HomeMy WebLinkAbout05-22-07 (2)
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15056051058
REV-1500 EX (06-05)
PA Department of Reveooe '*
Bureau of Individual Taxes .
PO BOX 280601
Hanisbtl'g, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
OFFICIAL USE ONLY
County Code Year
INHERITANCE TAX RETURN
RESIDENT DECEDENT 21 06
File Number
01134
Date of Birth
188-32-3762
12/0712006
05/05/1905
Decedenfs Last Name
Suffix
Decedenfs First Name
MI
Long
(If Applicable) Enter Surviving Spouse's Infonnatlon Below
Spouse's Last Name Suffix
Pauline
H
Spouse's First Name
MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPUCATE WITH THE
REGISTER OF WillS
FILL IN APPROPRIATE OVALS BELOW
:e: 1. Original Return
2.Sup~rnenmIR~um
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
48. Future Interest Compromise (date of
death after 12-12-82)
7. Decedent Mainmined a Living Trust
(Attach Copy of Trust)
10. Spousal Poverty Credit (date of death 11. Election to tax under See. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 0)
CORRESPONDENT - THIS secnoN MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFlDEN11AL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
4. Limited Esmte
6. Decedent Died Tesmte
(Attach Copy of Will)
9. litigation Proceeds Received
o
8. Toml Number of Safe Deposit Boxes
.'
Alice L. Brown
Firm Name (If Applicable)
(717) 566-7417
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REGISTE't-6f WILLS USE ~y
,.-
-.: ::~::;
First line of address
..-'-::
442 North Star Drive
\'0.)
\'0
Second line of address
State
ZIP Code
:J~.
DAT~F1LED
-
~ '""J
City or Post Office
Harrisburg
C)
c'.
PA
17112
Correspondent's e-mail address:
Under penalties of petjury, I declare that I have examined this retum, including accompanying schedules and slatemenlS, and to the best of my knowledge and belief,
it is true, correct and c;omplela. Declaration of preparer other than the personal representative is based on all information of which praparer has any knowledge.
SIGNAtuRE pF PER. SON RES~SIBLE FOR FILING RETURN DATE
(i)Lt..J, ,K:. ~~ OS/20/07
ADDRESS
442 North Star Drive Harrisburg, PA 17112
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
OS/20/07
ADDRESS
5774 Hidden Lake Drive Harrisburg, PA 17111
PLEASE USE ORIGINAL FORM ONLY
Side 1
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15056051058
15056051058
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15056052059
REV-1500 EX
Decedent's Name:
RECAPITULATION
Pauline
H Long
1. Real estate (Schedule A). ............................................ 1.
2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . .. . . . . . . . . . .. . .. . . . . . .. .. 2.
3. Closely Held COrporation, Parb'lership or SoIe-Proprietorship (Schedule C) . . . .. 3.
4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4.
5. Cash, Bank Deposits & MlsceHaneous Personal Property (Schedule E) . . . . . . .. 5.
6. Jointly Owned Property (Schedule F) Separate BUling Requested .. . . . .. 6.
7. Inter-VIVOS Transfers & Miscellaneous Non-Probate Property
(Schedule G) Separate BlUing Requested. . . . . . .. 7.
8. Total Gross Assets (total Lines 1-7). . .. . . . . . . .. . . . . . .. .. . . . . . . . . . . . . ." 8.
9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . .. 9.
10. Debts of Decedent, Mortgage LiabHities. & Liens (Schedule I). . . . . . . . . . . . . . . . 10.
11. Total Deductions (total Lines 9 & 10). .. . . . .. . . . . . . . . . .. . .. . . . . . .. .. .. .. 11.
12. Net Value of Estate (Line 8 minus Line 11) .. .. . . . .. . . . . . .. . .. .. .. . . .. .. . 12.
13. Charitable and Govemmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) ........................14.
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 .0_
16. Amount of Line 14 taxable
at lineal rate X.O 45 306,896.71
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
15.
16.
17.
18.
