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Home My WebLink About02-25-15 ESTATE OF ELSIE W. SWENSON SSN :- DATE OF DEATH : June 12, 2014 PA INHERITANCE TAX RETURN . REV 1500 To EXHIBIT 8 pennsyivanla 150561862? 3M464710.000 dEPARnOENTOF REVENUE E•(03-14)(TP) REV-1 5A0 OFFICIAL USE ONLY Bureau of IndividuaallTaxes County Code Year File Number PO BOX 260601 INHERITANCE TAX RETURN 21 1.4 0633 Harrisburg,PA 17126-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 06122014 11121935 Decedent's Last Name Suffix Decedent's First Name MI . SWENSON ELSIE W (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Mi THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1 1. Original Return 2. Supplemental Return 3. Remainder Return(date of death prior to 12-13-82) 7 4.Agriculture Exemption(date of ED & Future Interest Compromise(date of ❑ 6. Federal Estate Tax Return Required (�'� death on or after 7-1-2012) death after 12-12-82) L^_J 7. Decedent Died Testate 8. Decedent Maintained a Living Trust fl 9. Total Number of Safe Deposit Boxes (Attach copy of will.) (Attach copy of trust.) ED 10. Litigation Proceeds Received FD 11. Non-Probate Transferee Return F 12. Deferral/Election of Spousal Trusts (Schedule F and G Assets Only) 13. Business Assets 14.Spouse is Sale Beneficiary (No trust involved) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number TIMOTHY C WAGGONER, CPA ?1?-506-1222 First Line of Address WAGGONER FRUTIGER &DAUB Second Line of Address 5006 E TRINDLE ROAD City or Post Office State ZIP Code MECHANICSBURG PA 1?050 -� Correspondent's email address: T W A G G 0 N E R a@ W F D C P A . C O M (D REGISTER OFt�LS LiS� -ONLY r 1 REGISTER OF WILLS USE ONLY ;," H' 5,.n cf t DATE FILED MMDDYYYY ----kc::)7 DATE FILEDSTAMP PLEASE USE ORIGINAL FORM ONLY Side 1 �Illll Illll IIlII IIlII Illll Illll ll�ll i'lll!ll!!tell llll llll 150561862? 1505618627 J 1505618635 REV-1500 EX(TP) Decedent's Social Security Number Decedent's Name:S W E N S 0 N ELSIE W RECAPITULATION 1- Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 0 . 00 2. Stocks and Bonds(Schedule 8). . . . . . . . . . . . . . . . . . . . . . . . . 2. 1,117,078 -24 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C). . . . . 3. 0 - 00 4. Mortgages and Notes Receivable(Schedule D), . . . . . . . . . . . . . . . . . 4. 0 - 00 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E). . . . . . 5. 1561532- 56 6. Jointly Owned Property(Schedule F) F-1 Separate Billing Requested. . . . . 6, 0 - 00 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) F-1 Separate Billing Requested. . . . . 7. 6751766 -88 8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . 8. 1,949,377 . 6 8 9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . . . . . . . . 9, 601366 - 74 10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule 1). . . . . . . . . . 10. 15,290 . 23 11. Total Deductions(total Lines 9 and 10). . . . . . . . . . . . . . . . . . . . . 11, 751656 .97 12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . 12, 1,8731720 -71 13. Charitable and Governmental Bequests/Sec.9113 Trusts for which an election to tax has not been made(Schedule J). . . . . . . . . . . . . . . . 13, 667,400 - 32 14, Net Value Subject to Tax(Line 12 minus Line 13}, . . . . . . . . . . . . . . . 14. 1,2061320 . 39 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers uWer Sec.9116 (a)(1.2)X OIL-- 0 .00 15. 0 . 00 16. Amount of Line �Wable at lineal rate X.0- 0 . 00 16. 0 . 00 17. Amount of Line 14 taxable at sibling rate X.12 1781l93 - 07 17. 21i383 -17 18. Amount of Line 14 taxable at collateral rate X 15 1,028,127 -31 18. 1541219 -10 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 175,602 . 27 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ 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 person responsible for filling the return is based on all information of which preparer has any knowledge, SIG7TURE_0F,PERSON RESJJONSIBLE FOR FlLJ4G RETURN DATE �14 v-, 2- 2/-- ADDRESS 615 TRUMP AVENUE CONNELLSVILLE, PA 15425-4130 SIGNATUREAFPREP OTHE AN P ON RESPONSIBLE FOR FILING THE RETURN DATE ADDRESS 5006 E T INJ ROAD MECHANICSBURG, PA 17050 i i�f��i�� ii{i t � ��i�ii�� iii Side 2 ii �gr�i � t� i6 1505618635 3M464810.000" REV-1500 EX(TP) Page 3 File Number Decedent's Complete Address: 21 14 0633 DECEDENTS NAME SWENSON EL IE W STREET ADDRESS 15225 WILSON LANE I CITY STATE ZIP IMECHANICSBURG PA 17055 rax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 175,602- 27 1. Credits/Payments A. Prior Payments 162,4 5 0 .00 B.Discount 8,549 -74 (See Instructions,) Total Credits(A+B) (2) 170,999 -74 Interest (3) 0 . 00 4. If Line 2 is greater than Line I+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 I +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 41602 - 53 I 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . KI 0 b. retain the right to designate who shall use the property transferred or its income . . . . . . . . . . . . . . FU 0 c. retain a reversionary interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F� 581 d. receive the promise for life of either payments,benefits or care? . . . . . . . . . . . . . . . . . . . . . . KI El 2. If death occurred after Dec. 12, 1982,did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-1 FRI 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? . . . . . F1 X 4. Did decedent own an individual retirement account,annuity,or other non-probate property,which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. :nr 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 3 percent[72 P.S.§9116(a)(1.1)(1)]. -ur 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)(h)],The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and ig a tax return are still applicable even if the surviving spouse is the only beneficiary. 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 'idoptive parent or a step-parent of the child is 0 percent(72 P.Sb 9116(a)(1.2)). 'he fax 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 172 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 172 P.S.§9116(a)(1.3)].A sibling is defined, nder Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. M4671 4,000 REV-1503 EX+(8-12) pennsylvania SCHEDULE B DEPARTMENT OF REVENUE INHERITANCE TAX RETURN STOCKS & BONDS RESIDENT DECEDENT STATE OF FILE NUMBER Lsie W Swenson 21 14 0633 All property jointly owned with right of survivorship must be disclosed on Schedule F. )TEM VALUE AT DATE JMBER DESCRIPTION OF DEATH 1. Assets held at Morgan Stanley Account 410-034319 Personal Account 200 Shares Exxon Mobil Corp Cam New York Stock Exchange CUSIP; 302316102 20,451.50 2 300 Shares Johnson & Johnson Com New York Stock Exchange CUSIP: 478160104 30,858.00 3 200 Shares Honeywell Intl Inc Com New York Stock Exchange CUSIP: 438516106 18,834.00 1 100 Shares International Business Machs Com New York Stock Exchange CUSIP: 459200101 18,173.00 a 1,000 Shares General Electric Cc Com New York Stock Exchange CUSIP: 369604103 27,025.00 s 240 Shares Mcdonalds Corp Com New York Stock Exchange CUSIP: 580135101 24,066.41 Dividend accrued on 6/12/2014 194.40 17 200 Shares Procter & Gamble Co Com New York Stock Exchange CUSIP: 742718109 15,972.00 15,426.05 Shares Bond Fd Amer Cl C Mutual Fund (As Quoted By Nasdaq) CUSIP: 097873301 196,373.62 Dividend accrued on 6/12/2014 112,92 9 17,889.17 Shares Pimco Fds Pac Invt Mgmt Ser Total Ret C Mutual Fund (As Quoted By Nasdaq) CUSIP: 693390429 195,349.74 Dividend accrued on 6/12/2014 23,33 Total from continuation schedules . . 