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HomeMy WebLinkAbout11-15-11 (2)1505610140 -J ~' 1500 ~ ~~~-,o, ` ~~~~ County Code Year File Number pAbepartment of Revenue 0 5 8 6 Bureau of Individual Taxes INHERITANCE TAX RETURN 2 1 1 1 PO BOX 280601 RESIDENT DECEDENT Harrisbur PA 17128-0601 ENTER DECEDENT INFORMATION BELODW to of Death MMDDYYYY Date of Birth MMDDYYYY social Security Number 0 4 3 0 2 0 1 1 1 1 0 9 1 9. 1 9 2 0 6 1 0 8 2 6 4 MI Suffix Decedent's First Narc~e Decedent's Last Name R U T H M R I N S E R MI (If Applicable) Enter Surviving Spouse's Information Below Suffix Spouse's First Name Spouse's Last Name Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~ lemental Return ~ 3. Remainder Return (date of death ^ 2. Supp prior to 12-13-82) ~( 1. Original Return ^ ~ 5. Federal Estate Tax Return Required 4. Limited Estate 4a. Future Interest Compromise (date of death after 12-12-82) ^ g, Total Number of Safe Deposit Boxes 0 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust ^ 11. Election to tax under Sec. 9113(A) (Attach Copy of Will) (Attach Copy of Trust) ^ 9. Litigation Proceeds Received 10. Spousal Poverty Credit (date of death (Attach Sch. 0) between 12-31-91 and 1-1-95) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL'fAX INFORMATION SHOULD BE DIRECTED T Daytime Teleph~o,~ne Number _. ~~ Name '~ 1 7 ~ ~ 4 ~ ~1 3; =~ ~ D A V I D H S T O N E S E S Q U I R E ~T,, _~ REGISTEI~DF _ t, S USE 6NLY `" ~. , . ,_•. =~ ~ - `i~ _._ '_ First line of address -~ `-, _. _ *=i B R I D G E S T R E E T -o ~-~' ~ ', ~~ ~ 4 1 4 n ' , ' --,~„ c: Second line of address DATE FILED State ZIP Code ~ City or Post Office P A 1 7 0 7 0 N E W C U M B E R L A N D ,._______..ae.,r~~ s,_mail V nuci ~,,..... _. it is true, core a~ SIGNAT ADDRESS .. .. ...w~~r1cTAAICI ohI.NET PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 1505610140 J~ V, 1 1505610240 Decedent's Social Security Number REV-1500 EX 2 0 6 1 0 8 2 6 4 Decedent's Name: RUTH M• R I N E E R RECAPITULATION ..... 1. ....... 1. Real Estate (Schedule A) ..•••••••••••••••"""""~~~• 3 6 1 1 5 3. 2 3 .... 2. ........ 2. Stocks and Bonds (Schedule B) ... • • • • • • • • • • • • • ~ ' ' ' ' ' ' ' ' ' • 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) • . • • 3. • 4. Mortgages and Notes Receivable (Schedule D) ........................ . 4. 5 6 2 7 2. 8 5 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)...... 5. . • Jointly Owned Property (Schedule F) ^ Separate Billing Requested ...... 6 . 6. . 7. Inter-Vivos Transfers i3< Miscellaneous NQn_-PrSo paraterBileng Requested ...... ~ . 7• • (Schedule G) y 1 7 4 2 6. 0 8 .......................... 8. Total Gross Assets (total Lines 1 through 7) . 8. 4 9 7 8 6. 7 0 9. Funeral Expenses and Administrative Costs (Schedule H) .. • • • • • • • • 5 5 8 . 6 1 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ........... .. 10. 5 0 3 4 5. 3 1 11. Total Deductions (total Lines 9 and 10) .. • • • • • • • • • • • • • • ~ ~ ' ' ' ' ' 11 6 7 0 8 0 • 7 7 12. 3 ................. 12. Net Value of Estate (Line 8 minus Line 11) • • • • • • • • • nd Governmental Bequests/Sec 9113 Trusts for which bl .. 13 7 3 4 1 6 . 1 5 e a 13. Charita . e an election to tax has not been ma 2 9 3 6 6 4 . 