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HomeMy WebLinkAbout03-30-111505610143 REV-1500 Ex (°'_,°' OFFICIAL USE ONLY PA Department of Revenue pennsylvania County Code Year - File Number Bureau of Individual Taxes DEPARTMENT OF REVENUE PO 80X.280601 INHERITANCE TAX RETURN 21 10 01119 Harrisburg, PA 17128-0601 RESIDENT DECEDENT _ ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 202 20 7258 10 12 2010 03 O1 1927 Decedent's Last Name Suffix Decedent's First Name MI TAGGART ~Ry I, (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 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS ~_X~ 1. Original Return ^ 2. Supplemental Return 4. Limited Estate ^ 4a. Future Interest Compromise (date of death after 12-12-82) ~~ 6 Decedent Died Testate (Attach Copy of Will) ^ ~ Decedent Maintained a Living Trust (Attach Copy of Trust) ~ --~ 9. Litigation Proceeds Received ^ 10. Spousal Povert Credit (date of death between 12-31 ~J1 and 1-1-95) ~~ 3, Remainder Return (date of death prior to 12-13-82) C ~ 5. Federal Estate Tax Return Required ~ __ 8. Total Number of Safe Deposit Boxes J 11. Election to tax under :iec. 9113(A) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number EDMUND G MYERS (717) 7 61 ~4 5 4 0 First line of address 301 MARKET STREET Second line of address PO BOX 109 City or Post Office State ZIP Code LEMOYNE pp~ REGISTER OF Wll_LS USE O~JLY ('-~ ..~ s ~ __._ J ="_~ ,l~a~ .. ~:~ _;. r-, :~ c:. ~. -~ .t.~ DATE-~Fi~~D " . , -~-- _T_.~ ~ = ---~ t .., ,_ ,: ~~ ..~. ;~ Correspondent's a-mail address: egm Q~J~dSW.COm Under 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 o er than the personal representative is based on all information of which preparer has +any knowledge. SIGNA R OF PERS RESPO SIBLME~FOR FILING RET DAl"E ~ /-' l ,/,~ Stanley L Murphy ADDRESS J( // // - 599 Ma aro Road Enola PA 117025(/ _ SIGNA E OF PREPARER OTHER THAN REPRESENTATIVE DATE EDMUND G. MYERS ADDRESS 301 MARKET STREET, Lemoyne, PA Side 1 1505610143 1505610143 J ~-~ J 1505610243 REV-1500 EX Decedent's Social ~Sec;urity Number Decedents -vame: TAGGART, Mary L 2 0 2 2 0 7 2.5 8 RECAPITULATION 1. Real Estate (Schedule A) ....................................................................................... 1. 2. Stocks and Bonds (Schedule B) ............................................................................. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3. 4. Mortgages & Notes Receivable (Schedule D) ........................................................ 4. 5~ Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............... 5. 10 ~3 , 191.2 9 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers 8~ Miscellaneous -Probate Property (Schedule G) ~ Separate Billing Requested............ 7, 8. Total Gross Assets (total Lines 1-7) ..................................................................... 8. 10 ~'~ , 191.2 9 9. Funeral Expenses & Administrative Costs (Schedule H) ....................................... 9. 9 , 62 5 . 8 6 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............................. 10. ~i , 9 9 9 . 9 0 11. Total Deductions (total Lines 9 & 10) ................................................................... 11. .L ~i , 625.7 6 12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. 8 l~ , 5 65.53 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ............................................... 13. 8 l~ , 5 65.5 3 14. Net Value Subject to Tax (Line 12 minus Line 13) ............................................... 14. ~ , 0 ~ TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 15 0 00 (a)(1.2) X .00 . . 16. Amount of Line 14 taxable Q 0 0 16 0 0 0 , at lineal rate X .045 . . 17. Amount of Line 14 taxable at sibling rate X .12 17. 0 . 0 0 18. Amount of Line 14 taxable at collateral rate X .15 18. 0 . 0 0 19. Tax Due ................................................................................................................. 