HomeMy WebLinkAbout09-03-15 (2) � '�Ji pennsytvania 15 0 5 61410 5
Gi1 cevnar+�en,orn�vexuc EX(03-14)(FI)
REV��SOO OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year Ftle Number
INHERITANCE TAX RETURN ;
PO BOX 280601 � � p�
Harrisburg, PA 17128-0601 RESIDENT DECEDENT j �� j !� � � � �
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
_. _ ._..... ........ .
I ; 12/05/2014 � 05/21/1925 '
, , i �
__. � .. ._. _
DecedenYs Last Name Su�x Decedent's First Name MI
_.._. ___ _. , _.. __... _... . _
, Decker j � Mildred M
__ . __ . _
(If Applicable)Enter Surviving 5pouse's Information Below
Spouse's Last Name Su�x Spouse's First Name MI
_._.. _._._.--, -----------• , ___..__ ...__--_____._._._.. _.._ ....._.... . . ____
_ _..__.___ . ._..__. --..._....._ __... , _
I
� �
_ ____,._ .�...------------._.. �. _...._ _._ ..._. .__......__..� ............. .. _..... _..__.._. _. _. _
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
� 1.Original Return p 2.Supplemental Retum p 3. Remainder Retum(date o(death
prior to 12-13-82)
p 4.Agriculture Exemption(date of p 5. Future Interest Compromise(date of p 6. Federal Eslate Tax Return Required
death on or a(1er 7-1-2012) death aiter 12-12-82)
� 7.Decedent�ied Testate p 8.Decedent Maintained a Living Trust 0 9. Total Number of Sa(e Deposii Boxes
(Attach copy of will.) (Attach copy of trust.)
a 10.litigation Proceeds Received O �1. Non-Probate Transferee Return O 12. DeferrallElection of Spousal Trusts
(Schedule F and G Assets Oniy)
O 13. 8usiness Assets � 14.Spouse is Sole Beneficiary
(No trust involved)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOUL�BE DIRECTED T0:
Name Daytime Telephone Number
__ __ _ _ _..... _._..._ _- —--- —.._.._ ,- ___
Michael A. Scherer, Esquire I (717) 249-6873
_ __. _. _ .. _ _ _... _ __ _ _. _. _
First Line of Address
_. _...._ _—.._._.... __....__ _ ____ ____... . _ ._ _...._ _____... ..___._...__.. _�
Baric Scherer LLC ,
__ ___._ _._.__. _____�.___------
Second Line of Address
_.........._. .___--
19 West South Street '
_. ____ __ _. _ ____ _.._ ._ _ _. _..._
City or Post Ofiice State ZIP Code .�
— . .. � ——— ( _._. _� � '� j �
— — —... _ _ _ , �__ —� <
Carlisle I ( PA , � 17013 ^ �, �
_ _._ _.... ___ __. _ �� ;:�7 c-,
mscherer@baricscherer.com �, �; �; ->
:;::.�
Corres ondenYs email address: �J
p ;"k c,
REGISTEq'OF�WICL,S USE O�t LY
�. . ., ... �.. �. ; _
REGISTER OF W�LLS USE ONLY ' .. , � _,� '��,.� '—;�?
�2DATE FILED MMDDYYYY ���_� _ � "1
�
' �� , : _
� � � � w
� =. _ ":` . r. '. �,:�: .
� � � � W �.,.�. �-
� . _
t �... ' �....., s - .... ... � .
