HomeMy WebLinkAbout10-10-13 � 1505610140
REV-1508 �x {°�_„>{F,>
OFF'I'.."IAL U:SE ONiY
PA Departmert of Revenug
6ureau of tndividuai Taxes GounryCode Year Fle Number
PO BOX 280801 INHERITANCE TAX RETURN 2 1 1 2 1 1 9 9
tiamabum,Pa t»28-aso� RE$lOENT OECEdENT
EN7ER DECEDENT�NFORMATION BELOW
54ciai Securtiy Number Ctate W 6eatir Mn�mDYrrY Dete of BiRh raMpDrYVv
b 1 0 4 2 0 1 2 0 3 2 6 1 9 2 ?
Decedent'a Last Name SuNix OecedenYS Pirat Name MI
T A Y L 0 R 3 U Z A N N E C
(If Appllubls)Enter$urviNng Spouse's InTOrmaGon Bslow
Sppusa's las#Name Suffi�c Spouse's First Npme Mi
Spbuae's Social Security Number
' THIS RETt1t2N MUST BE FILED iN DUPLiGATE iMTH THE
REGlS7ER QF WI�LS
FIL�.�N APPROPRIATE OVALS BELOW
Q': t.Origina!Retum � 2.Suppienwntai+tetum � 3.Remainder Retum{Date at Death
. Pdor to 12-13-82)
Q�- 4.Limited Estate � 4a.Future lntareat Compromise tdate af � 5.Federei Eatete Tax Retum Required
death eRer 12-12-82)
�: 6.Decedent Died Testste � 7.Decsdent Mainteined a liwing Ttuat � 8,Tofal Number af Seie Oaposit Bpxes
(Attach Copy of Wi�l) (Attach Copy of Truet.) '
�.�� 9.t.itigstion Proceeds Received � 10.3pousai Poverty CradH{Oate af 6esth � 1 t.Ebdbn to Tix=unde�^e3,�81 t 3tAj
Between 12-31-91 and t-1•95) c.(Att�ch ScAe3ids O!`;� r�
C RESP¢NQENT-TNIS SECTION MUST BE GOAiP7.ETED.ALl CORREBPONDENCE AUD CQNFlDENTfAL TFlE; TqN'�Ul Q�ECTEO T0:
Narhe Dey[i`�i9 Ti�le(�ona Nah�be���_'�, ��
D A V I D H S T 0 N E , E S Q U 2 R E 7 � "l; 4 7 '�c�+ �� � 3 5
c F 4, r'.
,li�Cil'�T OF'A�i�U' WIItY
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Firs�l.ine Of Adtlf4S8 �y , f..,) T �. rrY
;�.:::q t J `v7 n
4 1 4 B R I D G E 5 T R E E T r- �� F„
Secbnd Line of AddrEBs
Cky!ar Post Otfi� St&te ZiP Code ���� �
N E W t U M B E R l A N D P A 1 7 0 7 �
Confsspondmt'ae-mai�address: DSTONE�STONEIAW.NET
tlntla�penaipei d pbr�ury,i tleUarb tlut I have examined this relum,InUudinp acaomparyAnp aqhe0ulea antl etetemenb,anC to Ms b»t of my knowkOpm 4M beli9l,
it is e,coneU a�M compbte.DeGantbn M Proparer other then Me psraoiul nprauntetiva ie baeeJ rn N4 inMmatlon W which prepvsr Ap any knowledpe.
