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HomeMy WebLinkAbout05-04-15 (2) � �` pennsylvania 15 0 5 618 4 0 3 o��arra.r oF�X(03-14) R�-1500 OFFICIAL USE ONLY Bureau af Individual Taxes Coumy Code Year File Number Po Box 2sosol INHERITANCE TAX RETURN Harrisburg,PA 17128-0601 RESIDENT DECEDENT 21 14 0 7 8 4 ENTER DECEDENT INFORMATION BELOW Social Securily Number Date of Death ����Y Date of Birth A�ADDYYYY 2U5 38 6939 oa n2 20Z4 ],2 02 1948 DecedenYs Last Name Suffix Decedent's Firs4 Name M� f1CCURDY EU6ENE H (If Applicable)Enter Surviving Spouse's Infortnation Below Spouse's Last Name Suffix Spouse's First Name M� THIS RETURN MUST BE FILED IN DUPLICATE INiTH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW � 1. Original Retum � 2. SupplemeMal Retum � 3. Remainder Retum(date of death priorto 12-13-82) � 4. Agricultural Exemption(date of � 5. Future Irrterest Compromise(date of � 6. Federal Estate Tax Retum Required death on or after 7-1-2012) deafh after 12-12-82) � 7. Decederrt Died Testate � 8. Decedent MaiMained a Living Trust � 9. Total Number of Safe Deposrt Boxes (Attach copy of will) (Attach copy of Vust.) � 10. Litigation Proceeds Received � 11. Non-Probate Tra�sferee Retum � 12. DeferraUElection of Spousal Trusts (Schedule F and G Assets Ony) � 13. Business Assets � 14. Spouse is Sole Ber�ficiary (No trust involved) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFlDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number JERRY A WEIGLE ESQUIRE 717 532 7388 First Line of Address 126 EAST KING STREET Second Line of Address City or Post Office State ZIP Code �v SHIPPENSBURG PA 17257 � eJ7 -� � .,.�c,: c� rn � CorrespondenYs email address: �'' �� �' -�—� � - c'> �.. _.;� `' .. REGISTER O�'WIL�.S USE ONLY ; "1 .._ , . y -� ; C:::J REGISTER OF WILLS USE ONLY " ` : _ , �y DATE FILED YMDDYYYY ,: , ,..y "TJ �,y -.:� -;� � -+7 F--+ --- C� ; ('� �_ I"'1"1 C�) U> � "'s 7 DATE FILED ST� Side 1 I I��III II��I IIIII�II�I'llll IIIII II�II IIIII II�II'�II�IIII Itll L1505618403 1505618403 � .,�.�,..�. �_.m rurnr� r J 1505618411 REV-1500 IX DecedenYs Social Security Number DecedenYsName: MCCU�CIj/, Eugerle H. RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... 1. 2. Stodcs and Bonds(Schedule B)......................•-•-•-•-•---•---....................................... 2- 3. Closey Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3. 4. Mortgages and Notes Receivable(Schedule D).................................................... 4. 5_ Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E).......... 5. 12,4 91 • 2 0 6. Jointly Owned Property(Schedule� � Separate Billing Requested............ 6. (Schedule G) �Probate Property 7. Inter-V'rvos Transfers&Miscellaneous Non Separate Billing Requested..._._...... 7. 21,6 4 2 • 4 0 8. Total Gross Assets(total Lines 1 through�-•-•-•-.-.-.---•........................................ 8. 3 4,13 3-6 0 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 3,4 0 5 • 2 5 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................ 