569,644.32 TOTAL (Also enter on Line 2,Recapitulation) $ 1,117,078.24 '4698 2.000 If more space is needed,insert additional sheets of the same size Estate of: Elsie W Swenson 21 14 0633 Schedule B (Page 2) Item Value at Date No. Description of Death 10 30,000 Par Morgan Stanley D W Disc Srmtns Mat: 03/15/2021 5% Interactive Data Corporation CUSIP: 61745E5R8 30,787.50 Interest accrued to 6/12/2014 112.50 11 175,000 Par Ally Bk Midvale Utah Mat: 07/23/2014 2.2% Interactive Data Corporation CUSIP: 02004MZH9 175,309.93 Interest accrued to 6/12/2014 1,476.71 12 90,000 Par American Express Centrn Mat: 09/12/2018 2.05% Interactive Data Corporation CUSIP: 02587DTH1 90,643.77 Interest accrued to 6/12/2014 465.04 13 130,000 Par Ge Cap Bk Inc Retail Mat: 10/21/2016 2% Interactive Data Corporation CUSIP: 36160VZT1 132,959.32 Interest accrued to 6/12/2014 356.16 .4 Morgan Stanley Cash 410-034319 117,681.39 15 800 Shares Cisco Sys Inc Com The Nasdaq Stock Market Llc CUSIP: 17275R102 19,852.00 Motal (Carry forward to main schedule) 569,644.32 REV-1508 EX+(08-12) pennsylvania SCHEDULE DEPARTMENT OF REVENUE CASH, BANK DEPOSITS&MISC. INHERITANCE TAX RETURN FESDENT DECEDENT PERSONAL PROPERTY ESTATE OF: FILE NUMBER: Elsie W Swenson 2114 0633 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. PNC Checking 50-0094-2957 139,822.42 2 Personal property - glassware and etc. 1,810.00 3 Personal property - glassware and etc. 396.00 4 Department of Treasury Life insurance on Richard Rife date of death 11/07/2013, beneficiary Elsie Swenson 10,000.00 Interest accrued to 6/12/2014 292.14 5 PA Deptr of Revenue 1,812.00 2014 Estimated tax refund 6 U S Treasury 2,400.00 2014 estimated tax refund TOTAL(Also enter on line 5,Recapitulation) $ 156,532.56 !W46AD 2.000 If more space is needed,use additional sheets of paper of the same size. EV-1510 EX+(08-09) SCHEDULE G pennsylvania DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC.NON-PROBATE PROPERTY RESIDENT DECEDENT STATE OF FILE NUMBER .Elsie W Swenson 21 140633 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 TFEWMEOFTHE TRANSFEREE,THEIR REIATIONSHIPTODECEDENT AND DATE OF DEATH %OFDECD'S EXCLUSION TAXABLE NUMBS THE DATE OF TRANSFER.ATTACH A COPY OF THE DEED FOR REAL ESTATE, VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1 The Elsie W Swneson Irrevocable Charitable Remainder Unitrust Payable to Pinnacle Health 79,252.12 100.0000 0.00 79,252.12 2 The Hartford Annuity 712746032 Payable to Robert and Janice Woodring 127,161. 94 100,0000 0.00 127,161.94 Assets held at Morgan Stanley Account 410-054049 - Individual Retirement Account Payable to Bethany Village 3 23 Shares Acco Brands Corp Cam New York Stock Exchange CUSIP: 000817108 143. 98 100.0000 0.00 143.98 4 400 Shares At&T Inc Com New York Stock Exchange CUSIP: 00206R102 13,898. 00 100.0000 0.00 13,898.00 5 600 Shares Bristol Myers Squibb Co Com New York Stock Exchange CUSIP: 110122108 28,248,00 100.0000 0.00 28,248.00 6 100 Shares Cimarex Energy Co Com New York Stock Exchange CUSIP: 171798101 13,723.50 100.0000 0.00 13,723,50 7 92 Shares Conocophillips Com New York Stock Exchange CUSIP: 20825C104 7,607.02 100.0000 0.00 7,607.02 8 500 Shares Crown Holdings Inc Com New York Stock Exchange CUSIP: 228368106 24,750.00 100.0000 0.00 24,750.00 Total from continuation sched les . . . . . . . 380,982.32 TOTAL(Also enter on line 7,Recapitulation)$ 675,766.88 If more space is needed,use additional sheets of paper of the same size. l46AF 2.000 Estate of: Elsie W Swenson 21 14 0633 Schedule G (Page 2) .tem DOD Value Taxable Description of Asset Interest Exclusion Value 9 162 Shares Express Scripts Hldg Co Com Nasdaq Stock Market CUSIP: 30219G108 11,565.18 100.0000 0.00 11,565.18 10 412 Shares Fulton Finl Corp Pa Com The Nasdaq Stock Market Llc CUSIP: 360271100 5,110.86 100.0000 0.00 5,110.86 11 1,700 Shares General Electric Co Com New York Stock Exchange CUSIP: 369604103 45,942.50 100.0000 0.00 45,942.50 12 100 Shares Harsco Corp Com New York Stock Exchange CUSIP: 415864107 2,675.50 100.0000 0.00 2,675.50 13 400 Shares Hollyfrontier Corp Com New York Stock Exchange CUSIP: 436106108 18,842.00 100.0000 0.00 18,842.00 Dividend accrued on 6/12/2014 328.00 100.0000 328.00 14 400 Shares Johnson & Johnson Com New York Stock Exchange CUSIP: 478160104 41,144.00 100.0000 0.00 41,144.00 15 278 Shares National Penn Bancshares Inc Com The Nasdaq Stock Market Llc CUSIP: 637138108 2,923.17 100.0000 0.00 2,923.17 16 10 Shares Phh Corp Com New New York Stock Exchange CUSIP: 693320202 234.45 100.0000 0.00 234.45 17 200 Shares Pnc Finl Svcs Group Inc Com New York Stock Exchange CUSIP: 693475105 17,470.00 100.0000 0.00 17,470.00 .)tal (Carry forward to main schedule) 146,235.66 Estate of: Elsie W Swenson 21 14 0633 Schedule G (Page 3) . 9m DOD Value Taxable Description of Asset % Interest Exclusion Value 18 400 Shares Ppl Corp Com New York Stock Exchange CUSIP: 693517106 13,397.00 100.0000 0.00 13,397.00 Dividend accrued on 6/12/2014 149.00 100.0000 149.00 19 400 Shares Pepsico Inc Com, New York Stock Exchange CUSIP: 713448108 34,932.00 100.0000 0.00 34,932.00 Dividend accrued on 6/12/2014 262.00 100.0000 262.00 20 46 Shares Phillips 66 Com, New York Stock Exchange CUSIP: 718546104 3,821.22 100.0000 0.00 3,821.22 21 600 Shares Susquehanna Bancshares Inc Pa Com The Nasdaq Stock Market Llc CUSIP: 869099101 6,135.00 100.0000 0.00 6,135.00 22 800 Shares Weatherford Intl Plc Ord Shs New York Stock Exchange CUSIP: H27013103 17,932.00 100.0000 0.00 17,932.00 23 1,166,174 Shares Capital World Growth & Income CUSIP: 140543307 55,031.75 100.0000 0.00 55,031.75 24 1,000.805 Shares Euro Pac Growth Fd Cl C Mutual Fund (As Quoted By Nasdaq) CUSIP: 298706300 49,629.92 100.0000 0.00 49,629.92 25 734.653 Shares New World Fd Inc New Cl C Mutual Fund (As Quoted By Nasdaq) CUSIP: 649280302 44,020.41 100.0000 0.00 44,020.41 26 Morgan Stanley Cash 410-054049 9,436.36 100.0000 0.00 9,436.36 �tal (Carry forward to main schedule) 234,746.66 REV-1511 EX+(08-13) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT STATE OF FILE NUMBER Elsie W Swenson 21 14 0633 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Robert Woodring 2,970.82 2 Rehm—Rohanna Monument 150.00 B. ADMINISTRATIVE COSTS: Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: 2. Attorney Fees: 19,500.00 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: 923.50 5. Accountant Fees: 34,000.00 6. Tax Return Preparer Fees: 7. 1 Easy Moves 1,940.92 2 PA Dept of Revenue 644.00 3 Cordier Auctions & Appraisals 237.50 TOTAL(Also enter on Line 9,Recapitulation) $ 60,366.74 46AG 2.000 If more space is needed,use additional sheets of paper of the same size. �EV-1512 EX+(12-12) pennsylvania SCHEDULE DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES& LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Elsie W Swenson 21 14 0633 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• Hampden Physician Associates 371.78 2 Arcadia Recovery Bureau 77.34 3 Medicine Shoppe 336.49 4 Hampden Township Emergency Medical Services 78.64 5 Bethany Village 14,248.24 6 Pinnacle Health Medical Group 177.74 TOTAL(Also enter on Line 10,Recapitulation) $ 15,290.23 M6AH 2.000 If more space is needed,insert additional sheets of the same size. REV-1513 EX+(01-10) Pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Elsie W Swenson 2114 0633 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under Sec.9116(a)(1.2).) 1. Robert & Janice Woodring 615 Trump Avenue Connellsville, PA 15425 The Hartford Annuity 712746032 Payable to Robert and Janice Woodring Inventory Value: 127,161.94 70% of Residue: 831,567.68 Nephew 958,729.62 2 Residuary Trust created for the benefit of Ryan Huey 5% of Residue to Residuary Trust created for the benefit of Ryan Huey: 59,397.69 Trust 59,397.69 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. 