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HomeMy WebLinkAbout06-16-14 � 1505611185 REV-1500 EX(02-11)(FI) PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number Po aox zsosoi INHERITANCE TAX RETURN 21 13 1211 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 10242013 09261928 DecedenYs Last Name Suffix DecedenYs First Name M I SCHRIVER RUTH W (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name M I Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE ' ' REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW � 1. Original Return � 2. Supplemental Return � 3. Remainder Return(Date of Death Prior to 12-13-82) ❑ 4. Limited Estate ❑ 4a. Future Interest Compromise(date of ❑ 5. Federal Estate Tax Return Required death after 12-12-82) � 6. Decedent Died Testate � 7. Decedent Maintained a Living Trust 1 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) ❑ 9. Litigation Proceeds Received ❑ 10. Spousal Poverty Credit(Date of Death ❑ 11. Election to Tax under Sec.9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule0) CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION�ULD BE DIRECTED TO: Name Dayti�Telephone�ber-� � ELIZABETH P • MULLAUGH 7]��;�37-5�3 ja1�' � Z f r� -`-J :"�R` IS�ER OF�LS 115��LY ��� _ �..i � �:1 t:°:7 � � :") First Line of Address ` r "' �� �" � �.� �J 3 -�.� 100 PINE STREET � � �' � ��.'= c� Second Line of Address -� -"{ � E"" �� y, GJ U'j O PO BOX 1166 � City or Post Office State ZIP Code DATE FILED HARRISBURG PA 171081166 Correspondent's e-mail address: E M U L L A U G H a�M W N • C 0 M Under penalties of pery'ury, 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 has any knowledge. SIGNATU QF PERSON R P NSIBLE F R FILI RETURN• DATE 1.�� 1 � _ /�d/aD/s� ADDRESS 1427 DIVISION ST • , N • W • OLYMPIA, WA 98502 OF P OTHER THAN REPRESENTATIVE DAT �j Za/ ADDRES PO BOX 1166 HARRISBURG, PA 17108-1166 PLEASE USE ORIGINAL FORM ONLY Side 1 � 1505611185 OM46473.000 1505611185 J • � 1 1505611285 J REV-1500 EX(FI) DecedenYs Social Security Number DecedenYs Name S C H R I V E R R U T H W RECAP ITU LATION 1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . � 0 • 0 Q 2. Stocks and Bonds(Schedule B). . . . . . . . . . . . . . . . . . . . . . . . . 2. ],,915,16 4 • 6 6 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C), , , , , 3. Q • Q 0 4. Mortgages and Notes Receivable(Schedule D) , , , , , , , , , , , , , , , , , 4. � • �� 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E) , , , , , 5. 2 6 3,3 21 • 91 6. Jointly Owned Property(Schedule F) � Separate Billing Requested , , , , g. 0 • �� 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) � Separate Billing Requested . . . . 7. � • �� 8. Total Gross Assels(total Lines 1 through 7) , , , , , , , , , , , , , , , , , , g 2,17 8,4 8 6 � 5� 9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . . . . . . . . g. 2 8,15 6 • 9 3 10. Debts of Decedent, Mortgage Liabilities,and Liens(Schedule I) , , , , , . . . . 10. ],,4 5 4 • 2 2 11. Total Deductions(total Lines 9 and 10), , , , , , , , , , , , , , , , , , , , , 11. 2 9,611 • 15 12. Net Value of Estate(Line 8 minus Line 11) , , , , , , , , , , , , , , , , , , , �2, 2,14 8,8 7 5 • 4 2 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J), , , , , , , , , , , , , , , , �3. 2 3,6 6 0 • 5 0 14. Net Value Subject to Tax(Line 12 minus Line 13) , , , , , , , , , , , , , , , �4. 2,12 5,214 • 9 2 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers un�ier Sec.9116 (a)(1.2)X.0� � • �� 1 5. � • 0� 16. Amount of Line 14 t xable at lineal rate X.0 4� 0 • 0 0 16. 0 • 0 0 17. Amount of Line 14 taxable atsiblingrateX.12 980,868 • 41 ��. 117,704 • 21 18. Amount of Line 14 taxable at collateral rate X.15 1,14 4 ,3 4 6 • 4 9 �$. 171,6 51 • 9 7 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 289,356 • 18 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ Side 2 � 1505611285 1505611285 _ � OM4648 3.000 REV-1500 EX(FI) Page 3 File Number Decedent's Complete Address: 21 13 1211 DECEDENT'S NAME SCHRIVER RUTH W STREET ADDRESS CUMBERLAND COUNTY CITY STATE ZI P MECHANICSBURG PA 17055- Tax Payments and Credits: 1. TaxDue(Page2, Line19) (1) 289,356 • 18 2. Credits/Payments A. Prior Payments 2 7 2���0 • 0� a. �iscount 14 �315 •7 9 Total Credits(A+g� �2� 2 8 6,315• 7 9 3. Interest (3) � • �� 4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT. Fill in box 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) 3,0 4� • 3 9 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 . . . . . . . . . . . . . . . . . . . . . . . . ❑ ❑X b. retain the right to designate who shall use the property transferred or its income . . . . . . . . . : ❑❑ � c. retain a reversionary interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d. receive the promise for life of either payments,benefits or care? . . . . . . . . . . . . . . . . . . ❑ � 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : ❑❑ � 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? 4. Did decedent own an individual retirement account, annuity, or other non-probate property,which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � � IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 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 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(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. OM4671 2.000 REV-1503 EX+(�12) pennsylvania SCHEDULE B DEPARTMENT OF REVENUE INHERITANCETAX RETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER Ruth W. Schriver 21 13 1211 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. The decedent held the following assets in a Morgan Stanley brokerage account; See attached valuation information: 200 Shares General Electric Co Com New York Stock Exchange CUSIP: 369604103 5,169.00 Dividend accrued on 10/24/2013 38.00 2 744 Shares Harsco Corp Com New York Stock Exchange CUSIP: 415864107 21,282.12 Dividend accrued on 10/24/2013 152.52 3 486 Shares Ppl Corp Com New York Stock Exchange CUSIP: 69351T106 14,895.90 4 6,300 Shares Riverview Finl Corp New Com Finra Other Otc CUSIP: RIVE 64,575.00 valued per yahoo finance 5 865 Shares Federal Natl Mtg Assn Pfd L 5.125� Otc Bulletin Board CUSIP: FNMAN 8,762.45 6 1,055 Shares Gabelli CV & Incm Income Secs Fund Preferred (GCV.PRB) CUSIP: GCVB 26,316.98 as of 10/31/13 7 1,600 Shares Gabelli DVD & Income E'und 5.875$ Sers CUSIP: GDVA 39,888.00 value as of 10/31/13 8 3,513 Shares Alpine Total Dynamic Divid Fd Com Sbi New York Stock Exchange CUSIP: 021060108 14,649.21 Dividend accrued on 10/24/2013 94.85 Total from continuation schedules . . . . . . . . . 1,719,340.63 TOTAL (Also enter on Line 2,Recapitulation) $ 1,915,164. 