HomeMy WebLinkAbout03-24-15 pennsylvania 1505614105
EX(03-14)(FI)
REV-1500 OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN
W
RESIDENT DECEDENT
LA
Harrisburg, PA 17128-0601 NT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
101072014 09201942
Decedent's Last Name Suffix Decedent's First Name MI
iBenner Rebecca E 7'
(if Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse'sFirst Name Mi
n/a
E
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
1. Original Return CZ) 2.Supplemental Return C=> 3, Remainder Return(date of death
prior to 12-13-82)
C=) 4.Agriculture Exemption(date of C=) 5. Future Interest Compromise(date of C=) 6. Federal Estate Tax Return Required
death on or after 7-1-2012) death after 12-12-82)
(W 7. Decedent Died Testate C::D 8. Decedent Maintained a Living Trust 0 9. Total Number of Safe Deposit Boxes
(Attach copy of will.) (Attach copy of trust.)
= 10, Litigation Proceeds Received C=) 11. Non-Probate Transferee Return C=) 12. Deferral/Election of Spousal Trusts
(Schedule F and G Assets Only)
= 13, Business Assets C=) 14.Spouse is Sole Beneficiary
(No trust involved)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
F-*"------------,----------,-----,--*-
Richard L. Placey, Esq. (717) 236-9577
First Line of Address
Placey &Wright
Second Line of Address
3621 North Front St.
City or Post Office State ZIP Code
Harrisburg [:PA] 17 110
Correspondent's email address: pwlaw@epix.net
tri
REGISTER Of'WILLS UMONLY-,` art
REGISTER OF WILLS USE ONLY
DACE FILED I',
DATE FILED STAMP'
--rj
PLEASE USE ORIGINAL FORM ONLY
Side I
1505614105 1505614105
J 1505614205
REV-1500 EX(FI)
Decedent's Social Security Number
RECAPITULATION
1. Real Estate(Schedule A). . . . ... . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . 1. 155,200.00
2. Stocks and Bonds(Schedule B) 2. 9,945.98
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. 92,265.92
6. Jointly Owned Property(Schedule F) O Separate Billing Requested . . . . . . . 6. 0.00
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested.. . . .. . . 7. 0.00
8. Total Gross Assets(total Lines 1 through 7). . . . . . . .. . . .. . ... . . .. . ... . . . . 8. 257,411.90
9. Funeral Expenses and Administrative Costs(Schedule H). ... ... . .. ... .. . . . . 9. 23,010.70
10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule 1).. . . . ... . .. . . . . 10. 19,929.58
11. Total Deductions(total Lines 9 and 10). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 42,940.28
12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . 12. 214,471.62
13. Charitable and Governmental Bequests/Sec. 9113 Trusts for which
an election to tax has not been made(Schedule J) . . . . . . . . . . . .. . . . . . . . . . . . 13. 0.00
14. Net Value Subject to Tax(Line 12 minus Line 13) . . . . . . . . . .. . . . . .... .. .. . 14. 214,471.62
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or _
transfers under Sec.9116 ----
(a)(1.2)X.0 00 0.00 15. 0.00 .
16. Amount of Line 14 taxable
at lineal rate X .0 45 214,471.62 16. 9,651.22
17. Amount of Line 14 taxable
at sibling rate X .12 0.00 17, 0.00
18. Amount of Line 14 taxable
at collateral rate X .15 0.00 18 I 0.00
19. TAX DUE .. . . . . . .. .. .. . . . . . . . . . .. ... .. . . . . . . . . . . .. . .. . . . .... . . . . . 19.L 9,651.22
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Under penalties of perjury, I declare 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 filing the return is based on all information of which preparer has
any knowledge.
