The URL can be used to link to this page

Home My WebLink About02-20-13 (2),J 1505610143 REV-1500 E"`02-1' OFFICIAL USE ONLY PA Department of Revenue Pennsylvania county code veer File Namber Bureau of Individual Taxes ^E^~^TM~*^ra~•^^~ • Po Box.zsosof INHERITANCE TAX RETURN '11 12 002 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number „Date of Death • Date of Birth • 12 23 2011 03 09 1927 Decedent's Last Name VICE Suffix Decedent's First Name ELIZABETH (lf Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name VICE JOHN MI A MI H Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVAL5 BELOW 1. Original Return ~ 2. Supplemental Retum ~ 3. Remainder Return (Date of Death Pdor to 12-13-e2) 4. limited Estate ~ 4a. Future Interest Compromise ~ 5. Federal Estate Tax Retum Required (data of deaN after 12-12-82) g Decedent Dietl Testate (Attach Copy of Will) ~ ~ (Ate heC PY i~n/31n~ a Living Trusl 1 g. Total Number O( Sate De d Boxee t1 ) Iws 9. Litigation Proceetls Received ~ 10. b~x,u~eanPgv~~~r~t~~a~~;oeath ~ it Election to tax under Sec. 9113(A) (Attach Schedule 0) CORRESPONDENT- THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number GUY F MATTHEWS ESQUIRE 610 565 3700 First Line of Address 344 WEST E'RONT STREET Second Line of Address City or Post Office MEDIA State ZIP Code PA 19063 REGISTER OF WILLS USE ONLY 1LLCUK UI(U UI~P 11,I'; Ulu KI?GIS'll~at Olr \4'11.1 ti 2013 FEB 20 cl,r,lu; c,r (112YI L\n5 COUKT CU MftI~.k1L.AKI) l.(7U K'C, P,A I DATE FILED correspondents a-mail address: 9mannewsLecltetlsparlts.com U sdtrueecorrect and~rcom' I e~Declarafion oFe re~ rer o~her than the nclutling accompanying schedules and statements, and to the best of my knowledge antl belief, _ plat p pa personal representative is based on all Information of which preparer has any knowledge. John H. Vice ADDRESS F. Matthews, Esquire 344 W. Front Street, Media, PA 19063 Side 1 L 1505610143 1505610143 J J 1505610243 REV-1500 EX Decedent's Social Security Number oeceaenfs Name: VIC@~ Elizabeth Ann RECAPITULATION 1. Real Estate (Schedule A) ...................................................................................... . 1. 2. Stocks and Bonds (Schedule B) ............................................................................ . 2. 2 , 8 63 , 7 61 .5 9 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)........ . 3. 450.00 4. Mortgages & Notes Receivable (Schedule D) ....................................................... . 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) .............. . 5. 10 , 160.84 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 11 , 548.06 7. Inter-Vivos Transfers & Miscellaneous ryoq-Probate Property (Schedule G) LJ Separate Billing Requested............ 7. 3O7 , 863.50 8. Total Gross Assets (total Lines 1 through 7) ....................................................... . 8. 3 , 193 , 783.99 9. Funeral Expenses and Administrative Costs (Schedule H) ................................... . 9. 102 , 5 62.58 10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule 1) ........................... . 10. 4 ,104.62 11. Total Deductions (total Lines 9 and 10) ............................................................... . 11 106 , 667 .20 12. Net Value of Estate (Line B minus Line 11) .......................................................... 12. 3 , 087 , 116.79 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ............................................... 13. 67 , 339.13 14. Net Value Subject to Tax (Line 12 minus Line 13) .............................................. . 14. 3 , 019 , 7 7 7.66 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(tz) X .00 774 , 5 98.5 6 15. 0.00 16. Amount of Line l4 taxable 2 245 179.10 at lineal rate X .045 ~ r 1s. 101 033.06 r 17. Amount of Line 14 taxable at sibling rate X .12 0.00 17. O . 00 18. Amount of Line 14 taxable at collateral rate X .15 0.00 18. 0.00 19. TAX DUE ..................................................._.........._.............................................. . 19. lOl , 033.06 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT- Side 2 1505610243 1505610243 0 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-12-0025 DECEDENT'S NAME Vice, Elizabeth Ann STREET ADDRESS 312 W. Courtland Avenue CITY Shiremanstown STATE PA ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 3. Interest 97,000.00 5,051.65 (1) Total Credits (A + B) (2) (3) q, 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. AGENT. 101,033.06 102,051.65 1,018.59 (5) 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 :............................................................................... ^ ^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? ............................................................ x 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .................................................................................................................... © ^ 3. Did decedent own an "in trust for' or payable upon death bank account or security at his or her death?....... ^ ^x 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)J. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 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 decedents 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 172 P.S. §9116 (a) (7.3)]. A sibling is defined under Section 9102, as an individual who has at least one parent in cemmon with the decedent, whether by blood or adoption. (4) Rev-7583 E%+ (B-98) SCHEDULE B STOCKS 8r BONDS C OMMON WEALTH OF PENNSriVAN1A INNERITANOE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Vice, Elizabeth Ann 21-12-0025 All property Jointly-owned with dght or survivorship moat be tlisclosatl on Schedule F. ITEM NUMBER CUSIP NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 1 Schwab Brokerage Acct #90751295 -Disclaimed Assets - 2,405,837.37 Titled: Elizabeth A. Vice Assets Disclaimed by John H. Vice See attached Estate Valuation & Charles Schwab Valuation Accrued dividend on Item 1 through date of death 2,274.33 2 Schwab Brokerage Acct#90751295 -Non-Disclaimed Assets 400,437.54 - Titled: Elizabeth A. Vice See attached Estate Valuation & Charles Schwab Valuation Accrued dividend on Item 2 through date of death 1,721.40 3 4,019.617 shares of USAA Member #534-21-88; Acct 13.27 53,340.32 #xxx5200 -Titled: Elizabeth A. Vice See attached DOD letter Accrued dividend on Item 3 through date of death 13.27 150.63 TOTAL (Also enter on Line 2, Recapitulation) 2,863,761.59 (If more space is needetl, adtli[ienal pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-7563 EX+I6-98) COMMONWEALTNOF PENNSYLVANIA INNERITANOE TAX RETURN RESIDENT DECEDENT SCHEDULE C CLOSELY-HELD CORPORATION, PARTNERSHIP OR SOLE-PROPRIETORSHIP ESTATE OF (FILE NUMBER Vice, Elizabeth Ann 21-12-0025 Schetlule C-1 or C-2 (Inclutling all supporting IMormaticn) must be attached far each doselydreld coryoratioNpartnarship intareal of the decedent, other than a sole-proprietorship, See instructions for the supporting iMOrmatipn to be submitted for soleyroprietorships. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Boston Capital Series 14 - 500 units 190.00 Titled: Elizabeth A. Vice See attached valuation 2 Boston Capital Series 15 - 500 units 60.00 Titled: Elizabeth A. Vice See attached valuation 3 Boston Capital Series 16 - 500 units 50 00 Titled: Elizabeth A. Vice See attached valuation 4 Boston Capital Series 9 - 500 units 150.00 Titled: Elizabeth A. Vice See attached valuation TOTAL (Also enter on Line 3, Recapitulation) I 450.00 (If more space is needed, atlditional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Forth PA-1500 Schedule C (Rev. 6-98) Rev-1606 EXe (11-10) COMMON WEALTH OF PENN6YLVgNIA INHERITpNLE TAX RETDRN RESIDENT OECEOENT ESTATE OF SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY Mtlutle Ma proceetls of Iltipaticn entl the date the p-oceeds were receivatl by the estate. All property Jointlyawned wiM Me N9M o/ survlvorshfp must be disclosed on schedule F. iLE NUMBER 21-12-0025 (If more space is neetleq atltliljonal pages of the same size) Copyright (c) 2010 form software only The Lackner Group, Inc. Form PA-7500 Schedule E (Rev. 11-10) Rev-7509 EXa (01-70) SCHEDULE F COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Vice, Elizabeth Ann 21-12-0025 If an asset was made joint within one year of the tlecetlaM's date or tleath, It must ba reportetl on aMetlule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. John H. Vice 312 W. Courtland Avenue Spouse Shiremanstown, PA 17011 B. Lynn A. Vice 3411 N. Shepherd Ave Daughter Macon, GA 31220 C. JOINTLY OWNED PROPERTY: ITEM NUMBER FOR JOIN TENANT MA E JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSE % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENTS INTEREST 1 A/B 02/O6H987 Members 1st Federal Credit Union Acct 2,364.51 0.333°/0 788.17 #13031-00 -Titled: Elizabeth Vice, John Vice (Spouse) or Lynn Vice (Daughter) JTWROS See attached DOD valuation A/B 02/06/1987 Accrued income on Item 1 through date of 0 36 0 333°/a 12 0 death . . . 2 A/B 02!01/2001 Members 1st Federal Credit Union Acct 2,500.00 0.333°/a 833.33 #13031-04 -Titled: Elizabeth Vice, John Vice (Spouse) & Lynn Vice (Daughter) JTWROS See attached DOD valuation A/6 02/01!2001 Accrued income on Item 2 through date of 0.38 0.333°/a 0.73 death 3 A/8 02/06/1987 Members 1st Federal Credit Union Acct 11,710.51 0.333°/a 3.903.50 #13031-11 -Titled: Elizabeth Vice, John Vice (Spouse) 8 Lynn Vice (Daughter) JTWROS See attached DOD valuation A/B 02/06/1987 Accrued income on Item 3 through date of 0 25 0 333°/a 0 08 death . . . Total of Continuation Schedule ee attached page TOTAL (Also enter on Line 6, Recapitulation) I 11.548.06 (If more space is needed, adtlitional pages of the same size) Copyright (c) 2010 form software only The Lackner Group, Inc. Form pA-1500 Schedule F (Rev. 01-10) R°v-tsoa Ex. loT~ro> SCHEDULE F CONMIONWEALTHOFVENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ~~..{:.~..~..{ ESTATE OF (FILE NUMBER Vice, Elizabeth Ann ~ 21-12-0025 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. JOINTLY OWNED PROPERTY ITEM NUMBER LETTER FOR JOIN TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH GEED FOR domnv-HELD REAL EsrATE. DATE OF DEATH VALUE OF ASSE % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 4 AIB 0210611987 Members 1st Federal Credit Union Checking 4,627.82 0.333% 1,542.61 Acct#9349-11 -Titled: John Vice, Elizabeth Vice & Lynn Vice (Daughter) JTWROS See attached DOD valuation A/B 02/06/1987 Accrued income on Item 4 through date of 0.36 0.333% 0.12 death 5 A/B 09/22/2003 Members 1st Federal Credit Union Investmen 12,212.80 0.333% 4,070.93 Savings Acct#9349-05 -Titled: John Vice, Elizabeth Vice 8 Lynn Vice (Daughter) JTWROS See attached DOD valuation A/B 09/22/2003 Accrued income on Item 5 through date of 2.21 0.333% 0.74 death 6 A/B 02/06/1987 Members 1st Federal Credit Union Reg 1.224.82 0.333% 408.27 Saving Acct #9349-00 -Titled: John Vice, Elizabeth Vice & Lynn Vice (Daughter) See DOD valuation attached A/B 02/06/1987 Accrued income on Item 6 through date of 0.18 0.333% 0.06 death TOTAL (Also enter on Line 6, Recapitulation) ~ 11,548.06 Copyright (c) 2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 01-10) Rev-1510 EX+(06-09) SCHEDULE G 1 INTER-VIVOS TRANSFERS AND MISC, NON-PROBATE PROPERTY GOMMONWEALTHOF PENNSYLVANIA INHERITANCE Tq%RETURN 0.ESIDENT DECEDENT ESTATE OF FILE NUMBER Vice, Elizabeth Ann 27-12-0025 This schetlule must be completed and fletl if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM NUMBER DESCRIPTION OF PROPERTY THE DATE O~TR~ArFJSFERSATTACNACOPY OF THE GEED ~OR REAL ESTATE. DATE OF DEATH VALUE OF ASSET ~ of oeco~s INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE Charles Schwab Roth IRA Acct #46585676 -Titled: 100.000% Elizabeth A. Vice Beneficiary: Bette A. Borrelli, Daughter See attached DOD valuation 1 Laudus Growth Investors US, CUSIP #518550549 3,850.74 3.850.74 2 Schwab 1000 Index Fd lnv Sh, CUSIP #808577706 20,610.36 20,610.36 Invesco Acct #0009373220 -Owner: Elizabeth A. Vice 700.000% Beneficiary: Bette A. Borrelli, Daughter See attached DOD valuation 3 Invesco Diversified Dividend Fund (286) 8,048.95 8,048.95 4 Invesco Small Cap Growth Fund (264) 4,574.00 4.574.00 5 Invesco Utilities Fund (58) 2,106.90 2,106.90 6 Invesco Van Kampen American Franchise Fund (7733) 4,758.43 4.758.43 7 Principal Life SPIA Annuity Contract #9204048 - 13,408.00 100.000% 73.408.00 Owner/Annuitant: Elizabeth A. Vice Beneficiary: John H. Vice, Spouse See attached DOD valuation 8 USAA Annuity Contract No: 5342'ISSPC -Annuitant: 52,148.52 700.000% 52,148.52 Elizabeth A. Vice Beneficiary: John H. Vice See attached DOD valuation Total of Continuation Schedules See attaches a es TOTAL (Also enter on Line 7, Recapitulation) ~ 307,863.50 (Ir more space is needed. atlditional pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 08-09) Rev-0510 EX+108-0e) SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY COMMONWEALTH OFPENNSVLVANIA INHERITANCE TAX RETURN continued RESIDENT DECEDENT ESTATE OF NUMBER ITEM NUMBER DESCRIPTION OF PROPERTY THE DATE OAF TRANSFERSATfAC11TAOOPY of THE DEED F~OREREAL ESTATE. DATE OF DEATH VALUE OF ASSET % or oeco~s INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 9 Vanguard Variable Annuity Contract #700001897 - 76,891.22 100.000% 76,891.22 Owner/Annuitant: Elizabeth A. Vice Beneficiary: John H. Vice, Spouse See attached DOD valuation 10 2001 Oldsmobile Aurora -Transferred to Lynn Ann 2,216.00 100.000% 2,216.00 Vice within 1 year of death See attached Kelley Blue Book valuation 11 Jewelry -engagement ring -Transferred to Lynn Ann 7,000.00 100.000% 3,000.00 4,000.00 Vice within 1 year of death See attached appraisal 12 Jewelry -gold diamond pendant -Transferred to Bette 4,000.00 100.000% 3,000.00 1,000.00 A. Borrelli within 1 year of death See attached appraisal 13 Jewelry -gold naval academy ring -Transferred to 1,000.00 100.000% 1,000.00 Bette A. Borrelli within 1 year of death See attached appraisal 14 Jewelry -tennis bracelet -Transferred to Jackie A. 3,000.00 100.000% 3,800.00 0.00 Vice-Black within 1 year of death See attached appraisal 15 Bethesda Mission Charitable Gift Annuity -Joint 0.00 0.00 annuity Remaining income beneficiary -John Vice Remainder beneficiary -Bethesda Mission See attached DOD letter Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 08-09) Rev~1510 EX. (OB-08) LOMMONWEALTHOF PENNSriVANIq INHERITANCE TA%RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY continued ESTATE OF FILE NUMBER Vice, Elizabeth Ann 21-12-0025 ITEM NUMBER DESCRIPTION OF PROPERTY 7HE DATE OF TRCAFNSFER SATTACII A COPYEOFTHE DEED ~OR REAL ESTAiE. DATE OF DEATH VALUE OF ASSET %OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 16 Naval Academy Foundation Charitable Gift Annuities - 113,250.38 113,250.38 Joint annuity Remaining income beneficiary -John Vice Remainder beneficiary -Naval Academy Foundation See attached DOD letter TOTAL (Also enter on Line 7, Recapitulation) I 307,863.50 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 08-09) REVd151 EX* (10-08) COMNi() 4~A~7H DE~EryrygYLVANIA SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE ('AATC ESTATE OF FILE NUMBER Vice, Elizabeth Ann 21-12-0025 Decedent's debts must be reported on Schedule I. ITEM DESCRIPTION AMOUNT A. ~ FUNERAL EXPENSES: See continuation schedule(s) attached B. I ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) 10,381.92 Street Address City State Zio Year(s) Commission Paid 2. Attorney's Fees 87,304.89 See continuation schedule(s) attached 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 3,500.00 Claimant John H. Vice Street Address 312 W. Courtland Avenue city Shiremanstown state PA zio 17011 Relationship of Claimant to Decedent SpOUSe 4. Probate Fees 485.