HomeMy WebLinkAbout05-16-14 (2) � '� 1505610143
REV-1500 Ex�°'_,°> �,�
PA De artment of Revenue OFFICIAL USE ONLY
p pennsylvania County Code Year File Number
Bureau of Individual Taxes ���TMENTOFREVENUE
Po Boxz8o6o1 INHERITANCE TAX RETURN 21 13 1067
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
09 23 2013 03 04 1932
Decedent's Last Name Suffix DecedenYs First Name MI
GRU�TER DONNA N
(If Applicabls)Fnter S�rv:ving Spouse's Infcrmat9on 6elow
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
• THiS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
� 1. Original Return � 2. Supplemental Return � 3. Remainder Return(date of death
priorto 12-13-82)
� 4. Limited Estate � 4a.Future Interest Compromise � 5. Federal Estate Tax Return Required
(date of death after 12-12-82)
6 Decedent Died Testate � Decedent Maintained a Living Trust 8. Totai Number of Safe De osit Boxes
� (Attach Copy of Will) (Attach Copy of Trust) P
9. Litigation Proceeds Received 10.spousal PovertY Credit(date of death ��.Election to tax under Sec.9113(A)
❑ b8lween 12-31�91 and T-1-95) (AttBCh SCh.O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone�r'nber �
JERRY A WEIGLE ESQUIRE 717�3�2 73�8 � �
� � �
REG I�C�OpIVi L�,USEr�I�j
_-� �, r�e � '.,.� c�
First line of address -=-�- �`' . ''` �
� " �' -�7 -,� �1
+:-� r> C7 'Ti
12 6 EAST KING STREET �_� � -,.� 3 :�'
� r�
`� c� r"'' r-' rn
Second line of address � � N r-- o
� �
� �
DATE FILED
City or Post Office State ZIP Code
SHIPPENSBURG PA 17257
CorrespondenYs e-mail address:
Under penalties of perjury,I eclare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief,
it is tr ,correct and compl e.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SI AT RE O PE 0 R PONSIBLE FOR FILING RETURN DATE
Jeffre L. Gruver � /G� /
ADDR SS
430 Nort I Street Shi ensbur PA 7257
SIGNATURE F PREP RER OTHER TH�J�REPRES T T DATE
� a' ^ L
�/ � Jerry A.Weigle Esquire � —/�f �
ADDRESS
126 East King Street, Shippensbur A
Side 1
� 15�5610143 1505610143 �
PA Inheritance Tax Return
Signature of Additional Fiduciaries
ESTATE OF FILE NUMBER
Gruver, Donna N. 21-13-1067
Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of
my knowledge and belief,it is true,correct and complete.Declaration of preparer other than the personal representative is based on all
information of which preparer h any knowledge.
Signature#2 . ��Il
Name �e .Gruver
Address1 �De �� ��
Address2
City, State,Zip S �
Date u I �
� '� 1505610243
REV-1500 EX
DecedenYs Social Security Number
Decedent'sName: G�UV@�� Donna N.
RECAPITULATION
1. Reai Estate(Schedule A)....................................................................................... 1. 14 5 , 10 0 . 0 0
2. Stocks and Bonds(Schedule B)............................................................................. 2. 2 7 � 0 7 8 . �6
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3.
4. Mortgages&Notes Receivabie(Schedule D)........................................................ 4.
5. Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 124 , 950 . 71
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers&Miscellaneous t�nq Probate Property
(Schedule G) U Separate Billing Requested............ 7. 273 , 47 6. 64
g. Total Gross Assets(total Lines 1-7)..................................................................... g. 570 , 605 . 41
9. Funerai Expenses&Administrative Costs(Schedule H)....................................... 9. 51 , 9 98 . 9 6
10. Debts of Decedent,Mortgage Liabilities,&Liens(Schedule 1).............................. 10. 18 ,271 . 02
11. Total Deductions(total Lines 9&10)................................................................... 11. 7 O �2 6 9 . 98
12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 500 ,335 . 43
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J)............................................... 13.
14. Net Value Subjectto Tax(Line 12 minus Line 13)............................................... 14. 500 , 335 . 43
TAX COMPUTATION-SEE INSTRUCTIONS F�R APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116 15. 0 . �0
(a)(1.2)X.00
16. Amount of Line 14 taxable 500 ,335 . 43 �s. 22 , 515 . 09
at lineal rate X .045
17. Amount of Line 14 taxable � . 0 Q 17. 0 . �0
at sibling rate X.12
18. Amount of Line 14 taxable 0 . 00 18. 0 . 00
at collateral rate X.15
19. Tax Due.................................................................................................................. 19. 2 2 , 515 . 0 9
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ❑
Side 2
� 1505610243 1505610243 �
REV-1500 EX Page 3 File Number 21-13-1067
Decedent's Complete Address:
DECEDENT'S NAME
Gruver, Donna N.
STREET ADDRESS
Green Ridge Village/Swaim Health Center
210 Big Spring Rvad
CITY STATE ZIP
Newville PA 17241
Tax Payments and Credits:
1. Tax Due(Page 2, Line 19) (1) 22,515.09
2. Credits/Payments
A. PriorPayments 21,000.00
B. Discount 1,105.26
Total Credits(A +g) (2) 22,105.26
3. Interest �3�
4, If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4)
Check box on Page 2 Line 20 to request a refund
5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) 409.83
Make Check Payable to REGISTER OF WILLS, AGENT
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... . ..,,.. �..,. . . ...�..,�.� ,.w. H ... .���...,. . ,. � � ��
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:............................................................................... ❑ ❑X
b. retain the right to designate who shall use the property transferred or its income:.................................. ❑ �
c. retain a reversionary interest;or..............................................................................................................
