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HomeMy WebLinkAbout10-04-10 1505610144 REV-1500 Ex (°'_'°' PA Department of Revenue OFFICIAL USE ONLY' Bureau of Individual Taxes County Code Year File Number Po Box 2sosot INHERITANCE TAX RETURN 21 - 10 1 - 0213 . , Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 186-28-5333 09152009 01081935 Decedent's Last Name Suffix Decedents First Name ~ I M I FETROW DAVID ~, I E (If Applicable) Enter Surviving Spouse's Information Below ' Spouse's Last Name Suffix Spouse's First Name '~ I MI FETROW MILDRED ~~, F Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUI~LICATE THE 196-28-3595 I REG~$TER QF w~LL$ FILL IN APPROPRU-TE BOXES BELOW ~'i 1. Original Retum ^ 2. Supplemental Retum ^ 3. Remainder turn (date of death prior to 12- 3-82) ^ 4. Limited Estate ^ 4a. Future Interest Compromise (date of ^ 5. Federal ~s d Tax Retum Required 6 Decedent Died Testate death after 12-12-82) ^ 7 D d t M i t i d Li i T ~ ' . . ece en a n a ne a v ng rust 8. Total Nu'm r of Safe Deposit Bozos (Attach Copy of Will) {Attach Copy of Trust) ^ 9. Litigation Proceeds Received ^ 10. Spousal Poverty Credk (date of death ^ 11. Election Ito k under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach ~ctt. O) CORRESPONDENT - THIS SECTION MUST SE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMA ON S LD t~E DIRECTED TO: Name Daytime Telep a Nltmb~ MILDRED F • FETROW 717-?61-1 f61 REGISTE USE OI~T ?j ~ ~~ 7 ~ First line of address C 7 ~ '-~ ~~ f'.~ ' 421 SOUTH 24TH STREET t:n~ F- Second line of address Q © ~ s' `n ~7 N .= rTt Ctty or Post Office ~' "4 State ZIP Code FILED -" ~~-~ CAMP HILL PA 17011 ~'I I Comes ondent's it p e{na atidrass: ! Under penalties of perjury, I declare that I have examined this return, inGuding atxompanying schedules and statements, and to the t o~ my knowledge and beifeef, it is true, correct and complete. Declaretbn of preparer other than the personal representative b based on all Information of whk:h p ihas any knowledge SK;rg~`~PER BLE LI N DATE ADDRESS ARER O ATIVE DATE 1'0/4/2010 ADD __ / ( 7 7 • S ORI INAL F M ONLY Side 1 15 0 5 61014 4 15 0 5 61 !~ 1 4 J awaea~ a.aoo 1505610244 REV-1500 EX Decedent's 6o~ia1 Security Number 186-28'-~J33 Decedenes Name: DAVID E• F R T R O W RECAPITULATION 1. Real Estate (Schedule A) 1 i 2. stocks and Bonds (Schedule B) ......................... 2. ', '~ 6 , 2 7 6. 2 5 3. Closely Held Corporation, Partnership or Sde-Proprietorship (Schedule C) , 3. ', ~', 4. Mortgages and Notes Receivable (Schedule D) _ 4 i, 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) 5 I . 8 , 5 0 0 • 0 0 6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested 6. ~ 8 , 6 2 7.7 4 7. Inter-Vivos Transfers 8 Misollaneous Non-Probate Property (Schedule G) ~ Separate Billing Requested 7. ', 9 9 , 8 9 0.7 6 8. Total Gross Assets (total Lines 1 through 7) 8 ~, ~ 3 , 2 9 4.7 5 9. Funeral Expenses and Administrative Costs (Schedule H), .9 10. Debts of Decedent, Mortgage LiatHlities, and liens (Schedule I) 10 11. Total Daductbns (total Lines 9 and 10) , . 11 12. Net Value of Estate (Line 8 minus Line 11) 12 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) , , 13 14. Net Value Subject to Tax (Line 12 minus Line 13) , 14 112,217.50 I~7~2,217.50 ]~11, 077.25 I ]~1, 077.25 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers unc~r Sec. 9116 (a)(1.2) x .o !~ 111, 0 7 7. 2 5 15. 16. Amount of Line 14 taxable at lineal rate X .0 - 0. 0 0 1 s. 17. Amount of Line 14 taxable at sibling rate X .12 0 • 0 0 17. 18. Amount of Line 14 taxable at collateral rate X .15 Q . Q Q 18. 19. TAX DUE 19. 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 0.00 ', 0.00 0.00 0.00 I 0.00 I I! ^ Slde 2 1505610244 150561041 9W4848 4.000 REV-1500 F,( Page 3 File Numbsr 2110 0 213'. Decedent's Complete Address: DECEDENTS NAME STREET ADDRESS 4TH GTY STATE ZIP 1 7JC raym@f1iS af1O trF@QIiS: 1. Tax Due (Page 2, Line 19) (1) 0.00 2. Credits/Payments A. Prior Payments B. Disccunt Total Credks (A + B) (2) Q • 0 0 3. Interest ~I (3) ^ . 0 ^ 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in box on Page 2, Una 20 to request a rotund. (4) ~ ~i 0 " 0 0 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0 . 0 0 Make check payable to: REGISTER OF WILLS, AGENT. '~ PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROP~tII~TE BLOCKS 1. Did decedent make a transfer and: es No a. retain the use or income of the property transferred; , b. retain the right to designate who shall use the property transferred or.its inoome• X , c. retain a reversionary interest; or . .. . d. receive the promise for life of either payments, benefits or cue?. , 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ... ... .. .. ... .......... X 3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? . L.