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 890.47 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 102,562.58 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-09) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF , FILE NUMBER , Vice, Elizabeth Ann 21-12-0025 ITEM NUMBER DESCRIPTION AMOUNT 1 Funeral Exoen s Malpezzi Funeral Home 10,381.92 H-A 10,381.92 2 Attorney Fees Black, Stranick 8: Cella, P.C. -legal fees 62,304.69 3 Eckell Sparks -legal fees 25,000.00 H-B2 87,304.69 4 Other Administrative Costs Cumberland County Law Journal -legal advertising 75.00 5 Estate Valuation -value stock assets 124.00 6 John H. Vice -mileage reimbursement 570.90 7 Miscellaneous costs: Postage, copies, etc. 59.56 8 The Patriot-News -legal advertising 61.01 H-67 890.47 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schetlule H (Rev. 6-98) Rev-1512 FXr (12-0a) SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS COMMONWEALTHOFPENNSYLVANIA INHERITANCE TAX RETURN RESIDENT OECEOENT ESTATE OF FILE NUMBER Vice, Elizabeth Ann 21-12-0025 Report debt incurted by the decedent pdm fo tleaM Mat remained unpaitl at tM tlate of tleath, Including unmlmbuned medical ezpensee. (If more space is ^eetleq adtlitional pages of the same size) Copyright (c) 2008 form software only The Lackner Group, Inc. Form PA-7500 Schedule I (Rev. 12-08) REV-1513 E%r (01-10) SCHEDULE J coMr~~'E~rYi`o~~~~'f"rvi AN IA B E N E F I C IA R I E S ESTATE OF Vice, Elizabeth Ann FILE NUMBER 21-12-0025 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S) RECEIVING PROPERTY DECEDENT (Words) ($$$) I TAXABLE DISTRIBUTIONS [include outright spousal . distributons, and transfers under Sec. 9116 a 1.2 1 Jackie A. Vice-Black Daughter Jewelry transfer 1 E. Spring Oak Circle w/in 1 yr death Media, PA 19083 2 Betta A. Borrelli Daughter IRAs & jewelry 45,949.38 315 Ivy Stone Dr transfers w/in 1 Macon, GA 37220 yr death 3 Disclaimer Trust U/W of Elizabeth Ann Vice dtd Trust Disclaimed 2,408,111.70 3/21/2011, John H. Vice, Trustee Assets 312 W. Courtland Avenue Shiremanstown, PA 17011 4 John H. Vice Spouse Residue 8 non- 553,726.55 312 W. Courtland Avenue probate assets Shiremanstown, PA 17011 5 Lynn A. Vice Daughter Jt accts & 11,990.03 3411 N. Shepherd Ave jewelry/car Milwaukee, WI 53211 transfers w/in 1 yr death Total 3,019,777.88 Enter dollar amounts for distributions shown above on lines 15 throw h 18 on Rev 150 0 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 1 Naval Academy Foundation 67,339.13 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OE REV-1500 COVER SHEETI 67,339.13 Copyright (c) 2010 form software only The Lackner Group, Inc. Fonn PA-1500 Schedule J (Rev. 01.10) REV48.17 EX+(9-001 SCHEDULE M COMMONWEALTH OF PENNSVLVANVI FUTURE INTEREST COMPROMISE INHERITANCE TAx RETURN RESIDENT DECEDENT (Check Box 4a on Rew1500 Cover Sheet) ESTATE OF FILE NUMBER Vice, Elizabeth Ann 21-12-0025 This schedule is appropriate only for Estates of decedents dying after December 12, 7982. This schedule is to be used for all future interests where the rate of tax which will be applicable when the future interest vests in possession and enloyment cannot be established with certainty. Indicate below the tvoe of instrument which created the future interest and attach a coov to the tax return ® Will ^ Trust ^ Other I. ~ Beneficiaries NAME OF BENEFICIARY RELATIONSHIP DATE OF BIRTH AGE TO NEAREST BIRTHDAY 1. John H. Vice Spouse 07/10/1926 85 2. 3. 4. 5. II. I For decedents dying on or after July 1, 1994, if a surviving spouse exercised or intends to exercise a right of withdrawal within 9 months of the decedent's death, check the appropriate block and attach a copy of the document in which the surviving spouse exercises such withdrawal r~pgt. LJ Unlimited right of withdrawal ®Limited right of withdrawal Explanation of Compromise Offer: See attached explanation IV. I Summary of Compromise Offer: 1 1. Amount of Future Interest: 2, Value of Line 7 exempt from tax as amount passing to charities, etc. (also include as part of total shown on Line 13 of Cover Sheet) 3. Value of Line 1 passing to spouse at appropriate tax rate Check One ~ 6% ^ 3°!° ®0% (also include as part of total shown on Line 75 of Cover Sheet) 4. Value of Line 1 taxable at lineal rate ^ 6% ®4.5% (also include as part of total shown on Line 16 of Cover Sheet) 5. Value of Line 1 taxable at sibling rate (12%) (also include as part of total shown on tine 17 of Cover Sheet) 6. Value of Line 1 taxable at collateral rate (15%) (also include as part of total shown on Line 18 of Cover Sheet) 7. Total value of Future Interest (sum of Lines 2 thru 6 must equal Line 1) Copyright (c) 2002 form software only The Lackner Group, Inc. 2,408,111.70 220,872.01 2,187,239.89 111.70 Fortn PA-1500 Schedule M (Rev. 6-98) Decedent: Vice, Elizabeth Ann Social Security Number: 042-20-9803 Date of Death: 12/23/2011 File No.: 21-12-0025 Attachment to Schedule M Future Interest Comnromise III. Explanation of Comnromise Offer for Tax Exemption Trust Back rg ound Decedent was survived by her husband, John H. Vice ("Spouse"), and her children, Lynn Ann Vice, Jackie Ann Vice-Black, Betta Ann Borrelli and John Michael Vice. Decedent executed that certain Last Will and Testament dated March 21, 2011 ("Will"). Spouse executed Disclaimers whereby he disclaimed a partial interest in the Estate. Pursuant to Article Fourth of the Will, if Spouse disclaims in whole or in part any interest in the Estate, the disclaimed interest shall be held in the Disclaimer Trust. Pursuant to Article Fourth of the Will, the Trustee shall distribute the entire net income of the Disclaimer Trust to Spouse and may distribute principal for the health, support, maintenance or education of Spouse. Upon the death of Spouse, the then remaining balance of the Disclaimer Trust shall be distributed to Decedent's children, per stirpes. Offer of Comnromise Based upon the foregoing and the factors set forth below, Executor submits that the value of the Disclaimer Trust should be taxed as follows: Gross Value of Disclaimer Trust $ 2,408,111.70 Life estate factor for Spouse x 0.09172 Resulting life estate to Spouse $ 220,872.01 Resulting remainder interest to descendants $ 2,187,239.69 Rev-1151 EX 11-97111) SCHEDULE O COMMONWEALTH OFPENNEVLVANIA ELECTION UNDER SEC. 9113(A) INHERITANOETAx RETURN SPOUSAL D{STRIBUTIONS RESIDENT DECEDENL ESTATE OF FILE NUMBER Vice, Elizabeth Ann 21-12-0025 Do not complete this schedule unless the estate is making the election to tax assets under Section 9113(A) of the Inheritance & Estate Tax Acl If the election applies to more than one trust or similar arrangement, a separate form must be filed for each trust. This election applies to the Elizabeth A. Vice Disclaimer Trust U/W Trust (marital, residual A, B, By-pass, Unifed Credit, etc.). If a trust or similar arcangement meets the requirements of Section 9113(A), antl: a. Tne Vust or similar arrangement is listetl on Schedule O, antl b. The value of the trust or similar arrangement is entered in whole or in part as an asset on Schedule O, then the transferor's personal representative may specifically identity the trust (all or a fractional portion or percentage) to be included in the election to have such trust or simUar property treated as a taxable Vansfer In this estate. It less than the entire value of [he tmst or similar property is included as a taxable irensfer on Schedule O, the personal representative shall be consitleretl to have made the election only as to a fraction of the trust or similar arrangement. The numerator of this fraction is equal to the amount of the trust or similar arcangement included as a taxable asset on Schedule O. The denominator is equal to the total value of the trust or similar arrengement. Part A: Enter the description and value of all interests, both taxable and non-taxable, regardless of location, which pass to the decedent's surviving spouse under a Section 9113 (A) trust or similar arrangement. Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA•1500 Schedule O (Rev. 6-98) Part B: Enter the description and value of all interests included in Part A for which the Section 9113 (A) election to tax is being made. (If more space is needed, insert additional sheets of the same size) SCHEDULE O ELECTION UNDER SEC. 9113(A) (SPOUSAL DISTRIBUTIONS) continued ESTATE OF Ann :NUMBER -12-0025 ITEM NUMBER DESCRIPTION AMOUNT 9113A Trust 1 Disclaimer Trust U/W of Elizabeth Ann Vice dtd 3/21/2011, John H. Vice, Trustee -All assets 2,408,111.70 01-A Subtotal 2.408.111.70 9113A TrustlElection Made 2 Disclaimer Trust U/W of Elizabeth Ann Vice dtd 3/21/2011, John H. Vice, Trustee -All assets 2,408,111.70 01-B Subtotal 2.408.111.70 Copyright (c) 2002 form sottware only The Lackner Group, Inc. Form PA-7500 Schedule O (Rev. 6-98) Page 1 of 1 Hixson, Renee From: Hixson, Renee Sent: Wednesday, August 29, 2012 4:41 PM To: PA Dept of Rev 1500 Ext (RA-InheritanceTaxExt@pa.gov) Cc: 'Eileen Powell' Subject: Est of Elizabeth Ann Vice, Deceased, File No. 21-2012-0025 Kindly grant a six month extension of time for the filing of the PA1500 in the above Estate. Additional time is needed to gather information which will allow us to file a complete and accurate tax return. A prepayment of $97,OOD was made on account within the three month discount period. Thank you. A. Renee Hixson, Paralegal Eckel!, Sparks, Levy, Auerbach, Monte, Sloane, Matthews & Auslander, P.C. 344 W. Front Street Media, PA 19063 Telephone: 610-565-3700, ext. 260 Fax: 610-565-1596 8/29!2012 ! HEREBY CERTiW tilAT ANS ~ A TtN~ Atp G~RRECT COW OF Tf IE LAST WNJ, A!q LAST WILL AND TESTAMENT TESTAMENTOF_..`.,,,.„_„~,._ OF OONpS[f.PORFSDpE '~---Y ELIZABETH ANN VICE I, ELIZABETH ANN VICE, of Shiremanstown, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any Will previously made by me. FIRST: IDENTIFICATION OF FANIILY I declare that 1 am married to JOHN H. VICE and that att references in this Will to my "Husband" are references to the said JOHN H. VICE. i have four (4) children, now living: LYNN ANN VICE, JACHIE ANN VICE-BLACK, BETTA ANN BORRELLI, and JOHN MICHAEL VICE. sECOND: cis rs Personal and Household E££ects: I give all my articles of personal or household use, including automobiles, and all insurance on that property: A. Ta Husband: To my Husband, JOHN H.VICE, if he survives me by thirty (30) days. I£ he does not so survive me, I give alI such property and insurance: B. To Children: To those of my children who so survive me to be divided among them as they may agree. Ln the absence of agreement, the division shall be made as my Executor may think appropriate. However, articles which my Executor considers unsuitable for my children n maybe sold and the proceeds added to my residuary estate. `- ~ ~ ~ - ~ : _~ _ -~: 7~ ~ - ..._ .. =.-rtl 1 - Page 1 - ; _ _ - _? ~-' ;.:_ ~ :~ C ~ <_~ -Ti C :` THIRD: DISTRI$UTION OF RESIDUE IF SPOUSE SURVIVES I give the rest of my estate to my spouse, 3OHN H. VICE, if he survives me for a period of thirty {30) days; provided that should my spouse disclaim any interest therein I direct that such t} interest shall be given to my Trustee to hold In Trust ugon the terms set forth in the following ~~`( paragraphs. If my spouse does not survive me by thirty (30) days, I give the residue of my estate in four (4) equal shazes to my children to share and share alike, per stirpes. . FOURTH: DISCLAIMER TRUST If my spouse disclaims in whole or in part any property or interest therein otherwise distributable to him upon my death, such property or interest shall be distributed to my Trustee hereinal}er named, In Trust, to keep invested and to make distributions therefrom as follows: 1. Payments Durine Spouse's Lifetime: During my spouse's lifetime: a. The entire net income shall be paid to him monthly or such other interval as my spouse shall find convenient which will be convenient also to the Trustee; b. As much of the principal as my Trustee in his sole discretion may from time to time think desirable-taking into account funds avaitahle from other sources- for the health, support, maintenance or education ofmy spouse shall be paid to him; and c. My spouse shall have the right in each calendar year to withdraw from the principal up to $5,000 and, in addition, if he is living on December 31, of auy year, to withdraw up to five percent (5%) of the fair market value of the principal determined on December 31, of the preceding year (the amount Page 2 subject to withdra~vaI as of December 31 to be reduced by any prior withdrawals made pursuant to this subparagraph (c) during that year, and any rights of withdrawal for a particular yeaz to lapse if not exercised during that year). ~~ ~ d. I intend my Trustee to use principal liberally for my spouse to enable hnn to maintain insofar as possible the standard of living to which he has been accustomed during my lifetime. 2. Payments Ugon Suouse's Death: Upon my spouse's death, the balance of the then remaining principal of the Trust shall be divided into four {4) equal shares there are children of mine then-living and chiidrenthen-deceased who are represented by issue, and I give ono {1) such share to each child of mine, per stirpes. >ti'IFTFI: MII~IOR'5 TRCJST Whenever a person under the age oftwenty-one (21) yeazs (minor) becomes entitled to a share of my estate, that share shall be retained and 'invested by my Trustee Irezeinafter named. As mneh of such share, together with its accumulated income, as my Trustee may from time-to-time consider desirable for minor's health, maintenance and support shall be paid to the patent or any guardian of the minor, or shall be applied directly for such purposes. tiny part of such share not so paid shalt be distributed outright to the minor upon hislher roaching the age oftwenty-one (21) or, should the minor die prior thereto, directly to those persons who would be entitled to the estate under, and in such proportions as is provided by, thethen-existing intestate law of the Cotnrnonwealth of Pennsylvania. Page 3 SIXTH: TAX PILOVISIONS A. Survivorship: iVly Husband shall be deemed to have sur~zved me if the order of our deaths is not clear. 13. Death tales: Except as may otherwise be provided in my Husband's Will or Trust l~ J or in any other Tnzst, all federal, state and other death taxes payable because of my death on the j' property forming my gross estate for tax purposes, whether or not it passes under this Will, shall tae paid out of the principal of my probate estate. None of those taxes shall be charged against the Disclaimer Trust or any beneficiary. The provision concerning payment of taxes shall not apply to generation-skipping taxes and any properly over which I have a general power of appointment for federal estate purposes. C. Tax Provisions: I authorize my Executors: 1, Death Taxes: To elect to have a specific portion ax all of any property of mine qualify for the federal estate tax marital deduction in my estate if suck property could qualify by making the election and to exercise any other options available in de#ennining and paying death taxes in my estate, and to allocate my generation-skipping tax oxemption; 2. Income Taxes: To join with my Husband in filing a joint income tax return; and 3. Gift Taxes: To consent to any gifts made by my Husband being treated as having been made one-half by me for the purpose of laws relating to gift tax. Page 4 SEVENTH: PERSONAL REPRESENTATIVES A. I appoint my Husband, JOHN H. VICE, Executor of my estate. If for any reason the said JOHN II. VICE is unable or unwilling to serve, then I appoint LYNiY ANN VICE as (~ '~~ succeeding Executrix. B. I appoint my Husband, JOHN H. VICE, to serve as Trustee of my Trust Estate; U' provided however that my Trustee shall be limited in invading the prhicipal of the Disclaimer Trust as set forth in Article FOURTH set forth hereinabove. If for any reason my Husband, JOHN H. VICE, shall be unable or unwilling to serve as my Trustee, then I appoint my daughter, LYNN ANN VICE, as Trustee of the Disclaimer Trust; or if my daughter is unable or unwilling to serve or shall cease to serve at some future time, then I appoint my son, JOHN 1VI. VICE, as Second Successor Trustee of the Disclaimer Trust. C. I appoint myson-in Law, DAVID R BLACK, ESQ., to serve as Trustee of the Mtt~or's Trust. If for anreason myson-in-law, DAVID R. BLACK, ESQ, shall be unable or unwilling to serve as my Trustee, then I appoint my daughter, LYNN ANN VICE as Trustee of the Minor's Trust, or if my daughter is unable or unwilling to serve or shall cease to serve at some future time, then I appoint my daughter, BETTA ANN BORRELLI, as Second Successor Trustee of the Minor's Tmst. D. I recommend, but do not require, that myson-in-law, DAVID R. BLACK, ESQUIRE, or his successor at Black, Stranick & Cella, P.C. be selected to serve as cotursel to my estate. I duect my Executor to make payment for legal services rendered by counsel at his standard rates for such services. Page 5 E. I direct that my personal representatives, whether they are Executor or Trustee, shall not be required to give bond for the faithful performance of their duties. {~ G! EIGI3TH: ADMINISTRATIVE POWERS A. Protective Provision: To the greatest extent permitted bylaw, before actual payment to a beneficiary, no interest, income or principal shall be assignable by the beneficiary or available to anyone having a claim against the beneficiary. B. Powers of Personal Representatives: I authorize my Executorand/or Trustee: 1. To retain and to invest in all foams of real and personal property, regazdless of any limitation imposed by law on investments by fiduciaries, and to exercise all rights ordinarily belonging to the owner or investor in said property. 