Loading...
HomeMy WebLinkAbout06-19-15 (2) REV-1500 EX(02-11)(R)1, 1 1505610105 OFFICIAL USE ONLY PA Department of Revenue pennsylvania Bureau of Individual Taxes ` County Code Year File Number PO BOX28o6oi INHERITANCE TAX RETURN Harrisburg,PA 128-o6o1 RESIDENT DECEDENT :6911 q ENTER DECEDENT INFORMATION BELOW 10/08/2014 06/10/1930 Decedent's Last Name Suffix Decedent's First Name MI MORROW CYNTHIA M (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 CJD 1.Original Return p 2.Supplemental Return O 3. Remainder Return(Date of Death Prior to 12-13-82) O 4.Limited Estate C=:) 4a. Future Interest Compromise(date of C=) 5. Federal Estate Tax Return Required death after 12-12-82) CID 6. Decedent Died Testate O 7.Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) O 9.Litigation Proceeds Received O 10.Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule 0) CORRESPONDENT— THIS SECTION MUST BE COMPLETED,ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number JOHN P CARPENTER (570)768-7641 C� REGI #RCQF WILLS UCSF ONLY-6 171 First Line of Address 5291 STEIN LN `- „` Second Line of Address C7 C= City or Post OfficeState ZIP Code DATE FILED f WINFIELD _ PA 17889 r C Correspondent's e-mail address: Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATOR R ;S.0 00KES SIBLE F R FILING RETURN DATE ADDRRSS 5291 STEIN LN, WINFIELD, PA 17889 TORE OF REPARERO THANTATIVE DATE to /S A90NESS 1'372 N SUSQUEHANNA TRL STE 210, SELINSGROVE, PA 17870 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610105 1505610105 J � � ,-� �� ��� �V _J 1505610205 REV-1500 EX(FI) RECAPITULATION 1. Real Estate(Schedule A). .... . ......... . .. ........ ... .. .. . ..... ...... 1. 2. Stocks and Bonds(Schedule B) 2. 214,475.79 .... ..... . .. ..... ... ..... ... .... . ...... 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. 11,263.43 6. Jointly Owned Property(Schedule F) O Separate Billing Requested . ..... . 6. 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested... ..... 7. 26,385.32 8. Total Gross Assets(total Lines 1 through 7). .... ........ ..... . .... . .... . 8. 252,124.54 9. Funeral Expenses and Administrative Costs(Schedule H)... ..... . .......... 9. 12,197.13 10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule 1). .. .. . .. .. . .... 10. 1,764.98 11. Total Deductions(total Lines 9 and 10). .. . .. .. ... . .. .. . .... . .... . ..... . 11. 13,962.11 12. Net Value of Estate(Line 8 minus Line 11) .... . .. .. . .. .. ... . .... ..... . .. 12. 238,162.43 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. 238,162.43 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_ 15. 16. Amount of Line 14 taxable - at lineal rate X.0 45 234,162.43 16. 10,537.31 17. Amount of Line 14 taxable at sibling rate X.12 17. 18. Amount of Line 14 taxable 4,000.00 600.00 at collateral rate X.15 18. 19. TAX DUE ... .. . .. . .. .. . ............... .. . .. .. . .. . .. .. ..... ...... . . 19. 11,137.31 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Side 2 1505610205 1505610205 J REV-1500 EX(FI) Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME MORROW, CYNTHIA M STREETADDRESS 924 LARCH LOOP CITY STATE 21P MECHNAICSBURG PA 17055 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 11,137.31 2. Credits/Payments A.Prior Payments 10,250.00 B.Discount 539.47 Total Credits(A+B) (2) 10,789.47 3. Interest (3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2,Line 20 to request a refund. (4) 5. If Line 1+Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 347.84 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred.......................................................................................... ❑ N b. retain the right to designate who shall use the property transferred or its income ............................................ ❑ E c. retain a reversionary interest.............................................................................................................................. ❑ 0 d. receive the promise for life of either payments,benefits or care?...................................................................... ❑ E 2. If death occurred after Dec.12, 1982,did decedent transfer property within one year of death without receiving adequate consideration?.............................................................................................................. E ❑ 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?.............. ❑ N 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. 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 Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(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 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-1503 EX+(8-12) pennsylvania SCHEDULE B DEPARTMENT OF REVENUE INHERITANCE TAX RETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER MORROW, CYNTHIA M 21-14-0984 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. VANGUARD INVESTMENT FUNDS(SEE ATTACHED VALUE REPORT) 112,826.60 2 VANGUARD INVESTMENT STOCKS(SEE ATTACHED ACCOUNT VALUATION) 67,107.15 ACCRUED DIVIDENDS 14.31 3 VANGUARD TRADITIONAL IRA(SEE ATTACHED VALUE REPORT), ESTATE IS THE BENEFICIARY OF THIS INDIVIDUAL RETIREMENT ACCOUNT 34,527.73 TOTAL(Also enter on Line 2, Recapitulation) $ 214,475.79 If more space is needed,insert additional sheets of the same size REV-15o8 EX+(o8-12) pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: MORROW, CYNTHIA M 21-14-0984 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. PNC BANK,N.A. CHECKING ACCOUNT N0.5004618505(SEE ATTACHED COPY OF NOVEMBER 4, 2014 LETTER FROM CATHY MOORE) 5,974.72 2. PNC BANK, N.A.SAVINGS ACCOUNT NO.5004365173(SEE ATTACHED COPY OF NOVEMBER 4, 2014 LETTER FROM CATHY MOORE) 1,422.58 3. REFUND-E-Z PASS 12.15 4. REFUND-HOLY SPIRIT HOSPITAL 160.00 5. REFUND-AUTO INSURANCE PREMIUM 301.00 6. REFUND-LONG-TERM CARE INSURANCE 1,074.44 7. REFUND-RENTER'S INSURANCE PREMIUM 13.00 8. PENNSYLVANIA STATE EMPLOYEES'RETIREMENT SYSTEM-RETIREMENT DUE 402.37 9. REFUND-U.S.TREASURY-2014 INDIVIDUAL FEDERAL INCOME TAX 1,382.00 10. REFUND-PA DEPARTMENT OF REVENUE-2014 INDIVIDUAL STATE INCOME TAX 400.00 11. REFUND-STONE&MURRAY FUNERAL HOME-BALANCE FROM PREPAID BURIAL ACCOUNT 69.48 12, REFUND-DOWN EAST MAGAZINE SUBSCRIPTION 10.50 13. REFUND-AAA MEMBERSHIP FEE 40.50 14. PNC BANK, N.A.REWARD 0.69 TOTAL(Also enter on Line 5, Recapitulation) $ 11,263.43 If more space is needed,use additional sheets of paper of the same size. REV-1510 EX+(08-09) 1SCHEDULE G t ,Pennsylvania DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER MORROW, CYNTHIA M 21-14-0984 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE,THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE I. VANGUARD VARIABLE ANNUITY WITH GLWB; CONTRACT NO,0069-0100136587;JERICO R JOHNS AND JULIA S JOHNS,BENEFICIARIES(SEE ATTACHED VANGUARD ACCOUNT 22,385.32 100 22,385.32 STATEMENT) 2 CASH GIFT TO JAMES STARNER ON 9/08/2014 5,000.00 100 3,000.00 2,000.00 3 CASH GIFT TO PAMELA STARNER ON 9/08/2014 5,000.00 100 3,000.00 2,000.00 TOTAL(Also enter on Line 7, Recapitulation) $ 26,385.32 If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+(10-09) 1912 pennsylvania SCHEDULE H - DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER MORROW, CYNTHIA M 21-14-0984 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1' MECHANICSBURG PRESBYTERIAN WOMEN-FUNERAL LUNCHEON 50.