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HomeMy WebLinkAbout08-07-07 .. ~ 15056041114 REV -1500 EX (06-05) OFFICIAL USE ONLY County Code Year )/b1. D)'1O File Number 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 INHERITANCE TAX RETURN RESIDENT DECEDENT Date of Birth 182-22-6228 02232007 03281911 Decedent's Last Name Suffix Decedenfs First Name MI MUHLEMAN (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix MARGARETTA M 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 DO 1. Original Return 4. Limited Estate D o o D 48. 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 between 12-31-91 and 1-1-95) 8. Total Number of Safe Deposit Boxes 2. Supplemental Return D D 3. Remainder Return (date of death prior to 12-13-82) S. Federal Estate Tax Return Required o D D 6. Decedent Died Tes1ate (Attach Copy of Will) 9. Litigation Proceeds Received D 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 CYNTHIA F KESSLER Firm Name (If Applicable) 7177668~q9 r......, , I..'J First line of address .-< C') I _J 6311 STANFORD COURT o "n Second line of address r-.) " City or Post Office State ZIP Code ,.> W DATE FILED _J MECHANICSBURG PA 17050 KCFKESSLER@AOL.COM 965 YORK HAVEN ROAD YORK HAVEN, PA 17370 PLEASE USE ORIGINAL FORM ONLY Side 1 L 15056041114 15056041114 --.J ~ ~ 15056042115 REV-1500 EX Decedent's Name: MARGARETTA M MUHLEMAN RECAPITULATION 1. Real estate (Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . . . . . . 4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. Cash, Bank Deposits & Miscellaneous Personal Properly (Schedule E) . . . . . . . . . . 6. Jointly Owned Properly (Schedule F) DSeparate Billing Requested . . . . . . . . . . 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Properly (Schedule G) DSeparate Billing Requested. . . . . . . . . . 8. Total Gross Assets (total Lines 1-7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182-22-6228 Decedent's Social Security Number 1. NONE 2. 3. NONE 4. NONE 5. 6. 7. NONE 8. 9. 10142.00 74536.00 8616.00 93294.00 11697.00 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/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.O ~ 16. Amount of Line 14 taxable at lineal rate X.O 4 5 17. Amount of Line 14 taxable at sibling rate X . 12 18. Amount of Line 14 taxable at collateral rate X . 1 5 15. 4 9 3 4 2 . 0 0 16. 17. 18. 19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 L 15056042115 15056042115 13705.00 25402.00 67892.00 0.00 67892.00 0.00 2220.00 0.00 0.00 2220.00 w --.J R~-1500 E)t Page 3 182-22-6228 O'ecedent's Complete Address: File Number 2107 -0240 DECEDENT'S NAME DECEDENT'S SOCIAL SECURITY NUM8ER MARGARETTA M MUHLEMAN 182-22-6228 STREET ADDRESS 801 NORTH HANOVER STREET CITY II STATE I ZIP CARLISLE PA 17013 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal POl/erty Credit 8. Prior Payments C. Discount (1 ) 2220.00 2250.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Credits (A + 8 + C ) (2) 2250.00 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) 0.00 30.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00 A. Enter the interest on the tax due. (SA) 0.00 8. Enter the total of Line 5 + SA. This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes 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; . . . . . . . . . . . . . . . . . . .. D c. retain a reversionary interest; or . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D D D D 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D 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. d. receive the promise for life of either payments, benefits or care? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? . . . . . . No o o o [R] o o 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 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 decedent's siblings is twelve (12) percent [72 P.S. ~9116(a)(1.3)]. A sibling i!': rlAfinArI IlnrlAr SP.r.tinn Q10? R!': Rn inrlivirlllR/ whn hR!': Rt Ip.R!':t nnp. MrP.nt in r.nmmnn with thp. rlP.r.P.rlP.nt whp.thp.r hv hlnnrl nr Rrlnntinn 217 REV-1503 EX+ (6-98) COMMONWEALTH OF PENNSYL VANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF MARGARETTA M MUHLEMAN FILE NUMBER 2107-0240 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. 2. 3. 4. DESCRIPTION 9.457SH CONSTELLATION ENERGY GROUP INC CUSIP#210371-10-0 110SH PERKfNELMER INC CUSIP#714046-10-9 602.801SH FEDERATED HIGH INCOME BOND FUNDA CUSIP#314195-10-8 130SH VAN KAMPEN BOND FUND INC CUSfP#920955-10-1 VALUE AT DATE OF DEATH 717 2,692 4,437 2,296 TOTAL (Also enter on line 2 Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 10,142 217" REV-1508 EX+ (6-98) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MARGARETTA M MUHLEMAN Include the proceeds of litigation and the date the proceeds were received by the estate. All propertViointlv-owned with right of survivorshiD must be disclosed on Schedule F. FILE NUMBER 2107-0240 ITEM NUMBER 1 2 3 4 5 6 7 8 9 10 11 12 DESCRIPTION BANK OF AMERICA 18 MONTH CD ACCT#681 00404659124 BANK OF AMERICA 24 MONTH CD ACCT#681 00404974234 MEMBERS 1ST FCU CHECKING ACCOUNT ACCT#167481-11 MEMBERS 1ST FCU 3 MONTH CD ACCT#167481-41 PA UNCLAIMED PROPERTY HIGHMARK INSURANCE REIMBURSEMENT DAVID MYERS FUNERAL HOME REIMBURSEMENT COUNTRY MEADOWS RENT REFUND IRS REFUND HUMANA INSURANCE REFUND MEMBERS 1ST FCU SAVINGS ACCOUNT ACCT#167481-00 PREPAID FUNERAL EXPENSES VALUE AT DATE OF DEATH 17,742 11,886 17,293 8,000 632 433 291 1,180 30 23 9,026 8,000 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 74,536 217 . REV-1509 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF MARGARETTA M MUHLEMAN FILE NUMBER 2107-0240 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS A. CYNTHIA F KESSLER 6311 STANFORD COURT MECHANICSBURG, PA 17050 RELATIONSHIP TO DECEDENT DAUGHTER B. C. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FIWlNCIAL INSTITUTION /'NO BANK ACCOl.Nf NUMBER OR SIMILAR DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT IDElfTIFYlHeNUMBER. "'TTI'oCH DEED FOR JO\lfT\.V-HELD RE^L EST...TE. VALUE OF ASSET INTEREST DECEDENrSINTEREST 1. A. 1/7/04 MEMBERS 1ST FCU 11 MONTH CD ACCT#167481-51 17,231 50.00% 8,616 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL (Also enter on line 6 Recapitulation) $ 8,616 (If more space is needed, insert additional sheets of the same size) 217 ',REV-1511.EX + (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER MARGARETTA M MUHLEMAN 2107-0240 ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. PREPAYMENT TO DAVID M MYERS FUNERAL HOME 8,000 2. FUNERAL LUNCHEON 1,637 3. GINGERICH MEMORIALS 800 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees 475 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 213 5. Accountant's Fees 340 6. Tax Return Preparer's Fees 50 7. PATRIOT NEWS ESTATE NOTICE 173 8. BANK FEES CHECKS FOR ESTATE 9 TOTAL (Also enter on line 9, Recapitulation) $ 11,697 Debts of decedent must be reported on Schedule I. (If more space is needed, insert additional sheets of the same size) REV-1512 EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RE I ENT DE DENT ESTATE OF MARGARETTA M MUHLEMAN SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 