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Home My WebLink About07-20-07 .... z W Q .-w (,) w c ~ lIl:~~ fd lI.U :z:~9 () 1I.1II ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENT'S NAME (LAST, FIRST, AND MIDDlE INITIAL) MARYELLEN C. MARKLOFF DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-DD-Year) OFFICiAl USE ONLY FILE NUMBER 2 1 -0 7 02 0 6 'CciUiiTYCOOE -YEAR- - - 'NiiiiiiER- - SOCIAL SECURITY NUMBER THIS RETURN MUST BE FilED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER D 3. Remainder Retum (dal8ofdeathprior~12.13-82) D 5. Federal Estate Tax Retum Required _ 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (AlIach Sch 0) z o ~ ;:) .... it <C (,) w 0::: 02/12/2007 04/05/1924 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) 001. Original Retum D 4. Limited Estate 00 6. Decedent Died Testate (AlIach copy oIW11) D 9. Litigation Proceeds Received D 2. Supplemental Retum D 4a. Future Interest Compromise (date of death after 12.12-82) D 7. Decedent Maintained a Living Trust (Allach copy ofTrus~ D 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) PA 19053 0.00 523,734.86 OFFICIAIrUSE ONLY c::;, t;:;;;.;) _,J .... z UJ Q Z ~ i o U NAME James W. Sutton Jr. Es uire FIRM NAME (If Applicable) James W. Sutton Jr. P.C. TELEPHONE NUMBER 215-355-3200 COMPLETE MAILING ADDRESS 1014 Millcreek Drive Feasterville (") f~~o t- h, > ::u ,.. ?~ ClOQ C) C) T1 C)C ':0 :":J~ J;> L- c: r-- f',' o .'" 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation. Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) D Separate Billing Requested 7. InterNIVOS Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Groll Assets (total Lines 1-7) 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) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 5.405.46 ..,.., 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o ~ ~ ;:) I:L =e o (.) ~ 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X _(15) 510,394.94 X .045 (16) X .12 (17) X .15 (18) (19) r .- 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. D CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT (8) 529,140.32 17,858.46 886.92 (11) (12) (13) 18,745.38 510,394.94 (14) 510,394.94 22,967.77 22,967.77 d,fV\ Decedent's Com lete Address: STREET ADDRESS 210 Bi 5 CITY . Newville STATE PA ZIP 17241 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 22,967.77 Total Credits ( A + 6 + C) (2) 3. InterestlPenalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E) (3) 4. If Une 2 is greater than Line 1 + Une 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Une 1 + Une 3 is greater than Une 2, enter the difference. This is the TAX DUE. (5) A. Enter the Interest on the tax due. (SA) B. Enter the total of Une 5 + SA. This is the BALANCE DUE. (56) 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; ........................................................................... 0 00 b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 00 c. retain a reversionary interest; or ...................................................................................................... 0 00 d. receive the promise for life of either payments, benefits or care? ............................................................. 0 00 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?........................... ...... ................................. ....... ....... ...... ........ 0 00 3. Did decedent own an 'in trust for' or payable upon death bank account or security at his or her death? ................. 0 00 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... 0 00 0.00 22,967.77 22,967.77 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ADDRESS C/l-/7I7< A' ^ //IJ PA 19072-2301 DATE -(-/2-<.1) /9,n 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% il2 P.S. S9116 (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 P.S. S9116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disciosure of assets and filing a tax retum 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. S9116(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. S9116(1.2) [72 P.S. S9116(a)(1)]. The tax rate Imposed on the net value of transfers to or for the use of the decedent's siblings is 12"10 [72 P.S. ~9116(a)(1.3)J. A sibling;s defined, under Section 9102, as an Individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-15,03 EX'_. SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MARYELLEN C. MARKLOFF FILE NUMBER 21 07 All property jolntly-owned with right of survivorship must be disclosed on Schedule F. 0206 ITEM NUMBER 1. DESCRIPTION UVest Financial Services - Account # A8A-034844 VALUE AT DATE OF DEATH 523,734.86 TOTAL (Also enter on line 2, Recapitulation) $ (If more space Is needed, insert additional sheets of the same size) 523 734.86 10 . d l1::HOl ~ ~ :;: = !. g ;;t 6'1 ~ Co.) ~ ~ ~ "-l"-l 0101 0"0 00 00 00 00 ::r:r CD lit ClI & ZC Q ID ~.g :r ::r 3 ;:r ." C") g g -I~ ~ ~ "tl QI . :.. 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"" ~~~f%&~ ..1. ~ "'" .-4~.