HomeMy WebLinkAbout09-16-15 J 4�7. w�..,,,nm��vanla b505618403
'"�Xroy�al
REV-1500 OFFIGPL USE ONLT
BureauotlMiWdualTazes �^hcoee veer Fueainmer
aoeox28oeot INHERITANCETA%RETURN
He ' b PAi]128-06a1 RESIDENTDECEDENT 21 15 OSBB
ENTER OEGEUENr INFORMATION BELOW
SotielSewNy Numbet Uele of DaeM MMUDYYYY Dele of BiR� MdI�DYYYV
05 24 2uY5 03 03 1933
OeceEenfsLaslNeme Sulfa DecetlanPSFirslNama MI
NIKLAIIS MARY N
(M Appliwble)EnWr Survivinp Spowa'S Informa0on Balow
Spouae'eLnstNeme SuRx Spausa'sFi�atNema MI
NIKLAUS RONALD �
THIS RE7URN MUS?BE FILED IN DIIPLICAIE WITH THE
REGISTER OF WILLS
FlLL IN RPPROPWRTE OVNL9 BELOW
Q i. onei�ai aewm � x.suao��mai neum� ❑ a. �m lo ii�iuzj wew aaeeu
� a. Agnunwrei Emmpuan�m�a m � i Fulure Inlerest Campromice(aate o� � B. Feaeni[slate TaF Rewm Repulma
tlaelnonmMer]n-0o1z) tleatM1Meriz-12-B2)
O ]. DewOen�DIeO TeateM � B. �eceOaM MelMeiro�a LlvinB Tuat 0 B. TMa1 Numbm M 5�(e OepoNt Bwme
�nnsmcoy�m�.mp cnn.mco�vm��e�.)
� 10. LXIgeIImP�ocBBtleRecelvetl � 11. NomP�aEelaTnMIB�BeReWm � 1]. DafertaVEleQlonolSpouealTvaln
(SCM1eOula F ena G Ac+eb Only)
� 1�. BY9II1G99A9Xb � td. SPOV14181NWVBEBBIIB�11�'dry
�M
CORIIESPoNDENT-TXIS SEClION tlUST BE COYPLETEo.ALL CORRESPDXDENCE�HD CONFlDFMIRL TAX INFOPNPTpN SNOUID 9E dflERED T0:
Nama �aytlmeTaNpMneNumher
LINDA J OLSEN 717 540 4332
vi��uo.mnaa�..,
2000 LINGLESTOWN ROAD
s.eone un.anaaros
SUITE 202
cMwva�omee smm vrcoaa
HARRISBURG PA b711�
co'resPonae�rsem�i.aam.: bi �n i
REGISTERQ_M'ILLSU9EON[Y � �
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NEGISTEXOF W618USEONLY
D�TE FllEO MMUDYYYY ��� – '�
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Side 1
L I��IIIIII��I�IIIIIy�slal������l���ll��l��������ll�ll�lll�l 1505618403 �
�
Jasas6aavbl
REV-1500 EX pg�gd¢nfs Sotiel Sewrity Nunber
pocmenr nem � Niklaus Mary N
RECMITULATION
1. RealEalelelSc�eEuleA)..............._......._._.......................................................... 1.
2. Stocksantleonas(SchatlWeB1........................_.............._................................... 2. 436.535. 47
3. Cbaety HeW Gorporation,PertnersNO or Solv-Propr�orship(SMatlula C)......... 3.
4. Mort9aBea anE Nolea ReceNebb(Schetlule D)............___..................__............ 4.
5. Cash,BenkDepoSitsantlMbcellaneousPersonelPropeM1y(ScheduleE�.......... 5.
8. Joinity OwneE PmpeM(�atlula F) ❑ Separale Bllling Repueeletl............ e. 19 i 132•93
7. Inlx-Vivos Tnnf/ers 8 Mix¢Ila�reous N¢ry-ProEale PrapeRy
(Sclistlule Gl U seParele einir�g Reuues�atl............ z 267,528-14
B. ToblGrwsAsaeblwlellirresimmugh]).............._........__......................_... B. 723.196. 54
9. FunenlExpensesandAEminisvativeCoste(ScnetluteH)......................._._....... 9. 64,865•50
10. Dabls of Decetlenp Mo�lgege LiaE160es erM Liens(Schetlule q........._........_...._. f 0. 2.76 0•80
11. TohlOWuctlom(rolelLines9entl101..........................................__................. 11. 67,626 .30
12. NHValueofEfWelLinaBminusLirell)....................................._..........._._... 12. 655i570.24
13. CheriteblaantlGouemmenial&pueslal5ec9113Truslstorwlikh
an eledion to lax has not been matle(Schetlule J)...............__............................ 13.
14. NatVeluaSub�eetWTulLinatPminusLinelS)..................._.......................... 11. 655�570 .24
TAX CALCULATON-SEE INSTRUCTIONS FOR APPLICABLE RIITES
15. Amwnl ol Line 141ue01e
et the a0ouul W rete,or
Irensfers unCer Sec.9116
(a)(tz)x.00 655,570•24 �5. 0•00
18. Amount o�Liire 14 in�01e
at lineal(ale X .005 0•0� 18. 0•00
1]. lunount M Line 14�uaEle
aleib5ngw�eXd2 0•DO ��- �-00
18. Amwnl of Line 141a�aEle
,�m�a�ia�axes o.oa +e. o.on
19. TA%DUE..................._...................__............_._................................................_. 19. U.00
20. FILL IN THE OVAL IF YOU ARE REpUE3TNG A REFUND OF AN OVERPAVMENT �
UMer mltlesdpe�ury.IMNnl�erewmineYNienWm.inclWinB��W^MnB��ulxenUWmmm�ts.aMrotreeutMmyMnw.WpeaMEeGet.
