HomeMy WebLinkAbout04-0864Estate of JANE C. KIDD
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
No. CT/ -- ~ /'~ -- 0 ~$ ~
To:
Register of Wills for tl~:,~ .~
Deceased. '~.County of Cumberlag~ in the
Social Security No. 185-26-0750' -Commonwealth of PennsYlVania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut rix
in the last wilt of the above decedent, dated February /4, 2000
and codicil(s) dated None
'04 iEP 2 ani a8:06
C
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in Cumberland County, Pennsylvania, with
er last family or principal residence at 423 So.th High Street: Borough of Mechanicsburg
(list street, number and muncipality)
Decendent, then 71 years of age, died September 16 ~ 2004 ,>1:9 ,
at. Harrisburg Hosp±tal, City of Harrisburg, Dauphin County, Pennsylvania
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent: None
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $ Unestimated '
(If not domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvania $ I~no~ql-im~ t~d
situated as follows: 423 South High Street, Borough of Mechanicsburg~ Cumberland
County~ Pennsylvania.
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters testamentary
theron. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
Karen M. Hugl~
836 Washington Street
Huntingdon, PA 16652
OATH OF' PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
affir~d~t~/and subscribed ~
before me this ~ . Karen M. 'H
Sworn to or
day of
~ C-~C~6'~~ Register
Estate Of JANE c. K~vv , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW September ?nn/, ~ , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated February 4, 2000
described therein be admitted to probate and filed of record as the last will of
Jane C. Kidd .;
and Letters Testamentary
Karen M. Hu~hes
are hereby granted to
FEES
Probate, Letters, Etc .......... $
Short Certificates( ) .......... $.
Renunciation ................ $
$
TOTAL . $
Filed ...................................
44 West Main Street
Mechanicsbur~, PA 17055-0318
ADDRESS ,.
(717) 697-8528
PHONE
his is to cerlify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be fbrwarded to the State Vital Records Office lbr permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee fl)r this certificate, $2.00
Date
Local Registrar
HI~.143 ReV.
JANE
71
Dauphin
depot worker
423 S. High St
,~Mechanicsburg,
COMMONWEALTH OF PENNgYL.VANIA · DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH co =i
C. I(TDD
x ~elaa'le 185 --"26 -- 07.58~
unknown e~[~ ~ ~ f~ ~D
Harrisburg Harrisburg Hospital ~c~
white
PA
Carson Jones
9-04
Union Cemetery
t. Union, Pa 17066
66
LAW OFFICES
SN ELIBA~ER,
BRENI~IEMAN
& SPARE
LAST WILL AND TESTAMENT
I, JANE C. KIDD, of the Township of Silver Spring, County of Cumberland
and Commonwealth of Pennsylvania, being of sound and disposing mind, memory
and understanding, do make, publish and declare this as and for my Last Will and
Testament, hereby revoking and making void ali former wills and codicils by me at
anytime heretofore made.
FIRST: I order and direct that all my just debts and funeral expenses be paid
by my Executrix, hereinafter named, as soon as conveniently may be done after my
decease.
SECOND: I order and direct my Executrix, hereinafter named, to convert all
the rest, residue and remainder of my Estate, real personal and mixed, whatsoever
and wheresoever situated, into cash as soon as practicable after my death, and
divide the net proceeds (after payment of all accounts under Item first above and all
taxes o.ccasioned by my death) into six (6) equal parts, which parts I give and
bequeath as fo]lows:
A. One (1) such part unto my step-daughter, namely, GAIL K.
HUGHES, if she survives me.
B. One (1) such part unto my step-grandson, namely, DAVID C.
HUGHES, if he survives me;
C. One (1) such part unto my step-granddaughter, namely, CYNTHIA
H. MOEHLE, if she survives me;
D. One (1) such part unto my step-grandd~hter~amel~,?~CiREN
M,
HUGHES, if she survives me; ~
E. One (1) such part unto my step-great-granddau~,qiter, namely,
HEATHER H. PIERRE, ff she survives mO;and~.~ ~ : c~ ~,~ ~-:~, ....
SNELE3AKER,
BRENNEMAN
& SPARE
F. One (1) such part unto my step-great-grandson, namely, ROBERT
C. MOEHLE, if he survives me, but subject to the protective
provisions of Item Third hereinbelow if he has not attained the age
of twenty-three (23) years at the time of my death.
If any of said beneficiaries should predecease me, I order and direct that the
bequest to such deceased beneficiary shall lapse without substitution of issue, and
the residue of my Estate shall be divided equally among and distributed unto the
named beneficiaries who survive me.
THIRD: If the said ROBERT C. MOEHLE has not attained the age of
twenty-three (23) years at the time of my death, I order and direct that his
distributive share hereunder shall be delivered and paid over to his mother,
CYNTHIA H. MOEHLE, IN TRUST, NEVERTHELESS, as my testamentary
trustee, to hold, manage, invest, accumulate income and reinvest for the benefit of
ROBERT C. MOEHLE until he attains the age of twenty-three (23) years, at which
latte~- time said trust shall b~ terminated and the assets thereof distributed to
ROBERT C. MOEHLE, absolutely. During said trust, neither the beneficiary nor
his creditors shall have any right to obtain or use any of the assets of said trust, it
being my intention to create a spendthrift trust which prohibits the beneficiary's
assignment of any interest in the trust and prevents a creditor or attempted
assignee from obtaining said assets prior to termination of the trust and
distribution of assets to the beneficiary. I authorize and empower the trustee to
invest the assets hereunder as a reasonable and prudent investor and not be limited
to statutory or so-called 'qegal investments" for fiduciaries.
LASTLY: I nominate, constitute and appoint my step-granddaughter,
namely, KAREN M. HUGHES, to be the Executrix of this, my Last Will and
Testament, but if for any reason she should fail to qusliFy as such Executrix or
--2--
LAW OFFICES
SNELBAKER,
I=JREN KIEMAN
8~ SPARE
cease so to serve, then and in that event, I nominate, constitute and appoint my
other step-granddaughter, namely, CYNTHIA H. MOEHLE, to be the Executrix
hereof, each and both to serve without bond or other security as a condition of
quslification hereunder.
IN WITNESS WHEREOF, I, JANE C. KIDD, have hereunto set my hand and
seal to this, my Last Will and Testament, which consists of three (3) typewritten
pages to each of which I have sffixed my signature this z/~ day of February,
A.D., Two Thousand (2000).
,~/Jane C. Kidd
(SEAL)
The preceding instrument, consisting of this and two (2) other typewritten
pages, each identified by the signature of the Testatrix, was on the date thereof
signed, sealed, pubhshed and declared by JANE C. KIDD, the TeStatrix therein
named, as and for her Last Will and Testament, in the presence of us, Who, at her
request, in her presence and in the presence of each other, have subscribed our
names as witnesses hereto.
-3-
LAW OFFICES
~NELBA~ER,
~RENNEMA~
& SPARE
COMMONWEALTH OF PENNSYLVANIA )
· SS.
COUNTY OF CUMBERLAND )
We, JANE C. KIDD, RICHARD C. SNELBAKER and JANE J. COONEY, the
Testatrix and the witnesses, respectively, whose names are signed to the attached
or foregoing instrument, being first duly sworn, do hereby declare to the
undersigned authority that the Testatrix signed and executed the instrument as her
Last Will and Testament and that she had signed willingly, and that she executed it
as her free and voluntary act for the purposes therein expressed, and that each of
the witnesses, in the presence and hearing of the Testatrix, signed the Will as a
witness and that to the best of his or her knowledge the Testatrix was at that time
eighteen years of age or older, of sound mind and under no constraint or undue
influence.
~tatrix
Wi - ness
dWitness
Subscribed, sworn to and acknowledged before me by JANE C. KIDD, the
Testatrix, and subscribed and sworn to before me by RICHARD C. SNELBAKER
and JANE J. COONEY, the witnesses, this ~.- day of February, 2000.
Notary Publi~/~'~
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: Jane C. Kidd, Deceased
Date of Death:
September 16, 2004
No. 2004-00864 Pa. No: 21-04-0864
To the Register:
I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on or
about September 16, 2004:
Name Address
Karen Hughes 836 Washington Street
Huntingdon, PA 17201
Gall Hughes 9 S. Shaver Street
Mt Union, PA 17066
David Hughes P.O. Box 786
Verona, VA 24482
Cynthia Moehle 1111 Post Oak
Wichita, KS 67206
Robert Moehle
1111 Post Oak
Wichita, KS 67206
Heather Pierre
783 Fern Lane
Chambersburg, PA 17201
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: NONE.
Date: September 22, 2004
"~'-R:ie~ard C. Snelbaker, Esquire
44 West Main Street
Mechanicsburg, PA 17055-0318
(717) 697-8528
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENTOFREVENUE
BUREAU OFINDIVlDUAL TAXES
DEPT280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1 162 EX(1 1 96)
NO. CD 004700
SNELBAKER RICHARD C
44 W MAIN STREET
MECHANICSBURG, PA 17055
ESTATE INFORMATION: SSN: 185-26-0750
FILE NUMBER: 2104-0864
DECEDENT NAME: KIDD dANE C
DATE OF PAYMENT: 12/06/2004
POSTMARK DATE; 1 2/06/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 09/16/2004
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $17,500.00
REMARKS:
TOTAL AMOUNT PAID:
$17,500.00
SEAL
CHECK//119
INITIALS: JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
-
Register of Wills of Cumberland County
I
/.:
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Jane c. Kidd
Date of Death:
September 16, 2004
Estate No.:
21-04-0864
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following
with respect to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
. Yes 0 NoWcX
2. If the answer is No, state when the personal representative reasonably believes that
the administration wiIIbe complete: Ap pr ox. 1 ye ar
3. If the answer to No.1 is Yes, state the following:
a. Did the personal representative file a final account with the Court?
Yes 0 No 0
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal representative state an account informaIIy to the parties in
interest? Yes 0 No 0
c. Copies of receipts, releases, joinders and approval of formal or informal
accounts may be filed with the Clerk the Orphans' Court and may be
attached to this report.
Date: 6/6/05
Si e
Richard C. Snelbaker
Snel~aker & Brenneman, P.C.
Name
44 West Main Street
Mechanicsburg, PA 17055
Address
(17) 697-8528
Telephone No.
Capacity: 0 Personal Representative
@ Counsel for personal representative
REV-1500 8\(5-00)
>
OFFICIAL USE ONLY
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
--1L
COUt>lTY CODE
04
YEAR
0864
-----
NUMBER
I-
Z
W
C
w
(.)
w
C
DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL)
Kidd Jane
DATE OF DEATH (MM-DD- YEAR) DATE OF BIRTH (MM-DD- YEAR)
09/16/2004 12/16/1932
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
e
SOCIAL SECURITY NUMBER
185-26-0750
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMB ER
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.....
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ua:~
wll..U
:rOO
ua:....I
II..IJl
II..
0:(
[X] 1. Original Retum
D 4. Limited Estate
[X] 6. Decedent Died Testate (Attach copy of Will)
D 9. Litigation Proceeds Received
D 2. Supplemental Retum D 3. Remainder Retum (date of death pnor to 12-13-82)
D 4a. Future Interest Compromise (date of death after 12-12-82) D 5. Federal Estate Tax Return Required
D 7. Decedent Maintained a Living Trust (Attach copy of Trust) L 8. Total Number of Safe Deposrt Boxes
D 10. Spousal Poverty Credit Idale of dealh betwee' 12-31-91 aod 1-'-95) D 11. Ejection to tax under Sec. 9113(A)(Allach SchOI
THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
I-
Z
W
o
z
o
lI..
<J)
w
DC
DC
o
()
Richard e. Sne1baker
FIRM NAME (If Applicable)
Sne1baker & Brenneman, p.e.
TELEPHONE NUMBER
44 West Main Street
Mechanicsburg, PA 17055
717-697-8528
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mortgages & Notes Reeeivable (Schedule D) (4)
5. Cash, Bank Deposrts & Miscellaneous Personal Property
(Schedule E) (5)
Z 6. Jointly Owned Property (Schedule F) (6)
0 D Separate Billing Requested
t=
:) 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
~ (Schedule G or L)
t:
D.. 8. Total Gross Assets (total Lines 1-7)
<(
(.)
W 9. Funeral Expenses & Administrative Costs (Schedule H) (9)
0:
10. Debts of Decedent, Mortgage Liabilrties, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
60,500.00
245,254.91
0.00
0.00
125,873.82
0.00
OFFICIAL USE ONLY
1. Real Estate (Schedule A)
(1)
2. Stocks and Bonds (Schedule B)
(2)
38,042.21
(8)
49,566.08
9,705.03
469,670.94
(13)
59,271.11
410,399.83
0.00
(11)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/See 9113 Trusts for Yotlich an election to tax has not been
made (Schedule J)
(12)
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax 0.00
Z rate, or transfers under See. 9116 (a)(1.2)
0
i= 16. Amount of Line 14 taxable at lineal rate 410,399.83
0:(
.....
