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REV 1500 lEX + (6-00)
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COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
FILE NUMBER
6.1 06
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
0466
NUMBER
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i DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL)
i Faust, Benjamin R. III
DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR)
05-17-2006 01-31-1925
(IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL)
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
209-09-0187
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
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8. Total Number of Safe Deposit Boxes
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Original Return
Supplemental Return
3. Remainder Retum (date of death prior to 12-13-<12)
4a. Future Interest Compromise (date of death after
12-12-82)
Decedent Maintained a Living Trust (Attach
copy of Trust)
10 Spousal Povertv Credit (date of death between
. 12-31-91 and 1-1->J5)
Limited Estate
5. Federal Estate Tax Return Required
Decedent Died Testate (Attach
copy of VVII)
Litigation Proceeds Received
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NAME
James D. Bogar
FIRM NAME (If applicable)
Bogar & Hipp Law Offices
, TELEPHONE NUMBER
717-737-8761
COMPLETE MAILING ADDRESS
One West Main Street
Shiremanstown, PA 17011
1. Real Estate (Schedule A)
2, Stocks and Bonds (Schedule B)
(1) None OFFICIAL USE ONLY
(2) None
(3) None
(4) None
(5) 10,893.80
(6) None
(7) 36,250.38
(8) 47,144.18
(9) 10,174.66
(10) 7,552.38
3, Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
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5, Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6, Jointly Owned Property (Schedule F)
o Separate Billing Requested
7, Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L) 0 Separate Billing Requested
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
(11 )
17,727.04
29,417.14
0.00
12. Net Value of Estate (Line 8 minus Line 11)
(12)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has
not been made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(13)
(14)
29,417.14
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
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15. Amount of Line 14 taxable at the spousal tax rate,
or transfers under Sec. 9116(a)(1.2)
0.00
x .00 (15)
0.00
x .045 (16)
1,323.77
16,Amount of Line 14 taxable at lineal rate
29,417.14
x .12 (17)
17. Amount of Line 14 taxable at sibling rate
0.00
0.00
0.00
0.00
1,323.77
18. Amount of Line 14 taxable at collateral rate
x .15 (18)
(19)
19. Tax Due
120, D
Copyright 2002 form software only The Lackner Group, Inc.
Form REV-1500 EX (Rev. 6-00:
Decedent's Complete Address:
STREET ADDRESS
22 Greenspring Drive
CITY Meehan icsbu rg
I STATE PA
I ZIP 17050
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
1,323.77
66.19
Total Credits (A + B + C)
(2)
66.19
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (0 + E) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4)
Check box on Page 1 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)
A. Enter the interest on the tax due. (5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B)
1,257.58
1,257.58
Make Check Payable to: REGISTER OF WILLS, 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;................................................................................. r-- ~
b. retain the right to designate who shall use the property transferred or its income;.................................... I, i x i
c. retain a reversionary interest; or.................................................................................................................. D IX!
d. receive the promise for life of either payments, benefits or care?.............................................................. D ~
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?.. ................ ............ ....................................... .................... ............................. D
D
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3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?.........
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?..................................................................................................................... ~ D
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and
complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNA RE OF PERSON RESP~IBLE FILING RETURN ADDRESS
Mi el---~. u V 34 Ashley Drive
'\ . , <....-.- Dillsburg, PA 17019
DATE
y ~(\ U 6
ADDRESS
DATE
o ER THAN REPRESENTATIVE
ADDRESS
<Bl \ s-1c56
DATE
One West Main Street
Shiremanstown, PA 17011
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [72 P.S. 39116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0%
[72 I='.S. 39116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure
of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one 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% [72 P.S. 39116 (a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S.
