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HomeMy WebLinkAbout12-29-06 (2) REV.1500 EX + (6.00) ,. .w w ... ~~~ wo.g Xi.... (,)0.111 ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 OFFICIAL USE ONLY REV.1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENT'S NAME (LAST. FIRST. AND MIDDLE INITIAL) Lerew, Marguerite A. DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-Do.YEAR) t- Z w Q w o w Q 07-28-2005 (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST. FIRST AND MIDDLE INITIAL) 10-06-1912 ~ 1. Original Return o 4. Limited Estate ~ 6. Decedent Died Testate (Attach copy of WIll) 09. Litigation Proceeds Received o 2. Supplemental Return o o o FILE NUMBER II ll2.! 174-20-5119 0706 NUMBER THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Uving Trust (Attach copy of Trust) 10 Spousal Poverty Credit (dale of death between . 12.31.91 and 1-1=95) o 3. Remainder Return (data of death prior to 12.13-82) o 5. Federal Estate Tax Return Required o 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113{A) (Attach Sch 0) !z w o z 2 i o u NAME Wm. D. Schrack III FIRM NAME (If appllcsble) TELEPHONE NUMBER 717-432-9733 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) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 0 Separate Billing Requested 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) COMPLETE MAILING ADDRESS 124 West Harrisburg Street P. O. Box 310 Dillsburg, PA 17019-0310 (1 ) None (2) 100,922.22 (3) None (4) None (5) 285,016.05 (6) 9,407.26 (7) None (9) 17,442.29 (10) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES OFFICIAL USE ONLY --:) ~.~ (:2 , =.::, (8)" (11 ) (12) (13) (14) 15.Amount of Une 14 taxable at the spousal tax rate, 0.00 x .00 (15) or transfers under Sec. 9116(a)(1.2) z 0 375,903.24 .045 (16) i= 16. Amount of Line 14 taxable at lineal rate x ~ ::) .12 (17) A- 17.Amount of Line 14 taxable at sibling rate 0.00 x ::E 0 0 18. Amount of Line 14 taxable at collateral rate 0.00 x .15 (18) a 19. Tax Due (19) z o j: :5 ::) t- o: ~ w ex: 12. Net Value of Estate (Line 8 minus Line 11) CHECK HERE IF YOU ARE" REQUES T1NG A RE"FUND OF AN OVERPAYMENT !-..) C-:-::l '-.'oJ L.." l.. ; ~) 1.0 :-- (- ) CO tT ., ,- 39~45.53~'i 17,442.29 377,903.24 2,000.00 375,903.24 0.00 16,915.65 0.00 0.00 16,915.65 Copyright 2002 fonn software only The Lackner Group, Inc. Fann REV-1500 EX (Rev. 6-00; c'(l\ . ~ l~\l-~(p () pcu CI 1fpO ~ ~ () rJAf)D Cf\" Decedent's Complete Address: STREET ADDRESS The Woods at Cedar Run 824 Lisburn Road CITY Camp Hill ISTATE PA IZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 16,915.65 16,000.00 842.11 Total Credits (A + B + C) (2) 16,842.11 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (D + E) 4. If Line 21s greater than LIne 1 + LIne 3, enter the difference. This is thEOVERPAYMENT. 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 theTAX DUE A. Enter the Interest on the tax due. B. Enter the total of LIne 5 + 5A. This is theBALANCE DUE (3) (4) (5) 73.54 (5A) (5B) 73.54 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;............................................................................. ~ ~ b. retain the right to designate who shall use the property transferred or its income~................................ x c. retain a reversionary Interest; or............................._........................................................................... x d. receive the promise for life of either payments. benefits or care?........................................................... x 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?...................",..... ..........,..........,......,."..................................,.................. 0 ~ 3. Did decedent own an "In trust for" or payable upon death bank account or security at his or her death?........ 