HomeMy WebLinkAbout08-07-15 1505614134
EX(03-14)(FI)
REV-1500 OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN 2 1 1 5 0 6 1 7
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
2 0 7 2 2 4 8 7 3 0 5 2 9 2 0 1 5 0 8 3 1 1 9 2 8
Decedent's Last Name Suffix Decedent's First Name MI
D U N T O N P H Y L L I S H
(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
n 1.Original Return ❑ 2.Supplemental Return ❑ 3.Remainder Return(date of death
Prior to 12-13-82)
❑ 4.Agriculture Exemption ❑ 5.Future Interest Compromise(date of ❑ 6. Federal Estate Tax Return Required
(date of death on or after 7-1-2012) death after 12-12-82)
❑X 7.Decedent Died Testate ❑ 8.Decedent Maintained a Living Trust 1 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
J O E L R . Z U L L I N G E R 7 1 7 2 6 4 6 0 2 9
First Line of Address
1 4 N O R T H MA I N S T R E E T
Second Line of Address
S U I T E 2 0 0
City or Post Office State ZIP Code
CHAMBERSBURG P A 1 7 2 0 1
Correspondent's e-mail address: jzullinger(cD_zullinger-dayiS.COl11
REGISTER OF WILLS USE ONLY
REGISTER OF WILLS USE ONLY
DATE FILED MMDDYYYY
CM 1
DA - 11M STAMP G7 C 1
r°Tj r n
r— -
I' r�1 __j
PLEASE USE ORIGINAL FORM ONLY
Side 1 c`] C 1 ?i x
-:aa M
II'IIIIII'IIIIIIIIIIIIIIIIIIIIIIIIIIIIII'IIIIIIIIIIIIIIIIIII :� C-) vn CD
1505614134 1505614134 cry
1505614234
REV-1500 EX(FI)
Decedent's Social Security Number
Decedent's Name: PHYLLIS H. DUNTON 2 0 7 2 2 4 8 7 3
RECAPITULATION
1. Real Estate(Schedule A) ............... ............ .. . . .. ... ....... 1.
2. Stocks and Bonds(Schedule B) ............................ .... .... .. 2. 4 6 0 7 2 7 . 4 3
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. 1 6 7 8 9 7 0 4
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . .. .. .. 6.
7. Inter-Vivos Transfers&Miscellaneous No -Probate Property 1 0 6 5 5 7 , 8 8
(Schedule G) Separate Billing Requested . .. .. . . 7.
8. Total Gross Assets(total Lines 1 through 7) ................... .. .. .. .. 8. 7 3 5 1 8 2 • 3 5
9. Funeral Expenses and Administrative Costs(Schedule H) ...... .. .. ........ 9. 1 3 4 5 3 . 0 3
10. Debts of Decedent,Mortgage Liabilities,and Liens Schedule I 10. 5 2 4 1 . 9 7
11. Total Deductions(total Lines 9 and 10) ...................... .. . . ..... 11. 1 8 6 9 5 . 0 0
12. Net Value of Estate(Line 8 minus Line 11) .. ..... .. .. .. .. ........... .. 12. 7 1 6 4 8 7 . 3 5
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J) .......... .. .. . .... ... 13. 5 0 0 0 . 0 0
14. Net Value Subject to Tax(Line 12 minus Line 13) .. .. .. . . . ............ . 14. 7 1 1 4 8 7 . 3 5
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 _ 0 . 0 0 15. 0 . 0 0
16. Amount of Line 14 taxable
at lineal rate x.045 7 1 1 4 8 7 . 3 5 16. 3 2 0 1 6 . 9 3
17. Amount of Line 14 taxable
at sibling rate X.12 0 . 0 0 17. 0 . 0 0
18. Amount of Line 14 taxable
at collateral rate X.15 0 . 0 0 18. 0 . 0 0
19. TAX DUE ... .. . ........ .. ....................... .. ............. 19. 3 2 0 1 6 . 9 3
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,
it is true,correct and complete.Declaration of preparer other than the person responsible for filing the return is based on all information of which preparer has
any knowledge.
