HomeMy WebLinkAbout11-12-09J 1505607121
REV-1500 EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue
Bureau of Individual Taxes County Code Year File Number
Po Box 2aosol INHERITANCE TAX RETURN 2 1 0 9 0 7 4 5
Harrisburg PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
1 4 9 0 7 0 1 7 8 0 8 0 1 2 0 0 9 0 5 2 2 1 9 1 9
Decedent's Last Name Suffix Decedent's First Name MI
B A R T E L S C A T H E R I N E M
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name
Spouse's Social Security Number
FILL INAPPROPRIATE OVALS BELOW
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
MI
1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death
prior to 12-13-82)
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required
death after 12-12-82)
(]X 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Wilf) (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
M A R C U S A M c K N I G H T I I I 7 1? 2 4 9 2 3 5 3
Firm Name (If Applicable)
I R W I N &
First line of address
6 0 W E S T
Second line of address
City or Post Office
C A R L I S L E
State ZIP Code
REGISTF~QF WILLS US -;~NLY
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Correspondent's a-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 has any knowledge.
SIGNAT~ERS~ RF~ONSIBLE FOR FILING RETURN 11 / 6 / 2 0 0 9
ADDRESS
PO BOX GRANTHAM PA 17027
SIGNATUR 3e$AR _ ESENTATIVE DATE
],1/6/2009
60 WEST P FRE1'J,i`TREET CARLISLE_
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505607121
M c K N I G H T P - C
P O M F R E T S T R E E T
1505607121
013
1505607221
REV-1500 EX
Decedent's Social Security Number
~ecedent'sName: CATHERINE M• BARTEL$ 1 4 9 0 7 0 1 7 8
RECAPITULATION
1. Real estate (Schedule A) ........................................ 1. •
2. Stocks and Bonds (Schedule B 2. 3 9 6 7 8 7, 2 9
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
4. Mortgages & Notes Receivable (Schedule D) ........................ 4.
5. Cash, Bank Deposits & MisceNaneous Personal Property (Schedule E) ....... 5. 9 3 8 0 8 . 9 7
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6. 2 5 9 1 2 . 3 $
7. Inter-Vivos Transfers & Miscellaneous N n-Probate Property
(Schedule G) ~ Separate Billing Requested ....... 7. 6 2 2 1 4 . 4 7
8. Total Gross Assets (total Lines 1-7) ........................... 8. 5 7 8 7 2 3, D 8
9. Funeral Ex enses & Administrative Costs Schedule H 9.
P ( ) ................ 1 9 1 6 2 . 4 1
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............ 10. 7 5 8 6 . D 7
11. Total Deductions (total Lines 9 & 10} ........................... 11.
12. Net Value of Estate (Line 8 minus Line 11) ......................... 12.
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) .................. 13.
2 6 7 4 8. 4 8
5 5 1 9 7 4, 6 0
14. Net Value Subject to Tax (Line 12 minus Line 13) .................. 14. 5 5 1 9 7 4 , 6 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.o _ 0. 0 0 15. 0. 0 0
16. Amount of Line 14 taxable
at lineal rate X .045 5 5 1 9 7 4 6 0 16. 2 4 8 3 8. 8 6
17. Amount of Line 14 taxable
D D
D
17
0
D
O
at sibling rate X .12 . .
18. Amount of Line 14 taxable
0
0
0
0
D
D
at collateral rate X .15 . 1 g .
19. Tax Due ................................................19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
15D5607221
2 4 8 3 8. 8 6
a
1505607221 J
REV-1 X00 EX Page 3
Decedent's Complete Address:
File Number
21 09 0745
DECEDENT'S NAME
CATHERINE M. BARTELS
STREET ADDRESS
100 MT. ALLEN DRIVE
CITY STATE Zlp
MECHANICSBURG PA 17055
Tax Payments and Credits:
1 ~ Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
3. Interest/Penalty if applicable
D. Interest
E. Penalty
(1) 24,838.86
23,949.21
1,241.94
Total Credits (A + g + C) (2) 25,191.15
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.
