HomeMy WebLinkAbout09-25-09 (2)15056051047
REV-1500 EX (06-05) OFFIICIAL USE ONLY
PA Department of Revenue Count Code Year File Number
Bureau of Individual Taxes Y
Po Box 2sosot ~ INHERITANCE TAX RETURN 2 1 0 9 0 0 0 5 2
Harrisburg, PA 17128-0601 "~ ~- RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
2 0 4 0 1 2 4 5 3 0 1 0.3.2 0 0 9 0 4 2 9 1 9 1 5
Decedent's Last Name Suffix Decedent's First Narne MI
W E N T Z J U L _I A A
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
Spouse's First Name
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
MI
e 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death
prior to 12-13-82)
O 4. Limited Estate O 4a. Future Interest Compromise (date of O ;i. Federal Estate Tax Return Required
death after 12-12-82)
~ 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 0 t3. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 1 1. Election to tax under Sec. 9113(A)
bef~veen 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
M a r 1 i n R M c C a 1 e b E s q 7 1 7 6 9 1 7~ 7 0
Firm Name (If Applicable)
First line of address
2 1 9 E a s
Second line of address
P O B o x
City or Post Office
M e c h a n i
t M a i n S t r e e t
2 3 0
State ZIP Code
~
_
REGISTER-Q~JILLS US~NLY ""
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DATE FILED (~
c s b u r g P A 1 7 0 5 5
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Correspondent's e-mail address:
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 personal representative is based on all information of which preparer iias any knowledge.
S~Gt~URE OFN RE IB~E FOR FILING RETURN ~ /bATE i
ADDRESS
Side 1
1505605],047 15056051047
Law Offices-Marlin R. McCaleb, 219 East Main Street, Mechanicsburg, PA 17055
PLEASE USE ORIGINAL FORM ONLY
15056052048
REV-1500 EX
Decedent's Social Security Number
Julia A. Wentz 2 0 4 0 1 2 4 5 3
Decedent's Name:
RECAPITULATION
............................................
1. Real estate (Schedule A). 1 _ 0.0 0
.......................................
2. Stocks and Bonds (Schedule B) 2. 1 5 1 2 7.4 2
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3. 0'0 0
4.
9 9 ( ) ...........................
Mort a es & Notes Receivable Schedule D 4.
.. 0 0 0
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ...... .. 5. 1 8 2 1 9 7 .0 1
6. Jointly Owned Property (Schedule F) O Separate Billing Requested ..... .. 6. 8 6 2 2 6 •3 1
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
0 0
0
(Schedule G) O Separate Billing Requested...... .. 7.
8. Total Gross Assets (total Lines 1-7) .................................. .. 8. 2 8 3 4 5 0 .7 4
9. Funeral Expenses & Administrative Costs (Schedule H) ................... .. 9. 2 3 0 3 9 0 6
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............. .. 10. 1 0 5 5 •9 8
11. Total Deductions (total Lines 9 & 10) ................................. .. 11. 2 4 0 9 5 .0 4
12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. 2 5 9 3 5 5 .7 0
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which 2 g 0 4 1 6
an election to tax has not been made (Schedule J) ...................... .. 13. •
14. Net Value Subject to Tax (Line 12 minus Line 13) ..................... ... 14. 2 5 6 5 5 1 • 5 4
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0 ~ ~ 15. 0 0 `0
16. Amount of Line 14 taxable
at lineal rate X .0 ~5 2 5 6 5 5 1• 5 4 16. 1 1 5 4 4 8 2
17. Amount of Line 14 taxable 0 0 0
at sibling rate X .12 17.
18. Amount of Line 14 taxable
0
0
0
at collateral rate X .15 • 18. .
19 l 1 5 4 4. 8 2
19. TAX DUE ...................................................... .
...
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Side 2
15056052048 15056052048
RE~i-15'7 EX Pay? 3 File Number
Decedent's Complete Address: 21 - 09 - 00052
DECEDENTS NAME
Julia A. Wentz
STREET ADDRESS
4905 East Trindle Road
CITY STATE ZIP
Mectzanicsbur PA 17050
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19) (1) 11, 544.82
2. CreditslPayments 0.00
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
Total Credits (A + B + C) (2) 0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (D + E) (3) 0.00
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. (4) 0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 11, 544.82
A. Enter the interest on the tax due. (5A) 0.00
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) 11, 544.82
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 :......................................................................................... ^ ~J
b. retain the right to designate who shall use the property transferred or its income : ........................................... ^
c. retain a reversionary 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 dean
without receiving adequate consideration? ............................................................................................................. ^ ^X
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? ........................................................................................................................ ^
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)]. 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.
