HomeMy WebLinkAbout12-04-13 _ _ � _ _ _ _
J1505610149
REV-1500 �`�02_„>�F',
�111'I�lv�iil OFFICIAL USE ONLY
PA Department of Revenue °""��`"`�"" Countv Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN
Po�ox Zsoso� 21 12 13 2 8
Harrisburg,PA 17128-0601 RESIDENT DECEDENT
ENTEI�DECEDENT INFORMATION BELOW
Soci�Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
10 26 2012 08 15 1932
DecedenYs Last Name Suffix DecedenYs First Name MI
Huck Martha E
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Socia�Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
� 1.Original Retum O 2. Supplemental Retum O 3. Remainder Retum(Date of Death
Prior to 12-13-82)
O 4.Limited Estate O 4a. Future Interest Compromise(date of O 5. Federal Esta#e Tax Return Required
death after 12-12-82)
� 6.Decedent Died Testate p 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
Q 9.LitigaGon Proceeds Received Q 10. Spousal Poverty Credit(Date of Death Q 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
Elyse E • Rogers, Esquire ?1? 612 5801
�
�GISTER OF US�1�"!'
� � � � � .
�
� � � � �
First Line of Address t'+'! � ,�-� � !!� �
635 North 12th Street, Suite 400 � z rn ,,,� � �
�r
Second Line of Address � � � '� `�`
�� � .'"�3 ",�'t ".�,�
� � � � � �
� � DATE ED "'"" �
.
City or P�t Office State ZIP Code .� -�i � � �
Lemoyne � PA 17043 �"' �, ~rr
Correspondent�s e=mail address: erogers@ssr-attorneys.com
Under penafties of peryury,I deciare that I hav�e examined this retum,including accompanying schedules and staterrterrts,an e bes f my knowledge and belief,
it is true,comect and compiete.Declaration of preparer other than the personal represerrtative is based on all info of 'ch prepare has any knowledge.
SIGNATURE OF PER PON F ILI URN DATE_ �
//..Zz--�
ADDRESS -
See le atta ed
SIGNAT PR�R OTHE N REPRESENTATNE DATE
,7
ADDRESS 63 North 12th t et
Lemoyne, A 17043
PLEASE USE OR161NAL FORM ONLY
� � Side 1
� � 1505610149 1505610149 ��
. �
Estate of: Martha E. Huck 211-24-2824
Executor
Eric A. Huck Kevin A. Huck
86 Fo�re Lane 305 Curryford Lane
Lewisberry, PA 17339 Gaithersburg, MD 20878
� 1505610249
REV-1500 EX(FI)
DecedenYs Social Security Number
DecedenYs Name:
Martha E Huck
RECAPITULATION
�. Real Estate(Schedule A).......................................... �. 14 7,9 0 0 • 0 0
2. Stocks and Bonds(Schedule B) .................................... 2. 13 2,0�9 • �4
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) ..... 3. � • ��
4. Mo�qages and Notes Receivable(Schedule D} ......................... 4. � • ��
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E) . ..... s. 4 5,212 •81
6. Jointly Owned Property(Schedule F) O Separate Billing Requested .... 6. � • ��
7. inter-Vvos Transfers&Miscellaneous Non-Probate Property 14 3,10 2 • �2
(Schedule G) � Separate Billing Requested .... 7.
s. Total Gross Assets(total Lines 1 through 7) ........................... s. 4 6 8,2 9 4 • 5 7
9. Funeral E enses and Administrative Costs Schedule H 9. 51,14 7 •5 4
� ( ) .................
10. Debts of Decedent,Mort a e Liabilities and Liens Schedule I 10. 1,5 0 9 •�4
9 9 � ) ..............
11. Total Deductions(total Lines 9 and 10) .............................. ��. 5 2,6 5 6 • 5 8
12. Net Value of Estate(Line 8 minus Line 11) ............................ �z. 415,6 3 7 • 9 9
13. Charitable and Govemmental Bequests/Sec 9113 Trusts for which O •Q O
an election to tax has not been made(Schedule J) ....................... 13.
415,63� • 99
14. Net Value Subject to Tax(Line 12 minus Line 13) ...................... 14.
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transf�xs under Sec.9116
(a)(1,2)X.0 � 0 •�0 �5 O •��
�s. Amount of Line 14 taxable y y 5,6 3 7 •9 9 18,7 0 3 • ?1
at lineal rate X.0 45 16.
17. Amount of Line 14 taxable
at sibling rate X.12 0 -❑❑ �� O •0 0
18. Amount of Line 14 taxable
at collateral rate X.15 � • �� 18 � • ��
19. TAX DUE .................................................... �s. 1 8,?0 3 •7 1
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT p
Side 2
�
1505610249 1505610249 �
REV-1500 EX(FI) Page 3 File Number
Decedent's`Complete Address: 21 12 1328
DECEDENT'S NAME
Martha E. Huck
STREET ADDRESS
407 Mt.Allen Drive
CITY STATE ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1} 18,703.71
2. Credits/Payments
A.Prior Paymer�s 18,100.00
B.Discount 603.71
Total Credits(A+B) (21 18,703.71
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)
5. If Line 1�+Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 0.00
Make check payable to: REGISTER OF WILLS, AGENT.
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? .................... ❑ m
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 benefiaary designation?.................................. � ❑
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of deakh on or a�ter 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 dea�h on or after Jan.1,1995,the tax rate imposed on the net value of transfers to or for the use of the sunriving spouse is 0 percent
[72 P.S.§9116(a)(1.1)(ii)].The statute does not exempt a transfer to a suroiving spouse from taoc,and the statutory requirements for disclosure of assets and
filing a tax retum are st�l applicable even if the surviving spouse is the ony beneficiary.
For dates of deakh on or adter 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 per�ent[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 value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)].A sibling is defined,
under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
REV-1502 EX+(12-12)
. penns�t.van�a SCH EDU LE A
DEPII�RME1(T OF REtiIENUE
INHERITANCE TAX RERJRN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Martha E. Huck 21 12 1328
All r+eal property cvrned solely or as a tenant in oommon must be repor6ed a�fair maM�st value.Fair market value is def'ined as ti�e prioe at which property
wo�d be exd�anged befin�er►a willing buyer and a willing seller,neitlier being compelled�buy or sell,boti�having reasonable laiowledge of tlie r�levant facCs.
Real property tf�at is jointly-awned witl�right of survivorship must be disdosed 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 DESCRIPTION OF DEATH
1 407 Mt.Allen Drive, Mechanicsburg, PA 17055 147,900.00
Sale price
TOTAL (Also enter on Line 1, Recapitulation.) 147,900.00
If more space is needed, use additional sheets of paper of the same size.
REV-1503 EX+(8-12)
� P��'�ma SCHEDULE B
DEPIIRTMENT:DF IIEVENUE
INHERITANCETAX RETURN STOCKS & BONDS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Martha E. Huck 21 12 1328
All property joirrtly owned with right of survnrorship must be disdosed on Sd�edule P.
ITEM DESCRIPTION VALUE AT DATE
NUMBER OF DEATH
1 Wells Fargo&Co New 13,452.12
2 25 shares of MetLife 883.25
3 American Funds-Income Fund of America-A 5924-3240-06 30,534.64
4 American Funds-New Perspective Fund-A 5924-3240-07 15,617.03
5 American Funds-American Balanced Fund-A 5924-3240-11 16,258.11
6 American Funds-Capital World Grwth 8� Inc Fd 5924-3240-33 14,457.15
7 American Funds-Smallcap World Fd-A 5924-3240-35 15,515.08
8 American Funds-New World Fund-A 5924-3240-36 25,362.36
TOTAL (Also enter on Line 2, Recapitulation) 132,079.74
If more space is needed, insert additional sheets of the same size
REV-1508 EX+(08-12)
, �„�,,,�n„� SCH EDU LE E
�WIRTMENT!bFREVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN pERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Martha E. Huck 21 12 1328
Indude the proceeds of litigation and the date the'prooeeds were reoeived by the estate.
All property jointly owned with right of surviv�rship must be disdosed on Sd�edule F.
