HomeMy WebLinkAbout09-22-14 _ _
� 15�5610�43
REV-150Q IX�az-11� ,�� OFF1ClAL USE ONLY
PA Depa�€rnenE of Revenue �ennsylvasria c�rr cme Y�r �e r�
Bureau of(nd�vidual Taxes °�1°°���
PO BOX280601 INt-iER(TANCE TAX RETURN 2g 14 0210
Harris6urg.PA 17128-U601 RESIDENT DECEDENT
ENTER DECEDENT ft�ORNWTIdtt BELOW
Social S�urily Number Date of�ath Date of Birt�
191 18 2530 02 O1 2014 O1 31 1922
Qecedant's Lasf Name Suffa D�cederrt's First NarrFe ��
PLASTERER OLIVE �
(ifA�licabte)Ecrter Suaviving Spouse's Ir�orr+3atio�ee Be(ow
Spouse's l.ast Name Suffoc Spouse's Fmst Name M�
Spoase's Socia!Security Number
THlS RETURN MUST BE FILFFD IW DUPLICATE WITEi TfiE
�EGlSTER OF W[LLS
FIlJ_Et+l APPROPRIATE OVALS BE!_OW
I� 1_ Oric',�rtal Rettpn � 2 �plem�tat Retum � 3_ �2-�� f�ate oE Death
��.� 4_ Lini�d Es#a� q��utire tnsa�c Canpromise � 5. Fed�al Estale T�c Retum Req�sred
p� � [darte of dmYh�1er 12-12-82)
� D�nt DiedT�e � 7' ����1��9Tres� �' 8_ Tot�Nurt�r of S3fe Dep�it Bmces
6_�����
� 9. LifigaSm Proce�s Received � i 0.Ib�i232�31 a�nd�t-1�� L�E '�1.Eiec:tion�o fau�Sec 9t 13(A)
(Aftad�Schedute O)
CORRESPONDENT-THIS SECTION mUST BE COt�LETED.ALL COi2RESPONDENCE A!�CONF�IT[AL 7AX INF TION SH�OI! DIREC'i�TO:
N� Daytirr+e Te�e Ntunb�f � �
�TER�2Y A WEaG7�E ESQIIIRE 717 5�:�/�88�� `°�' �
' � �.-� :�
r__ �.
REGIST'�t�O��!?LS t S'�Ot�Y r
` - ` ..,,� ',
Frst lrne af Address � �-� `�
126 EAST KING STREET � n � �=
r- °r�
Second Line of Address ' !' �� O
CJ"1 '"+7
DATE F[LED
City or Post O�ice Statee Z1F Code
SHIPPENSBURG PA 17257 .
ComesFrondenYs e-mail address: jweiql eiq6eassociates com —
rt is true,�ad�complete-Dedaratio�of p[�er�U�U�e person�al�s���an�info�a�wh �has�9�_beGef,
L�TIRE�PERSON RE FOR FllING RETlB2N �/� I L
� � i
� Haddiee IZ Rosenberry
a�zess
8932 Pinevit[e Roat� Shi ensbu P 1 7
src�►n�oF at�o��, rnE ow�
� ny A.Weigle Esquire q— /�— /�
ao�ESs
'[26 East[Gng Street,Shippensburg,P 7257
� Side'i �
�505610143 15@5610I�43
..
PA Inheritance Tax Returr�
Signature of Additional Fiduciaries
ESTATE OF FILE NUMB'�R
Ptasterer,Olive M. 2i-440210
Under penaEties of pe�u�y,I declare that i have exam�ed this retum,induding acenr�anying sc��w4es ared staterr�enfs,and to tf�best of
my imowiedge and belief,i�is true,corred and cflmp�te_Declara5an ofi preparer oth�than the��rsonal repr�r�ta�ive is based an a41
infaQmatiaFe of which preparer has any imowledge.
