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HomeMy WebLinkAbout10-26-06 REV-15oo EX + (6-00) REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG. PA 17128-0601 DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) I- Z W C W o W C Wolfe Har E. DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-DD-Year) 04/21/2006 02/18/1981 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) W I- ~~U) o II::~ W Q.O J:OO o II::..J 8:11I 0( [R] 1. Original Retum o 4. Limited Estate [R] 6. Decedent Died Testate (Attach copy of Win) o 9. Litigation Proceeds Received o 2. Supplemental Retum o 4a. Future Interest Compromise (dale of death after 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy of TrusQ o 10. Spousal Poverty Credit (dale of death between 12-31-91800 1-1-95) OFFICiAl USE ONLY FIl.E NUMBER ~~ 1 -0 6 0 7 0 6 COONTYCOoE -yeA~ - - NuMiiER- - SOCIAL SECURITY NUMBER 1 96- 1 4 - 2 161 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WillS SOCIAL SECURITY NUMBER o 3. Remainder Retum (dale of death priorlD 12-13-82) o 5. Federal Estate Tax Retum Required _ 8. Total Number of Safe Deposit Boxes o 11. Election to tax under See. 9113(A) (Attach SchO) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS John M. Eakin Market Square Buildingl FIRM NAME (If Applicable) I- Z W C Z o Q. U) W II:: II:: o o Mechanicsburg, PA 17055 TELEPHONE NUMBER 717 766-3172 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) (1) (2) (3) (4) z o t= <( ..J :J l- ii: <( o w 0:: 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) 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 Govemmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o t= ~ :J a. :! o o >< :5 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X _(15) X _(16) X .12 (17) 312,399.13 X .15 (18) (19) 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 20. D CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER All QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < 1215,000.00 'J ,418.83 . OFFICIAL USE ONLY --J 207,454.78 ~c ", ; 11 (8) 333,873.61 113,728.99 '1 ,745.49 (11) (12) (13) 18,474.48 315,399.13 3,000.00 (14) 312,399.13 46,859.87 46,859.87 Decedent's Ccmplete Address: STREET ADDRESS I 2436 Lambs Gap Road CITY Enola ~PA I ZIP 17025 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B, Prior Payments C. Discount (1 ) 46,859.87 Total Credits (A + B + C) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E} (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. 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, AG,ENT 0.00 46,859.87 46,859.87 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 [2S] b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 [2S] c. retain a reversionary interest; or ...................................................................................................... 0 [2S] d. receive the promise for life of either payments, benefits or care? ............................................................. 0 [2S] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?............................................................................................... 0 [2S] 3. Did decedent own an 'in trust for' or payable upon death bank account or security at his or her death? ................. 0 [2S] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... 0 [2S] 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 retum, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, cornect and complete, Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RES~~SIBL FOR FILING RECfIRN) . DATE \"" . , C~ 10/26/2006 ADDRESS Market Squ r Building Mechanics u PA 17055 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. ~9116(a) (1.1) (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. ~9116 (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 retum are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. ~9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)). The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. ~9116(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-1502 