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Home My WebLink About11-04-11_,_._~ r 1505610143 OFFICIAL USE ONLY J REV-'1500 Ex (~,_,~) County Code Year File Number PA pepartmen~ of Revenue Pennsylvania Bureau of Individual Taxes DEPARTMENT OF REVENUE 0 2 18 Po Box.2aospl INHERITANCE TAX RETURN 21 11 Harrisburg, PPi 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMA ION BELO Date of Death Date of Birth Social Security Number 02 05 2011 10 24 1928 203 20 9476 MI Suffix Decedent's First Name Decedent's Last Name I B . WETZEL (If Applicable) Enter Surviving Spouse's Information Below MI Suffix Spouse's First Name Spouse's Last Name Spouse's Social Security Numlber THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ^ 2 Supplemental Return ^ 3. Remainder Retum (date of death ® 1. Original Retum prior to 12-13-82) 4a. Future Interest Compromise ^ 5. Federal Estate Tax Retum Required ^ 4. Limited Estate ^ (date of death after 12-12-82) s Decedent Died Testate ^ ~~ q~~ dopy of Trust)a Living Trust 1 S. Total Number of Safe Deposit Boxes ® (Attach Copy of Will) 10 Spousal Poverty Credit (date of death ^ 11.Election to tax under Sec. 9113(A) ^ 9. Litigation Proceeds Received ^ between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIADaytime Telephone NumbereE DIRECTED TO: Name 717 838 6348 GERALD J BR'IINSER REGISTER OF ~NILLS USE ONLY c~ _ _ - - First line of address I' I ~~ ~` 6 E MAIN STREET '", ,, •• --. _-... Second line of address _' `I`f ,. -~" P O BOX 3 2 3 DAi'E, FIiIED_: y '-` '_ri State ZIP Code ,~ ~-' ~ ~~ City or Post Office [ -' PA 17078 ~`' PALMYRA Correspondent's a-mail Under penalties of perjury, I c it is true, correct and complei 560 Marlborough ~-venur SIGNATURE OF PR~ARER OTHEP, TI-IAtJ TIVE Gerald J Brinser /!..`3 I~ ADDRESSi ~ / 6 E Main Street, F~almyra, PA 17078 Side 1 150610143 ferry@bwzlaw.com on of preeparer other than thelpersonalaep esentative s based on adll In~fofmation of SIC prepares has any kndowledge.~l1e~_ DATE M. Garrett f t•Iarrisburo. PA. 171'11 1505610143 ,~ -- ~` 1505610243 REV-1500 EX oeceaenrs Nama: W E TZ E L, B. I M O G E N E Decedent's Social Security Number RECAPITULATION 2 0 3 2 0 9 4 7 6 1. Real Estate (Schedule A) .............................. ............................................................ 1. 2. Stocks and Bonds (Schedule B) ..................... .......................................................... 2. 7, 6 6 4. 6 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. 3 1 9 , 5 6 7 . 7 7 6. Jointly Owned Property (Schedule F ^ Separate Billing Requested ............. 6. 7. Inter-Vivos Transfers t£ Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested ............. 7. 199,599.83 8. Total Gross Assets (total Lines 1-7) ....................................................................... 8. 526,832.22 9. Funeral Expenses 8 Administrative Costs (Schedule H) ......................................... g, 30,961.56 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................................ 10. 4 , 4 6 6.01 11. Total Deductions (total Lines 9 & 10) .............. ........................................................ 11. 12. Net Value of Estate (Line 8 minus Li 35, 427.57 ne 11) ............................................................. 12. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been d 4 9 1 , 4 0 4 . 6 5 ma e (Schedule J) ................................................. 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ............ .................................... 14 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RAT 4 91 , 4 0 4 . 6 5 ES 15. Amount of Line 14 taxable at the spousal tax rate or , transfers under Sec. 9116 (a)(1.2) X .00 16. Amount of Line 14 taxable 15. at lineal rate X .045 4 91 , 4 0 4. 6 5 16. 17. Amount of Line 14 taxable 2 2, 1 1 3. 2 1 at sibling rate X • 12 18. Amount of Line 14 taxable 17. at collateral rate X .15 18. 19. Tax Due ......................... ............................................................................. .............. 1 s. 2 2 , 113.21 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT . Side 2 1505610243 1505610243 REV-1500 EX Page 3 Decedent's Complete ~-ddress: Wetzel, B. Imdgene (ADDRESS Messiah Villak~e 100 Mt. Allen (Drive cITY Mechanicsbutt Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A• Prior Payments B. Discount 3. Interest File Number 21 - 11 - 0218 ZIP PA ~ 17055 (1) 22,113.21 14,000.00 736.84 Total Credits (A + B) (2) 14, 736.84 (3) 0.00 4. If Line 2 is greater than Lin 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 }han Line 2, enter the difference. This is the TAX DUE. (4) (5) 7,376.37 (Make Check Payable to: REGISTER OF WILLS, AGENT. 7 °t. }'f~:.r ~ '.:~ . :. r ... } i' •?'1~1(~ I'`~ ... "'i ~ rt'„~. i..i~`.y~ .. ~b!~~" ~Y`4 x ~ ~ S hk • c i PLEASE ANSWERTHE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No e use or income of the property transferred;.... .............................................................................. b. retain t c. retain aloe right to designate who shall use the property transferred or its income :.................................... a 'reversionary interest; or ...................... ......................................................................... d. receive khe promise for life of either payments, benefits or care? .................. .......................................... . 2. If death occu ed after December 12, 1982, did decedent transfer property within one year of death without receiving ad uate consideration? ............. a ^ ........................................................................................... 