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HomeMy WebLinkAbout01-28-14 (3) 1505611185 REV-1500 EX(02-11)(FI) OFFICIAL USE ONLY PA Department of Revenue County Code Year File Number Bureau of Individual Taxes PO BOX 280601 INHERITANCE TAX RETURN 21 13 0254 Harrisburg,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 10082012 09021928 Decedent's Last Name Suffix Decedent's First Name M I GILKEY SYLVIA B (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name M I Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW ® 1. Original Return ❑ 2. Supplemental Return 3. Remainder Return(Date of Death Prior to 12-13-82) ❑ 4. Limited Estate ❑ 4a. Future Interest Compromise(date of ❑ 5. Federal Estate Tax Return Required death after 12-12-82) ❑ 6. Decedent Died Testate ❑ 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) ❑ 9. Litigation Proceeds Received ❑ 10. Spousal Poverty Credit(Date of Death ❑ 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 TO: Name Daytime Telephone Nufnl>or CRAIG A . HATCH, ESQ • 71?CM2?i-1,-96QD � MG EW WIL'aS US e7 :v j> r— ry r°n M r M Co �z C; First Line of Address �� �? C� C> CO ---q 2109 MARKET STREET ° Second Line of Address r.., rr1 1 p � "rt City or Post Office State ZIP Code DATE FILED CAMP HILL PA 17011 Correspondent's e-mail address: C -H A T C H a@ H H G L L P - C O M Under penalties of perjury, I declare that I have examined this return,including accompanying^dules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the per" I repre tali is bas on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ATE JOHN D - GILKEY, ADMR • f ADDRESS 434 PINE ROAD 0 T LY SPRINGS, PA 17065 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE CRAIG A . HATCH, ESQ . 62 ADDRESS 2109 MARKET STREET CAMP HILL, PA 17011 PLEASE USE ORIGINAL FORM ONLY Side 1 1505611185 OM46471000 1505611185 1505611285 ' REV-1500 EX(FI) Decedent's Social Security Number Decedent's Name: G I L K Y S Y L V I A B RECAPITULATION 1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 $0 . 00 2. Stocks and Bonds(Schedule B). . . . . . . . . . . . . . . . . . . . . . . . . 2. *19-1907 - 63 C' .. 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C). g $0 . 00 4. Mortgages and Notes Receivable(Schedule D) , , . , , . . _ 4 $0 . 00 i 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E) , , 5, $3,695 - 67 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested , , , , 6, $0 . 00 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) ❑ Separate Billing Requested . . . . 7. $0 . 00 8. Total Gross Assets(total Lines 1 through 7) , , , , , , , , , , , , , , , , , , 8 $23-,603 - 30 9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . . . . . . . . 9. $5,533 - 26 10. Debts of Decedent, Mortgage Liabilities,and Liens(Schedule 1) , , , , , . . . . 10 $5,438 - 85 11. Total Deductions(total Lines 9 and 10), , , , , , , ; , , , , , , , , , , , 11. $10-1972 - 11 12. Net Value of Estate(Line 8 minus Line 11) , , , . , 12, $12,631 - 19 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. $12,631 -19 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers unAer Sec.9116 (a)(1.2)X.o_ $0 .00 15. $0 . 00 16. Amount of Line 14 xable at lineal rate_0 4 $121631 . 20 16. $568 . 40 17. Amount of Line 14 taxable at sibling rate X.12 $0 . 00 17. $0 . 00 18. Amount of Line 14 taxable at collateral rate X.15 $0 . 00 18. $0 . 00 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •. . . . 19. $568 - 40 20. FILL IN THE'BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ Side 2 1505611285 1505611285 OM4648 3.000 REV-1508 EX-(08.12) pennsylvania SCHEDULE E DEPARTMENTOF REVENUE CASH, BANK DEPOSITS He MISC. INHERITANCE TAX RESIDENT DEC ENTTURN PERSONAL PROPERTY ESTATE OF: FILE NUMBER: _Sylvia B. Gilkey 21 130254 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 F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. S&T Bank Checking Acct. No. 3000245575 $3,695.67 TOTAL(Also enter on line 5,Recapitulation) $ $3,695. 