Signature#Z � ,
Name Crene 1 Reesinger
Ad�dress1 fius��n street
Address2
Crty,State,Zip Ship��burg PA i7257
Date �`��—1 �
� 15�5610243
REV-1500 IX
E3ecedersYs Social S�curity I'�vmb�
n�.�rs►� �lasterer,0[ive�A. 191 18 2530
�caQrru�.anoN
9_ �Rea�Estate(Sd��iuEe A)-•-------•-------•-•-•-•-•--•••-••-•----------•••--••---•-----••......---•••....----••• 1-
2. Stacks and Bonds(Sched�te B).-•---•-•-•-•-----------------------------•-••••••----........----........--• 2
3. Clasety Held Cor{�oration,Part�ersfiip or Sof�Propri�orship(Sch�tule C)__...____ 3_
4_ Mo�:gages�Nof�s Ete�Nab�(Schedu6�Dj-----•-•-•-----•-•-•..........................•-•.....-- 4-
5. Cash,6ank Deposiis&Miscellan�ous Pefsonal Praperty(Schedu6e�-------•-_-•-- 5- 25 5,274_$2
6. doint(y Owmed PrapzrtY(Schedule� DI SeParate B�g Requested..--°---•._ 6.
7. [�er�(rvos Transfers 8�Miscellaneous -�'roEsa€e Prep�rty
(Schedule G) � S�rate BiEI'�og Re4uested_.....----•• 7-
8. Total Gross AsseRs(total Lines i tR�rough 7�---•-•-•-•---•-•••••-----•••.........................••- 8. 256,274_82
9. Femeral Exp�nses ancl Administrativs Costs(Sd��ule H)-•-•-•-•-•-•-••..................... 9. 12,142_5 0
10. Drbts af�ecedent,Af�ortgage LiabiFi-�s and Lieras(Schedu{e�•-•-----•-••--...---•....... 10_ 1,751_15
11. Total Ded�ct6ons(tatal L.iries 9 and t0)•-•--•._._...••-•-•---•-•-•-•-•----------------•---------------- 11_ 13,893_65
12. N�et Value of Estate(lir�8 mnnus Line 11).-°°•-•-•---•-°----._....•-•••--••-••••................ 12 242�381.1 IZ
�3. Charitabt�and Govemm�ntal BequestslSec 9113 Trusts for wFiich
an election to tax 6as not b�en made(Sch�dufe.n•-._...-----•-•-•-•-•-•-••••-----•............. 13_ 10,0 0 O_00
14. Plet Value Subject to Tax(Line 12 minus tin�13)•-•-•-•-•........................•--....----•.. 14_ 232,3 83_17
TAX COaiPUTAiIOTI-SEE lNSTRLJCTIONS FE)32 APPLFCASI�RATES
15. Amount of Line i4 taxable
at ttae spousal tax rate,or
transfers under Sec.9116 15 0_0 O
(a)(�-2)X-QO
16_ Amoucrt of Line 94 taxable p_ 0 fl ts. O_ 0 0
�t r�,eai r�t�x _oas
17_ Asraoant of Line t4 taxab[e 162,3 81_17 t7. 19,4 8 5_7 4
ai sibGng rate X_12
18. Ar�ount of�ine t 4 taxab'�e 7 0,0 0 0_0 0 t 8. 10,5 0 0_0 0
at coUateral rate X.15
19. TAX�iIE---•-•-•-•-•---°•-•-•-----------•-••--------•-•-•--......•-•••----------------••-•-•••----------------•------- 19' 29,985_74
20. FILL[�f THE OVAL IF YOII,A�REQt�ESTING A RF�IlND OF AN OYERPAI(�EN'F. �
Side 2
� �50567�a2�33 ��0561U243 �
Fi�V-150Q IX Page 3 Fi{e Nimnber 2't-14-0210
DecedenYs Compte#e Address:
DEC�DENT'S NAME
Plasterer,�live M_
STREETADDRESS
'i21 Walnut 8ottom Road
CITY �STATE ZJP
Shippensbur� PA , 17257
Tax Payments ar�d Credits:
1_ Tax Due{Pags 2,Lir�19) (l) 29,985.74
2 Credits/Payrr�ents
A �rior Payments 'I0,004.00
B. �iscount 526.32
Total Crec�s(A +B) (Z) 1l3,526.32
3. Irrteresl �3�
4_ If line 2 is greater f�as�line f+Lir►s 3,eriter the d�feren�_ "ii�is is the OVE.4ZPAYMEHT_ (4)
Cfo-ec3c box on Pa�ge 2,Line 20 to request a refund
5_ If Line 1+l.ine 3 is greater than Line 2,enter the di�f�rence. "ii�is is the TAX DiDE_ (5) 19,4J�.42
Make Ct�edc Pa able to: REGISTER OF 1M�.LS, AGEM�.