2. To sell, exchange, mortgage, lease, repair, alter and/or improve any real or personal property and upon such terms as to cash, creditor options as he in his sole discretion may deem appropriate and to do all things necessary or ordinary in achieving these ends. 3. To borrow money from any source or to pledge any assets therefore. 4. To allocate receipts and expenses to principal or income or partly to each as he fromtime-to-time thinks proper in her sole discretion. 5. To treat administrative expenses either as income tax or as estate tax deductions, without regard to whether the expenses were paid from principal or income azid without requiring reimbursement. 6. Ta compromise claims and to abandon any property which, in his opinion, is of little or no value. Page 6 7. To distribute investment assets in kind wherever possible, unless in the exercise of his discretion, it would be imprudent to do so. ~ 8. To engage accountants, agents, custodians, clerks, investment advisors ~~ U (including banks, brokerage, firms or trust departments) and such other persons as he may deem advisable to assist his in making decisions, and to make such payments therefore as he may deem reasonable, and to delegate to such persons any discretion wluch he may deem proper; provided that the majority of beneficiaries then entitled to share in my estate shall agree to such engagements; and provided further that my beneficiaries, by majority vote, may cancel any such engagements and/or replace those advisors so engaged. 9. Ta receive a commission for servhig as Executor or Trustee in amounts which are reasonable and customary for estates and trusts of similar size administered within the Commonwealth of Pennsylvania. 10. To receive reimbursement for reasonable expenses of administering estate funds, including travel expenses and expenses of engaging professionals. 11, I request that the funds of the Trusts contained in this document should continue to be invested iu stocks, mutual funds and bonds (investment grade or higher) as may he determined by the Trustee in his discretion. These provisions shall be in addition to those granted by law, shall continue in full force and until the actual distribution of the property and shall be exercisable without court autfiorization. C. Protecfion of Personal Representatives: I hereby direct that my estate shall indemnify and hold harmless my personal representatives, including executors, trustees, Page 7 attorneys, and the tike, from liability for any negligence, whether by act or omission, which is alleged to have been committed in his/her representative capacity during the administration of my estate; provided, however, that my personal representatives shall not be indemni£ed or held harmless with respect to acts or omissions of willfifl malfeasance, IN WTTNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, which consists of nine (9) pages, this ~. f ~ day of `1M cvt~,___ , 2011. ~~ d AAPTl~ ~ r ELIZAI~ TII ANN VICE The preceding instrument, consisting of this and eight (&) other pages, identified by the signature of the Testatrix, was on the day and date thereof signed, published and declazed by ELIZABETH ANN VICE, the Testatrix therein named, as and for her Last WiIl, in the presence of us, who at her request, in the presence and in the ptsence of each other, have subscribed our names as witnesses hereto. !~ ess ~~ Address ~ ~,~~~.~~" q ao ~l~K !1c [t ,f'cL fitness Address Page 8 ACKNOWLEDGMENT AND AFFIDAVIT CO~S.~ION~VEALTH OF PENNSYLVANIA COUNTY OF CLrNIBERLA,~iD We, ELIZABETH ANN VICE, the Testatrix, and t=• f 12~~r ~~ nue~r and ~`ul--~ ' e e the witnesses, whose names are signed to the attached or foregoing instrument, being first duly swom, 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 free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witness and that to the best of their knowledge the Testatrix was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. ~,)/f EL ETH~~-~1.,~2~ ~ 6 > Wi ess ~~~ Subscribed, swom to and acknowledged before me by ELIZABETH ANN VICE, the Testatrix, and subscribed and swom to before me by ~- • '~2~Srn, ~~`nuari and K; m~c~~y ~tc~¢,~k12r4 s~ ,witnesses, this 21s'day of t'f~a~-tzcH , 2Q11. mriMOrivu~.Tr+ of ~risrtmw;., nolaAal seal + K , ~r Ric ,~..~~~ Canty nut 3o;v, cunbaimid GOwtty •.~s~Q ~. ~-'"'-y'- '-~ 4A':~vnusrs.E~y~llendi20,2015 Notary Public sE"'~'~"1kMtliNfpA~"na+ocrmrnwes Page 9 BLACK, STRANICK & CELLA, P.C. BY: DAVID R BLACK, ESQUIRE ATTORNEY I.D. N0.24405 327 WEST FRONT STREET P.O. BOX 168 MEDIA, PA 19063-0168 {610) 566-8500 Attorney for Executor IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS IN RE: ESTATE OF ELIZABETH ANN `VICE, DECEASED -~ , Wil1No. 21-12-0025 >~ =~ ~~~ wrnzc~ ~ ,;-ri = ~ ~ a m ~' "'~ w o ~ : ; :,=; ~ Disclaimer and Renunciation - ~ r. 0 -n - = ' ~' ~ ' _ ~O-n S ;~- r - ~ ~ m ~n O I. a ~ -t* w .,. ' Pursuant to PA Statutes, Title 20, Chapter 62, the undersigned, John H. Vice, in his capacity as beneficiary/legatee, chooses to exercise his right to disclaim an interest in certain property described in the following pazagraphs. II. I, John II. Vice, have an interest in the above-captioned Estate of Elizabeth Ann Vice (decedent), who died on December 23, 2011 ("The Estate"). The Last Will and Testament of Elizabeth Ann Vice was probated with the Register of Wills on January 9, 2012. III. Pursuant to the provisionsgf Item III of decedent's Last Will and Testament dated March 21, 2011, (the~Till'), I am named as tyre primary beneficiary of The Estate. IV. ~; John II. Vice, hereby exercise the rights granted to me in Chapter 62 of the Probate Estates & Fiduciaries Code, Pa C.S.A. Secs. 6201-6207 and the Internal Revenue Code of 1486, and I hereby renounce and disclaim all my right, title and interest as a person interested in the Estate of Elizabeth Ann Vice, whether by will or operation of the laws of intestacy of the Commonwealth of Pennsylvania, in and to the following property {contained in the Charles Schwab account ending in #1295 belonging to the decedent) as listed below: • Cash account; • -~.~ .. , • ~~ AT&T Inc. -stock; ABB Ltd. -stock; Abbott Laboratories -stock; Altera Corp. -stock; Archer-Daniels-Midland Co. stock; Beam Inc, stock; Berkshire Hathaway Inc. CL B•stock; Bristol-Myers Squibb Co. stock; Chevron Corp. stock; Coca Cola Co. stock; Colgate Palmolive stock; Corning Inc. stock; Duke Energy Cop. stock; Eastman Chem. Co. stock; . Emerson Elec. Co. stock; Ford Motor Co. stock; Fortune Brands Home & Secur. stock; General Mills Inc. stock; ~.. Genuine Parts Co. -stock; HJ Heinz Co. stock; Hubbell Ina CL B stock; Intel Corp: stock; JM Smucker Co. stock; Johnson & Johnson stock; Johnson Ctrls Ina stock; JP Morgan Chase & Co. stock; Manitowoc Inc. stock; McDonalds Corp. stock; Microsoft Corp. stock; Norfolk Southern Corp. stock; Pepsico Inc. stock; Merrill Lynch Depositor, Irr. stock; ProcT7 t;zu Gamble Co. stock; Qualcomm Inc. stock; Realty Income Corp. stock; Rite Aid Cozp -stock; Roanoke VA Indl Dev Auth RE -bond; SCH Pennsylvania Muni Money Fund Sweep Shazes -money market fund; Schwab Dividend Equity Fund -mutual fund; Schwab Fundamental Internat -mutual fund; Schwab 1000 Index FD Inv Sh -mutual fund; St. Jude Medical Inc. stock; State Pub Sch Bldg Auth PA -bond; • Rowe T Price Spectnun FD In -mutual fund; • Tyco International LTD -stock; • United Tech Corp -stock; • Vanguard Fixed.Income GNMA -mutual fund; • Vanguard Growth Index FD -mutual fund; • Vanguard Intl Value FD -mutual fund; • Vanguard Tax Mgd Small Cap -mutual fund; • Vectren Corp -stock; • Verizon Communications Inc. -stock; • Wal-Mart Stores Inc. -stock; • Whole Foods Market Inc. -stock; and • 3M Company-stock V. I hereby release, remise and dischazge the Executors and their successors of the Estate of Elizabeth Ann Vice of and from any and all liability and responsibility to me with respect to their obligations and duties with respect to the above-referenced property, including the right to demand an account of said estate and to have some or all of the property listed above distributed r~~, and further du•ect said Executors and their successors to distribute the same to the Disclaimer (rust set forth in the Last Will and Testament of Elizabeth Ann Vice. VI. It is my intention to irrevocably disclaim any rights, title or interest I have or may have only to the above-listed items, as idenfified in paragraph IV of this Disclaimer, and which aze contained in the Chazles Schwab Account ending in #1295 as noted above. VII. The above-listed property identified in paragraph IV of this Disclaimer devolves to the Disclaimer Trust pursuant to Article IV of the Last Will and Testament of the decedent. ~r -,°' VIII. It is not my intention to disclaim any rights, title or interest I have or may have to any other items contained in the Charles Schwab account ending in #1295 included in the Estate of ElizaBetfi Ann Vice, Deceased; nor is it my intention to disclaim any rights, title or interest I have or may have in any property owned by me as tenants by the entireties or jointly with Elizabeth A. Vice. ix. This Renunciation and Disclaimer shall for all purposes be deemed to relate back to the date of decedent's death and is an hrevocable refusal to accept the above-listed property effected hereby and is deemed to be delivered to the Executor of the Estate of Elizabeth Ann Vice to be placed n1 the Irrevocable Disclaimer Trust under the Will of Elizabeth Ann Vice, John H. Vice, Trustee. Dated this 3b~'' day of M1`~l R, ae u aol2 afore ` Commonwealth of Pennsylvania Countyof~ CuruQe~Co-r~Q .~offnl N. ~jG~ Printed Name SS o~-ta . a a• s a~ 3 On this, the ,~o'}"` day of 2Q12, before me a notary public, the undersigned officer, personally apgeare John H. Vice, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed the same for the purposes therein contained. witn~hereof, I/)hereu\t\iytose~,my hand and official seal. p n ~ h e T ~ 7-_~ Notary Public ' ~`~-L- COMMONWEAL OFPENNMYANIA ' ~T1 DeNse K. Wurrtx, Nola~y Public My commission expires: °~'°~B0f0'~0"'"~~mu nrnes~, veunrovxw tissoa~nan oR Mores BLACK, STRANICK & CELLA, P.C. BY: DAVID R BLACK, ESQUIRE ATTORNEY I.D. N0.24405 327 WEST FRONT STREET P.O. BOX 168 MEDIA, PA 19063-0168 (610) 566-8500 Copy n ;.; ° p ^' ~ ~-, m v c fir'-''.~ c> m c_ : r ~"; o ~ f '" , ~ l vi ~ ~D T.7 C"j . ' 4,~ ~ , OC ~ /1 = a "~ -rn r- ~ y N ~o p Attorney for Eaecut~'r IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS IN RE: ESTATE OF ELIZABETH ANN VICE, DECEASED Will No. 21-12-0025 Supplemental Disclaimer and Renunciation I. Pursuant to PA Statutes, Title 20, Chapter 62, the undersigned, John H. Vice, in his capacity as beneficiary/legatee, chooses to exercise his right to disclaim an interest in certain property described in the following pazagraphs. II. I, John H. Vice, have an interest in the above-captioned Estate of Elizabeth Ann Vice (decedent), who died on December 23, 2011 ("The Estate"}. The Last Will and Testament of Elizabeth Ann Vice was probated with the Register of Wills on January 9, 2012. III. Pursuant.to the provisions o~ Item III of decedent's Last Will and Testament dated March 21, 2011, (the "Will'), I am named as the primary beneficiary of The Estate. 1V. t.-.., t I, Jo'1m H. Vice, hereby exercise the rights granted to me in Chapter 62 of the Probate Estates & Fiduciaries Code, Pa. C.S.A. Secs. 6201-6207 and the Internal Revenue Code of 1986, and I hereby renounce and disclaim all my right, fltle and interest as a person interested in the Estate of Elizabeth Ann Vice, whether by will or operation of the laws of intestacy of the Commonwealth of Pennsylvania;•in and to the following property (contained in the Charles Schwab account ending in #1295 belonging to the decedent) as listed below: Halliburton Co: -stock V. I hereby release, remise and dischazge the Executors and their successors of the Estate of Elizabeth Ann Vice of and from any and all liability and responsibility to me with respect to their obligations and duties with respect to the above-referenced property, including the right to demand an account of said estate and to have some or all of the property listed above distributed to, and further duect said Executors and their successors to distribute the same to the Disclaimer Trust set forth in the Last Will and Testament of Elizabeth Ann Vice. VI. The above-listed property identified in paragraph IV of this Disclaimer devolves to the Disclaimer Trust pursuant to Article IV of the Last Will and Testament of the decedent. VII. It is not my intention to disclaim any rights, title or interest I have or may have to any other items contained in the Chazles Schwab account ending in #1295 (except items wjrich have been identified in other Disclaimers previously filed by me) nor is it my intention to disclaim any rights, title or interest I have or may have in any property owned by me as tenants by the .entireties or jointly with Elizabeth A. Vice, VIII. This Renunciation and Disclaimer shall for all purposes be deemed to relate back to the date of decedent's death and is an irrevocable refusal to accept the above-listed property effected hereby and is deemed to be delivered to the Executor of the Estate of"Elizabeth Ann Vice to be placed in the Irrevocable Disclaimer Trust under the Will of Elizabeth Arm Vice, John H. Vice, Trustee. Dated this i P 'Th day of ~w (~ ~,2 o r ~ ,~ ~i (/~ gnature ;.~oftrd ~. V ~G~ Printed Name Commonwealth of Pennsylvania • SS County of Belacvsr~~+v~,r~a,nca -•~ ` ~ . On this, the day of c~ C~ ~ "1 , 2012, before me a notary public, the undersigned officer, personally appeared John H. V cei~, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed the same for the purposes therein contained. In witness hereof, I here to set my hand and official seal. cor+r+oaweuni of pErxasnvaHm No _ ub lc ~~ seal aalw src4 raurv ~ camp Ir. e«o, oAllocwa caaKv COnxlasvNl lwpYes ApM 18 2016 ~ ~ ~ MEf~E0. pFJINSYtVANG ASSOOATa7N OF NOTARIES My commission expires:-I ( 1~` I o~-C`~ ` ~... ~--, Estate valuation Date of Death: 12/23/2011 Estate of: Est of Elizabeth A. Vice Valuation Date: 12/23/2011 Account: Sch wab Acct 90751295 Disclaimer Assets Processin Date: 9 12/13/2012 Report Type: Date of Death Number of Securities: 57 Fil e ID: Vi ceElizabeth0isclaimerASSets Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/b id Adju stments Accruals Value 1) -9856 Cash (CASH) -9,856. 00 2) 6900 AT6T INC (002068102; T) COM New York Stock Exchange 12/23/2011 29. 98000 29 .72000 H/L 29 .850000 205,965. 00 3) 900 ABB LTD (000375209; AHH) SPONSORED ADR New York Stock Exchange 12/23/2011 18. 75000 15 .41000 H/L 18 .580000 16,722. 00 9) 3200 ABBOTT LAHS (002829100; ABT) COM New York Stock Exchange 12/23/2011 56. 03000 55. 59000 H/L 55 .785000 178,512. 00 5) 900 ALTERA CORP (021991100; ALTR) COM The NASDAQ Stock Market LLC 12/23/2011 38. 41000 37. 90500 H/L 37 .907500 15,163. 00 6) 2700 ARCHER DANIELS MIDLAND CO (039983102; ADM) COM New York Stock Exchange 12/23/2011 29. 22000 28. 79000 N/L 28 .980000 78,296. 00 7) 1200 BEAM INC (399631101; BEAM) COM New York Stock Exchange 12/23/2011 50. 73250 50. 38000 H/L 50 .556250 60,667. 50 B) 900 BERKSHIRE HATHAWAY INC DEL (089670702 ; BAKE) CL B NEW New York Stock Exchange 12/23/2011 77. 80000 76. 70600 H/L 77 .253000 30,901. 20 9) 900 BRISTOL MYERS SQUIBB CO (110122108; BMY) COM New York Stock Exchange 12/23/2011 35. 23000 39. 98000 H/L 35 .105000 31,594. 50 10) 500 CHEVRON CORP NEW (166769100; EVX) COM New York Stock Exchange 12/23/2011 107. 61000 106. 10000 H/L 106 .855000 53,427. 