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HomeMy WebLinkAbout10-08-07 --.J 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 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY County Code Year File Number 21 07 0649 Date of Birth 514-16-7974 06/18/2007 02/23/1925 Decedent's Last Name Suffix Decedent's First Name MI Tallant Mary C (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 4. Limited Estate 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 . 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received o 8. Total Number of Safe Deposit Boxes James D. Flower, Jr. Firm Name (If Applicable) (717) 243-6222 Saidis Flower & Lindsay "".--",, .....-..,' REGISTEFl0r-"o/ILLS USE-ONLY .::~oJ 'l) __~L First line of address 26 West High Street I C) Second line of address :"-'1' City or Post Office State ZIP Code 1 ':.:J D~1!E F;LED ~ ~~'~ -.l Carlisle PA 17013 Correspondent's e-mail address:jflowerjr@sfl-Iaw.com 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. SIGN~TURE 0; PERSON RESPo.Nfl~E FOR FILING RETURN ,'it(, ~(;. ) '1\ ~tL~ft.Y;R/I ADDRiis 6 Jenny Drive, Boiling Springs, PA 17007 ~'~,GG~NA, TURE OF PREPAR:~", <fCf~ ERR If T.,~ A,N REPRESENTATIVE r-~Qd'/.{~;? ~ I) ~--V- ~ ( ~" 6 West High Street, CarliSle: PA 1 0 \ PLEASE USE ORIGINAL FORM ONLY ../ DATi] ,oJ OLff200 7 "/ ,DATE 10 <'/0; L 15056051058 Side 1 15056051058 -I -.J 15056052059 REV-1500 EX Decedent's Social Security Number Decedent's Name: Mary C Tallant 514-16-7974 RECAPITULATION 1. Real estate (Schedule A). 1. 0.00 2. Stocks and Bonds (Schedule B) . . . . . . . .... 2. 189,287.87 0.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . .. 3. 4. Mortgages & Notes Receivable (Schedule D) . ......... 4. 0.00 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 5. 2,760.69 16,597.65 0.00 6. Jointly Owned Property (Schedule F) Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested 6. 7. 8. Total Gross Assets (total Lines 1-7). 8. 208,646.21 8,022.57 52.39 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. 8,074.96 200,571.25 0.00 12. Net Value of Estate (Line 8 minus Line 11) .. .. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 12. . . . 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ..14. 200,571.25 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_ 0.00 15. 0.00 16. Amount of Line 14 taxable at lineal rate X.O 45 200,571.25 16. 9,025.70 17. Amount of Line 14 taxable at sibling rate X .12 0.00 17. 0.00 18. Amount of Line 14 taxable at collateral rate X .15 0.00 18. 0.00 19. TAX DUE ........... . . . . . . . . . . .19. 9,025.70 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT L 15056052059 Side 2 15056052059 --1 REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME Mary C Tallant STREET ADDRESS Cchapel Pointe File Number 21 07 0649 DECEDENT'S SOCIAL SECURITY NUMBER 514-16-7974 770 South Hanover Street CITY Carlisle STATE , PA ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 9,025.70 0.00 8,500.00 447.35 Total Credits (A + B + C ) (2) 8,947.36 3. Interest/Penalty if applicable D. Interest E. Penalty 0.00 0.00 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) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5A) (5B) 0.00 0.00 78.34 0.00 78.34 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 [iJ d. receive the promise for life of either payments, benefits or care? ...................................................................... D [iJ 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. 99116 (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. 99116 (a) (1.1) (ii)]. The statute does not exempt 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. 99116(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. 99116(1.2) [72 P.S. 99116(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. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF Mary C. Tallant FILE NUMBER 21-07-0649 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION Account No. 6075-7220, A. G. Edwards. See attached letter VALUE AT DATE OF DEATH 189,287.87 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 189,287.87 REV-15G8 EX+ (6-98) .. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Mary C. Tallant FILE NUMBER 21-07-0649 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. Chapel Pointe, nursing home refund 2,696.00 12.00 2. AARP, refund 3. Aetna Medicare, refund 51.08 4. Discover Card, refund 1.61 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 2,760.69 REV-1509 EX+ (6-98* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF Mary C. Tallant FILE NUMBER 21-07-0649 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 RELATIONSHIP TO DECEDENT A. Janis L. Glosenger 6 Jenny Drive Boiling Springs, PA 17007 Daughter 8. Linda Lee Bonnel 6204 Fanara Avenue, N.W. Alburquerque, NM 87120 Daughter C. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %QF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. 10/12/02 Checking Account No. 34-01847, F & M Trust. See attached letter 7,947,64 50% 3,973.82 Interest accrued to date of death 1,09 50% 0.54 2. A/B 03/25/94 Account No. 6075-7409, A, G, Edwards, See attached letter 37,869.87 33% 12,623.29 TOTAL (Also enter on line 6, Recapitulation) $ 16,597.65 (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (12-99) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Mary C. Tallant FILE NUMBER 21-07 -0649 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: Ewing Brothers Funeral Home, funeral Chapel Hill Memorial Gardens 2,066.35 2,304.67 2. B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees 3,000.00 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 348.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Cumberland Law Journal, Advertising Estate Notice 75.00 8. The Sentinel, Advertising Estate Notice 166.60 9. Janis Glosenger, Reimbursement for mailing expenses 36.95 10. Register of Wills, Tax Waiver 10.00 11. Register of Wills, Inheritance Tax Return filing fee 15.00 TOTAL (Also enter on line 9, Recapitulation) $ (If more space IS needed, insert additional sheets of the same size) 8,022.57 REV-1512 EX+ (12-03) '* SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Mary C. Tallant FILE NUMBER 21-07 -0649 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1. Millennium Pharmacy Systems, Account VALUE AT DATE OF DEATH 26.00 2. Millennium Pharmacy Systems, Account 26.39 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 52.39 REV-1513 EX+ (9-00) SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Mary C. Tallant FILE NUMBER 21-07 -0649 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. Janis L. Glosenger, 6 Jenny Drive, Boiling Springs, PA 17007 Daughter 99,733.00 2. Linda Lee Bonnell, 6204 Fonoa Avenue, NW,. Albuquerque, NM 87120 Daughter 99,733.00 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) " WI L L I, MARY C, TALLANT, of 6 Jenny Drive, Boiling Springs, Cumberland County, Pennsylvania, declare this to be my Will and revoke all prior Wills and Codicils, FIRST: Tangible Personal Prooertv. I give all tangible personal property owned by me at my death and all insurance policies on such property as follows: (a) To those individuals who survive me by thirty days who are designated on a list or memorandum signed by me which refers to this Will or is found with a copy thereof, the items listed beside their names; provided that no such list or memorandum shall be valid unless it is received by my Executor within sixty days of my Executor's qualification. (b) The balance (including any item under subparagraph (a) the bequest of which has lapsed) in as nearly equal shares as is practicable to such of my children as survive me by thirty days, per stirpes. (c) With respect to any item passing under subparagraph (a) or (b) to a minor, my Executor (i) may hold and deliver it to the minor at majority or earlier, or deliver it to any person to hold for the minor; or (ii) may sell it, hold and invest the proceeds and, at any time, pay the proceeds to the minor, to the Custodian appointed in this Will or to the guardian of the person or estate of the minor to hold for the minor, or apply the proceeds for the minor's benefit for any reason without considering other funds available to the minor. The receipt of any person who receives an item or payment hereunder