11 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. See Attached TOTAL OF PART 11-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ 667,400.32 V46AI 2.000 if more space is needed,use additional sheets of paper of the same size. Estate of: Elsie W Swenson 21 14 0633 Schedule J Part 1 (Page 2) Item No. Description Relation Amount 3 Thressa Dulaney 445 bonar Avenue Waynesburg, PA 15370 10% of Residue: 118,795.38 Sister 118,795.38 4 Trisha D. Eslinger 806 Green Acres Street Mechanicsburg, PA 17055 General Bequests: 10,000.00 None 10,000.00 5 James Woodring PO Box 830 Waynesburg, PA 15370 5% of Residue: 59,397.69 Brother 59,397.69 Estate of: Elsie W Swenson 21 14 0633 Schedule J Part 2B (Page 1) Item No. Description Amount 1 Bethany Village - Care Assurance Endowment Fund 5225 Wilson Lane Mechanicsburg, PA 17055 Specific Bequest to Bethany Village - Care Assurance Endowment Fund 5225 Wilson Lane Mechanicsburg, PA 17055 469,352.82 10% of Residue to Bethany Village - Care Assurance Endowment Fund 5225 Wilson Lane Mechanicsburg, PA 17055: 118,795.38 588,148.20 2 Pinnacle Health Hospital Southgate Office Bldg Ste 2A 409 S 2nd Street Harrisburg, PA 17105 General Bequests: 79,252.12 79,252.12 TABLE OF CONTENTS ESTATE OF ELSIE W. SWENSON REV 1500-Pennsylvania Inheritance Tax Return SSN: 1. Last Will and Testament Page 1, line 6 2. Morgan Stanley Acct No. 410-034319, Schedule of assets Schedule B, 1-15 3. Cordier Auctions&Appraisals Schedule E, Item 2 4. Warehouse Outlets Closeouts Schedule E, Item 3 5. Department of Treasury, Policies 3151027 & 3288412 Schedule E, Item 4 6. Pinnacle Health Foundation,The Elsie W. Swenson CRUT Schedule G, Item I 7. The Hartford Annuity 712746032 Schedule G, Item 2 8. Morgan Stanley Acct No. 410-054049, Schedule of assets Schedule g, Item 3-26 LAST WILL AND TESTAMENT OF ELSIE W. SWENSON I, ELSIE W. SWENSON, currently of Mechanicsburg, Cumberland County, Pennsylvania, being of sound mind, memory and understanding do make, publish and declare this to be my Last Will and Testament, hereby revoking all other Wills and Codicils to Wills heretofore made by me. I. I direct that my body shall be cremated and that my ashes be interred in the Presbyterian Cemetery in Rices Landing, Pennsylvania. II. I order and direct the payment of all my just debts, expenses of cremation and expenses of a private service, as soon as conveniently may be made after my decease. III. I direct that gift, estate, inheritance and succession taxes on property passing by virtue of my death, whether under this Will, or by inter vivos settlements, power of appointment, tenancies by the entireties, other co- tenancies, or otherwise, shall be paid out of the principal of my general estate to the same extent as if said taxes were an expense of administration, and all legacies, devises, and other gifts of principal and income made by this Will shall be free and clear thereof. In the absolute discretion of my Executor, he may pay such taxes immediately, or may postpone the payment of such taxes on future or remainder interest until the time of possession thereof accrues to the beneficiary. Page 1 of 5 IV. I give, devise and bequeath to my nephew ROBERT WOODRING and his wife JANI WOODRING, currently of Connellsville, Pennsylvania, those items of my furniture which they might desire for their personal use and enjoyment. V. I give, devise and bequest the sum of ten thousand dollars ($10,000) to my aid, TRISHA ESLINGER, currently of Mechanicsburg, Pennsylvania. V1. All the rest, residue and remainder of my tangible personal property and of my real estate, wheresoever situate, shall be sold by my Executor and the proceeds added to my residuary estate. VII. I hereby give, devise and bequeath all the rest, residue, and remainder of my Estate, to the following individuals and organization in the percentages designated: (a) Five percent (5%) of said residue to my brother, JAMES R. WOODRING, currently of Waynesburg, Pennsylvania; (b) Seventy percent (70%) of said residue to ROBERT and JANI WOODRING, currently of Connellsville, Pennsylvania; (c) Ten percent (10%) of said residue to my sister, THRESSA DULANEY, currently of Waynesburg, Pennsylvania; (d) Five percent (5%) of said residue to be held in Trust by JANI WOODRING to be used, in her discretion, for the college and/or post-graduate education of RYAN HUEY; and Page 2 of 5 (e) Ten percent (10%) of said residue to BETHANY VILLAGE - CARE ASSURANCE ENDOWMENT FUND. Should any of the beneficiaries fail to survive me or not be in existence at the time of my decease, then his, her or its bequest shall become part of the residue to be bequeathed to the remaining beneficiaries pro rata. VIII. I nominate, constitute and appoint my nephew, ROBERT WOODRING of Connellsville, Pennsylvania as Executor of this my bast Will and Testament. In the event he is unable or unwilling to serve, I nominate, constitute and appoint JANI WOODRING, as successor Executrix. IX. I direct that my Executor or successor Executrix shall not be required to enter security or bond in any jurisdiction in which he or she may act; but if, notwithstanding this direction, a bond is required, I direct that a surety bond shall not be required. X. My Executor or Successor Executrix shall have the following powers in addition to those vested in them by law and by other provisions of my Will, applicable to all, property, whether principal or income, exercisable without court approval, and effective until actual distribution of all property: (a) to retain any or all of the assets of my estate, real or personal, without regard to any principle of diversification or risk; (b) to invest in all forms of property, including stocks, common trust funds and mortgage investment funds, without Page 3 of 5 restriction to investments authorized for Pennsylvania fiduciaries, as he or she may deem proper; (c) to sell at public or private sale, to exchange or 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 he or she deems proper; (d) to allocate receipts and expenses to principal or income or partly to each as he or she from time to time may think proper; (e) to borrow money from any person or institution and to mortgage or pledge any or all real or personal property as my Executor or successor Executrix, in their sole discretion, shall choose, without regard for the dispositive provisions of this instrument; to register securities in street names or in the name of a nominee or in such manner that title shall pass by delivery and to vote, in person or by proxy, securities held hereunder and in such connection to delegate discretionary powers; (g) to compromise any claim or controversy; (h) to choose the optional valuation date for estate or inheritance tax purposes; (i) to exercise any law-given option to treat adminis- trative expenses either as income or as estate tax deductions, without regard to whether the expenses were paid from principal or income; 6) to exercise any law-given option to pay death taxes in installments, the payment of interest due on such installments to be charged against principal; and Page 4 of 5 (k) to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as he or she may determine, and at valuations finally to be fixed by him or her. M. I direct that all legacies, shares or interests in my estate, whether pri ncipal or income, while in the hands of my Executor or successor Executrix or Trustee, shall not be subject to execution, attachment,judgment, sequestration or any other process for any debt, obligation, contract or engagement of any beneficiary, and shall not be subject to pledge, assignment, conveyance of anticipation, and the personal receipt of the beneficiary or said beneficiary's guardian shall be sufficient and only discharge of my Executor or successor Executrix or Trustee for payment of either principal or income. IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of December, 2012. ELSIE W. SWENSON The foregoing instrument was in our presence signed by ELSIE W. SWENSON and declared by her to be her Last Will and Testament. We, at her request and in her presence and in the presence of each other, all being present at the same time, have herewith submitted our names as witnesses. �4 W1 6A Z 1V X?;r 416/ A56121VIc 5 A&(,t-eb residing at residing at S.A w x c-s oAD 1,&) 12 Pr 01 fn IF Cim a c,s 13i 0-ro Page 5 of 5 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA ) SS: COUNTY OF 6A m t r)ci noC I, ELSIE W. SWENSON, the Testatrix whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that 1 . signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. ELSIE W. SWENSON AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) COUNTY OFOL4 vn 6r)Q nk SS: We, rA&I&V - and M n nX �6 q the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will; that the Testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed the Will as a witness; and that to the best of our knowledge the Testatrix was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. and Ma,. WITNESS 0 WITNESS Sworn to and subs!pribed before me this /-Vbay o ecember, 2012. L dNotary Public My Commission Expires: COMMONWEALTH OF P84NMVANA Notarial Seal Q#"FL Dn*mbK NOWY POk. OtV of Haffftburl DWPW CCU* m SepL 3,2015 (SEAL) cwwnhom Bo 7::] YANfA ASSOCL47TON OF WYrARNS Estate Valuation Date of Death: 06/12/2014 Estate of: Elsie Swenson Valuation Date: 06/12/2014 Account: 410-034319 Processing Date: 02/04/2015 Report Type: Date of Death Number of Securities: 15 File ID: E Swenson 410 034319 Shares Security mean and/or Div and Int Security or Par Description High/Ask LOW/Bid Adjustments Accruals Value 2) 117681.39 Cash (CASH) 117,681.39 3) 800 CISCO SYS INC (17275R102) COM The NASDAQ Stock Market LLC 06/12/2014 25,01000 24.62000 H/L 24.815000 19,852.00 4) 200 EXXON MOBIL CORP (30231GI02) COM New York Stock Exchange 06/12/2014 102.94500 101.57000 H/L 102.257500 20,451.50 5) 1000 GENERAL ELECTRIC CO (369604103) COM New York Stock Exchange 06/12/2014 27.16000 26,89000 H/L 27.025000 27,025.00 6) 200 HONEYWELL INTL INC (438516106) COM New York Stock Exchange 06/12/2014 94.89000 93.45000 H/L 94.170000 18,834.00 7) 100 INTERNATIONAL BUSINESS MACHS (459200101) COM New York Stock Exchange 06/12/2014 182.55000 180.91000 H/L 181.730000 18,173.00 8) 300 JOHNSON & JOHNSON (478160104) COM New York Stock Exchange 06/12/2014 103.21000 102.51000 H/L 102.860000 30,858.00 9) 240 MCDONALDS CORP (580135101) COM New York Stock Exchange 06/12/2014 101.01340 99.54000 H/L 100.276700 24,066.41 Div: 0.81 Ex: 05/29/2014 Rec: 06/02/2014 Pay: 06/16/2014 194.40 10) 200 PROCTER & GAMBLE CO (742718109) COM New York Stock Exchange 06/12/2014 80,03000 79.69000 H/L 79.860000 15,972.00 11) 15426.05 BOND FD AMER (097873301; BFACX) CL C Mutual Fund (as quoted by NASDAQ) 06/12/2014 12.73000 Mkt 12.730000 196,373.62 Daily div. accrual as of 06/12/2014 112.92 12) 17889.17 PIMCO FDS PAC INVT MGMT SER (693390429) TOTAL RET C Mutual Fund (as quoted by NASDAQ) 06/12/2014 10.92000 Mkt 10.920000 195,349.74 Daily div. accrual as of 06/12/2014 23.33 13) 30000 MORGAN STANLEY D W DISC SRMTNS (61745E5R8) Interactive Data Corporation DID: 03/15/2011 Mat: 03/15/2021 5% 06/12/2014 102.62500 Mkt 102.625000 30,787.50 Int: 05/15/2014 to 06/12/2014 112.50 Page I This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 8.0.2) Date of Death: 06/12/2014 Estate of: Elsie Swenson Valuation Date: 06/12/2014 Account: 410-034319 Processing Date: 02/04/2015 Report Type: Date of Death Number of Securities: 15 File ID: E Swenson 410 034319 Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals value 14) 175000 ALLY BK MIDVALE UTAH (02004MZH9) Interactive Data Corporation DID: 07/23/2010 Mat; 07/23/2014 2.2% 06/12/2014 100.17710 Mkt 100.177100 175,309.93 Int: 01/23/2014 to 06/12/2014 1,476.71 Note: Put Option on DOD 15) 90000 AMERICAN EXPRESS CENTRN (02587DTHI) Interactive Data Corporation DTD: 09/12/2013 Mat; 09/12/2018 2.05% 06/12/2014 100.71530 Mkt Int: 03/12/2014 to 06/12/2014 100.715300 465.04 90,643.77 Note: Put Option on DOD 16) 130000 GE CAP BK INC RETAIL (36160VZTI) Interactive Data Corporation DTD: 10/21/2011 Mat: 10/21/2016 2% 06/12/2014 102.27640 Mkt 102.276400 132,959.32 Int: 04/23/2014 to 06/12/2014 356.16 Note: Put Option on DOD Total Value: $1,114,337.18 Total Accrual: $2,741.06 Total: $1,117,078.24 Page 2 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 8.0.2) CORDIER .A►NTI�.�C1E1 FIREARMS AUCTIONS ,r ESTATES _ & appraisals REAL ESTATE Ap. praisai t Report Estate of Elsie Swenson Bethany Village West 325 Wesley Drive,Apt, 4136 Mechanicsburg;Pennsylvania 17455 Prepared for: Bob Woodring 615 Crump Avenue Connellsville,Pennsylvania 15425 (724)626-2175 Prepared by: David J. Cordier, Ellen E.,Miller Cordler Austions &AppraisaIs 1500 Paxton Street Harrisburg,Pennsylvania 17104 Phone: (717)731-8662 Fax: (717)731-9830 Table of Contents Title Page °' 1 Table of Contents 2 Summary 3 Analysis 4 Conditions of Appraisal 5 Certification 5 Purpose of Report 6 Method of Valuation 6 Definition of Value { Basis of Appraisal 6 ,.. Description 6 Appraiser Qualifications 7 Value Listings Appendix A Page: 2 of 9 Summary 4n July 23,2014,at the request of Bob Woodring,1.personally inspected the assets of Estate of Elsie Swenson,Bethany Village West,325 Wesley Drive,Apt. 4136,Mechanicsburg, Pennsylvania. Value Fair Market Value The Fair Market Value for the property.in total is: $1,810.00 This is not the appraisal report. The appraisal report must be read in its entirety, Page: 3 of 9 Analysis Analysis All items in good condition unless otherwise noted. Page: 4 of 9 . Conditions of Appraisal The value stated in this Appraisal Report is based on the best judgment of the appraiser given the facts and conditions available at the date of the valuation. The use of the report is limited to the purpose of determining the value of personal property for Estate Tax purposes. Any additional research or testimony required by the client or the court will be billed at the current rates. Disclosure of the contents of the report is governed by the Standards and Practices of the Certified Appraisers Guild of the America. Certification of Report No prohibited fee was accessed for this report. David J. Cordier and Ellen E.Miller of Cordier Auctions&Appraisals have successfully completed the personal property appraisal certification program with the Certified Appraisers Guild of America and are members in good standing. This report was prepared in accordance with the Uniform Standards-of Professional Appraisal Practice and with the Standards and Practices of the Certified Appraisers Guild of America which has review authority of this report. David I Cordier and/or Ellen E.Miller have personally examined the subject property. The statements of fact contained in this report are true and correct to the best knowledge and belief of the appraiser. _ By: David I Cordier, C.A.G.A. By: Ellen E.Miller,C.A.G.A. Cordier Auctions&Appraisals Cordier Auctions&Appraisals Page: 5 of 9 , Purpose of the Report. The i) wase-of this-repo*i-ic,-tcLcleter=ne-the--valjC-f4x--estate-Tax 13,tirl)o"s--for-Bob-)AliDicvcliliig,-- Connellsville,Pennsylvania. Method of Valuation The method of valuation used for this appraisal is the Fair Market Value, Definition of Value Fair Market Value Under the United States Treasury regulation 1.170-1c Fair Market value is defined as; The price at which the property would change hands between a willing buyer and a willing seller, neither being under compulsion to buy or compulsion to sell and both having reasonable knowledge. Basis of Appraisal Valuation Date The date of valuation for determining the value estimation is June 12,2014. Date Appraisal Conducted This appraisal was conducted on July 23,2014. Limitations of Property There were no limitations on use or disposition of this property. Description An itemized list with descriptions is in Appendix A. Page: 6 of 9 ---------- ............ CORDIER AUCTIONS&APPRAISALS Cordier Auctions&Appraisals was established in 1984. The company specializes in appraisals of antiques fine art and personal property,estate liquidations and the auction andsalle of fine antiques,art and real estate. Cordier Auctions&Appraisals maintains memberships in the Certified Appraisers Guild of America,the r Antiques and Collectibles Dealers Association,Inc.,the Antique Dealers Association of Pennsylvania,the Pennsylvania Auctioneers Association and the National Auctioneers Association, Cordier Auctions&Appraisals has conducted appraisal clinics for such organizations as the Harrisburg Area Community College's Older American Days,the Questers,Rohrer Bus AntiquingRoad Show Tour, Millersburg Historical Society,Friends of Fort Hunter,West Shore Country Club and the Friends of the Pennsylvania State Museum. Cordier Auctions&Appraisals is an underwriter for the Antiques Road Show on WITF Public Television. DAVID J.COADIER.C.A.G.A.CERTIFIED APPRAISER David J.Cordier is co-owner of Cordier Auctions,&Appraisals located in Harrisburg,Pennsylvania, Mr. Cordier has been an antiques and jewelry dealer since 1980 and an appraiser since 1990. David Cordier of Cordier Auctions&Appraisals has successfully completed the personal property appraisal certification program with the Certified Appraisers Guild d of America. Mr.C6rdier is agraduate of Winterthur Museum's Winter Institute,a graduate level program in American Decorative Arts. David Cordier has attended classes in the fine and decorative arts at George Washington University,Washington D.C.and the appraisal studies program at New York University,Now York. Mr. Cordier studied the arts and decorative arts in Pennsylvania at Penn State University and holds a Master's degree in Business Administration from Penn State Capital Campus, Mr.Cordier is a writer for the Harrisburg Patriot News reporting on antiques and related events in central Pennsylvania. He also wrote a bi-weekly feature column"Eye on Antiques"for the Sunday Patriot News from,2001 to 2006. ELLEN E.AMLER,C.A.G.A.CERTIFIED APPRAISER Ellen E.Miller joined Cordier Auctions&Appraisals in,2000. Ms.Miller holds a Bachelor's degree in Marketing from Shippensburg University and a Master's degree in Business Administration from Temple University. Since joining Cordier Auctions&Appraisals, Ms; Miller has been the Director of Internet Sales,conducting research and documentation of inventory,maintaining client relationships and managing an international customer base. She has been responsible for the sale of several large collections via Internet auction including classic automobiles,antique toys,sports memorabilia and.autographs. Ms.Miller has successfully completed the persoalproperty appraisal certification program with the Certified tified Appraisers Guild of America. Prior to joining Cordier Auctions&Appraisals,Ms.Miller worked in the printing industry in sales and administration. Page: 7 of 9 Appendix A Fair Market Value 1. $100.00 Sofa By Beachley of Maryland. With cameo upholstery. 68"long. 2. $150.00 Lift Chair Tan leather upholstery. 3. $200,00 Pair of Sofas By Beachley of Maryland.With mauve quilted upholstery. 66" long. each. 4. $30.00 Glass Top Coffee Table With metal base. 5. $26.00 Foot Cushion In tufted salmon upholstery. 6. $250.00 Dining Table&4 Chairs Glass top dining table with round wood and metal base.With four side chairs in mauve quilted upholstery.Table 48" diameter. Chairs 22"x 19" seats x 35"high at backs. 7. $25.00 Upholstered Armchair In floral upholstery. 8. $200.00 Sideboard Three double doors.Oak. Contemporary. 78"x 18"x 29" high. 9. $50,00 Two Endtables Metal with brass turnings and glass tops. One 28"wide x 24" high. One 24"wide x 24"high. 10. $25.00 Side Chair Painted white with pink upholstered seat. 11. $200-00 Triple Dresser and Nightstands By Embassy House Furniture. Whitewashed finish.Triple dresser 83" x 19"x 30" high.NigbLtstafids 32"x 19"x.22"high, 12. $100.00 Trompe LOeil Cabinet Two doors painted with scene of plants on plant stand.Interior.shelves. Contemporary. 13. $20.00 Corner Stand Page: 8,of 9 White painted metal and glass, Five shelves. Contemporary. 14. $60.00 Lingerie/Jewelry Chest Seven drawer. White painted wood. Contemporary. 15. $50.00 Bed Metal headboard with mattres&,and box spring. 16. $20.00 Armchair Chippendale style white painted wood frame. Tufted pink upholstery. Contemporary. 17. $50.00 2 Nightstands One small cream painted and one white painted with three drawers. Contemporary. 18. $40.00 Computer Desk Unit In white. Comer desk with keyboard tray,tower cabinet,two filing cabinets and detached small drawer.Contemporary. 1.9. $50.00 Entertainment Unit In white, Center TV stand flanked by side shelving. Contemporary. 20. $20.00 Pair of Bar Stools Wood and-metal with upholstered seats, 21. $150.00 Cabinet In hallway. White painted cabinet of three shelves over 2 door base flanked by single door. Contemporary. $1,810,00 Total Page: 9 of 9 ................ . Retail- Wholesale Buy sell,Auction ..,,d. . Joseph Griffo ` Auction House ?' DiafieGriffo 712 E.Crsvrford Ave. 12 �. 4 -5�T-2758 Connellsvilie,PA 16425 2 QPNCBANK 001 CONNELLaVILLE S C (640) 135 MEMORIAL BOULEVARD CONNELLSV.ILLE, PA, 15425 Cashbox 02 Business Date JAN 20, 2015 Calendar Date JAN 20, 2015 Deposit 11118 Transaction Number . 00300 Account Type Checking/Savings Account Number XXXXXX2957 Transaction Amount $ 396.00 Cash Amount $ 356.00 This deposit or payment 'is accepted subject to verification and to the rules and regulations of this bank. Deposits may not be available for immediate withdrawal. Receipt should be held until verified vi.th your statement, a e,, 3. , S P��tfP? 7f . r 62BUYEt —a 1 1 BUYER ITEM '? - xs ITEMCt ��'�.F ��a "P LOT# L O # IL 3 BUYE9� 4 BUYS L3 �� rr ITEMK___4� ITEM L T# LOT# BUYEFP ] 0 ITEM �1 ''_ j N � � ITEM LOT# rLOT# 'L ITEM ITEM C LOT# LOT s BUYER � } BUYER f ITEMfi �J (� ��, C�� ITEM LOT .00 = �. 1 BUYER '�1 BUYE J L� ITEM 7 61 e l_ �� ITEM i �C� �- LOT# LOT# ` _3_@L_(20 s U 1 BUYS ( lt/"� BUYEIOL ... ITEM �4i- � T Lt. ITEM LOT# (—LOT—#—) BU 1 BUS ' s ITEM 'd ITEM_ "I JL 4 00 _ ` T u )HEET# SHEET TOTAL$ i RUNNING TOTAL$ k BUYER +x' 2 BUYE cg ITEM "\� __� ITEM i + LOT# LOT# . BUYER `may BUYER " 741/ ITEM ITEM ti LO # �� r. '' LOT -;2 @ $ BUYER 6 BUYER ITEM k2 ITEM L # LOT# BUYER $BUYER + ITEM ITEM +ita -SN- LO # LOT.# 9 BUYER�,� 'L 1 BUYER ITEM �p ITE L T# LO # 1 BUYE13/ �/ �` , . i J X ITEM `1g� 3 . LOT# r $ C 1 BUYER . BUYER ITEM /(` ? /% 'S [�'L.� ITEM L T# LOT# . 1 1 BUYER / j BUYER ITEM ITEM. LOT# LOT''# / @ - $ r0o f / = SHEET# SAN 1 04AAETTOTAL$ RUNNING TOTAL$ BUYER ITEM LOT # BUYER AA3 $BUYER ITEM ' 1 1 ITEM 0 � LOT# LOT#. $ /9 BUYER e2k mn,,�rBUYER / 1, ITEM y ITEM ' LOT# LOT. BUYE BUYER ITEM `- ` ITEM_ )0 1 Den, i LOT# f LOT.#. BUYER P i BUYER s _ ITEM. ITEM LO # LOT# Q - $ C-,,V $ yj ,. . 15 BUYER 1 BUYE t TEM. ITEM LQ # LOT# BEET# JAN 1 oz�EETTOTAL RUNNING TOTAL 0. 20.50 + 93.00 002°�•...,...... �, 113=50 113.50 X �5. Y 26-37 113-50 + nn 28-37 - t3U�°••...eee.e.. 85.13 JAN 10 ZU j BUYER fi 1 �/ BUYER ITEM �—i � _? i ITEM LOT# ti OT } BUYER BUYERN, r '! iTEt I ITEMNC); LOT# LOT# s . BUYE ��"��#J �„ �BUYER ITEM y / ` ITEM.I t � , LOT# ;.� LOT s 69'.. BUYER LA BUYER ITE ITEM - -�- LOT 7 u wo() LOT 7, r / p (10 9 BUYER #4th G�C,�1 � ?` l`�% BUYER `f r-- ITEM ITEM LO # LOT# �~1 1 BUYER J C!IN 1 �r� BUYER ITE ( -� .ice ,�� ITEM Xd r LO # LOT# LC-k 20 BUYER i BUYE r. ITEM ITEM f LOT# LOT# 1 BUYER 1 BUYER ITEM ` ITEM ')MEET# .SHEET TOTAL$ RUNNING TOTAL� R t 1 BUYER 2 BUYER ITEM a �eNn - i ITEM LOT LOT# i 3 4 --- `` BUYER BUYF.fi�Cd�1, L ' tsit k.'t 7— , ITEM s t ITEM 1(7 LOT,# LOT# 5 i 6 BUYER f BUYER �" ITEM ` Q Ct t� ITE -c LOT# LOT# � BUYS I � � BUYER ITEM 1 ITEM LO # LOT# 9 BUYER # BUYER � � ITEM,,, �n ITEMTQA c LOT# LOT# j BUYS1 BUYER ITEM --T C ITEM ,-_/-�/ 1 LOT# LOT# t BUY + BUYER ITEM ITEM Iaz- LOT# LOT# C BU 1 BLt' 42 ITEM ITEM A ice LOT# LOT# 3HEET# foET TOTAL$ RUNNING TOTAL BUYER K 1 r . G BUYER ITEM att ! ! ITEM . LOT.# LOT# f44 ,r^� S BUYE4 jj 116't. .. (q-V q BUYER ITEM i ITEM LOT# (4 } .�' C1 h.C! t LOT# i _ B BUY C ' 1 fid' c ; E BUYER'"" ITEM-70 n le ITEM LOJT# a - BUYERR si� .�?� 1 i` /= i 8 BUYE ITEM�l � '. �'� a' i ITEM • . y. i . 