: .,(, ...,. , t_"
_ ,, .,.....� � (,r)
DATE FILED STAMP �
PLEA3E USE ORIGINAL FORM ONLY
Side 1
� (����������������������������4������������������������ 1,5 0 5 6],410 5 J
�
� 1505614205
REV-1500 EX(FI)
Decedent's Social Security Number
-- ___.__ _
�
DecedenCs Name: �
RECAPITULATION
_ _.._ __ _ . -
1. Reai Estate(Schedule A). ............................................ 1. I
t-----
___------ - ----- - -
2. Stocks and Bonds(Schedule B) ...... ................................. 2. � 84,238.40
-- � - � _ _,
{---�--------. -----__
3. Ciosely Held Corporation,Parinership 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. �57,380.67
----------------- ---�
6. Jointly Owned Property(Schedule F) O Separate Billing Requested ....... 6. �_
7. Inter-Vvos Transfers&Misceilaneous Non-Probate Property
------------ _
(schedule G) O Separate Billing Requested........ 7. 430,346.01
8. Total Gross Assets(totai Lines 1 through 7)............................. 8. G7'I,965.08
9. Funeral Expenses and Administrative Costs(Schedule H)................... 9. �5,551.83 ,
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule Ij............... 10. 7,695.27
11. Total Deductions(total Lines 9 and 10)............................... .. 11. Z3,247.10 �
-__-_- --- --- ----
12. Net Value of Estate(Line 8 minus Line 11) .............................. 12. 648,717.98 ;
13. Charitabie 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. 647,717.98
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLtCABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116 �
_____ __----- ----------- - - -. . _._
�a)�1.2)X.0_ _ 15.
.._ _� ____ _- ----------- __ __ __.... _..._..,
16. Amoun[of Line 14 able
at�inea�rate x.o�� 647,717.98 �s. 29,147.31
-------___-
17. Amount of Line 14 taxable
at sibling rate X.12 17•
18. Amount of line 14 taxable
------------------- - ---------------------.__ ,
at collateral rate X.15 18•
19. TAX DUE ...................................................... .. . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Under penaliies of perjury,I deGare I have examined Ihis return,including accompanying schedules and statements,and lo the best of my knowledge and belief,
il is true,correc�and complele.Declaralion of preparer other than the person responsible for filing lhe relurn is based on all in(ormation of which preparer has
any knowledge.
SIGNATURE OF PERSON RESPONSIBIE FOR FILING RETURN DATE
9500 S . Andrews Wa Silver S rin MD 20901 21 0 N Middesex Rd. Carlisle, PA 1 701 3
ADDRES n ,�.��,�J�['�
/� ` tJ
SIGNAT P R R HER THAN PERSON RESPONSIBLE FOR FILI H TURN DATE
• 3� �
ADDRES
19 West South Street Carlisle PA 17013
i iniii inM imi i�����i�iiii�i��iiiii iiiii im iiii Side 2 J
� y 15�56142�5
REV-1500 EX �Fp Page 3 File Number 21 —1 4-1 1 9 2
Decedent's Complete Address:
DECEDENT'S NAME
Miidred M. Decker
_..._._..--------- — -._...._.........--------_-- --__....--- --- -----....._._...---
STREETADDRESS
720 Gobin Drive
_.._.._—....._
�in STATE PA ' Z�P 17013
Carlisle
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (�) 29,147.31
2. CreditslPayments
A.Prior Payments 26,897.20 __
B. �iscount 1,415.64 28 312.84
(See insfructions.) Total Credits(A+B) (2) �
3. Interesl
(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. �41 ____..__.^
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 834.47
Make check payable to: REGISTER OF WILLS, AGENT.
� � :
�._ , ..�.�.,., � _.... ., �. ..,.� . . ... r„H �....��.,��_., ..,���,� .. . _
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain ihe use or income of the property transferred.......................................................................................... � �
b. retain the right to designate who shall use the properly transferred or its income ............................................ ❑ �
c. retain a reversionary interest .............................................................................................................................. ❑ �
d. receive the promise for life of either payments,benefits or care?...................................................................... � �
2. If death occurred after Dec.12, 1982,did decedent transfer property within one year of death
without receiving adequate consideration?.............................................................................................................. ❑ Xn
3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?.............. � ❑
4. Did decedent own an individual retirement account,annuity or olher non•probate property,which
containsa beneficiary designation? ........................................................................................................................ � �
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPIETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
, �, � � 3 �
�. ��, ,�...:... ���, ;�, r..0 .+ .._ , ��: r�.... �:, .�...y.. ,:��..�.�. , ,.. .. . �.