19. 0 . 0 0 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ^ Side 2 1505610243 1505610243 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-10-01119 DECEDENT'S NAME TAGGART, Mary L STREET ADDRESS 10 House Avenue CITY Camp Hill STATE PA ZIF' 17011 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 0.00 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (1) Total Credits (A + B) (2) (3) (4) (5) 0.00 0.00 0.~~ 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 :............................................................................... L] ^x b. retain the right to designate who shall use the property transferred or its income :.................................. ~_] Ox c. retain a reversionary interest; or ............................................................................................................... ~_] 0 d. receive the promise for life of either payments, benefits or care? ............................................................ ~_] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without _ receiving adequate consideration? .................................................................................................................... ~_~ 0 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?....... ~_] 0 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 January 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 requirement:; 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)]. . The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except ass 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. §9116 (a) (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. Rev-1508 EX+ (6-98) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER TAGGART, Mary L 21-10-01119 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Members First Certificate of Deposit Account No. 354160-40 9,894.80 2 Members First Checking Account No. 354160-00 15.00 3 Sovereign Bank Free Checking Account No. 1051068541 10,520.86 4 Sovereign Bank Interest Savings Account No. 1054017460 79.24 5 US Treasury -Social Security Payment 821.00 6 Wachovia Bank Checking Account No. 1010208655589 54.48 7 Wachovia Bank IRA Account No. 257410060347828 -Beneficiary: Estate of Mary L. Taggart 5,948.61 8 Wachovia Time Deposit Certificate of Deposit Account No. 247402042971205 15,851.32 9 American Water -Refund on Account 25.95 10 Verizon Telephone Refund 4.71 11 Members First Traditional IRA Account No. 354160-15 -Beneficiary: Estate of Mary L. 59,619.42 Taggart 12 Wachovia Bank IRA Account No. 257410060347828 -Distribution 355.90 TOTAL (Also enter on Line 5, Recapitulation) I 103,191.29 __ - (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) REV-1151 EX+ (10-06) COMMNHE~,ITANCE~ ~ RET~RN ANIA RE~aIDENT DE EDEN SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER TAGGART, Mary L 21-10-01119 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER _ A, FUNERAL EXPENSES: See continuation schedule(s) attached B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Stanley L Murphy Street Address 599 Magaro Road City Enola State PA Zir, 17025 Year(sl Commission Daid 2. Attorney's Fees JOHNSON DUFFIE 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zio Relationship of Claimant to Decedent 1,155.72 4,000.00 3,500.00 4. Probate Fees 265.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 400.00 7. Other Administrative Costs 304.64 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 9,625.86 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 :ichedule H (Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER TAGGART, Mary L 21-10-01119 ITEM NUMBER DESCRIPTION AMOUNT Funeral Ex ems 1 Gingrich Memorials ~ Engrave Headstone 140.00 2 Musselmans Funeral Home -Remaining Balance on Prepay Account 1,015.72 H-A 1,155.72 Other Administrative Costs 3 Cumberland County Register of Wills Office -Filing Fee for Inheritance Tax Return