EX + (6-98) *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Wolfe. Harry E. 21 06 0706 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller. neither being compelled to buy or sell. both having reasonable knowledge of the relevant facts. Real property which is iointly-owned with riaht of survivorship must be disclosed on Schedule F. SCHEDULE A REAL ESTATE ITEM NUMBER 1. DESCRIPTION 2436 Lambs Gap Road, Enola, PA 17025, see attached appraisal VALUE A T DATE OF DEATH 125,000.00 TOTAL (Also enter on line! , Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 125000.00 C 1 J1 C, An }~.. .r;~t:':Jt-~,~i:~~:';-:~~~ :,_" , . ~.." 1.,.,-.;. . . . . ," ~r::'. t " t. '~ Uile I~o. LAMBSGAP24J61 PaY!'-1L~J SUMMARY OF SALIENT FEATURES Subject Address 2436 LAMBS GAP ROAD Legal Description DEED BOOK AND PAGE ARE NOT LISTED ON THE TAX RECORDS Cily MECHANICS BURG County CUMBERLAND State PA Zip Code 17050 Census Tract 0113.01 Map Relerence 10-11-3016-018A : Sale Price S N/A Date 01 Sale N/A Borrower/Clienl N/A Lender JOHN EAKIN-ATTORNEY AT LAW Size (Square Feet) Price per Square Foot S Location BTR AVERAGE :' Age - Condilion . Total Rooms - Bedrooms Baths Appraiser ROBERT K. BANZHOFF Date of Applalsed Value 9/1/06 Anal Estimate 01 Value $ 125,000 Fonn SSO - "WinTOTAL'applaisal software by a lamode, Inc. -l-800-AlAMOOE ....- }~- .1 [tile No. LAMItiGAP~4J61 Paoe #JI LAND APPRAISAL REPORT Census Tract 0113.01 File No. LAMBSGAP2438 Map Reference 10-11-3018-G18A BOIIower HI A Property Address _2438 LAMBS GAP ROAD City MECHANICSBURG County CUMBERLA!il?_ legal Description DEED BOOK AND PAGE ARE NOT LISTED ON THE TAX RECORDS Sale Price $ N/A Dale of Sale N/A loan Term N/A_ yrs. Property Rlghls Appraised 0 Fee [J leasehold 0 De Minimis PUD Actual Real Estate Taxes $ 500 __ (yr) Loan charges to be paid by seHer $ __Other sales concessions - lender/Client JOHN EAKIN-ATTORNEY AT LAW Address MARKET SQUARE BUILDING, MEC:HANICSBURG PA 17055 Occupant VACANT Appraiser ROBERT K. BANZHOFF Instructions to Appraiser ESTIMATE MARKET V/\LUE State PA ZIII Code 17050 Urban Suburban Rural o Over 75% C'<J 25% to 75% [] Under 25% o FuHy Dev. [] Rapid 0 Sleady 0 Slow o Increasing 0 Stable 0 Declining o Shortage [J In Balance [J Oversupply [8J Under 3 Mos. [] 4.6 Mos. [] Over 6 Mos. ~% 1 Family _11% 2.4 Family _-.-9.% Apts --.!1% Condo -.-!% Commercial 0% Industrial 55% Vacant 0% Change In Plesenlland Use 0 Not likely -LJ Likely (') !Xl Taking Place (') (') From VACANT To SINGLE FAMILY i2<J Owner 0 Tenant _~_% Vacant $ 140 to $Jl~ Predominant Value $ 250 ----.Jl yrs. to 100+ yrs. Predominant Age 20 yrs. Good Avg. Fair Poor 0000 0000 O~OO [Jl8l00 0000 0000 018100 0000 0000 0000 0000 0000 location BuiilUp Growth Rate Property Values Demand/Supply Marketing Time Present land Use Employment Stability Convenience to Employmenl Convenience 10 Shopping Convenience 10 Schools Adequacy 01 Public Transportation Recreational facilities Adequacy 01 Utilities Property Compatibility Protection Irom Delrimental Conditions Police and Fire Protection General Appearance of Properties Appeal to Market PTedominant Occupancy Single Family Price Range Single Family Age Comments Including those lactors, lavorable or unlavorable, affecting marketabilily (e.g. public parks, schools, view, noise): This suburban nel hbor hood has relatively easy access to employment and servIces, and Is competitive with other neighborhoods In the general area. Most have almllar amenities. \~ _8ACRES Sq. Fl or Acres Corner lot Presentlmprovemenls 0 do 0 do nol conlorm to zoning regulations Dimensions SEE LEGAL DESCRIPTION Zoning c1assllication R1 SINGLE FAMILY RESIDENTIAL Highest and best use [5<:] Presenl use [lQt~sJl.e~J Public Other (Describe) OFF SITE IMPROVEMENTS Topo SLIGHT SLOPE o Slteet Access 0 Public 0 Private Size TYPICAL FOR AREA o NONE Surlace ASP HAL T Shape IRREGULAR o NONE Maintenance 0 Public 0 Private View AVERAGE o NO~__ [J Storm Sewer 0 Curb/Gutter Drainage APPEARS ADEQUATE [J Underground Elect. & Tel. ~dewa~___-.D Str~illigl1ls. 