«_1 1, 4. Did decedent own an individual retirement account, annuity, or other non-probate property, whid~ ~ 'i ^ contains a beneficiarydesignation? IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FIDE ijf AS PART OF THE RETURN. Far dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or ,for ~he use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of, th~ gurviving spouse is 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 requilr is for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. Far dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or f the use of a natural parent, an adoptive parent or a stepparent of the child is 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 benefiGaries isl 4. 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 12 percent [72 P.S. §911$(a)k 1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.' III II 9W4871 2.000 REV-1503 EX+ (8-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RES~E-M I~CEDENT SCHEDULE B STOCKS ~ BONDS DAVID E. FETROW !21-10-0213 All property jolnty-owned wkh rlyht of survivorship must bs disclosed on Schsduk F. ITE-~ VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. CITIGROUP, INC. (300 SH) CUSIP 172967101 ~I 1,392.00 i 2. ELECTRONIC ARTS, INC. (100 SH) CUSIP 285512109 ~, 1,814.50 3. FORD MOTOR COMPANY (100 SH) CUSIP 345370860 ~~ 791.50 4. FULTON FINANCIAL CORP PA (203.053 SH) CUSIP 360271100 ', 1,421.37 i 5. MOTORS LIQUIDATION COMPANY (1,000 SH) CUSIP 370442105 ', 780.00 6. VANGUARD PRIME MONEY MARKET FUND (126.88 SH) ~ i I 126.88 I I I i TOTAL (Also enter on line 2, Recapitulation) I $ ~~ 6, 2 7 6 . 2 5 a awasas tooo (If more space is needed, insert additional sheets of the same size) REV-1508 EX + (698) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. I~~s l ECEDENTRN PERSONAL PROPERTY ESTATE OF ILE NUMBER DAVID E. FETROW I21-10-0213 Include the proceeds of Iftigatlon and the date the proceeds were received by the estate. All property joirdty-owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. LINCOLN CONTINENTAL AUTOMOBILE (1999) 3,500.00 [VALUE AS PROVIDED BY L.B. SMITH FORD, INC. IN LEMOYNE, PA] 2. MISCELLANEOUS PERSONAL PROPERTY (FURNITURE & CLOTHING) 5,000.00 TOTAL (Also enter on line 5 Recauitulatlon) $~ ~ ' 8 , 5 00 00 9WaenD t.ooo (If more space is needed, insert additional sheets of the same size) ' REV-1509 EX+ (01-10) ' Pennsylvania SCHEDULE F DEPAR7~ENi Of REVENE INHERITANCE TAX RETURN JOINTLY-OWNED PROPERTY RESIDENT DECEDENT ESTATE OF: FlL N MBER: DAVID E. FETROW 21-10-0213 If an asset became jointly owned within one year of the decedent's date of death, ft must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A, MILDRED F. FETROW 421 SOUTH 24TH STREET POUSE CAMP HILL, PA 17011 '~ . i i C. JOINTLY OWNED PROPERTY: ITEM NUMBER ~~ fORJOiM rElMNr DATE MADE JOINT DESCRIPTION OF PROPERTY INCLtAE N4AAE Of fNN1NgAL I-BTTRRIONAPD 9AlK ACCOIlR'l41MBER oR sIMILAR E7EN1F1'RIG tiJwABER. ATiAO1 CEEO FOR JOIMLY HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET %OF DENTS INfiEREST DATE OF DEATH VALUE OF DECEDENTS INTEREST 1. A. 1975 FULTON BANK CHECKING ACCOUNT 2,278.6q ~', 50 1,139.30 A/C #0556-03382 2. A. 1975 FULTON BANK SAVINGS ACCOUNT 11,398.5'7 ' 50 ~ 5,699.29 A/C #1371-73760 i 3. A. 1975 SUSQUEHANNA VALLEY FCU CHECKING A/C 3,962.60 ~' 50 1,731.30 A/C #444-40 i 4. A. 1975 SUSQUENNA VALLEY FCU SAVINGS A/C 115.69 50 57.85 A/C #444-00 'I ~, I i~ I I TOTAL (Also enter on Line 6, Recapitulation)!, I SI 8 , 6 2 7 . 7 4 ew~sAE 2.00o If more space is needed, use additional sheets of paper of the same size. REV-1510 EX+ (08.09) SCHEDULE G pennsylvania DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC NON-N'Rt'~8A7E PROPEMtTY . RESIDENT DECEDENT ESTATE OF FIE MBER DAVID E. FETROW 121-10-0213 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCwFmoN of PROPERTY ITEM INCUDETIENMEOFT!£TRANSFEREE,THEStREUTIONSHPTODECEOEMAND DATE OF DEATH %OFDECD'S EXCLU I N TAXABLE NUMBE TfE aMTE of TRiM6FER. A7TAGHA CDPY OF THE GEED FOR REAL ESTATE. VALUE OF ASSET INTEREST IF APPU E VALUE ~, ROTH IRA ACCOUNT ~ ~,, -VANGUARD TRUST A/C #09946079280 32,641.09 100 ~ N/~,, i 32,641.09 2. SIMPLE IRA ACCOUNT -VANGUARD TRUST A/C #88008668903 67,249.67 100 a N/,A 'I 67,249.67 TOTAL. (Also enter on line 7, Rec~itulation) b 1' 9 9, 8 90.7 6 If more space is needed, use addftional sheets of paper of the same size. 9W46AF 2.000 REV-1511 EX+(10-09) pennsyivania DEPARTWENTOF REVENUE INHERITANCE TAX RETURN RESIDENiDECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUN~R DAVID E. FETROW 21-10-0213 Decedent's debts must be reported on Schedule 1. ', ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: ~. MYERS-HARNER FUNERAL HOME, INC. 10,694.00 2. ST. JOHN`S CEMETARY 600.00 B. ADMINISTRATNE COSTS: 1. Personal Representative Commissions: i Name(s) of Personal Representative(s) Street Address II City State aP ICI Year(s) Commission Paid: I I 2. Attorney Fees: ~~~ I 3. Family Exemption: (If decedent's address is not the same as daimant's, attach explanation.) Claimant Street Address ~, City State ZIP 'i ~I Relationship of Claimant to Decedent ', I 4. Probate Fees: ~I 4 2 3.5 0 i 5. Accountant Fees: ~~ 5 0 0. 