For dates of death on or after July 1, 1994,antl before Jan. 1,1995,the tax rate imposed on the net value of transfers t�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 antl
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 fhe use of a natural parent, an
atloptive parent or a step-parent of the chiltl is 0 percent[72 P.S.§9116(a)(1.2)j,
. The tax rate imposed on the net value of transfers to or for the use of the tlecetlent's lineal beneficiaries is 4,5 percent,except as nofetl in[72 P.S.§9116(a)(1)].
. The tax rate imposetl on the net value of transfers to or for the use of the decetlent's siblings is 12 percent(72 P.S. §9116(a)(1.3)].A sibling is defined,
untler Section 9102,as an individual who has at least one parent in common with the decetlent,whether by blood or adoption.
REV-1503 EX+(02-15)
�pennsylvania SCHEDULE B
UEPARTMENTOFRFVENUE
INHENITANCE TAX RETURN STOCKS & BONDS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Miidred M. Decker 21-14-1192
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 United States Savings Bonds Series EE $84,238.40
See attached list
TOTAL(Also enter on Line 2,Recapitulation) $ $4,238.40
If more space is needed,insert additional sheets of the same size
REV-i5o8 EX+(o8-i2)
�pennsylvania SCHEDULE E
Zyr OEPARTMENTOFREVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDEMT�ECEDENT
ESTATE OF: Y FILE NUMBER: ^
Mildred M. Decker 21-14-1192
Inciude the proceeds of litigation and the date the proceeds were received by the estate.
Ail property jointly owned with right of survivorship must be disclosed on Schedule P.
[TEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
�. Suburban Propane refund $ 143.63
2 State Farm Auto Insurance refund $ 42.81
3 Olde Tyme Auction proceeds $ 406.75
4 Chapei Pointe refund $ 949.44
5 2014 PA Tax refund $ 119.00
6 Members First Federal Credit Union $ 2,564.41
Savings Account No. xxxx 593-00
7 Members First Federal Credit Union $153,154.63
Checking Account No. xxxx 593-11
TOTAL(Also enter on Line 5, Recapitulation) $ 157,380.67
If more space is needed,use additional sheets of paper of the same size,
REV-1530 EX+(02-15)
'�iy pennsylvania SCHEDULE G
w DEPARTMENTOFREVENUE INTER—VIVOS TRANSFERS AND
rNHea,raNceraxaeruarv MISC. NON—PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Mildred M. Decker 21-14-1192
This schedule must be completed and filed iF the answer to any of questions i through 4 on page three of the REV-I500 is yes.
ITEM DESCR[PTION OF PROPERTY DATE OF DEATH °/o OF DECD'S EXCLUS]ON 7AXABlE
MCI.UOE THE NAME OF THE TRANSFfREE,THEIR RELATIONSHID TO�ECEDENT AND
NUb1BER THE OATE OF TItANSFFR aTfACH A CODY Of THE DEED FOR REAI ESTA.TE. VALUE OF ASSET INTEREST (IF dFPLICABLF) VAWE
1 Edward Jones 378,605.52 100 378,605.52
Acct. No. 88911213 5�,740.49
2. Edward Jones 51,740.49 100
Acct. No. 88997004
TOTAL(Aiso enter on Line 1, Recapitulation) $ 430,346.01
If more space is needed,use additional sheets of paper of the same size.
REV-1511 EX+(02-15)
r pennsylvania SCHEDULE H
DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
INHERITANCETAXRETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Miidred M. Decker 21-14-1192
Decedent's debts must be reported on Schedule I,
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES;
1.
