HomeMy WebLinkAbout06-30-14 J 1505610105
REV-1500 EX�02_��,�F�, �
PA Department of Revenue pennsylvania OFFICIAL USE ONLY
Bureau of Individual Taxes �`""�"`"�°`"`°`""` Counry Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN - - -
Harrisbur PA 1 i28-0601 RESIDENT DECEDENT �--� �� � � �
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
190-12-8712 03/11/2014 10/28/1923
Decedent's Last Name Suffix DecedenYs First Name
MI
DeBrunner Agnes
M
(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
� 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)
O 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
O 9. Litigation Proceeds Received O 10.Spousal Pover[y Credit(Date of Death O 11. Election to Tax under Sec.9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name
Daytime Telephone Number
Charles DeBrunner (717)805-3843
c� Q
REGISTE ;:�F�MV�LLS USE 6(3LY .°'? C�
•.7 '�� � C7
First Line of Address t r� ;�? ,�,,, y ��
� _..
2312 Valley Road �`�" ',1 `��
_ c�
�.-; o ,;�
Second Line of Address � , � ��
. .. . .. . . . . . .. . ,.l , 1 � ' � ..�.,y
.)
, ,� r�_� �; � •+�
City or Post Office State ZIP Code ` 'DA FILED ►-_. -- C`a
_yT `µr F.i`1
Harrisburg PA 17104 �' � r.n p
�
CorrespondenYs e-mail address:Ch II@ brunner m2il.COm
Under penalties of rjury,I re that I hav e m ned this return,including accompanying schedules and statements,and to the best of my knowledge and belief,
it is tru , rrect a com et .Declaration epa er other than he personal representative is based on all information of which preparer has any knowledge.
SIGN TU E OF R O ES NSIBL OR FI ING RE RN
DATE
ADDRESS
06/04/2014
2312 Valley Road, Harrisburg, PA 17104
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
� 1505610105 15056101�5 J
�
J 1505610205
REV-1500 EX(FI)
Decedent's Social Security Number
Decedent's Name: D@BfUIlf1C'f, Agnes
RECAPITULATION
1. Real Estate(Schedule A). . ......... .. ...... ........ ........... ..... .. 1.
2. Stocks and Bonds(Schedule B) .... . ... .. ... ... ..... ... ... .... . ..... .. 2. _ _
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) .. . .. 3.
4. Mortgages and Notes Receivable(Schedule D)... ........ ... ........
... .. 4.
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E)... .... 5. ' 8,364.03
6. Jointly Owned Property(Schedule F) O Separate Billing Requested .. ... .. 6. 4,119.99
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested.... ,. .. 7.
8. Total Gross Assets(total Lines 1 through 7).... ........ ... . 12,484.02
.... ..... ... 8.
9. Funeral Expenses and Administrative Costs(Schedule H). ... .. 5,337.52
.... ..... .... 9.
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)... ...... .. .... 10. 4,905.06
11. Total Deductions(totai Lines 9 and 10)... .... . ... .. ... ... .... . .. .... ... 11. 10,242.58
12. Net Value of Estate(Line 8 minus Line 11) ... .... . .. ... ..... 2,241.44
. ..... ... ... 12.
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which - - -
an election to tax has not been made(Schedule J) .. ......... . ....... ..... 13.
14. Net Value Subject to Tax(Line 12 minus Line 13) ........ ... 2,241.44
.... ........ 14.
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(1.2)X A_
15.
16. Amount of Line 14 taxable -
at lineal rate X.0 4�` 2,241.44 �g. ' 100.86
17. Amount of Line 14 taxable
at sibling rate X.12 17.
18. Amount of Line 14 taxabie
at collateral rate X.15 �$
19. TAX DUE ..... .. . ... ........ .. ...... .......... .. . ..... ... ..... .... 19. �00.86
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
O
Side 2
� 1505610205 1505610205 J
REV-1500 EX(FI) Page 3
File Number
Decedent's Complete Address:
DECEDENT'S NAME
Agnes DeBrunner
-- - _
__ -.
STREET ADDRESS - ___ __ _ _ _ __ ___ __ . _
-- -- _
_ _____..