(4) 352.29
(5) 0.00
(5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 0.00
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 : ...................................................................... ^ Q
b. retain the right to designate who shall use the property transferred or its income; ............................... ^ ^X
c. retain a reversionary interest; or ................................................................................................
d. receive the promise for life of either payments, benefits or care? ....................................................... ^
^ X^
0
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? ......... ^
^ 0
Q
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 exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased childtwenty-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)].
Total Interest/Penalty (D +E) (3) 0.00
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.
REV-1503 EX + (6-98)
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
CATHERINE M. BARTELS 21 09 0745
All property jointly-owned wkh right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. SMITH BARNEY -VALUATION ATTACHED 264,901.25
2. VANGUARD -VALUATION ATTACHED 26,205.43
3. AMERICAN FUNDS -ACCOUNT #83869761 105,680.61
TOTAL (Also enter on line 2, Recapitulation) I $ 396,787.29
(If more space is needed, insert additional sheets of the same size)
REV-1508 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
CATHERINE M. BARTELS 21 09 0745
Include the proceeds of litigation and the date the proceeds were n:ceived 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. ORRSTOWN BANK -CHECKING ACCOUNT #749000198 20,003.69
2. PNC BANK -CERTIFICATE OF DEPOSIT #31700247277 24,043.80
3. PNC BANK -CERTIFICATE OF DEPOSIT #31500256581 27,150.43
4. GOLD -VALUATION ATTACHED 22,611.05
TOTAL (Also enter on line 5, Recapitulation) I $ 93,808.97
(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
CATHERINE M. BARTELS 21 09 0745
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
A. ROBERT T. BARTELS PO BOX 27
GRANTHAM, PA 17027
C
JOINTLY-OWNED PROPERTY:
ADDRESS RELATIONSHIP TO DECEDENT
SON
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
VALUE OF ASSET % OF
DECD'S
INTEREST DATE OF DEATH
VALUE OF
DECEDENT'S INTEREST
1. A. 8/2004 FULTON BANK -SAVINGS ACCOUNT #1371-63039 1,006.15 50. 503.08
2. A. 8/2004 FULTON BANK -CHECKING ACCOUNT #3622-74234 29,856.95 50. 14,928.48
3. A. 3/2007 MEMBERS 1ST FEDERAL CREDIT UNION 24.72 50. 12.36
SAVINGS ACCOUNT #302428-00
4. A. 3/2007 MEMBERS 1ST FEDERAL CREDIT UNION 20,936.86 50. 10,468.43
CHECKING ACCOUNT #302428-11
TOTAL (Also enter on line 6, Recapitulation) I $ 25 912.35
(If more space is needed, insert additional sheets of the same size)
REV-1510 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF
FILE NUMBER
CATHERINE M. BARTELS 21 09 0745
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM
NUMBER DESCRIPTION OF PROPERTY
INCIUDETHENAMEOFTHETRANSFEREE,TNEIRRELATIONSHIPTODECEDENTAND
THE DATE OF TRANSFER ATTACHACOPYOFTHEDEEDFORREALESTATE.
DATE OF DEATH
VALUE OF ASSET
%OF DECD'S
INTEREST
EXCLUSION
(IF APPLICABLE)
TAXABLE
VALUE
1. FIDELITY INVESTMENTS #2EA-503320 34,446.52 100. 34,446.52
BENEFICIARIES:
KATHLEEN S. SPANJER
ROBERT T. BARTELS
CHRISTIAN T. BARTELS
DAVID J. BARTELS
2. SMITH BARNEY -IRA 27,767.95 100. 27,767.95
BENEFICIARIES:
KATHLEEN S. SPANJER
ROBERT T. BARTELS
CHRISTIAN T. BARTELS
DAVID J. BARTELS
TOTAL (Also enter on line 7 Recapitulation) I $ 62,214.47
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX + (10-06)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
CATHERINE M. BARTELS 21 09 0745
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. MALPEZZI FUNERAL HOME 257.25
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
SVeet Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees IRWIN 8~ McKNIGHT, P.C.