.~ f
REV-1503 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE B
STOCKS & BONDS
ESTATE OF FILE NUMBER
Julia A. Wentz SS~~ 204-01-2453 01/03/2009 21-09-0052
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE
OF DEATH
1 484 shares PPL Corporation, - common stock. 31.255 15,127.42
TOTAL (Also enter on line 'c:, Recapitulation) 15 , 127 .42
~~~ ~~~~~~ ~Na~~ ~~ ~irrueu, insert aaaaionai sneers of the same slze)
Copyright (c) 1996 form software only CPSystems, Inc.. Form REV-1503 EX (Rev. 1-97)
3 r
REV-1508 EX . (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Julia A. Wentz SS~~ 204-01-2453 01/03/2009 21-09-0052
Include the proceeds of litigation 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 American Express Travelers Cheques, - five (5), each a 100.00
denomination of $20.00.
2 Members 1st FCU, Savings acct. ~~ 339960-00, - Principal balance 5.00
as of D.O.D.; no accrued interest.
3 Members 1st FCU, Certificate of Dep. acct. ~~ 339960-4(), - 50,009.45
Principal balance as of D.O.D.: $ 50,000.00; interest accrued to
D.O.D.. $ 9.45.
4 Members 1st FCU, Certificate of Dep. acct. ~~ 339960-4(), - 146.51
interest check dated 01/02/2009.
5 Morgan Stanley Group Inc., - interest check dated 01/02/2009. 125.00
6 PNC Bank, Checking Acct. ~~5004997971, - Principal balance as of 2,804.10
D.O.D.: $2,803.91; interest accrued to D.O.D.: $ 0.19.
7 PNC Bank, Checking Acct. ~~5112030063, - Principal balance as of 27,360.67
D.O.D.: $ 27,349.75; interest accrued to D.O.D.: $ 10.92.
8 PNC Bank, Money Market Acct. ~~5004716893, - Principal balance as 20,234.48
of D.O.D.: $ 20,223.06; interest accrued to D.O.D.: $ 11.42.
9 PNC Bank, Certificate of Deposit Acct. ~~11020064132, ~- Principal 10,034.02
balance as of D.O.D.: $ 10,002.82; interest accrued to D.O.D.: $
31.20.
10 PNC Bank, Certificate of Deposit Acct. ~p31100289690, ~- Principal 19,126.70
balance as of D.O.D.: $ 19,125.00; interest accrued to D.O.D.: $
1.70.
11 PNC Bank, Certificate of Deposit Acct. ~~31100289690, -- interest 52.67
check dated 01/03/2009 for December's interest.
12 PNC Bank, Certificate of Deposit Acct. ~~ 31600313367, - Principal 12,155.90
balance as of D.O.D.: $ 12,124.66; interest accrued to D.O.D.: $
31.24.
13 PPL Corporation, - dividend check dated 01/01/2009. 162.14
14 Central PA Conference, United Methodist Church, - promissory note 12,115.72
dated 10/31/1986; Principal balance as of D.O.D.: $12.,000.00;
interest accrued to D.O.D.: $115.72.
Total of Continuation Schedule(s) ~ 27.664.65
TOTAL (Also enter on line 5 Recapitulation) I3 182 , 097 Ol
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1508 EX (Rev. 1-97)
Estate of: Julia A. Wentz
Soc Sec ~~: 204-O1-2453
Date of Death: 01/03/2009
Continuation of Schedule E
(Cash, Bank Deposits & Miscellaneous Personal Property)
Item Description
~~
Value at Date
of Death
15 Central PA Conference, United Methodist Church, - promissory
noted dated 07/14/2008; Principal balance as of D.O.D.:
$25,000.00; interest accrued to D.O.D.: $241.10.
16 Household goods, contents, furniture and furnishings.
17 PA Department of Revenue, - 2008 state income tax refund.
18 U. S. Treasury, - 2008 federal income tax refund.
19 U. S. Treasury, - 2008 federal income tax refund (amended
return).