ito aMmmpble.0edentlonolqepemdMrtlwnMepenonie�po�WWElebrfili�qNeMumhbue(IonalllnpmbtlonNwTlMyepa�erMc
enykn
SIG OFPERSONR 1EF00.FILINGRET111iN p��e-MaNaNNiklaus w� /
Q ��0 � �A
A00�
223 ro Lake Dri e E�Ro PA 19341
S�G OF P EiAR OiHE REPHESEMr1TNE LI11d8 J.OI8B11 EBQ. TE
ADO
2000LinglesWw oaA Harrisburg PA 77110 -
�IIII��II��I�III�����I�II���I���������II�����II����I�II��I SIde2
L 1505618431 1505618411 �
REV-1500 E%Page 3 File Number 2'I-i5A588
Decedent's Complete Atltlress:
�ECEDENT'S NAME
Niklaus,Mary N
STREETAD�RESS �
9 Stillm¢atlows Lane
__——__.. _ _. .. __
CITY STATE 21P
Enola PA ��a25
Tax Payments and Credits:
t Tax Om�Pa9e 2,Line 19� (1) 0.00
2. Gretli151Paymen�s
A. PriorPaymenls _
e. Diswunt 0.00
Total Cretll�s(A t B) (21 0.00
9. Inle�esl (3� .
q, If Line 2 is gieater IM1an Llne t �Line 9,enter ihe dltlerence. This Is lhe OVERPAYMENT. (4) __ _ _ .
Check Oox on Page 2,line 20 ro request a refuntl
5_ If Line t a Line 3 Is g�eater fhan Line 2,en�er I�e EiHerenw. TM1is is��e TA%DUE. (5) _ �.00
Make Check Payable to REGISTER OF WILLS AGENT
� : '�°, � _ _ � _ `�'.'� . ,. a ,;,�� r r, _.._. .
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
L Ditl Eecetlent mahe a transfe�anB. Yes No
a. ela n Ihe se or Income of ihe property Iransterre0',... .... _ � �I
b. relai Ihe r gM to Ge59nate w�o shall use Ne p�o0etly Vansferretl or its income ... I �
c. relanareversonary� Ieresl:oc ._. .. .... . ._. _ � `x�
r-.
d. rece ve Ihe pmmise(oi life of eilher paymen�s,b¢neL�s or care'+ � � �� L:
2. It tlealh occurtetl atter Dec. 12, 1982, tltl tlecedent Vansler pioperty wi�nn one yeer of tleam winom �.� �
receivingatlequateconsiGeraton� ._.._.. ___... _.. __ I��
3. Old decedenl own an Sn imsl for or payable upon dealh bank acwunt or secunty al his or�er tleat�� I ��. i�
4. �i0 Gece0enl own an intl Eual retiremem accounl annuiry or otM1er nonqmbale property wM1icM1
comabsa�eneGciaryCes9naton'+.....__ ____ .___. ___. __ � �_�
IF THE ANSWER TO ANY OF THE ABOVE pUE5T10N515 YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OG THE RETURN.
.: :.; . . „ r.. ... : .,- �,..
.. , _ .o, 4.,,y ... , u uy .., c �.,
Fortlalesol4eathonoratleNup'1�199CandbeforeJan 1.1995.I�etaarateimpo5¢dant�enelvalueollransf^rstoor(or@euseollhesurvivinqspouse
Is 3 percent[l2 P.S.§9118(a)(1.111i)1�
For dates of tleath on or atler January�.1995.Ine�ax rare ImFasetl on Ine nel vaWe ol lransfers to or for the use olt�e surviving spouse is 0 perrent
�]4P.5.§9116�a)11.1)(ii��. T�es�aluteticesnolexemplat2nsfertoasurviving5pousefmmlax,antllM1eslaWtoryreQuiremenls(ortlisdasureofassetsantl
filing a lav reNm are slill appliwDle even it�he surviving spouse is fAe only bene4ciary.
For tla�es ot deat�on or aNer July 1,1000�.
. Tne tax rate imposetl on tne net vaiue ol Vansiers hom a tleceasea c0iltl 21 years of age or yoonger ataeath to ar hr Ihe use ai a naWral parem,an
aCoO���e parenl,or a step-Darenl o�Ihe child is 0 Oerwnt�]1 P.S.§9116(a)(t 2��.
• The tax ra�e Imposed on the ne�value o�Vansfers lo or for��e use ol l�e tlecedenfs lineal peneficianes is 45 percenl,except as noietl in[]2 P 5.§9116�a)(1)�
. Tlre lax rale impoutl an @e nel vaPie o(Vansiers lo o�br t�e use ol�M1e Oecedenfs sbungs is 12 percenl�]2 P 5.§9116(a)p.3)I� A sibling is tlefined,
untler Secfan 9102,as an inElvidual wno nas at leas�one parenl�in wmmon vrin ihe tlecetlem,whe�ner Oy blootl or atloplion.
Rw�1 W]IX��461t1
SCIIEDULE B
pennsylvania STOCKS & BONDS
oeva+*uexrorxEveNue
MXEfl?ONLETACRENPN
RlSIUENT�ELEGENf
ESTATE OF FILE NUMBER
Nlklaus Mary N 21-76-0b88
NI NUWbI^�^M�eG WM�bNM�urvMMIV omlbCbsleW m9eMUM f.
REM CUSIP VALUEATDATE
NUMBER NUMBER DESCRIPTION UNITVALUE OFDFATM
7 Fitlelity Bmkerage 677-9PM8f 438.635A7
TOTAL IAlso enter on Line 4.Reeapi W latlon) 438,535.Q
o���wace�s rcoaeE,aEaOona�wua.auK vme w.)