and 30.00 Inventory 4 Sovereign Bank Estate Checking Account ~ Classic Checking Account No. 1271148366 - 23.75 Fees for Estate Checks 5 The Cumberland Law Journal -Notice of Estate Administration 75.00 6 The Patriot News Company -Notice of Estate Administration 175.89 H-B7 304.64 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1512 EX+ (12-08) SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER TAGGART, Mary L 21-10-01119 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. (If more space is needed, additional pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08) REV-1513 EX+ (11-08) COMMONWRE~ALTCH OFq ~PENN YLVANIA IN RESIDEN7EDECEDEN~RN SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER TAGGART, Ma L ~ 21-10-01 11 ~ NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMC)UNT OF ESTATE NUMBER PERSON(S) RECEIVING PROPERTY DECEDENT (Words) ($$$) Do No t ust I TAXABLE DISTRIBUTIONS [include outright spousal _ • distributions, and transfers under Sec. 9116 a 1.2 Tota I Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 150 0 cover sheet, as a r o riate. NON-TAXABLE DISTRIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1 Grace United Methodist Church s7,565.53 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 87,565.53 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08) ESTATE OF MAR Y L. TA GGAR T ATTACHMENT #1 ATTACHMENT #2 ATTACHMENT #3 ATTACHMENT #4 SCHEDULE OF A TTA CHMENTS Last Will and Testament for Mary L. Taggart signed and dated September 7, 2010. Date of Death Value Correspondence from Member°s First Federal Credit Union. Final Sovereign Bank Statement. No date of death letter requested due to Sovereign 's Fee Date of Death Value Correspondence from Wachovicz Bank 436216 Last Will and Testament OF MARY L. TAGGART I, MANY L. TAGGART, of Camp Hill, Curr~berland County, Penr~syl~r~;:~ia, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any and all Wills or Codicils at any time heretofore made by me. ARTICLE I DEBTS I direct the payment of all my legal debts, and the expenses of my last illness and funeral from my Estate as soon after my death as conveniently may be done. ARTICLE II REST, RESIDUE AND REMAINDER I give, devise and bequeath all the rest, residue and remainder of my F?st:ate, of whatever nature and wherever situate unto GRACE UNITED METHODIST CHURCH, 309 Herman Avenue, Lemoyne, Pennsylvania. ARTICLE III PERSONAL REPRESENTATIVE I name, constitute and appoint STANLEY L. MURPHY, Enola, Pennsylvania, Executor of this, my Last Will and Testament. If STANLEY L. MURPHY fails to~ qualify or ceases to so act, I name, constitute and appoint MANUFACTURERS AND TRADERS TRUST COMPANY, Harrisburg, Pennsylvania, Alternate Executor to corripl.ete the administration of my Estate. I direct that no fiduciary appointed herein shall be required to post bond for the faithful administration of the duties required in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this 7~ day of , 2010. ti' ~ -~, ~ _(SEAL) RY L. T ~ ART Signed, sealed, published and declared by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses. ~z"~r~ - _ 2 AFFIDAVIT AND ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF CUMBERLAND ~~ C We, MARY L. TAGGART, ~~~~~-~-~---~~~~'~- %l ~ ~ and . ~ ,the Testatrix and the ~ itnesses, respectively, whose names are signed to the ached or foregoing instrument, being first duly .sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she had signed willingly and that she executed iit as her free and voluntary act for the purposes therein expressed, and that each of the witne-sses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of his/her knowledge the Testatrix was at that time eighteen years of age or older, o:f sound mind and under no constraint or undue influence. r ~ `~.