39116 1.2) [72 P.S. 39116 (a) (1 )].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 39116 (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-1508 EX+ (6-98)
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSY\. VANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Faust, Benjamin R. III
FILE NUMBER
21-06-0466
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM
NUMBER DESCRIPTION
1 Members First Checking - Account No. 189545-11; date of death value $1,553.62;
Accrued Interest $0.00
VALUE AT DATE
OF DEATH
1.553.62
2 Members First Savings - Account No. 189545-00; date of death balance $25.00;
Accrued Interest $0.00
25.00
3 2000 Chrysler Sebring - Sold at private sale
6.000.00
4 Personal Property
500.00
5 Pennsylvania State Employe's Retirement System - May Retirement Payment
1.585.52
6 Ameriprise Annuity - Account No. 931030399154004 P/O; date of death value
$1,229.66
1.229.66
TOTAL (Also enter on Line 5, Recapitulation)
10.893.80
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule E (Rev. 6-98)
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MEMBERS 1st
FEDERAL CREDIT UNION
SAVINGS ACCOUNT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
189545 -00
12/10/1999
$25.00
$.00
$25.00
None
CHECKING ACCOUNT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
189545 -11
12/10/1999
$1,553.62
$.00
$1,553.62
None
INDIRECT USED VEHICLE LOAN:
Account Number/Suffix
Date Loan Established
Principal Balance at Date of Death
Collateral Securing Loan
Name of Co-Borrower
189545 -01
11/24/2003
$6,986.41
2000 Chrysler Sebring
None
11. B_ER. S 1;JE,DERAL CREDIT UNION
~td<. tI/tiL
Denise A. Wolfe ~
Insurance Services Supervisor
Jun 30, 2006
Estate of: BENJAMIN R. FAUST, '"
Date of Death: 05/17/2006
Social Security Number: 209-09-0187
5000 Louise Drive' POBox 40 . Mechanicsburg, Pennsylvania 17055 . (717) 697-1161 . www.members1st.org
Ameriprise $
Financial
IDS life Insurance Company
RiverSource Funds
Ameriprise Certificate Company
Ameriprise Brokerage
70100 Ameriprise Financial Center
Minneapolis, MN 55474
July 13, 2006
JAMES D BOGAR
ONE WEST MAIN STREET
SHIREMANSTOWN, PA 17011
Dear JAMES D BOGAR:
We have received notification of BENJAMIN R FAUST's death. Please accept our condolences
on your loss. The deceased's name appears on the following accounts. Account values as of
05/16/2006 are listed below. At the end of this letter, you will find a list of beneficiaries shown
in our initial review of the accounts. We also request any information you may have that may
facilitate our efforts to contact other beneficiaries on the accounts involving the deceased.
IMPORTANT REMINDER:
In accordance with various regulatory agencies, Ameriprise Financial Services will continue to
mail monthlylquarterly statements for the deceased to the deceased's address of record. The
only individual(s) granted authorization to change the address of the deceased and thus, redirect
the mailing address of the statements, is the Executor(s) of the Estate of the deceased.
Account Information
Annuities - Post 1985
Account Number
931030399154004 Pia
931030399162004 Pia
Ownership
IRA - beneficiary designated
IRA - beneficiary designated
Annuities - Post 1985
Account Number
931030399154004 Pia
931030399162004 Pia
Total Value
$1229.66
$1225.80
The date of death values provided are for estate tax purposes and are not a value to be paid.
Accounts may be subject to market fluctuation as governed by each product. Please note that
the values indicated for any Life Insurance product(s) reflect the gross death benefit at date of
death, not the cash value. Values for any proprietary mutual funds include accrued dividends as
applicable. Values provided for brokerage products are manually calculated, and should be used
as estimates only. The prices used to provide values are estimates obtained from outside
sources believed to be reliable. Ameriprise Financial does not guarantee the values.
Account Disposition
Insurance and annuities
are issued by IDS Life
Insurance Company, an
Ameriprise Financial
company. Ameriprise
Brokerage is provided
by Ameriprise Financial
Services, Inc, Ameriprise
Financial Services, Inc.
Member NASD.
Ameriprise ~
Financial
Account disposition is based on how an account is owned (the ownership type). The following
information will help you understand the process that will be used to settle the accounts.
Payout Annuity - Life Income - continuation of payments
Account number 931030399154004 is an annuity in payout. The flIst payment was issued on
7/15/1992 and payments will continue according to the terms of the contract until 6/15/2007.
Therefore, all payments between the date of death and the last payment date are now due to the
named beneficiary/owner. The only option available to the beneficiary/owner is to continue to
receive the payments (if greater than $20.00 per installment) until the last payment date. To
continue payments, submit the requirements described in the Required Documents section of
this letter.
Payout Annuity Life Income - continuation of payments
Account number 93103039916 5004 is an annuity in payout. The first payment was issued on
7/15/1992 and payments will continue according to the terms ofthe contract until 6/15/2007.
Therefore, all payments between the date of death and the last payment date are now due to the
named beneficiary/owner. The only option available to the beneficiary/owner is to continue to
receive the payments (if greater than $20.00 per installment) until the last payment date. To
continue payments, submit the requirements described in the Required Documents section of
this letter.
