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15056051058
REV-1500 EX (06-OS) OFFICWL USE ONLY
PA Department of Revenue
Bureau of Individual Taxes County Code Year Fle Number
PO BOX 280601 INHERITANCE TAX RETURN
Harrisburg, PA 17128-0601 RESIDENT DECEDENT 21 08 0693
_
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
__..
_._ ___
..__._. .......
___
187-03-9398 _.__
06/18/2008 05/18/1916
Decedent's Last Name Suffix Decedent's First Name MI
_._ __.
Light _
_ Faithe M
___ __
_ _ _ __
(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 INAPPROPRIATE OVALS BELOW
OU 1. Original Retum 2. Supplemental Retum C= 3 3. Remainder Retum (date of death
prior to 12-13-82)
4. Limited Estate t~ 4a. Future Interest Compromise (date of t~ 5. Federal Estate Tax Return Required
death after 12-12-82)
C13 6. Decedent Died Testate C~ 7. Decedent Maintained a Living Trust _,.,1.,,__ 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
[~~; 9. Litigation Proceeds Received 10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A)
between 12-31-91 and t-1-95) (Attach Sch. O)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
John H. May, Esquire (717) 299-118'k-~
Firm Name (If Applicable) _ _ _ _.
_ _ ~-0._. -~a
~ ,
REGISTER OF 1!~I~ USE ON~ i ~ -%
May, Metzger, Zimmerman ~? T c~ ~ ~-- ~
'_ ~ r-- i
_
First line of address ' > ,='- m 1
17
7 ~ C
'
j
49 North Duke Street .
_ Cr
_ `~c~p ,__ -,
~
__ _ _ _ ~ ; ~ _;~ x>"
~ ~_
Second line of address rJC - = '-'
City Or Post Office
State ZIP Code DATE FILED -J r7
Lancaster
_ PA 17602
_ __
._ _ __
__
... _ ............. _......... _........
Correspondent's a-mail address: 1hm~mmZ18W.COm
under penames of per)ury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. DeGaretion of preparer other than the personal representative is based on all info 'on of which preparer has any knowledge.
SIGNA RE OF PERSON SP SIBLE F FILING RETURN DATE
~ ~ f~ ~ y C!
ADDRESS
Donna Salerno, 1808 hoolhouse Rd., Annville, PA 17003, Bruce Light, 235 crows Dr., Lebanon, PA 17046
SI T PREP R OTHER THAN REPRESENTATIVE DATE
A ~/r/~
John .May, Es uire, May, Metzger and Zimmerman, LLP, 49 North Duke Street, Lancaster, PA 17602
PLEASE USE ORIGINAL FORM ONLY
Side 1
15056051058 15056051058
15056052059
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: Faithe M Light
_.~" 187-03-9398
. _.~.._ .._`` ._
RECAPITULATION _ "_.~.'.__-__..------._--___------_-------.~.,,
1. Real estate (Schedule A) ....................................... ...... L
2.
Stocks and Bonds (Schedule B) ..................................
..... 2.
_ _,. _.
50,401.04
3.
Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)
..... 3. __ __
4. Mortgages r3< Notes Receivable (Schedule D) .................. ... ..... 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ... ..... 5. 13,241.80
6. Jointly Owned Property (Schedule F) C Separate Billing Requested .. ..... 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property "" " ' - " -- -
(Schedule G) tMJ Separate Billing Requested... ..... 7.
~_ 119,345.55
.. w,_. _. ___..
8.
Total Gross Assets (total Lines 1-7) ...............................
..... 8.
_.,e~_ __._. . ~... _
182,988.39
..~.~_~. ~~ ._
..
9.
Funeral Expenses 8 Administrative Costs (Schedule H) ................
..... 9. _
..~.... __...
~.,. _
12,284.64
10. Debts of Decedent, Mortgage Liabilkies, 8 Liens (Schedule I) ........... ..... 10. 5,829.06
__
_ _.
11.
Total Deductions (total Lines 9 8 10) ..............................
..... 11. _____
18,113.70
12. Net Value of Estate (Line 8 minus Line 11) ......................... ..... 12. 164,874.69
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ................... ..... 13.
14.
Net Value Subject to Tax (Line 12 minus Line 13) ...................
..... 14. _ _
164,874.69
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES ~ m ~ ~~ ~~"~~~~
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0__ 15.
16. Amount of Line 14 taxable _ _ __ _
at lineal rate X .0 _ 16.
17. Amount of Line 14 taxable __. _ _. _ ..v._._ __
at sibling rate X .12 17
18. ___..___.. ,_.., _ _- _ v....__ _ ..... ., ..