SIGNATURE PERSON FOR FILING RETURN DATE
03/23/2015
ADDRESS
Eric P. Benner, Executor, c/o Placey &Wright, 3621 North Front Street, Harrisburg, PA 17110-1533
SIGNATURE OF PREPARE OTHER LAN PERSO RESPONSIBLE FOR FILING THE RETURN DATE
03/23/2015
ADDRESS
Richard L. PI y, E quire, P._cey t, 3.6.21 North Front Street, Harrisburg, PA 17110-1533
111111111 Jill Side 2
1505614205 1505614205 J
nsV-1500sx (R) Page a File Number
Decedent's Complete Address:
DECEDENTS NAME
Rebecca E. Benner
STREETADDRESS
1900 Lincoln Street
17011
Camp Hill PA
Tax Payments and Credits:
1. Tax Due(Page 2.Line 19) (1) 9,651.22
2, Credits/Payments
A.Prior Payments 8.00
B.Discount MO
(See instructions.) Total Credits(A+B) (2) 0.00
u. Interest
|
4. /[Line 2isgreater than Line 1 +Line 3.enter the difference. This iathe OVERPAYMENT. (3) 0,00
Fill inoval nn Page 2,Line 2Otorequest arefund. (4) 0.00
5. If Line I +Line 3 is greater than Line 2,enter the difference,This is the TAX DUE, (5) 9'651.22
Make check DBVGb|e to: REGISTER [lFWILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X,' IN THE APPROPRIATE BLOCKS
1. Did decedent make atransfer and: Yes No '
a. retain the use orincome o/the property transferred.....................................................................................— | | 0
b. retain the right todesignate who shall use the property transferred orits income --------------' E] N
u. retain areversionary interest .......................................—.......—....................... ............................................. [l
d. receive the promise for life ofeither payments,benefits mcare?.................................................................... [l
2. Ifdeath occurred after Dec. 12, 1082.did decedent transfer property within one year ofdeath
without receiving adequate consideration?............................................................................................................. [l
3. Did decedent own un"in trust for"or bank account msecurity athioorhmdooth?----' |l 0
4. Did decedent own an individual retirement account,annuity mother non-probate property,which
contains beneficiary designation? ----------------------------------------
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 nfdeath nnorafter July 1. 10Q4.and before Jan, 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
ia3percent K2PS.68116(a)(11)(i)].
For dates of death on or after Jan. 1. 1995, the bm rate imposed on the net value of transfers to or for the use of the surviving spouse is O percent
[72P.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 ufdeath onorafter July 1.2OUO:
• 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 orastep-parent ofthe child iuOpercent[72P.S.§9116(a)(12)].
* The tax rate imposed unthe net value ofhanofers toorfor the use ofthmdecedent's lineal beneficiaries is4.Spercent,except aenoted in[72PS.§0118(a)(1)).
* The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12percent[72P8. S811G(o)(1.3)iAsibling iodefined,
under Section 9102, as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
REV-1502 EX+ (12-12)
pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
REAL ESTATE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
REBECCA E. BENNER 21-14-0047
All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property
would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts.
Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the property has been sold.
ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
,Real estate situate in the Borough of Camp Hill,Cumberland County, Pennsylvania,more
particularly bounded and described in Deed Book T,Volume 34, Page 1167,known and
numbered as 1900 Lincoln Street (Assessed Value$160,000.00 x 0.97=$155,200.00) 155 200 00 ';
_...:_.,•.., _,..-..,.,.sll _,, ,,.,, ,.._ ,...., r; 41„.:sem:,, .....
i
.(See copy of deed attached.) i
5 ti:
_...... _................. . n:,..,.._,,5�71 3„,N.. ... , ra.._
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TOTAL(Also enter on Line 1, Recapitulation.) $ 155 200.00
If more space is needed,use additional sheets of paper of the same size.
REV-3503 EX+(8-12)
pennsyLvania SCHEDULE B
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN STOCKS & BONDS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
REBECCA E. BENNER 21-14-0047
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
iPrudential Financial, Inc.-109 shares common stock
9,945.981`�
i !(Value at death of death Hi-91.925; La 90.57,valued at 91.24751share)
............
to
Q
...........
f... .,.:,:i i•- ..:
...................