10. 3,9 8 6 - 8 3 11. Total Deductions(total Lines 9 and 10)..............................•------------------._............. 11. 7,3 9 2.�8 12. Net Value of Estate(Line 8 minus Line 11)....................••••••••••••••••...........--••------- 12- 2 6,7 41 • 5 2 13. Charitable and Govemmental Bequests/Sec 9113 Trusts for which an eledion to tax has not been made(Schedule J)............................................... 13. 14. Net Value Subject to Ta�c(Line 12 minus Line 13)............................................... 14. 2 6,7 41 -5 2 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.00 15. 0-0 0 16. Amount of Line 14 taxable atlinealrateX .045 26,741 • 52 �6� 1,203 - 37 17. Amount of Line 14 taxable at sibling rate X.12 0-0 0 17• 0 • 0 0 18. Amount of Line 14 taxable at collateral rate X.15 0 • 0 0 �$- 0 • 0 0 19. TAX DUE..........-•......................................................................................•••........--- 19. 1,203-37 20. FILL IN THE OVAL IF YOU ARE REQUES'i1NG A REFUND OF AN OVERPAYMENT � Under penaf6es of perjury,I dedare I have examined this retum,induding accanpanying schedules and statements,and to the best of my knowledge and belief, it is true,oorrect and complete.Dedaration of prepa2r oth�than th rson responsible for fi' the retum is based on all information of which preparer has arry knowledge. �,G�� � _.C��.l�+�-9--�-_..'4'� S-�" �S SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN J yce A.Villareal �A� ADDRESS ^ ,i-- 2406 East-West Highway,Silver Spring, MD 2 (� : �'�w �'� �S SIGNATURE OF PREPARER OTHER THAN REPRESENTATNE �Jgryy .Weigle Esquire �^TE ADDRESS 126 East King Street,Shippensburg, PA 17257 I I��I�I��'�I�IIII����I�II���II�I II��I I�III�I'�I II��I���I�'�� Side 2 L. 15�5618411 150561d411 � PA Inheritance Tax Return Signature of Additional Fiduciaries ESTATE OF FILE NUMBER McCurdy,Eugene H. 21-14-0784 Under penalties of perjury,1 dedare that I have examined this retum,induding accompanying schedules and statements,and to the best of my knowledge and belief,it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. � � ' Signature#2 ;��� '� �� ��� l��? ' % �-- <�� �--�-�-��. N��e Donald L.McCurdy � Address1 7983 Scenic Drive Address2 CI�/,S�te,Zlp Shippensburg,PA 17257 Date �/� /�'� REV-150U DC Page 3 Fle t+t�nber 2'f-'�4-0784 DecedenYs Complete Address: DECEDEM'S NAME 141IcCurdy,Eugene H. STREEfADDRESS Shippensburg Heattb Care 121 Wa[nut Bottom Road C(lY ST�TE Z!P Sf�ippensburg PA 17257 Tau Payments a�nd Credits: 1_ Ta�c Due(Pag�2,line 19) (1) '1,203.37 2 CreditslPaym�..nts A. FriorPaym� 9,0�00.00 8. Discount 52.63 Tatal Crecfits(A +g) (2) 1,052.63 3_ intsrest (3) 4_ If Linz 2 is greater tEsan l.ir�1+!�e 3,enter the di�nce_ This is the OV�AI(11ENT- (4) Citeck box on Page 2,Line 20 to request a refi�n� 5_ df Line 1+!�e 3 is greater ti�an line 2,e�t[er�"iffierenc�_ This�the TAX DUE_ (5) '{50.74 Ma[ce Check Pa abte to: REGISTEFZ OF 1MLLS, AGENT. ���,,��1��'l� PLEASE ANSINER THE FQLlOWING QUESTIONS BY PLACING AN"X"lN THE APPROPRIATE BLOCKS 1_ Dyd dec�dent rrta�ce a traresfer and: Yes No b_ retain�nght to d�grsate wE�o�l use fhe properfy transferred or its iro�;--••••••••••-•-•----------------- I[]{ � ' .............