325 Wesley Drive
CITY _ _ _ __ _ _ _
Mechanicsburg srATE _ I ziP _ _
PA 17055
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19)
2. Credits/Payments ��� 100.86
A.Prior Payments
_ __ __ _ _ _ _____
B.Discount 5.31
3. Interest Total Credits(A+g) (2� 95.55
4. if Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (3�
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) 95.55
Make check payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did tlecedent make a transfer and: Yes No
a. retain the use or income of the property transferred.......................................................................................... � ■
b. retain the right to designate who shall use the propeRy 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 tleath?.............. ❑ �
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 suroiving 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 antl
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 deceasetl 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 imposetl on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)).
• The tax rate imposed on the net value of transfers to or for the use of the decedenYs siblings is 12 percent[72 P.S.§9116(a)(1.3)].A sibling is defined,
under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
REV-15o8 EX+(o8-1z)
� pennsylvania SCHEDULE E
DEPARTMENTOFREVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF:
DeBrunner,Agnes FILE NUMBER:
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION VALUE AT DATE
OF DEATH
1. PNC Bank Premium Money Market Account '
597.03
2, Prepaid Funeral Trust
7,767.00
TOTAL(Also enter on Line 5, Recapitulation) $ 8,364.03
If more space is needed,use additional sheets of paper of the same size.
REV-isog EX+(01-10)
�• pennsylvania SCNEDULE F
DEPARTMENT OF REVENUE
INHERITANCE TAX RENRN 70INTLY-OWNED PROPERTY
RESIDENT DECEDENT
ESTATE OF:
DeBrunner,Agnes FILE NUMBER:
If an asset became jointly owned within one year of the decedenYs date of death,it must be reported on Schedule G.
SURVIVING JOINT TENANT(S)NAME(S) ADDRESS
RELATIONSHIP TO DECEDENT
A�Charles DeBrunner 2312 Valley Road, Harrisburg PA 17014 Son
B.
C.
JOINTLY OWNED PROPERTY;
LETTER DA7E DESCRIPTION OF PROPERiY
ITEM FOR]OINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SiMILAR DA7E OF DEATH DECEDENT'S DAVAWE OFTH
NUMBER TENANT JOiNT IDENTIFYING NUMBER.ATTACH DEED FOR]OINTLY HELD REAL ESTATE. VALUE OFASSET INTEREST DECEDENT'S INTEREST
1. A• '01/17/13 PNC checking account#5113729247
8,239.97 50 4,119.99
TOTAL(Also enter on Line 6, Recapitulation) $ 4,119.99
If more space is needed,use additional sheets of paper of the same size.
�cv-�s�1 �x�+ �oa-�j;
� �� � pennsylvania SCHEDULE H �
, DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OP
FILE NUMBER
DeBrunner, Agnes
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION
A• FUNERAL EXPENSES; AMOUNT
1� Death Notice
256.52
2� Certified Death Certificates
60.00
3. Clegy Honorarium
200.00
4. Organist Honorarium
135.00
5� Flowers
276.00
6� Coroner's Fee
30.00
�. Post Memorial Reception 500.00
B. ADMINISTRATIVE COSTS:
1• Personai Representative Commissions:
Name(s}of Personal Representative(s)
Street Address
___ ----- _—
City _
— -- -- --- -- —___ _
— ___ ___________ tate ZIP
Year(s)Commission Paid:
z• Attorney Fees
3• Family Exemption: (If decedent's address is not the same as daimant's, attach explanation.)
Claimant
Street Address
City ___ _ State ZIP _ _
Relationship of Claimant to Decedent
4• Probate Fees:
5• Accountant Fees
6• Tax Return Preparer Fees
7.
TOTAL(Also enter on Line 9, Recapitulation) $ 5,337.52
If more space is needed, use additional sheets of paper of the same size.
R�v-1s�� �x+ �c��-rs�
�� SCHEDULE H
� �. pennsylvania
DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
INNERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE Of FILE NUMBER
DeBrunner, Agnes
DecedenYs debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A• FUNERALEXPENSES:
L
8. Register Book 135.00
9 Cremation and Memorial Service 3,745.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions
Name(s)of Personal Representative(s) _____
Street Address__.
Ciry _— -- __ ___ State ZIP
Year(s)Commission Paid:
Z• 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
4• Probate Fees
5• Accountant Fees
6• Tax Return Preparer Fees:
7.
TOTAL(Also enter on Line 9, Recapitulation) $ 5,337.52
If more space is needed, use additional sheets of paper of the same size.
