HomeMy WebLinkAbout08-12-13 (2) � L50561014D
�������� EX {02-11}{Ft}
�:�:
PA Department of Revenue �a���y��{� Year ' , File Number
Buceau of Indiuidual Taxes INHERITANCE TAX RETURN
PO BOX 280601 z 1 1 � 0 5 9 5
Harrisburg,PA 17128-4601 RESIDENT DECEDENT
� � �
ENTER DECEDENT INFORMATION BELC?W
Social Security Number �a#e of Qeath MMDDYYYY Date af B9rth MMDDYYY1f
D 5 C 4 2 0 1 3 0 3 2 2 1 9 2 ?
Decedent's Last Name �uffix Decedent's First Name MI
0 T T 0 G L A D Y S P
(If Appllcable)Enter Surviving Spouse's Information Belaw
Spouse's Last Name Suffix Spouse's Firs#Narne MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN dUP�ICATE WITH THE
REGISTER OF WILL.S
FILL IN APPROPRIATE OVALS BELOW
Q 1.Original Return � 2.Supplemental Retufn � 3.Remainder Return{�ate of Death
Prior to 12-13-82)
� 4.Umited Esta#e � 4a.Future interest Compromise{date of � 5.Federal Estate Tax Return Required
death after 12-12-82)
C�X, 6,Decedent Died Testate ❑ 7.Decsden#Maintained a�iving Trust 0 8.Tota1 Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
� 9.Litigation Proceeds Received � 10.Spausal Poverty Credit(Date of Death � 1�.Election ta Tax under Sec.9913(A}
Befinreen 12-31-91 and 1-1-95) (Attach Schedule O)
Cf3RRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPQNDENCE AND CONFIDENTtAL TAX INFORMATION SHOULD BE DIRECTED T4;
Name Daytime Telephane Numbe�
= V 0 V • 0 T T Q I I I ? 1 7 2 4 3 3 3 4 1
� REGISTER OF WILLS USE ONLY
._.
:_._., �
C�, •=-.� �1 t"Yt
First Line of Address '� �,+ �ry '�
� � ��� �
�, 0 E A S T H I G H S T R E E T '�' � �' �'� `�`
�"t� � t`� ...�,.� �
Second Line of Address '� �"" � � "W'�� �s:�
t"" ,� t�? N '.��
� U�' -'� �y C�
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City or Post t'�ffice S#ate ZIP Code � � ��F� °�'� �
� �"" f--� � �
cA � � = s � E Pa a� � oti � � :� � � �,
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�arrespondent's e-mail address: IOTTO(c�,MARTSONLAW.COM
Under penaities of peryury,i deciare that i have examined this retum,inciuding accompanying schedules and statements,and to the best of my knowiedge and belief,
it is true,ca ect and complete.Deciaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATUR O P N SIBLE FOR FILING RETURN ATE
�
ADDRESS
y0 E T HIGH STREET CARLIS�E PA 1?0y�
SIGNATUR OF E R OTHER THAN REPRESENTATIVE D TE�
ADDRES$
10 EAST HIGH STREET �AR�ISLE PA I,?013
PLEASE USE ORIGINAL FORM ONLY
Side 1
�
15�561014d �,5056�,014� �
J 1505610240
REV-1500 EX(F!} p�����t�s Social Security Number
Qec�ent's�ame: G L A I}Y S P• {}T T{}
RECAPlTULATION
1. Real Estate(Schedule A) ........................................... 1• � • 0 �
2. Stocks and Bonds(Schedule B} ...................................... 2• 0 , 0 �
3. Closely Held Corporatian,Partnership ar Sole-Proprfetorship{Schedule G� ..... 3. •
4. Mortgages ar►d No#es Receivable{Schedule D} .......................... 4. •
5. Cash,Bank De asits and MisceNaneous Personai Pro e 2 � 3 9 8 8 . 1 2
p p rty{Schedule E}......, 5.
6. Join#ly awned Property{Schedule F} ❑ Separate Biiling Requested ......, 6. � • � 0
7. In#er-Vivos Transfers&Miscellaneous N Probate Property 0 i Q Q
{Schedule G} � Separate Billing Requested ....... 7.
8. Total Grass Assets{tatal Lines 1 thraugh 7} ........................... 8. 2 � 3 9 8 8 . 1, 2
9. Funeral Expenses and Administrative Costs{Scheduie H� .................. 3� � 3 6 5 4 . 9 5
10. Debts of Decedent,Mortgage�iabilities,and l.iens{Schedule 1} ............. 10. !� 4 4 . 6 $
91. Tota1 Deduct�ons(total�.ines 9 and 10} ............................... �1. 1� 4 4 9 9 . 6 3
12. Net Value of Es#ate�L`me 8 minus l.ine 11} .................. ...... .... 12. 1 8 9 4 8 � . 4 9
13. Charitable and Governmental BequestslSec 9113 Trusts for which
an election to tax has not been made(Scheduie J) .. .. . . . ... ............ 13. .