CSF PEA R ftLiNG RETURN DAFE
_ �
; AD
34 EAST EADO DRIVE MEtNANZtSBURG PA ]�7�55
' E O E AR ER THAN REPRESENTATIVE DATE
- �f 3
A SS
41 RIDGE TREET NEW CUMBERlAND PA 17070
PLEASE USE ORIGINAL FORM ONLV
Slde 9
� 150561�14� I,5ti567�D14t! � ��
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� 15C}5610240
REV-15Q4 EX(FI) peoedant's Saciai Security Number
�a�neaw�'rre: TUZAN#E C. TAYLBR
AECAPITULATlON
t. Real Eatate(Seheduk A} .. ... . ... ... ......... ...... ... ...... ... ... . L �
z. smckg ana aonds tsoneau�e s> ....... ... ... ... .............. ... ... .. z. 8 4 2 8 4 2. 3 5
9. Cbsely He1d Corporetion,part�rship or Sois-Rroprietorsh�{Schedub C} ... .. 3. •
4. Mbrtgsgea artd Notea Receiva6M{Schedufe D) ... ... ..... ............ . .. 4. •
3. Cash,sank ospos;z�ana M�s���a�eous ae�ao�si c�rope�er[scneauro�}.... ... s. 2 4 2 9 4 . 0 0
B. ,ao�n:�y�propertr tscn�v�F} ❑ separa�e s��rr�Q Re4�eatea ....... s. 1 6 b 0. 6 5
7. Inter-Vivos 7rensfera&Miscellaneous Np�Probate Properry
' (Schedvb G} U Separate Bipirig Requested ....... 7. .
fj. Tat�l Gross Asiels$otai I.irtea i through� ...... ........ . ............ 8. � � 8 7 4 7. Q �
9i. Fu�eral Eacpenaes and Administratrve Costs{Scheduie Hy ... . ... . . . . . .. . . . . 9. }+ 6 3 5 5. Q 4
�o. o�rts of oecedem,naort9aae uaa�ifies,and Lians(Schedule I} ...... . . ... .. 10. 2 1 �. 8 �
i t. T�aI Osductlorta{tMe!lines 9 and 10} ... ... . . .. .. ... . . .. .. ... . . ... . . 11. 1 8 5 6 8 . 9 1
t�. Nat Valus ot Estab{�ine 8 minus Lina 11} . ... . . . .. . .. .. .... . . . . . . .. . . �Z. 8 5 0 1 7 8 . Q 9
1�. Chatitable ond Gevemmente4 Bequeate(Sac 9t 73 Trusts fnr which
' an election to tax has not been made(SCheduie J) . . . . . . . . . . . .. . . . . . . . . . 13• •
�a Nn Vaiue Subjsct to Tax(line 12 minua Line 13) . . . . . . . . . . . . . . . . . .. . . . t a. a 5 0 1 7 8 . 0 9
T CAI.CUU718M-SEE tNSTRUCTiON3 FOR APPUCABtE RATES
15: Amount of Line 14 taxeble
��- st the spousai#�rste,or
'� transstero under Sac. 9116
:. {axt.2}X.0_, � , � � 1S. () . � (�
16'�. Ampunt of Line 14 taxable
at t�neax rate x .o�+s 8 5 Q 1 7 8 . Q 9 fia. 3 8 2 5 8. � 1
17.: Amount ot Line 14 taxadle
at&�trn�rate x.�z Q . � 0 �z �. 0 �
18.: Amount of Line 14 tax8ble
at�oiiat�rsi r�ee x.�s 0 . � 0 �a. U. 0 B
19.i TAX dUE ... . .. . . .. .. . .... ... .. ... . . .. . . .... . .. . . . .. . . .. . . ... . . 19. � b 2 5 8 . d 1
26. FICL IN THE OYAI tF YQU ARE REQUESTIM�A REFUND OF AN QVERPAYMEMT �
i
i
$ide 2
� 1505610240 15Q561024U �
REV•1500 ER{FQ Page 3 Ftk Number
Decedent"s Complete Address: 2], 12 1199
6ECEDENTSNAME
SUZANME C• TAYL4R
STREETAODRESS �
2QQ OTTERBEIM DRIVE �
CI7Y � ^� STATE Z3P
MECHANIGSBURG PA 17055-
Tax Payments and Credits:
