HomeMy WebLinkAbout07-12-05
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RliV-1500 EX. (6-00)
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REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
FILE NUMBER
~I ()S
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
/)() ,t:; 'I .~
NUMBER
D
E
C
E
D
E
N
T
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
E er Eleanor
DATE OF DEATH (MM-DD-YEAR)
DATE OF BIRTH (MM-DD-YEAR)
171-24-6203
THIS RETURN MUST BE FILED IN DUPLlCATEWJTH THE
Copyright (c) 2000 form software only The Lackner Group, Inc.
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
X 1. Original Return
4. Limited Estate
6. Decedent Died Testate
2. Supplemental Return
4a. Future Interest Compromise (date of death after 12-12-82)
7. Decedent Maintained a Living Trust
(Attach copy of Will) (Attach copy of Trust)
D 9. Litigation Proceeds Received 0 10. Spousal Poverty Credit
D
3. date of death
. Remamder Return prior to 12-13-82)
5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
11. ElectIon to tax under Sec. 9113(A)
(date of death betWeen 12-31-91 and 1-1-95) (Attach Sch 0)
THIS SECTION MUST Blii COMPLE1l!D. ).LL CORRESPONDENC," &. -coNFJDENTIAL TAX INFORMATJOt.lsHOULD R JRECTED TO. '
NAME COMPLETE MAILING ADDRESS
IRWIN & McKNIGHT
TELEPHONE NUMBER
60 West Pomfret Street
West Pomfret Professional Bldg.
Carlisle, PA 17013
OFFICIAL USE ONLY
(8) 157,757.14
(11) 24,725.09
(12) 133,032.05
(13)
(14) 133,032.05
(15)
(16)
(17)
(18)
(19)
0.00
5,986.44
0.00
0.00
5,986.44
DOli 1as G. Miller Es .
FIRM NAME (If Applicable)
R
E
C
A
P
I
T
U
L
A
T
I
o
N
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or
Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
D Separate Billing Requested
7. Inter-Viyos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G or U
8. Total Gross Asset. (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H) (9)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Sub'ect to Tax (Line 12 minus Line 13)
(1)
(2)
(3)
None
4,918.86
None
(4)
(5)
None
20,443.47
(6)
132,394.81
None
15,328.30
9,396.79
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116(a)( 1.2)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
X
0.00
133,032.05
0.00
0.00
x
X
X
X
.0 0
.0 45
.12
.15
Form REV-1500 EX (Rev. 6-00)
--J
Decedent's Complete Address:
STREET ADDRESS
210 Big Soring Road
CITY I STATE I ZIP
Newville PA 1721,1
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Cred~s/Payments
A. Spousal Poverty Cred~
B. Prior Payments
C. Discount
(1)
5,986.44
5,750.00
299.32
Total Credits ( A + B + C) (2)
6,049.32
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty ( D + E) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Cheek box on Page 1 Line 20 10 requesl a refund (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (SA)
B. Enter the total of Line S + SA. This is the BALANCE DUE. (5B)
Make Cheek Payable 10: REGISTER OF WILLS, AGENT
0.00
62.88
0.00
0.00
0.00
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i::,!~!!, !1~!:f~!~i!!~:~:~~~:I~~~!!~~~g!~!~!!i:::":"
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 "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
~~
D
D
D
[]]
[]]
[]]
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true,
correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN
.~C
DATE
SIGNATURE OF PREPARER 0 HER THAN REPRESENTATIVE
DATE
For dates of death on or after July 1,1994 and before January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [72 P.S. 9116 (a) (1.1) (;)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0%
[72 P.S. 9116 (aJ (1.1 J (iiJ]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets
and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000,
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural
parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 9116 (a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 9116( 1.2)
[72 P.S. 9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 9116(aX 1.3)]. A sibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent whether by blood or adoption.
Copyright (c) 2000 form software only The Lackner Group, Inc.