0 0 6. Tax Return Preparer Fees: 7. TOTAL (Also enter on Line 9, Recapitulation) $ ~I 12 , 217.5 0 ewaaA~ 2.000 If more space is needed, use additional sheets of paper of the same sine. REV-1513 FJ(+ (01-10) • Pennsylvania DEPARTIoEMOF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF: FILE NUMBER: DAVID E. FETROW 2 -1 O-(121 3 RELATIONSH-P TO DECE?D AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Llst Trustaa(;s) OF ESTATE TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfer; under Sec. 9116 (a) (1.2).] I MILDRED F. FETROW SPOUSE !, 1~~ 1 421 SOUTH 24TH STREET CAMP HILL, PA 17011 I I I i NTER DOLLAR AtigtAVTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 1 ll I I I I 8 OF REV-1500 COVER SHEET'1 I APP OPRIATE. II NON-TAXABLE DISTRIBUTIONS 'I A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT TARN: 1• ~ i i I I I i i B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. I I I TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHE~T. II = 0. 0 0 9W48A1 2.000 Ir more space Is neeaea, USe aOCIIUOfIaI SrleB[S OT pBpBf Oi 018 SafT16 SIB. ~ ~., REGISTER OF WILLS CUMBERLAND COUNTY PENNSYLVANIA No. Esta 13 Late Of : CAMP HILL BOROUGH CUMBERLAND COUNTY Deceased Social Security No: 186-28-5333 WHEREAS, on the 3rd day of March 2010 an instrument c~~ted November 7th 2003 was admitted to probate as the last wi'~,1.~ of DAV/D EDWARD FETROW (First MiddM, Last! ' late of CAMP H/LL BOROUGH, CUMBERLAND County, who died on the 15th day of September 2009 an WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, GLENDA EARNER STRASBAUGH Regi s tee 'af Wi 11 s in and for CUMBERLAND County, in the Commonwealth of Pennsylvank hereby certify that I have this day granted Letters TESTAMENTAR Y~o: M/LDRED F FETROW ~~! who has duly qualified as EXECUTOR(R/Xl and has agreed to administer the estate according to Iaw~ X11 of which fully appears of record in my office a t CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VAN/A. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 3rd day of March 2010. ', ~°a.~o 0~ ~ERTIFi OF LETTERS * *NOTE* * ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) 0 o ~ ~i ~.ll ~~ C~.e~.t~x~.e~t o n OF ~.~I i ~ w DAVID E. FETROW BE TT REMEAiBERED, that I, DAVID E. FETROW, of 421 South 24th ~!tre~t Camp Hill, Pennsylvania, being of sound mind, memory and understanding, do r#tal~e, publish and declaze this as and for my Last Will and Testament, hereby revoking and null and void any and all Wills and Testaments and writings in the nature thereof male me at any time heretofore. l~l; I direct that all my just debts and funeral expenses be paid as soon my demise as may be convenient. ITEM2~. All the rest, residue and remainder of my estate, of whatsoever natur~ ar~d wheresoever situate, whether it be real, personal or mixed, including property over v~hic~h I have a power of appointment, I give, devise and bequeath unto my wife, MII.DRE~ 1E~. FETROW, absolutely, providing she survives me for a period of thirty (30) days. ~ ITEM 3: Should my. wife, MILDRED F. FETROW, predecease me, fapl tp survive me for a period of thirty (30) days, or should we die simultaneously, Ithen ~ive~, devise and bequeath my entire residuary estate, in equal shares, unto my childlrer~ BRADLEY D. FETROW, STEPHANIE J. REISINGER, and JACQUELYl~ SE FETROW. In the event BRADLEY D. FETROW or STEPHANIE J. REISINC~Ei~ shall predecease me, their share shall pass to the issue of said predeceased child, in shares per stirpes, or if not survived by issue, then to my surviving children in equal per stirpes. In the event JACQUELYN S. FETROW predeceases me, her share shall pass to her surviving issue in equal shares per stirpes. However in the event JACQUEL~'N S. FETROW predeceases me without being survived by issue, and further assuming ,the is survived by her husbnad, BRIAN KELL, then her share shall be divided and distributed as follows: Fifty percent (50%) to her husband, my son-in-law, BRIAN KELL; and fi~y percent (50%) to my surviving children