50 11) 900 COCA COLA CO (191216100; KO) COM New York Stock Exchange 12/23/2011 69. 97000 69. 21000 H/L 69 .590000 62,631. 00 12) 900 COLLATE PALMOLIVE CO (194162103; CL) COM New York Stock Exchange 12/23/2011 93. 15000 92. 36000 H/L 92 .755000 37,102. 00 Page 1 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (R1R)p313-6300 or www.evpsys.com. (Revision 7.2.0) Date of Death: 12/23/2011 valuation Date: 12/23/2011 Processing Date: 12/13/2012 Estate of: Est of Elizabeth A. Vice Account: Schwab Acct 90751295 Disclaimer Assets Report Type: Date of Death Number of Securities: 57 File ID: ViceElizabethDisclaimerASSets Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 13) 1200 CORNING INC (219350105; GLW) COM New York Stock Exchange 12/23/2011 13.38000 13. 01000 H/L 13. 195000 14) 900 DOKE ENERGY CORP NEW (269910105; DUK) COM NEW New York Stock Exchange 12/23/2011 21.92000 21. 65000 H/L 21. 785000 15) 800 EASTNAN CHEM CO (277932100; EMN) COM New York Stock Exchange 12/23/2011 39.58650 39 .05000 H/L 39. 318250 Div: 0.26 Ex: 12/13/2011 Aec: 12/15/2011 Pay: 01/03/20 12 16) 1600 EMERSON ELEC CO (291011104; EMR) COM New York Stock Exchange 12/23/2011 96.37000 45 .91000 H/L 45. 890000 171 1200 eoRD MTA CO DEL (395370860; F) COM PAR $0.01 New York Stock Exchange 12/23/2011 11.00000 10 .79000 H/L 10. 895000 18) 1200 FORTUNE BRANDS HOME d SEC INC (FBHS) COM New York Stock Exchange 12/23/2011 16.84000 16 .50000 H/L 16. 670000 19) 3200 GENERAL MLS INC (370339109; GIS) COM New York Stock Exchange 12/23/2011 40.61000 90 .26000 N/L 90. 935000 20) 900 GENUINE PARTS CO (372960105; GPC) COM New York Stock Exchange 12/23/2011 61.65000 60 .92000 H/L 61. 035000 Div: 0.45 Ex: 12/07/2011 Rec: 12/09/2011 Pay: 01/0 3/20 12 21) 1600 HALLIBURTON CO (406216101; HAL) COM New York Stock Exchange 12/23/2011 33.83000 33 .31000 H/L 33 .570000 22) 800 HEINZ H S CO (923079103; HNZ) COM New York Stock Exchange 12/23/2011 54.21000 53 .81000 H/L 59 .010000 Div; 0.98 Ex: 12/20/2011 Rec: 12/22/2011 Pay: 01/1 0/20 12 23) 400 HDBBELL INC (443510201; HUBB) CL B New York Stock Exchange 12/23/2011 66.75000 65 .70000 H/L 66 .225000 Div: 0.38 Ex: 12/15/2011 Rec: 12/19/2011 Pay: 01/1 1/20 12 15,839.00 8,719.00 31,454.60 208.00 73,924.00 13,079.00 20,009.00 129,392.00 24,919.00 180..00 53,712.00 93,208.00 384.00 26,990.00 152.00 Page 2 This report was produced with Est ateVal, a product o£ Estate Valuations a Pricing Systems, Inc. I£ you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.2.0) Date of Death: 12/23/2011 Valuation Date: 12/23/2011 Processing Date: 12/13/2012 Estate of: Est of Elizabeth A. Vice Account: Schwab Acct 90751295 Disclaimer Assets Report Type: Date of Death Number of Securities: 57 File ID: ViceElizabeth0isclaimerASSets Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 29) 600 INTEL CORP (458140100; INTC) COM The NASDAQ Stock Market LLC 12/23/2011 24 .40000 29 .09000 H/L 29. 220000 25) 900 SMUCKER J M CO (832696905; SJM) COM NEW New York Stock Exchange 12/23/2011 76 .82000 78 .17000 H/L 78. 995000 26) 1200 JOHNSON 6 JOHNSON (478160109; JNJ) COM New York Stock Exchange 12/23/2011 66 .00000 65 .18000 H/L 65. 590000 27) 1200 JOHNSON CTLS INC (978366107; JCI) COM New York Stock Exchange 12/23/2011 - 31 .06000 30 .38000 H/L 30. 720000 Div: 0.18 Ex: 12/07/2011 Aec: 12/09/20 11 Pay: 01/0 3/201 2 28) 1200 JPMORGAN CHASE S CO (96625H100; JPM) COM New York Stock Exchange 12/23/2011 33 .70000 33. 13000 H/L 33. 915000 29) 1600 MANITOWOC INC (563571108; MTW) COM New York Stock Exchange 12/23/2011 9 .59000 9. 26000 H/L 9. 925000 30) 800 MCDONALDS CORP (580135101; MCD) COM New York Stock Exchange 12/23/2011 100 .15000 98. 76000 H/L 99. 955000 31) 1600 MICROSOFT CORP (599918109; MSFT) COM The NASDAQ Stock Market LLC 12/23/2011 26 .09000 25. 73000 H/L 25. 885000 32) 900 NORFOLK SOUTHERN CORP (655899108; NSC) COM New York Stock Exchange 12/23/2011 72 .97000 72. 11500 H/L 72. 592500 33) 1600 PE PSICO INC (713948108; PEP) COM New York Stock Exchange 12/23/2011 66 .69000 66 .12900 H/L 66. 907000 Div: 0.515 Ex: 11/30/2011 Rec: 12/02/2 011 Pay: 01/ 03/2012 39) 800 PREFERRED PLUS TR (740934681; PIY) CZN-1 TR CTF New York Stock Exchange 12/23/2011 29 .70000 29 .10000 H/L 24 .400000 35) 2900 PROCTER d GAMBLE CO (742718109; PG) COM New York Stock Exchange 19,532.00 31,398.00 78,708.00 36,869.00 216.00 90,098.00 15,080.00 79,569.00 91,916.00 29,017.00 106,251.20 824.00 19,520.00 12/23/2011 66.69000 66.01000 H/L 66.350000 159,290.00 Page 3 This report was produced with EstateVal, a product of Estate Valuations s Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.2.0) Date of Death: 12/23/2011 Valuation Date: 12/23/2011 Processing Date: 12/13/2012 Estate of: Est of Elizabeth A. Vice Account: Schwab Acct 90751295 Disclaimer Assets Report Type: Date of Death Number of Securities: 57 File ID: ViceElizabethDisclaimerASSets Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 36) 900 QOALCOMM INC (747525103; QGDM) COM The NASDAQ Stock Market LLC 12/23/2011 59. 79000 53. 95000 H/L 59. 395000 37) 2900 REALTY INCOME CORP (756109109; 0) COM New York Stock Exchange 12/23/2011 35. 38000 35. 02500 N/L 35. 202500 38) 1200 RITE AID CORP (767759109; RAD) COM New York Stock Exchange 12/23/2011 1. 24000 1. 19000 H/L 1. 215000 39) 5000 ROANOKE VA INDL DEV RUTH RESID (770090DD7) Financial Times Interactive Data DT D: 12/01/2002 Mat: 12/01/2025 68 12/23/2011 101. 67800 Mkt 101. 678000 Irtt: 12/01/2011 to 12/23/2011 90) 21314.88 Cash (CASH) 41) 243.791 SCHWAB CAP TR (808509657; BWDSX) DIVID EQ SELEC Mutual Fund (as quoted by NASDAQ) 12/23/2011 13. 45000 Mkt 13. 950000 92) 320.682 SCHWAB CAP TR (SFILX) FDA INTL SM INDX Mutual Fund (as quotetl by NASDAQ) 12/23/2011 8. 38000 Mkt 8. 360000 43) 600.807 SCHWAB INVTS (808517106; SNXFX) 1000 INDEX INV Mutual Fund (as quoted by NASDAQ) 12/23/2011 35. 58000 Mkt 35. 580000 99) 900 ST JUDE MED INC (790849103; BTJ) COM New York Stock Exchange 12/23/2011 35. 29000 39. 70000 H/L 39. 970000 95) 25000 STATE PUB SCH BLDG RUTH PA SCH (857321JZ7) Financial Times Interactive Data DT D: 09/26/1990 Mat: 10/01/2015 08 12/23/2011 90. 19200 Mkt 90. 192000 46) 1853.939 ROWE T PRICE SPECTRUM FD INC (779906205; PRSGX) GROWTH FD Mutual Fund (as quoted by NASDAQ) 12/23/2011 16. 96000 Mkt 16. 960000 97) 400 TYCO INTERNATIONAL LTD (H89128109; TYC) SHS New York Stock Exchange 12/23/2011 97 .26000 96. 96390 H/L 46. 861950 21,738.00 89,986.00 1,458.00 5,083.90 18.33 21,319.88 3,278.99 2,687.32 21,376.71 13,988.00 22,598.00 31,992.81 18,794.78 Page 9 This report was produced with EstateVal, a product of Estate Valuations 6 Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.2.0) Date of Death: 12/23/2011 Estate of: Est of Elizabeth A. Vice Valuation Oate: 12/23/2011 Account: Schwab Acct 90751295 Disclaimer Assets Processing Date: 12/13/2012 Report Type: Date of Death Number of Securities: 57 File ID: ViceElizabethDisclaimerAS Sets Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 98) 900 UNITED TECHNOLOGIES CORP (913017109; UTX) COM New York Stock Exchange 12/23/2011 74.29000 73.25000 H/L 73.795000 29,998.00 99) 2788.977 VANGUARD FIXED INCOME SECS FD (922031307; VFIIX) GNNA INV Mutual Fund (as quoted by NASDAQ) 12/23/2011 11.15000 Mkt 11.150000 31,097.09 50) 673.616 VANGUARD INDEX FDS (922908509; VIGRX) GROWTH PT FL Mutual Fund (as quoted by NASDAQ) 12/23/2011 31.95000 Mkt 31.950000 21,522.03 51) 356.92 VANGUARD TRUSTEES EQUITY FD (921939203; VTAIX) INTL VALUE FD Mutual Fund (as quoted by NASDAQ) 12/23/2011 27.57000 Mkt 27.570000 9,840.28 32) 788.2 VANGUARD TAX MANAGED INTL FD (921993903; VTMSX) TAX MGD SC ADMRL Mutual Fund (as quoted by NASDAQ) 12/23/2011 27,79000 Mkt 27.790000 21,904.08 53) 1200 VECTREN CORP (922906101; WC) COM New York Stock Exchange 12/23/2011 30.23000 29.86000 H/L 30.095000 36,059.00 59) 1200 VERIZON COMMUNICATIONS INC (92393V109; VZ) COM New York Stock Exchange 12/23/2011 39.98000 39.91000 H/L 39.695000 47,639.00 55) 800 WAL-MART STORES INC (931192103; WMT) COM New York Stock Exchange 12/23/2011 60.00000 59.19000 H/L 59.570000 47,656.00 Div: 0.365 Ex: 12/07/2011 Re c: 12/09/2011 Pay: 01/03/2012 292.00 56) 900 WHOLE FOODS MKT INC (966837106; WFM) COM The NASDAQ Stock Market LLC 12/23/2011 68.96000 68.05000 H/L 68.505000 27,902.00 37) 900 3M CO (88579Y 101; MNM) COM New York Stock Exchange 12/23/2011 82.21000 80.78000 H/L 81.495000 32,598.00 Total Value: $2,905,837.37 Total Accrual: $2,274.33 ' Total: $2,908,111.70 Page 5 This report was produced with EstateVal, a product of Estate Valuations 6 Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.2.0) Estate Valuation Cate of Death : 12/23/2011 Estate of : Est of Elizabeth Ann Vice Valuation Dat e: 12/23/2011 Accoun t: Schwab Acct 90 751295 NonDisclaimer Asse ts Processing Da te: 12/13/2012 Repoet Type: Date of Dea th Number of Securities: 25 Fi le I0 : ViceE lizabethNOnDisclaimerASSe ts Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/B id Adjus tments Accruals Value 1) 5000 ALLEGHENY CNTY PA HIGHER ED BL (01728RER6) Financial Times Interactive Data DTD: 08/23/2007 Mat: 03/01/2026 9.6258 12/23/2011 102 .30200 Mkt 102. 302000 5,115. 10 Int: 09/01/2011 to 12/23/2011 71.99 21 5000 BERKS CNTY PA MUN AUTH REV (089538EZ 6) Financial Times Interactive Data DTD: 10/15/1998 Mat: 05/15/2018 5.78 12/23/2011 97 .59500 Mkt 97. 545000 9,877. 25 Int: 11/15/2011 to 12/23/2011 30.08 3) 5000 BETHLEHEM PA AUTH WTR REV (087901HJ7) Financial Times Interactive Data DTD: 08/15/2009 Mat: 11/15/2017 54 12/23/2011 107 .27200 Mkt 107. 272000 5,363. 60 Int: 11/15/2011 to 12/23/2011 26.39 4) 900 CVS CAREMARK CORPORATION (126650100) COM New York Stock Exchange 12/23/2011 91.29000 90 .65000 H/L 90. 995000 16,378. 00 5) 1200 CIS CO SYS INC (172758102) COM The NASDAQ Stock Market LLC 12/23/2011 18.99000 18 .13000 H/L 18. 310000 21,972. 00 6) 1200 COMCAST CORP NEW (20030N101) CL A The NASDAQ Stock Market LLC 12/23/2011 23.91500 23 .64000 H/L 23. 777500 28,533. 00 7) 5000 DERRY PA AREA SCH DIST (250057JV9) Financial Times Interactive Data DTD: 09/15/2002 Mat: 02/01/2020 4.3758 12/23/2011 100 .37500 Mkt 100. 375000 5,018. 75 Int: OB/01/2011 to 12/23/2011 86.28 8) 400 DISNEY WALT CO (259687106) COM DISNEY New York Stock Exchange 12/23/2011 37.72000 37 .11000 H/L 37. 915000 19,966. 00 Div: 0.6 Ex: 12/19/2011 Rec: 12/16/2011 Pay: 01/1 8/201 2 290.00 9) 400 ENEAGEN CORP (29265N108) COM New York Stock Exchange 12/23/2011 50.27000 99 .31000 N/L 49. 790000 19,916. 00 10) 300 INTERNATIONAL BUSINESS MACHS (959200101) COM New York Stock Exchange 12/23/2011 184.85000 181 .89000 H/L 183. 370000 55,011. 00 11) 600 NEW JERSEY RES (696025106) COM New York Stock Exchange 12/23/2011 99.13000 98 .87000 H/L 99 .000000 29,400. 00 Div: 0.38 Ex: 12/13/2011 Rec: 12/15/2011 Pay: 01/ 03/20 12 228.00 Page 1 This report was produced with EstateVal, a product of Estate Valua tions c Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818 313-6300 or www. evpsys . com . (Revision 7.2.0) Novi J iSC aimed ss Q ~ Date of Death: 12/23/2011 Estate of: Est of Elizabeth Ann Vice Valuation Date: 12/23/2011 Account: Schwab Acct90751295 Non Disclaimer Assets Processing Date: 12/13/2012 Report Type: Date of Death Number of Securities: 25 File ID: ViceElizabethNOnDisclaimexASSets Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 12) 800 OCEANEERING INTL INC (675232102) COM New York Stock Exchange 12/23/2011 97 .43990 96. 62000 H/L 97.029950 37,623. 96 13) 1200 PENN WEBT PETE LTD NEW (707887105) COM New York Stock Exchange 12/23/2011 20 .49000 20. 22000 H/L 20.355000 29,426. 00 14) 10000 PENNSYLVANIA ST HIGHER EDL FAC (70917REY7) Financial Times Interactive Data DTD: 06/01/2006 Mat: 04/01/2031 9.58 12/23/2011 101. 73700 Mkt 101.737000 10,173. 70 Int: 10/01/2011 to 12/23/2011 102.50 15) 5000 PENNSYLVANIA ST HIGHER EDL FAC (70917 RWQ4) Financial Times Interactive Data DTD: 07/29/2009 Mat: 08/15/2019 9.258 12/23/2011 110. 83600 Mkt 110.836000 5,591. 80 Int: 08/15/2011 to 12/23/2011 75.56 16) 5000 PENNSYLVANIA ST HIGHER EDL FAC (70917NQ72) Financial Times Interactive Data DTD: 01/12/2005 Mat: 09/01/2025 4.25$ 12/23/2011 103. 29200 Mkt 103.292000 5,164. 60 Int: 09/01/2011 to 12/23/2011 66.11 17) 10000 PENNSYLVANIA ST HIGHER EDL FAC (70917N2P2) F1nanCldl Time$ IntEYdCt1Ve Data DTD: 10/01/2003 Mat: 01/01/2027 5.25$ 12/23/2011 101. 25900 Mkt 101.259000 10,125. 90 I nt: 07/01/2011 to 12/23/2011 250.83 18) 5000 PENNSYLVANIA ST (7091416M2) Financial Times Interactive Data DTD: 12/21/2006 Mat: 03/01/2023 5$ 12/23/2011 113. 98200 Mkt 113.982000 5,699. 10 mt: 09/01/2011 to 12/23/2011 77,78 19) 5000 STATE PUB SCH BLDG AUTH PA SCH (857322895) Financial Times Interactive Data DTD: 09/15/2006 Mat: 12/15/2019 48 12/23/2011 107. 66600 Mkt 107.666000 5,383. 30 Int: 12/15/2011 to 12/23/2011 q,q9 20) 400 TEM PLETON EMERG MKTS INCOME FD (880192109) COM New York Stock Exchange 12/23/2011 15 .90000 15 .09000 H/L 15.295000 6,098. 00 Div: 0.25 Ex: 12/13/2011 Rec: 12/15/2011 Pay: 12/30/20 11 100.00 Div: 0.3357 Ex: 12/13/2011 Rec: 12/15/2011 Pay: 12/30/2011 139.28 Div: 0.0675 Ex: 12/13/2011 Rec: 12/15/2011 Pay: 12/30/2011 27.00 21) 5000 VNION CNTY PA HOSP AOTH HOSP R (906460BY5) Financial Times Interactive Data DTD: 02/15/1997 Mat: 04/01/2022 6.58 12/23/2011 94 .62400 Mkt 99.624000 9,731 .20 Int: 10/01/2011 to 12/23/2011 79.03 Page 2 This report was produced wish EstateVal, a product of Estate Valuations d Pricing Systemsr Inc. IP you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.2.0) Date of Death: 12/23/2011 Valuation Date: 12/23/2011 Processing Date: 12/13/2012 Estate of: Est of Elizabeth Ann Vice Account: Schwab Acct90751295 Non Disclaimer Assets Report Type: Date of Death Number of Securities: 25 File ID: VLceElizabethNon0isclaimexASSets Sha ies Security Mean antl/or Div and Int Security or Par Description Nigh/Ask Low/eid Adjustments Accruals Value 22) 10000 UPPER DUBLIN PA SCN DIST 1915730QT5) Financial Times Interactive Data DT D: 06/15/2008 Mat: 11/15/2029 9.375$ 12/23/2011 105.86700 Mkt 105.867000 10,586.70 Int: 11/15/2011 to 12/23/2011 96.18 23) 990.49 VANGUARD TAX NANAGED INTL FD (921993866) CAP APPREC ADM Mutual Fund (as quoted by NASDAQ) 12/23/2011 63. 82000 Mkt 63. 820000 24) 272.319 VANGUARD INDEX FDS (922908108) 500 POATFOLSD Mutual Fund (as quoted by NASDAQ) 12/23/2011 116. 47000 Mkt 116. 470000 25) 5000 YORK CNTY PA SCH TECHNOL06Y AU (986908BQ9) Financial Times Interactive Data DT D: 05/01/2007 Mat: 02/15/2023 4.58 12/23/2011 106 .27200 Mkt 106. 272000 Int: 08/15/2011 to 12/23/2011 Total Value: Total Accrual: Tot a1: $902,158.94 31,303.07 31,716.91 5,313.60 80.00 $900,437.$4 $1,721,40 Page 3 This report was produced with EstateVal, a product of Estate Valuations 6 Pricing Systems, Inc. I£ you have questions, please contact EVP Systems at (818) 313-6300 ox www.evpsys. com. (Revision 7.2.0) t~ 0 0 0 m O O ~--~ U N c 0 ..~, N N O' V ~~ i •G.1 v^^I i~ Q .}J /~ V ~~/~/~ yr ,,~w V+ M+"1 U G 0 m 7 A N N W W U H )¢- W ~ 4 N N ~ o N W rn co h W F 7 ~ Z W ~W. 7 V) ao~ F. U C Way ~. .-i . -I N H ri rf N N N C1 M t\O N N N ~ ~ N N H .-~ ~ o W F C O c~ q p r LL F U) ~aW aa~ o ~ a x _ °a o °0 0 0 jp c0 ^~ m N ~ N n c0 INiI T N ~ N ^ ~ V= N! M . -I tq V o W 4bj n n 6 ~ N ~ tin o > fA ifr +N ~ W m ~o m p p o N 0 0 ~ i O N N 4J = N M N O W ~ a 'L F dQ d m U ^ S Wo ~ Z o ~ =~ '" J ~ W W U Q VJ . Q Q Q 2 b K W O ~ d N ~ m F n F- Q Q o O p O ~ d ~ n N m H O M N N ~ O O O ~ V o 0 0 0 d a Y Y Y Z UI U O ~ N m ~C ,~ N M a ~%, 0 o a o 0 0 o ui 7 ~D N O a ti N b ti n b ~ +R Ut U4 .i ~ b .i N O~ ~+1 N h W O b M N ItI O+ OF Uf tR y} 0 0 0 0 V I~ N O N ti Vi .. w z w ~ w ~ ~ a W = n ~ O m '~- I - ul U ~~ U Z> d ~ m a' Z ,Z., V K ~ c¢ [ N ~ =3 ~ ~= a J ~ ~ R, F- d R QE W N mQ b N W b E N F ~ 7 d 6 !L O o O N 0 .i M O ~] ~ m ^ a . i c i . N M h OJ 0 0 0 0 U U U z f~II U~1 N m b n m m 0 0 0 L() m d' O O W ti N U C L1J o U N rv N ~ O Q d = © ~ N m H ~~ `.~ o N .• w rn m wL W N ~ W L ~ ~~ Q ~ F ~ ~ ~ aoLL c t- u o y W Q ~k A AN W ~ H L W AV W .-1 . -i N !w ey r'I ~-i vI ~N N N ~ ~ ~ N N N \ \ \ .Na H O W H a o U ° O z ~ Q Q W F@~~' o > a y 3 ~ > °o ~ ~ rn N uj M o O pi vmi 0 O O con 0 O O a 0 O N m 0 O H ~ ~. ~L 7 ~ ~ H U} lO fPr M ~ .+ fPr N ~ u m U in N .-~ m .y .a cn ~ co O .~ m m ul ~~ ; h ~ 1~ ~ M ift 7 +H O ~ m iq ~ H} ! i LL N N t y C O a ~~ V m D ._ U v W 0 a E N a W 7 U O O O O ay o vi a x Q j a a Z p' W xm w~u (/~ U J R' WU ~~ [D ? [D m fn N O n n a 0 Y U ~" 0 ~'} Z O v n 0 n S O d n 0 z m ~ti T V IOn N N .