HomeMy WebLinkAbout05-19-15 1:7.d1....11 IIWI11 1
J 1505610143
REV-1500 EX(01-10) �
PA De artment of Revenue Y OFFICIAL USE ONLY
p penns Ivania Counry Code Year File Number
Bureau of Individual Taxes DEPqRTMENTOFREVENUE
PO BOX.280601 INHERITANCE TAX RETURN 21 15 0107
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
Ol 13 2015 05 01 1920
DecedenYs Last Name Suffix Decedent's First Name MI
RICHCREEK MARTHA J
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
� 1. Original Return � 2. Supplemental Return � 3. Remainder Return(date of death
prior to 12-13-82)
� 4. Limited Estate � 4a.Future Interest Compromise I� 5. Federal Estate Tax Return Required
(date of death after 12-12-82)
6 Decedent Died Testate � Decedent Maintained a Living Trust � 8. Total Number of Safe De osit Boxes
X❑ (Attach Copy of Will) ❑ (Attach Copy of Trust) ---- p
� 9. Litigation Proceeds Received � 10.Spousal PovertY Credit(date�f death I� ��.Election to tax under Sec.9113(A)
betweenl2-31-91and1-1-95 (Attach Sch.O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
BRADLEY L GRIFFIE 717 243 5551
REGISTER OF WILLS USE ONLY
First line of address � �
��
2 0 0 N HANOVER S TREE T � � � rr�i
,:a
Second line of address � -'� w, —�c �; �;
: s--- �,, . c�-
f':", � 9 I'�
DA�E FILED '"'"
City or Post Office State ZIP Code
-� ,.� ��'<
CARL I S LE PA 17 013 -- s -� .,- 7
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h..a Y_: �-�"t
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CorrespondenYs e-mail address: bgrlffie@gt'Ifflelaw.COm � �-"� �
Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and staterriE;nts,and to the best of my knowledge and belief,
it is true,correct and complete.Dedarati reparer other than the personal representative is based on all infom�ation of which preparer has any knowledge.
�ATURE PERS�RESC�B, FOR FIL G R TURN . _ " DATE
,
Ronald L. Richcreek ',�,-",� ,5
� ADDR
50 Wedqewood Drive, Carlisle, PA 17015
SIG TURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
Bradley L. Griffie
DRE /�
200 N. anover Street, Carlisle, PA
Side 1
� 1505610143 1505610143 �
� �
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� 1505610243
REV-1500 EX
Decedent's Social Security Number
�e�ede�eSName: RIChCI'eek, Martha J. 183
1. Real Estate(Schedule A)....................................................................................... 1.
2. Stocks and Bonds(Schedule B)............................................................................. 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C)......... 3.
4. Mortgages&Notes Receivable(Schedule D)........................................................ 4.
5 Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 14 , 5 91 . 31
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6 32 , 74 6 . 5 9
7. Inter-Vivos Transfers&Miscellaneous N�q-Probate Property
(Schedule G) U Separate Billing Requested............ 7. 3 , 196 . 71
8. Total Gross Assets (total Lines 1-7)..................................................................... 8 50 534 . 61
r
9. Funeral Expenses&Administrative Costs(Schedule H)....................................... 9 5 , 53 6 . 80
10. Debts of Decedent, Mortgage Liabilities,&Liens(Schedule I).............................. 10. 2 , 885 . 83
11. Total Deductions(total Lines 9& 10)................................................................... �� $ , 422 . 63
12. Net Value of Estate(Line 8 minus Line 11).......................................................... �2 42 , 111 . 98
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J)............................................... 13.
14. Net Value Subject to Tax(Line 12 minus Line 13)............................................... 14. 42 , 111 . 98
TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(1.2)X.00 15. 0 . 00
16. Amount of Line 14 taxable 42 , 111 . 98 16 1 , 895 . �4
at lineal rate X .045
17. Amount of Line 14 taxable
at sibling rate X.12 0 . �� 17. � . ��
18. Amount of Line 14 taxable
at collateral rate X.15 � . 0 0 18. � . ��
19. Tax Due.................................................................................................................. 19 1 , 895 . 04
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. �X
Side 2
� 1505610243 1505610243 J
REV-1500 EX Page 3 File Number 21-15-01C17
DecedenYs Complete Address:
DECEDENT'S NAME
Richcreek, Martha J.
