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HomeMy WebLinkAbout09-25-07 (2) REV-l500 EX (8oOq COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT I- OECEDENT'S NAME (LAST. FRST, AND MOOI.E INIlW.) Z Stine, Mary K. ~ DATE a: DEATH (MM-DD-YEAR) DATE a: BIRTH (t.'M-DI)..YEAR) ~ 06-26-2007 07-11-1920 W (F APPI.JCABlE) SURVMNG SPOUSE'S NN.E {lAST, FRST, IH} MIXlLE H1TW.) Q nla o f. 0rigilS ReItm o 4. liniIed EslaIe o 6. DecednOledTesflU(AlachCOP'fDfWl) o 9. UIigaIICI1 ProceecIs ReceMld w ~ ~a::~ fdl1.8 61iil ffi Q Z i o u o 2. ~Rshm o 4a. Fain ~ Canpnrnise.or dIIIb...n.12-q o 7. Oecedert MaintaIned a LIvIng TRISt (AIIIcIt ClIpf atrn.o o 10. SpcuaI Poverty Cnldil_1II dIIIII.....,U1... 11II1-1-851 OFFICIAL USE ONLY FILE NUMBER 21.,.Q7-Q699 -- -- ----- CXll.NIY OOOE YEAR NMlER SOCIALSECURrTY NUMBER 206-32-3860 1MS RETURN MUST BE RLED IN [UlLJCAlE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMIER o 3. Remainder Rshm (dII8 III dIIIh pdarla 1~13-121 o 5. Federal EslaI8 TlIC ReIIIn ReqWed _ a TdaI NImler II Safe Depos/IIlcDs o 1f. SeclIcIllofarlllds'SIc. 911~(.\ItIcIISc:lr0) :':'::::::1'EIIS:~C1'JON.OST,:BE'~~~.',:Atl;(~f:iON~~'~i)S(t.~.tfAX:'~AtIQN,:$fIOlJU):S::tlRJ;crm:to:,'::,:::::: : NAME CQWlLETE ~ADDRESS SAMUEL L. ANDES FRM NAM: (/I AA*II*) 1. R8BI EsIaIe (Sc:hllcIUe A) 2. SIocb lIld BaIda (Sc:hllcIUe B) 3. CIoIeIyHeld Caplra/aI, PlrhnhIp rr ~ ~. t.t.rtgsges & Nates ReceJvabIe (SdledUe 0) 5. Cash, Elri Depcds & IoI8ceIJInlcIIS PericrlaJ Property (Schedlie E) 6. ~ Otmed Property (SdledUe F) D. SepaIe_ Requested 7. kUr-'JJa TI'lIlSfers & MisceIIaneaus NcJHlroIae Property (Sc:IledUe G (l'L) 8. TdaI GroIa Ass8lI (ldaI Liles 1 - 7) 9. FIIlnI EllpeIlI8I & AlInViIInIIIve Caets (SchedUe H) 10. DebJs 1lDecedert, a.btgage UabIIIes. & liens (SchedUe ~ 11. ToIaI DedudIans (ldaIl.i1IlI9 & 10) 12. Net ""118 of EstaI8 (Li1e 8 millS line 11) 13. CIBiIabIe 8IIlI Gcwilll,",lllltlalllequeslslSec 9113Trusla fclrwl*:h 11\ eIeclkIltotaxhas Illll been JlIlIIe (Schedule J) 14. Net ""118 Suiject to Tax (LIne 12 millS Lile 13) TELEPHONE Nl..ltteER 717-761-5361 z o ~ ::) I- ~ ~ P.O. BOX 168 LEMOY~E, PA 17043 (1) (2) 9,306.54 (3) (4) (5) 13,938.50 (6) (7) (9) 12,419.93 (10) 347.05 SEE INS'IRUC'IK*S FClRAPPUCABLE RATES 15. Aman Illi1e 141allab1e slhlpQUSlll far rate, (l'tnfers tIllIer See. 9116 (aX1.2) z o ~ 5 a. :E o o ~ 18. Aman II LiIe 141allab1e slli1elll rata 17.Aman dUne 141allab1e sl ~ rata 1a Aman II Li1e 14lallab1e sl c:dlalerall8l8 OFFICIAL USE ONLY r-....:> 0:::::-:' ('.::.:) -.J (/) rTl -;J "-) U1 !J ~.. - ., (.n w (8) 23,245.04 (11) 12,766.98 (12) 10,478.06 (13) 0.00 (14) 10,478.06 X.o_ (1S) x.a 45 (16) $471.51 X .12 (17) X .15 (18) (19) $471.51 :<::.:.'