HomeMy WebLinkAbout02-02-09 (2)J 15056041046
REV-1 J0o EX (05-04)
PA Depadment of Revenue OFFILYAL. LSE ONLY
Bureau of Individual Taxes County Code Year File Number
Dept. 280601 INHERITANCE TAX RETURN ^ 1 Qcb
Harrisburg, PA 17128-0601 ~ RESIDENT DECEDENT d-
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
~~9 os /~p y OSO9~OU~ /£~'D l /4/ 7
Decedent's Last Name Suffix Decedent's First Name MI
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
~ 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death
O 4. Limited Estate
O prior to 12-13-82)
4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required
death after 12-12-82)
~ 6. Decedent Died Testate
(Attach Copy of Will) O 7. Decedent Maintained a Living Trust b 8. Total Number of Safe De osit Boxes
p
(Attach Copy of Trust)
O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election [o tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 01
--~-••••~•~~ ~~..~~~. ~ - inw ar•~iiun must rat COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO'
Name
Daytime Telephone Number
~/aW~4: iUeF F' ffo5EY TR Se ;t aSy 9~`cq
Firm Name (If Applicable) N'
First line of address
y i o T~ m~F~2.t ~41<E' r2~-~ t
Second line of address
City or Post Office
Lout sV~LL~
State ZIP Code L
KY ~ Kati s
<u~r
y1LLS USE~ILY -.,
T~
-r1 f
~~r W
r
Y~
T
1
n
~n0 c __
a0-n ~ _
~ N ,:_i
[1~rE FILED
~- _
-
Correspondent's a-mail address:
Under penalties of perjury, I declare that t have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal representatve 's based on II - fo at' f h~ h preparer has any knowledge.
c 1
ADDRESS
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
DATE
PLEASE USE ORIGINAL FORM ONLY
Side 1
15056041046
15056041046 ~ ~~~~
J 15056042047
REV-1500 EX Decedpent's Social Securi~t/y Npumber
RECAPITULATION
i. Real estate (Schedule A)...... _ . _ ................................ .. 1.
2. Stacks 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) O Separate Billing Requested ..... .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
7
(Schedule G) O Separate Billing Requested...... ..
.
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 BequestslSec 9113 Trusts for which
.
an election to tax has not been made (Schedule J) ..................... . 13.
.
Ruhiect to Tax (Line 12 minus Line 13) ................... 14.
~'7 75 3.£ I
.57 7s3.~ ~
66•y3
iv777.y3
y 6 Y ~SSB
yb '~ 7S.S$'
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax late, or
transfers under Sec. 9116 15
(a)(1.2) X .0
16. Amount of Line 14 t~~ble y 6 9 7 s. S x
at lineal rate X 0 ,6.
17. Amount of Line 14 taxable 17
al sibling rate X .12
18. Amount of line 14 taxable 18
at collateral rate X .15
19. TAX DUE ............... .. 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
J ~
~~~~
~ ,a
r~ Side 2
d 15056042047
a1i3.9~
a - i3.go
O
15056042047
REV-1500 EX Page 3
File Number
nPCPfIC nf~c f ~m..le.1.. A.J.J ~..~~.
...... K.' J Y
STR~ADDR ~S~ ~ ~ ~~, ~~ /
a~a~C°awT=idury (7rlV~
CITY
ZIP
'' ~ ,
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. CreditslPayments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
3. InterestlPenalty ii applicable
D. Interest
E. Penalty
(1) all 3, 90
TotalCredils(A+g+C) (2)
Total InterestlPenalty (D + E )
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund.
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
(3)
(4)
(5) a Ira , ~r~
(5A)
B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5B) ~' 1.3 90
Make Check Payable fo: REGISTER OF WILLS, AGENT 7
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 transfeved :................................................................._................. ,..._ ^ y~
b. retain the right to designate who shall use the propedy transferred or its income :........................_............ ...... ^
c. retain a reversionary interest; or ........................._......................................................................_......._........ ,..... ^
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? ........................................_..........._..............................,..........._..... ...... ^ 0
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ........ ...... ^
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
containsabeneficiarydesignation? ....................._..................,......................._.....................,.........._............. ...... ^ 0
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 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. §9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent (72 P.S. §9116(a)(1.3)]. A?;iblin is defined, under
Secfion 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
IEY-PLBEI(•(181)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE E
CASH, BANK DEPOSITS, S MISC.