7i LOT# ` LOT# BUYER BUYER ITEM 0 ITEM T�A/,P nJvn;6p LOT# I` t +� LOT# 11 12 / BUYER BUY ITEM ITEM , LOT# LOT# RUYEFY BUYER #3 ( i4 ITEM "9-F ,. �1 °j ITEM/ eahip LOT # x LOT# - - 1 BUYER 1 BUYER ITEM ZK& ITEM LOT# L T# SHEET# SHEET TOTAL RUNNING TOTAL 0' 59.50 +k 174.00 f ('� (� 78.00 O3............. `311.50 311.50 x 25• q 77.67 311.50 77"87 233.53 JAN Q 3 2015 AWARD STATEMENT Department of the Treasury RETURN CORRESPONDENCE TO: Department of Veterans Affairs IN REPLY REFER TO: Financial Management Service P O.Box 7208 Philadelphia Financial Center 310129 Phila.,PA 19101-7208 PO Bax 51318 Philadelphia,PA 19115-6318 FILE NUMBER: V 315 10 27 2 AUGUST 15,2014 EST OF ELSIE SWENSON C/O ROBERT WOODRING 615 TRUMP AVE CONNELLSVILLE PA 15425-4130 WE ARE AUTHORIZING PAYMENT OF S 5,315.36 TO YOU FROM GOVERNMENT LIFE INSURANCE POLICY V 3151027. A _PAYMENT FOR $ 5,315.36 IS ENCLOSED UNLESS YOU ASKED TO HAVE THE PAYMENT DEPOSITED DIRECTLY INTO YOUR BANK ACCOUNT. i DID YOU KNOW? IF YOU ARE A SURVIVING SPOUS;E, PARENT OR CHILD OF A SERVICEMEMBER OR VETERAN, YOU MAY BE ELIGIBLE FOR SURVIVOR BENEFITS FROM THE DEPARTMENT OF VETERANS AFFAIRS. GO TO WWW.VA.GOV/SURVIV TO LEARN ABOUT ADDITIONAL BENEFITS TO WHICH YOU MAY BE *THIS IS A ONE TIME PAYMENT. **THIS REPRESENTS 283 DAYS INTEREST PAID FOR THE P THE DATE OF DEATH UNTIL AUGUST 17, 2014. AMOUNT OF THIS ADDITIONAL YOUR SHARE. YOUR SHANE DEDUCTIONS FROWYOUR SHARE AMOUNT AMOUNT OF THIS INSURANCE POLICY INSURANCE AMOUNT LOAN LOAN INTEREST LIEN INSURANCE AWARD (PAID•UP) 51 00 ALL 5,000. 00 AMOUNT OF EACH NO.INSTALLMENTS NO.INSTALLMENTS NO.INSTALLMENTS NO.INSTALLMENTS AMOUNT ACCUMULATED INSTALLMENT (ORIGINAL) PREVIOUSLY PAID THIS PAYMENT 'REMAINING PAYMENTS * PREMIUM REFUND DIVIDEND DIV.INTEREST TOTAL DISABILITY OTHER PLUS ADDITIONS ADDITIONS PAYMENTS 145.80 PREMIUMS DUE LIEN LIEN INTEREST PRIOR PAYMENTS TOTAL DISABILITY LESS DEDUCTIONS DEDUCTIONS OVERPAYMENTS THE TREASURY DEPARTMENT WILL ISSUE A PAYMENT FOR THIS AMOUNT + QUESTIONS ABOUT YOUR INSURANCE? CALL US TOLL FREE AT 1800-669-8477 VA FORM 29-58551 OPERATORS ARE ON DUTY MONDAY THROUGH FRIDAY 8:30 AM TO 6 PM EASTERN TIME SEP 1998 AWARD STATEMENT Department Of the Treasury RETURN CORRESPONDENCE TO: IN REPLY REFER TO: Department of Veterans Affairs �+ � Financial Management Service P:0.8ox 7208 811 Philadelphia Financial Center 310/29 ani o PO Box 51318. Phila.,PA 19101-7208 Philadelphia, PA 19115.6318 FILE NUMBER: V 315 10 27 3 AUGUST 15,2014 EST OF ELSIE SWENSON C/O ROBERT WOODRING 615 TRUMP AVE CONNELLSVILLE PA 15425-4130 WE ARE AUTHORIZING PAYMENT OF S 5,307.67 TO YOU FROM GOVERNMENT LIFE INSURANCE POLICY V 3288412, A PAYMENT FOR $ 5,307.67 IS ENCLOSED UNLESS YOU .ASKED TO HAVE THE PAYMENT DEPOSITED DIRECTLY INTO YOUR BANK ACCOUNT. DID YOU KNOW? . IF YOU ARE A SURVIVING SPOUSE, PARENT OR CHILD OF A SERVICEMEMBER OR VETERAN, YOU MAY BE ELIGIBLE FOR SURVIVOR BENEFITS FROM THE DEPARTMENT OF VETERANS AFFAIRS. GO TO WfiWW.VA.GOV/SURVIV TO, LEARN ABOUT ADDITIONAL BENEFITS TO WHICH YOU MAY BE *THIS IS A ONE TIME PAYMENT. JIE)tTHIS REPRESENTS 283 DAYS INTEREST PAID FOR THE P, THEDATE OF DEATH UNTIL AUGUST 17, 2014. AMOUNT OF THIS ADDITIONAL YOUR SHARE YOUR SHARE DEDUCTIONS FROM YOUR SHARE AMOUNT AMOUNT OF THIS INSURANCE POLICY INSURANCE AMOUNT LOAN LOAN INTEREST LIEN INSURANCE AWARD (PAID-UP) 5, 00 ALL 5,000 .00 AMOUNT OF EACH NO.INSTALLMENTS NO.INSTALLMENTS HO.INSTALLMENTS NO.INSTALLMENTS AMOUNT ACCUMULATED INSTALLMENT (ORIGINAL) PREVIOUSLY PAID THIS PAYMENT REMAINING PAYMENTS PREMIUM REFUND DIVIDEND DIV.INTEREST TOTAL DISABILITY OTHER PLUS ADDITIONS ADDITIONS PAYMENTS 147.15 PREMIUMS DUE LIEN LIEN INTEREST PRIOR PAYMENTS TOTAL DISABILITY LESS DEDUCTIONS DEDUCTIONS OVERPAYMENTS 8. BO THE TREASURY DEPARTMENT WILL ISSUE A PAYMENT IFR THIS AMOUNT QUESTIONS ABOUT YOUR INSURANCE? CALL US TbL1. FREE AT 1-800-669-8477 VA FORM 29-5851 OPERATORS ARE ON DUTY MONDAY THROUGH FRIDAY 8:30 AM TO 6 PM EASTERN TIME SEP 1998 Mallirig Address: P.Q.Box 8700 Harrisburg,PA 17105-8700 i ocatiprt. 409 South 2nd Street Harrisburg,PA 17104 717 231.8080 717 231.8088 Fax PINNACLEHEALTH December 23,2014 Foundation Sapparting pimraeleffmitb Iioaphair and Services Kelly S. Shuffelbottom Paralegal Rhoads &Sinon LLP One South Market Square P.O. Box 1146 Harrisburg,PA 17108 Dear Ms. Shuffelbottom: This letter is in response to your request for information required for the Pennsylvania Inheritance Tax Return for Elsie Swenson. At the time of her death,the CRUT established by Ms. Swenson was valued at$79,252.12. Enclosed with this letter is a spreadsheet that details the values of the assets as of her death. Let me know if you need any further information in this regard. Sincerely, e .Zu It Chief Development Officer PinnacleHealth Foundation Acopyofoarofficialregiatratlonandfinanotalinformationmay boobtainedfromthe PannsylveMeDepatfinentofStatebycaliingtoll-fraewithlnPennsylvania 1-800.732-0999.Registration does not Imply andorsoment. Breakdown by investment-Elsie Swenson as of 06/30/2014 Investment Elsie Investment Elsie%of total Total Portion Alliance 0.432889998 9,622.35 4,165.42 Barrow Hanley 0.432889998 15,344.64 6,642.54 Delaware 0.432889998 15,451.19 6,688.67 Dimensional 0.432989998 6,867.55 2,972.99 Fiduciary 0.432889998 10,102.20 4,373.14 International 0.432889998 32,945.13 14,261.62 PIMCO 0.432889998 18,805.20 8,140.58 SSGA Growth 0.432889998 17,196.79 7,444.32 SSGA Value 0.432889998 14,033.42 6,074.93 Western 0.432889998 42,708.34 18,488.01 183,076.81 79,252.12 P W'i. T 1 if 941 THE ELSIE W. SWENSON IRREVOCABLE CHARITABLE REMAINDER UNITRUST This Trust Agreement made and entered into as of this _361�cl day of J-VviR-- , 1998, by and between ELSIE W. SWENSON, now of-Lemoyne, Cumberland County, Pennsylvania (herein referred to as the "Donor) and PINNACLEHEALTH FOUNDATION, a Pennsylvania not-for-profit corporation with offices at 17 South Market Street, Harrisburg, Dauphin County, Pennsylvania (hereinafter referred to as the "Trustee"). WITNESSETH: WHEREAS, the Donor desires to establish a charitable remainder unitrust within the meaning of Revenue Procedure 89-20 and Section 664(d)(2) of the Internal Revenue Code of 1986 (hereinafter referred to as the "Code"). NOW, THEREFORE, for and in consideration of their mutual covenants and promises, the parties hereto agree as follows: ARTICLE I Trust Assets The Donor hereby absolutely and Irrevocably conveys, transfers and assigns to the Trustee all of the Donors rights, titles and interests in and to the assets listed on Schedule "A", attached hereto and by this reference made a part hereof(hereinafter referred to as the "Trust Assets'). The Trust Assets shall be held, administered, distributed and governed by the Trustee, IN TRUST NEVERTHELESS, in accordance with the provisions of this instrument. ARTICLE 11 Payment of Unitrust Amount In each taxable year of the Trust, the Trustee shall pay to ELSIE W. SWENSON, the Donor herein (herein referred to as the "Recipient'), during her lifetime, a unitrust amount equal to Seven and One Half Percent(7.5%) of the net fair market value of the assets of the Trust valued as of the first day of each taxable year of the Trust(such date shall hereinafter be referred to as the"valuation date" and such amount so determined shall hereinafter be referred to as the"Unitrust Amount"). The Unitrust Amount shall be paid in quarterly installments payable on the last day of each calendar quarter. Any income of the Trust for a taxable year in excess of the Unitrust Amount shall be added to principal. If for any year the net fair market value of the Trust Assets is incorrectly determined, then within a reasonable period after the value is finally determined for federal tax purposes, the Trustee shall pay to the Recipient(in the case of an undervaluation) or receive from the Recipient(in the case of an overvaluation) an amount equal to he difference between the Unitrust Amount properly payable and