HomeMy WebLinkAbout09-26-12J REV-1500 ex(°'-'°'
PA Department of Revenue Pennsylvania
Bureau of Individual Taxes ~eP+s*a~+*or naveaae
Po Box.2aosol INH
Harrisburg, PA 17128-0601 F
150561143
OFFICIAL USE ONLY
County COtle Year File Number
TAX RETURN 21 12 0481
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
169 18 8976 04 06 2012 08 10 1920
Decedent's Last Name Suffz Decedent's First Name
KREPS ELMA
(If Applicable) Enter Surviving Spouse's Information Below
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
X^ 1. Original Retum ^ 2. Supplemental Retum
4. Limited Estate ~ qa Future (merest Compromise
(date of death arter 12-12A2)
g. Decedent Dietl Testate
(Attach Copy of Wily
^ T Decedent Mainta netl a Living Trust
(Attach Copy or Trust)
9. Litigation Proceeds Received
^ 1p_SpousalP9veM Credo ldate of death
between 11-3191
d 1<
1
95
an
-
-
)
^ 3. Remainder Retum (date of death
prior to 12-13-62)
^ 5. Federal Esta[e Tax Retum Required
~
B. Total Number of Safe Deposit Boxes
^ 11.Election to tax under Sec. 9113(A)
(A,ttach Sch. O)
MI
T
MI
wrcn:wrurvucrv t - I lily SECTION MUBT BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name
Daytime Telephone Number
JENNIFER B Fi2PP 71i' 737 8761
First line of address
1 WEST MAIN STREET
Second line of address
City or Post Office
State ZIP Code
SHIREMANSTOWN PA 17011
Correspondent's e-mail address:
schedules and
is based on all
D.
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Side 1
L 1505610143 1505610143
1505610243
REV-1500 EX
Decedent's Social Security Number
oeceaenrs Name. Kreps, Elma T. 169 18 8976
RECAPITULATION
1 . Real Estate (Schedule A) .................................................................................... ... 1.
2 . Stocks and Bonds (Schedule B) .......................................................................... ... 2. 25 , 800.00
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)...... ... 3.
4. Mortgages & Notes Receivable (Schedule D) ..................................................... ... 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............. .. 5. 19 , 347.47
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested........... . 6. 13 , 927.35
7. Inter-Vivos Transfers & Miscellaneous h{oq Probate Property
(Schedule G) u Separate Billing Requested........... . 7. 25$ , 050.85
8. Total Gross Assets (total Lines 1-7) ................................................................... .. 8. 317 , 125.67
9. Funeral Expenses & Administrative Costs (Schedule H) ...................................... . 9. 15 , 5 95.03
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............................. . 10.
11. Total Deductions (total Lines 9 & 10) .................................................................. . 11. 15 , 595.03
12. Net Value of Estate (Line 8 minus Line 11) ......................................................... . 12. 301 53 0.64
r
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) .............................................. . 13. $ , 385.00
14. Net Value Subject to Tax (Line 12 minus Line 13) .............................................. . 14. 2 93 , 145.64
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .00 15. 0.00
16. Amount of Line 14 taxable 2 93 145.64
at lineal rate X .OqS 16. 13
, 191.55
17. Amount of Line 14 taxable
at sibling rate X .12 0. 0 0 17. 0. 0 0
18. Amount of Line 14 taxable
at collateral rate X .15 0.00 18. 0.00
i9. Tax Due ................................................................................................................. . i9. 13,191.55
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Side 2
L 1505610243 1505610243 J
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-12-0481
DECEDENT'S NAME
Kreps, Elma T.
STREETADDRESS
5225 W[Ison Lane
Room 54
CITY
Mechanicsburg STATE ZIP
PA 17055
Tax Payments and Credits:
1. Taz Due (Page 2, Line 19) (1) 13,191.55
2. Credits/Payments
A. Prior Payments 12,544.16
B. Discount 659.58
Total Credits (!\ + g) (2) 13,203.74
3. Interest (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) 12.19
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)
AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred :............................................................................... x
b. retain the right to designate who shall use the property transferred or its income :...................................
c. retain a reversionary interest: or ............................................................................................................... z
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? .................................................................................................................... ^
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?....... ^ Q
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 M1M1
spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after January i, 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 benefciary.
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 taz 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 I'.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.
Rev~1503 EXt (6-98)
~~
COMMON WEALTH OF PENNSYLVANIA
INHERITANCE TA%RETORN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF FILE NUMBER
Kreps, Elma T. 21-12-0481
All propery joingybwnetl with right or sunivorshlp must be tlisclosetl on Schetlule F.
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION LINITVALUE OF DEATH
1 800 shares of Aberdeen Asia Pacific Income Fund -Stock 7.25 5.800.00
2 57a0a5US0 Lancaster County Hospital Authority -Revenue Refunding 20,000.00
Bond -Landis Homes Retirement Community Project -
Series of 1998
TOTAL (Also enter on Line 2, Recapitulation) I 25,800.00
(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 B (Rev. 6-98)
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Aberdeen
001416
rllrll'lll'llrlllllrllllll'I'11111111111111111111111111)Irlrlrllr
ELMA T KREPS
5225 WILSON LN
# 220
MECHANICSBURG PA 17055-6663
~omputershare
Computershare
PO Box 43078
Providence,R102940-3078
Within USA, US territories 8 Canada 800 647 0584
Outside USA, US to«itories 8 Canada 787 575 3100
www.c om p uters hare. co Ma bend ee n
Holder Account Number
00000059277 I N D
-~-
Record Date 29 Feb 2072
Check Number 0078756989
SSNRIN Certified Yes
W ICSOWSDOM_PGLFAXF2t165P 44000/00141N1111141 Nil
Aberdeen Asia Pacificin~ome lurid -Dividend Payment.
1~'
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Dividend Confirmation
PaymentDatel Payment Description I Participating I Dividend Gro
s
s
I Deduction Deduction I Net
ShareslUnits Rate (
$
)
Dividend Amount ($) Type Dividend ($)
16 Mar 2012 Ordinary Income 600 $0.03500 28.00 O.DO N/A 28
00
Total Distribution 28.00 0.00 .
28
00
Year-TO-Date Paid 56.00 0.00 .
56.00
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Rev-1508 E%x(6.99)
COMMONWEALTH OF PENNSYLVANIA
INMERITgNCE TA% RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, 8L MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Kreps Elma T. 21-12-0481
Indutle the proceetls o(litigation and the tlate the proceetls were receivetl by the estate.
All property jointly-owned with the right of survivorship must be tlisclosetl on schetlule F.
ITEM
NUMBER DESCRIPTION VALUE AT DATE
OF DEATH
1 Cash
50.00
2 PNC Bank -Checking Account No. 5005799678. Date of death balance $9,656.11. This 9,656.11
account is non-interest bearing.
3 Jewelry -Value per appraisal. 9,491.36
4 Personal Property -Sold at private sale 150.00
TOTAL (Also enter on Line 5, Recapitulation) I 19,347.47
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. F~onn PA-1500 Schedule E (Rev. 6-98)
May, L. LUIL L:LII'IVl' YIVI. ~HN~ - iv u. u[ii ~, !~ i
~lV~
LEt~DIttt3TFlE WAY
May z, zolz
7ennifer B Hipp
C/O James D Bogor Esq.
One W Main St
Shiremanstown, PA 17011
RE: Etna T Kreps
SSN:169-18-8976
DOD: 04-06-2012
Deat Ms. Hipp:
In respoztse to your request for Date of Death (DOD) balances far the customer noted above, our
records show the following:
Checking Account
Account # 5005799678 - Established: 10-2I-2009
ELMA T KREPS
DOD ba]ance: $ 9,656.11 non interest bearing
Please note that this office provides date of death balances for deposit acceunts (IRAs, CDs, Checking and
Savings). R'e do not process any financial transactions or provide statements. if you need assistance with
any of these items, pease call 1-888-PNC-BANK (1-888-762-2265) or stop by your Iocal PNC Bank branch
office.
Siricerely,
National Financial Services Center
PNC Bank, N.A.
Member FDIC
This message is intended for the use ofthe individual or entity to which it is addressed and may
contain information that isprivileger~ confidential and exempt from disclosure amder applicable law.