14. Net Value Subject to Tax{L�ne 12 minus Line 13) ... .... ....... .... . ... 14. L � 9 4 8 8 . 4 9
TAX CALCULATION-SEE INSTRUCTI4NS Ff)R APPE.ICABLE RATES
15. Amount of Line 14 taxable
, a##he spousal tax rate,or
transfers under Sec.9116
{a}{�z}X.0 0 . 0 0 ��. 0 . � 0
16. Amount of Line 14#axable
at�ineai�ate x.oa5 1, � 9 4 8 8 . 4 9 ��. 8 5 2 6 . 9 a
17. Amount of Line 14 taxable
at s���in�rate x.12 0 . 0 � �7. 0 . 0 0
18. Amount of Line 14#axable
at collateral rate X,�� � . 0 0 ��. 0 . 0 �
19. TAX DUE ..................... .. ............... ... ............. 19. � S �C 6 = 9 8
20, FIE,L IN THE OVA�IF YC}U ARE REQUESTtNG A REFUND OF AN CIVERPAYMENT QX
Side 2
�
1505610240 ],505610240 J
REV-1500 EX{FI} Page 3 Fite Number
Decedent's Complete Address: 2i l� os�s
DECEDENTS NAME
GLADYS P.OTTO
STREET ADDRESS
12I Walnut Bottom Road
CITY STATE ZIP
Shippensburg PA 17057
Tax Payments and Credits:
�� Tax Due(Page 2,Line 19) {1} $,52G.98
2. Credits/Payments
A.Prior Payments
B.Discaunt 426.35
Total Credits t A+B} (2) 426.35
3. interest
(3)
4. If Line 2 is greater than Line 1+Line 3,enter the difference.This is the QVERPAYMENT.
Fiil in oval on Page 2,Line 20 ta request a refund. (4) 0.00
5. If Line 1+Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) $,100.63
�ake check payable to: RE�ISTER (�F �IL�S, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOGKS
1. Did decedent make a transfer and: Yes Na
' a. retain the use or incame of the property transfeRed ...................................................................... ❑ 0
b. retain the right to designate who shal!use the property transferred or its income ............................... ❑ �
c. retain a reversionary interest ..................................................................................................... ❑ 0
d. receive the promise far life of either payments,benefits or care? ....................................................... ❑ 0
. 2. If death occurred after December 12,1982,did decedent transfer property within one year of death
wit�ou#receiving adequate consideration7 ....................................................................................... ❑ 0
' 3. Did decedent own an"in trust for"ar payable-upon-death bank accaunt 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?.................................................................................................. ❑ 0
IF THE ANSWER Tfl ANY OF TNE ABt3VE QUESTI{}NS IS YES,YOU MUST COMPLETE SCHEDU�.E G AND FI�E 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 ar for#he use of the surviving spouse
is 3 percent�72 P.S.§9116{a��1,1�{i}�.
For dates of death on ar after Jan.1,1995,the tax rate imposed on the net value of transfers ta ar for t�e use of the surviving spouse is 0 percent
[72 P.S.§9116(a)(1.1}(ii)].The statute does not exempt a transfer ta a surviving spouse ftom tax,and the statutory requirements far disclosure of a�sets and
filing a taac return are sti(I applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2004:
• The tax rate imposed on th�net value c�f transfers from a deceased child 21 years af age or younger at death ta or for#he 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 p2 P.s.§9116(a)(1)J.
• The taxrate imposed an the net value of transfers to or for the use af#he decedent's siblings is 12 percent[72 P.S.§9116ta)(1.3)].A sibling is defined,
under Section 9102,as an individual wha has at least one parent in cammon with t�e decedent,whether by blood ar adaption.
REV-1508 EX+(08-12�
pennsylvania �CHEDULE E
DEPAI2TMENTOFREVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN
RESIpENT DECEDENT PERSONAL PROPERTY
ESTATE flF: FILE NUMBER:
GLADYS F.OTTO 21 13 Q595
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly owned w�th rtght of survivorship must be disc{osed on Schedule F.