~<,;:; t~::,t:::'i:::":':'\::':f::<<'::;}/:\,:,;: }:,,:>,;:";;:~:.ii':8E:SURE ;rQ'ANSWER~U:;:QtJES:tIONS:,ON'~~,S1DE ANlitRECt:lEClUIATH:~:il;,:i'/:),:::::/:;",?:,:,::(): ;:::::::" , : ,:,;::':.':', ~ SlFPA420:21F.1 $10,478.06 19. Tax Due Zl. 0 rCHE(:KHERE,:~YOO,:~::f$~Am;f,ONI):OE,'AN;~Y.jartl Decedent's Complete Address: STREET ADDRESS 313 West Meadow Drive CITY Mechanicsburg I STATE PA I ZP 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Une 19) 2. CleditsIPaymenfs A. Spousal Poverty Credit B. Prior payments C. Discou1t 3. InterestlPenally if applicable D. Interest E. Penally TotaIlnterestJPenaIly (D + E) (3) 4. If Une 2 is greEr'than Une 1 + Una 3, enter the difBence. TIis is the OVERPAYMENT. Check box on Page 1 Una 20 to request a refund (4) 5. /tUne 1 + Une 31s we*'that Une 2. enterthecifference. This Is the TAX DUE (5) A. Enter the Interest on the tax due. (SA) B. Ertel' the total of line 5 + SA. ThIs is the BALANCE DUE (58) $471.51 Make Check Payable to: REGISTER OF WILLS, AGENT (1) $471.51 Total Crelits (A + B + C) (2) PlEASE ANSYlER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. ad decedent make atra1sfer and: Yes No a retlintheuseorlncomeofthepropertytra1sfen'ed; ........................................ 0 ~ b. retlin the r\glt to designate who shaD use the property tra1sferred or its income; .. . . .. .. . .. .. .. .... 0 riSI c. retain a f'8IIIISic:Jnay Interest; or ............................................ .. .. .. .. ... 0 IX! "d. receive the promise for life of either paymfIts, benefits or en? ............................... 0 ~ 2. If deaIh occt.II'8d after December 12. 1982, cid deCedent tFlllSfer property wittin one'/fB of deaIh witholt~adequaeconslderalion? .... ............................... ....... ........ 0 Ig] 3. Old decedert O'M'I a1 '1n trust for" or payltie upon death balk llCCOlri CJ' sewity a his or her death? . . . .. 0 ~ 4. Old decedeIt O'M'I an Individual RetIrement kw.rt, anity, or other non-probate property wIich c:ontans a beneficilIy designation? ....................................................... 0 . IX! IF TIE ANSWER TO AN{ OF TIE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE sctmI.E G NfJ FILE IT M PART OF nE RETlRf. liIder pen8IIes d IllWP'II decln tIllll_lIIlII1iled tis reUn, h:lJdIra 8CCQI1~ schedliIs n slaIBrnerD. n 10 the best d rrrt krllM'Iedge 81d belief. 1 II he, amct II1lIIDJ1)Iele. DecIlnlIlln d Pf8I)ini'..... pnnIlllJll1lIIIlIl6'Ils based CI1 afiilmallcx1 d which prepnr I8s lITf knc>>1edge. ~ !Y.1E 9-2.'1-07 ADDRESS 3 West Meadow Drive, Mechanicsburg, PA 17055 ~_ATrIE Samuel L. Andes, P.O. Box 168, Lemoyne, PA 17043 DATE 9-1..l.f -0, FOr ciaieS of death 00 or after JUy 1, 1994 iIld beb'e JllI'IIBly 1, 1995, the tax rate imposed on the net value of transfers to CJ' for the use. of the SlIVivIrv spouse is 3%" "" " [72 P.S. 59116 (a) (1.1) (i)}. " For chtes of death on or after JiIIBY 1, 1995, the tax rate imDOSed on the net value of tnIlSfers to CJ' for the use ct the 8lIVivi1J Sl!!U8ls 0% [72 P.S. i9116 (8) (1.1) (u)). The stabJle does not EIKEll1l~ a tra1sfer to a suviving spouse mm talc, iIld the statutory reqLinlrnerU for discIoslIe of assets IIid 1iIing a tax retun are sfiII applicable lMlIl if the stnM1g spouse