P�EASE ANSWER THE FOLLOWING QUESTIO�IS BY PLACING AN"X"[N TH�AP�ROPRIATE BLOCKS
'I_ �d deced�ecrt ma[ce a transfer and: Y� �O
b. retain the righ�ides'ig ats w[»o sha I�us�thensf pro�pertyTrans�erred or iLs income;-----•-•.............•••••.••-•- f� �z
� retain a reversionary inter�or.-•••••-•-•-•-•-.....-•-•-•-••••••••----•-•-•-•-•-••••--•-.....-•..............................•••-•--•--...••• � x
d. re�ive the promise for f�e of e�er payments,benefits or care?•-•-•-•---------•-••••--•-•-•---------------••••••-•-•••-•-- � ��
2 If death oc�d after Dec. 12, 1982, did deceder�t transfer property wittiin one year of death without
rece+ving adequate consideratio�?----------•••-•-•-•-----•-•-•-•.............•-•-•-----...........••••------............__.................._...••••• � �
3_ Il�d deced�ent own an in trust fo� or payable upon d�th bank account or seaur�y at his or her deafih?......_ I� �'x
4_ D'ad decederrt owri an individaal retir�ment acc�unt,annuity,nr o#her non-probate property whicf� � �
containsa be�efiaacy designat�?•-----•--••-•-°------.....-•-•-•-•-•••••-•-•-•-•-•-•-•-•••-----•--•----------•-••---------•••-------------------- X
IF THE ANSVkFER TO ANY O�F TFl�ABOVE QUESTIOMS 1S YES,YOCI aAUST CO�l�TE SCHEDULE G AND�I�E IT AS PART 4F TH��'fURN.
For dates of d�o�or after July 1,1994 and before Jan_1,1995,the fau rate emposed on tt►s�t val�e of trans�:rs to or for the ase of the sunrivmg spous�
is 3�rcer�t[72 P_S.§9116(a)(1-1)n�.
For dates of de�h on or afiter Januacy 1,1995,tt�2 fax rafe ic�osed on tf�net watu2 of transf�rs to or for the use of fhe surviving spou�is 0 percent
p2 P_S.§9115(a)(1-1)(��- Tt�sfahaEe do�,s not exem�a trartsfar to a s�aviving spouse from tax.and the stah�toQy req�aemen#s for d�sdosure of ass�ts ansi
filing a tan retum are shl applicab9e eve�if fhe survivirg spouse is the or►!Y ber�e5ciary-
For dates of death on or after J�yl 1,2000:
.The tax cate naposed on tl�nzt va�2 of transfers fr�n a d�ceased ctuld 21 yea�s of age or y�auiger at death to or for ti�use of a na�►nal parent,an
adoptive pare�,or a stepparenf of ff�chiid is 0 perrznt[72 P.S_§9116(a)(12)�
• 7he ta�c rafe i�d on the net vabue of transfers to or for tl�use of ihe dec�2nt`s lineal benefiaaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)]•
. Tf�tax rate enpo�d on ihe net value of transfers�o or ior 3he use of the dec2d�r►Ys sibE�"s 12 percent[72 P.S_§9116(a)(1.3jj. A s�b6ng is defrw,.d,
under Sec[i�9102,as an�d"rvidual who has at least o�e parent in c;artvnon wriFh the decedent,whether by blood or adoption.
iiev-0508 DCa(�i t0}
SCHE�U�'E E
per��sylvan"ra CASH, BAN�C DEPOSITS, � MISC.
��'�10�R� PERSONAL PROPERTY
N-�C2fT/WCE TAX REFtJiiN
42FS�NT DECEDENf
ESTATE OF I�LE NU�BER
P�asterer,Olive'11�J. 21-14-t121 Q
trJu�tt�pFO��s aFf6i�tiart�d the�5:,tf�pr�s wae r�w.�by the�e.
