HomeMy WebLinkAbout05-17-12
J REV~75,D~Ex(o11n1 # 1505610143
PA DeGaYnment of Revenue ~ OFFICIAL USE ONLY
p Pennsylvania County Cotle Year Faa Number
Bureau of Individual Taxes ~P^a,Men*oraFUE~,a
Po eox.zaosot INHERITANCE TAX RETURN 21 12 013 6
Harrisburg, PA 77128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Dafe of Birth
12 17 2011 03 17 1933
Decedent's Last Name Suffix Decedent's First Name MI
CASSEL NORMA G
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
~ 1. Original Retum
^ 4. Limited Estate
® s Decedent oleo Ta:fate
(gitach Copy of WIII)
^ 9. Litigation Proceetls Received
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
^ 2. Supplemental Return
^ qa Fufure Interest Compromise
(tlate m tleam aner 1z-u-ez)
^ ~. Decetlent Maintained a Crying TNSt
(Attach CaPY of Tmsn
^ ib Spousal PoveRy Cretlit (gate of tleath
between 12-31-91 end tq-85)
^ 3. Remainder Retum (date of deaN
prior to 12-13-82}
^ 5. Federal Estate Taz Return Required
0
8. Total Number of Safe Deposit Boxes
^ 77. Election t0lax under Sec. 9113(A)
(Anach SCh. O)
CORRESPONDENT ~ THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL 7A:K INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
GERALD J SRINSER 717 838 6348
First line of address
6 E MAIN STREET
Second line of atldress
PO BOX 323
City or Post Office
PALMYRA
Correspondent'se-malladdress: gjbrln@aOI.COm
D.
617 Messiah Circle, Mechanicsburg, PA 17055
6 E. Main Street, Palmyra, PA 17078
1505610143
State ZIP Code
PA 17078
Cassel
Gerald J Brinser
Side 1
REGISTER OF
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1505610243
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: C A S S E L, N O R M A G. 1 9 4 4 2 9 6 6 0
RECAPITULATION
1. Real Estate (Schedule A) ....................................................................................... ... 1.
2. Stocks and Bonds (Schedule B) ............................................................................ ... 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)....... ... 3.
4. Mortgages & Notes Receivable (Schedule D) ....................................................... ... 4.
5 Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............. ... 5. 7 6 , 7 2 4 2 7
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested .......... ... 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ^ Separate Billing Requested .......... ... 7. 2 1 3, 2 5 6. 6 8
8. Total Gross Assets (total Lines 1-7) .................................................................... ... g. 2 8 9, 9 8 0 9 5
9. Funeral Expenses & Administrative Costs (Schedule H) ...................................... ... 9. 1 4, 7 1 1 1 0
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............................. ... 10. 8 , 2 3 2 0 2
11. Total Deductions (total Lines 9 & 10) ................................................................... ... 11 _ 2 2 , 9 4 3.12
12. Net Value of Estate (Line 8 minus Line 11) .......................................................... ... 12. 2 6 7 , 0 3 7 8 3
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) .............................................. ... 13. 2 6 7 , 0 3 7 8 3
14. Net Value Subject to Tax (Line 12 minus Line 13) .............................................. ... 14. 0 0 0
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .00 15.
16. Amount of Line 14 taxable
at lineal rate X .045 16.
17. Amount of Line 14 taxable
at sibling rate X 12 17.
18. Amount of Line 14 taxable
at collateral rate X .15 18.
19. Tax Due .................................................................................................................. ... 19. 0 0 0
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ^
Side 2
155610243 150561243
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21 - ~ 2 _ 0136
AM
Cassel, Norma G.
