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Home My WebLink About02-15-08 ..-J 15056041169 REV-1500 EX (06-05) PA Department of Revenue Bureau of Individual Taxes PO Box 280601 Harrisburg, PA 17128-0601 E'NTER DECEDENT INFORMATION BELOW Social Security Number Date of Death OFFICIAL USE ONLY County Code Year File Number INHERITANCE TAX RETURN RESIDENT DECEDENT ~\ "()\ b'53 \ Date of Birth 202-20-7250 05172007 10051927 Decedent's Last Name Suffix Decedent's First Name MEYERS DORIS MI A (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 BOXES BELOW 12~ 1. Original Retum [J 4. Limited Estate Q~ [J 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received 0 2. Supplementat Return 0 3. Remainder Return (date of death prior to 12-13-82) 0 4a. Future Interest Compromise (date of 0 5. Federal Estate Tax Retum Required death after 12-12-82) 0 7. Decedent Maintained a Living Trust 1 8. Total Number of Safe Deposit Boxes (Attach Copy of Trust) 0 10. Spousal Poverty Credit (date Df death 0 11. ElectiDn 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 BEVERLY S HOLLERBUSH 7-717-938-3418 , -rl Firm Name (If Applicable) "j E ONLY - ,':', " First line of address \...i'-i 125 TAYLOR ROAD 11 -ry Second line of address r'") , I City or Post Office State ZIP Code DATE FILE&,'l ETTERS PA 17319 Correspondent's e-mail address: Under penalties of perjury, I declare that I have examined this retum, 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, SIGNATURE OF PERSON RESPONSIB FOR FILING RETURN DATE <\)J~'--u~'--; ,~t.___ c:J 11'1 c? ADDRESS 125 TAYLOR ROAD ETTERS/PA. 17319 SIGNATURE OF PRE PARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 L 15056041169 15056041169 --.J .....J 15056042160 REV-1500 EX Decedent's Name: DORIS A MEYERS 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) 0 Separate Billing Requested . . . . . . . 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) 0 Separate Billing Requested . . . . . . . 7. 8. Total Gross Assets (total Lines 1 - 7) . . . . .......8. 9. Funeral Expenses & Administrative Costs (Schedule H) . . . ........ 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) . . . . . . . . . . . . . . . 10. 11. Total Deductions (total Lines 9 & 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " 11. 12. Net Value of Estate (Line 8 minus Line 11). . . . . . . . . . . . . . . . . . . . . . . . . . . . " 12. 13. Charitable and Governmental Bequests/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 .0 17. Amount of Line 14 taxable at sibling rate x .12 18. Amount of Line 14 taxable at collateral rate X .15 813, 980.22 15. 16. 17. 18. 19. TAX DUE. . . . . .. ................... 1~ 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 L 15056042160 Decedent's Social Security Number 202-20-7250 78,565.54 5,610.15 1,017,495.87 1,101,671.56 57,862.94 57,862.94 1,043,808.62 230,628.40 813,180.22 122,097.03 122,097.03 o 15056042160 .....J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 - 0 7 - 0521 DECEDENT'S NAME DORIS A MEYERS STREET ADDRESS 835 OAK OVAL CITY , STATE I ZIP MECHANICSBURG PA 17055 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) 122,097.03 105,263.16 Total Credits (A + B + C) (2) 105,263.16 3. InterestlPenalty if applicable D. Interest E. Penalty TotallnterestlPenalty (0 + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in box on Page 2, Line 20 to request a refund. (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 16,833.87 A. Enter the interest on the tax due. 8 Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5A) (58) 16,833.87 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 IX] b. retain the right to designate who shall use the property transferred or its income; . . . . . . . . . . . . . . . . . 0 89 c. retain a reversionary interest; or ......................................................... 0 89 d. receive the promise for life of either payments, benefits or care? ........................... 0 89 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 IX] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 0 IX] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 [X] 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 )~i)]. 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. S9116(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. S9116(a)(1.3)]. A sibling is definl9d, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2B0601 HARRISBUHG, PA 17128-0601 REV-1162 EXI11-95) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT HOllERBUSH BEVERLY S 125 TAYLOR ROAD ETTEI={S, PA 17319 ,- fold ; ESTATE INFORMATION: SSN: 202-20-7250 - , FILE NUMBER: 2107-0521 i , i DECEDENT NAME: MEYERS DORIS A i DATE OF PAYMENT: 08/17/2007 . POSTMARK DATE: 08/17/2007 COUNTY: CUMBERLAND DATE OF DEATH: 05/17/2007 -- NO. CD 008560 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $100,000.00 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 112 SEAL INITIALS: JA RECEIVED BY: TAXPAYER $100,000.00 GLENDA FARNER STRASBAUGH REGISTER OF WILLS REV-1502 EX+ (6-98) CCMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF DORIS A MEYERS FILE NUMBER 21-07-0521 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the pnce at which property would be exchange between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. DESCRIPTION VALUE AT DATE OF DEATH ITEM NUMBER 1. APARTMENT IN MESSIAH VILLAGE REMAINING VALUE 78,565.54 TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 78,565.54 ~~~~jah Continuing Care Retirement Services - Founded 1896 June 2, 2007 Beverly Hollerbush 125 Taylor Rd. Etters, P A 17319 Dear Ms. HolIerbush: I am writing to you concerning the refund due for the apartment occupied by Doris Meyers at 835 Oak Oval, Messiah Village. The acquisition fee paid for the unit in September 2003 was $117,262.00. The agreement was terminated May 31, 2007. Seventy- five percent of the acquisition fee was amortized over 44 months leaving a refund in the amount of $78,565.54 (see enclosed amortization schedule). The payment of the refund will take place upon acquisition of the unit by another resident. If you have any questions regarding the refund, please call me at (717) 591-7204. Sincerely, rrllCfliU fro jl1M flv LUrl Michele Maglich Brown Manager of Financial Operations Encl. ] 00 Me. Allen Drive. Mechanicsburg, PA 17055-6100 (717) 697-4666 . Fax (717) 790-8200 . www.messiahvillage.org ~ ~- L.......... _~_..... T .:i'~ REV-1S03 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS FILE NUMBER 21-07-0521 All property joinlly-owned with right of survivorship must be disclosed on Schedule F. ESTATE OF DORIS A MEYERS I ITEM NUMBER 1. DESCRIPTION VALUEAT DATE OF DEATH N / A TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) REV-1507 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE D MORTGAGES & NOTES RECEIVABLE ESTATE OF DORIS A MEYERS FILE NUMBER 21-07-0521 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUEAT DATE OF DEATH 1. FISHING CREEK SALEM UNITED METHODIST CHURCH 5,610.15 TOTAL (Also enter on line 4, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 5,610.15 Fishing <1ee~ 1A-\Salem United ~I Methodist (burch Pastors Paul S. Wilcox Pau/1v. Baughman (717) 938-1928. Fax (717) 938-2660 June 28, 2007 Mr. Roy Meyers 351 Spring Run Court Etters, PA 17319 Dear Roy, Fol1owing is a statement of the loan made to our building fund drive by Doris Meyers. 6/24/02 Original loan, note # 024 5/30/03 Paid back Balance 6/24/07 Interest due Total amount owed to Doris $6000.00 540.00 5460.00 150 . 15 5610.15 We are thankful to Doris and to all who made our project possible. Sincerely, 4-' ~ Building Fund Treasurer 402 Valley Road, Etters, Pennsylvania 17319 REV-1!i08 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF DORIS A MEYERS FILE NUMBER 21-07-0521 Include the proceeds 01 litigation and the date the proceeds were received by the estate. All property jointly-owned with right 01 survivorship must be disclosed on Schedule F. ITEM NUMBER 1. 2. 3. 4. 5. 6. 7 . 8 . 9. 10. 11. 12. DESCRIPTION 2007 TOYOTA CAMRY VALUE FROM DEALER PERSONAL PROPERTY (VERY OLD) VALUEAT DATE OF DEATH 15,000.00 500.00 AMOUNTS INCLUDE ACCRUDED INTEREST CITIZENS BANK checking act # 610067-743-5 11 month CD # 6244-045136 11 month CD # 6247776050 11 month CD # 6248-759133 12 month CD # 6140-738113 30 month CD # 6244-045144 ACCOUNT # L7K-362913 30 MONTH CD # 052-0144109 CD ACT # 31003914602072 CD ACT # 310039139118024 CD ACT # 310039114550015 CD ACT # 31003914514681 CD ACT # 31003913918032 M&T INVESTMENT GROUP ACT# AZD341675 IRA ACT# 1600085567 CDA # 31900261397 CDA # 31600302471 CDA # 31000305378 DDA # 5004769258 FULTON BANK M&T BANK PNC BANK 13,885.28 10,026.79 11,018.21 9,014.47 5,000.51 50,111.51 14,467.41 9,345.35 23,002.47 20,220.37 5,179.50 25,177.82 11,011.82 108,416.13 534,844.39 5,010.64 20,078.04 12,934.86 3,352.28 PRINCIPAL CONTRACT # 8623320 TRANSAMERICA ANNUITY # 02PB0002592 HH SAVING BONDS M3442574 HH M3442575 HH M3442576 HH M3442577 HH M3442578 HH INTEREST ON ALL BONDS 87,435.41 15,146.24 1,000.00 1,000.00 1,000.00 1,000.00 1,000.00 100.00 JOHN HANCOCK INS CO -REFUND 674.37 REFUND OF PERSONAL FED & STATE TAXES FOR 2007 1,542 TOTAL (Also enter on line 5, Recapitulation) $ 1, 017 , 495 . 