66 zwasss 2.00o If more space is needed, insert additional sheets of the same size _ _ _ . __ _ _ _ Estate of: Ruth W. Schriver 21 13 1211 Schedule B (Page 2) Item Value at Date No. Description of Death 9 7,000 Shares Blackrock Muniyield Fd Inc Com New York Stock Exchange CUSIP: 09253W104 96,985.00 Dividend accrued on 10/24/2013 584.50 10 1,000 Shares Gabelli Divd & Income Tr Com New York Stock Exchange CUSIP: 36242H104 21,130.00 11 1,000 Shares Ing Glbl Adv & Prem Opp Fund Com New York Stock Exchange CUSIP: 44982N109 11,890.50 12 3,710 Shares Invesco Pa Value Mun Income Tr Com New York Stock Exchange CUSIP: 92112T108 46,597.60 Dividend accrued on 10/24/2013 278•25 13 750 Shares Hancock John Pfd Income Fd Iii Com New York Stock Exchange CUSIP: 41021P103 12,476.25 Dividend accrued on 10/24/2013 91.65 14 1,030 Shares Nuveen Eqty Prm Opportunityfd Com New York Stock Exchange CUSIP: 6706EM102 12,722.56 15 4,217 Shares Pimco Mun Income Fd Ii Com New York Stock Exchange CUSIP: 72200W106 46,323.75 Dividend accrued on 10/24/2013 274.11 16 6,532 Shares Pimco Mun Income Fd Iii Com New York Stock Exchange CUSIP: 72201A103 68,226.74 Dividend accrued on 10/24/2013 457.24 17 2,289 Shares Pioneer Div High Income Trust Com Nyse Amex Equities CUSIP: HNW 48,927.49 Dividend accrued on 10/24/2013 366.24 Total (Carry forward to main schedule) 367,331.88 Estate of: Ruth W. Schriver 21 13 1211 Schedule B (Page 3) Item Value at Date No. Description of Death 18 2,065 Shares Strategic Global Income Fd Com New York Stock Exchange CUSIP: 862719101 18,946.38 Dividend accrued on 10/24/2013 108.41 19 2,300 Shares Western Asst Mngd Mun Fd Inc Com New York Stock Exchange CUSIP: 95766M105 28,278.50 Dividend accrued on 10/24/2013 149.50 20 5,000 Par Pennsylvania St Mat: 02/O1/2021 4.5� Interactive Data Corporation CUSIP: 70914PRU8 5,054.90 Interest accrued to 10/24/2013 51.88 21 35,000 Par Pennsylvania St Mat: 02/O1/2021 4.5� Interactive Data Corporation CUSIP: 70914PRV6 35,384.30 Interest accrued to 10/24/2013 363.13 22 50,000 Par Pennsylvania St Mat: 09/O1/2021 4� Interactive Data Corporation CUSIP: 7091415V3 52,973.00 Interest accrued to 10/24/2013 294.44 23 5,000 Par Pennsylvania St Tpk Commn Oil Mat: 12/O1/2023 5$ Interactive Data Corporation CUSIP: 709221HK4 5,013.20 Interest accrued to 10/24/2013 99.31 24 50,000 Par West Chester Pa Area Sch Dist Mat: 02/15/2025 4.125$ Interactive Data Corporation CUSIP: 952030YY4 52,123.50 Interest accrued to 10/24/2013 395.31 25 30,000 Par Lower Paxton Twp Pa Mat: 04/O1/2025 3.85$ Interactive Data Corporation CUSIP: 548383HD3 30,641.10 Interest accrued to 10/24/2013 73•�9 Total (Carry forward to main schedule) 229,950.65 Estate of: Ruth W. Schriver 21 13 1211 Schedule B (Page 4) Item Value at Date No. Description of Death 26 20,000 Par West Mifflin Pa Area Sch Dist Mat: 04/O1/2026 5� Interactive Data Corporation CUSIP: 954498QU8 21,655.40 Interest accrued to 10/24/2013 63.89 27 30,000 Par Mt Joy Boro Pa Auth Wtr Rev Mat: 05/O1/2027 3.75� Interactive Data Corporation CUSIP: 621723GK5 30,132.00 Interest accrued to 10/24/2013 540.63 28 30,000 Par Northern Lebanon Pa Sch Dist Mat: 02/15/2028 3.5� Interactive Data Corporation CUSIP: 665337MW8 27,728.40 Interest accrued to 10/24/2013 201.25 29 100,000 Par Greater Johnstown Pa Sch Dist Mat: 08/O1/2028 4� Interactive Data Corporation CUSIP: 392023QL4 96,107.00 Interest accrued to 10/24/2013 922.22 30 25,000 Par Gettysburg Pa Mun Auth Swr Rev Mat: 11/15/2028 4� Interactive Data Corporation CUSIP: 374316FH5 25,150.00 Interest accrued to 10/24/2013 441.67 31 35,000 Par Pennsylvania St Mat: 04/15/2029 4� Interactive Data Corporation CUSIP: 70914PKK7 35,376.25 Interest accrued to 10/24/2013 35.00 32 35,000 Par Lower Perkiomen Vy Pa Regl Swr Mat: 06/O1/2029 3$ Interactive Data Corporation CUSIP: 548441CX0 30,228.45 Interest accrued to 10/24/2013 417.08 33 30,000 Par Lehigh Cnty Pa Indl Dev Auth P Mat: 09/O1/2029 4.7$ Interactive Data Corporation CUSIP: 524808BL5 29,667.90 Interest accrued to 10/24/2013 207.58 Total (Carry forward to main schedule) 298�8�4•�2 Estate of: Ruth W. Schriver 21 13 1211 Schedule B (Page 5) Item Value at Date No. Description of Death 34 25,000 Par Jenkintown Pa Sch Dist Mat: 05/15/2031 3.85� Interactive Data Corporation CUSIP: 476124GA4 24,026.25 Interest accrued to 10/24/2013 425.10 35 100,000 Par Pennsylvania Hsg Fin Agy Singl Mat: 10/O1/2031 4.875$ Interactive Data Corporation CUSIP: 708796BU0 99,053.00 Interest accrued to 10/24/2013 311.46 36 50,000 Par Hamburg Pa Area Sch Dist Mat: 04/O1/2033 5.125�k Interactive Data Corporation CUSIP: 406660LJ7 51,896.50 Interest accrued to 10/24/2013 163.72 37 85,000 Par Philadelphia Pa Gas Wks Rev Mat: 09/O1/2033 5$ Interactive Data Corporation CUSIP: 717823Q92 85,417.35 Interest accrued to 10/24/2013 625.69 38 100,000 Par Cumberland Cnty Pa Mun Auth Co Mat: 05/O1/2034 5$ Interactive Data Corporation CUSIP: 23061NBW6 101,572.00 Interest accrued to 10/24/2013 2,402.78 39 30,000 Par Pennsylvania St Higher Edl Fac Mat: 08/15/2034 4� Interactive Data Corporation CUSIP: 70917R5E1 26,265.90 Interest accrued to 10/24/2013 230.00 40 35,000 Par Luzerne Cnty Pa Indl Dev Auth Mat: 09/O1/2034 5.1� Interactive Data Corporation CUSIP: 55072QAB5 35,145. 95 Interest accrued to 10/24/2013 262.79 41 50,000 Par Pennsylvania St Univ Mat: 09/O1/2034 5� Interactive Data Corporation CUSIP: 709235NR2 50,492.50 Interest accrued to 10/24/2013 368.06 Total (Carry forward to main schedule) 478,659.05 Estate of: Ruth W. Schriver 21 13 1211 Schedule B (Page 6) Item Value at Date No. Description of Death 42 75,000 Par Erie Cnty Pa Convention Ctr Au Mat: O1/15/2036 5$ Interactive Data Corporation CUSIP: 295192BB3 75,213.00 Interest accrued to 10/24/2013 1,031.25 43 55,000 Par Philadelphia Pa Hosps & Higher Mat: 07/O1/2037 4.5$ Interactive Data Corporation CUSIP: 717903A99 52,752.70 Interest accrued to 10/24/2013 776.88 44 25,000 Par Pennsylvania St Tpk Commn Tpk Mat: 12/O1/2038 4.5$ Interactive Data Corporation CUSIP: 709223ZP9 23,911.75 Interest accrued to 10/24/2013 446.88 45 12,000 Par Citicorp Mortgage Secs 2004-5 Mat: 08/25/2034 5.500� Fact: 0 Interactive Data Corporation CUSIP: 172973ZH5 7,298.04 Interest accrued to 10/24/2013 33.45 46 17,000 Par Banc America Fdg 2005-1 Mat: 02/25/2035 5.500� Fact: 1 Interactive Data Corporation CUSIP: 05946XQA4 17,418.18 Interest accrued to 10/24/2013 137. 66 47 5,000 Par Cwalt Inc 2005-54Cb Mat: il/25/2035 5.500� Fact: 0.7329668 Interactive Data Corporation CUSIP: 12668ANY7 3,352.23 Interest accrued to 10/24/2013 29.90 48 30,737.705 Shares Franklin Custodian Fds Inc Income Fd C1 C Mutual Fund (As Quoted By Nasdaq) CUSIP: 353496805 74,077.87 49 3,795.066 Shares Franklin Tax Free Tr Pa T/F Incm A Mutual Fund (As Quoted By Nasdaq) CUSIP: 354723801 38,102.46 Dividend accrued on 10/24/2013 101. 66 Total (Carry forward to main schedule) 294,683. 91 Estate of: Ruth W. Schriver 21 13 1211 Schedule B (Page 7) Item Value at Date No. Description of Death 50 5,344 Shares Prudential Invt Ptflos Inc 15 Prud Hi Yld A Mutual Fund (As Quoted By Nasdaq) CUSIP: 74435F106 30,621.12 Dividend accrued on 10/24/2013 127.02 51 Morgan Stanley - Cash Account 19,092.28 Total (Carry forward to main schedule) 49,840.42 REV-1506 EX+(08-12) pennsylvania SCHEDULE E DEPARTMENTOFREVENUE CASH, BANK DEPOSITS&MISC. INHERITANCE TAX RETURN RESIDEPfiDECEDENT PERSONAL PROPERTY ESTATE OF: FILE NUMBER: Ruth W. Schriver 21 13 1211 Include the proceeds of litigation and the date the proceeds were received by the estate. All propert 'ointl owned with ri ht of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. AXA Annuity, Contract No. 307733660 23,660.50 Valued per proceeds received; Per beneficiary designation, proceeds payable to decedent's estate. Per Item III of the Will, the decedent left her annuity to the Hebron United Methodist Church. Please note that the annuity referenced in the Will, Zurich Kemper Life, Contract No. FK4026361, was exchanged per a 1035 exchange to the AXA Annuity held at the decedent's death. The decedent held the following assets in a Morgan Stanley IRA; IRA payable to decedent's estate; See attached valuation information: 2 12,000 Par Csfb Mtg Ptc 2004-8 Mat: 12/25/2034 5.500� Fact: 1 Interactive Data Corporation CUSIP: 22541SV62 11,775.20 Interest accrued to 10/24/2013 97.17 3 1,333.206 Shares American Balanced Fd C1 A Mutual Fund (As Quoted By Nasdaq) CUSIP: 024071102 31,357.01 4 610.475 Shares Income Fd Amer Inc C1 A Mutual Fund (As Quoted By Nasdaq) CUSIP: 453320103 12,392. 64 5 Morgan Stanley IRA - Cash Balance 31,916.43 The decedent held the following bank accounts: 6 Susquehanna Bank Relationship Checking Account No. 1110793409 99,778.99 Interest accrued to 10/24/2013 7.85 7 Susquehanna Bank Power Savings Account No. 1110793420 31,983.49 Interest accrued to 10/24/2013 2.10 Total from continuation schedules . . . . . . . . . 