67 2 W46AD 2.000 If more space is needed,use additional sheets of paper of the same size. REV-1511 EX-(10-09) SCHEDULE H pennsylvania DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Sylvia B. Gilkey 21 13 0254 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Villa Ballanca funeral luncheon $1,109.45 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: 2. Attorney Fees: $4,000.00 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: $213.50 5. Accountant Fees: 6. Tax Return Preparer Fees: 7. 1 Notary Public $5.00 2 Patriot-News publication fee $130.31 Total from continuation schedules . . . . . . . . . $75.00 TOTAL(Also enter on Line 9,Recapitulation) $ $5,533.26 9W46AG 2.000 If more space is needed,use additional sheets of paper of the same size. Estate of: Sylvia B. Gilkey 21 13 0254 Schedule H Part 7 (Page 2) 3 Cumberland Law Journal publication fee $75.00 Total (Carry forward to main schedule) $75.00 REV-1512 EX-(12-08) pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, RESIDENT EDENT URN MORTGAGE LIABILITIES& LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Sylvia B. Gilkey 21 13 0254 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Church of God Home nursing home bill $4,195.00 2 Pharmacy Bills $451.46 3 Holy Spirit Hospital medical bill $792.39 TOTAL(Also enter on Line 10,Recapitulation) $ $5,438.85 8w48AH 2.000 If more space is needed,insert additional sheets of the same size. REV-1513 EX+(01-10) SCHEDULE J pennsylvania DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Sylvia B. Gilkey 21 130254 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under Sec.9116(a)(1.2).) 1. John D. Gilkey 434 Pine Road Mount Holly Springs, PA 17065 One Half of Residue: $6,315. 60 Son $6,315.60 2 David P. Gilkey 3301 North 2nd Street Harrisburg, PA 17110 One Half of Residue: $6,315.60 Son $6,315.60 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. [[ NON-TAXABLE DISTRIBUTIONS A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ $0.00 9W46Ai 2.000 If more space is needed,use additional sheets of paper of the same size. COMMONWEALTH OF PENNSYLVANIA SHORT CERTIFICATE COUNTY OF CUMBERLAND r 6 I, GLENDA FARNER STRA SBA UGH Register for the Probate of Wills and Granting Letters of Administration in and for CUMBERLAND County, do hereby certify that on (D the 4th day of March, Two Thousand and Thirteen Letters of ADMINISTRATION in common form were granted by the Register of said County, on the estate of SYL VIA B GILKEY late of DICKINSON TOWNSHIP /First,Middle,Last) a/k/a SYL VIA BA GLIERI GILKEY in said county, deceased, to JOHN D GILKEY (First,Middle,Last) and that same has not since been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of said office at CARLISLE, PENNSYLVANIA, this 16th day of December Two Thousand and Thirteen. File No. 2013- 00254 PA File No. 21- 13- 0254 Date of Death 1010812012 S. S. # Reg/ste f Wills y NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL PA REV-1500 SCHEDULE B STOCKS and BONDS Verizon Communications Inc., VZ Historical Quote - (NYSE) VZ, Verizon Communications Inc. Stock ... Page 1 of 1 WSJ WSJ Enter Symbols or Keywords SEARCH WSJ Live WSJ Live h r atc arts Portfolio scar���'�' Portfolio F>�14�''mbof.Rainvords: N r ti s+rhal trcku `J vz r r F�t#�-f P Quotes News Industries Markets Historical Quotes BlgReports Risk MWA Historical Quotes tool allows you to look up a security's exact closing price. QA&I l�r�ys+o=and a historical date to view a quote and mini chart for that security. All Things Digital WSJ cur nter Symbol: vz"'`� EnterDate: 10/08/12 +r Bi harts O �� Financial News ftessor.Journal munications Inc. 