HomeMy WebLinkAbout11-09-07 (2)
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15056041125
REV-1500 EX (06-05)
PA Departmeotof Revenue..
Bureau of Individual Taxes INHERITANCE TAX RETURN
PO BOX 280601
HanisbulJl, PA 1712~01 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
OFFICIAL USE ONLY
County Code Year
2 1 0 7
File Number
o 572
Date of Birth
208241293
06012 0 0 7
12291912
Decedent's Last Name
Suffix
Decedenrs First Name
HOP KIN S
ETHEL
MI
S
(If Applicable) Enter Surviving Spouse's Infonnation 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
00 1. Original Retum
o 4. Limited Estate
00
o
o 2.Supp~men~IR~um
o 4a. Future Interest Compromise (date of
death after 12-12-82)
o 7. Decedent Main~ined a Living Trust
(Attach Copy ofTrust)
o 10. Spousal Poverty Credit (date of death 0 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
o
o
3. Remainder Retum (date of death
prior to 12-13-82)
5. Federal Estate Tax Retum Required
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
8. T~I Number of Safe Deposit Boxes
S U S A N J . H A R T MAN 7 1 7 2 4 9 7 7 8 0
Firm Name (If Applicable) REGISTER OF WILLS USE ONLY
D U N C A N & H A R T MAN , P C
First line of address
1 I R V I N E R 0 W
Second line of address
';
City or Post Office State ZIP Code DATE 'FILED
C A R L I S L E P A 1 7 0 1 3
,- ..)
Correspondent's e-mail address:susanhartman@planetcable.net 1-:-
Under penalties of perjury, I declare that I have examined Ihis return, including aa:ompanying schedules and slalemenls, and to !he best of my knowledge and belief,
it is true, conect and complete. Declaration of preparer oIher than Ihe pelSOOaI represenlative is based on aU infonnation of which preparer has any knowledge.
~ ':' F~~~~NSI ~.FORFllINGRETURN DATE 7
ADDRESS
17 GOODHART STREET
SIGNATUR~P~::R OTHE~~
ADDf{~ 3 ~/J~~
1 Irvine Row Carlisle
PLEASE USE ORIGINAL FORM ONLY
WALNUT BOTTOM
PA 17266
lATE
1/ 7ft') 7
I I
PA 17013
Side 1
L
15056041125
15056041125
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15056042126
REV-1500 EX
Decedenfs Name: ETHEL S. HOPKINS
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) D 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, or
transfers under Sec. 9116
(a)(1.2)X.O _ 0 . 0 0
16. Amount of Line 14 taxable
at lineal rate X .04.L 1 1 2 7 1 3. 5 4
17. Amount of Line 14 taxable
at sibling rate X .12 0 . 0 0
18. Amount of Line 14 taxable
at collateral rate X .15 0 . 0 0
15.
16.
17.
18.
19. Tax Due
.. . . . . . . . . . . . ..... . . . . . . . . . ..... . . . . . . . . . . ..... . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
L
15056042126
Decedent's Social Security Number
208241293
102571.16
31234.31
1 3 3 8 0 5. 4 7
1 2 9 8 1. 3 0
9 1 6. 1 5
1 3 8 9 7 . 4 5
1 1 9 9 0 8. 0 2
7 1 9 4. 4 8
1 1 2 7 1 3. 5 4
o. 0 0
5072.11
O. 0 0
O. 0 0
5072.11
D
15056042126
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REV-1500 EX Page 3
Decedent"s Complete Address:
File Number
21 07 0572
DECEDENTS NAME
ETHEL S. HOPKINS
STREET ADDRESS ------
CHURCH OF GOD HOME
---
825 N. HANOVER STREET - APT. 203
CITY I STATE I ZIP
CARLISLE PA 17013
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19) (1)
2. CreditslPayments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
5,072.11
Total Credits (A + 8 + C) (2)
3. InterestlPenalty if applicable
D. Interest
E. Penalty
0.00
Total Interest/Penalty (D + 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
0.00
5,072.11
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
8. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(5A)
(58)