87 (II more space is needed, insert additional sheets olthe same size) T~R BUICK COMPANY "We take care OJ'YOll'' To Whom It May Concern: For the Estate of Doris A.Meyers on May 31, 2007 her 2007 Toyota Camry LE Vin#4TIBE46K57U555703 With 5454 miles was appraised for 15,000.00. Any further questions relating to this subject please feel free to contract me. Used Car Sales Mgr. 7lh~ David Smith Tumer Buick Company 4201 Chambers Hill Ad Harrisburg, PA 17111 . 4201 CHAMBERS HILL ROAD, HARRISBURG, PA 17111 (717) 564-2240 FAX (717) 564-2473 08/12/2007 20:19 71 793821151 7 ROY D MEYERS PAGE 03 a Citizens Bank'" Account Number 6100677435 Account Title DORIS A MEYERS Date Opened 2/911976 Account Type Checking Principal Balance as of DOD $13,885.28 Interest from Last Posting to DOD $.00 Account Balance as of DOD $13,885.28 YTD Interest to DOD $8.35 08/12/2007 20:19 71 793821151 7 ROY D MEYERS PAGE 05 a Citizens Bank'~ Account Number 6244-045136 Account Title DORIS A MEYERS Date Opened 1/28/2004 Account Type Time Deposits Principal Balance as ofDOD $10,000.00 Interest from Last PostinR: to DOD $26.79 Account Balance as ofDOD $10,026.79 YTD Interest to DOD $162.11 08/12/2007 20:1g 71 7g3821151 7 ROY D HEYERS PAGE 07 a Citizens Bank'" Account Number 6247-776050 Account Title DORIS A MEYERS Date Opened 10/5/2005 ACCOlUlt Type Time Deposits Principal Balance as of DOD $11,000.00 Interest fro.m Last Postin~ to DOD $18.21 Account Balance as of DaD $11,018.21 YTD Interest to DOD $211.61 08/12/2007 20:19 71 793821151 7 ROY D MEYERS PAGE 08 a Citizens Bank'~ Account Number 6248-759133 Account Title DORlS A MEYERS Date Opened 1/6/2006 Account Type Time Deposits Principal Balance as of DOD $9,000.00 Interest frQrnLast PoMiruz: te DOl) $14.47 Account Balance as of ODD $9,0] 4.47 YTD Interest to DOD $182.07 08/12/2007 20:19 71 793821151 7 ROY D MEYERS PAGE 04 a Citizens B,anklM Account Number 6140- 738113 Account Title DORlS A MEYERS Date Opened 3/18/1999 Account Type Time Deposits Principal Balance as of DOD $5,000.00 Interest from Last Posting to DOD $.51 ACCOllllt Balance as of DOD $5,000.51 YTD Interest to DOD $84.28 08/12/2007 20:19 71 793821151 7 ROY D MEYERS PAGE 05 a Citizens Bank'" Account Number 6244-045144 Account Title DORIS A MEYERS Date Opened 1/28/2004 Account Type Time Deposits Principal Balance as of DOD $50,000.00 Interest from Last Postin~ to DOD $111.51 Accooot Balance as ofDOD $50,111.51 YTD Interest to DOD $648.29 8J' ~<g <D~ ~2. S?lJ> IV 00 t;, w r<' ~ ~ ~ ~,~~;:f;; QZ!1:E..... 1= ~ c ;l ~J n g, ~ r t'rJ E. ~ S' Z 'Tl ~ -.:l ti S' ;: ~ ~ g' S ", " S- /:- . g, ~ r, o C ~ (l I" '1 f'i' 0.. 25, 5- z ~ 0' ::J e. '"Ii 5' I" ::J (l E Vl " :s, (l ~ r-' r-' .0 3::: " S cr ::; zz " " M M ~5: 00.. '" ;:;' ~ O' I" ::J ::J '" o..~ tTlo.. ~~ ::J -, '" M ~[ ..., I" ~ e,,;sa ~i e,,;~ ::c:~ O~ (3 ...... ~~ 3:000 mOlO \l\J1;;o :r: H >O(/) z> ;:;;>0;> (/)03: o:><m c>-< ;;orm (j) ;;0 "1J (/) > ff) ff) ./>../>. 0000 ~~ !\)~ ff)ff) !\)!\) 0000 !\)!\) 0000 0.3 ..... --J o \J1 \J1 - o o en -- w o -- o -..J ~v,...... !i';:f:ld .. 'TI~ NO;,:! ~~~ a~ mv' oS; n....j (;;? n:::J ...... ~ -Efl.....j ...,LO .....j ....f;;a ~ CIJ'" (X)~ ~:;j 0')0 .f;;ah o 'L.'T1 ~ 0 0' ;0 i:?,O ~r rn ~ o z (f, - // ._---~ o ;0 r ;,j ",,:-' cO 0' J-, CJ \Jl:>-> 0--' om ~i=; \J.>, ) n o r /: -l 7- ..,.; o ~ >- -l o ! z ;!> -< "8 Vl jTI .,... ~ Vl ~ ~ ./" 0 lD ~ n >- < m _A '( ll> 0 0 ..... "'-S- c .. 0 0 X <1l F ?~ ""'? <r 0 C/l '" '" ~ <1l \: ~ q/) , >;.. '0 3'~ ..., <1l (b -::T 3 ll> 3 0.;4 ..-- ~ <" ::> ~ 2.- ~ { ~ ~ iii"2.. _ r- "1 ~ "" R o' ~ v- ( .. ~ "" ~ < ~~. v 8 Q) 3 C C ---- ~ . C1> ('-~ ~0 0-- ~ ll> -< ::> -eS "--"\; g :;J ~ iii' .:L " a. "1J iii' ~ 1/' '0 [ iii" -< ~ -. N (D ::J', ,,' VlV" ^ 9~~j;~~i~'? ~ ,_i :::J < (1) V') ,..... 3 (1) :::J ,..... ~.~. ~, .... r n: -. ,..... ., :~i:~; . ' n (1), V') -{ '-~'~, , ~ . ((if Fulton Bank ;, ~ ~ '~ 1 LISTENING. f ~ * ! July 6, 2007 Beverly S. Hollerbush 125 Taylor Road Etters, Pennsylvania 17319 Dear Ms. Hollerbush: RE: Doris A. Meyers, deceased May 17,2007 In response to your recent inquiry concerning the accounts maintained in the name of the decedent, please be advised that the following accounts were open at the date of death: f I I ~ CD # 052-0144109, open 7/6/2001, rollover 2/6/2006, matures 8/6/2007, date of death balance $9,224.70 plus accrued interest $99.60; paying3.92%, in her name only. i I ! I i I i ! The decedent also has an account through our trust affiliate, Fulton Financial Advisors, for information please contact Greg Malin at (717) 763-2098. If you should have any further questions, please do not hesitate to contact me at (717) 291-2437. Very truly yours, \.,-Jr ~. ,,-'l! ,', . "U IUJ'-;.",'" ~'.- ,->~( "J.:Y Karen D. HlllegaSJ Credit Inquiry Processor t.r-:~ r) ~\. ~ r I" ~- r ~l. q -r iF" i ""'r- "t-,'\.s,.,ti \....# \..~j ~ ~ ~ = ~~J ~_.. ~, ~ i M L This infG:rn3tic;~ is 2~.~ ,~ rn81"t~f Df business courteSY jn an 5:\Ner 1":') y(: . j'."; . - /, ~"!~ :.:" ,," re: ~i))':)(: i:~. ,:<'.~:~i~:~:::. I,,, 'lC:;;' c(jr:fich;ntJ&l u.se only. 'f' ':', .';:1Y of it; ofi":ers () ;~'i;"; ::):", . L -l .'~, . < :,'-:::~~-~; \\"'UiOJ-;- i:: p L1 8 (_~, ~/ I' r >'J 11 r/ .; LISTENING. 1057 0000 48 Y FEBRUARY 6, 2006 ACCOUNT NUMBER 052-0144109 Fulton Bank RATE CONFIRMATION NOTICE 30 MONTH CD AS OF FEBRUARY 6~ 2006~ YOUR ACCOUNT NUMBER 052-0144109 HAS RENEWED FOR A VALUE OF $8,,870.11. AS O~ THE 1<ENEWAL DATE THE TERM OF THIS CD IS 30 MONTHS AND INTEREST WILL BE EARNED AT THE RATE OF 4.1600%. THE NEXT MATURITY DATE OF YOUR ACCOUNT WILL BE AUGUST 6~ 2008. IF YOU HAVE MADE OTHER ARRANGEMENTS PERTAINING TO THIS ACCOUNT, PLEASE DISREGARD THIS NOTICE. DORIS A MEYERS 835 OAK OVAL MECHANICSBURG PA 17055-8409 '.TO :. THf, '. OfletR' . ":OF:' .... ))ori~A. Meyers Estate FOR PURCHASER Doris A. MeYl,:rs ':::. '<. .': / ~~ -:: .;~ ::?' '.-::::) PAY i-,..:::'.~ i~'.:(.: -~.;-:_~:..:~t:~;:- -~~::;_~.;(_ r': -.::...::::-.>-.... f'"::. ~:/-;:: .:,"':.::; ,",' '.-:" ;. ,,;,.,." . c..",.: .,.: " ,""," ,', -." ..' " ;(~';b3T::: :.,:",.'. r::";:- ~.";. ... ............./. "::$; 9,345.35 .~':. . .... . - - - --, ." -.' ',-, , .... . :,: ':-";:, ....-.,.... ..;':> ":," . u , ".... . .. -,.. .. .........~....j.~. ~i<....:.:.. .,:: : ...... . '. AUTHORIZED . . NATURE. ~p~~~\~;.;~i~ 'I,'); -~-- "." - ..-.::::"" <0].--''-"""----- - ____.".. ___."'_--........ "'.0 j~I1~~II. 1:0 j. jO.~ 2 21: 00110 00011.'" - .'. ....... ...... ..1 ., ....1 : :.....:.;..:.-. ':.: ::. ;'::! ,\;;;{~, ;";(>:;:\;:"1 ... rl;1~~4~~ Harrisburg Main June 8,2007 1727 DORIS A MEYERS 835 OAK OVAL MECHANICSBURG PA 17055 Re: CD Account Closing Notice Account # 31003914602072 Dear Doris A Meyers, We are writing to confirm that on 06/07/07, your CD account was closed or transferred. At that time, the balance was $23,002.47. We'd like to remind you that M&T Bank is committed to providing you with solutions to all your financial needs. To find out more about the many ways we can help you with those needs, simply stop by any M&T Bank office or call the M&T Telephone Banking Center at 716-626-1900 or 1-800-724-3222. Or ifyou/d like, visit the M&T website at www.mandtbank.com. Thank you for banking with M&T Bank. Sincerely, M.i.c.he.le. Cole-Hec.:toJz. Michele Cole- Hector Customer Service Manager ~:TING L2ILI2JIJ I ,~l n~:T~-:'T~~EI () I ;CRIPTION DEBIT: WIP TRANSACTION AUTHORIZATION' ,,",' ,! ,.'-/1\.-/}'':V '7 I GF-269 (5/98) DATE.';- ,.. ,,>. -, ,/ ./ /' r~J' /J " J PRODUCT ';' 1',) >./0.<; 1" U \ ') / ~Inal - Processing Work "y 1 - Central Balancing "y 2 - Branch/DElpt. ;..t '<~ G/l NO. POSTING COST CTR. JULIAN DATE ~ ~ 1/ l-s'fYl CUSTOMER SIGNATURE ORIGINATING COST CENTER I/~)I JI()!y! SEQ. NO, ~ PlJo~~ ') Harrisburg Main June 8, 2007 1723 DORIS A MEYERS 835 OAK OVAL MECHANICSBURG PA 17055 Re: CD Account Closing Notice Account # 31003?13918024 . Dear Doris A Meyers, We are writing to confirm that on 06/07/07, your CD account was closed or transferred. At that time, the balance was $20,220.37. We'd like to remind you that M&T Bank is committed to providing you with solutions to all your financial needs. To find out more about the many ways we can help you with those needs, simply stop by any M&T Bank office or call the M&T Telephone Banking Center at 716-626-1900 or 1-800-724-3222. Or if you'd like, visit the M&T website at www.mandtbank.com. ) Thank you for banking with M&T Bank. Sincerely, M~chele Cole-Hectok Michele Cole- Hector Customer Service Manager DESCFlIPTION DEBIT: WIP TRANStC~ON AUTHORIZATIOti '-c1C"'~ /~ ,-I rrfOLJ tT) /). , I, GF-269 (5/9B) I/! (7' I',., n DATEIP I /V{ EMPLOYEE NUMBER g~~N.ATING ~ I 'ilf.1 (-\ fl. C1 CENTE'R ~ I..' .'.. SUB PRODUCT Original - Processing Work Copy 1 ~ Central Balancing Copy 2 - BranchlDept. l,' I i..._"-' '';>.. 1 .\: \\.:;.", \..l..,."".L_J I .~, CUSTOMER SIGNATURE ORIGINATING JULIAN DATE COST CENTER ClliJIJ 1&l/lcJ\P! ~ ~ G/L NO. POSTING COST CTR. ~~ ~M~l]~~~ ~ 'of r Harrisburg Main June 8,2007 r .~ '. ~. 