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HomeMy WebLinkAbout07-13-06 COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INO'VIDUAL TA,~ES DEPT 28060\ J..1ARRISBURG, ;:::','1 128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT M& T BANK, SUCCESSOR TO ALLFIRST BANK 55 SOUTH MAIN ST PO BOX 459 CHAMBERSBURG, PA 17201 ~~-- fold ESTATE INFORMATION: SSN: 179-10-3868 FILE NUMBER: 2105-1077 DECEDENT NAME: V ANDREW HELEN F DA TE OF PAYMENT: 07/13/2006 POSTMARK DATE: 07/1 3/2006 COUNTY: CUMBERLAND DA TE OF DEATH: 10/24/2005 NO. CD 006963 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $4,488.40 I I I I I I I I TOTAL AMOUNT PAID: $4,488.40 REMARI<S: ZULLlNGER AND DAVIS CHECI<# 296905147 2 SEAL INITIALS: AJW RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS LA W OFFICES OF ZULLINGER - DAVIS PROFESSIONAL CORPORATION JOEL R. ZULLlNGER 14 North Main Street Suite 200 Chambersburg, PAl 720 1 717-264-6029 Fax: 717-264-1884 zulngrlaw0)earth 1 ink. net Dale F. Shughart, Jr. of counsel HAMILTON C. DAVIS 20 East Burd Street, Suite 6 P.O. Box 40 Shippensburg, PAl 7257 717-532-5713 Fax: 717-530-5222 hami Itonda vis la w@comcast.net July 12, 2006 Register of Wills Cumberland County Courthouse Carlisle, PA 17013 Dear Register: RE: Estate of Relen F. Vandrew File No. 21-05-01077 Enclosed for filing in your office are the following: . Two copies of the PA Inheritance Tax Return; . One copy of the Inventory; . Check payable to Register as Agent in the amount of $4,488.40 for balance of P A Inheritance Tax due; and . Check payable to Register in the amount of $30.00 for filing fee. If there are any questions, please contact my Chambers burg office above. Thank you. Very truly yours, Joel R. Zullinger EncIs. REV-1500 EX + (6-00) '* COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY FILE NUMBER ~--~-LJL-.LJL 7 7 COlJNTYCODE YEAR '~i_''.~3EK- - I- Z W Cl W U W Cl DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Vandrew, Helen F, DATE OF DEATH (MM,DD-Year) SOCIAL SECURITY NUMBER DATE OF BIRTH (MM-DD-Year) 79- 1 0 - 3 868 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 10/24/2005 11/11/1912 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER L1J I- ~ ::;en u a:~ L1J g;u :I: a:g u c. [l) c. <( [X] 1. Original Return o 4, Limited Estate [X] 6, Decedent Died Testate (Attach copy of Will) o 9, Litigation Proceeds Received o 2, Supplemental Return o 4a, Future Interest Compromise (date of death after 12- n.92) o 7, Decedent Maintained a Living Trust (Attach copy ofTrust) o 10, Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) o 1 Remainder Return (date of death prior to 12-13-.92) o 5, Federal Estate Tax Return Required Q.. 8, Total Number of Safe Deposit Boxes o 11, Election to tax under See, 9113(A) (Attach Sch 0) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS Joel R. Zullin er 14 North Main Street, Suite 200 FIRM NAME (If Applicable) Zullin er Davis, P.C. TELEPHONE NUMBER 717 264-6029 Chambersbur PA 17201 I- Z L1J Cl Z o c. en L1J a: a: o u z o I- <( ...J ::> !::: a.. <( u W 0:: z o I- <( I- ::> a.. :!!: o U >< <( I- 1, Real Estate (Schedule A) (1) 2, Stocks and Bonds (Schedule B) (2) 3, Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5, Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6, Jointly Owned Property (Schedule F) (6) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9, Funeral Expenses & Administrative Costs (Schedule H) (9) OFFICIALc1)SE ONLY ) 269,265.20 58,967.34 Ul 10,041.60 (8) 338,274.14 24,868.10 1,783.40 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) 11 Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) (11) (12) (13) 26,651.50 311,622.64 1,00000 14, Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES (14) 310,622.64 15, Amount of Line 14 taxable at the spousal tax rate, or transfers under See, 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 X 0.00 X 0.00 X .12 310,622.64 X .15 (15) (16) (17) (18) (19) 000 0.00 0.00 46,593.40 46,593.40 20. D CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT :>:> BE SURE TO ANSWER ALLQUESTIONS ON REVERSE SIDE AND RECHECK MATH < < Decedent's Complete Address: STREET ADDRESS 206 East Surd Street CTY I STATE I ZIP Shippensburg PA 17201 Tax Payments and Credits: 1 Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 46,593.40 40,000.00 2,10500 Total Credits (A + B + C) (2) 3. Interest/Penalty if applicable D. Interest E. Pen alty 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 42,105.00 0.00 0.00 4,488.40 4,488.40 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 . b f" d . t' ? f)(l contains a ene IClary eSlgna [on. ....................................................................................................... l6J No [X] 00 00 [X] 00 [X] 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. ADDRESS PA ADDRESS PA 17201 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 PS 89116 (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 )J. 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) '*' SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Vandrew Helen F. FILE NUMBER 21 05 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION 786 shares of Beistle CO. common stock @298.03 2 52 shares of BellSouth Corp.@25.62 3. Accrued dividend on Item No.2 above 4. 30 shares of Chevron Corp. @56.99 5. 240 shares Colgate Palmolive Co. @52.45 6. 30 shares Duquesne L T HLDGS, Inc. @16.75 7 30 shares General Motors Corp. @28.865 8. 140.942 shares AT&T @23.365 9. Accrued dividend on Item No.8 above 10. 200 shares Templeton Global Income Fund @8.17 11. Accrued dividend on Item No.1 0 above 12. 32 shares Verizon Communications @30.13 13. Accrued dividedn on Item No. 12 above 14. 590.597 shares Pimco FDS PAC INVT MGNT Ser @10.59 15. Dividend paid 9/30/05, prior to death, but not received until after death on No. 14 above 16. 299.8 shares Merrill Lynch US Govt Fund @20.09 1077 VALUE AT DATE OF DEATH 234,251.58 1,332.24 15.08 1,709.70 12,588.00 502.50 865.95 3,293.11 45.45 1,634.00 8.00 964.16 12.96 6,254.42 19.57 3,024.98 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 269,265.20 Continuation of REV-1500 Inheritance Tax Return Resident Decedent Vandrew, Helen F, Decedent's Name Page 1 21 05 1077 File Number Schedule B - Stocks & Bonds ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 17, 100 shares Comcast Corp, @27A35 2,743,50 SUBTOTAL SCHEDULE B 2,743,50 GRAND TOTAL SCHEDULE B $ 269,265,20 REV-15G8 EX + (6-98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Vandrew Helen F. FILE NUMBER 21 05 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. 