The URL can be used to link to this page

Home My WebLink About06-03-15 permsYlvania 1505618403 DEPARTMENT OF REVEN'9X(03-14) REV-15010 OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN Harrisburg, PA 17128-0601 RESIDENT DECEDENT 21 15 0144 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 01 31 2015 03 28 1926 Decedent's Last Name Suffix Decedent's First Name MI MANDERBACH JR ROY G (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 n1. Original Return 2. Supplemental Return 3. Remainder Return(date of death prior to 12-13-82) 4, Agricultural Exemption(date of ❑ 5. Future Interest Compromise(date of 6. Federal Estate Tax Return Required death on or after 7-1-2012) death after 12-12-82) ❑X 7. Decedent Died Testate 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 11. Non-Probate Transferee Return 12. Deferral/Election of Spousal Trusts (Schedule F and G Assets Only) ❑ 13. Business Assets 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 EDMUND G MYERS (717) 761 4540 First Line of Address 301 MARKET STREET Second Line of Address PO BOX 109 City or Post Office State ZIP Code LEMOYNE PA 17043 Correspondent's email address: enm@?jdsw.com C? REGISTEWOF'..' ILLS USE-ONLY G� _REGISTER OF WILLS USE ONLY r"1 - Cl w r DATE FILED MMDDYYYY C1 t^ L7 3 t -rj _< 1 DATE FILED STAMQv r M C.TI Side 1 IIIIIIIVIIIVIIIIIII IIIIIVIIIVIIIIIIIVIIIIIIIIIIIIIIII 1505618403 1505618403 1505618411 REV-1500 EX Decedent's Social Security Number Decedent's Name: Manderbach, Roy Grover Jr RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... 1. 2. Stocks and Bonds(Schedule B)............................................................................. 2. 37-,582 - 70 3. Closely 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. 101.598 . 9 0 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) ❑ Separate Billing Requested............ 7. 441000 - 00 8. Total Gross Assets(total Lines 1 through 7)........................................................ 8. 18 3,181 - 6 0 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 12,026 - 63 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 28-1286 - 18 11. Total Deductions(total Lines 9 and 10)................................................................ 11. 40,312 - 81 12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 142,868 - 79 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. 142-,868 - 79 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 . 110 16. Amount of Line 14 taxable at lineal rate X .045 142,868 - 79 16. 61429 - 111 17. Amount of Line 14 taxable at sibling rate X.12 0 . 0 0 17. 0 . 00 18. Amount of Line 14 taxable at collateral rate X.15 0 . 011 18. 0 . 0 0 19. TAX DUE................................................................................................................ 19. 6 -,429 - 10 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ 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, itis true,co and complete.Declaration of preparer other than the person responsible for filing the return is based on all information of which preparer has any know dge. SIGNA RE MSAP � ETURN Judith A Seitz DATE T ADDRE 9 A^Washington Street, Mechanicsburg, PA 17055 2��UR REPARE OT ERT NREPRESENTATIVE Edmund G. Myers A ADDRESS 301 MARKET STREET, Lemoyne, PA 11111 III 111111111111111111111111111111111 Side 2 1505618411 1505618411 REV-1500 EX Page 3 File Number 21-15-0144 Decedent's Complete Address: DECEDENT'S NAME Manderbach, Roy Grover Jr STREET ADDRESS 770 Poplar Church Road CITY STATE ZIP Camp Hill PA 17011 Tax Payments and Credits: 1. Tax Due(Page 2, Line 19) (1) 6,429.10 2. Credits/Payments A. Prior Payments 3,000.00 B. Discount 157.89 Total Credits(A +B) (2) 3,157.89 3. Interest (3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4) Check box on Page 2,Line 20 to request a refund 5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) 3,271.21 Make Check Payable to REGISTER OF WILLS, AGENT. .,: fWK PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;............................................................................... ❑ b. retain the right to designate who shall use the property transferred or its income;.................................. ❑ c. retain a reversionary interest;or............................................................................................................... ❑ R d. receive the promise for life of either payments,benefits or care?............................................................ ❑ F 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.................................................................................................................... ❑ F 3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... ❑ ❑x 4. Did decedent own an individual retirement 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. ='- T -. -,i._ 'c3i ,yip,../ v� + .y� Al2!