Amount of Line 14 taxable "
'
- -
at collateral rate X .15 164,874.69 18 24,731.20
19. TAX DUE ................................................. ....... 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
24,731.20
_.~~
1505Ei052059 Side 2
15056052059
REV-1500 EX Page 3
Decedent's Complete Address:
Faithe M Light
STREET ADDRESS
100 Mt. Allen Drive
Mechanicsburg,
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments 22,800.00
C. Discount 1,200.00
3. InteresUPenalty ifapplicable
D. Interest
E. Penalty
_... ..._..._~ Flle Number
21 08 :'0693
DECEDENTS SOCIAL SECURITY NUMBER
187-03-9398
PA
(1)
Total Credits (A + B + C) (2)
Total InteresUPenalty (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.
B. Enter the total of Line 5 + SA. This is the BALANCE DUE.
(3)
(4)
(5)
(5A)
(5B)
ZIP
17055
24, 731.20
24,000.00
731.20
731.20
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 :................................................
b. retain the right to designate who shall use the property transferred or its income : ..........................
c. retain a reversanary interest; or .....................................................................................................
d. receive the promise for life of either payments, benefits or care? .................................................................... . ^
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? ............. . ^
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................................
...........................................................
n
n
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 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. §911fi(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)]. Asibling is defined, under
Section 9102, as an individual wflo has at least one parent in common with the decedent, whether by blood or adoption.
SCHEDULE B
STOCKS & BONDS
ESTATE OF
Faithe M. Light FILE NUMBER
#21-08-0693
ITEM
NUMBER DESCRIPTION VALUE AT DATE
OF DEATH
1 400 shs. PPL Corporation @ 50.79
20,316.00
2 1,087 Van Kampen Pennsylvania Value Municipal
Income Trust @ 12.59 13,685.33
3 Amerprise Financial:
Account No. 01011277051 5 002:
1,499.611 shs. RiverSource High Yield Bond Fund B @ 2.720 4,097.29
4 499.084 shs. Eaton Vance Tax-Managed Growth Fund @ 24.65 12,302.42
TOTAL SCHEDULE B 5n_an~ na
PPL Corporation
Two North Ninth Street
Allentown, PA 18101-1179
htt~://wN'+N,oolweb com/
Date July 17, 2008
Re: PPL Stock Account
~~~-od`fs
~~~
~~,
~~ ' ~ • ~'
i~--
4~~,
pp •.__
•;~',
,~ TM
Investor Services
Toll Free Number 800-345-3085
Type of Stock: PPL Corporation Common Stock CUSIP: 69351T-10-6
Account Number: 3097122868 Social Security Number: 187-03-9398
ACCOUnt ReglStratlOn: Faithe M, Light
Date of Death: June 18, 2008
Number of Shares Currently Held:
In Certificate Form
In Direct Registration
40o In Dividend Reinvestment Plan
400 TOTAL SHARES
Number of Shares Held as of Date of Death:
In Certificate Form
In Direct Registration
40o In Dividend Reinvestment Plan
40o TOTAL SHARES
$51, oo Closing market price of Common Stock on New York Stock Exchange on
date of death or last business day prior to date of death.
Other Comments:
PPL Corporation
Investor Services
Cynthia A. Buchman
Sr. Investor Services Representative
PPL: Historical Prices for PPL CORD -Yahoo! Finance
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PPL Corporation (PPL) ~• ___._._____ ~_~ ---__.._._ _._____.._.
;.,--~. r. At 9:55AM ET: 48.76 ?`
Q Altil€RITisAD~
'~ TRADE ER£E F(}Ft
ti ~. ~` ~ 31D DAYS + GE7 S1gEi ,
..
E tiTRRDE 5¢[urltl¢f LLC ;. .,
Historical Prices Get Historical Prices for: GO
SET DATE RANGE
~o! Daily
Start Date: Jun 18 :2008 ' Eg. Tan 1, _
2003 ~._:~ Weekly
End Date: Jun 18 .2008 +__i Monthly
_ ~ Dividends Only
Get Prices
First ~ Prev ~ Next ~ Last
PRICES
Date Open High Low Close Volume Adj
Close*
18-Jun-08 50.77 51.02 50.56 51.00 1,551,300 51.00
* Close price adjusted for dividends and splits.
First ~ Prev ~ Next ~ Last
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VAN KAMPEN
INVESYMENTS
July 21, 2008
MAY METZGER AND ZIMMERMAN
ATTN: JOHN H MAY
49 NORTH DUKE ST
LANCASTER PA 17602
Reference: 00168684
Re: VPV C;20702
Dear Mr. May:
Van Kampen Investments Inc.
