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HomeMy WebLinkAbout02-02-101505607121 -', REV-1500 EX (D6-D5, PA Department of Revenue County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN PO BOX 280601 2 1 0 9 0 4 4 3 Harrisbu PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMA710N BELOW Social Security Number Date of Death Date of Birth 1 6 2 2 2 2 5 8 2 0 5 D 1 2 0 0 9 1 2 2 6 1 9 2 6 Decedent's Last Name Suffix Decedent's First Name MI R A N C K P E A R L S (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS MI FILL IN APPROPRIATE OVALS BELOW l Return i i 1 O ^ 2. Supplemental Return ^ 3. Remainder Return (date of death na r g . 0 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) 1 B 0 6. Decedent Died Testate ^ 7. Decedent Maintained a Living Trust oxes 8. Totai Number of Safe Deposit (Attach Copy of Will) ^ 9. Litigation Proceeds Received ^ (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death ^ Ounder Sec. 9113(A) 11 • Att h h S between 12-31-91 and 1-1-95) . c ac ( ) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Daytime Telephone Number Name D A V I D H S T O N E S E S Q U I R E 7 1 7 7 7 4 Q4 3 5 , ~ Firm Name (If Applicable) REGIS WILLS U86yONLYr3 :~; 3 S T O N E L A F A V E R S H E K L E T S K First line of address 4 1 4 B R I D G E S T R E E T Second line of address City or Post Office N E W C U M B E RL A N D State ZIP Code Cfj t'V r~ ~ _ Z V ~. M DATE FILED ~' P A 1 7 0 7 0 Cor spondent's -ail address: D S T O N E a S T O N E L A W• N E T Unde na of pe ury, d are that I have examined this return, induding accompanying schedules and statements, and to the best of my knowledge and belief, it is tru , nd mpl te. laration of pn;parer other than the personal representabve is based on all information of which preparer has any knowledge. SIGNA RE E 0 R ONSIBLE FOR FILING RETURN DATE 2~1_ Z.l l ADDRE 2A C AI R N R D DUNCANNON PA 17020 SIGNA EP O ER THAN REPRESENTATIVE DATE ~ •7e1,7~ic~ 414 BRIDGE STREET 1505607121 NEW CUMBE PLEASE USE ORIGINAL FORM ONLY Side 1 PA 17 1505607121 J 1505607221 REV-1500 EX Decedent's Social Security Number Decedents Name: PEARL S• R A N C K 1 6 2 2 2 2 5 8 2 RECAPITULATION 1. Real estate (Schedule A) 1 6 9 7 3 4, 6 0 ........................................ 1. .................................. 2. 2. Stocks and Bonds (Schedule B) 1 9 5 1 9. 2 8 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. ' 4. Mortgages & Notes Receivable (Schedule D) ........................ 4. ' 5. Cash, Bank Deposits 8~ Miscellaneous Personal Property (Schedule E) ....... 5. 2 5 1 0 1 . 1 2 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6• ' 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property 3 ], 0 6 7 6 . 6 5 (Schedule G) ^ Separate Billing Requested ....... 7. 8. Total Gross Assets (total Lines 1-7) ........................... 8. 5 2 5 0 3 1, 6 5 9 2 1 9 3 5. 2 2 9. Funeral Expenses & Administrative Costs (Schedule H) ........... ..... • . 8 4 3 , 9 1 10. Debts of Decedent, Mortgage Liabilities, 8~ Liens (Schedule I) ...... ..... . 10. 11. Total Deductions (total Lines 9 & 10) ..................... ..... . 11. 2 2 7 7 9 . 1 3 12. Net Value of Estate (Line 8 minus Line 11) ................... ..... . 12• 5 0 2 2 5 2 , 5 2 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which ], 5 0 0 0 0 an election to tax has not been made (Schedule J) ............ ..... . 13• , 5 0 0 7 5 2 , 5 2 14. Net Value Subject to Tax (Line 12 minus Line 13) ............ ..... . 14. TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 0 • 0 0 16. Amount of Line 14 taxable 5 0 0 7 5 2 5 at lineal rate X • 0 4 5 2 16. 2 2 5 3 3. 8 6 17. Amount of Line 14 taxable 0 0 0 17 0 • 0 0 at sibling rate X .12 . 18. Amount of Line 14 taxable 0 0 0 1 g 0• 0 0 at collateral rate X .15 • 19. Tax Due ................................................19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 1505607221 Side 2 2 2 5 3 3. 8 6 1505607221 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 09 0443 DECEDENT'S NAME PEARL S. RANCK _ STREET ADDRESS 705 HARDING STREET _ CITY STATE ZIP NEW CUMBERLAND PA 17070- Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A, Spousal Poverty Credit B. Prior Payments C. Discount 3. InteresUPenalty if applicable D. Interest E. Penalty 20,000.00 1, 052.63 (1) 22,533.86 Total Credits (A + B + C) (2) 21, 052.63 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. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check Payable fo: REGISTER OF WILLS, AGENT 0.00 (5) 1,481.23 (5A) (5B) 1,481.23 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and; Yes ^ No 0 a. retain the use or income of the property transferred : ................................................................. ..... ^ X ^ b. retain the right to designate who shall use the property transferred or its income; .......................... ..... ^ ^X c. retain a reversionary interest; or ........................................................................................... ..... ^ 0 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 ^ 0 without receiving adequate consideration? ................................................................................. h? d " ...... ^ 0 ... eat or payable upon death bank account or security at his or her 3. Did decedent own an "in trust for ...... Did decedent own an Individual Retirement Account, annuity, or other non-probate property which 4 . 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 Juty 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)J. 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 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)]. 