Form REV-1500 EX (Rev. 6-00)
REV-1503 EX. (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESI DENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
FILE NUMBER
Eleanor Egger
SSfI 171-24-6203
03/30/2005
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION UNIT VALUE
OF DEATH
1 3 shares AT&T Corp - Stock 18.70 56.10
2 36 shares CIGNA Corp - Stock 88.37 3,181.32
3 48 shares Verizon Communications - Stock 35.03 1,681.44
TOTAL (Also enter on line 2, Recapitulation) 4,918.86
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc.
Form REV-1503 EX (Rev. 1-97)
REV-1508 EX. (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Eleanor Egger SS# 171-24-6203 03/30/2005
Include the proceeds of Iftigation and the date the proceeds were received by the estate. All property jointly-owned with the right of
survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1 Wachovia Bank
DESCRIPTION
Checking Account 1014107981232
VALUE AT DATE
OF DEATH
14,716.71
2
Wachovia Bank - Savings Account 30141131841362
5,726.76
TOTAL (Also enter on line 5, Recapitulation) $ 20,443.47
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1S08 EX (Rev. 1-97)
REV-1509 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESI DENT DECEDENT
ESTATE OF
Eleanor Egger
SCHEDULE F
JOINTL V-OWNED PROPERTY
FILE NUMBER
551ft 171- 24 - 6203
03/30/2005
II an asset was made Joint within one year 01 the decedent's date 01 death, it must be reported on Schedule G.
A.
SURVIVING JOINT TENANT(S) NAME
Frank C. Egger
ADDRESS
RELATIONSHIP TO DECEDENT
25 Mount Rock Road
Newville, PA 17241
Son
B.
c.
JOINTLY-OWNED PROPERTY,
LETTER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH
ITEM FOR JOINT MADE Include name of financial institution and bank DATE OF DEATH DECO'S VALUE OF
account number or similar identifying number.
NUMBER TENANT JOINT Attach deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENTS INTEREST
1 3,551 Legg Mason - UIT 32,060.91 50.00% 16,030.46
First Trust
2 5,996 Legg Mason - UIT 53,206.11 50.00% 26,603.06
First Trust
3 12,215 Legg Mason - UIT 110,244.04 50.00% 55,122.02
First Trust
4 6,245 Legg Mason - UIT 52,922.00 50.00% 26,461.00
First Trust
5 Legg Mason - Cash Balance 16,356.54 50.00% 8,178.27
TOTAL (Also enter on line 6, Recapitulation) $ 132,394.81
(If more space is needed insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc.
Form REV-1509 EX (Rev. 1-97)
REY-1511 EX+(1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Eleanor Egger
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
B.
4.
FILE NUMBER
SSf! 171- 24 - 6203
03/30/2005
DESCRIPTION
AMOUNT
1
FUNERAL EXPENSES:
Eby Granite Works
95.00
Funeral
2
Egger Funeral Home - Funeral
6,597.30
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s) I EIN Number of Personal Representative(s)
Street Address
City
State
Zip
Year(s) Commission Paid:
2.
Attorney's Fees
IRWIN & McKNIGHT
7,850.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
State
Zip
Probate Fees
Register of Wills
294.00
6.
5. Accountant's Fees
7.
1
Tax Return Pre parer's Fees
250.00
Other Administrative Costs
Cumberland Law Journal - Estate Notice
75.00
2
Register of Wills - Filing Fee
30.00
3
The Sentinel - Estate Notice
13 7 . 00
TOTAL (Also enter on line 9, Recapitulation) $ 15,328.30
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1511 EX (Rev. 1-97)
REV-1512 EX. (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Eleanor E?;?;er
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, AND LIENS
FILE NUMBER
SSif 171- 24 - 6203
03/30/2005
Include unreimbursed medical expenses.