. x
d. receive the promise for life of either payments,benefits or care?............................................................ ❑ 0
2. If death occurred after December�l2, 1982,did decedent transfer property within one year of death without ❑ ❑
receivingadequate consideration.....................................................................................................................
3. Did decedent own an"in trust fo�' or payable upon death bank account or security at his or her death?....... ❑ �x
4. Did decedent own an Individual Retirement Account,annuity,or other non-probate property which
contains a beneficiary designation?.................................................................................................................. ❑X ❑
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
,:'._. ,: ��� �i � � �:,s.�y,. ,�,,,,, i+�.h,,,:�:�S,s»����;i�,�,..?��z....�..,�� : r.,,,i.�'�a..,,,.,,,,, + ...,i,.. ..�-:._ ,�.,.,,.,, �:
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For dates of death on or after July 1, 1994 and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving
spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or after January 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S.§9116(a)(1.1)(ii)]. The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of
assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an
adoptive parent,or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)].
. The tax rate imposed on the net value of transfers to or for the use of the decedenYs lineal beneficiaries is 4.5 percent,except as noted in
72 P.S.§9116 1.2)[72 P.S.§9116(a)(1)].
. The tax rate imposed on the net value of transfers to or for the use of the decedenYs 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-0502 EX+(��-08)
�, SCHEDULE A
f� •, REAL ESTATE
COMMONWEALTHOFPENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENTDECEDENT
ESTATE OF FILE NUMBER
Gruver, Donna N. 21-13-1067
All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller,neilher being compelled to buy or sell,both having reasonable knowledge of the relevant facts.
Real property which is jointly-owned with right of survivorship must be disclosed on schedule F.
Attach a copy of the settlement sheet if the property has been sold
Include a copy of the deed showing decedent`s interest if ownea as tenant in common.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 307 Franklin Way,Shippensburg-Southampton Township, Franklin County,sold 1-31-14 145,100.00
TOTAL(Also enter on Line 1, Recapitulation) 145,100.00
(If more space is needed,additional pages of the same size)
Copyright(c)2009 form software only The Lackner Group,Inc. Form PA-1500 Schedule A(Rev. 11-08)
, RevQ503 EX+(6-98)
�, SCHEDULE B
i� �� STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Gruver, Donna N. 21-13-1067
All property jointly-owned with right of survivorship must be disclosed an Schedule F.
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
1 720 shares of Orrstown Bank Stock 17.43 12,549.60
2 186 shares of Prudential 78.11 14,528.46
TOTAL(Also enter on Line 2,Recapitulation) 27,078.06
(If more space is needed,additional pages of the same size)
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B(Rev.6-98)
, Rev-9508 EX+(6-98)
� SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
�'� PERSONAL PROPERTY
COMMONWEALTH OF PENNSVLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Gruver, Donna N. 21-13-1067
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Chambersburg Public Opinion-subscription refund 5.10
2 Liberty Mutual Insurance-refund at cancellation 238.00
3 Presbyterian Homes-refund of overpayment 10,325.87
4 School Tax Proration-at real estate settlement 730.03
5 Valley Rural Cooperative-capital credit refund 9.50
6 F &M Trust Savings Account 6694 85,808.15
Accrued interest on Item 6 through date of death 2•7�
7 Orrstown Bank Checking Account 9480 27,831.31
Accrued interest on Item 7 through date of death 0.04
TOTAL(Also enter on Line 5, Recapitulation) 124,950.71
(If more space is needed,additional pages of the same size)
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E(Rev.6-98)
, Rev-1510 EX+(6-98)
�, SCHEDULE G
i �� INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Gruver, Donna N. 21-13-1067
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE
NUMBER THE DATE OF TRANSFERSATTACN A CO Y OF THE DEED�OR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1 ING USA Annuity and Life Insurance Company- 111,452.10 100.000% 111,452.10
annuity 7526, beneficiaries children of decedent
2 Integrity Life Insurance Company-annuity 0070, 58,532.07 100.000% 58,532.07
beneficiaries children of decedent
3 North American Company-annuity 5421, 42,066.44 100.000% 42,066.44
beneficiaries children of decedent
4 The Hartford -annuity 3477, beneficiaries children of 61,426.03 100.000°/a 61,426.03
decedent
TOTAL(Also enter on Line 7, Recapitulation) 273,476.64
(If more space is needed,additional pages of the same size)
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G(Rev.6-98)
REV-1151 EX+(10-06) �
' SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
�N RESIDENTEDECEDENTRN ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Gruver, Donna N. 21-13-1067
Debts of decedent must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
q. FUNERAL EXPENSES:
See continuation schedule(s) attached 591.48
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Jeffrey L. Gruver Letti M. Gruver
Street Address 430 North Earl Street