::J 0.00
II.. 17. Amount of Line 14 taxable at sibling rate
::E
0 0.00
U 18. Amount of Line 14 taxable at collateral rate
x
0:( Tax Due
..... 19.
(14)
410,399.83
x .0 ~(15)
x .0 45 (16)
x .12 (17)
x .15 (18)
(19)
0.00
18,467.99
0.00
0.00
18,467.99
20. ~
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
3W46451.000
Decedent's Complete Address:
. STREET IlDDRESS
423 South Hi h Street Boro of M
Cumberland Count
CI1Y
Mechanicsbur
STA1E
PA
ZIP
17055-
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
18,467.99
0.00
17,500.00
875.00
Total Credits (A + B + C) (2)
18,375.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
0.00
0.00
Total Interest/Penalty (0 + E) (3)
0.00
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
(4)
0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
(5)
92.99
A. Enter the interest on the tax due.
(5A)
0.00
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
Make Check to: REGISTEROFWlLLS,AGENT
(5B)
92.99
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and:
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, benefits or care? . . . . . . . . .
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . .. D
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? D
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. IX] D
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of perjury, I declare that I have examined this return, induding 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.
SIGNATURE OF PERSON
Yes
No
D
D
D
D
~
~
og
og
~
og
ADDRESS
Executrix
Huntingdon, PA 16652
DATE
" "U> () (
ADDRESS
44 West Main Street
Mechanicsburg, PA 17055
For dates of death on or after July 1, 1994 and before January 1, 1995. the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3%
[72 P.S. 99916 (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% [72 P.S. 99116 (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 twenty-one 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% [72 P.S. 9 9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiafies is 4.5%. except as noted in 72 P.S 99116(1.2) [72 PS 9 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% (72 P.S. 9 9116(a)(1.3)]. A sibling is defined, under Section 9102, as an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
3W4646 1000
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE A
REAL ESTATE
RG,V-1502 EX + ~98)
FILE NUMBER
Jane C Kidd
21 04 0864
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as 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 knowledge of the relevant facts.
Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
60,500.00
Property known and numbered as
423 South High Street,
Cumberland County,
Mechanicsburg, PA 17055, sale
value (see attached settlement
sheet)
3W4695 1.000
TOTAL (Also enter on line 1, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
$
60,500.00
f \/-"1-.;0....' _,~ ,~,.,...... '0',_. '.'
A~-"
. .>
U.S DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
1 SETTLEMENT STATEMENT
Affiliated Settlement Sevices Group, LLC
3912 Market Street
Camp Hill, PA 17011
(717) 975-7839
FINAL
B. TYPE OF LOAN
1. 0 FHA 2. 0 FMHA 3. 0 CONV. UNINS.
4. 0 VA 5. 0 CONV. INS.
6. ESCROW FILE NUMBER: 7. LOAN NUMBER:
00042840-001 NJT
B. MORTGAGE INSURANCE CASE NUMBER:
C. NOTE: This form is furnished to give you a statement of actual settlement costs. .Amounts paid to and by the settlement agent are shown.
liems marked "(P O. C.)" were paid outside the closing; they am shown here for informational purposes and are not included in the totals.
D. NAME OF BORROWER: Elwood C. Paul
ADDRESS OF BORROWER:
46 Skyline Dr.
Mechanicsburg, Pa. 17050
Estate of Jane C. Kidd
E. NAME OF SELLER:
ADDRESS OF SELLER:
F. NAME OF LENDER:
ADDRESS OF LENDER:
423 South High Street
Mechanicsburg, PA 17055
Cumberland County 16-24-0787-089
Parcel #16-24-0787-089 Mechanic5burg Borough 1 5t Ward
Affiliated Settlement Sevices Group, LLC
Snelbaker, Brenneman & Spare, P.C., 44 West Main Street, Mechanicsburg, PA 1-7055'
11/18/2004 PRORATION DATE: DISBURSEMENT DATE: 11/18/2004
G. PROPERTY LOCATION:
H. SETTLEMENT AGENT:
PLACE OF SETTLEMENT:
I. SETTLEMENT DATE:
J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION
r 1 00. GROSSAMOU NTOUE FRC1d BOORoNERgi;;'~jf!;>t rj,h i;i!;i;j1;1{{1ili!!r{~\i'1!~:lwkIYi,400!iJ~b$S.AMOuNt DUl:1fos EW~R:fi!(;;I;i!;I;\i!'!:';)'i '-:i-~/~:9:M:~}:!;L i~::-~\;,:.'.., ;:';j;: , ~:..-' " ;' '~'; \1
! ::;...,i;
1 0 1 Contract Sales Price 60,500.00 40 1 Contract Sales Price 60,500. 00
1 02. Personal Property 402. Personal Property
1 03. Settlement ch arges 10 Borrower (line 1 400) 1 ,288.25 403.
1 04 404.
1 05. 405.
ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE:
106. CityfTown Taxes
107. County Taxes
108. Assessments
109 School Tax
110 Sewer
111.
112
11/18/04
12/31/04
45.95
to
11/18/04
11/18/04
to 06/30105
to 12/31/04
662.47
11.71
113.
114.
115.
120. GROSS AMOUNT DUE FROM BORROWER: 62,508.38
200.JAMOUNrs .~AID. BY..OR'N..~fl.A[F.O~mq~~q~~{flil~i1~;I}i~; ,.....,
201. Deposit or earnest money 10,000.00
202. Principal amount of new loan(s)
203. Existing loan(s) taken subject to
204.
205.
206.
207.
208.
209.
ADJUSTMENTS FOR ITEMS UNPAID BY SELLER'
ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE:
406. Cit fTown Taxes
407. County Taxes
408. Assessments
409. School Tax
410. Sewer
411.
412.
413.
414.
415.
420. GROSS AMOUNT DUE TO SELLER:
11/18/04
12/31/04
to
45.95
11/18/04
11/18/04
to
to
06/30/05
12/31/04
61,220.13
501. Excess deposit (see instructions)
502. Settlement charges to Seller (line 1400)
503. Existing loan(s) taken subject to
504. Payoff of first mortgage loan
505. Payoff of second mortgage loan
506.
507.
508.
509.
ADJUSTMENTS FOR ITEMS UNPAID BY SELLER
210 CityfTown Taxes 510. CityfTown Taxes
211. County Taxes 511. County Taxes
212. Assessments 512. Assessments
213. 513.
..... 514.
t - ~._...-a ..- CHARGES ESCROW FilE NUMBEH: UUU4~1;j4U-UU I I~.I I
SI-I
r -rOt[ "tnTAI ~"'I :.'. :.;. D n "c' '. ". ;'0;:" ;;: I
, BASED ON PRICE$ 60,500.00 @ 0/0= PAID FROM PAID FROM
DIVISION OF COMMISSION (LINE 700) AS FOLLOWS: BORROWER'S FUNDS SELLER'S
AT SETTLEMENT FUNDS AT
701. $ to SETTLEMENT
702. $ to
703. Commission paid at settlement
704.
I ..800. ITEMS PAYABLE IN.CoNN ECTION \MW I ,n :i... OX. .'1." .....r"'': ...: i I
'V
801. Loan Origination Fee
802. Loan Discount Fee
803. Appraisal Fee
804. Credit Report
805. Lenders Inspection Fee
806. Mortgage Insurance Application Fee
807 Assumption Fee
808.
809
810.
811.
I 900.. ITEMS REQUIRED B'(LENPe:R,TO It;... ;""it;; ...... .c- ..;.......... I
901. Interest From to @ $ Iday % ( days}
902. Mortgage Insurance Premium for Month(s} to
903. Hazard Insurance Premium for Years(s} to
904.
905.
I 1000; RESERVES DEPosiTED WITH .... :";', :,:, I
... ',::"(' >...... ".,':.. ,....
1001. Hazard Insurance months @ $ per month
1002. Mortgage Insurance months @ $ per month
1003. City Property Taxes months @ $ per month
1004. County Property Taxes months@ $ 32.06 per month
1005. Annual Assessments months @ $ per month
1006. months @ $ per month
1007. months@ $ per month
1008 months @ $ per month
"1100.1IT[1: CliARGEStji:!; 1.1;f;t!; :en,... k~
........
1101. Settlement or closing fee
1102. Abstract or title search
1103 Tille examination
1104. Title insurance binder
1105. Document preparation
1106. Notary fees to Notary/Clercial/Settlement Fee 5.00
1107. Attorney's Fees
(includes above items numbers: )
1108. Title Insurance to Affiliated Settlement Services Group,LLP 624.75
(includes above items numbers: )
1109 Lenders coverage $
1110 Owner's coverage $ 60,500.00
1111. Overnight Delivery Fee to Affiliated Settlement Services Group,LLP 15.00
1112.
1113.
I =;;~
"uu,'
1201. Recording Fees: Deed $ 38.50 Mortgage $ Release $ 38.50
1202. Citv/Countv tax/stamps Deed $ 605.00 MorlQaQe $ 605.0li
1203. State tax/stamps Deed $ 605.00 Mortaaae $ 605.00
1204.
1205.
I 1300. AUUlllvn"....'" ,,..
\Y,'
1301. Survey
1302. Pest Inspection
1303. Sewer (Oct 1- Dec 31) to Mechanicsburg 80ro Office 107.8:
1304. Tax Certification Fee to Affiliated Settlement Services Group,LLP 2.01
1305.
1306.
1307.
1400. TOTAL SETlLEMENT CHARGES (Enter on line 103,Section J - and -line 502, Section K) 1,288.25 714.8
REV-1503 EX + (6-98)
.L
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Jane C Kidd
21 04 0864
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION
1.Citizens Investment Services
account #57534248. Consisting of
Dreyfus Premier Municipal Bond
Fund, Class B, containing
5,015.150 shares valued at $16.20
per share.
VALUE AT DATE
OF DEATH
81,245.43
2 First Commonwealth Financial Corp.
7,508 shares of common stock
valued at $14.00 per share
105,112.00
3 U.S. Savings Bonds
408 Savings Bonds consisting of EE
and E bonds (see attched listing)
58,897.48
3W46961.000
TOTAL (Also enter on line 2. Recapitulation) $
(If more space is needed. insert additional sheets of the same size)
245,254.91
Vallie As Of
C:s+8 t Q..,. 0 ~
~
~ Cvle., C - ~old
Page 1 of4
Savings Bond Calculator
CALCU
Savinc
Series Denomination
IEEBonds 3 $110o.::::.f
I ""'U' 'I"""I
7~!';nt# Pf,,:;
seriaINum~~OS(CL q!!J~a~ -$ l3/~~'SJ.
I
,
Iq~/~qQ4_ . IUpllatE!1
Bond Info
Results
# Bonds Total Price Total Interest Total Value YTD In:
108 $5,450.00 $7,780.52 $13,230.52 $385.
Issue Interest Next Final
Serial Number Issue Date Series Denom Price Interest Value Rate Accrual Maturit~
C84635028EE 08/1985 EE $100 $50.00 $99.20 $149.20 4.00% 02/2005 08120 1 :
C84634687EE 08/1985 EE 100 50.00 99.20 149.20 4.00% 02/2005 08/201:
C93562672EE 11/1985 EE 100 50.00 96.28 146.28 4.00% 11/2004 11/201:
C84636359EE 10/1985 EE 100 50.00 96.28 146.28 4.00% 1012004 10/201:
C96287829EE 01/1986 EE 100 50.00 96.28 146.28 4.00% 01/2005 01/20H
C96287497EE 12/1985 EE 100 50.00 96.28 146.28 4.00% 12/2004 12/201:
C116509005EE 03/1986 EE 100 50.00 96.28 146.28 4.00% 03/2005 03/201 (
C116508681EE 03/1986 EE 100 50.00 96.28 146.28 4.00% 03/2005 03/20 H
Cl16541952EE 05/1986 EE 100 50.00 93.40 143.40 4.00% 11/2004 OS/20H
Cl16541609EE 05/1986 EE 100 50.00 93.40 143.40 4.00% 11/2004 OS/201 (
C117480914EE 08/1986 EE 100 50.00 93.40 143.40 4.00% 02/2005 08/201 (
Cl17480485EE 07/1986 EE 100 50.00 93.40 143.40 4.00% 01/2005 07/20H
C123142024EE 10/1986 EE 100 50.00 90.60 140.60 4.00% 10/2004 10/20 1 (
C117498305EE 10/1986 EE 100 50.00 90.60 140.60 4.00% 10/2004 10/20H
C135151680EE 12/1986 EE 100 50.00 76.40 126.40 4.00% 12/2004 12/201 (
C123169349EE 12/1986 EE 100 50.00 76.40 126.40 4.00% 12/2004 12/20H
C135153539EE 03/1987 EE 100 50.00 76.40 126.40 4.00% 03/2005 03/20 1 ~
C135153141EE 02/1987 EE 100 50.00 76.40 126.40 4.00% 02/2005 02/20 1 ~ CJ
C135192429EE 05/1987 EE 100 50.00 73.92 123.92 4.00% 11/2004 OS/20 1 ~ 0
C135192073EE 05/1987 EE 100 50.00 73.92 123.92 4.00% 11/2004 OS/201~ "(';
C')
C138945768EE 07/1987 EE 100 50.00 73.92 123.92 4.00% 01/2005 07/201~ ~
,
-
C138945347EE 07/1987 EE 100 50.00 73.92 123.92 4.00% 0112005 07/201~ ~
C138979287EE 10/1987 EE 100 50.00 71.48 121.48 4.00% 10/2004 10/20 1 ~ I
"::T
C138978866EE a
09/1987 EE 100 50.00 73.92 123.92 4.00% 0312005 09/201~ ~
C146224658EE 12/1987 EE 100 50.00 71.48 121.48 4.00% 12/2004 12/20 1 ~ (J
C146224256EE 11/1987 EE 100 50.00 71.48 121.48 4.00% 11/2004 11/20 1 ~ ~
C211799094EE 08/1990 EE 100 50.00 60.04 110.04 4.00% 02/2005 08/202( '-
<:""'
C257324556EE <..
