HomeMy WebLinkAbout08-16-121505610140
REV-1500 EX (01-10)
OFFICIAL USE ONLY
PA Department of Revenue Coun Code Year File Number
Bureau of Individual Taxes ~
PO BOX 280601 INHERITANCE TAX RETURN
Harrisburg, PA 17128-0601 RESIDENT DECEDENT 2 1 1 2 0 6 9 9
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Binh MMDDYYW
3 4 2 1 2 8 0 5 4 0 5 2 6 2 0 1 2 1 2 2 5 1 9 2 3
Decedent's Last Name Suffix Decedent's First Name MI
G R A F F W I L L I A M A
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
G R A F F R O B E R T A P
Spouse's Social Security Number
3 3 9 1 2 0 5 5 7 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death
prior to 12-13-82)
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required
death after 12-12-82)
Q 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
R O G E R B I R W I N E S Q U I R E 7 1 7 ~ 4 9 2~`~~~ 5 3 _t.,
~'- t'~ J --C•'j ~ 'f'l
REGISTE MILLS USF.~O~ILY C -;
':~ '.7
~:. i--
te
First line of address ~ t
r
"
~i ~ ~ - -~' C:7
TGi~ - --
*
I R W I N & M c K N I G H T P- C ~~` ~
' -" '
Second line of address = -!1 -~'
~' '~ ~~
6 0 W E S T P O M F R E T S T R E E T e:°~
City or Post Office State ZIP Code DATE FILED
C A R L I S L E 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, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
PE~RSON RESP IBLE FOf~la ING RETURN
F
SIGNATUR~E/ O DATE
~
~
ADDRESS
69 SPRUCE CIRCLE NEWVILLE PA 17241
SIGNATURE OP'WR PARER OTH THAN PRESENTATIVE DATE /
60 WEST P0~1~RET STREET CARLISLE PA 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610140 1505610140 ~~
REV-1500 EX
1505610240
decedent's Name: WILLIAM A• G R A F F
RECAPITULATION
1. Real Estate (Schedule A) ............................ .
.............. 1.
2. Stocks and Bonds (Schedule 6) .. , , .. .
............................... 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) , ... , 3 '
4• Mortgages and Notes Receivable (Schedule D) ............. .
:........... 4.
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)...... , g
6. Jointly Owned Property (Schedule F
7. Inter-Vivos Transfers & Miscellaneous NaProbate Propferty Requested ....... 6.
(Schedule G)
Separate Billing Requested ....... 7,
8. Total Gross Assets (total Lines 1 throw h 7
9 ) ................
........... 8.
s. runeral Expenses and Administrative Costs (Schedule H) ...... .
........... 9.
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ... , , . .
10.
11. Total Deductions (total Lines 9 and 10) ......... .
.....................11.
12. Net Value of Estate (Line 8 minus Line 11) ... ,
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which 12
an election to tax has not been made (Schedule J) .. , , .. .
13.
14. Net Value Subject to Tax (Line 12 minus Line 13) .. , , .. .
• - ~__ ~r+a i rcucrlONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) x .o _ 3 7 1 5 1 6. 5 3 15.
16. Amount of Line 14 taxable
at lineal rate X .0 _
17. Amount of Line 14 taxable 0 ~ D D 16.
at sibling rate X .12
18. Amount of Line 14 taxable D ~ D D 17
at collateral rate X .15
0 ' D 0 18.
19. TAX DUE ....................................
..................19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Decedent's Social Security Number
3 4 2 1 2 8 0 5 4
3 0 0 4 5 3.1 6
8 5 1 0 2. 4 1
3 8 5 5 5 5, 5 7
1 4 0 3 9. 0 4
1 4 0 3 9. 0 4
3 7 1 5 1 6. 5 3
3 7 1 5 1 6. 5 3
0• D 0
D• 0 0
D• D D
0• D 0
0• D 0
L
1505610240
Side 2
1505610240
Decedent's Complete Address' File Number
DECEDENT'S NAME 21 12 0699
WILLIAM A. GRAFF
STREET ADDRESS
6969 S___,_PRIJCE CIRCLE
CITY
NEVWILLE srarE
PA
Tax Payments and Credits:
~ ~ Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments
B. Discount
3. Interest Total Credits (A + g )
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund.