Copynght(c)2U12(oim aoRxare ony Tha Leck�rer Gmup,Inc Form PA-160U Sc�atlule B(RevA612)
n...�ewcc.im-�o�
pennsylvania SCNEDULE F
oerum�u+rosaevexue ,�OINTLYAWNED PROPERTY
INXEPRNlCE T/�[RETUflN
RE5IUEHlOECE�HlI
ESTATE OF FILE NUMBER
Niklaus Mary N Z�•�5-0588
tlmuwlwmis�olNwlWnomywNtlroN[eNMYCM W CaMMmulbnpMMon�NMub6
SURVIVINGJOINTIENANT(S)NAME AD�RE55 REIATONSHIPTOOECEDENT
A. RonalU W Niklaus 8 Stlllmea0ows Lane Spousa
Enola,PA 77025
B, DaWd W Niklaus 7907 Southweat Parkway Son
AusSin,TX 78755
C.
JOINTLV OWNED PROPERTY:
DESCRIPiION OFPROPERTY pph pF ppqTM
LEITER DATE �xcwoewv.�orru+nucvaixarmrtio�ua+oaaxxucaixi pp�OFDFATH ��F oeceoei�i*u'sv�rte�sr
NUM ER FORJOI MHUE uue�aoasmmFaioemrrwcNur�annncxoeaoron VALUEOFASSE iNTEREST
iENP.NT JOIM JOwnY.�wn[uEsrnre.
1 B 09/T/I2006 FidelltyBrokerage871357 7 02-Joirrtwith 38.266.86 50.000% 19.732.83
eon,David W.Niklaus
TOTAL IAlso e�rter on Li�6.Renoilulatlon) 19.t32.83
(nmae w�ic vaeea.aae�lmrei p9a dihe wna a�e)
CoppigM(c)]OW fortn soRware ony The Ledner Group,Inc Fom�PA-0600 Schetlule f(Rev.0140)
�,"��.,w�, gC11EDULE 6
pennsylvania lNTER-VIVOS TRANSFERS AND
°�"�`�"`"`OFR�"�` MISC. NON-PROBATE PROPERTY
VNFflRP110E TPJt FEIURN
PESIOEIIlOECEOFM
ESTATE OF FILE NUMBER
Niklaus Mary N 21•15-0588
m�..mwie mwe.�roi.�.ew n.a nw�...e�ro.�v otmwww t mw¢na o�wc•w.e ame aEv-isooan..
��M DESCRIVTIONOFPROPERT' pq�OFDEAiM •�oeco's ��uswx TA%qBLE
NUMBER ��w��ppygF�n�i�'Nai�arr���[o'io°nF&Fiies*� VALUEOFMSSET �E�� �F�^��� �ALUE
7 FItleIItyIRA677-92N7�-heneflclaryiaspouse Y67.528.16 267.5T8.74
TOTAL(Aleo enter on Line 7,ReeapiNletlonl 28�•528•�<
�nmae swa b neeaea..aaluaui oeaea ama eema eiml
CapyngM(c)2008 kim soRxere onry The Leckner Group,Inc Fo�m PA-0 WO SctreOub G(Rev.08-09)
"�",��`•"`"� I SCNEDULE N I
pennsylvania
oeoa++�+Enrora�uE FUNERALEXPENSESAND
"'"E"""""T""""""" pDMINISTRATIVE COSTS
ESTATE OF FRE NUMBER
Niklaus Mary N 27-75-0588
Dacedent's tlebtc musl be reported on Schedula I.
�M DESCRIPTION AMOUNT
p, FUNERALEXPENSES:
See contlnualion schedule�s)atteChed 72,a70.00
B. ADMINISTRATIVE COSTS:
1. Penonal Raprece^taHve'e Commisslana
Neme ot Penonel Reprexntalive(e)
Anne-Marle N Niklaus
sveecnaaress 2Y7�ron Lake Drive
CHv Exton S�ate PA zio 19341
Vear(s)Commission Paitl 2015 40,000.00
Z, nnomey'aFeea HazenLawGroup 28,aoo.o0
3. FemiryExemption: (I/EeuEenPeatltlressisnott�esemeasclaimaM's,adac�explenation) 9,500.00
CWimanl ROnald W Niklaus
s�ree�naareas 9 Stillmeadows Lane
tM Enola Smre PA no 17025
ReletionshioofClevnentta0ecetlent $pOYB@
1. Pmoete Fees 670.50
5. Arcoumm�l'aFees
e. Tez Ratum Preperefs Fees
l, anarAtlmin'xvetNaCoab 225.00
See eonlinuation sehadule�s)ellachetl
TO7AL(Nso enter on Iine 9,RecapiWlatlon) 84,885.50
CopyriBhl(c)2013 fortn aofiwve only The Lackner Group,Inc. Fam PA-1800 Schetluk H(Rav.OB-13)
SCHEDULE N
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Niklaus Mary N 27-18-0588
ITEM DESCRIPTION AMOUNr
NUMBER
FuneralExnenses
1 Nelll Funaral Home 13./70.00
H-A 72.470.00
Other AtlministnHva Costs
2 Cumbe�landLawJoumel-esbbadvartlsing 75.00
3 Joumal Multlmedla-ntate advartleing 150.00
H-87 245.00
Copynghl(c)2002 form sollware only The lnckner GrouO.Ina Fpm PA4600 Schetlule H(Rev.&98)
qpv-1fi13EM�pt-0]�
SCHEDULE 1
pennsylvania DEBTS OF DECEDENT,
°F'�"1tlEHfOFPE""�` MORTGAGE LIABILITIES AND LIENS
INXENR/iNCETAlRFNPN
qE51OEM OECFDFM
ESTATE OF FILE NUMBER
Niklaua Mary N 21-75-0588
q.pon avw u�...�.a N'u.a«�a�u w�m axm mn nm�cw em.a n m.aw a a..n.�w.mw w�w�muma m.mui.qwue�.