0 ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?.............................._.........,..............................................................,....... 0 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of peljury, I declare that I have examined this return. Including accompanying schedules and statements. and to the best of my knowledge and belief. ills true, correct and complete. Declaration of preparer other than the petSOfl8l representative Is based on alllnformallOn of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE La nee R. Lerew 1835 Creekvlew Drive New Cumberland, PA 17070 ADDRESS ADDRESS 124 West Harrisburg Street DIII.burg, PA 17019-0310 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. S9116 (a) (1.1) (i)]. 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 .5. ~9116 (a) (1.1) (ii)]. The statutedoes not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum 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 .5. ~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 decedenfs siblings Is 12% [72 P.S. ~9116 (a) (1.3)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. , . IDtt$! Ifill ann m.e~htmtnt OF MARGUERITE A. LEREW BE IT REMEMBERED, that I", MARGUERITE A. LEREW, of 26 North Baltimore Street, Dillsburg, York County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making null and void any. and all Wills and Testaments and writings in the nature thereof by me at any time heretofore made. ITEM 1: I direct that my" hereinafter named ExeGutor pay all my just debts, my funeral expenses~ and the expenses of the administration of my estate. With this direction, I a~thorize and empower my Executor to expend for my funeral expenses and interment such amounts as he may consider necessary and proper, without regard to any "- limit. that may be prescribed by a court of law. ," ITEM 2: I direct my Executor to pay all inheritance, estate, succession and legacy taxes of whatsoever nature and kind, to which my estate or the transfer of any property passing hereunder or otherwise passing by reason" of my demise, may be subject and to charge such taxes, either federal or state, on any property required to be included in my gross es"tate, under the provisions of any state or federal law now in force or hereafter enacted, shall be prorated among the persons interested in "my estate to whom such property is or may be transferred or to whom any benefit accrues. ITEM 3: I give and bequeath the sum of ONE THQUSAND DOLLARS ($1,000.00) unto the "BARREN'S UNITED LUTHERAN CHURCH". ITEM 4: I give and bequeath the sum of ONE THOUSAND DOLLARS ($l,OOO.OO) unto the "DILLSBURGCEMETERY ASSOCIATION". , . .. . '; ~ ' -, :. .~ ,., ~~ <~ ..' . ," .. 01: ~: ' ;; ITEM 5: I give and- bequeath unto my daughter, JOYCE A. MILLER, of Orlando, Florida, the antique plank-bottom rocker, which came to me from my grandmother Myers. ITEM 6: I give and bequeath unto my son, LAWRENCE R. LEREW, of New Cumberland, Pennsylvania, the walnut drop-leaf table, constructed by his great-grandfather Lerew. ITEM 7: All the rest, residue and remainder of my estate, of whatsoever nature, and wheresoever situate, whether it be real, personal, or mixed, I give and bequeath unto my issue, JOYCE A. MILLER and LAWRENCE R. LEREW, in as nearly equal shares as is practical. If either of my children should predecease me, leaving issue surviving, I direct that such deceased child's share pass to his children in equal shares. - ITEM 8: I nominate, constitute and appoint my son, LAWRENCE R. LEltEW, of New Cumberland, Pe~sylvania, to be the Executor of this my Last Will and Testament. ITEM 9: I' -direct that my hereinbefore named Executor shall not be required to give bond for the faithful performance of his duties in this jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of ~~ IV t2. (~_~ , 1982. I~ llJ~Jn'h;j;- tJ ~(SEAL) MARG TE A. LEREW v The preceding instrument, consisting of this and one (1) other typewritten page, was on the day and date thereof signed, sealed, _published and declared -by MARGUERITE A. LEREW, the Testatrix herein named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence and in the presence_of each other, have t;~BBeB h::eto~/ l:~a--, 1/ " /4'!i:L/:- _J :> /1., (AL/ OF (j.