7. Ta�ct}ue{Page2,une19} (1) 98,'c5$ •U1
2. Credfts/Payments
A.PtiorPayments 36'a�Q'Q�
B.Discount 1,$94 .74
To�alCredits(A+g) t2) 37,894 •74
3. laierest
(3) 0�0 0
4. If Une 2 is gre�er t�an Une t+�r�e 3,enter the difference.This is the OYERPAYt�EfiT.
Fiii in ovpl on P�pe 2,Line 20 to raqust e refund. (4) 0�0 0
5. If Line 1 +Line 3 is greater than Line 2,enler the difference.This is the TA7(DUE. (5� 3 6 3�2 7
Make check payable ta: REGISTER OF WIL�S, AGENT
� � �.� �,��
u. „ �,
�v.4``1,. . �. � t6 �E' ,.�.:.. 'vr� % . .�i_. ,�...5+ �u.'iz5*Y �,�,w>,+ ..w.,. , . . . �'�
PLEA3E ANSWER THE FOLLOWING QUESTIONS 9Y PIAC�NG AN "X" IN THE APPROPRlATE BLOCKS
1. pid decedeM make a tranafer and: Yes No
a. �taln tt+e use ar income of dre pr�rty fransfetred ...................................................................... ❑ �
b. retain the dght to designate who shall use the property transferted or its inaome ............................... �
c. retain a reversianary iMerest ..................................................................................................... �
d, recelve tlre prorruse tor fite ot either paymenGS�beosfits�caze4 ....................................................... �
2. If death otzt�rred after Dacember 12,1982,did decedent transter property within one year ot death
withcwt�vfng ac�quata�nsi�ratian? ....................................................................................... ❑ �
3. Did decedent wm an'in trost for"or payable-upon�death baok accounl a security at his or her death? ......... ❑
d. pid dflcedent own an irMividual retirement accouM,annuity or ather non-probate prppehy,whicfi
cootains a Garrefld�+design�lon?.................................................................................................. � �
IF 7HE ANSWER TQ ANY OP THE AB4YE 4UESTIONS IS YfB,YQU MUST GOMPI.ETE SGHEDUIE G ANO FILE IT AS PART OF TNE RETURM.
, M-� ,� <r,.
�s.�,. ��.. �aa�.� � .: `�.�>,..: t,�°����' . a, . . . ��a
; N,�'r e�. +t f��?a �..,>> xk,P�..ua.�4 �,x.a.ik.��.��e.
� . , . . . n.. ... .. ._
For daies of dBaih on or after July 1, 1894,and 6efore Jan. t, 1995,the ta�c raie imposed an the nef value of transfers to or fiar ihe use af the surviving spouse is
is 3 percent(7^1 P.S.§9715{a){1.1)(i}j.
For dates of d�aih on or afler Jan. 1,1895,the tax rate imposed on the net value ot transfers to or for the uae of the surviving spouse is 0 perce�t
[72 P.S.§911�(a}(1,1){ii)j,The sfatute does not exempt s transfer to a surviving spouse from tax,and the statutary requirements for disciosure of assets and
filing a tax retum are still appiicable even if the surviving spouse is the only 6eneficiary.
For detes of ddath on or after July 1,2000:
• The�x rat�imposed on the net vaiue of fransfers fram a decsased child 21 years af age or younger at death to or�Or the usa of a naturai parent,an
adoptive padent or a steppareot of the child is 0 percent[72 P.S.§9118(a)(1.2)].
, + The tau rete�imposed on the nat vaiue of transfers to ar for the use of the decsdenCs Iineai benefiaaries is 4.5 percent,except as noked in(�2 r.s.gsi�s(a)(���.
• The tax rate�imposed on tha�et vaiue af fransfers to or for the use of the decedenPs sibflngs is 12 percent(72 P.S.§9i i 6(aj(1.3}].A sibiing is defined,
under SecdOn 9102,as an iodividual who has at least one parent in common with the decedent,whethar hy blood or adoption.
REV-1509 EX+(e-12)
pennsylvania SCHEDU�E B
DEPARTMENTOFREVENUE �y p py�i�„
INHERfTANCF7AXRETURN �TQ�l1S tit OVI7V�
RESIDENT 6ECEDENT
ESTATE OF FILE NUMBER
SUZSMNE t� TAYLdR 21 12 b199
All propsrty JoinUp owned wkh right of survivorshfp must i»dbelossd on SeheduN F.
