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1505610143 EX(02.11) f��jY REV-1500 Department of Revenue Pennsylvania OFFICIAL USE ONLY Bu Comfy code year File Number Bureau of Individual Taxes svuTMCaros ravone PO BOx.280601 INHERITANCE TAX RETURN 21 14 0237 Harrisburg,PA 17128-0601 RESIDENT DECEDENT _ ENTER DECEDENT INFORMATION BELOW - Social Security Number Date of Death Date of Birth 02 02 2014 09 02 1925 Decedent's Last Name Suffix Decedent's First Name MI HEICHER MARY F (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 X❑ 1. Original Return ❑ 2. Supplemental Return ❑ 3. Remainder Return(Date of Death Prior to 12-13-82) ❑ 4. Limited Estate ❑ 4a,Future lrlf¢r9st Compromise (date of death after 12-12-82) F-1 5. Federal Estate Tax Return Required B. Decedent Died Testate T. en 1 Main ned a LMe1g Trust 1 (Anent Copy awu) ❑ Anacn Gap,a��msq B...Total Number of Safe Deposit Boxes ❑ 9. Litigation Proceeds Received ❑ 10.=n'P t and 11%.'Death ❑ 11.Elecdon to tax under Sec.9113(A) (Attach Schedule 0) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number JAMES D BOGAR (717) 737 8761 REGISTEROgILLS USE ONLY O r First Line of Address =0 ` CO ,. C=b ONE WEST MAIN STREET Second Line of Address C:) T C CO r City or Post Office State ZIP Code DAT DI D w A n CD SHIREMANSTOWN PA 17011 Correspondent's e-mail address: -lbogar(a)bonarlaw.com Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the personal representative Is based on all information of which preparer has any knowledge SIGNATURE RESPONSI LE FOR FILING RETURN DATE m° Susan M. Fetzer ADDRESS 2200 He dricks Station Road Box 103 Woxall PA 18979 SIGNA O PREP AR ER THAN REPRESENTATIVE DATE James D. Bogar ( �t ADDRESS One West Main S , Shiremanstown, PA 17011 Side 1 1505610143 1505610143 PA Inheritance Tax Return Signature of Additional Fiduciaries rHeicher,Eformationof FILE NUMBER Frances of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of nd belief,it is true,correct and complete.Declaration of preparer other than the personal rBpreseritative is based on all ich preparer has any knowledge. Signature#2 Name David W.Heicher A ddressl 432 Old Ferry Road Address2 City, State,Zip Newport,PA 17074 Date 7 J 1505610243 REV-1500 EX Decedent's Social Security Number DewcleM.4 Name. Heicher, Mary Frances _ RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... t. 2. Stocks and Bonds(Schedule B)............................................................................. 2. 381 , 688 . 02 3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C)......... 3. 4. Mortgages&Notes Receivable(Schedule D)........................................................ 4. 5. Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 142 , 177 . 34 6. Jointly Owned Property(Schedule F) F-1 Separate Billing Requested............ 6. 44,204 . 29 7. Inter-Vivos Transfers&Miscellaneous tyoq-Probate Property (Schedule G) LJ Separate Billing Requested............ 7. 323, 796. 47 8. Total Gross Assets (total Lines 1 through 7)........................................................ 8. 891, 866 . 12 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. - 39,-221 . 60 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 11. Total Deductions(total Lines 9 and 10)................................................................ 11. 39,221 . 60 12. Net Value of Estate(Line 8 minus Line 11)........................................................... 12. - 852 , 644 . 52 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 1"3)............................................... 14. 852 , 644 . 52 - TAX COMPUTATION-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.00 15. 0 . 00 16. Amount of Line 14 taxable at lineal rate x .045 852 , 644 . 52 16. 38 , 369. 00 17. Amount of Line 74 taxable at sibling rate X.12 0 . 00 17. 0 . 00 18. Amount of Line 14 taxable at collateral rate X.1 5 0 . 0 0 18. 0 . 00 19. TAX DUE........................................................................................................:....... 19. 38 , 369 . 00 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 1505610243 1505610243 J REV-1500 Ex Page 3 File Number 21-14-0237 Decedent's Complete Address: DECEDENTS NAME Heicher, ,Frances STREETADDRESS 5225 Wilson Lane,Apt. 322 CITY STATE Zip Mechanicsburg PA 17055 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 38,369.00 .2. Credits/Payments A. Prior Payments 36,406110 B. Discount 1,916.15 Total Credits(A +B) (2) 38,322.95 3. Interest (3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4) Check box on Page 2,Line 20 to request a refund 5. If Line 1+Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) 46"05 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;... ..............—...................................................... b. retain the right to designate who shall use the property transferred or its income;...........--.............. x c, retain a reversionary interest;or.............................---...............................---.................................. .. z 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?........ ❑ Q 4. Did decedent own an individual retirement account,annuity,or other non-probate property which contains a beneficiary designation?.................................. ..............—................-.................-.............__ 5� ❑ 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 Jury 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)(1)]. For dates of death on or after January 1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse Is 0 percent - [72 P.S.§9116(a)(1.1)(n)). The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and fling 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 172 P.S.§9116(a)(1.2)). • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal benefidades is 4.5 percent,except as noted in[72 P.S.§9116(a)(1p. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)). A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. _J REV-485 EX(0$-04) 48500041046 + SAFE DEPOSIT _ BOX INVENTORY PA Department of Revenue PLEASE USE ORIGINAL FORM ONLY Social Security or Death Certificate Number Dale of Death County Code Year File Number _ 02/02/2014 21 ! 14 0237 I --- --..._....-- ----.-1 —_ Decedent's Last Name ' Suffix First Name _ _ MI _-1 Heicher I —j Mary F ©ADDRESS OF DECEDENT STREET: CITY: STATE: ZIP CODE: ( 5225 Wilson Lane,Apt.322 Mechanicsburg PA 17055 f NAME AND ADDRESS OF PERSON REQUESTING THE OPENING OF THE SAFE DEPOSIT BOX NAME: � Susan M. Fetzer i ADDRE S: CITY: STATE ZIP CODE: ST 22F��0 Hendricks Station Road, Box 103 Woxall PA 18979 I NAME,ADDRESS AND RELATIONSHIP OF ANY)TO DECEDENT,OF PERSON(S)PRESENTAT THE BOX OPENING a. NAME: RELATIONSHIP: I Susan M. Fetzer Daughter/Co-Executor STREETADDRESS: CITY: STATE: ZIP CODE: I 2200 Hendricks Stations Road, Box 103 Woxall PA 18979 I b. NAME: RELATIONSHIP: David W. Heicher Son/Co-Executor STREETADDRESS: CITY: - STATE: ZIP CODE: 432 Old Ferry Road Newport PA 17074 c. NAME: RELATIONSHIP: ' James D. Boger Esquire Attorney STREETADDRESS: - CITY. STATE: ZIP CODE: One West Main Street Shiremanstown PA 17011 NAME AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED NAME: PNC Bank-Bethany Village Branch STREETADDRESS: CITY: STATE:' ZIP CODE: ( 325 Wesley Dfive Mechanicsburg PA 17055 NAME OF PERSON MAKING LAST ENTRY DATE AND TIME OF LAST ENTRY S i4lm M . DATE OF CONTRACT TO RENT BOX NUMBER OF BOX I TITLE UNDER WHICH BOX IS QUESTED I 1 ( �— 811 ht T=- liA-0 k� NAME A ADDRESS OF PERSONS)HAVING ACCESS TO BOX n. NAME: b. NAME: I �uk=rn JK. FEF-iA'- � STREETADDRESS: f� , STREETADDRESS: i a�rso 11ilt+D� K�I�cIC7j CITY: STATE: ZIP CODE: CITY: STATE: ZIP CODE: pa - IS57 NAME AND TITLE OF EMPLOYEE TAKING THE INVENTORY I � WAS A WILL IN THE BOX? ❑ YES �] NO If yes, a. Date of will: b. Name and address of Personal representative,If named in the will i NAME i I Sr L� ✓14 1 v°t Zee Soso 14 4 lA v STREETADDRESS: A. ll STATE: ZIP CODE:�Uw , ' I. � VtUL& I i` c. Name and address of attorney,If any NAME: STREETADDRESS: CITY: STATE: ZIP CODE: 48500041046 48500041046 � REV-485 EX SAFE DEPOSIT BOX INVENTORY Page of INSTRUCTIONS (1) Cash: Report total only. (2) Stocks:List in detail every common or preferred certificate,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. (3) Obligations of U.S.Government:Number of items,date of issue,face value,names in which 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 Savings and Loan Passbooks: State name of depositor,number of book, last date appearing in book,name of bank and branch,and balance. (6) Jewelry, 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. (8) All other contents. (9) Return completed form to: DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT.280601 HARRISBURG,PA 17128-0601 ITEM ITEM DESCRIPTION NO. u At -7 77 1,31 32 C- t< M 777 1 3 Ck W 7 -7 7 2 31 3L1FC- 7? 