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HomeMy WebLinkAbout10-05-12 (2)J REV-1500 Ex(°'-'°' 1505610143 PA Department of Revenue Pennsylvania euroau of Individual Taxes aaM*arrroramaea Po Box.2eo6o1 INHERIT Harrisburg, PA 1712&0601 REST[ ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death 196 32 1447 03 28 2012 Decedent's Last Name Suffix STITT (If Applicable) Enter Surviving Spouse's Information Below OFFICIAL USE ONLY Courtly Code Yur File Number TAX RETURN 21 12 0480 )ECEDENT Date of Birth O1 14 1940 Decedent's First Name WOODROW Spouse's Last Name Suffix Spouse's First Name Spouse's Sortial Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW MI C MI 1. Original Relm ^ 2. Supplemental Retum ^ 3, Remainder Retum (date of death prior to 12-78-82) ^ 4. Limited Estate ^ 4a. Future Intmesl camppromiae (dale ordeath after 12-12.82) ^ 5. Federal Estate Tax Realm Required g, Dacedsrx Deed Tealete (Attach copy a wnq 7. Matrd a Livirp Truer ^ ~°Aa~,~opy of~ne NI 8. Total Number of Safe De alt Boxes po ^ 9. Litigation Proceeds Received ^ 10. ~i?~~!~~~1{-~ dead ^ 11. Election to fax un~r Sec. 9113(A) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number THOMAS L BRIGHT ESQUIRE 717 532 7388._ First line of address 126 EAST KING STREET Second line of address City or Post Office State ZIP Code SHIPPENSBURG PA 17257 Correspondent's e-mail address: REGISTE ILLS U~ON t l - r r°~~ t r-,-~ ~ ~ v', • t -'D~ ~ D/1~E FILED Including accompanying schedules and etatemems, and to the beat of my knowledge and belief, ~ personal repreaentatlve Is based on all information dwhich preparcr has arty knowledge. W. Stitt r t tl 606 Prospect Avenue ShiDDensburt7 PA 17257 SIGNATURE OF PARER OTHER ThANrREPRESENiATNE DATE Thomas L. Bright, Esquire t _ - 2p~2 ADDRESS 126 East King Stree , Shippensbu , PA Slde 1 I„~ 1505610143 155610143 V" / ,' ~ 1505610243 REV-1500 EX Decedent's Name: StItTN Wood row C. Decedent's Social Security Number 19 6 32 14 4 7 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 8 Miscellaneous Personal Property (Schedule E) ............... 5. 22 , 614.0 0 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 5 , 8 9 9 . 3 6 7. Inter-Vivos Transfers & Miscellaneous lyoq Probate Property (Schedule G) a Separate Billing Requested............ 7. 8. Total Gross Assets (total Lines 1-7) ..................................................................... 8. Z 8 , 513.3 6 9. Funeral Expenses 8 Administrative Casts (Schedule H) ....................................... 9. 10 , 307.51 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............................. 10. 14 6.00 11. Total Deductions (total Lines 9 & 10) ................................................................... 11. 1 O , 453.51 12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. 18 , 05 9.85 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ............................................... 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) .............................................. . 14. 18 , 05 9.85 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 15 0 OO (a)(1.2) X .00 . . 16. Amount of Line 14 taxable 18 059.85 1s 812 69 at lineal rate X .045 ~ . . 17. Amount of Line 14 taxable 0.00 at sibling rate X .12 17. 0.00 18. Amount of Line 14 taxable at collateral rate X .15 0.00 18. 0.00 19. Tax Due ................................................................................................................. . 19. 