HomeMy WebLinkAbout08-15-14 � 1505611184
REV-1500 EX�a2_��>�F�, �
OFFICIAL USE ONLY
PA Department of Revenue pennsylvania County Code Year File Number
a E��E
Bureau of Individual Taxes INHERITANCE TAX RETURN 2
PO BOX 280601 RESIDENT DECEDENT � � � ���1��
Harrisburg PA i�iz8-o6o1
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
11182013 04221938
Decedent's Last Name Su�x DecedenYs First Name MI
FORD � JOHN J �
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
FORD � ANNA �
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
159-32-3436 REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
� 1.Original Return Q 2. Supplemental Return Q 3. Remainder Return(date of death
prior to 12-13-82)
Q 4. Limited Estate � 4a. Future Interest Compromise(date of Q 5. Federal Estate Tax Return Required
death after 12-12-82)
(� 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust _ 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
Q 9. Litigation Proceeds Received O 10. Spousal Poverty Credit(date of death O 11. Election to tax under Sec.9113(A)
between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
DEBORAH L WARTELL, EA 717 838-2387
REGISTER OF WILLS USE ONLY
First line of address r--_�
. �
815 E ARCH STREET ` ��
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Second line of address E r i� �-, -
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City or Post Office State ZIP Code T�FI�ED �
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PALMYRA PA 17078 v z � � :E
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CorrespondenYs e-mail address:DEBW@ PARKSANDCO.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.
SIGNATUR F PERSON RESPONSIBLE FO G ETURN � ATE �
ADDRESS
4919 SHASTA WAY, MECHANICSBURG, PA 17050-2591
SIGNATURE OF PREP,QRER OTHER THAN REPRESENTATIVE DATE
�1 n_ _ n p —? /3 I 1 I'-I
c'i �17 ci '4�D 110 � !-1
ADDRESS
815 E ARCH STREET, PALMYRA, PA 17078
PLEASE USE ORIGINAL FORM ONLY
Side 1
� 1505611184 15D5611184 �
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� 1505611284
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REV-1500 EX(FI) DecedenYs Social Security Number
�ecedenYs Name JOHN J FORD
RECAPITULATION
1. Real Estate(Schedule A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 2 4 O, 14 5.0 0
2. Stocks and Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. 14, 9 9 5.31
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. 67 4 .8 2
6. Jointly Owned Property(Schedule F) O Separate Billing Requested . . . . . . . 6. 91, 9 0 8 .14
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested.. . . . . . . 7. 1, 2 4 9, 6 4 3•16
8. Total Gross Assets(total Lines 1 through 7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. 1, 5 9 7, 3 6 6•4 3
9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . . . . . . . . . . . . . . 9. 2 0, 6 6 5•8 6
10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule I) .. . . . . . . . . . . . . 10. 5 5•8 3
11. Total Deductions(total Lines 9 and 10). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 2 O, 7 21. 6 9
12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 1, 5 7 6, 6 4 4 .7 4
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) . . . . . . . . . . . . . . . . . . . . . . . . 14. 1, 5 7 6, 6 4 4 .7 4
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(�.2)x.o00 l, 576, 644 .74 15. 0.00
16. Amount of Line 14 taxable
at lineal rate X.0 . 16. •
17. Amount of Line 14 taxable
at sibling rate X.12 • ��• �
18. Amount of Line 14 taxable
at collateral rate X .15 • 18. •
19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 0.0 0
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Side 2
� 1505611284 1505611284 �
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REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address:
DECEDENT'S NAME
John J Ford _ -
-- -- ---. __ - _ _ _
STREET ADDRESS
4919 Shasta Way __ _ _
_— - - --- -_ -__, _ - - -
CITY - _ __ 3TATE _ - ,� ZIP
Mechanicsbur I,PA � 17050-2591
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) ��) 0. 00
2. Credits/Payments
A.Prior Payments _ __ __ ____ __
B.Discount
_ — _ _
Total Credits(A+B) (2)
3. Interest
(3)
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2,Line 20 to request a refund. (4)
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 0.0 0
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:.......................................................................................... ❑ 0
b. retain the right to designate who shall use the property transferred or its income:........................................ .... ❑ ❑X
c. retain a reversionary interest .......................................................................................................................... ❑ �
d. receive the promise for life of either payments,benefits or care?...................................................................... � �
2. If death occurred after Dec.12, 1982,did decedent transfer property within one year of death
without receiving adequate consideration?.............................................................................................................. ❑ �
3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?.............. ❑ 0
4. Did decedent own an individual retirement account,annuity or other non-probate property,which
contains a beneficiary designation? ........................................................................................................................ X❑ ❑
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994, and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is 3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the suroiv ing 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 requir ements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
. The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an
atloptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)].
. The tax rate imposed on the net value of transfers to or for the use of the tlecedent's lineal beneficiaries is 4.5 percent,exc ept 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 decedent's siblings is 12 percent[72 P.S. §9116(a) (1.3)].A sibling is defined,
under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
, REV-i502 EX+ (12-12)
�;c� ,,w pennsylvania SCHEDULE A
��:
DEPARTMENT OF REVENUE REAL ESTATE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
John J Ford Estate
All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property
wouid be exchanged between a willing buyer and a wiiling seller, neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts.
Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the property has been sold.
ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
1, RESIDENCE — 4919 SHASTA WAY, MECHANICSBURG, PA 17050 227, 800.00
2. TIMESHARE — OCEAN HIGH 7, 995.00
3. TIMESHARE — OCEANTIME RESORT 4, 350.00
TOTAL(Also enter on Line 1, Recapitulation.) $ 240, 145.00
If more space is needed, use additional sheets of paper of the same size.
REV-1503 EX+(8-12)
�,�j � ; pennsylvania SCHEDULE B
l��x� DEPARTMENT OF REVENUE
� INHERITANCE TAX RETURN STOCKS & BONDS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
John J Ford Estate
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. METLIFE INC — 92 SHARES/TRUST INTERESTS 4, 800.56
2. PRUDENTIAL FINANCIAL, INC — 115 SHARES 10, 194.75
TOTAL(Also enter on line 2,Recapitulation) $ 14, 9 9 5.31
if more space is needed,insert additional sheets of the same size
� REV-1508 EX+(OS-12)
��� e,: pennsylvania
SCFIEDULE E
� DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC.
���� � INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
John J Ford Estate
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 VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. REFUND — AVALON INSURANCE 121.80
2. REFUND — METLIFE INSURANCE 553.02
TOTAL (Also enter on Line 5, Recapitulation) $ 674 .82
If more space is needed, use additional sheets of paper of the same size.
• REV-i5og EX+(o1-i0)
� pennsylvania SCNEDULE F
DEPARTMENTOFREVENUE �OINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER:
ESTATE OF:
John J Ford Estate
If an asset became jointly owned within one year of the decedent's date of death,it must be reported on Schedule G.
SURVIVING]OINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT
A.ANNA M FORD
4919 SHASTA WAY SPOUSE
MECHANICSBURG, PA 17050-2591
B.
C.
JOINTLY OWNED PROPERTY:
LEffER DATE
DESCRIPTION OF PROPERTY %OF DnTE OF DeATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR VA UE OF AS�SET DINTERESTS DECEDENT 5 INTEREST
NUMBER TENANT lOINT IDENTIFYING NUMBER.ATTACH DEED FOR JOINTLY HELD REAL ESTATE.
1. A• 04/15/0 BANCO SANTANDER SA 1, 900. 92 50 950.46
2. A Ol/O1/9 TIAA—CREF MGD ALLOC FD — ACCT #99-1864291 40, 480.08 50 20, 240.04
3. A O1/01/9 METRO BANK — CHK ACCT #0032071425 8, 057 . 41 50 4, 028.71
4 . A Ol/O1/0 SANDANDER BANK — ACCT #2331031665 17, 622. 80 50 8, 811.40
(ABOVE ACCT VALUE TAKEN FROM PA NOTICE)
5. A 09/26/1 MEMBERS 1ST — CD ACCT #44314-0041 20, 201.58 50 10, 100.79
6. A 05/29/1 MEMBERS 1ST — CD ACCT #44314-0042 51, 154 . 92 50 25, 577 .46
7 . A 06/06/1 MEMBERS 1ST — CD ACCT #44314-0044 18, 309.87 50 9, 154 . 94
8. A 10/12/1 MEMBERS 1ST — CD ACCT #44314-0045 15, 213.34 50 7, 606. 67
9. A O1/O1/0 MEMBERS 1ST — SAVINGS ACCT #44314-0000 10, 875. 34 50 5, 437 . 67
TOTAL (Also enter on Line 6, Recapitulation) $ 91, 908. 14
If more space is needed, use additional sheets of paper of the same size.
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• REV-151Q E?(+ ;os-a�;
� pennsylvania SCHEDULE G
DEPARTMENTOFREVENUE INTER-VIVOS TRANSFERS AND
INHERITANCETAXREfURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
John J Ford Estate
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
DESCRIPTION OF PROPERTY DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE
ITEM (NCLUDE THE NAME Of THE TRANSFEREE,THEIR kElATI0N5HID TO DECEDENT AND
NUMBER THE DATE OF TRANSFER. ATTACH A COPY Of THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPUCABLE) VALUE
1. TIAA CONTRACT (SEE VALUATION RPT FROM TIAA—CREF) 14, 621.35 100 14, 621.35
2• CREF (SEE VALUATION REPORT FRO TIAA—CREF) 35, 021.81 100 35, 021.81
TOTAL(Also enter on Line 7, Recapitulation) $ l, 249, 643. 16
If more space is needed,use additional sheets of paper of the same size.
. REV-i511 EX+ (08-13)
� pennsylvania SCHEDULE H
DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
INHERITANCE TAX REfURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
John J Ford Estate
DecedenYs debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1• MALPEZZI FUNERAL HOME 14, 537.76
2. GOOD SHEPHERD CHURCH 1, 912.77
3. FLOWERS 615.33
4 . OFFICE OF CATHOLIC CEMETERIES BRONZE MEMORIAL 3, 350
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representative(s)_
Street Address
City __ State---- ZIP---___
Year(s)Commission Paid:
2• Attorney Fees:
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation,)
Claimant
Street Address
Ciry _ __ . _ _ _ State _ ZIP .
Relationship of Claimant to Decedent__ ____ _
4. Probate Fees:
5. Accountant Fees:
6. Tax Return Preparer Fees: 2 5 0.0 0
7.
TOTAL(Also enter on Line 9, Recapitulation) $ 20, 665. 86
[f more space is needed,use additional sheets of paper of the same size.
. REV 1512 EX+ (12-12)
�= SCHEDULE I
` �� ;�' pennsylvania
����` DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
iNnea�raNCe Tnx aeruaN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF
John J Ford Estate
Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses.
VALUE AT DATE
ITEM DESCRIPTION OF DEATH
NUMBER
55.83
1, MEDICAL EXPENSE
TOTAL(Also enter on Line 10, Recapitulation) $ 55.83
If more space is needed,insert additional sheets of the same size.
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WILL
OF
JOHN J. FORD
� JAMES SMITH DIETTERICK & CONNELLY LLP
P.O. BOX 650
HERSHEY, PENNSYLVANIA 17033
Copyright�2005James Smith Dietterick & Connelly LLP
��
. Wiil _
� of -� -
- John J. Ford ��'�
I, 7ohn J. Ford, a resident of Cumberland County, Pennsylvania, revoke any prior wills
and codicils made by me and declare this to be my Will. �
Article One
Family Information
I am married to Anna M. Ford. Any reference in my will to my wife is to Anna M. Ford.
I have four children. Their names and dates of birth are:
Patricia A. Elgin,born on June 26, 1964
Stephen M. Ford,born on July 28, 1965
� Edward J. Ford,born on July 28, 1965
�
Annette M. Bailey,born on February 20, 1967
All references to my children in my will are to these children.
References to my descendants are to my children and their descendants.
For purposes of this Will, in the case of my son, Stephen M. Ford, the two children for
whom he acts as a custodial parent, Gregory R. Ford and John Q. Ford, shall be treated as
my descendants and as descendants of Stephen M. Ford.
Article Two �
Specific and General Gifts
Section 2.01 Disposition of Tangible Personal Property
I give all my tangible personal property, together with any insurance policies covering
such property and claims under such policies in accordance with a "Memorandum for
Distribution of Personal Propert�' or other similar writing directing the disposition of
✓ such property, which shall be dated and signed by me.