6 2 14. ....... Net Value Subject to Tax (Line 12 minus Line 13) . • • • • • • ..14. TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or 0 • 0 0 transfers under Sec. 9116 0 0 0 15. (a)(1.2) X• ~ 0• 0 0 16 Amount of Line 14 taxable 0 Q 0 16. . at lineal rate X• ~ 0• 0 0 17. Amount of Line 14 taxable 0 Q 0 17. at sibling rate X .12 4 4 0 4 9. 6 9 18. Amount of Line 14 taxable 2 9 3 6 6 4 6 2 1 a. at collateral rate X .15 4 4 0 4 9. 6 9 ......... 1s ... 19. TAX DUE .......................................... (Schedule J) • • • • • • ' • • ' ' d 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505610240 1505610240 File Number 21 11 0586 REV-1500 EX Page 3 Decedent's Complete Address: RUTH M• RINEER STREET ADDRESS P 0 BOX 15__ 18 _.__ CITY CAMP HILL STATE PA ZIP 1~011- Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments 4 0, 0 0 0 •0 0 A. Prior Payments 2 ,10 5.2 6 B. Discount (1) 44,049.69 Total Credits (A + B) (2) 4 2 ,10 5.2 6 (3) 0.0 0 3. Interest (4) 0.0 0 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. 1, 9 4 4 • 4 3 5, If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. l5) Make check payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLoOCKS 1. Did decedent make a transfer and: ^ ^X^ ............................................ X 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 ............................................................................................... ^ ................ X d. receive the promise for life of either payments, benefits or care? ...••••••••••••~•••••••••••••••••'•'•'• 2. If death occurred after December 12,1982, did decedent transfer property within one year of death ^ .................................................................................... ^ 0 without receiving adequate consideration? . 3. Did decedent own an "intrust for" or payable-upon-death bank account or security at his or her death? .. •. • • • • • 4. Did decedent own an individual retirement account, annuity or other non-probate property, which ^ contains a beneficiary designation? .............................................................................. IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1,1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan.1,1995, the tax rate imp t an on the net value of transfers to or for the use of the surviving spouse is 0 percen sfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a 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 72 P SSe91 6(a)(1.2)) rs of age or younger at death to or for the use of a natural paren , an adoptive parent or a stepparent of the child is 0 percent [ § • 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)]. g p A siblin is defined, undE • The tax rate imposed on the net value of transferneo arent in Comm n~vrith the detcedentnwhether byrb'lood o~ adoption16(a)(1.3)]. 9 Section 9102, as an individual who has at least o p REV-1503 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA IN o~clTnG TE FCEDENTRN ESTATE SCHEDULE B STOCKS & BONDS FILE NUMBER 21 11 05 'UTH M. RINEER All property jointty-owned with right of survivorship must be disclosed on Schedule F. ITEM DESCRIPTION NUMBER ~, Janney Montgomery SCPN 5 50 o Due 07125/35t Dtde06/01 05 FC 07125/05-5' Monthly 24 Day Delay 2 Janney Montgomery Scott LL5 BaDue 07125/35tDtd 06101/05 FC 07/25005 ~~ CI 1A10 Monthly 24 Day Delay CPN5 3 Janney Montgomery Scott LLC-10193 shares