'I the property located In I HUD ldenllfted Speclll Rood HllIrd Arel? 0 No 0 VII Comments (favOlaWe 01 un'avOlaWe Inclurllng any aflllarent adverse e",ments, encroachment" 01 other adverse conditions): THE HOME IS LOeA TED BACK A RIGHT OF WAY. THERE IS CURRENTLY AN OLD LOG HOME AND SHEDS ON THE PROPERTY THE BUILDING ARE NOIT GIVEN ANY VALUE ON THIS REPORT. Elec. Gas Water San. Sewer The undl!rslgned has recRed three recent sales of properties most similar and proximate 10 subject '00 h.. considered these In the market analysis. The dl!scription Includes . dollar ad;Jslmenl reftecting markel reaction to those ilerns of significant vadation between the sub"ct and comp;oable properties. II a significant Rem In tbe comparable plOperty i, superior to 01 mOle favOlable than the subject propelly, a minus (-) adjustment Is madl! thus redoclng the Indicated v.lue of subject; II . significant ilem In the comparable Is Inlerlor to 01 less lovorable than the subject property, a plus (+) adjustment is made thus increasing the indicated value of the subject. ITEM SUBJECT PROPERlY _CjJMPARABlE NO.1 Address 2438 LAMBS GAP ROAD TRAIL LANE MECHANICS BURG ENOLA PtoxlmRv to Subiect I 2.88 es NE Sales Pllce $ N/ A . Price t. pata Soulce INSPECTION Date of Sale and DESCRIPTION Time Adjustmenl N/A Localkm BTR AVERAGE _SiteNiew 8 ACRES RIGHT OF WAY .3000 Sales or Financing Concessions Net Adl. notal) ... 800 Indicated Value of Subject 130 200 Comments on Markel Data: All fO~!Ialea are considered to be reliable Indlcatora of value. and are weighted slmllarl In the Onal reconciliation. Insufficient sales In closllJ1roxlmllv to the !,ubJect properly require the appraiser to extend search arametera. In order to find comparables ..Ies It was necess!!...rv to us. less recent sales. Commenls and CondRlons 01 Appraisal: THE APPRAISAL IS SUBJECT TO A HOME BEING ABLE TO BE CONSTRUCTED ON THIS LOT. 9/1/08 20~ tobe$ 125000 o Did 0 OM! Not Physically Inspect PToperty Central Penn Appraisals, Inc. (717l737-4600 Form lND - "Win TOTAL' appraisal software by a la mode, Inc. - 1-800-AlAMOOE -~, --,_...,,-~_. 135 000 ....800 LAND APPRAISAL REPORT MARKET DATA ANALYSIS lu!~_No. LAMBSGAf'24J61 PHO. #61 File No. LAMBSGAP2436 'I :1 If EM j SUBJECT PROPERTY COMPARABLE NO. 4 COMPAAABLE NO. 5 COMPAAABLE NO. 6 Address 2436 LAMBS GAP ROAD 141 LOCUST POINT ROAD MECHANICSBURG MECHANICS BURG Prollimif'Llo Subiect .~.,~tiIiJI Sales Price $ N/A ., Is 108.00~.&':~a;tH~1 $ ~~ Price 1 ' ':'<":-tii:fI;ll"<'lnIS ',~, 1$ -.--- Data Source INSPECTION ASMT RECORDS/MLS/AGENT/ Date 01 sale and DESCRIPTION DESCRIPTION /+(-)$ Mi!.it DESCRIPTION 1+1-1$ Adiost. DESCRIPTION I + (-)$ Adiusl - Time Ad/UslmenL- N/A_____ J-3-06/173 : : L~~alion BTR AVERAGE BTR AVERAGE : : : ;. ~ew 6 ACRr;,;;____.._ ij~~cJ!~~I1.1Q(l RIGHT OF WAY ROAD FRONTAGE , -6,O0l). , , , , , Sales or Financing i , , Concessions N/A .; : $ iktAdLili~ ",~+, 11.;:$ 5,100 II + r I. iRis '~"'" ;jl?::J.~:';:" '~l: Itl:" .01 :'1 s Indicated Varue :)'\'~;~riili:;:r~.'1i;;~1 $ ~~'if~(;,j ':'iI\!, ,J:I~~"; of Subject . ' '~)"" Nel,i!4.7\' 113100 ' ,..'\I Nilt'ii,('\ ,'I $ Comments: - " I :j ! J1 Jj I I I 1\ II ;1; .~~ Central Penn Appraisals, Inc, (7171 737.4600 Form LNO,IAC) - 'WIIlIOIAl' appraisal software by .Ia mode, Inc, -l.S00-AlAMODE 'j. REV-1503 EX + (6-9B) '* SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT FilE NUMBER 21 06 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ESTATE OF Wolfe. Harry E. 0706 ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. DESCRIPTION Series E.Savings Bond, Issue Date 12/1959 Issue Price $18.75 + Interest $1139.75 Final Maturity 12/1999, see attached VALUE AT DATE OF DEATH 188.50 Series E. Savings Bond, Issue Date 12/1950 Issue Price $18.75 + Interest $'135.51 Final Maturity 12/1990, see attached 154.26 Series E. Savings Bond, Issue Date 06/1945 Issue Price $18.75 + Interest $B4.58 Final Maturity 06/1985, see attached 113.33 Series E. Savings Bond, Issue Date 12/1961 Issue Price $18.75 + Interest $188.00 Final Maturity 12/2001, see attached 206.75 Series