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HomeMy WebLinkAbout11-09-07 .-J 15056051047 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 Date of Birth Decedent's Last Name Suffix Decedent's First Name MI (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS ~TURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW .. 1. Original Return ~ 4. Limited Estate ~ 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required ~ 2. Supplemental Return ~ ~ ~ 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 8. Total Number of Safe Deposit Boxes - \.:J r',) \..0 DATE FILED Correspondent's e-mail address: Under penalties of pe~ury, 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. ( .; AD 5UIhtn,wJalr SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE f4 (1093 DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 L 15056051047 15056051047 -.J cJ --.J REV-1500 EX 15056052048 Decedent's Name: vJiSt' orl/t! Flo/fllCL M. 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) c:;:) Separate Billing Requested . . . . . .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) c:;:) 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/See 9113 Trusts for which an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) . . . . . . . . . . . . . . . . . . . . . . . . 14. TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0_ ~ 16. Amount of Line 14 taxable at lineal rate X.O ~ 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 Decedent's Social Security Number 15. 16. 17. 18. 19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT L 15056052048 Side 2 c:;:) 15056052048 --.J REV-1500 EX Page 3 File Number d/- {)'7 -07<f8 Decedent's Complete Address: DECEDENT'S NAME STREET ADDRESS ~ I (J rlfl [ .~.. f'i,---.tJ '".5<"9 Q[ <l UZ- ______________q_;)~ ___ I 'J ~____e(jJJJ -l-111.[Jf-S\.J~1l f;_________ _________ Pit- ! 70S ~ CITY STATE ZIP Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 5 (, 7. I Y- Total Credits (A + B + C ) (2) 3. Interest/Penally if applicable D. Interest E. Penalty 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) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5) (5A) (5B) 5(P1. /'f 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. :5(., 7. I Y 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;.......................................................................................... 0 [g- b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 G- c. retain a reversionary interest; or.......................................................................................................................... 0 ffi' d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 g- 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? .............. 0 ~. 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ 0 W 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. S9116 (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 PS. S9116 (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. S9116(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. S9116(1.2) [72 P.S. S9116(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. s9116(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-15Oll EX+ (1-97) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF J. f \\(C 6ClN\t cfJ f(/L-1'~ Q cd-.~ 5' J - 400 (0 - q B ,J 8 f".., ^ era' [) i rt' cf., r c('.h- J q 1;;1'( 1;iiilJ '7 ~ HUjJd ~CL1 If. /9<;'1 k,ro [sc.r-+ va\l-<~& glLtr:- f,6. K. l;j Ie fl. 53 09 (.'1- D'HJ I{lrJ-jI- 2J4rf:13 f'f xvJ 1.