ITEM
NUMBER
1
DESCRIPTION
Continuing Care RX - Medical
AMOUNT
1,410.20
2
Mobilex - Medical
6.05
3
Smith Elliott Kearns & Company, LLC
2004 Tax Preparation
255.00
4
Smith Elliott Kearns & Company, LLC
Maintain Accounts
903.88
5
Swaim Health Center - Medical
6,821.66
TOTAL (Also enter on line 10, Recap~ulation) $ 9,396. 79
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1512 EX (Rev. 1-97)
AEV-1513 EX... (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
FILE NUMBER
Eleanor El!l!er
SSif 171-24-6203
03/30/2005
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and
transfers under Sec. 9116(a)(1.2)]
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
Do Not List Trustee(s) OF ESTATE
1 Frank C. Egger
25 Mount Rock Road
Newville, PA 17241
Son Remainder
ENTER DOLLAR AMTS FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS,
A. SPOUSAL DISTRIBUTIONS UNDER SEe. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II - ENTER TOTAL NON- TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 2000 form software only The Lackner Group, Inc.
0.00
Fo,m REV-1513 EX (Rev. 9-00)
'II!
-.-......--.
--~---~...
WACHOVIA
Reference ro: 1240324
W.ehovia Rank N.A
Balance Confirmation Services
P 0 80x 40028
Roanoke, VA 24022-7313
May 24, 2005
IRWIN & MCKNIGHT
60 WEST POMFRET STREET
CARLISLE, PA 17013-3222
SUBJECT: Verification / Confirmation of Account and Balance Information provided for:
Customer: ELEANOR EGGER (SSN# 171-24-6203)
Date of Death: March 30, 2005
Deposit Account Information
Account
Type
Account
Number
Date of Death
Balance
Average
Balance'"
Date
Opened
Maturity Interest Accrued YTO DaLt
Date Rate lnterest Interest Paid Closed
CHECK[NG
]0[4[0798[282
$14,716.71
10/3011995
$0.53
$3.56
LEGAL T[TLE ELEANOR EGGER
FRA'<K C EGGER POA
SA V[NGS
3014113]84136
$5,726.76
11111996
$0.28
$2.07
LEGAL TITLE: ELEANOR EGGER
FRANK C EGGER POA
,. Due to system limitations, we can only provide a twelve month average balance on depository accounts.
CAP, BROKERAGE and SELF-DIRECTED IRA ACCOUNTS HAVE BEEN CONVERTED TO W ACHOVIA SECURITIES.
YOUR REQUEST HAS BEEN FORWARDED FOR PROCESSING and WILL BE MAILED UNDER SEP ARA TE COVER.
FOR QUESTIONS REGARDING CAP, BROKERAGE, or SELF-DIRECTED IRA ACCOUNTS
PLEASE CALL WACHOVIA SECURITIES at 1-866-874-2717.
. Date of death balance does not include accrued interest.
. If date of . ath oceuns on a weekend ur a holiday, date of death balance does not Include any transactions that were
r;'ade ing that t~rprod.
1,-- .e:../j://,--/'
Dena White
Servicenter Associate
Phone: (540)563-7323
~~<Gf!:UW [tij
',,'IY 262005
sw;dw
IRWIN & McKNIGHT
0:)00 ooot: 14
Jun-IA-2005 II :5lam
From-LEGG MASON CARLISLE
+717 256 4492
H91
P.002/004 F-541
-
MASON
P~~~~D
Ace :mnt statemsnt
I.egg Msson Wood Walker, Inc.
M"""N_\'ot'St/eId(5~.tnr:.~~
~-
Page: 1
Account: 36o-n726
F.A.: GM<
March 31, 2005
-
La....t Statement
Febmory 28. 2005
1". !'}66
~. :~' _ :'. ..~. ,.. ," ''';i'' uJ .~,~. .,. ,:",' " ,M ::_, I .n" ". "
Mo.~~'~,~Iia:.D~~::~~~il1~r::, ::'..
