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HomeMy WebLinkAbout12-11-12 1505610105 REV-1500 Ex(02-11)(FI, enns Lvania OFFICIAL USE ONLY PA Department of Revenue P Y Bureau of Individual Taxes IEPAI'MEN.OFP.EV:NUE County Code Year File Number INHERITANCE TAX RETURN" PO BOX 28o6oi Harrisburg, PA 17128-o6oi RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 202-36-5833 08/28/2011 10/07/1946 Decedent's Last Name Suffix Decedent's First Name MI Swenson Darlene G (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouses Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW CGID 1. Original Return O 2. Supplemental Return O 3. Remainder Return (Date of Death Prior to 12-13-82) C= 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required death after 12-12-82) C19) 6. Decedent Died Testate C=:) 7. Decedent Maintained a Living Trust U 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) C~ 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (Date of Death C= 11. Election to Tax under Sec. 9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Nathan C. Wolf, Esquire (717) 241-4436 3 C. R&ISTEIi OP'1ANLLS UGE~ LY rtl y CO ::D 1___) Cl> First Line of Address fT1- C7 c~ f,3 `I Wolf & Wolf i z7 N f ° t t Second Line of Address f,_, -try 1,1 rI 10 West High Street A= FILU f ~ City or Post Office State ZIP Code Carlisle PA 17013` Correspondent's e-mail address: nathancwolf@embargmall.com Under penalties of perjury, I declare that I have examined this return, including 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. SIGNAT E OF PERSON RESPO SIBLE FOR FILING RETURN DATE ADDRE 920 acoun Drive, Mechanicsburg, PA 17055 SIGNATURE OF ARER OTHE THAN REPRESENTATIVE /DATIE= ESS - 10 West H reet, Carlisle, PA 17013-2922 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610105 1505610105 1505610205 REV-1500 EX (Fl) Decedent's Social Security Number Deceden's Name: Darlene G Swenson 202-36-5833 RECAPITULATION 1. Real Estate (Schedule A) 1. 245,000.00 2. Stocks and Bonds (Schedule B) 2. 60,341.78 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) 3. 4. Mortgages and Notes Receivable (Schedule D) 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 47,545.15 6. Jointly Owned Property (Schedule F) O Separate Billing Requested 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested........ 7. 186,071 91 8. Total Gross Assets (total Lines 1 through 7) 8. 538,958.84 9. Funeral Expenses and Administrative Costs (Schedule H) 9. 32,108.24 10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule 1) 10. 124,009.81 11. Total Deductions (total Lines 9 and 10) 11. 156,118.05 12. Net Value of Estate (Line 8 minus Line 11) 12. 382,840.79 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. 382,840.79 TAX CALCULATION - 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 .0_ 15. 16. Amount of Line 14 taxable at lineal rate X .0 _ 16. 17. Amount of Line 14 taxable at sibling rate X .12 17. . w _ m e.. ,e~ 18. Amount of Line 14 taxable 382,840.79 57,426.12 at collateral rate X .15 18. 19. TAX DUE 19.. 57,426.12 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT p Side 2 1505610205 1505610205 REV-1500 EX (Fl) Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME Darlene G. Swenson STREET ADDRESS 920 Macoun Drive _ - - CITY STATE ZIP - Mechanicsburg PA 17055 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) 57,426.12 2. Credits/Payments A. Prior Payments 52,750.00 B. Discount 3,022.43 - - - - - - Total Credits ( A + B) (2) 55,772.43 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (3) Fill in oval on Page 2, Line 20 to request a refund. (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 1,653.69 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 transferred ❑ 0 b. retain the right to designate who shall use the property transferred or its income ❑ 0 c. retain a reversionary interest ❑ 0 d. receive the promise for life of either payments, benefits or care? ❑ 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ❑ 0 3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? ❑ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax 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(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. REV-1502 EX+ (11-08) i pennsylvania SCHEDULE A DEPARTMENT OF REVENUE ~~~eee~~~rrr INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF FILE NUMBER Darlene G. Swenson 21-11-0938 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 that is jointly-owned with right of survivorship must be disclosed on Schedule F, Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1 920 Macoun Drive, Mechanicsburg, PA 17055 245,000.00 New Construction - Property purchased on 9/30/2010 for $245,000.00 Property is assessed at same amount, assessment information and HUD-1 attached TOTAL (Also enter on Line 1, Recapitulation.) $ 245,000.00 If more space is needed, insert additional sheets of the same size. REV-1503 EX+ (8-12) pennsylvania SCHEDULE B W DEPARTMENT OF REVENUE INHERITANCE TAX RETURN STOCKS & BONDS INHERITANCE TAX R RESIDENT DECEDENT ESTATE OF FILE NUMBER Darlene G. Swenson 21-11-0938 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Frontier Communications (DOD Value $285/share - 7.22 Shares) 2,057.70 2 Comcast Communications (DOD Value $20.57/share -151 Shares) 3,106.07 3 Verizon Communications Inc. (DOD Value $35.76/share -1188 Shares) 42,482.88 4 MFS Investment Management (Fund/Acct # 719890058501$39.70/share - 58.531 Shares) 2,323.68 5 MFS Investment Management (Fund/Acct # 15/6515367080 $13.64/share - 760.370 Shares) 10,371.45 TOTAL (Also enter on Line 2, Recapitulation) $ 60,341.78 If more space is needed, insert additional sheets of the same size REV-15o8 EX+ (08-12) a pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Darlene G. Swenson 21-11-0938 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. BELCO Savings Account S1 3,298.70 2 BELCO Checking Account S4 5,192.26 3 `Cash 2,300.00 4 Nissan Altima (Good Condition - see attached KBB valuation) 8,575.00 5 Suntrust Escrow overpaid balance 4,366.28 6 Miscellaneous Personal Property 6,000.00 7 Newspaper Subscription refund 35.50 8 Comcast subscription refund 16.99 9 Highmark - refund 482.74 10 Highmark - refund of overpayment 357.46 11 AAA - refund of membership fees 68.75 12 ;Frontier Commumications - stock dividend 53.44 13 AARP - refund of health plan payment 81.90 14 Pinnacle Health - Refund 549.52 15, :Verizon - stock dividend 594.00 16 Erie insurance - refund of auto insurance 322.00 17 2011 Federal Income Tax refund 2,506.40 18 Residuary Share of Estate of Eva M. Swenson 12,734.21 TOTAL (Also enter on Line 5, Recapitulation) $ 47,545.15 If more space is needed, use additional sheets of paper of the same size. REV-7.51.0 EX+ (08-09) SCHEDULE G pennsylvania DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Darlene G. Swenson 21-11-0938 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1. BELCO Variable Rate Annuity S5 93,749.24 100 93,749.24 Beneficiary - Joanna Acker (Executrix) 2 Citizens Bank Annuity Account ending 8476 92,322.67 100 92,322.67 Beneficiary - Joanna Acker (Executrix) TOTAL (Also enter on Line 7, Recapitulation) $ 186,071.91 If more space is needed, use additional sheets of paper of the same size, REV-1511 EX+ (10-09) "i pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND •~l~ INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Darlene G. Swenson 21-11-0938 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Neill Funeral Home 10,069.45 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City State ZIP Year(s) Commission Paid: 19, 500.00 2. Attorney Fees: 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: 313.50 5. Accountant Fees: 6. Tax Return Preparer Fees: 7. Cumberland Law Journal - Legal Advertising 75.00 8' The Sentinel - Legal Advertising 168.30 s' Sovereign Bank - Estate Checks 37.95 10 Steven Santor - property maintenance 424.80 11 Postmaster (Certified mail expenses) 19.24 12 Reserve for outstanding expenses 1,500.00 TOTAL (Also enter on Line 9, Recapitulation) $ 32,108.24 If more space is needed, use additional sheets of paper of the same size. REV-1512 EX+ (12-08) 1 1& pennsylvania SCHEDULE I L: DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Darlene G. Swenson 21-11-0938 