07/1990 EE 100 50.00 60.04 110.04 4.00% 01/2005 07/202( ~
-zs
~
~avings Bond Calculator Page 2 of 4
~
C277198925EE 02/1991 EE 100 50.00 57.88 107.88 4.00% 02/2005 02/202]
C277069641EE 0111991 EE 100 50.00 57.88 107.88 4.00% 0112005 01/2021
C308849951EE 07/1991 EE 100 50.00 55.76 105.76 4.00% 01/2005 07/2021
C300808054EE 06/1991 EE 100 50.00 55.76 105.76 4.00% 12/2004 06/202]
C338382602EE 12/1991 EE 100 50.00 53.68 103.68 4.00% 12/2004 12/202]
C334769431EE 1111991 EE 100 50.00 53.68 103.68 4.00% 1112004 11/202]
C408406746EE 03/1993 EE 100 50.00 34.36 84.36 2.69% 0312005 03/202~
R97611139EE 02/1993 EE 200 100.00 97.36 197.36 6.00% 02/2005 02/202~
C383757584EE 10/1992 EE 100 50.00 48.68 98.68 6.00% 1012004 10/202:
C373207911EE 09/1992 EE 100 50.00 51.64 101.64 4.00% 0312005 09/202:
C358722517EE 05/1992 EE 100 50.00 51.64 101.64 4.00% 11/2004 OS/202:
C352649496EE 04/1992 EE 100 50.00 51.64 101.64 4.00% 10/2004 04/202:
C432856363EE 08/1993 EE 100 50.00 32.32 82.32 2.75% 02/2005 08/202~
C430522318EE 07/1993 EE 100 50.00 32.32 82.32 2.75% 01/2005 07/202~
C433330318EE 09/1993 EE 100 50.00 32.32 82.32 2.75% 03/2005 09/202~
C433981996EE 10/1993 EE 100 50.00 31.28 81.28 2.49% 10/2004 1 0/202~
C434552613EE 1111993 EE 100 50.00 30.36 80.36 2.60% 11/2004 11/202~
C84612722EE 07/1985 EE 100 50.00 99.20 149.20 4.00% 01/2005 07/201:
C84612381EE 07/1985 EE 100 50.00 99.20 149.20 4.00% 01/2005 071201:
C84610890EE 05/1985 EE 100 50.00 99.20 149.20 4.00% 11/2004 OS/201:
C84636023EE 10/1985 EE 100 50.00 96.28 146.28 4.00% 10/2004 101201:
C84635685EE 09/1985 EE 100 50.00 99.20 149.20 4.00% 03/2005 09/201:
C84635360EE 09/1985 EE 100 50.00 99.20 149.20 4.00% 03/2005 09/201:
C93562995EE 1111985 EE 100 50.00 96.28 146.28 4.00% 11/2004 111201:
C93563317EE 11/1985 EE 100 50.00 96.28 146.28 4.00% 11/2004 111201:
C96287137EE 12/1985 EE 100 50.00 96.28 146.28 4.00% 1212004 121201:
Cl16508355EE 02/1986 EE 100 50.00 96.28 146.28 4.00% 02/2005 02/201 e
C116508013EE 02/1986 EE 100 50.00 96.28 146.28 4.00% 0212005 02/20H
Cl16507714EE 01/1986 EE 100 50.00 96.28 146.28 4.00% 01/2005 01l20H
C116541276EE 05/1986 EE 100 50.00 93.40 143.40 4.00% 11/2004 OS/20 H
C 116540945EE 04/1986 EE 100 50.00 93.40 143.40 4.00% 10/2004 04/20 H
Cl16509311EE 04/1986 EE 100 50.00 93.40 143.40 4.00% 10/2004 04/20H
Cl17480069EE 07/1986 EE 100 50.00 93.40 143.40 4.00% 0112005 07/201 e
C116542678EE 06/1986 EE 100 50.00 93.40 143.40 4.00% 12/2004 06/20H
C116542313EE 06/1986 EE 100 50.00 93.40 143.40 4.00% 12/2004 06/20H
C117497891EE 09/1986 EE 100 50.00 93.40 143.40 4.00% 03/2005 09/201 e
C117481702EE 0911986 EE 100 50.00 93.40 143.40 4.00% 03/2005 09/201 e
C117481314EE 08/1986 EE 100 50.00 93.40 143.40 4.00% 0212005 08/201 e
~avings Bond Calculator
Page 3 of 4
C123168971EE 11/1986 EE 100 50.00 76.40 126.40 4.00% 11/2004 11120H
C123142796EE 11/1986 EE 100 50.00 76.40 126.40 4.00% 11/2004 111201 t
C123142426EE 11/1986 EE 100 50.00 76.40 126.40 4.00% 11/2004 11120H
C135152768EE 02/1987 EE 100 50.00 76.40 126.40 4.00% 02/2005 02/20 1 ~
C135152400EE 01/1987 EE 100 50.00 76.40 126.40 4.00% 01/2005 01l201~
C 135152044EE 01/1987 EE 100 50.00 76.40 126.40 4.00% 01/2005 01/201~
C135191702EE 04/1987 EE 100 50.00 74.12 124.12 4.00% 10/2004 04/20 1 ~
C135191353EE 04/1987 EE 100 50.00 74.12 124.12 4.00% 10/2004 04/201~
C135190999EE 03/1987 EE 100 50.00 76.40 126.40 4.00% 03/2005 03/20 1 ~
C138944914EE 06/1987 EE 100 50.00 73.92 123.92 4.00% 12/2004 06/201~
C138944523EE 06/1987 EE 100 50.00 73.92 123.92 4.00% 12/2004 06/201~
C138944169EE 05/1987 EE 100 50.00 73.92 123.92 4.00% 11/2004 OS/20 1 ~
C138978451EE 09/1987 EE 100 50.00 73.92 123.92 4.00% 03/2005 09/20 1 ~
C138978043EE 08/1987 EE 100 50.00 73.92 123.92 4.00% 02/2005 08/20 1 ~
C138977644EE 08/1987 EE 100 50.00 73.92 123.92 4.00% 02/2005 08/20 1 ~
C146223840EE 11/1987 EE 100 50.00 71.48 121.48 4.00% 11/2004 111201~
C 146223456EE 10/1987 EE 100 50.00 71.48 121.48 4.00% 10/2004 10/20 1 ~
C 146223049EE 10/1987 EE 100 50.00 71.48 121.48 4.00% 10/2004 10/20 1 ~
C256122111EE 06/1990 EE 100 50.00 60.04 110.04 4.00% 12/2004 06/202(
C266907999EE 12/1990 EE 100 50.00 57.88 107.88 4.00% 12/2004 12/202(
C146225181EE 12/1987 EE 100 50.00 71.48 121.48 4.00% 12/2004 12/201~
C266788889EE 11/1990 EE 100 50.00 57.88 107.88 4.00% 11/2004 111202(
C266687043EE 10/1990 EE 100 50.00 57.88 107.88 4.00% 10/2004 10/202(
C261709221EE 0911990 EE 100 50.00 60.04 110.04 4.00% 03/2005 09/202(
C3087279811EE 05/1991 EE 100 50.00 55.76 105.76 4.00% 11/2004 OS/202]
C308573906EE 04/1991 EE 100 50.00 55.76 105.76 4.00% 10/2004 04/202]
C277298624EE 03/1991 EE 100 50.00 57.88 107.88 4.00% 03/2005 03/202]
C329997695EE 10/1991 EE 100 50.00 53.68 103.68 4.00% 10/2004 10/202]
C309115713EE 09/1991 EE 100 50.00 55.76 105.76 4.00% 03/2005 09/202]
C308999551EE 08/1991 EE 100 50.00 55.76 105.76 4.00% 02/2005 08/202]
C348240203EE 03/1992 EE 100 50.00 53.68 103.68 4.00% 03/2005 03/202:
C346173343EE 02/1992 EE 100 50.00 53.68 103.68 4.00% 02/2005 02/202:
C341908305EE 01/1992 EE 100 50.00 53.68 103.68 4.00% 01/2005 011202:
C3698864 74EE 08/1992 EE 100 50.00 51.64 101.64 4.00% 02/2005 08/202:
C366041627EE 07/1992 EE 100 50.00 51.64 101.64 4.00% 01/2005 07/202:
C360740663EE 06/1992 EE 100 50.00 51.64 101.64 4.00% 12/2004 06/202:
C396787141EE 01/1993 EE 100 50.00 48.68 98.68 6.00% 0112005 0 1I202~
C394879966EE 12/1992 EE 100 50.00 48.68 98.68 6.00% 12/2004 12/202:
Savings Bond Calculator
Page 4 of4
C389641116EE 11/1992 EE 100 50.00 48.68 98.68 6.00% 11/2004 11/202:
C424182139EE 06/1993 EE 100 50.00 32.32 82.32 2.75% 12/2004 06/202:
C417413067EE 05/1993 EE 100 50.00 32.32 82.32 2.75% 11/2004 OS/202:
C413245937EE 04/1993 EE 100 50.00 33.36 83.36 2.41% 10/2004 04/202:
IViewlOq Viewing Bonds 1-108
Le end
Note Description
NI Not Issued
NE Not Eligible for Payment
P5 Includes 3-month interest penalty
MA Matured and Not Earning Interest
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Savings Bond Calculator
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Reset I
~avings Bond Calculator
Value As Of
109/2004
Bond Info
Series
I EE Bonds
Results
# Bonds
300
Serial Number
C58015922EE
C58015703EE
C54327276EE
C58017353EE
C58017071EE
C58016818EE
C68354001EE
C68353710EE
C68353424EE
C68908168EE
C68907905EE
C68885204EE
C48490607EE
C48490391EE
C54327103EE
C58016585EE
C58016365EE
C58016144EE
C68353149EE
C58017904EE
C58017632EE
C68354841EE
C68354263EE
C68354547EE
C68909000EE
C68908719EE
C68908755EE
C78147274EE
Savinc
~
clos~ \OI0Io<-{
Issue Date I L( ~73 (. 5fc
Lu "._.
J!Il.!l ate.
..!'.~
Denomination
Serial Number
-.if $I~~_~._"__]f
L__
Total Price
$7,868.75
Total Interest
$37,798.21
Total Value
$45,666.96
Issue Interest
Issue Date Series Denom Price Interest Value Rate
04/1984 EE $100 $50.00 $112.48 $162.48 2.73%
03/1984 EE 100 50.00 114.72 164.72 2.57%
03/1984 EE 100 50.00 114.72 164.72 2.57%
06/1984 EE 100 50.00 107.20 157.20 2.56%
06/1984 EE 100 50.00 107.20 157.20 2.56%
06/1984 EE 100 50.00 107.20 157.20 2.56%
09/1984 EE 100 50.00 107.20 157.20 2.56%
09/1984 EE 100 50.00 107.20 157.20 2.56%
08/1984 EE 100 50.00 107.20 157.20 2.56%
12/1984 EE 100 50.00 102.16 152.16 4.00%
12/1984 EE 100 50.00 102.16 152.16 4.00%
11/1984 EE 100 50.00 102.16 152.16 4.00%
02/1984 EE 100 50.00 114.72 164.72 2.57%
02/1984 EE 100 50.00 114.72 164.72 2.57%
01/1984 EE 100 50.00 114.72 164.72 2.57%
05/1984 EE 100 50.00 107.20 157.20 2.56%
05/1984 EE 100 50.00 107.20 157.20 2.56%
04/1984 EE 100 50.00 112.48 162.48 2.73%
08/1984 EE 100 50.00 107.20 157.20 2.56%
07/1984 EE 100 50.00 107.20 157.20 2.56%
07/1984 EE 100 50.00 107.20 157.20 2.56%
11/1984 EE 100 50.00 102.16 152.16 4.00%
10/1984 EE 100 50.00 105.40 155.40 2.33%
10/1984 EE 100 50.00 105.40 155.40 2.33%
01/1985 EE 100 50.00 102.16 152.16 4.00%
.01/1985 EE 100 50.00 102.16 152.16 4.00%
12/1984 EE 100 50.00 102.16 152.16 4.00%
04/1985 EE 100 50.00 99.20 149.20 4.00%
l1ttn'llwww<: nl1hlirrlf'ht trf'~<: ('r(wmrISRrPrirf'
Page 1 of9
YTD Inl
$615.