Page 1
, I intend that the writing qualify to distribute my tangible personal possessi`ons.._under "
applicable state law. '
� -
Section 2.02 Contingert Distribution of Tangible Personal Property �
Any tangible personal property not disposed of by a written memorandum, or if I choose
not to leave a written memorandum, all such property shall become part of my residuary
estate.
Section 2.03 Definition of Tangible Personal Property
For purposes of this Article, my tangible personal property shall include but not be
limited to my household furnishings, appliances and fixtures, works of art, motor
vehicles, pictures, collectibles, personal wearing apparel and jewelry, books, sporting
goods, and hobby paraphernalia.
Tangible personal property shall not include any tangible property that my Personal
Representative, in its sole discretion, deternunes to be part of any business or business
interest that I own at my death.
Section 2.04 Ademption
If property to be distributed under this Article becomes part of my probate estate in any
�� manner after my death, then the gift shall not adeem on account of not being a part of my
probate estate at my death, and my Personal Representative shall distribute the property
as a specific gift in accordance with this Article. If property to be distributed under this
Article is not part of my probate estate upon my death and does not subsequently become
part of my probate esta.te, then the specific gift made in this Article shall be considered
null and void,without any legal or binding effect.
Section 2.05 Encumbrances and Incidental Expenses of Tangible
Personal Property
My Personal Representative shall distribute property under this Article subject to liens,
security interests or other encumbrances on the property.
My Personal Representative shall pay, as an administration expense, the reasonable
expenses of storing, packing, insuring, transporting and otherwise caring for my tangible
personal property until actual delivery of each article of property to the appropriate
beneficiary.
�-
Page 2
Article Three
� My Residuary Estate �
� �
_ �...
Section 3.01 Definition of My Residuary Estate ,
All the remainder of my estate, including property referred to above that is not effectively
disposed of, shall be referred to in my will as my"residuary estate."
Section 3.02 Disposition of My Residuary Estate
If my wife predeceases me, my residuary estate shall be administered as provided in
Article Six entitled"My Descendants' Trusts."
If my wife survives me and the federal estate tax is in effect at the time of my death, my
Personal Representative shall allocate all my residuary estate to the Marital Share to be
administered as provided in Article Four entitled"the Survivor's Trust."
If there is rio federal estate tax in effect at my death and 5ection 1022 of the Internal
Revenue Code is in effect, my Personal Representative shall distribute to my residuary
estate to my wife.
�
Section 3.03 Disposition Upon Disclaimer by My Wife
My wife shall have the right within the time and in the manner provided by law to
disclaim her right to receive a specific portion or all of the property passing to or for her
benefit under my will. If my wife disclaims any portion of the property that would
otherwise be allocated to the Marital Share, my Personal Representative shall allocate the
disclaimed property to the Non-Marital Share and the Non-Marital Share shall be
administered as provided in Article Five entitled "the Family Trust." If my wife
disclaims any interest she has in any portion of the Family Trust, my Personal
Representative shall dispose of the disclaimed interest under the provisions of my will as
though she had predeceased me.
Article Four
The Survivor's Trust
I give the Marital Share to my Trustee in trust to hold and administer as provided in this
Article. The trust will be referred to as the"Survivor's Trust."
;�:
Page 3
Section 4.01 Distribution of Income �
� My Trustee shall distribute all of the net income of the Survivor's Trust-.to my wife at �
least annually during her lifetime. Nothing contained in my will shall limit the�right of - '
my wife to receive the entire net income of the Survivor's Trust.
Section 4.02 Distributions of Principal
My Trustee shall distribute to my wife as much of the principal of the Survivor's Trust as
she may request in writing.
In addition, my Trustee may distribute to my wife as much of the principal of the
Survivor's Trust as my Trustee may determine is necessary or advisable for any purpose.
Section 4.03 Unproductive Property
Upon written request of my wife, my Trustee shall convert any nonproductive property
held in the Survivor's Trust to productive property.
Section 4.04 General Power of Appointment
My wife shall have the testamentary general power to appoint all or any portion of the
principal and undistributed income remaining in the Survivor's Trust at her death among
�. one or more persons or entities, including the creditors of my wife's estate. My wife
shall have the sole and exclusive right to exercise this general power of appointment.
I intend that this testamentary power of appointment be a general power of appoinhnent
as defined in Section 2041 of the Internal Revenue Code.
Section 4.05 Termination of the Survivor's Trust at the Death of My Wife
The Survivor's Trust shall ternunate upon the death of my wife. If my wife has not fully
exercised her testamentary general power of appointment over the trust property
remaining at her death,my Trustee shall administer the unappointed balance or remainder
of the Survivor's Trust as provided in Article Six entitled"My Descendants' Trusts."
Article Five
The Family Trust
My Trustee shall hold and administer the Non-Marital Share in trust as provided in this
Article. The trust will be referred to as the"Family Trust."
�
Page 4
Section 5.01 Family Trust Beneficiary _.._
''' My wife shall be the only beneficiary of the Family Trust during her lifetime. �
Section 5.02 Distribution of Income
My Trustee shall distribute all of the net income of the Family Trust to my wife at least
annually during her lifetime.
Section 5.03 Distribution of Principal
My Trustee shall distribute to my wife as much principal of the Family Trust as my
Trustee determines is necessary or advisable for her health, education, maintenance or
support.
Section 5.04 Guidelines to My Trustee
In making discretionary distributions under this Article, my Trustee should bear in mind
that my primary concern and objective is to provide for the well-being of my wife and the
preservation of principal is not as important as the accomplishment of this objective.
Without limiting my Trustee's discretion, I recommend, but do not require, that my
Trustee not distribute principal from the Family Trust to my wife until the principal of the
�, Survivor's Trust is substantially exhausted.
Section 5.05 Effect of My Wife's Remarriage on Family Trust
Distributions
Upon the remarriage of my wife,the Family Trust shall terminate unless my wife and her
new spouse execute a valid pre-nuptial agreement that complies with the terms set forth
below. Remarriage, for puxposes of my will, shall mean any marriage including a
common law marriage entered into by my wife after my death that is valid in the
jurisdiction where the marriage took place.
If terminated my Trustee shall administer the balance or remainder of the Family Trust as
provided in Article Six entitled"My Descendants' Trusts."
