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03-05-10 (2)
15056051058 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Deparbnent of Revenue County Code Year Fle Number Bureau of Individual Taxes INHERITANCE TAX RETURN -_-- PO BOX 280601 2 ~~~ ~~~~ Harrisburg, PA 17128-OSOt RESIDENT DECEDENT ~ 09 ~ 0678 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 1750-5316 ~ € 06/20/2009 ~ E 05/22/1949 Decedent's Last Name Suffix Decedent's First Name MI _.... _- ___- - ------------- ------- ~ ~--- '-- ----------------------- ----- E ~_._ NYE ~ _~~ ~ ;GERALD ~________~__~ P a (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number - THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return 2. Supplemental Retum €:, 3. Remainder Retum (date of death prior to 12-13-82) 4. Limfted Estate 4a. Future Interest Compromise (date of C 5. Federal Estate Tax Return Required death after 12-12-82) ~ 6. Decedent Died Testate 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) C'.:.'"`~ 9. Litigation Proceeds Received Cam? 10. Spousal Poverty Credit (date of death C 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 DIR~IED T0: Name Daytime Teleph~ Number o _ LIND OTNA OLES i ~_ I ! (610) 384-81F1~~ ~. < , ~ Firrn Name (If Applicable) --- ---------------- ------------ --------------- ------------1 °-_ -__`_ v_ ~-_v_`___ ~oF~at~ USE :..(3 i~ ~ -~ ,--~ First line of address _ ___ ' -~ -~-t n 225 GLENCREST RD '; ~ = Second line of address City or Post Office State ZIP Code DATE FILED COATESVILLE ~ PA ' 19320 -. ..O ut W -x-ry ,~ ". t { _.~ ~ ,,'--'~ :-~ ':_:.~ h ~"`~ t '~ti M. 1-'t't ~~ Correspondent's e-mail address: Under penal8es of perjury, I dedare that I have examined this return, induding accompanying schedules and statements, and to the best of my knowledge and belief, it is trueree[red and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. 3~U ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 15056051058 r~ SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE 15056052059 REV-1500 EX Decedent's Name: GERALD P NYE Decedent's Social Security Number 175-40-5316 RECAPITULATION 1. Real estate (Schedule A) ............................................. 1. '= 108,162.11 '? 2. Stocks and Bonds (Schedule B) ....................................... 2. ' 12,350.32 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. -', 0.00 W,,.,~,~, ~ ,_.,.,. ~,,, .,..,~ , ,..k,,, ... 4. 9 9 ( ) .......................... Mort a es i3< Notes Receivable Schedule D 4 7 711 32 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ........ 5. ~ 10,112.83 6. Jointly Owned Property (Schedule F) Separate Billing Requested ....... 6. ` 0.00 7. Inter-Vivos Transfers ~ Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested........ 7. 73,816.38 8. Total Gross Assets (total Lines 1-7) .................................... 8. '' 212,152.96 9. Funeral Expenses 8~ Administrative Costs (Schedule H) ..................... 9. 9,324.10 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................ 10. 4,373.65 '; 11. Total Deductions (total Lines 9 & 10) ................................... 11. 13,697.75 ` 12. Net Value of Estate (Line 8 minus Line 11) .............................. 12. ' 198,455.21 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ........................ 13. '_ 14. Net Value Subject to Tax (Line 12 minus Line 13) ........................ 14. 198,455.21 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 ~~~~~~~'~ ~~ ~~ ~~~~~~~~~~ ~ ~~ (ax1.2) X .0_ 16. Amount of Line 14 taxable at lineal rate X .0 45 198,455.21 ,,,M,~ ~~~,_.,, 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 15. 16. 17. 18. 19. TAX DUE ......................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 Side 2 15056052059 REV-1500 EX Page 3 Decedent's Complete Address: File, NumbeS...,.... e eee~.....e.. ~ 0 _ 09 0678 DECEDENTS NAME DECEDENTS SOCIAL SECURITY NUMBER GERALD P NYE 175-40-5316 STREET ADDRESS 133 SOUTH 31ST CITY CAMP HILL STATE PA ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 8,930.00 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments 8,700.00 C. Discount 446.00 Total Credits (A + B + C) (2) 9,146.00 3. Interest/Penalty ffapplicable D. Interest E. Penalty Total Interest/Penalty (D + E) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 216.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 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: a. retain the use or income of the property transferred :............................................................................ b. retain the right to designate who shall use the property transferred or its income : .............................. c. retain a reversionary interest; or ............................................................................................................ d. receive the promise for life of either payments, benefits or care? ........................................................ 2. If death occurred after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................................................................ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........ Yes No ^x ^ 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. A.P.A. Tax Accountants ALBERT P. ABDAIA, III 1224 WEST LINCOLN HIGHWAY, COATESVILLE, PENNSYLVANIA 1932(3 6103846425 / 610384-4526 FAX: 610380.1753 TO: REGISTER OF WILLS, CUMBERLAND CO FROM: LINDA N. TOOLES RE: GERALD P NYE ESTATE FILE # 2009-00678 STATE # 21-09-0678 DATE OF DEATH: 20 JUNE 2009 DATE: SEPTEMBER 15, 2009 THIS IS TO CONFIRM THAT THE ENCLOSED CHECK IN THE AMOUNT OF $8700.00 REPRESENTS THE INHERITERNCE TAX AT THE DISCOUNT RATE. -" NOTE DATE OF DEATH AND TAX PAYMENT IS WITHIN THE 90 DAYS OF DEATH. IF YOU HAVE ANY QUESTIONS CALL ME AT 610-384-8117 SINCERE Y, ~-~-~ LINDA N TOOLES EX n _~~~'- n _~~~ -. ~ Z7 x i-} ~ O ~_ ~o-, c~c~ -D--+ b 0 ..o .i, v_ Cn t ; ;'_ _. ~ --* 3 '-r O .~ . GJ COMMONWEAITk OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 28080 t kARR158URG, PA 7 7 7 28-0601 :CEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 01 1744 NYE SMEE JOCELYN A 863 OLD SILVER SPRING ROAD MECHANICSBURG, PA 17055 foW ESTATE INFORMATION: SSN: 775-4o-53ts FILE NUMBER: 2109-0678 DECEDENT NAME: NYE GERALD P DATE OF PAYMENT: 09/15/2009 POSTMARK DATE: 09/15/2009 COUNTY: CUMBERLAND DATE OF DEATH: 06/20/2009 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 58,700.00 REV-1762 EX117-961 TOTAL AMOUNT PAID: REMARKS: RECEIPT TO EXECUTOR CHECK# 211 sEAL INITIALS: CJ RECEIVED BY: 58, 700.00 GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER REV-1502 EX+ (11-08) ~~ ~ Pennsylvania SCHEDULE A DEPdRTMENT OF REVENUE -~ INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF GERALD P NIYE FILE NUMBER 21-09-0678 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 property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. NUMBER VALUE AT DATE DESCRIPTION OF DEATH 1' HOME @ 133 SOUTH 31ST ST CAMP HILL, PA 166,500.00 2 SETTLEMENTS COSTS INCLUDING PAYING OFF MORTGAGE ,:,. -58,337.89 a O z a x ~ 9 .y ~ ~ ~ s ~ w ~ " '~ m c ~ K •y d w °o G ~ ,~ °w' a U p d ~~ w ~ CG ~ U CYi '4`tyiJ•J' ~ 'O as .3 ~ o ~ ~ ~ o ~' .O N •' 7- U T d ap+ A"y ed O y .y ~ ~ a o ~ a ~ a ~ N ~ ~ ~°o Q F >. T. a ~ a, °' ~' a .~, ~ ~ u o ~ ~a 'y w a .~ d v ~ .a ~ N .~ b ~ v ~'o gu c~ 0 a 0 '~` Cj M b ,~ S yr o O ~ q c ~ rn° c M O a 3 ~ a ~ y ~ ~ z ~; O y 4 U v O ~ ^ O p a ~ Y a. p ~ ~ o a Y ~ ~ p ~ 4_1 C ~U ~ , ~ $ q T v9 ~ d m-~+"~ ~ V ~ Q ,O v ~ ~ o~j Q ° W o W ~ ~ W ~ ~ W~ u ~x~ ~ a o ~ ° ~ ~ ~ ~ ~ ~ n.~ o ~ ~b U ~ F ~ M ~ ~ [ ~ ~ ~ ~ a7 .C ~ MO 0 '~~02 U Q b d a e a G .~ h '~ .~ O .~ .~ 3 h ~ V d b ~ ~ w ~ ~ ~ .