2800 Post Oak Boulevard
Houston, TX 77056
Thank you for your recent inquiry regarding your/the above referenced Van Kampen
Pennsylvania Value Municipal Income Trust account for Faithe M. Light. In your letter,
you requested a date of death value of the above referenced account.
The following is a summary of the share balance and closing market price. The value of
exchange-traded funds may fluctuate daily depending on market conditions.
ACCOUNT # DATE SHARES CLOSING RESULTING
MARKET VALUE
PRICE
VPV C20702 _ 6/18/2008 1087 ~ 1 ~ 59 Q i : roc ~ ~
In order to transfer the account(s), we will need to receive the following documentation:
• Letter of instruction signed by the legal representative of the estate Medallion
Signature Guaranteed.
We require a valid Medallion Signature Guarantee on the letter of instruction. The
Medallion Signature Guarantee must be performed by an eligible guarantor from a
federally insured financial institution, a registered broker-dealer, or any other
participant in a recognized medallion guarantee program. A notarization or
guarantee by a Notary Public will not be accepted in place of a medallion guarantee.
Additionally, an endorsement guarantee is not acceptable.
• W~-9 form (enclosed) to certify the Social Security number on the new
account.
- ~
The following original stock certificate(s):
CERTIFICATE # ISSUE DATE SHARES
VPV 11672 1/05/2006 1087
For your protection, we recommend that you send the stock certificate(s) unendorsed
with a letter of instruction via registered or overnight mail to our transfer agent at the
following address:
Computershare Shareholder Services
Attn: Van Kampen Investments
250 Royall St.
Canton MA 02021
If you would like to liquidate the account, you must present the above certificate to a
broker. The Trust is organized as a closed-end investment company. Shares of the Trust
are traded over the New York Stock Exchange under the symbol VPV. For this reason,
shares of the Trust held in certificate form must be sold through a brokerage firm. Please
contact a broker for assistance with negotiating the certificate.
Thank you for doing business with Van Kampen Investments. If we may be of further
assistance, please contact our Client Relations Department at 1-800-341-2929 between
the hours of 8:00 AM and 5:00 PM Central Time, Monday through Friday.
Sincerely,
Jose Sagbini
Client Services Representative
, -
AMERIPRISE FINANCIAL Fax:717-975-2700 Aus 18 2008 02:25pm P002/003
To Roger A Plaoe/Field/AMPF{~AMPF
cc
bcc
Subject FAIThiE LIGHT 10349502 4001
DATE OF DFATH VALUES- PLEASE DO NOT DELETE
RhrerSource Life Insurance Company
Rh-er8ouroe Funds
Amerlprlee Cerdl9cata Company
T0100 AmeNprlnanolal Conbr
Minneapolle, MN 664f4
Augiut 15, 2008
ROGER ALLAN PLACE
STE 200
342 N FRONT ST
WORMLEYSBURG, PA 17043-1112
Dear ROCrER ALLAN PLACE;
Thank you for your reccnt inquiry regarding 1FAITHE M LIGHTS accounts. These are the values of the accotutta as
of 06/18/2008.
Account Information
Mutual Phnda
Account Number
010112770515002 Inds
01011277062 2 002 Individual - TOD
01011277063 0 002 Individual - TOD
O10I1277064 8 002 Individual _ TOD
01013320859 4 002 ]hdividual • TOD
01013696100 9 002 Individual _ TOD
01312574446 9 002 Individual - TOD
Anndties -Post 1985
tNumber O~~a
93002099562 5 004 P/0 Individual
93005120085 3 004 P/O Individual
Life Insurance
Account NLnm,l,pr era
90906268844 7004 Individual
Amerfprise Brokerage Account
Account Number ~
01010443717 2 002 TOD
F _ _- _ __ -_ _ _ - - _ - _ _
AMERIPRISE FINANCIRI Fax:717-975-270D Rue 18 2008 02:25pm P003/003
Mntua! Funds
Account NLmI,Pr Tota~ ] V~~ ~ ~s Asset Value P
ch
01011277051 5 002
01011277062 2 002
$4,09729
$15
300
15
1,499.611 a„P
er
2.720
01011277063 0 002 ,
.
$24,282.02 1 785.315
4312
970 8.570
0101 1277064 8 002
$19,696.82 .
4,538.437 5.630
4
340
01013320$59 4 OOZ $62.73 12.988 .
4
830
01013696100 9 002
01312S74446 9 002 522,861.73 4,813.274 ~ .
