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HomeMy WebLinkAbout07-11-07 (2) """ / / / --I 15056041147 REV-1500 EX (06-05) PA Department of Revenue . Bureau of Individual Taxes PO BOX.280601 . Harrisburg, PA 17128-0601 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death OFFICIAL USE ONLY county Code Year INHERITANCE TAX RETURN RESIDENT DECEDENT 2 1 0 7 FOe Number 0154 Date of Birth 204016864 01182007 07171911 Decedent's Last Name Suffix Decedent's First Name THRONE EVA MI L (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW I!] 1. Original Return 9. Litigation Proceeds Received o o o o 4a. Future Interest Compromise (date of death aftar 12-12-82) 2. Supplemental Return o o 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required o [K] [J 4. Limited Estate 6. Decedent Died Testate (Attach Copy of Will) 7 Decedent Maintained a Living Trust . (Attach Copy of Trust) 8. Total Number of Safe Deposit Boxes 10 Spousal Poverty CredO (date of death . between 12-31-91 and f-1-95) o 11. Election to tax under Sec. 9113(A) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number JERRY A. WEIGLE ESQUIRE 7175327388 ~ = Firm Name (If Applicable) City or Post Office SHIPPENSBURG State PA ZIP Code 17257 :t'l REGISTER.'O~LLS UtE,.ONL ~ c::) u C G)."") 1.1 ::L (") ..- ;:-;=; :0 ,; ".' r- .-, " =::':9 , Cf) 7;: 00 r''')~,__) ~fl ~::; ~j . Cl --; ~TE FILED ~ -0 WEIGLE & ASSOCIATES. P.C. First line of address 126 EAST KING STREET Second line of address ~'" -'- Correspondent's e-mail address: Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knoWledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN v e~-^ ?y/.?J{ aA})"'Jo~ ADDRESS Cinda M. Markley Jerry A. Weigle Esquire 126 East King Street, Shippensb Side 1 L 15056041147 15056041147 --.Jco PA Inheritance Tax Return Signature of Additional Fiduciaries ESTATE OF Throne, Eva L. FILE NUMBER 21.{j7.{j154 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. Signature #2 v Name Add ress 1 Address2 City, State, Zip Annvllljt, PA 17003 Y~7 Date ...J ],SOSb042],48 REV-1500 EX Decedent's Name: E vaL. T h ro n e Decedent's Social Security Number 204016864 RECAPITULATION 1. Real Estate (Schedule A).......................................................................................... 1. 2. Stocks and Bonds (Schedule B)............................................................................... 2. 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. 6. Jointly Owned Property (Schedule F) D Separate Billing Requested............. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) D Separate Billing Requested............. 7. 8. Total Gross Assets (total Lines 1-7)....................................................................... 8. 298 25 12,760 69 13,058.94 9,527 34 391 76 9,919 10 3,139 84 9. Funeral Expenses & Administrative Costs (Schedule H)......................................... 9. 10. Debts of Decedent, Mortgage Liabilities, & 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 Governmental 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. 16. Amount of Line 14 taxable at the spousal tax rate, of transfers under Sec. 9116 (a)(1.2) X ~ 0 00 Amount of Line 14 taxable at lineal rate X .045 3 , 139 84 Amount of Line 14 taxable at sibling rate X .12 0 00 Amount of Line 14 taxable at collateral rate X .15 0 00 18. 15. 16. 17. 17. 18. 19. Tax Due...... ..................................... ................................ ...................... ............... ..... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 L 15056042148 3,139.84 o 00 141 29 o 00 o 00 141 29 D 15056042],48 ...J ,.......~"'~_. .-, .....~,..1"v_.._~_ REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME Eva L. Throne STREET ADDRESS 201 Kerrsville Road, Carlisle File Number 21-07 -0154 CITY i STATE Carlisle PA 'ZIP------------ --- 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CreditslPayments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) 141.29 130.00 6.84 3. Interest/Penalty if applicable D. Interest E. Penalty Total Credits (A + 8 + C) (2) 136.84 TotallnterestlPenalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. 