19. TAX DUE. . . . .. . . . . .. ... . . .. . . . . .. . . . . . . .. .. . . . . . . . . . . . .. . . .... . . . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
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15056052059
Side 2
188-32-3762
Decedenfs SocIal Security Number
167,291.44
125,409.10
17,474.76
310,175.30
3,278.59
3,278.59
306,896.71
306,896.71
13,810.35
13,810.35
15056052059
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REV-1500 EX Page 3
Decedent's Complete Address:
21
File Number
06 01134
DECEDENTS NAME DECEDENT'S SOCIAL SECURITY NUMBER
Pauline H Long 188-32-3762
STREET ADDRESS
Bethany Village
5225 Wilson Drive Room 48
CITY I STATE I ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. CreditslPayments
A. Spousal Poverty Credit
B.Priorpayments
C. Discount
3. InterestlPenalty if applicable
D. Interest
E. Penalty
(1)
13,810.35
12,348.25
685.99
Total Credits ( A + B + C ) (2)
13,034.24
TotallnterestlPenalty ( 0 + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Une 20 to request a refund. (4)
0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
776.11
B. Enter the total of Line 5 + SA. This is the BALANCE DUE.
(SA)
(58)
A. Enter the interest on the tax due.
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 01' income of the property transferred;.......................................................................................... 0 ~
b. retain the right to designate who shaH use the property transferred or its income; ............................................ 0 IXI
c. retain a reversionary interest; 01'.......................................................................................................................... 0 ~
d. receive the promise for rife of either payments, benefits 01' care? ...................................................................... 0 r}(J
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receMng adequate consideration? .............................................................................................................. 0 ~
3. Did decedent own an "in trust to!" or payable upon death bank account 01' security at his or her death? .............. 0 ~
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ 0 ~
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 January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 P.S. ~9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
[72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exemot 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 zero (0) percent [72 P.S. ~9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedenfs lineal benefidaries is four and one-half (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 decedenfs siblings is twelve (12) percent [72 P.S. ~9116(a)(1.3)}. A sibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1503 EX+ (6-98)
*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
Pauline H. Long
fILE NUMBER
21-06-1134
All property JoIntIy-owned with right of survivorship must be disclosed on Schedule F.
4
DESCRIPTION
Burlington Northem Santa Fe Corporation, CUSIP 12189T104. common, 300 shares
Constellation Energy Group Incorporated, CUSIP 210371100.330 shares
Duquesne light Holdings incorporated, CUSIP 266233105, common, 150 shares
PPl Corporation, CUSIP 69351 T1 06, common, 460 shares
Susquehanna Bancshares Incorporated, CUSIP 869099101, common, 3739 shares
VALUE AT DATE
OF DEATH
ITEM
NUMBER
1.
2
3
22,764.00
22,725.45
2,985.00
5
16,704.90
102,112.09
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed. insert additional sheets of the same size)
167,291.44
REV-1508 EX+ (6-98) .
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Pauline H. Long
FILE NUMBER
21-06-1134
Include the proceeds of fitigation and the date the proceeds were received by the estate.
All property jolntly-owned with right of survivorllhlp must be dleclosed on Schedule F.
ITEM
NUMBER DESCRIPTION
1 Cash on hand
2 M&T Bank, Checking Account #56214464
3 M&T Bank, Certificate of Deposit, Account #031 003914375984
4 M&T Bank, Certificate of Deposit, Account #031003914376148
5 Cash in Amerprise Money Market, Account #51309797 2 021
6 Prudential Financial Annuity, Contract # EOS162007-A
7 2006 Federal Income Tax Refund
VALUE AT DATE
OF DEATH
8 Commonwealth of PA, State Employee's Retirement System, Final Settlement of Account
3.66
59,318.24
15,353.36
25,267.01
8,501.97
2,532.71
13,880.00
272.90
9 Clothing
10 Furniture (1 lamp, 1 lamp table)
11 Costume jewelry
12 TV set
100.00
25.00
50.00
50.00
13 Refund Asbury Community Inc. (Bethany) for hospice supplies
54.25
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
125,409.10
REV-1509 EX+ (6-98*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
Pauline H. long
FILE NUMBER
21-06-1134
If an nset _1IIIde joint wiIhin _ ,... t:I the decedent's .. t:I...... it must .. ..porIIId on Schedule G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A. Alice L. Brown
442 North Star Drive
Harrisburg, PA 17112
Daughter
B.
James R. long
5774 Hidden lake Drive
Harrisburg, PA 17111
Son
c.
JOINTLY-OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALU E OF
NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTER EST DECEDENTS INTEREST
1. A. 12107/00 M&T Bank, Cerlificate of Deposit, Account #031003916422684 11,741.55 50 5,870.78
2 B 12107/00 MaT Bank, Certificate of Deposit, Account #031003915119109 23,207.96 50 11,603.98
TOTAL (Also enter on line 6, Recapitulation) $ 17,474.76
(If more space is needed. insert additional sheets of the same size)
REV-1511 EX+ (12-99)*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATM COSTS
ESTATE OF
Pauline H. Long
FILE NUMBER
21-06-1134
Debts 01 decedent must be reported on Schedule I.