5. If Line 1 + Line 3 is greater than Line 2, enter the difference, This is the TAX DUE.
ZIP
17241
(1) 0.00
(2) 0.00
(3)
(4) .0.00
(5) 0.00
,~,, t p Y
Make check a able to: REGISTER OF WILLS AGENT
PLEASEd dANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROP ~~ ~ ~
ent make a transfer and. RIATE BLOCKS
a. retain the use or income of the property transferred; Yes No
.................................................................... a° X
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? ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~' ~""~ """ ~ 0
.................................................... ^ X
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" orpayable-upon-death bank account or securit at his or her deaths
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 QIiESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE I ^
T AS MRT 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
3 percent [72 P.S. §9116 (a) (1.1) (i)].
of the surviving spouse is
For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving s ouse is
[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 dis
filing a tax return are still applicable even if the surviving spouse is the only beneficiary. p 0 Percent
closure of assets and
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
adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)].
parent, an
~ 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 siblin i
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
g s defined, under
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE B
STOCKS & BONDS
NILLIAM A. GRAFF FILE NUMBER
All property jointly-owned with right of survivorship must be disclosed on chedule F 0699
ITEM
NUMBER
~• FIDELITY INVESTMENTS -GENERAL INVESTMENT ACCOUNT #Z19-15 VALUE AT DATE
6124 OF DEATH
130, 856.22
2~ FIRST BANCORP - 754.8987 SHARES
@ $10.18 PER SHARE
7,684.87
3. GENERAL ELECTRIC COMPANY - 8,25x,3989 SHARES
@ $19.6200 PER SHARE
161,912.07
TOTAL (Also enter on line 2, Recapitulation) $
~If more space is needed, insert additional sheets of the same size) 300 453.1
pennsytvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ecrwrr .,r
NILLIAM A.
FILE NUMBER
21 12 0699
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. % OF DECD'S EXCLUSION
1. FIDELITY INVESTMENTS -PERSONAL RETIREMENT IRA VALUE OF ASSET INTEREST TAXABLE
ACCOUNT #26R-438464 "F~'P"°"~EI VALUE
85,102.41 100.00
BENEFICIARY: ROBERTA P. GRAFF 85,102.41
SCHEDULE G
INTER-VIVOS TRANSFERS AND
MISC. NON-PROBATE PROPERTY
If more space is needed, use additional sheets of paper of thersamel s ie ~ Recapitulation) $
85 102.4
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
tJlAlt OF
WILLIAM A.
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION
A• FUNERAL EXPENSES:
1.
B• ADMINISTRATIVE COSTS:
1 • Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City State ZIP
Year(s) Commission Paid:
AMOUNT
2. AttomeyFees: IRWIN & McKNIGHT, P.C.
3. Family Exemption: (If decedents address is not the same as claimants, attach explanation.) 13, 000.00
Claimant
SVeet Address
City State ZIP
Relationship of Claimant to Decedent
4. Probate Fees: REGISTER OF WILLS
369.50
5. Accountant Fees:
6• Tax Retum Preparer Fees: PATRICIA A. ROSENDALE, CPA
375.00
7. REGISTER OF WILLS -FILING FEE
8. THE SENTINEL -ESTATE NOTICE 30.00
9. CUMBERLAND LAW JOURNAL -ESTATE NOTICE 189.54
75.00
If more space is needed, use additional sheets of paper of the same size.
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
TOTAL (Also enter on Line 9, Recapitulation) I $
FILE N
21 1
1
Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF:
WILLIAM A.
SCHEDULE)
BENEFICIARIES
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I TAXABLE DISTRIBUTIONS [Include outright spousal disfibu6ons and transfers under
Sec. X116 (a) (1.2).j
1. ROBERTA P. GRAFF
69 SPRUCE CIRCLE
NEWVILLE, PA 17241
FILE NUMBER:
21 12 069!
RELATIONSHIP TO DECEDENT
Do Not List Trusteels-
Spousal
AMOUNT OR SHARE
OF ESTATE
371,516.53
REMAINDER
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE.
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET
If more space Is needed, use addltfonal sheets of paper of the same size. ~
LAST WILL AND TESTAMENT
I, WILLIAM A. GRAFF, of Newville, Cumberland County, Pennsylvania, being of
sound mind, disposing memory and full legal age, do hereby make, publish and declare this
instrument to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils
heretofore made by me.