RrV'S:i2 EX+ :,+?.i:
`' � � pennsylvania SCHEDULE I
DEPARTMENTOFREVENUE DEBTS OF DECEDENT�
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF
fILE NUMBER
DeBrunner, A nes
Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses,
ITEM
NUMBER DESCRIPTION VALUE AT DATE
OF DEATH
1' Medical Expenses
602.03
2. Room and Board 3,225.67 '
3. Personal Care/transportation 1,063.25
4. Telephone 14.11
TOTAL(Also enter on Line 10, Recapitulation) $ 4,905.06
If more space is needed,insert additional sheets of the same size.
r . ._ ,.. .... .. ..:--: ..,, ......
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�--�..
LAST WILL AND TESTAMENT I
i
OF
AGNES M. DeBRUNNER
I
I
I, ANGES M. DeBRUNNER, of the Borou�h��,;�r�'�y.-�:Co�nt;y, . .. .
of Lycoming and Commonwealth of Pennsylvania, hereby make,
!
i
publish and declare tnis as and ior my Last Will and
_ _ ..W�«:.�.. � ��.�; ,.,ti
:.
L4 y
Testament, hereby revoking any and all `Wills�'o�„�;Codi`c"��w �n��`�,+.� ;,
at any time heretofore made .
I .
I direct that all my funeral expenses , administrative
expenses and inheritance taxes be paid as soon as convenient
after my decease .
II .
I give, devise and bequeath all the rest, residue and
remainder of my entire estate, whether real , personal or mixed
property and wheresoever the same may be situate to my beloved
son, CHARLES L. DeBRUNNER, JR. , of East Berlin, Pennsylvania,
or if he fails to survive me to his issues, per stirpes,
� � III . � � �_,
Should any person e�ntitled to receive distribution
under this Will not have attained the age ot twenty-two ( 22 )
years , tha� person ' s share shall be held in Trust by the
Trustee hereinafter named. IN SEPARATE TRUSTS , for the
�Y: ��"r!�t�- ��i?%?�;� ^;.:� ,�z��
gnes M. eBrunner
I
I
;_� ����. � ��
• � __, _,
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: �,
� 1'� �x R s.%�. i.� 'J' .f..£ P< M '�.�,�'.�'2 .S .
.p 7� -_4Y�"�3u�' ?,�.tS�.��X�:'�.
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benefit of that person, PROVIDED HOWEVER, that the Corpus may
be kept or invested together for the convenience of the
administration by my Trustee, upon the following terms and
conditions and for the following uses and purposes :
A. Trustee shall accumulate the income therefrom for
and during the term of the Trust.
s . As much oi income, accumulaLed inco�e azad pran+cipal ;
, :, _' `�t:, +a � �cu
.,
� � : .: m Y ��,���
: ,�^. z�zw.
z
. '• .. j .. � � ,., , a�`,; �r ,
o=f� thi-s �� Tr:us��� ���-a5- Tr'ustee ..�•in h��S ,��
time to time think advisable or necessary for the medical
needs , support, maintenance, welfare and education of said
person including education at primary, secondary, and
institution of higher learning or at a graduate or post-
graduate school or college including trade or vocational
schools .
C . When the beneficiary of any Trust established
hereunder attains the age of twenty-two ( 22 ) years , or at his
death before attaining that age, the beneficiary ' s Trust shall
terminate and the remaining principal and any accumulated or
undistributed income sna11 be discributed to tiie benei,icia,r�.�. _�
and in default of any such surviving issue; such fund sl�ali be .y'�'�''``"
distributed unto the surviving persons entitled to receive
distribution of my residuary, estate as heretofore provided.
D . In the event tangible personal property comes into
the hands of the Trustee through any source, it is my
B Y: � ( ��! ,�-:�, //i�J r��: ��Ca���.;.,�.�-,� �
�:�gnes M. DeBrunner
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+F� � ' _ ..�^°5.�3'` �' �3 y d �rr; ns€S: ��.a. �s �i'�"��i,
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dire
ction that where pos�sible the Trustee retain said items in �
kind for the benefit of the beneficiary and make the same
available to the beneficiary durinq the term of this Trust or
upon its termination.