Blackrock Enhanced Divid Achievers Trust @ $8.830 each nik/a Blackrock Enhanced Equity Div Tr 4 Janney Montgomery Scott LLC-CWMBS Inc/CWHL CMO Ser 2005-16 CI A4 Monthly 24 Day Delay CPN 5.50% Due 09-25-35 Dtd 07/01/05 FC 08/25/05 5 Janney Montgomery Scott LLC- 3675 shares Eaton Vance Tax Managed Global Buy Write Opp Fund @ $12.470 each 6 Janney Montgomery Scott LLC-Federal o°Due 08/15/33 Dtd OS-01i 03 FC IC-9/15 03 CI Nh Monthly 14 Day Delay CPN 5.500 7 Janney Montgomery SDela LCPN 5 500°/Due 02115132 Dtd 09/011/03 FC 110/65 03 CI Clg Monthly 14 Day Y g Janney Montgomery ScDo le aL CPN 5 500% Due 11/15/33 Dtd111/01103 FFC 92?15/03 CI Yd Monthly 14 Day Y g Janney Montgomery SDe aL CPN 5.500°o Due 12115 33 Dtd 1 01/103 FC 01 15104 CI Jb Monthly 14 Day Y 10 Janney Montgomery SDela LCPN 5 500°/Due 12/15/31 Dtd 06/01/04 FC 07/$5 04 CI Gb Monthly 14 Day Y 11 Janney Montgomery SDela CPN 5 500%oDue 08/15/34 Dtd 08/01/04 C109/15 04 CI Cg Monthly 14 Day Y 12 Janney Montgomery SCPN 5 500% Due 08/15 34 Dtdt0 01 04 FCc09//15104 844 CI Monthly 14 Day Delay 13 Janney Montgomery Scott LLC-Federal Home Loan Mtg Corp Multicl Remic 3004 CI Monthly 14 Day Delay CPN 5.250% Due 07/15/35 Dtd 07101/05 FC 08/16105 14 Janney Montgomery Sc PN 5 250°~ Due 07/15% 5 D dt0 01 05 FICc08/1'.i 05 004 CL J Monthly 14 Day Delay C 15 Janney MontgomeD De aL CPN 5 500°o Due 06/20 33 Dtd 021011104 FC;n03129?04 CI Lp Monthly 14 y Y 16 Janney Montgomery SCPN 550% Duel 11/15/35 Dt N1tg/01105 FCt12IR15 05 3071 CI L Monthly 14 Day Delay TOTAL (Also enter on line 2, Recapitulation) S (If more space is needed, insert additional sheets of the same size) VALUE AT DATE OF DEATH 11,654.16 5, 827.02 90,004.19 1,990.89 45,827.25 5,443.49 4, 593.34 5,221.88 12,755.88 1,735.97 196.83 327.95 5,008.22 3,577.32 16,688.19 15,259.57 361,153.23 Continuation of REV-1500 Inheritance Tax Return Resident Decedent 21 RUTH M. RINEER page 1 11 0586 File Number Decedent's Name Schedule B -Stocks & Bonds ITEM DESCRIPTION NUMBER 17 Janney Montgomery Scott LL o0o due 05/15/40 Dtd 07 OC 10 Cu08/ 5110c 3699 C Monthly 14 Day Delay cpN 4.5 1 g Janney Montgomery Scott L CPN 5.00 % Duee07115/33 Dtdo07 01103 FC 08115103 CI Tn Monthly 14 Day Delay 19 Janney Montgomery Scott LL 0% Due 08125/32 Dtd 03/01/03 FC 04/25 03 31 CI Kd Monthly 24 DayDelay CPN 5.0 20 Janney Montgomery Scott L5 00% Due N 125135 Dtd 2101 04 FC 01/25/05 99 CI Monthly 24 Day Delay CPN 21 Janney Montgomery Scott LL 00% Duel 01125/35 Dtd 12101 04 FC 01125/05 99 CI Nd Monthly 24 Day Delay CPN 5 22 Janney Montgomery Sc FN 5 0% Due 02125 0 Dtd 03 01/110 FCr040/25l10 (,I Ua Monthly 24 Day Delay C 23 Janney Montgomery Sco N 5 500%tDuet102/20/34 Dtd 02 0 04 FC 03/20/04 CI Ae Monthly 19 Day Delay CP 24 Janney Montgomery Sc PN 5 500%tDuet106/20/33 Dtd 02101/04 FC 030120/04CI Gb Monthly 19 Day Delay C 25 Janney Montgomery Scott LLC-Govt National Mtg Assn Remic Ser 2004-26 CI Ed Monthly 15 Day Delay CPN 5.500% Due 05/16134 Dtd 04/01104 FC 05116104 26 Janney Montgomery Sc PN 5 00°~ Duea01125/35 Dtd 12 04104 FCr010125/04 CI Da Monthly 24 Day Delay C 27 Janney Montgomery ScoPtN 4 50 /o Duea08/20/39 Dtd 08 01 09 Cr09/o6/09 CI Jd Monthly 19 Day Delay C 28 Janney Montgomery Sc PN 5 0°G Due 011/20/39 Dtd 08/01/09 FC 091201098 CI Ea Monthly 19 Day Delay C 29 Janney Montgomery SCPN 450°/~ Duea111/20/39 Dtd 