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HomeMy WebLinkAbout05-05-11 (3)1505610148 REV-1500 EX t°'-'°' PA Department of Revenue OFFlCIAL USE ONLY County Code Year File Number Bureau or Individual taxes INHERITANCE TAX RETURN PO BOX 280601 21 10 0994 Harrisburg, PA 17126-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDVYW 171-16-1806 09062010 09151916 Decedent's Last Name Suffix Decedent's First Name M I YARNALL MARGARET R (If Applicable) Enter Surviving Spouae'a Information Below Spouse's Last Name Suffix Spouse's Flrst Name M I Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE - - REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW ® 1. Original Return ^ 4. Limited Estate ® 6. Decedent Died Testate (Attach Copy of Will) ^ 8. Litigation Proceeds Received ^ 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) ^ 3. Remainder Return (date of death prior to 12-13-82) ^ 5. Federal Estate Tax Return Required 1_ 8. Total Number of Safe Deposit Boxes ^ 11. Election to tax under Sec. 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 VICKY ANN TRIMMER, ESQ• 717-620-2440 First line of address 1700 BENT CREEK BLVD• Second line of address PO BOX 659 City or Post Office MECHANICSBURG State ZIP Code PA 170550659 RE618TERWILLS USE o ~~ rn ~ -~ ~- n c7 s. ~ I ' ? "' ~ x trt ;.. .. -- ~ ~ +~ '' `7 O ~ r7 E ~ r~ '~ ILED ' C.J ~ -G correapondent'se-malladdreas: VATRIMMERaPER$UNHEIM•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 other thane personal reproaentative is based on all InMnnation of whkh proparer has any knowledge. LLOYD R • PERSUN, EXECUTOR A/~ .,S- ~-/ ADDRESS PO BOX 250 GRANTHAM, PA 17027 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE PERSUN 8 HEIM, P . C • (~~~~ o r~y~il PO BOX 659 MECHANICSBURG, PA 17055-0659 E U E RI INAL FORM ONLY 1505610148 Side 1 aM4847 4.000 1505610148 J J 1505610248 REV-1500 EX Decedent's Social Security Number 171-16-1806 DecedenfaName: YARNALL _ _ MARGARET R RECAPITULATION 1. Real Estate (Schedule A) ........................ • .. 1. 2 5 0 , D D D • 0 0 2. Stocks and Bonds (Schedule B) . 2. 7 61 , 10 6.16 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) , 3. D . D D 4. Mortgages and Notes Receivable (Schedule D) q, D , D D 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) 5. 4 7 7 , 8 8 0.6 2 6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested g, D • D D 7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property (sor,edule G) ^ Separate Billing Requested . . .. 7. 14 6 , 5 8 6.15 8. Total Gross Assets (total Lines 1 through 7) ... .. .... .. ... g, 1, 635, 572.93 9. Funeral Expenses and Administrative Costs (Schedule H), , g. 4 7 ,108.18 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) 10, 6 , 717 • 5 5 11. Total Deductions (total Lines 9 and 10) , 11. 5 3 , 8 2 5.7 3 12. Net Valus of Estate (Line 8 minus Line 11) 12. 1, 581, 7 4 7.2 0 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) , , 13. D • D D 14. Net Value Subject to Tax (Line 12 minus Line 13) . 14. 1, 5 81, 7 4 7.2 0 TAX COMPUTATION -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 .o _ 0.0 0 15. 0.0 0 16. Amount of Line 14 t xable at linealratex.o4~ 1,581,747.20 16. 71,178.62 17. Amount of line 14 taxable at sibling rate X .12 D• D D 17. D• D D 18. Amount of line 14 taxable at collateral rate X .15 D• D D 18. D• 0 0 19. TAX DUE 19. 71,178.62 ^ 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505610248 1505610248 J 9M4848 4.000 REV•1500 EX Page 3 Decedent's Complete Address: Flle Number 21 1^ ^994 DECEDENTS NAME M STREET ADDRESS CITY AMP H STATE PA ZIP 7 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments 6 4, 0 0 0. 0 0 B. Discount 3, 3 6 8. 4 2 3. Interest (1) 71,178.62 Total Credits (A + B) (2) 4. If Line 2 is greater then Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in hox on Paga 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. (3) 67,368.4 (4) 0.0~ (5> 3,81.20 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, beneffta or care?. . 2. If death occurred after Dec. 12, 1962, did decedent transfer property within one year of death without receiving adequate consideration? .. .. 3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? 4. Dld 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. §8116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfere 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 far 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 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. §9116(a)(1.3)]. Asibling is defined, under Section 9102, es an individual who has at least one parent in common with the decedent, whether by blood or adoption. 9M4071 2.000 REV•1502 EX+(01-10) Pennsylvania DEPPATbENTOF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: SCHEDULE A REAL ESTATE FILE NUMBER: Margaret R. Yarnell 21 10 0994 All roal properly owned wlety or as a bnant In common must be roported at fair market value. Fair market value is defined ea 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 knawbdge of the relevant facts. Rsal properly that Is )ointlyownad with right of wrvivorohip must M disclowd on Schedule F. Attach a copy or the settbmsnt sheet if the property has Crean sold. ITEM Include a copy of the deed showing decedents interest 8owned as tenant in wmman. NUMBER DESCRIPTION 1. Real estate situate in Hampden Township, Cumberland County, Pennsylvania, numbered as 30 meat Lauer Lane, Camp Hill; further identified as Tax Parcel Number 10-19-1600-113 Sales price; gee attached copy of settlement sheet VALUE AT DATE OF DEATH 250,000.00 TOTAL (Also enter on Line 1, Recapitulation.) I S 250, 000 00 awaeas z.ooo If more space is needed, use additional sheets of paper of the same size. REV-1 Spa EX 1(8.98) SCHEDULE 6 COMMONWEALTH OF PENNSYLVANIA STOCKS 8 BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT FILE Margaret R. Yarnell 21 10 0994 All property Jointly-owned with right of survNorahip must ba dbclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH t. 1,300 Shares Altria Group, Inc. common stock CUSIP: 022095103 29,870.75 Held in Morgan Stanley Smith Barney Account #724-00912-30 2 400 Shares Amerco Ser A 8 1/2$ preferred stock CUSIP: 023586209 Held in Morgan Stanley Smith Barney Account #724-00912-10 3 1600 Par n Telephone and Telegraph Company Debenture cate #8230-7552, 30 year, 8 3/4~, due 5/15/00 030177BH1 4 1,325 Shares ATiT Inc. common stock CUSIP: 002068102 Held in Morgan Stanley Smith Barney Account #724-00912-10 5 600 Shares Bank of America Corp. common stock CUSIP: 060505104 Held in Morgan Stanley Smith Barney Account #724-00912-10 Dividend accrued on 9/6/2010 6 300 Shares Comcast Corp CL A- SPL common stock CUSIP: 200300200 Held in Morgan Stanley Smith Barney Account #724-00912-10 7 500 Shares Conagra Foods, Inc. common stock CUSIP: 205887102 Held in Morgan Stanley Smith Barney Account #724-00912-10 Total from continuation schedules . 10,244.00 600.00 36,152.63 8,046.00 6.00 5,088.75 10,968.75 660,129.28 TOTAL (Also enter on line 2, Recapitulation) I $ 761.106.16 3W 4898 1,000 (If morespace is needed, insert additional sheets of the same size) Estate of: Margaret R. Yarnall 21 10 0994 Schedule B (Page 2) Item Value at Date No. Description of Death 8 400 Shares DTE Energy Compsny common stock CUSIP: 233331107 18,929.00 Held in Morgan Stanley Smith Barney Account #724-00912-10 9 10,000 Par Easton PA Area Jt Sch Auth municipal bonds dated 4/15/1978 10,000.00 Two $5,000 bonds which had matured on 04/15/2007, plus accrued interest Interest accrued to 9/6/2010 6,900.00 10 7,825.788 Shares Eaton Vance Penns Municipal Income Fund Cl A mutual fund CUSIP: 27826L280 72,232.02 Held in Morgan Stanley Smith Barney Account #724-00912-10 11. 