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HomeMy WebLinkAbout03-01-13 ' • • J `�y�, 1505610105 REV-1500 Ex toa_u)(FI) PA Department of Revenue PennLsyyllvania OFFICIAL USE ONLY Bureau of Individual Taxes °`"""�°-°- County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN Harrisburg,PA V12✓-06o1 RESIDENT DECEDENT I l - I 039' ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 09/21/2011 10/17/1922 Decedent's Last Name Suffix Decedent's First Name MI QUIGLEY SR PAUL F (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW OD 1.Original Return O 2.Supplemental Return O 3. Remainder Return(Date of Death Prior to 12-13-82) O 4.Limited Estate O 4a.Future Interest Compromise(date of O 5. Federal Estate Tax Return Required death after 12-12-82) O 6. Decedent Died Testate O 7.Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) O 9.Litigation Proceeds Received O 10.Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule 0) CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number ROGER QUIGLEY REGISTISOF WILLS US NLY� .'O rn First Line of Address CD -u S -- O 'O 15 CHSTNUT HILL RD p,, r I r n cr � Ill Ci Second Line of Address Z o o CLI vC, o ° .°n n o -,T _E "1-1 City or Post Office State ZIP Code 9 FILED 1--+ 7:- C7 F r 1 i DILLSBURG PA 17019 a o v) o s -Tl Correspondent's e•mall address: Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it Is true,correct and complete.Declaration of paperer other than the personal representative Is based on at information of which preparer has any knowledge. If SIG E OF PERSON RE ONSIBLE FOR FILING RETURN J �,{, DATE J ADDRESS 4 , t Ir Y:YI(�AY� l it(It— .V (4 .k.-' Vr r f n 4 -,_ p4_ 110 SIGNATURE OF PREPARE OTHER THAN REPRESENTATIVE / DATE at ADDRES g'3.2._ / /' 0�F 6]7 K.� / 11 )/S 6/ /7e/ 9 YY"-- PLEASE USE ORIGINAL FORM ONLY `, Side 1 1. 1505610105 1505610105 / 1505610205 REV-1500 EX(FI) RECAPITULATION 1. Real Estate(Schedule A) 1. 1,000.00 2. Stocks and Bonds(Schedule B) 2. 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) 3. • 4. Mortgages and Notes Receivable(Schedule D) 4. 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E) 5. 1,031.57 6. Jointly Owned Property(Schedule F) O Separate Billing Requested 6. 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested. 7. 8. Total Gross Assets(total Lines 1 through 7) 8. 2,031.57 9. Funeral Expenses and Administrative Costs(Schedule H) 9. 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I) 10. 17,033.41 11. Total Deductions(total Lines 9 and 10) 11. 12. Net Value of Estate(Line 8 minus Line 11) 12. -15,001.84 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J) 13. 14. Net Value Subject to Tax(Line 12 minus Line 13) 14. -15,001.84 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(1.2)X.0_ 15. 16. Amount of Line 14 taxable at lineal rate X.0_ 16. 17. Amount of Line 14 taxable at sibling rate X.12 17. 18. Amount of Line 14 taxable at collateral rate X.15 18. 