If the reader of this message is not the intended recipient or the employee or agent responsible for
delivering this message to the intended recipient, you are hereby notified that any dissemination,
distribution or copying of this communications is strictly prohibited. If you have received this
communication in error, please not fy me immediately by reply or by telephone cR 800-762-7775 and
immediately destroy this faxed document.
Page 1 of 1
This estate jewelry appraisal was prepared by
Henderson & Co. Jewelers, Inc.
Windsor Park Shopping Center
Mechanicsburg, PA 17050
(717) 766-7771
for:
Estate of
Aima Kreps
5535 Westbury Drive
Enola, PA 17025
This appraisal was prepared April 26, 2012.
The following metal prices are from the date of death.
The price of gold was approximately per ounce $1,631.00.
The following equipment was usr'd in preparing this jewelry appraisal:
Binocular Microscope
Dial Gauge
Table Gauge
Electronic Scale
Refractometer
Ultraviolet Light
The appraiser was David A. Henderson, Gemologist of the Gemol '' ~;,~-
America, no. 3561240. -~--~~~ '-
G.LA. grading terminology was used in preparing this jewelrq-appt sa1'~~-.,4__--~ ~~
This appraisal was prepared for estate purposes only. The values given represent a fair
price that the items could be expected to bring in a reasonable time period if sale was
necessary to settle the estate. This is based on prices obtained for similar items in our
area at the time this appraisal was prepared, or recent auction prices frar similar items.
The condition of the gems and their mountings was factored in when arriving at these
values.
This jewelry appraisal does not represent an offer to buy nor does Henderson & Co.
Jewelers have a stake in these items.
WEDDING BAND
This is a basic half round band ring in 14 karat (stamped) white gold. The inside of the ring is machine
engraved MWK AND EET 2-2D-fi5. The ring is 2 mm wide and weighs 1 dwt. / 1.7 gr. Condition of ring at
time of examination was very good.
ESTATE VALUE ..........................................$44.36
GYPSY SET DIAMOND RING
There is a single round diamond gypsy set in this yellow gold ring. The ring is of ,~st construd5on and
has a Florentine finish. Top of this ring is hollow and open backed. The ring is stamped 14 karat. Top of
ring measures 7,93 wide mm and 4 mm high. At the backthe ring tapers to 2.01 mm wide and 1 mm
thick. Condition of the ring was: good at time bf examinatidn. Weight of mounting and diamond is 2.7
dwt. / 4.2 gr.
DIAMOND: One Early Round Brilliant Cut Genuine Diamond
Diameter: 4.7 mm
Depth: 2.61 mm, 55.5%
Weight:.35 prat by formula
Clarity: II
Color: L
Comments: The culetof this diamond is medium. Symmetry of this stone is fair and the polish is good
ESTATE VALUE ........................................$325.00
MULTI-DIAMOND ENGAGEMENT RING
This two-tone ring features a center round diamond flanked by pairs of smaller round diamonds. The
center diamond is held by four prongs and the side stones are channel set. The rings rounded shank is
yellow gold. The rings top and head are white gold. At time of examination a soldered spring type ring
sizer was in the rings shank, this prevents any view of the stampings. The ring tE~str to approximately 14
karat. Total weight of the mounting and diamonds is 3.1 dwt. / 4.9 gr.
CENTER DIAMOND: One Round Brilliant Cut Genuine Diamond
Diameter: 7.54 mm to 7.58 mm, 7.56 mm averege
Depth: 4.51 mm, 59..7%
Weight: 1.57 cart by formula
Table: 4.94 mm, 65.3%
Crown:.91 mm, 12.0%
Pavilion: 3.4 mm, 45°10
Clarity: VSl
Color: F
Comments: The girdle of this diamond is slightly thick to knife edge and waxy. A wide (2.3 mm) natural is
visible as set. The culet is very small, cut and finish are very good.
SIDE DIAMONDS: Four Round Brtlliant Cut Genuine Diamond Melee
Diameter: 2.3 mm
Weight:.045 carat each, .16 ct. t.w.
Clarity; SIZ to I,
Color. H-J
Total diamond weight in ring is 1..75 prat by formula.
ESTATE VALUE .....................................$6,703:00
SEVEN DIAMOND BAND
(matches above engagement ring)
This two-tone band ring also has a soldered spring style ring sizer in its shank. The seven round
diamonds are channel set. The shank is yellow gold and the top of the ring is vvhfie gold. The sizer
prevents viewing stamps inside the ring, however it tests to approximately 14 karat Condition of the ring
at time of examination was good. Total weight. of the mounting and diamonds is 2.1 dwt. / 3.3 gr.
DIAMONDS: Seven Round Brilliant Cut Genuine. Diamond Melee
Diameter: 2 mm
Weight:.03 ca2t each, .21 ct. t.w.
Clarity; SI
Color: H-I
ESTATE VALUE .......................................$304.00
]ABEL ADD-A-LINK BRACELET
There are six sapphire and diamond links in this bracelet. The links were cast in 16 karat white gold. The
snake chain and clasp that complete the bracelet are white gold filled. The sapphiires are arranged in
round clusters with a diamond in the center. Also there are three diamonds bead set on a leaf-like trim
for each link. All gems in the bracelet are round. Condition of the bracelet at timc; of this appraisal was
excellent. Total weight of bracelet with gems and w. g, f, sections is 12.5 dwt. / 19.5 gr.
SAPPHIRES: Thirty Six Round Faceted Genuine Sapphires (six in each cluster)
Diameter: 2 mm
Color: medium light to saturated pure blue
Clarity: slight inclusions
DIAMONDS: Six Round Brilliant Cut and Eighteen Single Gut Genuine Diamonds
Diameters and Weights:
6 - 2.2 mm, .04 carat each, .24 ct. t.w. (full cut)
6 -1.8 mm, .025 ct. ea., .15 ct. t.w. (single cut)
12 - 1.5 mm, .015 cL ea., .18 d, t.w. {single cut)
Clarity: VS
Color: G-H
ESTATE VALUE .........................................,.......$1,500.00
]ABEL SAPPHIRE AND DIAMOND RING
This fashion ring fieatures a diamond shaped cluster bf twelve round ~pphires surrounding. four round
diamonds. All stones are prong set. The rings shank is narrow with airline openings. The mounting was
cast in 18 karat (stamped) white gold. Tap of the ring measures 15 mm x 12 mm (5/e in. x ~h in.)
Condition of the ring at time bf examination was good (several diamonds are dhip~xd or abraded). Total
weight of mounting and gems is 2.4 dwt J 3.8 gr.
SAPPHIRES: Twelve Round Faceted Genuine Sapphires
Diameter: 2.3 mm to 2.4 mm
Color: medium saturated pure blue
Clarity: light to moderate indusions and silk in some
DIAMONDS: Four Round Brilliant Cut Genuine Diamond Melee
Diameter: 2.4 mm
Weight:.05 ct., .20 ct. t.w.
Clarity: VS
Color: G-H
ESTATE VALUE ................................$275.00
BLUE ZIRCON AND DIAMOND RING
This 18 karat (stamped) white gold ring was assembled from cast components. F~ center round blue
zirmn is held by for prongs. The by-pass shank wraps around the zircon. One side of the shank is set
with eight baguette diamonds and one round. The other side of the shank has seven round diamonds in
it. The top of the ring measures 13.16 mm at the widest. The shank tapers down: to 1.65 mm wide and
1.36 mm thick at the back. Condition of the ring was good at time of examination. (There is some
abrasion of the zircon and one diamond baguette diamond is chipped.) Total weight of the mounting and
gems is 3.3 dwt. / 5.2 gr.
ZIRCON: One Round Faceted Genuine Blue Zircon (All blue zirmn starts out brown as it comes from the
earth, gentle heating will turn many permanently blue.)
Diameter: 7.36mm
Color: medium light, teal-blue
Clarity: very clean
DIAMONDS:
Baguettes: Eight straight baguette cuts
Dimensions and 1R/eights:
Assorted sizes frdn 2 mm x 1.25 mm to 1.25 mm x 1.25 mm
Approximately :015 to :02 ct. ea., Z3 ct tw.
Clarity: SI
Color: H-I
Rounds: Seven round brilliant cut and one single cut
Diameters and wNights:
1- 1.3 mm, .01 dt. (single cut)
7 - 1.7 mm to 1.$ mm, .02 ct. to :025 ct., .19 ct. t.w.