SIGNA OF PERSOV RES`pONNSIBL FOR FILING RETURN DTE
ADDRESS
76 WEST KING STREET SHIPPENSBURG PA 17257
SIGNA ,E % PR - ROTPERSON RESPONSIBLE FOR FILING THE RETURN DA E
AdDRE S
14-NORTH MAIN VREET, S4JITE 200 CHAMBERSBURG PA 17201
111111111111111111111111 IN Side 2
L 1505614234 1505614234
REV-1500 EX (FI) Page 3 File Number
Decedent's Complete Address: 21 15 0617
DECEDENTS NAME
PHYLLIS H. DUNTON
STREETADDRESS
76 West King Street
CITY STATE ZIP
Shippensburg PA 17257
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 32,016.93
2. Credits/Payments
A.Prior Payments
B.Discount 1,600.84
(See instructions.) Total Credits(A+B) (2) 1,600.84
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) 0.00
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 30,416.09
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 ...................................................................... ❑ 0
b. retain the right to designate who shall use the property transferred or its income ❑ 0
c. retain a reversionary interest ........................................................... . ❑ 0
d. receive the promise for life of either payments,benefits or care? ....................................................... ❑ 0
2. If death occurred after Dec.12,1982,did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................................... ❑ 0
3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? ......... ❑ 0
4. Did decedent own an individual retirement account,annuity or other non-probate property,which
contains a beneficiary designation?.................................................................................................. 0 ❑
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 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-1503 EX+(8-12)
pennsylvania SCHEDULE B
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN STOCKS & BONDS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
PHYLLIS H. DUNTON 21 15 0617
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Investment Account#0073, Orrstown Financial Advisors, consisting of assets as shown 459,812.23
on attached date of death valuation
2. Accrued dividends to date of death on assets held in Investment Account 0073, 915.20
Orrstown Financial Advisors
TOTAL(Also enter on Line 2,Recapitulation) $ 460 727.43
If more space is needed,insert additional sheets of the same size
REV-1508 EX+(08-12)
pennsylvania SCHEDULE E
Y DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN
RESIDENT DECEDENT PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
PHYLLIS H. DUNTON 21 15 0617
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. Federated Money Market Fund 851 held in Investment Account 0073 with Orrstown 149,602.18
Financial Advisors
2. Orrstown Bank Checking Account#508683 10,286.00
3. Proceeds from sale of 2002 Toyota Camry 4,400.00
4. Insurance refund, Penn Treaty 1,772.00
5. Homeowner's insurance refund 96.96
6. Car insurance refund 83.31
7. Comcast refund 56.59
8. Estimated refund from personal income tax filings for 2015 1,600.00
TOTAL(Also enter on Line 5,Recapitulation) $ 167 897.04
If more space is needed,use additional sheets of paper of the same size.
REV-1510 EX+(08-09)
pennsytvania SCHEDULE G
DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
PHYLLIS H. DUNTON 21 15 0617
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 INCLUDETHE NAME OF THE TRANSFEREE,THEIR RELATIONSHIPTO DECEDENTAND DATE OF DEATH %OFDECUS EXCLUSION TAXABLE
NUMBER THE DATE OF TRANSFER.ATTACH A COPY OFTHE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST OFAPPUCAME) VALUE
1. IRA Account#14 00 0076 0 02, Orrstown Financial Advisors 106,557.88 100.00 106,557.88
named beneficiaries, Ann L. Fague, Judith Offner, a/k/a
Judith E. Lewis, and Jane Offner,a/k/a Jane S. Debaun,
all children of the decedent
TOTAL(Also enter on Line 7,Recapitulation) $ 106 557.88
If more space is needed,use additional sheets of paper of the same size.
REV-1511 EX+(08-13)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN
RESIDENT DECEDENT ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
PHYLLIS H. DUNTON 21 15 0617
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Fogelsanger-Bricker Funeral Home, balance due for funeral expenses 1,157.40
2. Kathy's Deli, meal after funeral 1,149.36
3. Victorian Corner, flowers for funeral 641.30
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representative(s) Ann L. Fague 5,000.00
Street Address 76 West King Street
city Shippensburg state PA ZIP 17257
Years)Commission Paid: 2015
2. Attorney Fees: Joel R. Zullinger 3,900.00
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: JCS fee-35.50; automation 5.00; will 15.00; short certificates 10.00; 555.50
letters 410.00; inheritance return 15.00; inventory 15.00; additional probate 50.00
5 Accountant Fees:
6. Tax Return PreparerFees:
7. Orrstown Bank, lockbox fee 25.00
8. First Energy, utilities 33.15
9. CenturyLink, telephone service 38.40
10. Sollenberger's, transfer vehicle title 5.00
11. Orrstown Bank, investment fee 947.92
TOTAL(Also enter on Line 9,Recapitulation) $ 13 453.03
If more space is needed,use additional sheets of paper of the same size.