19. TAX DUE 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 L 1505610205 1505610205 REV51507?EX+(01-10) RY` pennsylvania SCHEDULE A DEPARTMENT OF REVENUE INHERITANCE TAX RERAN REAL ESTATE ETU RESIDENT DECEDENT ESTATE OF: FILE NUMBER: All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing ler,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1. TRAILOR 1,000.00 TOTAL(Also enter on Line 1, Recapitulation.) $ 1,000.00 If more space is needed,use additional sheets of paper of the same size. • , REV-15o5EX+(o8-12) R SCHEDULE E pennsylvania DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disdosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. PNC CHECKING ACCOUNT 681.42 2. PERSONAL PROPERTY 350.15 • TOTAL(Also enter on Line 5, Recapitulation) $ 1,031.57 If more space Is needed,use additional sheets of paper of the same size. REV-1500 EX(FI) Page 3 File Number Decedent's Complete Address: DECEDENTS NAM ‘E, tee ►� STREET ADDRESS p A. Or 5 J v CITY (r STATE ZIP. 1I`6- C`. h4A) r `LSrJr_i_tiy PA ) °7c? Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 2. Credits/Payments A.Prior Payments B.Discount Total Credits(A+B) (2) 3. Interest 4. If Line 2 is greater than Line 1+Line 3,enter the difference. This is the OVERPAYMENT. (3) Fill in oval on Page 2,Line 20 to request a refund. (4) 5. If Line 1+Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) Make check payable to: REGISTER OF WILLS,AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X"IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred ❑ b. retain the right to designate who shall use the property transferred or its Income ❑ c. retain a reversionary interest ❑ U d. receive the promise for life of either payments,benefits or care? ❑ • 2. if death occurred after Dec.12,1982,did decedent transfer property within one year of death without receiving adequate consideration? ❑ U 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? ❑ • 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation? ❑ U IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1,1994,and before Jan. 1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)].The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)].A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV-1737-7 EX+(6-08) SCHEDULE pennsylvania DEBTS OF DECEDENT Use Schedule I,Part 2,ONLY for •� DEPARTMENT OF REVENUE , 1_ proportionate method of tax computation. INHERITANCE TAX RETURN MORTGAGE LIABILITIES, & LIENS NONRESIDENT DECEDENT ESTATE OF VAr-,-l. 6 k t FILE NUMBER Part 1 must include mortgage liabilities,liens and taxes against the Pennsylvania realty that were due and owed as of the date of decedent's death. Complete Part 2 ONLY when the proportionate method of tax computation is elected. PART 1 - O-BI IGATIONS C,GAIINST PENNSYLVANIA REALTY ITEM NUMBER DESCRIPTION AMOUNT 1. TOTAL PART 1 $ 0.00 PART 2 - A _ )? -IE DFB1 OF THE DECEDENT ITEM NUMBER DESCRIPTION AMOUNT 1. VISA CARD 15,084.00 2. MEMBERS FIRST 1,949.41 • TOTAL PART 2 $ 17,033.41 TOTAL (Also enter on Line 10, Recapitulation.) $ 17,033.41 Of more space is needed,use additional sheets of paper of the same size) REV-1737-7 EX•(6-08) REVERE . •R pennsylvania SCHEDULE J i ter, DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN NONRESIDENT DECEDENT ESTATE OF FILE NUMBER PA tc; I.� S v When fiat rate method elected,list the beneficiaries of the Pennsylvania property. When proportionate method is elected, list all beneficiaries. RELATIONSHIP TO ITEM DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS(Indude outright spousal distributions and transfers under Sec.2116(a)(1.2)) 1. ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON REV-1737 COVER SHEET OR THE PROPORTIONATE METHOD WORKSHEET ON THE REVERSE SIDE OF REV-1737 COVER SHEET.AS APPROPRIATE. U. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 2113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II (Enter total non-taxable distributions on Line 13 of REV-1737 cover sheet.) $0.00 (If more space is needed,use additional sheets of paper of the same size) , Account Transaction Detail Report Page 1 of 2 Ci Ascending 0 Descending Account Transaction Detail Report (OC Account Number: 5070083318 Post Date Effect Date Amount Balance DCN Pin Seq/Ref* Description 07/11/2011 07/11/2011 $500.00 $464.71 D N 5880 PAYMENT C REDIT CARD0001119200693149 0 07/12/2011 07/12/2011 $100.00 $364.71 D N 083794203 CHECK 5881 083794203 08/01/2011 08/01/2011 $1,498.02 $1,862.73 C N A 1415079 0 CSA XXCIV SERVU S TREASURY 3120001120801624192 6 08/01/2011 08/01/2011 $467.29 $1,395.44 D N 084495545 CHECK 5886 084495545 08/02/2011 08/02/2011 $89.36 $1,306.08 D N 084874916 CHECK 5882 084874916 08/02/2011 08/02/2011 $66.22 $1,239.86 D N 085079384 CHECK 5887 085079384 08/03/2011 08/03/2011 $141.00 $1,380.86 C N 184124578A SSA XXSOC SEC U S TREASURY 3030001121300767647 7 08/03/2011 08/03/2011 $62.04 $1,318.82 D N 5883 CHECK PYMTV ERIZON ARC0001121400713496 2 08/09/2011 08/09/2011 $700.00 $2,018.82 C N 522217217 DEPOSIT 522217217 08/10/2011 08/10/2011 $250.00 $1,768.82 D N 085182854 CHECK 5884 085182854 08/15/2011 08/15/2011 $600.00 $1,168.82 D N 5889 PAYMENT C REDIT CARD0001122700793035 0 08/22/2011 08/22/2011 $50.00 $1,118.82 D N 521206737 CHECK 5890 521206737 08/23/2011 08/23/2011 $75.00 $1,043.82 D N 086522167 CHECK 5888 086522167 httos://www.cct.oncbank.com/eaimse/sb/EaiMessa>7eServlet?SOURCE-CHANNEL UNK... 9/30/2011 • • N,, st MEMBERS 1" VISA a.*FEDERAL CREDIT UNION PAUL F QUIGLEY Account Number: 4672 0900 0011 3829 Statement Closing Date: ,. .'.,._ August 26 2011 y t g � t5 t ip � �� ..' a ' 1k � , o'", - 'a ' .,,A' f f * �¢ , t1 c .. � „ , Previous Balance $ 14,842.05 New Balance Payments 600.00_ $15,084.88 Other Credits _ 0 Total Minimum Payment Due $302.00 Other Debits 000 Payment Due Date 09/21/11 Purchases + 716 42 Late Payment Warning: IF WE DO NOT RECEIVE YOUR Cash Advances + MINIMUM PAYMENT BY THE DATE LISTED ABOVE,YOU MAY 0.00 HAVE TO PAY A LATE FEE UP TO$30. Fees Charged + 0.00 Interest Charged + 126.41 Minimum Payment Warning:If you make only the minimum payment NEW BALANCE $15,084.88 each period,you will pay more in interest and it will take you longer to pay off your balance. For example: Credit Limit *.I 'W, . y "c' "�"` •` r 576,000 00 , Available Credit 91512 k�w ' `��';e,�' 1 ,',', ..1 Available Cash 915 12 !��yygg ' •,,.. Yy xl fi :c,1-"it,.. Amount Disputed "'�'vj" � '' . . e 4 g y, "` "'" i, ', F''' '' - 3 0.00 Sm< .._� ++ _'' 'g '" Statement Closing Date 08/28/11 Only the minimum 25 years Days in Billing Cycle 32 payment y $25,809.00 L�r. . e 4 t`R� �� C #.^a 1 '- 489.00 3 Yam S 17,587.00�, & e r t II cr,,.1 7 -- " F r (Savings=$8,222.00) •` Customer Service:(800)283-2328 Ext:6035 If you like services, N. Report Lost or Stolen Card:(866)839-3485 u would information about credit counseli ng call(866)791-4360. ,4116., Please send Billing Inquiries and Correspondence to: `n CUSTOMER SERVICE CASHBACK CURRENT CASHBACK PO BOX 30495 TAMPA,FL 33630-3495 Vfd'ie- BALANCE PAYOUT DATE Visit us on the web at: $62.79 11/09/2011 www.mem hers 1 st.org @ Please Mail Your Payments to: PO BOX 4517 CAROL STREAM IL 60197-4 517 5 S.