HomeMy WebLinkAbout04-01-13 (2) 1505610140
REV-1500 Ex (01-10'
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes INHERITANCE TAX RETURN
Ha County Code Year Fife Number
BOX 280601 �I
Harrisburg.PA 17128.0601 RESIDENT DECEDENT l ( l
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
1 9 8 3 2 6 6 8 7 0 3 2 9 2 0 1 2 1 0 2 4 1 9 1 4
Decedent's Last Name Suffix Decedent's First Name MI
B i n g m a n M a r y D
(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
❑X 1.Original Return 2.Supplemental Return ❑ 3.Remainder Return(date of death
prior to 12-13-82)
4.Limited Estate 4a.Future Interest Compromise(date of ❑ 5.Federal Estate Tax Return Required
death after 12-12-82)
® 6.Decedent Died Testate 7.Decedent Maintained a Living Trust 0 8.Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9.Litigation Proceeds Received E] 10.Spousal Poverty Credit(date of death ❑ 11.Election to tax under Sec.9113(A)
between 12-31-91 and 1-1-95) (Attach Sch.O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
R i c h a r d C S e n e c a E s g 7 1 7 9 3 2 0 4 6 5
CI EGISTER OF StI1LS l tit�Y
C>
First line of address M G a
S e n e c a L a w n
Second line of address
5 6 4 0 1 d Y o r k R o a d ' C,>
City or Post Office State ZIP Code DAT FILED r O
E t t e r s P A 1 7 3 1 9 n
Correspondents e-mail address: rseneca Osenecalaw.com
Under penalties of perjury.I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief,
4 is true,correct and complete.Declarallon of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATU F P SON RESPOO BLE FOR FILING RETURN DATE
ADDR SS
1370 Valley Road Etters PA 17319
SIGNATURE OF ER OTH THAN OkPRESENTATIVE , c�v DATE
C
Sowcw . F.i - 31Z4fIX
ADDRESS
SenecaLaw, 564 Old York Road Etters PA 17319
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610140 1505610140
1505610240
REV-1500 FCC
Decedents Social Security Number
Decedenrs Name: Mary D- B i n g m a n 1 9 8 3 2 6 6 8 7
RECAPITULATION
1. Real Estate(Schedule A) ......... ....... ................. .......... 1-
2. Stocks and Bonds(Schedule B) ............. ......... 2 9 7 7 6 . 2 1
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. 2 4 4 2 9 . 2 6
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested ....... 6.
7. Inter-Vivos Transfers&Miscellaneous N n Probate Property
(Schedule G) Separate Billing Requested .. ..... 7.
8. Total Gross Assets(total Lines 1 through 7) ........................... 8. 5 4 2 0 5. 4 7
9. Funeral Expenses and Administrative Costs(Schedule H) ....... ..... ...... 9. 1 6 0 9 8 . 1 4
10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule 1) ............. 10. 8 8 3 0 . 5 0
11. Total Deductions(total Lines 9 and 10) ............................... 11. 2 4 9 2 8 . 6 4
12. Net Value of Estate(Line 6 minus Line 11) ....... ..... ................ 12. 2 9 2 7 61. 8 3
13. Charitable and Governmental BequestslSec 9113 Trusts for which
an election to tax has not been made(Schedule J) ...................... 13, 2 9 2 7. 6 9
14, Net Value subject to Tax(Line 12 minus Line 13) .............. ........ 14. 2 6 3 4 9. 1 4
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 _ 0 . 0 0 15. 0 . 0 0
16. Amount of Line 14 taxable
at lineal rate X-045 2 6 3 4 9 . 1 4 16. 1 1 8 5. 7 1
17. Amount of Line 14 taxable
at sibling rate X.12 0 . 0 0 17. 0 . 0 0
18. Amount of Line 14 taxable
at collateral rate X.15 0 . 0 0 18. 0 . 0 0
19. TAX DUE ................... . ... .................... . 19. 1 1 8 5 . 7 1
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑
Side 2
L 1505610240 1505610240
REV-1500 EX Page 3 File Number
Decedent's Complete Address: 0 0
DECEDENTS NAME
Mary D. Bingman
STREETADDRESS -- — -
100 Mount Allen Drive
CITY STATE ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
I. Tax Due(Page 2,Line 19) (1) 1,185.71
2. Credits/Payments
A.Prior Payments 0.00
B.Discount
Total Credits(A+B) (2) 0.00
3. Interest
(3) 9.03
4. If Une 2 is greater than Une 1+Une 3,enter the difference.This is the OVERPAYMENT.
Fill in oval on Page 2,Une 20 to request a refund. (4) 0.00
5. If Line 1+Une 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 1,194.74
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;or ................................................................................................ ❑
d. receive the promise for fife of either payments,benefits or care? ....................................................... ❑ X❑
2. If death occurred after December 12,1982,did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................................... El ❑
3. Did decedent own an'in trust for'or payable-upon-death bank account or security at his or her death? ......... ❑ 0
4. Did decedent own an individual retirement account,annuity or other non-probate property,which
contains a beneficiary designation?................................................................................I................. ❑ 0
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE 0 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
3 percent[72 P.S.§9116(a)(1.1)(1)].