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............ 4. yf _Qlil
Is
I.
i.
All= 01' L'0,
n'
P0.
E_
sa
JIL-
711 3-
J
...........................
TOTAL(Also enter on Line 2, Recapitulation) $t, 9,945.98
If more space is needed,insert additional sheets of the same size
REV-i5o8 EX+(o8-12)
yapennsyLvania SCHEDULE E
DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
REBECCA E. BENNER 21-14-0047
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.: !Lincoln Life and Annuity-401(KO withdraw prior todeath 4 000 00
2 'Prudential-September 2013 dividend §
43.60
3. 'Members 1st Federal Credit Union Savings Account 35474.00(Principal-$1,423.61;Interest-$.04)
1,423.65
4.` Members 1st Federal Credit Union Checking Account 35474.11
1,108.17 i.
5 113elco Community Credit Union Savings Account 1012139
.i 5.52 f]
r ngt
6, iBelco Community Credit Union Checking Account 1012139 17,907.21 11
unclaimed property 459.39
7. !PA Department of Revenue
Zi—R-
8.1 !Prudential Financial, Inc.-replacement uncashed dividends
656.
og
9.! !Lincoln Financial Group, Inc.Holy Spirit 401(K)Plan 66,662.20�1!
10. 'Miscellaneous Personal Property
I
E.
p
Ell, rin�il ZP1.1.MMI`A n 1:;
.......... ....... .......... ...........
:m
TOTAL(Also enter on Line 5, Recapitulation) 92,265.92 11.
If more space is needed,use additional sheets of paper of the same size.
REV-1511 EX+ (08-13)
pennsytvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
REBECCA E. BENNER 21-14-0047
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL E,XPENSES:. -
1 John W.Keefer Funeral Home 1,200.06
L_...,... _...._....... ...._..__. ... ..._..._...., _.._
;
Y
.....__ ..
1i
_.._._....._......_... .......
f
....... .
..... __.................._...._ ..............__
,
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representative(s)
Street Address
City State ZIP
Year(s)Commission Paid:
<
11,250.00"F
2. Attorney Fees: i
4.
ii
i;
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: i:'
353.50 ,
5, Accountant Fees:
�= r
6 Tax Return Preparer Fees:
• s e;
7. i Cumberland Law Journal-estate advertising
s. Patriot-News Company-estate advertising 116.45
s.; Belco Community Credit Union-estate check charge 11.75
1o. 4.00
!Notary Fees
Isi
_._._._._...._..._----_..__.._____.._..__..__.___...._._...__...._._.__.....__..._.._._..---._...__._.__.__._._......_..._._____.._....____._---_..____,....._.._.....___..__....___..._._.___....._�
=Reserve for future costs,taxes and expense ! 10 000 00
}
01,
s,
TOTAL(Also enter on Line 9, Recapitulation) $:, 23,010.70
If more space is needed, use additional sheets of paper of the same size.
REV-1512 EX+(12-12)
pennsylvania SCHEDULE T
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
REBECCA E. BENNER 21-14-0047
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' ?UGI Utilities, Inc.-debt of decedent 333.81 t
2. SPA American Water-debt of decedent I 51.25!1
1; !Cumberland County Tax Claim Bureau-2012 and 2013 real estate taxes 6,737.02 a'.
4. PPL Electric Utiliies-debt of decedent j £, 72.89 t
is
5 !Penn Waste Inc debt of decedent 59.65
6. 'Borough of Camp Hill-debts of decedent(sewer) 1,284.50 3?
