HomeMy WebLinkAbout11-18-14 (3) 1505610140
REV-1500 EX (02-11)(FI)
OFFICIAL USE ONLY
PA Department of Revenue
Bureau of individual Taxes County Code Year File Number
PO Box 280601 INHERITANCE TAX RETURN 2 1 1 4 0 0 1 8 0
Harrisburg,PA 17128-0601 . RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMODYYYY
0 2 2 1 2 0 1 4 0 3 1 0 1 9 2 5
Decedent's Last Name Suffix Decedent's First Name MI
M 0 H N A L M A R Y T
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
1.Original Return 2. Supplemental Return 3. Remainder Return(Date of Death
Prior to 12-13-82)
4. Limited Estate 4a. Future Interest Compromise(date of ❑ 5. Federal Estate Tax Return Required
death after 12-12-82)
X 6. Decedent Died Testate 7. Decedent Maintained a Living Trust 0 8.Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
9.Litigation Proceeds Received 10.Spousal Poverty Credit(Date of Death F'� 11.Election to Tax under Sec.9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule 0)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED,ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
G E R A L D J S H E K L E T S K I E S Q ? 1 7Z> 4 rrTI
3,,
;:a , C)
:`a
REGISTEF2�OF Uy19M UStLY Cj
r"tS
First Line of Address
4 1 4 B R I D G E S T -=t r
Second Line of Address t , �- 1-g-I
P 0 B 0 X E w '
City or Post Office State ZIP Code DATE FILED
N E W C U M B E R L A N. D P A 1 7 0 7 0
Correspondent's e-mail address; GSHEKLETSKIBSTONELAW . NET
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.
SIGN E OF PERSON RESP SIBLE FOR FILING RETURN DATE
ADDRESS 1—/ t 7-2
1/
CONSTANCE E . PRESCOTT 42 CITADEL DR CAMP HILL PA 17011
SIGN F PR�PAREFjr�ER�{ REP ENTATIVE �`ff ATE
ADDRESS ,,' L/1/ / /
GERALD J . SHEKLETSKI 414 BRIDGE ST . NEW CUMBERLAND PA 1?070
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610140 1505610140
_J 1505610240
REV-1500 EX(FI) Decedent's Social Security Number
Decedent's Name: MARY T - M O H N A L
RECAPITULATION
1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 1 5 0 8 7 6 . 0 0
2. Stocks and Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2•
3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) . . . . . 3.
4. Mortgages and Notes Receivable(Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . 4.
5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E). . . . . . . 5. 2 2 1 5 3 . 4 3
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . . . . . . . 6.
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) ❑ Separate Billing Requested . . . . . . . 7. 6 5 1 6 . 3 1
8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. 1 7 9 5 4 5 . 7 4
9. Funeral Expenses and Administrative Costs(Schedule H) . . . . ... . . . . . . . . . . . . 9• 2 5 2 0 4 . 6 6
10. Debts of Decedent, Mortgage Liabilities,and Liens(Schedule 1) . . . . . . . . . . . . . 10. 2 6 1 1 9 . 6 3
11. Total Deductions(total Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 5 1 3 2 4 . 2 9
12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 1 2 8 2 2 1 . 4 5
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 2 8 2 2 1 . 4 5
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec. 9116
(a)(1.2)X.0 _ 0 . 0 0 15. 0 . 0 0
16. Amount of Line 14 taxable
at lineal rate x .045 1 2 8 2 2 1 . 4 5 16. 5 7 6 9 . 9 7
17. Amount of Line 14 taxable
at sibling rate X.12 0 . 0 0 17. 0 . 0 0
18. Amount of Line 14 taxable
at collateral rate X.15 0 . 0 0 18. 0 . 0 0
19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 5 7 6 9 • 9 7
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑
Side 2
1505610240 1505610240
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address: 21 14 00180
DECEDENT'S NAME
MARY T . MOHNAL
STREET ADDRESS
34 COLGATE DRIVE
CITY STATE ZIP
CAMP HILL � PA 117011
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 5,769 - 97
2. Credits/Payments
A.Prior Payments 5, 498 - 15
B.Discount
Total Credits(A+B) (2) 5,498 - 15
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) 0 . 00
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 271 - 82
Make check payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred ...................................................................... ❑ ❑X
b. retain the right to designate who shall use the property transferred or its income ............................... ❑ 0
c. retain a reversionary interest ..................................................................................................... ❑ 0
d. receive the promise for life of either payments,benefits or care? ....................................................... ❑
191
2. If death occurred after December 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
is 3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or after Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S.§9116(a)(1.1)(ii)].The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an
adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in p2 P.S.§9116(x)(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-1502 EX+(12-12)
pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
REAL ESTATE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
MARY T . MOHNAL 21 14 00180
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
would be exchanged between a willing buyer and a willing 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 • ALL THAT CERTAIN PIECE OR PARCEL OF LAND SITUATE IN 1501876 . 00
LOWER ALLEN TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA
KNOWN AS 34 COLGATE DRIVE, CAMP HILL, PA 17011 . BEING
THE SAME PREMISE CONVEYED TO GEORGE MOHNAL AND MARY
THERESA MOHNAL (ALSO KNOWN AS NARY T. MOHNAL) , HIS
WIFE, BY JOHN THOMAS III AND RUTH L . THOMAS, HIS WIFE,
BY DEED DATED JANUARY 30, 1956, AND RECORDED JANUARY
311 19561 IN CUMBERLAND COUNTY DEED BOOK Y, VOL - NO .