ITEM VAIUE AT QATE
NUtdBER OESCRIPTION OF DEATH
1• 5�� shares Abbott Labs Comman stock o� $65•182 each 32,54b�25
2 8968 shares AIM Tax-Exempt Fds Tnvesco Inv Hiyld 9Q,666 •48
Muni A a� #10�11t1 each
3 500 shares Allergan Inc Cammon stock a� $91 . 552 each 45,776 •25
4 65� shares Ares tap Corp tommon stack a1 +#1?.514 ea 11,384 . 34
5 1000 shares Duke Energy Corp New Common stock � 64,BOQ .OQ
364 .8tI0 each
6 908� 264 shares DuPont E I De Nemours & Co Common 4U,370•52
stack � $44 . 448 each
7 1ii�� shares Eqt Carp tommon stock � �60.966 each b0,966 �25
8 3Ei�6 shares Invesco Van Kampen PA Value Mu Cammon 47,412 •b4
stock a #15 .772 each
9 5UU shares Lorillard Inc Cnmmon stack a� #115•615 ea 57,6�7.75
10 Money Market Investment Fund 19,971. 75
Z1 3376�324 shares Nuveen Fremier Mun Zncome Fd tammon 51,632 �69
stock a� 415•292 each
12 975b �777 shares 4ppenheimer Multi St Municipal PA 1�1,053.21
Mun Fd C1 A a �11 . 540 each
13 1U00 shares Royal Dutch Shell Plc Spons Adr A stotk 69,467. 48
� 669- 467 each
14 1000 shares Scana Corp New Common stock a 348 • 470 48,470 � 00
each
7,5 10�Q shares Spectra Energy Cflrp Comman stock a 2$,245 .00
#28 • 245 each
16 50Q shares VSSA Inc Common C1 A stock � �143.73fl ea ?Z,865.�0
7oTAL(Alsa enter an une 2,Recapituiation} S 8 4 2,8 4 2 �3 5
It more space is�aeded,insaR additionat ahoats ot the same aae
i
Continuaticn of REV-1500 lnheritance Tax Retum Resident Decedent
SUZANNE G.TAYIOR 21 12 1199
Decedent's Nsme Page t File Number
Schedule B -Stocks& Elonds
ITEM VALUE AT DpTE
NUMBER DESCRIPTION 4F DEATk
1� Abbott labs Common stock - Atcrued Dividend 255�U0
18 AZM Tax-Exempt Fds Investo Inv Hiyid Muni A - Accru 56•08
Interest
1`! tloney Market Investment Fund - Accrued Interest �.I,2
20 Oppenheimer Multi St Municipal PA Mun Fd C1 A - 51•04
Accrued Interest
NOTEs All of the above accounts were in the Edward
Janes accqunt under ^!1 Harvey Teylor Trust^
in which 3uzanne C Taylor was the Trustee/
be�eficiary
SUBTOtA1.SCNEDUl.E 8 362.24
GI2AND TOTAL�HEDUIE B E $42,$d2.35
_.
REV•150$EX+(0&12)
pennsylvania SCHEDU�E E
OEFARIMENTpFREVENUE GpgH, BANK DEPQBlTS 8 MISC.
RE51DEN1'DECEDENT�� PERSONAL PROPERTY
ESTATE dF: FILE NUI�ER:
SUZANNE t• TAYL4R 2b 1,2 119R
Include tho proceeds of litigatlon and the daU the proceeds were received by the estete.
AI!property Jdntly ownsd wfdi rlgM ot surrlvonhbp must be dMCiosad an$chsduN F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 • 2008 Lexus RX at Kelley Blue 9ook value 19,bD6.Q0
2 AAp Centrel Penn Auto-premium refund 16 • 33
3 tharles Schwab-tlaney Fund #1130-?56p 3,263.13
4 Discaver Bank-refund 5?.93
5 Liberty Mutual Tnsurance-premium refund 158•DO
6 MetLife Insurance Co-unearned premium refund 1,192.21
7 United Healthcare System-refund check 0.40
i
ToTa�(Ai�enter on ur�5,RecaWtu��an) # 2 4,29 4 .tI0
If more spaca is needed,use additional aheets of paper of the seme aizd.