46.57 4-Glas 48 92oRadio 47.01 SO Wine J 46 gn 47.07 14111111`f 44 Low 46.54 Volume: (/ y8,�7(2/0,307 Clct l r7 O U17' No Splits Sponsored Links Hot Stock Pick OBJE Stable Growth,Diversity,Promising Outcome--Invest Today,Learn More! www.OTCStockPick.com Warren Buffett Confesses Warren Buffetts Shocking Confession Will Change your Investing Strategy www.MarketTrendSignal.com Top 10 Stock for 2013 These 10 stocks returned 50-times more than the S&P 500 since 2007. www.StreetAuthority.com 7%Annual Annuity Return Get Guaranteed Lifetime Income and Reduced Risks to Retirees All Here. AdvisorWodd.com/CompareAnntiities '^y Get started with a broker H � ! ''i`'rj�..;!` f t �>!7/ ��. 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SEHK intraday data is provided by SIX Financial Information and is at least 60-minutes delayed. All quotes are in local exchange time. http://bigcharts.marketwatch.com/historical/default.asp?svmb=vz&closeDate=10%2FO8%2F2Q12&x=O&,... _ 7/91/?011 04 C11 C14 ' z :i; 04 } ca e 2 § 3 + k \ _ 2 M / \ fib C $ E = C = � f7 § § GaE ^ cn ail CL � e k g CL � N / / , ® ' U) - - 2M ` ) � f § � § § \ 2 ZD % C kkk / � ' k §fn a« 2 � �� § ) § \ \ � § � \ 5 / � � G2 § , Jw iE� * \ § ERR { $ kC) 27 0 � c � \k 0 , ƒ mE § q k �§ U2 t2 \ q co . E /2 m = Cc f� 2 � _ co co m Q . � I $ � - - 5 L 9 LO 20 $k &\ \ \ \ c " , III a CD $ / % $/ f 000 § E _ , o . % @ /# o m . �. » = » o \= a o e m a %- M / % ■� � § � J _% c . a77� 0 k g x -a 2 0 , © a § u 0 2 o £ a c = at k2 E - / / a ° � § . � Vodafone Group PLC ADS, VOD Historical Quote - (NASDAQ)VOD, Vodafone Group PLC ADS Sto... Page 1 of 1 WSJ WSJ WSJ Live Enter Symbols or Keywords SEARCH WSJ Live h I , atc IMMIM ertS 775-116-of KaftNatd, Portfolio F6Ffll*mbobWrinvords: �—Rine Quotes News IndustAes Markets Historicalpuotes BlgRepoRS Od Risk MoR&Historical Quotes tool allows you to look up a security's exact Dosing price. W&ddG JwvirtSdmly and a historical date to view a quote and mini chart for that security. All Things Digital WS cure nter Symbol: vod EnterDate: 10/08/12 BigCh2rts 't Financial News P o essor Journal Sbipjam S��nt o r Group PLC ADS Vh .LSt Cg ch12a r Dai IV 29.03 groom I 99(gadio 28.97 4 if 28.5 'gn: 29.11 Low 28.91 votume: 4,422,790 Oct Nov �* No Splits Sponsored Links Boost Your Portfolio Now These Undervalued Picks are Projected for Huge Growth—Find Out More! www.OTCStock Plck.com Screaming Penny Stocks Our Next Penny Stock Pick will Rock Your World!Don't Delay,Read More. I m pre ssive Pen nyStocks.com Warren Buffett Confesses Warren Buffetts Shocking Confession Will Change your Investing Strategy www.MarketTrendSIgnal.com 2013 Stocks to Buy Now Our Research Report Reveals the 5 Best Stocks to Buy Now-Learn More www.insideinvestingdaily.com Find a broker 7 ► ' : , < a� .K. v�tguard :� SCHWA Tide/i! $0 Set-up Fees and$0 Tools,Education and Trade free for 60 days+ Annual Fees.Open an Support all for$8.95 per get up to$600!Open an Arfn M ­line emllt.tr lm A l.,nt tmrl— Boma I A4gW I Job O000rtunBies I Contacl Us I Feedback I tLeW _ - sue?'• 1 Copyright 2013 Ma*alWateh,Inc.All rights reserved. By using this she,you agree to the Terms of Use and Privacy Poll a(updated 10/18/2011). Intraday Data provided by SIX Financial Information and subject to terms of use. Historical and current end-of-day data provided by SIX Financial Information.Intraday date delayed per exchange requirements.S&P/Dow Jones Indices(SM)from Dow Jones 8 Company,Inc.All quotes are in local exchange time.Real time last sale data provided by NASDAQ. More information on NASDAQ traded symbols and their current financial status. Intraday data delayed 15 minutes for Nasdaq,and 20 minutes for other exchanges. S&P/Dow Jones Indices ISM)from Dow Jones d Company,Inc. SEHK intraday data Is provided by SIX Financial Information and is at least 60-minutes delayed. All quotes are in local exchange time. http://bigcharts.marketwatch.com/historical/default.asn?svmb=vod&cics eDa.te=1_0%n7F0RD/`7.FI?.k_V=(LQiy C N _ Z N 91) z m � w a O 0 0 O O N E Q �� O m � .