25,241.10
2,225.00
45.00
40.00
113.55
27,664.65
REV-1509 EX + (1-97)
SCHEDULE F
COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Julia A. Wentz SS~~ 204-01-2453 01/03/2009 21-09-0052
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT
A. Betty Eshelman 923 Thornton Drive Daughter
Mechanicsburg, PA 170'5
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 forjointly-held real estate.
DATE OF DEATH
VALUE OF ASSET % OF
DECD'S
INTEREST DATE OF DEATH
VALUE OF
DECEDENT'S INTERES'
1 A 04/29/04 Morgan Stanley Group Inc - 172,452.61 50.00% 86,226.31
Account ~~ 604-67401-45 in
names of Decedent and Betty
Eshelman as JTWROS, made
joint on or about
04/29/2004.
TOTAL (Also enter on line 6 Recapitulation) I $ 86 , 226 31
(If more space is needed insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1509 EX (Rev. 1-97)
REV-1511 EX i (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES ~
ADMINISTRATIVE COSTS
"" ^ "_ "~ FILE NUMBER
Julia A. Wentz SS~~ 204-O1-2453 01/03/2009 21-09-0052
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1 Myers-Harner Funeral Home, - funeral expense. 10,168.00
2 Rolling Green Cemetery, - grave opening. 1,345.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s) / EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney's Fees Law Offices-Marlin R. McCaleb
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
4.
5.
6.
7.
1
2
3
4
5
6
Street Address
City State Zip _
Relationship of Claimant to Decedent
Probate Fees Register of Wills
Accountant's Fees
Tax Return Preparer's Fees
Other Administrative Costs
Cumberland Law Journal, - advertising grant of Letters.
Postmaster, - certified, insured mail, RRR, to return stock
certificate
Re ist f W'll h
10,500.00
360.00
75.00
14.89
g er o i s, - s ort certificate. 4.00
Register of Wills, - Short Certificate. 4.00
Register of Wills, - filing Inventory and Appraisement. 30.00
Skip's Hauling, - truck rental for hauling furniture. 225.00
Total of Continuat ion Schedule(s) 313 17
TOTAL (Also enter on line 9, Recapitulation) $ 23 , 039.06
(If more space is needed, insert additional sheets of the same size)
Copyright(c)1996formsoftwareonlyCPSystems,Inc. FormREV-1511 EX (Rev.1-971
Estate of: Julia A. Wentz
Soc Sec ~~: 204-01-2453
Date of Death: 01/03/2009
Continuation of Schedule H-B7
(Other Administrative Costs)
Item Description Amount
~~
7 Snoke Family Practice, - account payable, medical. 10.00
8 The Patriot-News, - advertising grant of Letters. 148.17
9 Whitcomb Tax and Financial Services, - preparation of 2008 155.00
federal and state income tax returns.
--------------
313.17
REV-1512 EX t (1-97)
SCHEDULE I
COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT,
INRESIDENT D EDEN RN MORTGAGE LIABILITIES, AND LIENS
ESTATE OF FILE NUMBER
Julia A. Wentz SS~~ 204-01-2453 01/03/2009 21-09-0052
Include unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION AMOUNT
1 FIA Card Services, - account payable, credit card bal<~nce. 68.88
2 PA Department of Revenue, - account payable, 2008 estimated 110.00
income tax.
3 Snoke Family Practice, - account payable, medical services. 27.09
4 Spirit Physician Services, - account payable, medical services. 32.92
5 U. S. Treasury, - account payable, 2008 estimated income tax. 807.00
6 Verizon, - account payable, telephone service. 10.09
TOTAL (Also enter on line 1U, Recapitulation) I$ 1 , 055.98
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 farm software only CPSystems, Inc. Form REV-1512 EX (Rev. 1-97)
REV-1513 EX +I9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF FILE NUMBER
Julia A. Wentz SS~~ 204-01-2453 01/03/2009 21-09-0052
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Lisi Trustee(s) OF ESTATE
I. TAXABLE DISTRIBUTIONS [include outright spousal distributions.and
transfers under Sec. 9116(a)(1.2)J
1 Betty M. Eshelman Daughter 86,226.31
923 Thornton Drive
Mechanicsburg, PA 17055
2 Barry L. Eshelman Grandson 56,775.08
2338 22nd Avenue, South
Seattle, WA 98144
3 Brenda M. Staab Granddaughter 56,775.08
3018 Harvard Avenue
Camp Hill, PA 17011
4 Kelly Ann Staab Great-Granddaughter 56,775.07
3018 Harvard Avenue
Camp Hill, PA 17011
ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON R EV 1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1 Calvary United Methodist Church, - charitable bequest per Item 3 2,804.16
of Will (PNC Bank Checking Acct. ~k5004997971, the "tithe checkin
account").