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1• Suntrust Mortgage - See stmt dated 08118/2011 - Secured against 920 Macoun Drive 123,412.55 2 York Waste Disposal - Acct 3-0611-0105415 44.82 3' UGI Utilities -Account #218831163211 129.76 4 T-Mobile - Acct 289197722 46.31 5' PP&L Electric Service - account no. 90422-94010 103.14 6 United Water - Acct #206255320000 48.21 7' Verizon (phone service) Acct #717-766-1366 353 23Y 3.21 8! Upper Allen Township - Acct #5100256155 (Water/Sewer) 117.60 9 Gran-U-1-awn - 860-34-LP-6044 47.11 10 PA Department of Revenue - 2011 PIT 57.10 11' TOTAL (Also enter on Line 10, Recapitulation) $ 124,009.81 If more space is needed, insert additional sheets of the same size. REV-1513 EX+ (01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Darlene G. Swenson 21-11-0938 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec, 9116 (a) (1.2).] 1. Joanna Acker Cousin 100% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed, use additional sheets of paper of the same size. LAST WILL AND TESTAMENT OF DARLENE GALE SWENSON I, Darlene Gale Swenson, of Lower Allen Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke all Wills and Codicils previously made by me. ITEM I: I direct that my legally enforceable debts and funeral expenses, together with the expenses of the administration of my estate shall be paid from my residuary estate as soon as practicable after my decease, as a part of the expense of the administration of my estate. ITEM II: I devise and bequeath all of my estate of every nature and wherever situate unto my mother, Eva Mae Swenson, provided she shall survive me. Should my said mother fail to survive me, I devise and bequeath all of my estate of every nature and wherever situate unto my cousin, Joanna Acker. Should both my mother, Eva Mae Swenson, and my cousin, Joanna Acker, both predecease me all of my estate of every nature and wherever situate shall be distributed to the estate of Joanna Acker and shall be distributed as a part thereof. ITEM III: All Federal, State and other death taxes payable because of my death, with respect to the property forming my gross Estate for tax purposes, whether passing under this Will or otherwise, including any interest or penalty imposed in connection with such taxes, such be considered a part of the expense of the administration of my Estate and shall be paid out of the principal of my Residuary Estate without apportionment or right of reimbursement. ITEM IV: I appoint my mother, Eva Mae Swenson, Executrix of this my last Will and Testament. Should my said mother fail to qualify or cease to act as Executor, I appoint my cousin, Joanna Acker, Executor of this my last Will and Testament. ITEM V: I direct that my personal representative, as well as her successors, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal, this day of November, 2007. Darlene G. Swenson The preceding instrument, consisting of this and one (1) other typewritten pages, each identified by the signature of the Testatrix, was on the date thereof, signed, published and declared by Darlene G. Swenson, the Testatrix therein named, as and for her last Will, 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. J, r.. -2- COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND We, Darlene G. Swenson, Dale F. Shughart, Jr., and Eva Mae Swenson, the Testatrix and the witnesses, respectively, whose names are signed to the 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 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 witness and that to the best of his/her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Testatrix witness Witn Subscribed, sworn to and acknowledged before me by Darlene G. Swenson, the Testatrix, and subscribed and sworn to before me by Dale F Shughart, Jr., and Eva Mae Swenson, witnesses, this / day of November, 2007. n Notary` ublic NOTARIAL SEAL BONNIE L. COYLE, NOTARY PUBLIC BORO OF CARLISLE, CUMBERLAND CO. PA MY COMMISSION EXPIRES OCTOBER 17, 2010 -3- Detailed Results for Parcel 42-10-0256-155. in the 2010 Tax Assessment Database DistrictNo 42 Parcel ID 42-10-0256-155. MapSuffix HouseNo 920 Direction Street MACOUN DRIVE Ownerl