in equal shares per stirpes. In the event JACQUELYN S. FETROW predeceases without leaving surviving issue and is not survived by her husbnad, BRIAN KELL, then her shalt pass entirely to my survivinng Y'K'. -v~ C~ ~~=~ ~„ _~ 1 children in equal shares per stirpes. ITElVf 4: I direct my hereinafter named Executrix to pay all inheritance, ast succession and legacy taxes of whatsoever nature and kind, to which my estate qr transfer of any property passing hereunder or otherwise passing by reason of my den maybe subject and to chazge such taxes against my residuary estate, it being my inteht that none of the aforesaid taxes, either federal or state, on any property required to included in my gross estate, under the provisions of any state or federal law now in fo or hereafter enacted, shall be prorated among the persons interested in my estate to v,~h such property is or may be transferred or to whom any benefit accrues. ITEM 5: I appoint my wife, MILDRED F. FETROW, as Executrix of this Last Will and Testament. Should my wife predecease me, fail to qualify, cease to aqt, renounce probate, I then appoint my daughter, ST'EPHAlvIE J. REISINGEP~, contingent Executrix. Should my daughter predecease me, fail to qualify, cease to act, renounce probate, I then appoint my son, BRADLEY D. FETROW, as conting~ Executor. ITEM.¢; I direct that my Executrix or her successor shall not be required to bond for the faithful performance of their duties in any jurisdiction. ITEMS;. My Personal Representatives shall have the following powers in to those vested in them by Law and by other provisions of this, my Last Will and Testam~ent~ exercisable without court approval, and effective until distribution of all property: ~, 1. To retain any or all of the assets of my estate, real or personal, without restriction to investments authorized for Pennsylvania fiduciaries, as they from time to time may deem proper, without regazd to any principai of diversification or risk. 2. To invest in all forms of property without restriction to investments ' ~~ authorized for Pennsylvania fiduciaries, as they from time to time may deem proper, without regard to any principal of diversification or risk. 3. To sell at public or private sale, to exchange, or to lease for any period of time, acry real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions as they from time to time may deem proper. 2 I 4. To allocate receipts and expenses to principal or income or partly to each as they from time to time may deem proper. 5. To borrow money from persons or institutions, themseh~es included, and to mortgage or pledge any or ap real or personal property as they in their sole discretion shall choose, without regard to the dispositive provisions of thisinstrument. 6. To compromise any claim or controversy asserted by or against my estate or trust estate. 7. To make distribution in cash or in kind or partly in cash and partly in kind, and in such manner as they may determine, and at valuations finally to be fixed by them. IN WITNESS WHEREOF, I have hereon of ~bV~. ~ ~,~" , 2003. WITNESS: 3 ~~7 ~ .G ~n.K COMl~ZONWEALTH OF PENNSS LVANIA , . SS COUNTY OF YORK We, DAVID E. FETROW, DAVID J. LENOX, ESQUIRE and LINDSA7~ l STRATHMEYER, the Testator and the witnesses respectively, whose names are sin to the attached or foregoing instrument, being first duly sworn, do hereby declare tQ t undersigned authority that the Testator signed and executed the instrument as his Lastl VS and Testament and that he had signed willingly (or willingly directed another to sigh } him), and that he executed it as his free and voluntary act for the purposes therein expre~se and that each of the witnesses, in the presence and hearing of the Testator, signed this ~La Will and Testament as witness and that to the best of their knowledge a Testator was the time eighteen (18) years of age or older, d mind and d no constraitht undue influence. ~a~ DAVID E. FETR WITNESS V TNES Sworn to and su,,bs_~chribed before me this ` /~ day of NO ~(~~ ~?~~ .2003. NOTARY PUBLIC MY COMiVIISSION EXPIRES: µota^si Seel Pubik: S. Dawn t3ladfetter, Notary 1 Bwo, York CourdY ~ ~;~~n F~hes A1ay t 2006 pe(nsyNanisAsBOaa~otNOtanes 4 C Cm C m N C O ~ m U C ~` N m W c O ~ ~ N ~o ~ M w Q Q o ° °° gt m ~a~ppC N N N >" ~ v9 aT- 7 ~w ~O C0~ ~o ~C O w ~°- ~~ a Q ~y 1 pp `i, Y.Q ~~ °~ c fl \ c_ LL V ~ IQ n K I 69 m v CO 0 w m O 0 0 ~ N n~ rn N Q O W ~ n~, 3 q m W i I ~ U .