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 2 , 804.16
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 2000 form software only The Lackner Group. Inc. Form REV-1513 EX (Rev. 9-00)
~Ghe '~f.a~t ~i[[ anb ~e~tament
of
JULIA A. WENTZ
I, JULIA A. WENTZ, a/k/a Julia Ann Wentz, a/k/a Julia Ci. Wentz, of Hampden
Township, Cumberland County, Pennsylvania, being of sound and disposing mind,
memory and understanding, do hereby make, publish and declare this my Last Will and
Testament, hereby revoking and making void any and all prior Wills by me at any time
heretofore made.
1.
I direct the payment of all my just debts and funeral expenses as soon after my
decease as the same can conveniently be done.
2.
I direct that there shall be paid out of my residuary estate all estate, inheritance and
like taxes together with any interest or penalty thereon imposed by the Government of the
United States, or any state or territory thereof, or by any foreign government or political
subdivision thereof, in respect to all property required to be included in my gross estate
for estate, inheritance or like tax purposes by any of such governments, whether the
property passes under this will or otherwise.
3.
I give and begeuath the proceeds of my "tithe checking account" to CALVARY
UNITED METHODIST CHURCH, of Lemoyne to be used at its discretion.
-1-
4.
All the rest, residue and remainder of my estate, of whatsoever nature and
wheresoever situate, I give, devise and bequeath in three (3) equal shares to the
following:
a.) to my granddaughter, BRENDA M. STAAB.
b.) to my grandson, BARRY L. ESHELMAN
c.) to my greatgranddaughter, KELLY ANN STAAB.
5.
I nominate, constitute and appoint my granddaughter, BRENDA M. STAAB, to
be the guardian of the estate of my greatgranddaughter if she is not of age on the date of
my death, and direct that said guardian, in her sole discretion, shall apply principal as well
as interest for the maintenance, education and support of her when the same is in her best
interest, without the necessity of petitioning the Orphans' Court for permission to make
such expenditures. I direct that said guardian shall take possession of all insurance or
annuity contracts on my life to which said minor is entitled, and any and all pensions or
death benefits from my employer or from any society or organization of which I am a
member, said proceeds to be added to the her share under this will. No bond shall be
required of the guardian to guarantee the faithful performance of his duties.
7.
Lastly, I nominate, constitute and appoint my daughter, BETTY M.
ESHELMAN, to be Executrice of this my Last Will and Testament and I further direct
that no bond or other security be required of my her to guarantee faithful performance of
their duties.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this~~~ay of
March, 2006.
~~ ~ ~ AL)
u is A. entz
-2-
COMMONWEALTH OF PENNSYLVANIA )
SS
COUNTY OF CUMBERLAND )
I, JULIA A. WENTZ, the 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 same instrument as my Last Will and
Testament; that I signed it willingly, and that I signed it as my free and voluntary act and
deed, for the purposes therein expressed.
.-~
-~~ ~
(SEAL)
u a entz
Sworn and subscribed to before
m/e~t~h~is~a3 day of March, 2006 _ _
`~h`-~-~ ~ ~~ HEIDI M. N~HSON, Notary P~tbNc
Notary u is ~ Commi~ssio~n ~ -~ ]une~27ntl~~
COMMONWEALTH OF PENNSYLVANIA )
SS
COUNTY OF CUMBERLAND )
We, the undersigned, Betty M. Eshelman and John M. Eakin, the witnesses whose
names are signed to the attached or foregoing instrument, being duly qualified according
to law, depose and sad that we were present and saw the testatrix, JULIA A. WENTZ,
sign and execute the instrument as her Last Will and Testament; that the said testatrix
executed it as her free and voluntary act for the p oses therein expressed; that each of
us, in the hearing and sight of the testatrix, signede Will as witnesses; and that, to the
best of our knowledge, the testatrix was, at the time, eighteen (1 S) or more years of age,
of sound mind, and under no
Sworn and su scribed to before
me th/i~s- ~a day of March, 2006.