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. (4) REV-1502 EX + (6-88) ,` SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIpENT DECEDENT ESTATE OF FILE NUMBER PEARL S. RANCK 21 09 0443 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. Real ro which is oin -owned with ri ht of survivorshi must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~ Property located at 705 Harding St. New Cumberland, 169,734.60 Cumberland County, PA at assessed value ($134,710) times CLR (1.26) TOTAL (Also enter on line 1, Recapitulation) ~ S 169,734.60 (If more space is needed, insert additlonal sheets of the same size) REV-1503 EX + (g-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER PEARL S. RANCK 21 09 0443 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~. US Savings Bonds- 114 bonds (See attached sheet) in the name of Pearl S. Ranck 17,998.92 pod Kenneth J. Ranck on various bonds and also Pearl S. Ranck or Kenneth J. Ranck, Kenneth J. Ranck predeceased the decedent 2. US Savings Bonds-22 bonds (See attached sheet) in the name of Ashlie N. Ranck 1,520.36 or Pearl S. Ranck in the safe deposit of Pearl S. Ranck TOTAL (Also enter on line 2, Recapitulation) ~ S 19, 519.28 (If more space is needed, insert additional sheets of the same size) REV-1508 EX + (6-98) SCHEDULE E ~^ ~+ COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, ~ MSC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER PEARL S. RANCK 21 09 0443 Indude the proceeds of litigation and the date the proceeds were received by the estate. All property jointty-owned with right of surv'nrorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~. 2000 Pontiac Grand AM at Kelley Blue Book value 1,375.00 2 Aetna-husbands monthly pension 285.62 3 Belco Community CU-Checking Acct 2,725.86 4 Belco Community CU-MM Acct 13,545.18 Print. $13,545.18, Int. $9.28 5 Belco Community CU-MM Acct -Accrued Interest 9.28 6 Belco Community CU-Savings Acct 1,460.32 Princ. $1460.32, Int. $.30 7 Belco Community CU-Savings Acct -Accrued Interest 0.30 8 Belco Community CU-Whatever Club Acct 1,780.36 Print. $1,780.36, Int. $.37 9 Belco Community CU-Whatever Club Acct -Accrued Interest 0.37 10 Car Insurance refund 226.00 11 Checks received prior to death 1,130.71 Verizon ($678) and Pershing ($452.71) 12 Last pension check 580.00 13 LTC Insurance refund 648.63 14 M&T Bank-Savings Acct #15004208557974 1,151.29 Print. $1,151.29, Int. $.02 15 M&T Bank-Savings Acct #15004208557974 -Accrued In 0.02 16 Red Lobster-three pay checks received 33.18 TOTAL (Also enter on line 5, Recapitulation) S 25,101.12 (If more space is needed, insert addftional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent PEARL S. RANCK 21 09 0443 Decedent's Name Page 1 File Number Schedule E -Cash, Bank Deposits, 8~ Misc. Personal Property ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 17 Unclaimed property 25.00 18 Various checks received (Darden Rest-White Rock) 19 Various silver half dollars-dollars-certificates- proof sets of 1964 and $5.00 gold piece 59.00 65.00 SUBTOTAL SCHEDULE E 149.00 GRAND TOTAL SCHEDULE E a 25,101.12 REV-1510 EX + (6-98) COMMONWEALTH OF PENNSYLVANfA INHERITANCE TAX RETURN SCHEDULE G INTER•VIVOS TRANSFERS 8~ MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER PEARL S. RANCK 21 09 0443 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. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIRREIATIONSHIPTODECEDENTAND DATE OF DEATH %OFDECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFERATTACHACOPVOFTHEDEEDFORREAIESTATE. VALUE OF ASSET INTEREST (IFAPPUCABLEj VALUE ~ 35 shares Alcatel Lucent stock @ $2.480 each 86.80 100. 86.80 CUNA Brokerage Serv-TOD to Dennis Ranck 2 842 shares AT&T stock @ $26.010 each 21,900.42 100. 21,900.42 CUNA Brokerage Serv-TOD to Dennis Ranck 3 Belco Community CU-IRA Acct #062450 10,873.01 100. 10,873.01 Princ. $10,873.01, Int. $7.45 beneficiary Dennis A. Ranck and Jack F. Ranck (deceased) 4 Belco Community CU-IRA Acct #062450 -Accrued Int 7.45 100. 7.45 5 127 shares Comcast stock @ $16.360 each 2,077.72 100. 2,077.72 CUNA Brokerage Serv-TOD to Dennis Ranck 6 3 shares Fairpoint Communications stock @ $1.070 each 3.21 100. 3.21 CUNA Brokerage Serv-TOD to Dennis Ranck 7 9 shares Idearc Inc.-Common stock @ $.049 each 0.44 100. 0.44 CUNA Brokerage Serv-TOD to Dennis Ranck 8 Members Financial Serv-CUNA Mutual Ins Society 18,572.55 100. 18,572.55 Non Qualifiied Annuity Contract No. 60113659 9 beneficiary Dennis A. Ranck Members Financial Serv-Delaware Investments 3,370.30 100. 3,370.30 Contract No. 6000310680 TOD to Dennis Ranck 10 Members Financial Serv-Hartford Leaders 205,795.42 100. 205,795.42 Contract No. 712328988 Non Qualified Annuity 11 beneficiary Dennis Ranck 98 shares Quest Communications Intl stock @ $4.060 each 397.88 100. 397.88 CUNA Brokerage Serv-TOD to Dennis Ranck 12 198 shares Verizon Communications-Common stock @ $30. 50 each 6,048.90 100. 6,048.90 CUNA Brokerage Serv-TOD to Dennis Ranck 13 122 shares Vodefone Group stock @ $18.850 each 2,299.70 100. 2,299.70 CUNA Brokerage Serv-TOD to Dennis Ranck 14 .16 shares Federated Capital Reserves stock @ $1.00 each 0.16 100. 0.16 CUNA Brokerage Serv.-TOD to Dennis Ranck 15 Darden Restaurants-Retirement Savings Plan beneficiary 39,242.69 100. 39,242.69 Dennis A. Ranck TOTAL (Also enter on line 7 Recapitulation) S 310 676.65 (If more space is needed, insert additional sheets of the same size) REV-1511 EX + (10-06) SCHEDULE H FUNERAL EXPENSES Ht COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER PEARL S. RANCK 21 09 0443 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A, ~ FUNERAL EXPENSES: Dennis Ranck-Reimb on funeral expenses 1,617.00 Rolling Green Cemetery-marker 390.00 Parthemore Funeral Home-bal of funeral expenses 5,903.17 g, ADMINISTRATIVE COSTS: 1, Personal Representative's Commissions Name of Personal Representative (s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees David H. Stone, Esquire 10,000.00 g, Family Exemption: (If decedent's address is not the same as daimant's, attach explanation) Claimant Street Address City State Zlp Relationship of Claimant to Decedent 4. Probate Fees Register of Wills, Cumberland County 418.00 5 Accountant's Fees g, Tax Return Preparers Fees ~ Belco Community CU-check printing fee 13.05 , 2 Millville Mutual Home Fire-insurance due 275.00 3 Erie Insurance-insurance payment due 19.00 4 PennDOT-Transfer fees for Pontiac Grand AM 58.50 5 Stone LaFaver & Shekletski-Reimb on adv in 2 newpapers 219.17 6 New Cumberland Boro-sewer and trash due 101.55 7 Robin Gasperetti, T/C-real estate taxes due 1,320.46 g PA American Water-service at residence 31.21 g PPL-service at residence 42.61 52 4 10 Verizon-service at residence . 148 63 11 New Cumberland Boro-sewer & trash at residence . 