~ ~ ~~~~~~ \~~ \~~,~\ t I ~ ~lU"h~b\5":~ ~h 'l~'ei;l;;;q W I l' 15 ~'~ s~~ ~ ~.v,~g~l i? ~~-~~"B:a 1 i . ~ I l. ~ a.. aa ~ ~ Q ;, 30 V'. :"1 50- i U; -::::.s;e. "" '0 r alP g'q? :::n~Cl-("l~ Ii'. ~1/lc:~V'rT1"" - 0. ~~. ~ 5O-zU;z~~ ~ {5 ll"jeQ~S!tl g \ sa !t t~ $ 2.~'e~::2 ~ ~ iaz;@)~~, J.. .. "', tJ ~ _ n i% rn !i '0 ~ ,=,". z; S <r> 0 'R -.,. ~ ~ V'-oos."" os.<r>6a~rT1o-:::: -l. "-l""'" Z -,.. 00 ~_O~II!'" "n' ~s.'V' -0 ~\" ~ ~~'::::'<;2.9.9l 0 0 80 ~ _\ 0 5O-V'v,'O a. 'a _ \..1'1 --". - ':J!.o 0 s- o a:l '6-:= c: _ s 0 0 ~ ~ ~ z; ~ ~ z.. 2. ~ ~ ~ U; ~ ~ .. , ~ i I "8 ~i o ~ 'g - '.\ t;? '0 8 '8 't -CQ '9> .... a> ~ :g i;a. -z n c ~ 3 '"'ICT - n> ~:1 3:~ r;B~ \~ ;-:$ a ...., ...,.., Cl ?1 o { i \ t '=' ~ \ , \ S. "i '-I ~ In 0 tJ 0 ~ ~ ~ l ...... '-I ~ V' .. l;j. . - ~ - -~ ~ '-I ~ \J1 $ ~ I i -0 i i ~ ~ "1 ~ l \ \i ,\ 1'1 I" .... t i l~ y.i \1 11- )? \\ 'i:l 1'( i \! c.>> ~ ... F '1 :;: \ 1\ ..,.. a> a> \ "" ~ ~ Cr> ~ - - ~ ~ ,.., \:t. 'B .. cg ~ ~ 0> ~ ~ '-I i \\ l\ ~~ \9. i (I I ~ ~ r.ll~ I _"'T'\ m ~ ::J fa ,( "T1 -4 t: 0 c..;;to . ~ I~ ~ ~;a. i ji'_ ~_ r Ei~ EO" H li,l t :I II ,I II II d -i'l 1'. Ii !~ ~ ~ _~ i d ~ ~ ~ ~ ~ l f (I' .. P \.;:;;~ ~ .. co. '" ~ ...- co. ='" ",!l '"'~ - .. S is '"' )0 o o '" ... ... ... .... <l '" ~ o '" ~ ~ ~ ~ ". , ell ~ I =r t;'. IV r ",. <C <C In <XI ~.!"~lnIVU. . !oj ~ e:; ~ 1s'" pt!" <C - -![ tC 18:::;8f:lL I . - r.. I~~i~i ~III:'::':: :.::::. ::::::: f. ;; .... iJ !f 1-:;0 !L. r i J~ .."" ,,!Ii ~:t i'" - II ~." ~~ 11 eO ...z J~ - It ! ",;:j a. ...-0 - -0 .... (if-1af i~ iii I;; ~ a-[ ~I if~. ~~. l'i i~ Ii ~i it ~~ C>> ~ Cil Ii 'al;E -m 00 ........m lO;;tJ -...J- Uln ,7' ~)> OCD oE m ;:fl 5 ~ n~ = ~~t:"" : ~~t:"" =- ::I: t:.%.l : ""d Z Eo- > n _ ~~t:"" :- '" 0 t2j ~ ~l;~ - I ~ :... ~ ~ :- 0 E:: f ~ ~ := 0 - '".rj := '".rj : t:l = t2j =- n Eo- t:l - - ii~~~ I ._c..~ "t1)gj~ I liii ..~!!'" i{ I =~ < ~ ~ - - ll- e e e tv 01 ~ tv " o to.l ~ o . U1 ... U1 ~ o o o \D U1 ~ o to.l :g o to.l o o o o o o f ;~ if II l-z o Ie: ~ ~J . .@E aCt",," - "5 Gii I ! g I I i~~.~ ~J~f~1. ~t;~e[~ ~~.~,i ~ I'~ REV-1508 ~ + (6-~ "~ SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MARYELLEN C. MARKLOFF FILE NUMBER 21 07 Include the proceeds of litigation and the date the proceeds were received by the estate. All property Jolntly-owned with right of survivorship must be disclosed on Schedule F. 0206 ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 3,496.35 PNC - Account #85-336-6626 2. Adams County National Bank - Account #2138468 1,488.39 3. PNC - Account #88-1782-0667 236.28 4. Green Ridge Village Refund 184.44 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 5 405.46 )~/h i1ct~~~~~\-;,,-~~i::1 ,:k.t~~t?:s:.,~,.r ~::-:;',?;<-: .~,~~~t ~~~:~l'~.~~~'S~,:,,:.J-:rd~"" ~,,~.:.. :' ~"~'l~J~~~J-~~",,'~ .~y-;, :':"I~:;. ~'~".'-.~-:~~~:;~~~"~ ".~ ~S':.~ :.. ..~~~~: ~... ~ ...,'~ ':. '.f- ~. . ~ .~ :_"-: ..~ ' .. - ~_ Total Banking Statement PNC Bcmk 0PNCBANK For the period 0210612007 to 0310512007 Primary account number: 85-3336-6626 Page 1 of 4 Number of enclosures: 0 x MARYELLEN C MARKLOFF 433 ANTHWYN RD NARBERTH PA 19072-2301 Q For 24-hour banking, and transaction or interest rate information, sign on to 'It PNC Bank Online Banking at pnc.com. For customer selVice call1-888-PNC-BANK between the hours of 6 AM and Midnight ET. Para selVicio en espai'iol, 1-866-HOLA-PNC Moving? Please contact us at 1-888-PNC-BANK 1:81 Write to: Customer SelVice PO Box 609 Pittsburgh PA 15230-9738 Q Visit us at pnc.com ~ TOO terminal: 1-800-531-1648 For hearing impaired clients only Relationship Overview Bank Deposit Accounts Description Interest Checking Money Market Total Deposits Account Number , Deposit Balance 85-3336-6626 88-1782-0667 3,496.35 236.28 3,732.63 Do you receive a Social Security or SSI check by mail? Here are three good reasons to switch to direct deposit. It's Safer, mailed checks can be lost or stolen; Easier, your funds are deposited to your PNC account electronically; and best of all it's Convenient, your money is available 'Without making a trip to the bank. Enrolling is easy. Stop in at any PNC Baok branch or call us at 1-888-762-2265 6am-12 midnight for more information 00 how to enroll. Buying a New Home or Looking to Refinance? Let PNC Mortgage Show You How. We can help you find the right mortgage to meet your needs. > First time home buyer > Building your dream home > Purchase & Renovate (SM) loans > Vacation & Second Homes > FHA & VA Loans Home Ownership Made Possible by PNC(Sl\'1) For More Information: > Ask to speak with your PNC Home Mortgage Consultant > Visit www.pncmortgage.com > Call 1-800-778-6678 All fust mortgage prodoc;1s are offered and provided by PNC Mortgage, IlL PNC Mortgage, !LC is licensed in New Jersey as a Department of Banking Mortgage Banker and Secondary Mortgage Loan Licensee. PNC Mortgage, llC may not be available in your area. Credit subject to approval. Information is accurate as of the date of printing and subject 10 change wilhont notice. o 2007 PNC Mortgage, !Le. All Rights Reserved. Equal