p,����y���the�i9}rt o{�rws6i�ea�st be�sdose�on schedute F_
�M VAWE AT DA�fE
id'{.{MBER DESCRIP�tON OF D�ATH
1 Cap�fial Blue-Refund 4�'-�
2 FB�M Tnrst Certificate of Depasit�399542096-Cer��fcate of Deposit °t02.040.�7
Accrued inEerest on�tem 2 thro�sgfi date of death 143.42
3 1Vl8�T Sanfc Account�Zfi8800628�-Cheddng Account $-��-�
4 O�rrrstown Bank Account#1090�694 6,153.43
Accrued in�erest on tEem 4 througi�date of dea� 0.04
5 Ozrstown�ank Account#440��03�223-Certificate of D�osit 40,04i�.00
Accrued inberest on Ftem 5 thro�g�date of deat[s 82-1 g
6 O�rrstown Bank Account#40QfD038172-Certificate of Deposit 5v,385.21
Acarued irs�erest on ttem 6 througft date of dea� i3.02
7 Orrstown Bank Account#4QOQ0382�5-Cefificate of Deposit 38,361.�4
Accrved interest on tte�a 7 thros�gf�date of death 66.03
8 S#�ppensbvrg Hea[t�Care-Refund ��7�•�
9 Social Securify Administration-Feb direct deposit �•738•50
10 Misceilaneous Coins-Appraised 559.73
71 Wedds�g Rings pro�eds from Sate 474•00
TOTA'�{Atso en�r on line 5,Recapitula#ion) 25�,274-82
(tf more space is needed,add'rfional p�ges of the sart�size)
Copyright(c)20i0 form software only The lackner Group,fna Form PA-'[b00 ScheduPe E(Rev_11-10)
REV-1511 EX+(7Q-09)
pennsyivar��a SC�IEDULE H
��roF�u� FUI�tERAL EXPENSES AND
�i4t''�T�°�'' AUMIN�STRATIV� CO�TS
ESTAT�OF �ILE NUMBER
Piasterer,0(ive M. 21-44-0210
Qecedeat's debts�nust be repo�ed on Sched�a�e 1.
�� DESCRiPTION �O��T
NUMBER
q, �Ut�,1ERAL EXPEi�1SES:
See co�tinuafio�schedule(s)attached 382.50
B. ADNfi�iISTRATtVE COSTS:
1. Pessonai Repr�.sentative's Cammissions
t�tas►ee of Personal Re�resentative(s)
Street Address
�y S#at.. Zin
Year(s)C�mmiss9on Paad
2_ Attome�s F�s Weig(e 8�Associates,P.C. 10,380.0�
3. Famify Exemption_ pf d�enYs address is not the same as cfacnanYs,a�tach e�lanation)
Cda�nant
StreetAddress
� State Z�
Relationshio of Claimant to De�nt
4. Probate Fees 398.50
5_ AccountanYs Fees
6. Tax Reteim Preparers Fees
7. OtherAdministrative Costs 381.50
S�e co�ntinua�ion schedule(s)attached
TOTAL(Alsa enter on lir�e 9,Recapitulatio�j 12,142�0
Copyright(c)2009 form softwa,re only The Lackner Graup,Inc. Eorm PA-1500 Sc�edule�--t(Rev_t0-09)
SCFI�DUl� H
, FUNERAL EXPENSES AND AUMINISTRATIVE COSTS
continued
�STATE OF Fi��V�B�
Ptasterer,Otive M. 21-14021a
� DESCRIPTION �'�N�
PFUNtB�R
Funeral ExQenses
1 Fag�elsanger Bridcer Fs�nerai Ho�nse-Balar�ce ofi fcanee�raal biti �$2•�
H-A 382.5�Q
Other Admin�strative Costs
2 Cumberiand l.av+►.tour�nal-Adv�sing 75.OU
3 HaTOid E Gohick-Appraisal of rniscel[aneaus coirrs a 0.�
4 Regis#er of Wil[s-Fi[ang Family Settiemesa#Agreemer�t '100.00
5 Ti�Valtey Times-Star clo Ti�e Ne�nrs Chfonide Co�aa�any-Advertising gs-`�
6 Weigfe�Associates,P.C.-Reimbursem�t for p�ge,xerox copi�s arsd��ng distance 10t1.00
telepho�e calts
H-B7 381.54
Copyright(c)2002 fortn software only The Ladmar Group,Ina Fortn PA-i�0 Schedule 1-1(Etev_6-98)
Rev-1512 DC+(t2-0S'}
SCHEDULE I
pennsylvania DEBTS OF t��CEDENT,
°��`��'� A�AORTGAGE L�ABIL�TIES AN�] LIENS
¢,�-�ThCN110E TAIC 82ETUEtd1
i�S�ENT DECEDElIT
ESTATE OF F[LE NUMBER
Plaster�r,�live M. 2'i'4`t-02�@
