HomeMy WebLinkAbout12-22-14 (2) 1505610143
REV-1500 Ex(02-") r
OFFICIAL USE ONLY
PA Department of Revenue pennsylvania County Code Year File Number
Bureau of Individual Taxes OEPARTMENT OF REVENUE
PO 60x.280601 INHERITANCE TAX RETURN 21 14 0777
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
196 30 5631 07 23 2014 03 31 1939
Decedent's Last Name Suffix Decedent's First Name MI
SULLIVAN ERIC D
(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 5. Federal Estate Tax Return Required
(date of death after 12-12-82)
g Decedent Died Testate Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) ❑ (Attach Copy of Trust)
9. Litigation Proceeds Received 10.Spousal Povert Credit Date of Death 11.Election to tax under Sec.9113(A) .
❑ between 12-311 and t<-1-95) (Attach Schedule O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
EDMUND G MYERS (717) 761 4540
REGISTER OF WILLS USE ONLY
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First Line of Address .� n7
301 MARKET STREET r
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Second Line of Address i, x rr1 fNV
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PO BOX 109
Ci or Post Office r,".) eA FIL 'et --n
City State ZIP Code a
LEMOYNE PA 17043 q N r=- m
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Correspondent's e-mail address: egm(P_jdsw.com
Under penalties of perjury,I declaret I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief,
t
it is ue,correct and complete.Decl tion of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIG AT R OF ERSON RESPONSIBL FOR F I RETS RN DA E
Kathleen Sullivan
A RESS
00 Milltown Road, Camp Hill, PA 17011
SIGN RE OF PREPARER OTHER THAN REPRESENTATIVE DATE
Edmund G. Myers 12,1M It
ADDRESS
301 MARKET STREET, Lemoyne, PA
Side 1
1505610143 1505610143
1505610243
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: Sullivan, Eric Douglas 196 30 5631
RECAPITULATION
1. Real Estate(Schedule A)....................................................................................... 1.
2. Stocks and Bonds(Schedule B)............................................................................. 2. 69, 153 . 38
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. 145 , 820 . 12
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 1 , 932 . 74
7. Inter-Vivos Transfers&MiscellaneousNoq-Probate Property
(Schedule G) u Separate Billing Requested............ 7. 175 , 699 . 13
8, Total Gross Assets(total Lines 1 through 7)........................................................ 8, 392 , 605 . 37
9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 17 , 426 . 13
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 3 , 108 • 61
11. Total Deductions(total Lines 9 and 10)................................................................ 11. 20 , 534 . 74
12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 372 , 070 . 63
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. 372 , 070 . 63
TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(1.2)X.00 15. 0 . 00
16. Amount of Line 14 taxable
at lineal rate X .045 0 . 00 16. 0 . 00
17. Amount of Line 14 taxable
at sibling rate X.12 175 , 699 . 13 17. 21 , 083 . 90
18. Amount of Line 14 taxable
at collateral rate X.15 196, 371 . 50 18. 29, 455 . 73
19. TAX DUE................................................................................................................ 19. 50 , 539 . 63
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 21-14-0777
Decedent's Complete Address:
DECEDENT'S NAME
Sullivan, Eric Douglas
STREET ADDRESS
325 Wesley Drive
Apt. 3131
CITY STATE ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due(Page 2, Line 19) (1) 50,539.63
2. Credits/Payments
A. Prior Payments 45,000.00
B. Discount 2,368.42
Total Credits(A +B) (2) 47,368.42
3. Interest (3)
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4)
Check box on Page 2,Line 20 to request a refund
5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) 3,171.21
Make Check Payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;............................................................................... ❑
b. retain the right to designate who shall use the property transferred or its income;.................................. ❑ l
c. retain a reversionary interest;or............................................................................................................... ❑
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?.................................................................................................................... ❑ 0
3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... ❑ FAI
4. Did decedent own an individual retirement account,annuity,or other non-probate property which
contains a beneficiary designation?.................................................................................................................. 0 ❑
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 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[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-1503 EX+(6-96)
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Sullivan, Eric Douglas 21-14-0777
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
Merrill Lynch Investment Account No.6CT-12313-Date of
Death Valuation is Attached
1 435.622 shares of Alliance Bernstein High Income Fund A 9.62 4,190.68
2 194 shares of ALPS Alerian MLP 19.0975 3,704.91
3 53 shares of ALPS ETF TR INTL Sector 31.1245 1,649.59
4 118 shares of ALPS Sector Dividend Dogs 37.4771 4,422.29
5 21 shares of Apple, Inc. 96.525 2,027.02
6 146.46 shares of Blackrock Multi Asset 11.60 1,698.93
7 436.392 shares of Blackrock Strategic 10.36 4,521.02
8 582.25 shares of Credit Suisse Floating High Rate Income 6.95 4,046.63
Fund Class 1
9 356.354 shares of Double Line Total Return Bond Fund Cl L 11.020 3,927.02
10 16 shares of Facebook, Inc. 70.475 1,127.60
11 74 shares of FT Nasdaq Tech DVD Index Fd 27.36 2,024.64
12 97 shares of General Electric 25.994 2,521.41
Accrued dividend on Item 12 through date of death 21.34
13 182 shares of Global X Super Dividend ETF 26.14 4,757.48
Total of Continuation Schedule See attached page
TOTAL(Also enter on Line 2, Recapitulation) 69,153.38
(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-1503 EX+(6.98)
SCHEDULE B
STOCKS & BONDS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Sullivan, Eric Douglas 21-14-0777
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
14 76.688 shares of Goldman Sachs Intl Small Cap Insights 11.01 844.33
15 168.511 shares of Goldman Sachs Rising Dividend Growth 21.29 3,587.59
FD
16 442.258 shares of Goldman Sachs Strategic Income Fund 10.58 4,679.08
17 122.209 shares of Invesco Balanced Risk Allocation Fund 12.72 1,554.49
