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HomeMy WebLinkAbout12-06-10~ 1505610101 REV-1500 Ex (oi-io) ;~: RAFT OFFICIAL USE ONLY PA Department of Revenue Pennsylvania County Code Year File Number ~~PARTM-~,oF INHERITANCE TAX RETURN Bureau of Individual Taxes PO BOX z8o6oi ~ ~ /~ - Harris~ur~, ~A i~i2i-o6oi RESIDENT DECEDENT r V ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 193-36-4038 09/05/2009 05/17/1946 Decedent's Last Name Suffix Decedent's First Name MI FRITZ MARTHA A (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Return O O 4. Limited Estate O ~ 6. Decedent Died Testate O (Attach Copy of Will) O 9. Litigation Proceeds Received O THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 2. Supplemental Return 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number LISA M. GRAYSON (717) 580-1254--~ ~' ,___ ~~. First line of address 11 SHERATON DR Second line of address City or Post Office State ZIP Code CARLISLE PA 17013 O 3. Remainder Return (date of death prior to 12-13-82) O 5. Federal Estate Tax Return Required __ 8. Total Number of Safe Deposit Boxes O 11. Election to tax under Sec. 9113(A) (Attach Sch. O) ;...i c ~ jl~~ USE ONLY REGISTER OFt1;R ~ - r- r~ _- :~ ~7 _~ C 7 ;. z~ CJ'- .~-- .~ L._I .. f) t- -} ~ --~~. ....w.. _~ _. i . . r r'1 DATE FILED ~ ~`' Correspondent's a-mail address: LMGJAG@AOL.COM _ ,:~ f --_.. ~ r __ i ~ ~ . ~._.. ~ • t ....~..I ' . _ ; --r~ _Ti t^~' Unaer penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON`,RESP QSIBLE FOR FILING RETURN..: - ~'`' DATE - - --~-= - 12/06/10 ADDRESS~~ ..-- 11 SHEF~ATON DR, CARLISLE PA 17 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 1505610101 1505610101, J 1505610105 REV-1500 EX Decedent's Social Security Number Decedent's Name: FR{TZ, MARTHA A. 193-36-4038 RECAPITULATION 1. Real Estate (Schedule A) .......................................... ... 1. 152,000.00 2. Stocks and Bonds (Schedule B) .................................... ... 2. 3. Closely Held Corporation, Partnership or Sofe-Proprietorship (Schedule C) .. ... 3. 4. Mortgages and Nates Receivable (Schedule D) ........................ ... 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E).... ... 5. 34,843.00 6. Jointly Owned Property (Schedule F) O Separate Billing Requested .... ... 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested.. , .. ... 7. 136,029.00 8. Total Gross Assets {total Lines 1 through 7) .......................... ... 8. 322,872.00 9. Funeral Expenses and Administrative Costs {Schedule H) ................ ... 9. 39,956.00 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ........... ... 10. 75,858.00 11. Total Deductions (total Lines 9 and 10) .............................. ... 11. 115,814.00 12. Net Value of Estate (Line 8 minus Line 11) ........................... ... 12. 207,058.00 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. 207,058.00 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0~ 15. 16. Amount of Line 14 taxable at lineal rate x .0 45 199,558.00 1g. 8,.980.00 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable 7 500 00 1 125 00 . at collateral rate X .15 ~ 18. . 19. TAX DUE ...................................................... ... 19. 10,105.00 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 15056],0105 1505610105 J REV-1500 EX Page 3 nar_arlant'c C~mulete Address: File Number DECEDENT'S NAME MARTHA A. FRITZ STREET ADDRESS 115 AIRPORT DRIVE CITY STATEPA ZIi,17013 CARLISLE Tax Payments and Credits: 1. Tax Due {Page 2, Line 19) (1) __ 10,105.00 2. CreditslPayments 27,500.00 A. Prior Payments B. Discount 27,500.00 Total Credits (A + B } (2) __ 3. Interest (3) -- 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) !_ 17,395.00 5. If Line 1 T Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) __ Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :....................................................................................... ... ^ ~~ 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 Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ........................................................................................................... ... ^ 3. Did decedent awn an "in trust for" or payable-upon-death bank account or security at his or her death? ........... ... ^ C~ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? ..................................................................................................................... ... ~ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the 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 the surviving 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 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 21 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 0 percent [72 P.S. §9116(a}(1.2)J. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percE;nt, except as noted in 72 P.S. §9116(1.2) [72 P,S. §9116(a)(1)J. 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. §9116(a)(1.3}J. 