Indude the proceeds of idgatbn and the dak the proceeds were Delved by the . qN pmP~YkkdY-owned wph the rtpM of survivorship must be d,seksed on Scheduk F.
ITEM
NUMBER VALUE AT DATE
DESCRIPTION OF DEATH
,. m ~r t3~tuK , a~-~g~a, N y ~y~/o-o767 (~7isooN~vs9~63ay
n~sr m~rr>~~/-}d~~n,~7nycA~u7' ~</,6t`j,.2o
~. PN~ 3i)w/<,~sbur9~,,P~rtsas3-sa3ol~rsa-$a~E-t(ar) I6,666.Na
3 . PNC. `T3a~,k P~s~,~~yj, , ~4 15ds3-5d~ ~.TSo -~tb-y`N~) a 3,x/6/. t 7
y- ~~S FeoQerq.l ~~x (Ze ~u~: e~ '!`fib. Do
s• ~(ZS ~e.~QerYa~ S1~mu~uS C~ec~C 6Z)O,lk~
,6 /~e~w~cQ - C-o' mc,~s7" ~,4.bI~ ao, 7y
7. ail per-saN~l proP~'tp - s~ ~~~~~~ I~ 39 ~,5~
TOTAL (Also enter on line 5, Recapitulation) I E S 7, /53 d
space Is needed, insert additional sheets of the cams cna
REV-1511 E%+(10-O6)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE N
FUNERAL EXPENSES &
ADMINISTRATNE COSTS
ESTATE OF FILE NUMBER
_ELlzgbe~ ('4• ftllSrLV GbS~i/
Debts of decedem must be reported on Sctledule L
ITEM
NUMBER
A
L DESCRIPTION
FUNERAL EXPENSES: ~1ly¢r5-NAr1ve2 F"un,crq~ ~OI}7~
// AMOUNT
~94fpmCA~`~ yS9D
cqs KIT y~oo
N2..W S fA(~t: t' I•~NNbytiLCtvIZW'rS 37~
L'Le2 y
~ t as
~04
Cer~~C9*[ i bd
Flo w c2 5 a l s
~2~y-N,s7~ I ~S
~(y rrr,Qre5Se2 ~,'~`
B. /}/fstr Sou crs
ADMINISTRATIVE COSTS: N8 m e ~ IQ to ~Ce,neTp2y~ a0
a U6
1. Personal Representative's Commissions
Name of Personal Representative(s)
-_ __ __.
- __
_
Street Address
City State Zi
P -._._ _._ ___..._
Year(s) Commission Paid:
2~ Attorney Fees
3~ Fatuity Ezemption: (If decedent's address is not the same as claimant's, attach ezplanation)
Claimant
Street Address
City State Zip _ _
Relationship of Claimant to Decedent
4. Probate Fees
S. Accountant's Fees
8. Tax Return Preparer's Fees
~. w1 ~I 2ey,sT,~~ic,,., /,K&
g F'lrW9 ~eG Js
T07AL (Also enter on line 9, Recapitulation) ~ $
(If more space is needed, insert additional sheets of the same size)
REV-7512 EX. (12-03)
COMMONWEALTH OF PENNSYLVANIA
INHERRANCE TAX RENRN
RESIDENT OECEDEM
scNEOU~E ~
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
ESTATE OF
FILE NUMBER
eport debts incurred by the decedent prior to esth which remainM nnnaiA ~. ,.r.n. a,b .w a..wr. r__~..~:__ .-__._..._ _ . _....