A. Enter the interest on the tax due.
5,072.11
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 00
b. retain the right to designate who shall use the property transferred or its income; ............................... D 00
c. retain a reversionary interest; or ................................................................................................ D 00
d. receive the promise for life of either payments, benefits or care? ....................................................... D 00
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................................... D 00
3. Did decedent own an 'in trust for' or payable upon death bank account or security at his or her death? ......... D 00
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? .................................................................................................. D 00
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 P.S. ~9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
[72 P.S. ~9116 (a) (1.1) (ii)). The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax retum 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~e 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)
*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
ETHEL S. HOPKINS
FILE NUMBER
21 07 0572
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
ORRSTOWN FINANCIAL ADVISORS INVESTMENT ACCOUNT 50 00 1161 007
[SEE DATE OF DEATH VALUATION ATTACHED]
VALUE AT DATE
OF DEATH
98,912.48
2.
PRUDENTIAL FINANCIAL, INC.
36 SHARES @ $101.63 PER SHARE
[SEE DATE OF DEATH lETTER ATTACHED]
3,658.68
TOTAL (Also enter on line 2, Recapitulation) $
102571.16
!If mnr<> ~n""" i~ "....liAli i"~..rt "lilii!in",,1 ~h....k nf !h.. ~"m.. ~i7"\
REV-1508 EX + (6-98)
*'
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMON~lTHOFPENNSYlVAN~
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
ETHEL S. HOPKINS
FILE NUMBER
21 07 0572
Indude 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
1.
DESCRIPTION
ORRSTOWN BANK ACCOUNT # 410578
DATE OF DEATH VALUATION
2.
PROPERTY RENT REBATE
3.
BLUE CROSS REFUND
4.
CHURCH OF GOD REFUND
5.
DAN HERSHEY AUCTIONEERING SERVICES LLC - SALE PROCEEDS
6.
INTEREST DEPOSIT
7.
DEPOSIT
8.
INTEREST DEPOSIT
9.
INTEREST DEPOSIT
VALUE AT DATE
OF DEATH
4,503.69
500.00
111.75
25,400.00
459.45
17.31
211.56
11.95
18.60
TOTAL (Also enter on line 5, Recapitulation) $
(If more soace is needed. insert additional sheets of the same size)
31 234.31
REV-1511 EX + (12-99)
*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
ETHEL S. HOPKINS
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
21 07 0572
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. FOGELSANGER-BRICKER FUNERAL HOME, INC. 7,473.95
2. FIRST CHURCH OF GOD - FOOD FOR FUNERAL 135.35
3. GRAVE OPENING 475.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of PeISOllal Representative (s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. AttomeyFees DUNCAN & HARTMAN, PC 4,600.00
3. Family Exemption: (If decedenfs address is not the same as c1aimanfs, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees REGISTER OF WILLS 282.00
5. Accountanfs Fees
6. Tax Return Prepare(s Fees
7. Filing Fee 15.00
TOTAL (Also enter on line 9, Recapitulation) $ 12981.30
(If more space is needed. insert additional sheets of the same size)
REV-1512 EX + (12-03)
.
SCHEDULE.
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
ETHEL S. HOPKINS
FILE NUMBER
21 07 0572
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. CUMBERLAND-GOODWILL FIRE RESCUE - AMBULANCE SERVICES
VALUE AT DATE
OF DEATH
55.15
2. CONTINUING CARE RX
48.00
3. CONTINUING CARE RX
48.00
4. CHURCH OF GOD HOME
765.00
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheels of the same size)
916.15
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 pnclude outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1. H. KENNETH HOPKINS Lineal
17 GOODHART STREET 47%
WALNUT BOTTOM, PA 17266
2. MARJORIE H. SHOAP Lineal
718 MARDEN AVE. 47%
SHIPPENSBURG, PA 17257
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
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1. CEDAR RIDGE MINISTRIES 0.01
