HomeMy WebLinkAbout06-27-13 (2) REV-1500 EX(02-11) 1505610143'
PA Department of Revenue OFFICIAL USE ONLY
P Pennsylvania county code Year File Number
Bureau of Individual Taxes eAMTMamOFe
PO BOX.280601 INHERITANCE TAX RETURN 21 13 0202
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
01 22 2013 01 18 1913
Decedent's Last Name Suffix Decedent's First Name MI
HUNK HAZEL B
(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
91 1. Original Return 2. Supplemental Return 3_ Remainder Return(Date of Death
Prior to 12-13-82)
4, Limited Estate 4a Future Interest Compromise g, Federal Estate Tax Return Required
(date of death after 12-12-82)
i-1 8 Decadent Died Testers 7. fgatacha`Eavr oj�ivsua Living Trust B. Total Number of Safe Deposit Boxes
L�J (Anach Copy of Will) Try
❑ 9. Litigation Proceeds Received �J 10.belwea P2vg 9Cr%i1JDat95�f Dasin 11 Election to tax under Sec.9113(A)
(Attach Schedule O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime telephone Nu"r
MICHAEL L BANGS 717 CF--kg 731W i i
T c m n
� n
REGIS.T-E LLS^USE dz3Lv'
z m r, m
to :10 x r
First Line of Address
429 SOUTH 18TH STREET c?S 3 v
Second Line of Address
zr r
�> o cn c,
.T
DATE FILED
City or Post Office State ZIP Code
CAMP HILL PA 17011
Correspondent's e-mail address: mikebangs @verizon.net
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.
W
it is e,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIG TURE OF PERS RESPONSIBLE FOR FILING RETURN DATE
�' . �(�14 Cynthia A. Sell ,,,, 11, 02013
ADDREIIS
2299 Forest Hills Drive Harrisburg PA 17112
SIGNATURE OF PREPARER OTHER REPRESENTATIVE DAT
Michael L. Bangs
ADDRESS
429 South 18th Street Camp Hill PA 17011
Side 1
L 1505610143 1505610143
1505610243
REV-1500 EX
RECAPITULATION
1. Real Estate(Schedule A)..................................................____......____.......... 1.
2. Stocks and Bonds(Schedule B)........................................... ................................. 2. 117 , 775 . 20
1 Closely Held Corporation,Partnership or Sale-Proprietorship(Schedule C)......... 3,
4. Mortgages&Notes Receivable(Schedule D)........................................_._.......,... 4.
5. Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 16, 793 .20
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 4 , 032 . 38
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) (J Separate Billing Requested......._... 7. 568,253 . 90
8. Total Gross Assets(total Lines 1 through 7).................. ..................................... 8. '706, 854 . 68
9. Funeral Expenses and Administratwe Costs(Schedule H)....__............................ 9. 20, 979. 38
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 11 , 846 . 04
11. Total Deductions(total Lines 9 and 10)..... .............._ ........... 11, 32 , 825 . 42
12. Net Value of Estate(Line 8 minus Line ll).............. 12. 674 , 029.26
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. 674 ,029. 26
TAX COMPUTATION-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.00 15. 0 . 00
16. Amount nealraeX .0taxable 674 , 029. 26 16. 30 , 331 . 32
at lineal rate X .045
17. Amount of Line 14 taxable
at sibling rate X,12 0 . 00 IT 0 . 00
18. Amount of Line 14 taxable
at collateral rate X.15 0 . 00 18, 0 . 00
19. TAX DUE.............._................................................................................................ 19. 30,331 . 32
20. FILL IN THE OVAL tF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Side 2
1505610243 1505610243
REV-1500 EX Page 3 Fite Number 21-13-8202
Decedent's Complete Address:
DECEDENT'S NAME
Hunn,Hazel B.
STREET ADDRESS
824 Lisburn Road,Apt. 229
--- - - -------
CITY STATE ZIP ----
Camp Hill PA 17811
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 38,331.32
2. Credits/Payments
A. Prior Payments
B. Discount 0.00
Total Credits(A +B) (2) 0.00
1 Interest (3)
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4)
Check box on Page 2,Line 20 to request a refund
5. If Line t +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) 30,331.32
Make Check Payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE$LOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred:......_.............. _............................................ ❑ f��
b. retain the right to designate who shall use the property transferred or its income;............_........._......... ❑ Lxa
c. retain a reversionary interest; or.................................................................................................