3. Did decedent bwn an "in trust for" or payable upon death bank account or security at his or her death?......... 4. Did decedent~wn an Individual Retirement Account, annuity, or other non-probate property which contains a be eficiary designation?............ ~ ^ . ....................... .. IF THE ANSWER TO ANY OF HE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after Ju 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. §916 (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 requirements for disclosure of assets and filing a tax retturn are till applicable even if the surviving spouse is the only beneficiary. For dates of death on or after Jul 1, 2000: • The tax rate imposed on the netwalue 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)]. • s bang Is defined u der Sect ont~102 as an indiV tlual whothasuat least one padrent inscolmmon withphe decedent wfiether by b ood oAadoption. COAYdONWEALTH OF PENNSYLVANIA '~ INHERRANCE TAX RETURN ' RESIDENT DECEDENT ' ESTATE OF Wetzel, B. Imogene SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21 - 11 - 0218 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 oh schedule F. ITEM -- NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 PNC Bank -Money arket Account #50-0190-2893 (Includes accrued in~erest of $1.32) 21,009.11 2 PNC Bank - Checking Account #50-7002-9346 4,821.99 3 Fulton Bank - Certifi ate of Deposit #328-0178234 (Includes accrued interest of $92.27) 15,783.29 4 Fulton Bank - Certificate of Deposit #328-0178235 (Includes accrued interest of $92.27) 15,783.37 5 Fulton Bank -Certific to of Deposit #328-0178236 (Includes accrued interest of $92.27) 15,783.37 6 Fulton Bank -Certific to of Deposit #328-0178237 ~ (Includes accrued int rest of $43.79) 7,491.09 7 Fulton Bank -Certific to of Deposit #328-0203420 (Includes accrued interest of $2.62) 5,442.72 8 Fulton Bank -Certific ~ to of Deposit #328-0203454 (Includes accrued inte est of $7.44) 9,707.02 9 Principal Financial Group -Interest Draft Account #590003651 (Includes accrued interest of $84.25) 113,591.94 10 Mid Penn Bank -IRA Account #1131599004 (Includes accrued intertest of $359.07) 66,289.60 11 Heritage Investment Services Fund -Account #1004185 37, 561.32 TOTAL (Also enter on Line 5, Recapitulation) COMdoNWEALTH OF PENNSYLVANIA INHERRANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY continued ESTATE OF Wetzel, B. Imogene FILE NUMBER ~'!1-11-0218 mctutle the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must he disclosed o~ schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 12 Two (2) Rings & Twq (2} Pocket Watches -Appraised Value 725.00 13 Cash on Hand 4, 000.00 14 Miscellaneous Coins,- Appraised Value 145.38 15 Social Security Checlk 1,231.00 16 Capital Blue Cross - f~efund of Premium 201.57 Page 2 of Schedule E COMMONWEALTH OF PENNSYLVANIA SCHEDULE G INHERITANCE TAX RETURN RE INTER-VIVOS TRANSFERS & SIDENT DECEDENT MISC. NON-PROBATE PROPERTY ESTATE OF Wetre I, B. Imogene FILE NUMBER 21 - 11 - 0218 Thi h d s sc e ule must completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. ITEM NUMBER DE Include the name of and the date of transf CRIPTION OF PROPERTY a transferee, their relationship tc decedent r. Attach a copy of the deed for re l t t DATE OF DEATH VALUE OF ASSET DECDF:S EXCLUSION (IF APPLICABLE) TAXABLE VALUE a es a e. INTERE:tT 1 N ew York Life -Ann ity No. 52127860, with grandson e5,asa.ss 100°/ Joseph Garrett, na , ed as beneficiary. ~ 85,464.36 2 Wachovia/Wells Far o -IRA Account #255741006035008 ,with daughter, Collette Garrett, 65,o2s.2s 1 pp°~, 65,025.25 named as beneficia 3 Erie Family Life Insu~ ance -Non-Qualified Annuity 25,582.61 1 Op% #291-640, with gran son, Joseph Garrett, named as 25,582.91 beneficiary. 4 Erie Family Life tnsu~ ance -IRA Account#605-565 ras2~s1 100% , with grandson, Jose h Garrett, named as beneficiary. 23,527.31 TOTAL (Also enter on line 7, Recapitulation) I 199,599.83 COMMONWEALTH OP PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT i SCFEDULE H FUNERAL ExPENSES & ADMNSTRATNE C06T5 ESTATE OF Wetzel, B. Imogerhe FILE NUMBER 21 - 11 - 0218 ebts of decedent must be reported on Schedule I. ITEM NUMBER FUNERAL EXPENSE DESCRIPTION AMOUNT A. 1 Myers Funeral Horr{le 9,976.00 2 Funeral Luncheon ' 138.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City ' State Zip Year(s) Commission aid 2. Attorney's Fees B~inser, Wagner & Zimmerman -- Gerald J. Brinser 3. Family Exemption: (If d~cedent's address is not the same as claimant's, attach explanation) Claimant I Street Address City I State Zip Relationship of Clai ant to Decedent 4. Probate Fees Regi~ter of Wills (Ctrs. Pd. $90.00 = $25,000 - $50,000) 5. Accountant's Fees 6. Tax Retum Preparer's Fees 7. Other Administrative Coss 1 Register of Wills -Additional Cost of Letters TOTAL (Also enter on line 9, Recapitulation) 20,000.00 165.50 270.00 30,961.56 Schedule H COMMONWEALTH OF PENNSYLVANIA Funeral ~'7^'• ""'~ INHERITANCE TAX RETURN I ~~~~ f+..