01077 ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. o '-'. 10. 11. 12. 13. 14. 15. 16. DESCRIPTION VALUE AT DATE OF DEATH 293.20 Borough of Shippensburg, refund Checking Account #97558060, M& T Bank 42,25638 Refund, Episcopal Home, deposit made to Checking Account #97558060, M&T Bank 465.00 Deposit made to Checking Account #97558060, M& T Bank, after date of death 10.34 Prudential Annuity payment deposited to Checking Account #97558060, M&T Bank, after date of death 216.44 Accrued interest to date of death on Checking Account #987558060, M& T Bank 0.58 Certificate of Deposit #21001057455, PNC Bank, including interest accrued to date of death 1,00550 Certificate of Deposit #21001057408, PNC Bank, including interest accrued to date of death 3,126.83 Certificate of Deposit #31003914396500, M&T Bank, including interest accrued to date of death 1,010.16 Certificate of Deposit #31003914396758, M& T Bank, including interest accrued to date of death 1,007.75 Certificate of Deposit #31003914396758, M& T Bank, including interest accrued to date of death 1,009.69 Certificate of Deposit #31003914396766, M& T Bank, including interest accrued to date of death 1,014.10 Certificate of Deposit #31003914396906, M&T Bank, including interest accrued to date of death 1,007.59 Certificate of Deposit #31003914396948, M& T Ban k, including interest accrued to date of death 1,000.81 Certificate of Deposit #31003914397178, M&T Bank, including interest accrued to date of death 1,012.85 Certificate of Deposit #31003914397201, M&T Bank, including interest accrued to date of death 1,011.11 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 58 967.34 Continuation of REV-1500 Inheritance Tax Return Resident Decedent Vandrew, Helen F. Decedent's Name Page 2 21 05 1077 File Number Schedule E - Cash, Bank Deposits, & Misc. Personal Property ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 17. Certificate of Deposit #31003914397227, M&T Bank, 1,007.69 including interest accrued to date of death 18. Certificate of Deposit #31003914397384, M& T Bank, 1,501.31 including interest accrued to date of death 19. Certificate of Deposit #31 003914397631, M&T Bank, 1,009.20 including interest accrued to date of death 20. Cash received from Merrill Lynch Money Market 0.81 Account #2A T -29P72 SUBTOTAL SCHEDULE E 3,519.01 GRAND TOTAL SCHEDULE E $ 58,967.34 REV-1510 EX + (6-98) '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER.VIVOS TRANSFERS & MISC. NON.PROBA TE PROPERTY ESTATE OF Vandrew, Helen F. FILE NUMBER 21 05 1077 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 :riCLUD:: T:..<E ~;AME OF ThE ,RANSFEREE. THE:R REL.\TIOhSH!P TO DECEDENT A,N8 DA TE OF DEATH % OF DECO'S EXCLUSION TAXABLE NUMBER Ti-'E DATE OF TRANSFER ATT,A,CH A COpy OF THE DEED FOR REA.L ESTATE VALUE OF ASSET INTEREST VALUE (JFA?PLlCABLEl 1. AIG Annuity Policy #A0200353 10,018.88 100. 