REV-1512 EX+(12-12)
pennsylvania SCHEDULE
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES&LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
PHYLLIS H. DUNTON 21 15 0617
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. Comfort Keepers, balance due for care services 4,942.30
2. Menno Haven Physician Services, balance due for care services 30.00
3. Penn Treaty Insurance, balance due 12.58
4. First Energy, utilities 56.54
5. CenturyLink, telephone service 34.01
6. Balance due on credit card for prescriptions 166.54
TOTAL(Also enter on Line 10,Recapitulation) $ 5,241.97
If more space is needed,insert additional sheets of the same size.
REV-1513 EX+(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
PHYLLIS H. DUNTON 21 15 0617
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. Ann L. Fague, 76 West King Street, Shippensburg, PA 17257 Lineal 237,162.45
1/3 of Item 1, Sch. G - 1/3 of 106,557.88= 35,519.30
1/3 of residue- 1/3 of 604,929.47=201,643.15
2. Judith Offner, a/k/a Judith E. Lewis, 6 South Marion St., Lineal 237,162.45
Wenonah, NJ 08090
1/3 of Item 1, Sch. G- 1/3 of 106,557.88= 35,519.29
1/3 of residue- 1/3 of 604,929.47 =201,643.16
3. Jane Offner, a/k/a Jane S. Debaun, 216 East Burd Street, Lineal 237,162.45
Shippensburg, PA 17257
1/3 of Item 1, Sch. G- 1/3 of 106,557.88= 35,519.29
1/3 of residue- 1/3 of 604,829.47= 201,643.16
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. Middle Spring Presbyterian Church, 138 Middle Spring Road, Shippensburg, PA 5,000.00
specific bequest of cash in the amount of$5,000.00
TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ 5,000.00
If more space is needed,use additional sheets of paper of the same size.
JRZ - 5.1 dunton..2 February 13, 2012
LAST WILL AND TESTAMENT
1, Phyllis H. Dunton, of 825 Crescent Drive, Shippensburg,
Franklin County, Pennsylvania, being of sound and disposing mind,
memory and understanding, do hereby declare this to be my will,
hereby revoking any and all former wills and codicils thereto by me
heretofore made-
I.
I direct that all my just debts and funeral expenses,
including all. expenses of my last illness, shall be paid from my
estate as soon as practicable after my decease as a part of the
expense of the administration of my estate.
I give and bequeath those items listed on a- separate unsigned
memorandum which refers to this my will by date to the individuals
named therein. in the event that no such memorandun is found
-76
within thirty days following my death, this bequQ--ti,,shalVbee 9�
null and void.
C-">
CO 1-" Fri
CD
I give the sum of $5,0000.00 cash to the Middle Spring
Presbyterian Church, 135 Middle Spring Road, Shippensburg,
Pennsylvania.
IV.
I give, devise and bequeath the residue of my estate of every
nature and wherever situate to my children, namely Judith E. Lewis,
Jane S. DeBaun, and Ann L. Fague, in equal shares, provided that
the share of any child who predeceases me or dies on or before the
thirtieth day following my death shall be distributed to said
beneficiary's issue, per stirpes, living on the thirty-first day
follo�#inq my death, and in default of any such then-living issue,
such share shall be added to the share or shares of my other
children.
V.
In the event that anyone entitled to a share of my estate
shall be under the age of twenty-two years at the time for
distribution to such beneficiary, I constitute and appoint the
Orrstown Bank, Shippensburg, Pennsylvania, as trustee of any
property which passes either under this, will or- otherwise to said
beneficiary. Said trustee shall in the trustee's sole discretion
Page 2
and without order of court, use principal as well as income from
time to time as may appear to be necessary for the beneficiary's
welfare, comfort, medical care, recreation, support and education,
without responsibility to the beneficiary or to any person taking
care of the beneficiary; and the remaining balance in the hands of
said trustee shall be distributed to said beneficiary when the
beneficiary attains the age of twenty-two years. if such
beneficiary dies prior to attaining the age of twenty-two years,
said trustee is authorized in the trustee's discretion to pay part
or all of the beneficiary's funeral. expenses and the remaining. . .
balance in the hands of said trustee shall be distributed to the
beneficiary's personal representative. In the event the funds held
by the trustee for any beneficiary become in the opinion of the
trustee too small for proper and efficient administration, the
trustee, in the trustee's sole discretion, may deposit such funds
in a savings account in the name of the beneficiary.