STREET ADDRESS
Thornwald Home
442 Walnut Bottom Road
CITY STATE ZIP
Carlisle PA 17013
Tax Payments and Credits:
1. Tax Due(Page 2, Line 19) (1) 1,895.04
2. Credits/Payments
A. Prior Payments 2,000.00
B. Discount 10.00
Total Credits(A +g) (2) 2,010.00
3. Interest �3)
4, If Line 2 is greater than Line 1 + Line 3,enter the difference. This is the OVERPAYMENT. (4) 114.96
Check box on Page 2 Line 20 to request a refund
5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5)
Make Check Pa�rable to REGISTER OF WILLS, AGENT.
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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:............................................ .. ............................... ❑ ❑x
b. retain the right to designate who shall use the propeRy transferred or its income:.................................. ❑ ❑x
c. retain a reversionary interest;or..........................__................................._... __....__.............................. ❑ �
d. receive the promise for life of either payments,benefits or care?........................... ................................ ❑ ❑x
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?.......................................................................... ........ . .............................. ❑ ❑X
3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... ❑ 0
4. Did decedent own an Individual Re'tirement Account,annuity,or other non-probate property which ❑ ❑
contains a 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.
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For dates of death on or after July�1, 1994 and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving
spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or after January 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S.§9116(a)(1.1)(ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of
assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an
adoptive parent,or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)].
. The tax rate imposed on the net value of transfers to or for the use of the decedenYs lineal beneficiaries is 4.5 percent,except as noted in
72 P.S.§9116 1.2)[72 P.S. §9116(a)(1)].
. The tax rate imposed on the net value of transfers to or for the use of the decedenYs siblings is 12 perrent[72 P.S.§9116(a)(1.3)]. A
sibling is defined under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
Rev-1508 EX+(6-98)
SCHEDULE E
� CASH, BANK DEPOSITS, & MISC.
PERSONALPROPERTY
COMMONWEALTHOFPENNSYLVANIA . .
INHERITANCE TAX RETURN
RESIDENTDECEDENT
ESTATE OF FILE NUMBER
Richcreek, Martha J. 21-15-0107
Include the proceeds of iitigation and the date ihe proceeds were received try the estate.
All property jointly-owned with the right of survivorship must be disclosecl on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Refund from pre-paid funeral 376.31
2 Liquidated Series HH U.S. Savings Bonds- 13,500.00
(Liquidation requested by decedent prior to death;attempted automatic deposit denied after
death)
(See attached statement)
3 2014 Personal Income Tax Refund-Federal 715.00
TOTAL(Also enter on Line 5, Recapitulation) 14,591.31
(If more space is needed,additional pages of the same size)
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E(Rev.6-98)
Rev-7509 EX+(6-98)
; : , SCHEDULE F
�
COMMONWEALTHOFPENNSYLVANIA JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENTDECEDENT
ESTATE OF FILE NUMBER
Richcreek, Martha J. 21-15-0107
If an asset was made joint within one year of the decedenYs date of death,it must be reported on schedule G.
SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT
A. Patricia Anne Martin 210 Union Hall Road Daughter
Carlisle, PA 17013
B. Ronald L. Richcreek 50 Wedgewood Drive Son
Carlisle, PA 17015
C.
JOINTLY OWNED PROPERTY:
DESCRIPTION OF PROPERTY %OF �nrE oF�EarH
ITEM LETTER DATE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH DECD�S DECE ENT'S I�NTEREST
NUMBER FOR JOINT MADE NUMBER OR SIMILAR IDENTIFYING NUMBER ATTACH DEED FOR VALUE OF ASSE INTEREST
TENANT JOINT JOINTLY-HELD REA�ESTATE.
1 B 9/21/2010 M&T Bank(Checking Account)- 18,582.05 50.000% 9,291.03
Account No.XXXXXX8606
(See attached statement)
2 A, B 6/27/1988 M&T Bank(Savings Account)- 70,366.67 33.333% 23,455.56
Account No.XXXXXXXXXX9623
(See attached statement)
TOTAL IAlso enter on Line 6, Recapitulation) 32,746.59
(If more space is needed,additional pages of the same size)
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F(Rev.6-98)
Rev-1510 EX+(6-98)
SCHEDULE G
� , INTER-VNOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTHOF PENNSYLVANIA .