ITEM VALUE AT DATE
NUMBER QESCRIPTION OF DEATN
1. Orrstown Bank checking 1080Q2682 1 p,528.77
(IO,S28.b4+.13 interest)
See attached
2. Orrstawn Bank savings 74G000232 192,52'].74
{142,456.55+'71.19 interest}
See attached
3. PSERS,benefit 52�.07
4. SHCC,refund af patient care account 25.00
5. West Shore A.L.S.,refund 380.54
TOTAI.{Alsa enter on Line 5,Recapitufiation} $ �p��gg,��
If more space is needed,use additianaf sheets of paper of the same size.
REV-1512 EX+{'12•12}
pennsylvania SCHEDULE 1
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCETAxRETURN Mt�RTGAGE �IABII.ITCES&[.IENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
GLADYS P.QTTO 21 13 0�95
Repart debts incuIT�by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expense�.
ITEM VAI.UE AT DATE
NUMBER DE5CRIPTION QF DEATH
1. Trinity Pharmacy Services,account payable 272.29
2. Baihara Internal Medicine Association,account payable 30.t}0
3. West Shore El�iS,accaunt payable 542.3�
TCITAL(Also enter on Line 10,Recapitulation) $ 844.68
If more space is needed,insert additior�a!sheets of the same size.
REV-1511 EX+(10-09)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCETAXRETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
GLADYS P.OTTO 21 13 0595
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Hoffinan Roth Funeral Home,Carlisle,PA 17013 2,458.43
2. Dickinson College,Funeral Luncheon 620.13
3. Victoria L.Otto,reimbursement for funeral luncheon expenses 367.89
4. Ivo V.Otto III,reimbursement for funeral luncheon expenses 60.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representative(s)
Street Address
City State ZIP
Year(s)Commission Paid:
2, Attomey Fees: MARTSON LAW OFFICES(estimated) 9,750.00
3, Family Exemption:(If decedenYs address is not the same as claimant's,attach explanation.)
Claimant
Street Address
Ciiy State ZIP
Relationship of Claimant to Decedent
4. Probate Fees: Cumberland County Register of Wills 348.50
5 Acxountant Fees:
6. Tax Retum Preparer Fees:
7, Additional Probate Fee 50.00
TOTAL(Also enter on Line 9,Recapitulation) $ 13 654.95
' If more space is needed,use additional s eets of paper of the same size.
REV-1513 EX+(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT pECEDENT
ESTATE OF: FILE NUMBER:
GLADYS P.OTTO 21 13 0595
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I. TAXABLE DISTRIBUTIONS [include out n'g ht spousal distributions and transfers under
Sec.91�6(a)(1.2).j
1. Ivo V.Otto III Lineal 63,162.83
10 East High Street
Carlisle,PA 17013
2 Cathy O.Pasdiora Lineal 63,162.83
6785 Sererity Drive
Troy,MI 48098
3. Victoria L.Otto Lineal 63,162.83
759 York Road
Carlisle,PA 17105
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.
TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $
If more space is needed,use additional sheets of paper of the same size.
REV-1500 Discount, Interest and Penalty Worksheet
Discount Calculation
Total Amount Paid within three calendar months of the decedent's date of death: 8,509.27
Discount: 426.35
Interest Table
Year Days Delinquent Balance Due Interest
this time period this year this period
Before 1981
1982
� 1983
1984
1985
1986
1987
1988 throu h 1991
1992
1993 throu h 1994
1995 throu h 1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
; 2009
2010
2011 throu h 2013
TOTALS
Penalty Calculation
If the decedent's date of death was on or before March 31, 1993, insert the applicable amount:
Total Balance Due on January 17, 1996:
Penalty:
. ORIGINAL RETAINED BY:
A�A�TSON DEA►RDORPF WrI7.iAM�
4TT0 GII.SOY�FALLER
MARTSON LAW OFFICES
LAST WILL AND TESTAMENT 10 EAST HIGH STREET
CARLISLE,PA 17013
CIi7)243-3341
I, GLADYS P. 4TT0, of South Middleton Township, Cumberland County, Pennsylvania,
being of sound and disposing mind and memory,do hereby make,publish and declare this to be my
Last Will and Testament,hereby revoking any and all former Wills or Codicils by me made.
ITEM ONE
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all inheritance taxes shall be paid to the extent possible from the residue of my estate as soon as
practicable after my decease and as part of the administration of my estate.
ITEM TWO
I give and devise any interest I may have in the remainder of the farm known as"Rockwood",
consisting of 65 acres, more or less, and located to the north of and bounded by Lisburn Road and
located to the west of and bounded in part by South Middlesex Road,in South Middleton Township,
Cumberland County, Pennsylvania, to my son, IVO V. OTTO III, free and clear of all liens or
encumbrances thereon.