STREET ADDRESS
760 Oak Oval
CITY
Mechanicsburg STATE
PA ZIP
17055
Tax Payments and Credits:
1. Taz Due (Page 2, Line 19) (1) 0.00
2. Credits/Payments
A. Prior Payments
B. Discount
Total Credits (A + B) (2) 0.00
3. Interest
(3) 0.00
q. If Line 2 is greater than line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (q)
Check box on Page 2 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0. ~
Make Check Payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transierred :.................................................................................. ^ x
b. retain the right to designate who shall use the properly transferred or its income :.................................... (~ x~
c. retain a reversionary interest: or .................................................................................................................. L~Ji x
d. receive the promise for life of either payments, benefits or care? .............................................................. ^ ~x
2. It death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? ......................................................................................
................................ ^
x
^
3. Did decedent own an "in trust for' or payable upon death bank aaount 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? ...................................................................................................................... ^x ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
y ae
+.., m,al ..,k
For dates of death on or after July 1, 1994 and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving
spouse is 3 percent [72 P.S. §9176 (a) (1.1) (i)].
For dates of death on or after January 7, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and thr~ statutory requirements for disclosure of
assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dales of death on or after July 1, 2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is 0 percent p2 P.S. §9116 (a) (1.2)].
• The tax rate imposetl on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in
72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. 69116 ta) (1.3)1. A
sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, w ether y blood or adoption.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
LLMAONWEPLTH DE RENNSVLVANIN PERSONAL PROPERTY
INHERRPNLE THJI RENRN
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF Cassel, Norma G. 21 - 12 - 0136
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 DESCRIPTION VALUE AT DATE OF
NUMBER DEATH
1 Waddell ~ Reed -Account No. 00060100535 71,904.53
2 Citizen's Bank -Checking Account #6230557197 731.19
3 Everence -Refund 66.41
4 Erie Insurance -Refund 25.00
5 Continental -Long-Term Care Insurance 2,682.59
6 Master Charge -Refund 0.46
7 Social Security Check 1,054.00
8 Government of Canada -Pension 260.09
TOTAL (Also enter on Line 5, Recapitulation) ~ 76,724.27
COMMONWEALTH OF PENNSYLVANIA
INHERfTANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS 8~
MISC. NON-PROBATE PROPERTY
ESTATE OF Cassel, Norma G. FILE NUMBER
21 - 12 - 0136
This schedule must be completed and filed if the answer to any of questions 1 through 4 on pace 2 is ves.
ITEM
NUMBER DESCRIPTION OF PROPERTY
Include the nameINMe Vansfarae, their rebtionshiprodecedent
antl fhe date of transfer. Attach a copy of [he deed br real estate. DATE OF DEATH
VALUE OF ASSEr q0 OF
DECO'S
INTEREST EXCLUSION
(IF APPLICA9LE
~
TAXABLE VALUE
1 Wadde118Reed-AccountNo.016047228,with ts,4os.ts 100% 15,408.16
Grantham Church and Messiah Village named as
beneficiaries.
2 Waddell & Reed -Account No. 016103625, with 36,528.40 100% 36,528.40
Grantham Church and Messiah Village named as
beneficiaries.
3 Waddell 8 Reed -Account No. 00027871664, titled tst,32o.tz 100% 161,320.12
"TOD" to Grantham Church and Messiah Village
Endowment Fund (50% Each)
TOTAL (Also enter on line 7, Recapitulation) f 213,256.68
r
COMMONW£PLTH OF PENNSTLVANN
INHERITPNGE T0.t RETURN
RESICENT OECEOENT
SCHEDULE H
~F~UyNrER~A7LpE/~)(PEN/S~ E~S~&~
PVa~~~IJ r nr"r~ V\J~71J
FILE NUMBER
ESTATE OF Cassel, Norma G. 21 - 12 - 0136
Debts of decedent must be reported on Schedule I.
NUM ER DESCRIPTION AMOUNT
FUNERAL EXPENSES:
A. 1 Cocklin Funeral Home 9,436.40
2 Grantham Church -Funeral Luncheon 200.00
3 Gingrich Memorials 750.00
B.
1
2.
3.
a.
5.
6.
7.
