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HomeMy WebLinkAbout08-23-11 (2)150561014D REV-1500 EX (°'_'°' PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number Po Box 28oso1 INHERITANCE TAX RETURN Harrisburg PA 17128-0601 RESIDENT DECEDENT 2 1 1 0 1 1 9 8 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date Of Birth MMDDYYYY 1 9 3 1 4 7 7 1 8 1 1 3 0 2 0 1 0 1 2 2 3 1 9 2 2 Decedent's Last Name Suffix Decedent's First Name MI B A K E R E T H E L M (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI B A K E R C L A R K S Spouse's Social Security Number 1 8 0 0 3 9 6 3 9 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW a 1. Original Return 4. Limited Estate QX 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received 2. Supplemental Return 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust 1 (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 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 T0: Name Daytime Telephone Number D A V I D H S T O N E E S Q U I R E 7 1 7 7 7 4 7 4 3 5 First line of address 4 1 4 B R I D G E S T R E E T Second line of address City or Post Office N E W C U M B E RL A N D State ZIP Code P A 1 7 0 7 0 Correspondent's a-mail address: D S T O N E a~ S T O N E L A W• N E T ~rioer penairies or pequry, 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. SI~iNATU~~ ~ ERSON f,~ESP~I$IB,LE~ FILING RETURN DATE a ADDRESS "L/i --FJI~ r/-//~°,1GF~_ ~ c, C r' 824 LI BUR RO D, APT 303 CAMP HILL PA 17011 SIGNATURE ER ER THAN REPRESENTATIVE DATE nnnoee ~` 17" ~ I 414 BRI GD E STREET NEW CUMBERLAND PA 17070 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 1505610140 J 1505610240 REV-1500 EX Decedent's S ocial Security Number decedent's Name: E T H E L M• BAKER 1 9 3 1 4 7 7 1 8 RE CAPITULATION 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 and Notes Receivable (Schedule D) ........................ . . 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)..... .. 5. 1 1 0 6 9 1 . 6 3 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ..... .. 6. 7. Inter-Vivos Transfers & Miscellaneous N n-Probate Property (Schedule G) ~ Separate Billing Requested ..... .. 7. 1 8 9 3 8 , 9 4 8. Total Gross Assets (total Lines 1 through 7) ......................... .. 8. 1 2 9 6 3 0 , 5 7 9. Funeral Expenses and Administrative Costs (Schedule H) .......... ..... ... 9. 2 2 2 0 8 . 9 8 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ..... ..... ... 10. 3 1 9 . 7 3 11. Total Deductions (total lines 9 and 10) ....................... ..... ... 11. 2 2 5 2 8 . 7 1 12. Net Value of Estate (Line 8 minus Line 11) ..................... .... ... 12. 1 0 ~ 1 0 1 . 8 6 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. 1 0 7 1 0 1 . 8 6 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 91 i6 (a)(1.2) x• 0 0 0 0 15. 0. 0 0 16. Amount of Line 14 taxable at lineal rate x• 0 4 5 1 0 7 1 0 1. 8 6 16. 4 8 1 9. 5 8 17. Amount of Line 14 taxable at sibling rate X .12 0 0 0 17. 0. 0 0 18. Amount of Line 14 taxable at collateral rate X .15 0 0 0 18. 0. 0 0 19. TAX DUE .............................................. ..... ..19. 4 8 1 9 5 8 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ^ Side 2 1505610240 1505610240 REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 10 1198 DECEDENT'S NAME ETHEL M• BAKER __ _ _ __ _ STREET ADDRESS _ - _ _ _ _ _ _ - _ _- __ _ _ __- 824 LISBURN ROAD, APT• 303 CITY CAMP HILL PATE 17011- Tax Payments and Credits: 1• Tax Due (Page 2, Line 19) 2. CreditslPayments A. Prior Payments 4, 5 0 0 •0 0 B. Discount 2 3 6.8 4 3. Interest 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. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (1) 4 , 819.58 Total Credits (A + g) (2) 4 , 7 3 6.8 4 (3) 0 •0 0 (4) D•DO (5) 82.74 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 : ................................................................ ...... ^ 0 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? ................................................. ...... ^ 0 2. If death occurred after~December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ............................................................ 