57 45 12 Comcast Cable-service at residence . TOTAL (Also enter on line 9, Recapitulation) S 21.935.22 If more space is needed, insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent PEARL S. RANCK 21 09 0443 Decedent's Name Page 3 File Number Schedule H -Funeral Expenses 8~ Administrative Costs - 67. ITEM AMOUNT NUMBER DESCRIPTION 13 Verizon-service at residence 36.27 14 Verizon-service at residence 18'99 15 PA American Water-service at residence 31.21 16 PPL-service at residence 56.45 17 Comcast Cable-service at residence 57.12 18 Verizon-service at residence 36.72 19 Verizon-service at residence 36.02 20 New Cumberland Boro-sewer & trash at residence 101.55 21 Verizon-service at residence 36.99 22 PPL-service at residence 37.57 23 PA American Water-service at residence 31.42 24 PPL-service at residence 22'47 25 Verizon-service at residence 36.61 26 PA American Water-service at residence 31.51 27 Verizon-service at residence 2.03 28 PPL-service at residence 75.61 29 Verizon-service at residence 36.69 30 Verizon-service at residence 2'20 31 PPL-service at residence 64.21 32 PA American Water-service at residence 70.99 33 PPL-service at residence 65.06 34 PA American Water-service at residence 33.59 35 Verizon-service at residence 43.00 36 PA American Water-service at residence 31.24 37 PPL-service at residence 60.34 38 Verizon-service at residence 30.04 39 Register of Wills-filing Inheritance Tax Return and Inventory 30.00 40 Reserve for closing expenses 200.00 SUBTOTAL SCHEDULE H-67 I 1,315.90 REV-1512 EX + (12-03) SCHEDULE 1 COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES, & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER PEARL S. RANCK 21 09 0443 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~ VISA credit card payoff 123.54 2 QVC Card payment 37.14 3 Wal-Mart Discover Card payment 273.13 4 Wal-Mart Discover-payment in full 106.83 5 Hendersons-debt of decedent 11.66 6 Lawrence Chevrolet-repairs from accident 250.00 7 QVC Card-payment in full 41.61 TOTAL (Also enter on line 10, Recapitulation) I S 843. (If more space is needed, insert additional sheets of the same size) REV-1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE) BENEFICIARIES ESTATE OF PEARL S. NUMBER I. 1. 2 3 II. 1 NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] DENNIS A RANCK 2A CRAIG RUN ROAD DUNCANNON PA 17020- ASHLIE NICHOLE RANCK 24J SOUTH 17TH STREET HALL MANOR HARRISBURG PA 17104- MIA N. BROWN 24J SOUTH 17TH STREET, HALL MANOR HARRISBURG PA 17104 AMOUNT OR SH, OF ESTATE 489,252.52 FILE NUMBS 21 09 C RELATIONSHIP TO DECED Do Not List Trustee(s) Lineal Lineal Lineal ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. CHURCH OF GOD 323 RENO AVENUE NEW CUMBERLAND PA 17070 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) a 10,000.00 1, 500.00 1, 500.00 1 4 r:\DOCS\EP\WILLS\RANCK~PEARL 9-2008.wpd LAST WILL AND TESTAMENT OF PEARL S. RANCK I, PEARL S. RANCK, of the Borough of New Cumberland, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I: I bequeath my automobiles, household and personal effects and other tangible personalty of like nature tnot including cash or securities) together with any existing insurance thereon to my son, DENNIS A. RANCK. ITEM II: I bequeath the sum of $1,500.00 to the CHURCH OF GOD, Reno and 4t'' Streets, New Cumberland, Pennsylvania. ITEM III: I bequeath the sum of $1,500.00 to each great- grandchild of mine living at the time of my death. ITEM IV: I bequeath the sum of $10,000.00 to my granddaughter, ASHLIE NICOLE RANCK. ITEM V: I devise and bequeath all the rest, residue and remainder of my estate of every nature and wherever situate to my son, DENNIS A. RANCK. ITEM VI: I appoint my Executor and his successors guardian of any property which passes, either under this will or otherwise, to a minor and with respect to which I am authorized to appoint a guardian Page 1 of 4 and have not otherwise specifically done so, provided that this appointment of a guardian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to the minor or to another for the minor's benefit. Such guardian shall have the power to use principal as well as income from time to time for the minor's support and education (including college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support and education, or to make payment for these purposes, without further responsibility, to the minor or to the minor's parent or to any person taking care of the minor. ITEM VII: I appoint my son, DENNIS A. RANCK, Executor of this my last will. Should my son, DENNIS A. RANCK, fail to qualify or cease to act as Executor, I appoint my daughter-in-law, CHRISTINE R. RANCK, Executrix of this my last will. ITEM VIII: No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of his or her duties in any jurisdiction. IN WITNESS WHEREOF, I, PEARL S. RANCK, have hereunto set my hand and seal this ~_ day of ~n~P~o~, 2008. PEARL S. RANCK Page 2 of 4 SIGNED, SEALED, PUBLISHED and DECLARED by PEARL S. RANCK, the Testatrix above named, as and for her Last Will and Testament, and in the presence of us, who at her request, in her presence and in the presence of Wi ~.- ~. other, have subscribed our names as witnesses. Witness COMMONWEALTH OF PENNSYLVANIA: . SS. COUNTY OF CUMBERLAND 414 Bridcre St., New Cumberland, PA Address 414 Bridge St., New Cumberland, PA Address I, PEARL S. RANCK, 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 this 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 contained. PEARL S. RANCK Sworn to or affirmed to and acknowledged before me by PEARL S. RANCK, the Testatrix, this ~~ day of J~O~~'('t`~Q-~' 2008. ,- / yr~,~ ,~-" i .' Notary Public COMMONWEALTH OF PENNSYLVANIA Page 3 o f 4 NOTARIAL ~ JENNIFER A. MEARKLE, Notary Public New Cumberland Boro. Cumberland Co. My Commission E~cpires July 7, 2012 COMMONWEALTH OF PENNSYLVANIA . SS: COUNTY OF CUMBERLAND we, ~/~i.~.~n ~-`> s-~~.,. ands ~_~~1~- ~. ~~-1.1t-~p ~-- --r-- the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw Testatrix sign and execute the instrument as her last will; that Testatrix signed willingly and that she 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; that to the best of our knowledge, the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. Wit ~GC.