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: 9,996.03 Name(s)of Personal Representatives) JOHN P CARPENTER Street Address 5291 STEIN LN City WINFIELD State PA ZIp 17889 Year(s)Commission Paid: 2015 2. Attorney Fees: 150.00 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: 415.50 5. Accountant Fees: 280.00 6. Tax Return Preparer Fees: 920.00 7• CARLISLE SENTINEL-ESTATE NOTICE 222.40 8. CUMBERLAND LAW JOURNAL-ESTATE NOTICE 75.00 9. JOHN P CARPENTER, EXECUTOR-POSTAGE, SUPPLIES,TRAVEL EXPENSE 88.20 TOTAL(Also enter on Line 9, Recapitulation) $ 12,197.13 If more space is needed, use additional sheets of paper of the same size. I REV-1512 EX+(12-12) Pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER MORROW, CYNTHIA M 21-14-0984 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. MESSIAH VILLAGE-SEPTEMBER&OCTOBER EMERGENCY CALL SYSTEM 17.60 2. MESSIAH VILLAGE-SEPTEMBER&OCTOBER MAINTENANCE FEES 1,503.61 3. PPL CORP-FINAL ELECTRIC BILL 77.21 4. VERIZON COMMUNICATIONS-FINAL PHONE BILL 8.08 5. VISA CARD-BALANCE DUE 158.48 TOTAL(Also enter on Line 10, Recapitulation) $ 1,764.98 If more space is needed, insert additional sheets of the same size. REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: MORROW, CYNTHIA M PAGE 1 OF 2 21-14-0984 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 Sec.9116(a)(1.2).] 1. JOHN H MORROW SON 1/3 OF RESIDUE 1740 COPPENHAFFER RD,DOVER,PA 17315 2. TRAVIS J STARNER GRANDSON 1/6 OF RESIDUE 10 BIRCH STREET, MECHANICSBURG,PA 17050 3. LEAH M HEBERT GRANDDAUGHTER 1/6 OF RESIDUE 111 HOLLOW LANE, DILLSBURG,PA 17019 4. WILLIAM G MORROW SON 1/6 OF RESIDUE 1806 AKONE PLACE, HONOLULU,HI 96819 5. JERICO R JOHNS GRANDSON 1/12 OF RESIDUE 341 LAUDERMILCH RD,HERSHEY,PA 17033 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1' NONE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. NONE TOTAL OF PART II — ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed,use additional sheets of paper of the same size. REV-1513 EX+(01-10) pennsylvania SCH EDU LE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: MORROW, CYNTHIA M PAGE 2 OF 2 21-14-0984 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 Sec.9116(a)(1.2).] 1. 6. JULIA S JOHNS GRANDDAUGHTER 1/12 OF RESIDUE 341 LAUDERMILCH RD,HERSHEY, PA 17033 7. JAMES STARNER NONE 2,000.00 21 GILBERT ROAD,DILLSBURG,PA 17019 8. PAMELA STARNER NONE 2,000.00 21 GILBERT ROAD,DILLSBURG, PA 17019 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II— ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed,use additional sheets of paper of the same size. WILL OF - ,- - 177 1 CYNTHIA M. MORROW a a Cn 1, CYNTHIA M. MORROW, currently of Upper Allen Township, Cumberland County, Pennsylvania, declare this to be .my Last Will and Testament, hereby revoking any and all prior.Wills and Codicils made by me. I. T_.direct that all my just-debts and funeral expenses be paid from the assets of my estate as soon as practicable after my demise. 