SWENSON, DARLENE G C/O PropType R PropDesc LivArea 1761 CurLandVal 65000 CurImpVal 180000 CurTotVal 245000 CurPrefVal Acreage .16 C1GrnStat TaxEx 1 SaleAmt 1 SaleMo 09 SaleDa 30 SaleCe 20 SaleYr 10 DeedBkPage 201027764 YearBlt 2010 HF File Date 12/17/2010 HF_Approval_Status A St (,omputershare °R 01- 11 vr+",'._ Jf„ff#`a«? Computershare Investor Services 250 Royall Street Canton Massachusetts 02021 www.computershare.com WOLF & WOLF ATTY AT LAW ATTN NATHAN C WOLF 10 W HIGH ST CARLISLE PA 17013 November 30, 2011 Company: FRONTIER COMMUNICATIONS CORPORATION Registration: MISS DARLENE G SWENSON Holder Account Number: 00004204964 Document I.D.: 11333WF00088507 Our Reference: FRON/0002814465/2/66068/tm Dear Sir/Madam: Thank you for contacting Computershare, the transfer agent for FRONTIER COMMUNICATIONS CORPORATION. We appreciate the opportunity to be of service to you. On Friday August 26, 2011 account number 00004204964 held 285 shares. On that date, the closing price was $7.22 per share. Should you have other account related questions, please call us at 877-770-0496 during regular business hours. Please note that any available representative can assist you. Sincerely, om - 5 - Service Representative Enclosure: None Shareowner Services PO Box 64874 St. Paul, Minnesota 55164-0874 www.wellsfargo.com/shareownerservices September 27, 2011 Request Number: 10025903 WOLF & WOLF ID Number: FAX ATTN: NATHAN C WOLF WFType: CO 10 WEST HIGH STREET CARLISLE PA 17013 Regarding: FINANCIAL CONFIRMATION Dear NATHAN C WOLF, Account Number: 3500243185 Registration: DARLENE G SWENSON Creation Date: 11/18/2002 Issue Name of Stock: COMCAST A COMMON Total Share Balance on 09/26/2011: 151 Certificate Shares: DRS/Book Entry Shares: 151 Dividend Reinvestment Plan Shares: Dividend Amount Paid YTD: $ 48.25 Dividend Rate: 0.1125 Closing Price per Share on 09/26/2011: $ 21.90 Ticker Symbol for the Company is: CMCSA It is exchanged or traded on: NASDAQ Please note that as a transfer agent, we are not directly connected to the stock market. The above price is given as an estimate and is not a guarantee of a specific price. If you have any questions, please call our Shareowner Relations Department at 1-800-468-9716. Sincerely, Shareholder Communications Enclosures: ((Computershare Computershare Investor Services 250 Royall Street Canton Massachusetts 02021 www.compptershare.com NATHAN C WOLF ATTORNEY AT LAW 10 WEST HIGH ST CARLISLE PA 17013 December 2, 2011 Company: VERIZON COMMUNICATIONS INC. Registration: MISS DARLENE G SWENSON Holder Account Number: 00006961274 Document I.D.: 11333WF00089648 Our Reference: VZN/0002814541/4/wt/20138 Dear Sir/Madam: Thank you for your inquiry regarding the above referenced account. We appreciate the opportunity to be of service to you. Please accept this letter as confirmation that the transfer was completed on November 29, 2011. A statement containing the information for the new account was mailed directly to the transferee. It should be noted that August 28, 2011 was a non-business day. On August 26, 2011, this account held 1,188 shares. On that date, the closing price was $35.76 per share. On August 29, 2011, this account held the same number of shares. On that date, the closing price was $36.14 per share. Should you have other account related questions, please call us at (800) 631-2355. Our telephone representatives are available during regular business days between the hours of 8:30 a.m. to 6 p.m. Eastern Time. Please note that any available representative can assist you. For certain routine information, you may call us 24 hours a day, 7 days a week and access our automated telephone service. You may write to us at Computershare, P.O. Box 43078, Providence, RI 02940-3078. Sincerely, 00 59m,.