1726 t ,. f' ~ DORIS A MEYERS 835 OAK OVAL MECHANICSBURG PA 17055 Re: CD Account Closing Notice Account# 31003914550015 - ..... Dear Doris A Meyers, We are writing to confirm that on 06/07/07, your CD account was closed or transferred. At that time, the balance was $5,179.50. We'd like to remind you that M&T Bank is committed to providing you with solutions to all your financial needs. To find out more about the many ways we can help you with those needs, simply stop by any M&T Bank office or call the M&T Telephone Banking Center at 716-626-1900 or 1-800-724-3222. Or if you'd like, visit the M&T website at www.mandtbank.com. Thank you for banking with M&T Bank. Sincerely, M-i.c.he..e.e. Cole. -He.c.:tolt. Michele Cole- Hector Customer Service Manager ORIGINATING C2I2JlI[J.' . /"..- ~ r~LTE~ TMiB/E~ I y ./~,',,/ "/-" C "',I" ' COST , " ,r, I ) (,. '~ () CENTIER .','/ I / DEBIT: WIP TRANSACTIQN " ~ .~_..-.,(, ---'J \ - , AUTHORIZATION '.:.9' '//' ,. n~,";;-u /- .1 h" 69 (5/98) "' DATE 1':>/7 (.T) I su, ,"OOUQ . 0"'""'''''0' -<- cU9rOMER,.N~E (PFlf-1T) ~"j/ jt' ( ,J '-...--(h 1"-.,) Ii /.-,. ({, ': / , Original" Processing Work Copy 1 " Central Balancing Copy 2 - Branch/Dept. ," t CUSTOMER SIGNATURE ORIGINATING I ~ ?1~rNTr I . ~ .....' ','/' ",,' , "J/" - / l.-/ .,! ~ G/L NO, POSTING COST CTR. JULIAN DATE ~ ~ UEID '~Mg~ , Harris burg Main June 8, 2007 1725 DORIS A MEYERS 835 OAK OVAL MECHANICSBURG PA 17055 Re: CD Account Closing Notice Account # 310039145146~ , Dear Doris A Meyers, We are writing to confirm that on 06/07/07, your CD account was closed or transferred. At that time, the balance was $25,177.82. 'We'd like to remind you that M&T Bank is committed to providing you with solutions to all your financial needs. To find out more about the many ways we can help you with those needs, simply stop by any M&T Bank office or call the M&T Telephone Banking Center at 716-626-1900 or 1-800-724-3222. Or if you'd like, visit the M&T website at www.mandtbank.com. Thank you for banking with M&T Bank. Sincerely, M-i.c.he.le. Cote -HectOlt Michele Cole- Hector Customer Service Manager g~~~NATING ~ 1.J/l~:;llfrfl e-1 ~U~~~~~~~~N TRA~~~X~~k;'~) CENTEfl ~ - --f I ' " GF-2p9 (5/98) I I,"" i -., DATE GI! 'I /('.L DESCRIPTION , " r! l'r _ .r~ \ SUB PFlODUCT ( i />'~_: <: ~l G/L NO. POSTING COST CTR. @2EJ ~ ,\ .",,,,,i..._ CUSTOMER SIGNATURE ORIGINATING JULIAN DATE COST CENTER _ ~~!.j{.\' ~~ [= Original - Processing Work Copy 1 - Central Balancing Copy 2 - Branch/Dept. SEQ. NO. I ~7111 ~F:!~~~ Harrisburg Main June 8, 2007 1724 DORIS A MEYERS 835 OAK OVAL MECHANICSBURG PA 17055 Re: CD Account Closing Notice Account # 31003913918032 Dear Doris A Meyers, We are writing to confirm that on 06/07/07, your CD account was closed or transferred. At that time, the balance was $11,011.82. We'd like to remind you that M&T Bank is committed to providing you with solutions to all your financial needs. To find out more about the many ways we can help you with those needs, simply stop by any M&T Bank office or call the M&T Telephone Banking Center at 716-626-1900 or 1-800-724-3222. Or if you'd like, visit the M&T website at www.mandtbank.com . Thank you for banking with M&T Bank. Sincerely, M.<.c.he.ie. Cote. -He.c.:toJt Michele Cole- Hector Customer Service Manager EMPLOYEE NUMBER ORIGINATING ~l /1 v' 1"1"1 (71 I -~--1 J1 ()~ I COST I /, I (;. l \ ,. ) CENTEn ! , ... " DESCRIPTION DEBIT: WIP TRAN$A9TJQ~.. AUTHORIZATION · "--~r-'." " r~ -rr f-J.-I.:1 .,0 --.f', ;- , / / GF-269 (5198) DATE (;, I? /O') SUB PHODUCT i ! "., s:, ,', . .) " ,J 'O~;: .-~', " (, I i.J Original - Processing Work Copy 1 - Central E'alancing , Copy 2 - Branch/Dept. , . "-.-.-... ""-,, 0/)( CUSTOMER SIGNATURE ORIGINATING I," 'TS,T rNTrV I " ,I /} II \__' I ~ ,.' ~_... SEQ, NO, I '715" G/L NO, POSTING COST CTR, JULIAN DATE ~~~ ~ M&l'hwestment Group M&T Securities, Inc. 2875 Union Road, Suite 30-33, Cheektowaga, NY 14227 Date of death valuation For the account of: Doris A. Meyers Beverly Hollerbush 125 Taylor Road Etters PA 17319 Account # AZD341675 Date of death- 05/17/2007 Description of Security Quantity Date of Price per sh on Valuation valuation date MTB Money Market CL A 37821.88 5/17/07 1.00 Fed Adj Rate Securities 2213.972 5/17/07 9.49 Fed Max Cap Fd 965.324 5/17/07 27.85 Federated Intermediate 2174.579 5/17/07 10.26 3 7 f? ;2 I, ~8'" I ~ / 0 I 0, s-9 / 2.b ~~Y, '-7 I 1'.2-/JII./&- 10'8.0;2.'1.9 -.: We have received the information presented above from sources, which we believe to be accurate. However, we do not guarantee their accuracy. The price per share on valuation date is the closing price on that date. Please contact Client Solutions with any further questions, or if we may be of further assistance to you at 1-800-724-7788, Option #1. Thank you. Sincerely, Wt~ Shawna Donovan M& T Securities, Inc. Investments: . Are Not FDIC-Insured' Have No Bank Guarantee' May Lose Value , - .'__'"-"'F "IAcn/C:::lpr LOI C( ::;:- ":/};\::" ~.~: :.. .:",.u.. ", ." ",' ." .... \":: ..;.\" j:i> \:. ~l:~fIUI ".~~~';. c ~;fcfH ~..- -............. ';:'-:..- '. .,..:..\:.:.:....... ......, ...... ...... ,".. .............. .. .,",.."." "," ..h....... .--.:......;.;;::I\:};.;:.;:-.;-.;.:..:... "--,".t :;::;;\ "'. ". "S &\f.;:/.:.u ]J.,~.:_:..'.:. ...:......... .....;. ?;~/:tj>; .'::" "/". .:; -". .~.:;;.....:.... :Ji~ z-~ . J~ &1 ~~ >..~ -- ~~ ""'C~ ~~ 'b ~j~ = ,g~ .... .~ ~ ~ ~ i 1: ~~ JD G:lE lit 0] a:: ...... f2 .:"13 ....:... ".W :~ ci~_(J)' I........ . ....ffi'. a::::i .... ......::-1:.: . 0.0 I:IUt: ~.." /f5 >- :?: UJUJ Za:: LL<( o:?: ::.::<( Z-.J <(w IDO .4>\.... i~$ ftI ... Q.o ----- ~ C'- cr ..r cD U1 cr o o r1'I o ~ .. - ..41 U1 r1'I o o ..41 ..41 r1'I o .. - ~ ..41 U1 cD o o o ..r o o ..r ~ r:! M&T Investment Group P.o. Box 1377 Buffalo, NY 14240-9828 Account Summary Section Statement of Value and Activity Apri/1, 2007 - June 30,2007 This Period 1/1/07 to 6/30/07 $521,118.51 $39.09 -$11,369.48 $8,902.05 $13,586.59 $532,276.76 $21,910.31 Beginning Market Value Cash Additions Cash Disbursements Income Change in Market Value Ending Market Value Realized Gains/Losses (Included in Total Above) $524,299.47 $36.65 -$6,915.90 $4,145.01 $10,711.53 $532,276.76 $21,531.11 Investment Objective: Income & Growth: Generate returns from income and appreciation over a long-term, investing in primarily bonds and some equities. M&T's Investment Policy Committee set the current range percentages as Cash 0-10, Fixed Income 45-65, & Equity 30-50. Asset Class Balance II 100% 0% Cash & Equivalents Fixed Income $531,254.50 $1,022.26 $532,276.76 100% Total Assets Value --, Meye,rs, Doris A, IRA. Account # 1600085567 ) Page 1 of 15 4148 -0500447 ~~ ~ M&I'Investment Group 1600085567 l No.0130 6430 2 Date REMITTANCE i\MO\ONr INCOME I PRINCIPAL X MEYERS, DORIS A, IRA ADM: RUTH ANN MCMILLEN 534,844.39 IRA DEATH BENEFIT PER RECPT & RELEASE CASH PORTION OF RESIDUE IN IRA 1600085567 DORIS A MEYERS DOD 5/17/07 CS 641 23 DETACH AND RETAIN THIS PORTION FOR YOUR RECORDS HOLO DOCUMENT UP TO THE UGHT TO VIEW TRUE WATERMARK r:g M&I'Inrestment ~. - 1600085567 PAY FIVE HUNDRED THIRTY-FOUR THOUSAND EIGHT HUNDRED FORTY-FOUR AND 39/100 AMOUNT 342520293201342523 NEW 12/Q4 8410017370 ,;>:<: . . HOLD OOCUMENT UP TO THE UGHT TO VIEW TRUE WATERMARK )~~ 013064302 DRAWER: M & T BANK DATE 8/9/07 $534,844.39 ... '''''l r- fT'I~ "\rT ",.., T"I r'\ 4J~ XIITI..U"'\OI71::r"\ ~I~ ATIICC:: M> TO THE ORDER OF ESTATE OF DORIS A MEYERS CIO BEVERLY S HOLLERBURSH, EXECUTRIX 1(1'. pl\ Ie Colleen M ..41'. I " Crowder/Consumer/PGH/PN C 06/22/2007 09:44 AM Doris A Meyers (Deceased) SS# 207-40-9926 00005-17-2007 To Nicole D Silks/ConsumerISCP/PNC@PNC cc bcc Subject Meyers, Doris A date of death balance ACCOUNT NUMBER * DATE OF DEATH BALANCE + ACCRUED INTEREST CDA 31900261397 CDA 31600302471 CDA 31000305378 DDA 5004769258 5,000.00 + 10.64 20,000.00 + 78.04 12,914.90 + 19.96 3,351.88 + 0.40 If you selected the balances to be sent to the "Branch" they will only be sent to the requestor by Lotus Notes. Have a nice day. June 27, 2007 Prlltlp.l W. In..rance Conapany Prlacor Fi.ancial S.rvlc.. Corporain THE ESTATE OF DORIS A MEYERS Cia BEVERLY S HOLLERBUSH, EXECUTRIX 125 TAYLOR RD ETTERS, PA 17319 Re: Doris A Meyers Contract No. 8623320 Dear Beverly: The accumulated value of this account on May 17,2007 was $87,027.72. Date of Death Value Cost Basis Taxable Gain $87,027.72 $11,701.35 $75,326.37 The date of death value will be earning 3% interest from the date of death until settlement date. If you have questions you can reach us at 800 8524450, Monday through Friday from 7;00 a.m. to 7:00 p.m., CST. Sincerely, Annuity Services (800) - 852-4450 DV Your representative Gregory Malin A0562-2262 Corporate Centur; Des Moines, Iowa 50392-1770 (BOO} 852-44W S8CUriti~$ offsrlld through Prine or Financial Serviclls Corporlftion, (BOO) 247-4123, m9mbsr SIPC. PrinciplIl Life IInd Princo" (lf8 members of th~ PrinaiplIl Finsnci91 Group", VIIS MoiJ1B&, IA 5lJ392. 2:0 39~d S~3A3W a AO~ L lS112:BE5L 1L 02::90 L002:/01/L0 ~ JIII"""'~::un;ial Principal Life Insurance Company Des Maines. IA 50392-0001 THE ESTATE OF DORIS MEYERS \ BEVERLY S HOLLERBUSH, EXECUTOR 835 OAK OVAL MECHANICBURG, PA 17055 Death Claim: DORIS A MEYERS Da1:e of Death Va.l ue: Taxable Snort Term Interest: Net Benefit Payable: Ta:cable Ga in: Tax Year: 200'7 \ ~\'Q\~- $871.027.72 ~407. 72 $87,435.44 $75,326.37 \='~~ ,-~~ (Detach and Retain tor Your Records) '1 AC K i4338;;:37 (\7/12/2007 ...~ ":""/.--'.---' ~- .,.-. SB7,.c3S .c4 WVoIILLJ ..... ..;..l?.~~~ .BAC!<9~_OU~l?.~~ ~1:l~~a.~_S..cg~<?R.(3R.AD_~~L~Y_FRi?~~.Tg~!9_~~!T<?