- ~ - Witness Sworn to or affirmed to and acknowledged before me by witnesses, this ~~ day of ~~, r 2008. ~~ Notary Public COMMONWEALTH OF PENNSYLVANIA NOTARIA S L Page 4 o f 4 JENNIFER A. MEARKLE, Notary Public New Cumbor(ertd @aro. Cumberland Co. M Commission Ex Tres Jul 7, 2012 STONE LAFAVEF~ & SHEKLETSKI ATTORNEYS AT LAW 414 BRIDGE STREET DAVID H. STONE POST OFFICE BOX E GERALD J. SHEKLET3K1 NEW CUMBERLAND. PA I7O7O ELIZABETH B. STONE www.5tone12Wnet Pennsylvania Department of Revenue Harrisburg District Office Lobby, Strawberry Square Harrisburg, PA 17128-0101 May 21, 2009 Re: Estate of Pearl S. Ranck Date of Death: May 1, 2009 Social Security No. 162-22-2582 Estate No. 21-09-0443 Greetings: Please find enclosed an original Safe Deposit Box Inventory for Box No. 59. OFCOUN3EL CHARLES H. STONE JON F LAFAVER TELEPHONE (717) 774-7433 FACSIMILE (717) 774-3889 Thank you for your attention in this matter. Should you have any questions, please feel free to contact me. Very truly yours, DHS/jam Enclosure cc: Dennis A. Ranck, Executor STONE LaFAVER & SHEKLET5KI avid ne, uire INVENTORY Page of REV-485 EX SAFE DEPOSIT BOX INSTRUCTIONS (1) Cash: Report tots{ only. (2) Stocks: Lismi anetcert'ficate number, date of ceRific tercname inrwhich stock is eg stered, and Humbler of hares and c ass of sto k. name of co p y, g e of ownershi (3) Obligations of U.S. Government: Number of items, date of issue, face value, names in which re istered and typ P. i.e., jointly held, payable on death, etc. (4) Bonds: Designate by name, amount, serial number, or other designation. (Bearer Bonds) (5) Bank and Savings and Loan Passbooks: State name of depositor, number of book, last date appearing in book, name of bank and branch, and balance. (8) Jewelry, Coins, Stamps, Manuscripts, etc: List and describe as fully as possible. (7) Deeds, Mortgages, Current Insurance Policies or other evidences of indebtedness: List and describe as fully as possible. (8) All other contents. DEPARTMENT OF REVENUE (9) Return completed form to: INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG, PA 1712&0601 ITEM ITEM DESCRIPTION __. _- - NO. -__ __ ____- --- -_ _- --- -- -- _ -. 1 Long term care policy - GE Capital, _HFN63740__._______-_____--_------------ -- - --- -- - - --- _ -- 2 Title_to 2000 _Pont-ia~sedan_VIN#---l~2Gd1G~25-7-~F~2~-4- ------ ---- ------- - -- 3 Deed to 705 - Harding_ Street,__New- Cumberland_~-_dat~~1__8.1.~6 19~ _ _ --- _ _ Annu~t}~---#6 Q_000 8.8 Z,-_ $-3 Q-r-0-00-r - -- 4 Century Companies_o_f_America - ___ __- maturity date 5/10/1999 ----_- ---- --- 5 Century Companies of America - Single Premium _ _Annuity-#601 1 36_x.9 _____ ___ _ --- - _ __ _._.-_ -- ----_ $1 0, 000.00, maturity date 1 1 __6_ 200__--___-_ _____-_---------------- _ __ ___ -- -- 6 22 silver dollars __ _ ______------------------------ _ __ _ - - _ ------ --- --- 7 24 silver half dollars__ ------------------ 8 2 proof set 1964 _--"-----~--- -- _. _ -_ _ ___-- - ---- 9 1 $5.00 gold piece -- _-- --_ _------- - - _ -------------_ -- _- _. -_ _ 10 1 6 dollar paper silver certificates --- ---- - -- -- .-. _ -- -- _ _ _ _. 1 1 Title to 1 981 Chevy VIN# 1 61 AX08X28T1 1 1 757 ~ tit_le _to_Jack_Ranck~__dec ._ ____._ -- --__ _ _ __ __ - -- (sent to scrape yard _ in 1.99.6 )___ -- _- - --_ _ --- _. _. ---- ---_ __ _ __ _ _ - _. _ _ _ - 12 SEE ATTACHED list of Bonds __ - --- - - _ _ - _ __ 1 CERTIFY UNDER PEN LTY PERJURY THAT THE ABOVE RECORD IS PEK~un eer=~.e~• ~~~~ ~~• CORRECT AND COMP E T THE BEST OF MY KNOWLEDGE AND BELIEF SGNFAET DflPOSIT BOX INVENTORY: PRINT NAME AND CHECK APPROPRIATE BOX BELOW: PRINT NANE~/ ~~ vr~ 'c_./' „+ ~'~ ` * `~ ~` DATE CHECK APPROPRIATE BOX: PRINT TITLE Executor(trix) ~ Admin~stratcr)tnx) - ~' ~ ` .1L ~ Estate Representative ~ Join[ aNner of safe deposd t;cx NOTE: Attach ad oval 8'l:" x 11" sh ~ C s) tef rne~e ~ S ory~le f Soc ai SecupnTy naumbers in tonnection9veit h dmo stering state tax laws. 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N N N N a U ~ O ~oz .~ ~ ~" ~ N ~+ R, a~ W U O~ri~ Qz~ W av Wwo 0. 0 ~, ~ ~ ~ `0 0 0 0 0 0 0 0 0 0 0 ~ .~e ae se y v x ~ v ~ v ~ v ~ v ~ ~ ° v ~ ~ ~ oC C ~ ~ cG c ~ ~ a ~ ~ ~ ° ~ coq ~ ~ ~ ~ ~ ~ cYi " v v ~ ~ ~ ~ a vi ~ VI OG v~ ~ fn vi ~ C~ ~ C C ~ a via vi ~ via vj~` c0 ea a u a a~ a a~ a, u cs. ~ a. a a aG ~ c ~ ~ ~ ~ ~ ~ vi ~ ~ a H c G ~~,' ~ vS ~ ~ ~ ~ ~ a ~ ~ aL ~ ~ ~ ~ ~ ~ ~ a ~ ~ ~ ~ ~ DL ~ aG ~ aG ~ ~ a ~ vi a a ~ oo pp oo °° ~ ~ ~ ~ ~ ~ r r r ~ ~, ~ ~ ~ r. ~ r- ^" ~" ~p ~o i i i i o o`o in o i i ~ ~ ~ oWo v M N oWo ~ o W W W W W W W n ~ o o ~ oho ~ oho _ M 00 ~D r+ ~p '~ d' o ~`~' ~ OMO OHO ~ O~ N d' t~ M M 00 00 00 ~ o ~ M N ^' N N ~ N N O ~ ~ ~ ~ r ~ ~ ~ ONO ~ ~ ."~ O~ O~ O~ ~D t~/1 V~i1 V~1 ~ l'~ I~ t~ l~ [~ I'~ I~ ~p ~ 00 00 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~O N N N N a a a a a a a a a a a a ~ ~ ~ .~ a w ~ w o 0 0 0 0 0 0 0 0 ~. w. c o 0 0 Vl N to Vl Vi d ~ d ~ ~ ~~, N a~+ v ~ b b b b b b b b b v b ~ ~ a j ~ ~ ~ ~ ~ ~ a ~ ~ ~ j ~ ~ ~ ~ ~ ~ ~ ~ ~ ~, ~ ~ a~ a~ a~ W W W W W W W W W W W w yr ~ ~ y~j y d ~ d N d N d N ~ N L N ~ ~ ~ G7 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ O O o O ~ ~ N N N N N N N N N ~ N N w O F W N 00 N N N N ~O a W z H V W a w P~ ~Q W U ~ 0 U V U U V PG pC CYO C~ PG V1 (!~ to (~ V1 ~ ` ` ` c o ~ c v cd cd a a w c; a M ~ ~ ~ ~ ~ ~, ~, ~ ~ ` ~ N w O M ~ w ~ ~ H H N O 0 0 0 O O O O M M M M ~ N N N N N U U U U A Q Q 0 0 0 0 0 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ w w w w w i ~n cn v~ v~ n ° ° ° ° o o o o o TaxDB Result Details Page 1 of 1 Detailed Results for Parcel 26-23-0543-142. in the 2004 Tax Assessment Database DistrictNo 26 Parcel ID 26-23-0543-142. MapSuffix HouseNo 705 Direction Street HARDING STREET Ownerl RANCK, PEARL S C/O PropType R PropDesc LivArea 1550 CurLandVal 31000 CurImpVal 103710 CurTotVal 134710 ~ j. a.b CurPrefVal Acreage .18 CIGrnStat TaxEx 1 SaleAmt SaleMo SaleDa SaleCe SaleYr DeedBkPage 00192-00399 YearBlt 1948 HF File Date 10/22/2004 HF Approval_Status A ~ I (~9, ~ 3 ~. (~~ httn://taxdb.ccna.net/details.asp?id=26-23-0543-142.&dbselect=l 5/6/2009 Calculated Value of Your Paper Savings Bond(s) Page 1 of 3 Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 05/Z009 Tota! Price Totai Value Total Interest YTD Interest $2.791.75 $17,998.92 $.15,207.17 $55.64 Bonds: 1-114 of 114 ' ~ Serial # Series Denom Issue pate Next Final Accrual Maturity Issue Price Interest Interest Rate Vatue Note Q2285045809E E $25 08/1967 08/1997'. $18.75: $109.70. $128.45. MA Q2301959194E E $25 11/1967. 11/1997 $18.75 $110.95 $129.70 MA Q2317324899E E $25 01/1968, _,.,. _ 01/1998 _ $18.75 _ $112.53 _ $131.28 MA Q2324399176E E $25 03/1968 _ 03/1998 $18.75 $112.53 $131.28 MA Q2343165144E E $25 06/1968: .. 