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07-08-15 (2)
��'oennsybania 15�5614105 a...m.«.o.....�. exro3-ia>r'p RE V-1500 OFFICIAL USE ONLY Bureau of lnd'rvidual Taxes Couny Cotle Vear Fle Number PO e0x 28060i INHERITANCE TAX RETURN Hamsburq, an vtza-osoi RESIDENT DECEDENT 2� �� f� I��� ENTER DECEDENT INFOftMATION BELOW Social Seco�ity Numbe� Date of DeatM1 MM�DYYYY Da�e ot Birth MMODYYYY � � �7'�o9 /a��-S oy/i� �( � z �% OecetlenCs Last Name SURix Decedent's FISt Name MI /�-( £�t/N/T/ Dh ivl £ L �' (If Applicable)Ente�Surviving Spouse's Inbrmation Below SpousesLaslName SuHlx SpoasesFirstName MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW � 1.Original ReWm p 1. Supplemental ReWm p 3. Remaintler ReWm(tla�e of tleat� prior�o 12-13-81) p 0.AgrlculW�e Examp�lon(date ot � 5. FWure Interes�Compromisa(tlale o� 0 B. PeOeral Blata Tax RaWm Reqwretl tlsath on or aher]-0-20�2) aealn aper 12-12-82 O �� Decetlenl Dietl Tes�ate O 8. Uecetlenl Mantainetl a Living Trust 9. Tolal Number ot Safa Oeposil Boxes (AltacM1 copy of wilL) (qtlac�copy of ImsL) p 10. LiOgation Pmceetls Receivetl O 11. NorvPmbale Trans�eree ReWm O ��� Delerral/Eleclion ol Spousal Tms�s (Schetlule F and G Assets Only) � 1$. BUS�fIB661186818 0 �4.$pOUSB i6$OIB BBnP(GI3ly (NOIlpS�lnvOlv2tl) CORRESPON�ENT- THIS SECTION MOST BE WMPLEiED.ALL CORFESPONOENCE AND CONFIOENTIAL iA%MF00.MATION SHOULD BE�IRECTE�i0: Name Daylime Telephone Number J � Ar✓.✓e r� �r�� .✓q M ^Urc�tvy � � � a �f1 -v � yZ- First Line o(Address � J / 3 � S . wc-rr ST' � I�- YYo -�Syo Semntl Line of Address Ciry or Post ORice S�a�e ZIP Code CiF2ilS �F �A � �.a 13 CorrespontlenPs email address: REGISTER OF WILLS USE ONLY REGIsiER aF wILLfl u6E orvLr OATE FILE�MMDDYYYY O c � s m � � � m � � _ o 0 FIeE STA '� j t— y O � m � m m . c� _ � o PLEASE USE ORIGINAL FORM ONLY , u v 3 � � Side 7 '-- <- �' f � ,l ti � � m L ���������������II��III�I�I��II�yI4�II�I111�I��l��l���ll�l��� y505614105 ~ �J 1 1�5 J 1505614205 Rev-aeoo ex�Fp Decedenl s Social Sewriry Num�er o��eaem s rveme_ RECAPITULATION 1. Real Es[ate(Schedule A). .. . .. . . .. .. . .. . .. . . . . . . .. . . . . . . . . . . .... ... . . 1. � � � ) / 0 0 � ]a 2 Stocks and Bondsl5chetlule B) . ... . . . .. . . . . . . .. . . . . . ... . . .. . . .... .. . . 2. G� S� '� /3 . J � 3. Closety Held Corporalion, Partnership or Sole-Proprielorshlp(Schedule C) .. . . . 3. / 4. Mortgages and Noles Receivable(Scheaule �) .. . . .. . . ... . ... . .. . . ... . . .. 4. 5. Cash,Bank DeOosils antl Mlscellaneous Personal PropertY(Schetlule E�. . .. . .. 5. �� S '� �'� 9 S � / 6. Jointly Ownetl Property(Schedule F) O Separete Billing Requested .__. ._ 8. � �+'1 C/ Q � ]. Inter-Vivos Trens(ers 8 Miscellaneous Non-Probate Property �}� � (Schedule G) O Separa�e Billing Requested.. .. . . .. ]. a 3 � y/ 9 � � 8. Total Gross Assets(to[al Lines 1 Ihmuqh]). . ... . . . . . .... . . . . . .. . ... . . .. 8. d` 3 7 / /P Z � 3 y 1 & Funeral Expenses and Administralive Costs(Schetlule HJ. .. . . .. . . . . . . .. . . .. 9. s� ;� y (/ S ,3 t J Q 10. Debis of Decedent. Mortgage Liabill�ies and Liens(Schedule I). ... . . . . . ... . .. 10. '7 a 4 G s ) / 7 � 11. Total Detluctions (total Lines 9 and 10). . ... . .. . . . . . . . . . . . . . . . . . . . .. . . . . 11. � � 2 � (� L: � 12 NetValueo/Estate(LineBminusLinellJ . _ .. . . . . . . . .. . _ . . _ . . __ _. 12. � '1 (_ f. yl /�yZ 13. Chari�a�le antl Governmenlal Beques�s�5ec.9113 Tms[s for which -< Qa , � � an election lo lax has not been made(SchedNe J) . . . . . . ... . . . . . ... . ... . .. 13. 14. Net Value Subject to Tax(Gne 12 minus Line 13) . . . .. . ... . . .. . ... . . ... .. 14. 'L 'y� � � y �` � y L TA%CALCULATION-SEE INSTRUCTIONS FOR APPLIGA9LE RATES � r 15. Amount ot Line 141axable at the spousal tax rate,or transfers under Sec.9116 . (e)(1 2)X.0_ 15. 16. Amount of Line 141axable � � at lineel rete X.0_ i 6. il. Amount o(Line tA laxable atsibling ra[e % .12 �), 18. Amwnt ot Line 161exable a��ona�e,ai,a�ex.�s o`�� 0. 5-$'`F �G . � Z, is. 19. TAXDUE . . .. .. ... . . . . .. .>. T3 .ZW.Z. ./ Y . . .. . . ... . . 19. 20. FILI IN THE OVAL IF YOU ARE REOUESTING A REFUND OF AN OVERPAVMENT � Ontler panalpes ol peQury. I declare I beve examined 1�is�eWm,ln[lutliog accompanying scM1edules entl slaleman�s.antl lo Ne bcs�ol my knowlatlga end bellel. II Is Irue.oorreot entl complete. �edarallon o!O�Bparer otM1er Nan Ne narson responslbb�or Oling I�e reWm Is�esetl on ell Inlortnatlon of wM1icM1 preparar M1as any knowiedge. SIG ATURE OF PERSON RESPONSIBLE FOR RLING R�[��RN� �. -,-�- �lY t�.u�.-+ i il � y�<.e. - o E w/ a aEss 3 �- �S . wc-� r 3�T c�+�n-,_� 1�� G'.�- I�-� i3 SIGNATURE OF PREPHRER OTHER THAN PERSON RESPONSIBLE FOR RLING TH RETURN pATE A�ORE55 I���I��I���I�II�I'�I�I�I�I���I��I��I�������I�II��I�I�I�II��I Side2 L 1505614205 15056142�5 J REV-0500 E% (FI� Pa9e 9 Flle Number Decedent's Complete Address: OECEDEN 5 NAME rl NI � L T, � t�N!1 I _ _ _ STREET AODR�jS� ����� � � .S C".0 Z..L t [9 t � � cirv C/k /L-�—I S� l: �- 'sTnrE� lf � zia �� r� Tax Payments and Credits: 1_ TexDue�Pege2,One19) (1) 3 � �� � Z �� 2. Credi�s�Paymenls � A.Prior Paymenis a.o�s�o�m /7 !/� 3 j 3 (Sae insWcllons) Tolal Credils(A t B) (2) � [� 3 . � � 3. Interest (3) 4_ Ii Line 2 is 9rea�er Ihan Cine 1 +Line 3,enler Ihe Olflerence. Thls Is the OVERPAYMENT. Fill in oval on Page E,Line 20 to request a refund. (4) 5. If Line 1 +Line 3 is grealer Ihan Gne 2,enterthe diflerence.This is Ihe TAX DUE. (5�.� .Z � Q � ��� 3 �� i Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS i. Did decedenl make a Iranskr and�. Yes No a. retainlheuseorinwmeofthepropeM�ransferred......... ..._._ .._.._.. ._.._. ❑ ❑ b. relainlherightmdesignalewhosnalluse�hepmpertylrans(erredori�sincome ........_....._._.__._..__._.._. ❑ ❑ c. relainareversionarymlerest ._..... ..._.._ ......... .,___ .. ❑ � d. receive ihe promise for life o�ei�her paymenis,bene(its or care� .......... ._._... ..._. ❑ ❑ 2 Il dealh occurred afler Dea 12, 7992,did decedenl lransfer properly wilhln one yearof aaalh withoWreceivicgadequalewnsideration7 ......_.. .._...,.. .___ _.._.._ ❑ � 3. �Id decedent own an 5n Imst for'or payeble-upon-death bank accounl or searily at his or her tlea��?........_.... ❑ ❑ 4. Ditl deceaenl own an Individual re�lrement accoun�,ennuily or other nonyrobete propetly,wh.ich conlainsabeneficiarydesgnaoon'+ ....__. .... .,..,,_, ._._.. . ... � � 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�az rate imposetl on ihe net value o(iransfers�o or for the use of Ihe surviving spouse is a percem�7z Ps.gs��s�a�(t��(i)�. For dates of death on or aHer Jan. 1, 1995. the tax rate imposed on the net value of Vansfers to or for Ihe use of the surviving spouse is 0 percent [12 PS.