~a~ RESIDENT DECEDENT l~{Jli~ ESTATE OF Wetzel, B. Imogene 2 Cumberland Law J urnal -Legal Advertising 3 The Sentinel - Lega Advertising 4 Herbe's Jewelers - ppraisal of Rings & Pockets Watches 5 Notary Fees 6 Certified Mail Fees ( .59/6.23) 7 Vital Records -Six ( )Additional Death Certificates for Imogene Wetzel 8 Vital Records - (2) D ath Certificate for Milo Wetzel 9 Register of Wills - Fil'ng Fees for Inventory and REV-1500 FILE NUMBER 21 - 11 - 0218 Page 2 of Schedule H 75.00 134.44 84.80 4.00 11.82 54.00 18.00 30.00 REV-1513 EX+ (11-06) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF Wetzel, B. Imogel ~e NUMBER NAME AND AD RESS OF PERSONS () RELATIONSHIP TO DECEDENT RECEIVI G PROPERTY Do Not List Trustee(s) I~ TAXABLE DISTRIBUTIO S[include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)J 1 Collette Garrett ~ Daughter 403 First Street Summerd l PA 1 7 a e, , 093 2 Joseph Garrett ~ Grandson 560 Marlborough A enue Harrisburg, PA 171 1 I FILE NUMBER _ 21-11-0218 SHARE OF ESTATE AMOUNT OF ESTATE (VI/ords) ($$$) Schedule G, Item 2 Schedule G, Items 1, 3 & 4; Residue 65,025.25 426,379.40 Eller dollar amounts for dis ributions shown above on lines 15 through 18 on Rev 1500 cover sheet, as appropriate. III NON-TAXABLE DISTRIBU IONS: A. SPOUSAL DISTRIBUTI NS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00 LAST WILL AND TESTAMENT OF B. IMOGENE WETZEL 31 I, ~. IMOGENE WETZEL, of 740 Oalc Oval, Mechanicsburg, (Upper Allen~I'ownship), Cumberland County, Pennsylvania, make, publish and declare this as and for my Last Will and Testament, hereby revolting all other Wills ar~d Codicils heretofore made by me. FI ST: I direct that all inheritance, estate, transfer, succession and death tars, as well as my just debts and funeral expenses, of any kind whatsoever, vv~hich may be payable by reason of my death, shall be paid out of the principal ~f my estate as the same can conveniently be done. S COND: I give, devise and bequeath all the rest, residue and remainder of ~{ny estate of whatever nature and wherever situate, including anv property ~ver which I hold power of appointment and together with any insurance poli~Cies thereon, unto my grandson, JOSEPH M. GARRETT, of Mechanicsburg, Pennsylvania, proti~ided trat should JOSEPH M. G,ARRETT predecease m~, I give and bequeath the rest, residue and remainder of my Estate unto m~y granddaughter, SUZANNE L. GARRETT, my granddaughter SARAH GAR~RETT and my grandson, PATRICK GARRETT, share and share alike. T IRD: In addition to all powers granted to them by law and by other provisions of this Will, I give the fiduciaries acting hereunder the following pow rs, applicable to all property, exercisable without court approval and effective until actual distribution of all property: (~.) To sell at public or private sale, or to ].ease, for anv period of time, anv real or personal property and to give options for sales, ex- changes or le~ses, for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the ~ower to give legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition. (1~) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivision, improvement, zoning or management of~real estate and to impose or extinguish restric- tions on realstate. (~) To compromise any claim or controversy and to abandon any property wvhich is of little or no value. (1~) To invest in all forms of property, including stocks, 3 common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduciaries, as are deemed proper, without regard to any principle of diversification, risk ar productivity. (E) To exercise any option, right or privilege granted in insurance pol~cies or in other investments. (F~ To exercise any election or privilege given by the Federal and other tax ,laws, including, but not necessarily being limited to, personal income, gift a~d estate or inheritance tax laws. (C~) To make distributions to my herein named beneficiaries 2 in cash or in ~Cind or partly in each. (i-1) To borrow money froth themselves or others in order to pav debts, ta~Ces, or estate or trust administration expenses, to protect or improve any property held under my will, and for investment purposes. (~) To select a mode of payment under anv qualified retire- ment plan (piension plan, profit sharing plan, employee stock o~~~lersllip plan, or any ~ther type of qualified plan) to the extent provided for by the plan or the law. I nominate and appoint JOSEPH M. GARRETT, Executor, of his, my Last Will and Testament. I direct that my Executor and his succejssor, shall not be required to post security or a bond for the performance bf their duties in any jurisdiction. IN WI~'NESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this / ~ day of May, 2005. -(SEAL) B. IMOG E WET L Signed,l~ sealed, published and declared by the above-named Testa- trix as and fo~ her Last Will and Testament in our presence, who, at her request, in her presence and in the presence of each other, have hereunto subscribed o~r names as attesting witnesses. /' Address I [?"s Name P _ Address /~o~ Name 3 --- - ---,.- ,.------ RETAIN FOR YOUR RECORDS :: ~~ :::::Ely. :. ' ..::T . ' ::::f~~ ..'' .''isti~l^f7!! . YJ~~~2~~~/r.4F'i!RAF:ilTiw''~~'~.~>itiii:EEE:::EE::E:EEiEt:':;E:iE:i::::ii::3E:E::::i ~:::::t'::E:t~:::::<' :`:t ::::::::::~ ~~. SHAREHOLDER OF TRANSACTION DESCRIPTION J.C. PENNEY CG~IIPANY INC DMDEND INVESTOR /D CUSIP ACCOUNT KEY ISSUEfCLASS OF STOCK RECORD DATE PAYABLE DATE 12528148888 001 750 7081 10 WETZEL-BESSI0000 COMMON 07!0812011 08/01/2011 RATE PER SHARE CERTIFICATED SHA ES BOOK-ENTRY SHARES GROSS AMOUNT TAX WITHHELD CURRENT DIVIDEND $0.2000000 4 0.0000 $0.80 $0.00 $D.80 DIVIDEND PAID YEAR TO DATE T WITHHELD YEAR TO DATE TAX IDENTIFICATION NUMBER please detach and retain this form for your records $2.40 $0.00 ON FILE . Historical Prices fret Hietorkal Prices for: GO ~'. Set Date Range ~ ~,i; Daily Skirt Date. Feb 5 .2011 ii Eg. Jan 1, 2010 ; _', Weekly End Date: Feb 5 ; 2011 (.,` Monthly ~ t Prices Dividends Only ! First ~ Previous ~ Next ~ Last , Prices ~ Date Open High Low Gose Volume Adi Gose' Feb 4, 2011 31.06 31.75 .90 31.59 4,030,200 31.24 Close }rice a ' sled ford' ends end splits. ~ First ~ Previous ~ Next ~ Last !~ Download to Spreadsheet Currency in USD. II ,33 Copyright 92017 Yahoo! Inc. All rights reserv~d. Privacy Policy -About Our Ads -Terms of Service -~ CopyrigtrtllP PouCy -Send Feedback - Yeh001 NBW9~ Ne1WOrk ~~~~ _ _.._._..._......