4.740
~
01010443717 2002 $1,649.73
535
492.37 349.519
3
220
723 4.720
, ,
. 11.020
Annuities -Post 1985
B,ccount Number Tota] Value
93002099562 5 004 P/O N!A
93005120085 3 004 P/O NIA
Life Insurance
Account Number Total Value
90906268844 7 004 $81,84'7.00 '
The date of death values provided are for estate tax purposes and are not a value to be paid. Accouius maybe
- subject to market fluctuation as governed by each product please note that the values indicated for any Life
Insmsnce Product(s) with the insured deceased reflect the gross.death benefit at date ofdeath and not thA cash value.
Values indicated for Life Insurance Products with only the ownar deceased reflect the cash value es of the date of
death. Valves for say propriety mutual flmds include accrued dividends as applicable. Values provided for
brokerage Products are maaualIy calculated, and should be used as estimates only. The prices used to provide
values are estimates obtained fr+o~m out4ido sources believed to be reliable, Ameriprise Financial provides these
values as a service to its cliems. Actual values used in preparation of tax rehuns or for planning purposes should be
verified by your legal sad accounting advisors.
We appreciate the opporwairy to be of service to you. Please contact us if you have 8~ questions.
Sincerely,
Renee Raaen
Death Settlenleats Processing Team
70100 Amttrlprise Financial Center
M~e~lis, NIrT 55474
1.800-862-7919, Option 2, ask for Estate Settlements
» » »
Renee M Rsaen ~ Claims Analyst
Death Settlements
Ameriprise Financial, Inc
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Eaton Vance Tax-Mgd Growth 1.1 A (ETTGX) On Dec 19: 17.70 t
,~~~ ~~.~9 #rades. ,~ e_ ~'a1TRAC3~
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Historical Prices Get Historical Prices for: GO
SET DATE RANGE
a:~ Daily
Start Date: Jun - 18 2008 ' Eg. )an i
2003 :~ Weekly
End Date: -Jun 18 2008 ~._ ~ Monthly
:._:~ Dividends Only
Get Prices
First ~ Prev ~ Nex# ~ Las#
PRICES
Date Open High Low Close Volume Adj
Close'
18-Jun-08 24.65 24.65 24.65 24.65 0 24.65
Close price adjusted for dividends and splits.
First ~ Prev ~ Nex:t ~ Last
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~_ - -
SCHEDULE E
CASH AND MISCELLANEOUS PERSONAL PROPERTY
ESTATE OF
Faithe M. Light FILE NUMBER
ITEM #21-08-0693
NUMBER VALUE AT DATE
DESCRIPTION OF DEATH
Jonestown Bank ~ Trust Co.:
1 Checking Account No. 618652
Interest to date of death 3,183.70
2
Checking Account No. 618025 0 27
Interest to date of death 14,647.90
Less: Checks clearing after death 1.26
(6,241.22)
3 Kreamer Funeral Home -Prepaid Funeral Refund
4
Ameriprise Settlement Fund -Class Action Settlement 165.01
5
Messiah Village -Refund 139.54
6
Amerprise Settlement Fund -Class Action Settlement 192.50
7
Amerprise Settlement Fund -Class Action Settlement 19.68
8
Amerprise Settlement Fund -Class Action Settlement 7 87
9
Amerprise Settlement Fund -Class Action Settlement 7 87
10
Amerprise Settlement Fund -Class Action Settlement 7 87
11
Amerprise Settlement Fund -Class Action Settlement 7 87
12
Amerprise Settlement Fund -Class Action Settlement 7 87
13
Amerprise Settlement Fund -Class Action Settlement 7.87
14
Public School Employees' Retirement System -Prorated Pension Payment 7 87
1 078.07
TOTAL SCHEDULE E 13,241.80
[ -
JBT
Bookkeeping Dept.
421 E. Penn Ave.
Cleona, PA 17042
This is the information that you requested for Account Yeri fication:
For: Faithe M Light
Date of Death: 6/18/2008
SSN: 187-03-9398
Account Number: 618652
Type of Account: checking
Date Account
Established: 12/9/2003
D.O.D. Balance: $3,183.70
Acc.Int. at D.O.D: $0,27
Joint Name: Donna Salerno
(If Applicable) Rep Payee
Date Joint Name
Established: 12/9/2003
Safe Deposit box # 20000098 opened 8/7/04 in Faithe's name only
Name: Joyce R Stough
Position: Bookkeeper
Date: 1 S-Jul-08
~,
Jonestown Bank & Trust Co.