7.` !Montgomery Medical Equipment Co.-debt of decedent 4 0 138,48
a 8. 'Home Instead Senior Care-debt of decedent ' 1,373.50 1
s
9. !Golden Living Center-debt of decedent I 6,551.51
,_ ._:_. ,_...,_�___ ..__-:.:...:::-.::,�_�:::.:;��:.���.::�.:::� _.�..,_.«_..__.,._..__ «,:___«.w.._...„.._•___,,._._....._..«.._....»___..._., _._.,:nom. «_._I (esti :,�>s�n:._�>��-�,.�:.:..�
10,; Cumberland County Tax Claim Bureau-2014 real estate taxes 3,326.97,
l
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«._.:.::..... _ _:............ ........... .,,�-:...., :-: ,.:...�..... ._;_'...::,.
{ ii 1 :Sf C1
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4
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4 +
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•.3 4 ..�«_..� �. x^1.4'.."�
TOTAL(Also enter on Line 10, Recapitulation) $, 19 92958
If more space is needed,insert additional sheets of the same size.
IV
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF. FILE NUMBER:
REBECCA E, BENNER 21-14-0047
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under
Eric P.Benner,43 E. Main Street Hurnmelstown,PA 17036 !Son One-Half Residue,
Stephen J. Benner 98 E.High Street Red Lion,PA 17356 'Son One-Half Residue
L_' '
| /
71
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
Ln
TOTAL OF PART II ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. 0.00
If more space is needed,use additional sheets of paper of the same size,
LAST WILL AND TESTAMENT
OF
REBECCA E. BENNER
1, REBECCA E. BENNER, now of Camp Hill, Cumberland County,
Pennsylvania, do hereby declare this to be my Last Will and Testament and hereby revoke all
prior Wills and Codicils made by me.
ITEM I. 1 direct that all of my just debts and funeral expenses, including the cost
of My gravemarker, if any, shall be paid from my residuary estate as soon as practical after my
decease as a part of the administrative expenses of my estate. ,
ITEM II. I give and devise all of my estate of every nature and wherever situate
in equal.shares to my sons, ERIC P. BENNER and STEPHEN J. BENNER, or their issue,per
stirpes. Should either of my sons predecease me and die without issue, such son's share shall be
paid to my surviving son, or his respective issue, per stirpes, as the case may be.
ITEM 111. If any income or principal shall be payable to any person who shall
be under the age of twenty-five (25) or who shall be incapacitated for any reason, my personal
representative, as trustee, shall such income and principal for such beneficiary until the age of
twenty-five (25) or during incapacity (whichever event occurs first) and shall be entitled to
apply such income and principal to the health, maintenance, support and education of such
person after considering other resources available to such person for those needs without the
appointment of any guardian or committee or any authority of court, and shall be entitled to
make.direct application hereunder or to make application by payment thereof to the parent or
other person in charge of such person, or to his or her guardian or to a custodian under the
Uniform Transfers to Minors Act. Any remaining income and principal to which such person
shall be entitled shall be paid and distributed to such person upon attaining the age of twenty-five
(25) or upon the termination of incapacity.
Rebecca E. Benner
ITEM IV. I appoint my son, ERIC P. BENNER, Executor of this my Last Will
and Testament. Should he fail to qualify or cease to act in such capacity, I then appoint my son,
STEPHEN J. BENNER, Contingent Executor of this my Last Will and Testament. No bond
shall be required by my personal representative in any jurisdiction.
ITEM V. In addition to the powers given bylaw to my personal representative(s)
and trustee(s) [hereinafter fiduciaries] in the administration of my estate and of any trust(s)
created herein, they shall have the following discretionary powers applicable to all real and
personal property held by them, including property held for minors, effective without court order
until actual distribution.
A. To retain any property owned by me at my death and to invest any funds held
by them in any stocks, bonds, notes or other securities or property, real or personal, including
common trust funds, mutual funds and money market deposit accounts operated or offered by
my corporate trustee, if any, or any affiliate of it.
I B. To sell or otherwise dispose of any property, real or personal, at any time
forming a part of my estate or the trust estate, for cash or upon credit, in such manner and on
such terms as they see fit, and no one dealing with the fiduciaries shall be bound to see to the
.application of any monies paid.