- 0 0 0 co m U —� H o M M to to _ = g e co 0 zm ON (D ? ' g �. m N O c r o p O W N E ��� $ c 0 Q m O O C Z ti CL) v d ct,co m m e d > c c d r^ ry O 0 f0 l0 Jo Y/ 0 O C..) C..) 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O o Emma °'�� A �' �°4 da Lm -J Zs�tA C ay'� ` m m v cao _E z�a0 o U Q off- > >•r-_ W of 3c _� LLNv oD o m p_ m O �e > rn ar a� t�ao > o O} m 0 ti Flo- S a o } 3 Z F-oo S v s to m E CL y c .. d p>m E • • • ocr a o Comcast Corp. Cl A, CMCSA Historical Quote - (NASDAQ) CMCSA, Comcast Corp. Cl A Stock Price... Page 1 of 1 WSJ WSJ WSJ Live Enter Symbols or Keywords SEARCH WSJ Live INOWNWAIch , 11111117a"tqCSJ*1-* arts' .rrnr Markctk�atth.. Portfolio Portfolio F✓ E14b"m6o1,�7lelivarrls: F�}rrhdl tpoku!i :k) cmcsa ._ U= Mine Quotes News Industries Markets Historical Quotes BlgReports Risk MA%Historical Quotes tool allows you to look up a security's exact dosing price. WS.d�(y glRVitaAiOR fJaPly and a historical date to view a quote and mini chart for that security. All Thinas Digital WS cure nter Symbol: cmcsa EnterDate: 10/08/12 ++ BiaChafls � ���� Financial News P o essor ourna liRAWROWCorp.Cl A S yAnWp. ,;, V ck.Exch ds 36.21 SD Radio 36.25 Si Mne 9n 36.47 Low 36.165 Volume: 10,219,012 G3/7 J No Splits Sponsored Links Hot Stock Pick OBJE Stable Growth,Diversity,Promising Outcome--Invest Today,Learn More! www.CTCStockP!ck.com Warren Buffett Confesses Warren Buffetts Shocking Confession Will Change your Investing Strategy www.MarketTrendSignaI.com Top 10 Stocks for 2013 These 10 stocks are set to crush the S&P 500 in the coming year. www.S treetAulh ority.coni 7%Annual Annuity Return Get Guaranteed Lifetime Income and Reduced Risks to Retirees All Here. AdvisorWarld.com/cariipareAnnuities Get started with a broker i' VattP,uatd +�/ i :+ s i Amtetritrade r J.., SG!N7WA13 $0 Set-up Fees and$0 Trade free for 60 days+ Tools,Education and Annual Fees.Open an get up to$600!Open an Support all for$8.95 per Arm--t .—,,nt tnriav nnli—A-1ty trarla JJ2=1 About I Job Opportunities I Contact Us I Feedback I tL@2 ....` - Copyright 2013 MarketWatch,Inc.All rights reserved. By using this site,you agree to the Terns of Use and Privacy Policy(updated 10118/2011). Intraday Data provided by SIX Financial Information and subject to terms of use. Historical and current end-of-day data provided by SIX Financial Information.Intraday data delayed per exchange requirements.S&P/Dow Jones Indices(SM)from Dow Jones 8 Company,Inc.All quotes are in local exchange time.Real time last sale data provided by NASDAQ. More information on NASDAQ traded symbols and their current financial status. Intraday data delayed 15 minutes for Nasdaq,and 20 minutes for other exchanges. S&P/Dow Jones Indices(SM)from Dow Jones 8 Company,Inc. SEHK intraday data is provided by SIX Financial Information and is at least 60-minutes delayed. All quotes are in local exchange lime. http://bigcharts.marketwatch.com/historical/default.asD?Svmb=cmcsa&closeDate=l 0%2FO9%2F 12_&x=O.. 9.19.119.011 d o Z N N � C � N N Q) r CD N C, N m •..CR L O O V C7 in N of N Z y (17 CM O N N Z C W V � � > = o a N a m o N ^ `r' E o o° r c CL Z co co M o O c--) U E z o w aD m Z r w ` 'o m � 0 0 a o 0 p .0 F O � o c B E d $ v c O AYE d ° O oU E = � U U) C N .0r _N L 1 co N O O N 0 L d N 7 y C) 'a ` 'a d o t o > CL) o 0 > ova ru 1 ai O fU = Z v o_ a m O ca 0 ca® m w r R, N N W L r •� o r V U G O m _ co ca .2 a u CD�G oo W '� z _� Q. U O C) O H 12 d E o Q Q '� 0 d � v = Y V o H r eo Gj- O o = __j o o m M U = o p a a a = UQZ J-' o ° °x Z J d 0 o � o° 2 N O xS v ce O m LU o