Total diamond weight in ring is approximately .20 carat.
Clarity: SI to II
Color: H-I
ESTATE VALUE .........................................$340.00
Rev-1509 EXv (6-961 ~
;~ SCHEDULE F
DDMMDNwEgLTH DRPENNSVLVgNIq JOINTLY-OWNED PROPERTY
INHERn'gNCE TA%RETDRN
RESIDENT DECEDENT
ESTATE OF
Kreps, Elma T.
Han asset was metle joint within one year of the tleeetlant's tla[e of tlealh, It must be reports
SURVIVING JOINT TENANT(S) NAME ADDRESS
A. Roger D. Kreps 5535 Westbury Drive
Enola, PA 17025
B.
C.
JOINTLY OWNED PROPERTY:
(FILE NUMBER
21-12-0481
on schetlule G.
RELATIONSHIP TO DECEDENT
Son
ITEM
NUMBER
LETTER
FOR JOIN
TENANT
DATE
MADE
JOINT DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT
NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR
JOINTLY-HELD REAL ESTATE.
DATE OF DEATH
ALOE OF A.iSE
% OF
DECD'S
INTEREST
DATE OF DEATH
DECEDENT'S NTEREST
1 A Janney Montgomery Scott -Investment 27,854.70 50
000% 13
927
35
Account No. 7449-1615. . ,
.
TOTAL (Also enter on Line 6, Recapitulation) I 13,927.35
(If more space is needed, atltlitional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98)
Trusted Advisors fom Generations
April 1.9, 2012
Jennifer Hipps, Esq.
Attorney at Law
1 West Main Street
Shiremanstown, PA 17011
RE: Elma Kreps & Roger Kreps
Account # 7449-1615
Dear Ms. Hipps:
4i~ Eriurd t.u.id
Suite :SIi~
Li~n:~~~uc'. PA 1 l0-l:i
71 7. ~3I.a4UU
~.tc i17.7;1.~-!ll
im~ru~.jauncv.coui
This letter is to inform you of the value of the above reference account on April 6, 2012.
10,000- Cumberland County PA Muni Bond (Cusip # 230614-FC-8) $10,,279.10
20,000-General Motors Accept Corp Bond (Cusip # 3704A0-HK-1) $17,.700.60
$27,979.70
- 125.00 (debit balance)
$2;7,854.70
Also enclosed is a new account application for Roger Kreps to complete so we can open a new
account to journal the funds into.
We will need an original death certificate for Elma Kreps to proceed with 1:he distribution of the
existing account to Roger & his wife.
Let me know if I can be further assistance in this matter.
~eT'~`f,
\.
Cfiarles A P s, CFP®, AAMS
Senior resident/Investments
Jaruirc AI nir~onu~i} Scott i ~.~ G]rn J~,ei. KSJE • FIh'R~ v SIPI:
Jennifer B. Hi
From: Pass, Charles <CPass@janney.com>
Sent: Wednesday, April 25, 2012 11:29 AM
To: Jennifer B. Hipp
Subject: Re; Joint Account for Kreps
Ms Hipp
This is to confirm our conversation: The Kreps account has been a Joint Account since October 25. 2005.
Should require further information, please feel free to contact us.
CAP
Charles A Pass, CFP®, AAMS ~ Senior VP/Investments
0 717 731 4400 ~ 800 622 7200
ti._.~- -
Janney Montgomery Scott LLC
20 Erford Rd ~ Suite 315 ~ Lemoyne PA 17043
cpassC~lanneV.com
Janney: The Highest Standard of Success in Financial Relationships.
Janney Montgomery Scott LLC (Janney) will not accept orders and/or instructions for the purchase or sale of a security or other product via an
e-mail transmission. This electronic communication is intended only for [he person or entity to which it is addressed and may contain
confidential, proprietary or privileged material. Any review, re-transmission, dissemination or other use aR this information by persons or
entities other than the intended recipient is prohibited. No confidentiality or privilege is waived by any accidental or unintentional
transmission. If you received this electronic communication in error, please contact the sender immediately and delete the material from your
computer. Janney cannot guarantee the confdentiallty of the material transmitted and reserves the right to monitor all a-mail
communications through itr networks.. Please go to htto•//www iannev com for additional terms and disclosures relating to this electronic
communication.
Rev-1510 EX~ (6-99)
SCHEDULE G
INTER-VIVOS TRANSFERS &
COMMnNwE/,LTHOr RENNaY~VANIh MISC. NON-PROBATE PROPERTY
INHERILINCE TA%RETURN
RESIpENi UECEOENT
ESTATE OF FILE NUMBER
Kreps Elma T. 2~_~~_nea~
This schetlule must be completetl antl filed iRhe answer to any of questions 1 through 4 on the reverse sitle of the REV-1500 COVER SHEET is yes.
ITEM
NUMBER DESgCpRIPTION OF PROPERTY
THE DATE OF TR~ANSFERSATTACIITA COPY of THE DEED OR REAL ESTATE. DATE OF DEATH
VALUE OF ASSET °s of oe:co~s
INTEREST
(IF APPLICABN E
) TAXABLE
VALUE
1 Asbury Foundation'- Single-Life Charitable Gik 8
385
00
Annuity for Elma T.IKreps. Account No. 02-1053. The ,
. 8,385.00
charitable remaindl;r beneficiary of this account is
Asbury Atlantic, Inc.
2 M & T Bank - Mauride W. Kreps TUW FBO Elma Kreps 249
665
85
.
This trust was estaf~lished per the Last Will and ,
. 249,665.85
Testament of Maurid:e W. Kreps, a copy of which is
attached hereto. Tlye remainder beneficiaries of the
trust are Roger D. Klreps, Debbie Kreps and Heather E.
Kreps. No inheritance taxes were paid on this trust
upon the death of Mlaurice W. Kreps.
TOTAL (Also enter on Line 7, Recapitulation) I 258,050.85
(IF more space is neetled, atlditional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98)
`ASBURY
\~ F O U N D A T I O N
July 16, 2012
James D. Bogar
Attorney at Law
One West Mairl Street
Shiremanstown, Pennsylvania 17011
Re: Single-Life Charitable Gift Annuity for Elma T. Kreps
Annuity # 0,2-1053
Annuity Date: March 22, 2002
Dear Beth,
Per your request is a copy of the "End of Contract" report for Elmia T. Kreps.
If you require adlditional information, please feel free to call me a 301-216-4051
or email to dpeel<s(a asburv oro
er ly,
l eborah J e ~ ~.
Planned Giving f~lanager
Asbury Foundation, Inc.
201 Russell Avenue • Gaithersburg, Maryland '10877
301-216-4050
End of Contact Repot
04/01/2012 -- 04/30/2012
Elmo T. Kreps SSN = 169-18-8976 DOB =-08/10/1920 --DOD = 04/06/2012
r.~~cf ye rccounr. Annuity No: Gift Date: Gift Value: EOC Date: EOC Balance: Unrecov. Basisr)
Endowment (Ben. Care End.) 02-1053 03/22/2002 $15,000.00 0410912012 $8,385.00 $0.00
Asbury Atlantic, Inc. -- 100.00 °/ _ $8,385.00
Totals: $8,385.00 $0.00
1. Last column states the /RC section T2(bJ unrecoveretl basis Ior each annuity. This amount shoo/d be deducted on the annuifanCs final income tax ref
x/7/20/2 Copyright (c) 2012 Crescentlo Interadlve, Inc. Page l of 4
Document # 03-1053
Tuesday, July 17. 2012
GIFT ANNUITY RECORD INFORMATION
'/17/2012
Status In-Active Type One Life Document # 02-1053 State Law PA
Gift Date 03/22/2002 Payout Date 07/10/2002 Contrib. DT 03/22/2002 EOC Date 04/09/20L
AFR Rate 5.4% Payout % 9.8% Frequency Quarterly URB Amount $.00
Property Value $15,000.00 EOC Balance $8,385.00
Cost Basis $6,845.33 Charitable Deduction $6,625.56
Page 1
ONE LIFE GIFT ANNUITY
PREPARED FOR
Mrs. Elma Kreps
AN EDUCATIONAL SERVICE PROVIDED BY
Mr. Matthew Madden
Wesley Affiliated Services Foundation
Bethany Village
3215 Wesley Drive, Mechanicsburg, PA. 17055
Phone: 717.591.8019
Educatipnai Service Provided by Wesley Affiliated Services Foundation
-~~~~ ~~~ ~~~,..a~ o vy ~a escenuo interactive, inc. Version 2002.1 Copyright (c) 2002
FIRST PERSON
Mrs. Elma Kreps
AGE 82 ~
Eem.~- ~~?met a
Ole .-tz ~ ~"~`" 9
GIFT AMOUNT
CHARITABLE DIEDUCTION
ANNUITY OF 9.$0%
TAX FREE
EFFECTIVE ANf~UITY RATE
$15,000.00
$6,625.56
$1,470.00
68.60%
14.0%
INCOME TAX INFORMATION
QUARTERLY ANNUAL
PAYMENT TOTALS
Ordinary Income $115.40 $461.58
Capital Gain P~lyout $0.00 $0.00
Tax Free* $252.11 $1,008.42
ANNUITY AMOUNT $367.50 $1,470.00
* Tax Free Until 2010
March 18, 2002
An Educational Service Provided By
Page 4 of 9
The Charitable Gift Annuity is a combination of a gift to charity and an annuity. For senior
persons, annuity rates may be 8%, 9% or even higher. Since patt of the annuity payment
is tax free return of principal, the gift annuity may provide the donor with. a very substantial
income. The combination of partially tax free income and the initial charitable deduction
makes this agreement quite attractive. And after all payments have been :made for the
life of the annuitant, a favorite chanty will benefit from the charitable gift.