10,01888 2. Accrued interest to date of death on Item 1 above 22.72 100. 22.72 TOTAL (Also enter on line 7 Recapitulation) $ 10,041.60 (If more space is needed, insert additional sheets of the same size) REV-1511 EX+(12-99) *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Vandrew Helen F. FILE NUMBER 21 05 01077 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: Fogelsanger-Bricker Funeral Home, balance of funeral bill 182.10 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name 01 Personal Representative (s) M& T Bank Social Security Number(s)/EIN Number 01 Personal Representative(s) 13,869.00 B. 16-053802 Street Address 55 South Main Street, P.O. Box 459 City Chambersbur~ State PA Year(s) Commission Paid: 2006 Zip 17201 2. 3. Attorney Fees Joel R. Zullinger Family Exemption: (II decedent's address is not the same as claimant's, attach explanation) Claimant 10,000.00 Street Address City State Zip Relationship 01 Claimant to Decedent 4. Probate Fees Glenda Farner Strasbaugh, Register - JCP fee 10.00; letters 360.00; will 15.00; short certificates 104.00; automation fee 5.00; filing return 30.00 524.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 8. 9. 10. Vital Records, death certificates for decedent Cumberland County Legal Journal, advertise letters News-Chronicle, advertise letters Vital Records, death certificates for Ethel Latsbaugh 108.00 75.00 101.00 9.00 TOTAL (Also enter on line 9, Recapitulation) $ 24,868.10 (II more space is needed, insert additional sheets 01 the same size) REV-1512 EX + (6-98) . SCHEDULE. DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Vandrew, Helen F. FILE NUMBER 21 05 1077 Include unreimbursed medical expenses, ITEM NUMBER DESCRIPTION Check written from decedent's personal checking account #97558060, M& T Bank, for nursing home care prior to death but not cleared through account until after death Check written from decedent's personal checking account #97558060, M& T Bank, prior to death but not cleared through account until after death VALUE AT DATE OF DEA TH 1,14000 1. 2. 17.98 3. Richard Vandrew, reimbursement for expenses incurred as power-of-attorney for the decedent 605.42 4. Hartzell Eye, medical services 20.00 TOTAL (Also enter on line 10, Recapitulation) $ 1 783.40 (If more space is needed, insert additional sheets of the same size) RELA TIONSHIP 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. George Vandrew, Jr. Collateral 823 Lee Lane 1/11th of residue Enola, PA 17025 2. Lee Latsbaugh Collateral 152 Sequoia Court 1 111th of residue Chambersburg, PA 17201 3. Peggy Ann Myers Collateral 1939 Coldsmith Road 1 111th of residue Shippensburg, PA 17257 4. Lynn Raye Farina Collateral 300 Luther Road 1/11th of residue Harrisburg, PA 17111 5. Richard Vandrew Collateral 3415 Anthony Highway 1 111th of residue Chambersburg, PA 17201 6. Donna Davis Collateral 18132 Maugans Avenue 1 Iii th of residue Hagerstown, MD 21740 7. Unda Knowles Collateral 9849 E. County Line Road 1/11th of residue Longmont, Colorado 80501 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. 