..............
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 ((��lt
receiving adequate consideration?...._.....---_.,--......._._....................................._,.,...._._....._...___..._..._.,._ ❑ F x,
3. Did decedent own an'in trust for" or payable upon death bank account or security at his or her death?....... ❑ ❑
4. Did decedent own an individual retirement account, annuity,or other non-probate property which
contains a beneficiary designation?................ ......—-----...........---- - ..............—--..... ...._.._...........
..... ❑
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving
spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or after 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
172 P.S.§9116(a)(1.1)(it)], 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)(L2)].
• 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)3.
• 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.
Re,1503 ER-(6-98)
SCHEDULE B
STOCKS & BONDS
ODMMONWEALTHOFP NSYLVANIA
INHERITANCE TM RET N
RESIDENTDECEDENf
ESTATE OF FILE NUMBER
Hunn Hazel B. 21-13-0202
All property jointly-owned with right of su"Worship must be disclosed on Schedule F.
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
1 Series EE Savings Bonds-10 savings bonds owned by 117,775.20
decedent
TOTAL(Also enter on Line 2, Recapitulation) 117,775.20
(If more space is needed,additional pages of the same size)
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B(Rev. 6-98)
Rev-1508 EX-(1140)
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Hunn, Hazel B. 21-13-0202
Include the proceeds of Inigation and the date the proceeds were received by Me estate.
All property jointlyo ed with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Members 1st Federal Credit Union -Savings Account 2,174.59
2 Proceeds from sale of personal property at auction 163.50
3 Refund from Card Member Services 14.00
4 Refund from Colonial Penn Life Insurance 76.56
5 Refund from The Hartford 14.00
6 Refund from The Woods 878.28
7 Refund from The Woods 2,170.00
8 US Bank-Checking account 11,302.27
TOTAL(Also enter on Line 5, Recapitulation) 16,793.20
(If more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule E(Rev. 11-10)
Rev-1609 EX+(01.10)
pennsylvania SCHEDULE F
DEPARTMENT OF REVENUE JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Hunn, Hazel B. 21-13-0202
d an asset was made Joint within one year of the decadent's data of death,It must be reported on schedule G.
SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT
A. Cynthia A. Sell 2299 Forest Hills Drive Daughter
Harrisburg, PA 17112
B.
C.
JOINTLY OWNED PROPERTY:
DESCRIPTION OF PROPERTY DATE OF DEATH
%OF
ITEM LETTER DATE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH VALUE OF
NUMBER FOR JOIN MADE NUMBER OR SIMILAR IDENTIFYING NUMBER.ATTACH DEED FOR VALUE OF ASSE DECD'S DECEDENT'S INTEREST
TENANT JOINT JOINTLY-HELD REAL ESTATE. INTEREST
1 A 12/23/1996 Sovereign Bank-Checking account owned 8.064.75 50.000% 4,032.38
jointly with daughter Cynthia A. Sell
TOTAL(Also enter on Line 6, Recapitulation) 4,032.38
(if more space is needed additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule F(Rev.01-10)
Rev-1510 EX.(08-09)
SCHEDULE G
pennsylvania INTER-VIVOS TRANSFERS AND
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Hunn, Hazel B. 21-13-0202
This schedule must era 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 % DECD'S EXCLUSION TAXABLE
NUMBER INCLUDE NAME OF TRANSFER.TRANSFEREE CH A COPY OF THE DEED FOR ESTgTE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1 BMO Harris Bank-Checking Account; the 8,658.96 8,658.96
beneficiaries of this account were the decedent's two
daughters, Cynthia A. Sell and Charlene Costantini
2 Members list Federal Credit Union -CD 0043; 5,178.81 5,178.81
beneficiaries are Rowynn Caroline Sell and Hazel
Anne Hutnik.