~~~ ~.~~rc ayow m ~rwaeu, nruen e001e011e1 Sneete Of e10 SBRIe SRB)
REV-1513 EX+ (a-00)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERRANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
-T/z~r6~ /~ ~bSfY Db.S9/
NUMBER NAME AND ADDRESS OF PERSONS RECEIVING PROPERTY
() RELATIONSHIP TO DECEDENT
Do Not List Trustee(s) AMOUNT OR SHARE
OF ESTATE
I TAXABLE DISTRIBUTIONS
(include outfight spousal dulMbuOOns, end transfers under
Sec. 9116 (a) (1.2)1
,. L./}w~NCC F /fdse~•.7"~
N(D ~m6er(,~Ke Y/-ar~, ~oWSV//~, Ky //Doffs' sow 6365. 8U
a
. *pimGS fh. FIeS£y
$O N p
7/ c7a, {?
3Ca W41f-ow Srilemoytie, AA 17oN3
3 , £v.yrA,~ w. l-gassy soN X36 S. ~6
db33 mgrnf 5% Lrsb4rr.,, PR ~9o5S
"l I71firK. p /~lasey ~N 6368-. Sl6
3 F. 1^ILtMTC!- RR. ~'Rr~~51e (~/~ /7D/S
(h Prayy K9~ertw,e /dose
6S6'r! P
(=L 33
--
~
~ 1~.-tiYI1Te~.
78 63~6~•ab
tvcrvle~d
lecsSyµT
OFY1Cs
1/rre
~. ~~.(ZRbirl, /~ma~ l~os~r-Sk>till n~tl~stiru~ ~~8.3G
aZaa s C,,.NT-u.64r y bt. Mu.D, p.,tcsba~y PH l7oss
7 Porn c~ T >ia s,~~~(Ayy yy~~ p~^
x-7/7 ~RM ~". 'UI~M INq~N. y~i ~9W3 So r~: b `~ b ~, 8-~
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THR OUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
D NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I S
(If more space is needed, insert additional sheets of the same size)
REGISTER OF WILLS
CUMBERLAND COUNTY
PENNSYLVANIA
CERTIFICATE OF
GRANT OF LETTERS
No . 2008- 00591 PA No . 21- 08- 0591
Estate Of: ELIZABETHMHOSEY
(First, Mitltlle, Lestl
Late Of : NEW CUMBERLAND BOROUGH
CUMBERLAND COUNTY
Deceased
Social Security No: 189-05-1904
WHEREAS, on the 30th day of May 2008 an instrument dated
July 6th 1995 was admitted to probate as the last will of
ELIZABETH M NOSEY
IFirst. Middle, LasU
late of NEW CUMBERLAND BOROUGH, CUMBERLAND County,
who died on the 9th day of May 2008 and,
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, GLENDA EARNER STRASBAUGH Register of Wills in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I have this day granted Letters TESTAMENTARY to:
LAWRENCE F NOSEY JR
who has duly qualified as EXECUTOR(R/X)
and has agreed to administer the estate according to law, all of which
fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 30th day of May 2008.
~~1~'ii ~~Yf~V ~A /Q ~,u~~
Register of Vas
/ Oe uty
**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
LAST WILL AND TESTAMENT
OF
u7
;- - ELIZABETH M. NOSEY
~ r', ,--
`L -
~, I, ELIZABETH M. NOSEY, of 813 Bridge Street, Apartment Number
2, ?New-Cumberland, Cumberland County, Pennsylvania, do make, publish
~~'
andt~eclaiG-_this to be my Last Will and Testament, hereby revoking all
<-.
Wills and Codicils by me at any time made.
ITEM I: I direct that all inheritance and
estate taxes becoming due by reason of my death, whether such taxes may
be payable by my estate or by any recipient of any property, shall be
paid by the Executor out of the property passing under ITEM III of this
Will, as an expense and cost of administration of my estate. The
Executor shall have no duty or obligation to obtain reimbursement for
any such tax so paid, even though on proceeds of insurance or other
property not passing under this Will.