otary u is
NOTARIAL SEAL
HEIDI M. NELSON, Notary Pint
MyGom ~~ ~ ~~ 007
-3-
St
MEMBERS 1St
FEDERAL CREDIT DNION
SAVINGS ACCOUNT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
CERTIFICATE OF DEPOSIT•
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
Estate of: JULIA WENTZ
Date of Death: 01/03/2009
Social Security Number: 204-01-2453
339960-00
09/25/2008
$5.00
$.00
$5.00
None
339960-40
09/25/2008
$50, 000.00
$9.45
$50, 009.45
None
MBERS 1ST FEDERAL CREDIT UNION
~-JC~~-~~ ~ ~ lC~..e~
Danielle A. Kline
Insurance Services Specialist
February 3, 2009
5000 Louise Drive P.O. Box 40 Mechanicsburg, Pennsylvania 17055 (800) 28:3-2328 www.memberslst.org
SCHEDULE E.2,3
LING ~'H~ ~f/tlf
March 2, 200.9
Marlin E Mccaleb, esq.
219 East Main St
P O Box 230
Mechanicsburg, PA 17055
RE: Julia a Wentz
SSN: 204-01-2453
DOD: 01-03-2009
Dear Mr. Mccaleb:
In response to your request for Date of Death (DOD) balances for the customer noted above, our
records show the following:
Certificate of Deposit
Account # 11020064132
JULIA WENTZ
DOD balance: $ 10,002.82 + 31.20 accrued interest
Account # 3 1 1 00289690
JULIA A WENTZ
DOD balance: $ 19,125.00 + 1.70 accrued interest
Account # 31600313367
JULIA A WENTZ
DOD balance: $ 12,124.66 + 31.24 accrued interest
Checking Account
Account # 5004997971
Established: 04-08-2008
Established: 04-03 -2006
Established: 06-06-2007
Established: 03-27-2006
JULIA A WENTZ
DOD balance: $ 2,803.91 + 0.19 accrued interest
- ~ Account #-5.112030063• ~ •~ ~ ~ Estal;lisheu: 03-26-2007
JULIA WENTZ
DOD balance: $ 27,349.75 + 10.92 accrued interest
Page 1 of 2
SCHEDULE E.6,7,8,9,10&12
Savings Account
Account # 5004716893 Established: 03-27-2006
JULIA A WENTZ
DOD balance: $ 20,223,06 + 11.42accrued interest
Please note that this office provides date of death' balances for deposit accounts (IRAs, CDs, Checking and
Savings). We do not process any financial transactions or provide statements. If you need assistance with
any of these items, please call 1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch
office.
Sincerely,
National Financial Services Center
PNC Bank, N.A.
Member FDIC
Page 2 of 2
SCHEDULE E.6,7,8,9,10&12
~tiuE X31
CEN~'RAL PENNSYL~fANIA CONFERENCE
T'Hl= UNITED METHQDIST CHURCH
3 Iu1+JLBERRY DRIVE • ?.O. EtOx 2063 • MFr:NANIC58Ua~G, C-'417r~y55-2053 • TELEl:'NOhE +;71y! a5ai•52P S
September 22, 2609
Attrarr;ajy Marli;i H, McCaleb
Frarlkeber~er Place
'? 19 East Main Street
Pd Boy 234
Mec!?anicsburC PA 17055
k~e: Julia A. Wen's, beceased
Dear Attorney McCaleb
7'r~is letter is in reference tG the investment account th2~t Julia A Wentz had established ar+t31 the
Central Pe~~rlsylvarlia ronferenoe_ At the time of her death, January 3, 2Gn9, tl,~fl; value of her
'nvestment ~ertifica!es was Thirty-seven Thousand ~oiiars ($37,OOO.t~iJ). The interest rate on
these ce~titicate~ was being paid at 5.50 percent. ~"he interest that had aaacrued firam
t`1r;vember 1.2008 f,the 'asi date interest va+as paid; to January 3, 2009 ~~as $356,48. We have
also done same pa'°elimirtary research as to the date the interest rate was changed from 6.50°!0
tc 5.50% ?hat rate change occurred May 1, 1593,
the interest check that Mrs, Wentz received November 1, 2008 in the arnaunt of ~1,C~25.t36 was
arty r~~er;~ayrr;a~nt rf interest in the amount of ~2t32,53. IVirs, 1~~entz added $25,GOO.Oq to her
irlvestrrtgnt aGCAUnt on July 14, 2G08 Unfarturataly the l~ovember interest check reflected
irit@r95i ol'~ tt'~at ari~ount fCr than entire E rn~:,nth period: May 7 throl.~gh Nvv~mber i . Tt-at
overpayment was then deducted frrsm tf;e interest that ~n+as paid on May 1, 2005.
