HomeMy WebLinkAbout11-13-13 � 15�5610105
REV-1500 EX`°�_">`F";. ,
OFFICIAL USE ONLY
PA Department of Revenue pennsylvania
o�o.„ E.o,a�.E„�� Counry Code Year File Number
Bureau ofIndividualTaxes INHERiTANCE TAX RETURN —� "- - -
PO BOX z8o6o1 RESIDENT DECEDENT ' � J �� ' C��i��
Harrisburg PA i�i28-o6oi
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
232-52-1420 02/13/2013 ' 11/24/1932 ',
. __ _ -_ ___ .__--_ _ -------- - ------ --- -
Decedent's Last Name Suffix DecedenYs First Name MI
_- --_ __ _ _ _ _
Woiff Doris ' A
(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
� 1.Original Return O 2.Supplemental Return O 3. Remainder Return(Date of Death
Prior to 12-13-82)
p 4. Limited Estate O 4a. Future Interest Compromise(date of O 5. Federal Estate Tax Return Required
death after 12-12-82)
C� 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust � 8. Total Number of Safe Deposit Boxes
(Attach Copy of Wili) (Attach Copy of Trust.)
O 9. Litigation Proceeds Received O 10.Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
- ____ _ _
Richar.d L Placey, Esq. ' (717) 236-9577 �
_ -----__ _ __ --' ----- ---�---.-�..-
R£GI�T R OF WIL�USE �L�
� � �`''..... Cr� �
"'Ey c.�_�.. (j) 7D
First Line of Address � � � � �,� �
Placey &Wright ' A � � �''� �' �
� - a� cs c�
Second Line of Address � � Q � "'� �
_
T'1
Cit or Post Office _ _- --_ __ ._.____ -__ __ State ZIP O � DATE FI� � T'r`t
3621 North Front Stre
y Code � . �
_ ___ _._ _ _ __ _ . _— � (!�
Harrisburg PA 17110 �' m �
CorrespondenYs e-mail address: pWIaW epix.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 beliei,
it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
IGNATURE F PERS RESPONSIBLE FOR FILING RETURN DATE
, 11/12/2013
ADDR S
Mary y ham s, Executrix, c/o Placey & Wright, 3621 North Front Street, Harrisburg, PA 17110
SIGNATURE OF EPA OTH HAN R RESENTATiVE DATE
11/12/2013
ADDRESS
Ri' ar . lac , E ,�ca�& 'ght, 3621 North Front Street, Harrisburg, PA 17110
PLEO.SbUSE ORIGINAL FORM ONLY
_.-------
Side 1
� 1,50561�105 150561,0105 �
� 1505610205
REV-1500 EX(FI)
DecedenYs Social Security Number
�ecedent's tvame: Doris Ann Wolff 232-52-1420
RECAPITULATION
1. Real Estate(Schedule A). . ... . . . . .. ..... ... .. . . ....... ..... . . .. .. . . . . 1. 239,700.00
2. Stocks and Bonds(Schedule B) 2. 0.00
3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) . ... . 3. � �_� 0.00
4. Mortgages and Notes Receivable(Schedule D).. ....... ... ... .. .. .... .. . . 4. 0.00
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E).. . . . . . 5. 198,469.79
6. Jointly Owned Property(Schedule F) O Separate Billing Requested ... . . .. 6. 10,044.35
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property i � �
(Schedule G) O Separate Billing Requested.. .... .. 7. 14,601.49
8. Total Gross Assets total Lines 1 throu h 7 8. 462,815.63
� 9 ). ... ...... .. .. ....... .. .. .. ..
9. Funeral Expenses and Administrative Costs(Schedule H)..... ..... .. . .... . . 9. 23,073.58 '
10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule I)..... .. . . . .. .. . 10. 13,554.84 ,
11. Total Deductions(total Lines 9 and 10).... .. . ..... ... ........ . . . ... .. . . 11. 36,628.42
12. Net Value of Estate(Line 8 minus Line 11) . ........ .... ... ... ... ... ... . . 12. 426,18721
_._ _ -.._._ . __ _ .
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J) . .... . .. ...... . . . ... .. . . 13. 0.00
14. Net Value Subject to Tax(Line 12 minus Line 13) ..... ...... .. .. ... .. .. . . 14. 426,187.21
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
. _ ._
transfers under Sec. 9116 15.
(a)(1.2)X.0 0 0.00 , 0.00
16. Amount of Line 14 taxable �v `-� Wi�.-
at lineal rate X.0_
0.00 ! 16. I 0.00
17. Amount of Line 14 taxable 215,593.61 �7
at sibling rate X.12 ' ' 25,871.23
__ . _�__.. ___._.. . . . _u. �.._ �_ -- _--__ ___- _�___.--.
18. Amount of Line 14 taxable 210,593.60 ' ' 31,589.04
at collateral rate X.15 18. .
19. TAX DUE . . .. .... . .. . . . . . . . . . ... .. .. .. . ........ ... . . ..... .. .... . . . 19. 'r 57,460.27
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Slde 2
L ],50561,02�5 1,50561,0205 �
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address:
DECEDENT'S NAME
Doris Ann Wolff
STREET ADDRESS
509 Cocklin Street
CITY ' STATE ;ZIP
Mechanicsburg ', PA 17055
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 57,460.27
2. Credits/Payments
A.Prior Payments _______ __ 50,000.00
B.Discount 2,631.50
Total Credits(A+B) (2) 52,631.50
3. Interest
(3) 0.00
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2,Line 20 to 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) 4,828.77
Make check payable to: REGISTER OF WILLS, AGENT.
s+�._.�q,a��F �� -=���f� �„ rn,..- �._:... �n -.�:. � - �' �::
E�'....a':.k 2s�z.�z....�,,;�»4- � - . �
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred.......................................................................................... ❑ �
b. retain the right to designate who shall use the property transferred or its income ............................................ ❑ �
c. retain a reversionary interest.............................................................................................................................. ❑ �
d. receive the promise for life of either payments,benefits or care?...................................................................... ❑ �
2. If death occurred after Dec. 12,1982,did decedent transfer property within one year of death
without receiving adequate consideration?.............................................................................................................. ❑ �
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.
���� ���h�� � -.. � ��� . .. . . . �, . � � ���-,.. � T
r..��..�;.�-?-.�����..�.��.��b.-,.s...�„��.�t������-.'�.re .;a,:. � �.-%-..
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 Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S.§9116(a)(1.1) (ii)].The statute tloes not exempt a transfer to a surviving spouse from tax,antl the statutory requirements for tlisclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
. The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an
adoptive parent or a stepparent of the child is 0 percent(72 P.S.§9116(a)(1.2)].
. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)].
