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Home My WebLink About01-1161 Register of Wills of CUMBERLAND County, Pennsylvania PETITION FOR GRANT OF LETTERS J.J-ol-JI ~ I Estate of Grace L. Swartz also known as No. , Deceased Social Security No. 173-07-8967 PNC Bank, N.A. Petitioner(s), who is/are 18 years ot age or older, apply{ies) tor: (COMPLETE 'A' or 'B' BELOW:) l!J A. Probate and Grant ot Letters Testamentary and aver that Petitioner(s) is/are the execut, or the Decedent, dated 10-26-95 and codicil(s) dated. named in the last WiD of State relevant circumstances, e.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: o B. Grant of Letters of Administration (c.t.a.; d.b.n.c.t.a; pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: I Name Relationship Residence I (COMPLETE IN ALL CASES:) Attach additional sheets it necessary. Decedent was domiciled at death in Messiah Village, Upper Allen Township, Mechanicsburg. Cumberland County, Pennsylvania with his/her last family or principal residence at 1QO Mt. Allen Drive, Upper Allen Township" Mechanicsburg, Cumberland County, Pennsylvania (list street, number, and municipality) Decedent, then _years of age. died December 15,2001 at Messiah Village, Mechanicsburg, Cumberland County, PA (Location) Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property (If not domiciled in PAl Personal property i.1 Pennsylvania (If not domiciled in PAl Personal property in County Value of real estate in Pennsylvania $ 100,000.00 $ $ $ situated as follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the a ro riate form to the undersi ned: Si nature 'i!.4{.. So ~ Il- U "" . ~ ' PNC Bank, NA ~<;~'" ~ eLl::- ~~ " 4242 Carlisle Pike Mechanicsbur , P A 17055 Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form RW-1 (1991) / 7-~d. R- J L/ ac-; ~(ij :3 ::;:: C'- d -'" .......:D _Ai Iti ,9) 5:'~' o C""J N o V l,-J ,':::;) IJl ;..i::j Oath of Personal Representative Commonwealth of Pennsylvania County of The Petitioner(s) above-named swear{s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and thllt, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. ~~'~.",,'iS< '" "-' ~ '-'" Sworn to or affirmed and subscribed before me this 20thdayof December , 2001 ~C.;f&~ Mary C. I 1S ' PNC Bank, N.A. No. 21-2001-1161 Estate of Grace L. Swartz Deceased Social Security No: 173-07-8967 Date of Death: December 15,2001 AND NOW, December 21st , 2001 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters [!] Testamentary 0 Of Administration (c.I.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) are hereby granted to PNC Bank, N.A. in the above estate and that the instrument(s) dated October 26, 1995 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters. . . . . . . $ 200.00 Short Certificate(s). 4 $ 12.00 Renunciation. $ Affidavits ( $ Extra Pages ( 3 ) . $ 9.00 Codicil. . . $ JCP Fee. $ 5.00 Inventory. $ Attorney: 1.0. No: 06262 Address: SAInIS, SHUFF, FLOWER & LINDSAY 2109 Market Street, Camp Hill, P A 17011 Telephone: 717/737-3405 Other. . $ PNC BANK N.A. MAIL 'IO POBOX 308 TOTAL. . . . . . . $ 226.00 CAMP HILL, PA 17001-0308 Prepared by the Pennsylvania Bar Association Copyright (e) 1996 form software only CPSystems,lnc. Form RW-1 (1991) oc ,.. .. =~ :; -" rr ,,' (f"~ d - c:J CJ N o -0 \ ,.) (::J 1,)1 21-2001-1161 00 :;m :j::;; rr ,~, (1'" -", F',: 9 o - CJ N o -u w o CJ', ;p :rJ(1} roo (.r,~;. G~' ~: '~:, C~~ iI':) ':'),J\ c: -'\I'" SAIDIS, GUIDO, SHUFF & MASLAND 2109 Market Street Camp Hill, PA - I LAST WILL AND TESTAMENT OF GRACE L. SWARTZ 21-2001-1161 I, GRACE L. SWARTZ of Upper Allen Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testa- ment, hereby revoking any will previously made by me. I - I direct the payment of all my just debts and funeral expenses out of my estate as soon as may be practical after my death. II - I direct that I be buried in Twin Hills Memorial Park in Lycoming County near Williamsport, PA beside my late husband. III - I bequeath unto Messiah Village Retirement Community, 100 Mt. Allen Drive, Upper Allen Township, Mechanicsburg, PA, the sum of $4,000 for its endowment fund. IV - I bequeath unto Grace United Methodist Church of Harrisburg, PA, the sum of $1,000 for the general corporate p~lrposes as a memorial to myself. V - I bequeath unto Newberry United Methodist Church, Williamsport, PA, the sum of $1,000 for its general corporate purposes as a memorial to myself. VI - I hereby bequeath my household goods, furniture Il/~l~ Page 1 SAIDIS, GUIDO, SHUFF & MASLAND 2109 Market Street Camp Hill, PA and personal effects in accordance with written instructions made by me during my lifetime. In the absence of such instructions, the said items shall be sold by my executor and added to the residue of my estate. VII - I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate and over which I have the power of appointment or disposition, as follows: A. One-third of said residue unto Victoria K. Reynolds, the daughter of my deceased sister, Muriel E. Hann. B. One-third of said residue unto Donna L. Thaler, daughter of my deceased sister, Sarah L. Horn. C. The remaining one-third of the residue shall be divided as follows: 1. One-fourth of the one-third share shall be paid to Daniel E. Flexer, Jr., son of my deceased brother, Daniel E. Flexer 2. One-fourth of the one-third share shall be paid to Charles Flexer; son of my deceased brother, Daniel E. Flexer. 3. One-fourth of the one-third share shall be paid to Judith Staccone, daughter of my deceased sister, Sarah L. Horn. 4. The remaining one-fourth of the one-third share shall be paid to Michael Horn, son of my deceased sister, Sarah L. Horn. ~i" . '--~-t,J, Page 2 SAIDIS, GUIDO, SHUFF & MASLAND 2109 Market Street Camp Hill, PA ,-- Should any of the foregoing persons predecease me, his or her share shall be paid to his or her issue per stirpes. I have made no provisions for Elaine F. Saar and James A. Flexer, daughter and adopted son of my deceased brother, Walter L. Flexer, not because of any lack of affection but because they have been very generously provided financial support by their father. VIII - I appoint PNC Bank, Camp Hill, PA, Executor of this, my Last Will and Testament. My personal representative shall not be required to post bond in this or any jurisdiction. IN WITNESS WHEREOF, ~. <C; <C;). 1_ -ft, 01' l.R ~.. day of this, the I have hereunto set O~ '- my hand and seal on , 1995. i' ..-tl. ._-,<....//\ C{. ~/ Grace L. (SEAL) Signed, sealed, published and declared by GRACE L. SWARTZ, Testatrix therein named, on this and two (2) other sheets of paper 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 subscribed our names as attesting witnesses. '--"']-- ~. .1 .-. -.\ l i 'f . Name - ~p~ 7)- Name .J '~{)~\L( ~f\-- Address /rL.Lt , l~ . 'Address I 0AA..e/h I SAllIS, GUIDO, SHUFF & MASLAND 2109 Market Street Camp Hill, PA COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND) WE, the undersigned, the testatrix and the witnesses, respectively, whose names are signed to the foregoing instru- ment, being first duly sworn, do hereby declare to the under- signed authority that the testatrix signed and executed the instrument as her Last Will and Testament and that she signed willingly (or willingly directed another to sign for her), and that she executed it as her free will 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 knowledge the testatrix was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. ~//i ~:" ~ ./ ..t. - '. ~ 'n~~"~" Witness (C)~ Witness ~ Subscribed, sworn to and acknowledged before me by the testatrix! .and sUEfcribed_and~o~~ before me by both wit- nesses i t;llS ,,2.{, day ot ~ , 1995. ~uy1. c(~ N6tary Public [. .......----. . "1 NOTARIAL SEAL THELMA S. McCAUSLIN, Notary Public Camp Hill, Cumberland County ! _ Mv Commissio;' f;:oires July 3, 199f) j r en > ~ (J t:1 > ~ :s:: S/l "C ::x:: >CJ ..... '1!~ t"' b~ r I\) '1:1 0 ;:It:1 ~ <!) 1;:0 ~ " t>l :a 3:: o . 'i Z 9 z :> zen ill 0 "100 tll ;>; ~l:I: -n w >< 0 m -n ~ t"' x -I ()~ n k' ~ " V> ~"1J w -I m o Z " ill 8"1J (Jl ()1 ..... m ~~ > m -I - 'l ~~ 0 g > , 0 (fJ 'l ~ C.l 'l Z t:1 S l?/\ l~~ ~ G'l ~V ~ ~ Ui tRt (j t"Ij ~t ! ~ t-I ~ '.::!""~ ai ... if Ul ~ ::0 ~~ ~ (; t-3 !Sf ! 1 \\~ ,,\--J, ~J. \'i ...'.~, "......., ~~ ~"~ ..".. t I"~ ~~ ~~~;... 1;,'.\ !~""'i d -.. :0 :XHtl ("D 0 co 0 w..,.. ....... rii- gt c:J C'":l N o "0 l,..v I::) C""'I REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA CERTIFICATION OF NOTICE UNDER RULE 5.6(A) Name of Decedent: Grace L. Swartz Date of Death: December 15, 2001 Will No. 21-01-1161 Admin. No. To the Register: I certify that Notice of Estate Administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries ofthe above-captioned estate on January :)' ~ -rf:; , 2002. Name Messiah Villiage Retirement Community Endowment Fund Grace United Methodist Church Newberry United Methodist Church Victoria K. Reynolds Donna L. Thaler Daniel E. Flexer, Jf. Charles Flexer Judith Staccone Michael Horn Susan A. Thaler Elizabeth A. Thaler Christina Staccone Anna M. Tull Address 100 Mt. Allen Drive, Mechanicsburg, P A 17055 216 State Street, Harrisburg, P A 17101 909 Diamond Street, Williamsport, P A 17701 36 Sierra Vista Drive, Monterey, CA 93940 17 Dana Lane, East Islip, NY 11730 2510 Grand Street, Williamsport, PA 17701 3211 Bottle Run Road, Williamsport, P A 17701 3234 West 4th Street, Williamsport, P A 17701 141 Triberg Court, Henderson, NY 89014 115 Northwood Court, Bayport, NY 11705 115 Northwood Court, Bayport, NY 11705 73 Round Hill Road, Williamsport, P A 17701 3217 Scenic Road, South, Harrisburg, P A 17109 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except none Date.: / I~ f; ) () 4- .~ C:.: o fYl Z:i: -"J I.:' ~.:.:~:_} _:'~ ;:: (i~ :5 .... ",...... -'" ''-" Capacity: .; '1:, $CC ~,.J.- N P y John E. like, Esquire SAID , SHUFF, FLOWER & LINDSAY 2109 arket Street Camp Hill, P A 17011 (717) 737-3405 _Personal Representative -X Counsel for Personal Representative ,_:, o PNCADVlSORS '02 rlAI~ 15 c; :D /1 PO Box 308 Camp Hill PA 17011 Tel: 717 730-2265 I' '> L~' . .... i CutnL March 14, 2002 Register of Wills Cumberland County South Hanover Street Carlisle, PA 17013 Re: Grace Swartz Estate Date of Death 12/15/2001 File No #21-01-1161 Dear Register of Wills: On behalf of the Corporate Executor of the above-referenced Estate, I enclose a check in the amount of $60,800.00 for payment on account of Pennsylvania Inheritance Tax. This payment will yield a 5% discount in the amount of $3,200.00 for a total credit towards the Pennsylvania Inheritance Tax in the amount of $64,000.00. Kindly acknowledge receipt of the enclosed by stamping and returning the accompanying copy of this letter to me in the envelope provided. Please send us the usual customary receipt at your earliest convenience. Sincerely, ~' ~~QAD~. ~L~~~;-~& Assistant Vice President Enclosure: LJLljmh A member of The PNC Financial Services Group 4242 Carlisle Pike Camp Hill Pennsylvania 17011 ~ ",; 3::. .... "'.. 6 ~,~ COUNTY: -.-::1 ~ z J.~~ \l\~ ~:'.::'~ ,:' .' ~ ", _ rJ). .. 8~ 0 .-,- ~% ~ ....'; rJ). ~~:,:,):: :-':- CIlrll)or-(") "":"': -..- ~..... ; ..- .-,". "~" ,,1,; -. 'M' ~z>m.~ "i;H" 'J> ,<,.' .... ZO-Qm :J> .....J : -;.' .....: ..:..- ., '. ." ~ ;:,.. ~' m % -t '" < ).::. ",.: .l-J ...,:' " %~" Co 3l:0 '::::: ~5 "'~ .. .., .. :;"! t., ::j m 3l: meon moon ~ p P -J c.n ex> ,.... " CUMBERLAND 1 2/1 5/2001 DATE OF DEATH: REV-1162 EX(11-96) PENNSYLVANIA \NCE AND ESTATE TAX >FFICIAL RECEIPT 'T ;t-:.~ J> :s;- '3-07-8967 NO. CD 000960 ACN ASSESSMENT CONTROL NUMBER AMOUNT REMARKS: PNC ADVISORS ATTN:L1NDA LUNDBERG TRUST DEPT SEAL 101 I $60,800.00 I I I I I I I I TOTAL AMOUNT PAID: $60,800.00 CHECK# 411758 INITIALS: AC RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS o PNCADVlSORS PO Box 308 Camp Hill Pa 17001-0308 (717) 730-2265 September 13, 2002 Register Of Wills Cumberland County Courthouse South Hanover St Carlisle, PA 17013 Re: Grace L. Swartz Estate Date of Death 12/09/01 File #: 21-01-1161 Dear Register Of Wills: On behalf of the Corporate Executor of the above-referenced Estate, I enclose a check in the amount of $9,965.18 balance due on account of Pennsylvania Inheritance Tax along with two original completed copies of the tax return. I have also enclosed the final inventory along with a check in the amount of $52.00 for filing fees. Thank you for your assistance. Sincerely, ~~ Linda J. Lundberg Estate Administrator Assistant Vice President Enclosures: LJUjmh A member of The PNC Financial Services Group 4242 Carlisle Pike Camp Hill Pennsylvania 17011 PNCBANK ESTATE OF GRACE L SWARTZ DECEASED (DIED 12115/01) LATE OF THE TOWNSHIP OF UPPER ALLEN CUMBERLAND COUNTY PA WILL NO. 21-01-1161 INVENTORY COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND LINDA J LUNDBERG ASSISTANT VICE PRESIDENT OF PNC BANK NATIONAL ASSOCIATION EXECUTOR OF THE ESTATE OF GRACE L SWARTZ DECEASED HAVING BEEN DULY AFFIRMED ACCORDING TO LAW DID DEPOSE AND SAY THAT THE ITEMS APPEARING IN THE FOLLOWING INVENTORY ARE PERSONAL ASSETS WHEREVER SITUATE AND REAL ESTATE IF ANY IN THE COMMONWEALTH OF PENNSYLVANIA OF SAID DECEDENT THAT THE VALUATION PLACED OPPOSITE EACH ITEM OF SAID INVENTORY REPRESENTS ITS FAIR VALUE AS OF THE DATE OF THE DECEDENT'S DEATH AND THAT THE DECEDENT OWNED NO REAL ESTATE OUTSIDE THE COMMONWEALTH OF PENNSYLVANIA EXCEPT THAT WHICH APPEARS IN A MEMORANDUM AT THE END OF THIS INVENTORY AFFIRMED AND SUBSCRIBED BEFORE ME THIS /7~ DAV ~ 2..a+- I. ,,,// ~-- ~____._""r.. ~~- ~- '" NOTAR!AL SEAL DENISE C. SULLENi3ERGER, Notary Public Hamoden T.\~.~IP..' C.'U\.floerI2nd County My Commisr;ion Explms Nov. 22, 2004 i.~y~~;r.-~7IP'b~,,*~~~~-'~~ - 1 - TRSN01 C10/95) ------------------- -------------------------- --..----- PRIVATE BANK GRACE L SCHWARTZ BONDS 5,000 PAR DERRV TWP PA SCH DIST SER A RFDG 5.125Y. DUE 09/01/07 iil 102.2760 INTEREST FROM 9/01/01 TO 12/15/01 5,000 PAR ERIE PA WTR AUTH REV REF SER A 5.30Y. DUE 12/01/04 iil 106.1520 INTEREST FROM 12/01/01 TO 12/15/01 5,000 PAR HEMPFIELD PA SCH DIST LANCASTER CNTV G 0 4.85Y. DUE 10/15/06 iil 103.0892 INTEREST FROM 10/15/01 TO 12/15/01 1,000 PAR USA SAVINGS BONDS SERIES HH DATED 08/01/92 DUE 08/01/12 iil 100.0000 INTEREST FROM 8/01/91 TO 12/15/01 1,000 PAR USA SAVINGS BONDS SERIES HH DATED 09/01/92 DUE 09/01/12 iil 100.0000 2,000 PAR USA SAVINGS BOND SERIES HH DATED 10/01/92 DUE 10/01/12 iil 100.0000 2,000 PAR USA SAVINGS BONDS SERIES HH DATED 01/01/1993 DUE 01/01/2013 iil 100.0000 INTEREST FROM 8/01/91 TO 12/15/01 1,000 PAR USA SAVINGS BONDS SERIES H DATED 06/01/74 DUE 10/01/04 iil 100.0000 1,000 PAR USA SAVINGS BONDS SERIES H DATED 11/01/74 DUE 11/01/04 iil 100.0000 1,000 PAR USA TREASURV BOND 11.625Y. DUE 11/15/04 iil 121.1250 INTEREST FROM 11/15/01 TO 12/15/01 1,000 PAR USA TREASURV NOTES 3.375Y. DUE 01/15/07 iil 100.2190 INTEREST FROM 7/15/01 TO 12/15/01 2,000 PAR USA TREASURV NOTES 6.625Y. DUE 04/30/02 iil 101.8125 INTEREST FROM 10/31/01 TO 12/15/01 - 2 - -~------ --------- -------- --------_.-- PNCBANK 770568 5,113.80 74.03 5,307.60 10.31 5,154.46 40.42 1,000.00 22.50 1,000.00 2,000.00 2,000.00 55.00 1,000.00 1,000.00 1,211 .25 9.63 1,002.19 14.03 2,036.25 16.47 TASN02 (0/95) --------- - - ------ - PRIVATE BANK GRACE L SCHWARTZ CONTINUED: BONDS 1.000 PAR USA TREASURY NOTES 6.50Y. DUE 05/31/02 iil 102.1880 INTEREST FROM 11/30/01 TO 12/15/01 2.000 PAR USA TREASURY NOTES 6.25Y. DUE 06/30/02 iil 102.3750 INTEREST FROM 6/30/01 TO 12/15/01 3.000 PAR USA TREASURY NOTES 6Y. DUE 07/31/02 iil 102.5780 INTEREST FROM 7/31/01 TO 12/15/01 2.000 PAR USA TREASURY NOTES 6.25Y. DUE 08/31/02 iil 102.9845 INTEREST FROM 8/31/01 TO 12/15/01 2.000 PAR USA TREASURY NOTES 5.875Y. DUE 09/30/02 iil 103.0000 INTEREST FROM 9/30/01 TO 12/15/01 3.000 PAR USA TREASURY NOTES 5.75Y. DUE 10/31/02 iil 103.1720 INTEREST FROM 10/31/01 TO 12/15/01 3.000 PAR USA TREASURY NOTES 5.75Y. DUE 11/30/02 iil 103.4063 INTEREST FROM 11/30/01 TO 12/15/01 2.000 PAR USA TREASURY NOTES 5.625Y. DUE 12/31/02 iil 103.5000 INTEREST FROM 6/30/01 TO 12/15/01 1.000 PAR USA TREASURY NOTES 5.50Y. DUE 02/28/03 iil 103.6720 INTEREST FROM 8/31/01 TO 12/15/01 8.000 PAR USA TREASURY NOTES 5.25Y. DUE 05/15/04 iil 104.0156 INTEREST FROM 11/15/01 TO 12/15/01 3.000 PAR USA TREASURY NOTES 5.875Y. DUE 11/15/04 iil 105.6563 INTEREST FROM 11/15/01 TO 12/15/01 - 3 - PNCBANK 770568 1.021.88 2.68 2.047.50 57.07 3.077 .34 67.01 2.059.69 36.60 2.060.00 24.53 3.095.16 21.44 3.102.19 7.11 2.070.00 51. 36 1.036.72 16 .10 8.321.25 34.81 3.169.69 14.61 TRSN02ClO/951 PRIVATE BANK PNCBANK GRACE L SCHWARTZ 770568 CONTINUED: BONDS 3,000 PAR USA TREASURY NOTES 6.375Y. DUE 01/31/02 iil 100.6093 3,018.28 INTEREST FROM 7/31/01 TO 12115/01 71.20 3,000 PAR USA TREASURY NOTES 6.50Y. DUE 02/28/02 iil 101.0000 3,030.00 INTEREST FROM 8/31/01 TO 12115/01 57.10 5,000 PAR USA TREASURY NOTES 6.625Y. DUE 05/31/02 iil 102.2032 5,110.16 INTEREST FROM 11/30/01 TO 12/15/01 13.65 5,000 PAR USA TREASURY NOTES 6.25Y. DUE 07/31/02 iil 102.7188 5,135.94 INTEREST FROM 7/31/01 TO 12/15/01 116.34 5,000 PAR USA TREASURY NOTES 6.125Y. DUE 08/31/02 iil 102.9062 5,145.31 INTEREST FROM 8/31/01 TO 12/15/01 89.68 5,000 PAR USA TREASURY NOTES 5.625Y. DUE 11/30/02 iil 103.2812 5,164.06 INTEREST FROM 11/30/01 TO 12115/01 11.59 5,000 PAR USA TREASURY NOTES 5.125Y. DUE 12/31/02 iil 103.0000 5,150.00 INTEREST FROM 6/30/01 TO 12115/01 116.98 5,000 PAR USA TREASURY NOTES 4.25Y. DUE 03/31/03 iil 102.2500 5,112.50 INTEREST FROM 9/30/01 TO 12/15/01 44.37 5,000 PAR USA TREASURY NOTES 4.25Y. DUE 05/31/03 iil 102.2656 5, 113 . 28 INTEREST FROM 11/30/01 TO 12115/01 8.76 3,000 PAR USA TREASURY NOTES 3.875Y. DUE 07/31/03 iil 101.6250 3,048.75 INTEREST FROM 7/31/01 TO 12/15/01 43.28 2,000 PAR USA TREASURY NOTES 2.75Y. DUE 10/31/03 iil 99.4065 1,988.13 INTEREST FROM 10/31/01 TO 12115/01 6.84 TRSN02f10/9S) - 4 - --------------------- PRIVATE BANK PNClRANK GRACE L SCHWARTZ 170568 PREFERRED STOCKS 17 SHS DUQUESNE LIGHT COMPANY 4Y. CUM PFD ii) 27.0000 DIVIDEND PAVABLE 1/01/02 459.00 8.50 COMMON STOCKS 100 SHS HERSHEV FOODS CORP COMMON ii) 65.9950 6,599.50 70 SHS LUCENT TECHNOLOGIES INC COMMON ii) 6.3274 442.92 50 SHS SELECT MEDICAL CORP COMMON ii) 15.4076 17 0 . 38 100 SHS WAL-MART STORES INC COMMON iil 54.2925 5,429.25 50 SHS WAVPOINT FINANCIAL CORP COMMON ii) 14.1446 707.23 ~ 92.281 UTS VANGUARD STAR FD STAR PORTFOLIO FD 156 iil 16.3500 758.134 UTS VANGUARD FIXED INCOME SECURITIES FUND INC GNMA PORTFOLIO FD 136 ii) 10.3300 121.065 SHS VANGUARD INDEX TR TOTAL STOCK MARKET PORTFOLIO FD 185 ii) 25.1900 CERTIFICATES 3,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1223-0042159 INTEREST TO 12/15/01 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0114906 INTEREST TO 12/15/01 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0114913 INTEREST TO 12/15/01 2,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0114961 INTEREST TO 12/15/01 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0114968 INTEREST TO 12/15/01 1,508.79 7,831.52 3,049.63 3,000.00 28.05 5,000.00 120.52 5,000.00 33.86 2,000.00 34.04 5,000.00 70.03 TRSN02110/9S1 - 5 - - ----- -- - - - -- --- --- - ----- - - - - ----- - - ------ - --- - -----.---- -.- ---.-.------- PRIVATE BANK PNCBANK GRACE L SCHWARTZ 770568 CONTI NUED : CERTIFICATES 6,420.22 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0114972 6,420.22 INTEREST TO 12/15/01 160.33 7,482.77 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0114991 7,482.77 INTEREST TO 12/15/01 131. 