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HomeMy WebLinkAbout10-26-09w ~. ~ 1505607121 REV-1500 EX (OCr05) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number Poeox26oso1 INHERITANCE TAX RETURN Harrisbum, PA 17128.0601 RESIDENT DECEDENT 2 1 0 9 0 3 3 6 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 1 6 2 2 2 6 0 2 9 D 3 2 3 2 0 0 9 0 6 2 0 1 9 2 7 Decedent's last Name Suffix Decedent's First Name MI A U S T I N E L L A L (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 0 1.Original Retum ~ 2. Supplemental Return ~ 3. Remainder Retum (date of death 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ prior to 12-13-82) 5. Federal Estate Tax Return Required ® 6. Decedent Died Testate ~ death after 12-12-82) 7. Decedent Maintained a Living Trust 1 8. Total Number of Safe Deposit Boxes (Attach Copy of Wili) (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 1-1-95) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number S T E P H E N L B L O O M 7 1 7 2 4 9 2 3 5 3 Firm Name (If Applicable) REGISTER OF WILLS USE ONLY I R W I N & M c K N I G H T P C. First line of address ~7 6 0 W E S T P O M F R E T S T R E E T {-.._ c-~ -~ `z "' ~-, : ~-, x' Second line of address -r~ _ O ~ c'7 ~ ~ ~ r"~ ~: 7 r,_} _ i City or Post Office State ZIP Code I_$ILED ~ , '" -'~ ' ~ ~~ C A R L I S L E P A 1 7 0 1 3 -~, w ,, _ Correspondent's e-mail address: tV 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, comecx and completh. Dedaretion of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING R URN. C DATE / A A ADDRESS r/~ U 1034 W. M LBE Y D IVE CHANDLER AZ 85248 SIGNATU F EPARER N REP ENTATIVE DA ADDRE 60 EST POMFRET STREET CARLISLE PA 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 1505607121 1505607121 J 1505607221 ~ ~ z~ s~ ~~ .~,~"!J REV-1500 EX Decedents Social Security Number Decedents Name: E L L A L• AUSTIN 1 6 2 2 2 6 0 2 9 RECAPITULATION 1. Real estate (Schedule A) ........................................ 1. 1 6 0 4 1 0. 0 D ............................ 2. Stocks and Bonds (Schedule B) ...... 2. 2 2 8 9 3. 2 0 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages & Notes Receivable (Schedule D) ........................ 4. 5 6 4 9 2 2 0 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ....... 5. . 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6. 1 5 6 9 . 5 2 7. Inter-Vivos Transfers 8 Miscellaneous N~p~Probate Property h l u S t Billi R S d G t d 7 ], ], 8 0 5 4 0 epara ng e ....... ( c e u e ) e eques . . 8. Total Gross Assets (total Lines 1-7) ........................... 8. 2 5 3 1 7 0. 3 2 9. Funeral Expenses 8 Administrative Costs (Schedule H) ................ s. 1 6 5 5 4. 5 3 10. Debts of Decedent, Mort a e Liabilities, X Liens Schedule I 9 9 ( ) ............ 10. 2 4 9 5 4. 8 7 11. Total Deductions (total Lines 9 & 10) ........................... 11. 4 1 5 0 9. 4 0 12. Net Value of Estate (Line 8 minus Line 11) ......................... 12. 2 1 1 6 6 0 . 9 2 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 1 1 6 6 0 . 9 2 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (ax1.2) x.o _ 0. 0 0 15. 0. 0 0 16. Amount of Line 14 taxable at lineal rate x .0 _ 0. 0 0 1 g. 0. 0 0 17. Amount of Line 14 taxable 0 0 0 17 0 0 0 at sibling rate X .12 , • 18. Amount of Line 14 taxable 2 1 1 6 6 0 9 2 3 1 7 4 9 1 4 . at collateral rate X .15 18. . 19. Tax Due .............. 1g. 3 1 7 4 9. 1 4 .................................. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT a L 1505607221 Side 2 1505607221 REV-1500 EX Page 3 Deced+ent's Complete Address: File Number 21 09 0336 DECEDENTS NAME ELLA L. AUSTIN STREET ADDRESS 22 CLIFTON TERRACE CITY STATE ZIP CARLISLE PA 17015 Tax Payments and Credits: 1 ~ Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments 29.477.74 C. Discount 1,551.41 3. Interest/Penalty if applicable D. Interest E. Penalty (1) 31,749.14 Total Credits (A + g + C) (2) 31, 029.15 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. (3) 0.00 (4) 0.00 (5) 719.99 (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 719.99 Make Check Payable fo: 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 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 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? .................................................................................................. © ^ 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 ff 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 p2 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) pecent, except as noted in 72 P.S. §9116(1.2) p2 P.S. §9116(a)(1)J. The tax-rate imposed on the net value of transfers to or force 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. REV-1502 EX + {6-98) • SCHEDULE A ~ COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER ELLA L. AUSTIN 21 09 0336 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. ITEM - - - - --- -------.- . . NUMBER VALUE AT DATE DESCRIPTION OF DEATH 1. 22 CLIFTON TERRACE, CARLISLE, PENNSYLVANIA 160,410.00 ASSESSED VALUE $109,870.00 X 1.46 = $160,410.00 TOTAL (Also enter on line 1, Recapitulation) ~ S 160 410 00 {if more space is needed, insert additional sheets of the same size) REV-1503 EX + (6-9t3) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS. & BONDS ESTATE OF FILE NUMBER ELLA L. AUSTIN 21 09 0336 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. SERIES E & EE SAVINGS BONDS -INVENTORY ATTACHED 22,893.20 TOTAL {Also enter on line 2, Recapitulation) I $ (If more space is needed, insert additional sheets of the same size) REV-1508 EX + (6-98) a SCHEDULE E ~ COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. IN RES DAENTEDECEDENTRN PERSONAL PROPERTY ESTATE OF FILE NUMBER ELLA L. AUSTIN 21 09 0336 Include the proceeds of litlgation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. PERSONAL PROPERTY -APPRAISAL ATTACHED 9,667.00 2. MEMBERS 1ST FEDERAL CREDIT UNION -SAVINGS ACCOUNT #348124-00 3,945.79 3. MEMBERS 1ST FEDERAL CREDIT UNION -HOLIDAY CLUB ACCOUNT #348124-02 3,379.78 4. MEMBERS 1ST FEDERAL CREDIT UNION -CHECKING ACCOUNT #348124-11 1,591.55 5. MEMBERS 1ST FEDERAL CREDIT UNION -INVESTMENT SAVINGS ACCOUNT 29,457.25 #348124-05 6. MEMBERS 1ST FEDERAL CREDIT UNION -CERTIFICATE OF DEPOSIT 8,450.83 #41086-46 TOTAL (Also enter on line 5, Recapitulation) E 56 492.20 (if more space is needed, insert additional sheets of the same size) REV-1509 EX + (6-98) SCHEDULE F ~ COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER ELLA L. AUSTIN 21 09 0336 H 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. FRANK WILSON 1034 W. MULBERRY DRIVE NEPHEW CHANDLER, AZ 85248 s c JOINTLY-0WNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANGAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENTS INTEREST 1. A. 06/1995 MEMBERS 1ST FEDERAL CREDIT UNION 5.08 50. 2.54 SAVINGS ACCOUNT #41086-00 2. A. 11/2004 MEMBERS 1ST FEDERAL CREDIT UNION 0.07 50. 0.04 HOLIDAY CLUB ACCOUNT #41086-02 3. A. 06/1995 MEMBERS 1ST FEDERAL CREDIT UNION 3,133.21 50. 1,566.61 CHECKING ACCOUNT #41086-11 4. A. 06/1995 MEMBERS 1ST FEDERAL CREDIT UNION 0.66 50. 0.33 INVESTMENT SAVINGS ACCOUNT #41086-05 TOTAL (Also enter on line 6, Recapitulation) I 5 1 569 52 (If more space is needed, insert additional sheets of the same size) REV-1510 EX + (6-98) i ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN OF SCHEDULE G INTER-VIVOS TRANSFERS ~ MISC. NON-PROBATE PROPERTY NUMBER ELLA L. AUSTIN 21 09 0336 This schedule must be completed and filed 'rf the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY ITEM NUMBER IIH;LUDETMEWIMEOFTHETWUJSFEREE,THEIRREUTIONSHIPTODECEDENTAND THE DATE OF TRANSFER ATTAfY1AC0PYDFTHEDEEDFORaEALESTATE DATE OF DEATH ~OFDECD'S EXCLUSION TAXABLE VALUE OF ASSET INTEREST QFAPPUCABLE} VALUE 1. SERIES E SAVINGS BONDS 11,805.40 100. 