Class Y
18 46 shares of Ishares China Largecap 39.5675 1,820.10
19 62 shares of Ishares S&P Global Energy Sector 48.33 2,996.46
20 87 shares of Market Vectors ETF TR 26.6675 2,320.07
21 172.296 shares of Principal Global Divers Income Fund CL P 15.040 2,591.33
22 35 shares of SPDR Gold Trust 125.72 4,400.20
23 91 shares of SPDR S&P Emerging Markets 40.870 3,719.17
TOTAL(Also enter on Line 2, Recapitulation) 69,153.38
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B(Rev.6-98)
Rev-1508 EX+(11-10)
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Sullivan, Eric Douglas 21-14-0777
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 Ladies 14K Yellow Gold Diagonal Style Ring Containing Two Brilliant Cut Diamonds- 2,500.00
Appraisal is Attached to this Return
2 SOM Retirement Payment 4,187.55
3 LenCo Credit Union Money Market Account No. 315 60,170.50
4 LenCo Credit Union Regular Shares Account No.315 1,020.97
5 LenCo Credit Union Regular Shares Account No.41525 10,907.23
6 LenCo Credit Union Share Draft Account No. 315 35,316.37
7 LenCo Credit Union Share Draft Account No.41525 1,088.00
8 Merrill Lynch FIA Card Services Cash Deposit Account 16,638.00
9 Merrill Lynch FIA Card Services Cash Deposit Account-Cash Sweep 0.79
10 Reim bursement/Refund to Account 255.37
11 2006 Toyota Avalon -Contracted Sales Price 7,000.00
12 Various Pieces of Men's and Ladies Jewelry sold by C.G. Buser 5,528.00
13 Reimbursement/Refund-Cash 87.00
14 Reim bursement/Refund to Account-Cash 1,120.34
TOTAL(Also enter on Line 5, Recapitulation) 145,820.12
(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-1509 EX+(01-10)
pennsylvania SCHEDULE F
DEPARTMENT OF REVENUE JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Sullivan, Eric Douglas 21-14-0777
If an asset was made joint within one year of the decedent's date of death,it must be reported on schedule G.
SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT
A. Kathleen Sullivan 2100 Milltown Road Niece
Camp Hill, PA 17011
B.
C.
JOINTLY OWNED PROPERTY:
LETTER DATE
DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE (NUMBER OR IMILARNCLUDE NAME OF rANCIAL IDENTIFY NG(TUTION AND BANK NUM ER.ATTACH DEED OUNT FOR DATE OF DEATH DECD'S DECE DECEDENT'SINTEREST
VALUE OF
NUMBER TENANT JOINT JOINTLY-HELD REAL ESTATE. VALUE OF ASSE INTEREST
1 08/28/2009 PNC Bank Interest Checking Account No.50 3,865.47 0.500% 1,932.74
-0579-9643
TOTAL(Also enter on Line 6, Recapitulation) 1,932.74
(If more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule F(Rev.01-10)
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
Sullivan, Eric Douglas 21-14-0777
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 %OF DECD'S EXCLUSION TAXABLE
INCNUMBER THE DATE OF TRANSFER.NAME OTRANSFEREE
ATTACH A COPY OF THE DEED OR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1 Gleaner Life Insurance-Flexible Deposit Annuity 14,361.44 14,361.44
Certificate No.010468333-Beneficiaries: Robert E.
Sullivan, Brother and Frederick H.Sullivan, Brother
2 Gleaner Life Insurance-Flexible Deposit I.R.A.Tax 161,337.69 161,337.69
Qualified Annuity Certificate No. 010468332-
Beneficiaries: Robert E.Sullivan, Brother and
Frederick H. Sullivan, Brother
TOTAL(Also enter on Line 7, Recapitulation) 175,699.13
(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
RESIDENTDECEDENTTURN ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Sullivan, Eric Douglas 21-14-0777
Decedent's debts must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 4,632.45
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Kathleen Sullivan
Street Address 2100 Milltown Road
city Camp Hill State PA zi0 17011
Year(s)Commission Paid 2,500.00
2. Attorney's Fees JOHNSON DUFFIE 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
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 1,793.68
See continuation schedule(s) attached
TOTAL(Also enter on line 9, Recapitulation) 17,426.13
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
Sullivan, Eric Douglas 21-14-0777
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Expenses_
1 Auer Cremation Services 2,070.00
2 Bethany Village-Reception after Memorial Service 212.45
3 Collumbarium 500.00
4 Flowers 250.00
5 Funeral Luncheon 325.00
6 Headstone Inscription 475.00
7 Musicians/Quintet 500.00
8 Organist 200.00
9 Pastor 100.00
H-A 4,632.45
Other Administrative Costs
10 Bethany Villiage-Apartment Cleaning 19.00
11 Cumberland County Coroner-Additional Death Certificates 125.00
12 Jewelry Appraisal 150.00
13 Miscellaneous Administrative Costs 48.63
14 Pittsburgh Obituary 324.25
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Sullivan, Eric Douglas 21-14-0777
ITEM
NUMBER DESCRIPTION AMOUNT
15 Reserves:Additional Miscellaneous Administrative Expenses 250.00
16 The Cumberland Law Journal -Notice of Estate Administration 75.00
17 The Patriot News Co. -Notice of Estate Administration 196.82
18 The Patriot News-Obituary 604.98
H-B7 1,793.68
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
Rev-1512 EX+(112-08)
SCHEDULE 1
pennsylvania DEBTS OF DECEDENT,
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Sullivan, Eric Douglas 21-14-0777
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 Checks Clearing After Date of Death 370.60
2 Final Dentist Invoice 54.75
3 Hampton Doctors 10.70
4 LenCo Credit Union Share Draft Account No. 315-Checks Clearing After Death 928.04
5 LenCo Credit Union Share Draft Account No. 315-Check Clearing After Date of Death 700.00
6 LenCo Credit Union Visa Account No.315 226.52
7 Pinnacle Health 27.00
8 Pinnacle Health-Final Balance due on Account 673.00
9 PNC Interest Checking Account No.50-0579-9643-Checks Clearing After Date of Death 19.00
10 Verizon 99.00
TOTAL(Also enter on Line 10, Recapitulation) 3,108.61
(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-1515 EX+(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Sullivan, Eric Douglas 21-14-0777
NAME AND ADDRESS OF RELATIONSHIP TOSHARE OF ESTATE AMOUNT OF ESTATE
NUMBERDECEDENT
PERSON(S)RECEIVING PROPERTY Do of ' t Trustee(s) (Words) ($$$)
ITAXABLE DISTRIBUTIONS [include outright spousal
distributions,and transfers
under Sec.9116(a)(1.2)]
1 Scott Conboy Nephew 1/9th of Residue
136 Barrintgon Drive
Oakdale, PA 15071
2 Suzanne Sullivan Grossman Niece 1/9th of Residue
14516 Cuba Road
Cockeysville, MD 21030
3 Carol Ann (Sullivan)McKissick Niece 1/9th of Residue
8 Dishley Drive
Mechanicsburg, PA 17055
4 John Patrick Sullivan Nephew 1/9th of Residue
183 South Spring Mill Road
Villanova, PA 19085
5 Kathleen Sullivan Niece 1/9th of Residue
2100 Milltown Road
Camp Hill, PA 17011
See continuation schedule attached Continuation
Total
Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet,as appropriate.