0.00 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. First Church of God 1,000.00 121 East King Street Shippensburg, PA 17257 TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 1,000.00 ,,,,,,,,,. "*, COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Vandrew Helen F SCHEDULE J BENEFICIARIES (If more space is needed, insert additional sheets of the same size) FILE NUMBER 21 05 1077 Continuation of REV-1500 Inheritance Tax Return Resident Decedent Vandrew, Helen F. Decedent's Name Page 3 21 05 1077 File Number Schedule J - Beneficiaries - 1 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) 8. Kathy Burner Collateral 36 Nightingale Lane 1/11th of residue Shepherdstown, West Virginia 25443 9. Barbara Ruckman Collateral 198 Packing House Road 1 /11th of residue Berkeley Springs, West Virginia 25411 10. William Vandrew Collateral Box 55, 275 Colorado Street 2/11 th of residue Marion, PA 17235 -;-::; "7 - / ? :-:J.::'~:-::: ~,'; 7-:=.. ,r-,....:.~~ :.---.~......._ .- _ ...._ '_ . h'- ~..:... LO LAs"r 1N"ILL Al-8 TEST?~!E~TT lI21. en '" 'Tle..I:;:lre'/i I -:::: - -/- =.- :.=:."- --"'-----....-'-, ~. , , '::. .:.--: l ::=: .:::=: ~ ~'- ~:::: .2 '.J. 2:.' ~r ~ '_l. ~~ OS :- ~ ? =--_~~ ..-...' ~...., - -- ".'-.- '. ! ~ -" -- ~ '-'. .'-- -- , , , :=t 2. S p'J S l r:;. '9' ~ ~,"':"'1 _:...... ! 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"1' ~--. ~ n'" I 1 r -:::) (l I q .....~.t;--;:-'..L............ ~~;.....'....L.._ to all p~o~e~t~T whether pyi~cip3l 8r l~COffi2, . --, -, l ~lC 1.. U~"J.lf'j.g pr(Jp~"2:.-t ,{ held Ir~ ,- v~ Lll~Lors } e~'(e rc is 3.l-J l~:: \J'y' _i t ~L -::) ~_: t C:/~ u =:~ t a:=:'c:::G~l,3.1, a:-id e f fee t i "'ife un :: i 1 a::::tu'?,l cli s t r it-ii-.t c i C):.l .--------..- '____'0.... ciJ..l "-,r-."'Y"'\O-",~'i-": r . t--'.-L'---'~,-..L L1 . A. To ~ecaln a~y an5 all 0: the aSS2~3 U_L sy e3t~te, r~2al G~ p2rSO::"e31, -..v~i t ~Ol:t l-.=:g.~r.j "Co aE'/ P2:"'iilciI)le diversification of risk. B. }"10 in"\I2st l:r1 all torms of p~opercy inclLldi:lCT sto~k/ CQt~~on Clouse fu~ds and ~ortgage investT!leDt EUEd3 with8L:t . ' . , :::.-e'::: ~_:C' =-::: ~ :':.) ['~ ~_c: ::'::.~/2S:iT:2=-~C :3 , . " =;~ :_~ ~ h'~:-':: J_ =: -?:'-:l :- (--., ~..- '::-';::'2::1:'2 ;;)2']S 2 c: :2 ,~_ -Co. -<--....; - --....... _-:=3.52 .......... --., -.-- - -..-, ~'::::~ ~.-.../ - -=: -...-- ;~ "J- .,-.~, ::::. y ~ -./' =-- =-_ -, -:.~ :::::; 2. / ~ -........ - ~ ~ ~ ---' ~ --- _L~a:::'~::s I c,~, _.~ s -~: ~ (1 'Y'"'I ~....- ~ ......'.~ ...;... -:::<. ~ ~ -,_t 1...~ -:-:; '-=:: =--.:. -.:::'... ",~-....-~ ct~ ~r~! r'~a-~ p~0pe~ , ...L '---"' Gi.l ~c::C'? -=:; ~'eC:2l~'-::'S ::::':!-"-'-"! :::~ ~:-:~ c:~~:--.:. 3~ S i ",...-. -, ~ - 1 ......." ,F" ,-. or partl}- to 2a~1: a3 t l' ,'~~ ~-T', ~:L ~~.~ '~ ~~ ..:) -, ~ .. ~.. ~ ~~i rcJ( p~CC'rI)-:: ';- E. To comproffilse any claim or con~rov~rsy. n [' . ~Tc, cli s ~::- i t)Li t 8 l 11 C: El .S r~ /-', ~,,~ -; i'l k i itcl C~_~ ~}3. -ct _~ "'/ ___ -. ,__, 'r... "-' -_. -.... .. . (' ~1 . rro hold property lr! cheir ~a~2S ~ ' 1 ' ." . r// ~ C C:.CJ1_1 C. Cle S 19:;. 3. t ~L 0:_ any -, ~ . IlGUCla::cy caO<3.cit'I - - '" 'r '-.; L 1. rl tns nan1~ :J[ .:} r"lC.~""'1l r~,;:::::::; Lln~eSJiste:-c.