city Shippensburg state PA zio 17257
Year(s1 Commission naid 18,288.00
See continuation schedule(s)attached
2. Attornev's Fees Weigle&Associates, P.C. 20,383.00
3. Family Exemption: (If decedenYs address is not the same as claimanYs,attach explanation)
Claimant
Street Address
City State Zio
Relationshi�of Claimant to Decedent
4. Probate Fees Register of Wills, Cumberland County 583.50
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 12,152.98
See continuation schedule(s) attached
TOTAL(Also enter on line 9, Recapitulation) 51,998.96
Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev. 10-06)
� SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Gruver, Donna N. 21-13-1067
ITEM
NUMBER DESCRIPTIQN AM�UNT
Funeral Expenses
1 Premier Events-reception 591.48
H-A 591.48
Personal Renresentative Commissions
2 Jeffrey L. Gruver 4,750.00
3 Jeffrey L.Gruver 4,394.00
4 Letti M.Gruver 4,750.00
5 Letti M.Gruver 4,394.00
H-B1 18,288.00
Other Administrative Costs
6 Adams Electric Cooperative 36.95
7 Adams Electric Cooperative 33.86
8 Adams Electric Cooperative 44.46
9 Adams Electric Cooperative 63.91
10 Borough of Shippensburg 38.20
11 CFJMA 105.00
12 Cumberland Law Journal-advertising Letters Testamentary 75.00
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
� SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Gruver, Donna N. 21-13-1067
ITEM
NUMBER DESCP.IPTION A��iOUNT
13 Liberty Mutual Insurance-dweliing fire insurance 252.36
14 Linda K. Klein -notary fee 24.00
15 Myers Tax Service-2013 income tax preparation 150.00
16 News Chronicle-advertising Letters Testamentary 129.50
17 Orrstown Bank-estate account checks 13.00
18 Orrstown Bank-estate account checks 31.40
19 Real Estate Settlement Expenses-including county tax proration (42.49); realtor 10,265.35
commission (8,700.00); realty transfer tax(1,451.00); borough of Shippensburg(34.86); and
CFJMA(37.00)
20 Register of Wills, Cumberland County-filing Family Settlement Agreement 75.00
21 Register of Wills, Cumberland County-4 Short Certificates 20.00
22 Register of Wills,Cumberland County-payment in advance for cost of filing PA Inheritance 15.00
Tax Return
23 Register of Wills,Cumberland County-1 Short Certificate 4.00
24 Thornwood Village Homeowner's Association 646.00
25 Thornwood Village Homeowner's Association 60.00
26 U.S. Postmaster-certified mailing to Orrstown Bank stock transfer agent 19.99
27 Weigle&Associates, P.C.-reimbursement for postage,xerox copies,and long distance 50.00
telephone calls
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
� SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Gruver, Donna N. 21-13-1067
ITEM �T
NUM6ER DESCRIPTION AMOUIv�
H-B7 12,152.98
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
, Rev-�512EX+(12-08)
SCHEDULE 1
a,,� � DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Gruver, Donna N. 21-13-1067
Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medicai expenses.
ITEM VALUE AT DATE
RUMBER DESCP.lPTION OF DEATH
1 Adams Electric Cooperative 34.98
2 Advanced Disposal Services 57.54
3 Borough of Shippensburg 38.20
4 CFJMA 105.00
5 Cumberland Goodwill Fire Rescue EMS 990.67
6 Fayetteville Volunteer Fire 274.00
7 Green Ridge Village 12,302.24
8 Green Ridge Village 3,888.00
9 Millenium Pharmacy Services 70.05
10 Millenium Pharmacy Services 477.14
11 Orrstown Bank Checking Account 9480-check clearing after date of death(Adams Electric) 33.20
TOTAL(Also enter on Line 10, Recapitulation) 18,271.02
(If more space is needed,additional pages of the same size)
Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule 1(Rev. 12-08)
, REK�1573EX+(11-OS) t�
SCHEDULE J
COMMNHERITANCE��RETURNANIA BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Gruver, Donna N. 21-13-1067
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(Sl RECEIVING PROPERTY DECEDENT (Words) ($$$)
Do Not Lis T stee s
�� TAXABLE DlSTRIBUTIONS [inciude outright spousal
distributions,and transfers
under Sec.9116 a 1.2
1 Jeffrey L. Gruver Son One-Fourth 125,083.86
430 l�orth Ear! S±reet Share
Shippensburg, PA 17257
2 John T. Gruver Son One-Fourth 125,083.86
9177 Sporting Hill Road Share
Orrstown, PA 17244
3 Letti M. Gruver Daughter One-Fourth 125,083.86
410 Scott Drive Share
Shippensburg, PA 17257
4 Robert C. Gruver Son One-Fourth 125,083.85
406 Lurgan Avenue Share
Shippensburg, PA 17257
Total 500,335.43
Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 1500 cover sheet,as a ro riate.
NON-TAXABLE DISTRIBUTIONS:
II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH 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
Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J(Rev. 11-08)
LAST�ILL Al\lD �'ESTA1lIE1�T
I, Donna N. Gruver, presently residing at 11260 Old Mill Road, Shippensburg,
Southampton Township, Franklin County, Pennsylvania 17257, being of sound mind, memory and
disposition, do hereby make, publish and declare this my Last Will and Testament, hereby
revoking and making void a11 Wills by me at a.ny time rieretofore made.
�IRST. I order and direct the payment of a11 my legally enforceable debts and
funeral expenses as soon as may be convenient after my decease.
SECOND. I give, devise and bequeath all of my estate, real, personal and mixed,
whatsoever and wheresoever situate, to my children, in equal shares, as follows:
A. One(1) share to my son, Robert C. Gruver;
B. One(1) share to my son, John T. Gruver;
C. One(1) share to my son, Jeffrey L. Gruver; and
ll. One (1) share to my daughter, Letti M. Gi-uver.