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 decedents lineal beneficiaries is 4.5 percent,except as noted in
72 P.S.§9116(1.2)[72 P.S.§9116(a)(1)].
• The tax rate imposed on the net value of transfers to or for the use of the decedents siblings is 12 percent[72 P.S.§9116(a)(1.3)].A sibling is defined,unde
Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
REV-1503 EX+(6-98)
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Mary D. Binciman 0 0
All properly)of*-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. American Funds-Capital Income Builder-A (#84444901) 15,476.72
302.812 shares @ 51.11 per share
2. American Funds-The Income Fund of America A(#84444901) 14,299.49
819.925 shares @ 17.44 per share
TOTAL(Also enter on line 2,Recapitulation) $ 29 776.21
(if more space is needed,insert additional sheets of the same size)
REV-1508 EX+("S)
SCHEDULE E
COMMONWEALTH OF PENNSYLVANW CASH, BANK DEPOSITS, & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Mary D. Bingman 0 0
Include the proceeds of litigation and the date the proceeds were received by the estate.
All properly jointly-owned w hh right of survivors ip must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. PNC Bank-Account No. 50-7007-6935 (See attached letter.) 12,386.27
2. Susquehanna Conference-On Demand Note 7,000.00
3. Genworth Life Insurance Company-Refund of premium on long-term care policy 3,220.00
4. IRS Tax Refund for 2011 Personal Income Taxes 818.00
5. Interest Accrued on PNC Bank Account No.50-7007-6935 0.05
6. Interest Accrued on Susquehanna Conference-On Demand Note 87.26
7. Pennsylvania State Employees Retirement Service-Pension Payment 917.68
TOTAL(Also enter on line 5,Recapitulation) $ 24 429.26
(If more space is needed,insert additional sheets of the same size)
REV 1511 EX+(10-09)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Mary D Bingman 0 0
Decedents debts must be reported on Schedule 1.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Malpezzi Funeral Home-Funeral merchandise and service expenses(4120/2012) 316.10
2, Malpezzi Funeral Home- Funeral merchandise and service expenses(411612012) 9,815.00
3. Aurand Memorials-Headstone engraving(511512012) 100.00
(Please see attached Statement from Malpezzi Funeral Home)
B. ADMINISTRATIVE COSTS:
1. Personal Representafive Commissions:
Name(s)ofPersonalRepnrsentad*s) Robert Bingman 2,500.00
SU:etAddress 1370 Valley Road
Cily Etters State PA zip 17319
y9a js)Commission Paid: 2013
2.
Attorney Fees: Richard C. Seneca, Esq. 2,500.00
3. Family Exemption:(If decedents address Is not the same as claimants,attach explanation)
Claimant
SM*tAddress
city State ZIP
Relationship of claimant m Decedent
4. Probate Fees: Cumberland County Register of Wills for Letters, Short Certificates,Will, 159.00
and Photocopy(6/2712012)
5 Accountant Fees.
6. Tax Return PreparerFees: Larry Shoop, CPA to prepare 2011 income tax return 275.00
7. Cumberland Law Journal-Fee to advertise estate (10/8/2012) 75.00
8. Senecal-aw-Reimbursement for postage advanced through 12/31/2012 17.74
9. Senecal-aw-Reimbursement for mileage to&from Cumb. Cty. Cthse. (10/08/2012) 25.30
10. Central Penn Business Journal-Fee to advertise estate(11/23/2012) 150.00
11. Fee reserved to pay Cumberland County for filing and approval of Final Account 165.00
TOTAL(Also enter on Line 9,Recapitulation) $ 16 098.14
If more spaos is needed,use addtonal sheets of paper of the same sae.