If my wife should choose to remarry after my death and executes a valid pre-nuptial
agreement not less than thirty (30) days prior to her remarriage then, in my judgment,
there will be sufficient protection for the other beneficiaries named in my will, and the
Family Trust shall not terminate. The pre-nuptial agreement shall be in writing and
signed by my wife and her new spouse with each having been represented by separate
legal counsel. Prior to the execution of the agreement each party shall have made full
disclosure of their assets as their assets exist at that time. The pre-nuptial agreement shall
provide that my wife's new spouse shall waive any right to any portion of my wife's
,�,.
share of my wife's premarital assets and my wife's interest in any trust created under my
Page 5
will in the event of dissolution of the mairiage, or in the event of the death�of my wife
�..._.
with the new spouse su.rviving my wife. "
Section 5.06 Termination of the Family Trust
The Family Trust shall terminate upon the death of my wife. My Trustee shall administer
the balance or remainder of the Family Trust as provided in Article Six entitled "My
Descendants' Trusts."
Article Six
My Descendants' Trusts
The Distribution to My Descendants shall be administered as provided in this Article.
Section 6.01 Division of My Trust Property
All property allocated to this article shall be divided into separate shares for my living
descendants,per stirpes.
My Trustee shall distribute the share for each descendant over the age of 35 to the
� descendant outright, free of trust. My Trustee shall administer the share for each
descendant under the age of 35 in trust as provided in the following Section.
Section 6.02 Administration of the Descendants' Trusts
My Trustee shall administer the trust for each descendant as follows:
(a) Distributions of Income and Principal
My Trustee shall distribute to the beneficiary as much of the income and
principal of the beneficiary's trust as my Trustee determines is necessary
or advisable for the health, education, maintenance or support of the
beneficiary.
Any undistributed net income shall be accumulated and added to principal.
(b) Guidelines for Discretionary Distributions
In making discretionary distributions to the beneficiary, it is my desire to
provide for the well-being and happiness of the beneficiary. Although I
request that my Trustee consider the other known resources available to
the beneficiary before making distributions, I also request that my Trustee
'�
be liberal in making any distributions to the beneficiary. I acknowledge
Page 6
that the principal of the trust established for the beneficiary may be
exhausted in making such distributions.
� _�
(c) Right to Wit�idraw Principal { �
At the intervals set forth below, a beneficiary may withdraw from his or
her trust share, at any time or times, amounts not to exceed in the
aggregate:
50% of the accumulated trust income and principal, after attaining
age 25 years;
Increased by 50% of the accumutated trust income and principal,
after attaining the age of 30 years; and
All or any portion of the accumulated trust income and principal
upon attaining the age of 35 years.
When the beneficiary attains the age of 35 years or if, upon the funding of
the trust created for the beneficiary, the beneficiary has already attained
the age of 35, the beneficiary may withdraw from the trust at any time or
times any portion or all of the accumulated txust income and principal.
The beneficiary may exercise this right at any time by delivering written
� notice to my Trustee, setting forth the amount the beneficiary desires to
withdraw. Upon receiving a notice, my Trustee sha11 convey and deliver
to the beneficiary, free of trust, the amount requested in the notice. This
right of withdrawal is a privilege that may be exercised only by the
beneficiary and shall not be subject to the claims of any creditor or to legal
process and may not be voluntarily or involuntarily alienated or
encumbered. This provision shall not limit the exercise of any power of
appointment the beneficiary may have.
(d) Distribution Upon the Death of the Beneficiary
If the beneficiary should die after the establishment of the beneficiary's
trust, but before the complete distribution of the beneficiary's trust, my
Trustee sha11 distribute the remaining trust property per stirpes to the
descendants of the beneficiary.
If the beneficiary has no living descendants, my Trustee shall distribute
the balance of the trust property per stirpes to my descendants.
If I have no living descendants, my Trustee shall distribute the balance of
the trust property as provided in Article Seven.
�.
Page 7
Article Seven
�� Remote Contingent Distribution
If, at any time, there is no person or entity qualified to receive final distribution of my
probate or trust estate or any part of it, then the portion of my probate or trust estate with
respect to which the failure of qualified recipients has occurred shall be distributed one-
half to those persons who would inherit it had I then died intestate owning the property,
and one-half to those persons who would inherit it had my wife then died intestate
owning such property, all as determined and in the proportions provided by the laws of
Pennsylvania then in effect.
Article Eight
Designation of Fiduciaries
Section 8.01 Personal Representative
I name my wife as my Personal Representative. If Anna M. Ford fails or ceases to act as
my Personal Representative, I name the following in the order named as my Personal
�:
Representative:
Patricia A. Elgin;
Edwaxd J.Ford;
Stephen M. Ford;then
Annette M. Bailey
Edward J. Ford was selected to serve ahead of his twin brother, Stephen
M. Ford, because of uncertainties of Stephen M. Ford's availability to
serve while an active member of the United States Armed Forces.
Section 8.02 My Trustee
I appoint my wife as my Trustee to serve as Trustee of any trusts created under my will.
If Anna M. Ford fails or ceases to act as Trustee, I appoint the following; in the order
named,as my Trustee:
Patricia A. Elgin; �
Edward J. Ford;
�'
Page 8
Stephen M. Ford; then
�'� Annette M. Bailey
Edward J. Ford was selected to serve ahead of his twin brother, Stephen
M. Ford, because of uncertainties of Stephen M. Ford's availability to
serve while an active member of the United States Armed Forces.
Article Nine
Trust Administration Provisions
The provisions of this Article pertain to any trust created under my wilL
Section 9.01 No Court Proceedings
Any trust created under my will shall be administered expeditiously, consistent with the
provisions of my will, free of judicial intervention, and without order, approval or action
of any court. A trust shall be subject to the jurisdiction of a court only if my Trustee or
another interested party institutes a legal proceeding. A proceeding to seek instructions
or a court determination shall be initiated in the court having original jurisdiction over
matters relating to the construction and administration of trusts. Seeking instructions or a
� court determination shall not subject a trust to the continuing jurisdiction of the court.
Section 9.02 Resignation of a Trustee
A Trustee may resign by giving notice to the income beneficiaries of the trust and to any
other Trustee then serving. A Trustee's notice of resignation shall become effective upon
the successor Trustee's acceptance of appointment.