ONE: I direct my Executor or Executrix, as the case may be, to pay all of my debts,
funeral and administrative expenses as soon as may be done conveniently after my decease.
Furthermore, I direct that all state, inheritance, succession and other death taxes imposed or
payable by reason of my death and all interest and penalties thereon with respect to all property
composing of my gross estate for death tax purposes, whether or not such property passes under
this Will, shall be paid by the Executor or Executrix of my estate.
TWO: My Executor or Executrix, as the case may be, may, at his or her discretion,
compromise claims, borrow money, retain property for such length of time as he or she may
deem proper; lease and sell property for such prices; on such terms, at public or private sales, as
he or she may deem proper; and invest estate property and income without restriction to legal
investments unless otherwise provided hereunder. I authorize and empower my Executor or
Executrix to sell any realty and/or personalty owned by me at my death and not specifically
devised or bequeathed herein, at public or private sale or sales and to give good and sufficient
deeds and/or bills of sale therefor, in fee simple, as I could do if living. My Executor or Executrix
is authorized and empowered to engage in any business in which I may be engaged at my death,
for such period of time after my death as seems expedient to said Executor or Executrix.
THREE. I hereby give, devise and bequeath all of my estate of every nature and
wherever situate to be distributed IN TRUST, for my spouse, ROBERTA P. GRAFF, subject to
the following provisions:
A. The estate shall be divided by the Trustee into two separate trusts, hereinafter
referred to as Trust A (the Marital Trust), and Trust B (the Family Trust).
B. Trust A, the Marital Trust, shall consist of all of my assets other than those
allocated to Trust B, the Family Trust.
C. Trust B, the Family Trust, shall consist of assets equal in value to the
maximum amount, if any, that aze necessary to permit my estate to use in full any federal estate
tax unified credit which has not been claimed for distribution during my lifetime after
considering any adjusted taxable gifts and bequests by Will which do not qualify for the marital
deduction and all chazges to principal of the estate which aze not deducted in computation of the
federal estate tax of my estate; provided ,however, that the allocation of the Family Trust shall
be satisfied with assets as of the date of allocation or distribution; and provided further that any
assets which do not qualify for the federal estate marital deduction shall be used first to satisfy
the allocation to this Family Trust.
D. From the Marital Trust, the Trustee shall pay all of the net income to my
spouse, ROBERTA P. GRAFF, in monthly payments. My spouse also has the right to receive
from the Trustee all or a portion of the principal from the Marital Trust and to change the
beneficiaries of this Marital Trust in my spouse's discretion. At the death of my spouse, the
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Trustee shall distribute the remaining principal and accumulated inco
equal shares tom me of the Marital Trust m
Y children, ARTHUR STEVEN GRAFF and TRUDY G
stirpes, which provides that the child or children of an decease R.AFF BAILEY, per
parent would have taken if living. If one of m childr Y d child taking the share their
Y en dies without living issue, the share of
said deceased child shall be distributed in equal shazes to my other children
my decease, per stirpes. livmg at that time of
E. From the Family Trust, the Trustee shall pay all of the net incom
spouse, ROBERTA P. GRAFF, in monthl a to my
Y Payments. The Trustee may distribute to my spouse
such amounts from the principal of the Family Trust as provided hereunder
thereof, as the Trustee, in his or her discretion, shall deem necess ' up to the whole
the caze, maintenance and support of my spouse, so as to su ~ or advisable to provide for
accustomed manner of living, provided, however, the Trustee PPort my spouse in my spouse's
income available to my spouse when makin shall consider any other sources of
g payment hereunder. The Trustee shall, when
requested by my spouse, pay five (5%) percent of the principal or $5,000.00, whichever
is greater, annually to my spouse Burin m amount
g y spouse's lifetime, but in no way shall the Trustee
distribute more of the principal of this Family Trust to my spouse than in the abo
This limited nght to make withdrawals from the Ve ~°unts.
principal of the trust estate is noncumulative, so
that an amount which might have been withdrawn during a particular year ma not be
in any subsequent year. Upon the death of my spouse, the remainin acc Y withdrawn
principal of the Family Trust shall be distributed in equal shares g emulated income and
STEVEN GRAFF and TRUDY GRAFF g~,EY~ per st' es to my children, ARTHUR
children of any deceased child taking the share their ~ ~ which provides that the child or
parent would have taken if living. If one of
my children dies without living issue, the share of said deceased child shall be distribu
equal shares to my other children living at that time of my decease ted in
,per stirpes.