Report d�ts e�crosed by tl�e decederR Euiorto de�h lfmt rem�d�aid at fhe d�e af drath.c�d�a+9 unre�ursed�ca[e�erisc�
fTEM VAlIJ�A iT E1ATE
��� DESCRIPTION OF DEAA�ti
1 Fayetfevi�Ie Vofunfeer�"ir�e-Transportation serv�ce 233.00
2 Lvdwig's Jewe�ers-Appraisai Fee Qewefry)(repay�ent to C�ene Reisingec} `�-�
3 Trinify Pharmacy 4$1.97
4 WS�IS-C[�ambersbu�ALS-EIh�S service gs9-�8
TOTAL tA(so en�r on Line t0,Recapitulatio�) 1,751.45
(ff more space's need�,add'Aional pages of t6e same s¢e)
Copyright(c)2008 fam soRware or►ty The l.ac[crser G�at�,Ina Form PA 1540 ScH�adu[e 1(Rev_42-08)
�v-�5ts nc+�ot-ta)
pennsylvania SCl�iEDULE J
pEPARTl�AENT OF R£VENUE
.,�„�,�,��,4,��,� �E�I�EFtCIARtES
����
ESTATE OF FILE i+[U�ilBER
Plasterer,OI"rve M. 21-14-0210
NAM�AI�D ADDRESS OF R�n�SHIP TO g�pRE OF ESTATE OUNT�ESTATE
NUMBER p�RSO1�llS1 REC�MNG PFtOPERTI( �CE�� (Words) (�?
Do Nat Li�Fnnt s
I� TAXABLE DtSTRIBCf610NS ['erdude ou�ght spousal
d�tributi�ons,and trartsfers
ustder Ses.91 i6(a)(12)]
1 Amofd Fieagle t�eptr�+w Teri Thausand t0,��.OD
912 Deer Ftun Road D�flars
Arnherst,O�t 44tl�1
2 Dennis Fi�gte [�iephevar Ten Thousand iQ,000.Ofl
617 East Ora�nge Street �����
Ship�ensb�g,PA '�7257
3 !Ric[cy B.Fleagle �tephew Ten Thousand i0,a00.00
25 Dara Tra�J Do�lars
Fairfield,PA 17320
4 Debbie A.Hec(Qnan Niece Tea Thousand 9Q,000.00
9028 Pinevifle Roaci Dotlars
Shippe�asburg,PA 17257
5 Ar�dretnr.i.FGrkpatrick l�one Ten Thousand i0,0�.00
238 Gaid Kettle Drive Dollars
Gaithers�urg,MD 20878
See con4ini�ation sc6edute attached Contir�aation Z���-�
Total 70,Dii0.Oti
Er�fies dollar amounts fa dis6ibutiorts shawn a�ove on I'�es 15 thro h 18 on Rev 9�cover sh�,as ap,pro -
NQt�!-SAXABLE DlSTRi�UTIONS:
II. A.SPOUSA!D�STRIB(Ii�ONS UIVDER SECTiON 91 t3�OR WHICH AI�!El.ECTEON TO TAX IS M10�TA[�N
g_CHAR�fABLE AND GOVERNME(dTAl.DISTRlBtJTIONES
1 [Please enter a charify irito the Beneficiary field in Transact] 40,0��3.Oa
TOTA�OF PART li-ENTER TOTAL NON-TAXABEE DISTRIBUTIONS Od�l 11NE 13 O�REV-1500 COVER SH 10,00(�.0�
C�yright(c)2010 form saftware only The Ladcr►er Group,Ina Form PA-1500 Schedu[e J(Rev_01-40)
SCHEDU�LE J
BENEFICiAR[ES
{Part t,Taxable Distri�utions)
ESTATE O�:
O�ive M.Piaster+er 02/01/20�4 19'�-'�8-2330
[terrz �Iame and Addr�ss of Person(s) Share o�Estate Amount of Estate
Number Receiving Pro�erty Relations�i� (Words) (S$�+j
6 Crene E.Reisirager S�s�r
605 Gien Str�t
Sh�ppensbu�g,PA 17257
7 Hadc�ee R Roseni�e�ry S�ster
8932 Pinev"tlle FZoad
Shippensburg,PA 17257
8 Larry FL Rosenberry Ne�fis�cr Ten Thoc�san�Dollars t0,004.�
8675 Pineville Road
SSi�ppensburg,PA 17257
9 Arthur E.Titiey 1�1 Non� Ten Thausas�d Dolfars i0,t�0�.0�
2008 Se�ic�[ey Way Apt 70 8
BeQiceley,CA 94704
Total 20.o�i.00
1
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AAarch 2�, 2014
Weigle &Associa�es, P_C_
Attome�s-at-Law
126 Easi King St
Shippensb�rg, PA 17257-1397
RE Olive M. PlastereT
SS# 191-18-2530
To W�om It May Concern_
In re�erence #u the above custorner, o�r records sl�ow the enclosed information to be
accurate as of the date of decedents dea�h_ If 1 may be of any fiuTtfier assistance, please
conta�t me.