�M VALUE AT OATE
NUMBER DESCRIPTION OFDFATH
1 Holy Spirlt Ambulance Serviee 910.80
2 Holy SPirit HosPiql 600.00
3 PlnnecleHeetth 1R50.00
TOTAL�NsoenteronLinelO,RacapiWladon) 3,760.80
(tt mm�pam is neeEetl.aOEitiarel VNa+W Me aeme vza)
Copyn9��(�)2012 fom�soRware onty T�a ledrrer Group.Inc. Faim PA4600 Schetlula 1(Ftev.7242)
�.t61��•enns Ivania l
p y SCHEDULE J
OEP/Jt1MENf OF REVEXUE
,uwFn„n„oe.une�unH BENEFICIARIES
ESTATE OF FILE NUMBER
Niklaus Ma N T7-'16-0688
NAAtEANDAODRESSOF RFIATIONSHIPTO SHAREOFESTATE MOFESTATE
NUMBER pERSONf51RELENINGPROPERTY DECEDEM M/oNa) ISSS)
TAXABLE DISTRIBUTIONS [indutle ouWBhl spoucel
I. aomom�ooa,aoa���rore
untler Sec.9116 a 1.1
Roneld W Niklaus Spouse All rest antl
9 Stlllmeadows Lene realdue
Enola,PA 7703b
Total
EMer tlolltt amouMs fo�Oisinbulions s�mm a0ova an lines 151�ro �1B on Rev 150U covar sheel as ro ' le.
NON-TA%ABLE DISTRIBUTIONS:
II. A.SPOUSALDISTRIBUTIONSUNDERSECTION9113FORWHICHANELECTIONTOTA%ISNOTTFKEN
B.CHARITNBLE ANO CAVERNMENrAL DISTRIBUTIONS
TOTAL OF PMT II-EN7ER TOTAL NON�TPXABLE DISTRIBUfIONS ON LINE 13 OF REV-1500 CWER SHE
Copyright(c)2010 foim soTwn onty Tlre Lack��Group.lnc Foim PA-0600 Scli¢dule J(Rev.0140)
FISCHER FINANCIAL SERVICES, INC.
9431 North Front Street
Suite SOS
Harrisburg, PA 17130
(717) 233-8901
Portfolio Holdings
As of OS/26/2015
MARY N. NIKLAUS ROLLOVER IRA Acct #: 671-924113
9 ST[LL MEADOWS LANE
ENOLA, PA 17025-1000
Current
Descriotion Ouantiri Value
STOCKS &STOCK FUNDS
AMERICAN EXPRESS COMPANY 50 4,009.50
APPLE COMPUTER 42 5,444.04
AUTOZONE INC. 6 4,130.58
CANADIAN NATIONAL RAILWAY 70 4,180.40
CHEVRON CORP 25 2,582.25
DOLLAR TREE INC COM 50 3,775.00
DREYFUS SMALL CAP STOCK IND 598.292 17,755.82
EXPRESS SCRIPTS, INC. 32 2,850.56
FACEBOOK INC CLASS A 30 2,380.05
GOOGLE INC CI A 4 2,188J6
GOOGLE INC CI C 4 2,12928
ISHARES NASDAQ BIOTECHNOL 30 10,809.00
MASTERCARD INC 70 6,432.30
MICROSOFT CORP 125 5,823.75
NESTLE SA 45 3,457.71
PARKER HANNIFIN CORP 35 4,292.05
QUALCOM INC. 50 3,468.00
SIMON PPTY GROUP, INC. 20 3,641.60
SPARTAN 500 INDEX ADVAM1fTAG 161.896 12,053.16
STARBUCKS CORP 100 5,084.00
UNITED TECHNOLOGY 50 5,843.50
VANGUARD CONSUMER DISCRET 40 4,951.60
VANGUARD ENERGY 45 5,023.80
VANGUARD HEALTH CARE 60 8,304.60
WELLS FARGO &CO 55 3,061.30
WP GLIMCHER 30 141.90
133,814.51
BONDS, CD'S, BOND FUNDS
DFA INFLATION PROTECTED SEC 1,049.695 12,365.41
FIDELTfY CONSERVATIVE INCOM 2,006.532 20,125.52
SPARTAN S/T TREAS BOND FUND 1,452.327 15,205.86
SPARTAN US BOND INDEX 2,998395 35,111.21
Page 2
Portfolio Holdings
As of OS/26/2015
MARY N. NIKLAUS ROLLOVER IRA Acct #: 671-924113
Current
Descriotion Ouantitv Value
BONDS, CD'S, BOND FUNDS
VANG SHRT-TRM INVEST GRADE 550 44,033.00
126,841.00
CASH & MONEY MARKETS
FIDELITY CASH RESERVES 6,169.25
266,824.76
FISCHER FINANC(AL SERVICES, INC.