11,805.40 INVENTORY ATTACHED BENEFICIARY: FRANK WILSON TOTAL Also enter on line 7 Reca itulation) s 11 805.40 (If more space is needed, insert additional sheets of the same size) REV-1511 EX + (10-06) SCHEDULE H ~ COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER ELLA L. AUSTIN 21 09 0336 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. EWING BROTHERS FUNERAL HOME 3,151.52 2. FUNERAL LUNCHEON 475.91 3. GEORGE'S FLOWERS 79.50 4. ROWE'S PRINT SHOP -MEMORIAL SERVICE INVITATIONS 73.14 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Street Address City State Zip Year(s) Commission Paid: 2, AttomeyFees IRWIN ~ McKNIGHT, P.C. 11,000.00 3. Fatuity Exemption: (If deosdent's address is not the same as daimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4• Probate Fees REGISTER OF WILLS 306.00 5 Accountants Fees 6. Tax Retum Preparers Fees PATRICIA A. ROSENDALE, CPA 350.00 7. REGISTER OF WILLS -FILING FEE 30.00 8. CUMBERLAND LAW JOURNAL -ESTATE NOTICE 75.00 9. THE SENTINEL -ESTATE NOTICE 198.16 10. ROY D. GOTTSHALL -APPRAISAL ON PERSONAL PROPERTY 65.00 11. FRANK WILSON -AIRFARE 695.80 12. RECORDER OF DEEDS 38.50 13. REGISTER OF WILLS -SHORT CERTIFICATES 16.00 TOTAL (Also enter on line 9, Recapitulation) S 16.554.53 (If more space is needed, insert additional sheets of the same size) REV-1512 EX + (12-03) • SCHEDULE I COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES, & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBERR ELLA L. AUSTIN 21 09 0336 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. VNB MORTGAGE SERVICES, INC. -MORTGAGE 21,219.55 2. PPB~L -ELECTRIC 541.85 3. STONEHEDGE HOMEOWNERS ASSOCIATION -HOMEOWNERS ASSOC. FEE 840.00 $140.00 X 6 MONTHS = $840.00 4. EAST PENNSBORO AMBULANCE SERVICES, INC. -AMBULANCE 46.00 5. EMBARQ -TELEPHONE 140.52 6: ~ MILLENNIUM PHARMACY SYSTEMS, INC. -MEDICAL 17.45 7. SOUTH MIDDLETON TOWNSHIP - WATER/SEWER 202.00 8. UNITED CHURCH OF CHRIST HOMES -NURSING 827.04 9. ROBERT C. CAIRNS, TAX COLLECTOR -REAL ESTATE TAXES 1,104.00 10. GEORGE BRANSCUM, M.D. -MEDICAL 16.46 TOTAL (Also enter on line 10, Recapitulation) 3 24 954.87 (If more space is needed, insert additlonal sheets of the same size) REV-1513 EX + (9-00) SCHEDULE J ~ COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER FI I A I Al1STIN ~~ na ns~a RELATIONSHIP TO DECEDENT AMOUNT OR SNARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS pndude outrig ~ spousal distributions, and transfers under Sec.9116 a 1.2 1. FRANK WILSON Collateral 1034 W. MULBERRY DRIVE REMAINDER CHANDLER AZ 85248 2. JANICE BOWERS Collateral 1325 N. 15TH STREET CONTENTS OF HOME HARRISBURG PA 17103 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET ; (It more space is neetletl, insert atltlitional sheets of the same size) ' , 1 N O ' p ice "~ (N j ~=~ , ~ _ ~ c,_7 a_ _ r ~ :~_ v. ~ `_., .Y~ ~ ..... - ' LAST WILL AND TESTAMENT I, ELLA LOUISE AUSTIN, of South Middleton Township, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking any and all former Wills or Codicils by me made. 1. I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and all inheritance taxes (whether such taxes may be payable by my estate or by any recipient of any property) shall be paid from my residuary estate as soon as practicable after my decease and as part of the administration of my estate. My personal representative shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. 