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Home My WebLink About09-24-15 pennsylvania 150561862? 3M464710.000 DEPAWMENTOF REVENUE EX(03-14)(TP) REV-1500 OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN 21 14 0788 Harrisburg,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 07272014 07291921 Decedent's Last Name Suffix Decedent's First Name MI FARRELL ELISABETH S (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 FRI 1. Original Return ❑ 2. Supplemental Return ❑ 3. Remainder Return(date of death prior to 12-13-82) ❑ 4. Agriculture Exemption(date of ❑ 5. Future Interest Compromise(date of ❑ 6. Federal Estate Tax Return Required death on or after 7-1-2012) death after 12-12-82) ❑ 7. Decedent Died Testate ❑ 8. Decedent Maintained a Living Trust 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 JOHN J . SHORB, ESQ 717-846-9800 First Line of Address 221 W PHILADELPHIA ST Second Line of Address STE 600 City or Post Office State ZIP Code YORK PA 174012994 Correspond ent's email address: JSHORB@STOCKANDLEADER • COM REGISTER OF WILLS USE ONLY REGISTER OF WILLS USE ONLY DATE FILED MMDDYYYY url DATEFILED 5 rAMPI,,o "' L1 PLEASE USE ORIGINAL FORM ONLY r =7:_ -r1 ' CD Side 1 -- r-- NCn C) IIIIII VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIII o r1 1505618627 1505618627 A') 1505618635 REV-1500 EX(TP) RECAPITULATION 1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 0.00 2. Stocks and Bonds(Schedule B). . . . . . . . . . . . . . . . ... . . . . . . . 2. 94-1167-8 6 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C), , , , , 3; 0.0a 4. Mortgages and Notes Receivable(Schedule D), , , , , , , , , , , , , , , , , , 4. 4 5,0 0 0.0 0 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E), , , , , , 5. 331090-70 6. Jointly Owned Property(Schedule F) F� Separate Billing Requested. . . . . 6. 161372-03 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested. . . 7. 701987-63 8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . 8, 2591618-22 9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . . . . . . . . 9. 121570-38 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule.l), . . , . . . . . . 10, 3131-71 11. Total Deductions(total Lines 9 and 10). . . . . . . . . . . . . . . . . . . . . 11. 12-1932-09 12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . 12. 2461686-13 13. Charitable and Governmental Bequests/Sec.9113 Trusts for which an election to tax has not been made(Schedule J). . . . . . . . . . . . . . ... 13, 0.00 14, Net Value Subject to Tax(Line 12 minus Line 13), , , , , , , , , , , , , , , , 14, 246,686-13 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers uer Sec.9116 (a(a)(11.2,X.ond_ 0.110 15. 0.00 16. Amount of Line 114' xable T at lineal rate X.0 246,686.11 16. 11,100.88 17. Amount of Line 14 taxable at sibling rate X.12 11-00 17. 0.00 18. Amount of Line 14 taxable at collateral rate X.15 0.00 18• 0.00 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 11,100-88 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Under penalties of perjury,I declare that I have examined this retum,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 filling the return is based on all Information of which preparer has any knowledge. SlGNA OF P S ESPONSIBLE FILING RETURN � DATE P9bRMS C/O 221 W- PHILA ST, STE 600 . RK, PA 17401-2994 SIGNATURE OF PREPARER OTHER THAN PER N PON IBLE F F N E RETURN DTE STOCK D LEADER, BY: 1I )� ADDRESS 221 W- PHILA ST, STE E YORK, PA 17401-2994 Side 2 1505628635 J 3M464810.000 REV-1500 EX(TP) Page 3 File Number Decedent's Complete Address: 21 14 0788 DECEDENTS NAME FARRELL ELISABETH S STREET ADDRESS 824 LISBURN ROAD CUMBERLAND COUNTY CITY STATE ZIP CAMP HILL PA 17011 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 11,100 - 88 2. Credits/Payments A. Prior Payments 111221 - 81 B.Discount 555 - 04 (See instructions.) Total Credits(A+B) (2) 111776 -85 3. Interest (3) 0 . 