§9116(a)(1.1)(ii�J.The staNte does not exempt a Iransfar to a surviving spouse from tax,end the siaW�ory requiremen�s(or dlsclosure of assets and filing a tax reWm are stlll appllcable even if ihe surviving spouse Is Ihe only baneflciary. Por dates of dea�h on or afler July 1.2000: • The tax rate imposed on�he net value of transfers hom a deceased child 21 years o�age or younger at death to or tor the use of a naWral paren�, an adoptive parent or a step-parent of�he chiltl is 0 percent�72 PS.§9116(a)(12)�. • The tax relelmposed on the netvalue of transfers to or for the use of Ihe decedenPs Ilneal beneficlanes is 4.5 percen�,exceptas noted In[72 P_S§9116�a)(i)]. . The�ax rate imposed on Ihe net value of Irans�ers lo or for Ihe use of the decedenPs siblings is 12 percent [72 PS. §9116�a�(1.3��.A sibling is defned, under Section 9102, as an individual who has at least one parent in wmmon with the decedent,whether by blood or atloption. FEV-0502 EXt(6-99) SCFIEDULE A GOMMONWEALTMOFPENNSYLVHNIA REAL ESTATE INHEFItANCE TAX RETUFN RESI�ENT�ECEDENT ESTATE OF FILE NUMBEfl �fl��l4-C- J /�1 f/YN 1 %) o1c� IS— ao `�( 4 All reei propetly ownetl solely or as a tenant in common musl Ee reportetl at fair markel value.Fair marke�value is definetl as�M1e price at wh' M1 pmperty waultl be exchangetl between a wiling buyer ane a willing seller.nei�her beinq compelled�o buy or sell,both naving reasonable knowledge o�Ihe relevanl fath. Neel properry which is jointly-owned with right ol survivorship mus�be tlisclosetl on Schetlule F. ITEM VAWE AT�ATE NUMBER DESCRIPTION OF�EATH �. uuMt� 4',clivL� iP4� 2�.c �Ofnizf Si'J r. coi.�.t �t St^. ca���S�c—�ih- l� pl3 � �}SSeST ca� vR�UF" .'i I I� / o 0 (t ANo � 5"r, f' a 1'nrao�snc,n` _ / t� o �o) GLo �w�✓ �o „J � �� 3 P �, sa P� �' 7oTa��n�so enter on iine i, Recapitwation) S � I I � l a o Q�more space is needed,insaM aadi�ional sheels oi Ihe same size) , . .- , . , :. �. Payable To'. GHAR�ES HOLTRY,TA%COLLEGTOR ORice Hcu�s TUES.WEO.THUR B:IOAM-2.JOPM - P�BO%100 OTHER TIMES BY APPOINTMENT * CARLISLE,Vf 1]013 CNftLISLETN%COLLECTOR@COMCP.ST.NET CERTIRED FONOS ONLY AFTER 13H51i6 Bill No: J]66 PMONE�]i]�Y54-91Y8 BiIIDa�e: J11H5 ControlNa�. 04001461 MAP NJ. OOQ]-0483-0138 Assessetl Value: LanOJ 51.500 Mp�ovemen['. 159,600 Tofa1:111,100 Desc 51]5 COLLEGE STREET I Discoun: Face ena y OL�TOWNROW —� - — LOT J PB 50 PG e Co nty RE_ _ _ 2.195 Ed5d.09 .._.&441.76_ ___EiQ@S9 Pcres 0.08 �eetl 000dR00]]� �.� Coan�y Lib 0.14J 529.59 50048 SD911 ���I� i �Mumc PoE ]058 8632.63 -. .—.5646.64 _5]10.09_ i �FireProt _._. 0211 $44.89_ 545.81 SSO.J9 $1 00 FEE FOR F�DITIONAL RECEIPTSI _ . ._ Tax Payec MENNITI.DANIELJ — " --�-�--- ... - '— �-- -- . .. . . .- -. 51]SCOLLEGEST � TA%AMOUNTDUE 51161.20 � 51.184.9�� 51.�0].99 GARLISLE PA i]0153I12 I It pa�e OI Payment Is on_ / / t OI 5!1/151�m fi130115 I15 or a er ��' � RW_SC3 EX�(0}LS) '"`'i}; pennsylvania � pE,pq,„E„,oF„E�E„�� SCNEDULE B ���EN�*A��E�^x AE��R� STOCKS & BONDS aEs�oervr occEOErvT ESTATE OF � FILE NUMBER Of�N! �� J . r�'12N�i T7 a � � s - � a :�� All proper[y joinHy owned with righ[ot survivorship must be tlisclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH �. sn �WGs Bd.vdS, q . S . S�rci�s �4- hf ofsc,e�e. O N ,L�'t'T HCfhfO C HAR?'S— OwNg2 $,.rt-✓IVSD BEr PlCirtr�� S��i, o�a , /6 a . wC-Li-s FA2Gn i}pviS� 2 Acc � � n, r s83s-3�L1 p I) AMCRP PQ �T,.✓C. , MJ�N�'�- F+/Np o,� 337S3o6 �l� '�.� d• �i/ �,�._ , ,,.� �� Ca�AMnS 1p la �1� 9 �49 3a� vor , t,y N'L���" 3) r-u.voAh�aZ �ti �� �� M �;��� �=w,� aa, s ,a. �o nY'" N�N6u1 P£RSPcerl✓S FD ,T�/C. , CLC H1� 7ut� l=uu0 l 3,9�q, 3� �,,��e. .3. M � 'r Secu,QiPi �..J ,RzD4i�- '�y3, aaF�wrirrMt �"'" I Zuvu0.5L � � aa�a � ��o,�� a1. 3, �oa.� 3 '�'I . W�L/-s f=i+ �G o �f0✓�A�✓'!?ti G£ 1) PR- T �.r F'eF F �JNO cc�+r1' A , Ace� T # �.,i,.�', �I 3 ° [` �'94� 36, � 0 3, 3 � . Yl.�� -2� PA /7/`Ltf� q G2ow�H Fv-vO �b+tlY i{�'Cc�?� - d�� 43�3 - Fv 4� a 9� ��3. � �- � CN£YQa �✓ PoMM oN S7'oGK d 4 I 9. 8'7'7SM�f SHA2£I�` l pG. 95 3 %oZ,� �(7i �90 6 . Q l� i .2 � '7'-1 . � -�Ia dffA2F.PLa 5�/. ? S 9� Q `i6. � 3 EXXo.✓ �'1 u8 ��. - aa9S . l 9b31 G SHn21.r eo �a. LS / rJ,'1 2� "� � �. 0 Fl 2 f✓�- � 3 �. S3S�i� x 3S. o .3 a -�'i ,3 � 3,9td1 TOTAL (Also enter on Line 2, Recapitulation) $ �' 3 �d � I(more space is nee4e0, insert atldiEonal sheets af the same size Cu�i�lated Voluc of Your Paper Savings Bond(s) ht[p7/www.[reasurydirecLgov/BGSBCPricc Calculated Value of Your Paper Savings Bond(s) f'l�/�'`}` M 4NNr 7/ g�cK4i'-' Calculator Results for Redemption Date 04/2015 Total Price Total Value TotalInterest YTD Interest $9,500.00 $17,669.80 $8,189.80 g751.80 eonds: 1-3S-af-38 ( I y - Sl� " i✓u�LT -�a��, ( /- �3> Serial # SeriesDenom Issue fJext clnal issue xntarasc Date Acc�ual Maturity P�ice I^terest Rate Value Note D50545696� EE $500� 12/1998 OS/2015� 12/2028 $250.00 $156.00 1.49% 5406.00� D50544595 EE $500 10/1998 OS/2015 30/2026 $250.00 $164.80 1.49°/a $414.80 D50544335 EE � $500 09/1998 OS/2015 09/2028 $250.00 $165.40� 1.49% ;q15.40 D50544063� EE $500�.09/1998 OS/2015 09/2028� $250.00 $165.40 1.49°/ ;415.40� �D484798051 EE $500 OB/1998 OS/2015 08/2028 $250.00 $165.80� 1.49% ;415.80 D48479535�. EE � $500 OB/1998 OS/2015 08/2026 $250.00 $165.60 1.49% j435.60 D48470269� EE � , $S00 07/1996 OS/2015 07/2028 $250.00 $166.40 1.49% ;416.40 D48479021 EE '� $500 07/1998 OS/2015. 07/2028� $250.00�. $166.40 1.49% 5416.40� D48478784�. EE � $500 07/1998 OS/2015 07/2028 $250.00'.. $166.40 1.49°/a� ;416.40 D48478533�, EE � $500 06/1998 OS/2015 06/2028 $250.00 $166.80 1.49% ;416.80. D48478253� EE $500-06/1998 OS/2015 06/2028 $250.00 $166.60 1.49% g416.e0'. D48477999' EE � $500�05/1998 OS/2015 OS/2028� $250.00 $367.40 1.49% ;417.40� D48477728 EE � $500 OS/1996 OS/2015� 05/2028 $250.00 $167.40 1.49% �417.40 D48477469� EE � $500'�04/1998 OS/2015 04/2028 $250.00 $250.00 1.49% �500.00' D48477172 EE $500-04/1998 OS/2015 04/2028 $250.00 $250.00 1.49% ;500.00� __. . . . . . . . .. . . . . . D48476908 EE $500�03/1998 OS/2015 03/2028 $250.00 $250.60 1.49% $500.60 �D464�6636 EE $500 03/1998.05/2015 03/2028 $250.00 $250.60 1.49^/0 $500.60 D48476374� EE $500�.02/1998-05/2015 02/2028 $250.00 $251.20 1.49% ;501.20 D46476064 � EE . $500 02/1998�05/2015 02/2028 $250.00 $25L20 1.49% ;501.20 D48475620 EE $500 O1/1998 OS/2015 01/2028 $250.00 $251.80 1.49% ;501.80 D48475237 EE $500 O1/1998�05/2015 O1/2028 $250.00 $251.80 1.49% ;501.80 .. __ . _. ...: _ _. . . . . D48475526 EE �, $500 O1/1998��05/2015 O1/2028 $250.00 $251.60 1.49% ;501.80. D50545442�. EE , $S00 11/1998�05/2015 11/2026� $250.00 $156.60 1.49% ;406.60 D50545152. EE ' $500 il/1998 AS/2015 11/2028 $250.00. $156.60 1.49% ;406.60� D50544668� EE �� $500 10/1998 OS/2015 10/Z028 $250.00� $164.80 1.49% 5414.80 D48474938 EE � $500� 12/1997 OS/2015� 12/2027 $250.00 $252.40 1.49% 5502.40 D48474655� EE 5500 72/1997 OS/2015� 12/2027 $250.00 $252.40 1.49% �502.q0�. D48474337� EE � $50071/1997 OS/2015� 11/2027 $250.00 $253.20 1.49^/0. � $503.20 �D46474037 EE $500 11/1997 OS/2015 11/2027 $250.00� $253.20 1.49% §503.20 D48473729 EE $500'10/1997 OS/2015 SO/2027 $250.00 $253.60 1.49%a §503.60' D48473436� EE � $500�� 10/1997 OS/2015 10/2027 $250.00 $253.60 1.49°/ §503.60 D48473143� EE $500�,09/1997 OS/2015 09/2027 $250.00 $254.20 1.49% $504.20 D48472832 EE $500 09/1997 OS/2015 09/2027 $250.00 $254.20� 1.49% ;504.20 D48472529� EE ' $500 08/1997 OS/2015 08/2027 $250.00 $254.80 1.49% $504.80 D48472231�� EE $500 08/1997�05/2015 OB/2027 $250.00 g254.60 1.49%� ;504.80 D43919948� EE �. $500 08/1997�05/2015 OS/2027 $250.00 $254.80 1.49% ;504.60 �D43919660��� EE �� $500 07/1997 OS/2015 07/2027� $250.00� $255.40 1.49°/a j505.40 �D43919395 � EE � ; $500 07/1997 OS/2015 07/2027 $250.00� $255.40 1.49% ;505.40� Totalsfor38Bonds�;9,500.00�;8,189.80 517,689.80� I of 2 7/4/IS 6:44 PM Calc,��ated Value gf Your Paper Savings Bond(s) ht[polwww.veasurydirui.guv/BGSHCPrim Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 04/2015 Total vrice iotal value iotal interest v7o interest $3,250.00 $6,581.40 $3,331.40 $40.60 Bonds: 1-13 of 13 Issue Next Final Issue Interest Serfal # SeriesDenom Date AccrualMa[urity price I^terest Rate Value Note D43919113�'. EE $500�06/1997�05/2015� 06/20U�� $250.00 $256.00 1.49a/o $506.00 _ . .. . . .,_ ... . . . . . . . . . . . . . .._. . . ; . . . . . . . . . . D439188231 EE I $500.06/1997,05/2015. 06/2027'. $250.00 $256.00 1.49% ;506.00� D439185311 EE $500 OS/1997 OS/2015. 05/2027� $250.00 $256.80 1.49� ;506.80 �D43918241I EE $500 OS/1997 OS/2015� 05/2027 � � $250.00 $256.80 1.49% 5506.80 D43917950'�. EE $500 04/1997 10/2015 04/2027 $250.00 $256.20 1.41% ¢506.20� . . _ _. . .. . . ... . . . .. . . . ... . . . . D43917642'� EE $500 04/1997.10/2015 04/20D. $Z50.00 $256.20 1.41% ;506.20� D43917362' EE ' $500'03/1997�.09/2015 03/20D $Z50.00 $256.20 1A1Wo 5506.20 D43917049' EE � $500�-03/1997 09/2015 03/2027 $250.00 $256.20 1.41% $506.20 . .. . . . . .. . _ .. . . .. .. . . . D43916741�� EE �� $500'-02/1997 OB/2015 02/2027'� $250.00 $256.20 1.41% �506.20 _. .__.__. . ._. __ . . . . . . . , . . . . D43916432� EE � $500 02/1997�08/2015 02/2027 $250.00 $25610 1.41% ;506.20 D43916131�� EE $500'O1/1997-07/2015 Oi/20D $250.00 $256.20 1.41% 5506.20� D43915819�� EE $500 O1/1997 07/2015 O1/2027' $250.00 $256.20 1.41% $506.20 D43915506� EE $500�01/1997-07/2015 O1/2027 $250.00 $256.20 1.41% �506.20 7otalsforl3 Bonds��;3,250.00 53,331.40� � ;6,581.40 No[es NI ��Not Issued NE Not eli9ible for payment � PS �Indudes 3 mon[h interest penalry � MA��Matured and not earning in[erest Iof1 7l4/IS6�16PM Calcula[ed Val ue of Your Paper Savings Bond(s) hUp:Uwww,treasurydirect.gov/BGSBCPrice MRR-� Mt.vNiT1 Calculated Value of Your Paper Savings Bond(s) s t'��K�- Calculator Results for Redemption Date 04/2015 TOWI Price Total Value Total Interest VTD Interest $16,750.00 $40,094.00 $21,344.00 $329.60 Bonds: 1-75 of 75 � Serial # SeriesDanom Issue Next Final In[e�est Date A«rual Maturity Issue Price interest Rate �alue Nota D40490623� EE ��, $500.01/1994 OS/2015� 01/2024 $250.00 $330.20 4.00%� $580.20 D40490209��� EE $500 O1/1994'OS/2015 O1/2024� $250.00 $330.20 4.00% 5580.20� D40489919�, � EE $500 12/1993b5/2015. 12/2023�� $250.00. $332.00 4.00% 5582.00�� � D40489591�, EE $500 12/1993��.05/2015 12/2023� $250.00 $332.00 4.00% ;582.00 " D40489287; EE �� $500�11/1993�-,05/2015� 11/2023 $250.00 $334.00 4.00°/a�� 5584.00 D40488955�, EE $500 il/1993��05/2015 11/2023 $250.00 $334.00 4.00% ;564.00�. D40488648� EE $500 10/1993�05/2015 10/2023 $250.00 $336.00 4,00°/a. $586.00. D43912034�, EE $500'08/1996,08/2015. 08/2026 � $250.00 $257.80 1.41% $507.80. D42J67719� EE $500 07/1996.07/2015 07/2026.. $250.00 $257.60 IAl% �507.80 �D42767437I EE $500 07/1996'..07/2015 07/2026� $250.00 $257.80 1.41Mo. 5507.80 D4D67138�� EE $50006/1996�A6/201506/2026� $250.00 $257.60 S.41k ;507.80 D42766820� EE $500 A6/1996 O6/2015 06/2026 $250.00 $257.80 1.41% ;SOJ.80� D42766494�' EE ��. $500 OS/1996�05/2015. 05/2026 $250.00 $257.80 1.43%� $507.80 D42766182� EE �, $500 OS/1996 OS/2015� 05/2026 $250.00� $257.80 1.41% §507.80 D42765648� � EE � $500 04/1996 10/2015 04/2026 $250.00 $259.20 1.41% ;509.20 D42765534� EE . $500 04/1996,10/2015 04/2026� $250.00 $259.20 1.41%� $509.20. D4D64654����� EE '� $500.03/1996'-09/2015 03/2026� $250.00 $259.20 1.41%' $509.20��� D43912332 $500��03/1996�,09/2015� 03/2026 $250.00� $259.20 1.41%"� ;509.20 EE $500,08/1996�08/2015� 08/2026 $250.00�� $257.60 1.41% $507.80� D42764534 EE $500��03/1996 09/2015 03/2026 $250.00 $259.20 1.41% j509.20 D42764209� EE �, $500�02/1996�08/2015�� 02/2026 $250.00� $259.20 1.41% ¢509.20���. D42763902 EE $500 02/1996 OB/2015. 02/2026 $250.00� $259.20� 1.41%� ;509.20 ��.. D42763549 � EE $S00 O1/1996.07/2015 O1/2026 $250.00 $259.20 1.41%� ;509.20 /�j D42763222� EE $500�01/1996�07/2015 O1/2026 $250.00 $259.20 1.41%, $509.20�b � D42762873� EE . $500��12/1995 O6/2015 12/2025� $250.00 $259.20 1,41% §509.20� D4D62521� EE . $500 12/1995 O6/2015 12/2025 $250.00 $259.20 1.41% 5509.20 D42762190'. EE �. $500 11/1995 OS/2015�� 11/2025. $250.00 $259.20 1.41% ;509.20 D42761835'. EE �, $500 11/1995 OS/2015 il/2025�. $250.00 $259.20 1.41% s509.20 D427614931 EE $500;30/1995�10/2015 10/2025 $250.00 $261.20 1.41% ;531.20 D427611481 EE $500�10/1995�10/2015 10/2025 $250.00 $261.20 1.41%. $511.20' D42760798 EE $500�09/1995�09/2015 09/2025 $250.00 $261.20 1.41% ;511.20 � � D42760459 �EE $500 09/1995-09/2015' 09/2025 $250.0q , �$261.20 1.41% �511.20 D4275977T EE $500 08/1995 08/2015 08/2025 �250.00 $261.20 1.41%' D42759463� EE $500�06/1995�08/2015 OB/2025� � , �511.20 I D42759148� EE . $z50.00 $261.20 1.41% �511.20 ! , $500 �07/1995 07/2015 07/2025 $250.00 $261.20 1.41% §511.20� ' �D42760108��� EE $500��09/1995�09/2015 09/2025 $250.W�� $261.20 1.41%� ;531.20 ' 42756837 EE $500 07/1995 07/2015 07/2025� $250.00 $26L20 1.41^/0 ;511.20� II D42756195 - � EE $500 �06/1995�06/2015' 06/Z025 $250.00� $261.20 1.41% ;511.20 � I ._ ., , $500 06/1995 06/2015 06/2025�� $250.00 $261.20 1.41^/0� ;511.20� ' D42757876; EE $500 OS/1995�.05/ZO15 OS/2025� $250.00 $261.20 1.41% ;513.20� , I of 2 7/4/IS 8:11 PM Calculated Velue of Your PopCrSavings Rond(s) ' . http://www,VeasurydirecLgov/gC/SRCPdce D427572391� EE ' $500 OS/1995'.OS/2015 OS/2025 $250.00 $261.20 1.41^/o Q511.20� D42756884.� EE '� $500 04/1995�05�2015 04/2025 $250.00 $302.20 4.00°k ¢552.20. �� $S00 O4/1995 OS/2015 04/2025 $Z50.00 $302.20 4.00% ;552.20. D42756554�, EE ., $500 03/1995 OS/2015 03/2p25 $250.00 $304.00 4.00"/o 5554.00� D42756202�' EE $500,03/1995 OS/2015 03/2025 $250.00 $304.00� 4.00%� ;554.00 D4275588Y EE � $500 03/1995 OS/2015. 03/2025 $250.00 $304.00 4,p0%n §559.00� D42754882�. EE $500 O1/1995-05/2015 O1/2025. $250.00 $307.60 4.00"/0 ;557.60� D42753685 EE � $500 01/1995�05/2015 O1/2025 $250.00 $307.60 4.00% ;557.60'� _ $500 12/1994 OS/2015 12/2024 $250.00' $309.40 4.00% $559.40 D42753527� EE �, $500'll/1994 OS/2015� 11/2024 $250.00 $311.40 4.00^/0 ;561.40 D42752833 EE � $500� 11/1994.05/2015 ll/2024� $250.00 $311.40 4.00% ;561.q0 D42752475,�� EE �' �500 10/1994 OS/2015 10/2024 $250.00 $313.20 4.00% �563.20 D42752127� EE �500�. 