the Unitrust Amount actually paid. ARTICLE III Proration of the Unitrust Amount In determining the Unitrust Amount, the Trustee shall prorate the same on a daily basis for a short taxable year and for the taxable year ending with the Recipient's death, all in accordance with Treasury Regulation section 1,664-3(a)(1)(v), ARTICLE IV Distribution to Charity Upon the death of the Recipient, the Trustee shall distribute all of the then principal and income of the Trust(other than any amount due the Recipient or the Recipient's estate under the provisions above) to PINNACLEHEALTH HOSPITALS, Harrisburg, Pennsylvania, or its legal success (hereinafter referred to as the"Hospital"). If the Hospital is not an organization described in section s170(b)(1)(A), 170(c), 2055(a) and 2522(a) of the Code at the time when any principal or income of the Trust is to be distributed to it, then the Trustee shall distribute such principal or income to such one or more organizations described in sections 170(b)(1)(A), 170(c), 2055(a)and 2522(a) of the Code as the Trustee shall select keeping in mind the Donors charitable interests. ARTICLE V Additional Contributions If any additional contributions are made to the Trust after the initial contribution, the Unitrust Amount for the year in which the additional contribution is made shall be Seven and One Half Percent (7.5%) of the sum of(a) the net fair market value of the Trust assets as of the valuation date (excluding the assets so added to any income from, or appreciation on, such assets)and (b) that proportion of the fair market value of the assets so added that was excluded under(a) that the number of days in the period that begins with the date of contribution and ends with the earlier of the last day of the taxable year or the date of the Recipient. In the case where there is no valuation date after the time of contribution, the assets so addedshall be valued as of the time of contribution. -- .- ARTICLE VI Prohibited Transaction The Trustee shall make distributions at such time and in such manner as not to subject the Trust to tax under Section 4942 of the Code. Except for the payment of the Unitrust Amount to the Recipient, the Trustee shall not engage in any act of self- dealing, as defined in Seciton 4941(d), and shall not make any taxable expenditures, as defined In Section 4945(d). The Trustee shall not make any investments that jeopardize the charitable purpose of the Trust, within the meaning if Section 4944 and the regulations thereunder, or retain any excess business holdings, within the meaning of section 4943(c). ARTICLE VII Taxable Year The taxable year of the Trust shall be the calendar year. ARTICLE Vill Governing Law The operation of the Trust shall be governed by the laws of the Commonwealth of Pennsylvania and, its situs shall be Cumberland County, Pennsylvania. The Trustee, however, is prohibited from exercising any power or discretion granted under said laws that would be inconsistent with the qualification of the Trust under Section 664(4)(2) of the Code and the corresponding regulations. ARTICLE IX Irrevocability- Limited Power of Amendment i This Trust shall be irrevocable and shatl riot be*subject to ary amendment or` alteration. The Trustee, however, shall have the power, acting alone, to amend the Trust in'any manner required for the sole purpose of ensuring that the Trust qualifies and continues to qualify as a charitable remainder unitrust within the meaning of Section 664(d)(2) of the Code. ARTICLE X investment of Trust Assets Nothing in this Trust instrument shall be construed to restrict the Trustee from investing the Trust Assets in a manner that could result in the annual realization of a reasonable amount of income or gain from the sale or disposition of Trust Assets. ARTICLE XI General Powers of Trustee The Trustee shall possess, among others, the following powers, both as to pi~incipal and income, to be exercised for the best interests of the beneficiaries, subject always, however, to all of the provisions and restrictions set forth in all other ARTICLES hereof: (a) To retain any investments so long as the Trustee may deem it advisable so to do. (b) To vary investments,when deemed desirable by the Trustee, and.to invest in such bonds, stocks, notes, real estate mortgagees or other securities or in any securities owned, issued or underwritten by or any collective investment fund operated by the Trustee or any of its affiliates or as to which the Trustee or any of its affiliates is investment advisor, or in such other real or personal property as the Trustee shall deem wise, without being restricted to so-called "legal investments." (c) To sell either at public or private sale and upon such terms and conditions as the Trustee may deem advantageous to the trust, any or all real or personal estate or interest therein owned by the trust severally or in conjunction with other person, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon the trustee in this paragraph or elsewhere in this instrument. (d) To pay all costs, taxes, expenses, and charges in connection with the administration of the trust. (e) To vote any shares of stock which form a part of the trust and to otherwise exercise all powers incident to the ownership of such stock. (f) To select, employ and compensate any person, firm or corporation engaged in rendering investment counsel advise to advise the Trustee in making investments, managing securities or making decisions concerning the purchase, retention, sale or other disposition of any part of the trust estate hereunder; and to select, employ and compensate any attorney or firm of attorneys to render legal services to the Trustee with respect to the trust estate hereunder. The Trustee shall not be empowered to exercise any power if and to the extent that such power, if effective, would disqualify the Trust as a charitable remainder trust under Section 664(d)(2) of the Code, ARTICLE XII Surety of Trustee The Trustee shall serve without the duty or obligation of filing any bond or other security. ARTICLE All Concerning the Trustee The Trustee may resign at any time and for any reason so long as it appoints a Successor Trustee authorized to serve as a Trustee under the laws of the Commonwealth of Pennsylvania and qualified to serve as Trustee under Section 664(d)(2) of the Code. Any such resignation and appointment of a successor shall be by written notice to the Recipient and shall be effective without court approval. The original Trustee shall not be compensated. Any successor Trustee shall be entitled to compensation for services rendered in accordance with it standard schedule of fees in effect when the services are rendered. No successor Trustee shall be liable to the acts or omissions of the Trustee occurring prior to the successor Trustee taking office. Any compensation payable to Trustee shall not be charged to or reduced the Unitrust Amount. All references herein to "Trustee" shall refer to the original Trustee or any successor, as the case may be, i Yx IN WITNESS WHEREOF, The Donor has hereunto set her hand and seal and the Trustee has caused this Agreement to be signed by its President and to have its seal affixed to and to be attested to be Its Secretary, all as of the date and year first above written. WITNESS: DONOR: Elsie W. Swenson ATTEST: TRUSTEE: PINNACLE HEALTH FOUNDATION By: C S J n S. Cramer Title: Pre ident c ' COMMONWEALTH OF PENNSYLVANIA } COUNTY OF ►��U��t rl') } SS: On this, the Z&U-- day of , 1998, before me, a notary public, the undersigned officer, personally appeared Elsie W. Swenson, know to me (or satisfactorily proven) to be the person, whose name are subscribed to the within instrument, and acknowledged that she executed the same for the purposed therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. Notary Publi My Commissi n Expires: (SEAL) Notarial seal 7Ha Y.Pottelger,Notary