V-1.
Any fiduciary under this will shall have the following powers
in addition to those vested in them by law and by other provisions
of my will applicable to all property whether principal or income,
including property held for minors, exercisable without court
approval, and effective until actual distribution of all property:
A: To retain any and all of the assets of my estate, real or
personal, without regard to any principle of
Page 3
diversification of risk.
B. To invest in all forms of property including stock,
common trust funds and mortgage investment funds without
restriction to investments authorized for Pennsylvania
fiduciaries as they deem proper, without regard to any
principle of diversification of risk.
C. To sell at public or private sale, to exchange or to
lease for any period of time any real or personal
property and to give options for sales, exchanges or
leases, for such prices and upon such terms or conditions
as they deem proper.
D. To allocate receipts and expenses to principal or income
or partly to each as they from time to time think proper.
E. To compromise any claim or controversy.
F. To distribute in cash or in kind or partly in each.
G. To hold property in their names without designation of
any fiduciary capacity or in the name of a nominee or
unregistered.
VII.
The interest of the beneficiaries hereunder shall not be
subject to anticipation or to voluntary or involuntary alienation;
and the principal and income shall be paid by the trustee or
guardian directly to or for the use of the beneficiary entitled
thereto, without -regard to any assignment, order, attachment or
Page 4
claim whatever.
Vill.
I direct that all taxes that may be assessed in consequence of
my death of whatever nature and by whatever jurisdiction imposed,
shall be paid from my residuary estate as a part of the expense of
the administration of my estate.
IX.
I appoint my daughter, Aim L. Fague, as executrix of this my
will. Should my daughter predecease me, fail to qualify or cease
to act as executor, I appoint my son-in-law, Philip E. Faque, as
executor of this my will.
X.
No bond shall be required of any fiduciary hereunder, in any
jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my
Last will and testament, consisting of seven typewritten pages, the
first five of which bear my signature in the margin for the purpose
Page 5
of identification this day of
(SEAL)
Signed, sealed, published and declared by . the above-named
testatrix as and for her last will and testament in our presence,
who in her presence, at her request and in the presence of each
other have hereunto set our hands as attesting witnesses_
d 101ag
0
We, Phyllis H. Dunton, Liu and
-atj �i the testatrix 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 testatrix signed and executed the
instrument as her last will and testament and that. she executed .it
as her free and voluntary act for the purposes therein expressed
and that each of the witnesses, in the presence and hearing of the
said testatrix, signed the will as witnesses and to the best of
their knowledge, said signer was at that time eighteen years of age
Page 6
or older, of sound mind and under no constraint or undue influence.