-'~ (-N" tj/JV~'J h<f-?- ',0- c:"":/ / "_ .,// -2- Rev.1503 EX+ (1-88) . SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYlVANIA INHERITANCE 111l< REl\lRN RESIDENT DECEDENT . ESTATE OF Lerew, Marguerite A. FILE NUMBER 21-2005-0706 All property JOlntly-owned with right of .urvlvonlhlp mu.t be disclosed on Sc:hedule F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 1,824 shares of Common stock of PNC Financial 55.30 100.867.20 2 Series EE U.S. Savings Bond L-0-477-789-725EE 55.02 TOTAL (Also enter on Line 2, Recapitulation) 100.922.22 (If more space Is needed, additional pages of the same size) Copyright (c) 2002 fonn software only The Lackner GrouP. Inc. Fonn PA-1500 Schedule B (Rev. ~98) AOL Money & Finance - Charts Page 10f2 AOL~. rnoney & finance Wed, 12/14/05 14:52 EST - U.S. markets close in 1 hr,8 mins Markets: Full Coverage Enter a Symbol: :::'Q ~E ';:~~E ~JIr MAIN I NEWS 'INVESTING I PERSONAL FINANCE I SPECIALS I BILL PAY I SMALL BUSINESS Quotes Enter U,S. symbol below (Symbol Lookup) .... ." Portfolios t~.__.._.__.._J lGet Cha~_____.__._.._.___.. ~!,o~~~~~_.__..m_ .............. [ AV 10.63 -0.07 sec 24.91 0.00 LU 2.75 -0.01 Save as Portfolio Market News I Most Actives !n.tradqy: LMQ ;U!I.Q 3 MQ 6 Mo9...M.Q YID1,yr. 2..Yr ;}.Y.r ~D~.r. 1.(LYr ....--.-..~...-...-.--.........--.-.-..-----...-------.....-....._....... ...._. Trade Now i Chart Settings: .. '==l WEe OFFERS & MORE I powered by AOL Search Volume / stock -brokers o~lin~'-'''' Recent Quotes Charts PNC Financial Services Group (PNC) 64.08 * +0.08 (+0.12%) as of 02:31 PM EST on 12/14/2005 (NYSE Delay: 20 mins.) NQ.fu;.i.I...& Ter:!lll. Confirm all data with your broker before trading. Mi.nag,e...AJt.r.D qtJ~ datli jWvlded bV ~ Chart Data: Select a chart time frame or Custom Dates l?..Month .----- Featured Broker Get .n IPod- nano. http://finance.ao1.com/usw/quotes/charts?dr=6&symbs=&ag=&index=&te=m0untain&se=defaul... 12/14/2005 AOL Money & Finance ~ Historical Chart Data Page 1 of 3 PNC Prices from 06/14105 through 12/13/05 Date Volume High Low Close 06/14/05 857,300 55.120 54.800 54.940 06/15/05 773,500 55.140 54.850 55.110 06/16/05 1,101,000 55.000 54.500 54.880 06117105 1,689,400 55.050 54.800 55.000 06/20/05 1,091,900 55.140 54.580 55.090 06/21/05 705,100 55.120 54.750 54.800 06/22105 905,800 55.400 55.040 55.270 06/23/05 865.500 55.320 54.430 54.460 06/24105 892,200 54.830 54.360 54.360 06/27/05 566,300 54.550 54.070 54.220 06/28105 893,100 54.760 54 .400 54.650 06/29/05 602,200 55.100 54.590 54.830 06/30/05 1,297,800 54.850 54.300 54.460 07/01/05 989,000 55.500 54.390 54.600 07/05/05 611.800 55.060 54.390 55.010 07106/05 752.200 54.950 54.410 54.480 07/07/05 1,019,400 54.860 53.800 54.370 07108/05 678,200 54.960 54.080 54.890 07/11105 1,096,000 55.180 54.740 54.910 07/12/05 1,090,500 55.560 54.810 55.500 07/13/05 709,000 55.650 55.090 55.330 07/14/05 1,116,300 56.220 55.600 56.170 07/15/05 1.837,100 56.700 55.720 55.770 07/18/05 1,812,000 55.500 54.550 54.960 07/19/05 1,273,300 55.380 54.760 54.900 07/20/05 3,907,300 56.600 55.060 56.370 07/21/05 1,263,900 56.370 55.460 55.460 07/22/05 1,123,800 55.660 55.070 55.600 07/25/05 889,100 55.790 55.070 55.260 07/26/05 1.105,300 55.120 54.600 55.070 07/27/05 1,258,900 55.150 54.660 54.900 07/28/05 949,000 55.300 54.870 55.300 07129/05 986,400 55.330 54.650 54.820 08/01/05 921,000 55.150 54.770 54.920 08/02105 545,000 55.240 54.800 55.070 08/03/05 887,800 55.500 54.690 55.450 08/04/05 618,300 55.300 54.830 54.990 08/05/05 969,200 54.820 54.230 54.500 08/08/05 1,339,000 55.100 