Housing Lender g For 24-hour information, sign on to PNC Bank Online Banking ~ on pnc.com. Account number: 85-3336-6626 - continued \ For the period 03/06/2007 to 04/04/2\ MARYELLEN C MARKLOFF Primary account number: 85-3336-6626 Page 2 of 3 Total Banking Statement Activity Detail Checks and Substitute Checks Check Date number Amount paid \ \ \ Reference number 4633 50.00 03/12 087661605 Date 03/19 03/19 Amount Description .00 O~tstanding Item Close 3,446.35 Debit Memo Reference No There is 1 check listed totaling $50.00. There were 2 Other Deductions totaling $3.446.35. Other Deductions 025462851 Daily Balance Detail Dale Balance 03/06 3,496.35 Date 03/12 Balance 3,446.35 Date 03/19 Balance .00 Your Money. Your Business. YOUR FUTURE. PNC Investments can help you plot the course of a solid financial journey! . \Vhetheryour destination is education, retin:ment or somewhen: along the \vay, we have the products and services to help you create a sOlmd [mancial plan. For l11on~ infonllation call 1-800-PNC-6111; Stop by your local PNC Branch; or Visit pnc.colll Not FDIC' Insured * May Lose Value * No Bank Guarantee " Importa1lt Illvestor Illformatioll: Securities alld brokerage services are provided by PNC IlIvestments LLC, member NASD and SIPC. Annuities alld other insurallce products are offered by PNC Insurance Services. LLe a lice1lsed insurallce agency. Pay the protected way with your PNC Bank Visa Check Card. Use your card to set up automatic payments - your infonnation is protected by Visa's multiple layers of cardholder protection, including 24-hour iI-aud monitorulg. Find out more at pnc.com/pavbycard. Money Market Account SummaFY Maryellen C Markloff Account number: 88-1782-0667 Beginning balance 236.28 Deposits and other additions Checks and other deductions Endi ng balance Please see the Activity Detail section for additional information. Balance Summary .00 236.28 .00 Average monthly balance 102.38 Charges and fees .00 Activity Detail Other Deductions There were 2 Other Deductions totaling $236.28. Date 03/19 03/19 Amount Description .00 Outstanding Item Close 236.28 Debit Memo Reference No 025452849 Daily Balance Detail Dale Balance 03/06 236.28 Date 03/19 Balance .00 - 11l 0 r- .;t CO CO Q) ~ 0 CO U ~ 0> .;t '~ 2 '<""" I r- Q) 'S <( to (/) (/) 0- Cf) ....... ai .--. C -0 0 ci Q) ro c 0 E 0 >- co Z ....... ex:: ~ -" (]:I 11l C Q) .... 0 t- o :::- Q) 0 0 .s:: .s c 0 0.. .... ...- ~ ro 0> <'l (]:I S I :> \0 '.;::: ~ -E t- O> (Il 0> ~ - ::s .--. c: 0 0 .s:::. (\) <II (/) ...- () (\) ~ ~ .... 0 ro 0- r- '2 (\) '<""" 0:: en UJ - .- u.- O~ .-0 Q..UJ -en uJ_ oen uJ~ ct. 0' uJ :c o ..., C Q.) e~.~ tUl,: ~..., U 1: ;;a rA _,:~,1 o ar>~ - ~. :=>cu ~SU) ..... ..... '- ro Q) Q) Q) > ~ >- .2 c ~ (5 ~ r- cc:: r- 000 o <.) U1 o u.. u.. o ...J ~ ct <( ~ cL U1 ~ ~ U1 ....J <.) Z U1 ....J ....J U1 ~ <( ~ ci z (]:I :> -.;::: (Il c (\) <II (\) .... 0- (\) 0:: "'0 (]:I .... is o - c: :::I g <( 'C;f 'C;f co 'C;f (of') o I <( co <( G.i E (Il z (]:I ,~ tu C (]:I <II (\) 0- (]:I 0:: -0 Q5 Q) :J CO <( .:::I!. () 'C (1) -0 (1) ~ U- III (\) ~ .c ::s u Q) en c6 ~ Q) ..c () .... o - 0- '03 u Q) ex:: Q) :0 ro .- '0 UI Iii .- 0- 'Q) U Q) ex:: Iii E .... o u.. en ~ if) III Q) U .~ Q) en ....... c: Q) E III Q) :> .s ?; .Q ~ Q) "0 ro ~ r- o \.0 co (of') C"J.co co 'C;f (of') 'C;f N ~ 4;Ft~ ...- ...- r- to N N r- r- 0> 0> \0 \0 ~ - ADAMS COUNlY NATIONAL BANK ~' e. ~.t:abWUF 1-1 ~ /) /cfS?-200?j t7 / u c:Yea'~d-. CHECKING STATEMENT Statement Date: 04/15/07 Account #: 2138468 Page 1 801 MARYELLEN MARKLOFF 210 BIG SPRING ROAD GREEN RIDGE VILLAGE NEWVILLE PA 17241 It shouldn't take two loans to build one house. And we agree. With our construction mortgage, lock in one rate and pay one set of closing costs. Bring us your plans. Let's start building. Contact us today at 1.888.334.ACNB(2262). Equal Housing Lender. Equal opportunity Lender. Member FDIC. ESTEEM CHECKING Account # 2138468 Account Summary ~ . Previous Statement Balance + Deposits and Other Credits - Checks Paid or Other Debits - Service Charges + Interest Paid Ending Balance Days in Statement Period 03/12/07 1 1 Beginning Balance $1;488.27 Activity Ending Balance .12 1,488.39- .00- .00 $.00 34 Account Detail Date Activity Description Deposits/Credits CheckslDebits Balance BEGINNING BALANCE 1,488.27 03-22 INTEREST DUE .12 1,488.39 03-22 CLOSING ACCT AS PER CO-EXECUT- 1,488.39 .00 ORS CASHIERS CHECK MAILED TO CUSTOMER #5050563474 04-15 ENDING BALANCE .00 Interest Summary From 03/13/07 Throuah 04/15/07 Days in Statement Period Interest Earned Annual Percentage Yield Earned Interest Paid This Year Interest Withheld This Year 34 $.00 .00% $1.61 $.00 0 t- ~ Cf) Cf) """" 0 Cf) """" Cl'l ~ ~ """" \ ) 's <:( ~ ) ef) ~ C') ... a) 6" .... ~ C- O (\) fu' e S 0 0:. ~ .... l/l ..... 0 .... Q) (\) (\) 0 Q) 'in ~ C- ~ :::- ..... en 0 C tU \ :::. tI:l ~ ~ 1.0 0 .... '0; 0:: \- ::: :S b ~ ::l 6" 0 0 ef) ~ 0 ~ t- ~ en U1 - '= u-tt O~ t-.O 0...U1 ---. en.. W'.~ (.,)"', 1J,.\.. ~ "0 U1 -x. o -- III (\) .~ .c ~ (\) ef) oa {, (\). s:- O ..... o - ..... 