HomeMy WebLinkAbout12-04-14 REV-1500 Ex(02-11' 11' 1505610143
PA Department of Revenue OFFICIAL USE ONLY
p Pennsylvania County Code Year File Number
Bureau of Individual Taxes DEPARTMENT OF REVENUE
PO BOX.280601 INHERITANCE TAX RETURN 21 14 0397
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
03 01 2014 01 26 1921
Decedent's Last Name Suffix Decedent's First Name MI
MOHNEY FRANKLIN H
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
X❑ 1. Original Return ❑ 2, Supplemental Return 3. Remainder Return(Date of Death
Prior to 12-13-82)
4. Limited Estate 4a.Future Interest Compromise
(date of death after 12-12-82) 5. Federal Estate Tax Return Required
0 6 Decedent Died Testate
(Attach Copy of Will) Copy of 7. De cheat Trust)aintaineda Living Trust B. Total Number of Safe Deposit Boxes
g. Litigation Proceeds Received 10.betwean
n Po 3i y9i r dit1(Datte f Death 11 Election to tax under Sec.9113(A)
(Attach Schedule O) -
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
MICHAEL L BANGS 717 730 7310
REGISTER OF WILLS USE ONLY
First Line of Address c.-z5 =i
429 SOUTH 18TH STREETo
t
Second Line of Address I_,I n C:-:) CJ)
_i
�•y r— m
;E)A-i%FTMD
City or Post Office State ZIP Code
CAMP HILL PA 17011 <Z> ?I
= r•)
M
Correspondent's e-mail address: mikebangs@_verizon.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.
SIGJNATJJRE,0N RESP- .URN DAIE
Charles E. Gutshall
ADDRESS
215 Northgate Drive, Camp Hill, PA 17011
MIG TU OF PRDE,P�AR,ERR OTHER T N REPRESENTATIVE DATE
", Z. Michael L. Bangs d <�
ADDRESS
429 South 18th Stret, Camp Hill, PA 17011
Side 1
1505610143 1505610143
1505610243
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: MOhney, Franklin H.
RECAPITULATION
1. Real Estate(Schedule A)....................................................................................... 1. 309, 645 . 00
2. Stocks and Bonds(Schedule B)............................................................................. 2. 8 , 953 . 10
3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C)......... 3.
4. Mortgages&Notes Receivable(Schedule D)........................................................ 4.
5. Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 169, 891 . 31
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers&Miscellaneous -Probate Property
(Schedule G) Separate Billing Requested............ 7, 567 ,313 . 56
8. Total Gross Assets (total Lines 1 through 7)........................................................ 8. 1 , 055, 802 . 97
9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 20,325 . 75
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 15 , 355 . 60
11. Total Deductions(total Lines 9 and 10)................................................................ 11. 35 , 681 . 35
12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 1 , 020 , 121 . 62
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 , 020 , 121 . 62
TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116 0 . 00
(a)(1.2)X.00
15.
16. Amount of Line 14 taxable 1 , 020 , 121 . 62 16. 45 , 905 . 47
at lineal rate X .045
17. Amount of Line 14 taxable
at sibling rate X.12 0 . 00 17. 0 . 00
18. Amount of Line 14 taxable
at collateral rate X.15 0 . 00 18. 0 . 00
19. TAX DUE................................................................................................................ 19. 45 , 905 . 47
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ❑
Side 2
1505610243 1505610243
REV-1500 EX Page 3 File Number 21-14-0397
Decedent's Complete Address:
DECEDENT'S NAME
Mohney, Franklin H.
STREET ADDRESS
2958 Lincoln Street
CITY STATE ZIP
Camp Hill PA 17011
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 45,905.47
2. Credits/Payments
A. Prior Payments 43,000.00
B. Discount 2,263.16
Total Credits(A +B) (2) 45,263.16
3. Interest (3) 0.10
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4)
Check box on Page 2,Line 20 to request a refund
5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) 642.41
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;.................................................................I............. El 91
b.
ransferred:.................................................................I............. Elb. retain the right to designate who shall use the property transferred or its income;..................................
ncome:.................................. ❑
c. retain a reversionary interest;or............................................................................................................... H
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 El
adequateconsideration?....................................................................................................................