Partly Tax Free Payrztents
A gift annuity is a cpntract between the charity and the individual. The individual, referred to
as the annuitant, trarpsfers property to the chanty and the charity promises to pay a given
amount at the end o$ each selected payment period to one annuitant for life or two annuitants
for both lives. Part of the payment is interest earned and is taxable as ordinary income. Part
of each payment is return of principal and is tax free. However, if an annuitant survives past
his or her life expectancy, all later annuity payments will be ordinary income.
Gifted Property
Cash or appreciated property may be transferred to chanty in exchange for a gift annuity.
With appreciated praperty, a portion of the capital gains tax is avoided. Part of the gain is
allocated to the charitable gift amount and there is no capital gains tax on that portion. The
rest of the gain is allocated to the annuity portion and is taxed each year over the projected
life expectancy of the annuitant. Since the tax is spread out over the life of the annuitant, and
the annuitant is receiving in part tax free income, the transfer of appreciated property in
exchange for a gift artnuity can generate very favorable results.
Fixed Payments
Gift annuities are most attractive to senior persons. The annuity amount is fixed and will not
change regardless of current investment or market conditions. Since the more senior person
is probably more easily able to plan for the future with a fixed payment, the, gift annuity
seems most appropriate for a senior individual.
March 18, 2002
Page 5 of 9
An Educational Service Provided By
One Life
Donor Mrs. Elma Kreps Gift Amount $15,000.00 Gift Date 03/20/2002
First Person Mrs. Elma Kreps Birth Date 08/20/1 J20
Date of 04/20/2002
Cost Basis $15;000.00 First Ann. Payment
Payment Freq. QU/bRTERLY (Payments at End of Selected Period)
Annuity%
(A) Annual Aglnuity Payout
Gift Amt. X Annuity
(B) Factor Age 82
$1,470.00 (A)
5.5852 (B)
(IRS Pub. 1457, Table S)
AFR of the Mlonth 5.4%
(C) Adjustment for time of Payment
(IRS Pub 1497, Table K)
02',00 (C)
End of Period
1 1.0000 Annuaf
2 1.0133 Semi-Annual
3 1.0200 Quarterly
4 1.0245 Monthl
(D) Adjusted Factor
Line (B) x Lind (C)
(E) Present Value of Annuity
Line (D) x Line (A)
(F) Amount Transferred
(G) CHARITABLE GIFT VALUE
Line (F) less Line (E)
5.6969 (D)
4.44 I
(E)
(F)
(G)
March 18, 2002 User Selected Annuity Rate Page 6 of 9
An Educational Service Providetl By
9.80 °i°
One Life
(H) Unadju$ted Expected Return Multiple
(Reg.Sec. 1.72-9, Table V)
(I) Adjustment if Not Monthly
(Reg. Sec. ,1.72-5(a) (2))
(J) Adjusted Expected Return Multiple
Line (H) Plus Line (I)
(K) Expectep Return
Line (J) Tiifies Line (A)
(L) EXCLUSION RATIO
Line (E) DiNided By Line (K)
(M) Amt Exq'luded From Ordinary Taxation
Exclusion (Ratio Times Annuity
Line (L) Tirt~es Line (A)
(LR.C. Seci 72(b)(3))
(N) Basis Allpcated to Annuity
Basis Timej; Line (E)/GIFT
(O) Gain Alldcated to Annuity
Line (E) Legs Line (N)
8.4 (H)
-0.1 (I)
8.3 (J)
$12,201.00 (K)
68.6% (L)
$1,008'.42 (M)
$8,374.44 (N)
$0.00 (O)
(P) Gain Eadh Year $0..00 (P)
Line (O) Di~jided By 8.3
(Not to Exceed Line (M); Assumption: Separate Prop. of First Ben.)
(Reg.Sec. 1',1011-2(al(411
SUMMARY OF ANNUITY
CHARITABLE DEDUCTION $6,625.56
EXC'~USION RATIO UNTIL 2010 68.6%
INCOME PRO RATA EACH
TAX FIRSfi PAYMENT PAYMENT ANNUAL
Ord.lncome $40.44 115.3950 $461.68
Cap. Gain $0.00 0.0000 $0.00
Tax f=ree $88.35 252.1050 1 008.42
Ann. Amt $128.79 367.50 $1.470.00
March 18, 2002
Page 7 of 9
An Educational Service Providetl By
First Person Mrs. Elma Kreps Birth Date 8/20/1920 Gitt Date 3/20/2002
Date of 4/20/2002
Cost Basis $1$,000.00 GiftAmount $15,000.00 First Ann. Payment
Payment Freq. QUWRTERLY (Payments at End of Selected Period)
ve Equivalent An
(A) Annual q'nnuity
(B) Exclusiorn Ratio
(C) Excluded Amount
Line (A) x Lire (B)
(D) Capital Gain Each Year
Tax Rate 20.00%
(E) Equivalent Amount of Ordinary Income
(F) Return of',Principal Each Year
(G) Equivalent Amount of Ordinary Income
f,Line F /(1-27.80% Tax Rate))
(H) Total Equivalent of Ordinary Income
(I) Effective Ah-tount Transferred
(Gift Amount Liess Tax Savings)
(J} Effective equivalent Annuity Rate
(Line H/Line I)
(Compared to Taxable Investments)
(K,l Effective l3quivalent Annuity Rate
(Line H ' (1-TaDc rate)/Line I)
(Compared to lax Free Investments)
Initial Hate
Incomd Tax Saving
Capital Gain Payout
Tax Frye Payout
March 18, 2002
$1,789
$0
$373
An Educational Service Provided By
Rate Calculation
$1,47G.00
68'.6%
$1, 008.42
$0.00
$0.00
$1, 008.42
$1,381.40
$1, 842.98
$13,211.00
9.80%
11.13%
11.13%
13.95%
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(J)
(K)
Page 8 of 9
_
ears
' Mrs. Elma Kreps
TOTAL AMOUNT $15,000.00
ORDINARY CAPITAL
INCOIME GAIN PAYOUT Annuity $1,470.00
Char. Gift $6,625.56
Capital Gain $0.00
Basis :8,374.44
TAX FREE CUMULATIVE
RETURN CAPITAL GAIN
UMULATIVE
TAX FREE
2(102 $271.23 $0.00 $592.56
$0.00
$592.56
2043 i
- 461.58 0.00 1,008.42 0.00 1,600.98
2404: 461.58 0.00 1,008.42 0.00 2,609.40
20U5 461.58 0.00 1,008.42 0.00 3,617.82
2A06'i '461.58 0.00 1008.42 0.00 4
626
24
20(17: 461.58 0.00 1,008.42 0.00 .
.
5
634
66
~20tl81j 461.58 0.00 1,008.42 0.00 ,
.