02 4,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115008 4,000.00 INTEREST TO 12/15/01 60.89 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115009 5,000.00 INTEREST TO 12/15/01 75.91 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115015 5,000.00 INTEREST TO 12/15/01 54.37 6,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115016 6,000.00 INTEREST TO 12/15/01 314.86 3,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115017 3,000.00 INTEREST TO 12/15/01 27.94 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115031 5,000.00 INTEREST TO 12/15/01 159.97 7,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115040 7,000.00 INTEREST TO 12/15/01 210.87 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115042 5,000.00 INTEREST TO 12/15/01 135.73 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115051 5,000.00 INTEREST TO 12/15/01 80.34 4,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115054 4,000.00 INTEREST TO 12/15/01 59.00 3,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0156535 3,000.00 INTEREST TO 12/15/01 .66 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0156545 5,000.00 INTEREST TO 12/15/01 36.02 TRSN02(10/SSJ - 6 - --------------------- PRIVATE BANK PNClRANK GRACE L SCHWARTZ 770568 CONTI NUED : CERTIFICATES 4,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0156559 4,000.00 INTEREST TO 12/15/01 10.89 3,056.7 PAR WAVPOINT BANK SAVINGS CERTIFICATE ACCOUNT 17100009516 3,056.70 INTEREST TO 12/15/01 17.13 3,064.27 PAR WAVPOINT BANK SAVINGS CERTIFICATE ACCOUNT 17100009634 3,064.27 INTEREST TO 12/15/01 5.30 10,184.85 PAR WAVPOINT BANK SAVINGS CERTIFICATE ACCOUNT 17100010529 10,184.85 INTEREST TO 12/15/01 19.10 4,000 PAR WAVPOINT BANK SAVINGS CERTIFICATE ACCOUNT 18000041696 4,000.00 INTEREST TO 12/15/01 8.96 3,000 PAR WAVPOINT BANK SAVINGS CERTIFICATE ACCOUNT 18000050012 3,000.00 INTEREST TO 12/15/01 5.35 2,268.02 PAR WAVPOINT BANK SAVINGS CERTIFICATE ACCOUNT 18000050279 2,268.02 INTEREST TO 12/15/01 2.53 3,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-40 3,000.00 INTEREST TO 12/15/01 6.50 3,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-42 3,000.00 INTEREST TO 12/15/01 5.96 5,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-49 5,000.00 INTEREST TO 12/15/01 12.48 6,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-50 6,000.00 INTEREST TO 12/15/01 15.86 10,784.85 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-53 10,784.85 INTEREST TO 12/15/01 28.46 5,227.39 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-56 5,227.39 INTEREST TO 12/15/01 11. 53 5,205.41 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-57 5,205.41 INTEREST TO 12/15/01 11.18 TRSN02 (10/95) - 7 - ----------------- PRIVATE BANK GRACE L SCHWARTZ CONTINUED: CERTIFICATES 6.000.99 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-58 INTEREST TO 12/15/01 5.000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-59 INTEREST TO 12/15/01 4.092.13 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-60 INTEREST TO 12/15/01 11.000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-63 INTEREST TO 12/15/01 7.000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-67 INTEREST TO 12/15/01 6.000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-68 INTEREST TO 12/15/01 5.030.48 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-69 INTEREST TO 12/15/01 1.000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-70 INTEREST TO 12/15/01 5.000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-71 INTEREST TO 12/15/01 2.000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-89 INTEREST TO 12/15/01 1.837.24 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-90 INTEREST TO 12/15/01 5.000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-96 INTEREST TO 12/15/01 2.000 PAR WAVPOINT BANK SAVINGS CERTIFICATE ACCOUNT 18000050318 INTEREST TO 12/15/01 6.845.77 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT #31300165694 INTEREST TO 12/15/01 - 8 - PNClRANK. 770568 6.000.99 13.88 5.000.00 9.84 4.092.13 7.14 11.000.00 19.41 7.000.00 11.84 6.000.00 9.60 5.030.48 7.39 1.000.00 2.42 5.000.00 8.92 2.000.00 4.99 1.837.24 4.59 5.000.00 13.02 2.000.00 2.23 6.845.77 7.71 TRSN02f10/SS) PRIVATE BANK GRACE l SCHWARTZ CONTINUED: CERTIFICATES 5,000 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131400165503 INTEREST TO 12/15/01 6,809.96 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131800166727 INTEREST TO 12/15/01 7,174.33 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131700210093 INTEREST TO 12/15/01 7,000 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131300211131 INTEREST TO 12/15/01 12,000 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131600212375 INTEREST TO 12/15/01 5,000 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131800212377 INTEREST TO 12/15/01 10,125.11 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131100218020 INTEREST TO 12/15/01 5,062.55 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131300218751 INTEREST TO 12/15/01 5,062.55 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131500218164 INTEREST TO 12/15/01 MISCELLANEOUS JEWELRY PERSONAL PROPERTY 1987 PONTIAC GRAND AM CASH PNC BANK NATIONAL ASSOCIATION SAVINGS ACCOUNT 15080064313 DATE OF DEATH BALANCE 212.43 INTEREST TO 12/15/01 .03 PNC BANK NATIONAL ASSOCIATION SAVINGS ACCOUNT 15003113388 DATE OF DEATH BALANCE 37,466.21 INTEREST TO 12/15/01 46.06 - 9 - PNCBANK 770568 5,000.00 78.00 6,809.96 9.83 7,174.33 11.54 7,000.00 19.69 12,000.00 231.97 5,000.00 94.93 10,125.11 39.34 5,062.55 14.92 5,062.55 12.21 165.00 25.00 600.00 212.46 37,512.27 TRSN02C10/9SI --------------------~---------------- GRACE L SCHWARTZ CONTINUED: CASH PRIVATE BANK MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS ACCOUNT 18959-00 DATE OF DEATH BALANCE 347.89 INTEREST TO 12/15/01 .26 MEMBERS 1ST FEDERAL CREDIT UNION LIFE SAVINGS ACCOUNT 18959-04 DATE OF DEATH BALANCE 3,000.00 INTEREST TO 12/15/01 2.28 VANGUARD GROUP VANGUARD GNMA FUND INCOME PAVMENT DATED 11/30/01 HERSHEV FOODS CORP COMMON DIVIDEND PAVMENT DATED 12/14/01 MEMBERS 1ST FEDERAL CREDIT UNION INTEREST PAVMENT DATED 11/30/01 ERIE CNTY PA WATER BD 5.30% DUE 12/01/04 INTEREST PAVMENT DATED 12/01/01 FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0156535 INTEREST PAVMENT DATED 12/13/01 PROCEEDS OF SALE OF MISCELLANEOUS COINS USA SAVINGS BONDS SERIES I DATED FROM APRIL 1999 THRU OCTOBER 2000 PROCEEDS OF REDEMPTION USA SAVINGS BONDS SERIES EE DATED FROM DECEMBER 1988 THRU APRIL 1999 PROCEEDS OF REDEMPTION PNC BANK NATIONAL ASSOCIATION CHECKING ACCOUNT 15140063356 DATE OF DEATH BALANCE 4,319.02 INTEREST TO 12/15/01 .33 WAVPOINT BANK SAVINGS CERTIFICATE ACCOUNT 141696 INTEREST PAYMENT DATED 11/30/01 WAVPOINT BANK SAVINGS CERTIFICATE ACCOUNT 150012 INTEREST PAVMENT DATED 11/30/01 - 10 - PNCBANK 710568 348.15 3,002.28 40.10 30.25 288.03 132.50 30.22 14.00 11,197.60 37,757.60 4,319.35 19.20 11. 46 TRSN02 (10/95) ---- - --~-------- -------- GRACE L SCHWARTZ CONTINUED: CASH PRIVATE BANK WAVPOINT BANK SAVINGS CERTIFICATE ACCOUNT 150318 INTEREST PAVMENT DATED 11/30/01 FEDERAL EMPLOVEES GROUP LIFE INSURANCE POLICY 120020206066 AARP REFUND OF MEMBERSHIP DUES PROCEEDS ON SALE OF SPANISH COIN ING RELlASTAR INSURANCE POLICY 12A02438370 BASIC DEATH BENEFIT 2,000.00 INTEREST TO 12/15/01 2,555.71 USA SAVINGS BONDS SERIES HH DTD 09/01/92 DUE 09/01/12 INTEREST TO 12/15/01 USA SAVINGS BONDS SERIES HH DTD 10/01/92 DUE 10/01/12 INTEREST TO 12/15/01 CIVIL SERVICE RETIREMENT AND DISABILlTV FUND LUMP-SUM DEATH BENEFIT CASH FOUND IN COTTAGE MESSIAH VILLAGE REFUND OF PRO-RATA AQUISITION FEE FOR COTTAGE AT MESSIAH MEMBERS 1ST FEDERAL CREDIT UNION ACCOUNT 18959-00 LIFE INSURANCE PROCEEDS PROCEEDS OF SALE OF PERSONAL PROPERTY TOTAL INVENTORV - 11 - PNClSANK 770568 5.00 4,000.00 6.57 5.00 4,555.71 17 .50 23.00 932.77 107.65 20,250.00 1,668.00 4,824.50 558,293.41 ------------ ------------ TRSN02110/S51 r f- I' I i ~-. ' -~ REV-1500 EX + (6-00) OFFICIAL USE ONLY CpMMONWEALTH OF PENNSYLVANIA REV-1500 I 7- ;( 0"- 1</ I DEPARTMENT OF REVENUE DEPT. 280601 INHERITANCE TAX RETURN FILE NUMBER HARRISBURG, PA 1712B-0601 RESIDENT DECEDENT 21 2001 1161 COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INrrIAL) SOCIAL SECURITY NUMBER SWARTZ, GRACE L 173-07-8967 DECE- DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE DENT 12/15/2001 01117/1917 WITH THE REGISTER OF WillS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INrrlAL) SOCIAL SECURITY NUMBER 3. Remainder Return CHECK ~' Original Return ~2 Supplemental Return ~ (date of death prior to 12-13-82) APPRO- 4~ Limited Estate 4a. Future Interest Compromise 5. Federal Estate Tax Return Required ~ateofdeathafter 12-12-82) PRIATE B. Decedent Died Testate 7. ecedentMaintained a Living Trust 01 B. Total Number of Safe Deposit Boxes (Attach copy of Will) tttachacoPyofTrust) BLOCKS 9. Litigation Proceeds Received 1 O~ pousal Poverty Credit(date of death between 0 11~ Election to tax under Sec. 9113(A) 12-31-91 and 1-1-95) (Attach 5ch 0) tfj'$$~qtiqNM(:i$tl\~qpMjljier15piA~4*qijije$I'iQ!li:ieNi;iE&PQNfli:!eNtiA!;tA*iNI;6!lMAtilW$HQUtP~epiilei;itei:irrQi NAME COMPLETE MAILING ADDRESS COR- LINDA J LUNDBERG RE- PO BOX 308 SPON FIRM NAME (If Applicable) CAMP HILL, PA 17001-0308 DENT PNC BANK N.A, TELEPHONE NUMBER 717-730-2265 . . OFFICIAL USE ONLY ,. Real Estate (Schedule A) (1) 0.00 2~ Stocks and Bonds (Schedule B) (2) 133,906,02 3~ Closely Held Corporation_ Partnership or Sole-Proprietorship (3) 0.00 4. Mortgages & Notes Receivable (Schedule 0) (4) 0,00 5. Cash, Bank Deposits & Miscellaneous Personal ~ Property (Schedule E) (5) 413,225.83 B. Jointly Owned Property (Schedule F) 0 Separate Billing Requested (6) 5,205,60 RECA- PITULA- 7~ Inter-Vivos Transfers & Miscellaneous TlON Non-Probate Property (Schedule G or L) (7) 0.00 B~ Total Gr088 Assets (total Lines 1-7) (B) 552,337.45 9~ Funeral Expenses & Administrative Costs (Schedule H)(9) 46,595,00 1 O~ Debtsof Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 6,434.97 11. Total Deductions (total Lines 9 & 10) (11) 53,029.97 12. Net Value of Estate (Line 8 minus Line 11) (12) 499,307.48 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax (13) 6,000,00 has not been made (Schedule J) 14. Net Value Subject to Tax (Une 12 minus Une 13) (14) 493,307.48 SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES 15. Amount of line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 0.00 X .00 (15) 0.00 - TAX 1B~ Amount of line 14 taxable at lineal rate 0.00 X.045 (16) 0,00 - COMPU- 17~ Amountof line 14taxableat siblin9 rate 1,031.37 X .12 (17) 123,76 TATlON 1B. Amountofline 14taxable at collateral rate 492,276.11 X .15 (1B) 73 , 841. 42 19. T ax Due (19) 73,965.18 20. 0 IPij~4j<;He!leif!@'(A!l!tRei:ljj!t$tiN!lW~El!i)NPqfJ\Nl:lY~MAxMeNtII >>. Be S\)RE TO ANSWER All QUESTIONS ON PAGE 2AND REGHeCK MATH<< o PA15001 NTF 29755 , Copyright2000 GreatlanctlNelco LP- Forms Software Only r ,. " PA REV-15oo EX (6-00) Decedenfs Complete Address: Page 2 STREET ADDRESS 630 HOLLY HEIGHTS MESSIAH VILLAGE CITY I STATE I ZIP MECHANICSBURG PA 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 73,965.18 0.00 60,800.00 3,200.00 Total Credits (A + B + C) (2) 64,000.00 3. Interest/Penalty if applicable D. Interest E. Penalty 0.00 0.00 TotallnterestJPenatty (0 + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2. enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WilLS, AGENT (3) 0.00 (4) (5) 9,965.18 (SA) 0.00 (5B) 9.965.18 ,,;:;::::"::::>:;:::'<':':':'::;:::::;:::::':::';;::;';'::;';';::';:;':':':::"'::,:;::::,:::::,;;:,:,:::::,:::,:,:::,:;:::,::::;,:::,;:::;::::;;;:::',,::::,,;::::,;::::,;::::,:::::,:;:::,:::::,:::;:: ::::;::::;;::::::,:::'::,::::::,;:::::;::::,,;:::,:,:::,:,:::,:::;:::,:':::':;::::::::::::::::::::::':::::'::-::::;':-:-:':-:':':.:':':.:.:':. '-"::}'":,::':;:,;',:::::,>::::,::;:::,::,:::,:,:::,:,:::,,;:::,:::,:,:::,:',:::;',;:::',;:::',;::,:,:::,',::;,"::;,:'::;::';:::':::;:':;::::',;;,:;,,::;::,;::;',;::::,:;::'",<,';::;,':::,;':':;:"::: ::::>::::;,::::,,:::::;;=::'",::t::::',<::;:::;,:,:::::::'::;::'::::::::;,::::,,:-}:/:=Y::::-':,;_:,:'" .. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: a. retain the use or income of the property transferred; b. retain the right to designate who shall use the property transferred or its income; c. retain 8 reversionary interest; or. d. receive the promise for life of either payments, benefits or care? If death occurred after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? .. . .. . . . .. . .. . . . . . . .. . . . . . . .. . . . . . . .. 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? . . . . . . . . . . . . . . . . . . . . . . IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Yes No ~ I 8 ~ 2. ~ o Under penalties of periury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and beBef, it is true, correct and complete. Declaration of pre parer other than the personal representative is based on information of which preparer has any knowledQe. SIGNATUR OF pERSON RES SIBLE R FILING RETURN PNC BY: ADDRESS PO C SIGNATUR Bank, N.A. Assistant Vice President -0 \- DATE 4TH FL POBOX 42933 on on use [72P.S.19116(a)(1.1)(i)]. For dates of d8ath on or after January 1, 1995, the tax rate is imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. S 9116 (a)(1.1j(iil]. The statute does not exemot 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 twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, ora stepparent of the child is 0% [72 P.S. 89116(a)(1.2l]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72.P.S, S 9116(1.2) 172 P,S. 89116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 120/0 [72 P.S. !i 911S(a)(1.3)J. 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. o PA15002 NTF 29756 Copyright 2000 Greatland/Nelco lP - Forms Software Only I f' " , ' REV-1502 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SWARTZ, GRACE L SCHEDULE A REAL ESTATE FILE NUMBER 21-2001-1161 All real property owned solely or 88 a tenant In common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between 8 willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which 18 Jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NO. 1. DESCRIPTION VALUE AT DATE OF DEATH o PAl5021 NTF 33299 TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) Copyright 2000 Greatland/Nelco LP- Forms Software Only 0.00 - f f' .' . ' REV-1503 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT EST ATE OF SWARTZ. GRACE L SCHEDULE B STOCKS & BONDS FILE NUMBER 21-2001-1161 All property jointly-owned with right ot survivorship must be disclosed on Schedule F. rrEM NO. 1. 17 SHS DUQUESNE LIGHT COMPANY 4%CUM PFD DESCRIPTION VALUE AT DATE OF DEATH 459.00 DIVIDEND PAYABLE 1/01/02 2 100 SHS HERSHEY FOODS CORP COMMON 3 70 SHS LUCENT TECHNOLOGIES INC COMMON 4 50 SHS SELECT MEDICAL CORP COMMON 5 100 SHS WAL-MART STORES INC COMMON 6 50 SHS WAYPOINT FINANCIAL CORP COMMON 7 5000 PAR DERRY TWP PA SCH DIST SER A RFDG 5.125% DUE 9/1/07 8.50 6,599.50 442.92 770.38 5,429.25 707.23 5,113.80 INTEREST 9/1/01 TO 12/15/01 8 5000 PAR ERIE PA WTR AUTH REV REF SER A 5.30% DUE 12/01/04 74.03 5,307.60 INTEREST 12/1/01 TO 12/15/01 9 5000 PAR HEPFIELD PA SCH DIST LANCASTER CNTY G 0 4.85% DUE 10/15/06 10.31 5,154.46 INTEREST 10/15/01 TO 12/15/01 10 1000 PAR USA SAVINGS BONDS SER HH DTD 8/1/92 DUE 8/1/12 40.42 1,000.00 INTEREST 8/01/90 TO 12/15/01 11 1000 PAR USA SAVINGS BONDS SER HH DTD 9/1/92 DUE 9/01/12 22.50 1,000.00 INTEREST TO 12/15/01 12 2000 PAR USA SAVINGS BOND SER HH DTD 10/1/92 DUE 10/1/12 17.50 2,000.00 Total from continuation pages.... TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 99,748.62 133,906.02 o PA15031 NTF 33300 Copyright 2000 Greatland/Nelco LP- Forms Software Only f " " , ' Estate of: SWARTZ, GRACE L Page 2 21-2001-1161 Schedule B -- stocks & Bonds Item No. Description Value at Date of Death 12 INTEREST TO 12/15/01 13 2000 PAR USA SAVINVGS BONDS SERIES HH DTD 01/01/93 DUE 01/01/13 23.00 2,000.00 INTEREST TO 12/15/01 14 1000 PAR USA SAVINGS BONDS SER H DTD 6/01/74 DUE 10/01/04 15 1000 PAR USA SAVINGS BONDS SER H DATED 11/01/74 DUE 11/01/04 16 1000 PAR USA TREASURY BOND 11.625% DUE 11/15/04 55.00 1,000.00 1,000.00 1,211.25 INTEREST 11/15/01 TO 12/15/01 17 1000 PAR USA TREASURY NOTES 3.375% DUE 1/15/07 9.63 1,002.19 INTEREST 7/15/01 TO 12/15/01 18 2000 PAR USA TREASURY NOTES 6.625% DUE 4/30/02 14.03 2,036.25 INTEREST 10/31/01 TO 10/15/01 19 1000 PAR USA TREASURY NOTES 6.50% DUE 5/31/02 16.47 1,021. 88 INTEREST 11/30/01 TO 12/15/01 20 2000 PAR USA TREASURY NOTES 6.50% DUE 6/30/02 2.68 2,047.50 INTEREST 6/30/01 TO 12/15/01 21 3000 PAR USA TREASURY NOTES 6% DUE 7/31/02 57.07 3,077.34 INTEREST 7/31/01 TO 12/15/01 22 2000 PAR USA TREASURY NOTES 6.25% DUE 8/31/02 67.01 2,059.69 INTEREST 8/31/01 TO 12/15/01 23 2000 PAR USA TREASURY NOTES 5.875% DUE 9/30/02 36.60 2,060.00 INTEREST 9/30/01 TO 12/15/01 24.53 ( .. " , ' Estate of: SWARTZ, GRACE L Page 3 21-2001-1161 Schedule B -- Stocks & Bonds Item No. Description Value at Date of Death 24 3000 PAR USA TREASURY NOTES 5.75% DUE 10/31/02 3,095.16 INTEREST 10/31/01 TO 12/15/01 25 3000 PAR USA TREASURY NOTES 5.75% DUE 11/30/02 21. 44 3,102.19 INTEREST 11/30/01 TO 12/15/01 26 2000 PAR USA TREASURY NOTES 5.625% DUE 12/31/02 7.11 2,070.00 INTEREST 6/30/01 TO 12/15/01 27 1000 PAR USA TREASURY NOTES 5.50% DUE 02/28/03 51.36 1,036.72 INTEREST 8/3101 TO 12/15/01 28 8000 PAR USA TREASURY NOTES 5.25% DUE 5/15/04 16.10 8,321.25 INTEREST 11/15/01 TO 12/15/01 29 3000 PAR USA TREASURY NOTES 5.875% DUE 11/15/04 34.81 3,169.69 INTEREST 11/15/01 TO 12/15/01 30 3000 PAR USA TREASURY NOTES 6.375% DUE 01/31/02 14.61 3,018.28 INTEREST 7/31/01 TO 12/15/01 31 3000 PAR USA TREASURY NOTES 6.50% DUE 02/28/02 71.20 3,030.00 INTEREST 8/31/01 TO 12/15/01 32 5000 PAR USA TREASURY NOTES 6.625% DUE 05/31/02 57.10 5,110.16 INTEREST 11/30/01 TO 12/15/01 33 5000 PAR USA TREASURY NOTES 6.25% DUE 07/31/02 13.65 5,135.94 INTEREST 7/31/01 TO 12/15/01 34 5000 PAR USA TREASURY NOTES 6.125% DUE 08/31/02 116.34 5,145.31 INTEREST 8/31/01 TO 12/15/01 89.68 Item No. f " , ' Estate of: SWARTZ, GRACE L Page 4 21-2001-1161 Schedule B -- Stocks & Bonds Description Value at Date of Death 35 5000 PAR USA TREASURY NOTES 5.625% DUE 11/30/02 5,164.06 36 INTEREST 11/30/01 TO 12/15/01 5000 PAR USA TREASURY NOTES 5.125% DUE 12/31/02 11.59 5,150.00 37 INTEREST 6/30/01 TO 12/15/01 5000 PAR USA TREASURY NOTES 4.25% DUE 3/31/03 116.90 5,112.50 38 INTEREST 9/30/01 TO 12/15/01 5000 PAR USA TREASURY NOTES 4.25% DUE 05/31/03 44.37 5,113.28 39 INTEREST 11/30/01 TO 12/15/01 3000 PAR USA TREASURY NOTES 3.875% DUE 07/31/03 8.76 3,048.75 40 INTEREST 7/31/01 TO 12/15/01 2000 PAR USA TREASURY NOTES 2.75% DUE 10/31/03 43.28 1,988.13 41 INTEREST 10/31/01 TO 12/15/01 92.281 UTS VANGUARD STAR FD STAR PORTFOLIO FD #56 @ 16.35 758.134 UTS VANGUARD FIXED INCOME SEC FD INC GNMA PORTFOLIO #36 @ 10.3300 121.065 UTS VANGUARD INDEX TR TOTAL STOCK MARKET PORTFOLIO FD #85 @ 25.1900 3,049.63 6.84 1,508.79 42 7,831.52 43 TOTAL. (Carry forward to main schedule) . . . . . . 99,748.62 ( " . ' , ' REV-1504 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE C CLOSELY-HELD CORPORATION PARTNERSHIP or SOLE-PROPRIETORSHIP ESTATE OF FILE NUMBER SWARTZ, GRACE L 21-2001-1161 Schedule C-1 or C-2 (Including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than 8 sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships. ITEM NO. 1. DESCRIPTION VALUE AT DATE OF DEATH TOTAL (Also enter on line 3, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 0.00 o PA15041 NTF 33301 Copyright 2000 Greatland/Nelco LP - Forms Software Only ~ .' " , ' REV-1507 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERrTANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE D MORTGAGES & NOTES RECEIVABLE FILE NUMBER SWARTZ, GRACE L All property jointly-owned with the right of survivorship must be disclosed on Schedule F. rTEM NO. DESCRIPTION ,. 