ITEM DESCRIPTION VALUE AT DATE
NUMBER OF DEATH
1 Members 1st Federal Credit Union Checking 125445-0011 421.18
Per 01/30/13 letter
2 Members 1 st Federal Credit Union Savings 125445-0000 5.00
Per 1/30/13 letter
3 Members 1 st Federal Credit Union Money Mrkt 125445-0005 18,505.73
Per 01/30/13 letter
Interest on above item accrued as of decedent's death 3.80
4 Members 1 st Federal Credit Union CD 125445-0040 4,528.57
Per 1/30/13 letter
Interest on above item accrued as of decedent's death 3.85
5 Members 1 st Federal Credit Union 125445-0041 5,224.82
Per 1/30/13 letter
Interest on above item accrued as of decedent's death 3.58
6 US Treasury, 2012 Form 1040 Refund 1,379.00
7 Misc. Household Items 630.00
Per appraisal
8 Vehicle 12,500.00
Sales price
9 Shipley Energy Refund 1,148.86
10 Converse Inc Refund 32.00
11 Patriot News Refund 26•9$
12 Shippley Group Refund 39.00
13 Harrisburg YMCA Paycheck 54.46
14 Harrisburg YMCA Paycheck 100.50
15 Harrisburg YMCA Paycheck 41.49
Total from continuation Schedule(s) 563.99
TOTAL (Also enter on Line 5, Recapitulation) 45,212.81
If more space is needed, use additional sheets of paper of the same size.
Page 2
Estate of: Martha E. Huck 21 12 1328
Schedule E - Cash, Bank Deposits, and Misc. Personal Property
�
Item Value at Date
Number Description of Death
16 Interest in Premium Holding, LLC 563.99
Entity liquidated;value based on distributions received after death
02/01/13 received$124.79
10/24/13 received $439.20
TOTAL. (Carry forward to main schedule) . . . . . . 563.99
REV-1510 EX+(08-09)
. �enn�ytvama SCH E DU LE G
: DEPI�11lT}IENT flF REVENUE
INTER-VIVOS TRI4NSFERS AND
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Martha E. Huck 21 12 1328
This schedule must be oompleted and filed if the answer to any af questions 1 through 4 on page thr�ee of the REV-1500 is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE
NUMBE �NCLUDE THE NAME OF THE TRANSFEREE,THEIR RELATIONSHIP TO DECEDENT VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
AND THE DATE OF TRANSFER.ATTACH COPY OF THE DEED FOR REAL ESATE.
1 ING Variable Annuity Contract C123951-OX 143,102.02 100 143,102.02
Beneficiaries: Decedent's sons, Eric Huck and
Kevin Huck
Per 11/30/12 letter
TOTAL (Also enter on Line 7, Recapitulation) 143,102.02
If more space is needed, use additional sheets of paper of the same size.
REV-1511 EX+(10-09)
. penr��rania SC H E D U LE H
0EP71�liT1ENT flF NEYENUE
FUNERAL EXPENSE AND
RESID NTNDECEDE T�RN ADMINSTRATIVE COSTS
ESTATE OF FILE NUMBER
Martha E. Huck 21 12 1328
Deaedent's deb�s must be r�orted on Sd�edule I.
ITEM DESCRIPTION AMOU NT
NUMBER
A. FUNERAL EXPENSES:
1 Myers Buhrig Funeral Home 13,943.00
2 Amy Huck, reimbursement for after service gathering 594.61
B. ADMINISTRATNE COSTS:
1. Personal Representative's Commissions:
Name(s) of Personal Representative(s)
Street Address
City State ZIP
Year(s) Commission Paid:
2. Attorney Fees: 5,000.00
3. FBmily 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: 369.50
5. Accountant Fees:
6. Tax Return Preparer Fees:
See schedule attached 31,240.43
TOTAL (Also enter on Line 9, Recapitulation) 51,147.54
• If more space is needed, use additional sheets of paper of the same size.
Page 2
Estate of: Martha E. Huck 21 12 1328
Schedule H, Part B -Administrative Costs
Miscellaneous Expenses
Item
Number Description Amount
7 Register of Wills, additional probate fee 50.00
8 Register of Wills,filing fees 30.00
9 Verizon 24.64
10 Comcast 141.08
11 AT&T 16.42
12 United Water 17.18
13 PP&L 85.05
14 Buchanan &Erb 903.19
15 Deluxe Check 14.25
16 Pershing, annual inactive account fee 35.00
17 Verizon 24.64
18 Allied Waste 39.03
19 United Water 11.44
20 PPL 80.91
21 Allied Waste 39.03
22 Verizon Financial 49.71
23 Erie Insurance 456.00
24 Comcast 78•52
25 United Water 28•94
26 AT&T 8.04
27 Jerry Sweeten, lawn , 53.00
28 Comcast 70•�
29 York Waste 104.00
TOTAL. (Carry forward to main schedule) . . . . . . 2,360.61
Page 3
Estate of: Martha E. Huck . 21 12 1328
Schedule H, Part B -Administrative Costs
Miscellaneous Expenses
Item
Number Description Amount
30 AT&T 16.36
31 AI I ied W aste 39.03
32 Buchanan 8�Erb 857.70
33 Chuck Bricker, appraisal 100.00
34 PPL 48.31
35 Upper Allen Township 117.60
36 Comcast 2.48
37 Allison Concrete 3,000.00
38 Allison Concrete 3,000.00
39 Verizon 25.00
40 Verizon ($11.12 minus$10.18 refund) 0.94
41 Saidis, Sullivan&Rogers, out of pocket expenses 266.52
42 PPL 37.55
43 Upper Allen Township 112.56
44 Black Landscape 1,730.00
45 Black Landscape 71.02
46 PPL 30.83
47 United Water 28.99
48 Pinkas Building& Roofing, 4,470.00
49 Expenses associated with sale of 407 Mount Allen Drive including: 14,548.17
$9,035 Real estate broker fees
$10.00 Title services and lender's title insurance
$1,479 Deed
$112.00 2nd quarter trash
$12.17 3rd quarter sewer/trash
TOTAL. (Carry forward to main schedule) . . . . . . 28,503.06
Page 4
Estate of: Martha E. Huck 21 12 1328
Schedule H, Part B - Administrative Costs
Miscellaneous Expenses
Item
Number Description Amount
49 $3,900 Seller assist
50 PPL 62.25
51 Black Landscape 147.50
52 United Water 17.01
53 Saidis, Sullivan&Rogers, reserve for misc. out of pocket expenses 150.00
TOTAL. (Carry forward to main schedule) . . . . . . 376.76
REV-1512 EX+(12-08)
pennsylvania SCHEDULE I
II�PARI'M�NT Qf tiEYEiNV�
DEBTS OF DECEDENT,
INHERITANCETAXRETURN MORTGAGE LIABILITIES & LIENS
RESIDENTDECEDENT
ESTATE OF FILE NUMBER
Martha E. Huck 21 12 1328
Repon debts incuned by decedent prlor to death that remained unpaid at the date of death,including unrefmbursed medlcal expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Veri�on 24.71
2 Comcast 70.53
3 United Water 23.19
4 AT&T 11.15
5 Visa 713.08
6 Jeanette Boos 15.00
7 Nephrology Associates 38.38
8 Absolute Home Care 225.00
9 PA Department of Revenue, PA-40 293.00
10 Verber Family Dentistry 95.00
TOTAL(Also ertter on Line 10,Recapitulation) 1,509.04
If more space is needed,insert additional sheets of the same size.
REV-1513 EX+(01-10)
r pe�'tt�/l�'dtlia SC H E D U LE �
DEW1R1f1ENT flF REYENUE
INHERITANCE TAX REfURN BEN EFICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Martha E. Huck 21 12 1328
NUMBER NAME AND ADDRESS OF PERSON S RECEIVING PROPERTY RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
� � Do Not List Trustee(s) F ESTATE
I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and
transfers under Sec.9116(a)(1.2).]
1 Kevin A. Huck Son 207,818.99
305 Curryford Lane
Gaithersburg, MD 20878
2 Eric A. Huck Son 207,819.00
86 Fo�re Lane
Lewisberry, PA 17339
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
II NOPI-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR W HICH AN ELECTION TO TAX IS NOT TAKEN:
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET.
If more space is needed, use additional sheets of paper of the same size.
*,��Me�►4 o�e approvei No.zr�z-ozss
. �. ,��
� � � �,}��' A. Seitiement Statement(HUD-'I j �
��+,�r oNi�A'
� H. pe of Loan
1.Q F1iA . 2.�RHS 3. X�Corw.UNns. 8.File Nunber: . 7.Loan Number: 8. Mlorigage Maurance Caao Number: _
•. 4,Q�A°� 6.[]Com.lns. UDI3ICK 5701572250
C. Not� TMa form la/umisfad to plve you a state�n+ent�acfuel svqremant cosk.Mrowrts paid to erM by the selGamont apsnt e►+e shown.