° 1 �.�, G ESTATEMENTS FOR ,__-t- OUR CREDIT CARD ARE HEREI USERS OF EZCARDINFO DIRECTLY OR MEMBERS 1ST HOME BANKING CAN SIGN UP TODAY BY CLICKING ON YOUR CARD NUMBER ON THE ACCOUNT SUMMARY SCREEN.ONCE YOU'RE IN CLICK ON STATEMENTS, DELIVERY OPTIONS AND COMPLETE THE SET UP.MEMBERS 1ST CARD SERVICES GROUP (800)283-2328 EXT.6035. TO REPORT A LOST OR STOLEN CARD PLEASE CALL MEMBERS 1ST FCU AT 800-283-2328 OR 868-260-0888 AFTER HOURS.TO OBTAIN ACCOUNT INFORMATION 24 HOURS A DAY CALL 800-299-9842,OR ACCESS ONLINE AT EZCARDINFO.COM. ' pst '1 MEMBERS 1St VISA *FEDERAL CREDIT UNION • PAUL F QUIGLEY Statement Closing Date: Account Number:4672 0900 0011 3829 August 28, 2011 CONGRATULATIONS,YOUR CARD PROGRAM THAT EARNS+.YOU CASHBACK HAS BEEN EXTENDED FOR ANOTHER YEAR! SAY FAREWELL TO SUMMER.USE YOUR SCORECARD FOR A VACATION WHILE EARNING CASHBACK. } wi At L T•' °,7:3. ;n? is ?r-- .. i2.Y 'x w '. %.w &.... ..n. v .. . �.�����^c r �lx«��:i f� ,.h "�_ k. � � :"3y..�a .i 9�������E.'.�'.r....,.s.3ed?�....�i Trans Date Post Data Plan Name Reference Number Description Amount 07/30 07/31 PPLN19 24692161211000353746462 GIANT 6269 CAMP HILL PA $ 77.52 07/29 07/31 PPLN19 24610431210004040028141 THE PATRIOT-NEWS EZ PAY 717-25548150 PA 32.50 08/03 08/04 PPLN19 24692161215000201242140 GIANT 6269 CAMP HILL PA 102.76 08/11 08/12 PPLN19 24692161223000917611174 GIANT 6269 CAMP HILL PA 128.40 08/16 08/17 PPLN19 24692161228000058594556 GIANT 6331 MECHANICSBURG PA 55.05 l 08/18 08/19 PPW19 24692161230000399842983 GIANT 6269 CAMP HILL PA 149.19 r 08/24 08/25 PPLN19 24692161236000657934716 GIANT 6269 CAMP HILL PA 136.85 08/24 08/25 PPLN19 246921612 36000691483787 "gg GIANT 6331 M ECHe ANICS BURG PA w`. 34.15 ��oi�i"'3 �r . .IV".+. . �.sLe "T ¢ i L ��„ r✓.' ',,, ,„:� w . . .,,,,.,-..4 A' , , y Jy.J.,.0+1^ 'w s',,! ?i•R �a,e � . - £ ,".24,..:,.... < 'Ni�r �,4a W � . =q 08/12 08/12 74672091224001570030675 PAYMENT-THANK YOU 60000- 1OTAL PAYMENTS OR ADJUSTMENTS $ 600.00- . ' 's$` r° •�,E a>F.1F z is " t "'-,.y.j INS."'t.W e } � u''f r,"„x° 1:1 4x r w: f,.. � s'',111-,'x z 3i r, fiif ;�'+"- iY dL . 3 08/28 08/28 PPLN19 74672091240576240764001 INTEREST CHARGE PURCHASE 126.41 TOTAL INTEREST FOR THIS PERIOD $ 126.41 Total Fees Charged in 2011 $0.00 Total Interest Charged in 2011 $996.13 !7,14,.`:,':,-;.,2,{? .x r z L .i R Y°a ',"L "F a w 3-.v n x ""A' �y,. ', �w! a .,. ! =l& " �' s roYa�,�^u3 73?yf nc `"ds., g."' ' ,:,',.."-::::;:.!";4:.,,I ... � <. ' Y �. 4,. we .,an.. ,rx�. .,<...... r PAY ONUNE OR VIEW YOUR ACCOUNT AT:WWW.EZCARDINFO.COM .:: s}:- :. 5 ° �ete. t ne,I, S fd... 7f'.F1 ! *;:i r�yct'a 1. .x '., =. « do s° ;{,. , .., E. ;.xn.rL -:uk ..Nf.�- al .. _ .,e11P.:.e�!� mw s' a».,w _s..,a +n Ca ,.m ! ae..hes ,., ,N " >' / die Beginning Current CashBack Adjusted Ending CashBack Balance Earned CashBack Payout Date $54.64 $8.15 $0.00 $62.79 • 11/09/2011 A Plan Plan ICM1 Previous Balance Subject Periodic Annual Percentage Interest Ending Balance Name Description Balance to Interest Rate Rate2 Rate(APR)3 Charge Purchases PPLN19 001 PURCHASE G $14842.05 $14,799.44 0.85416%(M) 10.2500% $126.41 $15,084.88 Cash CPLN19001 CASH A $0.00 $0.00 0.85416%(M) 10.2500% $0.00 $0.00 TOTAL $14,842.05 $14,799.44 $126.41 $15,084.88 1 ICM Interest Charge Method:See reverse side of Page 1 for explanation. 