21-2001-1161 VALUE AT DATE OF DEATH TOT AL (Also enter on line 4, Recapitulation) $ (11 more space is needed, insert additional sheets of the same size) o PA15071 NTF 33304 Copyright 2000 Greatland/Nelco LP- Forms Software Only 0.00 ,. " " , ' REV-1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SWARTZ, GRACE L SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21-2001-1161 Include proceeds of litigation & date proceeds were received by the estate. All prop. Jointly-owned with right of survivorship must be disclosed on Soh. F. ITEM VALUE AT NO. DESCRIPTION DATE OF DEATH 1. 3000 PAR FULTON BANK SAVINGS CERTIFICATE 3,000.00 ACCOUNT *223-0042159 INTEREST TO 12/15/01 28.05 2 5000 PAR FULTON BANK SAVINGS CERTIFICATE 5,000.00 ACCOUNT *328-0114906 INTEREST TO 12/15/01 120.52 3 5000 PAR FULTON BANK SAVINGS CERTIFICATE 5,000.00 ACCOUNT *328-0114913 INTEREST TO 12/15/01 33.86 4 2000 PAR FULTON BANK SAVINGS CERTIFICATE 2,000.00 ACCOUNT *328-0114961 INTEREST TO 12/15/01 34.04 5 5000 PAR FULTON BANK SAVINGS CERTIFICATE 5,000.00 ACCOUNT *328-0114968 INTEREST TO 12/15/01 70.03 6 6420.22 PAR FULTON BANK SAVINGS 6,420.22 CERTIFICATE ACCOUNT *328-0114972 INTEREST TO 12/15/01 160.33 7 7482.77 PAR FULTON BANK SAVINGS 7,482.77 CERTIFICATE ACCOUNT *328-0114991 INTEREST TO 12/15/01 131.02 8 4000 PAR FULTON BANK SAVINGS CERTIFICATE 4,000.00 ACCOUNT *328-0115008 INTEREST TO 12/15/01 60.89 9 5000 PAR FULTON BANK SAVINGS CERTIFICATE 5,000.00 ACCOUNT *328-0115009 INTEREST TO 12/15/01 75.91 10 5000 PAR FULTON BANK SAVINGS CERTIFICATE 5,000.00 ACCOUNT *328-0115015 INTEREST TO 12/15/01 54.37 11 6000 PAR FULTON BANK SAVINGS CERTIFICATE 6,000.00 ACCOUNT *32B-0115016 Total from continuation pages. ,., o PA15081 NTF33305 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) Copyright 2000 GreatlandlNelco LP - Forms Software Only 358,553.82 413,225.83 " " . ' . . Estate of: SWARTZ, GRACE L Schedule E -- Cash, Bank Deposits & Misc. Personal Property Page 2 21-2001-1161 Item No. Description Value at Date of Death 11 12 INTEREST TO 12/15/01 3000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115017 314.86 3,000.00 13 INTEREST TO 12/15/01 5000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115031 27.94 5,000.00 14 INTEREST TO 12/15/01 7000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115040 159.97 7,000.00 15 INTEREST TO 12/15/01 5000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115042 210.87 5,000.00 16 INTEREST TO 12/15/01 5000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115051 135.73 5,000.00 17 INTEREST TO 12/15/01 4000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115054 80.34 4,000.00 18 INTEREST TO 12/15/01 3000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0156535 59.00 3,000.00 19 INTEREST TO 12/15/01 5000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0156545 0.66 5,000.00 20 INTEREST TO 12/15/01 4000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0156559 36.02 4,000.00 21 INTEREST TO 12/15/01 3056.7 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT #7100009516 10.89 3,056.70 22 INTEREST TO 12/15/01 3064.27 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT #7100009634 17.13 3,064.27 .' " . . . ' Estate of: SWARTZ, GRACE L Schedule E -- Cash, Bank Deposits & ~sc. Personal Property Page 3 21-2001-1161 Item No. Description Value at Date of Death 23 INTEREST TO 12/15/01 10184.85 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT #7100010529 5.30 10,184.85 24 INTEREST TO 12/15/01 4000 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT #8000041696 19.10 4,000.00 25 INTEREST TO 12/15/01 3000 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT #8000050012 8.96 3,000.00 26 INTEREST TO 12/15/01 2000 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT #8000050318 5.35 2,000.00 27 INTEREST TO 12/15/01 2268.02 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT #8000050279 2.23 2,268.02 INTEREST TO 12/15/01 2.53 28 3000 PAR MEMBERS 1ST FEDERAL CREDIT UNION 3,000.00 SAVINGS CTF ACCOUNT #8959-40 INTEREST TO 12/15/01 6.50 29 3000 PAR MEMBERS 1ST FEDERAL CREDIT UNION 3,000.00 SAVINGS CTF ACCOUNT #8959-42 INTEREST TO 12/15/01 5.96 30 5000 PAR MEMBERS 1ST FEDERAL CREDIT UNION 5,000.00 SAVINGS CTF ACCOUNT #8959-49 INTEREST TO 12/15/01 12.48 31 6000 PAR MEMBERS 1ST FEDERAL CREDIT UNION 6,000.00 SAVINGS CTF ACCOUNT #8959-50 32 INTEREST TO 12/15/01 10784.85 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-53 15.86 10,784.85 33 INTEREST TO 12/15/01 5227.39 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 28.46 5,227.39 " . . . ' Estate of: SWARTZ, GRACE L Schedule E -- Cash, Bank Deposits & ~sc. Personal Property Page 4 21-2001-1161 Item No. Description Value at Date of Death 118959-56 INTEREST TO 12/15/01 34 5205.41 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 118959-57 11.53 5,205.41 INTEREST TO 12/15/01 35 6000.99 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 118959-58 11.18 6,000.99 INTEREST TO 12/15/01 36 5000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 118959-59 13.88 5,000.00 INTEREST TO 12/15/01 37 4092.13 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 118959-60 9.84 4,092.13 INTEREST TO 12/15/01 38 11000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 118959-63 7.14 11,000.00 INTEREST TO 12/15/01 39 7000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 118959-67 19.41 7,000.00 INTEREST TO 12/15/01 40 6000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 118959-68 11.84 6,000.00 INTEREST TO 12/15/01 41 5030.48 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 118959-69 9.60 5,030.48 INTEREST TO 12/15/01 42 1000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 118959-70 7.39 1,000.00 INTEREST TO 12/15/01 43 5000 PAR MEMBERS 1ST FEDERAL CREDIT UNION 2.42 5,000.00 " " . . , ' Estate of: SWARTZ, GRACE L Schedule E -- Cash, Bank Deposits & Misc. Personal Property Page 5 21-2001-1161 Item No. Description Value at Date of Death SAVINGS CTF ACCOUNT *8959-71 INTEREST TO 12/15/01 44 2000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT *8959-89 8.92 2,000.00 INTEREST TO 12/15/01 45 1837.24 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT *8959-90 4.99 1,837.24 INTEREST TO 12/15/01 46 5000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT *8959-96 4.59 5,000.00 INTEREST TO 12/15/01 47 6845.77 PAR PNC BANK NATIONAL ASSOCIATION CD *31300165694 13.02 6,845.77 INTEREST TO 12/15/01 48 5000 PAR PNC BANK NATIONAL ASSOCIATION CD *31400165503 7.71 5,000.00 INTEREST TO 12/15/01 49 6809.96 PAR PNC BANK NATIONAL ASSOCIATION CD *31800166727 78.00 6,809.96 INTEREST TO 12/15/01 50 7174.33 PAR PNC BANK NATIONAL ASSOCIATION CD *31700210093 9.83 7,174.33 INTEREST TO 12/15/01 51 7000 PAR PNC BANK NATIONAL ASSOCIATION CD *31300211131 11.54 7,000.00 INTEREST TO 12/15/01 52 12000 PAR PNC BANK NATIONAL ASSOCIATION CD *31600212375 19.69 12,000.00 INTEREST TO 12/15/01 53 5000 PAR PNC BANK NATIONAL ASSOCIATION CD *31800212377 231.97 5,000.00 INTEREST TO 12/15/01 94.93 " . . , ' Estate of: SWARTZ, GRACE L Schedule E -- Cash, Bank Deposits & ~sc. Personal Property Page 6 21-2001-1161 Item No. Description Value at Date of Death 54 10125.11 PAR PNC BANK NATIONAL ASSOCIATION CD *311002180207 10,125.11 INTEREST TO 12/15/01 55 5062.55 PAR PNC BANK NATIONAL ASSOCIATION CD *31300218751 39.34 5,062.55 INTEREST TO 12/15/01 56 5062.55 PAR PNC BANK NATIONAL ASSOCIATION CD *31500218164 14.92 5,062.55 INTEREST TO 12/15/01 57 PNC BANK NATIONAL ASSOCIATION SAVINGS ACCOUNT *5080064313 DATE OF DEATH BALANCE 212.43 INTEREST TO 12/15/01 .03 58 PNC BANK NATIONAL ASSOCIATION SAVINGS ACCOUNT *5003113388 DATE OF DEATH BALANCE 37,466.21 INTEREST TO 12/15/01 46.06 59 PNC BANK NATIONAL ASSOCIATION CHECKING ACCOUNT *5140063356 DATE OF DEATH BALANCE 43,119.22 INTEREST TO 12/15/01 .33 60 MEMBERS 1ST FEDERAL CREDIT UNION LIFE SAVINGS ACCOUNT *8959-04 DATE OF DEATH BALANCE 3,000.00 INTEREST TO 12/15/01 2.28 61 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS ACCOUNT *8959-00 DATE OF DEATH BALANCE 347.89 INTEREST TO 12/15/01 .26 62 CASH FOUND IN COTTAGE 63 PROCEEDS OF REDEMPTION USA SAVINGS BONDS SERIES EE FROM DEC 1988 THRU APRIL 1999 64 PROCEEDS OF REDEMPTION USA SAVINGS BONDS SERIES I FROM APRIL 1999 THRU OCT 2000 65 PROCEEDS OF SALE OF MISCELLANEOUS COINS 66 REFUND OF PURCHASE PRICE OF COTTAGE AT MESSIAH VILLAGE 67 DIVIDEND PAYMENT DATED 12/14/01 HERSHEY FOODS CORP COMMON 12.21 212.46 37,512.27 4,319.35 3,002.28 348.15 107.65 37,757.60 11,197.60 14.00 20,250.00 30.25 Item No. .. . Estate of: SWARTZ, GRACE L Schedule E -- Cash, Bank Deposits & Misc. Personal Property . ' Page 7 21-2001-1161 Description Value at Date of Death 68 VANGUARD GROUP VANGUARD GNMA FUND INCOME PAYMENT DATED 11/30/01 MEMBERS 1ST FEDERAL CREDIT UNION INTEREST PAYMENT DATED 11/30/01 ERIE CNTY PA WATER BOND 5.30% DUE 12/01/04 INTEREST PAYMENT DATED 12/01/01 FULTON BANK SAVINGS CERTIFICATE ACCOUNT *328-0156535 INTEREST PAYMENT DATED 12/31/01 WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT *41696 INTEREST PAYMENT DATED 11/30/01 WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT *50012 INTEREST PAYMENT DATED 11/30/01 WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT *50318 INTEREST PAYMENT DATED 11/30/01 AARP REFUND OF MEMBERSHIP DUES PROCEEDS OF SALE MISCELLANEOUS PERSONAL PROPERTY LOCATED AT THE RESIDENCE OF THE DECEDENT. APPRAISED LIST ATTACHED. PERSONAL PROPERTY AS SPECIFIC BEQUESTS APPRAISED JEWERLY 1987 PONTIAC GRAND AM PROCEEDS OF SALE 69 70 71 72 73 74 75 76 77 78 79 40.10 288.03 132.50 30.22 19.20 11.46 5.00 6.57 4,824.50 25.00 165.00 600.00 TOTAL. (Carry forward to main schedule) . . . . . . 358,553.82 REV-1509 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SWARTZ, GRACE L SCHEDULE F JOINTLY-OWNED PROPERTY FILE NUMBER 21-2001-1161 If an ....t wa. made Joint within one year of the decedent'. date of death, It mU8t be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME A. HANN, VICTOR B ADDRESS C/O VICTORIA HANN REYNOLDS 36 SIERRA VISTA DR. MONTEREY, CA 93940 RELATIONSHIP TO DECEDENT BROTHER B. TOLL I , ANNA M 3217 SCENIC ROAD, SOUTH HARRISBURG" PA 17109 C.THALER, DONNA L 17 DANA LANE EAST ISLIP, NY 11730 NIECE JOINTL V-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH FOR Include name of financial institution and bank VALUE OF rrEM JOINT MADE account number or similar identifying number. DATE OF DEATH DECO'S NO. TENANT JOINT Attach deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENTS INTEREST ,. A. 03/31/1990 1000 UNITED STATES TREASURY 1,031.37 100.00 1,031.37 PTD 03/31/2001 4.25% DUE 2/2 8/2003 000 VALUE 1,022.50 INT TO 000 B.87 2 B 03/01/1996 1000 UNITED STATES TREASURY 1,039.79 100.00 1,039.79 DTD 2/28/01 4.625% DUE 2/28/ 2003 000 VALUE 1,026.25 INT TO 000 13.54 3 c 11/28/1987 1000 PAR UNITED STATES TREAS 1,065.00 100.00 1,065.00 URY NOTE DTD 8/16/1993 5.75% DUE 8/A5/2003 000 VALUE 1,045.94 INT TO 000 19.06 4 c 11/28/19B7 2000 PAR UNITED STATES TREAS 2,069.44 100.00 2,069.44 URY NOTE DTD 6/30/2001 3.875 % DUE 6/30/2003 000 BALANCE 2,034.06 INT TO 000 35.38 TOTAL (Also enter on line 6, Recapitulation) $ 5,205.60 o PA15091 (If more space is needed, insert additional sheets of the same size) NTF33306 Copyright 2000 Greatland/Nelco LP - Forms Software Only . .' , ' REV-1510 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SWARTZ, GRACE L SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER 21-2001-1161 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY %OF ITEM INCLUDE NAME OF THE TRANSFEREE, THEIR DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE RELATIONSHIP TO DECD & DATE OF TRANSFER. NO. ATTACH COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) ,. TOTAL (Also enter on line 7, Recapitulation) S 0.00 (If more space is needed, insert additional sheets of the same size) o PA15101 NTF33307 Copyright 2000 Greatland/Nelco LP - Forms Software Only .' , ' REV-1511 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RES IDENT DECEDENT ESTATE OF SWARTZ, GRACE L SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-2001-1161 Debts ot decedent must be reported on Schedule I. ITEM NO. A. 1. DESCRIPTION AMOUNT FUNERAL EXPENSES: NEILL FUNERAL HOME FUNERAL SERVICES INC 8,235.35 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Person at Representative(s) PNe BANK, N.A. Social Security Number(s)/EIN No. of Personal Representative(s) Street Address PO BOX 308 City CAMP HILL State PA Zip 17001-0308 23,748.00 Year(s) Commission Paid: 2. 3. Attorney Fees Name: SAlOIS SHUFF FLOWER & LINDSAY Family Exemption: (If decedent's address is not the same as claimant's, aUach explanation) Claimant Street Address 11,874.00 0.00 City Relationship of Claimant to Decedent State Zip 4. Probate Fees 226.00 5. Accountant's Fees 0.00 6. Tax Return Pre parer's Fees 0.00 7. REGISTER OF WILLS FEE FOR FILING PA INHERITANCE TAX RETURN & INVENTORY 9 SAlOIS SHUFF FLOWER & LINDSAY REIMBURSEMENT FOR LEGAL ADVERTISING 10 REGISTER OF WILLS 01/02/02 FEE FOR 15 02/07/02 FEE FOR 5 04/10/02 FEE FOR 3 04/18/02 FEE FOR 3 11 VITAL RECORDS 52.00 194.95 78.00 SHORT SHORT SHORT SHORT CERTIFICATES CERTIFICATES CERTIFICATES CERTIFICATES 45.00 15.00 9.00 9.00 6.00 Total from continuation pages.... o PA15111 NTF 33308 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) Copyright 2000 Greatland/Nelco LP - Forms Software Only 2,180.70 46,595.00 Estate of: SWARTZ, GRACE L Schedule H, Part B -- Administrative Costs Item No. Description 11 12 2 DEATH CERTIFICATES FARMERS NEW CENTURY INSURANCE CO AUTOMOBILE INSURANCE PREMIUM POLICY *26155932952 BALANCE OF PREMIUM FOR 6 MONTHS CLAUDE C WOLFE & ASSOCIATES APPRAISAL OF PERSONAL PROPERTY MESSIAH VILLAGE MONTHLY COTTAGE RENTAL PPL ELECTRIC UTILITIES ELECTRIC SVCS A/C *5190075001 01/25/02 PAID 82.82 02/19/02" 70.18 03/04/02" 22.59 FINAL BILL ROSE MARIE'S ANTIQUES APPRAISAL OF JEWELRY MESSIAH VILLAGE COTTAGE RENT - FINAL PAYMENT RESIDENT 000048502 AUCTIONEER'S COMMISSION ON SALE OF PERSONAL PROPERTY 13 14 15 16 17 18 TOTAL. (Carry forward to main schedule) . . . . . . , ' Page 2 21-2001-1161 Amount 122.40 195.00 395.00 175.59 35.00 272.71 985.00 2,180.70 .' , ' REV-1512 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SWARTZ, GRACE L Include unreimburaed medical expenses. ITEM NO. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21-2001-1161 DESCRIPTION AMOUNT 1. PPL ELECTRIC UTILITIES ELECTRIC SERVICE A/C #5190075001 12/26/01 PAID 67.39 2 VERIZON UTILITY SERVICE A/C #717-697-6113 09250Y 1/02/02 1/22/02 3 MESSIAH VILLAGE NURSING HOME CARE 4 FARMERS NEW CENTURY INSURANCE CO HOMEOWNERS INSURANCE POLICY #919945118 5 PA DEPARTMENT OF REVENUE 4TH QUARTER ESTIMATE STATE INCOME TAX YEAR 2001 FOR DECEDENT 6 UNITED STATES TREASURY 4TH QUARTERLY ESTIMATE PAYMENT FEDERAL INCOME TAX YEAR 2001 FOR DECEDENT 7 UNITED STATES TREASURY BALANCE OF FEDERAL INDIVIDUAL INCOME TAX YEAR 2001 8 PA DEPARTMENT OF REVENUE BALANCE OF STATE INCOME TAX YEAR 2001 9 PINNACLEHEALTH HOSPICE ROUTINE HOME CARE 12/11/01 TO 12/14/01 67.39 22.31 15.00 7.31 FINAL BILL 878.15 56.84 85.00 1,052.00 3,400.00 450.00 423.28 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 6,434.97 o PA15121 NTF 33309 Copyright 2000 GreatlandfNelco lP- Forms Software Only " REV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RES IDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES SWARTZ, GRACE L NUMBER I NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS ~nclude outright spousal distributions, and transfers under Sec. 9116 (8) (1.2)] 1. HORN, MICHAEL 141 TRIBERG COURT HENDERSON, NY 89014 2 HANN, VICTOR B C/O VICTORIA HANN REYNOLDS 36 SIERRA VISTA DR. MONTEREY, CA 93940 3 TULLI, ANNA M 3217 SCENIC ROAD, SOUTH IIAlUl.ISBURG" PA 17109 4 STACCONE, CHRISTINA 73 ROUND HILL ROAD WILLIAMSPORT, PA 17701 5 THALER, ELIZABETH A 115 NORTHWOOD COURT BAYPORT, NY 11705 FILE NUMBER 21-2001-1161 RELATIONSHIP TO DECEDENT Do Nol List Truatee(a) NEPHEW BROTHER GREAT-NIECE GREAT-NIECE . . AMOUNT OR SHARE OF ESTATE 40,659.24 1,031. 37 1,054.79 25.00 100.00 ENTER DOLLAR AMTS. FOR DISTRIBS. SHOWN ABOVE ON LINES 15 THROUGH 18 AS APPROPRIATE ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS ,. MESSIAH VILLAGE RETIREMENT COMMUNITY ENDOWMENT FUND 100 MT. ALLEN DR. MECHANICSBURG PA 17055 2 GRACE UNITED METHODIST CHURCH 216 STATE ST. IIAlUl.ISBURG, PA 17101 3 NEWBERRY UNITED METHODIST CHURCH 909 DIAMOND STREET o PA15131 TOTAL OF PART II -- ENTER TOTAL NON-TAXABLE DISTRIBS. ON LINE 13 OF REV-1500 COVER SHEET S (If more space is needed, insert additional sheets of the same size) NTF33293 Copyright 2000 Greatland/Nelco lP - Forms Software Only 4,000.00 1,000.00 1,000.00 6,000.00 Estate of: SWARTZ, GRACE L Page 2 21-2001-1161 Schedule J Part 1 -- Beneficiaries Item No. Name and Address of Person(s) receiving property Relationship Amount or Share of Estate 5 6 THALER, SUSAN A 115 NORTHWOOD COURT BAYPORT, NY 11705 GREAT-NIECE 20.00 7 STACCONE, JUDITH 0 73 ROUND HILL ROAD WILLIAMSPORT, PA 17701 NIECE 40,659.23 8 FLEXER, CHARLES F 3211 BOTTLE RUN ROAD WILLIAMSPORT, PA 17701 NEPHEW 40,659.24 9 FLEXER JR., DANIEL E 732 WILLIAMSON ROAD WILLIAMSPORT, PA 17701 NEPHEW 40,659.24 10 THALER, DONNA L 17 DANA LANE EAST ISLIP, NY 11730 NIECE 165,801. 