• Itams marked"�p.o.c.)`ws►e pdd oofsfde the cfos�rp;fheY am s1�oMV�fars J�or JnForntaBonal purposea and ere not lnaJuded 1n tha lotafs.
D.�lame�d Address d BoROwer. E.Mame end Addrass of 3sl ler. F. Name srid Addrast d LeruJer.
Ja�na D.Uddick Eslate ot Martt�s E.Huck Fulton Bar�Ic,N.A
. . 4185 Mountairnkw Rosd Apt.108 O�Penn Squere,Suite 304
? MechartfcsburQ,PA 1705D Lencaster.PA 17802 -
� .
�
0. Properiy Locetion: H.SeltlamentAgsnC I.Seitlement Date:
407 MounlPdlet►DNve Charler SetdemeM Compeny
Mect,u,ictb,�g.pr��7p55 420o Cunp hfiu eypsss,suite zo5 � July 10,zo18
Cumberland County,Faennsylvanfa Camp Hill,PA 17D11 Ph. (717j234-3289
Place of�Seqisment:
• 1200 Comp Hf II Bypass,Suite 206
� C� Hfll,PY1 17011
iJ. 8urpin of B�rt!ovte�'s tranndfon K. Suma+ of Sslla's trsiaactlon
; 100. Q��asMawd Qne trom Borrower: 40D.Gross Amount Due ro Selfer:
� 70t. taler � 747 800.OQ 401.Conk�Ct seles ce 147 900.00
, 102. Persomei 442.Personai r
103. SetN a b Borrowor Une 7 6 0.07 403.
� �oa. aa. �
105. 405.
� Ad stm�b ior itama fd 9vltx in�dvance Ad us�n�for itwns d b SeNer in advance
• 108.8cboot Ta�oes to �W6.SChool Ta�aet to
107.C T Q7/19/'!3 to Otl81l14 2�59.28 407.Cou Texes 07l11113 to 01A1114 259.28
. 108.Aue�amsnb ro • 408.Ils:eaameMs a
' 109. �09.
' 110. 4 4.
111. 411.
112. 41Z -
. 120.Orots AmouM Dw irom Bortowvr 154,8T4.35 4Z0.Gross Art+vunt Due to SNhr 148,159.28
' �00. Amo Pdd o M 8+ehslf of Borrower b00.RedudbRS in AmouM Dw SNlar:
201. N ar�srne�t rtan 3,000.00 bM.Exoeas It soe in�trucdons
. 2pZ,Princ srrwuM�new t a 143 4�.40 502. ent char b 5eller LFr�e 14 10 846.17
� 2os. F�isb ba s tekan s ect ro 603.Existl to�n s takan su ect co
204. C�RAGrarsl S OOQ.O� 304: First Mo
� 205. d .
' 2Q8. �.
207. SQ7. ft disb,as s � -
. apg, 508.
20@. 8ellerAssisf 3 900.00 500.Seliet Atsist 3 900.00
Ad ndmans for items un sld SaNar Ad usfmanb fw items un afd b Sellar -
: 210.3chod'I� � 07lnU13 to OT111/13 43.25 510.Schod Ta�aea 07l01h3 to 07111/19 43.25
211. Twaes to 511.C Ta�aea to
212.Nssasmenb to 6i2.Asaecsmerrfs io
213. 513. .
2l4. 514.
218. 515.
( 216. 516.
217. B1T.
� 218. 518.
219. 518.
{
j 220.Total P�id lfor Oomaw�r 163,3D3.25 628.Total Radaeticn A+nount Due Seiler 1A,591.42
i 9 Cash at to rrowN' S00.Cssh�t ssttNmeM Lofham Setier
� 901.Groq dw trar�Borrow�r lirro 120 154 879.35 601.Groes amouM due W Selbr Ifne AZO 148159.28
; 302,Less�mount d 8ortowar line 2 153,393.25 602.Leas reduc�ons due Seller ins S20 14,581.4
303.Cash X�From a 7o Botrowlr 1,286.10 dW.Cuh XQ To � From Selbr 133,587.86
•pdd ouuN�atdo�lnD ey�ortaw►{ll.tNsr(�,NrW�r(L}.w hied-P+�btTl .
The undersfgned hsreby krwrWedBe recei ot mplsted copy of tl�is atatement�amr attachmenta referred 10 herol�
� �r�� �11Of Estale oi Martha E.Huck �
' Jafine D.Liddick
BY:
KevinA.Nuck.Co-ExecWor
. �-"'�.'_"" ..,�� � .
� � EricA Huck,CaExe •
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.s.tdsment char es
s.n; •: : .�t' i���,::l.M.`.3r.+ ,•[u. ;..•.nw�.: J'�' Y,�1::•.
0�:�� ';�";�:;.'��.� ;� •-I r� .r::�:.:.�.,;....,:'"`,.: W,:c;�:..: ;�r�t:v�:��:;,:.::-:•�.•::'�: Peid Fmm Psid F�om
s r,e as 1ows:� 6omowsre serers
D7. .00 to Cddwell Banksr Homes�td Grou Funds st Fund�at
' 702.:4,320.00, to REli�1W1(1aiAdva Senkment 8aritament
I id attbmeoN 8 .0� .
� .8rokerFe� to REJAAN(1atAdv e 3&S•00
; 705.Broke►F� �Coldwell Bnnker Horr�esbad Group . 325.00
^ - w��pw�/y�`___ ��. .7�: 4�1 .,4•f:.:..�{;.fy:;��.:+C�.� '�i:rt• ,-i �"
Vi; � �.�• l. �y1L.V�'•• �41• �:i:.. �.'1��.' Y(�' �f
• .'�!T�•. T�. . .
... . . . ..-•-.}.. • ....... :�.`"'..-:...��..
.. .. .. ... . . .. :.�.. . . .v..�'•}......,•.�l �.�:... .:., ,.�...-. •. ... .•.'. .:.....
B�t.Ouf �qt(on � 550.0� hom G�E�1
r s tee Hsckmen Real Ea s hom OFE#3 50.00 POC-B .00
805.Credit A b Credster irom OFE � 38.96
T ss�v F
7.FI c�ri[fi afwn to C,orel c F ood i F 1t -
F � to Ful Be N F 1 .
81a. irom GFE�3
811. from GFE#3
. . ... . . . ..
.
9D0:�Itqmt.R+iqtrlrQd�b�'l�nds�to'Bd P�d M'Adv�cg. � • ' : . . - • ;;,;:,::•;
• 901.DNi i i C froan /10/13 io OBN1/19 �22 518.1768801ds irom OFE#10 399.89
8Q2. i�utanos remlwn for moMM fo irom GFE�3}
9Q3.lianeowner's irow�ncs tor 1.0 to Stele Farm irom GFE i14 469.00
904. from GFE�'N
9p6, om GFE�11
.,:;�:..
„e- F�►Y, 1.y:� ;•�'!� :.��:a•N' '•.ti:i��!^'"N�•'�f.^:�-:1'•.:''i,n'�.i.•:• �.'�y�'=:��,,Ji•..''�?°�. :'h`"'•..•"t '1:''�iii'.. +.j:'. r.��� "
1�:: �:�llelult :.r. -3'=`' �t:s-.:a:•.. ...ry. �..�..y:,.....e-x+... :t:A.: _,:.. ''Y..
�oo�.�ta�� �n ia sicrow sacouM from CiFE�.
10Q2.HornsawMr'a Irnur�nce 1.000 'monthe Q S 38.46 r month S 39.08
1003. insuronce m�ths month S
1004.P 18�aes S 181.32
Cou o�amiH Ta�ws 4.000 madhs �S 45.33 r montl►
Scfi�ol7rnoes D.OD morRhs i 'I31.54 r month �
C ta� months S r month
,00s. s
C Tazss mo�ths � r month
g r montt�
1ppg. mont#q S . moMh S
7DD7. ' moMhe S month S
1006. � s
10Q9. lsimsrd = -220.40
:�, .c •:� >, .:;;:_ •+
•j,: �,. •t: _.�� ��.:,;:i.�'�.`.�• 'y!. .�A`. ::;tit•r ii•.�. - ,.`i ::.
'•��e.� .{ iy,::•
'�1 �'•Y• ':1• �<.. �i.:'!'ii.:i. .1:::.:�.:_:�.