INHERITANCE TAX RETURN
RESIDENTDECEDENT
ESTATE OF FILE NUMBER
Richcreek, Martha J. 21-15-0107
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATN %UP DECD'S excwsioN TAXABLE
NUMBER THE DATE OF T ANSFERSATTACH A COPY OF TI�HE DEIED�OR REAL ES TAT�E VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1 M&T Bank(Individual Retirement Account) - 3,196.71 100.000% 3,196.71
Account No. XXXXXXXXXX3193
(See attached statement)
(Named beneficiaries are Ronald L. Richcreek(Son)
and Patricia Anne Martin (Daughter)
TOTAL(Also enter on Line 7, Recapitulation) 3,196.71
(If more space is needed,additional pages of the same size) �
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G(Rev.6-98)
REV-1151 EX+��O-06)
;, ;; SCHEDULE H
� FUNERAL EXPENSES &
COMMNHERITA CE�T�RETURNANIA
RES�oENTOE�EOENT ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Richcreek, Martha J. 21-15-0107
Debts of decedent must be reported on Schedu►e I.
ITEM DESCRIPTION AMOUNT
NUMBER
q, FUNERAL EXPENSES:
See continuation schedule(s) attached 210.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State Zio
Year(sl Commission oaid
2. Attornev's Fees 4,000.00
See continuation schedule(s) attached
3. Family Exemption: (If decedenYs address is not the same as claimanYs,attach explanation)
Claimant
Street Address
City State Zio
Relationshiq of Claimant to Decedent
4. Probate Fees 340.50
See continuation schedule(s) attached
5. AccountanYs Fees 242.00
6. Tax Return Preparer's Fees
7. Other Administrative Costs 744.30
See continuation schedule(s) attached
TOTAL(Also enter on line 9, Recapitulation) 5,536.80
Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev. 10-06)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Richcreek, Martha J. 21-15-0107
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Expenses
1 Cemetery Death Date Engraving 210.00
H-A 210.00
AttorneX Fees
2 Griffie&Associates, P.C. (Estimate) 4,000.00
H-B2 4,000.00
Probate Fees
3 Probate Fees(estimated) 340.50
H-B4 340.50
Other Administrative Costs
4 The Sentinel (Advertising) 169.30
5 Cumberland Law Journal (Advertising) 75.00
6 Reserves 500.00
Fi-B7 744.30
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
Rev-1512 EX+(12-08)
� SCHEDULE 1
_-��
�� , DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTHOFPENNSYLVANIA �
INHERITANCE TAX RETURN
RESIDENTDECEDENT
ESTATE OF FILE NUMBER
Richcreek, Martha J. 21-15-0107
Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreirnbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Millennium Pharmacy 104.33
2 Thornwald Personal Care Facility 2,781.50
TOTAL(Also enter on Line 10, Recapitulation) 2,885.83
(If more space is needed,additional pages of the same size)
Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I(Rev. 12-08)
REV-1513 EX+�11-08)
� � � SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BE N E F IC IARI ES
IN RESIDENTED�DENTRN
ESTATE OF FILE NUMBER
Richcreek, Martha J. 21-15-0107
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT �Words) ($$$)
Do Not List Trustee s
TAXABLE DISTRIBUTIONS [include outright spousal
I• distributions,and transfers
under Sec.9116 a) 1.2
Patricia Anne Martin Daughter Fifty percent of 21,055.99
210 Union Hall Road net distributable
Carlisle, PA 17013 estate
Ronald L. Richcreek Son Fifty percent of 21,055.99
50 Wedgewood Drive net distributable
Carlisle, PA 17015 estate
Total 42,111.98
Enter dollar amounts 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 SHEET
Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J(Rev. 11-08)
LAST WILL AND TESTAMENT
I, MARTHA J. RICHCREEK, of the Borough of Carlisle, Cumberland County,
Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish
and declare this to be my Last Will and Testament, hereby revoking any and all former
Wills or Codicils by me made.
1.