10/1994 OS/2015 10/2024 $250.00 $313.20 4.00% ;563.20 � $500 09/1994�05/2015. 09/2024 $250.00 $315.00� q,00% ;565.00 D40495]88�� EE � §SW�09/1994�05/2015 09/2024' $250.00 $315.00 4.00% ;565.00� D40493608�� � EE $500 02/1995�05/2015 02/2025 $250.00� $305.80 4.00% §555.80 D40493305� EE �`� $500 06/1994 OS/2015 06/2024 $250.00 $320.60 4.00a/o $570.60 D40492989� EE $500�05/1994 OS/2035 OS/2024� $250.00. $322.60 4.00% $572.60� $500 OS/1994.05/2015 OS/2024� $250.00 $322.60 4.00% $572.60 D40492680: EE . $500,04/1994�05/2015 O4/2024 $250.00�� $324.40 4.00% ;574.40. �R40492078 �EE $500�04/1994 OS/2015 04/2024 $250.00 $324.q0 4,00% $574.40 R4049175B��. EE $500�04/199q QS/2015 04/2024� $250.00 $324.40 4.00% ;574,40 D40491454' EE � $500,03/1994�05/2015 03/2024� $250.00 $326.40 4.00%a $576.40 . . .,.... . $500��03/1994 OS/2015 03/2024 $250.00 $326.40 4.00% SS76.q0 D40491214' EE �. $500;02/199q OS/2015� 02/2024 $250.00 $328.20 4.�0^/0 §578.20 D40490853� EE _ $500 02/1994�05/2015 02/2024 $250.00 $328.20 4.00% $578.20 R43913287� EE . $500 09/1996-09/2015 09/2026 $250.00 $257.60 1.41% �507.80 R43912953'� EE . $500 09/1996�09/2015 09/1026 $250.00 $257.80 1.41% $507.80 R43914251 �EE ' $500 OB/1996 08/2015� 08/2026 $250.00 $257.8p 1.41% §507.80 ��_ $500. 11/1996 OS/2015� 11/2026 ffz50.00 $256.20 1.41% ;506.20� R43913600I EE $500� 30/1996 10/2015 10/2026 $250.00 $257.80 1.41^/0� �507.80'� ,..,_ $500�' 10/1996 10/2p15 10/2026 $250.00� $257.80. 1.41% $507.80 �R43915202�. EE $500� 12/1996 06/2015'� 12/2026� � � R43914896. EE $500 12/1996.06/2015 12/2026 $Z50.00 $256.20 1.41% $506.20� R43914566', EE � - � $�50.00 $25610 1.41% j506.20� _ � $500. 11/1996 OS/2015 11/2026 $250.00 $256.20. 1.41% $506.20 Totals for 75 Bonds 18 750.00 21 344.00 40 094.W Notes NI �Notlssued NE Not eligible for payment PS Includes 3 month interest penal[y MA �Matured and not earning in[erest 'of2 7/4/IS 8:11 PM CulcuWu:d Valuo oP Your 14pur 9uvingc��ond(s) h¢p:/n��.��avea5urydircev_gov/R059CPric-c Calculated Value of Your Paper Savings Bond(s) h '�"7' M F/uru 1 T / S i�c K£/z- Calculator Results for Redemption Date 04/2015 Total Price Total Value Total Interest YTD Interest $1,500.00 $3,823.04 $2,323.04 $57.92 Bonds: 1-15 of 15 Issue Next Final Issue Interest Serial # Series Denom Date Accrual Maturity Price I^terest Rate �alue Note R90599794� EE $200,10/1993 OS/2015� 10/2023 $100.00��. $134.40 4.00% 3234.40. . .. ._. _. . . . . . . . . .. R90598032� EE $200.10/1993 OS/2015 10/2023 $100.00 $134.40 4.00%� ;234.40 R90596268', EE � $200',09/1993 OS/2015��. 09/2023 $100.00'. $135.12 4.00% ;235.12. R645294031 EE � $200�.01/1993.07/2015. 01/2023 $300.00 $202.08� 4.00%� ;302.08� R64535023�'.. EE $200�06/1993 OS/2015 06/2023 $500.00 $137.52 4.00°/a $237.52 R64543476�I EE $200 OS/1993 OS/2015�. 05/2023 $100.00 $138.24 4.00% �238.24 R84541935 EE �, $200 AS/1993 OS/2015 OS/2023 $500.00 $138.24 4.00% $238.24 . . . . . . .. . . . .. . . . R84540426� EE $200 04/1993 OS/2015�. 04/2023 $100.00 $139.04 4.00% ¢239.04. R84538841�' EE � � $200.04/1993.05/2015 04/2023 $100.00 $139.04 4.00% SZ39.04 .. __. ___ . .. . . . . . . . . . . R84537326. EE $200-04/1993 OS/2015 04/2023� $100.00 $139.04 4.00% ;239.04 R84535768��� EE $200 03/1993 OS/2015� 03/2023 $300.00 $139.84 4.00%�. ;239.84. R84534176'� EE $200��03/1993 OS/2015 03/2023' $100.00 $139.84 4.00% $239.84 R84532547 " EE $200�02/1993',OB/2015 02/2023� $100.00 $202.08 4.00°/a 5302.08 R84531004' EE $200 02/1993 OS/2015 02/2023 $100.00 $202.08 4.00%� $302.08 R84527846� EE $200'O1/1993�07/2015 O1/2023 $100.00 $202.08 4.00% �302.08 � � � Totals for 15 Bonds�;1,500.00�;2,323.04 �3,823.04 Notes NI '�Not Issued � NE �No[ eligible for payment PS [ndudes 3 mon[h interest penalty MA �'Matured and not earning interest 1 of l 7/4/IS 7:07 PM Calculetcd V�alae of Yovr Paper Savings 8ond(s) ht[p'llwww.Voasurydirecl.gov/8C"I$BCPnce Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 04/2015 TOWI Prlce Total Value Total Interest YTD Interest $2,100.00 $7,283.28 $5,183.28 $88.64 Bonds: 1-42 of 42 I ` � �F J ' S��7 J J Serial # Series Denom ISsue N¢xt Findl I55u¢ I�keresf Interest Value Note �� Date Accrual Maturity Prl<e Rate C263794814�� EE $100 09/1990,09/2015 09/2020 $50.00 $116.80 4.00% #166.80� . ._. . .., .. _ ... . _. _. . . .: .. . . . . .. . . . .. . . . . . . . . _... . "t/ C263785496� EE $100�.09/1990-09/2015� 09/2020 $50.00 $116.80 4.00%' ;166.80 � q C2429253ll'�� EE ' $100�06/1990�,06/2015. 06/2020 $50.00 $116.80 4.00°/a� $166.80� U9 C242916781��. EE $100-05/1990-05/2015 OS/2020 $50.00 $116.80 4.00°/a $166.80 (� $ C242910278��. EE � $S00 OS/1990.05/2015. 05/2020 $50.00 $116.80 4.00°/ ;166.80 _ .. ._.... _. .... . .. . .. .. . . . 6 /J Q42902835�, EE $10004/199010/2015 04/2020 $50.00 $12012 4.00% ;17012 !Q V C242695106� EE $100'.04/1990 SO/2015 04/2020 $50.00 $120.12 4.00°/a 5170.12 6 5 C226781632� EE $S00 03/1990�09/2015 03/2020 $50.00 $120.12 4.00% ;ll0.12 G � C226773848'. EE $100 A3/1990 09/2015 03/2020 $50.00 $120.12 4.00%a� �ll0.12 _ _. _.. . __.. .. . . . . _ . . . . . . . . (c 3 C226766289 EE $100;02/1990 OB/2015 02/2020 $50.00 $120.12 4.00% $17012� �1 C226758634'. EE $300 A2/1990� 08/2015 02/2020 $50.00 $120.12 4.00%� $170.12'. (P � C226751101. EE $100'OS/1990 07/2015. 01/2020 $50.00 $120.12 4.00^/0 $170.12 .. _ . . .. . ._. . _ . _ . . . . . . . (� a Q26743294 EE � $500�01/1990 07/2015 OS/2020 $50.00 $120.12 4.00% ;170.12 5 q C226735553 EE � $100��12/1989 06/2015 12/2019 $50.00 $120.12 4.00% ;170.12 �'g C226727777 EE : $100��12/1989 06/2015 12/2019 $50.00 $120.12 4.00°/ ;17012 ,j'? C226720160� EE $100�12/1989 06/2015� 12/2019 $50.00 $120.12 4.00% ;170.12 6�(. C226712257� EE $100�11/1989 OS/2015' 31/2019 $50.00 $120.12 4.00%� �170.12 SS C226704524 EE $100 11/1989 OS/2015 11/2019 $50.00 $12012 4.00% #ll0.12�� �� C226696471 EE $300 10/1989 30/2015 10/2019 $50.00 $123.52 4.00% 5173.52 S' C226688690� EE $100�,10/1989 10/2015 10/2019 $50.00 $123.52 4.00a/ ;173.52 Sa C211015325 EE � $100��,09/1989 09/2015 09/2019 $50.00 $12352 4.00% $173.52 '� 1 C211007410 EE $100��.09/1989 09/2015� 09/2019 $50.00 $123.52 4.00a/o §173.52 � 196175866� EE � $100 06/1969 06/2015 06/2019 $50.00 $123.52 4.00%� ;173.52 'f,J C196ll0312 EE $100��,05/1989 OS/2015 OS/2019 $50.00 $123.52 4.00°/a. ;173.52�� � C196163869 EE � $100�.05/1989 OS/2015� 05/2019 $50.00 $123.52 4.00a/ ;173.52 �'� C1961576fi4 EE � $100:�04/1989 10/2015 04/2019 $50.00 $127.00 4.00% $177.00 ._ . _...._ _.. . .. . _ . .... 4(� C196151339� EE $100��04/1989 10/2015 04/2019� $50.00 $127.00 4.00%� ;177.00� QF 196144067' EE $100.03/1989 09/2015 03/2019 $50.00 $127.00 4.00%� 5177.00 /(• C196138427, EE $100�A3/1989 09/2015. 03/2019 $50.00 $127.00 4.00�/0 ¢177.00 �{� ^ C196132001�'. EE � $300�02/1989 OB/2015 02/2019 $50.00 $127.00 4.00% 5177.W�. ¢o(, C196125627� EE � $S00 02/1989 08/2015� 02/2019 $50.00 $127.00 4.00% $177.00 �L� C196119345� EE �. $S00 01/1989 07/2015 O1/2019 $50.00 $127.00 4.00%�� ;177.00 `1^ C196112788� EE $300 01/1989 07/2015 O1/2019 $50.00 $127.00 4.00%� 5177.00. 