2 `b-7l k Q (( h ll M /-2-7-1 6,1--(a k a <. z a Al 77 Z 1 3) G t' ' `ii Io V20 0 "_� '2.227 t, tt tc 2ZZ7 � (Xo6_13 X 22 L?7(771=t3 Z-Z77 t3 t7-- C, 2 2 7 ,0 L& L: y tt t. ic214125 21;f- t Y Xa +1 2S5- 3 G- I CERTIFY UNDER PENALTY OF PERJURY THAT THE ABOVE RECORD IS PERSON RECEIVING COPY OF CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF. SAFE DEPOSIT BOX INVENTORY: SIGNATURE SIGNATURE PRINT NAME PRINT NAME AND CHECK APPROPRIATE BOX BELOW' PRINT TITLE DATE CHECK APPROPRIATE 90X: ❑Executonmx) ❑Administratcr(trli I Estate Represemative ❑Jtlim owner of safe deposit box NOTE: Attach additional 81h"x 11" sheet(s) if necessary or use duplicates of this page of form. The Department is authorized bylaw,42 U.S.C.§405(c)(2)(C)(i),to require disclosure of Social Security numbers in connection with administering state tax laws.The Department uses the Social Security number to identify the decedent and personal representatives of the estate.The Commonwealth may also use the information in exchange of tax information agreements with Federal and local taxing authorities,The state law prohibits the Commonwealth's personnel from disclosing confidential tax information except for official purposes R=V-485 EX SAFE DEPOSIT BOX INVENTORY Page of INSTRUCTIONS (1) Cash:Report total DNy. (2) Stocks: List in detail every common or preferred certificate,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 numberof shares and class of stock. (3) Obligations of 1J.S, Government: Number of items,date of issue,face value,names in which registered and type of ownership, i.e.,jointly held,payable on death,etc. (4) Bonds: Designers by name,amount,serial number,or other designation.(Bearer Bonds) (5) Bank and Savings and Loan Passbooks:State name of depositor, number of book,last date appearing in book,name of bank and branch,and balance. (6) Jewelry,Coins,Stamps, Manuscripts,etc: List and describe as fully as passible, (7) Deeds,Mortgages,Current Insurance Policies or other evidences of indebtedness:List and describe as fully as possible, (8) All other contents. (9) Return completed form to: DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT 280601 HARRISBURG,PA 17128-0601 ITEM ITEM DESCRIPTION 6t 'FY 't e c< '0813 it 1 x ♦ 4i y 565 to tc t r — rt1 -7 ' ai2A2i =� — - - - z20 — — , tkz I CERTIFY UNDER PENALTY OF PERJURY THAT THE ABOVE RECORD Is PERSON RECEIVING COPY OF CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF. SAFE DEPOSIT BOX INVENTORY: SIGNATURE SIGNATURE PRINT NAME PRINT NAME AND CHECK APPROPRIATE BOX BELOW: PRINT TITLE - DATE CHECK APPROPRIATE 80X: Executondix) tJ Aaborn�6ltre'�or(CnX) EaW1.Rdpreeenl.t,ye u Joint owner of safe deposit box NOTE: Attach additional 87:°x 11"sheet(s) if necessary or use duplicates of this page of form. The Department is authorized bylaw,42 U.S.C.§405(c)(2)(C)(i),to require disciosure of Social Secuntynumbers In Connection with administering state tax laws.The Department uses the Social Security number to identity the decedent and persona{represenlaWes of Line estate.The CommonvmaMr may aim use the information in exchange of ON hiterriafkho agreements with Federal and local taxing authorities,The state law prohibits the Commonwealth's I ersonnel from disclosing confidential tax information except for Official Purposes. I Page 3 of REV-485 EX SAFE DEPOSIT BOX INVENTORY 1NSTf2UC riONS (1) Cash:Report total only. (2) Stocks: List in detail every common or preferred certificate,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. (3) Obligations of U.S.Government:Number of items,date of issue,face value,names in which 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 Savings and Loan Passbooks:State name of depositor,number of back,last date appearing in book,name of bank and branch,and balance. (6) Jewelry, Coins,Stamps,Manuscripts, etc: List and describe as fully as possible. (7) Deeds,Mortgages,Current In Policies or other evidences of Indebtedness:List and describe as fully as possible. (B) All other contents. (9) Return completed form to: DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT.280601 HARRISBURG,PA 17128-0601 " ITEM ITEM DESCRIPTION NO. to PAZW ' _-7 ff f Z 7.7 12 q I= Z7 y =F 01 -7 12 SrcLl f?e�oLt -Gu�G (�eltu�' rr rc 00 1 �Q 1�JpD. t k r< H td Is rx. 4 'rc i b V We 195 3 z E I R -7 t, 46 f41.1 tr-�3 I CERTIFY UNDER PENALTY OF PERJURY THAT THE ABOVE RECORD IS PERSON RECEIVING COPY OF - CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF. SAFE DEPOSIT BOX INVENTORY: SIGNATURE SIGNATURE ' PRINT NAME PRINT NAME AND CHECKAPPROPRIATE SOX SELOw: PRINTTITLE DATE CHECK APPROPRIATE SOK Q Execsftdx} 0 AEMNStraior(NZ} 0 Estete Repmsi1UMve �JOlnt owMr Ot 58tt Etposk bOX NOTE:Attach additional B'/l"x 11"sheet(s) if necessary or use duplicates of this page of form. / The Depatnent is authorized by law,42 U.S.C.§405(c)(2)(C)(i),to require disclosure of Social Security nu,Tbers in connection with admmistedng state tax laws.The Department uses the Social Security number to identify the decedent and personal representatives of the estate.The Cummonweatth may also use the information in exchange of tax information agreements m'th Federal and local taxing au0sorities.The state law prombes the Commomvea'Ws personnel from discipsing confidential tax Intormalion except to official psvposes. ' Page Of REV-485 EX SAFE DEPOSIT BOX INVENTORY INSTRUCTIONS (1) Cash:Report total only. (2) Stocks; List in detail every common or preferred certificate, 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,Rod number of shares and class of stock. (3) Obligations of U.S.Government:Number of items,date of issue,face value,names in which registered and type of ownership, t.e.,jointly held,payable on death,etc. (4) Bonds: Designate by name,amount,serial number,or other designation.(Bearer Bonds) (5) Bank and Savings and Loan Passbooks: State name of depositor, number of book,last date appearing in book, name of bank and branch,and balance. ' (6) Jewelry, 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, (8) All other contents. (8LReturn ted form to: DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT,280601 HARRISBURG,PA 17128-0601 (TEM ITEM DESCRIPTION �° fu�t a'�� 4 V I CERTIFY UNDER PENALTY OF PERJURY THAT THE ABOVE RECORD IS PERSON RECEIVING COPY OF CORRECT A COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF. SAFE DEPOSIT BOX INVENTORY: SIGNATU 51j NATURE PRINT NAME PRINT NAME AND CHECK A&ROPRIA78 BOX BELOW: PRINTTTt,LE DATE CHECK APPROPRIATE BOX: � ��jf t b_\ 't]Adminp4de tirix) t Tl 1 \ -11 Estate Representative E Joint owner of safe deposit box NOTE: Attach additional 8'1,°z 11"sheet(s) if necessary or use duplicates of this page of form. The Department is authorised by law,42 LS.G.