is rrit beneIicIary. . For daes of death on or after JUy 1, 2000: The tax nte imposed on the net v.iue of Ira1sfers from a deceased child twenty-one years rI age or yoonger at deah to or fi:lr the use of a nattnI panrl. at acIoptiva parent, CJ' a sleppailllt ctthe child is 0% (72 P.S. fi9116(aX1.2)}. Thetaxnte imposed on the net value of transfers to or for the useofthedecedent'sUneal benelicIaies Is 4.5%, a:ept as noted In 72 P.S. 59116(1.2) [72 P.S. 59116(a)(1)). The tax rate imposed on the net value of transfers to CJ' for the use of the decedent's siblings is 12% [72 P.S. 59116(aX1.3)). A sibling Is defined, U'Ider SectIon 9102, as a1 indMdJa who has at least one pII'el1t In cammon with the decedent, whether by blood or lKIoptIon. " e.l""ft.~C'~ REV-1503 EX + (1-97) (I) e<:IlMClNVEAlJH OF PENNSYUMIA HfERITNICE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF fiLE NUMBER Stine, Mary K. 21-07-0699 AD property JoInIIy-owned with the ri~ d IUlYlvCllShlp must _dISdOSed on Schedule F. ITEM . NUt.eER . DESCRIPTION VAlUE AT DATE OF DEATH 1. 200 shares of Cisco Systems stock at $27.21 per share $5,442.00 80.39409 shares of WalMart Stores, Inc. stock at $48.07 per share $3,864.54 NOTE: see attached statement from Edward Jones to confirm these figures. TOTAL (Also enter on fine 2. RecapitUI6ln) $ 9,306.54 Of more space is needed, insert addtionaI sheets of the sane size) InFPM2lIZ1F.4 REV-1508 EX + (1-97) (I) CCMIONWEAL1H (F PENNSYl.IMA INHERITANCETAX RElURH RESlJEHTDECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Stine, Mary K. FILE NUMBER 21-07-0699 R:kIde the proceeds rllligalkrlll1lllhe dale the proceeds wn received by the estate. All pI'OIBty JoInIIy-<JWlllld with the ~ rlllIVIVOIIIhIp nut be dscIosed CIII Schade F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Savings account No. 574108486 with Sovereign Bank (see statement attached) $1,509.79 2. M&T Bank checking account No. 82059292 (see statement attached) $3,108.90 3. Time deposit account with M&T Bank, account No. 031003915188279 (see statement attached) $8,319.81 4. Miscellaneous items of personal property including a 12-year old fur coat, some costume jewelry, and a few items of bedroom furniture $1,000.00 TOTAL (Also erter on line 5, RecapIbJr&n) $ 13,938.50 Of more &pea Is needed, insert addiIIona sheela of the 811'118 size) STFPAGlI21F.9 REV-1511 EX + (1-97) (I) CCMtOtMEALTH OF PENIlS'tIWM NlERIW<<:ETAX RET\RI RESIIEHl" IlEC8lENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF ALE NUMBER Stine, Mary K. 21-07-0699 DebIa of dICIdent JIIUIt be I1lpCIIt8d on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. $6,599.00 Myers Funeral Home Rolling Green Cernetary (name plate and headstone) $221.00 Food expense for funeral reception $265.25 B. ADMINISTRATIVE COSTS: 1. PerIlIl8I Reprise llallve's Cor. I. isskI IS NIIne rI PerIlIl8I RepreserUtive(s) SocI8I SecuiIy rtmber{s) I ~ tUnber rI PnnII Rap """,Iatiw(s) SIreeI Adchss Cily SlaIe Zip Year(s) CormissIcrI PaId: . 