HomeMy WebLinkAbout07-23-07
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15056051058
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
File Number
INHERITANCE TAX RETURN
RESIDENT DECEDENT
21 07
0364
Date of Birth
174-50-5062
02/27/2007
07/15/1920
Decedent's Last Name
Suffix
Decedent's First Name
MI
Heckendorn
Ruth
M
(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
.. 1. Original Return
2. Supplemental Return
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
4a. Future Interest Compromise (date of
death after 12-12-82)
7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 0)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
4. Limited Estate
.
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
o
8. Total Number of Safe Deposit Boxes
James D. Flower Jr. Esq
Firm Name (If Applicable)
(717) 243-6222
Saidis Flower & Lindsay
REGISTER OF~~LLS USE ONL!'::~
First line of address
26 West High Street
'-,
C~.,:I
Second line of address
City or Post Office
State
ZIP Code
DATE FII:J;.Q
(j.)
r-;--1
Carlisle
PA
17013
i"
Q.)
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.
SIGI'! ~~ON R PON ~URN 7 ' rE, ~ 07
ADDRESS
944 Graham's Woods Road, Newville, PA 17241
N
RE OF PREPAREG)H:R THAN R
7 /:iJ / 0 7
Side 1
L
15056051058
15056051058
--.J
~
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15056052059
REV-1500 EX
Decedent's Name:
Ruth
M Heckendorn
RECAPITULATION
1. Real estate (Schedule A).
2. Stocks and Bonds (Schedule B) . . . . . . . . . .
............ 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . .
4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . .
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . .
6. Jointly Owned Property (Schedule F) Separate Billing Requested . . .
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) Separate Billing Requested.. . . .
8. Total Gross Assets (total Lines 1-7). . . . .
9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . .
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I). . . . . . . . . . . . . . . . 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/Sec 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
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
0.00
228,884.64
0.00
0.00
19. TAX DUE.
. . . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
15056052059
Side 2
L
174-50-5062
Decedent's Social Security Number
1.
3.
4.
5.
6.
7.
8.
9.
15.
16.
17.
18.
0.00
0.00
0.00
0.00
242,732.34
0.00
0.00
242,732.34
12,818.56
1,029.14
13,847.00
228,884.64
0.00
228,884.64
0.00
10,299.80
0.00
0.00
10,299.80
.
15056052059
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REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENTS NAME
Ruth M Heckendorn
STREET ADDRESS
Green Ridge Village
File Number
21
07 0364
DECEDENT'S SOCIAL SECURITY NUMBER
174-50-5062
210 Big Spring Road
CITY
Newville
STATE
PA
ZIP
17241
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
10,229.80
0.00
10,000.00
526.30
Total Credits ( A + 8 + C ) (2)
10,526.30
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty ( 0 + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund. (4)
8. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(5A)
(58)
0.00
226.50
0.00
0.00
0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due.
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 [i]
b. retain the right to designate who shall use the property transferred or its income; ............................................ D [i]
c. retain a reversionary interest; or.......................................................................................................................... D [i]
d. receive the promise for life of either payments, benefits or care? ...................................................................... D [i]
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. D [i]
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. D [i]
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ D [i]
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 decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 PS. ~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 decedent's 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-1508 EX+ (6-98) '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Ruth M. Heckendorn
FILE NUMBER
21-07 -0364
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1 . Checking Account #513130773, Commerce Bank. See attached letter
Interest accrued to date of death
1,352.77
78,462.33
17.89
2. Time Deposit Account #311 00997, Commerce Bank. See attached letter
3. Checking Account #412236, Orrstown Bank. See attached letter
I nterest accrued to date of death
2,844.06
0.77
4. Checking Account #106800411, Orrstown Bank. See attached letter
Interest accrued to date of death
49,812.14
124.44
5. $50,000 Certificate of Deposit #0133, Adams County National Bank. See attached letter
Interest accrued to date of death
50,000.00
49.93
6. $20,000 Certificate of Deposit #0630, Adams County National Bank. See attached letter
Interest accrued to date of death
20,000.00
525.74
7. $20,000 Certificate of Deposit #0700, Adams County National Bank. See attached letter
I nterest accrued to date of death
20,000.00
21.50
8. Proceeds from public sale of personal property
18,035.25
463.45
9. Ewing Brothers Funeral Home, refund
10. Interest on Farmers National Bank Certificate of Deposit
66.76
11. Interest on Orrstown Bank Checking Account
1.26
12. Interest on Orrstown Bank Money Market Account
167.72
13. Interest on Farmers National Bank Certificate of Deposit
138.08
14. Presbyterian Homes, Inc., refund
402.00
15. Interest on Orrstown Bank, Money Market Account
215.47
16. Interest on Checking Account, Commerce Bank
0.78
17. U. S. Treasury, Income Tax Refund
30.00
TOTAL (Also enter on line 5, Recapitulation) $
242,732.34
(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 &
ADMINISTRATIVE COSTS
FILE NUMBER
21-07 -0364
ESTATE OF
Ruth M. Heckendorn
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
DESCRIPTION
AMOUNT
1.