.oP�T,. �.... •.w�..-.t. '�:..�.. -
1101.TRN s�s and ler�ler'a tlUe fnsurance t�GFE i�4) 1,412.00. .10.OD
1102.SNHNn�nt or aip� be S
1iO3.Ow�s tl�e intunnc�to Fl�atArtarican 7iUe Insurance C (Trom G�E
190�.Lendef's�tk li�uance to FirstAme�ioan TiUe Inswance Can S 1,28�.00
1106.l�det's t�ls Nmit i 143,450.00
1106.Owrars tlUt limit S 147,90a.00
1407. �i 1M bW d�e irawtmoe mium to C#�erter SeMlemsM C S 1,108.40 _
1108, UnQerwtit�'a dltw total b�e tnswanoe um to firai Arnerican Title Insurance Com S 180•SO
»os. a
i�,o. cnartar s�lamsnt com s
1111. ' CluRer SetqamerX Company S
1112. Cherter Sel�anenJ Com i �
1113, s
- `i.' �:.:�.a1Ki•� i.Yti:�ii':'iAia�'!ik'�I:J:.rSi:i�:�. . .._...:.•I•.a::�• l;.H:}:�.i+/� .
1"�OQ,a td '.�ll�d5`tYll��ff�.`.� '••'�: ''�', ':}.'. �: ,.t`.,�...?•.>••,_ ':r;t�:y.r.:.:.�',:;•�`.,..�.•,<;•,i:':'. `i,� .""'
:,:..
1Z01.f3waRrrrrK recordi C (o Mid-Penn Recardn , ftom GFE 238.00.~.
1Zfl2,Dssd 73.50 S 98.b0 Rdeases S 01her S
1Z03.T��rr t� b Mid�Pvnn Recordf from OFE tIS 1,478.00
1204.C t�th Osed 5 1479.00 M S
1Z0.5.8ta1s t�ldk Deed f 1479.00 Mo 1479.00
1ZOB. i t S
7 M
n�• � �-< .'�.;:.
l�� •.k•. �:<a: 4°: :�''sr:•St:. ' ';i"`iC• :.:�., :'er_�^:ti^�-.�:�.- '"�: 'y�;�� �:uk'': ry,�.j' w
t�nrqi. � •ti t'� .:i :.fi..;:�:�f:.. ��„:+�rari:.:t'a,':.��`.•'•:..:- •::':I k= . ��
ti •.r:, .a�. .ik4�r::.•"'•..�i i
f ��r �ca�a from OFE f�6
1�2.x01�2014 Sahoof Taotea to Dennis Zerbe S ���.�
130.9.2nd GlntteNT�sth to Mea Townshl Author i 112.00 .
t304.�S1Quatkr3ewedTre�sh b U AIIenTownshipAuthori S 99•83 �z•�7
1305. s
t.400::t 't. �arite�oii• :103',"• .tt�J d•_ '�8e�t19 i .��..'::. ,;��..,v{,, .;:,r.: ;:F:..' �-'-'.:'�.�' :,B;�:QT_ �'i0;848.17:
,�h�t .���, :�4. � r�:lc�.;' �;:�:.;.;,��;.1 •:,zr�y.�:��; ,
•P�tl ou1Md�ddosN�g Or borcow�(9},ail�r(b��NnO�r(l),erl�btl-parq[q
er+tawo w��a rw�n4 n•�pn.mr�a sc�no�w.00•naia m.eomP�ea coPr apr�e x a�o ' n. saams�
Mid nAbctrect ny,SettlementAgent
Pape 2 of 3 MUD•7
. (LIDDICK-Jamie-cso-2013-.PFD/UDqICWB)
i . __ _.__...--_._.... . .
, CompMWn of Oood•FMkh Estimate(GFE)and HUD-1 Ch�p�s Qood FaNfi Estim� HUD-1
C That t�nnot bcraeiss Ht�-1 Line Namber
� Ot�r orf nellon �801 550.00 550.00
� Yow wiod or on cha es �803 550.D0 550.OU
Ttensfef ta�as #�1203 • 3,160.00 1,478.00
CMryas Tpat M Total Cannot Increase More tltan 101G ��•• - - � Qopd Faith ENimete HUQ-1 ...._ . ._ _
Govertm�ent tecwdinq cher9es #92Q1 905.00 238.00
Apprafsal iee #804 450.00 365.00
CradM npoR �805 40.00 • 38.96
�bo0 c�tiflctlion i 807 11.50 11.50
� Ovemi Fee �809 0.00 15.00
' Totat 608.50 688.46
' � IncreaBe belween GFE snd HUD-1 Charges i -11 B.Oa or -1A.64
i —
� Cha�sTbat Can Chm@� Good Fafth Estfmst• HUp-1
� Wtlal dOposN for your esCroMl aCCOUnf #i70D1 2,900.OD
Daily int9T�t Ct�es �901 S 16,178880/dsy 398.99 399.89
� Homeawne�i�nwancQ �903 800.00 469.00
� Title awvicee and lender's Utb iraurance �k1�01 1,870.00 1.412.00
! Laan TermR
� Your btitF�l lam amount is i 143,450.00
� Your b�r►tarra,is 30.�D yeats �
!
. You�in�tal hKsrest rete le 4.6250 X,
Your Initht moMhy araount owed for principsi,tntemst ar�d S T37.58 Mcludes
a�y mortpage insurancs ts � Principaf
� Interost , -
� Mottgage Insura�ce
Can your interest tate rive? ,�X No ❑ Yes,It can rlse b a maxlmum ot 96.The flrst
chanqe wili be on and can ch�e e�eln every,_„rrwMhe after
.Every chan�dste,your intereat rate cen increese or decrease
by 76.Over the Iifa of the loan,your interest rate le�ueraMeed
to never be lo�wer thsn 9b or Ngher tl�an 96.
Evs�N you mNc�paym�nts on timv,pn you�toan bat�mca riw� [�R No ❑ lbs,it can rise to e rnaximum of S �
Even 7 rou mab paym�nb oa tim�,�an your mor�thly � No �] Yaa,the fini incresse esn be on and the marthy
amount owed for pdndpal�interost,snd mo�tQage Insurar►ee�ise? emouM owed can rise to s
Ths mao�imum it can e+rer risa 10 is S
Doss your ban havs s propayaneni penaltr? � No [� Yes,yaur ms�dnnan prepayrnent pa�sliy la S
Do�your loan hsve a baHoon psyment7 []X No [] 1'�,you have a belloon pay�r�ent of i • '
dus in�yaers on -
Total monthty amount owed including ascrow accouM paymenb ❑ You do nd have a moMhly escrow paymer�tor items,such ee propeny
tazoa and homeowner'e{nsurance.You muat pay iheae Items directly
youraelt �
, � You have an additiarei monthly sscrow pay�nent of�21b.951hat resWte
in e total iNtfal moMbty amouM ovied ot s953.48.This inctudee
p�ioCipel,IMB�esi,er►y mortpaye ina�xence and atry items CheCkad bela�r:
� Qropertyta�oes Q Homeowner'a Insurence
[� Ftood insurance � SeMo!Taxas
Q ' ❑
Nots:H you havs�y q�tiorn aboul Iha Settlemant Chary�ec and Lcan'terms Iisled on thfa torm,please coMact your lencier.
Pape 3 of 3 HUO-1
(LIDDICK-Jamie-cao-2013-.PPDlLIDDICKJB)
HUD-1 Attachment
Bo�rower(s):Jaime D.Liddick Selle�(s): Estate of Martha E.Huck
4185 Mountainview Road Apt 10B
.. .. . Mechanicsburg,PA.17A50_ .. _ . ... . , . . ... . .. . _ .
t:ender:Fulton Bank,N.A �
3ettlament Agsn�Cha�ter Settlement Company �
(717)234-3289 �
Place of Settlemerrt 1200 Camp Hill Bypass,Suite 20S � .
Camp Hiq,PA 17019
SetUemerrt Dabe:July 10,2013
Properly Locatlan:487 Mount Allen Drive
Mechanicsb�g,PA 17055 —
Cumberland County,�ennsy(vania.
AdJusted Ortginatlon Cha�ge Details
O�iginatian Charge •
Orig}nation Fee ��a•��
to fu�on Bank,NA. �
Total S 550.00
Ortgination CreditlChar�e(points)far the specific interest rate chosen
Tatal S
Adjusted Originatlon Charges i 330.00
Tttle Services and Lender's 7itle Insurance Details BORROWER SEL�ER
Incomiag Wite Fee 15.00 �
to Charter Settlement Company �
Notary Fee 20.00
to Capozzi Adler,P.C.
Cbsing Protec�on Letter 75.00
to Ftrst American Title Insurance Company .
