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Home My WebLink About12-04-06 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLV ANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT WEAVER HUGH C 33 BOURBON RED DRIVE MECHANICSBURG, PA 17050 _~n_n_ fold ESTATE INFORMATION: SSN: 181-18-5718 FILE NUMBER: 2105-0102 DECEDENT NAME: WEA VER ELLEN C DA TE OF PAYMENT: 11/21/2006 POSTMARK DATE: 11/20/2006 COUNTY: CUMBERLAND DA TE OF DEATH: 11/26/2004 NO. CD 007464 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 \ $522.03 I I I \ I \ I \ TOTAL AMOUNT PAID: $522.03 REMARKS: COMMERCE BANK CHECI(# 107 INITIALS: AJW RECEIVED BY: SEAL REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS ~ 15056051058 REV-1500 EX (06-05) PA Department of Revenue Bureau of Individual Taxes PO BOX 280601 Harrisburg, PA 17128-0601 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death OFFICIAL USE ONLY County Code Year File Number INHERITANCE TAX RETURN RESIDENT DECEDENT 21 05 0102 Date of Birth 181-18-5718 11/26/2004 04/25/1917 Decedent's Last Name Suffix Decedent's First Name Weaver Ellen (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW . 1. Original Return 2. Supplemental Return 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 4a. Future Interest Cornpromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. 0) CORRESPONDENT _ THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE Difti,cTED TO: Name Daytime TelephOi!e Number ~::~ .--...., 4. Limited Estate 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received 8. Total Number of Safe Deposit Boxes Hugh C. Weaver Firm Name (If Applicable) (717) 302-2289: ;, :::; REGISTER o'nvl(ij USE ~LY C..: .) :;--, .." -s-"' -i-':~ First line of address ( .J 33 Bourbon Red Drive N --1 Second line of address City or Post Office State ZIP Code DATE FILED Mechanicsburg PA 17050 Correspondent's e-mail address: Under penalties of pe~ury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE.OF PERSON RESPONSIBLE OR FILING RETURN 0~ ADDRESS 3 '3 () ..... (' r ~ ."\ r SIGNATURE OF PRE PARER OTHER THAN REPRESENTATIVE DATE / ;;. /1 lib 00 ( ( till eel\. p!l- 1'/ () .\'0 DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 L 15056051058 MI C MI -:-1 :. ~.=~ .. C_) -) ~E~} "; '-.~; . c.'; :-~:J ;- "; ~~~ --" .-' . '. ) .,_ (1'1 ~_/) ':-) -11 ---I .-J 15056052059 REV-1500 EX Decedent's Name: Ellen C Weaver RECAPITULATION 1. Real estate (Schedule A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1. 2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . .. 3. 4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . .' 4. 5. Cash, Bank Deposits & MiscellaneouS Personal Property (Schedule E) . . . . . . . 5. 6. Jointly Owned Property (Schedule F) Separate Billing Requested . . . . . .. 6. 7. Inter-Vivos Transfers & MiscellaneouS Non-Probate Property (Schedule G) Separate Billing Requested.. . . . . .. 7. 8. Total Gross Assets (total lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8. 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)...... . ... . . . . .... .' . . ...... . . . .. .. 11. 12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ...... . . . . . . . . . . . . . 14. TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0_ 16. Amount of Line 14 taxable at lineal rate X.O L 15. 223,582.92 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 19. TAX DUE. . . . . . . . . . . . . . . . . 19. ....................................... . 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 Side 2 L Decedent's Social Security Number 181-18-5718 38,518.00 199,616.26 238,134.26 12,501.34 12,501.34 225,632.92 2,050.00 223,582.92 16. 8,943.32 17. 18. 8,943.32 15056052059 ---I REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME Ellen C Weaver STREET ADDRESS File Number 21 05 0102 DECEDENT'S SOCIAL SECURITY NUMBER 181-18-5718 ~~- I---------.~--~ CITY \ STATE '--l~-'-'- i Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 8,943.32 8,020.28 401.01 Total Credits ( A + B + C ) (2) 8,421.29 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( 0 + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5) (5A) (5B) 522.03 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. 522.03 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;.......................................................................................... 0 ~ b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 ~ c. retain a reversionary interest; or.......................................................................................................................... 0 [i] d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 [i] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. 