OREG L MCMULLll"
LEGG MASON WOOD WALX"l1.
4t9 STONEHEDG! DRIVi
SUITF. 1
CARLISLE PA 17C13-9126
(7:1.7) 25.-4363 (800'
'ElLFANOR EGGER. &
FRANK C ~GGEl<
123 STRAYER DRIVg
CARL~$LE PA 170i]-~d08
INC
,," 111".11' III" ,11..11, ,1,,1.1,,11/ ...1,,11111,1 "II ,1.,,11
348-1776
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..I,n,totf\e:~'J.~ela.til'a\.IDfol:ro lj,tidJi.;',:: <.:.,:--~
~, -, '" ... .. ., .. .". , '" ,.. ,.. ",', .,. .,. ,,, ... _ ,"'N .. "" ," .." .." ,.. .
~''';t;l,20
2d.!:i,G91.2J
Other Income
Credit Int.:rcsr
Diviclcnd..~
rn[cre,~t Sold
I::~r;~ I oS-
~ I.NvrS~IS..vT.s ~ C.AS ~
!/ ~ ~1 J ,7fr.~",f:t?,.,'""
.., , ,I ". .. .<h..' '''.'''..'' 'i."
. -"."'''~."...,. '~.'
This Month
Cash Balance
Unit Investment T lUStS
17,g,~7.43
2lft4~ 1:(.251,471.77
I .
Year to Date
':~~:~I'I.,r..~r.'~;;:1~~ ',~".--:II;'~~::,V".l..,.III:'. ,': '::-1 'i:::71:'~:i \
'..J-.,.t'lJ)rO'~lIJlntt:;,,~ "a' Ue,tl":,,"~' ...'.,,":,
. .' ~~ "S~'~~~1~r/~q7 ."1) + "l.h. 2.'J
Ln.t Sr.nelnent '
27.17
1.4.97.1B
C.OO
1,52',35
152.17
4,649.51
1,961. 1;1
6,'773.35
Vau muy ha.vc pl.lrcbtl&ed murual fund!!. annuities, limited
parmcrships Or other investmenrs which :'In: not reported noS
po!';jtiol1.5 DO thi.'l SJ<ucmcnr. If so, you will receive:! pl:rlodic
SllU.cmonts dirccdy from. the: fund. insurance company or
p.'\nnC-r.ihip.
1.524.35
6,773,35
VA L-k~;
:::OaJ~'~,~~!'~:~.~~::s~jJl~a~;.~::::...'::".:.. ..1
Cash
:?'3,30J,OEl
17.B27.43
Opening Bwan"
Closing Balance
., ''';t;...I'i'1-:..,,." I' ~:";~;A:--I'fi" '-:'~~~",~". "IP";""I;,,,.,'w"I:~',,,IJ', ~
11~:~~\O!;.O~.~r~~~':. )";.l.~J1~:'.:::::~'~'~~<"~::H~~;:
Dute
Tr.:msucdon
QllQJuity
Description
Price
AmolU~t
C3(31 INTEREsr
INTl>REST ON CREDIT BALANCE
AT 1.79C>' 02/26 T>ffiU 03/30
UIT PI1~ST TR.UST 1,781-M
UNIT 181 ~FD INCOMR PORT ~~R
MONTHLY CASH SP.R 15
CASH DIV ON 3551 9HS
REC 03/15/08 PAY Q3/31/0~
UIT FrRS~ TRUST ffeC3-M
u~T eo) PFD INCOME PORT SER
MONTHLY CASH
CAeH DIV ON 5~96 sr~
REC 03/2S/05 PAy 03/32/05
UIT FrRST 1~UST ffB12-M
L~IT al2 PFD INCGME ~ORT SER
MONTH:.'!( Cp.sn:
CASH DIV ON 12215 SH5
REC C3/15/05 PAY 03/31/C5
OJ/3l OIVID~C
O~/Jl DIVIDENn
~.
