HomeMy WebLinkAbout05-30-14 (2) 1505610149
REV-1500 Ex(OZ-tt)I'Flnna OFFICIAL USE ONLY
PA Department of Revenue County Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN
PO 13OX 280601 21 13 1013
Harrisburg PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
09 12 2013 04 30 1922
Decedent's Last Name Suffix Decedent's First Name MI
Healey William J
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
IIIIIIIIIN 1.Original Return O 2. Supplemental Return O 3. Remainder Return(Date of Death
Prior to 12-13-82)
O 4.Limited Estate O 4a. Future Interest Compromise(date of O 5. Federal Estate Tax Return Required
death after 12-12-82)
6.Decedent Died Testate O 7. Decedent Maintained a Living Trust 8.Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
Q -9.Litigation Proceeds Received O 10. Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule 0)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED WP ;:D
Name _ _ Daytime Telerene Number-° rn M
John A . Feichtel , Esquire 717 6142t 9$03 °? o
REGISTER70 II US"NLYrn
rT o
First Line of Address C:1 n O �D
n O :3
Saidis, Sullivan & Rogers N r m
—+ o
Second Line of Address S -r)
635 North 12th Street , Suite 400
DATE FILED
City or Post Office State ZIP Code
Lemoyne PA 17043
Correspondent's e-mail address: jfeichtel @ssf-attorneys.com
Under penalties of perjury,I declarethat I have examined this retum,including accompanying schedules and statements,and to the best of my knowledge and belief,
it is true,correct and complete.Declaration of preparer other than the personal representative is based on all inforrnalion of which preparer has any knowledge.
ERS N R ON LE FOR FILING RETURN \� "/� �-1g5 DATE Z 9
ADDRESS�Ra a 171. Lluwu�
.See schedule ttached
SIGNAT EtJFPRE ER-OTHER HAN$ P SENTATIVE DATE
C)
ADDRES 635 NorttTl 2th Street, Suite 400
Lemoyne, PA 17043
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610149 1505610149 J ` `
Estate of: William J. Healey
Executor
Barbara H. Lowes Richard H. Healey
7295 Wynhill Drive 224 North Kalamazoo Avenue
Sandy Springs, GA 30328-1317 Marshall, MI 49068-1114
1505610249
REV-1500 EX(Fl)
Decedent's Social Security Number
Decedent's Name: William J Healey
RECAPITULATION
1. Real Estate(Schedule A).... ...... .. .... .. ... .... ............. .... 1. 0 .00
2. Stocks and Bonds(Schedule B) 2. 806 ,699 . 13
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) ..... 3. 0 . 00
4. Mortgages and Notes Receivable(Schedule D) 0 . 00
5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E) . .. ... S. 544 ,539 -72
& Jointly Owned Property(Schedule F) = Separate Billing Requested .... 6. 0 .00
7. Inter-Vivos Transfers&Miscellaneous Nan-Probate Property 11 - 00
(Schedule G) O Separate Billing Requested . ... 7.
& Total Gross Assets(total Lines 1 through 7) ........................... 8. 1,351 ,238 -85
9. Funeral Expenses and Administrative Costs Schedule H 9. 25,015 - 31
10. Debts of Decedent Mortgage Liabilities and Liens(Schedule i) .. ............ % 16,0 7 4 . ?9
11. Total Deductions(total Lines 9 and 10) 11. 41 ,090 - 10
12. Net Value of Estate(Line 8 minus Line 11) 12, 11310i148 - ?S
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, 1,310i148 -?S
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(12)X.0 0 0 . 00 15, 0 .00
16. Amount of Line 14 taxable
atllnealrate X.O 45 11310,148 . 75 16, 58,956 . 69
17. Amount of Line 14 taxable
at sibling rate X.12 0 . 00 17. 11 - 00
18. Amount of Line 14 taxable
at collateral rate X.15 0 .00 18, 0 . 00
19. TAX DUE 19. 58 ,956 . 69
. . . . .. . . . .. . .. . . . .. . . . .. . .. . . . . . . .. . . . . .. . . .. . .. . . . .
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Side 2
1505610249 1505610249
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address: 21 131013
DECEDENT'S NAME
William J, Healey
STREET ADDRESS
325 Wesley Drive
CITY STATE ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 58 956.69
2. Credits/Payments
A.Prior Payments 56,000.00
B.Discount 2,947.28 58,947.28
Total Credits(A+B} (2)
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) 9.41
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 . . . . . . . . .. . .. . .. . . . .. .. . . . .. . . ❑ XX
b. retain the right to designate who shall use the property transferred or its income ....... ❑ 1X
c, retain a reversionary interest. ... ... . .. ... . .. ... ... . .. ... ... . ..... .. ... ...... . ❑ (]X
d. receive the promise for life of either payments, benefits or care? . . .. . . . . .. . . . . . .. . . . ❑ nX
2. If death occurred after Dec. 12, 1982,did decedent transfer property within one year of
death without receiving adequate consideration? ............. .. ........... ........ . ❑ IR
3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?. . . ❑
4. Did decedent own an individual retirement account,annuity or other non-probate
property,which contains a beneficiary designation?..,._... .........................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1,1994,and before Jan.1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is 3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or after Jan.1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S.§9116(a)(1.1)(ii)].The statute 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 0 the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an
adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)I.
