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HomeMy WebLinkAbout01-13-10 (3)~ ~ r 15056041125 REV-15 0 0 EX (06-05) OFFICIAL PA Department of Revenue USE ONLY Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number PO BOx 280601 2 1 0 9 1 0 2 5 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENt INFORMATION BELOW Social Security Number Date of Death Date of Birth 1 8 2 2 2 9 2 0 6 1 0 2 8 2 0 0 9 0 7 2 9 1 9 2 9 Decedent's Last Name Suffix Decedent's First Name MI T H O M P S O N MAR T H A E (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI N A Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW Q 1. Original Retum ~ 2. Supplemental Return ~ 3. Remainder Return (date of death 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ prior to 12-13-82) 5. Federal Estate Tax Return Required OX 6. Decedent Died Testate (Attach Copy of Will) ~ death after 12-12-82) 7. Decedent Maintained a Living Trust A 0 8. Total Number of Safe Deposit Boxes 9 Litigation Proceed R i ( ttach Copy of Trust) . s ece ved ~ 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) - cvRRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number S C O T T WM O R R I S O N E S Q 7 1 7 5 8 2 2 3 0 0 Firm Name (If Applicable) First line of address 6 W E S T M A I N S T R E E T Second line of address P O B O X 2 3 2 City or Post Office State N E W B L O O M F I E L D pA Correspondent's a-mail address: ZIP Code REGISTER O~.~IVILLS USE O r ~ c~ ~ T7 !:-,_ j ~ ~ ~ ~~'= - _~~~ tea __ . _.~ __ - : 1 .. ..-. f~ ~ ..1 ~. , r ~.. ~. "~ v ....". . _. { ., - ~ ~ "' -..9• DAT ffLED r.:~ ~> ,. 1 7 0 6 8 ti.~ c.. v~~ursr penaiues yr pequry, i aeaare 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. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ~ DATE /~ a2 ~'' o J`~ /J SIGNA ~ ~ icy ~~9~T/ti's THAN REPRESENTATIVE 'Jy0 /~Co ~S0/ll k'of~D -~ ~` ~ ,.-_ ~~ :-.._~ ~ ~~ 1 ~ - ~-,~ .,~ ~) .~.~ ~~ ~~ A S 6 st Main treet New Bloomfield PA 17068 PLEASE USE ORIGINAL FORM ONLY Slde 1 15056041125 15056041125 J 15056042126 REV-1500 EX Decedent's Social Security Number 1 8 2 2 2 9 2 0 6 Martha E Thom son Decedent's Name• RECAPITULATION 1. Real estate (Schedule A) ...•.••••••••••••••••••••••••••••••••••• 1' 2 9 0 0 0 0 0 2. Stocks and Bonds (Schedule B) .•.••••••••••••••••••••••••••••••• 2 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages & Notes Receivable (Schedule D) . • .... • • • • • • • • • • • • • • • • • • 4• 1 9 1 0 0 0 9 8 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ....... 5. 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6• 7. Inter-Vivos Transfers & Miscellaneous N n-Probate Property t d R ~ 7 ....... e eques Separate Billing (Schedule G) . $ 2 2 0 0 0 0 9 8 8. Total Gross Assets (total Linesl-7) ••••••••••••••••••••••••••• 9 1 9 5 2 1 0 5 9. Funeral Expenses & Administrative Costs (Schedule H) ........ ...... . . 3 3 3 9 2 5 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ... ....... .. 10. 11 2 2 8 6 0 3 0 11. Total Deductions (totalLines9&10) •••••••••••••••••• ••••••• . •• 12. Net Value of Estate(Line8minusLine11) .••••••••••••••• ••••••• 12 •• 1 9 7 1 4 0 6 8 Charitable and Governmental Bequests/Sec 9113 Trusts for which 13 . an election to tax has not been made (Schedule J) ......... ....... .. 13. 1 9 7 1 4 0 6 8 14. 14. Net Value Subject to Tax (Line 12 minus Line 13) .. • • • • • • TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 Q 0 0 15 0 0 0 (a)(1.2) X •0 . 16. Amount of Line 14 taxable 1 9 '7 1 4 0 6 8 16 8 8 7 1 3 3 at lineal rate X •045 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 • 8 8 7 1 3 3 19. Tax Due ...................................... ....... 19. ... 