�„ The Trustee of any Trust herein created shall have
the power and right to make a distribution to any other Trus
i
z -a� � �i 3.���..�ii'. �&'��
1I1 2X1�LcZ2Cc TtJ?" Ll22 �.�`�~:—?L +.. �--- =""� „r �-<.-
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- �"`.," a - �':,'a.', a . ' .. . . . .� �..�., , ...
sub
stantially similar to the same purposes as set forth
herein. This right shall be discretionary in the Trustee and
shall not be obligatory or mandatory in any way, provided that
if distribution is so made by the Trustee, the Trustee shall
have no further responsibility to the beneficiary or to any
other person on account of making such a distribution, even if
the effect of such distribution is to terminate this Trust.
F, Should the principal of any Trust herein
established for be or become too small in the Trustee' s
discretion so as to make establishment or continuance of the '
`T'ZLSLe2 O"" �Y �
rSOi2d.� S2�T�S�.L3�.3-'fT2 .
Trust inadvisaDle. �y t
� di��r�-ib�t�o�� e����� :T�� � m � �� '.
�.�.. :�"`'`°�'4 . . ;�aiay °�'"�inalte >i�aec��at�e � .: �. .. , �. .��,. . .,..,
' al and any accumulated or undistributed income outright
pr�.nc�.p
to the person or persons and in the proportions they are
entitled to income . This right of termination shall not applY
if the result would be to cause a distribution to a minor of
,� � �=� �
BY: >G _�� y,: �J� , )�1 �,� �,,�;. ��,�
� Agnes M. DeBrunner
�
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�': ^r s ". y° asr'a�;i
�. . n a��'� {.�du' . . '' �`�� '�T �:� r, _ ,;:j.��.. :� � .uc4.,s.�� ��i'���
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��.x ���� � '`�' � �, , �, � � nx .
,:c 9" �'��r nv� 9'.a�. «r � .�� �.fYx�r.`s' e�'1.�� e+� I
.,�' '- a"',s' (�. '� a e��91 i _ a r �r -�3`$..�����i1t,� �` �r �� ���
. . � . .. - �v r 1' ,a'r�`'�•r ��F�'�c�'� � ,�,�r(y> �-�.
. ,,�t� I�i�'
.. . � . � � . .. . } 'f:'�«
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an amount in excess of the amount which may be�paid or !
�
�
delivered to the minor or another on the minor ' s behalf �
i
without the appointment ot a guardian or other fiduciary or '
the delivery of security. Upon such distribution to a minor, �
the Trustee may deposit the sums in a bank account or
certificate of deposit in the name of the minor as Trustee in
i
i�s sol: ci��cTe���x �i�� ��5�-c���.�_
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.. . _ . � . � e a� ;, � ..
Any fiduciary acting under this Will shall have the
following powers in addition to those vested in tl�em by law
and by other provisions of this Will , applicable to any
property, principal or income, including property held for
minors , exercisable without court approval and effective until
actual distribution of all property .
( 1 ) To retain any asset of my estate without liability
and to invest and re-invest in any kind of property,
including common and preferred stocks , common trust
funds , mutual investment funds , and real estate without
being restriCL2C� co c'�sses oT inves���ts pr�c��.be+c�,
� • .� or authorized for "Trustee b M's�-�,�ut.ee��f �y;`.�� � ,�,r��,,� :, a.
.�,.,�, g:
- "� trZ� °�
any jurisdiction;
( 2 ) To manage, mortgage, pledge and sell or exchange
by public or private sale, on any terms , and to lease
without limit as to term, any real or personal property
BY: �; ��/� �>, "7,?i �L-� ,��-�.;�.;�,�;v-z
� 'iAgnes M. DeBrunner
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S q"7�f7r �Apt�� �se�� 4;K�:'�, x.�,;��� k _ y� � ����[�'�i�.'� k-:�1'n.�' ... .«
) n �.� +�r°" 2 �` '"t�µ . ���a .
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and to gzve bindin� F'optio�s ;=rwr��eru�� � _ �� �=
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repudiate the same in favor of better offers ;
( 3 ) To hold any property in the name of a nominee or �
to hold it unregistered in such form as to make title
pass by delivery;
( 4 ) To compromise claims without the necessity of
court apc�roval; `
,t._ � f��� �:,� ;��� ,�,"�.
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�.;h � ,.:n!"'L.�..)�z..::.r � .- _,_ . , . K ,tr�` �a, F��. k „ � � . _ -
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( 6 ) To borr'ow mone�y" wfi`enever d`e-eme �rc-a�-��i
person or institution to facilitate renewal or payment
of any debts due by me and to raise money for the
purpose of paying taxes , costs of administration, and
other purposes ;
( 7 ) To vote in person or by proxy all securities held
hereunder;
( 8 ) To receive proceeds from any life insurance
company for which I might name this Trust as
beneficiary without the necessity of court
administration over such funds or recezvi.ag �e�
ul r ougb �sy gxecu u�c- ; , , ° ' `
h �� .�
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V.