40 11 REYNOLDS, VICTORIA H 36 SIERRA VISTA DRIVE MONTEREY, CA 93940 NIECE 162,637.97 Estate of: SWARTZ, GRACE L Schedule J Part 2 -- Charitable and Governmental Distributions Page 2 21-2001-1161 Item No. Description Amount or Share of Estate 3 WI LLAMS PORT , PA 17701 TOTAL. (Carry forward to main schedule) 0.00 REV-1514 EX + (1-97) SCHEDULE K LIFE ESTATE, ANNUITY & TERM CERTAIN COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT (Check Box 4 on Rev-1500 Cover She.t) . ' ESTATE OF FILE NUMBER SWARTZ, GRACE L 21-2001-1161 This schedule is to be used for aU single life, joint or successive life estate and term certain calculations. For dates of death prior to 5-1-89, actuarial factors for single life calculations can be obtained from the Department of Revenue, Specialty Tax Unit. Actuarial factors can be found in IRS Publication 1457, Actuarial Values, Alpha Volume for dates of death on or after 5-1-89. Indicate the type of instrument which created the future interest below and attach a copy to the tax return. Will Intervlv08 Deed 0' Trust Other $ 0% $ TERM OF YEARS ANNUITY IS PAYABLE Term of Years Term of Years Term of Years Term of Years $ 0.00 0 $ DATE OF BIRTH 1. Value of fund from which life estate is payable 2. Actuarial factor per appropriate table Interest table rate -- 0 3112% 0 6% 0 10% 3. Value of life eatate (Line 1 multiplied by Line 2) o Variable Rate DATE OF BIRTH 1. Value of fund from which annuity is payable 2. Check appropriate block below and enter corresponding (number) Frequency of payout -- 0 Weekly (52) B Bi-weekly (26) B Monthly (12) o Quarterly (4) 0 Semi-annually (2) Annually (1) Other ( ) 3. Amount of payout per period 4. Aggregate annual payment, Une 2 multiplied by Une 3 5. Annuity Factor (see instructions) Interest table rate 0 3 1/2% D 6% D 10% o Variable Rate o % 6. Adjustment Factor (see instructions) 7. Value of annuity -- If using 31/2%, 6%, 10%, or if variable rate and period payout is at end of period, calculation is: Line 4 x Line 5 x Line 6 If using variable rate and period payout is at beginning of period, calculation is: (Line 4 x Line 5 x Line 6) + Line 3 Term of Years 0.00 o 0.00 o 0.00 0.00 o o $ 0.00 $ 0.00 NOTE: I he values of the funds which create the above future mterests must be reported as part of the estate assets on Schedules A through G of this tax return. The resulting life or annuity interest(s) should be reported at the appropriate tax rate on Lines 13, 15, 16 and 17. (If more space is needed, insert additional sheets of the same size) o PA15141 NTF33311 Copyright 2000 Greatland/Nelco LP- Forms Software Only . . REV-1649 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER SWARTZ, GRACE L 21-2001-1161 Do not complete this 8chedule unl.s. 8.tat. 18 making elecUon to tax 8.88t. under Section 9113(A) of Inheritance & Estate Tax Act If the election applies to rTKJr8 than one trust or similar arrangement, a separate form must be filed for each trust. This election applies to the Trust (marital, residual A, B, By-pass, Unified Credit, etc.). If 8 trust or similar arrangement meets the requirements of Section 9113(A), and: a. The trust or similar arrangement is listed on Schedule 0, and b. The value of the trust or similar arrangement is entered in whole or in part as an asset on Schedule 0, then the transferor's personal representative may specifically identify the trust (all or a fractional portion or percentage) to be included in the election to have such trust or similar property treated as a taxable transfer in this estate. If less than the entire value of the trust or similar property is included as a taxable transfer on Schedule 0, the personal representative shall be considered to have made the election only as to a fraction of the trust or similar arrangement. The numerator of this fraction is equal to the amount of the trust or similar arrangement included as a taxable asset on Schedule O. The denominator is equal to the total value of the trust or similar arrangement. SCHEDULE 0 ELECTION UNDER SEC. 9113(A) (SPOUSAL DISTRIBUTIONS) PART A: Enter the description and value of all interests, both taxable and non-taxable, regardless of location, which pass to the decedenfs surviving spouse under a Section 9113 (A) trust or similar arrangement. DESCRIPTION VALUE Part A Total S 0.00 PART B: Enter the description and value of all interests included in Part A for which the Section 9113 (A) election to tax is being made. DESCRIPTION VALUE o PA16491 NTF33310 Part B Total S (If more space is needed, insert additional sheets of the same size) Copyright 2000 Greatland/Nelco LP- Forms Software Only 0.00 - , SAIDIS, GUIDO, SHUFF & MASLAND 2109 MlUtet Stn:cl Camp Hill. PA - LAS!l' WILL AND !l'ES!l'AMEN'r OF GRACE L. SWAR!l'Z I, GRACE L. SWAR!l'Z of Upper Allen Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testa- ment, hereby revoking any will previously made by me. I - I direct the payment of all my just debts and funeral expenses out of my estate as soon as may be practical after my death. II - I direct that I be buried in Twin Hills Memorial Park in Lycoming County near Williamsport, PA beside my late husband. III - I bequeath unto Messiah Village Retirement Community, 100 Mt. Allen Drive, Upper Allen Township, Mechanicsburg, PA, the sum of $4,000 for its endowment fund. IV - I bequeath unto Grace United Methodist Church of Harrisburg, PA, the sum of $1,000 for the general corporate purposes as a memorial to myself. V - I bequeath unto Newberry United Methodist Church, Williamsport, PA, the sum of $1,000 for its general corporate purposes as a memorial to myself. - "Jtt~ VI - I hereby bequeath my household goods, furniture Page 1 IS, GUIDO, flUFF & ISLAND Market Street np Hill. PA . . and personal effects in accordance with written instructions made by me during my lifetime. In the absence of such instructions, the said items shall be sold by my executor and added to the residue of my estate. VII - I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate and over which I have the power of appointment or disposition, as follows: A. One-third of said residue unto Victoria K. Reynolds, the daughter of my deceased sister, Muriel E. Hann. B. One-third of said residue unto Donna L. Thaler, daughter of my deceased sister, Sarah L. Horn. C. The remaining one-third of the residue shall be divided as follows: 1. One-fourth of the one-third share shall be paid to Daniel E. Flexer, Jr., son of my deceased brother, Daniel E. Flexer 2. One-fourth of the one-third share shall be paid to Charles Flexer, son of my deceased brother, Daniel E. Flexer. 3. One-fourth of the one-third share shall be paid to Judith Staccone, daughter of my deceased sister, Sarah L. Horn. 4. The remaining one-fourth of the one-third share shall be paid to Michael Horn, son of my deceased sister, Sarah L. Horn. ~j Page 2 [5, GUIDO, IUFF & .gLAND \l8iUt Street 'p Hill, PA Should any of the foregoing persons predecease me, his or her share shall be paid to his or her issue per stirpes. I have made no provisions for Elaine F. Saar and James A. Flexer, daughter and adopted son of my deceased brother, Walter L. Flexer, not because of any lack. of affection but because they have been very generously provided financial support by their father. VIII - I appoint PNC Bank, Camp Hill, PA, Executor of this, my Last Will and Testament. My personal representative shall not be required to post bond in this or any jurisdiction. IN WITNESS WHEREOF, this, the d1 fR -t;: day I have hereunto set (j fJ~J-A./_ '- my hand and seal on of , 1995. ~~UL'~WJ:~ (SEAL) Signed, sealed, published and declared by GRACE L. SWARTZ, Testatrix therein named, on this and two (2) other sheets of paper 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 subscribed our names as attesting witnesses. L~-- Name - p , 'tOOC-lI- ( ~ Address ~~/' /i~u,A. Address ' ~) Name S, GUIDO, UFF& SLAND _Street ~ HilL PA COMMONWEALTH OF PENNSYLVANIA) COUNTY : SS. OF CUMBERLAND) WE, the undersigned, the testatrix and the witnesses, respectively, whose names are signed to the foregoing instru- ment, being first duly sworn, do hereby declare to the under- signed authority that the testatrix signed and executed the instrument as her Last Will and Testament and that she signed willingly (or willingly directed another to sign for her), and that she executed it as her free will 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 knowledge the testatrix was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. ./4a~ ;ce,m~ Teot~ llA9' . Witness c:0 Witness Subscribed, sworn to and acknowledged testatrix, and sU,Bscribed and AA~ before nesses, this ~(. day of U/. .J before me by the me by both wit- , 1995. ~u-J. c(,~<<L~J Notary Public C" NOTARIAL SEAL I THElMA S. McCAUSLIN, Notary Public I Camp Hill, Cumberland County I Mv Commissioc E~oires July 3, 1996 j :l~::ltl ')~':(-;'i -",,:, ..}' ',;. {'':C'') '\f'':~'~\'W. fj""1'~i I.~:f.(;~~ \~'~'::\>~ 't;; 1v_\~i\.. :~(~~;)l >f.1:' :::..itl(:V .)t~'-d .:!dt,;,-,.~~.;.t.. ~ -".f,: j' "> f( ,.:,.,~'?""';i:l.;.J. ,~." ','/ }~;'~0i:(~~] ,', .1,,'_"'. '.r .....,_,1 ~~~~ft:!~; . ,; ,',:.:'; ,:,.r ,..' ;.) .. ~', !', ' :~., '.. ,,:,: t'f~'~JJ~\,~~,~ ", , ,"~'.' '.' (: . ' '.1. . . " 'r, .\>":_'~;','\..:.'. ':.;; ';',. . .' ::.. "~', '. ")":"\'I~I':"\'.':'::<~ "~'>\.. ~. .;:'.':::-.:;;;\:\ ';'" (~. , u' "'.:."'.:..' i', '," :..,,' (. " .~; ..... .,' ~::y)~::'~.~: ~".:. 'J , ',.'J .,'......., ",:\, :'J' ,~ , , - 1'- , , ,;' . ~~ II '., " " ;,' ; l 'J ~". ; 1 " ";{:F";~;;::~.!:"::e:;:l .'" " .... ..- ,,' c. 'J: J ",'''' ," .' I' , ..-; . :.J. ~. ; J"...., :;1. (I) , ' / ';''> ~./t- -'c:' ,_.' . d-... -a.t,. It. .~-X~ JQ.,;t;; : ~ <l 7AlT1r- j nnO -', ~. 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'~",' ~:~ ,",-, /~ " /." __ . ~~ ,~~_. c.....~_. __._. _. __ _~.._... ... .......'.,.-, ,__'u. oJ ~~t~ J..$f)1~ ~ .' ~h-\.~;. ,,', i J, J)~o.... L.~ (7'/lJ<A.Al~ cr- 3tt<tJi",,) -Yrpd P..> ,r J "'-D,,~ ~._ J.,....Ll.M..JV ',.h €.cuk.ct..elf! ~.l.)Pl.}. /1'130 .J~P"6 J..-f. _,u, l- (:)1 (,) - :;l ., '1 - J 0(. <r o ,I .1'~ a.~a1.o<J(r'a1-~)~~:f~""'~. J I !111~ r.c,Li~l , M,) . ' . . " . ',", '. ., .', ..~,. ... t '"l ': ~ .\, :: .. '~;"'-'_::'-: ..,: \ .' ~ .', , . . ," ;. ~ !"; " " "')'.)'(':.;;.' y,t,'('-'l. <tt.,'" i....':.~.,..fSl~'l, K,"-'1l""?" ':',#~''"I'i.!.~ ,~'/r.:"'.'''' . \~_'..:~i,~r'l. 'i~~.,~ lj?l ~}~,~~~:} 'c- r o-UlL' J<.. - , , ~ . '. ~ -r,r-::.~~~. ;'T j I _ ( O'? _ ,?, "16-- "1 O() I " , .... . . I ", ..-.' . -~';. .,<' " ~U:d;;~a/~~ (F~)~j;;~ . .' '13 /-<~ / r(...iil., ~ r . ~ . " ; ':. . ::' c.'. ~~ -L -' [, -r::')}i,.' ," 0..- 1"('1" I . , {.... ", \',"' .:' ./ / ~/'. ' '" 1:1 B' ~x' > ~ "jr 7l.tnr-:z. .. ./ / ../ J "-. ~~ ~ - ad.dH1AI7~~ , ~ .." V+- '1;:1-;;:::-e, n_::~~ M,,:::d ~:l": . --e a. d. ~. . tf I '. . . ~ '7lI..., ~ 7h 1;e;., - j'l.-!.... ..~/) ~ .A'~~ I< I ~ St{.s -.:J.5" zr5 ~/Pa- }'7 10 9 . . . . . ~ . , . , .' 'C '.... . . ,- ~ <~,~ . , - .-- ~----~7.~-~:-'r-,: ;'":'''-~:.;r,~'f'''.~: ',"; .- ,',4 .\...........- ~..~- .~-v.:......~":"" -'--.-":-~r~~--.-,:~'-I'". -.-.....,--;;;- .-- ... >, .. .. .. . " ,.. :~ .f ~ " c41 ~ " .' \", vtfl~~~~it~fiN;~,,;~t:ji:,(i' :'-;'}ji'.(',. .. " t, ".-...' .,.... ,._r.__, :':":'e";l-:~i/ ',..',. . '."'.';.,:.. .,-.- ,~ .... " . . . .': - ~: '..: .' ':". . ~_ '" ~ . ; I 'I'..' . SEP~10-200? 14:58 PNC BANK 717730 2251. P.~2(11 CLAUDE C. WOLFE & ASSOCIATES AUCTIONEERS It APPRAISERS . FAMfLY OWNED SfNCE 1912 2009 LINCOLN STREET. CAMP HILL, PA 17011 717-761-2763 R :CEIVED PNC ADVISORS FEf 072002 February 5, 2002 Appraisal for the Estate or Grace Swartz 630 HoDy Heights, Mechudaburg, PA 17055 MISCELLANEOUS ITEMS Wooden sewing box with usorted sewing notions $ 15.00 This Fair Market Value appraisal is true and correct to the best of my ability u an auctioneer and appraiser with 35 years experience. Member: Certified Appraisers Guild of America CLAUDE C. WOLFE & ASSOCIATES \V .'~ ~'^R b~~-- W. K. "Dusty" Chapman, CAGA SEP-10-200~ 14:59 PNC BANK 717 730 2254 P.0~(11 CLAUDE C. WOLFE & ASSOCIATES AUCTIONEERS &: APPRAISERS . FAMILY OWNED SINCE 1912 2009 llNCOlN STREET. CAMP Hill, PA 17011 717-761-2763 REC :EIVED PNCA)VISORS FEB (I 7 2002 February 5, ~ 002 AppraiJal for the Estate of Grace Swartz 630 Holly Heigbtll. MeclwIicsburg, PA 17055 Ml~J.J ..o\NEOUS ITEMS Milk glass bowl aud pair of candlesticks 111.00 This Fair Market Value appraisal is true and correct to the best of my ability as an auctioneer and appraiser with 35 years experience. Member. Certified Appraisers Guild of America CLAUDE C. WOLFE & ASSOCIATES \N ,\( \-,~ c.~"'r~-- W. K. "Dusty" Chapman, CAGA SEP-~0-2002, 14:59 PNC BANK 717 730 2254" P.01~11 CLAUDE C. WOLFE & ASSOCIATES AUCTIONEERS &; APPRAISERS . FAMILY OWNED SINCE /9/2 2009 LINCOLN STREET' CAMP Hill, PA 17011 717.761.2763 REC EIVED PNCAIlVISORS FEB ( 7 2002 February 5, Z002 Apprailal for tbe Estate of Grace Swartz 630 Holy Heigbu. Mecbuiaburg. PA 17055 MTliIr.F.T.T .ANEQUS ITEMS Singing Blue Jay bird - broken foot 1.00 This Fair Market Value appraisal is true and correct to the best of my ability as an auctioneer and appraiser with 3S yean experience. Member: Certified Appraisers Guild of America CLAUDE C. WOLFE & ASSOCIATES ~.\{ \t% i~.,'t-'- W. K. "Dusty" Chapman, CAGA SEP~10-2002 14:59 , , PNC BRNK 717 730 225'1. P. <15/11 CLAUDE C. WOLFE & ASSOCIATES AUCTIONEERS" APPRAISERS - FAMILY OWNED SINCE 1912 2009 LINCOLN STREET. CAMP HILL, PA 17011 717-761-2763 Appraisal for the Eltate of Grace Swartz '30 BoIy Heights, Meclwaiaburg, PA 170SS MT!U'T.J.J -ANEOUS ITEMS Tm container with paper IIlIpkins (6) Stack tables (gold color) Hand stitched table cloth (blue, gold & pink thread) Gold-tone 8" plate Clear glass II W' bowl Silver "look' 8" tray Stainleu steel 9 ~" bread tray Clear glass 4 ~" bowl Pepper sbalter - Candlewick style Milk glass creamer - cracked Oneida Silversmiths candy dish Reticulated 8" fruit bowl Clear glass creamer & sugar Divided clear glass 6" bowl Clear glass oval 13" serverltray Blue Ridge "Grace" 6" pitcher - cracked Hanging ornament made ofwire Ruftled crimped S" white with pink interior vase Papermate pen Enesco napkin holder - yellow vase with flowers motif Clear glass 3-footed 3" bowl Milk glass 3 ~" sugar bowl with clear glass lid Hall 5" teapot - blue with gold floral design Tin 1 0" plate - made in Holland Wooden napkin holder - bird motif & love RE( :EIVED PNCA )V/SORS FEB (I 7 2002 February 5, W02 1.00 ]5.00 5.00 1.00 3.00 2.00 1.00 1.00 2.00 1.00 too tOO Z.OO Z.OO ..00 ;.00 1.00 1;.00 1.00 !.OO :~.oo :!.OO 1::.00 .00 .00 SEP-10-200~ 14:59 PNC ERNK CLAUDE C. WOlfE & ASSOCIATES 717 730 2254., P. !a?/,11 AUCTIONEERS &: APPRAISERS - FAMILY OWNED SINCE 19/2 2009 LINCOLN STREET' CAMP HILL, PA 17011 717.761-2763 Swartz appraisal Page 2 of 6 MI~I.I."" Mi'.nn!lil ITEMS - CClntmued Wooden napkin holder - bird &: nest motif (2) Knitting needles Ruftled white milk: glass 5 ~" vase Wmd-up dog toy Misc. doilies Oval table -22"x: 30"- with glass insert Hand made 58" rug China cup &: saucer Bag of aprons Bag ofhaDkies Black metal trash can Shell motif plastic trivet Bag with misc. III8IIger figurines Wooden tissue box cover Wooden 8 ~" bowl Plastic angc1- broken wing Picture T'x 9" of little girl The Methodists Hymnal The book of Hymns Misc. staples &: stapler CVS cup with pens &: pencils Metal cat DOdder, pin cushioD Coral piece with 2-birds motif Occupied Japan "Boy on a Snail" figurine (2) Angel with lanib glass bells Misc. smaU light bulbs Child's Oak (painted green) rolltop desk Triple divided 8 ~" glass plate (7) Beny bowls Ruftled Crescent Wave glass basket 1.00 1.00 1.00 3.00 5.00 25.00 ~.OO Z.OO Z.OO 5.00 1.00 1.00 1.00 l.00 ~.OO l.00 !.OO 1.00 1.00 1.00 ..00 111.00 .00 1:;.00 :;.00 .00 12:.00 ~ .00 : .00 2~ .00 SEP-10-2002 14:59 , , PNC BANK 717730 2254., P.0?~11 CLAUDE C. WOLFE & ASSOCIATES AUCTIONEERS It APPRAISERS - FAMILY OWNED SINCE /9/2 2009 LINCOLN STREET. CAMP HILL, PA 17011 717.761-2763 Swartz appraisal Page 3 of 6 MISCT.J.J .ANEOUS ITEMS. eontinued (9) R-"8"lu 6"X 10" 9lIIIdwich plates - CaDdlewick: design (6) Clear g1ass CaDdlewick: design cups (5)Sherbets - Caud1ewick: design (3) Clear glass cups Meta1S" oval bowl holder Metal 7 112" round bowl holder Wooden plate stand Aluminum 11" plate Homedics vibrating chair cover Flour sifter AIuminum 5 ~"x 9 W' container (2) Oval pewter-like bread trays (2) Regular size aluminum muffin tins (3) SmaIl size 1I1nminum muffin tins Aluminum S"x S" covered container Glass 7" bowl with lid Glass S" oval bowl with lid (2) Wedgwood 6" cereaI bowls White 6~" bowl with pourins spout Cookware pan with strainer Flower mister with assorted tools Chipped S" stemmed soblet Bud vase _ 8" (5) Yellow plastic messuring cups (2) Green transparent plastic measuring cups (7) Cordia1s (2) Shot glasses Pyrex 7" lid (2) Milk g1ass bud vases GIass 4 W' container with handIes - chipped =0.00 ]2.00 5.00 1.00 1.00 1.00 1.00 1.00 1100 loOO 1.00 1.00 1.00 1.00 1.00 ..00 ..00 .LOO .00 .00 .00 : .00 : .00 1.00 ] .00 = .00 1.00 1.00 ].00 1.00 SEP~10-2002 15:00 . . PNC BRNK 7177302254_ P.aBV11 CLAUDE C. WOLFE & ASSOCIATES AUCTIONEERS" APPRAISERS . FAMILY OWNED SINCE 1912 2009 LINCOLN STREET. CAMP Hill, PA 17011 717.761.2763 Swartz appraisal Page 4 of 6 MlSCEI.T .<\NEGUS ITEMS - contiDqed Pattern glass 4 y".. tumbler Clock: motif pill container Ash tray - 4 Y.t" (2) 6" &: (2) T' Coming Ware contAiners Lidded clear glass butter dish White milk glass butter dish Ball jar with hand made lid Ruftles top 6 ~.. c1ear glass bud vase Purple 3" glass vase Pair of 4" clear glass apothecary jars Glass salt Aluminum 4"x 8" pan White glass] %" pitcher (3) Meta1 ]0 Y.t"x ]4" trays Couroc "bird motif' ] 0 Y.t" plate Hand painted 16"x ] I" oval tray Glass frog - SOS pad holder Aluminum "silent but1er" with brush (4) Fo]ey metal &: (2) plastic measuring cups Smsll Delft pitcher Wooden "stamp motif' napkin holder (8) Wooden plate holders Bag of misc. "religious motif' cutouts Webster's Treasury of Synonyms, Antonyms &: Homonyms The Book of Prayers The Book of Hymns Philosophy for a New Generation - book Teapot Rolling pin (2) Cookie cutters 2.00 1.00 LOa 2.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 l.00 l.00 1.00 1.00 .1.00 !.OO .kOO .00 .00 ::.00 . .00 .00 J.OO J.OO 1.00 :;.00 1.00 SEP-10-2002 15: 00 . . PNC BRNK 717 730 2254., P.0~/'11 CLAUDE C. WOLFE & ASSOCIATES AUCTIONEERS & APPRAISERS . FAMILY OWNED SINCE 1912 2009 LINCOLN STREET' CAMP HILL, PA 17011 717-761-2763 Swartz appraisal Page 5 of 6 MUlMr.T.T.Il N1r.OUS ITEMS _ continued (2) YeI10w glass containers Misc. molds Pewter bread tray "Give Us This Day" (2) Coming Ware 5 ~" bowls Square 4 ~" bowl 1.00 1.00 1.00 1.00 1.00 Pyrex J ~"x 4 \4" container (7) P1astic coasters Small band towel (2) Pyrelc bowls with (3) extra lids 3-Cup glass measuring container Pyrex 3 ~"bowl Glass 5 Y.," bowl Top of8" double boiler with lid BelM'1g pan - 8 ~" (3) 9 W' baking pans 1.00 1.00 1.00 1.00 1.00 1.00 '.00 ..00 .00 .00 Oval metal 14 ~"x II ~"biscuit container Large leather Coach handbag White 6" glass. "Cherub with Grapes" motif statue (2) Oval 6 ~"x 5 W' fiames with pictures Small copper container with lid .00 2~;.00 :;.00 : .00 1.00 Peinti'1g offlowers - 4"x 4" Swan motifpin tray Framedprintofflowers-lT'x 13" Pair of 14"x 9" fiamed pictures OvalIJ ~"x 16 ~" framed pictures 1967 through 1974 Bing & Grondahl Christmas plates Knitting needle container with needles Wooden 15 ~"hand painted tray Floor lamp Desk with simulated marble insert ~ .00 l.OO ~.OO I. 0(1 1.0(1 120.OC' 2.0C' 100 500 4500 SEP-J0-200?, 15:00 . . PNC BANK 717 730 2254., P. 1,0.11 CLAUDE C. WOLFE & ASSOCIATES AUCTIONEERS &: APPRAISERS - FAMILY OWNED SINCE /9/2 2009 LINCOLN STREET. CAMP HILL, PA 17011 717.761.2763 Swartz appraisal Page60f 6 MlSr.F.T.T ANEOUS ITEMS - continued Mahogany lady's writing desk with Lyre motif chair 10 L02 APPRAISAL TOTAL $ 78 UO This Fair Marlret Value appraisal is true and correct to the best of my ability as an auctioneer and appraiser with 3S years experience. Member; Certified Appraisers Guild of America CLAUDE C. WOLFE & ASSOCIATES \'J.\.J. 0~t~~_ ./ W. K. "Dusty" Chapman, CAGA ROSE MARIE'S ANTIQUES Jewelry, Estllte Uquld8tlons. Appraisals 2136 Market Street CAMP HILL. PENNSYLVANIA 17011 (717) 763-8998 TO WHOM IT MAY CONCERN: This is to certtfy that we are engaged In the jewelry business. eppraising diamonds. watches, jewelry; ,nd precious stones of ell descriptions. We herewith certify that we have this day carefully examined the following listed and de.cribed articles. ~roparty of: NAME rot4~~~' ADDRESS tJ ~ __ . We estimate the value as listed for insurance or other purposes at the current retail value. exe luding Federal and other taxes. In making this Appraisal, wa DO NOT agree to purchase or repll ce the articles. DESCRIP110N &~~~~ 54~/t:)^;w( ~;M",- - . . ~ ~,JL~~' ~ ~ IO~ yJf. 1.Io~"'t,~.~ -- /CP ~~~./f#C"....{~ ~~ /Dt:r( !.rJ,t ~.tJ- '. &~ptt-l~~;4t: . . ~ I . $)~a,.,(~~ /",._/~>Z;W/f'~P( ~.ca ./.~ "'~/-,;' ~~,II- . .~ ~ ~ft ~'. ~ fA! ~t.'7~-'.-~' d,,.( ~ M~. Ztd"wI<l-, . The foregoing Appraisal is made with the understanding that the Appraiser assumes no liabUit) with respect to any action that may be taken on the basis of this Appraisal. ~~ APPRAISED . 'Ai UE f ,;lC.Oq 4' ~o.OO ~.:J':Od $ ..J4:oo ~/S; ,,;J.oc.:4. VA TI! COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRIS8URG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT PNC BANK NA PO BOX 308 CAMP HILL, PA 17001 n______ fold ESTATE INFORMATION: SSN: 173-07-8967 FILE NUMBER: 2101-1161 DECEDENT NAME: SWARTZ GRACE L DATE OF PAYMENT: 09/13/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 12/15/2001 NO. CD 001614 ~/ ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $9,965.18 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: PNC BANK N.A. CHECK# 4111870 SEAL INITIALS: CW RECEIVED BY: REGISTER OF WILLS $9,965.18 MARY C. LEWIS REGISTER OF WILLS ~ 1?