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� 15�561�1�5
REV-1500°``°Z-11"�'
� enns l alria OFFICIAI USE ONLY
PA Department of Revenue P Y Counry Code Year File Number
BureauofIndividualTaxes �`��p'"`"T���`�`��`
po Box z8o6oi INHERITANCE TAX RETURN ` � r� Q�t� �
Harrisbur PA i i28-o6oi RESIDENT DECEDENT 1 J o�
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
_ _ _ _ _ ___ _ , _ _ _ _ _ _
' ' 12/27/201� ' 06/24/1928 '
DecedenYs last Name Suffix DecedenYs First Name MI
_ _ _ _, _ _, _,
Looker June S '
(tf Applicabfe)Enter Surviving Spouse's Information elow
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
FIIL IN APPROPRIATE OVALS BELOW
C� 1.Original Return O 2.Supplsmental Retum O 3. Remainder Return(Date of Death
', Prior to 12-13-82)
p 4.limited Estate O 4a.Fut�re Interest Compromise(date of p 5. Federal Estate Tax Retum Required
dea h after 12-12-82)
� 6. Decedent Died Testate O 7.Dec�dent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Att$ch Copy of Trust.)
O 9.titigation Proceeds Received O 10.Spo saf Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A)
Be een 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL ORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
� Name _ _ Daytime Telephone Number __
Geneva G Looker (703) 894-2200
_ _ __ . _ _ _ __ _
' �EGISTER OP WItGS USE ON�,Ij
� b c,.> -'�s' r."'�
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First Line of Address � '�� ,��--'-' r� .��
rn -r' � ..; ;.�
2501 Villanova Dr. � � r' �; ;-�-;
:•.
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--r,, (`-'9
Second Line of Address � � '`7 � �� ,,,,
�.,., �, -
_ _ . .� ,..
C:5 'T± -r2 --'!
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City or Post Office State ZIP Code �` C- DATE FILED � ,-�
. .
_ _ _ _ . _ ,, .. �"'�'i
Vienna : VA .22180 � —' N e,� �
_ _ _, _ �
CorrespondenYs e-mail address: IOOk@� wrasso .com
Under penalties of perjury,I deGare that I have e�camined this retum, ncluding accompanying schedules and statements,and to the best of my knowledge and belief,
it is true,corcect and complete.Declaration of preparer other than th personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF P SON ESPONSIBLE FOR FIL G R TURN DATE
ADDRESS
2501 Villanova Dr.,Vienna,VA 22180
SIGNATURE OF PR ER OTHER T REPR SE TATIVE OATE
„ � 3 �3
ADDRESS
2501 Villanova Dr.,Vienna,VA 22180
� PLEASE SE ORIGINAL. FORM ONLY
Side 1
� 1505610105 , 1505610105 J
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J 1505610205
REV-1500 EX(FI) DecedenYs Social Security Number
__ . _
DecedenYs Neme: June S. Looker '
RECAPITULATION
1. Real Estate(Schedule A). .... . ....... .. ........ . .... ....... . . .. ...... L __
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. ; 43,801.68
6. Jointly Owned Property(Schedule F) O Separate Billing Requested ...... . 6.
7. Inter-Vivos Transfers 8�Miscellaneous Non-Probate Property 18,742.60
(Schedule G) O Separate Billing Requested........ 7.
8. Total Gross Assets(total Lines 1 throu h 7 .._•• •..•• •.. 8• ' 62'S44'28
9 ).. . ... ... ..... ..
9. Funeral Expenses and Administrative Costs(Schedule H)........ .. ........ . 9. ' 7,156.64
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)... ... .... . .. .. 10. 2,927.18
11. Total Deductions(total Lines 9 and 10). .. ..... . ....... .......... . ..... . 11. ! 10,083.82
12. Net Value of Estate(Line 8 minus line 11) ..... .... . ....... ... ....... . .. 12. 52,460.46 '
13. Charitable and Govemmental 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. ' S2,460.46 ,
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 2,360.72
at Iineal rate x.0 45 2,360.72 ' �s.
17. Amount of Line 14 taxable
at sibling rate X.12 17.