~ y w ~ ~% '~ ti ~ w ~ ~ c ~ ~ ~ ~ ~ ~ p ~ ~ ~ dl ~ ~ ~ ~ ~ ~ O ~ ~ Q ~ ~ ~ P~ GQ m ~ w ~ o '~ a }i H ~ .op ~ Y Q ~ Y W W O O 0. w .pi p m W ~ N ~ ~ ~ p' o w ~ ° c '`~ A ~ etii 0] ~ C U ~ ~ 4 J v >, d is W ~ q ,.n/' rte., o~ y '$ m C .a ~ ~ ° w y~ ~ ~ °' ~ ~ a ~ ~ ~ ~G y [~ ttl ~~ ~ OC w b '~ D\ ~ q ~ a~Cyi C y i~ 'b O W ~ P ~ ~ ~ O 0 ~ m 3 '~ a T ~ ~ 3 ~ r~ ~ ~ C+' 40 ~ .g ~ ~ ~ N ~ m ~ ~ 61 ra U' u ~ :d 0 w rx W vi d s T o^ o o b ~o ~ ~ ° ~ x 8 .: pg S r„ c~ o Q ~ ~ c,,., as ~ d d «: ° N ~ ~ o .. .a .C ~ 3 v ~ ~+ ~ w o ~a, ~ m_ o o o ~ ~ 'w" ~ ~ ~ o c ~ ~' .~ a sd .~ ~ ~ 0 q ' _dl N ^, ~ F• tV l{'^'i .~ ~ b ~ N ~ gQ5 La W o fI~ ~ ~ ~e ~ ~ ~ ~ M ~ Ct. C x C4 % ~°, V ~ o ~ a e o „ ri N 0 c O ui p S x $ Z U ~ ~ '~ 8 ~ a N ~ • .ri ~ M1 ~~ ~ (.1 ~ }x~ S 5 ~il ~ ~ ~ Y Q L .~i W Q f Y i 5 n ~ ~ ~e r S Y e E E 4 ~ € N . i• r ~ ~ m F O 8 ~ R.. ^ wri wU ~ "~~ ~ ~ 0 < t9! 3 3 m ~ a < G '~ '~J ~ s ~ q%c '8 j y ~ < . . ~ y ~ < Z ~ } 8 ~J s f ~i~ ~ ~ ~ m ~i E ~ ~ 5 3 i ~ a' yp q p ~ ~ F ~ p u j =~ j ~ ' a t s F < L % ~ s ~ ~ ~4F J t ~ s g O ~~ iji ~ n o ~ o d oo ' g ' ~ ~ ~ ~ _' `~ r , 0 n 8 2! m Y" a a~~ ~ . .y ' ¢ t pY o G ~ o ' &~ m O ipS i F E s y M y Y y 4 y U vxi ~ 'O F u 0G ~ ~ i K ; ~ . ~ Q E m j ~ ; a n ±a of ~ a !~ o ~ ,~ . ~ e y S ~ T1 e . ; f' ~ uu8 tin.'ii yy o ~o.~i (, ~ 0 $ a ~ ~- ~ ~ e Yom. ~CTi ff~~ < ~ x' C ~ +~/ G .~i U • N , ti e1M oa• 5 .a V r 00 ~ ~ ~ 4 a Ge kk m 5 ~ F Y Y E ~~n ou 9 a ~ $~ ~ ~y ~~ 7 ~ e E E ~4 ~ ~ E g Eo ~ 7 $$ ~ ~ g ~ ~ ~ gE `~S A ~ t ~ 7n G O .y W .7 CN G u 0 w^ ~ ~ .. w ~ ~ ~ T z ~ U ~ a y ~ •~ ~ .o :°. ~ ~ w ~ ~ q o w o ~ °o H ~ ~ '^ ~ ~ '~ 'a" o ~ •~ d ~ o'o T a a ~I Q Y~ ~ ~ y > ~ a ybs S~ 5~ ~~ ~RA~ E 4~ S'F 5~ ou ~~ ~~ Y ~~ ~$ $$££ ~ gY v s ~~i ~$$~,~ ~ ~ ~~ M i F ~~ u 9 ~r7.r ~@ ~ ~' ~ ~ 3 59a~~ ~ rn~~ o~~ ~ ~ a t..~$ ~ "~ ~ u .~` : ~5g ; 585 ~ ~ ~"a ~ i ~~ ~ ~ ~~ ~ m~ ~~ ~$ fn ~.7 3; ~~ ~.~ ~~ ~E$ sgs Sao ~~~ 5~~ ~ °x ~ F'~ ~~~ __ v~: U F~ «L ~5 ~~e ~S ~~~ ~ ~~$ ~~~ ~~a f < $ .~~ ~ „~~ oo s ~ ~ o o ~ ~~ :~ ~ 3~~ o ° o o ~ ~ ~ 0 0 cn 0 0 ;y ~~ ~ jj ~ r~r~ C m w ~ sg d o c c S e.. ~~e ° ° o sg: urS ~~ ~ ~ 5~ ~ ~ N ~ V pp $f S yg W ~ Z ~ ~ ~ pp E C ~ ~~ 0 u ~~ a ~ o ~ x ~ o ~~ Y W N A iJ{, II g~ 6 $ L < a ~ y8e~ Z~ s Q 1 I~ ~~ ~~ ~~ L ~ A' 4 v ~ ~ ~ u o ~ ~ y M O ~3 N.5 ~~ 3 C 1~ C ~ Z ' in n°OO ~ 8 :L z Z l vb ~ ~ U i S p ~ ~a ~ _ oe~ y ~. c ~ v ~ ~ ~ c y y ~ a ~ _ d G ~.~ ~ ' ~~ .] ~ ~ : ~ ~ .~ ! ~ n ~ pq ~ yy p p ~ 3 ~ °~ ¢ i 8C Y D g ~ V 6 t 6 q C O ~ .~i ~ ~ y 3 Y~ ~~ s ~ ~ 9! .i ~ i ! t ~ 3 i ~ a ~ p i .i ~ ~ u b ~ $ ~33 '~ ~i_ ~ ~~§f ~ p i ? .~~ ~ o ~ . 'ems ~ f i ~ ~d ~ 3 E 9 ~ ~' < ~! ~ ~~ ~ ~ n mm . . . m . m m m m m m ms aa s,. .. .. __ __ _. _ _ _ o e e oo e o o a .. ~ ~ ~ ., ., .. ... ,_ __ _ _ _ _ _ _ e'o"'"' a~ L`~' Fn ~ W' a` ~, y~ x z~ ~~ Y w R O~ Nv ~{ ~! ~~ a N A ~~ i~ ~5 bg 3~ 5$ o`U ~~ ~F ~~<" REV-1503 EX+ (8-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ' RESIDENT DECEDENT scxEOU~ s STOCKS & BONDS ESTATE OF FILE NUMBER GERALD P NYE 21 09 0678 (If more space is needed, insert additional sheets of the same size) Inventory Report Active Inventory Bonds' Print Date: 1123/2009 File Prir~ne Dafa• nF,/9nn9 No. Ssrfes Denom Serial Number Issue Date Price Interest Value Rab Yield Next interest Dab Final Maturity Dste Nob 1 EE $100 857786085 062009 $50.00 $O.OD $50.00 0.70% 0.00% 102009 062039 NE• 2 EE 100 857133809 052009 50.00 0.00 50.00 0.70% 0.00% 092009 052039 NE• 3 EE 100 856501952 042009 50.00 0.00 50.00 1.30% 0.00% 082009 042039 NE' 4 EE 100 855789418 032009 50.00 0.00 50.00 1.30% 0.00% 072009 032039 NE• 5 EE 100 855135475 022009 50.00 0.04 50.04 1.30% 0.24% 072009 022039 NE' 6 E 100 854509844 012009 50.00 0.12 50.12 1.30% 0.58% 072009 012039 NE• 7 ~ 100 853609691 122008 50.00 0.16 50.16 1.30% 0.64% 072009 122038 NE• 8- fE 100 852418235 112008 50.00 0.20 50.20 1.30% 0.69% 072009 112038 NE' 9 EE 100 851679690 102008 50.00 0.28 50.28 1,40% 0.64% 072009 102038 NE' 10 EE 100 850947859 092008 50.00 0.36 50.36 1.40% 0.96% 072009 092038 NE• 11 EE 100 0850261762 082008 50.00 0.40 50.40 1.40% 0.96% 072009 082038 NE• 12 EE 100 084962978 072008 50.00 0.48 50.46 1.40% 1.04% 072009 072038 NE• 13 EE 100 0848937577 062006 50.00 0.52 50.52 1.40% 1.04% 072009 062038 PS• 14 EE 100 0648226217 052008 50.00 0.60 50.60 1.40% 1.10% 072009 052038 P5• 15 EE 100 0647477193 042008 50.00 1.40 51.40 3.00% 2.38% 072009 042036 PS' 16 EE 100 0846742026 032008 50.00 1.52 51.52 3.00% 2.41 % 072009 032038 P5' 17 EE 100 0846026115 022008 50.00 1.64 51.64 3.00% 2.44% 072009 022038 PS• 18 EE 100 0645316815 012008 50.00 1.76 51.76 3.00% 2.46% 072009 012038 PS• 19 EE 100 0844278925 122007 50.00 1.92 51.92 3.00% 2.53% 072009 122037 P5• 20 EE 100 0843018130 112007 50.00 2.04 52.04 3.00% 2.54% 072009 112037 PS• 21 EE 100 0842031933 102007 50.00 2.44 52.44 3.40% 2.88% 072009 102037 PS• 22 EE 100 0641212151 092007 50.00 2.60 52.60 3.40% 2.92% 072009 092037 P5' 23 EE 100 0840531396 082007 50.00 2.76 52.76 3.40% 2.95% 072009 082037 P5• 24 EE 100 0639774845 072007 50.00 2.88 52.86 3.40% 2.94% 072009 072037 P5• 25 EE 100 0838980946 062007 50.00 3.04 53.04 3.40% 2.97% 072009 062037 P5• 26 EE 100 0838177607 052007 50.00 3.20 53.20 3.40% 3.00% 072009 052037. PS• 27 EE 100 0637279265 042007 50.00 3.56 53.56 3.60% 3.20% 072009 042037 PS• 28 EE 100 0836456570 032007 50.00 3.72 53.72 3.60% 3.22% 072009 032037 P5• 29 EE 100 0635625491 022007 50.00 3.88 53.88 3.60% 3.23% 072009 022037 PS' 30 EE 100 0834856377 012007 50.00 4.04 54.04 3.60% 3.24% 072009 012037 P5• 31 EE 100 0833651217 122006 50.00 4.20 54.20 3.60% 3.25% 072009 122036 P5• 32 EE 100 0832284243 112006 50.00 4.36 54.36 3.60% 3.26% 072009 112036 PS• 33 EE 100 0831186284 102006 50.00 4.64 54.64 3.70% 3.36% 072009 102036 P5• 34 EE 100 0830276843 092006 50.00 4.80 54.80 3.70% 3.36% 072009 092036 PS• 35 EE 100 08292 5737 082006 50.00 4.96 54.96 3.70% 3.37% 072009 082036 PS• 36 EE 100 0828392246 072006 50.00 5.12 55.12 3.70% 3.37% 072009 072036 PS• 37 EE 1DD 0827515385 062006 50.00 5.32 55.32 3.70% 3.40% 072009 062036 P5• 38 EE 100 0826564949 052006 50.00 5.48 55.46 3.70% 3.40% 072009 052036 P5• C:1Documents and SettingsUerrylDesktop~bond numbers.sbw Inventory Report Active Inventory Bonds: Page 1 of 1 Print Date: 11232009 File Prininn Ito}s• nRMnnG No. Series Denom Serial Number Issus Dab Priee Interest Value flab Yield Next Inbrest Dab Final MaturMy Date Note 39 EE $100 0825598884 042006 $50.00 $4.64 $54.84 3.20% 2.94% 072009 042036 P5• 40 EE 100 0824718936 032006 50.00 5.00 55.00 3.20% 2.95% 072009 032036 P5` 41 EE 100 0823740997 022006 50.00 5.16 55.16 3.20% 2.97% 072009 022036 P5' 42 EE 100 0815243007 012006 50.00 5.28 55.28 3.20% 2.96% 072009 012036 PS• 43 EE 100 0813264054 122005 50.00 5.44 55.44 3.20% 2.97% 072009 122035 P5• 44 EE 100 0811708625 112005 50.00 5.60 55.60 3.20% 2.98% 072009 112035 P5• 45 EE 100 0610620696 102005 50.00 6.28 56.28 3.50% 3.25% 072009 102035 PS' 46 EE 100 0809759542 092005 50.00 6.44 56.44 3.50% 3.26% 072009 092035 P5` 47 EE 100 0808834383 062005 50.00 6.60 56.60 3.50% 3.26% 072009 082035 P5• 48 EE 100 0807817627 072005 50.00 6.76 56.76 3.50% 3.26% 072009 072035 P5• 49 EE 100 0806531665 062005 50.00 6.92 56.92 3.50% 3.27% 072009 062035 PS' 50 EE 100 0805283161 052005 50.00 7.08 57.08 3.50% 3.27% 072009 052035 P5• 51 EE 100 0790862508 042005 50.00 7.76 57.76 2.80% 3.49% 072009 042035 P5` 52 EE 100 0604115651 032005 50.00 7.92 57.92 2.80% 3.49% 072009 032035 PS' 53 EE 100 0802837713 022005 50.00 8.04 58.04 2.80% 3.47% 072009 022035 P5• 54 EE 100 0801793468 012005 50.00 8.20 58.20 2.80% 3.47% 072009 012035 PS' 55 EE 100 0800526414 122004 50.00 8.32 58.32 1.64% 3.45% 072009 122034 PS• 56 EE 100 0797669765 112004 50.00 8.44 58.44 1.64% 3.43% 072009 112034 PS• 57 EE 100 0796659095 102004 50.00 8.68 56.68 2.80% 3.46% 072009 102034 PS• 58 EE 100 0795386428 092004 50.00 8.60 58.80 2.80% 3.44% 072009 092034 P5• 59 EE 100 0793115328 082004 50.00 6.92 58.92 2.80% 3.43% 072009 082034 P5' 60 EE 100 0792004436 072004 50.00 9.08 59.08 2.80% 3.42% 072009 072034 P5• 61 EE 100 0790257528 062004 50.00 9.64 59.64 1.64% 