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. A. Enter the interest on the tax due. 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) (4) (5) (5A) (58) 4.45 4.45 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;.................................................................................. D [!] b. retain the right to designate who shall use the property transferred or its income;.................................... [J [!] c. retain a reversionary interest; or.................................................................................................................. D [!] d. receive the promise for life of either payments, benefits or care?.............................................................. 0 [!] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?........... ............................................................................................................ [J [!] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... D [!J 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?............................... ............ ..... ........................................... ...................... .... [J [!l 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 .5. 99116 (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. 99116 (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 zero (0) percent [72 P.S. 99116 (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 four and one-half (4.5) percent, except as noted in 72 P.S. 99116 1.2) [72 P.S. 99116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. 99116 (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. . --~~~""""""~-'"?'~f_-'-:""""~''''''__',~'''!''''",._~''''l'_'''-'~'~'''''''-' Rev-1608 EX+ (8-911 . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Throne, Eva L. FILE NUMBER 21-07-0154 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jolntly-owned with the right Of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION 1 U. S. Treasury - 2006 federal income tax refund VALUE AT DATE OF DEATH 30.00 2 Capital Blue Cross - refund 268.25 TOTAL (Also enter on Line 5, Recapitulation) 298.25 (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) ~--'.'~''''''''''--''---''''''''''''''''''",,,~'''',,;~'_'''',':'l'j>!r.'':~~~"''-'~,"",,-"""""- Rev-1509 EX+ (6-98) *' SCHEDULE F JOINTLY-OWNED PROPERTY COMMO~THOFPENNSVLVAN~ INHERITANCE TAX RETURN RESIDENT DECEDENT Throne, Eva L. FILE NUMBER 21-07-0154 ESTATE OF If en e..et wee mede Joint within one yeer of the decedent's dete of deeth, It must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME A. Cinda M. Markley ADDRESS RELATIONSHIP TO DECEDENT Daughter Box 439 Carlisle, PA 17013 B. 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 ~ATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR ALUE OF ASSET INTEREST DECEDENrSINTEREST JOINTL V-HELD REAL ESTATE. 1 A 3/22/1996 Members First Federal Credit Union 5,000.00 50.000% 2,500.00 Certificate of Deposit #107233-41 - opened 11-20-06, rolled over from Certificate #107233-40 opened 3-22-96, joint with Cinda Markley, daughter A 3/22/1996 Accrued income on Item 1 through date 11.39 50.000% 5.70 of death 2 A 3/14/1989 Members First Federal Credit Union 967.14 50.000% 483.57 Checking Account - #107233-11 opened 2-3-03 joint with Cinda Markley, daughter 3 A 3/14/1989 Members First Federal Credit Union 2,488.58 50.000% 1,244.29 Investment Savings Account - #107233-050pened 4-11-96 joint with Cinda Markley, daughter A 3/14/1989 Accrued interest on Item 3 through date 0.29 50.000% 0.15 of death Total of Continuation Schedule ~ee attached page TOTAL (Also enter on Line 6, Recapitulation) 12,760.69 (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 F (Rev. 6-98) ,..""""",...........,.