812.6 9 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 1505610243 1505610243 REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-12-0480 DECEDENTS NAME Stitt, Woodrow C. STREET ADDRESS 24 Shippensburg Mobile Estates CITY Shippensburg STATE PA ZIP 17257 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. CreditslPayments A. Prior Payments B. Discount 750.00 39.47 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (1) Total Credits (A + B) (2) (3) (4) (5) 812.89 789.47 23.22 Make Check Pa able 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 inwme of the property transferred :............................................................................... ^ ^x b. retain the right to designate who shall use the property transferred or its income :.................................. ^ ^x c. retain a reversionary interest; or ............................................................................................................... ^ ^x d. receive the promise for life of either payments, benefits or care? ............................................................ ^ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without i i ? ^ .................................................................................................................... derat on receiving adequate cons 3. Did decedent own an "intrust for" or payable upon death bank account or security at his or her death?....... ^ ^x 4. Did decedent own an Individual R?tirement Account, annuity, or other non-probate property which ^ ^ contains a benefciary designation ................................................................................................................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January t, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0 percent [72 P.S. §9116 (a) (1.2)]. . The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1 )]. . The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116 (a) (1.3)]. 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. Rav-~ BOB EX+ (B-98) ,~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF ~ILE NUMBER Stitt, Woodrow C. 21-12-0480 InGuda the proceeds d liligetion and the date the proceeds were received by the ealate. All properly Jointly-owned with tha dght of survivorship moat 6e dlselowd on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 AAA Southern Pennsylvania -refund at cancellation 46.86 2 Comcast Cable -refund at cancellation 123.49 3 Patriot News -refund at cancellation 71.55 4 State Farm Insurance -refund at cancellation 124.95 5 2008 Jeep Compass -proceeds of sale 4-9-12 10,500.00 8 Mobile Home Residence - 24 Mobile Estates, Shippensburg, Cumberland Courrty, PA, 11.203.35 proceeds of sale 5~-12 including refund of escrow hold 7 Personal Property -proceeds of yard sale 6-11-12 544.00 TOTAL (Also enter on Line 5, Recapitulation) I 22,614.00 (If more apace is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1509 EX+ (B-96) COMMON W EALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER Stitt, Woodrow C. 21-12-0480 Men aaNt wu maM joint vAedn one year of the decedent's date of deatlu it must tro npoRatl on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Michele W. Stitt 229 Shippensburg Mobile Estates Daughter Shippensburg, PA 17257 B. C. JOINTLY OWNED PROPERTY: ITEM NUMBER FORTJOINT TENANT MADE JOINT DESCRIPTION OF PROPERTY NUMBER OR EMILAR DENTIFYI NSG NUMIBER~ATTACHK EED OR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSE °h OF DECD~$ INTEREST DATE OF DEATH DECEDENTS INTEREST 1 A 12/28/1985 M & T Bank Checking Account 53312 - 11,798.67 50.000°/a 5,899.34 opened 72-28-85 jointly with Michele W. Stitt, daughter A 12/28/1985 Accrued income on Item 1 through date of 0.04 50.000°/0 0.02 death TOTAL (Also enter on Line 6, Recapitulation) I 5,899.36 (IT more space Is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) REV-7167 EX+170.06) SCHEDULE H r' . E~7p~~T~HEpFqp~ FUNERAL EXPENSES >~ CoMt(r~ DENT TECE~YLVAN~A ADMINISTRATIVE COSTS ESTATE OF RRNN FILE NUMBER Stitt, Woodrow C. 21-12-0480 Debts of decedent must be reported on Schedule 1. ITEM DESCRIPTION AMOUNT q, FUNERAL EXPENSES: See continuation scheduie(s) attached B. I ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) 8,081.85 Street Address City State Zio Year(s) Commission paid 2, Attorney's Fees Thomas L. Bright, Esquire 1,200.00 3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zio Relationship of Claimant to Decedent 4. Probate Fees Register of Wills, Cumberland County 149.