Section 9.03 Removal of a Trustee
A majority of the income beneficiaries of any trust or trust share created under my will
may remove a Trustee of the trust, with or without cause. The right to remove a Trustee
under this subsection shall not be deemed to grant to the person holding that right any of
the powers of that Trustee.
If a beneficiary is a minor or is incapacitated, the parent or legal representative of the
beneficiary may act on behalf of the beneficiary.
�
Page 9
Section 9.04 Default of Designation
`� If the office of Trustee of a trust created under my will is vacant and no designated
successor Trustee is able and willing to act as Trustee, my wife shall appoint an
individual or corporate fiduciary as successor Trustee.
If my wife is deceased, a majority of the income beneficiaries of the trust shall appoint an
individual or corporate fiduciary as successor Trustee.
Any beneficiary may petition a court of competent jurisdiction to appoint a successor
Trustee to fill any vacancy remaining unfilled after a period of 30 days. By making such
appointment, the court shall not thereby acquire any jurisdiction over the trust, except to
the extent necessary for making the appointment.
If a beneficiary is a minor or is incapacitated, the parent or legal representative of the
beneficiary may act on behalf of the beneficiary.
Section 9.05 Notice of Removal and Appointment
Notice of removal shall be in writing and shall be delivered to the Trustee being removed
and to any other Trustees then serving. The notice of removal shall be effective in
accordance with its provisions.
Notice of appointment shall be in writing and shall be delivered to the successor Trustee
� and any other Trustees then serving. The appointment shall become effective at the time
of acceptance by the successor Trustee. A copy of the notice shall be attached to my will.
Section 9.06 Appointment of a Cotrustee
Any individual Trustee may appoint an individual or a corporate fiduciary as a Cotrustee.
A Cotrustee so named shall serve only as long as the Trustee who appointed the
Cotrustee (or, if the Cotrustee was named by more than one Trustee acting together, by
the last to serve of those Trustees) serves, and that Cotrustee shall not become a successor
Trustee upon the death, resignation, or incapacity of the Trustee who appointed the
Cotrustee, unless so appointed under the terms of my will. The Trustee appointing a
Cotrustee may revoke the appointment at any time with or without cause.
Section 9.07 Corporate Fiduciaries
Any corporate fiduciary serving as a fiduciary under my will must be a bank, trust
company, or public charity that is qualified to act as a fiduciary under applicable federal
and state law and that is not related or subordinate to any beneficiary within the meaning
of Section 672(c) of the Intemal Revenue Code. .
The corporate fiduciary shall:
�. Have a combined capital and surplus of at least Fifty Million Dollars; or
Page 10
Maintain in force a policy of insurance with policy limits of not less than
� Fifty Million Dollars covering the enors and omissions of my Trustee
with a solvent insurance carrier licensed to do business in the state in
which my Trustee has its corporate headquarters; or
Have at least Fifty Million Dollars in assets under management.
Section 9.08 Appointment of Independent Special Trustee
If for any reason the Trustee of any hust created under my will is unwilling or unable to
act with respect to any trust property or any provision of my will, the Trustee shall
appoint, in writing, a corporate fiduciary or an individual to serve as an Independent
Special Trustee as to such property or with respect to such provision. The Independent
Special Trustee appointed sha11 not be related or subordinate to any beneficiary of the
trust within the meaning of Secrion 672(c) of the Internal Revenue Code. The Trustee
may revoke the appointment at will.
An Independent Special Trustee shall exercise all fiduciary powers granted by my will
unless expressly limited elsewhere in my will or by the Trustee in the instrument
appointing the Independent Special Trustee. An Independent Special Trustee may resign
at any time by delivering written notice of resignation to the Trustee. Notice of
resignation sha11 be effective in a.ccordance with the terms of the notice.
� Section 9.09 Majority Action of Trustees
If two Trustees are eligible to act with respect to a given matter, the concurrence of both
shall be required for action to be taken; if more than two Trustees are eligible to act with
respect to a given matter, the concurrence of a majority of my Trustees shall be required
for action to be taken.
A nonconcurring Trustee may dissent or abstain from a decision of the majority. A
Trustee shall be absolved from personal liability by registering its dissent or abstention in
the records of the trust. After doing so, the dissenting Trustee shall then act with my
other Trustees in any way necessary or appropriate to effectuate the decision of the
majority.
Notwithstanding any provision of my will to the contrary, a Trustee may disclaim or
release, in whole or in part, by an instrument in writing, any power it holds as Trustee,
irrevocably or for any period of time that the Trustee may specify. The Trustee may
make the relinquishment of a power personal to the Trustee or may relinquish the power
for all subsequent Trustees.
Section 9.10 Disclaimer by Beneficiary Serving as Trustee �
Notwithstanding any provision of my will to the contrary, any beneficiary serving as a
�
Trustee may disclaim or release, by an instru.ment in writing, any power as Trustee in
Page 11
My Trustee may rely upon any request by the personal representative or members of the �
family of the deceased beneficiary for payment without verifying the validity or the
� amounts and without being required to see to the application of the amounts so paid. My
Trustee may make decisions under this Secrion without regard to any limitation on
payment of expenses imposed by statute or rule of court and may be made without
obtaining the approval of any court having jurisdiction over the administration of the
deceased beneficiary's estate.
Section 9.16 Trust Accounting
Except to the extent required by law, my Trustees shall not be required to file annual
accounts with any court or court official in any jurisdiction.
Upon the written request of a beneficiary, my Trustee shall render an accounting at least
annually to the income beneficiaries of the trust during the accounting period that
includes the date of the written request. The accounting shall include the receipts,
disbursements, and distributions occurring during the accounting period and a balance
sheet of the trust property if no tax retu.rn is filed, or may consist just of the tax return for
the accounting period if a tax return is filed for the trust.
In the absence of fraud or manifest error, the assent by all income beneficiaries to an
accounting of an Independent Trustee shall make the matters disclosed in the accounting
binding and conclusive upon all persons, both those in existence on the date of my death
and those to be born in the future who have, or will in the future have, a vested or
�' contingent interest in the trust property. In the case of a minor or incapacitated
beneficiary, that beneficiary's natural guardian or legal representative shall give the
assent required under this Section.
The failure of any person to object to any accounting by giving written notice to my
Trustee within 60 days of the person's receipt of a copy of the accounting shall be
deemed to be an assent by such person.