ITEM THREE
I give and devise my farm located on York Road, South Middleton Township,Cumberland
County,Pennsylvania,consisting of approximately 130 acres,to my daughter,VICTORIA L.OTTO.
ITEM FOUR
All the rest,residue and remainder of my estate,I give and devise to my children,VICTORIA
L. OTTO, CATHY O. PASDIORA and IVO V. OTTO III.
ITEM FIVE
In the event any share of my estate shall devolve upon any person who shall not have attained
Page 1 of 6 Pages
the age of 25 years,then my Trustees shall hold such share for the benefit of such person until such
age shall be attained, being at liberty until such distribution to pay so much of the net income
therefrom and principal thereof to such person as is necessary for the proper and adequate support
of such person.
ITEM S IX
POWERS OF EXECUTOR AND TRUSTEE
In addition to the powers conferred by case law,by statute, and by other provisions hereof,
my Executor and Trustee and his successors, shall have the following discretionary powers
applicable to all property held by him, which powers shall be effective without order of any court
and shall exist until final distribution:
A. To retain any property of any nature received by him for whatever period he shall
deem advisable;
B. To invest and reinvest all or any part of said property in such stocks,bonds,securities
or other property, real or personal, as in his discretion he shall deem proper, without regard to
statutes limiting the property which a fiduciary may purchase;
C. To sell,transfer,exchange or otherwise dispose of,any part of said property,for cash
or on terms,publicly or privately,or to lease,even for a term exceeding five(5)years or the duration
of any trust herein, without liability on the purchasers or lessees to see to the application of the
proceeds, and to give options for these purchases without the obligation to repudiate them in favor
of a higher offer;
D. To execute and deliver any deeds, leases, assignments or other instruments as may
be necessary to carry out the provisions of any trust hereunder;
E. To borrow money, including the right to borrow money from any bank and to
mortgage or pledge any asset of the estate as security;
F. To assume continuance of the status of anybeneficiary with regard to death,marriage,
divorce, illness, incapacity and the like in the absence of information deemed reliable without
liability for disbursements made on such assumption;
Page 2 of 6 Pages
G. To pay from the trust,or the income therefrom,all debts or claims against my estate,
or any taxes or similar charges on my estate;
H. To make any distribution hereunder either in kind or in money, or partially in kind
and partially in money. Distribution in kind shall be made at the market value of the property
distributed, and my Trustee, in his absolute discretion, may cause the share distributed to any
distributee to be composed of property similar to or different from that distributed to any other
distributee;
I. To exercise any subscription right in connection with any security held hereunder,to
consent to or participate in any recapitalization, reorganization, consolidation or merger of any
corporation, company or association, the securities of which may be held hereunder, to delegate
authority with respect thereto, to deposit investments under agreements, to pay assessments, and
generally to exercise all rights of investors;
J. To invest in endowment, insurance or annuity policies on the lives of beneficiaries
of any trust hereunder;
K. To continue in any partnership, joint venture, joint ownership or other business
enterprise of which I am a part at the time of my death;
L. To compromise claims;
M. To continue for whatever period of time as he shall deem necessary any ownership
as a tenant in common or as a partner,in real estate or other property and to act as I could have done
had I been living;
N. To lend money to my estate or to any trust created hereunder or to purchase from the
estate or from any trust created hereunder, at the market value thereof at the time of purchase, any
securities or other property tendered to them by my estate or any trust created hereunder at any time
and from time to time within a period of nine(9)months after my death;
O. In the event that any amounts are payable hereunder or under any trust created
hereunder to a minor, or to a person otherwise under legal disability,or to a person not adjudicated
to be an incapacitated person,but who,by reason of illness or mental or physical disability is,in the
opinion of fiduciary(ies)hereunder,unable to properly administer such amounts,such amounts may
Page 3 of 6 Pages
be paid by the fiduciary(ies)hereunder in his,her or their sole discretion in any of the following ways
as he, she or they may deem best:
1. Directly to such beneficiary;
2. To a legally appointed guardian of such beneficiary for the benefit of such
beneficiary;
3. To a person having custody of such beneficiary for the benefit of such
beneficiary;
4. By the fiduciary(ies)hereunder using such amounts directly to the benefit of
such beneficiary.
Evidence of the application or payment of an amount in such a manner shall be a full and complete
discharge of the fiduciary(ies) hereunder to the extent of such payment or application. This
paragraph shall be applicable to payments of income as well as principal.
P. To employ agents, attorneys and proxies and to delegate to them such power as my
personal representatives and Trustees consider desirable and to pay reasonable compensation for
such services as may be rendered by such agents, attorneys and proxies;
Q. To do all other acts in their judgment necessary or desirable for the proper
management, investment and distribution of my Estate.