E. Savings Bond, Issue Date 12/1960 Issue Price $18.75 + Interest $'178.43 Final Maturity 12/2000, see attached 197.18 Series E. Savings Bond, Issue Date 12/1959 Issue Price $18.75 + Interest 1159.75 Final Maturity 12/1999, see attached 188.50 Series E. Savings Bond, Issue Date 12/1958 Issue Price $18.75 + Interest 1'70.59 Final Maturity 12/1998, see attached 189.34 Series E. Savings Bond, Issue Date 12/1957 Issue Price $18.75 + Interest 1152.22 Final Maturity 12/1997, see attached 180.97 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheels of the same size) 1418.83 Savings Bond Calculator Page 1 of 1 Savin~ "" . ;:"-:,,~:1"';?:' ii ~'~' . 04/2006 UIHlate Help ,,;..""; '," Series Denomination Serial Number E Bonds $ 25 # Bonds 8 Total Price $150.00 Total Value $1.,418.83 Total Interest $1,268.83 Issue Interest Serial Number Issue Date Series Denom Price Interest Value Rate 12/1959 E $25 $18.75 $169.75 $188.50 12/1950 E 25 18.75 135.51 154.26 06/1945 E 25 18.75 94.58 113.33 12/1 961 E 25 18.75 188.00 206.75 12/1960 E 25 18.75 178.43 197.18 12/1959 E 25 18.75 169.75 188.50 12/1958 E 25 18.75 170.59 189.34 12/1957 E 25 18.75 162.22 180.97 Note Description NI Not Issued NE Not Eligible for Payment P5 Includes 3-month interest penalty MA Matured and Not Earning Interest Please rate this service. (Please print and/or save this page before submitting you,r survey) Service Excellent Good Fair Poor Savings Bond Calculator Submit Survey Reset Issue Date YTD In1 $0.0 Next Final Accrual Maturity 12/1999 12/1990 06/1985 12/2001 12/2000 12/1999 12/1998 12/1997 Wolfe, Harry E. Decedent's Name Continuation of REV-1500 Inheritance Tax Return Resident Decedent Page 1 21 06 0706 File Number Schedule E - Cash, Bank Deposits, & Misc. Personal Property ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. DESCRIPTION M&T Bank Checking Account # 91279003, see attached VALUE AT DATE OF DEATH 1,879.8E M& T Bank Checking Account # 950271760, see attached 32,490.2S M& T Bank Checking Account #950271779, see attached 5,314.65 M& T Bank Savings Account #021000001196486, see attached 19,381.8C M& T Bank Certificate of Deposit #031003913309009, see attached 3,496.23 M& T Bank Certificate of Deposit # 031003913938634, see attached 36,428.46 M&T Bank Certificate of Deposit # 031003914482474, see attached 24,018.62 The Hartford Life Annuity Contract #711 098289, see attached 50,194.32 PNC Bank Savings Account # 5130095362, see attached 2,585.78 1 st National Bank of Marysville Savings Account #18008240, see attached 13,189.74 Fulton Bank Account #9903-26785, see attached 7,987.03 Cash 8,328.32 Ritter True Value Hardware, miscellaneous guns 25.00 The Hartford Life Insurance Company Account #711098289, interest checks 691.03 2005 Income Tax Return Refund 516.00 SUBTOTAL SCHEDULE E 206,527.16 Continuation of REV-1500 Inheritance Tax Return Resident Decedent Wolfe, Harry E. Decedent's Name Page 2 21 06 0706 File Number Schedule E - Cash, Bank Deposits, & Misc. Personal Property ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 16. United Food and Commercial Workers Union 445.8E 17. AAA Central Penn, Refund 29.97 18. M&T Bank Certificate of Deposit #31003914482474 interest 209.7~ 19. Miscellaneous personal property, appraised value, see attached 242.0C SUBTOTAL SCHEDULE E 927.62 GRAND TOTAL SCHEDULE E $ 207,454.78 m1 M&rBank 499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-MB-12 August 16,2006 John Eakin Attorney At Law Market Square Building Mechanicsburg, Pennsylvania 17055 Re: l?state of: l!a~'2l.1P Wolfe Social Securitu: 196-14-2161 Date of Death: April 21. 2006 Dear Sir or Madam: Per a memo from Barry at M&T Bank, dated August 10, 2006, please be advised at the time of death, the balance on the above referenced account was: l. Type of Account Checking Account Account Number 91279003 Ownership (Names of) Harry E Wolfe * Opening Date 08/28/73 Closed 08/10/06 Balance on Date of Death $1,879.78 Accrued Interest $ 0.10 Total $1,879.88 2. Type of Account Checking Account Account Number 950271760 Ownership (Names of) Harry E Wolfe * Opening Date 08/23/99 Closed 08/15/,06 $32,489.93 Balance on Date of Death Accrued Interest $ 0.36 Total $32,490.29 // / 3. f 5. 