The trust's financial records and documentation shall be available at reasonable times and
upon reasonable notice for inspection by trust beneficiaries and their representatives. My
Trustee shall not be required to furnish trust information regarding my trust to any
individual, corporation, or other entity that is not a beneficiary or the representative of a
beneficiary, and is not requesting the information pursuant to a valid court order.
Section 9.17 Authority to Terminate Trusts
If, at any time, my Trustee, other than an Interested Trustee, in its sole discretion,
determines that a trust created under my will is no longer economical or is otherwise
inadvisable to administer as a trust, or if my Trustee, other than an Interested Trustee,
deems it to be in the best interest of my beneficiaries, my Txustee, without further
responsibility, may terminate the trust and distribute the trust property, including any
�.
undistributed net income, in the following order of priority:
Page 14
To my wife, if then a beneficiary of the trust; F ._
� If my wife is not then a beneficiary of the trust, to the beneficiaries then
entitled to mandatory distributions of net income of the trust and in the
same proportions; and
If none of the beneficiaries are entitled to mandatory distributions of net
income, to the beneficiaries then eligible to receive discretionary
distributions of net income of the trust, in such amounts and shares as my
Trustee, other than an Interested Trustee,may determine. '
Section 9.18 Marital Deduction Qualification
I intend that the marital gift as described in Article Three of my will qualify for the
federal estate tax marital deduction, and the provisions of my will shall be construed to
reflect this intent. To the extent that giving effect to a provision af my will would result
in the marital gift not qualifying for the federal estate tax unlimited marital deduction,
that provision shall be ineffective.
� Article Ten
General Administrative Provisions
�
The provisions of this Article apply to my probate estate and to any trust created under
my will.
Section 10.01 No Bond
No Fiduciary shall be required to furnish any bond for the faithful performance of the
Fiduciary's duties. If a bond is required by any law or rule of court, no surety shall be
required on such bond.
Section 10.02 Fiduciary Compensation
An individual serving as my Fiduciary, other than my wife, shall be entitled to fair and
reasonable compensation for the services rendered as a fiduciary. A corporate fiduciary
shall be compensated by agreement with an individual Fiduciary or, in the absence of an
individual Fiduciary or in the absence of an agreement, in accordance with the corporate
fiduciary's published schedule of fees in effect at the time the services are rendered.
My Fiduciary may chazge additional fees for services it provides that aze not comprised
within its duties as my Fiduciary such as fees for legal services, tax return preparation
and corporate finance or investment banking services.
�
Page 15
In addition to receiving compensation, my Fiduciary may be reimbursed for reasonable �
� costs and expenses incurred in carrying out its duties under my will.
Section 10.03 Determination of Principal and income
My Fiduciary may determine in a fair, equitable and practical manner how all fiduciaries'
fees, disbursements, receipts, and wasting assets shall be credited, charged, and
apportioned between principal and income.
My Fiduciary may set aside from trust income reasonable reserves for taxes, assessments,
insurance premiums, repairs, depreciation, obsolescence, depletion, and for the
equalization of payments to or for the beneficiaries. My Fiduciary may select appropriate
accounting periods with regard to the trust property.
Section 10.04 Spendthrift Provision
Neither the income nor the principal of any trust established under my will shall be
assigned, anticipated or alienated in any manner by any beneficiary,nor shall it be subject
to attachment,banla�uptcy proceedings or any other legal process, or to the interference or
control of creditors or others.
Nothing contained in this Section shall restrict in any way the exercise of any power of
appointment granted in my will.
� Section 10.05 Distributions to Incapacitated Persons and Persons Under
Thirty-Five Years of Age
If my Fiduciary is directed to distribute any share of my probate estate or trust principal
to a beneficiary, other than my wife,who is under the age of 35 yeazs or is in the opinion
of my Fiduciary, under any form of incapacity that renders the beneficiary unable to
administer distributions properly when the distribution is to be made, and if no other trust
is then to be held under my will for the beneficiary's primary benefit, my Fiduciary may,
as Trustee, in my Fiduciary's discretion, continue to hold the beneficiary's share as a
separate trust until the beneficiary reaches the age of 35 or overcomes the incapacity.
When the beneficiary reaches the age of 35 or overcomes the incapacity, my Fiduciary
shall distribute the beneficiary's trust to him or her,outright free of trust.
While any trust is being held under this Section, the Trustee, other than an interested
Trustee, shall pay to the beneficiary for whom the trust is held such amounts of the net
income and principal as the Trustee determines to be necessary or advisable for �any
purpose. If the Trustee is an interested Trustee, the Trustee shall pay to the beneficiary
for whom the trust is held such amounts of the net income and principal as the fiduciary
deternunes to be necessary or advisable for the beneficiary's health, education,
maintenance or support.
�
Page 16
_:�_ �� x � �, .�. �� � ��.���.. ,:���. . � �,�.��n ..x,..K„e�:
CumberEand County Board af Asses�ment AppeaEs s . .
O!d Courthouse, First Floar
� One Caurthouse Square
Cariisfe, PA 17013 •
.�:°
10006097-3A-19300
•
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�
23213
FORD, JOAN J & ANNA M T65 rl
4919 SHASTA WAY
t�cx�t2cssvrtc, PA �7050-2591 Deadline for Scheduling an Informal Review
Appointment: Auyust 10, 2010
For details, please see the reverse side.
� � E . � ..
The Cumberland County Board of Assessment Appeals is providing you with notice of the value on this property,
determined as a result of the Cumberland County countywide reassessment completed this year. The countywide
reassessment values each property at current Fair Market Value, as of January 1, 2010, equalizing and establishing a
uniform tax base so that properties of like characteristics and the same actual Fair Market Value will be taxed the same.
� • ' • FORMAL APPEAL DEADLINE:
August 10, 2010
MAILING DATE: July i, aoio Parcel Identifier: -
Munic.: 10 - HAMPDEN TOWNSHIP ,,,Q—2 0-18 4 4—�G 9 •
School: 4 - CUMBERLl�I�TD VALLEY SD
Location: 2010 Base Year Assessed Value Old Assessed Value
4919 SHASTA wAx (2010 Market x 100%) (2004 Market)
iNnxata CREEK Land 59,300 59,300 ' 43,150 '
Lom 4 si.ic E Ps i9 PG �5 Buildings 168,500 168,500 143,740
TOTAL 227,800 186,890
Taxable Property 2010 Clean and Green Values
unit/Lot =n: L-0004 Land NOT NOT NOT
Land Size: .30 acres Buildings APPLICABLE APPLICABLE APPLICABLE
Property Type: R TOTAL
Residential(Under io acres) Clean and Green values apply to qualified farm and forest land end become effective
only upon application and approval. Clean and G�een applications must be received
Homestead appro�ea by the Assessment Office no later than 4:30 p.m. on October 15, 2010. Those
previously approved for Clean and Green do not need to re-apply.