>>J9- frn(ftJ, ,{ sule (ollf't'iV1 by 6rVCt^ w.JejqrVCL cd ~er LN, 1/ 0+ \=- Ie (eneE' H. vJ;se9 Q (SfJL /JV.fJ- - 3 (j(jLl , 5, ~uJeh61& ~MJ (bYl& twl\ ~~ - bOO. ~. [" (l(C'hfo.SJ Cor " (\r()Il.l.~ r e tvtA eft 0, IY/a.u~1 J ~~. ~ 7. JcriZo(l hO/he' fhol)( rc-Cvln& q f <f I () (JO '7 tf. I..f 9 <(. ~-teresf -~ frJ( ~(]-y.t cHef. /lug J ff'f" (L~b-eL ;2. 'd) . TOTAL (Also enter on line 5, Recapitulation) (If more space IS needed, insert additional sheets of the same size) $ /3 Q]l. <-/9 REV-1511 EX+ (10-06) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF l="1~rff\Ce. ITEM NUMBER A. 1"'1 . 1. ~ C'C Ff~'U^, t:: I () weri FUNERAL EXPENSES: ) /lj I ~w 1 7 I;);' 117 (j~ 7 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Street Address Name of Personal Representative(s) City Year(s) Commission Paid: 2. Attorney Fees SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS \/J .'SfCjOru elL v Debts of decedent must be reported on Schedule I DESCRIPTION State _Zip Claimant 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Street Address City Relationship of Claimant to Decedent State _Zip 4. Probate Fees CU'hb (-Iy. <<~iSkr ~ WI.lls 5. Accountant's Fees 9fct/C7 6. Tax Return Preparer's Fees 7. Q Q ~-t {,l 5 t FILE NUMBER d--( -()7-07Y~ TOTAL (Also enter on line 9, Recapitulation) (If more space is needed, insert additional sheets of the same size) AMOUNT 3'5', 80 00. 95, ~ 8,dD $ sou.. ~t) REV-1512 EX+ (12-03) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ~ . FILE NUMBER .'port d,b" ,~,~~~ ~ t~, ~d'~';~ 'o~~ ~'~'~"Id " of lli, d.,. of d..lli, 'oo'odl" ""~'mbo",~L~.~,,?,: 0 7 If 8 VALUE AT DATE OF DEATH ITEM NUMBER 1. A /VI bu./Q/J ce clt~ DESCRIPTION t. t-1r We sf 6. h Orc P..{/7 jd-Gd7 80;1.81 ). ~or()l6Wj J-lo11-M fhu~ 7 (3,/07 ~ /9/8-(jJ 1 8. o~ ;L3. s/ 9 3. U er;LvIl hOlAK phoN TOTAL (Also enter on line 10, Recapitulation) $ [1 J if, Cf-o (If more space is needed, insert additional sheets of the same size) REV-1513 EX+ (9-00. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF r lo(((\(C H. tJ (~('qcUu-fIL v FILE NUMBER d{-07'-07Y<d RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not ListTrustee(s) OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. .f?re(lJe..- S W;~-eJ2-1 Silt ~j'~elow [L..O ~ ~z..emct11 k T 507/ <2> ri~ . lUfl"C d). SvLSUI'\ K. E ty\Cl{\uf r. l;J.8 '-"V\er, ro. f\C\.rYlO- C j +'-( j ~ L 3 d- Lf 0'+ .3. S~ljf'f\ C. W"H>CjCl:ul'-€L pc) gO)( l>51 \)ClLt~hll1 PA- I tlUI <8 y.\)Uf\-e. L. Kef\N~'&'I. 0tJW. p,'I\C ~-t E.I\olu. (4 I/Od-.s S Let w('(\ 'E. C' u0\! et2.. / 8 () La $. HQl ^ r--/. Hctr\f-5\); l \r. PA- no ~ ~ /Po HlJ.fCt L\. l, lo. '1--k f\ ~.().. ~G)c If'-K5 I S L.\ /'(\ I\t\ ~( j c>--G .f Jt I (() ~ 5 I 1, ~r~Cl', K. wis~o.ruu-, C;;>'l) K,'J-eJL IUJ, HcU,\,S\.x \ \ f. Pfl \ -; C) '.> 3 I ; f\ eo... ( J (p _ c.o (, '7() Uf\ eo- ( I~. !.o<o t-'/u t \ (yecJ? 10, ~(." 'J"" !I'll fo. ( I~ . &, (p q 0 \ i Af'a I lla . 1.0 Co v1C,) l;nFQ.( I\"'. (,.,1,.. (.7C) 11' f\ "f~ I gc;g ,:; (' 0 f [cc.)r-f- --h4 le.ll )~ (J q <0 'fG'ft;, VlI\l,j/ / i=' t:l rp 13 p 'f-X vJ 1.;2d.. IS'd ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 16, 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. TOTAL OF PART II - 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) WILL OF FLORENCE M. WISEGARVER I, FLORENCE M. WISEGARVER,. of Marysville, East Pennsboro Township, Cumberland County, Pennsylvania, declare this to be my last Will and hereby revoke all prior wills and codicils. 