~ ','u J . .,' . ,_ A~""''\IO'''O",(hcooo~''''::''''t>;-",,_1l VERIFY THE AUTHENTICITY OF THIS MULTI.TeNE SECURITY DOCUMEN'r. ~.. Financial , Grol/flt Prlr-clpaf Life Insu.tal1C8 Company De.s Moines. IA 50392-{)001 CONTRACT NUMBER 8623320 REFERENCE NUMBER 00036189 THE ESTATE OF DORIS MEYERS \ BEVERLY S HOLLERBUSH, EXECUTOR 835 OAK OVAL MECHANI CBURG, PA 17055 C'i<\' ;0 L JHTY-SEVEN THOUS~ND FOlffi HUKDRED THIRTY-FIVE AND 44/100--------- 'rl:: NC'RTHEFlN TRUST COMPANY, CHICAGO, IL 0710 . ~YABLE THFtOUGH NQRTHi::Ri\; TRUST BANKfDUPAGE, OAK BROOK. IL III * . . l, 3 i a 2 3 ? "I I: 0 7 . 11 2 j B 2 B I: o :2 0 . 5 b 2 0011- 5 K 14338237 70 -2~82r719 D~e 07/12/2007 NOT V".L1D AFTER , 80 DA YS Amount $******-"87,435.44* . :-:'j.;~ ;:-:. ;";j. ;.;.;..,;.;..;. :..;;;:..". -..;..;.;.;.;.:,. ."".....~~..,,,..,,,... . -..",~ . - ... ~" 'J"'"''~'''t1''''' ....,.. .....,' :~~~~~~' .".;. ....:... :~~~$~' ..~~~~~~~ By ;~~~~~.~...-:-:-:-:-:"-:.o:-:-:-:~-:.-:-:'~~~~~~~~~ AL'thor i led S igll8ture(sl i.T.~~~~ Transamerica Life Insurance Company 4333 Edgewood Road NE PO Box 3183 Cedar Rapids, Iowa 52406-3183 June 21, 2007 Estate of Doris Meyers c/o Beverly S Hollerbush 12~) Taylor Rd Etters PA 17319 RE:: Annuity Number(s) 02PB0002592 Dear Personal Representative(s) : We have received notification, Doris Meyers, annuitant of the above listed non-qualified tax deferred annuity is deceased. Our office wishes to extend sincere condolences for your loss. The following is the current information on this annuity: Annuitant: Owner: Primary Beneficiary: Annuity Policy Date: Full Value as of 06/19/2007: Taxable Portion: Full Value as of 05/17/2007: Doris Meyers Doris Meyers Estate of Doris Meyers 100% November 25, 2002 $15,102.14 $ 2,102.14 $15,061.84 The attached document outlines the option available to the estate. The full value as of the date of death is for tax purposes only and 1S not a guaranteed death benefit amount. Operations performed on an automatic basis when applicable have been terminated, such as; Systematic Payouts or Automatic Billing. The attached document contains general tax information based on Transamerica Life Insurance Company's interpretation and should not be relied upon for your personal tax planning. If you have questions concerning the direct tax consequences when selecting an option, you may wish to consult a tax advisor. Member of the _EGON. Group \:" ~ ~~ t.~ fp~ U1 ~.~ 'O~ \\ ~~~ ~\ ~~ ~;o ~~ ~ ? ~ ~ - -<;.~;\ ..\.....,~ ...~~ ~p ..;~ 0, ~ . .f{}; ~ 0 u.> U\\:.... ~' ~.~, t C),l\. cc ~ \~ ~''P '1 'fo u.> ~ ~. 'a By''6~ ~ tfl f,., (:) ',f... *' - -P-~'O y\ O~"" 7 %~~ U' '$ ""'\J'~ t-J ...... , c:, p v'. t.,'~ o , 0' . ~ ~ ~\ y' 't;~\ ce,.<6'~ ::' .5C{; "\~ .c..>_.\. ." ~. ..,~ .... "'\ ~ ~";;\ \ ~(~ \. ~O\ \; ~\\.' ';4 0 .4'"J1: \'\ a ...) o~. ~ 'Jl! ~:~ .~\ \~ o;.'d~ \""~\ ~ ~~., \P ':t. t>J~ ~ * ,;~ ,\.~ 'J <A ~ ~ .; __'~ \ ~-\"" \~ ~ U1 .~ p .~ -'""\ _."..-- AO o~~ "'0 \ ~ tl\ ....~tfl ~~~~ ~~~~ ~~;.t.o ~ tfli1.\ .Q~~~ 7 o~ Y>~~y\ ~ b ~tfl-$. ..0 c.~ ~~ ~ ~ () .., ~~ ~ ~ \ \-- \ ~ ~ ~ '~ 6J{) HV5' ~ ~.- Page 1 of 1 IMB 08/31/07 ESTATE OF DORIS MEYERS BEVERLY S HOLDERBUSH EXEC 125 TAYLOR RD BALANCE LAST STATEMENT 80814.68 DATE CHECK# 08/03 08/03 08/09 08/31 DDA STATEMENT INQUIRY 10.17.36 PAGE ACCT NO. 060-000-0000-6213957441 DATE THIS STATEMENT 08/31/07 DATE LAST STATEMENT 07/31/07 *****DDA TRANSACTIONS***** CHECKS/OTHER DEBITS DEPOSITS/OTHER CREDITS NO. TOTAL AMOUNT NO. TOTAL AMOUNT o 0.00 4 83926.14 AMOUNT TYPE TRANSACTION DESCRIPTION ~r~"",oTJ'D@:'K'l':ir'ir15t;Ttl'@;D~i1:tij,2*'i;itr~At:ftJ;11tl;mbM" T. ~' '." .~~~)(~.g:Jt""'''''~:~-;9/<-:,dfl~'h~'''~~''hlt">tf"~tiW".~~i~i*,.;' 260.60 DEPOSIT M'!1 . .. . . .. . ''''''YF.r'''''''''~'''''''''"''''';) ", tm1r' .f J~~~~~lit",n\~HH1i!it'Sl.'T,:BPl:J"; 78565.54 DEPOSIT - Vll ~55"IfHf 1 BALANCE THIS STATEMENT 164740.82 BALANCE 86075.28 86175.28 164740.82 t...4-4-.~.lh,.,.~,~1-~,.,.~_4- ~~.t-,.,.__~1 ~:4-:~~_~'L~_1_ ~,.,.__h____L___~__LI"'r'\"'^I_ 1 ""'I I"'\1""'fA 1, ~~ Citizens Bank 1-800-862-6200 Call Citizens' PhoneBank anytime for account information, current rates and answers to your questions. US002 BR290 ESTATE OF DORIS MEYERS BEVERLY S HOLDER BUSH EXEC 125 TAYLOR RD ETTERS PA 17319 Commercial Account Statement o OF 2 Beginning August 01, 2007 through August 31, 2007 Commercial Checking SUMMARY Balance Calculation Previous Balance Checks Debits Deposits & Credits Current Balance 80,814.68 .00 - .00 - 83,926.14 + 164,740.82 = TRANSACTION DETAILS Deposits & Credits Date Amount Descrlptlon /2.- J5 08/03 ~,ooo.o Bur Of Pub Debt H/Hh Redmt 080307 23107179077 - V"'...., 08/03 .60 Deposit I 08/09 . Bur Of Pub Debt H/Hh Suppl 0809072202207250012"" (;I f>-ds 08/31 78,565.54 Deposit.l Daily B:alance Date Balance Date 08/31 Balance Date Balance 164,740.82 08/03 86,075.28 08/09 INE\'JS FROM CITIZENS --We'll give your business more room to grow. Small Business Mortgages. We can help grow your business by providing affordable financing options using the equity in your business. Whether you're looking to manage cash flow, purchase new equipment, increase inventory, buy a new business property or refinance your existing building, Citizens Bank has what you're looking for. Your bottom line is looking better already. To learn more about our small business mortgages, visit your nearest branch and speak with a Business Banking Officer, or call1-800-4BUSINESS. Member FDIC. --Encourage Repeat Business! Sign up for a new merchant services account by September 29th, 2007 and you'll also receive 100 FREE gift cards to sell to you: customers. Also, with your Citizens Bank business checking account you'll receive next day settlement of funds from credit card transactions when you choose Citizens Bank Merchant Services as your payment processor. Call1-800-4BUSINESS or stop by your local branch for details. Terms and conditions apply. --Citizens Bank and Paychex (registered trademark) - Payroll services you can count on. Employees make your business. And Citizens Bank and Paychex make it their business to make paying your employees as simple and accurate as possible. Paychex, our preferred payroll service partner, handles the details of payroll, payroll taxes and reporting, so you can focus on what is most important to you - growing your business. As a Citizens Bank business 86,175.28 ESTATE OF DORIS MEYERS BEVERLY S HOLDERBUSH EXEC Business Green Checking 621395-744-1 Previous Balance - 80,814.68 o e Total Deposits & Credits 83,926.14 Current Balance 164,740.82 ,,' ,: "." '. ~- 'If. 'If. 'If. 'If. 'If. 'If. 'If. 'If. 'If. 'If. 'If. 'If. ~ 'If. 'If. tn ~ ll" (") -' r -< J>~ C III 10 g. ~2 III - - III ~~ o ;l .., '?< 10 _ ~ 'Z 'p "'Q )" -< ~ o 1. o o o o -.J ..0 ... -.J \J"\ o 1. .. tn~~~~ -,NrO~ -\\:l'Ir)" 11" -\ tn ..US; -;:O"..ot"t\ (/)-<:""0 -or~~"TI "'~~rO tn ~ ,"-<0 -J .0 ~ ';0 1J'l\:) 11" ."",, ~ (") (/) >I) C -\ . ". o ~ -;:0 tn -< fT\ .0 (/) - -- o IJ-l ... l"\J o ..0 -.J \J"\ IJ-l - .- l"\J o -.J ..0 ..0 o o o ..0 o \J"\ ... Q:l 1. ~ ::> :L II> ::> 8 ~ c (i 5 S II> ::> ~ ~ 3 '0 III ::> < (/) """ ~ ~ C 'Z \:) ';0 fT\ o (/) t"t\ , tn 'Z -\ r-< ~-n 11"0 C 0.0 "TIO 00 O~ -;:0". """,0 (/)(/) )"". ~'Z tnO -<1J'l 11"-J ';0(") (/)11" 'Z. -\ (/) 'If. 'If. 'If. 'If. 'If. 'If. 'If. 'If. 'If. 'If. 'If. 'If. 'If. 'If. () :1: 1(\ r.. z o V) rs \ c;:l -J ..0 ... -J \TI c;:l , ," ': . Tax Summary and Instructions for Filing 2007 Federal Individual Income Tax Return Federal refund................................................................................ $ 1,462.00 The due date of the Federal Form 1040 is Apri115, 2008. Your federal refund of $1 ,462.00 will be mailed to you automatically by the Internal Revenue Service. Mail the return to: Department of the Treasury Internal Revenue Service Center Kansas City, MO 64999-0002 Tax Summary and Instructions for Filing 2007 Pennsylvania Individual Income Tax Return State refund... . .. . .. . ... .. ................................. .................. .............. $ 80.00 The due date of Form PA-40 is April 15, 2008. Your Pennsylvania refund of $80.00 will be mailed to you automatically by the P A Dept of Revenue. Mail Pennsylvania return to: Pennsylvania Department of Revenue Refund/Credit Requested 3 Revenue Place Harrisburg, PA 17129-0003 f!#' /Lj~:2" 8"0/ --- e/!'7~ Form 1040 (2007) Tax and Credits Standard Deduction for - · People who checked any box on line 3921 or 39b or who can be clclimed as a dependent, see instructions. · All others: Single or Married filing separately, $5,350 Married filing jointly or Quali~{ing widow(er), $10,700 Head of household, $7,850 Other Taxes Payments If you have a quali~ing child, attach I Schedule EIC. I Refund Direct deposit? See insllructions and fill in 74b, 74c, and 74d or Form 8888. Amount You Owe Third Party Designee Sign Here Joint return? See instructions. Keep a copy for your records. Paid Prepal'er's Use Only DORIS A MEYERS 38 Amount from line 37 (adjusted gross income) . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. ... 39a Check -r lKJyou were born before January 2, 1943, B Blind. Total boxes I If. _ 0 Spouse was born before January 2, 1943, Blind. checked ~ 39a _ b If your spouse itemizes on a separate return, or you were a dual-status allen, see Instrs and ck here ~ 39 b 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) . . . . . . . . . . . . . . . . 41 Subtract line 40 from line 38 ... . . . . . . . . . . . . . . . . . . . . 42 If line 38 is $117,300 or less, multiply $3,400 by the total number of exemptions claimed on line 6d. If line 38 is over $117,300, see the instructions.... ......... 43 Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- . . . . . . . . . . . . . . _ . . 44 Tax (see instrs). Check if any tax is from: Pa e 2 13 417. 6 650. 6 767. 42 3 400. 43 3 367. 44 338. 45 O. 46 338. ..... . a B Form(s) 8814 c Form(s) 8889 . 45 Alternative minimum tax (see instructions). Attach Form 6251 46 Add lines 44 and 45 . . . . . . . . _ . . . . . . . 47 Credit for child and dependent care expenses. Attach Form 2441 48 Credit for the elderly or the disabled. Attach Schedule R 49 Education credits. Attach Form 8863 .............. 50 Residential energy credits. Attach Form 5695 ........... 51 Foreign tax credit. Attach Form 1116 if required. . . . . . . . . . . 52 Child tax credit (see instructions). Attach Form 8901 if required. . . . . . . . . . 53 Retirement savings contributions credit. Attach Form 8880 .. 54 Credits from: a 0 Form 8396 b 0 Form 8859 c 0 Form 8839 . 0 Form 0 Form 0 55 other credits: a 3800 b 8801 C Form 56 Add lines 47 through 55. These are your total credits ... 57 Subtract line 56 from line 46. If line 56 is more than line 46, enter -0- 58 Self-employment tax. Attach Schedule SE .... . . . . . . . . . . . . . . . . . . . . . . . . . . 59 Unreported social security and Medicare tax from: a 0 Form 4137 b 0 Form 8919 60 Addilional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required. . . . . . . . . . . . 61 Advance earned income credit payments from Form(s) W-2, box 9 .. . . . 62 Household employment taxes. Attach Schedule H . . . . . . . 63 Add lines 57-62. This is your total tax .... . . . . . . . . . . . . . . . _ . . . . . . 64 Federal income tax withheld from Forms W-2 and 1099 ..... L 65 2007 estimated tax payments and amount applied from 2006 return 6Ga Earned income credit (EIC). . . . . . . . . . . . b Nontaxable combat pay election. . . . . ~I 6Gbl 67 Excess social security and tier 1 RRTA tax withheld (see Instructions) . 67 68 Additional child tax credit. Attach Form 8812 . . . . . . 68 69 Amount paid with request for extension to file (see instructions) .......... 69 70 Payments from: a 0 Form 2439 b 0 Form 4136 c 0 Form 8885 70 71 Refundable credit for prior year minimum tax from Form 8801, line 27 . . . . 71 72 Add lines 64. 65, 66a, and 67 through 71. These are your lolal paymenls ..... . . . . . . . . . . 73 If line 72 IS more than line 63, subtract line 63 from line 72. This is the amount you overpaid. . . . . . . . . . . 74a Amount of line 73 you want refunded to ou. If Form 8888 is attached, check here. . ~ 0 ~ b Routing number. . . . . . . . XXXXXXXXX I ~ c Type: Checking 0 Savings ~ d Account number ....... XXXXXXXXXXXXXXXXX I 75 Amount of line 73 you want applied to your 2008 estimated tax. . . ~175 I 76 Amount you owe. Subtract line 72 from line 63. For details on how to pay, see instructions 77 Estimated tax penalt (see instructions) " . . . .1 77 I Do you want to allow another person to discuss this return with the IRS (see instructions)? .. Yes. Complete the fOllowing. Designee's Phone Personal Identification name ~ no. ~ number (PIN) Under penallles of pefJury, I declare that I have examined thiS relurn and accompanYing schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of pre parer (other than taxpayer) IS based on all Information of which preparer has any knOWledge. Your signature Date Your occupation Daytime phone number b 0 Form 4972 ~ 47 48 49 50 51 52 53 54 55 ~ 338. ~ 64 65 66a 1 800. X No ~ ~ RETIRED Sp0use's signature. If a JOint return, bolh must sign. Date Spouse's occupation ~ Date ~i~e"p~~~~s ~ Firm's name P B F ASSOCIATES, ;~\fY~~~I~~ed),~ P.O. BOX 7 address, and ZIP code DOVER 02/13/2008 Check if self-employed INC. EIN 23-2126113 PA 17315-0007 Phone no. Form 1040 (2007) FDIA01 12 12/06/07 --1 0700213186 P A-40 - 2007 Social Security Number 202207250 Name(s) DORIS A MEYERS 12 PA Tax Liability. Multiply Line 11 by 3.07 percent (0.0307). 13 Total PA Tax Withheld. See the Instructions. 14 Credit from your 2006 PA Income Tax return. 15 2007 Estimated Installment Payments. 16 2007 Extension Payment. 17 f\lonresident Tax Withheld from your PA Schedule(s) NRK-1. (Nonresidents only) 18 Total Estimated Payments and Credits. Add Lines 14, 15, 16, and 17. Tax Forgiveness Credit. 19a Filing Status: 01 Unmarried or Separated 02 Married 03 Deceased 19b Dependents, Part S, Line 2, PA Schedule SP 20 Total Eligibility Income from Part C, Line 11, PA Schedule SP. 21 T.ax Forgiveness Credit from Part D, Line 16, PA Schedule SP. 22 Resident Credit. Submit your PA Schedule(s) G-R with your PA Schedule(s) G-S, G-L and/or RK-1. 23 Total Other Credits. Submit your PA Schedule DC. 24 TOTAL PAYMENTS and CREDITS. Add Lines 13, 18,21,22, and 23. 25 TAX DUE. If Line 12 is more than Line 24, enter the difference here. 26 Penalties and Interest. See the instructions. Enter code: If including form REV -1630, mark the box. 27 TOTAL PAYMENT. Add Lines 25 and 26. 28 OVERPAYMENT. If Line 24 is more than the total of Line 12 and Line 26, enter the difference here. The total of Lines 29 through 35 must equal Line 28. 29 R4~fund - Amount of Line 28 you want as a check mailed to you. Refund 30 Credit - Amount of Line 28 you want as a credit to your 2008 estimated account. 31 Amount of Line 28 you want to donate to the Wild Resource Conservation Fund. 32 Amount of Line 28 you want to donate to the Military Family Relief Assistance Program. 33 Amount of Line 28 you want to donate to the Governor Robert P. Casey Memorial Organ and Tissue Donation Awareness Trust Fund. 34 Amount of Line 28 you want to donate to the Juvenile (Type 1) Diabetes Cure RI!Search Fund. 35 Amount of Line 28 you want to donate to the Breast and Cervical Cancer Research Fund. Signature{s). Under penallles of perjury, I (we) declare that I (we) have examined thiS return, Including all accompanYing schedules and statements, and to the best of my (our) belief, they are true, correct. and complete. Your Signature Spouse's Signature, if filing jointly Preparer"s Name and Telephone Number Date 02/13/08 P B ]<I ASSOCIATES, INC. P.O. BOX 7 DOVEE PA 17315-0007 Paae 2 of 2 PAIAo4lz 11/13/07 L 0700213186 L N 12 13 14 15 16 17 18 19a 03 19b 00 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 117 o o 80 o o 80 4299 117 o o 197 o o o 80 d o o o o Firm EIN I 232126113 0700213186 Preparer's SSN/PTIN 204308645 I --.J REV-'1511 EX+ (10-06) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF DORIS A MEYERS FILE NUMBER 21-07-0521 ITEM NUMBER A. 1. B. t Debts of decedent must be reported on Schedule I. DESCRIPTION 2. FUNERAL EXPENSES: STONE & MURRAY FUNERAL HOME GRANITWERKS MEMORIALS- ENGRAVING ADMINISTRATIVE COSTS: Personal Representative's Commissions Name 01 Personal Representative(s) BEVERLY S HOLLERBUSH Street Address 125 TAYLOR ROAD City ETTERS State P A ZIP 173 19 Year(s) Commission Paid: 2 0 0 7 2. Attorney Fees 3. Family Exemption: (II decedent's address is not the same as claimant's, attach explanation) 4. 5. Claimant Street Address City State ZIP Relationship 01 Claimant to Decedent Probate Fees Accountant's Fees 7. 6. Tax Return Preparer's Fees B. 9. 10. 11. 12. CUMBERLAND LAW JOURNAL PATROIT NEWS PNC BANK SAFETY DEPOSIT BOX FEE VERIZON PPL ELECTRIC MESSIAH VILLAGE TOTAL (Also enter on line 9, Recapitulation) $ (II more space is needed, insert additional sheets 01 the same size) AMOUNT 9,393.00 800.00 30,000.00 1,220.00 15,000.00 75.00 213.30 15.00 89.01 30.95 1,026.68 57,862.94 ffi '--, I,! I{J ~I I_~- --j o -' p ,-- o '1 $: m ::0 o I p Z o Ul m Ul m e- m o -i m o E3 CD :x> r :x> z (') m o c m , "D :-..l;p : t -< ~ '1'~ , 0 ! "'Tl I :D ') s: $: :D P 0 CD ~ ~ c: Hj~~ ~~~~~ ~~f :t; .~ :"-' : 'vt. : if) ~~~!t ~:'~ ! () () o I'D 3 :1 '" cD 0 :1 c ~3 t ~\ "'0 ii) '< I'D o '" a. 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Kuhner, Jr., Supv. 863 South George Str.eet York, PA 1 7403 7' 17 -854-0053 BAU1\l\EISTER ,., ()RCUTT (0/ SMALL 'Mortua ry William E. Little, Supv. 471 Madison Avenue York, PA 17404 717 -854-0821 ~ VILLlAM E. LITTLE FUNERAL HOMES '1t1corpomrel .ter H. CoppE~rsmith, Supv. 60 South Main Street Manchester, PA 17345 717-266-1451 Adam F. Kraut, Supv. 2150 Carlisle Road York, PA 17408 717-767-5088 ;AINT JOHN'S LEWISBERRY CEMETERY )ADDLETOWN~ CEMETERYW ~I'lt -NcwLimytOl'o7l PO. Box 366 Manchester, PA 17345 717-266-1451 GRANrrWERKS MEMORIALS S.E F~O. Box 366 Manchester, PA 17345 717-266-1451 statement of Expense July 11, 2007 Estate of Doris A. Meyers C/o Mr. Roy D. Meyers, Jr. 351 Spring Run Court Etters, PA 17319 Monument Lettering Granite Memorial as Selected Cemetery Foundation Fee $ 155.00 568.00 77.00 TOTAL $ 800.00 Please make check payable to GranitWerks Memorials, and mail to PO Box 366, Manchester, PA 17345. Sincerely, GRANITWERKS MEMORIALS ALK/lkg Providing Local, State, and VVorldwide Services t -rt ~ _ 0 & .. ~ i 0 1J.J .... 1J.J .... nJ ~ 1J.J tp - .. LI1 o o r tP .0 o .0 tP .... ~~~~ ~?(~O - c:: 'WI ~~~O ,J.:;sl(l)O ~o%~ t 0(1) ~ f.'J> UI "'I: i~ em ~(I) ~o ~~ ~o o .. ;:; fit ~..k.:. .... I, .... " ) I , I o o ~ '" ~ ~ B> 8 {I\ l\\ ------------- :'t.o ., .-;;: :0 .- t , ~ s --" '" ~ ~~ .... ~ ~ ~ '" t RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Curr~erland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Receipt Date: Rece~pt Time: Recelpt No. : 5/30/2007 09:42:53 1048621 MEYERS DORIS A Estate File No. : Paid By Remarks: 2007-00521 ROY MEYERS JA ------------------------ Receipt Distribution -------------___________ Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST WILL AUTOMATION FEE SHORT CERTIFICATE JCP FEE Check# 1011 Total Received......... 1,110.00 15.00 5.00 80.00 10.00 CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN BUREAU OF RECEIPTS & CNTR M.D $1,220.00 $1,220.00 February 13, 2008 dL CONSULTANTS INTERNATIONAL ESTATE OF DORIS A. MEYERS Beverly S. Hollerbush, Executrix 125 Taylor Road Etters, Pennsylvania 17319 Dear Beverly: Please find enclosed this statement for professional Services rendered on behalf of: Consulting/Estate Services $15,000.00 Please make check payable to: CAPITAL CONSULTANTS Thank ).'ou. ," / Gtety ./ i/Jl,w ~mR. Total $15,000.00 820 VOGELSOIK:; f<OAD IC)[<V. PA !;' 404 USA 7177674899 fox 717.7676960 PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, VIZ: June 15, June 22 and June 29, 2007 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. ']L Meyers, Doris A., dec'd. Late of Upper Allen Township. Executrix: Beverly S. Hollerbush, 125 Taylor Rd., Etters, PA 17319. Attorney: None. SWORN TO AND SUBSCRIBED before me this 29 day of June, 2007 G~d~ NOTARIAL SEAl DEBORAH A COWNS Notaty PublIc CARUSl.E I0IO, C~ COUNTY My CommIub I ExpIree AfJt 21, 2010 CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 June 29, 2007 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Beverly S. Hollerbush, Executrix Doris A. Meyers, Estate RE: Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. -------------------------------------- Advertisement inserted on following dates: June 15,22,29,2007 Advertising Cost 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 Total Amount Due $ 0.00 ------ ------- Becky H. Morgenthal, Executive Director THE PATRIOT NEWS THE SUNDAY PATRIOT NEWS Proof of Publication Under Act No. 587, Approved May 16, 1929 Commonwealth of Pennsylvania, County of Dauphin: 5S Joseph A. Dennison, being duly sworn according to law, deposes and says: That he is the Assistant Controller of The Patriot News Co., a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, with its principal office and place of business at 812 to 818 Market Street, in the City of Harrisburg, County of Dauphin, State of Pennsylvania, owner and publisher of The Patriot- News and The Sunday Patriot-News newspapers of general circulation, printed and published at 812 to 818 Market Street, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and September 18th, 1949, respectively, and all have been continuously published ever sll1ce; That the printed notice or publication which is securely attached hereto is exactly as printed and published in their regular daily and/or Sunday/ Metro editions which appeared in the 14th, 21st and 28th day(s) of June 2007. That neither he nor said Company is interested in the subject matter of said printed notice or advertising, and that all of the allegations of this statement as to the time, place and character of publication are true; and That he has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed and adopted severally by the stockholders and board of directors of the said Company and subsequently duly recorded in the office for the Recording of Deeds in and for said County of Dauphin in Miscellaneous Book "M", Volume 14, Page 317. PUBLICATION COPY . EXECUTRIX NOTICE Estate of Oorl. A. Meyers, lale of Up. per Allen Town.hlp, Cumberland County Po., deceaaed,. Letter. .Te.tamentary on the Last Will & Testament of said dece. dent having been granted to the under. ,'gned, all Persons'lndebted thereto are reque.ted to make Immediate lXIyment, and tho.e havIng claim. or demands against the same, will present them without delay for settlement ta the un. der.,gned resIding at 125 TaYlor Rd, Et. ters, PA 17319, Beverly 5. Hollerbush, Executrix BEVERLY S. HOLLERBUSH EXECUTRIX FOR ESTATE OF DORIS A. MEYERS 125 TA YLOR ROAD ETTERS, P A. 17319 ~be patriot-News Now you know '" Order Confirmation Customer BEVERLY S. HOLLERBUSH Orderer Account Number 162996 Payer Payer Account Number 162996 Ad Order Number 0001701695 Sales Rep, rholton Order Taker rholton Order Source Fax Special Pricina None BEVERLY S. HOLLER BUSH EXECUTRIX FOR ESTATE OF DORIS A MEYERS, 125 TAYLOR ROAD Etters PA 17319 USA PO Number ESTATE OF MEYERS BEVERLY Ordered By Customer Fax Customer EMail Customer Phone 717 -938-3418 [ For Any Questions, Please Call 717-255-8459 I Payer Phone 717-938-3418 Tear Sheets o Proofs o Affidavits 1 Blind Box Promo Type Invoice Text Materials Total Ad Cost $213.30 Payment Amount $0.00 Payment Method Amount Due $213.30 Ad Number: Ad Type 0001701695-0' Legal Liners Ad Size : 1.0X 15 Li Color <NONE> Production Method Production Notes Ad Booker Product Information Classification # Inserts Run Dates PNCO :Full Run 806-Estate Notices 3 6/14/2007,6/21/2007, 6/28/2007 Run Schedule Invoice Text EXECUTRIX NOTICE Estate of Doris A. Meyers, late of Upper Allen 6/28/2007 83512AM o~ ~ ~ ;r~ ~ 0 ~g.. '" ~i ~~ -d 0 ~tZr :>.z ('""') c: ? 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OJ "- C> ~ ....... ..c ... u CD ID :> to C'? 0 s::: U "0 -c:J en .. u to en +-' II) "0 OJ (0 U L _ co L- E ..... *~<X:I- 3:= ..c: ... ..c: E <= >- :> ..... :::J ~~. ~ Billing Date 06/11/07 Page 1 of 4 Telephone Number: 717697-1395 Account Number: 717 697-1395 039 62Y DORIS MEYERS Account Summary -- Moving? 1-866-VZ-MOVES Across the street or across the nation one call can do il all Call us for Internet. phone and entertamment III your new home PrevioLl!; Charges.. No Payment Re<;eive~w_ Past Due Charges (please pay now) $ 103.29 .00 $ 103.29 New Charges _______~ ________. V~~iz~n(p~ge-:u _____.___ -$14.28 Totall New Charges Due - $ 14.28 Totall Due: (Past Due + New) $ 89.01 QJ-. . \ 0 1 . LP \ \ LP \ OLQ jY QU91stions about your bill? Call 1 800 660-2215 See page 2 for all other Venzon contact information j 'UU-l)a~IC $ SO.56 $ .00 Total $ 103.29 CR $ 14.28 Included on this portion of your bill is approximately $.85 lor 1'1\ taxes on utilities $ 80.56 $ 89.01 CHANGE IN CHARGES Rates for Inside Wire Maintenance Plans Changing IMPORTj\NT NOTJCE: The wire maintenance plan rate increase described below applies ONLY to customers that DO NOT subscribe to Verizon Freedom, Freedom Extra, Freedom Unlimited, heedom Value or Fn:edom Essentials Plan. If YOll currently subscribe to one of Verizon's Inside Wire Maintenance or TclcSme plans', the rate for this service will increase to $4.99 a month, beginning on your next bill. If you currently subscribe to one of Veril.On's Inside Wire i\ilaintenance Plans that pro\'ides the loaner phone option, such as the Guardian Plan, Full Service Plan, or TcleSure Plus, the rate fell' this service will increase to $6.25 a month, 011 your next bill. Customers that subscribe to one of Vcrizon's heedom packages ;Ire not impacted. Ir you decide to kecp the inside wire 33 P136 7176971395 05 PA210'HBRDA1 00000968 1T0000004529 ~ P~lectric ., Utilities Electric Service For: DORIS MEYERS 835 OAK OVAL MECHANICSBURG PA 17055 FiDal Bill PPL Electric Utilities Customer Sernce 827 Hausman Rd. Allentown, P A 18104-9392 1.-800-342-5775 (1-800-DIAL-PPL) www.pplelectric.com , \ I J ' " "" " ,"....-, P P'..I..~ii:, . " . ' " ,... Page 3 '.'::.>>-:::::::Yq1\t:BillA<:QO~N~>>>...'. .. 12100-75041 .:::::::::::::':::Bse:'Wh~:(j. Total from Last Bill $ 18,96 Billing Details Amount You StiJJ Owe as of May 31, 2007 $ 18.96 Current Charges Char~es for - PPL ELECTRIC UTILITIES ResidCntial Rate: RS for May 11 - May 31 Distribution Charge: Customer Charge 68 KWH at 2.183 OOOOO~ per KWH Transmission Char,ge: 68 KWH at 0.56800000~ per KWH Transition Char~e: 68 KWH at T:33800000t- per KWH Generation Charge: Ca))acity and Energy 08 KWH at 5.72800000; per KWH Total PPL ELECTRIC UTILITIES Charges 5.31 1.48 0.39 0.91 3.90 $ 11.99 Account Balance $ 30.95 General Information ~s.. 0\ l.Q\\l\ 'l \D:.J \j-% We will deduct $11.99 from your bank account on Jun 21, 2007. We will ~educ~,your prior bill amount(s) on the dates shown on your preVIous bills. Generation prices and charges are set by the electric generation supplier you have cliosen. The Public Utili.fy Commission reR,ulates distrilhition prices CfDQ servi~es. The Feqeral Energy Regulatory -Commission regulates transmIssIon pnces and servIces. PPL Electric Utilities uses about $2.13 of this bill tOj)ay state taxes. In addition, about $1.86 of this bill pays the PA Gross Receipts Tax. The Transition Charge includes an Intangible Transition Charge (ITC) and the applicable gross receipts tax which to.,gether amount to $0.75. The IIC is a per usage c1large aPnroved by the PuBlic Utility Commission which PPL Electnc Utililles collects as agent for PPL Electric Utilities Transition Bond Company LLC and which tEat company uses to service debt incurred to recover a portion of PPL Electric UtilitIes' stranded costs. The gross receifts tax, which is collected for the Commonwealth of Pennsylvania, is equa to 6.02% of the lIe. Before digging around your home or property, you should always call the state's Orie Ca11 notification sy-stem to locate any' underground 1i1:ili!y lines. You can do this by simply dialing 811, which will connect you to toe One Call system. Be safe and call 811 before you dig. PPL Electric Utilities: Highest in Customer Satisfaction with Residential Electric Service in the Eastern U.S., six years in a row, tied in 2006. J.D. Power and Associates 2001-2006 Electric Utility Residential Customer Satisfaction StudY(SM). 