06/1998 $18.75 $115.41 $134.16 MA Q1443090 SN $25 08/1967 08/1997, $20.25 $133.80 $154.05; MA Q1662578 SN __$25 11/1967 __ 11/1997,_.. __ $20.25 _....,$135.27 __$155.52 MA Q1798055 SN $25 01/1968_. ._ 01/1998 $20.25 $136.04. $156.29, MA Q1920718 SN $25 03/1968 03/1998 $20.25 $136.04 $156.,29, MA Q3393800 SN $25 06/1968 _ _. 06/1998 $20.25 _ $125.43 _$145.68 MA Q2356212617E E $25 08/1968. ,, 08/1998 ,$18.75 $115.39 $134.14 MA Q3527269 SN $25 08/1968 08/1998. $20.25 $125.43 $145.68 MA Q12834553 SN $25 10/1968: 10/1998. $20.25 $115.93. $136.18. MA Q2370273480E E $25 10/1968 10/1998_.. .. $18.75 $115..39 __ $134.14 MA Q2567692671E E $25 04/1971 04/2001 __ $18.75 $107.85 _ $126.60, MA Q2625744682E E $25, 12/1971 12/2001 $18.75 $107.91 $126.66 MA Q5046425362E E $25 09/1972. , 09/2002 _ $18.75 $109.30 $128.05 MA Q5100410336E E $25 05/1973 05/2003 _ $18.,75. $111.14 $129.89 MA Q5160508369E E $25 02/1974. 02/2004 $18.75 $109.73 $128.48 MA Q5190733234E E $25 06/1974 .. 06/2004 $18.75 .._$111.27 $130..02. MA Q5197891804E E $25 07/1974 07/2004: _ $18.75 $111.27. _ $130.02 MA Q5198944681E E $25 08/1974. 08/2004. _ $18.75 ,,.$111.27 _ $130.02, MA Q5219121585E E $25 09/1974 09/2004 $18.75_ ._, $111.27 $130.02 MA Q5219121585E E_ $25 10/1974. 10/2004 $18.75 _...$111.27 $130.02 MA Q5224676441E E $25. 10/1974: 10/2004 $18..75, $111.27 $130.02 MA Q5218348853E E $25 11/1974. 11/2004 $18.75 $112.51 $131.26 MA Q5225018296E E $25 12/1974 _ 12/2004, $18.75 ,_$112.84 $131.59 MA Q5244284755E E $25 01/1975 01/2005 $18.75 $112.82, $131.57 MA Q5244594943E E $25 02/1975 . 02/2005 $18.75 $112.82 $131.57 MA Q5249457741E E $25 03/1975 03/2005_ $18.75 $112.82 $131.57 MA Q5250541976E E $25 04/1975 04/2005 $18.75 $112.82. $131.57 MA Q5256745356E E $25 05/1975 05/2005 $18.75. $114.08 $132.83 MA Q6007079060E E $25 05/1975 . 05/2005 $18.75 $114.08 $132.83 MA Q6008023916E E $25 06/1975 ..06/2005 $18.75 $114.40 $133.15 MA Q6023664544E E $2 5 .07/1975 .07/2005 $18.75 $114.40 $133.15 MA Q6024533584E E . $25 08/1975 . 08/2005 $18.75 $114.40 $133.15 MA Q6040141973E E $25 09/1975 09/2005 $18.75 $114.40 $133.15 MA Q6041488487E E $25 10/1975 . 10/2005 $18.75 $114.40 $133.15 MA Q6047270101E E $25 .11/1975 11/2005 $18.75 $115.71 $134.46 MA Q6055272010E E $25 11/1975 11/2005 $18.75 $115.71 $134.46 MA Q6055731505E E $25 12/1975 12/2005 $18.75 $116.00 $134.75 MA Q6056326505E E $25 01/1976 01/2006 $18.75 $116.01 $134.76 MA Q6062851529E E $25 02/1976 02/2006 $18.75 $116.01 $134.76 MA Q6068884202E E $25 03/1976 03/2006 $18.75 $116.01 $134.76 MA Q6076503778E E $25 04/1976 04/2006 $18.75 $116.01 $134.76 MA Q6082459712E E $25 05/1976 05/2006 $18.75 $117.29 $136.04 MA httn//www.treasurvdirect.~ov/BC/SBCPrice 7/16/2009 Calculated Value of Your Paper Savings Bond(s) Page 2 of 3 Q6091167954E E $25 05/1976 05/2006. $18.75 $117.29 $136.04 MA Q6098889205E E $25 06/1976. 06/2006 _ $18.75 $117.59 $136.34, MA Q6133838259E E $25 11/1976 11/2006 $18.75 $118.90. $137.65, MA Q6143890387E E $25 12/1976 12/2006 $18.75 ..$119.29 _ $138.04 MA Q6151248997E' E $25' 01/1977. 01/2007 $18.75 $119.29 $138.04. MA Q6151248997E E $25, 02/1977 02/2007 $18.75, $119.29- $138.04 MA Q6155593911E E $25 03/1977, _ 03/2007 $18.75 _ $119.29. $138.04 MA Q6162137514E E $25 04/1977 04/2007 . ...$18.75 $119.29 $138.04 MA Q6168772903E E $25 05/1977 05/2007, $18.75: $120.65 $139.40; MA Q6176964696E E $25. 05/1977. .05/2007. _ $18.75 _ $120.65 _ $139.40., MA Q6183081809E E $25 06/1977 06/2007,. $18.75 $120.95 $139J0 MA Q6184445634E E $25. 07/1977 07/2007. $18.75 $120.92 $139.67 MA Q6191300224E E $25 07/1977 07/2007 $18.75: $120.92 $139.67 MA Q6191304224E E $25' 07/1977_ 07/2007' $18.75 $120.92 $139.67 MA Q6233099106E E $25. 01/1978 01/2008 $18.75 $109.70 $128.45 MA Q6233095359E E $25 01/1978 01/2008; $18.75 $109.70; $128.45 MA Q6231723723E E $25 01/1978. _ 01/2008 $18.75 $109.70 _ _ _ $128.45 MA Q6224419943E E $25 .12/1977 _ _ 12/2007 _ _ $18.75 _ _ $109.70 _ $128.45 MA Q6223784358E E $25 12/1977 _ 12/2007_.. $18.75 _ $109.70_, _ $128.45 MA_ Q6223777816E E $25 12/1977. 12/2007 $18.75. $109.70. $128.45 MA Q6216778854E E _ $25 12/1977. ,__ _ 12/2007 $18.75. .,,,__$109..70..,,, $128.45 MA Q6216772143E E _ $25 ,11/1977: _ _ 11/2007 _ _ $18.75 _ $109.34 _ $128.09 MA Q6216403947E E $25 .11/1977 11/2007 $18.75:' $109.34, $128.09; MA Q6210492321E _ E. $25 il/197T _ _ , 11/2007 $18.75 _.,$109.34 _ _ _ _ _ $128._09, MA Q6210488652E E $25 10/1977 10/2007 $18.75 _ $120.92 $139.67 MA Q6209901660E E $25 10/1977. 10/2007 _,$18.75 $120.92 ,,,$139.67 MA Q6209421093E E $25 10/1977 10/2007 $18.75 $120.92 $139.67. MA Q6209417125E E $25 :10/1977 _ 10/2007 _ __ $18.75 $120.92 _ _ _ _,$139.67 MA Q6203264802E E $25 09/1977 _ _ 09/2007 _ $18.75 $120.92 _ _ _ $139.67 MA Q6203260891E E $25 09/1977 09/2007 $18.75 $120.92 $139.67: MA Q6191507463E E $25 09/1977 09/2007,. $18.75. _ $120.92,.,_ _ $139.,67; MA Q6191477259E E $25 08/1977 _ _ _ 08/2007 $18.75 $120.92_ _ $139.67. MA Q6191267250E E $25 08/1977 08/2007 $18.75 $120.92 $139.67 MA Q6191279059E E $25 ,08/1977 08/2007 $18.75. $120.92 $139.67 MA Q6100135859E E $25 .07/1976_ ,....... _ ,07/2006 $18.75 _ $117.57. _ _ $136.32 MA Q6106912592E E $25 08/1976 08/2006 $18.75 $117.57 $136.32 MA Q6237719886E E $25 02/1978. 02/2008 $18.75 $109.70 _ $128.45 MA Q6237723684E E $25 02/1978,. _ 02/2008 _ _ $18.75 $109.70 _ _ _ $128.45.; MA Q6244385121E E $25 02/1978 02/2008., _ $18.75 $109.70,.. _ $128.45: MA Q6244388838E E $25 02/1978 02/2008 $18.75 $109J0 _ _ $128.45 MA Q6245724125E E $25 03/1978 03/2008; $18.75, $89.79 $108.54 MA Q6245730306E E $25 ,03/1978_ , _ 03/2008 $18.75 _ $89..79 $108.54. MA Q6245733994E E $25 ,.03/1978 _ 03/2008 _ $18.75 $89.79 $108.54 MA Q6253831020E E $25 04/1978. _, 04/2008 _ $18.75 $89.79 _ $108.54: MA Q6257002043E E $25 04/1978. 