1. I direct that all my just debts, funeral expenses, grave- marker and administrative expenses shall be paid from my residuary estate as soon as practicable after my death. 2. I direct that all inheritance, estate, transfer, success- ion and death taxes of any kind whatsoever which may be payable by reason of my death shall be paid out of my residuary estate. ~ :,'-.:; - - .: (7\ ..-.- b~~~-'- 3. I direct that my entire estate be distributed as follows: A. I leave my house located at 920 River Road, Marysville, East Pennsboro Township, Cumberland County, Pennsylvania, to BRYAN K. WISEGARVER and LESLIE WISEGARVER, husband and wife, subject to any existing judgments or liens against the property. GO tn , '." ,.- . U. ,-1'~. r c~ C) i ~~ < , t.'. :.":. (~.~: ~ ..- ~C '- .,,-' :.:..-1:::_ 0.~" C=~ t"":) B. I leave the remainder of my estate to be divided equally between my other six children surviving at my death, MARCIA L. LAYTON, LAUREN: E. COOVER, DIANE L. KENNEDY, SUSAN K. EMANUEL, BRENDA J. WITMER and STEVEN C. WISE- GARVER. (.. .....-. ,=,-. C. I give those articles of my personal effects and personal property to the persons designated in a separate memorandum which I shall place with my Will. 4. I appoint my daughter, MARCIA L. LAYTON, as Executrix of this my last Will. If she should predecease me or cease to act in such capacity, I name my daughter, LAUREN' E. COOVER to so serve. 5. The Executrix of this Will shall have the power to distri- bute my estate in kind or in cash or partly in either. 6. I direct that no Executrix acting under this Will shall be required to enter bond in any jurisdiction. ,IN WITNESS WHEREOF, I have hereunto set my hand this 16.d..day of ..A~....)/;~t--A..u. , 1991. I LAW OFFICES OF ~ ~~~.~~~ FLORENCE M. WISEGARVER 0 STEPHEN J. HOGG 401 E. LOUTHER STREET CARLISLE. PA 17013 i');\\) LAW OFFICES OF STEPHEN J. HOGG 401 E. LOUTHER STREET CARLISLE. PA 17013 The preceding instrument consisting of this and one other page was on the day and date hereof signed, published and declared by FLORENCE M. WISEGARVER, 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 as witnesses hereto. -bdJOi c.\.. \:..\(,~,-l-. " ~l::P_L-~'" ~..1~ 7rJ. ~ LAW OFFICES OF STEPHEN J. HOGG 401 E. LOUTHER STREET CARLISLE, PA 17013 Commonwealth of Pennsylvania ss County of Cumberland I, FLORENCE M. WISEGARVER, the testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified accord- ing to law, do hereby acknowledge that I signed and executed the in- strument as my last Will; that I signed it willingly and as my free and voluntary act for the purposes therein expressed. ~~~--",,-,,~: ~ ~ FLORENCE M. WISEGARVER <:s Sworn to or affirmed and acknQf,ledged be or e.w FLORENCE M. WISEGARVER, the testatrix, this /o1'j'~day of / ~.~ /", 1991. /" . . / .. // ---......"1 Nctd<:j See] . S~hen J. H~;;. Nc~;:;:y Public ! No Ca.'lLo::a 80m, Ctirr!ter!aiid Cou'"'" I My Cornrnission E.xpires JlJfKl19,'!'g,;.;3 AffIDAVIT ~"+.->rr~, Psnmr.omili? .'\~,*." of N~,;"" Commonwealth of Pennsylvania ss County of Cumberland We ,.~Lb.J (,..l t.\()_"-..t~ ....-\),-<.1.';'" and ~Sl,~a n /J1, Qa I'{)-( (' , the witnesses whose names are signed to the attached or foregoing in- strument, 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 the testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testatrix signed the Will as a witness; and that to the best of our knowledge the testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. . \)2b:.:1 .:::-.