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Home My WebLink About09-05-07 A" , - . ...J :L5[]5b041147 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 2 1 07 0017 Date of Birth 211143480 12142006 05181923 Decedent's Last Name Suffix Decedent's First Name PANKO CAROLINE MI 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 0 2. Supplemental Return 0 3. Remainder Return (date of death prior to 12-13-82) 0 4. Limited Estate 0 4a. Future Interest Compromise 0 5. Federal Estate Tax Return Required (date of death after 12-12-82) [K] 6. Decedent Died Testate 0 7. Decedent Maintained a Living Trust 1 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 0 9. Litigation Proceeds Received D 10 Spousal Poverty' Credit 1 date of death 0 11.Election to tax under Sec. 9113(A) . betWeen 12-31-91 and -1-95) (Attach Sch. 0) .cORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFOR~ON SHOUL~~ DIRECTEQJp: Name Daytime Tel~ Number..) ("I MICHAEL L. BANGS 71773~:7~t.p tJ .- I '^- 429 SOUTH 18TH STREET 1 ~D:~ "",;:.. Firm Name (If Applicable) REGISTEROF'wrtLs USi!bNl Y- 1 I :~~ :-. c.-:) First line of address Second line of address ()1 -..J City or Post Office CAMP HILL DATE FILED State PA ZIP Code 17011 Correspondent's e-4T1ail 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 arid complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knoWled~e. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE (J)y~ C, P ~ Walter E. Panko ~ 1'. ..2",111 ADDRESS 516 Grandview Avenue, Camp Hill, PA 17011 SIGNfr;J,RE_ OF PR;:A;ER OrER THAN PRESENTATIVE Y ~/L G Michael L. Bangs ADDRESS a DATE ~ I. a~"'A) 429 South 18th Street, Camp Hill, PA 17011 Side 1 L 151l561l41147 15056041147 .....IdiY\ ...J 15D56D42148 REV-1500 EX DecedenfsName: Caroline M. Panko Decedent's Social Security Number 211143480 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) 0 Separate Billing Requested.............. 7. 8. Total Gross Assets (total Lines 1-7)..... ....................... .............. ..... .......... ............... 8. 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/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, of transfers under Sec. 9116 (a)(1.2) X ~ 16. Amount of Line 14 taxable at lineal rate X .045 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 0.00 15. 417,194.06 16. 0.00 0.00 19. Tax Due.......................................... ................... ... ..................... ................................ 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 L 15056042148 219,447.91 122,606.84 96,661.22 438,715.97 18,750.11 2,771.80 21,521.91 417,194.06 417,194.06 0.00 17. 18,773~73 0.00 0.00 18. 18,773.73 D 15D5bD4214a .-J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-07-0017 DECEDENT'S NAME Caroline M. Panko STREET ADDRESS 806 Oak Oval CITY I STATE !ZIP Mechanicsburg PA 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1 ) 17,678.00 930.42 Total Credits (A + 8 + C) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty 18,773.73 18,608.42 TotallnterestlPenalty (0 + 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. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) (4) (5) 165.31 (5A) (58) 165.31 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;..................................................................................... 0 b. retain the right to designate who shall use the property transferred or its income;......................................... 0 c. retain a reversionary interest; or. ........................ ........... ....... .......................... ..... ............... .................... ..... ... 0 d. receive the promise for life of either payments, benefits or care?.................................................................. D 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?................................................................................................................. ........ 0 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?............... D 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?...................... ..................................... ....... .................. ........ .................. ......... [!] 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. No [!] [!] [!] [!] [!] [!] 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 is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Rev-1503 EX+ (6-98) . SCHEDULE B STOCKS & BONDS COMMONWEALTli OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Panko, Caroline M. FILE NUMBER 21-07-0017 ESTATE OF All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 Vanguard Group - GNMA Fund Investor Shares 10.24 18.284.78 2 Vanguard Group -Intermediate-Term Treasury Fund 10.83 3.702.41 Investor Shares 3 1,264.658 shares of Vanguard Group - Wellesley 22.77 28.796.26 Income Fund Investor Shares 4 Wachovia Securities -Individual Retail Account 1 '68.664.46 TOTAL (Also enter on Line 2, Recapitulation) 219.447.91 (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 B (Rev. 6-98) Rev-1508 EX+ (6-98) . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONW~TIiOFP~YLVAN~ INHERITANCE TAX RETURN RESIDENT DECEDENT Panko, Caroline M. FILE NUMBER 21-07 -0017 ESTATE OF Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION 1 Ameriprise - Reimbursement of pro-rated premium for long term care policy VALUE AT DATE Of DEATH 512.64 2 Automobile - 2003 Chevrolet; see Bill of Sale attached 1.500.00 3 Polish National Alliance - Life insurance paid to estate 2.049.00 4 Refund from Allstate Insurance - unearned automobile insurance premium 142.80 5 Refund from Bedford Fair Apparel 69.98 6 Refund from Highmark Blue Shield 62.31 7 Refund from Highmark Blue Shield 175.65 8 Refund from Highmark Blue Shield 139.89 9 Refund from Highmark Blue Shield 165.02 10 Refund from Highmark Blue Shield 7.98 11 Refund from Highmark Blue Shield 59.70 12 Refund from Highmark Blue Shield 43.10 13 Refund from Highmark Blue Shield 68.72 14 Refund from Malpezzi Funeral Home 100.00 15 Refund from Provider Services 29.52 Total of Continuation Schedule See attached page TOTAL (Also enter on Line 5, Recapitulation) 122.606.84 (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) Rev-1508 EX+ (6-98) . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY continued COMMONWEALlr1 OF PE~YLVANIA INHERITANCE TAX RETURN RESIDENT OECEOENT Panko, Caroline M. FILE NUMBER 21-07 -0017 ESTATE OF ITEM NUMBER 16 DESCRIPTION MetLife Insurance Co. - Policy/Contract No. 15 398 565 A. Amount taxable represents cash value of policy available to decedent at time of death. VALUE AT DATE OF DEATH 3.298.97 17 PA State Employees Credit Union - Regular Savings 395.94 18 PA State Employees Credit Union - 36 Month CD 12.120.65 19 PA State Employees Credit Union. 24 Month CD 1.916.18 20 PNC Bank, NA. . Certificate of Deposit 3.075.20 21 PNC Bank N.A. - Savings Account 12.791.49 22 PNC Bank, N.A. - Checking Account 800.38 23 Refund - Unearned acquisition fee from Messiah Village per letter of 1/4/07 82.489.64 24 Refund from Highmark Blue Shield 53.69 25 Sovereign Bank - Account 1055445405 538.39 TOTAL (Also enter on Line 5, Recapitulation) 122.606.84 Copyright (c) 2002 form software only The Lackner Group. Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1510 EX+ (6-98) '* SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEAlTH OF PEtHlYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Panko, Caroline M. FILE NUMBER 21-07-0017 ESTATE OF This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST IF APPLICABLE) VALUE THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. 