ITEM II: I direct the Executor to pay the
expenses of my last illness and funeral expenses from the property
passing under this Will as an expense and cost of administration of my
estate.
ITEM III: I devise and bequeath all of my estate
whatsoever nature and wherever situate as follows:
a. One-seventh (1/7) to my son, LAWRENCE F. NOS/EY, JR.,
! " r" fa
f
or in the event he predeceases me, to his surviving spouse;
b. One-seventh (1/7) to my son, JAMES M. NOSEY, or in the
event he predeceases me, to his surviving spouse;
c. One-seventh (1/7) to my son, EUGENE W. NOSEY, or in the
event he predeceases me, to his surviving spouse;
d. One-seventh (1/7) to my son, MARK P. NOSEY, or in the
event he predeceases me, to his surviving spouse;
e. One-seventh (1/7) to my daughter, MARY KATHRYIQ NOSEY, or
in the event she predeceases me, to her surviving spouse;
f. One-seventh (1/7) to my daughter, ELIZABETH ANNE HOSEY-
SHULL, or in the event she predeceases me, to her surviving spouse;
g. One-seventh (1/7) to my son, PATRICK J. NOSEY, or in the
event he predeceases me, to his surviving spouse.
In the event any of the aforementioned beneficiaries are not
survived by a spouse, said share shall be payable to his or her
issue,per stirpes. In the event that said beneficiary is not survived
by either a spouse or issue, said share shall be added to the residual
estate and divided equally between the hereinbefore mentioned
beneficiaries.
ITEM IV: In the settlement of my estate, My
Executor shall possess, among others, the following powers:
a. To retain any investments I may have at my death, as long
as the Executor may deem it advisable to my estate to do so;
b. To sell either at private or public sale and upon such
terms and conditions as the Executor may deem advantageous to
the estate, any and all real or personal property or interest therein
2 ~ y ~.~
owned by the estate;
c. To pay all costs, taxes, expenses and charges in
connection with the administration of my estate;
d. To compromise controversies; and
e. To do all other acts in the Executor's judgment deemed
necessary or desirable for the proper and advantageous management,
investment and distribution of the estate.
ITEM V: Any person who shall have died at the
same time as I shall have, or in a common disaster with me, or under
circumstances that the order of deaths cannot be established by proof,
or within thirty (30) days of my death, shall be deemed to have
predeceased me.
ITEM VI: I appoint my son, LAWRENCE F. HOSEY,
JR., to be the Executor of my Estate. In the event my son cannot act
or refuses to act as Executor for any reason, I nominate, constitute
and appoint my daughter, ELIZABETH ANNE HOSEY-SHULL, as alternate
Executrix. The Executor is specifically relieved from the duty or
cbligation of filing any bond or other security.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to
this, my last Will and Testament, consisting of this and the preceding
2 pages, at the end of each page of which I have also set my initials
for greater security and better identification this 6th day of July,
1995.
f
~.<_* ~-- (SEAL)
ELIZABETH M. HOSEY '.~
3
We, the undersigned, hereby certify that the foregoing Will was
signed, sealed, published and declared by the above-named Testatrix as
and for her Last Will and Testament, in the presence of each other,
have hereunto set our hand and seals the day and year first above
written, and we certify that at the time of the execution thereof, the
said Testatrix was of sound mind and memory.
.•~1" ---f f _t-,~ Redding at ,fir < f%> .:,f
Thomas G`~ ~merick ~~,~
.~~-~, J~C ,1; f
) Residing at i~~~ ,~S2~T-.~~4~ ,y>,~ ,
Ann Molsky ~,
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS
I, ELIZABETH M. HOSEY, Testatrix, whose name is signed to the
attached or foregoing instrument, having been duly qualified according
to law, do hereby acknowledge that I signed and executed the instrument
as my Last Will and Testament; that Isigned it willingly, and that I
signed it as my free and voluntary act for the purposes therein
expressed.