~ 1 ~ 3 ~ i cc G N (n N ~ A ~ d m Y ~ 0 o C ~a . E >m ~ ~ a ~ 406E 000000746;i,'38p15 L'1. - 2 1654 - 13215 - 0 I~~ ~~I~ ~ ~ O L ~/J V) ~ ~ V f6 "i ~~ 7 .o a 7 0 Y ~ o m m C ~ po 0 0 0 ~n o ~ O O, O O O 7 ~ •- n N N ~ ~~ c rn m ~ u' V 0 0 0 0 0 p O O O O sr d P~ I~ N O O ~ O C7 C7 O L(') (D '.. z ~ ~ of ri o o N o m 0 0 0 0 0 °o 0 cv 0 o y 0 0 p 0 0 ' O O O 0 O C7 .. O O O O O O' c'7 N O i 0 0 °o °o ~ °o U m ao , ~n ° cc `'~ o lj ~ o o c n o ' ' ~ i/3 N i . V r , • ('1 ~~ i ~ ` f Y ~ [~ U F- ~ S W ~ l~ ~ ~ ~ ~ r, ~ ', ~ , ' - (~ ~r ~ ~ ~ - L ~ ~ (i . ~' ' ~ Q : - ~ ~ ~ - ( r ~ I ~ c~ Z Q, Q. I o U z, ~ i Q I _ ~ c L J Q i ~ Q Q O V i Q Q ~ ~ Z ~ Z i ~ d z ~ ~ ! ° ~ ~ ~ ~ Z f-- O O ~ ~ w ~~ ~; o UI W ~ ~! i ~ I 'I ~ ~ ~ ~ o ~ O N Ol ~ N O m ~~ ~ O M m~~vmim • `o~~mv ~ cn > ~ ~ +° d m'~ ~ m ~ o ~ o ® °- 0 0 ~ a~ ~ ~ N ~ ~- -Q ~a v o 0 0 ~- ~ ~ n. ~ ~ Q ~ ~ ` ~ ~ N m O ~~~ O)N N ~ my f0 ~ ~ p ~ LS) ~ m L m ~ m~a-+ ~Y ~ ~ Y Q O ~ O ~ ~ Q O ~ ~ ~ ~ j~mfO>- ~' -- o a, ~ ~Du' ~ m ~ ~ ~ ~ = C ~ ~ ~ 3 •~ ~ ~ ~ O B, ~ vi >.O "- c ioo~~~ ~3~~m ~ ~ .QL ~ U ~~o>~ :_~m ~ ~ ~~a~ ~ O~ ~~y_N mV ~o~~ via ~ B' ~ •~~~(,7 ._+ -p C ~ O N m U ~' ~ [ [ L (~ ~ ~ Z ~r+ }.V Q~~~Z °n'~~~cn )„~ ~ V N -p N ~ p N ~ ~ = Q. N L N++ ~ m ~ N C m ~_ y ~ ~ O ~ N ~ 7 m ~~ ~ ~ ~ ~ y ~ Q 0 {~p~~ Y O ~> ~ cp U ~ ~ ~ _ o a°'i.~o--°Y mY ~~v .-~ m ~ - ~ `~ ~ ~o m o ~, Y a Y h ~ O , f~,, ~ N Dim ~ N m ~ ran N ~o°i ~~~~a m ~ ~ Y ~ ' ~ ~ ~ ~ ~ ~ ~ to ~ O +-' ~ fn ~ ~ ~ q7 ~~ cy ~ m Q cn ti a ~ cn Estate Valuation Date of Death: 09/10/2009 Valuation Date: 09/10/2009 Processing Date: 10/01/2010 Shares Security or Par Description 1) 300 CITIGROUP INC (172967101) COM NYSE 09/10/2009 2) 100 ELECTRONIC ARTS INC (285512109) COM NASDAQ 09/10/2009 3) 100 FORD MTR CO DEL (395370860) COM PAR $0.01 NYSE 09/10/2009 9) 203.053 FULTON FINL CORP PA (360271100) COM NASDAQ 09/10/2009 5) 1000 MOTORS LIQ CO (370992105) COM NQB 09/10/2009 Total Value: Total Accrual: Total: 56,199.37 Estate of: DAVID FETROW Report Type: Date of Death INUmber of Securities: 5 File ID. FETROW.DAVE Mean and/or Div land int Security High/Ask Low/Bid Adjustments A'ccrjuals Value O~ ~O 9.75000 9.53000 H/L I ~~~ 9.690000 I! C~~ 1,392.00 18.39000 17.95000 H/L 18.145000 1,619.50 7.48000 7.35000 H/L ', 7.915000 !, 791.50 7.13000 6.87000 H/L 7.000000 ~'! 1,421.37 ! 0.80000 0.76000 H/L ', 0.780000 ' 780.00 ! 56,149.37 ', 50.00 Paqe 1 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. IIf you have questions, please contact EVP Systems at (8181 313-6300 or www.evpsys.com. (Revision 7.q.1) ~~ ~ LISTENING IS JUST THE EEGINNING.° ~' 1~~~ 3 1057 0022 1321 Y STATEM NT 0 CCOUN S 07 ~O 055 3 82 ~"t' X / ~ /1 O~ry ~,0~ STATEMENT I PERIOD /~ f 1 "1 c FROM ' THROUGH `(//~ 1 7 7 ,u\~3 / ~ ~y //,, 8-11-09 9-10-09 0 `~ ~ Irv PAGE ~. OF 4 DAVID E FETROW OR 37 MILDRED F FETROW /~ 421 S 24TH ST ~'~~ 6 'IEI~CLOSURES CAMP HILL PA 17011-5310 1 0 qg.s ~ s- 7 ~'~~,, ~ s 3~ SWEEP TRANSACTION'ACCOUNT PREVIOUS DEPOSITS/ STATEMENT BALANCE CREDITS 13 352.32 9,334.79 U ~ ~ gL AecouNT: 0556-03~ CHECKS/ SERVICE DEBITS 24 FEES 7,407.91 .60 ACCOUNT/INTEREST INFORMATION INTEREST PAID THIS YEAR .70 DEPOSITS/ CHECKS/ DATE ACTIVITY DESCRIPTION REFERENCE CREDITS DEBITS 08-11 BEGINNING BALANCE • 08-11 FUNDS TRANSFER FROM 154.68 00000000137173760 08-11 CRED CRD AUTOPAY 00077900000 PAYMENT .090810 083035258774872 08-11 SWEEP FEE 51 5WEE 1 N FEE ~7 O O 1 AT 08-12 us TREASURY 303 00077900000 1,544.00 SOC SEC 081209 ~oooc5333A SSA 08-14 FETROW ELECTRIC 00077900000 488.51 QuICKBOOKS 090814 XXXXX3382 08-14 MORTGAGE DRAFT 00077900000 M63 DRAFT 081409 5700300995 08-18 CHECK. 1953 00102105640 08-19 LINCOLN NATIONAL 00077900000 INS.PREM ]P4159324 08-21 FETROW ELECTRIC 00077900000 488.49 QUICKBOOKS 090821 xxxwc3382 08-24 Pos PURCHASE 236770 WALMARTi~ 6520CARLISL MECHANICSBUR PA 08-24 POS PURCHASE 441192 SAMSCWB# 6781GRAYSO HARRISBURG PA 08-24 CHECK 1952 00104703940 08-25 UGI-UTILITIE IMG 00077900000 UTIL. PYMT 090824 1200038 08-25 cOMCAST CENTRAL 00077900000 CENTRAL PA 082509 DIRECT FULTON BANK DIRECT BANKING CENTER INQUIRIES TO: PO BOX 504 EAST PETERSBURG, PA 17520-0504 TELEPHONE: 717-58 1-3000 OR 1-800-FULTON4 500.00 7.00 c~~~ ENDING BALANCE 2,278.60 BALANCE 352.32 .00 576.58 60.00 100.00 55.46 57.46 1,000.00 175.00 61.35 1,544.00 1,455.93 1,395.93 1.295.93 1,784.42 671.50 M~~mbcr ED.LC. fuHunbenA. wm Page 1 LISTENING IS JUST THE BEGINNING.`" ~7 DAVID E FETROW OR MILDRED F FETROW 421 S 24TH ST CAMP HILL PA 17011-5310 1057 0022 1322 Y STATEMENT OF ACCOUNTS Ad® 0556-(D3~82 .