04 01110 Cr05//20/10 CI Wa Monthly 19 Day Delay 30 Janney Montgomery Scott LLC-Govt National Mtg Assn Remic Ser 2010.57 CI Ja Monthly 19 Day Delay CPN 4.50% Due 08120/39 Dtd 05/01/10 FC 06/20/10 31 Janney Montgomery Scott LLC-Govt National Mtg Assn Remic Ser 2011-35 CI Ga Monthly 15 Day Delay CPN 4.0% Due 12/16140 Dtd 03/01/11 FC 03/161'11 VALUE AT DATE OF DEATH 21,107.65 5, 306.34 2,916.48 1,357.12 1,696.51 119.10 9,124.26 5,357.96 3,467.26 3,267.63 6,085.24 1,631.99 4,113.15 15,467.24 12,411.67 I 93,429.60 SUBTOTAL SCHEDULE B RUTH M. RINEER of REV-1500 Inheritance Tax Return Resident Decedent Continuation 21 11 0586 File Number Page 2 Decedent's Name Schedule B -Stocks 8~ Bonds VALUE AT DATE OF DEATH ITEM DESCRIPTION 13,715.00 NUMBER 32 Janney Montgomery Scott LLC-500 shares PPL Corp stock @ $27.430 eac 16,195.00 33 Janney Montgomery Scott LLC-820 shares Snyders Lance Inc stock @ $19.750 each 11,701.48 34 Janney Montgomery Scott LLC-Go Du a06/20139 Dtd 06 01 09 FCr070/20 09 CI Hg Monthly 19 Day Delay CPN 4.00 41,611.48 SUBTOTAL SCHEDULE B GRAND TOTAL SCHEDULE B S 361,153.23 REV-1508 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA AX RETURN SCHEDULE E BANK DEPOSITS, & MISC. CASH, PERSONAL PROPERTY INHERITANCE T FILE NUMBER RESIDENT DECEDENT ESTATE OF 21 11 05 UTH M. RINEER Include the proceeds of litigation and the date the proceeds were received by the estate. ht of survivorship must be disclosed on Schedule F. ith ri d VALUE AT DATE g w All property jointly-owne OF DEATH ITEM DESCRIPTION 144.00 NUMBER Abbott Laboratories-dividend check received 1. stock sold prior to date of death 15,437.33 2 Janney Montgomery Scott LLC-Cash Acct 64.25 GGNSC-refund check received 3 849.00 4 Holy Spirit Hospital-refund check received 6,618.67 Montgomery Scott LLC-Janney Advantage Insured Sweep Acct 5 Janney 23,468.97 g M&T Bank-Checking Acct #71941827 Princ. $23,468.97, Int. $.16 0.16 M&T Bank-Checking Acct #71941827 -Accrued Interest 7 1,980.00 g Miscellaneous deposit 7,710.47 PA Funeral Trust held by Stone & Murray Funeral Home g TOTAL (Also enter cm line 5 Recapitulation) I S 56,2 (If more space is needed, insert additional sheets of the same sizE:) REV-1511 EX + (10-06) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE ESTATE OF 21 11 0586 RUTH M. RINEER Debts of decedent must be reported on Schedule I. AMOUNT ITEM DESCRIPTION NUMBER FUNERAL EXPENSES: 8,331.47 A. 210.00 Stone i~ Murray Funeral Home-services rendere East Harrisburg Cemetery-tomb stone engraving B, ADMINISTRATIVE COSTS: ~, Personal Representative's Commissions 19,697.00 Name of Personal Representative (s) Martin Chronister Street Address 20 Erford Road Suite 315 17043 Lemo ne state PA _ zip _ City Year(s) Commission Paid: 201112012 19,697.00 2 Attorney Fees David H. Stone, Esquire 3 Family Exemption: (If decedents address is not the same as claimants, attach explanation) Claimant Street Address State ZiP _ City Relationship of Claimant to Decedent 469.50 q. Probate Fees Cumberland County Register of Wills Accountants Fees 5. g. Tax Return Preparers Fees 9.62 7 PA Dept of Revenue-penalty for estimated taxes 26.43 2 Checks written by decedent and cleared after death 540.52 3 EMBARQ Master Trust-Mays pension check returned 275.16 4 Stone LaFaver & Shekletski-Reimb on advertising 30.00 5 Register of Wills-filing