-j Service Representative Enclosure: None INVESTMENT MANAGEMENT MFS Service Center, Inc. P.O. Box 55824, Boston, MA 02205-5824 800.225.2606 mfs.com February 3, 2012 WOLF & WOLF ATTN: NATHAN C WOLF 10WHIGH ST CARLISLE PA 17013-2922 REFERENCE: 01940408 ACCOUNT NUMBER 7-9890058501 ACCOUNT NUMBER 15-6515367080 DARLENE G SWENSON Dear Mr. Wolf- I am writing regarding your request to provide the value of the above referenced MFS accounts as of the client's date of death, August 28, 2011. We have transferred and redeemed the above referenced MFS accounts to the Estate of Darlene G. Swenson as requested. The redemption checks have been sent under separate cover. Since August 28, 2011, was a Sunday there were no prices computed for that date. Therefore, we are providing balance information for the last business day prior to August 28, 2011. The following information represents the values of each account on August 26, 2011: Fund/Account Number Total Shares Net Asset Value Dollar Value 7/9890058501 58.531 $39.70 $2,323.68 15/6515367080 760.370 $13.64 $10,371.45 If you have any questions, please call our Client Services Department at 1-800-225-2606 any business day between 8 a.m. and 7 p.m. Eastern time. One of our service representatives will be happy to assist you. In addition, you can obtain fund information 24 hours a day by calling our automated line at 1-800-MFS-TALK or visiting our website at www.mfs.com. Sincerely, /A--"/ Bridget Power Client Services DECEDENT ESTATE INFORMATION(On Date of Death) 1. Name(s) in which the account was held: DARLENE G SWENSON 2. Account number: 70980 3. Balance as of date of death: $102,139.57 Balance Accrued Dividends YTD Dividends Opened Regular Saving: S1 $3,298.00 $0.70 $6.54 7/29/1977 Christmas Club: S2 Money Market: S6 Checking: S4 $5,191.75 $0.51 $5.37 3/4/1987 IRA S5 $93,649.82 $99.42 $1,168.86 1/1/2001 Certificates: Balance Accrued Dividends Certficate Number YTD Dividends f 4. Date the account was initiated: 5. Name(s) in which Safe Deposit Box was held: 6. Date the box was initially rented: 7. Branch address at which the box is located: 8. Loan Information: Balance Accrued Interest Per Diem Int A. Unsecured Loans: L14 Classic Visa Card B. Secured Loans: C. Mortgage Loans: $ _ $ $ $ $ 9. 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Share Print My Recently Viewers My Save.d Cars save My KBB ZIP Code: 17013 Sign In THE PATRIOT-NEWS 2020 Technology Parkway, Ste. 300 Mechanicsburg, PA 17050 Check Date: 09/01/2011 Vendor Number: 9999999999 Check No. 0900057631 Invoice Number Invoice Date Voucher ID Gross Amount Discount Taken Paid Amount 008752708 ,2011-08-30 08/30/2011 00191222 35.50 0.00 35.50 Newspaper Subscriber Refund SUBSCRIBER REFUND Questions regarding, this check contact the AP Dept 7171255-8260 Total Total Total Check Number Date Gross Amount Discounts Paid Amount 0900057631 09/01/2011 $35.50 $0.00 $35.50 THE PATRIOT-NEWS JPMORGAN CHASE BANK, N.A.- 50-937 0900057631 Attn.: Controller Syracuse, NY 213 2020 Technology Parkway, Ste. 300 "VOID AFTER 180 DAYS Mechanicsburg, PA 17050 Date 09/01/2011 Pay Amount $***35.50*** ****THIRTY-FIVE AND 50 / 100 DOLLARS**** PAY DARLENE SWENSON TO THE 920 MACOUN DR ORDER O MECHANICSBURG, PA 17055 Au rized Signature Authorized Signature tv u' 09000S763LII' 1:02 309379': 601879LS13 u~rvol l I ll..f\C I l V I CASH ► 'N ESTATE OF DARLENE G. SWENSON 00'7269/2313 -C/O WOLF & WOLF AMS AT LAW r/ D~L~~ ► C~ J 010 W HIGH ST. 1 : CARLISLE, PA 17013 _ j„_ ~ ► I~ % DATE V I OTH L FROM ► DEPOSITS MAY NOT E AVA LABLE FOR IMMEDIATE WITHDRAWAL SUB TOTAL ► -3 SIGN HERE FOR CASH RECEIVED (IF REQUIRED) * LESS CASH ► RECEIVED Sovereign Bank _ PART OF THE SANTANDER GROUP 5 I / -1: 56L7552051: 11.13 11313 36711, BANK CHECK Citizens Bank ~ 57-12/115 Retirement Services - MMF430 PO Box 42026 Providence RI 02940 ;OBI CfCDATE" CHEJ f UME--- 10/21/2011 0430024949 1 I t l ~ 1 TO THE $*****83,090.40 ORDER Joanna Acker OF: Bene Of Darlene G Swenson 414 West Perry St Enola PA 17025-2538 Citizens Bank 870 Westminster Street Providence, RI 02903 11'043002494911° 1:0LLSOO1201: 00 20 7 5 2 31 4811' ti ~Ne(fs ~ar~3'tlank N A `Payable r Ct~Dtsbursln,gl~genE~10~6191 , V VOcaJ ` 1 a~e C' n4 ~t We(Is FHrg¢ i~ 11~ Hdspill ta nVP '-Van Wort; t~R A5391 AMOUNT OF CHECK Sixteen & 99/100 U .S. Dollars i { $16.99* PAY TO THE ORDER OF 1I Void after" 180 days DARLENE G SWENSON 920 MACOUN DR MECHANICSBURG PA 17055 CMC1 Auth lied Signature 58720 CUSIP NUMBER: 2003ON101 SiCrtature May Be Computer Generated 17712n6 n'L7?L20GO 1:04L2038241: 