0- 'G) (.) (\) ct: (\) :0 ~ '0 UJ t 'G) (.) (\) .ct: Iii E ..... o ll- ef) ~ i.ri l/l 'B .~ (\) ({) c: (\) ~ (\) ~ ~ ~ .... C (g.. '", . c.tU , ....,..U ;iP<n.-- O".(U " --.,,- ~ ctU ., _.ft ~ ~ C') (!) 1.0 o 1.0 o 1.0 Pennsylvania Act 171 Attachment A Calculation of Private Pay Refunds for Expired Residents for Pennsylvania Assisted Living & Nursing Facilities ( for contracts entered into on or after February 7, 2003 for residents who are 60 years of age or older) Information to be completed by business office staff . ., ,,'. 'i\ . Resident Name: Mary Ellen Markloff Community Name & Level of Care: (choose from Drop-Down list) Green Ridge Village -Nursing Birthdate: Age on Move In Date: Move-in Date Date of Expiration 4/5/1924 83 12/26/2006 2/12/2007 Number of Days between Day Advance Payment was Posted and Date Refund Check will be Mailed Number of Days in month of Expiration Number of Unused Days that were Prepaid Daily Elder Care Services Charge (included in Room & Board rate) $ Unused Elder Care Charges on Which Interest is Paid $ Date Advance Billing Paid (from Statement) Month Ending Date for month of Expiration 73 28 16 56.00 896.00 1/31/2007 2/28/2007 Date Refund Check is to be mailed Interest Rate per year 3% Amount of Refund (Excluding Interest) per Ancillary Charge Report and AIR statement $ Interest Calculation for Interest on Elder Care Services paid in Advance $ Total Amount to be Refunded $ 184.44 5.38 189.82 Refund To: Resident's Estate or Personal Representative Estate of Mary Ellen Markloff Address c/o John R. Markloff Address 433 Anthwyn Road City, State Zip Code Narberth, PA 19072 Page 1 PRESBYTERIAN HOMES · 4/13/2007 INVOICE. DATE REF ID.." :tSTAT:g OF MAItf ELLEN MARKLOFF No. 498866 '.~~~.AMdUNT;~'!,'Q!SCOl!N':f;;t; ~":AMOUN;TAf:'j:iLI~D\i 189.82 0.00 189.82 ," --- .... ..-' .... - --,,~.,""- ._... lJ) 0 r- '<:t 0) ..... CO U ..... 0 CO .~ Q) CO 0) '<:t 0) ~ ..... I CJ) :J <C r- eo -' (j) ,0- C'0 c - ' "'-~ 0) -0 ," ,Qi a E ro "" c 0 ' .. ~ . 0 ;,~.>-. co ci lJ) a:: ",~ro ....., 0) '- },s: Z >"0)"" ' , \ Q) Ef:"E ,& 0 .-J. c: 0 0 l.O :: t: co ..... t'- ~ .q- .Q S ,,~ Q) 0 0- co I ~ ":i:: U') 0 Q) ..- r- .~ I ,'.~ Q) .N 1.0 :J -ai 0 a 0 c (j') C/) ..... C'l Q) (j') 0 eo <II r- - "C Q) ..... C- o. Q) <( 0:: en w - l- ll..- O~ 1-(.) a.w ,.w: en " - () en -:~,~ ,;:tx: .(.) i~-:~~ .IJ C C1J E \n~ QJ~:' ~ ..., ~.' ;;a ,,, U~. .2 4)->: _>J.. -- OJ sS~ u.. u.. 0. ~ ~, 0:: <C' ~.~. '.' U' Z:.'" W :....J ~., W >- cr: <( ~ u..' ' 0- w'" t- o:( ~ (j) UJ u Q) '- is o Qi E ro ..- Z o Q) C"1 .~ <0 -ai .q- C o Q) I <II <C ~ co a. <C ~ '- m '- '- c Q) Q) ~ g >- ~ ~ :J X 0 ro ~ r:. 0:: ~ coo 0 o o <( 0:: I (n~~;:':-~: :'ti "Q ~u:~ ,,,,'.. 0 tffi. ~~1, ,0, w ;~ ;(1) o :z --::1 LL '-( 0,' '"0. m '- 1-' t1' C'l co (j') co ..- V'7 <0 <0 co co (j') -..;t . . i ~ ....... ~, ".~. (' r;' ::~~ '>..".. lJ) 0) ~ ";:: :J U <1l CJ) 06 UI x- U <1l ..c U '- .8 ii 'ii) u 0) 0::: <1l .0 ro -' :0 w .'U> -' ,0- , : "ii) ;.u , ,,'.<1l ;)~ t'E ~'o i,l1.. ,(/} (~ 'CI) . ,oUI <1l U .~ .' .<1l :,CJ) .- C <1l E .- lJ) <1l > C :: .Q ~ RE~.1511 ~X + (12:1, "'{8fj' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MARYELLEN C. MARKLOFF ITEM NUMBER A. B. SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21 07 Debts of decedent must be reported on Schedule I. DESCRIPTION 1. 2. 3. 4. 5. FUNERAL EXPENSES: Funeral George Washington Memorial Park Luncheon Flowers Chestnut Hill Presbyterian Church 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) John R. Markloff Social Security Numbe~s)JEIN Number of Personal Representative(s) 195-40-0214 Street Address 433 Anthwyn Road City Narberth State PA Zip 19072 Yea~s) Commission Paid: 2007 AltomeyFees James W. Sutton, Jr., Esquire Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation) Claimant Street Address 2. 3. City State Zip Relationship of Claimant to Decedent 4. Probate Fees Register of Wills, Cumberland County, Pennsylvania 5. 6. Aooountanfs Fees Hepner & Associates Tax Retum Preparer's Fees 7. Advertising - William J. Mansfield, Inc. TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 0206 AMOUNT 3,769.50 2,185.00 1,205.96 689.00 200.00 5,300.00 3.500.00 514.00 200.00 295.00 17.858.46 ~!T~~~. 15 Big Spring Avenue NEWVILLE, PENNSYLVANIA 17241 F. CHARLES EGGER, Supervisor 717-776-3414 FRANK C. EGGER, Funeral Director February 23, 2007 Funeral Bill for Maryellen Clemmer Markloff Date of Death February 12,2007 Professional Services $3,525.00 20 Death Certificates $6.00 a piece $120.00 Hairdresser $30.00 Carlisle Sentinel Obituary $94.50 Total $3,769.50 ? 't h. ~ 7 c ~ &( 1>-/01.. VTReceipt 'A j Page 1 of 1 38 - 2027 George Washington Mem Park 80 Stenton Ave Plymouth Meeting, P A 19462 Date: 2/19/2007 Trans Type: Transaction #: Name: Account: Card Type: Entry: Contract #: AuthCode: Result: Total Amt: Time: 7:40 AM Force Auth 180308 John Mark10ff ************2197 VISA Manual 202700100444 07565C APPROVED $2,185.00 I Agree to Pay Above Total Amount According to Card Issuer Agreement (Merchant Agreement if Credit Voucher) Signature X /1' (JJ ~~,~ VI ill " I SW1f Memorial Park 0 Hillside Cemetery 0 Georg.. Washington Memerial Park ~ ;lOQ-l-ro- Contract No. 1 0 0 4.A.L Contract Code.:p-A t-J THIS AGREEMENT madelhls hereinafter called 'Seller' and 11THdayof FF.RRfTIIRV . 