4431 North Front Street
Suite 105
Harrisburg, PA 17110
(717) 233-8901
PortFolio Holdings
As of OS/22/2015
MARY N. NIKLAUS ROLLOVER IRA Acct #: 671-929113
9 STILL MEADOWS LANE
ENOLA, PA 17025-1000
Current
Dev���tion Ouantitv Value
STOCKS &STOCK FUNDS
AMERICAN EXPRESS COMPANY 50 4,062.50
APPLE COMPUTER 42 5,566.68
AUTOZONE INC. 6 4,135.08
CANADIAN NATIONAL RAILWAY 70 4,232.20
CHEVRON CORP 25 2,622.25
DOLLAR TREE INC COM 50 3,859.00
DREYFUS SMALL CAP STOCK IND 598.242 17,965.21
EXPRESS SCRIPTS, INC. 32 2,894.08
FACEBOOK INC CLASS A 30 2,416.20
GOOGLE INC CI A 4 2,218.08
GOOGLE INC CI C 4 2,160.44
ISHARES NASDAQ BIOTECHNOL 30 10,936.20
MASTERCARD INC 70 6,488.30
MICROSOFT CORP 125 5,862.50
NESTLE SA 45 3,505.95
PARKER HANNIFIN CORP 35 4,365.90
QUALCOM INC. 50 3,475.50
SIMON PPTY GROUP, INC. 20 3,672.40
SPARTANSOOINDEXADVANTAG 161.896 12,177.52
STARBUCKS CORP 100 5,148.00
UNITED TECHNOLOGY 50 5,931.00
VANGUARD CONSUMER DISCREf 40 4,988.40
VANGUARD ENERGY 45 5,107.05
VANGUARD HEALTH CARE 60 8,377.20
WELLS FARGO &CO 55 3,080.00
WP GLIMCHER 10 142.80
135,390.74
BONDS, CD'S, BOND FUNDS
DFA INFLATION PROTECTED SEC 1,049.695 12,344.41
FIDELITY CONSERVATIVE INCOM 2,006.532 20,125.52
SPARTAN S/T TREAS BOND FUND 1,952.327 15,19134
SPARTAN US BOND INDEX 2,998.395 35,021.25
Page 2
Portfolio Holdings
ns of os/zz/2oi5
MARY N. NIKLAUS ROLLOVER IRA Acct #: 671-924113
Current
Descriotion Ouantiri Value
BONDS, CD'S, BOND FUNDS
VANG SHRT-TRM INVEST GRADE 550 43,989.00
126,671.52
CASH &MONEY MARKETS
FIDELCfY CASH RESERVES 6,169.25
268,231.51
FZSCHER FINANCIAL SERVlCES, INC.
4931 North Front Street
Suite SOS
Harrisburg, PA 17110
(717) 233-8901
PortFolio Holdings
As of os/22/2015
MARY N. NIKLAUS PERSONAL Acct #: 671-924091
9 STILLMEADOWS LANE
ENOLA, PA 17025-1000
Current
Descriotion Ouantitv Value
STOCKS &STOCK FUNDS
AMERICAN EXPRESS COMPANY 100 8,125.00
APPLE COMPUTER 75 9,940.50
AUTOZONE INC. 11 7,580.98
CANADIAN NATIONAL RAILWAY 125 7,557.50
DOLLAR TREE INC COM 125 9,647.50
DREYFUS SMALL CAP STOCK IND 943.567 28,335.32
FACE800K INC CLASS A 60 4,832.40
GOOGLE INC CI A 10 5,545.20
ISHARES NASDAQ BIOTECHNOL 60 21,872.40
MASTERCARD INC 75 6,951.75
MICROSOFT CORP 150 7,035.00
NESTLE SA 75 5,843.25
PARKER HANNIFIN CORP 70 8,731.80
STARBUCKS CORP 150 7,722.00
UNITED TECHNOLOGY 50 5,931.00
VANGUARD CONSUMER DISCRET 100 12,471.00
VANGUARD ENERGY 75 8,511.75
VANGUARD HEALTH CARE 100 13,962.00
VANGUARD INFO TECHNOLOGY 110 12,218.80
WELLS FARGO &CO 125 7,�00.00
199,815.15
BONDS, CD'S, BOND FUNDS
FIDELITY CONSERVATIVE INCOM 2,520.29 25,278.51
SPARTAN US BOND INDEX 6,853.734 80,051.61
VANG SHRT-TRM INVEST GRADE 700 55,986.00
161,316.12
CASH & MONEY MARKETS
FCASH 76,497.26
437,628.53
FISCHER FINANCIAL SERVICES, INC.
4431 North Front Street
Suite 105
Harrisburg, PA 17110
(717) 233-8901
PortFolio Holdings
As of OS/26/2015
MARY N. NIKLAUS PERSONAL Acct #: 671-924091
9 STILLMEADOWS LANE
ENOLA, PA ll025-1000
Current
Descriotion _ Ouantitv Value
STOCKS &STOCK FUNDS
AMERICAN EXPRESS COMPANY 100 8,019.00
APPLE COMPUTER 75 9,721.50
AUTOZONE INC. 11 7,572.73
CANADIAN NATIONAL RAILWAY 125 7,465.00
DOLLAR TREE INC COM 125 9,437.50
DREYFUS SMALL CAP STOCK IND 943.567 28,005.07
FACEBOOK INC CLA55 A 60 4,760.10
GOOGLE INC CI A 10 5,471.90
ISHARES NASDAQ BIOTECHNOL 60 21,618.00
MASTERCARD INC 75 6,891.75
MICROSOFf CORP 150 6,988.50
NESTLE SA 75 5,762.85
PARKER HANNIFIN CORP 70 8,584.10
STARBUCKS CORP 150 7,626.00
UNITED TECHNOLOGY 50 5,843.50
VANGUARD CONSUMER DISCRET 100 12,379.00
VANGUARD ENERGY 75 8,373.00
VANGUARD HEALTH CARE 100 13,841.00
VANGUARD INFO TECHNOLOGY 130 12,049.40
WELLS FARGO &CO 125 6,957.50
197,367.40
BONDS, CD'S� BOND FUNDS
FIDELITY CONSERVATIVE INCOM 2,520.29 25,278.51
SPARTAN US BOND INDEX 6,853.734 80,257.23
VANG SHRT-TRM INVEST GRADE 700 56,042.00
161,577J4
CASH & MONEY MARKETS
FCASH 76,497.26
435,442.40
FISCHER FINANCIAL SERVICES, INC.