~®t~ STATEMEf~T ' PERIOD CQ~ FROM ' THROUGH 8-11-0 ~ 9-10-09 PAGE ~ OF 4 i 6 jEI~CLOSURES Ili ~I SWEEP TRANSACTION ACCOUNT ACCOUNT: 0556-03 32 DEPOSITS/ CHECKS/ DATE ACTIVITY DESCRIPTION REFERENCE CREDITS DEBITS 20009101- 08-26 FUNDS TRANSFER FROM 71.85 00000000137173760 ' 08-26 CHASE EPAY 090825 00077900000 500.00 )000(X2572 08-26 SWEEP FEE 7,00 SI G SWEE 1 FEE S7 OO i AT 08-28 FETROW ELECTRIC 00077900000 488.50 ® QuICKBOOKS 090828 XXXXX3382 08-28 FUND$ TRANSFER FROM 95.08 ' 00000000137173760 08-28 MORTGAGE DRAFT 00077900000 576.58 MBS DRAFT 082809 5y00300995 08-28 SWEEP FEE 7.00 ' SI SWEE 1 FEE G z7 00 i AT 08-31 FUNp~ TRANSFER FROM 907.00 00000000137173760 08-31 CHECK 1958 00102305330 675.00 08-31 CHECK 1959 00102305340 225.00 0$-31 SWEEP. FEE 7.00 SI SWEE G FEE i AT S71OO 09-01 FUNDB TRANSFER FROM 64.12 00000000137173760 09-01 COMCAST CENTRAL 00077900000 57.12 CENTI;AL PA 090109 1858001 09-01 SWEEP FEE 7.00 SIiG T SWEE 1 FEE A S7 OO T 3' 09-04 FETROW ELECTRIC 00077900000 488.51 Q s 090904 c) a 8 ~o 3 382 09-04 PPL EU ELEC SVC 00077900000 362.01 9871072006WS 09-04 CHECK 1950 00203908160 1, 000.00 09-08 CRED CRD AUTOPAY 00077900000 500.00 PAYMENT 090907 083062035822474 099 u5 TREASURY 303 00077900000 1,544.00 DIRECT FULTON BANK DIRECT BANKING CENTER INQUIRIES TO: PO BOX 504 EAST PETERSBURG, PA 17520-0504 TELEPHONE: 717-581-3000 OR 1-800-FULTON4 BALANCE 435.15 .00 .00 .00 .00 2,126.50 1,626.50 X 0 0 Mcmbor F.D.LC. fuKcmbmk.sum Page 3 1~ ~~y~ 1057 0022 1323 Y JL- ~i~J~ LISTENING IS JUST THE BEGINNING.'" DAVID E FETROW OR MILDRED F FETROW 421 S 24TH ST CAMP HILL PA 17011-5310 SWEEP TRANSACTION ACCOUNT DATE ACTIVITY DESCRIPTION REFERENCE sOC SEC 090909 x)ocX)c5333A SSA 09-09 PAWL PAYMENT 090908 00077900000 0635468 09-10 CHECK 1964 00103808280 09-10 SERVICE FEE 09-10 INTEREST CREDIT 09-10 ENDING BALANCE STATEMENT OF ACCOUNTS ~ 0556-03~8~I C ~J STATEMENT PERIOD .q~~y FROM HROUGH ff ~OQQ 8-11-09 9i-1~9 PAGE 3 OF 4 6 EN~CL~OSURES I ACCOUNT: 0556-03382' DEPOSITS/ CHECKS/ CREDITS DEBITS 91.35 800;60 .OS CHECK SUMMARY * INDICATES SKIP IN CHECK NUMBERS CHECK NO AMOUNT CHECK NO U 1950 1,000.00 1958* 675 0 1952* 1953 1,000.00 1959 60.00 1964* . 2 5. 0 8~0 0 TOTAL NUMBER OF CHECKS 6 TOTAL AMOUNT OF CHECKS . 3,7.,0,. 0 *** ANNUAL PERCENTAGE YIELD EARNED DISCLOSURE FROM 8-11-09 T H O UGH 91-1~*~09 *** ANNUAL PERCENTAGE O S ~ YIELD EARNED AVERAGE DAILY COLLECTED BALANCE 1,124 2 INTEREST EARNED : 05 *** SERVICE FEE DISCLOSURE FROM 8-11-09 THROUGH 9-10-09 *** CHECKS 6 AT .10 ' ~ .60 TOTAL SERVICE FEE ~I, .60 SERVICE FEE BALANCE INFO RMATION FROM 8-11-09 THROUGH 9-10-09 AVERAGE LEDGER BALANCE 1,124.20 AVERAGE COLLECTED BALANCE 124 20 MINIMUM LEDGER BALANCE .00 MINIMUM COLLECTED BALANCE , . .00 *************************************************************************;**I~****** I DIRECT FULTON BANK DIRECT BANKING CENTER ~ INQUIRIES TO: PO BOX 504 EAST PETERSBURG, PA 17520--0504 TELEPHONE: 717-581-3000 OR 1-800-FULTON4 BALANCE 3,079.15 2',278.60 2~, 278.60 X _~ 0 0 Mcmbct F.D.I.C. fullcmbunk~vm Page 4 LISTENING IS JUST THE BEGINNING." DAVID E FETROW OR MILDRED F FETROW 421 S 24TH ST CAMP HILL PA 17011-5310 1057 0022 1324 Y STATEMENT OF ACCOUNTS 0556-0,3382 ' Ad STATEMENT ICI, PERIOD D ®V FROM ail fiHROUGH~, 1~11~ 8-11-09i ~ 9-10-09 CO' PAGE 4 OF 4 6 0 STATEMENT SAVINGS ACCOUNT NO: 1371-73760 FROM 8-11-09 THR~U PREVIOUS DEPOSITS/ WITHDRAWALS/ INTEREST STATEMENT BALANCE CREDITS 0 DEBITS 6 PAID 15,691.30 .00 4,292.73 .00 '~ ACCOUNT/INTEREST INFORMATION INTEREST PAID THIS YEAR 1.55 DATE ACTIVITY DESCRIPTION REFERENCE 08-11 BEGINNING BALANCE 08-11 FUNDS TRANSFER TO 00000000055603382 08-26 FUNDS TRANSFER TO 00000000055603382 08-28 FUNDS TRANSFER TO 00000000055603382 08-31 FUND5 TRANSFER TO 00000000055603382 09-41 FUNDS TRANSFER TO 00000000055603382 09-04 MISCELLANEOUS DEBIT 00436200370 09-10 ENDING BALANCE DEPOSITS/ WITHDRAWALS/ CREDITS DEBITS 154.68 71.85 ~' 95.08 907.00 64.12 3,000.00 *** ANNUAL PERCENTAGE YIELD EARNED DISCLOSURE FROM 8-11-09 THROUGH 9 ANNUAL PERCENTAGE YIELD EARNED .0596 AVERAGE DAILY COLLECTED BALANCE 14,436.65 '' INTEREST EARNED .61 SERVICE FEE BALANCE INFORMATION FROM 8-41-09 THROUGH 8-31-09 AVERAGE LEDGER BALANCE 15,758.20 AVERAGE COLLECTED BALANCE MINIMUM LEDGER BALANCE 14,462.69 MINIMUM COLLECTED BALANCE .OSURES DIRECT FULTON BANK DIRECT BANKING CENTER INQUIRIES TO: PO BOX 504 EAST PETERSBURG, PA 17520-0504 TELEPHONE: 717-581-3000 OR 1-800-FULTON4 ~H 9-10-09 ENDING BALANCE 11,398.57 BALANCE 15,691.30 15,536.62 15,464.77 X5,369.69 14,462.69 14,398.57 ~1,39~.57 1,39 .57 *,~* 15,758.20 14,462.69 M«nbcr F.D.LC. fulWnbankwm Page 5 ~~~ ' S ~~ ~p1 `ft+~ 1 ! . fO!{fONtM ffN OlYN Nq IMOi{fONtiY O7fiOlYNNq MOGOYAp7p/ 1950 - 517000.00 - 09/04/2009 -- ~ ~ ~ \.!. r fNIgNiM ~!N ~lYr N!f W!lgNtM OlfglNNNf! /OO)OggOOI 1952 - (1,000.00 - 08/24/2009 ""'! ~ sass \,. Irlrru irer~ s~ fnwr~ ~~~,~ ~ {~„~,~:x aria a~tsr. „aa ,, 553 - 560.00 - 08/18/2009 svr y..,.r siw+y .sr y ~ s rliq{ws{ nwa nNr iw { ~~ ~ I aAli7oN:te fswlrN{m ~momltfmi - .00 - 08/31/2009 ,w~.dG ela{GM~L~ r fi~i~ I wOlfgNlN OftglYYAl~ /OO0Cp77/OOI 59 - (225.00 - d8/31/2~J ---• .. y7~aMq` I I rtv~{x'.oc.