3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees REGISTER OF WILLS
5 Accountants Fees
6. Tax Return Preparers Fees PATRICIA A. ROSENDALE, CPA
7. REGISTER OF WILLS -FILING FEE
8. CUMBERLAND LAW JOURNAL -ESTATE NOTICE
9. THE SENTINEL -ESTATE NOTICE
18,000.00
252.00
350.00
30.00
75.00
198.16
TOTAL (Also enter on line 9, Recapitulation) I $ 19,162.41
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (12-03)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
ESTATE OF tlLt NUMtftK
CATHERINE M. BARTELS 21 09 0745
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, FULTON BANK -CREDIT CARD 2,997.15
2. FULTON BANK -OUTSTANDING CHECK FROM BANK ACCOUNT 150.00
3. MESSIAH VILLAGE -NURSING 4,063.79
4. ALERT PHARMACY -MEDICAL 375.13
TOTAL (Also enter on line 10, Recapitulation) I $ 7,586.07
(If more space is needed, insert additional sheets of the same size)
REV-15 t 3 EX + (9-00)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE
CATHER INE M. BARTELS 21 09 0745
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)j
1. KATHLEEN S. SPANJER Lineal 551,974.60
211 FLEUSY ROAD 1/4TH REMAINDER
PINE BUSH, NY 12566
2. ROBERT T. BARTELS Lineal
PO BOX 27 1/4TH REMAINDER
GRANTHAM, PA 17027
3. CHRISTIAN T. BARTELS Lineal
3606 NEW GALE COVE 1/4TH REMAINDER
COLLIERVILLE, TN 38017
4. DAVID J. BARTELS Lineal
10629 ROBBERS ROOST ROAD 1/4TH REMAINDER
EDMONDS, WA 98020
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
~ast ~Wi[[ and ~¢stament
of
Catk¢rine ~ ~Jjarte[s
I, CATHERINE M. BARTELS, of Mechanicsburg, Cumberland County,
Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly
revoking all Wills and Codicils heretofore made by me.
ONE: I direct my Executor to pay all of my debts, funeral and administrative expenses
as soon as may be done conveniently after my decease. Furthermore, I direct that all state,
inheritance, succession and other death taxes imposed or payable by reason of my death and
interest and penalties thereon with respect to all property composing of my gross estate for death
tax purposes, whether or not such property passes under this will, shall be paid by the Executor
of my estate.
TWO. My Executor may, at his discretion, compromise claims, borrow money, retain
property for such length of time as he may deem proper; lease and sell property for such prices,
on such terms, at public or private sales, as he may deem proper; and invest estate property and
income without restriction to legal investments unless otherwise provided hereunder. I authorize
and empower my Executor to sell any realty and/or personalty owned by me at my death and not
specifically devised or bequeathed herein, at public or private sale or sales and to give good and
sufficient deeds and/or bills of sale therefor, in fee simple, as I could do if living. My Executor is
authorized and empowered to engage in any business in which I may be engaged at my death, for
such period of time after my death as seems expedient to said Executor.
5450
_y
THREE: I give, devise and bequeath all of my estate of every nature and wherever
situate to my children, KATHLEEN S. 5PANJER, ROBERT T. BARTELS, CHRISTIAN T.
BARTELS and DAVID J. BARTELS, in equal shares, per stirpes. If one of my
aforementioned children should predeceased me, then said share of the predeceased child shall be
equally distributed to the issue of the deceased child. If one my children has predeceased me
without living issue, then the share of said child shall be equally distributed to my children then.
living.
FOUR: I nominate and appoint ROBERT T. BARTELS, as Executor of this my Last
Will.
FIVE: My Executor may, at his discretion, compromise claims, borrow money, retain
property for such length of time as he may deem proper; lease and sell property for such prices,
on such terms, at public or private sales, as he may deem proper; and invest estate property and
income without restrictions to legal investments.
SIX: My Executor acting hereunder shall not be required to post bond or enter
security in this or any jurisdiction.
2
IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of August,
2004.
C~[ ,~a~~ ~ /`~1~~ (SEAL)
CATHERINE M. BARTELS
Signed, sealed, published and declared by the above named Testatrix, as and for her Last
Will and Testament, in the presence of us, who, at her request and in her presence and in the
presence of each other have subscribed our names as witnesses hereto.
;~
7
ACKNOWLEDGMENT AND AFFIDAVIT
WE, CATHERINE M. BARTELS, TRACI D. SMITH and KAREN 5. NOEL, the
testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being
first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and
executed the instrument as her Last Will and that she had signed willingly, and that she executed
it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses,
in the presence and hearing of the testatrix, signed the Will as a witness and that to the best of
their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and
under no constraint or undue influence.