`.' s o sus> * 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 step-parent of the child is 0 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)]. A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. Rev-1603 EXr(08-12) SCHEDULE B pennsylvania STOCKS & BONDS DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Manderbach, Roy Grover Jr 21-15-0144 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 59156R108 47 shares of Metlife Inc-Com 47.011250 2,209.53 2 858268873 2,969.41 shares of Oppenheimer SteelPath MLP Income 10.25 30,436.45 Fund Class C Account No. Ending 7192 3 949746101 94.228 shares of Wells Fargo&Company-Common Stock 52.39125 4,936.72 All Stocks valued using EstatVal. A copy of the Valuation is Attached to this Return TOTAL(Also enter on Line 2, Recapitulation) 37,582.70 (If more space is needed,additional pages of the same size) Copyright(c)2012 form software only The Lackner Group, Inc. Form PA-1500 Schedule B(Rev.08-12) Rev-1508 EX+(08-12) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF REVENUE INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Manderbach, Roy Grover Jr 21-15-0144 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Social Security Death Benefit re: Estate of Rosella Manderbach 255.00 2 Members First Checking Account No.0011 -Date of Death Letter for All Members First 93,220.07 Accounts is Attached 3 Members First Savings Account No.0000 1,681.47 4 Members First SMoney Management Account No.0005 6,354.66 5 State Farm Renters Insurance-Reimbursement for Cancellation of Policy 87.70 TOTAL(Also enter on Line 5, Recapitulation) 101,598.90 (If more space is needed,additional pages of the same size) Copyright(c)2012 form software only The Lackner Group, Inc. Form PA-1500 Schedule E(Rev.08-12) Rev-1610 EX+(08-09) SCHEDULE G pennsylvania INTER-VIVOS TRANSFERS AND DEPARTMENT OF REVENUE INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Manderbach, Roy Grover Jr 21-15-0144 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % DECD'S EXCLUSION TAXABLE INCLNUMBER THE DATE OF TRANSDE NAME OF FERSATTACHFEREE THEIRA COPY OF THE DEIED OP TO R REAL EST TE. VALUE OF ASSET ND INTEREST (IF APPLICABLE) VALUE 1 Don Corbin,Son in Law-Gift made within 1 year of 14,000.00 3,000.00 11,000.00 Decedent's Death 2 Judith A.Seitz, Daughter-Gift made within 1 year of 14,000.00 3,000.00 11,000.00 Decedent's Death 3 Lee Seitz, Son in Law-Gift made within 1 year of 14,000.00 3,000.00 11,000.00 Decedent's Death 4 Sharon Corbin, Daughter-Gift Made within 1 Year of 14,000.00 3,000.00 11,000.00 Decedent's Death TOTAL(Also enter on Line 7, Recapitulation) 44,000.00 (If more space is needed,additional pages of the same size) Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule G(Rev.08-09) REV-1511 EX+(08-13) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RESIDENT DECEDENT RETURN ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Manderbach, Roy Grover Jr 21-15-0144 Decedent's debts must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s)attached 8,472.13 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zio Year(s)Commission Paid 2. Attorney's Fees JOHNSON DUFFIE 2,750.00 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation) Claimant Street Address City State ZiD Relationship of Claimant to Decedent 4. Probate Fees 245.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 559.00 See continuation schedule(s) attached TOTAL(Also enter on line 9, Recapitulation) 12,026.63 Copyright(c)2013 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.08-13) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Manderbach, Roy Grover Jr 21-15-0144 ITEM NUMBER DESCRIPTION AMOUNT Funeral Expenses 1 Hollinger Funeral Home-Funeral Services 7,357.51 2 Pastor Ryan Travis-Funeral Services 100.00 3 Rillos Restaurant-Funeral Luncheon 654.62 4 Touch of Class Limo Services-Funeral Services 360.00 H-A 8,472.13 Other Administrative Costs 5 Rakestraw's Storage Unit 300.00 6 Sharon Corbin-Reimbursement for Check Fee 19.00 7 The Central Penn Business Journal -Notice of Estate Administration 165.00 8 The Cumberland Law Journal-Notice of Estate Administration 75.00 H-137 559.00 Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98) Rev-1512 EX+(12-12) SCHEDULE 1 pennsylvania DEBTS OF DECEDENT, DEPARTMENT OFANCETA RETURN MORTGAGE LIABILITIES AND LIENS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Manderbach, Roy Grover Jr 21-15-0144 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 Alixa RX Billing Department-Insurance Balances owed for November 2014 to Janaury 2015 268.18 2 Checks Clearing After Date of Death 28,000.00 3 U.S.Treasury-Taxes due on 2014 Individual Income Taxes 18.00 TOTAL(Also enter on Line 10, Recapitulation) 28,286.18 (If more space is needed,additional pages of the same size) Copyright(c)2012 form software only The