3 9 C196106481��� EE ��� $100 12/1988�06/2015 12/2018� $50.00 $127.00 4.00%. 5177.00 �� C179595908' EE $100 12/1988 06/2015 12/2018� $50.00 $127.00 4,00% 5177.00� '3 Q ll9589443� EE � $300 12/1988 06/2015 12/2018 $50.00 $127.00 4.00% �177.00 �{� C179582762� EE �, $500. 11/1988 OS/2015 ll/2018 $50.00 $127.00 4.00°/ ;177.00 3s C179576086� EE � $SOO,ll/1988 OS/2015 ll/2018 $50.00 $127.00 4.00°/a' ¢377.00 gt` C179569444.. EE �, $1W��.10/198810/2015� 10/2018 $50.00 $130.52 4.00a/o� $180.52 ,� 1 of 2 6/28/IS 8:46 PM �aloulafed Value of Your Paper Savings Bond(s) hupd/w.�w.imasurydima.go�/BGSRCPri« ,�'3 'C179562874�: EE �. $100 10/1988� 10/2015� 10/2018 $50.00 $130.52. 4.00% ;180.52. 3x C179556133: EE �$100 09/1988�09/2015� 09/2018� $50.00 $130.52 4.00°h. f180.52 .� � C175949600; EE � �$100 09/1988 09/2015 09/2018 $50.00. $130.52 4.00% $180.52 7otals for 42 Bonds 52 100 00�SS 183 26 �57 283 28 Notes NI 'NotIssued NE ��Not eligible for payment � ne�-r�.i.�a.. o��..�1� �..��.nn� nnn,l�o MA �Matured and not earning interest 2of2 6/28/IS 8:46 PM w•�-•�• • •�����, •��• •�v�� ��•���s������m� nap'nwww.ircasuryoirect.gow[svltlt.'vricc � HSg TreasaryDirect � � ��� T � "�^v • WYIrtluN • IxN . c.e�w.�Mvn..ar.e.��i...s mmm�a�i : Calculate the Value of Vour Paper Savings eontl(5) . ..wws.axocuau.o. � ,�, _.._ I i . � , a (�"°'^'�� ---.T.� I,.�•v.�R_ d �"'�� _"__I e�nw o.�wx..n� m.as. ix.me.� o.a: �N��«.x . .4'a _� ��4�..,a:aa� �a° ...el �'_..'—. r"._.! � MOWITO6.�VEYWR�NVtMTOMY I P mannf)onwvmm� I q Rv � N� Ib[ort�endroexmmp Calculafor R¢sW[s Po�Petlamption UaW OV/101!i �^��rts� � � � ...___—_ ....._.: TOYIhIw TOO1Wlu� Totallnbryi� YTO�Mve[ i��50J00 f5�550.W N.WO.W 569.Be �ontls'�1] u13D sn.i. s..w. � o..� .... ..,� w..i .... m�;..� .fp � ... �,,,. .wnn r.m. ma...� v.w. xw. CIN]6A61� EE 51U0 O6/19GB W/306 ~061�18 550.40 t110.53 �WM �iWdl _ a 9 CIN�010P EE AUO S/19BB 5/]Ot5 ID�e SW.40 SU6R �W% µ�O.ai. _ d�'' narusv�. ee s�aa osr�sm osizois asrmm ssa.m �uosz ., uw.ez � Rq71� LIH)Sl9pC pW OV�9lB IOR06 OV3019 S+0_00 IWdt �Wy µMai /� rp CINIy]O: f100' Oy1989 10/Z�IS OVI019 550.00 Slla.p a.W% 3��1d3 � _ �J CIfi1�3ib3 EE {100. ON19B9 W/E015 OV30�9� SID.00 fU<.p l �tu.13 _ L'l4 aniaoove'. smo�. ow�9m asizo�s ovzo�e sso.oa su..�z .mw �iw..x � d$ neu�smel ee s�oo. oa�vm oer»is oaao�e sw.00 �uu� ..rors iiu.v _ de. � �uwnl uoo'. �sm oerzo�e . �a sm.00 so..�z .. su..�z � A.� C16YC6))�� FE {IYO OV19fl9 0)/3015 OYi01B {5000 SIL.�E . {14i�] _ �• CIfiY01Ffl EE L00. 01/^1989 0)/306� n301E {SO,pO o S , �IY.II _ �•p) CIHIlIW6� [E 5140 I]/19l1 06R06 pqOV )50.00 a.1S �IM.O — �a CW136Y1�, EE 4100 I}/1991 Oy]015 IEIi01T. o �3� ♦0 �IM.a] _ �7 cNyllJO� � s�p0 iLt9p) abxa6� ILloV �SO.00 SIA.p . �W.p — II� CW11]WI�. 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OSp98� 5/]06 OSROV S l .� 00% _. 7 C1050563381 EF {l00 Mp98� ��/3015 ailOV 35a00 SIa1.56 4Wp �ulsp —i JA CI}p�1039) SIW W/t98� �0/3015 ae v Saoo 3'�L56 ..�* fl9u — CIEt�W95'. {IW Ol/I9W WR015 � . �L56 . � ad _i p CI3N@W6 EE 3�� Ol/19W� Wg015 olRof/ 51a�.54 P9L3! — J ClielNpN. ylUO OL�sB> 09/306 � �50.00 S�at.56 ' OOY �19L5< _ 1 cveowen� sma ovism oeieo�s v . vuse ..00ro ma.a. _ FF oxizo �saao / CI]B101W� EE p00 OV196] 0)/d015 OII]�V f50.00 {ML56 �WX p9l.f< _ ..__ _ ._ .. fqL � �TERNOiN0.ppN SmvBe __� imwwur•..uai.non E.aum� l: woa ly FBIr I OF 2 N2fi/I S 9-5p pM a ..�.�, �.��.�,� btper o�vltl e�mlci V�lu�tla��te: 0�%09%]Ol5 B�taG� O(� hLE�t peplel MppvStl esecu�iag p�p�, oi/]]/eo15 Accomt� SB15-l1U . xvClvlau�l �eWSC 'lYpei ��4 0[ Ob[L rlta xo� IHml�fr o�elel lU�v,: � 9Yarei Becu:fcr I1Q fEmtltlar �� vbcilDLfoe X19b/.YR Iqw/e1E Ms�n �y0/or B�euii[Y of� �v0 Ie[ M]a�emme� v�lve aeeauL �� ]031.SJ MOqry 11,�A[0} J� 1�"b]lT5)06 11O.tO � Z.O]1.5) tU IMC L CL f •a�u.� wa i.. wocn ny xuuvi ��, o��as�¢ois ae.ia000 me ]6.I10000 I1,>)I.{1 l) 1tt119Bb ]109.)66 CIJ.NpS I1N TR xN O 9TMT SNC I.R, C Mu[u�l NnE 1�� WoteO bY W6DA0) 0�/09/]O15 1l.]8000 MRt 11 1f080]l00 �p{,>01 �pNpAMp�y, LM.g 1J.]�D000 J2,Up1.6f CL C Mu[Wl N¢p (�e yYa[W Dy MIbDAp� ��/09/]O15 s�.osooa ne 6 s1 sleose�of Sx.�s0000 }t,Sy�.�o )6G.SB3 NM y8p6P[CIIVB Pp ZMC CL C Nvtu�l TUE la� pu0[�E py IAq0A0) 01/09/]O15 31.�S00o !yR 61 NMpI )L�1U000 D.16949 91590-05 JACR9 NATL L{q wg �p � 00930%H �� `��SB94p.�6 A VMIAppa 91�594.0 11tM0 GOMR� COD6��� 5 Od6 ' Tot�l V�ly�; TeCLL ACCN�li 6�5]Al�.�l SO[�L St5].]J�A] 50.00 I _ I I I I . >age 1 'e!b rtyorc ve� DroEuwU vl[C �e4teV�1, � Ota4uct ot !¢�b V�lu�[1ov� i Pxlclnp gy�Cesq Iva If Yov W�a yue�tiev�, Pi���� °o^��« ¢t'P By�Gm� �[ (9181 lll-6]00 or w�v.tiy�ye.cmo, �Fevf�ion I.Od) Gmail - Email fmm Wells Fargo Advantage Funds �� hvtps://mailgoogle.com/mail/?ui=2&ik--837622d24n&view=pt8ae.. f'�'�' 0 t,t�:;,'„ ' � Joanne McGreery toanne.mcgreevy@gmail.com> ,., .��Ic Email from Wells Fargo Advantage Funds 1 message Wells Fargo Advantage Funds <fundservice@wellsfargo.com> Tue, Jun 30, 2015 at 5:04 PM To: "joanne.mcgreevy@gmail.com" <joanne.mcgreevy@gmail.com> Deat Ms. McGreevy: Thank you for requesting tlate-of-death acwunt values for the Wells Fafgo Advantage Funds�accounts held by the late Daniel J. Menniti. Mr. Menniti held individualty registered Wells Fargo Advantage Pennsylvania Tax-Free Fund—Class A account #4301-XXXXXX8948 and Wells Fargo Advantage Omega Growth Fund—Class A account#4303- XXXXXX8948. The account values as ot the date that he passed away, April 9, 2015, is provided in the followmg table: Account Number Share Balance Share Price Account Value 4301-XXXXXX8948 3,084.317 $11.90 $36,703.37 4303-XXXXXX8948 631.149 $47.49 $29,973.27 If you have any questions or need addifional information, please call the Transition Team at 1-800-2743863 and reference#5666094. Representatives are available Monday through Fritlay from 9 a.m. to 4 p.m. Centrel Tme to assist you. Sophia Barnes Transition Team 1-800-274�3863 Information in this email is historical and may not reFlect[he wrrent accoun[balances. Please refer to statements for actual holdings antl de[ailetl information. Investments fluctuate. Wells Fargo Funds Management, LLQ a wholly owned subsitliary of Wells Fargo &Company, provides investment advisory antl administrative services for Wells Fargo Ativantage Funds�. Other affliates of Wells Fargo 8 Company provide subadvisory and other services for the Funds. The Funds are distributed by Wells Fargo Funds Distributor, LLC, Member FINRA/SIPC, an affliate of Wells Fargo& Company. NOT FDIC INSURED • NO BANK GUARANTEE • MAY LOSE VALUE I ofl e/ann c v.nv onn 07-01-' 15 15:43 FROM- M&T Ban� T-�66 P000���003 F-C77 � M&T Securities,Inc. 285 Daiawam Avenue.6uffalo. NV 1a202 Date of Death Holdings as of 419I2015 Account : AZD412443 � S mOW e�cyn Ham� OueMi XlNoticnlP(u McrkHV�lue i MUWiI Pontls � OPATX OPPENHEIMERROCNESTEFPALLA 2<408.562 E�0')B §283.102'A � TOTAL f261�OIJ9 � � f{ I, { � � � InvLsimtm ane Insurance F/oeuqs'�Me NM Oapoei�s�qre NOT FOiGmsmetl Ne NOT inw�ea 0y Any Feaerei�obemmenl ABerv.y�Nare NO Bank Guaranlse�May Go Oown In Vawe B!oNrepe sarvine cnE Inwran�g qWude are oXereO Ey M6T Securviiu,inc(mamper RNRP/SifL�,nol by MdT 8an4. M6TSkulillesiM.