. The tax rate imposed on the net vatue 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 tlefined,
under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
REV-1502 EX+ {12-12) -
� pennsylvania SCHEDULE A
� DEPARTMENT OFREVENUE
INHERITANCE TAX RETURN REAL ESTAT E
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
DORIS ANN WOLFF 21-13-0237
All real property owned solely or as a tenant in common must be reported at fair market value,fair market value is defined as the price at which property
would be exchanged between a willing buyer and a willing seiler, neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts.
Real property that is jointiy-owned with right of survivorship must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the property has been sold.
ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE
NUMBER Of DEATH
DESCRIPTION
1• Real estate situate in Mechanicsburg Borough,Cumberland County, Pennsylvania,more
particularly bounded and described in Cumberland County Recortler of Deetls Office in
Deetl Book"C",Volume 32, Page 543,known and numbered as 509 Cocklin Street. 239,700.00
(Valued at assessment)
TOTAL(Also enter on Line i, Recapitulation,) $' 239,700.00
If more space is needed, use additional sheets of paper of the same size.
REV-15o8 EX+(o8-1z)
� pennsylvania SCHEDULE E
DEPARTMENTOFREVENl1E CASH� BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN p ERSO NAL P RO P E RTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
DORIS ANN WOLF 21-13-0237
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly owned with right of survivorship must be disclosed on Schedule P.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OFDEATH
�. PNC Bank Savings Account 5111997336 11,193.57
2. Members 1st Savings Account 11948-00 10,841.61
3. Members 1st Checking Account 11948-11 14,613.99 '
4. Members 1st Investment Savings Account 11948-05 49,509.65 '
5. `M&T Bank Savings Account 15004219414957 105,644.71
6, 1997 Buick LeSabre(valuetl at price soltl) 2,750.00 .
_ _ � . _ . . .. _, ..:,
7. U.S.Treasury-2012 1040 income tax refund 1,104.00
g. John Hancock-refund unused premium 5.04
g., ;Malpezzi Funeral Home-refuntl 100.00
10.' :GEICO-refund unused premium automobile insurance 225.22
11. 'Penn National-refuntl unused premium homeowner's insurance 102.00
12.; Householtl Goods per Valuation Statement Attached 2,380.00
13.: !Miscellaneous Personal Effects
TOTAL(Also enter on Line 5, Recapitulation) $ 198,469.79
If more space is needed, use additional sheets of paper of the same size.
ATTACHMENT TO SCHEDULE E
CASH,BANK DEPOSITS & MISC. PERSONAL PROPERTY
ESTATE OF DORIS ANN WOLFF
File No. 21-13-0237
Households Goods/Personal Property
F�yYer:
Converted TV Console Cabinet $ 10.00
Secretary's Desk w/Fold Down Top 75.00
Music Cabinet 15.00
Miscellaneous Cabinet 10.00
Tall Black Tri-fold Picture Frame 15.00
Lower Bedroom:
Big Chest 35.00
Converted Spool Bed 40.00
Nightstand 5.00
Bookcase 10.00
Washstand w/Rack 15.00
Small Double Door Cabinet 15.00
Music Room:
Organs w/Benches (2) 150.00
Keyboard w/Bench 50.00
Piano w/Bench 75.00
Floor Light 5.00
Glass Cabinet w/Shelves 10.00
Living Room:
Matching Couch and Chair 3 5.00
Recliner/Rocker 25.00
Wooden Rocker 25.00
Oval Shaped Coffee Table 25.00
Octagon-Shaped End Tables (3) 25.00
Matching Lamps (3) 15.00
Floor Lamps (2) 10.00
VCR Tape Cabinet 5.00
Corner 3-Tier Octagon-Shaped Table 25.00
Dining Room:
10-Piece Dining Room Set 450.00
Small Desk w/Chair 25.00
Small Drop-Leaf Table 20.00
Telephone Stand w/Drawer 5.00
Kitchen:
Deacon's Bench 10.00
Bar Stools (2) 10.00
Miscellaneous Pots/Pans and Silverware 50.00
Back Porch:
4-Piece Wicker Set 75.00
Round Glass Table 10.00
Wooden Chairs (5) 30.00
Small Black Rocicer 15.00
Lounge Chair 25.00
BBQ Grill 10.00
Second Floor Master Bedroom:
9-Piece Bedroom Set 500.00
Hall Tree 15.00
Second Floor Spare Bedroom:
5-Piece Bedroom Set 200.00
Hall Tree 15.00
Rec Room:
Treadmill 10.00
Exercise Bike 10.00
Wooden Chair 5.00
Basement:
Metal Shelving 25.00
Large Wooden Cabinet 20.00
Miscellaneous:
Round White Resin Table 25.00
Square White Resin Table 25.00
Small White Resin Tables (2) 20.00
Additional Miscellaneous Items 50.00
TOTAL 2�3_�
REV-i5o9 EX+(01-10)
� � pennsylvania SCHEDULE F
y DEPARTMENT OF REVENUE
'---- JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
DORIS ANN WOLFF 21-13-0237
If an asset became jointly owned within one year of the decedent's date of death,it must 6e reported on Schedule G.
SURVIVING)OINT TENANT(S) NAME(S) ADDRESS RELATIONSHIPTO DECEDENT
A•'Mary Kay Chambers 44 Hark Lane :Sister
Moundsville,VW 26041
_ _ _ __ _ _ __ __ _ _ __ _ _
_ _ _ . _ _ _
B.
C. __ _ _ _ _ : _ _
JOINTLY OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY °/a OF DATE OF DEATH
ITEM FOR]OINT MADE ]NCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMIL4R DATE OF DEATH DECEDENT'S VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER.ATTACH DEED FORJOINTLY HELD REAL ESTATE. VALUE OF ASSE7 INTEREST OECEDEM'SINTEREST
.__...... .._.._. . _.._.. ..___. _._._. ._.__..__. ...,...._. ... . ...
.. ....... .. : . .::�. .. .. ___... . ._ . .,� .
1. A. 08/26110 Sovereign Bank Checking Account 1681705273 13,941.55 : 50 6,970.78
2. ' A 08/26/10 ,SovereignBankMoneyMarketAccount7675455789 6,14714 ' 50 3,073.57
TOTAL (Also enter on Line 6, Recapitulation) $ __ 10,044.35
If more space is needed, use additional sheets of paper of the same size.
REV-1510 EX+ (08-09)
v � ; pennsylvania SCHEDULE G
' oEPARTMENT oF RE�EN�E INTER-VIVOS TRANSFERS AND
INHERITANCETAXRETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
DORIS ANN WOLFF 21-13-0237
This schedule must be completed and filed if the answer to any of questions i through 4 on page three of the REV-1500 is yes.
DESCRIPTION OF PROPERTY
ITEM 1NCLUDETHENAMEOFTHETRANSFEREE,THEIRRELATIONSHIPTODECEDENTAND DATEOFDEATH %OFDECD�S EXCLUSION TAXABLE
NUMBER THE DATE OF TRANSfER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (]F APPLICABLE) VALUE
1. PNC Bank IRA 65001007531. Beneficiary sister,Mary Kay Chambers. 14,601.49 100 0.00 ; 14,601.49`
'Transferred February 13, 2013.