11. i direct that all estate and inheritance taxes that may be assessed in consequence of my death, shall be paid-out of the principal of my general estate to the same effect as if said taxes were expenses of administration and all property includable in my taxable estate-whether or not passing under this Will shall be free and clear thereof. II1. I bequeath equally unto my sons, John H. Morrow and William G. Morrow, 11, or the survivor of them, all tangible personal property which I own at my death, not specially bequeathed in Paragraph IV A below: IV. All the rest, residue and remainder of my estate, of whatever nature and wherever situate, including property over which I hold a power of appointment, I devise and bequeath as follows: A. I intend to keep with this my Will a separate memorandum concerning disposition of certain items of tangible personal property. I bequeath the.items on said memorandum to the persons designated. B. The residue of my estate shall be divided into three (3) equal shares which shall be distributed as fol-lows: I.. One (1) share to be divided equally between by grandson-, Travis J. Starner, and my granddaughter, Leah M. Hebert, or their issue per stirpes. If either predeceases without issue that share shall pass unto the survivor between them; 2. One (1) share unto my son, John H. Morrow. If he predeceases me his share shall be divided equally among the following who survive me, namely; William.G. Morrow, A7 . �~ II, Travis J.• Starner, Leah M. Herbert, Jerico R. Johns ` and.Julia S. Johns,; ` 3 One (1} share to' be divided into two (2) equal shares and distributed as follows: a. One (1) share.unto my 'son, William G. Morrow, II. If he predeceases me his share shall be divided equally among the following individuals who _survive me, namely; JericQ R. Johns, Julia S_Johns and Reahnna S. Morrow; b. One (1) share to be divided equally between my tvvo (2) grandchildren, Jcrico'R. Johns and Julia S. Johns,, or thu whole' share to the survivor of them. I am intentionally omitting any reference to Tiffany N. Morrow, Tanya.M..Hand and Jesse L. Espenshade. Provided, however if any beneficiary of mine is'under `twenty-one- (21) years.,of.age,;.his or her share shall be held in trust for him or her pursuant to the:hereinafter-mentioned terms and conditions V. In the event that any assets of my estate pass into a trust fund for the benefit of a beneficiary-of mine as set forth above, said assets shall be held pursuant to the following specific terms and cDnditions.' A. To accumulate all the net income therefrom and apply it to principal, except that principal and/or interest may be used at the discretion of my Trustees for educational expenses beyoiid'ihe' highschool level. B.. When said beneficiary turns twenty-one (21) years of age, the entire fund.. then 'held in trust for said beneficiary, both principal and income, shall be distributed absolutely unto him or her. If. said beneficiary ' dies before distribution pursuant to this subsection,:his or her share shall pass as though he or she predeceased me. VI. In addition to.such other powers and duties as may have'been granted elsewhere.' =4 herein, my fiduciaries hereunder shall have the following powers and duties: 'M =t;= 1 s7. i V- directly to such beneficiary, or may be applied for the use or benefit of such beneficiary. The receipt of-such guardian, custodian, or beneficiary or evidence of the application of such amounts; shall be a full and complete discharge of my fiduciaries hereunder to the extent of such payment or application. This paragraph shall be applicable