3.56% 072009 062034 62 EE 100 0789811375 052004 50.00 9.72 59.72 1.64% 3.53°,6 072009 052034 63 EE 100 0789406142 042004 50.00 9.60 59.80 2.80% 3.49% 072009 042034 • 64 EE 100 0785495839 032004 50.00 9.92 59.92 2.80% 3.46% 072009 032034 • 65 EE 100 0784733069 022004 50.00 10.06 60.08 2.80% 3.47% 072009 022034 • 66 EE 100 0782444198 012004 50.00 10.20 60.20 2.80% 3.46% 072009 012034 67 EE 100 0781439664 122003 50.00 10.36 60.36 1.64% 3.45% 072009 122033 68 EE 100 0779590667 112003 50.00 10.44 60.44 1.64°~ 3.43% 072009 112033 69 EE 100 0777350806 102003 50.00 10.64 60.64 2.80% 3.43% 072009 102033 70 EE 100 0775939186 092003 50.00 10.80 60.80 2.80°~ 3.43% 072009 092033 71 EE 100 0775368756 082003 50.00 10.92 60.92 2.80% 3.42% 072009 082033 • 72 EE 100 0774580631 072003 50.00 11.08 61.08 2.80% 3.41% 072009 072033 • 73 EE 100 0762070033 062003 50.00 11.20 61.20 1.64% 3.40% 072009 062033 74 EE 100 0763165693 052003 50.00 11.28 61.28 1.64% 3.37% 072009 052033 75 EE 100 0763120766 042003 50.00 11.60 61.60 2.60% 3.41°h 072009 042033 • 76 EE 100 0763002958 022003 50.00 11.88 61.88 2.80% 3.39% 072009 022033 C:1Documents and SetTinosUem~Deskton~bond numbers.sbw Paae 2 of 2 Inventory Report Active Inventory Bonds: Print Date: 11232009 Files Pririnn nste• rvnnno No. Series Denom Serial-Number Issue .-Date-- -__P~ice Interest Value Rate Yield Next Interest Date Final Maturity Dab Note 77 EE $100 0762932263 012003 $50.00 $12.04 $62.04 2.80% 3.39% 072009 012033 ' 78 EE 100 0748864658 122002 -50.00 12.16 62.16 1.64% 3.38% 072009 122032 79 EE 100 0748813676 112002 50.00 12.24 62.24 1.64% 3.35% 072009 112032 • 80 EE 100 0748767559 102002 50.00 12.80 62.80 2.80% 3.45% 072009 102032 81 EE 100 0748704023 092002 50.00 12.96 62.96 2.80% 3.44% 072009 092032 ' 82 EE 100 0748646708 082002 50.00 13.12 63.12 2.80% 3.44% 072009 082032 ' 63 EE 100 0748592076 072002 50.00 13.24 63.24 2.80% 3.43% 072009 072032 ' 84 EE 100 0748555992 062002 50.00 13.40 63.40 1.64% 3.42% 072009 062032 • 85 EE 100 0748484804 052002 50.00 13.48 63.48 1.64% 3.40% 072009 052032 ' B6 EE 100 0731462890 042002 50.00 14.04 64.04 .2.80% 3.48% 072009 042032 67 EE 100 0731410267 032002 50.00 14.20 64.20 2.80% 3.48% 072009 032032 88 EE 100 0731362941 0212002 50.00 14.36 64.36 2.80% 3.47% 072009 022032 ' 89 EE 100 0731306753 012002 50.00 14.52 64.52 2.80% 3.47% 072009 012032 90 EE 100 0731248137 122001. 50.00 14.64 64.64 1.64% 3.45% 072009 122031 ' 91 EE 100 0731190314 112001 50.00 14.72 64.72 1.64% 3.43% 072009 112031 92 EE 100 0731135310 102001 50.00 15.52 65.52 2.80% 3.56% 072009 102031 • 93 EE 100 0720025723 092001 50.00 15.64 65.64 2.80% 3.54% 072009 092031 ' 94 EE 100 0720017388 082001 50.00 15.60 65.60 2.80% 3.54% 072009 082031 95 EE 100 0719951403 072001 50.00 15.96 65.96 2.60% 3.53% 072009 072031 ' 96 EE 100 0719902108 062001 50.00 16.12 66.12 1.64% 3.52% 072009 062031 ` 97 EE 100 0719843569 052001 50.00 16.20 66.20 1.64% 3.50% 072009 052031 ' 98 EE 100 0719782660 042001 50.00 17.32 67.32 2.80% 3.68% 072009 042031 99 EE 100 0719722465 032001 50.00 17.48 67.48 2.80% 3.67% 072009 032031 ' 100 EE 100 0715681031 022001 50.00 17.64 67.64 2.80% 3.66% 072009 022031 ' 101 EE 100 0715621431 012001 50.00 17.80 67.80 2.60% 3.65% 072009 012031 ' 102 EE 100 0715562563 122000 50.00 17.92 67.92 1.64% 3.64% 072009 122030 ' 103 EE 100 0715503272 112000 50.00 18.00 68.00 1.64% 3.61% 072009 112030 ' 104 EE 100 0715451355 102000 50.00 19.32 69.32 2.60% 3.81% 072009 102030 105 EE 100 0701477905 092000 50.00 19.48 69.48 2.80% 3.80% 072009 092030 ' 106 EE 100 0701413991 082000 50.00 19.64 69.64 2.80% 3.79% 072009 082030 ' 107 EE 100 0701350626 072000 50.00 19.60 69.80 2.80°~ 3.78% 072009 072030 ' 108 EE 100 0701290112 062000 50.00 19.96 69.96 1.64% 3.77% 072009 062030 109 EE 100 0701227196 052000 50.00 20.04 70.04 1.64% 3.75% 072009 052030 110 EE 100 0683541065 042000 50.00 21.04 71.04 2.80% 3.67% 072009 042030 111 EE 100 0683479857 032000 50.00 21.20 71.20 2.80% 3.86% 072009 032030 ' 112 EE 100 0657786086 062009 50.00 0.00 50.00 0.70% 0.00% 102009 062039 NE' 113 EE 100 0857133810 052009 50.00 0.00 50.00 0.70% 0.00% 092009 052039 NE• 114 EE 100 0856501953 042009 50.00 0.00 50.00 1.30% 0.00% 082009 042039 NE' C:Wocuments and SettingsUerrylDesktop~bond numbers.stwv Inventory Report Active Inventory fonds: Page 3 of 3 Print Date: 11232009 Files Pricing Dates 06/2009 No. Series Denom Serial Number Issue Dab Price Interest Value Rab Yield Next Inbrest Date Final Maturity flab Nots 115 EE $100 0855769419 032009 $50.00 $0.00 $50.00 1.30% 0.00% 072009 032039 NE' 116 EE 100 0855135476 022009 50.00 0.04 50.04 1.30% 0.24% 072009 022039 NE' 117 EE 100 0854509845 012009 50.00 0.12 50.12 1.30% 0.58% 072009 012039 NE' 118 EE 100 0854609692 122006 50.00 0.16 50.16 1.30% 0.64% 072009 122038 NE' 119 EE 100 0852418236 112008 50.00 0.20 50.20 1.30% 0.69% 072009 112038 NE' 120 EE 100 0851679691 702008 50.00 0.28 50.26 1.40% 0.84% 072009 102038 NE' 121 EE 100 0850947860 092008 50.00 0.36 50.36 1.40% 0.96% 072009 092038 NE• 122 EE 100 0850281763 08/2008 50.00 0.40 50.40 1.40% 0.96% 072009 082038 NE' 123 EE 100 0849629784 072008 50.00 0.48 50.46 1.40% 1.04% 072009 072038 NE' 124 EE 100 X84937578 062008 50.00 0.52 50.52 1.40% 1.04% 072009 062038 P5' 125 EE 100 0848228218 052006 50.00 0.60 50.60 1.40% 1.10% 072009 052038 P5• 126 EE 100 0847477194 042006 50.00 1.40 51,40 3.00% 2.38% 072009 042038 PS• 127 EE 100 0846742027 032008 50.00 1.52 51.52 3.00% 2.41% 072009 032038 P5` 128 EE 100 0846026116 022008 50.00 1.64 51.64 3.00% 2.44% 072009 0272038 P5' 129 EE 100 0845316818 012008 50.00 1.76 51.76 3.00% 2.46% 072009 0?2038 P5• 130 EE 100 0844276926 122007 50.00 1.92 51.92 3.00% 2.53% 072009 122037 P5' 131 EE 100 0643018131 112007 50.00 2.04 52.04 3.00% 2.54% 072009 112037 PS' 132 EE 100 0842031934 102007 50.00 2.44 52.44 3.40% 2.86% 072009 102037 PS• 133 EE 100 0841212152 092007 50.00 2.60 52.60 3.40% 2.92% 072009 0912037 P5' 134 EE 100 0840531397 082007 50.00 2.76 52.76 3.40% 2.95% 072009 082037 PS• 135 EE 100 0839774846 072007 50.00 2.88 52.88 3.40% 2.94% 072009 0772037 P5' 136 EE 100 0838980947 062007 50.00 3.04 53.04 3.40% 2.97% 072009 062037 PS' 137 EE 100 0636177608 052007 50.00 3.20 53.20 3 40% 3.00% 072009 052037 P5' 138 EE 100 0837279266 042007 50.00 3.56 53.56 3.60% 3.20% 072009 04/2037 P5' 139 EE 100 0836458571 032007 50.00 3.72 53.72 3.60% 3.22% 072009 032037 P5• 140 EE 100 083562549 022007 50.00 3.88 53.68 3.60% 3.23% 072009 022037 P5• 141 EE 100 083485637 012007 50.00 4.04 54.04 3.60% 3.24% 072009 012037 P5• 142 EE 100 0833651218 122006 50.00 4.20 54.20 3.60% 3.25% 072009 122036- PS• 143 EE 100 0832284244 112006 50.00 4.36 54.36 3.60% 3.26% 072009 112036 P5' 144 EE 100 0831186285 102006 50.00 4.64 54.64 3.70% 3.36% 072009 102036 P5' 145 EE 100 0830276844 092006 50.00 4.80 54.80 3.70% 3.36% 072009 092036 PS' 146 EE 1~ 0829285738 082006 50.00 4.96 54.96 3.70% 3.37% 072009 082036 P5' 147 EE 100 0828392247 072006 50.00 5.12 55.12 3.70% 3.37% 072009 072036 PS• 148 EE 100 0827515386 062006 50.00 5.32 55.32 3.70% 3.40% 072009 062036 P5' 149 EE 100 0826564950 052006 50.00 5.48 55.48 3.70% 3.40% 072009 052036 P5' 150 EE 100 0825598665 042006 50.00 4.64 54.84 3.20% 2.94% 072009 042036 PS' 151 EE 100 0824718937 032006 50.00 5.00 55.00 3.20% 2.95% 072009 032036 PS• 152 EE 100 0823740998 022006 50.00 5.16 55.16 3.20% 2.97% 072009 022036 P5' Inventory Report Active Inventory Bonds: Print Date: 11232009 File Pricino Date: 062009 No. _ Ssrfss Dsnom Sertal Number Issue Date Price Interest Value Rate Yield Next Interest Dats Final Maturity Date Nots 153 EE $100 0615243008 012006 $50.00 $5.26 $55.28 3.20% 2.96% .072009 012036 PS' 154 EE 100 0913264055 122005 50.00 5.44 55.44 3.20% 2.97% 072009 122035 PS' 155 EE 100 0811708628 112005 50.00 5.60 55.60 3.20% 2.98% 072009 112035 P5' 156 EE 100 0810620697 102005 50.00 6.28 56.28 3.50% 3.25% 072009 102035 PS' 157 EE 100 0609759543 092005 50.00 6.44 56.44 3.50% 3.26% 072009 092035 P5' 158 EE 100 0808034364 082005 50.00 6.60 56.60 3.50% 3.26% 072009 082035 PS' 159 EE 100 0807811628 072005 50.00 6.76 56.76 3.50% 3.26% 072009 072035 P5• 160 EE 100 0806531686 062005 50.00 6.92 56.92 3.50% 3.27% 072009 062035 PS' 161 Ef 100 0805284182 052005 50.00 7.08 57.08 3.50% 3.27% 072009 052035 PS' 162 EE 100 0790862509 042005 50.00 7.76 57.76 2.80% 3.49% 072009 042035 PS• 163 fE 100 0804115652 .. 