Hoffman Roth Funeral Home $ 4,940.33
2. Whimsical Poppy $ 403.86
3• St. Patrick's
$ 500.00
4• Randolph County Tribune $ 55.00
5• Brewer Monuments $ 75.00
6. City of Chester $ 100.00
7. Knights Of Columbus $ 460.00
8 Chester Priest & Deacon $ 125.00
Chester flowers $ 110.00
e. 9' AOMINISTRATIVE COSTS;
1. Personal Representative Commissions:
Name(s)of Personal Representative(s) _ __
Street Address
City _,________State ZIP
Year(s)Commission Paid:__ _. __
Z. Atror�e�Fees: Baric Scherer LLC $ 3,500.00
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.j
Claimant
Street Address
City__ _ State _ZIP_
Relationship of Claimant to Decedent
4• Probate Fees: RgglSt2f Of WI��S
$ 520.00
5, a��o��ta�t FeeS: 2014 tax preparation $ 200.00
6. Tax Return Preparer fees:
�. Postage: reimbursement to Executrix $ 75.00
g. Solienbergers: car transfer $ 166.99
9. Members First Federal Credit Union: bank fees $ 6.00
10. The Sentinel: legal advertising $ 169.30
11. Cumberland Law Journal: legal advertising $ 75.00
12. Airfare & lodging to funeral in Illinois: Phyllis Lindsay $1,811.20
13. Airfare & lodging to funeral in Illinois: Susan Decker �2,259.15
TOTAL(Also enter on Line 9, Recapitulation) $ 15,551.83
If more space is needed,use additional sheets of paper of the same size.
REV-1512 EX+(02-15)
�pennsytvania SCHEDULE I
DEPARTMENTOFREVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIUENT DECEDENT
ESTATE OF FILE NUMBER
Mildred M. Decker 21-14-1192
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 DESCR[PTION OF DEATH
1, 2014 PA Federal Income Tax $ 2,133.00
2. Jennifer Lindsay: Christmas gift reimbursement $ 96.00
3� AAA: handicap cover $ 16.91
4. Alert Pharmacy $ 23.07
5� Chapel Pointe $ 4,850.40
6. PPL Electric $ 71.94
7. Members First Federal Credit Union VISA $ 144.19
g. Members First Federal Credit Union VISA: remaining balance $ 74.63
g. Forest Park $ 63.00
10. Leffler Oil $ 222.13
TOTAL(Also enter on Line 10, Recapitulation) $ 7,695.27
If more space(s needed,insert additional sheets of the same size.
REV-15L3 EX+(07-t5)
� pennsytvania SCHEDULE J
DEPARTMENT OF REVENUE gEN EFICIARIES
INHERITANCE TA%RETURN
RESIDENT DECEDENT
ESTATE OF; FILE NUMBER:
Mildred M. Decker 21-14-1192
RELATlONSNIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I 7AXABLE OISTRIBUTIONS[Include outright spousal distributions and trensfers under
Sec.9116(a)(1.2).j
l.
SEE ATTACHED SHEET
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON L[NES IS THROUGH 16 Of REV-1500 COVER SHEET,AS APPROPR[ATE.
II NON-TAXABLE DISTRIBUTIaNS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WNICH AN ELECTION TO TAX IS NOT TAKEN:
�. St. Patrick's Church $ 1,000.00
B. CHARITABIE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II—ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ �,OOO.00
If more space is needed,use additional sheets of paper of the same size.
� �
� �
-a �
0 0 0 �� •N
0 0 0
0 0 0 ,� �
0 0 0 0 0
0 0 0 0 0
�- r- �- o 0
� � � � �
�
W
�
Q
U
�
W �
Z
W L
m �
� �
�
W c � c �. L
J O R'3 O � �
� � � � � �
W � � � � �
2 L L L RS �
V rn � � � �
�
�
� � �
0
�rn � �rn
Y �"� �,,.� � N � M � N
� �
r � �
N L � N � �` � L-- �
Q >' � � N O � � � � � � Y N �
N N N � � � � � "� "� c- U i
O� � > m O � � � � � � �
� � � QQ �'Q cn � c J � Q 0 � c
� � � � � Q oa. caa �Q � a. Q �Q
� � -� v'� °' " °' � �ncn Q o °' � � c�
— � � � .�n a� = �n � o � ��' z v� � o �
� L
N � O O >
� � (—L6 � � (6 � � LO � � �O >
O � � I` U � MU C� � fn � NU (n � fn
� N
�-. �
(Lf (a
� �
� � .
W W � N M � �
LAST WILL AND TESTAMENT
OF
MILDRID M. DECI�R
I, MILDRID M. DECI�Ft, of G�.imberland County, Pennsylvania, being of
sound mind, memory and understancling, do hereby make, publish and declare this
as and for my Last Will and Testament, hereby revoking all other wills and
codicils heretofore made by me.