to payments of income as well as principal. IX. I appoint John P. Carpenter and Patti Snover, Executors, or the survivor of them as sole Executor, of this my Will. X. I appoint Jennifer Johns, Trustee of any trusts created by this my Will for the benefit of Jerico R. Johns and Julia Johns. If she fails to qualify or ceases to act as Trustee, I-appoint John P. Carpenter and Patti Snover,Trustees, in her place. I also appoint John P. Carpenter and Patti Snover, Trustees, or the survivor of them as sole Trustee, of any other trusts created by this my Will. XI. I direct that no bond be required of my fiduciaries for the faithful perfonnance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, CYNTHIA M. MORROW, herewith set my hand to this my Last Will, typewritten on four (4) sheets of paper including the. attestation clause and signatures of witnesses, this �A day of / t nLJ6A;, 2011. _(SEAL) C THIA M. MORROW Signed by CYNTI-IIA M. MORROW, by her _declared to be her Will in our presence, who have hereunto subscribed our names as witnesses in her presence and. at her request, this ` ' day of t4oy2 r}i wjo , 201 I. residing at {- -x 'z L- 1 _residing at- -4- Vanguard® P.0. Box 2600 November 19, 2014 valley Forge, PA 19482-2600 www.vanguard.com JOHN P CARPENTER 5291 STEIN LN WINFIELD PA 17889-9271 IRe: Estate of-Cynthia M. Morrow Dear Mr. Carpenter: I am responding to the telephone call we received requesting a valuation of Cynthia M. Morrow's Vanguard accounts as of October 8, 2014. The information requested is included on the enclosed account value reports. If you have any questions, please call me at 844-394-3336 on business days from 9 a.m. to 5 p.m., Eastern time. If I'm unavailable, you can leave me a voice mail and I'll call you back or you can speak with another representative. Sincerely, �Y bb�a�GrQ_�- Jonathan Foreacre Registered Representative Enclosure(s): **Cynthia M. Morrow Individual Account Value Report **Cynthia M. Morrow Individual Brokerage Account Value Report **Cynthia M. Morrow Traditional IRA Value Report 52814960 MORROW, CYNTHIA M SOCIAL.SECURITY NO.: 180-24-9851 SCHEDULE B - ITEMS NUMBER 1, 2 AND 3 UJKM Page > 1 of 1 . F�.L d- Cynthia M Morrow Report for1D108/2014' C/O John P Carpenter Flagship Services:800-345-1344 5291 Stein Ln Jonathan Foreacre extension 16883 Winfield, PA 17889-9271 Total report value: $112,826.60 (Total report value includes any accrued dividends.) Cynthia:M. Morrow:-Individual Account Account value summary Name Fund&Account . Date ! Price Per ' Accrued Number i Opened 1 Shares I Share Value` ! . Dividends Dividend Apprec Idx Adm 1 5702-88053231534! 05/2:2/2014! 563.921 $20.921 $11,797.231 - j GNMA Fund Investor Shares 0036-88053231534 10/03/2012; 450.450 $1'0.78 i - $4,855.851 $2.66 Dividend Growth Fund 0057-88053231534i 11/20/2013I 474.383 $22.34 $10,597.72 - Equ'ity Income Fund Inv x.0065-88053231534 01/23/2013. . 413.557, $31.09 $12,857.491 Dividend Apprec Idx Inv 1 0602-88053231534; 04/17/2013 00001 $30.84, $0.00 - High-Yield Corp Fund Inv 1 0029-88053231634.1 11/04/2011 i 2,073.546 $6,02 $12;482 75 $15.23 Wellesley Income Fund Inv j 0027-88053231534 09/05/2012 823.986 $25.79 $21,250.60 - I Wellington Fund Inv 0021-880532315341 09/05/2012.i 847.298 $39.721 $33,654.68; - Prime Money Mkt Fund 6030-880532315341 08/10/20121 5,312.380 $1.00 $5,312.38 $0.01 Totals $112,808.7011 $17.90 Doesn't include accrued dividends. MORROW, CYNTHIA M SOCIAL SECURITY NO.: 180-24-9851 SCHEDULE B - ITEM NUMBER 1 0032413919 11/19/2014 08:41:59 Vanguard Brokerage Services® A Division of Vanguard Marketing Corporation Flagship Rep Jonathan Foreacre Cynthia M. Morrow 924 Larch Loop Mechanicsburg PA, 17055-8612 Individual Brokerage Account: 22939506 Below is your Date of Death Account Valuation for the above referenced account. Holdings Summary Values on: 1 01812 01 4 Stocks Total $67,107.15 FundAccess Total $0.00 Bonds Total $0.00 Accrued Income Total $14.3100 Total Account Value: $67,107.15 Holdings Stocks Symbol Quantity Price per Share Current Value Accrued Dividends Pimco Corporate&Incm Strategy PCN 100.0000 $16.0000 $1,600.0000 Fund Pimco Corporate&Incm PTY 200.0000 $17.1850 $3,437.0000 Opportunity Fund Pimco Municipal Income Fund li PML 269.0000 $11.7700 $3,166.1300 Reaves Utility Income Fund UTG 100.0000 $29.2285 $2,922.8500 Vanguard Dividend Appreciation VIG 320.0000 $76.3549 $24,433.5680 Etf Hershey Company HSY 10.0000 $93.3350 $933.3500 Johnson&Johnson JNJ 100.0000 $103.5350 $10,353.5000. Pfizer Inc PFE 100.0000 $28.9650 $2,896.5000 Ugi Corp New UGI 450.0000 $34.1150 $15,351.7500 York Water Company YORW 100.0000 $20.1250 $2,012.5000 $14.3100 Total stocks $67,107.1480 $14.3100 FundAccess Symbol Quantity Price per Share Current Value Accrued Dividends No FundAccess®securities held in the account. Total FundAccess $0.0000 $0.0000 MORROW, CYNTHIA M SOCIAL SECURITY NO.: 180-24-9851 SCHEDULE B - ITEM NUMBER 2 Page 1 of 2 :. Page > 1 of 1 x• T.. Cynthia M Morrow IReport forr10/0872014 F,, t 4 x M �• •_. C/O John P Carpenter Flagship Services:800-345-1344 5291 Stein Ln Jonathan Foreacre extension 16883 Winfield, PA 17889-9271 Total report value: $34,527.73 (Total report value includes any accrued dividends.) �.,.,> y, ,•.+. •r?r ar-. .m.. , ,-.."t'^ .r- +,-c,+�,.'"",..'iis"!* '+tom 4 °r= _ i Tc.s ^'•c{ xr+.'^ ,F .y'1,^y^ Cynthia M Morrow T6clitiona '� ,.:,o•4 •tea,...- ,-oy>e ..•.n » ++-.,, v.,.""""Z"4 N x ` x.e��n� q ,,`^°e.,.�'�,-`w` ^S'+ �"7m?H''t'2+'r - i�iSx� -Z :r+'. rr'sra+`^,,.�,,.�'_ ?7�`*w'F °'.".,�a Name i Fund&Account Date J:Pnce Per, Accrued Number Opened _ Shares {. Share: Value" Diwdends Wellesley Income Fund Inv 10027-88055805625 11/2012! 0.000 $25.79' $0.001 - Wel(ington Fund Inv I OQ21 88055805625 i 04/11/2012 . 0 0001 $39 72I $0 00 - Prime Money Mkt Fund 10030-88055805625 02/13/2012 34,527.660 $1.00 $34,527.66 1 $0.07 .I T otals $34;527 66 Doesn't include accrued dividends. MORROW, CYNTHIA M SOCIAL SECURITY NO.: 180-24-9851 SCHEDULE B -ITEM NUMBER 3 0062779129 11/19/2014 08:42:21 Nov, 4. 2014 1 25P PNC BANK 412-705-0057 No. 6761 P. 2 PNC November 4,2014 Cathy Moore PNC Bank 127 Kim Acres Dr Mechanicsburg,PA 17055 RE: Name: Cynthia M Morrow SSN: 180-24-9851 DOD: 10-08-2014 Dear Ms.Moore: In response to your request for Date of Death(DOD)balances for the customer noted above,our records show the following: Checking Account Account#5004618505 Established: 01-11-2005 CYNTHIA M MORROW DOD balance: $ 5,974.67+0.05 accrued interest Interest paid 01-01-2014 thru 10-08-2014$ 0.17 YTD Savings Account Account#5004365173 Established.: 01-11-2005 CYNTHIA M MORROW DOD balance: $ 1,422.57+0.01 accrued interest Interest paid 01-01-2014 thru 10-08-2014$0.18 YTD Please note that this office provides date of death balances for deposit accounts(IRAs,CDs,Checking and Savings). ''DV'e do not process any financial transactions or provide statements. If you need assistance with any of these items,please call 