1 AIG Annuity Insurance Company - Policy No. 5.436.08 100.000 0.00 5.436.08 VP215404 2 Ameriprise Financial - Account #93002883086 5 17,449.48 100.000 0.00 17,449.48 004 3 Ameriprise Financial - Account #93007194604 8 31,273.78 100.000 0.00 31,273.78 004 4 Shenandoah Life Insurance Company - Deferred 26.851.85 100.000 0.00 26.851.85 Annuity Contract No. 001057762 5 Wachovia Securities -IRA Account No. 6574-5709 15,650.03 100.000 0.00 15.650.03 TOTAL (Also enter on Line 7, Recapitulation) 96.661.22 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1600 Schedule G (Rev. 6-98) REV-1151 EX+ (12-99) . SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Panko, Caroline M. Debts of decedent must be reported on Schedule I. FILE NUMBER 2141741017 ESTATE OF ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s) attached 9,323.68 B. ADMINISTRA riVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City State Zip - Year(s) Commission paid 2. Attorney's Fees Michael L. Bangs 7,500.00 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 380.00 5. Accountant's Fees 750.00 6. Tax Return Preparer's Fees 7. other Administrative Costs 796.43 See continuation schedule(s) attached TOTAL (Also enter on line 9. Recapitulation) 18,750.11 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1502 EX+ (6-98) *' SCHEDULE H-A FUNERAL EXPENSES continued COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RE1\JRN RESIDENT DECEOENT Panko, Caroline M. FILE NUMBER 21-07 -0017 ESTATE OF ITEM NUMBER DESCRIPTION 1 Davenport's Italian Oven - Funeral Luncheon AMOUNT 277.03 2 Malpezzi Funeral Home 8.656.00 3 The Runway - Funeral dinner 390.65 Subtotal 9.323.68 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-A (Rev. 6-98) Rev-1502 EX+ (6-98) . SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PEN-lSYLVANIA IN-iERITANCE TAX RE11JRN RESIDENT DECEDENT Panko, Caroline M. FILE NUMBER 21-07 -0017 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 AAA Club - Transfer fees for automobile 38.50 2 Cumberland Law Journal - Estate Advertising 75.00 3 Matthew Gartland - Moving of items from apartment at Messiah Village 560.42 4 The Sentinel - Estate Advertising 122.51 Subtotal I 796.43 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Sche ~ule H-B7 (Rev. 6-98) Rev-1512 EX+ (6-98) . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE liABiliTIES, & liENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Panko, Caroline M. InClude unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1 AK Steel Corporation - Return of pension payment of 1/1/07 2 Camp Hill Emergency Physicians 3 Discover Card 4 Discover Card 5 Heritage Medical Group 6 Holy Spirit Hospital 7 Messiah Village - December resident charges 8 Messiah Village - November resident charges 9 Messiah Village - treatmentltherapy services 10 Orthopedic Institute of PA 11 PA Department of Revenue - 2006 income tax due 12 Paul D. Dalbey, DPM 13 PP&L Electric - 11/10/06 to 12/12/06 14 PP&L Electric -12/12/06 to 1/12/07 15 West Shore EMS/BLS FILE NU MBER 21-07.~017 TOTAL (Also enter on Line 10, Recapitulation) (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. VALUE AT DATE OF DEATH 103.15 29.52 50.25 56.32 15.68 100.00 812.74 1,053.00 206.29 19.96 237.00 3.12 0.54 17.11 67.12 2,771.80 Form PA-1500 ~chedule I (Rev. 6-98) REV-1513 EX+ (9-00) . SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT NUMBER Panko, Caroline M. 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 List Trusteels\ FILE NUMBER 21-07 0017 SHARE OF ESTA1E AMOUNT OF ESTATE (Words) (m) ESTATE OF I. Carl M. Panko 121 Dill Avenue Perkasie, PA 18944 Son One-half Walter E. Panko 516 Grandview Avenue Camp Hill, PA 17011 Son One-half Total Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sh t 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-1600 Schedule J (Rev. 6-98) vanguard - Price history Page 1 of 1 < fl~;;J;;." ~ Vanguard~ Investment Products >> Mutual Funds >> Vanguard Fund Profile Vanguard GNMA Fund Investor Shares - VFIIX Overview Current & historical returns Quarterly commentary f.D Performance ranking OJ Share class: e Investor I Taxes & distributions Price Price history Minimum Investments & fees Risk & volatility Holdings Style analysis CD Management Custo returns CD Custo characteristics CO Price history and Price history Get up to 18 months of daily prices for Vanguard@ funds. You can see prices for a single date frame. Prices are not available for weekends or financial holidays. Enter the dates in the following format: mm/dd/yyyy. Start