REV-1512 EX+(12.09)
pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INNERITANCE TAX RETURN MORTGAGE LIABILITIES,&LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Mary D. Bingman 0 0
Report debts Incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Capital Area Health Associates-Physicians'bill(10/8/2012) 102.60
2. Nancy Kelker-(Caregiver) (03/30/2012) 120.00
3. (Intentionally Blank) 0.00
4. Messiah Lifeways-Nursing home bill(04/16/2012) 8,273.52
5. American Bible Society-(Return of overpaid interest check)(4/12/2012) 21.92
6. Messiah Home Care, LLC-Home care(04/14/2012) 71.80
7. Messiah Lifeways-Nursing Home bill(05/14/2012) 184.47
8. Penna State Employees Retirement Service-Refund of retirement payment(05/15/2012) 30.28
9. Paul Dalbey, DPM-Podiatrist bill(05/14/2012) 4.15
10. Verizon-Payment of Telephone Bill(04/09/2012) 21.76
TOTAL(Also enter on Line 10,Recapitulation) $ $830.50
If more space is needed,insert additional sheets of the same size.
REV-1513 EX+(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Ma D. Bin man 0 0
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trnstee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS (include outright spous};distributions and transfers under
Sec.9116 a�1i1.2.
1. Jane E. Bingman Guerin (30%) (Daughter) Lineal 8,783.05
269 West Walnut Lane
Philadelphia, PA 19144
2. Ruth Ann Bingman Gerardi (30%) (Daughter) Lineal 8,783.05
453 Bendale Drive
Severna Park, MD 21146
3. Robert Steward Bingman (30%)(Son) Lineal 8,783.04
1370 Valley Road
Etters, PA 17319
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
II. NON-TAXABLE DISTRIBUTIONS:
A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1. Beavertown United Methodist Church (2%) 585.53
11 W Walnut Street
Beaverton, PA 17813
2. Asbury Theological Seminary (2%) 585.54
204 North Lexington Avenue
Wilmore, KY 40390
3. Pennsylvanians Concerned About Alcohol Problems (4%) 1,171.08
900 S.Arlington Avenue,#160B
Harrisburg, PA 17109
TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ONLINE 13 OF REV-1500 COVER SHEET. $ 2,927.69
If more space is needed,use additional sheets of paper of the same size.
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
Mary D.Bingman
Decedents Name Page 1 File Number
Schedule J-Beneficiaries-2113
H. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
4. Shepardstown United Methodist Church (2%) 585.54
1934 S York Street
Mechanicsburg, PA 17055
SUBTOTAL SCHEDULE J-2B 585.54
REV-1500 Discount, Interest and Penalty Worksheet
Discount Calculation
Total Amount Paid within three calendar months of the decedents date of death: _ _0.00
Discount: 0.00
Interest Table
Year Days Delinquent Balance Due Interest
this time period this year _ this period
Before 1981
1982 -
1983
1984
: 1885--- - 1------ - - -
1986
1987 --- J
19_88 through 1991
1992 -- ---- -- -
1993 through-1994
1995 through 1998 _
1999
2000 -
2001
2002
2003
2004 _
-2005_
2006 -- - - -- - — --
. 2007 - -- -.
200_8_. - --- !--- -
2009
2010
2012.__ 2 _- 1,185.71.;_
2013 90- - -- _ 1,18-5.71_ 8.84
--- TOTALS - -I92 - -- -- - - —9.03
Penalty Calculation
If the decedents date of death was on or before March 31, 1993, insert the applicable amount:
Total Balance Due on January 17, 1996:
Penalty: -- — - --- -
=rtL OF
LAST WILL
MARY D. BINGMAN
CUt1A }BQ,.D-N,'D ('10,, PA,
I, MARY D. BINGMAN, presently of Lower Allen Township, Cumberland
County, Pennsylvania, do hereby declare this to be my Last Will, and do hereby
revoke all prior Wills and Codicils hereinbefore made by me.
1. 1 hereby give, bequeath and devise to my husband,STEWART F.
BINGMAN,my entire interest in and to any and all of my property of whatsoever
nature and wherever situate. If my husband does not survive me,all of my
property shall be distributed as follows:
(a) An amount equal to two percent (2%) of my estate (after all debts are
deducted but before taxes are calculated) to the BEAVERTOWN UNITED
METHODIST CHURCH, of Beavertown, Snyder County,Pennsylvania, for use in
its general fund, provided that as of the date of distribution from my estate, it has
remained active as a separate and distinct congregation, and has not merged with
or become a part of another congregation. If this has occurred then this share shall
be so distributed as set forth in subparagraph (d) below.
(b) An amount equal to two percent(2%) of my estate (after all debts are
61916 /�
deducted but before taxes are calculated) to the ASBURY THEOLOGICIAL
SEMINARY, of Wilmore, Kentucky or its legal successor, for use in its general
fund.