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 876.16 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapttulation) 10,307.51 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06) ~~ SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Stitt, Woodrow C. 21-12-0480 ITEM NUMBER DESCRIPTION AMOUNT Funeral Exuenses 1 Fogelsanger-Bricker Funeral Home 8,081.85 H-A 8.081.85 Other Administrative Costs 2 Adams Electric 159.29 3 Adams Electric 58.76 4 Cumberland Law Journal -advertising Letters Testamentary 75.00 5 Linda K. Klein -notary fee 28.00 6 News Chronicle -advertising Letters Testamentary 104.75 7 Register of Wills, Cumberland County -filing PA Inheritance Tax Return 15.00 8 Register of Wills, Cumberland County - filing Family Settlement Agreement 75.00 9 Shippensburg Mobile Estates -May rent 360.36 H-B7 876.16 Copyrigfit (c) 2002 fottn software onVy The Lackner Group, Inc. Form PA-1500 Schedule H (Rev, 6-98) Rw•1572 EX+112-0e) COMMON W EALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, 8t LIENS FILE NUMBER 21-12-0480 RapoR debts intoned by the deeedam pdor to death that remained unpaid at the date of death, including unraimbunwd medical expanses. (If more space is needed, additional pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08) REV-7573 6X+(11-OS) CpM~' 1 D~F~YLVANIA ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER Stitt Woodrow C. 21-12-04 80 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER pERSON(Sl RECEIVING PROPERTY DECEDENT (Words) ($$$) I TAXABLE DISTRIBUTIONS [inGude outright spousal ~ distributions, and transfers under Sec. 9116 a 1.2 1 Wanda S. Batzel Daughter One-fourth 4,514.97 2115 4th Avenue Altoona, PA 16602 2 Kevin W. Stitt Son One-fourth 4,514.97 1312 Orrstown Road Shippensburg, PA 17257 3 Michele W. Stitt Daughter One-half 9,029.91 229 Shippensburg Mobile Estates Shippensburg, PA 17257 Total 18,058.85 Enter dollar amounts for distributions shown above on lines 15 throw h 18 on Rev 15 00 cover sheet as a r o riate. NON-TAXABLE DISTRIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART N -ENTER TOTAL NON-TAxASLE OISrRIBUrIOrvS ~rv Llrvt i s ~r Ktv-~ouu cwtrc ~ntt i I Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1tio0 Schedule J (Rev. 17-08) LAST WILL AND. TESTAMENT I, WOODROW C. STITT, presently residing at 79 SME, Shippensburg, Cumberland County, Pennsylvania 17257, Pennsylvania, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all Wills by me at any time heretofore made. FIRST. I order and direct the payment of all my legally enforceable debts and funeral expenses as soon as may be convenient after my decease. SECOND. I give, devise and bequeath all of my estate, real, personal and mixed, whatsoever and wheresoever situate, in equal shares, on a per stirpes distribution basis, as follows: A. 1 give fifty percent (SO%) to my daughter, MICHELE W. STITT; B. 1 give twenty percent (25%} to my son, KEVIN W. STITT; C. I give twenty percent (25%) to my daughter, WANDA S. BATZEL; THIRD. In the event that any beneficiary of this my Last Will and Testament is under the age of eighteen (18) years, I then give and bequeath said beneficiary's share to, and appoint as Trustee of any property which passes under this Will or otherwise, M&T BANK, of Shippensburg, Pennsylvania, AS TRUSTEE, NEVERTHELESS, to invest and re-invest the same until the said beneficiary reaches the age of eighteen (18) years, with the following powers in addition to those presently given by law: A. The power and obligation to expend the income towards the health, support and maintenance, and education, including a college (both undergraduate and graduate), trade, business or technical school education, of the said beneficiary; B. The power and obligation to expend the principal, within the discretion of the said Trustee, .if the income is insuffictient, towards the health, support and maintenance, and education, including a college (both undergraduate and graduate), trade, business or technical school education, of the said beneficiary; C. The power to sell any and all real estate, within the discretion of the said Trustee; .