6. Type of Account Checking Account Account Number 950271779 Ownership (Names oj) Harry E Wolfe * Opening Date 08/23/99 Closed 08/10/06 $5,314.21 Balance on Date of Death Accrued Interest $ 0.44 Total $5,314.65 Type of Account Savings Account Account Number 015004207088821 Ownership (Names oj) Harry E Wolfe * Anna V Burkholder * Opening Date 10/23/02 Closed 06/26/06 $1,639.97 Balance on Date of Death Accrued Interest $ 0.03 Total $1,640.00 Type of Account Savings Account Account Number 021000001196486 Ownership (Names oj) Harry E Wolfe * Opening Date 01/01/68 Closed 08/10/06 $19,379.25 Balance on Date of Death Accrued Interest $ 2.55 Total 9,381.80 Type of Account Certificate of Deposit Account Number 031003913309009 Ownership (Names oj) Harry E Wolfe * Opening Date OS/21/ 04 Closed 08/10/06 Balance on Date of Death $3,242.00 $ 254.23 .$3,496:23 Accrued Interest Total " 7. Type of Account Certificate of Deposit Account Number 031003913938634 Ownership (Names of) Harry E Wolfe * Opening Date 08/23/99 Closed 08/10/06 $36,240.33 $ 188.13 Balance on Date of Death Accrued Interest Total $36,428.46 8. Type of Account Certificate of Deposit Account Number 031003914482474 Ownership (Names of) Harry E Wolfe * Opening Date 05/16/95 Closed 08/10/06 Balance on Date of Death $24,000.00 Accrued Interest $ 18.63 Total $24,018.63 * For further account information, regarding ownership, closures and! or reimbursement of funds, etc., please contact the Mechanicsburg Office # 717-697-1515. M & T Bank DOD Unit / Records Management Hartford Life August 22, 2006 Attny John Eakin Market Square Building Mechanicsburg PA 17055 Re: Hartford Annuity Contract # 711098289 Decedent: Harry E Wolfe Dear Attny Eakin: Thank you for your correspondence regarding the above annuity contract. The death benefit payable under this contract is not considered "life insurance" reportable on IRS Fonn 712, (life insurance statement). Please find the below information in response to your request. Contract Number: Owner: Owner's SSN#: Deceased: Date of Deatlt: Date of Deatlt Value: 711098289 Harry E Wolfe 196-14-2161 Harry E Wolfe April 21, 2006 $50,194.32 If you have any questions or concerns, please feel free to contact your investment professional, or one of our annuity specialists by calling 1-800-862-6668, Monday through Thursday from 8 a.m. to 7 p.m. and Friday from 9: 15 a.m. to 6 p.m., Eastern Standard Time. We will be happy to assist you. Thank you for the opportunity to help provide for your financial needs. Sincerely, J. Fleming Investment Product Services ICS-Death Benefit Contract Change Team Hartford Life Insurance Company Hartford Life Insurance Companies 200 Hopmeadow Street Simsbury, CT 06089 Toll Free 1 800 862 6668 Investment Product Services Mailing Address: P.O. Box 5085 Hartford, CT 06102-5085 www.hartfordinvestor.com 11ILr 1 b-- C:UUt:. c: 1 ; l' I f--'1LbHljl" '4.lc... i 00 -':1~._)I:::J I .l::J..L' "=-'.l /' ; o PNCBAN< August 17, 2006 Mr. Eakin 2 E Main St Mechanicsburg, P A 17055 scp RE; Estate ofHany E Wolfe (Deceased) SSN: 196-14-2161 DaD: 04-21-2006 Dear Mr. Eakin: In response to your request for Date of Death balances for the customer noted above, our records show the follo'wing: Sal'ings Account Account #5130095362 Established 07-18-1985 HARRY E WOLFE DOD balance: $2,582.22 + $0_56 accrued interest Accmmt #5130109058 Established 03-31-1983 HARRY E WOLFE ~M!JJA f/1'hIfAJ3-u~I(J0l- P Ii [l.. 000 balance: $55,843.68 + $6.95 accrued intCTest Please note that this office only provides date of death balances for deposit accounts (IRAs, CDs, Checking and Savings accounts). We do not process aoy financial transactions or provide statements. If you need assistance with any of these items, please call1-888-PNC-BANK (1-888-762-2265) or stop by your local! PNC Bank branch office_ Sincerely, ~2-~ Erica L Schlegel 1-800-762-1775 P7-PFSC-04-F 500 First Ave. Pittsburgh PA 15219 Member FDIC TOTAL P.