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ^ Side 2 15056042126 15056042126 J REV-1500 E~C Page 3 File Number Decedent's Complete Address: 1025 DECEDENT'S NAME Martha E. Thom son STREET ADDRESS 317 Messiah Circle CITY STATE Mechanicsburg ZIP PA 17055 Tax Payments and Credits: 1• Tax Due (Page 2 Line 19) (1) 2. Credits/Payments 8,871.3 A. Spousal Poverty Credit B. Prior Payments C. Discount 443.57 Total Credits (A + B + C) (2) 3. Interest/Penalty if applicable 443.5 i D. Interest E. Penalty Total Interest/Penalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT 0.0C . Fill in oval on Page 2, Line 20 to request a refund. (4) 0.0( 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 8,427.7E A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) 8,427 7E 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; ............................... ^ c. retain a reversionary interest; or ................................................................................................ d. receive the promise for life of either payments, benefits or care? ....................................... ^ ^ Q ................ 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 "intrust for" or payable upon death bank account or security at his or her death? ......... ^ Q 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................. ^ 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1,1994 and before January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV~150~ EX + (6-9F~) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDrlL.E B STOCKS & BONDS FILE NUMBER Martha E. Thompson 1025 Atl property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION 1 • 2 shares of Bank of Landisburg stock TOTAL (Also enter on line 2, Recapitulation) ~ a VALUE AT DATE OF DEATH 29,000.0( 29,000.0( (If more space is needed, insert additional sheets of the same size) REV-1508 SEX + (6-98) r SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. IN RESIDENTEDECEDENTRN PERSONAL PROPERTY ESTATE OF FILE NUMBER Martha E. Thompson 1025 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 NUMBER DESCRIPTION VALUE AT DATE 7 Th B k f OF DEATH . e an o Landisburg CD #700015927 25,233.0E 2. The Bank of Landisburg CD#700015928 20,082.6: 3. The Bank of Landisburg CD#700021194 10,005.5 4. The Bank of Landisburg CD#700021195 10,005.5 5. The Bank of Landisburg CD#700021196 10,005.5 6. The Bank of Landisburg Money Market Account #3721833 1,122.4E 7. PNC Checking Account #5004168321 3,656.44 8. Members 1st Federal Credit Union Savings Account #344087-00 5.0( 9. Members 1st Federal Credit Union Certificate of Deposit #344087-40 20,722 2~ 10. Sovereign Premier Checking Account #0711131473 20.OC 11. Sovereign CD#1685547752 10,208.2 12. Sovereign CD#1685547760 10,339.3 13. Citizens Bank Circle Gold Checking Account #6223533814 20.0 14. Citizens Bank Certificate of Deposit #6255533159 10,210.3E 15. I ntegrity time deposits 40,825.OC 16. Metro Bank Time Deposit Account #1701500 10,304.17 TOTAL (Also enter on line 5, Recapitulation) S A„~ ~v~ (If more space is needed, insert additional sheets of the same size) . ~ Continuation of REV-1500 Inheritance Tax Return Resident Decedent Martha E. Thompson Decedent's Name 21 09 1025 Page 1 File Number Schedule E -Cash, Bank Deposits, & Misc. Personal Property ITEM NUMBER DESCRIPTION VALUE AT DATE ~ 7. M&T Bank Certificate of Deposit #31003911176210 OF DEATH 7,739.5E 18. HDIS -returned supplies 206.34 19. FIA Card Services -returned clothes to Haband 87 4F 20. Giant Food - Returned personal care items 74.3; 21. Walmart -returned vitamin supplements 31.6F 22. Cash 96.0( SUBTOTAL SCHEDULE E 8,235.41 GRAND TOTAL SCHEDULE E 3 191,000.9 REV-1511' EX + (1 ~-99) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN RCCIIlCA1T 11Gf~Gflcw~T A~MINI~TReTIV~ rneTc ESTATE OF FILE NUMBER Martha E. Thompson 1025 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A• FUNERAL EXPENSES: 1. Malpezzi Funeral Home 