Tax Certfication Fee 10.00 ,
to Charter Settlement Company � —
Federal Expre6s Charges 12��
t� Mid-Penn Abstract Company —
Lender's title insurenc� 1,250.00
to First American Title lnsurance Company
� Total S 1,412A0 S 'IQ.40
Lende�s Titie tnsurance BORROWER SELLER
'fMS atso�hown sbovs In Tkle Seevicos and Lendets'fitla Insuranee Uetsi� �
Lenders Poicy Premium ' 1,140.00
to FirstAmerican Title lnsurance Company
Lender's Endorsement Charges 150.00
Endorsement F�►dorsersne�t Charge
PA Endorsement 100 50.00 �
PA Endorsement 340 Sn.04
ALTA Endorsement�orm 8.1(Environmental Protectfon 50,00 '
Lien) '
Totaf 5 t,290.00 S 0.00
Y164RNIN0: It is�c�kne to knowMply mske false statementa to tho Unhed Ststes on this or eny simHartorm.Penalties up�n convfctioo ca�
includs a fln�And imp�isonment.For detath sas:Title 18 U.S.Code Section 10G1 and 8actfon 1010. .
. {LIDDICK-Jamie-csc-2013-.PFDlLIDDiCKl9}
._ _ __
. ,.�
Holdin9s by investor
Martha E Huck Eric A Huck,CFP Combined Account Portfolio
407 Mount Allen Dr 5 Kacey Court Date: 10/26/2012
Mechanicsburg,PA 17055 Suite 101 Created: 11/28/2012
Mechanicsburg,PA 17055
717-766-4551
Martha E Huck
Acct Name:MARTHA E HUCK 407 MOUNT ALLEN DR MECHANICSBURG PA 17055
Acct No:C123951-OX AcctType:Non-Qualified
Asset Name Ticker . Asset Type �Mgt.Name ; " _ Quant�ty. ,P�ice`(;) Value�S}
ING RETIREMENT GROWTH US STOCKS ING USA 11,292.37 10.84 122,380.71
PORTFOLIO(A) Annuity and Life
Insurance
Company
Account Total: $122,380.71
Acct Name:MARTHA E FfiUCK 407 MT ALLEN DRIVE MECHANICSBURG PA 17055-fi110
Acct No:4N2191480 AcctType:individual
Rep.No:5J1
Asset Name Ticker AssetType Mgt Name. : Quantity Price(�) Value{S}
.. , �_. . .. .__. .
WELLS FARGO&CO NEW COM WFC EQUITY 396.00 33.97 13,452.12
Account Totai: $13,452.12
Acct Name:MARTHA E HUCK/DEC'D 407 MOUNT ALLEN DR MECHANICSBURG PA 17055-6110
Acct No:00059243240 AcctType:lndividual
Rep.No:11949
, ,
. ..
Asset Name Ticker Asset Type Mgt�Name -: . Quantity;� . Pnce�3) �'�tue�$)
AF NEW WORLD CL A NEWFX INTERNATIONAL AMERICAN 483.46 52.46 25,362:36
EQUITY FUNDS
AMERICAN FUNDS BALANCED ABALX BLEND AMERICAN 808.46 2Q.11 16,257.90
FD CLASS A FUNDS
AMERICAN FUNDS CAP WLD CWGIX INTERNATIONAL AMERICAN 402.26 35.94 14,457.15
GR81NC A EQUITY FUNDS
AMERICAN FUNDS INC FND OF AMECX BLEND AMERICAN 1,700.15 17.96 30,534.64
AMR A FUNDS
AMERICAN FUNDS NEW ANWPX INTERNATIONAL AMERICAN 516.95 30.21 15,617.03
PERSPECTVE A FUNDS
AMERICAN FUNDS SMALLCAP SMCWX SMALL CAP- AMERICAN 399.15 38.87 15,515.03
WORLD A BLEND FUNDS
Account Total: $117,744.12
InvestorTotal: 5253,5T6.95
Incomplete if presented without accompanying disGosure pages Page 1 of 2
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Enter Symbol ,3 �oak Jp � hA�r.:Se�;13,2013.1`:2�fiN1 E�T••U�tr`:arkets�los�n?�hrs 2mc�3 rn�E;s
Dow i0.49%Nasdaq i0.63%
� ��/�y� E�'i' ADE'
�:;. �:�.. T-i,:�:�S«�:'�" IMI AIU��., U�Vf�s I!1[VI i 9�
T Ill I
•
_. . i� Y�S ' .�
.,.�
MetLife,Inc.(MET) � r�YSw Add to Portfolia Like 85
4 I ■�� i�.Z$��.6�%� 11:22AM EDT-Nasdaq Real Time Price
Historical Prices Get Historicai Prices for:��_J GO
_ _ _ _
Set Date Range
�Daily
Start Date:;OCt v? 26 ;2012 Eg.Jan 1,2010 G Wggkly
End Date:'� v; 26 2012� L Monthly
e Dividends Only
� Get Prices
�...�______._....._.s
t•irs:�P�e;rious�Nex!�Last
..............................._....._................................_..........._....................._........._.............................. -......................................................................_............................._........................................................................................................._.....................
Prices
Date Open High Low Close Volume Adj Close'
Oct 26,2012 35.55 35.74 34.92 35.22 27,311,300 33.89
'Close pri adjusted dividends and splits.
First�Previo�fs�Nexi�Last
?�Downioad to Spreadsheet
Currency in USD. ��• �3
_ _ _..___.. __. _ ... ._.__ _ _...._ ___.____. ._._.__ __ __ _ _. _.
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Fax Server 11/28/2012 7:10:11 AM PAGE 2/003 Fax Server
,�
American .�unas`� Ameri�an Funds Service Canpany
Post Offia Box 2280
Norfolk,Virginia 23501-2280
americanfunds.com
ERIC HUCK November 28,2012
FTNANCIAL NETWORK IlWESTMENT
CORPORATION
5 KACEY CT STE 101
MECHANICSBURG PA 17055-9220
Re: THE INCOME FCTND OF AMERICA-A
NEW PERSPECTIVE FUND-A
AMERICAN BALANCED FUND-A
� CAPITAL WORLD GROWTH.AND INCOME FUND-A
SMALLCAP WORLD FUND-A
NEW WORLD FUND-A
Account#5924-3240-06/07/11/33135/36
MARTHA E HUCK
Dear Mr.Huck:
We recently received your inquiry regarding the balance of the account referenced below.
The table below reflects the share balance,per share net asset value(NAV),and total value of the account on the
date requested:
Date Account number Share balance NAV per share Total value
10/26/12 5924-3240-06 1,700.147 $17.96 $30,534.64
10/26/12 5924-3240-07 516.949 30.21 15,617.03
10/26/12 5924-3240-11 808.459 20.11 16,258.11
10/26/12 5924-3240-33 402.258 35.94 14,457.15
10/26/12 5924-3240-35 399.153 38.87 15,515.08
10/26/12 5924-3240-36 483.461 52.46 25,362.36
Please note that closed funds within an account may affect our ability to provide an accwrate account value on
the date requested.
Mutual fund share prices vary with the fluctuations of financial market share prices.You can find current and
historical prices,as well as other details for all American Funds on our website or on many financial websites.
If you have any questions,please contact us at 800/421-0180.You can reach one of our service representatives
Monday through Friday between 8 a.m.and 8 p.m.Eastern time.You may also obtain account information by
visiting our website at www.americanfunds.com.
St
�
REGULAR SAVINGS ACCOUNT: MEMBERS 1�
Account Number/Suffix �D��'-�oN
D-ate Account Established 03/19/1992
Principal Balance at Date of Death $5.00
Accrued Interest to Date of Death $0.00
Total Principal and Accrued Interest $5.00
Name of Joint Owner None
CHECKING ACCOUNT:
Account Number/Suffix 125445-11
D-ate Account Established 04/06/1992
Principal Balance at Date of Death $421.18
Accrued Interest to Date of Death $.00
Total Principal and Accrued Interest $421.18
Name of Joint Owner None
INVESTMENT SAVINGS ACCOUNT: �
Account Number/Suffix 125445-05
D-ate Account Established 03/19/1992
Principal Balance at Date of Death $18,505.73
Accrued Interest to Date of Death $3.80
Total Principal and Accrued Interest $18,509.53
Name of Joint Owner None
CERTIFICATE OF DEPOSIT:
Account Number/Suffix 125445-40
D-ate Account Established 06/02/2011*
Principal Balance at Date of Death $4,528.57
Accrued Interest to Date of Death $3.85
Total Prinapal and Accrued Interest $4,532.42
Name of Joint Owner None
*Rollover from certificate 125445-44,originally established 03/02/2010.