3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... ❑
4. Did decedent own an individual retirement account,annuity,or other non-probate property which
contains a beneficiary designation?.......................................:............................................I............:................ ❑
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 January 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S.§9116(a)(1.1)(ii)]. The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements fo�;Iisclosure 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
(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-1502 EX+(01-10)
SCHEDULE A
pennsyivania REAL ESTATE
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Mohne , Franklin H. 21-14-0397
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
Include a copy of the deed showing decedent's interest if owned as tenant in common.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Real Estate-2958 Lincoln Street,Camp Hill Borough(Parcel No.01-20-1852-184). Assessed 270,171.00
value$272,900.00 times common level ratio factor(.99)=$270,171.00 fair market value.
2 Real Estate-Vacant land;Tax Parcel No.01-20-1852-185A. County assessed value 26,433.00
$26,700.00 times common level ratio factor(.99)=$26,433.00 fair market value.
3 Real Estate-Vacant land in Jefferson County;Tax Parcel No. 14-384-0125. County assessed 13,041.00
value$6,300.00 times common level ratio factor(2.07)=$13,041.00 fair market value.
TOTAL(Also enter on Line 1, Recapitulation) 309,645.00
(if more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule A(Rev.01-10)
Rev-1503 EX*(6.98)
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Mohne , Franklin H. 21-14-0397
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
1 194 shares of Wells Fargo&Company Common Stock- 46.150 8,953.10
194.000 shares owned
TOTAL(Also enter on Line 2, Recapitulation) 8,953.10
(If more space is needed,additional pages of the same size)
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B(Rev.6-98)
Rev-1508 EXf(11.10)
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS �{�,'Y'IS�+C
DEPARTMENT OF REVENUE 1 '
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Mohney, Franklin H. 21-14-0397
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Interstate Gas Marketing-Well royalty interests 8.75
2 M&T Bank-Checking Account 74,628.35
3 Mid Penn Bank-Franklin H. Mohney Living Trust(checking account) 19,244.21
4 PNC Bank-Franklin H. Mohney Living Trust(Certificate of Deposit) 12,918.81
5 PNC Bank-Checking account(personal) 62,776.14
6 Refund from PA Employees Benefit Transfer Fund 1.52
7 Senior Health Reimbursement 172.83
8 Wells Fargo-dividend 7/8/14 67.90
9 Wells Fargo-dividend 7/8/14 2.45
10 Wells Fargo Dividend-10/10/14 67.90
11 Wells Fargo dividend-10/10/14 2.45
TOTAL(Also enter on Line 5, Recapitulation) 169,891.31
(If more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule E(Rev. 11-10)
Rev-1510 EX+(08-09)
SCHEDULE G
pennsylvania INTER-VIVOS TRANSFERS AND
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Mohne , Franklin H. 21-14-0397
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.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % DECD'S EXCLUSION TAXABLE
NUMBER THE DATE OF RANSNAME OF ER.SATTACH THEIR COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1 Ameriprise-Deferred annuity account#93007099618 44,740.05 44,740.05
004
2 Ameriprise-SPS Advantage account#00040405598 146,963.61 146,963.61
133; Charles E. Gutshall is the surviving trustee
3 Charles Scwab account 328.000.00 328,000.00
4 MetLife-Non-qualified annuity Contract No. 47,609.90 47,609.90
1100181363
TOTAL(Also enter on Line 7, Recapitulation) 567,313.56
(If more space is needed,additional pages of the same size)
Copyright(c)2009 form software only The Lackner Group,Inc. Form PA-1500 Schedule G(Rev.08-09)
REV-1511 EX+(10-09)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN
RESIDENT DECEDENT ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Mohney, Franklin H. 21-14-0397
Decedent's debts must bereported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
See continuation schedule(s)attached 10,000.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State Zio
Year(s)Commission Paid
2. Attornev's Fees Michael L. Bangs 8,500.00
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation)
Claimant
Street Address
City State ZiD
Relationship of Claimant to Decedent
4. Probate Fees 568.50