Required Documents
In order to take appropriate steps to settle the accounts we will need these documents:
Certified Death Certificate
(For accounts: 931030399154004 P/O, 93103039916 2 004 P/O)
The death certificate must be an original document that bears certification from the health
department or local registrar and includes the cause of death.
Death Claim Statement Form (33047V)
(For accounts: 931030399154004 P/O, 931030399162004 P/O)
To process a death claim on an annuity or life insurance account, we must receive a completed
Insurance and Annuity Death Claim Statement form (33047V) from each claimant. A completed
death claim statement must contain the deceased's client information and aCCOll.l1t !lumber, a
completed claimant information section, and an acceptable mode of settlement. The form must
also contain a Taxpayer Identification Number and withholding election. Failure to select a
withholding election on an annuity requires mandatory 10% withholding which is forwarded to
the IRS that we cannot refund. In addition, the claimant( s) must sign the form and their
signature(s) must be witnessed by an Ameriprise Financial Services advisor or a notary. If any
of this information is incomplete, the form will be returned.
Certified Letters of Testamentary/Letters of Administration (estate)
(For accounts: 931030399154004 P/O)
This document confirms who is appointed as the legal representative of the estate. The
document must be court certified and dated within 60 days of the date the corporate office
receives it (In Iowa, Montana, and New York, letters must be dated within 180 days).
Insurance and annuities
are issued by IDS Life
Insurance Company, an
Ameriprise Financial
company. Ameriprise
Brokerage is provided
by Ameriprise Financial
Services, Inc. Ameriprise
Financial Services, Inc.
Member NASD.
Ameriprise tl
Financial
Form W-9, Request for Taxpayer Identification Number and Certification
(For accounts: 931030399154004 Pia)
Rev. Rul. 84u73 and Reg. Section 301.6109-1 requires that the Taxpayer Identification Number
(TIN) used to identify estates and trusts of decedents be an Employer Identification Number
(EIN), rather than the Social Security Number of the deceased. If the legal representative( s) or
trustee( s) chooses not to comply with this ruling, or if an EIN has not been assigned, a separate
W -9 must be completed in addition to entering the TIN on the Death Claim Statement/Estate
Settlement Form.
Please contact us if you have any questions as you work through these difficult times, and once
again, you have our sincerest sympathy. Thank you.
Sincerely,
Wendy Seipel
Death Settlements Processing Team
70100 Ameriprise Financial Center
Minneapolis, MN 55474
1-800-862-7919, Option 5, 1
Attachment: Beneficiary Information
Insurance and annuities
are issued by IDS Life
Insurance Company, an
Ameriprise Financial
company. Ameriprise
Brokerage is provided
by Ameriprise Financial
Services, Inc. Ameriprise
Financial Services. Inc.
Member NASD.
Ameriprise ~
Financial
Beneficiary Information
We have the following beneficiaries on record for the deceased's accounts.
Account Number:
Designation:
No record on file.
931030399154004 PIO
Account Number: 931030399162004 PIO
Designation:
PRIMARY BENEFICIARY
BETTY FAUST, SPOUSE m predeceased--- 100.00%
SECONDARY BENEFICIARY
ERIN L PURR Y
TRACEY J PERRY
EQUALLY, OR THE SURVIVOR
GRANTIDAUGHTER
GRANDDAUGHTER
Insurance and annuities
are issued by IDS Life
Insurance Company, an
Ameriprise Financial
company. Ameriprise
Brokerage is provided
by Ameriprise Financial
Services, Inc. Ameriprise
Financial Services, Inc.
Member NASD.
R~v-1510' EX+ (6-98)
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONIJVEAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Faust, Benjamin R. III
FILE NUMBER
21-06-0466
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes
1
M DESCRIPTION OF PROPERTY DATE OF DEATH % OF DECO'S TAXABLE
EXCLUSION
BER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE.
Allianz Annuity - Paid directly to named 35.024.58 35.024.58
beneficiaries, Michael J. Faust and Christa F.