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ftEV4509 EXr(0140) •
pennsyivania $GHEDU�E F
CIEPARTMENTpF REVENUE ��4�'��Y�QWNEQ PROPERTY
INHERITANCE TAX RETURN
RESIDENTDECEOENT
ESTATE 4F: FILE NUMBER;
SUZANNE C. TAYIOR 21 12 1199
H an�et vas ma�e�IMiy axnad withh�ane yar of Nu dacadenCs drte ot deNh,R murt ta reporhd on Sctrodahr 6.
SURVR+IN6 J6INT TENANT(S}NAME(S) ADORESS REUT�ONSNIP T4 OECEDENT
n. Melissa W Taylor 345 East �teadow Drive Daughter-in-law
Mechanicshurg, PA 17d55
e.
c.
JQRtiLYAYY�IED PROPERTY:
LE R DATE DESCWPTION C.f PRQpERTY ?40F DATf OF QEATH
ITEM FOR.i�Nf M0.0E MCLt1DENA6E0FFINrtNCIAi.IN$TiTI1TfONAt7ISBANKACCQUNTNUMBERORStANIAR DATEOFDEATH DEGEDENTS VALUEtlF
NUMBER TEW4NT JOIM IDENTIFYINGNUMBER. ATTACHDEEOFORJOMTLKHELDqEALESTATE. VAWEOFAS^aET INTEREST OECEDBNTSIN7EREST
1 A inioaivsCitizens Bank-Checking Acct 3,221.29 50 � 1,61D �65
�6100764621
�,
�
74FA1{Also�t�on line 6,RecapRuiadwr) i y,610�6 5
� �t mwe�b needed,use addXionst�s of t��ths�me size.
- �.��ii
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REV4511 EX+(10.0$j
pennsylvania SGHEDULE H
DEPARTMENT OF REVENUE FUNERA! EXPENSES AND
'""e�'Ta"�E'""aEnR" ADMINISTRATIVE COSTS
RESIDEN7DECE�ENT
ESTATE dF FILE NUMBER
SUZANNE C• TAYLpR 21 12 1199
DecedsM's dsbb must bs repoHed o�$ehedule I.
(TEM
NUMBER pESCRIPTION AMOUNT
A. FUNE{tkL EXf�NSES:
1. Myers-Harner Funeral Home-funera2 expenses 11,53?.00
2 � Rolling Green Gemetery-services rendered 780. 00
6. ADMINI6TRATIVE COSTS:
1. Persaiai RepreseMative Commissipns:
Nnme(s)M Penonai Repaserttatire(s}
Stre�A�ress
City Statfl ZIP
Yeer(e)CGmmiaskn Paid:
2. ACaneyFe98; DBVICI H Stone, Esquire S,OQ�.Qtl
3, famlly ExempOac pf decedenCe sddresa b rat ihe same as daimanCs,atlgch ezp4anaibn,)
Cieknant
Stre�Addnass - .
Ctty S�ate Z!P
Relalanship M Claimant to Decedent
4 � aronareF�es: Cumberland County Register of Wills 123•50
5, naow�lent Faes:
6. T�ae�,mpr�r�Fsm: Martin F! Sacks � Assoc S20•OD
7. Stane LaFaver & Shekletski-Reimb on edv grant of 264 . 54
letters i� Cumberland Lam Journa2 and The Sentinel
2 Register of Wills-Filing Inh Tax Return and Inv 30.Q0
I 3 Reserve far closing expenses 100 .00
T07AL(Also entar on Llna 9,Recapitut�ion} S y 8,3 55�0 4
If more apace is needed,use aCdi6onai sheeb W paper of the ssme size.