-i ~ z O ~ ~ ,,, w O > O < ~ F- ~ ~ Z O N U Om U ; ~ Q N ] m N N U uJ N U U U U U U U Y m U p] O O N O 0 0 0 0 0 N O d ~ ~ N ~ n . -I n N ~ ~ N h N Y Y Y Y Y U U U U U p O O O ~ in Fes- ~ ~ ~ IV m 7 ~+1 tp !{ .-1 H .-I rl 0 N 6 'a T `o aB N a Y N O d N N m d C ~ N ~ N N_ L c a o c N T E °' 9 O y ~ G O L N F- ~ mE d o ~ U ~ N O U N 0 b 11 N ~ D y o ~ c E c ~ m " E N d O .. W m ~ W U m o m J > E o o N 4 ° ~ ~ ~ x aN a ~, z ~ m o "c m Q. O m ~ y p m J U W ~ o Q ~ c m N N ~ a a ~ m n °J o _m m d U O S] D ~ W O O ~ X W ~ O N '~ 4 d N F O ~ ~ ,. m ~o > c ~ N a ~/1 y d a o a w ° E d U v E ~ - ~ ~ °m o °y E~ ~ d O ,~ n N ~ a 3 ~ m r L c m m N d N Q O QJ fin C - (O L p U O T O E c a1 .. o a ~ d 3 C ~ L Y N m ~ V J ~ a _ _ U ~ U U O ~ 0 O N C o O N S c p d 4 p r y o c R Q 7 ~i M Y 0 O f~f~ Q, ~ O O ~ ~ ~ (~l ~ o ~ H1 ~ ~ ~ m N ~ 'A" M N N .o r ni o r N err N ~ ~ 4 ~ w "~ ' <` o r b 5 `s Q, 6 W ~ ~ Q ~ U. Q~ N r W ~ W V •~ V • ~ ~~~ W a N Y U ~ a way ~Y N m R r ~w+ W d O O 0 o N v1 ~ ~'°- `~ U a ~ s m ~ 4 O 7 U a o °' .u ~ UY p °' tt1 r ~ ~~ U O ~j Z N C) , Ul U 4 H ~[ 6 Z ~r 0 oQ 0 0 o ~ ~ ~ M T`; d ~+ ~ , ~ Sk M UY O ~ ~ 0 a n Y, F ~ _ ~" 9 U z'J O N N T. ~ ' is :=. ' ~ _. lA O ~ O O 1Qfl O ,-1 N y o ~ f No N ~ N N ~ N N N U ~ `~ ~ N N N ~~~~~. ~ O 4 ~ ~ O 4 ¢ ~ Y ~ u o ~ ~ ~ ~ Q~ u ~ N ~ oar 1~3a ~ ~ ~: aa¢ ¢> N a a 3 H Q d N O LLI W r~l n uY N ~~N~ -i.~ 0 w 11 4 ~~ f O O M a F N U 0 N N ~ A ~~ o ~ R d m 6 G N 9 O N y O ~ ~. rG 9 O G G p y d ~ r P N d U R N N y m~ ¢ °J c E c ~ U G N G,. N p O c ~ 111 N 6 U R O O ~ ~ R o M s ~o M 01 Y~ Y 11~ r a .+ m 7 ,~( b } Q N U O V ~ ~ w N G 'y Y ,z v n SO ° m ~ o N ~ o N N ~ 9 m G o b r0 > ~ m ,~ d o ¢ 9 v G O N U o d .,-1 ~ d G R 0 U a N N O O O m ~ c 0 N ~ d' d O O O O O O O O 2 ' ~ O O O O O O O O O ~ ~ N ~ ~ O O ~ ~ O ~` ~ ' ` W ~ 01 O O d Q I~ N a ~--I ~ n ~ M N N N IMII V e- ~` r -1 Uf +A- y tR fh fF a N 4h M . ~ V u o m ~- ~ n d C m 6 O • W U __ _ _ __ _ _ _ ___ _ __ _ __ _ - N N m ~ _ _ a O ~ Y _ V W n ~ N O O '= T tp O O ~ V N 01 O ~ O .-i M d' ~ d ® LL Q] N ~ ~ ~ ~ ~ ~ ~ ~ o ~ ~ ~ ~ N O ~ ~ m ~ N F- ~ > W Ol W n L ~ o _... c u N O O 0 O O O O O O O ~ N W ~ ~ d ' N N N V ~ m m~ f{ ~ ri .-i .a M `i 9 L ~ M ~ o (p ~~ LL ~ E .y.~ O 1- v ~ m W Z ~ W "E ~ a o N a m ~~ w N W U m Q 4k w O J j a o O N .Z, O O I-. E w g ~' m N J ~ LL' ~ O ~ K Z m Z 1~-- ~ c 011 ~ D W O u ~ m w E a ~ O U a 11 -I n . m ~ K ~ ~p ~ h •~ y ~ ' Z O Z O W J W N .O 2 m ~ ' ~+ W ~ ~ ~ ~ Z m Z U N ' Y J ~ ~' W ~ U ~ W ( 7 w ~ K S Z z ~ x ( j Q W c 1 ~~ m d E Z O 0 0 W W Q Y w N V1 .,:';'~ O W W LL ti S I7 C7 _. Ip O = S '- -a a a 10 0 E m O .F O OJ a~ m v w N .r 9 ~ o N ~ m O ~ % (0 N O 0 a -' N + S ry F > W W m U' l7 l t = S > c a S fUfll N ~O N LL ~ O !) _ 10 7 m O l0 V I(1 H M y ¢' O O O m O O O ~ ~ O . O O ~~ n ti '-I N Z F II ti +-~ .-1 ~' t .y o U ' d' O l0 '~" t S" 1o ti d' r y N ti E m O N O N O N N b .+ In h d M ~ M M t\O ~J +~ :'d Y ~ N N O1 N a 01 a O 1~ N n R= 5m ['; ~ O M N ~- o a N N N U N :O 'a`~ .a N N M M M m N 'Q !.:,. ,~ t ~ `~ O y . ~ M d ~~ M 9 ~ Y « o 'i a C U W ~a o q ~N "' F ~ Q m 6 i i L1 N O y y a ~ x r '' b ~ U O Ur r N C ' C N N o U ~ Z H ~ bJ 9 m m Y Y 9 m r ~ Y Y ~; E `~ ~ ~ . "' Y Y Y Y _ ~ ' O o ~ ~ y o 4 ' ~ U 0 U O U O U O U U ^ U U O o m ( ' ~ Q h W ID O'w Ni -. 1 F F - ~ F ~ 'gyp uki ti ~ F - E ~ t {~ ~! ' H N lA N N N N u] m~ m V o - # N N N N N M Q ; ~ N M ~ E U ,~pV ' `~ `` ° E 0 0 m 0 (~~ (~J~°J/ 2 G G 0 d 7 0 T .N 7 ~ ~ 4 x u1 ® Q~ m ~ c[ ~ N r~ / ~/ r y of ~ ~ 9 s. O N ib Q 7 N y ih •y d N ~ ~ N ~ u ' ~ * 11 W N W U- ~ ~ N a U 0 '~ 7 m 41 m, ' ~~ W N ~e C~ s N 0 "a .U m 0 m t0 P sy ~r L ~ N 6 O ~ N rn N N U ~ N ~ O f h Q a a°'~ ~. O ~,, N oau aa~ G 7 6 0 0 o a 0 o o $ o o ~ N ~ t N ,C _ I~ft O ~+ h ~ ~ N ~ ~ ~ T, p . M +fl ~ N M ~ ~ ~ ~ ~ O O p N ~ O ~ ~ ~ ~ ~ ~ ~ .n Z 4~ N `.' U p _ ~ ~ Z m ya w ~ y °d u °~ ~, ~ QN ~ z N ° Z ° a U ~ 1 ~ w ~ s s ~ :. '; .~ ~ 0 ~ n ~ ~ ai ~~~ F N Z . p] _ p 7 p L '"i ~ f N ~ ~ ~ •.: ~ ~ ry`i -t-. y e' n N o~ ~~ Y 9 ~ ~ ~ ~ f ~ d ' d- ~ a ~ Z ~ ~ ~~ . . ~ f11 p p -0 O ID ~ p O Fa-. Q N N N h C ~ y O N . O ,-+ q+ M ~ G Q ~ .C N 1~ ~'~i. N mod' Y1 Q p S~; N Q Q~ "N O ~ N p. • `:6 O ~ ~. o p ^y I6 O .~ `. R :: .-~ .gip' ~ ~.d o rrS 'n ° ~.nr d a p ~y_O ~v m ~ ~` ~ ~~ ~- r 41 C_'=~ Y U ~a ~~ ~~ ' 6 ~, ~ y.:. pJ y Y U UU O Q f ,'17 ="'- N i A~ U O m '~~~' Q ~ N N N n ~'. ,wp u ~ ,Q N ,. > ~, r~ ^ r, . 0 db b~ om m ~ e o $ g m R a N i'3 ~ m y ~n O N C p ~ 4 v E °~ o m ~ ~ U ~~ no t0 ~ d A o ~ cE 00 U ~ mE ~ r o 111 ~ a d µ Q o 0 O ~ ~ 9 111 = 9 N M ,f ~ O R~ ~ ~ i4 m m a a > r{ O ~ N N l Q ~ ~" ~ m o 5 s' m o m `? 9 ~ O m m ~ .~ ~ G .~ A m t O 9 y0 ~ C d N ~ m R a v G 0 ~ N O m u O ~~ M ~ O O O p ~ ~ W N d C 7 ~ ~ ~ 0 ~ ~ ~ ~ ~ ~ u n ~ N w V ~ ~ (~' ~ ~ 1f1 6~ ~ . ~ ~ ~..~ ~ ~ v ~ ~,~ ~ 7 W ~ ~a {L 7 N ~ ~ U O C W Q ~ ~~_ m ay W ~V V a M ~ t d d ~ . tf , rn m m N ur a+ 6 ~ w ~, W a ° ° m 4 o ~ ~ L `~ C o .u ~ O N V N ~ ~ 4 O z ~' }. O ~U 4 O N £ ~ 0 O O ~ O O Q ~ ~ W N o ~ ¢ ~ ~ ~ ~ ~ m r+ r; ~ 0 0 N ~ ~' O o ~ ~"! O o ~ `' `' 0 a d ' 0 K 0 o ~ N .W~, U y O N y N ~ ~ P ~ ~ ~ M N t D M ~ ~ ~ ~ a ~ ~ U u z :. a:~: ! z J W Z r c9 ttt ~ . Ul ~`_ ~C;, r -':. a x z z w za is>_~ }w ;`'U N ~ ~ W ~ ' W ,- ., , N O O u a d Y a Z .,~~~. 0 2. V o . .! ii 0 N N d IL O h N ,,y 2 W ~~` ~:L tin O ~ N O ~ CG , f a y ~ N ° O ~"' 7~6 ~n d .~ N ~ ~ r ~ N N N N N N ~ o ti. ~ ` qir a s r m~v+u 4 p ° m . C W ~ Q ~ W Z Z N "J U w - ui O 4 ^ N M ~ ~ a ( "~ LL F `~ as Us `" („ C n ~ ~ ~ \. '_V~ a a r p a `t' a p 7 W G O N N 6 7 O T O Nq q C O ~ N Q d m 2 N 9 O N o a T ~_ O ~ C c ' o r a . ~~ dg c m m a ~S m E m y 9 O R c E G m V G mE d m o a' ~} U' o 0 0 j 7 o m tO 4 ° i' o+ ,,p ~ ~ ~ c m m o ~n C rn u ~N z ~ ' ~ ~ J ~( ¢ ', 'y O "+ ti ~ \ m° ~ a w n °' ° ~ m o °' > m ~, o ~ ~ N R °' c o q O ~ G ~ N ~ O R q v L 0 N V o~ y S I 9 ~ c : ~ N c 0 0 0 Q M d- Q e-1 U n• V) O OJ d w Y ,,~w Y+ Illy Q ~J W .~ /y ,,vww V+ U~ V J ~~j L2 ~ o ~ o u i 0 j rn lO n 'i a rl co l0 I!1 Ul O i!I •y to ar .~+ v+ J ~ U d dl U - Q ~ V_ W IILLLLJ O~ ~ a N b! d---~- ~ ~M ~ ~^ O N W 01 W O w O -~ W O e. W O ~ t. M ~ J .: M ~ ~ 1 ' ~ . C Y. # . ~ - ~i O F V ~= o ~_ o W 2 w .. a.:; z ~ . ~. z q.._•. m 6 "" 61 C ~-. V D u :, z u :, Z O V1 V w¢# ° VI ~ r E N o; E F ti ~ ~ a .` VI ? _ In !n m u 6 c :~ ,~ ti ° N N Z J 4.' H ZJ 6 'i ZJ ~ W O' ~. ~ O N y ~+ r K u~~ ti-i T K U u~ o ~ rL d .. "^ W rv. [~ a x ""z ?''_: to W fr a S ':' ..:. -!.';;`, ,v W w a = a - 3 a N Q ~ Z 1 z n n n n ~ O1 - T O1 Vl n in., '. ~ n ~ in ,. N n d N N N i _ N v .+ N H I-a N 3 ^ : ~ Qj :; N .-i .-~ ti o ~ z z . n N N n -i N ~ . \ ~ \ . i m `F~ ~ OI M I O l O O a . N N .\i ..: O ,.; O " ' 10. ^ M N 10 ..: p : ; D 1 \ O N O N W F.. .+ F. - 'a H Q 4 a ° F Q C7 ' ro ~ o N ~ '~ o w Z Z ~ ^ ~ ^ .; • - IO N f~j Z LL O H p ~ Q W z O , O ~' m Z O w a m LL q 0 m m . IL:*G; O m H m _ D 7 ~ # v a ~ 1~ M+ O N o: N s Z J v}i ~ Z F w~ a I.. N N N n r1 m 0 Z [O n OI t0 a z O U Q N `m 3 T O ~ v a ;; > c o v 6 N N bCll `4 ~m ~ o N y C O O ~ m ~ ea O y --- , a-- -~r F '~' 4 m E m o C O ~ ~ ~ U ll~0 N N ~ ar o m c ~ ~° N '~ N ~ o c V m n o ~o 0 Q V N m C N OI ~ c ~+ [L1 a s m Q ~ w ~ IN{ ~ J V O U C N W N N ~ ~ '= a a a o m m y) V O °v ~ ~ ,~ o d X N N ~' O 9 ry F O a O > C a N fll -y ~ n O a m o ~ V 0 c g 0 o v N U ~~ N 0 w n m "° 3 " ~ t t C U m my o N a N ~ C L o U o j~ U ~ C L 0 o ~ a c ~ t w ~ N o .Y Q m 1p E v `-' ~ m y C O 2 c 7 7 u N PG V ~ 7 m OJ Q O' ~ ~n o. `mo'w u W ./ ~ Y U u1 7 N ~ f U O Q #~ o w 'M 7 N~ R W N~ +'s: w V N ~~'. d~ F N O N O a ,;_,~ 0 ;,¢ :. •~ :. P N o~ N N N N N U N N N.. ~ ~ O 0 N N LL J O T O O L[t -p .p 4 ° O O ~ O O ° d Q C ~ C ~ N Q W o aT d' v'. n m d' i' : d. ~ asr no V? 6~ N ~ ~ ~ N s o ~ ~ N N ~ ~ O O R T ~_ Sa . C ~ ~ C_ a f^ O I - ' N ' ~ ..- -~ d' lfl ifl - " y U - ~ ~ U ~ m A ~~ 0 n~ a ° o c E o o C ~ N ~ N c ° u ° O ~ ~ . c_ N ~ N N N p t!t ~ a ~ v do 0 w ~ ~ o J m o V " n ~ o- P c0 i Y 2 ~ c c° O Q ~ N ~ v N ~ m eZ-~ (6 ~ ~ R N J W °' 4 ~' ~ ~~, v o a ~ V V Y a 4 W N U' U~ W K 9 a o ~ Q a z~ ~ ~ U o ul U ~ ~ 4 , , ai ~ o ~ dQ ~ o m'v O U '~O p L a '7 ` w ~ ~ m o ~ C U] W p, p ~ r V W O~ Q 9 m [ o~ J'--; != N O o a/ .7 c ~ x ° Q~ O N N N 6 P D l 9 9 k- '; a °' O i" ~ ~, to ~ O o o -~ 0 0 N (' a .,.' ai ~ °' ~ rn o .+ p . a' rn o a i~ -N ifl r[ 0' W ~ ~ O ~ ~ 6~ O N O h O ~- ~, ~ ~ ° C O ~ f1 I ~ .hD ~ N y, h h ~ h ~ a.5'. ~. ~ aka Q' (~ f"' h O . .."t} ~ .Q . '~ f h U _ . O , lY Y a sac ~; O C _ *N ~ ;p N u z ° ~ o O O y , ~ m a,`sa u~ of O tri !- `' Q U r~C # t, , , 4 '~ y o~ '~ U 2 ~ U O ~ m O l~ N ~ ~ ~ ~ ~ N N ~ 0 0 o ~ ° ~ d ~ ; W m m ti ~ o O o O ° 3 O 10 H ~ O n m M T ° ~ ~p 7 M N t0 c+f O~ Rl o (6 U 3 Y d o m n~ cam- t y m o o W c a `~ ti U `" « m > ~' a °~ °o v m ~ rn m ~ ~ ~ ~ ° m _ ~ V ~ ~ ~ ~ m ~ ~ E` w - m m N 6 ~ . -~ +h r i ut VT VY ~ o ~ - ~ V H r d ~, F~ •~ J O N - Q :r `. ~ ~ ~ E m W ~ W .-~ N n O O m m O /p ~~ / fA om '' W m n ~ W d' O ~'• '+ ~ spy t . b0 ~ '~ r% : N c E ~~ w ~ F O w . Q ~ mo C ~ m m U C Z W o ~ Z ~: ,' ° y E J L w C C F- v 0 C ~~ Z N X U l7 w W U Y m a o ~ W O m .q " a w D w 0 .z. ~ I ~ . JJ 7 E `0 0 Q ~k O -. E ~ . . w , Z ~ J m ' Q O O) t IO . Z 3 w ¢ N C~ = ~ F- n O ° ~ O N `° `i d ~ :n p >- Z •>• Z ~ o W 7'- m j m o T r i lh = = . O . p ~ -U ..: ~i Z N m LL mQ n mc w ° 'a N-w ~ N ~~' ~ R }} > W °'' ~ ~ o= d u u ~~ "~ ~ m : u u Z o Ul t ~ Ana . .tea `° a '+ H l .~ •~ m N~ EN N w Nr i H . c V ,~ to ~ v ._ am o f. ~~i ,_ ~ u'. ~ v o Ip ' C ° .• ' 9' 0-0 m YI ~- F "- - n N - 1 ° ~ x ° uri X ,~ ~ Yo m ~ ° 0 ~ xx W Q X X cNi ° m ° ~ T ~ ~ 3 -1 Z ~ t^n ~ m o ti {p '- VI' ~: N ' 1 f1 N VI !A ~ W . T ~ c N a N T - N ~ o ~ N ~ ~ ~~ ~ ~ ~ ~ - N ~ ~ ~~ ~ ° .~ .-i . f w E v' V) o m m w o ~- \\\ O O O ~ ^1 l N O d r~ .y ti O ` m ~: m O ~° ~ D ~° 3 9 O N Z c ~ m ° N ~ ~ uJ. F - m m - W W H r 0_ a a c m ,t: ,, i i ~ p Z p z p Z _ ; m m ° F F y ~ Q LL = LL ~, ~ O U U ~ W O N ' J 1 L J J p ~' c U W Z Z ~ 9 0 ~,:. N W Q Q Q Y O Il ~° m qao. ~~ VI 7 C E" O Z F H S O Z O °'.,- `c v°i 3 O Q W H m li :~ .Ni O E f E l~/1 m 0 li..':.- m~ `n m w ~ V ~ ` H J O Q Q D: # h N ~ ~ ~ \ ~ s0 ~ E p > d -° o v ~, ~` yT ` ~ Q O U N C O O _ - ` ~' ~~ _ U N n 0 N GY O O ~ ~ P O d rt O r ~ Q ~ to O y yt O r~ d c+ afr N ' ~ ~ .-+ ifl' i6 ~ d c ~ .Y u N ~ ~ 7 m ~ ~ yr 4 ~ 'O 'i ya = yr N . a o ... .: -.~ LL ~ N C ~~ ~ . ~ a ~ o w ~o ~ ~ ~ O .. ..Sru'::. M (~ ~ H ~ ~ ~ ~ t n H a d C O O q U O o ~ ? ~' A ~ ~; ~~ O W a# k . o ~' V' P O '~ a U U S U a... N aj ~H N N W G . ~ o `~~ Y d .+ 7 G U ,~ r' w~ ~~ o ~ N ..L Yy ,~~r+ p~N Y .F POD ~ V 4 :w ~ r ~,r..-+:... " ~ ~~. - v h ., .a - `, N o N M1 +} ~ r ~ m A ~ /~I~ Dr M a L M N~ N O ~~ :~ ,. d-` ~i! ~ m .;~ ~ N ~ ~ ~~~ ~ _ Lv 3 ~ y SX ,_ ~ a' ~ i ~;'~ ~ O ~ :. ~ `~ o, ~ • o ~ ~ G ~, :ti `' V N N N ~- m Vii:; ~^.t _r N~ ,~ ° Y ~ `s 0 ( ~ j 2 ` ~ r ~ , "-4 1Y ' 41 t ~ W i ~ Q ¢ E m' N 4 ~ 7 x' S R G r G c7 O ~, ~D V ~ ~ ~,~< N ra ~ ~ m, y C%I dQ c w '~." n m N m o ~ ~f . ~ 4' U a ~ v+ ~ J O # ~ r~ Qa O 7 a ¢` ~_ M +H 0 0 fn G N O+ _ Y C 4 a d y N U pyy ~ ~Y Oy p .m YYl N m Uy ~ Y I}J1\\~ w :1 Z ~ V w 0 N d 4 7 O T O m~ a o m N O N ~o m 9 O i i 0 0 ~p T ~ 9 O N F„per ~ - ~ d w ~ a m~ m $ m~ m y m i° A °~ o m c ~ m ~ V C N E m o C "C ^W l11 " a ~ d H D" 4 O~ 7 0 ~ p Q, U 9 ~ N 9 < M m o m Y ~ r 6 r1 ~ tL m d a O ~.. _ Q W Y N Q a `~ m ~ o Q'v o m ~ . ~ m o ' N ~ + A N C O m ° o `, ^~ c m m ~o G o N V ad ,. 1 9 ' G ' A 0 O m w ~~ 0 0 0 d~ M d O O CO .-1 U N c O N d O _~ •> L ~J A~ W ~a i V '~ y/ !~'~ U (/~ m 7 ~ T fi 7 u m N W U Q ~ u ` r0 ~ ~+ N `a ~ a ~ . N O N LL W T W y W m m t ~ K H # V W ~ ~ O i7 (~p W V Q ~ # ~ ~ ~ c r ~ 7 V m 41 r O N W L ~ v O a C G N .-i .-~ N H H •-1 0 6 N r~i m ~ ~ N N N V ~ N N -r .-~ . + o W = a o f ~" Q w Z Z ~ 0 ~ N ~i. ~ i ~ ~ ~ N Q W ~y Q ; ~ # _ N 0 o rn m m n N n O o O o N O a o ~ m N V o V1 N o ~+1 m M w Oi N O .-I H m ti N pi ih ti M ~ ~p fH +Pr 13Y fPr b} n Y " > c o m 6 N m eo Q, c ~ v o N ~ N ~O l!1 ul n N o ~ I~ .i .-I 01 Ill m T n o N m N E9 .i M t 0 z _: - "- _ ~ ~ ~ ~ n - - m E - o ~ m o U ~ M : : ~ ~ O O * : : n m 7 o o 'o d ego m O M W n M V m E ! X n ~° ~ ~ - ti N ~ ~ ,- = E C f m Z O ~ U N E o. Pm y c .: w J w U ~ ¢ U ~ N -' ~ (7 W . -. d O D' S ~ Q Z r ~ as m + , ~ Z U ~ n ~ O . F Or Z ~ ~ ~ m o O :_ U:„= ~ ,. ~ ~ ~ w 7 ~ a ~ V c{ N m v+ ~~ ~ p w w y i$ .a m m E (7 (9 ~ (9 (7 G U `~ o e Z o,~ ,~ ~~~ JO H p Zp u ZO Z Za `L W ~ ° m a ,.. Q Z Q z Q p Q¢ m °' ~ ~,C3': n ~ ~ _ _- mm m o d `r r ~ m o o n ~' K x x x J a~ w o N r _ . ~ . . LL K ~ y. ~.C ~ o~ N O U ~ Ol ~ VI ~' ~ 7 1 S > C G. m o F ' -':~ 0-•'e i ' o 0 o m m a n '- a .~i O . M U1 N m p N M - M O M 7 N ci m H N N N -; H N N N o rn m - ~{. '-' O rn rn m rn E~ Z m ' J t'Ul''?_ ~ ~~ ' ~ n "- m ` N . M N ':i fir 3 ~o y 3 Y . . = L m ,y a o o ^ ~ N °^~ ~ Q N 't .Y __,. O LL ~. ~ LL O U o ~ w ~ ¢ ¢ ¢ ¢ Ec a Y ~; 'mo ' ~ ~ ~ C N L N m ~_ ti~ .+ E ~ E F m~ y o ~ h O+ O .i N m ~ ~ Q v m ~ n n n n n m E ~ \~/~ U ` O U O 2 C v~6 C O N O 4 7 O r O ~ O ~rj 0 0 0 0 0 0 ° ,p a; u; ~ ~ o a, o ~ o ~ , ,r ~ r ar q ~ ,o .d O " `° °' r. > o r ~ ~ 3 4 m a m ~` Q h h ~ ~ pr ih Y '/ d ~ ~ ~ 4 N Y d P• VY ~."'Ffl"' W u w W .~ W j N '~' Q ,,. ,, , # c ~ `r A ~/~ 7 V~ ~ Y ^ w~w' t(W I .V V ~ N ~ '~ (~1 4 ,pG m N ~ fl a o d ~ r N Y ~ ~U ~~ u Z~ d Q N ~ 7 Z U> 7 ~ ' N o ~ ~ o O ,-~ ' f 7 7n M O N _ ~ ~ ~ ~ p O N (mil ~ ~' ~ ~ m rn ' N N N V ~ O 3 0 N 4~ a d p r~ Z ~ Y u G S Q O (9 ~ 4 Q. ~ ~ ~ 2 µf Z *,, a ~ Sri 6~ N O U N€ E ... m ~ " h ; a d ~ ~ ^ # {" fr -. Y o. c~ 0 0 N N ~ ~ z H 0 0 ~ u a a> d H ao > O ~ ~~ O ¢ ~ m Z H Z U a~ ~~ W 7 I "' ~ N 4 K N , a C7 0 0 ~o. ~ U Z L H 3 o ti_ N d ~ I Q N a W .n m 9'.d o V Z U ~~~~ m N o ~ r ~ m r -^- m 9 9 a m `av ~a d N 9 O N y o~ ~~ ~9 ~" ~ m L M ~. Q N o y m R m A d N C U G m E m o ~ ~ ^m y O ~ d U ~ 0 0 U 9 O ~ D N ~ s O ~ 5~ ~ ~ t9 m u ` d U 7 ° e m lJ J ~ yf N ~ 4 a v 9 ~ W ~ o ai n'v o ~' N b O y/ w II d q p . m ~ d_ N ~ O n -a u JJC, 0 N ~ Ea w~ m ' A 0 0 0 m ~ ~ o O ~ p o ~ o ~ ~ ti ~ N •~ M ~ 7 ~ U u y ~. y c o W U ~ a> '" > ~ O' Q k _ - in ~ 'a ® m m a m /, N ~ ~ LL O N ' W rn m ~ ~~/ N ~ Q Y • W N F N 0 M # i .}~ l . O Z W ~ 7 fA ~ aOW ~ C F v 0 e y W Q # Y 10 6 7 '.. (~ _ I ~ ~ ~- ~+ 7 0 2 ~ aJ Y A ~ • E .i y = o W H M V w w W /~ ~~/ VI ~ g E ~ ~ ~ ~ o ,- .- N N N N N N ~ ~ ~ ~ N N N U N N .~i ri ri O W Q ~ F U F ° ~ W Z Z ~ Y ~ O r LL ~ ~ V O ~ y N U W # ~~ °' M .~-~ UI t0 a H z O U Q w U Q 2 ~q N W /.3 9eooneam~gawa Sao Ado. Tom78288 USAA® EST OF ELIZABETH A VICE C/O DAVID R BLACK BLACK STRANICK Bc CELLA 327 WHET FRONT STREET P.O. HOX 168 MEDIA, PA 19063-0168 Febrosry 28, 2012 Dear Mr. Black: USAA is committed to providing excellent service to ifs members. As you requested, I am providing the following information for the account of the late Blizebeth A Vice. Account Registration: ELIZABETH A VICE USAA #: 534 21 88 Fund name: Tax Bxempt Intermediate-Term Fund Account # ending in: 5200 _ The account value oa December 23, ZOl l was: Share Accmed Account Shares Price Dividends Value 4,019.617 $13.27 $150.63 $53,490.95 If you have questions, please call a USAA member service representative at 1-B00-531-USAA (g7Z2). Thank you, USAA Shareholder Account Services 574 21 RA-092ll-Gil29-Dh1e2i50.5Aa.SAS95 SRI26010R Page 1 of 1 From: Marty Johnson [mjohnson@apboard.com] Sent: Monday, November O5, 2012 9:43 AM To: Eileen Powoll Subject: RE: FMV for limited partnerships as 12/23/11 Listed below are the limited partnerships which I need FMV for as of 12/23/11. If you could provide me with written documentation regarding the closest trading date either before or after that date, I would be grateful. Boston Capital Tax Credit Fund II, LP -Series 9 -original issue value of $5,000 for 500 units of Series 9; - last trade 2/4/10 at $0.30 - in liquidation Boston Capital Tax Credit Fund II, LP- Series 14 -original issue value of $5,000 for 500 units of Series 14; - fast trade 1/14/12 at $0.38 - in liquidation • Boston Capital Tax Credit Fund III, LP -Series 15 -original issue value of $5,000 for 500 units of Series 15; either 10/17/11 at $0.12 or our last trade 3/30/12 at $0.10 Boston Capital Tax Credit Fund III, LP -Series 16 -original issue value of $5,000 for 500 units of Series 16; either 12/1111 at $.010 per 9/13112 at $0.05 Boston Capital Tax Credit Fund III, LP -Series 17 - 500 units of Series 17; either 11/10/11 at $0.18 or 7/10!12 at $0.10 Boston Capital Tax Credit Fund IV, LP -Series 23 - 500 units of Series 23; either 5111/11 at $0.20 or 1/10(12 at $0.10 Boston Capital Tax Credit Fund IV, LP -Series 25 - 500 units of Series 25; Last trade 4121/11 at $0.20 • Boston Capital Tax Credit Fund IV, LP -Series 43 - 500 units of Series 43; either 9/8/11 at $1.50 or 8/2!12 aY $0.70 Atel Cash Distribution Fund V -initial investment of $5,000 for 500 units; and 12!1/11 at $0.30 • Atel Cash Distribution VI -initial investment of $5,000 for 500 units. Last trade 10!25!11 at $0.22 Should you require additional information, please contact me at your earliest convenience. Thank you for your prompt attention to this matter. Sincerely, Eileen M. Powell, Paralegal BLACK, STRANICK & CELLA, P.C. 327 W. Front Street Media, PA 19063 Telephone: 610-566-8500 Facsimile: 610-566-4375 The information contained in this a-mail is confidential and may be legally privileged. It is intended solely for the addressee. Access to this a-mail by anyone else is unauthorized. If you are not the intended recipient, any disclosure, copying, distribution or any action taken or omitted to be taken, in reliance on it, is prohibited and maybe unlawful. file://C:\Users\rhixson\AppData\Local\Microsoft\Windows\Temporary Internet Files\Cont... 12/6/2012 ~~, o a 0 G O. ca 7 0 a O ~ U K F >. _ ~ ~ r~/yy~ _ F^ e~ d <dd ~ ~~ d v ~ °"~ d :' Rs~d ~ G .