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HomeMy WebLinkAbout04-27-0915056041147 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue county code near File Number Bureau of Individual Taxes INHERITANCE TAX RETURN Po Box.2sosot 2 1 0 8 012 3 7 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 200 09 5426 11 O1 2008 06 24 1906 Decedent's Last Name Suffix Decedent's First Name MI CARTER ESTHER 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 IN APPROPRIATE OVALS BELOW X^ 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (date of death prior to 12-13-82) ^ 4. Limited Estate ^ qa, Future Interest Compromise ^ 5. Federal Estate Tax Return Required (date of death aRer 12-12-82) g. Decedent Died Testate (Attach Copy of Will) ^ ~ Decedent Maintained a Living Trusl (Attach Copy or Trust) 0 8. Total Number of Safe Deposit Boxes ^ 9. Litlgatlon Proceeds Received ^ 1 p, Spousal Poverty Credit (date of death 11, Election to tax under Sec. 9113 A between 12-31-91 and •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 WM. D. SCHRACK III 717 432 9733ty Firm Name (If Applicable) SCHRACK & LINSENBACH LAW First line of address 124 W. HARRISBURG STREET Second line of address P.O. BOX 310 City or Post Office State ZIP Code Martha Slusser t 7'i C~ 7 c _.:~ ~~ ;_; ~ :~~ ;-~ ::;_ ~ _,, ~' r~r i ~; =a z., DILLSBURG PA 17019-0310 Correspondent'se-matladdress: Schracklaw@comcast.net Under penalties of perjury, I declare that I have examined this return, inGuding accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal) representative is based on all information of which preparer has any knowledge. SIGNATURE OF PEF~SON RESPONSIBL~yFAR FILING RETURN neTc ADDRESS .aa-dc~ 145 Twin Hills Road, Dillsburg, PA 17019 ~IGNATURE~'PR OT R THAN REPRESENTATNE Wm. D. Schrack III 124 W. Harrisburg Street, Dillsburg, PA 17019-0310 DATE •-o Side 1 15056041147 15D56041147 J J 15056042148 REV-1500 EX Decedent's tJeme: Esther M. Carter Decedent's Soaal Security Number 2 0 0 0 9 5 4 2 6 RECAPITULATION 1. Real Estate (Schedule A) ...................................................................................... 1. 2. Stocks and Bonds (Schedule B) .............................~. ....,,,,,,,,,, ........................... 2, 1 17 , 14 6 . 9 5 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. 8 6 , 4 2 9 . 4 0 6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested ............. 6. 1 9 , 3 8 7 . 3 1 7. Enter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ~ Separate Billing Requested ............. 7, 8. Total Gross Assets (total Lines 1-7) ................................................................ 8. 2 2 2, 9 6 3. 6 6 9. Funeral Expenses & Administrative Costs (Schedule H) ...................................... 9. 2 1 , 8 8 7 . 3 0 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule t) ................................ 10. 2 6 7 . 6 6 11. Totals=Deductions (total Lines 9& 1Q) ,. 11. - 2 2 , 15.4.9 6 12. Net Value of Estate (Line 8 minus Line 11) ............................._.......................... 12. 2 O O , 8 0 8 . 7 0 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. 2 0 0 , 8 0 8 . 7 0 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 .o0 0. 0 0 15• 0. 0 0 16. Amount of Line 14 taxable at linealrateX .045 200, 808 .70 16• 9, 036.39 17. Amount of Line 14 taxable at sibling rate X .12 0. 0 0 17• 0. 0 0 18. Amount of Line 14 taxable at collateral rate X .15 0. 0 0 18• 0. 0 0 19. Tax Due .................................................................. ............................................. 19. 9. 0 3 6. 3 9 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. a Side 2 L 15D56D42148 15056042148 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-08-01237 DECEDENT'S NAME Esther M. Carter STREET ADDRESS Chapel Pointe at Carlisle 770 S. Hanover Street CITY STATE ZIP Carlisle PA 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount 3. InterestiPenalty if applicable p. Interest E. Penalty 9,000.00 451.82 Total Credits (A + B + C) Total Interest/Penalty (D + E) 4. 1f Line 2 is greater than Line 1 + Line 3, enter the difference. This is theDVERPAYMENT. Check box 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 theTAX DUE A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is theBALANCE DUE (1) 9,036.39 (2) 9,451.82 (3) (a} 415.43 (5) (5A) (5B) Make Check Payable fo: REGISTER OF W/LLS, 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 :............................................................................. ^ ^x b. retain the right to designate who shall use the property transferced or its income :................................ ^ x^ c. retain a reversionary interest; or .............................._..........................._............................................... ^ ^ d. receive the promise for life of either payments, benefits or care? ........................................................... ^ ^x 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 ~n 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? ................................................................................................................ ^ 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 o 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)J. The statutedoes not exemota 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 sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Rev-1503 EX+ (8.98) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA I INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Carter, Esther M. 21-08-01237 All property Jointly-owned with rlQht of survivorship must be disclosed on Schedule F ITEM NUMBER CUSIP NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 1 Ameriprise Financial -Account Number 02150874931 0 117,146.95 002 TOTAL (Also enter on Line 2, Recapitulation) 117,146.95 pr more space Is neetletl, atltlitional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-1508 EX+ (8-88) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Carter, Esther M. 21-08-01237 Indude the proceeds of IlUgation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Centric Bank -account #2530522 37,697.42 2 Members 1st Federal Credit Union -Certificate of Deposit account #321805-40 46.654.98 3 Members 1st Federal Credit Union -savings account #321805-00 5.00 4 PNC Bank -checking account #51.4018-1731 2.072.00 TOTAL (Also enter on Line 5, Recapitulation) I 86,429.40 (if more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1508 Ex+ (6-98j gCH E DU LE F CoMMONWEALn+oF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERRANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Carter, Esther M. 21-08-01237 K an asset was made Jolnt within one year of the decedents data of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Jacqueline A. Carter 2102 N. 31st Terrace Daughter Saint Joseph, MO 64506-2214 B. C. JOINTLY OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH ALUE OF ASSE ova OF DECD~S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 1 A 10/11/2006 Mid Penn Bank -account #9018193 38.774.62 50.000% 19,387.31 TOTAL {Also enter on Line 6, Recapitulation) I 19,387.31 (If more spats is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) REV•1151 Ex+02.98) gCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Carter, Esther M. 21-08-01237 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A, FUNERAL EXPENSES: Hollinger Funeral Home and Crematory 8,378.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Martha Slusser Social Security Number(s) / EIN Number of Personal Representative(s): Street Address 145 Twin Hills Road City Dilisburg State PA Zip 17019 Year(s) Commission paid 2009 3,500.00 2. Attorney's Fees Wm. D. Schrack III 6,500.00 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 374.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 3,135.30 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 21,887.30 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1502 EX+ (6.88) SCHEDULE H-A FUNERAL EXPENSES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Carter, Esther M. 21-08-01237 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-A (Rev. 6-98) Rev-1502 EX+ (6.98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Carter, Esther M. 21-08-01237 ITEM NUMBER DESCRIPTION AMOUNT 1 Cumberland Law Journal -estate advertisement 75.00 2 DHL overnight letter service 40.00 3 Patriot Evening News -estate advertising 134.31 4 Pension reimbursement to Civil Service 2,290.00 5 Postage, shipping of materials to beneficiary ($29.35); certified mail for income tax 64.99 returns ($10.64); other miscellaneous copying, postage, etc. ($25.00) 6 Register of Wills -additional Short Certificates 16.00 7 Register of Wills -Inheritance Tax Return filing fee 15.00 8 Reserve for future administrative expenses 500.00 Subtotal I 3,135.30 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) Rev1512 EX+ (6.98) SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Carter, Esther M. 21-08-01237 Include unreimhureed medical expenses. (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98) REV•1513 EX+ (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER ~.ar~er, ~siner m. 21-08-01 237 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT SHARE OF ESTATE (Words) AMOUNT