9600L4266911' I C 0 21 1 555 ~IIGHMARK JEPNC Bank, ANNEANN TT National Association 60-162 000928 U UU~~ ~ ETTE, PA 433 BLUE SHIELD M (deperden( Licensee o(!he Blue Goss and Rlue Bhleld.assu ciallon - CHECK NO 64696914 MUST BE CASHED WITHIN 12 MONTHS PAY TO THE ORDER OF DARLENE G SWENSON 920 MACOUN DR DATE OF CHECK DOLLARS CENTS MECHANICSBURG, PA 17055 MO DAY YR 09/07/11 *5357.46 THREE HLiNDRED FIFTY-SEVEN DOLLARS AND 46 CENTS VP000928 !5RIG~H~X INC AU iHOR AUTHORIZED SIGNATURE HIGHMARK BLUE SHIELD lie 646969Ill 4u' 1:04 3 30 16 2 71: 14039LSilo Date: 09/13/2011 This Month Gross payment amount 482.74 Net payment amount 482.74 0364525 ffil?"q h7FTrti , a{I' '"uJ"kIP.raYr, ..,.J.N~.' 'INS PiAN 0364525 GHMAR ,6;5 IK1, 360 Direct Pay Central- Region DATE AMOUNT Premium Refund 09/13/2011 482.74 *FOUR HUNDRED EIGHTY-TWO AND 74/100 DOLLARS* PAY THE ESTATE OF DARLENE G SWENSON TO THE If ORDER OF 920 MACOUN DR ()rl'~. MECHANICSBURG PA 17055 AUfHON2ED SIGNATURE II'036452So 1:036076Ill SO i: 620545258Li1' t` 6 4 IISFLL[G[~[~XE PHaV1510N5 • O ~~O~\.y 7EMFN1. co O a y r co S ~ piSj-(j 1FE O 0 rr7 O 0? 3 J' Ro 0 ❑ Z o o M 77 ru o ~0 r a'ca177 ccnZ - O ~ ro n D ~ Z O • A D zom 'M Z -i p 0 O l!7 o 0 0 m ~ C -7 V .p n m m y~ m ; CO> p r- nn rn p 3 s rn ❑ C) ~ n yr CD W c° M C ° k ~Z ti 177 i ~ AZw m Lnl am O w W a ❑ z U7 o N W co y ❑ to 0 0 v Ln v 0 A x ❑ a .Q ~ ❑ n rtJ ❑ ni w W ❑ .a v ° .t~ PEI n z. 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D r , o pG o o° O n / o % co o O ~I- N m D cy - O CJ J J N ~I ~ -mjt N ~ m m V Computershare + Computershare veri ®p PO Box 43078 Providence, RI 02940-3078 IMPORTANT TAX RETURN DOCUMENT ENCLOSED Within USA, US territories & Canada 800 631 2355 Outside USA, US territories 8 Canada 781 575 3994 ****.........AUTO**3-DIGIT 170 00011010040474 0 4 0 4 7 4 www.computershare.com/verizon i. 111~~"~Illlrllrlllllllll~ill'~Ilr~rl~lrrl~~~llll'll'~~~IIrlllrrr Recipient MISS DARLENE G SWENSON 920 MACOUN DR Holder Account Number MECHANICSBURG PA 17055 00006961274 I N D Record Date 07 Oct 2011 Check Numtier 0003931395 SSNITIN Certified Yes 001 CS0005DO N I1-NGEQS_PG I . VZN.035409_41043/040474/040474/i r Verizon Communications Inc. - Combined Dividend Payment/ 2011 Tax Form 1099-DIV - E] corrected (if checked) Account Number 00006961274 Form 1099 -DIV -Dividends and Distributions 2011 Copy B -For Recipient Recipient's ID No. ending in ***--**-5833 Payer's Federal ID No. 23-2259884 This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence OMB No. 1545-0110 penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported. Department of the Treasury - Internal Revenue Service Recipient MISS DARLENE G SWENSON 920 MACOUN DR MECHANICSBURG PA 17055 I I 1a Total Ordinary 1b Qualified 3f Nondividend 4 FEDERAL INCOME 6 ForeignTax W7 Foreign Country e CashLitluidaticr Dividends Dividends Distributions TAX WITHHELD Paid I or U.S. Possession Distri. I Payer's Details 2331.45 2331.45 0.00 0.00 0.01! VERIZON COMMUNICATIONS INC. C/O COMPUTERSHARE P.O. BOX 43010 PROVIDENCE RI 02940-3010 Form 1099-DIV (Keep for your records) Dividend Confirmation Payment Date Class Description Participating Dividend I Gross Deduction Deduction Net SharesfUnits Rate Dividend Amount Type Dividend 01 Feb 2011 COMMON 1,188 $0.48750 579.15 0.00 N/A 579.15 02 May 2011 COMMON 1,188 $0.48750 579.15 0.00 N/A 579.15 01 Aug 2011 COMMON 1,188 $0.48750 579.15 0.00 N/A 579.15 01 Nov 2011 COMMON 1,188 $0.50000 594.00 0.00 N/A 594.00 Year-To-Date Paid 2,331.45 0.00 2,331.45 ® 4 6 U T X V Z N T 001CD70006 / R OORX6A-PP-(F2) aACltizens Bank° Retirement Services - MMF430 PO Box 42026 Providence RI 02940 7798 011 Joanna Acker Bene Of Darlene G Swenson 414 West Perry St Enola PA 17025-2538 RETIREMENT PLAN WITHDRAWAL RETIREMENT PLAN: BXXXXX84 7 6 CHECK DATE: 10/21/2011 CHECK NUMBER: 0430024949 GROSS FEDERAL STATE CHECK AMOUNT WITHHOLDING WITHHOLDING AMOUNT 92,322.67 9,232.27 .00 83,090.40 (Detach Here) BANK CHECK Citizens Bank 57-12/115 Retirement Services - MMF430 PO Box 42026 Providence RI 02940 CHECK DATE CHECK NUMBER 10/21/2011 0430024949 1 I II ~1 TO THE IS*****83.090.40 ORDER Joanna Acker OF: Bene Of Darlene G Swenson 414 West Perry v.' 2538 Eno la PA 17025-2538 Citizens Bank 870 Westminster Street Providence, RI 02903 ii'0 4 300 2 4 9 4 9u' 1:0 L L 500 L 201: 00 20 7 5 2 1481)' WOLF & WOLF ATTORNEYS AT LAw NATHAN C. WOLF 10 WEST HIGH S'rREET STAGY B. WOLF CAS ISLE, PENNSYLVANIA 17013 P1 f0 NJ,, wolfandwolEg.)embardmail.c0m F.