2. I give, devise and bequeath the contents of my home unto my friend, JANICE BOWERS. 3. I give, devise and bequeath all the rest, residue and remainder of my estate, whether real, personal or mixed property, whether tangible or intangible, and wherever situated, unto my nephew, FRANK J. WILSON, or if he shall fail to survive me by thirty (30) days, then unto my cousin, GARY MOSS. I 4. In the event that any property in my estate is disclaimed by the named beneficiary thereof, i then my personal representative shall make a donation of such disclaimed property unto suc -- chari-tab a organiza ions in goad-standing-ache-shall-see t. _ _ _ _ _ _ _ 1 __ Page 1 of 4 Pages L- ~ -~--- E.L.A. qo~~ 5. I nominate, constitute and appoint the said FRANK J. WILSON as Executor of my estate. In the event he shall be unable or unwilling to serve in such capacity, then I appoint the said GARY MOSS to act in such capacity. 6. I direct that my personal representative shall not be required to file a bond to secure the faithful performance of his duties in any jurisdiction. 7. I authorize and empower my personal representative, in his sole and absolute discretion, to purchase or otherwise acquire and retain any investments or any property of any nature which I own at my death; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant options in regard to any or all property of any kind forming a part of my estate for such terms and such prices as he may deem advisable; to borrow money for any purposes connected with the protection and preservation of my estate; to mortgage or pledge any real or personal property forming a part of my estate or to join in or secure the partition of same; to compromise any claims or demands of my estate against others or of others against my estate; to make distribution in kind and to cause any share to be composed of cash, property or undivided fractional shares in property different in kind from any other share; to employ agents, attorneys and proxies and to delegate to them such power as my personal representative considers desirable and to pay reasonable compensation for such services as may be rendered by such agents, attorneys and proxies; and to execute and deliver such instruments as may be necessary to carry out any of these powers. In addition, I direct that my personal representative shall have the power to conduct an inventory of any. safe deposit box necessary to the administration of my estate. __ _ __ _ _ _ __ _ - _ _ Page 2 of 4-Pages ~_ E.L.A. COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND 1 I, ELLA LOUISE AUSTIN, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~~ ~C-C~-~--~~'-o`er? j Ella Louise .Austin Sworn or affirmed to and acknowledged before me by ELLA LOUISE AUSTIN, the Testatri~CbMtl~unQ~2~9 da~'o°F P~NNSY~ivar2OO8. ~ ;, Notarial seal ~ ~ . Karen S. Noel, PJotary Public ' Carlisle 8oro, Cumberlarb County N t Public b1y Commssion Expires Dea 8, 2011 ~ COMIVIO hNWEAL'I'H O~~}~'~r~~ANIA ) . SS. COUNTY OF CUMBERLAND ) We, r'~1,~L and ~~~ 1 _-~-~~ J~C~.~ the witnesses who a names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw ELLA LOUISE AUSTIN, the Testatrix, sign and execute the instrument as her Last Will; that the Testatrix signed willingly and that the Testatrix executed it as her free and voluntary act for the purposes,therein expressed; that each of us, in the hearing and sight of the Testatrix, signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. i ~! r'---~ Address ~~. ~,.,.~„~r- ~ L1-l.-s~e~G~r1 i~G/3 Addr~'ss ~ i" ,i,~ ~- ~~-~-7t~tiL~?" ,.S- f' r c.~.2k-c~~-f.