4431 North Front Street
Sui[e 105
Harrisburg, PA 17110
(717) 233-8901
PortFolio Holdings
A5 of OSJ22/2015
MARY & DAVID NIKLAUS JOINT Acc[ #: 671-557102
7901 SOUTHWEST PKWY UNIf 24
AUSTIN, TX 78735
Current
Descriotion Ouantiri Value
STOCKS &STOCK FUNDS
DREYFUS SMALL CAP STOCK IND 244.677 7,347.65
FIDELIfY CONTRAFUND 80.134 8,273.03
FIDELITY MEGA CAP S70CK 448.3 7,724.21
SPARTAN 500 INDEX ADVANTAG 191.108 14,375.14
37,720.03
CASH & MONEY MARKEfS
FCASH 751.51
38,471.54
RSCHEft FINANCIAL SERVICES, INC.
4431 North Front Street
Suite SOS
Harnsburg, PA 17110
(7llJ 233-8901
PortFolio Holdings
As of OS/26/2015
MARY & DAVID NIKLAUS ]OINT Acct #: 671-557102
7901 SOUTHWES7 PKWY UNIT 24
AUST[N, TX 78735
Current
De��riotion Ouantiri Value
STOCKS &STOCK FUNDS
DREYFUS SMALL CAP STOCK IND 244.677 7,262.01
FIDELITYCONTRAFUND 80.134 8,184.09
FIDELIfY MEGA CAP STOCK 448.3 7,634.55
SPARTAN 500 INDEX ADVANTAG 191.108 14,227.99
37,308.64
CASH & MONEY MARKETS
FCASH 751.51
38,060.15
Tiffany Mutzabaugh
From: Mary Anne Bayer <mbayer@Centricbankcom>
Sent: Wednesday, July Ol, 2015 4:04 PM
To: Tiffany Mutzabaugh
Subject: RE: Niklaus
Attachmenss: 201507011544.pdf
TimeMatterslD: MFBECA4E3DC40520
TM Contact: Niklaus,Anne Marie N.
TM Matter No: 15-1554
TM Matter Reference: Niklaus, Mary N. EA
Tiffany:
Please see attached response.
Cordially,
Mary Anne E. Bayeq NMLSp 883489
VP, Sllver5pring Office Mnna9e�
Cl�;: �"1'RIC
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,� ��... � �.,:�.,,.,,
OFFI[E 717.597.1360
MOBILE 717.315.2271
fAX 71Z591.1363
6480 Carlisle Pike I Mechanicsburg, PA ll050
f ; � a in �
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� C't•:\IltiC' 1i,1�t� i
»�Yh��t��lMtll��'t ���Mlflf,f�Y�'� �
CENTRIC BANK IS PROUD TO BE RECOGNIZED AS
50 Fastest 6rowing Companies in Central PA � Best Places m Work in PA
The infommtir.m m�tnmFAin this=rnail a mnfiden«N, mny he p�imlegetl,ond n�ntended onlV Ja��he addressee(sJ vamPd abova If you ar=no�the
ndtlreszecrnanqeovesponsihleJordelvennryitmtbeirt uedrecipienCyouareherebynot}i=dtha[yoimre _ evedth' �ss<p. in�r
nod arsy� -.esvre disml i[iq or mpV�nq oj 1 is rnesmge oi ils mn[enh�s srcittly prohibited,ond you ore requested(o Aelere Me messaqe ond
�mnJynebyre�iryemad fHerRiiveryenor. !➢eabovedresvof �eprvser_ nelecbonic>iqnamrefor[heprvpnsesofF9GN. Thnnkyou.
1
Ae�iv FLDFR LAW F tatePlannine •ElAerlaw •SntcialNeedsPlannine
2000 Linglestown Road 7E�:(717)5404332
Suite 202 FaX:(71'n 540-0313
Hartishurg,PA 17110 www.HazenElderLaw.com
JUIy 1, 201$
VIA EMAIL� mbaver@ceniricbank.com
Mary Ann Bayer
Ceniric Bank
6480 Carlisle Pike
Mechanicsburg, PA 17050
Re: Estate of Mary N. N{klaus
Social Security Number: 287-26•8105
Dear Ms. Bayer:
We represent Anne-Marie N. Niklaus in her capacity as Executor of
the Estate of Mary N. Niklaus who died on May 24, 2015.
Per the Executor's request. I am writing fo request that you provide
me with ihe following information for anv account(s) held bv the
decedent individuallv, ioinflv or in hust:
l. Exact account number(sJ; � � 3 '���� n^ , n � ��� LCJ�
2. Ownership of ihe account(s);jYlary a P���!��� e'� l`ar�-e� I
3. Value of the account(s� as of Ntay 24, 2015, ihe date of
death���j,��((�, 11 � � _
a. nccount type�s); and �-�"�"�-�1 �-�'''l"S y'� ='ti`�'`'r�-
5. Interest earned through May 24, 2015, if any.
If there was a chanae d ownershio or re�isiration of the accounts
within one vear orior to the date of death olease state:
1. Date of such change; and n�
2. Ownership of the accouni s) prior to ihe change and
subsequeni to the change. (�
3. Value of account(s) on date of change. iv�R}
Ceniric Bank
July l, 2015
Page 2 of 2
Your reply providing the abov�requested information wil� be used
for documentation to complete an estate analysis and complete the
death tax refurns filed for lhis EsTaTe.
Should you have any questions or need any additional information,
please do no1 hesitate to contact me. Thank you very much for your
assistance.
Sincerely,
/-� e (1�--
Tiffany J. Mufzabaugh
Legal Assistant
cc: Anne-Marie N. Niklaus
' � Vanguazcl"
��o ao,z�o�
July 1, 2015 ,ai�vF�eP. PA i9navzsoa
�,.,� .�:�g.��m.��m
TIFFANY J MUTZABAUGH
HAZEN ELDER LAW
2000 LINGLESTOWN RD STE 202
HARRISBURG PA 17110
Re; Estate of Mary N. Niklaus
Dear Ms. Mutzabaugh:
We are responding to the letterwe received requesting a valuation of Mary N.
Niklaus' Vanguard account as of May 24, 2015. The information requested is
included on the endosed account value report.