\" ~ P. K l. H~ b ~\ 'i \ .~ . ~ 'iYl. CtVUJ..il~ Sw~ to or a~f' I d subscribed to before me by witnesses, this / c day of {;/'I .71'- ..~l, 1991. l~~~~;I';-~~?~,: ,:- i f4~d~r P~_""'I":-.~:~~~ .;~,__..qrl"f~-::,.,.:--;, :"';~ :>.l. "'7.]':'" Accounting for the Estate of Florence M. Wisegarver Assets: Bank & cash Funeral Director refund Auto (to Bryan) Encompass Car Ins. Refund Verizon refund Interest $10,121.78 $124.35 $3,000.00 $184.00 $4.49 $2.87 Expenses: Filing fee Medical Expenses Hbg Hospital phone Flowers Food for reception Verizon Post Office Estate Tax $95.00 $802.81 $8.00 $60.00 $336.80 $23.59 $8.20 $567.14 Net estate balance for distribution Distribution Schedule: Beneficiaries Brenda J. Witmer Susan K. Emanuel Steven C. Wisegarver Diane L. Kennedy Lauren E. Coover Marcia L. Layton Bryan K. Wisegarver Total Distribution PNC Bank Musselman Funeral Director 1999 Ford Escort Encompass Ins. Home phone refund $13,437.49 PN'C Bank Cumberland County Reg. of Wills Ambulance - EMS West Shore Harrisburg Hospital Flowers for funeral Reception food and supplies Verizon house phone Postage expenses misc. $1,901.54 PA State Inheritance Tax $11,535.95 $1,422.66 $1,422.66 $1,422.65 $1,422.66 $1,422.66 $1,422.66 $3,000.00 1/6 distribution after Auto distribution '-1"/6 distribution after Auto distribution 1/6 distribution after Auto distribution 1/6 distribution after Auto distribution 1/6 distribution after Auto distribution 1/6 distribution after Auto distribution Blue Book value of Auto $11,535.95 -,;... C:\Documents and Settings\Steve.D4151 N41\My Documents\Estate distribution 10-07.xls 11/1/2007 'D~ f3f:i()w) 3 II b I 32 foy< .3) e period 07/07/2007 to 0810612007 i 0 ;21, 78 FLORENCE MWISEGARVER -c'".....-- ,f ---;:irimary account number: 51-4006-9838 Page2of3 ftll IITSI mongage prouucls ~ ollereo ana proVloeo oy rl'lL Morrgage. LLL. "I'lL Morrgage, LLL IS IlCenseo III J'lew Jersey as a uepanmem 01 uallKlllg IVlorrgage uanKer ana Secondary Mortgage Loan Licensee. PNC Mortgage, LLC may not be available in your area. Credit subject to approval. Information is accurate as of the dale of printing and is subject to change without notice. <02007 PNC Mortgage, LLC. All Rights Reserved. 49173 6107-9/07 Total Banking Statement Bft\-4d c.E- ~1iL;:::-/.-J ~ "5 M{.f4~ a For 24-hour infonnation, sign on to PNC Bank Online Banking on pnc.com. 'DINL DF- '7-06 5, If b Choice Plan Interest Checking Account Summary Account number: 51-4006-9838 Florence M Wise9srver Lauren E Coover Balance Summary Please see the Activity Detail section for additional information. Beginning balance 7,636.62 Deposits and other additions 3,117.58 Checks and other deductions 1,154.75 Average monthly balance 8,079.28 Ending balance 9,599.45 Charges and fees .00 Transaction Summary Checkspaldf withdrawals Check Card pas signed transactions Check CardlBankcard pas PIN transactions Total ATM transactions PNC Bank A TM transactions Other Bank A TM transactions 3 3 As of 08106, a total of $11.48 in interest was paid this year. Interest Summary Annual Percentage Yield Earned (APYE) 0.18% Number of days in interest period Average collected balance for APYE 31 8,079.28 Activity Detail Deposits and Other Additions Date Amount Description 07/27 3,116.32 Transfer From Sub Account 0000005004376796 08106 1.26 Interest Payment o o Interest Paid thiS period 1.26 There were 2 Deposits and Other Additions totaling $3,117.58 . P\.