1-888-PNC-13ANK(1-888-762-2265)or stop by your local PNC Bank branch office. Sincerely, National Financial Services Center PNC Bank,N.A. Member FDIC MORROW, CYNTHIA M SOCIAL SECURITY NO.: 180-24-9851 SCHEDULE E -ITEMS NUMBER 1 AND 2 Page 1 of 2 Z https://personal.vanguard.com/us/myaccounts/balancesholdings COMPANY Other pending activity Total credits and $0.00 debits Total $67,71270 a Cynthia M. Morrow—Traditional $341527.66 IRA Registration details Order Transaction history Cost basis Retirement contributions a��mo status and distributions Mom Price as Expense of Current Symbol Name ratio Fund&account Quantity 10108/2014 Change balance VMMXX Vanguard 0.17% 0030-88055805625 34,527.660 $1.00 — — $34,527.66 Bu} Prime Money Market Fund Sweep account- Traditional IRA, 20199101 VWINX Vanguard 0.25% 0027-88055805625 0.000 $25.79 $0.18 0.70% $0.00 Bud Wellesley Income Fund Investor Shares o VWELX Vanguard 0.26% 0021-88055805625 0.000 $39.72 $0.46 1.17% $0.00 Bud Wellington Fund Investor Shares Total $34,527.66 a Cynthia M. Morrow—Traditional IRA $0.00 Brokerage Account 20199101* Registration details Sweep account—Traditional IRA Account —0030-88055805625 Order Transaction Commission-free trades available a�H�d�o status history Cost basis Account balance detail Funds available to trade:$34,527.66 Expense Current Symbol Name ratio Quantity Price Change balance Other pending activity Total credits $0.00 and debits Total $0.00 *a Cynthia M. Morrow—Variable Annuity with GLWB $22,385.32 MORROW, CYNTHIA M SOCIAL SECURITY NO.: 180-24-9851 *SCHEDULE G - ITEM NUMBER 1 3 of 4 10/8/2014 10:14 PM dgl https://personal.vanguard.com/us/myaccounts/balancesholdings Rider-100136587 Buy and sell Order status Transaction history Account options and riders Price as of Current Name Contract Unify 10/08/2014 Change balance WA-Balanced 0069-0100136587 279.0924 $80.207561 $0.929210 1.17% $22,385.32 (GLWB) Total $22,385.32 Add another account Outside Investments Outside investments allows you to view your non-Vanguard investments on your Balances and holdings page.Learn more about this service. Total assets $237,434.38 Intraday prices are generally provided for stocks,EfFs,and options on a delayed basis during market hags.Prices are delayed at W=20 minutes.If an intraday price is not available,the price displayed will reflect the previous business day's dose.For mutual funds and tired income holdings,the prices displayed are generally the previous business days dosing price. MarketrtdamaGan is provided by Thomson Reuters.Disclaimer Additional information about prices for other products and Outside Investments. Vanguard funds not held in a brokerage account are held by The Vanguard Gm up,Ina„and are not protected by SIPC. *Note an account protection:Securities in your brokerage account are held it custody by Vanguard Brokerage Services®,a division of Vanguard Marketing Corporation,member FINRA and SIPC.Ac count protection Annuities are insurance products MY ACCOUNTS CONNECT VVIT14 Overview Orderstatus Personal Tax center Messages US Balances& Transaction P Retirement Account F.e.n..t. ho s history Investment prices contributions, maintenance rm�� Cost basis Statements &returns distributions. "w—Tub. RMD Wbk Dividends 6 Portfolio WatchRssr.W capital gains v n.va a.0 oves-3114 m.vaaw�r�ia,rys�..a.cs.a�aua.dsoovv�+�r>�tranewarar..ac Y.-f eiiyi#�.t7m+m.1=arYm.i m�dY..rtua MORROW, CYNTHIA M SOCIAL SECURITY NO.:_ 180-24-9851 *SCHEDULE G - ITEM NUMBER 1 4 of 4 10/8/2014 10:14 PM