TOTAL(Also enter on Line 7, Recapitulation) $ 14,601.49
If more space is needed,use additional sheets of paper of the same size.
REV-1511 EX+ (08-13)
� pennsylvania SCHEDULE H
DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
1NHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
DORIS ANN WOLFF 21-13-0237
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1' Malpezzi Funeral Home 462.63
2. Rolling Green Cemetery 405.00 :
e, ADMINISTRATIVE COSTS:
1, Personal Representative Commissions
Name(s)of Personal Representative(s)
Street Address
City---- - - ------ State -----ZIP-- -------
Year(s)Commission Paid:
16,500.00
2. Attorney Fees
3. Family Exemption: (IF decedent's address is not the same as claimant's, attach explanation.) _
Claimant
Street Address _____
City __ State ZIP__
Relationship of Claimant to Decedent_
4. Probate Fees; 478.50
5. Accountant Fees
6. Tax Return Preparer Fees:
�• Patriot-News Company-estate advertising 116.45
_
s. Cumberland Law Journal-estate advertising 75.00
s. Additional death certificates 36.00
_
�o. Reserve for future costs,taxes and real estate expenses 5,000.00
TOTAL (Also enter on Line 9, Recapitulation) $ 23,073.58
If more space is needed, use additional sheets of paper of the same size.
REV-1512 EX+ (12-12)
� pennsylvania SCHEDULE I
� DEPARTMENTOFREVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
DORIS ANN WOLFF 21-13-0237
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimhursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
_ _ _ _._ _ _ _ _ _ _
1• Barry L.Heckard,Sr.,Tax Collector-county/townshiplper capita taxes 1,150.03 '
2. PPL Electric Utilities-debts of tlecedent 2,237.63 '
3. Borough of Mechanicsburg -sewer/trash debts of tlecedent 413.00 >
4. Jeff Nickel-mowing services 840.00
5. Dave Nickel-weeding/watching house 150.00 "
6. Penn National Insurance-homeowner's insurance premiums 661.95
7. :GEICO-automobile insurance 420.50 '
8. Darwin Girton-tree removal 500.00 '
9. Keith B.Stone-sitlewalk repair 487.50
10. 'Barry L.Heckard,Sr.,Tax Collector-2013 school real estate taxes 2,824.55 .
11. :Dave Nickel-reimb.mower service 76.44 '
12.' Miliville Mutual Insurance Company-homeowner's insurance premium 1,238.00
13. Verizon-debts of tlecedent 1,029.55 ,
14. U.S.Retail Flowers&Gifts-debt of decedent 2.99
15. United Water of Pennsylvania-debts of tlecedent 241.99
16. Harrisburg National Lawn Services of America-tlebt of decedent 55.65 '
17. Comcast-tlebts of decedent 901.06 '
18. 'Zimmerman's-repairs re basement flooding 324.00
TOTAL(Also enter on Line 10, Recapitulation) $;; 13,554.84
If more space is needed, insert additional sheets of the same size.
REV-1513 EX+ (01-10)
�
�°i 4:` pennsylvania SCHEDULE J
DEPARTMENT OFREVENUE
���� INHERITANCETAXRETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER;
DORIS ANN WOLFF 21-13-0237
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 outright spousal distributions and transfers under
Sec.9116(a)(1.2).]
1. Thomas D.Yost,Sr.,401 W. Main St.,Apt.801, Monongahela,PA 15063' Brother 5,000.00
2. Mary Kay Chambers,44 Hark Lane, Moundsville,WV 26041 ;Sister One-Half Residue
3. Sandra Jo Yost, 502 Diehl Road, Mechanicsburg, PA 17055 : 'Sister-in-Law One-Half Residue
__ __ : _ _ _ _
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:
L
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
L .
_ _ _. _
TOTAL OF PART II— ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ 0.00 !,
If more space is needed, use additional sheets of paper of the same size.
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FIRST CODICIL TO THE `�' '�� -=� ��'
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LAST WILL AND TESTAMENT OF _ =� �;" ��,
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DORIS ANN WOLFF
I, DORIS ANN WOLFF, now of Mechanicsburg, Cumberland County,
Pennsylvania, do hereby make, publish and declare this to be the First Codicil to my Last Will
and Testament dated April 28, 2011.
ITEM I. Item N of my said Last Will and Testament is deleted in its entirety
c1T;u� iiI I.eL'.�:i�,i�Cf�t�le fCliOv.'1;1g 1S .::SP`if��`j:
"ITEM IV. I give to my brother, THOMAS D. YOST, SR., the sum of Five
Thousand ($5,000.00) Dollars. I give the rest, residue and remainder of my estate of
every nature and wherever situate in equal shares to my sister, MARY KAY
CHAMBERS, and my sister-in-law, SANDRA JO YOST. In the event either of them
predeceases me, I give the share of such deceased residuary beneficiary to the remaining
residuary beneficiary."
ITEM II. In all other respects, I hereby confirm and republish my Last Will and
Testament dated April 28, 2011.
IN WITNESS WHEREOF, I hereby set my hand to this First Codicil to my Last
Will and Testament dated April 28, 2011 on this 3`d day of December, 2012, at Mechanicsburg,
Pennsylvania.
,; ; r I
D ris Ann Wolff
The preceding instrument, consisting of this typewritten page and an acknowledgment page,
identified by the signature of the testatrix, was on the day and date thereof signed, published and
declared by Dorothy E. Hamilton, the testatrix therein named, as and for her First Codicil to her
Last Will d Testament, in the presence of us, who, at her request, in her presence and in the
presence o each ot�er, s �sc b our names as witnesses hereto.
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ACK�NOWLEDGVIENT
COMMONWEALTH OF PENNSYLVANIA:
: SS.
COUNTY OF DAUPHIN �
I, DORIS Ai�N WOLFF, testatrix whose name is si�ned to the attached or
foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I
signed and e�cecuted the instrument as my First e°dand vo untary act fora he purposestthe etin
signed it willingly, and that I signed it as my f
expressed.
� � �� ��
� �
oris Ann Wolff
Sworn or affirmed to and acknowledged before me, by Doris Ann Wolff, testatria,
this 3`d day of December, 2012.
� �� �
`Notary Public
" �►�ONWEALTH OF PENIVS�YLVPJVU�
My Commission . • �nai seai
Holly S.Kirk,Notary Public
AFFIDAVIT Susquehanna Twp,,�auph�n County
My Commissbn Explres Aug.14,2016
MEMBER,PENNSYLVANIA AS50�Tt�Y+�rv nG n10TARIES
COMMONWEALTH OF PENNSYLVANIA:
: SS.