20,350.53 TOTAL(Also enter on line 5,Recapitulation) $ 2 63,321.91 2wa6nD 2.000 If more space is needed,use additional sheets of paper of the same size. Estate of: Ruth W. Schriver 21 13 1211 Schedule E (Page 2) Item Value at Date No. Description of Death Miscellaneous holdings, i.e, checks on hand, refunds received, etc. 8 Check on Hand - Proceeds of decedent's PNC Bank account closed prior to death 8,911.32 9 WCT Operating LLC - Oil Interest 62.32 Per Inheritance Tax Bulletin 2012-01, we are valuing this interest at $62.32. Decedent received a check for $31.16 in December 2013. We have requested information on the payments made prior to death but have yet to receive a response. 10 Asbury Communities, Inc. 483.66 Nursing Home Refund 11 United States Treasury - Refund re 2012 income tax return (check on hand at death) 5,221.00 12 Asbury Communities - Check on Hand at death 400.00 13 Capital Blue Cross - Insurance Premium Refund 49. 69 14 Silver dollars & miscellaneous coins (worth face value) from safe deposit box; coins deposited to estate account 100.04 Tangible Personal Property: 15 Jewelry 4,031.68 See copy of appraisal attached. 16 Rich Ulhrich Rare US Coins Inc. - Purchase of coins from safe deposit box 1,090.82 Total (Carry forward to main schedule) 20,350.53 REV-1511EX+(10-09) SCHEDULE H pennsylvania DEPARTMENTOFREVENUE FUNERAL EXPENSES AND NIHERITANCETAXRETURN ADMINISTRATIVE COSTS RESIDENTDECEDENT ESTATE OF FILE NUMBER Ruth W. Schriver 21 13 1211 DecedenYs debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: � Myera-Harner Funeral Home, Inc. Funeral Charges 803.00 Total from continuation schedules . . . . . . . . . 650.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: 2. AttorneyFees: MCN22S Wallace & Nurick LLC (estimated) 22,000.00 3. Family Exemption:(If decedenYs address is not the same as claimanYs,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: 1,4 4 3.5 0 5. Accountant Fees: 1,5 0 0.0 0 6. Tax Return Preparer Fees: 7. 1 Cumberland Law Journal Legal Advertising 75.00 Total from continuation schedules . . . . . . . . . 1,685.43 TOTAL(Also enter on Line 9,Recapitufation) $ 28,156.93 9W46AG 2.000 If more space is needed, use additional sheets of paper of the same size. Estate of: Ruth W. Schriver 21 13 1211 Schedule H Part 1 (Page 2) Item No. Description Amount 2 Maple Grove Cemetery Cemetery Services 650.00 Total (Carry forward to main schedule) 650.00 Estate of: Ruth W. Schriver 21 13 1211 Schedule H Part 7 (Page 2) 2 Susquehanna Bank Safe Deposit Box - missing key charge 25.00 3 McNees Wallace & Nurick LLC Costs advanced as follows: Duplicating $ 39.40 Courier Serv 150.54 Postage 30.85 220.79 4 McNees Wallace & Nurick LLC Reserve for closing costs 250.00 5 Journal Publications Legal Advertising 150.00 6 Rita Schmidt Expenses related to travel to and from Pennsylvania to administer estate, including airfare, car rental, and airport parking 662.64 7 Susquehanna Bank Maintenance/Service Fee 15.00 8 Morrow Farrar Jewelers Jewelry Appraisal 250.00 9 EVP Date of Death Valuations 112.00 Total (Carry forward to main schedule) 1,685.43 REV-1512EX+��2_�z� SCHEDULE i pennsylvania DEPARINEM'OF REVENUE DEBTS OF DECEDENT, INHERITANCETAXRETURN MORTGAGE LIABILITIES 8� LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Ruth W. Schriver 21 13 1211 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH �� Etzweiler and Associates Legal Fees outstanding at death 513.60 2 Omnicare King of Prussia Pharmacy Charges 762.63 3 Mark B. Cohen, O.D. Balance Due 20.00 4 West Shore EMS - BLS Balance Due 152.49 5 Bonnie K. Miller, Treasurer 2013 Per Capital Tax; Balance Due 5.50 TOTAL(Also enter on Line 10,Recapitulation) $ 1 454.22 zwasnH z.000 If more space is needed, insert additional sheets of the same size. REV-1513EX+(p�-�O) SCHEDULE J pennsylvania DEPARTMEMOF REVENUE BENEFICIARIES INHERITANCETAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Ruth W. Schriver 21 13 1211 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under Sec.9116(a)(1.2).] �. Pauline B. Shiley 60 Neitz Road, Apt. 223 Northumberland, PA 17857 3/13 share of residue - $490,434.20 Sister 490,434.20 2 Maude A. Nagle 124 Aynsley Circle Northumberland, PA 17857 3/13 share of residue - $490,434.21 Sister 490,434.21 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: � See Attached 1 TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ 23 660.50 swasni 2.00o If more space is needed,use additional sheets of paper of the same size. Estate o£: Ruth W. Schriver 21 13 1211 Schedule J Part 1 (Page 2) Item No. Description Relation Amount 3 Alvena G. Schriver Apt. 203, Maplewood Assisted Living 5225 Wilson Lane Mechanicsburg, PA 17055 1/13 share of residue - $163,478.07 Sister-in-law 163,478.07 4 Abby Phillips 321 Brightwood Avenue Westfield, NJ 07090 1/13 share of residue - $163,478.07 Niece 163,478.07 5 Andrew R. May 202 Lindemans Drive Cary, NC 27519 1/13 share of residue - $163,478.07 Nephew 163,478.07 6 Jack Wynn 3110 N. Canal Road Dover, PA 17315 1/13 share of residue - $163,478.07 Nephew 163,478.07 7 Neil C. Wynn 39 Reo Drive Palmyra, PA 17078 1/13 share of residue - $163,478.07 Nephew 163,478.07 8 Rita Schmidt 1427 Division St. , NW Olympia, WA 98502 1/13 share of residue - $163,478.07 Niece 163,478.07 9 Barbara Nagle 2938 NE 9th Street Portland, OR 97212 1/13 share of residue - $163,478.07 Niece 163,478.07 Estate of: Ruth W. Schriver 21 13 1211 Schedule J Part 2B (Page 1) Item No. Description Amount 1 Hebron United Methodist Church 347 Market Street Millersburg, PA 17061 Per Item III of the decedent's will, the annuity proceeds are payable to Hebron United Methodist Church 23,660.50 23,660.50 l REGISTER OF WILLS CERTIFICATE OF CUMBERLAND COUNTY GRANT OF LETTEF�S PENNSYLVANIA No. 2013= 01211 PA No. 21- 13- 12� 1 Es ta te Of: RUTH W SCHRIVER (Fi�st,Middle,LasU Late Of: LOWER ALLEN TOWNSHIP CUMBERLAND COUNTY Deceased Social Security No: � WHEREAS, on the 22nd day of November 2013 an instrument dated March 17th .2001 was admitted to probate as the last will of RUTH W SCHRIVER (Fi�s4 Middle,LasU � late of LOWER ALLEN TOWNSH/P, CUMBERLAND County, who died on the 24th day of October 20I3 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, GLENDA FARNER STRASBAUGH , Register of Wills in and for CUMBERLAND Coun ty, in the Commonweal th of Pennsyl vani a, hereby certify that I have this day granted Letters of ADMINISTRATION C.T.A. to: R/TA A SCHMIDT who has duly qualified as ADM/N/STRATOR(R/Xl C.T.A. and has agreed to administer the estate according to law, all of which fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE, CARUSLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the .seal of my office on the 22nd day of November 2013. ��� � • Regisfer of ills ' l eputy **NOTE** ALL NI�MES ABOVE APPEAR (FIRST, MIDDLE, LAST) � ��c o u U`U �'�.A�'��WILL AND TESTAMEN'�` OF REG�S�i�� G t.��:. ��:3 ���U I3 Pi'1 2 �ZRUTH W. SCHRIVER c���� e� a���aNS' COLRT C.UMBERLAtdD CO., ?A I, RUTH W. SCHRIVER, a resident of Millersburg Borough, Dauphin County, Pennsylvania, being of sound and disposing miiid, memory and understanding, do hereby inake, publish and declare this instrument to be my Last Will and Testament, hereby revoking any and �l ��ills by ���z at a�iy ti�:ie heretofc.e �ade. ITEM I: I direct my hereinafter named Executrix to pay all my just debts, funeral expenses, administratioii expenses and inheritance, estate, succession or excise taxes, which I owe or may become due on account of my death, as soon as may be convenient after iny decease. ITEM II: All tlle rest, residue and remainder of iny esta.te, be it real, personal or mixed, of whatever nature aild wheresoever situate which I may own or llave die right to dispose of at the time of iny decease I give, devise and bequeatli to my husband, F-I:���w�a�d-Sehr�i�er;-of ,999-E�at�-tr��t;I�Ir�l,e,rsburg,,PA.