3. Did decedent own an "in trust for" orpayable-upon-death bank account or security at his or her death? .... ..... ^ X^ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? .............................................................................. n rl 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 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)). • 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, undE 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 COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER ETHEL M• BAKER 21 10 1198 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointlyowned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER VALUE AT DATE DESCRIPTION OF DEATH 1• MetLife Insurance-monthly retirement payment 135.00 2 PNC Bank-Cert of Deposit #31300315897 Principal $7523.22, Interest $4.75 3 PNC Bank-Cert of Deposit #31300315897 - Accrued Int 4 PNC Bank-Cert of Deposit #31900327079 Principal $25262.45, Interest $12.52 5 PNC Bank-Cert of Deposit #31900327079 - Accrued Int 6 PNC Bank-Cert of Deposit #31900327314 Principal $35423.43, Interest $6.99 7 PNC Bank-Cert of Deposit #31900327314 - Accrued Int 8 (PNC Bank-monthly IRA distribution received 9 Sovereign Bank-Cert of Deposit #0775290976 Principal $31481.17, Interest $140.91 10 Sovereign Bank-Cert of Deposit #0775290976 - Accrued Int 11 (Sovereign Bank-Cert of Deposit #0775546252 TOTAL (Also enter on line 5, Recapitulation) I $ (If more space is needed, insert additional sheets of the same size) 7,523.22 4.75 25,262.45 12.52 35,423.43 6.99 675.00 31,481.17 140.90 10,026.20 110,691.6 REV-1510 EX+ (08-09) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER•VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER ETHEL M• BAKER 21 10 1198 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. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP 70 DECEDENT AND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST IIF araucAe~e) VALUE 1 PNC Bank-IRA Acct #65001010493 18,938.94 100.00 18,938.94 Princ• $18,925.61, Interest $13.33 beneficiary: Clark S• Baker TOTAL (Also enter on Line 7 Recapitulation) ~ $ 18 , 9 3 8 If more space Is needed, use addltlonal sheets of paper of the same size. REV-1511 EX+ (10-09) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER ETHEL M• BAKER 21 10 1198 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1• Stone & Murray Funeral Home-funeral expenses 7,691.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City State ZIP Year(s) Commission Paid: 2. AttomeyFees: David H. Stone, Esquire 10,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) 3 , 5 ~ 0 • 0 0 Claimant Clark S • Bake r Street Address 824 Lisburn Road, Apt. 303 City Camp H i 11 state P A zIP 17 011 Relationship of Claimant to Decedent S U r V 1 V 1. n q S p 0 U S e 4 • Probate Fees: Cumberland County Register of Wills 319.50 5 , Accountant Fees: 6 • Tax Retum Preparer Fees: 7• Stone LaFaver & Shekletski-Reimb for 2 adv in newsp 293.16 2 MetLife-Reimb on retirement checks 175.32 3 Register of Wills-filing Inh tax return & Inv• 30.00 4 Reserve for closing expenses 200.00 TOTAL (Also enter on Line 9 Recapitulation) I$ 2 2 2 0 8 9 8 If more space is needed, use additional sheets of paper of the same size. , REV-1512 EX+ (12-08) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER ETHEL M. BAKER 21 10 1198 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 EMS-West Shore - debt of last illness 319.73 TOTAL (Also enter on Line 10, Recapitulation) I $ 319 7 3 If more space is needed, insert additional sheets of the same size. REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: ETHEL M• BAK NUMBER 1 2 3 4 5 6 7 II. ], 1, NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [Include outsght spousal distributions and transfers under Sec. 9116 (a) (1.2).] LEIGH A GOAS Spouse's granddaughter 45 MAPLE HILL DRIVE ETTERS PA 7,7319- MARILYN L VANDERZEE Spouse's daughter 824 LISBURN ROAD, APT• 701 CAMP HILL PA 17011- AIMEE SILK Spouse's granddaughter 5030 SUMMERVILLE CIRCLE CASTLE ROCK CO 80109- KAREN BERQUIST Spouse's granddaughter 5311 BLUE BONNET COURT CASTLE ROCK CO 801,09- LISA STARSINIC Spouse's granddaughter 2414 PATTON ROAD HARRISBURG PA 17],12- JEFF VANDERZEE Spouse's grandson 6510 CARMEN COURT HARRISBURG PA 1711,2- VICKI KUNKEL Spouse's granddaughter 313 WALNUT STREET REAR BOILING SPRINGS PA 1700?