2107-0240 Report debts incurred by the decedent prior to death which remained unpaid 8S of the date of death, including un reimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. CYNTHIA F KESSLER REIMBUESEMENT FOR PREPAID FUNERAL EXPENSES 7,000 2. EMS FEES 12 3. RENT TO CHURCH OF GOD HOME 6,693 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 13,705 217 . REV-1~13 EX+ (9-00) COWMONWEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MARGARETTA M MUHLEMAN SCHEDULE J BENEFICIARIES FILE NUMBER 2107-0240 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ES'rATE I. TAXABLE DISTRIBUTIONS pnclude outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)) 1 CYNTHIA F KESSLER 6311 STANFORD COURT MECHANICSBUF DAUGHTER 50 2 JOYCE L BOWERS 6267 STANFORD COURT MECHANICSBURG DAUGHTER 50 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0 (If more space is needed, insert additional sheets of the same size) {EAU OF INDIViDUAL IAX~S 'T. 280&01 IRISBURG. PA 17128-0&01 !f~ .~.. AND TAXPAYER RESPONSE REVISED NOTICE * * * ACto! DATE 07116378 04-27-2007 * * REV-1543 EX AFP (It-OIU TYPE OF EST. OF HARGARETT H HUHlEHAN S.S. NO. 182-22-6228 DATE OF DEATH 02-23-2007 COUNTY CUMBERLAND ACCOUNT [] SAVINGS [] CHECKING o TRUST [i] CERTIF'. CYNTHIA KESSLER 6311 STANFORD CT MECHANICSBURG PA 17050 REMIT PAYMENT AND F'ORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 BERS 1 ST FCU has provided the Department with the info....etion listed bdow which has been used in ulating the potential tax due. Their records Indicate that at the death of the above decedent, you \i'Ei'E: a joint ~;:.::==;~""'!::~n.=ricia!I"Y ...."' account. If you faal.- t.h-i:s infO"Mfation is incorrect, please Dbtain writ.ten C(\,.....~r.tinn fro... the financ1A1 i..",t:itj,.tjun~ attiic:-' .;; ,copy his form and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth ~n~~~lv~ni~_ Questions maY be an~~d by c~(717~'787'~3Z7. CO"PLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 167481-51 Date 01-07-2004 Established To insure proper cr@dit to your account, two (2) copies of this noticQ Must acco.pany your payment to the Register of Wills. Make check payable to: "Register of Wills7 A99nt". Account Balance Percent Taxable Amount SUbject to Tax Tax Rate Potential Tax Due 14,283.58 X 50.000 7,141.79 X .045 ;r:2l.;(8 NOTE: If tax payments are made wi thin threE' (3) .onths of the decedent. s daL& (J r cJ~d U-, r yOU :lay deduct a 5X discount of th9 t~x rlH~. Any inheritance tax due will become delinquent nine (,) months after the date of death. fAx~ATEK k~~~uHSE ";;-:;:-;:;:;i!:!-:,:::i..~~::;::<:~:::-;:::::::-:!3:~~!t;!2"~~::f:?J::..._.:;;.:._'~;:}:::~';'Jg;~_:':>,~.-. -=-~..__.- ~.. .._- .-..--- . - ~ -. -. A. c=J The above infor.ation and tax due is correct. 1. You mBY choose to remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or yoU may check box "A" and return this notice to the Register of Wills and an official assassment will be issued by the PA Department of Revenue. 8. ~The above asset has been or will be reported and tax paid with the Pennsyl~ania Inheritance Tax return to be filed by the decedent's representative. C. E:J The above information is incorrect and/or debts and deductions were paid by you. You must cosplete PART ~ and/or PART ~ below. CHECK ] ONE BLOCK ONLY 1 2 3 X If you indicate a different tax rate, please state your relationship to decedent: tT ] X RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOU~T~ IE l. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount/Taxable 7. Tax Rate a. Tax Due n 1 J TE PAID PAYEE 4 5 6 7 8 x '- DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID I I I TOTAL (Enter on Line 5 of Tax Computation) I I * Under penalties of perjury, I aeclare that the facts I have reported above are true, compl,te to, the l~;t Of. my knowledge and belief. HOME cf}j() )')10'.&339' ::! ,'. c _~_ ! ~ ... ~ .. n _6 .. ~(j.A~'a..-- wORK \: :I -AXPAYHR SIGNATURE TELEPHONE NUHBER cort"'ttC t arid "...-1 r-.~-A ~., ..;,;)/OL(.; i D'ATE COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(11-961 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT KESSLER CYNTH IA F 6311 STANFORD COURT MECHANICSBURG, PA 17050 -------- fold ESTATE INFORMATION: SSN: 182-22-6228 FILE NUMBER: 2107-0240 DECEDENT NAME: MUHLEMAN MARGARETT A M DA TE OF PAYMENT: 05/16/2007 POSTMARK DATE: 05/15/2007 COUNTY: CUMBERLAND DATE OF DEATH: 02/23/2007 NO. CD 008171 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $2,250.00 I I I I I I I I TOT AL AMOUNT PAID: REMARKS: CHECK# 512 INITIALS: DMM SEAL ,- RECEIVED BY: TAXPAYER $2,250.00 GLENDA FARNER STRASBAUGH REGISTER OF WILLS " ~Dk~AmerIca.H"""'Studards July 6, 2007 Courtesy Balance Statement Reporting for Date of: 2/23/2007 Bank of America Deposit Product Services P.O. Box 2948, KS1-901-01-16 Wichita, KS 67201-2948 Mail To: Provided by: JENISTA STEUBING 1-888-876-0982, x 7790210 MARGARETTA MUHLEMAN C/O CYNTHIA RESSLER 6311 STANFORD CT MECHANICSBURG PA 17050-0000 Request Number: NH47232 Customer Service Information For additional information or service, you may call: if 1-888-827-1812 Customer Service 1-800-288-4408 Hearing Impaired Customer Service Or you may write to: 181 Bank of America Deposit Product Services P.O. Box 2948 Wichita, KS 67201-2948 Title of Account: MARGARETTA MUHLEMAN C/O CYNTHIA RESSLER Account Number: Status of Account: 68100404659124 CLOSED Type and Term: 18 MONTH FIXED TERM CD Balance: **Accrued Interest: $ 17,741.60 $ 38.53 Paid YTD: $ 148.54 Current Balance: $0 Title of Account: MARGARETTA MUHLEMAN C/O CYNTHIA RESSLER Account Number: , Status of Account: 68100404974234 CLOSED Type and Term: 24 MONTH FIXED TERM CD Balance:T **Accrued Interest: $ 11,886.21 I $ 22.83 I Paid YTD: $ 93.91 T Current Balance: $0 ** Accrued Interest is not included in the Balance I\t 1;t MEMBERS I" 'ElllJ..uo.mITl.'SIO" Date Feb 24 Send Inquires to: 5000 Louise Drive PO Box 40 Mechanlcsburg. PA 17055 www.members1st.org Main Switchboard: (717) 697,1161 or (800) 283.2328 EZ Call: (717) 697.4372 or (800) 283.4372 TOO: (717) 697.5312 or (800) 283.2328 ext. 5312 TeleBranch: (717) 795,6049 or (BOO) 237.7288 20976_~O"8 Lttl2 r ~ Jan 25. 2007 thru Feb 24. 2007 Account Number: 167481 Page: 2 of 2 Transaction Descriotion Ending Balance Additions Subtractions Balance 1Z 9.025.76 CERTIFICATE ACCOUNTS 41 - 3 MONTH CERT Maturity Date - Apr 11, 2007 - ~ I ) - - )- - '~ ,- Date Jan 25 Feb 24 Transaction Descriotion Balance Forward Ending Balance 50 - 30 MONTH CERT Date Jan 25 Feb 10 \ Date Jan 25 51 - 11 MONTH CERT Maturity Date - Jun 06,2007 -,\>>1.0 1- - .fvnn Transaction Descriotion Balance Forward Joint Owner: CYNTHIA KESSLER Jan 31 Deposit Dividend 5.080010 Annual Percentage Yte/d Eamed 5.2(}(PA, from. 01/01/2007 th4~h. q:{/3. 1/20071' . Feb 24 Ending Balance U4L- . !f. r' ~~'V\ .gJ.~ L YTD SUMMARIES TOTAL DIVIDENDS PAID 00 REGULAR SAVINGS 11 CHECKING 41 3 MONTH CERT 50 30 MONTH CERT 51 11 MONTH CERT 0.40 3.31 " 0.00 {54.07 1.;4.02 :~ - Additions Subtractions Balance 8.000.00 8.000.00 './ Additions Subtractions Balance 13,704.51 13.747..46 13,758.58 42.95 11.12 Additions Subtractions Balance 17,156 .80 IltL 17.230.82 ___ ~ 17,230.82 74.02 ~tU)un CVLr:t=J: 4 b 4- # 51 ~..