032005 50.00 7.92 57.82 2.80% 3.49% 072009 032035 PS' 164 ~ 100 0802837714 022005 50.00 8.04 58.04 2.80% 3.47% 072009 022035 PS' 165 EE 100 0801793469 012005 50.00 8.20 58.20 2.80% 3.47% 072009 012035 PS' 166 EE 100 0800528415 122004 50.00 8.32 58.32 1.64% 3.45% 072009 122034 PS' 167 EE 100 0797669766 112004 50.00 8.44 58.44 1.64% 3.43% 072009 112034 P5' 168 EE 100 0796659096 102004 50.00 8.68 58.68 2.80% 3.46% 072009 102034 PS' 169 EE 100 0795388429 092004 50.00 B.BO 58.80 2.80% 3.44% 072009 092034 P5' 170 EE 100 0793115329 082004 50.00 8.92 58.92 2.80% 3.43% 072009 082034 P5' 171 EE 100 0792994437 072004 50.00 9.08 59.08 2.80% 3.42% 072009 072034 P5' 172 EE 100 0790257529 062004 50.00 9.64 59.64 1.64% 3.56% 072009 062034 ' 173 EE 100 0789811376 052004 50.00 9.72 59.72 1.64% 3.53% 072009 052034 ' 174 EE 100 078908143 042004 50.00 9.80 59.80 2.80% 3.49% 072009 042034 175 EE 100 078495840 032004 50.00 9.92 59.92 2.80% 3.48% 072009 032034 176 EE 100 0784733090 022004 50.00 10.08 60.08 2.80% 3.47% 072009 022034 ' 177 EE 100 0782444197 012004 50.00 10.20 60.20 2.80% 3.46% 072009 012034 178 EE 100 0781439685 122003 50.00 10.36 60.36 1.64% 3.45% 072009 122033 ' 179 EE 100 0779590688 112003 50.00 10.44 60.44 1.64% 3.43% 072009 112033 ' 180 EE 100 077735080 102003 50.00 10.64 60.64 2.80% 3.43% 072009 102033 ' 181 EE 100 0775939167 092003 50.00 10.80 60.80 2.80% 3.43% 072009 092033 ' 182 EE 100 0775368757 082003 50.00 10.92 60.92 2.80°,6 3.42% 072009 082033 ' 163 EE 100 0774580832 072003 50.00 11.08 61.08 2.80% 3.41% 072009 072033 ' 184 EE 100 0762070034 062003 50.00 11.20 61.20 1.64% 3.40% 072009 062033 185 EE 100 07631656692 052003 50.00 11.28 61.28 1.64% 3.37% 072009 052033 ' 186 EE 100 0763120787 042003 50.00 11.60 61.60 2.80% 3.41% 072009 042033 ' 187 EE 100 0763002959 022003 50.00 11.88 61.88 2.80% 3.39% 072009 022033 ' 188 EE 100 0762932264 012003 50.00 12.04 62.04 2.80% 3.39% 072009 012033 ' 189 EE 100 0748864659 122002 50.00 12.16 62.16 1.64% 3.38% 072009 122032 • 190 EE 100 0748813675 112002 50.00 12.24 62.24 1.64% 3.35% 072009 112032 • C:1Documents and SettingsUerrylDesktoplbond numbers.sbw Page 5 of 5 Inventory Report Active Inventory Bonds: Print Date: 11232009 File Prian Date: 062009 No. Series Dsnom Serlsl Number Issue Date Price Interest Value Rate Yield Naxt Interest Date Final Maturity Date Note 191 EE $100 074767560 102002 $50.00 $12.80 $62.80 2.80% 3.45% 072009 102032 ' 192 EE 100 0748704022 092002 50.00 12.96 62.96 2.80% 3.44% 072009 092032 193 EE 100 0748646709 082002 50.00 13.12 63.12 2.80°~ 3.44% 072009 062032 ' 194 EE 100 0748592077 072002 50.00 13.24 63.24 2.80°~ 3.43% 072009 072032 ' 195 EE 100 0748555993 062002 50.00 13.40 63.40 1.64% 3:42% 072009 062032 ' 196 EE 100 0748484805 052002 50.00 13.48 63.48 1.64°~6 3.40% 072009 052032 ' 197 EE 100 0731462891 042002 50.00 14.04 64.04 2.80% 3.48% 072009 042032 ' 198 £E 100 0731410266 032002 50.00 14.20 64.20 2.80% 3.48% 072009 032032 ' 199 ~E 100 0731362942 022002 50.00 14.36 64.36 2.80% 3.47% 072009 022032 ' 200 EE 100 0731306754 012002 50.00 14.52 64.52 2.80% 3.47% 072009 012032 ' 201 EE 100 0731248136 122001 50.00 14.64 64.64 1.64% 3.45% 072009 122031 ' 202 EE 100 0731190315 112001 50.00 14.72 64.72 1.64°~ 3.43% 072009 112031 ' 203 EE 100 0731135309 102001 50.00 15.52 65.52 2.80% 3.56% 072009 102031 ' 204 EE 100 0720025724 092001 50.00 15.64 65.64 2.60°,6 3.54% 072009 092031 ' 205 EE 100 0720017387 082001 50.00 15.60 65.80 2.80% 3.54% 072009 082031 206 EE 100 0719951404 072001 50.00 15.96 65.96 2.80% 3.53% 072009 072031 ' 207 EE 100 0719902109 062001 50.00 16.12 66.12 1.64% 3.52% 072009 062031 ' 208 EE 100 0719843570 052001 50.00 16.20 66.20 1.64% 3.50% 072009 052031 ' 209 EE 100 071978267 042001 50.00 17.32 67.32 2.80% 3.68% 072009 042031 210 EE 100 0719722464 032001 50.00 17.48 67.48 2.60% 3.67% 072009 032031 ' 211 EE 100 0715681030 022001 50.00 17.64 67.64 2.60% 3.66% 072009 022031 • 212 EE 100 0715621432 012001 50.00 17.80 67.60 2.60% 3.65% 072009 012031 ' Invento Totals: Bonds 212 Price Interest Value $10,600.00 $1,750.32 $12,350.32 • CI -bond was Cashed In • EX -bond was EXdianged for an HH bond • MA -bond is MAhxed and not earning interest • NE -bond is Not yet Eligible for payment • NI -bond has Not yet been Issued • PS -bond is a Series I or EE, was issued in or after May 1997 and includes a 3-month-interest Penalty unG'I the bond is 5 years old • • bond is a Series I w EE, was issued in w after January 1990 and may be tax exempt'd used for post-second lion • U bond was Cashed In w EXchangad for en HH bond, but is being priced on a date prior to the cashed w ex~date n.\n_~..~....\.......1 CeM.....P\ Ie...A11e~N..n\MnA .,,..~~e.~ ~r.,., - r~a>/,ta REV-1507 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDt~ILE D MORTGAGES & NOTES RECEIVABLE ESTATE OF FILE NUMBER GERALD P NYE 21 09 0678 All property jointlyowned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1' USAA SUBSCRIBERS ACCT 3,972.84 2 REFUNDS FROM PREPAID MAGAZINES,INSURANCE, MEDICAL, TAXES, PENSION,LOCAL TAX 3,738.48 TOTAL (Also enter on line 4, Recapitulation) S 7,711.32 (If more space is needed, insert add'Aional sheets of the same size) STATEMENT 9800 Fredericksburg Road San Antonio, Texas 78288 ~° Visit us at usaa.com 345 110 C~O LINDA TOOLSS L C USA RET 225 GLSNCREST RD COATESVILLB PA 19320-1920 EST OF GERALD PATRICK NYE CE-1 345 110 usAA c _ NUM R - 00120 85 21 2 TO UPDATE POLICIES 60 TO = USAA.CDM OR CALL 1-800-531-8722 FOR BILLING AHD PAYMENT INQUIRIES GO TO USAA.COM OR CALL 1-800-531-8722 TO REPORT A CLAIM, CALL 1-800-531-8722 YOUR REFUND CHECK IS ATTACHED. f' h TO FURTHER OUR MISSION OF BEING THE PROVIDER OF CHOICE FOR THE MILITARY COMMUNITY WE HAVE OPENED MEMBERSHIP TO ALL MILITARY RETIREES AND THOSE WFIO HAVE HONORABLY SEPARATED. DO YOU KNOW ANYONE WFIO MAY NOW BE ABLE TO ENJOY THE BENEFITS OF MEMBERSHIP? TELL THEM ABOUT US OR SHARE USAA AT USAA.COM/JOIN. USAA.COM/JOIN. IM9&0 W u~r~v~ 10$0467 51-44/ 118 CT DATE USM NUMBP.1t 9800 Frodr~icksbntg R~ 11-03-2009 00120 95 21 us~® San Antanio,Tezas 78288 pA~THREE THOUSAND NINE HUNDRED SEVENTY TWO AND 84/100 DOLLARS TO TFIE ORDER OF PST OF c*Ritwi n PATRICg NYE SANK QF AMERICA. CT ****3,972.$4 ~~ P ~.. ~~~ St MEMBERS 1St FEDERAL CREDIT UNION Send Inquires to: 5000 Louise Drive PO Box 40 Mechanicsburg, PA 17055 www.membersl st.org " Main Switchtward: (800) 283-2328 ez can: (717) ss7-x372 or (eoo) 2s3-x372 TDD: (717) 697-5312 or (800) 283-2328 ext. 5312 TeleBranch: (800) 237-7288 Statement of Accounts Jun 25, 2009 thru Jul 24, 2009 Account Number: Balances at a Glance Checking Savings: Certificates Loans: Money Management: Swipe 5 YTD Reward Page: 19533 1 1!!B 0.382 39065-19533 I~~~Ill~l~~~~ll~~~l~lll~~~~r~lll~l~~~~l~lll~~~~~l~l~lrl~~ll~~l GERALD P NYE C/O LINDA TOOLES, EXECUTRIX 225 GLENCREST ROAD COATSVILLE PA 19320 Your aggregate balance as of July 1st is $10,114.91. An aggregate balance of $2,500 and having 3 products will place you in the Silver MLR level. Would you like to receive a full calendar month statement? Sign up for eStatements today! Ask an associate for details.. , 154702 12,284.65 5.00 ' ~.~ 0.00 0.00 0.05 1 of 2 CHECKING ACCOUNTS 11 -CHECKING Date Transaction "tan ^""'"""" "' - --"- 8,787.26 ~ ~ Jun 25 Balance Faward Jun 30 Deposit Dividend 0.150% 0.90 8,788.16 Annual Pertentage Y~e/d Famed 0. 