COUNTY OF DAUPHIN �
We ��f� 4"��,�.�'�- t �..�i�� � �-'� �'��� � ��✓"(' r���f���tlie�w tnesses
whose names are signe to the attached or foregoi g instrument, being duly qualified according
to law, do depose and say that we were present and saw testatriY sign and execute the instrument
as her First Codicil to her Last Wili anu Testament; thai sl-�e sigi�ed �s�illing.y and th�t she
executed it as her free and voluntary act for the purposes therein expressed; that each of iis in the
hearing and sight of the testatrix signed the Will as witnesses;^ d a� tr�� be.s� of our
un �mincL nd`under no
knowledge the testatrix was at that time 18 or more years of age, f,.:
. ,
constraint or undue influence. , ( ,� G�
l.� / _ ----
_ �
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Sworn to and subscribed before me this 3`d day o D cember, 2012.
�+ j 'r, � ;� (��WEALTH 0�PENIV5YLVANIA
��' na a
" � Nota y Pub�iy s.w,�,riocary a�i��
Susquehanna Twp.,Dauphfn County
. My Commisslon 6cp�res A�9.14,2016
My Commission Ex ,PENNSYLVANIA ASS��T�+�O�e��AR1ES
LAST WILL AND TESTAMENT
OF
DORIS ANN WOLFF
I, DORIS ANN WOLFF, now of Mechanicsburg, Cumberland County,
Pennsylvania; do hereby declare this to be my Last VG�ill an� Testament and hereby revoke all
prior Wills and Codicils made by me.
ITEM L I direct that all of my just debts and funeral expenses, including the cost
of my gravemarker, if any, shall be paid from my residuary estate as soon as practical after my
decease as a part of the administrative expenses of my estate.
ITEM II. By separate document attached to this Will, signed and dated by me, I
have set forth gifts of specific items of personal property to certain individuals. I incorporate the
gifts set forth thereon as part of my Will and direct that the items listed thereon be distributed by
my personal representative to the persons indicated.
ITEM III. I direct that the remainder of my household goods and personal
effects be sold at public auction and the proceeds thereof be distributed as part of my residuary
estate.
ITEM IV. I give and devise all of the rest, residue and remainder of my estate of
every nature and wherever situate in equal shares to my sister, MARY KAY CHAMBERS, my
brother, THOMAS D. YOST, SR., and my sister-in-law, SANDRA JO YOST. In the event any
of them predecease me, I give the share of such deceased residuary beneficiary to the remaining
residuary beneficiary(ies).
ITEM V. If any income or principal shall be payable to any person who shall be
under the age of twenty-five (25) or who shall be incapacitated for any reason, my personal
representative, as trustee, shall such income and principal for such beneficiary until the age of
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Doris Ann Wolff �
twenty-five (25) or during incapacity (whichever event occurs first) and shall be entitled to
apply such income and principal to the health, maintenance, support and education of such
person after considering other resources available to such person for those needs without the
appointment of any guardian or committee or any authority of court, and shall be entitled to
inake direct application hereunder or to make application by payment thereof to the parent or
other person in charge of such person, or to his or her guardian or to a custodian under the
Uniform Transfers to Minors Act. Any remaining income and principal to which such person
shall be entitled shall be paid and distributed to such person upon attaining the age of twenty-five
(25) or upon the termination of incapacity.
ITEM VI. I appoint my sister, MARY KAY CHAMBERS, Executrix of this my
Last Will and Testament. Should she fail to qualify or cease to act in such capacity, I then
appoint my niece, DIANA CARPENTER, Contingent Executrix of this my Last Will and
Testament. No bond shall be required by my personal representative in any jurisdiction.
ITEM VII. In addition to the powers given by law to my personal
representative(s) and trustee(s) [hereinafter fiduciaries] in the administration of my estate and of
any trust(s) created herein, they shall have the following discretionary powers applicable to all
real and personal property held by them, including property held for minors, effective without
court order until actual distribution.
A. To retain any property owned by me at my death and to invest any funds held
by them in any stocks, bonds, notes or other securities or property, real or personal, including
common trust funds, mutual funds and money market deposit accounts operated or offered by
my corporate trustee, if any, or any affiliate of it.
B. To sell or otherwise dispose of any property, real or personal, at any time
forming a part of my estate or the trust estate, for cash or upon credit, in such manner and on
such terms as they see fit, and no one dealing with the fiduciaries shall be bound to see to the
application of any monies paid.
�
,: �; �
Dor� Aml Wolff
2
C. To manage, operate, repair, improve, mortgage or lease for any term [even if
beyond the duration of the trust(s)] any real estate at any time held or owned by them as
fiduciaries.
D. To hold investments in the name of a nominee and exercise and dispose of
warrants.
E. To engage in litigation and compromise, arbitrate or abandon claims and
property.
F. To conduct any business in which I am engaged or in which I have an interest
at the time of my death for such period as the fiduciaries deem advisable, with the power to
borrow money and to pledge the assets of the business and to do all other acts which I, in my
lifetime, could have done, or to delegate such powers to a partner, manager or employee without
liability for any loss occurring therein.
G. To allocate items of receipt or disbursement between principal and income as
the fiduciaries deem equitable regardless of the character given such items by law; to distribute
in cash or kind or partly in each at valuations fixed by the fiduciaries
H. To borrow money, including the right to bon•ow from any corporate trustee, if
any, and to mortgage or pledge as security or to hold its own stock if a corporate trustee.
I. To join in any merger, reorganization, voting trust plan or other concerted
action of security holders, and to delegate discretionary duties with respect thereto.
J. Should the principal of any trust herein provided for be or become too small in
trustee's opinion so as to make establishment or continuance of the trust inadvisable, my
trustee(s) may make immediate distribution of the then remaining principal and any accumulated
or undistributed income outright to the person or persons and in the proportion they are then
entitled to income. Upon such termination, the rights of all beneficiary(ies) who might otherwise
have an interest as succeeding income beneficiary(ies) or in remainder shall cease.
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D is Ann Wolff
3
K. In general, to exercise all powers in the management of the assets of my estate
or the trust estate which any individual could exercise in the management of similar property
owned in his own right, upon such terms and conditions as the fiduciaries may deem best, and to
execute and deliver all instruments and to do all acts which the fiduciaries may deem necessary
or proper to carry out the purposes of this will or any trust(s) created herein.
L. To apply income or principal to which any beneficiary is entitled, directly for
his or her comfort, maintenance and support, should the fiduciaries deem such beneficiary
incapable of receiving the same by reason of age, illness, infirmity or incapacity, or to pay the
same to such pei•son or persons as the fiduciaries select to disburse it, whose receipt shall be a
complete acquittance therefore without the intervention of any guardian.
M. To assume continuance of the status of any beneficiary with reference to
death, marriage, divorce, illness, incapacity or other change in the absence of inforn�ation
deemed reliable without liability for disbursements made on such assumptions.