(c) An amount equal to four percent (4%) of my estate (after all debts are
deducted but before taxes are calculated) to the PENNSYLVANIANS
CONCERNED ABOUT ALCOHOL PROBLEMS, of Harrisburg, Pennsylvania or
its legal successor, for use in its general fund.
(d) An amount equal to two percent (2%) of my estate (after all debts are
deducted but before taxes are calculated) to the SHEPHERDSTOWN UNITED
METHODIST CHURCH, of Mechanicsburg, Pennsylvania, for us in its general
fund, provided that as of the date of distribution from my estate, it has remained
active as a separate and distinct congregation, and has not merged with or become
a part of another congregation. If this has occurred then this share shall be
distributed as set forth in subparagraph (e) below.
(e) The remaining part of my estate and any share of my estate given to one
of the above mentioned organizations that no longer exists as provided above, to
my children,JANE E. BINGMAN GUERIN, RUTH ANN BINGMAN GERARDI,
and ROBERT STEWART BINGMAN, in equal shares. If a child of mine does not
survive me, then his or her share of my estate shall be distributed to my said
child's children (either natural or adopted) surviving me at my death to be
divided between or among them in equal shares.
2
61916 — tom.
2. Should any beneficiary under this Will die within ninety (90) days after
the date of my death, such beneficiary shall be deemed to have predeceased me
for all purposes under this Will.
3. Any property, either of income or principal,which is payable or
distributable to a minor under this Will shall be transferred to the surviving
parent or legal guardian for said minor to be held pursuant to the provisions of
the Pennsylvania Uniform Transfers to Minors Act until age twenty-one (21) with
said surviving parent or legal guardian being hereby nominated as the custodian
thereof.
4. Except as otherwise required by law, in the administration of my estate
my Executor or Executrix shall have the following powers,which may be
exercised without leave of court, in addition to those powers as my Executor or
Executrix may have by law:
(a) To sell, exchange, grant options upon, or otherwise dispose of
any property, real or personal, tangible or intangible, or mixed, or interests
therein, wheresoever situate, at any time held by them, at public or private sale,
for cash or upon credit, in such manner, to such persons, and at such price, terms
and conditions as they may deem best, and no person dealing with them shall be
bound to see to the application of any funds paid to them.
(b) To distribute in cash or in kind, or partly in each, and in shares
61916 3
l
• r.
different in kind from other shares, upon any division or distribution of any
property which they hold.
(c) To make from time to time partial distributions in varying
amounts to the beneficiaries hereunder prior to final settlement and distribution of
my estate, and in connection therewith to determine in their discretion the time or
times when such partial distributions may require recomputation of said
beneficiaries' proportionate interests hereunder for the equitable allocation of
income or on account of changing asset values pending final distribution.
(d) In general, to exercise all powers in the management of the assets
and property held by them which any individual could exercise in the
management of similar property owned in their own right, upon such terms and
conditions as to they may deem best, and to execute and deliver all instruments
and to do all acts which they may deem necessary or proper to carry out such
management and their duties under this Will.
5. I hereby appoint my son, ROBERT S. BINGMAN,to serve as Executor
of my estate hereunder. Should my said son be unable, unwilling, fail to qualify,
or cease to act as such Executor, then I appoint my daughter-in-law, GEORGENE
M. BINGMAN, to serve as my Executrix under this Will. My Executor or
Executrix shall not be required in any jurisdiction to file, enter or post any bond or
other security for the faithful performance of his or her duties hereunder,and
61916 4 ~
shall not be liable for the acts, omissions or defaults of any agent appointed by
him or her with due care.
IN WITNESS WHEREOF, I, the said MARY D. SINGMAN, hereby set my
hand to this my Last Will, typewritten on and consisting of these five (5) sheets of
paper, at the bottom of each of the preceding pages of which I also have placed my
initials, on this ` day of hCdr 911 1' , 2000.
�i9 �/��i!4_ � ✓���r�Y7.--�Z='ate/
MARY D.,, INGMAN
61916 5
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
I, MARY D. BINGMAN testatrix,whose name is subscribed to the attached
foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed such instrument as my Last Will, and that
I signed and executed it willingly and as my free and voluntary act for the
purposes therein expressed.
Sworn or affirmed to and acknowledged before me,by MARY D.
BINGMAN, the testatrix,this 5'�"` day of at&r- , 2000.
M�ARYb.BINGMAN
Notary Public
My Commission Expires:
61916
On this S+"'day of 2000, MARY D. BINGMAN declared to
us, the undersigned, that the aforegoing instrument was her Last Will, and she
requested us to act as witnesses to the same and to her signature thereon. She
thereupon signed said Will in our presence, we being present at the same time.
