial Par'.~c area of Hamsburg, PA, provided one of
them survives me.
P. I give the sum of Ten Thousand ($10,000.00} Dollars to CARL.
KENNEDY of Cumberland County, PA, provided he survives me.
r~
Q. I give the sum of Fifty Thousand ($50,000.00) Dollars to JOSEPH
and RHONDA GIBBS provided one of them survives me.
R. I give the sum of Fifteen Thousand ($15,000.00) Dollars to
MIRANDA GIBBS, daughter of Joseph and Rhonda Gibbs, provided she survives me. The
bequest shall be subject to the minority provision hereafter set forth in Article SEVENTH.
S. I give the sum of Ten Thousand ($10,000.00) Dollars to SAMCTEL
C. and DEBORAH A. LEONARD of Marysville, PA or the survivor of them.
T. I give and bequeath the sum of Twenty-Five Thousand
($25,000.00) Dollars to DAVID and GLADYS CARNS of Newport, PA or the survivor of them.
U. I give the sum of Fifteen Thousand ($15,000.00} Dollars each to
my cousin BARBARA HOLT, if she survives me and the sum of Fifteen Thousand ($15,000.00)
Dollars and her sister, JOAN, if she survives me.
V. I give the sum of Ten Thousand ($10,000.00) Dollars to NUTAN
PARII~H, provided he survives me. He is a banking officer at Sovereign Bank and has been
very kind to me.
W. I give the sum of Ten Thousand ($10,000.00) Dollars to WALTER
and DEBBIE BENEDICT, of Dillsburg, PA, provided one of them survives me.
X. I give and bequeath the sum of One Hundred Thousand
($100,000.00) Dollars to EDWARD M. and LINDA L. GOLDSTON of Pittsburgh, PA, provided
one of them survives me.
SIXTH: All the rest residue and remainder of my estate, I give and bequeath to all
of beneficiaries set forth in Paragraph FIFTH above who survive me, on a per capita and not pro
rata basis. Where a bequest is to a husband and wife, the two of them shall be counted as one for
the purposes of this Paragraph.
SEVENTH: If any property (including cash) shall become distributable hereunder to a
minor, then such property shall immediately vest in such minor, but the Executrix or Guardian,
as the case may be (hereinafter referred to in this Article as "Fiduciary") may, in said Fiduciary's
sole discretion, either distribute the property to the person(s) who has custody of such minor, to
be held without bond, or retain possession thereof until such minor attains the age of twenty-one
(21) years, and in the meantime, use and expend so much of the income and principal of such
retained property as said Fiduciary shall deem necessary or advisable primarily for the education
including preparatory, college, graduate or post-graduate or professional training of said minor,
but also the health and support of said minor. Any income not so expended shall be added to the
principal. In the disbursement of funds for the use and benefit of any beneficiary who shall be a
minor, the fiduciary may make payment of the same to the parent, guardian or such other person
as may have custody of the person of the minor at the time such payments are made, to be held
3
without bond, and to be used primarily for the education and also for the health, maintenance and
welfaze of such minor, but without liability on the part of the Fiduciary to see the application of
said payments by the payee, and the receipt of any such person shall be a full acquittance of the
Fiduciary as to any amounts so paid, or the Fiduciary may make payment of the same directly to
or for the benefit of such minor beneficiary. This shall be construed as a power only and shall
not operate to suspend the absolute ownership thereof by such minor nor to prevent the absolute
vesting thereof in such minor. The Fiduciary shall have, with respect to any such retained
property, all of the powers and discretion otherwise granted said Fiduciary pursuant to this Will.
EIGHTH: I hereby appoint LINDA LEEBOV GOLDSTON of Pittsburgh,
Pennsylvania as Executrix of this my Last Will. If LINDA LEEBOV GOLDSTON is unable or
unwilling to serve or to continue to serve in that capacity, I hereby appoint EDWARD M.
GOLDSTON, as substitute or successor Executors(s) with the same powers and duties.
NINTH: I name and appoint LINDA LEEBOV GOLDSTON and then EDWARD
M. GOLDSTON, as the guardian of the property of any minor passing to said minor as the result
of my death, whether under this Will or otherwise.
Any Substitute or Successor Executrix, or Guardian shall have the same rights, powers
and obligations as if such person had been an original Executor or Guardian hereunder.
No bond shall be required of any fiduciary appointed hereunder.