54.600 54.670 08/09/05 1,300,400 55.310 54.760 54.950 08/10/05 1,540,800 55.620 54.950 55.200 08/11/05 1,074,700 55.680 55.160 55.470 08/12/05 1,767,900 56.300 55.250 56.000 08/15/05 2,229,400 57.500 56.590 57.320 08/16/05 1,246,900 57.220 56.430 56.430 08/17/05 816,600 56.790 56.300 56.540 08/18/05 547,100 56.640 56.230 56.560 08/19/05 624,000 56.940 56.670 56.680 08/22/05 700,600 57.000 56.540 56.820 08/23/05 1,174.500 56.900 56.070 56.330 08/24/05 1,007,700 56.400 55.550 55.570 08/25/05 776,800 55.910 55.480 55.740 http://finance.aol.comlusw/quotes/chartdata?showdata=true&&split= 1 &div=O&symbol=PNC&e... 12/14/2005 .. . ~ ~. . '. . ~'. .:! '~'::J~:~~~~~:~r "- 'j ~'~,:f ..,.::;'I"~-',l,..,'.", . <,/.~y._;.:. .. . 1:0 ~ 1.00001.01: 00 It 77 q 2 I. 7111 000 b .1:_._.. .tltkc...t3.lJ 7)J Mf\7 (0 ~2-.2- ~~ "'" Rev-15G8 EX. (W8) *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCe TAX RETURN RESIDENT DeceDENT Lerew, Marguerite A. FILE NUMBER 21-2005-0706 ESTATE OF Include the proceeds of U\lgaUon and the data the proceeds were received by the estate. All property Jolntly-owned with the right of aurvlvorahlp muat be dlacloaed on ,chedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Fulton Bank - CD400-3257799 22.727.65 2 Fulton Bank - CD400-3426501 30.047.38 3 Fulton Bank - ckg 3629-34735 1.586.69 4 M&T Bank - CD031 003913823273 80.568.00 5 PNC Bank - CD21001012784 25.000.00 6 PNC Bank - CD21001060115 20.265.74 7 PNC Bank - CD31800219680 18.514.64 8 PNC Bank - ckg 5140196853 15.165.14 9 Sovereign Bank - CD0575136361 20.182.96 10 Sovereign Bank - CD0575136387 20.372.78 11 Sovereign Bank - CD0575136395 20.372.78 12 Sovereign Bank - CD0575138433 10.212.29 TOTAL (Also enter on Line 5. Recapitulation) 285.016.05 (If more space is needed. additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Fulton Bank LISTENING. (717) 291-2437 September 20, 2005 Schrack & Linsenbach 124 W. Harrisburg Street P.O. Box 310 Dillsburg, Pennsylvania 17019 Dear Mr. Schrack: RE: Marguerite A. Lerew, deceased July 28,2005 In response to your recent inquiry concerning the accounts maintained in the name of the decedent, please be advised that the following accounts were open at the date of death: Checking # 3629-34735, open 9/26/1991, balance $1,586.69. Lawrence R. Lerew as Power of Attorney. CD # 400-3257799, open 9/28/1992, rollover 9/28/2002, matures 9/28/2007, balance $22,000.00 and accrued interest $727.65; paying 3.92%. Lawrence R. Lerew as Power of Attorney. CD # 400-3426501, open 5/10/1993, rollover 5/10/2005, matures 5/10/2007, balance $30,000.00 and accrued interest $47.38; paying 3.20%. Lawrence R. Lerew as Power of Attorney. If you should have any further questions, please do not hesitate to contact me. Very truly yours, ~~-~ Karen D. Hillegas Credit Inquiry Processor GuNFIOENTJAL -* lf1,formehn i~ ftfr~~ as a matter of bUtffl.t$S C( ; ar~~~~~~J~.~nqurry, and is fo.r your confidential u~' " _ It~ b assumed by th~ bank Of any of it~ -",' p 0 B~x :rs~'r h~remK~8W#~€fJAs ~~at(l ch;mgt=; wit/-:o~r~ fultonbank.com 1-800-FULTON-4 m M&fBank 499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-MB-12 Phone (888) 502-4349 Fax (302) 934.2955 Sep~ber12,2005 Schrack & Linsenbach Attorneys At Law 124 W Harrisburg Street P o Box 310 Dillsburg, P A 17019-0310 Re: Estate of: Marguerite A Lerew Social Securitv: 174-20-5119 Date of Death: Julv 28.2005 Dear Sir or Madam: Per your inquiry dated September 01, 2005, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Certificate of Deposit Account Number 031003913823273 Ownership (Names oj) MOl'guerite A Lerew · Opening Date 10/30/01 Closed 08/16/05 Total $80,000.00 $ 568.60 --$"80,568.60---------------------- Balance on Date of Death Accrued Interest Please be advised. there was no safe deposit box found for the above decedent. "'For further account information, regarding ownership aDd