20.-O..L- . by and between The Cemetery, 9.S.': QQ.fU~d PURCHASER TnH1II MJl.RT<"TnFF TELEPHONE 610 565 6:265~ ADDRESS 433 A:.~THWYN ROAD Street NARRF.RTH CIty PII 1Q077 State ZIp Code Name 01 Deceased: MARVF.T.T.F.1II (" MJl.RT<"T.nFF Description 011ntennefrt Rights: 111111 "118 C 2 Property Owner: RAVMn1lln Jl.1IIn MJl.RVF.T.T:F.1II MJl.~T<"T.nFF F~~~1;~:~~ ~~:' ~ ~~ ~~J'~~.~J~.:~ -,: ~~~-;- ~;~~ :~ ~ :L~. ~ _-~' ~',-~.k ::-jJf~~{~~it{L;]lL1ff~~rt.( ~'. :~~~ ~ :',~r~ ~~=~~ ~~_~ "~ :~~:~~ ~.~-}~~~~, : ~'~.-J t~ Burial Rights $ Interment Fee. RF.c.:rn.Jl.R WF.F.KnIlV c.:Rnrl1lln RnRTll.T 1260 00 MemoriaUzatlon - ~ Size Design Memorial Ba.. -l')'pe SIze Color MemoriallnstaHatlonllnspectlon Fee Outer Burial Container - Material >:;rii Model Supplier Urn Type Size Rower Va.. -lYpe :;"~~'i., ,,,,,,.',",,!'!~m~P!~~<~~';"'.~~'';:1l'~'''''''''''''~ii..o..,,,,,,,,,~,... .."".".....,.;.,.:,;".,."..~-. -- Lettering O~er RFWTAL OF TWE WERIT~CE CHAPEL Processlng.Fee Sale. Tax 8&5.00 60.00 TOTAL CASH PRICE LESS: S 218S.QQ Down Payment Cash .Other Credit Total Down Payments UNPAID BAlANCE OF CASH PRICE $ $ ~~5I00 pr sell ~ S" ~ $ VI~~ c( 6 to If'? REMARKS . " l' TERMS - CASH SALE The Total CasIl Price is due and payable as 01 the date 01 this Agreemenl A delinquency cherge 01 parcant win btI ...-ad mon1hly on any baIanca not paid within 30 days of the date 01 this Agreement. If I_then full payment Is rw:aNed, SaIIar shall deduct the _ed dellnquancy chaJge from the. amount nK:alved, and credit the remainder 01 the payment JWC8iYad to the UnP81d Balance. Saller wiQ retain title \.WItll the Total Cash Price, togel"er with any dallnquency cherges th_ have baM paid by F'wchaserlo SaIl.... S..... aI80 'NIl retain a security Intarest In mllldlandlse being purchased above. Purchas... agrees that all rights conveyed under this Agreement... subject to, and Purehas... a~ to at .. limes comply with, the present (and as may tharaelt... adoPt~ amended 0# altered) Rules. R~s and Bylaws 01 Saller, which .,. avallabla for uamlnatlon In Sail.., Oftlce. ad this h.V:J 1, dallJ~I' 1 3 20!l.l.- ~ _ urohaser ~lI!l4, By _~ Ralatlonshlp ~ IL:/ t ' .-./i) Purehas8l' Counsalor ......f"'UIl' (!) I (' 7"" /- (Fir )- rw 'r\~MJ hn ck Ot"\ ~")"""'I"""""""I"'I"""'" Blue Ball Inn till ')kippack Pike I; I.. b.:ll Pa 19422 :,1 ,,15-646-2010 III . j. ,j!)54 II.:': I' ,..'Il! L"l;.i,-, 1 Li Check 1657" 1 :50 PM P~uple 30 bpi 15 Joe T t.l~t.t"i'. t.........~.4.~.~~.t~~.1'4.~.~ ~4 liRChard 9 GRCClb 12 GRMerlot 1.\ f'llllJtGrigin ~, i III' 156.00 58.50 78.00 88.00 9.45 9.4~, 11.34 72.00 216.lJU p~ OJ; 126.0u 7.50 7.[10 I ' .1 . I,IQ L, Ill' I r.lla 4 I I t'.i, 'I, \l ~. 1(' 1.1 t i I..! 7 I" !' ,. I , 7 Ll "... i'~. ,) 1:11111'. i I ,j:1 2. 'l'-il~IIUllIIU raxabl~: 570.24 rllJl,' fi1xl:ld:' 405.50 Sub.. total : 915.74 Sales Tax: 34. I, 0'18: 1008.86 Gland .it\l:/q~- ruta( I d:.~s._~ 9 ~ ROUDIA: Approval :.__. _.. Thank YuU!!! Blue Bell Inn www.bllleLellir.lI. (;om Ad~tf~~f F~Nt~J. :fo( ~.~ Ghw l\ ~ S~. ~C .!.!!!!...~~---_.._---.~..__.._._-_.' - ..--_. ..." ._- ~"-----"-'--'--" ..-.-.._------_.~ 2 12 FEe MOX'NIX 571-7546674-00 $1S6'if L~ ...~~;, ~;.;t~~~~~~L~~~~:=-, ..J^:~M ~o<f$t~~-' I~ 5 20 Fl;B:C I....ENTERPRISc:SO.' Of 01 757-ll12561J8 VA ~. . :, 6 23 FEe USPS413'4870 175 RED HILL PA $45.12 ,7 26 FEe c & F ENTERPRISES01 OF 01757-8725668 VA $463.43 I a v FeB C & F ENTERPRISES01 OF 01 757-872!il86 VA 5109.88 9 28 FEB CAPEtINC CORP OFFICE 910-5727000 NC $413.28 .,. 10 01 MAR RUB. V TUESDAY #3229 PL YMQUTH MEET PA $49.39 11 07 MAlt K &K INTERIORS INC Bn-6470111 OH $3ll8,2O 12 07 MAR C a F ENTERPRiSeS01 OF 01 757-8725688 VA $101.39 :13 08 MAR c a F ENTERPRISES01 Of 01 757-8725688 VA $56.55 '14 08MAR KaKINT~R1ORSINCBn-64701110H $24.10 15 12 MAR CAPELiNe CORP OFFICE 91()..S727000 NC / $32.48 . 16. 12 MAR CAP8.INC CORP OFFICE 91()..5727000 NC / / $211.88 17 13 MAR USPS 4134870154 GREEN LANE PA A~ $25. 75 o 10 \ .V / IaE 1 of 2 E:OLR23~' ,. 01 IlC6I 56 74641) ~f CA-J-r i / d (;'-:-t (" 7?; ~&7 D fd. 1f/lfb7 ~ 6[ It J-.-JL- I -k Ite (~sl tt '-1--' (MA 17 5 ./ ~ ~tC- ) . . Previous Balance Payments & Credits . ($5,267.32 ')-('$1,039.99 FINANCE ::"'-:,:":'~,._ ", ' : ' :' . CHARGE Transactions' New Balance $62.24.........-)+C...$4.42'5.~~....iJ::( ... I N .';,.-;- "<. :'..,t"':,:' :~:<': _ '- , -, ',-, :';<.;"i~J:'~<_",,~':,-:,~-'" 'J. 12,m 5,959 €& e @ : ';,,,;:::~-. .,.-,",'" . : ;:_~-:", '_,_,:, :,-,.,"';:.-.:_-:<.";;;i:; c'__:";':, "_," ,,:_",,: ....::.:..._ ,PayrnentS, Credits & Adiustments to' oa FEB} J..CREW RETAIL #60T ARDMORE PA .... 2>,26FEB. " p~YMENT ':Traris~~ti'o~s;'i:"" .,. ic',,;.. . .... '~3..,;: ~7 JAN; KIESERS,TIRE.&58500026 ARDMORE PA . ,;4'i"Il3FEB>...NEW'JERSEYE-ZPASS88IMUTOTOLLN,j... . ...........'.. '>, '. .....'