~~ ,+ wf-r~it( wf apr 7~~~ I wOllNNiit OfiiOlNNNt\ AOppplOgO/ 964 - 5800.00 - 89/10/2009 LISTENING IS JUST THE BEGINNING.'" '~© '~ Q~ C J MombOr F.D.LC. fuhunbankiwm Page 6 SUSQUEHANNA ALLEY FEDERAL CREDIT UNION 385A HARTZDALE DRIVE CAMP HILL, PA 17011-7809 LOCAL: (717) 737-4152 TOLL FREE: (800) 948-1454 FAX: (717) 737-0589 ~~u~~~u~~~~uu~~~~u~~~t~~~rn~~un~~~~uur~~~u~~~~n~~~ 00000009 1 AV 0.335 MILDRED F FETRON 421 S. 24TH STREET CAMP HILL, PA 17011-5310 Meaber8: X44 Social Security 8: X-X~XXX~© Stateaent Date:9/30/2 ~qll PageB: O Mail Code:. "off Web Cody : ', L•® YTD ~I T YTD ~ F DIV: 5.50 INT: 5.00 CH(i : 5144.02 OVERDRAFT FEES RETURNED ITEM FEES RETURNED I'. TRAM POST TRANSACTION TRAM FEE FINANCE DATE ----- DATE ----- DESCRIPTION ------------- AMOUNT AMOUNT CHARQE 09101 Type s ----------------- ---- ti0 - RI~~NJ(R SNARES - 00 ------- ------- -------- PREVI~ Joint with DAVID E. FETRON 09/30 09/30 Dividend Postin 15 09/30 xa ANNUAL PERC~TAOE YIELD EARNED: 0.52 X FOR A PERIOD OF 921 09/01 Type: 40 - SHARE_DRAFT - 40 PREVI~ Joint with DAVID E. FETRON 09/01 09/01 Item- 8504 13.00- 09/02 09102 IteeB- 8506 196.32- 09/03 09/03 ACH Electronic Check `41.51- iiAL-!lART STORES - 903701188 P01~ PURCtlASE MECH PA ChkB 8508 ' 09103 09/03 IterwB- 8503 _ , Z 56- 09/03 09/03 IteaB- 8500 .00- 09/03 09/03 Itea#- 8501 ~4,7g~. 09/04 09/04 Items#- 8511 ~ 13. 49- 09/04 09/04 It4e$- 8450 . '16.50= ~ 09/04 09/04 Ites+$- 8510 > 67.9?- ..' - 09/05 09/05 Auto Transfer fro^ Shares 728.4 ~" 09/08 09/08 Items- 8512 ~ 13.5 - 09/08 09/08 Itea#- 8513 36.00- 09/08 09/08 Iter.~- 8507 60.00- 09/10 09/10 Share N/D (Cash Back (t3UI)) 150 00- 09/10 09/10 IteeB- 8515 . 10.OQ- 09/10 09/10 It4r9- 851q 33.10- 09/10 09/10 IteaB- 8517 94.34- 04/10 09/10 Item- SS16 122.00- 09/14 09/14 ACN Electronic Chec1: 86.93- FIA CardServices - 2200000005 ARC CHECK t~YMT ChkB 8505 09/14 09/14 Itea*- 8520 14.79- 08,~1# 0914 Ita~- 8l~19 29 16- 09115 09/15 lteni- 851$ . 31.79- 09/16 09/16 IteeB- 8521. 38.52= 09/21 09/21 ACE Electronic Check 701,97- CRASS - 9x00602070 ARG CHECK PYMT ChkB 8522 09/21 09/21 IterB'- 8$30' 29.92- 09/22 09/22 Itsa- 8537 36.00- 09/22 09/2x ItenB- 8524 48.75- 09/22 09/22 IteeB- 8528 60 00- 09/23 09/23 ACN Credit . 1647.00 US TItEASUI(>< 303 - 3031036030 PPD SOC -SEC 09/23 09/23 Itsa$- 8526 10,00_ 09/23 09/23 IteaB- 8531 100 00- 09/25 09/25 It`s#- 8534 . 17.50- 09/26 09/26 Share Ii/D (Cash Back (OUI)) 150.00- 09/28 09/28 Iteai- 8532 20.95- 09/28 09/28 Item- 8535 147,80_ 09/29 09/29 IteaB- 8539 20 00- 09/30 09/30 ACH Credit . 3258.08 PA TREASURY DEPT - 1236003133 PPD ANNUITANT PERIOD: 5.00 ES YTD: 5.00 PERIOD: 5.00 ES YTD: 5.00 LOAN INCIPAL BALANCE BALANCE l1s.69 '~S *x BALANCE BALANCE 115.84 115.84 5332.83 5319.83 5123.51 5082.00 5057.44 5024.44 4969.65 4957.16 4940.66 4872.69 4144.27 4130.71 4094.71 4034.71 3884.71 3874.71 3841 .61 3747.27 3625.27 3538.34 3523.55 3494.39 3462.60 3424.08 2722.11 2692.19 2656.19 2607.x4 2547.44 4194.44 4184.44 4084.44 4066.94 3916.94 3895.99 3748.19 3728.19 6986.27 6403475 SUSQUEHANNA ALLEY FEDERAL CREDIT UNION 3850 HART2DALE DRIVE CAMP HILL, PA 17011--7809 LOCAL: (717) 737-4152 TOLL FREE: (800) 948-1454 FAX: (717) 737-0589 MILDRED F FETROW Mawber$ : ~Fw4 Social Security $: X-XXXX Statewent Date: 9/30/2009 PageO: Mail Code : ', Web Code: YTD 'T BLE DIV: YTD T BLE IAiT: YTD i, F CE CHO TRAN POST TRANSACTION TRAN FEE. FINANCE HATE DATE DESCRIPTION AMOUNT AMOUNT .CHARGE 09/30 09/30 Itewi- 8538 24.06- 09/30 NE Cleared Items This Period NOTE: An as lndicatsa a skip in sequence. It#s# Awount iteAl# Asount itew# AI11our1t ' _ 8450 16.50 ** 8510 67.97 8519 29.16 ** 8500 33.00 8511 12.49-... _ 8520 14.79 8501 54.79 8512 13`. 5(~,. . ; 8521 38.52 ** ~' s* 8503 24.56 8513 -36.00 8522 , 701.97 ~ 8504 13.00 8514 33 0, ** 85$4 48.75 ** a 8505 8506 86.93 196 32 8515 8516 10~.~". 12 ' ** 852 10.00 ~ . 2. 0 - 852 , 36.00 8507 60.00 8517 94.34~~' 8S28. b0.00 8508 41.51 8518 31.24' ~cx 8530` 29.92 ;~ yy, su , Description ---------------••--r. C~it~' . -- -- _ nebita Cred t: r~rr ~- Share Draft Itews 30 ~. ---- 1416.87 - -------- • 0 ATM Transactions Q - .00 0 EFT Transactions 2 .00 4905. 8 Electronic Checks 3 830.41 O Voice Transactions 0 .00 0 Other Nithdrawals 3 1028.42 Other Deposit>r 0 .q0 Balance Forward: 5,332.83 Net Change: 1,629.38 New Bal ance: 6,462.2I 09/01 LOAN # 47 Typ! M85 - HOME EQUITY FIXED RATE PREVIO~JB 09/05 09/05 Auto Transfer Payoff 728.42 3 20 0930 . NE~ Due Date: Paywent Awount: APR: Daily Rate: YTD Fin Chg: 144.02 The Credit Unions Suppervisory Cowwittee has controlled the distributia~ statewent. If you fell it is not correct, pplease suppply details in wri Supervisory Co^wittes SOFCV, PO Box 3233, Shirewansto,an, PA 17011. LOAN ItINCIPAL. BALANCE 6962.21 ',BALANCE 69b2.21 # Apwunt 1 100.00 2 20.95 4 17.50 5 147.80 B 24.06 9 20.00 725.22 .00 this to: 6403476 '~ p '7 d d s .