- FILE NUMBER: 21 10 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) 198 AMOUNT OR SHARE OF ESTATE Lineal 26,775.46 Lineal 16,065.28 Lineal 16,065.28 Lineal 16,065.28 Lineal 16,065.28 Lineal 8,032.64 Lineal 8,032.64 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT TAKEN: B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. If more space is needed, use additional sheets of paper of the same size. s R`" _ = STON~,LAFAV'Elf !~C ~H}:KL ," ;,. t * ~ ~ i A7TORNEY3 /~t U1VV ~1~ ~,c v 7r^'t~' ~~`~r +~~~ BRIDGE. STREET ~r ~ ~~'Sa ,~ ,y ,^ t " t,*: ~~. DPW pIID[HEI2L.AIQD PA iTOT : ,~ ~ . `: S.n ~. , .. ~" - r " 7 . ., '~w n w•f.'•:ra.w~c-~ t,.~~"yc9`~'~~ . d:3~Rte~'i'1i ~-dN`=,r`.A~~ LAST WILL AND TESTAMENT OF ETHEL M. BAKER ' ~ ~ ~ ~ ^~, a,,, rM-, ' ,. ~~ ~ ~ S ~ ~ y b ~ ,~ ~ lNylr} ~ h ll `~ a ~ , ~ x ,~`s ~ ~' h 5 ~n a ~' ~ ~~ :~ a 1 ~ ~ ~t j ~t I, ETHEL M. BAKER, of Fairview Township, York County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I: I direct that my Executor hereinafter named shall pay all my just debts and funeral expenses as soon as conveniently may be done after my decease from the residue of my estate. ITEM II: I devise and bequeath all the rest, residue and remainder of my estate, of every nature and wherever situate to the following named persons who survive me: A. Twenty-Five (25 a) percent to LEIGH GOAS. B. Fifteen (15%) percent to MARILYN L. VANDERZEE. C. Fifteen (150) percent to AIMEE SILK. D. Fifteen (150) percent to KAREN BERQUIST. E. Fifteen (150) percent to LISA STARSINIC. F. Seven and One Half (7.5%) percent to JEFF VANDERZEE. G. Seven and One Half (7.50) percent to VICKI KUNKEL. ITEM III: I appoint my spouse, CLARK S. BAKER, Executor of this my last will. Should my spouse, CLARK S. BAKER, fail to qualify or cease Page 1 of 4 to act as Executor, I appoint my spouse's granddaughter, LEIGH GOAS, Executrix of this my last will. ITEM IV: No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of his or her duties in any jurisdiction. IN WITNESS WHEREOF, I, ETHEL M. BAKER, have hereunto set my hand and seal this Z'LI day of _~~~1xrp,~,~ ~ 2008. ~ , Q o~-L~-,... ETHEL M. BAKER SIGNED, SEALED, PUBLISHED and DECLARED by ETHEL M. BAKER, the Testatrix above named, as and for her Last Will and Testament, and in the presence of us. why ~+- h;er request, in her presence and in the ubscribed our names as witnesses. 414 Bridae St New Cumberland PA Address 414 Brid e St. New Cumberland PA Address Page 2 of 4 COMMONWEALTH OF PENNSYLVANIA: . SS. COUNTY OF CUMBERLAND I, ETHEL M. BAKER, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law do hereby acknowledge that I signed and executed this instrument as m;/ last will; that I signed it willingly ac,d that I signed it as my free and voluntary act for the purposes therein contained. _~t_4i._l ~. l~~.G;.,_ ETHEL M. BAKER Sworn to or affirmed to and acknowledged before me by ETHEL M. BAKER, the Testatrix, this _.~~ ___ d a y o f ~~ C ~,~, ~ ~~ 2 0 0 8. ~~' COMMONWEALi H OF PENNSYLVANIA )J ~-~ ;ti, r~~ N) lAL Notary Public BROOKE E. FEL..PPA, Notary Public New Cumberland Moro. Cumberland Co. M Commission 6 fires June 6, 2012 Page 3 of 4 COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND We , v ~`? ~1 ~-and ~e(`c(\ ~~-~t' ~. 10. the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw Testatrix sign and execute the instrument as her last will; that Testatrix signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; that to the best of our knowledge, the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. Sworn to or affirmed to and acknowledged before me by ~ ~~.~ ~. S~ c)r~Q, and _ ~'e,I~Y~ ~ r- ~ ~ ~~K~ ~kn / witnesses, this ~ day of ~~-~,(}( ! 