date m t~c~(~i(~Q9~""M' End date mtlb ?11~(?9.Q~ Price 12/14/2006 $10.24 @ 1995-2007 The Vanguard Group, Inc. All rights reserved. Vanguard Marketing Corp., Distrib. Terms & conditions of use I Obtain prospectus https://institutiona1.vanguard.com/VGApp/iip/IWElnvestments?FW _Event=PriceHistoryEvent F... 3/7/2007 Vanguard - Price history J ,jt.t:::.. ~ Vanguard'Y Investment Products >> Mutual Funds >> Vanguard Fund Profile Page 1 of 1 Vanguard Intermediate-Term Treasury Fund Investor Shares - VFITX Overview Current & historical returns Quarterly commentary If)] Taxes & distributions Price Price history Minimum investments & fees Performance ranking CD class: ~ Investor I Admiral™ Risk & volatility Holdings Style analysis CD Management returns 1]J Custo characteristics CD Get up to 18 months of daily prices for Vanguard@ funds. You can see prices for a single date 0 a specific time frame. Prices are not available for weekends or financial holidays. Price history Enter the dates in the following format: mm/dd/yyyy. Start date m 1.~~(!~~?,2~~,_,_i End date mn b?/~~t?2Q~ .. I Date 12/14/2006 Download dat and Price history Price $10.83 @ 1995-2007 The Vanguard Group, Inc. All rights reserved. Vanguard Marketing Corp.. Distrib. Terms & conditions of use Obtain prospectus https://institutional. vanguard.comN GApp/iip/IWElnvestments?FW _ Event=PriceHistory Event& ... 3/7/2007 v anguara - Price history i,-ti"~;,^" ,1., ,.....s....>'i' ~ .yaft6----w Investment Products >> Mutual Funds >> Vanguard Fund Profile Vanguard Wellesley Income Fund Investor Shares - VWINX Overview Current & historical returns Taxes & distributions Price Price history Minimum investments & fees Quarterly commentary CO Performance ranking (D class: !D Investor I Admiral™ Risk & volatility Holdings Style analysis CD Management Page 1 of 1 Custom returns I]) Custo characteristics CD Get up to 18 months of daily prices for Vanguard@ funds. You can see prices for a single date r a specific time frame. Prices are not available for weekends or financial holidays. Price history Enter the dates in the following format: mm/dd/yyyy. Start date mi b,~!.1..~t~.Q,Q~._.J End date tml b?!~4!?99~J and Price history Price $22.77 @ 1995-2007 The Vanguard Group, Inc. All rights reselVed. Vanguard Marketing Corp., Distrib. Terms & conditions of use I Obtain prospectus https://institutional.vanguard.comNGApp/iip/IWElnvestments?FW _ Event=PriceHistoryEvent& ... 3/7/2007 Wacllovia Securities, LLC 3 Lemoyne Drive Lemoyne. PA 17043 Tel 717 761-7344 Fax 717 975-8426 800 468-8685 . -!;jjlI"'~.- ----~~ January 12, 2007 Mr. Michael L. Bangs Ba ngs Law Office 429 S 18th Street Camp Hilt PA 17011 RE: Estate of Caroline M. Panko Dear Mr. Bangs: Please be advised that at the of Mrs. Panko's death on December 14, 2006, she aintained 2 accounts at Wachovia Securities. 1. Caroline M. Panko, Individual Retail Acct. #6624-1667, opened 10/5/05 2. Caroline M. Panko, IRA Acct #6574-5709, opened 08/19/1997 Attached is a spreadsheet showing the investments as well as the values as of D cember 14, 2006. According the beneficiary form we have on file for the IRA account, Walter E. Pa ko & Carl M. Panko will share the account SO/50. Inherited IRA accounts will need to be open d for each of the beneficiaries. Enclosed are new account questionnaires. Mrs. Panko's retail a count will have to be transferred to an estate account. We can open an estate account h re and then follow the executor's instructions for disbursement. Please don't hesitate to call to go over our procedures in more detail. ~ufu. Shelly A. 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() 1'0 Q) I\,) ..ll. ~ C en 0 01 -.>. 0 0) W 1'0 -lo. ~ ~ 0) ~ 0 0) ..... -0 ~ ~ ^ w )> OJ OJ s:: ^ -I N '"0 ..... OJ W 1'0 ..... ""-l -lo. 1'0 - CD CD CD CD CD ~ CD <D co co co ~ j.v :...... w 0) I\,) w I\,) ~ ..... w - w CD en 0 0) 0 ~ -.>. en 9> w ~ 9> :'" w :r:. ~ 0) ""-l 1'0 co 01 w. I\,) W ""-l 01 01 0 1'0 ""-l :r: 0 0 0 0 0 CD -lo. -lo. 1'0 01 W ~ <D -lo. 1'0 - ..... ~ - ..ll. 0 0) W ..ll. ~ W ..... W 0> CD -lo. _co CD J'> _co J'> 0> I\,) W :r: ~ -~ CD 00 co co 01 ""co N N ..ll. < ..... ""-l en J:lo, 0> CD 1'0 W ..... 