18. Amount of Line 14 taxable
at collateral rate X.15 �8•
_ . . .. .... �s. 2,360.72 '
19. TAX DUE . .... . .. . ... . . .. . .. .... . ... . ...... . .... . .. .... .. _ _ _
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT �
Side 2
� 1505610205 15�56102D5 J
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REV-1500 EX(Fi) Page 3 File Number
Decedent's Complete Address:
DECEDENT'S NAME
June S. Looker
STREETADDRESS ------- --- --�---- ---------------------------- —
210 Big Springs Road '�
-------------- -----,'�
CITY — ! STATE ZIP
Newville , PA 17241
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 2,360.7'�
2. Credits/Payments
A.Prior Payments _._
B.Discount '
Total Credits(A+B) (2) 0.0�
3. Interest
(3) 0.0�
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. Thisl,is the OVERPAYMENT.
Fill in oval on Page 2,Line 20 to request a refund. (4) 0.0�
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 2,360.7�
Make check payabl to REGISTER OF WILLS, AGENT
, ..� ... . . 4,a9�.+. �,M __ � . . . .. ��i.,a.,,',�,,,. '�^'�.�. � ��>, �3 . . . . . .. . ... . . . ..e�„a! . . .sasr. .�r.. :>�Si� ��4,�.., .,c,u.,. _�1(�;�
� PLEASE ANSWER THE FOLLOWING QUE�TIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: ' Yes No
b. re ain the risht toldesmnatetwho hal�use the�rred.......................................................................................... � � '
9 9 property transferred or its income ............................................ � �
d. receive the romise for life of either a mentsf................................................................................................. ❑ ■
c. retain a reversionary interest................ .
2. If death occurred after Dec. 12,1982,did decede�benefits or care?...................................................................... � �
p PY
, t transfer property within one year of death
without receiwng adequate consideration. ..........a�................................................................................................... � ❑
3. Did decedent own an"in trust for"or payable-up -death bank account or security at his or her death?.............. ❑ �
t,annuity or other non-probate property,which
4. Dontams a be eficiary'designation�irement accou.�.................................................................................................. ❑ �
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS Y ,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN
a...���e�,�;,. ��� �u ay � ,°���' �a�„ ��3s�c r 3 ,,.., ., . , y5�
'1' . �v_ �',., • � �: . ,�Sl< �:�. . . .', . �' . �.F,_`�i2 Y TmS,,.: d1 .... ���'
, ,i's_ i?. . . eEa,.4. ��„� .
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 spous�
is 3 percent(72 P.S.§9116(a)(1.1)(i)).
For dates of death on or after Jan. 1, 1995, the tax rate impos d on the net value of transfers to or for the use of the surviving spouse is 0 perc�rik
[72 P.S.§9116(a)(1.1)(ii)].The statute does not exempt a transfer o a surviving spouse from tax,and the statutory requirements for disclosure of assets a�d
filing a tax return are still applicable even if the suroiving spouse is he only beneficiary.
For dates of death on or after July 1,2000:
• The tax rate imposed on the net value of transfers from a dec ased child 21 years of age or younger at death to or for the use of a natural parent, a�
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 us of the decedenYs lineal benefiaaries 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 decedenYs 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 pare t in common with the decedent,whether by blood or adoption.
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REV-i5o8 EX+(o8-iz)
�� pennsylvania lSCI�IEDULE E
DEPARTMENTOFREVENUE CASH, ANK DEPOSITS &MISC.
� INHERiTANCE TAX REfURN p RSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
June S. Looker �/— :2�/� - �v,�Z/
Include the proceeds of litigati n and the date the proceeds were received by the estate.
All property jointly owned w' right of survivorship must be discl�ed on Schedule F.
TTEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
w,
1. United Bank,Chantilly VA,Acxount 00695726 4 7,655.04!!;
�
2. ACNB Bank,Gettysburg,PA Account 2163926 9,251.0?i!;
3. Riversource Long Term Care Insurance paid 1/�/13 2,890.Oa�,;
4. Riversource Long Term Care Insurance paid 1/�3/13 548 00�;
5. Kessler Trust Annuity payment 1l23I13 I� 918.Oa;`
g. Proceeds from LCBA Funeral prearrangementsl 1/23/13 6,234.65��'
�� � � �
7. Refund from Green Ridge ViNage(nursing carelfaci{ity)3111/13 7,633.$4 �'
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g. Federal Income Tax Refund 5/9/13 ' 6,667.00';
g. Board of Pensions check(returned on Schedul�I)1/1/13 2,004.08 �'
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TOTAL(Also enter on Line 5, Recapitulation) $ 43,801.68 'I, '
If more space is needed,use additional sheets of paper of the same size.