Inh Tax Ret & Inv 500.00 g Reserve for closing expenses TOTAL (Also enter on line 9, Recapitulation) 3 (If more space is needed, insert additional sheets of me same s¢G~ REV-1512 EX + (12-03) COMMONWEALTH OF PENNSYLVANIA ERITANCE TAX RETURN SCHEDULE 1 DEBTS OF DECEDENT, INH MORTGAGE LIABILITIES, & LIENS RESIDENT DECEDENT FILE NUMBEK ESTATE OF 21 11 0586 RUTH M. RINEER Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed mediVALUE AT DATE OF DEATH ITEM DESCRIPTION NUMBER 14.08 ~ Quantum Imaging-debt of last illness 219.66 2 Dr. Edward Lamarque-debt of last illness 41.29 3 Mobilex-xrays 197.56 4 Golden Living Nursing Home-services rendered 44.56 5 PharAmerica-debt of last illness 41.46 g Dr Edward Lamarque-debt of last illness TOTAL (Also enter on line 10, Recapitulation) 3 (If more space is needed, insert additional sheets of the same size) REV-1513 EX + (9-001 SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA IN RESIDENTED EDENTRN FILE NUMBER ESTATE OF 21 11 0586 AMOUNT OR SHARE RUTH M. RINEER RELATIONSHIP TO DECEDENT OF ESTATE Do Not List Trustee(s) NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY NUMBER pp I TAXABLE DISTRIBUTIONS ~Seo 9116~h(1S2)]usal distributions, and transfers un er 128,478.27 Collateral 1 WILLIAM MILLER (Ruth's nephew) 10813 HWY 864 165,186.35 HUGHESVILLE PA 17737- Friend) Collateral 2 ERVIN E POTTEIGER ( CIO DARYL E PO-fTEIGER 1334 BRANDY AVE NEW CUMBERLAND PA 17070- ( LAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET ENTER DOL II. NON-TAXABLE DISTRIBUTIONS; A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MAD 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 73,416.15 1 TRINITY UNITED METHODIST CHURCH 415 BRIDGE STREET NEW CUMBERLAND PA 17070- TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINEets of the same0s e) VER SHEET S 73 416.1 (If more space is needed, insert additional she lop \~.~: li.s\RINEER, P. C':R LAST WILL AND TESTAMENT OF RUTH M. RINSER I, RUTH M. RINSER, of Lower Allen Township, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I: I devise and bequeath all of my estate, of every nature and wherever situate, as follows: p,. 35o to WILLIAM MILLER. B, 45o to ERVIN E. POTTEIGER. D. 20o to TRINITY UNITED METHODIST CHURCH, 421 Bridge Street, New Cumberland, Pennsylvania. ITEM II: Should any of the above named individuals in Item I A and B fail to survive me, the share to which they would have been entitled shall pass directly to their issue, per stirpes. Should any beneficiaries of this will leave no issue, the interest to which that individual would have been entitled shall pass to the remaining beneficiaries in the same ratio as set forth above, eliminating however that to which the deceased beneficiary would have been entitled. ITEM iII: All federal, state and other death taxes payable be caUSe cf my death, with respect to the property forming my gross estate far tax purposes, whether or not passing under this :ail1, Page 1 of 4 together with any interest or penalty imposed in connection with such tax, shall be considered a part of the expense o:E the administration of my estate and shall be paid from my residuary estate without apportionment or right of reimbursement. ITEM IV: I appoint MARTIN CHRONISTER, Executor, of this my last will. I direct that my Executor retain the law firm of STONE LaFAVER & SHEKLETSKI to aid in the administration of my estate. ITEM V: No fiduciary acting hereunder sha17_ be required to post bond or enter security for the faithful perform<~nce of his or her duties in any jurisdiction. RUTH M. RINEER, have hereunto set my hand IN WITNESS WHEREOF, I, 2007. and seal this ~~. day of , "..