shall be a complete discharge to my Executor. (d) My Executor shall pay, as an expense of settling my estate, all costs of delivering such tangible personal property, including the costs of packaging, delivery and Insurance. SECOND: Residue. I give the residue of my estate in equal shares to such of my children, JANIS LOUISE GLOSENGER and LINDA LEE BONNEL, as survive me by ninety days; provided that if any such child fails so to survive me, but is represented by descendants of mine who so survive me, such descendants of mine shall receive, per stirpes, the share such deceased child would have received had he or she so survived me. ~ , ,A I' J /ll \.- v ~ PAGE ONE OF SIX PAGES .. THIRD: Spendthrift Provision. Until distributed, no gift or beneficial interest shall be subject to anticipation or to voluntary or involuntary alienation. FOURTH: Death Taxes. (a) All death taxes (and interest and penalties thereon) imposed upon any property passing under my Will and upon proceeds of insurance on my life, but not otherwise, shall be paid out of my residuary estate. (b) I authorize my Executor, in my Executor's sole discretion, to make an election, in whole or in part, to cause a Pennsylvania Inheritance Tax to be payable by my estate on property passing to or for the benefit of my spouse or to defer the Pennsylvania Inheritance Tax on such property. My Executor shall be without liability to anyone for making or failing to make such election. FIFTH: Administrative Powers. My Executor shall have the following powers in addition to those conferred by law until all property is distributed: (a) To retain any real or personal property in the form received and to sell it at public or private sale. (b) To manage real estate. (c) To purchase all forms of property without being confined to so-called legal investments and without regard for the principle of diversification. (d) To exercise any option or rights arising from ownership of investments. (e) To compromise claims without order of court or consent of any legatee. (f) To distribute in cash or in kind. (g) To employ accountants, agents, investment counsel, brokers, bank or trust company to perform services for and at the expense of my estate and to carry or register /' ...., " I'" J . I \,... -.. PAGE TWO OF SIX PAGES ~ investments in the name of the nominee of such agent, broker, bank or trust company. The expenses and charges for such services shall be charged against principal or income or partly against each as my Executor may determine. My Executor is expressly relieved of any liability or responsibility whatsoever for any act or failure to act by, or for following the advice of, such accountants, agents, investment counsel, brokers, bank or trust company, so long as my Executor exercises due care in their selection. The fact that an Executor may be a member, shareholder or employee of any accounting, investment or brokerage firm, agent, or bank or trust company so employed shall not be deemed a conflict of interest. Any compensation paid pursuant to this subparagraph shall not affect in any manner the amount of or the right of my Executor to receive commissions as a fiduciary. (h) With respect to the interest vesting in a beneficiary who, in the opinion of my Executor, is incapacitated by reason of age (other than minority) or illness (mental or physical) when such interest vests in him or her: to hold the interest during his or her incapacity and to invest the interest and all accumulations thereon; to apply so much of the income and principal as my Executor deems advisable for such beneficiary's benefit for any reason without considering other funds available to him or her; and to deliver the balance of principal and income to the beneficiary at such time as he or she gains capacity. In addition, at any time to pay the entire interest to the guardian of the estate of the incapacitated beneficiary to hold for his or her benefit. The receipt of a guardian or such other person as may be selected by my Executor to receive a distribution under this subparagraph shall be a full and complete discharge to my Executor. SIXTH: Definitions. (a) The