6,643.08
20A9 ',461.58 0.00 1,008.42 0.00 7,651.50
2Q1~ 747.06 0.00 722.94 0.00 8,374.44
2'01 I!
2012 ' 1 470.00
1
470
00 0.00 0.00 _ 0.00 8 374.44
' ,
. 0.00 0.00 D.00 8
374.44
20
13. 1,470.00 0.00 0.00 0.00 ,
8,374.44
20'I4 1,470.00 0.00 0.00 0.00 8
374
44
2475,; 1,470.00 0.00 0.00 0.00 ,
.
8
374.44
.2016
201
' 1 ' 70.00 0.00 0.00 0.00 ,
8 374.44
;
7 y 1,, 70.00 0.00 0.00 0.00 8,374.44
2117;$
201 1,#70.00 0.00 0.00 0.00 8,374.44
5
2020'' 1,4170.00
1
470 0.00 0.00 0.00 8,374.44
201 ~
' ,
.00 0.00 0.00 0.00 8,374.44
.
2A22 : 1 70.00 0.00 0.00 0.00 8 374.44
2p'~~ 1, 70.00 0.00 0.00 0.00 8, 374.44
, 1,470.00 0.00 0.00 0.00 8
374.44
2024 1,470.00 0.00 0.00 0.00 ,
8,374.44
2025 1,470.00 0.00 0.00 0.00 8
374
44
2026 '
2(
27 ' 1 70.00 0.00 0.00 0.00 ,
.
8 374.44
1 1,4;70.00 0.00 0.00 0.00 8
374.44
2028 1,4!70.00 0.00 0.00 0.00 ,
8
374.44
2025 !
203q ' 1,470.00 0.00 0.00 0.00 ,
8,374.44
1,470.00 0.00 0.00 0.00 8
374.44
2031.' 1 470.00 0.00 0.00 0.00 ,
8 374
44
2032 ' 1,4b0.00 0.00 0.00 0.00 .
374.44
8
2033 ' 1,470.00 0.00 0.00 0.00 ,
8
374.44
2034 1,40.00 0.00 0.00 0.00 ,
8
374.44
2035.. 1,470.00 0.00 0.00 0.00 ,
8
374.44
2tl36 1 4 0.00 0.00 0.00 0.00 ,
8 374
44
2037 ! 1,4p0.00 0.00 0.00 0.00 .
8
374.44
2038 ' 1,470.00 0.00 0.00 0.00 ,
8,374.44
2039' ! 1,470.00 0.00 0.00 0.00 8,374.44
2040 !
' 1,470.00 0.00 0.00 0.00 8,374.44
2041,
_ 1,470.00 0.00 0 00 0.00 8
374.44
Note Tax-Free return of basig not recovered by date of death may ,
be deducted on last income tax return. See IRC Sec. 72(b).
March 18, 2002 Page 9 of 9
An Etlucational Service Provided By
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Estate valuation - Ereps, Mauzi ce w
Date of Death! . 09/06/2012
Valuation Dater 09/06/2012 Estate of: Maurice W. Rreps TUw FBO Elma Ereps
Processing Date: 06/~l8/2012 Account; 311151609
Report Type; Date of Death
' s
u
~
File ID; Maurice W Erep
311151609
EState
Va1
Shares Security
or Par
Description Mean and/or
High/Ask Low/eitl Div and Int Security
Atlj u:3tmen is Accruals Value
1) 950.75 WILMINGTON FUNDS (971810308)
PRMTM MMF SEL N/A
Mutual Fund values reported to NASDAQ
No pricing information
2) 462.62 WILMINGTON FUNDS (971810308)
PRMTM MMF SEL
Mutual FUnd values xeported to NASDAQ
No pricing information
3) 30000 UNITED ESTATES TREASURY BD (912830EE4)
Drc
y
/1990 Mat: 02/15/2020 8.58
09/05/2012
09/09/2012 150.25000 150.21900 A/8
151,53900 151.50800 A/B
Int: 02V15/2012 to 04/06/2012 150.579000
9) 195,619 DREYFUSXLAUREL FDS TR (261980668)
'
INTL BDiFD CL I
Mutual gVnd (es quoted Dy NASDAQ)
09/05 /2Q12
16,58000 Mkt
' 16.!i80000
5) 501.89 MFS SERA TR X (55273E690)
EMER ME (IDEBT I
Mutual Elund (as quoted by NASDAQ)
04/05/2012
15.11000 Mkt
15.710000
6) 1011.998 HELLS FA)iG0 ADVANTAGE FDS (999850582)
wFA INTL BD INST
Mutual nd (as quoted by NASDAQI
. 09/05/20 2 11,25000 Mkt
11.250000
7) 1324.55 ARTIO GI~18AL INVT FDS (09315J860)
GLBL HI YkD I
Mu tuel Fgntl (a8 quoted by NASDAQ)
09/05/2012
9.67000 Mkt
9.6'70000
8) 1507.109 RIDGENOR~N FDS (766287678)
SEI% FLR HI I
Mutual F'~nd (as quoted by NASDAQ)
04/OS/20y2
8.64000 Mkt
8.540000
9) 7fi9.702 VANGUARD 'FIXED INCOME SECS FD (922031109)
L TRM INV~RD I
Mutual Fuhdlas guotetl by NASDAQ)
04/05/2012
10.21000 Mkt
10.2].0000
10) 1697.691 wILMINGTO FUNDS (971810811)
BOMET INS L I
Mutual Fu d values Yeportetl to NASDAQ
09/05/201
9.98000 Mkt
9.980000
111 4291.082 WI LMINGTOI{ FUNDS (971810845)
INTRM BD T~NSTL I
Mutufll Fuhd values reported to NASDAQ
04/05/2012
10.56000 Mkt
10.580000
12) 1732.37 wILMINGTO[4 FUNDS (971810597)
S/T CORP I~JSTL I
Mutual Fund values reported to NASDAQ
04/05/2012
10.27000 Mkt
10.270000
N/A
45,263,70
357.28
3,243.36
1,563.56
11,389.98
12,806.90
13,322.84
7,807.61
16,993.96
45,399.65
17,791.44
Page 1
This report was produced with Estate Val, a protluct of Estate Valuations a Pricing Syat ems, Inc. If you have questions,
please contact EVF Systems a[. (818) 313-6300 or www.evpays.can. (Revision 7.1.1)
D9te of"Death: 09/06/2012
Valuation Date:-.09/06/2012
Processing Date:-06/16/2012
Snares Security -
or Per Description H4:gh'/Ask ' Low/Bid'
131 104,259 WT NUT FD (929348769)
CRM MDCP VAL I
Mutual Fund (as quoted by NASDAQ)
09/05/2012
14) 120.135 LOONIS SRYLES FDS I (SA 3995816)
SML CP VAL INS
Mutual Fund (as quoted by NASDAQ)
04/05/2012
151 325.521 ADVISOR INNER CIRCLE FD (0075BM634)
LSV VAL EQ FD
Mutual Fund (as quoted by NASDAQ)
09/05/24}2
16) 723.42 INSTIT IONAL EQUITY FDS INC (457751906)
LGCAP G OWTH
MutualU'1F~{~und (as quoted by NASDAQ)
09/OS/2g12
17) BS.B41 VANGUARq INSTL INDEX FD (922090100)
SN BENI T
Mutual nd. (as quoted by NASDAQ)
09/05/20112
18) :!11.496 VANGUARD INDEX FDS (92290(1962)
VALU IDX SIGNL
Mutual nd las quoted by NASDAQ)
09/05/20.2
191 127.03 WILNINGTQIN FUNDS {971810662)
MDCP GRWI INSTL I
Mutual F~ntl values reported to NASDAQ
09/05/20'12
20) 187.5 MAINSTAYFDS TR (56063J869)
EPOCx GB EQT T
Mutual FJ$Vnd (as quoted by NASDAQ)
09/05/2012
21) 60.95fi GUINNESS ~ATXINSON FDS (902031207)
CNINR fi H FD
Mutual F nd (as quoted by NASDAQ) '
04/05/2012
22) 159.961 HARBOR Fq' (411511306)
INTL FD NSTL
Mutual F nd (as quoted by NASDAQ)
09/05/20112
23) 339,38 LAZARD FDS INC (52106N889)
EMERG MKT''. INST
Mutual Fu d (as quoted by NASDAQ)
09/05/201`8
29) 400.423 WILMINGTO(4 FUNDS (971810787}
MLTIMG IN L INST
Mutual Fuhd values reported to NASDAQ
04/05/2012
Estate Of: Maurice W. Kreps TUW FBO Elma Rreps
Account: 311151609
- Repozt Type: Date Of Deaih
File ID: Maurice W Kreps~311151609uEState~Va1
Mean and/or Div and Int Security,
' Adjustments Accruals Valtie`
29.62000 Mkt
29,620000
29.03000 Mkt
29.030000
19,52000 Mkt
19.!i20000
19.29000 Mkt
19.:!90000
128.07000 Mkt
120.070000
23.11000 Mkt
23.].10000
15.55000 Mkt
15.550000
15.66000 Mkt
15.660000
30.09000 Mkt
30.090000
50.94000 Mkt
58.940000
19.68000 Mkt
19.6110000
6.70000 Mkt
6 J00000
3,088.00
3,987.52
4,726.56
13,918.60
10,993.66
4,886.52
1,975.32
2,936.25
1,831.12
9,640.32
6, 679.00
2,682.83
Page 2
This report was produced wi to EstateVal, a product of Estate Valuations b Pricing System:, Inc. If you have questions,
please contact EVP Systems at (8181 313-6300 or www.evpsys.com. (Reels ion 7.1.1)
Date of Death: 09/06/2012
Valuation Date; 09/06/2012
Processing Date: 06/18/2012
TOtal Value:
Total ACCI:Dal;
Total: $248,252.98
95o,~S
v6a: ~a.