Lackner Group,Inc. Form PA-1500 Schedule I(Rev. 12-12) REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Manderbach, Roy Grover Jr 21-15-0144 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT (Words) ($$$) Do Not List s I TAXABLE DISTRIBUTIONS [include outright spousal distributions,and transfers under Sec.9116(a)(1.2)] Sharon Corbin Daughter 1/3rd of Tangible 109 Mrack Road Personal Danville, CA 94506 Property; 1/3rd of Residue Judith A Seitz Daughter 1/3rd of Tangible 9 South Washington Street Personal Mechanicsburg, PA 17055 Property; 1/3rd of Residue Marilyn Tressler Daughter 1/3rd of Tangible 1250 Thomas Dam Road Personal Millmont, PA 17845 Property; 1/3rd of Residue Total Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet,as appropriate. NON-TAXABLE DISTRIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule J(Rev.01-10) ESTATE OF ROY GROVER MANDERBACH A/K/A ROY G. MANDERBACH SCHEDULE OF EXHIBITS EXHIBIT A Last Will and Testament of Roy G. Manderbach signed and dated June 14, 2013 EXHIBIT B Cumberland County Register of Wills Receipt of Payment for Inheritance Tax Prepayment Discount of$3,000.00 EXHIBIT C Estate Val Valuation for Stocks Owned at Date of Death EXHIBIT D Members First Federal Credit Union Savings and Checking Account Date of Death Letter :704469 Last Will and Testament OF ROY G. MANDERBACH I, ROY G. MANDERBACH, of the Borough of Lemoyne, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any and all Wills or Codicils at any time heretofore made by me. ARTICLE I DEBTS I direct the payment of all my legal debts and the expenses of my last illness and funeral from my Estate as soon after my death as conveniently may be done. ARTICLE H TANGIBLE PERSONAL PROPERTY I give and bequeath my motor vehicle(s), household and personal effects and other tangible personalty of like nature (not including cash or securities), together with any existing insurance thereon, unto my wife, ROSELLA AIANDERBACH, provided she survives me by thirty (30) days. In the event that my wife, ROSELLA MANDERBACH, is not living on the thirty-first (31 st) day following my death, I give and bequeath the same unto those of my children who are living on the thirty-first (31S) day following my death, to be divided among them in as nearly equal shares as is practicable, considering their personal preferences. If there is a dispute as to the disposition of any item or items, I direct that the same shall be sold and the proceeds distributed as part of the residue of my Estate. EXHIBIT A While this request is absolute, if I leave with my Will a Letter of Instruction indicating my desire with respect to the disposition of any item or items of my tangible personal property, it shall be regarded. ARTICLE III REST,RESIDUE AND REMAINDER I give, devise and bequeath all the rest, residue and remainder of my Estate, of whatsoever and wheresoever situate, unto my wife, ROSELLA MANDERBACH, provided she survives me by thirty (30) days. If my wife, ROSELLA MANDERBACH, is not living on the thirty-first (31S) day following my death, I give, devise and bequeath all the rest, residue and remainder of my Estate, of whatever nature and wherever situate, as follows: A. One-third (1/3) thereof unto my daughter, SHARON S. CORBIN, or her then-living issue, per stirpes, should she not be living on the thirty-first (31 S) day following my death; B. One-third (1/3) thereof unto my daughter, MARILYN J. TRESSLER, or her then-living issue, per stirpes, should she not be living on the thirty-first (31S) day following my death, and if there be a failure of same, then her share shall be distributed in accordance with Paragraphs A and C; and C. One-third (1/3) thereof unto my daughter, JUDITH A. SEITZ, or her then- living issue, per stirpes, should she not be living on the thirty-first (31S) day following my death. 2 ARTICLE IV ALTERNATE DISPOSITION OF REST, RESIDUE AND REMAINDER If my wife, ROSELLA MANDERBACH, is not living on the thirty-first (31 ) day following my death, and I have no issue then-living, I give, devise and bequeath all the rest, residue and remainder of my Estate, of whatever nature and wherever situate, as follows: A. One-half (1/2) thereof unto my intestate heirs pursuant to 20 Pa. C.S.A. Section 2103; and B. One-half (1/2) thereof unto the intestate heirs of my wife, ROSELLA MANDERBACH,pursuant to 20 Pa. C.S.A. Section 2103. ARTICLE V DISTRIBUTION TO BENEFICIARIES UNDER THE AGE OF 25/INCAPACITATED PERSONS Whenever my Personal Representative is directed to distribute property to or for the benefit of any beneficiary who is under(a)twenty-five years of age, or(b) a legal disability or otherwise suffers from an illness or mental or physical disability that would make distribution directly to such beneficiary inappropriate (as determined in my Personal Representative's sole discretion exercised