Next Final
Accrual Maturit)
10/2004 04/20 1 ~
03/2005 03/20 1 ~
03/2005 03/20 1 ~
12/2004 06/201~
12/2004 06/20 1 ~
12/2004 06/201~
03/2005 09/20 1 ~
03/2005 09/20 1 ~
02/2005 08/201Li
12/2004 12/201~
12/2004 12/201~
11/2004 111201~
02/2005 02/20 1 ~
02/2005 02/20 1 ~
01/2005 01/201~
11/2004 OS/201~
1112004 OS/201~
10/2004 04/201~
02/2005 08/201~
0112005 07/201~
0112005 07/201~
11/2004 11/20 1 ~
10/2004 10/20 1 ~
10/2004 10/20 1 ~
0112005 011201:
01/2005 01/201:
12/2004 12/20 1 ~
10/2004 04/201:
11 15UnLl
S,avings Bond Calculator Page 2 of9
I -
C78147996EE 04/1985 EE 100 50.00 99.20 149.20 4.00% 10/2004 04/201:
C78147715EE 03/1985 EE 100 50.00 102.16 152.16 4.00% 03/2005 03/201:
C45525789EE 01/1983 EE 100 50.00 150.20 200.20 4.00% 01/2005 01/2013
C45525571EE 01/1983 EE 100 50.00 150.20 200.20 4.00% 01/2005 01/2013
C45525331EE 12/1982 EE 100 50.00 150.20 200.20 4.00% 12/2004 12/201::
C48503020EE 04/1983 EE 100 50.00 129.16 179.16 2.34% 10/2004 04/2013
C48484398EE 03/1983 EE 100 50.00 131.24 181.24 2.59% 03/2005 03/2013
C48484179EE 03/1983 EE 100 50.00 131.24 181.24 2.59% 03/2005 03/2013
C48513210EE 07/1983 EE 100 50.00 121.64 171.64 2.97% 01/2005 07/2013
C48508374EE 06/1983 EE 100 50.00 121.64 171.64 2.97% 12/2004 06/2013
C48503905EE 06/1983 EE 100 50.00 121. 64 171.64 2.97% 12/2004 06/2013
C68909815EE 03/1985 EE 100 50.00 102.16 152.16 4.00% 03/2005 03/201:
C68909546EE 02/1985 EE 100 50.00 102.16 152.16 4.00% 02/2005 02/201:
C68909274EE 02/1985 EE 100 50.00 102.16 152.16 4.00% 02/2005 02/201:
C40210806EE 12/1982 EE 100 50.00 150.20 200.20 4.00% 12/2004 12/201::
C40210568EE 11/1982 EE 100 50.00 150.20 200.20 4.00% 11/2004 11/201::
C40210348EE 11/1982 EE 100 50.00 150.20 200.20 4.00% 11/2004 11/201::
C48483966EE 02/1983 EE 100 50.00 150.20 200.20 4.00% 02/2005 02/2013
C48483729EE 02/1983 EE 100 50.00 150.20 200.20 4.00% 02/2005 02/2013
C45523018EE 01/1983 EE 100 50.00 150.20 200.20 4.00% 01/2005 01/2013
C48503681EE 05/1983 EE 100 50.00 121.64 171.64 2.97% 11/2004 OS/2013
C48503473EE 05/1983 EE 100 50.00 121.64 171.64 2.97% 11/2004 0512013
C48503253EE 04/1983 EE 100 50.00 129.16 1 79.16 2.34% 10/2004 04/2013
C48513925EE 08/1983 EE 100 50.00 121.64 171.64 2.97% 02/2005 08/2013
C48513693EE 07/1983 EE 100 50.00 121.64 171.64 2.97% 01/2005 07/2013
C48513461EE 07/1983 EE 100 50.00 121.64 1 71.64 2.97% 01/2005 07/2013
C5431781EE 11/1983 EE 100 50.00 114.72 164.72 2.57% 11/2004 11/2013
C50665044EE 10/1983 EE 100 50.00 119.68 169.68 2.30% 10/2004 1 0/20 L~
C50664820EE 10/1983 EE 100 50.00 119.68 169.68 2.30% 10/2004 10/2013
C50664592EE 09/1983 EE 100 50.00 121.64 171.64 2.97% 03/2005 09/2013
C50664335EE 09/1983 EE 100 50.00 121. 64 171.64 2.97% 03/2005 09/2013
C50664102EE 08/1983 EE 100 50.00 121.64 171.64 2.97% 02/2005 08/2013
C54318333EE 12/1983 EE 100 50.00 114.72 164.72 2.57% 12/2004 12/2013
C54318112EE 12/1983 EE 100 50.00 114.72 164.72 2.57% 12/2004 12/2013
C54318649EE 11/1983 EE 100 50.00 114.72 164.72 2.57% 11/2004 11/2013
C54326885EE 01/1984 EE 100 50.00 114.72 164.72 2.57% 01/2005 01/201<1
C54326672EE 12/1983 EE 100 50.00 114.72 164.72 2.57% 12/2004 12/2013
L6563342EE 04/1980 EE 50 25.00 105.68 130.68 4.00% 10/2004 04/201C
ht-t",.II,,~,~,,<, "'''hl;'''rl,~ht t,.p"" f'"~"/~rl<;;:~rp,.irp
1 1 IQ/OJ.
Savings Bond Calculator Page 3 of9
. ....
L36329725EE 04/1981 EE 50 25.00 91.28 116.28 4.00% 10/2004 04/2011
L36329066EE 03/1981 EE 50 25.00 93.62 118.62 4.00% 03/2005 03/2011
L36328563EE 02/1981 EE 50 25.00 93.62 118.62 4.00% 02/2005 02/2011
L68310746EE 09/1981 EE 50 25.00 86.32 111.32 4.00% 03/2005 09/2011
L68309940EE 08/1981 EE 50 25.00 86.32 111.32 4.00% 02/2005 08/2011
L17547647EE 08/1981 EE 50 25.00 86.32 111.32 4.00% 02/2005 08/2011
L68312228EE 11/1981 EE 50 25.00 84.14 109.14 4.00% 11/2004 11/2011
L85242793EE 03/1982 EE 50 25.00 84.14 109.14 4.00% 03/2005 03/20 1 ~
L 75956737EE 02/1982 EE 50 25.00 84.14 109.14 4.00% 02/2005 02/201~
L 17504903EE 01/1981 EE 50 25.00 93.62 118.62 4.00% 01/2005 01/2011
L94358709EE 07/1982 EE 50 25.00 82.00 107.00 4.00% 01/2005 07/2012
L94357953EE 07/1982 EE 50 25.00 82.00 107.00 4.00% 01/2005 07/2012
L17501486EE 08/1980 EE 50 25.00 107.00 132.00 4.00% 02/2005 08/201 C
L17503751EE 11/1980 EE 50 25.00 93.62 118.62 4.00% 11/2004 11/201 C
L17504412EE 12/1980 EE 50 25.00 93.62 118.62 4.00% 12/2004 12/201 C
L6563975EE 05/1980 EE 50 25.00 107.00 132.00 4.00% 11/2004 OS/201C
L 17500373EE 06/1980 EE 50 25.00 107.00 132.00 4.00% 12/2004 06/20lC
L 1750 1 022EE 07/1980 EE 50 25.00 107.00 132.00 4.00% 01/2005 07/201C
L 17546784EE 07/1981 EE 50 25.00 86.32 111.32 4.00% 01/2005 07/2011
L17546160EE 06/1981 EE 50 25.00 86.32 111.32 4.00% 12/2004 06/2011
L17545471EE 05/1981 EE 50 25.00 86.32 111.32 4.00% 11/2004 OS/2011
L75956118EE 01/1982 EE 50 25.00 84.14 109.14 4.00% 01/2005 01/2012
L 7595531 OEE 12/1981 EE 50 25.00 84.14 1 09.14 4.00% 12/2004 12/2011
L68311432EE 10/1981 EE 50 25.00 84.14 109.14 4.00% 10/2004 10/2011
L94357150EE 06/1982 EE 50 25.00 82.00 107.00 4.00% 12/2004 06/2012
L85244204EE 05/1982 EE 50 25.00 82.00 107.00 4.00% 11/2004 OS/2012
L85243407EE 04/1982 EE 50 25.00 82.00 107.00 4.00% 10/2004 04/2012
L111615062EE 10/1982 EE 50 25.00 79.90 104.90 4.00% 10/2004 10/2012
L 111573839EE 09/1982 EE 50 25.00 82.00 107.00 4.00% 03/2005 09/2012
L94367790EE 08/1982 EE 50 25.00 82.00 107.00 4.00% 02/2005 08/2012
L 17503287EE 10/1980 EE 50 25.00 104.40 129.40 4.00% 10/2004 10/201 C
L17502626EE 09/1980 EE 50 25.00 107.00 132.00 4.00% 03/2005 09/201 C
L 17502163EE 08/1980 EE 50 25.00 107.00 132.00 4.00% 02/2005 08/201 (
Q5248741345E 04/1 975 E 25 18.75 107.71 126.46 4.00% 10/2004 04/200:
Q5248735087E 02/1975 E 25 18.75 110.24 128.99 4.00% 02/2005 02/200:
Q5231701772E 01/1975 E 25 18.75 110.24 128.99 4.00% 01/2005 01/200:
Q5020829712E 07/1972 E 25 18.75 109.02 127.77 07/2002
Q5020 16248E 05/1972 E 25 18.75 107.44 126.19 OS/2002
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Savings Bond Calculator Page 4 of9
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Q5004829339E 04/1972 E 25 18.75 107.44 126.19 04/200~
Q5075024151E 03/1973 E 25 18.75 111.14 129.89 03/200~
Q5063620543E 01/1973 E 25 18.75 110.81 129.56 01/200~
Q5056726012E 12/1972 E 25 18.75 109.58 128.33 12/200~
Q5131997640E 11/1973 E 25 18.75 113.01 131.76 11/200~
Q5125771449E 10/1973 E 25 18.75 113.01 131.76 1 0/200~
Q5124809133E 08/1973 E 25 18.75 112.99 131.74 08/200~
Q5182708746E 07/1974 E 25 18.75 111.27 130.02 07 /200~
Q5181807419E 06/1974 E 25 18.75 111.27 130.02 06/200~
Q5181801948E 05/1974 E 25 18.75 110.96 129.71 OS/200~
Q2611451323E 02/1972 E 25 18.75 107.42 126.17 02/200~
Q2611449703E 01/1972 E 25 18.75 107.13 125.88 o 1/200~
Q526734512E 05/1975 E 25 18.75 108.93 127.68 4.00% 11/2004 OS/200:
Q5043746452E 11/1972 E 25 18.75 109.30 128.05 11/200~
Q5029733861E 09/1972 E 25 18.75 109.30 128.05 09/200~
Q5028791337E 08/1972 E 25 18.75 109.30 128.05 08/200~
Q5111044851E 07/1973 E 25 18.75 112.71 131.46 07 /200~
Q5090470377E 06/1973 E 25 18.75 111.45 130.20 06/200~
Q5081969739E 04/1973 E 25 18.75 111.14 129.89 04/200~
Q5160684536E 03/1974 E 25 18.75 109.73 128.48 03/200~
Q5159300178E 02/1974 E 25 18.75 109.73 128.48 02/200~
Q5145674895E 12/1973 E 25 18.75 109.73 128.48 12/200~
Q2494474133E 05/1970 E 25 18.75 118.61 137.36 OS/200e
Q2488520468E 04/1970 E 25 18.75 118.61 137.36 04/200e
Q2475261984E 03/1970 E 25 18.75 118.61 137.36 03/200e
Q2445563725E 0911969 E 25 18.75 116.27 135.02 09l199S
Q2432300874E 08/1969 E 25 18.75 116.26 135.01 08/199S
Q2421892047E 06/1969 E 25 18.75 114.67 133.42 06/199S
Q2334479256E 05/1968 E 25 18.75 113.82 132.57 05/199~
Q2326859976E 03/1968 E 25 18.75 112.53 131.28 03/199~
Q2322235270E 02/1968 E 25 18.75 112.53 131.28 02/199~
Q2382260053E 01/1969 E 7~ 18.75 118.52 137.27 01/199S
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Q23 82231 003 E 11/1968 E 25 18.75 116.69 135.44 11/199~
Q2368883474E 10/1968 E 25 18.75 115.39 134.14 1 0/199~
Q2473736782E 01/1970 E 25 18.75 118.25 137.00 o 1/200e
Q2459746427E 12/1969 E 25 18.75 116.97 135.72 12/199S
Q2458306019E 11/1969 E 25 18.75 116.27 135.02 11/199S
Q2416508170E 05/1969 E 25 18.75 119.85 138.60 05/199S
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Q2407669820E 04/1969 E 25 18.75 118.52 137.27 04/1 995
Q2400787534E 02/1969 E 25 18.75 118.52 137.27 02/1995
Q5218752544E 11/1974 E 25 18.75 109.94 128.69 4.00% 11/2004 11/2004
Q5218746236E 10/1974 E 25 18.75 108.72 127.47 4.00% 10/2004 10/2004
Q5204610042E 09/1974 E 25 18.75 111.27 130.02 09/2004
Q2367473122E 09/1968 E 25 18.75 115.39 134.14 09/199~
Q2347852824E 07/1968 E 25 18.75 115.39 134.14 071199~
Q2341546306E 06/1968 E 25 18.75 115.41 134.16 061199~
Q2547167304E 02/1971 E 25 18.75 107.85 126.60 02/2001
Q2539141915E 12/1970 E 25 18.75 121.26 140.01 12/200e
Q2533407095E 11/1970 E 25 18.75 120.94 139.69 11/200e
Q2604800782E 10/1971 E 25 18.75 107.61 126.36 10/2001
Q2570984023E 09/1971 E 25 18.75 107.61 126.36 09/2001
Q2585784302E 07/1971 E 25 18.75 107.3 1 126.06 07/2001
Q2112153490E 03/1965 E 25 18.75 190.72 209.47 4.00% 12/2004 03/2005
Q2106644943E 02/1965 E 25 18.75 189.70 208.45 4.00% 11/2004 02/2005
Q2091678815E 11/1964 E 25 18.75 211.57 230.32 4.00% 11/2004 11/2004
Q2159711058E 12/1965 E 25 18.75 109.37 128.12 12/1995
Q2149583711E 10/1965 E 25 18.75 157.37 176.12 2.59% 01/2005 10/2005