Account Number: 618025
Type of Account: checking
Date Account
Established: 8/I S/2003
D.O.D. Balance: $14,647.90
Acc. Int at D.O.D: $1.26
Joint Name:
(If Applicable) n/a
Date Joint Name
Established: n;~
SCHEDULE G
TRANSFERS
ESTATE OF
FILE NUMBER
Faithe M. Licht
ITEM
#
escription of Property
xclusion
Total Value
Of Asset
Decd
%
Interest x~ ~ -vo-vv~s
Dollar Value
Of
Decedent's
Interest
1 Ameriprise Financial:
Acct. No. 01011277062 2 002:
1,785.315 shs. RVS Mid Cap 15,300.15 100% 15,300.15
Value Fund Class B @ 8.570
Acct. No. 01011277063 0 002:
4,312.970 shs. RVS Prtnrs Fndmntl
Value Fund Class B @ 5.630 24,282.02 100% 24,282.02
Acct. No. 01011277064 8 002:
4,538.437 shs. RVS Partners
Small Cap Value Fund Class B @ 4.34 19,696.82 100% 19,696.82
Acct. No. 01013320859 4 002:
12.988 shs. RVS Large Cap
Equity fund Class A @ 4.830 62.73 100% 62.73
Acct. No. 0103696100 9 002:
4,813.274 shs. RVS Diversifid Bond
Fund Class B @ 4.740 22,861.73 100% 22,861.73
Acct. No. 01312574446 9 002:
349.419 shs. RVS Large Cap Equity
Fund Class B @ 4.720 1,649.73 100% 1,649.73
Acct. No. 01010443717 2 002:
3,220.723 shs. RVS Diversified
Equity Income Fund Class B @ 11.020 35,492.37 100% 35,492.37
Beneficiaries: Nieces and Nephews
TATA 1 c~ni ~re~~ ~~ r _
" ~ """ " 119, 345.55
AMERIPRISE FINRNClRL Fax:717-975-2700
Rus 18 2008 02:25pm P002/003
To RogerA Place/Field/AMPF~AMPF
cc
bcc
Subject FAITHE LIGHT 10349502 4001
DATE OF DEATH VALUES- PLEASE DO NOT DELETE
August 15, 2008
ROGER ALLAN PLACE
sTE zoo
342 N FRONT ST
wOR1~II,EySBURG, PA 17043-1112
Dear ROGER ALLAN PLACE;
RlverSource L3h insuninu Company
R1ver8ource Funds
Amerlpiiee Gertlflc~s Company
Amerfpriae Brobsra9a
?Q100 AmeNprlee Fitnusolal Cont~r
Mlnneepolla, INN 66474
Thank you for your recent inquiry rogerding pa~~ M LIGHTS accouaLs. These are the values of the accounts as
of 06/18!2008.
Account Information
Mutual Fande
Account Number
01011277051 5002 ~~~
01011277062 2 002 Individual - TOD
01011277063 0 002 Individual - TOD
OlOI 1277064 8 002 Individual - TOD
OlOlS320859 4 002 Individual . TOD
01013696100 9 002 Individual - TOD
01312574446 9 002 Individual - TOD
Annuities -Post 1985
~cc~untNumber ;~~~
93002099562 5 004 P/O Individual
93005120085 3 004 P/O Individual
Life Insurance
Accamt Numb r era
90906268844 7004 Individual
Ameripttise }3rokerage Account
Account Number 1
01010443717 2 002 In TOD
_r _ - -
RMERIPRISE FINANCIAL Fax:717-975-2700 Rut; 18 2008 02:25pm P003/003
Mntual Fnndg
AccOUnC N„mt•wr Total Value ~ arcs A
asst Val
** S1
P
01011277051 5 002
010112770622 002
$4,097.29
$15
300
15
1,499.611 _
ue
,a„P
R
2.720
01011277063 0 002 ,
.
$24,282.02 1,785.3I5
4 312
970 8.570
01011277064 8 002 $19,696.82 .
4
538
437 5,630
01013320859 4 002
$62.73 ,
.
12
988 q.~40
01013696100 9 002
$22,861.73 .
4,813.274 ~ 4.830
4
740
01312574446 9 002 ~ 51,649.73 349.519 .
4
720
01010443717 2002 535,492.37 3,220.723 .
11.020
Annuities -Post 1985
count Nn~tbcr ~ .
93002099562 S 004 P/O N/A
93005120085 3 004 P/O N/A
Life Insarance
Accou~ Number Total Value
90906268844 7004 $61,847.00
The date of death values provided are for estate ffi1c purposes and are not a value to be paid. Accounts maybe
- subject to market fluctuation as governed by each product Please note that the values indicated for any Life
Insurance product(s) with the insured deceased reflect tbe gross.death benefft at date of death and not the cash value.
Vahies indicated for Life Insurance Products with only the owner deceased rotlect the cash value ae of the daft of
death Values for any propQietary mutual ftmds include accrued dividends as applicable. Values provided for
brokerage Products are meaualIy calculated, and should be used as estimates only. The prices used to provide
values are estimates obtained from outside sources believed to be reliable. Ameriprise Financial provides these
valves as a service to its clients. Actual values used. in preparation of tax returns or for planning purposes should be
verified by your legal and accounting advisors.