Perry
Ameriprise Annuity - Account No. 93103039916 2 1.225.80 1.225.80
004 P/O; paid directly to named beneficiaries,
Erin L. Perry and Tracey J. Perry
TOTAL (Also enter on Line 7, Recapitulation) 36.250.38
ITE
NUM
2
(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 G (Rev. 6-98)
Allianz Service Center
PO Box 1122
Southeastern, PA 19398-1122
Allianz @)
June 21,2006
JAMES D BOGAR
ATTORNEY AT LAW
ONE W MAIN ST
SHIREMANSTOWN PA 17011
RE: Contract # DA733858 - BEN R FAUST III
Dear Mr. Bogar:
This is in response to the correspondence dated June 15, 2006. As requested, the death benefit value on
May 17, 2006 was $35,024.58.
Our records reflect Ben R. Faust, III as sole owner and annuitant of the above referenced contract. The
contract has an effective date of December 11, 2000.
I hope this information has been helpful. If you have any questions, please contact me at the Allianz
Service Center. I may be reached at 800/624-0197, between 8:30 a.m. and 5:30 p.m., Eastern Time, or
you may contact the Registered Representative, John E. Billet at 614-329-8825.
Sincerely,
~~
Patricia Marino
Customer Service Representative
CC: JOHN E BILLET
CC: CHRISTA PERRY BROWN
Allianz variable products are issued by Allianz Life Insurance Company of North America, and in New York by AII,anz Life Insurance Company of New York, Home Office: New York, NY,
and distributed by their affiliate Allianz Life Financial Senvices, LLC 5701 Golden Hills Drive, Minneapolis, MN 55416-1297. 800.542.5427 www.allianzlife.com Member NASD. Please send
all correspondence to the Allianz Senvlce Center, PO Box 1122, Southeastern, PA 19398-1122.
Rf'V-l15"1 EX+ (12-99)
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SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Faust, Benjamin R. III
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-06-0466
ITEM
NUMBER
A. FUNERAL EXPENSES:
DESCRIPTION
AMOUNT
See continuation schedule(s) attached
6,247.60
B.
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Social Security Number(s) / EIN Number of Personal Representative(s):
Street Address
City
Year(s) Commission paid
State
Zip
2.
Attorney's Fees
Bogar & Hipp Law Offices
2,300.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
State
Zip
4.
Probate Fees
140.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
Other Administrative Costs
See continuation schedule(s) attached
1,487.06
TOTAL (Also enter on line 9, Recapitulation)
10,174.66
CoPyriflht (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
Re'/-1502 EX+ (6-98)
SCHEDULE H-A
FUNERAL EXPENSES
continued
COMMONlNEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Faust, Benjamin R. III
FILE NUMBER
21-06-0466
ESTATE OF
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Malpezzi Funeral Home
6.247.60
Subtotal
6.247.60
Copyri~lht (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
Rev-1502 EOX+ (6-98)
SCHEDULE H-B7
OTHER
ADMINISTRATIVE COSTS
continued
COMMONVv'EAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Faust, Benjamin R. III
FILE NUMBER
21-06-0466
ESTATE OF
ITEM
NUMElER
DESCRIPTION
AMOUNT
Pennsylvania State Employe's Retirement System - Partial Reimbursement of May
2006 Retirement Payment
687.06
1
2
RESERVES: - Cost to conclude administration of Estate including filing fee to PA
Inheritance Tax Return and Inventory; preparation of Personal and Fiduciary
Income Tax Returns
800.00
Subtotal
1.487.06
CoPyri9ht (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
Rav-1512 EX+ (6-98)
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Faust, Benjamin R. III
FILE NUMBER
21-06-0466
ESTATE OF
Includa unraimburs&d medical expenses.
VALUE AT DATE
OF DEATH
ITEM
NUMBER DESCRIPTION
1 Chase Card Services - Final Bill
487.64
~! Crystal Springs - Final Bill
43.28
~l Kaplan's Careful Cleaners - Final Bill
35.05
4 Members 1st -Indirect Used Vehicle Loan - date of death loan balance $6,986.41
6.986.41
TOTAL (Also enter on Line 10, Recapitulation)
7,552,38
(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 I (Rev. 6-98)
REV-1513 EX+ (9-00)
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
NUMBER
Faust, Benjamin R. III
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116(a)(1.2)]
FILE NUMBER
21-06-0466
ESTATE OF
RELATIONSHIP TO
DECEDENT
Do Not List Trustee(s)
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
I.
Christa P. Brown
2040 Cedarpress Road
Manheim, PA 17545
Daughter
One-half of
rest, residue
and remainder
Michael J. Faust
34 Ashley Drive
Dillsburg, PA 17019
Son
One-half of
rest, residue
and remainder
Total
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98)
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JEagt 3IDfill &It.o Wtstamclt!