If you have any questions about a transfer or a transition of assets, please call us
at 888-237-9045. Specialists are available on business days from S a.m. to 8
p.m., Eastem time.
Sincerely,
Transition Team
Vanguard
jls
Endosure(s): *`Ronald W. & Mary N. Niklaus Account Value Report
52998779
� � � �s; � ��� �
�S , D �asP�
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Page > 1 of 1
�' Vanguazd"
Ronaltl W Niklaus 8 Reportfor05/24/2075 ' . �
MaryNNiklaus ClientServices:800-662-2]39 � � �
JT TEN WROS
9 Stillmeadows Ln Total report value: $7.'196.65
Enola, PF1]025-1000 �TotaireportvaluelncWtlesanyaccruetltlMtlends.) � ��� �� � ��
RonaldWNiklaus,MaryNNiklaus-JointAccount � � � � -
Accountvaluesummary . � �. � � � � � �, '�, � � '
Name Fun�8 Account D'o�e I Price Per. Accmed
Number . Opened Shares �', Share" Value' �, Divitlentls
Prime Money Mkt Funtl 0030-880214�6839 O�I09I2007 7,196.5]0�i 51.00 57,1965�' . $O.OB
. . .. ....... .... . .Totals $7.196.57� . ..E0.08
. ._. __.___._.__.. . .. . ... .. ..
. . .. . . .___L_.____ -
'Docsn'�Inclutle accrmtl tllvltlentls.
"Hs of ihe pnor business oate,�5/22R015,slnw iM1c report date Is a nonbusiness day.
148]603]�1 0]/01/2015 07:17:47
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA
op cu�y
�r � ;,;� e�C9 No. 2015- 00588 PA No. 21- 75- 0588
,� .l:w '' 9 Estate Of: MARYNN/KLAUS
� � , i ie.sc m�eere,ea.0
C,1 � C
q r - '' Late Of: SILVER SPRING TOWNSHIP
� ���. �'��' CUMBERLAND COUNTY
_ Deceased
Social Security No: 287-26-8705
1750
WHEREAS, on the lst day of June 2015 instruments dated:
July 78th 2073 0006 were admi tted
to probate as the last will and codicil of MARYNN/KLAUS
ir;,�c mbm,.�am
late of S/LVER SPR/NG TOWNSH/P, CUMBfRLAND Counry,
who died on the 24th day of May 2015 and,
WHEREAS, a true copy of the will &codicil as probated is annexed hereto
THEREFORE, I, L/SA M. GRA YSON, ESQ. , Register of Wills in and
for C[JMBEkLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I have this day granted Letters TESTAMfNTARYto:
ANNE-MARIE N NIKLAUS
who has duly qualified as EXECUTOR/R/X1
and has agreed to administer the estate acrording to law, all of which
fully appears of record in my office at CUMBERLAND COUNTYCOURT HOUSE,
CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the lstday ofJune 2015.
�i r .�j' `/7 '1' '' ` r
. � Re9�steiolWlls�
� � � � � ( I.l:_ ' � '� ? S ) 1,�; lf-
euury
**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
n.-C.,-..... __. .. . ,_ . ._
'�IjS ;�!RV 2� FlI'I C� L�pSTWILLANDTESTAMENT
OF
G',��.;�'-�..
."''�.��-. MARY M1. NIKLAOS
I, VIARY N. MKLAUS, now domiciled in Cumbedand County, Pennsylvania, declarc
this to be my Last Will and Tesiament [ revoke all other wills and codicils that I may have
prcviously madu.
Article I
My just deb[s and expenses of my Inst illness, funeral, a�id administrntion of my estate
shall be puid by my Esecu[or from the principal of[ny residuary esta[e as soon as practicablc
after my death.
Articic II
All inheritanee, estate, and succession taxes (including interest and penalties thereon, but
not i�cludfng any generation skipping tax) payabic by reason of my death shall be paid out of
and be charged generally against thc principal of my residuary cstatc without reimbursement
from any persmi. This provision is �ot a waiver of any right which my 6xccutor has to claim
reimbursement for any such Wxes which become payable as the result of any property over
which I have the power of appointmenl.
Articic III
I givc, Qcvisc a�d bequeath my tangible personal property N my spouse, RO�ALD W.
MKLAUS. In [he event RONALD W. NIKLAUS predeccases me or fails to survive me by
Uiirty (30) duys, [hen I oive, devise a�d bequeath nry ta�gible personal property in accordance
wi[h any memorandum 1 have handwritten or aigned, loca[ed tvith my will or with my valuable
papers and found withf�i thirty (30) days of the probate of my wilL Gifls may orily be to persnns
who survivc me or to organizations which exist at tny death, and if there is a conflict� thc
memorandum having the latesl date shall govem To the exlent no such memorandum is found_
ur all o(my tangible pers'onal property is not disposcd of pursuant 8iereW, my tangible perso��l
property shall be udded to my residuary cstatc and pass under Articic I V hercof.
Artide_N
All thc res[, residue and remainder of my estate, of whatsucver na[ure and wheresocver
situate, I �ve, devise and bequeath to my spousc, RONALD W. NIKLAUS, of Cumbedand
Cuunty, Pennsylvanill.
In [he event [ha[ RONALD W. NIKLAUS precleceascs me or fafls to survive me by thirty
(30) days, I gfve, devise, and bequeath �he rest, residuc and remainde� of my es'tate, of
whatsoever naWrc and wheresoever situate M EQUAI, SHARES to my childreq ANNM:-
MARIE N. NIKLAUS, of Extoq Pcnnsylvania and DAVID W. NIKLAUS, of Austin, 'Ccxas.
lf a beneficiary fails to survive me by thirty (30) days, the shnre of any deccasal chfld shall be
distributcd to my remaining child.