~ PClr.:~' 1 Harry E Wolfe 2436 Lambs Gap Rd Enola PA 17025 Accoun t Number statement Date Page TYPE OF ACCOUNT--Statement Savings Unlinked Statement Summary 18008240 4/24/06 1 3/27/06 o Beginning Balance Deposits/Credits Checks/Debits Interest Paid Ending Balance Interest rate APY o o Credits Debits Credits/Deposits 13,185.13 .00 .00 6.58 13,191. 71 0.65% 0.65% Date Amount Description 4/24 6.58 Interest Deposited . Daily Balance Information Balance 13,185.13 13,191. 71 Balance Date Balance Date Beginning Balance 4/24 Date d ~it ,I de t/U )J;f[; 13 /_j, fl -- '(3 III ,1~ 1057 0025 18525 Y FW.tonBank LISTENING. STATEMENT OF ACCOUNTS 9903-26785 STATEMENT PERIOD FROM THROUGH x I .~ '~".r I, "III,,, 111"".1.1,1,1"" II",", .1,11",1,,11 "11,,,1,1,1 HARRY E WOLFE 2436 LAMBS GAP RD ENOLA PA 17025-1127 4-01-06 PAGE 4-30-06 1 OF 7 1 o ENCLOSURES 7 FULTON FUND PREVIOUS DEPOSITS/ STATEMENT BALANCE CREDITS 7,979.95 CHECKS/ 1 DEBITS 9.44 ACCOUNT: 9903-26785 SERVICE o FEES .00 .00 ENDING BALANCE 7,989.39 INTEREST PAID THIS YEAR ACCOUNT/INTEREST INFORMATION 37.70 DATE ACTIVITY DESCRIPTION REFERENCE 04-01 BEGINNING BALANCE 04-28 INTEREST CREDIT 04-30 ENDING BALANCE DEPOSITS/ CHECKS/ CREDITS DEBITS 9.44 BALANCE 7,979.95 7,989.39 7,989.39 *** ANNUAL PERCENTAGE YIELD EARNED DISCLOSURE FROM 4-01-06 THROUGH 4-30-06 *** ANNUAL PERCENTAGE YIELD EARNED 1..45% AVERAGE DAILY COLLECTED BALANCE 7,979..95 INTEREST EARNED . 9..44 SERVICE FEE BALANCE INFORMATION FROM 4-01-06 THROUGH 4-30-06 AVERAGE LEDGER BALANCE 7,979.95 AVERAGE COLLECTED BALANCE MINIMUM LEDGER BALANCE 7,979.95 MINIMUM COLLECTED BALANCE 7,979.95 7,979.95 ~ -t1fw / ~ ~ ~I ~ Y/J - r(z! :: Cf,Y1 ~ 2-1 r4... l.! "'-YfI;( Cf, C/ if ~ 'J, () f V aAu. ~ 71 .P7if7f.p.r f,., J,(j~p Is ZY Z"7;!j DIRECT FUTITON BA~K DIRECT BANKING CENTER INQUIRIES TO: PO BOX 504 EAST PETERSBURG, PA 17520-0504 /I g {J / g> $12 Member ED. I.e. fultonbank.com UI...... I ~I-_:J~ -l;_It-...:. 1 lei: :..:.", "I" f. 1<.<111.1,"-' I lie:. l'_.l-_I< " 1 I L"-t .::. 1. .::.. .::.; .::.. Frank Potteiger 269 N Middlesex Rd Carlisle, Pa 170 I 3 John Eakin,atty. Market Square Building Mech., Pa 17055 Appraisal tot Estate of llarry Wolfe, Lambs Gap Rd., Enola. Hand tools Misc. stands & Furniture W oodstove Lawn Blowers Garden tools, car parts $ J 2.00 50.00 60.00 45.00 75.00 Total Appraisal: $242.00 Fee: $100.00 thank-you! ......~.l...1 REV-1508 EX + (6-98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Wolfe. Harry E. FILE NUMBER 21 06 Include the proceeds of litigation and the date the proceeds were received by the esltate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. 0706 ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH See Attachment Page(s) TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 207454.78 HI:V.15111:J\.+ (1l-l;Il;I) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Wolfe. Harry E. FILE NUMBER 21 06 0706 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Carlisle Memorial Service, Inc. 136.0C B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) John M. Eakin 10,250.0C Social Security Number(s)/EIN Number of Personal Representative(s) I ~ - J f~~ 9'1/ Street Address Market Square Building City Mechanicsburg State P A Zip 17"055 Year(s) Commission Paid: 2.0D7 2. Attomey Fees John M. Eakin 5,000.OC 3. Family Exemption: (If decedenfs address is not the same as c1aimanfs, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Letters Testamentary 360.0C 5. Accountanfs Fees 6. Tax Retum Preparer's Fees 7. The Cumberland Law Journal, Estate Notice 75.0C 8. Central Penn Appraisals, Inc., Real Estate Appraisal 275.0C 9. U.S. Postal Service, stamps 39.0C 10. M& T Bank - returned deposited item fee 20.0C 11. M& T Bank- Deluxe Checks and check return option fee 36.0C 12. The Sentinel, Estate Notice 107.9~ 13. Brenda Shaeffer, Heir search 50.0C 14. Frank Potteiger, personal property appraisal 100.0C 15. Register of Wills- account filing fee 280.0C TOTAL (Also enter on line! 9, Recapitulation) $ 16 728.9~ (If more space