• 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-1503 EX+{8-12)
. . pennWtvania SCHEDULE B
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN STOCKS & BONDS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
William J. Healey 21 13 1013
All property jointly owned with right of survivorship must be disdosed on Schedule F. _
ITEM DESCRIPTION VALUE AT DATE
NUMBER OF DEATH _
1 5,728 shares of Fulton Financial 67,819.52
Certificate shares
Per Yahoo Finance
2 432 shares of Phillips Petroleum now Phillips 66 29,792.88
Per Estate Val
3 120 shares of Arch Chemicals 5,664,00
Last price available 10/20/11 per Estate Val -due to a merger with Lonza in
2011, these shares are worth $47.20 in cash per share
4 204 shares of Quest Diagnostics 12,50724
Per Estate Val
5 888 shares of BP Amoco PLC 37,504.68
Per Estate Val
Dividend on above stock declared prior to decedent's death 479.52
6 412 shares of Corning Inc 6,032.71
Per Estate Val
Dividend on above stock declared prior to decedent's death 41.20
7 800 shares of Carlisle Companies, Inc. 55,544.00
Per Estate Val
8 200 shares of PPL 6,026.00
Per Estate Val
Dividend on above stock declared prior to decedent's death 73.50
9 400 shares of Marathon-USX 14,518.00
Per Estate Val
10 864 shares of ConocoPhillips 59,585.76
Per Estate Val
11 200 shares of Marathon Petroleum Corporation 11444.00
12 200 shares of Altria Group 7,045.00
13 46 shares of Kraft Foods Group 2,45939
Total from continuation Schedule(s) 488,161.73
TOTAL (Also enter on Line 2, Recapitulation) 806,699.13
If more space is needed, insert additional sheets of the same size
4
Page 2
Estate of: William J. Healey 21 131013
Schedule B - Stocks and Bonds
Item Value at Date
Number Description of Death
14 138 shares of Mondelez Intl Inc 4,309.40
15 200 shares of Philip Morris Intl Inc. 17,271.00
16 516.176 shares of Bridgeway Fd Inc. 8,506.58
17 2752.296 shares of Federated Equity Fds Strg Val Dv Inst 15,247.72
18 665.473 shares of Harbor Fund Cap Appr Instl 34,424.92
19 666.902 shares of Advisors Inner Circle Fd Lsv Val Eq Fd 12,984.58
20 609.892 shares of Vanguard Instl Index Fund Sh Ben Int 94,441.78
21 450.125 shares of Wilmington Funds MDCP Grw Instl 8,205.78
22 499.236 shares of Wilmington Funds Smcp Grw Instl 10,648.70
23 1091.406 shares of Dreyfus/Laurel Funds Tr Intl Bd Fd 17,811.75
24 5484.254 shares of Federated Total Return Sers Totl Ret Instl 59,559.00
Dividend on above stock declared prior to decedent's death 73.67
25 2557.003 shares of Ridgeworth Fds Seix Art Hi 23,038.60
Dividend on above stock declared prior to decedent's death 28.80
26 6299.013 shares of Vanguard Fixed Income Secs Fd Intrm Jnvgrd 60,785.48
Dividend on above stock declared prior to decedent's death 64.65
27 494.229 shares of Vanguard Fixed Income Secs Fd L Trm Invgrd 4,690.23
Dividend on above stock declared prior to decedent's death 7.76
28 3087.726 shares of Vanguard Bd Index Fd Inc Shtrm Bdidx Si 32,297.61
Dividend on above stock declared prior to decedent's death 11.98
29 95.321 shares of Guinness Atkinson Fds China & H K Fd 2,872.02
30 543.712 shares of Harbor Fd Intl Fd Instl 36,988.73
31 402.114 shares of Ing Mut Fd Intl R/E Fd W 3,719.55
TOTAL. (Carry forward to main schedule) . . . . . . 447,990.29
Page 3
Estate of: William J. Healey 21 131013
Schedule B - Stocks and Bonds
Item Value at Date
Number Description of Death
32 2907.581 shares of Franklin PA Tax Free Income Fund 28,843.20
Per 10/17113 letter
33 924 shares of Dividend Builder Fund Class A 11,328.24
Per 10/18/13 letter
TOTAL. (Carry forward to main schedule) . . . . . . 40,171.44
0
REV-1508 EX+ (08-12)
pennwAvania SCHEDULE E
DEPARTMENT OF REVENUE CASH; BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
William J. Healey 21 13 1013 _
Include the proceeds of litigation and the date the pads were received by the estate.
All properly jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM DESCRIPTION VALUE AT DATE
NUMBER OF DEATH _
1 Mid Penn Bank Checking Account 9003500 35,848.57
Per 10/7/13 letter
Interest on above item accrued as of decedent's death 0.59
2 Citizens Bank Checking Account 6100786404 38,255.06
Per 10/11/13 letter
Interest on above item accrued as of decedent's death 013
3 M&T Bank Checking Account 9855288230 122,692.50
Per 1019/13 letter
Interest on above item accrued as of decedent's death 0.17
4 Fulton Bank Money Market Account 9902-19899 57,640.64
Per 10/10/13 letter
Interest on above item accrued as of decedent's death 2.02
5 M&T Investment Group Account 4100721002 33,129.05
6 Fulton Financial Money Market Account 13.09
Per 10/17/13 letter
7 M&T Bank Money Market Account 15004230044684 238,199.94
Per letter 10/28/13
Interest on above item accrued as of decedent's death 1.63
8 PNC Bank Certificate of Deposit 16,684.91
Per 10/7/13 letter
Interest on above item accrued as of decedent's death 11.18
i
9 Hallmark Insurance Refund 1,305.64
10 Corning Dividend Check 123.60
11 Marathon Oil Dividend Check 96.00
12 Capital Realty Investors 111, LP Liquidation Distribution 535.00
TOTAL (Also enter on Line 5, Recapitulation) 544,539.72
If more space is needed, use additional sheets of paper of the same size.
I,
REV-1511 EX+ (08-13)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE
FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINSTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
William J. Healey 21 131013
Decedent's debts must be reported on SdTedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See schedule attached 6,354.09
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City State ZIP
Year(s) Commission Paid:
14,685.00
2. Attorney Fees:
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
808.50
4. Probate Fees:
5. Accountant Fees:
6. Tax Return Preparer Fees:
See schedule attached 3,167.72
TOTAL (Also enter on Line 9, Recapitulation) 25,015.31
If more space is needed, use additional sheets of paper of the same size.
Page 2
Estate of: William J. Healey 21131013
Schedule H, Part A - Funeral Expenses
Item
Number Description Amount
1 Myers Harper Funeral Home ($8,000 -$3,585 refund) 4,415.00
2 Anna Royer, memorial service 150.00
3 Weaver Memorials 970.00
4 Royers Flowers 153.70
5 Bethany Village, memorial 665.39
TOTAL. (Carry forward to main schedule) . . . . . . 6,354.09
Page 3
Estate of: William J. Healey 21 131013
Schedule H, Part B - Administrative Costs
Miscellaneous Expenses
Item
Number Description Amount
7 Citizens Bank, service fee (total fees were $13.00; however, $12.80 was 0.20
written off upon closing of account)
8 M&T Bank, market value fee 723.19
9 Saidis, Sullivan & Rogers, out of pocket expenses 102.00
10 M&T Bank, market value fee 739.86
11 Saidis, Sullivan & Rogers, out of pocket expenses 171.92
12 Alan Ceperich, CPA 550.00
13 Harner-Myers, death certificates 183.00
14 Bonnie Miller, taxes 5.50
15 Saidis, Sullivan & Rogers, out of pocket expenses 17.05
16 Alan Ceperich, preparation of 2013 final individual income tax returns 275.00
17 Saidis, Sullivan & Rogers, reserve for additional misc. out of pocket 150.00
expenses
18 Register of Wills, additional probate fee 250.00
TOTAL. (Carry forward to main schedule) . . . . . . 3,167.72
REV-1512 EX+ (12-12)
; pennsytvania SCHEDULE I
DEPARTMENTOFREWNUE DEBTS OF DECEDENT,
INHERrfANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
William J. Healey 21131013 _
Report debts incurred"e decedent prior to death that remained unpaid at the date of death,induding unndmbursed medical expenses.