00 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) 675-97 5. If Line 1 + Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 0 . 00 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . lyd❑ b. retain the right to designate who shall use the property 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ 0 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 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. 3M4671 4,000 REV-1503 EX+(8-12) pennsylvania SCHEDULE B DEPARTMENT OF REVENUE INHERITANCE TAX RETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER Elisabeth S. Farrell 21 14 0788 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 97 Shares Banco Santander SA (New York Stock Exchange) 988.31 Dividend accrued on 7/27/2014 15.37 2 20,500 Par United States Savings Bonds, Series EE 10,250.00 Interest accrued to 7/27/2014 32,656.68 3 13,750 Par United States Savings Bonds, Series I 13,750.00 Interest accrued to 7/27/2014 6,677.00 Morgan Stanley account no. 785-706842-605, consisting of: 4 30,000 Par Bucks Cnty Pa Wtr & Swr Auth R Mat: 12/01/2014 0% Interactive Data Corporation CUSIP: 118673L26 29,830.50 TOTAL (Also enter on Line 2,Recapitulation) $ 94,167.86 2w4696 2.000 If more space is needed,insert additional sheets of the same size REV-1508 EX+(08-12) pennsylvania SCHEDULE E DEPARTMENTOF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TRESIDENTD CE ENTT"R" PERSONAL PROPERTY ESTATE OF: FILE NUMBER: Elisabeth S. Farrell 21 14 0788 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. Peoples Bank, certificate of deposit no. 5316219 5,703.19 Interest accrued to 7/27/2014 1.75 2 Santander Bank, money market account no. 1701031868 23,072.03 Interest accrued to 7/27/2014 4.72 3 American Maturit Insurance, refunds 1,740.54 4 Woods refund 381.06 Morgan Stanley account no. 785-706842-605, consisting of: 5 Morgan Stanley, cash account 2,187.41 TOTAL(Also enter on line 5,Recapitulation) $ 33,090.70 2w46AD 2.000 If more space is needed,use additional sheets of paper of the same size. RLV-1509 EX+(01-10) pennsylvania SCHEDULE F DEPARTMENT OF REVENUE INHERITANCE TAX RETURN JOINTLY-OWNED PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Elisabeth S. Farrell 21 14 0788 If an asset became jointly owned within one year of the decedent's date of death,it must be reported on Schedule G SURVIVING JOINT TENANT(S)NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A Farrell, Glenn P 1078 Hunters Path, Lancaster, PA 17601 Son JOINTLY OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH TTW FOR JOINT MADE INCLUDE NAM:OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMLAR DATE OF DEATH DECEDENTS VALUE OF UMB NER TENANT JOINT IDENTIFYING NUMBER.ATTACH DEED FOR JOINTLY HELD REAL ESTATE. VALUEOFASSET INTEREST DECEDENTS INTEREST 1 A. 12/10/20 OMetro Bank, checking account no. 536311830 - jointly held with Decedent's son, Glenn P. Farrell 7,455.61 50.0001 3,727.81 Interest accrued to 7/27/2014 0.21 0.10 2 A 11/8/2001 12,700 Par United States Savings Bonds, Series I - jointly owned with Decedent's son, Glenn Farrell 12,700.00 50.0000 6,350.00 Interest accrued to 7/27/2014 12,588.24 6,294.12 TOTAL (Also enter on Line 6, Recapitulation) $ 16,372.03 9w46AE 2.000 If more space is needed,use additional sheets of paper of the same size. REV-7510 EX+(08-09) SCHEDULE G pennsylvania DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC.NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Elisabeth S. Farrell 21 14 0788 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 II•CLIDET ENAMEOFTFETRANSFEREE,THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE NUMBER THEDATEOFTRANWER.ATTACHACOPY OFTHE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST IF APPLICABLE VALUE 1. AARP annuity no. AM99000603 - beneficiaries are the Decedent's sons, James O. Farrell, Christopher J. Farrell, Glenn Farrell and Sean X. Farrell 70,987.63 100.0000 0.00 70,987.63 TOTAL(Also enter on line 7,Recapitulation)$ 70 987.63 If more space is needed,use additional sheets of paper of the same size. 9W46AF 2.000 REV-1511 EX+(08.13) SCHEDULE H pennsylvania DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Elisabeth S. Farrell 21 14 0788 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERALEXPENSES: Glenn P. Farrell Reimbursement for memorial service and dinner 4,989.53 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: 2. Attorney Fees: 6,900.00 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: 5. Accountant Fees: 6. Tax Return Preparer Fees: 7. 1 Stock and Leader Fed Ex - $22.45 EVP fees - $3.90 Copy fees - $2.70 Santander Bank fee - $20.00 Change of Add fee - $1.05 Total from continuation schedules . . . . . . . 680.85 TOTAL(Also enter on,Line 9,Recapitulation) $ 12,570.38 3W46AG 2.000 If more space is needed,use additional sheets of paper of the same size. Estate of: Elisabeth S. Farrell 21 14 0788 Schedule H Part 7 (Page 2) 1 Fax fees - $5.25 55.35 2 Morgan Stanley Maintenance fee 50.00 3 Stock and Leader Probate fees 370.50 4 Stock and Leader Releases - $20.00 Copies - $15.00 Postage - $15.00 Fax fee - $10.00 60.00 5 Frank Storm, CPA Tax preparation fee 145.00 Total (Carry forward to main schedule) 680.85 REV-1512 EX+(12-12) pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Elisabeth S. Farrell 21 14 0788 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• Azizkhan Internal Medicine Medical expense 19.33 2 Capital Area Health Medical expense 6.47 3 Lower Allen EMS Medical expense 14.66 4 Orthopedic Institute Medical expense 37.79 5 PA Department of Revenue 2014 income tax payment 4.00 6 Pinnacle Health Medical expenses 268.70 7 Quantum Imaging Medical expense 1.86 8 West Shore EMS Medical expense 8.90 TOTAL(Also enter on Line 10,Recapitulation) $ 361.71 2W48AH 2.000 If more space is needed,insert additional sheets of the same size. REV-1513 EX+(01-10) .SCHEDULE J pennsylvania DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Elisabeth S. Farrell 21 14 0788 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under Sec.9116(a)(1.2).) 1, Glenn P. Farrell 1078 Hunters Path Lancaster, PA 17601 Metro Bank, checking account no. 536311830 Inventory Value: 3,727.81 Accrued: 0.10 AARP annuity no. AM99000603 Inventory Value: 17,746.91 12,700 Par United States Savings Bonds, Series I Inventory Value: 6,350.00 Accrued: 6,294.12 25% of Residue: 39,831.61 Son 73,950.55 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. [[ NON-TAXABLE DISTRIBUTIONS A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ 0.00 9W46AI 2.000 If more space is needed,use additional sheets of paper of the same size. Estate of: Elisabeth S. Farrell 21 14 0788 Schedule J Part 1 (Page 2) Item . No. Description Relation Amount 2 Christopher J. Farrell 2146 Millford Road Bushkill, PA 18324 AARP annuity no. AM99000603 Inventory Value: 17,746.91 25% of Residue: 39,831.61 Son 57,578.52 3 James O. Farrell 296 Tepi Drive Southbury, CT 06488 AARP annuity no. AM99000603 Inventory Value: 17,746.91 25% of Residue: 39,831.61 Son 57,578.52 4 Sean X. Farrell 1535 Fox Hollow Circle Mechanicsburg, PA 17055 AARP annuity no. AM99000603 Inventory Value: 17,746.91 25% of Residue: 39,831.61 Son 57,578.52 Estate Valuation - DOD Date of Death: 07/27/2014 Estate of: Elisabeth S. Farrell Valuation Date: 07/27/2014 Account: 309950/001 Processing Date: 09/24/2014 