....../$25.00 ,~i;;ttGi(~8 .,..;,~;"eRE~RET~t"#6orARqM'eRE-FA~"\~j;"'.,<.~.~~t~'---_.~~ -- '-~,'-" --$39.99 . " ......6,08 FEB',,'J.CREWRETAll IlOO7 ARDM9RE PA"", · ',i '$179.98 72;/"10- FEB.";',,!RONHlltBREWERY-PHOENI PHOENIXVILLE PA $50.00 . 8' .,' 'lriFEB,;;:tiRO~UllIiBREWeRY-PHOENI PHOENIXVILLE PA' .$123.45 91tFEB:;C~JE&BARREL-031K1NGOFPRUSSIAPA '. .... '.' .., ..... ..... $69.64 . Hi. .':1.4 fEB~:.;r:T(F'COUNTRY FLOWR SHOP aLtJ~ ':':l~-."t.~ Fb-.vc.'<J ~ I'A.Jt- 11 '15FEB' .'NEW JERSEY E-ZPASS 88ll-AUTOTOI.,L NJ .... . ...... $25.00 .12, 19 FEB .~... GEORGE WAS MEM PA~!(1I"'R?07 PI YMOUTHMFHP4 .52.185.00 ;""0'" 13 23 FEBAOVANCERX.COM BOO-966-5m IX" $70.00 ; .14 ' 24 FEB VIA MAREAVALOI'l NJ . $77.09 ,.;"" -. For more infonnation on your Rewards: VISit: www.capilalone.com/miesrewards Call: 1-800-228-3001 . . 6056 OOZZ 506 1 7 Z7 .70ZZ7 PAGE 1 of 3 COLRZ39A . PLEASE RETURN PORTION BELOW WITH PAYMENT OlAV60S6 48Z16 ~~ (.t~ ......' B.' k ~~ I. ~zens . ant' 1~888-910-4100 Call Citizens' Phone Sank anytime for account information, current rates and answers to your questions. Images for account 610406-211-7 C; rcle Account Statement o OF 5 Beginning February 16, 2007 through March 15, 2007 ~ JOIOl ft. M""KLon EDI1lf D. MAflKLO'F ca UITIftN1t "D. IUIUIDlTH. ~A 1*>>7.1-2::111 1738 1743 OO<~ ~l) 'i }.'o ,,",lIlt.:_ ... ::::- &~'- :r- 1:'(-1. .s" I g Citizens Bank ...".,hr.... .... or,).... 1.>'t1.1<.. . ". \ ':0:1..0 n. 1 sa': .. 10..0.. 2 117" I $ ~-'.'l~ _.__ "'l/,~ A-- 0a1lW\ IU :--=-- Citb'lfftICnt.-Al:.'t<<M'l1 ijL':t" /:;/ _ 1738 1000000 ~b ..a." _w___ ~ "'DHM II. MA"KLO'" mlTH D. lIU.RI(I.D'" 4:D M1HWYN sm. ......1JlITH" IIA tllll'Z..a.1Ol =::- at. &~1.. -1.., rJ J JOE Citizens Bank -......... .... ~"'iL.l- .)j'i Ji .:0:1 ..a ? r. 1 so.: r. 101,,0.. i! 117" fi"J J(. IS- 7 ,.."'~- ... Dol.. 1$ j"r.J7 1"illn-, ,,=:: (..1X~ Cftl.~ /j' /7 .171//1 (1:1 r,j/... '. - UI,,:I./~~ooooh'l,ou 1738 0211612007 $56.48 1743 0212212007 $84.07 -- ~ .JOHN R. N1AAKLOFF EDITH D. MARKl..QFF .Q3 ,M1HW'1''' RD. NARHRTt1..'1\ 11Q72.DU 1744 Ilot~ n~ ,71C.7 Jo,.lftlJM ... ::::- J Ll.J.. 1..\ ,.... ......\.J tt..~j.l oS \10 g Citizens Bank -,...... --- I $ ~L.'J. ~JI 06~I~. B......- (ktuns On:_ Accaunt ~l/) . '. . . '/ IfUr _ I /. ~ 7..........00000 ~ 2::'00.,. .... ':0 ~ bO n, ~ 50': '10 "0'2 ~ 17" - -- ----- / 1745 i 1 1<J... 7 ...'''= et4 ~( c--. it,!) ~./j:' JI.".J\~_. 0 .. .'/I.~ - ('-"Vf ~ 1 .'o~o'6o aoooo~' <..Je.y . 7~ C Vll{ $200.00 ~ ~.Jtl .- --- -.. - 11~~ .. r~~~,. _ h~ 11 h: 7 ..""": - ~ ~ .JOHN R. MAnIU.O,F ~ EDITH D. UARIU.O'F ::.-:..n;:.v:A~n.z3ll' Date Iii, =:.:r 51r-Jbv 1....14._ cL....c If Ci.t.1"j Wl' ..-. ... /",,_, Iw'v.\ g C1tlz.ens Bank -....... I $ l'Y.s.-.)... \11/.., jil =--=- C~ eltd. icc.... .... ':O}...O 1... 1 sa.: 10 101,010 2 1 ~,... 1744 0212212007 $226.00 1745 02127/2007 ~ oIOHN II. MARKLOff ~ EDlTH D. MARKLOFF =:"'~:A~IQ71-z:a' a... Fe!' ld l.tJ\J7 1746 ~ .IOMH II. UAIIICI.OI'F EDlTIt IL MARKLOFF .qa ,\HTHWYN RO. NAfUlERTH. PA 1W12.z3J1 .......,.. ... ;:.oor (J;Z'-l AJ},..I.1. F.>I.''''' I.... W (~{Ji""'" I:E Citizens Bank For =1""'KI:i1 __ _ .. IIJILrvl ':0 H.O 7.. 150': blOlo0..i!U?" u./l'-' 1/ 1$ U'."" "'61.r.,. 6l =--= Cit;aftn Clirc.\eI..kc:r:u\L !' Pltv lathe A IJ _of 11~:_ I~ ,.. ~k...J.., --. .--- I a Citizens Bank .............. '" 1~~.1'ioJ.S':'Z ,:, 19. ~.vi! ':0 ~ bO 7& ~ 50': Ii 10 "Oc;, 2 111" (j/1'/J j' -' .. V/..II;/{' .. ~1\q ~OD090030?5~ I $ h 7-;- --.----. 7'/.~... l!l 5::' Cltl'- (liefII!' AtcOllPl: 1746 02/20/2007 $281.90 1749 02128/2007 $30.75 1750 ..- .. ~ "'OHN R. MARKLO,. EDI1lf D. ~AICI.DFF .cD AHntWV1I. AD. IJIMQIIt~ POA '1lN"I:-.DI1 ",t..,.. '9j.~ Ai .1.~. I ' 'L ' _01 . , . ~ I, ","I,..-' I $ 't";.~_ - ~~ n (T., -J.. , ~i&.. III ==: . C citizens Bank s:l~' ,,,"';;',,,r.QI"-~""- __p-b 0i66i~4iU7:~992f~-~)~~:?r2.ee5 . { iI,~ '1.',/' .... l'IL.1~"..11 _ .... __._ '/~ ,..~,...L:". .. . .. .:0 H.a 7' 1 SO.: '~O"O b ~ 11. 7" J.?S9- ...aooope.. ~Oo'" 1750 0212612007 $42.00 0... J?I,. H l$ 7 .-...,.. .. ~ ./ClHN II. MAAICLD"" EDlT\t 0. MAllIO.OW ... MnflIn'M .. ~.... -.... hn-..'" Fl."i.... ~.i.,.. 1752 _It/6.''' ~ l~ 7 ""...". _01 IS .jo-Q,).,o -- ~G~ eft_ c.".._ I ;:;: J~ ;1y D CitIzens Bank - For cri '!,In l..U~ ':0 ~ \:,0 7\:, & 50.: 1752 (1/!/litlii' _ ;, 10..0;' II . 7." I 'I' 5 0~~o~J6 5'000... 03105i2007 $50.00 ~ 1753 .:Nt..... .. -.-. -~--- .IOH1I "- ''''',I\I<LOf'F .DITH D. MA"K&.OFP ~___H"". .....BlAfH. P-. 1,,""23l' f~ . _./~'4"L J. 2'1:7 ......... ... ......... --;"i \1 ( C . ....01 ,L,.t .>r.",t ill , . "J...~ ~".J t\ (' o,J . V.. \..(. ( . Q Citbens Bank - r... .J';',.)I\-:1"; l'r .:01 bO l' HO.: r. 10..0.. ~ I ~ 1" I $ rJ~;), >>"/,- 6W.r,. 11 ===- ,(St.,-,""CIrdlP"JllU.ClIM. Ct''t~" ,...~., .,......-:.~ U ;.~.ljij4/;//,. i;;~'; 175 3,/ "'OOOOo~oooo... 1753 03/05i2007 $100.00 Member FDIC til Equal Houslng L~nder ~ JOtlN R.. MARICLOFF !DITH D. MAIllCLO". CS3 MnHWTJt RD. .........1M. f'A ....,..1>>1 1754 _ M_Ii~ :f i.'fJ1 :::roc:- Af>N ml.'l.. ;.I.,.t...:.. ;. . , I'. oJ.,J VII. K..J...,I' ~I:" 1\""1,,..1 11.....