200 Shares Exxon Mobil Corp. common stock CUSIP: 302316102 12,193.50 Held in Morgan Stanley Smith Barney Account #724-00912-10 Dividend accrued on 9/6/2010 88.00 12 192 Shares Frontier Communications Corp. common stock CUSIP: 35906A108 1,517.52 Held in Morgan Stanley Smith Barney Account #724-00912-10 13 800 Shares General Electric Co. common stock CUSIP: 369604103 12,294.00 Held in Morgan Stanley Smith Barney Account #724-00912-10 14 3,703.923 Shares Legg Mason Clearbridga Small Cap Growth Fund C1 A mutual fund CUSIP: 795479708 52,817.94 Held in Morgan Stanley Smith Barney Account #724-00912-10 Total (Carry for9rard to main schedule) 186,971.98 Estate of: Margaret R. Yarnell 21 10 0994 Schedule B (Page 3) Item Value at Data No. Description of Death 15 27,878.003 Shares Legg Mason Western Asset Pennsylvania Municipals Fund C1 A mutual fund CUSIP: 831805684 369,941.10 Held in Morgan Stanley Smith Barney Account #724-00912-10 16 50 Units Pennsylvania Insured Muni Income Trust UT Ser 6 M CUSIP: 708838602 3,390.00 Held in Van Kampen Investment Account #02626052 17 500 Shares Pfizer, Inc. common stock CUSIP: 717081103 8,203.75 Held in Morgan Stanley Smith Barney Account #724-00912-10 18 1,200 Shares PPL Common Stock 33,216.00 19 210.578 Shares Southern Union Company common stock CIISIP: 844030106 5,053.34 20 800 Shares Verizon Communications common stock CIISIP: 92343V104 24,116.00 Held in Morgan Stanley Smith Barney Account #724-00912-10 21 800 Shares Wells Fargo & Co. common stock CUSIP: 949746101 20,462.00 Held in Morgan Stanley Smith Barney Account #724-00912-10 22 385 Shares RCEL Energy Inc. common stock CUSIP: 983898100 8,775.11 Held in Morgan Stanley Smith Barney Account #724-00912-10 23 2 Shares The Corporate Income Fund, Unit Investment Trust CUSIP: 219897287 0.00 Worthless security Total (Carry forward to main schedule) 473,157.30 REV-1508 EX + (f:8a) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, 8r MISC. INHERRANCE TAX RETURN RESIDENroECEDENr PERSONAL PROPERTY ESTATE OF FILE NUMBER Margaret R. Yarnell 21 10 0994 Include the proceeds of litigation and the dale the pnxeeds vrore received by the estate. _ All properly jolntlyowrnd with the right of wrvivorshlD mwt be diacloeed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 1993 Huick LeSabre - sales price 1,200.00 2 100,000 Par Bank of China - NY Dtd 05/19/10; 00.500; Maty 02/18/2011 CUSIP: 06425PFZ6 99,977.55 Held in Morgan Stanley Smith Barney Account #724-00912-10 Interest accrued to 9/6/2010 148.61 3 Citizens Bank Checking Account #610068-277-3 4,881.95 4 Comcaat - refund of cable services 64.24 5 100,000 Par Compass Bank - AL Dtd 05/21/10; 00.250; Maty 11/22/2010 CUSIP: 20449EY67 99,949.65 Held in Morgan Stanley Smith Barney Account #724-00912-10 Interest accrued to 9/6/2010 72.92 6 Final income distribution from the G. Winfield Yarnell Trust Under Will FBO Margaret Yarnell 2,677.33 7 Ganworth Financial - long term care benefits 130.00 8 Genworth Financial - uncashed annuity payment dated 8/24/10 420.64 9- Hampden Township school real estate taxes - refund, as prorated at settlement 839.71 10 MST Hank #14265575 12,042.48 Interest accrued to 9/6/2010 0.04 11 Morgan Stanley Account #724-00912 Bank Deposit Program 245,383.90 12 PA Department of Revenue - refund, 2009 state personal income tax 416.00 13 Pennsylvania American Water Company - refund, water utilities 22.05 Total from continuation schedules 9,653.55 TOTAL Also enter on line 5 Roca itulatlon $ 477 , 880.62 3w48A~ 1.000 (If more space is needed, inaeR eddRbnal 8he~s of the same size) Estate of: Margaret R. Yarnell 21 10 0994 Schedule E (Page 2) Item Value at Date No. Description of Death 14 Prudential Insurance Co. - refund of unearned premium 124.37 15 Social Security benefits for August 2010 2,497.00 16 U.S. Treasury - refund, 2009 federal personal income tax 4,400.00 17 U.S. Treasury - refund, 2009 federal personal income tax 2,569.00 18 Uncaahed dividend checks 63.18 Total (Carry forvrard to main schedule) 9,653.55 REV-1510 EX + (08-09) Pennsylvania OEPARTMENiOFREVENUE INHERRANCE TAX RETURN RESIDENT ~CEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY Maraaret R. Yarnell 21 10 0994 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 NUMBS DESCRIPTION OF PROPERTY R~LlUE11EW/AEOFTIFiPAN6FEREE,TIEIRREUTION6HPTOOECEDEMAPD neoATEOFiRxs~.AncH.mwoFn~EceEOVORREUESrnre. DATE OF DEATH VALUE OF ASSET %OFDECD'S INTEREST EXCLUSION iFAPPUCAeI.e TAXABLE VALUE ~~ Genworth Financial Annuity Contract #00008750 2,982.90 100.0000 0.00 2,982.90 Beneficiaries are the six grandchildren of the decedent, Margaret R. Persun, Sarah E. Peraun, Michael M. Peraun, Sabrina Zitsch, Laura J. Persun and Christine G. Persun. 2 Morgan Stanley IRA Account #724-60050-16-527 10,841.36 100.0000 0.00 10,841.36 Beneficiaries are the three living children (Thomas P. Yarnell, Elizabeth Y. Jury and Melissa Y. Schrock) and the wife (Dorothy C. Yarnell) of the deceased son of the decedent's predeceased spouse, G. Winfield Yarnell, Jr. 3 Sovereign Bank IRA #2338229749 69,680.56 100.0000 0.00 69,680.56 Beneficiaries are the three living children (Thomas P. Yarnell, Elizabeth Y. Jury and Melissa Y. Schrock) and the wife (Dorothy C. Yarnell) of the deceased son of the decedent's predeceased spouse, G. Winfield Yarnell, Jr. 4 Northwestern Mutual Fixed Annuity Contract #19211387 1,840.77 100.0000 0.00 1,840.77 Beneficiaries are Lloyd R. Persun, John A. Persun, and Andrew M. Persun 5 Northwestern Mutual Fixed Annuity Contract #19203543 620.28 100.0000 0.00 620.28 Beneficiaries are Lloyd R. Persun, John A. Persun, and Andrew M. Persun 6 Northwestern Mutual Fixed Annuity Contract #19203542 620.28 100.0000 0.00 620.28 Total from continuation ached lea 60,000.00 TOTAL (Also enter on line 7, Recapitulation) $ 586.15 If more apace le needed, use additional sheets of paper of the same size. eW4eAF 2.000 Estate of: Margaret R. Yarnell ' Item No. Description Schedule G (Page 2) DOD Value of Asset ~ Interest Exclusion Beneficiaries are Lloyd R. Persun, John A. Persun, and Andrea M. Persun 7 Cash gift to Christine G. Persun made within one year of death 13,000.00 100.0000 8 Cash gift to Laura J. Persun made xi thin one year of death 13,000.00 100.0000 9 Cash gift to Margaret R. Persun made within one year of death 13,000.00 100.0000 10 Cash gift to Michael M. Persun made xithin one year of death 13,000.00 100.0000 11 Caah gift to Sarah E. Persun made xithin one year of death 13,000.00 100.0000 12 Cash gift to Sabrina Zitsch made within one year of death 13,000.00 100.0000 21 10 0994 Taxable Value 3,000.00 10,000.00 3,000.00 10,000.00 3,000.00 10,000.00 3,000.00 10,000.00 3,000.00 10,000.00 3,000.00 10,000.00 Total (Carry fornard to main schedule) 60,000.00 REV-1511 EX* (10-OB) Pennsylvania DEPARTMEN70F REVENUE INHERITANCE TAX RETURN SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER ~laraaret R Yarnell 21 10 0994 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: t. Neill Funeral Home 9,821.68 2 1aPeat Shore Country Club 2,234.55 B. 1 ADMINISTRATIVE COSTS: Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City State ZIP 2. Attorney Fees: 3. Family Exemption: (If decedent's address is not the same as Gaimant's, attach explanation.) Claimant 4. 