NON-TAXABLE DISTRIBUTIONS:
II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule J(Rev.01-10)
SCHEDULE J
BENEFICIARIES
(Part I, Taxable Distributions)
ESTATE OF:
Eric Douglas Sullivan 07/23/2014 196-30-5631
Item Name and Address of Person(s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($$$)
6 Mark Alan Sullivan Nephew 1/9th of Residue
3308 Prairie Vista Court
Richfield,OH 44286
7 Terence S Sullivan Nephew 1/9th of Residue
57 Sunny Side Avenue
Carnegie, PA 15106
8 Virginia Lynn(Sullivan)Vanl3laricom Niece 1/9th of Residue
5323 Sand Lilly Drive
Naperville, IL 60564
9 Jennifer Ann(Sullivan)Wright Niece 1/9th of Residue
10471 Montecito Drive
Lone Tree,CO 81024
1
ESTATE OF ERIC D. SULLIVAN
SCHEDULE OF EXHIBITS
EXHIBIT A Last Will and Testament of Eric D. Sullivan signed and dated April
28, 2010.
EXHIBIT B Receipt of Payment for Inheritance Tax Prepayment made on
October 22, 2014 for $45,000.00
EXHIBIT C Merrill Lynch Date of Death Valuation for Stocks listed on
Schedule B. Items on valuation 1 through 23
EXHIBIT D C.G. Buser &Son Appraisal for Ladies 14k Yellow Gold Ring
EXHIBIT E LenCo Credit Union Account Statements for Accounts (Line Items
3 through 7) and Numbered on Statements
EXHIBIT F Merrill Lynch Date of Death Valuation for Cash Accounts
EXHIBIT G C.G. Buser &Son Receipt of Payment for Sale of Various Pieces of
Men's and Ladies Jewelry sold at Auction
EXHIBIT H PNC Bank Date of Death Letter for Joint Checking Account
EXHIBIT I Gleaner Life Insurance Company Date of Death Valuation for 2
Annuities
:670428
Last Will and Testament
OF
ERIC DOUGLAS SULLIVAN
I, ERIC DOUGLAS SULLIVAN, of Lower Allen Township, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make,
publish and declare this as and for my Last Will and Testament, hereby revoking and making
void any and all Wills or Codicils at any time heretofore made by me.
ARTICLE I
DEBTS
I direct the payment of my legally enforceable debts and the expenses of my last illness
and funeral from my Estate as soon after my death as conveniently may be done.
ARTICLE II
DISPOSITION OF MY BODY
I have arranged for cremation of my body with Auer Cremation Services of
Pennsylvania, Inc., 4100 Jonestown Road, Iiarrisburg, PA 17109. I direct that my ashes be
interred at the Wallace Memorial Presbyterian Church Columbarium, 1146 Greentree Road,
Pittsburgh, PA 15220. I have purchased Unit 15-A, in Section 2 for this purpose.
EXHIBIT A
ARTICLE III
TANGIBLE PERSONAL PROPERTY
With respect to certain items of"family"value, I have left instructions with my Personal
Representative as to the manner and method of distribution.
ARTICLE IV
REST,RESIDUE AND REMAINDER
I give, devise and bequeath all the rest, residue and remainder of my Estate, of
whatsoever nature and wheresoever situate, as follows:
A. One equal share unto my niece, CAROL ANN SULLIVAN McKISSICK,or her
then-living issue,per stirpes, should she predecease me;
B. One equal share unto SCOTT CONBOY,the widower of my late niece, SUSAN
JANE SULLIVAN CONBOY, or his then-living issue, per stirpes, should he
predecease me;
C. One equal share unto my niece, KATHLEEN SULLIVAN, or her then-living
issue, per stirpes, should she predecease me; and provided further, should she leave no
then-living issue, I direct that her share be distributed equally among her sister, CAROL
ANN SULLIVAN McKISSICK, her sister, SUZANNE SULLIVAN GROSSMAN,
and her brother, JOHN PATRICK SULLIVAN, or the then-living issue of any one of
these persons,per stirpes,who also predeceases me;
D. One equal share unto my nephew, MARK ALAN SULLIVAN, or his then-living
issue,per stirpes, should he predecease me;
2
E. One equal share unto my niece, SUZANNE SULLIVAN GROSSMAN, or her
then-living issue,per stirpes, should she predecease me;
F. One equal share unto my nephew, TERENCE S. SULLIVAN, or his then-living
issue, per stirpes, should he predecease me, and provided further, should he leave no
then-living issue, I direct that his share be distributed pro rata among the other
beneficiaries named in this Article IV;
G. One equal share unto my niece, VIRGINIA LYNN SULLIVAN
VANBLARICOM, or her then-living issue,per stirpes, should she predecease me;
H. One equal share unto my nephew, JOHN PATRICK SULLIVAN, or his then-
living issue,per stirpes, should he predecease me; and
I. One equal share unto my niece, JENNIFER ANN SULLIVAN WRIGHT, or
her then-living issue,per stirpes, should she predecease me.
