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HomeMy WebLinkAbout02-01-06 (2) REV-150DEX (6.00) REV-1500 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21 05 0690 COUNTY CODE YEAR NUMBER I- Z W C W U LU C DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) i SOCIAL SECURITY NUMBER OPPEL, Howard M. , 208-22-2408 DATE OF DEATH (MM-DD_YEAR)u !DATE O,,'BIRT-H(rviM:OO-YEARj-- -- _1_ THIS RETURN MUST BE FILED IN DUPLICATE WITH~H~ ~1~~:~~~BLE)SURVIViN-GSf'OUSE'S NAME(LAST, t~:~,~~~1~DDLElNiTIAW--------'-'----IISOCIAL SEC~~~~~B~~ O! ~I~~______ n/a LlJ I- ~::fU) UO::~ LlJll.U :coo uO::..J ll.llJ ll. 4: o 1, Original Return o 4. Limited Estate o 6, Decedent Died Testate (Allach copy of Will) o 9. Litigation Proceeds Received o 3, Remainder Return (dale 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 See, 9113(A) (Allach Sch 0) o 2, Supplementat Return o 4a, Future Interest Compromise (date of death aller 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy of Trust) o 10, Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) I- Z LlJ Cl Z o ll. U) LlJ 0:: 0:: o U THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME Richard L. Placey FIRM NAME(lI'Appl'cable)-----. Placey & Wright ..fELEPHoNE-NUrvfBER-----~--- ---------. - (717) 236-9577 COMPLETE MAILING ADDRESS 3631 North Front Street Harrisburg, PA 17110-1533 - _.._---_._.__._--_._--~ 0.00 , 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 100,786.08 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 (5) 406,342.97 -:. - Z (Schedule E) ~.. , . 0 6, Jointly Owned Property (Schedule F) (6) 0.00 ~ o Separate Billing Requested ...J (7) 115,079.12 :::> 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property I- (Schedule G or L) a.. 622,208.17 <( 8, Total Gross Assets (total Lines 1-7) (8) U (9) 34,378.95 W 9, Funeral Expenses & Administrative Costs (Schedule H) 0:: (10) 570.25 10, Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11, Total Deductions (total Lines 9 & 10) (11) 34,949.20 12. Net Value of Estate (Line 8 minus Line 11) (12) 0.00 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been (13) 587 ,258.97 made (Schedule J) 14, Net Value Subject to Tax (Line 12 minus Line 13) (14) 587,258.97 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES Z 15, Amount of Line 14 taxable at the spousal tax 0 rate. or transfers under Sec, 9116 (a)(1.2) x .0 (15) 0.00 ~ 587,258.97 x .045 26,426.65 ~ 16. Amount of Line 14 taxable at lineal rate (16) :::> a.. 17. Amount of Line 14 taxable at sibling rate x ,12 (17) 0.00 :E 0 18. Amount of Line 14 taxable at collateral rate x ,15 (18) 0.00 U >< 19. Tax Due (19) 26,426.65 ~ o .~:I:(~~:I::l~~::II:aTl~~~;lII~I...l:1f~~I'II::lwl 20. > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < Rt. Decedent's Complete Address: STREET ADDRESS 'uJ4~S-,E:noJC1J,)rivE:L ---- - -,.-- - - ___ ____m__ _. .___.___ _____ ____,..___ _..___....____._.___. --..-' ____n__ I ZIP 17025 --..------------.-----.------- ~-r- CITY E I . . --- STATE - no a PA Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 26,426.65 0.00 19,000.00 --_..---_..-- __'LQOO~_Q- Total Credits ( A + B + C ) (2) 20,000.00 3. InteresUPenalty if applicable D. Interest E. Penalty 0.00 ___..._..___.n._____...____ -- 0.00 TotallnteresUPenalty ( 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) 0.00 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) 6,426.65 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 0.00 6,426.65 0.00 PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes a. retain the use or income of the property transferred;.............,............................................................................ 0 b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 c. retain a reversionary interest; or.......................................................................................................................... 0 d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 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 t. b f" d' t' ? rXJ con alns a ene IClary eSlgna Ion. ........................................................................................................................ ~ No [i] [i] W !Xl ~ ~ o 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 penallies of perjury, I declare thai 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. DATE 02/01/06 SIGN;1T, UR OF PERSON RESPONSIBLE F?R r-)N1, RETURN ~~pr7. ~ ADDR S Frederick M. Op~el. xecutor O.:p,I,aGey'&'.