1
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission paid
Attorney's Fees Brinser, Wagner & Zimmerman -- Gerald J. Brinser 3,838.00
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
i City State Zip
Relationship of Claimant to Decedent
Probate Fees Register of Wills (Ctrs. Pd. $135.00 = $50,000 - $75,000)
Accountant's Fees
Tax Return Preparer's Fees
Other Administrative Costs
Register of Wills -Additional Cost of Letters
195.50
75.00
TOTAL (Also enter on line 9, Recapitulationy 14,711.10
Sd~edule H
COMMONWEALTH OF PENNSYLVANIA ^
INHERITANCE TA%RETURN ~1+~"~
ESTATE OF Cassel, Norma G.
2 The Sentinel -Legal Advertising
3 Cumberland Law Journal -Legal Advertising
4 Notary on Renunciation
5 Bank Charges
FfLE NUMBER
21 - 12 - 0136
Page 2 of Schedule H
115.20
75.00
2.00
24.00
SCHEDULEI
DEBTS OF DECEDENT, MORTGAGE
LDMMDNWE4~TH DE PENNSYLVANW LIABILITIES, & LIENS
INHERITNNLE TN%RETURN
RESIDENT pELEDENT
FILE NUMBER
ESTATE OF Cassel, Norma G. z1 - 12 - 0136
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
ITEM DESCRIPTION AMOUNT
NUMBER
1 Alert Pharmacy 623.32
2 ~ Messiah Village I 5,544.30
3 ~ P P& L-Electric ~ 30.09
4 Master Charge 34.31
5 D. Wayne Cassel -Reimbursement of Loan Prior to Death 2,000.00
TOTAL (Also enter on Line 10, Recapitulation) ~ 8,232.02
REV-1513 E%+111-0e1
SCHEDULE)
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TA% RETURN
RESIDENTOECEDENT
ESTATE OF FILE NUMBER
Cassel, Norma G. 21 - 12 - 0136
RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER IVAME AND ADDRESS OF PERSON(S) DECEDENT (Words) ($$$)
RECEIVING PROPERTY D° N°! List TrushelsJ
I. TAXABLE DISTRIBUTIONS[include outright spousal
dlstributlons, and transfers
under Sec. 9176 (a) (1.2)]
1
Enter dollar amounts for distributions shown above on lines 15 t hrough 18 on Rev 1500 cover sh eet, as appropriate.
](1. NON-TAXABLE DISTRIBI~TIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1 Grantham Church, 4~1 Grantham Road (50% Schedule G; 50% Residue) 133,518.92
Grantham, PA 17027
2 Messiah Village Endowment Fund, 100 Mt. Allen Dr. (50% Schedule G; 50% Residue) 133,518.91
Mechanicsburg, PA '17055
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 267,037.83
LAST WILL AND TESTAMENT
OF
NORMA G. CASSEL
I, Norma G. Cassel, of Grantham, Pennsylvania, revoke my former Wills and Codicils and
declare this to be my Last Will and Testament.
ARTICLE I
PAYMENT OF DEBTS AND EXPENSES
I direct that my just debts, funeral expenses and expenses of last illness be first paid from my
estate.
ARTICLE II
DISPOSTI'ION OF PROPERTY
A. Residuary Esltate. I direct that my residuary estate be distributed to the following
beneficiaries in the percentages as shown:
50.00% to Grantham Church, Grantham Road, Grantham, Pennsylvania. If this person or
organization does not survive me or is not inexistence, this share shall be distributed to
Messiah Village Endowment Fund, 100 Mt Allen Drive, Mechanicsburg, Pennsylvania.
50.00% fo Messiah Village Endowment Fund, 100 Mt Allen Drive, Mechanicsburg,
Pennsylvania. If this person or organization does not survive me or is not in existence,
this share shall be distributed to Grantham Church, Grantham Road, Grantham,
Pennsylvania.
ARTICLE III
NOMINATION OF EXECUTOR
I nominate D. Wayne Cassel, of Grantham, Pennsylvania, and Cynthia L. Cassel, of Philadelphia,
Pennsylvania, as Co-Executors, without bond. If one of the above nominees does not serve for
an.y reason, the remaining nominee shall serve as sole Executor without bond.