3 Members 1st Federal Credit Union -CD 0074; 10,063.29 10,063.29
beneficiary of this account is Cynthia A Sell
4 Members 1st Federal Credit Union-CD 0075; 2,665.86 2,665.86
beneficiary of this account is Nathanial Sell
5 Members 1st Federal Credit Union-CD 0076; 10,059.81 10,059.81
beneficiary of this account is Charlene S.Constantini
6 Members 1st Federal Credit Union-CD 0077; 5,029.92 5,029.92
beneficiary of this account is Cynthia A.Sell
7 Members list Federal Credit Union-CD 0078; 35,208.31 35,208.31
beneficiary of this account is Charlene S. Constantini
8 Members tat Federal Credit Union -CD 0079; 35,208.31 35,208.31
beneficiary of this account is Cynthia A. Sell
9 Members 1st Federal Credit Union -CD 0080; 5,029.76 5,029.76
beneficiary of this account is Charlene S. Constantini
10 Members list Federal Credit Union -CD 0081; 5,029.76 5,029.76
beneficiary of this account is Cynthia A. Sell
Total of Continuation Schedule ee attached page
TOTAL(Also enter on Line 7, Recapitulation) 568,25190
(If more space is needed,additional pages of the same size)
Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule G(Rev.08-09)
Rev-1510 EX.(0"9)
SCHEDULE G
pennsylvania INTER-VIVOS TRANSFERS AND
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
continued
ESTATE OF FILE NUMBER
Hunn, Hazel B. 1 21-13-0202
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH n OF DECO S EXCLUSION TAXABLE
NUMBER THE DATED NAME OF A CORELATIONSHIP Y F E DEED FOR L ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
11 Members 1st Federal Credit Union-CD 0082; 5,029.76 5,029.76
beneficiary of this account is Kimberly Hutnik
12 Members 1st Federal Credit Union-CD 0083; 5,029.76 5.029.76
beneficiary of this account is Nathaniel Sell
13 Members 1st Federal Credit Union-CD 0084; 5,020.23 5,020.23
beneficiary of this account is Kimberly Hutnik
14 MetLife Investors USA Ins Co-SFG Fixed Annuity 26.073.54 26,073.54
Contract A2070877;the beneficiaries of this annuity
were the decedent's daughters, Cynthia A. Sell and
Charlene Costantini.
15 Robert W. Baird&Co. Incorporated -The beneficiaries 132,768.22 132,768.22
of this asset were the decedent's daughters,Cynthia
A.Sell and Charlene Costantini.
16 Series EE Savings Bonds - 15 savings bonds paid on 147,880.80 147.880.80
death to Cynthia Sell
17 Series EE Savings Bonds- 10 savings bonds paid on 124,318.80 124,318.80
death to Charlene S. Constantin!
TOTAL(Also enter on Line 7, Recapitulation) 568.253.90
Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule G(Rev.08-09)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Hunn, Hazel B. 21-13-0202
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Expenses
1 Arlington Park Cemetery 590.00
2 Mader's German Restaurant-funeral luncheon (1/2 paid by Charlene Costantini) 434.26
3 Mader's German Restaurant-funeral luncheon (112 paid by Cynthia Sell) 434.25
4 Parthemore Funeral Home 4,840.92
H-A 6,299.43
Other Administrative Costs
5 Cumberland Law Journal -estate advertisement 75.00
H-B7 75.00
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
REV-1511 Ex+110-091
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
RESIDENT DECEDENT URN ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Munn, Hazel B. 21-13-0202
Decedent's debts must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 6,299.43
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Cynthia A. Sell
Street Address 2299 Forest Hills Drive
City Harrisburg State PA zlo 17112
Year(s)Commission Paid 7,000.00
2. Attornev's Fees Michael L. Bangs 7,000.00
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation)
Claimant
Street Address
City State zio
Relationship of Claimant to Decedent
4. Probate Fees 604.95
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 75.00
See continuation schedule(s) attached
TOTAL(Also enter on line 9, Recapitulation) 20,979.38
Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev. 10-09)
ltav-1512 U-(12-08)
SCHEDULE 1
pennsylvania DEBTS OF DECEDENT,