~ AR~L. TAGG Witness Witness Subscribed, sworn to and a knowledged before me by MARY L. TA(s(iART, n Testatrix, and ` ~ ~~-- nz.c ~-Y .,~--- ~ ~~~- ,~ and '~~~ ~ "' A. ~c ~~ ~ ~ witncsscs this da of - - ~ _~_ y C ~.v~v , 2010. ~ Notary Public ' v u :366978v4 ~ MMUNWEALTH OF PENNSYLVAI~IIA NOTARIAL SEAL Margaret E. Ruff, Notary Public Lemoyne Boro, Cumberland County 3 My cpmtnission expires May 30, 2011 St MEMBERS 1St FEDERAL CREDIT UATION REGULAR SAVINGS ACCOUNT: Account Number/Suffix 354160-00 Date Account Established 04/13/2009 Principal Balance at Date of Death $15.00 Accrued Interest to Date of Death $.00 Total Principal and Accrued Interest $15.00 Name of Joint Owner None IRA CERTIFICATE OF DEPOSIT: Account Number/Suffix 354160-15 Date Account Established 07/09/2009 Principal Balance at Date of Death $59,587.50 Accrued Interest to Date of Death $31.92 Total Principal and Accrued Interest $59,619.42 Name of Beneficiary Estate of Mary L. Taggart CERTIFICATES OF DEPOSIT: Account Number/Suffix 354160-40 Date Certificate Established 04/13/2009 Principal Balance at Date of Death $9,886.70 Accrued Interest to Date of Death $8.10 Total Principal and Accrued Interest $9,894.80 Name of Joint Owner None BERS 1ST FEDERAL CREDIT UNION Danielle A. Kline Lending Insurance Support Specialist: December 1, 2010 Estate of: MARY L. TAGGART ~ ~ ~~~~/~ Date of Death: 10/12/2010 Social Security Number: 202-20-7258 SEC 0 3 2010 JOKNSON p~1fF1E 5000 Louise Drive P.O. Box 40 Mechanicsburg, Pennsylvania 17055 (800) 283-2328 ww~;vrnembers 1 st.org ~~ r - s -~* °°~^-a ~R =nom -,vim -~ ~~• ~ ~ - -r~ ~. - ~.~._ . S~~ere~g~- ac~~. MARY L TAGGART STANLEY L MURPHY ATTY IFF Deposit Accounts Account Number Average Daily Balance Current Balance __ SOVEREIGN FREE CHECKING 1051068541 $11,154.91 _ $10,520.86 TRIPLE YOUR INTEREST SAVINGS 1054017460 $82.73 _ $79.24 Total Deposit $1o,soo.lo MARY L TAGGART STANLEY LMURPHY ATTY /FF Account ~# 1051068541 Balances Beginning 8atance $12,554.87 Current Balance ~ $10,520.86 Deposits/Credits + $821.00 Average Daily Balance _ $11,154.91 Withdrawals/Debits - $2,855.01 - Interest __ _ _ __ Paid this Period * - $ 0.00 Annual Percentage Yield Earned 0.00% Earned this Period $ 0.00 Paid Last Year $0.32 Paid Year-To-Date $ 0.00 ; 'The interest earned and the interest paid may differ depending on when interest is credited to your account. Checks Posted Check # Date Paid Amount Reference 3658 09/16 $27.68 995910735 3660'' 09/15 $92.38 981520750 3661 09/23 $1,004.74 616122010 , 3662 09/24 $100.00 977461475 8 Check(s) Posted = $2,855.01 An asterisk (") indicates a skip in sequential check numbers. Account Activity Date Description Check # Date Paid Amount: Reference 3663 09/27 $475.00 997647315 _' E3664 10/01 $33.87 VERIZON AR 3665 09/30 $991.34 612491210 ,_ 3666 10/01 $130.00 990711535 An (E) indicates check was converted to an electronic item. Additions Subtractions Balance 09-15 09-15 Beginning Balance CHECK : 3660 $12,554.87 __ $92.38 ~ $12,4Ei2.49 09-16 CHECK 3658 $27.Ei8~ $12,434.81 09-23 CHECK. 3661 $1,004.74 t/ $11,430.07 09-24 CHECK 3662 $100.00 ~~-~ $11,330.07 09-27: CHECK 3663 $475.00 Cam- $10,855.07 09-30 CHECK 3665 $991.;f4 ~~ $9,863.73 10-01: US TREASURY 303 SOC SEC 1.00110 A SSA $821.00 $10,684.73 10-01 CHECK 3666 $130.00 $10,554.73 10-01 VERIZON ARC CHECK. PYMT 100930 3664: $33.Ei7L'/- $.10,520.86 1 10-14 Ending Balance _ $10,520.86 " ~fS~O. ~jFO ~~~a`~ page 2 of 4 1051068541 vereigri MARY L TAGGART Account #k 1054017460 STANLEY LMURPHY ATTY /FF Balances Beginning Balance - - $82.73 Current Balance _ $79.24 Deposits/Credits + $0.01 Average Daily Balance _ $82.73 ,Withdrawals/Debits - $3.50 * This balance was calculated for the period beginning on 09/01/10 and ending on 09/30/10 Interest Paid Phis Period * ~ $ 0.01 Annual Percentage-Yield Earned _ 0.08% Earned this Period $ 0.01 Paid Last Year _ $3.85 Paid`Year-To-Date $ 2.97 "The interest earned and the interest paid may differ depending on when interest is credited to your account. Service Fees -Itemized Date # Transactions Fee Total