Q2143544220E 09/1965 E 25 18.75 157.37 176.12 2.59% 12/2004 09/2005
Q2201149721E 08/1966 E 25 18.75 104.52 123.27 08/199E
Q2195654890E 07/1966 E 25 18.75 104.52 123.27 07/199E
Q2183658970E 05/1966 E 25 18.75 103.27 122.02 05/199E
Q2520774508E 10/1970 E 25 18.75 120.94 139.69 10/200e
Q2501728365E 08/1970 E 25 18.75 120.94 139.69 08/200e
Q2501711926E 07/1970 E 25 18.75 120.61 139.36 07/200e
Q2578012095E 06/1971 E 25 18.75 108.20 126.95 06/200 I
Q2564631523E 05/1971 E 25 18.75 107.85 126.60 OS/200 I
Q2559307949E 03/1971 E 25 18.75 107.85 126.60 03/2001
Q21 0 1888085E 01/1965 E 25 18.75 208.51 227.26 4.00% 10/2004 0112005
Q2082257378E 10/1964 E 25 18.75 211.57 230.32 4.00% 10/2004 10/2004
Q2610163188E 12/1971 E 25 18.75 107.91 126.66 12/2001
Q2132439855E 07/1965 E 25 18.75 160.06 178.81 2.34% 10/2004 07 /200~
Q2124234474E 06/1965 E 25 18.75 162.15 180.90 2.59% 03/2005 06/200:
Q2115351750E . 05/1965 E 25 18.75 190.70 209.45 4.00% 02/2005 OS/200:
Q2182376464E . 04/1966 E 25 18.75 103.19 121. 94 04/199E
Q2169393285E 02/1966 E 25 18.75 109.38 128.13 02/199E
Q2164740742E 01/1966 E 25 18.75 109.38 128.13 o 1/199E
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Q2254634433E 04/1967 E 25 18.75 107.11 125.86 04/199/
Q2249345698E 03/1967 E 25 18.75 107.11 125.86 03/199/
Q2231624982E 01/1967 E 25 18.75 107.11 125.86 01/199,
Q2306366704E 12/1967 E 25 18.75 112.53 131.28 12/199,
Q2297566534E 11/1967 E 25 18.75 110.95 129.70 11/199/
Q2290565659E 10/1967 E 25 18.75 109.70 128.45 10/199/
Q6334357567E 08/1979 E 25 18.75 71.15 89.90 4.00% 02/2005 08/200S
Q6362019734E 09/1979 E 25 18.75 71.15 89.90 4.00% 03/2005 09/200S
Q6368820815E 11/1979 E 25 18.75 70.22 88.97 4.00% 11/2004 11/200S
Q6297301266E 12/1978 E 25 18.75 71.85 90.60 4.00% 12/2004 12/20m
Q6318355454E 03/1979 E 25 18.75 71.86 90.61 4.00% 03/2005 03/200S
Q6310969735E 01/1979 E 25 18.75 71.86 90.61 4.00% 01/2005 01/200S
Q6043514661E 12/1975 E 25 18.75 108.23 126.98 4.00% 12/2004 12/2005
Q6043508613E 11/1975 E 25 18.75 107.95 126.70 4.00% 11/2004 11/200:
Q6030034382E 09/1975 E 25 18.75 109.23 127.98 4.00% 03/2005 09/2005
Q6105564941E 08/1976 E 25 18.75 107.19 125.94 4.00% 02/2005 08/200~
Q6105559099E 07/1976 E 25 18.75 107.19 125.94 4.00% 01/2005 07/200~
Q6083466315E 05/1976 E 25 18.75 106.93 125.68 4.00% 11/2004 OS/200~
Q2229349648E 12/1966 E 25 18.75 1 07.1 0 125.85 12/199~
Q2223429647E 11/1966 E 25 18.75 105.71 124.46 1l/199E
Q2210084437E 09/1966 E 25 18.75 104.52 123.27 09/199~
Q2280502844E 08/1967 E 25 18.75 109.70 128.45 08/199,
Q2268643759E 07/1967 E 25 18.75 109.70 128.45 07/199/
Q2261484326E 06/1967 E 25 18.75 1 09.71 128.46 06/199i
Q6368824630E 12/1979 E 25 18.75 70.22 88.97 4.00% 12/2004 12/200S
Q6381499042E 02/1980 E 25 18.75 70.22 88.97 4.00% 02/2005 02/20lC
Q6385601718E 03/1980 E 25 18.75 70.22 88.97 4.00% 03/2005 03/201 (
Q6326341234E 04/1979 E 25 18.75 70.08 88.83 4.00% 10/2004 04/200S
Q6326370869E 05/1979 E 25 18.75 70.94 89.69 4.00% 11/2004 OS/200S
Q6334353301E 07/1979 E 25 18.75 71.15 89.90 4.00% 01/2005 07/200S
Q6015956079E 08/1975 E 25 18.75 109.23 127.98 4.00% 02/2005 08/2005
Q6014686797E 06/1975 E 25 18.75 109.23 127.98 4.00% 12/2004 06/200:
Q6287161986E 10/1978 E 25 18.75 70.76 89.51 4.00% 10/2004 1 0/200~
Q6075061531E 04/1976 E 25 18.75 105.75 124.50 4.00% 1 0/2004 04/200~
Q6068172687E 03/1976 E 25 18.75 108.24 126.99 4.00% 03/2005 03/200t
Q6056929694E 01/1976 E 25 18.75 108.24 126.99 4.00% 01/2005 01/200~
Q6120211896E 12/1976 E 25 18.75 106.28 125.03 4.00% 12/2004 12/200t
Q6210206263E 11/1976 E 25 18.75 105.92 124.67 4.00% 11/2004 11/200~
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Q6111791623E 10/1976 E 25 18.75 104.72 123.4 7 4.00% 10/2004 10/200(
Q6191174994E 0911977 E 25 18.75 105.28 124.03 4.00% 03/2005 09/2001
Q6184280388E 07/1977 E 25 18.75 105.28 124.03 4.00% 01/2005 07/2001
Q6177871825E 06/1977 E 25 18.75 105.30 124.05 4.00% 12/2004 06/2001
Q6255575675E 05/1978 E 25 18.75 72.30 91.05 4.00% 11/2004 OS/200~
Q6232653368E 04/1978 E 25 18.75 76.19 94.94 2.34% 1 0/2004 04/200~
Q6231574920E 02/1978 E 25 18.75 93.07 111.82 4.00% 02/2005 02/200~
Q6290651072E 04/1957 E 25 18.75 181.15 199.90 04/1991
Q6290651 071 E 03/1957 E 25 18.75 181.15 199.90 03/199,
Q6290663121E 01/1957 E 25 18.75 180.81 199.56 01/1991
Q6290651078E 12/1957 E 25 18.75 162.22 180.97 12/1991
Q6290651077E 11/1957 E 25 18.75 186.32 205.07 11/1991
Q6290651076E 10/1957 E 25 18.75 186.32 205.07 10/199,
Q6162329365E 04/1977 E 25 18.75 103.82 122.57 4.00% 10/2004 04/2001
Q6156074964E 03/1977 E 25 18.75 106.28 125.03 4.00% 03/2005 03/2001
Q6143235397E 02/1977 E 25 18.75 106.28 125.03 4.00% 02/2005 02/2001
Q6223526531E 01/1978 E 25 18.75 93.07 111.82 4.00% 01/2005 0 1/200~
Q6210825049E 11/1977 E 25 18.75 92.76 111.51 4.00% 11/2004 11/2001
Q6196679562E 10/1977 E 25 18.75 102.84 121.59 4.00% 10/2004 10/2001
Q6278741731E 09/1978 E 25 18.75 72.55 91.30 4.00% 03/2005 09/200~
Q6270493427E 08/1978 E 25 18.75 72.55 91.30 4.00% 02/2005 08/200~
Q6270488029E 06/1978 E 25 18.75 72.52 91.27 4.00% 12/2004 06/200~
Q6290651 07 5E 08/1957 E 25 18.75 186.32 205.07 08/199,
Q6290651074E 07/1957 E 25 18.75 186.33 205.08 07/1991
Q6290651073E 06/1957 E 25 18.75 183.97 202.72 06/199:
Q6290651 081 E 05/1958 E 25 18.75 164.37 183.12 051199~
Q6290651080E 03/1958 E 25 18.75 164.37 183.12 03/199~
Q6290651079E 02/1958 E 25 18.75 164.37 183.12 02/199~
Q6290651087E 01/1959 E 25 18.75 172.78 191.53 o 1/199S
Q6290651086E 11/1958 E 25 18.75 167.96 186.71 11/199~
Q6290651085E 10/1958 E 25 18.75 167.96 186.71 1 0/199~
Q6290651093E 09/1959 E 25 18.75 169.35 188.1 0 091199S
Q6290651092E 08/1959 E 25 18.75 167.26 186.01 08/199S
Q6290651091E 06/1959 E 25 18.75 169.13 187.88 06/199S
Q6290651099E 05/1960 E 25 18.75 173.61 192.36 OS/200e
Q6290651098E 04/1960 E 25 18.75 173.61 192.36 04/200e
Q6290651097E 03/1960 E 25 18.75 173.61 192.36 03/200e
Q6290651105E 02/1961 E 25 18.75 180.32 199.07 02/2001
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Q6290651104E 12/1960 E 25 18.75 178.43 197.18 12/200C
Q6290651103E 11/1960 E 25 18.75 1 78.04 196.79 111200C
Q6290651111E 10/1961 E 25 18.75 187.40 206.15 10/2001
Q6290651110E 09/1961 E 25 18.75 187.42 206.17 09/2001
Q6290651109E 07/1961 E 25 18.75 183.20 201.95 07/2001
Q6290651084E 09/1958 E 25 18.75 167.96 186.71 09/199~
Q6290651083E 07/1958 E 25 18.75 167.97 186.72 07/199~
Q6290651082E 06/1958 E 25 18.75 165.78 184.53 06/199~
Q6290651090E 05/1959 E 25 18.75 172.78 191.53 05/1995
Q6290651089E 04/1959 E 25 18.75 172.78 191.53 04/1995
Q6290651088E 02/1959 E 25 18.75 172.78 191.53 02/1995
Q6290651096E 01/1960 E 25 18.75 169.75 188.50 01l200C
Q6290651095E 12/1959 E 25 18.75 169.75 188.50 12/1995
Q6290651094E 10/1959 E 25 18.75 169.35 188.10 10/1995
Q6290651102E 10/1960 E 25 18.75 178.04 196.79 10/200e
Q6290651101E 08/1960 E 25 18.75 175.77 194.52 08/200e
Q6290651100E 07/1960 E 25 18.75 173.94 192.69 07/200e
Q6290651108E 06/1 961 E 25 18.75 183.20 201.95 06/2001
Q6290651107E 04/1961 E 25 18.75 182.61 201.36 04/2001
Q6290651106E 03/1961 E 25 18.75 182.62 201.37 03/2001
Q6290651117E 06/1962 E 25 18.75 192.04 210.79 06/200:
Q6290651116E 05/1962 E 25 18.75 191.49 210.24 OS/200:
Q6290651115E 03/1962 E 25 18.75 191.52 210.27 03/200:
Q6290651124E 04/1963 E 25 18.75 199.54 218.29 04/200~
Q6290651122E 01/1963 E 25 18.75 196.4 7 215.22 o 1I200~
Q6290651121E 12/1962 E 25 18.75 196.4 7 215.22 12/200:
Q6290651129E 12/1963 E 25 18.75 205.80 224.55 12/200~
Q6290651128E 09/1963 E 25 18.75 204.42 223.17 09/200~
Q6290651127E 08/1963 E 25 18.75 203.36 222.11 08/200~
Q6290651114E 02/1962 E 25 18.75 190.00 208.75 02/200:
Q6290651113E 01/1962 E 25 18.75 188.00 206.75 011200:
Q6290651112E 11/1961 E 25 18.75 187.40 206.15 1112001
Q6290651120E 10/1962 E 25 18.75 195.58 214.33 10/200:
Q6290651119E 09/1962 E 25 18.75 195.57 214.32 09/200:
Q6290651118E 08/1962 E 25 18.75 194.06 212.81 08/200:
Q6290651126E 07/1963 E 25 18.75 201.20 219.95 07/200~
Q6290651125E 05/1963 E 25 18.75 199.54 218.29 OS/200~
Q6290651123E 03/1963 E 25 18.75 199.57 218.32 03/200~
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Q6290651133E 04/1964 E 25 18.75 209.02 227.77 04/2004
Q6290651135E 07/1964 E 25 18.75 210.54 229.29 07/2004
Q6290651134E 06/1964 E 25 18.75 210.54 229.29 06/2004
Q6290663122E 03/1964 E 25 18.75 209.04 227.79 03/2004
Q6290651132E 08/1964 E 25 18.75 212.77 231.52 08/2004
Q6290651130E 02/1964 E 25 18.75 207.96 226.71 02/2004
I View lqJ I Viewing Bonds 1-300
le end
Note Description
NI Not Issued
NE Not Eligible for Payment
P5 Includes 3-month interest penalty
MA Matured and Not Earning Interest
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Jane C Kidd
FILE NUMBER
21 04 0864
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1
Citizens Bank
Checking account #6100701360
Citizens Bank
Checking account #6100707512
29,497.30
14,827.47
2
3
Citizens Bank
Certificate of Deposit
#6140-845173
39,527.95
4
Citizens Bank
Certificate of Deposit, account
#6140-873541
15,205.30
5
Coins consisting of following:
6 Indian Head Quarters, 1 "1865"
nickel and 1 "1932" quarter, sale
value
750.00
6
Conseco Senior Health
refund unearned premium on policy
# 606847
81. 81
7
First Commonwealth
Savings account #0202109288
10,283.31
8
Graham Oil Transports LLC
Decedent owned a .0018311%
cusenbary lease in oil well in
Texas.