~~ri ht, '31 North Front Street, Harrisburg, PA 17110-1533 SIGNATURE OF P.REPARE OTHER A REPRESENTAT~ . DATE . ;' ,/ " // . "7, 02/01/06 '--/ .. ./ ' .-....-".., , ,---,- y, Esquire, Placey & Wright, 363~arriSbUrg, PA 17110-1533 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 PS 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 tile 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)]. Tile 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,whet~e_r by~lood or adoption... ",., ;"'/ 'It REV-1503 EX+ (6-98) " ~,iil~l'~ 'WtJ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF HOWARD M. OPPEL FILE NUMBER 21-05-0690 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION Great West Lifeco First Preferred Series E, 149 shares valued @ $22.30/share VALUE AT DATE OF DEATH 3,322.70 2. Great West Lifeco First Preferred Series F, 48 shares valued @ $21.40/share 1,027.20 96,436.18 3. American Express Mutual Fund Account 011521868833002 TOTAL (Also enter on line 2, Recapitulation) $ 100,786.08 (If more space is needed, insert additional sheets of the same size) Page 1 of 1 Placey & Wright From: Marc.Moonin@opco.com Sent: Monday, October 24, 2005 6:19 AM To: pwlaw@epix.net Subject: Estate of Howard M. Oppel Holly, these are market values as of date of death, May 7, 2005: Great West Lifeco First Preferred Series E 149 shares at $22.30 Total $3,322.70 Great West Lifeco First Preferred Series F 48 shares at $21.40 Total $1,027.20 Total Value of Above $4,349.90 If you would prefer this on Oppenheimer letterhead, just send emai/. Thank you. Marc For more information about Oppenheimer's products and services, visit our website at <http://www.opco.com> http://www.opco.com. This communication is for informational purposes only and nothing herein should be construed as a solicitation, recommendation or an offer to buy or sell any securities or product. The information contained herein has been obtained from sources believed to be reliable but we do not guarantee accuracy or completeness. Oppenheimer & Co. Inc and its affiliated companies, their officers, directors and employees may have a position in or, make a market in any securities mentioned above and, may act as an investment banker or advisor to such companies. Client account information or transaction details do not supersede mailed confirmations or account statements which are the only official records containing this infom1ation. As a matter of policy, orders are not accepted via e-mail or voice mail and no responsibility shall accrue relating to any orders placed in this manner. If this communication has been received in error, please delete or destroy immediately. 10/27/2005 I~Cf_.~!L~~j~) ~L. y~ ti ,'41.J...L;...,;.,:,tJ':t ~l"'lt:. r;: .L r _'~-1! 'i t:..,h,i "';.r:.. =,=, ;- ~:,::rL._ J'I' Thank you for Y'::lUT recent inquiry regarding HOWARD M OPPEL'$ accounts. The3e arC the value;: of th~ l1<:CClLnts as nf05iOi/2005. At the end of this letter, you will find a list of beneficiaries shown in om' initi~1 review cfthe deceased's accounts, Pl!;!a~,e p7."lJ1tlde our office with an)' contact infQIDmtion you may ha"e, incJuding but not lim!1ed t.o c.amplet:: names, aodrE;8Scs, telephone numbers ilnd rdationship~ to the dece;l.sed for ltfl)' benefic-lary or ,11lin,,1IIt idemificcl on the decmsed's accounts. IMPORTANT REMINDEH: Tn accordance \vith various regulatory agencies, Ameriprise Fiml.l1cial Service:; will r.cmtinuc to mail monthly/quart~rly stl1to::mentr. foc the deceas'ild to the deceased';; address ofn:cord. The only iudi\'iduO!.~(ri) grali.ted a..1t]J.or;c7,ation 1.(> change:: th~ addre1JS of the de(;~a~ed and thus. redirect the mailing address of fhE: z!.aternel1~, i~ t1-tc EXi,r;mor(s) of the Estate oft-he deceased, Account Inform:ttion !\-.{mual Fund~ [\,;;count Nurnbel' 01152186883 :; 002 Annuitles - PQllt 1985 ACCOUl)t N\ul1~t;,~ 93001602186.'5004 93001.G021873 004 93001630302 4 004 93~'Z..81C..