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Hunn, Hazel B. 21-13-0202
Report debts Incurred by the decedent prior to death that remained unpaid at the data of death,including unreimbumed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 AT&T 14.67
2 AT&T Universal Card 55.40
3 Home Instead Senior Care 1,675.24
4 Hospice of Central Pennsylvania 1,125.00
5 Lower Allen Township-2013 per capita tax 4.90
6 Messiah Lifeways Community Support Services 674.50
7 Metl-ife-reimbursement of overpayment 419.88
8 PA Department of Revenue -2012 income tax due 1,346.00
9 Spartan Pharmacy 86.75
10 US Bank-VISA card 25.00
11 US Treasury-2012 income tax due 6.413.00
12 Verizon 5.70
TOTAL(Also enter on Line 10, Recapitulation) 11,846.04
(If more space is needed,additional pages of the same size)
Copyright(c)2008 forth software only The Lackner Group, Inc. Form PA-1500 Schedule 1(Rev. 12-08)
REV-1513 EX.(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Hunn, Hazel B. 21-13-0202
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT (Words) ($$$)
Do Not List Tnisteels)
I TAXABLE DISTRIBUTIONS (include outright spousal
distributions,and transfers
under Sec.9116(a)(1.2)]
See attached schedule
Total
Enter dollar amounts for distributions shown above on lines 15 throw h 18 on Rev 1500 cover sheet,as a ro 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
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule J(Rev. 01-10)
NAME OF BENEFICIARY (RELATIONSHIP AMOUNT OF ESTATE
CYNTHIA SELL Daughter
ASSET _-- ---- - --- - SHARE/AMOUNT
1/2 MetLife (PNC) annuity $13,036.77
1/2 BMO account _ _ _ _ $4,329.48
1/2 Baird account _� - $66,384.11
Series EE Bonds POD I $147,880.80
--- - ---- ----------------
Members 1st CD 259732-74 j $10,063.29
Membe_rs lst CD 259732-77__ _ ____ __ _ _ —$5,029.92
Members 1st CD 259732-79 _ j — $35,208.31
Members 1st CD 259732.81 _ _ _ $5,029.76
1/2 Series EE Bonds paid to estate _ _ _ $58,88_7.60
1/2 Schedule E _ $8,396.60
Sovereign Bank Account IL L32
$358,279.02
----- --------
CHARLENE COSTANTINI (Daughter _
1/2 MetLife (PNC)annuity $13,036.77
1/2 BMO account I $4,329.48
1/2 Baird account �- $66,384.11
Series EE Bonds POD $124,318.80
Members 1st CD 259732-76 i_ $10,059.81
Members 1st C_D259732-78 _ _ $35,208.31
Members ist CD259732-80 _ - $5,029.76
1/2 Series EE Bonds paid to estate_ _ $58,887.60
1/2 Schedule E - --__� I&L96
$325,651.24
HAZEL A. HUTNIK (Great-granddaughter
1/2 Members 1st CD 259732-43 $2,589.41
KIMBERLY HUTNIK Granddaughter
Members 1st CD 259732-82 $5,029.76
--- --
Members 1st CD 259732-84 5 020.23
-- —- ----- —- - $10,049.99
NATHANIAL SELL ----_--_- _-(Grandson__
Members 1st CD 259732-75 $2,665.86
Members 1st CD 259732-83 5 029.76
--- ---— - --- - - - -- ---$7,695.62_
ROWYNN C.SELL Great-granddaughter -
1/2 Members 1st CD 259732-43 ---- - - ---_ - $2,589.40
TOTAL: -^ - — -- --$706,854.68
Sg
MEMBERS 1"
FEDERAL CRmrt UMON
March 5, 2013
Bangs Law Office, LLC
Michael L Bangs
429 South 18`" Street
Camp Hill, PA 17011
RE: Estate of Hazel B Hunn
SSN: 392-46-1981
DOD: January 22, 2013
Dear Mr. Bangs,
Enclosed are the date of death values you requested for Hazel B Hunn. In order to close the
savings account, the certificates must first be transferred to the named beneficiaries. The
beneficiaries may visit any of our branch locations or contact us at (717) 795-5139 to close or
transfer the certificates.
I have enclosed a check for the savings account funds except for $5.00. Once all the
certificates have been transferred, the remaining $5.00 can be withdrawn and the account can
be closed completely.
Please contact me if you have any questions regarding this letter.
Sincerely, J
Tessa L Klugh
Lending Insurance Support Specialist
P: 717-795-5139
F: 717-795-5178
kluoht()members1 st.org
5000 Louise Drive, P.O. Box 40, Mechanicsburg, PA 17055 www.membersIst.org
Our Mission: To serve the community and partner with our members to offer
value-added financial products, services and solutions.