� � . • .
Below is your preliminary estimate of county taxes for 2011 (after reassessment), compared with your 2010 (current)
county taxes. A total estimated tax profile (county, municipal, school district) is available online. See our webpage,
www.ccpa.net. Click under"ReassessmenY' in lower right of home page.
Current 2010 County mills = 2.579
Adjusted 2010 County mills = 2.074
$ 482 : 2010 COUNTY Tax BEFORE Reassessment.
$ 472 : 2010 COUNTY Tax AFTER Reassessment.
(see reverse side)
\ � ��
����
�������
, • •.
Q,ualit� � �er�ice �ince 1990
March 13, 2014
Anna Ford
4919 Shasta Way
Mechanicsburg PA 17050
RE: Ocean High,Unit 6,Weeks 10 and 29 owned by John and Anna Ford
To Whom It May Concern:
This letter is to inform you that the resale value we would place on the above-mentioned
timeshare unit is as follows:
�
�
Should you need further informadon,you can contact me at 843-497-6431. Thank you.
r--�
_ .`-�
�
���.;" � �C _ ;.� '�-_
Frank Baker
Execudve Vice President
Defender Realty
P.0.Box 1429,N.Myrile Beuclz,SC 29598
Telephone 843.497.6431 Fux 843.497.3s63
w�x�+�.cl e fe n cl e rreu I ty.cn m
� e��� e�� �s���e �'�. �.�, ��c.
� �
8438 HILDA DRIVE Tl�JESHARE ROBERT W. SAUER,JR.
SALISBURY,MD 21804 RESALE SPEClALIST SALES& MARKETING DIRECTOR
FAX(410)749-6337 PHONE(410)749-6112
April 2, 2014
Estate of: John J Ford
Re: Selling Value;
For Anna M Ford,
Personal Experience in the field of timeshares:
I have been involved in the field of timeshares for over
25 years, 4 years working in the Poconos of PA, the last 25
years have been in Ocean City MD. 1st 2 years were with
major developers. Then 3 years doing nothing but re-sales of
timeshares in all 11 resorts in Ocean City, with Consumer
Properties. The last 23 years, I have been working
under KETCH REAL ESTATE COMPANY CO. , INC. , doing timeshare
resales, full time.
Gross selling price for Oceantime Resort:
I have been the primary time share resale persoz in the
State of M.D. for the past 23 Years. I have sold, over 1 , 500
timeshare re-sales in Ocean City area.
Very truly yours,
�yp'r-"' GV��
Robert W. Sauer Jr.
Marketing and Sales Director
Ketch Real Estate Co.II,Inc.
8438 Hilda Drive
Salisbury, MD 21804
410-749-6112
P.S This is NOT A APPRAISAL, this is the market value.
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'ITRX Historical Prices � TIAA-CREF Managed Allocation Fd Stock - Yahoo! Finance Page 1 of 2
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JOHN 1 FORD
ANNA M FORD
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_ .......... $17,6Z292
11-21 Ending Balance
SANTANDER BANK provided the department with the information below indicating that at the death of the
above-named decedent you were a joint owner or beneficiary of the account identified.
� Remit Payment and Forms to:
Dat��e Established 07-28-1983 REGISTER OF WILLS
1 COURTHOUSE SGIUARE
CARLISLE PA 17013
Percent Taxable X 50
Amount Subject to Tax $8,811.40
Tax Rate X 0.150 NOTE*: If tax payments are made within three months of the
Potential Tax Due $ 1,321.71 decedenYs date of death, deduct a 5 percent discount on the tax
With 5%Discount(Tax x 0.95) $ (see NOTE') due. Any inheritance tax due will become delinquent nine months
after the date of death.
PART Step 1 : Please check the appropriate boxes below.
1
A �No tax is due. I am the spouse of the deceased or I am the parent of a decedent who was
21 years old or younger at date of death.
Proceed to Step 2 on reverse. Do not check any other boxes and disregard the amount
shown above as Potentia!Tax Due.
. � ��� �
,.� , ' • i ' . � i
�� Niembers !st Federal Credit L!nion 09/25/2013 I 12/31I2013 1 of 4 XXXXXXX314
i0p0 Louise Drive
P O.Bo�;�70
Mechanicsburg PA 170»-0040
m (S00)237-7258
MEMBERS 1'� {717j 697-5312(Hearing lmpaired)
PEDERALCAEniTU�ION �+'�'�'�memberslst.org
ANNA M FORD
4919 SHASTA WAY
MECHANICSBURG PA 17050 '
1099-iNTs are not inciuded in this statement. If you earned at least $10.00 in dividends on your
account for 2013, y�u will receive your 1099-INT in a separate mailing in January 2014.
� '
. . _
Your cucrent Memb�r Loyaity Rewards1evel is Titahium. Your aggregate baiance as�of December 1 st is�115,848.02.