()-Q.g A'nnm les - 0111.1985 A.ccount NUIn9S\: 930<J1602186 5 OM 9J001602187 3 OM 930016303024004 930Ql66787C1 (i 004 O~ill~eq:hjp Individual- TOD QIDle!"ship Individual Truh'idurd Ind1vidual I9talValue $96436.18 Lof shares .21,702.003 Asset 'iigJJKl'er Sh1!L~ 4.440 ) ~ 1ma] V~lue $28934.52 $28934.52 $29269.07 $2i941.01 # ofshsre.s. ltsset Vaiuebr Share The clap;; of death values provided are for estate tax purpQS~~, and nre not values to be p;l.1d. Acco1.:.T1,ts may roe wl:jtGt to market fluctuation as governed by each product. Please note that the values illdicared for any Life Ins\Jjan~e p,odu,r{s} Teflcct the gTO;;~ death. benefitst date of death, not the cash value. Values for any proprietary lnm.uol funes :ncluJe: a;:cmed d~vicic1'lds ns applicable, Ac-,:oullt Disposition j>...:.coun.t di~posjtiofl is ba~cd on ho.v an account is owned (the olh'nership type), The following Jdonn:.u.ioll will h,~j.p ~.)U understand tLl; pH";;c;~S ~bt will be used te .settle th~ a~co;;mts. })i~positjrm for Im)j,,;dLlal- TOD ownership ':..ipon tlw dcat.l-[ ofthe: o....'l1er, ail accounTS rcgJ5tered as indiy;dual-1rans:l:er on death pass to the nan~d ben",,:rr.i311C;:, U::'; :!. :;/ L~J::l~1 1 b: :'M1_ ,"1 /~'::;1 4an:? tJ.~,,'1E.:F,' I CAr-1 E><F!~~E!~~;;:':; ~;:'i:.:,f~E- 02 Ben;eiidllry Inform:a tion 'w'l'; have the following bcn~.fir;lnri~5 on re1;:l;>rd for the deceased'~ aCCOUT.ts, A~c(>lmt Numi),m 01152186883:' 002 Der.igrilttilJ:n: P-RIMARY BCNEFICL\RY FRE.D~R!CK M OPPEL, SUN, ..<L'\ID CA.ROL A SEBASTIAN, DAUGHTER 100% bQUALL:{ PER STIRPES ACfouni Numl:ter: 9~;JCl16G2 i ~6 5004 Desigo<l n(l.!J.; PRDVIARY BE:-.rEFICL\RY FREDET{lCK M OPPEL, SON, AJ'ID CAROL A SEBASTIAN. DAUGHTER 100% EqUALLY, PER STIRPES .<\.l~count Number: 930,);.60218'7 ~ OM. Designation: PRJi\.:LA.RY BENEFIC1ARY FREDERICK M OPPEL, SON, AND C6.ROL A SEBASTIAN, DA VGHTER 100%, EQUALD', PER STIRPES Account Number: 9300 16303C2 4 004 l>t~signation: ~RrM:ARY BEKEF! CUI.R Y FREDERICK IVl OPPEL., SON. AND Cp..ROL A SEBASTL.l"N, DAUGHTER 100% EqJALLY, PER STIRPES Account Ni.lmoer: 930016678706004 De~ign.llti[Jn: PRIJ\-1AR.1r BEl'JEFICIJ.,RY FREDERlCK 1,"1 OP?EL, SON. A1'-i'D CAROL A SEBASTIJ\.N, DAUGHTER 10;)% EQl'....JLY, PER STIRJ'ES REV-1508 EX + (6-98) r: J>~i?~ '4~~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISe. PERSONAL PROPERTY ESTATE OF HOWARD M. OPPEL FILE NUMBER 21-05-0690 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. PNC Bank Certificate of Deposit #31100181053 (Principal-$3,581.87; Interest-$5.78) 2. PNC Bank Certificate of Deposit #31200221123 (Principal-$18,344.35; Interest-$15.53) 3. PNC Bank Checking Account #5140114811 (Principal-$8,352.09; Interest-$.78) 3,587.65 18,359.88 8,352.87 4. Sovereign Bank Checking Account #0921709048 (Principal-$30,560.87; Interest-$6.67) 5. Sovereign Bank Savings Account #0924029192 (Principal-$1,879.52; Interest-$1.21) 6. Sovereign Bank Certificate of Deposit #0925157406 (Principal-$13,425.54; Interest-$61.02) 7. Sovereign Bank Certificate of Deposit #0925158115 (Principal-$53,356.91; Interest-$13.69) 8. Sovereign Bank Certificate of Deposit #0925158313 (Principal-$24,578.21; Interest-$11.09) 30,567.54 1,880.73 13,486.56 9. Jefferson Pilot Financial Annuity 007544941 on decedent's deceased spollse 53,370.60 24,589.30 91,747.55 10. MetLife Annuity A2050097 on decedent's deceased spouse 81,417.99 11. MetLife Annuity A2048872 on decedent's deceased spouse 78,982.30 12. Miscellaneous Personal Effects (See bank letters, Jefferson Pilot letter/check stub and MetLife letter attached) TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 406,342.97 '::E:f='-2C-'-- ~';~:D~I 1 ~~. .1 ":' J. " --,...:' :-"ljCEFlt.j[ 41~:.: '(C'::'~ ':;~~)b r'. Ul. Ul o PNCBAl\K Sept€:n:.bcr 28,2005 Richard L. Placey 3631 North Front Street Han'isburg, PA 17110.)533 RE; EstMe of Howard M. Oppel, deceased SSN: 208-22-2408 DOD: 5/7/2005 Dear Me. Placey: In response 10 your request ft.'r Date of Death balallces for the C!lstomer noted above, our records shew the following; Certificates of Deposit ACl:;OUnl #3110018J053 Established 03/09COOO HOWARD M OPPE.L DOn bahnce~ $3,58] .87 + $5.78 accrued interest Al,;count #31200221123 Established !.1/ 15/200 " HOWARD M OPPEL nOD balance; $ J 8344.35 + $15.53 accrued interest Checking Account Account #5 140 I J 48] ; E<;ta.blished 07/01/1970 HO'NARD M OPPEL ooD balance; $8,352.09 + $.78 accrued interest Piea3e n.ote that thIs office only provides date of death balances for deposit accounts (1R.!\s, CDs, Checking and Savings accounts). We do not process any fin:\lnclal transactions Or provide statements. If you need assistance with any of these: hen\s, please call1-S88-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch (,ffi\~e. Sincere!), (5i1JC}1((l~(L LLL(ljL&>~ Rachclk W~]]s 1-800- 762-17i5 P7..PFSC..04-F 500 r;ISI Ave. Vlosr.urgh PA 15219 :\1embcr ?DIC T[iTf.-I._ 01 Sovereign Bank ESTATE OF SOCIAL SECURITY #: DATE OF DEATH: Howard M Oppel 208-22-2408 May 7, 2005 Account #: 0921709048 Type: Checking In the name of: Howard M Oppel or Hilda M Oppel Date of Death Balance: $30,560.87 Int.(YTD) from 1/1/2005 to 4/20/2005 Accrued interest to date of death: $6.67 Other Info: Open date: 9/3/1996 $40.63 Account #: 0924029192 Type: Savings In the name of: Howard M Oppel or Hilda M Oppel Date of Death Balance: $1,879.52 Int.(YTD) from 1/1/2005 to 4/20/2005 Accrued interest to date of death: $1.21 Other Info: Open date: 9/3/1996 $1.99 Account #: 0925157406 Type: CD In the name of: Howard M Oppel or Hilda M Oppel Date of Death Balance: $13,425.54 Int.(YTD) from 1/1/2005 to 2/28/2005 Accrued interest to date of death: $61.02 Other Info: Open date: 2/25/2000 $155.67 Account #: 0925158115 Type: CD In the name of: Howard M Oppel or Hilda M Oppel Date of Death Balance: $53,356.91 Int.(YTD) from 1/1/2005 to 4/30/2005 Accrued interest to date of death: $13.69 Other Info: Open date: 6/9/1989 $182.04 Account #: 0925158313 Type: CD In the name of: Howard M Oppel or Hilda M Oppel Date of Death Balance: $24,578.21 Int.(YTD) from 1/1/2005 to 4/30/2005 Accrued interest to date of death: $11.09 Other Info: Open date: 3/20/1986 $147.32 Page 1 of 1 Ui JEFFERSON PILOT Jefferson Pilot Financial PO Box 21008 Greensboro, NC 27420 August9,2005 336 691 3000 RICHARD L PLACEY PLACEY & WRIGHT ATTORNEYS AT LAW 3631 NORTH FRONT STREET HARRISBURG, PA 17110-1533 RE: Hilda M. Oppel Jefferson Pilot Financial Insurance Company, Contract/Policy Number 0007544941 Claim Number 461185 Dear Mr. Placey: Thank you for returning the requirements necessary to review this claim. We are pleased to advise that payment of benefits has been processed. The gain to be reported to the IRS is $31,747.55. This gain will be reported to the Internal Revenue Service as taxable income for the tax year 2005. Enclosed is our check for the approved benefits. Details of our payment are located on the check. Thank you for the opportunity to be of service. If you have any questions, please contact us in writing or call toll free (800) 487-1485, ext. 8584. Sincerely, ~~ Sandra S. Barnes Claims Examiner Greensboro Claims Department Ene. '4326A' IC40010083 POLICY NO: 0007544941 CLAIM NO: 0461185 AUG 09, 2005 0000719199 INSURED: HILDA M OPPEL DEATH CLAIM DEATH BENEFIT 91,747.55 IF YOU HAVE ANY QUESTIONS CONCERNING THIS CLAIM, PLEASE CALL US TOLL FREE 1-800-487-1485, EXTENSION 4882 ESTATE OF HOWARD M. OPPEL FREDERICK M. OPPEL, EXECUTOR 3631 N. FRONT STREET HARRISBURG PA 17110-1533 JEFFERSON PILOT FINANCIAL INSURANCE COMPANY 4326A DETACH CHECK HERE *******$91,747.55 AMOUNT OF CHECK 0701 'J nJ! } U ' .~ ( ~i:~ \it.I)! iJ~~;L.!;N[J nN!~!J 1 ';! ~S ~HX hU, b>A~1(43Ul (', r.ll MetLife ri:ll~L!ary n :::OOr) CS'TATE or HOWAJ.\.D tvf OPPEL .\ 1'1.\1: HOLLY .~6311\J FRUi\;T STREET HAfU~[SBURG, PA 17110 RE: Cmltnlcr Numh~c A2050097 and A21148872 D(;'!;tf Sir or Ma;brne: Thank you ibryour reGtlit mquiry regarding the hJ.storical aCCOU:1t value oflhe ;mnully I..'ontr:'lds r.;-Jel'enced above. As. orMa)' 7, 2005, the aCGount valu.es were as follows: .-\2050097 $8 LA17 .99 A~!04g872 $78,982.30 Thank YOll again for the opportunity to serve yom' investment needs. \Ve appr,~ciaf.e youl'bw;mess. If YO\..l have allY q\lt~stions eoncerni.1g the above.,. or your contract in geEc"l'al, p!~~se cc111 an AJ'-;:Jui;:y P0licy Str\'ice Representatiw~ at (800) 284-4536. Our staff will gladly assist Yl.'lll between thc' :10LUs of7:30 a.m. and 5:30 p.m., Central Time, Monday thrcugh Thunlday, and from 7:30 arn..mtil 5:00 p.m., Friday. Si11cerely~ ,.......""\ /' / /7 ( ""':2/1:' / '~>JIi / ...-, / (..1fjU . /J'" L_-_. .--_..- .... l/ . ~7 r "---- /' ...~,.. ,~.r-~,. ..-' S~\.ra E~!,(l\~,'~~l Annuity Poi.icy Servic.e Department ~.~__~~~f!: l~\ves\'or$,.'~~~.~.r.?,n,~.~,,~ar'ltpQny Ii. ~=~~~=,.~~v6stor:s lna.ur.~.r~~~,.~~~.~any gf ~~~~~~.r~~.ll MctLi~!.:~.~~~!~rll U:')A t!:':~~~~:-~ 5omp~n.y:_..._.._~ P.~~6 $imd.AI'.CCrre5l'ol>den.c....1<'.', .... F.,,' !.lCP't)~. Mull On/.'1""1 S("." '. r- \.J, ,':'1. .'\ ~ ~;'::..' ~'-J LJ';;~ _1,'1.':, P:J:: !u .....1..'.:'_1.::.. !',,'/ _I !l/GC \"{~~-tr:J'."-'-, ~:;'.i; ';":::1"' ~~, Iro;; :';''')(:1 ',Iv.:;:!! r>.:.~, ;"/\:',:1'1;';;:. IF .:/;2':,(:-,.:1?' :::, . ( ---.J MetLife August 31, 2005 Fred M Oppel 441 North Enola Dr Enola, PA 17025 RE: Contract Number: A2050097 and A2048872 Dear Mr. Oppel: Thank you for your recent request for the above named contract. . Our records indicate that the Primary Beneficiary was changed to Howard W Oppel. I have enclosed a copy of the confirmation sent to Howard Oppel on August 1, 2003. Please complete the enclosed Policy Claims Settlement forms with the Estate of Howard Oppel as beneficiary, with Estate's information for each of the above named contracts. . Thank you again for the opportunity to serve your investment needs. We appreciate your business. If you have any questions concerning the above, or your contract in general, please call an Annuity Policy Service Representative at (800) 284-4536. Our staff will gladly assist you between the hours of 7:30 a.m. and 5:30 p.m., Central Time, Monday through Thursday, and from 7:30 a.m. until 5:00 p.m., Friday. Sincerely, '--~'\Q~~ ~\\ \'\~w:J Stephanie Hughes . \~ Annuity Policy Service Department \ \\\~\D5 ~Iease Send /.\/1 ':orrespondence To: .) __._.MetLjf.,_I~esto...:,-,nsu~~c",..~~P_~Y "_iVlet-':ii_e-'':l..,.,stor~-''':lJrance C':~!,<lnY_<lf Calii'ornia ~~etLife lnvestors .~.~~_insuranc",. Company For Express JViail Cpniy: /\/"7.';tuNn 'jIJI!8 Ph: dOO 3.13 3Li96 /"/8Si i~)f;.') ,\/'\oin~\ f~ REV-1510 EX+ (6-98) \,:, .Sb~i'9- ~g COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISe. NON-PROBATE PROPERTY ESTATE OF HOWARD M. OPPEL FILE NUMBER 21-05-0690 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 ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER ATTACH A COPY OF THE DEED FOR REAL ESTATE, VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1, American Express Annuity Account Nos, 930016021865004, 930016021873004,930016303024004 and 930016678706004, Beneficiaries in equal shares to Frederick M. Oppel, son, and Carol A. 115,079,20 100 115,079,12 Sebastian, daughter. Transferred on May 7, 2005, (See letter attached) TOTAL (Also enter on line 7 Recapitulation) $ 115,079,12 (If more space is needed, insert additional sheets of the same size) ~~!~b!~~~~ .L~:4~ /l /44.L 4::IU::: Ar'.'lc.~i 1 CI~1'i U'::f-'f.::c.'=,'=, ;'-'!-',;"c uc.' Thank you for YOU!: recent inquiry regarding HOW AFJ) M OPFEL'~ accounts. These arc th~ values of the llCc;(I1::.r1ts as Df 05107/2005. At the e.nd Ol this letter, YOli will find a list of beneficiaries shown in OU!. initial review of the deceased's acctlltl1ts, PJ~a~r p;:,(wide our office with im}' contact infomlation you may hlwe, including bllt not UJnm,:d (0 c.omplet~ names:. addn:;85c5, telephone numbers and relationship!': to the dece;lsed for It!iY bene.tielal)' or dain,ant idemificd on the deceased's a.ccounts, IMPORTANT .REM[NDER: In accordance with various regulatory agencies, Ameriprise Fltl!l.ncial Services will cCHltinuc to mail monthly/quarterly :)lnt~1t1et1t[, for the deceas':1d to the deceased'" address ofrecoro. The only individ\lOll([,) gnmtcd tll1thori.:r.ation to chauge th:: addre(;s of the dee~a~ed and thus. redirect the mailing i'iddre~s Clf fhE: ztatcmeIJU;, i~ t1-)c EXI;CLlDJr(s) of the Estate of the deceased. Account Information ""'!muaJ. Fund!: f7.c-;.ount Number 01152186&833002 Annuities - pq!;t 1985 ACCOUI)t N~imhJ;,{ 930016021865004 930016021873004 93001630302 4 004 930n 1667870 6 004 Mutual Funds ~1.IDLN\.lm.be~ 0115218 ~.. 02 Annuities - Post 1985 Account NLUI1~ 9'30016021865004 93001602387:' 004 930016303024004 930Ql667&70 G 004, O~.w..tm:hjr lndividual - TOD O.'1Jle!'ship Individual IndIvidual Individual Individual I9tal Value ___$96436.18 LOf shares 21,702.003 Asset 'irab\': Per Sh?-.L~ 4.440 ", Total Value $28934,52 528934.52 $29269.07 327941-01 ,,f\.sset Valuey>er Share The da,~ eath values provided are for estate tiL" purpose~. and are n values to be pald. Account. may be mbj~ct tel market :t1ur.:lua 1 ~ h ' each roduct. P ., e values indicated for any Life Ins\J1,m.;:e pyoduc.: r:( 5) reflect the grosli dc~th benefit at date of death, not the cash valuc. Values for a11Y pJOprict:lry InlJI.Uil I funds induue: a;:cmed divicic'nds 1I~ applicable, Ac..lOun1 Disposition i'..;.l~OU1').t dir-positiOfl is based on how an account is owned (the ow)J.er~hip type), The followixl.g idol1l'JatjOll ,,:ill h,~lp ~.)u understand th: prot.:e~s that will be used te gettle tht tl,;,cou,l1ts. TJisposition for Imlh'ldllal - Ton ownership "ejpon the death ofthf: owner, all aCCOUlJIS registered as individual-transfer on death pass to the naiw:d bem~f'ci3ji8.<.. U:::l/ :t :;/ ~~J:~jt':f ~~ b: :11 /1 .i(~ 414dUl::: {j,Mt=.k 1 (..:Af"1 1::.></-1f..:~i:. ':::;1.:; f-'!~'.f;1:.: 11:.:' Benei".tdllry Inf'orm;.\tion WI!: have the following bCli::-ficim1f.lS OD rc".or(1 for the deceased'::; acroUI'.ts. A{~C(l\l.!1t NUUlher; 01152186883:' 002 Desigl'J:.tion: PRIMARY BENEFICIARY FREDERlCK Iv1 OPPEL, SON. AND CAROL A SEBASTIAN, DAUGHTER 100% EQUALLY. FER STIRPES Account Number: 930[1160211:165004 nesigmltiO.lJ.; VRTI'vlAR Y B E~EFICLi\RY FREDERICK M OPPEL, SON, .AJ"m C;\lWL A SEBASTIAN, DAUGHTER 1.00% EqUALLY, PE:R STIRPES Account Number: 9~ OJ 1602137 3 ODJ. Dl:siil:lnation~ PRIM.ARY BENEFICIARY FREDERICK M OPPEL, .sON, AND C.AROL A SEBASTIAN, DAFGHTER 10m'" EQUALLY, PER STIRPES Account Number: 93001630:\024004 Designation: PRlli~ARY BEKEF1CLA..RY FREDERICK M OnUI-, SON, AND CA~ROL A SEBASTIAN, DAUGHTER 100% EQU.ALLY, PER STIRPES Am;ll.lntNumber: 930016673706 O[)4 De~ilil1;1lti1Jn: PKTMAlfr BENEFICIARY FR.EDERiCK M OPPEL, SON. AND CAROL A SEBASn.A..N, DAUGHTER 100% EQVALLY, PER STIRPES REV-1511 EX+ (12-99) _ ~~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF HOWARD M. OPPEL FILE NUMBER 21-05-0690 Debts of decedent must be reported on Schedule 1. ITEM NUMBER A. AMOUNT B. 1. 4. 5. 6. 7. 8. 9. 10. DESCRIPTION 1. FUNERAL EXPENSES: Sullivan Funeral Home 9,477.00 ADMINISTRATIVE COSTS: Personal Representative's Commissions 0.00 Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City . State Zip Year(s) Commission Paid: 2. Attorney Fees 19,350.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 0.00 Claimant Street Address City State _Zip Relationship of Claimant to Decedent Probate Fees 364.00 Accountant's Fees 0.00 Tax Return Preparer's Fees 0.00 Cumberland County Register of Wills - short certificates Patriot-News Company - estate advertising Cumberland Law Journal - estate advertising Reserve for future costs, taxes and expenses 12.00 100.95 75.00 5,000.00 34,378.95 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) REV-1512 EX+ (12-03) . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF HOWARD M. OPPEL FILE NUMBER 21-05-0690 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Metro Med Services - debt of decedent 188.50 2. Corncast - debt of decedent 45.19 3. East Pennsboro Ambulance Service, Inc. - debt of decedent 76.00 4. HealthSouth Rehabilitation Hospital - debt of decedent 27.56 5. Messiah Village - debt of decedent 233.00 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 570.25 REV.1513 EX+ (9.00) \'. JJjil;j'~ '~i$ SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF HOWARD M. OPPEL FILE NUMBER 21-05-0690 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. Frederick M. Oppel, 441 North Enola Drive, Eno/a, PA 17025 Son One-Half Resid 2. Carol Ann Sebastian, 132 Calle La Montana, Moraga, CA 94556 Daughter One-Half Resid 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 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0.00 ue ue (If more space is needed, insert additional sheets of the same size) LAST WILL AND TESTAMENT /' OF HOWARD M. OPPEL I, HOWARD M. OPPEL, now of East Pennsboro Township, Cumberland County, Pennsylvania, do hereby declare this to be my Last Will and Testament and hereby revoke all prior Wills and Codicils made by me. ITEM I. I direct that all of my just debts and funeral expenses, including the cost of my gravemarker, if any, shall be paid from my residuary estate as soon as practical after my decease as a part of the administrative expenses of my estate. ITEM II. I give and devise all of my estate of every nature and wherever situate to my wife, HILDA M. OPPEL, provided she survives me by thirty (30) days. ITEM III. Should my wife, HILDA M. OPPEL, predecease me or die on or before the thirtieth (30th) day following my death, I then give and devise all of my estate of every nature and wherever situate in equal shares, share and share alike, to my children, FREDERlCK M. OPPEL and CAROL ANN SEBASTIAN, or their issue, per stirpes. Should either of my children predecease me without issue surviving, I give such deceased child's share to my other child, or their issue, per stirpes. ITEM IV. If any income or principal shall be payable to any person who shall be under the age of twenty-one (21) or who shall be incapacitated for any reason, my personal representative, as trustee, shall hold such income and principal for such beneficiary until the age ;~~~ O#~ Howard M. Oppel of twenty-one (21) or during incapacity and shall be entitled to apply such income and principal to the health, maintenance, support and education of such person without the appointment of any guardian or committee or any authority of court, and shall be entitled to make direct application hereunder or to make application by payment thereof to the parent or other person in charge of such person, or to his or her guardian or to a custodian under the Uniform Transfers to Minors Act, or to the person. Any remaining income and principal to which such person shall be entitled shall be paid and distributed to such person upon attaining age twenty-one (21) or termination of incapacity. ITEM V. I appoint my son, FREDERICK M. OPPEL, Executor of this my Last Will and Testament. Should he fail to qualify or cease to act in such capacity, I then appoint my daughter, CAROL ANN SEBASTIAN, Contingent Executrix of this my Last Will and Testament. No bond shall be required by my personal representative in any jurisdiction. ITEM VI. In addition to the powers given by law to my personal representa- tive( s) and trustee( s) [hereinafter fiduciaries] in the administration of my estate and of any trust(s) created herein, they shall have the following discretionary powers applicable to all real and personal property held by them, including property held for minors, effective without court order until actual distribution. A. To retain any property owned by me at my death and to invest any funds held by them in any stocks, bonds, notes or other securities or property, real or personal, including common trust funds, mutual funds and money market deposit accounts operated or offered by my corporate trustee, if any, or any affiliate of it. ?lM/"~dfrl .~JZ Howard M. Oppel 2 B. To sell or otherwise dispose of any property, real or personal, at any time forming a part of my estate or the trust estate, for cash or upon credit, in such manner and on such terms as they see fit, and no one dealing with the fiduciaries shall be bound to see to the application of any monies paid. C. To manage, operate, repair, improve, mortgage or lease for any term [even if beyond the duration of the trust(s)] any real estate at any time held or owned by them as fiduciaries. D. To hold investments in the name of a nominee and exercise and dispose of warrants. E. To engage in litigation and compromise, arbitrate or abandon claims and property. F. To conduct any business in which I am engaged or in which I have an interest at the time of my death for such period as the fiduciaries deem advisable, with the power to borrow money and to pledge the assets of the business and to do all other acts which I, in my lifetime, could have done, or to delegate such powers to a partner, manager or employee without liability for any loss occurring therein. G. To allocate items of receipt or disbursement between principal and income as the fiduciaries deem equitable regardless of the character given such items by law; to distribute in cash or kind or partly in each at valuations fixed by the fiduciaries. H. To borrow money, including the right to borrow from any corporate trustee, if any, and to mortgage or pledge as security or to hold its own stock if a corporate trustee. ?I~/~Ji~~~.