03/31 DrVIDEND
--..
Sl~tt'ment Continued on Revenc Side
See Enclosed Brokerage Ac.coun[ Stal:8ment Disclosure For Important Infonuntiun
I.MCOll1
154g88 274 D1~,(jG~ Z B A 11 G4/(}1/oa,. 04:21
RS J~c..o172B GM" 2G~.299,20 MtlN:;h j1, 200:; 10f
Jun-14-2005 11 :5lam
From-LEGG MASON CARLISLE
+717 258 4492
T-891
P,Q03/004 F-541
LEGe
MASON
P~~~~D
ACClunt Sfarement
Ler;fJ Mason Woc d Walker, Inc.
.'\fwrD.lrNNtyOlltSlDtk&. ~.Ine.1M~SiPe
Page: 2
Aecount: 350.01725
F.A.: 01'04
March 31, 2005
ELEANOR ~GOER .
~-RANK C EGGER
;::$!~ir;:;;~::~ffi~:'~icrinfui;;;'l)'':,>::-. :
~. "~"-..I'.':;;~J1.J 1l_;.......~:f:,'..;',~T;"~II..~.~ "_._""_~' H'_,:r,:r':f ""," ",'
"'J',"
"'I' It"" r.: ~.
Dale
T ransac:tion
Quantity
Description
PI'ice
Amount
03/31
DIVIDEND
UI~ FIRS~ TRUO~ #920-1'0
HIGH YIELD INCOME L~
PORT~O~IO SER 9 MONTf~Y C~H
CASH DIV ON 5245 SHS
RBC 03/15/05 PAY 03/31/05
~
"n.,h"c"r": ;i,~t' ;;';1', ""',;<'
-"Y,f "en" '.',. tv,. ",' ,
~.,,:",;,i' ,,' ''::-''',:l ," ""',,.~..' ':.,.:".4;r.;'",I: .::1
",r,
'I ""..:""
Date
Transaction
Quantity
De!lcripnon
Price
AmOWlt
03/01
TRANSFER
FUNDS TRANSFER VIA ACH
$7,000.00-
:qnt"J'~"'Ji~I" ":<>d;~'1.~";. :~, .":,:"'. ::." .>~>:,"::(<>:>7:;,~,':'_~.:-I.:"
,'....,IQ.1:1;1..0 O,'~ ."~lllDma.FY:,,, ,"' '" '''' d. "., ,,:. ,." .,
,., ,"' 'lj .". I~ .. 110 ,I ,- wp ,_ II" "" J" ..: .P" ..,._ '. ',' _, , ,_ 'P" '" ,I
SL.~urltiCIl prices USl:lrl in your ponfoIio .IItummitTy [lrc obtrlincd ftom oULside servi~c! .n.cd tJ,J::ir ilc::c;:urncy C'.!l.IlIlOt be.: 8\I"nmfccd. Tht ~c values arc
~t()vidl:d ~!! a gCDt:r:l1 8uidc but in !lome ~~Cl,~ muy not reflect the actLIlll mcrJtc[ price. If an C'~.11:1 price is needed, COnl.ac;t your Pi UUlci:lI AdvjsC'I'.
Unit Invcsttn.nt Trusts
Quantity Description Price
3,551 '(f!'r FIRST TRUS':: TT761-M 9.04
"'0130/7 UNIT 781 p~n INCOM~ POR'!' SER q.11Z-17()
MONTHLY CASH 6ER 15
~t996 tHT PI:!iST TR.UST #e03-M B.SS
UlllIT e03 P~O INCOME PORT S:E:R
'1~'l.'l..Yf MON'I'HL Y CASH g'. 'l'73 (, J "
DATED DATE 12 23 03
12.215 UIT FIRST TRUST #Bl.-M 9.05
UNIT 812 pm INCOM2 ~OJl.'1' SSR Q.OZ.533/"
t4olZ432- MONT&r., Y ChSH
;,246 UIT FIRST TRUST tf920-M 8,90
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PORTFO~IO S~R ~ MONT~lliY CASH
Marke! Value
-- EST imtued --
Annual Current
Income Yield
~3.2, 101.04
$2,17..7;
..7t
4,017,3~ 7.5~
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110.545.7.