150% from Q6/O1/2009 through 06/30/2009 Based on Average Daly Balance of 7, 329. 15 ~ ~ ~ O~ r czlc- 2 7 Jul 22 Deposit by Check } ~ ;;;~:~ Jul 22 Deposit Transfer From Share 02 078 51 1 12,284.65 Jul 22 Deposit Transfer From Share 00 . , 12,284'65 Ju/ 24 Ende~g Balance SAVINGS ACCOUNTS " 00 - REGULAR SAVINGS Date Transaction ' tion Additions Subtractions Balance , 1, 074.14 Jun 25 Balance Forward Jun 30 Deposit Dividend 0.500% '' , '~~ 1 1.07 1,075.21 Annual Percentage Y~e/d Famed 0.5006 from A6/O 1/ZA09 thirwgh GIB/30/ZOI09;': ` Jul 22 Deposit Transfer 8.30 1,083.51 ~ C ,: GERALD P X)UUUWUVUC Share 00 From NYE ~, - ~~ , Jul 22 Withdrawal Transfer To Share 11 '~_ 1,078.51- 5.00 ~r 00 5 Ju/ 24 Ending Balance t `, . 02 -HOLIDAY CLUB .., - , Y :, ;.; Jun 25 Balance Forwani Jun 30 Deposit Dividend 0.550% Annual Peroentage YFe/d Famed 0.566 from 08/01/2009 through 06/30/1009 Jul 22 Withdrawal Transfer To Share 11 HOLIDAY CLUB Cased "'m~ ~s the fma/ statement presenting iribrmadlon on this product.., '•' P/ease retain the fma/ statement for tax repor~g purposes .'•• 0.11 243.24- ~~~..~ 243.13 b O 243.24 0.00 --- Continued on following page --- Q ~~~. - - -- - ----- - -- a _ _. ~~ F7ii 1F k A C ('iit F_i3i"i' li1Vi{~1't Campy Hill 351? Market Straet Camp Hill PA 17011 Ir.3uiries Call: 717-737-1041 Acec Xi{XXXXX702 ~iYE,GERALD P Efi: 07,•`2209 Date: 07/22/09 Tir: X365 Time: 1:08pm Deposit La CHECKING 11 ,~. Prev &al: AmJ:lnt: 8:788.15 ` 1 ~~ 2.174.74 ~~d ol.. O ~ ~ u./ Q Next eal: _ 10,962.90 _ Snq: #275387 Check Received 5G.u Check Received 250.00 Check Received 1,517.74 Check Received 357.00 Authorized cy XD Source: __ Drv Lic __ SigCard __ Known Other Curzent Certi.x"icate ?rametions: li-Ydonth Term: i .75x AFY 19-t3v;ith Term: 2 .OOx APY Open yours ~-.oday! G£RALD P NY IJ VVI II iLV t LV 11 VI IGIif~G4 -+-;. street address. city, state, ZIP code, and telephone no. - 1 Unemployment compensation OMB No. t 545-0120 Certain =aT SHORE TAX BUREAU $ Government 3607 ROSEMONT AVENUE 2 State or local income tax 2009 Payments CAMP HILL, PA 17001 refunds, crediLa, or offsets PHONE: (717) 761-4900 - 357.00 Form 1099-Cs t+rz identification number RECIPIENT'S identification number 3 Box 2 amount is for tax year 4 Federal Income tax withheld Copy B - i 699565 XXX-XX-5316 2008 $ For Recipient game. address, and ZIP code 5 6 Taxable grants This is important tax information and is being furnished to the $ Internal Revenue G ERALD P 7 Agriculture payments B Box 2 is trade or Service. ff you are i 31ST ST $ a business income - required to file a return, a negligence penalty or ~ ~ HILL PA 17011 other sanction may be imposed on you if this income is taxable and the IRS determines that gal) it has not been reported. (keep for your records) Department of the Trea - IMemal Revenue Service Hopkins t7aiveraity Vendor Numbtr: >:kM3~'! heck lthartber: 10887070 ~,a - Check Date: 06/03/Z009 - Vendor Name: GSRALD NY8 ]nvoicx Dam PO Neimba Comments Groin Amatat DiaooTmt Net Amomri 1236 0526/2009 2/PATIENI de INS PAID SO.00 0.00 SO.OtT GROSS AMOUNT 50.00 0.00 S0. ail iagaisiaa ylaaaa coataot CQSTOII~ SERVIC= at: 810.933.1200 oat: o! area 1.800.657.0066 vE1NQU1RIES County Of Fairfax ChaacWuntbar:144- 175759 U3) ~e-~ Retirement Systems ~~ o7ro~ros RETIREE NO: TAX STATUS: FEDERAL• STATE: ADDmONAL AMOUNT: __-- _ [iT ;13~1i DIRECT DEPOSIT REJECTED. TOTAL DEDl1CT10NS: txriRRENT YTD TOTALS cx~r YTD TorALs TOTAL PAY TAXABLE ~- o~txicTtoNS TAXES: ST/ITE TAXES NET PAY __ -_,` ~ n i ~ ~ n n n'n n n n n f s Y 6 Y L Y V V V 0 0 0 .7 V s s ~I~II~~~~~~~~~I~~ IUI~ O 10 ~~..~Zr -n 0 C7 -~ O G7 -i ~. ~~~ ~ ~~ ~~~- o _ Dw~m m ~,~fv~l z, ,- '~O~OD 9' ~ ,Zm7 Z<. z p0 ..~ ~ r~io~ O .D D „m O r _ Z ~Nm ~ -~ a .a _ , .9 ~ • [ff~~~' ~ _. rtt it w _ ~ ~ ~~ .~ - - o ~ ~ f0 ~ ~ i O _ ~ z y g °; :~~ "D ~ m O • N O rn r ~ ~ ~" > o . ru ~ ~" ~. ru ~ ~- ~ ~ e •• ~Q\ ~1 003107 ~~ • r _ ru r _ fo f .a - - . :~ ~ ~ c ~'°7 z o,~ ~ ~ hkl /.~^'y1 ~ ~` ~ ~ W ~, .~. O `m z z <~ yCy Z ~, ' ~' ` 1 ~, ':~i ~: 0 x. ~ D ~ m *' ~ ~ .a i o. ^ A ~ N ._ .~ :' r W. I - Cil ,.3 __ ~ o ~ i D ~ ~ N ~ ~ ;. . ~ O ~:; . ~. n N 1D t~A a O- ~ r-1 ~ O O ~ .~ o a ~g ~N A ~ ao r 8 ., e~~;• i~~~ ...~ °`~jk, ~ O ii;i Q O . ~ ., n ~ p ~ 1G y., ~ i:.#. §-~ ~ y E Q 00 ~~ r O ~~ ~ ~ ~ w a ~o ri N ~ ~ ~ ~ 8 ~~ e~ Q A t r h a ~O eel « - -~ 1~1 8 a as ~ ~ ~ ~ ~ a~ ~ ~ ~z ~ ~ ~ $ ~ ® ~ a~ ~ Q ~ o o~ ~ ~ ~ ~ ~~ ~~ ~ ~~ ~ ~ ~ ~ ~ a ~ ax ~dohns Hopkins Health Systems PMS - 06 In~•oice No. Im°oice Date PO T ~rl 88d 539172-0081 10i20i2009 .~~ .~-_-•~ Vendcr D7umber: PATIENT Check Ntunber: 50358040 Check Date: 10/21/2009 Vendor Name : GERIl4,n IJYE Discount Net Amount Gross,Amount _ Comments I~ 00 0.00 12.00 Refund for p~'erpayment 12.00 0.00 1 GROSS AMOUNT For all inquiries please contact CIISTOMER SgRVICB at: 410.550.0750 out of area 877,361.070 FiE~!?L?Vc L#J~LI~~~IT ALOi~IG "fHSS p~~~pRpT1flN i.~_,,, xd`.'y~"y'~' .,~y.-_r r k:ro. fir ~ -:+Y _ a.~;~'~i:,~%..tii:s~,~~^^...:~.~.~-. -~, .~ ,~ ~,.,,..1 .,, .~~v.:.~. 10/21/2009 3ohns Hopkins Accounts Payable Service Center Bmk of America ~?`~ P.O. Box 33499 ~~, Ntaiyland 53t Baltimore, NID 21218-9998 TWELVE Du^D and OD /100 Pay to the GERALD NYE order of Cp,MPSHILL,3PA 17011E ~~. 50358040 ~,}y~a.~..~,~i:~i:;:;i:?i: `.;i: i•':?.y+;~i? j ? {4Yfj;?%: iii:Ti'+:. _~.**Y*iY***~**~r*12. 00 ~~' S0 3 580~+~"' ~:0 5 3 LD ?989; 000480044 ? LB~~' AUTOMOBILE SOURCE INTERLINK MEDIA Dear Subscriber: As you requested we have adjusted your account. The attached check represents your refund. Thank you for your interest in our magazine and if we can be of further assistance please don't hesitate to contact us. P.C. Davis Customer Service SE)URCE INTERLINK MEDIA P:O.Box~d2a235 Palm Coast, FL 32142-0235 Refund Ac~it . A~}`TOl~O1~III:ir ** ELEVEN AND 50/100 10/15/09 15849 NO. 1589 DATE AMOUNT 10/15/09 $11.50 r JERRY NYE o~ 6022 OLD LANDING WAY °F . .:..BURKE; :YA 22015 ~ _ . st w-n~ L - VOID AFTER 90 DAYS II'0000015B491I' x:063 2 i0 i 25:20?99005?90 Lau' ROAD & TRACK HACHETTE FILIPACCHI MEDIA 10/-15/09 288520 Dear Subscriber: As you requested we have adjusted your account. The attached . check represents your refund. Thank you for your interest in our magazine and if we can be of further assistance please don't hesitate to contact us. P.C. Davis , Customer Service NO. HACHETTE FILIPACCHI MEDIA ~.~~ . .~Moryae chase sent. N.A. 2 g g ~1 P.O. Boa 420235 ~ Zt9 sy-a~se. NY palm Coast, FI.32142 Refund Account ROAD & TRACK ** FIVE AND 50/100 DATE AMOUNT 10/15/09 $5.50 f - ~ , ~7~~/v..~- PAY JERRY NYE ~ ~ ~ - ~ ~ ~ ~ 0 0 ~ 6022 OLD LANDING WAY ~ BI3RKE, VA 22015 slorwTVa~ VOID AFTER ~ OAYS NOT VALID WEH L 11e000D 288 5 2011• ~:0 2 L 309 3 79~: 60 i 2 3890011' CAR AND DRIVER HACHETTE FILIPACCHI MEDIA Dear Subscriber: As you requested we have adjusted your account. The attached check represents your refund. Thank you for your interest in our magazine and if we can be of further assistance please don't hesitate to contact us. - 10/15/09 288396 P.C. Davis Customer Service ~ -- ... NO. HACHET"I'E FIL,IPACCHI MEDIA ~p.9g7: ;~orosn Chase sank, w.~. ~.gg3 P:O. Box 420235 ~1 s~ .. _ .. sr,~,~, NY palm Coast, FL 32142 Refund Account ~~ AND. DRIVER * .SIX AND 00/100 DATE AMOUNT 10/15/09 $6.00 ~ ~? . ,tn~~,v...--- . PAY JERRY NYE ~: - ~„ 6022 OLD LANDING WAY s~or~nnRE ~ BURKE, VA 22015 voro a~ so oars xos vuw o~s5oa L u^0000 288 39 6~~' ~:0 2 L 30 9 3 ? 9~: 60 1 2 38900~~' 1 82865 40257545 08/28/09 17.04 1 OTAI.S: BANI[ OFAI®tIG Nafi~ shared service center Date: 0/26/04 PO Box 727 Indianapolis, IN 46207-0727 1-800-9881005 nssc-ettcom PAY * ~"~ * * Seventeen and 04/100 Dollars TO T~ EST OF GERALD NYE ORDER 6022 OLD LANDING WAY OF BURKE VA 220154760 17.04 17.04 17.04 ~~ owzsn SrG?lA7UR8 AUIHORIZ6II SIGAATURS ._ - ~~~y of Fairfax ir~ Retirement Systems • •(703) 279- TAX ST. . 