C. To manage, operate, repair, improve, mortgage or lease for any term [even if
beyond the duration of the trust(s)] any real estate at any time held or owned by them as
-fiduciaries.
D. To hold investments in the name of a nominee and exercise and dispose of
warrants.
E. To engage in litigation and compromise, arbitrate or abandon claims and
property.
Rebecca E. Benner
2
F. To conduct any business in which I am engaged or in which I have an interest
at the time of my death for such period as the fiduciaries deem advisable, with the power to
borrow money and to pledge the assets of the business and to do all other acts which 1, in my
lifetime,-could have done, or to delegate such powers to a partner, manager or employee without
liability for any loss occurring therein.
G. To allocate items of receipt or disbursement between principal and income as
the fiduciaries deem equitable regardless of the character given such items by law; to distribute
in cash or kind or partly in each at valuations fixed by the fiduciaries
H. To borrow money, including the right to borrow from any corporate trustee, if
any, and to mortgage or pledge as security or to hold its own stock if a corporate trustee.
I. To join in any merger, reorganization, voting trust plan or other concerted
action of security holders, and to delegate discretionary duties with respect thereto.
J. Should the principal of any trust herein provided for be or become too small in
trustee's opinion so as to make establishment or continuance of the trust inadvisable, my
trustee(s) may make immediate distribution of the then remaining principal and any accumulated
or undistributed income outright to the person or persons and in the proportion they are then
entitled to income. Upon such termination, the rights of all beneficiary(ies) who might otherwise
have an interest as succeeding income beneficiary(ies) or in remainder shall cease.
K. In general, to exercise all powers in the management of the assets of my estate
or the trust estate which any individual could exercise in the management of similar property
owned in his own right, upon such terms and conditions as the fiduciaries may deem best, and to
execute and deliver all instruments and to do all acts which the fiduciaries may deem necessary
or proper to carry out the purposes of this will or any trust(s) created herein.
L. To apply income or principal to which any beneficiary is entitled, directly for
his or her comfort, maintenance and support, should the fiduciaries deem such beneficiary
incapable of receiving the same by reason of age, illness, infirmity
.9 or incapacity, or to pay the
same to such person or persons as the fiduciaries select to disburse it, whose receipt shall be a
complete acquittance therefore without the intervention of any guardian.
Rebecca E. Bemier
3
M. To assume continuance of the status of any beneficiary with reference to
death, marriage, divorce, illness, incapacity or other change in the absence of information
deemed reliable without liability for disbursements made on such assumptions.
N. All principal and income.shall, until actual distribution to any beneficiary, be
free of the debts, contracts, alienations and anticipations of any beneficiary, and the same may
not be liable for any levy, attachment, execution or sequestration while in the hands of any
fiduciaries. Provided, however, any beneficiary may assign any part or all of the beneficiary's
interest in my estate or the trust(s) to any one or more of the beneficiaries oriny descendants.
IN I TNESS WHEREOF,I have hereunto set my hand and seal this,/C� day
of 2011.,
Rebecca E. Benner
The preceding instrument, consisting of this and three other pages, identified by the signature of
the testatrix, was on the day and date thereof signed,published and declared by Rebecca E.
Benner, the testatrix therein named, as.and for her last Will, in the presence of us, who, at her
request, in her presence,-and in the presence of each other, subscribed our names as witnesses
hereto.
614 tl/7
> 4:71A
-14C A
IV/
4
J 9)
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF DAUPHIN
I, REBECCA E. BENNER, testatrix whose.name is signed to the attached or
foregoing instrument, having been duly qualified according to law., do hereby acknowledge that I
signed and executed the instrument as my last Will,that I signed it willingly, and that I signed it as
my free and voluntary act for the purposes therein expressed.