We now, at her request, in her presence, and in the presence of each of us, hereby
subscribe our names as witnesses thereto and have placed our initials at the
bottom of each of the preceding pages. By so doing, each of us declares that he or
she believes this testatrix to be of sound mind and memory.
�• '' residing at lly'";d4LA 1
V
residing at
residing at
61916
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNT Y OF CUMBERLAND
We,
the witnesses whose names are signed to the attached foregoing instrument,being
duly qualified according to law, do depose and say that we were present and saw
MARY D. BINGMAN, the testatrix, sign and execute such instrument as her Last
Will; that such testatrix signed such instrument willingly and executed it as her
free and voluntary act for the purposes therein expressed; that each of us in the
hearing and sight of such testatrix signed such Last Will as a subscribing witness
thereto; and that to the best of our knowledge, such testatrix was at that time 18 or
more years of age, of sound mind and under no constraints or undue influence.
Sworn or affirmed to and subscribed before me by �/ Cl—
witnessesrthis day of
pp g j , r ; 2000.
WITNESSES:
Notary Public
My Commission Expires:
jw;nvv.ne.
f ^)S t
a f i
12 2001
61916
Dec. 31. .2012 9: 35AM PNC No, 3515 P. 2/2
December 31. 2012
Richard J Seneca
Attorney at Law
564 Old York Road
Etters PA 17319
RE: Mary D Bingman
SSN: 198-32-6687
DOD: 03/29/2012
Dear Sir/Madam:
In response to your request for Date of Death(DOD)balances for the customer noted above, our
records show the following:
Checking Account
Account#5070076935 Established: 01/01/1979
MARY D BINGMAN
DOD balance: $12,386.27 +0.05 accrued interest
Please note that this office provides date of death balances for deposit accounts(IRAs, CDs, Checking and
Savings). We do not process any financial transactions or provide statements. If you need assistance with
any of these items,please call 1-888-PNC-BANTA(1-888-762-2265)or stop by your local PNC Bank branch
office.
Sincerely,
National Financial Services Center
PNC Bank,N.A.
Member FDIC
This message is intended for the use of the individual or entity to which it is addressed and may
contain information that is privileged, confidential and exempt from disclosure under applicable
law. If the reader of this message is not the intended recipient or the employee or agent
responsible for delivering this message to the intended recipient,you are hereby notified that any
dissemination, distribution or copying of this communications is strictly prohibited If you have
received this communication in error,please notify me immediately by reply or by telephone at
800 762-1775 and immediately destroy this faxed document
Paae 1 of 1
Friday, December 28, 2012 3:13 PM Malpezzi Funeral Home 7176972414 p.01
Malpezzi Funeral Home
8 Market Plaza Way
Mechanicsburg,PA 17055
(717)697-4696
Michel J.Malpezzi,Owner,FD Jeremy J, Shartzer,FD Kyle G.Knipe,FD
December 28,2012
Robert S.Bingman
1370 Valley Road
Etterq,PA 17319
The Funeral Service for Mary D.Bingman
We sincerely appreciate the confidence you have placed in us and will continue to assist you in every
way we can. Please feel free to contact us if you have any questions in regard to this statement.
THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES,FACILITIES,AUTOMOTIVE EQUIPMENT,
AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS.
1. PROFESSIONAL SERVICES:
Servicee of Fiuiaml Director/Staff $5,475.00
FUNERAL HOME SERVICE CHARGES $5,475.00
SELECTED MERCHANDISE:
20&.uge Steel Casket $1,725.00
olirwdien Burial Vault $1,150.00
Hummingbird Register Package $95.00
THE COST OF OUR SERVICES,EQUIPMENT,AND MERCHANDISE
THAT YOU HAVE SELECTED $8,445.00
AT THE TIME FUNERAL ARRANGEMENTS WERE MADE,WE ADVANCED CERTAIN PAYIVIENTS TO
OTHERS AS AN ACCOMMODATION. THE FOLLOWING IS AN ACCOUNTING FOR THOSE CHARGES.
CASH ADVANCES:
Openuig Grave $475.00
Cemetery Equipment $455.00
Certified Death Certificates $90.00
Newspe.Per Notices-Patriot $271.10
Newspaper Notices-Sunbury Item $120.00
Clergy $250.00
Organist $100.00
Flowers $175.00
TOTAL CASH ADVANCES AND SPECIAL CHARGES $1,936.10
CONTRACT PRICE $10,381.10
HISTORY:
03/29/2012 Discount Cleric Discount $250.00
04/18/2012 Payment Payinent $9,815.00
04/23/2012 Payment Payment $316.10
TOTAL AMOUNT DUE $0,00