Sincerely,
�� �
Brenda Ha�n
Deposit Operatiflns Clerk
?'!?-261-3fifi8
, - 717-264-6116 , 888-264-6�.16°. P.O,BoxS010 Chamtiersburg,PA 17201-fi010: �
- Flf�AN,C�AL •;SfltIfTTON;S FRQM P�EO'�LE .YOU ,KNOW
.. . . . , . . �`� � �.�r . _ 4 ��.._ .. . .. _ ._ _._ . .
I� �VI&T Ba�c
1798 L'ancoln V+I�y East,�6�ambsrsburg,P�77202
March 20, 2014
Weigle &Associates, PC
Attn:Jerry Weigie
126 East King Stree�
Shippemsburg, PA 17257
flear Mr. Weig�e,
1�11e rPCe�ved your request regarding information for Ol�ve P�lastere�-. She had one
account witl� M&T Bar�k and 'rt was closed o� 3-7-14. The informatio�a you needed
for that a�count�s listed below. She does no� have a safe depos�t box�rth M&T
Bank.
Olive M. Plaste�er
individual checking acco�nt#2688006283
Opened on 5-1-1971
'DOD balance $8655.63
Clt�se�d c�n 3-7-2014
Please contact Kere�sa Va�degriffi at 717-257-7660 if you need a��fiurther
information.
Regards,
. � �,�� ����
� �
victoria cob���
Banking�o�ic�r
Sen�or Branch �/ianager
Lir�coln Way East Of�ce
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A T�radi,tion of�x�eel�e�vc�
� �/Iarch i7.�Ol�
Wei�1e&�ssc�eiat�,P.C.
A�€toriazys-at Law
2�6 E Kang S-t
Sbippesnbur�Pa 17?�? -
Re: Estate af Olive 1M�Plas ierer �
_ Sociat Securityi�Tumber 191-i8 2530
Daie of��.th fl�01/ZO1'�
IT IS�BY CE�TTIFIED THA�°'T��ABfl�E�TA1V���CIDEN`T HAD T�IE
FOI,�.t)�VING ACCOIT�T�VIT�I OIZRSTfl�T BANK:
CH�E C K�1 T G��C C t 1 ZI��`
--Account l�a- 1�9flQD69�
Accou�t Tifle- t��i<<z�2 Plasterer -
Da#�Opened- �8/+D'3�1999
Joint Accou�(�aamzlda#�) �o
Balan� �5,153.�3 - -
Accrued Interest �0.04
�'l�iE DEPOSI�'
Account No- "A00038256
Account Trt1e- Olive M Pl�,,terer _
Date Opened- 071fl71?010
Toint�ccoua�(mamefdate} I�o _
t�3a�ance 538,361.54
^�ccnt�d I�#erest _ �66.09 -
2Ei95 Phladelphia Av�nue• Chambersbu a,�P�17201
• � , � � . �.