FIRSP
I direct the payment of my legally enforceable debts and the
expenses of my last illness and funeral froan my estate as soon after my death
as conveniently may be done. If there be no ce�netery lot avai.lable for my
interment, awned by me at the t�me of my death, I authorize my personal
� r resentative to purchase such cemetery lot with a contract for perpetual
eP
r,, care, using therefor funds froQn my estate, and I authorize my personal
d
� representative to cause title to or ownership of such lot so purchased to be
Q� vested in such person as my personal representative shall designate.
F�irther, in this connection, I authorize my personal
representative to expend funds frcan my estate, in such amount as my personal
representative shall consider necessary and desirable, for the purchase,
� erection and inscription of a suitable marker for my grave.
SDOOI�ID
I bequeath pNE THOUSAND ($1,000.00) DOLI�ARS to ST. PATRICK' S CHURCH,
('ART,ISLE, PII�INSYLUANIA.
i �
��
I give, devise and bequeath the rest, residue and remainder of my
estate of whatever nature and wherever situate to my husband, ADOLPH E.
DEQ�R, if he shall survive me by thirty (30) days. In the event my Husband
predeceases me or fails to survive me by thirty (30) days, then I give, devise
and bequeath the rest, residue and remainder of my estates as follaws:
p,, TENTT THO�TSAND ($10,000.00) DOLI.,ARS to be given to each of my then
living grandchildren.
B. The rest, residue and remainder of my estate in equal shares to my
daughters, PHYLLIS A. LINDSAY and SUSAN R. DECI�R, per stirpes.
FO[JR'l�i
I direct that no trustee, executor, guardian or other fiduciary
named, noaninated, or appointed by this my Last Will and Testament shall be
required to post any bond or give any security of any type for any purpose
` whatsoever, any law or rule of the court of the Coa�anonwealth of Pennsylvania
v or any other jurisdiction to the contrary notwithstand.i.ng. I direct that the
�
law of the C�anonwealth of Pennsylvani.a shall apply to any interpretation or
application of the validity of this instnunent.
FIFTH
Any and all payment or payments of any sum or sums, whether in
cash or in ki.nd and whether for principal or incoane, payable to an heir, or
� any of the�n, shall be made upon the sole receipt of the respective individual
0
to whoan the payment is made, and free fro�n anticipation, alienation,
assignment, attachment, and pledge, and free from control by the creditors of
any such beneficiary.
sixrH
I appoint my husband, ADOLPH E. DECI�FFt, Executor of this my Last
Will and Testament. Should my said E�ecutor fail to survive me or for any
reason fail to qualify as Executor, then I appoint PIiYLLIS A. LINDSAY and
SUSAN R. DECI�R, E�ecutrices of this my Last Will and Testament.
IN WITNESS Wf�REOF, I have hereunto set my hand and seal to this,
my Last Will and Testament, consisting of four (4) typewritten pages, the
first two (2) of which bear my signature in the margin for the purpose of
identification, this /8�i day of JANUARY, 1996.
. �
. .
(SEAL)
MILDRID M. DEC[�Ft
Signed, sealed, published and declared by the above nan�ed
testatrix, NBLDRID M. DECI�It, as and for her Iast Will and Testament, in the
presence of us, who, at her request, in her sight and presence, and in the
sight and presence of each other, have hereunto subscribed our names as
witnesses.
� � ADDREss 2 yo F�;.,.;�,,, fY; �G r(,f L� , t�/�
.
� � 1�DDxES9.�0 7 C�����zu�-, .���Y �/�/�-��'� P/{
��zyY
��u1M0�VWEAI,TH OF PEDR�TSYLVANIA .
. SS.
(70i]N'I'Y OF C[)NIBERLAND •
We, MILDRID M. DE(�R, l�l��i�lk�� f� • Sc�►efer'
and • , the testatrix and the
witnesses, r pectively, whose s 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 i.nstrument of her Last
Will and Testament, and that she signed willingly and that she executed as her
free and voluntary act for the purposes therein expressed, and that each of
the witnesses, in the presence and hearing of the testatrix, signed the Will
as witnesses, and that to the best of their knawledge, the testatrix was at
the time eighteen (18) years of age or older, of sound mind and under no
constraint or undue influence.