� i anNsuPonCeeBalndaclessrtgxnloringurere.lremane¢polci55si2ohligelin�O�lli¢.u�E/eNy$.uePpPoII4E5. � Inio�dnCt PMOu0.f m6V bN�eaedeC6ln W flaltl.l RE1'-059d E%—(^2_•5� � pennsylvania SCHEDULE E Lti7 oeanarnervroFnevervue CASH, BANK DEPOSITS & MISC. 1NHfF1TPNCfTP%RfTORN PERSONALPROPERTY aesmervr oeceo[++. ESTATE OF: FILE NUMBER: DA NI � c. �. M Sn✓n�i7'/ a o �s- g 2� ! 9 IntluGe the Oraee05 of II[Igatlan an�[he date the prxeeds were recelvetl h the estate. All proper[y jointly owMd with righ[of survivorship must be tlixlosetl on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. �� OUy L£.Yllf (�Pn�� C�o,vP;rl l4,OUJ. On � OKRSibc.�.n� B.fNK � cHeekw �- 1o� 0ey�bd' �16i . 31 -6- G� 40nc�v 4NISy /6,584. S�' 'G. vo y�aoa 111�1b 8, �3 9. 83 4. co 400��: ;�v4ai c,�ya .ss �t . � D y o0 oaai-sd I )9, 538: -2 9 -6 . v� yo��o� 30/l � �23. 3 i�. ?S s. � � r gA,��- u , cµ� ��,v6 � naea� 9Ze7vY'y3r 9, dS8 �" �-�7 •"la :v7r/ ,'"� K �� �oISU : yl981 � `1�n3,S %0 �'Y3;9. oZ� e, C � 0 3 !l o3q/3 �/.236 -�i�% 5'�,� y9, 'z � cL, e � �3 �J o3yi3.t� 3S0 ay. � y �'• s� ..e . GD v3 ri ' � 39i3 �a � �� f s6'; y 'a9.-s'y y, �isc�v� � A-tiK � n� y � a4o �a.ia� �3, �Zg „ � s wLu,� �a2�� ^-t n� �� � it�r a,� 37, s3 G PSLccti onecl��.va d Sn�i.v�s srr9�c� , 6'/ 33a, au a. C �'f y S i. b 3� v.; TOTAL(Also enter on Line 5, Recapitulationj $ ! 79'( � �� If more space is neeDeQ use adtlitional shee[s of vaper of the same srze. ' � CJx�sTowN�a�vx �„iy s, zo�s Joa�ne Marino-McGreevy, F.xecutrix 137 S Wes[ St Cadisle, PA 17013 Cell-717-4404540 E-Mail,joanne.mcgreevy@gmail.com Re: Estate of Daniel J Menniti Social Security Number 184-20-7275 Date of Death 04/09/2015 IT IS HEREBY CERTIFIED THAT THE ABOVG NAMED DECEDENT HAD TFIE FOLLOWING ACCOUNT WITH ORRSTOWN BANK CHECKlNG ACCOUNT Account No- 106004888 Account Type- Rela[ion Int Checking Accourit Titl� Daniel J Menniti Uate Opened- OR/29/2008 Joint Account(name/date) No Balance- $716L31 Accrued lnterest $.03 TJME DEPOSIT ACCO(INT Account No- 4000044159 Account Type- 11 Month Grow[h Accou��t Title- Daniel J Menniti Dale Opened- 06/20/2012 Joint Account (name/date) No Balance- $]6,58458 Accmed Interest $.48 ', nnp HIII c ��sk: . � -i�o�u^r.bu q "�, ncannon � C,rcenc.stle . Har �:�stown � Linraster MecharicsbarU • �� B� ��mri�ld . Newport ')rrstowP� nppen,burg � Spnny Run • • • • • . TlME DEPOSIT ACCOUNT Acwunt No- 4000028168 Account Type- 30 Month Growth Account Title- Daniel J Menniti Date Opened- OS/29Y2008 Join[Account (name/da[e) No Balance- $8139.83 Accrued Interest $,87 TIME DEPOSIT ACCOUNT Aceount No- 4000029402 Account Type- 10 Month Growth Account Title- Daniel J Menniti Date Opeued- IO/IOl2008 Join[Aecount(nazne/date) No Balance- $6740.55 Accrued Interest $29 TIME DEPOSIT ACCOUNT AccourtNo- 4000029581 Account Type- 36 Month Growth Account Tifle- Dauiel J Menniti Date Opened- 10/24/2008 Joint Account(name/date) No Balance- $79535.29 Accrued [ntexest $16.67 TIME DEPOSIT ACCOUNT Account No- A000030110 Account Type- 40 Month Grow[h Account Title- Daniel J Menniti Date Opened- 11/25/2008 Joint Aceount(name/date) No Balance- $23310.75 Acerued Interest $Z66 !RA ACCOUNT Account No- 608000041 Account Type- 18 MO 1RA Fixed Account Title- Daniel J MenniG Date Opened- OS/15/2009 Joint Account(name/date) No Balance- $55584.60 Accrued Interest $7.92 Best Regards, � �'{ �Y`�/�-��1-E.',.�--� 1`�� ��'1��--- Carmen R Jones Deposit Processing Specialist ..�,� � STATEMENT PERI00 — _ _� ----- MAR.1bAPP.09,2015,/ _._""_—" "_'_'" 00 0 043a5M NM Ol] i P �'� pppppp901 FIDS�SaeD0110408�5W OR OOOOW � DANIEL J MENNITI 517 S COLLEGE ST CARLISLE PA 17013 � SELECTEDACCOUNTSUMMARV ENdNG PCCOUNT I EREST EARNED MPTURITY A qN E ACCOVM y R- �0 TE TV 0.34 9258,01 .. OOIX)OBB9220943t 1025 10],4392] POWEfl CHECKING 015004198189035 . � POWERMONEVMARKET 031W391312t619 31.59 U2�2tr1fi 58,]l9.59' ��. M6TSELECTIBMONTHCD 031003913123500 3.69 04�22�15 240<&58' � MBTSELECTI2MONTHCD 091009913123699 iS.66 05-12-16 Stl?692�' � � STEP UP GD p5]02a 68 y � TpTALDEPO61T5 ' INTEREST EARNEO IS�NCWDED IN YOUR TIME DEPOS�T ENDING BAtANCE ONLV IF IT HFS BEEN PAID TO VOUA ACCOUNT. s § a ,��--� ACC UPoT DnNIELJ E N ��� � � POWER CHECKING � TR�E a ' - STONF:HED�E e ACCOUMNO. 80922094�1 F INTERESTEARNEDFORSTATEMENTPEHIOD $O.OB a' � u�rte v.ivaciw j'�� ratper vuiel w�anicl //y Wt� e[ DutDi 01/09/]O]5 HC�b Of� hth�[ OufU IWplt1 v.i,,.c�oo wc., a��w/�aas aocovns, so�sain . xcmvsav.v ,� ereeu.ic9 o.ni oa/v/vals �ayo:[ rypu y�e. ot n.�en llu�b�s Ot Y�eoiltl��� 'I nl. ioi wmfoS. uul•n fns•�na BE�ra� p�evrfty Me�p �nE/or B¢urtky pb up Ipp '. fEevti[1�z ox ��v M�crlptian X180/�R LOv/BlE 1Gju�cunb V�lv� Impwl� i I� '- 1IM010pR ]OIS.S) MOIRYlIMR�i 1.011.!] _—... .... _ ._._. ...... .__ _... ._ _ ... _ —. . .. . ..____ .._ ... _ _... Daniel J. Menniti,Assets in PSECU on April 9, 2015 (DOD) 1. Regular Shares 4,244.06 2. Checking 55, 771.42 3. Money Market 21,_3_14.95 81, 330.43 4. C D's a. ID 50 52,398.56 b. ID 51 11,228.56 c. ID 52 18,893.24 d. ID 53 11,643.04 e. ID 54 15,540.12 f. ID 55 27,698.03 g. ID 56 11,466.88 h. ID 57 11,777.85 i. ID 58 9,193.98 j. 1D 59 10,059 26 k. ID 61 8,877.95 I. ID 62 11,898.32 m. ID 63 1Q531.04 n. ID 64 9,846.43 o. ID 65 12.754.59 p. ID 66 10,109.94 q.. ID 67 10,941.30 r. ID 69 6,681.48 s. ID 70 6,544.71 t. ID 71 7,661.15 u. ID72 7,903.68 v. ID 73 7,233.94 w. ID 74 8.409.71 x. ID 75 10,923.33 y. ID 76 11,923.01 z. 1D 77 14,101.42 aa. 1D 78 10,815.60 bb. 1D 79 10,136.80 cc. ID 80 32,627.42 dd. ID 81 g,Z14,49 ee. ID 82 6,79225 fE ID 83 6,799.57 gg. ID 84 10,424.62 hh. ID86 12,570.SZ ��� �� $� 6,310.60 71. ID 88 11,098.92 y S �� a3 2� 3 / RF/-1509 E%+(03-15) � pennsylvania SCNEDULE F RS7 oernnrnervroFaevervue ]OINTLV-OWNED PROPERTY ���Ea„aN�.�aE,�a� aEsioErvr oeceocrvr ESTATE OF: FILE NUMeER: o�Nl £L J Mfnl�1�%1 ac� �s— vo 9- 19 Ii an asse[became joinHy ownetl within one year of the deceOenPs tlate of deafh,it must be reported on Schetlule G. SORVIVING JOINT TENANT(5)NPME(5) ADDRE55 RElAT10N5H[PTO DKEDENT n.�oTN✓E Nn2r.�o N�G2f�vy l3�' S, WEST rT.� cA-2�7S�e� A �'o �.�£Rfw £ � � 0(3 B. C. ]OINTLY OWNED PROPERTY: �eriEa o4ie DESCRIPTION OF PROGERtt w OF Dnie OFoenrn IiFM W0.101M MFOE MCW�ENAMEOFFINNiCIRLMSTfNTIONAN�9ANMACCOIIMNOM9ENO0.51M11AR OPiE0F0EAiH �ECF�FM5 VPWEOf NOM9ER iENANi IOIM IOEMIFYINGNVMBE0..PIIACH�EE�F�RIOIMLYHEL�REALESiFiE VAWf0iP55tT INiE0.EA DFCFOENL'SIMEREA 1. A. 