ITEM DESCRIPTION VALUE AT DATE
NUMBER OF DEATH
1 Saidis, Sullivan&Rogers 350.00
2 Asbury-Bethany Village 11,095.33
3 Omni-Care 1,296.16
4 USA Today 50.00
5 Saidis, Sullivan&Rogers,for services prior to Decedent's date of death 225.00
6 Omni-Care 159.40
I
7 PA Department of Revenue, 2012 income tax return 702.00
8 PA Department of Revenue, 2011 income tax return 677.00
9 Crane Hospice 1,000.00
10 PA Department of Revenue, 2012 return 46.90
11 PA Department of Revenue, PA-40 47100
I
I
TOTAL (Also enter on Line 10, Recapitulation) 16,074.79
If more space is needed, insert additional sheets of the same size
REV-1513 EX+ (01-10) .
pennsylvania SCHEDULE 7
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES .
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
William J. Healey 21 131013
NUMBER NAME AND ADDRESS OF PERSONS RECEIVING PROPERTY RELATIONSHIP T r DECEDENT AMOUNT T SHARE
PERSON(S) Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and
transfers under Sec.9116(a)(1.2).]
1 Barbara H. Lowes Daughter 655,074.37
7295 Wynhill Drive
Sandy Springs, GA 30328-1317
2 Richard H. Healey Son 655,074.38
224 North Kalamazoo Avenue
Marshall, MI 49068-1114
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 16 OF REV-1500 COVER SHEET,AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS 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.
Mton Bank
LISTENING IS JUST THE BEGINNING.°
October 10, 2013
Saidis Sullivan &Rogers
635 N 12`h St Suite 400
Lemoyne PA 17043
Dear Mr. Feichtel,
RE: William I Healey, deceased 9/12/2013
In response to your recent inquiry concerning the accounts maintained in the name of
the decedent, please be advised that the following account was open at the date of death:
Money Market#9902-19899, opened 11/24/89, date of death balance $57640.64,
plus accrued interest of$2.02,titled in his name alone, with Barbara Lowes as
power of attorney.
Please be advised that the decedent held 5,728 shares of Fulton Financial Corporation stock,
titled in his name alone.
If further information is needed, please contact Fulton Financial Advisors at 717-291-2546.
If you should have any further questions, please do not hesitate to contact me at 717-327-2497.
Very truly yours,
April Billett
�° l�b � €, Credit Confirmation Processor
Ci Yt'F°t.�1 a Ls�rjrriil as a r^z.,=,in d et'A?iatmf
to Vjzi.,'3T to'YW 1C.¢uz:f.8cr:;:.'F'1f I,1%1;
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Olt'?e•.
1.800.FULTON.4 • fultonbank.com
Fulton Bank,N.A.Member FDIC. Member of the Fulton Financial Family.
FULT Historical Prices I Fulton Financial Corporation Stock - Yahoo! Finance Page 1 of 2
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Enter Symbol Look Up Thu Oct 17,2013,11:34AM EDT-US Mallets close in 4 his and 2E mios
Dow 40.39%Nasdaq 10.26%
ATM ACCESS_ 1 FULT EM F,*TRAC?E' �FULT
toAmerib ada 010PEN AN AG u0UNt3c Oo
Fulton Financial Corporation(FULT) -NasdagGS Add to Ponfobo uke i<_-5
12.090.00(0.00%) 11:33AM EDT-Nasdaq Real Time Price
Historical Prices Get Historical Prices for: GO
........ _..__. ..........-. ....._. ............... ___ . ................. ____. .................. _._._..__._..
Set Date Range F7R9 RFff1f
Q Daily ZIP Ent.
Srert Date: Sep v 12 2013 Eg.Jan 1,2010 0 Weekly
End Date: Sep v 1,2 2013 QMonihy -
O Dividends Only
We don't tell you
Get Prices what your
budget is.
First I Previous Next I Last
Prices
Date Open High Low Close Volume Adj Close'
Sep 12,2013 11.92 11,92 11.75 11.83 2,001,200 11.75
'Close pn atlluste for dividends and splits.
First I Previous I Next I Last I
i'OiDownioad to Spreadsheet
Currency in USD.