~csln~rr.i: 717-241-4436 717-241-4437 November 2, 2011 Neill Funeral Home, Inc. 3401 Market Street Camp Hill, PA 17011-4428 Re: Estate of Darlene G. Swenson Dear Sir or Madam: Enclosed, please find check number 101 in the amount of $10,069.45 to cover the funeral costs in the above-referenced estate. Please send me a receipt showing this balance to be paid in full. Thank you for your time and attention in this matter. Very y yours, N an C. Wolf NCW/slh Enclosure ru ru o Z C r 0 A r ~ r r W ~ W ~ d r ~ o J m N W QN\W t N O RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Receipt Date: 9/02/2011 Cumberland County - Register Of Wills Receipt Time: 13:26:55 One Courthouse S uare Receipt No.: 1066871 Carlisle, PA 1713 SWENSON DARLENE G Estate File No.: 2011-00938 Paid By Remarks: WOLF & WOLF DB Receipt Distribution Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 210.00 CUMBERLAND COUNTY GENERAL FUN WILL 15.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 40.00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 23.50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5.00 CUMBERLAND COUNTY GENERAL FUN Check# 3234 $293.50 Total Received......... $293.50 RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Receipt Date: 4/18/2012 Cumberland County - Register Of Wills Receipt Time: 08:15:57 One Courthouse Square Receipt No.: 1069555 Carlisle, PA 17913 SWENSON DARLENE G Estate File No.: 2011-00938 Paid By Remarks: JOANNA ACKER CJ Receipt Distribution Fee/Tax Description Payment Amount Payee Name SHORT CERTIFICATE 20.00 CUMBERLAND COUNTY GENERAL FUN Check# 513 $20.00 Total Received......... $20.00 MFR Q C~ fT ~~R`LSSOC~P~~~~ CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tele: (717) 249-3166 Fax: (717) 249-2663 October 14, 2011 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: Nathan C. Wolf, Esquire RE: Darlene G. Swenson Estate Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on the following dates: September 30, October 7, and October 14, 2011 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 0.00 Total Amount Due $ 75.00 Payment received by .pa➢ntou~seimea'~µ!p"a5 4 iJ,7jS 0 K~aa~o s~e~ad (a Q ~ J O a L M CO 4 0 N O roA N ~ ~ * cD at IT L.h at ~ k On 3NV o-~ ~ 4 o 0 oZSy`s ~ - m ~ 3 0 ° 25 4). 3 R. ~n N h a 7 W a0 . e The Sentinel WOLF & WOLF ATTORNEYS AD NUMBER PAGE NO, www.cumberIink.com 10 WEST HIGH STREET 402753 1of1 CARLISLE, PA 17013 BILL DATE SALESPERSON 717-241-4436 10/17111 wolfc START DATE STOP DATE 10103/11 10/17/11 AD NUMBER AD DESCRIPTION CLASS LINES 402753 EXECUTOR'S NOTICE LETTERS TESTAMEN 10 PUBLIC NOTICES 30 * 2 cols Publication Insertions Rate Net Amount Gross Amount 3 THE SENTINEL - LEGAL 3 LGL $159.30 TOTAL AD CHARGE $159.30 3 MOBILE SITE MOB2 $2.00 3 PROOF OF PUBLICATION 01 PRF $7.00 Purchase order Est.D.G.Swenson PAY THIS AMOUNT $168.30 $201.96* *AFTER 11/11/11 THE SENTINEL Thank you for advertising with The Sentinel! Deadline for c/o LEE NEWSPAPERS in-column legal ads is 4:00 p.m. two business days prior to PO BOX 540 date of insertion. For questions, call (717) 240-7130. WATERLOO IA 50704-0540 Return this portion with your payment Legal THE SENTINEL Check # ❑ Credit Card Ad Number 402753 c/o LEE NEWSPAPERS ❑ ~j 1:1 v E ® El Billing Date 10/17/11 PO BOX 540 WATERLOO IA 50704-0540 Acct Amount Due $ 168.30 Exp. Date: m m AmOUnt Name on credit card Enclosed!: ~ $ Signature Please make checks payable to: THE SENTINEL 12- 000251 THE SENTINEL WOLF & WOLF ATTORNEYS c/o LEE NEWSPAPERS 10 WEST HIGH STREET PO BOX 742548 CARLISLE, PA 17013 CINCINNATI OH 45274-2548 I.1111,1.1 11111 11 111 11 1 11 111 1111111 11 1 11 11 11 1 111 11 11 11 1 11 111 11 21540200000004027530000000000000002019600000168300 ~ 4 y y4 Oy J`r f^ Q W M co co s # # # # o # U # ~r Cz # 0 O c0 # 11 8 4+ # # # u +#k IE # N r-M ` x 1 x N c~ rn * A fi M ti. T-M w # c- 9, o CA r ~QTQd- O rt C3 7 M Q W J ei N ~ a U C yu,. 