We appreciate the oppcrwniry to be of service to you. Please contact us if you have nay questions.
Sincerely,
Renee Raaen
Doaih Settlements Processing Team
70100 Atneriprise Financial Center
Mirmeapolis, MN 55474
1-800-862-7919, Option 2, ask for Estate Settlemenns
» » »
Renee M Resen ~ Claims Analyst
Death Settlements
Ameriprise Financial, Inc
_
_~
SCHEDULE H
FUNERAL EXPENSES
AND ADMINISTRATIVE COSTS
ESTATE OF
FILE NUMBER
Faithe M. Light #21-08-0693
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1
B. ADMINISTRATIVE COSTS:
1 Personal Representative Commissions:
Name of Personal Representative: Donna salemo - 54,tao; Bruce Light -5460
Street Address: 1080 Schoolhouse Road; 235 Narrows Drive
City/State/Zip: Annville, PA 17003; Lebanon, PA 17046
Social Security #:
Year(s) Commissions Paid: 2009
2 Attorney Fees: May, Metzger and Zimmerman, LLP
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: Register of Wills of Cumberland County
5 Accountant's Fees:
6 Tax Return Preparer's Fees:
7 The Sentinel -estate notice
8 Cumberland Law Journal -estate notice
9 May, Metzger and Zimmerman, LLP -reimburse [ ]short certificates
10 May, Metzger and Zimmerman, LLP -reserve/releases
11 May, Metzger and Zimmerman, LLP -reserve/1 yr. FITR preparation
12 May, Metzger and Zimmerman, LLP -reimburse postage
4,600.00
5, 300.00
205.00
158.62
75.00
400.00
1, 500.00
46.02
TOTAL SCHEDULE H 12,284.64
r
SCHEDULEI
DEBTS OF DECEDENT
MORTGAGE LIABILITIES AND LIENS
ESTATE OF
FILE NUMBER
Faithe M. Light #21-08-0693
ITEM
NUMBER DESCRIPTION AMOUNT
1 Messiah Village -balance due 4,213.50
2 Alert Pharmacy Services, Inc. -balance due 46.27
3 Capital Area Health Assoc. -balance due 10.00
4 PSERS -return of pension payment 1,367.34
5 The Union Central Life Ins. Co. -return monthly payment 161.95
6 Capital Area Health A§soc. -balance due 30.00
TOTAL SCHEDULE 1 ~ 5.829.06
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER
Faithe M. Light ~,,, „o ~~~„
NUMBER
NAME AND ADDRESS OF PERSON(S)
RECEIVING PROPERTY
RELATIONSHIP TO DECEDENT
Do not List Trustee s) +r~ ~ -vv-vv~J
AMOUNT OR SHARE
OF ESTATE
I.
1 Taxable Distributions: (Include outright spousal distributions)
. Melissa Ensminger Miller
Great- Niece
1/31 of Residue
900 Sycamore Drive
Denver, PA 17517
2 . Angela Wampler Fountain Great- Niece 1/31 of Residue
3313 S. Cimarron Drive
Orlando, FL 32829
3. Michael Allen Wampler Great-Nephew 1/31 of Residue
89 Lakepoint Drive
Harrisburg, PA 17111
a. Hayden James Wampler Great-Nephew 1/31 of Residue
603 Henry Houck Lane
Lebanon , PA 17042
s. Elaan Elizabeth Emsninger Great-Niece 1/31 of Residue
n/b/m Elaan Elizabeth Honicker
105 Willow St.
Schuylkill Haven, PA 17972
s. Kelly Lynn Ensminger Great-Niece 1/31 of Residue
10 N. 12th Street
Pottsville, PA 17901
Cont....
II. Non-Taxable Distributions:
A. Spousal Distributions: (Under Section 9113 for which an Election to Tax is not being made)
1.
B. Charitable and Governmental Bequests:
1.
T/1T A ~ A /~ ~ •
_.
r v r rim J~.n000Lt J
SCHEDULE J (Cont.)