04/2008:.. $18.75 $89.79 $108.54_ MA Q6263331684E E $25 04/1978 04/2008 $18.75 $89.79 $108.54, MA Q6263336312E E $25 04/1978 04/2008 $18.75 $89.79 $108.54 MA Q626333981oE E $25 05/1978 05/2008 $18.75. $87.92 $106.67 MA Q6254734018E E $25 .05/1978 05/2008 $18.75 $87.92 _ $106.67 MA Q6254740384E E $25 05/1978 05/2008 $18.75 $87.92. $106.67 MA Q6254743783E E $25 06/1978 .06/2008 $18.75 $88.19 $106.94 MA Q6270538342E E $25 06/1978 06/2008_ $18.75 $88.19 $106.94_ MA Q6271128038E E $25 06/1978 06/2008. $18.75 $88.19 $106.94_ MA Q6278219989E E $25 07/1978 07/2008 $18.75 $88.22 $106.97 MA ~(~,Z77029460E E $25 07/1978 07/2008 $18.75 $88.22 $106.97 MA Q6277022975E E $25 07/1978 07/2008 $18.75 $88.22 $106.97 MA Q6271134292E E $25 07/1978 07/2008 $18.75 $88.22 $106.97. MA Q6279267900E E $25 08/1978 08/2008 $18.75 $88.22 $106.97 MA Q6279263908E E $25 08/1978 _08/2008 $18.75 $88.22 $106.97 MA C2046778686E E $100 08/1977 08/2007 $75.00 $483.68 $558.68 MA L2169083179E E $50 05/1979 05/2009 $37.50 $181.16 $218.66 MA D2203582EE EE $500 12/1983 06/2009 12/2013 $250.00 $709.00 2.92% $959.00 httn://www.treasurvdirect. Gov/BC/SB CPrice 7/16/2009 Calculated Value of Your Paper Savings Bond(s) Page 3 of 3 C2087438494E E $100 05/1979. 05/2009 $75.00. $362.32 X437.32 MA C2087438493E E $100 05/1979 _ - 05/2009 $75.00 $362.32. X437.32 MA C2087438491E E $100 05/1979 05/2009 $75.00 $362.32. $437.32 MA C2087438490E E $100 05/1979 05/2009 _ $75.00 $362.32 $437.32 MA C2087438489E E $100 05/1979. 05/2009 $75.00. $362.32_ $437.32 MA C2087438492E E $100 05/1979 05/2009 $75.00 $362.32 $437.32 MA Totals for 114 Bonds 2 791.75 15 207.17 17 998.92 Notes NI Not Issued _ _ NE Not eligible for payment P5 Includes 3 month interest penalty MA Matured and not earnin interest ~l1 --~x.- c~$ov~ s a u ,nc~ b m~,d s t~-~..~ , n Z~ie ~tQ.~.~ of r'e~ I ~ Rc~.~1rk ~.Q d..- 1 e~-~~~ T R~~K a~ol va,- z~~ ~~ ~~ ~[.'LrnQ _U ~ ~Qf'`~r~ S_ R(~-2~~- p~ 11~.41~1fil~h bares t~`e.- ~. ~~ http: //www. treasurydire ct. govB C/S B C Price de-c~dc,-~~, 7/ 16/2009 Calculated Value of Your Paper Savings Bond(s) Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 05/2009 Page 1 of 1 Total Price Total Value Total Interest YTD Interest $1,100.00 $1, 520.36 $420.36 $17.08 Bonds: 1-22 of 22 Issue Next Final Issue Interest Serial # Series Denom Interest Value Note C548147499EE EE C568567308EE EE C585493203~ EE C610721715Ei= EE ~C610721714~ EE ~C628621812EE EE C645817868EE EE C659963912Ef= EE C667654172EE EE C683752969EE EE C694065674E>= EE C706783364EE EE C725256215EE EE C729245188EE EE C744456515EE EE C756889744EE EE C775078810EE EE C780145198EE EE C791151449EE EE C799823739EE EE C805825351EE EE C812248590EE EE Date Accrual Maturity Pace Rate $100., 11/1995 11/2009 11/2025, $50.00' $33.36 1.55% $83.36. $100; 06/1996 06/2009 06/2026 $50.00 $30.44 2.65% $80.44 $100 11/1996 11/2009. 11/2026 $50.00 $29..68 1.55% $79.68 $100 05/1997 06/2009 05/2027 $,50.00 $31.28 1.64% $81.28 $100, 05/1997 06/2009 05/2027. $50.00 $31.28 1.64% $81.28, $100 12/1997 06/2009 12/2027. $50.00 _ _ $28.80 __ 2.80% $78.80 $100, 06/1998 06/2009 06/2028. $50.00,, .. $26.72, _,.2.80% $76.72 __ _ ', $100 11/1998 06/2009 11/2028. $50.00 $24.92 1.64% $74.92' $100 06/1999 06/2009 06/2029. $50.00 $23.16 2.80% $73.16 $100 11/1999 06/2009 11/2029. $50.00. $21.72 1.64% $71.72 $100 06/2000, 06/2009 06/2030 _ $50.00 _ _ $19.80 2.80% $69.80 __ _ $100. 11/2000 06/2009 11/2030 $50.00 $17.,92 1.64% $67.92; $100 06/2001 06/2009 06/2031 $50.00 $15.96 2.80% $65.96: ', $100. 11/2001 06/2009 11/2031 $50.00', $14.64 1.64% $64.64. $100 06/2002, 06/2009 06/2032 $50.00. $13.24 2.80% $63.24 ', $100 12/2002 06/2009 12/2032 $50.00 $12.04, 2.80% $62.04 $100 08/2003 06/2009 08/2033 $50.00. $10.80 2.80% $60.80 $100 12/2005 06/2009 12/2035 $50.00 $5.28 3.20% $55.28 P5 ''~ $100 06/2004 06/2009, 06/2034: $50.00 $9.08 2.80% $59.08 P5 ', $100 _ :12/2004 __ 06/2009 _ 12/2034 $50.00. $8.20 2.80% $58.20. P5 ', $100 06/2005 06/2009 06/2035 $50.00. $6.76 3.50% $56.76 P5 ~~ $100 12/2005 06/2009 12/2035 $50.00 $5.28 3_.20% $55.28 P5 Totals for 22 Bonds $1,100.00 $420.36 $1,520.36 Notes NI ...Not Issued _ NE Not eligible for payment _ P5 Includes 3 month interest penalty MA ~ Matured and not earnin interest l~-ll ~~ abate ~a v, s _ `~ ~,~' ~4sh (~~ N, fan ~ o r . ,dam ~.~.._ ~ ~-~.~ n~ gCeposl-~ ~~~ ~t Pc~,-~~ 5, IQr.~.,~~:k, httn://www.treasurvdirect. Gov/BC/SBCPrice 7/ 16/2009 ___. _ _~ . BELCO COMMUNITY CREDIT UNION DECEDENT ESTATE INFORMATION 1. Name(s) in which the account was held: PEARL S RANCK (SOLE OWNER) 2. Account number: 62450 3. Balance as of date of death: $30,384.73 Balance Regular Savings: Christmas Club: Whatever Club: Checking: Money Market: IRA $ $1,460.32 $ $1,780.36 $ $2,725.86 $ $13,545.18 $ $10.873.01 Certificates: Balance Accrued Dividends YTD Dividends For $17.10 $ D, 3p $ $3.04 $ $ $ $0.37 $ $4.31 $ $ $ $9.28 $ $60.50 $ 7.45 $ 44.57 Accrued Dividends YTD Dividends For $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ .n _~ 4. Date the account was initiated: ~~cj~~ ~ f~,.;~, ! cZgd S 5. Name(s) in which Safe Deposit Box was held: N/A N/A 6. Date the box was initially rented: 7. Branch address at which the box is located: 8. Loan Information: Unsecured Loans: Line of Credit B. Secured Loans: N/A Balance Accrued Interest CLOSED 5/11 Certificate Number Per Diem Int L14 VISA CRD $123.54 paid off on 5/15/09 C. Mortgage Loans: $ $ $ $ $ $ Miscellaneous: Funds transferred to Acct 878918 S4 Estate of Pearls S Ranck on 5/11/09 S1 $1455.32 S3 $1780 70 - G.aS~ S /! ~~ S4 $1666.86 ` IRA/ESA DEATH NOTICE (FORM 2320) I INSTRUCTIONS: 27458 Use this form to report the death of an IRA owner or Coverdell ESA designated beneficiary. Attach the death certificate and the most recent application or beneficiary designation form signed by the owner. All fields must be completed for processing. Complete a separate form for each IRA/ESA. (For example, if the owner had a Roth IRA and a traditional IRA, two separate forms must be completed.) BELCO COMMUNITY CU Credit Union Name CUID (Credit union will complete.) PEARL RANCK Name of IRA Owner or Coverdell ESA Designated Beneficiary (First, M. Initial, Last) 162-22-2582 1 Social Security Number CMG Suffix 062450 05/01/2009 Account Number Date of Death (MMIDD/YYYY) $ 10,873.01 IRA/ESA Value on Date of Death 1. This account is a: Q traditional IRA Roth IRA Coverdell ESA (Coverdell ESA funds must be distributed within 30 days of the death.) 