ARTICLE IV
EXECUTOR POWERS
My EXECUTOR, in addition to other powers and authority granted by law or necessary or
appropriate for proper administration, shall have the right and power to lease, sell, mortgage, or
otherwise encumber any real or personal property that may be included) in my estate, without
order of court and without notice to anyone.
ARTICLE V
MISCELLANEOUS PROVISIONS
A. Paragraph 7!itles and Gender. The titles given to the paragraphs of this Will are inserted
for reference purposes only and are not to be considered as forming a part of this Will in
interpreting its 1#rovisions. All words used in this Will in any gender shall extend to and include
all genders and ~n numbers when the context or facts so require, and any pronouns shall be taken
to refer to the person or persons intended regardless of gender or number.
IN WITNESS WrHEREOF, I have subscribed my name below, this ~y'1 day of
Norma . Cassal
We, the undersigned, hereby certify that the above instnument, which consists of ~
pages, including the page(s) which contain the witness signatures, was signed in our sight and
presence by '~~ ~; , *,., „ ~.r,~, (~; ~ 1~,C^ -. (the "Testator"), who declared this
instrument to b@ his/her Last Will and Testament and we, at the Testal:or's request and in the
Testator's sight and presence, and in the sight and presence of each other, do hereby subscribe
our names and addresses as witnesses on the date shown above.
Page 2 of 5
Witness Signature: ~ „~. ~ _~~:~ , ' __ _ _
Witness Name: Marion Yoder
Witness Address: 229 W. Lisburn Road
Mechanicsburg, Pennsylvania
17055
. l
I / / /; ~ I
~ /
_, 4 !
Witness Signature: '
~L"~--~1 /.~• r"j_ _,K~.
_
Witness Name: Kenneth Mark
Witness Address: 304 Berkshire Rd.
Mechanicsburg, Pennsylvania 17055
Page 3 of 5
AFFIDAVIT
STATE OF Y~enr~~ ~v~~, , c~
COUNTY OF 4 ,~ E- ~,. I - ~~
Before me, the undersigned, on this day personally appeared Norma G. Cassel, Mazion Yoder,
and Kenneth Mazk, known to me to be the Testator and the witnesses, respectively, whose names
are signed to the foregoing instrument. All of these persons were first duly sworn by me. Norma
G. Cassel, the Testator, declared to me and to the witnesses, in my presence, that the foregoing
instrument is the Testator's Will and that the Testator willingly signed and executed such
instrument (or expressly directed another person to sign the instrument for the Testator in the
Testator's presence) in the presence of the witnesses, as the Testator's free and voluntary act for
the purposes expressed in the instrument. Each of the witnesses declared in the presence and
hearing of the Testator that the foregoing instrument was executed and acknowledged by the
Testator as the Testator's Will in their presence and that they, in the Testator's presence, hearing
and sight and at the Testator's request, and in the presence of each other, did subscribe their
names to the instlument as attesting witnesses on the date of the instrurent. The Testator, at the
time of the execution of such instrument, was of full age, of sound mind, and the witnesses were
sixteen years of age or older and otherwise competent to be witnesses.
~-.