•-•-•---•-•-•-•�•-•••-•-••........................•-••••••••••••............. x � r�ain a revep� mteres�oc-•-•-pa�.._. .............•----------------•------------- � � ry � d. rerzive th� rse for fife of edher er�ts,bene8ts or care............... � 2 If death occttrred after Dec. 12�1982, did decedert transfer-prop�t�r writhin one y�ar of deaffi wrtfhout rec�iving adequate wnsidsrahon••-•-•-•-•-••-•- � � 3_ Did de�dent awn an 5n trust fo� or payab�upon death bank account or securify at his or her d�atf►?....... � �x 4. Dad decedent onnm an individual re�rement accour�annuily,ar other non-pro�s,prop�rty wFiich contains a bene�iciary designaho�n-------------• '�' 0 IF THE ANSIM�ERTO ANY O�F THE ABflViE QUESTIONS IS YES,YOU eAUST COAitP1�TE SCHEDULE G AND FILE lT AS PART OF TH�RETURN. i�l �I�3� ��'��� For dates af death on or after Juty 1,t994 and before Jan.1,1995,tf�tax ra�enposed on the nzt valu�of tra�,-¢ar to or for tf��of the survivs�g spouse �3 pe�ent[72 P_S_§9116(a)(1.1}n]. Far dates of d�ath o�or a�ter.tanuary 1,i 935,ft�tau rafe irt�osed on�net value of traRsiars ba or for fhe use of€ne surviving spou��0 perc2nt [72 P_S_§91 t6(a)(1_7)(71. The stahrte does not exempt a transf2r Eo a survnrig spouse fEom tax„and the sfatutory�r��2merds for d�c4osur2 of ass�s and fi6ng a tax retum are sfi�applicabF�ev�n if the surviving spouse's the onty�fiaary- For dates of daath on or aR�Ju�y 1,2000: .Tfie fax ra�imposed on tlie net vak►z of hansfers from a dec2ased dnld 21 years af agz or yoamger at death to or for the�of a rca�ral par2nt,an ado�2 parent,or a step-par�nt of ffie chi3d is 0 parcent[72 P_S_§9116(a)(12)J_ • The fax rate impased on fh?nef vatue of fra�fo�for ft�use of ff�dec�cfent's fineal benen'aaries 6 4.5 per�nf,excepi as nofed in[72 P_S_§9 S t 6(a}(t}]. .The tau rate Qnpos�d on the net walue of trartsf�rs fo or for tfie use of the deced�nt's sib6ngs is 12 percVn�[72 P.S.§9116(a)(1.3)]_A s��g is dafeted, ander Sec�ion 9102,as an mdividual who has at least on�parent�common wifh fhe d�2d��wFtzther by blood or aaiopbon_ � � � ��n � Rev-1508 DC+(p�12) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, � MISC. DEPARTMENTOFREVENUE pERSONAL PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER McCurdy, Eugene H. 21-14-0784 Indude the pcooeeds of litigatian and tlee date tlie proceeds were receova�l Iny 7h�as6ate. All proputy jarrtly-owned with fhe rigM otsirvivorship must be disdosed on sched�de F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Centurytel,Inc.