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REV-1510 EX-i-(OS-09}
` � pennsylvania �CHEDULE G
DEPARTMENT OF REVENUE INTER �� IVOS TRANSFERS AND
� INHERITANCETAXRETURN MISC. ON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
June S Looker �1� 2013-00321
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH °!u OF DECD'S EXCLUSION TAXABLE
[NCLUOE T}1E NANE OF iHE TRPNSfEREE,THEIR RELATIONSHIP TO DECEDENT AND �.
NUMBER THE DATE OF TRNNSFER. ATTACH A LOM Of THE DEED FO �u esrnTe. VALUE OF ASSET INTEREST (IF ADPLICABLE) VALUE
,;�,�
1. Transfer of 238 shares of Merck Stodc,Account 34 10410,on 3/12/12 at 9,246.30 3,000.00 6,246.3�
$38.85/share to son,Christopher Looker
2 Transfer of 238 shares of Merck Stock,Account 34 10410,on 3/12/12 at g,2q6.30 3,000.00 6,246.3�
$38.85/share to son,Stephen Looker
3 Gifts of Cash to son,Christopher Looker on 1/24112;9/19/12 and 11/12l12 2,750.00 2,750.0�'
4 Gifts of Cash to son,Stephen Looker on 1l23/12;8! 3(12;9119/12 and 3,500.00 3,500,�0
11/12/12
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TOTAL(Also enter on Line 7, Recapitulation) $ 18,742.60 '
If more space is needed,use additional sheets of paper of the same size.
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REV-1511 [X+(10-09}
' $CHEDULE H
� pennsylvania
. DEPARTMENTOFREVENUE FUN� RAL EXPENSES AND
• INHERITANCE TAX RETURN AD INISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
June S. Looker a�-2013-00321
Decedent's ebts must be reported on Schedule L
ITEM '
NUMBER DESCRIPTION AMOUNT
A, FUNERAL EXPENSES:
1' Yost Gedon Funeral Home,Lock Haven PA: ee,cremation,staff for service,hearse,um,filings,etc. 3,495.0��
2. Great Island Pres.Church:custodial,pastor, rganist,meals 850.0� ,
�
s. Cemetery Fees � 550.0�
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a. Flowers 150.00�''.
,
s. Obituary announcements,memorial cards,bu letins,etc. 1,189.6�
d�
s. Lodging for family for memorial service at Ave ue B&B 280.Oq
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B. ADMINISTRATIVE COSTS: I
1. Personal Representative Commissions: ,
Name(s)of Personal Representative(s) '
Street Address ' '
City__ I State__ZIP
� Year(s)Commission Paid: _
2. Attorney Fees: �`,.
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.)
Claimant '
Street Address �
Ciry__ _State ZIP
Relationship of Claimant to Decedent
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4. Prohate fees: , ;;
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5. Accountant Fees;
6. Tax Return Preparer Fees: I 595.Oa �
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�• Estate checks 46.99��
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a
a
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TOTAL(Also enter on Line 9, Recapitulation) $ 7,156.6�1''
If more space is needed use additional sheets of paper of the same size.
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REV-1512 EX+(7.2-12)
�� pennsylvania �SCHEDULE I
DEPARTMENTOFREVENUE D BTS OF DECEDENT,
� INHERIfANCE TAX RETURN MORTG GE LIABILITIES 8� LIENS
RBSIDENT DECEDENT
ESTATE OF FILE NUMBER
June S. Looker .?I-2013-00321
Report debts incurred by the decedent prior to death th t remained unpaid at the date oi death,including unreimbursed medical expenses.
ITEM VALUE AT DATE ,
NUMBER D SCRIPTION OF DEATH '
1• Millenium Pharmacy 117113 418.85 ': '',
2. Millenium Pharmacy 2/13/13 53.22 "''�
3. Dr.Guistwite 117113 10.96 '' j
4. Dr.Guistwite 3l26113 21.34 ` '
5. Newville Community Ambulance 1/17/13 25.26 ' ',
6. West Shore EMS 2/13113 231.42 ',
7. Capital CardiovascularAssoc.3/13/13 7-6o �
8. Camp Hill Emergency Physiaans 3/4/13 ;I 19.36
9. Quantum Imaging 5l28/13 ��97 `',
10. Holy Spirit Hospital 6/6l13 5�.78 ' '
* 11. Spirit Physicians Services 1117113 75.34 ',
12. Refund of Board of Pensions January payment 1 14/13 2,004.08 '
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TOTAL(Also enter on Line 10, Recapitulation) # 2�927•18 '
If more space is nee ed,insert additional sheets of the same size.