~ _d w~~'~ c p~ N~~ ~ t ~b' ~~ t+ y ~~ ~'~ ao yogi w ~~o~~d s~ ~~~'~ ~ jU cU o u m G~' d..G dv o ~.. ~ ~ ~ ~L~~ ~ ~ ~`~ m 't w N~N p0 ~$11 ~ ~ ~~ ~ ~ ~ t ~ ~ a d 6s b ..dd ~y ,y V ~~ ~~.~ ~ ~' ,d F ~, LL°, ~ X.j 0'oi p 4' W iO~p~F-O WF~~ `A~~~'ob~~~ ~ ~ y' ~~ p~YN v a""S' N" N`~ y V f r d N V d~^' Na~p'O9S„3 "~~ ~ ~ Q m3Yo~°-'u~°'Y w m ~ °~ °~ N~~ W d R~ y~ A~ A U'oG'~,Q,z 6~~v S°~,f {~d'a . W ~~ ~~y•~ayrLv'o o ~` y., u o ~'ay~~~W d~~ t ~ ~ c'.~ya ~ 3 o i6 M r ~R4`+A~~ S~yN n P ~ ~ ~ ~ w ~ i d ~T~ ~ ~ V ~, ~ H ..+ d ~ c w 7 ~ ~ ~ O C t .~ E„ ~ ' ~ r ¢~ a~ d d ~ ~ ~ ro ~ (~ ~ `~j .M6 ~ ~ ~ d N 41 `d ~- t~Q O t~. ~ ~1 ~ uZi O ~ ~~ O 4 U r U W W N ww ~ .~ ~o~o N ~ ~ a~~ UH~~W ~ ~~ w o p ~+ O N o OO~~~ ~ ~ ~~~ a~ s ~~~OR w O U ~, W ~ p v, 2 zU '3 Z~~~~ S ~ ~ "d ~~~~~{x1 r~~pOwU a ~~~'~~ g OH~O~ g H ~dW~~ ~ G V~d • d~ ~ m a~v~ o %p ~N 0 7g vG .~ ~.~ ^ O u~ y ~y,1 I ~ ~ C G V k p ~ ~b 0 ' ti ~ ~ Y. ~^p,~ ^" ` ~ WG~~N ` a+ ~~VGG M 'd E •- A .9 ~~~. ".~ y ai m- K'o way ~ v d ~ ` O °' dd w,>y s ~ 6 `~~ N K V x ~ ~~'`` ~ W' M 07 ~ O m i-~3 ~ a 1 C ~ ~^ ~ ~ F m ~+ ~~Y o p O ~~qw ~ d od ~ Q ~ ~ ~ p~x~ +N^ V ~' r a F If] '^ 4 Q d Q. > ~ ~ •J 6 ~Y. ~ Y ~ Q u a 9 ~ 3 A ~~ ~ w H 651111 ^ Final K-1 ^ Amended K-t OMB No. 1545-0099 ScheduleK-1 ~~1 1 Partner's,Share,of.CurrentYear_Ihcome;:_ .,. (Form 1065) Deductions, Cred-ds; andUtheritems Department of the Treasury For calendar year 2011, or tax 1 Ordinary business income (loss) 15 Credits '. Internal Revenue Service year beginning Ol/Ol , 2011 ending 12/31 , 20 11 2 Net rental real estate income (loss) Partner's Share of Income, Deductions, -147.7E 3 Other net rental income poss) 18 Foreign fiansactions Credits, etC. - See back of form and separate instructions. Information About the Partnership °- a Guaranteed payments -._.__-..__._. .- . __-- A Partnership's empbyer iderr8fication number ~ _... _ 04-3066791 5 Interest income . B address, city, state, and -P COde Partnership's name D.80 __ .- , , ea Ordinary dividends BOSTON CAPITAL TAX CREDIT FUND II . LP -SERIES 14 6b ~ Qualified dividends . . .. ..-. ONE BOSTON PLACE 21st FLOOR ~~-"' - ~ " - ~ ~ ~ BOSTON, MA 02108-4406 7 Royalties ~ " C IRS Center where padnership filed return .. .. .. .. . Ogden, UT a Ne[ short-term capital gain poss) D ^ Check if this is a publicly traded partnership (PTP) 9a Net long-term capital gain (loss) 17 Alternative minimum fez IAMr) ire Information About the Partner - , A, -_. 56-42 _-, . E PaMer's identifying number 9b Collectibles (28%) gain poss) XXX-XX-9803 B -2.9.32 _ _ F Partners name, address, city, state, and ZIP code 9c : Unn:captured section 1250 gain 178-40 F - 1.70 10 Net section 1231 gtin (loss) 18 Taz~acempt income and th A Vice Eli b 22.94 nondeductible expenses za e 312 W COUrtl and AVe 11 Other income(loss) Shiremanstown, PA 17011-6509 F 155.46 _ _ G ^ General partner or LLC ® limited padner or other LLC member-manager member H ^X Domestic partner ^ Foreign partner 19 Distributions I What type of entity is this parmeR INDIVIDUAL 12 Section 179 deduction J and capital (see ins4ucfions): loss Partner's share of profit , , Beginning Ending 13 Other deductions Profit 0 00000 % ~ 0.00686 % 20 Other information Loss 0.00000 % 0.00888 % Captal D 00000 % 0.90888 % -, _. _ _ - A .,_ _ 0.60 K Partner's share of liabilities at year end: ... .. Nonrecourse $ 0.74 14 ~ Self-employment earnings (loss) Qualifed nonrecourse financing $ 4.151.05 Recourse $ O.OD L Partners capital account analysis: `See attached statement for ad ditional information. Beginning capital account $ -1,758-63 Capital contributed during the year $ 0.00 Curterd year increase (decrease) $ 31.42 Withdrawals & distributions - $ ( O.DD ) a ~ Ending capital account. - $ -1,727.21 ~ m N ^ Tax basis ^ GMP ^ Section 704(b) book ~ ^ Other (explain) ` o M Did the partner contribute property with abuilt-in gain or lass? ^ Yes X^ No If "Yes;' attach statement (see instructions) For Paperwork Reduction Act Notice, see Instructions for Fortn 1065. Gat No. l ls`JaH ~cneewe n-i trorm Ives) zun ~~~ u zN7 C ~'-+ U z O U N~N 5-~ ~+ z a~~ r-" '" v ~ A ~ d a W ~ a ~ ~' °~' o w U ~ o `. ~ W 7LII5 a L~ dU. r-7 ~ ~7 tC y ~ qy~ V C~ ,~ W U ~ ~ ii VI 0 a ~ O v W W m U F- U IL N 0 0 0 0 0 0 O N a u a L N a n b N s~ W m c m O 0 N m 0 M 0 11 .y. Fy~nn~ (~ N ~ Erb 1p~-p [~, v d. OO~V ~ N " Q C~Ow ~3a~ aon a~iG ~ A 3'E °'o°.u .~ v ~ o'°'~o~o.a. ~y .. „ A ~Nb Gy v °'v~ v~ u•G O itl C y m p.y9 '~ri o N d v~ ~ y N ~~ ~R~CC~.~~aQ~~~° G mA' '~09ky CY.' ~J~ o•`~ oz¢ nE Qi'd A ~ y a ~Q~ q °a' '°'~ v d ~ .'..~ ,a ~ 0.y N•~ i,~n. G- ~G •a, $mo::w ~~aa ~ ,L m 0 oE~'m y" v~y v a a,u ~ ° 'CC „ F y~ m~~~~(.)v a G c~ v 3~ y N ay 5A L O J v ~ m~ .- U ~ G d U 8 G o a' o LO ~ m° ~ • E -~ G .~ V N .~ ,~ u 'v c "' ~ ~1°ec ~~ B¢'o 8a'o N ~~y~u~ G ~ F C? U~FF S, m O W F.i Z ~~ww z ~°~o ~ xW3¢~ zWx~~ v oxgw;~ OHFFW ~ ,~~~pp ~ W t z~ a ~:~p ~ ~ ~~F~O V H ~ O M 0. ~OpOWH ~- ~Wwz ~ wpWOLI d A~Fz~~~ N Qx°~~ ~w~~~~~ Ow~`q~' ~ ~~~p o aw~U U ~zW z~~F~ OE+~pr~zs a °~zo •QZ°c~ ~ m 0 0 r w -- aaa u a -. o ya3 ¢ro .-. x r Ip L 7 L9 ~ r02 9 a V 6 ..~ G E > N 3 W ++ N K ~ +~ N '+ L .~ ~ 2 rv. W f`i OD 651111 ^ Final K-t ^ AmeMed K-1 OMB No. 1545-0099 Schedule K-1 G,lo i i Par6~i~~"5 ,_ 3I~ A ~•h117Cnt ~e3Y ff10[3RTT@`n; (Form 106 Cis " t -M. ~eduntions; Credit r ~ ~ ~ s, and O#her?.Items ~ ~- Departrnent of the Treasury For calendar year 2011, or tax .i O~nary business income Qoss) t 15 ~ Credits Intemal Revenue Service year beginning Ol/Ol , 2011 _ ending 12/31 .20 11 2 ~ Net rental real estate income Qoss) i._ . ~-_.-.._v ^_..._,.......__-.„... Deductions Share of Income P t ' ~ -142.51 , , ar ner s 3 j Other net rental income (loss) 16 I Foreign transactions Credlt$, etC. - Seebeck of form and separate instructions. ~ =- '`.'.;TI1tQCIJ13tIfIf']~OUt,'tlje"}~8C'til9rSf11Pr ;;`.~,.. ~'*,'~. q ~Guarantaed payments ~ ~ ; -....-~.-_-._....._.r .-...-....,. - A Partnership's employer identifcation number ~ ~ j __.._. . 52-1749505 5 Interest income .,._ ~_,____.,.,.,-,_ _ e Partnership's name, address, city, state, and ZIP coda ? 3.09 7 ._ 6a ~ Ordinary dividends T-- .vv- .,~,- _~ BOSTON CAPITAL TAX CREDIT FUND III L P -SERIES 15 66 s (lualifled dividends _ ._ ONE BOSTON PLACE 21st FLOOR ± ( ~ BOSTON. FtA 02108-4406 7 i Royalties C IRS Center where partnership filed return ( 7 3 Ogden, OF e j Net short-tens capital gain Qoss) __ _ '~ -- ---~ ~-~---~--- D ^ Ghack'rf this is apublidytmded parNership (PiP) 9a { Nat bng-term capital gain Qoss) 17 ? Ntanative minimum tax (MAT) items „~`rtfo[n(atiOr~##hdLt:~ieP~f#iie_E -• - ~ ~ A ~ 52.93 ---~--- -_ - Partner's identifying number E 9b ~ Collectibles (28%) gain Qoss) $ - XXX-XX-9803 ! B ~ -20.53 _ --.-.'.____ F ParOner's name, address, city, state, and ZIP code 9c ~ Unrecaptured section 1250 gain 3 _ __ i 372.44 F ~ -0.19 . 10 ?Net section 1231 gain Qoss) 76 ±Tax-exempt incomearW Elizabeth A Uice 80.03 ynondeductible expenses 312 W Courtl and Ave ~ ~ ~ ' ' ~ ~ it ~ Other income Qoss) { ^ , _ 17011.6509 Shiremanstotm,~PA F 292.42 ~ _ ! _ _ G ^ General partrrer or LLC ~ ~ ® Limited paMer or other LLC ~ member-manager ~ member ' ! i _ _ ___ J ) ____..-.__._._.-_ v----`---------------....---- •. H ® Domestic paMer ~ ^ Foreign padner " 19 ? Dis[dbutions I What type of entity is this partnerl INDIVIDUAL 12 S Section 779 deduction _~ _ _ __ _ _ a J J Partnefs share of profit, loss, and capital (sea instrucfiore): S Beginning Ending 73 ;Other deductions Profit 0.00000 % 0.01279 % E __-___-_____ 20 Other informaflon ~ Loss 0.00000 % 0.01279 % f capital 0.00000 % 0.01279 % ' ___ ____ _,.-__.,_ A '._________ 3:09 V _ __. ) 1 K Partnefs share of liabilities at year end: i i Nonrecourse $ 0.00 14 iSalf-employment earnings Qoss) __ __ ~~ __ Ouelified nonrecourse financing $ 3,875.33 i -_____-.~..__..._.__ .- ( __. _ _ Recourse $ 0.00 . _ . ~ i . _. T.__ ~_~..-_____.._ ' 3 1 L Partner's capita account analysis: 'See attached statement for additional information. Beginning capital acccunt $ -1.410.75 Capital contdbuted during the year $ 0.00 Current year increase (decrease) $ ~ 233.03 Withdrawals & distributions $ ( 0„00 ) T C _ , Ending capital account. $ ~ -1.177.72 ~ - ' m N ® Tax basis ^ GAAP ^ Section 704(b) book N ^ Other (explain) ~ O LL M Did the partner contribute property with a built-in gain or Ioss4 '. ^ Yes ~ © No if "Yes;' attach statement (see instructions) For Paperwork Reduction Act Notice, see Instructions for Fonn 1065. Cat No. 11394R Schedule K-1 (Form 1065) 2011 <-y , c 4 a u F"'1 H .z+ ~ w ~~ V O 0 0 0 0 0 0 N ..~ v~ Q N O ~ Y F .~ Q m ~" ~° U ~ ~ ~~~ o w 3 ~ ,~ rH ~ ~ ~ W d ~ ~ ~4`! Q O r7 MM v Z U F V m N W W N U t r d :a m N W N a 0 :y H .1b d v~~Aa E k ' 5p^'wv C`° °e ~~'C. d d b ~C Yp ~'dy ~ ~~i u d~ U •a'Y •o.~QN oc d~ rr d bn p i O v N G~ a.~~~ A s i 2 ~ b ~~~ o b p d• j'~ u ~ U X o. `'ter ~• ~ ~ ~ v~Q~~ ~y v p G Q L XJ E y. N y ~4 p~" F ~ r~~~,,,, R aA wG~u yo ~y', d c> .a ~ E `d m ~A'd ~ m 0 ra~+' V•GEy~~~ ~~ 7G °~~Cd d W'n q d p G y a V ~''3r ..~ o;;~ C m dC7 ~ Gyo y3~vyydF N NA GCp ,~~'C'k'b m u~°1 ~.^b~~aGGd U ~o'u >p v E~~ C C. 3 d G dYO ~ G. d .o C 'o :-°i dd y a,GG C dd A.C„o.-my°~ Q~i+ d W a A d U 0 ~ N d ^' ~'Y'N b ~ N ~. uxo seC om `r .' u tf v y G v~~FpdC V U 3~ bPCJ N d u W N a dam? ~F Sr++2+d~d rb+ ~_ o'p dd 2644"r,~~ ... yv~ y .. ,C ., F 9.~'C W AG7 m:~~vCyp.'. qd .a. ~Q ~ G. n'' i'AGC v A w v v m .~ a d 0 C7 m ti L ~~~~ G d O oO bD ^ ti¢6 0p Vl y ~+ d~"J. "d G.~ N 4. i o~fjF ~ U O F1 z ~ 1 w _ w v, ~w~~~ ~~ ~ O~O~n~ ~ ~~~~~ x aW'r'po ~ H m_~ ~oo~ @ z x~o :~ a~I~ ~ ~ t~ O w Q ~ Y'. ~,~~"" ~ Q q WV~~ ~~~~ .2 ~-+ F `p' ~~~~~ m Orr,fH1p~ e ~'~Uw u '~' ~ Z V w ~zo~~ ~ ZO ~ w ¢ .. ~~~ zo~~~.~ ~¢~'zad ~ •4a'~U o. I ~. rn 0 N O N W ~- 7 yaa u fl- _. t~ ~ ¢ Z . J 3 Q !-O ~ r 7 Y O 2 ~ av~ j m3U} ~~. tU `+ e'~ r w W 1'1 tl? J 651111 ^ Final K-7 ^ Amended K-1 OMB No. 1545-0099 Schedule K-1 ~0 ~ ~ ~, :Partner's Share of Current Year Income, -. (Form 1065) ~ Deductions, Credits; and Other Items... . Department of the Treasury For calendar year 2011, ortaz 1 . Ordinary business income Qoss) 15 Credits Internal Revenue Service rb tool Ol/Ol , 2011 __ _ _ Yea e9 n9 ending 12/31 , 20 11 2 . Ne[ remal real estate income (loss) Partner's Share of Income, Deductions, 3 Othx net rental income Qoss) 15 Foreign transactiore Credits, etC. -See back of form and separate instructions. Information About the Partnership a Guaranteed payments ~.- - --- '-- - A Partnership's employer identification number 52.1749505 5 Interest income B Partnership's name, address, city, state, and ZIP code 1.32 6a Ordinary dividends _ . BOSTON CAPITAL TAX CREDIT FUND III L P -SERIES 16 fib Qualified dividends ONE BOSTON PLACE 21st FLOOR BOSTON. MA 02108-4406 7 Royalties C . IRS Center where partnership filed return Ogden, UT ~ 6 Net short-term capital gain (loss) _ .. , O ^ Check if this is a publicly traded partnership (PTP) 9a Net long-tens capital gain Qoss) 17 Alternative minimum tax (AMn dems Information About the Partner A 55. 60 E Partner's identifying number 9b Collectibles (28%) gain (loss) _ _ XXX-XX-9803 ~ F 0.45 F Partner's name, address, city, state, and ZIP code 9c Unn;captured section 1250 gain 34.39 10 Net section 1231 gain Qoss) 18 Taz-exempt incorrx3 and nondeductible expenses Elizabeth A Vice 312 W Courtl and Ave t1 Other income Qoss) Shiremanstown. PA 17011-6509 ~ ~"' - ~ ~- ~~--- F _ 3_4._39 _ _ G ^ General partner or LLC Q Limited paMer or other LLC member-manager member ~ ~- H X^ Domestic partner ^ Foreign partner 19 Distdbutions t What typo of entity is this partner? INDIVIDUAL 12 Section 179 deduction J Partner's share of prefi[, loss, and capital (see inshudionsJ: Beginning Ending 13 Other deduIXions Profit O.000OD % I 0.00912 % 20 Other information Loss 0.00000 % 0.00912 % Capital 0.00000 % 0.00912 % A 1.32 K Partners share of liabilities at year end: , _ . Nonrecourse $ 238.37 14 Self-employment earnings Qoss) _ _ _ Qualified nonrecourse financing $ 4, 024.28 _ _ _ , , Recourse $ 0.00 L Partner's capital account analysis: `See attached statement for additional information. Beginning capital account $ -981.62 Capital contributed dudng the year $ O.DO Current year increase (tlecrease) $ -77.57 Withdrawals &distributions $ ( 0.00 ) ~, ~ Entling capital account . $ -1, 059.19 ~ N ^ Tax basis ^ GAAP ^ Section 704(6) book ~ ^ Other (explain) 0 LL M Did the partner contribute property with abuilt-in gain or loss? ^ Yes ^X No ~ - _ If "Yes," attach statement (see instructions) For Paperwork Reduction Act Notice, see Instructions for Form 1065. Cat. No. t1394R Schedule K-1 (Form 1065) 2011 a v ~~ 0 z M z a ~ a ` H U z O E a m V F- V m w w ~ w ~ ~ z ~ ~ x p" z o~ ;~ °~ cQ. .~ Q H ~ ~ ~ o .a w w ~ a IH ~ u' ~ d ~ w F ~ ~yy b 4 .~.{ U ~ W 0 ~ O O 0 0 O o z o ~ o j N Z Y u a ~I L ~ r a ~ z a 3 .. W z n ~ o C o 0+ ¢I o o ~ O y QvQ!! a, a~ F~ o. ~ .y°1c 6Dp ,~Ob w' RO ti6v,,,d vCCw ~v~pbp~v~ ~x o~ ~ ~~a viw ~v.. pu~~`°.p O mG v m mv°151m ~~(7 •y~~.5b~d „sCC~ooz~,bc A A N m v p,G 0~0.p .'C. p C yx wA G a '~.. Gv`~ya v Gn ~I'~O 7 v ~'•~ .p ~ c ,'O ~.¢myr N..R.R ~ ~ "3 N p ~~ ~.~ 4 m 4`. b a 0 m 6 ri. 0 U ~i~ m ~- 0. G v ~. v G v Y V U Q 0 m o. ~. a a a y N O N Q ,`e~ U '" aG~ oG m ~~ a`f v a y A w w a M N m O m 0 ~ b :: C. .uG. •d .b ~ A 1Q ~i' G v d~66 '~~ ~ w ~N~ ~ p p~HF U v n m {x1 (.) H F'~ -Z~wu, ~~'~o ~T~ w vi u~ 3 d a 7.wFG~c• Oxpw~n ~H~x~ UH..Fw a ~ x 0 0 O `" d~p...~ x~~ ~Q~ o °ooN ~~~oA Q~jxWw ~~HZ ~~o° ~~yo~~~" O W ~~o~. ¢~pwxux V~UHWz zo~~ Fa~OCG ~Q~z~ ~¢'N.~U~ I O ti w~ dd¢ u. d ++ O ~ d 2 • J 3 d F O .+ K F A L ~ th 7 Y O Z ~ q U -.. a E ~ N 3 W •.~ H K 4 ++ N ~+ C N ~ .+ W MfA L 651111 OMB No. 1545-0099 Schedule K-1 ~O (Form 1065) Department of the Treasury For calendar year 2077, or taz Internal Revenue Service ' year beginning Ol/Ol ,2011 ending 12/31 , 20 11 Partner's Share of Income, Deductions, CredltS, etC. - See back of form and separate instmctions. 1 Ordinary business income (bss) 2 Ne[ rental real estate income Qoss) 3 Other net rental income Qoss) ., and Other Items 15 Credits 76 Forego transactions Information About the Partnership 4 Guaranteed payments A Partnership's employer idenGfiration number 04-3066791 5 Interest income e Partnership's name, address, city, state, and ZIP code 2, 73 6a Ordinary dividends BOSTON CAPITAL TAX CREDIT FUND II LP -SERIES 9 6b Qualified dividends ONE BOSTON PLACE 21st FLOOR 80STON MA 02108-4406 , 7 Royalties C IRS Center where partnership filed return Ogden. UT a . Netshort-farm capihal gain Qoss) .. o ^ Check if this is a publicly traded partnership (PTP) 9a Net brig-term capital gain (ktss) 17 Alternative mirnmum tax IAM7) item Information About the Partner A 37 23 E Partner's identifying number ~ 9b Collectibles (26%) gain Qoss) . XXX-XX-9803 6 -4 10 F Partner's name, address, city, state, and ZIP code 9c Unrecaptured Becton 7250 gain . 286.37 ~,,,~.