~. -) ~... / 7 i- i..3 Sworn or affirmed to and subscribed before me this 29~' day of February, 2008. _ria(Sea! - _ _ N ary ~~ Karen S. Nc:.el, Nota P Carlisle 8oro, Cumbaia~ Coun N1y Commission tY ~~~~ Deg 8, 2U11__ _ ~"'~r' Ussnciation of Noiar es G:\SBloom\Office -Estate Planning\Austin, Louise\will.~oc Page 4 of 4 Pages TaxDB Result Details Detailed Results fo r Parce140-23-06( DistrictNo 40 Parcel ID 40-23-0602-175. MapSuffix HouseNo 22 Direction Street CLIFTON TERRACE Ownerl AUSTIN, ELLA L C/O PropType R PropDesc LivArea 1039 CurLandVal 22250 CurImpVal 87620 CurTotVal 109870 CurPrefVal Acreage .08 C1GrnStat TaxEx 1 SaleAmt 89900 SaleMo 06 SaleDa 16 SaleCe 19 SaleYr 92 DeedBltPage 0035S-00654 YearBlt 1992 HF_File_Dste 12/22/2004 HF_Approval_Status A rage i ui ~ 12-175. in the 2004 Tax Assessment Database I~l~ ~lo ~ ~V ~~ `~~P ~~, ~. 01 ~~~ ~~ \~b~ http://taxdb.ccpa.net/details.asp?id=40-23-0602-175.&dbselect=l 3/26/2009 t ~_ (D Q N ~3 • •~D v ~ ~ a0 O O ~aaa ayyy ~01~3 w~~D m ~ rnm ~~ Q ~ QOO Q. ~ mm~ O !T~!n O . ~mo~io~i~ ~~'w3 O N y ~ 7 ~ c ct° ~ a ~G !D ~p cn a a .• ~ a m _. _. ~ -.,»~pm ~~~~~ ~ N N 2 _ ~ ~ . a ~m~ o~ a~ io o ~ ~~aX ~ f/! ~j y ~ N ~ ~ p j ^' O ~ . O. A ~~cN~i ~.~mmy `~ N N a ~ N a ~ m ~~p ~ Ol 01~00~ d X ,O..O N a ~3~~~ ~~~~o c="~~°' c ~,..~ ~+ fA .-- _ °a~.= mo~2a ~~-~ ~ c~ ~ a Q ~ ~. c o o- ~ ~, c. AA ~~ 7Ny ~D G. 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P r,+~~ r~f7 ~'~ , ~~~ ~ a - -- - --- 9667° ~ - - --------- ---- - -~--------- - -- - `~ - - -- -- -~ /~-~i 0 *-*--- ---- - - ----- -- • REGULAR SAVINGS ACCOUNT: Account Number/Suffuc Date Account Established Princpal Balance at Date of Death Accxued Interest to Date of Death Total Principal and Acxruuad Interest to Date of Death Interest Eamed 01/01/2009 - 02/28/2009 Name of Joint Owner HOLIDAY CLUB ACCOUNT: Acxount Number/Suffnc Date Account Established Principal Balance at Date of Death Accxued Interest to Date of Death Total Princpal and Accrued Interest to Date of Death Interest Earned 01/01/2009 - 02/28/2009 Name of Joint Owner CHECKING ACCOUNT: Account Number/Suffuc Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest to Date of Death Interest Eamed 01/01/2009 - 02/28/2009 Name of Joint Owner INVESTMENT 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 to Date of Death Interest Eamed 01/01/2009 - 02/28/2009 Name of Joint Owner MEMBERS 1gt PEDERAL CRIDrf UNION 348124-00 02/02/2009 $3,944.01 $1.78 $3,945.79 $2.19 None 348124-02 02/02/2009 $3,378.15 $1.63 $3,379.78 $2.00 None 348124-11 02/02/2009 $1,591.55 $.00 $1,591.55 $.61 None 348124-05 02/02/2009 $29,439.04 $18.21 $29,457.25 $23.72 None M ~ 1sT FEDERAL C~DIT1. w ~~ ~.:, _ Danielle A. Kline Insurance Services Specialist April 16, 2009 Fatale of: ELLA AUSTIN Date of Death: Mamh 23, 2009 -- oc-S~al8ecuri ty um r.-'f82=22=6029 5000 Louise Drive P.O. Box 40 Mechanicsburg, Pennsylvania 17055 (800) 283-2328 wwwmemberslst.org r MEMBERS 1~ FEDERAL CREDIT ANION REGULAR 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 to Date of Death Interest Eamed 01/01/2009 - 02/28/2009 Name of Joint Owner Date Joint Ownership Established HOLIDAY CLUB ACCOUNT: AcxouM Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest to Date of Death Interest Eamed 01/01/2009 - 02/28/2009 Name of Joint Owner Date Joint Ownership Established CHECKING ACCOUNT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest to Date of Death Interest Eamed 01/01/2009 - 02/28/2009 Name of Joint Owner Date Joint Ownership Established INVESTMENT SAVINGS ACCOUNT: Acxount Number/Suffix Date Axount Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest to Date of Death Interest Eamed 01/01/2009 - 02/28/2009 Name of Joint Owner Date Joint Ownership Established 41086-00 05/22/1984 $5.08 $.00 $5.08 $3.43 Frank Wilson 06/02/1995 41088-02 11 /05/2004 $.07 $.00 $.07 $3.08 Frank Wilson {~ 11 /05/2004 41086-11 01/22/1986 $3,132.73 $.48 $3,133.21 $.58 Frank Wilson 06/02/1995 41085-05 02/06/1992 $.66 $.00 $.66 1 $21.45 ,// Frank Wilson 06/02/1995 ~C~~V ',APR ~ S Z00~ IRWIIV & iWcKNIGH~r 'J1W OFFICES 5000 Louise Drive P.O. Box 40 Mechanicsburg, Pennsylvania 17055 (800) 283-2328 wwwmemberslst.org ~ 1 Acx:ount Number/Suffix 41086-46 Date Account Established 08/23/2006 Principal Balance at Date of Death $8,424.27 Aaxued Interest to Date of Death $26.56 Total Principal and Accrued Interest to Date of Death $8,450.83 Interest Eamed 01/01/2009 - 02/28/2009 $70.77 Name of Joint Owner None' 'Frank Wilson removed as joint owner on 02/02/2009 per member's request. VISA CREDIT CARD ACCOUNT: Account Number/Suffix 4287590010410864 Date Opened 09/10/2002 Balance on Date of Death $.00 Name of Joint Cardholder None RS 1sT FEDERAL REDIT ION /~ Danielle A. ne Insurance Services Specialist April 16, 2009 Estate of: ELLA AUSTIIV Date of Death: Mareh 23, 2009 Social Security Number: 182-22-6029 i C a ~3 • •~a ~o So Haan ay y y. d°'~'3 y~~D n~.7.~ N ?NyC' aQoQ ~ mm~ O !r !n o . ~~ obi ~ n oww,~ 01 N N m 7 ~ c c a f~D ap,.0..~ a-. _.m m -~, 7 O ~ y ~00 ~-A m ~ y _ ~ ~ • d o~~m~ n~ ~ o c m~ m .- ~ O_ ~( M00yO, > > o ~ ~ Q.n ~Q ~,<~.~.y ym am °1fO k ~'p.~wW S G1x00~ ax»''m ~'o ~v~3o .. °~~?.~ O O.~ • 2 ~ O 7 Zp ~ ~ ~ c~ ~ a Q c g? m~my a a~ ~,Z go ~ ~ a,~ ~ a vi ~: ac trQ a~•c ~ ~~o~i~ H y y o~ as --N _ __ ~Q N O ___ W .ta a ~ A. W N -• ~ o ~, o . ~' y o m m m m ~ ~ ~_ "' ~ v W cn cn cn o p °o °0 °0 °0 3 ° N ~ ~ v, 0 f~J ~ ~ N ~ Z O N V ~ O O ° m m m r ri Q e~ „ w 0 ~ v~ ~ ~ ~ J tC V t0 V CO V ~O V ~+ C ~ ~ V ~I OD aD v v V V ~ cn cn cn C Ji o ~ ~ °o °o °o °o n ~ ..« ~ N N ~ W ~ ~ Q e ~ - tO aODi coi~ ,oNO ~ ~ 0 0 0 0 ~ ~ O~ ~ N N N A ~ ~~ ~1 CJi ~ ~ N V A O D O ~ o 0 co 0 co 0 ao 0 ~ = ~ ~ ~ A ~ ~ ~ V 0 rn rn cn cn ~ o 0o cn bo ~ ~ ~ ~ ~ ° °' 0 0 0 0 ~ z ' ~ d w ~+ ~ p ~1 ' o ~ ~ ~ o ~ ~ m n . ~ ~ o o m ~ ~ N N N N N m 3 0 ~ 0 ~~ EA ~ V 0 ~l 0 OD 0 OD ~"" C "'~ fDO ~ ~ ~ _~ -- ~ N --- o W N ~ 3 3 ~ ~ O O O o D D D D ~ ~~ a.i •• au ,~, a v...~v~.. ~ .,. -~~.~ »~ mss...-~-.~ --~- 630 South Hanover Street ' Carlisle, PA 17013- (717)243-2421 i May 1, 2009 Frank Wilson 1034 W. Mulberry Dr. Chandler, AZ 85248 The Funeral Service for Ella Louise Austin We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us if you have any questions in regard to this statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. 1. PROFESSIONAL SERVICES Services of Funeral Director/Staff , $1750.00 2. FACILITIES AND SERVICES Memorial Service, $475.00 3. AUTOMOTIVE EQUIPMENT Vehicle to transfer remains to Funeral Home, _ $250.00 Service Vehicle Death Cert. Retr./Filing , $125.00 C. SPECIAL CHARGES Direct Cremation , $315.00 FUNERAL HOME SERVICE CHARGES $2915.00 SELECTED MERCHANDISE: Memorial folders , $40.00 --- THE COST OF~UR SERVICES; EQUIPMENT; ~CNIIIVIERCHAIVDISE - --- ------ - - ----- THAT YOU HAVE SELECTED $2955.00 Cash Advances Certified Copies of the Death Certificate , $60.00 Cremation Pouch , $25.00 Coroners Fee $25.00 The Sentinel Obit , $86.52 TOTAL CASH ADVANCES AND SPECIAL CHARGES . $196.52 Total Total Cost , $3151.52 SUB-TOTAL $3151.52 INITIAL PAYMENT /DISCOUNT /CREDITS 0.00 TOTAL AMOUNT DUE $3151.52 The unpaid balance over 30 days is subjected to a 1.50 % service charge per month - 18.0000 % per annum. - ~ QU D • ~ ~~ a~ ~//9.vf GcJ , .P~ _. /6~_ - s/~~s ~}, r ~' r~ ~-- r ,.,1~ ~ ~~ Quantity Service Description Price Amount 50 Cards • Memorial Service Invitations 1.38 69.OOT 5 1/8 x 7, Ecru Panel Cards, Black Ink Typeset w/Blank A7 Envelopes ~t~~ 0~4 6~ 01~ ~`~ SUBTOTAL $69.00 Please check: ^ Asa ^ Mastercard ^ Discover ^ American Express TAX (696) $4.14 Card#---- ---- ---- ---- TOTAL $73.14 Signature Exp: Date ~dLd~G 1!