16, PAGE 281 . GEORGE MOHNAL DIED OCTOBER 11, 1998,
WHEREBY TITLE VESTED IN MART T . MOHNAL , HIS SURVIVING
WIFE (THE DECEDENT) BY OPERATION OF LAW .
1521400 (CUMBERLAND COUNTY TAX ASSESSED VALUE) X
• 99 (COMMON LEVEL RATIO) _ $ 150,876 . 00
TOTAL(Also enter on Line 1,Recapitulation.) $ 1501876 - 00
If more space is needed,use additional sheets of paper of the same size.
REV-1508 EX+(08-12)
pennsylvania SCHEDULE E
DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN
RESIDENT DECEDENT PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
MARY T • MOHNAL 21 14 00180
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. SOVEREIGN BANK SAVINGS ACCOUNT #0774304679 12,998 .04
* 12,996 . 27 + * 1 . 77 = $ 12,998 . 04
2 . SOVEREIGN BANK CHECKING ACCOUNT # 1390086550 727 .65
. 3 . 1995 BUICK CENTURY AUTOMOBILE 11251 . 02
VIN 1G4AG55M1S64425666 TITLE NUMBER 48012852302 MO
BLUE BOOK VALUE
4 • 2013 FEDERAL INCOME TAX REFUND 1,087 . 00
5 . ALLSTATE AUTO INSURANCE REFUND 155-20
6 • M&T BANK CHECKING ACCOUNT NUMBER 61177717 819 . 84
7 . M&T BANK CHECKING ACCOUNT NUMBER 61178632 31060 - 79
8 • POSTMARK CREDIT UNION SAVINGS ACCOUNT 6442-00 11332 -94
9 • MUTUAL OF OMAHA REFUND 7 . 09
10 • HOMELAND HOSPICE REFUND 20 - 98
11• PAA DENTAL REFUND 22 - 08
12• MUTUAL OF OMAHA PREMIUM REFUND 23. 03
13 • PATRIOT NEWS NEWSPAPER REFUND 45. 29
14 • AMA MID . ATL . INS • GROUP REFUND 27 - 44
15• PENNSYLVANIA AMERICAN WATER REFUND 30 .89
16 . PROPERTY TAX REBATE 250 . 00
TOTAL(Also enter on Line 5,Recapitulation) $ 22,153 - 43
If more space is needed, use additional sheets of paper of the same size,
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
MARY T. MOHNAL 21 14 00180
Decedent's Name Page I File Number
Schedule E -Cash, Bank Deposits, & Misc. Personal Property
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1? . COT RECEIVED - SCRAP METAL 62 . 55
18 . M&T BANK CREDIT ?5.00
19 . MISCELLANEOUS PERSONAL PROPERTY-AUCTION SALE PROCEEDS 156 . 60
SUBTOTAL SCHEDULE E 294 - 15
GRAND TOTAL SCHEDULE E $ 22,153.43
REV-1510 EX+(08-09)
pennsylvania SCHEDULE G
DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
MARY T . MOHNAL 21 14 00180
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
ITEM INCLUDE THE NAME OF THE TRANSFEREE,THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH %OFDECD'S EXCLUSION TAXABLE
NUMBER THE DATE OF TRANSFER,ATTACH A COPY OF THE DEED FOR REAL ESTATE, VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1. POSTMARK CREDIT UNION IRA ACCOUNT 6,53,6 . 31100 . 00 61516 . 31
6442-19 - TRANSFEREES - CONSTANCE E •
PRESCOTT, GEORGE W- MOHNALI JOANN T -
EVANS - CHILDREN
TOTAL (Also enter on Line 7,Recapitulation) $ 61516 - 31
If more space is needed,use additional sheets of paper of the same size.
REV-1511 EX+(08-13)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
MARY T . MOHNAL 21 14 00180
Decedent's debts must be reported on Schedule t.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. STONE & MURRAY FUNERAL HOME 61873 . 49
408 THIRD ST - , NEW CUMBERLAND, PA 17070
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: STONE LAFAVER & SHEKLETSKI 61100 . 00
3. Family Exemption:(If decedent's address is not the same as claimant's,attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4. Probate Fees: LETTERS TESTAMENTARY 358 . 50
5 Accountant Fees:
6. Tax Return Preparer Fees: KELLY FINANCIAL SERVICES, INC . 449 . 00
2013 INCOME TAX RETURN PREPARATION
7, THE SENTINEL — LEGAL ADVERTISING 190 . 54
8 - CUMBERLAND LAW JOURNAL — LEGAL ADVERTISING 75 . 00
9 - SHORT CERTIFICATES 15 . 00
10 - SANTANDER—DATE OF DEATH BALANCE INFORMATION CHARGE 20 . 00
11 - KEYSTONE OIL 387 . 83
12 - ROLLING GREEN CEMETERY 560 . 00
13 - ROYERS—CASKET FLOWERS 191 . 82
14 - 2014 COUNTY/LOCAL REAL ESTATE TAX 715 . 09
15 - JC EHRLICH PEST CONTROL 53 . 61
16 - PA DEPARTMENT OF REVENUE — 2013 INCOME TAX 12 . 00
17 - SANTANDER — HELOC PAYMENT (MARCH ) 177 . 23
18 - PPL ELECTRIC 81 . 98
TOTAL(Also enter on Line 9,Recapitulation) $ 25i204 - L6
If more space is needed,use additional sheets of paper of the same size.