It ig our understanding that ya;a do want ~0 Clas4' out that account. il~~1e will be happy to process
that withdraws :~pc~nrBCG'I~t of the ta~+o rnv¢sttner~t Gertif+^~tes in our nifice. At that time we v'W=~l!
..ut a check fa€- ti'le ~+a!ue ~:f tide certificates but the interest that u~ouid de clue from May 1 ±o tI-+e
actual data3 cf va.~ithdrauval will not be paid until November 1, 2QG9.
IF *here are aCditional uesticn;?, please feel frAe to contact our officaa,
~yyyincereiy,
J
`~ ~ •,~
Gary A. Smith
TREASVRr R
GC3JIVCIL t'~N ~IN,ANCE ANC3 AC11vtINISTf~ATION
SCHEDULE E.14&15
900 S. Arlington Ave., Room #119, Harrisburg, Pa. 171'09
No. 8307 OCTOBER 31. 19 86
On demand we promise to pay to the order
of
JULIA
~ %~ 12 , 000.00
--_
%:•^^-:TWELVE THOUSAND AND-------------------------N0~100-----•----------------Dollars
Without defalcation or stay of execution, for value received, with interest at 6 . S OoJo~ p~ ~~~ waiving inquisi-
tion a.nd exemption laws, and confess judgment for above sum without offset, with interest and costa of snit, and
with five percent for collection fees. There is a 1% penalty on all monies not left in. the fund for a period of one
year.
THE CENTRAL PENNSYLVANIA CONFERENCE COMMITTEE N LOAN
THE UNITED METHODIST CHURCH '~
.Attest: ~ ,,.A_._.«) by ~• ~ • = -
TREA~JRT;I{, CHAIRPERSON OF TIC CO ON LOANS
® 1994 Gces 416'/
peniesad s~y61tl IIV
No. 21278
of
OZ46 sao~ 4661®
303 Mulberry Drive, P.O. Box 2053, Mechanicsburg, PA 17055-2053
Date JULY 14 , 2008
On demand we promise to pay to the order
JULIA WENTZ 525,000.00
-
~'~~TWENTY FIVE THOUSAND AND----------------------NO/100-------------------Dollars
Without defalcation or stay of execution, for value received, with interest at5.50 %, per annum, waiving inquisition
and exemption laws, and confess judgment for above sum without offset, with interest and costs of suit, and with five
percent for collection fees. There is a 1% penalty on all monies not left in the fund for a period of one year.
THE CENTRAL PENNSYLVANIA CONFERENCE COMMITTEE ON LOANS
T E UNITED METHODIST C RCH
Attest: ~. • -yu./ C -'t. • !.-t~s ~
TREASURER CHAIRPERSON OF E COMMITTEE ON LOANS
SCHEDULE E,14&15
Morgan Stanley
March 2, 2009
Francis H. Gehman III
First Vice President
Financial Advisor
Mr. Marlin R. McCaleb
Frankeberger Place
219 East Main Street
P. O. Box 230
Mechanicsburg, PA 17055
Keith J. Yanders
Branch Manager
Vice President
FinanczalAdvisor
The Gehman Yanders Group
1550 Pond Road
Suite 202
Allentown, PA 18104
toll free 800 827 9077
direct 610 398 6500
fax 610 398 G057
Re: Estate of Julia Wentz
Dear Mr. McCaleb:
Per your request, please fmd enclosed the value of assets held in the Morgan Stanley
account for the above-referenced as of the date of death, January 3, 2009. Please refer
to the column titled "Adjusted Cost."
Please note that this was a joint account titled "Julia Wentz & Betty Eshelman JTTEN."
If you have any questions or need further information, please do not hesitate to contact
our office.