5. Accountant's Fees 1,000.00
6. Tax Return Preparer's Fees
7. Other Administrative Costs 257.25
See continuation schedule(s) attached
TOTAL(Also enter on line 9, Recapitulation) 20,325.75
Copyright(c)2009 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev. 10-09)
. SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Mohney, Franklin H. 21-14-0397
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Expenses
I Funeral expense-Myers Harrier Funeral Home 10,000.00
H-A 10,000.00
Qther Administrative Cos
2 Cumberland Law Journal-estate advertisement 75.00
3 Postmaster-overnight mail of Renunciation form for execution by Robert Mohney 19.99
4 The Patriot News Co. -estate advertisement 162.26
H-B7 257.25
Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.6-98)
Rev-1512 EX+(12.08)
SCHEDULE 1
pennsylvania DEBTS OF DECEDENT
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Mohne , Franklin H. 21-14-0397
Report debts Incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Aero Energy-June services 21.61
2 Aero Energy-July services 43.01
3 Aero Energy-Renewal rental fee 21.09
4 Aero Energy-September services 21.72
5 Borough of Camp Hill-7/1/14 to 9/30/14 184.24
6 Camp Hill Borough-sewer charges 1/1/14 to 6/30/14 346.50
7 Chase credit card 262.97
8 Darla Brosius,Tax Collector-Jefferson County school real estate tax bill 173.66
9 Department of Veterans Affairs-Return of benefits paid after death of decedent 6,743.78
10 Diane Neiper,Tax Collector-Cumberland County,school real estate tax bill (vacant land) 367.32
11 Diane Neiper,Tax Collector-Cumberland County,school real estate tax bill (2958 Lincoln 3,641.37
Street,Camp Hill).
12 H B McClure Co. -2014 budget plan payment 982.81
13 Holy Spirit Hospital 50.00
14 Holy Spirit Hospital -Acct.47388491 1,216.00
15 PA American Water Company-June services 88.00
16 PA American Water Company-6/10/14 to 7/9/14 35.83
17 PA American Water Co.-7/10/14 to 9/9/14 68.33
Total of Continuation Schedule See attached page
TOTAL(Also enter on Line 10, Recapitulation) 15,355.60
(If more space is needed,additional pages of the same size)
Copyright(c)2008 form software only The Lackner Group, Inc. Form PA-1500 Schedule I(Rev. 12-08)
Rev-1512 EX+(12-08)
SCHEDULE 1
pennsylvania DEBTS OF DECEDENT
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS
RESIDENT DECEDENT
continued
ESTATE OF FILE NUMBER
Mohney, Franklin H. 21-14-0397
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
18 Penn Waste-7/1/14 to 9/30/14 41.55
19 Penn Waste-10/1/14 to 12/31/14 41.55
20 PP&L Electric-June services 234.00
21 PP&L Electric Co. -6/12/14 to 7/14/14 117.00
22 PP&L Electric Co. -7/14/14 to 8/12/14 118.40
23 Spirit Physician Services, Inc. 50.47
24 State Employees.Retirement System -Return of overpayment of benefits 10.11
25 Susquehanna Internal Medicine 86.53
26 Verizon 209.79
27 Verizon 177.96
TOTAL(Also enter on Line 10, Recapitulation) 15,355.60
Copyright(c)2008 form software only The Lackner Group, Inc. Form PA-1500 Schedule I(Rev. 12-08)
REV-1513 EX+(01-10)
pennsylvania SCHEDULE
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Mohney, Franklin H. 21-14-0397
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT
DQ Not List Tru teats, (Words) ($$$)
TAXABLE DISTRIBUTIONS [include outright spousal
• distributions,and transfers
under Sec.9116(a)(1.2)]
Charles E.Guitshall Son Entire
215 Northgate Drive
Camp Hill,PA 17011
Total
Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet,as appropriate.
NON-TAXABLE DISTRIBUTIONS:
A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTALI OF PART It-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule J(Rev.01-10)
M& Bank
499 Mitchell Road,Millsboro,DE 19966 Adjustment Services
Phone 888-502-4349
F ax (302)934-2955
Bangs Law Office,:LLC May 14,2014
429 South 18th Street
Camp Hill, PA 17011
Re: Estate of Franklin H. Mohnev
Social Security: 174-16-64SO
Date of Death: March 01,2014
Dear Sir or Madam:
Per your inquiry on May 06,2014,please be advised that at the timef death,the above-named decedent had on
deposit with this bank the following:
1. Type of Account Checking Account
Account Number 38305585
Ownership(Names ofi Franklin H.Mohney
Mazie B. Mohney
Opening Date: 1212811983
Balance on Date of Death S 74,628.35
Accrued Interest S .10
Total $74,628.45
For any additional information on the above accounts,including ownership and any changes,closures and/or reimbursement of funds,
please call the West shore Plaza at 717-731-1730.