I direct that all my just debts, funeral expenses, testamentary expenses and all
inheritance taxes shall be paid from my residuary estafe as soon as practicable after
my decease and as part of the administration of my estate.
2. �
I give, devise and bequeath all of my estate, both real and personal property,
unto my husband, JAMES A. RICHCREEK, absolutely.
3.
In the event my said husband shall predecease or fail to survive me then I give,
devise and bequeath all of my estate, both real and personal property unto my two
children: RONALD L. RICHCREEK and PATRICIA ANNE MARTIN.
4.
I nominate, constifute and appoint RONALD L. RICHCREEK and PATRICIA
ANNE MARTIN as Executors of my estate.
5.
I direct that my Executors shall not be required to file a bond to secure the
faithful performance of their duties in any jurisdiction.
6.
I authorize and empower my personal representatives in their sole and absolute
discretion, to purchase or otherwise acquire and retain any investments of whieh I die
� �LAW OFFICES ,/� G�✓L � ��/'����ZCC�- __
JAM F, MARTSON, P.C.
Martha J. Ra%hcreek
Page 1
:�
seized or any real or personal property of any nature; to sell, lease, pledge, mortgage,
transfer, exchange, dispose of or grant options in regard to any or all property of any
kind forming a part of my estate for such terms and such prices as they may deem
advisable; to borrow money for any purposes connected with the protection and
preservation of my estate; to mortgage or pledge any real or personal property
forming a part of my estate or to join in or secure the partition of same; to
compromise any claims or demands of my estate against others or of others against my
estate; to make distribution in kind and to cause any share to be composed of cash,
property or undivided fractional shares in property different in kind from any other
share; and to execute and delivery such instruments as may be necessary to carry out
any of these powers.
IN WITNESS WHEREOF I have hereunto set my hand and seal this /��" day of
j�,�r�.,c.���� , 19 81.
v ; /J
.�r.Z-L�� • �`,/�'��'J�� �SEAL
Martha J. R'chcreek
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix,
MARTHA J. RICHCREEK, as and for her Last Will and Testament, in the presence of
us, who, at her request, have hereunto subscribed our names as witnesses thereto, in
the presence of said Testatrix and of each other.
��:.� �' y����
, }
!�`-�� � � , ` � 19-C-��'��--�_
LAW OFFIGES
LIAM F. MARTSON� P.C.
Page 2
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND )
I, MARTHA J. RICHCREEK, 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.
�
C1rt��'", � (/I tic'��"�
Sworn or affirmed to and ac owledged before me by MARTHA J. RICHCREEK,
the Testatrix, this /���' day of ��� , 198.�
l_ � � , Cl�-'�
Notary Public �
WILLIAM L. EARP,Notary Public
COMMONWEALTH OF PENNSYLVANIA ) Cart'rsle,Cumberland Co.,Pa.
' : SS. N�Y Commission Expires Aug. 13, 1984
COUNTY OF CUMBERLAND � )
W e,
the witnesses 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
MARTHA J. RICHCREEK sign and execute the instrument as her Last Will; that
MARTHA J. RICHCR.EEK signed willingly and that MARTHA J. RICHCREEK,
executed it as her free and voluntary act for the purposes therein expressed; that
each of us, in the hearing and sight of MARTHA J. RICHCREEK, signed the Will as
witnesses; and that to the best of our knowledge the Testatrix was at that time 18 or
more years of age, of sound mind and under no constraint or undue influence.
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Sworn or affirmed to and subscribed before me this f.�� �h day of
(�,_Z,�;:,.y , 1980 �
��
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..�,.:._._ � ,
LAW OFFIGES Notary Public
.LIAM F. MARTSON, P.C. -
WILLIAM L. EARP, Notary �ublic
Carlisle, Cumberland Co., Pa. �• �
My Commission Expires Aug. 13, I�l$�4 ,;;.,.;
� ..,. • �"'' '
Attachment to Schedule "E"
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Attachment to Schedule "F"
r"'-S �
������. �j��i``� . . .. . , .
_,..:��:.�:��.�:;:�.. ..::,,?,:,,:.:z�_.-�,.