In t��e event that any of my aforementioned children predecease me, I then give, devise and
bequeath saici deeeased child's share to my children who survive me.
THIRD. I nominate, constitute and appoint my son, Jeffrey L. Gruver,
presendy residing at 430 North Earl Street, Shippensburg, Pennsylvania 17257, and my daughter,
Letti M. Gruver,presently of 11260 Mongul Road, Newburg, PA 17240, or the survivor thereof,
to be the Co-Executors of this my Last Will and Testament.
FOURTH. I direct that my personal representatives shall not be required to give bond
for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I, Donna N. Gruver, have hereunto set my hand and seal to
this rny La.st Will and Testament, written on one (1) page, this ( � day of
�_t � , 2010.
����tir�� ��. .__ �.t '� (SEAL)
:��
WEIGLE & ASSOCIATES, P.C. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-]397
This instrument was by the Testatrix, on the date hereof, signed, published and declared by her to
be her Last Will and Testament, in our presence, who at her request and in the presence of each
other, we believing her to be of sound and disposing mind and memory, have hereunto subscribed
our names as witnesses.
���� �� �
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' (.'� fL.��/�.%` i .� Ci'� �f % � ,_� (% .
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COMMONWEALTH OF PENNSYLVANIA :
: SS
COUNTY OF CUMBERLAND :
I, Donna N. Gruver, the person whose naxne is signed to the foregoing instrument, havi.ng been
duly qualified according to law, do hereby acknowledge that I signed and executed the instrunaent
a.s my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the
purposes therein expressed.
i'�
l .��e u�� ��
�wom or affirmed to and acknowledged before
me by D nna N. Gruver, Testatrix,
this �� day of __,2010.
h �
Q. �
L
------ ------- C4IAMONWEALfrltFf��£.NkS�xLV�tifA
, NOTARIAL SEAL
Jarry A.Weigie, Notary PutiliC
CifyOf Shippen5burg,CumberlandCoue �
My Comm�ss�e�E YG�res Octobet Of,2010
WEIGLE & ASSOClATES, P.C. — ATTORNEYS AT LAW — 126 EAST K1NG STREET — SHIPPENSBURG, PA 17257-t397
rm P. ,. .. ,. �,: ... r
COMMONWEALTH OF PENNSYLVANIA :
: SS
COUNTY OF CUMBERLAND :
f�
w0 � � r r ` �-T.Q � ���Z��.l'� �,/�����/J'Le�°JZ� �
and. C� o;�v�.�_ S � �`� � , the witnesses whose names are signed to the
foregoing instrument, being duly qua.lified according to law, do depose and say that we were
present and saw Donna N. Gruver, the Testat�, sign and execute the instrument as her Last
Will; that she signed willingly and that she executed it as her free and voluntary act for the
purposes therein expressed; that each of us in the hearing and sight of the Testatrix, signed the
Will as witnesses; and that to the best of our knowledge the Testafxix was at the time eighteen(18)
or more years of age and of sound mind and under no constraint or undue influence.
C__.
_�-
G .tQir'Ca� `' ;
Sworn or affirmed to and subscribed before me
bY�`� r I C�o � 1:i� �% ,
� �,- � �.�'��� ,
and-i-�?C����ti ✓ ^�'�1�e �
witnesses, this ��0, day of , 2010.
�� � . _ .
�
COIiAMONWEALTH C-t��+.ENNS VANIA
�. NOTARIAL SEAC
Jerry A.Weiple, Notary PubliC
ity af Shippensbury,Cumberfsnd County
MY Commission Expirea'Octc�tsr 07r�010
WEIGLE & ASSOCIATES, P.C. - ATTORNEYS AT LAW - ]26 EAST KING STREET - SH[PPENSBUR6. PA 17Z57-139'7
^
A. Settlement Statement U.S.Department of Housing ��
and Urban Development OMt3 No.2502-0265(Pagc 1)
B.Type af Loan
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1. ❑PHA 2. ❑FtnI-IA 3. ❑Conv.Unins. 6.File Number 7.Loan Number . �8.Mortgage lnsur,uxc Casc Num6cr
4 ❑VA 5 ❑Conv Ins -�---------
C.Note• Te�r fm u(urnuhed to p,ive yau a slammmt of acwal seWemmt costz Amouob P+�d lo md bY�e aenlemmt aCmt art sbowo.llemi mar4N"IP.ac)^wr+e p�iA eu4ide Ihe dosiuC:thsy a`e�howu Ee+e for .
� ivfarma400alpwpowavdueuatindudNioWe�oW�. _
_-_ _'.___.-_._ . _. _ __ . _.
D.Name and Address of Borrower E.Name,Address,and Taxpayer identification#of Seller I'.Namc and Address of Lcndcr � � �
Lottie V.Stouffer Estate of Donna N.Gruver N/A-CASH
11397 Tanyard Hill Road by Je�ey L.Gruver,Executor ,
Orrstown,PA 17244 •
-- ----_ ,
G.Property Location � H.SetUement Agent Name,Address and Taxpaycr 1denGfication Number � '
307 Franklin Way,Shippensburg,PA 19257 ZullingerDavis,P.C. •
Southampton Township,Franklin County 20 E.Burd SL,Ste.6,P.O.Box 40 ,
Ta�c Pazcel#21-ON10B-227 Shippensburg,YA 17257
-- _..___ __ _- ,-
Place oFSettlement i��SctUcmcnt Da�c
Joel 2 Zullinger,Esquire,20 G.Burd SL, U31/2014
J.Summary of Borrower's Transactions K.Summary of Seller's Transaction
100. Gross Amount Due From Borrower 400. Gross Amount Due To Sellcr
lO L Contract sales price 145,100.00 401. Contract sales price 145 I00.00 -
102. Persanal.Property 402. Personal Property
- -- -- • _ _
103. Settlement chazges to borrower(line 1400) 2,318.00 403. � __
104. 404. -- _ --- _ .__..._ --i- - ..n
105. 405. !