000005316 RETIREE ~~ NAp~ T~ TAXABLE cx>~ 4200 r -i~JIED 12.88- 43.96 1 - 10,124.22 1 10 TdT1~ PAY 0.00 . ~ TAXES: TA>~E ~ -1266 975.10 T~T.s 0.00 12.68 8,083,16 MET PAY q~eekNun~ 144- ~i~^ G,s~ko~ o7r3tt~o9 00 STATES ~ • TOTAL: aT x.s ....~- .... •-875.10 0.00 0.00 000 STATE REMOVE DOCUMENT ALONG THIS PERFORATION ' 175951 t ~ ~ ~ . .. 144- -.. Retirement Systems 07/31/2049 ~ ~N'fY OF FAIRFAX vo~~ ~sooAYs FIURFAX. VIRGINIA 2209.5 *++'*• 12. u. Y ?i~vclvt and 68/100 DoUats PAY EXAC'R- _ TO TF~ GERALD P 31ST STRL.ET • ~ ~ ' , ~ 1~~j~ j , PA 17011-4510 • ONw1a d ~~ GountY Bsa1K d AlIMT1~' W.A. ?595Lw ~:053i079891: 0004800?8054»+ X00 ~ i a n' 503.35 2 15~~' x:053 L07989~: 0004800447 LB~~' ~ r -ze ,a: ~~ y~.. ys.~w~s-w : +"q x, ~ ~ _ fJ ~3 ~ 1 L J $:'IJ ll `l*x a~'"3~`r- ti - .'7. iA~".~ ~.~' i~ a~ `~' ~' ~+~. ~~ ~~ki~ ~count~$y~3e Service Center - - aw. 7 ~ - '- Bait d-.4menct' 6Cr798 ~ ~~~ ~ ~ ~"'~'~98- Baburorc, M~ryl~nd , _~. a, y U ~ ~5'~ .~ `~ ~~ k,~ ~, ~., : ~~~SOUTI3,~s31S'I' `STREL .~m ~,,; ~ e.~~^~-~ ~~~ . .~=~s ~ ~~~;~~~. r ~' ~ ::~ ~P ~ ~~I,L ,, .L PA ' 17 011. ~ ,~~, f ~r i ~~r ~, , " T ~~~~ ~ , -~ ~ ~ ~ fix, ^~p~~ ~ ~ 4~~ `~ ~ ~~ . ~~~~. t~: ~~....a':~~ =:~rms.• ..rr°~,r~~..c+.~.~w.~,. ..,, .- _. _, :~_ ,....~~h,:,,v ~~ ~..r~:rr^~s~~~~ .:e: c ......:~!~'~r~ .~.~~~a.' ~~'S0335' i4~~' x:053 L07989~: 0004800447 ~8~~' ---~ -. merican Water -'O Box Sb00 Call Center Phone 1-800-652-6987 ~herry Hill, NJ 08034 ~~~ No.INAME ~ I~'VOICENO. CREDIT REFUND •6919 100109 24 Pennsylvania AWW 50503512 Gerald Nye Check No. -74003385 Check Date - 11/03/09 Stub 1 of 1 INVOICE A1-ROUM' -~----1254 12.54 Camp Hill, PA 17011 ~i~74003385i~' ~:03L202??0~: 80 26 23 749L~~' Check No. 20617250 Date 10/14/2009 ATESVILLE PA 19320 (311033 DISCOUNT NET AMOUNT ,INVOICE 1 •PO NUNI8ER INV ATE GROSS DISCOUNT' NET AMOUNT 1NVO-CE f PO NUMBER INV DATE AMOUNT AMOUNT PAID AMOK AMOUNT PAID 09101380107 _ _ _ _ ...___ _ _ 10/13/09 .._...52:1.8.. .. _.0:00 62.18 REFUNDS218571625529133 S 1ST ST e:. Direct Inquiries to: Accounts Payable Dept., PO Box 13578, Reading, PA 19612-3578 TDT~ a. ,..~ ~ ~~ ~>~.'.:'?~'~.^ .. .rain. _...• ~Y...ck w)Y .. a. n• :_~: .. .~. !,:;,;~: r.::'~~al:~r~..:.-~_a~..._~.t~:.. _ ~~Check No. 20617260 H The Bank of New York AAeHDn Date 10/14/2009 Pittsburgh, PA srit~r~es, irc. 6o-160/433 ?tu4 card 1~/1010 DoUa~ra Z'"'*"""*'62.1s PAY S~j TO THE GERALD P NYE EST ORDER C/O LINDA TOOLES OF 225 GLENCREST RD COATESVILLE PA 15320 ll' 206 L? 25011' x:04330 X60 L~: 105••069 L-t' 6out« s nvc+~d • amouk r efA00 «mon Aubwr~au :aY~ SiTrfl~cusr~ MORTGAGE _ P 0 BOX 26149 RICFSIOND VA 23260-6149 ESTATE OF GERALD P NYE ~~ C/0 LINDA N TOOLES EXECUTOR 225 GLENCREST ROAD COATESVILLE PA 19320-0000 Re: Loan No. 0131774416 10/08/09 Dear Mortgagor: Attached ithe above mentionedrloants the escrow and the interest on escrow disbursement after payof f on A mortgageeCO~t~sfdacito~~omesepartiof therofficealicounty/c1ty11andrrecords andcavaheableufort has been r future real estate transactions. lease note that the Year End statement for this loan will be sent to you by January 31st. Thank you for allowing SunTrust Mortgage to assist you in financing Your home. Sincerely, Customer Service Dept. SUNTRUST MORTGAGE, INC CHECK NO. 68-0002 0510 MO. DAY YR. SUNTRUST MORTGAGE, INC DISBURSEMENT CLEARING 001315 10 08 09 ~ ~{~~~i~+ Suit ~s~va7l I P.O. Box 26149 IOE H09 0131774416 MORTGAGE R i chmond . V i rg t n 1 a 23 260- 6 1 49 FOR PAYMENT OF ESCROW TO MORTGAGOR **SIX HUNDRED TWENTY ONE AND 65/100 DOLLARS** PAY TO C~~TLI~pPNOTOOLESPE ECUTOR TAE ORDER 2Z5 GLENCREST ROAD OF COATESVILLE PA 19320-0000 s**********821.65 VOID IF NOT CASHED WITHIN 180 DAYS SEE BRCS ~QC ~i~bl~: f AU ORIZED SIGNATURE u'00 i i i Sal' 1:0 5 L0000 20~: 20 L 7 2 L 7 59~~' °,-.°--'° 41 ~ ~ is AMOUNT DISCOUNT AMT NET AMOUNT --*~'.:r'° INVOICE # COMMENT ` 48.75 0.00 48.75 DATE Cust # 019126 09I28I2009 ',` REFUND Check Total: 48.75 10!1!2009 Estate of Gerald Nye `~ GHECK• 041378 . _ ~ ~~~-•-.---~~,~-~ 41378 ,~"'~~~~`~enn aste (inc. M gFT BANK 041378 ~ PO Box 3066 , York, PA 17402 sa-2s5ras3 (717) 767-4456 _ - ~ www.pennwaste.com *F~RTY-EIGHT AND 75 / 1~~ DATE CHECK AMOUNT ; - ~*****~*~****48.7~~ 10/01 /2009 pay to the Estate of Gerald Nye r t .,..._. ,~ order oe 225 Glencrest Rd 20 F - ~ignature rized h ~a~ ~ 193 PA Coatesville • o Aut ` , . ;~ ^ ` ~ ~~ - -- 'a"~~~-.-~w.``5 ~»~-~ .~, u. _ c» ,.. „.. - „ .~. ..r. ..l - ~ ~- »vfcr ~ '" a ^;-rSe, . i=_,v'Y~tr-?.,i, t:`.s.€.~~. r_I', 4'.. . "..^ vh. `...ci .~ ~._u ,. _ - -.~~_~~-~-..~ , 984 2960?7 6~~° . ~ ~~f ~,,..~w~ ~ _ . -. ° 0 0 3130 2 9 5 5 . . u°041378» aPT~a~eczr~e - 485 W Half Day RD Buffalo Grove II 60089 866-581-2262 Confidential health information obtained- by December 17, 2009 Option Care is utilized for payment, treatment, and operations purposes. Gerald Nye 133 South 31S` Street Camphill, PA 17U 11 Re: Gerald Nye 071-0374 t: Dear Gerald Nye, As part of our auditing process, we have identified a refund due to you for an overpayment made on your account. The enclosed check is a result of the overpayment for the following information regarding this claim is listed below. Patient Gerald Nye Patient DOB 05/22!1949 Date of service 07/22/08 Amt of refund $40.11 Reason Patient Overpayment Should you have any questions or need additional information, please contact me at the numbers listed above. Thank you,: Catherine Russell Walgreen's -Option Care, Inc. Reimbursemennt Collector 1=866-581-2262 .w `."".~ o 1- ~ \~o\ `~ REV-1508 EX+ (8-96) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSRS, 8c MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER GERALD P NYE 21 09 0678 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointty-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 MEMBERS 1ST FCU 10,112.83 `~ St MEMBERS 1St FEDERAL CREDIT IJATION Send Inquires to: 5000 Louise Drive PO Box 40 Mechanicstwrg, PA 17055 www.membersi st.org --- Main Switchboard: • (800) 283-2328 EZ Call: (717) 697-4372 or (800) 283-4372 TDD: (717) 697-5312 or (800) 283-2328 ext. 5312 TeleBranch: (800) 237-7288 19533 1 MB 0.382 39065-19533 Irrrlllrlrrr~llrrrlrlllrrr~rrlll~lr~~rl~lllrrr~rlrlrl~l~~llrrl GERALD P NYE C/O LINDA TOOLES, EXECUTRIX 225 GLENCREST ROAD COATSVILLE PA 19320 Statement of Accounts Jun 25, 2009 thru Jul 24, 2009 Account Number: Balances at a Glance: Checking Savings: Certificates Loans: Money Management Swipe 5 YTD Reward 154702 _ 12,284.65 5.00 0.00 0.00 0.00 0.05 Page: Your aggregate balance as of July 1st is $10,114.91. An aggregate balance of $2,500 and having 3 products will place you in the Silver MLR level. Would you like to receive a full calendar month statement? Sign up for eStatements today! Ask an associate for details. , 1 of 2 CHECKING ACCOUNTS 11 -CHECKING Date Transaction Description Additions Subtractans Balance Jun 25 Balance Forward 8 26 A ~ ~ 787 Jun 30 Deposit Dividend 0.150% 0.90 , . 8,788.16 Annual Peroenbge Y~ld Famed 0. 1501b from GG/01/2009 through 06/30/ZOi09 Based on Averagle Da~7y Balance of 7, 329. 15 Jul 22 Deposit by Check 2 17 ~~ °`~~n 10,g62.g0 Jul 22 Deposit Transfer From Share 02 243.24 QO ~ 11,206.14. Jul 22 Deposit Transfer From Share 00 1,078.51 12,284.65 /u/ 24 End~g Balance 12,284.65 SAVINGS ACCOUNTS 00 - REGULAR SAVINGS Date Transacton Description Additions Subtractions Balance Jun 25 Balance ForwaM 1, 074.14 . . Jun 30 Deposit Dividend 0.500% 1.07 1,075.21 Annual Peroenlage Yield Famed 0.500% from OB/Q1/2009 through OIB/30/x' Jul 22 Deposit Transfer 8.30. 1,083.51 ~C~ From NYE,GERALD P XXXX)UUUUUC Share 00 ~ i~o°- Jul 22 Withdrawal Transfer To Share 11 1,078.51- 5.00 «+'~• /u/ 24 End~g Balance 5.00 02 -HOLIDAY CLUB Date Transaction Description Additions Subtractions Balance /un 25 Balance ForwaM 243.13 ~ O~ Jun 30 Deposit Dividend 0.550% 0.11 243.24 " Annual Peiraenhage Yre/d Earned 0.550% from OB/01/2009 through 06/30/2Q09 Jul 22 Withdrawal Transfer To Share 11 243.24- 0.00 HOL/DAY CLUB Closed "'fiis a the final statement presen~g nfnrmatagn on dhis product... • •' P/ease retain this final statement for tax reporbn9 purposes • • • --- Continued on following page --- REV-1737-6 EX + (6-08) ~~ :~` Pennsylvania DEPARTMENT OFREVENUE INHERITANCE TAX RETURN NONRESIDENT DECEDENT SCNEpULE G INTER-VIVOS TRANSFERS & use schedule G, Part 2, ONLY for MISC. NON-PROBATE PROPERTY proportionate method of tax computation. ESTATE OF FILE NUMBER GERALD P NYE 2109 0678 Part 1 must include all transfers of real estate and tangible personal property located in Pennsylvania. Complete Part 2 ONLY when the proportionate method of tax computation is elected. Include in the description of propertv the date the transfer was made and the name and relationship of the transferee. This schedule must be completed and filed if the answer to questions 1 throu gh 4 on the reverse side of the REV-1737 cover s heet is yes. DESCRIPTION OF PRGPERTY ITEM Include the name of the transferee, the relationship to Decedent and the date of transfer. DATE OF DEATH % OF DECD'S EXCLUSION NUMBER Attach a copy of the deed for real estate. VALUE OF ASSET INTEREST (IF APPLICABLE) TAXABLE VALUE 1 • USAA MUTUAL FUNDS FUNDS 38,305.85 100 38,305.8; 2 USAA MUTUAL CHECKING ACCT 4,207.61 100 4,207.61 3' DEFERRED ACCT-ICMA-RC 31,302.92 ` 100" 31,302.9 PART 1 TOTAL $ $ $ 73,816.3! ~ -. DESCRIPTION OF PROPERTY ITEM InGude the name of the transferee, the relationship to Decedent and the date of transfer DATE OF DEATH % OF DECD'S EXCLUSION NUMBER Attach a copy of the deed for real estate. VALUE OF ASSET INTEREST (IF APPLICABLE) TAXABLE VALUE 1. PART S TOTAL $ $ $ O.Oi TOTAL (Also enter on Line 7, Recapitulation.) I $ 73,818.38 (If more space is needed, use additional sheets of paper of the same size) 4511) f•'redericl~sbuq; }toad S:-n :~ntonio, Texas r S_'SS ~C~® EST OF GERALD PATRICK NYE C; O LINDA TOOLES LTC USA RET 225 GLENCREST RD COATESVILLE PA 19320-1920 Dear ,1~I s. Tooles: August 26, 2009 USAA is committed to providing excellent service to its members. As you requested, I am providing the following information for the accounts of the late Gerald P Nye. Account Registration: Gerald P Nye USAA #: 120 95 21 Account ## endin in Fund Name 2874 Income Stock Fund 3807 Aggressive Growth Fund 3300 Cornerstone Strategy Fund The account values on Junc l9, 2009 were: CUSIP 903288-60-3 903288-40-5 903287-20-9 Account # Share Accrued Account endin in Shares Price Dividends Value 2874 1,290.246 $8.92 NA* $11,508.99 3807 344.063 $23.35 NA* $8,033.87 3300 1,078.333 $17.40 NA* $18,762.99 *Fund does not accrue daily dividends. Total Value $38,305.85 If you have questions, please call a tJSAA member service representative at 1-500-531-USAA (8722). Thank you, USAA Shareholder Account Services 120 95 2 t-48'731-38646AM02350-SA S.SAS45 5R t26-o ~ ois ~~,.,. FEDERAL SAVINGS SANK _. -~ ~v~~, p~1t INSURED Li ND R 0D419.K1D.JSS11791657.01.01.527 GERALD PATRICK NYE POD C/0 LINDA TOOLES 225 6LENCREST RD COATESVILLE PA 19320-1920 ~ ~. ..:. a Du-0274-s 45 08/17/09 ' PAGE 1 AS OF 1/31/09, NON-USAA VISA CARDS MAY NO LONGER BE USED FOR OVERDRAFT PROTECTION OR TO MAKE CASH ADVANCES TO YOUR ACCOUNT. MAKE CHANGES ON USAA.COM (KEYWORD: OVERDRAFT). DEPOSITS AND OTNER CREDITS --, DATE..........AMOUNT.TRANSACTION DESCRIPTION 08/03 0.18 INTEREST PAID OTHER DEBITS DATE..........AMOUNT.TRANSACTION DESCRIPTION 07/31 2,103.88 OFFICIAL CHECK REQUEST 08/03 2,103.91 CLOSE REQ- PH-CK ISSUE ACCOUNT BALANCE SUMMARY DATE.........BALANCE DATE.........BALANCE 07/16 4,207.61 08/03 .00 07/31 2,103.73 f * * * * ~ * * * INTEREST PAID INFORMATION YOUR INTEREST PAID WAS CALCULATED USING YOUR DAILY BALANCE FOR 17 DAYS FOR AN ANNUAL PERCENTAGE YIELD EARNED OF 0.10%. THIS BRINGS YOUR YTD INTEREST PAID TO 1.82. -Iaasa araaina LpAiataiy an0 rpart if lnnrract. It m raaort is nui~N ritAia t/ Rays. tM aaeunt r111 M eeasiNrN earraet. ICM/\ Building Retiremtnt Security Lauren R. Nye 1151 N. Taylor Street Arlington, VA 22201 October 7, 2009 Dear Ms. Nye, Thank you for contacting ICMA-RC in regards to the 457 Deferred Compensation Plan account registered to Gerald P. Nye. Please accept our sincere sympathies for your loss. Per your request, we are writing to provide you with Mr. Nye's account balance as of June 20, 2009: 31302.92 457 Deferred Compensation Plan Account Balance: ~_~___- We hope this information is helpful. If we can be of additional assistance, please contact Investor Services at investorservices(a~icmarc.or~ or at 1-800-669-7400 Monday -Friday between 8:30am and 9:OOpm ET. yo em J. B ing Correspondence Spec ist ' Investor Services ICMA-RC Building Retirement Security v~nraaeooint Funds are distributed by ICMA RC Services, LLC> a wholly owned broker-dealer subsidiary of ICMA-RC, member FI\R=~ REV-1737-6 EX + (6-08) REVERSE ~ ` Pennsylvania SCFIEDULE H p p FI~NERAL EXPENSES & Use Schedule H ONLY for ro ortionate DEPARTMENT OF REVENUE method of tax computation. ADMINISTRATIVE COSTS INHERITANCE TAX RETURN NONRESIDENT DECEDENT __ ESTATE OF FILE NUMBER GERALD P NYE 2109 0678 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT q, FUNERAL EXPENSES: 1' SERVICES OF MALPEZZI FUNERAL HOME INCLUDING LUNCHEON, CLERGY, OBITUARY NOTICE,DEATH CERTIFICATES 7,826.07 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commission(s) Name(s) of Personal Representative(s). (Submit requested information for additional personal representative's on additional sheets) Social Security Number(s) or EIN Number(s) of Personal Representative(s}____ Street Address(es) City(ies) 'State(s) ZIP(s) Year(s) Commission Paid 2. Attorney Fees 3. Probate Fees 310.00 4• Accountant's Fees 265.00 5. Tax Return Preparer's Fees 250.00 6. Miscellaneous Expenses PUBLIC NOTICES,CERTIFIED LETTERS, STAMPS,OVERNIGHT MAIL,COPIES 673.11 TOTAL (Also enter on Line 9, Recapitulation.) I $ 9,324.10 (If more space is needed, use additional sheets of paper of the same size) REV-1512 EX+ (12-08) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF FILE NUMBER GERALD P NYE 2109 0678 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1• MORTGAGE PAYMENTS 3,310.54 2 SCHOOL TAXES 14.70 3 UTILITIES 531.94 4' MEDICAL BILLSIMEDS 29.76 5 .HOME REPAIRS 150.00 6 USAA CREDIT CARDS 336.71 TOTAL (Also enter on Line 10, Recapitulation) $ 4,373.65 If more space is needed, insert additional sheets of the same size. ~ ,luli/ Your information is always - SLTN~tUST~ treated confidentially. ._ J MORTGAGE Tdl-Free: 800.634.7928 Internet: www.suntrustmortgage.com 022876 BT #BWNDXCT #9426144771310078# GERALD P NYE 133 5 31ST STREET CAMP HILL PA 17011-4510 I~~~III~~~tll~~~~~~ll~~~ll~l~~l~l~l~~~~llll~~~~~ll~~~ll~~l~~ll SEE REVERSE SIDE FOR IMPORTANT INFORMATION. Property Address: Home Phone: Other Phone: 133 S 3i5T ST CAMP HILL PA 717-763-8979 717-903-0878 f \~ ~ ~ i.l 1 9 S ~ ~..~~ ~ ~~ I ~P~ ~~ F•..~ k _. Statement Date 07/01 /09 Payment Dw Date 08/01 /08 Loan Number 0131774416 item Description Amount Balances Principal Balance * 58, 864.34 Escrow Balance 1, 994.44 Payment Factor Interest Rate 5.1250096 Payment Information Principal & Interest 837.19 Escrow Payment 288.00 Optional Products • ~ Other • ~ MORTGAGE PAYMENT 1, 105.19 Payment Past Due • ~ Unpaid Late Charges • ~ Fees • ~ TOTAL AMOUNT DUE 1 105.19 Year to Date Interest 1.828.98 Taxes 881.50 Principal Paid , 4, 031.37 We have teamed up with First Book to provide children in need with brand new books. for more information visit www.firstbook.ora. Transaction Summary Special Messages Save time, postage, and the environment.. ..'We've made managing your monthly bill and other choices even easiez'! To access your account online, go to wwwsuntrustmortga egg com and click on Logon To My Account. The first time 'you log in, click First-time Users, Register Here and complete the information. Once you've gained online account access in our secure environment, you can do all of the following and more: e View your mortgage loan information, acfivity, and balances • Change your billing statement options: Electronic, Paper, or Both e Receive a-mail notification that your new billing statement is available • View and save a copy of your monthly billing statement • Pay your monthly bill online, or sign up for SurePay (ACH) automatic drafting of your monthly payment from a checking or savings account on a scheduled date We're here to answer any questions, just contact our Customer Service Department at 800.634.7928 or send us an email. Thank you for being a SunTrust Mortgage customer - we appreciate your business! -~ ®,s ~----------------- ~i~~~~~"t 1tp r mrs ss-sou _'~_. ssu OOI01 ODA~vlyys PL,~19320-1920 .FLY TO TNi~--.