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REV-75f2 EXt(12-t2}
pennsylvania SCHEI}ULE f
DEPAR7MENi pF REVENUE p�g�`S Of DECEDENT�
INNERITANCETpXRETURN MORTGAGE LIABIUTIES&LIENS
RESIDENTDECEOENT
ESTA7E OF FILB NUMBER
SUtANME C . TAYLOR 21 12 1199
Rspart debk incurred by tha daced�nt prior to daath that remained unp�id at Iha daM ot dath,inc�uding unreimbuned mW kd expensa.
ITEM VALUE AT DATE
NUM9ER �ESCRIPTlON OF QEATH
1• Asbury - Bethany Village - living expenses 213�9?
TOTAL(Also enter on Line 10,Recapitulatbn) S �13,�7
- H moro space is neatled,insert additionai sfieefc of tha same sizd.
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_ ���I
REV-1513 EX+(01-10�
pennsylvania SCHEDU�E J
DEPARTMENT OF REVENUE BENEf ICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUA�R:
SUZANNE {. TAYL4R 21 b2 1199
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF FERSdN(S}RECEIVING PR4PERTY Do Not U�t TruNee{sj OF ESTATE
i TAJ(ABLE�ISTRIBU710NS pndude owiaht spouset distrroutlons ar�d trarefers ur�dar
Sec.9t�8(a}(t.�.)
1 MARZ3 N TAYL4R III Li�eal 85Q,1?8•09
345 EAST MEADOW DRIVE
t1ECHkNItSBURG PA 17055-
TER AMUUNTS FOR OISTRIBUT#4NS SH4WN ABOYE ON LINES 15 TNRQUGH 18 OF RfV-150Q CQVER SHEET,AS APPR4PRIATE.
II. t7N-TAXA9LE DISTRIBUTIONS:
A.SP4USAl DISTRlBUTIONS UNDE12 SECTIflN 9113 FOR WHlCH AN ELECTlON TO TAX IS NOT 7AKEN:
1 •
B.CHARITABLE AND GOVERNMEN7AL DIS7ftI6U7I6NS,
1•
TQTAL OF PpRT II-ENTER TOTAL NON•TAXABIE D�STRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. ;
i(more apece is needed,use additionaf sheeis M paper of the same size.
....... ..�n�ww��l
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7 Srox�,. LeF.�v�a ..�e St�EKY,raTS�ci
, .
�- ATTORNEYS At LAW
aia BRtOGE STREET
.�'�iW CI7)IAY,NI..\YU P.\ 17074
s
rasz raxr�. Axv r�s�r,r�r�x
os
svzaa�ris c. Tnxzax
I, SUZP.NNE C. TAYLOR, of Lower Allen Township, Cumberlanct Caunty,
Pennsylvania, declare this to be my last wzll and revoke any wzl2
previously made by me.
?.��.: I direct that my Executor hereinatter named shall c�ay �
e1�1 my just debts and funeral expenses as soon as conveniently may be
' dune after my decease from the residue of my estate.
TTEM Ir : I devise and bequeath the residue af my estate of every
nature anc! wheraver situate to my scn, hiARIS H. TAYLOR, ISI . '
I-.��� : I have made no �rovision in this my Last Will °or my san,
STEWART C. TAYLOR, not aut of any lack of affectian, but because he has
'been well provided for during my lifetime. �
� ITEM iV: I appaint my son, MARIS H. TAYLOR, III, Executor of this �
iny 2ast will ,
ITEM V: No fiduciary acting hereunder sha11 be required to post
�and or enter security for the faithful perFormance cf hisiher duties in
ariy jurisdiction.
ZN �_��� �EREOF, I, SUZANNE C. TAYLOR, have hereunto set my hand +
i
ar�d seal this ��� day of �_�n.i,,; , � � z010
2r �� ��t, �f-/
SU !NE C. TAYLOR �
� f �
� Faqe 1 crf 3 1
i��u�
�
�
SIGNED, SSAL�D, PUSLZ38En and DECLARED by SUZANNE C. TAYLOR, the
Testatrix above named, es and for her Last Will and Testament, and in
the presence af us, who at her request, in her presence and in the
presence of ach other, have subscribed our names as witnesses.