N. All principal and income shall, until actual distribution to any beneficiary, be
free of the debts, contracts, alienations and anticipations of any beneficiary, and the same may
not be liable for any levy, attachment, execution or sequestration while in the hands of any
fiduciaries. Provided, however, any beneficiary may assign any part or all of the beneficiary's
interest in my estate or the trust(s) to any one or inore of the beneficiaries or my descendants�
G -�`
IN WITNESS WHEREOF, I have hereunto set my hand and seal this�day
of �t , 2011. , �
� �
Doris Ann Wolff
The preceding instruinent, consisting of this and three other pages, identified by the signature of
the testatrix, was on the day and date thereof signed, published and declared by Doris Aim
Wolff, the testatrix therein named, as and for her last Will, in the presence of us, who, at her
request, in h resence, and in the presence of each other, subscribed our names as witnesses
hereto. _ � -
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ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA :
: SS.
COUNTY OF DAUPHIN :
I, DORIS ANN WOLFF, testatrix whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acicnowledge that I signed and
executed the instrument as my last Will, that I signed it willingly, and that I signed it as iny free and
voluntary act for the purposes therein expressed.
�� �:G't/Zf,�
D� is Ann Wolff
Sworn or a rmed to and acknowledged before me, by Doris Ann Wolff, testatrix,
this ��� day of h � , 2011.
� ` �
Not ry Public
My Commission .NWEALTH fJ�°Et�„�rYLVANIA
Notan,?� .F�ai�
�tl��y 5.Klir� � "ar:^iV t`�'6'171{:;
AFI+'IDAVIT Susquenanna�i>,��;:��;���.,�.�.z���;aunty
My Commissior.c;pi.>!:.. i�,2012
Member,Pennsylvania Asa�clation of Notarles
COMMONWEALTH OF PENNSYLVANIA :
: SS.
COUNTY OF DAUPHIN :
W e,J� ! C���C�� l.� - I Ct�� �r��l� ���G��C�h � . �Cy��"1
the witnesses whose na es are signed to the attached or for going instrument, being duly qualified
according to law, do depose and say that we were present and saw testatrix sign and execute the
instrument as her last Will; that she signed 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 Will as witnesses; and that to the best of our kna le ge th�statrix was at that
time 18 or more years of age, of sound mind and under no constrai unclue ,,ence.
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Sworn to and subscribed before me this �� day of , . ►�� , 201 i. �
� �
NSYLVANIA
Nota u 1C Notarial Sea�
Holly S.Kirk,Notary Public
Susquehanna Twp.,Dauphin County
My Commission Ex 1Pe�7Y Commission Expires Aug.14,20�2
aemh�,� oo�nsvivanle Aasociation of Notaries
� 4850�041046
REV-485 EX(05-04)
SAFE DEPOSIT
BOX INVENTORY
PA Department of Revenue PLEASE USE ORIGINAL FORM ONLY
Social Secunty or Death Certificate Number Date of Death _ _ County Code Year File Number
�------ ---; -- --- � �- — --— :-- __ —-_
232-52-1420 I, 02/13/2013 ' ! 21 � 13 0237
---- ----- ' — ! �_.. !�._—�
DecedenYs Last Name Suffix First Name MI
_------- ---- -___—__------__ - — --- ---------- --------;
Wolff � �`Doris i A
---------- ----- -------------� --- --- — -----
—J
--- ----------- --- - -----.
ADDRESS OF DECEDENT STREET: CITY: STATE: ZIP CODE:
509 Cocklin Street Mechanicsburg PA 17055
NAME AND ADDRESS OF PERSON REQUESTING THE OPENING OF THE SAFE DEPOSIT BOX '
"AME. Mary Kav Chambers Executrix '
STREETADDRESS: CITY: STATE: ZIPCODE: I,
44 Hark Lane Moundsville WV 26041 !
� NAME ADDRESS AND RELATIONSHIP QF ANY)TO DECEDENT,OF PERSON(S)PRESENT AT THE BOX OPENING '
a. NAME: RELATIONSHIP: '
Mary Kay Chambers Sister/Executrix i
STREETADDRESS: CITY: STATE: ZIP CODE: ',
44 Hark Lane Moundsville WV 26041 I
b. NAME: RELATIONSHIP:
Richard L. Placey Attorney for Estate
STREET ADDRESS: CITY: STATE: ZIP CODE:
3621 North Front Street Harrisbur�7c PA 17110 �
c. NAME: RELATIONSHIP: �I
STREETADDRESS: CITY: STATE: ZIP CODE: II
'
NAME AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED I
— �
NAME: I
PNC Bank '
STREETADDRESS: CITY: STATE: ZIPCODE:
Windsor Park Branch, 5288 Simpson Fer Road Mechanicsbur PA 17055
. NAME OF PERSON MAKING LAST ENTRY DATE AND TIME OF LAST ENTRY
Doris Ann Wolff 5/7/09 0:00 am
. DATE OF CONTRACT TO RENT BOX NUMBER OF BOX 1 TITLE UNDER WHICH BOX IS REQUESTED �
12/09/1996 SF- 392 Doris Ann Wolff and Ma Ka Chambers '
NAME AND ADDRESS OF PERSON(S)HAVING ACCESS TO BOX i
a. NAME: b. NAME:
Doris Ann Wolff Mary Kay Chambers
STREETADDRESS: STREETADDRESS: ,
509 Cocklin Street 44 Hark Lane I
CITY: STATE: ZIP CODE: CITY: STATE: ZIP CODE: �ii
Mechanicsbur PA 17055 Moundsville WV 26041
NAME AND TITLE OF EMPLOYEE TAKING THE INVENTORY ,
n/a �
WAS A WILL IN THE BOX? ❑ YES �] NO If yes, a. Date of wilL• 'I
b. Name and address of personal representative,if named In the will �
NAME: I
STREETADDRESS: CITY: STATE: ZIP CODE:
c. Name and address of attomey,if any
NAME: '
STREETADDRESS: CITY: STATE: ZIPCODE:
L 4850�04],046 48500041,046 �
REV-485EX SAFE DEPOSIT BOX INVENTORY Page 1 of �
INSTRUCTIONS
(1) Cash:Report total only.
(2) Stocks: List in detail every common or preferred certificate,warrant or other rights found in box.Stocks are to be designated by
name of company,certificate number,date of certificate,name in which stock is registered,and number of shares and class of stock.
(3) Obligations of U.S.Government: Number of items,date of issue,face value,names in which registered and type of ownership,
i.e.,jointly held,payable on death,etc.
(4) Bonds: Designate by name,amount,serial number,or other designation.(Bearer Bonds)
(5) Bank and Savings and Loan Passbooks: State name of depositor,number of book, last date appearing in book,name of bank
and branch,and balance.
(6) Jewelry,Coins,Stamps,Manuscripts,etc: List and describe as fully as possible.
(7) Deeds,Mortgages,Current Insurance Policies or other evidences of indebtedness: List and describe as fully as possible.
(8) All other contents.
(9) Return completed form to: DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
DEPT.280601
HARRISBURG,PA 17128-0601
ITEM ITEM DESCRIPTION
NO.
The box was empty.
I CERTIFY UNDER PENALTY OF PERJURY THAT THE ABOVE RECORD IS PERSON RECEIVING COPY OF
CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF. SAFE DEPOSIT BOX INVENTORY:
SIGNATURE SIGNATURE
PRINT NAME PRINT NAME AND CHECK APPROPRIATE BOX BELOW:
Richard L. Place Ma Ka Chambers
PRINT TITLE DATE CHECK APPROPRIATE BOX:
Attorney for Estate 05/07/2013 �Executor(trix) �Administrator(trix)
�Estale Representative ❑Joint owner of safe deposit box
NOTE:Attach additional 8'/�'x 11"sheet(s) if necessary or use duplicates of this page of form.
The Departmeni is authorized by law,42 U.S.C.§405(c)(2)(C)(i),to require disclosure of Social Security numbers in conneclion wilh administering state tax laws.The Department uses the
Social Security number to identify the decedent and personal representatives of the estale.The Commonweaith may also use the information in exchange of tax information agreements
with Federal and local taxing authoriGes.The state law prohibits the Commonwealth's personnel from disclosing confidential tax information except for official purposes.
206-T—Deed—Executor'a Under Power in Will
Henry I3a11, Inc., Indiana, Pa. �
� _
�
MADF THE 14th day of [���t in the year of our Lord
one t3zo2cscr.nd nine hundred and eighty-six (1986) .
t3ETY�'EEN ROSEMARY CUNNINGHAM,
Execut rix of the last W�ill and Testament of Jane E. Graffam
late o� Mechanicsburg, C�nberland Crnmty,
Permsylvania, party of the �irst part, and Doris A. Wo1ff, single persan,
of I�emoyne, Permsylvania, party
of the second part:
WHEREAS, the said Jane E. Graffam
by her Zast Will and Testament, d�cly proved and recorded in the Pegtister's of�'ice of
C�berland County, Pennsylvania, Letters being issued on
March 14, 1986 in Docket Book 21-86-176, provided, in pertinent part, as follc�as:
F'OURTH: My persona.l representative shall have the follc3w-ing pawers
in adctztio to those vested in her by law and by other provisions of my Wi11,
applica.ble to all property, whether principal or income,
(al . . . .
(b) . To se11 at public or private sale any real or persanal property
for such prices and upon such terms or conditians as she deems praper.
SEVENTH: I nominate and appoint my cl�.ughter, ROSII�'1�RY CUNNIN�HAM, of
New Yo�, New '�ork, Executr� of this, my Last Wi11 and Testament. . .
� ��n��n�a,�a�T�,�,�-� ��r a�ra�;���,_v�;►a;�. -.
"' ��EP�,P,TMci*1T :�F R:'�'L1J�:)E -V
� TRF�'hdai�ER—____.____. � „rr�,``-JJ�'t'ro; a r� ��, �! ^
`n i F;1: dUG 1�•flE `t'i��,,..e. �� (," i:. �.• �„�� ..
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�=� NOT�' Ti�;IS INDENTURE WITNESSETH, tliat the said party of the �rst �a�°t, b� virttcc
W of the power and, aut7iority aforesaid, in said bVill contained, and in. considercct�ion of t1a,e szc7�z. of
� One Htmdred Z�aei�.ty�= Five Thousand and No/100 -- -- ----($125,OQ.O.00)---�- � �--�, -
A Dollars to be paid by the said pa,rty of the second part, at and before tlae ens�aling an.d
� delivery of tJzese presents, tlze receipt wlaereof is hereby acicno7,vledged, j�s granted,
� bargained, sold and conveyed, and do lzereby gra�it, bao�gain, sell a,�ict convcy to tlze
,�, said Doris A. Wo1ff, single person, �r
�`a Heirs and ccssigns forever, all t�,t certain piece or pccrcel of la,nd sitzcate in
Borough of Mechanicsburg , County o}' C�miberland
ccnd State of Penns�lvania, bounded and described as follo�c�s, to-wit:
ATT• THAT CERTAIN piece or parcel of land situa.te in the Borough of Me.chanicsburg,
Cotmty of C�unberland and State of Pennsylvania, being more particularly bounded and
described as follc�ws:
BEGINLVING at a point on the northem line of Cocklin Street, said point being at
the dividing line between Lots Nos. 216 and 217 on the hereinafter mentioned Plan
of Lots; thence along said dividing line North 25 degrees 09 minutes West, rme
ln.mdred ten and zero lzundredths (110.00) feet to a point; thence North 64 degrees
51 minutes East, eighty-five and zero h�mdredths (85.00) feet to a point at the
dividing line between Lot Nos. 217 on 'the hereinafter mentianed P1an of Lots and
Lot No. 218 on F1an No. 5, Plot "B" of Heritage Acres; thence along said di�viding
line South 25 degrees 09 minutes East, one 1�nmdred ten and zero 1-nmdredths (110.00)
feet to a point cm the northern line of Cocklin Street; thence continuing along
the northem line of Cocklin Street, South 64 degrees 51 minutes West, eighty=five
and zero Y�un�dredths (85.00) feet to a point, the place of SEGII�ING.
BEING Lot No. 217 on Plan No. 6, Plot "B", of Heritage Acres, said Plan being
recorded in the C�nberland Crnmty Recorder's Office in Plan Book 23, Page 13$.
HAVING FTZECTID THIl�EON a dwelling house being �m.own and rnanbered as 509 Cocklin
Street, Mechanicsburg, Pennsylvania.
BEING the s�e premises which William A. Kn.aub and Betty L. Knaub, his wife, by
deed dated April 12, 1973 and recorded in the CLmiberland Crnmty Recorder of Deeds
Office in Deed Book "C", Voltnne 25, Page 527, granted and conveyed unto Dan.ald
T. Graffam and Jane E. Graff�.n, his wife. The said Drn-ia.ld T. Graffam died
Nove�ber 6, 1977, whereupon full and complete title to the within described
real estate became vested solely in �ane E. Graffam, the decedent herein.
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CiUTtI�. `,�i0.� ��.
�Abal Estefie Trantfer �ax �� e'� ��aAe Tran:fer Tax
� �iD.'�—b L�AmfiY .:S�_ Da�a ��6 �. Amf.��.��_. r°'T'
u'�c � �?��==�� '�'� � �G��Ce� �4L _ _ _a
��b. Go. Dist. Gol. Apt. �,ewb. C:e. Di.t. Go1. Avt. � ;-. _-
° ��)I��i,h��t,1v;,�F�' '"..1F �'EfiJ�•!;�.?"t.V�,f�d;�. -=� .� -
� ±)E��,Riil��ia!� ;_�� N�-��;•�;;I` = _. -
u, RE"r, ._.._. i�Y?�n� fr n a';'�, � � � .._Y :
�PA,i.I.,r�i! � �, ,�,��...r � � }.^ i
`'� ?,�t� AUG, Af: 'x'•-: ' � �., ... � �; _ r� . �._
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TOGETHER with all c�nd singular the rights, liberties, privileges, hereditaments and apq�urtena,nces
whatsoever thereunto belonging or in an�wise appertuining, and the reversions and remainders,
rents, issues and prof�ts thereof, and all the estate,right, title, interest, property, claim and demcc�ad
whutsoever of the sc�id �ane E. �raff�n
at ctnd immediatel�
before the time of her decease,.in law or equity or otherwise howsoever, of, in, to or out of
TO HAVE AND TO HOLD the said gra,nted prem�ises to the sc�id DOris A. Wol�f, l�r
heirs and assigns f orever.