TEV,
tat i
4
W'tneess
Witness
Subscribed, sworn to and acknowledged
before me by the above-named signer and
subscribed and, sworn to before Rte by the
above. xiamed witnesses this 17-t' day of
� f COMMONMALTH OF PENNSYMANIA
NotarialSea[
Angela M.Schaeffer,Notary Public
l Shippermbu1 Born,Cumberland County
COMMOW&ALTtd OF PENNSYLVAKA My Commtsgon Ezpltes May 15,2015
Motarfal Seal MUWk MRMVANIA ASS"-nOri OF ruYrARTES
'-ngela M.SC iaef€er,Notary Public
'-bug ,QmterL-w County
F, n UZK'-aY 15,2015
fSC:-SBia. . .:YLVANIR _:z-TATMN Or-WrARI S
Page 7
h
Estate Valuation
Orrstuen Financial Advisors
Cate of Death: 05/29/2015 Estate of: Phy3lis .. Dunton
.aluatior Date: 05/29/2015 Account: 0073
Processing 'Date: 06/03/2015 Report Type: Date o: Death
Nu:rber of Secrr�ties: 22
File %C: P. Dunton =0073
S ares Secur_ty Mean and/or Civ and int Security
or ?ar Description High/As); Levr/3_d Idlzustmeits Accruals Value
1' 45000 EC^_LER PA AR--k SC:: DiST (123776VD5)
Interactive Data Coro-ration
=D: 09/15/2008 fiat: 10/01/2023 4.625$
05/219/12015 109.38800 M:.t
1-09.388000 49,22+.60
7nt: C4/01/2015 to 05/29/2015 335.31
") 203 DISNEY WALT CO 525-687106)
C0M DISNEY
New Yor° Stock E:•:cnange
05/29/2015 110.52Da0 109-41000 H/L
109.965000 2Z1322.90
3 200 DU PD14T E I DE ttEs_OORS & CO 1-263539109)
C0i
Vers York Stock E.-.change
05/_9/2015 71.48000 70.88000
1.1800370 :41236.D3
Div: 0.49 Er.: D5/I3/2015 Rec: 05/15/2015 ?ay: 06/12/2015 98.00
100 K",ON MOBIL COR? (30231U202)
COM
New Yor;: Stocr r:change
Q5/29/2015 85.58000 94.68CC0 H/L
85.230000 ..,523.00
Di-.: 0.73 E;c: 05/11/2015 Rec: 05/13/2015 Pavy: 06/10/2015 73.00
2294.509 FEDERATED TOTAL RETURi4 SERS :319=8Q101;
TOIL RET INSTL
Mutual .. :as quoted by NASDAQ)
05/29/=01-5 11.04000 Mkt
11.04C000 _5,331.38
Daly Dir. Accrual as of 05/29/2013 65.51
6; 8'30.149 F=DELII.Y ACVISCR SER IV :315909103)
LTD TR3D IIiSTL
Mutual slnd (as quoted by NASDAQ)
.5/29/2015 11.55000 h:;t
11.550000
Dailv Di:*. :accrual as of 05/1-9/2015 12.3f
laD HONEYWELL INTL !NC :438516106)
CON;
'Jew York Stock £::aha.^.ge
05/29/2015 105.55000 104.00000 H/L
104.775000
0.5175 E..: 05/19/7-0'_5 Rec: 05/21/2015 Pav: 06/10/2015 51.75
5: 106 7HNSON CTAS iNC 1-478366107;
Co"i
Nevi York Stock T-::chharge
05/29/2015 53.06000 5L.95000 H/L
_.505000 =,565.53
9; 380.866 OPPENHEIMER DEVELOPING MKT-S FD :683974505)
CL Y
i3utua: Fund jas quoted by NASDAQ)
05/29/2015 35.40300 Mkt
35.400000 13,483.36
781.31-1 KECO FDS PAC IvaT r_e,1^ SER ;722005626)
ALL ASSET INST
Mutual Fund (as quoted by NASDAQ)
05/29/2015 11.75000 M;:t
11.750000 9,183.1_
Page 1
This report was prodaced vr_th Estateval, a product of Estate Valuations & Pricing Systems, Inc. if you have questions,
please contact EVP Systems at 1-813) 313-6300 or www.evpsys.com. (Revision 7.4.0)
Date cf Death: 05/29/2015 Estate of: Phyllis H Canton
.aluatson Date: 05/29/2015 Acco=t: 1073
Processing Date: 06/03/2015 Report Type: Da-e of Death
Number of Securities: 2
File ID: P. Ljnton 10073
Shares Security Mean and/or Div .-nd Int Security_
or Par Description High/Ask. Low/Bid Adjustments Accruals value
99 PUBLIC SVC EHT'ERPRISE CROUP ;744573136)
COL
New Yozk Stock ::Cl cige
05/29/2015 43.14000 92.50300 H/L
42.822500 4,239.43
_ :449.295 ROWE T PRICE EQCI7Y IKC0.'4E FD 1779547108!