OF
BENJAMIN R. FAUST, III
I, BENJAMIN R. FAUST, III, of Lower Allen Township,
Cumberland County, Pennsylvania, make, pUblish and declare this as
and for my Last Will and Testament, hereby revoking all other
wills and Codicils heretofore made by me.
FIRST: I give and bequeath my household furniture and
furnishings, my personal effects, jewelry, clothing, automobiles
and all other tangible personal property, including all insurance
policies covering those items, to my wife, BETTY L. FAUST,
provided she survives me by sixty (60) days; or, if she does not
so survive me, to my son, MICHAEL J. FAUST, and my daughter,
CHRISTA F. PERRY, to be divided between them equally as they may
agree.
SECOND: I devise and bequeath all the rest, residue and
remainder of my estate of whatever nature and wherever situate,
including any property over which I hold power of appointment and
together with any insurance policies thereon, unto my wife, BETTY
L. FAUST, provided she survives me by sixty (60l days.
THIRD: Should my wife, Betty L. Faust, predecease me or
die on or before the sixty-first (6lst) day following my death, I
devise and bequeath all the rest, residue and remainder of my
estate of whatever nature and wherever situate, including any
property over which I hold power of appointment and together with
any insurance policies thereon, in equal shares, to my son,
MICHAEL J. FAUST, and my daughter, CHRISTA F. PERRY, provided that
should either child predecease me, I give and bequeath such
child's share unto his or her issue per stirpes by representation,
and if there be a failure of same, then I give and bequeath such
deceased child's share to my surviving child as provided herein.
I am specifically making no provision herein for my daughter,
AMELIA K. McMULLIN, my son, BENJAMIN R. FAUST, IV, and my
daughter, CHERYL ANN HAMILTON.
FOURTH: In addition to all powers granted to them by
law and by other provisions of this Will, I give the fiduciaries
acting hereunder the following powers, applicable to all property,
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 period of time, any real or personal property and to give
options for sales, 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 sufficient 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, subdivision,
improvement, zoning or management of real estate and to impose or
extinguish restrictions on real estate.
(e) 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 Pennsylvania 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 privilege given by the
Federal and other tax laws, including, but not necessarily being
~ ::::~ed to, personal income, gift and estate or inheritance tax
~
~ (H) To borrow money from themselves or others in order
~ to pay debts, taxes, or estate or trust administration expenses,
(G)
To make distributions to my herein named benefici-
aries in cash or in kind or partly in each.
protect or improve any property held under my will, and for
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investment purposes.
(I) To select a mode of payment under any qualified
retirement plan (pension plan, profit sharing plan, employee stock
ownership plan, or any other type of qualified plan) to the extent
the plan or the law permits them to do so, and to exercise any
other rights which they may have under the plan, in whatever
manner they consider advisable.
FIFTH: I direct that all inheritance, estate, transfer,
succession and death taxes, of any kind whatsoever, which may be
payable by reason of my death, whether or not with respect to
property passing under this Will, shall be paid out of the princi-
pal of my residuary estate.
SIXTH: All interests hereunder, whether principal or
income, which are undistributed and in the possession of the
fiduciaries acting hereunder, even though vested or distributable,
shall not be subject to attachment, execution or sequestration for
any debt, contract, obligation or liability of any beneficiary,
and furthermore, shall not be subject to pledge, assignment,
conveyance or anticipation.
SEVENTH: I nominate and appoint my wife, BETTY L.
FAUST, Executrix of this, my Last Will and Testament. In the
event of the death, resignation or inability to serve for any
reason whatsoever of the said Betty L. Faust, I nominate and
appoint my son, MICHAEL J. FAUST, Executor of this, my Last Will
and Testament. In the event of the death, resignation or
inability to serve for any reason whatsoever of the said Michael
J. Faust, I nominate and appoint my daughter, CHRISTA F. PERRY,
Executrix, of this, my Last will and Testament. I direct that my
~
) ~
~
Executor or Executrix, as the case may be, and their successors,
shall not be required to post security or a bond for the
performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
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to this, my Last Will and Testament, this :;l d day of ~~~
1988.
~~SEAL)
Faust, III
Signed, sealed, published and declared by the above-
named Testator as and for his Last Will and Testament in our
presence, who, at his request, in his presence and in the presence
of each other, have hereunto subscribed our names as attesting
witnesses.
( ';Luta/ j) b(J~
~[,~~
Address
Address
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