FUNERAL EXPENSES:
Assembly of God Church, Funeral Service
Donna Comp, Organist at Funeral Service
Pastor Diane McElwee, Funeral Service
Wayne Noss Flowers, Funeral Flowers
Food for Reception After Funeral
100.00
50.00
50.00
43.46
453.41
2.
3.
4.
5.
B. ADMINISTRATIVE COSTS:
10.
1.
Personal Representative's Commissions
Name of Personal Representative(s) Fred M. Heckendorn
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address 944 Graham's Woods Road
4,854.64
City Newville
Year(s) Commission Paid: 2007
State PA
Zip 17241
2.
Attorney Fees
3,500.00
3. Family Exemption: (If decedent's address is not the same as claimant's. attach explanation)
Claimant
Street Address
City
State
Zip
Relationship of Claimant to Decedent
4.
Probate Fees
360.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
Cumberland Law Journal, Advertising Estate Notice
The Sentinel, Advertising Estate Notice
Kevin Wickard, Auctioneer, Public Sale
Register of Wills, Fee to File Inheritance Tax Return
75.00
151.55
3,165.50
15.00
8.
9.
12,818.56
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX+ (12-03)
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Ruth M. Heckendorn
FILE NUMBER
21-07 -0364
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRiPTION OF DEATH
1. Graham Medical Clinic, Account 50.73
2. AARP, Medicare Prescription Plan 64.20
3. Philhaven, Account 30.36
4. Pinker & Associates, Account 36.78
5. Continuing Care Rx001, Account 195.07
6. Howard's Accounting, 2006 tax return preparation 170.00
7. Pennsylvania Department of Revenue, 2006 income tax 482.00
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
1,029.14
REV-1513 EX+ (9-00)
'*
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Ruth M. Heckendorn
FILE NUMBER
21-07 -0364
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)]
1. Emily Jane Heckendorn Lehman, 110 Carlisle Rd., Newville, PA 17241 Daughter 24,337.00
2. Fred Mohler Heckendorn, 944 Grahams Woods Rd., Newville, PA 17241 Son 24,337.00
3. Earl Leroy Heckendorn, 1222 Creek Road, Carlisle, PA 17013 Son 24,337.00
4. James Edward Heckendorn, 1781 Trindle Road, Carlisle, PA 17013 Son 24,337.00
5. Linda Mae Heckendorn Stouffer, 3 Bradi Drive, Carlisle, PA 17013 Daughter 24,337.00
6. Amy Ruth Heckendorn Day, 484 Centerville Road, Newville, PA 17241 Daughter 24,337.00
7. Joann Laree Heckendorn Schoonover, 709 Mount Rock Rd., Carlisle, PA Daughter 24,337.00
8. Kay Ellen Heckendorn Comp, 297 Oak Flat Road, Newville, PA 17241 Daughter 24,337.00
9. Ray Ccharles Heckendorn, 270 Oak Flat Road, Newville, PA 17241 Son 24,337.00
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
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OF
RUTH M. HECKENDORN
I, RUTH M. HECKENDORN, of 270 Oak Flat Road, Newville, Cumberland
County, Pennsylvania, being of sound and disposing mind, memory and understanding,
do make, publish and declare this as and for my Last Will and Testament, hereby
revoking and making void any and all former Wills, Codicils, or writings in the nature
thereof, by me at any time heretofore made.
FIRST: I hereby order and direct my Executor, hereinafter named, to pay
all my just debts, funeral expenses, testamentary expenses and all Inheritance, Estate,
Transfer and Succession Taxes, as soon as may be conveniently done after my death,
out of my residuary estate.
SECOND: I hereby give, devise and bequeath my residuary estate, of
whatsoever kind and wheresoever situate, to my husband, CHARLES J. HECKENDORN,
provided he survives me for a period of thirty days.
THIRD: In the event that my husband shall predecease me or fail to
survive me for a period of thirty days, I hereby give, devise and bequeath my residuary
estate to my children, Emily Jane Heckendorn Lehman, Fred Mohler Heckendorn, Earl
Leroy Heckendorn, James Edward Heckendorn, Linda Mae Heckendorn Stouffer, Amy
Ruth Heckendorn Day, Joann Laree Heckendorn Schoonover, Kay Ellen Heckendorn
Comp and Ray Charles Heckendorn, in equal shares, per stirpes.
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FOURTH: In the event that any of my grandchildren shall not have
attained the age of 18 years at the time of my death, and shall be entitled to a share of
my estate, I hereby nominate, constitute and appoint the surviving parent of said
grandchild to be guardian of his or her estate until my said grandchild attains the age of
18 years.
LASTLY: I nominate, constitute and appoint my husband, CHARLES J.
HECKENDORN, to be the Executor of this my Last Will and Testament. In the event that
my said husband, shall be unable to serve as Executor for any reason, I appoint, my son,
FRED M. HECKENDORN, as Executor. It is my intention that my son, FRED M.
HECKENDORN, shall be paid four (4%) percent of my gross estate for his services as
Executor of my Estate. No Executor shall be required to file bond in this or any other
jurisdiction.