- a CitIzens Bank --- ro, C-r ).,l ~~.. ':J , ':0 H.D 71:. 1 sa.: I S ((.~bl. >'-/,J> . _ ....n UI =:"_ Clt\awM t.irelt' Jla;...,t '1 n _ (t~l.l~iill . 175~ '~oooo/Lo~5~~ $1609.56 r. 10..0.. i! U 7" 1754 03/13/2007 Estate of Mary Ellen Markloff c/o John Markloff 433 Anthwyn Rd Narberth PA 19072-2301 June 20, 2007 Professional Services HEPNER & ASSOCIATES Accountants POBox 1163 Willow Grove, PA 19090 215-672-7150 H rs/Rate 6/20/2007 Preparation of Inheritance Tax return For professional services rendered Previous balance Accounts receivable transactions 4/15/2007 Payment - thank you . (j)d .4'1 h 107 c'.!.i<.kf;. J(j~ Total payments and adjustments Balance due fI 6~I.~J ~oo,OO . CK.tuk. +- 11.1. 0.00 Amount 200.00 $200.00 $156.75 ($156.75) ($156.75) $200.00 ~j r RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17G13 . MARKLOFF MARYELLEN C Estate File No. : Paid By Remarks: 2007-00206 JAMES W SUTTON JR PC AJW Receipt Date: Receipt Time: Receipt No. : 3/06/2007 09:58:31 1047552 ------------------------ Receipt Distribution ------------------------ Fee/Tax Description PETITION LTRS TEST WILL SHORT CERTIFICATE AUTOMATION FEE JCP FEE Check# 1345 Total Received......... PaYment Amount 460.00 15.00 24.00 5.00 10.00 ---------------- $514.00 $514.00 Payee Name CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN BUREAU OF RECEIPTS & CNTR M.D 'REV-1512'EX'+ (6-98) * SCHEDULE. DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MARYELLEN C. MARKLOFF FILE NUMBER 21 07 0206 Include unrelmbursed medical expenses. ITEM NUMBER DESCRIPTION 1. Continuing Care Rx VALUE AT DATE OF DEATH 730.17 2. Tax Preparation 156.75 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 886.92 CONTINUING CARE RX #001 28 S 2ND ST IPO BOX 355 NEWPORT PA 17074 * * 5 TAT E MEN T * * Statemen~ Date: 3/31/07 Page: 1 Account #: 100034983 MARYELLEN MARKLOFF JOHN MARKLOFF 433 ANTHWYN ROAD NARBERTH, PA 19072 If you ~ave any questions regardin~ your bill please call (717) 567-2147 or (SOO) 675-2279. Thank you !! Date Description Gty Amount -------- -------------------------------------------- ---------- Previous Balance 730.17 pl. 4f~{h7 v~d #JQ~ Ending balance - Pay this amount ---------:> 730.17 Past Due Current 31-60 days Past Due 61-90 days Past Du.e 90+ days .00 33.96 696.21 ANY GUEST I ONS CALL SALLY @ 800 675 2279EXT 1300 .00 --------------...- ~--_.. HEPNER & ASSOCIATES Accountants POBox 1163 Willow Grove, PA 19090 215-672-7150 Mary Ellen Markloff 109 Green Hall Newville PA 17241-9784 March 07 I 2007 Professional Services 3n/2007 Preparation of 2006 Income Tax returns For professional services rendered Accounts receivable transactions 3n /2007 Early Bird Discount Total payments and adjustments Balance due H rs/Rate 0.00 Amount 165.00 $165.00 ($8.25) ($8.25) $156.75 frl. ~/lIk1 CLv~ =# /o~- 'C RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee{s) OF ESTATE l. TAXABLE DISTRIBUTIONS pnclude outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. Mary M. Beatty Daughter 20% 2. John R. Markloff Son 20% 3. Suzanne Markloff Daughter 20% 4. William C. Markloff Son 20% 5. Ellen M. Williams Daughter 20% 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 1. ,\ B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART U - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ COMMONWEALTH OF PENNSYLVANIA lNHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MARYELLEN C MARKLOFF SCHEDULE J BENEFICIARIES (If more space is needed, insert additional sheets of the same size) FILE NUMBER 21 07 0206 LAST WILL AND TESTAMENT OF MARYELLEN C. MARKLOFF I, MARYELLEN C.MARKLOFF, widow, of Bucks County, Pennsylvania being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as my Last Will and Testament, hereby revoking any and all Wills by me at any time heretofore made. FIR S T: I order and direct my Executor hereinafter named to pay all my debts and funeral expenses as soon as may be conveniently done after my decease. SECOND: I have made a loan of Ten Thousand ($10,000.00) Dollars to my daughter, SUZANNE E. MARKLOFF, which loan is to be repaid through a reduction in her inheritance if it has not paid during my lifetime. I will be sure that my heirs know of repayments from SUZANNE E. MARKLOFF to me during my lifetime or leave a written memorandum in my home or with my attorney prior to my demise if this sum has been repaid to me. To the extent that the sum has not been repaid to me by the time of my death, 1 require that when my gross estate is prepared for distribution as indicated hereinbelow in equal one-fifths that SUZANNE E. MARKLOFF's share is reduced by the outstanding sum of obligation to me. I do this to make the gifts among my children equal and with the prior . knowledge of SUZANNE that this would be a vehicle to insure the repayment of the loan should she be unable to do so from her funds. 