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
MARY T. MOHNAL 21 14 00180
Decedent's Name Page 2 File Number
Schedule H - Funeral Expenses &Administrative Costs - B7.
ITEM
NUMBER DESCRIPTION AMOUNT
19 • PPL ELECTRIC 70 - ?2
20 - AT&T-LONG DISTANCE 44 . 45
21 - BJ ' S WHOLESALE CLUB 64 . 98
H . VERIZON 25. 53
23 - PENNSYLVANIA AMERICAN WATER 161 . 57
24 - SANTANDER - HELOC PAYMENT (APRIL) 168 . 85
25 - GULLIFTY ' S RESTAURANT-FUNERAL LUNCHEON 1,028 . 86
26 - LOWER ALLEN TOWNSHIP-SEWER/TRASH (2ND QUARTER) 122 . 70
27 - PENNSYLVANIA AMERICAN WATER 23 . 17
28 - SNOW REMOVAL 70 . 00
29 - VERIZON 31 . 44
30 - PPL ELECTRIC 52 . 19
31 - JC EHRLICH PEST CONTROL 101 . 92
32 - LAWN MAINTENANCE 80 . 00
33 - CROPF BROS . PLUMBING-PLUMBING REPAIR 163 . 90
34 - PPL ELECTRIC 51 . 29
35 - PENNSYLVANIA AMERICAN WATER 33 . 39
36 - VERIZON 25 . 54
37 - LAWN MAINTENANCE 80 . 00
38 - KEYSTONE OIL 139 . 00
39 - KEYSTONE OIL 249 . 99
40 - CROPF BROS . PLUMBING-PLUMBING REPAIR 158 . 60
41 - JC EHRLICH PEST CONTROL 53 . 61
42 - SANTANDER - HELOC PAYMENT (MAY) 175 . 84
43 - LAWN MAINTENANCE 80 . 00
44 - PPL ELECTRIC 47 . 06
45 - VERIZON 25 . 54
46 - LAWN MAINTENANCE 300 . 00
47 - PENNSYLVANIA AMERICAN WATER 43 . 16
48 - LAWN MAINTENANCE 80 . 00
49 - PAINTING REPAIR 220 . 00
50 - SANTANDER - HELOC PAYMENT ( JUNE) 172 . 40
51 - LOWER ALLEN TOWNSHIP-SEWER/TRASH (3RD QUARTER) 122 . 70
52 - LAWN MAINTENANCE 80 . 00
53 - PENNSYLVANIA AMERICAN WATER 46 . 23
54 - KEYSTONE OIL 45 . 00
55 • PPL ELECTRIC 62 . 93
56 - VERIZON 25 . 76
57 • LAWN MAINTENANCE 80 . 00
58 - SANTANDER - HELOC ANNUAL FEE 50 . 00
59 - JC EHRLICH PEST CONTROL 53 . 61
60 - SANTANDER - HELOC PAYMENT ( JULY) ) 174 . 24
61 - 2014-15 SCHOOL TAX (INSTALLMENT 1) 464 . 41
SUBTOTAL SCHEDULE H-B7 5,350 - 58
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
MARY T. MOHNAL 21 14 00180
Decedent's Name Page 3 File Number
Schedule H - Funeral Expenses &Administrative Costs - 137.
ITEM
NUMBER DESCRIPTION AMOUNT
62 - PPL ELECTRIC 58 . 91
63 • SANTANDER HELOC PAYMENT (AUGUST) 170 . 97
64 • SANTANDER HELOC PAYMENT (SEPTEMBER) 172 . 85
65 • JC EHRLICH PEST CONTROL 53 . 61
66 - JC EHRLICH PEST CONTROL 53 . 61
67 • PENNSYLVANIA AMERICAN WATER 61 . 55
68 • VERIZON 25 . 76
69 • PPL ELECTRIC 80 . 23
70 • CROPF BROS • PLUMBING-PLUMBING REPAIR 94 . 00
71 • PATCH VENT PIPE AND PAINTING 150 . 00
72 • HOUSE CLEANING 130 . 00
73 • HEDGE TRIMMING AND LAWN MAINTENANCE 300 . 00
74 • VERIZON 25 . 76
75 • PENNSYLVANIA AMERICAN WATER 40 . 10
76 • SANTANDER HELOC PAYMENT ( OCTOBER) 172 . 07
77 • JC EHRLICH PEST CONTROL 53 . 61
78 • PENNSYLVANIA AMERICAN WATER 39 . 08
79 • VERIZON 25 . 79
80 • PPL ELECTRIC 40 . 83
81 - JC EHRLICH PEST CONTROL 53 . 61
82 • 2014-15 SCHOOL TAX (INSTALLMENT 3) 464 . 42
83 • PPL ELECTRIC 34 . 28
84 • PENNSYLVANIA AMERICAN WATER 36 . 01
85 • 2014-15 SCHOOL TAX (INSTALLMENT 4 ) 464 . 41
86 - SANTANDER HELOC PAYMENT (NOVEMBER ) 168 . 83
87 • LOWER ALLEN TOWNSHIP SEWER AND TRASH 122 . 70
88 • RESERVE FOR CLOSING EXPENSES 500 . 00
SUBTOTAL SCHEDULE H-67 3,592 - 99
mos*(1uwq
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES&LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
MARY T. MOHNAL 21 14 00180
Report debts incurred uythe decedent prior todeath that remained unpaid at the date of death,including unreimbursed medical expenses.