-cJp- I~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 10-28-2002 SWARTZ 12-15-2001 21 01-1161 CUMBERLAND 101 LINDA J LUNDBERG PNC BANK NA PO BOX 308 CAMP HILL PA 17001 '* REV-1547 EX AFP 101-O2l GRACE L Allount Rellitted ) CHANGED ll) (2) (3) (4) (.5) (6) (7) .00 133,906.02 .00 .00 413,225.83 5,205.60 .00 (8) MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV = iS4-j-E;f-AFP-foY=o2Y-NoTicE--oF-YNHEifiTANCE-TAirA-PPRAisEMENT-:--ALToWAifcE-cfR-------------- --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SWARTZ GRACE L FILE NO. 21 01-1161 ACN 101 DATE 10-28-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) .5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) llO) 46,595.00 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 552,337.45 53.029 97 499,307.48 6,000.00 493,307.48 NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 1.5. Allount of Line 14 at Spousal rate (1.5) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 X 00 = .00 .00 X 045 = .00 1,031.37 X 12 = 123.76 492,276.11 X 15 = 73,841.42 ll9)= 73,965.18 6.434.97 ll1) ll2) ll3) ll4) . ~. .._n' n____. I+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-15-2002 CDOO0960 3,200.00 60,800.00 09-13-2002 CDOO1614 .00 9,965.18 TOTAL TAX CREDIT 73,965.18 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) RESERVATION: Estates of decedents dying on or before December 12, 1982 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRA TIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S. Section 9140). Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side. --Make check or money order payable to: REGISTER OF HILLS, AGENT A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an nApplication for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register of Wills, any of the 23 Revenue District Offices, or by calling the special 24-hour answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and I or speaking needs: 1-800-447-3020 (TT only). Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedentn (REV-1501) for an explanation of administratively correctable errors. If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5Z) discount of the tax paid is allowed. The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (6Z) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2002 are: Year Interest Rate Daily Interest Factor Year Interest Rate Da ily Interest Factor 1982 20Z .000548 1992 9Z .000247 1983 16Z .000438 1993-1994 n .000192 1984 llZ .000301 1995-1998 9Z .000247 1985 13Z .000356 1999 n .000192 1986 10Z .000274 2000 8Z .000219 1987 9Z .000247 2001 9Z .000247 1988-1991 llZ .000301 2002 6Z .000164 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. o PNCADVlSORS PO Box 308 Camp Hill Pa 17001-0308 (717) 730-2255 December 10, 2002 Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 Re: Grace L. Swartz Estate Date of Death 12/15/01 File #: 21-01-1161 Dear Register of Wills: On behalf of the Corporate Executor of the above-referenced Estate, I enclose a check in the amount of $1031.70 balance due on Pennsylvania Inheritance Tax Supplemental Return. I have also enclosed a check in the amount of $15.00 for filing fees. Please send us the usual customary receipt at your earliest convenience. Thank you for your assistance. Sincerely, ~, Linda J. Lundberg Assistant Vice President Estate Administrator Enclosures: LJLljmh A member of The PNC Financial Services Group 4242 Carlisle Pike Camp Hill Pennsylvania 17011 www.pncadvisors.com COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SLlKE JOHN E 2109 MARKET STREET CAMP Hill, PA 17011 _____n_ fold ESTATE INFORMATION: SSN: 173-07-8967 FILE NUMBER: 2101-1161 DECEDENT NAME: SWARTZ GRACE l DA TE OF PAYMENT: 12/1 0/2002 POSTMARK DATE: 0010010000 COUNTY: CUMBERLAND DATE OF DEATH: 12/15/2001 NO. CD 001930 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $1,031.70 I I I I I I I I TOTAL AMOUNT PAID: $1,031.70 REMARKS: CHECK# 420132 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS DONNA M. OTTO DEPUTY REGISTER OF WillS /?-02,R-/ Y "" BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION OEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX REV-1547 EX AFP lDI-D5l LINDA J LUNDBERG PNC BANK NA PO BOX 308 CAMP HILL I: DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 01-20-2003 SWARTZ 12-15-2001 21 01-1161 CUMBERLAND 101 GRACE L Amount Remitted PA 17001 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV =iS4-j-E3f-AFP--foY--o3Y-NoYicE-oF-YNHErfiTAifcrYA'x-jrppRAYsEifiNT:--AL1-owAifcE-cfi------------ - - --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SWARTZ GRACE L FILE NO. 21 01-1161 ACN 101 DATE 01-20-2003 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Stock/Partnership Interest (Schedule C) (3) 4. Hortgages/Notes Receivable (Schedule D) (4) 5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets NO. 01 .00 2.000.00 .00 .00 5.230.00 .00 .00 (8) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H) 10. Debts/Hortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax 7,230.00 (9) UO) 352.00 .00 (11) (2) (3) (4) 35:? 00 6,878.00 .00 500,185.48 NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 X 00 = .00 .00 X 045 = .00 1,031.37 X 12 = 123.76 499,154.11 X 15 = 74,873.12 (9)= 74,996.88 _n. n____. l+J AHOUNT PAID DATE NUHBER INTEREST/PEN PAID (-) 03-15-2002 CDOO0960 3,200.00 60,800.00 09-13-2002 CDOO1614 .00 9,965.18 INTEREST IS CHARGED THROUGH 02-04-2003 TOTAL TAX CREDIT 73,965.18 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1,031.70 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 23.05 TOTAL DUE 1,054.75 · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) RESERVATION: Estates of decedents dying on or before December lZ, 198Z -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To fulfill the requirements of Section Zl40 of the Inheritance and Estate Tax Act, Act Z3 of ZOOO. (7Z P.S. Section 9140). PAYMENT: Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side. --Make check or money order payable to: REGISTER OF HILLS, AGENT REFUND (CR ) : A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-13l3). Applications are available at the Office of the Register of Wills, any of the Z3 Revenue District Offices, or by calling the special Z4-hour answering service for forms ordering: 1-800-36Z-Z050; services for taxpayers with special hearing and I or speaking needs: 1-800-447-30Z0 (TT only). OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. Z810Z1, Harrisburg, PA 171Z8-10Z1, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. ADMIN- ISTRATIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. Z80601, Harrisburg, PA 171Z8-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administrativelY correctable errors. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (57.) discount of the tax paid is allowed. PENALTY: The 157. tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 198Z bear interest at the rate of six (67.) percent per annum calculated at a dailY rate of .000164. All taxes which became delinquent on and after January 1, 198Z will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through Z003 are: Interest DailY Interest Daily Interest Rate Factor Year Rate Factor Year Rate Daily Factor Year 198Z Z07. .000548 1987 97. .000Z47 1999 77- .00019Z 1983 167. .000438 1988-1991 117. .000301 ZOOO 87. .000Z19 1984 117. .000301 199Z 97. .000Z47 ZOOl 97. .000Z47 1985 137. .000356 1993-1994 77- .00019Z ZOOZ 67. .000164 1986 107. .000Z74 1995-1998 97. .000Z47 Z003 57. .000137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. . J CXJ~ g:=: Ej::I: ~Q. 28 ..... ft -'. $. r ,r-":'---'.~:_~:!:_:,,, : '1 I q ! : . ,; t' r-..... ,,',I r --. . ,I '<"'1 (II ~ C ,l ,;t C:J c, I t~ t (;~; ;~'--' .---j '(' ,,'. ' t~'ot .", .,. ,v.... -'.). ...... "";". I ~ I _''''':-1' ,," U'" (,:'1 ; _ .~~. .;;<l i ,,\. ~ Q )1~";< ~ . "---~ .' ~ 8 I ..... g " ..... ""- ~ ~ I ""'- 'J ~ ~ ~? c..f' ,- .- ,,-- .- .....:: ,- n_ - .- .- ... ::::::: "-.. .- :-.: ... .- .- - '" '" n_ ::::::: BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. za0601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT *' IEY-IU7 EX AfI' UI-In LINDA J LUNDBERG PNC BANK NA PO BOX 308 CAMP HILL DATE ESTATE OF DATE OF DEATH FILE NUMBER CQUNTY ACN 01-21-2003 SWARTZ 12-15-2001 21 01-1161 CUMBERLAND 101 AIIount Rell! Hed \~-SS GRACE L PA 17001 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 NOTE: To insure proper credit to your account. sub.it the upper portion of this for. with your tax pay.ent. CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ -------------------------------------------------- --.. ..,..... PV ___ ,___ __.. ____ -------_._,~-- - ....~=-- PNC ADVISORS - -. -. - TRAN CODE GRACE L SWARTZ DECEASED 14.55 F .REGISTER OF WILLS AGENT I CUMBERLAND COUNTY COURT HOUSE S HANOVER ST CARLISLE FA 17013 421523 FORM432-0TOT - -. - - - - /J ~j/ - /-Y ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REV-U07 EX AFP 101-03) LINDA J LUNDBERG PNC BANK NA PO BOX 308 CAMP HILL DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 01-21-2003 SWARTZ 12-15-2001 21 01-1161 CUMBERLAND 101 GRACE L Allount Rellitted PA 17001 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=i6'ifj-Ex--AFP--foY--oiY------...--iNirERIYANc'E-fAx--STAYEME-tif-cfF'-AC-couiff--.-..---------------- - - --- ESTATE OF SWARTZ GRACE L FILE NO.21 01-1161 ACN 101 DATE 01-21-2003 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-20-2003 PRINCIPAL TAX DUE: ............................... 74,996.88 PAYMENTS (TAX CREDITS): BAL PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-15-2002 CDOO0960 3,200.00 60,800.00 09-13-2002 CDOO1614 .00 9,965.18 12-10-2002 CDOO1930 .00 1,031.70 ANCE OF UNPAID INTEREST/PENALTY AS OF 12-11-2002 TOTAL TAX CREDIT 74,996.88 BALANCE OF TAX DUE .00 INTEREST AND PEN. 14.55 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 14.55 . SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. J PAYMENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address printed on the reverse side. If RESIDENT DECEDENT make check or money order payable to: REGISTER OF WILLS, AGENT. If NON-RESIDENT DECEDENT make check or money order payable to: COHHONWEAL TH OF PENNSYLVANIA. REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-13l3). Applications are available at the Office of the Register of Wills, any of the 23 Revenue District Offices or from the Department's 24-hour answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and I or speaking needs: 1-800-447-3020 (TT only). REPLY TO: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601, phone (717) 787-6505. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (57-) discount of the tax paid is allowed. PENALTY: The 157- tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (67-) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2003 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 207- .000548 1987 97- .000247 1999 n .000192 1983 167- .000438 1988-1991 117- .000301 2000 87- .000219 1984 117- .000301 1992 97- .000247 2001 97- .000247 1985 137- .000356 1993-1994 n .000192 2002 67- .000164 1986 107- .000274 1995-1998 97- .000247 2003 57- .000137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT PNC BANK NA PO BOX 308 CAMP Hill, PA 17001 __nuu fold ESTATE INFORMATION: SSN: 173-07-8967 FILE NUMBER: 2101-1161 DECEDENT NAME: SWARTZ GRACE l DATE OF PAYMENT: 02/05/2003 POSTMARK DATE: 02/04/2003 COUNTY: CUMBERLAND DATE OF DEATH: 1 2/ 1 5/2001 NO. CD 0021 27 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $14.55 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: PNC ADVISORS CHECK# 421523 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS $14.55 DONNA M. OTTO DEPUTY REGISTER OF WillS I?-~ R- /~ ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REV-lI07 EX AFP (01-051 LINDA J LUNDBERG PNC BANK NA PO BOX 308 CAMP HILL DATE ESTATE OF DATE OF DEATH FILE NUMBER . . COUNTY ACN 02-18-2003 SWARTZ 12-15-2001 21 01-1161 CUMBERLAND 101 GRACE L Allount Rellitted PA 170,01 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV =i6cfj-E3f-AFP--foY=fiiY------...--iNifERITANCE--TA3CsTA-fEME-NT-cfF"-Ac-couiif--.-i.---------------- ----- ESTATE OF SWARTZ GRACE L FILE NO.21 01-1161 ACN 101 DATE 02-18-2003 THIS STATE"ENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NA"ED ESTATE. SHOWN BELOW IS A SU""ARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAY"ENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-20-2003 P R I NC I PAL TAX DU E : ........................................................................................................................................................................................................................... 74,996.88 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-15-2002 CDoo096o 3,200.00 60,800.00 09-13-2002 CDoo1614 .00 9,965.18 12-10-2002 CDoo193o .00 1,031.70 02-04-2003 CDo02127 14.55- 14.55 TOTAL TAX CREDIT 74,996.88 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 It IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. ) PAYMENT: Detach the tDP pDrtiDn Df this NDtice and submit with YDur payment made payable tD the name and address printed Dn the reverse side. If RESIDENT DECEDENT make check Dr mDney Drder payable tD: REGISTER OF WILLS, AGENT. If NON-RESIDENT DECEDENT make check Dr mDney Drder payable tD: COMMONWEALTH OF PENNSYLVANIA. REFUND (CR): A refund Df a tax credit, which was nDt requested Dn the Tax Return, may be requested by cDmpleting an "ApplicatiDn fDr Refund Df Pennsylvania Inheritance and Estate Tax" (REV-13l3). ApplicatiDns are available at the Office Df the Register Df Wills, any Df the 23 Revenue District Offices Dr frDm the Department's 24-hDur answering service fDr fDrms Drdering: 1-800-362-2050; services fDr taxpayers with special hearing and I Dr speaking needs: 1-800-447-3020 (TT Dnly). REPLY TO: QuestiDns regarding errDrs cDntained Dn this nDtice ShDUld be addressed tD: PA Department Df Revenue, Bureau Df Individual Taxes, ATTN: PDSt Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601, phDne (717) 787-6505. DISCOUNT: If any tax due is paid within three (3) calendar mDnths after the decedent's death, a five percent (5Z) discDunt Df the tax paid is allDwed. PENALTY: The l5Z tax amnesty nDn-participatiDn penalty is cDmputed Dn the tDtal Df the tax and interest assessed, and nDt paid befDre January 18, 1996, the first day after the end Df the tax amnesty periDd. INTEREST: Interest is charged beginning with first day Df delinquency, Dr nine (9) mDnths and Dne (1) day frDm the date Df death, tD the date Df payment. Taxes which became delinquent befDre January 1, 1982 bear interest at the rate Df six (6Z) percent per annum calculated at a daily rate Df .000164. All taxes which became delinquent Dn and after January 1, 1982 will bear interest at a rate which will vary frDm calendar year tD calendar year with that rate annDunced by the PA Department Df Revenue. The applicable interest rates fDr 1982 thrDugh 2003 are: Interest Daily Interest Daily Interest Daily Year Rate FactDr Year Rate FactDr Year Rate FactDr 1982 20Z .000548 1987 9Z .000247 1999 n .000192 1983 l6Z .000438 1988-1991 11Z .000301 2000 8Z .000219 1984 11Z .000301 1992 9Z .000247 2001 9Z .000247 1985 l3Z .000356 1993-1994 n .000192 2002 6Z .000164 1986 10Z .000274 1995-1998 9Z .000247 2003 5Z .000137 --Interest is calculated as fDllDws: INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any NDtice issued after the tax becDmes delinquent will reflect an interest calculatiDn tD fifteen (15) days beYDnd the date Df the assessment. If payment is made after the interest cDmputatiDn date shDwn Dn the NDtice, additiDnal interest must be calculated. //-02.9- /~ ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT *' REY-I607 EX AFP (01-03) LINDA J LUNDBERG PNC BANK NA PO BOX 308 CAMP HILL DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 03-10-2003 SWARTZ 12-15-2001 21 01-1161 CUMBERLAND 101 GRACE L Anount Renitted PA 17001 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subnit the upper portion of this forn with your tax paynent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV =i6cfj-Ex--AFP--('oY:03Y------...--iNifERITANciCTAx--STA-fEME-tiT-O,:-Ac-coi:iiff--.-..---------------- -- --- ESTATE OF SWARTZ GRACE L FILE NO.21 01-1161 ACN 101 DATE 03-10-2003 THIS STATE"ENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NA"ED ESTATE. SHOWN BELOW IS A SU""ARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAY"ENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-20-2003 P R I NC I PAL TAX DU E : ........................................................................................................................................................................................................................... 74,996.88 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-15-2002 CDOO0960 3,200.00 60,800.00 09-13-2002 CDOO1614 .00 9,965.18 12-10-2002 CDOO1930 .00 1,031.70 02-04-2003 CD002127 14.55- 14.55 TOTAL TAX CREDIT 74,996.88 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 lIE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. ) PAYMENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address printed on the reverse side. If RESIDENT DECEDENT make check or money order payable to: REGISTER OF WILLS, AGENT, If NON-RESIDENT DECEDENT make check or money order payable to: COMMONWEALTH OF PENNSYLVANIA, REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register of Wills, any of the 23 Revenue District Offices or from the Department's 24-hour answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and I or speaking needs: 1-800-447-3020 (TT only). REPLY TO: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601, phone (717) 787-6505. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%) discount of the tax paid is allowed, PENALTY: The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period, INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 19B2 through 2003 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 20% .000548 1987 9% .000247 1999 n .000192 1983 16% .000438 1988-1991 11% .000301 2000 8% .000219 1984 11% .000301 1992 9% .000247 2001 9% .000247 1985 13% .000356 1993-1994 n .000192 2002 6% .000164 1986 10% ,000274 1995-1998 9% .000247 2003 5% .000137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. 10 o PNCBAN< COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PA ORPHANS' COURT DIVISION NO. ESTATE OF GRACE L SWARTZ DECEASED LATE OF THE TOWNSHIP OF UPPER ALLEN FIRST AND FINAL ACCOUNT OF PNC BANK. NATIONAL ASSOCIATION EXECUTOR AND PROPOSED SCHEDULE OF DISTRIBUTION DATE OF DEATH DECEMBER 15 2001 WILL NO. 21-01-1161 LETTERS GRANTED DECEMBER 21 2001 FIRST COMPLETE ADVERTISEMENT OF GRANT OF LETTERS FEBRUARY 22 2002 ACCOUNTING DECEMBER 21 2001 TO FEBRUARY 28 2003 PURPOSE OF ACCOUNT: THE EXECUTOR OFFERS THIS ACCOUNT TO ACQUAINT INTERESTED PARTIES WITH THE TRANSACTIONS THAT HAVE OCCURRED DURING IT'S ADMINISTRATION OF THE ESTATE. IT IS IMPORTANT THAT THE ACCOUNT BE CAREFULLY EXAMINED. REQUESTS FOR ADDITIONAL INFORMATION OR QUESTIONS OR OBJECTIONS CAN BE DISCUSSED WITH: PNC BANK. NATIONAL ASSOCIATION C/O LINDA J LUNDBERG ASSISTANT VICE PRESIDENT 4242 CARLISLE PIKE CAMP HILL. PA 17011 TELEPHONE (717) 730-2265 JOHN E SLIKE ESQUIRE SAIDIS SHUFF FLOWER & LINDSAY 2109 MARKET STREET CAMP HILL PA. 17011 TELEPHONE (717) 737-3405 - 1 - TRSN01 (10/02J -------------- - - -- ---- --- ------- - --- - - - ---- - ----------- ----- --------- , GRACE L SWARTZ PRINCIPAL RECEIPTS NET GAIN/LOSS ON CONVERSIONS ADJUSTED BALANCE LESS DISBURSEMENTS DEBTS OF DECEDENT FUNERAL EXPENSES ADMINISTRATIVE EXPENSES FEDERAL AND STATE TAXES FEES AND COMMISSIONS FAMILY EXEMPTION TOTAL PRINCIPAL DISBURSEMENTS BALANCE BEFORE DISTRIBUTIONS DISTRIBUTIONS TO BENEFICIARIES PRINCIPAL BALANCE ON HAND INVESTMENTS MADE CHANGES IN INVESTMENT HOLDINGS INCOME RECEIPTS LESS DISBURSEMENTS BALANCE BEFORE DISTRIBUTIONS DISTRIBUTIONS TO BENEFICIARIES INCOME BALANCE ON HAND COMBINED BALANCES REMAINING o PNCBAN< 770568 SUMMARY AND INDEX PAGES 3 - 3 565,231.28 4 - 15 201. 