5000 Louise Drive • P.O. Box 40 • Mechanicsburg,Pennsylvania 17055 • (800) 283-2328 • w .tnernberslst.org
St
MEMBERS 1s'
FOERAL(RMrr UNION
REGULAR SAVINGS ACCOUNT:
Account Number/Suffix 259732-00
D-ate Account Established 02/12/2005
Principal Balance at Date of Death $2,174.59
Accrued Interest to Date of Death $0.25
Total Principal and Accrued Interest $2,174.84
Name of Joint Owner None
CERTIFICATE OF DEPOSIT:
Account Number/Suffix 259732-43 259732-74
D-ate Account Established 01/15/2011 04/20/2012
Principal Balance at Date of Death $5,178.81 $10,063.29
Accrued Interest to Date of Death $5.33 $5.21
Total Principal and Accrued Interest $5,184.14 $10,068.50
Name of Beneficiary Rowynn Sell Cynthia Sell
Name of Beneficiary Hazel Hutnik
CERTIFICATE OF DEPOSIT:
Account Number/Suffix 259732-75 259732-76
D-ate Account Established 05/04/2012 05/04/2012
Principal Balance at Date of Death $2,665.86 $10,059.81
Accrued Interest to Date of Death $1.38 $5.21
Total Principal and Accrued Interest $2,667.24 $10,065.02
Name of Beneficiary Nathanial Sell Charlene Constantini
CERTIFICATE OF DEPOSIT:
Account Number/Suffix 259732-77 259732-78
D-ate Account Established 05/04/2012 06/18/2012
Principal Balance at Date of Death $5,029.92 $35,208.31
Accrued Interest to Date of Death $2.60 $22.28
Total Principal and Accrued Interest $5,032.52 $35,230.59
Name of Beneficiary Cynthia Sell Charlene Constantini
�M`EEMBERS 1sT FEDERAL CREDIT UNION
TesssaaLL KKllug I/
Lending Insurance Support Specialist
March 5, 2013
Estate of: HAZEL B HUNN
Date of Death: 1122/2013
Social Security Number: 392-46-1981
5000 Louise Drive • P.O. Box 40 • Mechanicsburg, Pennsylvania 17055 • (800) 283-2328 • www.membersl st.org
St
MEMBERS 1"
HDMMCRMrr UNION
CERTIFICATE OF DEPOSIT:
Account Number/Suffix 259732-79 259732-80
D-ate Account Established 06/18/2012 06/18/2012
Principal Balance at Date of Death $35,208.31 $5,029.76
Accrued Interest to Date of Death $22.28 $318
Total Principal and Accrued Interest $35,230.59 $5,032.94
Name of Beneficiary Cynthia Sell Charlene Constantini
CERTIFICATE OF DEPOSIT:
Account Number/Suffix 259732-81 259732-82
D-ate Account Established 06/18/2012 06/18/2012
Principal Balance at Date of Death $5,029.76 $5,029.76
Accrued Interest to Date of Death $3.18 $3.18
Total Principal and Accrued Interest $5,032.94 $5,032.94
Name of Beneficiary Cynthia Sell Kimberly Hutnik
CERTIFICATE OF DEPOSIT:
Account Number/Suffix 259732-83 259732-84
D-ate Account Established 06/18/2012 08/20/2012
Principal Balance at Date of Death $5,029.76 $5,020.23
Accrued Interest to Date of Death $3.18 $3.18
Total Principal and Accrued Interest $5032.94 $5023.41
Name of Beneficiary Nathanial Sell Kimberly Hutnik
MEMBERS 1sT FEDERAL CREDIT UNION
Tess
Lending Insurance Support Specialist
March 5, 2013
Estate of: HAZEL B HUNN
Date of Death: 1/22/2013
Social Security Number: 392-46-1981
5000 Louise Drive • P.O. Box 40 • Mechanicsburg,Pennsylvania 17055 • (800) 283-2328 • wwwmemberslstorg
Sovereign 46 Santandef_ '�
Court Ordered Processing\Decedents- MA1-MB3-02-10 - P. 0. Box 841005 - Boston,MA 02284
1
April 4, 2013
a
F
Michael L. Bangs
Bangs Law Office
429 South 18th Street
1 Camp Hill, PA 17011
RE: Estate of Hazel B Hunn
Date of Death: 01/22/2013
Dear Mr. Bangs:
Per your request, enclosed please find the account information as of the date of death
for the above-named decedent. For your information, accrued interest is not included in
the date of death balance.
Please feel free to contact me if I can be of any further assistance.