~cl. iT , . T diresc that all ta:C2S t~~t Day b~ 3SS2S3~~ l~ CO~52qu~nce O~ 2Y death of w~ate~;er nature a~d by wtace~er juris:jiccio!l imposed , '1 SC12-L ce pald f rO~1 IT. Y. res id:"l2,-~C~'/ :=~~:-;~:-p ~ -" ...- '-.'- - - as ~'- P3,-yt of tl'i2 e~:(;:>(:::~se or L.i..:..'"::': - .. . a:;.:7t~ ri.L sera ClCi:l ~- '--' J_ '''j escat2. VI. a.ppoi=-~~ ..=:',ll::irst 3'::'::"::--.:.k ;^~ i t h c.:trlc23 Shi. ::J:-).~ .ns }J'~l :_-J .. - -~ ~ ~ ~ ~--~ 3 -,. -; -- a. r-~ j_ ~ Q_S e}:'~:-:'(.:,~=:C ,,-F - 1~, _.. ---- l~~'..: ~'1",~::;"'.L..L D~.---'-,~ "J, \l ,!.- .i .. '. - r-, -:c -~~ ~-= - -, -- - --- '-'. - - - _:... ".-'--' . -/- ~_ _::: ,-'. ~.= :. 2- .:;:--:.. . I}T ~"lITI~;E-S S ~<\THE?EOF 1 ---- ,.,~ -......, --:._1."/l ~ill a~Q ==~~~~S~C, ./ '- ~ - -' -'-- ~ '-. ~ ,~ -r::2-/'::-- - -. -- "- .....' - c.~_r2~:: ~/i ;: i.. :..~ f: .C-:::3 ?- ~3 l C ~;,3. :::. ,~: 2'." -- .- ~"' .~ ~.L ~-. p '-~ :c p ',.' ~C:> '-' ,of i ci .:~ L~ t i fie -3. c i Ci I~ -l- ',.-...: l-- .~.:. _:... ;:::; cay c 2 - (~~. 2_J\~ '; Signed, " - sea.l.ea. ( I.)ub lis :::.ect a ~;.(::1 c;'le C~ 1 cLced '01/ t 0'~ ? ~:J0~.-2 - r~:~ 't1.::;-~1 te3tatrix as and fer her last ~lill 3.11C:1 t e:::3 t sllT~e:l. ~ 8',_~r pr23:~r1.~e I i,i~lC:\-=-' ~n.er p:.-eser:.c:e I -:J.t n~{ 2:.~ea~._:::;5t 2.. r~ C] l r: t :"'l:~ t=. :...~ i:,?: S --=: r~ -= .~~ C) -= 2 ,3, C ['~ .:)~':l2:::- , Cl::l 'I e herel.l:1 to sse OL~r J:-lctr--~C1S c:t.u attesti~g ~li~nesse3. ~'le , Helen F. Vandrew, a:lcl the test3_tr.~i:{ and I- ',r"': --. l.- l":"C: V1lCI1,2 32 2 ..:;: r2spec=iv~lYf whose na~2S are sig~ed ~~ CI12 attached or foregsi~,~ '-'--"'- .-- ~~ ~ ___: I! t';::::l :-;.--; =.~?:5=- Ci"r:.J..y- S"'/J~i~r~ I , .: , 11'~ ~e_~)-,j' Cl,,' :: ~C :" :':' '= i-roo p~;= :- ::: - ,::::; -~..~, ~ ::-<.'-- ~ ~ :::: .:-.::;,- :~. - - - -,-. .-, ~/'; ..L :::: .~, :--\. .- "-..'. ~~ I, _:A. ,~") ~ C~:: __ , 'J: -:: c- .~ :.:::: ;- -,.- :-~ {~, 'of' - --- - --." ~ ~ ~__ ,,~ ~ ;_ _L ...:_ _.\.. ~\ll t r~;::.::s E; --------- TtI i t"r:; s s ---.-.------~------. Subsc~ibed, S\VOrE to and ac~nowledged before me by the abov~-named slgner and subscribed and sworn co before me bv tn~ above-na~ed witness~s this _____ day or 2 ~^ l-J;~t,3ry D, lh 1 i r. .L -.....^--'..........--l............ j---..--.------. I .'1.:;~,/fj J:~~.~~~~J~!~j!/jt:i: ,\t~/ r;: -~___~____h_~___-:~~_'~__"N1__:,~..~_ D ::~ ,'-r..;:.. .:. :::~.""""""'; ....,.' :J: ?3.::' :;e.3c::,iptic-;:-" 2:::~=-.3,::':'_;::-: ::O?,? (C,i9~iJC.::'02\ ::e',,' '.::'c-;:-~: 3t2~=~: ~ ....~,.,;:;,-,,..,~ ~..,_.._.......~ :3/2005 c~... ~l;G~ ~~~~ ...,.- -, ,~." r,._. '-......)..J.v'-';..J ~ '-,'f .c.'-: := .c'c:. D~7: 0.29 E~: 10/li/2005 Re=: C~~';;C!l CO?? ~;w (l66764~OO ~r-.'..1 '~'.....~'j Ne~; Yorl: Stoc~: ~xcna~ge 10/2~/20C5 "--:U COLG;'.TE ?;:'.LEOL:::\7E co (194162103 CW ~1ew ~or;: Stee}: Ex=hange 10/24/2005 =;:;:-;:;""c - . - - - -- ,--....- -- ....... S.: .O:::"':C' .. Di7: 0.290000 E:c 10/24/2005 ?-ec: 10/26/2005 Pa~:: 11/l5/20'J5 51.:32000 E/L 30 DUQU~SN2 LT HLDGS INC (266228105; COH New York Stock Exchange 10/24/2005 30 GENERA~ HTRS COR? (370442105: CCt'l tJew York Stock Exchange 10/24/2005 ~.::.:., .J...T&T INC (7838'G103) co>! New Yerk Stac}: ~xchange 10/24/2005 "':: .::::".",,'" ....) . .'.) ~",,"J 5"'. 