-Refund 19.17 2 Fogelsanger Bricker Funeral Home-Reimbursement for overpaid fu�eral expenses 503.74 3 Highmark-Premium reimbursement 126.44 4 Highmark-Express Scripts-refund on medications 17.55 5 Highmark-payment reimbursement 9.57 6 Highmark-Premium Refund-Medigap 127.70 7 M�T Bank -Classic Checking Account 9497 8,995.11 Accrued interest on Item 7 through date of death 0.05 8 One Main Financial-Refund 1,211.87 9 Reese-Dangello Agency Nationwide-Refund 111.00 10 Social Security -Refund 1,369.00 TOTAL(Also enter on Line 5,Recapitulation) 12,491.20 (If more space is needed,addfional pages of the same size) Copyright(c)2012 form software only The Ladcner Group,Inc. Form PA-1500 Schedule E(Rev.08-12) Rev-1510 EX+(pg.p9) SCHEDULE G pennsylvania lNTER VIVOS TRANSFERS AND DEPARTMENTOF REVENUE MISC. NON-PROBATE PROPERTi Y INHERITANCE TAX RERIRN RESIDENT DECEDENT ESTATE OF I FILE NUMBER McCurdy, Eugene H. 21-14-0784 This schedule mus[be campReted arnd filed'aE Lfie answer to arry d questions 1 through 4 on page three d Yk�e REV-95m0 is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH °K OF DECD°S �CLUSION TAXABLE NUMBER ��}N{E DATENO�F TR�ANSF�ERSAITACFI A COPY�OF THE DEED FORECREAL Esr�n�. VALUE OF ASSET iNTEREST (IF APPLIGIBLE) VALUE 1 MONY Life Insurance Company of America IRA(Tax 27,642.40 21,642.40 Qualified) TOTAL(Also enter on Line 7,Recapitulation) 27,642.40 (If more space is needed,additional pages of the same size) Copyright(c)20Q9 fortn software only The Ladcner Group,Inc. Form PA-1500 Schedule G(Rev.OS-09) 1.. 1 .II Illllll 1 REV-1511 D(+(pg�13) SCHEDULE H pennsylvania DEPARTMENT OF REVENUE FU N E RAL EXPENSES AN D 'RESIDENTDECEDE�R" ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER McCurdy, Eugene H. 21-14-0784 Decedent's debts must be reported on Sched�ule I. ITEM DESCRIPTION AMOUNT NUMBER q, FUNERAL EXPENSES: B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zio Year(s)Commission Paid Z, Attomey's Fees Weigle 8�Associates,P.C. 3,000.00 3, Family Exemption_ (If decedenYs address is not the same as daimanYs,attach explanatuon) Claimant Street Address Ciry State Zun Relationshio of Claimant to Decedent 4. Probate Fees 190.50 5. AccountanYs Fees 6. Tax Retum Preparer's Fees 7. OtherAdministrative Costs 214.75 See continuation schedule(s)attached TOTAL(Also enter on line 9,Recapitulation) 3,405.25 Copyright(c)2013 form soflware onty The Ladcner Group,Inc. Form PA-1500 Schedule H(Rev.08-13) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER McCurdy, Eugene H. 21-�4-0784 ITEM NUMBER DESCRIPTION AMOUNT Other Administrative Costs 1 Cumberland County Register of Wilis-Filing Final Release 5.00 2 Cumberland Law Joumal-Advertising 80.00 3 The News Chronicie-Advertising 104.75 4 Weigle 8 Associates,P.C.-Postage,copies,misc.phone calls 25.00 H-B7 214.75 Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.6-98) ��, i iwn i Rev-7512 EX+(12-12) SCHEDULE 1 pennsylvania DEBTS OF DECEDENT, DEPARTMENT OF REVENUE INHERITANCETAXREfURN MORTGAGE LIABILITIES AND LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER McCurdy, Eugene H. 27-14-0784 Report debts incurred by fhe decedc�t prior to dealh tliat remained�mpaid at the date of death,includi�g unreimbursed medical expe�es. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Chambersburg Hospital-drugs 48.46 2 Shippensburg Health Care Center 3,900.00 3 Trinity Pharmacy Services Newport-drugs 38.37 TOTAL(Also enter on Line 10,Recapitulation) 3,986.83 (If more space is needed,additional pages of the same size) Copyright(c)2012 form software only The Ladcner Group,Inc. Form PA-1500 Schedule I(Rev.12-12) REV-1513 DC+(07-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENl1E INHERITANCE TAX RETURN BE N EF IC IARI ES RESIDENT DECEDENT ESTATE OF FILE NUMBER McCurd ,Eugene H. 27-14-0784 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE OUNT OF ESTATE NUMBER PERSON(Sl RECEMNG PROPERTY DECEDENT (yyords) (�$�) Do Nat List Trust s I� TAXABLE DISTRIBUTIONS [indude outright spousal disVibutions,and transfers under Sec.9116 a)(1.2) Donald L. McCurdy Brother FifCy Percent of 13,370.76 7983 Scenic Drive Rest and Shippensburg,PA 17257 Residue Joyce A.Villareal Sister F�tty Percent of 13,370.76 2406 Wast West Highway Rest and Silver Spring,MD 20910 Residue TOtal 26,741.52 Enter dollar amour�ts for distributions shown above on lines 15 throu h 18 on Rev 1500 cover sheet,as a ro riate. NON-TAXABLE DISTRIBUTIONS: II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE Copyright(c)2010 form soflware only The Ladcner Group,Inc. Form PA-7500 Schedule J(Rev.01-10) , �.-----A 1 AS'T�VILL AND'�ES�A��T resen�l residin� at �32 ?�eil Rc�ad, Shippensbur�, Cur�b�erland I, EUGENE H• McCURDY, P y ublish County, Pennsylvania 1725'7, being of sound mind, memory and dispersit��n,o d al��=ills by�me at any and declare this m5° Last�ill and Testament,hereby r�voking and makin� �ime heretofore made. FIRST. I order and clirect t�e payment of all mv �e¢al�v enforceabTe debts and funeral expense�as saon as may b�conv�nient after my decea.se. JOYCE�. VILL�REAL,pres�n�iy residu��at SE_ C��,rD. I �i�e and bequeath to my si�ter, � ' lace settings of silver flatware 2406 East-West Highway, Silver Sprin�, 1Vlaryland 2Q910,the ei,�ht (�)P �vhich were given to me by my mo#her- In the vent that JoYce A. Villareaal. should predeeease me or is � d��, I�.�en �ive and b�queath said ei�ht place no longer livin�on the sixtieth(60�) day follawing Y setiin�s of silver flatware to m�T niece,JESSICA VII.LAREAL• -���D. I �ve and bequeath the full sum of �d ne heow�D����� CC��D (�1,500.00}DOLLAI�S ta each of my follawing na�n� �LEX�.r`rTD�R VIIILAREAL- DA�4�i T L.�LcCURDY,JESSECA VII�LAR�AL, FOL�RTH. I give and bequeath the proceeds from m� life insurance polieies, any I�� �� any pr�oceeds from nay Individ� Retirement proceeds from my pension and profit shann� p resentt re�iding at 7983 Sce�ic Accounts, in equal shares, to my brother,DONALD I1. 1!'IeCURDY, p Y or to the Drive, Shipp�nsburQ, pennsyivania �72�7, a�ad to my sister. JOYCE A. VII�LAR�AL, survivor(s}thereof. F�TH. � gi�re, devise and bequea.�h. all of the rest, residue and remam�d o�er� my estate; reai, person� and m�ed, whatsoever and wheresoever situate; to nay m � e ual s�ares, an a per DONA�D L• �1`��C��y� �� �y sister, JOYCE A. VII-��A-�AI'? 