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. ~~ ::~, ~ E~~,., x-. .... pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER FRITZ, MARTHA A. 2120090871 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. it more space is needed, insert additional sheets of the same size. REV-15Q8 EX+ (6-98} ~. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER FRITZ, MARTHA A. ~ 120090871 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. (If more space is needed, insert additional sheets of the same size) ~ pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER FRITZ, MARTHA A. 2120090871 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. ITEM NUMBER DESCRIPTION OF PROPERTY ?NCLUOE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 1. PSECU IRA acct # 9157053985 55,903.15 100 55,903.0( PSECU IRA CD acct # 9157053985 2 80,125.73 100 80,126.0( TOTAL (Also enter on Line 7, Recapitulation) $ I 136,029.00 If more space is needed, use additional sheets of paper of the same size. pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER FRITZ, MARTHA A. 2120090871 Decedent's debts must be reported on Schedule X. ITEM NUMBER DESCRIPTION AMOUNT A, FUNERAL EXPENSES: _ ~• Ewing Brothers Funeral Home 8,892.00 2. Reception after Funeral -Laura's Catering, Giant, Commissary, etc. 710.00 3. Wimsical Poppy Flowers 190.00 ~. Clothing for Decedent 150.00 5. Gingrich Memorial -headstone update 190.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: 12,000.00 Name(s) of Personal Representative(s) LISA M. GraySOn Street Address 11 Sheraton Dr city Carlisle state FA ZIP 17013 Years} Commission Paid: 2011 z• Attorney Fees: 12,000.00 3, Family Exemption; (If decedent s address is not the same as clatimant s, attach explanation) 3,500.00 claimant Douglas M. Grayson street Address 11 Sheraton Dr city Carlisle state FA zIP 17013 Relationship of Claimant to Decedent Son 4• Probate Fees; 330.00 5. Accountant Fees: 732.00 ~. Tax Return Preparer Fees; ~• Legal Advertisement -The Carlisle Sentinel and Cumberland Law Journal 262.00 $. Irene Whistler, Realtor 1,000.00 9. TOTAL (Also enter on Line 9, Recapitulation) ~ $ 39,956.00 If more space is needed, use additional sheets of paper of the same size. ~ pennsytvania DEPARTMEN70FREVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF FILE NUMBER FRITZ, MARTHA A 2120090871 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, inciudi7g unreimbursed medical expenses. If more space is needed, insert additional sheets of the same size. REV-1.5I:; Ek-~ (~l-:i.C9) ~ pennsylvania SCHEDULE J DEPARTMEN70FREVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: FRITZ, MARTHA A. 2120090871 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.Z).] 1• Rosemarie Capozzi, 1871 Esther Dr, Carlisle PA 17013 friend 7500.00 2. Kyle A. Cooper, 11 Sheraton Dr, Carlisle PA 17013 grandson 10000.00 3. Grayson B. Whistler, 11 Sheraton Dr, Carlisle PA 17013 grandson 10000.00 4. Loryn I. Whistler, 11 Sheraton Dr, Carlisle PA 17013 granddaughter 10000.00 5. Douglas M. Greason, 115 Airport Dr, Carlisle PA 17013 son 84779.00 6. Lisa M. Grayson, 11 Sheraton Dr, Carlisle PA 17013 daughter 84779.00 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPI~IATE. 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. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I $ 207058.00 If more space is needed, use additional sheets of paper of the same size. Dec C2 10 02:14p IRENE WHISTLER ~i=CEI~~+EL.~ Z~~i~~?r'~~elr, Z~:~L 717-258-9441 p.2 ~~1~AX 'isf ,AdWan~age 6375 Mercury Drive, Sui#e 10~ Mechan[cshurg, F'A 170a© Of#ice: (7't7~-59~i-5555 ^ate Prepared: ~ ~ --~~ Seller: ~ ` L¢G ~d ~~/~ Type Loan: Prope~~fy: fcs~~, f ,~u., Safe Price: ~~r ~~ Prepared By: - The foliovring EST[tViATE is given so that the Sellers will understand a oxirnatviy wi~at costs will be deducted from the Gross Safe Price at the time of settlement. 1. Broker's Commission: % of $ ~~~ and $ ~~ ~~~~ - ~ 2. Transfer Tax .................................................. ....................... $ f ~ O - Gfa 3. Notary Fees . .....:.................................................................. $ _ p - -~~ 4. Deed Preparation ....... . ................ , .......................................... $ ~~~ - Qd 5 Private On-Lot Sewage System Pumping ,,... .............................. $ _ ----• -- S Homy UVarranfy Program ................... ............................ $ ~~ ~ - Gt'~ 7 Buyer's Closing Gasts ......................................................... $ - $ Wiring Fee........ ............,............. ............... ..,........ $ ~~-'- L~ 'l0 Other. ~G,r~,O ~ -E' ~~'a !' ,~' ~ `,~y~ $ " TOTAL ESTIMA ED SELLING PENSES ,.....,..,..... .................. $ - ~ Tota! deductions at settlement are es#imated as follows: $ /rp, ~ ~D - Estimated Selling Expenses ~' S ~ - Estimate Payoff First Mortgage S - Estimate Payofr-Additional NforEgagell.iens $ -- TOTAL ESTIMATED DEDUCTi~NS Based on the above estimates, approximate proceeds at settlement may fie: $ ~5 ~~ D~ " Gross Sale Price $ - Less Total Estimated Deductions $ ~ - Estimated Proceeds at Settlement The above figures incitade payoff ir~formatinn provided by Sellers, and may not include payoff of ail liens, encurr3taranoes, propert}r taxes or special assessments. AJI payofFs andlor release of existing mortgages 2nd liens wile; be deducted from your proceeds at setfiiement. IIWe acknowledge receipt of a copy of this S#a#ement of Estimated Seiier"s Costs and understand and agree to the above estlmated,~harges. T NESS ' SELLE~t UVn'NESS SELLER LAST WILL AND TESTAMENT OF MARTHA A. FRITZ Dated: May I~ , 2009 LAST WILL AND TESTAMENT OF MARTHA A. FRITZ I, MARTHA A. FRITZ, a resident of the Commonwealth of Pennsylvania, make, publish and declare this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore made by me. FIRST: I direct that the expenses of my last illness and funeral, the expenses of the administration of my estate, and all es±ate, inheritance and similar taxes payable with respect to property included in my estate, whether or not passing under this will, and any interest or penalties thereon, shall bey paid out of my residuary estate, without apportionment and with no right of reimbursement from any recipient of any such property. It is my desire to be buried beside my husband, Paul J. Fritz, Jr. in Ashland Cemetery, Carlisle PA. SECOND: To LISA M. GRAYSON: Jewelry, crocks, Aunt Mary's bedroom furniture, my Mother's mantel clock and gun (both that were on her kitchen mantel in hPr home), the third plot that I own at Ashland Cemetery, Pampered Chef, dolls & ducks she gifted and any other antiques. To L)OUGLAS M. GREASON: Household items he needs to set up his own house and my personal vehicle if I own one a.t the time of my demise. All other tangible personal property is given as hereafter provided with respect to my residuary estate. TH[RD: I make the following, cash bequests: A. I give the sum of Seven Thousand Five Hundred Dollars ($7,500.00) to my dear friend ROSEMARY CAPOZZI, if she survives me. B. I give the sum of Ten Thousand Dollars ($I0,000.00) to my grandson KYLE A. COOPER, if he survives me. If he shall not survive me, said cash bequest shall not lapse but rather shall be given to the heirs of KYLE A. COOPER. C. I give the sum of Ten Thousand Dollars ($10,000.00) to my grandson C;R.AYSON B. WHISTLER, if he survives me. If he shall not survive me, said cash bequest shall not lapse but rather shall be given to the heirs of GRAYSON B. WHISTLER. D. I give the sum of Ten Thousand Dollars ($10,000.00) to my granddaughter LORYN I. WHISTLER, if she survives me. If she shall not survive me, said cash bequest shall not Lapse bust rather shall be given to the heirs of LORYN I. WHISTLER. FORTH: I give all. the rest, residue and remainder of my property and estate, both real and personal, to include insurance and retirement or deferred compensation of whatever kind and wherever located, that 1 own or to which I shall be in any manner entitled at the time of my death (collectively referred to as my "residuary estate"), as follows: A. I give fifty percent (50%) of my residuary estate (the FIRST SHARE) as follows: (a) If LISA M. GRAYSON survives me by 60 days, to LISA M. GRAYSON. (b) If LISA M. GRAYSON does not survive me by 60 days, the aforesaid fifty percent (50°%} of my residuary estate shall be paid and distributed to any then living issue of LISA M. GRAYSON per stir~es. B. I give fifty percent (50%) HOWEVER, NOT OUTRIGH of my residuary estate (the SECOND SHARE) as follows: (a) If DOUGLAS M. GREASON survives me by 60 days, to DOUGLAS M. GRE.ASON in accordance with paragraph (b) below. (b) DOUGLAS M. GREASON'S share shall not be given his share outright. Instead, I direct that Five Thousand Dollars ($5000.00) in cash be given directly to him. His remaining share shall be held by my daughter LISA M. GRAYSON and administered. under the same guidelines that govern funds held in trust under section FIFTH, paragraph B. below. It is my intent that a portion of those funds be used for the purchase of a home for DOUGLAS M. GREASON. The remaining portion to be used for the taxes and maintenance of said home as well as other large purcl~iases. It is not my intent to make DOUGLAS M. GREASON suffer, but I believe this to be his best interest. I also expect that LISA M. GRAYSON not arbitrarily withhold consent for the use and expenditure of these funds for DOUGLAS M. GREASON'S benefit. (c) If DOUGLAS M. GREASON does not survive me by 60 days, I give his aforesaid fifty percent (50%) of my residuary estate in equal parts to my four grandchildren, TABIT'HA L. GREASON, KYLE A. COOPER, GRAYSON B. WHISTLER, and LORYN 1. WHISTLER, per stirpes. C. if LISA M. GRAYSON, and her heirs and DOUGLAS M. GREASON all predecease me, my estate shall be split equally between my friend ROSEMARY CAPOZZI and my cousin JULIE KOUGH. FIFTH: A. If the Beneficiary is the age of thirty (30) years or older and of sound mind at the time of my death said sum shall be paid and distributed to the beneficiary free of trust. B. If the