5. 6. 7. 1 Year(s) Commission Paid: Street Address City State ZIP Relationship of Claimant to Decedent Probate Foes: Accountant Fees: Tax Return Preparer Fees: AT6T Telephone Total from continuation schedules . 10,000.00 1,124.50 60.95 23,866.50 TOTAL (Also enter on Line 9 Recapitulation) ~ $ 47 108 1 swasAC aooo If more space is needed, use addkional sheets of paper of the same size. Estate of: Margaret R. Yarnell 21 10 0994 Schedule H Part 7 (Page 2) 2 Deitzel Brothers Clean gutters and downspouts at residence 210.00 3 Greensward Turf Care Lawn care at residence 81.62 4 Hampden Township Tax Collector 2011 county/township real estate taxes, as prorated at settlement 119.78 5 Hampden Township Sewer/Trash Utilities 260.00 6 HB McClure Heating oil at residence 3,178.26 7 Persun 6 Heim, PC Costa, including postage, photocopies, telephone, and securities valuation charges 100.00 8 Settlement expanses Settlement expenses for sale of residence, including realtor commissions, realty transfer tax and miscellaneous Ease 18,225.00 9 Travelers Insurance Homeowners insurance 284.99 10 PPL Electric Electric utilities at residence 432.24 11 Trively Landscaping Lawn care and property maintenance at residence 811.00 12 Verizon Telephone 163.61 Total (Carry forward to main schedule) 23,866.50 REV•1512 EX + (12-Ofi) Pennsylvania SCHEDULE I DEPARiMENiOF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN RESIDENT MORTGAGE LIABILITIES ~ LIENS DECEDENT ESTATE OF FILE NUMBER Margaret R. Yarnell 21 10 0994 Report debb Incurred by the decadent prior to death that remained unpaid at Me dab of death, Including unreimbureed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1• ATST Telephone 10.09 2 West Shore Country Club 257.97 3 Bethany Skilled Nursing 1,945.00 4 CITI Platinum Select Credit 115.47 5 Covntry Meadows 2,025.76 6 HS McClure Heating oil at residence 298.06 7 HCR Manor Care 30.00 8 Orkin Peat Control Services 82.68 9 PA Department of Ravanue Balance owed, 2010 personal income tax 170.00 10 Travelers Insurance Homeowners insurance 76.75 11 PPL Electric Electric utilities at residence 282.49 12 Trively Landscaping Lawn care and property maintenance at residence 245.00 13 Verizon Telephone 35.76 14 QLT Consumer Lease 69.51 15 West Shore EMS 1,073.01 TOTAL (Also enter on Line 10 Recapitulation) ~ S 6 717 6W46AH 2.000 If more space is needed, insert additional sheets Of the same size. REV-1513 EX+ (01-10) Pennsylvania OEPARTNEMOF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES FILE NUMBER: rasa oLV\ . ll. 1GLi1611 21 1U U9 4 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEMNG PROPERTY Do Not Llst Trustee(s) OF ESTATE TAXABLE DISTRIBUTIONS [Include outright spousal distributions and tranatera under Sec. 9116 (a) (1.2).] 1. Christine G. Persun c/o Andravr M. Persun 3820 Panay Drive Mechanicsburg, PA 17050 Cash Gift: 10,000.00 Genaorth Financial Annuity Contract #00008750 Cme-Sixth Share: 497.15 Granddaughter 10,497.15 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 75 THROUGH 1 8 OF REV-1500 COVER SHEET, AS APP ROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT TAKEN: 7. B. CHARRABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. S 0.00 Ir more space Ia neBOBO, Use a001710na1 SrleetS Or paper m the Same size. 9W46AI 2.000 Estate of: Margaret R. Yarnell Schedule J Part 1 (Page 2) Item No. Description 2 Laura J. Persun 3820 Pamay Drive Mechanicsburg, PA 17050 Cash Gift: 10,000.00 Genxorth Financial Annuity Contract #00008750 One-Sixth Share: 497.15 3 Margaret R. Persun PO Box 250 Grantham, PA 17027 Cash Gift: 10,000.00 Genxorth Financial Annuity Contract #00008750 One-Sixth Share: 497.15 4 Michael M. Persun 227 W. Main Street Waynesboro, PA 17268 Cash Gift: 10,000.00 Genxorth Financial Annuity Contract #00008750 One-Sixth Share: 497.15 5 Sarah E. Persun PO Box 250 Grantham, PA 17027 Cash Gift: 10,000.00 Genxorth Financial Annuity Contract #00008750 One-Sixth Share: 497.15 Relation Granddaughter Granddaughter Grandson Granddaughter 21 10 0994 Amount 10,497.15 10,497.15 10,497.15 10,497.15 Estate of: Margaret R. Yarnall Schedule J Part 1 (Page 3) Item No. Description 6 Sabrina Zitsch 3622 Derry Street Harrisburg, PA 17111 Cash Gift: 10,000.00 Gensvorth Financial Annuity Contract #00008750 One-Sixth Share: 497.15 7 Elizabeth Y. Jury 1010 Saarthmora Road Ner Cumberland, PA 17070 Morgan Stanley IRA Account #724-60050-16-527 One-Fourth Share: 2,710.34 Sovereign Bank IRA #2338229749 One-Fourth Share: 17,420.14 8 Melissa Schreck 31 Farmhouse Lane Camp Hill, PA 17011 Morgan Stanley IRA Account #724-60050-16-527 One-Fourth Share: 2,710.34 Sovereign Bank IRA #2338229749 One-Fourth Share: 17,420.14 9 Thomas P. Yarnall 7 ~Pildwood Lane Sunbury, MA 01776 Morgan Stanley IRA Account #724-60050-16-527 One-Fourth Share: 2,710.34 Sovereign Bank IRA #2338229749 One-Fourth Share: 17,420.14 Relation Granddaughter Daughter Daughter Son 21 10 0994 Amount 10,497.15 20,130.48 20,130.48 20,130.48 Estate of: Margaret R. Yarnall Schedule J Part 1 (Page 4) Item No. Description 10 Dorothy C. Yarnall 1109 Indianpipe Lane Zionsville, IN 46077 Morgan Stanley IRA Account #724-60050-16-527 One-Fourth Share: 2,710.34 Sovereign Bank IRA #2338229749 One-Fourth Share: 17,420.14 11 Andrei M. Psraun 3820 Pamay Drive Mechanicsburg, PA 17050 General Bequests: 100,000.00 Northxestern Mutual Fixed Annuity Contract #19203542 One-Third Share: 198.08 Northxestern Mutual Fixed Annuity Contract #19203543 One-Third Share: 198.08 Northxestern Mutual Fixed Annuity Contract #19211387 Ona-Third Share: 583.31 Relation Daughter-in-lax 21 10 0994 Amount 20,130.48 One-Third of Residue: 411,767.99 Son 512,747.46 Estate of: Margaret R. Yarnell Schedule J Part 1 (Page 5) Item No. Description 12 John A. Persun 227 ~P Main Strsat Nayneaboro, PA 17268 General Bequests: 100,000.00 Northwestern Mutual Fixed Annuity Contract #19203542 One-Third Share: 198.08 Northwestern Mutual Fixed Annuity Contract #19203543 One-Third Share: 198.08 Northwestern Mutual Fixed Annuity Contract #19211387 One-Third Share: 583.31 One-Third of Residue: 411,767.99 13 Lloyd R. Persun PO Box 659 Mechanicsburg, PA 17055-0659 Northwestern Mutual Fixed Annuity Contract #19203542 One-Third Share: 198.08 Northwestern Mutual Fixed Annuity Contract #19203543 One-Third Share: 198.08 Northwestern Mutual Fixed Annuity Contract #19211387 One-Third Share: 583.31 Son Relation 21 10 0994 Amount 512,747.46 One-Third of Residue: 411,767.99 Son 412,747.46 REGISTER OF WILLS CUMBERLAND COUNTY PENNSYLVANIA CERTIFICATE OF GRANT OF LETTERS No . 2010- 00994 PA No . 21- 1 D- 0994 Estate Of : MARGARET R YARNALL /First Middle, Last/ a/k/a : MAGARET R P YARNALL Late Of : HAMPDEN TOWNSHIP CUMBERLAND COUNTY Deceased Social Security No : 177-16-1806 WHEREAS, on the 28th day of September 2010 instruments dated: February 3rd 7994 January 12th 1999 were admitted to probate as the last will and codicil of MARGARET R YARNALL (First Middle, Lestl a/k/a MAGARET R P YARNALL late of HAMPDEN TOWNSH/P, CUMBERLAND County, who died on the 6th day of September 2010 and WHEREAS, a true copy of the will &codicil as probated is annexed hereto THEREFORE, I, GLENDA EARNER STRASBAUGH Register of Wills in and for CUMBER7.A~vn County, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to: LLOYD R PERSUN who has duly qualified as EXECUTOR(R/Xl and has agreed to administer the estate according to law, al;l of which fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 28th day of September 2010. eglster o ! s ep ty **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) r .