~ ,~4~9 (v(oS.'AS
Y
~R)NG~PA~ CAS~1
/nf~omE C/~aH
Estate Of: 19aori ce W. ((Peps TUW FBD Elma Ereps
Account: 311151609
Report Type: Date Of Death
Number of Securities: 24
File ID: Mtmrice W Ereps 313151609 Estate Val
$247,895.20
$357.28
Page 3
This report was protluced with EstateVal, a product of Estate Valuations L Pricing Systems, Inc. If you have question a,
please contact EVP Systems at (810) 313-6300 or www. evpsys.com. (Revil;i on 7.1.1)
LAST WILL AND TESTAMENT
OF
MAURICE W. KREPS
I, MAURICE W. KREPS, of 446 Bethany Drive,
MechanicsbNrg, Pennsylvania, being of sound and disposing mind
and memory, do make, publish and declare this to be my Last Will
and Testament, hereby revoking all Wills and Codicils by me at
any time made.
TEM I: I direct that all inhsrritance and estate
taxes becoming due by reason of my death, whether such taxes be
payable by ~~my estate or by any recipient of any property, shall
be paid by ~~the Executor, from property passing under this Will,
as an expense and cost of administration of my ,=state. The
Executor shall not demand or seek reimbursement for any such to>;
even if impgsed with regard to proceeds of insurance or other
property no$ passing under this Will.
ITEM II: If my wife, ELMA THOMAS KREPS, survives
me and does not elect to take against this Will, I give, devise
and bequeathlall my property, real, personal and mixed, to
DAUPHIN DEPOSIT BANK & TRUST CO., Harrisburg, Pennsylvania, or
its successors, IN TRUST, NEVERTHELESS, for the following uses
and purposes:
(SEAL) ~~
Maurice W. Kre s
(a) The Trustee shall manage, invest and reinvest
assets of the Trust, shall collect income from
investments and either shall pay such income monthly to
my wi{e or, as provided in paragraph (b), below, shall
.expend such income for the benefit of my wife.
(b) The Trustee, upon receipt of invoices therefor,
..shall make payments from such income for proper
,maintenance, support and medical care and treatment of
wny wife either if my wife shall so request the Trustee
iby written authorization or, absent such written
authorization, if a licensed physician shall certify to
the Trustee, with written confirmation of such
Certification by my son, Roger D. Kreps, that my wife
i!s incapable, physically or mentally, of making such
p~~ayments of such invoices herself.
('c) I{, at any time, in the sole discretion o{ the
Trustee, it shall become necessary, in order to provide
fbr proper maintenance, support and medical care and
treatment of my wife, the Trustee shaal make payments
therefor from the principal of the Trust to, or for the
benefit of, my wife as the Trustee, in its sole
di'.scretion, shall deem necessary but only to the extent
that my wife's own property and income therefrom,
w ~ (SEAL) k
Maurice W, rE_
2-
together with income from the Trust, shall be
inadequate, in the judgment of the Trustee, for such
purposes.
(d) No part of income or principal of property held
under the Trust shall be subject to attachment> levy or
Seizure by any creditor, spouse, assignee or trustee or
receiver in bankruptcy of my wife. The Trustee shall
Take payments from the Trust, as provided above,
without regard to any attempted anticipation, pledging
dr assignment by my wife and without regard to any
glaim thereto or attempted levy, att~schment, seizure or
tither process against my wife.
('e) Upon death of my wife, the Trusi; shall terminate,
aind principal and accumulated income of the Trust shall
bie divided into as many equal shares as shall be
required to make the following distributions:
(i) One such equal share shall be paid to my son,
ROGER D. KREPS, presently of 567 Wellington Road,
Harrisburg, Pennsylvania;
(ii) One such equal share shall be paid to my
daughter-in-law, DEBBIE KREPS; and
(iii) One such equal share shall. 6e paid to my
granddaughter, HEATHER E. KREPS.
~~`'` "-'''(SEAL)
Maurice W. Kreps
-g_
ITEM III: If my wife, Elma Thomas Kreps, survives
me and elects to take against this Will, all my property, real,
personal and mixed, that is not required to satisfy such election
shall be divided into as many equal shares as shall be required
to make the fallowing dispositions:
(a) I give, devise and bequeath one such equal share
tb my son, ROGER D, KREPS,
(b> I give, devise and bequeath one such equal share
tp my daughter-in-law, DEBBIE KREPS; and
(d> I give, devise and bequeath one such equal share
tq my granddaughter, HEATHER E. KREPS.
I EM IV: If my wife, Elma Thomas Kreps, does not
survive me,a11 my property, real, personal and mixed, shall be
divided in~tb as many equal shares as shall be required to make
the followirhg dispositions:
(a) I give, devise and bequeath one
tq my son, ROGER D. KREPS;
(b) I give, devise and bequeath one
tb my daughter-in-law, DEBBIE KREPS;
(c) I give, devise and bequeath one
t^ my granddaughter, HEATHER E. KREP
~sudh equal share
such equal share
and
=_auch equal share
5..
' "`'~ `~' (SEAL, X
Maurice W. r~e
-4-
ITEM V: In settling my estate and during
continuance of the Trust, the Executor and the Trustee of the
Trust shall possess, among others, the following powers:
(a) The Executor or Trustee is authorized to retain
any investments I may have at my death so long as
the Executor or Trustee deems it advisable to the
estate or the Trust s^ to do.
(b) The Executor orTrustee is authorized to vary
investments, when deemed desirable by the Executor
or Trustee, and to invest in bonds, stocks, notes,
real estate mortgages, securities, including any
common trust fund or funds managed by the Trustee,
or in other property, real or personal, as the
Executor or Trustee deems best, without being
restricted to so-called "legal investments" and
without being limited by any statute or rule of
law regarding investments by fiduciaries.
I EM VI: In settlement of my estate and in
administerirhg the Trust, the Executor and the Trustee shall
possess, among others, the following powers to he exercised for
the hest interests of the beneficiaries:
(aJ in order to effect a division ^f the principal of
the estate or the Trust or the income therefrom or for
~~µ-t ~ ~ ~ SEAL ) \'~
Maurice W. Kr' p
-5-
any other purpose, the Executor or th~.e Trustee is
authorized to make said divisions or distributions of
personalty and realty, partly or wholly in kind, at a
fair value determined at the date of division or
distribution, and if it appears desirable to partition
ainy real property, the Executor ^r the Trustee is
authorized to make, join in and consummate partitions
o1F land.