CA~'HERINE M. B~RT,ELS
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS:
Subscribed, sworn to and acknowledged before me by CATHERINE M. BARTELS,
the testatrix herein, and subsc~bed and sworn to before me by TRACI D. SMITH and KAREN
S. NOEL, witnesses, this day of August, 2004-
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Martlre L Noel, Notary Public
Carlyle eoro. Wttbetlartd County
My Commisebn E>~ines Sept 18, 2007
Member, Pennsylvania Association Of Notaries
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Vanguard®
P.O. Box 2600
September 25, 2009 Valley Forge, PA 19482-2600
www.vanguard.com
ATTN MARCUS A MCKNIGHT III
IRWIN &MCKNIGHT PC ~.
WEST POMFRET PROFESSIONAL
BUILDING
60 WEST POMFRET STREET
CARLISLE PA 17013-3222 ~ ~ ~"
RE: Estate of Catherine M. Bartels
Dear Mr. McKnight:
We are responding to the letter we received requesting a valuation of
Catherine M. Bartels Vanguard account on August 1, 2009. The information
requested is included on the enclosed account value report.
If you have any questions, please call us at 800-662-2739. You can reach us on
business days from 8 a.m. to 10 p.m. and on Saturdays from 9 a.m. to 4 p.m.,
Eastern time.
Sincerely,
Ry Sikora
Transition Team
Enclosure(s): **Catherine M Bartels Account Value Report
51296973
~1UIC t~~sr I®: l~
f
Catherine M. Bartels
PO Box 27
Grantham, PA 17027
+ r
Van~ard~
>Repor4 for 08!0112009
_~~,. ._
Client Services: 800-662-2739
Page > 1 of 1
Total report value: $26,205.43
(Total report value includes any accrued dividends.)
,~- .; ___
_ ,. _ _ _ _
SCatherine M. Bartels -.Individual Account
Account value summary
Name: Fund & Account Date,- , ~ Price Per. Accrued
....Number Opened Shares Share** Value* Dividends
Health Care Fund Inv 0052-09975688875 11/01/2004 208.272 $108.61 $22,620.42 -
Growth index Fund'Inv 0009-09975688875 11/01/2004- 150.063 $23:89 $3;585.01 -
Totals $26,205.43 $0.00
" Doesn't include accrued dividends,
" As of the prior business date, 07/31 /2009, since the report date is a nonbusiness day
0136262215 09/25/2009 10:21:52
The~right choice for the long term® Qudrt~erZy Statement page I of 4
Arneri~an Funds June 30, Zoos
PO Box 2280
Norfolk VA 23501-2280
AT 02 37889& 58558H1582A**3DGT
I~III~I~11~~1I1~~1'1'~119~119~919111l~11"I,11111~'19~9~91119~~91
CATHERINE BARTELS
PO BOX 27
GRANTHAM PA 17027-0027
A new, green step: Slimmer statements
To help benefit you and the environment, American Funds is now
printing your quarterly statements on both sides of the page. To
further reduce paper consumption, sign up for e-delivery of your
statements and other mailings by clicking on the "Go paperless"
message at americanfunds.com.
We have also removed the investment form from your quarterly
statements. You can add to your investment online or call us
at 800/421-0180 to order a book of investment forms. Transaction
Confirmations will still provide investment forms. Be sure to work
with your financial adviser when making changes to your portfolio.
Quarterly summary (April 1-June 30, 2009)
Yow linandai adviser
HAMILTON
(717) 591-1700
PROEQUITIES, INC.