Norma ~. Cassel, Testator
~._ > /
Marion Yoder, Witness
Kenneth Mark, Witness
Subscribed, swoim to and acknowledged before me by Norma G. Cassel, the Testator; and
subscribed and sworn before me by Marion Yoder and Kenneth Mark,
Page 4 of 5
witnesses, this ~~) ~ day of J~'~~=vCwrvy-~- , 19 ~l ~~
Notary P lic, or other officer authorized to take and
certify acknowledgements and administer oaths
Notarial seal
Caroyn H. Sider, Notary Public
tJpperAllen Twp., Cumberland CeimN
MY Cnmmission E~iies Oct 4.1997
Page 5 of 5
Holdings by Investor
Norma G Cassel Laird S Gemberling, II Combined Account Portfolio
760 Oak Oval WaddeN 8 Reed Date: 1 211 6/201 1
Mechanicsburg, PA 17055 101 South Market St Created: 12/28/2011
Selinsgrove, PA 17870
(570)374-4834
Nomta G Cassel
Acct Name:FIDUCIARY TRUST CO NH CUST - FBO NORMA G CASSEL 7E~0 OAK OVAL MECHANICSBURG
PA 17055-8408
Acct Mo:00060100535 Acct7ype:IRA Rollover Account
Asset Name Tldcar Asset Class Mgt. Name quant%y Price ($) Value (S)
WADDELL ~6 REED ADV ASSN UNASX NON-US WADDELL 8 2,648.83 8.25 21,852.84
STRATA DEVELOPED REED
MARKETS EQUITY
WADDELL & REED ADV COI#E UNCMX US LARGE CAP WADDELL 8 2,930.49 5.52 16,176.30
INVESTA GROWTH EQUITY REED
WADDELL 8 REED AW NEW UNECX US MID CAP EQUITY WADDELL 8 1,094.12 6.96 9,803.31
CONCEPTS A REED
WADDELL 8 REED ADV SMALL CAP UNSAX P,LL CAP
U M
ES ELL 8 663.67 12.95 8,597.17
A Y
Q REED
WADDELL 8 REED AW VAPJGUARD UNVGX US LARGE CAP WADDELL 8 1,553.71 8.02 12,460.72
A GROWTH EQUITY REED
WR ADVISORS CASH UNCXX CASH WAODELLB 3,014.19 1.00 3,014.19
MANAGEMENTA REED
Account"total: $71,904.53
Acct Name:NORMA G CASSEL 760 OAK OVAL MECHANICSBURG PA 170558408
AcciNo:016047228
Asset Name Ticker Asset Class Mgt Name quamily
TARGET TERM OPTION 5Y~AR US INVESTMENT NATIONWIDE 9,940.09
GRADE BOND
WR IW VIP ASST STRAT US LARGE CAP NATIONWIDE TF12.49
GROWTH EQUITY
Acct Name:NORMA G CASSEL
AcctNo:016103625
Asset Neme '.
WR IW VIPPATHFNDRMODICNSRV
Account'Total:
... _.,.,,..,,~... ~...._-._._. ~.~......_~__..... _..__..._..,.. .. ................. _...q
760 OAK OVAL MECHANICSBURG PA 170558408
AcctType:IRA (Regular)
Price (S) Value ($)
1.00 9,940.09
18.69 5,488.07
$15,408.16
Acct Type:IRA (Regular)
Tldcer Asset Class Mgt Name quantity Pdce ($) Value ($)
US INVESTMENT NATIONWIDE 3,532.53 10.34 36,528.40
GRADE BOND
Account Total: $36,528.40
Inmmplele 4presented Without accompanying dlsdosure pages Page 1 0( 4
Holdings by Investor
Norma G Cslssel Laird S Gemberling, II Combined Account Portfolio
760 Oak Oval Waddell & Reed Date: 17J76/2011
Mechanicsburg, PA 17055 101 South Market St Createtl: 1 2128120 1 1
Selinsgrove, PA 17870
(570)374-4834
Acct Name:NORMA G CASSEL (i0O'f THE GRANTHAM CHURCH MESSIAH VILLAGE ENDOWMENT FUND 50 °h EACH
760 OAK OVAL MECHANICSBURG PA 17055-8408
Acct No:00027871664 AcdType:lndividuals
Asset Name Tldrer Asset Class Mgt Name C.uandty Prlce ($) Valw lS)
WADDELL.& REED ADV CNTINENTL UNCIX US LARGE CAP WADDELL & 3,742.42 7.97 29,627.10
INCA GROWfH EQUITY REED
WR ADVISORS CASH UNCXX CASH WADDELL & 7,651.92 1.00 7,651.92
MANAGEMENT A REED
Account Total: $37,479.02
ImestorTntal: $161,320.12
Incomplete d presairiea without aQmmperrying tlisG°SUre pages Page 2 of 4
Holdings by Investor
Norma G Cassel
760 Oak Ovai
Mechanicsburg, PA 17055
Laird S Gemberling, II
Waddell8 Read
101 South Market St
Selinsgrove, P,4 17870
(570)374-4834
Combi~,ned Account Portfolio
Date: 12/16/2011
Creatt:d: 12/28/2011
Disclosure:
Securities offered through Waddell $ Rrted, member FINRAISIPC.