(tD> to sell, either at public or private sale and upon
such terms and conditions as the Exenltor or the
Trtustee deems advantageous to the estaate ^r the Trust,
ahy real or personal property or interest therein,
owned by the estate or the Trust severally or with
otlher persons or acquired after my death by the
Exiecutor or the Trustee, and to consummate a sale by a
domed or other instrument conveying title, free and
c har of all trust and without obligation or liability
of the purchaser to see to application. of the purchase
money or to inquire about the validity of a sale; also,
tomake, execute, acknowledge and deliver deeds,
as$ignments, options or other writings, which may be
necessary or desirable, in performing any power
~O..t+.~..u-t ~ ~( SEAL ) x j
Maurice W. Kreps -..
-6-
conferred upon the Executor or the Trustee in this
paragraph or elsewhere in this Wi11;
(c) to mortgage real property and to make leases of
real property;
(d> to borrow money from any party in order to pay
!indebtedness of mine or of the estate, expenses of
administration or inheritance, legacy, estate and other
1~axes and to assign and pledge asset=; of the estate
tlherefor;
(',e> to pay all casts, taxes, expenses and charges in
[onnection with administration of they estate or the
Trust;
(!f> to vote any shares of stock which corm a part of
the estate or the Trust and otherwise to exercise all
ppwers incident to ownership of such 'stock;
(g) in the discretion of the Executor ar the Trustee,
tp unite with other owners of similar property in
cgrrying 'out any plan for reorganization of any
cprporation or company, the securitie=_; of which form a
part of the estate or the Trust; and
(h) t^ do all other acts, deemed necessary or
desirable, for proper and advantageous management,
investment and distribution of the estate or the Trust.
•~L /
- ~ h.Qu.'L~~ l.C, ~ ( SEAL) /
~. Maurice W. KrE=ps
_7_
ITEM VII: If, at the time of distribution of any
property hereunder, the recipient of such distribution shall be a
minor, such distribution shall be made to DAUPfiIN DEPOSIT BANK 8
TF2UST CO., or its successors, as guardian of the estate of such
minor.
'STEM VIII: Any person who shall have died at
the same time as Testator or in a common disasi;er with him, or
under such circumstances that it is difficult ar impossible to
determine who died first, shall be deemed to have predeceased
him.
TEM IX: I hereby nominate, constitute and
appoint mywife, ELMA THOMAS KREPS, to be Executrix of the estate
(designated, far convenience, herein as "Executor"), and if, for
an•y reason,. she does not serve as Executor, I hereby nominate,
constitute land appoint my son, ROGER D. KREPS, to be Executor of
the estate.
The Executor and the Trustee are reliiaved of any duty
or o6ligati~on to file any bond or other security.
IN WITNESS WHEREOF, I have set my hand and seal to this
my Last Wild and Testament, consisting of this and the preceding
7 pages, at the end of each page of which I have also set my hand
and seal fon greater security and better identification this ~ X
day of - , 1991.
Maurice W. Krep'sIJJ~
-8-
We, the undersigned, hereby certify that the foregoing
1, ~ y
~,.
Will was signed, sealed, published and declared by the adove-
named Testator as and for his Last Wi11 and Testament, in the
presence of us, who, at his request and in his presence and in
the presenoe of each other, have hereunto set our hands and seals
the day anc9 year above written, and we certify that, at the time
of the exec~,ution thereof, said Testator was of sound and
disposing rtjindL annd memory.
'~ \l/.~ ( SEAL )
~_ ~ ' ( SEAL )
~ (SEAL)
Residing at: I,~~~n b-FiC~L~~ Dv- ~'.
M
-I (ec~G~~V~GS~ ~L1 ~ D X~
l
Residing at:~(~~] ~}" ~IL,(~/t, h-~
_~ 17oo1S-
Residing at:3i~. ~A,yr~~r L.~. ~
~j o /~
i
-9-
COMMONWEALTH OF PENNSYLVANIA
- SS:
~- ~ CCIUNTY OF l,iU7T~U~'Y~ ~O~tiG~
P, MAURICE W. KREPS, Testator, whose name is signed to
the attache#d or foregoing instrument, having been duly qualified
according do law, do hereby acknowledge that I signed and
executed tMe instrument as my Last Wi11; that I signed it
willingly; end that I signed it as my free and voluntary act for
the purpose therein expressed.
Sworn or affirmed to and acknowledged before me, by
Maurice W. Kreps, the Testator, this ~~~ day of (~ LT-
,
1991.
(SEAL)
I ) LICI~.ol/Y o (}~ ~~~Y""' y ~ SEAL )
Notary Public
~~_-No,arial'Seal
Michelle L. Smith, Notary public
Lower Allen Twp., Cumberland County
My Commission Expireslwa.3, 1992
-10-
_ COMMONWEALTH OF PENNSYLVANIA
Gurnber-1 a->~ s s
CCIUNTY OF ,
~;~ _ _
~_ We, G~(~W7-~BD n_kC.lN~ ~ANCJ-~ ~ 6~ and
+ _, y= v
~1p(ZIENNE~ f'1/LfC-'= ~ the witnesses whose names are signed to
the attach$d or foregoing instrument, being du7.y qualified
according to law, do depose and say that we were present and saw
Testator si'~gn and execute the instrument as his Last Will; that
Testator siigned willingly and that he executed it as his free anc
voiiuntary a,dt for the purposes therein expressed; that each of us
in the hear',ing and sight of the Testator signed the Will as
witnesses; land that to the best of our knowledge the Testator was
at the time~'.18 or more years of age, of sound mind and under no
constraint ¢r undue influence.
Sworn or affirmed to and subscribed to before me by
~I~DLUA2'D Q KIfNE p,.1~z,y ~x ~ and
pOR~cNN~ d-I~+rL~ U r
witnesses, this ~3 ~ day of
Oc'i~ , 1991. ~.
Witness'
(SEAL)
_. _. ~I
Witness /~J~
. x-L/
Witness
/ rK"'~r
Notary P~~61 it
No3riatSeel
- 1 1- ~ ~ ~ MlchAlla L. SmitR, Notary Public
Lower Allan TwP„ Cumtxrland County
,~~. ~......:ee~,.~'~rn~~~^. Ara ^ 1994
CODICIL TO THE WILL
OF
MALTR.ICE W. KREPS
I, M~IURICE W. KREPS, of 446 Bethany Drive, Mechanicsburg,
Pennsylvania, thg within named Testator, do hereby make and publish this Codicil
to my Last Will ah~d Testament, dated October 23, 1991.
I herjeby modify said Last Will and Testament as follows:
ITEIUf I: I hereby remove DAUPHIN DEPOSIT BANK & TRUST
CO., Harrisburg, ~'ennsylvania, as the Trustee under ITEM II of said Last Will
and Testament, aid I appoint FINANCIAL TRUST SERVICES CO., or its
successors, as the!,Trustee under ITEM II of said Last Will and Testament.
In a111 other respects I confirm and ratify my aforesaid Last Wil] and
Testament.
IN WaTNESS WHEREOF, I have hereunto set my hand and seal this
% `~ day of y~c.~ o-L~, , 1997.
i
...1 ~~ ,':..c.~~_ ~. - ~~~~-~-y- (SEAL)
MAURICE W. KREPS
We, the undersigned, hereby certify that the foregoing Codicil was
signed, sealed, published and declared by the above-named Testator as and for a
Codicil to his Last Will and Testament, in the presence of each of us, who, at his
reque:>t and in his presence and in the presence of each other, have hereunto set
our hands and seals the day and year above written, and we certify that at the
time of the execution thereof, the said Testator was of sound and disposing mind
and memory.
.- ,~
Residing at ~ f "~ ``~`^-` '~-cr-!
.'1 <z t 7 Oc. ~
,` , ,\
Residing at \ < '> ~~ ~ i ~~ c~~ _ ~,
__..`~
(SEAL) Residing at ') y~ <_ c .!s ~ i !-~
,: -'..
w:
i~`~-
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS
COUI\fTY OF ~`
I, MAURICE W. KREPS, 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 a Codicil to my
Last Will and Testament dated December 20, 1996; that I signed it willingly; and
that I signed it a~ my free and voluntary act for the purposes therein expressed.
_-~-,.-~- _.~. •~..~- ~--- --~~~~--(SEAL)
MAURICE W. KR.E;PS '-'
Sworn to and sub cribed
before me this ~S~~day
of ~~o~ ~, 1997.
BQotary Publiq
My Commission Dxpires
(SEAL)
Notarial Seal
Margaret M. Kenworthy, Notary Public
Susquehanna Twp.. Dauphin County
My Commission Ezpires Sept. 28. 200!