words "Executor," "Guardian," and "Custodian" when used herein shall include all genders and the singular and plural as the context may require. (b) The words "Child, " "Children," "Grandchild," "Grandchildren," and "Descendants" shall include persons adopted prior to attaining age twenty-one (21) and their descendants. (c) When distributing residue to the descendants "per stirpes" of any individual under this Will, such residue shall be divided into as many equal shares as there are children of such individual then living and such children then deceased represented by descendants then living, and each then living child shall receive one share, and the share of each deceased child shall be divided among his or her descendants in the same manner, repeating this pattern with respect to succeeding generations until all shares are determined. : I] . / f i ;, ~ I I .J PAGE THREE OF SIX PAGES ~ (d) Paragraph headings in this Will are for reference only and shall not affect the meaning, construction or effect of this Will. SEVENTH: Custodian. (a) I appoint such individual or corporation (including a fiduciary serving hereunder) as is designated in writing by my Executor or Trustee as Custodian for (i) any beneficiary who has not attained age twenty-one (21) at the time an interest is distributable outright to him or her under this Will, and (ii) except to the extent a valid appointment of a Custodian has otherwise been made, any person who has not attained age twenty-one (21) at the time an interest is distributable outright to him or her as the result of my death from any other source. Such appointment shall be deemed to be made under the Uniform Gifts to Minors Act or Uniform Transfers to Minors Act then in effect in: 1. The jurisdiction in which I am domiciled at death, or 2. The jurisdiction in which the beneficiary is domiciled, or 3. The jurisdiCtion of an existing Uniform Act custodianship for the minor. The selection among the foregoing shall be made by my Executor or Trustee, in my Executor's or Trustee's absolute discretion. (b) If the applicable Uniform Act in the governing jurisdiction permits the postponement of distribution to an age beyond age twenty-one (21) if so directed in the governing instrument, I hereby direct that distribution shall be postponed until the maximum age permissible under the Uniform Act. (c) If I am Custodian under the Uniform Transfers (or Gifts) to Minors Act for any Custodianship property, and no successor has been otherwise appointed, I hereby appoint my Executor (or if my Executor declines to serve, such individual or corporation as may be designated in writing by my Executor) to serve as Custodian under the Uniform Transfers (or Gifts) to Minors Act for any Custodianship property of which I am the Custodian. Upon written acceptance of the successor Custodianship, my Executor (or such designee) shall be authorized to take custody of any such property. -J~ J l ( _ PAGE FOUR OF SIX PAGES EIGHTH: Executor. I appoint my daughter, JANIS LOUISE GLOSENGER, Executrix. If my said daughter, JANIS LOUISE GLOSENGER, fails to qualify or ceases to act for any reason, I appoint my daughter, LINDA LEE BONNEL, Executrix in her place. My Executrix shall not be required to post security in any jurisdiction. .-) IN WITNESS WHEREOF, I have hereunto set my hand this 2- day of ------, (._-2..,,-,-,';~4 1999, / SIGNED')? C'C ,(.-' e "-:/;'ct",{(.~7 ...J MARY C. ,YLLANT The preceding instrument, consisting of this and five (5) other typewritten pages each identified by the signature of the Testatrix was on the day and date thereof signed, published and declared by the Testatrix therein named as and for her last will, in the presence of us, who at her request, in her presence and in the presence of each other have subscribed our names. \ " i ]/(1));\ J J, \ 11 \JJJ k:Ti~-;- '- - '- . ~ -' - d""- ' t,;/..//) J ft- C'}l f-tk . / I ' _~/\~ ;\~,' (/1,1 . r= COMMONWEALTH OF PENNSYLVANIA: : ss COUNTY OF CUMBERLAND We, 1)vDO~ S_ ~v~tzcll and '~t,to.