REV-1513 EX+(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
MARY T • MOHNAL 21 14 00180
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
1 TAXABLE DISTRIBUTIONS (Include outright spousal distributions and transfers under
Sec.9116(a)(1.2).]
1. CONSTANCE E . PRESCOTT Lineal 1 /3 OF RESIDUE
42 CITADEL DRIVE
CAMP HILL, PA 17011
2 • GEORGE W . MOHNAL Lineal 1 /3 OF RESIDUE
P . O . BOX 695
FRISCO, NC 27935
3 . JOANN T . EVANS Lineal 1 /3 OF RESIDUE
721 FIFTEENTH ST -
NEW CUMBERLAND, PA 17070
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
►i. NON-TAXABLE DISTRIBUTIONS:
A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: .
1.
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART I I-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $
If more space is needed,use additional sheets of paper of the same size.
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX0 1-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 019672
PRESCOTT CONSTANCE E
42 CITADEL DRIVE
CAMP HILL, PA 17011
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold
__________ --------
101 $5,498.15
ESTATE INFORMATION: SSN:
FILE NUMBER: 2114-0180
DECEDENT NAME: MOHNAL MARY T
DATE OF PAYMENT: 09/15/2014
POSTMARK DATE: 09/12/2014
COUNTY: CUMBERLAND
DATE OF DEATH: 02/21/2014
TOTAL AMOUNT PAID: $5,498.15
REMARKS: RCPT TO ATTY
CHECK# 167
INITIALS: DB1
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
TAXPAYER
�!
LAST WILL AND TESTAMENT E.
i"
OF
i MARY T. MOHNAL
I
I, MARY T. MOHNAL, of Lower Allen Township, Cumberland County, i
Pennsylvania, declare this to be my last will and revoke any will
previously made by me .
}
ITEM I : I direct that my Executor hereinafter named shall pay
i
all my just debts and funeral expenses as soon as conveniently may be
done after my decease from the residue of my estate :
i
i
ITEM II : I devise and bequeath all the rest, residue and remain- `
der of my estate of every nature and wherever situate to my children,
CONSTANCE E. PRESCOTT, GEORGE W. MOHNAL, and JOANN T. EVANS . Should !
any of my children predecease me, I devise and bequeath the share of i
such child to his or her issue, per stirpes; and should any such child
of mine leave no such issue living following my death, I devise and
bequeath the share of such child to my issue, per stirpes .
i
! ITEM III : I appoint my Executrix and her successors guardian of r
any property which passes, either under this will or otherwise, to a
minor and with respect to which I am authorized to appoint a guardian
and have not otherwise specifically done so, provided that this ap-
pointment of a guardian shall not supersede the right of any fiduciary
I
in its discretion to distribute a share where possible to the minor or
i
Page 1 of 4
i
i� ,
to another for the minor ' s benefit . Such guardian shall have the
power to use principal as well as income from time to time for the
minor's support and education (including college education, both
graduate and undergraduate) without regard to his or her parent' s
ability to provide for such support and education, or to make payment
for these purposes, without further responsibility, to the minor or to
the minor ' s parent or to any person taking care of the minor.
ITEM IV: I appoint my daughter, CONSTANCE E. PRESCOTT, Executrix
of this my last will . Should my daughter, CONSTANCE E. PRESCOTT, fail
to qualify or cease to act as Executrix, I appoint my daughter, JOANN
T . EVANS, Executrix of this my last will. Should my daughter, JOANN
T . EVANS, fail to qualify or cease to act as Executrix, I appoint my
son, GEORGE W. MOHNAL, Executor of this my last will .
ITEM V: No fiduciary acting hereunder shall be required to post
bond or enter security for the faithful performance of his/her duties
in any jurisdiction.
IN WITNESS WHEREOF, I, MARY T. MOHNAL, have hereunto set my hand
and seal this day of. 2006 .
MARY T/-/'MOANAL
Page 2 of 4
v ,
SIGNED, SEALED, PUBLISHED and DECLARED by MARY T . MOHNAL, the
Testatrix above named, as and for her Last Will and Testament, and in
j
the presence of us, who at her request, in her presence and in the ! !
presence of each other subscribed our names as witnesses.
414 Bridge St . , New Cumberland, PA
Witne Address
414 Bridge St. , New Cumberland, PA
Witness Address
COMMONWEALTH OF PENNSYLVANIA:
SS .
COUNTY OF CUMBERLAND
I, MARY T . MOHNAL, the Testatrix whose name is signed to the
i
attached or foregoing instrument, having been duly qualified according
to law do hereby acknowledge that I signed and executed this
instrument as my last will; that I signed it willingly and that I
signed it as my free and voluntary act for the purposes therein con-
tained.
M T. MOHNAL
l ;
{ Sworn to or affirmed to an/d� acknowledged before me by MARY T.
MOHNAL, the Testatrix, this v a of 2006 .