2. Is this a beneficiary account? ^ Yes ®No If yes, provide the name of the original owner:, 3. Does the credit union have an application or beneficiary designation form for this owner? ® Yes, the credit union has attached the most recent application or beneficiary designation form for this account. ^ No, the credit union does not have any forms displaying beneficiaries on file for this account. FAMILY MEMBER, FRIEND, OR OTHER PERSON TO CONTACT FOR MORE INFORMATION DENNIS A RANCK SON Relationship to IRA Owner or ESA Designated Beneficiary Name 7a CRAIG RUN ROAD _ Address (707) 834-3753 Daytime Phone Number DUNCANNON PA 17020 City, State, ZIP Code We will determine the beneficiaries of this account. However, any additional information provided will expedite processing (for example, current beneficiary addresses, certified death certificates for deceased beneficiaries, and/or other related legal documents). FOR DECEASED OWNER IN THE YEAR OF DEATH Gross withdrawals in year of death: Federal taxes withheld: YOU MUST COMPLETE THIS SECTION FOR TRADITIONAL IRAs $ 0.00 (Include normal withdrawals and periodic payments; do not c 0.00 include direct transfers.) State taxes withheld: $ 0.00 State: READ AND SIGN THIS SECTIC The death certificate sent with this claim is an original or a true copy that was made of a certified original. YVONNE M JAMES Representative Name 707-720-6414 Phone Number and Extension (717) 720-6483 Fax Number 05/2112009 Date (MMIDD/YYYY) Stock # 80018 2320 (Doc Code 20) (Rev. 1212007) © 2007 CUNA Mutual Group is~urao LCO DESIGNATION OF BENEFICIARY INDIVIDUAL RE REMENT COU T _ clal Security: l ~ ~ - aa~ - as ~~. Name of Depositor: Address: ~~ RA# Telephone: Date: Date of Birth: l ~ - ~ 6 - °~ rO Date of My Spouse s Birth: BENEFICIARY DESIGNATION FOR IRA ONLY: The following designation of beneficiary/beneficiaries is herein made by the undersigned pursuant to the provisions set forth in my Individual Retirement Account. I hereby revoke the previous beneficiarydesignations made by me and reserve the right to change or revoke this designation as I may, from time to time, so choose. I n the event of my death, pay any interest I may have under said plan to the following beneficiary/beneficiaries: PRIMARY BENEFICIARY NAME AND AD ESS 1 1. 2. _ o - ~a 3.~ 4. RELATIONSHIP -~~td B' ~ AGE SHARE % a~ sa% ~ q ~r~ %- SHARE TOTAL MUST EQUAL 100% CONTINGENT BENEFICIARY _ NAME AND ADDRESS SOCIAL SECURITY # RELATIONSHIP AGE SHARE % 1. 2. 3. 4. SHARE TOTAL MUST EQUAL 100% If the Custodian receives satisfactory proof that beneficiary (ies) is (are) deceased, distribution of the deceased beneficiary's share shall be made to the Depositor's personal representative. Imay change this designation from time to time and thQe m recently signed and dated statement will apply. ` 1 ~ G Signature of Depositor A Dat b o FILE WITH REFERENCED IRA AL SECURITY # _a,~- _~Qi 1707 ~ t s81 KLOSE ASSOCIATES, INC. p~s~ May 18, 2009 Stone, LaFaver 8v Shekletski Attorneys At Law 414 Bridge Street Post Office Box E New Cumberland, PA 17070 499 Mitchell Street, Millsboro, DE 19966 RE: Estate of Pearl Ranck Date of Death: May 1, 2009 Social Security Number: 162-22-2582 Dear Mr. Stone: In response to your request, please be advised that at the time of death, the above- named decedent had on deposit with this bank the following accounts. Account Type ........................... Savings Account Account Number ....................... 15004208557974 Ownership (Names oj~ .............. Pearl Ranck Opening Date ...........................12 / 16 / 08 Balance on Date of Death..........$1,151.29 Accrued Interest $ 0.02 Total .......................................$1,151.31 The above named decedent had a safe deposit box. * If upon reviewing the information above, you believe there are additional accounts not referenced, please provide us with an account number and/or the name of any possible joint account holder. For any additional information on the above accounts, including ownership and any changes, closures and/or reimbursement of funds, please contact our Highland Park Branch at 344 South 10th Street, Lemoyne, PA 17043, or # 717-737- 3322. Sincerely, ., '/V Charlene Warrington, Adjustm t Services 1-888-502-4349 2b00 Pontiac Grand Am -Trade In Value, blue book value -Kelley Blue Book ~t~ley Blue B~~t THE TRUSTEl3 RESOURCE ~.~.,......,~.~~t~il.aar Page 1 of 2 Send to Printer ----- advertisement -- Condition Value Excellent $2,100 Good $1,825 ~++° Fair $1,375 (Selected) Vehicle Highlights Mileage: 80,000 Engine: 4-Cyl. 2.4 Liter Transmission: Automatic Drivetrain: FWD Selected Equipment Standard Air Conditioning Tilt Wheel Power Steering AM/FM Stereo Power Door Locks Cassette Dual Front Air Bags ABS (4-Wheel) Traction Control Blue Book Trade-In Value Trade-in Value is what consumers can expect to receive from a dealer for atrade-in vehicle assuming an accurate appraisal of condition. This value will likely be less than the Private Party Value because the reselling dealer incurs the cost of safety inspections, reconditioning and other costs of doing business. Vehicle Condition Ratings Excellent %~~'i~~'1 $2,100 • Looks new, is in excellent mechanical condition and needs no reconditioning. • Never had any paint or body work and is free of rust. • Clean title history and will pass a smog and safety inspection. • Engine compartment is clean, with no fluid leaks and is free of any wear or visible defects. • Complete and verifiable service records. Less than 5% of all used vehicles fall into this category. Good ~~~ $1,825 • Free of any major defects. • Clean title history, the paints, body, and interior have only minor (if any} blemishes, and there are no major mechanical problems. • Little or no rust on this vehicle. hrrn•//~~, khh cnm/KRR/i IsedCars/Pricin~Renort.asvx?Yearld=2000&Mileaae=80000&... 7/16/2009 Close Window 2000 Pontiac Grand Am SE Sedan 4D e~uE ~c~a~~ T~~u~•~a vn~tl~ 2000 Pontiac Grand Am -Trade In Value, blue book value -Kelley Blue Book Page 2 of 2 • Tires match and have substantial tread wear left. • A "good" vehicle will need some reconditioning to be sold at retail. Most consumer owned vehicles fall into this category. ~/ Fair (Selected) €~~ $1,375 • Some mechanical or cosmetic defects and needs servicing but is still in reasonable running condition. • Clean title history, the paint, body and/or interior need work performed by a professional. • Tires may need to be replaced. • There may be some repairable rust damage. Poor N/A ~ Severe mechanical and/or cosmetic defects and is in poor running condition. • May have problems that cannot be readily fixed such as a damaged frame orarustecl-through body. • Branded title (salvage, flood, etc.) or unsubstantiated mileage. Kelley Blue Book does not attempt to report a value on a "poor" vehicle because the value of these vehicles varies greatly. A vehicle in poor condition may require an independent appraisal to determine its value. * Pennsylvania 7/16/2009 -.._.