And the said Ros�nary Ctmningl�
do es covenant, promise, �rant and agree, tv and wit,h
the sa.id Doris A. Wo1ff, hex
heirs ancl assigns, by these presents, tlzat s;he tice said
Rose�nary C�ningham has
not done, committed, or Icnowingly or willingly suff ered to be done, an� act, m,cctter, or thing whut-
soever, �whereby the premises ctforescaid, or any part thereof, is, c�re, shall or ma� be eha�°ged or
incumbered, in title, charge or estate, or otherwise howsoever.
IR� WITNESS WHEREOF, the said �S��nary Gin�r�.ingh�n
�S hereunto set �r hand c�nd seal the
dccy and year above written.
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�+'igtttD, �calt?� r�nD �clinrzcD / � i ��
Itt t�(C �TESEttLt 0{
------------------------ ------ ---------------------------------------------. sEA7.
!i Ros G'�mninaham, Executrix
�� � J/�������`-l�_^ """""""_"___"""_"'_"_""""""__"'_"_"""'_"""'_"""' r1
� 1� iL" ' '--' . SE.AL
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_'_Y""_"______'_'__'_"_"_"'__'___"_'_""_'___"__"""""'_""'� _"_"_""'_____"""'______"_'___'__"'_'_"_'____'_"'___.___._'_______ BEAL
�
State of �?�nrisylVani a
ss.
County o f Ct�nberland
On this, the 14th da� o f Augtast , 19 86 , be f ore me,
the undersigned ofJ'icer, personally appeared Rosemary C1n�riin�l�
of the State of N���r� - County of �.��`'��a.�-�--�'! , known to
me (or scctisfactorily proven) to be the persfln described in the forego�iny ins�rument, and acknowl-
edged that he executed tlae same in the capcccity tlierein stated and f or the purposes t)zerein con-
tained.
���
In witness whereo f, I here2cnto set my hand and o,�'icial seal. k�"���,�;?`;��`�
r��.,� ,r��,`�,�
: � f�`"�� t��
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------ -- - --- ---.- --------- --------------- ---- a§�
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TZtle of aff cer ��� o. :
JOAN E. BROTHEP,S, Notary Publi� •
'���5-, `Y. , •
5hiremanstown, Cumberland Ce, .'-'„ "r ' " �P
N�y Commissior• fr,Aires f�eb, ';i i �a'�',��' .
State of l
`-ss.
County of �
On this, the d,a2 of , 19 , befor� me,
the undersigned offccer, personcilly appeared
of thc State of Co�.cnty of , known to
me (or satisfactorily proven) to be the person described in the foregoing tinstrumzent, and c�cl,;no�vt-
edged tlzc�t he ea°ecuted the same in tlie capacity ticerein stated and for tlze purposes th,erein corc-
tccined.
In witness whereof, I hereu�ato set m� hand and official seal.
��
---------°--------°—°°-----------------------°----------------------°----------- SEAL
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F,J�r; ,�... c���-------------------------------------
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Title of Of.�cer.
CERTIFICATE OF RESIDENCE
do hereby certif y tlzat the precise residence c�nd complete past o f}'ice address
of the within na,med grantee is
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COMMONWEALTH OF PENNSYLVANIA
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TAX COLLECTOR CUPY-�2E?'l)RN�J11iTH PAYMEi1iT��3�PRfJPER CREDIT Biu Date: 31v13
WULFF;DOR1S A $�������'������� Conirol IJo:17001133
5�9 GOCKiilV ST ���Afi'�����s MAP PIO: 17-24-D789-2D1.
�OT 2'f7 FLAN 6 PB 23 PG 138
MECNANICSBUftG PA 17055-fi6'[7 Acres 011 Aeed OD32COD542
PaVable To: Assessed 1lalae: Lansi:�s.200 fm rovement:183.5DD Totai:239,700
BARRY L tiECitARD 5P,ZAjC CQLL.EC'TflR Discouni Face Penalty
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MEMBERS 1St
FEDERAL CREDTT LJNION
REGULAR SAVINGS ACCOUNT:
Account Number/Suffix 11948-00
D-ate Account Established 02/17/1971
Principal Balance at Date of Death $10,840.90
Accrued Interest to Date of Death $.71
Total Principal and Accrued Interest $10,841.61
Name of Joint Owner None
CHECKING ACCOUNT:
Account Number/Suffix 11948-11
D-ate Account Established 10/14/1986
Principal Balance at Date of Death $14,613.75
Accrued Interest to Date of Death $.24
Total Principal and Accrued interest $14,613.99
Name of Joint Owner None
INVESTMENT SAVINGS ACCOUNT:
Account Number/Suffix 11948-05
D-ate Account Established 01/17/1986
Principal Balance at Date of Death $49,504.77
Accrued Interest to Date of Death $4.88
Total Principal and Accrued Interest $49,509.65
Name of Joint Owner None
VISA ACCOUNT:
Account Number/Suffix 4672090000231324
D-ate Account Estabiished 02/18/1998
Principal Balance at Date of Death $.00
Name of Joint Owner Cardholder None
M BERS 1ST FEDERAL CREDI7'UNiON
�.�.� -� `�.��
anieile A. Kline
Lending Insurance Support Specialist
March 6, 2013
Estate of: DORIS A. WOLFF
Date of Death: 02/13i2013
Social Security Number: 232-52-1420
5000 Louise Drive • P.O. Box 40 • Mechanicsbusg,Penns�7lvania 1705� • (800) 283-2328 • wu�:memberslst.org
Q MBTBank
499 Mitchell Road,Millsboro,DE 19966 Adjustment Services
Phone 888-502-4349
F ax (302)934-2955
March 11.2013
Placey & Wright
Attorney at Law
3621 North Front Street
Harrisburg, PA 17110-1533
Re: Estate of Doris Ann Wolff
Social Security: 232-52-1420
Date of Death: February 13. 20]3
Dear Sir or Madam:
Per your inquiry on February 27, 2013, please be advised that at the time of death, the above-named decedent
had on deposit with fllis bank the following:
1. Type ofAccount SavingsAccount
Account Number 15004219414957
Ownership(Names o� Doris A. Wo�
Opening Date 12/1�/2008
Balance on Date of Death �'J 05,632.12
Acc�•uedlnterest $ 12.�9
—_--_------.--__.__.___.._._._.____..___._._.--_.__.____
Total $105,644.71
For any additional information on the above accounts,including ownership and any changes,closures andlor reimbursement of funds,
please call the Hampton at 717-255-2293.