I nominate, constitute and appoint my sister, BESSIE
RNILEY, of York , Pennsylvania as Trustee of any Trust created
under this will .
� � ��
BY. '�� �� � � i �i,
gnes M. DeBrunner
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ek.�1 �� -���M�� Sti��"h.,� 'A"�.s�„ ^Ga' Z a6 Y� µ�'1 ���L ����Si'� '�`� �.3 3,� Y�
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4 I nominate, constitute and appoint my son, CHARLES L.
DeBRUNNER, JR. , of East Berlin, Pennsylvania, as Executor of
this my Last Will and Testament. In the event of vacancy, I
then nominate, constitute and appoint my sister, BESS RNILEY,
oT York , Pennsylvania, as Executor of this my Last Will and �
_ "
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IN WITNESS WHEREOF , I , AGNES M. DeBRUNNER, have
,4�t�
hereunto set my hand and seal this /�-� daY °f
-- , 1995 .
.,
r.
4�l(�t��ti^ �� �k�-'����„����-� � SEAL)
i�gnes M. DeBrunner
Signed, sealed, published and declared by AGNES M.
DeBRUNNER, Testatrix, as and for her Last Will and Testament,
in the presence of us , who at her request and in her presence
�
and in the presznce of each oLher, ��Ve ���ei��O S��Z���
�, � � � � �
;s' *�`�, �����a�'��; � � '':,
• ''� 011r n`ames 3S W3�l�SS@S;, . ",,��.�,�.r ,���.k* . ` .
,_ � �,
��%���� � residin at 213 Charles Road
% ;�-��'�'� %��''"�' g Muncy� PA 17756
� . -' , ,
j�� / % residing at 501 Rear South Main St.
��.�,-�t,�/ %%;%; /,��i�-�l`e Muncy , PA 17 7 56
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� �, �, -��. � s ti� �� �n�,� � �a��` �� � n� that igned and
.
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�n '�L t � :��:�n�.� �d,f�l�:� �. N� �� ���. .
555�,,,�����,�,�, ��^����"�':��� � '�` ` '�' the instr�t` `as� ' my �;a.s�x �7ZI3:; that I s igned it
� �K ��� ,5� y� � �.:Y� . . . , . .
wiY��:agly; and tha� I signed it as my free and voluntary act
for the purposes therein expressed.
� ,y�'.-, � - _("-�
� rl�� 1, , ,�r ��
� gnes M. DeBrunner
Sworn to and subscribed
before me by AGNES M.
D�egRQr72IER, th e T e s t a t r i x
s � d.ay t3�
"� � � ,�� a ����;�"��. � � .,t� ��
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Not y
COMMONWEALTH OF PENNSYLVANIA : SS :
COUNTY OF LYCOMING •
W�, JOHN A. SMAY and LINNEA M- MA.BB� thebeingeduly
whose names are signed to the foregoing instrument,
qualified according to law, do depose and say that we were
present and saw Testatrix sign and execute the instrument as
her last Will ; that she signed willingly and thu� osesethereid
it as her free and voluntary act for the p p
expressed; that eahe W°11 as witnessesarand thatstohthefbest
Testatrix signed t
of our knowledge the Testatrix was at that time 18 or more
years of age, of sound mind and under no constraint or undue
inf luence . � ,�
� Wi S. _�.-
� /% �
�
�
'' �/,�r,�;� : /�,.
" Witness
Sworn to and subscribed
before me by JOHN A. SMAY
and LINN}�A M. �B� � �„
witnesses , this /�_
day o f �,-,,,.,,,�^ 4�r;' —�
1995 . �.�
� ,'�� J l � r�>�:cy�-�/
� Notary Public
;
I
... ..�..��..- �rm
Premium Money Market Statement
PNC Bank �PNCBAN
Primary account number:51-1373-0336
For the period 01/28/2014 to 02/24/2014 Page 1 of 2
Num6er of enclosures:0
000851
AGNES DEBRUNNER �For 24-hour banking,and transaction or
• 325 WESLEY DR APT 3217 interest rate information,sign on to
MECHANICSBURG PA 17055-3504 PNC BankOnline Banking at pnc.com.