Sworn, to nd subscribed
before th~rS 6t day
of Ju 13'95 ~/
My Commission Expires
//,
k-~,.l~ i i7-!'f ~/' l%/. ' ! ~..e.. i.'. F ( SEAL )
~LI7uABETH M. HOSEY
(SEAL)
ti^[,~:~. te=a:
Barbsra Sum.~'c-r;,,n~,an fS,marv a~rh,'ic
New Cumt~rfv»Ecru ;_ • -
hS~ rAfgii7lfa:V:1 ^_:%[Xr~' ~ ~ • ~~ V 'IY:f;ry
i. • E.+S
~E1q~~aU iy wT .~]ti /~ C' •f ivUl;~^i?S
4
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
We, Thomas G. Emerick and Ann Molsky, the Witnesses whose names
are signed to the attached or foregoing instrument, being duly
qualified according to law, do depose and say that we were present and
saw Testatrix, ELIZABETH M. HOSEY, sign and execute the instrument as
her Last Will and Testament; that Testatrix signed willingly and she
executed said Will as her free and voluntary act for the purposes
therein expressed; that each of us in the hearing and sight of the
Testatrix signed the Will as Witnesses; and that to the best of our
knowledge the Testatrix was at that time eighteen (18) or more years of
age, of sound mind and under no constraint or undue influence.
Wl',kne s -
/ i'
Sworn to.~aY~d subscribed
before ine~this 6th day
of July'; 1.995 /,'
~,' ~ =o
~ ,Fl~"
N TARY P BLIC
My Commission Expires:
(SEAL)
Witness
r~x. d~ k~i
C,artu~ra SUr'4~~-S all~~a~, !~4n~~ r~.,h!ic
Ne~v C~,mir r';uxf Prr r,,;.,~ 1
M; Comri„ua E.q,n, ;p.,,.4 n i'"`ntY.1
M1zrrFx~i, Parnwylcarea ^,y,~;,uot,-a ~~.-5
S!.::1C5
tJ
LIST OF PERSONAL PROPERTY OF ELIZABETH M. HOSEY. Page I of 3
DacrsP4ion Coeditioe Amoaet Valee Ea. Tool
Mi_se. Items
VaiprsKridtKreCf<9~ Far 27 ;3.00 SBtA0
pdhig, Faokrea6Amessaies
wanen§ goa6g
~-~~ Fat 1z sT.ao se4.ao
ShYk-DressShk F# 3 ;7.00
Poo 1 52AO 523.00
Shark-Olha Fat 9 S6A0
~
- Far 2 X00
Para 2 st.5o 515.00
sNepveaer-PaJsrosa Pear 4 S15o sa06
Poor 3
~.OD
Fat 2 SAO
3250 523.OD
~'~ Par 8
ItdagerreNs-SipeFd8Ha8 Pax 5 ;tA0 35.00
-~l~) Poo 8 3050 34.00
Dndegennark-Urdeeear
Foaeear Pax 11 50.25 32.75
-- Poor 2 ;4.00 SB.OD
'~-~ far 7 375.00
~toee'Nlarenb- Poor
Poor 1
1 55A0
34.00 310.00
;4.00
-~
Wkrwear Paa 1 5150 51.50
~-~ Fat 1 ;28.00 528.00
BeddYp & Lbere
Redma
n
ShaMalSek)-Totr
Pao
0
;1.50
59.OD
5200 58.00
BkrYek-Nat~k- Far 2 33.00 36.00
Fuatee, li~8rg Q Hare Decor
Fur~ae
Bedroan-BedFmre
e
a Fat 1
515A0
sts.oo
oan-
e
,-~~ ~ ; sz5.ao szaao
Bedroan TnebdDey Bed
Good
1 379.00
595.00 518.110
595.00
0'~^ar
Lnigitaam-BaielelF Fba
Poo t
2 X5.00 555.00
~~-~-Y
Par
2 318.00
528.00 596.00
X6
00
la4np F~aom 3ok Fair t SZZ8.00 .
OD
5728
~~-EMTabk Par 2 520.00 .