BENEFICIARIES
ESTATE OF
Faithe M. Light
NAME AND ADDRESS OF PERSON(S)
NUMBER RECENING PROPERTY
ELATIONSHIP TO DECEDENT
Do not list Trustee(s)
FILE NUMBER
#21-08-0693
AMOUNT OR SHARE
OF ESTATE
~. James Edward Fountain III Great-Nephew 1/31 of Residue
2nd Tank Alph Comm., PFC Box 20091
Camp Lejeune, NC 28542
a. Sharon Renee Wlk Great-Niece 1/31 of Residue
n/b/m Sharon Renee Steckbeck
824 Laurel Grove Road
Annville, PA 17003 ,
s. Edward Andrew Wilk Great-Nephew 1/31 of Residue
641 Brisbain Lane
Enola, PA 17025
io. Andrew Michael Light Great-Nephew 1/31 of Residue
703 Harvey St.
Baltimore, MD 21230
~~. Amanda Michelle Light Great-Niece 1/31 of Residue
n/b/m Amanda Michelle Perdue
620 Trace Drive
Wilmington, NC 28411
12. Jonathan Dengler Ramos Great-Nephew 1/31 of Residue
65 Hayden Street
Willimantic, CT 06226
13. Joseph Robert Ramos Great-Nephew 1/31 of Residue
1533 South Broad Street
Philadelphia,, PA 19147
ia. Joel Gregory Ramos Great-Nephew 1/31 of Residue
1510 Oak Street
Lebanon, PA 17042
~s. Michael David Perlaki Great-Nephew 1/31 of Residue
65 Hayden Street
Willimantic, CT 06226
~s. Mackenzie Barbara Dallas Great-Niece 1/31 of Residue
18465 17th Ave., NW
Shoreline, WA 98177
~~. Chelsea H. Dallas Great-Niece 1/31 of Residue
18465 17th Ave., NW
Shoreline, WA 98177
~a. Kendra Elizabeth Wyrick Great-Niece 1/31 of Residue
n/b/m Kendra Elizabeth Smith
100 Crews Ave., Apt. H25
Alamogordo, NM 88310
Cont....
r
SCHEDULE J (Cont.)
BENEFICIARIES
ESTATE OF
FILE NUMBER
Faithe M. Light #21-08-0693
NAME AND ADDRESS OF PERSON(S) RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER RECEIVING, PROPERTY Do not List Trustee(s) OF ESTATE
is. Kayla Elaine Wyrick Great-Niece 1/31 of Residue
840 Alexander Sprang Rd.
Carlisle, PA 17013-9182
20. Krista Elyse Wyrick
840 Alexander Spring Rd.
Carlisle, PA 17013-9182
2i. David Earl Mann
101 shanelly Drive
Port Matilda, PA 16870
22. Cheryl Mann Kauffman
4 Pomo Court
Dillsburg, PA 17019
23. Michael Eugene Mann
2371 Old Ranch Road
Escondido, CA 92027
2a. Evan Lew Pyke
P.O. Box 454
Anacortes, WA 98221-0454
25. Kyle Lew Pyke
P. O. Box 454
Anacortes, WA 98221-0454
2s. Jeremy Abraham Pyke
405 Beech Ave.
Takoma Park, MD 20912
27. Alexandra Christine Pyke
2223 Octavia Street
New Orleans, LA 70115
2s. Austin Nicholas Pyke
2223 Octavia Street
New Orleans, LA 70115
2s. Kimberly Stoessel Schuyler
1051 International Lane, Gibraltor
Hershey, PA 17033
30. Steven Paul Stoessel
118A Shetland Drive
Hummelstown, PA 17036
31. Thomas Michael Steossel
120 Ashford Manor Drive
Centre Hall, F'A 16828
Great-Niece 1/31 of Residue
I Great-Nephew ~, I1/31 of Residue
Great-Niece 1/31 of Residue
Great-Nephew 1/31 of Residue
Great-Nephew 1/31 of Residue
Great-Nephew 1/31 of Residue
Great-Nephew ~ 1/31 of Residue
Great-Niece 1/31 of Residue
Great-Nephew 1/31 of Residue
Great-Niece ~ 1/31 of Residue
Great-Nephew 1/31 of Residue
Great-Nephew ~ 1/31 of Residue
~.
LAST WILL AND TESTAMENT
OF
FAITHS M. LIGHT
I, FAI'THE M. LIGHT, having my legal residence at Messiah Village, Cumberland County,
Pennsylvania, realizing the uncertainty of this life, but with confidence in God and trust in His Son,
my Lord and Savior, Jesus Christ, .who died for my sins upon the cross and rose again to redeem
me and give me eternal life, do hereby make public and declare this to be my Last Will and
Testament, thereby 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, all
such items, including any household fiuniture and furnishings, automobiles, books, pictures,
jewelry, art objects, hobby equipment and collections, wearing apparel, and other articles of
1 ~~ ~ ~ , ~,
personal and household use, equipment and ornament, and all insurance thereon, shall be sold and
the proceeds distributed with the residue of my estate.