-----_ _ ---______._
Adjustmeots for items paid by seller in advance Adjustments for items paid by seller in advancc
106. City/town ta�ces to 406. City/town taxes to
_ ___ - -
---- - -- __
107. County taxes to 407. County taues to
- -- -- . _ __ _
108. Assessments ta 408. Assessments �o _
----- -
109. School Tax O1/31/14 to 06/30/14 730.03 409. School Tax O1/31/14 to 06/30/14 ', 730.03
110. Garbage Fee 410. Garbage Pee
111. 411. ♦
-----__..__--_.._;__-- --
112. 412. i
120. Gross Amouut Due rrom Borrower 148,148.03 420. Cross Amount Due To Seller � 145,830.03
200. Amounts Paid By Or ie Behalf Of Borrower 500. Reductions in Amount Due To Seller
201. Deposits or eainest money 2,000.00 501. Excess depasit(see inswctions)
202. Principal amount of new loan(s) 502. Settlement charges to seller(line 1400) 10,222.86
. ___
203. E�sting loan(s)taken subject to 503. Existing loan(s)taken subject to
204. 504. PayoffoFfirstmortgageloan �
2a5 505. Payoff of second mortgage lo�n
_ __- _.__ _
__ . _
206. 506.
-- -_ �_ __
207. 507. �
- --- - --
208. 508. __ '
- --.- _._ �--
209. 509. - L- -
___ _ _
Adjustments for items unpaid by seller Adjustments for items unpaid by seller
210. Ciry/town taxes to 510. City/town taxes to
211. County taxes O1/01/14 to O1/31/14 42.49 511. County taxes O1/01114 to 01/31/l4 42.49
212. Assessments to 512. Assessments _ �o_ __ '._ _ _
213. School Tax to 513. School Tax _ _ ta_ _ _
214. 514. -__ _ _ . - -
215. 515.
---_ __ ___ _ _
216. 516.
--- --- ,__. _
217. 517. '
-- --_ �_ - -
218. 518. -- -- -- �--- _
219. 519. _ __'
220. Total Paid By/Ror Borrower 2,042.49 520. Totai Reduction Amount Due Sellcr 10,26535
300. Cash At Settlement From/To Borrower 600. Cash At Settlement To/From Sellcr
-- - _
301. Gross Amount due&om barrower(line 120) 148,148.03 601. Gross Amount due to seller(lme 420) 145,830.03
--- -- _
302. Less amounts paid by(for borrower(line 220) ( 2,042.49 602. Less reductions in amt.duc seller Qinc 520) ( 10,26535)
303. Cash XQ From ❑To Borrower $146,105.54 6Ri. Cash X� To �� From Seiler $135,5G4.68
I havc carefully reviewed Ihe HIJD-I SelLLemcnt Statemeut and m Ihe besl of my kuowledge and betie�it is a we and a te statemcnt af all recci aml disburswcu�s madc on my - . .
account by me iu this Fiaa I er certiCy tha[I have received a completed wpy of pages 1 aud 2 of t6is H I eWe eu�St menl .
.��"/is , J/ --- -..._ . .
Borr wer Lottie V.Stouffer Seller Es t a�. ru cfGe,y L.Gruvcr,Bxcc
Yll/1
L--�tli+
Barrower Seller -
SG1"1'LEMLNT AGCNT CERTIFICATIOIV Sellcr's 7' paycr ldcuGficaUOU Numbcr Solicilatioo aud CcrUficatiuu
The H 1 Seulemml Slatanmt whic �ev�pre orN u a we and accwaie acca l aC ihis�ansacuoa l have You ue rtquired by I�w lo p�ov�de�Ao Sculemml Agrnt iumed sbove wi�h your m�mct iaxW)'c fdmYlcwun
nusM e funda In he disburs c d w ^'s sWemenl W.�you do not pmvide Ihe$aJemm�Ag t wiNyo �a w�w a�a��rmo���mba.��o��y
n�s�ni«��o u.�i«a;�����mposN by I�w;Undc aa o�n�wr,�un;y u�m���m�
� 31 �o�ao�,��m��mY�R���Y�;�,�������
SetUemen[Agent Dale
wa¢n�c:u�.a��me m�a„ao iy�r�,e:v�� w me uv«a swa ao m�o��y omn:���i�r�. _-_ _ _
Pwltia u ou conv�c�on cen inclu�e a 6ue aud impriso w�For dewls s«:Ti�e I B U.S.Cade secuan lao�and --- - -
s�w �oPa Seller's Signature __ Da�c
HUD-1 3/91 RCSPA,HB 43052
. �: ., :
L.JCLLICIIICIIL 1.11L1�CJ _ _. _ _.... .�5y�
700. Totai Sales/Broker's Commission based on$ 145,000.00 @ 6 %- 8,700.00' Paid From , Paid Prom
6ofrowcr's � Scllcr's
Division of Commission(line 700)as follows: Funds at �unds at
701. $ 8,700.00 to Sailhamer Real Esta[e,Inc. _I Settlement i Settlemcnt
702. $ fO � -----'
703. Commission paid at Settlement _ ' _ 8,700_00
704. �-- -
800. Items Payable in Connection With Loan
-
�-_ -- -
SOl. Loan Origination Fee % ' '
-- ----�--- -_ -__ .