�.7�61. ,`;�;;�1 . ..���`.. ITEM III: If my said husband should predecease ine, or die simultaneously with me, tlzen I give, devise and bequeath my annuity in Contract N�. FK4026361 in Zurich Kemper. Life to Hebron Uiuted Methodist Churcli, of North and Market Streets, Millersburg, PA I706I. ITEM IV: If my said llusband should predecease me or die simultaneously with me, I give, devise and bequeath all the rest, residue and remainder of my estate, be it real, personal or mixed, of whatever nature and wheresoever situate whicli I may owii or have the right to dispose of at die time of my decease t� be divided as follows: l. 3/13 to my sister, Pauline B. Shiley,�f R_I?�._�3.;.:B:ax'�1.,�0,�unT�ury;--PA 17801 '�=z.�%.:r`, /.L; ���,;"�....�.=f=��- (SEAL) Rudz W. Schriver � 2. 3/13 to my sister, Maude A. Nagle, of R:�.-#z;Box-�4�;°S�I�tir�;--�t�17801 3. �/13 to my sister-in-law, Alvena G. Schriver, �OS-Mailo�-�-rive;-�!I:i-Lt�i-.�h�rg, P�=i�61 4. 1/13 to my greaf niece, Abby Phillips, of 11.2_Rutlan_d����v��i��.-�?aui�Er�ville, . M-�-2if`I3�5. 5. 1/13 to my great nephew, Andrew R. May, of 46�1-�tttonhnr�--�ri��;-=�ll�i�d, Oi�'43026 6. �/13 to my nepllew, Jack Wynn, of 3110 N, Canal Road, Dover, PA 17315 7. 1/13 to my nephew, Neil C. W_ynn, of 39 Reo Drive, Palmyra, PA 17078 8. 1/13 to my niece, Rita Schmidt, of 1427 Division, Olympia, WA 98502 9. 1/13 to my niece, Barbara Nagle, of 61 N.E. 43rd Street, Portland, OR 97213 A. If any of the individuals named in Item IV 1 tlirough 9 should predecease me or die simultaneously widi ine Ieaving issue to survive, then such share shall pass to his or her issue per stirpes. If aily of said individuals sliould predecease me or die simultaneously with me without leaving issue to survive, then such share shall lapse and be added to the residue of my estate which will increase each share proportionately. ., :,:��. ;,.,i;� ;� : ; :��y"; ` '.z4,✓��' , •; r �;- ..�, ;,l�:1.,:L�.:�,. ITEM V: I hereby nominate, constitute and appoint rny ni�ce, F��a�=��c�n�idt�? �f�1�"7�-L�i-�r�s����l •3�:npi�;��1�._Q:R.�J2, Executri� of this r!my Last Will a��c� Tes±ament, with full power ii�her discretion to do any and all tliings necessary for the complete administration of my estate, witliout beiilg required to file bond for the performance of her duties, with full power to � sell at public or private sale and without order of court any real or personal property belonging to my estate, and to compound, compromise or otlierwise settle or adjust any and all claims, ;, ,�t-'•rY.r�.�` 1�,� ;�• ', T :,-Y :�:-�� -i�;�.E:�.,� (SEAL) Ruth W. Schriver . � charges, debts and dema:lds whatsoever a�ainst or iil favor of my estate as fully as I couId if living. A. If my said niece should predecease me or die simultaneously witli me, or be unable or uiiavailable to serve or complete her duties, then I nominate, constitute and appoint my - neph�w, Andr€w�&�-�Iay;-of'4S��-Bri �zi�uir�:Dri�E;•I�i•1�iarct;-{}�-:4-3�6;_.Executor, with the same power and authority as given my said niece. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last � 7 � Will and Testameiit this �ay of March, 2001. �� � � � ��c�'4 >/r,�`-�,Ac..��v�'-'� (SEAL) /�' Ruth W. Schriver Signed, sealed, published and declared by the above-named Rutli W. Schriver as and for her Last Will and Testament, in tlie presence of us, who at her request, in her presence a�ld in flle presence of each other, we believing her to be of sound and disposing mind, memory and understanding, have hereunto subscribed our names as witnesses this / 7���.-� day of March, 2001. � f� ; /a ,'� ^ '�„ C%'2''�',�-�..: , �a'���,�z�/C/J��'{--�� � � .J' " :) � , �, �«.�;����� Y ����� � : BEFORE THE REGISTER OF WILLS OF : CLTMBERLAND COUNTY,PENNSYLVANIA ESTATE OF RUTH W. SCHRIVER, . DECEASED : NO 21-13-1211 DECREE OF TI�REGISTER OF WII.,LS AND NOW,this 22nd day of November,2013,upon consideration of the Petition for Grant of Le'tters filed by Rita A. Schmidt, for the above decedent and the instrument offered for probate as the Last Will and Testament,which is dated March 17,2001, and containing certain modifications thereon,the REgister of Wills having given consideration thereto,has made an official defermination regarding those modifications and renders the following decision: IT IS DECREED that the instrument be admitted to probate as The Last Will and Testament of Ruth W. Schriver including the following obliterations: 1. ITEM II,removing the name and address of H.Edward Schriver. 2. ITEM IV,No. l,removing the address of Pauline B. Shiley � � =a � � 3. ITEM N,No.2 removing the address of Maude Nagle. o � f� � ° � ITl -r- C� C � r-�J 4. ITEM IV,No. 2 removing the address of Alvena G, Shriver. �.�'_. D � rv � m .�- � rv .�,-; �:� 5. ITEM N,No. 2 removing the address of Abby Phillips. � v' :: � � c� �; ,-� � -�'s -7 6. ITEM IV,No. 2 removing the address of Andrew R.May. � " ��7 --� =� � �. . c, 7. ITEM V removing the name and address of Rita A. Schmidt. ° --�i cJ � ;,� —:� �., ��� � 8. TTEM V(A)removing the name and address of P;ndrew R.May. � � -� The following interlineations are not adinitted to probate as they were not signed nor initialed by the testator: 1. TTEM N No. 3 the number"3". 2. TTEM N No. 6 the number"3". 3. TTEM V the words"nephew" and"Jack Wynn". IT IS FURTHER DECREED that Letters of Administration c.t.a. shall be issued to Rita A. Schmidt. Rita A. Schmidt shall have all the rights and duties of a fiduciary.under the laws of Pennsylvania and shall proceed with the administration of tlais estate according to law. 1�������� Glenda Farner Strasbaugh,Register o lls ! . . � 4850Q041�46 � REV-485 EX(1-07) SAFE DEPQSIT BOXINVENTORY � PA Department of Revenue PLEASE !!SE ORIG[NAL FdRM CYFELY Social Security or Death Certificate Number Date�f Death Counry Code Year File Number 1 g: p : 2 2" 5` 9' S 8' 1.`6 �; 4 2� 0 l 3 i2 : 1 ` 1 3 , 0 1 2: 1: 1� , _. , ... --: -__•.- --=--�--::_.- - - _..-:: -- --- :. . . - . � DecedenYs Last Name � Sufiix First Name . M� ._. .,,-:- _, .. .. . . ., .. . _ _. . . . - S C H;R;.IrV E Ri . - ;R�U�T:Hi ; � - W: :. �• � - - _ - - -- _ -- : . ,_ �...._:::. • . . _....:::. .:... . . . . _.:.��_.::�_:..::_:..-_:.:_=_-='�= .–._-=-:_--___:�_._-_=-_.�.: -- -----------•-._._.._:_:.__.=_="___::-.__.—•-------'- ------ ADDRESS OF DECEDENT STREET: CITY: STATE ZIP CODE: �325 Wesley Drive Mechanicsburg PA 17055 : NAME AND ADDRESS OF-PERSON REQUE5TING THE OPENING OF THE SAFE DEPOSfT BOX N��Linda M. Eshelman � ��� � �7y; 57ATE: . ZIP CODE: � srRe RE ine Street, PO Box 1166 � I�arrisburg PA 17108-1166 MAME ADDRESS AND RELATIOPtStilP(IF ANY)TO DECE�ENT OF PERSOF!(S)PRESENT AT THE BOX OPENfNG ' a. NAME RELATIONSHIP: Linda M. Eshelman Paralegal for law firm handling STREET ADDR�SS; CfTY: STATE: ZIP CODE: e'S t dt e 100 Pine Street, PO Box 1166 Harrisburg PA 17108-1166 6. NAME; RELATIONSHIP: ' STREET ADDRES3: CIN: STATE ZIP CODE: e. NAME: RELATIONSHIP; STREET ADDRESS: CITY: STATE: Z!P CODE: • NAME AND ADDRESS OF FINANCIAL 1N5T1TUTION WHERE THE SAFE DEPOSfT BOX l5 LOCATED NAME Susquehanna Bank � ' STREET ADDRESS; CITY: STATE: ZIP CODE: : 201� St. John' s Church Road Camp Hill PA 17011 � NAME OF PERSON MAKING LAST ENTRY DATE AND TfME OF LAST ENTRY � Linda M. Eshelman 12/16/13 10 :30 am � : DATE OF CONTRACT TO RENT BOX ' NUMBER OF BOX 1 TfTL.E UNDER WHICH BOX IS REGlSTERED' ; 5/23/2013 1042 Ruth W. Schriver Andrew R. May POA NAME AND ADDRESS OF PERSON(S)�HAVING ACCESS TO BOX a. NAME: h. N�r�4 E , . Ruth W. Schriver ' Anctrew R. May 51�2��`�esley Drive S��A��indemans Drive C�Ty_ STATE: ZIP CODE: CI �ATE: 2,.�IP�QDE: ' Mechanicsburg PA . 