is needed, insert additional sheets of 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 Wolfe. Harry E. FILE NUMBER 21 06 0706 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1. Hampden Township- Sewer and trash VALUE AT DATE OF DEATH 132.67 2. Verizon, telephone 69.33 3. Marie Huber, school tax, co and twp tax and personal tax 712.55 4. PPL Electric Utilities, electric 830.94 TOT At (Also enter on line 10, Recapitulation) $ (If more space is needed. insert additional sheets of the same size) 1 745.49 ",v.""", ". COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER Wolfe Harrv E 21 06 0706 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 pnctude outright s~usal distributions, and transfers under Sec. 9116 (a)(1. )] See Attachment Page(s) 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. Market Square Presbyterian Church 2,000.00 205 2nd Street Harrisburg, PA 17101 2. Helen O. Krause Animal Foundation 1,000.00 PO Box 311 Mechanicsburg, PA 17055 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 3.000.00 (If more space is needed, insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent Wolfe, Harry E. Decedent's Name Page 2 21 06 0706 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) 1. Donald Strawser None $100.00 bequest 2435 Lambs Gap Road Enola, PA 17025 2 Gary Kurtz None $100.00 bequest 2431 Lambs Gap Road Enola, PA 17025 3. Ronald Sponsler None $100.00 bequest 2480 Lambs Gap Road Enola, PA 17025 4. Violet Smith None $100.00 bequest 5. John Wolfe All of the following heirs of All are taxed at 15% 153 Jolee Drive decedent are residuary Middletown, PA 17057 legatees and ar,e nieces, 6. Evelyn King nephews and children of 445 Maple Street nieces and nephews Manchester, PA 17345 7. Shirley Houck 414 N. Second Wormleysburg, PA 17043 8. Betty Seibert - 100 N. 5th Street Halifax, PA 9. Donald Wolfe RD 1 Box 106 Ickesburg, PA 17037 10. Kathleen Sites 327 Walnut Street Millersburg, PA 17601 11. Linda Matter 146 E. Arch Street Elizabethville, PA 17023 12. Richard Bauer 101 Brewster Drive Lancaster, PA 17603 13. Dorothy Wilson 724 Nancy Lane Lancaster, PA 17600 14. Mike Sterback 206 W, Walnut Street Lancaster, PA 17603 Continuation of REV-1500 Inheritance Tax Return Resident Decedent Wolfe, Harry E. Decedent's Name Page 3 21 06 0706 File Number Schedule J - Beneficiaries - 1 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Tl'ustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS (include outright spousal distributions) 15. Keith Sterback 206 W. Walnut Street Lancaster, PA 17603 16. Betty Jane Dabler 1704 Rock Ledge Court Lancaster, PA 17603 17. Raymond Wolfe 163 Red Tank Road Boiling Springs, PA 17017 18. Athena Starliper I . 1206 Mainsville Road Shippensburg, PA 17257 19. Veronica Starliper 44 Turner Drive Fayetteville, PA 17222 20. Eric Paul Wolfe R.D.1 Box 117-B Loysville, PA 17057 21. Merle G. Wolfe, III 315 Westpoint Road Aspers, PA 17304 22. George Allen Wolfe 315 Westpoint Road Aspers, PA 17304 23. Theresa Ann Wolfe 410 Fairmont Road Aspers, PA 17304 24. Robert L. Wolfe, Jr. 1169 Hiers Corner Road Walterboro, SC 29488 25. Jack E. Wolfe 86 Cavenaugh Road Walterboro, SC 29485 26. Judy A. Wolfe 160 Red Oak Drive Statesville, NC 28677 27. Betty J. Binkley 405 Pitt Street Enola, PA 17025 28. Melvin Wolfe 239 Lumber Street Middletown, PA 17034 Continuation of REV-1500 Inheritance Tax Return Resident Decedent Wolfe, Harry E. Decedent's Name Page 4 21 06 0706 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) 29. Mary Swinn 7073 Carlisle Pike Lot #60 Carlisle PA 17013 30. Mae Wolfe Taylor 1323 Spring Road Carlisle, PA 17013 31. James McMinn, Jr. 39 Faculty Road Duncannon, PA 17020 32. Donna McMinn Witmer 122 Woods Drive Mechanicsburg, PA 17050 33. Richard McMinn 248 Redwood Lane Carlisle, PA 17013 34. John McMinn 4191 Old Gettysburg Road, Lot #11 Camp Hill, PA 17011 35. Frank Spidel 2714 Genne Circle Dover, PA 17135 36. Marie Stephenson Lanshire Hall, 2829 Lititz Pike Lancaster, PA 17603 37. David Wolfe 403 S. B,altimore Street Dillsburg, PA 17019 