Memher. Pennsylvania Association ul Notanes
r
I AFFIDAVIT
I
COMMONWEALTH OF PENNSYLVANIA
SS
COUI`iTY OF aµ(,/~-~^
We, ~~ l.,w~~ ~ ll ISI, --
- `_~ ~ ~~_ and
(~ ~c =~~~=' , , ,the witnesses whose names are signed to the
attached or foregping instrument, being duly qualified according to law, do depose
and say that we ~tiere present and saw Testator, MAURICE W. KREPS, sign and
execute the instnment as a Codicil to his Last Will and Testament; that Testator
signed willingly aid that he executed said Codicil as his free and voluntary act for
the purposes therein expressed; that each of us in the hearing and sight of the
Testator signed type Codicil as Witnesses; and that to the best o:f our knowledge
the Testator was 8t that time eighteen (18) or more years of age, of sound mind
and under no cori$traint or undue influence.
r__ ~, .
~,;
_~ 1~
~\
fitness
Sworn to and subscribed
j before me this /sue{ day
~ of~.~ , 1997.
Notary Public
My Commission Expires:
Notarial Seal public
(SEAL) Margaret M. KenworthpyauPh n County
Susquehanna TwP'ires Sept. 28. 200t
My Commission Exp
MBmCAr, Pennsylvania Association of Notanes
118075 I
- 1.
REV-1151 EX~I10-06)
u
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECED N
SCHEDULE H
FUNERAL EXPENSES 8
1DMINISTRATIVE COST
ESTATE OF FILE NUMBER
Kreps, Elma T. 21-12-0481
Debts of decedent must be reported on Schedule I.
ITEM
M R DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
See continuation schedule(s) attached I 425.00
B. I ADMINISTRATIVE CASTS:
i. Personal Representative's Commissions
Name of Personal Replresentative(s)
Street Address
City ~i State Zio
Yearfsl Commission~ioaid
2. Attorneys Fees ' Bogar and Hipp Law Offices 9,450.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
0'~' - State Zio
Flelationshio of Claimant to Decedent
4. Probate Fees
139.50
5. Accountant's Fees
6. Tax Return Preparer's Fpes
7. Other Administrative Cogts 5,580.53
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 15,595.03
Copyright (c) 2009 form software only Thy Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06)
I
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Kreps, Elma T. _ 21-12-0481
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Expenses
1 Myers Buhrig Funeral Home -funeral bill
H-A
425.00
425.00
2 Bethany Village - fi}raI bill
3 Computershare - T¢ading fee for sale of Aberdeen Stock
4 Continuing Care RX
5 Continuing Care RX
6 Greenawalt 8: Company -Fee to prepare 2011 personal income tax returns
7 Henderson & Company Jewelers -Jewelry appraisal fee
8 RESERVES -Costs ~[o conclude administration of Estate, including riling PA Inheritance Tax
Return and Invento ,preparation and filing of Accounting
H-67
Copyright (c) 2002 form software only The Lackner Group, Inc.
I
3,620.09
111.00
212.61
6.83
245.00
135.00
1,250.00
5,580.53
Form PA-1500 Schedule H (Rev. 6-98)
REV-1513 EXa (11-0e)
i ~ .
COM INONEENFF/EARNCCE TEgXP RNETGt~RN ANIA
REbIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
FILE NUMBER
NAME AND ADDRESS OF I RELATIONSHIP TO I SHARE: OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON( )RECEIVING PROPERTY DECEDENT Words ($$$)
D N [ tT ( )
I• TA}lP,BLE DISTRIBUTIONS [include outright spousal
Roger D. Kreps
5535 Westbury DYive
Enola, PA 17025
Son I Rest, Residue
and Remainder
of Estate
I I Total
Enter dollar amounts f r distributions shown above on lines 15 throw h 18 on Rev 1500 rover sheet, as
NON-TAXABLE DIST IBUTIONS:
II. A. SPOUSAL DISTRIB TIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
t Asbury Atlanti~, Inc.
8,385.00
ern I n - ov I crc I v I nL rv~rv- I AXAtlLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEETI 8 385 00
Copynght (c) 2009 form software only Th+; Lackner Group, Inc. Form PA-7500 Schedule J (Rev. 11-08)
I
LAST WILL AND TESTAMEI`1T
OF
ELMA T. KREPS
I,',ELMA T. KREPS, of Mechanicsburg, Cumberland County,
Pennsylvania; make, publish and declare this as and for my Last
Will, and Testament, hereby revoking all other Wills and Codicils
hereaofore made by me.
FI ST: I devise and bequeath all the rest, residue and
remainder ofmy estate of whatever nature and wherever situate,
including and property over which I hold power of appointment and
together with any insurance policies thereon, to my son ROGER D.
KREPS, provi¢led that should he predecease me, then to my
daughter-in-haw, DEBBIE KREPS. If both ROGER D. KREPS and DEBBIE
KREPS predec&ase me, then to HEATHER E. KREPS.
SE OND: In addition to all powers granted to them by
law and by otther provisions of this Will, I give the fiduciaries
acting hereuikder the following powers, applicable to all proper-
ty, exercisable without court approval and effective until actual
distribution'of all property:
(A )' To sell at public or private sale, or to lease,
for any peri¢d of time, any real or personal property and to give
options for dales, exchanges or leases, for such prices and upon
such terms (including credit, with or without security) or
conditions as are deemed proper. This includes the power to give
legally suffkcient instruments for transfer of the property and
to receive the proceeds of any disposition of it.
(B) To partition, subdivide, or improve real estate
and to enter into agreements concerning the partition, subdivi-
sion, improvement, zoning or management of real estate and to
impose or extinguish restrictions on real estate.
(C) To compromise any claim or controversy and to
abandon any property which is of little or no value.
(D} To invest in all forms of property, including
stocks, common trust funds and mortgage investment funds, without
restriction to investments authorized for Pennsy:Lvania fiduci-
aries, as are deemed proper, without regard to any principle of
diversification, risk or productivity.
(E )', To exercise any option, right or privilege granted
in insurance ''policies or in other investments.
(F), To exercise any election or privi:ege given by the
Federal and ether tax laws, including, but not na=_cessarily being
limited to, personal income, gift and estate or :inheritance tax
laws.
(G)' To make distributions to my herein named benefici-
aries in cash or in kind or partly in each.
(H)' To borrow money from themselves or others in order
to pay debts,'.. taxes, or estate or trust administration expenses,
to protect or' improve any property held under my will, and for
investment p~drposes.
(I )' To select a mode of payment under any qualified
retirement pl~,an (pension plan, profit sharing plan, employee
stock ownersYyip plan, or any other type of qualif`.ied plan) to the
extent the pllan or the law permits them to do so, and to exercise
any other rights which they may have under the plan, in whatever
manne>_r they consider advisable.
THI I direct that all inheritance, estate, trans-
fer, successipn and death taxes, of any kind whatsoever, which
may be payablle by reason of my death, whether or not with respect
to property passing under this Will, shall be paid out of the
prin<:ipal of my residuary estate.
FOU TH: I nominate and appoint my son, ROGER D. KREPS,
Executor of this, my Last Will and Testament. Ir.. the event of
2
~I
i
the death, resignation or inability to serve for any reason
whatsoever of the said ROGER D. KREPS, I nominate and appoint my
daughter-in-law, DEBBIE KREPS, Executrix of this, my Last Will
and Testament. In the event of the death, resignation or inabil-
ity to serve for any reason whatsoever of the said ROGER D. KREPS
and DEBBIE K~2EPS, I nominate and appoint my granddaughter,
HEATHER E. K~2EPS, Executrix of this, my Last Will and Testament.
I direct than my Executor or Executrix, as the case may be, and
their successors, shall not be required to post security or a
bond. for theperformance of their duties in any jurisdiction.
IN~WITNESS WHEREOF, I have hereunto set my hand and
seal to thisy my Last Wi11 and Testament, this +g~ day of
NU~LN~~c~ 2011. y
~~ /~ (SEAL)
ELMA T. KREPS
Sicgned, sealed, published and declared by the above-
named Testat$ix as and for her Last Will and Testament in our
presence, whb, at her request, in her presence and in the
presence of ~ach other, have hereunto subscribed our names as
attesting witnesses.
Address
Address
I 3