~........_~.._........- quotes delayed, except where indicated oth rwise. Delay Ames are IS mina far NASDAQ, NYSE and Amex. See also delay times for other exchanges. Ouotes and other information supplied by independent providers idersbfred on the Yahoo! Finance pa r page.Quotes are updated aulomabcalty, but will be lumed oft after 25 ntinures of inactivity. 4uotes are delayed at least 15 rtonutas. All information provded 'as is' for informational purposes ony, not in ndetl Por trading purposes or advice. Netther Yahoo! nor eny M independent providers is liable for any inform»tional errors, incompleteness, or delays, or for any actions taken in reliance on iMOrnation conta Hari herein. By accessing the Yahoo! site, you agree not to redistribute the information found therein. Fundamental company data prortded b1r Caprfal 10. Historical chart dais and deity updates provided by Commodity Systems, Inc. (CSI). International historical char data. daily updates. iund sumrtrery, fund performance; dividend data and Morningstar 1 dez data provided by Morningstar. Inc. http://finance.yahoo.cor~i/q/hp?s=JCP&a=01 &b=5&c=2011 &d=01 &e=5&f==2011 &g=d 9/21 /2011 I'i- ,:, May 9, 2011 Brinser, Wagne Attn: Gerald J. 6 East Main Stt Second Floor East Main & So Palmyra PA 1 II BNY ME LLON & Zimmerman Railroad Streets RE: PENNSL ANIA INVESTORS QUALITY EXEMPT TRUST SERIES 2 A/C: 0263139 N/O: B IMOG NE WETZEL RE: PENNS VANIA INSURED MUNICIPAL INCOME TRUST SERIES 94 A/C: 0229482 N/O: B IMOG NE WETZEL Dear Mr Thank you for The date of de the values for follows: Fund & Series Q-PAo2 Q-PAo2 Q-PAo2 I-PA94 I-PA94 I-PA94 it recent inquiry concerning the referenced Unit Investment Trust accounts. value, as requested, was on anon-business day. Therefore, we have provided business day before and after. The per unit value of the referenced fund was as Trade Date Units Bid Price Accrued Interest 02/04/2011 10 $36.40 $1.27 02/07/2011 10 $36.38 $1.27 05/06/2011 10 $35.90 $1.33 02/04/2011 8 $11'].63 $2.34 02/07/2011 8 $117.53 $2.35 05/06/2011 8 $119.05 $3.25 i P. O. BOX 463 EAST SYRACUSE, NEW YORK 13057-0463 "Calculated Value of'Your Paper Savings Bond(s) Page 1 of 1 s''~ Calculated ~/alue of Your Paper Savings Bond(s) Calculator Results for Redemption Date 02/2011 Total Price '~ Total Value Total Interest YTD Interest $1,850.00 '~, $6,234.76 $4,384.76 $91.60 Bonds: i-10 0~ 10 Serial S eries Den issue Next m Fina! Issue Interest Interest Value Note # Date Accrual Maturity Price Rate NA EE $1,0 0 08/1986 08/2011. 08/2016 $500.00. $1,354.80 4.00%' $1,854.80 NA EE $5 0 05/1988 05/2011, 05/2018 $250.00 $520.40 ! 4.00% $770.40 NA EE $5 0;06/1988 06/2011 06/2018 $ 250.00 ; $520.40 ': 4.00% $770.40' NA EE $5 0 07/1988 07/2011; 07/2018 . _ $250.00 $520.40 . ' 4.00%: $770.40 NA EE $5 0 07/1988 07/2011 07/2018 $250.00 $520.40 4.00% $770.40 NA EE $1 0:08/1986,08/2011; 08/2016 $50.00! $135.48 : 4.00% ___ . $185.48 NA EE $1 0 08/1986 08/2011 08/2016. $50.00: $135.48 4.00% _. $185.48 NA EE __ $1 0 08/1986 08/2011. 08/2016 $50.00'' $135.48 4.00% $185.48 NA EE $2 0 08/1986 08/2011' 08/2016 $100.00 $270.96 4.00% $370.96 NA EE $2 0.08/1986 08/2011; 08/2016 $100.00. $270.96 '. 4.00% $370.96 Totals for 1 0 Bonds $1,850.00'. $4,384.76 ,_ $6,234.76 NI Not Issued NE Not eligible fo payment P6 Includes 3 mo th ,interest penalty MA Matured and not earning interest httn://www.treasurvd Ilrect.~ov/BC/RRCPrice __ - 9/i S/?(11 i ~.i1t,~nBank LISTENING IS JUST THE BEGINNING."' March 11, 2011 Law Offices '~ Brinser, Wagner Zimmerman A Professional C rporation 6 East main Stree -Second Floor (East Main & So h Railroad Streets) P.O. Box 323 Palmyra, PA 323 'I Dear Mr. Brinser, B. Imogene Wetzel, deceased February 5, 2011 In response to our recent inquiry concerning the accounts maintained in the name of the decedent, ple e be advised that the following accounts were open at the date of death: CD# DA B E OF DEATH ACC LANCE INT RATE OPEN ROLL OVE MATURITY 328-0178234 $15, 691.02 $92.27 1.00% 1/6/03 7/(i/10 1/6/12 * Titled in her n e alone with Gerald J. Brier as Power of Attorney 328-0178235 $15, 691.10 $92.27 1.00% 1/6/03 7/6/10 1/6/12 * Titled in her n e alone with Gerald J. Brinser as Power of Attorney 328-0178236 $15, 91.10 $92.27 1.00% 1/6/03 7/6/10 1/6/12 * Titled in her n e alone with Gerald J. Brinser as Power of Attorney 328-0178237 $7, 47.30 $43.79 1.00% 1/6/03 7/6/10 1/6/12 * Titled in her n e alone with Gerald J. Brinser as Power of Attorney 328-0203420 $5, 40.10 $2.62 0.80% 5/14/03 11/14/10 11/14/12 * Titled in her n e alone with Gerald J. Brinser as Power of Attorney 328-0203454 $9, 99.58 $7.44 1.00% 7/8/04 7/8/10 1/8/12 * Titled in her n e alone with Gerald J. Brinser as Power of Attorney If you have any Sincerely, `~A ~f Joshua A. Groff Credit Confirma er questions, please feel free to contact me at (717) 291-2436. ~1~~~~ This irformafion is furnished as a matter of business courtesy in answer .o your inc~,r;ry, anu is fer ycur ccnfidentiai use only. Tfra ~aank 7urnishing this infiLrmation does nod repr2send or guarandee tt;e accurac,1, c.^mpiefeness or r~ii317i!ity t)f the n Processor information prcvidn~#. rv'r~ res~4nsibiliiry is a3SUrnecf by the band or any of iij officerv, ei~'I~io;gees or ay~nts. Any opinion harain exGrQSSQd is sunecd to change rridhoud notice. 