) (;
(7' tL,;X
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
day of N tJV-J,-"/,-,-,G.<--...-- , 1995.
" "" ~
. '::/ ' ... i '-- / .,;.' /~/~':' /" i ,., _ _ ,
/ti-clk. /7/ / ~J /LGi_i-~L/~L
Ruth M.' Heckendorn
SIGNED, SEALED, PUBLISHED and
DECLARED in the presence of:
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COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
I, RUTH M. HECKENDORN, Testatrix, whose name is signed to the
attached or foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that 1 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.
Sworn or affirmed to an~ acknowledg~ before me, by RUTH
HECKENDORN, the Testatrix, this ,.;2fLr.d.- day of -0 tu-c )~J....\ , 1995.
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Ruth M. Heckendorn, Testatrix
Lr~ 1.u ~y::\JJ ccK?-
Notary Public _
NOTARIAL SEAl.
MERLENE MARHEVKA. Notary PlilIic
Cartisil, Cumbertand CoIJ1ly. Pa
My Commission Expires MlI98
3
. . . ~
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COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
We, James D. Flower, Jr. and James D. Flower
the witnesses 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; 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 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.
Sworn or affirmed to and subscribed to before me by James D. Flower, Jr.
and James D. Flower
this C2 tLoL day ofol0L4f.'-.h.c\ 1 1995.
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Notary P 'c
NOTARIAL SEAl
MERLENE MARHEVKA. Notary Plblic
Carisle, CUmberland Collty, PI.
My Commission Expires sN98
4
April 26, 2007
APR J 'Z 2007
Commerce
eBank
Saidid, Flower & Lindsay
26 West High St
Carlisle, PA 17013
RE: Estate of: Ruth M Heckendorn
Tax Identification Number: 179-50-5062
Date of Death: 2-27-0
Dear Sirs:
This letter is in reference to decedent account information you requested for the
individual listed above.
We are able to provide the following:
Account Type: Checking
Account Number: 513130773
Date Opened: 11-15-99
Primary Owner: Ruth Heckendorn
Date of Death Balance: 1352.79
Accrued Interest: .02
Principal Balance: 1352.77
Account Type: Time Deposit
Account Number: 1100997
Date Opened: 1-26-06
Primary Owner: Ruth Heckendorn
Date of Death Balance: 78,480.22
Accrued Interest: 17.89
Principal Balance: 78,462.33
Please feel free to contact me at (717) 412-6134 if I may be of further assistance.
Beverly Bunnell
Day2 Specialist/Deposit Services
Commerce Bank
Commerce Bank / Harrisburg, N.A.
PO Box 4999
3801 Paxton Street
Harrisburg, PA 17111-0999
commercepc.com
~
ORRSTOWN
BANK
APR I 0 2007
A Tradition of Excellence
April 18, 2007
77 East King Street
P.O. Box 250
Shippensburg, PA 17257
TO: James D Flower Jr
Said is, Flower & Lindsay
26 W High St
Carlisle, PA 17013
FROM: Andrew G Ott
Customer Service Officer
22 S Hanover St
Carlisle, PA 17013
RE: ESTATE OF RUTH M HECKENDORN
DATE OF DEATH: FEBRUARY 27,2007
IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD, ON THE ABOVE DATE, THE
FOLLOWING ACCOUNTS WITH ORRSTOWN BANK:
CHECKING ACCOUNTS
ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPAL & ACCRUED INTEREST
412236 Ruth M Heckendorn 10/02/1996 2,844.06 + .77 = 2,844.83
% Fred Heckendorn
106800411 Ruth M Heckendorn
% Fred Heckendorn
SAVINGS ACCOUNTS
19/12/2006
49,812.14 + 124.44 = 49,936.58
ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPAL & ACCRUED INTEREST
CERTIFICATES OF DEPOSIT
ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPAL & ACCRUED INTEREST
4000003150 Ruth M Heckendorn 2/9/2004 Redeemed 2/13/07
% Fred Heckendorn
5060059690
Ruth M Heckendorn 09/12/2000
% Fred Heckendorn
Redeemed 09/13/06
w.orrstown.com
APR J 0 2001
~
ADAMS
COUNlY
NATIONAL BANK
April 18, 2007
James D. Flower, Jr., Esquire
SAIDIS, FLOWER & LINDSAY
26 West High Street
Carlisle, PA 17013
Dear Mr. Flower:
Ruth M. Heckendorn had 3 time dertificates of deposit with this
bank, all in her name alone -
#0133 for $50,000.00 with $49.93 accrued interest as of Feb. 27, 2007;
#0630 for $20,000.00 with $525.74 accrued interest as of Feb. 27, 2007;
#0700 for $20,000.00 with $21.50 accrued interest as of Feb. 27, 2007.
These are the only accounts Mrs. Heckendorn had at the time of her
death.
~~~Yd~_I
Caro l;;r;:;;~~~
Executive Vice President
PO Box 3129, GETTYSBURG, PA 17325 I PHONE 717.334.3161 I TOLL FREE 888.334.2262 I www.acnb.com