176 CUMBERLANC) PKWY STE 101
MECHANICSBURG PA 17055-8031
For more account information
^ Call dour financial adviser
^ Automated information and services
Website - americanfunds.com
American FundsLine ° - 800/325-3590
^ Personal assistance - 8 a.m. to 8 p.m. Eastern time M-F
Shareholder Services - 8001421-01 80
Reinvested Change in
Value on dividends and account Value on Ending
03/31/09 + Additions + capital gains - Withdrawals +/- value = Ofa/30/09 share balance
CATHLRIlVE BARTELS
New Perspective _Fund-A
~~~
Account # ,., rr;
$14,567.61
$0.00
50.00
50.00
$2,684.16
$17,25].77
831.010
Growth :and Income Fund-A
Capital World
~
Account # ~,, ,; ~ _ ,, -;,;;a;
~'~i
$23,429.98
$0.00
$396.45
50.00
$4,174.46
$28,000.89
1,005.418
Capital Income, Builder-A
Account # ~ ~~ ~~'~k $21,375.04 $0.00 $256.16 50.00 $2,558.03 $24,189.23 575.386
The Bond Fund of America-A
~n ~~~~s
Account # ~;,,_,,, $27,838.03 $0.00 $389.86 50.00 $1,667.21 $Z9,895.T0 2,666.824
Capital World Bond Fund-A
Account # ~~~
,;<.~:< $0.00 50.00 50.00 50.00 $0.00 50.00 0.000
Totals 587,210.66 50.00 51,042.47
n
1
50.00 S11,083.86 599.336.99
V (1~~Y ~IDS~~%~o,m I
~~
i z a~eess/ooo~
AF5.,+95160+.OI9717000199777.9g177.CNSAF5021NVMCR.......AG 1.......Ot0576661~51TE IOt
ORRSTOti'vN
BANK
A Tradi~on of Excellence
August 18, 2009
To: Irwin & McKnight
60 West Pomfret Street
Carlisle Pa 17013-3222
From: Traci Yohe
Orrstown Bank
Customer Service Center
PO BOX 250
Shippensburg, Pa 17257
Re: Estate of Catherine M Bartels
Date of death August 1, 2009
rf t~.. ~
~4~~ ~~Fl ~~ ra:
.~~~ ~ i ~~~~~~~
;l~4vll~ u iV~cKNiCI
_A+~ CI=e iC~~~
IT IS HERERBY CERTIFIED THAT THE ABOVE NAMED DECEDENT, ON THE
ABOVE DATE, HAD THE FOLLOWING ACCOUNTS WITH ORRSTOWN BANK:
CHECKING ACCOUNT
Account # Title of Account Date opened Principal Accrued Interest
749000198 Catherine M Bartels 06/15/09 20001.15 2.54
SAVINGS ACCOUNT
Account # Title of Account Date opened Pn'ncipal Accrued Interest
CERTIFICATE OF DEPOSIT
Account # Title of Account Date Opened, Principal Accrued Interest
P.O. Box 250 • Shippensburg, PA 17257. 717.530.3530. 717.532.4143 fax
nU~. LY. LUV7 I I IUnlvl I14~ Unlvl\ `tIL IVJ LI`tl
iGl~tt~tG fittE 1N'AY
August 24, 2009
Irwin 8c McKnight PC
Marcus A McKnight III Esq '
60 W Pomfret St
Carlisle, PA 17013
RE: Name: Catherine M Bartels
SSN: 149-07-0178
DOD: OS-O1-2009
Dear Mr. McKnight:
IY V. V I/ V ~. I
Zn response to your request for Date of Death (DOD) balances for the customer noted above, our
records show the following:
Certificate of Deposit '
Account # 31700247277 Established: 10-OS-2004
CATHERINE M BARTELS
DOD balance: $23,732.98 + 310.82 accrued interest
Interest paid 01-01-2009 thru OS-O1-2009 $ 0.00 YTD
Account # 31500256581
CATHERINE 1Vi BARTELS
DOD balance: $27,131.44 + 18.99 accrued interest
Interest paid 01-01-2009 thru OS-O1-2009 $270.95 YTD
Checking Account
Account # 50041100S8
CATHERINE M BARTELS
DOD balance: $0.00 + 0.00 accrued interest
Interest paid Ol-O1-2009 thru 08-01-2009 $0.00 YTD
Established: 03-04-2005
Established: 08-04-2003
Dn na 7 of '7
Hug, ~~+. ~uvy i ~: iunwi riu~ aHiun 4i[-iu~-~~~i
IYU~ U 1 7U i ~ L
Please note that this office provides date of death balances for deposit accounts (IRAs, CDs, Checking and
Savings)- We do not proecss any financial transactions or provide statements. if you need assistance with
any of these items, please call 1-888-Pi\TC-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
vaRA ~ nF~
~. e^. ^1
_ ~
..o-
~:.~AI'ITA~.