1.800.FULTON.4 • fultonbank.com Fulton Bank, N.A. Member FDIC. Member of the Fulton Financial Family. ~. Bank March 14, 2011 Gerald Brinser 6 East Main Street - PO Box 323 Palmyra, PA 17078 Re: B. Imogene We Interest Draft Accou Dear Gerald: The following i Account N 590003651 Primary beneficiary Floor - Deceased is being provided as requested by you far the Estate of B. Imogene Wetzel: t~aiance Accrued Interest DOD Val $113,899.94 $84.25 $113,591.94 **No additional acco~nts found In addition we require raised seal certified copy or original death certificate in order to complete the payout process. If you have any questions or would like more information, visit our website at principalbank.com or all 1-800-672-3343. Our personal bankers are here to assist you from 7 a.m. to 9 p.m. (Central Tim ), Monday through Friday excluding holidays. Sincerely, 'I Deposit Operations Principal Bank Jlw Des Mo nes, IA 50392-0040 / (800) 672-3343 / www.principalbank.com Member FDIC /Equal Housing Lender A member of the Principal Financial Group® March 15, 2011 Law Offices of ' Brinser, Wagner & Zimmerman PO Box 323 Palmyra, PA 3231 Re: Est to of B. Imogene Wetzel Dat of Death: 2/5/2011 SSN: XXX-XX-9476 Dear Mr. In respon a to your recent letter requesting information on the accounts of B. Imogene Wetzel, have accumulated the necessary data below: Account 1~Vame: B. Imogene Wetzel Account :1131599004 -IRA Balance OD: $65930.53 Balance ccrued Interest DOD: $359.07 Total DO Balance: $66289.60 Date Join Ownership Established: N/A Account eneficiary: Estate of B. Imogene Wetzel If you have any questions, please contact me at (717) 896-5381 Sincerely, ~_ ,-. , .~ Jessica Kerwin Deposit Processing Specialist ill i 349 Union Street, Mill rsburg, PA 17061 1-866-bHAPPEN • 1-877-9HAPPEN • www.midpennbank.com Member FDIC V r ... --~--~---~.,-~--~-T~ -- - ~- ~---~_ ,~ ,r ^ HERITAGE INVESTMENT SERVICES FUND March 8, 2011 Gerald J Brinser, Esq. Brinser, Wagner & Zimmerman P.O. Box 323 Palmyra PA 17078 RE: B. Imogene Wetzel/DOD: 2/5/11 Dear Mr. Brinser: Thank you for your letter dated 3/3/11. The date of death balance for the above-named depositor is $37,561.32. There is only one active account, Note #1004185. Note #1002280 was closed on 10/28/2010. 1 have enclosed a copy of the original application, statement showing balance as of 2/5/11 and supporting documents for the closing of Note #1002280. Please call me if you have any questions. Also, we did not receive a death certificate which was to be enclosed in your 3/3/11 letter. Please forward a copy to our office. Thank you. Sincerely, f A , ,~ ~ ~(J/' Denise Folk Administrative Assistant Enclosures ;_. ,. _ , - 4651 Westport Dr Mechanicsburg PA 17055 II (717) 796-9784 B Imo ene 9 etzel 222 Messia Cir # 278 Mechanicsb rg PA 17055-8619 Account Rate Matur s 1004185 2.50°/, N/A De osits $0.00 Page 1 Interest Withdraws $79.51 $0.00 .GE INVEST~I~I;NT :`~'IC~S ~UNll '~'C51'rtiellt lltctt it'OPl~S Feb 05, 2011 Penaltles $0.00 Balance $37,561.32 $37,561.32 ~~prai~aC HERBE PEELERS When Owl~y ~ Service Go Hand In Hand. 42 E. MAIN STREET PALMYRA~ PA 17078 Phone 717.538-1p41 1331 TO WSOM MAY CiONG'ERN: This is to ce that we are engaged in the jewelry business, appraising diamonds, watches, jewelry and Precious stagy of all descaiptions. We herewith ce ify that we have this day carefully examined the following listed and described articles, the property of: NAME ADDRESS We estimate the Federal and oth articles. lue as listed for insurance or other purposes at the current retail value, excluding taxes. In making this Appraisal, we DO NOT agree to purchase or replace the [ L~ DESCRIPTION l`~~5 r T'-' ~~~1 ~4~ I~IHJ~ ~~~~~(j/{„~ APPRAISED~LTE ~cccZ. ~~a-SON c~- ~Ttla~s C.y s~ rn~.ss~ ~es~ ~ a~~ w ~ ~ ~-~ T szuc~ts ~ ~ ~ wR ~~~ tit.) U~Qt[i C`t'~ `~o~ t - C~o~ -F'~ .~ po~~- t~Rrnl(.~ w,A'~`t~~ ~~,p,c t ~t ti5 ~ Y~nc~t~Ml3~~' l ~ Wc~2kr ~ C'ct o~, foregoing Appr respect to any is made with the understanding that the Appraiser asiumes no liability ~t~h~at maybe taken on the basis of this Appraisal. '1J~ `~ l1 PPRAISER DATE L & R COINS, LLC P.O. BOX 204 ANNVILLE, PA 17003 (717) 228-8553 CUSTOMER'S ORDER NO DATE ~ ~~,~ I" - ~~ +1 NAME ~~ r .f-', A~ ~ I~ ~'-•: ~ 1~ i pMON~( '~' ` ~- ,a ~ r! ADDHES3 -a ~ SOLD BY APPRAISAL I ON ACCT. MDSE. RETD. PAID OUT - - 1 -1 _ _~. _- - ~ ~ -cam ~ ___~__..__.._~_ ~y ,Jy -________.~_-__ K ____ _ iC V __~ _____ __' ~_ ~___- ___________.._ ` t ~ r Cr ,~ ~1 V {r' 1 .e. ------- ------------ --~ 1 1 ----- -F----- _ ------------------------ q~ ----~-- r ------ 1 ~ C ------r-___ ---------- __________________________ ? ~~ rt ~ - ---- 1 1 r~~ ' ----- .~ y~ ~ t4 jI ---- -j--- _ 2 ~ 1 ~ a ,.~ ~~--~41.~ ~.~tr~N ___ r---------------..___ 1~ 1~ ___ = ~'~'~ ~ 1 r ~. ~ r r ,. ---- ---------- ~ -- ---- t:.~ -- - ~ ~t ~ ---- r 1 t- __________ ___~.________ 1 ____-__-_________________..___ ________ ------r. ..___ __________ ____'-----_..__________________..____--'-' ------'- 1 ------T____ All claims and returned goods must be acxompanied by this bill. " r~( Received THANK YOU +~~: Capital B1uieCross 03/03/11 BESSIE I WETZEL C/O THE ESTATE OF BES; ATTN GERALD BRINSER PO BOX 323 PALMYRA, PA 17078-0323 *** Explanation Of Refund *** Refund Reason: SubsrrihF I WETZEL CHECK NUMBER: 30025976 GROUP/SUBGROUP ID: 00900001- IWetzel-800338396 Total Refund Amount: Health care benefit programs issued or administered by and Blue Shield Association. Communications issued by NF-49 (5/2005) $201.57 BlueCross and~w its subsidiaries Capital Advantage Insurance Comparry~ and Keystone Health Plant' Central. Independent licensees of the Blue Cross J BlueCross in Its capacity es administrator of programs and provider relations for all companies. :~: Capital BlueC ® Capita! Advantage Insurance Com rry'serves as clalma on behalf of itself, Capital BlueCross and PaYM9 agent Keystone Hearth Plan' Central Independent Licensees of the Blue roes and Blue Shield Associa[on