92'~'~'= :,2.50'JO,J 16.9600C! 29.47000 23.60:JOJ :6.5~OCO 23.26COC; H/:' Di7: 0.3225 Ex: 10/05/2005 ?ec: 10/10/2003 Pa~': 11/01/20C5 23.130CO H/L 200 TEH?~ETON GLOBAL INCOHE FO (88C198106) COH Ne~ York Stock Exchange lO/2~/2005 3.2300C 8 " Di'!: 0.04 E:{: 10/13/2005 Rec 10/1-;/2005 Pay: 10/3U2C05 3.:1000 :-ilL 32 .IE:RIZON COHMUNICATIONS (077853109': COH Ne~ York Stock Exchange 10/24/2005 30.41COC 9' 590.09-; ?Ii~CO FDS ?Z\C INVT l1G~lT SE?- (693390445 Oi7: 0.405 Ex: 10/05/2005 Rec: 10/07/2005 Pay: 11/01/2005 29,85000 E/~ TO~'.:;L REi p.. Mucual Fu~d (as quoted by NASDAQ) 10/24/2005 _ J, 299.8 MERRILL LYNCH US GOVT FD (58992010") C1 3 ~1utual F~]nd (as quoted by NASD.Z'I.Q) 10/24/2005 lCJ CO~CAS! CORP NEW (20030NI01) CL .:; NASCAQ - Industrial 10/24/2005 27 . 7500:0 Page 1 10.59000 ('lkc 10.09000 Hr:t 2: .12GCG ;:/L :-::::~C~ 3.:-',8 .'-.':'~ '..1S:~'2:;::3 =~.t=OCC" :0. 99C')C~ 52.160000 0.290000 52.450000 " 1.,.- H/L 16.750000 28.S6500C, 23.3650'00 8.170000 30.130000 10.590000 10.090000 27.435000 ~5:S.:2 ::; .s.:-:"::::.::e',\' - . --~-~...._. ,.....-........ -"-'~'- :<:::::'0:-: . .~ -.~ ~."'" . ~..... '-"- -'- N".Jr.'L;:er ::: ~.~ ~.,.... i - , .::.::: . --~~----'--'. _. ;s;:~r2~ - =2;:5G~:j3:e~ Ci ..~ :::-"j - _.~.-......::::. ::: .,-'---....-- ,2="..:.e ~, ::J::J. " '...... 1~,583.0C 502.50 '365.95 3,293.11 45.45 l,634,OC: 8.00 964.16 12.96 6,254.~2 3, ,.98 '-, , -:~' . This rep~rc was produced ~i:h EstateVal, a proGuc: of Estate Valuations & Pricing Systems, Inc. ~~ you have questio~s, plea3e contact EVP Syste~s at (8181 313-6300 or www.evpsys.com. (Revision 7.0.3) ::: :-2~:'~~.: ::-::;:-:::,,.....=. ~,,.... -.::> ::;.~ - -. ",- ,- '-- ,::::':'::'2','; - . - -" "'- ......-....---'-.... ..._..~, ~~=c~~:: ~:~:_2~S 5::2~: :-::::;:2532-::::; ;:'-'=:' ~epc::: :;;e: Js:e 2~ ~= 3':::______~:.:. ::.i.e 7,. :-:::-: 2. e:-I _. ';;.:-::::::-e-',." - ::;:is-J__2..G3.:e:::. ~~~, j~=.::E _;:;::C-":3.~ : - -~ - . -: j .'-0:5.....: .:;~"1I::~--:.J: Page 2 T~is repor~ was ?roduced Nith Esta~eVal, a prod~c: of Estate Valuations & Pricing Syste~s, Inc. ir you have quest~ons, p}e3se contact SV? Systems at (818) 313-6300 or www.evpsys.com. (Revision ~.O.3) Estate of Helen F. Vandrew Cumberland County Register of Wills INVENTORY Estate of Vandrew, Helen F. No.21 05 01077 , Deceased Date of Death 10/24/2005 Social Security No. 179103868 also known as M& T Bank, successor to Allfirst Bank Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Personal Representative: Name of Attorney: Joel R. ZullinQer I.D. No 17516 B ank Address: 14 North Main Street, Suite 200 ChambersburQ Telephone: (717)264-6029 Dated PA 17201 Description Value Stocks & Bonds --";' ---:.1 , 786 shares of Beistle Co. common stock @298.03 23{251.58 J j 52 shares of BellSouth Corp.@25.62 .1 :332.24 ') Accrued dividend on Item NO.2 above U) 15.08 30 shares of Chevron Corp. @56.99 1,709.70 240 shares Colgate Palmolive Co. @52.45 12,588.00 Total (Attach Additional Sheets if necessary) 328,232 54 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. RW-4 '~ Continuation of Inventory Vandrew, Helen F. 21 05 01077 Paqe 1 Description of Inventory Description 30 shares Duquesne L T HLDGS, Inc. @16.75 Value 502.50 30 shares General Motors Corp. @28.865 865.95 140.942 shares AT&T @23.365 3,293.11 Accrued dividend on Item NO.8 above 45.45 200 shares Templeton Global Income Fund @8.17 1,634.00 Accrued dividend on Item No. 10 above 8.00 32 shares Verizon Communications @30.13 964.16 Accrued dividedn on Item No. 12 above 12.96 590.597 shares Pimco FDS PAC INVT MGNT Ser @10.59 6,254.42 Dividend paid 9/30/05, prior to death, but not received until after death on No. 14 above 19.57 299.8 shares Merrill Lynch US Govt Fund @20.09 3,024.98 100 shares Comcast Corp. @27.435 2,743.50 Closely-Held Corporation, Partnership or Sole-Proprietorship Mortgages & Notes Receivable Subtotal $ 19,368.60 Continuation of Inventory Vandrew, Helen F. 21 05 01077 Paqe 2 Description of Inventory Description Cash, Bank Deposits, & Misc. Personal Property Value Borough of Shippensburg, refund 293.20 Checking Account #97558060, M& T Bank 42,256.38 Refund, Episcopal Home, deposit made to Checking Account #97558060, M& T Bank 465.00 Deposit made to Checking Account #97558060, M& T Bank, after date of death 10.34 Prudential Annuity payment deposited to Checking Account #97558060, M& T Bank, after date of death 216.44 Accrued interest to date of death on Checking Account #987558060, M& T Bank 0.58 Certificate of Deposit #21001057455, PNC Bank, including interest accrued to date of death 1,005.50 Certificate of Deposit #21 001 057408, PNC Bank, including interest accrued to date of death 3,126.83 Certificate of Deposit #31003914396500, M&T Bank, including interest accrued to date of death 1,010.16 Certificate of Deposit #31003914396758, M&T Bank, including interest accrued to date of death 1,007.75 Certificate of Deposit #31003914396758, M&T Bank, including interest accrued to date of death 1,009.69 Certificate of Deposit #31003914396766, M&T Bank, including interest accrued to date of death 1,014.10 Certificate of Deposit #31003914396906, M& T Bank, including interest accrued to date of death 1,007.59 Subtotal $ 52,423.56 Continuation of Inventory Vandrew, Helen F. 21 05 01077 PaQe 3 Description of Inventory Description Certificate of Deposit #31003914396948, M&T Bank, including interest accrued to date of death Value 1,000.81 Certificate of Deposit #31003914397178, M& T Bank, including interest accrued to date of death 1,012.85 Certificate of Deposit #31003914397201, M&T Bank, including interest accrued to date of death 1,011.11 Certificate of Deposit #31003914397227, M&T Bank, including interest accrued to date of death 1,007.69 Certificate of Deposit #31003914397384, M& T Bank, including interest accrued to date of death 1,501.31 Certificate of Deposit #31003914397631, M& T Bank, including interest accrued to date of death 1,009.20 Cash received from Merrill Lynch Money Market Account #2AT-29P72 0.81 Real Estate Subtotal $ 6,54378 328,232.54 Grand Total $ (l) UJ " ~ 0 CJ)OT"" ..c: .l-J WUo H +-'N ~ ~ (/) I"- a:2T"" 0 WI-<( u " Ol a.. Ul ?-- .l-J %:;0> ,....l p -.0.... .-i ~ ..J (/) :J ",," 0 ..J....'O ;::.. U ':)15~ 4-l NE15 0 "g . ro E C'il a:.ccu H ,....; U.c (l) H ..JOU .l-J Cll WO UJ ~ ON ",," ell ~ ..., c: u p::;