2. NtI:trwrt Fees SAMUEL L. ANDES $1,500.00 3. FlI1'IIy Ex8nplicIt (I decedelts address is /lllt the same. cIlirnlrfs, IIIach expInlIcrl) CIaimIrt Margaret S. Marchi SlnlelAddress 313 West Meadow Drive $3,500.00 cay Mechanicsburg SlaIe PA Zip 17055 ReIatkr1shIp rI CIaimIrt to DecedeIt Daughter 4. f'nlbgaFees Register of Wills. $125.00 5. Aclxllriri's Fees 6. raxReim Prlpnr's F_ 7. The Sentinel (advertising) $134.68 Cumberland'Law Journal (advertising) $75.00 TOTAL (Also Iris' on Une 9, Recapitulation) $ 12,419.93. , (If more space Is needed, insert lKkitionaI sheets ct the sane size) RWPAA2ll21F.12 REV-1512 EX + (1..e7) (I) C<>>.tMOtMEALll OF PENNS'tl.WM I/IIERI'I'Ata TAX RETURN RESIEHT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE UABlUTIES, & UENS ESTATE OF Stine, Mary K. FILE NUMBER 21-07-0699 Include lIInlImblned mecIc:aI- - ITEM NUMBER DESCRIPTION AMOUNT 1. 2. Quantum Imaging (medical services) West Shore EMS (ambulance service) $9.47 $62.47 3. Green Ridge Village (final statement) $62.64 4. eit/card (credit card - final bill) $62.13 5. . ExxonMobil (credit card - final bill) $38.00 6. Verizon (telephone bill) $19.97 7. State Employees Retirement System (refund of overpayment) $92.37 . . lZTCD~1"'.13 TOTAl. (Also erter on One 10, RecapitUation) $ 347.05 Qf more space is needed, Insert a:kitIon8 sheets ct the SlIl18 size) REV-1513 EX + (9-00) C<Iott1ON't\EW' OF PENNSYUMIA ItfERI'W<<:E we RETURN RESIDENT DECEDENT SCHEDULE J BENERCIARIES 21-07-0699 ESTATE OF Stine, Mary K. FILE NUMBER RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AN) ADDRESS OF PERSON(S) RECEMNG PROPERlY Do Not list Trustee(s) OF ESTATE 1 TAXABLE DISTRIBUTIONS pnclude outrIgtt spousal mstriIJutioos, lI1d tICI1Sfers IJ1der Sec. 9116 (a) (1.2)] 1. Margaret S. Marchi Daughter 100% 313 West Meadow Drive Mechanicsburg, P A, 17055 ENTER DOlLAR AMOUNTS FOR DISTRIBUTIONS SHOVlIN N3!:NE ON UNES 15lliROUGH 18, AS APPROPRIATE. ON REV-1500 COVER SHEET n. NON- TAXABlE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX ISNOTB8NGMADE 1. none B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. none TOTAL OF PART n - ENTER TOTAL NON- TAXABLE DISTRIBUTIONS ON UNE 13 OF REV.1500 COVER SHEET $ 0.00 Ofmore space Is needed, insert addIUonaI sheets of the same size) STFPA42021F.14 67/66/2667 68:49 8883468687 EDWARD JONES PAGE 61/61 4227 Ehnaton Avenue Harrisburg, PA 17109 717-$41-5474 www.edwardjones.com Jeffrey L Hoachlander Financial Advisor Edward Jones July 6, 2007 Samuel L. Andes Attorney at Law PO Box 168 Lemoyne. PA 17043-0168 Dear Mr. Andes: Per your request. I am writing to provide valuation for the following securities belonging to Mary K. Stine. now deceased. Description Cash Interest Total Value SO.02 Qty 200 80.39409 Description Cisco Systems WalMart Stores Inc. Cusip or Symbol CSCO WMT Value per Item $27.21 $48.07 Total Value $5.442.00 $3.864.54 The values listed are as of June 26, 2007, the day that Mary K. Stine passed away. The values were obtained from an outside historical pricing service and while we believe.that they are reliable. we do not guarantee their accuracy. Please let us know if you need any other information or assistance. Sincr!