OF ESTATE ($$$) Do Not Lbt Trustee s I~ TAXABLE DISTRIBUTIONS [include outright spousal distributions and transfers under Sec. ~116(a)(1.2)] Jacqueline Anne Carter Daughter 200,808.70 2102 N 31st Terrace Saint Joseph, MO 64506-2214 Total 200,808.70 Enter dollar amounts for distributions shown above on lines 5 through 18, as appropri ate, on Rev 1500 cove r sheet II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0 00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule) (Rev. 6-98) LAST WILL AND TESTAMENT ' 1` OF ESTHER M. CARTER I, ESTHER M. CARTER, of l7 South Baltimore Avenue, Mt. Holly Springs, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding do hereby make and declare this as my last will and testament and revoke all wills and codicils heretofore made by me. FIRST I direct the payment of my debts and expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. I authorize my personal representative to arrange for my interment in the,cemetery~lot that I own at the Mt, Holly Springs CemeY,ery. Further, in this connection, I authorize my personal representative to --- - -- ~--upend---rea~senable-=-fun~3sT=f-resm~-~rny~e=st~ate.,-n°-such amzsunt as° my_ _._ _, . ," personal representative shall consider necessary and desirable '` for the purchase, erection and inscription of a suitable ~ marker for my grave. SECOND I give, devise and bequeath all of my property, both k i~ real and personal and otherwise, wherever located, to my daughter, Jacqueline Anne Carter, now residing in St. Joseph, Missouri, should she survive me by thirty (30) days. ~~ .~~ Should my daughter, Jacqueline Anne Carter, fail to ~~3 survive me by thirty (30) days, then I give, devise and F ~ bequeath all of my property, both real and personal and THIRD Any and all payment or payments of any sum or sums, ;t whether in cash or in kind and whether from principal or 'i income, payable to my beneficiaries, or any, shall be made i~ upon the sole receipt of the respective individual to whom the -~ t payment is made, and free from anticipation, alienation, ;? assignment, attachment, and pledge, and free from control by the creditors of any such beneficiary. All shares of principal and income herein given shall he free from y~ anticipation, assignment, pledge or obligation of any beneficiary, and shall not be subject to any execution or attachment. FOURTH ~' Finally, I nominate, constitute and appoint my `. daughter, Jacqueline Anne Carter, Executrix of this my last will and testament. Should she fail to survive me or be unable to serve this capacity, then I nominate, constitute and appoint my attorney, John F. Goryl, Esquire, Executor of this `~ my last will and testament. ~, ra; ~ r ,l ' I hereby relieve my Executor/Executrix from the r; .-:; ~; necessity of posting security in connection with his or her duties as such in any jursidiction in which he or she may be i called upon to act insofar as I am able by law to do so. +5 [~ :` IN WITNESS WHEREOF, I have hereunto set my hand and %seal to this, my last will and testament, consisting of three (3) typewritten pages, the first two (2) of which bear my signature in the margin for the purpose of identification this -.~-L` day of ~ , 1987. ;~; li ~ ~~?? ~~-( ,,Q~ '~,Gt~~c ~11 '~ _ ,.~ 1~' a ( SEAL ) ESTHER M. CARTER SIGNED, SEALED, PUBLISHED and DECLARED by the above- named Testatrix, ESTHER M. CARTER, as and for her last will and testament, in the presence of us, who at her request, in 4 her sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. / ~Y'v ~~,Q ~'w C-~,~~~- , 7~ COMMONWEALTH OF PENNSYLVAP3IA . SS. COUNTY OF CUMBERLAND r ,, iY Wer ESTHER M. CARTER r STEPHEN B. LIPSOI3 , and _ JOHN F. GORYL , the Testator/Testatrix and the witnesses, respectively whose names are signed to the ~~ attached or foregoing instrument, being first duly sworn, do '•~ hereby declare to the undersigned authority that the Testator/ ,, e, << Testatrix signed and executed the instrument as his/her last n; will, and that he/she signed willingly, and that he/she 4. executed as his/her free and voluntary act for the purposes therein expressed, and that each of the witnesses in the presence and hearing of the Testator/Testatrix, signed the will as witnesses, and that to the best of their knowledge, the Testator/Testatrix was at the time eighteen (18) years of age or older, of sound mind, and under no constraint or undue influence. Lin ~Yk ~~ J~.Y E~'FAE~ 'A1~'lE Sworn or affirmed to and 'ckrrowledged before me, this ;j~~ day of ~ ~ ~ ,, 19~~~. v~ ' ~1 n _,~ ~ ._r .