Public Misburg,Dauphin county yission EXPIres Nov.9,2000 M.Inber °,�nnsv vania gs,ar,abnn p atarles __ .. COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF a-La?d } On this, the 30 day of -� , 1998, before me the undersigned officer, personalty appeared JOHN S. CRAMER who acknowledged himself to be the President of PINNACLE HEALTH FOUNDATION, Harrisburg, Pennsylvania, a corporation, and that he as such officer, being authorized to do so, executed the foregoing Agreement of Trust for the purposes therein contained by signing the name of the corporation by himself as President, IN WITNESS WHEREOF, I have hereunto set my hand and official seal. 5 Notary Public My Commission Expires: (SEAL) Wer. snnsyvanWa lat Seat er,Notary Public auphln County xpires Nov,g,2000 ssoc at on n otar es The Elsie W. Swenson Irrevocable Charitable Remainder Unitrust SCHEDULE "A" 900 shares of IBM common stock WITNESS: DONOR: Elsie W. Swenson TRUSTEE: PINNACLE HEALTH FOUNDATION G-ekr .. '._._ SEAL Jahn S. Cramer Title. resident THE HARTFORD July 7,2014 Leigh Email: leigb.beshaw@morganstanley.com Reference: The Hartford Annuity 712746032 ELSIE W SWENSON,Decedent Dear Leigh, Thank you for your correspondence regarding the above annuity contract. The death benefit payable under this contract is not considered"life insurance"reportable on IRS Form 712,(life insurance statement).Please find the below information in response to your request. Contract Number 712746032 Owner ELSIE W SWENSON Decedent ELSIE W SWENSON Social Security Number Date of Death used for values June 12,2014 Cash Value on the date of death $127,027.71 Death Benefit Value on the date of death $127,161.94 The Death Benefit Value on the date of death displayed above may include a Death Benefit Adjustment as outlined in the Annuity Contract.This figure is being provided for illustration purposes and is not equivalent to the final death benefit.The death benefit will be calculated on all contracts associated with this client the day we receive due proof of death.Once the death benefit is calculated,the benefit amount remains invested and is subject to market fluctuation until complete settlement instructions are received. Please contact your Investment Professional or one of our Annuity Specialists with any questions or concerns.You may reach The Hartford by calling 1-800-862-6668,Monday through Thursday from 8 a.m.to 7 p.m.and Friday from 9:15 a.m.to 6 p.m.,Eastern Time. Thank you for the opportunity to help provide for your financial needs. Sincerely, Investment Product Services The Harfford wealth Management—Global Annuities ICS Annuity Benefit Services Team 745 West New Circle Road Building 200,1 st Floor Hartford Life and Annuity Insurance Company Lexington,KY 40511 Mailing Address: PO Box 14293 Lexington,KY 405124293 online.hartfordIM.com December 13, 2012 THE ; f HARTFORD #BWNGSGR #Vl9ESJEXBRAJ9# Go paperless! Sign up for MB 01 000157 84086 B 5 A electronic document delivery at IIIIIIIIIIIIIIIIIIIIIIIWI--IIIII-11111II,lll1111If Jill IIII III www.thehartford.com/edelivery ELSIE W SWENSON or call 1-800-862-6668 to learn 5225 WILSON LANE APT#41 more. MECHANICSBURG PA 17055-6663 N 0 Re: Confirmation of Change for Contract Number. 712746032 Plan Type: Non Qualified Dear ELSIE W SWENSON, Please note that our records have been updated with the following information, effective December 13, 2012: Prior _ ` Type of Name Relationship Allocation Beneficiary Designated Estate of Elsie W Swenson Estate 100.00% New =- Type of Name Relationship Allocation �. Beneficiary Designated Janice Huey Woodring Niece 50.00% Designated Robert A Woodring INephew 50.00°l0 The Hartford Wealth Management-Global Annuities Mailing Address:P.O.Box 14293 Lexington,KY 40512-4293 Page 1 of 2 712746032 Estate valuation Date of Death: 06/12/2014 Estate of: Elsie W Swenson Valuation Date: 06/12/2014 Account: 410-054049 Processing Date: 02/04/2015 Report Type: Date of Death Number of Securities: 24 File ID. E Swenson 410 054049 Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 1) 9436.36 Cash (CASH) 9,436.36 2) 23 ACCO BRANDS CORP (00081TI08) COM New York Stock Exchange 06/12/2014 6.34000 6.18000 H/L 6.260000 143.98 3) 400 AT&T INC (0020.68102) COM New York Stock Exchange 06/12/2014 34.87000 34,62000 H/L 34.745000 13f898.00 4) 600 BRISTOL MYERS SQUIBB CO (110122108) COM New York Stock Exchange 06/12/2014 47.45000 46,71000 H/L 47.080000 26,248.00 5) 100 CIMAREX ENERGY CO (171798101) COM New York Stock Exchange 06/12/2014 139.95000 134.52000 H/L 137.235000 13,723.50 6) 92 CONOCOPHILLIPS (208250I04) COM New York Stock Exchange 06/12/2014 83.24000 82.13000 H/L 82.685000 7,607.02 7) 500 CROWN HOLDINGS INC (226368106) COM New York Stock Exchange 0.6/12/2014 49,84000 49.16000 H/L 49.500000 24,750.00 8) 162 EXPRESS SCRIPTS HLDG CO (30219G108) COM NASDAQ Stock Market 06/12/2014 71.72000 71.06000 H/L 71.390000 11,565.18 9) 412 FULTON FINL CORP PA (360271100) COM The NASDAQ Stock Market LLC 06/12/2014 12.49000 12.32000 H/L 12,405000 5,110,86 10) 1700 GENERAL ELECTRIC CO (369604103) COM New York Stock Exchange 06/12/2014 27.16000 26.89000 H/L 27.025000 45,942.50 11) 100 HARSCO CORP (415864107) COM New York Stock Exchange 06/12/2014 27.09000 26.42000 H/L 26.755000 2,675.50 12) 400 HOLLYFRONTIER CORP (436106108) COM New York Stock Exchange 06/12/2014 47.78000 46.43000 H/L 47,105000 18,842.00 Div: 0.32 Ex: 06/04/2014 Rec: 06/06/2014 Pay: 06/27/2014 128.00 Div: 0.5 Ex: 05/28/2014 Rec: 05/30/2014 Pay: 06/13/2014 200.00 Page 1 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 8.0.2) Date of Death: 06/12/2014 Estate of: Elsie W Swenson Valuation Date: 06/12/2014 Account: 410-054049 Processing Date: 02/04/2015 Report Type: Date of Death Number of Securities; 24 File ID: E Swenson 410 054049 Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 13) 400 JOHNSON & JOHNSON (478160104) COM New York Stock Exchange 06/12/2014 103.21000 102.51000 H/L 102.860000 41,144.00 14) 278 NATIONAL PENN BANCSHARES INC (637138108) COM The NASDAQ Stock Market LLC 06/12/2014 10.59000 10.44000 H/L 10.515000 2,923.17 15) 10 PHH CORP (693320202) COM NEW New York Stock Exchange 06/12/2014 23.67000 23.22000 H/L 23.445000 234.45 16) 200 PNC FINL SVCS GROUP INC (693475105) COM New York Stock Exchange 06/12/2014 87.86000 86.84000 H/L 87.350000 17,470.00 17) 400 PPL CORP (69351TI06) COM New York Stock Exchange 06/12/2014 33.82000 33.16500 H/L Div* 0,3725 Ex: 06/06/2014 Rec: 06/10/2014 Pay: 07/01/2014 33.492500 149.00 13,397.00 18) 400 PEPSICO INC (713448108) COM New York Stock Exchange 06/12/2014 87.71000 86,95000 H/L Div: 0.655 Ex: 06/04/2014 Rec: 06/06/2014 Pay: 06/30/2014 87.330000 262.00 34,932.00 19) 46 PHILLIPS 66 (718546104) COM New York Stock Exchange 06/12/2014 83.71000 82.43000 H/L 83.070000 3,821.22 20) 600 SUSQUEHANNA BANCSHARES INC PA (869099101) COM The NASDAQ Stock Market LLC 06/12/2014 10.33000 10.12000 H/L 10,225000 6,135.00 21) 800 WEATHERFORD INTL PLC (H27013103) ORD SHS New York Stock Exchange 06/12/2014 22.71000 22.12000 H/L 22.415000 17,932.00 22) 1166.174 CAPITAL WORLD GROWTH & INCOME (140543307; CWGCX) CL C Mutual Fund (as quoted by NASDAQ) 06/12/2014 47.19000 Mkt 47.190000 55,031.75 23) 1000.805 EURO PAC GROWTH FD (298706300) CL C Mutual Fund (as quoted by NASDAQ) 06/12/2014 49.59000 Mkt 49.590000 49,629.92 24) 734.653 NEW WORLD FD INC NEW (649280302) CL C Mutual Fund (as quoted by NASDAQ) 06/12/2014 59.92000 Mkt 59.920000 44,020.41 Page 2 This report was produced with EstateVal, a product of Estate valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 8.0.2) Date of Death: 06/12/2014 Estate of: Elsie W Swenson Valuation Date: 06/1212014 Account: 410-054049 Processing Date: 02/04/2015 Report Type: Date of Death Number of Securities: 24 File ID: E Swenson 410 054049 Total Value: $468,613.82 Total Accrual: $739.00 Total: $469,352.82 Page 3 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 8.0.2)