We were unable to locate any safe deposit box for the above-mentioned decedent.
This letter docs not include any accounts in which the deceased may have been fisted as Power of Attorney,Custodian of Uniform Transfers,
Representative Payee.or Trustee under a Written Agreement
Sincerely,
Valarie Mercer
Adjustment Services
Ameriprise
Financial
Account Summary for the Estate Settlement of Franklin H Mohney, Client ID 15460057
1)Type of Investment: Deferred Annuity-Successor annuitant possible
Product Name: Deferred Annuity-Successor annuitant possible
Total Account Value(as of Date of Death):$44,740.05
Account Number:93007099618 004
Account Registration: Franklin H Mohney
Beneficiary Designation:
PRIMARY BENEFICIARY
LIVING,LAWFUL CHILDREN IN EQUAL SHARES 100.00%
How the account(s)proceeds will be settled:
We will distribute proceeds to the beneficiary.
Important Details about this account:
N/A
Ameriprise
Financial
Account Summary for the Estate Settlement of Franklin H Mohney, Client ID 15460057
1)Type of investment:SPS Advantage/SPS Advantage,ONE Account
Product Name:SPS Advantage
Total Account Value(as of Date of Death):$146,963.61
Account Number:00040405598 133
Account Registration: Franklin H Mohney As Ttee Of The Mazie B Mohney Liv Tr U/A Old 2/11/02
Beneficiary Designation:
How the account(s)proceeds will be settled:
When a trustee dies,the account must be updated to reflect the current serving trustees.
Important Details about this account:
N/A
2)Type of investment: Deferred Annuity-Successor annuitant possible
Product Name:Deferred Annuity-Successor annuitant possible
Total Account Value(as of Date of Death):$44,740.05
Account Number:93007099618 004
Account Registration: Franklin H Mohney
Beneficiary Designation:
PRIMARY BENEFICIARY
LIVING,LAWFUL CHILDREN IN EQUAL SHARES 100.00%
How the account(s)proceeds will be settled:
We will distribute proceeds to the beneficiary.
Important Details about this account:
N/A
MID PENN BANK
May 12,2014
Bang Law Office,LLC
429 S 18'St
Camp Hill PA 17011
Re: Estate of Franklin H Mohney
Date of Death: March 1,2014
SSN: XXX-XX-6480
Dear Mr.Bangs:
In response to your letter requesting information on the accounts of Franklin H Mohney, I have
accumulated the necessary data below:
Account Name: Franklin H Mohney Living Trust
Account#: 17000274—Checking Account
Date Opened: April 21,2008
Balance DOD: $19,244.21
Balance Accrued Interest DOD: $.00
Total DOD Balance: $19,244.21
Date Joint Ownership Established: N/A
Interest Paid During Calendar Year Up to Date of Death: $12.05
If Joint Within One Year of DOD Can it be Traced to a Prior Joint Account in Existence
Over One Year Prior to the Date of Death: N/A
If you have any further questions,please call me at 717-896-5388.
Sincere y, �w
Karen Tarbell
Deposit Support Specialist
6
349 Union Street, Millersburg, PA 17061 • 1-866-642-7736 midpennbank.com
Member FDIC
Y. I'+. LV I(+ 0:L4AM f aL banK
May 13,2014
Michael L Bangs
Bangs Law Office LLC
429 South 19"St
Camp Hill PA 17011
RE: Franklin H Mohney
SSN: 174-16-6480
DOD: 03-01-2014
Dear Mr. Bangs:
In response to your request for Data of Death(DOD)balances for the customer noted above,our
records show the following:
Certificate of Deposit
Account# 11020424920 Established 02-14-2005
FRANKLIN H MOHNEY LIVING TRUST
FRANKLIN H MOHNE Y TRUSTEE
DOD balance: $ 12,918.81 +2.92 accrued interest
Interest paid 01-01-2014 thru 03-01-2014$26.75 YTD
Checking Account
Account#5140041149 Establisbed: 11-01-1971
FRANKLIN H MOT-1NE'Y
DOD balance: $62,776.14+0.38 accrued interest
Interestpaid 01-01-2014 thrn 03-01-2014 $ 1.08 YTD
Please node that this office provides date of death balances for deposit accounts ORM,CDs,Chang and
Savings). We do not process any fimmeial ba notions or provide sUtements. If you need assistmee with
any of these items,please call 1-888 PNC-BANK(1-888-762-2265)or stop by your local PNC Bank branoh
Qffia.