ARTICL + FIVE
I give the rest, residue and remainder of my estate, of whatsoever nature and wheresoever
situation, in equal shares, to NEIVES CHADWICK ARAMBUI,, CHELSEA HAWKS DALLAS,
MACKENZIE BARBARA DALLAS, ELANN ELIZABETH ENSMINGER, KELLY LYNN
ENSMINGER, ANGELA WAMPLER FOUN'T'AIN, JAMES EDWARD FOUNTAIN III,
CHERYL MANN KAUFFMAN, AMANDA MICHELLE LIGHT, ANDREW MICHAEL
LIGHT, DAVID EARL MANN, MICHAEL EUGENE MANN, MELISSA ENSMINGER
MILLER, MICHAEL DAVID PERLAKI, ALEXANDRA CHRISTINE PYKE, AUSTIN
NICHOLAS PYKE, EVAN LEW PYKE, JEREMY ABRAHAM PyI{E, KYLE LEW PYI{E,
JONATHAN DENGLER RAMOS, JOEL GREGORY RAMOS, JOSEPH ROBERT RAMOS,
KIl~IBERLY STOESSEL SCHUYLER, STEVEN PAUL STOESSEL, THOMAS MICHAEL
STOESSEL, HAYDEN JAMES WAMPLER, MICHAEL ALLEN WAMI'LER, EDWARD
ANDREW WILK, SHARON RENEE WILK, KAYLA ELAINE WYRICK, KENDRA
ELIZABETH WYRICK, and KRISTA ELYSE WYRICK, provided they survive me by thirty (30)
days. If any of the named beneficiaries fail to survive me by thirty (30) days, his or her share shall
be distributed to the remaining named beneficiaries, pro rata.
ARTICL ~.. IX
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
2 ;~ ~, '
/ z ~ ~,"?
remainderman be subject to claims of his or her creditors or liable to attachment, execution or other
process of law.
ARTICLE SEVEN
If any such descendant of mine has not reached legal age under the law of the jurisdiction in
' which that descendant is domiciled at the time of distribution under this Will, then distribution of
his or her share shall be made instead to my Executor as custodian for that descendant under the
Pennsylvania Uniform Transfer to Minors Act, and all provisions of that Act as they exist at the
time of this my Last Will and Testament shall apply to the distribution. If necessary for legal
transfer to that custodian, my Executor shall convert the assets in that descendant's shaze to cash or
securities.
ARTICLE EIGHT
I appoint my niece and nephew, DONNA S. SALERNO and BRUCE LIGHT, or the
survivor ofthem, as Co-Executors of my Will. I give to my Co-Executors, 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 Co-
Executors, 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, azbitrate or abandon claims;
-,
4. To make distributions in cash, or in kind at current values, or partly in 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 peison 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;
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 Co-Executors to protect the Co-Executors and the estate against
any hazard;
9. To pay all taxes, assessments, fees of the Co-Executors 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
final 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 owner 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 Co-Executors; the Co-Executors shall have all additional powers that may
~! ~:
-~ ,
, "'.
4
r
now or hereafter be conferred on them by law or that may be necessary to enable the Co-Executors
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 Co-Executors shall receive reasonable compensation for their services performed as
determined by the court in which this Will is admitted to probate.
ARTICLE 1VINE
I realize that Executors are given 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 subject 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 make adjustments
between income and principal as a result thereof.
;~
f~ y~. ,
,,;.
>~
5
ARTICLE TEN
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
my Last Will and Testament, 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 my Last Will and
Testament 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 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 ~ clay of
~~~ , 2000, set my hand and seal to this my Last Will and Testament, consisting of
seven (7) pages.
FAITHE M. LIGH
SIGNED, SEALED, PUBLISHED and DECLARED by FAITHE M. LIGHT, 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.
Residence ~~~ ~'~-- ~t t c
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Residence _ C (~~~1 I ~~•~-~ ~: i ~';'t _ ~ , t, ,~.
E
'+
6
r - _ - -
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF DAUPHIN ;
~,_
r~ -
We, FAITHE M. LIGHT, _~~ L_ ~~ and / "/' !~~~~i , ! (1C:"{`~~
Testatrix and witnesses, respectively, whose names are signed to the attached and foregoing
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.
Subscribed and sworn to and acknowledged before me by FAITHE M. LIGHT, the
Testatrix, and subscribed and sworn to before me by ~~--`E ~- - ~ v`3v~c~-~ and
,~ ,
k ~ ~'~~' -`~~~~ ! /~ ,witnesses, on this 1~~~ - day of ~-~+.-~:f~ ~
2000.
~ ~ /.
Notary Public
Notarial Seal
Linda L. Fettsrnoff, Notary Public
Derry Twp., Dauphin County
7 M11iy Commissi«r Expires Nov. &, 2003
~~ ,~ ~ ~ ,,"Af1
TESTATR[~ -