72- 565,029.56 16 - 17 17 - 17 17 - 18 18 - 18 18 - 18 16 - 18 6,907.05- 8,235.35- 2,206.95- 71,811.43- 35,907.00- .00 125,067.78- 439,961.78 19 - 21 231,190.00- 22 - 22 208,771.78 23 - 31 9,366.99 32 - 32 604.43- 8,762.56 33 - 33 8,100.00- 34 - 34 662.56 209,434.34 - 2 - TRSN01110/0ZJ GRACE L SWARTZ 12/16/01 12/16/01 9/30/02 PNC ADVISORS RECEIPTS OF PRINCIPAL INVENTORY FILED ON 9/13/02 PER COPY ATTACHED ASSETS NOT INVENTORIED INTERNAL REVENUE SERVICE REFUND 2001 LIFE PERIOD INCOME TAX 2,000 PAR USA SAVINGS BONDS SERIES I DATED 1012001 OTHER RECEIPTS PENNSYLVANIA BLUE SHIELD AMBULANCE SERVICE NOT COVERED BY EMPLOYEE PROGRAM TOTAL PRINCIPAL RECEIPTS - 3 - o PNCBAN< 770568 558,293.41 4,861. 00 2,000.00 76.87 565,231.28 ------------ ------------ TRSNOZ ('0/02) PNC ADVISORS GRACE L SWARTZ 1/16/02 1/16/02 1/16/02 1/16/02 1/16/02 1/16/02 1/16/02 1/17/02 1/17/02 o PNCBAN< 770568 GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS GAIN 3,056.7 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT 17100009516 PROCEEDS: 3,056.70 ACQUISITION VALUE: 3.056.70 3,064.27 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT 17100009634 PROCEEDS: ACQUISITION VALUE: 3,064.27 3.064.27 10,184.85 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT 17100010529 PROCEEDS: 10,184.85 ACQUISITION VALUE: 10.184.85 4,000 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT 18000041696 PROCEEDS: 4,000.00 ACQUISITION VALUE: 4.000.00 3,000 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT 18000050012 PROCEEDS: 3,000.00 ACQUISITION VALUE: 3.000.00 2,268.02 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT 18000050279 PROCEEDS: 2,268.02 ACQUISITION VALUE: 2.268.02 2,000 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT 18000050318 PROCEEDS: 2,000.00 ACQUISITION VALUE: 2.000.00 5,000 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131400165503 PROCEEDS: 5,000.00 ACQUISITION VALUE: 5.000.00 6,809.96 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131800166727 PROCEEDS: ACQUISITION VALUE: 6,809.96 6.809.96 - 4 - LOSS .00 .00 .00 .00 .00 .00 .00 .00 .00 TRSN02(10/02) PNC ADVISORS GRACE L SWARTZ 1/17/02 1/17/02 1/17102 1/17/02 1/17/02 1/17/02 1/17/02 1/22/02 1/23/02 o PNCBAN< 770568 GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS GAIN 7,174.33 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131700210093 PROCEEDS: ACQUISITION VALUE: 7,174.33 7.174.33 7,000 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131300211131 PROCEEDS: 7,000.00 ACQUISITION VALUE: 7.000.00 12,000 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131600212375 PROCEEDS: ACQUISITION VALUE: 12,000.00 12.000.00 5,000 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131800212377 PROCEEDS: 5,000.00 ACQUISITION VALUE: 5.000.00 10,125.11 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131100218020 PROCEEDS: ACQUISITION VALUE: 10,125.11 10 . 125 . 11 5,062.55 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131300218751 PROCEEDS: 5,062.55 ACQUISITION VALUE: 5.062.55 5,062.55 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131500218164 PROCEEDS: 5,062.55 ACQUISITION VALUE: 5.062.55 6,845.77 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131300165694 PROCEEDS: 6,845.77 ACQUISITION VALUE: 6.845.77 3,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1223-0042159 PROCEEDS: ACQUISITION VALUE: 3,000.00 3.000.00 - 5 - LOSS .00 .00 .00 .00 .00 .00 .00 .00 .00 TRSN02C10/02) PNC ADVISORS o PNCBAN< GRACE L SWARTZ 770568 GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS GAIN LOSS 1/23/02 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0114906 PROCEEDS: 5,000.00 ACQUISITION VALUE: 5.000.00 .00 1/23/02 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0114913 PROCEEDS: 5,000.00 ACQUISITION VALUE: 5.000.00 .00 1/23/02 2,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0114961 PROCEEDS: 2,000.00 ACQUISITION VALUE: 2.000.00 .00 1/23/02 5.000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0114968 PROCEEDS: 5.000.00 ACQUISITION VALUE: 5.000.00 .00 1/23/02 6.420.22 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0114972 PROCEEDS: 6.420.22 ACQUISITION VALUE: 6.420.22 .00 1/23/02 7.482.77 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0114991 PROCEEDS: 7,482.77 ACQUISITION VALUE: 7 .482.77 .00 1/23/02 4.000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115008 PROCEEDS: 4.000.00 ACQUISITION VALUE: 4.000.00 .00 1/23/02 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115009 PROCEEDS: 5.000.00 ACQUISITION VALUE: 5.000.00 .00 1/23/02 5.000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115015 PROCEEDS: 5.000.00 ACQUISITION VALUE: 5.000.00 .00 TRSN02(10/02) - 6 - PNC ADVISORS o PNCBAN< GRACE L SWARTZ 770568 GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS GAIN LOSS 1/23/02 6,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115016 PROCEEDS: 6,000.00 ACQUISITION VALUE: 6.000.00 .00 1/23/02 3,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115017 PROCEEDS: 3,000.00 ACQUISITION VALUE: 3.000.00 .00 1/23/02 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115031 PROCEEDS: 5,000.00 ACQUISITION VALUE: 5.000.00 .00 1/23/02 7,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115040 PROCEEDS: 7,000.00 ACQUISITION VALUE: 7.000.00 .00 1/23/02 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115042 PROCEEDS: 5,000.00 ACQUISITION VALUE: 5.000.00 .00 1/23/02 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115051 PROCEEDS: 5,000.00 ACQUISITION VALUE: 5.000.00 .00 1/23/02 4,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115054 PROCEEDS: 4,000.00 ACQUISITION VALUE: 4.000.00 .00 1/23/02 3,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0156535 PROCEEDS: 3,000.00 ACQUISITION VALUE: 3.000.00 .00 1/23/02 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0156545 PROCEEDS: 5,000.00 ACQUISITION VALUE: 5.000.00 .00 TRSNOZ (10/02) - 7 - PNC ADVISORS o PNCBAN< GRACE L SWARTZ 770568 1/23/02 1/28/02 1/28/02 1/28/02 1/28/02 1/28/02 1/28/02 1/28/02 1/28/02 GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS GAIN LOSS 4,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0156559 PROCEEDS: 4,000.00 ACQUISITION VALUE: 4.000.00 5,000 PAR DERRY TWP PA SCH DIST SER A RFDG 5.125% DUE 09/01/07 .00 PROCEEDS: ACQUISITION VALUE: 5,050.50 5.113.80 63.30- 17 SHS DUQUESNE LIGHT COMPANY 4% CUM PFD PROCEEDS: 449.47 ACQUISITION VALUE: 459.00 5,000 PAR ERIE PA WTR AUTH REV REF SER A 5.30% DUE 12/01/04 9.53- PROCEEDS: ACQUISITION VALUE: 5,288.00 5.307.60 19.60- 5,000 PAR HEMPFIELD PA SCH DIST LANCASTER CNTY G 0 4.85% DUE 10/15/06 PROCEEDS: ACQUISITION VALUE: 5,085.95 5.154.46 68.51- 100 SHS HERSHEY FOODS CORP COMMON PROCEEDS: ACQUISITION VALUE: 6,988.89 6.599.50 389.39 70 SHS LUCENT TECHNOLOGIES INC COMMON PROCEEDS: ACQUISITION VALUE: 464.09 442.92 21.17 50 SHS SELECT MEDICAL CORP COMMON PROCEEDS: ACQUISITION VALUE: 733.48 77 0 . 38 36.90- 92.281 UTS VANGUARD STAR FD STAR PORTFOLIO FD 156 PROCEEDS: ACQUISITION VALUE: 1,492.18 1.508.79 16.61- TRSN02110l02J - 8 - PNC ADVISORS o PNCBAN< GRACE L SWARTZ 770568 GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS GAIN LOSS 1/28/02 758.134 UTS VANGUARD FIXED INCOME SECURITIES FUND INC GNMA PORTFOLIO FD #36 PROCEEDS: 7,914.92 ACQUISITION VALUE: 7.831.52 83.40 1/28/02 121.065 SHS VANGUARD INDEX TR TOTAL STOCK MARKET PORTFOLIO FD #85 PROCEEDS: 3,035.10 ACQUISITION VALUE: 3.049.63 14.53- 1/28/02 100 SHS WAL-MART STORES INC COMMON PROCEEDS: 5,857.91 ACQUISITION VALUE: 5.429.25 428.66 1/28/02 50 SHS WAVPOINT FINANCIAL CORP COMMON PROCEEDS: 746.98 ACQUISITION VALUE: 707.23 39.75 2/08/02 3,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-40 PROCEEDS: 3,000.00 ACQUISITION VALUE: 3.000.00 .00 2/08/02 3,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-42 PROCEEDS: 3,000.00 ACQUISITION VALUE: 3.000.00 .00 2/08/02 5,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-49 PROCEEDS: 5,000.00 ACQUISITION VALUE: 5.000.00 .00 2/08/02 6,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-50 PROCEEDS: 6,000.00 ACQUISITION VALUE: 6.000.00 .00 2/08/02 10,784.85 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-53 PROCEEDS: 10,784.85 ACQUISITION VALUE: 10.784.85 .00 TRSN02l10l02J - 9 - " PNC ADVISORS o PNCBAN< GRACE L SWARTZ 770568 GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS GAIN LOSS 2/08/02 5,227.39 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-56 PROCEEDS: 5,227.39 ACQUISITION VALUE: 5.227.39 .00 2/08/02 5,205.41 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-57 PROCEEDS: 5,205.41 ACQUISITION VALUE: 5.205.41 .00 2/08/02 6,000.99 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-58 PROCEEDS: 6,000.99 ACQUISITION VALUE: 6.000.99 .00 2/08/02 5,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-59 PROCEEDS: 5,000.00 ACQUISITION VALUE: 5.000.00 .00 2/08/02 4,092.13 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-60 PROCEEDS: 4,092.13 ACQUISITION VALUE: 4.092.13 .00 2/08/02 11,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-63 PROCEEDS: 11,000.00 ACQUISITION VALUE: 11.000.00 .00 2/08/02 7,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-67 PROCEEDS: 7,000.00 ACQUISITION VALUE: 7.000.00 .00 2/08/02 6,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-68 PROCEEDS: 6,000.00 ACQUISITION VALUE: 6.000.00 .00 2/08/02 5,030.48 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-69 PROCEEDS: 5,030.48 ACQUISITION VALUE: 5.030.48 .00 TRSN02110/021 - 10 - PNC ADVISORS GRACE L SWARTZ 2/08/02 2/08/02 2/08/02 2/08/02 2/08/02 2/08/02 2/28/02 3/21/02 4/05/02 o PNCBAN< 770568 GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS GAIN 1,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-70 PROCEEDS: ACQUISITION VALUE: 1,000.00 1.000.00 5,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-71 PROCEEDS: 5,000.00 ACQUISITION VALUE: 5.000.00 2,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-89 PROCEEDS: 2,000.00 ACQUISITION VALUE: 2.000.00 1,837.24 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-90 PROCEEDS: ACQUISITION VALUE: 5,000 PAR MEMBERS SAVINGS 1,837.24 1.837.24 1ST FEDERAL CREDIT UNION CTF ACCOUNT #8959-96 PROCEEDS: 5,000.00 ACQUISITION VALUE: 5.000.00 3,000 PAR USA TREASURY NOTES 6.3757. DUE 01/31/02 PROCEEDS: ACQUISITION VALUE: 3,000.00 3.018.28 3,000 PAR USA TREASURY NOTES 6.507. DUE 02/28/2002 PROCEEDS: 3,000.00 ACQUISITION VALUE: 3.030.00 1987 PONTIAC GRAND AM PROCEEDS: ACQUISITION VALUE: 600.00 600.00 1,000 PAR USA SAVINGS BONDS SERIES HH DATED 08/01/92 DUE 08/01/12 PROCEEDS: ACQUISITION VALUE: 1,000.00 1.000.00 - 11 - LOSS .00 .00 .00 .00 .00 18.28- 30.00- .00 .00 TRSN02C10/02J PNC ADVISORS o PNCBAN< GRACE l SWARTZ 170568 GAINS AND lOSSES ON SALES AND OTHER DISPOSITIONS GAIN lOSS 4/05/02 1,000 PAR USA SAVINGS BONDS SERIES HH DATED 09/01/92 DUE 09/01/12 PROCEEDS: 1,000.00 ACQUISITION VALUE: 1.000.00 .00 4/05/02 2,000 PAR USA SAVINGS BOND SERIES HH DATED 10/01/92 DUE 10/01/12 PROCEEDS: 2,000.00 ACQUISITION VALUE: 2.000.00 .00 4/05/02 2,000 PAR USA SAVINGS BONDS SERIES HH DATED 01/01/1993 DUE 01/01/2013 PROCEEDS: 2,000.00 ACQUISITION VALUE: 2.000.00 .00 4/05/02 1,000 PAR USA SAVINGS BONDS SERIES H DATED 06/01/74 DUE 10/01/04 PROCEEDS: 1,000.00 ACQUISITION VALUE: 1.000.00 .00 4/05/02 1,000 PAR USA SAVINGS BONDS SERIES H DATED 11/01/74 DUE 11/01/04 PROCEEDS: 1,000.00 ACQUISITION VALUE: 1.000.00 .00 4/30/02 2,000 PAR USA TREASURY NOTES 6.6257. DUE 04/30/02 PROCEEDS: 2,000.00 ACQUISITION VALUE: 2.036.25 36.25- 5/31/02 1,000 PAR USA TREASURY NOTES 6.507. DUE 05/31/02 5/31/02 PROCEEDS: 1,000.00 ACQUISITION VALUE: 1.021.88 5,000 PAR USA TREASURY NOTES 6.6257. DUE 05/31/02 21.88- PROCEEDS: ACQUISITION VALUE: 5,000.00 5.110.16 110.16- 7/01/02 2,000 PAR USA TREASURY NOTES 6.257. DUE 06/30/02 PROCEEDS: ACQUISITION VALUE: 2,000.00 2.047.50 47.50- TRSN02(10/02) - 12 - PNC ADVISORS o PNCBAN< GRACE L SWARTZ 770568 GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS GAIN LOSS 7/31/02 3,000 PAR USA TREASURY NOTES 6r. DUE 07/31/02 PROCEEDS: 3,000.00 ACQUISITION VALUE: 3.077.34 77.34- 7/31/02 5,000 PAR USA TREASURY NOTES 6.25r. DUE 07/31/02 PROCEEDS: 5,000.00 ACQUISITION VALUE: 5.135.94 135.94- 9/03/02 2,000 PAR USA TREASURY NOTES 6.25r. DUE 08/31/02 PROCEEDS: 2,000.00 ACQUISITION VALUE: 2.059.69 59.69- 9/03/02 5,000 PAR USA TREASURY NOTES 6.125r. DUE 08/31/02 PROCEEDS: 5,000.00 ACQUISITION VALUE: 5.145.31 145.31- 9/30/02 2,000 PAR USA TREASURY NOTES 5.875r. DUE 09/30/02 PROCEEDS: 2,000.00 ACQUISITION VALUE: 2.060.00 60.00- 10/31/02 3,000 PAR USA TREASURY NOTES 5.75r. DUE 10/31/02 PROCEEDS: 3,000.00 ACQUISITION VALUE: 3.095.16 95.16- 11/04/02 2,000 PAR USA SAVINGS BONDS SERIES I DATED 10/2001 PROCEEDS: 2,000.00 ACQUISITION VALUE: 2.000.00 .00 11/05/02 1,000 PAR USA TREASURY BOND 11.625r. DUE 11/15/04 PROCEEDS: 1,193.98 ACQUISITION VALUE: 1.211.25 17.27- 11/05/02 1,000 PAR USA TREASURY NOTES 3.375r. DUE 01/15/07 PROCEEDS: 1,222.06 ACQUISITION VALUE: 1.002.19 219.87 TRSN02 (10/02) - 13 - -----------------------~----~---------------------~- PNC ADVISORS o PNCBAN< GRACE L SWARTZ 11/05/02 11105/02 11/05/02 11/05/02 11105/02 11105/02 11/05/02 11105/02 11/05/02 GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS GAIN 3,000 PAR USA TREASURY NOTES 5.7570 DUE 11/30/02 PROCEEDS: ACQUISITION VALUE: 3,008.44 3.102.19 2,000 PAR USA TREASURY NOTES 5.62570 DUE 12/31/02 PROCEEDS: 2,012.58 ACQUISITION VALUE: 2.070.00 1,000 PAR USA TREASURY NOTES 5.5070 DUE 02/28/03 PROCEEDS: ACQUISITION VALUE: 1,012.81 1.036.72 8,000 PAR USA TREASURY NOTES 5.2570 DUE 05/15/04 PROCEEDS: 8,437.50 ACQUISITION VALUE: 8.321.25 3,000 PAR USA TREASURY NOTES 5.87570 DUE 11/15/04 116 . 25 PROCEEDS: ACQUISITION VALUE: 3,241.17 3.169.69 71.48 5,000 PAR USA TREASURY NOTES 5.62570 DUE 11/30/02 PROCEEDS: ACQUISITION VALUE: 5,013.87 5.164.06 5,000 PAR USA TREASURY NOTES 5.12570 DUE 12/31/02 PROCEEDS: 5,027.93 ACQUISITION VALUE: 5.150.00 5,000 PAR USA TREASURY NOTES 4.2570 DUE 03/31/03 PROCEEDS: 5,058.79 ACQUISITION VALUE: 5.112.50 5,000 PAR USA TREASURY NOTES 4.2570 DUE 05/31/03 PROCEEDS: ACQUISITION VALUE: 5,082.81 5.113.28 - 14 - -------------------------- ----- - - ------ --------- ----- 770568 LOSS 93.75- 57.42- 23.91- 150.19- 122.07- 53. 71- 30.47- TRSN02(10/02) PNC ADVISORS o PNCBAN< GRACE L SWARTZ 11/05/02 11/05/02 GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS GAIN 3,000 PAR USA TREASURY NOTES 3.875Y. DUE 07/31/03 PROCEEDS: 3,054.61 ACQUISITION VALUE: 3.048.75 2,000 PAR USA TREASURY NOTES 2.75Y. DUE 10/31/03 PROCEEDS: 2,025.86 ACQUISITION VALUE: 1.988.13 TOTAL GAINS AND LOSSES LESS GAIN NET LOSS 5.86 37.73 1,413.56 - 15 - 770568 LOSS 1,615.28- 1.413.56 201.72- ---------- ---------- TRSNOZ 110/0Z1 PNC ADVISORS GRACE L SWARTZ 1/02/02 DISBURSEMENTS OF PRINCIPAL DEBTS OF DECEDENT VERIZON PHONE SERVICE FARMERS NEW CENTURY INSURANCE CO AUTOMOBILE INSURANCE PREMIUM MESSIAH VILLAGE NURSING HOME CARE FARMERS NEW CENTURY INSURANCE CO POLICY 1919945118 HOMEOWNERS INSURANCE PREMIUM PENNA DEPARTMENT OF REVENUE 2000 QUARTERLY INDIVIDUAL ESTIMATED INCOME TAX INTERNAL REVENUE SERVICE 2000 QUARTERLY INDIVIDUAL ESTIMATED INCOME TAX VERIZON PHONE SERVICE FINAL BILL MESSIAH VILLAGE MONTHLY COTTAGE RENTAL PPL ELECTRIC UTILITIES UTILITY SERVICE MESSIAH VILLAGE MONTHLY COTTAGE RENTAL FINAL PAYMENT INTERNAL REVENUE SERVICE 2001 QUARTERLY INDIVIDUAL ESTIMATED INCOME TAX PENNA DEPARTMENT OF REVENUE 2001 QUARTERLY INDIVIDUAL ESTIMATED INCOME TAX 450.00 LESS REFUND 11/15/02 369.00 1/03/02 1/10/02 1/14/02 1/15/02 1/15/02 1/22/02 2/08/02 2/19/02 3/11/02 4/15/02 4/15/02 8/07/02 PINNACLE HEALTH HOSPICE PROFESSIONAL SERVICES PPL ELECTRIC UTILITIES CORP SERVICE 12/26/01 1/25/02 3/04/02 67.39- 82.82- 22.59- - 16 - o PNCBAN< 770568 15.00- 47.28- 878.15- 7.34- 85.00- 1,052.00- 7.31- 395.00- 70.18- 272.71- 3,400.00- 81. 00- 423.28- 172.80- TRSNOZ (10/02) PNC ADVISORS GRACE L SWARTZ DISBURSEMENTS OF PRINCIPAL 1/29/02 TOTAL DEBTS OF DECEDENT FUNERAL EXPENSES NEILL FUNERAL HOME INC FUNERAL SERVICES 1/02/02 TOTAL FUNERAL EXPENSES ADMINISTRATIVE EXPENSES REGISTER OF WILLS SHORT CERTIFICATES SAIDIS SHUFF FLOWER & LINDSAY REIMBURSEMENT OF PROBATE FEES PNC BANK NATIONAL ASSOCIATION REIMBURSEMENT FOR SHORT CERTIFICATES CLAUDE C WOLFE & ASSOCIATES APPRAISAL OF PERSONAL PROPERTY ROSE MARIE'S ANTIQUES APPRAISAL OF JEWELRY BUREAU OF VITAL RECORDS DEATH CERTIFICATES REGISTER OF WILLS SHORT CERTIFICATES AUCTIONEER'S COMMISSION & EXPENSES SALE OF PERSONAL PROPERTY BUREAU OF VITAL RECORDS DEATH CERTIFICATES PNC BANK NATIONAL ASSOCIATION CHECKING ACCOUNT 15140063356 SERVICE CHARGE SAIDIS SHUFF FLOWER & LINDSAY REIMBURSEMENT FOR LEGAL ADVERTISING REGISTER OF WILLS FILING FEE RE PENNA INHERITANCE TAX RETURN REGISTER OF WILLS FILING FEE RE INVENTORY 2/01/02 2/07/02 2/07/02 2/22/02 3/12/02 4/10/02 4/15/02 4/18/02 5/03/02 6/11/02 9/12/02 9/12/02 - 17 - o PNCBAN< 770568 6,907.05- 8,235.35- 8,235.35- 45.00- 226.00- 15.00- 195.00- 35.00- 6.00- 9.00- 985.00- 9.00- 20.00- 194.95- 15.00- 37.00- TRSN0211 0/02) PNC ADVISORS GRACE L SWARTZ 12/06/02 DISBURSEMENTS OF PRINCIPAL REGISTER OF WILLS FILING FEE RE SUPPLEMENTAL PENNA INHERITANCE TAX RETURN REGISTER OF WILLS RESERVE FOR FILING FIRST AND FINAL ACCOUNT 2/28/03 3/14/02 TOTAL ADMINISTRATIVE EXPENSES FEDERAL AND STATE TAXES REGISTER OF WILLS PENNA INHERITANCE TAX LESS 5Y. DISCOUNT 64,000.00 3,200.00 9/12/02 REGISTER OF WILLS BALANCE PENNA INHERITANCE TAX REGISTER OF WILLS BALANCE PENNA INHERITANCE TAX PER SUPPLEMENTAL RETURN REGISTER OF WILLS INTEREST AND PENALTY DUE ON PENNA INHERITANCE TAX 12/06/02 1/31/03 2/28/03 TOTAL FEDERAL AND STATE TAXES FEES AND COMMISSIONS SAIDUS SHUFF FLOWER & LINDSAY COUNSEL FEE PNC BANK, NATIONAL ASSOCIATION EXECUTORS COMPENSATION 2/28/03 TOTAL FEES AND COMMISSIONS TOTAL PRINCIPAL DISBURSEMENTS - 18 - o PNCBAN< 770568 15.00- 400.00- 2,206.95- 60,800.00- 9,965.18- 1,031.70- 14.55- 71,811.43- 11,969.00- 23,938.00- 35,907.00- 125,067.78- ------------ ------------ TRSN02 (10102) GRACE L SWARTZ PNC ADVISORS o PNCBAN< DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES MESSIAH HOMES INC PER PARAGRAPH III 4/02/02 CASH DISTRIBUTED GRACE UNITED METHODIST CHURCH PER PARAGRAPH IV 4/02/02 CASH DISTRIBUTED NEWBERRY UNITED METHODIST CHURCH PER PARAGRAPH V 4/02/02 CASH DISTRIBUTED SUSAN A THALER PER PARAGRAPH VI 2/26/02 JEWELRY ANNA M TULU PER PARAGRAPH VI 2/26/02 PERSONAL PROPERTY ELIZABETH THALER PER PARAGRAPH VI 4/19/02 JEWELRY - 19 - 4,000.00- 1,000.00- 1,000.00- 20.00- 15.00- 100.00- 770568 4,000.00- 1,000.00- 1, 000.00- 20.00- 15.00- 100.00- TRSN02 (10102) GRACE L SWARTZ ~---~_._--_._-------_._-~---~----~--_._---- PNC ADVISORS DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES CRISTINA STACCONE PER PARAGRAPH VI 2/26/02 JEWELRY PERSONAL PROPERTY 6/25/02 JEWElRY VICTORIA HANN REYNOLDS PER PARAGRAPH VII A 5/02/02 CASH DISTRIBUTED DONNA L THALER PER PARAGRAPH VII B 5/02/02 CASH DISTRIBUTED DANIEL E FLEXER JR 5/02/02 CASH DISTRIBUTED CHARLES F FLEXER 5/02/02 CASH DISTRIBUTED JUDITH D STACCONE 5/02/02 CASH DISTRIBUTED - 20 - o PNCBAN< 20.00- 10.00- 25.00- 75.000.00- 75.000.00- 18.750.00- 18.750.00- 18.750.00- 170568 55.00- 75.000.00- 75.000.00- 18.750.00- 18.750.00- 18.750.00- TRSN02C10/02J --~----~~-~--------------------------------------------- --- --- GRACE L SWARTZ PNC ADVISORS o PNC"BAN< DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES MICHAEL R HORN 5/02/02 CASH DISTRIBUTED TOTAL PRINCIPAL DISTRIBUTIONS - 21 - 18,750.00- 770568 18,750.00- 231,190.00- ---------- ---------- TRSNOZl10/0ZJ PNC ADVISORS GRACE L SWARTZ PRINCIPAL BALANCE ON HAND INVESTED CASH TOTAL PRINCIPAL - 22 - o PNCBAN< VALUE 2/28/03 208,771. 