540A0
LingFkarr-(bBeeTade Pao 1 530.00 530
00
1CdderaDiarpFtam-KrhdenTahla Poor 1 ~4A0 .
~1A0
IGIdeNDaegRam-DmgChea Poor 2 51.00 i14A0
Oaoe"~
D Fat 1
387.00
387.00
~-~ Fat 1 ;1200 ;7200
LIST OF PERSONAL PROPERTY OF ELIZABETH M. HOSEY. Page 2 of 3
Description Condition Amount Value Ea. Totnl
~Ps•T~ Pow 1 E70.00 E10.00
Home Dever
Candle HddeB-Votive Poor 4 $2.00 EB.00
(~) Poor 1 E0.75 E0.75
GlesslCemmkVase Paa 3 E8.00 59.00
Hotlday Decor-Chdshnes•ArBtldal Tree Fak 1 510.00 510.00
Phob A6isn Poa 5 50.50 Y2.50
PkWre Frarne Fair 3 55.00
Poor 2 52.00 519.00
Wal Ckrdc Paw 2 $1.00 L1.00
Books, Movies 8 Musk
Books
~^~ Book Pow 1 $0.75 50.75
~~ Fair 6 E4.00
Poor 10 E1.00 534.00
So~'w Poor 10 50.75 57.50
Recorded Music
RecorrllVb~ Pow 10 E0.50 55.00
Hoare Audb 8 Video
Tebvisiorx
Standard-14181rch fair 1 E78.00 518.00
Flares 8 Cammurtce5ona
Telepha~es
~~-~ Poor 1 50.75 E0.75
CaNbss-~ Fair 1 54.00 E4.00
Klkhen 8 Srtntl Appliencos
Smep AppOances
~o C~ CPe"w Pow 1 E0.50 E0.50
Elachic Hand Mirnr Poor 1 E1.00 E7.00
ToasOns-2Stlce
Cookware Far t W,00 Sq,00
Fry Pan Paw 1 $2.00 52.00
Sauco Pon Poor 2
E3.00
58.00
Saub ~ Pow 1 52.50 52.50
Cutlery
~~ Paw 1
Sz.oo
Ez.oo
7aols a Cedgets
°~r Paar , E1.oo E1.00
caender Pow , S2.oo Sz.ao
o~n ~~ Paw 1
$1.00
E1.00
Meenxirg Crps (sat) Poor i 5075 E0.75
Meaeudng Spams (set) Pow 1 E0.50 50.50
Oven Mi8 Pow 2 50.75 51.50
SeKBPepper Shakers (Set) Fair 2 E4.00 58.00
Whisk
Food Storage Paw 1
E1,00
E1.00
Pbstlc 5~ Con~irar Poor 5 E025 5125
lAemtls
Cookrg- Paw t $0.75 50.75
~dn8"~~ Pow 1 50.75 $0
75
Caokvg-Slaws Pow 2 E0.75 .
51
50
Fbteara-Bullw Knife Paw 2 E0.50 .
51.00
LIST OF PERSONAL PROPERTY OF ELIZABETH M. HOSEY. Page 3 of 3
Description Condition Asoaar Value Ea. Tohl
FieNre~e-Post Poor B
50.50
53.00
Fllware-~
D6naMaie Poor 6 50.50 53.OD
BaM Poor 6
S1.oo
is.0o
Da~ertF1~ Far 6 50.75 54.5D
~~~ Poor s S1.ao Saco
i)f6twse Poa< s f0.75 51.50
~~ Poor 4 51.50 50.00
GYasTuotiar Poor 16 50.75 51200
1louedmgiYg a Srrel Apps
vaa~me
~~Y~4Pies Fek 1 575.00 525.00
han-SBean han Fa 1 57.00 57
00
§nig Baad FaF 1 55.00 .
55.00
1lerinaeee~ty
ras«rel tY
F
aom
g
rbr°'y"''sd"mm
Fa1r
1
55A0
x.00
iiggaps, ead~ad~acasas
c~te~p
Fae 1 513.00 513m
- ;." TOht St~otio
Fashion Jewehy~
T®ex srrtrL~ poor 2 523
00
P~loxldacas ~ 3 .