~. N n _© ~~ Q LAST WILL AND TESTAMENT ~~ ~ OF ~ ro MARGARET R. YARNALL c~ C° .QO~i = T~J C.J I, MARGARET R. YARNALL, of the Township of Hampden;~County~-~bf Cumberland and Commonwealth of Pennsylvania, being of sound ~d disposing mind and memory, and not acting under undue influence of any person whomsoever, do make, publish and declare this instrument to be my Last Will and Testament, in the manner and form following: FIRST: I hereby expressly revoke all Wills, Codicils and testamentary writings of whatsoever kind or nature heretofore made by me. SECOND: I hereby direct my Executors, or their successors, to pay all my just debts, expenses of administration and funeral expenses out of my estate as soon as is practicable after my decease. THIRD: Under date of May 3, 1985, I entered into a Antenuptial Agreement with my husband, G. WINFIELD YARNALL, which provides, in part, that the securities, and other property, tangible and intangible, real and personal, belonging to me and as described in said Antenuptial Agreement, shall be, upon my decease, distributed as provided in my Last Will and Testament. I, there- fore, give and bequeath said property, standing in my .individual name at the time of my decease, and all increases or changes from securities and other property, tangible and intangible, real and personal, so described in said Antenuptial Agreement, in the manner set forth herein. All such property, however, that was contained and described in said Antenuptial Agreement, and which may at the time of my decease be in the joint names of myself and my husband, G. WINFIELD YARNALL, except my interest the recently acquired real property owned by me and my husband located at 30 W. Lauer Lane, Hampden Township (Camp Hill), Cumberland County, Pennsylvania, shall not be affected by this provision of my Last Will and Testament, as my husband and I have provided for distribution of such real property in our respective Wills in the manner set forth therein. FOURTH: I give and bequeath unto my children, hereinafter named, who shall be living at the time of my decease, all of my jewelry, furniture, automobiles and other articles of personal use and adornment, in such manner as they shall mutually determine. If my said living children are unable to agree to the distribution of such personal property, my Executors or their successors shall determine the distribution thereof and to whom distributed, and such determination shall be final and conclusive upon my said children." Notwithstanding the above, there may be signed and r~ ~> ~~ ~~ ~. -ri << c.n ,~, attached to this Will a list of some of my personal property which should be delivered to the child named and designated thereon as a specific bequest(s) to said child, as if such bequest would have been included in this Will. FIFTH: I give and bequeath unto my son, JOHN A. PERSUN, the sum of One Hundred Thousand ($100,000.00) Dollars. If my said son, JOHN A. PER5UN, should predecease me, but leaving issue surviving, this bequest shall not lapse, but shall be paid to such issue, and in equal shares if there be more than one issue surviving. SIXTH: I give and bequeath unto my son, ANDREW M. PERSUN, the sum of One Hundred Thousand ($100,000.00) Dollars. If my said son, ANDREW M. PERSUN, should predecease me, but leaving issue surviving, this bequest shall not lapse, but shall be paid to such issue, and in equal shares if there be more than one issue surviving. SEVENTH: All the rest, residue and remainder of my property, real, personal and mixed, of which I may die seized or possessed, or over which I may have the power of testamentary disposition, of whatsoever kind and wheresoever situate, I give, devise and bequeath in equal shares to my sons, LLOYD R. PERSUN, JOHN A. PERSUN and ANDREW M. PERSUN. If any of my above-named sons shall predecease me, but leaving issue surviving me, I give such deceased son's share of my estate to his issue, in equal shares, and in the event such son shall predecease me without issue, then such deceased son's share shall pass, in equal shares, to my surviving sons. EIGHTH: I hereby direct that all estate, inheritance, transfer and succession taxes which may be assessed in consequence of my death of whatsoever nature and what jurisdiction imposed, shall be paid out of the principal of my general estate to the same effect as if said taxes were expenses of administration and all property includible in my taxable estate, including, but not limited to, proceeds of life insurance policies, whether or not passing under this my Last Will and Testament, shall be free and clear thereof. My Executors, or their successors, shall likewise have the right and privilege, in their discretion, to pay the taxes on future or remainder interest immediately or may postpone the payment of taxes on future or remainder interest until the time possession accrues to the beneficiary therein. NINTH: As used in this Will, the masculine pronoun shall include the feminine and the singular shall include the plural. TENTH: The rights, titles, benefits, interests and estates of any beneficiary hereunder shall not be subject to the rights or -2- 9 claims of his or her creditors nor subject nor liable to any process of law or court, and all of the income, principal, or other benefits shall be payable, and deliverable only, wholly, exclusively and personally to the designated beneficiaries hereunder at the time the designated beneficiaries are entitled to take the same under the terms of this instrument. ELEVENTH: I hereby direct that my Executors, or their successors, shall not be required to give bond or other security required by law or otherwise, for the faithful performance of their duties, whether as Executor or as successor Executor. TWELFTH: I hereby give unto my Executors, or their successors, the fullest power and authority in all matters or questions pertaining to the administration of my estate, executing the provisions of this my Last Will and Testament, including, but not by way of limitation, the power and authority to determine all doubtful questions which may arise in the construction of this my Last Will and Testament; I further hereby authorize and empower my Executors, or their successor, pending settlement of my estate, to sell, convey, mortgage, lease, exchange, encumber or otherwise dispose of any and all of the property, real, personal or mixed at any time belonging to my estate, either at public or private sale, without prior approval of any court, and at such times and for such price or prices and in any such case upon such terms as they may think best in their discretion, and I authorize and empower my said Executors to execute, acknowledge and deliver to the purchasers, grantees, mortgagees, vendees, assignees or other persons, such contracts, deeds, mortgages, bills of sale, and