1'0 en 1'0 -lo. W ~ :'" 0 CD 1'0 ~ ~ ~ ~ 1'0 ~ ~ ~ ~ 1>> j.v 00 Co m ~ OJ ~ W OJ 0 ""-l 0) 0 I\,) ""-l ~ I\,) ~ 0 0 01 0 <0 I\,) OJ en 01 CD ~ CD ~ ~ W 0> 1'0 W 1'0 ~ ..... w ~ ~ ..ll. ~ 9> 0> 1'0 W 01 en 00 I\,) ..... CD :...... CD ~ - 0 0 0 ""-l -lo. CD I\,) W ) ~ :i: 1:::0. I ~~ ..ll. W- ID W -lo. -lo. W ~ W -"'" -lo. CD CD _I\,) _co I\,) 0) -lo. I\,) 1= co -~ (0 "Q) co co -:r:. ""0 co CD -lo. I ~ -lo. ""-l en ~ 0> en CD 01 01 0 (X) 1'0 ..... W 01 "'" 0 ~ ~ ~ P -lo. ~ .,l:l. P !JO ~ 01 ..... ~ j.v OJ CD W 01 -lo. 0 j.v ""-l W CD ~ I~ -lo. ~ 0 0 01 0 0 01 ~ OJ W ""-l N W BILL OF SALE I, WALTER E. PANKO, Executor of the Estate of Caroline M. Panko, hereb sell the 2003 Chevrolet, VIN IGIND52J83M557015 to David J. Panko for the swn of$1,50 .00. Date: January 8, 2007 9r~~ <7 p~ WALTER E. PANKO, Executor OFFICE OF THE SECRETARY February 6, 2007 Mr. Michael L. Bangs 429 South 18th Street Camp Hill, PA 17011 Re: Caroline M Panko, dec'd Cert. No. 05931700 Lodge No. 0533, PNA Claim No. 319642 Enclosedpleasefind a check No. 0138652 in the amount 01$2,049.00 representing proceeds due to the Estate under the above captioned cert( lcate. Should you have any questions regarding the above, please call the Clai s Department at 1-800-621-3723 Ext. 325 or 379. With regards, I am Sincerely, ~V/ Z. John Ordon National Secretary, PNA ZJO:nb Encl. 1 POLISH NATIONAL ALLIANCE of the U.S. of N.A. 6100 N. Cicero Avenue Chicago, IL 60646- 386 (773) 286-0500 MetLife) METROPOLITAN LIFE INS. CO. 700 QUAKER LN PO BOX 300 WARWICK RI 02887 Questions? Contact your MetLife Representative: llfr800iMET-5000 Sales Office/Agency: 56L1806 Annual Dividend Statement Annive sary Date February 15, 2006 #BWNDYSK * * PMFDI #QBSHPJSZSG///421# CAROLINE M PANKO 806 OAK OVAL MECHANICSBURG PA 17055-8409 Name of Insured/Annuitant CAROLINE M PANKO Plan 20 PAYMENT LIFE Dividend Summary According to the terms and provisions of your paid-up policy, you have chosen to have your 2006 dividend purchase additional paid-up insurance. 2006 Dividend: Additional Paid-Up Insurance Purchased by Dividends Prior Balance: Additional Insurance Earned on Prior Balance: Amount Purchased by Current Dividend: Total Additional Paid-Up Insurance: At MetLife, we value your business and look forward to providing you with quality service -- now and in the years ahead. Policy/ on tract Number 15 398 565 A Face Ar ount of Insurance $1,000 $34. '8 3,145.76 114.d2 38. a9 3,298. ~7 For questions or service, please contact your MetLife Account Representative or callI-800-MET -5000 (1-800-638-5000). Our busiest day is Monday, so it is best to call Tuesday through Friday, if possible. JY2062.SCRE (02/99) /"" .. .... ;' .~, c" . PSEC~ January 30, 2007 Account # 8402463394 MICHAEL L BANGS BANGS LAW OFFICE 429 SOUTH 18TH STREET CAMP HILL, PA 17011 Dear MR BANGS: The following is the status of CAROLINE M PANKO's account with PSECU as of the date of deat Joint Owner's Name Date of Death Date of Birth NONE - CHANGED OCTOBER 2005 FROM RlLfT TO INDIVIDUAL ACCOUNT 12.14.2006 05.18.1923 Share SOl S 53 S 56 Description Regular Shares 36 Month Certificate-4 24 Month Certificate Open date 01.03.1995 06.23.1998 01.09.2001 Balance $ 395.94 12,120.65 1,916.18 Accrued ividend $ 0.17 12.78 1.86 The dividend earned from January 1,2006 through the date of death was $389.36. The decedent ha no loans with us. We do not have safe deposit boxes for our members. We need the executor to sign, date and return the Authorization to Close Account form. Certificate. If you have any questions, please call 234-8484 in Harrisburg or our toll-free number, (800) 237-73 8. At the menu prompt, enter 6 and then extension 2227. q;1t~ Me~~ir~~ i Member Service Representative Finance Support Unit Pennsylvania State E ployees Credit Union Main Address: 1 Credit Union Place, Harrisburg, PA 17110-2990 . 717. 34.8484 . 800.237.7328 . fv\cliling f\ddres~:~O.Box 67013,ljarrisburg, Pf\17106~7013 . 