499 Mitchell Road,Millsboro,DE 19966 Records Management
Phone 888-502-4349
F ax (302)934-2955
., . ... _. , .. February 6,2015
Griffie & Associates,P.C. �- ' ,
200 North Hanover Street
Carlisle,PA 17013 ,
Re: Estate Martha J.Richcreek
Social Security: 183-12-1541
Date of Death: January 13 2014
Dear Sir or Madam:
Per your inquiry on January 30,20l 5,please be advised that at the time of death,the above-named decedent had
on deposit with this bank the following:
1. TypeofAccount CheckingAccount
Account Number 9850788606
Ownership(Names o� PatriciaA.Martin(POA)
Mrn•tha J.Richcreek
Ronald L.Richcreek
Opening Date 09/21/2010 -
Balance on Date ofDeath $ 18,581.92
Accnred Interest $ •13
�-------------------------------------------------___------
Total � 18,582.05
2. Type ofAccount - SavingsAccount
Account Number 15004200039623
Ownership(Names o� Patricia A.Martin
� Martha J.Richcreek
Ronald L.Richcreek
Opening Date 06/27/1988
Balance on Date ofDeath $ 70,365.22
Accrued Interest $ 1.45
�--------------------------- --------.....----�
Total $ 70,366.67
3. Type ofAccount Individual Retii�ement Account
Accowat Number 35004200223193
Ownership(Names o� Martha J.Richcreek
Opening Date OS/OS/1999
Balance on Date of Death � 3,175.56
Accnred Inte�•est $ 21.15
--------------------------------._...-----
Total $ 3,196.71
For any additional information on the above accounts,including ownership and any changcs,closures and/or reimbursement of funds,
please call the High Street Carlisle at 717-240�536.
Wc were unable to locate any safe deposit box for the above-mentioned decedent.
This letter does not include any accounts in which the deceased may have been listed as�Povver of Attorney,Custodian of Uniform Transfers,
Representative Payee,or Trustee under a Written Agrecment
Sincerely,
Valarie Mercer
Records Management
Attachment to Schedule "G"
�������c�1'�� . ... ..� . , . . - .
:,�tii�(`._:!L.:il't",_ ':t:dtlS.lt7 ?:):'...'Y.
499 Mitchell Road,Millsboro,DE 19966 Records Management .
Phone 888-502-4349
F ax (302)934-2955
. _ ... .._ , ... February 6,2015 �
Griffie& Associates, P.G �� ' � � � �
200 North Hanover Street
Carlisle,PA 17013 .
Re: Estate Martha J.Richcreek �
Social SecuritY: 183-12-1541
Date of Death: Januarv 13 2014
Dear Sir or Madam:
Per your inquiry on January 30,20]5,please be advised that at the time of death,the above-named decedent had
on deposit with this bank the following:
1. Type ofAccount CheckingAccount
Account Number 9850788606
Ownership(Names o� Patricia.4.Martin(POA)
Martha J.Richcreek
Ronald L.Richcreek �
Opening Date 09/21/2010 -
Balance on Date ofDeath � 18,581.92
Accn�ed Interest � .13
._------------------------------------------�
Total $ 18,582.05
2. Type ofAccount " SavingsAccount
Account Number 15004200039623
Ownership(Names o� Pab•iciaA.Martin
� Martha J.Richcreek .
Ronald L.Richcreek �
Opening Date 06/27/1988
Balance on Date ofDeath $ 70,365.22
Accrued Interest $ 1.45
�-----------------------------------�
Total � 70,366.67
;. Type ofAccozrnt Individual Retirement Account
Accou�at Nwnber 35004200223193
Ownership(IVames ojJ Mai7ha 1.Richcreek
�
Opening Date OS/OS/1999
Balance on Date ofDeath � 3,175.56
Accnted Interest $ 21.I S
------------------------------------
� Total � 3,196.71 '
For any additional information on thc abovc accounts,including owncrship and any changes,closures and/or reimbursement oS'funds,
please call the High Street Carlisle at 717-240-0536.
Wc�vcrc unablc to locate any safc deposit box for the abovc-mentioned decedent.
This letter does not include any acco�nts in which the deceased may have been listed as•Powcr of Attorney,Custodian oF Uniform Transfers,
� Representative Payee,or Trustee undcr a Written Agrecmcnt
Sincerely,
Valarie Mercer
Records Management