17055 �arY '� 7 NAME AND TffLE OF EMPLOYEE TAKING THE INVENTORY ' N/A WAS A WILL IN THE BOX7 ❑ YES [�NO If yes, a. Qate of will: 6. Name and address of personal representativa,if named In the will NAME: . . STREETADDRESS: CITY: STATE: ZJP CODE: c. Narne and address of attomey,if any � NAME : STREEf ADDRESS: CI71': STATE: ZIP CODE: � 48500�41�46 - 485��041046 � � ,A REV�85EX SA�E DEPQ�1� E30�C tNVE��`��-:l( Page , of [NSTRUCT{ONS � (1) Cash:Report total only. . (2) Stocks:List in detail every common_or preferred cer5ficate,warrant or other rights found in box.Stocks are to be designated by name of company,certificate number,date of certificate,name in which stock is registered,and number of shares and class of stock. (3j Obligations of U.S.Govemment Number of items,date of issue,face value,names in whi�h registered and type of ownership, i.e.,jointly held,payable on death, etc (4) Bonds:Designate by name,amount,serial number,or other designation.(Bearer Bonds) � (5) Bank and 5avings and Laan Passbooks:State name of depositor,number of book, last date appearing in book,name of bank and branch,and balance. (6) Jewefry, Coins;Stamps,Manuscripts,etc: List and describe as fully as possible. (7) Deeds,Mortgages,Current Insurance Policies or other evidences of indebtedness: List and describe as fully as possible. (B) All other contents. (9) Retum completed form to: DEPARTMENT OF REVENUE INHERITAhfCE TAX DIVISION PO BOX 280601 � HARRISBURG,PA 17128-0601 ITEM ITEM DESCRIPTION NO. 21 - Kennedy Half Dollar Coin Rolls ($10/each) $18 . 0 5 in change Sacagawea• dollar coin � Thomas Jefferson dollar coin � 3 = miscellaneous gold coins 80 - Eisenhower Silver pollars 2- $10 Francs 10 cent fractional currency 25 cent fracti.onal currency $1 U. S. Note dated 1917 � Silver pollar (silver certificate) Diamond Ring Gold Ring with purple stone 2 - Black Onyx rings (one silver, one gold) Gold ring with pink stone _ 3 gold rings Gold ring with greenish color stone Gold heart shaped locket w/blue stone I CER UNDER PENALTY OF P�,RJURY THAT THE ABOVE RECORD IS PER50N RECEIVlNG COPY OF COR E AND C�MPLETE TO H�BEST�OF MY KNOWLEDGE AND BELIEF. SAFE DEPOSfT BOX INVENTORY: SIGN TU E � SIGNATURE � / PR T NAME ` PRINT NAME AND CHECK APPROPRIATE BOX BELOW: Linda M. Eshelman RINTTfTLE DATE CHECK APPROPRIATE BOX Paralega.l ���,ron"�> ❑"d"''"��c°'�MX� � f�//� �Estate Rapresentative ❑Joiid owner cf safe deposll 6ox . NOTE:AtEach additional 8'l:°x 11'sheet(s) if necessary or use dupficates of this page of form. The Deparhnent is authorized by.law,42 U.S.C.§4Q5(c)(2)(C)n,to require disclosure of Social Security numbers in conner�ion with administering state tax laws.The Department uses the 5ocial Seounly number 10 identify the decedeni and personal.representa6ves of the estate.The Commonwealth may also use the informa6on in exchange of taz information agreemerits with Federal and local ta�dng authorities.The shate law prohibds fhe Commonwealth's personnel from disdQSing�onfiden6al tax iniorma6on exce t for ofncial purposes. Estate Valuation Date of Death: 10/24/2013 Estate of: Estate of Ruth Schriver Valuation Date: 10/29/2013 Account: Morgan Stanley Brokerage Account Processing Date: 12/03/2013 Report Type: Date of Death Number of Securities: 50 File ID: Schriver brokerage Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 1) � 200 GENERAL ELECTRIC CO (369604103; GE) COM New York Stock Exchange 10/24/2013 26.02000 25.67000 H/L 25.895000 5,169.00 Div: 0.19 Ex: 09/19/2013 Rec: 09/23/2013 Pay: 10/25/2013 36.00 2) •� 744 HARSCO CORP (415869107; HSC) COM New York Stock Exchange 10/24/2013 28.99000 26.22000 H/L 28.605000 21,262.12 Div: 0.205 Ex: 10/10/2013 Rec: 10/15/2013 Pay: 11/15/2013 152.52 3) ' 486 PPL CORP (69351T106; PPL) COM New York Stock Exchange 10/29/2013 30.75000 30.55000 H/L 30.650000 19,895.90 4) s�6300 RIVERVIEW FINL CORP NEW (RIVE) N/A COM FINRA Other OTC No pricing information 5) v 865 FEDERAL NATL MTG ASSN (FNMAN) PFD L 5.1258 OTC Bulletin Board 10/24/2013 10.31000 9.95000 H/L 10.130000 8,762.95 6) Unknown Symbol (GCVB) 0.00 7) � 1600 G DY NATL BK VA A) � COM ' Interactiv ta Corporation No prici infor ion 6)` 3513 ALPINE TOTAL DYNAMIC DIVID FD (02106010B; AOD) COM SBI New York Stock Exchange 10/24/2013 4.18000 4.16000 H/L 9.170000 19,649.21 `� Div: 0.027 Ex: 10/22/2013 Rec: 10/29/2013 Pay: 10/31/2013 94.85 9) �000 BLACKROCK MUNIYIELD FD INC (09253W104; MYD) COM New York Stock Exchange 10/24/2013 13.99000 13.77000 H/L 13.855000 96,985.00 Div: 0.0835 Ex: 10/11/2013 Rec: 10/16/2013 Pay: 11/O1/2013 584.50 10) 1000 GABELLI DIVD 6 INCOME TR (36242H104; GDV) COM New York Stock Exchange 10/24/2013 21.21000 21.05000 H/L 21.130000 21,130.00 11) 1000 ING GLBL ADV & PREM OPP FUND (49982N109; IGA) COM New York Stock Exchange 10/24/2013 11.95000 11.83100 H/L 11.890500 11,890.50 12) ✓3710 INVESCO PA VALUE MUN INCOME TR (92112T108; VPV) COM New York Stock Exchange 10/29/2013 12.62000 12.50000 H/L 12.560000 46,597.60 Div: 0.075 Ex: 10/09/2013 Rec: 10/11/2013 Pay: 10/31/2013 278.25 Page 1 This report was produced with EstateVal, a product of Estate Valuations 6 Pricing Systems, Inc. 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(Revision 7.3.1) Date of Death: 10/24/2013 Estate of: Estate of Ruth Schriver Valuation Date: 10/24/2013 Account: Morgan Stanley Brokerage Account Processing Date: 12/03/2013 Report Type: Date of Death Number of Securities: 50 File ID: Schriver brokerage Shares Security Mean and/or Div and Int Security or Par Description High/ASk Low/Bid Adjustments Accruals Value 13) �/750 HANCOCK JOHN PFD INCOME FD III (41021P103; HPS) COM New York Stock Exchange 10/29/2013 16.77000 16.50000 H/L 16.635000 12,476.25 Div: 0.1222 Ex: 10/09/2013 Rec: 10/11/2013 Pay: 10/31/2013 91.65 14) �-'1030 NUVEEN EQTY PRM OPPORTUNITYFD (6706EM102; JSN) COM New York Stock Exchange 10/24/2013 12.36900 12.32000 H/L 12.352000 12,722.56 15) /4217 PIMCO MUN INCOME FD IZ (72200W106; PML) � COM New York Stock Exchange 10/24/2013 11.03000 10.94000 H/L 10.985000 46,323.75 Div: 0.065 Ex: 10/09/2013 Rec: 10/11/2013 Pay: 11/O1/2013 274.11 16) / 6532 PIMCO MUN INCOME FD III (72201A103; PMX) COM New York Stock Exchange 10/24/2013 10.48000 10.41000 H/L 10.445000 66,226.74 Div: 0.07 Ex: 10/09/2013 Rec: 10/11/2013 Pay: 11/O1/2013 457.29 17) /1289 PZONEER DIV HIGH INCOME TROST (HNW) COM NYSE AMEX Equities 10/29/2013 21.49000 21.26010 H/L 21.375050 48,927.99 Div: 0.16 Ex: 10/15/2013 Rec: 10/17/2013 Pay: 10/31/2013 366.29 18) �2065 STRATEGIC GLOBAL INCOME FD (862719101; SGL) COM New York Stock Exchange 10/24/2013 9.19000 9.16000 H/L 9.175000 18,996.36 Div: 0.0525 Ex: 10/22/2013 Rec: 10/24/2013 Pay: 10/31/2013 108.41 19) i 2300 WESTERN ASST MNGD MUN FD INC (95766M105; MMU) COM New York Stock Exchange 10/24/2013 12.38000 12.21000 H/L 12.295000 28,276.50 Div: 0.065 Ex: 10/16/2013 Rec: 10/18/2013 Pay: 10/25/2013 149.50 20) , 5000 PENNSYLVANIA ST (70914PRU6) Interactive Data Corporation DTD: 02/26/2004 Mat: 02/O1/2021 4.SB 10/24/2013 101.09800 Mkt 101.096000 5,059.90 Int: OB/O1/2013 to 10/24/2013 51.88 21) � 35000 PENNSYLVANIA ST (70914PRV6) Interactive Data Corporation DTD: 02/26/2004 Mat: 02/O1/2021 9.5� 10/24/2013 101.09800 Mkt 101.098000 35,384.30 Int: OB/O1/2013 to 10/29/2013 363.13 � 22) - 50000 PENNSYLVANIA ST (7091415V3) Interactive Data Corporation DTD: 12/21/2006 Mat: 09/O1/2021 4� 10/24/2013 105.94600 Mkt 105.946000 52,973.00 Int: 09/O1/2013 to 10/24/2013 294•49 Page 2 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. 