0.00
CHECKING
SAVINGS 77,125.16
C ERTI FI CATES 35,476.72
0.00
LOANS
, ii � �
BEGINNING BALANCE: $10,556.27
Eff. Post
Date Date Description Deposits Withdrawals Balance
09/26 09(26 Deposit by Check 316.37 10,872.64
._. __ _.._,::,
09/30 09130 Deposii Dividend 0.150% 1.31 """�' 10,873.95 �
Annual Percentage Yield Earned 0.15D%from 09l01/13 through
09/30/13
10/04 10/04 DEP PRENOTIFICATION FROM COMPUTERSHARE 10,873.95
10/31 10/31 Deposit Dividend 0.150% �•39 �
Annual Percentage Yieid Earned 0.150%from 10/01/13 through
10/31/13
11/29 11/29 Deposit Transfer From 5hare 0042 51,198.44 62,073.78
11/30 11/30 Deposit Dividend 0.150% 1.76 62,075.54
Annuai Percentage Yield Earned 0.150%from 11/01/13 through
11/30/13
12/06 12I06 Deposit Transfer From Share 0044 18,330.07 80,405.61
12/12 12/12 Withdrawal by Check 14,517.76 65,887.85
Check 00 872538 Disbursed 14,517.76
1?J16 12116 Deposit by Check 11,166.9� 77,054.80
12119 12119 Deposit ACH PRUDENTIAL FINAN 60.95 77,115.75
TYPE:TC09DD1312 ID:2431912740 DATA: PRU D C0:
PRUDENTIAL FINAN
12/31 12/31 Deposit Dividend 0.150% 9.41 77,125.16
Y \
SC E ` '• ` ' � �
,� �MEMBERS 15i 09/25/2013 12/31!2013 3 of 4 XXXXXXX314
� FEDLRAI.C.RFD12UN10N �
� � � . �
BEGINNING BALANCE: 518,274.73
Eff. Post Deposits Withdrawals Balance
Date Date Description - 17 27 18,292.00
09/30 09I30 Deposit Dividend 1.150%
Annuai Percentage Yie1d Eamed 1.160%from 09I01113 through
09/30/13 �
10/31 10i31 Deposit Dividend 1.150% ��'87
Annual Percentage Yie1d Earned 1.160%from 10/01/13 through
10/31/13 18,327.18
11/30 11/30 Deposit Dividend 1.150% 17.31
Annual Percentage Yield Earned 1.160%from 11/01l13 through
11/30/13 18,330.07
12/06 12l06 Deposit Dividend 1.150% 2 89
Annual Percentage Yield Earned 1.160%from 12/01/13 through
12/05/13 __ _
1 S,330.07
12/06 12/06 Renewed at 0.500%to mature 06/06I15 18,33d.07 0.00
12/06 12/06 Withdrawal Transfer To Share OOOD
12I06 18 MONTN CERT CLOSED
*This is the final statement presenting information on this product
Please retain this finai statement for tax reporting purposes.
ENDING BALANCE: $0.00
Total Deposits
55.34 Total Withdrawals 18,330.07
• - � i �
.: . .:.,, BEGINNING'BALAN�E: $0.00.. .,
Eff. Post Deposits Withdrawals Balance
Date Date Description �5 2�7 9Z 15,207.92
10/12 10/12 Deposit 5.42 �
10/31 10/31 Deposit Dividend 0.650%
Annual Percentage Yield Eamed O.fi50%from 10J12113 through
10/31/13 15,221.47
11/30 11/30 Deposit Dividend 0.650%
8.13
Annual Percentage Yield Earned 0.650%from 11101/13 through
11/30/13 15,229.87
12/31 12/31 Deposit Dividend 0.650% 8.40
Annual Percentage Yieid Earned 0.650°10 from 12/01/13 through
12/31/13
ENDING SALANCE: $15,229.87
rQt����po��ts' : ;'; h�2��,s� x ���y��te t.�
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BEGINNiNG BALANCE $12,165 75 :�`
Eff. Post Deposits Withdrawals Balance
Date Date Description 12,174.92
09/26 09/26 Deposit Dividend 1.100% �'17
Annual Percentage Yield Earned 1.110%from Q9I01/13 through
09/25/13 12,174.92
09i26 09126 Renewed at Q.500%to mature 03127115 12,174.92 0.00
09/26 09l26 Withdrawal Transfer To Share 0041
09/26 18 MONTH CERT CLOSED
*This is the final statement presenting information on this product
Piease retain this final statement for tax reporting purposes.
.
Total Depos'its
g,ti7 Total W+thdrawals 12,174:92
Joint Owner JOH��!J FORD
� � � � Metro Bank
3801 Paxton Street
� ` �=.� � � Harrisburg PA 17111-1418
��� [ [� 1-888-937-0004
� � �"�� mymetrobank.com
>05985 3693985 001 092140
JOHN J FORD
OR ANNA M FORD
4919 SHASTA WAY
MECHANICSBURG PA 17050-2591
We're here 7 days a week,24 hours a day at 1-888-937-0004.
� 50 PLUS CHECKING 0032071425
� Stateme�rt�alance as af�i0/20t'l3 := :� ' ',r�t 4�� ' ';; `$6�610 94'-
� Pius ,� 2 Depo�its and•Dther Cr�dlts a� � , }' �� $6,�"18$�,
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CREF
FIMANCIAL SERVICES
December 11, 20]3
I'til r(i7117h9-0
Mrs. ANNA M FORD
4919 SHASTA WAY
MECHANICSBURG PA 17050
Re: Jotu1 J Ford
TIAA Contract- A2601357 D8915219 K1323555
_ CREF Certificate- P 1747158 V8915216 J 1323557
_
Dear Mrs. ANNA M FORD:
__
We are contacting you since you are a named beneficiary for the TIAA-CREF retireinent accounts held by
Jotu� J Ford. My name is Mary Monley from TIAA-CREF's Beneficiary Relationship Team ai�d I will be
— your primary contact to assist you throughout this process.
.._
= As beneficiaiy of tlle TIAA-CREF retirernent accounts,you are entitled to a survivor benefit, which is
— listed below. Any balances in the TIAA Traditional Aiinuity will continue to earn interest, and balances iil
= the variable aimuity accounts and/or mutual funds will fluctuate based on investmetlt perfoi7nance. In
= addition, this value ca�1 be subject to change due to special spouse provisions or State Statutes.
_—
__ Account Value as of 11/18/2013
Total $1,249,643.16
As you consider your options,please keep in mind that federal tax law has certain deadlines for when
beileficiaries have to start receiving at least some of their inherited amount. (These amouiits are called
"required minimum distributions,"or RMDs.) Specifically,you must begin receiving an RMD by
December 31 of the year your spouse would have tumed age 70'/�, or the December 31 followiiig the year
of death, whichever is later.
Your next step is to transfer ownership of the account(s) to your name. Once ownership has been
transferred,you may decide to leave d�e account as is a�ld continue to save and invest with TIAA-CREF
uutil a later date, or choose from among a variety of other options.
TIAA-CRLF Individual&Institutional Services,LLC Member FII�'RA,SII'C. BENEBtJND-LS
TIAA-CREF, 1670 Broadway,Denver,CO 50202 Tel:�00 842-2638
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