in good faith), my Personal Representative may distribute such property to the person who has custody of such beneficiary, may apply such property for the benefit of such beneficiary, may distribute such property to a custodian for such beneficiary, whether then serving or selected and appointed by my Personal Representative (including my Personal Representative), under any applicable Uniform Transfers to Minors Act—or Uniform Gifts to Minors Act, or may distribute such property directly to such beneficiary without liability on the part of my Personal Representative to 3 see to the application of such property. This provision shall not in any way operate to suspend such beneficiary's absolute ownership of such property or to prevent the absolute vesting thereof in such beneficiary. ARTICLE VI PERSONAL REPRESENTATIVE I name, constitute and appoint my daughter, JUDITH A. SEITZ, Executrix of this my last Will and Testament. If my daughter, JUDITH A. SEITZ, fails to qualify or ceases to so act, I name, constitute and appoint my daughter, NIARILYN J. TRESSLER; Alternate Executrix, to complete the administration of my Estate. No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of the duties required in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this /SO_ day of � , 2013. SEAL RO G. MANDERBACH Signed, sealed, published and declared by the above-named Testator, as and for -his Last Will and Testament, in the presence of us; who at his request, in his presence and in the presence of each other, have hereunto subscribed our names as witnesses. Witness Witness :339925A 4 ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA: . ss. COUNTY OF CUMBERLAND We, ROY G. MA rNDERBACH, Pjmw/d a, W • C�� /� and Lind (� , the Testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and that he had signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witness and that to the best of his/her knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no co traint or undue influence. G. MAND RBACH Witness / Witness Subscribed, sworn to acknowledged before me by ROY G. MANDERBACH, Te tator, and 1 and witnesses, this day of o C , 2013. Notary Public COMMONWEALTH OF PENNSYLVANIA Notarial Seal Dana L.Wieseman,Notary Public Lemoyne Boro,Cumberland County My Commission Expires Jan.15,2017 MEMBER,PENNSYLVANIA ASSOCIATION OF NOTARIES 5 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 020579 SEITZ JUDITH A 9 SOUTH WASHINGTON MECHANICSBURG, PA 17055 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold - 101 $3,000.00 ESTATE INFORMATION: SSN: 180-20-5272 FILE NUMBER: 2115-0144 DECEDENT NAME: MANDERBACH ROY GROVER J DATE OF PAYMENT: 04/27/2015 POSTMARK DATE: 04/24/2015 COUNTY: CUMBERLAND DATE OF DEATH: 01/31/2015 TOTAL AMOUNT PAID: $3,000.00 REMARKS: RCPT TO ATTY CHECK# 67 INITIALS: DB1 SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS I TAXPAYER RECEIVED -- � APR 2 q 2095 EXHIBIT B -JOHNSON DUFFLE Estate Valuation Date of Death: 01/31/2015 Estate of: Roy Manderbach Valuation Date: 01/31/2015 Account: 10126-1 Processing Date: 05/08/2015 Report Type: Date of Death Number of Securities: 3 File ID: Manderbach Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 1) 47 METLIFE INC (591568108) COM New York Stock Exchange 01/30/2015 47.39500 46.10000 H/L 02/02/2015 47.97000 46.58000 H/L 47.011250 2,209.53 2) 2969.41 STEELPATH MLP FDS TR (858268873) INCOME FD CL C Mutual Fund values reported to NASDAQ 01/30/2015 10.25000 Mkt 10.250000 30,436.45 3) 94.228 WELLS FARGO & CO NEW (949746101) COM New York Stock Exchange 01/30/2015 52.77000 51.90000 H/L 02/02/2015 52.91000 51.98500 H/L 52.391250 4,936.72 Total Value: $37,582.70 Total Accrual: $0.00 Total: $37,582.70 Page 1 This report was produced with EstateVal, a product of E .ions, please contact EVP Systems at (818) EXHIBIT C St MEMBERS 111 FEDERAL CREDIT UNION REGULAR SAVINGS ACCOUNT: Account Number/Suffix 147832-00 Date Account Established 11/29/1994 Principal Balance at Date of Death $1,681.33 Accrued Interest to Date of Death $0.14 Total Principal and Accrued Interest $1,681.47 Name of Joint Owner None INVESTMENT SAVINGS ACCOUNT: Account Number/Suffix 147832-05 Date Account Established 12/01/1994 Principal Balance at Date of Death $6,335.97 Accrued Interest to Date of Death $18.69 Total Principal and Accrued Interest $6,354.66 Name of Joint Owner None CHECKING ACCOUNT: Account Number/Suffix 147832-11 Date Account Established 05/19/2014 Principal Balance at Date of Death $93,218.94 Accrued Interest to Date of Death $1.13 Total Principal and Accrued Interest $93,220.07 Name of Joint Owner None MEMBERS 1ST FEDERAL CREDIT UNION Tessa L Klugh Lending Insurance Support Specialist April 16, 2015 Estate of: ROY G MANDERBACH Date of Death: 01/31/2015 Social Security Number: 180-20-5272 EXHIBIT D 5000 Louise Drive P.O. Box 40 Mechanicsburg, Ilst.org