6
j1
Very truly yours,
Ed Stevens
r COP Specialist
# 617-514-5189
0
s
s
i
1
Sovereign Bank
ESTATE OF Hazel B. Hunn
SOCIAL SECURITY #: 392-46-1981
DATE OF DEATH: January 22, 2013
Account#: 1991017588 Type: Checking Open date: 12/23/1996
In the name of: Hazel B. Hunn or Cynthia Anne Sell
Date of Death Balance: $8,064.75
Int.(YTD) from l/l/2013 to 1/6/2013 $0.07
Accrued interest to date of death: $0.04
Otherinfo:
Page 1 of 1
Qobank,
CD/IRA Services
SL-MO-L3CD
P.O. Box 524
St.Louis MO 63166
03/13/13
BANGS LAW OFFICE, LLC
MICHAEL L BANGS
429 SOUTH 18TH STREET
CAMP HILL, PA 17011
This letter is in regards to your date of death request for accounts with US Bank. Enclosed you will find the
documentation you requested.
At U.S. Bank we take pride in All of Us Serving you. If you should have any questions regarding this matter,please visit a
personal banker at a U.S. Bank branch or call a Retirement Specialist in U.S. Bank's 24-Hour Banking at the number listed
for your area.
U.S. Bank 24-Hour Bankina and Financial Sales
Colorado calling area 303-585-8585 Cincinnati calling area 513-632-4141
Milwaukee calling area 414.765-4636 Portland calling area 503-US BANKS (872.2657)
St. Louis calling area 314-425-2000 Minneapolis/St. Paul area 612-US BANKS (872-2657)
All other areas 800-US BANKS (872-2657) TDD access 800-685-5065
Sincerely,
Account Specialist
CD/IRA Services Member FDIC
V SH-6525-IRA
=bank. 368
Regulatory Research and Reporting
PO Box 524
SL-MO-L3CD
St. Louis, MO 63166
3/13/13
ACCOUNT(S) OF: HAZEL B HUNN
SS# ***-**-1981 DATE OF DEATH 01/22/2013
Account Number ********0241 ******** ********
Type of Account Checking Checking Checking
Savings Savings
IRA or CD IRA or CD
Relationship Individual Individual Individual
Joint Joint
Named Owner(s) — --
HAZEL B HUNN
Principal Balance at 11,302.27
Date of Death
Interests Paid at Date of 0.00
Death
Accrued Interest From 0.00
Date Last Paid to Date
of Death
❑ Safe Deposit Box Location: NONE
Account Number ******** ******** ********
Type of Account Checking Checking Checking
Savings Savings Savings
IRA or CD IRA or CD IRA or CD
Relationship Individual Individual Individual
Joint Joint Joint
Named Owner(s)
Principal Balance at
Date of Death
Interests Paid at Date of
Death
Accrued Interest From
Date Last Paid to Date
of Death
Information Verified by: Regulatory Research and Reporting
We are unable to return any confidential paperwork with our customer SS# or Account#.
Other Notes: For instructions on closing any account please contact any US Bank branch
U.S. Bank Customer Confidential
Ca ; �
March 14, 2013
Attorney Michael Bangs
Bangs Law Office, LLC
429 S. 18' Street
Camp Hill, PA 17011
RE: Account of Hazel Hunn
Dear Attorney Bangs,
Enclosed you will find the date of death Qanuary 22, 2013) valuation for the
account of Hazel Hunn.
If you have any questions, or need any additional information, please feel free to
call.