Waddell $ Reed, Inc. is dually registered as a broker-tlealer and federally registered investment advisor and rosy provide services th clients in one
or both cepadties.
This censolidated report is prov~ded ra informatlonal purposes and as a courtesy to our customers, Waddell $ Reed has an agreement with Albridge
Soutions to implement and host a consolidated reporting platform. Aibridge Is not abroker-dealer aM1 is not ~afflliated with Waddeg $ Reed. Aibddge
Solutions is an affiliate of Pershing. LLC. Pershing, LLC is a subsidiary of The Bank of New York Mellon Corporation.
Waddell $ Reed believes the dsta provided by Albrtdge, CashEdge and the firms with which firey' have agreerneMS with to be reliable, however, the
accuracy and completeness of ~e information is not guaranteed and has not been vedfled by WaddeA $ Reed. The data is a compilation of
information from various flnand I sources (mutual funds, insurance companies, conespondeM txokers, etc.). Also, aansactiorrs ar adjusanents near
the end of the month may not ppst untll the following rrronth which could create a discrepancy between the sudements you receive direcfly from the
companies maintaining your ac~ounts and this report. In the event of any discrepancy, the statement you receive directly from the wmpanies
maintaining your accounts is the offidal record of your holdings and vaiuagon on those statements shall prevail.
Various accounts are listed on this consdidated report which may or may not Cully disclose the mutual fund a>mpany, insurance company,
wstodian, etc. that holds your rjssets. If you have arty questions and want more (nfomiafion about acceums or where the assets are held please
contact your fnandal advises. `dour financlal advisor can also provide you with customer service addresses and phone numbers for each account
that Waddell 8 Reed ads as ths broker-dealer and/or registered investrnent advisor. This information can aAw be hand on the oficial account
statements you receive from fhb companies that hold your assets.
Values are as of 12!16/2011 ur•less otherwise noted. Performance data quoted represents past pertonnance and does na guarantee future results.
The investment return and pdn~ipal of an investment will fluctuate so shares may be worth more or less than the original cost when redeemed. The
values represented in this repoft may not reflect the true original cost of the client's initial investment. Calculations ant data provided should not be
relied upon for tax purposes, u$e original confirmations and 1099's instead. Again, the inkxmation contained in these re ports is collected from
sources believed to be reliable,; however the accuracy and completeness of the infonnaflon is not guaranteed and is rw[ vedfred by Waddell $ Reed.
We urge you to compare these`reports to the offidal account statements of your account holdings provded at least quarterly from producl sponsors
to ensure that the sewdties holdings listed on these reports provided by your fnancal advisor match the securities holdings reflected on the official
account statements.
If you have any questions regaMing your report, please call the financial advisor listed on the report.
For fee-based investment advisory acceuMS only:
The figures may or may not reed the deduction M investment advisory fees. If the investment is being managed through etas-based account or
agreement, the returns may bd reduced by those applicable advisory fees, Refer to Waddell $ Reed's Advisory Services Brochure. The iMormation
contained in these reports is neded from sources believed to be reliable, however the accuracy and completeness of the information is not
guaranteed and is not vedfied~y Waddell $ Reed. In the event of any discrepancy, the statement you recervrs directly from the companies
maintaining your accounts is ttMe offidal recent of your holdings and vaWetion on those statements shall prevail. If you have any questions regarding
your report or find any tliscrepgncy, please call your Finandal Advisor.