We were unable to locate any safe deposit box for the above-mentioned decedent.
This letter dces not include am�accounts in which the deceased ma� have been listed as Power of Attornc�,Custodian of Uniform Transfers,
Representative Payee,or Trustee under a Written Agreement
Sincerely,
Valarie Mercer
Adjustment Services
����'�'�i�� s "
Statement Period 01/25/13 TO 02/24/13
SOVEREIGN INTEREST CHECKING
For your con�enience our Customer Contact Center
is available from.7 am-8-pm EST,7.days a week.
Cail us at'�-877-SOV=BANK'(1=877=768-2265).
}iearing impaired may call 1-800-428-9121 (TTY/TDD).
_. www.savereignbank.com
OOOD0225 MSBR3778022 01 0000
DORIS.ANN YVOLFF o 0 0 0
MARY'�K"CW�iMBERS 7.D 24 0
5D9;COCKLIN ST 90834698
MECHANICSBURG PA 17055=6617
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DORIS AIItN WOLFF
MARY K CHAMBERS
Deposit Accounts_ AccountNumber Average Daily Balance Current Balance
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°o MONEY MARKEf SAVINGS 7675455789 ,$6,147.14
� Total Deposits S�s, , .ss
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DORtS ANN WOLFF Accouni#.76817U5273
°o MARY K CHAMBERS
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� Balances
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� De ositsLCredits . +,$3,00.0.60 Avera e Dail Balance .$13;456.28
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° Interest
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� Eamed this Period $0.11 Paid Last Year � $1.68
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� 'The interesi eamed and the interestpaid may d�ffer depending on when interest is credited to your account.
Checks Posted
Check# Date Paid Amount Reference Check# Date Paid Amount Reference
. .... , ,
6794 . 02/06 $474.86 99133640D 6797 02121 2.99 980628150
6 Check(s)Posted=�1,286.31
An asterisk{')indicales a skip in sequential check numhers. An{E)indicates check was converted to an electronic item.
YI•••
.��� Accouni Activity
�'S`• Date Dascriptinn Additions Subtractions Balance
01-25 Beginning Balance $11,805.02
_ _ . _
02-01 XXUS TREASURY 312 XXCIV SERV020193 A $2,507.51 $14,2D1.32
3021818 0 CSA
02-D4 UNITED WATER PEN WATER BILL13Q131 $29.45 $14,60B.87
002D9967820D00
Soveretgn Bank.N1��s a Member FDIC ai0 a whdfy awned subsi�ay ot Baico Sailander,S.A.fl 2012 Swaeim
BaJ;.N A.�Goverpgn aid Sallaider�d ils Icqo ae�egslered tradai�aks al Swereign BanY..NA.a�d
Ranco Saitaitler.5!�respedivelv.a�lirir alfihales a subs�6aies�n Ihe Umled St�es aM dher wunhies
page 1 of 4 �:� I68I705273
Account Activity (Cont.for Acct# 1681705273)
Date Description Additions Subtractions Ba{ance
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02-15 COMCAST CENTRAL CENTRAL PA021513 $707.44 $13,
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02-20 CHECK 000000006798 $405.00 $13,485.09
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02-21 CHECK-D00000006797 $2:99 $13,271.10
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0?_-24 Ending Balance $13,271.21
What You Nced to Know about Ovcrdrafts and Ovcrdraft Fecs
Ovcrvicw
An ovcrdraft occur5 when you to noI l�avic enough moncy in your account to cover a transactiou,but we pay it anyway.We can cover your overdrafls in
�wo di(lercnl wnvs:
I. 1�1�c hnvc slandard ovcrdraff pracliccs thal comc with your accounl
2. Wc elso offcr an ovcrdraft prolcction plan which allows you io fink othcr accounts such as a s�vin�s account or an Easy Access Linc of
� . Credit to cover overdrafts in your chccking accounl.This plan may be less expensive Uian our�tandard overdrafl practices.To Icarn more,ask
= us aboW.Ihis plan.
� -
° Tl�is noticc expinins our.elandard ovcrclrafl practices.
v
" Whef arc the standard ovcrdrnff precliccs that comc with my account?
�
j SovcrciRt�currcnlly nu�liorizcs nnd pays ovcrdrafts for the Collowing typcs of lransactions:
�
A • Checksarltl othertransaolionsmadc using:your checking account numbec
T
� _ __._+� ._lwtomalic.bill payments -._..
� • Onlinc'Bankingpaymcntsand�ransfcrs
� • Recurrin�dcbit card tranc�ctions
�
� Sovcrci�n will not nuthorizc and pay ovcrdrnfts on tlic following typcs of lransaclious,UNLESS you aulhorize us to do so:
n • ATM wilhdrawals and tcnnsCers
Z1
A • Onc-timc debil card transactions
�
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p We pay overdratis al our discretion,which mcans we do not��arantcc Ihat wc will always authorizc and pay any type of transaclion.If we do nol
� autl�orizc�nd pay an ovcrdraft,your trnnsnclion will hc dcclined.
v
� Whal fcc.c will.l bc charged if SovcrciRn paVS an ovcrdraG causcd by my ATM or onc-timc dcfiil Iransaction?
— Undcr our standard ovcrdrnfl prnc�iccs:
� • We will chnrgc you a fec of up lo S35 ench timc wc pay nn overdratl.There is a limit of G Cecs per day wc can charge you for overdrawing your
�
' account.
D
• An ndditionel onc-timc fcc of T35 will bc chnrgcd on thc 6tii cottseculivc business day your account is overdrawn.This charge applies to
chccking accounts�olhcr tlinn any Prcmicr Chcckin�Accounts),snvings and moncy tnarkct savings accounts.
Whe1 if 1 want Sovcrcign lo author¢c and pay ovcrdrafls on my ATM aod onc-timc dcbif card fransaclions?
ICyou want us to aulhorizc and pav ovcrdraCts on ATM m�d onc-limc dcbil cnrd transacliotis,thc casicst way to do so is Io cnroll onlinc iii Sovercign
Account Protcctor by visiting�vww.sovcroi�,nbank.comJaccounlprotectoc.You can nlso cnll us at I-877-768-4721,visit your nearesf branch or opt-in at
any Sovereip�ATM.
Can I chartgc my mind latcr?
If you tcll us lhol wc arc pcnnittcd to pay any ovcrdralis cfluscd by ATM or onc-t.imc dcbil transactions,you can always chan�c your mind and lcll us you
no lon�c�wa��t us lo do Ihis.You can visit any branch or call us nl I-877-7G8-4721 and Iell us you no longer want us to pay these types otoverdrafts.
page 2 oI4 I G8170.5173