Rebecca E. Benner
Sworn or ffirm d to and acknowledged before me, by Rebecca E. Benner, testatrix,
this day of T 2011. i
Notary Public
My Commiss7Susqu.,hanna
LTH OF PENNSYLVANIA
otarial Seal
Kirk,Notary Public
AFFIDAVIT Twp.,Dauphin County
n Expires Aug.14,2012
COMMONWEALTH OF PENNSYLVANIA Member,Pennsylvania Association of Notaries
: SS.
COUNTY OF DAUPHIN
We ?cho(d— �. pjouqn J. /..�c'n k.t'G' � �n ,
the witnesses whose names are signed to the attached dr foregoing instrument, being duly qualified
according to law, do depose and say that we were present and saw testatrix sign and.execute the
instrument as her last Will;that she signed willingly and that she executed it as her free and
voluntaryact for the purposes therein expressed; that each of us in the hearing and sight of the
testatrix.signed the Will as witnesses; and that to the best of our knowle- e the testatrix was at that
time 18 or more years of age, of sound mind and under no constra. or ndue intl ence.
//,
Sworn to and subscribed before me this day o
NOt� � ALTH OF PENNSYLVANIA
Notarial Seal
MyM Commission E 1reS: Holly S.Kirk,Notary-Public
p Susquehanna Twp.,Dauphin County
My Commission Expires Aug.14,2012
Member,Pennsylvania Association of Notaries
•
D E E_D
�� ^- - REGO tCED'C�fICE OF WE
MADE the day of %CCUn0i:''.0 UNTY-
-- ft'Ah,i COUNTY PA.
in the year nineteen hundred a d.ninety (199
BETWEEN GARY W. BENNER and REBECCA E. BENNEASB£S:PnAoPaL� 5 f
Camp Hill, Cumberland County, Pennsylvania, Grantors and Parties
of the First Part
A
N
-D.
REBECCA E. BENNER of The Borough of Camp Hill, Cumberland County,
Pr-.nnsylvania, Grantee and Party;
WITNESSETH, That in consideration of the sum of ------------
----one ($1.00)-------------------------------------- Dollar
and other valuable consideration in paid paid, the receipt
whereof is hereby acknowledged, the said Grantors do hereby grant
• and convey unto the said Grantee forever,
ALI, THAT CERTAIN lot of land situate in the Borough of Camp Hill,
(formerly East Pennsboro Township), Cumberland County,
Pennsylvania, more particularly bounded and described as follows:
BEGINNING at a point at the northwest corner of. North 19th
(formerly Exeter) and .Lincoln (formerly Berkeley) Streets; thence
northwardly along the westerly line of said North 19th Street one
hundred' and three one-hundredths (100.03) feet to a point; thence
westwardly along Lots Nos. 196 and 195 on the hereinafter
mentioned plan sixty-three and eighteen one-hundredths (63.18)
feet to a point; thence southwardly along Lot No. 143 on said
plan, one hundred feet to a point on the northerly line of
Lincoln Street; thence along the latter Eastwardly sixty-five and
fifty-one one-hundredths (65.51) feet to the place of BEGINNING.
BEING Lots Nos. 141 and 142 on the Plan of Lots o£ Camp Hill
Estates, said plan being. recorded in the Cumberland County
Recorder's Office in Plan Book 1, Page 90. Being 1900 Lincoln
Street.
• eon 134 rAcf1167
j:
I
• k
_ I
l
BEING THE SAME PREMISES title to which became vested in the
f
Grantors herein by deed of Peter LaPietra and Elizabeth L.
LaPietra, his wife, dated June 18, 1979 and recorded in Deed Book
M, Vol, 28, Page 254 Cumberland County records on June 18, 1979 f.
granted and conveyed unto Gary w., Benner and Rebecca E. Benner,
his wife, the Grantors herein.
This is conveyance between the parties incident to a divorce and
is, therefore, tax exempt.
f
' �•i
• t
• f
REGWTERED BY THE
BOROUG F CAMPH IL .