a For customar service cali 1-888-PNC-BANK
Monday-Friday:7 AM- 10 PM ET
Saturday&Sunday: 8 AM-5 PM ET
Para servicio en espal�ol, 1-866-HOLA-PNC
MovingT Piease contact us at 1-888-PNC-BANK
� Write to:Customer Service
_ PO Box 609
Pittsburgh PA 15230-9738
�Visit us at PNC.com
� TDDterminal: 1-800-531-1648
F'or hearing impaired ciients on(y
Premium Money Market Account Summary Agnes Debrunner
Aocount numbar: 51-1373-0336
Overdratt Coverage-Your account is currentlyOptod-Out.
You or your joint owner may revoke your opt-in or opt-out choice at any time.
To learn more about PNC Overdraft Solutions visit us online at pnc.com/overdraftsolutions.
Call 7-677-588-3605,visit any brench,or Sign on to PNC Online Banking,and select the"Overdraft
Solutions"link under the Account Servicea section to manage both your Overdraft Coverage and Overdrah
Protection sattings.
Balance Summary
Beginning Deposlts and Checks and other . Ending
balance other additlons deductlons balance
60'7.00 .03 10.00 597.03
Average monthly Charyes
balance and fees •
fi06.64 10.00
Interest Summary As of 02/24,a total of$.06 in interest was
Annual Percentage Number.of days Average collected Interest Paid paid thlS y9af.
Yleld Earned(APYE) In interest pariod balance for APYE this period
0.06% 2 8 606.64 .03
/�CtiVlty �@�1�
Deposits and Other Additions There was 1 Deposit or Other Addition
Date Amount Descrlption totaling$.03.
02/24 .09 Interest Yayment
Othe� Deductions There was 1 Other Deduction totaling
Date Amount Descrlptlon �10.00.
02/24 10.00 Calculated Service Charge Type M2
Daily Balance Detail
Date Balance Date Balance
O1/28 607.00 02/24 597.03
�
er orxnance ec g tatement
>N c �ailk � PN C BANK
Primary account number:51-1372-9247
Page 1 of 3
For the period 02/19/2074 to 03/17/2074 Numberofenclosures:0
000814
�'`; � AGNES DEBRUNNER O For 24-hour banking,and transaction or
interest rate information,sign on to
� CHARLES L DEBRUNNER PNC BankOnline Banking at pnc.com.
325 WESLEY DR APT 3217 a' Forcustomerservicecall1-888-PNC-BANK
MECHANICSBURG PA 17055-3504 Monday-Friday:7 AM-10 PM ET
Saturday&Sunday: 8 AM-5 PM ET
Para servicio en espa�iol, 1-866-HOLA-PNC
Moving? Please contact us at 1-888-PNC-BANK
� Write to:Customer Service' c�o•
PO Box 609
Pittsburgh PA 15230-9738
�Visit us at PNC.com
� TDD terminal: 1-800-531-1648
Fw•hearing uiipa'ved clients only
Performance Checking Agnes Debrunner
Charles L Debrunner
Interest Checking Account Summary
Account number: 57-1372-9247
�verdratt Protectlon has not been established for this account.
Please contact us if you would like to set up this service.
�verdraft Coverage-Your account is currentlyOpted-�ut.
You or your joint owner may revoke your opt-in or opt-out choice at any time.
To leam more about PNC Overdrah Solutions visit us online at pnacom/overdrahsolutions.
Call 1-877-588-3605,visit any branch,or Sign on to PNC Online Banking,and selec[the"Overdraft
Solutions"link under the Account Services section to manage both your Overdraft Coverage and Overdraft
Protection set[ings.
Balance Sumrnary
Beginning peposits and Checks and other Ending
balance other additions deductions balance
17,:39:i.18 1,330.31 10,�83.Fi? 8,?39.97
Average monthly Charges
balance and fees
1?,477.42 .Uo
�ransaction Summary
Checks paid/ Check Card POS Check Card/Bankcard
withd2wals siqned transactions POS PIN transactions
f U 0
Total ATM PNC Bank Other Bank
transactions ATM[ransactions ATM transactions
0 0 U
Inte�est Summary As of 03/17,a total of$.38 in interest was
paid this year.
Annual Percentage Number of days Average collected Interest Paid
Yield Earned (APYE) in interest period balance for APYE this period
U.U1% �7 1�,�l77.�2 .U9
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