MONTHLY MAINTENANCE FEE 09/30/10 1 3.50- _ $3.50 Total $3.50 Account Activity Date Description Additions Subtractions Balance 09-15 Beginning Balance $82,73 09-30 TOTAL SERVICE FEES $3.5i~ $79.23 09-30 INTEREST CREDIT $0.01 $79,24 Ending Balance IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR ELECTRONIC TRANSFEF;S CALL YOUR CUSTOMER SERVICE CENTER AT THE NUMBER SHOWN ON THE TOP OF YOUR STATEMENT OR WF~ITE TO THE BANK FOR DEBIT CARD ISSUES: Sovereign Bank Attn: Debit Card Services MA1 MB 301-06 P.O. BOX 841003 Boston, MA 02284-1003 FOR ALL OTHER ISSUES: Sovereign Bank Attn: Client Relations 10-421-CR 1 P.O. BOX 12646 READING, PA, 19612-2646 Please contact us if you think your statement or receipt is wrong or if you need additional information about a transfer on the statement or' receipt. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error appeared. • Tell us your name and account number. • Describe the error or the transfer that you are unsure about and explain as clearly as you can why • Tell us the dollar amount of the suspected error. you believe there is an error or why you need further information. If you tell us orally, we may require you to send your complaint or question in writing within 10 business days. We will promptly investigate the matter and call or write to you with an answer within 10 business days (10 calendar dayys in Massachusetts). If we need more time, we may take up to 45 days to investigate your complaint or question. If we do, we will credit dour account within this 10-day period far the amount you think is in error, so you will have the use of the money during the time ~t takes us to complete our investigation. If we ask you to put your complaint or question m writing and we do not receive it within 10 business days, we may choose not to credit your account. For errors involvingg new accounts, point of sale purchases or foreign transactions, we may take up to 90 days to investigate your complaint or question. For new accounts, we may take up to 20 business days to credit your account for the amount you think is in error. We will tell you the results of our investigation within 3 business days after completing our investigation. [f we decide there was no en-or, we will send you a written explanation. You may ask for copies of the documents we used in our invest~gat~on. Important information about your Sovereign Debit Card The networks through which some of your Sovereign Debit Card purchases are processed have begun allowing merchants to process yyour purchases without either a signature or a PIN. If you are not required to enter your PIN when you make a purchase, your purchase may be processed ether through the Visa network or through the STAR or NYCE networks. If your purchase is processed through STAR or NYCE, different terms apply and you will not be eligible for the rights and protections available through Visa. Please see your Personal Deposit Account Agreement for more information. •'r.~~~'~''f, .~~i- page 3 of 4 1051068541 Statement Period 09/15/10 TO 10!14/10 MARY L TAGGART ~*~n"' 3 6 5 6 212 HERMAN AVE. tE6tOm61t LEMOYNE, PA 17Dg7 d>< ~.LL-10 y ~J~)~~~7.7c}'~~~~/ AP+t qt'A AAA~1 ~1AA 1AAt 1AGAt'1 VJiViV VV4Vi ir4GV L.TVVf-VJV AJ ~~3overeign Banl~ 4 23137 269 i4 10510685411x3 58 ~'00~0002768~' 1051068541 # 3658 09/16/10 $27.68 i MARY L TAGGART w-rxyan I12 HERMAH AYE +m,alesn 36 61 LEMOYNE PA 1111!7 axrto get[J~SF.L- L ~/I ~_.~ $/O~~ f~l { !~~~_'j.. rl~~~% ~~ln--`~- ~jf~i-. OlLAR6 a ~_~ Sovereign Banl~ ~~` ~ a 4213726911: L0 5 1068 54 1~r36bi ,x00 0100474.x' 1051068541 # 3661 (19/23/1 ~ ~1 Md 7d MARY L TAGGART eo-nwau 3 6 6 3 212 MERMAN AVE t0Et0E1f11 LEMOYNE PA 170.3 Dare w s ~.~1 t ICI NY~. S6c VE:ll/~-J--.~IV.~- '^=~OOLLARS W ~ ti.