ARTICLE V
DISTRIBUTION TO BENEFICIARIES UNDER THE
AGE OF TWENTY-ONE(21)/INCAPACITATED BENEFICIARIES
Whenever my Personal Representative is directed to distribute property to or for the benefit
of any beneficiary who is under (a) twenty-one years of age, or (b) a legal disability or otherwise
suffers from an illness or mental or physical disability that would make distribution directly to such
beneficiary inappropriate (as determined in my Personal Representative's sole discretion exercised
in good faith), my Personal Representative may distribute such property to the person who has
custody of such beneficiary, may apply such property for the benefit of such beneficiary, may
distribute such property to a custodian for such beneficiary, whether then serving or selected and
appointed by my Personal Representative (including my Personal Representative), under any
3
applicable Uniform Transfers to Minors Act— or Uniform Gifts to Minors Act, or may distribute
such property directly to such beneficiary without liability on the part of my Personal
Representative to see to the application of such property. This provision shall not in any way
operate to suspend such beneficiary's absolute ownership of such property or to prevent the
absolute vesting thereof in such beneficiary.
ARTICLE VI
POWERS OF PERSONAL REPRESENTATIVE
My Personal Representative shall have the following powers in addition to those vested
by law and by other provisions of my Will applicable to all property, whether principal or
income, including property held for minors, exercisable without court approval and effective
until actual distribution of all property:
A. To make distribution in cash or in kind, or partly in cash and partly in kind, and in
such manner as determined appropriate.
B. To retain any or all of the assets of my estate, real or personal, without restriction
to investments authorized for Pennsylvania fiduciaries, as deemed proper, without regard to any
principle of diversification or risk.
C. To invest in all forms of property without restriction to investments authorized for
Pennsylvania fiduciaries, as deemed proper, without regard to any principle of diversification or
risk.
D. To sell at public or private sale, to exchange, or to lease for any period of time
any real or personal property-and to give options for sales, exchanges or leases, for such prices
and upon such terms or conditions as deemed proper.
4
E. To allocate receipts and expenses to principal or income or partly to each as from
time to time considered appropriate.
F. To compromise any claim or controversy.
G. To make such elections, decisions, concessions and settlements in connection
with all income, estate, inheritance, gift, generation skipping or other tax refunds and the
payment of such taxes as my Personal Representative shall deem appropriate, without obligation
to adjust the distributive share of any person thereby affected.
ARTICLE VII
TAXES
I direct that all estate, inheritance, transfer and other taxes of similar nature payable by
reason of my death, together with any interest or penalties thereon, and imposed with respect to
any property, whether or not disposed of by this Will, shall be paid out of the residue of my Estate
and shall be considered a part of the expense of the administration of my Estate. I further direct
that my Personal Representative shall have the absolute power in his or its discretion to pay the
same at once whether or not the law under which they are imposed permits the postponement of all
or part to a later date.
ARTICLE VIII
APPOINTMENT OF PERSONAL REPRESENTATIVE
I name, constitute and appoint my niece, KATHLEEN SULLIVAN, Executrix of my
Estate. Should she fail to qualify or cease to so act, I name, constitute and appoint my niece,
CAROL ANN SULLIVAN McKISSICK, Alternate Executrix to complete the administration
of my Estate. I direct that no fiduciary appointed herein shall be required to post bond for the
faithful administration of the duties required in any jurisdiction.
5
n
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will
and Testament this -2Yl� day of ,2010.
(SEAL)
ERIC D&GL _ SULLIVAN
Signed, sealed, published and declared by the above-named Testator, as and for his Last
Will and Testament,in the presence of us,who at his request,in his presence and in the presence of
each other,have hereunto subscribed our names as witnesses.
� V
6
9 9 y
H'
AFFIDAVIT AND ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
. ss.
COUNTY OF CUMBERLAND
We, ERIC DOUGLAS SULLIVAN, and
J0/1i /W tj as A , the Testator and the witnesses, respectively,
whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby
declare to the undersigned authority that the Testator signed and executed the instrument as his
Last Will and that he had signed willingly and that he executed it as his free and voluntary act for
the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the
Testator, signed the Will as witness and that to the best of his/her knowledge the Testator was at
that time eighteen years of age or older, of sound mind and under no constraint or undue influence.
aa /�
ERIC DOUGLAS SULLIVAN
Witness
ag /A),Z�wg
Wi ess N/
Subscribed, sworn to and acknowledged before me by ERIC DOUGLAS SULLIVAN,
Testator, and subscribed and/sworn to before.me by ���2���� � �����-1 and .