all other instruments of writing necessary or proper without obligation upon the latter to see to the proper application of the proceeds. They shall also have the power to compromise or otherwise settle or adjust any and all claims, charges, debts and demands whatsoever against, or in favor of my estate as fully as I could do if living. They shall further be empowered to carry on and conduct any business enterprise which I may be engaged in at my death, to retain any assets, including stocks or securities which I may own at the time of my death, pending settlement of my estate, without regard as to whether or not such assets or securities are legal investments for fiduciaries. Pending settlement of my estate, they shall also have the authority in their discretion to convert, sell, exchange or dispose of such assets and securities either for cash or for terms satisfactory to them and to acquire other assets without limitation to securities or investments as may be declared legal for investment of trust funds. They shall further be empowered to borrow money, and to pledge assets of my estate as security therefor, for the purpose of paying taxes which may be levied upon or payable by my estate in accordance with this Will and in the event that funds in the hands of my Executors or their -3- successors shall be insufficient to pay such taxes, and if, in the opinion of my Executors, or their successor, it appears that conversion of securities and other assets, real and personal, would then be made at a sacrifice. THIRTEENTH: I hereby nominate, constitute and appoint my son, LLOYD R. PERSUN, and THE FIRST BANK AND TRUST CO., MECHANICSBURG, PENNSYLVANIA, a PNC Bank, to be Executors of this my Last Will and Testament. In the event THE FIRST BANK AND TRUST CO., MECHANIC5BURG, PENNSYLVANIA shall consolidate or merge with another corporation of fiduciary character, and having the power to act as Executor, including a national bank in this state having the proper permit to act as Executor, then I nominate and appoint such successor corporation as the successor Executor under this my Last Will and Testament, and I direct that it shall have all the rights, powers and privileges conferred hereinabove upon THE FIRST BANK AND TRUST CO., MECHANICSBURG, PENNSYLVANIA. IN WITNESS ~REOF, I have hereunto set my hand and seal this ~~- day of , 1994. AL) Maf ar ~ R. Yarnahl SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, MARGARET R. YARNALL, as and for her Last Will and Testament consisting of four (4) pages, in the presence of us, who at her request, in her presence and in the presence of each other, all being present at the same time, have hereunto set our hands as witnesses: Name __,/ Name Name A dress Address ~'„~ ~' ~' Addre~ s -4- ..,~ , CODICIL TO WILL OF MARGARET R. YARNALL I, MARGARET R. YARNALL, of the Township of Hampden; County of Cumberland, Commonwealth of Pennsylvania, the within named Testatrix, do hereby make and publish this Codicil to my Last Will and Testament, dated February 3, 1994. I hereby modify said Last Will and Testament as follows: ITEM I: ITEM THIRTEENTH of said Last Will and Testament is amended to read as follows: THIRTEENTH: I hereby nominate, constitute and appoint my son, LLOYD R. PERSUN, to be the Executor of this my Last Will and Testament. In the event of his death, inability or refusal to serve, I nominate, constitute and appoint my son, JOHN A. PERSUN, to be the Executor. In the event of the deaths of both of my said sons or their inability or refusal to serve, I nominate, constitute and appoint my son, ANDREW M. PERSUN, to be the Executor. The Executor and Custodian are specifically relieved from the obligation of filing bond or entering security. ITEM II: The following ITEM FOURTEENTH is hereby added to said Last Will and Testament: FOURTEENTH: If a beneficiary under the age of twenty-one (21) years is entitled to receive assets under this Will, the person who served as the Executor shall receive those assets as Custodian for the beneficiary under the Pennsylvania Uniform Transfers to Minors Act. The Custodian may receive and administer all assets authorized by law, and shall have full authority as provided in the Pennsylvania Uniform Transfers to Minors Act to use assets in the manner the Custodian deems advisable for the best interests of the beneficiary. I also designate the person who served as the Executor as successor Cus 4 of any property for which I am custodian under any Uniform Gift Mi A t U if ~ v`a, ~, ' nors c or n orm Transfers to Minors Act. ~r~ ~ ~ ~ 1=,~ iii nnp ~'`j o~~ s ~ ~.~ r -- ~ ~~ ~ 0 .7 Testament. In all other respects I confirm and ratify my aforesaid Last Will and ~y, IN WITNESS WHEREOF, I have hereunto set my hand and seal this /a day of January, 1999. (SEAL) MARG T R. Y ALL We, the undersigned, hereby certify that the foregoing Codicil was signed, sealed, published and declared by the above-named Testatrix as and for a Codicil to her Last Will and Testament, in the presence of each of us, who, at her request and in her presence and in the presence of each other, have hereunto set our hands and seals the day and year above written, and we certify that at the time of the execution thereof, the said Testatrix was of sound and disposing mind and memory. ' (SEAL) (SEAL) ~, ~ (SEAL) Residing at ~1Jy ~..~1~ ~!,u . ____r, /7 Residing at o~~ J~L.r Residing at 1~ o -~-2.:r.. /~ i ro~3 164517 1 Oh10 Approval ffo. 2502-0265 I1UD-1 A. Settlement Statement (HUD-1) frr,~..'s;asss' ePex Page 1 of 3 ~4ni ., .iyv B. Type of Loan 1. ^ FHA 2. ^ RHS 3. ~ Conv. Unins. 6. File Number: 7. Loan Number. 8. Mortgage Insurance Case Number: 4. ^ VA 5. ^Conv. Ins. 401100138-SK 7120049346 NOTE: This form is Furnished [o give you a statement of actual settlement costs. Amounts paid to and by the se[tlernent agent are shown. C . items marked "(p.o.cJ" were paid outside the dosing; they are shown here for informational purposes and are not included in [he totals. D. Name and Address of Borrower E. Name and Address of Seller F. Name antl Address of Lender WALTER D. HNATUCK AND ANNE P. STORMS LLOYD R. PERSUN, EXECU TOR OF ESTATE ERA HOME LOANS HNATUCK OF MARGARET R. YARNAL L, A/K/A i MORTGAGE WAY, 992 SOUTH MOUNTAIN RD. MARGARET R. P. YARNALL MOUNT LAUREL, NJ 08054 DtLLSeURG, PA 170 19 30 WEST LAVER LANE CAMP I1ILL, PA 17011 G. Property Location N. Settlement Agent SECURED LAND TRANSFERS-MECHANICSBURG 30 WEST LAVER LANE, 485 ST. JOHNS CHURCH ROAD„ CAMP I-TILL, PA 17011 SHIREMANSTOWN, PA 17011 Phone : (717) 901-8342 COUNTY: CUMBERLAND PARCEL ID: 10-19-1600-113 Place of Settlement I. Settlement Date 03/08/2011 TOWNSHIP: IiAMPDEN TOW NSIIIP 3915 MARKET STREET CAMP HILL, PA 17011 Disbursement Date 03/08/2011 J. Summer of Borrower's Transaction K. Summer of Seller's Transaction 100. Gross Amount Due from Borrower 400. Gross Amount Due to Seller 101. Contract Sales Price 250 OOO.UO 401. Contract Sales Price 250 000.00 102. Personal Pro ert 402. Personal Pro ert 103. Settlement char es to borrower Ilne 1400 5 386.38 403. 104. 404. 105. 405. Ad ustmen[ for Items aid b seller in advance Ad'ustment for items old b seller in advance 106. Cit /Town Taxes 406. Cit town Taxes 107. Count Taxes 662.41/ r 3 8/2011 to 1 1 2012 542.63 407. Count Taxes fi6Z.41/ r 3/8/2011 [0 1 1 2012 542.63 108. Assessments 109. School l~axes 2 665.16/ r 3 8 2011 to 7 1/2011 839.71 408. Assessments 409. School Taxes 2 665.16/ r 3/8 2011 to 7/1/2011 839.71 Sewer arld Refuse (Jan / Feb /March 2011) $80.00 410. Sewer and Refuse (]an / Feb /March 2011) $g0.00 1 110. 