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bttp:Hfinance.yaboo.com/q/hp?s=FULT&a=08&b=12&c=2013&d=08&e=12&f=2013&g... 10/17/2013
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Estate Valuation
Date of Death: 09/12/2013 Estate of: Estate of William Healey
Valuation Date: 09/12/2013 Report Type: Date of Death
Processing Date: 10/28/2013 Number of Securities: 1
File ID: Healey, William Estate Phillips Petroleum Company
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals value
i
y 1) 932 CONOCOPHILLIPS (718507106)
COM
New York Stock Exchange
09/12/2013 69.21000 66.72000 H/L
68.965000 29,792.88
i
Total value: $29,792.88
Total Accrual: $0.00
Total: $29,792.88
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Estate Valuation
Date of Death: 09/12/2013 Estate of: Estate of William Healey
Valuation Date: 09/12/2013 Report Type: Date of Death
Processing Date: 10/28/2013 Number of Securities: 1
File ID: Healey, William Estate Arch Chemicals
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
1) 120 ARCH CHEMICALS INC (039378102)
_ COM
New York Stock Exchange
i 10/20/2011 97.22000 97.19000 H/L
97.205000 N/A
Last price available on 10/20/2011
Total Value: $0.00
Total Accrual: $0.00
Total: $0.00
1
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Page 1
This report was produced with Estateval, a product of Estate valuations 5 Pricing Systems, Inc. If you have questions,
please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.3.1)
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Date of Death: 09/12/2013 Estate of: Estate of William Healey
Valuation Date: 09/12/2013 Report Type: Date of Death
Processing Date: 10/28/2013 Number of Securities: 1
File ID: Healey, William Estate Quest Diagnostics
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
1) 209 QUEST DIAGNOSTICS INC (79839L100)
COM
New York Stock Exchange
09/12/2013 61.76000 60.86000 H/L
61.310000 12,507.29
Total Value: $12,507.29
Total Accrual: $0.00
Total: $12,507.29
Page 1
This report was produced with Estateval, a product of Estate Valuations 6 Pricing Systems, Inc. If you have questions,
please contact PUP Systems at (816) 313-6300 or www.evpsys.com. (Revision 7.3.1)
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Date of Death: 09/12/2013 Estate of: Estate of William Healey
Valuation Date: 09/12/2013 Report Type: Date of Death
Processing Date: 10/26/2013 Number of Securities: 1
File ID: Healey, William Estate BP Amoco
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
1) 688 BP PLC (055622109)
_ SPONSORED ADR
New York Stock Exchange
09/12/2013 92.92000 92.05000 H/L
92.235000 37,509.68
- Div: 0.59 Er.: 08/07/2013 Rae: 06/09/2013 Pay: 09/20/2013 979.52
Total Value: $37,509.68
Total Accrual: $979.52
Total: $37,989.20
Page 1
This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc.. it you have questions,
please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.3.1)
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Estate Valuation
Date of Death: 09/12/2013 Estate of: Estate of William Healey
h! Valuation Date: 09/12/2013 Report Type: Date of Death
Processing Date: 10/28/2013 Number of Securities: 1
File ID: Healey, William Estate Corning Incorporated
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Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
1) 412 CORNING INC (219350105)
?'. COM
*, New York Stock Exchange
09/12/2013 14.89000 14.39500 H/L
14.642500 6,032.71
t
Div: 0.1 Ex: 08/28/2013 Rao: 08/30/2013 Pay: 09/30/2013 41.20
Total Value: $6,032.71
Total Accrual: $41.20
Total: $6,073.91
Page 1
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please contact EVn Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.3.1)
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Estate Valuation
Date of Death: 09/12/2013 Estate of: Estate of William Healey
Valuation Date: 09/12/2013 Report Type: Date of Death
Processing Date: 10/28/2013 Number of Securities: 1
File ID: Healey, William Estate Carlisle Companies
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
1) 800 CARLISLE COS INC (142339100)
COM
New York Stock Exchange
09/12/2013 69.91000 68.95000 H/L
69.430000 55,599.00
Total Value: $55,544.00
Total Accrual: $0.00
Total: $55,544,00
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Page 1
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Par Value $1.00
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is the owner of °f common stock are governed by th
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EALEY *ri i*******400***** based upon the occurrence of certain even
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Estate Valuation
Date of Death: 09/12/2013 Estate of: Estate of William Healey
Valuation Date: 09/12/2013 Report Type: Date of Death
Processing Date: 10/28/2013 Number of Securities: 1
File ID: Healey, William Estate PPL
Shares Security Mean and/or Div and Int Security
or Paz Description Hich/Ask Low/Bid Adjustments Accruals Value
1) 200 PPL CORP (693499105)
COM
New York Stock Exchange
09/12/2013 30.35000 29.91000 H/L
30.130000 6,026.00
Div: 0.3675 Ex: 09/06/2013 Per: 09/10/2013 Pay: 10/01/2013 73.50
Total Value: $6,026.00
Total Accrual: $73.50
Total: $6,099.50
Page I
This report was produced with Estateval, a product of Estate Valuations & Pricing Systems, Inc. If you have questions,
please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.3.1)
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To authorize the direct deposit of future dividend payments complete form on reverse side
and mail this portion to:
PPL Account Number: 3099010586
PPL Corporation
Investor Services,GENTW73 Account Registration and Primary Address:
Two North Ninth Street WILLIAM J HEALEY
Allentown,PA 18101-1170 5225 WILSON LANE APT 3124
MECHANICSBURG PA 17055
WILLIAM J HEALEY
Payee and 5225 WILSON LANE APT 3124
Payment MECHANICSBURG PA 17055
Address:
As of record date:
June 10,2013
Receive your future PPL dividend payments quickly and safely.
Simply complete the Authorization Form for Direct Deposit of PPL Dividend Payments on reverse side,detach and mail to PPL Corporation at address above.
PPL Corporation
Two North Ninth Street
Allentown, PA 18101-1179
www.pplweb.com
PPL Shareowner Account Number: 3099010586 Dividend Check Summary
Check Number: 03209514
Account Registration and Primary Address: Dividend Record Date: June 10, 2013
WILLIAM J HEALEY Dividend Payment Date: JULY 1,2013
5225 WILSON LANE APT 3124 Net Amount: $73.50
MECHANICSBURG PA 17055
Record Date Dividend
Shares Paid by Rate per Dividend
Class of Stock Check Share Amount
PPL CORP COMMON 200.000 .3675 73.50
Share Information:
Certificate ShaTi; 10b.00o
-DRS-(BookTShar0157 .100:000-"
Plan Shares: 0.000 - - - - - -- - -- - -
Total Record Date Shares: 200.000
Year To Date Dividends:
Gross Dividends Paid in Cash: 219.00
Gross Dividends Reinvested: .00
Total Gross Dividends: 219.00
Total Taxes Withheld: .00
Change of address required? Information on the Internet:
1.Call 1-800-345-3085 toll-tree. Account access and transactions: www.shareowneronline.com
2.Or change your address by accessing your account at General inquiries: www.welisfargo.com/shareownerservices
www.shareowneronline.com
PPL News and Information: www.pplweb.com
3.Or mail your change of address to:
Shareowner Services Information by phone:
P.O. Box 64874 1.800-345-3085 toll-free within U.S.or 651-453-2129 from outside U.S.
St Paul, MN 55164-0874
Please be sure to include your account number. Changes must be Select Option 1 at first menu for account News and Information Service.