-~""i'~,~~- Rev.1509 EX+ (6.98) . SCHEDULE F JOINTLY -OWNED PROPERTY continued COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Throne, Eva L. FILE NUMBER 21-07-0154 ESTATE OF If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. JOINTLY OWNED PROPERTY DESCRIPTION OF PROPERTY % OF ITEM LETTER DATE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH DATE OF DEATH NUMBER FOR JOINT MADE NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR VALUE OF ASSET DECD'S VALUE OF TENANT JOINT JOINTLY-HELD REAL ESTATE. INTEREST DECEDENT'S INTEREST 4 A 3/14/1989 Members First Federal Credit Union 27.04 50.000% 13.52 Regular Savings Account - #107233-00 opened 3-14-89 joint with Cinda Markley, daughter 5 A 8/27/1993 Sovereign Bank Certificate of Deposit 17,000.00 50.000% 8,500.00 #2895373237 - opened 8-27-93 joint with Cinda M. Markley, daughter A 8/27/1993 Accrued income on Item 5 through date 26.92 50.000% 13.46 of death TOTAL (Also enter on Line 6, Recapitulation) 12,760.69 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA.1500 Schedule F (Rev. 6-98) "":'~o!i\~-.,.t:,..!!:f.,"'"",!~,:<,,~",:"'_, ~~"':7f--- REV-1151 EX+ (12-99) . SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Throne, Eva L. Debts of decedent must be reported on Schedule I. FILE NUMBER 21-07 -0154 ESTATE OF ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION AMOUNT ALL FUNERAL EXPENSES, ADMINISTRATIVE COSTS, FEES, TAXES, AND DEBTS OF DECEDKlIT WERE PAID OUT OF JOINT ASSETS. See continuation schedule(s) attached 8,260.49 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions B. Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City Year(s} Commission paid State Zip 2. Attorney's Fees Weigle & Associates, P.C. 750.00 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 Register of Wills, Cumberland County 117.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs See continuation schedule(s) attached 399.85 TOTAL (Also enter on line 9, Recapitulation) 9,527.34 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) ~ .'~, """"" ,,,_v_,,:~":~_'~,,,..~,~~,<,,~........,.......~ _ ,~~_~,"-...., Rev-1502 EX+ (6-98) . SCHEDULE H-A FUNERAL EXPENSES continued COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Throne, Eva L. FILE NUMBER 21-07-0154 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 Hoffman-Roth Funeral Home 8.260.49 Subtotal 8.260.49 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-A (Rev. 6-98) "O'>""r.>r".'l".rY:.V''{''''''. ,,,.,,,...~"'...,..,,~ ~-",,,--,",- Rev-1502 EX+ (6-98) . SCHEDULE H-87 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Throne, Eva L. FILE NUMBER 21-07-0154 ITEM NUMBER DESCRIPTION AMOUNT 1 Cumberland Law Journal - advertising Letters Testamentary 75.00 2 Linda K. Klein - notary fee 20.00 3 Register of Wills, Cumberland County - filing PA Inheritance Tax Return 15.00 4 Register of Wills, Cumberland County - filing Family Settlement Agreement 75.00 5 Register of Wills, Cumberland County - Short Certificate 4.00 6 The Sentinel - advertising Letters Testamentary 187.85 7 Weigle & Associates, P.C. - reimbursement for postage, xerox copies, and long distance telephone calls 23.00 Subtotal 399.85 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) ~ ~~~':~~."f."',~,~". .~._~ Rev.1512 EX+ (6.98) . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Throne, Eva L. FILE NUMBER 21-07 -0154 Include unrelmbursed medical expenses. ITEM NUMBER DESCRIPTION 1 Cinda Markley - reimbursement for fuel oil paid for decedent VALUE AT DATE OF DEATH 134.64 2 Joyce Palm - 2006 income tax preparation 15.00 3 Members First Federal Credit Union Checking Account - checks clearing after date of death 242.12 TOTAL (Also enter on Line 10, Recapitulation) 391.76 (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 .. BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF NUMBER Throne, Eva L. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal aistributions, and transfers under Sec. 9116(a)(1.2)] RELATIONSHIP TO DECEDENT Do Not US! Trustee/al FILE NUMBER 21-07-0154 SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) I. 1 Cinda M. Markley 211 Kerrsville Road Carlisle, PA 17013 Daughter Joint Assets 3,139.84 2 Bonnie M. Sheaffer 2 Patton Road Annville, PA 17003 Daughter Total 3,139.84 Enter dollar amounts for distributions shown above on lines 5 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) .. .. " IAST WILL AND TESTAMENT l I, EVA L. THRONE, of West pennsboro Township, Cumberland County, Pennsylvania, declare the following to be my last Will and Testament, hereby revoking all former Wills and Codici+s heretofore made by me. ITEM I. I direct my Executor hereinafter named to pay all my just debts and funeral expenses as soon after my death as may be convenient. ITEM II. I devise and bequeath my entire estate, of every kind and nature and wherever situate, to my husband, JOHN C.THRONE, provided he shall survive me by thirty days. ITEM III. Should my said husband predecease me or fail to survive me by thirty days, I devise and bequeath my entire estate, o.f every kind and nature and wherever situate, to my chi 1dren, CINDA MARKLEY and BONNIE SHEAFFER. The share of ~~......~..~...' ';;!l...~....~ IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of vI~ , 1979. ~/V~ ::J ~~ Eva L. Throne Signed, sealed, published and declared by the above-named Testatrix, Eva L. Throne, as and for her last Will and Testament, who, in our presence, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses: ~-"A.)~~~~~ \ -L /~'~-?AJ ~dl?/Z- , (SEAL) '< COMMONWEALTH OF PENNSYLVANIA) COUNTY OF CUMBERLAND SS. I, EVA L. THRONE , 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 my last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. t /U~ 1. 'j'~JL0-r4. Eva L. Throne Sworn and Subscribed to before me this c2 day Oh~ ,~79. "'~.~. ANNi: IVi. i,A./'-.. <'-,'_/:.<:1"Y I l~Dil.:: 6arllsle Cumbo Co. Penna. i\iJv CommiSsj{A: ,:~.r.;.'rc", JUtlr .14 ~_. lur .. ~ COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND We, .~L~JJL~6r, and ~/~ witnesses whose names are signed to the attached or foregoin9 the instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her last Will, and that she signed willingly and that she executed it as her free and voluntary act for the purposes therein contained; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge, the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. ,~ -~ J ~ ~"'~ ~4~/ , ~-!!"':lf,7:r:;-">>~,.'._';;C~ ~.T:7~~::S~" ... CODICIL TO LAST WILL AND TESTAMENT OF EVA L. THRONE DATED JULY 2, 1979 I, EVA .L. THRONE, of R. D. 4, West Pennsboro Township, Carlisle, Cumberland County, Pennsylvania, being of sound mind, memory and disposition, having made my Last Will and Testament dated July 2, 1979, do hereby make, publish and declare this to be a Codicil to my said Last Will and Testament. FIRST. I hereby delete ITEM V of my said Last Will and Testament and substitute the following: I hereby nominate, constitute and appoint my daughters, CINDA M. MARKLEY, of R. D. 4, Box 439, Carlisle, Pennsylvania, and BONNIE M. SHEAFFER, of R. D. 3, Annvi11e, Pennsylvania, or the survivor of them as CO-EXECUTRICES OF MY SAID Last Will and Testament. SECOND. I hereby ratify and confirm my said Last Will and Testament except insofar as any part thereof is revoked or modified by this Codicil. IN WITNESS WHEREOF, I, EVA L. THRONE, have to this, a Codicil to my Last Will and Testament dated July 2, 1979, subscribed my name and set my seal this rtt day of January, 1987. g/V"CL i ~./Ll~ (SEAL) MARK. WEIGLE AND PERKINS - ATTORNEVS AT LAW _ 115 EAST KING STREET - SHIPPENSBURG, PA. 17257 ." This instrument was by the Testatrix, Eva L. Throne, on the date hereof, signed, published and declared by her to be a Codicil to her Last Will and Testament