515.00
Pad F~ 3 560.00
SOrc ~ i 575.00
TaW 5035.00
4011 °°srul0.sr S16~g
~~~ M&T l~an.~c
ACCOUNT N0. ACCOUNT TYPE
150042059863241 M8T MARKET ADVANTAGE
00
ELIZABETH M HOSEY
- 2225 CANTERBURY DR
- - MECHANICSBUR6 PA 17055
INTEREST PAID YEAR TO DATE 68.67
0 06117M NM 017
48447
• .-
STATEMENT PERIOD PAGE
APR.19-JUL .18,20D8 1 OF 1
MECHANICSBURG
BEGINNING
BALANCE
DEPOSITS 8
01HER ADDITIONS
N0. AMOUNT "_"•""•' "~~~~"~r+n,
NITHORAWALS 8 OTHER
SUBTRACTIONS
N0. AMOUNT
CURRENT
INTEREST PAID
ENDING
BALANCE
14,602.79 0 0.00 1 14,619.20 16.41
0.00
POSTING "~ ~~ ~ ~+~- i t v 1 1 Y
DATE
TRANSACTION DESCRIPTION DEPOSITS, INTEREST N/DRAWALS 8 OTHER DAILY
8 OTHER ADDITIONS SUBTRACTIONS BALANCE
04-19-08 BEGINNING BALANCE
05-19-08 INTEREST PAYMENT 514,602 .79
05-30-08
INTEREST PAYMENT 12.41 14,615 .20
OS-30-08
CLOSEOUT 4.00
14,619.20 0. 00
ENDING BALANCE
50. 00
ANNUAL PERCENTAGE YIELD EARNED = 1.00
NEW! aCOLL EGE CHECKING - EXCLUSIVELY fOR STUDENTS
DO YOU KNON SOMEONE WHO IS GETTING READY FOR COLLEGE?
THE NEW aCOLL EGE CHECKING ACCOUNT WAS DESIGNED ESPECIALLY FOR STUDENTS.
aCOLLEGE CHECKING HAS NO MINIMUM BALANCE REQUIREMENT, NO MONTHLY SERVICE CHARGE,
AND CONVENIENT ACCESS OPTIONS FOR STUDENTS.
FOR MORE INFORMATION VISIT MTB.COM/ATCOLLEGE OR STOP IN TO A BRANCH TODAY!
LD06A ~6/0])
Total ~ai~lcin~ Statement ~ PNCBANK
r~~~r, cont.
Primary account number: 50-8016-4646
Page 1 of 2
For tha period 05/00/2008 to 00/04/2008 Number of enclosures: 0
ELIZABETH M HOSEY
2225 CANTERBURY DR
MECHANICSBURG PA 17055-5771
~' For 24-hour banking, and transaction or
~__~' interest rate information, sign on to
'Q PNC Bank Online Ranking at pnccom.
For customer service call 1-888-PNC-BANK
between the hours of 6 AM and Midnight ET.
Para servicio en espa8ol, 1-666-HULA-PNC
Moving't Please contact us at 1-686-PNC-BANK
® Write to: Customer Service
PO Box 609
Pittsburgh PA 15230-9738
IL I~ \/fcif rye >r pnr.^ptn
'`-
TDD terminal: l-800-531-1648
For hNnring imPnirrd rlieua Duly
RelTtionship Overview
Bank Deposit Accounts
Description Accounf Number
hit ct <~st Chccklnl; 5f4801ti4G48
\9~ruey D7 tniccl Direct r,0-8f15G-7135
"Total Deposi L9
In4POR"CANT INPOIZA4ATION ABOUT A'f~1 TRANSACTIONS ANll PLIRCIIASI?S
Deposit Balance
O0
no
.(III
Not' your conrenicnce, under certain conditimts we may allow you to overdraft your dtecking or money ntarke[ accotmt when using your YNC
Bank Visa Check Card or PNC Bank Bmtkin; Cant at PNC Bank A'fi~ls, non-PNC A"1'~Is, and for merohant puuchases. AL PNC Bank A'I'Nls
rve can give you the choice 1o cancel the transaction if it would cause an overdraft. We arc not able to provide you this choice when using a
non-PNC Bunk A'1'h1 or when making purchases.