PAY TO THE ORDER O BESSIE I WETZEL C/0 THE ESTATE F BESSIE I WETZEL ATTN GERALD BRI SER ~-oi PO BOX 323 PALMYRA, PA 170 8-0323 The Bankof New York Mel~On, Philadelphia, PA u' 300 2 5~ ?6n^ i:0 3 L L0004 7~: CHECK NUMBER: ~_4 30025976 31 03/03/11 VOID AFTER 180 DAYS CHECK AMOUNT: ****•*****$201.57 /~ ~~- 2~~f967 636u' TJre Cornp~Zny Yot4 Keep® March 26, 2011 Law Offices Brinser, Wagner Gerald J. Brinser 6 East Main Stret Palmyra, PA 170 Policy Number: Policy Date: Owner/Annuitai Tax C1aSSificati~ Dear Gerald J. Bruns We have received I c requested informa io Primary Beneficiat}y: Accumulation Valthe Zimmerman Second Floor 4 i Winner of the Dalbar Service Award ~ • ~ from 2000-2009 ~ ~ . r 52127860 June 26, 2006 B. Imogene Wetzel, Deceased Individual Retirement Account r request for information on the above referenced policy. Please find the below. Joseph M. Garrett, Grandson as of 2/5/11: $85,464.36 Please note that the death benefit is based on the policy value as of the owner's date of death. New York Life wil apply miscellaneous interest to the death benefit once the claim paperwork is received in good or er. Miscellaneous Interest is applied from the date of death through the first business day after a claim has been processed. Current If you have any c Friday from 8:30 Sincerely, ~.~ ~~ ~ LaToya A. Martin Sr. Service Consulta~ Interest: 2.0P ons, our Client Services Representatives are available Monday through to 5:30 p.m. Eastern Time at 1-800-762-6212. New York Li a Annuity Service Center • P.O. Box 9859 • Providence, RI 02940 • Annuities are issu by New York Life Insurance and Annuity Corporation (NYLIAC) (A Delaware Corporation) Varia le annuities are distributed by: NYLIFE Distributors LLC, Member FINRA/SIPC NYLIAC and NY IFE Distributors LLC are wholly owned subsidiaries of New York Life Insurance Company .r,1 Marli.~nn Ava NPw Ynrk NY 1 ~~1 ~ ~I ~~ Date of Death: 02/05/2011 Valuation Date: 02/05/20 1 Processing Date: 03/21/20 1 i Shares or Par 1) 65025.25 Total Value: Total Accrual: Total: 565, Titled: BESSIE IMOGENE WET2 222 MESSIAH CIR # 2 MECHANICSBUR6 PA Account was opened I~P,(.~S ~p Estate Valuation Bessie Imogene Wetzel High/Ask Low/Bid months (CASH) Estate of: Bessie Imogene Wetzel Account: 257410060350083 Report Type: Date of Death Number of Securities: 1 File ID: 257910060350083 Mean and/or Div and Int Security Adjustments Accruals Value 65,025.25 565,025.25 50.00 ~tfolio Endnotes Page 1 This report was produced with EstateVal, a product of Estate Valuations 6 Pricing Systems, Inc. If please contact EVP S stems at 818 313-6300 or www.ev s s.com. You have questions, ~ Y ( ) P Y (Revision 7.2.0) f~ I _ _ i1j • Erie Family Life ~~ Insura~Ce® Member Erie Insura ce Group Home Office 100 Erie Insurance Place Erie, Pennsylvania 16530 814.870.2000 To I tree 1.800.458.0811 Fax 814.870.2437 www.erieinsurance.com March 7, 2011 Brinser, Wag er & Zimmerman Attn: Attorne Gerald Brinser 6 East Main treet -Second Floor PO Box 323 Palmyra, PA 17078 Dear Attorney Brinser: RE: Estate of B. Imogene Wetzel Annuities: 291-640 and 605-565 Social Security No. 203-20-9476 Please express our condolences to the family of B Imogene Wetzel The informati n that you requested is listed below: #291-640 Type of Acc unt: Non-Qualified Date of Deat Value, February 5, 2011: $25,582.91 Cost Basis: 10,000.00 #605-565 Type of Account: IRA Date of Deat Value, February 5, 2011: $23,527.31 Cost Basis: N A Please note that Ms. Wetzell was the sole owner on the above annuities. I hope this is he] 1-800-458-0811 cc: J. P. Wolfe ptul to you and if you have any questions, please call me at extension 2243 or Melody Bokshan at 2292. Inc., AA7373 Sincerely, S ~~~~,=' ~ZQ~ Sally Austin Sr. Life Claims Specialist Life Policy Administration The ERIE Is Above All In Four Generations... Celebrating Life, Hona~ing Traditions ~~ .ame, inc. ~ . '~ ~~ Other clothing STATEIIIEN'F OF FUNERAL GOODS AND SERVICES SELEC~'ED 17> 766-3421 Charges are only for those items that you selected or that are required. If we ue required by law or by a cemetery• or crematory to use any Items, we will explain in writing below. If you selected a funeral that may rkquirc erobahnl you did not approve if se amttgement~uch as a difectral ~~ vin wotng, y~ouJymtaey have to pay for embalming, you do not have to pay for embalttting For the Service of /yl Q ti .7..1[~~4 G--burial. If we charged for etnbahning~ we ~why~below. Charge to: ~ ~ ,•C,.+(-,. - ~e of DeaUt __ G. A. CHARGE FOR SERVICES SEIJECTED: 1. PROFESSIONAL SERVICES Services of Funeral DirectorVStaff .... ~Gi:. Embalming ...................... + r~~..- Other preparation of body .............. f~ SUB-TOTAL OF PROFESSIONAL SERVICES . ''~',~,.~ ........ Al f""" 2. FACILITIES AND SERVICES Use of facilities and services Ifor viewing (V~ittaUon/Walte)...... ,.~-- _ _ ... f Use of facthtt'lis att$, services for funeramony ......... ... '(, Use of facilities and services for Memorial Service ............ ... f ._._.. Use of equipment and services for gnweside service .......... =~k,~'r'~-- . Other use of facilities .. ........ SUB-TOTAL OF FAC~ILITIES/EQUIPMENT ....... . ... A2 f 3. AUTOMOTIVE EQUIPMENT Vehicle to transfer remains to Funeral H Local ................... f ..... Neese (Casket Coach) . Local .................... L .... i - Ltmousme ... .. Local ........................ ... f "'-"' Family cu Local ..............'.......... ... f ''_" Flower cu or floral disposition '' Local ................. ~ _ r S ~ ....... Lead ~'8y cu Local ... : f . Cu for pallbearers ... L ! BOYD L. r'IYERS, JR., Supervisor 37 E. MAIN STREET ~INICSBLTRC; PA 17055 State t f Cremation urn ................... f (Description) . , OTHER f f TOTAL MERCHANDISE SELECTED.. , ,, B ~~`'•~ rr C. SPECIAL CHARGES: Forwarding of remains to (Funeral Home) f Receiving of remains from (Funeral Nome) _ Immediate Burial ............ . .... i Direct Cremation ................. f SUB-TOTAL OF SPECIAL CHARGES ..: , D CASH AD ........ C i ._._. • VANCED Opening Grave .... '~ Cemetery Equipment ............. . f~'~ Lot and Deed ................... . f --- Newspaper Notices-Local .. , . , ... f,~ O ~ Newspaper Notices-Out-of-town ... . f '- Telephone & Telegrams .. , . , , .... . f ~. Airfare ......................... Clergy/Mass Offering .............. f -^ f ~,2~~ Pallbearers ...................... Certified Copies of the Deat , f ---- h Certificate ..~.2.Q.. ~ ~"a.......... .. d11 '" f~ Police Escort .................... Flowers ........ f j7.;'~"~t Vault Service Charge .............. f f f W oca ........................... f , ~-,+~ f Out of town transportation ........ , f~'~~" ~~ ~~V~'~"' f f f SUB-TOTAL OF ADVAIVC SUB-TOBp f •-^ g Y ES .. ..... D r ~Q ~ Q~ O1fIOTIVE EQUIPMENT.. ............ . .... f ' • • A3 f,~t_ We chu a ou for our servi,~es~,ynNng: . Ff#E'i4I. OF 1'Rt>SIONAL SERVICES, (sP~lly cash advances ti-at are mar~FreduP1 FACrLI"AND AiITO~IiIOTIVE ' (J4 EQU#P`hlENT ................. • ............:.... A f ~1 / B. CHARGE FOR MERCHANDISE S1~LECTEDc .~_ ... ~ j Casket ....... ~1 ...~ ... , ..... f~.c~.r~ - (Description) P Other Receptacle ....... '.,......... f _ _. :. _._ Outer burial container , , ... , f /T.....•..-•...~~ SUMMARY OF CHARGES A . Professional Services, Facilities and Equipment, and Automo[ive Equipment ..................... B. Merchandise . t ~ ~~~ ~ .................... . f ` C . Special Charges .. , , D. Cash Advances ~~ ~ ... , ~ f ~~ ' s .:.. . TOp~L'. pR:ALL SECTI NS, . ARRANGEMENTS .. ~ "~ '~ '~"`: , RECEIPT FOR PAYMENT GLENDA FARNER }3TRASBAUGH Cumberland Cou}~ty - Register Of Wills Receipt Date: 2 17 2011 One Courthouse~Sqquare Receipt Time: 15:53:20 Carlisle, PA X7613 Receipt No.: 1064479 WETZEL B ]~MOGENE Estate File No . : 2011-00218 Paid By Remarks : GERALD J BRINSER I SAP -------'~ - ---- ----- Receipt Distribution ---~- - -------- Fee/Tax Descrip tion Payment Amount Payee Name _ ------ ____ TION LTRS T ~ST WILL SHORT CERTIFICA E 90.00 15.00 CUMBERLAND CUMBERLAND COUNTY COUNTY GENERAL GENERAL FUN JCS FEE AUTOMATION FEE T 23.50 BUREAULO DRECEIPTS G N NT FUN I Check# 23 ~ ----------5_00- CUMBERLAND COUNTY & C R GENERAL M D FUN 90 Total Received. 165.50 ...... 165.50 CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tele: (717) 249-3186 Fax: (717) 249-2863 March 25, 2011 Cumberl nd Law Journal is published every Friday by the Cumberland County Bar Association nd is designated by the Court of Common Pleas as the official legal publication for C mberland County and the legal newspaper for publication of legal notices. TO: Gerald J. Brinser, Esquire ' B. Imogene Wetzel Estate RE: li Legal advertisements must be received by Friday Noon. All legal advertising must be paid in a vance. Make all checks payable to: Cumberland Law Journal. Advertisement i March 11, ~ on the following dates: 18, and March 25, 2011 Advertising Cost $ 75.00 Proof of Publication Second Proof Request Payment received Total Amount Due Payment received k $ 0.00 $ 0.00 $ 0 .00 ~1,` ~ ~~~ $ 75.00 ~' PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWE TH OF PENNSYLVANIA ; COUNTY OF C MRF.RT e>\rn ss. Lisa Mari Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, bei g duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal pe 'odical published in the Borough of Carlisle in the County and State aforesaid, was established J uary 2, 1952, and designated by the local courts as the official legal periodical for the p blication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in th said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the folio ing dates, March ~ 1 March 18 and March 25, 2011 Affiant forth r deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to tim ,place and character of publication are true. isa arie Coyn ,Editor SWORN TO AND SUBSCRIBED before me this 25 of March 2011 r~ Notary Wekzel, H. Imosene a/k/a Heasie Imogene Wetsel, ec'd. Late of Upper Alle Township, Executor: Joaeph .Garrett, 560 Marlborough Ave., arrisburg, pA 17111. Attorney: Gerald J B quire. rinser, Es- NOTARIAL SEAL DEBORAH A COLLINS Notary Public CARl.i$LE BOROUGH, CUMBERLAND COUNTY My Commission Expires Apr 28, 2014 PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland a~uC `.max ice au Sates Mana er of The Sentinel, of the County and. State aforesaid, being duly sw rn, deposes and says that THE SENTINEL, a newspaper of general circulation in e Borough of Carlisle, County and State aforesaid, was established December 13~, 1881, since which date THE SENTINEL has been regularly issued in said County, and t at the printed notice or publication attached hereto is exactly the same as was printed an published in the regular editions and issues of THE SENTINE on the following day(s): Mazch 3, Mar 10 and Marsh i 7 ~n„ COPY OF NO'I~ICE OF PUBLICATION !_ -- ~~e-- ~_ .~ _ _, ~a~a~ Upper",~;"T'be' : gate of d-6~sgwp~Ne ,.~~~"h4v6~"been v- - Affiant further deposes that he/she is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statement as to time, place and character of publication true. ,/ Swor~n~t~o and subscribed before me this ZZ==;' a.~,c~ Z.~ ~ ~~~~~ -- Notary Public My commission expires: NOTARIAL SEAL BAMBIANN HECKENDORN Notary Public CARLISLE BOROUGH, CUMBERLAND CNTY Idy Commission Expires Jan 27, 2014 The Sentinel ww/jw.cumber.l~i/n-k.com (~Of~Jt~1~1/1 t~td P.r CaRli;(E S.