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REV-1513 EX+(01-10)
� �pennsytvania SCHEDULE 7
DEPARTMENT OFREVENUE
� INHERIfANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
JuneS. Looker �i�2013-00321
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECE ING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS[Include outright spousal dist ibutions and transfers under
Sec,9116(a)(1.2).]
1. Christopher T.Looker,2501 Villanova Dr.,Vien a,VA 22180 son 50°/a;�
a
2. Stephen A.Looker,617 Brookhaven,New Cum rland,PA 17070 son 50% 1.
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ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN BOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE,
II NON-TAXABLE DI5TRIBUTIONS
A. SPDUSAL DISTRIBUTIONS UNDER SECTION 9113 FO WHICH AN ELECTION TO TAX IS NOT TAKEN;
1. �I
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B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1. '
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TOTAL OF PART II- ENTER TOTAL NON-TAXABLE ISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. �
if more space is needed,use additional sheets of paper of the same size.
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REGISTER OF WILLS _ _ _ _ _ _ _ _ __
CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERiS
PENNSYLVANIA
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No. 013- 0032.1 PA No. 2�- 13- 0321 �
Es ta t Of: JUNE STROBLE L OOKER
(First,Midd/e,LasU
La te f: NEWV/LLE BOROUGH
CUMBERLAND COUNTY
Decea ed
Socia Security No:
WHEREAS, on the ISth day f March 2013 an instrument dated
March 26th 2003 was admitted o pro.bate as the Iast will •of
JUNE STROBLE LOOKER
ffirst,Midd/e,LasU �
Ia te of NEWV/LLE BOROUGH, CUMB LAND County,
who died on the 27th day of De ember 2012 and
WHEREAS, a true copy of th wi11 as probated is annexed hereto.
THEREFORE, I, GLENDA FARNE STRASBAUGH , Regi s ter of Wi 11 s in and
� for CUMBERLAND County, in tl�e ommonweal th of Pennsylvania, hereby
certi fy tha t I have thi s day g an ted Le t ters TESTAMENTARY to:
CHR/STOPHER TODD LOOKER
who has duly qualified as EXEC TOR(R/Xl
and has agreed to administer t e estate according to law, all of which
fully appears of record in my ffice at CUMBERLAND CDUNTY COURT HOUSE,
CARLISLE, PENNSYL VAN/A.
IN TESTIMONY WHEREOF, I ha e hereunto set my hand and affixed the seal
of my office on the 15th day of arch 2013.
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Regrs e�of d!s
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eputy
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**NOTE** ALL NAMES ABO E APPEAR (FIRST, MIDDLE, LAST)
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LAST ILL OF JUNE S. LOOKER �
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I, JIJNE S.LOOKER, f Lock�iaven, Clinton County, Pennsylvania,hereby declaze tXiis
���-- to be my Last Will and revoke all my prior Wills.
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�- 1.� Payment oFDebts and Taxes
J I direct that all my just ebts and funeral expenses be paid out of my estate. All federa�l,
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d state, and other death taxes pay ble because of my death, with respect to the property forming r;�.�
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gross estate for tax purposes pa sing under this Will, including any interest or penalty imposed'��n
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connection with such tax, shall be considered a part of the expense of the administration of mj�
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`� estate and shall be paid out of�he principal allocable to the residue passing under Paragraphi l�
� hereof without apportionment r right of reimbursement. I direct that each person receivin�g
nonprobate property that is subj ct to federal, state, and other death taxes, shall pay the federa�,
state, and other death taxes attr'butable to his or her estate or its share of my taxable estate.
Z. ', Gsft to S�ouse '
,
I give my entire estate to my husband, Russell L. Looker, if he survives me by thirty (3p�
days. ' '
�
�� Gift to Issue
s�► ' a ... 3 �
_.., t.,._
u,s _ ;� �.,
ca .;r '.`- ��;
�_ ,.:r � �'�� `��n.ttie event that my hus and, Russell L. Looker, does not so survive me, then I give m�
�._ ,s_ ,.�M . c�z
� � ,f�nt���'sta�;e to my sons, Christ her T. Looker of Vienna, Virginia, and Stephen A. Looker o�
t�.t ts t � � � w
�, �' �ew �ir�erland, Pennsylvani , in equal shares. In the event that either of my sons shou]c�
c� w o �
w � �
� �-=�redeceas`�'me, then his share s all not lapse, but pass to his children per stirpes. '
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Page 1 of 5 '
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4. TnrstforMinors
Should any beneficiary e titled to a share of my estate not have attained the age of twenty�,-
five(25)years at the time of dis ibution to them, then my trustee shall, IN SEPARATE TRUST�„
hold, manage, invest and reinve t the share so received, and the accumulation of income thereon�
and to use and apply the income nd principal, or so much thereof as, in Trustee's discretion, ma�
''� be necessary or appropriate fo such beneficiary's support and education (including colleg�
.� e
:� ducation, both graduate and u dergraduate) or to make payment for these purposes; without
Y
� further responsibility, to such be eficiary or to any person taking care of such beneficiary. Any+,
� principal or income not so appli shall be distributed to such beneficiary absolutely when they!