F. If any of my'oeneficiaries or heirs are under the age of tvventy_one 21
the tune of m death and inherit an ( )Years of age at
Y y assets hereunder by virtue of my death, then in that event
the Trustee shall hold all of their respective share(s) IN TRUST accordin tot '
and conditions: g he following terms
Upon the creation of this Trust, the Trustee shall divide this trust princi al into ' '
shares in the name of each heir or benefici p individual
~Y m the amount equal to the amount that said heir or
beneficiary inherited hereunder. The Trustee, as well as my representative is he
to retain, unconverted an ~ reby authorized
y property, real or personal, that I may own at my death and shall be
under no duty to convert it into legal investments. The Trustee shall have the
authority to sell, transfer, convey, invest and reinvest and to pay over the net income power and
property, to or for the use of said heir or benefici of the trust
the Trustee. The Trustee is also authorized an ~~ or to accumulate it in the sole discretion of
d empowered to pay over to, or for the use and
benefit of my heirs or beneficiaries such portion of or all of the principal of the trust
the Trustee's sole discretion seems proper for their support, maintenance, educat' estate as in
care. M rim ion, or medical
Y P ary object is to insure the support, maintenance, education and medical care of m
heirs and beneficiaries until they reach the age of twen one 21 Y
~'" ( )years. However,
notwithstanding the above, the Trustee shall have the sole discretion throughout the duratio
this trust in which to distribute any of the trust principal or income for the benefit of n of
heirs or beneficiaries for an such anY of my
Y purpose as the Trustee deems reasonable under the
circumstances such as but not limited to the purchase of real property, tuition for fu
education or an other rther
Y propose which would in the Trustee's sole discretion advance the best
interest of said heir or beneficiary. When each respective heir or beneficiary reaches the a
twen one 21 ge of
tY- ( )years, then whatever remains of income or principal of the said heir's or
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benefici ~
ary's divided shaze under this trust estate shall be distributed to said heir or benefici
per stapes, which provides that the child or children of any deceased heir or benefici sue'
take the shaze their azent would have taken if livin . ~' hall
p g In the event that any said heir or
beneficiary becomes deceased prior to the final distribution hereunder without leavin
issue, said deceased heir's or benefici g surviving
ary s share shall be divided equally between all of the heirs
and beneficiaries who aze a part of this trust and distributed in accordance with this aza
For whatever reason there are no heirs and beneficiaries remainin as a p graph.
that event, the rest, residue and remainder hereof sh g p~ °f this trust, then in
all be distributed in equal shares to the
residual beneficiazies set forth in paragraph Three G. set forth directly below.
G. In the event that my spouse predeceases me, dies simultaneously or I choose
for whatever reason during my lifetime to withdraw all of the assets from the Marital Trust set
forth in my spouse's Last Will and Testament or if I have accumulated any other assets which are
not being held in trust hereunder or under any written trust document executed by me durin m
lifetime, then in that event, I hereb ve devise and be ueath all the rest remainder and re g y
Y gi q
sidue
of my estate under this Paragraph in equal shares to my children, ARTHUR STEVEN GRA FF
and TRUDY GRAFF BAILEY, per stirpes, which provides that the child or children of an
deceased child taking the share their parent would have taken if living. If one of my children di y
es
without living issue, the share of said deceased child shall be distributed in equal shares to m
other children living at that time of my decease, per stirpes. y
5
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F_UR. I make the followin ~
g provisions pertaining to generation-ski ~
Aping transfers:
A• My Executor or Executrix, as the case may be, may allocate any part of m
generation-slapping tax exemption which I have not irrevocably utilized durin y
such manner as my Executor or Executrix shall determine, g my lifetime in
B. For purposes of fully utilizin m
g ygeneration-skipping tax exemption if my
spouse survives me, my Executor or Executrix may make the election provided for in Section
2652(x)(3) of the Internal Revenue Code of 1986, as amended (the "Internal Revenue Code"
the extent my Executor or Executrix has elected to treat all or part of the pro e a ) to
this Will or under any deed of trust of -which I am the settlor as " uali p ~ p ssmg under
~~ q feed terminable interest
property under Section 2056(b)(7) of the Internal Revenue Code.