witnesses, this o day of
U
Notary Pub`lilc
of PFNsYL
S
:3974.72v2 NaT AL 5EA1-�apblsc
B Ruifi Notary
Lemoyne Boro,Cumberland Comity
Eissicn e
30 201:1
7
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(I 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 019826
SULLIVAN KATHLEEN
2100 MILLTOWN ROAD
CAMP HILL, PA 17011
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold ---------- --------
101 $45,000.00
ESTATE INFORMATION: SSN: 196-30-5631
FILE NUMBER: 2114-0777
DECEDENT NAME: SULLIVAN ERIC DOUGLAS
DATE OF PAYMENT: 10/23/2014
POSTMARK DATE: 10/22/2014
COUNTY: CUMBERLAND
DATE OF DEATH: 07/23/2014
TOTAL AMOUNT PAID: $45,000.00
REMARKS: RECEIPT TO ATTY
CHECK# 1002
INITIALS: DMB
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
TAXPAYER
RECEIVED
OCT 2 4 2014
EXHIBITS
Merrill Lynch
Wealth Management
Bank of America Corporation
Historical Date of Death Valuation
Eric D.Sullivan
V
m
Date of Death 07/23/2014 Report Type Date Of Death W
Valuation Date 07/23/2014 Number of Account(s) 1
Processing Date 09/02/2014
ERIC D SULLIVAN DCSD Number of Security(s) :25
BETHANY VILLAGE
325 WESLEY DR APT 3131
MECHANICSBURG PA 17055-3515 Account#6CT 12313
Shares Security High/Ask Low/Bid Mean and/or Div and Int Security- ----—
or Par Description Adjustments Accruals Value
1) 21.0000 APPLE INC (037833100)
NASDAQ GS
07/23/2014 97.88000 95.17000 H/L
96.525000 2,027.02
2) 16.0000 FACEBOOK INC(30303M102)
CLASS A COMMON STOCK
NASDAQ GS -
07/23/2014 71.33000 69.62000 H/L
70.475000 1,127.60
3) 62.0000 ISHARES S&P GLOBAL(464287341)
ENERGY SECTOR
NYSE Arca
07/23/2014 48.46000 48.20000 H/L
48.330000 2,996.46
1
ERIC D SULLIVAN DCSD Number of Security(s) :25
BETHANY VILLAGE
325 WESLEY DR APT 3131
MECHANICSBURG PA 17055-3515 Account#6CT-12313
Shares Security High/Ask Low/Bid Mean and/or Div and Int Security
or Par Description Adjustments Accruals Value
4) 46.0000 ISHARES CHINA LARGECAP (464287184) -
NYSE Arca
07/23/2014 39.64500 39.49000 H/L
39.567500 1,820.10
5) 87.0000 MARKET VECTORS ETF TR(57060U100)
GOLD MINERS ETF
NYSE Arca
07/23/2014 26.86000 26.47500 H/L
26.667500 2,320.07
6) 97.0000 GENERAL ELECTRIC(369604103)
New York
07/23/2014 26.07800 25.91000 H/L
25.994000 2,521.41
Int/Div:0.22 Ex:06/19/2014 Rec:06/23/2014 Pay:07/25/2014 21.34
7) 194.0000 ALPS ALERIAN MLP ETF (00162Q866)
NYSE Arca
07/23/2014 19.15000 19.04500 H/L
19.097500 3,704.91
8) 91.0000 SPDR S&P EMERGING MRKTS (78463X533)
DIVID ETF
NYSE Arca
07/23/2014 40.93000 40.81000 H/L
40.870000 3,719.17
2
r
ERIC D SULLIVAN DCSD Number of Security(s) :25
BETHANY VILLAGE
325 WESLEY DR APT 3131
MECHANICSBURG PA 17055-3515 Account#6CT-12313
Shares Security - High/Ask Low/Bid Mean and/or Div and Int Security
or Par Description Adjustments Accruals Value
9) 182.0000 GLOBAL X SUPERDIVID ETF (37950E549)
NYSE Arca
07/23/2014 26.17000 26.11000 H/L
26.140000 4,757.48
10) 118.0000 ALPS SECTOR DIVIDND DOGS (00162Q858)
ETF
NYSE Arca
07/23/2014 37.53000 37.42420 H/L
37.477100 4,422.29
11) 74.0000 FT NASDAQ TECH DVD INDEX(33738R118)
FD
NQLX
07/23/2014 27.42000 27.30000 H/L
27.360000 2,024.64
12) 53.0000 ALPS ETF TR INTL SECTOR(00162Q718)
DIVID DOGS ETF
NYSE Arca
07/23/2014 31.15000 31.09900 H/L
31.124500 1,649.59
13) 35.0000 SPDR GOLD TRUST.(78463V1 07)
NYSE Arca
07/23/2014 126.04000 125.400.00 H/L
125.720000 4,400.20
3
ERIC D SULLIVAN DCSD Number of Security(s) :25
BETHANY VILLAGE
325 WESLEY DR APT 3131
MECHANICSBURG PA 17055-3515 Account#6CT 12313
Shares Security High/Ask Low/Bid Mean and/or Div and Int Security
or Par Description Adjustments Accruals Value
14) 122.2090 INVESCO BALANCED RISK(00141V697)
ALLOCATION FD CL Y
07/23/2014 0.00000 12.72000 MKT
12.720000 1,554.49
15) 582.2500 CREDIT SUISSE FLOATING (225405836)
RATE HIGH INC FD CL 1
07/23/2014 0.00000 6.95000 MKT
6.950000 4,046.63
16) 356.3540 DOUBLELINE TOTAL RETURN (258620103)
BOND FUND CL I
07/23/2014 0.00000 11.02000 MKT
11.020000 3,927.02
17) 442.2580 GOLDMAN SACHS STRATEGIC (38145C646)
INCOME FUND CL I
07/23/2014 0.00000 10.58000 MKT
10.580000 4,679.08
18) 172.2960 PRINCIPAL GLOBAL DIVERSI (742551-860)
INCOME FUND CL P
07/23/2014 0.00000 15.04000 MKT
15.040000 2,591.33
4
ERIC D SULLIVAN DCSD Number of Security(s) :25
BETHANY VILLAGE
325 WESLEY DR APT 3131
MECHANICSBURG PA 17055-3515 Account#6CT 12313
Shares Security High/Ask Low/Bid Mean and/or Div and Int Security
or Par Description Adjustments Accruals Value
19) 168.5110 GOLDMAN SACHS RISING (38145C281)
DIVIDEND GROWTH FD INSTL
07/23/2014 0.00000 21.29000 MKT
21.290000 3,587.59
20) 76.6880 GOLDMAN SACHS INTL SMALL (38144N593)
CAP INSIGHTS FD CL INSTL
07/23/2014 0.00000 11.01000 MKT
11.010000 844.33
21) 435.6220 ALLIANCEBERNSTEIN HIGH (01859M408)
INCOME FD CL ADV
07/23/2014 0.00000 9.62000 MKT
9.620000 4,190.68
22) 436.3920 BLACKROCK STRATEGIC (092561-1286)
INCOME OPPRTNTS PTF INST
07/23/2014 0.00000 10.36000 MKT
10.360000 4,521.02
23) 146.4600 BLACKROCK MULTI ASSET(09256H336)