~. I.' f. {.! aft""-- , Vickie Snyder Senior Branch Office Administrator . Sovereign Bank STATEMENT OF ACCOUNTS page 3 of3 574108486 MAY.26-JUN.28,2007 1 OF 3 00 o 06117M NH 117 731 MARY K STI NE 313. W MEADOW DR MECHANICSBURG PA 17055-5157 I................ :::.:-:>:~.:>}:;::::...'.'...-. ...:. .:. :.::.:.:<-::::: ::-:::::<<<'\\::~SE:t~E:C:TEjD::}A:CjC:o(tftfTH :SU:Mjt1jAjR);//::': ........................ ,- .",',.. ". ........................ .......-,....--.." . . . . . . . . . .. ............ ..'<.<...,.,..<....,....,.<. ..., ACCOUNT TYPE ACCOUNT NUMBER INTEREST EARNED YEAR-TO-DATE MATURITY DATE ENDING BALANCE CLASSIC CHECKING REGULAR TIHE DEPOSIT 000000082059292 031003915188279 0.00 156.69 06-06-08 3,108.90 8,319.8111 TOTAL DEPOSITS 11,428.71 II INTEREST EARNED IS INCLUDED IN YOUR TIME DEPOSIT ENDING BALANCE ONLY IF IT HAS BEEN PAID TO YOUR ACCOUNT. CLASSIC CHECKING IACCOUHr"'1 MARY K STINE ''',.n'TLE',.. ACCOUNT NO. 82059292 HECHANICSBURG :<:'~~LAMeE.":<:: . . : .........D .... : : . . :.:':.::~.WJ1~t.<::':: . . 'CURRtiffJ. . . . . . .......>~~......... . . : . . . . . "............. ,. ...... ...-.... ........ : : : . . :::::::: ..........,./:::::::::: . . OTHER:BDrt:t&';:.< :..:.tH~.'finD," : : '.'IHTEREST:',:PD ......hJltiMC~:.)<<. NO . I AHOUNT NO I AHOUNT NO . I AttOUNT 2 , 177 . 38 31 2, 108 . 80 7\ 864 . 00 3 I 313 . 28 0 00 3 , 1 08 . 90 ACCOUNT SUMMARY ,"POSTIHQ.< ...... ....i)Afe>>. .. ACCOUNT :tot.........;:.....::.:. 05~26-07 BEGINNING BALANCE 05-29-07 CHECK NUtlBER 3812 05-29-07 CHECK NUtlBER 3811 05-31-07 PA TREASURY DEPT ANNUITANT 05-31-07 PA TREASURY DEPT ANNUITANT 06-01-07 US TREASURY 303 SOt SEC 06-05-07 CHECK NUtlBER 3813 06-12-07 CHECK NUtlBER 3817 06-12-07 CITICARD PAYMENT CHECK PYNT 06-12-07 VZ WIRELESS ARC ARC 06-12-07 EXXON MOBIL CHECK PYMT 06-13-07 CHECK NUHBER3818 $2,177.38 14.00 7.00 2,156.38 438.40 254.40 1,416.00 000000000003815 000000000003816 000000000003814 20.00 260.00 179.00 98.27 36.01 28.00 2,849.18 4,265.18 4,245.18 3,671.90 3,643.90 MAY.26-JUN.28,2007 2 OF 3 MARY K STINE ACCOUNT ACTIVITY ,:POSTING: ..................................................-...... : : :1)~POS1T~~MIUt~T:, ...f:~~~&~~~: . ...... ....... ...DAILY. ........ ... . . .. ..... -...... ...,., .... .... ................,.........................'........ . ,,-,.. --..... -....... ,..... ..-.- ... :::::DATI:::::< : : : : : : :.:" 'TRANSAC'l'IOHDESCR1P'l'ION> : &'.:OTHER:,ADiittlONS: ::.::aAUNtIt...:.::.: :.:.' 06- 18- 07 CHECK NUttBER 3820 335 0 0 3 , 308 . 90 06- 19- 07 CHECK NUltBER 3819 20 0 0 0 3 , 108 . 90 ENDING BALANCE $3 , 1 08 90 1:::>< :':: :..... . .' .- - -.... ..., . . -, .