9I4 Bridge St . . New Cumberland, F�
s Address
� � �+"( 41�ridge 3t_ , New Cumberiant�,.,, PA
�Titneas Address
COMMONWEALTH OE' PENNSYLVANSA:
. SS:
GOUNTY 4F CUMBERLAND .
: I, SUZANNE C. TAYLOR, the Testatrix whose name is signed to the
alttached pr foregoing instrument, having been duly qualified according
tb law do hereby acknowletiga that 2 signed and execute@ this instrument
as my last will; that I signed it willingly and that Z signed it as my
f'ree and voluntary act for the purpoaes therein contazned.
.C�,G `��
SUZAN C. TAXLOR
ISwarn to ar affirmed to and acknowlecEc}ed before me by SUZANNE C.
TAYLOR the Testatrix, this '�� � day of JahL�iQ.4''�, , 2410.
C4AlAd�lWEat ^r�,,-�� F-i..l..W ,� �11t/1Gw�..Q�
�-� ' `� �� Notary Public
KEIIYA.51RD5-.
��o!�.,Gu�� C6MA40NWEAlTN OF PENN&YlVMl1A
rea June 7: .
Pa ge 2 o f 3 KELLY A.81FOSAt.L,�Mr�+�
�Cum��Qpap�lerd{�.
t �x
C4MMdNWEALTH OE PENNSYLVANIA :
. SS:
COUNTY OF CUMB�RLAND .
We, \>;.,��� Q- �`�•�h., and ��+,`�5��,.. l ���:O�t�
�
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified accort3ing ta law, depose and say that
we were present and saw Testatrix sign and execute the instrvment as her
last will; that Testatrix signed willingly and that she executed it as
her free and voluntary act for the purposes therein expressed; that each
pf us ia the hearing and sight of the Testatrix signed the wili as
witnesses; that to the best af aur knowledge, the Testatrix was at thaC
time eiqhteen or more years of age, of sound mind and under no con-
�traint or undue influence.
Wi ess
'�
Witness
Sworn to or affirmed to and acknowledged before me by
i a'tV` and �� .r��.�`'� ._.,..,
witnesses, this _�� day of ��{}„�}�Q�u , 2Q10 .
r9 /� p��� �� I
C��.��,,.,,,,11V,�AFNA .4�•t�-Notl ary Public
���rrvaAi
My Comm����
�.�e�e t8,�3
Page 3 of 3
Kelley Blue Baok Page 1 of 2
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*y. ' KE�I,I@y BIU$ BOOIC The Trustad Resourca`
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�� '�++ ���!���� ��� �M One Citizens Drive
ROP112
Riverside, RI 4291 S
January 3,20t3
Stone LaFaver& Shekletski
4i4 Bridge Street
Po Box E
New Cumberland FA 17Q74
Estate of SUZANNE C TAYLOR
', Dako of Death: Nov 04, 2012
SSN: ]68-24-4287
Dear SidMadam:
In sccordance with your request,the attached information sheet has been provided in the above decedenYs
name as of his/her date af death.
Per your request account ending in 462t 6as been titled the sarne way as far back as our institutions seven
,year retention period.
For Insta]Iment L.oans or Line of Credit accounts,contac#our Loan Clepartment at t-$00-70$-6b80. Far
'all other inquiries, pleasa call 877-579-2fi67 option 2.
'Sinceraly, . ,
.,�' (� � ��
f;. �l�r( j�--1�- (_
�isa Drainville
',Decedent Accaunt Processing
iREF#: 574436
. _ . __
� Citizens Bank �
Account Number 6100764621
Account Title SUZANNE C TAYLOR/MELISSA W TAYLOR
IDate O ned 10/2/1975
'Account T e Checkin
'Princi al Balance as of DOD $3221.29
'Interest from Last Postin to DOD $ .00
'Account Balance as of DOD $3221.29
'YTD Interest to DOD $ .00
.-,_ ._ ___ _ _ i