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55,580.50
5"'z, '12.2. . tiP
6,952.5 ;
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Investmenr Obj('ctiv~s
InvC:SIDlcm Objectives for your accounT are shown below. Tf you hnve any que~Ljons l:onccrning These abjc:crivcn, or v ish to
cbange them, pl~uac: contact YOll!' Financial Advisor.
I. Income
2, Preservation of c:apinll
3. Tax faVOTd:d
Tenancy Instcudions
JOLnt Tc:nums with Righrs of Survivor~hip.
StmfmenL Continued on Next Page
L.MCOO1
27~ B~7,Bro Z B II ,./ 011101/06; 04:21
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VZ: Historical Prices for VERIZON COMMUN - Yahoo! Finance
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Verizon Communications (VZ)
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First I Prey I Next I Last
Date
Open
Close Volume
Adj
Close'
3503 ~ Lf '6
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30-Mar-05
34.95
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CI: Historical Prices for CIGNA CP - Yahoo! Finance
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88.39 1,132,300
30-Mar-05
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88.39
85.62
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6/16/05
T: Historical Prices for AT&T CP NEW - Yahoo! Finance
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~
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~3 5h aA"f ~ Cv
Date
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High
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Close
30-Mar-05
18.51
18.74
18.51
18.70 4,891,400
18.70
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Page 1 of 2
6/16/05
SWAIM HEALTH CENTER
210 BIG SPRING ROAD
NE'NVILLt: PA 17241-9486
ELEANOR EGGER
clo FRANK C EGGER
123 STRAYER DRIVE
CARLISLE PA 17013
.
ACCOUNTS RECEIVABLE STATEMENT
Statement Date: 03/31/2005
RETIREMENT AND SENIOR
CARE SERVICES
Balance Due: 6,821.66
Balance Due (ipon Recei
RETURN one copy with your remittance;
RETAIN one copy for your records.
This is the only copy you will receive.
Account Number: 61183GRV
Balance Forward: 13,568.77
lDayslUilitSli--- Charge I PaymentlCreditT Balance . I
13,581.77
13,584.27
13,588.20
6,452.47 7,135.73
7,148.73
7,151.23
7,179.23
7,183.11
7,183.88
7,183.75
7,194.60
7,205.85
7,206.03
7,206.58
7,219.58
7,222.08
6.772.08
6,780.49
6,804.83
6,805.38
6,815.38
6,820.43
6,821.66
Dale
I
Description
02/28/2005 - 02/28/2005 Shampoo & Set
02/28/2005 - 02/28/2005 Facial Hair Removal
03/01/2005 - 03/01/2005 Neb Sml vol w/Mask & Tube
03/04/2005 - 03/04/2005 Payment from statement 01/05
03/08/2005 - 03/08/2005 Shampoo & Set
03/08/2005 - 03/08/2005 Facial Hair Removal
03/10/2005 - 03/10/2005 Heel Protector
03/10/2005 - 03/10/2005 Denture Tabs 40's
03/10/2005 - 03/10/2005 Suture Strip 1/4 x 3"
03/10/2005 - 03/10/2005 Gauze Spng 2x2" 8Ply ST
03/10/2005 - 03/10/2005 Sieeve Glen smail/medium
03/10/2005 - 03/10/2005 Prevacare Ointment 2.3 oz
03/13/2005 - 03/14/2005 Gauze Spng 2x2" 8Ply ST
03/14/2005 - 03/14/2005 Suture Strip 1/4 x 3"
03/15/2005 - 03/15/2005 Shampoo & Set
03/15/2005 - 03/15/2005 Facial Hair Removal
03/17/2005 - 03/31/2005 Room/Board-Self Pay
03/23/2005 - 03/23/2005 Wipe T ena
03/23/2005 - 03/23/2005 Belted Undergarment
03/23/2005 - 03/23/2005 Suture Strip 1/4 x 3"
03/23/2005 - 03/23/2005 Cath Kit Urethral Femaie
03/29/2005 - 03/29/2005 Tray Ureth Cath 14Fr.