®l~li! CW Code - - - P~eQ6vI'iBtZUrHi (1) Ca~/ tflftfG~/i4EEiL~ NET: 30 DAYS: A finance charge of 1 1 /2°~ per month will tie charged on ail accounts over 30 days. This is an annual percentage rate of 18%. _ _ .:< 1 1 1 .~ ..._ _ 1 _. _ , CARLISLE SUPER BUFFE 40110BLE BIUD BUIIDII~ CRRIISIE~ PR 11013 ierninal q: 00008001 ITV 02~ 09 4;39 PM Seruer ID: i MRSiERCRRD #IrpgkM3702 - - SALE RfF#:©28 BRiCR 0: 120 ~IIiR q: 901402 AMOUNT X425,°S`i D TIP ;-------- a ~ . ----... `qq.-- T OT AL S___._ ~ 7 ~.:.1_: APPROVED GUSTOMER COPY ;t ~ GEORGES' FLOWERS 101-199 G STREET .CAFiUSLE. PA 17013 . SALESPERSON _ FILLED BY DELIVERED BY GATE O RED ~ /O FTD TF g~a9S TIME 8 DATE SENT TO ~ ~A /L ./~J t U W .I y: .-~ _ ~. 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Todd Memorial Home 1000 West South Street Carlisle, PA 17013 Statement Date: 04/09/2009 Frank Wilson 1034 W. Mulberry Dr Chandler, AZ 85286 Due Date: 04/25/2009 9~ Re: Ella Louise Austin Account Nr: 102061 --------- Date ---------------------- Description -------- Days --------- Rate ----------------------- Charges Payments --------- Balance Quant 03:x-22'/09 Medical SizppTies 1.00 0.05 .05 .OS 03%22/09 ~Personal-Laundry Se 1.00 30.00 30.00 - 30.05 03%22/09 Personal Supplies. 1.00 63.49 63.49_ 93.54 0322/09 Cable Television 1.00 .19.50. 19.50_.. 113.04 03/31/09 Room & Board - Semi 3 238.00 714.00 827.04 NbTE: ***** PAYMEidNT-IS DUE UPON RECEIPT ***** BUT NO. LATER THAN THE 2~STH OF THE~MONTH~**`*** Please remit the LAST AMOUNT printed on ~' your statement': Include ~ the ACCT# .from the statement- on the MEMO LINE of your check._ Payments-after 04./03/09 do not reflect on statement. NOTE: ** LATE PAYMENTS ARE SUBJECT TO A 1.25$ LATE CHARGE PER MONTH ** A $10.00 FEE WILL BE CHARGED for RETURNED-CHECKS ** ®~ ~ I~ ~ ~ ~== U•S A~ RWA' icy ~tw 2 ~ 200 Book travel I Dividend Miles I Specials I Travel tools I About US JuN Home > `Bog~_kxWW~>~ts > Booking eonflrmation BOOk travel tiler 1ei?it5 Loa+~ f-are Finder guild liirer~n,~ ~~,irchase Conflrmetion ~ Thank you for making your reservation on usairway~m. Your new reservation is now Hotels complete and your reservation has been electronlcaly ticketed. No paper tickets will be view a priitter Air >} hotel sent. frlerdly version Vacatlons Cruises -- __ _ _ _ where we flv You can also... ~~ worldwide sites Make Another Reservation Need Help? H~Ip with This Y Page Emafl us Call us 800_428- C X22 ~Up to 28°Xo Off and Double Miles +i; ~r`' 8ookyour hotel In larnaka with US and Sd11A2 ~ u~a nrrewnrs i ra n n~ r+rns rn Make a Hotei Res rva i~ Make a Car Reservation Confirmation B3GJT7 - IVgw Ba~ga_gp_Policy Date Issued 4/14/2009 - Make Another Reservation Form of P meat Discover® Network _7002 - Make a Hotel Reservation ~ ""-~'~'~ - Make~Car Reservation Amount $311.40 - view Onlirg_Reser_vatlon5 - Email ReservatQ / QOwnload Reservation to Outlook (~cl1 hate to c1aYn fax f~ DMdend Continue ror beine a t~altled us ~lrwaus CUSttinter. III I I III I ~ A ~ 1111 By cAok6q above you can claim your NBes from err prcferrad partner. 'kmm and condkions apply Passenger Irtfonnation change Party of (1) Dividend Mlles # Ticket # S~ ~~gQ FRANK) WILSON 40051295190 03723455415853 21 C, 1F, 'IOF, 20F If You have selected an exit row, please view Emergency exit row/Airport check in kiosk notice Contact Information change Confect Name Day Phone Dsstinetlon Phone FRANK) WILSON (480) 855-1729 (717) 24A-4659 Itlnera and Fare Information Depart Arrive Flight # and Details 5:40 AM 28 Apr 2008 12:26 PM 28 Apr 2008 Fligflt; 680 Airbus A320 Meal: In-flight Cafe Phoenix, AZ Chartotte, NC Class: Coach On-Time: t10-7096 Travel Time: 3 h 48 m 2:4ti PM 28 Apr 2009 4:19 PM 28 Apr 2008 FIIgfN: 