If you invest in an investment 2dvisory account through Waddell $ Reed, Inc., your funds and securities will be held in a separete mutual fund
account ovmed and coMrolletl Irby you andlor in a separate brokerage account at Pershing LLC, a qualified custotlian. Below are the addresses for
Waddell $ Reed Services Coimpany, the transfer agent for the Waddell 8 Reed Advisors Fantle and the Ivy Funds ('Transfer AgenNj, and Pershing
LLC:
Watldell $ Reed Services Cor>lpany
630t Glenwood
Overland Park, KS 66202
Pershing LL.C
One Pershing Plaza
Jersey City, NJ 07399
Page 3 of 4
Holdings by Investor
Norma G Cassel
760 Oak Oval
Mechanicsburg, PA 17055
Laird S Gemberling, II
Waddell & Reed
101 South Market St
Selinsgrove, PA 17870
(570)374-4834
Combined Account Portfolio
Date: 12/18/2011
Creatrfd: 12/28/2011
Pershing is a member of the Securities Invests Protection Corporefion (SIPC®). As a resufi, investor-owned assets held in custody by Pershing are
proteded by SIPC, up to $500,000 in value, inGUding $250,000 for claimsfor un-invested cash awaiting reinvestment. SIPC provides protection for
eligible diem assets held in custody by a SIPC member brokerage firm should Ure SIPC member fine fail finandally and become unade to meet the
odigafions M its diems. SIPC dines not prated against losses due to market fluduatbn or for diem assets nok held by a SIPC member. For more
information atrout investor asset protedion, visit SIPC's web site at www.sipc.org.
If you have questions regarding iwhich assets anNor accounts on your report an; eligida for SIPC protedion again, refer to www.sipc.org. You can
aHO contact fhe company faldirpg the assets or tooted your Financial Advisor for assistance.
page a or a
~" Citizens Bank°
Account Number 623055719'7
Account Title NORMA G CASSEL
Date ened 6/16/2010
Account T e Checkin
Princi al Balancei as of DOD $731.19
Interest from Las' Postin to DOD $ .00
Account Balance las of DOD
YTD Interest to L~OD $731.19
$ .00 j
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse S uare
Carlisle, PA 17613
CASSEL NORMA G
Estate File No.:
Paid By Remarks:
2012-00136
BRINSER WAGNER & ZTMMERMAN
HMW
Fee/Tax Description
PETITION LTRS TEST
WILL
SHORT CERTIFICAITE
JCS FEE
AUTOMATION FEE
RENUNCIATION
Check# 3140
Total ].2eceived.........
Receipt Date: 1/31/2012
Receipt Time: 10:24:10
Receipt No.: 1068591
Receipt Distribution -----
Payment Amount Payee Name
135.00 CUMBERLAND COUNTY GENERAL FUN
15.00 CUMBERLAND COUNTY GENERAL FUN
12.00 CUMBERLAND COUNTY GENERAL FUN
23.50 BUREAU OF RECEIPTS & CNTR M.D
5.00 CUMBERLAND COUNTY GENERAL FUN
5.00 CUMBERLAND COUNTY GENERAL FUN
----------------
$195.50
$195.50
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v w w . c v m71blalrl~ f nik .ldoJml 6 E. MAIN STREET, 2ND FL.