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(Revision 7.3.1) Date of Death: 10/24/2013 Estate of: Estate of Ruth Schriver Valuation Date: 10/24/2013 Account: Morgan Stanley Brokerage Account Processing Date: 12/03/2013 Report Type: Date of Death Number of Securities: 50 File ID: Schriver brokerage Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 23) 5000 PENNSYLVANIA ST TPK COIllNN OIL (709221HK4) � interactive Data Corporation DTD: 08/O1/1996 Mat: 12/O1/2023 58 10/24/2013 100.26900 Mkt 100.264000 5,013.20 Int: 06/O1/2013 to 10/24/2013 99.31 29) 50000 WEST CHESTER PA AREA SCH DIST (952030YY9) � Interactive Data Corporation DTD: 11/O1/2006 Mdt: 02/15/2025 9.125$ 10/24/2013 104.24700 Mkt 109.247000 52,123.50 Int: OB/15/2013 to 10/24/2013 395.31 25) / 30000 LOWER PAXTON TWP PA (546363HD3) Interactive Data Corporation DTD: 10/15/2009 Mat: 04/O1/2025 3.85� 10/29/2013 102.13700 Mkt 102.137000 30,641.10 Int: 10/O1/2013 to 10/24/2013 73•79 26) � 20000 WEST MIFFLIN PA AREA SCH DIST (954998QU8) Interactive Data Corporation DTD: 02/O1/2009 Mat: 04/O1/2026 5� 10/24/2013 108.27700 Mkt 106.277000 21,655.40 Int: 10/O1/2013 to 10/24/2013 63.69 27) / 30000 MT JOY BORO PA AUTH WTR REV (621723GK5) Interactive Data Corporation DTD: 11/03/2010 Mat: OS/O1/2027 3.75� 10/29/2013 100.94000 Mkt 100.940000 30,132.00 Int: 05/O1/2013 to 10/29/2013 540.63 26) 30000 NORTHERN LEBANON PA SCH DIST (665337MW8) � Interactive Data Corporation DTD: 05/15/2012 Mat: 02/15/2028 3.5� 10/24/2013 92.42600 Mkt 92.428000 27,728.90 Int: OB/15/2013 to 10/24/2013 201.25 29) � 100000 GREATER JOHNSTOWN PA SCH DIST (392023QL4) Interactive Data Corporation DTD: 12/20/2011 Mat: 08/O1/2026 48 10/24/2013 96.10700 Mkt 96.107000 96,107.00 Int: OB/O1/2013 to 10/24/2013 922•22 30) � 25000 GETTYSBURG PA MUN AUTH SWR REV (374316FH5) Interactive Data Corporation DTD: 12/07/2010 Mat: 11/15/2026 4� 10/24/2013 100.60000 Mkt 100.600000 25,150.00 Int: OS/15/2013 to 10/24/2013 441.67 31) � 35000 PENNSYLVANIA ST (70914PKK7) Interactive Data Corporation DTD: 06/02/2009 Mat: 04/15/2029 9� 10/24/2013 101.07500 Mkt 101.075000 35,376.25 Int: 10/15/2013 to 10/24/2013 35.00 32) � 35000 LOWER PERKIOMEN VY PA REGL SWR (548941CX0) Interactive Data Corporation DTD: 08/16/2012 Mat: 06/O1/2029 3� 10/24/2013 86.36700 Mkt B6.367000 30,228.45 Int: 06/O1/2013 to 10/24/2013 417.OB Page 3 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. 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(Revision 7.3.1) Date of Death: 10/29/2013 Estate of: Estate of Ruth Schriver Valuation Date: 10/24/2013 Account: Morgan Stanley Brokerage Account Processing Date: 12/03/2013 Report Type: Date of Death Number of Securities: 50 File ID: Schriver brokerage Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 33) 30000 LEHIGH CNTY PA INDL DEV AUTH P (524808BL5) ✓ Interactive Data Corporation DTD: 02/23/2005 Mat: 09/O1/2029 4.7� 10/24/2013 96.B9300 Mkt 98.893000 29,667.90 Int: 09/O1/2013 to 10/24/2013 207.56 34) 25000 JENKINTOWN PA SCH DIST (476124GA4) Interactive Data Corporation i DTD: 10/15/2011 Mat: OS/15/2031 3.858 10/24/2013 96.10500 Mkt 96.105000 29,026.25 Int: OS/15/2013 to 10/24/2013 425.10 35) �}.00000 PENNSYLVANIA HSG FIN AGY SINGL (708796BU0) / Interactive Data Corporation DTD: 09/07/2006 Mat: 10/O1/2031 4.875� 10/24/2013 99.05300 Mkt 99.053000 99,053.00 Int: 10/O1/2013 to 10/24/2013 311.46 36) ✓50000 HAMBURG PA AREA SCH DIST (906660LJ7) Interactive Data Corporation DTD: 04/27/2011 Mat: 04/O1/2033 5.125� 10/24/2013 103.79300 Mkt 103.793000 51,896.50 Int: 10/O1/2013 to 10/24/2013 163.72 37) /65000 PHILADELPHIA PA GAS WKS REV (717823Q92) ✓ Interactive Data Corporation DTD: 10/14/2004 Mat: 09/O1/2033 58 10/24/2013 100.49100 Mkt 100.991000 85,917.35 Int: 09/O1/2013 to 10/24/2013 625.69 �38) �00000 CUMBERLAND CNTY PA MUN AUTH CO (23061NBW6) � Interactive Data Corporation DTD: 06/O1/2007 Mat: OS/O1/2039 5� 10/24/2013 101.57200 Mkt 101.572000 101,572.00 Int: OS/O1/2013 to 10/29/2013 2,902.78 39) ��30000 PENNSYLVANIA ST HIGHER EDL FAC (70917RSE1) Interactive Data Corporation DTD: OS/02/2012 Mat: OB/15/2034 48 10/24/2013 87.55300 Mkt 67.553000 26,265.90 Int: OB/15/2013 to 10/24/2013 230.00 40) �/35000 LUZERNE CNTY PA INDL DEV AOTH (55072QAB5) Interactive Data Corporation DTD: 09/O1/2004 Mat: 09/O1/2034 5.1� 10/24/2013 100.91700 Mkt 100.917000 35,195.95 Int: 09/O1/2013 to 10/24/2013 26z•�9 I 41) J 50000 PENNSYLVANIA ST UNIV (709235NR2) Interactive Data Corporation DTD: 09/O1/2004 Mat: 09/O1/2034 5� 10/24/2013 100.98500 Mkt � 100.985000 50,992.50 Int: 09/O1/2013 to 10/24/2013 368.06 92) � 75000 ERIE CNTY PA CONVENTION CTR AU (295192BB3) Interactive Data Corporation DTD: 06/30/2005 Mat: O1/15/2036 5� 10/24/2013 100.28400 Mkt 100.289000 75,213.00 Int: 07/15/2013 to 10/24/2013 1,031.25 � Page 9 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (816) 313-6300 or www.evpsys.com. (Revision 7.3.1) - _ _ __ _ _ _ . _ Date of Death: 10/24/2013 Estate of: Estate of Ruth Schriver Valuation Date: 10/24/2013 Account: Morgan Stanley Brokerage Account Processing Date: 12/03/2013 Report Type: Date of Death Number of Securities: 50 File ID: Schriver brokerage Shares Security Mean and/or Div and Int Security or Par Description High/ASk Low/Bid Adjustments Accruals Value 93) 55000 PHILADELPHIA PA HOSPS & HIGHER (717903A99) Iateractive Data Corporation f-' DTD: 02/27/2007 Mat: 07/O1/2037 4.5� 10/24/2013 95.91400 Mkt 95.914000 52,752.70 Int: 07/O1/2013 to 10/29/2013 776•88 94) 25000 PENNSYLVANIA ST TPK COPR�IN TPK (709223ZP9) Znteractive Data Corporation -' DTD: 07/28/2010 Mat: 12/O1/2038 4.5$ 10/24/2013 95.64700 Mkt 95.647000 23,911.75 Int: 06/O1/2013 to 10/24/2013 946•$$ 45) 12000 CITICORP MORTGAGE SECS 2009-5 (172973ZH5) Interactive Data Corporation Mat: 08/25/2039 5.500� Fact: 0 10/24/2013 104.06860 Mkt 104.066600 N/A Int: 09/O1/2013 to 09/30/2013, payable 10/25/2013 33.45 Prin: 09/O1/2013 to 09/30/2013, payable 10/25/2013 7,298.09 46) 17000 BANC AMERICA FDG 2005-1 (05946XQA4) f "� Interactive Data Corporation Mat: 02/25/2035 5.5008 Fact: 1 10/24/2013 102.45990 Mkt 102.459900 17,418.16 Int: 10/O1/2013 to 10/24/2013 59•79 Int: 09/O1/2013 to 09/30/2013, payable 10/25/2013 ��•9Z 47) G 5000 CWALT INC 2005-54CB (12668ANY7) Interactive Data Corporation Mat: 11/25/2035 5.500� Fact: 0.7329668 10/24/2013 90.36960 Mkt 90.369600 3,311.90 Int: 10/O1/2013 to 10/29/2013 12.88 Int: 09/O1/2013 to 09/30/2013, payable 10/25/2013 17.02 Prin: 09/O1/2013 to 09/30/2013, payable 10/25/2013 48.15 �` 48) ci3�737.705 FRANKLIN CUSTODIAN FDS INC (353496805; FCISX) '�actual amount received -$40.3.5 INCOME FD CL C Mutual Fund (as quoted by NASDAQ) 10/24/2013 2.41000 Mkt 2.410000 74,077.67 49) �795.066 FRANKLIN TAX FREE TR (354723801; FRPAX) PA T/F INCM A Mutual Fund (as quoted by NASDAQ) 10/29/2013 10.09000 Mkt 10.040000 38,102.46 Daily Div. Accrual as of 10/24/2013 101.66 50) ✓ �349 PRUDENTIAL INVT PTFLOS INC 15 (79435F106; PBHAX) PRUD HI YLD A Mutual Fund (as quoted by NASDAQ) 10/24/2013 5.73000 Mkt 5.730000 30,621.12 Daily Div. Accrual as of 10/24/2013 127.02 Total Value: $1,751,123.97 Total Accrual: $14,176.75 Total: $1,765,300.22 Page 5 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (816) 313-6300 or www.evpsys.com. (Revision 7.3.1) GCV.PRB � History � Preferred Stock Channel Page 1 of 2 _ _____ _ __ _ _ _ __ _.___ . _ ____ _.__ .. _ _ __ _ __ _ . ____ like �Videos �Canada '�Dividends �Energy �EfFs �Metals �Portfolios �Preferreds �Options �OLI �Forum _.._� __--- ---�- --- � __Y-- __..__.._. ��:-� i � � ..�. f: • a i i ��)' • � '�'..'.�. �(� ' '♦ - ����. � �. � .. . �. . ♦ • • . .. �F fREE TRADES ANO t1P'� , Does vour financial advisor hate our quts?Find out now! � P���� �tc�c�c Chan ne1 Enter Preferred or Common Symbol Get Quote&Information .� � . ... .. � � �� . � S�I�I�k".