4 surge.s c�siributi�u�casis. S��'��- I nominate, constitute and appoint my brother, DONALD L- McC�RDY, and my sister, JOYC� A. �ILLAREAL: °r fhe sur«�°r therCr�f, to be the Co-Executors of �us m., �,�t �i11 and Tes#ament. In the event tha� neither of�n�itute and�aPPomt�mYs s ster-an-ia ve � to fulfil� the ciuties of Co-Executor, I then nom�nate, c DAI2LEi�'�Nf.McCURDY, and my brother-ir�law,GUIDO VILLACR�S,or th�survivor thereof to be the C'o-Execu�ors of this my Las�Wili and Testament a �J��. (SEAI,) PA t7257-�397 1h'EiG�E f A�SO�QATES. °�C- - ATTORN�fS AT LA1�V - 7Z6 EAS"f KI^iG ST:�ET - SH7PP�.3`f58UR . i ;� SEV�TTH. I direct that my personal representatives sha11 r�ot bz requirec�to give bond for the faithfi.�l performanr.e o�their duries in any jurisdiction. EIGH�I. I hereby direct t�a.t all federal, state and other death�es payable because of my death, ��ith re�pect to fhe property farming my goss estate for t� �urposes, whether or not passing under this �it�, iricl�ading any intere� or penalty i_mposed in cc3na��.ctio� with sueh �es; shall be cansidered a part of�he expen�e of administration of my es€ate anc�tl�at such be paid out of the rest and residue of my e�ate. NINTH. I d.irect my Co-Executars �o retain the servic,�,s of JERRY A. WEIGL�, E,SQLTiRE, with offiees located at 126 East King Stree� Ship�ens�it.3rg, Fennsylvania i7257, with res�ect to the settiement of my e�tate due to his familiarity with m}` a�faiis. N WITNESS WHEREOF, I, EUGENE H. 1VIcCURDY; ha`re I�ereunto set my hand and seal to this my�ast Will and Testamen� writt�n on tv.o (2) Pages;the fi�rst pa�e signed for ide�iafica�ion on1y, this � R'l day of _ 2002- (S�AL) L�JEI6LE � ASSOCIATES. �C_ — ATTORNEYS RT LAW — 1Z6 -AST Ki\� STREET — SHIPPE:VSBURG. PA t7Z57—i397 ; r — a.� a. � , � •: �. �� �+,� � � � ii���t�_ �i�� _ . _ _ . . � � ,..__-- _,--_� .. ..,_�� _�,�...._.,t� This instruine�t was by the Testator, on the date hereof, si�ned, publishe,i anc� declared by him to be ' his L�t Will and Testament; in our presence, who at his request and in 'the presence of each other, � we b�elie«ng him to be of sound and �isposin6 mind and memory, l�a�Te hereunto subscribed our names as��itnesses. : , f` , 1.� �� d a �:=.s'��!. �� '�;�f��t� - _ J/ �/,1 ��,� ///��J ��� � ,�j✓��,�.���-v�✓rf ��� I I � rg � ��. ���l.t��� 7�t - -- 1 if I i COiV1MO�WEALTH OF PEl��TSYL.VA��IA : , : SS � COI�T�TTY OF CUMBERLAND = ; I, Eugene H. McCurdy, the person uThose name is si�ned to the for��oing ins�ru�nent ha�nn� been diz�y e�ualified acr.ordin�ta lauF,do hereby acl�owledge tha�I sianed and executed the instrument as my Last Will, that I signed it wiIlingly; and that I signed it as my free and �Foluntary act for the purposes therein ex�resse� � �`n' - a�� - �;�;,:��r aff�.�e�ta and a4�oevledged before � me by Eu�ene H. MeCurdy, the Testator, � tbis �'���Y of r�� �2002_ i �,'1 � ��__ � f � i �' � a � .; . - � = . i� � r. - �- , t =- t3aTAR1AL SEAL '- - ��y p_Weig�e,Notarll�'�biFc �- �� '` ensb+i�9,�'A Cumbetiand CounfY - Sh'spp ,' �: a m's��'u��x��res�t�ab�07.2�2 s Mv Co� � ' _ � Y _ _ ..a_ .i+ - .. - -'S _ _ j�� Vy—�.q6LE�F A556�CiAT�.S. PC_ — ATTO�NEYS AT LAW — 126 EAST iUP�1� SS'.:-�=� -�- S:-d➢�PPE7�'S3UrZG. PA 17Z57-1397 t, ... _ .... . . . ,.