� attain the a e of twent five �5 ears.. If the die before attainin a e twen five 25 , the trust,;
� g y- �� � Y g g tY- ( )
� shall terminate and such share sh 11 be distributed to their personal representative.
5. Powers ofExecutorand Trustee
In addition to powers gra ted b� law, my Executor and Trustee shall have the following ',,
powers exercisable at their discre 'on, without court approval, with respect to both principal and '�'
accumulated income and such po ers shall continue until distribution is actually made:
5.1 Sale, etc. To sell at public or private sale,to exchange or to lease for any period of ,
time, any real or personal proper , and to give options for leases.
5.2 Borrowin�. To bo row money and to pledge or mortgage any real or personal
property.
5.3 Com�romise. To c mpromise claims.
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5.4 Investments. To a cept in kind; retain and invest in any form of progerty without,! -
being limited to legal investment�.
5.5 Reorganizations. o join in any merger,reorganization, voting trustplan, or other',!
concerted action of security holde s delegating discretionary duties with respect thereto.
5.6 Princi al and Inco e. To allocate any property received or charge incuned to '''�
_'�, .
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' principal or income or partly to e h as my Tzustee and Executor may from time to time direct, ''
;:a regardless or whether such discre ons follow the usual rules of trust accounting.
J`-
. 5.7 Disclaimer. To dis aim any interest in property in accordance with Chapter 62 of '
�
� the Probate, Estates and Fiduciari s Code or Section 6103 thereof and may do so without court ''
�.—
authorization. �
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'' 6. A��ointment ofExecutor aud Trustee
I appoint my husband, Rus ell L. Looker, as Executor and Christopher T. Looker as
Trustee under this Will. Should Ru sell I,. Looker, for any reason, fail to qualify or cease to act �!
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as such Executor during the admi istration of my estate, I appoint Stephen A. Looker and ', i
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Christopher T. Looker as alternate xecutors under this Will, with the same duties, powers and �
discretion as if originally appointed. Should Christopher T. Looker, for any reason,fail to qualify
or cease to act as such Trustee dur ng the administration of my estate, I appoint Stephen A.
Looker as alternate Trustee under is Will, with the same duties, powers and discretion as if
originally appointed. Neither my Ex cutors nor my Trustee shall be required to enter bond or ;
furnish sureties in any jurisdiction.
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Page 3 of 5
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IN WITNESS WHEREOF I have hereunto set my hand and seal this 26``' day of I
March , 2003.
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�� JUNE S. LOO R
SIGNED, SEALED, PUB ISHED AND DECLARED by the above named June S. '
Looker, as and for her Last Will, in the presence of us, who, at her request, in her presence and '
in the presence of each other, have ereunto subscribed our names as witnesses.
� � � residing at Lock Haven PA .
� " �
�. `� l
�� j residing at Mill Hall PA
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Page 4 of S
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COMMONWEALTH OF PEN SYLVATTIA )
) SS:
COUNTY OF CLINTON �
We, June S. Looker, Ro ert H. Lugg and Trisha A. Wohlfert, the testatrix and witness�sj�
respectively, whose names are igned to the attached or foregoing instrument, being first dul�
sworn, do hereby declare to the undersigned authority that the testatrix signed and executed tl��
instrument as her Last Will and he had signed willingly (or willingly directed another to sign fp�
her), and that she executed it as er free and voluntary act for the purposes therein expressed, an�
that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as witnes��
� and that to the best of their know edge the testatruc was at that time eighteen years of age or older':
�.
of sound mind and under no co traint or undue influence.