38. Richard Wolfe 47 N. Crest Acres Lebanon, PA 17046 39. Peggy Crosby 916 Shippen Dam Road Millersburg, PA 17061 40. Fred Etzweiler 245 Sheetz Road Millersburg, PA 17061 41. Andrew Etzweiler 241 James Road Millersburg, PA 17061 42. Jaimie Etzweiler 745 Middle Road Millersburg, PA 17061 Continuation of REV-1500 Inheritance Tax Return Resident Decedent Wolfe, Harry E. Decedent's Name Page 5 21 06 0706 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) 43. Susie Schickel 1729 Wilderness Drive Lancaster, PA 17603 44. Terry Carvajal 317 Fulton Street Akron, PA 45 Wyatt Wolf 46 Richard Sterback Bates Circle Great Mills, MD 47. Debra EI Sharkawi 322 Lehman Street Lebanon, P A 17046 48 Dennis Spidel 49 Christine Spidel 50. Margaret Singer 707 Linden Avenue Marysville, PA 17053 51. Perry Lodge 458 $1,000.00 bequest Maple Avenue and Sylvan Street Marysville, PA 17053 52. Masonic Homes $1,000.00 bequest One Masonic Drive Elizabethtown, PA 17022 53. American Legion Post 109 $1,000.00 bequest 224 W. Main Street Mechanicsburg, PA 17055 '}!{nfi(- ?Jij1ilr \'tltD '(~-"JJlttJttrtt.t OF HARRY E. WOLFE I~ HARRY E. WOLFE~ of Hampden Township~ Cumberland County~ Pennsylvania, being of sound and disposing mind~ memory and understanding, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all Wills by me at any time heretofore made.. 1. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can conveniently be done. 2. I direct that there shall be paid out of my residuary estate all estate, inheritance and like taxes together with any interest or penalty thereon imposed by the Government of the United States, or any state or territory thereof, or by any foreign government or political subdivision thereof, in respect to all property required to be included in my gross estate for estate, inheritance or like tax purposes by any of such governments, whether the property passes under this will or otherwise. 3. -" -J~-e-and-beqlleath-$3-;OO{t.OO-to-my-friend,-ANNA-BURK:I.IObDER, ~ survives meAlutlf.she-predeceascs me--the -gjc~SlH-lapse. i{ ~.' ~q't. . \. ~ \ . 4. I give and bequeath $1,000.00 to Perry Lodge 485- F & AM, ofMarysville, L \ C::?: Pennsylvania. - 1 - 5. I give and bequeath $2,000.00 to the general fund ofM~ket Square Presbyterian Church, Harrisburg, Pennsylvania. 6. I give and bequeath $1,000.00 to American Legion Post 109, Mechanicsburg, Pennsylvania. 7. I give and bequeath $1,000.00 to Helen O. Krause Animal Foundation of Mechanicsburg, Pennsylvania. 8. I give and bequeath $1,000.00 to the general fund of the Masonic Homes at Elizabethtown, Pennsylvania. 9. I give, devise, and bequeath all my real estate and the furnitur(~, fixtures, equipment and tools located thereon to my friends, GORDON W. KOHR and CONNIE L. KOHR, his wife, or the survivor of them. Upon the death of the survivor, I request the real estate be passed by will to their daughters, CA THERINEKOHR and PAMELA (\ '. r c'-) c~ ") KOHR. I do not intend this request to be binding on them. 10. ~esidue and romaindecof my e:state, I give and bequeath ttJ the ~OW~gi~~~~~~~~6... DONALD STRAUSSER, *""...of-the-FeSidu" ~~ N",~ t: ~ "". <>- ., '~ \>'.Ul ~ GARY KURTZ,~ooftb~.~idue ~~~f tv~~' 6 ~\O~ RONALD SPONSLER and DARLENE SPONSLER, or the survivor of them;--'JL . ~ l.. \\ ~.. ~~ -M.:the:r@sldue cd 0" ~;;.-=> ~~_~!lW ~\L~~ ~ VIOLET M. SMITH, ~~<residue J' ~ ~ ~ ~ - ? - 11. Lastly, I nominate, constitute and appoint, JOHN M. EAKIN, to be Executor of this my Last Will and Testament and I further direct that no bond or other security be required of my personal representative to guarantee faithful performance of his duties. IN WITNESS WHEREOF, I have hereunto set my hand and seal this / viA day of May, 2001. r-- f f \.' ~ -)\ GJJ.-->i-- '..J \...}J c- Harry E. Wolfe (SEAL) Signed, sealed, published and declared by the above named HARRY E. WOLFE as and for his Last Will and Testament, in the presence of us who have subscribed our names hereto as witnesses, at his request, in his presence and in the presence of each other. (LJut/, JIL) .~. - 3 -