Beneficiary is under the age of thirty (30) years and not of sound mind as determined by my Trustee, at the time of my death said sum shall not be paid or distributed to such. Beneficiary but instead shall be given to my Trustee and held by my Trustee, IN TRUST, pursuant to the following provisions: (i) My Trustee shall hold, manage, invest and reinvest this bequest and may pay all or any part of the net income to or for the benefit of the Beneficiary, for the health, education, maintenance and support of the Beneficiary, to such extent and at such time or times and in such manner as may be determined in the absolute discretion of my Trustee. Any net income not so paid shall be accumulated and added to principal at least annually and thereafter shall be held, administered and disposed of as a part thereof. (ii) In addition, my Trustee may pay to or for the benefit of the Beneficiar}~, for the health, education, maintenance and support of the Beneficiary, from the principal of the Beneficiary's trust, such amounts, including the whole thereof, as determined in the absolute discretion of my Trustee. (iii) When the Beneficiary shall attain the age of twenty-one (2 ]) years, one third of the principal of the Beneficiary's trust then remaining shall be paid and distributed to the Beneficiary. When the Beneficiary shall attain the age of twenty-five (25) years, one half of the principal of the Beneficiary's trust then remaining shall be paid and distributed to the Beneficiary. If the Beneficiary is twenty-one (2 ]) years of age or older, but under twenty-five (25), upon the creation of the Beneficiary's trust, one third of the principal of the Beneficiary`s 2 trust then remaining shall be paid and distributed. to the Beneficiary, discharged of trust. If the Beneficiary is twenty-five (25) years of age or older upon the creation of the trust, two thirds of the principal of the Beneficiary's trust then remaining shall be paid and distributed to the Beneficiary, discharged of trust. (iv) When the Beneficiary shall attain the age of thirty (3C) years, the trust for the Beneficiary shall terminate and any remaining principal and income shall be paid and distributed to the Beneficiary, discharged of trust. If the Beneficiary dies before said age, such principal and income shall be paid and distributed to, or- held in further trust for the benefit of, such one or more persons, corporations or other entities (other than the Beneficiary, creditors of the Beneficiary, the estate of the Beneficiary, or creditors of the estate of the Beneficiary), to such extent, in such amounts and proportions and in such lawful interests or estates, whether absolute or in trust, as the Beneficiary may appoint by specific reference to this power of appointment in the last will and testament of the Beneficiary, executed after attaining majority and admitted to probate, or absent such appointment (or absent my Trustee receiving notice of the existence of such a will within 3 months after the death of the Beneficiary) such principal and income shall be paid and distributed to any then living issue of the Beneficiary, per stirpes, or if the Beneficiary has no issue to the beneficiaries of my residuary estate then in being as provided in this will, or if there are none, to those who would take from me as if I were then to die without a will, unmarried and the absolute owner of the same, and a resident of the Commonwealth of Pennsylvania. S[XTH: If any principal or income of my estate or any trust hereunder vests in absolute ownership (free of trust hereunder) in a minor or incompetent, my Executor or Trustee, at any time and without court authorization, may: distribute the whole or any part of such property to the beneficiary; or use the whole or any part far the health, education, maintenance and support of the beneficiary; or distribute the whole or any part to a guardian, committee or other legal representative of the beneficiary, or to a custodian for the beneficiary (including a custodian appointed by my Executor or Trustee without court order) under any gifts to minors or transfers to minors act, or to the person or persons with whom the beneficiary resides. Evidence of any such distribution or the receipt therefore executed by the person to whom the distribution is made shall be a full discharge aI' my Executor and Trustee from any liability with respect thereto, even though my Executor or Trustee may be such person. ]f such beneficiary is a minor, my Executor or Trustee may defer the distribution of the whole or anv part of such property until the beneficiary attains the age of twenty-one (21) years, and may hold the same as a separate hand for the beneficiary with all of the powers described in Article EIGHTH hereof. If the beneficiary dies before attaining said age, any balance shall be paid and distributed to the estate of the beneficiary. SEVENTH: I appoint LISA M. GRAYSON to be my Executor. If LISA M. GF:AYSON shall fail to qualify for any reason as my Executor, or having