P.O. BOX 439
WILLlAMSPORT, MD 21795
2. CHURCH OF GOD HOME FOREVER CARING FUND 0.01
825 N. HANOVER STREET
CARLISLE, PA 17013
3. DOUBLING GAP CENTER 0.01
1550 DOUBLING GAP ROAD
NEWVILLE, PA 17241
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0.06
-"""'.*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
ETHEL S HOPKINS
SCHEDULE J
BENEFICIARIES
FILE NUMBER
21 07 0572
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
ETHEL S. HOPKINS
Decedent's Name
Page 1
21 07 0572
File Number
Schedule J - Beneficiaries - 2B
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
4. LEAH K. BECKER MISSION BOARD
121 E. KING STREET
SHIPPENSBURG, PA 17257
5. RBC MINISTRIES
P.O. BOX 2222
GRAND RAPIDS, M149501-2222
6. WINEBRENNER THEOLOGICAL SEMINARY
950 N. MAIN STREET
FINDLAY, OH 45840
0.01
0.01
0.01
SUBTOTAL SCHEDULE J.2B
0.03
LAST WILL AND TESTAMENT
I. ETHEL S. HOPKINS) of 411 Schoolhouse Lane, Shippensburg, Franklin County.
Pennsylvani.a, being of sound mind, memory and disposition, do hereby make) publish
and declare this my Last v-lill and Testament. hereby revoking and making void all
wills by me at any time heretofore made.
FIRST. I order and direct the payment of all my just debts and funeral expenses as
soon as may be convenient after my decease.
SECOND.
I give, devise and bequeath all my estate, real, personal and mixed,
whatsoever and wheresoever situate, to my beloved husband, CLARENCE J. HOPKINS,
absolutely.
THIRD. In the event my said husband predeceases me or is not living on the 60th day
following my death, I then give, devise and bequeath my said estate to my
step-children, H. KENNETH HOPKINS and 11ARJORIE E. SHOAP, on a per stirpes
distribution basis.
FOURTH. I nominate, constitute and appoint my husband, CLARENCE J. HOPKINS, to be
the Executor of this my Last ~Vill and Testament; if he be unable to fulfill the
duties of Executor, I then nominate, constitute and appoint H. KENNETH HOPKINS and
MARJORIE E. SHOAF. or the survivor of them, to be the Executors of this my Last iVill
and Testament.
FIFTH.
I direct that netther my personal representatives nor Guardians shall be
required to give bond for the faithful performance of their duties in any
ju.risdiction.
-1-
IN WITNESS i.J'HEREOF. I. ETHEL S. HOPKINS. have hereunto set my hand and seal to
this my Last Will and Testament, written on tr.vo pages, the first page signed for
identification purposes only, this
..;.:'~!i
day of
",,1'";)\.
. 1986.
I., Y ,
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(SEAL)
This instrument was by the Testatrix. ETHEL S. HOPKINS. on the date hereof,
signed, published and declared by her to be her Last Will and Testament, in our
presence, who at her request and in her presence and in the presence of each other,
we believing her to be of sound and disposing mind and memory, have hereunto
subscribed our names as witnesses.
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CONMONWEALTH OF PENNSYLVANIA
55.
COUNTY OF CUMBERLAND
I, ETHEL S. HOPKINS. the Testatrix "lhose name is signed to the foregoing
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.
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I swor.n.or affirmed to and acknowledged
before me by ETHEL S. HOPKINS.
i' the Testatrix, dds day of
I 9 1986.
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lllti'li(bubbl, IOlARY PUBLIC
ShippenetJur9. PA Cumbetland County
uw _aaIftn ".ftinHI Auauat 15. 1988
-2-
COMMONWEALTH OF PENNSYLVANIA
SSe
COUNTY OF CUMBERLAND
YN'e,
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and
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the witnesses whose names are signed to the foregoing instrument, being duly
qualified according to law, do depose and say that we were present and saw ETHEL S.
HOPKINS sign and execute the instrument as her Last Will; that she signed willingly
and that she executed it as her free and voluntary act for the purposes therein
expressed; that each of us in the hearing and sight of the Testatrix signed the will
as witnesses; and that to the best of our knowledge the Testatrix was at that time
eighteen (18) or more years of age and of sound mind and under no constraint or undue
influence.
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Sworn or affirmed to and ~ypscribed
before me by ~:J.j:.~,""J j<Y'JL..t?;..,.)
and )'."\ 1 (' ~ \ ~, ~, J ,t \ (:.)' :' i;:..,.'-\.. /....:. (
witnesses. this PI' day of
~ , 1986.