Sincerely,
U-'V~ ~ ~9-9Y~J
Nanci J. Mickel on
Sr. Registered Client Service Associate
NJM
Enc: Gain and Loss Summary
SCHEDULE F.1
Unrealized Gain and Loss
,. ,
Julia Wentz Home: (717) 737-9747 TIER: GOLD
4833 E TRINDLE ROAD APT 506 Mobile:
MECHANICSBURG PA 17050- Business:
3652
Unrealized Gain and Loss for Year 2009
............................................................................................
Date Unit
Security Name Quantity Acquired Cost
Municipal Bonds
Page 1 of 2
ACCT 604-07401-45 Retail
Sweep Fund BDPS
........................................................................
Total Adjusted Market G/(L) Holding
Cost Cost Value Amount Period
KUT2:TOWN AREA S!D 5.000 3-15-24 Long
35,000.000 1/3/09 100.15 35,308.OOP 35,051.33 35,049.00 (2.33)ADJ 2/26/09
PHILA GO BE 5.000 3-15-28 Long
15,000.000 1/3/09 101.15 15,282.OOP 15,172.08 15,170.25 (1.83)ADJ 2!26/09
S FORK AUTH-B BE 5.000 7-01-28 Long
5,000.000 1/3/09 75.49 3,774.25P 3,774.25 3,868.80 94.55ADJ 2/26/09
SHARON HLTH BE 5.000 12-01-28 Long
25,000.000 1/3!09 75.24 18,810.OOP 18,810.00 20,171.00 1,361.OOADJ 2/26/09
Total Municipal Bonds 73,174.25 72,807.66 74,259.05 1,451.39
Corporate Fixed Income
CAPITAL ONE BANK 6 112 6-13-13 Long
25,000.000 1/3109 88.17 22,041.25P 22,041.25 23,181.00 1,139.75ADJ 2/26/09
FORD MOTOR CREDIT 7 114 10-25-11 Long
27,000.000 1/3/09 74.85 20,208.15P 20,208.'15 14,635.89 (5,572.26)ADJ 2/26!09
M L CAP TR 16.45 6.450 12-15-66 long
600.000 1!3/09 16.81 10,083.OOA 10,083.00 5,292.00 (4,791.00)ADJ 2/26/09
Total Corporate Fixed Income 52,332.40 52,332.40 43,108.89 (9,223.51)
Certificates of Deposit
DISCOVER BANK CD 5.100 3-23-09 47,000.000 113/09 100.67 47,312.55 47,312.55 47,102.46 (210.09) Long
Total Certificates of Deposit 47,312.55 47,312.55 47,102.46 (210.09)
GRAND TOTAL 172,819.20 172,452.61 164,470.40 (7,982.21)
A -Information for this transaction reflects your requested adjustments to existing Morgan Stanley 8 Co trade history.
P -You have provided the trade history for this transaction; it was not available through Morgan Stanley 8 Co records.
Disclaimer:
The Estimated Gain and Loss information is provided for informational purposes only and may not be relied upon in making any tax,
accounting or regulatory filing or report This Estimated Gain and Loss Summary is not a substitute 1099 form (or any other appropriate tax
form) and should not be filed with your clients taxes. The Total Cost, Unit Cost and Proceeds of eligible equity and options transactions with
Choice Selects"' pricing do not include commissions paid on your purchases or sales and therefore may not equal the acquisition price or
principal amount of the sale. The figures should be independently verified. Estimated Gain and Loss information does not take into account a
taxpayers particular circumstances such as the existence of hedging transactions, constructive sales ormarked-to-market pricing adjustments
on certain options held at year-end.
Please note that although Morgan Stanley & Co makes every effort to adjust the cost basis for such securities' capital changes, it does not
adjust the cost basis for all events, including amortization ofnon-municipal bond premiums; exercise of unlisted stock options; securities
deemed to have been sold and simultaneously repurchased; receipt of cash in lieu of fractional shares; or the net effect of wash sales and/or
short sales against the box.
For securities not purchased through Morgan Stanley & Co, for example, securities purchased elsewhere and later transferred to it, any data
included in the Estimated Gain and Loss information has been provided either by the client or another fnancaa! institution. Whether provided
by the client another financial institution or Morgan Stanley & Co, it is your client's responsibility to ensure the accuracy of all of the Estimated
http://ideas.msdwis.com/Secure/GainAndLosslPrintUnrealized.asp?Off ce=604&Accoun~6... 3/2/2009
SCHEDULE F.1
3~ ~~,
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