Secretary
• r
Y
' i
,
r:
i
C41x 1.3 PAGE s
J'
IN WITNESS WHEREOF, said Grantors have hereunto set
their hands and seals the day and year first above written.
Se d a d deliver d in the presence oft
.,t
� Cs+ W✓� (SEAL)
GARY W. BENNER
_.�u tl � k Cit�`t/ (SEAL)
REBECCA E. BENNER
fat" n•»
UT hbyiv,,rtia '
County of Cumberland } SS
Reeorded in fho office for tho raeordinq of Deoos,
of;.,�it, and for Cumberland County, Pa,
in Book _.,Vol.�4..Pngo�r�O7
Vditn ss my hgnd and sea( of f{ice' at
'-ar{isle, _day a _ D
J
Mc7K M PAc:11.6"9
" 1
i
5
I
COMMONWEALTH OF PENNSYLVANIA)
} SS:
COUNTY OF DAUPHIN l )
ON THIS, the G pA day of IG'f 1990, before me, the
undersigned officer, personally appearerd GARY W. RENNER known to
me (or satisfactorily proven) to be the person whose name is
subscribed to the within instrument and acknowledged that he
executed the same for the purpose therein contained.
t
IN WITNESS WHEREOF, I have hereunto set my hand .and
notarial seal. ytf:r`
1�}t i it s jfy '••�.
NOTAMAI$EAL
DIANE M.RUPtCH,Notary Public t--•e :�' Q•:�1;r's'•:','es r..
Harris0utg,PA Dauphin CountyNOTAR PO L C '. %`'` ,4 �•���`''�'.zl '
My Commission Expltas Aug.80,1993
COMMONWEALTH OF PENNSYLVANIA}
SS:
COUNTY OF DAUPHIN )
ON THIS, the day of i , 1990, before me, the
undersigned officer, personally ap eared REBECCA E. BENNER known
to me (or satisfactorily proven) to be the person whose name is
subscribed to the within instrument and acknowledged that she
executed the same for the purpose therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand ands'1,yaat'�' • .
notarial seal
My Commission Expires:
SMMRID a.ISOYER r'rtafyPtiun., } x c,•
�pf4»':,�'�:;�E:�r�.'!n•;,.qt 1991 �.� ,•� �_t �. �. ";, ,`,?s...
SPA 0a#**aC0U&y NOTARV PUBLIC , � �C,`•°'
000 :^••�r `
•.Iltlaataa`•
Certificate of Residence
I hereby certify that the precise residence of the grantee herein
is as follows:
r
1900 Lincoln Street
Camp Hill, PA 17011«
rn
---
At torne ar Agent or�Grantee
ebox 34 nccAVO
Prudential Financial Inc., PRU Historical Quote - (NYSE) PRU, Prudential Financial Inc. ... Page 1 of 1
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l,ttn•//hi ucharts.n,a.rketwatelh.com/historical/default.asU?svmb=pru&closeDate=1%2F07%... 1/17/2014
'
A
MEMBERS l~
FEDERAL CREDrr UNION
REGULAR SAVINGS ACCOUNT:
AccountNuonbar/8uffix 35474-00
Date Account Established 11/02/1883
Principal Balance atDate ofDeath $1,423.61
Accrued Interest to Date of Death $0.04
Total Principal and Accrued Interest $1.423.66
Name ofJoint Owner None
CHECKING ACCOUNT:
AocountNumber/Suffix 35474-11
Date Account Established 04/29V1992
Principal Balance atDate ofDeath $1.108,17
Accrued Interest to Date ofDeath $0.00
Total Principal and Accrued |nbaraat $1.108.17
Name ofJoint Owner None
VISA CREDIT CARD ACCOUNT
Account Number 4672090000074013°
Date Account Established 06/24/1888
Balance at Date nfDeath $1.764.24
Joint Cardholder None
*CHARGED OFF 12/27/2O12.