9,921.31 B. ADMINISTRATIVE COSTS: 1, Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State _ Zip Year(s) Commission Paid: 2. Attorney Fees Scott W. Morrison 8,800.OC 3. Family Exemption: (If decedents address is not the same as claimants, attach explanation) Claimant Street Address City State __ Zip Relationship of Claimant to Decedent 4• Probate Fees Glenda Farner Strasbaugh 416.OC 5 Accountants Fees 6. Tax Return Preparer's Fees 7• Cumberland Law Journal -estate advertising 75.OC 8. The Sentinel -estate advertising 293.74 9. Cumberland County Register of Wills -filing 15.OC TOTAL (Also enter on line 9, Recapitulation) I S 19,521 0~ (If more space ~s needed, insert add~onal sheets of the same size) 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 Martha E. Thompson 1025 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, Messiah Village -Room rental 2,606.8 2. Verizon Wireless -cell phone bill 53.8F 3. I FIA Card Services -credit card bill ~ 246.8C 4. Landisburg Bank -check printing fee 13.0C 5. Messiah Village Endowment Fund -funeral service 250.OC 6. Reverend Lady -funeral music 50.OC 7. Nancy M. Pantle -reimbursement for funeral flowers 90.0 i 8. (Diane K. Helwig -reimbursement for shipping costs ~ 28.5E TOTAL (Also enter on line 10, Recapitulation) I S 3,339 (If more space is needed, insert additional sheets of the same size) F~EV-1513 EX + (g-00) j SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Martha E. Thom son 1025 RELATIONSHIP TO DECEDENT AMOUNT OR SH 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. Nancy M. Anderson, n/k/a, Nancy M. Pantle Lineal 396 Buena Vista Drive Martinsburg, VA 25405 2. Diane K. Halterman, n/k/a, Diane K. Helwig Lineal 140 Robson Road Dillsburg, PA 17019 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 TAX IS 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 I S (If more space Is needed, insert additional sheets of the same size) ~. ~ ~ 1 LAST WILL AND TESTAMENT OF MARTHA E. THOMPSON I, MARTHA E. THOMPSON of 4 Sherwood Drive, Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding do hereby make, publish, and declare this my Last Will and Testament, hereby expressly revoking all other writings in nature testamentary by me at any time heretofore made. FIRST: I direct that all my debts and funeral expenses be paid as soon after my decease as may be practicable. SECOND: I direct that inheritance tax on property disposed of herein, shall be paid from my residuary estate. THIRD: I hereby give, bequeath and devise all the rest and residue of my estates-and property, real, personal and mixed, of whatsoever nature and wheresoever situated, of which I may own at the time of my death, or to which I may be entitled or of which I may have the right to dispose at the time of my death, to my two Daughters, Nancy M. Anderson and Diane K. Halterman, in equal shares. FOURTH: I hereby appoint my two Daughters, Nancy M. Anderson and Diane K. Halterman as Executrices of this, my Last Will and Testament, and I direct that they shall not be required to give bond or other security in any jurisdiction wherein proceedings . _~, ._ _ ( SEAL ) MARTHA E. THOMPSON Page one of two r ~~ may be held in connection with my estate. IN WITNESS WHEREOF, I have.. hereunto set my hand and seal this 4th day of November, 1996. WI'T,NE S S : ` ,~~, -~; ~c~ .. THA E. THOMPSON ..J; , ,,~ C`L' .,~~ `~ -~ _ (SEAL) /~~~~~' ~~dP~S~ noX',~pn~~' ~~nf/e ~Ja,~fias ~~r~~1~1/, ~a, ~5~ot,~ 39'(~ (eve ~a 1/i5fa i ~ian~ /~~~i~/ ~rarl nom Mane ~e~tv~G-- l ~v ~ d ~o~ Apo ~ ~l ~, I/s 6~~~, P~ ~~~~q Page two of two ~ ~ ~ f. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE BUREAU OF FINANCIAL OPERATIONS DIVISION OF THIRD PARTY LIABILITY ESTATE RECOVERY PROGRAM PO BOX 8486 HARRISBURG, PA 17105-8486 November 16, 2009 SCOTT W MORRISON ESQUIRE 6 WEST MAIN STREET PO BOX 232 NEW BLOOMFIELD PA 17068 Re: MARTHA E THOMPSON SSN: 182-22-9206 Dear Attorney Morrison: Pursuant to your letter dated November 03, 2009, the Department of Public Welfare (DPW), Estate Recovery Program, has reviewed the information you provided regarding the above-referenced individual. It has been determined that this individual did not receive any type of assistance during the questioned period. Therefore, according to the information you provided, the Department's Estate Recovery Program will not seek any recovery from this estate. If your client applied for Medical Assistance and had an application and/or hearing pending at the time of death, please advise us and provide any additional information that may affect a recovery by our Department. If you have any questions, please feel free to contact me. Sincerely, I Carole A~ Procope Recovery Section Manager (717)772-6604 The (~an~of Landisbur~~ ESTABLISHED 1903 P.O. BOX 179 • LANDISBURG, PA 17040 December 04, 2009 Scott W. Morrison, Esquire Center Square PO Box 232 New Bloomfield, PA 17068 RE: Estate of Martha E Thompson Date of Death: October 28, 2009 SS#: 182-22-9206 Dear Sir: The information you requested is as follows. Please note the accounts were sole ownership and have been closed as of November 09, 2009 by the both Executrix. On November 13, 2009 an estate account was started with the proceeds from all closed accounts. Date Account Opened Account Number ape of Account Balance Prior to Interest Interest Bearing/Rate Accrued Interest 02/15/2005 700015927 CD $25,000.00 4.10% $233.08 02/15/2005 700015928 CD $20,000.00 2.90% $82.63 12/01/2008 700021194 CD $10,000.00 4.04% $5.53 i 2/01/2008 700021195 CD ~ $10,000.00 4.04% $5.53 12/01/2008 700021196 CD $10,000.00 4.04% $5.53 11/03/2007 3721833 Money Market $1,122.34 0.01% $0.12 11/13/2009 3725421 Reg Checking $169,915.23 NA NA If I can be of further assistance, please advise. Very truly yours, ~' ~1..EAS~ / vd T~ ' Tl~ jS ~ ~.C4 flNl LU/4,$ d P~N~~ f~~TE~R ~flhTi~fl T}~~mPSdiJ 'S ~~f~T~l To Connie L Welcomer Q~ t~s~ a ~)s ~ N ~s~-~TF ~9c co vti~- ~ v~vo,~ cc: Decedent's folder FiQ4r-'j /~'~/~ dT~~~ ~CCDU/1rTS C~i~cd/~ ~/e1~~ T~ ~f~R ,D ~~1~T~~ ~t,~~RE. yll~T/Y,~R/Ju//I~ ,i9/~'D ,~~'`'B.Si'TE~ • /IVTD T/t I S /~ ~~ Ui(1 T. ~~~~ LANDISBURG - 717-789-3213 BLAIN - 536-3118 SHERMANS DALE - 582-8511 ~~ ~ ~ December 1, 2009 Scott W Morrison, Esq. Center Sq P O Box 232 New Bloomfield, Pa i 7068 RE: Martha E Thompson SSN: 182-22-9206 DOD: 10-28-2009 Dear Mr. Morrison: In response to your~request for Date of Death (DOD) balances for the customer noted above, our records show the following: Checking Account Account # 5004168321 Established: 08-14-2003 MARTHA E THOMPSON DOD balance: $ 3,656.44 + 0.00 accrued interest Please note that this office provides date of death balances for deposit accounts (IRAs, CDs, Checking and Savings). We do not process any financial transactions or provide statements. If you need assistance with any of these items, please call 1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch office. Sincerely, National Financial Services Center PNC Bank, N.A. Member FDIC Page 1 of 1 St MEMBERS 1St FEDERAL CREDIT UNION SAVINGS ACCOUNT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner CERTIFICATES OF DEPOSIT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner Estate of: MARTHA THOMPSON Date of Death: 10/28/2009 Social Security Number: 182-22-9206 344087-00 12/02/2008 $5.00 $.00 $5.00 None 344087-40 12/02/2008 $20,662.15 $60.07 $20, 722.22 None M ERS 1ST FEDERAL CREDIT UNION Q ~ ` ~~..~.... Danielle A. line Insurance Services Specialist November 17, 2009 5000 Louise Drive P.O. Box 40 Mechanicsburg, Pennsylvania 17055 (800) 283-2328 wwwmemberslst.org Sovereign Bank ESTATE OF Martha E Thompson SOCIAL SECURITY #: 182-22-9206 DATE OF DEATH: October 28, 2009 Account #: 0711131473 Type Premier Checking Open date: 12/2/2008 In the name of: Martha E Thompson Date of Death Balance: $20.00 Int.