~1vL~rr[Ol/ n 1\ I/"/ b- ".. ':', !.' ~- 1 I /. :" /';. 1'_ . _ ~.' i i ba IIJ:'# '7 ,7' ~;\i It( '\'~ . ~'~"""viF .Jj(/~ )...c.r.;/"J- -1.t-., ~{ 131.80 '/j ~ Total Year To Dale DiVid1ands Paid NOTE: Total incl&ies clo~d~ares f, ~ ~~,#- - Add Your Photo For Security J j/"" : Your personal safety and financial secority ar~ top priorities at,~Members 1st. As a result of increased scams and fraudulent activityathroughout the entire country,we are strongly encouraging members tohave,th~r N ''L. i&~ ,.lIei"'il:RcountrecQrdS~ ~When visiting our. branch offices, you may be askedlfWl , :~te!1:o allow us to take your photo. ThiS member identification program WiJ):asSJ~I,t.1ll Q\I( r:..... f"iJete'Crence.initiativesand will take our identity theft prevention programt&tfietf1eXt~ie"litPlWe-'~m'iperiencingan increasin9 number of attempted fraudulent activities and as a result, we need to be able to verify your identity immediately upon retrieving your account information. .' . In addition to having your photo in our files, you may be required toshowadditionaUormsof identification based on the type of transaction you are seeking. This is for your protection and security and we appreciate your ongoing . cooperation and understanding. \r ,"~ r ("'. (, / ~\J~"'/ l ~ Statement of Accounts st Send Inquires to: 5000 Louise Drive PO Box 40 Mechanicsburg, PA 17055 www.members1st.org Main Switchboard: (717) 697-1161 or (800) 283-2328 EZ Call: (717) 697-4372 or (800) 283-4372 TOO: (717) 697-5312 or (800) 283-2328 ex!. 5312 TeleBranch: (717) 795-6049 or (800) 237-7288 Jan 25, 2007 thru Feb 24, 2007 Account Number: MEMBERS 1st FEDERAL CREDIT UNION Account Balances at Checking: Savings: Certificates: Loans: Money Management: .. ;;;;;;;;;;;;;;; ~ ,,- - ..,- - .n- =>- .. ;;;;;;;;;;;;;;; ~ 10488 1 AV 0.293 20975-10488 1"," 1",111""1,1,11"111,1"11,1"1,11,1"",11,,,111,,,11 MAR GARETT A M MUHLEMAN CIO CYNTHIA KESSLER 6311 STANFORD COURT MECHANICSBURG PA 17050-0000 167481 a Glance: 17,293.20 9,025.76 25,230.82 0.00 0.00 Page: 1 of 2 Your current Member Loyalty Reward level is Platinum Are you interested in receivin.g BONUS certificate rates, REDUCED consumer loan rates, FREE Bill Payer or FREE checks? Read the enclosed Member Loyalty Rewards insert for more details. As a Platinum Member you can use Bill Payer for FREE. Go to Members 1 st Online and sign up today or ask an associate for details. CHECKING ACCOUNTS 11 - CHECKING Date Transaction DescriPtion Jan 25 Balance Forwarrt Jan 31 Check 001836 Tracer .0131012942 Jan 31 Deposit Dividend O.2SOO!" Annual Percentage YJe/d EamedO.,25O% from 01 /01/2007 tf1rougtlfJ1f31/2007 Based on Average Daily Balance of, 15,609.77 Feb 02 Deposit Transfer From Share 00 Feb 06 Check 001837 Tracer 0206006016 Feb 13 Check 001838 "'Tracer.0213019206 Feb 20 Deposit by Check Feb 20 Check 001839 Tracer 0220005071 Feb 22 Deposit J Feb 24 Ending BalanlJe Additions Subtractions 19.00- 3.31 1,533.00 62.06 45.80- 410.55- 22.90- (iifr~ '\ ! i ~- 51~O(tOO Check # 001836 001837 Feb 02 Feb 10 Feb 22 h - Continued on following page _ _ _ Balance 10,993.08 10,974.08 10,977.39 12,510.39 12'464.59 12.054.04 12,116;10 12,093.20 17,293.20 17,29.1.20 Date' Feb'13 Feb 20 ~ 5<( ;..oc.. QJU on ~"'Ol-o "'....::l ~~<2~ --cu ~ ~.- .- en ~ .c ,- ~--~ "J.,_ /.4~I~1 PE~31& r. 'nry1'r/(~ ...... . ...... . cd :E VJ ~ --- U ~ .t= ."- ~ ~-b -~. ~ ~S ~. ~ ~~ ~~ 0-. N N <r, I o or, o r- -- ; '''j.,. ~ 20D7 AUG -7 Pr1 2: 40 1',1 ~ o z:- <S ~ -' 2EE~ 2h~h EOOO O~hE 900~ '-..' ,