any changes, closures aDd/or reimbursement of funds, etc., please call the West Shore Plaza Office # 717-255-2271. Sincerely, ~~ Nancy Clagett Records Management OCT-17-2005 20:43 PNCBANK 412 768 3458 P.01 a PNC'BAN< October 18, 2005 Schrack It Linsenbach Attn: William D Schrack ill 124 W Harrisburg St. POBox31O Dillshur& PA 17019-0310 RE: Estate ofMaIguerite A Lerew (Deceased) SSN: 174-20-5119 DOD: 07-28-2005 Dear Mr. Schrack: /acp In response to your request for Date of Death balances for the oustomer noted above, our records show the following: Cer1ifIe.te ofDepOlit AccoUDt #21001012784 Established 01-28~1993 MARGUERITE A LEREW DOD balance: 525,000.00 + 50.00 accrued interest Account *2100 1060115 Establiahed 09-15-1990 MARGUERITE A LEREW DOD balance: $20,250.00 + 515.74 acorued interest Account #31800219680 Established 10-05-200 1 MARGUERITE A LEREW DOD ba1anoe: SI8,484.13 + 530.51 accrued intere&t Cheddag Account Account #5140 196853 :Established 11-01-1972 MARGUERITE A LEREW DOD balance: 515,165.06 + SO.08 aCClUed ints-est Page 1 of2 otr~17-2005 213:43 PNCBANK 412 768 3458 P.02 Savillp Account Account #5000098696 Established 04-15.1999 MARGUBRITB A LEREW LA WRENCH R LEREW DOD balance: 518,800.55 + 513.96 accNed interest The dececleat did Dot mabltaln aD)' aafe deposit box at PNC BulL Please note that this office only provides date of death balances for deposit accounts (IRAs, CDs, Checking rmd Savings accounts). We do not proc.es.a., financial transactio.... or provide statemeDts. If you need assistance with any of these items, please call1-888-PNC-BANK (1-888-762-2265) or stop by your local PNe Bank branch office. Sincerely, t,~ .~ ~. ;;1. "k.--<- ~ ~c./ Erica L Schlegel 1-800-762-1775 P1-PFSC-04-F 500 Fint Ave. PittIIbmib P A 15219 Member FDIC Page2of2 , . Sovereign Bank ESTATE OF SOCIAL SECURITY #: DATE OF DEATH: Marguerite A Lerew 174-20-5119 July 28, 2005 Account #: 0575136361 Type: In the name of: Marguerite A Lerew Date of Death Balance: Int.(YTD) from 1/1/2005 to Accrued interest to date of death: Other Info: CD Open date: 7/15/1991 $20,000.00 6/30/2005 $25.26 $157.70 Account #: 0575136387 Type: In the name of: Marguerite A Lerew Date of Death Balance: Int.(YTD) from 1/1/2005 to Accrued interest to date of death: Other Info: CD Open date: 2/3/1993 $20,000.00 6/30/2005 $27.64 $172.57 Account #: 0575136395 Type: In the name of: Marguerite A Lerew Date of Death Balance: Int.(YTD) from 1/1/2005 to Accrued interest to date of death: Other Info: CD Open date: 2/3/1993 $20,000.00 6/30/2005 $27.64 $172.57 Account #: 0575138433 Type: In the name of: Marguerite A Lerew Date of Death Balance: Int.(YTD) from 1/1/2005 to Accrued interest to date of death: Other Info: CD Open date: 12/5/1992 $10,000.00 6/30/2005 $29.31 $182.98 Page 1 of 1 ..." " Rev-1509 EX+ (1-98) *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTL Y -OWNED PROPERTY ESTATE OF FILE NUMBER Lerew, Marguerite A. 21-20$5-0706 If an ....t wa. mad. JoInt within on. year of the decedent'. dlte of death, It mu.t b. reported on ec:hedule G. SURVIVING JOINT TENANT(S) NAME A. Lawrence R. Lerew ADDRESS New Cumberland, PA 17070 RELATIONSHIP TO DECEDENT 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 ACCOUNT DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR VALUE OF ASSET INTEREST DECEDENT'S INTEREST JOINTLY.HElD REAL ESTATE. 1 PNC Bank. savings 5000098696 18.814.51 50.000% 9.407.26 TOTAL (Also enter on Line 6, Rec:;apltulatlon) 9.407.26 (If more space Is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) oiT-17~2005 20:43 PNCBANK 412 768 3458 P.02 Sal'iJlp AceoDDt Account #5000098696 Established 04-15-1999 MARGUERITE A LEREW LAWRENCE R LEREW DOD balance: SI8,800.55 + 513.96 accrued interest The decedmt did not maintain say ufe deposit box at PNC Bauk. Please note that this office only provides date of death }\Ah1nr.es for deposit accounts (IRAs, CDs, Checking and Savinp accounts). We do Dot proeea aD,. fInanda1 trauaetIou or provide statemeDtl. If you l1eed assistance with any of these items, please call1-888-PNC-BANK (1-888-762-2265) or stop by your local PNe Bd branch office. S~erely, t.