(YTD) from 1/1/2009 to 10/28/2009 $0.00 Accrued interest to date of death: $0.00 Other Info: Closed 11/9/09 Account #: 1685547752 Type: CD Open date 12/2/2008 In the name of: Martha E Thompson Date of Death Balance: $10,198.98 Int.(YTD) from 1 /1 /2009 to 9/30/2009 $173.53 Accrued interest to date of death: $9.24 Other Info: Closed 11 /9/09 Account #: 1685547760 Type: CD Open date: 12/2/2008 In the name of: Martha E Thompson Date of Death Balance $10,309.14 Int.(YTD) from 1/1/2009 to 9/30/2009 $279.87 Accrued interest to date of death: $30.19 Other Info: Closed 11/9/09 Page 1 of 1 a ~ ~~ Citizens Bank 12/04/2009 Scott Morrison, Esq POBox232 New Bloomfield PA 17068 2001 Market Street, Suite 600 Philadelphia, PA 19103 Please be advised that MARTHA E THOMPSON, SSN: 182-22-9206 passed away on October 28th 2009. At the time of her passing she had two accounts at Citizens Bank: Circle Cold Checking Account # 6223533814. The balance in this account on October 28th was $20.05. Certificate of Deposit # 6255533159 had a balance of $10,210.38 on October 28th She had no other accounts with our institution. Please feel free to co ct me further with any other requests i~". Corv C Schaffer Branch Manager - PA 291 Camp Hill 717 731. 4848 ~€ RBS •. . ,. Integrity B A N K November 17, 2009 Re: Martha E Thompson Dear Scott, On October 28, 2009, Ms. Thompson had a total of four time deposits. Each time deposit had, as a current balance $10,195.76. Each also had $10.49 accrued interest. All four time deposits were only in Martha's name. Please let me know if there is anything else /can do for you, Scott. Melissa Humer Assistant Manager Camp Hill Branch 3345 Market Street, Camp Hill, PA 17011 • Phone: 717-920-4900.877-I-HAVEIT • Fax: 717-920-4904 • www. integritybankonline.com • 'METRO BANK 3801 Paxton Street Harrisburg • PA • 17111 mymetrobank.com 888.937.0004 December 4, 2009 Law Offices of Scott W. Morrison P.O. Box 232 New Bloomfield, PA 17068 RE: Estate of: Martha E. Thompson Tax Identification Number: 182-22-9206 Date of Death: October 28, 2009 To Whom It May Concern: This letter is in reference to decedent account information you requested for the individual listed above. We are able to provide the following: Account Type: Time Deposit Account Number: 1701500 Date Opened: 12/02/2008 Date Closed: 11,/06/2004 Primary Owner: Martha E. Thompson Date of Death Balance: $10304.17 Accrued Interest: $25.53 Principal Balance: $10278.64 Please feel free to contact me at (717) 412-6127 if I may be of further assistance. Sincerely, Diana Reynolds Metro Bank Research Associate/Deposit Services r r 499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-MB-12 Scott W. Morrison Center Square PO Box 232 New Bloomfield, PA 17068 Re: Estate of: Martha E Thom son Social Security: 182-22-9206 Date of Death: October 28 2009 Dear Sir or Madam: Phone (888)502-4349 Fax (302)934-2955 November 25, 2009 Per your inquiry, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Account Number Ownership (Names o~ Opening Date Balance on Date of Death Accrued Interest Total Certificate of Deposit 31003911176210 Martha E Thompson 09/14/96 closed 11/09/09 $ 7734.96 $ 4.60 - - - $ 7739.56 Please be advised, there was no safe deposit box found for the above decedent. * If upon reviewing the information above, you believe there are additional accounts not referenced, please provide us with an account number and/or 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 fun our Carlisle Pike Branch, 6560 Carlisle Pike suite 500, Mechanicsburg, PA 17050. Office # 71 95-1710 conta~ Sincerely, rissa Sears Adjustment Services h~P~ ~h~ ~,~ DM