175.00
9
Highmark Insurance
refund unearned premium on health
insurance policy
275.43
10 Household gooods sold by Brickers
Auction
8,644.00
11 Jewelry
ladies diamond ring, appraised
value (see attached appraisal)
<<<<<< PAGE BREAK >>>>>>
600.00
Total from continuation schedules
6,006.25
3W46AO 1.000
TOTAL (Also enter on line 5, Recaoitulation) $
(If more space is needed, insert additional sheets of the same size)
125,873.82
Estate of: Jane C Kidd
185-26-0750
Schedule E (Page 2)
Item
No. Description
Value at Date
of Death
12 Mechanicsburg Minute Men Color
Guard
raffle winnings due the Decedent
50.00
13 Members First Federal Credit Union
Savings account #3221-00
633.31
14 Omega Bank
Savings account #3008815
4,208.44
15 Stonebridge Life Insurance Company
refund unearned premium on policy
# 82AK6J2838
9.23
16 The Patriot-News
refund on subscription service
59.66
17 The Sentinel
refund on subscription service
43.48
18 U.S. Treasury
death benefit from civil service
retirement & disability fund
1,002.13
Total (Carry forward to main schedule)
6,006.25
Sfack ~o, "\P-100
Distnbuted by Star Struck Inc.. Belhel. CT 06301-0::,..i8 1-800-243-6144
Printed in U.SA
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~ S i I - J+-c 0 Jo~ ~ ,"9/8C!; - \?!\f
~ I '--'T'+I... (Q~.,.., it 5 ro, *' ~
~~ JOS"Dc fl1ELE~ ~1
t~ ~~-;:;:~-%e~~;~J+ccic" i-~IZ ~:L::~I- ~~~
~~ . TO VTL D i rln-r .-v1I';) w e I svJ ~ fc () i) ~'"
.,~ ~.~.~, I 5> ~ I( ~ 'L-)"-!':'- lt~
~!} I lO~ CT ~i-0" c.ot/Hf'x j) U ~~
~ ~?=~' th, "fi' ood ,dd"" of th, P,,,h,,,,,, Owo" of the 'ded ood d"",bed ""de,, ~
~~ NAME Si'I'l\JE- ('. K' Dj) ,~
~~ ADDRESS 't2~ ~L'-Tf-I H- '') ~ S"~T (VLec.i,"~;(5b,-,c:'i' u:b. IZ 05";- ~
~~.~ The foregoing Appraisal IS made wIth the understanding that the Appraiser assumes no liabilIty with respect to any actIon that mav be t,~~
.,-~ taken on the basIs of thIs Appraisal. . ,,~
~~l ... ~
.~~ The estImated value IS listed for Insurance or other purposes at the current retail value. excluding Federal and other taxes. In making t~
.C"~ thIS AppraIsal. we Do NOT agree to purchase or replace the articles. ,~,~
p r ^ ~
.,..t :~",}:..... ;~-.,>,:;,>/:> :!;:~:;)... ~.,'~ ~';~~f) '~"'~f~~~/'~~~ '?~?;~;~'~ ~,,)''l?~:.,;)~1:::9~ ;y~~.,!.. ..>:;!>-,.:'> ~,.>:"....),,>-),>~.;, "::>~=.__~.
..-__ ..~ ....",...~,.,'~-"''S.;J-' .JI!IIII"~.J!1)i',,',i;gY;-.::iT~ ~'~J1::Y""":~.~:::./, -:_=:? ""'_~..:-::JJ/ ,::../""'~.,~-,~::,.r",:,:7"',;"':/.:::/ ::;/.,.-~, - -,,' ,
R~V-1510 EX + .6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Jane C Kidd
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
FILE NUMBER
21 04 0864
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM DESCRIPTlON OF PROPERTY DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE
IN:LLOE Tl-E NAME OF n-e TRANSFEREE. THEIR RELATIONSHIP TO DECEDENT ,4J\()
NUMBER Tl-E DATE OF lRAJ'.SFER_ ATT/lCHACOPV OF TI-E DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1. First Investors Life 26,017.28 100.0000 0.00 26,017.28
Annuity, contract #369050,
beneficiary is Gail Hughes
2 New York Life Insurance Company 12,024.93 100.0000 0.00 12,024.93
annuity, contract #SC187056
TOTAL (Also enter on line 7, Recapitulation) $ 38 042.21
(If more space is needed. insert additional sheets of the same size)
3W46AF 1.000
REV-1511 EX. (12-99)
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Jane C Kidd
ITEM
NUMBER
A.
B.
3W46AG 1.000
Debts of decedent must be reported on Schedule I.
DESCRIPTION
FUNERAL EXPENSES:
1.
Robert D. Heath Funeral Home, Inc.
funeral services
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s) Karen M. Huqhes
Social Security Number(s) I EIN Number of Personal Representative(s)
Street Address 836 Washinqton Street
City Huntingdon
State PA
Zip 16652
Year(s) Commission Paid:
2.
Attorney Fees
Snelbaker & Brenneman, P.C.
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
State
Zip
Relationship of Claimant to Decedent
4. Probate Fees
5.
Accountant's Fees
6. Tax Return Preparer's Fees
7.
1
Brickers Auction
commission and miscellaneous
expenses associated with auction
Total from continuation schedules
FILE NUMBER
21 04 0864
TOTAL (Also enter on line 9, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
$
AMOUNT
6,049.49
22,180.00
15,341. 34
225.00
2,600.00
3,170.25
49,566.08
Estate of: Jane C Kidd
185-26-0750
Schedule H Part 7 (Page 2)
2
Comcast
cable TV service
42.23
3
Dave Kreamer Coins & Currency
appraisal fee
25.00
4
Robert Haring
garbage removal
390.00
5
L.G. Connor Real Estate Appraisers
real estate appraisal
300.00
6
PPL Electric
electric service
48.04
7
Settlement charges associated with
the sale of property
A. Transfer Tax - $605.00
B. Sewer charges - $107.82
C. Tax Certification - $2.00
714.82
8 UGI Utili ties
gas service
38.16
9
United Water Pennsylvania
water service
43.30
10
Verizon
phone service
68.70
11
Reserve
for filing fees, accounting fees
and other costs associated with
the administration of Decedent's
Estate
1,500.00
Total (Carry forward to main schedule)
3,170.25
RIi.V-1512 EX +~12-03)
.'
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Jane C Kidd
FILE NUMBER
21 04 0864
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM
NUMBER
L
DESCRIPTION
VALUE AT DATE
OF DEATH
Comcast
cable TV service
42.24
2
George K. Shahinian
medical services
68.55
3
Leffler Energy
heating oil
167.58
4
Pennsylvania Dept of Revenue
tax due on 2004 Final Individual
Income Tax Return
209.00
5
PPL Electric
electric service
34.02
6
Trugreen
lawn service
62.54
7
U.S. Treasury
tax due on 2004 Final Individual
Income Tax Return
9,061.00
8 UGI Utilities
gas service
20.97
9
United Water Pennsylvania
water service
11. 08
10 Verizon
phone service
28.05
3W46AH 2,000
TOTAL (Also enter on line 10. Recapitulation) $
(If more space is needed. insert additional sheets of the same size)
9.705.03
REV-1513 EX + (9-00)
.
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Jane C Kidd
NUMBER
I
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers
under Sec. 9116 (a) (1.2)]
David C. Hughes
P.O. Box 786
Verona, VA 24482
1
16.666667% Residue: 64,063.76
2
Gail K. Hughes
9 South Shaver
Mt. Union, PA
Street
17066
First Investors Life
Inventory Value: 26,017.28
16.666667% Residue: 64,063.76
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
FILE NUMBER
21 04 0864
AMOUNT OR SHARE
OF ESTATE
Step-grandson
Step-daughter
64,063.76
90,081.04
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
3W46AI 1.000
TOTAL OF PART II. ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
(If more space IS needed, Insert additional sheets of the same size)
$
0.00
.
Estate of: Jane C Kidd
185-26-0750
Schedule J Part 1 (Page 2)
Item
No. Description
Relation
Amount
3 Karen M. Hughes
836 Washington Street
Huntingdon, PA 16652
16.666667% Residue: 64,063.76
Step-Grandaughte
64,063.76
4 Cyn thia H. Moehle
1111 Post Oak
Wichita, KS 67206
16.666667% Residue: 64,063.76
Step-granddaught
64,063.76
5 Robert C. Moehle
1111 Post Oak
Wichita, KS 67206
16.666667% Residue: 64,063.76
Step-great-grand
64,063.76
6 Heather H. Pierre
783 Fern Lane
Chambersburg, PA 17201
16.666667% Residue: 64,063.76
Step-great-grand
64,063.76
. -:... I .
LAST WILL AND TESTAMENT
I, JANE C. KIDD, of the Township of Silver Spring, County of Cumberland
and Commonwealth of Pennsylvania, being of sound and disposing mind, memory
and understanding, do make, publish and declare this as and for my Last Will and
Testament, hereby revoking and making void all former wills and codicils by me at
anytime heretofore made.
FIRST: I order and direct that all my just debts and funeral expenses be paid
~
by my Executrix, hereinafter named, as soon as conveniently may be done after my
decease.
SECOND: I order and direct my Executrix, hereinafter named, to convert all
the rest, residue and remainder of my Estate, real personal and mixed, whatsoever
and wheresoever situated, into cash as soon as practicable after my death, and
-"'-.