~'?EN5El;RG PF.BkvCC`iUN'v f 394685 ~- Publication 3 THE SENTINEL -LEGAL TOTAL AD CHARGE 3 PROOF OF PUBLICATION ZIMMERMAN BRINSER, WAGNER & 6 E. MAIN STREET, 2ND FL. P.O. BOX 323 PALMYRA, PA 17078 717-838-6348 IS 'HAT Insertions 3 AD NUMBER PAGE NO. 394685 1 of 1 BILL DATE SALESPERSON 03/17/11 wolfs START DATE STOP DATE 03/03/11 03/17/11 CLASS LINES 10 PUBLIC NOTICES 24 * 2 cols Rate Net Amount Gross Amount LGL $127.44 - $127.4 01 PRF $7.00 ~~~a~~5 ~'~~ Order Est. B.I. PAY THIS AMOUNT $134.44 $161.33* '~ *AFTER 04/11N 1 Thank you or advertising with The Sentinel! Deadline for c% LEE NEI WSPAPERS in-column I gal ads is 4:00 p.m. two business days prior to PO BOX 540 date of i sertion. For questions, call (717) 240-7130. WATERLOO IA 50704-0540 - fr '- ~ 1AC~ ,~ ate. K„, .~.y 9 V dt > 3+~ t f . . . u..+e.. .. -. ...~..~.. ~' .....,-~,.,..e..o..n..m,s I.t ... ~,...~.~! _ t .., , ~.. ~.,...o,...~..~,.a.,~,~ ~ _.T_' ~ t ~_, . 3 _ .,..w... _-.~,.,~,...1. --~.,... .....,atr.. ..m.ln,nrwas..nsrq.. ~.~°'^a"~+~v~"daL'xxr" ~~v~. cad ~~°°~ ~_ ~~~ ._ ._ _ , ,~ - a ..:; .., - r2 w~s~t=u vs- T .. ,. _ ' t C: a ~' l.. uhs s`T: ¢ 3 iity£s ~2 iv9:~ f7f .~~t t9 tsQ':Y ',7 aD r " ;.iS z.~G T ' t~~ f.F: . )~ Li L a f ~W~"sEf Jt Yo"~ ..^Q t>, c ,..t. £.:SU itti4~ 'hc ~ ~:3 IS .ut; , e,i. a. ~Js:. ~7:fSW(~ ?.:~ 'r ~tUaf 00 ~R. "m:'~ ~" :er':: ~,, , .r_ _ GERALD J. I KEITH D. W, JOHN M. ZIIt KATHY G. Vi In Re: Death Certificate Request September 22, 2011 Division of Vital Records Attn: Death Uni 101 South Merce Street P.O. Box 1528 New Castle, PA 6103 To Whom It May Concern: ;~ ° i, MECHANICSBURG OFFICE MESSIAH VILLAGE 100 MT. ALLEN DRIVE MECHAMCSBURG,PA 17055 PHONE (717)697-4666 This offic represents the Estate of B. Imogene Wetzel, who died on February 5, 2011. Among Mrs. We el's other assets are savings bonds tilted "POD Milo Ray Wetzel", who was her late husband. bonds for the If you LAW OFFICES BRINSER, WAGNER &ZIMMERMAN A Professional Corporation 6 EAST MAIN STREET -SECOND FLOOR (EAST MAIN & SOUTH RAILROAD STREETS) P. O. BOX 323 PALMYRA, PA 17078 ~~ PHONE: (717) 838-6348 ~I FAX: (717) 838-6912 ~, we are requesting a death certificate for Mr. Wetzel in order to cash in those my questions, please feel free to give me a call. Thank you. Very truly yours, ~ Pay To The Ch e t~ FULTON BANK N.A. LISaTENING IS JUST THE B~E/G}I/N~NINyG, r" ,,y,, For FJ . ~'~.©o V V C.( ~': ' ~~ ~l/K1. ~~'00 28 4 n' ~z`~;0 3 L 30 i 4 2 2~: BRINSER, WAGNER &ZIMMERMAN ATTORNEYS T LAW ESCROW AC OUNT P.O. BOX 323 PH. 17-838-6348 PALI11YRA, PA 1 OZR_n~~a 284 ~~ee4.80 ~~ WYw~liw Date 1~ 60-142-373 $ /~? v-o Dollars 8 ~"'"" o..._.d, 0055 98433n~ I ALE1~T' A FINAN CE CHARGE OF 1.50 ~ PER MONTH PHARMACY SERVICES ~NC. (AN ANNUAL PERCENTAGE RATE OF 18 . 0 ~ ) OR A 219 North Baltnnore Ave Mt Holly Springs, PA 17065'.. MINIMUM SERVICE CHARGE OF 1 , 800-266-9954 (717)486-86016 $ 00 WILL BE CHARGED ON ALL AMOUNTS 30 DAYS OR MORE PAST DUE www.alertpharmacy.com STATEMENT OF A~COUNT IF YOU RECEIVE A NEW INSURANCE CARD FOR YOUR PRESCRIPTIONS BE SURE TO SUPPLY US WITH A COPY. Date 0 3 /131 / 2 011 PMT DUE..04/29/11' WETZEL, B. IMOGENE WETZI 30 DAYS. 111.59 ATTN: GERALD J. BRINSER 60 DAYS. 10.81 PO BOX 323 GRP-7W PALMYRA PAGE 1 PA 17 0 7 8 Amount Paid PLEASE DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT ALERT PHARMAC SERV. INC.219 NORTH BALTIMORE AVE. MT.HOLLY SPRINGS, PA 17065 ** THIS AMOUNT AST DUE ** m °- ~, U d U7= 1 C ' ~ , ~ ~ U ~ G ~ ~ ~ ~ >+.~ U tII R ~L c~ ~ .C O a Z ~ ~ N .- Q N O I ~ t- d C .` a ?, O 2 PAST DUE YOUR ACCOUNT IS CONSIDERABLY PAST DUE, PLEASE REMIT ...... TODAY ~, 124.24 .-00 FOR ALL PHARMACY RELATED INQU~RES PLEASE CALLAIert Pharmacy Services, Inc at 1-800-266-9954 Sta ent Terminology on reverse AMOUNT DUE 124.24 _ _ - __ LEl~'~'' A FINANCE CHARGE OF 1.50 ~ PER MONTH PHARMACY SERVICES ZINC. 219 North Baltimore Ave (AN ANNUAL PERCENTAGE RATE OF 18.0 ~ Mt Holly Springs, PA 1706 MINIMUM SERVICE C ) OR A 800-266-9954 (717) 486-8606 HARGE OF $ 1.00 WILL BE CHARGED www.alertpharmacy.co ON ALL AMOUNTS 3 0 DAYS OR MORE PAST DUE STATEMENT OF CCOUNT IF YOU RECEIVE A NEW INSURANCE CARD FOR YOUR PRESCRIPTIONS BE SURE TO SUPPLY US WITH A COPY. Date 03,31/2011 PMT DUE..04/29/11 30 DAYS. WETZEL, B. IMOGENE 111.5 ATTN: GERALD J. BRINSER WETZI 60 DAYS. 10.8 PO BOX 323 GRP-7W PALMYRA PAGE 1 PA 17078 PLEASE DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT Amount Paid ALERT PHARMA Y SERV, INC.219 NORTH BALTIMORE AVE. MT.HOLLY SPRINGS,PA 17065 it ~ ** THIS AMOUNT AST DUE ** m am UE~ a L° _ .I v ~ c co - o ~ ~ a~ .- U .~ G7 U ~ N ~ C t~ ~ .C >, a o ~ rn = aN~ PAST DUE YOUR ACCOUNT IS CONSIDERABLY PAST DUE, PLEASE REMIT ...... TODAY ' ^ v ~wL Gif7ARGES Totd paymMf; i irndgs AMOUNT DUE 124.24 .00 = FOR ALL PHARMACY RELATED INQUI ES PLEASE CALLAIert Pharmacy Services, Inc at 1-800-266-9954 124.24 3tat ment Terminology on reverse I '~-~-5-1 100 MOUNT ALLEN DRIVE, ~MECHANICSBURG, PA 17055 I I GERALD RINSER BRINSE WAGNER & ZIMMERMAN P.O. BOX 23 PAL , PA 17078 Farm PB-01 "`-~"JC'v' ~ UNIT STMT. DATE 79703 277 C 05/31/2011 RESIDENT(S) Mrs. B IMO(=ENE WETZEL TOTAL AMOUNT DUE $1 213.00 DATE DUE 06/30/2011 DATE DESCRIPTION RATE Days/ _. Balance Forwa d units CHARGES CREDITS BALANCE 1,213.00 RESIDENT # CURRENT OVER 30 OVER 60 79703 OVER 90 OVER 120 TOTAL AMOUNT DUE 0.00 0.00 0.00 1,213.00 0.00 $1,213.00 RESIDENT NAME Mrs. B IMOG NE WETZEL 'lease make check payable to Messiah Village. Form PB-01 WA s 1 % finance charge may be assessed n accounts for which payment has not been received by the due date. Thank you! If you have any questions or conce ns about your bill, please address them directly to Fiscal Services at 790-8220. Thank You!