'I �/9 FLOf2,trx0 KA� FFn n�J Pu�O / � /[. � 7y oo.vrrr« fo,., T-�- r� � rv�-�- i3; 94�is So`Y (o �� o �J„rO a I?S, yy �� trF,r2tt � � 6.r� i �� 2 rtf A2L� �y� � T '� a a Y o a o �{ 9G `( � TOiAL(Also enter on Line 6, RecapiNlation) $ ' U� IF more space is neetled, use additianal sheets of paper of the same size. RCV�1530 E%+ (02-05� � pennsylvania SCHEDULE G oevnmwervroFaeveNue INTER-VIVOS TRANSFERS AND ���Ea��^�=ET^�aE*��� MISC. NON-PROBATE PROPERTY RE9OENiDECEDFNT FILE NUMBER EsrarE oF D�! Ni f-� J. M F�/n✓ r7'j a o i 5 — � o ��� 9 This schetlule Rus[be mmDle[�tl antl flletl If[M1e answer[�any of questions L through 4 on page[hree of Ne REVi500 is yes. �ESCRIPTION OF PROPERiV ITEM :xmoeinerunEarmervnNsa�e.meixr�ur:orismamo�rro�uruao �ATEOF�EATH kOF�ECDS E%CWSION TA%ABLE NUMBER meonreor.�arvsa«.ar.rxnmvvormeoexowna�+irsn*a VAWEOFASSET IMERER pr..00ur.eu� VAWE �. Vuy,q � C'OOL ¢5y -SV ✓.r2�R� LL yy;,v.�J !�L Sk�Lo, 94 ANN✓ lT'�' `N c° o..La-ils-c'E J O 1 ,.r.iE MFF21i✓o M �Cr2££'VY � $ [`C A'fT��,P rr �) R�.�Os i9,bty, fr c� � � i�{� �'1, 8� ,2, sfr_�ss s-�� us s�v�� G-s Of�Cf 04�ti'T rS iy £PttfW � Mnrr ++tw st-cci«,2Cp, o . O.) �� ST /}YTrF�H s0 �7-0 0/dNILL �- MCNNITI $SSbY. Gn ('oc '7a i S'S, S�'1. 6� 3 . �'2 � �� �2 ,�sT � cD #k 4o � oapOy� �n-/[S7a�N�� rv4N�0 `f/�r�° /� �! N9T/oN0'✓ � IGE /,J S.i/Lq� 4 �O�75y. �p 6s� 7sy 3 b' 7. ��.cKs�..i � � aoa'7'JA � 3� co c��r�-�� � "' T ( SEE r}-"I"f Rc �-1t � �r l' M,^� � , '� -�— G TO7AL(Also enrer on Line 7, Recapitula[ion) ; a 3 s y, � IF more space is nee0etl, use addlfional shee[s ofpaper of the same size. � b[e!e V�]WHOn r.ceer v.nfai x.m�u we� ee x.ca� o�/of/�ois valu�[fov wN: o�/oa/aols Lt�te oh h[pev WviU Nuy1e1 lreeu�fo9 Mtu 06/3]/]015 Accamt� SUS-016] - Ipyvlpu�3 Ilepor[ '1]rp�� q!a o[ M�[E PilO ID� Menn�Hi Oulal SUS�• ' BGere� evauriey �16) IdentlHar os Yer peseslDffan P19h/AR ypr/Bid Nam u0/os 9ecuriCY 01v �vp Ipt /d]uecwb v�tue MewL 11 �wAar xoJl.11 Moxer xMxBr �) 0])TS)0 i1Bi.]6l ANq�y ry xNC 1,0)1.5) CL C MY[wl lypE I�e Qpe[M pY NABDApI a�/a�nois :ani000 eae x6.'lt000a ]1,]J�.{1 ]1 1]t11YB�9 ]�0l.]6t SN TR M8N ��T CL C xu[wl �ss p py �y,pp�01 0�/0y/70]5 ll.f8000 Mk[ 1).'lP0000 ]$�001.6f �1 JfOtO]]�0 {]6.]�1 � Ay Iqya CL C M 1 IupE ��e �„aem ey � +/a9/fo�s S¢.)s000 iqt Sx.vsoaoo ]isvl.vo 5) fIt01!]0) O.SB3 NH1I PiI1CPCCIIVB Pp IMc CL C �u�wi runn �e. wo��e ey nwypap� � Of/09/3015 J1.U000 Mkt T.I10ao0 A,fb.3] 61 AMIIIl 91590.05 .1ACRSON pAR LIP6 Ip8 LO (p11'1'Iq 009lOWTr I �� �� 91,5➢0.05 5�960.16 VOST VAqL�94i ANNOITY COA2AI Cp0645�-N 58.960.�6 � Tot�l V�lyee POGl ACCry�L 63$Z�]]1,�1 ioe�i� 6]5],]]l�i 50.00 I � I n�ge 1 iEL ieyart r�� PmEue�C rl[E 4[�CeV�l. � PcaEvc[ at lrt�b V�luRiw� � Pzlcinp 9y�b��. Ivc. If you y�e yuertSev�, p1��0� CO➢t�CC 6Vp By�tlN �t {B1B) ]1)-6]00 ar vwr,avp�ye.cOlp. �R�viLLpv I.OJj Calcula[ed Value oP Your Pnper Savi ngs Bond(s) hup://w.vw.treasurydi recLgov/F3GS6CPricc ' M �r�N f� Calculated Value of Your Paper Savings Bond(s) ��� s;�c.�c2.✓�-- Calculator Results for Redemption Date 04/2015 Total Price Total Value Total Interest YTD Interest $1,000.00 $3,251.20 $2,251.20 $44.80 Bonds: 1-10 of 30 Serialfk SeriesDenom Issue Next Final Issue I�terest I^terest yalue Note Da[e A<crual Maturity Price Rate R71487546�� EE �� $200 OS/1991 OS/2015�� 05/2021 $300.00 $220.64 4.00°/a �320.64' R71466227� EE �� $200 OS/1991 OS/2015 OS/20Il $300.00 $220.64 4.00% ¢320.64 R71484786� EE � $200 OS/1991 OS/2015 OS/2021 $100.00 $220.64 4.00% ;320.64'� R68239454 EE $200 04/1991 30/2015 04/2021 $300.00 $227.04 4.00% ;327.04� R68238094 EE � $200 04/1991 10/2015� 04/2021 $100.00 $227.04 4.00% ¢327.04 R68236760 EE '. $200�03/1991 09/2015 03/2021. $100.00 $227.04 4.00% ;327.04 R68235292 EE �� $200�93/1991 09/2015 03/2021 $100.00 $227.04 4.00% $327.04 R68233870� EE � $200.02/1991 08/2015� 02/2021 $100.00 $227.04 4.00% ;327.04 R68232442� EE ��. �$200 02/1991 O8/2015 02/2021 $100.00 $227.04 4.00% ¢327.04� R68230862 EE �, $200,01/1991 07/2015. 01/2021 $100.00 $227.04 4.00% ;327.04�' � � 7otals for 10 Bonds�;1,000.00 ;2,251.20 �.;3,253.20� Notes N2 �Notissued . . .... ._. __. . .. NE �No[eligible for payment PS ��Includes 3 month interest penalty MA �Matured and not earning interest I of L 7/4/IS 4:43 PM alwlated Value of Your Paper Savings Bond(s) hup:l/www.treas'uryJieecL@ovIBGSBCPricc Calculated Value of Your Paper Savings Bond(s) y .=GBIEUlOtOC ResultS for Redemption oate o4/zo15 ��' � , �y�� p�� Total Value Total Interest YTD Interest � � " �.� #1000:00 $3,168.48 $2,168.48 $31.44 �'@onds: 1-10 of 10 Issue Ne# Final Issue Interest I°�erest Value Note 99fIAI S �Series Denom Date Accrual Maturity Price Rate R6 17j.._EE $Z00�01/1992-07/2015 O1R022� $100.00 $21432 4.00°/ $314.32� � .,. - - {;5y"�7 176A� EE $200'�,12/1991��,06/2015� 12/2021. $100.00 $214.32 4.00%� f314.32 __ ' ' 14fi93/Yll$31, ., EE $200'�,12/1991'�06/2035 12/2021 $100.00 $21432 4.00% ;314.32� ..R69f00506� . EE $2W� 11/1991�05/2015��, 11/2021� $100.00. $21432 a.0o%�� ;3ia.32 R69���OZ.�� EE, , $za0111/1991 OS/2015 11/2021 $100.00 $21432 4.00%. 5314.32�� Rggggg(�yg, ,_EE $200�,11/1991 OS/2015 11/2021 $500.00 $214.32 4.00% �314.32 Rfi9(396658: ,EE $200�',10/1991 30/ZO15 10/2021 $100.00 $220.64� 4.00%�. ;320.64 R71499375, EE $200�'�10/1991 10/�015 10/2021 $100.00 $220.64�. 4.00%�. ;320.64� R71497990� ��EE $200�.09/1991�09/2015 09/2021� $500.00. $z20.64 4.00% 5320.64� R71496696, . EE $200�,09/19Tota�s for510 Bonds'�S 000.00 $2 168.48. 4 000/o S3 166.48 Notes NI �Notlssued .. NE No[eligible for payment PS �,lncludes 3 month interest penal[y Mp �Matured and no[ eaming inreres[ 7l4/I S 4'.52 PN lofl lnlculared Value of Your Pape�Savings Rnnd(s) http:/hv�vw.trcasurydirecCgovlBC/SBCPrice Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 04/2015 Total Prioe Total Value Total Interest YTD Interest $1,000.00 $3,124.72 $2,124.72 $43.12 Bonds: 1-10 of 10 Issue Next Final Issue interest Serial # Series Denom Interest Rate �alue Note Date Accrual Maturity Price R69708534' EE �� $200�05/1992 OS/2015 OS/2022 $100.00��. $�08.16 4.00% ;308.16� R69707155�' EE $200 OS/1992.05/2015' OS/2022 $100.00� $208.16 4.00% 5308.16�� R69706136�� EE ' $200�05/1992,05/2015 OS/2022 $100.00 $208.16 4.00% ;308.16��� R69704932��� EE $200�04/1992 10/2015 04/2022��. $100.00 $214.32 4.00%��. 5314.32 R69714199� EE $200',04/1992 10/2015� 04/2027 $100.00 $21432 4.00°k $314.32 R69712993 EE $200�03/1992 09/2015. 03/2022 $100.00 $214.32 4.00%� 5314.32 R69695793�� EE . $200 03/1992 09/2015� 03/2022 $100.00 $21432 4.00% #31432 R69694611. EE �. $z00�.02/1992 OB/2015 02/2022 $100.00 $214.32 4.00% 5314.32 R69693388��, EE $200�.02/1992 08/2015� 02/2022� $100.00 $21432 4.00%'. 