ITEM
NUMBER
A.
B.
1.
DESCRIPTION
AMOUNT
1.
FUNERAL EXPENSES:
Jesse H. Geigle Funeral Home, Inc. Additional expenses over and above prepaids
Minister (Harold $. Fox)
Tombstone Engraving (I. Diller & Sons, Quarryville. PAl
93.00
250.00
150.00
2
3
ADMINISTRATIVE COSTS:
Personal Repnlsentative's Commissions
Name of Personal Repnlsentative(s) Alice L. Brown
Social Security Number(s)IEIN Number of Personal Representative(s) 181-32-5674
Street Address 442 North Star Drive
0.00
City Harrisburg
Year(s) Commission Paid:
.StatePA Zip 17112
2.
Attorney Fees
55.00
3. Family Exemption: (If decedenfs addresS is not the same as claimanfs, attach explanation)
Claimant
Street Address
City
State
,Zip
Relationship of Claimant to Decedent
4.
Probate Fees
448.00
5.
Accountanfs Fees
0.00
6.
Tax Retum Preparer's Fees
215.00
7.
Advertising the estate (Cumberland Law Journal & The Patriot News)
PA 2006 Estimated Income Tax Payment
PA 2006 Income Tax Payment
Alert Pharmacy (Bethany Village) for medication
Skilled Nursing Care (Bethany Village)
Copies & Postage
220.40
40.00
81.00
51.02
1,666.77
8.40
8
9
10
11
12
3,278.59
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX+ (9-00)
*'
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Pauline H. Long
FILE NUMBER
21-06-1134
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S} RECEIVING PROPERTY Do Not List Trustee(s} OF ESTATE
I TAXABlE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)J
1. Alice L. Brown 442 North Star Drive, Harrisburg, PA 17112 Daughter Equal share (1/3)
2. James R. Long 5774 Hidden Lake Drive, Harrisburg, PA 17111 Son Equal share (1/3)
3. John D. Long 3001 Mayfred Lane, Camp Hill, PA 17011 Son Equal share (1/3)
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 REY-1500 COYER SHEET $
(If more space is needed. insert additional sheets of the same size)
LAST WILL AND TESTAMENT
OF
PAULINE H. LONG
I, PAULINE H. LONG, 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 heretofore made by me.
FIRST: 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 children, JAMES R. LONG, JOHN D. LONG and ALICE L. BROWN,
provided that should any of my children predecease me, I give and
bequeath such child's share, in equal shares, to my surviving
children as set forth herein.
SECOND: 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 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 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, 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 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
limited to, personal income, gift and estate or inheritance tax
laws.
(8) To make distributions to my herein named benefici-
arles 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 purposes.
(I) To select a mode of paYment under any qualified
retirement plan (pension plan, profit shari~g 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 rigl}ts which they may have under the plan, in whatever
manner they consider advisable.
2
THIRD: I direct that all inheritance, estate, trans-
fer, 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
principal of my residuary estate.
FOURTH: All interests hereunder, whethe~ principal or
income, which are undistributed and in the possession of the
fiduciaries acting hereunder, even though vested or distribut-
able, shall not be subject to attachment, execution or sequestra-
tion for any debt, contract, obligation or liability of any
beneficiary, and furthermore, shall not be subject to pledge,
assignment, conveyance or anticipation.
FIFTH: I nominate and appoint my daughter, ALICE L.
BROWN, 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 ALICE L. BROWN, I nominate and
appoint my sons, JAMES R. LONG and JOHN D. LONG, Co-Executors of
this, my Last Will and Testam~nt. I direct that my Executrix or
Executors, 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 h~nd and
seal to this, my Last Will and Testament, this g:24 day of
, ,2004.
<" ) // \
..__/~~nc::/'"
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\
PAULINE H. LONG
3
Signed, sealed, published and declared by the above-
named Testatrix as and for her Last will and Testament in our
presence, who, at her request, in her presence and in the
presence of each other, have hereunto subscribed our names as
attesting witnesses.