~!~~.~,~~ ~,~~~~ (SEAL) WEIGLE & ASSOCIATES, P.C. -ATTORNEYS AT LAW - 126 EAST KING STREET - SNIPPENSBURG. PA 17257-7397 D. The power and obligation to distribute the balance of principal and interest, if any remaining, when the said beneficiary reaches the age of eighteen (18) years, without the necessity of a formal adjudication of the Trustee's Account in the Court of Common Pleas of Cumberland County, upon the receipt of a good and valid release; E. The principal of the Trust and the income therefrom shall be free from the debts, liabilities, and engagements of those beneficially interested therein, and shall not be subject to assignment by him or her, nor to attachment or execution under any legal, equitable or other process for the enforcement of judgments or claims of any sort against them, either individually ~r collectively; and FOURTH I nominate,. constitute and appoint my daughter, MICHELE W. STITT, to be the Executrix of this my Last Will and Testament. In the event that she be unable to fulfill the duties of Executrix, I then nominate, constitute and appoint my son, KEVIN W. STITT, to be the Executor of this my Last Will and Testament. FIFTH. I direct that neither my personal representatives shall not be required to give bond for the faithfiil performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, WOODROW C. STITT, have hereunto set my hand and seal to this my Last Will an Testament, written on two (2) pages, the first page signed for identification only, this ./? ~ day of~y+~(t~~ , 2010. Y~+~l~d',.- ~ ~ (SEAL) WE16LE & ASSOCIATES. P. C. -ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 77257-1397 This instrument was by the Testator, on the date hereof, signed, published and declared by him to be his Last Will and Testament, in our presence, who at his request and in the presence of each other, we believing him to be of sound and disposing mind and memory, have hereunto subscribed our names as witnesses. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I, WOODROW C. STITT, the person whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as myLast Will; that I signed it willingly; and that I signed it'as my free and voluntary act for the purposes therein expressed. ~ ~ .~ Sworn or armed to and acknowledged before me b WOODROW . STTTT, the Testator, this ~`µ day of 2010. s`~~rrlt~ p~gKlc, R. WI`I`~' ~~ !!~? _ . _ ._ _..'~. 20. 7013 flgnri R. Wo1ad, Nobly PuO~c ~~R.Wo~~~A~Cat~Y ~pp~r~pulpGamYdan C 2~D'19 tllp BdD: ~ -'"X"A~wld rt 3 r"'` _ . _ WEIGLE 6 ASSOCIATES, P.C. -ATTORNEYS AT LAW - 128 EAST KING STREET - SHIPPENSBURG, PA t7257-1397 ~~i COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND , SS We, `~`lsn~i4c I., . ~ ~tCo6k1 ~G ~ r l C ~a ~ ~~' ~/ and UXOtdnt~. ~ _ ~-~-~-2, ( ,the witnesses whose names are si edgn of the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw WOODROW C. STITT, the Testator, sign and execute the instrument as his Last Will; that he signed willingly and that he executed it as his free and voluntary act for~the purposes therein expressed; that each of us in the hearing and sight of the Testator, signed the Will as witnesses; and that to the best of our knowledge the Testator was at the time eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed before a „ by '~I~oK~}c ~,~ ~QI~l~T no. No1w1Y Mi- R~MD gBa~o,G~ Oarm~b~+ 'b^' WEIGLE & ASSOCIATES. P.C. -ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 _. ~grda R. ~'-' ~P~"m Carn;. DETACH AT PERFORATION BEFORE DEPOSITING CHECK ClIF~K BACKpROONO AREA CHAN61:6 COLOR GRADUALLY FROM TOP TO 8©1TOM_~ WATEWIARK ON ! ~"~"~- -~•--n• -s ~-a--^-rsn 7s r o V! ~NLF.