C. My Executor or Executrix may elect not to have the deemed allocation
provisions of Section 2632(b) of the Internal Revenue Code apply to transfers made by me durin
my lifetime. g
D. To the extent that the allocation of any generation-skipping tax exemption
would not result in a particulaz trust being completely exempt from the generation-skipping tax
the Trustee shall separate such trust into two trusts, one of which is exempt from and one of
which is fully subject tot the generation-skipping tax. In the case of a trust which has not
received assets at the tune the exemption is allocated, the separation shall occur prior to an
funding of the trust. A trust which is completely exempt from the generation-skippin tax sh y
g all
be referred to as an "exempt trust" and a trust which is subject in any part to the generation-
skipping tax shall be referred to as a "non-exempt trust".
6
E. If the Trustee separates a trust into an exempt trust and anon-exem t trust
under the inunediately precedin p
g pazagraph:
(1) Any person who has a power of appointment with respect to that trust
may exercise such power differently as between the exempt trust and the non-exempt trust.
(2) The percentage or fraction of principal that a beneficiary may
withdraw shall be calculated with respect to the total principal held in both the exem t
exempt trusts. However, so long as there is any principal held in the non-e p and non-
maximum extent possible any withdrawal shall be paid from the non-exem t t xempt trust, to the
p rust.
(3) If the Trustee has the discretionary power to distribute income of a
~~ ~~ p p
trust among "skip persons and non-ski ersons" as defined in Section 2613
Revenue Code, the Trustee may exercise such power different) a ro) of the Internal
y s between the exempt trust and
the non-exempt trust.
F. In making any distributions hereunder for the various beneficiaries my
fiduciaries may allocate among such distributions assets which are exempt from generation-
skipping tax equally or pro rata or on such other basis as they shall in their sole and absolute
discretion determine, taking into account possible needs of beneficiaries for distributions of
principal, possible appreciation in the value of trust assets during the lifetimes of the
beneficiaries or such other factors as the fiduciaries consider significant.
G. The Trustee may combine into a single trust two exempt trusts for the benefit
of the same beneficiary; similarly, the Trustee may combine non-exempt trusts for the same
beneficiary.
7
" H;' No power to expend principal of an exempt trust for a beneficiary who is a
non-skip person as defined m Section 2613(b) of the Internal Revenue Code maybe exercised
by the Trustee so long as there is any principal held in anon-exempt trust and in which the
trustee has a similar power to expend principal for such beneficiary.
I. In addition to all other powers set forth in my Will, if at the death of a
beneficiary other than m souse includin a erson who becomes a benefici
Y p ~ g p
ary pursuant to the
exercise of a power of appointment under my will, there is principal held in anon-exempt trust
for that beneficiary and if in the absence of this power of appointment there would be a taxable
termination with respect to such trust as defined in Section 2612 of the Internal Revenue Code
such benefici '
ary shall have the power by Will containing a specific reference to this power of
appointment to appoint any part or all of such principal outright to any one or more of his or her
creditors and the creditors of his or her estate. Upon the beneficiary's death, to the extent he or
she fails to exercise effectively such power of appointment, the Trustee shall pay to the
beneficiary's estate or to the tax authorities an amount equal to any increase in estate, inheritance
and other death taxes, and interest and penalties thereon, payable because of the inclusion of the
unappointed principal in the beneficiary's estate for tax purposes. The remaining unappointed
principal shall be distributed in accordance with the terms of the trust.
FIVE. The Trustee, as well as my Executor or Executrix, shall have the following
powers, in addition to those vested in it by law, for my property held for the benefit of my
beneficiaries, whether income or principal, exercisable without court approval and effective until
the distribution of all property under the terms of the trusts set forth in Paragraph Three or
Paragraph Four above:
1~
8
The Trustee, at its discretion, may compromise claims, borrow money or retain
property for such length of time as it may deem proper, sell lease, pledge, mortgage, transfer,
exchange, convert or otherwise dispose of or grant option of all or any portion of trust property
for such prices and on such terms in public or private transactions as it may deem proper; and
invest trust property and income without restrictions to legal investments. The determination of
the Trustee with respect to the advisability of making payments out of the income or principal to
any heir or beneficiary. inheriting hereunder shall be conclusive and binding on all persons
howsoever interested in the respective trust. Further, the Trustee shall be authorized to receive
additions to the respective trust of any kind or any property whatsoever from sources other than
my estate and at any time in the sole discretion of the Trustee.