authorized by all registered owners)or their legal representative(s). Select Option 2 at first menu for account access and inquiries. 01
Estate Valuation
Date of Death: 09/12/2013 Estate of: Estate of William Healey
Valuation Date: 09/12/2013 Report Type: Date of Death
Processing Date: 10/28/2013 Number of Securities: 1
File ID: Healey, William Estate Marathon Oil Corporation
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
1) 900 MARATHON OIL CORP (902905827)
COM
New York Stack Exchange
09/12/2013 36.67000 35.92000 H/L
36.295000 19,518.00
Total Value: $19,518.00
Total Accrual: $0.00
Total: $19,518.00
Page 1
This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions,
please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.3.1)
Marathon Oil
Corporation
' Within USA, L
Outside USA,L
008370
Illllilll�lillilll'II"Illl�lliliilllll�llllll'lll'iIII li'iJill
WILLIAM J HEALEY
5225 WILSON LANE APT 3124
MECHANICSBURG PA 17055-6669 Holder
_ CO(
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Record
Check
SSNMI
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Marathon Oil Corporation • Dividend Payment
Marathon Oil Corporation's 2012 Corporate Social Responsibility report illustrating our efforts to advance nor
digital format at www,marathonoil.com by June 30. Readers can select and print sections of the report to met
Dividend Confirmation
Payment Date I Class Description I Participating I Dividend I Gross I Ded
Shares/Units Rate Dividend($) Amo
10 Jun 2013 COMMON STOCK -400 -ti, $0.17000 68.00
Year•TaDate Paid 136.00
1 U D C
ODICD70003 00HXDA-PP
I
Estate Valuation
Date of Death: 09/12/2013 Estate of: Estate of William Healey
Valuation Date: 09/12/2013 Report Type: Date of Death
Processing Date: 10/28/2013 Number of Securities: 1
File ID: Healey, William Estate Phillips Petroleum Company
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
1) 869 CONOCOPHILLIPS (718507106)
COM
- New York Stock Exchange
09/12/2013 69.21000 68.72000 H/L
68.965000 59,585.76
Total Value: $591585.76
Total Accrual: $0.00
Total: $59,585.76
Page 1
This report was produced with EstateVal, a product of Estate Valuations 5 Pricing Systems, Inc. If you have questions,
please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.3.1)
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Enter Symbol J Look Up Mon,Oct 28,2013.11..54AM EDT-U.S.Markets close in 4 hrs 6 mini
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____. _. ___ ......... ................ ............... .-....-.. ..._ __._.. _...._............
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Sint Date: Sep v 12 2013 Eg.Jan 1,2010 0 Weekly
End oat.: Sep v 12 2013 C Monthly
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Sep 12,2013 67.63 67.81 66.63 66.93 2,681,100 66.93
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http://finance.yahoo.com/q/hp?s=MPC&a=08&b=12&c=2013&d=08&e=12&f=2013&g=d 10/28/2013
Estate Valuation
Date of Death: 09/12/2013 Estate of: William Healey
Valuation Date: 09/12/2013 Account: 4100721002
Processing Date: 09/23/2013 Report Type: Date of Death
Number of Securities: 21
File ID: Healey
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
1) 33129.05 Cash (CASH) 33,129.05
2) 200 ALTRIA GROUP INC (022095103)
COM
New York Stock Exchange
09/12/2013 35.02000 34.47000 H/L
34.745000
Div: 0.480000 Ex: 09/12/2013 Rec: 09/16/2013 Pay: 10/10/2013 + 0.480000
35.225000 7,045.00
3) 46 KRAFT FOODS GROUP INC (500760106)
COM
NASDAQ Stock Market
09/12/2013 53.64000 53.29000 H/1
53.465000 2,459.39
4) 138 MONDELEZ INTL INC (609207105)
CL A
NASDAQ Stock Market
09/12/2013 31.37500 31.08000 H/L
31.227500 4,309.40
5) 200 PHILIP MORRIS INTL INC (718172109)
COM
New York Stock Exchange
09/12/2013 86.73000 65.98000 H/L
66.355000 17,271.00
6) 516.176 BRIDGEWAY FD INC (108747403)
ULTRA SML MKT
Mutual Fund (as quoted by NASDAQ)
09/12/2013 16.48000 Mkt
16.480000 8,506.58
7) 2752.296 FEDERATED EQUITY FOS (314172560)
STRG VAL DV INST
Mutual Fund (as quoted by NASDAQ)
09/12/2013 5.54000 Mkt
5.540000 15,247.72
8) 665.473 HARBOR FD (411511504)
CAP APPR INSTL
Mutual Fund (as quoted by NASDAQ)
09/12/2013 51.73000 Mkt
51.730000 34,424.92
9) 666.902 ADVISORS INNER CIRCLE FD (0075BM634)
LSV VAL EQ FD
Mutual Fund (as quoted by NASDAQ)
09/12/2013 19.47000 Mkt
19.470000 12,984.58
10) 609.892 VANGUARD INSTL INDEX FD (922040100)
SH BEN INT
Mutual Fund (as quoted by NASDAQ)
09/12/2013 154.85000 Mkt
154.850000 94,441.78
11) 450.125 WILMINGTON FUNDS (971810662)
MRCP GRW INSTL I
Mutual Fund values reported to NASDAQ
09/12/2013 16.23000 Mkt
18.230000 8,205.78
12) 499.236 WILMINGTON FUNDS (971810639)
SMCP GRW INSTL I
Mutual Fund values reported to NASDAQ
09/12/2013 - 21.33000 Mkt
21.330000 10,648.70
Page 1
This report was produced with EstateVal, a product of Estate Valuations 6 Pricing Systems, Inc. If you have questions,
please contact Eve Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.3.1)
Date of Death: 09/12/2013 Estate of: William Healey
Valuation Date: 09/12/2013 Account: 4100721002
Processing Date: 09/23/2013 Report Type: Date Of Death
Number of Securities: 21
File ID: Healey
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask LOW/Bid Adjustments Accruals Value
13) 1091.406 DREYFUS/LAUREL PUS TR (261980668)
INTL ED FD CL I
Mutual Fund (as quoted by NASDAQ)
09/12/2013 16.32000 Mkt
16.320000 17,811.75
14) 5484.254 FEDERATED TOTAL RETURN SERE (3142BQ101)
TOIL RET INSTL
Mutual Fund (as quoted by NASDAQ)
09/12/2013 10.66000 Mkt
10.860000 59,559.00
Daily Div. Accrual as of 09/12/2013 73.67
15) 2557.003 RIDGEWORTH PUS (76628T678)
SEIX FLRT HI I
Mutual Fund (as quoted by NASDAQ)
09/12/2013 9.01000 Mkt
9.010000 23,038.60
Daily Div. Accrual as of 09/12/2013 28.80
16) 6299.013 VANGUARD FIXED INCOME SECS FD (922031865)
INTRM JNVGRD I
Mutual Fund (as quoted by NASDAQ)
09/12/2013 9.65000 Mkt
9.650000 60,785.48
Daily Div. Accrual as of 09/12/2013 64.65
17) 494.229 VANGUARD FIXED INCOME SECS FD (922031109)
L TRM INVGRD I
Mutual Fund (as quoted by NASDAQ)
09/12/2013 9.49000 Mkt
9.490000 4,690.23
Daily Div. Accrual as of 09/12/2013 7.76
18) 30B7.726 VANGUARD BD INDEX FD INC (921937850)
SHTRM BDIDX SI
Mutual Fund (as quoted by NASDAQ)
09/12/2013 10.46000 Mkt
10.460000 32,297.61
Daily Div. Accrual as of 09/12/2013 11.96
19) 95.321 GUINNESS ATKINSON FDS (402031207)
CHINA 6 H K FD
Mutual Fund (as quoted by NASDAQ)
09/12/2013 30,.13000 Mkt
30.130000 2,872.02
20) 543.712 HARBOR FD (411511306)
INTL FD INSTL .