5314.32� R69692016�, EE � $200 01/1992.07/2015 O1/2022. $100.00 $214.32� 4.00%�.. ;314.32'. �� �---�� �� � � Totalsfor108onds�51,000.00 ;2,124J2 53.124•�Z Notes NI �Not [ssued . NE �Not eligible for payment . �PS ��,Indudes 3 month in[erest penalty MA '�Maturedand�notearnin � interest 7/4/15 5:01 PM lofl ___ _ �alwlated Value of Your Papc�Savings Bond(e) h¢p�//wuvw.treysurydireeCgovBCISRCPrice Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 04/2015 ToWI Price TOWI Value Total Interest YTD Interest $800.00 $2,629.44 $1,829.44 $19.52 Bonds: 1-8 of 8 Serial # SeriesDenom Issue rvext Final issue interest Interest Value Note Date Accrual Maturity Pri[e Rate R68229570�� EE $200�-01/1991�07/2015 O1/2021 $100.00 $227.04 4.00%� $327.04 R68228181' EE � $200 12/1990 06/2015 12/2020 $100.00 $227.04� 4.00% ;327.04 R68226716�� EE ���. $2D042/1990�06/2015� 12/2020' $100.00 $227.04 4.00% ¢327.04� R68225293. EE . $200 11/1990.05/2015 11/2020� $100.00 $227.04 4.00% $327.04� R63245793� EE �. $200 11/1990�05/2015 11/2020 $100.00 $227.04 4.00%� ;327.04 R63244376. EE � $200 11/1990.05/2015� 11/2020 $100.00 $227.04� 4.00% ;327.04 R63242892� EE ��. $200�..10/1990 10/2015 10/2020� $100.00�. $233.60� 4.00°/ j333.60 R63241500' EE $200,10/1990 10/2015; 10/2020 $100.00 $233.60 4.00% ;333.60 �"�� '�'� - � �� � Totalsfor S Bonds��800.00�51,629.44 ';Z,629.44� Notes NI ��NotIssued . ......:_. _. .. ._. . NE ��Not eligible for payment PS ���Include5 3 mon[h in[erest penalry MA �'Matured and not eaming interest 7/4/IS 5:05 PP Iofi Uaicula[e[na Value a rour reper�av�ngs nona�s� ,,,,N................,,.. y...,....e.,.,....,.,..,.. ..__ ,...^^" � Trec�suryDirect � . � . �, . �,..�a,..�.�..a,.a.,o.a.=..,�e,�.a,., y7��__ Calculate the Value of Vour Paper Savings Bond(s) . eonowro ro _ l � E""'"�"�"'l � �. w�uu�u s ma ' � --- i '� � 5 �� ,, v) i �.. m_n�, �. n.m .,. tio,� a� _ � __, ..., � I EEBWA .[) E00 .� ..: ( xl xotlnme [� _.. _. . . _... . �/ �+o�a�eme m.w.-=�� _ MOWTOS�V[VOVR�NVENTORY ���rt�a�m0��� � o.•.m� .. �.,.,�,�a,o,.,,�,�o M ��I�t"J � Calculato�Re5uIf5 f0/Retlemp[ion Oate Oi/2015 �nnrts[ � � � _ _-- !'t � ��4N , .�.�o.��. .�,�..�w .ov�..�.,_, ..o�,,..m, Si � ' SBOO.W S�b0.96 S1�6<0.96 f11.3] ... BonJs:LB nl9 � YMI Omem �d w� Ind�rt �� V�W� Nee� . . �mml •miq � Irlu ,ba � ' xNR@60 �- . 5300 li/199$ OL/3015 M �yiOII 31W.00 530E.49�. . y103.0 _ �. uN5NW6 ff SE00� IL(993 a6/3015 IiRpi} 3����� 530E.W 4.00% pOl.o[ — � PNRl06�, S]0o� W1993 OS/3015 IV303E SIW.OU 302� . SlW.O _ PN531J55 EE � 5300 11/199P OS/30�5 1VS033 fIW�00 5301.W a.pp% {]O3.W — � PN519B6y E � RDO IOp99l 10/30�5 10/30E} {IW.00 �i08.16 lW% {bli6 — � EE {300 10/1991 �0/)015 10/IOP3. S�OO.OU fIDe.�6 l f�OI�C — � Pl�51669�; E �', 3 10/1993 ]0/3015 �0/]OR {100.00 SE09.16 ♦W9e {bl.0 — E Y OG � R]0653050' PE � 3 09/1993 09/E015 09/033 {tW o0 4 e�6 �.00% 3lOLfC _ [�LC lAiF4NOP1ER60� ) l�wwlC Yeu MYM�[wli Enmlbnt (: Gob i falr f�: Fai mo ' io� ILnLGr �� ��. �Fva I 'rte - k . .. I :.�n:'.i . I ,,.i..ii�. .i. I�I L'�uis �, Qo �/o5 � „� `"� � . qG 1 of 1 7!I/U fi:13 PM1 PELL 15 L E%+ (OJ-I Sl � pennsylvania SCHEDULE H �Ci7 ocanarncrvrorAev[rvue FUNERAL EXPENSES AND ���Ea��A��E*Axa��«� ADMINISTRATIVECOSTS aEsiocrvl oeceoErvr ESTATE OF FILE NUMBER ��,v i � c i /�l �iv �� � a.o i r a ,� � � q DeceEenPs tlebts must be reporteE on ScheEule I. ITfM AMOUNT NUMBER �ESCWPTION A. FUNEBAL EXPENSES', a 9�Z p �f 0. . M ML Pf-ZZ! F'NN f/CA t_ N on E C 9�T�•K EYcO) 3 � utoGlsT.f ( c.Ylu RcFFrt cf"1£i'tp�) 4uo, a � �. � eL�c�n £�✓ L al �9 C T1H�O•CkR�- .MNILI<f.2 D. MoNdMiav l� POdN0�1-?'IoNS jGJ F1'f a vo JL. i.un. C'I'FLoN -� �� puU, vv � F�,vz,e�� Pnv�2.1NS �2� 0�0 ljf9 / a ' TtM✓�K Yow ��ANOS � �oSi A-G S� �r' � 'J 80 B. ADMIMSTRATNE COSTS: 1, Persona'� Representative Cammissions: � �/ Name(s)of Personal Representa[Ne(s) .� � I?P�/��` /�1�121/1� /�'1 c��£� / Street nderess �3 �' s , L�/E.('7- Sj'2-L"�-( .. . . City G/}I�LIS_V.F �/� State ZIP_��� ��. � Yedr(5)Commissio0 Pd d O. . .... . 2. Attomey Fees' � 3 Famlly Exemptlon'. Qf decedenPs atltlress is not the same as daimanPs,attach explanatlon,) b Claimant . .. . ... .... . . SfreetAtld�ess . . . . . . — . City . .... _ .._ . .__ 5[a[e _ ZIP .___ Relationship ofClaimantto�ecetlen! _. . 4. Pmbate Fees: �S 1� , S� � 5 a U s� 5. Acmwtant Fees: 6. Tax ReNm Preparer Fees. � aoo Vn�v �s F/C��t wtu-s F'�'2� 0 6�.4ie 8. hFu�(E M L�IN �Ar�L�.£ D a rU� [ t,`NL.Sl CFINAL) / � o p_ oa q. �A�,✓�/s f wecKs� n as,� q / S O . M o `fj . Po/LcH /�hILlNG .I 12tPhi2S e �Nrs�rc� �rT�� „J o F' 6=�k B 8,N2d Pi✓ �f S, o v /�A--rrh2.�mM� w s j�-i2S C3� a �„�rr� �sn�� � a F srw.�z 2 NtnD 3 S. u�o 707AL(Also enter on Line 9, RecapitulaPion) ; � If more space ls neetled,useatldltional sheefs of pape-of Ne same size, / Malpezzi Funeral Home 8 Market Plaza Wao� Mechanicsburg PA 17055 (717)697-4696 Michael J. Maloezzi Owner.FD Jereme�J Shanzer I'U KvI C K 'pe FD May 13, 2015 Juanne MeCreery 137 South West S[reet Cadisle, PA 17073 The Funeral Service for Fa[her Daniel J. Menniti We sincerety apprecia[e the confidence you have placed in us and will con[inue to assist you in every way we can. Pfease feel free to wntact us if you have any questions in regard[o this statement. 111F FOI.I,OWING IS AN ITEMIZBD STATCMENTOP'l'IIF:SIiRVICES,FACILITIES,AU'fOYiOTIVE BQUIPMbNT, ANU MfRCHANDISE THAT YOC SF:Lh;CTCD W I IHN MAKING THE FUNERAL ARRANGIiMGNTS. 1. PROFESSIONALSF.RVICES: Limousine $465A0 Srnices of Puneral Directod5taff $5,760.00 FCNERAL HOME SERV[CE CHARCES $6.225.00 SF.LECTED MERCHAVDISE: Cusmm Mahogany Casket $7,300.00 12 Gauge S�eel Burial Vault 51,53500 THE WST OF OUR SERVICES.EQUIPMENT,AND MERCHANDISE THAT VOU HAVE SF.LECTED 515,060.00 ,11'IHE TIME�IiNERAI.ABRANGF.MFN'I S WGRG MADF,WE ADVANC6D CF,RIAIN YAYMCh'TS TO O7'IIGRS AS AK ACCOMMODATION. THE FOI.I,OW ING IS AN ACCOl1NTING FOR THOSF.CHARGF.S_ CASH ADVA�CES: Opening Grave $I,000.00 Cemetery equipment $210.00 Certified Death Ccrtif cares $I 8Q00 Newspaper nblices-Patrio[ $3,200.00 �ewspaper Ko[ices-Senlinel $7,691.05 Newspaper Notiou-Philadelphla $Y,000.99 Newspaper No[ices- Mt Cnrmel $340.00 Rishop Gainer $250.00 Father Forzey 5250.00 Father Yohe $I50.00 Falher N'ayne $100.00 Oreanist $300.00 Cantor $I50.00 Altar Servcr.s/Seminarians S160.00 Flowers $600.00 Custom Prayer Cards $137.50 Additional Prayer Cards $13250 TOTALCASIIADVANCESANDSPECIALCHARGES $17,852.04 CONTRACTPRICE $3Zq�Z�4 HISTORV: OS/13/2015 Paymen[ Payment-]onm�eMcGrervy $}p,g12.04 TOTAI.AYIOUNT DUE $Q QQ REV-1512 E%��(W-15) � pennsylvania SCHEDULE I - oerna.mex.orREVErvuE DEBTS OF DECEDENT� i I m«exirANce.Ax Ae�oxn MORTGAGE LIABILITIES & LIENS i aesmervroeceoerv* �� ESTATE OF FILE NUMBER 17AN'I EL J. 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S � PI�u f.f 707AL(Also enter on Line 10, Recapitula[ion) S ,3 a �S3 1!more spa�e Is neetled, inseR aOEltional sheets of the same size. nev-isi3 ex+ �oz�s� �i�J' pennsylvania SCHEDULE ] o �s� OEFPPTMENTOFPEVENIIE gENEFICIARIES INXf0.1iPnCE iM PEiuRN R[SIDErvr�ECEDENT FRE NUMeER: ESTRTE OF: _ �� r� � ti�l �� ���; ri 4nti�, ; �, � a �- �� RELATIONSHIGTO�ECEDENT AMOUNT OR SMARE NUMBEN NNME AN�A�OAE55 OF PERSOfl(S) RECEIVING PROPERiY Do No[Listimsfee(5J OF ESTATE I TA%ABLE�ISTRIBUTIONS [Intluee ouhlghtspousalGishibu[ionsantltanslersunde� .`� g X C 4+' � se�.9tiela) (i_zl.� � ✓�✓O x � i. J o.�d,v � ,'�7✓)rz.�,✓o Jti °G-/zf r_ V y C"a �c 4 1 ti� i. i 'r'r/"� i �? �-.,.,,. l� 7� i, �c S`i.hi £5 £� � � ,;Z„ /'iWl'7'YI-fi.. s�tcrctr�- Nz/'li£w �,� [��� I� , , CJtta1�'�� T S � � I�l� � � % yy' �307���a� i. :H .,���i -r � iiztiST� . �.f o; r, /:. 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