���€� THE NWiREN � m w „ [AY4SLp� �NEX DOOR � I HOME I ARTICLES � PREFERR£�EX-OIY CALENDAR � 5&P 50Q PREFERRERS ( PREPERRED STDCKS BY INDUSTRY I PREFERRED STOCK SCREENER 3 j ' ( bS� � �� I ' •Historical quote for GCV.PRB on 10/24/2013 �� � ` Date Open Eligh L.ow C:lose Volume 10/24/2013 24.99 24.99 24.9 24.95 9 � " Enter symbol: GCV.PRE Select date: �an w 24 � 2013 � � , � Private-label branded pages powered by TickerTech.com. ��r� Copyright�2014 Ticker Technoloaies,Ail Rights Reserved. Quote data is at least 20 minutes delayed.NYMEX data is ffi least 30 minutes delayed.Please read other important disdaimer information. � Best Dividend Stocks d i v i d e n d s.w y a ttre s e a... 5 Stocks That are Cash Machines for Retirement.New Free Stock Report. Buy Penny w Stocks Best Dividend Stocks 2014 � 15% Annuity Returns Today's Highest CD � Rates GCV.PRB�History�Preferred Stock Channel�www.Preferred5tockChannel.com�Copy�ight m 2011-2014,All Rightr Reserved Nothing in Preferred Stock Channel is intended to be investment advice,rwr does it represent the opinion of,counsel from,or recommendations by BNK Invest Inc.or any of its affiliates, subsidiaries or partners.None of the information conUined herein constitutes a recommendatlon that any particular security,portfolio,transacdon,or invesGnent stra0egy is wi�able for any specific person.All viewen agree tha[under rw circumstances will BNK Invest,Inc,.itr subsidiaries,partners,officers,ertiployees,affitiates,or agen�be held liabte for arry loss or damage caused by your reliance on informatlon ob4ined.By visiting,using or viewi�this site,you agree to the follaving Ful(Disdaimer&Terms of Service.Video widget and dividend videos powered by Market News Video.Quote data detayed at teast 20 minutes;datn oovrered bv Ticker Technoloaies,and Mergent.Contact Preferred Stock Channel;Meet Our Editorial SUff. http://www.preferredstockchannel.com/quotes/?a=historical&ticker=GC V.PRB&month=l... 2/17/2014 _ _ _ _ _ __ _ _ _ _ GCV.PRB � History � Preferred Stock Channel Page 2 of 2 __ ---____ _ _ � __ . ___ _ _ __ ___ �Videos _.... _._ �Canada �Dividends �Energy �EfFs �Metals �Portfolios �,�Preferreds �Opnons �OLI �Forum http://www.preferredstockchannel.com/quotes/?a=historical&ticker=GCV.PRB&month=l... 2/17/2014 GDV.PRA � History � Preferred Stock Channel Page 1 of 2 _ __ _ _ __ _ _ . _ _. __ _ _ . _� __�_ _ _ _ ,...... ,. -. i...... i_... E ,,__ �ike �Videos p Canada ;,�Dividends �Energy �ETFs �Meta(s �Portfolios �Preferreds ,,.�+ Options u OLI �Forum ...-----— ----�...r_ _`�— -- _--_— � Trade free fcfr b0 days. ��-r�A°E Plus �et up to ����. �yeah! ���s� '' ' �' . .fa:� Your financial advisor ma hate our uts.Find out wh ! .� Rn�f�r� Stack Ghannel Enter Preferred or Common Symbol Get Quote&Information .. . .. . . . . ���� S��T�� � £� �THEUWRREN � W Y E n Y 4�3 t 8 t � BUFFE77S , , ,,, NEXT DOOR ( HOME � ARTICLES � PREPERR£6 FJC-DIV CAIENDAR � S&P 500 PREFERREDS � PREPERRED STOCKS BY INDUSTRY � PREFERRED STOCK SCREENER � C����� � � , � � (R ���° •Historical quote for GDV.PRA on 10/2M2013 �� j � � .� �� T)ate Open ICigh I.ow Close 1'olume ]0/24/2013 24.87 24.99 24.87 24.9 20 Enter symbol: GDV.PRP Select date: �an �, 24 � 2013� � . ... _.. _,._;. ......... ��. . i BP T@dm U5A Private-label branded pages powered by TickerTech.com. - Watch i.olo.lonas telk aboui her Quest for Orympic Copyright�2014 Ticker Technoloaies.All Rights Reserved. Gbry�'� '� _: by BP on You utie Quote data is at least 20 minutes delayed.NYMEX data is ' ' " " '"" ' ' ' at least 30 minutes deiayed.Please read other important disclaimer information. �' (Best) CD Rates 4.15% APY cdrates,bi Iiza ppers.c... Earn 4.15%APY On CD'sToday.(12 Month Term orLonger Required) 15% Annuity Returns Today's Highest CD W Rates Today's Best CD Rates The 1 Energy W Stock - 2014 GDV.PRA�History� Preferred Stock Channel�www.PreferredStockChannel.com�Copyright m 2011•2014,All Rights Reserved Nothing in Preferred Stock Channel is Intended to be investment adWce,rwr does it tepresent the opi�ion of,counsel from,or recommendations by BNK Invest Inc.or any of its affiliates, wbsidiaries or partriers.None of the information conWi�red herein constitutes a recommendation that any particular security,portfotio,transaction,or investmerrt sVategy is wiWble for any - specific person.All viewers agree that under ra circumstances will BNK Invest,Inc,.fts subsidiaries,partners,officers,employees,affiliates,or agents be held liable fw arry loss or damage caused by your reliance on information obWined.By visiting,using or viewing this site,you agree to the followi�Full Disdaimer&Terms of Service.V(deo widget and dividend videos http://www.preferredstockchannel.com/quotes/?a=historical&tickeY=GDV.PRA&month=l... 2/17/2014 GDV.PRA � History � Preferred Stock Channel Page 2 of 2 poriered by Ma�..t_�o�����h3��� ' aErt�1s�0�� �t�lie�q�-�-" .._..TicN�yT .._._. o ie-�i��T�t•..Co="aU rzferie Sta-'�-_ •M , itor�'`S�f.m �'17� .y:l ':�� V'dl � .�1 ..rs4 aAE ��'�''�.-� http://www.preferredstockchannel.com/quotes/?a=historical&ticker=GDV.PRA&month=l... 2/17/2014 Page 1 of 2 F�n°ance Home N�y�'ortfolla°��SMarke�'�'a`ta ��ompany NewseS Ec�'onomic News wers Personaf`�inance°k� Ya�'PiooPOri�ina�'se CNBC .F.nter SYmbG ���._ Tue,Dec 3 20t3.�.cip�r!E5T-US�tarS����=_in i hr arMa�mins Dow i0.7i%Nasdaq�30.34% �' ��„�.,,;� �FR�� _:. . 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"� -`> Trade; `�j llwrriteraM�a � C�kTRROC S[CVRIfI[S LLC �� �� Riverview Financial Corporation(RIVE)-on,er orC *Fonow Add to Portfolio Like 1 p �/�`�a� s hn- 1 O.00 �t 0.58(6.16%� 1:33PM EST �y� �� Historical Prices Get Histodcal Prices for: null GO Set Date Range G Daily SWrt Date: Oct � 20 2013 Eg.Jan 1,2010 ('Weekly End Date: Oct � 31 2013 � Monthly C'Dividends Only GetPrices �b. �"�''�� Firs1�Previous�Nezt�Last .................._............_.........._............__..._.........._............................................_............._................----...._........................__...._........_._............................................................................................................_.........................................; i Prices Date Open High Low Close Volume Adj Close• Oct 31,2013 10.28 10.28 10.28 10.28 0 10.28 Oct 30,2013 10.28 10.28 10.28 10.28 200 1028 Oct 29,2013 10.30 10.30 10.30 10.30 200 10.30 Oct 28,2013 10.25 10.25 10.25 1025 0 10.25 ' Oct 25,2013 10.25 10.25 10.25 10.25 0 1025 ' Oct 24,2013 10.25 1025 10.25 10.25 0 1025 Oct 23,2013 10.25 . 10.25 10.25 0 10.25 Oct 22,2013 1025 1025 1025 10.25 400 10.25 � Oct 21,2013 10.25 10.25 1025 10.25 0 10.25 � Oct 18,2013 1025 1025 1025 10.25 0 1025 'Close price adjusted for dividends and splits. f ��� � First�Previoi.s�N2xt�i.ast !�`tDownload to Spreadsheet Currency in USD. 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PunAamental campam dato prev�d�'J by Gapitai IG.F;isharicr:i;;ha^data and daity upcfz�tes providea by�o,r.modiiy Systems.mc.iG51; Intematinna(hisioncal c:i7art CaEa.daily u�?dat�:s.funtl summary,�nd�rfannranca:rlividend data and tAomincstar Index dxta provide.t by iy':orrunystar.Inc. http://fmance.yahoo.com/q/hp?s=RIVE&a=09&b=20&c=2013&d=09&e=31&�2013&g=d 12/3/2013 Estate Valuation Date of Death: 10/29/2013 Estate of: Estate of Ruth W. Schriver Valuation Date: 10/29/2013 Account: Morgan Stanley IRA Processing Date: 12/03/2013 Report Type: Date of Death Number of Securities: 3 File ID: Schriver - IRA Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 1) 12000 CSFB MTG PTC 2004-B (22541SV62) Interactive Data Corporation Mat: 12/25/2034 5.500� Fact: 1 10/24/2013 98.12670 Mkt 98.126700 11,775.20 Int: 10/O1/2013 to 10/24/2013 42.17 Int: 09/O1/2013 to 09/30/2013, payable 10/25/2013 55.00 2) 1333.206 AMERICAN BALANCED FD (029071102; ABALX) CL A Mutual Fund (as quoted by NASDAQ) 10/24/2013 23.52000 Mkt 23.520000 31,357.01 3] 610.475 INCOME FD AMER INC (453320103; AMECX) CL A Mutual Fund (as quoted by NASDAQ) 10/24/2013 20.30000 Mkt 20.300000 12,392.64 / Total Value' 555,524.85 Total Accrual: $97•17 Total: $55,622.02 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 (816) 313-6300 or www.evpsys.com. (Revision 7.3.1) 12/03/2013 11:17AM FAX 17177377491 CRYSTAL HACSET"T CPA � 0001/0002 Susquehanna Bank Date 11/08/13 Page 1 Primary Acct � 1110793409 >Q09781 367335b 0001 09Z158 10Z Enclosures RUTN W SGHRIVBR � . 