V r, Z � = o o � N 1111111 Fill 111111111111111 Hill 111111111111 U LL cn D a o0 Frontier Communications Corp., FTR Historical Quote - (NASDAQ) FTR, Frontier Communications Co... Page 1 of 1 WSJ WSJ Enter WSJ Live Symbols R ls or Keywords SE CH WSJ Live atc - ertS' Portfolio of MarkmWItc, Portfolio IftrF�€tfi4&nbm?teywordr. Rifillme Quotes News Industries Markets Historical Quotes BlgReports Risk MWA Historical Quotes tool allows you to look up a security's exact closing price. d+P�jtY� _R and a historical date to view a quote and mini chart for that security. All Things Digital WSJ SecurgE rts BigCha nter Symbol: ftr EnterDate: 10/08/12 ++ Financial News P o essor Journal S INMW ommunications Corp. S n o p V tock_Excb eds 4.78 9D<Radio 4.77 4t i V\Si VVIne High: 4.805 Low 4.71 Volume: 3,97--577,056 7�`( S No Splits Sponsored Links Screaming Penny Stocks Our Next Penny Stock Pick will Rock Your World!Don't Delay,Read More. Impressive PennyStocks.com Warren Buffett Confesses Warren Buffetts Shocking Confession Will Change your Investing Strategy www.MarketTrendSignal.com Hot Stock Pick OBJE Stable Growth,Diversity,Promising Outcome--Invest Today,Learn More! www.OTCStockPick.com Top 10 Stocks for 2013 Our picks have beat the market 7 out of the past 9 years. www.StreetAUthority.com r_r ) Find a broker 'A y; 'zr:.SCHI /�t11i111' KAf�B i� f� .!i ar Vanguard Tools,Education and Trade free for 60 days $0 Set-up Fees and$0 Support all for$8.95 per get up to$600!Open an Annual Fees.Open an nnIi—Rniii1v trade ._­t tnrlav Arrniint Home 1 About I Job O000rtunities I Contact Us I Feedback i Ligjp Copyright 2013 MarketWatch,Inc.All rights reserved. By using this site,you agree to the Terms of Use and Privacy Policy(updated 10118/2011). Intraday Data provided by SIX Financial Information and subject to terms of use. Historical and current end-of-day data provided by SIX Financial Information.Intraday data delayed per exchange requirements.S&P/Dow Jones Indices(SM)from Dow Jones&Company,Inc.All quotes are in local exchange time.Real time last sale data provided by NASDAQ. More information on NASDAQ traded symbols and their current financial status. Intraday data delayed 15 minutes for Nasdaq,and 20 minutes for other exchanges. S&P/Dow Jones Indices ISM)from Dow Jones 8 Company,Inc. SEHK intraday data is provided by SIX Financial Information and is at least 60-minutes delayed. All quotes are in local exchange time. httn:/ibis;charts.marketwatch.com/historical/default.asn?svmh=ftrRrclnceDate=lnD/n?..FnR%,?Fl?,�,X=n,R,v=o )/?ionii J Z � M P C E d O M W U L W O m X N O O O Q] N 117 � � -� CL M r L E OOC , 20 C, CM, m G d Q vJ U d ¢ co M `L3 O a Z s 3 T J CL E ,^ _O C-, � 2S E M _^Jo It) � , �, _T C C O V E .'J O O co �� io E o U g �_ V C Q �� d a Y Z o 0 O (� p v t x C) fY C5 25 o E d o h L � � aGi 0 0 c g CD a � � CD � G Er - -0 co c+) ru CL .2 m 4.0 m t 4m cn N �"� LJJ o ' C o•y p `m c _ w c ° moo $ V Y U 0� 0 a�= >.Y C a O J m �.0 C U _0 a d Q z ¢ V)Z.J -O OHO _ J Z a0 <-M a) m 8 a+ i 0 CO _ +' Z. u' 0 �otiv� R n :5 p m vs 0 CEO c o C3 n O nLUi_c >>. C M V N O y � 4) cc(B ca � �IN INIIIIIIIIIF111II�II111111Fill1IIIIII111HillIIIIIIIIIII N ■ o° N w w o LSI Corp., LSI Historical Quote - (NASDAQ) LSI, LSI Corp. Stock Price - BigCharts.com Page 1 of 2 Enter Symbols or Keywords SEARCH `i fflftaritse Porn Marwivatch BSI Basic Chart Advanced Chart Interactive Chart Home Quotes News Industries Markets Historical Quotes Big Reports This Historical Quotes tool allows you to look up a security's exact closing price. Simply type in the symbol and a historical date to view a quote and mini chart for that security. Enter Symbol: 11si Enter Date: 10/08/12 +r LSI Corp. Mon,Oct 08,2012 Closing Price: 6.83 Open: 7.03 High: 7.09 Low: 6.78 Volume: �y8,832,762 / No Splits Warren