Mutual Fund (as quoted by,NASDAQ)
09/12/2013 68.03000 Mkt
68.030000 36,968.73
21) 402.114 ING MUT FD (44980Q138)
INTL R/E FD W
Mutual Fund (as quoted by NASDAQ)
09/12/2013 9.25000 Mkt
9.250000 3,719.55
Total Value: $490,436.87
Total Accrual: $186.86
Total: $490,623.73 -
Page 2
This report was produced with EstateVal, a product of Estate Valuations 6 Pricing Systems, Inc. If you have questions,
please contact EVP Systems at (818) 313-6300 or www.evp5ys.com. (Revision 7.3.1)
awg-+g 12 :47 PM Fulton Financial a«smaa99gw &z
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October 18,2013
LAW OFFICES OF
SAIDIS SULLIVAN& ROGERS
A PROFESSIONAL CORPORATION
ATTN JOHN A FEICHTEL
635 NORTH 12TH STREET SUITE 400
LEMOYNE PA 17043
RE: EATON VANCE DIVIDEND BUILDER FUND A
ACCOUNT#: 0030-XXXXXX1001
REGISTRATION: WILLIAM J HEALEY&
SARAH H HEALEY JTWROS
REFERENCE#: 9602954241
Dear Attorney Feichtel:
We are writing in regard to the enclosed copy of your letter dated October 9,2013.
As of the close of business on September 12,2013,the above referenced account was valued at
$11,328.24. This value is based on a balance of 924.000 shares at the Net Asset Value(NAV)price of
$12.26 per share. Changing market conditions may cause the NAV price to fluctuate on a daily basis.
Therefore,the account value is subject to change.
We are unable to calculate the accrued but unpaid dividend interest as of September 12,2013.
The account is ajoint tenant account with rights of survivorship. Sarah H.Healey is the joint account
owner. The account was established as a joint tenant account on June 14, 1982.
We hope this information is helpful. If you have any questions or require assistance, please contact
one of our Investor Services Associates toll-free at 1-800-262-1122. Our associates are available
Monday through Friday 8:30 a.m.to 5:30 p.m.,Eastern Time.
Sincerely,
e *rrvices an
In
ve Specialist V
Enc.
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_Enter Symbol Look Up eThu,Oct 17,2013,1'55pm EDT-US Markets core in 2 his anc 5 Tins
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Eaton Vance Dividend Builder A(EVTMX) Add to Portfolio
12.66t0.17(1.37%) 0116
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C Daily
Start pate: Sep v 12 2013 Eg.Jan 1,2010 C)Weekly
End Date: Sep v 12 2013 O Monthly
O Dividends Only
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P.. m .
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Prices
Date Open High Low Close Volume Adj Close'
s
Sep 12,2013 1228 12.26 1226 12.26 0 12.26
(fix
Close pace adjusted for dividends and splits
t I
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http://finance.yahoo.com/q/hp?s=EV TMX&a=08&b=12&c=2013&d=08&e=12&f=2013... 10/17/2013
MID PENN BANK
October 7,2013
Saidis, Sullivan&Rogers
635 N 12'St, Ste 400
Lemoyne PA 17043
Re: Estate of William J Healey
Date of Death: September 12,2013
SSN:
Dear Mr.Feichtel:
In response to your letter requesting information on the accounts of William J Healey,I have
accumulated the necessary data below:
Account Name: William Healey
Account#: 9003500—Checking Account
Date Opened: October 12, 1995
Balance DOD: $35,848.57
Balance Accrued Interest DOD: $.59
Total DOD Balance: $35,849.16
Date Joint Ownership Established: N/A
If you have any further questions,please call me at 717-896-5388.
Sincere y,
Karen Tarbell
Deposit Support Specialist
349 Union Street, Millersburg, PA 17061 • 1-866-642-7736 • midpennbank.com
Member FDIC
Citizens Bank -
AR
Account Number 6100786404
Account Title William J. Healey
Date O ened 1/17/1983
Account Type Checking
Principal Balance as of DOD $38,255.06
Interest from Last Posting to DOD $ .13
Account Balance as of DOD $38,255.19
YTD Interest to DOD $5.75
IU-L6-' 13 U9 : 54 FROM- T-636 P0002/0003 F-739
MMffBank
499 Mitchell Road,Millsboro,DR 19966 Adjustment Servioes
Phone 888-502-4349
F ax (302)934.2955
October 28,2013
Saidis,Sullivan &Rogers
Attn: John A.Feiehtel
635 N 12th Street,Suite 400
Lemoyne,PA 17043
Re: Pstate of William J. Healev
Social Security:
Date of Death: September 12,2013
Dear Sir or Madam:
Per your inquiry on October 07, 2013, please be advised that at the time of death, the above-named decedent
had on deposit with this bank the following:
]. Type of Account Checking.4ocount
Account Number 9855288230
Ownership(Names qfl William J.Healey
Barbara H.Lowes(POA)
Opening Dare 0711112013
Balance on Date of Death $122,692.50
Accrued lmerest $ .17
--------------------------------------
Toral $122,69267
2. Type of Account CheckingAccoum
Account Number 15004230044684
Ownership(Names of) William J.Healey
Barbara H.Lowes(POA)
Opening Date 0711112013
Balance on Date ofDeath $238,199.9.1
Accruedlmerest $ 1.63
Total $238,20]57
RltmBank
LISTENING IS JUST THE BEGINNING!
October 10, 2013
Saidis Sullivan &Rogers
635 N 12`F' St Suite 400
Lemoyne PA 17043
Dear Mr. Feichtel,
RE: William J Healey, deceased 9/12/2013
In response to your recent inquiry concerning the accounts maintained in the name of
the decedent,please be advised that the following account was open at the date of death:
Money Market#9902-19899, opened 11/24/89, date of death balance $57640.64,
plus accrued interest of$2.02,titled in his name alone, with Barbara Lowes as
power of attorney.
Please be advised that the decedent held 5,728 shares of Fulton Financial Corporation stock,
titled in his name alone.