1 T H I R 0: I give, devise and bequeath my entire estate, real and personal, wherever situate as' follows: A. One-fifth (1/5) to my daughter, ELLEN M. WilLIAMS. If the said ELLEN M. W1LUAMS predeceases me, 1 give, devise and bequeath the same to her issue, per stirpes. B. One-fifth (1/5) to my son, JOHN R. MARKlOFF. If the said JOHN R. MARKLOFF predeceases me, I give, devise and bequeath the same to his issue, per stirpes. C. One-fifth (1/5) to my daughter, SUZANNE E. MARKLOFF. If the said SUZANNE E. MARKLOFF predeceases me, 1 give, devise and bequeath the same to her issue, per stirpes. If my said daughter should die leaving no issue, I give, devise and bequeath the same, in equal shares, to ELLEN M. WILLIAMS, JOHN R. MARKLOFF, WtLLlAM C. MARKLOFF andMARY M. BEATTY, or their issue. D. One-fifth (1/5) to myson, WILUAM C. MARKLOFF. If the said WILLIAM C. MARKLOFF predeceases me,1 give, devise and bequeath' the same to his issue, per stirpes. If my said son should die leaving no issue, I give, devise and bequeath the same, in equal shares to ELLEN M. WilLIAMS, JOHN R. MARKLOFF, SUZANNE E. MARKLOFF and MARY M. BEATTY, or their issue. E. One-fifth (1/5) to my daughter, MARY M. BEATTY. If the said MARY M. BEATTY predeceases me, I give, devise and bequeath the same to her issue, per stirpes. FOURTH: The interests of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation. F 1FT H: My personal representatives shall have the following powers in addition to those vested in them by law and by other provisions 2 of my will, applicable to all property whether principal or income, and effective until actual distribution of all property. A. To retain any or a II of the assets of my estate, real or personal, without regard to any principal of diversification, risk or productivity, 8. To invest in a II forms of property, including stocks without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper, without regard to any principal of diversification, risk or productivity, C. To sell at public or private sale, to exchange 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 or conditions as they deem proper, D. To maintain my assets in kind, particularly my residence real estate, should such residence real estate producing be managed as hereinbelow set forth and remain non-income producing. SIXTH: 1 hereby nominate, constitute and appoint my sons, JOHN R. MARKLOFF and WILLIAM C. MARKLOFF, as Co-Executors of this my Last Will and Testament. Should either of them fail to qualify or cease or refuse to act as Executor as aforesaid, I hereby continue the appointment of the survivor of them as Executor. SEVENTH: A I I federal, state, and other death taxes payable because of my death, with respect to property forming my gross estate for tax purposes, whether or not passing under this Will, including any interest or penalty imposed in connection with such tax, shall be considered as a part of the expense of administration of my estate with the exception of the taxes made necessary by the sale of my real estate. Taxes on the sale of 3 my real estate will be borne by the beneficiaries of such real estate. All such taxes on present or future interest shall be paid at such time or times as my Executor may think proper regardless of whether such taxes are then due. EIGHTH: I direct that my Executor and Trustee as aforesaid shall not be required to give bond or other security for the faithful performance of their duties in any jurisdiction. I N WITNESS WHEREOF, I have written my name in the margin of the foregoing pages of this my Last Will and Testament, and set my hand and seal at the end hereof this d- cf:!:- day of Y1\{ , 1998. MARYELLEN ~ARKLOFF SIGNED, SEALED, PUBLISHED AND DECLARED by the above named Testatrix, as and for her Last Wi\1 and Testament, in the presence of us, who in her presence and in the presence of each other, all being present at the same time and at her request, have subscribed our names as witnesses thereto. 1 Name Address 5( Name Address 4 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA BUCKS COUNTY 1, MARYELLEN C. MARKLOFF, Testatrix, 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 willingly; and that I signed it as my free and voluntary act for the purposes therein expressed, MARYELLEN C.~OFF Sworn or affirmed to and acknowledged before me, by MARYELLEN C. MARKLOFF, Testatrix, this..j~ day of /?1/- ' 1998. Notary PU~ AFFIDAVIT COMMONWEALTH OF PENNSYL V ANlA COUNTY OF BUCKS . *d.,f)~14 and~~/~the witnes whose names are signed to the attached or foregoing 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; MARYELLEN C. MARKLOFF 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 5 the Will as witnesses; and that to the best of our knowledge the Testatrix was at the that time 18 or more years of age, of sound mind and under no constraint or undue innuence. Witness 5( 5/ Witness h .) S~or affirmed to a~~~ m~ by ~ L >41- and . , wItnesses, o:? b'<.- day of J:Y/(j , 1998. this Notary PU~ 6 - l": ~ 0) C> ~ ~ r-- o;t ....~r;;\- ~~ ~g~i'ig;i c::r'g <t:CIlO)- L..8. c:> ~l1.~- ~ "g"7C> ~ ~ CIl " '" ~,~ "'I'!! 2"" ...a h .."\' t <--' Lu It;~.) U., ,;S,. 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