��� is,���4��'z iai -- � . . �� � `v�y�� . `' �9�.�� �'� �'�-��\. ��uS�dzla��� � � ` �a�a*n+,e 3'�.s,e..�v ,t«wr,r,. ��.,. ....... .. ..�... . -----..... .. .. _.__.__. ..._.. _ . ...._.__ ..._.... .; .. - - . v.� -�l "� ._. COivIl��fONtT�EALTH OF PENN�YLVAI'�IA ' : SS , COLTI�'I'Y OF CUMBERLI��D = We �`�,��Z'� �'� � �.����t^�' , ���r; ��et ;'-1- ��'A �f _ ! : a.nd���;t���;'� �..- �c��n-� , the witnesse� `vhose names are si�etl to the fore�oin�instrume�t�being duly qualified according to Iaw, dQ d��ose and say that��ve w�re przsent and saw Eugene H. McCurdy, the Testator, sign and execute �he tnstru�n�;n� as his Las� Wi�l; tha€he signed Iwillingly and that he executed it as his free and voluntary act for th� purpases therein expressed; �a� each o�us in tl2e hearing and si��of iha`I°es*,�tur, si�ed t�e w�:� �.s ���tness�s; and t�at to t�ie best of our know°�edge #�e Testator was at the time ei�hteen (18) or more }�e�r, of age and of sound m{nd as�d u�der no cons�raint or undue influence_ -1 �. F: � ; ,,- ,,� � ,�,�,� i'�.��.� � � �-_-��;_�. , _ � -oi J �.��,�a'-�,.., !?'� T'f:L-j V a{� _ ` � t/ '�� ,�e �f��-r i�i £`` 7 C�Y l:fi'�— Sworn or affinned to and subscrihed hefore me � f °� , by c����.�{ ;i �� i '�X����'�`-� , , / - / �IJ��• +-���� � • -�� � fi , t . �a ��� - �_- �-,� � � . � r ��itnesses,this��,,,�ciay of ���"� �,200�. � y � ` � �i 6- �,,�' �-�/ - :_ ,`� ,-`� j � ;=� �� . � . - ' t�-_ � , =�- .� �- - - _ - -: ' NOTA}�1A�SEAL f.,. Jet sy A�/eig��e,Nofary Pubi'ic ' '-:° _ Shippensl�urg,PA Currt�rland CQc�rty �- �_ M CamrnisS�on�xeir?s October�7.2�02 - -• .. , - - . .� •W�IGLc 6c ASSOCtAT�. P.C_ — ATTORNEYS AT LA�N — i26 EAST 'rCING �s?=E- — SHIPPE:V56U�-Z��. P.'A 172 57-13 9 7 __ _ ___ __ �.._�----> 0 MBTBank 499 Mitchell Road,h9illsboro,DE 19966 Records�vtanagement Phone 888-502-4349 F ax (302)934-29�? October 22,20]4 Weigle&Associates,P.C. Attorneys at Law 126 East King Street Shippensburg,PA 17257-1397 Re: Esltate of Eu�ene H_McCurdv Social Securi�: 205-38-6939 Date of Death: August 2.2014 Dear Sir or Madam: Per your inquiry on October 16,2014, please be advised that at the time of death,the above-named decedent had on deposit with this bank the following: 1. Type of Account Checking Account AccountNumber 9840359=197 _ O►+'nership(Names of/ Eugene H.McCurc7y' � Joyce A. Yillareal(POAj Openirrg Date 02/06l2006 Balance on Date of Death �S 8,99�.ll Accrued Inlerest � -Oj __--- --- - _ - __ Tat�' w Q 595.t E For aov addi600a!informafion on the abo��e accounts,iacluding owners6ip aud any ci►aoges,rlo�ures and/oe reimbursemeut of funds, plrrse call the�ValnuY Bottom st 717=532-2414. �'e were uoable to locate aar•safe deposit boz tor the above-mentioned decedenL 'iliis letter does no[iaclude an�accouois io which the d�ased may Isave been listed as Po�ver¢�1's1�ru�ene��,Cuslodian of liniform Traosfers, Re�roresenta5ve Payee,or Trustee under a Written Agr�ement �lllCeTe��', Valarie Mercer Recards Management