150.00/ tr for 318 2011 ro 4 1 ZO11 150.00/ tr for 3 8 2011 [0 4 1 201 111. 411. 112. 120. Gross Amount Due from Borrower 256 SD8.72 412. 420. Gross Amount Due to Seller 253 422.34 200. Amounts Paid by or In Behalf of Borrower 500. Reductions In Amount Due to Seller 201. De osi[ or earnest mane 10 000.00 501. Excess De osits 41 18 887 202. Princi al Loan Amount from ERA liome Loans $120 000.00 . 502. Settlement Char es to Seller 203. Existin loans taken sub eR to 503. Exlstin loans taken sub~ect to 204 504. 205. 505. 206. 506. 207. 507. ZUB. 508. 209 509. _ Ad ustments for items unpaid by seller Ad~ustments for items un aid b seller 210. Cit Town Taxes 510. Cit Town Taxes 211. Count Taxes 511. Count Taxes 212. Assessments 512. Assessments 213. 513. 214. 534. 215. 515. 216. 516. 217. 517. 218. 518. 219. 220. Total Paid b for Borrower 130 000.00 519. 520. Total Reduction Amount Due Seller 18 887.41 300. Cash a[ Settlement from/to Borrower 600. Cash at Settlement to/from Seller 301. Grass amount due from borrower Ilne 120 256,808.72 601. Gross amount due to seller line 420 251 422.34 302. Less amounts aid b /For borrower line 220 130 000.00 602. Less reductions In amount due seller line 520 18 887.41 303. Cash X From To Borrower ;126,808.72 603. Cash X To From Seller ;232,534.93 The Public RePOrling Bwden for this collection of information is estimated at 35 niinules per response for collecting, reviewing, and reporting the data. this agency may not s a currently valid OMB control number. No confidentiality is assured; Nis disclosure ss It dis la l hi f y orm, un e p s collect this inlormallon, and ypu are not required to complete t is mandatory. This is designed to provide Om parties to a RESPA covered transaction with information during the settlement Drocess. Initials _ ' / ~'~~~ BUYERS l / vGS'/ SELLERS W er Hnal k /Es'ha~t~y~ f Margaret R.[Ypm~a~ a/k/a Margar/et R. P, Yarnell lA~/-(/?.salt F t'~, r/ A for Hnaluck B/..Cloytl R. Persun, Executor The HUD-1 Selllemenl Statement which 1 have prepared is a true and accurate account o/f this transaction. I have caused or will cause the funds to be disbursed in accofdance with This slaleme r S tie B t Age Dale , SECURED LAND A FERS - 03!08/2011 CHANIC38URG K,}s~~ ' a ~. i./ ~ .;'+,, , +-........moo I ain nn~.a If you have any questions about the settlement charges and loan terms listed on this form, please contact your lender. Selllemenl agent is not responsible (or coolant of lender's assessments on HUD. Tne seller's and borrower's signatures hereon acknowledge Iheir approval and signify (heir understanding That tax antl insurance prorelions and reserves are based on figures far the preceding year or supplied by others or estimated !or the current year, and in the event o(any change for the current year, all necessary adjustments will be made between borrower antl seller directly. Any deficit delinquent lazes or mortgage payoffs will be promptly reimbursed to the sel0ement agent by the seller. I have carefully reviewed the HUD-1 Selllemenl Statement and to the best of my knowledge and belief, it is true and accurate statement of all receipts and disbursements made on my account or 6y me in this transaction. I further cedify That I have received a copy of the h1UD-7 Selllemenl Statemen(. 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Q Z ~ Z - O U ~' m _o` ~~~, °Y~3 x zp~ g mo? ~$ 0 E alb n N I~ y J ~ a u _U ~ Z {y ~ Q ~ Q L Z N C Zgz a U n w p U Z d QLL3 ~ W Q O V F w?3 C .~ d' I$o OI I~ J ~ Q n a ~ ~ U ?~ Z O (NA ~ ~ ~ Q 0 LL ~ Z~tl1j ag"'~ w p z Q Z~~W ~LL.N~ ~ O Z Z Q U w w w?~~ C .~ m N r O F Z LL LL 2 (~/7 J LL Q Q ~ za D! _U Z ~ Z C w ~ n 3a zz a ~ } ~ Q ~UIC c~Z~nx ~aU3 C .~ K C I~ of Ic r m h O o Z H ~ ~ N WLL ~aD N N ~ (~ 4Qa ~w z- ~U tLF W 2 N Z U~1~ _~ w~ m0 ~a N~ zz wp to ~~'aww ~ Z N Z Z z ww ww ~aU~o! m C .~ O.' w i v m ... c E o 0 0 0 W o 0 0 ~ d 0 co 0 0 0 0 1 ~ ~l_ 4" ^ S ~, `` J r~..• Estate Valuation Date of Death: 09/06/2010 Estate of: Margaret Yarnall Valua tion Date: 09/06/2010 Report Type: Date of Death Processing Date: 11/03/2010 Number of Securities: 19 File ID: Yarnall Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value / / 1) 1325 AT6T INC (002068102; T) COM New York Stock Exchange 09/03/2010 27.99000 27.06000 H/L 09/07/2010 27.95000 27.14000 H/L 27.285000 36,152.63 / 2) 1300 ALTRIA GROUP INC 1022095103; MO) COM New York Stock Exchange 09/03/2010 22.98000 22.75000 H/L 09/07/2010 23.24000 22.99000 H/L 22.977500 29,870.75 J3) 600 BANK OF AMERICA CORPORATION (060505109; BAC) COM New York Stock Exchange 09/03/2010 13.69000 13.33000 H/L 09/07/2010 13.92000 13.20000 B/L 13.910000 8,096.00 Div: 0.01 Ex: 09/01/2010 Rec: 09/03/2010 Pay: 09/24/2010 6.00 ~) 300 COMCAST CORP NEW (200300200; CMCSK) CL A SPL The NASDAQ Stock Market LLC 09/03/2010 17.27000 16.85500 H/L 09/07/2010 17.07000 16.65500 H/L 16.962500 5,088.75 >~51 500 CONAGRA FOODS INC (205887102; CAG) COM New York Stock Exchange 09/03/2010 22.11000 21.87000 H/L 09/07/2010 21.96000 21.79000 H/L 21.937500 10,968.75 ~6) 400 DTE ENERGY CO (233331107; DTE) COM New York Stack Exchange 09/03/2010 97.79000 97,20000 H/L 09/07/2010 97.90000 96.90000 R/L 47.322500 18,929.00 /7) 200 EXXON MOBIL CORP (302316102; XOM) COM New York Stock Exchange 09/03/2010 61.60000 60.75000 R/L 09/07/2010 61.07000 60.45000 H/L 60.967500 12,193.50 Div: 0.99 Ex: 08/11/2010 Rec: 08/13/2010 Pay: 09/10/2010 88.00 ~ 8) 192 FRONTIER COMMUNICATIONS CORP (35906A108; FTR) COM New York Stock Exchange 09/03/2010 7.95000 7.66000 H/L 09/07/2010 7.96750 7.83750 H/L 7.903750 1,517.52 Prices for 09/07/2010 adjusted up for di vidend(s): 0.1675 / 9) 600 GENERAL ELECTRIC CO (369609103; GE) COM New York Stock Exchange 09/03/2010 15.56000 15.20000 H/L 09/07/2010 15.50000 15.21000 H/L 15.367500 12,299.00 /10) 500 PFIZER INC (717081103; PFE) COM New York Stock Exchange 09/03/2010 16.59000 16.38000 R/L 09/07/2010 16.95000 16.21000 H/L 16.907500 8,203.75 Page 1 This report was produced with EstateVal, a product of Estate Valuations 6 Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.1.1) ~~. .. Date of Death: 09/06/2010 " Valuation Date: 09/06/2010 Processing Date: 11/03/2010 Shares or Par Vll) Security Description High/Ask Low/Bid Estate of: Margaret Yarnall Report Type: Date of Death Number of Securities: 19 File ID: Yarnall Mean and/or Div and Int Security Adjustments Accruals Value 800 VERIZON COMMUNICATIONS INC (92393V104; VZ) COM New York Stock Exchange 09/03/2010 30.35000 29.69000 H/L 09/07/2010 30.97000 30.07000 H/L 30.195000 V 12) 600 WELLS FARGO G CO NEW (999796101; WFC) COM New York Stock Exchange 09/03/2010 26.13000 25.59000 H/L 09/07/2010 25.68000 29.91000 H/L 25.577500 / V 13) 385 XCEL ENERGY INC (963B9B100; XEL) COM New York Stock Exchange 09/03/2010 22.91000 22.59000 H/L 09/07/2010 23.00000 22.72000 H/L 22,792500 '~19) 900 AMERCO (023586209; AOPRA) PFD SER A New York Stock Exchange 09/03/2010 25.85000 25.50000 H/L 09/07/2010 25.55000 25.54000 H/L 25.610000 15) ATON VANCE MUNS TR (27826L280; ETPAX) L.O~ t'Ig~ PA MUN INCM A Mutual Fund las quoted by NASDAQ) 09/03/2010 9.23000 Mkt 9.230000 ~) 2,7.a8a^-9E}9-•-EGG