2 O O ~ c W ~Q _ WOLF & WOLF RECEIVED NOV 16 2011 ATTORNEYS AT LAw NATHAN C. WOLF 10 WEST HIGH STREET STAGY B. WOLF CARLISLE, PENNSYLVANIA 17013 PHONE wolfindwolf@embarqniafl.com FACSIMILE 717-241-4436 717-241-4437 November 2, 2011 Steve Santor S & W Lawn Care 9 Dishley drive Mechanicsburg, PA 17055 Re: Darlene G. Swenson Dear Mr. Santor: Enclosed, please find check number 102 in the amount of $424.80 to cover the current and past due invoices in the above-referenced estate. Please send me a receipt showing this balance to be paid in full. Thank you for your time and attention in this matter. Very trul urs, N XanC.olf NCW/slh Enclosure 4 Z c3 a 6u_'C PVC S 1167-01-b2-0002487-0001-0002487 SunTrust Mortgage, Inc. MORTGAGE Client Services: 800.634.7928 Monday - Friday 8 AM to 8 PM ET ~,N{~~ Saturday 9 AM to 3 PM ET ST y Statement Date 08/18/11 U1V 11<jJ MORTGAGE Visit us online at suntrustmortciage.com Payment Due Date 01101/13 Loan Number 0296641384 #BWNDXCT 0002487 BT RT Principal Balance* 123,412.55 #9424831466920086# Escrow Balance 13,609.94 Interest Rate 4.37500 % 0002487 01 MB 0.387 **AUTO T3 0 1167 17055-703720 -col I~III'IIIIIII'II~IIIIIIIII~II"II1111"III'lII'lII"'l1IlIIIlI1" Paid Year to Date DARLENE G SWENSON Interest 9,140.26 920 MACOUN DR Taxes 816.84 MECHANICSBURG PA 17055-7037 Principal 3,652.54 'This Is Not A Payoff Amount Payment Information Amount Principal 8r Interest 639.64 Escrow Payment 461.46 Optional Products .00 Other .00 YOUR INFORMATION IS ALWAYS TREATED CONFIDENTIALLY. Total Mortgage Payment 1,101.10 Past Due Paynnent(s) .00 Property Address: 920 MACOUN DR Unpaid Late Charge(s) .00 MECHANICSBURG PA 17055 Fees .00 TOTAL AMOUNT DUE 1,101.10 Account Activity Date Description Amount Interest Principal Escrow/Impound Misc/Fees 08/18 PAYMENT $1,101.10 $450.63 $189.01 $461.46 Important Messages We realize you have a choice when selecting a mortgage company. This is why we want to thank you for choosing us. If you or friends or family are considering refinancing or purchasing a new home, contact your mortgage loan officer Teresa Milne at (717) 909-0220 , visit www.suntrustmortgage.comom/terrimilne or contact 877.648.8753. f05 .llZ9fUEIIEl 1 :11b926EIE2 ~ 7T do a a34N (2N S 3H1 do lab'd g.u~iaza~os m 0 w P 9 00 h1V =z~•hh ZB~~s ;r~ 4f B CWLl Hd 'D ISnLIVO S .1S H0IH M Ol MV1 1`d SAIiv dIOM 18 ZIIOM 0/3 L£ 0.9 eisz~ssa~-os NOSN3MS 'J 3N3INda =10 31ViS3 e Pay This Amount $44.82 44:,Sl fSPKAL Please Return This Account Number 3-0611-0105415 REPUBLIC Portion With Payment Date November 23, 2011 3730 SANDHURST DRIVE Payment Due Date Upon Receipt YORK, PA 17406 Tele. No. (717)845-1557 ❑ For Billing Address Changes, Check Box and Return Service Requested Total Enclosed Complete Reverse. 001565-000001-000001-00156521016442240LT021 3 DARLENE SWENSON Make Checks Payable To: 414 w PERRY ST IrI~LIIIL~~r~iLIIrILrIl~r~r~~IIII~r~IrILLI~IrLIrI~LIrILLIrLI~I ENOLA, PA 17025-2538 YORK WASTE DISPOSAL #611 3os11 e PO BOX 9001099 LOUISVILLE, KY 40290-1099 30611010541500000000000000000000000000044821 O Gf 0 T T If 3 C) CD G N om,: 0) (j CCD C3 J a`-°Em ~t ' m cD O L6 cs >1 CD C3 m 't CD ' r O R, L) C3 CL) C3 c O N a$o. CD! 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(~D ch W N to O N N N = O ca O CD N C O 3 0 ~ C a0 i 1 v `v z o ° V ° PQ 4-~ 604 0 Gs T I-q H D rA O0 a a~ LL in z0 H 0 z W z o a: j W w a~ z ¢z ¢ cn= O C-) F- MM ¢ w Lri U u0 3 w 0 w ~ J ¢z MLL 3 d ❑ ❑ ❑ FT LU co tc- rm W ¢ w z Z IS U) U) 0~ O z w 2 } 0 z Ww 3 W = O w H o g a .a 0, a Cl) W U Na C'n O cn LL I o oU) H 30¢ NO "a x - 2 O Z d EL j U) w 1 zU Q 2 Er < no Q ❑ :~l El ~ W J 'OA z t im0 r2 •I 1 UO ¢ O per' cJ3 Mi Z aZ Z LL 0 ~ d3 za w O i co g< f rm ~ ~a w W(q 3 O w O w a a D Cn LL W F- rPI Q~S~ o O F=- U W~ W-J 2 FO ¢ ru H m0 DO¢ F- O 0 w u, WV.U W< OZ ? acs m0U d z 3..• a~m3bao ❑ ❑ ❑ m ¢¢W ESTATE OF DARLENE G. SWENSON C/O WOLF & WOLF ATTYS AT LAW 60-7269/2313 521 10 W HIGH ST. CARLISLE, PA 17013 DATE PAY TO THE ~J ~-j/l~n Q ORDER OF y _~~QJ~~i/ $ --Lw DOLLARS'. U "w°°`:7 Sovereign Bank EZ sela~ PART OF THE SANTANDER GROUP MEMO 1: 23L372690: 148113836 00521