§405(c)(2)(C){i),to require disclosure of Social Security numbers in connection with administering state tax laws.The Department uses the Social Security number to identity the decedent and personal representaBves of the estate.The COmmomvealih may also use the information in exchange of tax infom.aficn agreements will)Federal and local taxing authotlties.The state law prohibits the Commonwealth's personnel from dlsclosinq confidential tax information except for official purposes. Rev-1503 EX.(6-98) SCHEDULE B STOCKS & BONDS COMM ON W EALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENTDECEDEN ESTATE OF FILE NUMBER Heicher, Mary Frances 21-14-0237 All property jointly-avmed with right of survivorship must be disclosed on Schedule F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 Franklin Templeton Investments-.Franklin U.S. Government 21,176.79 Securities Fund-Class A-Account No. 110-10156497775. 2 375 shares of MetLife Stock-Susan M. Fetzer and David W. 46.79 17,546.25 Heicher are the named beneficiaries of this account. 3 Vanguard-PA LT Tax Exempt Admiral Fund. 106,214.26 4. Series EE US Savings Bonds-Value per attached Savings - 236,750.72 Bond Calculator TOTAL(Also enter on Line 2, Recapitulation) 381,688.02 (If more space is needed,additional pages of the same size) Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B(Rev.6-98) r Franklin Templeton Investor Services,uc 100 Fountain Parkway St,Petersburg,FL 33716-1205 FRANKLIN TEMPLETON tel (800)632-2350 INVESTMENTS franklintempleton.com April 7, 2014 . James D. Bogar . Attorney at Law One W. Main St. Shiremanstown, PA 17011-6327 Subject: Franklin U.S. Government Securities Fund-Class A Account#110-10158497775 Mary Frances Heicher Dear Mr, Bogar: We are writing in response to your recent correspondence regarding the death of Mary Frances Heicher. Franklin Templeton Investments is committed to providing the highest level of service, and we would like to address your inquiry. The fund was not priced on February 2, 2014, since it was a non-business day. Therefore, we are providing you with the account value based on the price for the prior business day. According to our records,the referenced account held 3,243.000 shares on January 31, 2014. At the close of market on January 31, 2014, the net asset value of the Franklin U.S. Government Securities Fund - Class A was$6.53 per share, for a total dollar value of$21,176.79. Furthermore, the account was opened on November 30, 1985. There are no designated beneficiaries. The account is a non-retirement account and therefore not a rollover. To protect the shares held in the account;we can only process certain transactions, such as transfers or liquidations,once we obtain the necessary documentation and authorization from Susan M. Fetzer and David W.Heicher. In addition, we will reinvest any dividend and capital gain distributions in additional shares. To transfer shares held in the account to an estate registration and subsequently liquidate the shares, please provide the following additional documents: ❑ The enclosed Shareholder Request Form, indicating the estate registration,requesting a liquidation of shares, and specifying where to send the proceeds. The form should be signed by Susan M. Fetzer and David W. Heicher. A signature guarantee by an"eligible guarantor institution," as specified on the form, is required for each signature in either of the following scenarios: The request includes a transfer to any form of registration other than the estate. The liquidation proceeds are going to an address other than the address currently on record. Susan M. Fetzer and David W. Heicher may contact their financial advisor or financial institution for specific requirements prior to obtaining the signature guarantee. Page 2 James D. Bogar April 7, 2014 ❑. The enclosed Account Application, completed and signed by Susan M. Fetzer and David W. Heicher. We require the estate portion of the Account Registration section be completed including the estate registration and Taxpayer Identification Number. Additionally, please provide each executor's name, residential street address; date of birth, and Social Security Number. The Signature and Tax Certification section must be signed by Susan M. Fetzer and David.W. Heicher, as the executors, to agree to important terms and conditions of the investment and certify the estate's Taxpayer Identification Number. We will process the request upon receipt of all documentation in proper form. Enclosed is a postage paid envelope for your convenience. We welcome any questions that you may have regarding this matter. You may contact a Customer Service Associate, Monday through Friday, 5:30 a.m. to 5:00 p.m. Pacific Time, toll free at (866) 821-7519, and refer to identification number: LTM02434-033114. Sincerely, Franklin Templeton Investor Services, LLC Kris Clark Representative Customer Operations Enclosure(s) cc: Susan M. Fetzer P.O. Box 103 Woxall, PA 18979-0103 Tel(717)272-8400 • Tel(717)566-6680+Fax(717)272-2234 jmcandrewl? metlife.com ,r'- Joseph F.McAndrew,CLU® . ; Senior Account Executive Meftolfe Investment Advisor Representative Million Dollar Round Table - Leaders Conference MARY FRANCES HEICHER DATE OF DEATH VALUATION AS OF 02102/2014 ALL ASSETS LISTED BELOW ARE SHARED EQUALLY BY CHILDREN,SUSAN FETZER AND DAVID HEICHER Life insurance: 590613767 MP $ 2,423.58 ANNUITIES: 530012750 $ 29,807,65 530012755 $132,571,99 073173566 $ 11,03034 MONEY MARKET PROCEEDS FROM MARY'S HUSBAND WILLIAM : TOTAL CONTROL $ 15,305.08 METLIFE STOCK $ 17,546.25 375 SHARES @$46.79 OF THIS AMOUNT DAVID RECEIVES 188 SHARES AND SUSAN ELECTED 187 SHARES. Thank You, Joseph F. McAndrew,CLU 03/26/2014 Superviscry ofiicc:101 Edord Road,Suiue 200,Camp Hip,PA 17011 (717)724-9760 Metropolitan life Insurance Company(MLIC),New York,NY 10166,Alto and Nome insurance offered by Metropolitan Properly and Casualty ins.Co,(Met P&C6)and affiliates,vermick,Rt 02866, Securities and investment advisory services offered by MetLiie Securities,Inc.IMSI)inNRAISIPC),a registered investment advisor.MLIC,Met P&C and MSI are Metli(e Inc companies. Vangumde R0. Box 2600 . April 1, 2014 valley Forge,PA 19482-2600 www.vanguard.com JAMES D BOGAR ONE WEST MAIN STREET SHIREMANSTOWN PA 17011 Re: Estate of Mary Frances Heicher Dear Mr. Bogar: I am responding to the letter we received requesting a valuation of Mary Frances Heicher's Vanguard account as of February 2, 2014. The information requested is included on the enclosed account value report. If you have any questions, please contact me at 855-422-4961, Ext. 29651. 1 will be pleased to assist you. You can reach me on business days from 11:30 a.m. to 8 p.m., Eastern time. Sincerely, Christy J. Cline Transition Associate Enclosure(s): ** Mary Frances Heicher Individual Account Value Report 52632137 Page > 1 of 1 Mary Frances Heicher um* T 0�, n/40'Im d a _ e "$x9t 7§'3M -; 325 Wesley Dr Apt 3330 Voyager Services:800-284-7245 Mechanicsburg, PA 17055-3517 Total report value: $106,214.26 (Total report value includes any accrued dividends.) {Ma°ry'<tFances.Heic he 'ridt�'vdualAccount, A• fi' :� � •+r'"�:.. �;"rzs4^u��.; *;j t•TV' e.d +< -•titan.•.+_tf.'{ •,la't's`'e:�.%�5 , .T•'hC3 .lik •.r. "SRfK"'�)i MOM `t Jam` /4�`c ount(valuesummary ;�,�,a`} Y"�� M11.'�i :' nx rtr_7s:?L 'r,. >s.'s-�G .i...t:ut' 3 .3 . Name w und&Accdunt Date t ` Pnce Pegr 1h ,, ,3r RAocruedv , O . . '. Number ,. r 0�e,.°1 PA LT Tax-Exempt Admiral '0577-88028303675 12_/06/2010 91472.907 $11.21 $106,191.29 $22.97 lWN..1 s21,•`SA4.1i�,.y,�,v oTAS.,-7 �✓`}' H.'n.1f�.Y' "' f.'x'.SC1 :I:�_n�"' - Cs>;.',�+.