03/29/2005 - 03/29/2005 Cannula 02 Nasal Tube 7"
1.00 13.00
1.00 2.50
1.00 3.93
1.00 13.00
1.00 2.50
1.00 28.00
1.00 3.88
1.00 0.55
1.00 0.09
1.00 10.85
1.00 11.25
2.00 0.18
1.00 0.55
1.00 13.00
1.00 2.50
(2.00) (450.00)
1.00 8.41
1.00 24.34
1.00 0.55
1-00 10.00
1.00 5.05
1.00 1.23
TOTAL: (294.64 )
6,452.47
6,821.66
SWAIM HEALTH CENTER: ELEANOR EGGER 61183GRV
F. CHARLES EGGER, Supervisor
~ :T~~ Jrw.
15 Big Spring Avenue
NEWVILLE, PENNSYLVANIA 17241
717 -776-3414 FRANK C. EGGER, Funerol Director
July 7, 2005
Funeral Bill for Eleanor Egger
Date of Death March 30, 2005
Professional Service
$3,275.00
Burial Vault
$600.00
Daily Local Obituary
$143.57
Obituary Sentinel
$84.70
Cemetery Opening
$480.00
Cameo Rose Casket
$1,300.00
David Fesco Embalming & Removal Fee
$400.00
Total
$6,319.27
COM:\IONWEAL TH OF PENNSYL VANIA
: SS
COUNTY OF CUMBERLAND
Frank C. E~~er
. being duly sworn according to law. deposes and says that he is the Administrator of
the Estate of
Eleanor EQQer
, late of West Pennsboro Township
, Cumberland County,
Pennsylvania, deceased and that the within is an inventory made by
Frank C. E~ger
, the said Administrator of the
entire estate of said decedent, consisting of all the personal property and real estate, except real estate outside the Commonwealth
of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death.
~d~er~ator
Sworn and subscribed before me.
,
8'"
day of Julv
this
25 Mount Rock Road
Newville, PA 17241
Address
Date of Death
Day
03
Month
2005
Year
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may be attached as to personalty or realty.
4. See Article IV, Fiduciaries Act of 1949.
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Inventory of the real an personal estate of
ELEANOR EGGER
, deceased
1. 3 Shares AT&T Corp. - Stock. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .
2. 36 Shares CIGNA Corp. - Stock. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. 48 Shares Verizon Communications - Stock.... . .. ...... ....... . . ... .
4. Wachovia Bank - Checking Account 1014107981232. . . . . . . . . . . . . . . . . . .
5. Wachovia Bank - Savings Account 30141131841362. .. . . . .. . . . . . . . . . . .
6. 3,551 Legg Mason - UIT First Trust - Jointly Held With Frank C. Egger
7. 5,996 Legg Mason - UIT First Trust - Jointly Held With Frank C. Egger
8. 12,215 Legg Mason - UIT First Trust - Jointly Held With Frank C. Egger
9. 6,245 Legg Mason - UIT First Trust - Jointly Held With Frank C. Egger
10. Legg Mason - Cash Balance
TOTAL. . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..
."""..._......._._."_.."~_u._....,,.,~. _...._._._._.____._.-_
$56.10
$3,181.32
$1,681.44
$14,716.71
$5,726.76
$16,030.46
$26,603.06
$55,122.02
$26,461.00
$8,178.27
$157,757.14