qualified shall die, resign or cease to act for any reason as my Executor, I appoint JULIE KOUGH as my Executor. I appoint LISA M. GRAYSON to be my Trustee. if LISA M. GRAYSON shall fail to qualify for any reason as my Trustee, or having qualified shall die. resign or cease to act for any reason as my Trustee, !appoint JULIF, KOUGH as my Trustee. I direct that no Executor or Trustee shall be required to file or furnish any bond, surety or other security in any jurisdiction. Notwithstanding anything to the contrary contained in this will, during such time as any current or possible future beneficiary of any trust created hereunder may be acting as a 'T'rustee hereunder, such person shall be disqualified from exercising any power to make any discretionary distributions of income or principal to himself or herself (unless the discretion to make such distributions is limited by an ascertainable standard within the meaning of Section 2041(b)(1)(A) of the Internal Revenue Code}, or to satisfy any of his or her legal obligations, or to onake discretionary allocations of receipts or disbursements as between income and principal, or to make decisions with respect to tax elections or options the exercise or nonexercise of which could result in an enlargement of his or her beneficial interest. hereunder. No Trustee who is a current or possible future beneficiary of any trust hereunder shall participate in the exercise of any powers of my Trustee which would cause such beneficiary to be treated as the owner of trust property for tax purposes. EIGHTH: I grant to my Executor and Trustee all powers conferred on executors and trustees under the Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and all powers conferred upon executors and trustees wherever my Executor or Trustee may act. I also grant to my Executor and Trustee power to retain, sell at public or private sale, exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal, for cash or on credit; to borrow money and encumber or pledge any property to secure loans; to hold property in bearer form or in the name of a nominee; to render liquid my estate or any trust in whole or in part, at any time and from time to time, and to hold cash or readily marketable securities of little or no yield for such periods as my Executor or Trustee shall deem advisable; to exercise all powers of an absolute owner of property; to incorporate any business and form limited liability companies and hold any interests in corporations and limited liability companies; to vote stock or securities, in person or by proxy; to exercise sub- scription and conversion rights, and to participate or refuse to participate in any reorganization, recapitalization, merger, consolidation, liquidation, dissolution or other action with respect to any corporation; to transfer any business or property to a partnership and to be a general or limited partner; to compromise and release claims with or without consideration; to execute and deliver instruments, including releases; to change the situs or governing law of any trust hereunder to any state my Executor or Trustee from time to time may deem desirable; and to emplo_v at- torneys, accountants and other persons for services or advice. The term "Executor" wherever used herein shall mean the executors, executor, executrix or administrator in office from time to time. The term "Trustee" wherever used herein shall mean the trustees or trustee in office from time to time. Each Executor and Trustee shall have the same rights, powers. duties, authority and privileges, whether or not discretionary, as if originally appointed hereunder. The determination of my Trustee as to the amount or advisability of any discretionary payment oI~ income or principal from any trust hereunder shall be final and conclusive on all persons, whether or not then in being, having or claiming any interest in such trust. Upon making any such payment, my Trustee sh<~ll be released fully from all further liability therefore. NINTH: I direct that for purposes of this will a beneficiary shall be deemed to predecease me (or any other person upon whose death the interest of such beneficiary depends) unless such beneficiary survives me (or such other person) by more than thirty days. TENTH: No disposition, charge or encumbrance on any income or principal of any trust hereunder or my estate by any beneficiary thereof shall be valid or binding upon my Executor or Trustee. No beneficiary shall have the right to assign, transfer, sell, pledge, encumber, anticipate or otherwise dispose of any such income or principal until the same shall be paid to such beneficiary by my Executor or Trustee. No such income or principal shall be subject in any manner to any claim of any voluntary or involuntary creditor of any beneficiary or liable to attachment, execution or other legal or equitable process prior to its actual receipt by the beneficiary. IN WITNESS WHEREOF, I, MARTHA A. FRITZ, sign my name and. publish and declare this instrument as my last will and testament this ~~ _ day of May, 2009. ~r- ~ ~~ ____~ ~~ ARTHA A. FRI'T 4 The foregoing instrument was signed, published and declared by MARTHA A. FR1TL, the above- named Testatrix, to be her last will and testament in our presence, all being pt-esent at the same time;, and ~~~e, at her request and in her presence and in the presence of each other, have subscribed our names as witnesses on the date above written. F _, ~~ ~l_',~~" ~~'~1 //''~ . ~i~ having an address at / / ~ ~ ~ sir-" _ ~ / -~ f 1 ~ ~ l ~.