Artide V
I nominatc, consti[ute and appoint my daugh[cr, ANNE-VIARIE N. NIKLAUS oC
Exton, Pcnnsylvania as Executor of my Last Will and Test¢ment. In thv event of [he
2
renunciation, dca�h, ur inability to act, for any reason whatsoever ot my Executor, f nominate,
wnstitute and uppoint my soq DAVID W. NIKLAUS, as successor Executor of nry Last Will
and Testument 1 dfrect that my Executor or successor Executor bc permitted to serve without
bond. In addition ro those powers bRnnted by law, 7 grant them power to distribute in cash or in
kind, in like or in unlfke shares, and to filc any qualfhed disclaimer 1 could havc filcd ff Ifvfng.
My L:xecutor or successor Rxeeutor shall receive rcasonable compensation for scrvices renderal
to my cstatc.
Article VII
In addi[ion to the powers conferred by law, I authorize my Exewtor and successor
Executor, in his/her absolute discretion:
(a) �o retain in the Ioan received and to sell either xt public or pnvnte sale, any real
estate or personal property except that which I specifically bequeath herein,
(b) to manage real estate,
(c) to invest and reinves[ in all fonns of property w9thout being cunfined to Iegal
investments, und without mgard to the principal of dfversificatioq
(d) to exercise any option or right ansing Gom the ownership of investments,
(e) to compmmise claims without court approval and wilhout consent of any
bencf ciary,
(� to file any federal income tax retum for any year for wh9ch I have not tiled such
retum prior to my death,
(�) to make distributions in cash or in kind, or in both, and to detcrmine the value of
any such propeRy,
3
(h) m employ any attomey, investment advisor, ur othcr agent deemed oeces-s-siy by
my Co-Fxecutors or successor Executor; end to pay fmm my estate reasonable compensation ti�r
all their services,
(i) to conduct alone or witli odters, any business in which 1 am engaged in, ur havc
an intcrest in at[ime of my dcath,
Q) io discl�im, in whole or in part, any propedy or interest thcrein which passed to
me or which was crented for my benefit, fur any reason in lhe discmlion of my Co-Executors or
successor Executor, and
(k) to receive rcasonable compensation in accordance with ihe standard schedule of
fees io etfect while thcir services are perfonned.
IN WITNESS WHEREOF, I, MARY N. NIKLAUS, hcrcby set my h�nd to lhis my Last
Will and Testament, on ���1� , 2013, at Harrisburg, Pcnnsylvanlu.
✓� �, h �:��.:-
MARY N. NIKLAUS
In our presence, the above-namcd MARY N. NIKLAUS signcd this and dcclar�d this to
be her Lnst Will and Testament and now at hcr request, in her presence, and in the presence oC
cach ulher, we sign as witnesses.
Namc sL� �n '. � Address
�v—v�nn
� �,��; . — 7a� c-�e,� � �a�_� ��_�_7��
`-����QO__ �o�, � �;� .c Q�i, P���o�s
�
I, MAKY N. NIKI.AUS, Tcstator, who signed [he foregoing instrumen[, having bcen
duly qualitied according to law, acknowLedec Ihat I sibmed and exewted Ihis instrumcnt as my
Will, and �hal I signed i[ willingly as my free a�d voluntary act for [he purpos�� therein
cxpressed.
Swom [o or afti�ned and
Acknowledged before me by
MARY N. NIKLAUS, the Testator
on .�tA���FC , 2013.
,. 1 � �...�_ `.
� T��--- �� � },. ��h,i 4k<.�,
�-- - -
h�ota'ry'Public � MARY N. N KL�
COMMONWEALTH OF PENNSYLVPNIA
Nobrlal Seal
Manelle fi Nazen,NOGry Public
Susquenanna Twp..DaupAln Caunry
My COmmlpinn cxrlres Sep[.23,2419
Wc, [he undersfbmed witnesses who signed the foregoing instmment, being duly yualitied
according to law, depose and say that wc werc present and saw the Testator sign and execute this
instrument as her Will; that she signed and executed it willingly as her free and voluntary act for
the pu�poses therein expressed; that cach of us in her si�t and hcaring signed the Wfll as
witncsses, and Ihat to the besl of our knowledge, that shc was at that time cightcen (I A) ycars or
more of age, of sound mind, end under no co�straint or unduc influcnce.
/
Swom to or affinned and - -
Sub'� be t 4efore ne �� �/'�
�Y� �_ 'r
and �1 itness
wimesses, on,�u��� ISS , 20t3. �
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Ao[d[y �U}JIIC �� COMMONWEALTHOFPENNSYLVPNIP
. NIXa�lal Seal
Manelle F.Hazm,Nobry Publlc
Susquenanna TwO,oauyiln Counry
My Cnmmisslon&plre5 Sept 23,2019
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September 14, 201 S
CERiIFIED MAIL
Register of Wills
Cumberland County Courfhouse �, - -
One Courfhouse Square = o ��' �:���� �;
� �� �,
Carlisle, PA 17013-3387 - -� -
�
Re: Estate of Mary N. Niklaus � �' -�
Pile No.: 21 -15-0588 - _v
Social Security No.: 287-26-8105 � � —' - -
Inheritance Tax Retum . � `l - ��
cr c� o
Cn -�
To: The Register of Wills:
Enclosed for filing p':eose find the original and one copy of the
above-referenced inheritance Tax Retum and Inventory, along with a
copy of the �iisi page or the Inheriiance Tax Retum. Please date stamp
the first page of the retum and a copy of the Inventory and retum them to
n�y oitice in I'ne enclosed self-addressed envelope.
If you riavr, any o,u�s�ions o� rec7�,ilre any additional information,
pleuse do no! P�.cs:�ate �o contact me.
Sincerely,
.�� �
Tiffany J. Mutzabaugh
Paralegal
Endosures
cc: Anne-Marie Niklaus