COMMONWEXTH OF PENNSYLVANIA
NOTARIAL SEAL. Notary Public
DANIEL. M. HARTMAN, Notary Public
New Cumberland Boro.,Cumberland Co.
My Commission Expires Jan,21,2409 page 3 of 4
i
COMMONWEALTH OF PENNSYLVANIA
Ij
SS :
COUNTY OF CUMBERLAND
We, �:. and �;:�.• _ .- ,
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, depose and say that
we were present and saw Testatrix sign and execute the instrument as
i
her last will; that Testatrix signed willingly and that she executed
•
it as her free and voluntary act for the purposes therein expressed;
that each of us in the hearing and sight of the Testatrix signed the
will as witnesses; that to the best of our knowledge, the Testatrix
was at that time eighteen or more years of age, of sound mind and
I, under no constraint or undue influence.
Witness
Witness
Sworn to or affirmed to and acknowledged before me by
1, and ..
witnesses, this day of � � 2006 .
Comma 4WFA TH OF PENNSVI.VANIA
iTMARIA SSEAL.
DANIEL M. HAHTMAN, Notary Public Notary Public
New Cumbaclai►d 60"0 ,Cua�beriand Ca.
My Commiss►oi►Expicus Jan.21,2009
Page 4 of 4
4
IiiProperty Mapper
s
'4I Cumberland County,
1,a, adv - f� z /-� �I SZ9j 7Ce`
XA !QQParcel Search
ti
Features selected : 1
Building Assessed Value $ : 119600 IC
Total Assessed Value $: 152400
Sale Price $:
Sale D.
Municipality:Year Built: 1955
• TOWNSHIP
Height •
• - of •
Exterior:Primary
Basement Percentage : 11
kr' Air Conditioning : NO
fi (9) r
553
554 (33)
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OWN+,�16 PAU?81 C.CWY
r-' -Sort- day of JANOAAr in the year of our Lord
one thousand nine hundred and Frrrr srx.
JOAN TN0ILIS III AMD RUTH L. PMONAS, Mrs wrrr, OF,
LawsR ALLSR TQwxsxrP, Cuxssxctxa Couxrr, ArxxarcrtxrA, GRANTORS; '
PARTIES OF !MS FIRST PART,
�^ -A N D-
OSORGS MYNAL Axa AARP THERESA N011YAL, Mrs wrFs, or rNs SANS
PLACS. ORANTE53', PAArrsS
N tit W@Wd Pat: mS*j#1 Th*NW S.W Wt IS& Of d."PWwt NW W b
ami md"of NW WWW of
ETOBTSEN T.YOUSAND ($18,000.00) DOLLARS
kWWf me"of the u.Rd Sfrta of Aawic%ws WAI t7*mW M tho.tdt Iwwwt res OF the 7W7:Wd Pint
r oa Wtw o wt its d tM Rrtt M+t Wf rW71 hbwrt tM ww.Dy Wd Mtht7 Wf Mr►PrwWtr tM fuvw
-hwat It AMM+A AW 10 1 HAFT 0 sit 004"0.at«ttWt,rdaa/,cm IW/$ad
I .d AT that 0 - D0 am*. •D.SDr 4~1.wW1..w aaq Wd a.ti.
ww t or rY mf Its N then, P7M. TNEIA NrrRs wd au7Mu.AS reMANra
Sr rxe swrincrres.
ALL TYAT CERTAIN PIscs OR PARCEL OF LAND SITUATE IN LOwsA
ALLsw }b WNSNZP, lVM&SM&AMft COUNTY, PeYNSrtrANrA. MORS PAArrcu- ,
LAItLr SODRDeD AND ORSCRtSED AS FOLLOWS, r0-wrrl
- BEGINNING Ar A POINT ON rms NOArvsms SIDS OF A FIFTY (50)
?err AIDE ROAD KNOWN AS COLGATE DAIrs, wNrcm POrNr, N&AsVAra
7 ALONE ?MV NOR}MSRN BIDS OF COLQArr DAIrs, is two mumoato wrrr
AND rvSwrr ows ORe-MuNDREDrx3 (250.21) !'ESr Wxsr OF rmc NOR?M-
WEST CORNEA OF COLQAre DRIPS AND CENTER DANE, AND wmrcv POrNr
ALSO Is AT rxr Sourxwear coANER Or Lor No. 53 ON THS PLAN OF
Lora MSRSfMAFrEA AYFeARED to; rmexce WVm rwAROLY, ALOMO ryr
11ORrNems slot or COLoAre DArrv, SErSNrr (i0) FEET r0 A POrNr
AT rxs EASTERN LINE Or LOT No. 51 ON rye FLAN OF LOTS KNOWN
AS PAR? OF PLAN NO. 2, CEDAR CLIFF MANOR, APPAO►ED at rxs
Coxxraarowzas Or Lo WEA ALLrx TOWNSHIP ON ,AXUAar 12, 1255, AMD
AMCOROSD IN VHS OrrrcE or rHe RECoROBR or Dswa s IN AND FOR
CVAS SALAMD COUx PY, FeMNBr&VANIA, IM PLAN Boom 7, PAGE 2, rmrxcE
AT ATOM? AMQLrS r0 COLOA?e DRIVE AND ALONG ?Ne EASTERN LINE OP
Lor N0. 51 AFORNBAID, oNr muNDAEO rwcwrr Frre (125) )'SET TO A
POIRr AT r)rE SOurNEAM LrNs OF Lot No. 31 ON rYr PLAY OF LOTS
KNOWN AS PART OF PLAN 90, a, CEDAR CLIFF MANOR, APPAOVS0 or
rye COMlrrssroNERa Or Lowsm ALLKx TOWNSHIP Off JANUARY 12, 1955,
AND ACCORDED rN PLAN BOOK 7. PAas 2. rmsmex EAsrwARDLr. OM A
L lxr PARALLEL Wr?II COLOAre DRIrE AND ALONG rHe $Oury9RN IfN.S
Or LOP NO. 31 AFORESAID, AND TME SOurNeaw LINES or Lots Nos.