� ,� _.� �� ; ��1
June S. Looker
Witness '
,� � � ;
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� � � ��i �
Witness
I
Subscribed, sworn to and acknowledged before me by June S. Looker, the testatrix, and'�,!
subscribed and sworn to before e by Robert H. L gg and Trisha A. Wohlfert witnesses, this ll,'
26`� day of March, 2003. � '
.__. � 1��
� o ry Public
Commission ires: � =
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NOTARIAI SEAL
Pa C S O S ��Sn�•KRAM[R,NOTARY PU(3LIC
�' .f LOCK HAVEN,CLINTON COUNIY
MY COMMiSSION EXPIRES OCt 13,2003
_ _ _ _ I
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UNITED
�I
BAItiiK �
Q your service '
� 012 Page 1 of 2 � � ����������
Last statement: December 15,
This statement: January 15, 20 3 0069572634
Total days in statement period: 1 (0)
1.1 �I
I�
Direct inquiries to:
800-730-6169
JUNE S LOOKER �
CHRISTOPHER T LOOKER POA United Bank I'�
2501 VILLANOVA 14426 Albemarfe Point Place Ste 100
VIENNA VA 22180-6958 Chantilly VA 201 51-1 678
�
��
BY FEDERAL LAW, AS OF 1/01/2013, FUNOS /N A NON/NTEREST-BEAR/NG
TRANSACT/ON ACCOUNT pN LUD/NG /OLTA//OLA1 W/LL NO LONGER RECE/VE i�
UNLIMITED DEPOS/T/NSURAN E COVERAGE, BUT W/LL BE FD/C-/NSURED TO THE
LEGAL MAX/MUM OF 5250,D D FOR EACH OWNERSH/P CATEGORY, WE WILL I
NOT/FY YOU OF ANY HANGE. FOR MORE /NFORMATION, VIS/T �,
WWW.FD/C.GOV/DEPOS/T/DEP S/TS
I
,
� Regular Checking
,
Account number 0069572634 Beginning balance $14,486.21 '
Low balance 57,655.04 Total additions 8,068.58 ��
Average balance 511,075.90 Total subtractions 10,439.28
Avg collected balance S 10,693.00 Ending balance $12,115.51
CHECKS '�
Number Date Amount Number Date Amount ''
� 518 _ 01-02 11.76 J:521 12-21 9,694.84 ,
.� 519 12-17 149.83 �522 01-11 418.85 II�I
J 520 12-17 164.00
CREDITS
Date Description Additions .� I�! 7
12-17 De osit 3,177.50 ZoU�('�'� �
01-02 ' ACH Deposit 2,001.08 ✓ j '�
THE BOARD OF PEN PENSIO -CK 130102 < `�--- . - ✓"`�
01-04 Deposit 2,890.00
I
DAILY BALANCES
Date Amount Da e Amo Date Amount
12-15 14,486.21 12 21 7 655.04 01-04 12,534.36 ,
� 12-17 17,349.88 01 02 , 01-11 12,115.51
L 3542 -6709
ban withunited.com
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� Account# 2163926
Statement Date 01/27/13
�� Page 1 of 2
ACNB
�ANK
*"*""""*""*"AUTO*'MIXED AADC 170 I
2101 0.6700 MB 0.405 11 18 1 ' '
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JUNE S LOOKER -�'!.
C/O DR CHRIS LOOKER
2501 VILLANOVA DR ---..;'
VIENNA VA 22180-6958
ACNB B NK VOTED#1!
Readers of the Gettysburg Times and The E ening Sun have voted ACNB the#1 Bank! We are
very appreciative of these awards but more im ortantly we are thankful for you, our valued customer. '
We strive to make you#1!
acn .com/one
Esteem Checkin Account Summa # 2163926
� Beginning Balance on 12/25/12 $9,251.07
+ Depcsits � Other Credits $1,455.00
-Withdrawals&Other Debits $1,459.00
-Service Charges $0.00
+ Interest Paid $0.42
Ending Balance on 01/27/13 $9,251.49
Days in Statement Period 33
Account Activiiy
Date Description Deposits/Credits Checks/Debits Balance
12/25/12 BEGINNWG BALANCE $9,251.07
01/03/13 SSA TREAS 310 XXSOC SEC $1,459.00 $10,710.07 '
JUNE S LOOKER
01/04/13 R15 Bene/Acct Hldr Dceasd $1,459.00 $9,251.07
JUNE S LOOKER
00000000002163926
01/25/13 INTEREST PAYMENT $0.42 $9,251.49
- Interest Summary Interest Rate Summary
Interest Earned From 12/26/12 Through 01/27/13 Date Rate Date Rate
Days in Period 3 12/25 0.050
Interest Earned $0.4
Annual Percentage Yield Eamed 0.0 %
Interest Paid This Year $0.4
� Interest Withheld This Year $0.0
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