~ ,_ti ~~ ~,r .i~ ~' 1; s~,~r"~~~~.~~' ~,~ _ ~-,~~~ having an address at 5 ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss. We, the Testatrix and the witnesses, whose names are signed to the attached o~~ for egoin~ instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix, MARTHA A. FRITZ, signed and executed said instrument as her last will and testament in the presence and hearing of the witnesses, and that she had signed willingly, and that she executed it as her free and voluntary act and deed for the purposes therein expressed, and that each of the witnesses at the request of the Testatrix, in the presence anal hearing of the Testatrix and each other, signed the will as witness, and that to the best of his or her knowledge the Testatrix was at the time at least eighteen years of age or emancipated, of sound mind and under no constraint.. duress, fraud or undue influence. ~ ~ ~r r ~ , ~.;~ ~ . -- G°` -- MARTHA A. FRITZ Testatrix ,~ f ,. print: ,~=Gf%~~L .~, ~c~ic'' Witness ~~~~~, ~~ ~. _. print: ~ ~ ~ !~ ~~i ~/~ ~ ~~Wit ess~'7' ' ~e Subscribed, sworn to and acknowledged b ore me by the said MARTHA A. FRITZ, Testatrix. and subscribed and sworn to before me by the above-named itnesses, this J(~ day of May, 209. tea, Notary Public COMMONWEALTH OF P1=fVNSYLVANiA My commission expires on NOTARIAL ScAL VALERIE F. GSELL, Notary Public Carlisle 13oro., Cumberland County My Commission Expires October 9.2010 Statement Date: 0910.3109 Property Address: 115 AIRPORT DRIVE CARLISLE PA 17013 AccouNT NUMBER: Or;azsss3a4~8 Type of Mortgage Principal Balance Interest Rate Escrow Balance Interest Year to Date Taxes Paid Year to Date FIXED RATE LOAN $27,137.09 6.2500096 $480.86 $1,403.72 $1,871.22 Page 1 aF 3 ~ ~`~~: ~itiMortgage ~,~ Take cornmand of your mortgage -Visit Today! .~-~ wwrreltimortgagecom `;~~ , Customer service 1-80Q283.79't8~' ~ ~ 'Golfs are randomly monitored and recorded to ensure qualify service. '-~ Would you. like an easier way to make your mortgage payment? ~' ~'~~ Sign up for EZ Pay today. .~. ~. .~ .~ .~.. .~.. .~.. .~.. ..~. S ~.... .... z ZT T z Z ti N ~~ z SIS0071 D-264272482009AC13-09I03/U9-7-222178-1 PAYMENTS CURRENT RECE11/ED PAYMENT DUE Date 09/02/09 10/01/09 Principal $550.12 $553.17 Interest $144.39 $141.34 ~ Escrow $218.94 $218.94 Additional Principal $36.55 ', Total Amount j950.00 5913.15 On Q8/14/09, $1,480.98 was paid for School Tax. We show home phone 717-249-8280 and business OOO~d00-0000. If incorrect, please mark the addresslphone change box below and complete the phone number line on the reverse side of the payment coupon. Thank you. i~ PAUL J FRITZ ~ MARTHA A FRITZ ~~ 115 AIRPORT DR ,.a T CARLISLE PA 17013-1104 ~ ~~ ~~ ~-r -~, • • • ''~ FlRST MONTH FREEi NETZERO INTERNET ACCESS-Then Plans As Low As 59.951moMh. CALL 1-866-NetZero Menfion promo code T494-05 OR go to www.866NetZero.com/T49445 NO credit card required. Great Features: Easy Online Sign-up Process. Spam and Email Virus Protection. Natwrnrride, Reliable Access. NETZERO INTERNET ACCESS. 0 rr ~- t •• • ~r • •. Account Number: 0602668344-8 Due Date: Total Amount Due: PAUL J FRITZ 10!01/09 $913.45 See detail below: Please designate how you want us to apply any additional funds. Undesignated funds first pay outstanding isle charges and fees, then principal. Once paid, additional funds cannot be rgtumed. Additional Principal: a ^ Please check box to indicate mailing address/phone number changes and enter on reverse side. Include account number on check and make payable to: Additional Escrow: ^ li~l~l~~llll~ll~~~llll~~ll~~llllll~~ll~l~l.I~Illl~~ll~~lfl~l~i~ll~~lll~l if payment received after: 10l16J09 CITIMORTGAGE, INC. Add late charge of: $3472 a PO BOX 183040 COLUMBUS OH 43218-3040 Additional Monthly Payment: i Irlrrlrrllurlrlnrlllrrlrrrllrllrnrlrrlllrurlrrlllnnrrlll To#al Amoun# Enclosed ~, ^ Please do not send cash. Please allow 7 to 10 days for postal delivery. To ensure timely processing of your mortgage payment, please use the enclosed envelope and coupon. Do not include account inquiries with your payment. D06026683448 0000091345 ODD0094817 OODD091345 MEMBER NUMBER I PAYMENT DUE DATE 0193XXXXXX 10/25/09 P.O. Box 67013 (717) 234-8484 (Harrisburg) Harrisburg, PA 17106-7013 (800) 237-7'328 (Nationwide) m PAGE 1 TOTAL AMOUNT PAST DUE -{- CURRENT AMOUNT UUE ~ MUVIMUD,M1 PAYMENT NEW BALANCE 0.00 0.00 0.00 ' 0.00 00008795 1 AT 0.357 Iii~~'lll'I~IIIIIII'll" IIIII'lll" 11'III'll'llll'1'1'lll" i MARTY FRITZ C/0 LISA M GRAYSON EXECUTRIX 11 SHERATON DR CARLISLE PA 17013-2124 1000901933002064038 AMOUNT OF PAYMENT PSECU ENCLOSED PO BOX 67010 TO REPORT A LOST OR STOLEN CARD: CALL OUR BUSINESS NUMBERS LISTED AT THE TOP OF EACH STATEMENT PAGE FROM 7 AM - 5 PM MONDAY TO FRIDAY AND $ AM TO 12 PM SATURDAY, OTHERWISE CALL 800-556-5678 MEMBER NUMBER STATEMENT DATE ! PAYMENT DUE PATE 0193XXXXXX 09/30/09 10x25/09 CREA'E BEFORE A DETACHING HERE CREDIT LIMIT TOTAL VISA NEW TOTAL PSL NEW. UNUSED CREDIT BALANCE _ ! _ < BALANCE AVAiLABIE i. 0.00. 