Sincerely,
National Financial Services Center
PNC Bm ik,N-A.
Member FDIC
Mage 1 of 2
friar. I'r. cvf9 0:t4nm roar oanK No. 1(17 N. J
This message is intended for the use of the individual or entiry to which it is addressed and may
contain it formation that is privilege', conf4kntial and exempt from disclosure under applicable law.
If the reader of this message is not the intended recipient or the employee or agent responsible for
delivering this message to the intended recipient,you are hereby notified that any dissemination,
distribution or copying of this communications is strictly prohibited If you have received this
communication in error,please-notify me immediately by reply or by telephone at 800-762-1775 and
immediately destroy this,faxed document.
Page 2 of 2
Last Will
of
FRANKLIN H. MOHNEY
I, FRANKLIN H. MOHNEY, the Testator, a resident of Cumberland County, Pennsylvania, declare
that this is my Last Will. I hereby revoke all my previous wills and codicils.
Article One
Introductory Provisions
Section 1. Marital Status
I am currently married to MAZIE B. MOHNEY, and all references to my Spouse in this will are to
MAZIE B.MOHNEY.
Section 2. Children
All references to "my children", subject to the exclusion of any child under subsequent
provisions of this Section 2, are to all of the children so identified in this Section 2, but only to
those children and any children born to or adopted by me subsequent to the execution of this; my
Last Will.
a. The names and birth dates of my children are:
Names Birth Da e
CHARLES E.GUTSHALL January 01, 1959
Article Two
Appointment of My Personal Representatives
Section 1. Nomination of My Personal Representatives
I appoint the following to be my Personal Representative(s) in the order of priority in which their
names appear:
MA23F-B.-MOHNEY;MEN
ROBERT LAMOHNEY;THEN
CHARLES E. GUTSHALL j
If, for any reason, the Personal Representative(s) named above are unable or unwilling to serve,
the next successor Personal Representative(s) shall serve in the order of priority listed until the
list has been exhausted. Unless otherwise specified, if Co-Personal Representatives are serving,
the next named successor Personal Representative shall serve only after all of the Co-Personal
Representatives cease to act as Personal Representatives.
Section 2. Waiver of Bond
No bond or undertaking shall be required of any Personal Representative nominated in this Last
Will.
Section 3. General Powers
My Personal Representative shall have ftffl authority to administer my estate under the laws of the
Commonwealth of Pennsylvania relating to the powers of fiduciaries. My Personal Representative
shall have the power to administer my estate under the Pennsylvania Probate, Estates and
Fiduciaries Code.
Article Three
Disposition of My Property
Section 1. Estate Planning Letter or Memorandum
To the extent permitted by state law and not necessary to fully utilize my Unused Applicable
Credit Equivalent, my Personal Representative shall distribute such of my personal or household
items to such persons as I may direct by a written instrument signed by me and delivered to my
Personal Representative.
Section 2. Distribution to My Revocable Living Trust
I give all the rest, residue and remainder of my property of whatever nature and kind and
wherever located to the then acting Trustee(s) of my revocable living trust of which I am a
Trustor known as the:
FRANKLIN H.MOHNEY LIVING TRUST, ✓
dated FEB 1 1 2002 and any amendments thereto.
I executed said revocable living trust prior to the execution of this Last Will.
Section 3. Alternate Disposition
If my revocable living trust is not in effect for any reason, I give all of my property to my
Personal Representative under this will as Trustee who shall hold, administer: and distribute my
property as a testamentary trust the provisions of which are identical to those of my revocable
living trust on the date of execution of this Last Will, or as thereafter amended.