~) divide the net proceeds (after payment of all accounts under Item first above and all
taxes occasioned by my death) into six (6) equal parts, which parts I give and
bequeath as follows:
A. One (1) such part unto my step-daughter, namely, GAIL K.
HUGHES, if she survives me.
B. One (1) such part unto my step-grandson, namely, DAVID C.
HUGHES, ifhe survives me;
C. One (1) such part unto my step-granddaughter, namely, CYNTHIA
H. MOEHLE, if she survives me;
D. One (1) such part unto my step-granddaughter, namely, KAREN M,
HUGHES, if she survives me;
LAW OFFICES
SNELBAKER.
E. One (1) such part unto my step-great-granddaughter, namely,
.. f ~ if .
F. One (1) such part unto my step-great-grandson, namely, ROBERT
C. MOEHLE, if he survives me, but subject to the protective
provisions of Item Third hereinbelow ifhe has not attained the age
of twenty-three (23) years at the time of my death.
If any of said beneficiaries should predecease me, I order and direct that the
bequest to such deceased beneficiary shall lapse without substitution of issue, and
the residue of my Estate shall be divided equally among and distributed unto the
named beneficiaries who survive me.
THIRD: If the said ROBERT C. MOEHLE has not attained the age of
\;'j twenty-three (23) years at the time of my death, I order and direct that his
" "
distributive share hereunder shall be delivered and paid over to his mother,
CYNTHIA H. MOEHLE, IN TRUST, NEVERTHELESS, as my testamentary
trustee, to hold, manage, invest, accumulate income and reinvest for the benefit of
ROBERT C. MOEHLE until he attains the age of twenty-three (23) years, at which
latter time said trust shall be terminated and the assets thereof distributed to
ROBERT C. MOEHLE, absolutely. During said trust, neither the beneficiary nor
his creditors shall have any right to obtain or use any of the assets of said trust, it
being my intention to create a spendthrift trust which prohibits the beneficiary's
assignment of any interest in the trust and prevents a creditor or attempted
assignee from obtaining said assets prior to termination of the trust and
distribution of assets to the beneficiary. I authorize and empower the trustee to
invest the assets hereunder as a reasonable and prudent investor and not be limite<
to statutory 01' so-called "legal investments" for fiduciaries.
LASTLY: I nominate, constitute and appoint my step-granddaughter,
. c. " ..
cease so to serve, then and in that event, I nominate, constitute and appoint my
other step-granddaughter, namely, CYNTHIA H. MOEHLE, to be the Executrix
hereof, each and both to serve without bond or other security as a condition of
qualification hereunder.
IN WITNESS WHEREOF, I, JANE C. KIDD, have hereunto set my hand and
seal to this, my Last Will and Testament, which consists of three (3) typewritten
pages to each of which I have affixed my signature this LJ ~ day of February,
A.D., Two Thousand (2000).
/() rl-~L-- f!. ~dd--/
C!Jane C. Kidd
(SEAL)
The preceding instrument, consisting of this and two (2) other typewritten
pages, each identified by the signature of the Testatrix, was on the date thereof
signed, sealed, published and declared by JANE C. KIDD, the Testatrix therein
na,med, as and for her Last Will and Te~tament, in the presence of us, who, at her
request, in her presence and :in the presence of each other, have subscribed our
names as witnesses hereto. ~ '
~' ,-dk--.
+-- g~~
o
,.' t' :. ..
C0M1\10NWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
We, JANE C. KIDD, RICHARD C. SNELBAKER and JANE J. COONEY, the
Testatrix and the witnesses, respectively, whose names are signed to the attached
or foregoing instrument, being first duly sworn, do hereby declare to the
undersigned authority that the Testatrix signed and executed the instrument as her
Last Will and Testament and that she had signed willingly, and that she executed it
as her free and voluntary act for the purposes therein expressed, and that each of
the witnesses, in the presence and hearing of the Testatrix, signed the Will as a
witness and that to the best of his or her knowledge the Testatrix was at that time
eighteen years of age or older, of sound mind and under no constraint or undue
influence.
~V!.-
a/cA...-/
_11, 0 (' .g-,r>'-<"'l
d WitJ~s~
Subscribed, sworn to and acknowledged before me by JANE C. KIDD , the
Testatrix, and subscribed and sworn to before me by RICHARD C. SNELBAKER .
and JANE J. COONEY, the witnesses, this 4Jt.. day of February, 2000.
-~~p~~
r
NotarIal SAAr
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-961
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 005457
SNELBAKER RICHARD C
44 W MAIN STREET
MECHANICSBURG, PA 17055
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
__u_h_ fold
101
$92.99
ESTATE INFORMATION: SSN: 185-26-0750
FILE NUMBER: 2104-0864
DECEDENT NAME: KIDD JANE C
DATE OF PAYMENT: 06/20/2005
POSTMARK DATE: 06/20/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 09/16/2004
TOTAL AMOUNT PAID:
$92.99
REMARKS:
CHECK# 126
SEAL
INITIALS: JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
09-05-2005
KIDD
09-16-2004
21 04-0864
CUMBERLAND
101
APPEAL DATE: 11-04-2005
( See reverse side under Objections)
Amourrt Rami tted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE _ RETAIN LOWER PORTION FOR YOUR RECORDS +-
REv:is4;-Ei-AFP"c03:osj-NoTIcE-OF-INHERITANCE-TAi-APPRAISEMENT:-ALLOWANCE-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
JANE C FILE NO. 21 04-0864 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
BUREAU OF INDIVIoU;IlOOfiO::D ['[[ICE U
INHERITANCE TAX DIVISION,_,':"_,--.-,.: , ..--' -- " ' to,
PO BOX 280601 .
HARRISBURG PA 17128-0601-
"nf'\':" ('\.I"""l""\ 2
[.YD 0C.t - -
Pil \2: II
CU:T~\< CF
O";e
I" '
RICHARD ~SNELBAKER
'-,
SNELBAKER & BRENNEMAN
44 W MAIN ST
MECHANICSBURG
PA 17055
ESTATE OF
KIDD
*'
REY-lS47 EX AFP (06-051
JANE
C
TAX RETURN WAS: (X) ACCEPTED AS FILED
DATE 09-05-2005
) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l Estate (Schedule A)
2. Stocks end Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest [Schedule C)
ct. Mortgages/Notes Receivable (Schedule DJ
S. CashIBank Deposits/Misc. Personal Property {Schedule EJ
6. .Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
60,500.00
245.254.91
.00
.00
125.873.82
.00
38.042.21
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule ~)
14. Net Value of Estate Subject to Tax
I~ an assessment was issued previously, lines 14, 15 and,or 16, 17, 18 and 19 will
reflect ~igures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
IS. Anount of Line 14 at Spousal rate (IS)
16. A.ount of Line 14 taxable at Lineal/Class A rate (16)
17. AMount of Line 14 at Sibling rate (17)
18. A.ount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax DUB
D
NOTE:
TA
NUIIBER
CD004700
CD005457
REFUND
INTEREST/PEN PAID Ie)
921.05
.03-
.00
+
DATE
12-06-2004
06-20-2005
08-29-2005
(9)
(10)
49,566.08
9.705.03
(11)
(12)
(13)
(14)
.00 X
410,399.83 X
.00 X
.00 X
00 =
045 =
12 =
15 =
AHOUNT PAID
17,500.00
92.99
46.02-
~
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
NOTE: To insure proper
credit to your account,
subnit the upper portion
of this for. with your
tax paYllent.
469,670.94
I;Q ?71 11
410,399.83
.00
410,399.83
(19)=
.00
18,467.99
.00
.00
18,467.99
18,467.99
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
iF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY 8E DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
[r:""0';<"',~~~T~NCE TAX
'u.'SyA"rl;iiIIEft,lTOF ACCOUNT
REV-1607 EX AFP (03-05)
[in;
.1 n',~
I ,~
1.~TE
: . '::esTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
09-12-2005
KIDD
09-16-2004
21 04-0864
CUMBERLAND
101
JANE
C
I,:
RICHARD C SNELBAKER
SNELBAKER & BRENNEMAN
44 W MAIN ST
MECHANICSBURG PA 17055
{-.,;
Allount Reali tted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent.
CUT ALONG THIS LINE
-+
RETAIN LOWER PORTION FOR YOUR RECORDS
+-
---------------------------------------------------------------------------
REV-1607 EX AFP (03-05)
~~~ INHERITANCE TAX STATEMENT OF ACCOUNT ...
ESTATE OF KIDD JANE C FILE NO.21 04-0864 ACN 101 DATE 09-12-2005
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-29-2005
PRINCIPAL TAX DUE: 18,467.99
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-06-2004 CD004700 921. 05 17,500.00
06-20-2005 CD005457 .03- 92.99
08-29-2005 REFUND .00 46.02-
TOTAL TAX CREDIT 18,467.99
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
. IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ,
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J
CJV\
11
.
ESTATE NO 21-04-0864
FIRST AND FINAL ACCOUNT AND STATEMENT OF PROPOSED
DISTRIBUTION OF AND BY KAREN M. HUGHES, EXECUTRIX
OF THE ESTATE AND UNDER THE LAST WILL AND TESTAMENT
OF JANE C. KIDD, DECEASED, LATE OF MECHANICSBURG BOROUGH
CUMBERLAND COUNTY, PENNSYLVANIA
Karen M. Hughes, Executrix as aforesaid and Accountant herein,
avers as follows:
DATE OF DECEDENT'S DEATH: September 16, 2004 ".)
DATE LETTERS TESTAMENTARY ISSUED: September 22, 2004 : ....~.
'. . '..
DATES EXECUTRIX NOTICE ADVERTISED:
Cumberland Law Journal October 1, 8, 15, 2004 I
Patriot-News Co. September 28, October 5,12,2004 ; ;
. , ~~;
FIRST AND FINAL ACCOUNT , .. ,'.,-'j
.,:,: , . . ,
W i
PERSONALTY - PRINCIPAL ACCOUNT
DEBITS
The Accountant charges herself with the receipt of the Decedent's personalty,
goods and chattels as set forth in her inventory heretofore filed in the amount of: $ 383,153.66
The Accountant charges herself with the following additional receipts:
1. United States Treasury, civil service benefit 1,698.00
2. MetLife, life insurance proceeds policy #680336437MS 4,224.03
3. Office of Borough of Mount Union, reimbursement for prepaid grave opening certificate 350.00
4. American United Life (AUL), life insurance proceeds, policy # 01605160380 1,238.31
5. Office of Federal Employees Group Life Insurance, life insurance proceeds 6,265.67
6. Commonwealth of Pennsylvania, refund on Inheritance Tax 46.02
TOTAL, PERSONALTY, PRINCIPAL ACCOUNT, DEBITS: $ 396,975.69
PERSONALTY - PRINCIPAL ACCOUNT
CREDITS
The Accountant claims credit for the payment of the following items from
Decedent's Personalty Account:
1. Citizens Bank, checking account #6100701360, check #122 written by Decedent $ 10.00
2. Robert D. Heath Funeral Home, Inc., funeral services 6,049.49
3. First Commonwealth Financial Corp., loss on sale of stock 1,151.56
4. Prime Vest Financial Services, commission and fees on sale of First Commonwealth 401.85
Financial Corp. stock
5. Comcast, cable TV service 84.4 7
6. Verizon, phone service 96.75
7. Dave Kreamer Coins & Currency, coin appraisal 25.00
8. Bricker's Auction, commission and expenses on sale of household goods 2,600.00
9. Citizens Bank, refund Civil Service payment received in error 1,698.00
LAW OFFICES 10. Register of Wills, Agent, estimated tax payment 17,500.00
SNEL8AKER & 11. Register of Wills, certified copy of Will 5.00
BRENNEMAN, P.C. 12. Register of Wills, Young County, Texas, probate fee 17.00
13. George K. Shahinian, medical services 68.55
Page 1
~~
11
14. Register of Wills, Agent, Inheritance Tax 92.99
15. Register of Wills, filing fee for Inheritance Tax Return 15.00
16. Loss on sale of Ladies Diamond ring 500.00
17. Register of Wills, additional probate fee 140.00
Items to be paid subsequent to confirmation of Final Accounting:
18. Karen M. Hughes, Executrix Commission 22,180.00
19. Snelbaker & Brenneman, P .C., attorney services 15,341.34
20. Snelbaker & Brenneman, P.C., costs advanced: 472.60
a. Register of Wills, probate fee 231.00
b. Cumberland Law Journal, advertising Executrix Notice 75.00
c. Patriot-News, advertising Executrix Notice 121.60
d. Register of Wills, short certificates 45.00
21. Reserve for filing fees, accounting fees and other miscellaneous costs associated 1,500.00
with the administration of Decedent's estate 1
TOTAL, PERSONALTY, PRINCIPAL ACCOUNT, CREDITS: 169,949,60
PERSONALTY - INCOME ACCOUNT
DEBITS ,
i
1
The Accountant charges herself with the receipt of the following I
Income from the investment of Personalty Principal: !