If further information is needed, please contact Fulton Financial Advisors at 717-291-2546.
If you should have any further questions, please do not hesitate to contact me at 717-327-2497.
Very truly yours,
QW
April Billett
Credit Confirmation Processor
is hArgnct Es a r�"aF d t%r rc—ss e<zr?a°f
Bt arzyr.sF to y:6SF r,;!• , �.r:.::.;i.-•F}r.:sr „�-;?:::.,::'.i .I i:cm ;:•i f.
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1.800.FULTON.4 fultonbank.com
Fulmn Bank,N.A.Member FDIC. Member of the Polmn Financial Family
Estate Valuation
Date of Death: 09/12/2013 Estate of: William Healey
Valuation Date: 09/12/2013 Account: 4100721002
Processing Date: 09/23/2013 - Report Type: Date of Death
Number of Securities: 21
File ID: Healey
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
1) 33129 OS Cash (CASH) 33,129.05
2) 200 ALTRIA GROUP INC (022095103)
COM
New York Stock Exchange
09/12/2013 35.02000 34.47000 H/L
39.745000
Div: 0.980000 Ex: 09/12/2013 Rec: 09/16/2013 Pay: 10/10/2013 + 0.480000
35.225000 7,045.00
3) 46 KRAFT FOODS GROUP INC (50076Q106)
COM
NASDAQ Stock Market
09/1212013 1 53.64000 53.29000 H/L
53.965000 2,959.39
4) 138 MONDELEZ INTL INC (609207105)
CL A
NASDAQ Stock Market
09/12/2013 31.37500 31.08000 H/L
' 31.227500 9,309.40
5) 200 PHILIP MORRIS INTL INC (718172109)
COM
New York Stock Exchange
09/12/2013 86.73000 85.98000 H/L
1 86.355000 17,271.00
6) 516.176 BRIDGEWAY FD INC (1087474D3)
ULTRA SML MKT
Mutual Fund (as quoted by NASDAQ)
09/12/2013 16.48000 Mkt
16.980000 8;506.58
7) 2752.296 FEDERATED EQUITY FDS (314172560)
STRG VAL DV INST
Mutual Fund (as quoted by NASDAQ)
09/12/2013 5.54000 Mkt
5.590000 15,297.72
B) 665.473 HARBOR FD (411511504)
CAP APPR INSTL
Mutual Fund (as quoted by NASDAQ)
09/12/2013 51.73000 Mkt
51.730000 34,429.92
9) 666.902 ADVISORS INNER CIRCLE FD (0075BM634)
LSV VAL EQ FD
Mutual Fund (as quoted by NASDAQ)
09/12/2013 19.47000 Mkt
19.970000 12,989.58
10) 609.892 VANGUARD INSTL INDEX FD (922040100)
SH BEN INT
Mutual Fund (as quoted by NASDAQ)
09/12/2013 154.8500D Mkt
154.850000 94,991.78
11) 450.125 WILMINGTON FUNDS (971810662)
MDCP GRW INSTL I
Mutual Fund values reported to NASDAQ
09/12/2013 18.23000 Mk[
18.230000 8,205.78
12) 499.236 WILMINGTON FUNDS (971BIC639) -
SMCP GRW INSTL I
Mutual Fund values reported to NASDAQ
09/12/2013 21.33000 Mkt
' 21.330000 10,698.70
Page 1
This report was produced with EstateVal, a product of Estate Valuations s Pricing Systems, Inc. If you have questions,
please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.3.1)
Oct-17-2613 12:47 PM Fulton Financial Advisors 71.77373251 212
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OCT-07-2013 09:26 From: To:+7176125805 P.2/2
Ucl,, 1. 11115 `l:9oHNl ru DanK No. 4Jl9 r. l
T
PN- C —
OetOltcr 7,Ml.4
Clint F_.Ba11tn
PNC Bank
Hampden Brench —-----_-- --- ---- -
RE: William J14caley
SSN:
DC)J)- 09/12/2013
Deal' Sir/lVl0tl0ID:
lu response to your request for Date of Death (DOD)balances for the eustomor noted above,our
records show the following:
Certificate of Deposit
Account 4 31100284493 Established: 02/03/M06
WILLIAM J HEALEY
DOD balance: 516,684.91 + 11.18 accrued interest
lntcer ct Paid 01/01/2013 tluu 09/12/2013 $24.94 YTD
Please note that this office provides date of death balances for deposit accounts (-OAS. CDs,Checking wid
Savings). We do not process any financial transactions nr provide statements. 1£ym need assistance with
any of then:itctm,please call 1-988-PNC-BANK(1-888-762-2265)of stop by your local PNC Banlc branch
office.
Sinccrcly,
National Financial Services Center
PNC Bank,N.A.
Member FDIC
Thls message is intended far the tcce of the individual or entity to which it is addressed and may
contain confidential information that is privileged, confidential and exempt from disclosure under
applicable law. 11the reader of this message Is not the intended recipient or the employee or agent
responsible for delivering this message to the intended recipient,you are hereby nodfiod that anv
dissemination, distribution or copying of this communications it strictly prohihited If you have
received this cortununication in error,please notify me immediately by reply or by telephone at
800 762-7775 and immediaic4,destroy this faxed document
Page 1 of 1
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�,e:.•:.y�:j �:;rie�;Z;t�3^!t`:;:'.+.,,. -.,..f.:-..y,.,_.,�,...„. ,,.„:.+ 12/12/2013
ZIP 20852
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CAPITAL REALTY INVESTORS - 111 LIMITED PARTNERSHIP
11200 Rockville Pike,Suite 300
Rockville, Maryland 20852
{800) 678-1116
TO: Limited Partners
FROM: CRI, Inc.
RE: Capital Realty Investors-111 Limited Partnership (the "Partnership")
DATE: December 9,2013
We are pleased to inform you that the liquidation of the Partnership's investments in all of the
Local Partnerships in which it was invested has been comp€eted. As a result,CRI,Inc.,as Managing
General Partner of the Partnership,is in the process of taking all actions necessary to dissolve the
Partnership,wind up its business and cause to be filed all certificates and notices required by law
to terminate the Partnership on or before December.31, 2013, following termination, Limited
Partners.would no longer have any economic or legal interest,in the,Partnership as an ongoing
entity as it would cease to exist.
Enclosed is your share of the final liquidation distribution of the Partnership. The amount of the
distribution is$53.50 per investment unit. Please note that, as a result of the winding up of the
Partnership's operations and the pending termination of the Partnership,your K-Sforthe tax year
2013 will be a final return.