78 208,771.78 770568 ACQUISITION VALUE 208,771.78 208,771. 78 ------------ ------------ ------------ ------------ TRSNOZUO/OZJ PNC ADVISORS GRACE l SWARTZ RECEIPTS OF INCOME 1/04/02 INTEREST PNC BANK NATIONAL ASSOCIATION SAVINGS ACCOUNT 15003113388 INTEREST TO CLOSE PNC BANK NATIONAL ASSOCIATION SAVINGS ACCOUNT 15080064313 INTEREST TO CLOSE USA SAVINGS BONDS SERIES EE DUE AND DATED VARIOUS DATES INTEREST USA SAVINGS BONDS SERIES I DUE AND DATED VARIOUS DATES INTEREST MEMBERS 1ST FEDERAL CREDIT UNION INTEREST ON VARIOUS CERTIFICATES OF DEPOSIT MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS ACCOUNT 18959-04 INTEREST TO CLOSE MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS ACCOUNT 18959-04 INTEREST 02/05/02 TO 03/13/02 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS ACCOUNT 18959-00 INTEREST 02/05/02 TO 03/13/02 ING RElIASTAR INSURANCE POLICY 12A02438370 INTEREST TO REDEMPTION FEDERAL EMPLOYEE GROUP lIFE INSURANCE POLICY 120020206066 INTEREST TO REDEMPTION PNC BANK NATIONAL ASSOCIATION CHECKING ACCOUNT 15140063356 INTEREST TO CLOSE USA SAVINGS BONDS SERIES I DATED 10/2001 11/04/02 96.00 FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1223-0042159 1/23/02 15.95 FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0114906 1/23/02 33.20 1/04/02 1/23/02 1/29/02 2/08/02 2/08/02 3/15/02 3/15/02 4/1 0/02 4/26/02 5/03/02 - 23 - o PNCBAN< 770568 22.43 .05 198.80 58.80 298.32 2.99 1.72 8.88 66.61 42.41 4.33 96.00 15.95 33.20 TRSN02 C 10102' -----------------~~------- PNC ADVISORS GRACE l SWARTZ RECEIPTS OF INCOME FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0114913 1/23/02 32.40 FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0114961 1/23/02 4.13 FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0114968 1/23/02 21.72 FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0114972 1/23/02 46.55 FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0114991 1/23/02 53.06 FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115008 1/23/02 22.12 FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115009 1/23/02 30.07 1/23/02 2.60 FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0115015 1/23/02 29.59 FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115016 1/23/02 36.53 FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115017 1/23/02 17.79 FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115031 1/23/02 46.33 FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115040 1/23/02 36.72 FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115042 1/23/02 24.60 FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115051 1/23/02 22.85 - 24 - ----~------------------ --------------- - -- o PNCBAN< 770568 32.40 4.13 21.72 46.55 53.06 22.12 32.67 29.59 36.53 17.79 46.33 36.72 24.60 22.85 TRSN02 (0102) PNC ADVISORS GRACE l SWARTZ RECEIPTS OF INCOME FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115054 1/23/02 18.25 FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0156535 1/23/02 12.58 FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0156545 1/23/02 20.86 FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0156559 1/23/02 16.61 WAVPOINT BANK SAVINGS CERTIFICATE ACCOUNT #7100009516 1/16/02 12.46 WAVPOINT BANK SAVINGS CERTIFICATE ACCOUNT #7100009634 1/16/02 12.13 WAVPOINT BANK SAVINGS CERTIFICATE ACCOUNT #7100010529 1/16/02 43.74 WAVPOINT BANK SAVINGS CERTIFICATE ACCOUNT #8000041696 1/16/02 9.60 WAVPOINT BANK SAVINGS CERTIFICATE ACCOUNT #8000050012 1/08/02 6.49 1/16/02 5.73 WAVPOINT BANK SAVINGS CERTIFICATE ACCOUNT #8000050279 1/08/02 10.88 1/16/02 6.50 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-40 2/08/02 9.77 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-42 2/08/02 8.95 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-49 2/08/02 18.81 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-50 2/08/02 23.81 - 25 - o PNCBAN< 170568 18.25 12.58 20.86 16 .61 12.46 12.13 43.74 9.60 12.22 17.38 9.17 8.95 18.81 23.81 TRSN02C'O/02) PNC ADVISORS o PNCBAN< GRACE l SWARTZ 770568 RECEIPTS OF INCOME MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-53 2/08/02 106.18 106.18 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-56 2/08/02 42.98 42.98 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-57 2/08/02 41. 69 41.69 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-58 2/08/02 20.84 20.84 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-59 2/08/02 19.76 19.76 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-60 2/08/02 26.60 26.60 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-63 2/08/02 29.14 29.14 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-67 2/08/02 17.78 17 .78 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-68 2/08/02 14.40 14.40 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-69 2/08/02 27.52 27.52 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-70 2/08/02 3.64 3.64 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-71 2/08/02 13.39 13.39 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-89 2/08/02 7.50 7.50 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-90 2/08/02 17.11 17.11 TRSNOZ (10102) - 26 - PNC ADVISORS GRACE L SWARTZ RECEIPTS OF INCOME MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-96 2/08/02 19.55 WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT 18000050318 1/08/02 3.03 1/16/02 2.69 PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131300165694 1/22/02 39.70 PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131400165503 1/17/02 24.93 PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131800166727 1/17/02 33.88 PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131700210093 1/17/02 29.84 PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131300211131 1/17/02 29.08 PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131600212375 1/17/02 44.29 PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131800212377 1/17/02 18.33 PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131100218020 1/17/02 42.21 PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131300218751 1/17/02 21.09 PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT 131500218164 1/17/02 21.08 DERRY TWP PA SCH DIST SER A RFDG 5.125Y. DUE 09/01/07 1/28/02 30.61 ERIE PA WTR AUTH REV REF SER A 5.30Y. DUE 12/01/04 1/28/02 31.65 - 27 - -------------------.---------------- ----------- --- o PNCBAN< 770568 19.55 5.72 39.70 24.93 33.88 29.84 29.08 44.29 18.33 42.21 21. 09 21. 08 30.61 31.65 TRSN02 (101021 PNC ADVISORS o PNCBAN< GRACE L SWARTZ 770568 RECEIPTS OF INCOME HEMPFIELD PA SCH DIST LANCASTER CNTY G 0 4.85Y. DUE 10/15/06 1/28/02 28.96 28.96 USA SAVINGS BONDS SERIES HH DATED 08/01/92 DUE 08/01/12 2/08/02 7.50 7.50 USA SAVINGS BONDS SERIES HH DATED 09/01/92 DUE 09/01/12 5/06/02 12.50 12.50 USA SAVINGS BOND SERIES HH DATED 10/01/92 DUE 10/01/12 4/09/02 37.00 37.00 USA SAVINGS BONDS SERIES HH DATED 01/01/1993 DUE 01/01/2013 2/08/02 5.00 5.00 USA TREASURY BOND 11.625Y. DUE 11/15/04 5/15/02 48.50 11/05/02 54.97 103.47 USA TREASURY NOTES 3.375Y. DUE 01/15/07 2/08/02 4.88 7/15/02 19 .15 11/05/02 11.82 35.85 USA TREASURY NOTES 6.625Y. DUE 04/30/02 4/30/02 49.78 49.78 USA TREASURY NOTES 6.50Y. DUE 05/31/02 5/31/02 29.82 29.82 USA TREASURY NOTES 6.25Y. DUE 06/30/02 2/08/02 5.43 7/01/02 62.50 67.93 USA TREASURY NOTES 6Y. DUE 07/31/02 2/08/02 22.99 7/31/02 90.00 112.99 USA TREASURY NOTES 6.25Y. DUE 08/31/02 2/28/02 25.90 9/03/02 62.50 88.40 USA TREASURY NOTES 5.875Y. DUE 09/30/02 4/01/02 34.22 TRSN02 (1 0/02) - 28 - PNC ADVISORS o PNCBAN< GRACE L SWARTZ 770568 RECEIPTS OF INCOME CONTINUED: USA TREASURY NOTES 9/30/02 58.75 92.97 USA TREASURY NOTES 5.75% DUE 10/31/02 4/30/02 64.81 10/31/02 86.25 151.06 USA TREASURY NOTES 5.75% DUE 11/30/02 5/31/02 79.14 11/05/02 74.47 153.61 USA TREASURY NOTES 5.625% DUE 12/31/02 2/08/02 4.89 7/01/02 56.25 11/05/02 39.13 100.27 USA TREASURY NOTES 5.50% DUE 02/28/03 2/28/02 11.40 9/03/02 27.50 11/05/02 10.03 48.93 USA TREASURY NOTES 5.25% DUE 05/15/04 5/15/02 175.19 11/05/02 198.59 373.78 USA TREASURY NOTES 5.875% DUE 11/15/04 5/15/02 73.52 11/05/02 83.34 156.86 USA TREASURY NOTES 6.375% DUE 01/31/02 2/11/02 24.43 24.43 USA TREASURY NOTES 6.50% DUE 02/28/2002 2/28/02 40.40 40.40 USA TREASURY NOTES 6.625% DUE 05/31/02 5/31/02 151. 98 151. 98 USA TREASURY NOTES 6.25% DUE 07/31/02 2/08/02 39.91 7/31/02 156.25 196.16 USA TREASURY NOTES 6.125% DUE 08/31/02 2/28/02 63.45 9/03/02 153.13 216.58 TRSN02 (10/02. - 29 - PNC ADVISORS GRACE L SWARTZ RECEIPTS OF INCOME USA TREASURY NOTES 5.625% DUE 11/30/02 5/31/02 11/05/02 129.04 121. 42 USA TREASURY NOTES 5.125% DUE 12/31/02 2/08/02 7/01/02 11/05/02 USA TREASURY NOTES 4.25% DUE 03/31/03 4/01/02 9/30/02 11/05/02 USA TREASURY NOTES 4.25% DUE 05/31/03 5/31/02 11/05/02 USA TREASURY NOTES 3.875% DUE 07/31/03 2/08/02 7/31/02 11/05/02 USA TREASURY NOTES 2.75% DUE 10/31/03 4/30/02 10/31/02 11/05/02 DIVIDEND WAL-MART STORES INC COMMON 1/11/02 7.00 11.15 128.13 89.13 61.88 106.25 21.02 97.49 91. 73 14.85 58.13 30.64 20.66 27.50 .76 OTHER INCOME VANGUARD STAR FD STAR PORTFOLIO FD 156 1/11/02 28.14 VANGUARD FIXED INCOME SECURITIES FUND INC GNMA PORTFOLIO FD 136 1/11/02 38.84 1/28/02 27.69 VANGUARD INDEX TR TOTAL STOCK MARKET PORTFOLIO FD 185 1/11/02 8.64 BLACKROCK US TREASURY MM INSTITUTIONAL CLASS FD 102 1/02/02 10.59 - 30 - o PNCBAN< 770568 250.46 228.41 189.15 189.22 103.62 48.92 7.00 28.14 66.53 8.64 TRSN02t10/02J PNC ADVISORS o PNCBAN< GRACE L SWARTZ 770568 RECEIPTS OF INCOME CONTI NUED : BLACK ROCK US TREASURY MM 2/01/02 .63 2/01/02 159.41 3/01/02 2.57 3/01/02 481.50 4/01/02 3.99 4/01/02 525.84 5/01/02 4.65 5/01/02 491.29 6/03/02 6.10 6/03/02 232.02 7/01/02 6.64 7/01/02 205.35 8/01/02 7.01 8/01/02 202.15 9/03/02 7.57 9/03/02 213.36 10/01/02 7.71 1 % 1/02 226.33 11/01/02 8.16 11/01/02 228.43 12/02/02 7.35 12/02/02 217 . 40 1/02/03 2.93 1/02/03 209.61 2/03/03 .38 2/03/03 196.49 3,665.46 TOTAL INCOME 9,366.99 ------------ ------------ TRSN02 (1 0/02) - 31 - PNC ADVISORS GRACE L SWARTZ 2/28/03 DISBURSEMENTS OF INCOME PNC BANK, NATIONAL ASSOCIATION RESERVE FOR STATE FIDUCIARY INCOME TAX PNC BANK NATIONAL ASSOCIATION INCOME COMPENSATION 1/1 0/02 2/08/02 3/08/02 4/1 0/02 5/10/02 6/10/02 7/10/02 8/09/02 9/10/02 10/10/02 11/08/02 12/10/02 1/10/03 2/10/03 TOTAL INCOME DISBURSEMENTS - 32 - 3.21- 160.10- 45.21- 48.54- 44.11- 67.54- 27.53- 31. 96- 27.84- 23.94- 76.40- 13.49- 12.75- 11.81- o PNCBAN< 770568 10.00- 594.43- 604.43- ---------- ---------- TRSNOZ I1O/OZ, GRACE L SWARTZ PNC ADVISORS o PNCBAN< DISTRIBUTIONS OF INCOME TO BENEFICIARIES VICTORIA HANN REYNOLDS PER PARAGRAPH VII A 12/12/02 CASH DISTRIBUTED DONNA L THALER PER PARAGRAPH VII B 12/12/02 CASH DISTRIBUTED DANIEL E FLEXER JR 12/12/02 CASH DISTRIBUTED CHARLES F FLEXER 12/12/02 CASH DISTRIBUTED JUDITH D STACCONE 12/12/02 CASH DISTRIBUTED MICHAEL R HORN 12/12/02 CASH DISTRIBUTED TOTAL INCOME DISTRIBUTIONS - 33 - 2,700.00- 2,700.00- 675.00- 675.00- 675.00- 675.00- 770568 2,700.00- 2,700.00- 675.00- 675.00- 675.00- 675.00- 8,100.00- ---------- ---------- TRSN021101021 PNC ADVISORS GRACE L SWARTZ BALANCE OF INCOME ON HAND INVESTED CASH TOTAL INCOME - 34 - o PNCBAN< VALUE 2/28/03 662.56 662.56 770568 ACQUISITION ~ 662.56 662.56 ------------ ------------ ------------ ------------ TRSN0211010Z) PROPOSED SCHEDULE OF DISTRIBUTION GRACE L. SWARTZ EST A TE Balance Remaining per First and Final Account The Executor proposes to distribute the balance according to decedent's Last Will and Testament in the following manner: In Satisfaction ofItem VII-A: To: Victoria H. Reynolds - 1/3 residue Cash In Satisfaction ofItem VII-B: To: Donna L. Thaler - 1/3 residue Cash In Satisfaction of Item VII -C 1 : To: Daniel E. Flexer Jr. - 'l4 of 1/3 residue Cash In Satisfaction ofItem VII-C2: To: Charles F. Flexer - 'l4 of 1/3 residue Cash In Satisfaction of Item VII-C3: To: Judith D. Staccone - 'l4 of 1/3 residue Cash In Satisfaction ofItem VII-C4 To: Michael Horn - 'l4 of 1/3 residue Cash Total - 34A - $209.434.34 $ 69,796.69 $ 69,796.69 $ 17,460.24 $ 17,460.24 $ 17,460.24 $ 17.460.24 $209.434.34 --------------~-----_._--_._-_._._- PNC ADVISORS o PNCBAN< 0770568 ESTATE OF GRACE L SWARTZ DECEASED (DIED 12/15/01) ::~~ON EXECUTOR - 35 - TRSNOZll0/0Z1 PNC ADVISORS o PNCBAN< COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS LINDA J LUNDBERG BEING DULY AFFIRMED ACCORDING TO LAW DEPOSES AND SAYS THAT SHE IS AN ASSISTANT VICE PRESIDENT OF PNC BANK, NATIONAL ASSOCIATION, THE ACCOUNTANT NAMED IN THE FOREGOING ACCOUNT AND THAT THE SAID ACCOUNT IS JUST AND TRUE TO THE BEST OF HER KNOWLEDGE AND BELIEF AND THE GRANT OF LETTERS AND THE FIRST COMPLETE ADVERTISEMENT THEREOF OCCURRED MORE THAN FOUR MONTHS BEFORE FILING OF THE ACCOUNT AND THE DECEDENT WAS NOT ADJUDICATED INCOMPETENT AFFIRMED AND SUBSCRIBED TO //~ DAY OF 2003 BY CERTIFY THAT I AM NOT DIRECTOR OR OFFICER OF PNC BANK, NATIONAL ASSOCIATION PUb!iC'~ ~ '. .'."".":~_,:,..,:,, .:'~,'":.... "2 -J NOl')\R!N. S,:AL DEN!S~~ C. S~ r..:)~: - 36 - .. - - ~~- ~ TRSNOZ (10102) --/ ~ /. . . PNClRANlK ESTATE OF GRACE L SWARTZ DECEASED (DIED 12/15/01) LATE OF THE TOWNSHIP OF UPPER ALLEN CUMBERLAND COUNTY PA WILL NO. 21-01-1161 INVENTORY COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND LINDA J LUNDBERG ASSISTANT VICE PRESIDENT OF PNC BANK NATIONAL ASSOCIATION EXECUTOR OF THE ESTATE OF GRACE L SWARTZ DECEASED HAVING BEEN DULY AFFIRMED ACCORDING TO LAW DID DEPOSE AND SAY THAT THE ITEMS APPEARING IN THE FOLLOWING INVENTORY ARE PERSONAL ASSETS WHEREVER SITUATE AND REAL ESTATE IF ANY IN THE COMMONWEALTH OF PENNSYLVANIA OF SAID DECEDENT THAT THE VALUATION PLACED OPPOSITE EACH ITEM OF SAID INVENTORY REPRESENTS ITS FAIR VALUE AS OF THE DATE OF THE DECEDENT'S DEATH AND THAT THE DECEDENT OWNED NO REAL ESTATE OUTSIDE THE COMMONWEALTH OF PENNSYLVANIA EXCEPT THAT WHICH APPEARS IN A MEMORANDUM AT THE END OF THIS INVENTORY / .--?;/L THIS /c -1 DAY / AFFIRMED AND SUBSCRIBED BEFORE ME ~ 20.:&1-. L~__:::- - ...--- (" - ' , ~~ _ a-- " "r~, . '1"..' ,.,\ L \~: ::: L : ~ ~]~: ~n l.\.l.l ,..-. NOTARiAl SEAL " - ;"E C SULLENBERGER, Notary PUbllC '-';:,'t.pden Twp., cu!!,berland COU~ ~i,"'mlsslon Expiras Nov. 22. 2 _ - 1 - TRSNOI 1101551 ~ .. . PRIVATE BANK PNCJBANK GRACE L SCHWARTZ 770568 BONDS 5,000 PAR DERRY TWP PA SCH DIST SER A RFDG 5.125% DUE 09/01/07 Gl 102.2760 INTEREST FROM 9/01/01 TO 12/15/01 5,000 PAR ERIE PA WTR AUTH REV REF SER A 5.30% DUE 12/01/04 Gl 106.1520 INTEREST FROM 12/01/01 TO 12/15/01 5,000 PAR HEMPFIELD PA SCH DIST LANCASTER CNTY G 0 4.85% DUE 10/15/06 Gl 103.0892 INTEREST FROM 10/15/01 TO 12/15/01 1,000 PAR USA SAVINGS BONDS SERIES HH DATED 08/01/92 DUE 08/01/12 Gl 100.0000 INTEREST FROM 8/01/91 TO 12/15/01 1,000 PAR USA SAVINGS BONDS SERIES HH DATED 09/01/92 DUE 09/01/12 Gl 100.0000 2,000 PAR USA SAVINGS BOND SERIES HH DATED 10/01/92 DUE 10/01/12 Gl 100.0000 2,000 PAR USA SAVINGS BONDS SERIES HH DATED 01/01/1993 DUE 01/01/2013 Gl 100.0000 INTEREST FROM 8/01/91 TO 12/15/01 1,000 PAR USA SAVINGS BONDS SERIES H DATED 06/01/74 DUE 10/01/04 Gl 100.0000 1,000 PAR USA SAVINGS BONDS SERIES H DATED 11/01/74 DUE 11/01/04 Gl 100.0000 1,000 PAR USA TREASURY BOND 11.625% DUE 11/15/04 Gl 121.1250 INTEREST FROM 11/15/01 TO 12/15/01 1,000 PAR USA TREASURY NOTES 3.375% DUE 01/15/07 Gl 100.2190 INTEREST FROM 7/15/01 TO 12/15/01 2,000 PAR USA TREASURY NOTES 6.625% DUE 04/30/02 Gl 101.8125 INTEREST FROM 10/31/01 TO 12/15/01 5,113.80 74.03 5,307.60 10.31 5,154.46 40.42 1,000.00 22.50 1,000.00 2,000.00 2,000.00 55.00 1,000.00 1,000.00 1,211.25 9.63 1,002.19 14.03 2,036.25 16.47 TASN02C10/9SJ - 2 - PRIVATE BANK PNCJ8ANK GRACE L SCHWARTZ 770568 CONTINUED: BONDS 1, 000 PAR USA TREASURY NOTES 6.50Y. DUE 05/31/02 CiI 102.1880 1,021.88 INTEREST FROM 11/30/01 TO 12/15/01 2.68 2,000 PAR USA TREASURY NOTES 6.25Y. DUE 06/30/02 CiI 102.3750 2,047.50 INTEREST FROM 6/30/01 TO 12115/01 57.07 3,000 PAR USA TREASURY NOTES 6Y. DUE 07/31/02 CiI 102.5780 3,077.34 INTEREST FROM 7/31/01 TO 12115/01 67.01 2,000 PAR USA TREASURY NOTES 6.25Y. DUE 08/31/02 CiI 102.9845 2,059.69 INTEREST FROM 8/31/01 TO 12/15/01 36.60 2,000 PAR USA TREASURY NOTES 5.875Y. DUE 09/30/02 CiI 103.0000 2,060.00 INTEREST FROM 9/30/01 TO 12115/01 24.53 3,000 PAR USA TREASURY NOTES 5.75Y. DUE 10/31/02 CiI 103.1720 3,095.16 INTEREST FROM 10/31/01 TO 12/15/01 21.44 3,000 PAR USA TREASURY NOTES 5.75Y. DUE 11/30/02 CiI 103.4063 3,102.19 INTEREST FROM 11/30/01 TO 12/15/01 7.11 2,000 PAR USA TREASURY NOTES 5.625Y. DUE 12/31/02 CiI 103.5000 2,070.00 INTEREST FROM 6/30/01 TO 12/15/01 51.36 1,000 PAR USA TREASURY NOTES 5.50Y. DUE 02/28/03 CiI 103.6720 1,036.72 INTEREST FROM 8/31/01 TO 12115/01 16 .10 8,000 PAR USA TREASURY NOTES 5.25Y. DUE 05/15/04 CiI 104.0156 8,321.25 INTEREST FROM 11/15/01 TO 12/15/01 34.81 3,000 PAR USA TREASURY NOTES 5.875Y. DUE 11/15/04 CiI 105.6563 3,169.69 INTEREST FROM 11/15/01 TO 12115/01 14.61 TRSN02110lSS1 - 3 - PRIVATE BANK PNC~ANK GRACE l SCHWARTZ 770568 CONTINUED: BONDS 3,000 PAR USA TREASURY NOTES 6.375Y. DUE 01/31/02 iil 100.6093 3,018.28 INTEREST FROM 7/31/01 TO 12/15/01 71.20 3,000 PAR USA TREASURY NOTES 6.50Y. DUE 02/28/02 iil 101.0000 3,030.00 INTEREST FROM 8/31/01 TO 12/15/01 57.10 5,000 PAR USA TREASURY NOTES 6.625Y. DUE 05/31/02 iil 102.2032 5,110.16 INTEREST FROM 11/30/01 TO 12/15/01 13.65 5,000 PAR USA TREASURY NOTES 6.25Y. DUE 07/31/02 iil 102.7188 5,135.94 INTEREST FROM 7/31/01 TO 12/15/01 116.34 5,000 PAR USA TREASURY NOTES 6.125Y. DUE 08/31/02 iil 102.9062 5,145.31 INTEREST FROM 8/31/01 TO 12/15/01 89.68 5,000 PAR USA TREASURY NOTES 5.625Y. DUE 11/30/02 iil 103.2812 5,164.06 INTEREST FROM 11/30/01 TO 12/15/01 11.59 5,000 PAR USA TREASURY NOTES 5.125Y. DUE 12/31/02 iil 103.0000 5,150.00 INTEREST FROM 6/30/01 TO 12/15/01 116.98 5,000 PAR USA TREASURY NOTES 4.25Y. DUE 03/31/03 iil 102.2500 5,112.50 INTEREST FROM 9/30/01 TO 12/15/01 44.37 5,000 PAR USA TREASURY NOTES 4.25Y. DUE 05/31/03 iil 102.2656 5,113.28 INTEREST FROM 11/30/01 TO 12/15/01 8.76 3,000 PAR USA TREASURY NOTES 3.875Y. DUE 07/31/03 iil 101.6250 3,048.75 INTEREST FROM 7/31/01 TO 12/15/01 43.28 2,000 PAR USA TREASURY NOTES 2.75Y. DUE 10/31/03 iil 99.4065 1,988.13 INTEREST FROM 10/31/01 TO 12/15/01 6.84 TRSN02(10/9S) - 4 - PRIVATE BANK PNC:BANK . GRACE L SCHWARTZ 770568 PREFERRED STOCKS 17 SHS DUQUESNE LIGHT COMPANY 44 CUM PFD ii) 27.0000 DIVIDEND PAYABLE 1/01/02 459.00 8.50 COMMON STOCKS 100 SHS HERSHEY FOODS CORP COMMON ii) 65.9950 6,599.50 70 SHS LUCENT TECHNOLOGIES INC COMMON ii) 6.3274 442.92 50 SHS SELECT MEDICAL CORP COMMON ii) 15.4076 77 0 . 38 100 SHS WAL-MART STORES INC COMMON ii) 54.2925 5,429.25 50 SHS WAYPOINT FINANCIAL CORP COMMON ii) 14.1446 707.23 FUNDS 92.281 UTS VANGUARD STAR FD STAR PORTFOLIO FD #56 ii) 16.3500 758.134 UTS VANGUARD FIXED INCOME SECURITIES FUND INC GNMA PORTFOLIO FD #36 ii) 10.3300 121.065 SHS VANGUARD INDEX TR TOTAL STOCK MARKET PORTFOLIO FD #85 ii) 25.1900 CERTIFICATES 3,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #223-0042159 INTEREST TO 12/15/01 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0114906 INTEREST TO 12/15/01 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0114913 INTEREST TO 12/15/01 2,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0114961 INTEREST TO 12/15/01 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0114968 INTEREST TO 12/15/01 1,508.79 7,831. 