..~.-.-.~
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Address
t,
";"1,,1
Address
4
Register of Wills of
Cumberland
County, Pennsylvania
OATH OF SUBSCRIBING WITNESS
Estate of
Pauline H. Long
No.
also known as
, Deceased
James D. Bogar and Bonnie L. Williams
(each) a subscribing witness to the 0 codicil(s) [!] will(s) presented herewith, (each) being duly qualified according to law
depose(s) and say(s) that shelhe/they was/were present and saw the above Testator(rix) sign the same and that shelhe/they signed as
a witness at the request of Testator(rix) in hislher/their presence and [!] in the presence of each other 0 in the presence of the
other subscribing wiitness(es).
James D. Bogar
One West Main Street
Shiremanstown, PA 17011
(~~s) ,
~. ct ":5tm n l1> c1. 1~&2t O/YfvO
(Signature)
Sworn to or affirmed and subscribed
Bonnie L. Williams
One West Main Street
Shiremanstown, PA 17011
(Address)
before me this / q HL- day
of ~M~du~, ;?Ou0>
(;) _u:if 4 Atl C;(L-.-'-
. i/
Notary Public
My Commission Expires:
(Signature and seal of Notary or. other official
qualified to administ..r oaths. S\;OW date of
expiration of Notary's comlTl:l',sio?)
,
(Signature)
(Address)
NOTE: To be taken by officer authorized to administer oaths.
NOTARIAl SEAL ~ se have present the original or copy of instrument(s)
SHIRE~ROl A. BOGAR. NOTARY PUBLl6 at ti Ine of notarization.
I'.ANSTOWN BORO., CUMBERlAND Co.
Prepared by the Penr)S~lvani& Bar AssociaiiorJ MY COMMISSION EXPIRES NOY. 13 2007
Copyright (c) 2004 form Solt,W:;"d Cli',ly In... l.(jCI<Mr Group, Inc,
Form #RW-2 (1991)
Beneficiary Information
We have the following beneficiaries on record for the deceased's accounts.
Account Number: 000513097972021
Designation:
<Not applicable for this product.>
Client Name:
Date of Death:
PAULINE H LONG
12/07/2006
Account:
Valuation Date:
51309797 2 021
12/07/2006
Estimated Values
'" ."~;r.:""" "':"'-.;~r"''''
The above information was provided by Wayne Logue of Ameriprise Financial, Inc.,
342 N Front St., Wormlesburg, Pa, 717-975-0202
I! M8fI'Bank
499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-MB-12
December 27. 2006
Alice Brown, Executrix
Estate of: Pauline H Long
442 Northstar Drive
Harrisburge, Pennsylvania 17112-8979
Re: E~ate of;1auZiT!~ H Lo!!9.
Account Number: 56214464, 31003914375984, 31003914376148,
31003915119109&31003916422684
Date of Death: December 7, 2006
Dear Sir or Madam:
Per a memo from Tammy Panagos at M& T Bank, dated December 19,2006, please be advised at
the time of death, the balance on the above referenced account was:
1.
Type of Account
Checking Account
Account Number
56214464
Ownership (Names of)
Pauline H Long *
Opening Date
08/28/64
$59,315.50
Balance on Date of Death
Accrued Interest
$
2.74
Total
......$59, 318:24.....=:.
2.
Type of Account
Certificate of Deposit Account
Account Number
031003914375984
Ownership (Names of)
Pauline H Long *
Opening Date
04/04/88
$15,150.00
$ 203.36
Closeq 12/22/06
Balance on Date of Death
Accrued Interest
Total
5,353.36 .....
3.
Type of Account
Certificate of Deposit Account
Account Number
031003914376148
Ownership (Names of)
Pauline H Long *
Opening Date
Total
10/10/91
$25,000.00
$ 267.01
""$25,26ioim
Closed 12/22/06
Balance on Date of Death
Accrued Interest
4.
Type of Account
Certificate of Deposit Account
Account Number
031003915119109
Ownership (Names of)
Pauline H Long, James R Long *
Opening Date
12/09/05
$23,135.34
Balance on Date of Death
Accrued Interest
$
72.62
Total
"""$23;20i"96".
5.
Type of Account
Certificate of Deposit Account
Account Number
031003916422684
Ownership (Names of)
Pauline H Long, Alice L Brown *
Opening Date
08/14/06
$11,584.10
$ 157.45
Balance on Date of Death
Accrued Interest
Total
1,741.55
* For further account information, regarding ownership, closures and/ or reimbursement of
funds, etc., please contact the Colonial Park Drive Office at # 717-255-2233.