31 AND 30, ON rMr PLAM or Lots yEAEINA!"rER Ri:PCXRED t0, scrSNrr
(70) FENT TO A POINT AT rye WrsrvAN Lr.ve or Lor No. 53 ON rxx
PLAM OF Lots NERRIMAFreR RCYeANED TO; ?NENCC SOU?VWARaLr, ALONG
rNN Vcsrcmm Lrve or Lor N0. 53, AND AT AIGHr ANGLES wrrN CoL-
OArs DRrrr, ONE MUNDRKo rweNrY rrrr (125) rcvr TO A POINT ON
CoLOAr.v DRrsv, VMS PLACE ON BBGINb"INC.
BEI.YO Lor No. 52 ON rMV PLAN or LOTS KNOWN AS "PART OF
PLAN No. 2, CEDAR CLIFr 41AMOR", WyrcM PLAN IS ASCORDEO IN rxr
OrFres Or rMM RECORDER OF Dwvas IN AND FOR CUHNYALAND CouNrr,
��++ PwwNarLFANrA. IN ^AM BOOK 7, PAOs 2.
•r _. .....»._ ...
eaoN'�j16 emi"Q?
I
NAIINO VINE N BRSOM A -rMOLV DMVLLrNO Novbs, i
UNDER AND SUBJBCr rq. AsssnrorfoNs�OND As"Itry VWS As
rfoso,or Ascogs. •N°'? 1 A; p +Y '; '
filrN0 rNV VANS NAeNtasa *Mf CB SAAL V. 'CAoM r &—*a FAsoA
I. CAOMNfLL, Nts Nffs, BY arra DArra Avovsr 29, 1955 AND Am-
COMBED rN VIM CvNRVALANa Couvrr RicoAaVAIs Orrres rN Dims BOOK
PR*, roL. 16. PAos 204, OAANrVa' AND CON►srsD asrO JOHN TNOMAs
' III AND Rurm L. TNOMAs, Nt$ wrrs, OAANTOAV NVAMI.
I
I
emN�16 e;�283
�! .+t►all sd shgWAe tie h:NA>,a hwPRWwseaM Wads,-M Af►q,Ilkla r,p"Soft
hn/karAwsb
OW aPPwtrw I b Me saw b&%**,of hs sq WW oWotmiaq,od the/esrdes ed
twasdoaal lewaiafar od oaaeaialen nab,aaw eW swift tAeoad,ad of Omy pelf ad Mnd thana/r
A,*Slow,eN Me=daft ONK tkk W&S".
ps".posan. Claw ad Iowew r&OIs,w«.beth IA I"ed aOWitr,of the lset Ort fes of 94 lint
PW%of.►s ad to ahe nw jwo Whh the sppnesaacos:
an#Rule anis tat #*Lb Me ww pnsskas, With of ad Biqa« the appwt wnraa
C sees the sem pot f cs
4041116 sWead MM. TNA f A NE:f RS ad asslOaa,b Me aelr yeyr on,bwmfk ae/
b►sol of do am P«s rC$ sf the wnaf pan, Teta f R N.T Z AS OW camas N—W.
t"-WPARTf6S OF T.Yn' FIRST PART, FOA TNANSat.FAS ANO V,tVrn
hero,a mam n OW esimiW obvira,as by tAsw P ossm reesosaat,Owm ea/elm,b od
re
C -kh me m fw tRs a the araeW Mn. !NA f R l/Af as awl asim h.wn,
Mw TNAT the sal/ PARrres OF TNh• rrasr PART ANO TNo^fA
►e►a,ON ad shsp8r the hrditaw ill est 0 ' I beats ohne IscnDW Mil Owatd,or wantisad est
wfaatesl w fa b%W"Me aPPsWheaaeaa,wb tAe wY pA f F.s of the swod prt, TNStR //A fRs
ea/nY/q.s/oMsl THAN the aaisl PA R T f rS OF T qN F r AST PA AT AND TNA f R
hoiO,ad aOaist set Wal ewrr other pores r PuwsR WAersrnr faatalr eNfwiy r b claw the erre«
rr pot Oheoaa,
SNAU aW WILL
WARRANT ad fens DEPEND.
IN WHIS100111 rpmillf.MW wi/pwt f As of tka ibst pati b Mew pasaen NA FS
hwaaaab at TNAfA APW SsW wa/3 Dasa the Mr and rssr lint ahsn trines.