717.777.2100 (T OJ .800.472.1967 (TDO) This credit union is federally insured by the Nati~~al Cr~dit Union" Ad~i~"i~t~~ti~~: Equ~"1 Opp;rtunity Lender www.psecu.com JAN-17-2~7 23:59 PNCE:Af\I< 0PNCBAN< January 1812007 Michael L. Bangs 429 South ISd\ Street Camp Hilt, PA 17011 RE: Estate of Caroline :~t Ptlnko, dc:ceased SSN: 211-14-3480 DOD: 12/14/2006 Dear Mr. Bangs: 412 '768 :A58 P.01 In response to your request f,;)t Date of Deelth balances for the customer noted ~~ ve, our records show the following: Certifieate of Deposit Account #3100025218 t CAROI"INE M PANKO WALTER E PANKO DOD balance: 53,075.20 + SE 8.:24 accrued interest Interest Paid tll/2006 - 12/14, '2006 - $75.20 CheckiDg Account Account #5004618556 CAROL1NE M P ANKQ WALTI;R E PANKO DOD balance: $800.38 + SO.CO :lccrutid interest Interest Paid 1/112006 - l'J14.'2006 - $.:.4 Savings Account Account #5002056676 CAROl.TI'ffi M PANKO DOD balance; $12,7!)l,49 + ~31.0I accTucid interest Interest Paid 1/112006 - 12/14.'2(~06 - S388.94 Page I of2 Established 01! 1:1:005 Established 01/ 6/:W05 Established 03/0 1::.005 ,l J~~-17-2007 23:59 ,,, PNCB~ 412 '768 :~458 P.02 Safe Deposit Box #146 CAROLINE M P ANl<:O' Established 1 106/2005 Located: 1\-1E8SIAH VDLLAGE B~\NCH 939 OAK OVAL 1\1E(:HANIC~;BURG, P A 170SS,.8409 (71'7) 691-4091 Please note that this office cln.y provides (late of death balances for dC]~:~it ac(~ W'lt!; (mAs, CDs, Checking and Sa. fings accerunts). We do not proeess an~T finanei transactions or provide statements. IfY()l1 need assi~~cc: with any .)fthese i lE., please ea111-S8S-PNC-BANI< (l-888*.71)2..2265) or stctp by your local PNC BI bl;mch office. Sincerely, ~ M!.~ Raehelle Wells 1-800-762-1775 P7 -PFSC-04-F 500 first Ave. Pittsburgh PA 15219 Pa.s::c 2 of':2 M~M'''e,. F I c.: -------.---- ...-. TOTRL P.0~' M~~jah Continuing Care Retirement Services - ounded 1896 January 4,2007 \Valter Panko 516 Grandview Ave. Camp Hill, P A 17011 Dear Mr. Panko: I am writing to you concerning the refund due for the apartment occupied by Caroli e Panko at 806 Oak Oval, Messiah Village. The acquisition fee paid for the unit in January 2005 was $108,539.00. The agreeme twas terminated December 27,2006. The acquisition fee was amortized over twenty-fou months leaving a refund in the amount of $82,489.64 (see enclosed amortization schedule). The payment of the refund will take place upon acquisition of the unit by another res.dent. If you have any questions regarding the refund, please call me at (717) 591-7204. h;e;~ . (h6W~ Michele MagliC~ Manager of Financial Operations Encl. 100 Mt. Allen Drive. Mechanicsburg. PA 17055-6100 (717) 697-4666 . Fax (717) 790-8200 . www.messiahvillage.org Enhancing JJfe Account #: In the name of: Date of Dea Int.(YTD) ti Accrued int Other Info: Sovereign Bank Caroline M. Panko TY#: 211-14-3480 H: December 14,2006 2331049211 Type: Checking Open date: 10/30/1996 Caroline M Panko or Walter E Panko th Balance: $0.00 rom 1/.1/2006 to 12/6/.2006 . $0 00 . erest to date of death: $0.00 1055445405 Type: CD Open date: 7/25/2003 Panko REVOCABLE TR Caroline M Panko th Balance: $538.39 rom 1/1/2006 to 12/14/2006 . $1~ .53 . erest to date of death: $0.88 2331048495 Type: MM Savings Open date: 7/5/1985 Caroline M Panko or Walter E Panko th Balance: Account closed prior to death rom to : $0. bo erest to date of death: $0.00 Account closed on 04/11105. Pa e 1 of 1 9 ESTATE OF SOCIAL SECURI DATEOFDEAT Account #: In the name of: Date of Dea Int.(YTD) ti Accrued int Other Info: Account #: In the name of: Date of Dea Int.