~~,,,..,,,, v-,~, ,.....,/uRR/r taPrlC`ar~/Pr;c;n,?Renort.asnx?Yearld=2000&Mileage=80000&... 7/16/2009 Emmor E. Boslet, CFPe'*, VP, Financial Advisor MEMBERS Financial5ervices Program Located at: Belco Community Credit Union 3500 Trindle Road • Camp Hill, PA 17011-4463 717.720.6220 • 800.642.4482, Ext. 6220 emmor.boslet@cunamutual.com • fax 717.720.6274 May 26, 2009 Stone LaFaver & Shekletski 414 Bridge Street P. O. Box E New Cumberland, PA 17070 RE: Pearl S. Ranck, SS# 162-22-2582 Date of Death: May 1, 2009 Attorney Stone: M EM BER~ Financial Services I am responding to your request for information for the above mentioned client, Pearl S. Ranck. Our office would like to advise you that Dennis Ranck will be the one providing statements for Pearl's Belco Community Credit Union Accounts. The 401K statement from Darden's pertaining to Pearl's employment at Red lobster will also come from Dennis Ranck. We do not have that information . Below are the accounts that Pearl had with MEMBERS Financial Services located at Belco Community Credit Union. Values on Date of Death: May 1, 2009. CUNA Mutual Insurance Society Pearl S. Ranck -Non-Qualified Annuity Contract Number 60113659 Value of account on May 1, 2009 $ 18,572.55 Delaware Investments Pearl S. Ranck - Transfer on Death Account Account Number 6000310680 May 1, 2009 $ 3,370.30 HARTFORD LEADERS Pearl S. Ranck -Non-Qualified Annuity Contract Number 712328988 Death Benefit as of May 1, 2009 $ 205,795.42 Representatives are registered, securities are sold, and investment advisory services offered through CUNA Brokerage Services, Inc. (CBSI), member FINRA/SIPC, a registered broker/dealer and investment advisor, 2000 Heritage Way, Waverly, Iowa 50677, toll-free (866) 512-6109. Nondeposft investment and inwrance products are not federaQy insured, imrolve imresdnerrt risk, may lose value and are not obligations of or guaranteed by the finandal institution. CBSI is under contract with the financial institution, through the financial services program, to make securities available to members. 'The CFP certification marks are not affiliated with CUNA Brokerage Services, Inc. Emmor E. Boatel, CFW', VP, Financial Advisor --- MEMBERS Financial Services Program ~~ MEMBERS Located at: Bet<o Community Credit Union `~ 3500 Trindle Road • Camp Hill, PA 17011-4463 717.7zo.6220 • Boo.e42.44s2, Ext. e2zo Financial Services emmor.boslet@cunamutual.com • Fax 717.720.6274 CUNA Brokerage Services, Inc. Pearl S. Ranck -Transfer on Death Account Account Number 57C-096385 Closing price per share as of May 1, 2009 FEDERATED CAPITAL RESERVES $ .16 $ 26.01 x842 $ 0.16 $ 21,900.42 AT & T $ 2.48 x 35 $ 86.80 ALCATEL LUCENT $ 16.36 x 127 $ 2,077.72 COMCAST FAIRPOINT COMMUNICATIONS $ 3.21 $ •~' IDEARC, INC. COM 0 O,qg 06 $ 4 x 9 x 98 3g7,gg $ QWEST COMMUNICATIONS, INTL . 048.90 VERIZON COMMUNICATIONS, COM $18.85 x 122 $ 2,299.70 VODAFONE GROUP $ 32,815.23 If you have any other questions, you may contact Dennis Ranck directly or our office. Thank you for your cooperation in this matter. Sincerely, Emmor E. Boslet, CFP EEB/as cc: Dennis A. Ranck, Executor RepreserrWtives are registered. securities are sold, and inrvestment advisory services offered through CUNA Brokerage Services, Inc. (inSI~eM ;~ i w~rara a registered broker/dealer and investment advisor, 2000 Heritage Way, Waverly, Iowa 50677, toll-free (866) 512-6109. Nondeposk products arc not federally insured, imrolve imestmerrt risk, may lose value and arc not obligations of or gwrcnteed by the financial institution. CBSI is under contract with the financial institution, through the financial services program, to make securities available to members. 'The CFP certification marks are not affiliated with CUNA Brokerage Services, Inc. Tina Burke From: Joyce Rice [JRice@darden.com] Sent: Wednesday, January 27, 2010 9:16 AM To: Tina Burkey Subject: FW: Pearl S. Ranck / 100154756 /Deceased May 1, 2009 This is to verify that the balance of the Darden Savings Plan account for Pearl S. Ranck as of May 1, 2009 was $39,242.69. Her son, Dennis A. Ranck was sole beneficiary of that account. If you need additional information, please let me know. Thank you, Joyce Rice Darden P.O. Box 695011 Orlando, FL 32869-5011 From: kelly.samuelson@wachovia.com [mailto:kelly.samuelson@wachovia.com] Sent: Friday, January 22, 2010 12:26 PM To: Joyce Rice Subject: Re: Pearl S. Ranck / 100154756 /Deceased May 1, 2009 Hi Joyce, Her balance as of that date was $39,242.69. Thanks! Kelly Kelly Samuelson Client Account Manager Wachovia Retirement Services XC 3226 Suite 500 901 Marquette Avenue South Minneapolis, MN 55402 Tel (612) 524-3692 I Fax (612) 524-3783 kelly samuelsonCcawachovia.com A Wells Fargo Company Joyce Rice <JRice~darden.com> 01 /22/201010:53 AM To "kellv.samuelson(rawachovia.com" <kelly samuelson~wachovia.com> cc Subject Pearl S. Ranck / 100154756 /Deceased May 1, 2009 Hi Kelly - Is it possible to determine the balance of Pearl's DSP account as of May 1, 2009. Thanks. Joyce Rice Phone 407.245.4315 Fax 407.245.4515 jrice(n~darden.com This a-mail message is for the sole use of the intended recipient and may contain information that is confidential, proprietary or privileged. Any unauthorized review, use, distribution, copying or disclosure is strictly prohibited. If you are not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, please notify sender of the delivery error by replying to this message and then delete it from your system.. Receipt by anyone other than the intended recipient is not a waiver of confidentiality or privilege. This a-mail message is for the sole use of the intended recipient and may contain information that is confidential, proprietary or privileged. Any unauthorized review, use, distribution, copying or disclosure is strictly prohibited. If you are not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, please notify sender of the delivery error by replying to this. message and then delete it from your system. Receipt by anyone other than the intended recipient is not a waiver of confidentiality or privilege. 2