MASON PARTNERS INCOME TR (631605689; SBPAX) 6 D q~~ A PA MUNI FD A q M d t d b NASDAQ) t l F .dsl . un (as quo e y u ua 09/03/2010 13.27000 Mkt 13.270000 ~7) 3703.923 LEGG MASON PARTNERS EQUITY TR (795979706; SASMX) CLEBRG SMCP GW A Mutual Fund (as quoted by NASDAQ) 09/03/2010 19.26000 Mkt 19.260000 J1B) 100000 COMPASS BK BIRMINGHAM ALA (20499EY67) Financial Times Interactive Data DTD: 05/21/2010 Mat: 11/22/2010 0.258 09/03/2010 99.99930 Mkt 09/07/2010 99.95000 Mkt 99.999650 Int: 05/21/2010 to 09/06/2010 /19) 100000 BANK OF CHINA NEW YORK CITY NY (06925PFZ6) Financial Times Interactive Data DTD: 05/19/2010 Mat: 02/18/2011 0.54 09/03/2010 99.97750 Mkt 09/07/2010 99.97760 Mkt 99.977550 Int: 05/19/2D10 to 09/06/2010 Total Value: Total Accrual: Total: 5900,553.69 29,116.00 20,962.00 8,775.11 10,299.00 ~a.510. qri 39i t85. `i 1 3fr8; 619~'9- 52,817,94 99,999.65 72.92 99,977.55 198.61 5900,238,11 $315.53 Page 2 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.1.1) 214 Senate Ave e- 7th Floor Camp Hill , PA 17011 tel 717 730 1800 fax 717 730 1894 toll Free 800 237 1700 October 28, 2010 Persun & Heim, P.C. Attn: Vicky Ann Trimmer 1700 Bent Creek Boulevard, Suite 160 Mechanicsburg, Pa 17050 Re: Estate of Margaret R. Yarnall Dear Ms. Trimmer, MorganStanley SmithBarney As requested, here is a list of the CUSIP numbers for the non-qualifies assets held with our Firm. Symbol Description CUSIP #BDP BANK DEPOSIT PROGRAM 123929711000 T ATtitT INC 002068102000 MO ALTRIA GROUP INC 02209S103000 AOPRA AMERCO SERA 8 1/2% CUM PFD 023586209000 BAC BANK OF AMERICA CORP 060505104000 CMCSK COMCAST CORP CL A - SPL 20030N200000 CAG CONAGRA FOODS INC 205887102000 DTE DTE ENERGY COMPANY 233331107000 ETPAX EATON VANCE PENNA. MUNICIPAL 27826L280000 XOM EXXON MOBIL CORP 302316102000 FTR FRONTIER COMMUNICATIONS 35906A108000 GE GENERAL ELECTRIC CO 369604103000 SBPAX LEGG MASON WESTERN ASSET 52469L744000 SASMX LEGG MASON CLEARBRIDGE 52470H815000 PFE PFIZER INC 717081103000 VZ VERIZON COMMUNICATIONS 92343V104000 WFC WELLS FARGO & CO NEW 949746101000 XEL XCEL ENERGY INC 983896100000 CDlBOC BANK OF CHINA - NY Coupon 0.5% 06425PFZ60B0 CD/CBA COMPASS BANK - AL Coupon 0.25% 20449EY670B0 Please do not hesitate to contact me at 717-730-1826 with any questions or concerns. ~ Kindest Re ar Jennife onway, RP® Registered Client Service ociate for , Dennis. L. Shank, CFP®, CFA® First Vice President Portfolio Manager Financial Planning Specialist Morgan Stanley Smith Barnry LLC. Member SIPC. 1'(3NNSY1,4'ANJA x _...... ~1~ ^ ,L l~ ~1~ 1. UNC].AiMED E'}tC)PE;T2Tl' March 23, 2011 Estate of Margaret R.P. Yarnell Lloyd R. Person, Executor P.O. Box 659 Mechanicsburg, PA 17055 CLAIM ID: 100634465 Dear Mr. Person: This serves as an acknowledgement that the Pennsylvania Treasury Department, Bureau of Unclaimed Property, is in receipt of the following original bearer bond(s) and/or bearer bond coupon(s) you submitted with your claim form: ~Go~rpon~lrtfc~'matlonf~i~~eRl~~'~aybleg~ a `~' ~~<`~°~~'~`~ iiei ~ i fM17~~°~"~'1'~'~4 ~k~ ~~ ~ C`S~ L se 4 c fx X >, ~.. ,st: ~ fr~ b+d a~ '~~a-l~~r,~icrrl~f~Rl~fica„~1~ r:.~ ~ ~ ~ , «. ": .q' ~T~~4 5. x'~E A'~"4 ~3 rk~ "_ ;+T`.j" r.~~ ~~+5 ^,""s"~"r4~ ~di~i.: a^~ ~.~. Yc im, `,~. ~' iti`1~ :'*., '~ 5..^~~ o~ {~~a .+.~' Issue: Easton Area Joint School Authority School Revenue Bond Series of 1978 Issue: Bond #: 2169 Bond #: Coupon #: 36-53 Coupon #: Coupon Date: 4/15/1996 -10/15/2004 Coupon Date: Dollar Amount: $150.00 Dollar Amount: Total # of Coupons: 18 Total # of Coupons: Please allow up to eight weeks for us to determine if the originals you submitted are needed to process your claim. If you have any questions, please contact Suzann Yingst, Research Manager, at 717- 783-1811 or by email at smyinQSt@patreasury.ore Sincerely, Karen L. Gurzenda, Senior Division Manager Bureau of Unclaimed Property KG: klw Rob McCord, Treasurer ~ Pennsylvania Treasury ~ P.O. Box 1837 I Harrisburg, PA 17105 i 800.222.2046 www.patreasury.org YENNtiY1.VANIA tlNC1.AIMEC} I'RL~I'P:KTI' March 23, 2011 Estate of Margaret R.P. Yarnall Lloyd R. Person, Executor P.O. Box 659 Mechanicsburg, PA 17055 CLAIM ID: 100634465 Dear Mr. Person: This serves as an acknowledgement that the Pennsylvania Treasury Department, Bureau of Unclaimed Property, is in receipt of the following original bearer bond(s) and/or bearer bond coupon(s) you submitted with your claim form: =~o~ponglnfpr~~~n;`~i~~Ppli!tay~~~l~ ~, =x :~~,~~"~~` r 1\ .g ~t lj Y:bk ~ ~~1 ,~'~~tl~fRl~lt I ~~:~<~^ ~` '~_'~~'` °4 " ' u ,1 $YM '+? .y .x i,~ ~ aN'TK'N ~1. "F '1 ! ~y~. p( ~'a` ~' ~ ~ ~ ~ ~ ~ 8 ~,x L9 ~~e °a~Y2+~ °' a i' ~x' .-. ~#? (~a ".S' i' . . ^Y T a . # y yy~~. -t N; S cyi R.` d. 81~E?fiz Issue: Easton Area Joint School Authority School Issue: Revenue Bond Series of 1978 Bond #: 1627 Bond #: Coupon #: 36 - 53 Coupon #: Coupon Date: 4/15/1996-10/15/2004 Coupon Date: Dollar Amount: $150.00 Dollar Amount: Total # of Coupons: 18 Total # of Coupons: Please allow up to eight weeks for us to determine if the originals you submitted are needed to process your claim. If you have any questions, please contact Suzann Yingst, Research Manager, at 717- 783-1811 or by email at smvinastCc+~patreasurv.ore Sincerely, ~~~.~/c..rvf Karen L. Gurzend ,Senior Division Manager Bureau of Unclaimed Property KG: klw Rob McCord, Treasurer ~ Pennsylvania Treasury ~ P,O. Box 1837 I Harrisburg, PA 17105 1800.222.2046 www.patreasury.org 0 D ~ v <' o ~ 0 o a ° ~ n o b i o 0 n m m N o =1 O y ~ ~ O m ~ `~ [d -p ~ s a a ~, C N4 O o ~d ~,. 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U ~ ~~~~~ ~~ 1-888-910-4100 fall Citizens Phoneaank anytime for account information: current rates and answers to your questions. U5002 BR 301 MARGARET It PER,SUN YdRNALI 30 W LAVER LM ~tZ.MP HILL PA_ 1021=4318 Checking Account Statement Beginning July 16, 2010 through August 13, 2010 © or z Ch~r:ka'h.g s uwt~x`Rr MARGARET R PERSUN YARNALL B'~lance Galeu~tih Balance- Previdlts.B.aLince 4,881:SU AVeroge lYoliy 8a(tince 4,881.80 Ckrecks ,00 - . i'ntenest Witiidr"asi!ats. :00 - Depiisits &. gddltfons. :00 furrent innteres"t. Rate •:03'X. TnterPSt:Paid. :15 + Annual Reriaentd~e 15e1d Eilm2rt .U~% - CutretiYHalamce; 4,881:95 ~ Aiumber of s Iirtkres't Eoiired dad` 2A' - 1'riteres4 L"ained ,13 IriteiesE Paid trifs Y.edr 1,.58 TRA,N S:AL~T[O. tl D.£T A,1L5 Interest Date. Amount Dexriptfon 08/13 .15 Interest - Daily Balance Date Balance Date Balance Data 08/13 4,881.95 ~ MEMO --Reminder: As of August 15, 2010 a new federal regulation will change the way your account works today. As detailed in the insert you received in your July statement, with current Standard Overdraft Practices, Citizens Bank, at our discretion, may authorize and pay transactions that cause overdrafts including ATM and everyday debit card transactions. However, effective August 15, 2010 we will decline your ATM and everyday debit card overdrafts unless you ask us to include them in the Standard Overdraft Practices on your account If your account was opened July 1, 2010 or later, your Standard Overdraft Practices preference was made during account opening and is effective immediately. At Citizens Bank you have a choice for how you would like us to handle your ATM and everyday debit card transactions. If you haven't already done so, and you wish to give us the authority to pay ATM and debit card overdrafts on your behalf, you may provide your consent by using one of these three convenient options: call us at 1-866-211-2921, log on to online banking or visit your local branch. While you can make and/or change your decision at any time, to retain this service without interruption we must have your authorization before August 15th. If you prefer that the bank does not pay ATM and everyday debit card overdrafts on your account, there's no action you need to take. Be inning August, 15th, any overdrafts on ATM and everyday debit c~htra~r~rts~v'l~l b~ declined. For more information on this new regulation visit Balance Personal Checking f~th Interest 610068-2ZZ'-3. Rrcvious Balance 4,881,$0 1~1 Total Iatercat PaW .15 _tutrent,.B.alanav.. .. 