SH BEN iNT
[mutual Fund :as quoted by NASDAQ%
05/29/2015 33.00000 Plkt
33.000000 47,;26.74
13 300 SPDR S&P 500 ETF TR (78462Fi03)
TR UNIT
N_'SE Arca Evities Exchange
05/29/2015 212.43000 210.82000 H/L
211.62000 52,325.00
14; 100 SPDR SERIES TRUST :78464A763)
S&P DIVID ETF
EYSE Arca Equities -.change
05/29/2015 79.01990 16.40650 H/L
78.713200 7,871.32
:51 2 D SPDR DOW COKES I-NDL AVRG ETF' (78367.,{1091
JT SER 1
NYSE Arca Emji:ies Exchange
D5/29/20-15 181.19000 179.670:•0 H/L
Civ: 0.4027 E._: 05/15/2 181.430000 015 Rec: 05/19/2015 Pay: 06/15/2015 80.54 36,026.00=6_CO
:61, 100 TRAVELERS C014PANIES 1NC 189417_109;
COM
New York Stock E_:change
05/29/2015 102.28000 101.03000 H/L
iD1.655D00 1 ,165.JO
17; 300 VvLERC ENERGY CORP N=7; (91913Y100)
COM
New York Stock Exchange
05/29/2015 60.95000 55.18000 F./:,
11,£66.00
Di-: 0.4 E_., 05/11/2015 Rec: 0 59.330000 5/13/2015 Pay: 06/10/3015 80.00
18) 633.166 VAKGUARD/S•.LLLINGTON FD INC :921_935201;
ADMIRAL SHARES
brutual F`snd (as quoted by NASDAQ)
05/29/2015 68.76000 F)).t
68.76G000
19, _883.54= VANGUARD FIXED INCOME SECS FD (922031810)
INTRN. INVGRDAD
Ku.ual Fund (as quoted by NASDAQ)
05/29/2015 9.88000 mkt
9.680000
Div: 0.025820 E::: 05/29/2015 Rec: 06/01/2015 Pay: 06/01/2015 + 0.025820
9.905820 28,563.64
Dailv Div. Accrual as of 05/29/2015 69.55
20; -96.146 VANGUARD FIXED INCOME SECS FD (9220318361
S'_'R14 IKVGRA AD
i✓,u_ual Fund ;as quoted by NASDAQ)
05/29/2015 10.71000 Rkt
10.71D000
Div: 0.017790 E%: 05/29/20-15 Rec: 06/01/2015 Pay: 06/01/2015 0.017790
10.727790 31,79E.73
Daily Div. Accrual as of 05/29/2015 X9.27
21) 596.659 VANGUARD HORIZON r`J INC (922038=03)
GLOBAL EQT PTF
Mutual Fund (as quoted by NASDAQ)
05/39/2015 25.51000 tfkt
25.510000 15,220.7
Pace 2
This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions,
please contact EVP Systems at (818) 313-6300 or www.evosys.com. (Revision 7.4.0)
Date ._ Death: G5/29i20i5 Estate of: Phvllis H Dunton
Taluation Da-e: C5/29/7Oi5 Account: 0073
Processing Cate: C6/C3/2015 Report Type: Daze of Dca-h
Nunoer of Securities:
File 1O: F. Dunton x0073
Shares. Security Mean and/or Div and Int Secur_'t•_r
or Par Descr;p-ion High/Ask Lo,:.,/Bid Adjustments Accruals Value
?) 250 vERIZON CO D)UNIC T=Oi.S _14C i92343'1C4}
COM
New York Stock E::Chance
05/29/2015 59.64000 49.37 50 H/L
49.507250% 1^,376. 1
Total Value: 54591812.23
Total Accrual: 5915.20
:oral: $460,72'.53
Portfolio Endnotes
Federated t;onev-Mar':et :fund 651 - ?rincipal value as of 5,/29/15: S2,49,602.16
Prepared on 6/33/1_5 oy:
coir. Bu _ el F`daciary ssociate
Pace 3
This report was produced with Estateval, a product of Estate Valuaticns 3 Pricing Systems, Inc. If you have cuestions,
please contact EV? Systems at (818) 313-63C0 or www.evpsys:co:n. ;Revision 7.4.01
7/23/15 Deposit Inquiry 09:14:48
Phyllis H Dunton Account number : 508683
Restricted Customer Deceased. Internet Banking NetTeller Bill Pay 1 of 2
Last stmt balance: 2,000.83 Last stmt date: 7/20/15
Current balance: 2,000.83 Statement cycle: 20
1=View 6=Print T=Tset Control : From
To --- -
Posted Check No S T/C Debit Credit Balance
5/26/15 1514620141 1 750 85.06 8,844.91
5/27/15 T 229 22. 18 8,822.73
5/27/15 C 183 10.93 8,811.80
5/28/15 T 228 45.97 8,765.83
5/28/15 5851 P 091 100.00 8,665.83
5/29/15 C 163 1,694.26 10,360.09
5/29/15 T 229 74.09 10,286.00
5/29/15 151 .05000000% :10,286.00
'6/01/15 C 183 56.54 10,229.46
6/01/15 C 183 390.09 9,839.37
6/01/15 151 .01000000% 9,839.37
. 6/02/15 5850 P 091 100.00 9,739.37
6/03/15 C 163 1,294.00 11,033.37
6/03/15 151 .05000000% 11,033.37
More. . .