1. United States Treasury, savings bond, interest $' 64.60
2. Omega Bank, checking account #3008815, interest 0.76
3. First Commonwealth Bank, savings account #0202109288, interest 1.97
4. Citizens Bank, checking account #61 00707512, interest 24.19
5. Citizens Bank, checking account #61 00701360, interest 12.31
6. Citizens Investment Services, account #57534248, interest 457.25
7. Citizens Bank, Certificate of Deposit # 6140-845173 & 6140-873541 , interest 141.15
8. Members First Federal Credit Union, savings account #3221-00, interest 0.38
9. First Commonwealth Financial Corp., stock dividend 1,201.28
10. New York Life Insurance Company, annuity contract #SC187056, interest 38.05
11. Omega Bank, estate account, interest 375.09
TOTAL, PERSONALTY, INCOME ACCOUNT, DEBITS: $ 2,317.03
PERSONALTY - INCOME ACCOUNT
CREDITS
The Accountant claims credit for the payment of the following items
from the Personalty Principal Account:
1. H&R Block, preparation of 2004 Individual Income Taxes $1 225.00
2. PA Department of Revenue, 2004 Individual Income Tax I 209.00
3. Internal Revenue Service, 2004 Individual Income Tax ~ 9,061.00
TOTAL, PERSONALTY, INCOME ACCOUNT, CREDITS: 9,495.00
I
I
I
REAL ESTATE - PRINCIPAL ACCOUNT I
i
DEBITS
The Accountant charges herself with the receipt of Decedent's
Real Estate as set forth in her Inventory heretofore filed in the
LAW OFFICES amount of: $ 60,500.00
SNELBAKER & The Accountant charges herself with the following additional receipts:
BRENNEMAN, P.C. 1. Adjustments made at settlement for sewer, county and school taxes 754.43
TOTAL, REAL ESTATE, PRINCIPAL ACCOUNT, DEBITS: $ 61,254.43
Page 2
II
REAL ESTATE - PRINCIPAL ACCOUNT
CREDITS
The Accountant claims credit for the payment of the following
items from Real Estate Principal Account:
1. UGI Utilities, Inc., gas service $ 59.39
2. United Water, water service 54.38
3. PPL Electric, electric service 82.06
4. Trugreen, lawn service 62.54
5. Leffler Energy, heating oil 167.58
6. Charges associated with the sale of property, as follows: 714.82
a. Transfer tax 605.00 I
b. Sewer charges 107.82
c. Tax certification fee 2.00 I
I
7. L.G. Connor Real Estate, real estate appraisal ! 300.00
8. Robert Haring, garbage removal from property I 390.00
TOTAL, REAL ESTATE, PRINCIPAL ACCOUNT, CREDITS: $ 1,830.77
REAL ESTATE -INCOME ACCOUNT
DEBITS !
I
The Accountant charges herself with the receipt of the
income from the investment of Real Estate Principal Account: $ NONE
TOTAL, REAL ESTATE, INCOME ACCOUNT, DEBITS: $ NONE
REAL ESTATE -INCOME ACCOUNT
CREDITS
The Accountant claims credit for the payment of the following items
From the Real Estate Income Account: $ NONE
TOTAL, REAL ESTATE, INCOME ACCOUNT, CREDITS: $ NONE
LAW OFFICES
SNELBAKER &
BRENNEMAN. P.C.
Page 3
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
PERSONALTY:
PRINCIPAL ACCOUNT:
Debits
Credits
Balance
INCOME ACCOUNT:
Debits
Credits
Balance
TOTAL PERSONALTY
REAL ESTATE:
PRINCIPAL ACCOUNT:
Debits
Credits
Balance
INCOME ACCOUNT:
Debits
Credits
Balance
TOTAL REAL ESTATE:
TOTAL FOR DISTRIBUTION:
RECAPITULATION
Page 4
$
$
396,975.69
69,949.60
$
$
2,317.03
9,495.00
$
$
61,254.43
1,830.77
$ NONE
$ NONE
$ 327,026.09
$ (7,177.97)
$ 59,423.66
$ NONE
IT
$ 319,848.12
$ 59,423.66
I
~ 379,271.78
I
I
LAW OFFICES
SNELBAKER &
BRENNEMAN. P.C.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF II U /7 't,< --? C7' cJo :")
(v
Karen M. Hughes. Executrix, being duly sworn according to law
55.
deposes and says: that she is the Executrix of the Estate and under the Last Will
and Testament of Jane C. Kidd, Deceased; that she is the Accountant herein;
that the foregoing is a true and complete accounting of her administration of
said Estate; that the attached list or schedule [*] contains the names,
addresses and amounts due unpaid creditors who have given proper notice
of their claims; that the attached list or schedule [**] contains the names and
addresses of all persons interested in the distribution of said Estate; and that
the facts set forth herein are true and correct to the best of her knowledge,
information and belief.
Sworn to and subscribed before
me this g- day of 0 oh u-- 2005
/,,/"7
State of PA.
County ofHl.m,titlgdon
Subscribe.P and $.wornbefore
me.this~day of {)Gt; 20~:
~
~
e:c:
NOTARIAL SEAL
BETTY J. GRISSINGER, NOTARY PUBLIC
HUNTINGDON BORG, HUNTINGDON CO., PA
MY COMMISSION EXPIRES OCT 28 2007
Page 5
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
*
UNPAID CREDITORS:
II
NONE
** PERSONS INTERESTED IN DISTRIBUTION OF ESTATE:
1. Gail K. Hughes
9 South Shaver Street
Mt. Union, PA 17066
2. David C. Hughes
P.O. Box 786
Verona, VA 24482
3. Cynthia H. Moehle
1111 Post Oak
Wichita, KS 67206
4. Karen M. Hughes
836 Washington Street
Huntingdon, PA 16652
5. Heather H. Pierre
783 Fern Lane
Chambersburg, PA 17201
6. Cynthia H. Moehle in Trust for Robert C. Moehle
1111 Post Oak
Wichita, KS 67206
Page 6
II
STATEMENT OF PROPOSED DISTRIBUTION
Karen M. Hughes, Executrix and Accountant herein, proposes to
distribute the balance of the Estate of Jane C. Kidd, Deceased, to wit:
$379,271.78 in accordance with the Last Will and Testament of said Decedent
as follows:
1. Gail K. Hughes $ 63,211.96
1/6 of residue as per Item 2A of Will 63,182.80
1/6 of Graham Oil Transports LLC, cusenbary lease in oil well 29.16
in Texas, In-Kind
2. David C. Hughes $ 63,211.96
1/6 of residue as per Item 2B of Will 63,182.80
1/6 of Graham Oil Transports LLC, cusenbary lease in oil well 29.16
in Texas, In-Kind
3. Cynthia H. Moehle $ 63,211.97
1/6 of residue as per Item 2C of Will 63,182.80
1/6 of Graham Oil Transports LLC, cusenbary lease in oil well 29.17
in Texas, In-Kind
4. Karen M. Hughes $ 63,211.97
1/6 of residue as per Item 20 of Will 63,182.80
1/6 of Graham Oil Transports LLC, cuse.,bary lease in oil well 29.17
in Texas, In-Kind
5. Heather H. Pierre $ 63,211.96
1/6 of residue as per Item 2E of Will 63182.79
1/6 of Graham Oil Transports LLC, cusenbary lease in oil well 29.17
in Texas, In-Kind
6. Cynthia H. Moehle in Trust for ~obert C Moehle $ 63,211.96
1/6 of residue as per Item 2F of Will 63,182.79
1/6 of Graham Oil Transports LLC, cusenbary lease in oil well 29.17
in Texas, In-Kind
To be held in Trust until the age of 23 per Item Third of Will
TOTAL DISTRIBUTION: $ 379,271.78
LAW OFFICES
SNELBAKER &
BRENNEMAN. P.C.
Page 7
I
\ I
I
.
I
i
COMMONWEALTH OF PENNSYLVANIA )
/I U /It //7 ~ r! O~7 55.
COUNTY OF )
Karen M. Hughes, being duly sworn according to law, deposes and
says that the facts set forth in the foregoing Statement of Proposed Distribution
are true and correct to the best of her knowledge, information and belief.
~~ In IJ.t.~ 11~/),-"
Karen M. Hughes, Execli!tix
Sworn to and subscribed before me
this gWlday of OUCJ,ku.,- 2005
I
~~~
. ~
State of PA.
County of Huntingdon
Subscribed and Sworn before
me this-L-day ofOc.L 20~:
~~'-
NOTARIAL SEAL
BETTY 1. GRISSINGER, NOTARY PUBLIC
HUNTINGDON BORa, HUNTINGDON co., PA
MY COMMISSION EXPIRES OCT 28 2007
\
LAW OFFICES
SNELBAKER &
BRENNEMAN. P.C.
Page 8 I
i
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
l
J
ss:
Karen M. Hughes
according to law, deposes and says that she , ~ thE> F.xprntrix
J C Kidd
of the Estate of ane.
late of __~:chani:_sbu~__~_<:.:_ough , Cumberland County, Pa., deceased aad that the
'th" . t d b Karen M. Hughes th 'd Executrix
WI In IS an Inven ory ma e y . __ _ 'f e sal
of the entire estate of said decedent, consisting of all the personal prop~rty and real estate, except real estate outside
the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value
as of the date of decedent's death.
being duly
sworn
~
~L
,
~
Ivt, A.,...., ~.~
Executor ministrlltor
Karen M. Hughes, Executr~x
836 Washington Street
Hunt~ngdon, ~A 166)L
Sworn
and subscribed before me,
~ 2005
NOTARIAL SEAL
BETTY J. GRISSINGER, NOTARY PUBLIC
HUNTINGDON BORO, HUNTINGDON CO., PA
MY COMMISSION EXPIRES OCT 28 2007
16th
Address
OilY
September
Month
2004
Date of Death
Yellr
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
... State of PA.
County of Huntingdon
Subscribed and Sworn before
me this--.&...day of OLJ5 205
..c: Q)
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Inventory of the real and personal estate of
JANE C. KIDD, Deceased
PERSONAL TV:
1. Citizens Investment Services, account #57534248 $
2 First Commonwealth Financial Corp., 7,508 shares of common stock
valued at $14.00 per share
3. United States Savings Bonds, 408 savings bonds consisting of EE
and E bonds
4. Citizens Bank, checking account #6100701360
5. Citizens Bank, checking account #6100707512
6. Citizens Bank, Certificate of Deposit, #6140-845173
7. Citizens Bank, Certificate of Deposit, #6140-873541
8. Coins consisting of 6 Indian Head Quarters, 1 "1865" nickel and 1 "1932"
quarter, sale value
9. Conseco Senior Health, refund unearned premium on policy #606847
10. First Commonwealth, savings account #0202109288
11. Graham Oil Transports LLC, .0018311 % cusenbary lease in oil well in Texas
12. Highmark Insurance, refund unearned premium on health insurance
13. Household goods sold via public auction
14. Ladies Diamond ring, appraised value
15. Mechanicsburg Minute Men Color Guard, raffle winnings due Decedent
16. Members First Federal Credit Union, savings account #3221-00
17. Omega Bank, savings account #3008815 . .. .
18. Stonebridge Life Insurance Company, refund unearned premium, policy #82AI<.6J2838 _
19. The Patriot-News, refund on subscription service"'
20. The Sentinel, refund on subscription service
21. U.S. Treasury, death benefit from civil service retirement & disability fund
22. New York Life Insurance Company, annuity, contract #SC187056
TOTAL PERSONALTY: $
REAL ESTATE:
1. House and lot numbered as 423 South High Street, Mechanicsburg Borough
Cumberland County, Mechanicsburg, PA 17055
TOTAL PERSONALTY AND REAL ESTATE:
:;-
81,245.43
105,112.00
58,897.48
14,827.47
29,497.30
39,527.95
15,205.30
750.00
81.81
10,283.31
175.00
275.43
8,644.00
600.00
50.00
633.31
4,208.44
9.23
59.66
43.48
1,002.13
12,024.93
383,153.66
$ .60,50Q.OQ
"". ,~:
$ 443,653.66
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Register of Wills of Cumberland County
/
/:
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Jane C. Kidd
Date of Death:
September 16, 2004
Estate No.:
21-04-0864
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following
with respect to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
. Yes ~ No 0
2. If the answer is No, state when the personal representative reasonably believes that
the administration wilI.be complete:
3. If the answer to No.1 is Yes, state the following:
a. Did the personal representative file a final account with the Court?
Yes 0C No 0
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal representative state an account informally to the parties in
interest? Yes 0 No 0
Date:
c.
P.C.
Address
(717) 697-8528
Telephone No.
Capacity: 0 Personal Representative
gCounsel for personal representative
~