2 Periodic Rate(M)=Monthly (D)=Daily 3 Your Annual Percentage Rate(APR)is the annual interest rate on your account. (V)=Variable Rate If you have a variable rate account the periodic rate and Annual Percentage Rate(APR)may vary. Page 3 of 3 51773-23224 St Send Inquires to: Statement of Accounts 5000 PO BLouise Drive ox 40 111V Mechanicsburg,PA 17055 Jul 25, 2011 thru Aug 24, 2011 www.memberstst.org g Main Switchboard: (800)283-2328 EZ Call: (717)697-4372 or(800)283-4372 Account Number: 3708 TDD: (717)697-5312 or(800)283-2328 ext.5312 Ito TeleBranch: (800)237-7288 MEMBERS 1" Balances at a Glance: _ FEDERAL CREDIT UNION Checking: 0.00 Savings: 10. 11 — 5404 1 AV 0.340 10807-5404 g 11111111111111111111111 1111111111111,11111111111111111111 Certificates: 0.00 - PAUL QUIGLEY Loans: 1 ,949.41 _ N 11 LOIS LN ,Money Management: 0.00 MECHANICSBURG PA 17050-3632 Swipe 5 YTD Reward: 0.00 rn�� Page: 1 of 2 Your current Member Loyalty Rewards level is Gold. • • Your aggregate balance as of August 1st is $16,852.16. An aggregate balance of $35,000 and having 3 products wia move you to the Platinum level ' Are you interested in receiving BONUS certificate rates, REDUCED consumer loan rates, FREE Bill Payer or FREE checks? Read the enclosed Member Loyalty Rewards insert for more details. SAVINGS ACCOUNTS 0000 -REGULAR SAVINGS Date Transaction Description Additions Subtractions Balance Jul 25 Balance Forward 10.11 Joint Owner: HAZEL L QUIGLEY Aug 24 Ending Balance 10.11 LOAN ACCOUNTS 0003 -PERSONAL SERVICE LOAN Annual Percentage Rate: 11.000% Variable Rate Credit Limit: 2,000.00 Credit Available: 50.59 PAYMENT INFORMATION: i'revioub Balance: 2,000.00 - New Balance: 1,949.41 Minimum Payment: 75.00 Payment Due Date: 09/28/2011 Next Payment Due Date After Statement: 09/28/2011 Balance Subject to Eff Interest Late Interest Date Transaction Description Amount Charged Fees Principal Rate " Aug 23 Payments by Check 75.00- 24.41 0.00 50.59- 1,949.41 Closing Date of Billing Cycle 08/24/2011 'INTEREST CHARGE CALCULAT/ON: The balance used to compute interest charges is the unpaid balance each day after payments and credits to that balance have been subtracted and any additions to the balance have been made. --- Continued on following page --- gt Send Inquires to: Main Switchboard: (800)283-2328 5000 Louise Drive EZ Call: (717)697-4372 or(800)283-4372 Me ha 40 ( Jul 25, 2011 thru Aug 24, 2011 TDD: (717)697-5312 Or(800)283-2328 ext.5312 Iowa-saoa • Mechanicsburg,PA 17055 Account Number: 3708 www.memberslst.org TeleBranch: (800)237-7288 Page: 2 of 2 FEE SUMMARY TOTAL FEES FOR THIS PERIOD 0.00 — INTEREST CHARGED SUMMARY Date Loan ID Description Amount _ 08/23 0003 PERSONAL SERVICE LOAN 24.41 — TOTAL INTEREST FOR THIS PERIOD 24.41 ''soon YEAR TO DATE TOTALS soisme I Total Fees Charged This Year 0.00 0,— I Total Interest Charged This Year 24:41 =wawa. YTD SUMMARIES TOTAL DIVIDEN PAID TOTAL LOAN INTEREST PAID 0000 REGULAR SAVINGS 0.00 0003 PERSONAL SERVICE LOAN 24.41 Don't forget about our new Member Loyalty Rewards