As of December 1, 2013, after accounting for certain known liabilities of the Partnership, the
Partnership had unrestricted cash and cash equivalents of approximately $3,573,600. Of this
_ �- _- _
— aYnounT;aj?Spfowmafefy$3,203;687 is being disfribiatedto you and yourfeliow limited parthers as
the Partnership's final liquidation distribution. The balance,approximately$369,900,ofthe cash
remaining shall be transferred to CRI-III Liquidating Escrow Account (the "Escrow Account") to
provide for the payment of,the defense against,or other satisfaction or resolution of any and all
obligations,liabilities(including contingent liabilities)and current and possible future claims of or
against the Partnership. Any funds remaining in the Escrow Account after payment of such
obligations shall be distributed to the limited partners of the Partnership at a later date but in no
event later than January 2015. The transfer of assets and liabilities of the Partnership to the
Escrow Account,and the distribution to Limited Partners of a non-transferable beneficial interest
therein would constitute a part of the final liquidating distribution bythe Partnership to its Limited
Partners of their pro rata interest in the remaining assets of the Partnership. The beneficial
interest of a beneficiary in the Escrow Account may not be transferred;provided, however,that
the beneficial interests shall be assignable or transferable by will, intestate succession, or
operation of law.
To assist in your 2013 tax planning the following provides an estimate of the 2013 federal income
tax estimate on a per investment unit basis:
—4 Passive Income (loss): ($11.20)
--> Portfolio Income (loss):$0.51
� Section 1231 gain (loss):$12.53
Long Term Capital Loss:($113.03)
Please note that the above amounts are estimates for an original investor owning 1 investment
unit. However, some limited partners, inct—using limited party ers w o were a mid to the
Partnership subsequent to 1983 could realize a significant variance to the estimated Long Term
Capital Loss. CRI,I nc.cannot provide tax advice.You are encouraged to consult your tax advisor as
to your specific tax situation.
Final tax and accounting reports will be prepared forthe Partnership's 2013 calendar year and will
be provided to Limited Partners on or before March 31, 2014. If you have any questions
concerningthis distribution or the termination of the Partnership,please contact either Monique
Williamson (301.231.0218 or mwilliansonperimail.com) or Patrick Harper at (301.468.3128 or
pharperperimail.com).
I
I LAST WILL AND TESTAMENT
OF
WILLIAM J. HEALEY
I
I, WILLIAM J. HE}1LEY of Hampden Township, Cumberland County,
Pennsylvania, declare this to be my Last Will and Testament,
m -
hereby revoking any will previously made by me.
I - I direct the payment of all my just dab-us and I
I i
funeral expenses out of my estate as soon as may be practical
j after my death.
i
II - I devise and bequeath all of my estate of what- j
ever nature and wherever situate unto my wife, Sarah H. Healey,
providing she survives me by sixty (60) days.
III - Should my said wife fail to be living on the
sixty-first (61st) day following my death, then I devise and
bequeath all of my estate of whatever nature and wherever situate
unto my children, Barbara H. Lowes and Richard H. Healey, in.
F
equal shares. Should the said Richard H. Healey be deceased, his
i
share shall be paid to his issue per stirpes . Should the said
i
Barbara H. Lowes be deceased, her share shall be paid to her
iAIDIS, GUIDO
& MASLAYD spouse John Lowes, or if he is then deceased, to my son, Richard
2109 Market weet
Camp Hill.PA H. Healey, or his issue per stirpes:
i
;V .
Page 1
I
i
i
' I
I
IV - I appoint my wife, Sarah H. Healey, Executrix of
this, my Last Will and Testament. "Should my said wife fail to
qualify or cease to act as such, then I appoint my children,
I! Barbara H. Lowes and Richard H: Healey, to act in this capacity.
I
None of my personal representatives shall be required to post
bond in this or any jurisdiction. i
i
;
i
j IN WITNESS WHEREOF, I have hereunto set my hand and seal on
this the �3 day of / lct� 1994 .
(SEAL) I
' Wl i'am J. Healey
I
i
i
�I
I
Signed, sealed, published and declared by WILLIAM J. HEALEY,
Testator therein named, on this and one (1) other sheet of paper
as and for his Last Will and Testament, in our presence, who, in I
his presence, at his request, and in the presence of each other,
have hereunto subscribed our names as attesting witnesses.
. I I
iAIDIS, GUIDO i l - �} �i� k 1/. VL
R IVIASLAND � Name Address
2109 flarket Street I
Camp Hill, PA I A ,L/,� ,� � `� /p
Name Addresb
i
Page 2
I
I
I �
COMMONWEALTH OF PENNSYLVANIA)
SS.
COUNTY OF CUMBERLAND)
WE, the undersigned; the testator and the witnesses,
respectively, whose names are signed to the foregoing instru-
ment, being first duly sworn, do hereby declare to the under-
signed authority that the testator signed and executed the
instrument as his Last Will and Testament and that he signed
Iwillingly (or willingly directed another to sign for 11im) , and
that he executed it as his free will and voluntary act for the
purposes therein expressed, and that each of the witnesses, in
the presence and hearing of the testator signed the will as
witnesses and that to the best of their knowledge the testator
was at that time eighteen years of age or older, of sound mind,
and under no constraint or undue influence:
, ' �!
` . lam' qr
Testator F
Witness
1
G�
i ~r
Subscribed, sworn to and acknowledged before me by the
testator, and subs gibed and sworn to 'fore me by both
witnesses , thisIS day of j ��ai 1994.
i
iAIDIS. G•UIDO
!
& MASLAND /
2109 Markel Sven !
Camp Mill, PA
j of ry Publ c
No a'a!Seal
Jo A.i.xar��:+rGe;:hJO[ary?u�lr
Idy May S'IS% �
�i
�I
i
COMMONWEALTH OF PENNSYLVANIA -- REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 1]128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 018478
LOWES BARBARA H
7295 WYNHILL DRIVE
SANDY SPRINGS, GA 30328
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold ----------
101 $56,000.00
ESTATE INFORMATION: SSN:
FILE NUMBER: 2113- 1013
DECEDENT NAME: HEALEY WILLIAM J
DATE OF PAYMENT: 12/04/2013
POSTMARK DATE: 12/03/2013
COUNTY: CUMBERLAND
DATE OF DEATH: 09/12/2013
TOTAL AMOUNT PAID: $56,000.00
REMARKS: RECEIPT TO ATTY
CHECK# 516
INITIALS: CJ
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER