HomeMy WebLinkAbout01-20-06
OWLETT & LEWIS, P.C.
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Attorneys at Law
One Charles Street
P.O. Box 878, Wellsboro, PA 16901
www.OwlettLewis.com
January/3, 2005
Register of Wills, Agent
Cumberland County
One Courthouse Square
Carlisle, P A 17013-3387
Re: Harold E. Frantz, Deceased
SSN: 179-07-7888
Date of Death: 03/12/2005
Dear Register:
Enclosed please find the original and one copy of the P A Rev-1500 Inheritance
Tax Return. I am also enclosing our office Trust Account check in the amount of $15.00
representing payment of your filing fee in this matter.
Please file this return of record.
Thank you for your assistance in this matter.
Very truly yours,
OWLETT & LEWIS, P.C.
(
TMO:jy
Enclosure
CC: Karl F. Frantz
Joanne F. Holland
1'~.,1
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Thomas M. Owlet!, Esquire
Telephone: (570) 723-1470
Facsimile (570) 723-1490
Email: TMO(iVOwlettLcwis.com
REV-1500 EX + (6.00)
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COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Frantz, Harold E.
DATE OF DEATH (MM-DD-Year)
03/12/2005
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
~L--1l~J2~~JL 9'
COUNTY CODE YEAR NUMBER
SOCIAL SECURITY NUMBER
OS/22/1914
DATE OF BIRTH (MM-DD-Year)
79- 0 7 - 7 8 8 8
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
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[Xl 1. Original Return
D 4. Limited Estate
D 6. Decedent Died Testate (AltachcopyofWiII)
D 9. Litigation Proceeds Received
D 2. Supplemental Return
D 4a. Future Interest Compromise Idateof death after 12-12-82)
D 7. Decedent Maintained a Living Trust (Attach copy ofTrus!)
D 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95)
D 3. Remainder Retum (date of death pnorto 12-13-82)
D 5. Federal Estate Tax Return Required
_ 8. Total Number of Safe Deposit Boxes
D 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
Thomas M. Owlett One Charles Street
FIRM NAME (If Applicable)
Owlett & Lewis PC POBox 878
TELEPHONE NUMBER
570-723-1470 Wellsboro, PA 16901
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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-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total Gross Assets (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)
(1) ......,
,
141,106.94 , - :,
(2) . I
)
;
(3)
(4)
(5) 412.69
(6) 37,716.10
~.. .. ')
(7)
(8)
179,235.73
13,528.88
23,850.28
(11)
(12)
(13)
37,379.16
141,856.57
14. Net Value Subjectto Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
(14)
141,856.57
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
0.00
141,856.57
0.00
0.00
X (15) 0.00
X .045 (16) 6,383.55
X .12 (17) 0.00
X .15 (18) 0.00
(19) 6,383.55
20. 0
, CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
Decedent's Com lete Address:
ST~EET ADDRESS 3809 Hearthstone Road
CITY Camp Hill
STATE P A
ZIP 17011
Tax Payments and Credits:
1, Tax Due (Page 1 Line 19)
2, Credits/Payments
A. Spousal Poverty Credit
B, Prior Payments ~ 3>13.51c
C, Discount
(1)
6,383.56
Total Credits (A + B + C)
(2)
lr 323 0 S(p
3. Interest/Penalty if applicable
D, Interest
E, Penalty
0.00
0.00
D, DO
Total Interest/Penalty ( D + E) (3)
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 (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, (5A)
B, Enter the total of Line 5 + 5A, This is the BALANCE DUE. (5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
(). 00
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; ........................................................................... 0 [g]
b, retain the right to designate who shall use the property transferred or its income; .....................'.'..............., 0 [g]
c, retain a reversionary interest; or ...................................................................................................... 0 [g]
d, receive the promise for life of either payments, benefits or care? ............................................................. 0 [g]
2, If death occurred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate consideration?,.....,....,. ,. ....,.... .... .... '........,.,........,.,.,.............................. ....... 0 [g]
3, Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ................. [g] 0
4, Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ............................ ............................ ............................................." 0 [g]
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, 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 PERS RESPONSIBL OR LING RETURN
OL~ ..-12-
3809 Hearthsto e oad
Camp Hill
SIGNA TU~~PREPARER OTHER THA~ REP.ARE~T A TIVi __
11--. 6---- ~ j \./ \ J2.-- \ ~)'v'\
ADDRESS One Charles Street, P.O. Box 878
Wellsboro
DATE
Jr." 6 tv
ADDRESS
PA 17011
DATE
) 1 ([{'lot>;
PA 16901
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, 99116 (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.S, 99116 (a) (1.1) (ii)],
The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if
the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child 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, 99116(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. 99116(1,2) [72 P,S, 99116(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. 99116(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.
REV-1503 EX + (6-98)
'w
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Frantz Harold E.
FILE NUMBER
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
DESCRIPTION
Texas Utilities Company - 100 shares common stock
CUSIP 882848 10 4
VALUE AT DATE
OF DEATH
7,729.50
Alliance World DLR GV FD II (AG.Edwards & Sons Account #684-036238)
- 1548 shares
18,978.48
Alliance World DLR GV FD II (AG.Edwards & Sons Account #684-036238)
- 1548 shares - accrued dividends
115.33
BellSouth Corp (AG.Edwards & Sons Account #684-036238) - 201 shares
5,262.18
Boeing Cap Corp (AG.Edwards & Sons Account #684-036238) - 9000 shares
9,581.40
Boeing Cap Corp (AG.Edwards & Sons Account #684-036238) - 9000 shares
- accrued dividends
18.30
Citizens & Northern Corp Com (AG.Edwards & Sons Account #684-036238)
- 884 shares
26,397.71
Citizens Financial Svcs Inc (AG.Edwards & Sons Account #684-036238)
- 165 shares
4,073.44
Daimler Chrysler North Amer HL (AG.Edwards & Sons Account #684-036238)
- 10,000 shares
10,866.65
Daimler Chrysler North Amer HL (AG.Edwards & Sons Account #684-036238)
- 10,000 shares - accrued dividends - accrued dividends
24.00
General Electric Co (AG.Edwards & Sons Account #684-036238)
- 127 shares
4,568.51
General Electric Co (AG.Edwards & Sons Account #684-036238)
- 127 shares - accrued dividends
27.94
Hancock John Strategic Ser Income Fd CI (AG.Edwards & Sons
Account #684-036238) - 1422.61 shares
H.J. Heinz Co (AG.Edwards & Sons Account #684-036238)
- 100 shares
10,128.98
3,598.84
Midland BK PLC (AG.Edwards & Sons Account #684-036238)
- 10,000 shares DTD 03/11/1996 Maturity 03/15/2011 at 6.95%
Midland BK PLC (AG.Edwards & Sons Account #684-036238)
- 10,000 shares DTD 03/11/1996 Maturity 03/15/2011 at 6.95% - accrued interest
11,207.03
343.64
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed. insert additional sheets of the same size)
141,106.94
Frantz, Harold E.
Decedent's Name
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
Page 1
Schedule B - Stocks & Bonds
ITEM
NUMBER
17.
18.
19.
20.
21.
)
Procter & Gamble Co (A.G.Edwards & Sons Account #684-036238)
- 116 shares
Tyco IntI Group SA (A.G.Edwards & Sons Account #684-036238)
- 10,000 shares - DTD 10/26/2001 Maturity 10/15/2011 at 6.375%
Tyco IntI Group SA (A.G.Edwards & Sons Account #684-036238)
-10,000 sharesDTD 10/26/2001 Maturity 10/15/2011 at 6.375% - accrued interest
Verizon Communications (A.G.Edwards & Sons Account #684-036238)
- 104 shares
SUBTOTAL SCHEDULE B
GRAND TOTAL SCHEDULE B
File Number
VALUE AT DATE
OF DEATH
7,25 .11
6,139.30
10,769.04
262.08
3,756.48
28,185.01
$
141,106.94
REV-1508 EX + (6-98)
'w
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Frantz Harold E.
ITEM
NUMBER
1.
2.
3.
FILE NUMBER
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
Pennsylvania Department of Revenue - refund of 2003 income taxes
Cumberland County Veterans' Affairs - Death Benefit
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
VALUE AT DATE
OF DEATH
17.55
295.14
100.00
412.69
REV-1509 EX + (6-98)
'*
SCHEDULE F
JOINTLY-OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Frantz Harold E.
FILE NUMBER
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A. Kar F. rantz
Son
B
c
JOINTL Y.OWNED PROPERTY:
LETIER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DE CD'S VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER. ATIACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A. 03/02 Pennsylvania State Employees Credit Union - 5,716.71 50. 2,858.36
Regular Shares Account #810211122
2. A 03/02 Pennsylvania State Employees Credit Union - 1.29 50. 0.65
Regular Shares Account #810211122 - accrued
dividend
3. A 03/02 Pennsylvania State Employees Credit Union - 29,560.41 50. 14,780.21
Checking Account #810211122
4. A 03/02 Pennsylvania State Employees Credit Union - 1.10 50. 0.55
Checking Account #810211122 - accrued dividend
5. A 04/03 Pennsylvania State Employees Credit Union - 40,000.00 50. 20,000.00
Certificate of Deposit Account #810211122
6. A 04/03 Pennsylvania State Employees Credit Union - 19.17 50. 9.59
Certificate of Deposit Account #810211122
7. A 04/03 Pennsylvania State Employees Credit Union - 133.48 50. 66.74
Earned Dividend
TOTAL (Also enter on line 6, Recapitulation) $ 37,716.10
(If more space is needed, insert additional sheets of the same size)
REV-,"" ,X' (1.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Frantz Harold E.
ITEM
NUMBER
A.
1.
2.
3.
4.
5.
6.
7.
8.
B.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
FILE NUMBER
Debts of decedent must be reported on Schedule I.
DESCRIPTION
FUNERAL EXPENSES:
Tussey Mosher Funeral Home - Funeral Charges
Tussey Mosher Funeral Home - Cemetery Lot Charges
Tussey Mosher Funeral Home - Certified Copies of Death Certificate
Tussey Mosher Funeral Home - Church Fees
Tussey Mosher Funeral Home - Cemetery equipment
Tussey Mosher Funeral Home - Flowers
Tussey Mosher Funeral Home - Harrisburg Charges
Tussey Mosher Funeral Home - Wellsboro Gazette Charges
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City
State
Zip
Year(s) Commission Paid:
AttomeyFees Owlett & Lewis, P.C.
Family Exemption: (If decedenfs address is not the same as c1aimanfs, attach explanation)
Claimant
Street Address
City
State
Zip
Relationship of Claimant to Decedent
Probate Fees
Accountanfs Fees
Tax Retum Prepare(s Fees Owlett & Lewis, P.C. - 2004 income tax prep
Storage Shed for Decedent's Personal Property
US Postal Service - postage costs
Cumberland County Register of Wills - Filing Fee -Small Estates Petition
Cumberland County Register of Wills - Filing Fee - Inventory
Cumberland County Register of Wills - Filing Fee - Inheritance Tax Return
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
AMOUNT
7,285.00
525.00
150.00
150.00
80.00
363.58
324.00
87.00
4,225.00
200.00
85.00
9.30
15.00
15.00
15.00
13,528.88
REV-1512 EiX + (6-98)
*'
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Frantz. Harold E.
FILE NUMBER
Include unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1. Philhaven Behavioral Healthcare Services - Decedent's Medical
VALUE AT DATE
OF DEATH
18.97
2. PA Department of Revenue - Decedent's 2003 personal income tax
144.00
3. Susquehanna Cardiologists - Decedent's Medical
9.18
4. Alert Pharmacy - Decedent's Medical
56.52
5. Moffitt Heart & Valve Center - Decedent's Medical
14.37
6. Internists of Central P A - Decedent's Medical
24.54
7. Wellsboro Area School District - donation - Decedent's account
74.31
8. Harrisburg Gastroenterologists - Decedent's Medical
10.85
9. Smith Radiology - Decedent's Medical
1.38
10. Holy Spirit Hospital - Decedent's Medical
251.56
11. P A Department of Revenue - 2004 personal income tax
196.00
12. Captial Area Health Assoc - Decedent's Medical
4.62
13. Quantum Imaging - Decedent's Medical
22.32
14. Holy Spirit Hospital - Decedent's Medical
31.40
15. Mobile X-ray Imaging - Decedent's Medical
5.36
TOTAL (Also enter on line 10, Recapitulation) $
23,850.28
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
Frantz, Harold E.
Decedent's Name
Page 3
File Number
Schedule I - Debts of Decedent, Mortgage Liabilities, & Liens
ITEM
NUMBER DESCRIPTION AMOUNT
16. MessIah Village - Decedent's nursmg home care 22,984.90
SUBTOTAL SCHEDULE I 22,984.90
GRAND TOTAL SCHEDULE I $ 23,850.28
"':'''''':''w
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
FILE NUMBER
Fr~nt7 H~rnlrl F.
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1. Karl F. Frantz Lineal 70,928.41
3809 Hearthstone Road
Campt Hill, PA 17011
2. Joanne Frantz Holland Lineal 70,928.41
3 Kimberly Drive
Dryden, NY 13053-9729
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, 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
1.
B CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
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)
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
OWLETT & LEWIS PC
ONE CHARLES ST
P. O. BOX 878
WELLSBORO, PA 16901
u__n__ fold
ESTATE INFORMATION: SSN: 179-07-7888
FILE NUMBER: 2105-0668
DECEDENT NAME: FRANTZ HAROLD E
DATE OF PAYMENT: 12/09/2005
POSTMARK DATE: 12/08/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 03/12/2005
NO. CD 006086
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $61383.56
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$6,383.56
REMARKS:
OWLETT & LEWIS
CHECK# 8685
SEAL
INITIALS: RSK
RECEIVED BY:
TAXPAYER
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
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Date of Death:
Valuation Date:
Processing Date:
Symbol
1) CASH
2) 01879RI06
3) 079860102
4) 097014AD6
5) 172922106
6) 174615104
7) 233835AA5
8) 369604103
9) 410227888
10) 423074103
11) 597433AD3
Estate Valuation
Harold E. Frantz
03/12/2005
03/12/2005
03/29/2005
Shares
or Par
Security
Description
High/Ask
17.55 CASH
1548 ALLIANCE WORLD DLR GV FD II
COM
New York Stock Exchange
03/11/2005
03/14/2005
12.47000
12.26000
Div: 0.0745 Ex: 03/02 Rec: 03/04 Pay: 03/18/05
12.19000 H/L
12.12000 H/L
201 BELLSOUTH CORP
COM
New York Stock Exchange
03/11/2005
03/14/2005
26.31000
26.42000
9000 BOEING CAP CORP
Financial Times Interactive Data
DTD: 03/08/2001 Mat: 03/01/2011 6.1%
03/11/2005
03/14/2005
Int: 03/01/2005 to 03/12/2005
884 CITIZENS Ii NORTHN CORP
COM
NASDAQ Bank - Insurance
03/11/2005
03/15/2005
30.01000
30.10000
165 CITIZENS FINL SVCS INC
COM
NASDAQ Bank - Insurance
03/11/2005
03/14/2005
24.50000
25.00000
10000 DAIMLER CHRYSLER NORTH AMER HL
Financial Times Interactive Data
DTD: 08/24/1999 Mat: 09/01/2009 7.2%
03/11/2005
03/14/2005
Int: 03/01/2005 to 03/12/2005
127 GENERAL ELEC CO
COM
New York Stock Exchange
03/11/2 0 0 5
03/14/2005
36.14000
36.22000
Div: 0.22 Ex: 02/24 Rec: 02/28 Pay: 04/25/05
1422.61 HANCOCK JOHN STRATEGIC SER
INCOME FD CL C
Mutual Fund (as quoted by NASDAQ)
03/11/2005
Low/Bid
25.95000 H/L
26.04000 H/L
106.43750 A/B
106.48260 Mkt
29.50000 H/L
30.05000 H/L
24.50000 H/L
24.75000 H/L
108.68750 A/B
108.64540 Mkt
35.75000 H/L
35.78000 H/L
7.12000 Mkt
100 UNSETTLED SALE - H. J. HEINZ CO
Trade Date: 3/11/2005; Settlement Date: 3/16/2005
10000 MIDLAND BK PLC
New York Bond Exchange
DTD: 03/11/1996 Mat: 03/15/2011 6.95%
03/11/2005
03/14/2005
Int: 09/15/2004 to 03/12/2005
Page 1
112.00900 A/B
112.13150 Mkt
Estate of: Harold E. Frantz
Account: 684-036238
Report Type: Date of Death
Number of Securi ties: 15
File ID: Frantz238, Harold53972
Mean and/or Security
Adjustments Value
12.260000
26.180000
106.460050
29.861667
24. 687500
108.666450
35.972500
7.120000
112.070250
17.55
18,978.48
5,262.18
9,581.40
26,397.71
4,073.44
10,866.65
4,568.51
10,128.98
3,598.84
11,207.03
Div and Int
Accruals
115.33
18 .30
24.00
27.94
343.64
Symbol
12) 674599105
13) 742718109
14) 902118BC1
15) 92343V104
03/12/2005
03/12/2005
03/29/2005
Shares
or Par
Security
Description
High/Ask
Low/Bid
104 UNSETTLED SALE - OCCIDENTAL PETROLEUM CORP
Trade Date: 3/11/2005; Settlement Date: 3/16/2005
116 PROCTER & GAMBLE CO
COM
New York Stock Exchange
03/11/2005
03/14/2005
53.44000
53.25000
10000 TyeO INTL GROUP S A
Financial Times Interactive Data
DTD: 10/26/2001 Mat: 10/15/2011 6.375%
03/11/2005
03/14/2005
Int: 10/15/2004 to 03/12/2005
104 VERIZON COMMUNICATIONS
COM
New York Stock Exchange
03/11/2005
03/14/2005
36.39000
36.30000
Total Value:
Total Accrual:
Total: $133,394.99
Page 2
52.48000 H/L
52.53000 H/L
107.62500 A/B
107.75580 Mkt
35.94000 H/L
35.85000 H/L
Estate of: Harold E. Frant=
Account: 684-036238
Report Type: Date of Deat~
Number of Securities: 15
File ID: Frantz238, Harold53972
Mean and/or Security
Adjustments Value
7,258.11
52.925000
6,139.30
107.690400
10,769.04
36.120000
3,756.48
$132,603.70
Div and Int
Accruals
262.08
$791.29
PSECIt
the financiallinkw
May 19, 2005
Account # 810211122
JANIS YSKAMP
OWLETT & LEWIS PC
PO BOX 878
WELLSBORO, PA 16901
Dear MS YSKAMP:
The following is the status of HAROLD E FRANTZ's account with PSECU as of the date of death.
Joint Owner's Name
Date of Death
Date of Birth
KARL F FRANTZ, JOINT TENANT W /ROS
03.12.2005
05.22.1914
Share
S 01
S 04
S 50
Description
Regular Shares
Checking
Certificate
Open date
03.01.2002
03.01.2002
04.03.2003
Balance
$ 5,716.71
29,560.41
40,000.00
Accrued Dividend
$ 1.29
1.10
19.17
The dividend earned from January 1, 2005 through the date of death was $133.48. The decedent had no loans with
us. We do not have safe deposit boxes for our members.
If you have any questions, please call 234-8484 in Harrisburg or our toll-free number, (800) 237-7328. At the menu
prompt, enter 6 and then extension 2227.
Sincerely,
Ct '//
fi~' it,
Mcacie F.m"jl
Member Service Representative
Finance Support Unit
~~~~D~{gTI
1 MAY 2 0 2005 ~U
L:J
Pennsylvania State Employees Credit Union
Main Address: 1 Credit Union Place, Harrisburg, PA 17110-2990. (717) 234-8484 . (800) 237-7328
(il' Mailing Address: P.O. Box 67013, Harrisburg, PA 17106-7013 .. (717) .1.77;21 00 (TDD) . (~gO) .4?2~!9.6_?!TDD)
'_' Savings federally insured up 10 $100,000 by the National Credit Union Administration www.psecu.com
-
JUN-82-85 89:86 AM TUSSEY-MOSHER
5787246527
P.81
"
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,,-!{.A-4. C ,.Jt--
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Mr. Karl Frantz
3809 Hearthstone Rd,
Camp Hill, Pa. t 7011
FOR THE FUNERAL SERVICE OF:
HAROLD E. FRANTZ, Marcb 12, .100~
PROFESSIONAL SERVICE CHAkGE:
OTHER STAFF & RELATED FACILITIES CHARGE:
TRANSPORTATION CHARGE:
MERCHANDISE:
BIUClsville, Q88 RomlUl, 20 Gause, Monogard, Steel Casket.
Wilbert, Monticello, Concrete Burial Vault With Namcphttc.
2,815.00
SSO.OO
695.00
2,395.00
1,295.00
L-
CASH DISBURSEMENTS:
Cemetery
Certified Copies
Church
CRm8tcry c~
Flowers '
Harrisburg
Wellsboro Gazette
Total Funeral Charges
Less: Discounts
7,750.00
465.00
7,285.00
Net Funeral Charies
.
!~
525.00
IS0.00
150.00
80.00
363.58
324.00
87.00
Total Cash Disbursements
Balance
1,679.58
8.964.58
Balance Due
s
8,964.58
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