INCOME PORTFOLIO INSTL
07/23/2014 0.00000 11.60000 MKT
11.600000 1,698.93
24) 16,638.0000 ML BANK DEPOSIT PROGRAM (990286916) —
1.000000 16,638.00
5
CG BUSER & SON
875 Market Street, Second Floor.
Lemoyne, PA 17043
(717) 972-1230
inzond Mounting A Specialty Prompt Attention To Mail Orders
August 4,2014
Appraisal For:
Kathleen Sullivan
2100 Milltown Road
Camp Hill,Pa 17011
Lady's 14K yellow gold diagonal style ring containing two brilliant cut diamonds. The larger
diamond weighs approximately 1,12 cts,is chipped,and of M-L,color.The smaller diamond
weighs approximately 41 pts,is cut out of round of VS clarity and M-L color. The ring
weighs approximately 1.75 dwt. Total replacement value for insurance,approximately
$2,500 plus tax.
Charles G Buser M
G.G,I.S.A
EXHIBIT D
Manufacturing Jewelers&Diamond Setters
Statement of Account
coFrom: 7/01/14 to 7131/14
CREE)I T �+NION Member#: 315
1-866-90-LENCO �
615 West Maple Ave Our •.•e Loan Department is really taking
Adrian Michigan 49221 •ffl!If you are looking to finance a home
purchase-or refinance your existing mortgage-
we have low closing costs and great ratesi
ERIC D SULLIVAN Linda ' e O •` larnett@lenco.org
325 WESLEY DR APT 3131
MECHANICSBURG,PA 17055-3515
SUMMARYMEMBERSHIP i MEMBER
Suffix Account Description Beginning Total Debits Total Credits Ending Balance Last Tran
Balance
000 REGULAR SHARES 1,020.97 226.52 .20 794.65 7/25/14
050 MONEY MARKET 60,170.50 .00 17.85 60,188.35 10130113
075 SHARE DRAFT 35,508.10 1,119.77 4,192.15 38,580.48 7/30/14
866 VISA GOLD Please refer to credit card statement .00 7/25/14
IliREGULAR SHARES STATUS: FROZEN
Year-to-Date Divd Paid: $1.63
Divd Rate: 5.00 to 9,999,999.99 = 0.25%
Transaction Detail
Date Transaction Type 1D Transfer Acct Deposit Withdrawal Balance
7/01114 *Beginning Balance* $1,020.97 41
7/25/14 PHONE TRANSFER JE 315-866 $226.52- $794.45
7/31/14 SHARE DIVIDEND $0.20 $794.65
Your Annual Percentage Yield Earned(APYE)is 0.25%based on an Average
Balance of$969.82 for the 31 day period ending 7/31/14
7131114 **Ending Balance** $794.65
050: A' STATUS: FROZEN
Year-to-Date Divd Paid: $136.60
Divd Rate: 2,500.00 to 9,999,999.99 = 0.35%
Transaction Detail
Date Transaction Type ID Transfer Acct Deposit Withdrawal Balance
7101114 *Beginning Balance* $60,170.50
7/31/14 SHARE DIVIDEND $17.85 $60,188.35
Your Annual Percentage Yield Earned(APYE)is 0.35%based on an Average
Balance of$60,170.50 for the 31 day period ending 7/31/14
7131114 **Ending Balance** $60,188.35
175'. SHARE D' STATUS: FROZEN
Year-to-Date Divd Paid: $28.06
Divd Rate: 0.00 to 9,999,999.99 = 0.15%
Transaction Detail **Check Recon**
Date Transaction Type #/ID Transfer Acct Deposit Withdrawal Balance Chk# Amount
7101/14 *Beginning Balance* $35,508.10 2298 $100.00
7101/14 ACH/MEA1661GE $14.40- $35,493.70 2299 $9.80
EXHIBIT E
caNuCoCREDIT UNION mpmb, *,o10 eaxCoauLuvnw Page ovro
Date Transaction Type #/0 Transfer Acct Deposit Withdrawal Balance
. Cok# Amount
GTL DIRECT osou $80.00
7/07Y14 CHECK 03411160 2288 *8.80- $35.483.$$ 2301 $30.81
7/1014 CHECK 99920556 2800 $36.00' $35.44/'80 2302 $28.50
7/14/14 CHECK 99144308 2302 $2e.38-' $85.419.52 2303 *828.0*
7/16/14 CHECK 41410468 2304 $30.00' $35.388.52 230* $30.00
7/21/14 CHECK 03147980 2805 $42'84' $3534668
2oos $4z�o^
7/23/14 CHECK 99798591 2301 $30.31-
7/25/14 *OV/GOMesnnEMswT *4'187.55
PAYMENTS
7o014 CHECK 99970822 2303 $828.04- $38.e75.88
7/30x14 CHECK 23766242 2298 $100.00' $38.e75.88
7/31/14 SHARE DIVIDEND $4.60 $38.580.48
Your Annual Percentage Yield Earned y\pY ioO1o96based ononAverage
Balance o[$30.230�5Oh`r�on1day peh �
period
7131/14 =EnuiogBa�mnw~° $38.580,*$
_
Please reviewvour—credHcardi statement for transaction detail.- __ __ _---- ___------
D^scUosures
Loan number(s)followed by an asterisk(*)are open enduedit accounts.With regard oothtsthe balance bject to interest rate(shown in
the"Balance"column)is the unpaid balance each day after credits are subtracted and the new advances or charges are added.The Finance Charge is
computed onthe daily outstanding balance byapplying the daily periodic rate mthe balance for the exact number ofdays such balance remains
outstanding.The outstanding balance is shown in the columns marked balance and the daily periodic rate is disclosed after the account number.The
ANNUAL PERCENTAGE RATE,which is determined by multiplying the Daily Periodic Rate by the number of periods in the year(365),is likewise
disclosed after the account number.