�,mc`ti",v1�",.-��"`..c o.x.i�a �,.frl^�;� Doesn't include accrued dividends. As of the prior business date,01/31/2014,since the report date is a nonbusiness day. 1192647931 04/01 12014 16:13:29 1J4t4LLtLltLt{ Y42LL4 Vt t VU3 3 41}1.2 tl4 t'}ttt�(J y}V13UtJ/ � "b" • �• - I t Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 02/2014 Total Price Total Value Total Interest YTD Interest 102 025.00 236 750.72 $134,725.72 $883.20 Bonds: 1-43 of 43 Serial # Series Denom Issue Next Final Issue Price Interest Interest Value Nate Date Accrual Maturity Rate ,M77723122EE7_ .EE,,, .$1,000;01/200403/2014501/2034: „.... ...$500;00 ._.,,__,$14320€_„1,;1,9%� M77723123EE EE $1,000 01/2004 0312614 01/2034 500 00, $143 20 1 19 0/a $643 20, .... ..... ...... _. ..... _ $....... ....... ._..... .. ,. .. ..... M77723125EE_. :01%2004 03(2014 01%2034 ,. $500.00:__ $143 20;., 1 19°l0,..„_ ,M77723126EE_ EE._:. ,$1,000 0112004 03/2014 ,M77723127EE EE„ ,$1000 05/2004 03/2014 0112034_, „ $,500,60• $14324, , 119°!0, _,.. $64320 „ ,,, MJ7723128EE; EE _ $1 000.01/2004 0312014,01/2034;, $500.00 $143.20: 1.19%i $643.201 „ .N07723129EE EE - .$1,00001„J200403J201401(2034Y „_$500_00*.__..._..,$143.20_.,1.19%;.,,,, ,M77723130EE, EE $1,000;01%2004 0312014 01/2034- „ $500 00, „ .$143 20, , 1 19% , .1643 20... ..,.. M77723131EE EE $1,00061(200403f2014a01J2034: $500,00 .19......... ...........°fo „_, 64320 ,M77723132EE: EE $1,000- , $143 20i ,1.19%i $643.20! ,M77723133EE1 EE_. .,_$1 OOp_0- ---- 03f2014 01(20341„_. $500;00;__„ 1A3,201.11-9-%-:: .. $6..4.. 3..2 0i ..... ,M77723134EE. EE 000:01j20046312014,61%2034_, _$500,00 ,.._.,$14320-_,.119% ,_,_,$64320t_..,,, .M77723I35EE_ EE , ,$1,000.01(2004 03/20,14 01%2034:. $500_00- ......$143.2W _...,$143 20,,,..1 19°!0- $643 M77723136EE- EE ,•$1,000 QIj2004 03f2014,Oif2034 500 00 .,,_„$143 241 19% $643.20:,• , _M77723137EE; EEr„$1,000 012004 03/2014 01/2034,,, $500„OOY._„_,.,$143 20t_„119M°r ,_,...$643 20„_..,_, .M57892020EE_ EE_.,.„$1,000;YO/2002 0312014 y30/2032„ $,500 00 _,..,_$174 00,_. 0 68% .,_._,$674 08 M5789202iEE_ EE„ ,$1,06016/2002!0312014 10/2032?, $50000 $17400 °fo 468 $67400,,,,._•, MS7892022EE,, EE - $1,000 1Oj20Q2 0312014 i 10/2032:i $500 00, .___$174 00,__0,'6'8'%':___ M75892023EE EE $1,000 10%2002.03/2014 10/2032 _ _$174 00 6.68% $674.00t M75892024EEY .EE„ _$1,00010/2002 03%2014 10/2032_. $500_00, . „$174 000 66%n;.,,,,,_.,$674 00,,, ,MJ5892025EE,i, EE .,,$1,000.10j2002'03f2014. 10J2032 , $500;00 „__,$17400 ,,,068°/0 ,,,,_,$674005,,,_,„, M15892026EE• EE $1,000;SOJ2002 03(2014 1Of2032_, $,500 00 ___,$174 00: ,068%; $674 00 _ ... .. .. .... M75892027EE. EE 1 000 10/2002,03/2014 10/2032- ......................_.........._:...$.-'--'--- --`_.._--_ ......_...__...._ _..___. .._....._5500;00.--°...._ 174 p0: ,0.68%:......... 674.00:...._... _..X505737411: 11_.r$10,000 11/1994w03/2014� ......$,5}720.005.,_4.00% S, 10,720:00;, •,..X50573TSEE„ ,EE,.,$10,000,1,2/1944 031201411112024__ $5 000,00 $S 724 00 4.60%; 520,720 00 . ..... .......... ..... .... ., ,X5057376EEi EE„,$10,000.11f1994 03/20!4_11(2024_, ,$5,00400; $5,720.005 4.00%i $10,720.00;,____.._ X4581322EE EE .$10,000.01/1994 03/201401/2024 ..._$5)000 00 $6 060 00 4 ..0 $11,080 00 ._..... .... ... ...... ...-....... ,,._X45613231,E:,,,EE,,.r$,10,000:O1J1994�03J2014w011 2024:,,,.,,,$5,006,00r,_•,...$A1 80A0: _4;00%1,,,,$11,0$0.005,,,,_,,, ,,.. X4581324EE: EEtIO,000 0 /1994 03/2014„0112024,;, $5 000.00 .$6 080 00,_.,4 00°!0,.,511+080 X241255211,....EE .$10,000.04/1943 03(2014 Q4(2023 $5,000_00 $6,412 00 4 00%_ $11,412 00 _ __ X2412553EE EE $10,000 04/1993_03/2014 04/2023• $5 000 00 $11,412A0� X2412554111 EE ,_.,_._._X..4..1..................... ....$$1100,,000000:;004 4J/11999933��0033JJ2200,144y_0044JJ22002233�,_,....._,,,$S,OOO 001 ...._..$$66,441122.000:�.... X4186147EEE E ; ._E _..8fi148EE , EE 2014:0 ..._. _... ..,$10 000:04(1493 0314f2023 ,$5,000.00 ,..$6,412 00 _4,00%:, X418614911 EE $10 000 04%1993 03/2014_04/2023 „$5,000 00 .,, $6,412.001 4 00%, $11,412 00 .,-02 2770SM EE $10000,10/1992 04/2014, 10/2022... $SI000.00 ,• $9520.00:...4.00% X2227706EE_..EE ..$10,000 S,Of1992 64j2014�20/2022„ .-$5,004 40. $9 520 00, ,4 00% $14,520.00: ..X222770711_ EE ._$10 666 12/1992 06/2014 12!2022 „ $5,000 00 $9 52000 a oQ°i° pia}s2D oo _ ,_ X2227708EE EE• ,$10 000.10/1992;04%2014 ,10/2022_,__. $5,000 00. $9,520.00„ 4.00°jo $14,520.00i„ X222906511, EE ........... - $10,000 1011492.6412014.,5012022,.. ,$5,060 00„ . $9,520 00,..4 $ ,520 00. X2229066EE EE $10 000;10/1992 04/2014, 10/2022 $5 000,00 $9,520.00z 4 00%0 $14,520.00: 647863064011- EE _ $50.12(1991:0612014.12!2021_ 525,00! 550.52__4;00%:_ ".,,,.$75.52;,,_,._,,. Totals for 43 Bonds $102,025.0W$134,725.72 $236,750.72' Notes NI Not Issued NE Not eliglbie for payment ,P5 ,Includes 3 month,interest penalty. .,,. MA Matured and not earn ing interest http://www,treasurydirect.gov/BC/SBCPrice 4/21/2014 w ,uri"•if+ .,,4��1DfArRE 11\I Y V H IJI Y w M . `I v . \+_J„L_1[_l.,/ SM�Y^9Rx`�' Pam•+wL:LPTOrF.Ix"Sr;Yiv�9 l �„+IMtTER[sT Ci/.9[5]O TEI.pa .! Fes=?# rpaH ue sAre . � L7 ', 178 i6 9922 API ;PATRIOT.BOND I_ zoo4 ti ro , i. w t(Ji r f ti � aS.�F 'GP fib -� a }.WILL'IAM ,de tH^EICHER ,._ 1. aJ% rAn.( �rlwt Z. � � [}rit `"�RB "PITrT 11 }~ � 5r lMECHANICSB '-DRD �_AA( 170 54306 a*Kf 'r kr' . llllll'llllllilidilllll llllllllllllllill11ll�Ill llll llllllul aA` !fI' ' ' i� l - 1 r i thu�`� ' l Via' r• ,.} .-tt }J ,�a ,. 1 ° OR.' 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AM�i `s _ETC�i�R rr er�ri•.� K :is;3 '%ztra. f '1�'i�1 "Y�F� `+ f,}� a d�Z ax{h �+e��f��,a� i�••f F�r�cbli'- t . '. �, ,��• x �i®0;�[l'90�'©'7 '0;3 ���00'7�` Y2�31;24d■ �y x �^Fa' U+.x ...v SC!, N. )lYAl.a .aF..,YL+rt .F ..r.YAn�{ F v ri•k i � ' Rev-1508 Exr(11-10} SCHEDULE E Pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF REVENUE INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Heicher, Mary Frances 21-14.0237 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned whip the right of survivorship must be disclosed on schedule F. - - ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 MetLife-Total Control Account. Susan M.Fetzer and David W.Heicher are the named 15,305.08 beneficiaries of this account 2 PNC Bank-CD#31600214131. Principal balance at date of death$17,785.69;accrued 17,787.18 interest$1.49 3 PNC Bank-CD#31200215078, Principal balance at date of death$26,988.22;accrued 26,991.22 interest$3.00 4 PNC Bank-CD#31700242992. Principal balance at date of death$14,335.31;accrued . 14.335.45 Interest$0.14 6 PNC Bank-CD#31000293659. Principal balance at date of death$10,173.07;accrued 10.174.87 interest$2.94 6 PNC Bank-CD.#31500277618. Principal balance at date of death$10,393.97;accrued 10,395.62 interest$1.65. 7 PNC Bank-Checking Account No.5080032696. Principal balance at date of death 32,101.28 $32,101.11;accrued interest$0.17 8 State Employees'Retirement System-final payment 41.36 9 Personal Property-sold at private sale 1,500.00 10 Holy Spirit Hospital-Refund 162.04 11 U.S.Treasury-2013 Personal Income Tax Refund 855.00 12 PNC Bank-IRA Account No.65001006640. Principal balance at date of death$12,527.50; 12,528.24 accrued interest$0.74 TOTAL(Also enter on Line 6, Recapitulation) 142,177.34 (if more space is needed,additional pages of the same size) Copyright(c)2010 form sottwarni The Lackner Group,Inc. Form PAd 600 Schedule E(Rev, 11-10) jmcandrew@metlife.com Joseph F.McAndrew,c us iII'I�.N' Senior Account Executive Meft"Ife Investment Advisor Representative Million Dollar Round Table Leaders Conference - MARY FRANCES HEICHER DATE OF DEATH VALUATION AS OF 02/02/2014 ALL ASSETS LISTED BELOW ARE SHARED EQUALLY BY CHILDREN,SUSAN FETZER AND DAVID HEICHER Life Insurance: 590613767 MP $ 2,423.58 ANNUITIES: 530012750 $ 29,807.65 ' 530012755 $ 132,571.99 073173566 $ 11,030.34 MONEY MARKET PROCEEDS FROM MARY'S HUSBAND WILLIAM TOTAL CONTROL $ 15,305.08 METLIFE STOCK $ 17,546.25 375 SHARES @$46.79 OF THIS AMOUNT DAVID RECEIVES 188 SHARES AND SUSAN ELECTED 187 SHARES. Thank Yoi�u,, J PLC Joseph F. McAndrew,CLU 03/26/2014 Supervisory Office:101 Erford Road,Suite 200,Camp Hill,RA 17611 (717)724.9700 Mesropolman Life insurance Company(MUC).Newyork,NY 10166.Auto and Home Insurance offered by Metropolitan property and Casualty Ins.Co.