110 BERGNER ST HARRISBURG PA 17120 N 0 0 c � ^a 0 � m 0 0 .� O � w 0 0 'Visit us on Fa�ebook to view the stellax Deed of the bay! � It's something sfaiple you car� do to spread gaodwill this holiday season. � AND, we'll donate to local food banks when you liita, share or comment on a post. m � � a »» S U M M A R Y 0 F A C C 0 U N T 3 «« �-- -•--•— ...__. �_.....__ . .. ._ . ACCOUti'P NUMBER END2NG BAY.ANCE 1110793969 RELATIONSHTP GHECKING 100,711.01 ' 1110793A20 P040ER SAVINGS 31,997.96 »»»?»»»»»»> C H E C K I N G A C C 0 U N '� S [<C{«««<[tt««« ACCOUNT 1'ITLE: RUTH 90 SCHRTVER ' RELATIONSHIP CHECKING Account Numioer T110793909 5tatement Dates 10/49/13 thru 1],I11113 Previcus Balance 11b,549.23 Days ir, 5tatement Period 34 2 Deposits/Credits � I,199.T9 Averaye Ledger 101,963.26 3 Checks/D�bits 11,05A.09 Average Co�1eeted 101,9$3.26 Service Charge .00 interest Earned 16.68 Interest Paid 16.�8 Anaual Percentage Yield �arned O.IB$ Ending Balance 100,711.01 2013 Inter6st Paid 130.09 ' DEPOSIT$ AND CREDITS Date Desaription Amount ReFereace 11/O1 United of Omaha DTRECT PAY 275.09 OI9943139 ePF 5470322111 11/O1 SSA TREAS 31U 2QCSOC SEC 929.1d U05176415 - pPD 9031'I36026 lI/lI Interest Deposf t 16.68 iQiTHDRAWAI.s ANp DESITS Date Description Amount Reference 10/15 ASB 37.6Z 0000012973 10,77n.24- 053159724 PPD 1521852577 11101 CAPITRLSLUECROS5 INS. PREM 220.05- 0069Q9742 PPA 1230955159 11/05 AVALON IN5 INS. PRF,M b3.80- 00019B590 pPD 1230955259 � I 12/0�/2413 11:17AM FAX 171773774�1 CRYSTAL HACKETT CPA � 4Q02/0002 Susc�ueharrna Bank Date 11/06/13 Page 2 Primary Acct � 1110793409 Er,closures RuTS w scH�zvER ' � � 110 BERGNER' ST• `'. . . . ' . • . '• FiARRISBURG 'pA'•T7•1�10. �. .•. . . , o 0 . � r � , o a � • ' O • . . . . .. r m . . . . . o n 0 c � RELATIONSHiP CHECKING 1110793909 {Continuedy o M � M . w� M1 � m r+ SUMMARY OF DAILY BALANCES m Date Balance Qate Balance Date 8alance ° •- 1a/09 - •..,-.....,_..---•11-0,�`4������,!0� •- • - --100,758.13 11.�13. -•-------�Q.Qy.211..d1 _ 10/15 99.778.99 11/OS 100,694.33 ***i�**ir,t*,tir##t1r*+t********�**,t*+rrw*ww�rt**wrrrrwxww*w*i�*x*******t***,r,t#r�++�******* »»»»»»»»»»> S A V I N G S A C C 0 U N T S ««««««[<[<¢«<[ ACCOUNT TITLE: RUTH DP SCHRIV£R POWER SAVINGS Account Namber 1210793420 Statement Dates 10/09/13 thru 11/ll/13 Previous Balance 31,983.99 Days in Statement Periad 34 � � Deposits/Credits .DO Average Ledqer 31,983.49 . �Pithdrawals .00 Average Callected 31,963.49 Service Charge .00 Interest Earned 9�47 � Interest Paid A.97 Annual Percentage Yield EarltetJ 0.15$ Ending BalanGe 31,987.96 2013 Interest Paid 44-13 DETAIL TRANSACTFONS BY DATE Date Description Reference Amount Salance 11111 Interest Deposit 4.47 �1,987.96 If yau have qucstians regarding youi accoimt(s), please contact us at�: ' 5U5{�l�[iANNA BANK, 9 E. Main Street, P.O. Bax 3000, Lititz, PA 17593; (800)311-318Z; pR visit our Web sita at wwhr.susqeiehanna.net. Membet FDIC � MORROW F AR RA R J E W E L E R S NAME/OWNER: Estate of Ruth Schriver 100 Pine Street Harrisburg,PA 17108 DATE OF APPRAISAL: April 11,2014 PURPOSE OF APPRAISAL: The reason for tlus appraisal is to grade and estimate the value of this jewelry for Fair Market Value. The value of the property is the price at which such property would change hands between a willing buyer and a willing seller, neither being under any compulsion to buy or sell,and both having reasonable knowledge of relevant facts. The value of a particular item of property is not the price that a forced sale of the property would produce. Nor is the Fair Market Value an item of property the sale price in a market other than that in which such item is most commonly sold to the public, taking into account the location of the item wherever appropriate. Because the grading was done in the mounting, all grades and measurements are estimated to the extent the mounting allows using GIA standards and measurements. 1. ITEM DESCRIPTION: This diamond solitaire engagement ring is stamped 14KT two-tone gold and has the hallmark ��Keepsake'. The round brilliant cut diamond is in a four prong white gold setting with a yellow gold shank. The ring is a size 51/z. ITEM EVALUATION: This round brilliant cut diamond measures an average 6.26 mm and weighs .86 CT. The table measures 4.0 mm and is 63%. There is a medium to slightly thick girdle and no fluorescence. It is VS2 (Very Slightly Included 2) in clarity and G (near colorless)in color. The ring weighs 1.45 DWT and has worn prongs and a thinning shank. FAIR MARKET VALUE: $3,439.00 2. ITEM DESCRIPTION: These two wedding bands are stamped 14KT yellow gold. One has the hallmark ��Keepsake" and measures 4.0 mm. It weighs 2.35 DWT and is a size 51/a. The other band has the hallmark"Artcarved" and measures 1.6 mm. It weighs .80 DWT and is a size 51/a. FAIR MARKET VALUE: 4.0 mm band-$82.57 1.6 mm band-$28.11 3750Mnnx�zS�7' ♦ C.�fPHrtc, PA17011 ♦ www.morrowfarrar.com ♦ 71 7-73 7 5808 - _ _ _ _- - _ . _ Page 2-Estate of Ruth Schriver 3. ITEM DESCRIPTION: This dentrite crystal ring is lOKT yellow gold and in a bezel setting. The marquise dentrite crystal measures 19.0 mm x 6.0 mm and is green in color. The ring weighs 1.3 DWT and is a size 51/a. FAIR MARKET VALUE: $35.00 4. ITEM DESCRIPTION: Tlus coral ring is 14KT yellow gold. The oval pink coral is in a bezel setting and measures 12.0 mm x 5.0 mm. The ring weighs 1.85 DWT and is a size 71/�. FAIR MARKET VALUE: $70.00 5. ITEM DESCRII'TION: This synthetic blue star sapplure ring is lOKT yellow gold. The oval star sapphire is in a four prong wrap around setting and measures 5.0 mm x 7.0 mm. There is a prong set.03 CT melee accent diamond on one side. The ring weighs 1.7 mm and is a size 71/�. The bottom of the shank is very thin from wear. FAIR MARKET VALUE: $68.00 6. ITEM DESCRIPTION: These two onyx rings are lOKT gold. There is a white gold rectangular onyx ring measuring 12.0 mm x 9.0 mm in a half bezel setting. It weighs 2.0 DWT and is a size 71/z. The other oval onyx ring is prong set and the stone measures 16.0 mm x 12.0 mm. It weighs 1.8 DWT and is a size 71/a. FAIR MARKET VALUE: Rectangular ring-$55.00 Oval ring - $50.00 7. ITEM DESCRIPTION: This heart shaped locket is gold filled. It has a round blue synthetic stone in a prong setting. FAIR MARKET VALUE: $5.00 8. ITEM DESCRIPTION: These three rings are lOKT yellow gold. There is a masonic ring with the hallmark��U.E.C. PAL" weighing 3.95 DWT and it is a size 10. The signet ring has the monogram��JES"and weighs 3.65 DWT. It is a size 111/z, There is a baby signet ring engraved with an "S". It weighs .55 DWT and is a size 3. FAIR MARKET VALLTE: Masonic ring- $94.00 Signet ring- $91.00 Baby signet ring-$14.00 Page 3-Estate of Ruth Schriver Gold price @$I,292.00 on April 14, 2014 DISCLOSURE: I have no financial interest in this jewelry nor do I anticipate any. The fee for this appraisal was not contingent upon value and reflects our normal and customary fee schedule. These estimates reflect our opinion of the actual Fair Market Value. � ����� Jill Mo r w, GG (GIA) AM-ISA Accred t d Member- International Society of Appraiser � 3 A.ay�'e�Ytx q7 �'��.� 5, � ��Y Y�t7�ttd'''�`ig'. � u°����r��� � ������ �� �r t.`�-u a.�°�r. . -e �i ,� �y,'}��. 'S �. w� � �. W. ,. . . .., . .� n, f .'�. .. . , ... �:-.: .,.�.n ..�. a �:. % 3 y{ i'4° ,; . .- . � � �- . �� ` ,��: . .. _. �i.tt � y��yc�,.� . M� �r �F {�'. . . _ 3.. 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