HomeMy WebLinkAbout09-26-0815056041158
REV-1500 EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue
Bureau of Individual Taxes County Code Year File Number
Po Box zsosot INHERITANCE TAX RETURN 21 0 8 0 0 7 4 6
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
043-28-3540 06252008 D1171933
Decedent's Last Name
DORAN
Suffix Decedent's First Name
BARBARA
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name
Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
- - REGISTER OF WILLS
FILL IN APPROPRIATE BOXES BELOW
1. Original Return
^ 4
. Limited Estate
6. Decedent Died Testate
(Attach Copy of Will)
^
9. Litigation Proceeds Received
^ 2. Supplemental Return
^ 4a. Future Interest Compromise (date of
^ 7.
^ 10. death after 12-12-82)
Decedent Maintained a Living Trust
(Attach Copy of Trust)
Spousal Poverty Credit (date of death
between 12-31-91 and 1-1-95)
MI
S
MI
^ 3. Remainder Return (date of death
prior to 12-13-82)
^ 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
^ 11. Election to tax under Sec. 9113(A)
(Attach Sch. O)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
VICKY ANN TRIMMER, ESQUIRE 71?-232-50~~] ~_
Firm Name (If Applicable) ~ ~~ c~r'':~i
REGISTER OF WILtiS USE ON"'C,'
METTE, EVANS & WOODSIDE --- ;v
First line of address ~ ~ ' ~'
3401 NORTH FRONT STREET --~
Second line of address ~_~ ~-:-
PO BOX 5950
City Or Post Office State ZIP Code DATE FILED
HARRISBURG PA 17110-0950
Correspondent's a-mail address: V A T R I M M E R a9 M E T T E• C O M
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the p al representative is based on a~ormation of which preparer has any knowledge.
~tyHi urct ~r rtrcatlly KtbF'UNSIt~t FOR FILING RETURW d 6 . nnTF __ _
SUUS K LOCK RD / 903 HERTZLER R ECHA ICSBURG, PA 17055
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
VICKY ANN TRIMMER, ESQUIRE C,c,~-l(- ~,,:'~~---- °/~z r ~ rY
ADDRESS
3401 N- FRONT STREET, PO BOX 5950 HARRISBURG, PA 17110-0950
PLEASE USE ORIGINAL FORM ONLY
Side 1
15056D41158 6M46473.000 15056041158
15056042159
REV-1500 EX
Decedent's Social Security Number
043-28-3540
_ Decedent's Name:D G R A N B A R B A R A
RECAPITULATION
1. Real estate (Schedule A) 1. 4 2 3 D D D• 0 0
2. Stocks and Bonds (Schedule B) . 2. 4 51010 • 4 0
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . 3. D • D D
4. Mortgages & Notes Receivable (Schedule D). 4. D • D D
5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) . 5. 4 6 7 7 7 • 4 9
6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested 6. D • D D
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ~ Separate Billing Requested 7
" ~ ~ 534549.24
8. Total Gross Assets (total Lines 1-7). 8. 4 5 5 3 3 7 13
9. Funeral Expenses & Administrative Costs (Schedule H) . 9. 3 7 3 2 3 • D 4
10. Debts of Decedent, Mortgage Liabilities, ~ Liens (Schedule I). 10. 19 8 9 • 81
11. Total Deductions (total Lines 9 8 10) . 11. 39312 • 85
12. Net Value of Estate (Line 8 minus Line 11) 12. 1416 0 2 4 • 2 8
13. Charitable and Governmental BequestslSec 9113 Trusts for which
an election to tax has not been made (Schedule J) . 13. D • D D
14. Net Value Subject to Tax (Line 12 minus line 13) 1 a. 4 ~ 6 0 2 4 2 8
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
OD
.
.
_ D • DD 15• D • DD
16. Amount of Line 14 taxable
at lineal ratex.o4~ 1366024.28 16. 61471.09
17. Amount of Line 14 taxable
at siblingratex.l2 40000.00 17• 4800.00
18. Amount of Line 14 taxable
at collateral rateX.15 10000.OD 18• 1500.00
19. TAX DUE 1 s. 6 7 7 71 • D 9
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
15056042159 6M46482.000 15056042159
REV-1500 EX Page 3
Decedent's Complete Address:
File Number
ai. nu nn~ur_
DECEDENTS NAME
A A
STREET ADDRESS
A
CITY
M HA STATE ZIP
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19) (1> 67771.09
2. CreditslPayments
A. Spousal Poverty Credit 0.00
B. Prior Payments 0 . 0 Q
C. Discount 3 3 8 8.5 5
Taal cred'As (A + B+ c) (2) 3 3 8 8. 5 5
3. InteresUPenalty if applicable
D. Interest ^ . 00
E. Penalty 0 . 0 0
Total InteresUPenalty (D + 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 • 0 0
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 6 4 38 2 • 5 4
A. Enter the interest on the tax due. (5A) 0 • 00
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 6 4 3 8 2 • 5 4
Make Check Payable to: REGISTER OFWILLS, 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
b. retain the right to designate who shall use the property transferred or its income; ^ ^X
c. retain a reversionary interest; or . ^ Q
d. receive the promise for life of either payments, benefits or care? ^ 0
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? . . ^ ^
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? . ^ X^
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? 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. §9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax 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 use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116(x)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 P.S. 9116(1.2) [72 P.S. §9116(x)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(x)(1.3)]. Asibling is defined,
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
6M4671 1.000
REV•1502EX+(5_gg) SCHEDULE A
COMMONWEALTH OF PENNSYLVANIA REAL ESTATE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Barbara S. Doran __ 21 08 00746
All real properly owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant fads.
Real property which is Jointlyowned with right of survivorship must be disclosed on Schedule F.
ITEM DESCRIPTION VALUE AT DATE
NUMBER OF DEATH
1. Real property situate in Upper Allen Township,
Cumberland County, Pennsylvania, known as 1032 Brookwood
Drive; further identified as Tax Parcel Number
42-11-0272-019P. 423,000.00
Acquired by the decedent by Deed dated March 28, 1988,
and recorded in the Cumberland County Recorder of Deeds
Office in Deed Book "I", Vol. 33, Page 78.
Valuation is based on pending sale
TOTAL (Also enter on line 1, Recapitulation) I $ 423, 000 00
swasss t.ooo (If more space is needed, insert additional sheets of the same size)
REV-1503 EX + (g.98)
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS Sc BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Barbara S. Doran 21 08 00746
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. 3,234.674 Shares
American Balanced Fund, Class C - Account #67610895 56,671.49
3,234.674 shares at $17.52 per share. See attached
valuation.
2 471.573 Shares
Franklin Small-Mid Cap Growth Fund, Class A - Account
#19814231229 15,396.86
471.573 shares at $32.65 per share. See attached
valuation.
3 456.903 Shares
Franklin Growth Fund, Class A - Account #60174180513 18,659.92
456.903 shares at $40.84 per share. See attached
valuation.
4 16,041.642 Shares
Franklin Federal Tax-Free Income Fund, Class A - Account
#11623786572 185,922.63
16,041.642 shares at $11.59 per share. See attached
valuation.
5 17,366.484 Shares
Franklin High Yield Tax-Free Income Fund, Class A -
Account #13011891895 174,359.50
17,366.484 shares at $10.04 per share. See attached
valuation.
TOTAL (Also enter on line 2, Recapitulation) I $ 451 , O10 . 40
3wasss ~.ooo (If more space is needed, insert additional sheets of the same size)
REV-1508 EX+ (6-98)
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC.
INHERITANCE TAX RETURN
RESIDENT DECEDENT PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Barbara S. Doran 21 08 00746
Include the proceeds of litigation and the dale the proceeds were received by the estate.
All property joinUyowned with the right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER nFCrRiaTinti OF DEATH
1 Household goods and furnishings and miscellaneous items
of personal property
2 Sovereign Bank Checking Account #2331044996
See attached correspondence.
Interest accrued to 6/25/2008
3 Bon Ton - refund
Refund of deposit made on cancelled furniture purchase
4 2006 Toyota Avalon XLS 4D Sedan - sale price
5 Patriot News - subscription refund
6 Scrap gold - sale proceeds
TOTAL (Also enter on line 5 RecaQ1
3Wasno i.oo0 (If more space is needed, insert additional sheets of the same size)
20,000.00
6,195.96
6.79
75.00
20,167.00
125.00
207.74
46,777.49
REV-1510 EX + (8-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF FILE NUMBER
Barbara S Doran 21 08 00746
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM
NUMBE DESCRIPTION OF PROPERTY
INCLI.DETFE WUAE OF TFE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND
7FE DATE OF TRANSFER. ATTACHA COPY OF THE DEED FOR REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET
%OF DECD'S
INTEREST
EXCLUSION
IF APPLICABLE
TAXABLE
VALUE
~ Individual Retirement Account,
American Funds Account
#68372457; beneficiaries are
Elizabeth Firestone and
Margaret Eckrote 534,549.24 100.0000 0.00 534,549.24
See attached valuation.
2 QTIP Marital Trust B
established under Agreement of
Trust dated May 27, 1987, by
William L. Doran, Grantor. 229,875.69 100.0000 229,875.69 0.00
William L. Doran, S.S.N.
044-24-4531, died on May 16,
1993. His Will was probated in
Cumberland County, PA, under
File No. 21-93-491.
For Pennsylvania purposes, all
inheritance taxes owed on both
the life estate and the
remainder interest in the Trust
were paid at the time of
William Doran's death. No
additional inheritance tax is
owed on this Trust. See
attached documentation.
TOTAL (Also enter on line 7, Recapitulation) I $ 534 , 549.24
(If more space is needed, insert additional sheets of the same size)
3 W46AF 1000
REV-1511 EX+(10.06)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES ~
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Barbara S. Doran 21 08 00746
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
~. Myers Funeral Home 9,427.00
Total from continuation schedules .
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
1 Alarm Center
Repairs to alarm system
2 Comcast
Cable
Total from continuation schedules .
TOTAL (Also enter on line 9 R~
~wasnc 1.000 (If more space is needed, insert additional sheets of the same size)
4,896.59
15,000.00
778.00
300.00
285.00
53.58
6,582.87
7,323.04
Estate of: Barbara S. Doran
Schedule H Part 1 (Page 2)
Item
No. Description
21 08 00746
Amount
2 Visaggio's Castel Castagna - funeral meal 4,896.59
Total (Carry forward to main schedule) 4,896.59
Estate of: Barbara S. Doran 21 08 00746
Schedule H Part 7 (Page 2)
3 Cumberland Law Journal
Advertise estate notice 75.00
4 Erie Insurance
Additional insurance premium due to cancellation of
automobile policy 59.00
5 Mark Devas
Lawn maintenance services (post-death) 520.00
6 PPL Electric Services - electric 286.30
7 Nebs Forms Co. - check printing 51.90
8 Sentinel
Advertise estate notice 166.60
9 Sovereign Bank - service fees 24.00
10 Verizon - telephone 47.65
11 Tax Collector, Upper Allen Township
2008-2009 School Real Estate Taxes 5,352.42
Total (Carry forward to main schedule) 6,582.87
REV•1512 EX + (12-03)
SCHEDULEI
COMMONWEALTH OF PENNSYLVANIA I DEBTS OF DECEDENT,
INHERITANCE TAX RETURN
RESIDENT DECEDENT MORTGAGE LIABILITIES, & LIENS
ESTATE OF FILE NUMBER
.Barbara S. Doran 21 08 00746
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 • Ch k
ec s written prior to death
which had not cleared the decedent's checking account at
the time of death 500.00
2 Comcast
Cable 53.57
3 Discover Bank
Credit Card #6011002720248145 741.61
4 Lifeline Systems
Medical alert service monthly premium 40.12
5 Medicare - claim for overpayment of medical expenses 200.00
6 PPL Electric Services - electric 117.09
7 Moffitt Heart & Vascular Group - medical bill 10.00
8 Trugreen Lawn Care - lawn care services at residence
(pre-death) 66.27
9 Unicare Health Insurance
Health insurance premium 62.00
10 Verizon - telephone 43.65
11 Upper Allen Township - sewer 112.00
12 York Waste Disposal - trash collection 43.50
TOTAL (Also enter on line 10 Recapitulation) $ ~ 1 , 989
swasAH z.ooo (If more space is needed, insert additional sheets of the same size)
REV-1513 EX+ (g-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF FILE NUMBER
Barbara S. Doran ~~ na nn~nG
RELATIONSHIP TO DECEDENT v. . v AMOUNT OR SHARE
NUMBER 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)]
1 Elizabeth D. Firestone
5005 Kylock Road
Mechanicsburg, PA 17055
Individual Retirement Account, 50~
Interest
Inventory Value: 267,274.62
50~ of Residue: 415,737.52 Daughter 683,012.14
2 Margaret D. Eckrote
903 Hertzler Road
Mechanicsburg, PA 17055
Individual Retirement Account, 50$
Interest
Inventory Value: 267,274.62
50~ of Residue: 415,737.52 Daughter 683,012.14
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 18, AS APPROPRIATE, O N REV-1500 COVER SHEET
II NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS 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 $ 0.00
tlr more space Is neeaea, Insett aodltlonal sheets of the same size
3 W46AI 1.000
Estate of: Barbara S. Doran
Schedule J Part 1 (Page 2)
Item
No. Description Relation
3 Polly Smith-Telfor
3571 Fresham Court
Pleasanton, CA 94566
General Bequests: 20,000.00 Sister
4 Charles F. Smith
176 Little City Road
Killingworth, CT 06419
General Bequests: 20,000.00 Brother
5 Lateef Colley
26 Cedar Street, #2
Staten Island, NY 10469
General Bequests: 10,000.00 Friend
21 08 00746
Amount
20,000.00
20,000.00
10,000.00
Holdinas by Investor
Barbara S Doran
1032 Brookwood Dr
Mechanicsburg, PA 17055
Barbara S Doran
Eric A Huck, CFP
Financial Network Investment Corp.
5 Kacey Court
Suite 101
Mechanicsburg, PA 17055
717-766-4551
60 Equity and 40 Fixed
Date: 06/25/2008
Created: 07/02/2008
Acct Name:BARBARA S DORAN 1032 BROOKWOOD DR MECHANICSBURG PA 17055-6765
Acct No:00067610895 Acct Type:lndividual
Rep. No:11949
Asset Name ,Ticker Asset Type Mgt Name Quantity . Price,($) ~~ Value($)
AMERICAN FUNDS AMER BALANCD BALCX BLEND AMERICAN 3,234.67 17.52 56,671.49
FD C FUNDS
Account Total: $56,671.49
Acct Name:BARBARA S DORAN 1032 BROOKWOOD DR MECHANICSBURG PA 170556765
Acct No:000011623786572
Rep. No:11948
Acct Type: General
Asset Name Ticker Asset Type 'Mgt. Name Quantity Price($) Velue($)
FRANKLIN FEDERAL TAX-FREE INC FKTIX FIXED INCOME FRANKLIN/TEM 16,041.64 11.59 185;922.63
A PLETON
FUNDS.
Account Total:
$185,922.63
Acct Name:BARBARA S DORAN 1032 BROOKWOOD DR MECHANICSBURG PA 170556765
Acct No:000013011891895 AcctType:General
Rep. No:11948
Asset Name Ticker Asset Type Mgt. Name Quantity- Prlce($) ' Value($)
FRANKtIN HIGH YLD TAX-FREE INC FRHIX FIXED INCOME FRANKLIN/TEM 17..,366.48 10.04 174,359.50
A PLETON
FUNDS
Account Total: $174,359.50
Acct Name:BARBARA S DORAN 1032 BROOKWOOD DR MECHANICSBURG PA 170556765
Acct No:000019814231229 AcctType:General
Rep. No:11948
Asset Name ?Ickes AssetType Mgt. Name Quantity PriCe(S) Value($}
FRANKLINBMALL-MID CAP FRSGX EQUITY FRANKLIN/TEM 471.57 32.65 15
396
86:
GROWTH A PLETON ,
.
FUNDS
Account Total: $15,396.86
Incomplete if presented without accompanying disclosure page Page 1 of 3
Holdinas by Investor
Barbara S Doran Eric A Huck, CFP 60 Equity and 40 Fixed
1032 Brookwood Dr Financial Network Investment Corp. Date: 06/25/2008
Mechanicsburg, PA 17055 5 Kacey Court Created: 07/02/2008
Suite 101
Mechanicsburg, PA 17055
717-766-4551
Acct Name:BARBARA S DORAN 1032 BROOKWOOD DR MECHANICSBURG PA 170556765
Acct No:000060174180513 AcctType:Generai
Rep. No:11948
Asset Name ~ Ticker Asset`Type, ~ Mgt. Name Quantity Price(s) Value(S)~
._ a __ _. , .._. , ,,>.._ . ..•.~.. .x _._~.._ _
FRANKLIN GROWTH.FUND -CLASS fKGRX EQUITY FRANKLIN/TEM 456.90 40.84 18,659:92
A PLETON
'FUNDS
Account Total: $18,659.92
Acct Name:C6&T CUST IRA BARBARA S DORAN 1032 BROOKWOOD DR MECHANICSBURG PA 17055-6765
Acct No:00068372457 AcctType:Cb&T IRA
Rep. No:11949
Asset Name° Ticker - Asset Type Mgt. Name Quantity, Price($) Value(s)
AMERICAN FUNDS AMER BALANCD BALCX BLEND AMERICAN 4,778-00 17..52 83;710:49
FD C FUNDS
AMERICAN FUNDS CAP WLD GWGCX EQUITY... AMERICAN 1,429.65 39.91 57,057.21
GR&INC C FUNDS
AMERICAN FUNDS GR FND OF GFACX EQUITY. AMERICAN 4,382;82 31.04 136,042.61:
AMER C FUNDS
AMERICAN FUNDS INC FND OF IFACX BLEND. AMERICAN 3,971.35. 17.38 89;022.12
AMER C FUNDS
ICAN FUNDS INV CO OF AICCX EQUITY AN
UND 3,094.22 29.44 91,093;81
AMER F
S
AMERICAN FUNDS NEW NPFCX EQUITY AMERICAN 2,005.42 30.53. 61;216.31
PERSPECTIVE C FUNDS
THE BOND FUND OF AMERICA-C BFACX FIXED INCOME AMERICAN 2,812.41 12.53 35,247.99
FUNDS
THE CASH MANAGEMENT TRUST CTAXX CASH OR AMERICAN 1,158.78 1.00 1
158.78
OF AMERICA-A EQUIVALENTS FUNDS ,
Account Totai: $534,549.24
Investor Total: $985,559.63
Incomplete it presented without accompanying disclosure page Page 2 of 3
Holdings by Investor
Barbara S Doran
1032 Brookwood Dr
Mechanicsburg, PA 17055
Eric A Huck, CFP
Financial Network Investment Corp.
5 Kacey Court
Suite 101
Mechanicsburg, PA 17055
717-766-4551
60 Equity and 40 Fixed
Date: 06/25/2008
Created: 07/02/2008
Disclosure:
Securities offered through Financial Network Investment Corporation, member FINRA/SIPC. Financial Network Investment Corporation and
Financial Network Investment Corp. are affiliated companies. Values are as of 06/25!2008 unless otherwise noted. We believe the sources to be
reliable, however, the accuracy and completeness of the information is not guaranteed, as it is a compilation of information from various financial
sources (mutual funds, direct participation programs, correspondent brokers, etc.). In the event of any discrepancy, the sponsor's valuation shall
prevail.
Performance data quoted represents past performance and does not guarantee future results. The investment return and principal of an investment
will fluctuate so that an investor's shares when redeemed may be worth more or less than the original cost. The values represented in this report
may not reflect the true original cost of the client's initial investment.
For fee-based accounts only: the figures may or may not reflect the deduction of investment advisory fees. If the investment is being managed
through afee-based account or agreement, the returns may be reduced by those applicable advisory fees. Refer to your Advisor's Form ADV, Part
II.
The information contained in these reports is collected from sources believed to be reliable. However, you should always rely on your statements
received directly from product sponsors. If you have any questions regarding your report, please call your representative.
Some assets showed different prices on the same day from different sources.
The following assets showed different prices on the same day from different sources.
FRANKLIN SMALL-MID CAP GROWTH A
Page 3 of 3
Sovereign Bank
ESTATE OF
SOCIAL SECURITY #:
DATE OF DEATH:
Barbara S Doran
043-28-3540
June 25, 2008
Account #: 2331044996 Type Checking Open date: 12/8/1997
In the name of: Barbara S Doran
Date of Death Balance: $6,195.96
Int.(YTD) from 1/1/2008 to 5/23/2008 $47.04
Accrued interest to date of death: $6.79
Other Info:
Page 1 of 1
REV-1547 EX AFP (10-93)
CDMMDNIIEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
NOTICE OF INHERITANCE 7AX ACM 1 O1
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX DATE OS-08-94
C,IAIC Ut UUKHn W1L.Llq!'q L FILE N0. Z1 95-0491
DATE OF DEATH 05-16-93 COUNTY CUMBERLAND
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMI7 THE UPPER PORTION OF THIS FORM WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS. MAKE CHECK PAYABLE TO ''REGISTER OF WILLS, AGENT^
REMIT PAYMENT T0:
LOiS COPELAND
CORESTATES BANK NA
PO BOX 1071
HBG PA 17128
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
Amount Remitted
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS -~
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REV-1547 EX AFP (IO-93) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF DORAN WILLIAM L FILE N0..21 93-0491 ACN l0I DATE 08-08-94
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule 8)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule A)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F]
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expanses/Administrative Casts/
Miscellaneous Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule Il
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests (Schedule J)
14. Net Value of Estate Subject to Tax
(1) .00
(2) 16, 873.09
(37 1 .421; 961 .06
(4) 12 , 05b . 67
_(5)_ 257, 810.07
(6) . QO
(7) .00
(a) 1,708,700.89
(g) 85, 019.65
(lo) 130, 556.19
(11) 215,575.84
(12) 1, 493,125.05
(13) . 00
(14) 1,493,125.05
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16 and 17 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 taxable at 6% rata
16. Amount of Lina 14 taxable at 15% rate
17. Principal Tax Due
TAX CREDITS:
(15) 1,493,125.05 x.oe = .89,587.50
tl6) • 00 x.15 = . 00
(17) 89,587.50
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST (-) AMOUNT PAID
02-16-94 855930 .00 89,587.50
.TOTAL TAX CREDIT 89,587.50
BALANCE OF TAX DUE .00
INTEREST ,00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LES5 THAN Sl, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE I5 REFLECTED AS A "CREDIT" (CR), YOU MAY SE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.]