~ ~~ ~, Q~ ~+ ~. N 8 ~, $ ~~ U H '~ ~~. ~ w V? . V~ W ~'' W e~ rr~--~ M~ ~y H L C .~ o M W M .~ ~ o ~ N X X Q x U Q a O .-~ M ~, 0 3 ~ OG N Q LL I'~ J W N ~-+ S M h Q. A ~ t~ _ ,-T 7 ~ 0 ~ N ~O~ 0 O ~ ~ ~ R N CpQ ~ ~ 0 0 0 o a 0 o ° P ~4! o ~o c o e ~ _ ~ ~ .~ ,; ~ b ~ ~ C ~ L m ~° o 0 0 °o o d ~ ~2 d 0 0 o p p Y (((,~~~ v ~ ~ ~ N ' ~ ~ ~ ~ 8 ~ o o 0 o 0 ° 0 ~ o o 0 0 0 0 ~F , W M F. .~~ s~..c _r< K X X X ~,. p ~ ~ L J W ~'. C pWL _ i3y ~~K< F O ~ O Q' ~p L, 0 f„ ~ ~ ~ rl O~ N 1~ ', ~a ~~ LL ~~ M M ~ ~ ~ z ~ °e o ° ~ ° ~ °o ° ~ °o ° o° ' o } ~° ~ ~ o o v o 0 0 00 °o o °o o0 e o 0 0 ~ o ~ ~ I I N ~ ~ m Z ~ o°~o° o° o ~ o ~ o o° o ° F Y ~ ~ ~ _ ~ ~ po i ~ s N a ~ ac '~ ~ -. ~ n ~ ~ O O ~~ N O r O O O O ~~ O ~ c $ ab ~~~~ a ~~ ~ ~_ 4~ C Q~~_ O,/~O ~R x x x .~ .. C V ~ c ~ ~ OQ N •~ O O O (V ~ Y1 O O O ~ G .~iy Q C O O O W ~ ~ ~ ~~ .~ • ~ ~ ~ c ~ ~~ ~ ~ ~ O o ~ o > W W g ~~ e k e ~ ~ ~ ~~ ~~ a ~ ~ ,'~ - 3 a; ~ ~ ~> H ~~ ~ $~ o 0 0 0 ~ e e e a ,~ Z' aWi ~ ~ ~ ~! r e..r _acs c e .~ ~ C q~~LJW x x x ~ (,~ i MWL 0 ~ M ~ ti ~ ~0 M ,CN ~_r< tM F ~ ,,~ y X +' n ~ M N .Op ~ Q X $ p... ~ ~ S a x ~ O U "' LL ~ ~ a ~ o 0 0 a _ ~ O /h e ~ O ~~ ~~ ~~ ~~~ 000 _~~ oeo u M ~~o ~he° oxx~o ~' ~ Oo 000 •~ ~ ~ Z ~ Q x ~ CC °; ,..~ ~ O .y ~ yuO J n ~ ~ _" d 3 r+ iii 3 ~ _ . HOCNQ ~ ~ O G ~O N F a. W = ~ li F- ...1 0 0 0 O ACWNt~r 4t c3 ? 0 0 ~.~ VH~d ~NC o 0 0 T ~ H>~~ ~ L, ILQNQ ~~~a tea/ > A ~ C1 y~ y~ „j Q *i`t ~ ~1 J V r.r '' ~ ~ ij+ - ~. ~ i _. _ r- i i-- -_ - - -- --- --- _. ~ph O G e ~~ a~ ~~ m ~°- a. a ~ Y ~~ P v 0 h 0 O e 0 O O 'o 0 ~C o ~ C o 0 ~~ ~~~ '' y>~ .....~ MYERS-HARNER FUNERAL HOME INC. 1907 MARKET STREET CAMP HILL, PENNSYLVANU 1701 I 717.777-9961 I.O(:AI_L,Y OW~EI) AND OVERATE;1) October ?., 2009 Mrs. Mildred Fetrow 421 South 24th Street Camp Hill PA 17011 Services for David E. Fetrow September 18, 2009 Charges for Services Selected $ 4,590.00 Professional Services Use of Facilities Automotive Equipment Charges for Merchandise Selected Casket Vault $ 3,825.00 1 } 4$0..00 O, '~ ', II 'I i i V ~~ ROBERT H. IIA R~Ek SUPERVISOR D L'STIV R. bAI:F.R FUh'EkAL DIRECTOR $ 4,590.00 i 4,905.00 Cash Advanced Newspaper Notice/Local $ 407.00' Clergy 100.E Certified Copies 90 00 Flowers . 477 00 Pianist . 75.00 JuUE1(1 i~lci::i cn nn To to 1: '~ x..;1,192 X00 -Y~,4''' G J oq 1~ ~ ,p~~ ~ . . r ^. ST. JOHN'S CEMETERY 44 WEST MAIN STREET SHIREMANSTOWN PA 17011-6326 O~'~o' ~Ov 0~ October 11, 2009 Mrs.. Mildred Fetrow 421 S. 24th Street Camp Hill PA 17011 Dear Mrs. Fetrow: This invoice is regarding the grave opening/closing charges for the burial of DaWi ~. Fetrow, on September 18, 2009, at St. John's Cemetery. Please remit, to St. John's Cemetery, the Sum of .~ i Thank you for your attention to this matter. ~/~ / ~~C 3 ~ ./ ~ ~~ I° 9 ~ ~ jib Gary T. Gardner ~~, Cemetery Operation Manager I, gtg181 awerizon.net (717) 737-3621 I e RECEIPT FOR PAYMENT GLENDA EARNER STRASBALTGH Cumberland County - Register Of Wills One Courthouse Sqquare Carlisle, PA 17Q'13 FETROW DAVID EDWARD Receipt D~t s 3/03/2010 Receipt T m 12:11:24 Receipt Nd.: 1060188 I' ~p7•(o0 .C©U ~o~ . --- Estate File No.: 2010-00213 ~ i ! ', Paid By Remarks: M ILDRED F FETROW J N ------------------- ----- Receipt Distribution ----- -- '-~ - -~ Fee/Tax Description Payment Amount Payee Name i, PETITION LTRS TEST 360.00 CUMBERLAND CO WILL 15.00 CUMBERLAND CO SHORT CERTIFICATE 20.00 CUMBERLAND CO JCS FEE 23.50 BUREAU OF RECEI AUTOMATION FEE 5.00 CUMBERLAND CO Check# 8757 423.50 Total Received..... .... 423.50 ', ~i GENERAL FUN GENERAL FUN GENERAL FUN & CNTR M.D GENERAL FUN :• R. Wm. Wire Associates, P.C. Certified Public Accountants Professional Services Estate of David E. Fetrow c/o Mildred F. Fetrow, Executrix 421 South 24~ Street Camp Hill, PA 17011 October 1,.2010 '', ~o~ ~U c©y OP ember of tl+e ~,n,ee~can Lutteuee ~ CrA's !tle Pe~wytvaNa Institute of cea•• ~~ 'I 'I Services in connection with assistance in preparation of PA State ' inheritance tax return; conferences and consultations ................................................... ', ................ $ SU,~, I ciit;Ilt ~sssoo ~ 19 South 19th Street Camp Hill, PA 17011 Tel: 717-761-8072 Fax:717-76~-1 '~ I I ~I I t~ ~.a' c~ ; (~ ,....~ ~ l f k ~~ L d ~ o ~N f ~m <C2f~o~ C_ ~ ~O to ~ ~¢ ~° ~ U U ~ o t. n -~ N ti ~ ~ ti O ~ J$ M ~~ ~~~~ ~ e_. ~~~~ a Q ~ ~~ ~ ~. ,.r 4 i, +r .,; ittgg~ ?S; L ~ V ~ v i ~ R~ $F y w 1 C ~ ~~ o J n ~