S�nrorn to and subscribed before me this ��� day of JANUARY, 1996.
u
....-••••-._._,_,___-;:f c,...",j_._
un�t;'i'1i v.(..r:�:i.R�$Fl�F�Of'd��h�Ub�iC
�; r��u�r?fi::�C�f:ilfinEf�'c�t�
My Cam�riiss�cr Fr,^i�-es , Caunty
� �ov.29,1999
��emCer,Pei�syiv�;�(�Asscciation of fVotaries
'p < � �� ,:; � � .
�i tA t�l1 t�.1 � � 41 � V �N.i V � �
� � � � � � �� � � � � � � �
� � r., �
� � �� t�rit�e►�� � `�n .��i �ir�i �i � 00 S � �
. ��� ��� � �
�� w �' m m m m m � man =` � � � �
� T �
� � a° �
�. '^ " �' �
S� � �f1. 1M1 1+ �+ r
� :r' �,1j .C,� O f� :;. *N
� �
� � � . � � $ s Q � 8 $ � .
�. � �
� � � � � ���� � :� � � � ��.
f � � � � � � � � � � � � � �
�j � w� tR tA tA N rJl G11 tA EJI � �
''� v � Ci Ci C'� G ti Cy C C1
��� � � � � � � � � � �
�tJl N t,�j1 �' � e+ e�' �►�' � "
cn ui u a u
�. � �
� � � � ���� � �
��, � � � � t� � � � � N
ME ul VI UI ul t~al is t~A E�II $ � �" �`'
r+► � N
v � ?�, Q
r► m at-�N�r � w, f+
� w N �� 4� ;� �i �, +f►
. � � � � 8 � � � � °° �
� ��
� � � $ � � � � � s � .�
.�,�►�,.
i�F VM M' N+ N ►+ �
fi1' N Ma 4p �1 V W �
�,�d � m o� R ,�`o � � �
�
� � � � � $ � $ 8 �
-�
A �. p a �. �► � � :; �
8 g 8 8 88 � 8 � � �
� � � � � � � �- � ;
��►��r► 8 4x
�r w N t� i�+ N w N � ,•p
'�r � �1 �1 +Z1�+�+i+ &�
�' � go � m � ,�'o �'o � �
� � � � � � � � �
�:
�'
;
St
�
MEMBERS 1St
FEDERAL CREDIT UNION
REGULAR SAVINGS ACCOUNT:
Account Number/Suffix 27593-00
Date Account Established 07/10/1981
Principal Balance at Date of Death $2,564.38
Accrued Interest to Date of Death $0.03
Total Principal and Accrued Interest $2,564.41
Name of Joint Owner None
CHECKING ACCOUNT:
Account Number/Suffix 27593-11
Date Account Established 05/07/1982
Principal Balance at Date of Death $153,153.80
Accrued Interest to Date of Death $0.83
Total Principal and Accrued Interest $153,154.63
Name of Joint Owner None
' MEM ERS 1ST FED AL CREDIT UNION
Tessa L Klugh
Lending Insurance Support Specialist
January 30, 2015
Estate of: MILDRED M DECKER
Date of Death: 12/05/2014
Social Security Number: 488-20-3977
•
�
5000 Louise Drive • P.O. Box 40 • Mechanicsburg,Pennsylvania 17055 • (800) 283-2328 • wwwmemberslst.org
�
o � � v n � n � @ �
-� �
� w m d 1 1 c� oo p � � tn � a c,.' !v 1 Q sv � ..�.
� � m j � �',' m °° ..`'� N
.. o' � �p f� � � C7 � �
y � � �j �j' S' � � D �j c ,=n, � C � m s +A � c�D �
v� � p) y � O. �� N m v! <p @ `G 3 � �► _
N fA � 3 � C C� � � � � n "h � � � �Q �
(D � 0 �� y � � � � � a ��� Q
.Q-r � CA m C � y, (U `� C y y N 7� (p 3� �r
Q uj � u� (A �► �D
� 7 � {9 �Q � n
f0 � Q � Q C' i�b �Q t�b C�D N •� � �, �
"0 � G = � n �'
� f�A ,,,f�[ � � � .�.F .�'�.i Q .+ ¢� 0,... w
a �. 0 3• tn a N ,. � � �
' -�, -p V� � '� -.e,
n 7 N
o � � � o �.