-" ,- ....... . .. .... . . . .. .........................,...........,................................................... .... ...... :<>:>:CHEtK$~A.tO$.Ut1mRY<::.. ... ......................... .....'....... .-... -.-..............'........-.-......'.....-..... ....."..._".., ., . . . . . . . - . . . . . .. ......... ....1 ... 3811 05-29-07 3817. 06-12-07 3820 06-18- 07 7.00 260.00 335.00 3812 05-29-07 3818 06-13-07 14.00 28.00 3813 06-05-07 3819 06-19-07 20.00 200.00 SIGN UP FOR ELECTRONIC STATEMENT DELIVERY TODAY! YOU CAN REDUCE THE RISK OF LOST OR STOLEN STATEHENTS AND VIEW, PRINT AND SAVE 24-MONTHS OF STATEMENTS RIGHT TO YOUR Coe.PUTER. TO SIGN UP FOR ELECTRONIC STATEMENT DELIVERY, SIGN ON TO WEB BANKING AND CLICK ON THE "SIGN UP FOR ELECTRONIC STATEHENT DELIVERY" LINK ON THE CUSToe.ER SERVICE PAGE. NOT ENROLLED IN WEB BANKING, VISIT WW.MTB.Coe. AND CLICK ON "WEB BANKING" IN THE LOG ON NOW DROP-DOWN MENU. REGULAR TIME DEPOSIT I:~::I MARY K STINE CURRENT INTEREST RATE MECHANICSBURG ACCOUNT NO. 31003915188279 MATURITY DATE 06-06-08 3.6801. '::I>>A't'ir ... :::::~~:~:~:~:~~~:~:::::~::~:::;::::::::::~::t..MSActIGN:::tJfSCRt~t;t,*::: ........................... ..................... .... . ....................... 05-26-07 BEGINNING BALANCE 06-06-07 INTERESt PAYMENT GENERATED 06-06-07 .RENEWED AT 3.681., MATURES ON 06/06/08 $8,292.16 27.65 8,319.81 8,319.81 ENDING BALANCE .8,319.81 .. ENDOFSTATE"ENT .. DM&fBank 000000082059292 :.:.: ::::..:::::::::::: 3 OF 3 .... ::: I'.::::::. ....... MARY It. .,.11'0 .... S1J W. WIADOW Cl'IVI ~"G.I"'J\I7M ~y Ie.. STINE ... :1111 Vt. ~CRHI" "'~I'WWC-I&uAG. "'" 1:JO&l ~.. 3812 ....S-.J..'i-O? ~ J s ,Jf. Htro IIX.) - DOLlAU & 1EP..-= ~" 3811 OAn ..s--~ ~ - 0 '1 ~~~~ ?OJ .~s? trDj~ I v-U =-- =.... tlI ~ mM!:t~ ~~ Jl/. _ ~qK ~:_ .. ~O~ &l05~~ql~~a" '0000000100' ... "'..... C- (is "'....~~.~ r!1MalI'Bank ~-- ~.. -I~ I~OHld~-~S51: J~~.~ uW IH05HH;; a. ~ ..000000 '''00,' Check *3811 paid :05/29/2007 7.00 Check *3812 Paid :05/29/2007 14.00 rO".O.....D. -- ~~,un~~; i ~':-'-L" ..... 3113 ntt'l.l~LCOf"f.' 'I -~'~.. ""'1.' ..U."~IIE -~- ..':'I~":....~.c,:I:~ .... 111 :aIR$. '. . 0.:....-- ~ ~.:,. ~ ..;P' : 21 ~/'-: '--'--'"u II-=- ~~ ..~ - .zD5:qllll~"'JI,f ~~---- -:C1BSQil'''IS'!it; ...:OJ 10 JO lQ'5 Sf: IlO5'U'lZ"3IU 01"000000 lDOOol' UARY I<. STINE _ "iit'MR 381 T :ll~ W. MDtlOW IDIIIWE -......... .- . .... 1.-11-(,1 II ~~ -- -#&/.. < ~J'" 1'0. .J s~j): /.I~: i ~'T)~ o.-J.. / m - ooiu.. lI\ l!IIl::' lra~~ . ""'" -- ~ k! ,Jt;.~ '! 1:02UD~'ISSt: alOS~l'H 3&.7 ""oaDOOU,OOO'" Check *3813 paid :06/05/2007 20.00 Check *3817 Paid :06/12/2007 260.00 _..._ _ "i1J'o.. 3<<'19 ;11 W a&tDOW 0ffM I --." ..... ....kL'i:.Q2. I. !,URI1EDSJAnSlREASlIRY. - -I.. _ =:~~~.!k-_~ .~ S7-tco. . I/H: : ..1u.... h<.J..J~~ ~ J,M _\lOI..'" & IV-::' : -MliII'Bank ~. ~~J1".:3"o .P.CCTt;,,,, "1-.. J-' A . __ J.6t!""~69 J +-'V- /C'f/C - 6:> .2~~* /:I.. _f,l.:t~~ ._"'! I:O~ liO ~qssr: a 105'1 ~'I !"~ l'l ...00000 lOOOO,' ~_ 3818 ...~ tc -//-07 ; ,.....- CflS - - I ~ ,%tnI' ; ~~~~ - ~.~ t:i: j' ro~~~=:D<'<.L:" 61 2'::" . ...... _ ~l!:'1.K.ft.