~ E. \~ b~ 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 the Testatrix sign and execute the instrument as her last will; that she signed willingly and 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 the time 18 or more years of age, of sound mind and under no constraint or undue influence, \5r15f5V..-t y. ! V~~~ I/~~. L'~ f1.AJI/l~ L1~ PAGE FIVE OF SIX PAGES Sworn and subscribed to -' /LtC before me this~ day --;;; t! . of~.-I.-u..7 ' 1999. ~- ~4 . " ....:::::r . J.;e...A- otary Public NOI.,., Sui K.,.... F. 8yet$, Noc.rr PuDIc Carlis'e Boro. Cumberland ~_~ P My Com ._ . --..,. A m...slOft Eaplr.. Man:tl18, ,.. COMMONWEALTH OF PENNSYLVANIA: : ss COUNTY OF CUMBERLAND I, MARY C. TALLANT, whose name is signed to the attached instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~ -~)//7 ,."(p~ MARY C. TMLANT / l/ />J Sworn and affirmed to and acknowledged before me this~ day of"~--<Jt..MJ7.-r 1999. ~ -1 /1 . ~ ,J. //j . ~ otary Public ~ (J ~~7" NOI.,~I Sui I Kar.... F. fl~ NolIIry PlIOUc: I C.rlisle Boro. Cumberland County. PI. , My Commission Eaplru MlII'CtI18. 1ll9ll PAGE SIX OF SIX PAGES nuu ~,JU L~t:Jt:J I l. J ~ J'-1 n. ll.'L1JlAlr1''\.V,_J .~ _,JLJI'i;_1 ,)I'JJ. H ),-+ I (1 ,J. I r ~ V,J",-'" \' I: A.G EDWARDS & :;(JNS, IN( ~510 Pinn;)cle Hills Parkway Rog~'r~, AR 72158 479/464-7111 fax; 479/464 7117 toll free; 800/544.7839 August 6, 2007 James D. Flower, Jr. Law Office Saidis, Flower & Lindsay 26 West High Street Carlisle, PA 17013 ~, '-J EI)WARD:S~ Dear Sir: Regarding your infonnatioIl request concerning Mary C. Tdlam I I I I , I On 6/18/2007 Account #6075-7409 Jitled Mary C 'Tallant &.Jcljli:;L.(Jlosfng~T & Linda L. Bonnel Joint Tennants had a money mark(~t positIon of $37,H69.87. Our I; (:01'<ls indicate this account was opened (m March 25, ! 994 nnder the 'amc rl':gi~tr:uinn : Total account valu..: $37,8(i9.87 On 6/i 812007 Account 6075p7220 Titled Mary C. TaJb.nt m()nt~Y market position of and the following security positions: TOD (Transfer (I 1 Death) had a S205L01, 1032 shares of Allstate Corp @ $61.62 434 shares of Discover Financial Services @ $29.93 304 shares of FPL Group Jne @ $60.61 - 868 shares of Morgan Stanley @ $7:)/17 --- 600 shares of Prorn~ss Energy lnc @ $47.,13 .. $(,3,591.84 $12.989.6Z $18,425.44 $63,771.96 $28,458.00 Total account value: $UN,287J17 Best regards, ~)ur records indicat:-d this aCCOlmt was opened on j\, ~',i1 7. \. _1 iNS ,~S ,I ~'r~f~le l1CCQllIlt. The fnmsfer on Death U'.1cumeHt w?.s ac.c~d on Octob.:r Ib, "'0(:' _ I : I n r phav{' "lre'l(t" sent fOrTr.- "', J"nl' <: 'lnd IJ'nd~ '0 11' -.; - .1- ,to"~ .. -'('{'l'] ,.: \i\' ,I r ,.LIll' ,'p a y\ ~ _ , {,j.., '..J .,.~, II- J.s"J,) I"" u ,~C I -" ./, .l~ll.... , {;.U.'j..,.../ (".. -".~. li.-.._ tr ..Lft~. . ..... P~fl.nsylv2J1;a Tax Wl';vn fDr arCowlt 607<;.. 7'YJO Pi'''''f- '-.,uo' -I r';l',,,pnr"HI'd IO'!T:l to nl" R~()' ')e'rc; A-f' "O;~lr.:'", T'f" vo' ""!l..,'r~' -l'iV'("Uf~,,'t;~Tl;;'I'''-l':'' ',:::.:\.',,,:; :,,:, -nr,1'.~J'(~!:" "r'll::it'-lk' I()'u' , . , \ b"~) ,J.."I;,... ) .,,~v, ~~~"'J 1 .~.........,l..,~l.t-....,~,",.. .,.".."........~r.~~ .,iJ..,.... 1.~1 Y . I I I I I I ~~--.::-=-} -/~ L'i-;:.t./ . ._t27" : Ron WhIte Sf. Financial Con~;uIta.1!'Jl Senior Vic~;.Presidcri1 - Invt::;~1:TIefl~S Trust Spc(;jatist r liT fI 'k:;:' .AUU.I. v c.uur www.frntrllst~~iHm.com TRUST August 15, 2007 Law Offices Saidis, Flower & Lindsay 26 West High Street Carlisle PA .17013 RE: Mary C Tallant Mr. Flower: In reference to the above customer, our records show the enclosed information to be accurate as of June 18, 2007. If I may be of any further assistance, please contact me. Sincerely, jUJJ~J rD QjJ ~ Karen E Davis AVP, Deposit Operations 717-264-6116 888-264-6116 P.O. Box 6010 Chambersburg, PA 17201-6010 FIN AN C I A L S 0 LU T ION S... FRO M PE 0 P L E YO U K N OW TRUST www.frntrustmillhm.com Date of Death Valuations Customer Name: Mary C Tallant Date of Death: 06/18/07 Accl Tvpe Account Number Open Date Close Date Balance Accrued Int Total Balance Account Owners ckq 34-01847 10/12/2002 still ODen $ 7,947.64 $ 1.09 $ 7,948.73 Marv C Tallant or Janis L Glosenqer 717-264-6116 888-264-6116 P.O. Box 6010 Chambersburg, PA 17201-6010 FIN AN C I A L SOL UTI 0 N S... FRO M P E 0 P L E YO U K NOW