~~ 10 Net section 7231 gain Qoss) 78 Tax-ezempt income antl Elizabeth A Vice nondeductible expenses 312 W Courtl and Ave 11 other income Qoss) Shiremanstown, PA 17011-6509 F 286 37 G ^ General partner or LLC ^X Limited partner or other LLC - member-manager member N ~ Domestic partner ^ Foreign partner 19 Distdhutions 1 What type of entity is this partnefl jND1V1DDAL 22 Section 779 deducuon J Partner's share of profit, loss, and capital (see insWCtbns): Beginning Fsding 73 Otter deductions Profit 0.00000 % I 0.01185 % 20 other information foss 0.00000 % 0.01185 % Capital 0.00000 % 0.01185 % A 2 73 . K Partner's share of liabilities af•~x end: ~ , Nanrecourse b 0.00 14 Self-employment earnings (loss) Qualified nonrecourse financing $ 2,869.20 Recourse $ 0.00 L Partner s capital aicougt analysis: ~ See attached statement for additional information. Beginning capital account $ -1.363.34 Capital contributed during the year $ 0.00 Curtent year.increase (decrease) $ 212.76 Withdrawals 8distributions $ ( 0 00 I T C , Ending capital account . $ -1.150.58 ~ m rn ^X Taz basis ^ GA.4P ^ Section 704(b) book 7 ~ ' ^ Other (explain) - 0 u_ M Did the partner contribute property with abuilt-in gain or loss? ^ Yes ^X No If "Yes" attach statement (see instructions) For Paperwork Reduction Act Notice, see Instructions for Form 1065. Ca[. No. t 1394R Schedule K-1 (Form 1065) 2011 9800 Fredeacksburg Road ~^ ~ A San Mtonio, Texas 78286 USAA® BLACK, STRANICK AND CELLA PC 327 WEST FRONT ST MEDIA PA 19063 - Reference: Estate of Elizabeth A Vice Annuitant: Elizabeth A. Vice USAA Number: 5342188 Contract Number: 5342188-PB Dearm Mr. Black: March 5, 2012 This letter is in response to your request reference the Estate of Elizabeth A Vice. 1. $10,160.84 2. $1,695.36 taxable (1099R) 3. zero 4. Elizabeth A Vice. 5. February 22, 2007 6. no 7. The estate of Elizabeth A Vice, $10,179.77. 8. no If you have questions, please call me at 1-800-531-8722, ext. 7-3259. We value your business and look forward to continuing to serve your fmancial needs. Sincerely, ~~: Z1ClI'~U1A:Oj~Ap%~,t Annabel R Rodriguez ~ (~ Life Claims USAA Life Insurance Company RECEIVED 27512 - 48712 - ImmPrint MKT.FSU.FFLl MAR 12 2~t2 X RUG-31-2012 13:10 From:M15T LEND~INS SUPRT 7177955178 Tc:6105664375 P.1~1 a MEMBERS I" Pan9aA7. C.RF1)IT aMON ELIZABETH VICE WAS PRIMARY OWNER ON ALL ACCOUNTS LISTED FOR ACCOUNT 13031 REGULAR SAVINGS ACCOUNT: Account NumborlSuKx Date Axount Estebl'~shed Pnneipal Balance at Daro of Death Accrued Interest to Date of Death Total Principal arW Au:med Interes[ Name of Joint Owner Date Joint Ownership Established Name of Joint Owner Date Joint Ownership Estabnshed 13031-00 6211811972 $7,364 51 8.36 $2,364.87 John ViCn 02118!1972 I ynn Vice 02!6611987 LIFE SAVINGS ACCOUNT: Account NumberlSufFix Date Account Established Principal Balance at Oate Of DCa[h Accrued Interest to Date of Death Total Pnncipal and Accrued Interest Name of Joint Owner Dale Joint Ownorship Established 13031-04 ouovzoor $2,500.00 $.38 $2,500.38 John Vice & Lynn vice 02101/2001 'Opened by transfer of funtls from '13031.00. CHECKING ACCOUNT: Account Numberl3uffiz Dale Account Eetablishatl Principal Balance at Date of Death Accrued Interest to Date o(Dealtr Total Principal and Aecruod Interest Narne of Joint Owner Uate Joint Ownorship Established Name of Joint Owner Date Joint gwnership Establishod 13031.11 09119!1977 511,710.51 5.25 811,710.76 John Vice 09119!1977 Lynn wco 02/0611967 INVESTMENT SAVIN ~ AC• C~,IfNi: Account NumberlSut9x Uate Actomlt Eslabllahotl Principal Balance at Date of Death AtCNed Interest to Date of Death Total Princpal and Accrued Interest Name of Joint Owner Date Jomt rJwnersmp Estabbsnod CERTIFICATES OF DEPOSIT: Axount Numberrgux>< Ua10 Account Establishod Principal Balance al Date of Death Accrued Interest to Date of Death Total Principal and Accued Interest Name of Joint Owner Oete Joint Ownership Established 'Opened by Irans(er of funds from 13031.71. Estate ot: ELIZABETH A VICE Date of Death: 1212312011 Social Security Number: 042.20-8003 13031-05 04/0212003 $80.98 g.6o 860 98 John Vice 04102/2003 93va1-a0 13031.42 03/1912007 04!19(2004' 51,301,50 57.295.82 $'5.65 92.23 97,305.21 57,296.05 John Vlcc John Vice 03H92007 04I79Y2004 E ERS~; FEDEWI,L CREt~IT~litlt0~~ eA. hne ~Q~ 1~~ LendinrJ Insurance SuPPort Specialist February 24,2012 5000 LDLI150 llrivc P.O. BDx 40 blecllanicsbarE, Pennsylvania 17055 (8(.ID) 783-2328 wwwmcmhcrs1storg SC MEMBERS 1St FEDERAL CREDIT UNION PRIMARY OWNER: JOHN VICE REGULAR SAVINGS ACCOUNT: Account Number/Suffix 9349-00 Date Account Establ(shed 07/01/1967 Pdncipal Balance at Date of Death $1,224.82 Accrued Interest to Date of Death $.18 Total Pdncipal and Accrued Interest $1,225.00 Name of Joint Owner Elizabeth Vice Date Joint Ownership Established 07!0111967 Name of Joint Owner Lynn Vice Date Joint Ownership Established 02!06/1987 CHECKING ACCOUNT: Account Number/Suffix 9349-11 Date Account Established 0 311 0/1 9 8 3 Principal Balance at Date of Death $4,627.82 Accrued Interest to Date of Death $.36 Total Principal and Accrued Interest $4,628.18 Name of Joint Owner Elizabeth Vice Date Joint Ownership Established 03/10/1983 Name of Joint Owner Lynn Vice Date Joint Ownership Established 02!0611987 INVESTMENT SAVINGS ACCOUNT: Account Number/Suffix 9349-05 Date Account Established 09/22/2003 Principal Balance at Date of Death 512,212.80 Accrued Interest to Data of Death 52.21 Total Principal and Accrued Interest $12,215.07 Name of Joint Owner Elizabeth Vice Date Joint Ownership Established 09/22/2003 Name of Joint Owner Lynn Vice Date Joint Ownership Established 09/22/2003 E BERS~TF~~EDR NION ' I A. K ine ~~ Lending Insurance Support Specialist February 24, 2012 Estate of: ELIZABETH A VICE Date of Death: 12/2312011 Social Security Numher. 042-20-9803 5000 Louise Dove P.O. Box 40 Mechanicsburg, Pennsylvania 17055 (800) 283-2328 wwwlnemberslstorg ~N c 0 N N d W ti U 7 Q m ~ N W H ~ 1 `D N W ~ 3 .~ si ,~ V V I L D .~ 7 R 7 .`°+. YI ~r ~ i y , y d s ~': (n o m o y ~ ~ ,-~ a O ~ w i d N V 'i N ~ N M ~ M y 7 .+ ,r~ U. N ~.~t ~ N N Y M a ~~ W 7 y a °i U ~ ~ W ~ # C ~ Z N 7 ~ ~ K Q l7K S mN . p~j Q z ~~ = z m N° g N '"' i~ e". ~~,a ~ ~ X N ~ ~ N OH rt Ti r~ ~ ~ H V1 r W N N N ~ ~ ~° M N N ~ N U ~' _ N N o ~ ~ yl ~{I a N 0 6 O Z u 1^ S 4 O LL ~ ~ p 0 Z ~ 7 ~ W ~ W ~ E Q Q a # ~ N p 7 a R 0 N d a 3 O T O N ~ 9 O N o. ~ ~ n N N D p N y C 4 O O _ / ~ N N E 9 O N G ~ L N r ~ D °~ o m V C .- N N U m b F' N p j P L O c m ~ ~ 11 t N ~ N N O Z m ° W ~ .- ~ ro H O O O O Q v 9 O Q ~ `` [~ ~ N ~ =m o a ~ m m z ?z ~" d O O HN m C m JJ = ~ 4 W N N o r ~ ry~P~ n1° m m o =' > m S a 9 O U m m ~ ~ o O +~ N a o ~ 4 "~ U m o a y N N n n ~ E U C o r , N ~ V ~ o °a ~ ~ '~ 3 c~ v m N N o m N ~ C U O N E~ o~ ' m 0 a m v `c 9/5/2012 11;10:53 AM PAGE 3/005 Fax Server TO: MSE ILEEttPOWELL , May 10, 2010 El(zabeth A Vice Charles Schwab a Co. Inc Cust Roth Contributory IRA 312 W. Courtland Ave. Shiremanstown, PA 17011 Account Veriilcatlon Account Number. 4658-5676 Page 1 of 3 Ouesttone: B00-435-9050 Thank you for chooslrp Schwab. Thank you for opening an addhional Schwab brokerage account. We truly appreciate your continued loyalty. Your new account number is listed above, and you'll find important details about your account on the bade of this lever. Please review this Inlormation carefully and call us at 800-435-9050 it you would Ifke to add or change any features. Also, at your eonventence, please tad through the enclosed account agreement, pricing guide and other impodant materials for more detailed fMormation about your new account. I'd ifke to personally thank you again for entmsling ue with your Investments. We truly appreciate your business and the opportunity to help you achieve your financial goals. For Investment ideas, guidance or any questions you may have, feel tree to contact one of our Investment professionals anytime a1800-435-9050. Sincerely, ~~ Benjamin L. Sr~eman Executive tfice President, Sdwrab Investor Services Please note: Ii you opened more than one account recently, you w~l receive a letter for each account. 0 0 a 0 m N (0505-7374) Charles Schwab 8 Co., Inc Member SIPC. 9/5/2012 11:10:53 AM PAGE 4/005 Fax Server TO:MSEILEENPGWELL Account Verification Account Number: 4655.5676 Page 2 of 3 Please review tha following Informatbn about yyouraccouM. If anyy mformatbn h Incorrect, please comad us immediately at 800-435-9050. A prindpal d Charles Schwab & Co., Inc. has approved your axount with the folbwing features: Your Account Profge Account Features andlnlormaffon Type of Axount: INDIVIDUAL RETIREMENT Reglstratlon: Roth Conidbutory IRA Sweep Fund: None Interest Selection: Charles Schwab Bank Deposit Accounts Option Trading: Requested: Approved: No Investment Objective: Caphal Preservation Growth Income Margin Feature: No Cash and Secudt(es Handling Instrucdons Casb Account Dividends and Interest: Hold Mall Schedule: N/A Sale Prxeeds: Hold Mall Schedule: WA Secudties: Hold Beneficiary (nfonnefiort Current Beneficiary Information Primary: BETTA A BORRELLI Relatlotrehip: NON•SPOUSE Percentage: 100% Contingent: (NO DESIGNATION) Reladonship: Percentage: Beneficiary informarwn is provided for your verifk:ation only. If you wish to change your beneliciary information, please contact us for the coned form. 9/5/2012 11:10:53 AM PAGE 5/005 Fax Server TO:MSEILEENPOWELL ^''t'l~Fr4•SCFIWAB ,.. ~t-. e e ,- Account VerBtt:ation Atxount Numher: 4658-5676 Page 3 013 More IMormatlon About Your Aeeount Bade deoosh accourds are hezi at the above-referenced FDIGiroured bank Seartdea oreduda and aeMCea tirxhWhm unsxent The in{prmadan we requested on Maur Schwab acmum appicatien in the sedlan emitled'Create Your Own Irrvaslment Profile" is reeqauired bbyv regulation. It you did not eomple[a this segion, wewill aseumethat you have dined to preNde the omkMd intormatbM1. (1107.8610) 'rapnal upreservatlon ato pdeG.vour initlalimestmem byehoosfng lnvaslmema that ndpal. ilre long-term dslCOl eapdalpreservaaon is mat tmKee reNms may nd ba adequate to a:ama skalapy is to provide aurrem inoune ramar than longterm gmwth of primpal. degy la b Increase the veWe of your irnestment over tlme while recopnizing a Ngh H to assume a higher risk of loss in antic~atbn of pnentlalty higher than eYerege gain by Fi 0 0 0 m 0 W 0 m SchxaD"eselhe nlerme4an you e~e'~4eE la w61y yev Eenuy. ure7tirel b/ Fetratl4w. (0303A668) Charles Schwab 8 Cb., Ina Member SIPC. ~~~~ Invesco March 16, 2012 DAVID R BLACK BLACK STRANICK & CELLA PC PO BOXt68 MEDIA PA 19063-0168 Dear Mr. Black: U Invesco frtvestment Services, lnc. PO Box 219078 Kansas City, Missouri 64121-9078 www.invesco.com CorrespondencelD:00757740 Thank you for doing business with Invescos"'. We recently received the enclosed request regarding Elizabeth A. Vice's Individual Retirement Account (IRA) number 9373220. According to our records, the IRA was established on April 6,1992. Our funds are priced daily and the value of the account is subject to change. Elizabeth A. Vice's IRA had the following balance as of December 23, 2011: `- Fund '.? ~ Share;- Balance NeYAsset Value' Pnce Per Share:' 'Market Value;;: InvescoUtilities.Fund.(58). 123.572 $17.05 $2,106.90 Invesco Small Cap Grbwfh Fund (264) 159.484 $28.68 $4,574.00 Invesco Diversified Dividend Fund (286) 676.951 $11.89 $8,048.95 Invesco Van Kampen American Franchise Fund (1733) 424.860 $11.20 $4,758.43 Total~hlarkef=Value $19,488.28 Dividends earned on IRAs are not reported to the Internal Revenue Service (IRS). The beneficiary designation for the account reflects the following information: Betta A. Borrelli is the primary beneficiary and entitled to 100% of the account; John M. Vice is the contingent beneficiary. Betta A. Borrelli is welcome to contact us to obtain documentation and instructions for distributing the account. Please reference the Correspondence ID listed above on any future inquiries regarding this request. If you have any questions regarding the above information, please call one of our Client Services Representatives toll free at 1-800-959-4246 from 7:00 n.M. to 6:00 a.M. Central Time. We will be glad to answer any questions you may have. _..: ..._. . ,...... Sincere) ~ ..., ~ .. .: ;.:. .. . - .. . ...:_ .~ ..;< . _~ .., _ .... ...:.: .r "~"" ~~~~>~~~~~ - ' ' ':. Rosalinda Solano Correspondence Representative Enclosure(s): Copy of Request RECEIVED MAR 2 3 20?2 Fr~uc/a/ Group /, I Principal Life Insurance Company Repetitive Payment Services 04/03/2012 DAVID R BLACK BLACK STRANICK & CELLA PC PO BOX 168 MEDIA PA 19063-0168 RECEfVEp CONTRACT NO. 9204048 APR ~ ~ ~0tz ELIZABETH AVICE -Deceased Dear Mr. Black I received your request for informatinn.regarding Principal Life Insurance Company. accounts held by Elizabeth A. Vice. I will take this opportunity to respond. The Single Premium Immediate Annuity (SPIA) contract does not have a cash surrender value. However, there are guarantees associated with the annuity option selected by the owner. The option selected for SPIA contract 9204048 is Single Life with 5 Year Period Certain. Payments of $266.27 per month continue for the life of the annuitant. If the annuitant dies prior to receiving 60 payments, the named beneficiary will received the payments until a total of 60 payments have been made. 1) Estimated value as of date of death, December 23, 2011, is $13,408.00 2) Interest and dividends are not applicable for SPIA contracts. 3) Interest and dividends are not applicable for SPIA contracts. 4) Our• records do not indicate any shares owned by Elizabeth A. Vice. 5) Elizabeth A. Vice was listed as the single owner of SPIA contract 9204048. 6) SPIA contract 9204048 was issued 3/16/2011 with the first payment made 5/1/2011. 7) Upon the death of Elizabeth A. Vice, 52 remaining payments of $266.27 will continue to her named beneficiary through 4/1/2016. 8) John H. Vice, husband of the deceased, is the primary beneficiary for this contract. Betta A. Borrelli, daughter of the deceased, is the contingent ----- -- ---beneficiary:-The-payments-wiA-Continu~to~he_pdmary._beneficiary_through-... __ _ = 4/1/2016._,If the primary beneficiary dies before-that date, the remaining. payments will be made to the contingent beneficiary. ---3)-Our records do not indicate any other accounts for Elizabeth A. Vice- - - registered with Principal Life Insurance Company. If you have any questions, please call us at the number shown below, Monday through Friday between the hours of 7:00 a.m. and 5:00 p.m. Central Time. We will be happy to provide assistance. Jan Ostwinkle, Manager Retirement and Investor Services Payout 1-800-247-7011 Repetitive Payment Services P.O. Box 4926, Grand Island NE 68802-4926 Fax: 515-235-6209 Internet Address: www.principaf.com 9800 Fredericksburg Road San Antonio, Texas 78266 USAA® BLACK, STRANICK AND CELLA PC 327 WEST FRONT ST MEDIA PA 19063 Reference: Estate of Elizabeth A Vice Annuitant: Elizabeth A. Vice USAA Number: 5342188 Contract Number: 5342188-PC Dear Mr. Black: March 5, 2012 This letter is in response to your request reference the Estate of Elizabeth A Vice. 1. $52,148.52 2. $8,020.80 taxable (1099R) 3. zero 4. Elizabeth A Vice. 5. December 10, 2007 6, no 7. John H Vice, 72 monthly payments in the amount;$834.46 If you have questions, please call me at 1-800-531-8722, ext. 7-3259. We value your business and look forward.to continuing to serve your fmancial needs. Sincerely, -- lJtl~t~l.~Jl. 'I1t~dU'1A.0~(i~},~ Annabel R Rodriguez U ~ Life Claims USAA Life Insurance Company R~c~~vEa MAR 12 212 27512 - 46712 - ImmPrint MKT.PSU.FFLl Y // January 30, 2012 JOHN H. VICE 312 W. COURTLAND AVE SHIREMANSTOWN, PA 17011-6509 Dear Mr. Vice: `' Vanguard; P.O. Box 1105 Valley Forga, PA 19462-1105 vrvvw.vanguard.com Please accept our condolences on the recent death of Elizabeth A. Vice. As you may know, she was the owner of Vanguard ®Variable Annuity contract 700001897, and as a beneficiary, you are entitled to 100% of the current value of the contract. The values below have been provided to assist 1~ou. Please review these values along with the enclosed brochure to help you in electing the best option to meet your needs. The market value and cost basis are as follows: Market value as of 01/27/2012: $80,485.31 Value on date of death (12/23/2011): $76,891.22 Cost basis: .$41,330.20 Guaranteed Minimum Death Benefit: $29,550.00 The cost basis is the' portion of the annuity value that is exempt from additional federal income tax. It represents investments in the annuity that were made on an after-tax basis. If the guaranteed minimum death benefit is greater than the contract value, a ----- ----benefeiary-may-only-receive-the-guaran#eed-minirrlurrt death-benefit-by electing - -- - either a lump sum distribution or annuitization; other options do not provide this __ guarani~d value. If the cdRtract value is greater than the guaranteed minimum death benefit, the contact value will be paid n ~ -r ~°^°flriarv election. Please note that until the claim is processed d®wFJ with market conditions and "change the an exchange between subaccounts in writing there are multiple beneficiaries on the contr. any exchange. See the enclosed Vanguard information on the claim payout procedures -Ccnnu~ir~ e~c.nccf~ f~~1 ~i~C) ~7 h J ~ ~! ,~,,// l~Q' rr~,s t r ~~~d ~r i F.