TI11�E D�POSl�"
Account No- "A00038172
Accoun#"I'i#le- Olive M Pi�sterer
Date O�e�ned- 0G/30/2�1(�
Joint Account(�ameldate) I�,fo
Balance �5�,3$521
Accrued Interes�t 5�3_02
7'Ih�DEPOS�'1'
Acconnt No- �OOa036��i
Ac,cauut Titte- Olive M Plssi�rer
Datz Opened 01/06/2010
Joi�Accc��.mt(name/dafe) i�To
Badance �O,t?00_4fl
A.ccruzd I�rest $82.19
Best Re�ards,
- Li�a Kline
Depvsit Processing Cl�r�III
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S i l� � E a. 8 7 7
P�oa�e(717)264-759�
1?1 South?vlain S�tr�t C�ambersbu�,PA 17�a1
:lleml�er;Americmi Gem Society
Ann Lud��vig Z'Va�e�r,Re�stered Je�eler
J�e L�d�ig Mentz�r
F�3R NIARI�ET�T�I..�JE�PP��IS�L
�e fair mar�et��ue is au es�tima�ion of a price ar�ive�ci at wi]lingly by a�zzyer��d a sell�r and not
�nder duress.
�ecause je�=e]�y appraisal and evaluation is�Qt a gure s�cience and is therefors s-�.bjective,
estimations of fair ffiar�et val�a�may va�y from one appraiser t�another and such a var�a�c�;dc�s
not necessarily co�s�titute e�ror on�e part flf the apprais,e�.
��ou�la�a�s pro3�ibit t�e full ana acc�e obs�rv�ion and�ading fl�Di���rls. Therefore or�Iy�
gro�isic�r�al�r�ade will�e�e�The v�eighfis ase estimations de�er�niaed b�form�a based on
a�ailable dimensions.If a D�a�a�d is re�aded or weighed�uamo�ted the�aci�s or wei�h#s may
va�y.
ESTA'�OF OI.�VE PLASTERER
�"eb.20,201�
1_ One lady's 14�aaat yellow�old plain weddin�band is 6mm_wide and weighs 2_5dwt
$75.t?0
2_ Or��1ad�r's I4 karat�ellow�old Diamond solitai�e riug and weddinj band are soldered tc��ethe�_
Th�e soli#aire ring con#aans:
1- .�lct.Ba�lliaut-cut Dia�ond
Dia.-�_1-�.l�mm.
I�epth-32�nm.Estimated
Cuitin�-�ood
Colc�r-� Pro�i�ionat GIA
Clari�ty- SL " "
The D�a�nond i�set in a s-�prong whife�old�ead with a 23n�a_w�ide yello��v gold�rc�uu�
shank_ `�he w�ding baad as��.w�de. �500.0{?
TOTA�.EST'IlVI�TED FAIR t Uf1LUE- ^7�_UO
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. Wa�ner �
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JE'►�IEL � RS
S 1 !� C E 1 8 7 7
P�tone(71'n264-7693
121 Soaa�:h Main Street Cham�asbur�,P�i 1720�
Member American Gem Society
Ann Ladwig Wa�e,�Re�stered 7�we�er
Jane Ludwig Rrfe�t�zer
Ft�IR 1���RK�I'VAI.UE A�PRAISAL
The faar market valus is an estimation of a price a�rived a�willingly by a buyer au�a se�ler and not
under duress_
Because jev��eiry appraasai aud evalvat�on is not a pure science and is therefore subjsctive,
estianations of fair market vatue may vary from one appraiser to anQther aud s�uch�variance does
not�ecessarily constitute error on the part of the aQ�raise�.
Mountin�prohibit the fiill and ar.�ura�e o�servation and grading af Diamonds_ Therefore only a
provisional grade will be given_The wei�hts are estimations detem�ined by formula based on
available dimensions.If a Diamond is regraded or weighed unmo�mted#he grades or�Feiahts rnay
vary_
FSTATE OF OLIVE PLASTERER
Feb.20,2014
l. One lady's 1�karat yeliow aold plain wedd'mg band is 6mm�vide and weighs 2_Sdwt.
$7�.00
2_ Qne lady's ��karat yellow gold Diamond solitaire ring and wedding band are soldered together_
The solitaire ring contains:
1- .�1 ct Brilliaut-cut Diamond
Dia-5.1-�_15mm.
Depth 3�mm.Estimated
Cutting-good
Color-H Provisional GIA
Clarity-SI2 :` ��
The Diamand�s set in a s�prong white gold head wit�a 2mm_wide yellow�ol�half-round
shank.The Rraddiu�band is 3mm_��vide_ $�00.00
TOTt�L EST`IlVIATED F VAI..UE-$575.00
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