802. Loan Discount % "
---- -� -- __ _
803. Appraisal Fee to _ _ ___ _
804. Credit Report to '
- --- -+--__ _ --_. .
805. Lender's Inspection Fee to __�_ __ __ __ .
806. Mortgage Insurance Application Fee ro i '
---- Y--- __ __ ,
807. Flood certificatiod '
-i---
808. - ---- .
- - _ _______
809. ---,
--- _----,-------
--
810. �
----------
811.
900. Items Required By Lender To Be Paid In Advance
-- --_ - - - -
901. Interest from to @$ /day
----i-- - ----_
902. Mortgage Insurance Premium for months to �
903. Hazard Insurance Premium for years to
--- ---
904. '
905. - - ---
1000. Reserves Deposited With Lender "'`
1001. Hazazd Insurance s@ $ per
-�--- -_ _ __
' -;----_ ____
1002. Mortgage Insurance s@ $ per _ __'
'---------
1003. City property taxes s@ per !
1004. County property taues s @ $ Pef --- -r- _--_-__
1005. Annualassessments S @ $ Pef �'
1006. SchoolTaxes s @ $ per
------'
1007. S @ S per -- ---
1008. Aggregate Adjustment �
1100. Title Charges ____
I101. Settlement or ciosing fee to �___
---- ---
1102. Abstract or title seazch to Action Real Estate Services,LLC 135.00;
1103. Title examination to
---�-- -._ ..___
1104. Title insurance binder to '
---- ____
1105. Documentprepazation to _.____,_______
1106. Notary's fees to ' ____ . .
------�--
1107. Attorney's fees to Icel R.Zullineer,Esquire 375.00 !
--• __-_ _-
(includes above items numbers: ) _._._ _ _}_________.___
]108. Title insurance to _ I_ ___
(includes above items numbers: ) 'I
1109. Lender's coverage $ ._�_ ___ _._ �
ll 10. Owner's coverage $ ___________.
I111. .
-----�-.- __-__
ll12. _ ' _-_-
i l 13. � -�--- - -
1200. Government Recording and Transfer Charges
1201. Rewrding fees:Deed$ 55.00;Mortgage$ ;Releases$ 55•��I_ 0.00
1202. City/wunty tax/stamps:Deed$ 1,451.00 ;Mortgage$ 1,451.00 I 0.00
1203. State ta�c/stamps:Deed$ 1,451.00 ;Mortgage$ __ 0.00� _ 1,451.00
--
1204.
--f- _ _ ----__
1205. �
1300. Additional Settlement Char es -�
I30L Resale Certitica[e Fee ro: Thornwood Village Homeowners Assceiation 250.00�__ _
- ----- .___......____ _
1302. Homeowners Association Monthl Fee ro: Thomwood Village Homeowners Assceiation 52.00�__..___ � �
-- ---.
1303. Final Water to: Borough of Shi nsburg ' 34.86
1304. FinalSewerto: CFJMA t 37•�
-�--
1305. - -----' _- ----
1306. ----�---- --___ __ _
1307. ---�---�--
1308. �
1309.
1400 Total Settlement Charges(enter on lines 103 Section J and 502,Section In 2,318.00 ]0,222.86 "'
loitlai Escrow Accoun[S[atement Required by Sechoo 10(c)(1)of the Real Esta[e Scttlemeot Procedurcs Act(RESPA)� �
If checked,� the terms of your loan requ've you to have an escrow account to assure ihat the certain obligations relating to ihe mortgaged property,such as taxes,insumnec �
premiums and other chazges are paid.The amount specified below will be collected,along with your mortgage principal and interesl paymenis,during lhe Grst 12 monlhs alier � . �
your account is opened to pay Ihese an[icipated expenses: �qp�ypppp�� - �
Qeginning Da[e: Your escrow aceount paymeut will be S per - �
Payee Purpose Ao[icipated Due Date Estima[ed Amouo[ �
HUD-13/91 RESPA,HB 4305.2
�3 14:35 orrstown financiai ad'
visers �AX)7175329342 P.002l003
;�STOWN FINANCIAL SERVICES,INC. Page 1 of 1
Issue Llst>lnveator Llat
ORRSTOWN FINANCIAL SERVICES�INC. aq��c��� Chedt Redxt-maW
6ummery��erllflcetes Faymarrt Hfstory Trans.Htstory
DONNA fV GRUVER nccoune�� oo�e�2000s
'11ax ID: 208-24-2292
307 FRANKLIN WAY
_ .... .__...._.._...._.._.-••- - • ._..-- -•
... . . . .
. . ....._. ..._..._..._..._...._ _. , .