Program. The more products you have with us, the more benefits you'll receive. Ask an associate for details or visit our website at www.memberslst.org for details. Senior Checking Plan Account Statement PNCBANt PNC Bank Primary account number:50-7008-3318 Page 1 of 4 For the period 11/015/2011 to 12/06/2011 Number of enclosures:0 000120 ® For 24-hour banking,and transaction or EEST OF PAUL F QUIGLEY SR DECD Interest rate information,sign onto : ROGER A QUIGLEY EXTR PNC Bank Online Banking at pnc.com. 11 L OI S LN 'Q For customer service call 1-888-PNC-BANK MECHANICSBURG PA 17050-3632 Monday-Friday: 7 AM-10 PM ET Saturday&Sunday: 8 AM-5 PM ET �U` Para servicio en espallol,1-866-HOLA-PNC Moving? Please contact us at 1-888-PNC-BANK ® Write to:Customer Service PO Box 609 Pittsburgh PA 15230-9738 Visit us at pnc.com TDD terminal:1-800-531-1648 For hearing impaired clients only Online statements are convenient, safe and environmentally friendly. Sign up through online banking today and enjoy the benefits ofhaving your statements on demand. Senior Checking Plan Est Of Paul F Quigley Sr Dead Regrdar Checking Account Summary Roger A Quigley Extr Account number.50-7008-3318 Overdraft Protection has not been established for this account. Please contact us if you would like to set up this service. Your account is currently Opted-Out of Overdraft Coverage. To learn more,visit us online at pnc.com/overdraftsolutions Balance Summary Beginning Deposits and Checks and other Ending balance other additions deductions balance 681.4.2 100.00 95.09 686.33 Average monthly Charges balance and fees 690.15 .00 Transaction Summary Checks paid/ Check Card POS Check Card/Bankcard withdrawals signed transactions POS PIN transactions 2 0 0 Total ATM PNC Bank Other Bank transactions ATM transactions ATM transactions 0 0 0 Activity Detail Deposits and Other Additions There was 1 Deposit or Other Addition Date Amount Description totaling$100.00. 11/29 100.00 Deposit Reference No. 520022649 IC 4 PPJn11AI Tn s_Instn-s1f1A_Idd_NIJNNMu_nn7_NIn1F9 • 0 � O . O • ri O O 4 in ' * - i ^ 0 • (7 U `r. a) 8 A o ;s 11 o O O O 0 ru 0 6 CC CA-- W $4 in a ri i?, O T .11 CO : 1 iii ✓a p i W o■■_ 0 a N = H ri fi s t$a 0 J ' w V 0 1 0 Ea b I rtl b .] 4 , W U ri Z H N g 0 w¢ • p d;go O• r Date: 12-16-2011 www. haars. com HAAR' S AUCTION 717-432-8246 Settlement ROGER QUIGLEY Page : 1 Seller: 15 EST PAUL F. QUIGLEY 15 CHESTNUT HILL RD DBG PA 17019 Item Description Price Qty Total - Sugar bucket 1 9. 00 • - Floor light 1 9. 00 - Stool 1 0. 2500 - Ironing board 1 0. 5000 - Stool 1 0. 2500 - Microwave 1 3. 00 - Sweeper 1 0. 2500 - Step tables--cart-box lot , 1 0. 5000 - Oak stand 1 - Chair 1 8. 00 -- Stool 1 0. 5000 - Kids_ chair 1 12. 00 • - Mirror 1 1. 00 - Wheel chair 1 7. 00 - Walkers-cane 1 2. 00 - Chest of drawers 1 80. 00 - Bucket 1 1. 00 - Chest of drawers 1 65. 00 - Blanket chest 1 65. 00 . - 4 hitchcock chairs 50. 00 4 200. 00 - Lights-radio 1 10. 00 - Vanity 1 1 . 00 - Night stand 1 6. 00 - One drawer stand 1 17. 00 - Stool 1 5. 00 - Drying racks 1 2. 00 - Drop leaf table 1 65. 00 - Swivel rocker 1 5. 00 Items: 28 Amount : 600. 25 Commission at 40. 000% 240. 10 FUEL SURCHARGE 10. 00 Less adjustments ; -250. 10 Net due to seller: 350. 15 www. haars. com HAAR' S AUCTION 717-432--8246