Report Type: Date of Death Number of Securities: 1 File ID: Elisabeth Farrell Estate - Santander Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 1) 97 BANCO SANTANDER SA (05964H105; SAN) ADR New York Stock Exchange 07/25/2014 10.30000 10.18000 H/L 07/28/2014 10.19000 10.08500 H/L 10.188750 986.31 Div: 0.15843 Ex: 07/10/2014 Rec: 07/14/2014 Pay: 08/11/2014 15.37 Total Value: $988.31 Total Accrual: $15.37 Total: $1,003.68 Page 1 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.evpsys.com. (Revision 7.3.1) Calculated Value of Your Paper Savings Bond{s} Page 1 of 1 Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 07/2014 Total Price Total Value Total Interest YTD Interest $36,700.00 $88,62i.92 $51,921.92 $1,711.54 Bonds: 1-24 of'24 } Issue Next Final Interest Serial # Series Denom Date Accrual Maturity Rate Issue Price Interest Value . Note k D:0020599241 I_.,•_;, $500 10"4200140$/2014 10/2031 $500."00 "$495.60- 4.206/o' .. $995:60• a'l- � M005323261I I -$1,00.0.10J2003 08/,210-1-4.: 10/-20.3.3; $1,000.00 $48.51.60.,. 2.295- $1,485.60 M005323260I I N$1,000.10/2003'08/2014 10/2033 $1,000.00, $45.60 2.29% $1,485.60 M0053232621 I $1,000 10/2003 08/20141 10/2033., _ $1,000.00: $485.60 2.29% $1,485.60. X001877237I I..� $10,000,1042003 08/2014 10j2033: $10,,g00.00 $4,856.00 2.29% $14,856.00 64 1'0"8'1' I $500 10%2003 08%2014: 10/2033 $50g.00; $242.80 2.299/a $742.80 R002$22786I_ I ti $200 10/2003:08/2014,1042033: $200.00. $97.12, 2.29% $297.12. L009563146I. I $.50 10/2003:08/2014 10/2033. $50,00- $24.28 2.29% $74 28 X00128304441 I . $10;0000 14%ZUOi tO$i2014 10/2031 $10,OOp 00 $9,912 00 4 24% $19,'312 Oi1� t '1 C3losVL. M002845g67I` I $1,000+1OJ2001�08j201411 0/2031 $1,0:00 00 $991 20; 4 ZO% $1,991 20 � M002845068I I $1 `000 1072001 0$42014 10/2031 $1;000 00 .$991.20 4 20°/a $1;991:20 "-T C90Ay�ii1 I ' R0b1;7593221" 1 yam' 20 $20010%2001 O8J20 14 101203:1 "$ Oq 0;� 4$19824 4fi20fo� �398 �4` T� . X667745EE: EE 10,000'10/199-6-'-f 0%2014 10 2016 $ , _5,000.00 $15,888.00 4.00%..$20,$88.gq X667746EE EE $,10,000 1041986,10/2014� 1042016 $5,000.00• $15,888.00 4.00%,$2018818.00 L200355274EE EE �$50'03/1985:t?91?Oi4 03/2015 $25,00 $£35.84_ 4.00°!0 $110.84 1-184533533EE' EE $50 02/1985;08/2014, 02/2015 $25.00 $85.84: 4.00% $110.84 L184533226EE EE.. . _$50 0141985 0142015 011015. $25.04 $88.06 4.00% $113.06 L1717725O1EE,.• EE. x$50 12/1984,12/2014: 12/2014 $25.00 $8$.06 4.90% $113.06.. . L184532907EE. _EE_ x$50.11/1984;11/2014, 11/2014_ $25.00: . $88.06 4.00% $113:06 L171772249EE EE x$50 10/1984 10/2014: 10!2014 $25.00 $8$.06: 4.00°la, $113,:16 L171771959EE: EE `,$50 09/1984,09/2014 09/2014. $25.00; $88.06 4.00.% $113.06 t L270760971EE; EE. x$50 0841984:08/2014;0842014 $25.00 $8$.06_ 4.00% $113.06 L170760665EE EE. • , ,_,,$50507%19$4,, 07j2014 $2500;. $90.32, $115.3,2 MA' L170762062EE EE x.$50 06/1984 06/2014 $25,00 $90.32 $118.32 MA Totals for 24 Bonds $36,700.00 $51,921.92 $88,621.92 Notes NI Not Issued NE Not eligible for payment P5 .Includes 3 month interest penalty, .,., MA .Matured and not earnln interest t . http://www.treasurydirect.gov/BC/`SBCPrice 8/28/2014 PEOPL ' Bank �� o September 10, 2014 �� 1 yyyy �1AjCQ/lo Jdo�rus��Uplle}yCC'pm� �� —�µ� �,,r Stock and Leader Attorneys at Law 'Susquehanna Commerce Center East 221 West Philadelphia Street - Suite 600 York, PA 17401-2994 RE: Estate of Elisabeth S Farrell Social Security No. 109-16-2092 Date of Death: July 27, 2014 Dear Ms. Connelly: This letter is in response to your inquiry, wherein you requested information concerning accounts held with our Financial Institution, on behalf of the above listed decedent. The following is the account information: Certificate of Deposit Account #5316219 Titled: Elisabeth A Farrell (Sole Ownership) Opened: October 31, 2008 Balance of Account as of July 27, 2014 $5,703.19 Interest Accrued: $1.75 Total Account Value as of July 27, 2014 $5,704.94 Interest Paid Year to Date: $11.36 Our records indicate that Ms. Farrell does not have a safe deposit box at our Financial Institution, at this time. Sincerely, Stephanie Stambaugh Deposit Services, Administrative Assistant PeoplesBank, A Codorus Valley Company 109 Leader Heights Road York, Pa 17403 sstambauah@peoplesbanknet.com 15 Leader Heights Road • P.O.Box 2887 • York,PA 17405-2887. 