Buffett Confesses Warren Buffetts Shocking Confession Will Change your Investing Strategy www,M arketTrendSig na I,cons New Rule in PENNSYLVANIA: (DEC 2013):If You Pay For Car Insurance You Must Read This Immediately www.ConsumerFinanceDaily.com (1200°/x)Stock? If This$0.50 Stock Hits$6.00,$10,000 Will Become$120,000.See How. FinancierTimes.com Invest in IPO Stock IPO stock starting at$100.Same price as Wall Street. Loyal3.com/IPO Get started with a broker - - - I ner�lred► OPEN ka.kelvdh Broker Center SC*Aae an ACCQtli1L Qualify for up to$1,000 Pay less to invest with Trade free for 60 days+ Tools,Education and cash bonus.We'll even $7.95 online trades at gel up to$600!Open an Support all for$6.95 per naV Vnllf}ran.CfP.r fP.P.0 Fidglifv arrniin}}ndav noting gniiiW/radq Home I About I Job Opportunities I Contact Us I Feedback I Help Copyright 2013 MarketWatch,Inc.All rights reserved. By using this site,you agree to the Terms of Use,Privacy Policy,and Cookie Policy. Intraday Data provided by SIX Financial Information and subject to terms of use. Historical and current end-of-day date provided by SIX Financial Information.Intraday data delayed per exchange requirements.S&P/Dow Jones Indices ISM)from Dow Jones 8 Company,Inc.All quotes are in local exchange time.Real time last sale data provided by NASDAQ. More Information on NASDAQ traded symbols and their current financial status. 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All Things Digital WSJ es fts rgE BigC ha nterSymbol: It EnterDate: 10/08/12 ++ Financial News P o essor ourna S S 0t-JoAffnal 2 V ds 37.66 V Sol—less raorrt-- 9JrFbadio 37.71 V 36 gn: 37,875 ti 3*5 Low 37.50 it 34 Volume: 7 15,015,279 Oct No Splits Sponsored Links Hot Stock Pick OBJE Stable Growth,Diversity,Promising Outcome--Invest Today,Learn Morel www.OTCS tock Pick.com Screaming Penny Stocks Our Next Penny Stock Pick will Rock Your World!Don't Delay,Read More. I mpressivePennyStocks.com Warren Buffett Confesses Warren Buffetts Shocking Confession Will Change your Investing Strategy www.M arketTrendS ignat.com Retirement Annuity Income 7%Guaranteed Life Time Income.Reduced Risk For Retirees Here. 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S&P/Dow Jones indices(SM)from Dow Jones 8 Company,Inc. SEHK intraday data is provided by SIX Financial Information and is at least 60-minutes delayed. All quotes are in local exchange time. http://bigeharts.marketwatch.com/historical/default.asp?symb=t&closeDate=10%2F08°/g2F12&x=52&v=25 2/21/2013 RN N W d co go Cc d m A a0 a0 O Q C V �-- r an z d LLi Z o O N n tC+ o N �t � tn � m �� >CD F• V p d co U*)co m L EO ° °oaos a d �t vvv Uo � eD � ? i : T C coo � R a a c c U n ` U) s a O H V N .b l v E �d rani C rn CD CD ig. CD AD Co �� C V /V o M a? CL 0 0 C C �i L In c- %n E ~ �� d 2 O LL N M M M .� c O z x •° a) ¢ Lo d S r CD z -Ic can a �. E a = � � = U = N o _ � a D r N N N o L N N v D. IL li ci 7 N N ° E w y O -°a (9 a -- 0 C. 0 L1 d H 3 0 o E o ° In LO ul) ao o c4 N7 a+ ° N O _ C _ cu a N raoi O C ci m 2 m M Z u') `� > •` a� c c c g = ° LJJ d of cr M W to z = coo i■Vl c W _ m o = �mocn _ U Q Lu to O J Z O L �cl, -Sadv2`- C 'O + i� C w cc L_ ' N 1111111111 iff 1111111111111111111111 4= CD cn� PA REV-1500 SCHEDULE E CASH, BANK DEPOSITS & MISCELLANEOUS PERSONAL PROPERTY 800 Philadelphia Street P.O.Box 190 Indiana,PA 15701 800.325.2265 MEMBER FDIC stbank.com September 11, 2013 TRACI L SEPKOVIC GATES HALBRUNER HATCH &GUISE ATTORNEYS AT LAW 1013 MUMMA ROAD SUITE 100 LEMOYNE PA 17043 Re: Sylvia B.Gilkey SSN XXX-XX-2082 DOD 10-08-2012 Dear Mr.or Ms.Sepkovic: Below is the information that you requested for Sylvia B. Gilkey in your letter dated September 6,2013. Sole Checking Account #3000245575 Sylvia B. Gilkey Opened: 12-06-96 Made Sole: 12-15-08 Balance DOD:$3,695.66+0.01=$3,695.67 