/j / ~~~ P.O. BOX 323
(/~~ PALMYRA, PA 17078
"'~ 777.838.6348
>~ilSlr GAPPi:N~HJRG CFSY CCYJNi'f '
v
406662 1 of 1
BILL DATE SALESPERSON
02/22/12 wolfc
START DATE STOP DATE
02/08/12 02/22/12
AD NUMBER AD DESCRIPTION CLASS LINES
406662 NOTICE NOTICE IS HEREBY GIVEN THAT 10 PUBLIC NOTICES 20 2 cols
Publication Insertions Rate Net Amount Gross Amount
3 THE SENTINEL -LEGAL 3 LGL $106.20
TOTAL AD CHARGE $106.20
3 PROOF OF PUBLICATION 01 PRF $7.00
3 MOBILE SITE M082 $2.00
~~~' q~
~~-~
Purcnase order Est.Norm~Cassel PAY THIS AMOUNT $115.20 $138.24•
'AFTER 03/18/12
THE SENTINEL
Thank you for advertising with The Sentinel! Deadline for c/o LEE NEWSPAPERS
in-columin legal ads is 4:00 p.m. two business days prior to PO BOX 540
date bf insertion. For questions, call (717) 240-7130. WATERLOO IA 50704-0540
PROOF OF PUBLICATION
State of Pennsylvania, County of Cumberland
Jackie Cox, Sales Director of The Sentinel, of the County and State aforesaid, being duly
sworn, deposes and says that THE SENTINEL, a newspaper of general circulation in the
I3orough of Carlisle, County and State aforesaid, was established December 13~^, 1881,
since which date THE SENTINEL has been regularly issued in said County, and that the
printed notice or publication attached hereto is exactly the same as was printed and
published in the regular editions and issues of
'CHE SENTINEL on the following day(s):
Pebruary 8,15 & 22, 2012
COPY OF NOTICE OF PUBLICATION
Affiant further deposes that he/she is not
interested in the subject matter of the
aforesaid notice or adivertisement, and that
all allegations in the foregoing statement as
to time, place and character of publication
ar/e ue. j
Sworn to and subscribe before me this
ZZ"~ ~" 01 L
~~ ~~~
Notary Public
My commission expires:
bIOZ 'LZ uep sai!dx3~c e!ssiwwop 6~ _,,.e
A1N0 ONbl939Wn0 "HOIlOtl09 3lSIl9b0
o!Ignd R~eioN
N800N3N03H NM1ib I9Wb9
lV3S IbIHVLON
CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
Tele: (717)249-3166 Fex: (717)249-2683
March 2, 2012
Cumberland Law Journal is published every Friday by the Cumberland County
Bar Association and is designated by the Court of Common Pleas as the official legal
publication for Cumberland County and the legal newspaper for publication of legal
notices.
TO: Gerald J. Brinser, Esquire.
RE: Norma G. Cassell Estate
Legal advertisements must be received by Friday Noon. All legal advertising
must be paid ih advance. Make all checks payable to: Cumberland Law Journal.
---------- - --------
Advertisement inserted on the following dates:
February 17, February 24, and March 2, 2012
Advertising Cost $ 75.00
Proof of Publication
Second Proof Request
Payment received
Total Amount Due
Payment received by
$ 0.00
$ 0.00
$ 0 .00
$ _75_0__ ,~`y
n'~~
~`~
~~
PROOF OF PUBLICATION OF NOTICE;
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16, 1929), P. L.1784
COMMONWEALTH OF PENNSYLYANIA
COUNTY OF CUMBERLAND
ss.
Lisa Maxie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and
State aforesaid, being duly sworn, according to law, deposes alyd says that the Cumberland Law
Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid,
was established January 2, 1952, and designated by the local courts as the official legal
periodical for the publication of a]] legal notices, and has, since January 2, 1952, been regularly
issued weekly in' the said County, and that the printed notice or publication attached hereto is
exactly the same as was printed in the regular editions and issues of the said Cumberland Law
Journal on the fclllowing dates,
_ February 17, Februazv 24 and March 2 2012
Afflant further deposes that he is authorized to verify this statement by the Cumberland
Law Journal, a legal periodical of general circulation, and that he is not interested in the subject
matter of the aforesaid notice or advertisement, and that all allegations in the foregoing
statements as to time, place and character of publication are true.
` r
( isa Marie Coyne, Edit
Caaeel, Norma 6„ deed.
Late of Upper Allen Township.
Executor: D. Wayne Casse1,617
Messiah Circle, Mechanicsburg,
PA ]7055.
Attorney: Gerald J. Brinser, Es-
quire.
SWORN TO AND SUBSCRIBED before me this
2 of March. 2012
Notary
NOTARIAL SEAL
DEBORAH A COI.LINS
Notary Public
CARLISLE BOROUGH, CUMBERLANDOOUNTY
My Commission Expires Apr 28, 2014