'T'ENTH: In addition to the powers conferred by law, my fiduciaries, whether
Executor or Guardian, shall have the discretionary power to retain for distribution in kind,
without duty of diversification, all property owned by me at my death or to sell all or any part of
such property, upon such. terms as my Executrix shall deem advisable; to hold any proceeds and
other cash uninvested or to invest in all forms of property; to exchange or lease for any period of
time any real or personal property and to give options for sales, exchanges and leases; to exercise
all rights to security holders; to compromise any claim or controversy without court approval; to
borrow money from any source; to delegate discretionary powers; and to make distributions in
cash or in kind at current values, in undivided interest or non-pro rata shares.
ELEVENTH: All estate, inheritance and succession taxes, including interest and
penalties imposed on property passing under this Will, shall be paid from the principal of my
residuary estate at such times and in such manner as my Executor shall deem advisable, without
apportionment or right of reimbursement. All such taxes imposed on any other property shall be
apportioned and paid in the manner provided by law.
TWELFTH: Notwithstanding anything in my Will to the contrary, no trust created by
this instrument shall continue for more than twenty-one (21) yeazs after the death of the last
survivor of (i) my descendants and/or beneficiaries who aze in being at the date of my date and
(ii) me, and if at the expiration of such period any property is still held in trust hereunder, such
property shall immediately be distributed to an among the persons then receiving or entitled to
have the benefit of the income therefrom in the same proportions in which they are receiving or
entitled to have the benefit of such income.
4
THIRTEENTH: References in this instrument to children or to issue aze intended to
inch~de adopted children, whether of the Testator or any other person, and such adopted children
shall have the same status as natural born children.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this `~ ' ~ .~ day of
~~ ~~~'~l , 2010.
. ~~ ~ (SEAL)
ONALD C. KRAF Cr; Testator
THE FOREGOING INSTRUMENT, consisting of this page and four (4) preceding
typewritten pages, was signed and sealed by the Testator, at the end of the body of the
instrument, and was published and declared by said Testator, who is known to us to be of sound
mind and over the age of eighteen (18) years, as and for his Last Will and Testament in the
presence and sight of us and each of us while all were present together, and we thereupon, at the
request of the Testator, and while in his sight and presence and in the sight and presence of each
other, have hereunto subscribed our names as witnesses and havve~, set down our places of
resi.~er~,~ re , ate our respective signatures this ~ day of f ~~L~L~L.C ~' ~ 2010.
4?, ?~
~~ ~ ~ ir)~ lit
Address `~~~ ~ f'f ~`~'~'''~'~'~ ~ ~(f'. ~ I{_ . jC ,
~~
ACKNOWLEDGEMENT
COMMONWEA TH OF PENNSYLVANIA )
SS:
COUNTY OF )
I, DONALD C. KRAFSIG, Testator, whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I signed
and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my
free and voluntary act for the purpose therein expressed.
ALD C.
SEAL)
SWORN or affirmed to and acknggwledged before me by~~k ~1
the Testator, this day of~~'%/k~~f ~i , 2010.
;C ~ ! / ~
Notary Public
My Commission Expires: JD _ IS _~Q~ ~
COMMONWEALTH OF Ps=lVNSYLVANIA
Notarial Seal
Cheryl A. Richard, Notary Public
City OF Harrisburg, Dauphin County
My Commission Expires Oct. 15, 2010
Member, Pennsvlv~nia a~~~^.iation of Notaries
6
AFFIDAVIT
COMMONWEA..Irr;,,IH OF PENNSYLVANIA
C,kGZi. LLiL.
COUNTY OF C
SS:
~~ ~
We, ~~.~..~1 l~ • ~ irr'.~2~ k, ~ -`din and ~`~.1;• S ~ ~ vl `~1 ~; ~' ~ ~;Y.-,~
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 Testator sign and
execute the instrument as his Last Will; that he signed willingly and that he executed it as his
free and voluntary act for the purposes therein express; that each of us in the hearing and sight of
the Testator and of each other signed the Will as witnesses; and that to the best of our
knowledge, the Testator was at that tune eighteen (18) or mor ars of age, of sound mind and
under no constraint or undue influence. ..-''~-
-;
Witness
SWORN or,~affirmed to and subscribed to before me by, ~ 1L1~~i-l4c,2'~~
and y ". ";ate i l . ;! ~-~~-t'~ ~ e ses, this .~~-~-„ day of
~. __ ,2010.
My Commission Expires: ~v --i~~~~ .:~~
t L~ ~~ ~ "~l ----
Notary Public ~-
COMMONINS{,L7;~ tiF PENNSYLVANIA
Nctarisl Seal
Cheryl A. Richard, Notary Public
City Of Nanisburg, Dauphin County
My Commission Expires Oct. 15, 2010
94emher, Pannsdlva~da
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