Interest Year to DOD: $2.27 If you have any questions about the information that has been provided, please contact me at 1-800-325-2265 EXT 56597. Sincerely, LJ-� Linda Elkin Decedent Records PA REV-1500 SCHEDULE H FUNERAL EXPENSES and ADMINISTRATIVE COSTS jDateT all D O LJ O SERVER POSITION : .; It ,'0 It t I Guests S er • APPT - SOUP/ AL - EH EE - VEG/POT - DESSERT - BEV 1 kAj too 4 L LD ,Go 9 c� 11 Total V FROM REVERSE IDE '68 0 ax t Tofa' NCCO>347 Gu[ ICHECK' www.nationalcliecking.com MADEINTHE U A Guest Receipt Date Amount Guests 473 79 1 Monday- Closed Tuesday-Thursday: 11:00 a.m. - 9:30 p.m.. Friday and Saturday: 11:00 a.m. - 10:00 p.m. Sunday: 11:00 a.m. -9:00 p.m. RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Receipt Date : 3/04/2013 Cumberland County - Register Of Wills Receipt Time : 08 :23 : 36 One Courthouse Square Receipt No. : 1073274 Carlisle, PA 17613 GILKEY SYLVIA B Estate File No. : 2013-00254 Paid By Remarks : JOHN D. GILKEY DMB ----- ------------------- Receipt Distribution ------------------------ Fee/Tax Description Payment Amount Payee Name PETITION LTRS ADM 90 . 00 CUMBERLAND COUNTY GENERAL FUN RENUNCIATION 5 . 00 CUMBERLAND COUNTY GENERAL FUN INVENTORY 15 . 00 CUMBERLAND COUNTY GENERAL FUN INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 23 . 50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# 1010 $153 . 50 Total Received. . . . . . . . . $153 . 50 MARJORIE A.WEVODAU GLENDA FARNER STRASBAUGH �! FIRST DEPUTY REGISTER OF WILLS n AND - (` CLERK OF ORPHANS'COURT 1 a a�. r KIRK S.SOHONAGE,ESQ SOLICITOR ICI REGISTER OF WILLS AND CLERK OF THE ORPHANS' COURT COUNTY OF CUMBERLAND ONE COURTHOUSE SQUARE CARLISLE, PA 17013 (717)240-6345 FAX(717)240-7797 INVOICE Bill To: InvoiceNo: 4267 Invoice Date: 3/4/2013 GATES HALBRUNER HATCH Estate o£ SYLVIA. B. GILKEY 1013 MUMMA ROAD SUITE 100 Estate No: 21-13-0254 DMB LEMOYNE, PA 17043- Qty Fee Description Fee Total 12 Short Certificates 5.00 $60.00 Total: $60.00 Checks should be made payable to the Register of Wills. Terms: Net 30. Please return one copy of this invoice with your payment. Thank you. RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Receipt Date : 10/25/2013 Cumberland County - Register Of Wills Receipt Time : 12 : 50 : 14 One Courthouse S uare Receipt No. : 1076033 Carlisle, PA 1713 GILKEY SYLVIA B Estate File No. : 2013-00254 Paid By Remarks : GATES HALBRUNER HATCH & GUISE Wz ------------------------ Receipt Distribution ------------------------ Fee/Tax Description Payment Amount Payee Name SHORT CERTIFICATE 10 . 00 CUMBERLAND COUNTY GENERAL FUN Check# 17365 $10 . 00 Total Received. . . . . . . . . $10 . 00 Sollenbergers - Carlisle Sollenbergers-Carlisle Record#• 11292 29 Westminster Dr Carlisle,PA 17013 (717)249-8149 For: Date: 11/13/2012 JOHN DANIEL GILKEY Time: 11:43 AM 434 PINE RD MOUNT HOLLY SP,PA 17065 Clerks Initials: ZPS Vehicle Registration Information_ 11/13/2012 11:43:24 AM ZPS: LIFE INS PAPERS In store processed-Notary 0.00 Agency amount paid 0.00 Check to state 0 0.00 Total Agency Fees 0.00 Service Fees Messenger Fee .0.00 i Notary/Clerical Fee 5.00 ' Copy/Fax Fee 0.00 I/We swear that I/we have applied for the above item(s). Other Fee 0.00 Payment Type Cash Total Service Fee _ _5.00__ Sworn and subscribed to before me on 13-Nov-2012. Total Amount Due 5.00 Amount Tendered 5.00 Change Due 0.0_0_ No Refunds on Service or Notary fees.We are not responsible for the work the State fails to process. -_Notary Seal Welcome to Sollenbergers-Carlisle Your Direct Connection with PENNDOT, "Online",State&Service Fees Apply 11/13/2012 11:43 AM The Patriot-News Co. 2020 Technology Pkwy r10 &t e Suite 300 Mechanicsburg, PA 17050 NOW you know Inquiries - 717-255-8213 GATES, HALBRUNER & HATCH, P.C. ATTN: TRACI HILFERDING 1013 MUMMA ROAD SUITE 