2008 . -~\~ ~ COMMONWEALTH OF PENNSYLVANIA Notary Public BROOKE E. FEL.i=PPA, Notary Public New ambertand Sao. Curiberland Co. CanMsslon Jura 6 2012 Page 4 of 4 Jan, 6. ~C" ?:'~~P~ PNC BANK 412-705-2747 ~PNC January 6, 2011 David H Stone Esq. Stone Lafaver & Shekletski Attorneys at Law 414 Bridge St POBoxE New Cumberland, PA 17070 RE: Ethel M Baker SSN: 193-14-771 S DOD; 11-30-2010 Dear Mr. Stone: No, 6876 P, 1%2 In response to your request for Date of Death (DOD) balances for the customer noted above, our records show the following: Certificate of Deposit Account # 31300315897 Established: 07-11-2007 ETHEL M BAKER DOD balance: $ 7,523.22 + 4.75 accrued interest Accou~zt # 31900327079 Established: 04-17-2008 E7HEL M BAKER DOD balance: $ 25,262.45 + 12.52 accrued interest Account # 31900327314 Established: 04-25-2008 E'THEL M BAKER DOD balance: $ 35,423.43 + 6.99 accrued interest Checking Account Account # 5140(}02369 Established: 01-01-1978 CLARK S BAKER ETHEL M BAKER DOD, balance: $ 329.10 + 0.00 accrued interest 11tA Account Account # 65001010493 ETHEL M BAKER DOD balancer $ 18,925.61 + 13.33 accrued interest Established: 02-23-1995 Page 1 of 2 Jan, 6. 2011 ~; ~'~~~Vl PNC BANK 412-705-2747 No. 6876 P. 2/2 Safe Deposit Boz The decedcnt maintained safe deposit box # 111 B CLARK S BAKER ETHEL M BAKER Coasted at: New Cumberland Branch 331 Bridge 5t New Cumberland, pA I7070 (71'7) 774-2982 please note that this office provides date of dcath balances for deposit accou~s (IItAs, CDs, Checking and Savings). We do ~aot process any fiaaaclal tntnsactions or provide statements. If you need assistance with any of these items, please call 1-888-PNC-SANK (1-888-762-2265) or stop by your local PNC Bank branch office. Sincerely, National Financial Services Center PNC Bank, N.A. Member FDIC This message is ir~te»ded for the use of the individual or entity to which it is addressed and may contain information that is privilegea~ con,~idential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient or the empdoyee or agem responsible for delivering this message to the intended recipient, you are hereby notifted that arty dissemirsation, distribution or copying of this communications is strictly prohibited. If you have received this communication in error, please notify me immediately by reply or bylelephone at 800-76Z-1775 and immediately destroy this faxed document. Page 2 of 2 Sovereign Lourt Vrdered -'rocessing \ Decedents - MA1-MB3-02-10 - P. O. Box 841005 -Boston, MA 02284 December 22, 2010 Stone LaFaver & Shekletski 414 Bridge Street New Cumberland, PA 17070 RE: Estate of Ethel M. Baker Date of Death: 11/30/10 Dear Ms. Mearkle: Per your request, enclosed please find the account information as of the date of death for the above-named decedent. For your information, accrued interest is not included in the date of death balance. Please feel free to contact me if I can be of any further assistance. Very truly yours, ~~~ ~~~ Helen Alboth~ Lead Specialist 617-514-5189 Sovereign Bank ESTATE OF Ethel M. Baker SOCIAL SECURITY #: 193-14-7718 DATE OF DEATH: November 30, 2010 Account #: 0771027974 Type: Checking Open date: 6/7/1993 In the name of: Clark. S Baker or Ethel M Baker Date of Death Balance: $2,519.77 Int.(YTD) from 1 / 1 /2010 to 11 /5/2010 $1.12 Accrued interest to date of death: $0.01 Other Info: Account #: 0774042444 Type: Statement Savings Open date: 6/7/ 1993 In the name of: Clark S Baker or Ethel M Baker Date of Death Balance: $6,451.56 Int.(YTD) from 1 / 1 /2010 to 11 /5/2010 $10.88 Accrued interest to date of death: $1.40 Other info: Account #: 0775290976 Type: In the name of: Ethel M Baker Date of Death Balance: Int.(YTD) from 1 / 112010 Accrued interest to date of death: Other Info: CD $31,481.17 to 7/11/2010 $140.91 Account #: 0775544703 Type: In the name of: Clark S Baker or Ethel M Baker Date of Death Balance: Int.(YTD) from l / 1 /2010 to Accrued interest to date of death: Other Info: CD $0.00 2/24/2010 $0.00 Open date: 8/1 1/2001 479-17 Open date: 2/23/2009 . $662.22 Account #: 0775546252 Type: In the name of: Ethel M Baker Date of Death Balance: Int.(YTD) from 9/14/2010 Accrued interest to date of death: Other Info: CD Open date: 9/ 14/2010 $10,026.20 to 11 /30/2010 $0.00 $26.19 Page 1 of 1