~. --. .:OH30 'IS!;': a IDS'Uq !"{(UB o"OOOOOOlaoo, 0..-__ --.- _1<.."" _ ,NIl ".1lIIIH'OW' DAlYI' ~.P"'" Check *3818 paid :06/13/2007 28.00 Check *3819 Paid :06/19/2007 200.00 IMIIY 1<....... _ lIn w. IIIWX7W UII'IlE MECMIlMC.M.8&"" t" 3820 ..... ..... (,,-1'I-(!7 I....",... '11: A.' _..... '1l'i -.. /. s'''':-'''''/- : ,_,..~______-.e~_ -..:7_'= .o::t>. l/~. ~ ..:JI...~ ~~ -tl.:~- ~~ n/I~ -"""LAD 1Il1!!C:" !~~ _~'1;r..J!_#~_._ _. .w alOS'l~'l!~3~~O ,..0000033500,.. ,:OU30 !'ISSO: ------...- Check *3920 Paid :06/18/2007 335.00 fl:1~~~ Mechanics burg June 22, 2007 4843 MARY K STINE 313 W MEADOW DR MECHANICSBURG PA 17055-5157 Re: CD Account Renewal Confirmation Dear Mary K Stine, Thank you for renewing your CD account with M&T Bank. Please review the following information regarding your account: Account Number: Current Account Balance: Renewal Date: Maturity Date: Term: Interest Rate: Annual Percentage Yield: Daily Percentage Rate: 31003915188279 $ 8,319.81 06/06/07 06/06/08 12 Months 3.680 % 3.75 0/0 0.01008 % (NOTE: This letter is issued 10 days after the renewal date. The current account balance reflects any activity during that 10-day period, including any deposits, withdrawals, and interest paid.) On the next maturity date, we'll automatically renew your account for a similar time period, unless you advise us otherwise prior to that date. If you have any questions regarding your account, please call the M&T Telephone Banking Center at 716-626-1900 or 1-800-724-2440. Thank you for banking with M&T Bank. Sincerely, I.u'c.hele Cole -Hec.:tolt Michele Cole- Hector Customer Service Manager CONREN RNRCSl SAMUEL L. ANDES ATTORNEY AT LAW 525 NORTH TWELFTH STREET P. O. BOX 168 MAILING ADDRESS: LEMOYNE. PENNSYLVANIA 17043 P. O. BOX 166 LEHOYNE. PA 17043-0166 E - HAIL: LAwAndes@a.ol.com 24 September 2007 Register of Wills Office Cumberland County Court House 1 Courthouse Square Carlisle, P A 17013 RE: Estate of Mary K. Stine 21-07-0699 Ladies and Gentlemen: TELEPHONE (717) 761-5361 FAX (717) 761-1435 Enclosed for filing please find the original and one copy of the Pennsylvania inheritance tax return for the above estate. I also enclose a check to pay the tax due plus a check for the filing fee of$15.00. If you need anything else, please let me know. Sincerely, 5~L-Av~4 Samuel L. Andes Ie Enclosure cc: Mrs. Margaret S. Marchi (IJ ~4-"'. :.-0 ,<' U\ ..,..-,,-', ::;:,~<I" -....- . . t.!' W ..,. "- I"") 0 0 ..,. I"") 00 N N,,- 0.. .... If'I ..,. I"") N to Q.. Q.. UJ IU 0 ill) 0 () W o Q. '" OO~ ~ -.::t 0 tS .(f Q. If'- ~ .,,;0'" :5.i . . 01"") .... . 0.. .... 0 I"")N 0.. . . .... If'I '0 " I- w (Y) C/)sW <:;t lLJ tr 0 a51-0)f'o. Z (/)cn.... .... I- 1: ,.... ...... <( f- <( .Jd:i;::!aa. ...JZItrlw' lLJtrl- ,z ::::>otro>- ~I-OQO <(1-2 ~ C/)<(lD w C\I ...J lD ("j L() UI " <u l"I} ;:l ~ <u -g (,) 0 ~i.~ ~S;:l~ - 0 0"0 ~u~~ ~"Ol"I}<e: O~5~ '"'" ~~ ~ 11) <u <u ~..o v.l .~~8~ .c:::u_u ~ ,......... .;:-,.1 0:.._- .:::-: (.~' .;