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Usa M. Dullfl., IOlARY PUBUC
Shippensburg. PA Cumberlend Ceunty
My comf'lUsion ExpIres AQ8U8t 15. tt88
'^ II RK & WEiGLE - ATTORNEYS AT LAW ,- 115 EAST KING STREET - SHIPPENSBURG. Pft.. 17257
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Codicil to Last Will and Testament
Ethel S. Hopkins
This Codicil is directed to the executors of my estate.
H. Kenneth Hopkins and Marjorie H. Shoap
I, Ethel S. Hopkins, being of sound mind and body do hereby on this date make it known to
my Executors that it is my wish to specify that the 1 % of my Estate directed to the Church of
God Home in Carlisle, PA should be designated specifically to the Forever Caring Fund of the
Church of God Home.
Signed
J~,.:~~ Date /1- b- 03
Date I 1- b- 03
Date t lr i- 03
NOTARIAL SEAL
THOMAS A, HAMilTON. Notary Public
Carli~11) Boro, Cumberland County, PA
My Commission Expires July 7, 2005
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ORRSTOWNBANK
A Tradition of Excellence
77 East KIng Street
P.O. Box 250
Shippensburg, PA 17257
INVESTMENT SERVICES Bradley S. Gerlach, V.P. Tel. (717)240~0803
COMMERCIAL LENDING Jeffrey S. Gayman, V.P. Tel. (717)240-0802
BUSINESS DEVELOPMENT OFFICER Paul Baynum, V.P. Tel. (717)258-5170
COMMERCIAL RELA TIONSI-IIP MANAGER Mindy M. Jones Tel. (717)243-2865
LENDING SERVICES OFFICER Lois Ann Sollenberger TEL. (717)245-0237
427 Village Dr.. Carlisle. PA 17015
Fax (717)249-0905
TO:
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FROM:
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DATE:
SUBJECT:
This transmittal of 3 pages, including this cover page.
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CONFIDENTIALITY NOTICE: This facsimile may contain confidential infol1TIation, which may be
legally privileged, and is intended only for the use of the individual ot' addl'essee(s) named above, If
you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution,
taking or any action in reliance on the contents of this transmission is strictly prohibited. If you have
received this transrnission in error, please notify us immediately by telephone (717-245~0237) so that we
can arrange for the retum of the documents at no cost to you. Thank you.
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For the Accounl of: ETHEL S HOPKINS (CLOSE PENDING)
Account Numbsr: 5000 1161 007
Period: June 01, 2007 To June 21, 200'1
Dete Prepared: Jliflf 21, 2QOr
StatelnentofTransacuons
Date D911crlptlon Income Prlnalp&ll Invelltment
Cash Cuh Cost 1iIl1sis
INTEREST
06/01/2007 INTEREST RECEIVED 133,98 0.00 0.00
ORRSTOWN BANK TIME DEPOSIT OPEN ACCOUNT
06/15/2007 INTEREST ON 15000 PAR VALUE 91.67 0.00 0.00
FED HOME LOAN BK 4.000% 04/2012009