SIX. I hereby nominate and appoint my spouse, ROBERTA P. GRAFF, to be the
Executrix of this my Last Will and Testament. If my spouse has predeceased me, failed to
qualify, renounced or ceased to serve as Executrix for whatever reason, I then appoint my son,
ARTHUR STEVEN GRAFF, to serve as Executor of this my Last Will and Testament. In the
event for whatever reason he shall predecease me, fail to qualify, renounce, or cease to serve as
Executor for whatever reason, then in that event, I hereby nominate and appoint my daughter,
TRUDY GRAFF BAILEY, to serve as Executrix of this my Last Will and Testament, whereby
the said substitute personal representatives shall have the same powers as aze given to the
original Executrix hereof.
SEVEN. I hereby nominate and appoint my children, ARTHUR STEVEN GRAFF and
TRUDY GRAFF BAILEY, or the survivors of the two of them, to serve as to serve as Co-
Trustees of any trust(s) created herein. In the event that all of them for whatever reason unable to
9
serve as Trustee, then in that event, I hereby nominate and appoint BRUCE OLIN BAILEY, to
serve as Trustee of any trust(s) created herein.
EI_. No Executrix, Executor, or Trustee acting hereunder shall be required to post
bond or enter security in this or any other jurisdiction.
N_ No person or persons shall benefit hereunder unless such beneficiary shall
survive me for a period of at least sixty (60) days.
TEN. In the event of a common disaster causing the death of myself, my spouse and all
of my children and grandchildren, without surviving issue, all within a period of sixty (60) days,
and no other disposition of the residue of my estate is directed by this Will, then in that event
only, I give, devise and bequeath the rest, residue and remainder of my estate, real and personal,
to be distributed as follows:
1) Twenty-five percent (25%) to Green Ridge Village Fund, Newville,
Pennsylvania, to be used for its general purposes;
2) Twenty-five percent (25%) to First Presbyterian Church, Willoughby,
Ohio, to be used for its general purposes;
3) Twenty-five percent (25%) to West End Presbyterian Church, West
End, North Carolina, to be used for its general purposes; and
4) Twenty-five percent (25%) to First Presbyterian of Carlisle, Carlisle,
Pennsylvania, to be used for its general purposes.
`~~~~
10
In the event any of the above-named entities, or is successors, is no longer in existence at
the time of distribution of my residual estate, then its respective share shall be distributed equally
between the other remaining residual heirs set forth in this Paragraph Ten.
EL_. No beneficiary may assign or anticipate his or her interest in any income or
principal held or distributable hereunder; and no beneficiary's creditors may attach or otherwise
reach any such interest.
TWELVE. If any person or institution entitled to share in any distribution under the
terms of this my Last Will and Testament becomes an adverse party in any proceeding to contest
the probate of this Last Will and Testament, such person or institution shall forfeit his, her or its
entire interest inherited hereunder and all provisions in favor of such person or institution shall
be declazed void and of no effect. The share of such person or institution so forfeited shall be
distributed as part of the residue pursuant to Paragraph Three G. hereof except that if such person
or institution is entitled to share in the said residue, that interest shall be distributed
proportionately to the other residuary distributees.
THIRTEEN. The validity and administration of any trust established hereunder and any
question or disputes relating to the construction or interpretation of any said trusts shall be
governed and construed in accordance with the laws of the Commonwealth of Pennsylvania.
G~
[THE REMAINDER OF THIS PAGE HAS INTENTIONALLY BEEN LEFT BLANK)
11
.®
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 1st day of
November, 2002.
i7~"r'G^... SEAL
~ )
WILLIAM A. G
Signed, sealed, published and declared by the above-named person as and for a Last Will
and Testament, in our presence, who at said person's request, in said person's presence and in the
presence of each other have hereunto set our nan
12
ACKNOWLEDGMENT AND AFFIDAVIT
~~ WILLL~ A. GRAFF, JAMES D. HUGHES and CHERYL L. CLELAND,
the testator and witnesses respectively, whose names are signed to the foregoing instrument,
being first duly sworn, do hereby declare to the undersigned authority that the testator signed and
executed the instrument as his Last Will, and that he had signed willingly, and that he executed it
as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in
the presence and hearing of the testator, signed the Will as a witness and that to the best of their
knowledge the testator was, at that time, eighteen years of age or older, of sound mind and under
no constraint or undue influence.