N0 1 1 1 1 anb"bard
Ie Tits PO MNIM sr 1'e r
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uit!i 10169urOP S",,
14-AL Es FATE TRA^tilswill*
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No%1�16 PAGi%ui
one be the day of the Art of the about labytwe N the above yawed "1
Intaemo•a el 6 tut J
t:l les of cgw s e
e.,,.ws a waw
lra.rAa+.
c.
sw r PUNSTL iANIA t,� a ra ye auyrr
C-*61 MABBRLAND ( tastnveeet
On the 3a day of JANUAAr ,ter .56before-,
W
the o/n.ipd•lin►.»u ygeerd
JOHN T.NONAS ill AND RUTH L. THOMAS, Mrs wrFe,
kseaw to.m(w mti fsetor.7y prow")to be the"s8 whom yews 3 A AN reb.ni deet to the
Nhia imtrwryf,ed aekrrWad that r Aar MAY& Zwald the Wows for the
theniy rseteiyed,eyd tewrd the mum might be reee.dd as.wk.
to wleaeme whom, f h.nwb set my heed ed oJ[601 mel. F�\ties`. A••.
71e ddmw of the rithia•sateed Greaten •.►�IK•/' •'
ryas ��// c e• •!.
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DI1TEPk TITLED. ! DATE OF ISSUE ' .Yry�UtiLLAgEN VVEIO_Fit QVWR ,I. GCWA I• TITLE BRANDS
I(:•. •.,. y`am�.°�•�r�•rr 3St _ .w,;=",„'i,ya'�.t...t.p k#�c r t{r�•�e s. ,!f=bc'Lra y k�:4i,.t,,f,�+"+r�t •ts,y ,1•e 0E0A0CM7El7iA4 R tAIqtiF;sF.,Byh+1:lAe,
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6{�'f* �+•3.T s '"� •�~' i� +s r 4 EXEAIPT'F'ROAI OOON6TER olscwauRl.
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r,�•` t A'r ., a.STREET' r
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+ „4 r til ^j ai,s� 1: . s� T 'RECAVE�EDITA#40ZH&,vmm F
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VEHICLE
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}"2;C� w: {• SECOND HEN RELEASED
AUTHORIZED REPRESENTATNR".t. - _ DATE
AOpREStYtf•-• r RY
• rc;' ,tir^.Ft+' { 't•+e,,. - N M y".k' ! AUTHORIZED REPRESENTATIVE
r '•34��.CO[»"SATE:.. Dtt'`''•'��„�;„z,y .r''�` ' • • �:.: '�-�-
iM 'µHILL: PAI bZQ IIs
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T CHICLE 13 1 SOLD AN Q
It a arpwehaur other than your spouse to IisSW and you watt the No to.,
RIBED N f be)Wed u J rd-Tenants VVIM Rot of Survtvor=pr(On'death'of,one,,
own Vd (b! rvMt owner,}+.PHE,CIC'HEREd,,d*rwIsj3,theVlla,.
{ sy- .. mIr, ss e l to in ComrnoiI l(Ort death•oi orw6vh er;Interest of
t + `t' ` 4i# .T^ a, i mar gogs to hliftr h0lrior estW}'�'=
F) + •• •IOIUTfIRa or PEIiEON AOtaA.7EM G OATH~L•`:
' +I t. ' .,. 4, r �G'n. �18T'UP•ICOA' f1 .: "'�'+IFNO UEN-CHECK'
(ltp X :i+ .•.tir �- �5I �`•� ^�" �� �"*"^•,'+ 137 UENHCXO£R'
r f
. fix ;^'; STREET t .'1-± ,± tl: + »a� {;•}'7L`Y� '+,;.+a .r _.
CITY
IF THIS 1$AN ELT,CHECK HERE' FiNANCW, `
I NOTE:FIN REQUIRED �, INSTITUTIOR NOS .
2ND UEt&DATE —� IF NO LIEN,CHECK 1
J. n t o' t,
+ cl
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W ?` C.,'h rR. es"*:,MM',w. d y i�`.:.ss>+. 2ND UENHOUQER
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OF 6R A(7THg1 •gNla>{: r
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r+� ;t -+Siil --". • - "• tF THIS IS AN ELT,CHECK HERE❑ FINANCIAL
'!_� f•'.+-+. tOONAr,!W Or OW1KCANTnn A OF A(MORO D SWAMI 'r NOTE;FIN REOl11RED INSTITUTION NO...
f"i. a e` • e e' e •
(TYPE OR PRINT)Certificate of Title must be submitted within 20 days,unless the purchaser is a registered dealer holding the vehicle for resale.