717.846.1970 + 888.846.1970 • www.peoplesbanknet.com iaM by FDIC Santander Bank ESTATE OF Elisabeth S. Favell SOCIAL SECURITY#: 109-16-2092 DATE OF DEATH: July 27, 2014 Account#: 1701031868 Type: Money Market Open date: 3/19/2003 In the name of. Elisabeth S. Farrell ,•'` Date of Death Balance: $23,072.03 Int.(YTD) from 1/1/2014 to 6/28/2014, $24.81 Accrued interest to date of death: $4.72 Other info: Page 1 of 1 r Morgan Stanley CLIENT STATEM ENT For the Period July 1-September 30,2014 Page 6 of 12 Basic Securities Account ELISABETH S. FARRELL Account Summary 785-706842-605 BALANCE SHEET (-includes accrued interest) CASH FLOW Last Period This Period This Period This Year (as of 6/30/14) (as of 9/30/14) (7/1/14-9/30114) f(1/1/14-9/30114) Gash,BDP, MMFs $2,187.41 187.46 OPENING CASH, BDP, MMFs $2,187.41 V $2,187.30 Municipal Bonds 29,792.70 29,918.40 income 0.05 0.16 Total Assets $31,980.11 $32,205.86 Total investment Related Activity $0.05 $0.16 Total Liabilities(outstanding balance) — — Total Cash Related Activity — — TOTAL VALUE $31,980.11 $32,105.86 CLOSING CASH, BDP, MMFs $2,187.46 $2,187.46 INCOME AND DISTRIBUTION SUMMARY GAINALOSS) SUMMARY This Period This Year Unrealized (7/1/14-9/30/14) (1/1/14-9/30/14) Realized This Period Realized This Year Inception to Date Interest $0.05 $0.16 (7/1/14-9/30/14) (1/1/14-9/30/14) (as of 9/30/14) Total Taxable Income And Distributions $0.05 $0.16 Long-Term Gain — — $563.10 Total Tax-Exempt Income — — The Gainl(Loss)Summary,which may change due to basis adjustments,is provided for informational TOTAL INCOME AND DISTRIBUTIONS $0.05 $0,16 purposes and should not be used for tax preparation. Refer to Gainl(Loss)in the Expanded Disclosures. Taxable and tax exempt income classifications are based on the characteristics of the underlying securities and not the taxable status of the account. uutt 4 4 b b b LtrU51 I 5tK V l 1t5 rfiut CIL!CI L YJ'7(17!LCI14 lb:1CJ METRO 3801 Paxton Street 888.937.0004 BANK Harrisburg, PA 17111 mymetrobank.com 9/18/14 Rosemary Connelly, Paralegal Stock and Leader Attorneys at Law Suquehanna Commerce Center l=ast 221 West Philadelphia St., Ste 600 York, PA 17401 RE, Estate of: Elisabeth A. Farrell Tax identification Number: 109-16-2092 Date of Death: July 27, 2014 To Whom It May Concern: This letter is in reference to decedent account information you requested for the individual listed above, We are able to provide the following: Account Type:CK Account Number: 536311830 Date Opened: 10/02/2003 Date Became Joint: 12/10/2010 Primary Owner: Elisabeth A. Farrell Secondary Owner. Glenn P/Farrell Accrued Interest: "'$0.21 Date of Death Balance: $7,455,61 * Please note: The accrued interest will not be paid if the account is closed prior to the date the interest is scheduled to post. Please feel free to contact us at 1888-937-0004 if we may be of further assistance, Sincerely, Jennifer Jacobs Research Associate/Deposit Services Metro Bank Enclosure AARP j AMERICAN MATURITY LIFE ;,L,T 1 20#4 1 Septeer 5, 2014 -- Connie Yoder Stock and Leader 221 W. Philadelphia St., Ste. 600 York, PA 17401-2994 Re: Elisabeth S. Farrell Contract No: AM99000603 Dear Ms. Yoder: We received a request to complete IRS Form 712 