Your savings are federally insured to at least$250,000 and backed by the full faith and credit of the United States Government.
'
R A•
Statement of Account
0 From: 7101/14 to 7/31114
- Member#: 41525
CREo/r uNION
1-866-90-LENCO !
615 West Maple Ave
Our ._n Departme
Adrian,Michigan 49221
lookingofffl If you are
purchase-or refinance your existing mortgage-
we have low closing costs and
D SULLIVAN OR
325 WESLEY DR APT 3131
MECHANICSBURG,PA 17055-3515
MEMBERSHIP SUMMARY INFORMATION !' MEMBER#41525 AS OF 7/31/14
Suffix Account Description Beginning Total Debits Total Credits Ending Balance Last Tran
Balance
000 REGULAR SHARES 9,607.63 29.70 1,331.42 10,909.35 7123/14
075 SHARE DRAFT 2,304.96 1,216.96 .14 1,088.14 7/17/14
111REGULAR SHARES STATUS: FROZEN
Year-to-Date Divd Paid: $14.77
Divd Rate: 5.00 to 9,999,999.99 = 0.25%
Transaction Detail
Date Transaction Type ID Transfer Acct Deposit Withdrawal Balance
7/01114 *Beginning Balance* $9,607.63
7103/14 ACH/CMFG LIFE INS CO $29.70- $9,577.93
ADD PYMT
7123/14 ACH/SSA TREAS 310 $1,329.30 $10,907.23
XXSOC SEC
7/31/14 SHARE DIVIDEND $2.12 $10,909.35
Your Annual Percentage Yield Earned(APYE)is 0.25%based on an Average
Balance of$9,965.77 for the 31 day period ending 7131/14
7/31/14 **Ending Balance* $10,909.35
1 SHAREDRAFT STATILI& FROZEN
Year-to-Date Divd Paid: $2.85
Divd Rate: 0.00 to 9,999,999.99 = 0.15%
Transaction Detail **Check Recon
Date Transaction Type #IID Transfer Acct Deposit Withdrawal Balance Chk# Amount
7101/14 *Beginning Balance* $2,304.96 1070 $30.00
7/01/14 CHECK 23844182 1085 $100.00- $2,204.96 1085* $100.00
7/01/14 CHECK 23844184 1095 $100.00- $2,104.96 1086 $700.00
7/01/14 CHECK 23838956 1086 $700.00- $1,404.96 1088* $100.00
7/03/14 ACHNERIZON FINANCIA 1096 $86.96- $1,318.00 1089 $100.00
CHK#1096 PAYMENTS 1095* $100.00
7/03/14 CHECK 62171100 1088 $100.00- $1,218,00 1096 $86.96
7/15/14 CHECK 22651280 1070 $30.00- $1}188.00
7/17/14 CHECK 99418174 1089 $100.00- $1,088.00
7/31/14 SHARE DIVIDEND $0.14 t
Your Annual Percentage Yield Earned(APYE)is 0.14%based on an Average
Balance of$1,165.22 for the 31 day period ending 7/31/14
7131/14 "Ending Balance** $1,088.14
�
/
/
1
ERIC DSULLIVAN DCGO Number of Security(s) 25
BETHANY VILLAGE325 WESLEY DR APT 3131
�
�
N1ECHAN|CGBURGRA17O55-3516 Aonount#GCT'12313 |
Shares Security High Ask Low/Bid Mean and/or Div and Int Securiq �
orPar � Adjustments Accmmmha Value, g_ �
__---__- -_---___-
19) 168.5110 8OLOMANSACHGRISING (38145C281) �
DIVIDEND GROWTH FD |NSTL
�U
07/23/2014 0.00000 21.20000 MKT
21.290000 3.587.68 /
�
�
20) 76.6880 GOLDK8ANGAOHG |NTLSMALL(38144N5S3) |
CAP INSIGHTS FD[1 |NSTL /
�
07C23/2014 0.00000 11I1000 MKT
/
11.010000 844.33 |
21) 435.6220 ALLIANCEBERNSTE|N HIGH(01859M408)
INCOME FDCLADV
07/23/2014 CiOOOOO 9.62000 KANT
9.620000 4.190.88
22) 436.3920 BLACKROCK STRATEGIC (092561-1286)
INCOME OPPRTNTSPTF |N8T
07/23/2014 0.00008 10.36000 MKT
10.360000 4.521.82
23) 146.4600 BUACKROCK MULTI ASSET(09256H336)
INCOME PORTFOLIO |NGTL
07/23/2014 0.00000 11.60000 K8NT
11.600000 1.698.93
24) 16.638.0000 KnLBANK DEPOSIT PROGRAM (9SO28G81G)
-�� 1.000000 16.638.08
°
5
ERIC D SULLIVAN DCSD Number of Security(s) :25
BETHANY VILLAGE
325 WESLEY DR APT 3131
MECHANICSBURG PA 17055-3515 Account#6CT-12313
Shares Security High/Ask Low/Bid Mean and/or Div and Int Security
or Par Description Adjustments Accruals Value
25) 1 00.0000 CASH
(� 0.79
Total Value $85,770.83
Total Accrual $21.34
Total $85,792.17
Total Security Value : $85,770.83
Total Accruals : $21.34
Total Combined Value : $85,792.17
The information herein has been obtained from a source we believe to be reliable,but we do not guarantee its accuracy or completeness.Merrill Lynch does not provide tax,accounting or legal advice.Any tax
statements contained herein were not intended or written to be used,and cannot be used for the purpose of avoiding U.S.,federal,state or local tax penalties.Please consult your advisor as to any tax,accounting
or legal statements made herein.
Disclosures:
•There is NO fee associated with the use of this application at this time.
•Alternative Date of Death valuations are not available in this application.Please consult your tax advisor for assistance in obtaining this report.
•Report may include trades that are not settled as of valuation date.
•All security positions are based on trade date.
•Money funds,money market and/or bond/fixed income mutual funds may or may not include dividendstinterest accruals prior to month end payment.