~'. ~ ;;2 . ~ -<4L ~(Jw/ EriQ L Schlegel 1-800-762-1775 P7-PFSC-04-F 500 First Ave. Pittsburgh PA 15219 Member PDIC Page 2 of2 R~1 ex:(12'99) *' SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Lerew, Marguerite A. Debts of decedent must be reported on Schedule I FILE NUMBER 21-2005'()706 ESTATE OF ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION AMOUNT See continuation schedule(s) attached 9,620.68 B. 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) I EIN Number of Personal Representatlve(s): Street Address City Year(s) Commission paid State _ Zip 2. Attorney's Fees Wm. D. Schrack III 6,500.00 3. Family Exemption: (If decedenfs address Is not the same as clalmanfs, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent State Zip 4. Probate Fees 410.0' 5. Accountanfs Fees 6. Tax Retum Preparer's Fees 7. Other Administrative Costs See continuation schedule(s) attached 911.= TOTAL (Also enter on line 9, RecapJtul.lon) 17,442. Copyright (c) 2002 form software only The Lackner Group. Inc. Form PA.1500 Schedule H (Rev. : R8V.1502 EX.. (6-98) *' SCHEDULE H-A FUNERAL EXPENSES continued COMMONWEALTH OF PENNSYlVANIA INHERITANCf TAX RETURN RESIDENT DECEDENT ESTATE OF Lerew, Marguerite A. FILE NUMBER 21-2005-0706 ITEM NUMBER DESCRIPTION AMOUNT 1 Cocklin Funeral Home 9,620.68 Subtotal 9.620.6 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA.1500 Schedule H-A (Rev. 6-~ -1502 ex.. (1-98) *' SCHEDULE H-87 OTHER ADMINISTRATIVE COSTS continued COMMONwEAlTH OF PENNSYlVANIA INHERITANCE TAX ReTURN RESIOENT DECEDENT TATE OF Lerew, Marguerite A. FILE NUMBER 21.2005-0706 ITEM JMBER DESCRIPTION AMOUNT 1 Clerk of Courts. release fee 20.00 2 Cumberland Law Journal. estate advertisement 75.00 3 Miscellaneous expenses (Notary fees, postage, photocopies, etc.) 50.00 4 Morgan Stanley. stock transfer fee 110.00 5 Patriot News. estate advertisement 113.81 6 Register of Wills. additional shorts 8.00 7 Register of Wills. additional Shorts 8.00 8 Register of Wills. additional Shorts 12.00 9 Register of Wills . filing fee 15.00 10 Reserve for future administrative expense 500.00 Subtotal 911.81 2002 form software only The Lackner Group, Inc. Form PA.1500 Schedule H-B7 (Rev; 6-98) \ ~I- REV.1513 EX+ 1'.00) *' SCHEDULE .. BENEFICIARIES COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF NUMBER Lerew, Marguerite A. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS nnclude outright spousal C1istrfbutions and transfers under Sec. 9116(a)(1.2)] Lawrence R. Lerew 1835 Creekview Drive New Cumberland, PA 17070 Joyce A. Miller 4132 Yorktowne Road Orlando, FL 32812 RELATIONSHIP TO DECEDENT Do Not llat TNUlefSI FILE NUMBER 21-2005-0706 SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) I. Son 1/2 of residuary estate Daughter 1/2 of residuary estate Total Enter dollar amounts for distributions shown above on lines 5 through 18. as appropnate. on Rev 1500 cover sheet II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS See continuation schedule(s) attached 2,000.00 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 2,000.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA.1500 ScheduleJ (Rev. 6-98) Rev.150Z EX+ (1-88' . SCHEDULE .I-liB CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS continued . COMMONWEAl. TH OF PENNSYLVANIA INHERITANCe TAX RETURN RESIDENT DECEDENT ESTATE OF Lerew, Marguerite A. FILE NUMBER 21-2005-0706 ITEM NUMBER DESCRIPTION AMOUNT 1 Barren's United Lutheran Church . bequest 1,000.00 2 Dlllsburg Cemeter Association - bequest 1,000.00 Subtotal 2.000.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA.1500 ScheduleJ-IIB (Rev. 6-98)