WARNING,, FEDERAL AND STATE."T TO COMPLETE OR PROVIDING REQUIRE ALSE STATEMENT MAY RESULT INE INEIN SOOR'MPR SONMEEtM E'TRANSFER OF OWNERSHIP.;FAILNNECTION WITH URE -
R.yrrWdWw.m,reampwbrtn.tvTfAauVPT6- .• LAST. FIRST .MI j
A; ASSIGNMENTi OF TITLE="*ww ny"wPxww.rte.vvAm y _
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WV•furdta ow*thud ft-voids b hW of twp{mc(wnbrula and that dw ownm*4 thereby PURCHASE P iv
tmnsfw W bo dr pm**)or da daWr Asts�- - s 'STAT• ZIP OR OW., 7
$1513SC+RIB !1M It
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PURCHASER AND/OR '" +•• y "++ut'" 'Y" s ri'^i" 53 i
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HANDPRINT NAME HERE S
JEJ. • of this form must be complefccl.• •
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in'atxsss of htmsdt•"Nmlt•�, q.WARNING OQorn•tM
WJa turtl»r anNy Dy11Mvshlr:M b Maoraryattcwnbrana and that da awnarsMp AODRE$•.- t- a r L! fe .>`s S
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Td'BEPOR¢�ME .1. ! '� <jr,. t 'D t Y y*: arAn • ; r : 4 .ZI
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1995 Buick Century Custom Sedan 4D Trade In Values - Kelley Blue Book Page 1 of 2
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POSTMARK
C R E D I T U N T O N jot first class JinancW serttces
March 6,2014
Stone Lafaver& Shekletski
Attn:Gerald J Shekletski
414 Bridge Street
PO Box E
New Cumberland,Pa 17070
Re: Estate of Mary T. Mohnal
SSN:
Dear Mr. Shekletski :
Mary T. Mohnal has an account with Postmark Credit Union. The accounts were individual accounts. We
do not have beneficiaries on our savings accounts.
There are three beneficiaries on the IRA. Paperwork will be distributed to the three beneficiaries and will
be disbursed according to their elections.
The following is a list of.the accounts and the balances including interest as of date of death.
Account Balance Interest Rate Oaened
6442-00(savings) $1,332.94 .05% 02/27/1986
6442-19(IRA) $6,516.31 .05% 02/27/1986
Postmark Credit Union does not have safe deposit boxes.
If you have any questions, please don't hesitate to call me at 717-671-5119,,ext 615.
Sincerely,
Michele L Treece
Member Service Administrator
2630 linglestown Rood • Horrisburg, PA 17 110-3666
717.671 .5119
M&TBank
499 Mitchell Road,Millsboro,DE 19966 Adjustment Services
Phone 888-5024349
F ax (302)934-2955
March 13,2014
Stone LaFaver& Shekletski
Attorneys at Law
414 Bridge Street
P.O.Box E
New Cumberland,PA 17070
Re: Estate of Mary T. Mohnal
Social Security:
Date of Death: February 21,2014
Dear Sir or Madam:
Per your inquiry on Mach 5, 2014, please be advised that at the time of death,the above-named decedent had
on deposit with this bank the following:
1. Type of Account Checking Account
Account Number 61177717
Ownership(Names ofi Mary T.Mohnal
Constance D Prescott(POA)
Opening Date 12128/1969
Balance on Date of Death $ 819.84
Accrued Interest $ .00
Total $819.84
2. Type of Account Checking A ccount
Account Number 61178632
Ownership(Names of} Mary T.Mohnal
Constance E Prescott(POA)
Opening Date 12128/1974
Balance on Date of Death $ 3,060.78
Accrued Interest $ .01
...................................................._............. ...............
Total $3,060.79
3. Type of Account Installment Loan
Account Number 12044461601316001
Ownership(Names of} Mary T.Mohnal
Opening Date 0412912010
Balance on Date of Death $0.00**This amount is not to be used for
payoff purposes. For a payoff"balance,
please call 1-800-724-2440
Current Balance $ .00 ** This balance is not a
payoff balance
For any additional information on the above accounts,including ownership and any changes,closures and/or reimbursement of funds,
please call the Highland Park at 717-737-3322.
We were unable to locate any safe deposit box for the above-mentioned decedent.
This letter does not include any accounts in which the deceased may have been listed as Power of Attorney,Custodian of Uniform Transfers,
Representative Payee,or Trustee under a Written Agreement
Sincerely,
Valarle Mercer
AdjusMnent Services
1
1
Court Order Processing\Decedents- NW-MB3-02-10 - P.O.Box 841005 - Boston,MA 02284
March 18, 2014
Gerald J. Shekletski
Stone LaFaver & Shekletski
414 Bridge Street
PO Box E
5
New Cumberland, PA 17070
n RE: Estate of Mary T Mohnal
Date of Death: 02/21/2014
j Dear Sir or Madam:
Per your request, enclosed please find the account information as of the date of death
for the above-named decedent. For your information, accrued interest is not included in
r the date of death balance.
s
Please feel free to contact me if I can be of any further assistance.
Very truly yours,
i
r
- Donna M. Long
Lead Specialist
617-514-5189
3
9
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S
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5
3
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u�
a
Sovereign Bank
ESTATE OF Mary T. Mohnal
SOCIAL SECURITY#:
DATE OF DEATH: February 21, 2014
Account#: 0774304679 Type: Savings Open date: 5/4/2011
In the name of: Mary T. Mohnal
Date of Death Balance: $12,996.27
Int.(YTD) from 1/1/2014 to 2/1/2014 $6.54
Accrued interest to date of death: $1.77
Other Info:
Account#: 1390086550 Type: Checking Open date: 5/4/2011
In the name of: Mary T. Mohnal
Date of Death Balance: $727.65
Int.(YTD) from 1/1/2014 to 2/21/2014 $0.00
Accrued interest to date of death: $0.00
Other Info: Non Interest Bearing Account
Account#: 4539964283 Type: Home Equity Line of Credit Open date: 5/25/2011
In the name of: Mary T. Mohnal
Balance due upon death: $23,306.14
Int.(YTD)from to
Accrued interest to date of death:
Other Info: More information to follow from Santander's Consumer Finance Department
Page 1 of 1