4,881.95 ~~~~. o~ W~G2~,4-~'` ,Oi7/~ ~`~ --~" ~ M&T Bank 6560 Carlisle Pike, Suite 500, Mechanicsburg, PA 17050 717 795 1710 raz 717 795 9113 Vicky Ann Trimmer Ptrsun & Heim Re: Estate of nargaret R. Yamall Dear Vidcy, This letter is in response to the receipt of your request for Date of Death Account information for Margaret Yarnall. our Records indicted the folbwing information: Checking tr14265575 Individual Ownership OOD Bslance $12,042.48 accrued Intercst:.04 Total: $12,042.52 Please let me know if further information is needed. i00 'd Yid Z I ~ ~0 [1HZ O IOZ-BZ-Z00 Rebecca Dorwart M&T Bank 00024065128?70000000000000000017 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 30 W Lauer Ln 0186321 MB 0.3822632J/8632/002632 OBO t PCMOG9 II III IIII IIII III IIi1111111111111111111111111111111111111111111 G W YARNALL PO BOX 659 MECHANICSBURG, PA 17055-0659 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 111111, I11111111111111111111111111111111111111111111 Closing Bill Please check here to add H2O-Help to Others contribution to your monthly bill or to change your address or telephone number, and print information on reverse side. Custo~tter,;4ccount fitformaNon Bftftctg..~r~m8, ~ ForSeearifle Tb: G FN Yarnell ~R~r~Balsn 30"W,Lauer!Ln ~R~`. , Acct~~rm~er::2406512"&7-7 °P.alrpr+e ',rrto~lY Pr~nisesNrirmLrer: ~4$0'384s08 13~ " ----rarrerirt~YlFe 6ff~f'~ere~ft~~Y~tlF>~e'terfn~arrrt!frar~ ser~iEa:; , , Bitli~~lte:"" Mar.09,:20t1 Wat9r•MUokrnre Bitim~ `' ;I"Frtosl~u~07~~17,Clays) ''., ,b~;er Ne~€trraeanar~~lbra+ut: $I~Ilar~23,2U1,1 DSI-, W",~ Rette~ Rssxienttal To~lr~c:ltarge Meterr"in.r.4u6e~lFi~q®peplati: " AItK~IJ't~f"E#I RAePar~'hirrrnber'N0425~7613'i is a"5/8~inchsmeter. ' ' PresenE=acd~l , . 2 4`91'7'900 .tC~t.`~rt / ._ -$20.31 r°tt9,.~?1~2r1. ~~! . ~. . 00 ,klit ~, .' ~ -20.31 rP-erges.....~ '~~ 7.37 s1~+r0oJx. ;, 1.58 i<~ ~~ .¢ ~..,., .28 ~',~, ~ 9.26 -$11.05 l~ 'ISI11 ~~ Northwestern Mutual' Payment Plan Confirmation Statement March 15, 2011 f of soxio~aooooooa LLOYD R PERSON - PO BOX 250 ~ GRANTHAM PA X7027 Account Number: 621278606 ~ This statement provides the detail of your withdrawal on March 16, 2011. ~ The entire account value has been withdrawn. Thank you for allowing us to serve you. ff you have questions about this statement, contact one of our service providers listed below: Payment Plan -Income Benefits 1-866-269-2950 Agent Retirement -Income Benefits 1-866-269-2950 Employee Retirement -Human Resources 1-4t4-665-5899 Death Notification Emplo ee Retirement -Human Resources 1-414-665-5900 ~ Death Notification -Life Benefits 1-800-635-8855 To report an address change, see over for instructions. Requested Guaranteed Additional Net Current Account Amount Interest Interest Payment Balance 621278608 582.32 22.28 8.99 613.59 0.00 Totals $582.32 $22.28 $8.99 $813.59 $0.00 i 1,~ - ~~ , P~. The Northwestern Mutual Life Insurance Company ~ 720 Fast Wisconsin Avenue, Milwaukee, WI 532024797 ~ 414 271 1444 www.northwestemmutual.com ~memnnnavnrmu• Northwestern Mutual` March 14, 2011 O ~. 10150X10730000006 LLOYD R PERSUN \ PO BOX 250 GRANTHAM PA 17027 Account Number: B2139270A Payment Plan Confirmation Statement This statement provides the detail of your withdrawal on March 15, 2011. The entire account value has been withdrawn. Thank you for allowing us to serve you. If you have questions about this statement, contact one of our service providers listed below: Payment Plan -Income Benefits 1-866-269-2950 Agent Retirement -Income Benefits 1-866-269-2950 Employee Retirement -Human Resources 1-414-665-5899 Death Notification Emplo ee Retirement -Human Resources 1-414-665-5900 Death Notification -Life Benefits 1-800-635-8855 To report an address change, see over for instructions. Account B2139270A Totals Requested Amount 198.08 $396.16 Guaranteed Interest 7.44 $14.88 Additional Interest 1.24 $2.48 Net Payment 206.76 $413.52 Current Balance 0.00 ~~ i ,rte- ~,1 / l~ C ~- $0.00 Pte! , tS ~_ 3 The Northwestern Mutual L'rfe Insurance Company ~ 720 East Wisconsin Avenue, MOwaukee, WI 53202.4797.414 271 1444 www.northwestemmutual.com - *MAY-41~3a02 YO'CD/IK ` "P.O.'.Box 843005 - ~Boston;'1MA'02?$4 Bank FIN 23-1237295 INDIVIDUAL RETIREMENT ACCOUNT For Inquiries Please Call: (877) 768-2265 I I~llf 9 ++++++++.+ ++++++++++ P~~~i !~ MARGARET R YARNALL 30 W LAUER LN CAMP HILL PA 17011-1318 I~~~IIL~~lll~n~~~ll~nll~~~llnll~n~illulnrll~ll~~~~l~~l~ JL tl~/~~ ~~~~~ ~~. ~~ ~ ri 12-31-10 01-01-10 12-31-10 Page 1 of 1 Description Date Amount Balance INTEREST 01-31-10 215.10 68,191.23 INTEREST 02-28-10 194.86 68,386.09 INTEREST 03-31-10 216.40 68,602.49 INTEREST 04-30-10 21D.06 68,812.55 INTEREST 05-31-10 217.74 69,030,29 INTEREST 06-30-10 211.38 69,241..67 INTEREST 07-31-10 219.10 69,460.77 INTEREST 0831 1;0 219.79 6~~ '~56 F ` ~ INTEREST 09-30-10 213.37 . ,.,M 69,893:93 INTEREST 10-31-10 221.16 70,1.15::09 INTEREST 11-30-10 214.70 70,329.79 INTEREST 12-31-10 222.54 70,552.33 Prior Cash Balance 67,976.13 Plus Credits 0.00 Plus Interest 2,576.20 Less Debits 0.00 New Cash Balance 70,552.33 Total Plan Value 70,552.33 FAIR MARKET VALUE OF PLAN AT THE END OF 2010 70,552.33 THE FAIR MARKET VALUE INFORMATION IS BEING FURNISHED TO THE INTERNAL REVENUE SERVICE. { Genworth Financial "~~ 'i ~s Lnra ~rD alrx~3~ etr..t 9230 1-8Q~O-635-80Si6 000000005 2700088324 1 1 0290 050 SAI3RINA O'NEIL EITSCH 3622 DSRRY STREET HARRISBURG PA 17111 Please Direct 1"'-- Inquiries To: ~1 q`l . IS x 1 ~~,~.- ~~,~.}~~, ~~, l 0 ~ ~ lb/INSURED: ~/1151Y-'~, r Stab11AARY OF PAYMENT THIS PAYMENT YEAR TO DATE TAXABLE E7~6S 200.99 200.99 NON-TAXABLE REPORTABLE 296.16 296.16 TOTAL CUSS 497.15 497.15 ---------------------------------------------------------------------- NET A~XMT OF CHEgC 5497.15 5497.15 00008750E 04/11/11 SABRINA O'NEIL SITSfHi --------- ----------- --------- your address dMsrs in airy wey from dut sho~sn on dre check. please Indicate carted addross below cut on dotted lines. and return this section to the above address NE4Y A1~17RFCG STREET: CTT'1: STt1TE: ZIP CODE: SIGN.4T[JRE: a~ ,ate Genworth Financial y~ ®N~!'1'8 LI1Fi i>ID ~~ INSURANCE Ct)MPA.AUTYY -6610 ifest Broad .Street Claims Department Richmond VA 23230 CONTRACT NUMBER 00008'750E FOUR HUPDRED NINETY SEVFJ9 AND 151100 DOLLARS PAY TO THE ORDER OF SABRINA O'NEIL EITSCH 3622 DERRY 3TREST `.HARRISBURG PA 17111 ANNiJITANT/INSLiRED: SABRINA O'NSIL SITSCH CONTRACT NUMBER: 00008750E DATE: 09/11/11 Please detach 1>'efefo>e >mgotiating check CHECK NO. 2700:089324 'P! DATE OF CHECK 04 11 11 CHECK AMOUNT $497.:15 54-4A 119 n'2?OOOB93241N ~:Oii900445~: L0767ue ~~/