I?ITective June 22, 2008, ifyou would prefer not to have overdraft access, call our Telephmte Banking service at 1-877-222-5401 behveen
6 inn - 12 midnight, Eastern 'l'ime, seven days a week.
I fyou have called pmviously to opt-out ofoverdraft access at non-PNC A"CA(s, you are automatically excluded from overdraft access for all
_A'I'lAI transactions and purchases and do not need to call again.
ion' mine information, please see our Consumer Schedule of Service Charges and Pees, Other Account Charges and Services and/or Account
\greemenl lbr Pet'sonal Checking and Savings Accounts, Withdrawals section.
Interest Checking Account Summary Elizabeth M Hosey
\ccount number: 50-8016-4648
`Talance Summary
Beginning Deposits and Checks and other Ertling
balance other additions deductions balance
23,477.f,? .00 Z3,477.6Y .p0
Average monthly Charges
balance and fees
I $7G9.48 .00
Please see the Activity Detail section for
additional information.
anacres[ ,ummary As of 06/04, a total of $24.57 in interest was
Annual Percentage Number of days Average collected Interest Paid paid this year.
Yield Earned (APVE) in interest periotl balance for APYE this period
0-007. 24 23,461.85 .00
Foamssaa-rocs
Total Banking Statement
For 24-hour information, sign on to PNC Bank Online Banking
~--~ on pnacom.
e......,,..r ., .nlw-n SlkNll lfi-tf 4N-continued
For (rim period 05/08/2008 to 08/04/2008 I,
ELIZABETH M HOSEV
Primary account number 50-6016-4648
Page 2 of 2
Activity Detail
Online and Electronic Banking Deductions
Date Amount Description
lh;:'lli IG.q ~i P;gvu nl,E-Check Gheckp;,cuu :\Ifi'P Cuu.unu•r 4-0Py
Other Deductions
Data Amount Description
U', /'lll -ll(1 (hdslandinl; Item Clusr
0!i ~:SII ''?3,461.17 Drhil Aleluo Feti•reuce Nu (hY):531~1i1
There was 1 Online or Electronic Banking
Deduction totaling $18A5.
I
There wore 2 Other Deductions totaling
$23,481.17. '~,
Daily Balance Detail
Date Balance Dlte Balance Dale Balance
lNl
'
Oij (Ni _°3,lii.li? (Irij (li ?3,~llil.li :{ll .
(15,
~iiioney i~iiarket Direct '.acct®unt Sunttnary Elizabeth M Hosey
Account number. 50-6056-1125 ',
Please see the Activity Detail section for ~,
Balance Summary additional information.
Beginnlnq Deposits and Checks and other Ending
balance other addihons deductions balance
I li,Gldi.~lQ .lNl I11,661i.~1U .IN1
Average monthly Charges
balance and lees
13,333.13 .aI
As of O6I04, a total of 531.08 in interest was
Interest Summary paid This yeas
Annual Percentage Num Der o/ days Average collected
eriod balance for APVE
int
rest
I Interest Paid
IMS period
p
n
e
Yield EarneO (APYE)
O,INI% ''_'4 Ili liliti.40 INI
Activity Detail
There were 2 Other Deductions totaling
Other Deductions g18,eee.4o.
Date Amount Description
115!;70 .lNl Otll sl:mthn~ Meru Cause
U ±j 30 IG,iNk~.40 Ucbit Mrmo Rcferrnic No (1403 3 1 414
Daly Balance Detal
Data Bdlante Date Balance
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S
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2009 F•E8 -2 PFI 12~ 19
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