• Sovereign Banl~ ~ ~(/ 7: 2313'72691:: 105L0685411x36 3 1051068541 # 3663 09/27/10 $475.00 MARY L TAGGART ED~REVE17 3 6 6 6 212 MERMAN AVE fOStalE%. LEMOYNE, PA 170q are_9_- 3G~ rAlr to rta o„oeAOr Sl~~~J1'r2~r.1- 11C\T1.A~ ~ ~~~ ~ LLARt ~~Sovereign Banl~ rnn. ,~~~a~' r 1: 23137269 L1: 10 5 1068 54 11x3 6~ 1051 Ubti 541 # 3666 10/01 /10 $130.00 page 4 of'4 MARY (. TAGGART ~o-ra~zm 36 6 0 212 HERW W AYE tmtp®y,t LElEO'n+E, PA 17017 ~.lE ~ /3~'0 ' N,N~f`Y-tu.b a -.- ~~ OLLARS 8 _. Sovereign Ban1Y 2:2313726gi~: 10510685411x3 60 ~0001]OCI9238~' )51068541 # 3660 09/15/10 $92.38 MARY L TAGGART 212 HERMAN AVE at~x 3 6 6 2 tmMMSH IEMOVNE, PA 170{3 rxrmlRE`~~, r,r~L(/rv ~U!'r oRnR a /V af ~.~ UU~~ JGI~'lC~ I $ ~ a?~ ONI ~ • t ~/~1~~~ L V,~ OLLAR/, a ~ - (, ~ ~~Sovereign Banlt ~- ~^ /(rw~ ~n/A ~I ~ ~:2313?26911: 10510685411x36 2 1051068541 # 3662 09/24/10 $100.0() MARY L TAGGART { ~~ ~! D<~`to-7~aa~v+>I --~ zlz HERLIAN nvE ms106ESS1 36 6 5 •'.'r= .; :-1 LEMOYNE PA 170/7 ~ ~/J~ 1 ^. ~.l oAIE ~~[.t~l~ ORDER OF~C•W_L> I~~`U-IE'L.~LI -, ~~ ~ ,`"~ - t -7-1~11N'.~ I-LGiN Y~~~J~~li~~~ - - - ~ pOLLARS 8 ..._... .::.. ,7-~1- ~Sovereign Banl~ V !/ ~,p_ sa_a1_s-- ~~~ ~~~~--~-~ -~~ 42313726911: i05106854U~'3B'65 .''00000'99134.x' 1051068541 # 3665 09/30/10 $991.34 1051068541 _~" ~"~~,> .. .; -Lam....,.... ~ `:c, -. .+ _..:..: '~-n'R.r,'?'.~-F*^s_:'~'g~ s.,r,~,:-'w^~nic:+`w&`,'..~..'tce~!"'?!i{!°t?^c.~r`?'4~.i~~T-i'¢S'~n!'-T~rF+aF~r,*a-..-~,. .__ ... @!"~'~-.p..cc~~~~"i"G"`~ snes.exa n~r..- _ ,.. a> --_. .. _ res-ncsilsmrfx.'L-4 12/13/2010 3:36:19 PM PAGE 1/002 Fax 7erver ~r~~ Reference ID: 3230681 Wachovia Bank Balance Confirmation Services P O Box 40028 Roanoke, VA 24022 December 13, 2010 JOHNSON DUFFIE LAW OFFICES SUBJECT: Verification / Confirmatian of Account and Balance Information provided for: Customer; MARY L TAGGART (SSN# X~~-XX-7258) Date of Death: October 12, 2010 Deposit Account Information Account Account Date of Death Average Balance Date Maturity Interest Accrued YTD Date Type Number Balance Opened Date Rate Inrterest l:rrterest Paid Closed CERTIFICATE OF 1205 $15,838.74 4/30/2007 12/30/2010 $12.58 $262.93 DEPOSIT LEGAL TTIZ.E : MARY L TAGGART POA STANLEY L MURPHY CHECKIlVG S 89 $54.48 11/20/200 8 $0.00 $0.00 LEGAL TTTI E: MARY L TAGGART ~A 828 $5,941.83 4/10/2000 $6.78 $14(1.51 LEGAL TITLE: MARY L TAGGART For Benefic7ary Glaim Form information, please call 1(866)786890. Page 1 of 2 res-ncsilsmrfx~_-4 No Safe Deposit Box found for customer. * Date of death ba]ance does not include accrued interest Reference ID: 3230681 * ff date of death occiurs on a weekend or a holiday, date of death balance does not include any transactions that were made during that time period. # s~~ Jennifer Straub Servicenter Associate Phone: (540)563-7323 Js~.ls By accepting this information, the recipient thereof represents and warrants to Wells Fargo Bank, N.A ("Wells Fargo"), that the recipient is authorized by the custnrner to reoei~~e lawflly this infi~rmation. The recipient agrees that it will not disclose this information to any third party, unless compelled m do so by legal process, and that it will lawfully use this information. The recipient acknowled8es that Wells Farms does not represent and warrant that the information is complete and accurate. The recipient further acknowledges that the information may not disclose the entire relationship between customer and Welk Fargo. The information is subject to change without notice to the recipient The recipient agrees m indemnify, defend, and hold Wells Fargo harmless from and apain:x arty claim resulting from the disclosure and use of the information by the recipient or from the breach by the recipient of any agreement, representation, or warranty contained herein. Wachovia Bank and Wachovia Bank of Delaware are divisions of Welk Fargo Bank, N.A 12/13/2010 3:36:19 PM PAGE 2/002 Fax ~E.rver Page 2 of 2 ~' ~ j ` E ~} 1 ~ F~,~ ~- ~: `` ~i ~-a ,~ ti7~ ,, x ~~ ~ ~ ~~ f~ ; t~~ i. ~i a y y Q J V f- ti ,~~: ~~~ ~ ~~~ 1. rJ ~, ~1 '!' F"~'" O H 0 ~U ~ ~ O ~ ~ ('~ D ~ ~ ~ ~ U ~ r: ,~ ~ .~ Q o ~ ~ o_. ~ ~ o ay Ns~Uin ~ ~ c ~ ~ U O U