SAFE DEPOSIT BOX: NONE
M RS 1 ST FEDERAL IT UNION
&ae A8�Kline
�
Lending Insurance Support Specialist
January 31. 2O14
Estate of: REBECCA E. BENNER
Date of Death: 01/07/2014
Social Security Number: 2O%'32'G885
5000Louise Drive , I!(} Box 4U , Mechanicsburg,Pennsylvania 17055 " (800) 283-2328 ° wwwrnemberslst.org
BELCO
COMMUNITY CREDIT UNION
Decedent Account Information (On Date of Death)
Belco Community Credit Union
1. Name(s) in which the account was held: Rebecca E. Benner
2. Account Number: 1012139
3. Total Account Balance as of Date of Death: $17,912.73
Balance Accrued Dividends Date Opened
Regular Savings $5.52 $.00 (01/01/14-01/07/14) 08/29/13
Holiday Club $
Whatever Club $
Money Market $
Checking $17,907.21 $.47 (01/01/14-01/07/14) 09/21/13
IRA $
Certificates:
Certificate Number Balance Accrued Dividends Date Opened
$
$
4. Name(s) in which Safe Deposit Box was held:
5. Date the box was initially rented:
6. Branch address at which the box is located:
;ru�m ����� OHOLY
� n
]� poB�r�s
Fonvvaynn./w4e0O1'7�oFin@ncial ��noupe With You For Life
Your Retirement Account
10/01/2013 12/31/2013
AT 03 183485221231-18094**3DET Lincoln A0ianpe& �[��[a��
program
REBECCA E BENNER Account Information
1000 LINCOLN STREET Name: REBECCA E BENNER
CAMP HILL PA 17011'3839
Company HOLY SPIRIT HEALTH SYSTEM
Nene:
Plan Name: HOLY SPIRIT 4O1(K) PLAN
Plan ID: HSHS'001
Jotal Account Value s.of 1213112013 Your Personal Rate of Return* (as ofY213YC2013)
3-Month YTD 1-Year 3-Year 5-Yearco
-
2.51 Y6 7.96Y6 7.96% N/A N/A �
Account Summary *Personalized rate of return represents the individual performance ofthe
mvvmmnnVu)you have selected for your portfolio. The calculation Includes
Balance (as oy10/0Y/20Y3) $79`781.57 activity myour account(such aocontributions,exchanges umonomvemmom
Investment Earnings 1.011.36 options,em.)using daily share price meffect when the activity occurred.ome.
Dividends 869.27 performance calculations shown oothis statement are different. Because the
timing myour Investments and withdrawals will vary,your personal Investment
Distributions '$15.000.00 results will generally not»othe same uuthe Investment returns quoted for the
Balance(as ofY2/31/20Y3) $66,882^20 individual funds you have selected.Quoted performance data represents past
vamormunuv pa�nomo,maooauoaaomouu�moen^,»�uxx�m�
T�t�| �������t���\�� ���.���^�D venonnoove ou"am;e�onnanuemuy»o/mma,v,m000rmanm�
� �
Vested Balance $88.662.20 performance data quoted. ==
Contact J f6 4tion
Customer Service:
~~
Our customer service representatives are available at
8O0'234'36O8. Monday' Friday,from 8:0Oamto8:OUpmET.
Online Service: -
-
Fcvyou/ updated account values,fund performance
informoUon, and bnaccess education/planning tools, visit
Linuo|nFinancia|.Vom.
4z-- Representative:
Lincoln Customer Service Rep
880.234.3500
Please contact your representative, Dave Weiland at8G8-755-Q342 %
orElaine Norris at8GG-347'8851 ifyou have any questions regarding
your account orretirement needs,
Lincoln Financial Group mthe marketing name for Lincoln National Corporation and Its affiliates,Affiliates are separately responsible for their own financial and contractual
obligations.
pxu1e01*00cwBo01/2-323