2006 study based op a total of 26,688 consum~r resp'onses. In the East, the 14 largest electnc compames were ranked m the stuCly. wwwjdpower,com ~~~~ah RESIDENT # CURRENT OVER 30 90321 ~ 1,026.68 0.00 SIDENT NAME Miss DORIS A. MEYERS :~l finance charge may be assessed on accounts for which payment has not been received hy the due date. Thank you! DATE 05/14/07 05/04/07 05/13/07 15/14/07 /5/01/07 15/01/07 '5/01/07 \5/01/07 15/16/07 15/21/07 100 MOUNT ALLEN DRIVE, MECHANICSBURG, PA 17055 BEVERLY HOLLERBUSH 125 TAYLOR RD ETTERS, PA 17319 DESCRIPTION Balance Forward PA YMENT RECEIVED - THANK YOU!!! *** Nursin~ Care *** BARBERlBEAUTY SHOP SHAMPOO/SET DAIL Y PHONE CHARGE (WAGNER) 05/01-05/13. . DAIL Y PHONE CHARGE (WAGNER) 05/14-05/14 *** Residential Livin~ *** MNTHLY CHG LYCOMING 05/15-05/16 MNTHLY CHG LYCOMING 05/01-05/30 EMERGENCY CALL LEASE 05/17-05/30 EMERGENCY CALL MONITORING 05/17 -05/30 EMERGENCY CALL ACTIVATION FEE Miscellaneous ECS Char~e LOST PENDENT ~~ u\rl\\ D'\ t'h ~ '~l ;-_."1 ~ 'M :J J " ~ )\n' Form PB.01 OVER 60 0.00 ...- _._~ .. ~~.,,.' r '!:~";:I.I.~l .~ QUESTIONS? CALL: (717) 697-4666 RESIDENT # I UNIT I STMT. DATE 90321 I 835 I 05/31/2007 RESIDENHS) Miss DORIS A. MEYERS TOTAL AMOUNT DUE $1,026.68 DATE DUE 06/30/2007 $ RATE Daysi CHARGES CREDITS BALANCE Units 872.00 872.00 0.00 13.00 1.00 13.00 13.00 1.00 13.00 13.00 26.00 1.00 1.00 1.00 27.00 28.13 2.00 56.26 83.26 787.61 1.00 787.61 870.87 1.94 1.00 1.94 872.81 3.87 1.00 3.87 876.68 50.00 1.00 50.00 926.68 100.00 1.00 100.00 1,026.68 OVER 90 OVER 120 TOTAL AMOUNT DUE I $1,026.681 0.00 0.00 Form PB.01 I r you have any questions or concerns ahllut your bill, please address them directly to Fisc:!! Seryices at 790-8220. Thank You: REV.'1512 EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF DORIS A MEYERS FILE NUMBER 21-07-0521 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses, ITEM NUMBER 1, DESCRIPTION VALUEAT DATE OF DEATH N / A TOTAL (Also enter on line 10, Recapitulation) $ (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 ESTArE OF DORIS A MEYERS NUMBER I 4. 5, . 6 1 2 3 4 FILE NUMBER 21-07-0521 ~) RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)) ROY D. MEYERS BROTHER 10,000 351 SPRING RUN CT ETTERS, PA 17319 ROBERT SCOTT ADAMS FRIEND 10,000 130 STRICKER DRIVE YORK HAVEN, PA 17370 KATHY ADAMS FRIEND 10,000 1621 T ST. N.W. #602 WASHINGTON, D.C. 20009 J. TIMOTHY ADAMS FRIEND 10,000 505 CANDLEWOOD HILL RD HIGGANUM, CT. 06441 SARAJANE TAYLOR FRIEND 10,000 1725 SAGE LANE BLACKSBURG, VA. 24060 JANICE ADAMS (DECEASED 5/28/07) FRIEND 0.0 525 7TH ST. NEW CUMBERLAND, PA 17070 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICHAN ELECTION TO TAX IS NOT BEING MADE -' . B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS FISHING CREEK SALEM UNITED METHODIST CHURCH 402 VALLEY RD., ETTERS, PA 17319 PINNACLE HEALTH FOUNDATION PO BOX 8700, HARRISBURG, PA 17105-8700 MESSIAH VILLAGE ENDOWMENT FUND 100 MT. ALLEN DR, MECHANICSBURG, PA 17055 BETHESDA MISSION 1500 NORTH SECOND ST., HARRISBURG, PA 17102 57,657.10 57,657.10 57,657.10 57,657.10 TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 230,628.40 (If more space is needed, insert additional sheets of the same size) REV-151:3 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trusteels) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)] 7,. LOIS ANDERSON FRIEND 10,000.00 1108 E. COOVER ST MECHANICSBURG, PA 17055 8. DONNA MYERS FRIEND 10,000.00 306 COUNTRY CLUB TERRACE HOLLIDAYSBURG, PA. 16648 9. BEVERLY S. HOLLERBUSH NIECE 37.5% 125 TAYLOR RD ETTERS, PA. 17319 10. WENDY E. DIGRUGILLIERS NIECE 9.38% 300 RAMSEY PLACE APT 208 NEW CUMBERLAND, PA 17070 11. ROY E. AYSCUE GRAND NEPHEW 14.06% 967 CANNOCK STREET GROVE TOWN , GA 30813 12. JOHN AYSCUE GRAND NEPHEW 14.06% 351 SPRING RUN CT. ETTERS, PA. 17319 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWNABOVE 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 II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert addilional sheets of the same size) LAST WILL AND TESTAMENT OF DORIS A. :MEYERS I, DORIS A. MEYERS, having my legal residence at 835 Oak Oval, Mechanicsburg, Cumberland County, Pennsylvania, hereby declare this to be my Last Will and Testament, revoking all other Wills and Codicils heretofore made by me. ARTICLE ONE I declare that I am not married. ARTICLE TWO I have no children. ARTICLE THREE I direct the payment from my estate of the expenses of my last illness and funeral as soon after my death as conveniently may be done. ARTICLE FOUR I intend to leave a memorandum which will direct the distribution of certain items of tangible personal property, and I request that my wishes as set forth in said memorandum be followed. To the extent that my tangible personal property is not disposed of by memorandum, such items shall be sold and the proceeds distributed with the residue of my estate. ARTICLE FIVE I direct my Executor to make the following specific distribution as soon as practical after my death: 1 A. Ten Thousand Dollars ($10,000.00) to my brother, ROY D. MEYERS, provided he survives me by thirty (30) days. If ROY D. MEYERS predeceases me, this specific distribution shall lapse and be distributed with the residue of my estate. B. Ten Thousand Dollars ($10,000.00) to my friend, ROBERT SCOTT ADAMS, provided he survives me by thirty (30) days. If ROBERT SCOTT ADAMS predeceases me, this specific distribution shall lapse and be distributed with the residue of my estate. C. Ten Thousand Dollars ($10,000.00) to my friend, KATHY ADAMS, provided she survives me by thirty (30) days. If KATHY ADAMS predeceases me, this specific distribution shall lapse and be distributed with the residue of my estate. D. Ten Thousand Dollars ($10,000.00) to my friend, J. TIMOTHY ADAMS, provided he survives me by thirty (30) days. If 1. TIMOTHY ADAMS predeceases me, this specific distribution sha111apse and be distributed with the residue of my estate. E. Ten Thousand Dollars ($10,000.00) to my cousin, SARAJANE TAYLOR, provided she survives me by thirty (30) days. If SARAJANE TAYLOR predeceases me, this specific distribution shall lapse and be distributed with the residue of my estate. F. Ten Thousand Dollars ($10,000.00) to my friend, JANICE ADAMS, provided she survives me by thirty (30) days. If Ji\..NICE ft..Dftjv!S predeceases me, this specific distribution shall lapse and be distributed with the residue of my estate. G. Ten Thousand Dollars ($10,000.00) to my friend, LOIS ANDERSON, provided she survives me by thirty (30) days. If LOIS ANDERSON predeceases me, this specific distribution shall lapse and be distributed with the residue of my estate. 2 H. Ten Thousand Dollars ($10,000.00) to my friend, DONNA MYERS, provided she survives me by thirty (30) days. If DONNA MYERS predeceases me, this specific distribution shall lapse and be distributed with the residue of my estate. ARTICLE SIX I give the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate as follows: A. Twenty-five (25%) percent in equal shares as follows: 1. FISHING CREEK SALEM UNITED METHODIST CHURCH, 402 Valley Road, Etters, Pennsylvania 17319, to be used for whatever purposes the governing body deems appropriate. 2. PINNACLE HEALTH FOUNDATION, P.O. Box 8700, Harrisburg, Pelmsylvania 17105-8700, to be used for the cardiac care unit. 3. MESSIAH VILLAGE ENDOWMENT FUND, 100 Mt. Allen Drive, Mechanicsburg, Pennsylvania 17055, to be used for the purposes and according to the terms and conditions of the Endowment. 4. BETHESDA MISSION, 1500 North Second Street, Harrisburg, Pennsylvania 17102, to be used for whatever purposes the governing body deems appropriate. If any organization named in this Section A is not in existence at the time distribution is directed to be made, such share shall be distributed in equal shares to the remaining beneficiaries named in this Section A. 3 B. Seventy-five (75%) percent to be divided and distributed as follows: 1. Fifty (50%) percent to my niece, BEVERLY S. HOLLERBUSH, or her issue, per stirpes. If she has no issue, her share shall be distributed pro ratably to the remaining beneficiaries named in this Section B. 2. Twelve and one-half (12.5%) percent to my ruece, "WENDY E. DIRUGILLIER. My Trustee shall distribute income only from the trust share as my Trustee deems appropriate for the benefit of WENDY E. DIRUGILLIER. My Trustee shall make no distributions from the principal in any event. If the existence of this trust share would disqualify or make WENDY E. DIRUGILLIER ineligible for government assistance of any kind, this distribution shall lapse and be distributed to her issue, per stirpes. At the death of WENDY E. DIRUGILLIER, or if she has predeceased me, the trust share shall lapse and my Trustee shall distribute the share to WENDY E. DIRUGILLIER'S issue, per stirpes. 