; REGYSTRATION -. � : SHARE SUMMARY ;
soo� o.000v I
� DOM1A N ORUVER ' ; Certlfieetes: 72oAO00 �
307 FRANKLIN WAY ' ' �
q,W�y��; 0.0000
I SNIPPQJSBURG.PA 1Tl67-0000 a� '
� ToTalSheres: �s �
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� � YEAR-TO-DATE SUMMARY �
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. https://www.rtco.com/fixbase/nuirisld.efault.asp 10/2/2013
�3 14:35 orrstown financial advisers �A)O71753�342 P.0031003
1tF Historical Prices� Orrstown Financial Services Inc Stock-Yahoo! Finance Page 1 of 3
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Stp 1Z 2013 1A.S3 18.83 18,17 19.71 27,300 16J1
80p 11,2013 16.23 18.90 1A.0T 16.f� 38.000 18.60 vNweeaaoppownxrn�
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6ep 9,2013 18J0 19.56 16.60 16.07 30.700 18.07 _
S�p6,2073 782A 1A.85 15,BZ 18.10 18,400 1a_10
30p 6,Z019 18.32 10.87 1A.28 19.67 33,600 18.87
Sep 4,2019 16.92 . 16.49 1A20 1626 18,800 19,Z8
$ep 3,2013 18.57 19.37 16.05 16.J7 2�300 18.37
Aug 30.2013 19.14 18.27 18.00 16.27 48,500 tA27
Aup 29,2013 18.75 18.24 16.88 18.19 17.700 76.19
Aup 26.a01� 15_93 1e.14 15.85 16.12 29,900 18.12
Aup 71,Z013 16.86 16.17 13.86 15.90 31.900 1b.9� '
Aup 2A,2013 t6.69 19.Z0 16,� 16.89 6.900 15.89
Aup 23.2013 1B.1S 1A.�3 15.85 iS.88 1Z,3q0 16.88
Aup 2�2013 16.90 16.10 1Q.e0 18.18 18,300 i6_18
A�p 21,�19 19,02 18.17 15,85 16.e7 B,SOG 75.87
Aug 20,2013 18.0.5 18.29 16,96 16,89 16,400 15.G�
http://finance.yahoo.com/q/hp7s=0RRF+Historical+Prices 10/2/2013
. (omputershare
`� ��������C�. Computershare Trust Company,N.A.
P0.Box 4303B
Providence Rhode Isiand 02940-3038
1-800-586-1305
$" 171160 Hearing-impaired 1-800-619-2837
� � www.computershare.com�nvestor
� '-
�� NfN4�ffNA�O"5-DIGIT 17257 S000000698IP000000000
= �I��I��nl�ll'I���I��II������i�����l��l'I�Il��ll��ll�ll��l�i�ll��
� DONNA N GRUVER
= 307 FRANKLIN WAY Holder Account Number I N D
� SHIPRENSBURG PA 17257-7939
= C0026785448
_
_
_ ,
Rer�inder Re�ardi�g tB�� Sales ��ciiaty at Co�nputersh�re
As of.the close of the market on October 11, 2013, you owne )
of Prudential Financial, Inc. Common Stock valued at $14,855. .
This letter is being sent as a reminder of the terms of the Sales Facility
offered by Computershare, Prudential's Transfer Agent.
There ,are three options for selling your shares.
• By calling 1-800-586-1305 (For hearing-impaired, call 1-800-619-2837).
• By going online at www.computershare.com/investor.
• �y m�il, by signing the form below or submitting a signed letter of instruction.
The market value will fluctuate until your sales transaction is completed and the actual
sales price is determined. A check will be mailed to you within two weeks of the sale.
The proceeds will reflect an $11.00 transaction fee and an 8¢ fee for each share sold.
Selling your sh��res will not impact any policy or contract you own with Prudential.
To se91 all �f y�ur s��r�s, si�c� fi6�e tar� below, de�acl� �h¢s po�ioc� a�e9 s�e�e��^c� i� �he envelope p�ovided.
Sale A��i�oriz��ion �or� tor your Prudential Financial, Inc. Shares. -�-
This program is voluntary. Should you decide to sell all of your shares, sign in the
box(es) below and return in the envelope provided. Additional information is listed
on the back of this form and in the Sales Facility Term Sheet provided.
All persons listed must sign exactly as named above
Sigt��ture for sale only Please sign inside box /kdai�iortal signa�ure if nee€ied Please sign inside 6ox E�ate (mm/dd/yyyy)
I (we) agree to the Sales Facility Term Sheet included in this mailing.
C0026785448 I N D DONNA N GRUVER
� 5 U C F P R U C0026785448 �
CerSal ACHNonCO/171160/?423I9
002CSP0003 01C5SA
PRU Historical Prices � Prudential Financial, Inc. Comm Stock- Yahoo! Finance Page 1 of 2
�. _ �
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Prudential Financial,Inc.(PRU) -ra�st �Fouow Add to Portfolio Like io�':
8V.V�f' t0.15(0.17%� 4:01PMEST�AflerHours:86.77 O.i3(6.15'/,)4:04PMEST
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Set Date Range � y.:
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Start Date::Sep v �23 ; 2013 {Eg.Jan 1,2010 ;,:)Weekly
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Prices ,�p�����;��3
Date Open High Low Close Volume Adj Close` ���p+���
Sep 23,2013 78.12 78.50 77.72 77.98 2,218,200 77.98 '�y Q��+ �£Y'
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October 17, 2013
Weigle &Associates, P.C.
Attorney's-at-Law
126 East King St
Shippensburg, PA 17257-1397
RE: Donna N. Gruver
To Whom It May Concern:
In reference to the above customer, our records show the enclosed information to be
accurate as of the date of decedents death. If I may be of any further assistance, please
contact me.