}s.V ~~y ~ µi ` s 's:y a TO THE ESTATE OF WOODROW STITT ORDER OF BY BY V ~ AUTHORRED SIGNATURE /,. ,,. REMITTANCE ADVICE 11'00355411' ~:03L3D4306~: Li~~t2932511' .Prcvieua eGilianr w obsdoU f., ~ ` ~,. FRANKLIN DEAL ESTATE SERVICg AND ABSTRACTING COMPANY INC A. Settlement Statement FINAL U.S. DepeAment of Housi~ and Urban Development OMB Na 2502 , x7aureou+WAYeAar•oxaMerr~euRe,PAtTmt B.TYPEOFLOAN reL.>,Tauar~o FAx:n~tu.tsss 1. FHA 2 OFmHA 3. OCarv.Unhu. VA 5. Conv. 6. FILE NUMBER CTAi391 7. LOAN NUMBER C.Note: w rYn..1- P++wwe.urawr~e r.w.nirrwrw~wwwa ItraMrr rnrAW rtIrWW98YSmees ar D. NAME OF 60RROWBt Nttthad M coney and Jrltider Mooney 1 D S' bu Al S. MORTGAGE INSURANCE CASE NUMBER w.a.m..neehawwnm.rru. T~IeExprnvSettlmnaH$yalan ~nNr/a 4-mwq w+w 1.32 E NAME OF SELLER IFieltele W. Stilt, txeador of tlIS Estate. of Woodrow Stitt 228 Shi PA 1725! F. NAME OF LENDER: CASH G. PROPERTY ADDRESS: ~ ippwtstwrg MabOa Estates, Shippensburg, PA 1725! H. SETTIBAENT AGENT: 047 Ch PA 17281 1~• 0: M BO 40D.GROSSAMOUNTDUE SELLER 1 1700.00 1 1 104. 1 205.00 ~ hMNf ter i edvena 1 1 18.35 O6f04l12 1200112 18.35 1 ao 111 411. 1 G AMOUt4Y DUE FROM 200. P BEHALF OF BOR 13 9 ROWER 60000 41 420. GROSS TO SELLER 1 718.35 CTIONS M AMOUNT DUE TO SELLER 1 15.00 m for items tm d seller for items un d seller ~ • 513. 4 ~ • 5. 1 • 518. 22D. OT PAID BYffOR 0 BO 1 600.00 OWER 1392;1.35 5 TOTAL N AMOUNT DUE St9.LER B00 CASH AT 70 OR FROM SELLE IM 5.00 R 13 71 .35 600.00 B02 less 520 15.00 303. FROM BORROWER 13 .35 CASH TO SELLER 10 .35 SU~lefItVpTHFWIW tent El7J.llliTATItlC IR~:sTe.MeehwwMkn wm~eCMAhl4Nipxrettaidgmtyen ydrbshp/uekhKraw lmr~ulRw~nw Swlq,tl ~n Gw,ietteew~~er air Pro~¢es~r Nmavaitunk iequ4eer wropame+naarWe4rri!•seutawnaeewnpaua. naoamaetsanwk.miam:eai r'te'' Yiu weir. yaumy~M ~aEJwta~tlN~aalM+eOxIPW.Ta ID Ma ~~s--~'Mptmurmnwt~u~yy1tfrbr~atlw~ wmLSr.If Yw denetR'wra Yw<eanarrp~rtlwtleoYm WNMMe YCOanA bYirr..,..mr pan~uav wry, l ertlry mn ernunbo~bww.antl~4 CprmMkr wY ewnats~ya rrreeaWw tee. ~' ~ / ~ BaLIHgeJ 81GNAT{Ieelap / SeLLCRt8) Ne1Y MMJND AtI0RE9& SELLeR(e) P110NE NYMBeItd: 00 nut FIOY'tOYL OaIYM{YO Ob{OIOW ~ ~ i~ f )YaRM110:ITItACRWFYOIQKRYM3LY 1MKEfALSeeTiITFNEIR5TO7HE lea IhaYa k. m1a amraaaam~me UIt1e06TA7ff4ON tXtEORANYeAq.AR FORY.r@IALTfE UPa1 COXNC710N 1 CaumaOf tlN mM nM mee>MC u~"s.~aHigwiamu+o°+o~a°twriulsseetttaF~r. II ^^ ^ 7 ~JC X71p QRTIFCATgN OF tYYlX ANG 89J,(p I eaweanMYtlY iwMraaM MlroA Bwua.mwmernmamwemcervy gwwNap.ma6.a.4kka awmaaaau.m srabmmter.e,rcal maaky„nwnmb,,,,a~ar mYaa titagMM1~fMtIRCmih leaYO MbealOlfiOVO(aM XXM °~___- _ pa myamsrrcmeyr _ _ _ _ _ y ~. ~ m ... _. _ .._... f «.. .'.. ,.t T ~«+K'4. + `acs~~s ~, .._ ,i .... . _,.. O • C. g6 ............... ~ ,~ ,~ 2•+ 1.+ 6•+ ' 2•+ 0.5+ ' 2•+ 125•+ ~ 4•+ 5•+ 20•+ i0•+ 1•+ 10•+. 2•+ 1•+ 10•+ 10•+ 30•+ 20•+ ' 40•+ 5•+ 0.5+ 30•+ 5•+ 5•+ 25•+ 60e+ 10•+ 10•+ , 10•+ ~ 5•+ 10•+ 40•+ 20•+ 544• Q ~s~ 499 Mitchell Road, Millsboro, DE 19966 Adjustment Services Phone 888-502.4349 F ax (302) 934-2955 May 2, 2012 Weigle & Associates, P.C. Thomas L. Bright, Esq. 126 East King Street Shippensburg, PA 17257-1397 Re: Estate of Woodrow C. Stitt Social Securitv: 196-32-1447 Date of Death: March 28.2012 Dear Sir or Madam: Per your inquiry on April 25, 2012, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Account Number Ownership (Names ofl Opening Date Balance on Date of Death Accrued Interest Total Checking Account 67353312 Michele W. Stitt Woodrow C. Stitt 1228/1985 $11,798.67 $ .07 -- -------------------------------------------- $11,798.74 For any additional information on the above aaonnts, including ownership and any changes, closures and/or rdmbursemmt of funds, please oll the wahmt 13ettom at 719-s32-2a1a. We were unable to totals any safe deposit bo: for the above-mentioned decedent Phis letter dose not include any amwnfs in which the decrosed may Lave Lem uated as Power of Attorney, C7tstadisn of ifiiform Tnamders, Repreemtative Payee, ar Trustee under a written Agmmmt. Sincerely, Valerie Mercer Adjustment Services