100 LEMOYNE PA 17043 STATEMENT ALL CHARGES ARE NET ACCT# NAME AD ORDER# DATE EDITION ADDTL. INFO. TYPE OF CHARGE AMOUNT 41052 GATES, HALBRUNER&HATCH, P.C. 0002254088 04/02/13 METRO WEST Gilkey BASIC AD CHARGE $41.77 41052 GATES, HALBRUNER&HATCH,P.C. 0002254088 04/09/13 METRO WEST Gilkey BASIC AD CHARGE $41.77 41052 GATES, HALBRUNER&HATCH, P.C. 0002254088 04/16/13 METRO WEST Gilkey BASIC AD CHARGE $41.77 AFFIDAVIT CHARGE $5.00 TOTAL: $130.31 This is not an invoice. Please do not remit payment from this Statement. An invoice will be generated at the end of the month. --Thank you. NOTE: This Statement replaces the Order Confirmation which we previously sent with Proofs of Publication C0G�� c � �1SSp�1P��� CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tele: (717)249-3166 Fax:(717)249-2663 April 12, 2013 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Craig A. Hatch, Esquire RE: Sylvia B. Gilkey Estate Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. ------------------------------------------------------------------ ------------------------------------------------------------------ Advertisement inserted on following dates: March 29, April 5, and April 12, 2013 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 Total Amount Due $ 0.00 Becky H. Morgenthal, Executive Director PA REV-1500 SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES and LIENS Important • We have received the explanation of benefits OHOLY from your insurance company(s) and have applied whatever payments and/or adjustments are appropriate. Please make payment for the balance due of$932.22 OR take advantage of a The Spirit C 15%prompt payment discount and remit $792.39 on or before 09/1512013. ATTORNEY CRAIG ALLEN HATCH Here are 3 convenient ways to pay: GILKEY ESTATE 1. Make Payment online at www.hsh.org. ATT 1013 MOMMA E STE 100 2. Mail tear-off coupon below with payment LEMOYNE PA 17043-1144 in the enclosed envelope. 3. Call Customer Service below to make payment by phone. Account Summary Charge Summary Patient Name: Gilkey,Sylvia B Previous Balance: 4932.22 , Statement Date: 08/16/13 Total New Charges: $.00 Service Dates): 03119/12-03128112 Payments/Adjustments: $.00 Account Balance: $932.22 Account Number: 42010967 Please Pay This Amount: $932.22 OR Medical Record Number. 632759 Discourftd Amount of$793,39 R paid cant or i berme 01TiW1 3 Insurance Information Contact Us Please call Customer Service at 717-763-2138 Ins. 1: UNITED HEALTH to add or make corrections to your insurance Ins. 2: information, or to make arrangements for a Ins. 3: payment plan. If you are unable to make Ins.4: payment, please contact the Patient Financial Advocate's Office at(717) 763-2885 to discuss N financial assistance options. 'r a v+ W Please Note: Your physicians will bill separately for professional services. Make Checks Payable To: Holy Spirit Hospital Account Number. Amount Due: Pay only 42010967 $932.22 $79 ,39 42010967 Patient Name: {� SYLVIA B GILKEY It paid by,0,9/1W2,013 I Y 503 N 21ST STREET El a"c CAMP M.L PA 17011 Card Number. CVV2 No:* F?� Usti F L C.1 Tke 5Wr4 f i:eAnr ADDRESS SERVICE REQUESTED signature: Amount Paid: Check box if your address or insurance information _] has changed. Plaese make changes an back. *The CW2 No.is required to process your payment. it is the last 3 digits on the hack of your credit card,by your signature. For Amex card hoidens,it is the 4-digit number on the front of your card,above the card number. 00004456 001 0.53 ATTORNEY CRAIG ALLEN HATCH III"lil�l�l1�"illlli1�111�111'it"1",l1���tr,"�1"1lilii,rU}"ill ATTN: GILKEY ESTATE HOLY SPIRIT HOSPITAL 1013 MUMMA RD STE 100 P.O. BOX 822183 I LEMOYNE PA 17043-1144 PHILADELPHIA,PA 19182-2183 0000420109670000000009322200100735000000011300001r39830000079239091520133 * END OF ATTACHMENTS