CERTIFICATE�F DEPOSIT:
Account Number/Suffix 125445-41
D-ate Account Established 07/31/2012*
Principal Balance at Date of Death $5,224.82
Accrued Interest to Date of Death $3.58
Total Principal and Accrued Interest $5,228.40
Name of Joint Owner None
'`Rollover fram certificate 125445-47,originally established 08/24/2011.
VISA ACCOUNT:
Account NumbeNSuffix 4672090000063628
D-ate Account Established 04/07/1992
Principal Balance at Date of Death $713.08
Name of Joint Owner Cardholder None
BERS 1 ST FEDERAL IT UNION
. lr�`/`�-.�' `iX.�
Danielle A. Kline
Lending Insurance Support Specialist
January 30,2013
Estate of: MARTHA E.HUCK
Date of Death: 10/26/2012
Social Security Number:211-24-2824
5000 Louise Drive • P.O.Box 40 • Mechanicsburg,Pennsylvania 17055 • (800) 283-2328 • wwwmemberslst.org
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PREII�IILJM OF AMERICA,LLC
C�'1��/���-�• ���c
� Eric Huck,�teac�� � �, �
5 Ka.cey Court, Suite 1Q1 �
Mechanicsburg,PA 17055-6110
Dear Member: � �
This letter comes just after the ten year anniversary-of the fonmation of Premium of America.,
LLC,in August 20U3.In the Iast two months,tlie board has conducted a diligent examination of
. the Company's financial status.In the view of the board,it is in the interests of the Company and
. all the Members tc�.make a f�al distribution to the Members and to wind-up operations. .
Enclosed with this letter is your Check No. 1031 iu the amount of$439.2.
We are doing this because we are able#o make a distribution to you that is more than three bmes
the present-d.a.y value of your interest. . . �
PRESENT VALLTE(Your Share) DISTRIBUTI�N T�Y�U
$147.81 5439.2 � �
'This decision has been rna.de taking into accaunt many factors, some of which are highlighted
here. � �
. • The Beneficial bankruptcy case occurred almost eleven(11)years ago. The reorganized .
compaiiy,P(JA,vvas formed in Augu�'t 2UO3 and projected to operate until around 2048
or 2009. It has operated into the year 2013. At this.time,proj ected operating expenses
and risks exceed the net present value of the Company's assets. �
• �n the context of the bankruptcy of t11e Benefieial Companies,the Members{�1ie origxnal
� Benef�eial purchasers)will have recovered approximately 18%of their original invested
amount;which the board consid�rs a reasanable and si�nificarrt recovery�of the gecier�—=-� , --- � �
� unsecured claims. (In the last five(5)years,the Company has exgected that the Member
� recovery would be no more that�24%,and likely less than 20%of t�e principal invested
amount.) �
• The Company is entering a period where operating costs are projected to increase,due to
rising premium expenses�and increased regulatory risk by federal and state securities and
taxing.authorities. �In.particular, as di.sclosed around January.2Ql 1,the Company has
. been advised it should register its Membership�nterests as�securities�regvlated by:the
Securi�es and Exchange Commission. In t�e last two years,the�Compa�ay has undergone
a rigorous investigation of the possibilities for satisfying this fed.eral requirement. The
board has determined that it is not in#he interests af the M�rnbers to bear the inereas.ed :
, .;costs and.risks associated with the SEC registration and compliance process. . � .
� ' • �
- Furthenmore,based on the board's revi.ew of the Com}�any's exgected performance,there
� is an un�reasona.ble a.isk that the company vvill expend all of its cas�.by the fa11 of 2014. A
final distribution at this time is in the best interests of t�.e Members,before the Company
� exhausts its cash resource�. . � - �
• The�average age of the Members exceeds the avera.ge age of the insureds under�e
� remaining life inswra�.ce portfolio,resulfiing in the unforh�nate situ.ation where,a�least in
the Iast year,memtiers are passing at a liigher rate thau the uzsureds.
• The opeza.ting cost per average Member fa�r e�ceeds#he distri.butions payable to�e �
� average Member,resulting in a situation where the opera�ing costs far exceed th.e ret�urns .
��it is possible to make�to the 1Vlembers.
� • '�he total�1Vlember c�istn`bu#ion of$7,015�,400 is roughly equal to 3.3 times the net present � �
� � � � value of the Company's assets. � �
• � The totai.Member distribution of$7,015,040 is mar�than 2.5 times the aggregate value .
of the Company's shares,according to�.he mast recent business valuation perfonned by �
the Company's independent professional advi.sors. (In Dec�mber 2012,the Company
- ' ab#ained an independent valua#ion in the range o�$3.4 millian to$3.8 million;according
. ta the Company's advi�sors,the pc�rtfalio as a whole has a net value of negative
. $30U,U04.} �
. In s��cy,fihe boaxd believes that tbr.e original goal�of PDA have been achi.eved,and that a
� final dist�ibution at this time will�irotect the Members from known future opera�ing risks and tla.e
� poss��ility for diminishing retun�s.�In making this decision,the board desires to m�xim� .e the
. � pres�n.t-day retum ta the Members while eliminating a series of risks and liabilities�iat are likely
� to only further exhaust the Company's assets.
�
'The board recogni2es�is has been a long joumey for the Members,almost all of whom
� p�rchased Beneficial via�ical productis in#he Iate-1990s. I�is our sincere appreciation for your
original investment loss#hat the baard has exercised di.ligence in making this decision: It is with
the board's sincere xegard for your interests that we are xetur�ing to yau-at this time what we feel
���-�--�--�-----�o��be fi�ie best"i�ecovery�under�1ie present czrcumstances, given�he Company's aperating hisfiory,
the extended period of recovery;and the Company's present value. It has bee�n our�desire to
� ser.ve you well,and to conclude this journey in the most favorable tenns for t1�e 1Vlembers.
Very iruly yours, .
The Board of Manage�rs � .
�b157 10:54:47a.m. 11-30-2012 2/2
I N� ��
November 30,2�12
Attn:Eric Huck
Fax:717-691-3299
ING USA Annuit3�and Life Insurance Company
DecedenG Martha E Huck
� Contract Number: C 123951-OX
Claim Code:DIQ10
Dear Mr.Huck,
Thank you for your recent inquiry regarding the an.nuity contract listed above.Please find
the contract information below.
Death Benefit Value $143,1U2.02 as of 11/2bJ12
If you have questions regarding this information,please contact our Customer Contact
Center,available Manday—Thursday,8:30 a.m.to 6:3�p.m,Eastern Time,and Friday,
8:30 am.to 5:3�p.m.,Esstern Tune.Call 800-366-0066 and press 3 to identify yourself
as a beneficiary.When prompted,enter the five digit Clai.m Code above and press#.
Your call will be addressed by a claims specialis�.
Sincerely,
Customer Service
ING
Antruities are issued by I1NC L►SA Annuity end Life fnsurance Company (Des�aines, JrU and distributed by
Directed Sen►ices LL� Both ca�mpanies ere members of the INC family of compaeies
1 DUI Jv
,t
fJ
/
� y
�.�� � �.� c����,�n.t���
OF
MARTHA E. HUCK
I, MAR,THA E. HUCK, of Upper Allen Township, Cumberland
County, Pennsylvania, do make, publish and declare this to be my Last Will and
Testament, hereby revoking all Wills and Codicils by me at any time made.
ITEM I: I direct that all inheritance and estate
-
taxes becoming due by reason of my death, whether payable by my estate or by
any recipient of any property, shall be paid by the Executor out of the residue of
my estate, as an expense and cost of administration of my estate. The Egecutor
shall have no duty or obligation to obtain reimbursement for any such tax so paid,
even though on proceeds of insurance or other property not passing under this
Will.
ITEM II: I direct the Executor to pay the expenses
of my last illness and funeral expenses from the residue of my estate as an
expense and cost of administration of my estate.
ITEM III: I give to my sons, KEViN A. HUCK and
ERIC A. HUCK, or the survivor of them, absolutely and in fee simple, all of my
household fiirniture and furnishings, books, pictures,jewelry, silverware, -
automobiles, wearing apparel and all other articles of household or personal use or
adornment and all policies of insurance thereon, to be divided between them as
they shall agree.