% ~ = ~~Z RUTH M. RINEER Page 2 of 4 SIGNED, SEALED, PUBLISHED and DECLARED by RUTH M. RINEER, the Testatrix above named, as and for her Last Will and Testament, and in the presence of us, who at her request, in her presence and in the zbscribed our names as witnesses. a14 Bridae St. New Cumberland PA Address 414 BridcLe St• New Cumberland PA Address COMMONWEALTH OF PENNSYLVANIA: SS: COUNTY OF CUMBERLAND I, RUTH M. RINEER, the Testatrix whose name is signed to the at- tacked or foregoing instrument, having been duly qualified according to law do hereby acknowledge that I signed and executed this instru- ment as my last will; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein contained. / ~ "2 . RLJTH M. RINEER Sworn to or affirmed to and acknowledged k~efore me by RUTH M. ~~_ da of~~ _, 2007. RINEER, the Testatrix, this; a y ` ~ ~~ J 1 COMMONWEALTH OF PENNSYLVANIA Notary Publ ~ c NOTARIAL SEAL Public CAROL L. TROXELL, Notary New Cumberland Boro. Cumberland Co. My Commission Expires Dec. 27, 2009 Page 3 of 4 COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND and " .,Q{~.;1'~~~^.' , W e , .n n ~-- 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 a.nd 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 know:Ledge, the Testatrix was at that time eighteen or more years of age, of sound mind. and under no constraint or undue influenc itn~ss ~^~, i. ne s Sworn to or affirmed to and acknowledged before me by ~,Q.n\~ ~~ ~~°`~ ~:v-L_ _ and =~~ I P~y~ ~ ~ Jti , ~'~_ day o f ~~ ~ ~~.~.,~, 2 0 0 7. witnesses, this :-ti ~ ~~ .~, OF PENNSYIVAN~A ~ ~~. ~,!•~, COMMONWEALTHAL. SEAL NOTAR rotary Pub~~c Notary Public CARDS L• TROXELL, ~umbe27n 2p09 MY ~ mmessa~a Exp~es Dec. Page 4 of 4 N[&T~~ank 499 Mitchell Road, Millsboro, DE 19966 Adjustment Services Phone 888-502-4349 F ax (302)934-2955 May 26, 2011 Stone LaFaver and Shekletski 414 Bridge Street POBoxE New Cumberland, PA 17070 Re: Estate of Ruth M Rineer Social Security' 206-10-8264 Date of Death• Ayri130 2011 Deaz Sir or Madam: Per your inquiry on May 19, 2011, please be advised that at the time of death, the above-named decedent ha on deposit with this bank the following: 1. Type of Account Account Number Ownership (Names o~ Opening Date Balance on Date of Death Accrued Interest Total Checking Account 71941827 Ruth M Rineer Martin M Chronister (POA) 08/l8/64 $23,468.97 $ .16 -------- -- $23,469.13 For any additlonal information on the above accounts, including ownership and any changes, closures ands°r reimbursement of funds, please call the High Street Carlisle Office at 8717-1A0-4536. We were unable to locate any safe deposit boa Por the above-mentioned decedent. This letter does not hidude any sooa~°ts in wbicL the deed maY have been it~ted ss Power of Attorney, C~.'Aodian d Unif°r•° Traaders, Reprraentstive Payee, or Trastee under a Written Agreement Sincerely, J Tammy Spencer Adjustment Services r 0 N M y .C. O '~:. Q ~Ir V • U a .7 y.i V U ~ a ~ . 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