(Met P&Ct s)and of iliatd5,Warwlck,8102866. Securities and Investment advisory services offered by March Securities,Inc.(Mil}(FINRAISY`Q,,a regatered invesmi advisor Mi Met P$C and NG are A6etiife in,companies. s sl i WAY March 31,7014 James D Bogar Esq. One West Main St Shiremanstown,PA 17011 RE: Mary Frances Heicher SSN: DOD: 02-02-2014 Dear Mr.Bogar: In response to your request for Date of Death(DOD)balances for the customer noted above,our records show the following: Certificate of Deposit Account#31600214131 Established: 07-14-2001 MART FRANCES HEICHER DOD balance: $ 17,785.69+1.49 accrued interest Interest paid 01-01-2014 thru 02-02-2014 $ 232 YTD Account,#31200215078 Established: 07-20-2001 MARY FRANCES HEICHER DOD balance: $26,988.22+3.00 accrued interest Interest paid 01-01-2014 thru 02-02-2014$ 8.48 YTD Account#31700242992 Established: 07-29-2004 MARY FRANCES 11EICHER DOD balance: $ 14,335.31 +0.14 accrued interest Interest paid 01-01-2014 thru 02-02-2014 S 2.19 YTD Account#31000293659 Established: 07-12-2006 MARY FRANCES HEICHER DOD balance: $ 10,173.07+ 1.80 accrued interest Interest paid 01-01-2014 thru 02-02-2014$2.94 YTD Account#31500277618 Established: 11-14-2005 MARY FRANCES HEICHER DOD balance: $ 10,39197+ 1.65 accrued interest Interest paid 01-01-2014 thru 02-02-2014$3.00 YTD Page 1 of 2 Checlang Account Account#5080012696 Established: 10-31-1994 IAARY FRANCES 14EICHER DOD balance: S 32,10 1.11 +0.17 accrued interest Interest paid 01-01-2014 thru 02-02-2014 S 0.30 J"TD IRA Account Account#65001006640 Established: 07-19-,1995 MARY FRANCES BEICHER DOD balance: S 12,527.50'+034 accrued interest Interest paid 01-01-7014 thru 02-02-2014 S 1-97 YM For beneficiary information,please call 1-888-762-4727. Please note that this office provides date of death balances for deposit accounts(IRAs,CDs, Checking and Savings). We do not process any financial transactions or provide statements. If you need assi5taace,,vith any of these items,please call 1-888-PNC-BANK(1-888-762-2265)or stop by your local PNC Bank branch office, Sincerely, National Financial'Services Center PNC Bank.N.A. Member FDIC Ais message is intended for the use of the individual or entity to which it is addressed and may contain information that is privileged confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient or the employee ar agent responsible far delivering this message to the intended recipient,you are hereby notified that any disrptnination, distribution or copying ofthis cownunications is strictly prohibited. Ifyou have received this communication in error,please notify-me immediately by reply or by telephone at 800-762-1775 and I.mmediaiely destroy this faxed document. Page 2 of 2 Rev-1509 EX.(01-10) pennsylvania SCHEDULE F DEPARTMENT OF REVENUE JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER. Heicher, Mary Frances 21-14-0237 H an asset was made joint within one year of the decedent's date of death,it must be reported on schedule G. SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT A. Susan M. Fetzer 2200 Hendricks Station Road, Box 103 Daughter Woxall, PA 18979 B. David W. Heicher 432 Old Ferry Road Son Newport, PA 17074 C. JOINTLY OWNED PROPERTY: DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM LETTER DATE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH DECD'S NUMBER FOR JOINT MADE NUMBER OR SIMILAR IDENTIFYING NUMBER.ATTACH DEED FOR VALUEOFASSE1 INTEREST DECEDENTS INTEREST TENANT JOINT JOINTLY-HELD REAL ESTATE. 1 A, B 07/22/2008 PSECU-Savings Account (S1). Principal 20.23 33.333% 6.74 balance at date of death$20.23;accrued interest$0.00. 2 A, B 07/22/2008 PSECU-CD (S51). Principal balance at date 13,266.98 33.333% 4,422.33 of death$13,266.65;accrued interest$0.33 3 A, B 07122/2008 PSECU -CD (S52). Principal balance at date 6,363.80 33.333% 2,121.27 of death$6,363.64;accrued interest$0.16 4 A, B 07/2212008 PSECU CD (S54). Principal balance at date 12,961.86 33.33A 4,320.62 of death$12,961.54;accrued interest$0.32 5 A, B 05/01/2011 Susquehanna Conference UMC -Account No. 100,000.00 33.333% 33,333.33 2-10978. TOTAL(Also enter on Line 6, Recapitulation) 44,204.29 (if more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule F(Rev.01-10) PSECO 03/18/2014 James D. Bogar Attorney At Law 1 W_Main St_ Shiremanstown, PA 17011 Re: MARY F HEICHER, Deceased. PSECU Reference#2764209389331 Dear Attorney Bogar: The above referenced person has an account with PSECU which was opened on March 31, 2001. The Share accounts were jointly held by Mary F. Heicher, Susan M.Fetzer and David W. Heicher. The joint owners, Susan and David, were added to the account on July 22,2008. The following are the Date of Death Balances for Mary F.Heicher's account with PSECU: Account Date of Death Balances Interest—February I-2 Shares: (SI)Savings $20.23 $0.30 (S51)Certificate $13,266.65 $0.33—opened 3/3/2308 (S52) Certificate , $6,363.64 $0.16—opened 2/20/2009 (S54)Certificate $12,961.54 $0.32—opened 12/27/2004 ' If you have any questions,please contact our department toll-free at(800) 237-7328,press 6, extension 3120 or email aecountservices �psecu.cotn. Sincerely, Sandy Fa ey v Member Service Representative PSECU P. 0. BOX 67013 HARRISBURG, PA 17116677013 800.239.7329 »psecu.com THIS CREDIT UNION 15 FEDERALLY INSURED BYT{1E NATIONAL CREDIT UNION ADMINISTRATION.EQUAL OPPORTUNITY LENDER. SUSQUEHANNA CONFERENCE { A PENNSYLVANIA CONFERENCE OF THE UNITED METHODIST CHURCH i 303 MULBERRY DRIVE• P.O.BOX 2053• MECHANICSBURG,PA 17055-2053•TELEPHONE(717)766-5275 r f 1 f 1 March 20,2014 i The Estate of Mary Frances Heicher c/o Susan Fetzer and David W Heicher 325 Wesley Drive,Apt 3330 Mechanicsburg,PA 17055 I RE: Estate ofMary Frances Heicher i Dear Susan and David- In response to your request,this letter provides a summary of account 2-10478 for the Estate of Mary Frances Heicher. The account was jointly named,since prior to May 1,2011,as follows: Mary F Heicher or David W Heicher or Susan M Fetzer. I The principal account balance on the Estate of Mary Frances Heicher,at the time of her death on February 2,2014,was$100,000. Interest earned as of the time of her death for the period of November 1,2013 to February 2,2014 was $386.30. Interest payments are made on a semi-annual schedule. The current schedule is May I and November I j for the prior six months. The schedule will be changed to accommodate our new accounting program,the jl new schedule should be announced in April. 3 If you should have further questions,please contact meat 717-766-5275,extension 5. 1 Sincerely, Sue Ellen Adams Administrative Accounting Assistant 1 COUNCIL ON FINANCE AND ADMINISTRATION { f Rev-1510 EX+(08-09) SCHEDULE G pennsylvania INTER-VIVOS TRANSFERS AND DEPARTMENT OF REVENUE INHERTTANCETAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Heicher, Mary Frances 21-14-0237 This schedule must be Completed antl filed if the ens to any of questions 1 through 4 on page three of the REV-150)is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OFDECD•S EXCLUSION TAXABLE NUMBER THE DATE OF TEROANSFER.. ATTA&THEIR ORELATIONSHIP OE D FFOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1 MetLife-Annuity No.530012750. Susan M. Fetzer and 29,807.65 29,807.65 David W. Heicher are the named beneficiaries of this account 2 MetLife-Annuity No.530012755. Susan M. Fetzer and 132,571.99 132,571.99 David W.Heicher are the named beneficiaries of this account 3 MetLife-Annuity No.073173566. Susan M.Fetzer and 11,030.34 11,030.34 David W.Heicher are the named beneficiaries of this account 4 New York Life-Annuity No. 58 012 111. Susan M. 53,811.82 53,811.82 Fetzer and David W. Heicher are the named beneficiaries of this account. 