~/ J {i1iFlSz/f f ~~~~~' ~ ~ G~~ fI/~ ~~~ f >.. _ ........ __~__. --..---..J .~.uv uvvp [ C~'c ~ Ul J i:V. aJ '. N4118U0FffH~ -' 1HAT "^v:.>r^~ ?UI~ 7ali'a;~ Popriarat xa0 con, A CONPARA$i,f i0Y0TAtiiA!RY "" CtaNTMAlCit ~ - .r-. , _: -.. - ., 4.. _:. O ~1. ~ Aur, e. rf 7.Gt11 Trade-InlSelt Vatues ... , ... 2(701 Otd>mable Aurara Vfi Sedan 40 ~~ ...... Trade-In Va{ue $3,441 $z,991 Sz,~41 ,~ Sz,z1g Shop fer you ne e[<:; Instant Trade-In C?IYer 4.4 Own it7love rt? o,,.:e, How to Get the Most far Your Car anew YOw CaYa Specs SNI IJke, No; le fspert Tip+ Used Cars tar Sale near Camp Hill ~$ The car was totaled and later restored to the anginal condition...~~' ~AutochecX G_t a Used Car Report ,~ uurenre,roonee s«wn,eothuGn Ar<worth (zt the GKatIBISWt You NeM Cn Thib Oldsmobile Aurora T~ eerore Yoi Oir . ,.. _., .._ .,.. .. ~~ i_'L~cw~i http:/lwww.kbb.com/oldsmobile/atirora/2001-Oldsmobile-auroralv6-sedan-4d/?vehicleid=48_.. 2/8/2012 -~ f ~ y, w6~ ~o,, ~. °g ~~e ~.~,G~ C~ ~,~.~~.; .tea- ~Ce..~°~Gt. ~~~ ~-~ - - ~, Gam. -.~~l~r~/~1 ~~/e~// ?- ..~'. /~-~-~~~~Q ~'~ > ~r'sG~~ 9GL'Gw ~ ~r Nat-G~- ~ (/,GGG-. ~~-~"'. - e . L~~ct .~~~- / H ,K r' 6!/lG ~ws~~ Gr!~G~ e'ne 2.9z vf- ~. Owe ~~c~ a-.u~~l~~•x~~~--~ ~- lti`~ a- -- 1yL V L~.T ~~ tit. 1 '..`~ Cam. a ~ ti ~~ ~~ ~`-~~ ~~ ~ ~~ ~ ~~ T Iv~~ ~~~ A~ ~ ~. o~~ xY 3 °' a, a a5' ~G 7" 3 oW F v,3~ 4 x~ ` O ~~a~~= ate' F ~~3 ~. 3 ? ~' ~i =, ~-~. rc,~ ~ ~ of ~ve+yr~;~,g~ a ourl, y 1015 t=. Tictltwnor-Pi?'i,kz 2t.1 & 3 s2 (clo-vel-lea. Med.Ccv, f ~l 19063 Estimated Valuation for Betta Borrelli January 30, 2092 Item 1: r Ladies 14K white gold pendant set with one 1.99 ct round brilliant cut diamond with 4 prongs, graded I. Immediate re-sale value: $4000.00 We assume no liability for any action taken based on this estimated valuation. -;~~ ~.~-N..._ `GI'eu `T3esb p~ c~ueuft~wrg'ai 3adigue 1015 E. Baltlnwre Pike " Rt. 1 & 352 (dovedeat) kleJia, P,1 14063 b IA~62 i-i3W el++~~~bZ7"13GJ ~habesmiecerythingboutiyue rgmail.tum ;SL6e~roleveryc h in6boueiquacom T'h~T3~of ~verytf-,.i,vl,~~ L~OI,atI.G~li2i Nlu ix~.y gold. mvu~. estair~jewe7.ry 101 i t. 8eelttrreor'ziPikv, Medici, ?A l ~~J / V W NJ ,, w Hy j{J a 3 O w V 1 ~ -!- N W ,; *^~ . f^ l~ q Q C a~ N ~ 4 ~ 5 S O OC j S1 tY yWy ea .n '{{ /x~ 5.~~ Y Ow ~ ^~ V_ LG1 V O ~ ~ L' ~ _ ~ $ a ~ 4' U " s ~ ~' ~ F+ ~l ~ ~ `~ ~ r ~\ S_ ~ ~ --s ~ ~~ ~ ._.. ~.'> `~ -Q No~oi9sglz GVSTDMER'S ORDER ND. DATE: /S_ / Q _ ~~ ~ 7 ~7 NAME: T~/ /~.G // _, fi ~ 3 ADDRESS: CITY, STATE. 21P SOLD BY: CASN C.O.D. CHARGE AOQ ON MDSE RTD. PAID OUT OUANT, ^ OE. C@IPaT10 l~~~ - ~~ww jpppR1C, ~,gMOUH. yy~ id ~ ~( ~ O Lt/ k n T O 9 k '$7 /wr c~esG a~ `~ueuft~.F.di[~y gnu!<q~[e, 0(5 E. Baltimore Pike t. 1 &352-(cloverleaQ edia, PA 19083 10-627.1300 .. _ - - R M 610-6?7.1303 i 1 ~thebestofevcry[hingbou[iquetiilgmail.com , !f [hebenofevcry[hingbounque.com I 'y j 6 FULTON FINANCIAL ADVISORS" Malting Success Personal 1P/riter'.r Direct Dial Number (71'7) G72-2045 March 21, 2012 David R. Black, Esq. Black, Stranick, & Celia P.C. 327 West Front Street P. O. Box 168 Media, PA 19063-0168 . Re: Charitable Gift Annuity -John and Elizabeth Vice Dear Mr. Black: Per your letter dated March 14, 2012 requesting date of death information regazding Elizabeth Vice's interest in the Bethesda Mission Charitable Gift Annuity as of her date of death on December 23, 2011, please be advised that the annuity was a joint annuity with John Vice. The annuity continues on for the life of John Vice with no change of payments. There is no estate interest nor accrued interest to Elizabeth on the annuity. Tax information for 2011 was sent to John and Elizabeth in January 2012. Sincerely, FULyT~ON~FIN~ ANCIA~L~ADVISORS --. _,_ Vice President and Relationship Manager cc: Neil Sunkel, B To ensure compliance with the requirements imposed by the Internal Reversue Service in Circular 230, we are informingyou that arty rax advice, which may be contained in this docxnnen(or mry anachmem hereto cannot be used, and is not intended to be used for the purpose of (iJ voiding arty penalpes lha! the IRS might attempt to impose under the U. S Imernal Revenue Code, or (iQ promoting, mm/re[ing ar rernmmeruiing to onother party any transactlon nr matter addressed in this communication One Penn Square, Lancaster, PA 17602 • www.fultonfinancialadvisors.com Investments ^ Wealth Management • Corporate and Retirement Services • Private Banking • Insurance ~~ UNITED STATES NAVAL ACADEMY FOUNDATION February 7, 2012 CAPT John H. Vice, SC, USNR (Ret.) 312 W. Courtland Avenue Shiremanstown, PA 17011-6509 Dear Captain Vice, Hello from Annapolisl Thank you very much for your phone call and for your philanthropic support of the Naval Academy via the Foundation. As discussed, below you will find a summary of all of your Charitable Gift Annuities with the Foundation: Date of Gift Amount Annual Payment Quarterly Payment Annuity Number June 24,1998 $15, 687.50 $1,129.56 $282.39 No Annuity Number October 3, 2001 $19,792.00 $1,385.44 $346.36 No Annuity Number December 12, 2002 $10,000.00 $710.00 $177.50 No Annuity Number May 25, 2007 $24,853.80 $1,739.80 $434.95 2007-05 June 4, 2008 $11,755.80 $846.44 $211.61 2008-06 December 24; 2008 $14,060.00 970.46 -- - ----$242254--- 2008-1-2- November 22, 2010 $17,101.28 $1,180.00 $295.00 2010-05 On behalf of the Naval Academy Foundation leadership, thank you for your philanthropic support and leadership among our planned giving donors. Sincerely, .~ Keisha Outen ~~ Coordinator, Planned Giving The U.S. Naval Academy Foundation raiser privau gifts for the U.S. NavalAcademy and the Brzgade ofMidshipmezz. 291 Wood Road, Beach Hall, Annapolis, MD 21402 p. 410295.4100 f. 410.295.4108•www usna.mm Value of John's Life Interest as of 12/23/2011(Eliza6eth's DODJ Gift Date Gift Amount Payout Rate Value of Life Interest 11/22/10 $17,101.28 6.9°6 $6,804.77 1Z/24/OS $14,060.00 6.9% $5,594.b1 06/04/08 $11,755.80 7.231; $4,881.24 05/25/07 $24,853.80 7.0% $10,032.48 12/12/02 $10,000.00 7.19'0 $4,094.40 10/03/01 $19,792.00 7.09'0 $7,989.44 06/24/98 $15,688.00 7.2% $6,513.81 Total $45,911.25 Nov. Zolo Cc/~ /~; SUNTRUST BANK Prepared for: Value of John's Life Interest March 5, 2012 Basic Gift Illustrations Non-Charitable Interests for $17,101 Gift Income Rate Charitable Gift Annuity 6.9% One Life 85 [7/10/1926] Valuation Date 12/23/2011 $8, 805 IRS Discount Rate is t.8% These calculations are for illustretion purposes only and should not be considered legal, accounting, or other professional advice. Your actual benefits may vary depending on the timing of the gift. /V av 20 ! v c_~~ SUNTRUST BANK Prepared far: Value of John's Life Interest March 5, 2012 Basic Gifi Illustrafions Won-Charitable Interest Actuarials 6.9% Charitable Giff Annuity ASSUMPTIONS. [1] Annuitant (7!1011926] 85 Date of Valuation 12/2312011 [2] Principal Value $17,101.28 [3] Annuity Rate 6.9% [4] Payment Schedule quarterly at end [5] Discount Rate under IRC Section 7520(a) for 12/2011 1.6% CALCULATIONS: [6] Annuity ([2] x [3]) $1,180.00 [7] [a] Value of $1 for age on [1], rate on [5] 5.7324 (Table S in IRS Publication 1457 (5-2009)) [b] Adjustment for schedule on [4], rate on {5] 1.D060 (Table K in IRS Publication 1457 (5-2009)) [c] Adj. Value of $1 ([7a] x pb]) 5.7668 [8] _ Value of Life Interest ([6] x [7c]) $6,804.77 These calculations are for illustration purposes only and should not be considered legal, accounting, or other professional advice. Your actual benefits may vary depending on the timing of the gift. IBC ZooB c~~ SUNTRUST BANK Prepared for: Value of John's L'rfe Interest March 5, 2012 Basic Gift Illustrations Non-Charitable Interests for $14,060 Gift Income Rate One Life 85 [7/10!1926] Valuation Date 1 2/2312 0 1 1 Charitable Gift Annuity 6.9% $5,595 IRS Discount Rate is t.6% These calculations are for illustration purposes only and should not be considered legal, accounting, or other professional advice. Your actual benefits may vary depending on the liming of the giR. 7ec 200 C~/~. SUNTRUST BANK ~ Prepared for: Value of John's Life Interest March 5, 2012 Basic Gift Illustrations Non-Charitable Interest Actuarials 8.9% C6arifable GiftAnnuity ASSUMPTIONS: [1] Annuitant [7/10!1926] 85 Date of Valuation 12123/2011 [2] Principal Value $14,060.00 [3] Annuity Rate 6.9% [4] Payment Schedule quarterly at end [5] Discount Rate under IRC Section 7520(a) for 12/2011 7.6% CAL CULATIONS: [6] Annuity ([2] x [3]) $970.16 [7] [a] Value of $1 for age on [1], rate on [5] 5.7323 (Table S in IRS Publication 1457 (5-2009)} {b] Adjustment for schedule on {4], rate on [5] 1.0060 (Table K in IRS Publication 1457 {5-2009)} [c] Adj. Value of $1 ([7a] x [7b]} 5.7667 [8] Value of Life Interest ([6] x [7c]) $5,594.61 These calculations are for illustration purposes only and should not be considered legal, accounting, or other professional advice. Your actual benefits may vary depending on the timing of the gift. ~Un.2 ZooB' ~~A~ SUNTRUST BANK Prepared far: Value of John's Life Interest March 5, 2012 Basic Gift Illustrations Non-Charitable Interests for $11,756 Gift Charitable Gift Annuity Income Rate 7.2% One Life 85 [7 /1 011 92 6] $4,881 Valuation Date 12/23/2011 IRS Discount Rate is 1.6% These calculations are for illustration purposes only and should not be considered legal, accounting, or other professional advice. Your actual benefits may vary depending on the timing of the gift. -~~ 20o SS C6A~ SUNTRUST BANK Prepared for: Value of John's Life Interest March 5, 2012 Basic Gift Illustrations Non-Charitable Interest Actuariais 7.2% Charitakie Gift Annuity ASSUMPTIONS: [1] Annuitant [7110/1926] 85 Date of Valuation 12/23/2011 [2] Principal Value $11,755.80 [3] Annuity Rate 7.2% [4] Payment Schedule quarterly at end [5] Discount Rate under IRC Section 7520(a) for 12/2011 1.6% CALCULATIONS: [s] Annuity ([2] x [3]) $sas.aa [7j [a] Value of $1 for age on [1], rate on [5] 5.7324 (Table S in IRS Publication 1457 (5-2009)) (b] Adjustment for schedule on {4j, rate on [5j 1.0060 (Table K in IRS Publication 1457 (5-2009)) [c] Adj. Value of $1 ([7aj x [7b]) 5.7668 [8] Value of Life Interest ([6] x [7c]) $4,881.24 These calculations are for illustration purposes only and should not be considered legal, accounting, or other professional advice. Your actual benefits may vary depending on the timing of the gift. [/1 a-c~ 2otrl CAA SUNTRUS7 BANK Prepared for: Value of John's Life Interest March 5, 2012 Basic Gift Illustrations Non-Charitable Interests for $24,854 Gift Income Rate Cbaritable Gift Annuity 7% One Life 85 [7/10/1926] $10,D33 Valuation Date 12/23/2011 IRS Discount Rate is 1.6% These calculations are for illustration purposes only and should not be considered legal, accounting, or other professional advice. Your actual benefits may vary depending on the timing of the gift. Mwt-~ 2oa7 CG/~ SUNTRUST BANK Prepared for. Value of John's Life Interest March 5, 2012 Basic Gitt Illustrations Non-Charitable Interest Actuarials 7% Charitable Giff Annuity ASSUMPTIONS: [1] Annuitant [7 /1 011 92 6] 85 Date of Valuation 12/23!2011 [2] Principal Value $24,853.60 [3] Annuity Rate 7% [4] Payment Schedule quarterly at end (5] Discount Rate under IRC Section 7520{a) for 12/2011 1.6% CALCULATIONS: [6] Annuity ([2] x [3]} $1,739.80 [7] [a] Value of $1 for age on [1], rate on [5] 5.7324 (Table S in IRS Publication 1457 (5-2009)) [b] Adjustment for schedule on [4], rate on [5J 1.0060 (Table K in IRS Publication 1457 (5-2009}) [c] Adj. Value of $1 ([7a] x [7b]} 5.7667 [8] Value of Life Interest ([6] x [7c]) $10,032.98 These calculations are for illustration purposes only and should not be considered legal, accounting, or other professional advice. Your actual benefits may vary depending on the timing of the gift. ~C. 2ooz c~A SUNTRUST BANK Basic Gift IlliJSfrafions Non-Charitable Interests for.$10,000 Gift Income Rate Prepared for: Value of John's Life Interest March 5, 2012 Charitable Gift Annuity 7.1 One Life 85 [7/10!1928] Valuation Date 12/23!2011 $4,094 IRS Discount Rate is 1.6°!° These calculations are for illustration purposes only and should not be considered legal, accounting, or other professional advice. Your actual benefits may vary depending on the liming of the gift. 1~C 2ooZ c6/k SUNTRUST BANK Prepared for. Value of John's Life Interest March 5, 2012 Basic Giff Illustrations Non-Charitable Interest Actuarials 7.1 % Charitable Gift Annuity ASSUMPTIONS: [ij Annuitant [7/10!1926] 85 Date of Valuation 12/23/2011 [2] Principal Value $10,000.00 [3] Annuity Rate 7.1°I° [4] Payment Schedule quarterly at end [5] Discount Rate under IRC Section 7520(a) for 12/2011 1.6% CALCULATIONS: [6] Annuity ([2] x (3]) $710.00 (7] [a] Value of $1 for age on [1], rate on [5] 5.7324 (Table S in IRS Publication 1457 (5-2009)) [b] Adjustment for schedule on [4], rate on [5] 1.0060 (Table K in IRS Publication 1457 (5-2009)) [c] Adj. Value of $1 ([7a] x [7b]) 5.7668 [8] Value of Life Interest ([6] x [7c]) $4,094.40 These calculations are for illustration purposes only and should not be considered legal, accounting, or other professional advice. Your actual beneftts may vary depending on the timing of the gift. OC-><- 2001 ~Ga SUNTRUST BANK Basic Gift 111ustrations Non-Charitable Interests for $19,792 Gift Prepared for: Value of John's Life Interest March 5, 2012 Charitable Gift An nuity Income Rate 7% One Life 85 [7/1011926] $7,989 Valuation Date 12/23/2011 IRS Discount Rate is 1.6% These calculations are for illustration purposes only and should not be considered Legal, accounting, ar other professional advice. Your actual benefits may vary depending on the timing of the gift. QG-I- 2 00 / C6,4 SUNTRUST BANK Prepared for: Value of John's L'rfe Interest March 5, 2012 Basic Gift Illustrations Non-Charitable Interest Actuarials 7'/ Charitable Glff Annuity ASSUMPTIONS: [1] Annuitant [7/10/1926] 85 Date of Valuation 1 2123/2 01 1 [2] Principal Value $19,792.00 [3] Annuity Rate 7% [4] Payment Schedule quarterly at end [5] Discount Raie under IRC Section 7520(a) for 12/2011 1.6% CALCULATIONS: [6] Annuity ([2] x [3]) $1,385.44 [7] [a] Value of $1 for age on [1], rate on (5] 5.7323 (Table S in IRS Publication 1457 (5-2009)) {b] Adjustment for schedule on {4], rate on [5] 1.0060 (Table K in IRS Publication 1457 (5-2009)) [c] Adj. Value of $1 ([7a] x [7b]) 5.7667 [8] Value of Life Interest ([6] x [7c]) $7,989.44 These calculations are for illustration purposes only and should not be considered legal, accounting, or other professional advice. Your actual benefds may vary depending on the timing of the gift. Tvr~ I`~`1~ C6/~ SUNTRUST BANK Basic Gift Illustrations Non-Charitable Interests for $15,688 Gift Iricome Rate Prepared for: Value of John's Life Interest March 5, 2012 Charitable Gift Annuity 7.2% One Life 85 [7/10/1926] Valuation Date 12/23/2011 $6,514 IRS Discount Rate is 1.6% These calculations are for illustration purposes only and should not be considered legal, accounting, or other professional advice. Your actual benefts may vary depending on the timing of the gift. ~vn2 I q 9 8 CUB SUNTRUST BANK Prepared for: Value of John's Life Interest March 5, 2012 Basic Gift Illustrations Non-Charitable Interest Actuarials 7.2% Charitable Gift Annuity ASSUMPTIONS: [1] Annuitant [7/10/1926] 85 Date of Valuation 1Z/23/2011 [2] Principal Value $15,688.00 [3] Annuity Rate 7.2% [4] Payment Schedule quarterly at end [5] Discount Rate under IRC Section 7520(a) for 12/2011 1.6% CALCULATIONS: [6] Annuity ([2] x [3]) $1,129.56 [7] [a] Value of $1 for age on [t], rate on [5] 5.7323 (Table S in IRS Publication 1457 (5-2009)) [b] Adjustment for schedule on [4], rate on [5] 1:0060 (Table K in IRS Publication 1457 (5-2009)) [c] Adj. Value of $1 ([7a] x [7b]) 5.7667 [8] Value of Life Interest ([6j x [7c]) $6,513.81 These calculations are for illustration purposes only and should not be considered legal, accounting, or other professional advice. Your actual benefits may vary depending on the timing of the gift.