THE PRECIOUS METAL LEACHERS
1:;90 S. ~,ur.dy Dive, Suite o00; LesAr,geles, Ca. 90025 Tcll ~=ree: 800-5i ~ 935 ~~i~cne: 310-5i 1-01;1L Fa; ~ i0-5T~-019
•;~~: LearCapital.co~~~
Invoice ID: 55432
Invoice Date: 04/14/09
Account ID: RB 17027 - 368737
Account Rep: Charles Navies
Sold To:
Robert Bartels
P. O. Box 27
Grantham, PA 17027
(717)766-6397
Ship To:
Robert Bartels
P. O. Box 27
Grantham, PA 17027
(717)766-6397
Sub Total: $4,041.92
Shipping: $27.00
Total Invoice: $4,068.92
~.. '-r
-°
~.~~.CAPITAL
T!-IE PRECIOUS METAL. LEADERS
199+~ S. Bundy Crave, Suite hCO, Los Angeles, CA 90015 ?oll FiFe: Suf!-r;7G935S Phone: 310-~'1-0190 Fa,: 31~J-5-O:~J
avw~~~;: LearCapitai.com
Invoice ID: 54360
Invoice Date: 03/19/09
Accou:ct ID: RB i 7027 - 368737
Account Rep: Charles Navies
Sold To:
Robert Bartels
P. O. Box 27
Grantham, PA 17027
(717)766-6397
Ship To:
Robert Bartels
P. O. Box 27
Grantham, PA 17027
(717)766-6397
Sub Total: $4,255.02
Shipping: $28.00
Total Invoice: $4,283.02
THE 1'RECI~US METAL LEADERS
1990 5.6undy Drive, Suits 600,1_os Angeles, CA 90025 irll Free: 800-57u-9355 ?hake: 3it~ 571-0190 Far: 3~0-57i-r;(g~
v~r,~^,~1: LearCapitai.c0in
Invoice ID: 54187
Invoice Date: 03/17/09
Account ID: RB 17027 - 368737
Account Rep: Charles Navies
j Sold To:
Robert Bartels
P. O. Box 27
Grantham, PA 17027
(717)766-6397
' Ship To:
Robert Bartels
P. O. Box 27
Grantham, PA 17027
(717)766-6397
5 VAR 1 Oz Gold American Eagle $985.26 $4,926.30
4 VAR 1 Oz Silver American Eagle $17.47 $69.88
Sub Total: $4,996.18
Shipping: $28.00
Total Invoice: $5,024.1$
w
t =~~
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N~
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„ a; ~_
~~ ..
-A.CAI'IT1~L
Tt-tE PRECIOUS rti1ETAl. LEADERS
1990 S. Bu^dy Dri~~e, Suite 600, Los Ar:.geles. CA 90025 Tcll Free: 80n-576-9355 F~one: 31u-5?1-0! 90 Fa_:: 3i1-51-6194
~nn~~+r I_earCaoitaLcem
Invoice ID: 54702
Invoice Date: 03/24/09
Account ID: RB 17027 - 368737
Account Rep: Charles Navies
Sold To:
Robert Bartels
P. O. Box 27
Grantham, PA 17027
(717)766-6397
Ship To:
Robert Bartels
P. O. Box 27
Grantham, PA 17027
(717)766-6397
Sub Total: $4,202.18
Shipping: $28.00
Total Invoice: $4,230.18
f ~~.~ .
-Fj
G~ ~~.