~? Howard M. Oppel 3 I. To join in any merger, reorganization, voting trust plan or other concerted action of security holders, and to delegate discretionary duties with respect thereto. J. Should the principal of any trust herein provided for be or become too small in trustee's opinion so as to make establishment or continuance of the trust inadvisable, my trustee(s) may make immediate distribution of the then remaining principal and any accumulated or undistributed income outright to the person or persons and in the proportion they are then entitled to income. Upon such termination, the rights of all beneficiary(ies) who might otherwise have an interest as succeeding income beneficiary(ies) or in remainder shall cease. K. In general, to exercise all powers in the management of the assets of my estate or the trust estate which any individual could exercise in the management of similar property owned in his own right, upon such terms and conditions as the fiduciaries may deem best, and to execute and deliver all instruments and to do all acts which the fiduciaries may deem necessary or proper to carry out the purposes ofthis will or any trust(s) created herein. L. To apply income or principal to which any beneficiary is entitled, directly for his or her comfort, maintenance and support, should the fiduciaries deem such beneficiary incapable of receiving the same by reason of age, illness, infirmity or incapacity, or to pay the same to such person or persons as the fiduciaries select to disburse it, whose receipt shall be a complete acquittance therefore without the intervention of any guardian. M. To assume continuance of the status of any beneficiary with reference to death, marriage, divorce, illness, incapacity or other change in the absence of information deemed reliable without liability for disbursements made on such assumptions. l~' ''J~L-~o/~ oward M. Oppel 4 N. All principal and income shall, until actual distribution to any beneficiary, be free of the debts, contracts, alienations and anticipations of any beneficiary, and the same may not be liable for any levy, attachment, execution or sequestration while in the hands of any fiduciaries. Provided, however, any beneficiary may assign any part or all of the beneficiary's interest in my estate or the trust(s) to anyone or more of the beneficiaries or my descendants. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 2nd day of April, 2002. ~c;r/~ ~ Howar M. Oppel The preceding instrument, consisting of this and four other pages, identified by the signature of the testator, was on the day and date thereof signed, published and declared by Howard M. Oppel, the testator therein named, as and for his last Will, in the presence of us, who, at his request, in his presence, and in the presence of each other, subscribed our names as witnesses /h~. (__ (_~L..~ L~ ~~<UU1 ::lc.fON ~3~J-t!(I~t1-(t//:Ir11 fL , I 3t, 3/ 77. ~,pL u '~l-~7144 5 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYL VANIA : : SS. COUNTY OF DAUPHIN I, HOWARD M. OPPEL, testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last Will, that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. ~~/ CK4Jf {!:Pn ~ I oward M. Oppel Sworn or affirmed to and acknowledged before me, by Howard M. Oppel, testator, this 2nd day of April, 2002. J-/-u'J I ~ J{UJ! ! ( "v-I Notary Public NOTAR!,~L SEAL J My Commission Expir s: HOL~Y S. KIRK-Nolary Public . Hamsburg, Dauphin County AFFIDAVIT My Commhe~~~eb.15. 2003 COMMONWEALTH OF PENNSYLVANIA: : SS. COUNTY OF DAUPHIN and -Ja.ndrO-- 1. t3mQW; the witnesses whose names are signed to the attac d or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw testator sign and execute the instrument as his last Will; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testator signed the Will as witnesses; and that to the best of our owledge e testator was at that time 18 or more years of age, of sound mind and under no con aint uence. We, i cl1 C({ d.. C:?/ /a:;--7LzUL{~1-_ _ Sworn to and subscribed before me this 2nd day of April, 2002. c -....----- NOTARIAL SEAL ] HOLLY S, KIRK, N'otary Public My Commission Expire Harrisburg, Dauphin County My Commlr,slon Explre~ Feb, 15, 2003 ----........>4._.._ ----..-..--",.x