for the above referenced contract. The purpose of Form 712 is to provide an estate or donor with the value of a life insurance contract or its proceeds as of a certain date(usually the owner's date of death or date of transfer of the contract). Because this contract is an annuity contract, it is not reportable on IRS Form 712. I can, however, provide the following information for estate purposes: Date of Death: July 27, 2014 Annuity Value as of Date of Death: $70,987.63* Initial Contribution: $60,000.00 Named Beneficiary: James O. Farrell, Christopher J. Farrell, Glenn Farrell, &Sean X. Farrell *This value is an illustration for estate purposes only. It does not represent a cash value or a lump sum withdrawal offer. Also, per your request we have enclosed a copy of the application reflecting the most recent beneficiary information. If you have any questions,please contact us at 1-877-499-6418. Sincerely, Theresa Parsons Sr. Claim Representative Allstate Life Insurance Company Life and Annuity Claims P.O. Box 94212, Palatine, IL 60094-4212 Phone 877-499-6418 Fax 866-635-4523 Page 1 of 1 oN v—� O CO<--�,4AO f - � � �C) ;aO0 ;U = 'O'M - _ 10> O z c m -.� ;u O m M G) Cn , O m --i m, MEN r O C= ;0 m c vrt,z 00 = D = � T m Cn _ = NOr m c r CD- JD_ — z /A - A �„ _ � � � O — � me _— ;p ao nm u� Z - — I g�v m Gov — ;Cl _ __ C m $gym v CO m o m y E M Z M o V O G7 W J163MSMM- ` 539J21CB69131DO After printing this label: 1.Use the'Print'button on this page to print your label to your laser or inkjet printer. 2.Fold the printed page along the horizontal line. 3.Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. Warning:Use only the printed original label for shipping. Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges,along with the cancellation of your FedEx account number. Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide,available on fedex.com.FedEx will not be responsible for any claim in excess of$100 per package,whether the result of loss,damage,delay,non- delivery,misdelivery,or misinformation,unless you declare a higher value,pay an additional charge,document your actual loss and file a timely claim.Limitations found in the current FedEx Service Guide apply.Your right to recover from FedEx for any loss,including intrinsic value of the package,loss of sales, income interest,profit,attorney's fees,costs,and other forms of damage whether direct, incidental,consequential,or special is limited to the greater of$100 or the authorized declared value.Recovery cannot exceed actual documented Ioss.Maximum for items of extraordinary value is$1,000,e.g.jewelry,precious metals, negotiable instruments and other items listed in our ServiceGuide.Written claims must be filed within strict time limits,see current FedEx Service Guide. https://www.fedex.com/shipping/html/en//PrintIFrame.html 9/23/2015 Stock.dLeader ■■ ATTORNEYS AT LAW , BUSINESS N GOVERNMENT M PERSONAL When Decisions Matter September 23, 2015 Via overnight mail only Rosemary E. Connelly,Estate Paralegal Direct Dial: (717)849-4101 rc@stockandleader.com Register of Wills Cumberland County Courthouse . One Courthouse Square, Room 102 C) �n Carlisle,PA 17013 ,. ---q RE: ESTATE OF ELISABETH S.FARRELL °� =' '_;: .Nc No.2114-0788 - :> .71 To Whom It May Concern: F- C::) E" m Enclosed please find the following documents for filing: t tv o C) 3 1. Inventory; 2. 2 PA Inheritance Tax Returns; and 3. Status Report Please process the originals and return the time stamped copies back to me. If you have any questions or concerns,please do not hesitate to contact me. Very truly yours, STOCK D LEADER Rosemary E. Connelly Enclosures 221 W.Philadelphia St.,Suite 600,York,PA 17401 1 Phone:(717)846-9800 1 Fax:(717)843-6134 1 StockandLeader.com 0276767-