3. Eighteen and three-quarters (18.75%) percent to my niece's son, ROY AYSCUE, or his issue, per stirpes. If he has no issue, his share shall be distributed pro ratably to the remaining beneficiaries named in this Section B. 4. Eighteen and three-quarters (18.75%) percent to my niece's son, JOHN AYSCUE, or his issue, per stirpes. If he has no issue, his share shall be distributed pro ratably to the remaining beneficiaries named in this Section B. ARTICLE SEVEN If any portion of my estate is distributable to a beneficiary who is then under the age of 25 years, my Executor may distribute that beneficiary's share, without further responsibility, either 4 directly to that beneficiary, to a qualified individual or trust company designated by my Executor as custodian for that beneficiary under an applicable Uniform Transfers to Minors Act or similar law, or to the individual having personal custody of that beneficiary (whether or not court-appointed), and the receipt of the distributee shall discharge my Executor. ARTICLE EIGHT No beneficiary or remainderman under this Will or any codicil hereto or any trust created hereunder shall have any right to alienate, encumber or hypothecate his or her interest in this Will or any trust created hereunder in any manner, nor shall any interest of any beneficiary or remainderman be subject to claims ofms or her creditors or liable to attachment, execution or other process oflaw. ARTICLE NINE Should the payment of expenses, claims and taxes from any Qualified Retirement Plan or Individual Retirement Account ("IRA") assets which comprise my estate cause my estate to be disqualified as a "Qualified Beneficiary," it is my intent, and I hereby direct that, to the extent practicable, no expenses, claims and taxes shall be paid from such Qualified Retirement Plan or IRA assets. ARTICLE TEN I appoint my niece, BEVERLY S. HOLLERBUSH, as Trustee of any trust created under this Will. If she is unable or unwilling to serve, I appoint my brother, ROY D. MEYERS, as Trustee. If he is unable or unwilling to serve, I appoint my cousin, SARAJANE TAYLOR, as Trustee. 5 ARTICLE ELEVEN I appoint my niece, BEVERLY S. HOLLERBUSH, as Executor of my Will. If she is unable or unwilling to serve, I appoint my brother, ROY D. MEYERS, as Executor of my Will. If he is unable or unwilling to serve, I appoint my cousin, SARA] ANE TAYLOR, as Executor of my Will. I give to my Executor and Trustee, in addition to and not in limitation of the powers given by law or by other provisions of this Will, the following powers with respect to settlement of my estate to be exercised from time to time in the discretion of my Executor or Trustee, without further order or license of the Register of Wills or of any court: 1. To retain any property, pending distribution hereunder, to invest in or purchase any property without restriction to legal investments for fiduciaries, to distribute property in kind, to compromise claims, and to sell any property at public or private sale; 2. To borrow money from any person including any fiduciary acting hereunder, and to mortgage or pledge any real or personal property; 3 . To engage in litigation and compromise, arbitrate or abandon claims; 4. To make distributions in cash, or in kind at current values, or partly ill each, allocating specific assets to particular distributees on a non-prorata basis, and for such purposes to make reasonable determinations of current values; 5. To make elections, decisions, concessions and settlements in connection with all income, estate, inheritance, gift or other tax returns and the payment of such taxes, without obligation to adjust the distributive share of income or principal of any person affected thereby; 6. To invest and reinvest in every kind of property and investment which persons of prudence, discretion and intelligence acquire for their own accounts; 6 7. To manage, control, repair and improve all real property; 8. To procure and carry at the expense of the estate insurance of the kinds, forms and amounts deemed advisable by the Executor or Trustee to protect the Executor and Trustee and the estate against any hazard; 9. To pay all taxes, assessments, fees of the Executor and Trustee and all other expenses incurred in the collection, care, administration and protection of the estate; 10. To exercise such powers, herein conferred, after the termination of the trust estate until [mal distribution of the estate assets; and 11. To do all the acts, to take all the proceedings, and to exercise all the rights, powers and privileges which an absolute O\Vl1er of the property would have, subject always to the discharge of their fiduciary obligations; the enumeration of certain powers in this Will shall not limit the general or implied powers of the Executor or Trustee; the Executor and Trustee shall have all additional powers that may now or hereafter be conferred on them by law or that may be necessary to enable the Executor or Trustee to administer the estate in accordance with the provisions of this Will, subject to any limitations specified in this Will. No bond shall be required of any fiduciary hereunder in any jurisdiction. No fiduciary hereunder shall have any liability for any mistake or error of judgment made in good faith. My Executor and Trustee shall receive reasonable compensation for services performed as determined by the court in which this Will is admitted to probate. 7 ARTICLE TWELVE I realize that Executors are gjven discretion by law to make various elections which affect the income and estate taxes payable by estates and beneficiaries, as well as the relative shares of beneficiaries, such as taking administration expenses as deductions for either estate or income tax purposes, selecting options for the payment of employee death benefits, electing to take a qualified terminable interest as part of the marital deduction, selecting alternate valuation dates, postponing the payment of taxes, filing joint income tax or gift tax returns and redeeming corporate stock. The decisions made by my fiduciaries in any of these matters shall be binding upon, and not subj ect to question by, any affected persons. I rely upon my fiduciaries to take into consideration the total income and estate taxes payable by reason of their decisions including those payable by my survivors, and they are authorized in their discretion, but not required, to ma1ce adjustments between income and principal as a result thereof. ARTICLE TIDRTEEN I direct that all estate, inheritance and other taxes in the nature thereof, together with any interest and penalties thereon, becoming payable because of my death with respect to the property constituting my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid from the principal of my residuary estate, and no person receiving or having a beneficial interest in any such property, whether under this Will or otherwise, shall at any time be required to contribute to or refund any part thereof; provided, however, that this direction shall not apply to the taxes on any property included in my estate solely because of a power of appointment 8 thereover which I possess but have not exercised or on any qualified terminable interest or to any generation-skipping transfer taxes. IN WITNESS WHEREOF, I have at Hershey, Pennsylvania, this 0.1 b day of Dc !err ..t{..?r-, 2004, set my hand and seal to this my Last Will and Testament, consisting of nine (9) pages. (~ d'7~ DORIS A. MEYERS / SIGNED, SEALED, PUBLISHED and DECLARED by DORIS A. MEYERS, the above named Testatrix, as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses. .~ m CMijpMfc Residence ffrl2~-kwf11 PIt !!)~3 f t7~ I. ;....c.....'~ t~_~.... r '.-. J Residence r1'y.,,,O r^ 1703:> 9 ACKNOWLEDGEMENT C0NIT00NWEALTHOFPENNSYLVA}ITA SS: COUNTY OF DAUPHIN" .r--. We, ~ORIS A. MEYERS, G1 ISd-.b'} VYi. ~1{1UJ pallF. and \.\:~ r\~,~,j (?'. & (6,J'tl/j\J~df.,f1l Testatrix and witnesses, respectively, whose names are signed to the attached and foregomg instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her last will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witnesses and that to the best of his/her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. lh/-:v?2- ~~ TESTATRIX ~ j~M Y>1 CJfYlffJf1114- WITNESS . 11~~ -__, Ll7{C0~~ WITNESS Subscribed and sworn to and acknowledged before me by DORIS A. MEYERS, the T esmtrix, and subscribed and sworn to before me by ~~ m. fj ~ Dille- and %. U.\. (' i^h,*,~, ~ ~ ,~w^ , witnesses, on this;!? i1-- day of (Qf,lu0A , 2004. f t7!/A1 (1.[ )( ,.f1J;1tc 1-t~~;lJ Notary Public ' II COMMONWEALTH OF PENNSYLVANIA hlotarial Seal Unda L. Fettemoff, Notary Public Deny Twp., Dauphin County My Commission Expires Nov. 8, 2007 Member. Pennsylvania ASSOCiation Of Notaries MEMORANDUM TO THE LAST 'WILL AND TESTAMENT OF DORIS A. MEYERS It is my desire that the items listed below be distributed in-kind to the individuals whose name or names appear opposite the items listed: DATE DORIS A. MEYERS