06/15/2007 INTEREST ON 15000 PAR VALUE 280.00 0.00 0.00
FEDERAL HOME LN 8KS DEB 4,000% 6/27/08
Total INTEREST 505.65 0.00 0.00
ORDINARY DIVIDENDS
06/01/2007 DIVIDEND RECEIVED 85.95 0.00 0.00
VANGUARD IT INVESTMENT GRD ADM #571
06/01/2007 DIVIDEND RECEIVED 20.93 000 0.00
VANGUARD ST lNV ADM #539
06/0412007 DIVIDEND RECEIVED 62.21 0.00 0.00
FE;D,"RA'TeD TOTAL RETURN ~OND INSTITUTIONAL
Total ORDINARY DIVIDENDS 159.09 0.00 0.00
PROCEEDS FROM THE SALE OF ASSETS
06/1612007 SOLD 482.16 @ 10.30 0.00 4.966.25 -5,028.93
FEDERATED TOTAL RE:TURN BOND INSTITUTIONAL
06/1612007 SOLD 850.662@ 1030 0.00 8.761.82 "5,872.40
FEDERATED TOTAL RETURN BOND INSTITUTIONAL
06/15/2007 SOLD 19B8.072 @ 9.46 0.00 18,787.26 .19.065.61
VANGUARD IT INV~srMENT GRD ADM #671
06/15/2007 SOLD 469.484@ 10.47 0.00 4,915.50 -4,938.97
VANGUARD ST INV ADM #539
06/15f2D07 SOLD 15000 ~ 97,264 0.00 14,568.60 -14,681.25
FED HOME LOAN 8K 4.000% 04/2012009
06/15/2007 SOLD 15000@ 98.40 0.00 14.760.00 -14,798.40
FEDERAL HOME LN BKS DEB 4,000% 6/27J06
Total PROCEEDS FROM THE SALE OF ASSETS 0.00 66,780.45 -67,385.56
I'ROCE!:OS FROM THE WITHDRAWAL OF ASSETS
06JO'l/2007 REDEr;M 0.00 300,00 -300.00
ORRSTOWN BANK lIME DEPOSIT OPEN ACCOUNT
06/18/2007 REDEEM 000 200.00 -200.00
ORRSTOWN BANK TIME DEPOSIT OPEN ACCOUNT
06J20/200, REDEEM 0.00 98.982,10 .98,962.10
ORRSTOWN BANK TIME DEPOSIT OPEN ACCOUNT
Total PROCEEOS FROM THE WITHDRAWAL OF ASSeTS 0.00 gQ,482.10 -98,482.10
ADJUSTMENTS
06/04/2007 AUTO TRANSFER INCOME TO PRINCIPAL CASH -240.86 240.86 0.00
06/0512:007 AUTO TRANSFER INCOME TO PRINCIPAL CASH -62.21 62.21 0,00
06/15/2007 AUTO TRANSFER INCOME TO PRINCIPAL CASH .371.67 371.67 0,00
06/20/2007 PRINCIPAL CASH TRANSFERRED TO INCOME CASH 162.40 -162.40 0,00
Total ADJUSTMENTS .012,34 51iZ.34 0.00
DISBURSEMENTS TO OR ,"OR aeNEFICIARIES
06/01/2007 E'THEL S. HOPKINS 0.00 -300.00 0.00
MONTHLY DISTRIBUTION TO
CHECKING ACCOUNT #410578
06/20/2007 THE ESTATE OF ETHEL S. HOPKINS 0.00 -98.819.70 0.00
TRANSFER FUNDS TO ESTATE CHECKING
ACCOUNT #1030076B6 TO CLOSE TRUST ACCT.
Total DISBURSEMENTS TO OR FOR BENEFICIARIES 0.00 -98,119.70 0.00
Page 1
ORRSTOWN BANK
,/ i -- 1- LI / 1 H U IJj: Ifi
.-:,
HH"Jt
~or the Account of:
Account Number:
Period:
Data Prepared
ETHEL S HOPKINS (CLOSE PENDING)
5000116100T
June 01, 2007 To June 21, 200.,
JunfJ ~1. 2007
Statenlent of Transactions
i'/ 1/ l!' i:IU
L
ill! -.
ORR$TOWN SANK
Date DlIscrlptlon
Incom9 PrIncipal Investment
Caeh CIlRh Cost Basis
-162.40 0,00 0.00
.162.40 0,00 0.00
0.00 .240,86 240.86
0.00 -62.21 62.21
0.00 -67,362.12 67.35212
0,00 -67,6l!!!.19 87,655.19
. . ,...."
0.00 0.00 -31 B.75
0.00 0.00 -201.80
0.00 0.00 "127.80
0.00 0.00 26.93
0,00 0.00 '934,~9
0.00 0.00 -61.03
O.O() 0.00 -1.614,44
-..... ..... .. . -. . . ... .,.. . . , " .