3744 Canadair Regk>nal Jet Meal: None Chmlotte, NC Harrisburg, PA Class: Coach On-Time: WA Travel Time: 1 h 34 m Retum Arrve Flight # and Deffiils 12:10 PM 07 May 200!1 1:38 PM 07 May 2008 Flight: 2899 ~ Canadair Regional Jet 900 Meal: None Hamstwrg, PA Charlotte, NC Class: Coach On-Time: 90-100% Travel Time: 1 h 29 m 2:25 PM 07 May 2008 3:58 PM 07 May 2009 Flight: 1511 Airbus A321 Meal; In-Fllght~~¢ Charlotte, NC Phoenix, AZ Class: Coach On-Time: 80-7096 Travel Time: 4 h 34 m Flight operated by Air Wisconsin doing business es US Airways Express M Flight operaffid by Mesa Airlines doing business as US Airways Express Summary (1 Passenger Base Fare 5272.00 TaxPS_ and Fees 539.40 Grand Total Hlde Deffiils ;311.40 Passenger Type Adult https://www.usairways.com/awa/booking/confirmation.aspx I~~ 4/14/2009 loin Dividend Miles I DM# of User Name}~--~ j~ Remember Me Log-in Heip f ; i !@:a:xl ]oln Dividend Mlles ~ DM# or User Name C~ - (- Remember Me Log-in Help ` =~-== U•S AI ~tWAYS ~~y ~tw us Puerto Rico -explore beywed the slime 'uiBTORiCO I A`~• 3 mc:hts 8~aitp~~l ~<n;le~_ I'r3!r', 'SU$~ Book travel I Dividend Miles I Specials I Travel tools I About US Need Help? Heigh This Page Email us Call us 8 -428- 432 ilookyour hotel In lamaka wFth US and 581P@ ~ trs wt Rwwxs I~ACATIONS fxerawdtk-ctc Learn more - ~okyour hotel in lamaka with US and SdV2 >M u~s w r rtwwxs r ra n n~t*rn~ rn Home > Book travel > Flights > Booking coMirmation Confirmation ~ ~ '~ E~iter D2t2ils Lo~;~ dare finder Duilo liiner,,y rurch~ss Confirmation Thank you for making your reservation on r~sairw .com. Your new reservation is now complete and your reservation has been electronically ticketed. No paper tldcets will be View a printer sent friendly version You can also... M An Cher Reservado~ Mak~~otei R85ervatlon Make r Re_5eryation _. Conftrmatlon D8YH7B - New Baaoage Policy Date Issued 4/2/2009 - Make Another Reservaton / Make 8 H I eseryati2n Fonn of Payment Disoover® Network ""'-""-"'_7002 / N~al~e a Car Reservatign Amount $384.40 - View Online Reservaions / Ema~eservaition - Download Reservation. to Outlook Cidt here to claim your E25.00 Cash Back 9tC8litiMe ror beirm avelltea lJS AtnNavs txlslefriet: ~I NINIII~~NII1~ aY otfdcinp above. you oan olabnyour C.OntirUe InoentAre from our preferred partner Bee details PassengerlfdormaUon chance Parly of (1) Dividend Miles # Ticket # Seats ghangg FRANK) WILSON 40051122808 03723441281901 23D, 8F, 19F, 14E if you have selected an exit row, please view Emergency exitrow/Airport check in kiosk_notice Contact Information chance Contact Name Day Phone Destinatlon Phone FRANK) WILSON (480) 855-1729 (717) 249-4859 IttnttKa and Fare Information Depart Arrive Flight # and Details 5:40 AM 07 Apr 2008 12:26 PM 07 Apr 2009 Flight: 880 Airbus A320 Meal: In-flip t Cafe Phoenix. ~ Chadotte, NC pass: Coach On-Time: WA Travel Time: 3 h 48 m 2:45 PM 07 Apr 2009 4:18 PM 07 Apr 2008 FBght: 3744 Canadair Regional Jet Meal: None Charkrite, NC Harrisburg, PA Gass: Coach On-Time: WA Travel Time: 1 h 34 m Retum Arrive Flight # and Details 12:10 PM 10 Apr 2009 1:39 PM 10 Apr 2009 Flight: 2899 ~ Canadair Regional Jet 900 ~ None Hanisburg, PA Charlotte, NC Class: Coach On-Time: 90-100% Travel Time:1 h 29 m 2:25 PM 10 Apr 2009 3:59 PM 10 Apr 2008 Flight: 1511 Airbus A321 Meal: i _fln igJ1t Csfg Charlotte, NC Phoenix, AZ Class: Coach On-Time: 60-7096 Travel Time: 4 h 34 m Flight operated by Air Wis~nsin doing business as US Airways F~rpress M Flight operated by Mesa Airlines doing business as US Airways Express Summary (1 Passenger) Base Fare $345.00 - Taxes an Fees $39.40 trend Total HLd_e Details 5384.40 Passenger Type Adult https://www.usairways.com/awa/booking/confirmafiion.aspx 4/2/2009