~e~ .CAPITAL
THE PRECIOUS METAL LEADERS
iy~G ~. Bu~dp U~iY~, S~..iie S00, Los,4ng?Ies, CA 9GQ25 Inl Free: 8GC~-~7o-93~~ P"pne: 31_u-5'1-ui90 Fax: 31C-7?-G'!9~
ovww: learCa piial.com
Invoice ID: 55406
Invoice Date: 04/16/09
Account ID: RB 17027 - 368737
Account Rep: Charles Navies
Sold To:
Robert Bartels
P. O. Box 27
Grantham, PA 17027
(717)766-6397
Ship To:
Robert Bartels
P. O. Box 27
Grantham, PA 17027
(717)766-6397
Sub Total: $4,976.75
Shipping: $28.00
Total Invoice: $5,004.75
:~ of ~3 +._ ~..a .~ `.~I fv+:
August 21, 2009 ''~~~ "~ ~ ~i}~%'
~~V~(~! ~ ~3~~~C~tM~ili~~ ~~:~
Irwin & McKnight, P.C. '_F~~if~,~ ~~~~~~'-~
West Pomfret Professional Building
60 West Pomfret Street
Carlisle, Pennsylvania 17013
Dear Mr. McKnight, III:
RE: Catherine M. Bartels, deceased August 1, 2009
In response to your recent inquiry concerning the accounts maintained in the name of
the decedent, please be advised that the following accounts were open at the date of death:
Savings # 1371-63039, open 8/26/2004, date of death balance $1,006.11
plus accrued interest $ .04, joint with Robert T. Bartels.
Checking # 3622-74234, open 8/4/2004, date of death balance $29,8S6.9S
(any accrued interest ($ .16) would not have been payable had the account
been closed on the date of death) joint with Robert T. Bartels.
If you should have any further questions, please do not hesitate to contact me at (717)
291-2437.
Very truly yours,
~Q~.,~u
Karen D. Hillegas
Credit Inquiry Processor
P O Box 4887 ~ Lancaster, PA 17604
fultonbank.com ~ 1-800-FULTON-4
St
MEMBERS 1St
FEDERAL CREDIT UNION
SAVINGS ACCOUNT:
Account Number/Suffix 302428-00
Date Account Established 03/10/2007
Principal Balance at Date of Death $24.72
Accrued Interest to Date of Death $.00
Total Principal and Accrued Interest $24.72
Name of Joint Owner Robert Bartels
Date Joint Ownership Established 03/10/2007
CHECKING ACCOUNT:
Account Number/Suffix 302428-11
Date Account Established 03/10/2007
Principal Balance at Date of Death $20,936.86
Accrued Interest to Date of Death $.00
Total Principal and Accrued Interest $20,936.86
Name of Joint Owner Robert Bartels
Date Joint Ownership Established 03/10/2007
!k....~ t.;J;tzv fi c7~~~~ ~
ti€tUVlf~ ~ iVlc~Sti+iGii
j.A?~l OFFiGFS
M BERS 1ST FEDERAL CREDIT UNION
Danielle A. Kline
Insurance Services Specialist
August 12, 2009
Estate of: CATHERINE BARTELS
Date of Death: 08/01/2009
Social Security Number: 149-07-0178
5000 Louise Drive P.O. Box 40 Mechanicsburg, Pennsylvania 17055 (800) 283-2328 wwwmemberslst.org
~i~l~~~~
August 18, 2009
Marcus A McKnight III
C./O Law Offices Irwin & McKnight PC
West Pomfret Professional Building
60 West Pomfret St
Carlisle, PA 17013-3222
Dear Marcus A McKnight III:
~~~- ~~a
r ~,
We are responding to your request for information regarding Catherine M Bartels'
Fidelity account .
Account Number: 2EA-503320 established 09/07/2004
Registration: Catherine MBartels -Individual TOD
Value on 08/01/2009: See attached valuation report P93270
"- .~ ~ ~ U
The beneficiaries of the account are: Robert Bartels - 25%; Kathy Bartels Spanjer - 25%;
Chris Bartels - 25%; and David Bartels - 25%.
All information in the enclosed valuation report(s) is based on assets in the above-listed
Fidelity account(s) as of the date indicated on the report(s). Valuation information for
these accounts is provided through Evaluation Services Inc., a third party valuation
service provider. Fidelity does not warranty the accuracy of this information for any
particular purpose. In addition, Fidelity does not provide legal or tax advice. Consult
with an attorney or tax professional regarding any specific legal or tax situation.
«Ie hope this informatior. is helpful. For questions concerning account holdings or
instructions on how to transfer the ownership of the accounts, please call our Inheritor
Services Group at 800-544-0003 between 8:00 A.M. and 6:30 P.M. Eastern time Monday
through Friday or visit our website at www.fidelitx.com.