FIDUCIARY fEES
06/20/2007 FINAL FEE
Total fiDUCIARY FEES
PURCHASES OF ASSETS
06/04/2007 PURCHASE
ORRSTOWN BANK TIM E DEPOSIT OPEN ACCOUNT
06/05/2007 PURCHASE
ORRSTOWN 6ANKTIME DEPOSIT OPEN ACCOUNT
06/15/2007 PURCHASE
ORRSTOWN BANK TIME bl:POSIT OPEN ACCOUNT
Total PURCHASES OF ASSErS
ADJUSTMENTS TO SECURITIES
06/14/2007 UPDATE COST BASIS TO DOD VALUE
FED HOME LOAN BK 4.000% 04/20/2009
06/14/2007 UPDATE COST BASIS TO DOD VALUE
FEDERAL HOME l-N SKS tl"13 4.000% 6/27108
08/14/2007 UPDATE COST BASIS TO DOD VALU~
FEDERATED TOTAL RETURN BOND INSTITUTIONAL
06/14/2007 UPbAT" COST BASIS TO DOD VALUE
FEDERATED TOTAL RETURN BOND INSTITUTIONAL
06/14/2007 UPDATE COST BASIS TO 000 VALUE
VANGUARD IT INVESTMENT GRD ADM #571
06/14/2007 UPDATE COST BASIS TO 000 VALUE
VANGUARD ST INV ADM #539 .
Total ADJUSTlVIENTS TO SECURITIES
Page 2
ORRSTOWN
FINANCIAL ADVISORS
A Tmdition if Excellence
Account: 5000 t 161 () 07 ETHEL S IIOl~KJNS
INVESTMENT HOLDINGS AS OF 6/1/07 (000)
:!;::IJ~ No. SecllrJ~_~
Shares I Par ODD Value 000 Price Accrued lncom~
.,i :1.>>3C< 9
08 TiME-: CEPOSI- OPEN
Fl-LB L'Ji, Li20i()9
FHL.8 46!27iOP.
FED TOT~L REi'clR'1 SD
\!G IT 'NVESTGRD ADM
\lG ST INVESTGRD ADM
315260' 00 $31,525;'11 :.00
I EGOO oooe S 1.1,6H1 25 '4r o.,r:.
'-" ') ;,:)
IS,OOO DaDe :;-14.79840 9(,656
L2.32.B22C S13,9GI 33 1:) .~3
'~88 0/'2(1 $18,065.61 95S
.::694840 $4,93897 1052
;,~55
.rkl,:"i.v,C'~<n-
:i5f .33
, :1 .~~;:<:.?\:r.:.;::~.
S25& f7
-: .1~":',::l<:- J l)':
S6221
[j22C~,;81C
IB.3'1
Se:3,85
:;:20 ~'IJ
~_~.S,"9.l?.~&
$.4_9_8_~1;i.4
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/ 11 QO/2J07 . /
I (1/ lthl.~g' 1lQ.l./~
~HAA(EhJE L FEUCHTENBERGq
TRUST OPEI~A T!ONS OFFICER U
-..,
'ty r E
tomputershOl
Computers hare Investor Servic
250 Royall Stre
Canton Massachusetts 020
www.computershare.co
DUNCAN & HARTMAN P.c.
ATTORNEYS AT LAW
ONE IRVINE ROW
CARUSLE PA 17013
July 13, 2007
Company:
Registration:
Holder Account Number:
Our Reference:
PRUDENTIAL FINANOAL INC
ETHEL S HOPKINS
C0029492603
PRU/0080149530/10/76007
Dear Sir/Madam:
Thank you for contacting Computershare, Prudential's transfer agent. We appreciate the opportunity to be
of service to you.
On June 1, 2007, account number C0029492603 held 36 shares of the Prudential Financial, Inc. Common
Stock. On that date, the closing price was $101.63 per share.
Our records indicate that the above referenced account is only registered in the name of the shareholder
Ethel S Hopkins, there are no benefidary proviSion for the Prudential Common Stock.
All cash dividends paid to the account have been negotiated.
For your convenience, we have sent a Transfer of ownership package under separate cover to the above
address, the package contains forms and instructions to transfer shares from the account. You should
receive it in approximately 10 business days.
Should you have other account related questions, please call us at 1-800-305-9404 between the hours of
8:30 AM and 6:00 PM Eastern US time, Monday through Friday. A telecommunications device for the
hearing impaired (TTYjTDD) is also available at 1-800-619-2837.
:;;~
Service Representative
Enclosure: None