~ ~~ ~ S ~' ~ ~ Tc:tit 5'7 3 ~~4 4 7 4. .n~ . Please include this portion with your payment. No partial paymeMS accepted. Please do not send cash. Thsnk you far yo. ~~~//~ .._ Svi~ltusr MORTGAGE ~~ '~1 s: r' ti~ i ~:1 Loan Number: 0131774416 GERALD P NYE 9 you ~ peyGg after 2.00 PM ee OU16/09, your eorpogs peyw.er Mrah S4t.a6 tea. d~ore. isSi,t0.05. Spudfr thu o~ooeioe of adeCeend funds rwailNd. fw~ds eot tp~iud wW b. appKud ilrwa ouUlen~ t.., oed ~ e+ prtndp~. Il~l~t~~lll~~lllill~~lir~llll~~~ill~~tllrl~llrl~ll~ill~~l~~il~~Iillllr~l SUNTRUST MORTtiAGE ZNC PO BOX 79041 BALTIMORE MO 2f278-0041 (ti~tlni~~nl~ll~nllilnllu~lln~ilnln~ll~~nlu~lll~~nl Paymerrt Due Date 08/01/09 Mortgage Paymetrt ------------------- ~ 1,105.19 -------------- S - PaymentPast Dee . 00 S Unpaid Latt Charges . 00 $ Fees ------------------ • 00 $ TotatAmount Dut 1,105.19 S cipat Additional P rm $ r _ ~ Add'rtwnai GiY VR ~~I MId Total Amount Enclosed S ~:0 i3 L7744 ~6~N5~:0 i i4705~'0 i 105 i9~' LM -~ - Pleaseinclude this portion with your psyment. No partial payments aaepted. Please do not send ash. Thank you for yo . ~~~1/~ .-- SU~TRUSr' MORTGAGE Loan Number: 0131774416 GERALD P NYE 11,hL,III„IiiilhJl„i{It,,,lll„IiIJ,II,IJt,III„1„II„111111„i 51iN'TRUST MORTGAGE INC PO BOX 79041 BALTIMORE MD 21279-0041 ~u~,lu,~~,~~,II,u~~,IulMt~l»n~n{u,ll,luln,l{~~{n{ Payment Due Date 09/01/09 Mortgage Payment 1,105.19 PaymerR Past Due ------------------- ---- Ur,Paid Late Charges -------------- _00 -------- Fees ---- . 00 -------------- Tot~ Amount Due 1.105.19 Addltionat Prmc' al ----•-- S Additional EscroaV (Ta~c and lnsurmce) Total Amount Einclosed S , ~:0 L3 i??44 ~6~5~:0 L L4?O5~'0 L 105 L9~' L~' - ~-~1e Ooio9 ><OR 17ts ~'~ 0~ ~~ ? >fYS sau . ~~~ ~RIZ • ~ coo-zssvts~s rA., assso-as2o ~ PAY TO TS6 ~' '~_~- c !.O >~ 79 47 ~~• ~ lfi7! ,~~ ~t~~~-ttit.~la ~ t~ ~'[~Cf ~~gii~si;_.~3 i 38~0~L04~;~ ..... . ff you arr pay6q odor 2:OD PM on 09116109, yow aiape~ paynro, wrNM 541.061ob datp~ ~ s1,lu.os. Spodty 1M aliemtleo of oddilfead fYndn eeodud. fvsd~ wet uric !» appi~d RrM b arMandtn0 f.~s oad ~ a prindpd. $ ~.~C_ 1A -~ ` `' ~plliT.'f1E IIRi R OOLDREO fK%O.•d1~Q' iORDLR ~I.ThN3 A6CW~RN('IA~ 5 ~7 3 5~4 4 ? 4 " aw ~•u oNi,.r,~FTER,zA7rlooo 2000 sts~nwit a wnoral Ta~esa BIN D: Con1ro1 No: 001-008000 ~ A8se8 Val 0 Fa,. JANET L MILLER, TAX COILEC'tOR CA1~ ir1aL ~F~' ~~ 00000 5 2 ` 18Ci9 WALNUT STREET . State scx P c 4.90 2 - CAMP Hql PA 17011 Rate 10. 0000 .80 1[ TAX. AM~U1iT DUE --r> >i1~>"o its _= rasa oa os nttr ~/ol aoo9 8 1 $00 s of i. 10 31 1 =f laia ~ 0t t , ~50 F Sffi,F-AU~tBS81~ STAMPS ffiiVSLOPE PIDID 2 COPIB • NYEr GERALD P. . R ~~ ~ S M TM _ 1 !- PA 1701 CAMP L ;~ WED 11-2 AND 4.8JULY-OCTOBER 14 a: SPECiAt. HOURS: AUG 18,25 4.6 AUG 20,2712-2 PHONE (71 71 783-01 77 ~ " 00102 I.ItttDil N x'00>41~ =su ~zs sr.>oe©tsa~r sa ~70a-1'~fA1113+L~ tlU1, 19320-1920 . c ~ n-~ P]lY TO . ,,,` ~ t~ -~- ~. I ~a.*.~ t~or.~-Rs tCitadet ..0 1as ~slu - raemeai•, a+tt assn ~~~ C.x~e.~~ ~ ~~ C,,o~c~o~ No. 40 ~-G~IclJp ~ X~s~.~ 1~ _. _ _ _.. _ .... _.. _... _. _._ _... .... _...... ... .. reiu~~ewuict::x=:t~c:~ap ~o•w~cart.x~auur.~traxr::•. s'00i02~'~:23i380104~: 57354474 ~' 1~-~ . - - - -- - 717 763-8979 374 51Y ~rmo~ ~r~u'!"~'- _ _ _ . ... .. Account: 6i~9'9 ~,-, ~~ New Ch~'9es Duo: Pay upon receipt Total Due: $53.16 D 7 D 8 0 9 Amount Paid Q0()00329 01 AT 0357 ECP18911 0002 F GERALD NYE 3613 ALBERTA AVE MEGHANICSBURG PA 17050-2202 i~tiaitlfi~li~~ll~l~~~~tlu~l~~~~li~t~i~~~np~~~t,t<<~~il~~ill $ ooo Verizon PO BOX 26000 LEHIGH VALLEY PA 16002-8000 L~~Ill~~I~II~~JI,~~~d~iL~Id1~~dL~~il~,~~+111 ,._.:. .. ~<.~~ ::-: °-$.~ - L 7 : a 3 3:92 22a CLENCRESTROAD ~~ ,~ :-• .z,~.> ." -' - Qp. - COA?E9VILLE.PA;;193~4 _ ~:+~".~: • ~~ : - ~Y~.:::.~.., ~n`,^` t -~-'~ ,~-.. .[gar ,r~,' ._-. ..1. !~.._•/:~ t •. A ~~` _"•: _.. - _ -*'~'~i :::.-..' ?f' IS 3056'7 :r~~^„~`.ACii ACCOUNT # '- ,e.~ `` - • '~4:' q~ t~ - . -:..~: 23i, 0-i~4~:33 2 ~~~0 243056? 10t1' _ ., I6A"1f~~ .:s: •c:..... :..~ 07638979374002802198999991000000792360000D053165DDDOC 117717 at&t p.=& 1 of 4 BDriag Cyde Dste: OW09/09 -071118/09 Account Namber: 464012485913 How To Contact Us: . 1-800-331-0500 or 611 from your cell phone . For Deaf/Hard of Hearing Customers (TTY/TDD} 1-866-241-6567 ~i'Ireless cumber "17-903-0878 w¢ ~~~~ ~\ oti Go Green and Make a Difference! ~i sn up for paper]ess billing and join AT&T in its efforts :cube more earth-friendly and environmentally aware. 'v'iew and store your monthly bills online instead of receiving paper bills in the mail. Going paperless is ;aie, secure and easy...and will save you time and money each month. Visit att.com/actgreen to,learn ~ ~ yore and enroll today. It's free, it's easy, and It s greenl Return tLe portion bolow will, payment Daly to AT&T Mobility. ~ at~t page; 1 of 5 BIDhg Cyde Date: 05/09/09 - 06/08J09 AuwDt Number: 464012455913 How To Contact Us: .1-800-331-0500 or 611 from your cell phone . For DeafYHatd of Hearing Customers (TTY/TDD) I-866-241-6567 V1%ireless Number with Rollover 717-903-0878 - 1,011 Minutes ~~ ~~~ d ~ ~~ 0~ F1~~~~ La ~ ~,~ AT&T Wi-Fi Services .~T&T Wi-Fi service use with a Wi-Fi capable wireless device is s-ub'ect to the Terms of Services & Acceptable Use Policy ("Terms") found at https.//secure.sbc.com/tosaup.adp. By using you agree to the Terms incorporated into the vv:reless service agrmnt by reference. A;I'&T Wi-Fi Basic service is available at no additional charge to wireless customers w/select Wi-Fi capable devices and a qualified data rate plan.Other restrictions apply. 5 ~``~ a s y ~ ~~~~~ has `w ~~~ i r v- This bill reflects charges that do mt appear on the previous stateme~.. Pa;;e 1 of 1 ~ ~ m ca st ACCOUNT DATE TOTAL ' ® NUMBER DUE AMOUNT DUE O Vlsff us on the web at 09547185385.02-3 o7~o7ios $57.12. . _ . ° WWW.COlItCasf.COn1 _ ~ J Indicates the Comcast serncea you subscribe to ~ERALD NYE ~ How to reach us... For service at: 133 S 31 ST ST CAMP HILL PA 17011-4510 News from Comcast Thank you for your prompt payment. For your convenience, we now accept regular and automatic monthly credit card payments and direct debit. Hearing /Speech Impaired Ca11711 How to reach us: 4830 Carlisle Pike, Suite D-14 Mechanicsburg, Pa 17055 {717)540-8900 Telephone Customer Service 24 hours a day, seven days a week Summary of Charges Statement Prepared 06!14/09 Billed from 06/30V09 to 07!29/09 Previous Balance 57.12 Payments (received by 06/14/09} 5712 cr Comcast Cabte Televrslon 53.95 Taxes, Surcharges & Fees 3 17 ~ ~ Total Due $57,12 .~ Detail of Charges on back of Checi~: SERNtI'A N. 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LAUREN R NYE 1151 N TAYLOR ST ARLINGTON,VA 22201-5728 DAUGHTER 50% 2 JOCELYN A NYE SMEE 1044 HEMLOCK LN ENOLA, PA 17025 DAUGHTER 50% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN 1.. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. Tnr~~ ne oenT R _ FIilTFR Tr]TAI NDN TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. ~ If more space is needed, insert additional sheets of the same size.