(YTD) f Accrued int Other Info: Arneriprise Certificate Company Ameriprise Brokerage 7 100 Ameriprise Financial Center Minneapolis, MN 55474 January 18, 2007 DAVID RAYMOND LYON STE 201 5006 E TRINDLE RD MECHANICSBURG, PA 17050-3651 Dear DAVID RAYMOND LYON: We have received notification of CAROLINE M PANKO"s death. The deceased"s name appears on the following accounts. Account values as of 12/14/2006 are listed below. At the end of this letter, you will find a list of beneficiaries shown in our initial review of the accounts Account Information Annuities - Post 1985 Account Number Ownership 93002883086 5 004 Individual 93007194604 8 004 Individual LTC Premium Return Account Number 91004050510 9 004 Ownership Individual Annuities - Post 1985 Account Number 93002883086 5 004 93007194604 8 004 Total Value $17,449.48 $31,273.78 LTC Premium Return Account Number 91004050510 9 004 Total Value $0.00 The date of death values provided are for estate tax purposes and are value to be paid. Accounts may be subject to market fluctuation as go by each product. Please note that the values indicated for any Life Insurance product(s) reflect the gross death benefit at date of death, the cash value. Values for any proprietary mutual funds include accru dividends as applicable. Values provided for brokerage products are ma calculated, and should be used as estimates only. The prices used to provide values are estimates obtained from outside sources believed to reliable. Ameriprise Financial does not guarantee the values. ot a erned not d ually be Account Disposition Account disposition is based on how an account is owned (the ownership type). The following information will help you understand the process that will be used to settle the accounts. Accounts may be subject to market fluctuation as governed by each product. 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B x 871 Amarillo, Texas 79105-0871 800.42 .4990 April 2, 2007 Bangs Law Office Attn: Michael Bangs 429 S 18th St Camp Hill, PA 17011 Re: Contract #: VP215404 Deceased: Caroline Panko Dear Michael Bangs: Thank you for your recent inquiry regarding the referenced annuity contract. It is our pleasure to be of service to you. The value of the contract on December 14, 2006 was $5,436.08. Should you have any questions or require further assistance, please contact our Client Care Center by using our toll free number of 1-800-424-4990. Sincerely, c~j~ Jaynie Sillivent Claims Dept. AIG Annuiry nsurtJnce Company Member oIAllericanlflfernll/ion(/f Group, Inc. ,~ ~ I ~ . " ~ ~ 6)f{$ ~ <@~9JCrP?~ I, CAROLINE M. PANKO, of Cumberland County, Pennsylvania, declar last will and revoke any will previously made by me. ITEM I. I direct that all my just debts and funeral expenses, including my avemarker and all expenses of my last illness, and any and all taxes and assessments imposed governmental body as a result of my death, whether on property passing under this .11 or otherwise, shall be paid from my residuary estate as soon as practicable after my de ease as a part of the expense of the administration of my estate. ITEM II. I give and bequeath all of my household goods, automobiles, jew lry, and all other articles of household and personal use, equipment and ornament, together wit insurance thereon and relating thereto, as follows: A. Fifty (50%) Percent to my son W ALTER E. PANKO provided h survives my death by thirty (30) days. Should he predecease me or not survi e my death by thirty (30) days, then his fifty (50%) percent share shall go to hi issue per stirpes. B. Fifty (50%) Percent to my son CARL M. PANKO provided he survives my death by thirty (30) days. Should he predecease me or not survi e my death by thirty (30) days, then his fifty (50%) percent share shall go to hi issue per stirpes. J . .' ~ \) t ~ "- ~ ~ ~ ITEM III. I give, devise, and bequeath all the rest, residue, and remainder possessions and estate of every nature and wherever situate as follows: A. Fifty (50%) Percent to my son W ALTER E. PANKO provided e survives my death by thirty (30) days. Should he predecease me or not sur ive my death by thirty (30) days, then his fifty (50%) percent share shall go to issue per stirpes. B. Fifty (50%) Percent to my son CARL M. PANKO provided he survives my death by thirty (30) days. Should he predecease me or not su my death by thirty (30) days, then his fifty (50%) percent share shall go to issue per stirpes. ITEM IV. I have specifically deleted any gift or bequest to my son DA VI J. PANKO. ITEM V. All of the interests