C � j {igr ffi fi3 ffl b9 k�1 � 4� � £�3 EA �fl � � v
.� � p � ro �
�. � S � Q �
� �: � � �_ 3
$ �, ° `' � �
� Q, � �-
� 3 s � �
� �
� �
� � :-► G'� N co cn c �,
�-p � ,? CTI b CO m a. Q
y o a� -��' cCOn � N � � 3
X �' ,C�3i U C? W O OD 4� � O y �
� a
f�D �n� N O Q W O O W 6Wi ��
Ai k �N � �
"':O � V1
Q �
� ^` N N O
�� O ae h (�
o � g � c rt
� °� �v � 3
� � � m
� m � �
� • � �
o � a �
--� �
-� �n �: ^° �
o � o s
�� � � j
r�_� °° o i
? � w
a
w° C� �
�
t4�; o m
� w
� �A � a
o � � �
� rn �.�
o �- � a
� O �,�
fn Q � Q.
GD S�
� � � �
�+— CD (�'p �
n � A� �D A�
� — � N
.�
O � � x' �
� � � �
' � � � N
w a ,�,� ?
� � � Q �
W � � �
� �� � A '
`C C � 1�
� � � � `
� ¢ `� �
0
� _'m �
o �
� �
o �' �
N
� � � m m
o � a � W �' � � D� v O � Q p � �p �
�p� 0 � cD 0� O �1 CJ th A rt W N '� O� � � � � O O a � � '� j �
� � � � � � rt
m � � j Co cn � � � m Cn � a � �i � � Q, � � C1 0 � C7 � Q � y
� o � � o p ^. C � a A� � Q m p m cD � c�i m � �
� m n � � �a � c� � � � � � � m � °i o •-►. � �' °,•' : � x p p � Z
�' � p �a w �n N u. � n� m v� �v �, �c s > > � � � � � @ p Z � �.
m co � � � `" Q � � '� � °, a� � � . m � g � n� r�„ m rn u� ,�.,,
n � � ?' � m �C c � � � � � O
.« F < C- m � � �' f�.
Q m C � Q a � = � � � � � � ��p Q � t� o � � Q° � -s
,3a m � Ul . � v, O7 N�p � ,.« � N � � O � � � C� �
C� tCD �' �' N � (a'�p N (!y a V�j � � p � N j � �
p1 @ � Q ro .� n � a (p iD p � � Q. �y n
7 c�i� � � �' .�, �. A � � �' cap t� C1� f�
m m � a. � m� °. m -� n; N � r"
Q.e.. a � �' ,rt to � r�. D <D
-« m � � (D `� N Q
�j w y N � 4C z �
� � � bs �x 6� cfi � fa 4�i E�r � �ti E9 � ^' w �
0
,�—... L o� ra o .�.«
�,a �� Q � �.
��
� � mLD � D Q1
� �' � �� � � �
� � �
a � m � � �
� � � ro � Z
-�+•C � O � rt �.
W O � �
� C. A b .o�''�D � � � � �
O G7.
'�O � A d � -�,i (7� � Q
° � �° o �' g ro � � �
�o �.m '� oo (n
�rca � a m o �
� w .c x � ..r
o W m � �
�.., � a.
� � � �
-« • O �
o -� m �
� y � c�`b
— � v
�
�a a �
�.6 �1 � N
N
� �' 0 O =
�
� � j O N
�'U� r+ � �
C N
� m �N �
c r� �
� C � N �
� @ _
b Q
� o �
o m �
�
�. � �
. �
� � 3
m �
� � G
O � �.
7 � �
¢7 n'
t� N
C cfl
� � �
A j
�
� � � �
� � � �
� w �
o � �
� �� a
0
N