Sincerely,
��'���- ��" ' ' '
Brenda Hahn
Deposit Operations Clerk
717-261-3668
717-264-6116 888-264-6116 P.O.Box 6010 Chambersburg,PA 17201-6Q10
FINA.NCIAL SOLUTIONS ... FROM PEOPLE YOU KNOW
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A Tradition of Excelle�ice
October 7, 2Q 13
Weigle&Associates
Attomeys-at-Law
126 East King Street
Shippensburg,Pa 1'7257
Fax: 717-532-5289
Re: Estate of Donna N. Gruver
Social Security Number 208-24-2292
Date of death 9/23/2013
IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD THE
FOLLOWING ACCOUNT WTTH ORRSTOWN BANK:
CHECKING ACCOLIIVT
Account No.- 519480
Account Type- Relationship Int Checking
Account Title- Donna N. Gruver
Date Opened- 10/21/83
Joint Account(nazne/date)- No
Balance- �27831.31
Account Interest- $0.04
Best Regards,
Kimberly o r
Deposit Processi.ng Clerk
2695 Philadelphia Avenue• Chambersburg,PA 17201
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I NG �:;.�
October 24, 2013
Weigle &Associates, P.C.
126 East King Street
� Shippensburg, PA 17257-1397
ING USA Annuity and Life Insurance Company
Decedent: Donna N. Gruver
Contract Number: 90337526
Claim Code: 03010
Dear Mr. Weigle,
Thank you for your recent inquiry regarding the annuity contract listed above. Please find
the contract information below.
o Death Benefit Value $111,452.10 as of 9/23/2013
0
0
A
W If you have questions regarding this information, please contact our Customer Contact
g° Center, available Monday—Thursday, 8:30 a.m. to 6:30 p.m., Eastern Time, and Friday,
0 8:30 a.m. to 5:30 p.m., Eastern Time. Ca11800-369-5303 and press 3 to identify yourself
o as a beneficiary. When prompted, enter the five digit Claim Code above and press#.
� Your call will be addressed by a claims specialist.
Sincerely,
Customer Service
ING
Annuities issued by ING USA Annuity and Life Insurance Company
IOOIdb
Page 1 of 1
Annuity Operations Group
,,�i� Integrity Life PO Box 5720
Insurance Company Cincinnati,OH 45201-5720
toll free 800.325.8583
A member of Western&Southern F;nancial Group faX 888.22�.2677
WSFina ncia l Pa rtners.com
October 17, 2013
WEIGLE &ASSOCIATES PC
JERRY WEIGLE
126EKINGST
SHIPPENSBURG PA 17257
Subject: Annuity Contract Number 21QC1120070
Integrity Life Insurance Company
Dear Mr. Weigle:
Thank you for your recent request for the acount value as of date of death of the annuitant
for the above-referenced contract.
As of September 23, 2013, the value was $58,532.07.
If you have any questions, please call our Annuity Operations Department at
1-800-325-8583, Monday through Friday, 9:00 a.m. to 5:00 p.m. EST. A
representative will be happy to help you.
Sincerely,
C���rlJ
LOIS CRAFT
Annuity Operations Department
DC0608-1002
' �
l�orth American Company
for Life and Health Insurance
� Since 1886
A member of the Sammons Financial Group
November 26,2013
WEIGLE&ASSOCIATES,PC
ATTORNEYS-AT-ALW �
FAX#717-532-5289
�'�712 Letter'��
Re: Donna Gruver, deceased
Policy: 8000065421
Beneficiary: Robert Gruver,John Gruver,Jeffrey Gruver&Letti Gruver
Dear Mr.Weigle:
This contract is an Annuiry. Below is the information that is needed to complete the estate tax return.
Decedent: Donna Gruver
Social Security Number: 208-24-2292
Date of Issue: g�9�200�
Type of Contract: Non-QualiFied
Date of Death Value(as of 9/23/2013): $42,066.44
If you have questions,please call us toll-free at 877-880-6367. We are available Monday through
Thursday from 7:30 am to 5:00 pm(CST� and Friday from 7:30 am to 1230 pm(CS�. A service
professional withi.n the Claims and Benefit Department will be happy to take your important call.
Sincerely,
��-f�'o-:�ax�
Angie Potter
Claims and Benefit Specialist
Claims and Senefit Department
Amurity Divison.P.O.Bos 79905 •Des Moines,Iowa 5Q25
Pbone: 866 322-7069•Faa:86632�7071
Oct @9 2813 16:ZZ:17 EDT FROM: F2M/67838685733 MSG� 96657453-887-1 PAGE 882 UF 88Z
• .
THE �
HARTFORD
October 9, 2n I 3
Estat�of Dqnna N G�Zrve►' -
i�
Attn.CerrE A Weigle
F A X 717 332 S28U �� :% . :��-
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l�eferencc: The HartEqrd Annuity 712733477 �
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Tha.nk you f�r yc�ur c�rrespondence regarding the aUov�armuitv contract. .;,:.:;. � :�"� � '�
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"f`he d�a.tli Ucnefit pa��ble und�r this contract is not considcred"lif.c insur�,nc�"r�;portablc on��RS�arm�7.1�,(life
insuru�ce statement). Pleasc f.ind the belo�v inform�.f.ibn in resp�rtse to��our requ�:st. °.'
Contract Numbc-r ���7-3�`���
Ost�ier ponna N Gruver :.': i
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Social Securit�Numbe;r X?:-XX_22g2 � :. ::
nate or Deatk�L�sc;cl for��alu� Scptember 23. 2013 '-;�� -� �'
$61,�91.02 '`;,;, .: J',.�•':°:;�.:;
Gasli Value un ttic date of.de;atl� .- ';�� �;;�� ;;�: :':�f�;:::�;::.:::-'•
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