dated July 2, 1979, in our presence, who at her request and in her presence and in the presence of each other, we believing her to be of sound and disposing mind and memory, have hereunto subscribed our names as witnesses. ~~ fl. ~ ,-J)~ ,;Y~)! )/~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SSe I, EVA L. THRONE, the Testatrix whose name is signed to the foregoing Codicil, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as a Codicil to my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~ t~~ Sworn or affirmed to and acknowledged before me by Eva L. Throne, the Testatrix, this ft:1. day of January t 1987. .YlJ~c. ~ . Me .'. SblJ)P'l~~i:g ~.. Notary PubIrc My COniml' ~A CUmberllllld eo...., .. 011 &Pl. July ~, 18llO MARK, WEIGLE AND PERKINS - ATTORNEYS AT LAW - 115 EAST KING STREET _ SHIPPENSBURG, PA. 17257 .. COMMONWEAL TH OF PENNSYLVANIA SSe COUNTY OF CUMBERLAND We, ~~ "n. ~\.~tlJ..~ and ;:L~ y y~ the witnesses whose names are signed to the foregoing instrument, being duly quali- fied according to law, do depose and say that we were present and saw Testatrix, EVA L. THRONE, sign and execute the instrument as a Codicil to her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Codicil as witnesses; and that to the best of our knowledge the Testatrix was at that time eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. ~ l). ~~ ~ ;:: K~ Sworn or before and the witnesses, ~tUJj ./))~ .C ~ Mary E. Seavers, Notary Pubnc ShlppeliSburg, PA. Cumberland County My Comml88lon Expll'88 July '0. 1990 ri~~d . ....:.:.\i.~.~ , day of , 1987. MARK. WEIGLE AND PERKINS - ATTORNEYS AT LAW - 115 EAST KING STREET _ SHIPPENSBURG. PA. 17257 ~1~ MEMBERS 1st FEDERAL CREDIT UNION REGULAR SAVINGS ACCOUNT: Account NumberlSuffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest to Date of Death Name of Joint Owner Date Joint Ownership Established 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 to Date of Death Name of Joint Owner Date Joint Ownership Established INVESTMENT 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 to Date of Death Name of Joint Owner Date Joint Ownership Established CERTIFICATES OF DEPOSIT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest to Date of Death Name of Joint Owner Date Joint Ownership Established MAR 1 6 2007 107233-00 03/14/1989 $27.04 $.00 $27.04 Cinda Markley 03/14/1989 107233.11 02/03/2003 $967.14 $.00 $967.14 Cinda Markley 02/03/2003 107233-05 04/11/1996 $2,488.58 $.29 $2,488.87 Cinda Markley 04/11/1996 107233-41 11/20/2006* $5,000.00 $11.39 $5011.39 Cinda Markley 11/20/2006 *Rollover from certificate 107233-40, originally established 3/22/96. Estate of: EVA L. THRONE Date of Death: January 18, 2007 Social Security Number: 204-01.6864 M~BERS.1ST FEDERAL CREDIT UNION ~~-ltAb'-O- Danielle A. Kline Insurance Services Specialist March 14,2007 5000 Louise Drive · P.o. Box 40 · Mechanicsburg, Pennsylvania 17055 . (717) 697-1161 · www.members1st.org MAR ? 1 2007 Court Ordered Processing / MA 1 MB3 02-10 P.O. Box 841005 Boston, MA 02284 March 15,2007 Weigle & Associates, P.C. Attorneys at Law 126 E. King St. Shippensburg, PA 17257-1397 RE: Estate of: Eva L. Thome Date of Death: January 18,2007 Dear Mr. Weigle: Per your request, enclosed please find the account information as of date of death for the above-named decedent. Please note the balances do not include accrued interest. If you should have any further questions, please do not hesitate to call. Very truly yours, Y1~p::L~(.. 'C \, '---~,--< Linda Spavento Team Leader Court Order Processing (617) 533-1789 (617) 533-1931-fax .. ... Sovereign Bank ESTATE OF SOCIAL SECURITY #: DATE OF DEATH: Eva L Throne 204-01-6864 January 18, 2007 Account #: 2895373237 Type: CD In the name of: Eva L Throne or Cinda M Markley Date of Death Qalance: $17,000.00 Int.(YTD) from 1/1/2007 to 1/18/2007 Accrued interest to date of death: $26.92 Other Info: Open date: 8/27/1993 $0.00 Page 1 of 1