\..-t- ..so..\JI~S 11'1tc., Qk<-..lcinc; -Closed &1.\]>,,<{ s Checks and Substitute Checks Check Date number Amount paid 1182 V 45.02 07/16 Reference number 026653885 There is 1 check listed totaling $45.02. There were :3 Banking Machine withdrawals totaling $1,030.00 . Banking/Check Card Withdrawals and Purchases Date Amount Description 07/09 ,/'32.25 5337 Check Card Purchase Sunoco Svc Station 07/09 .......-30.00 ATM Withdrawal 235 N Enola Road Enola PA 07119 V'500.00 ATM Withdrawal 235 N Enola Road Enola PA 07/23 500.00 ATM Withdrawal 235 N Enola Road Enola PA There was 1 other Banking Machine/Check Card deductions totaling $32.25. Online and Electronic Banking Deductions Dale Amount Description 07/13 ----- 23.89 Payment,E-Check Check Pymt Verizon ARC 1181 07/31 23.59 Payment,E-Check Check pymt Verizon ARC 1183 There were 2 Online or Electronic Banking Deductions totaling $47.48. Daily Balance Detail Date Balance 07/07 7,636.62 07/09 7.574.37 07113 7,550.48 Dale S7l16 ~ 7/19 Ol/23 Balance 7,50';.tlR, 7,005.4, 6,~uo.46 '~ $~c_L C/{~ i>HfL bf:<f.J cY' 'I)EjH '4 Date 07/27 07/31 08/06 Balance 9,621.78 9,598.19 9.599.45 Total Banking Statement Q For 24-hour information, sign on to PNC Bank Online Banking on pnC.com. Account number: 51-4006-9838 - continued For the period 07/0712007 to 08/0612007 FLORENCE M WISEGARVER Primary account number: 51-4006-9838 Page 3 of 3 Are you temporarily without health insurance? An illness or injury could set you back financially. Short Term Medical insurance can provide health coverage with convenient payment options. To learn more visit pnc.comlinsurance or call 1-877-2844793. Relax and let your PNC Bank Visa@ Check Card pay the bills. Use your card to schedule one-time or recurring payments. You pay what you need without looking for stamps, writing checks, or traveling to the post office. It's that easy. Find out more at pnc.comlpaybycard. Savings Account Summary Account number: 50-0437-6796 Florence M Wisegarver Lauren E Coover Balance Summary Beginning balance 3.116.32 Deposits and other additions .00 Checks and other deductions 3,116.32 Ending balance .00 Please see the Activity Detail section for additional information. Average monthly balance 2,010.52 Charges and fees .00 Interest Summary Annual Percentage Yield Eamed (APYE) 0.00% Number of days in interest period Average collected balance for APYE Interest Paid lhis period As of 08/06, a total of $7.21 in interest was paid this year. 20 3.116.32 .00 Activity Detail Online and Electronic Banking Deductions Dale Amount Desc:ription 07/27 3,116.32 Transfer To Account Date 07/27 Amount Descripbon .00 Outstanding Item Close There was 1 Online or Electronic Banking . f r cfY/l. Deduction totaling $3,116.32 . 0000005140069838 . rrCtt'\sfe r . (3' .fj ...<hl: ~110 c~ fry N--C. Il!) . There was 1 Other Deduction totaling $.00. Other Deductions Date 07/27 Balance .00 0QU IYlqS J' OIl . ~re 'rClftS ,~ . {tlld (l ~ct/'1(~, . QlflC/ L- oCt ~~(,e -fo J j. SedJ ] G 0 _~jtJ o.-cC S) . D'/d (:) 0 ~ ~ ~ .-0 ,... .. ;'" ~ [n' r .". {\ (\ 1 ~ 0 .., f ......., --\J G. J> ~ , '/ - ~ if Vl 'II ,:D 'I; \\ i'..... F , '\.) p , I " ' .~ i '"> ,'il ( c,,1 f\ ... - ...... ~ .. ~ . .. - := .. - .. .~ ., t "': .... .. ...... ....t .... ...: .- .- := - ~ ....