5 New York Life-Annuity No.58 012 110. Susan M. 53,740.49 53,740.49 Fetzer and David W. Heicher are the named beneficiaries of this account 6 VALIC -Annuity No. 8690873. Susan M. Fetzer and 13,980.72 13,980.72 David W. Heicher are the named beneficiaries of this account 7 VALIC-Annuity No. 8745858. Susan M. Fetzer and 28,853.46 28,853.46 David W. Heicher are the named beneficiaries of this account TOTAL(Also enter on Line 7, Recapitulation) 323,796.47 (If more space is needed,additional pages of the same size) Copyright(c)2009 form software only The Lackner Group,Inc. Form PA-1500 Schedule G(Rev.08-09) imcandrew@mezlife.com r Joseph F.McAndrew,CLU® s Senior Account Executive . - - ft Investment Advisor Representative Million Dollar Round Table Leaders Conference MARY FRANCES HEICHER DATE OF DEATH VALUATION AS OF 02102/2014 ALL ASSETS LISTED BELOW ARE SHARED EQUALLY BY CHILDREN,SUSAN FETZER AND DAVID HEICHER Life insurance: 590613767 MP $ 2,423.58 ANNUITIES: 530012750 $ 29,807.65 530012755 $ 132,571.99 073173566 $ 11,030.34 MONEY MARKET PROCEEDS FROM MARY'S HUSBAND WILLIAM TOTAL CONTROL $ 15,305.08 METLIFE STOCK $ 17,546.25 375 SHARES @$46.79 OF THIS AMOUNT DAVID RECEIVES 188 SHARES AND SUSAN ELECTED 187 SHARES. Thank You, Joseph F. McAndrew,CLU 03/26/2014 Supawncery Office:101 Edord Road,Suee 200,Canal Hill,PA 17011 = (717)7249700 Metropolitan Life Insurance Company(MLIC),New York,NY 10166.Auto and Home Insurance offered by Metropolitan Property add Casually ms Co,(Met P&Ccm and a fiiiafes.Asavvick,in 02866. Secunues and investment advisory services offered by Metlife Se(urities,Inc.(MA)INNRAISIPC),a registered investment advisor.MIIC,Met P&C and MSI are Mettife Inc.companies New York Life insurance and Annuity Corporation(NYLIAC) (A Delaware Corporation) P.O.Box 922, April 8,2014 New York, NY 10159-0922 1-800-598-2019 www.newyorklife.com Thomas W, Fanning New York Life Insurance Co. 3401 N Front Street Harrisburg PA 17110 Annuitant: Mary F. Heicher Policy Number:58 012 ill(Non Qualified) Dear Thomas W. Fanning: I am pleased to reply to your request for tax information on the above annuity. - 1 � Since Form 712 is not applicable fora contract other than life insurance,the following information about your New York Life Variable Annuity should be of assistance to you: Policy Number: 58 012 111 Issue Date of Annuity: August 15,1998 Date of Death: February 2,2014 Cash Value: $53,811.82 - This Deferred Retirement Annuity was issued to the decedent to provide for life income payments to commence at a future date. If you have any questions about your policy, please contact our customer service representatives at 1-800-598-2019,or call your registered representative. They will be happy to assist you. For online policy information and service, please visit our Virtual Service Center at www.newyorklife.com/vsc. New York Life Insurance and Annuity Corporation is a wholly owned subsidiary of New York Life Insurance Company. Thank you for making New York Life The Company You Keep®. Sincerely, Jessica Kim Customer Service Claims cc: - 1 t ANNUITY POLICY INFORMATION DETAIL'S - Policy Number: 56012111 - Annuitant: MARY F HEICHER Policy Dale: 0811511996 Owner. MARY PRANCES HEICHER Policy Status: PREMIUM PAY Product: NY LIFE VARIABLE ANNUITY-1 AD095 Prepared On: 0414 712 01 4 Tax Status: NON-QUALIFIED, MESSAGES 2 VALUES-SUMMARY DETAILS - Total Current-Values Basis and Gain Information Quote As Of. 0410 712 01 4 Pre-TEFRA Cost Basis: - .00 Accumulation Amount: 54,091.44 Post-TEFRA Cost Basis: 15,000.00 'Surrender Charge: .00 Total Cost Basis: - 15,000.00 TEA Loan and Interest: Federal Taxable Gain: 39,091.44 Net Surrender Value: 54,091.44 State Taxable Gain: - 39,091414 Total Contract Value: - - Reset Value Fixed Account Information Policy Reset Value: 45,78022 Current Interest Rate: 3.000 Policy Reset Date: 0811512006 Prior Interest Rate: Surrender Free Whucv3 Surrender Free Window: ' Amount Used: Maximum Available With No Surrender 52,091.44 Charge: 'H this product contains an M&F charge,It Is pmrefed and included in the Surrender Charge displayed.,f the Surrender Charge period has ended,the amount dlspl6yad equals the prersmd M&E charge, The informants,camhoned here is as of the peortemmess days close at business.This report is me!the c(POW named of yourPSliey.Ak information Planned herein is subject M the vonficarron of the insurer against its otfictut policy records.dyou have snygm mans about your policy,please contactyorr regismeed raprese mum,arose our Variable Product Service Center at 1-800.598.2019. - IS SUED BY NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION DISTRIBUTED BY NYUFE DISTRIBUTORS INC. - jMEMBER FINRAt VALUES-FIXED ACCOUNT INTEREST Deposit Date 'Current Deposit Amount Current Value Interest Rate Interest Rate Start Date interest Rate End Date Vatuc 06/15),1996 27,433.30 53,990.78 3.00% O6f0111996 66/15/2014 Current Deposit Amount Value equals the Original Deposit Amount minus any Deductions, VALUES-INVESTMENT DIVISION DETAILS Quote As Of: 04107/2014 Net Surrender Cash Value: 54,091.44 Total Accumulation Value: 54,091.44 Investment Option Fund Unit Value -4 Of Shares Account Value 1-YEAR FIXED ACCOUNT 101 54,091.44 The information wnlained here is a5 of the prior business day's close of business.This report taunt the gRkial rewrd ofyourpolicy.All infomeal on contained herein is subject to the m fflcaldon arms insurer against its official policy records,.N you have any questions seem,yourpolicy,please worse?your regh#aMd representative or call our Variable Product Service Garnered 1-600-69B.2019. . ISSUED BYNEWYORKLIFE INSURANCE _ ' AND ANNUITY CORPORATION DISTRIBUTED BY NYLIFE DISTRIBUTORS INC. {MEMBER FINRA) VALUES-TSA LOAN DETAILS VALUES-PERIODIC PARTIAL WITHDRAWAL DETAILS INVESTMENT-PREMIUM ALLOCATION DETAILS - ISSUED BYNEW YORK UFE INSURANCE The information wmained here is es allies prior business Jaya class ofbusiness. This Policy 58012111 AND ANNUITY CORPORA TION repo is nut doe omual e e d o(your ppLry.Ald m o maton conlametl he Bin is subject printed on:0M0712014 DISTRIBUTED BY NYLIFE DISTRIBUTORS INC. to the morication of rho insureragalhsflls official policy records,It on have any Pagel (MEMBER FINRA) questions about your Policy,please contact your registered re rasenda/Ive or call cur Vans lie Product Service Cein,erat 1-80 0.5 9 6-2019. ANNUITY INVESTMENT-PREMIUM ALLOCATION DETAILS Investment Options Allocation Percentagz i-YEAR FIXED ACCOUNT 700.00 The information contained here is as of the prior business day's close of business.This report is not the efclal record of yourpolicy.All information contained herein is subject to the venticafion of the insurer against Its official pricy records.If you have any quesfions about your policy,please contact your registered representative or call our Variable Product Service Center at'1-800.598-2019. - ISSUED BY NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION DISTRIBUTED BY NYLIFE DISTRIBUTORS INC. (MEMBER FINR41 INVESTMENT AUTOMATIC ASSET REALLOCATION DETAILS INVESTMENT-DOLLAR COST AVERAGING DETAILS INVESTMENT-INTEREST SWEEP DETAILS PREMIUMS-SUMMARY DETAILS Premium Mode: Total Premiums Paid: 27,428.78 Premium Amount: Extra Credit Amount: .00 Last Premium Activity: Total Withdrawals: .00 Paid to Date: - TSA Quarterly Loan Repayment: Next Bill Dale: PREMIUMS-ADDITIONAL DETAILS , PREMIUMS-CHECK-O-MATIC DETAILS PREMIUMS-COMBINED BILLING DETAILS PREMIUMS-OPTIONS DETAIL PREMIUMS-RIDER INFORMATION DETAILS BENEFICIARY DETAILS 07/14/2008 New York Life Variable Annuity-Primary Beneficiary-David W.Hatcher-Son-50%-Susan M.Fetzer-Daughter-50%: ' CLIENT DETAILS - Part I Date: 08115/1996 Part II Type:' - Part 11 Date: - Name: MARY FRANCES HEICHER Role: OWNER/ANNUITANT Client ID: 001041012 - HOuseH0ldID: 1401090000364784 SSN/Tax ID: -1159 _ DOB: 09/02/1925 Sex:F Address: 5225 WILSON LN OFC Phone: 717_-766-6022 HOME MECHANICSBURG,PA 17055-6622 SUITABILITY-DETAILS Investment Objective: Income with Capital Preservation Risk Tolerance: Moderately Conservative Score: Client Name Annual income Liquid Net Worth MARY FRANCES HEICHER .00 .00 AGENT DETAILS Name: SAMUEL G ZUCH CLU ISSUED BY NEW YORK LIFE INSURANCE The intervention contained here is as of the prior business day's close of business.This Policy56012111 AND ANNUITY CORPORA TION report is not the official record of your policy.All Information contained imoun s subject Prinmd on:04!07/2014 DISTRIBUTED BY NYLIFE DISTRIBUTORS INC. to the venfcetron of the insurer agains(ds official policy records.1/ ou have any Page 2 (MEMBER FINRA) quesfions about your og,,please perfect your registered representative or call our Vane le Pmduct Service Center of 1-800-5982019. New York Life Insurance and Annuity Corporation (NYLIAC) (A Delaware Corporation) P.O.Box 922 New York,NY 10159-0922 April 8, 2014 1-800-598-2019 snv w.newy ork l i fe,c o m Thomas W. Fanning New York Life Insurance Co. 3401 N Front Street - Harrisburg PA 17110 Annuitant:Mary F. Heicher _ Policy Number: 58 012 110 (Non Qualified) Dear Thomas W.Fanning: I am pleased to reply to your request for tax information on the above annuity. Since Form 71.2 is not applicable for a contract other than life insurance,the following information about your New York Life Variable Annuity should be of assistance to you: Policy Number: 58 012 110 - Issue Date of Annuity: August 15, 1996 Date of Death: February 2,2014 Cash Value: $53,740.49 This Deferred Retirement Annuity was issued to the decedent to provide for life income payments to commence at a future date. If you have any questions about your policy,please contact our customer service representatives at 1-800-598-2019, or call your registered representative. They will be happy to assist you. For online policy information and service,please visit our Virtual Service Center at www.newyorklife.comNsc. New York Life Insurance and Annuity Corporation is a wholly owned subsidiary of New York Life Insurance Company. Thank you for ma$ing New York Life The Company You Keep©. Sincerely, - Jessica Kim Customer Service Claims - cc: i ANNUITY POLICY INFORMATION DETAILS ' Policy Number: 58012110 Annuitant: MARY F HEICHER Policy Date: 08115/1996 Owner: MARY FRANCES HEICHER AD095 Policy Status: PREMIUM PAY Product: NY LIFE VARIABLE ANNUITY-1 Prepared On: 04/07/2014 Tax Status: NON-QUALIFIED MESSAGES 1 3 2 VALUES-SUMMARY DETAILS - total Current Values - Ba5is and Gain Information Quote As 04/07/2014 Pre-TEFRA Cost Basis: .00 Of. Accumulation Amount: 54,019.74 15,000.00 4 Post-TEFRA Cost Basis: 15,000.00 'Surrender Charge: .00 Total Cost Basis: 39,019.74 TEA Loan and Interest: Federal Taxable Gain: 39,019.74 Net Surrender Value: 54,019.74 State Taxable Gain: Total Contract Value: ' Fixed Account Information Reset Valise 3.000 Policy Reset Value: 41,619.62 Current Interest Rafe: Policy Reset Date: 0811512005 Prior Interest Rate: Surrender Free Window Surrender Free Window: Amount Used: Maximum Available With No Surrender 52,019.74 - Charge: -II this product contains an M6E charge,T is prorated and Included In the Surrender Charge displayed.If the Surrender Charge period has ended,the amount displayed equals the prorated MSE charge. The pub m ebo contained here is as of Ina poor business day's close of business.This morn is not the ORcial Moore of your policy.All Information motioned herein is subject to the verification of rho Insurer against its olhcial policy records.Byou have any quastions about your policy,please contact your oWisfered representative or call our Venable _ Product Service Center at 1-800598-2019. ISSUED BY NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION DISTRIBUTED 8Y NYLIFE DISTRIBUTORS INC. (MEMBER F/NRA) VALUES-FIXED ACCOUNT INTEREST Deposit Date `Current Deposit Amount Current Value Interest Rate Interest Rate Stan Date Interest Rate End Date 0811511996 Valve 27,396.96 53,919.22 3.00% 0910111996 08/15!2014 ' Concert Deposrit Amount Value equals the Onginai DepositAmount minus any Deductions. VALUES-INVESTMENT DIVISION DETAILS Quote As Of: 04/07/2014 - Net Surrender Cash Value: 54,019,74 Total Accumulation Value: 54,019.74 investment Option Fund:F Unit Value V Of Shares Account Value 101 54,019.79 1-YEAR FIXED ACCOUNT - Theintormafioncontainedhemisaso/the prior business day's close of business.Thisrepod isnottheoRiciall ase oleo purregistered lrepmsenla8ve adr sal ofur Vedeblef to the verification of the insureragainst its oKaal poliCY m=rds.tt you ham any questions about yourpoficy,p M Product Service Center at 1-800-598-2019. ISSUED BY NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION DISTRIBUTED BY NYLIFE DISTRIBUTORS INC. j (MEMBER FINRA) - - VALUES -TSA LOAN DETAILS VALUES-PERIODIC PARTIAL WITHDRAWAL DETAILS i INVESTMENT-PREMIUM ALLOCATION DETAILS j ISSUED BYNEW YORK LIFE INSURANCE The information contained here is as of fro priorbusiness day's dose ofbusiness. This Policy 58012110 t report is not the official record of yourpofi icy.All infrmafion cantamed ne ha is subject Printed on:0410712014 e 1 AND ANNUITY CORPORATION p DISTRIBUTED BYNYLIFE DISTRIBUTORS INC. questions about!}rourpphlI please9contact youregistereham 0resenla Nve oc any } (MEMBER FINRA) Vehabble Pmducf Service Center at 1-B00-599-2079. 3 i ANNUITY INVESTMENT-PREMIUM ALLOCATION DETAILS invest4lent Options Allocation percentage 100.00 1-YEAR FIXED ACCOUNT ' The information contained hen=is as of the prior business day's close of business.This report is not the official mmrd of yourpolicy.An information contained herein is subject to The verification of the insurer against its official policy records.If you have any questions about your policy,please contact your registered repmeanlalive or call our Variable Product Sannea Cemerat 1-600.596-2019. ISSUED BYNEWYORKLIFE INSURANCE AND ANNUITY CORPORATION - DISTRIBUTEDBYNYL IFEDISTRIBUTORSINC. (MEMBER FINRAI - INVESTMENT-AUTOMATIC ASSET REALLOCATION DETAILS _ INVESTMENT-DOLLAR COST AVERAGING DETAILS - INVESTMENT-INTEREST SWEEP DETAILS PREMIUMS-SUMMARY DETAILS Premium Made: -Total Premiums Paid: 27,392.46 Premium Amount: Extra Credit Amount: .00 Last Premium Activity: Total Withdrawals: .00 Paid to Date: TSA Quarterly Loan Repayment: Next Bill Date: - PREMIUMS-ADDITIONAL DETAILS PREMIUMS-CHECK.O-MATIC DETAILS PREMIUMS-COMBINED BILLING DETAILS - PREMIUMS-OPTIONS DETAIL PREMIUMS-RIDER INFORMATION DETAILS - BENEFICIARY DETAILS 07/03/2008 New York Life Variable Annuity-Primary Beneficiary-David W Hatcher,per stirpes-Unknown-50% -Susan M Fetzer,per stirpes- Unknown-50%: CLIENT DETAILS Part l Dale: 08/15/1996 Part II Type: Part II Date: Name: MARY FRANCES HEICHER Role: OWNER/ANNUITANT Client ID: 001041012 HouseHOIdiD: 1401090000364784 SSN/Tax ID: ""'-1159 DOB: 09/02/1925 Sex:F Address: 5225 WILSON LN OFC Phone: 717-766-6022 HOME MECHANICSBURG, PA 17055-6622 SUITABILITY-DETAILS Investment Objective: Income with Capital Preservation Risk Tolerance: Moderately Conservative Score: - Client Name Annual Income Liquid Net Worth MARY FRANCES HEICHER .00 .00 i ISSUED BYNEW YORKLIFE INSURANCE The information conlainedhem is as affhe prior business day's close of business.This P01lCy50012110 ANDANNUITY CORPORATION rapodis notthe oKCiairerord ofyourpolicy.All Information contemedherelnis subject Printed on:OMOPe e12 ! DISTRIBUTED BY NYLIFE DISTRIBUTORS INC. to the venucation offtp the ccYinsurer against Its official policy recoPrds.If you have any g i (MEMBER FINRA) questions about VariableliPn du.1 Secontact ic enter at 1-800-59&2D19,registered ntative or call our i VALIC® VALIC Retirement Services Company -P.O.Box 15848 Amarillo,Tx 79105 May 13,2014 JAMES D.BOGAR ATTORNEY AT LAW VIA FAX: 1-717-737-2086 Re: Mary Frances Heicher, Decedent Account Numbers: 8690873, 8745858 Dear James D.Bogar: Your correspondence was forwarded to my attention for review. I would like to take this opportullity to respond. Please be advised the above referenced accounts were solely owned by the client,Ms. Mary Frances Heicher. I am unable to provide the interest earned on the principal investment as interest is added to the account on a daily basis.These accounts are considered to be pre-tax. Any withdrawals processed are 100 percent taxable. As requested,the account information you requested is as follows: Account Contract Plan-Type Value Value Setup Date as of 02/03/2014 as of 05/12/2014 8690873 04/01/1982 Tax-Sheltered $13,980.72 $14,111.78 Annui 403 8745858 05101/.1983 Tax-Sheltered $28,853.46 $29,200,01 Annuili7L4403 . The beneficiary designation for the above referenced accounts is as follows: Beneficiary Name Relationship to Client Percentage David W. Heicher, Son 50'/0 er stir es Susan M.Fetzer, Daughter 50% per stirpe3 NS VALICP VALIC Ratirgmenl Sgrvlcea Company P.O.Box 16646 Amarillo,TX 79105 We are committed to providing you with quality service and personal attention, Please contact a Client Service Professional if you have any questions or treed further assistance. We are available Monday through Friday, from 7:00 a.m,to 8:00 P.M. (CT) at 1-800-448-2542 (1-800-248-2542 TDD, Hearing and Speech Impaired). Sincerely, Michael D. rows Client Support Services Ns REV-1511 Ex-(10-09) SCHEDULE H Pennsylvania DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RESIDENT DEC ENTTURN ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Heicher, Mary Frances 1 21-14-0237 Decedent's debts must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s) attached 6,929.05 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zio Year(s)Commission Paid 2. Attorney's Fees Bogar& Hipp Law Offices 23,100.00 3. Family Exemption' (If decedent's address is not the same as claimant's,attach explanation) Claimant Street Address City State Zio Relationship of Claimant to Decedent 4. Probate Fees - 408.50 5. Accountant's Fees 6- Tax Return Preparers Fees _ 7. Other Administrative Costs 8,784.05 See continuation schedule(s) attached TOTAL(Also enter on line 9, Recapitulation) 39,221.60 Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev. 10-09) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Heicher, Mary Frances 21-14-0237 ITEM NUMBER DESCRIPTION AMOUNT Funeral Expenses 1 Anna Royer-organist for funeral 125.00 2 Funck's Restaurant-funeral brunch 132.99 3 Parthemore Funeral Home-funeral bill 6,248.47 4 Rev.Blaik Westhoff-honorarium for funeral service 200.00 5 Royer's Flowers-flowers for funeral 222.59 H-A 6,929.05 Other Administrative Costs 6 Apria Healthcare 26.34 7 Bethany Village 1,121.00 8 Bethany Village 2,942.00 9 East Pennsboro Ambulance Service 99.00 10 Greenawalt&Company-2013 Personal Income Tax preparation 250.00 11 Holy Spirit Hospital - 162.04 12 Omnicare King of Prussia - 10.29 13� PA Dept.of Revenue-2013 Personal Income Tax payment 73.00 14 Penn State-January and February 2013 Retirees Insurance premiums 80.00 Copyright(c)2002 form software only The Lackner Group, Inc. - Form PA-1500 Schedule H(Rev.6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Heicher, Mary Frances 21-14-0237 ITEM NUMBER DESCRIPTION AMOUNT 15 RESERVES: -Costs to conclude administration of estate, including preparation and filing of 4,000.00 Court Accounting and preparation of 2014 Personal Income Tax Returns and Fiduciary Income Tax Returns 16 US Postal Service-certified mail for 2013 Personal Income Taxes 7.40 17 US Postal Service-Certified mail to PNC Bank and PA Dept. of Revenue 12.98 H-B7 8,784.05 Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98) REV-1513 EX.(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER _ Heicher, Mary Frances 21-14-0237 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT (WOMB) ($55) I TAXABLE DISTRIBUTIONS [include outright spousal distributions,and transfers under Sec.9116(a)(1.2)1 Susan M. Fetzer Daughter One-half of rest, 2200 Hendricks Station Road, Box 103 residue and Woxall, PA 18979 remainder David W. Heicher Son One-half of rest, 432 Old Ferry Road residue and Newport, PA 17074 remainder Total Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet,as appropriate. NON-TAXABLE DISTRIBUTIONS: II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule J(Rev.01-10) LAST WILL AND TESTAMENT OF MARY FRANCES HEICHER I, MARY FRANCES HEICHER, of Mechanicsburg, Cumberland County, Pennsylvania, make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, in equal shares, to my children, DAVID W. HEICHER and SUSAN M. FETZER, provided that should either of my children predecease me, I give and bequeath such child' s share unto his or her issue per stirpes by represen- tation. SECOND: In addition to all powers granted to them by law and .by other provisions of this Will, I give the fiduciaries acting hereunder the following powers, applicable to all proper- ty, exercisable without court approval and .effective until actual distribution' of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it. (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivi- sion, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. (C) To compromise any claim or controversy and to abandon any property which is of little or no value. '(D) To invest in ,all, forms of property, including stocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws, (G) To make distributions to my herein named benefici- aries in cash or in kind or partly in each. (H) To ,borrow money from themselves or others in order ' to pay debts, taxes, or estate or trust administration expenses, to protect or improve any property held under my will , and for investment purposes. (I) To select a mode of payment under any qualified retirement plan (pension plan, profit sharing plan, employee stock ownership plan, or any other type of qualified plan) to the extent the plan or the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. THIRD.: I direct that all inheritance, estate, trans- fer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with respect to property passing under this Will, shall be paid out of the Principal of my residuary estate . 2 FOURTH: I nominate and appoint my children, DAVID W. HEICHER and SUSAN M. FETZER, Co-Executors of. this, my Last Will and Testament . I direct that my Co-Executors and their succes- sors, as the case may be, shall not be, required to post security or a bond for the ,performance of their duties in any jurisdic- tion. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this /si day of F} GG'GGGS 2008 . (SEAL) MARY FRANCES HEICHER Signed, sealed, published and declared by the above named Testatrix as and for her Last Will and Testament in our presence, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Address Address 3