0.00 0.00 0.00 ID 09 SUSPENDED VISA LOAN POST TRAN REFERENCE DESCRIPTION AMOUNT 0915 PAYMENT VIA HOME BANKING TRANSFER 'FROM SHARE 04 1848.61- ID 09 SUSPENDED VISA LOAN CLOSED ON 0921/09 YTD FINANCE CHARGE: YEAR TO DATE 261.81 _ PREVIOUS BALANGE - -_.. - .PAYMENTS ~- _ CREDITS.' + --- --. PURCHASES/CA.5H ApuANCES + DEDIT ADJUSTMENTS -~ TOTAI- FINANCE CHARGE x NEW $ALANCE PuRCHASI`s 18 4 8 .61 18 4 8.61 _ 0.0 0 .. ... _ 0.0 0 - 0 .0 0 0. 0 0 _ . _ 0.0 0 ADVANCES 0.00 0.00 0.00 0.00 0.00 0.00 0.00 DAYS IN ! ANNUAL PERCENTAGE' MONTHLY PERIODIC FINANCE CHARGE BILLING CYCLE.! RATE RATE 'AV ERAGE DAILY BALANGE; PERIODIC TRANSACTION TOTAL PURCHASES 30 9.900% 0.82500% 0.00 0.00 0.00 0.00 ADVANCES 30 9.900% 0.82500% 0.00 0.00 0.00 0.00 0301 000 065 7 51 053296 2177474 _. _ __ . , -~~ M&TBank ACCOUNT N0. - ACCOUNT TYPE ~ 15004214151447 M8T MARKET ADVANTAGE 00 0 04335M NM 017 MARTHA A FRITZ 115 AIRPORT DR CARLISLE PA 17013-1104 INTEREST PAID YEAR TO DATE 30.84 75861 A l~f'+A 11\1T n~~~~-~ . r-- .._..._. STATEMENT PERIOD ~ AUG.29-SEP.30,2009~ PAGE 1 OF 1 NORTH MIDDLETON BEGINNING DEPOSITS & r-.vvvv~~ ~ J\J 1'11"1MR WITHDRAWALS 8 OTHER CURRENT BALANCE OTHER ADDITIONS SUBTRACTIONS INTEREST PAID N0. AMOUNT N0. AMOUNT 10,428.57 0 0.00 2 10,428.72 0.15 ACCOUNT ACTIVITY POSTING DEPOSITS,IN DATE TRANSACTION DESCRIPTION & OTHER ADD 08-29-09 BEGINNING BALANCE 09-08-09 WEB XFER TO CHK 00000000780960 09-25-09 INTEREST PAYMENT 09-25-09 CLOSEOUT ENDING BALANCE I W/DRAWALS ! SUBTRACT .ENDING BALANCE 0.00 510,428.57 10,000.00 ,428.57 0.15 428.7'2 0.00 50.00 ANNUAL PERCENTAGE YIELD EARNED = 0.04 LeosA ;sror~ y~/~ !!!! ,. ------~- ACGOUNT~~NO. ACCOUNT TYpE STATEMENT PERIOD i PAGE ---1- 780960 MKT SELECT WITH INTEREST SEP.02-OCT.01,2009 i 1 OF 6 ---..J~ 00 0 04319M NM I17 2101 ~' MARTHA A FRITZ 115 AIRPORT DR CARLISLE PA 17013-1104 INTEREST EARNED FOR STATEMENT PERIOD 0.12 INTEREST PAID YEAR TO DATE 1.08 Af`f`f1111JT CIIMMARY HIGH STREET-CARLISLE BEGINNING BALANCE DEPOSITS ~ OTHER ADDITIONS CHECKS PAID OTHER SUBTRACTIONS CURRENT INTEREST PD ENDING BALANCE N0. AMOUNT N0. AMOUNT N0. AMOUNT 9,793.85 1 10,000.00 15 16,586.70 13 3,207.28 0.13 0.00 A(`f`f1111JT Af TT\/ITV POSTING DATE - - - TRANSACTION DESCRIPTION DEPOSITS,INTEREST &-OTHER ADDITIONS CHECKS K OTHER SUBTRACTIONS DAILY BALANCE 09-02-09 BEGINNING BALANCE 59,793.85 09-03-09 CHECK NUMBER 8130 ~-~ 161.,75 09-03-09 CHECK NUMBER 8119 ~~ 141.,00 9,491.10 09-04-09 CHECK NUMBER 8132 ~~ 564..00 09-04-09 CHECK NUMBER 8127 6..."= - 423..00 _ _..._ 8,504.10 09-08-09 WEB~XFER FROM SAV 15004214151447 10,000.00 , 09-08-09 CHECK NUMBER 8138 1~tt, 500..00 09-08-09 CHECK NUMBER 8137 ;~ 160,.00 09-08-09 CHECK NUMBER 8135 ~.~ 117,.50 09-08-09 CHECK NUMBER 8134 (2 ' 10,000..00 09-08-09 CHECK NUMBER 8139.% ~~-- 500 .00 09-08-09 CHECK NUMBER 8136 ~.~" 423.00 u9-uo-u~9 PURCHASE OiV 09/06 345.95 •~. JCPENNEY STORE CAMP HILL PA 09-08-09 PURCHASE ON 09/06 189.98 `„ KOHL'S #0188 CARLISLE PA 09-08-09 CHECK NUMBER 8128 141.00 09-08-09 PURCHASE ON 09/07 81.71 . JCPENNEY STORE CAMP HILL PA 09-08-09 PURCHASE WITH CASH BACK ON 09/06 35.89 TARGET T2099 C CARLISLE PA 09-08-09 PURCHASE ON 09/04 15.26 1-+ WAL-MART #2574 CARLISLE PA 5,943.81 09-10-09 CHECK NUMBER 8129 "~.~~ 2,132.20 09-10-09 CHECK NUMBER 8140:'~~°- 500.00 09-10-09 CHECK NUMBER 8133 223.25 09-10-09 ATM CASH WITHDRAWAL ON 09/09 202.25 PNC BANK 105 NOBLE BLVD CARLISLE PA 09-10-09 CLASSIC DRYCLEANERS-CACARLISLE 118.57 09-10-09 PURCHASE ON 09/09 57.10 ~~- ~aosa. ;sior, - PS E ~ ~~~~~~n~-~~~t~~n-~~~~~ F0. Box b7013 (?~17) 234-8484 (Harrisburg) Harrisburg, PA 17106-7013 (800) 237-?328 (Natioawiae) r"~ THE CAPITOL CARD® IS THE PERFECT CHOICE WHEN YOU PAY WITH PLASTIC. ENJOY A LOW 9.9~ ANNUAL PERCENTAGE RATE. BECAUSE YOU DESERVE MORE. MARTY FRITZ PAGE JOINT OWNER MEMBEF~ NlJ66HER: SfAI'EMEN7 DA2'~ 0193XXXXXX 09/30/09 2 POST EFF DESCR 0,-901 TD O1 E~UL HARES BEGTNNtNG $AI.ANCE ~tM©UNT BALANCE 0915 WITHDRAWA HOME BANKING TRANSFER TO SHARE 04 500 00- 1029 : £~~} 529 69 0921 %iSPI 0016 . . %SP2 ALL 0929 PAYMENT: D'IV~DEND ' ANNUM. PERCENTAGE YIELD EARNED O.:SOi FROM 091'0109 0'.:30 '529:99 THROUGH 'Q 9/30/09 BASED ON AUERA~E DArLY' BALANCE, OF 727:71 0929 ' PAYMENT: TRANSFER FROM SHARE 04 ,- 1x86 12 2116 11 0929 WITHDRAWAL BY CHECK . . ~ ID O1 REGULAR SHARES CLOSED ON 09/29/09 2]!16.11- 0.00 DIWIDEMD YTD: YE AR: TO :DATE. I -~T 4 35 POST EFF DESCRIPT.I,.4p1_, =T'~TT '~~ 0901 ID 04_.