M & T Bank
DOD Unit / Record::? Management
Page: 1 Document Name: untitled
CULO
ACTION:
COlD
BALANCE
T PAULINE H LONG
T JAMES R LONG
A 442 NORTHSTAR DR
C'HARRISBURG PA 17112-8979
ACPR 2 CIS ACCOUNT/PRODUCT PROFILE 07/02/09 11.13.01
CO 96 OP EBRN / MS 64000 ACTION SUCCESSFUL
INQ (INQ NXT NXTCUS NXTACR NXTRMK ACDT ACDE)
96 PRODUCT CDA ACCOUNT 031003913905807 EMPLOYEE SENSITIVITY 0
ST 08 SUB-PRD CL SSN/TID: 188323762 CD 0 LINE 1
CNTRY OFF1- 06129 OFF2- 99999
BRANCH------------- 6129
COST CENTER------ 6129
OPEN DATE-------- 1001207
CLOSE DATE------- 1051209
CURRENCY-----------
LAST MAINT. DATE- 1040614
ACTN: CUPR
SEQ- COID-
0001 96
0002 96
RELATED CUST
CUSTOMER---------------~---------------
JAMES R LONG
PAULINE H LONG
o MER S NEXT: 1
TIE- REL----- APSP OWNER %
24 JOINT PR NNN 100.0000
2 JOINT SC NNN 100.0000
U N T S NEXT: 1
REL----- APSP OWNER %
R E LA TED A C CO
SEQ- COID- PRD ACCOUNT----------------
REMARKS
0001 PLACED 1030704 EXP. DATE~999999 ALLFIRST ACCT NO
PLACED EXP. DATE
NEXT:
80000002151079
1
The above information was provided by Tammy L. Panagos, Assistant Branch Manager,
M&T Bank, 4950 Jonestown Road, Harrisburg, PA 17109, 717-255-2233, Th~ purpose
was to show that the joint account was established December 7, 2000. Accordmg to Ms.
Panagos the M&T date format is: century, year, month, day, i.e., 1001207.
Date: 2/9/2007 Time: 11:13:43 AM
Page: 1 Document Name: untitled
CULO
ACTION:
COlD
BALANCE
T PAULINE H LONG
T ALICE L BROWN
A 442 NORTHSTAR DR
C HARRISBURG PA 17112-8979
ACPR 2 CIS ACCOUNT/PRODUCT PROFILE 07/02/09 11.11.23
CO 96 OP EBRN MS 64000 ACTION SUCCESSFUL
INQ (INQ NXT NXTCUS NXTACR NXTRMK ACDT ACDE)
96 PRODUCT CDA ACCOUNT 031003913905790 EMPLOYEE SENSITIVITY 0
ST 08 SUB-PRD CL SSN/TID: 188323762 CD 0 LINE 1
CNTRY OFF1- 06129 OFF2- 99999
BRANCH------------- 6129
COST CENTER------ 6129
OPEN DATE-------- 1001207
CLOSE DATE------- 1051213
CURRENCY-----------
LAST MAINT. DATE- 1040614
ACTN: CUPR
SEQ- COID-
0001 96
0002 96
RELATED CUST
CUSTOMER-------------------------------
ALICE L BROWN
PAULINE H LONG
o MER S NEXT: 1
TIE- REL----- APSP OWNER %
20 JOINT PR NNN 100.0000
2 JOINT SC NNN 100.0000
U N T S NEXT: 1
REL----- APSP OWNER %
RELATED ACCO
SEQ- COID- PRD ACCOUNT----------------
REMARKS
0001 PLACED 1030704 EXP. DATE 9999999 ALLFIRST ACCT NO
PLACED EXP. DATE
NEXT:
80000002151078
1
The above information was provided by Tammy L. Panagos, Assistant Branch Manager,
M&T Bank, 4950 Jonestown Road, Harrisburg, PA 17109, 717-255-2233. Th~ purpose
was to show that the joint account was established Decemb~ 7, 2000. Accordmg to Ms.
Panagos the M&T date format is: century, year, month, day, i.e., 1001207.
According to Ms. Panagos the CD Opening Dates (as shown on the previous page)
change whenever the terms of the CD are changed. Therefore, the Opening Dates
on the previous page reflect the most recent term changes and not the original
Opening Dates of the joint CDs.
Date: 2/9/2007 Time: 11:12:06 AM