COMMONWEALTH OF PENNSYLVANIA
. SS:
COUNTY OF CUMBERLAND _
Subscribed, sworn to and acknowledged before me by WILLIAM A. GRAFF
testator herein, and subscribed and sworn to before me by JAMES D. HUGHES
CHERYL L. CLELAND, witnesses, this ~ day of~vembe~, 2002. ~ ,
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WILLIAM A GRAFF
69 SPRUCE CIRCLE
NEWVILLE PA 17241
Issue# Account# Stock Symhol
3958 3451947007 FBNC
FOR ONLINE CASH CONTRIBUTIONS USE :3958 - 3451947007
,Dividend Reinvestment Information
V b 3 V iL °7°11~ "°•~• U / L5 1L mm~vammom vFJ
RECORD DATE SHARES ENROLLED IN REINVESTMENT UVrr~ J!'U1,1 , REINVESTME NT
Amount Withheld From Gross
Net Amount
SPcucity __ Certificateand.BnokShares _PlanShares Tot_alA~itivactm~hares Rate('fi) _ GrQS.s_Amosult($) _ Taxr$) Fggf¢1 Rginyesteci($)
Common Stock 754.8987 754.8987 0.08000 60.39 $60.39
rtan Hccvuni Hcnvny
Date Description Fees and/or
Commissions $ Net Dollar
Amount $ Price per
Share $ Transaction
Shares Total
Shares in Plan
Balance Forward
743
878C
01/25 SHARES PURCHASED / DIV. $59.51 11.590000 5.1346 .
Z49-.D.1
2
6
~Q4/25 ~ SHARES PURCHASED / DIV. $59.92 ~-1~l":180000 5.8861 ~
.
.
C~_..~~.~.89~,~~
07/25 SHARES PURCHASED / DIV. $60.39 "'r3'-~'83~"0`6 6.7225 761.6212
rear-to-uatse mvestimenti ~ummarv
Total
Dividends($) Tax
Withheld($) OptionalNoluntary
Investments($) Fees and/or Commissions
Paid by You($) Tax Reportable Company Paid
Fees and/or Commissions($)
Total
__ __ _ 179 82 _ _~_. _ _ _ $179. 8~
Total lioltlings and Market Value (Value of all shares are based on last purchase price;
Security Certificate Shares Book Shares Plan Shares Total Shares Price per Share($) Market Value($)
COMMON STOCK
_ 761.6212 761.6212 8.983300 $6,841.87
Transaction Form
WILLIAM A GRAFF
69 SPRUCE CIRCLE
NEWVILLE PA 17241
If you have any questions regarding your account, please contact
Investor Relations at 1-800-368-5948 or at info@rtco.com.
ACCESS YOUR ACCOUNT ONLINE!
You can access and manage your account online through the
Registrar and Transfer Company website. To login, simply go
to www.rtco.com and click on "Online Services" to request a
User 1D and password.
A hold will be placed on all transactions if an address
change has occurred within the last 15 days. We will
sell your oldest shares first unless you tell us
otherwise at the time you send us your instructions.
Partial Withdrawal Continue Plan participation
Issue a certificate for
this number of book and
plan shares
Sell this number of book
and plan shares
Optional Investment Full Withdrawal Terminate Plan participation
Make check payable to: Registrar and Transfer Company Issue a certificate for all full book and plan
Amount enclosed in U.S. Dollars: ~ ^ shares and a check for fractional shares
Your Optional Investment can
be a minimum of $25.00 per investment and a ^ Seli all book and plan shares
maximum of $2,500.00 per quarter
Issue#: Account#:
3958 3451947007
Signature(s) for issuance or sale and/or
change of address.
" Medallion Signature Guarantee required for sale request of
$10,000 or higher.