Page 1
J
iTEM IV: I give all the rest, residue and remainder
of my estate, not disposed of in the preceding portions of this VVill, to my children
in equal shares. If either of my children is not living at the time of my death,
TWENTY-FIVE THOUSAND ($25,000) DOLLARS shall be paid to his surviving
spouse, if any. The balance shall be given to the 'i�ustees hereinafter named, IN
TRUST NEVERTHELESS, for the benefit of the issue of my deceased child, per
stirpes, to be held, administered and distributed as follows:
(a) Th� 'I�ustee shall divide the share of my deceased child
into as many equal parts as there are then living children of my
deceased child. The Trustee�shall hold one such share as a separate
Trust for the benefit of each living grandchild.
(b) In each Trust established for the benefit of a grandchild
of mine, the Trustee shall quarterly pay the net income to or for the
benefit of my grandchild. The Trustee shall also pay to or for the
benefit of my grandchild so much of the principal of his or her Trust
as may be necessary, in the sole discretion of the Trustee, for the
proper support, maintenance, medical care, and college or higher
education of my grandchild.
(c) Upon my grandchild's attaining the age of twenty-one
(21) years, the Trustee shall pay to him or her one-third (1/3) of the
then principal. Upon my grandchild's attaining the age of twenty-five
(25) years, the Trustee shall pay to him or her one-half(1/2) of the
then pri.ncipal. Upon my grandchild's attaining the age of thirty (30)
years, the �ust shall terminate and the Trustee shall pay to my
/ .
grandchild the balance of the then principal.
�� • �
Page 2 -
J t
.Q
(d) Should my grandchild die before final distribution of the
assets of the �-ust, but be survived by then living issue, the Trustee
shall quarterly pay the net income from the 1�ust to or for the benefit
of the issue of my deceased grandchild, per stirpes, living at each
time of quarterly distribution. As soon as any issue of my deceased
grandchild attains the age of twenty-one (21) years, and in no event
later than twenty (20) years following the death of my grandchild, the
Trustee shall pay over all of the then assets in the Trust to the then
living issue of my deceased grandchild, per stirpes. Should my
grandchild die before final distribution and not be survived by then
� living issue, the provisions of subparagraph (e) shall apply.
(e) If at any time before final distribution of the assets of
any Trust established for a grandchild of mine, there are no living
beneficiaries of the �ust, the �ust shall terminate, and its assets
shall be paid to my then living issue, per stirpes. Provided, however,
that if there is then in existent any �4-ust created under this Will for
the benefit of that issue, the assets which would have been paid to
such issue shall be added to the principal of the Trust established for
the benefit of such issue.
(f� The �ustee of any Trust established hereunder for the
benefit of a grandchild shall be my surviving child.
If either of my children is not living at the time of my death,
and is not survived by issue living at the time of my death, the balance of my
deceased child's share not passing to his surviving spouse shall be paid to my
surviving child, or to his then living issue, per stirpes. However, if there is then
in existence any 'I4-ust under this Will for such issue, the share that would have
been paid to him or her shall be added to the principal of his or her Trust.
Page 3 • � '
�
ITEM V: No part of the income or principal of the
property held under any Trust created by this Will sha11 be subject to attachment,
lev� or seizure by any creditor, spouse, assignee or trustee or receiver in
bankruptcy of any beneficiary prior to his or her actual receipt thereof. The
Trustee shall pay over the net income and the principal to the parties herein
designated, as their interests may appear, without regard to any attempted
anticipation, pledging or assignment by any beneficiary under a Trust, and
without regard to any claim thereto or attempted levy, attachment, seizure or
other process against said beneficiary. �
ITEM VI: The Executor and the Trustee shall each
possess the following powers, each of which may be exercised without court
approval and in a fiduciary capacity only:
(a) To retain any investments I have at my death, including
specifically those consisting of stock of any bank even if i have named
that bank as the Executor or Z`rustee.
(b) To vary investments, and to invest in bonds, stocks,
notes, real estate mortgages or other securities or in other pr4perty,
real or personal, without being restricted to so-called "legal
investments", and without being limited by any statute or rule of law
regarding investments by fiduciaries.
(c) In order to divide the principal of a �ust or for any
other purpose, including final distributions, the Executor and �ustee
are authorized to divide and distribute personal property and real
property, partly or wholly in kind, and to allocate specific assets
among beneficiaries and �usts so long as the total market value of
each share is not affected by the division, distribution or allocation in
Page 4
.� ,
kind. The Executor and �ustee are each authorized to make,j oin in
and consumrnate partitions of lands, voluntarily or involuntarily,
including giving of mutual deeds, or other obligations, with as wide
powers as an individual owner in fee simple.
(d) To sell either at public or private sale real and personal
property severally or in conjunction with other persons, and to
consummate sale(s) by deed(s) or other instrument(s) to the
purchaser(s), conveying a fee simple title. No purchaser shall be
obligated to see to the application of the purchase money or to make
inquiry into the validity of any sale(s). The Executor and 'I�rustee are
authorized to execute, acknowledge and deliver deeds, assignments,
options or other writings as necessary or convenient to any of the
power conferred upon the Executor and 'I�ustee.
(e) To mortgage real estate, and to make leases of real
estate.
(f� To borrow money from any person, inclucling the
Executor or Trustee, to pay indebtedness of mine or of my estate,
expenses of administration or inheritance, legacy, estate and other
taxes, and to assign and pledge assets of my estate or any Trust
established by this Will. This paragraph shall not be construed to
authorize borrowing from "�ust B".
(g) To pay all costs, taxes, expenses and charges in
connection with the administration of my estate or any Trust
established under this Will. If any death taxes are payable with
respect to my estate, these taxes shall be paid from "Trust A".
;
Page 5 `�'� •
(h) To make distributions of income and of principal to the
proper beneficiaries, during the administration of my estate, with or
without court order, in such manner and in such amounts as the
Executor deems prudent and appropriate.
(i) To vote shares of stock which form a pa.rt of my estate or
'� any Trust established under this Will, and to exercise all the powers � -
incident to the ownership of stock.
(j) To unite with other owners of property similar to
property in my estate to carry out plans for the reorganization of any
company whose securities forna a part of my estate.
(k) To disclaim any interest in property which would devolve
to me or my estate by whatever means, including but not limited to
the following means: as beneficiary under a will, as an appointee
under the exercise of a power of appointment, as a person entitled to
take by intestacy, as a donee of an inter vivos transfer, and as a
donee under a third-party beneficiary contract.
(1) To prepare, execute and file tax returns of any type
required by applicable law, and to make all tax elections authorized
by law.
(m) To employ custodians of property, investment or business
advisors, accountants and attorneys as the Executor or �ustee deems
appropriate, and to compensate these persons from assets of my
estate or trust, without affecting the compensation to which the
Executor and Trustee are entitled.
Page 6 •��
,
(n) To divide any �-ust created in this Will into two or more
separate Trusts so that inclusion ratio for purposes of the generation-
sl�pping transfer tax shall be either zero or one, in order that an
election under Section 2652(a)(3) of the Internal Revenue Code may
be made with respect to one of the separate Trusts, or for any other
reason. _
(o) To allocate administrative expenses to income or to
principal, as the Executor or �ustee deems appropriate. However,
no allocation to in.come shall be made if the effect of the allocation is
to cause a reduction in the amount of any estate tax marital
deduction or estate tax charitable deduction.
{p) To do all other acts in their judgment necessary or
desirable for the proper and advantageous management, investment
and distribution of the estate and Trusts established under this Will.
ITEM VII: The �ustee is authorized to distribute
principal and/or income in any one or more of the following ways if the Trustee, in
the sole discretion of the Z`rustee, considers the beneficiary unable to apply
distributions to the beneficiary's own best interests, or if the beneficiary is under a
legal disability:
(a) Directly to the beneficiary;
(b) To the legal guardian or conservator of such beneficiary;
(c) To the Trustee, or to another person selected by the
Trustee, as custodian under the Pennsylvania Uniform �ansfers to
Minors Act as to a beneficiary under the age of twenty-one (21) years;
Page 7 '� ,
(d) To a relative of the beneficiary, to be expended by that
relative for the benefit of the beneficiary; or
(e) By directly applying distributions for the benefit of the
beneficiary. �
ITE11�I VIII: Any person who shall have died at the
same time as I shall have, or in a common disaster with me, or under such
circumstances that the order of our deaths cannot be established by proof, or
within thirty (30) days of my death, shall be deemed to have predeceased me.