Sincerely,
Bonnie M. Krukowski
Registered Client Relationship Associate
/bmk
enclosure
Robert W Baird&Cn,
777 Eass Wisconsin Avenue
Nlilw ,,kec WI 53202-5391
M-m 414 765-3500
Toll Free 900 RW BAIRD
-�-..r baBd.com
Estate Vaiu at_on
4 ,
Date of Death: 01/22/2013
'daluation Dace: 01/22/2013 Number of Sec fee ]
Processing Dace: 03/12/?013 File ID: 44241599 01.22.2013
Shares Security
or Par Description Mean and/or DiV and Int Security
High/Ask Low/Bid Adjustments Accruals Value
11- 200 ALLIANT ENERGY CORP 0188021081
COM
New York Stock Exchange
01/22/2013 46.11000 45.58000 H/L
45.945000 9,169.00
21 300 AMERICAN SLED PNR INC (02553]101)
COM
New York Stock Exchange
01/22/2013 44.02000 43.30000 H/L
43.660000 13,098.00
31 270 FIDELITY NATL INFORMATION SVCS (31620M106)
CON
New York Stock Exchanee
01/22/2013 37.77000 36.94000 H/L
37.355000 - -10,085.85
41 100 INTEGRYS ENERGY GROUP INC (45822P'1051
COM
New York Stock Exchange
01/22/2013 54.86000 54.24000 H/L
54.550000 5,455.00
5) 225 DOM ENERGY INC (55277 P104)
COM
The NASDAQ Stock Market LLC
01/22/2013 52.50000 51.70000 H/L
52.100000 11,722.50
61 1314 WISCONSIN ENERGY CORP (976657106)
COM
New York Stock Exchange
01/22/2013 38.58000 38.12500 H/L
38.352500 50,395.19
71 32842.68 PO4ft7' IMM%TI
01/22/2013 1.00000
1.000000 32,842.68
Total Value:
Total Accrual: $132,768.22
Total: $132,768.22 $0.00
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ems'
1. HAZEL B. HUNN, of Cumberland County, Pennsylvania, declare this to be my sole
codicil to my last will dated July 28. 1999.
ITEM I. 1 hereby revoke ITEM V of my will and in lieu thereof provide as follows:
ITEM V. I appoint my daughter CYNTHIA ANNE SELL, of Harrisburg.
Pennsylvania, as Executrix of this my last Will. Should my daughter, Cynthia
Anne Sell, predecease me or otherwise fail to qualify or cease to serve as
Executrix of this my last Will, I appoint my daughter CHARLENE SUE FOSTER
of Ft. Lauderdale, Florida, Executrix of this my last Will.
ITEM II. In all other respects. I hereby ratify, confirm and republish my last will dated
July 28, 1999, together with this sole codicil as and for my last will.
IN WITNESS WHEREOF. I have hereunto set my hand and seal this day
of . 2010.
HAZEL B. HL"
� I
Signed, published, and declared on the date hereof by the above-named testatrix as and
for the sole codicil to her last Will dated July 28, 1999, in the presence of us, who at her request,
in her presence, and in the presence of each other, have subscribed our names as witnesses
hereto.
2
COMMONWEALTH OF PENNSYLVANIA - )
( SS.:
COUNTY OF CUMBERLAND )
The undersigned, being the testatrix whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, does hereby acknowledge that I signed
and executed the foregoing instrument as my sole codicil to my last will, that I signed it
willingly; and that I signed it as my free and voluntary act for the purposes therein expressed.
HAZEL B. HUNN
Sworn or affirmed to and acknowledged
before_me by the testatrix named above
CfpJ�fkC1:Y'ecr�i H Cr res 61x5 Y L.';..,r4
fhrz-i'I ayof 2010.
IVoaria�y�ai
V�!er,S,K Stub Pubic
%.a.'•YIT`n�.,r�mtmerfand COunly
i----+' 'r ^� Nry Com�ission E res tJay 10,Znl i
1 Otary Public
penis Association of Notaries
COMMONWEALTH OF PENNSYLVANIA )
( SS.:
COUNTY OF CUMBERLAND )
WE, and the witnesses
whose names are signed to the attached or foregoing instrument, being duly qualified according
to law, do depose and say that we were present and saw the testatrix sign and execute the
instrument as her sole codicil to her last will; that she signed it willingly and that she executed it
as her free and voluntary act for the purposes therein expressed; that each of us in the hearing
and sight of the testatrix signed the codicil as witnesses; and that to the best of our knowledge,
the testatrix was at that time 18 or more years of age, of sound mind, and under no constraint or
undue influence.
. '
a �
Swom or affirmed to and acknowledged
beii)ry me this _��i day of,,k��,, 2010.
Notary Public
S'kC 'y6EALTH C.PEt4,61"�,.--..r.a
�n1 s� 3
WenCV K ,rtotry waic
io`xa«TAP„arrkC rland camry
41 Cannossion byres May 10,2011
Poaasytvanis Association of Notaries
REC710ED OFFICE OF
RECiS T FR OF '%VILLS
dt FEB 20 81 8 ,.12
ltd CLERK OF
ORPHANS- COURT
of CUMBERLAND CO., PA
�'aael cam. �'unn
I, HAZEL IL IIUNN,of Lower Allen Township, Cumberland County, Pennsylvania,
deciare this to be my last will and revoke any will previousiy made by me.