F4=Redsply F6=Bal Iinq_ F7=Scan Fwd F8=Scan Bkwd F11=Prior bal F15=EFT F16-Sort
F17=Top F18=Bottom F19=EDI F20=Un.Iold F22=T/C F23=Checks
f
For the Account of: pyyLLIS H b UNTON IRA Report Date: May J0,2015 8:62 AM
Previous Close Date: May 29,2015
Account Number: 14000076002
Asset Details •Indicates changed from beginning of day
Security Name Shares/Par Average Cost Unit Market Market Value Portfolio% at Annual Yield at Unrealized G/L Restriction
Unit Cost Market Income Market Desc
CASH
INCOME CASH 0.00 0.00 0.00
PRINCIPAL CASH 0.00 0.00 0.00
TOTAL CASH 0.00 0.00 0.00
CASH EQUIVALENTS
FED MONEY MKT-PRI 4,292.2400 1.00 4,292.24 1.00 4,292.24 4.03 3.00 0.07 0.00
TOTAL CASH EQUIVALENTS 4,292.24 4,292.24 4.03 3.00 0.00
FIXED INCOME SECURITIES
FED TOTAL RETURN BD 2,239.5900 11.05 24,751.79 11,04 24,725.07 23.20 837.61 3.39 -26.72
PIMCO ALL ASSET INST 373.9330 12.57 4,699.15 11.75 4,393.71 4.12 206,41 4.70 -305.44
VG ST INVESTGRD ADM 1,826.9650 10.73 19,608.21 10.71 19,566.80 18.36 378.18 1.93 -41.41
TOTAL FIXED INCOME SECURITIES 49,069.16 48,886,58 46.69 1,422.20 -373.67
EQUITIES
COLUMBIA MID CAP R4 301.1300 12.69 3.822.63 17.64 5,311.93 4.99 38.24 0.72 1,489.30
DODGE✓£COX INTL STK 156.2470 35.46 5,540.48 45,04 7,037.36 6.60 151.56 2.15 1,496.88
FED STRATEGIC VALUE 701.8200 5.61 3,933.38 6.01 4,217.94 3.96 145.98 3.46 284.56
FIDELITY ADV MID CAP 210.9770 19.05 4,017,96 20.45 4,314.48 4.05 4.64 0.11 296.52
OPPENHEIMER DVLPNG 104.8480 34.40 3,606.94 35,40 3,711.62 3.48 23.49 0.63 104.68
T ROWE GROWTH STK 40 153.6300 32.93 5,069.23 56.27 8,644.76 8.11 3.07 0,04 3,585,53
T ROWE NEW HORIZON 92.8900 39,92 3,707.80 47.07 4,372.33 4.10 1.30 0.03 664.53
VG 500 INDEX ADM 540 27.1660 94.47 2.566.41 195.00 5,297.37 4.97 101.14 1,91 2,730.96
VG SM CP INDEX ADM 91.6630 37,27 3,415.97 58.71 5,381.53 5.05 75.26 1.40 1,965.56
VG WELL ADM#521 76.9450 41.87 3.221.41 68.76 5,290.74 4.97 135.35 2.56 2,069.33
ORRSTOWN BANK Page t of 2
For the Aceount of PHYLLIS HDUNTON IRA Report Date: May 30,2015 8:52 AM
Previous Close Date: May 29,2015
Account Number. 14000076002
Asset Details •Indicates changed from beginning of day
Security Name Shares/Par Average Cost Unit Market Market Value Portfolio% Est Annual Yleld at Unrealized GIL Restriction
Unit Cost @ Markel Income Market Desc
TOTAL EQUITIES 38,892.21 53,580.06 50.28 680.03 14,687.85
GRAND TOTALS 92,243.60 106,557.88 100.00 2,105.23 14,314.28
ORRSTOWN BANK Page 2 of 2