ITEM SEVEN
PROTECTIVE PROVISIONS
All income or principal held for the use and benefit of any trust hereunder shall not be in any
way or manner subject to anticipation, assignment, pledge, sale or transfer, nor shall any such
interest, while in the possession of my Trustee, be liable for or subject to the debts, contracts,
: obligations, liabilities or torts of any beneficiary, or to attachments, executions or sequestrations
under process of law.
ITEM EIGHT
APPOINTMENT OF EXECUTOR AND TRUSTEE
I nominate, constitute and appoint my son, IVO V. OTTO III, as Executor of my estate.
Page 4 of 6 Pages
'
. .
I hereby appoint my said son, IVO V. OTTO III, Trustee of any trust created hereunder. In
the event my said son, IVO V. OTTO III, shall be unable or unwilling to serve, or to continue to
serve,as either Executor or Trustee hereunder,then I appoint my daughter CATHY O.PASDIORA,
in his stead.
ITEM NINE
WAIVER OF BOND
I direct that my Executor and Trustee shall not be required to file any bond in any jurisdiction
to secure the faithful performance of his duties, nor shall he be required to obtain any order or
approval of any court for the exercise of any power or discretion set forth in this Will.
IN WITNESS WHEREOF I have hereunto set my hand and seal this�1 s� day of
, 2004.
(SEAL)
G ys P. Ott
SIGNED,SEALED,PUBLISHED AND DECLARED by the above-named Testatrix,as and
for her Last Will and Testament,in the presence of us,who at her request,have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testatrix and of each other.
({ � r -�
,� �F r� ,
Page 5 of 6 Pages
�
.
COMMONWEALTH OF PENNSYLVANIA )
: SS.
; COUNTY OF CUMBERLAND )
� U �..� ,and u.._�� J�.��,
We,Gladys P.Otto, �r/d
the Testatrix and the witnesses, respectively, whose names are ' ned to the foregoing instrument,
: being first duly sworn,do hereby declare to the undersigned authority that the Testatrix signed and
executed the instrument as her last Will and that the Testatrix has signed willingly, and that the
Testatrix executed it as her free and voluntary act for the purposes therein expressed,and that each
, of the witnesses, in the presence and hearing of the Testatrix, signed the Will as a witness and that
to the best of his/her knowledge the Testatrix was at that time eighteen years of age or older, of
sound mind and under no constraint or undue influence.
Te tri
Witness
� ,
��'� � �,�:
it s
Subscribed, sworn to and acknowledged before me by Gladys P. Otto, the Testatrix, and
su scribed and sworn to before me by ,��/d j� �Q���.1� and
,.� <�if��e .- , the witnesses, this !s� day of�c�w-�i� , 2004.
�
. ��� �
�
COMMONWEALt�H UF 1'ENNSY VANIA NO � blic
Notarial Seal
Mary M.Price,Notary PubHc
Carlisle Boro,Cumberland Coun�
My Commission Expires Aug.18,2 07
a.� m�3er,PQnnsY�VBrna As•SOCiation of Notaries
Page 6 of 6 Pages
,.�....�.�..�.
I�►RST��V��T
�A��
A Trad'r�ion of Excell��rtce
May 29,20�3
Martson Law�3f�`ic�
Victaria L Qtto
10 East High St
Carlisle,PA 1�Ol 3
Fax;243-185C!
. Re: Estate of Gladys P Ottc�
Social Security 1'J'umber 200-22-7U72
Date of Death 05/24/2013
IT IS HEREB�Y CER'TIFIED THAT THE A84VE NAMED DECEDENT HAD T'HE
Ft�L�3WING ACCat�I��'I'S W�'CH ORRSTt�WN BAI�1I�.:
CHE"�KING.�4CCC)ZTNT �
Acca►unt N'o,� 1Q80Q2682
Account Type- 50+Interest+Checkin,g
Date�tpreneci- 11/1211997
J�int Account(name/date)- No
Balance- �10,528.64
Accrued �nterest- $Q.13
5.�4 Y.�11TGS�#CCt3 t��+JT
Accaunt 1�To.- 7�(?00232
Account Type- Prime 5tatement Savings
L)ate+C}pened.- 02/Q1/20Qb
Joint Account(name/c�ate)- No
Balance- $192,45fi.55
: Accrued Interest- $71.19
Best Regarc�s,
, s����
���
Lisa I�line
Deposit Pracessing C1erk III
2695 Philadelphia Avenue•Cham�aersburg,PA 17201
�
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