Article Pour
Death Taxes
Section 1. Definition of Death Taxes
The term "death taxes," as used in this will, shall mean all inheritance, estate, succession, and
other similar taxes that are payable by any person on account of that person's interest in the estate
of the decedent or by reason of the decedent's death, including penalties and interest, but
excluding the following:
a- Any addmonal to the federal estate tax for any "excess retirement accumulation"
under Internal Revenue Code Section 4980A.
b. Any additional tax that may be assessed under Internal Revenue Code Section
2032A or 2057; and
C. Any federal or state tax imposed on a Generation Skipping Transfer, as that term
is defined in the federal tax laws, unless the applicable tax statutes provide that
the Generation Skipping Transfer Tax is payable directly out of the assets of my
gross estate.
Section 2. Payment of Death Taxes
Pursuant to the terms of my revocable living trust, all death taxes whether or not attributable to
property inventoried in my probate estate shall be"paid by the Trustee from my Trust. However,
if my Trust does not exist at the time of my death or if the assets of my Trust are insufficient to
pay the death taxes in full, I direct my Personal Representative to pay any death taxes that cannot
be paid by my Trustee from the assets of my probate estate by equitably prorating and
apportioning those taxes among the beneficiaries of this will.
_ unless specifically provided otherwise in my Trust, aii death taxes incurred by reason of assets
being transferred outside of my Trust or probate estate shall be assessed against those persons
receiving such property.
Article Fine
General Provisions
Section 1. No Contest Clause
If any person or entity singularly or in conjunction with any other person or entity, directly or
indirectly, contests in any court the validity of this Last Will including any codicils thereto, then
the right of that person or entity to take any interest in my estate shall cease and the demise of
that person(and his or her descendants)or entity shah be deemed to have occurred prior to pm
Section 2. Captions
The captions of Articles, Sections and Paragraphs used in this Last Will are for convenience of
reference only and shall have no significance in the construction or interpretation of this Last
Will.
Section 3. Severability
Should any of the provisions of this Last Will be for any reason declared invalid, such invalidity
shall not affect any of the other provisions of this will and all invalid provisions shall be wholly
disregarded in interpreting this Last Will.
Section 4. Governing Law
This Last Will shall be construed, regulated and governed by and in accordance with the laws of
the Commonwealth of Pennsylvania.
I signed this, my Last Will, on FH 1 1 2w
FRANKLIN H.MOHNEY
ATIMSTATION CLAUSE
On this FEB 12002 , FRANKLIN H. MOHNEY, Testator, personally Published and
Declared the foregoing instrument, as and for his Last Will and Testament, in the presence of
each of us and all of us together, who, at his request, in his presence, and in the presence of each
other, also signed the said instrument as witnesses. We further state that each of us believes that
at the time he executed the foregoing instrument he was of sound mind and memory, of lawful
eftcaftit as:;.11is awa fice ad.aqd tfeed mid mt
influence of an person_
41
fitness
Street Address
ty, State, zip
Witness
Street Address
City. State.ZiO
CO-MMONWVALTH OF PENNSYLVAM A
COUNTY OF DAUPHIN
We, FRANKLIN H. MOHNEY, �. l S,n (� . (�k >t �i6 le- and
� .VLL,(,V -Lo a the Testator and the witnesses, respectively, whose
names are signed to the attached_ or foregoing instrument,being duly first sworn,do hereby,.
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the foregoing rent as his Last Will; that the Testator signed it willingly, or directed another
to sign it for the Testator, that it was executed as his free and voluntary act for the purposes
therein expressed; that each subscribing witness in the presence and hearing of the Testator
signed the Last Will as a witness; and that to the best of our knowledge the Testator was at the
tim f sound mind and memory, of lawful age, and under no constraint or undue influence.
F IN H. MOHNEY
Il
Wi ess
Witness
SUBSCRIBED, SWORN TO and ACKNOWLEDGED before me, a notary public, by
—
FF Y/)fll MOHNEY,the Tom;aii Vii? �f j/ and
FE the witnesses, on this
1 1 ZVZ
�Otuary Public
(SEAL) Nota6al Seal
Linda L.FeMrhoff,phin courotary Pubic
LmypDerry T.p..Dauntly
Comrr,issic:, �'rMs Nov. l
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