ITEM L I direct that all my just debts and funeral expenses, including my gravemarker -�
and all expenses of my last illness, and any and all taxes and assessments imposed by any
governmental body as a result of my death, whether on property passing under this will or G
otherwise, shall be paid from my residuary estate as soon as practicable after my decease as a CJ
part of the expense of the administration of my estate.
ITEM II. 1 give and bequeath all of my household goods, automobiles,jewelry, and all
other articles of household and personal use, equipment and ornament, together with all
insurance thereon and relating thereto,to those of my issue, per stirpes, as survive my death by
thirty(30)days.
QP
ITEM M. I give, devise, and bequeath all the rest, residue, and remainder of my
possessions and estate of every nature and wherever situate to those of my issue, per stirpes, as
survive my death by thirty (30) days.
ITEM IV. All of the interests of the beneficiaries hereunder shall not be subject to
anticipation or to voluntary or involuntary alienation nor shall they be subject to any execution or
attachment.
1
I rEM V. I appoint my daughter,CHARLENE SUE FOSTER, of Ft Lauderdale,
Florida, executrix of this my last will. Should my said daughter, CHARLENE SUE-FOSTER,
predecease me or otherwise fail to qualify or cease to serve as executrix of this my last will, I
appoint my daughter, CYNTHIA ANN SELL, of Harrisburg, Pennsylvania, executrix of this my
last Will-
nXK VL In acid to the other powm and authorities granted to my personal
representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby y
give to my personal representatives the following powers and authorities effective without court
approval and until actual distribution of all property: to compromise any claim or controversy;
to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as r
my personal representatives may determine and at valuations finally to be fixed by them; to
invest in all forms of property, including any stock or other securities in any corporate fiduciary
or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my
personal representatives deem proper, without regard to any principle of risk or diversification;
to retain any or all assets of my estate, real or personal, without regard to any principle of risk or
diversification,- to sell at public or private sale. to exchange. or to lease for any period of time,
any real or personal property and to give options for sales, exchanges, or leases, for such prices
and upon such'terms or conditions as my personal representatives deem proper; and to allocate
receipts and expenses to principal or income or partly to each as my personal representatives
deem proper in their sole discretion.
2
ITEM VII. I direct that my personal repsesentatives and fiduciaries shall not be regnued
to give bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand this 5 day of
1999.
HAZEL B. MJNN
3
The preoeffing instruroem cDBsist:ng of this and THREE other tyWwntten pages,each
identified by the signature of the testatrix was on the date thereof signed, published, and declared
I
by T{AZEL B. HLWN, the testatrix therein named, as and for her last will,:in the presence of us,
who at her request, in her presence, and m the presence of each other, have subscribed our names
as Witnesses hemw.
,^ r
i'
4
COMMONWEALTH OF PENNSYLVANIA _ )
( SS:
COUNTY OF CUMBERLAND )
The undersigned, being the testatrix whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, does hereby acknowledge that I signed and
executed the foregoing instrument as my last will, that I signed it willingly; and that I signed it as my free
and voluntary act for the purposes therein expressed.
Sworn or affirmed to and acknowledged
before by the tat r named above
thisq of ���� , 1999.
1 i
otary Publi NOTARIAL SE.4t
JWENDY S. C4S IO, Rx^.ry Ru�fic
loww Ah" Twp.,
My Commr:u.n E:pirw pei y 1G, iC
COMMONWEALTH OF PENNSYLVANIA A )
( SS:
COUNTY OF CUMBERLAND )
WE,/ -1 '4 ', /�-&ry tc_i and the witnesses whose
names are signed to the attached or foregoing instrument, being duly qualified according to law,do
depose and say that we were present and saw the testatrix sign and execute the instrument as her test Wilt
that she signed it willingly and that she executed it as his flee and voluntary act for the pmpoan dic eie
expressed;that each of us in the hearing and sight of the test signed dw wig as .
the best of our knowledge the tesutriz was at that dime tY or xK=yeas ofsW:
under no camtrain or mtd•e item
-a,
Sworn or affirmed to and
ackno wledged-before me this
of % 1999.
JP
No Public
NOrAmAL SEAL
WENDY S. CHESM, No"pubk
LW~Alien Twp., Cu oMand Ccony .
My Commbdon Expiry May 10, 2003
5