~ ECKING BEGINNING BALANCE t~MOUNT $ALANCE 0901 BILLPAYER K 090107 FOR 5100.00 3611.44 0901 WAS MAILED TO LEfFLER ENERGY ~ 0901 ELECTRONIC<$ILl. QOQ2 FOR SI01:80 ~ 0 9 01 WAS SENT T4 EMBAI~Q : MANAE3EMEN 0.9:01 ELEGTRtINIG '$T.l.L 0003 F(3R 5950 ~'00 0901 WAS SENT TO CITIMORTGAGE INC 0901 i ELECTRONIC BILL 0004 FOR 5102.70 0901 WAS SENT TO PPL 09lT3 WITHDRAWAL 'DIRECT DEPOSIT 'EMBA,RQ MANA~GEMEN 1;01.8:0.- 3.09 64 TYPE: E-BIiL G0: E}IBARQ MAt+fAGEHEH . 0903 WITHDRAWA.I.:DIREET DEPOSIT PPL TYPE: E-BILL CO: PPL 102.70- 3406.94 0903 WITHDRAWAL DIRECT DEPOSIT CITIMORTGAGE INC 9,50.00- 2456 94 TYPE: E-BILL C0: CITIMORTGAGE INC . ___ CONTINUED ON Ff~t LOWING ;PAGE --- 0302 000 065 7 51 053296 2177475 i~ ~:. ~ ~ ~ ~ ~ ~ ~ MARTY FRITZ P.O. Box b1013 (]'11~ 234-$484 (~lnrrisburg) Harrisburg, PA 1 ~l Ob-1013 ($00~ 731°732$ (NatiOnwide~ website - http://www.psecu.~arn THE CAPITOL CARD® IS THE PERFECT CHOICE WHEN YOU PRY WITH PLASTIC. ENJOY A LOW 9.9 ANNUAL PERCENTAGE RATE. BECAUSE YOU DESERVE: MORE. JOINT OWNER PAGE 3 MEMBER Nk1MB~ER STATEN DA'#E 0193XXXXXX 09/30/09 POST EFF DESCRIPTION AMOUNT BALANCE.. 0:9.04 WTTH:DRAWAL PQ:S #.OOO:b73.18 20.7- 2436,27 ~ POS NELL'S -SPRING ROAD 1706 SPRING ROAD CARLISLE PA ~ 0904 WITHDRAWAL POS #00070419 42.48- 2393.79 'Pa5 N~~.4'S -SPRING RQdp 17(tb SPRANG REAR 'CARLISLE PA' 0904 ~... ~ CHECK 0901{}7 - _ .. ._ ..~ . . . ..::, 1 ~ - ~ ~ 0905 .. . WITH ...~.;....~..:.~.. ,~ .,_ ... ~-~DRAWAL POS #27022588 43.55- . ;2250.24 ~~ ', POS AAFES SUMNER RD BLDG 860 CARLISLE BARR PA 04Ob WITHDRAWAL-POS:#002173'47 266:57- 1983.67 _ -POS BON-Tt3~1 COL03~lI 4bQ0 JDNESTOWN RD HARRTSHLIE~G PA 0906 WITHDRAWAL POS #13133210 36.UO- 1947.67 POS GIANT FUEL #11 255 S SPRING GARDE I CARLISLE PA I 0909 PAYMENT : DIRECT DEROSIT U~ TaEASURY 3'tl!3 1217 . e10 '3~L64 :.~i7 TYPE: SOG SEC ID; 3031636030 ! CO: US TREASURY 303 , 0915 PAYMENT: VIA HOME BANKING TRANSFER FROM SHARE O1 500.00 3654.67 0915 WITHDRAWAL VIA HOME BANKING TRANSFER TO LOAN 09 1848.61- 1816.06 j 0918 WITHDRAWAL AT ATM #00004443/W43007 200.00- 1616.06 _ ATM MEMBERS ' 1:57 FC }.~b6 I~Ar.NUT :80TT0~ ~~ CARLISLE PA ~ 0918 WITHDRAWAL' POS #16395184 _ 30.11-- _ 15A'a . 95 POS GIANT FUEL #11 255 S SPRING GARDE j CARLISLE PA 0921 i%SP1 0016 --- CONTINUED ' i]N FOLLOWING' PAGE =_- _ C153296 2177476 ~.~ • ~ ~ •~ MARTY FRITZ P.O. Box ~7Q13 (717) 234-8484 (Harrisburg] Harrisburg, PA ~ 71 D6-7413 (8(1(3 237-7328 (Nationwide) THE CAPITOL CARD® IS THE PERFECT CHOICE WHEN YOU PAY WITH PLASTIC. ENJOY A LOW 9.9~ ANNUAL PERCENTAGE RATE. BECAUSE YOU DESERVE MORE. JOINT OWNER PAGE 4 _~ <:;: . JMI~IBEA:NUR'., STA~f~i'i'•pp~. r 0193XXXXXX 0~9/30/09~ PiOST EFF ~~ _:. - DESCRIPTION aMOUMT BALANCE ~ - ~iS~'2 ALA., 0929 PAYMENT: DIVIDEND 0.17 1586.12 ANNUAL PERCENTAGE YIELD EARNED O.lOi FROM 09/01/09 THROUGH 09!30/09 BASED ON AVERAGE DAILY BALANCE OF 2,064.95 ~ . 0929 WITHDRAWf~t `TRANSFER TO SHARE O1 1!i86 : 12-- 0 : 0~ TD '04 ~HEC!KING"CLOSED 'ON X9/'29/09 ` ___ ~.. IITUIDENI~ YTD: 1f~.AR` TO ~A TE 2.17 NUMBER AMOUNT NUMBER AMOUNT NUMBER AMOUNT NUMBER AMOUNT 090107 100.00 - ~`~~~_ ~ .~. ~~~ ~ POST Ef F 3W°''fi ~~' ~ 0941 D .06 TRA ;St~AR~ B GIhtNING BALA NGE AMOUNT ,BALANCE 0922 . : -: PA 55903. 1S 16.08 55919.23 ANNUAL PERCENTAGE YIELD EARNED 0.50 FROM 09/01/09 THROGIGH 09/30/09 BASED ON AVERAGE DAILY BALANCE OF 39,132.21 ~ 042Z WITHDRAWAL. ; TRA~SF~R TRAMSF~R Td ANOTHER I'NST~TUTI'DN 27959: fit-27959.62 TO 'FRTT2, MARTY XXXXXXXXXX SHARE Obi' 0922 ' WITH~DhAWAL .:~`RAMSFER TRAI~S~ER t0 ANOTHER IMSTITU~`IUM .. ~ ... 27959.62-~ 0.00 ~ TO FRITZ, MARTY XXXXXXXXXX SHARE 06 ,, j ID 06 IRA SHARES CLOSED ON 09/22/09 NONTAXABLE DIVIDENDS YEAR TO DATE 236.14 ~- ~~~ ~~ ~~ ~ - POST EFF , ~.. .31~R~T~~1 - _ ~~ ~_ `- 0 90 1 , >.<_ . ID 50 0 6 . MaN~H ,If~A ,.G RTIFICAT~ .a~GIMNING BALANCE M©LiNT $ALANCE 0:125 73 0922 PA . ANNUAL PERCENTAGE YIELD EARNED 4.50% FROM 09/01/09 203.30 80329.03 THROUGH 09/21/09 ~ 0922 ~ WITHDRAWAL TRANSFER TRANSFER TO ANOTHER INSTITUTION 40164.51-40164.52 --- CONTI~tUED ON FELL LOWIAIG ;PAGE --='- 0303 000 065 7 51 053296 2177477 :.~ ®. MARTY f=RITZ P.Q, Box b7013 (i'17) 234-8484 (Harrisburg) Harrisburg, PA 11106-7013 (800) 237-132$ (Nationwide) websit~e - http://www.psecu.tom THE CAPITOL CARD® IS THE PERFECT CHOICE WHEN YOU PAY WITH PLASTIC. ENJOY A LOW 9.9f ANNUAL PERCENTAGE RATE. BECAUSE YOU DESERVE MORE. JOINT OWNER PAGE 5 MlvMBEP Nt1M~ER ~: S7Al'EMENT DAB, -- -- ~ 0193XXXXXX 09/30/09 POST EFF DESCRIPTION! AMdUNT BALANCE ~ TQ FR7TZ, f TARTY XXXX?~XXXXX SHARE 50 , 0922 WITHDRAWAL TRANSFER TRANSFER TO ANOTHER INSTITUTION ~~0164.52- 0.00 TO FRITZ,MARTY XXXXXXXXXX SHARE 50 ID 50 60 MONTH IRA CERTIFICATE CLOSED ON 09!22/09 NONTAXABLE DIVIDENDS YEAR TO DATE 25'17:37 ~~~ AMNiIAL PERCENTAGE RATE 12.9OOi ~~~ ..._,_~,__.._____ PERIODIC RATE DAILY) ,~._r..__r..,~_ .033421 POST EFF DESCRIPTION PRINCIPAL ~f=IN CHG~ BALANCE 0901 ID O1 SUSPENDED PSL CO.PEN ENDS &E~INNING BALANCE 0..:.0.0 i ID Q1 S;USPENDED f'SL CLOSED 0'N 0921/09 YTD FINANCE CHAf~GE :, ...YEAR TO__DAT'E 0.00 TOTAL CURRENT YEAR IRA CONTRIBUTIONS --- - -0 00 --------- TOTAL DIVIDEND YTD: YEAR TO DATE 6.52 TOTAL NEIMTAXaBLE- DIVIDENDS 1fEAR TO. ',BATE' 2753. 51'- 053296 2177478