Sincerely,
Fidelity Investments
BrOV.ar3ye Se^,cas arr~•:!ce~ cv Fidelity Brokerage Services LLC '•.7e^'.t2' f~lYSF. '=IPC;
C!daaig, ;:ustad: 2ne soli erne ~l serric~s bq National Financial Services LLC 0.4w- bei Hfr ;F SI?C
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LISTENING.
ON1r 1'L"NN SQL1AliL, !?. O. AOX 4A$7
1.ANCA.ST.FTt, PA 17,604
IMPORTANT NOTICE
You have the rigltr to request that we trot send,yotr arry~itture :rnsplieitcd jcreslmllr= uJucrrisemerus..lf ypu wlsh to r~yues! !ha!
we oat send you any jirture unsolrcited fuc,+imilu arLverrlsemcnt~~, you may dd so in ape ojnc~ following thrFC wa}.c~
I, I~isit www.optUttt/~FC,com and complete un online rcyuesr.
1, Send a fax ro 7.17.56.63.16 (this is nor atoll-free prophet). Include in jucslmlle the words dense tlo nat_F_nx and the
Jr~cslmlle number(s) where yvu do nu! wish to receive further urlsol'icited facsimile advertisements fran us.
3. Contact its Gv telephone at 717 75.8666 (this is nor a rol!•free number).
Ip each case, ,volt will need to.provide rite facsimile nuntber(~) where yorr :do not wish tp receive further unsolicited jacsir~trle
udvertiscments front trs. Fail:u•e hV tts to cornplV with such a request in pid~icr form rvit/tin 3Q days is rtnluwful~
Dote: OSL17/09 _ Number of Pages i.ncludi.ng cover sheet: 2
To; Attorney 'f'or Robert Bartels
~'ax: (7171249-6354
'1'elephonc: ( 1
Fromm N1a.rina. Cumberland Parkww 13raneh
Fax: X717 X790-8295
'1'elepl~one: ~7] 7 2790.8290
ttEMA.RKS: D Urgeat D l~or your review ^ Reply ASEU? ^ Please comment
l need X150 in order. to close the Fulton Bank flecount due to a check thzit came through the account that
same evening, i attached a copy o:~ the check that came thro~igh the ttccount, Our, address is 1423 S
Market St, Mechanicsburg PA 1.7055. Thanks for your assistoncel
CONIt1U1~NT1AI~ITY NOTICE: This messube is intended only L't~r the use of the Individual or entity to which it is nddressed and may
contain in'1•ormatian that is privileged, can{identinl turd exempt from disclosure. IP;thq reader oPthis messngc is not nc~ intended recipient Ur tn1
umpl~ayee or ltgent reslaonsible fur delivering 1110 mcssngc to Ulu intundsrd reuipienl you trn; hereby notified that w1y disscminntion,
distribution, or copying oflhis cummunicution is sl:riclJy prohibiWd 11'you htroe racclved this ccnlltltunicntical in error, plensc notify us
immrllittlely lay !elephonc and rulum the uri~;innl mcssnge to uy by mail Thank yoi+
8 Market Plaza Way
Mechanicsburg, PA 17055
(717)697-4696
Michael J. Malpezzi, Owner, FD
September 8, 2009
Robert T. Bartels
P.O. Box 27
Grantham, PA 17027
J. Shartzer, FD
C. Knipe, FD
The Funeral Service for Catherine M. Bartels
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, AUTOMOTNE EQUIPMENT,
AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS.
SELECTED MERCHANDISE:
Pine Cremation Container _ $650.00
THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE
THAT YOU HAVE SELECTED $650.00
AT THE TIME FUNERAL AR.R.ANGEMENTS WERE MADE, WE ADVANCED CERTAIN PAYMENTS TO
OTHERS AS AN ACCOMMODATION. THE FOLLOWING IS AN ACCOUNTING FOR THOSE CHARGES.
C. SPECIAL CHARGES
Direct Cremation , $1875.00
CASH ADVANCES
Certified Death Certificates , $180.00
Newspaper Notices -Bergen Record $257.25
TOTAL CASH ADVANCES AND SPECIAL CHARGES . $2312.25
CONTRACT PRICE $2962.25
HISTORY
08/03/2009 Payment , $-2705.00
TOTAL AMOUNT DUE $25'7.25