All joint owners must sign. Names must be signed exactly as
shown on this statement. (Partner/Officer/trustee must sign as
Partner/Officer/trustee. )
Address change or share transfer ^
Mark box and complete the appropriate
portion on the reverse side ~'
Nov.tt
i.
P.O. Box 3526
So. Hackensack, NJ 07606-9226
00021485 01 MB 0.404 01 TR 00120 SQNDR101 100000
WILLIAM A GRAFF
69 SPRUCE CIRCLE
NEWVILLE PA 17241-9300
urrnlluhwlrr4lhlllnlllhri~l~ir~IrrlIIIIIIPIIvhih
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49.51
49.96
ShareholderOf.•
GENERAL ELECTRIC COMPANY
GE STOCK DIRECT PLAN
STATEMENT PRINT DATE: 04/26/2012
CUSIP: 001-450-36960410
SYMBOL: GE
ACCOUNT KEY: _
GRAFF-WILLA0000
INVESTOR ID: 124962029429
FOR QUESTIONS CONCERNING YOUR ACCOUNT PLEASE CALL
1-800-786-2543
CASH TOTAL
INVESTMENT (>0 GROSS (E)
49.96
PARTICIPATING RECORD DATE DISTRIBUTION
TOTAL CERTIFICATED SHARES SHARES HELD SHARES HELD BY TOTAL
NET (S) HELD BY YOU BY PLAN OTHER PLAN(S) SHARES
49.90 I I a nAn ee~n _ i __ ._ _.
Year-To-Date Transaction Detail
DATE I DESCRIPTION ~ fNVESTMENT
Year-To-Date Account Summary Final Cost Basis for your covered shares will be provided on your year-end Form 10998.
AS OF:Oq/2fi120',2 CASH ADDITIONAL ORriDENDS
TOTAL MARKET VALUE (_) CLOSING PRICE (ti) INVESTMENTS (t) INCOME TOTAL (i) TAX WITHHELD (S) AMOUNT TO INVEST (i) BESTED (S)
161,912.07 19,~Op 2 ~•~
TRADING FEES PAID BY (i) SERVICE FEES PAID BY (i) SALE OF PLAN SHARES (S) CERTIFICATED SHARES HELD~SHARES HELD BY ~ TOTAL
COMPANY SHAREHOLDER COMPANY SHAREHOLDER GROSS PROCEEDS TAX WITHHELD SHARES HELD BY YOU BY PLAN OTHER PLAN(S) SHARES
o,co.
Current Activity /nformation
RECORD DATE TRANSACTION DMDEND SHARES AC
OUIRED
PAYABLE DATE
DESCRIPTION
RATE .
OR WITHDRAWN ADDITIONAL
INCOME
02/27/2012 COMtNON DMDEND 0.1700000 2
5470
04/25/2012 ,
TAX TRADING FEES PAID BY (i) SERVICE FEES PAID BY (S)
WITHHELD (S) COMPANY SHAREHOLDER COMPANY SHAREHOLDER
01125M2 I COMMON DMDEND
04/25/12 COMMON DMDEND
GENERAL ELECTRIC COMPANY
CUSIP: 001-450-36960410
ACCOUNT KEY: GRAFF-WILLA0000
WILLIAM A GRAFF
69 SPRUCE CIRCLE
NEWVILLE PA 17241-9300
A0 owner(s) waist sign and date above
Contact Number
49.51
49.96
Partial Withdrawal (Continue Plan Participation)
Issue a certificate for this
number of shares:
Sell this number of shares:
Full Withdrawal (Terminate Plan Participation)
^ Issue a cert~cate for ail full shares
and a check for fractional shares.
^ Sell all plan shares.
SHARE (i) OR WITHDRAWN BY PLAN
8,247.2427
18.9750000 2.6092 8,249.8519
19.8150000 2.5470 8252 39n4
Additional Cash Investments
Write the amount encbsed:
Make check payable to:
BNY MELLONlGENERAL ELECTRIC
YOU MAY INCREASE YOUR SHARES WITH
OPTIONAL CASH INVESTMENTS OF $10
UP TO $10,000 PER INVESTMENT
Deposit of Certificates
Deposit the enclosed
number of shares:
7575 124962029429 00145036960410GRAFF----WILLAOOOOIR00114
TRADING SERVICE AMOUN'
FEES (SJ FEES {S) INVESTED
fI!
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