52 3,049.63 3,000.00 28.05 5,000.00 120.52 5,000.00 33.86 2,000.00 34.04 5,000.00 70.03 TRSN02 C10/9S) - 5 - PRIVATE BANK PNC:BANK GRACE L SCHWARTZ 770568 CONTI NUED : CERTIFICATES 6,420.22 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0114972 6,420.22 INTEREST TO 12/15/01 160.33 7,482.77 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0114991 7,482.77 INTEREST TO 12/15/01 131.02 4,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115008 4,000.00 INTEREST TO 12/15/01 60.89 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115009 5,000.00 INTEREST TO 12/15/01 75.91 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115015 5,000.00 INTEREST TO 12/15/01 54.37 6,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115016 6,000.00 INTEREST TO 12/15/01 314.86 3,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115017 3,000.00 INTEREST TO 12/15/01 27.94 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115031 5,000.00 INTEREST TO 12/15/01 159.97 7,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115040 7,000.00 INTEREST TO 12/15/01 210.87 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115042 5,000.00 INTEREST TO 12/15/01 135.73 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115051 5,000.00 INTEREST TO 12/15/01 80.34 4,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0115054 4,000.00 INTEREST TO 12/15/01 59.00 3,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0156535 3,000.00 INTEREST TO 12/15/01 .66 5,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0156545 5,000.00 INTEREST TO 12/15/01 36.02 TRSNOZC10(95) - 6 - PRIVATE BANK PNCJmANK GRACE L SCHWARTZ 770568 CONTINUED: CERTIFICATES 4,000 PAR FULTON BANK SAVINGS CERTIFICATE ACCOUNT 1328-0156559 4,000.00 INTEREST TO 12/15/01 10.89 3,056.7 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT 17100009516 3,056.70 INTEREST TO 12/15/01 17.13 3,064.27 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT 17100009634 3,064.27 INTEREST TO 12/15/01 5.30 10,184.85 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT 17100010529 10,184.85 INTEREST TO 12/15/01 19.10 4,000 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT 18000041696 4,000.00 INTEREST TO 12/15/01 8.96 3,000 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT 18000050012 3,000.00 INTEREST TO 12/15/01 5.35 2,268.02 PAR WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT 18000050279 2,268.02 INTEREST TO 12/15/01 2.53 3,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-40 3,000.00 INTEREST TO lU15/01 6.50 3,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-42 3,000.00 INTEREST TO 12/15/01 5.96 5,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-49 5,000.00 INTEREST TO 12/15/01 12.48 6,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-50 6,000.00 INTEREST TO 12/15/01 15.86 10,784.85 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-53 10,784.85 INTEREST TO lU15/01 28.46 5,227.39 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-56 5,227.39 INTEREST TO 12/15/01 11.53 5,205.41 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT 18959-57 5,205.41 INTEREST TO 12/15/01 11.18 TRSNOZ 11 0/95' - 7 - PRIVATE BANK PNC~ANK GRACE L SCHWARTZ 170568 CONTI NUED : CERTIFICATES 6,000.99 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-58 6,000.99 INTEREST TO 12/15/01 13.88 5,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-59 5,000.00 INTEREST TO 12/15/01 9.84 4,092.13 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-60 4,092.13 INTEREST TO 12/15/01 7.14 11,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-63 11,000.00 INTEREST TO 12/15/01 19.41 7,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-67 7,000.00 INTEREST TO 12/15/01 11.84 6,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-68 6,000.00 INTEREST TO 12/15/01 9.60 5,030.48 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-69 5,030.48 INTEREST TO 12/15/01 7.39 1,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-70 1,000.00 INTEREST TO 12/15/01 2.42 5,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-71 5,000.00 INTEREST TO 12/15/01 8.92 2,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-89 2,000.00 INTEREST TO 12/15/01 4.99 1,837.24 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-90 1,837.24 INTEREST TO 12/15/01 4.59 5,000 PAR MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS CTF ACCOUNT #8959-96 5,000.00 INTEREST TO 12/15/01 13.02 2,000 PAR WAVPOINT BANK SAVINGS CERTIFICATE ACCOUNT #8000050318 2,000.00 INTEREST TO 12/15/01 2.23 6,845.17 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT #31300165694 6,845.17 INTEREST TO 12/15/01 7.71 TRSN02C10/SS) - 8 - I' . PRIVATE BANK GRACE L SCHWARTZ CONTINUED: CERTIFICATES 5,000 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT #31400165503 INTEREST TO 12/15/01 6,809.96 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT #31800166727 INTEREST TO 12/15/01 7,174.33 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT #31700210093 INTEREST TO 12/15/01 7,000 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT #31300211131 INTEREST TO 12/15/01 12,000 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT #31600212375 INTEREST TO 12/15/01 5,000 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT #31800212377 INTEREST TO 12/15/01 10,125.11 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT #31100218020 INTEREST TO 12/15/01 5,062.55 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT #31300218751 INTEREST TO 12/15/01 5,062.55 PAR PNC BANK NATIONAL ASSOCIATION CERTIFICATE OF DEPOSIT #31500218164 INTEREST TO 12/15/01 MISCELLANEOUS JEWELRY PERSONAL PROPERTY 1987 PONTIAC GRAND AM CASH PNC BANK NATIONAL ASSOCIATION SAVINGS ACCOUNT #5080064313 DATE OF DEATH BALANCE 212.43 INTEREST TO 12/15/01 .03 PNC BANK NATIONAL ASSOCIATION SAVINGS ACCOUNT #5003113388 DATE OF DEATH BALANCE 37,466.21 INTEREST TO 12/15/01 46.06 - 9 - . , PNClmANK 770568 5,000.00 78.00 6,809.96 9.83 7,174.33 11.54 7,000.00 19.69 12,000.00 231. 97 5,000.00 94.93 10,125.11 39.34 5,062.55 14.92 5,062.55 12.21 165.00 25.00 600.00 212.46 37,512.27 TRSNOZll0/S51 , . I . GRACE l SCHWARTZ CONTINUED: CASH PRIVATE BANK MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS ACCOUNT #8959-00 DATE OF DEATH BALANCE 347.89 INTEREST TO 12/15/01 .26 MEMBERS 1ST FEDERAL CREDIT UNION lIFE SAVINGS ACCOUNT #8959-04 DATE OF DEATH BALANCE 3,000.00 INTEREST TO 12/15/01 2.28 VANGUARD GROUP VANGUARD GNMA FUND INCOME PAYMENT DATED 11/30/01 HERSHEY FOODS CORP COMMON DIVIDEND PAYMENT DATED 12/14/01 MEMBERS 1ST FEDERAL CREDIT UNION INTEREST PAYMENT DATED 11/30/01 ERIE CNTY PA WATER BD 5.307. DUE 12/01/04 INTEREST PAYMENT DATED 12/01/01 FULTON BANK SAVINGS CERTIFICATE ACCOUNT #328-0156535 INTEREST PAYMENT DATED 12/13/01 PROCEEDS OF SALE OF MISCEllANEOUS COINS USA SAVINGS BONDS SERIES I DATED FROM APRIL 1999 THRU OCTOBER 2000 PROCEEDS OF REDEMPTION USA SAVINGS BONDS SERIES EE DATED FROM DECEMBER 1988 THRU APRIL 1999 PROCEEDS OF REDEMPTION PNC BANK NATIONAL ASSOCIATION CHECKING ACCOUNT #5140063356 DATE OF DEATH BALANCE 4,319.02 INTEREST TO 12/15/01 .33 WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT #41696 INTEREST PAYMENT DATED 11/30/01 WAYPOINT BANK SAVINGS CERTIFICATE ACCOUNT #50012 INTEREST PAYMENT DATED 11/30/01 - 10 - . I PNC~ANK. 77 0568 348.15 3,002.28 40.10 30.25 288.03 132.50 30.22 14.00 11,197.60 37,757.60 4,319.35 19.20 11.46 TRSN02f10/SSJ . 'I , , . GRACE L SCHWARTZ CONTINUED: CASH PRIVATE BANK WAVPOINT BANK SAVINGS CERTIFICATE ACCOUNT 150318 INTEREST PAVMENT DATED 11/30/01 FEDERAL EMPLOVEES GROUP LIFE INSURANCE POLICY 120020206066 AARP REFUND OF .MEMBERSHIP DUES PROCEEDS ON SALE OF SPANISH COIN ING RELIASTAR INSURANCE POLICY 12A02438370 BASIC DEATH BENEFIT 2,000.00 INTEREST TO 12/15/01 2,555.71 USA SAVINGS BONDS SERIES HH DTD 09/01/92 DUE 09/01/12 INTEREST TO 12/15/01 USA SAVINGS BONDS SERIES HH DTD 10/01/92 DUE 10/01/12 INTEREST TO 12/15/01 CIVIL SERVICE RETIREMENT AND DISABILITV FUND LUMP-SUM DEATH BENEFIT CASH FOUND IN COTTAGE MESSIAH VILLAGE REFUND OF PRO-RATA AQUISITION FEE FOR COTTAGE AT MESSIAH MEMBERS 1ST FEDERAL CREDIT UNION ACCOUNT 18959-00 LIFE INSURANCE PROCEEDS PROCEEDS OF SALE OF PERSONAL PROPERTY TOTAL INVENTORV - 11 - " I \ , PNCJBANK 770568 5.00 4,000.00 6.57 5.00 4,555.71 17 .50 23.00 932. 77 107.65 20,250.00 1,668.00 4,824.50 558,293.41 ------------ ------------ TRSN02110/9S) r ., . . " " . . It N rJ1 ~i~jt~'~i:~ ~I~~ a- ;;2 ;:;j ~ ~ > i x t'" ::<I m """" 8 .. .. t'" r/J I::::l i !~i ~i'H ~ ::J ::J en ...., """" m 18 i ~ - - t'" :I: rJ1 tj~~ ~ I7j .:::J.:::JJ'IlCi ~ ail ol~~~ ~~ mH ~ ~ ." :I: rJ1 ~z W '..,0.) :J> V) == ;~~~ ~ 0.. "" - ...., ~ ~1111~~1t~ ~~ .~ ~ ~ ~ fg - 0'\ N W m ~t"'" . =a~ ~ ~~ N S -I ~~ >- f-' ~ e [ g;, 86 ~:E So -,., l;;lI ~o i ! l1il m ft ~~ ~~ ~ 8 ~ O:iJ ~ ~ . r" ~ ~g ~ ~n 'l~i( ~~. f-' ~ ~~ 00'1 ~ () ~ trjtTl 0 R"" ~f-' ;;2 -I > 0 :;::lC/.l - aljfi 3(3 H m~ ~ m 3: "" iQ '<galQ. ~ ~ !. "0 3: ~ ~~ m ro :g ::! ::! ::5 ~ sg ff ~s: ~ Q.,~ ~ ~ . ~r !!l ~. l ~ a. ~ 8 --J --J t'" ;:>; """" ~ Z ~ ~::;rm Z !:>>"O~~~l= ~ ',Jo) w ~ ...., I::::l 2: -;.J -;J ;;J> en ~ :J 9? a:!. Cl ~ ~ t'J w w _ ...., rJ1 ~ ..4 ~ ....... it' ~ [f s. 000 [T1 ~ ....... Ul - rr1 =' - - -I f C - 0/ -:10- . Ql - ~ r.d~ 2-:+.- /~ -ocr...... /.~' "'~ .~. ,~. ~~' ~L~. _~ 3. !. ." ~ ,~- f. ~ -we :y,~~ ~_,-~ ~3 1 .,.- '_. n ".' " ,~ 0- <tI ;:; r-. '''. ~ Q., . .... ~. r " o _. Q. 1'.. , ..-~ :J:,..,.. . 1 .-__ <'" ,'. . ",. ;;'1 :i)' '. ," : ~ r ;;- ~. ! 0 -. g -~Oi= :'t' ~ :1 ~ ., \~. .,"'- f"") ., ---.. ;; ~ ~ {';('1 .':... :::; ....;;. ".. (It.... ~! 10 .K III ..... Go a ~.~.J H!KiUH :c, $ i ~ !I ~"it .- 8 .... ;:r 3~ ~ g a ~; ~~. f! f i i l~ hid:~f!~ ""'.. Sl.i~'j.a;,!f 00 ~,.,..3"I!lfli~C;::; riH ;U! 8: i:i~alg~l ! ~~ilfia! ~ .~ff~;!i~ ~.> f:. L; ..- / PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY UNTIL COMPLETION Name of Decedent: Date of Death: Estate No.: STATUS REPORT UNDER RULE 6.12 Grace L. SioBrtz 12/15/2001 21-01-1161 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes x No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: (date) 3. If the answer to No.1 is yes, state the following: Date: tv ,2,1 b~ . {) cr (MAH:rmtJAM3) R.W. . 58 A. Did the personal representative file a final account with the court? Yes x No . The separate Orphans' Court No. (if any) for the personal representative's account is: (Not Applicable in Dauphin County) Did the personal representative state an account informally to the parties in interest? Yes No Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to Ibis report. h~~ANK, N.A. . Signature;",i.-v';:~-I:;~"?5~ B. c. D. co t:~j o R Li.Ida J. LunIberg Name (Please type or print) ~ I Z ::::l -, PR; Bank, PO Box 300, Caup Hill FA 17001--0300 Address p ,'..t .D ... }:: ~j!. :5 .. " , ... -"~ 717-730-2265 Telephone No. Capacity: x Personal Representative Counsel for Personal Representative C-- REV-1500 EX + (6-00) OFFICIAL USEONLY COMMONWEALTH OF PENNSYLVANIA REV-1500 I, :lp. It.( DEPARTMENT OF REVENUE DEPT. 2B0001 INHERITANCE TAX RETURN FILENUMBER HARRISBURG, PA 1712B-0601 RESIDENT DECEDENT 21 2001 1161 COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INrTlAL) SOCIAL SECURITY NUMBER SWARTZ, GRACE L 173-07-8967 DECE- DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE DENT 12/15/2001 1/17/1917 WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER 3. Remainder Return CHECK ~ ,. Original Return ~ 2. Supplemental Return r (date of death prior to 12-13-82) APPRO- 4. Limited Estate 48. Future Interest Compromise 5. Federal Estate Tax Return Required (date of death after 12-12-62) '-' PRIATE 6. Decedent Died Testate 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach copy of Will) (Attach acopyof Trust) BLOCKS 9. Litigation Proceeds Received 10. Spousal Poverty Credit (date of death between o 11. Election to tax under Sec. P113(A) 12-31-91and 1-1-95) (Attach SchO) THIS SECTION MusT 8EcOMPLETEO. All. CORREsPONDENCE 8, CONFIDENT IAL JAXINFORMATiON SHOULD BE DIRECTED TO, NAME COMPLETE MAILING ADDRESS COR- LINDA J LUNDBERG RE- PO BOX 308 SPON FIRM NAME (If Applicable) CAMP HILL, PA 17001-0308 DENT PNC BANK. N,A. TELEPHONE NUMBER 717-730-2265 OFFICIAL USE ONLY 1. Real Estate (Schedule A) (1) 0.00 2. Stocks and Bonds (Schedule B) (2) 2,000.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 0,00 4. Mortgages & Notes Receivable (Schedule D) (4) 0.00 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 5,230;00 6. Jointly Owned Property (Schedule F) o Separate Bilting Requested (6) 0,00 RECA- PITULA- 7. Inter-Vivos Transfers & Miscellaneous TION Non-Probate Property (Schedule G or L) (7) 0.00 B. Total Gross Asseta (total Lines 1-7) (B) 7,230.00 9. Funeral Expenses & Administrative Costs (Schedule H)(9) 352,00 . 10. Debts of Decedent, Mortgage Liabilities, & LiensjSchedule 1)(10) 0.00 11. Total Deductions (total lines 9 & 10) (11) 352,00 12. Net Value of Estate (Line 8 minus Line 11) (12) 6,878,00 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax (13) 0.00 has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 6,878.00 SEE INSTRUCTiONS ON PAGE 2 FOR APPLICABLE RATES 15. Amountof Line 14 taxable at the spousal tax rate, or transfers under Sec. 9118(a)(1.2) 0.00 X .00 (15) 0.00 - TAX 16. Amountof Une 14 taxable at lineal rate 0.00 X .045 (1B) 0.00 - COMPU- 17. Amount of Lina 14 taxable atsibling rate 0.00 x.12 (17) 0.00 TATlON 1B. Amountof Line 14 taxable atcoUateral rate 6,878.00 X .15 (lB) 1,031.70 19. Tax Due (19) 1,031. 70 20. 0 I CHECK HEREIFYOU>ARE FlEOlJESTiNllA REFUND OF ANOIIERI'AYMENT I >>BE SURE TO ANSWER ALL OUESTIONS ON PAGE 2 AND RECHECK MATH<< o PA1S001 NTF 29755 Copyright 2000 Greatland/Nelco LP - Forms Software Only . PA REV-1500 EX (6-00) Deed C I dd Page 2 e ent'a omDlete A ress: STREET ADDRESS 630 HOLLY HEIGHTS MESSIAH VILLAGE CITY I STATE I ZIP MECHANICSBURG PA 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 1,031. 70 0.00 0.00 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Credits (A + B + C) (2) 0.00 0.00 0.00 TotallnterestlPena/1y (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. Make Check Payable to; REGISTER OF WILLS, AGENT (3) 0.00 (4) (5) 1,031. 70 (SA) 0.00 (5B) 1,031.70 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN 1. "X" IN THE APPROPRIATE BLOCKS Did decedent make a transfer and; a retain the use or income of the property transferred; . . . .. . . . . . . . .. . . . .. . . b. retain the right to designate who shall use the property transferred or its income; c. retain a reversionary interest; or. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d. receive the promise for life of either payments, benefits or care? .. . . . . . . . . . . . . . . . . . . . . . . . . 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Did decedent own an nin 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, r 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 pre parer other than the personal representative is based on information of which re arer has an knowle e. SIGNATU E OF PERSON BY: ADDRESS PO BOX 08 CAMP HILL, PA 17001-0308 F P EPARr OI ER EPRESENTATIVE T S 0 BOX 42933 ELPHIA, Yes No ~ I B ~ f<l o IBLE FOR FILING RETURN Vice President DATE \& DATE on on 172 P.S. I 9116(a)(1,1)(i)J. For dates of death on or after January 1, 1995, the tax rate is imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. Ii 9116 (a)(1. 1)(iill. The statute does nnt exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable Ilven if thllsurvivingspouseistheonly beneficiary. For dates of death on or after July 1, 2000: Thll tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the uSe of a natural parent, an adoptiVe parent, ora stepparent of the child is 0% [72 P.S. li9116(aX1.2)). The tax ratll imposed on the nllt valUe of transfers to or for the use of the deCedent's lineal beneficiaries is 4.5%, except as noted in 72.P.S.li 9116(1.2) [72 P.S.! 9116(aX1)). The tax rate impOSed on the net value of transfers to orfor the uSe of the decedllnt's siblings is 12% !72 P.S. Ii 91 1 6(a)(1.3)]. A sibling is defined, under Section 9102. assn individual who has at least one parent in common with the decedent, whether by blood or adoption. o PA15002 NTF 2g7S6 Copyright2000 Greatland/Nelco lP- Forms Software Only REV-1503 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SWARTZ, GRACE L SCHEDULE B STOCKS & BONDS FILE NUMBER 21-2001-1161 All property Jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NO. DESCRIPTION ,. 2 1000 SERIES I BOND ISSUED 10/2001 5.92% DUE 10/2031 VAlUE AT DATE OF DEATH 2,000.00 o PA15031 NTF33300 TOTAL (Also enter on line 2, Recapitulation) S (If more space IS needed, insert additional sheets of the same size) Copyright 2000 Greatland/Nelco LP- Forms Software Only 2,000.00 REV-1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERrrANCE TAX RETURN RESIDENT DECEDENT EST ATE OF SWARTZ, GRACE L SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21-2001-1161 Include proceeds of litigation & date proc..ds were received by tne estate All prop. Jointly-owned with right of survivorship must b. disclosed on Soh. F. rrEM NO. DESCRIPTION ,. UNITED STATES TREASURY 2001 FEDERAL INCOME TAX REFUND 2 COMMONWEALTH OF PENNSYLVANIA 2001 STATE INCOME TAX REFUND VALUE AT DATE OF DEATH 4,861. 00 369.00 o PA15081 NTF33305 TOTAL (Also enteron line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) Copyright2000 GreatlandlNelco LP- Forms SoftwaraOnly 5,230.00 REV-1511EX + (1-97) COMMONWEAL1H OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SWARTZ, GRACE L SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-2001-1161 Debts of decedent mU8t b. reported on Schedule I. ITEM NO. A FUNERAL EXPENSES: DESCRIPTION AMOUNT ,. B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) PNe BANK, N. A. Social Security Number(s)/EIN No. of Personal Representative(s) Street Address PO BOX 308 City CAMP HILL State PA Zip 17001-0308 190.00 Year(s) Commission Paid: 2. 3. Attorney Faes Name: SAlOIS SHUFF FLOWER & LINDSAY Family Exemption: (If decedent's address is not the same 8S claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 95.00 0.00 4. Probate Fees 0.00 5. Accountant's Fees 0.00 s. Tax Return Preparer's Fees 0.00 7. REGISTER OF WILLS FEE FOR FILING PA INHERITANCE TAX RETURN & INVENTORY 9 ADDITIONAL FEE FOR FILING SUPPLEMENTAL RETURN 52.00 15.00 o PA1S11l TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 352.00 NTF33308 Copyright2000 Greatland/Nelco LP- Forms Software Only REV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RES IDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER SWARTZ, GRACE L 21-2001-1161 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not List Truetee(a) OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (8) (1.2)] 1. HORN, MICHAEL 141 TRIBERG COURT HENDERSON, NY 89014 NEPHEW 573.17 2 STACCONE, JUDITH D 73 ROUND HILL ROAD WI LLIAMS PORT , PA 17701 NIECE 573.17 3 FLEXER, CHARLES F 3211 BOTTLE RUN ROAD WILLIAMSPORT, PA 17701 NEPHEW 573.17 4 FLEXER JR., DANIEL E 732 WILLIAMSON ROAD "ILLIAMSPORT, PA 17701 NEPHEW 573.17 5 THALER, DONNA L 17 DANA LANE ~ST ISLIP, NY 11730 NIECE 2,292.66 ENTER DOLLAR AMTS. FOR DISTRIBS. SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE ON REV-1S00 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE ,. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS ,. o PA1S131 TOTAL OF PART II -- ENTER TOTAL NON-TAXABLE DISTRIBS. ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) 0.00 NTF332i:13 Copyright 2000 Qreatland/Nelco LP - Forms Software Only Estate of: SWARTZ, GRACE L Page 2 21-2001-1161 Schedule J Part 1 -- Beneficiaries Item No. 6 Name and Address of Person(s) receiving property Relationship Amoun t or Share of Estate REYNOLDS, VICTORIA H 36 SIERRA VISTA DRIVE MONTEREY, CA 93940 NIECE 2,292.66