± t ~ ~ r `rte U i `-Notary Pu lic DEC-19-08 11:52 AM BENKO~,{ICH AND ASSOCIATES fl(fblbLtsL Benkovich &Associates Ameri rise P A financial advisory practice of Finttttcia~ Ameri rise Financial Services Inc p Westwood Center 4661 Trindle Road Camp Hill, PA 17011 Phone # 717-761-4208 # 800-962-8694 Fax # 717-761-6282 MEMO f To: Attorney William Schrack Fax: 432-1053 Phoae: 432-9733 ~: ' From: Laure Kane Date: 12/19/08 for Tom Benkovich, GFP Re: Pages: 1 ^ Urgent X For Review ^ Fleece Comment ^ Please Reply C3 Phase Recycle Re: Estate of Esther M. Carter We have received notification of ESTHER M CARTER'S death. The deceased's name appears on the following accounts. Account values as of l 1/01/2408 are listed below. Account Information Mutual Funds Account Number ~Ownershiu 0215087493 I 0 002 TrusteeBeneficiary Mutual Funds Account Number Total Value # of shares Asset Value Per Share 02150874931 0 002 $117146.95 31390.766 3.730 The date of death values provided are for estate tax purposes and are not a value to be paid. Accounts may be subject to market fluctuation as governed by each product. Values for any proprietary mutual funds include accrued dividends as applicable. Ameriprise Financial provides these values 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. r V 1 `t . ~~ '4 .f :.~ -, t' .. CEl~TTRIC ,F:~ H: , `'~c= .' We Revolve rlcound You. January 12, 2009 Wm D. Schrack III Schrack & Linesbach Law Offices 124 W Harrisburg St P.O. Box 310 Dillsburg, PA 17019-0310 RE: Estate of Esther M Carter Date of Death: November 1, 2008 Social Sceurity #: 200-09-5426 Estate No.: 21-08-01234 Wm. D. Schrack III, Following is the information you required on the account held by Esther M Carter. Ms. Carter held one account with us, which was an individual account. The account was opened on August 5, 2008. The balance as of her date of death was $37,697.42. If Centric Bank can be of any further assistance to you, please do not hesitate to contact us. Sincerely, ~M Denise M Schiano Deposit Operations Specialist Centric Bank 717-909-8329 4320 Linglestown Road Harrisburg, PA 17112 T 727.657.7727 F 717.657.7748 www.centricbank.com st MEMBERS 1St FEDERAL CREDTT UNION REGULAR SAVINGS ACCOUNT: Account Number/ Suffix 321805-00 Date Account Established 01/18/2008 Principal Balance at Date of Death $5.00 Accrued Interest to Date of Death $.00 Total Principal and Accrued Interest $5.00 Name of Joint Owner None CERTIFICATE OF DEPOSIT: Account Number/Suffix 321805-40 Date Account Established 01/18/2008 Principal Balance at Date of Death $46,654.98 Accrued Interest to Date of Death $.00 Total Principal and Accrued Interest $46,654.98 Name of Joint Owner None L' M BERS 1ST FEDERAL C DIT UNION - ~ ,~~ Danielle A. Kline Insurance Services Specialist December 30, 2008 Estate of: ESTHER CARTER Date of Death: November 1, 2008 Social Security Number: 200-09-5426 5000 Louise Drive P.O. Box 40 Mechanicsburg, Pennsylvania 17055 (800) 283-2328 wwwmemberslst.org Jan, 8. 2009 7:37AM PNC BANK 412-705-2747 ~~ ~ , t.~aa~N~tx~wAY January 8, 2009 William D Sclzrack III, Esq. 124 W Harrisburg St P 0 Box 310 Dillsburg, PA 17019-0310 RE: Esther M Carter SSN: 200-09-5426 DOD: 11-01-2008 Dear Mr. Schrack: No. 6226 P. 1/1 In response to your request for Date of Death (DOD) balances for the customer noted above, our records show the following: Checking Account Account # 5140181731 ~ Established: 04-01,1963 ESTI~R M CARTER DOD balance: $ 2,072.00 non interest bearing Please note that this office provides date of death balances for deposit accounts (IRAs, CDs, Checking and Savings). We do not process any snancial trsnsactiiona or provide statements. If you need assistance with aocy of these items, please call 1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch office. Sincerely, National Fvnaztcial Services Center PNC Bank, N.A. Member FDIC PartA 1 n•f 1 X75 1 f.= ~~ f~ MI D PE N N B~!~111 K Making things happen for you. December 30, 2008 Schrack & Linsenbach 124 W Harrisburg St. PO Box 310 Dillsburg, PA 17019 - 0310 Re: Estate of Esther M Carter Date of Death: November 1, 2008 SSN: 200-09-5426 Dear Mr. Schrack In response to youi~letter requesting information on the accounts of Esther M Carter, I have accumulated the necessary data below: Account #: 9018193 -Checking Account Name: Esther M Carter Date Opened: 10/11/2006 Balance DOD: $38733.93 Balance Accrued Interest DOD: $40.69 Total DOD Balance: $38774.62 Joint Ownership Name: Jacqueline A Carter ~~ Date Joint Ownership Established: Always joint If you have any further questions, please call me at 717-692-7161 Sincerely, ~.- .. ,., ~ ~' ennifer LaSalle Member FDIC Corporate Headquarters: 349 Union Street, Millersburg, PA 17061 • (717) 692-2133 • www.midpennbank.com