•For accounts with Credit and/or Debit card(s),the cash position may not reflect reduction for purchases of goods or services which are paid for by automatic debit on the Wednesday before the last Friday of each
month.
•Cash balance may not reflect outstanding checks written prior to valuation date or unsettled cash as of valuation date.
•All items flagged"I"and highlighted in red reflect manually adjusted transactions(for price,shares,market value or security name)or positions with no available price.
•Asset positions provided to Bank of America/Merrill Lynch from an outside financial institution(i.e.Annuities),may require the Securities Description line to be manually updated.
•Fee accruals are not captured in TMA accounts.
•All mortgage backed securities have the paydown factor/amortization factor automatically applied.
6
Consignor Settlement
Cordier Auctions &Appraisals
CO#: 9763
1500 Paxton Street
Harrisburg, PA 17104 Date: 9/29/2014
Phone: 717-731-8662 Fax: 717-731-9830 Page: 3
- -- - - - ------- ... ..- ------- - ------ -- ...------- - - - - ---- -
266 3 Pieces of Men's Gold Jewelry DESCRIPTION: 70.00 70.00 14.00 0.00
Three pieces of men's jewelry. Includes: 1) Bid Card#800
Marked 10K fraternity pin featuring crossing
swords with ruby encrusted hilts and snake,
bordered with seed pearls.Beta Zeta guard pin.
2)Marked 10K pin with ruby and three seed
pearls with letters"ACC"in red enamel.3) Gold
tie pin with white pearl.MEASUREMENTS:3.8
dwt. (6 gr).CONDITION: No defects noted.
Pre-Sale Estimate: 100.00-150.00
267 Man's Citizen Eco-Drive Wristwatch 60.00 60.00 -12.00 0.00
DESCRIPTION: Man's black Eco-Drive watch Bid Card#108
featuring diamond markers,date display at three,
luminous hands.Dial marked"Citizen Eco-Drive
WR 100 Japan Mov't J165-S104586-Y". Back of
case marked"Citizen Eco-Drive Citizen Watch
Co.W.R. 10Bar GN 4-5 Japan Mov't 191150452
165-SO70104 Baset St.Steel". On Citizen
stainless steel bracelet. MEASUREMENTS:
Case 2"lug to lug.CONDITION:No defects
noted. Running.
Pre-Sale Estimate: 100.00-200.00
284 10K Intaglio Stickpin DESCRIPTION:Stickpin in 30.00 30.00 -6.00 0.00
stamped 10K gold wife oval red gemstone intaglio Bid Card#800
cut with portrait of a lady. MEASUREMENTS:
2-1/4"long. 1.1 dwt(1.8 gr).CONDITION: No
defects noted.
Pre-Sale Estimate:.40.00-80.00
------ ------------ --
Total Quantity: 13.00
Total Invoice Sale Price: 6,910.00
Total Commission: ( 1,382.00)
Total Due to Consignor: 5,528.00
Total Payments: 0.00
Balance: $5,528.00
Positive Balance, Monies Owed to Consignor
COMMISSION SETTINGS
Calculate Commission By: Each
Commission Structure Type: Fixed
Any Amount 20% EXHIBIT G
:i
Oct. S. 2014 2:58PM PNC Bank No. 4700 P. 1
ADYNC
October 8, 2014
Dana L'W'ieseman
Law Offices Johnson Duffie
301 Market Street
PO Box 109
Lemoyne,PA 17043-0109
RE: Eric D Sullivan
SSN: 196-30-5631
DOD: 07-232014
Dear Sir/Madarn:
In response to your request for Date of Death(DOD)balances for the customer noted above, our
records show the following:
Checking Account
Account# 5005799643 Established: 08-282009
ERIC D SULLIVAN
KATHLEEN SULLIVAN
DOD balance: $3,865.47+0.00 accrued interest
Interest paid 01-01-2014 thm 07-23-2014 $0.32 YTD
Please note that this office provides date of death balances for deposit accounts(IRAs,CDs, Checking and
Savings). We do not process any financial transactions or provide statements. If you need assistance with
any of these items,please call 1-888-PN'C-13ANK(1-888-762-2265)or stop by your local PNC Bank branch
office.
Sincerely,
Nationall~inancial Services Center
PNC Bank,N.A.
Member FDIC
This message is intended for the use of the individual or entity to which it is addressed and may
contain information that is privileged, confidential and exempt from disclosure under applicable law.
If the reader of this message is not the intended recipient or the employee 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 1 of 2 ,— — - --- --- -- --
EXHIBIT H
(
Yearto Date Annuity StatementBtateo�emtSumnmmoryforPe�md: 12/3112013 through 06/38/2814
FLEXIBLE DEPOSIT iR.A`TAX QUALIFIED ANNUITY
Certificate Number: O1D4G8332 Issue Date: 10/11/2006
Owner: ERIC O SULLIVAN Current Accumulation Rote:3.00%
Annuitant: ERIC 0 SULLIVAN Guaranteed Accumulation Rata: 3.0096
Beginning Balance 12/31/2O13 $167,327.20
Deposits ' $O.UD
Withdrawals $8/451.78
Accumulations since 12/31/2O13 $2,462.27
Ending Balance OG/3O/2D14 $161,337.69
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FLEXIBLE DEPOSIT ANNUITY
Certificate Number: 010468333 Issue Date: 1O/11/2DOG
Owner: ERIC DSULLIVAN Current Accumulation Rate: 3.OD96
Annuitant: ERIC DSULLIVAN Guaranteed Accumulation Rate: 3.0096
Beginning Balance 12/31/2U13 ' $14.140.22
Deposits $0.00
Withdrawals $0.00
Accumulations $212.22
Ending Balance 08/3O/2O14 $14.361.44
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G16aner Life Insurance ounO West U.S.Hwy 2co^P.O.Box 1894^Adrian m|4euz1-7oo^
PHONE pvvu92-/894`FAX(oo)2oa-7'*o^WEB www.gleanerlife.org~E'pmu
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