ITEM IX: I hereby nominate, constitute and
appoint my sons, KEVIN A. HUCK and ERIC A. HUCK, to be the Executors,
herein collectively referred to as "Executor". In the event of the death, inability or
refusal of both my sons to serve as Executor, ORRSTOWN BANK, Shippensburg,
Pennsylvania, shall serve as Executor. If either of my sons serves.as Trustee of �
any Trust under this Will, he shall have the right to name the person who will
serve as successor Trustee. If neither of my sons are able to serve as �ustee, and
if no successor Z`rustee is appointed, then ORRSTOWN BANK, Shippensburg,
Pennsylvania, shall serve as Trustee. The Executor and Trustee are specifically
relieved from the duty or obligation of fiiing any bond or other security.
IN WITNESS WHEREOF, I have set my hand and seal to this, my
Last Will and Testament, consisti.ng of this and the preceding seven (7) pages, at
the end of each page of which I have also set my initials for greater security and
better identification this /,3 day of /L.o , 19��
(SEAL)
THA E. HUCK
We, the undersigned, hereby certify that the foregoing Will was
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 and in her
presence and in the presence of each other, have hereunto set our hands and seals
the day and year first above written, and we certify that at the time of the
execution thereof, the said Testatrix was of sound and disposing mind and
memory.
r (SEAL) Residing at
�/�
�
(SEAL) Residing at � l
�il�ce �,� ���c r
(SEAL) Residing at�
, ��
l �
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA )
� - ) SS:
C�UNTY OF )
- I, MARTHE E. HUCK, Testatrix, whose name is signed to the
attached or foregoing instrument, having been duly qualified according to law, do
hereby acknowledge that I signed and executed the instrument as my Last Will
and Testament; that I signed it willingly; and that I signed it as my free and
voluntary act for the purposes therein expressed.
L��a��.�._C�o •.���i�'..+� (SEAL)
MAR,THA E. HUCK
Sworn to and subscribed before
me this /3-t-h day of
�e b rc�a rY , 19 ��
��.
Notary Public
My Commission Expires:
(SEAL)
Notarinl Seal public
aret M.Ke�wo�hy,NotarY
Marg Dauph►n Cou2n�ty01
SvsquehannaTWP•ires S�Pt•28'
�Ily Commiss��n Exp
M����ri���ilns�lvania Association of Notar+es
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA )
, ) SS:
COUNTY OF )
L .� � �� �. �d
we, � �c�� �cJ � , � � ��� an
� � a , the Witnesses whose names are signed to the
attac d or foregoing instrument, being duly qualified according to law, do depose
and say that we were present and saw Testatrix, MARTHA E. HUCK, sign and
execute the instrument as her Last Will and Testament; that Testatrix signed
willingly and that she executed said Will 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 knowledge the
Testatrix was at that time eighteen (18) or more years of age, of sound mind and
unde� no constraint or undue influence.
�
�
Witness itness
,
Witness
Sworn to and subscribed before
me this /3 f!� day of
��6 r u a,� , 19 ��
r
�.
Notary Pub ic
My Commission Expires: �
Notarial�eallotarY Public
(SE�� Margaret M.Kenwo�Dauph�n County
SusqUehanna TwP'�res Sept•2a,2�01
My Comm�ssi�n�XP
Mem
ber.Pennsy►van+a Association of Notar+es
130216 1
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-961
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 017936
ROGERS ELYSE EVELYN
SAIDIS SULLIVAN & ROGERS
625 NORTH 12TH STREET
LEMOYNE, PA 17043
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
"---°' fold
101 ( $150.00
ESTATE INFORMATION: Sstv: 211-242824 I
FILE NUMBER: 2112-1328 I
DECEDENT NAME: HUCK MARTHA E �
DATE OF PAYMENT: 07/25/2013 �
POSTMARK DATE: 07/24/2013 (
COUNTY: CUMBERLAND �
DATE OF DEATH: 10/26/2012 � �
�
TOTAL AMOUNT PAID: $150.00
REMARKS: RECEIPT TO ATTY
CHECK# 141
INITIALS: WZ
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
' DEPT.260601
HAfiRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROfVI: INHERITANCE AND ESTATE TAX
OFFICIRL RECEIPT
- N0. CD 017095
HUCK ERIC A
86 FOXFI RE LAN E
LEWISBERRY, PA 17339-9337
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
_____�- fold --------- ------
101 � 517,950.00
ESTATE INFORMATION: ssiv: 211-24-2824 I
FILE NUMBER: 2112-1328 (
DECEDENT NAME: HUCK MARTHA E �
DATE OF PAYM ENT: 01/24/2013 I
POSTMARK DATE: 01/24/2013 �
COUNTY: CUMBERLAND (
DATE OF DEATH: 10/26/2012 I
�
TOTAL AMOUNT PAID: $17,950.00
REMARKS: RECEIPT TO ATTY
CHECK#4874
INITIALS: DMB
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER
Law Offices of
SAIDIS, SULLIVAN & ROGERS
A PROFESSIONAL CORPORATION
635 NORTH 12TH STREET,SUITE 400 CARLISLE OFFICE:
ROBERT C.SAIDIS LEMOYNE,PENNSYLVANIA 17043 26 WEST HIGH STREET
DANIEL L.SULLIVAN TELEPHONE:(717)612-5800-FACSIMILIE(71�612-5805 CARLISLE,PA 17013
ELYSE E.ROGERS EMAIL:attornevQssr-attorneys.com TELEPHONE:(71�243-6222
JOHN A.FEICHTEL www.ssr-attorneys.com FACSIMILE:(71�243-6486
DEAN E.REYNOSA
TODD F.TRUNTZ Of Counsel
MARY�,OIJ MATAS JOHN E.SLIKE
SEAN M.SHLJLTZ STEPHEN L.GROSE
HANNAH WHITE-GIBSON
December 4, 2013 REPLY TO LEMOYNE
717-901-7781
crule@ssr-attorneys.com
,
HAND-D�ELIVERE�D
Register of Wills of Cumberland County
One Courthouse Square
Carlisle, PA 17013
Re: Estate of Martha E. Huck
File No: 2012-01328
Dear Madam:
Enclosed is a check in the amount of$80 which represents payment of the
filing fees for the Pennsylvania lnheritance Tax Return ($15), the Inventory ($15}
and the additional probate fee ($50). Please forward your receipt for this payment
to our office.
Sincerely yours,
�
Cynthia J. Rule
Legal Assistant to Elyse E. Rogers
cjr � �
Enclosure � � �; � �
cc: Eric A. Huck (w/o enclosures)
� � � � �
Kevin A. Huck (w/o enclosures) � � C-, � r; �°�,�
�,,,�', � ,rn � r� r�
� � � � �
• �
c� c�.� ° � � ,�
� � �
� � � � �
� �-a► +cn c►
cn ~+�
;,
�.
Law Offices of
SAIDIS, SULLIVAN & ROGERS
A PROFESSIONAL CORPORATION
635 NORTH 12TH STREET,SUITE 400 CARLISLE OFFICE:
ROBERT C.SAIDIS LEMOYNE,PENNSYLVANIA 17043 26 WEST HIGH STREET
DANIEL L.SULLIVAN TELEPHONE:(71�612-5800-FACSIMILIE(717)612-5805 CARLISLE,PA 17013
ELYSE E.ROGERS EMAIL:attorn��ssr-attorney_,s.cam TELEPHONE:(71�243-6222
jOHN A.FEICHTEL www.ssr-attorne�s.com FACSIMILE:(717)243-6486
DEAN E.REYNOSA
TODD F.TRUNTZ Of Counsel
MARYLOU MATAS JOHN E.SLIKE
SEAN M.SHULTZ STEPHEN L.GROSE
HANNAH WHITE-GIBSON
December 2, 2Q13 REPLY TO LEMOYNE
717-612-5801
ero�ers@ssr-attornevs.com
HAND-DELIVERED
Register of Wills of Cumberland County
One Courthouse Square
Carlisle, PA 17013
Re: Estate of Martha E. Huck
File No: 2012-01328
Dear Madam:
Enclosed for filing with your office are the following:
1. Pennsylvania lnheritance Tax Return in duplicate. Please note there
is no tax due; and
2. Inventory.
Please time stamp and return the enclosed copy of this letter.
If you require additional information, please do not hesitate to contact me.
Sincerely yours, � ; m �
� �°, ° � c''
rn � �, � � c'
� , �
r° � � .� � c'
Elys E. Rogers � u? � c> �
-,p -,n
cjr � �; ° 3 � �
Enclosures � � rv � r�
cc: Eric A. Huck (w/o enclosures) :,�, -�-� �.M,, cn ,,.�`n
Kevin A. Huck (w/o enclosures) �" �