of the beneficiaries hereunder shall not be su ~ect to anticipation or to voluntary or involuntary alienation nor shall they be subject to an execution or attachment. ITEM VI. I appoint my son W ALTER E. PANKO executor of this my las will. Should my son Walter predecease me or otherwise fail to qualify or cease to serve as exec tor of this my last will, I appoint my son CARL M. PANKO executor of this my last will. ITEM VII. In addition to the other powers and authorities granted to my p rsonal representatives by Pennsylvania law and by the other terms and provisions of this '11, I hereby give to my personal representatives the following powers and authorities effective . thout court approval and until actual distribution of all property: to compromise any claim or to make distribution in cash or in kind, or partly in cash and partly in kind, and in s ch manner as 2 ( , . I my personal representatives may determine and at valuations finally to be fixed by t em; to invest in all forms of property, including any stock or other securities in any corpor te fiduciary or its successor without restriction to investments authorized for Pennsylvania fiduc aries, as my personal representatives deem proper, without regard to any principle of risk or dive sification; to retain any or all assets of my estate, real or personal, without regard to any princi Ie of risk or diversification; to sell at public or private sale, to exchange, or to lease for any perlo of time, any real or personal property and to give options for sales, exchanges, or leases, for uch prices and upon such terms or conditions as my personal representatives deem proper; and 0 allocate receipts and expenses to principal or income or partly to each as my personal repres ntatives deem proper in their sole discretion. ITEM VIII. I direct that my personal representatives and fiduciaries shall n t be ayof required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this jd/Jt ~~ -<<r- ' 200r ~11t. CAROLINE M. PANKO 3 . t . The preceding instrument, consisting of this and THREE other typewritten ages, each identified by the signature of the testatrix was on the date thereof signed, publishe , and declared by CAROLINE M. PANKO, the testatrix therein named, as and for her last will, i the presence of us, who at her request, in her presence, and in the presence of each other, have s bscribed our names as witnesses hereto. CJr~ c: r;~ 4 . , ,. COMMONWEALTH OF PENNSYLVANIA ) ( SS: COUNTY OF CUMBERLAND ) The undersigned, being the testatrix whose name is signed to the attached or foreg ing instrument, having been duly qualified according to law, does hereby acknowledge that Is gned and executed the foregoing instrument as my last will, that I signed it willingly; and that I sign d it as my free and voluntary act for the purposes therein expressed. ~~,~ CAROLINE M. PANKO Sworn or affirmed to and acknowledged b. e.fo.e~ ~~ bY. the te ~trix ?amed above ~ r' th!Sr '1M day 0 i, 20~ ""]J;' ' J i.: I I o arv~ubli i NOTAR~61SiAL~'=>"~~~~ .. WEND V S C,..,If::S~R.O ~,lt~~' Pi !,r,!;(; ~ IT . !~__ ......L. 91.....""'{"';.::.:~-~.~.,.~ ;~1 Lower Allen Twp., CUmb-ar~m:J t.r.,~,;t\lt:i ~ My Commission Expiro'..1J M~Y. .10, 2m), ~ t1P".'SMa,;;.~.:......t~':~~,~:w COMMONWEALTH OF PENNSYLVANIA ) ( SS: COUNTY OF CUMBERLAND ) WE, M ,'{,~Cot/ L {Jp-rv::\.S and WG: I Jer E. Po."k e , the witnesses whose names are signed \b the attached or foregomg Instrument, being duly quali led according to law, do depose and say that we were present and saw the testatrix sign and execute the in trument as her last will; that she signed it willingly and that she executed it as her free and voluntary a t for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed th will as witnesses; and that to the best of our knowledge, the testatrix was at that time 18 or more y ars of age, of sound mind, and under no constraint or undue influence. 02ra..~ ~. p~ t~D NO AAIAl SEAL WENDY S. CHESBRO, Notary ~c Lower Allen Twp., Cumbsrl9nd County My Commiseion Expires M~y 10, 2007 ---- 5