0 ~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ 0 ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 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 three (3) percent [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 zero (0) percent [72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exemot 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 zero (0) percent [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 four and one-half (4.5) percent, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(1)]. The tax rate imposed on the net value of transfers to odor the use of the decedent's siblings is twelve (12) percent [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-1507 EX+ (6-98) SCHEDULE D MORTGAGES & NOTES RECEIVABLE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Ellen C. Weaver FILE NUMBER 21 050102 All property jointly-owned with right of survivorship must be disclosed on Schedule F. VALUE AT DATE OF DEATH ITEM NUMBER DESCRIPTION 1. Inheritance Tax from the Estate of Eugene C. Curran 38,518.00 TOTAL (Also enter on line 4, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 38,518.00 REV-1508 EX+ (6-98) * COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Ellen C. Weaver FILE NUMBER 21-05-0102 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 Capital One 1012992052 2 Capital One 1013012079 3 Capital One 1012937703 4 Capital One 1012917596 5 Union Federal 0210177551 6 Johnstown School District Credit Union 7 First Commonwealth Bank 8 Ameriserv 6340377205 9 Ameriserv 50090496 10 Commerce Bank 513332262 11 Commerce Bank 12 Federated Liberty US Govt Money Market A VALUE AT DATE OF DEATH 20,495.75 20,534.39 20,635.94 20,457.04 22,352.52 27,634.19 32,528.00 11,447.11 3,792.41 2,119.36 16,279.56 1,339.99 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 199,616.26 REV-1511 EX+ (12-99) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Debts of decedent must be reported on Schedule I. ITEM NUMBER A. DESCRIPTION AMOUNT 3. FUNERAL EXPENSES: Funeral Home Expenses Travel expenses for funeral Hotel Expenses Meals at Funeral 9,869.00 884.52 300.84 996.00 1. 2. 4 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attomey Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Miscellaneous Fees 8. Bank Fees 305.00 94.98 51.00 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 12,501.34 REV-1513 EX+ (9-00) SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER 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. Philene Weaver Revitsky Daughter 50% 2. Hugh C. Weaver Son 50% 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 1. Carmelite Monastery 1000.00 2. Seraphic Mass Association 1050.00 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 2050.00 (If more space is needed, insert additional sheets of the same size) Federated WORLD-CLASS INVESTMENT MANAGER @ November 2004 ELLEN C WEAVER 33 BOURBON RED DR MECHANICS BURG PA 17050-7952 ~ Page 1 of 1 For the period ending November 30, 2004 Investor reference number: RET-69363 008433 1'1.111111111,",1111111"1".11.1"11,1'111.1111'111'"11..II FOR Y CJ,u Ri."'" . ,,. , - - __ . __ _._ /'1> '*,1 fj{l)I'''f/I'iW *{'g 1'ti()1/fj )$:., ~:~_,~' ~~~ c c. - !?.. ' ~-' ~B,y-'W/ ~f;/__ > - '",_ -'!if t+, {/ For account questions, balances, yields, etc. call 1-800-245-4770, Forautomatedpbone access call anytime 1-800-245-2999. 17Y- Service for the deaf and hearing impaired available at 1-800-358-6930- TIT phone needed. Access to fund information is available on the Internet at wwwfederatedinvestors,com. With the New Year approaching, now is a great time to reevaluate your portfolio! Keep diversification and your personal investment goals in mind. Call or visit us online today! up. Electronic Delivery - experience the convenience of receiving statements, fund prospectuses and reports, and proxy materials via email with E-Delivery. To learn more and sign up, call or visit us online today! TRANSAC o t'J '"l~ ,;-^ -"~:W ...-;'t &:,,lS Jliq' .,j, ''',!li', ~::.' lEi>@,.- j,ti.;... ~'v *" For fund performance and current yields log on to www.federatedinvestors.com. ELLEN C WEAVER LIBERTY u.s. GOVERNMENT MONEY MARKET A Fund/Account Number: 2130579921 Account Opened 04/04/1984 NASDAil ticker symbol: LUGXX You have checkwriting privileges to this fund. You have debit card access to this fund. Confirm Trade date date Transaction description "$ Tbe fund's thirty-day yield as of 11/30/04 is 0.99%. Dividends: ReimJeSt Cap Gains: Reinvest Price Dollar amount per share Shares this transaction Total shares owned 11/30 11/30 PREVIOUS BALANCE as of 11/01/2004 $1,338.89 1.00 INCOME REINVEST $1 .10 1 ,00 Ending balance as of 11/30/2004 $1.339.99 1.00 For those accounts with a VISA Check Card, the annual fee will be deducted on December 14, 2004. If the account balance is less than the fee, the account will be closed and the momp applied to the annual fee. 1 . 1000 1,338.8900 1,339.9900 1.339 .9900 520979 ~ FIRST !l[J Commonwealth First Commonwealth Bank P.o. Box 400 Indiana, PA 15701-0400 Banking Insurance Trust Financial Management Investments 17050 10000000076195 0101-036799 01 1 Items Enclosed Statement Period 11/09/2004 through 12/08/2004 Page 1 of 5 1...111...111... .1.1.11.. .1.. .11.1. ..1.1.. .1.1. .11.. .11.1. .1.1 ELLEN C WEAVER 33 BOURBON RED DR MECHANICSBURG PA 17050-7952 COMING SOON MASTERCARD SECURECODE - A FREE, NEW SERVICE TO ENHANCE YOUR FIRST COMMONWEALTH MASTERCARD CHECK CARD. YOUR OWN PRIVATE SECURECODE FOR ADDED PROTECTION AGAINST UNAUTHORIZED USE OF YOUR CARD WHEN SHOPPING ONLINE AT PARTICIPATING MERCHANTS. VISIT FCBANKING.COM FOR MORE INFORMATION AND HOW TO ENROLL. ONCE ENROLLED, ENJOY GREATER PEACE OF MIND WHEN YOU SHOP ONLINE. CHECKING AND SAVINGS 0101-036799 0300-112620 TOTAL CHECKING AND SAVINGS CERTIFICATE(S)/IRA(S) 3415-060-3001488 3430-060-3001077 3435-060-3000427 TOTAL CERTIFICATE(S)/IRA(S) TOTAL FINANCIAL PROFILE LOANS 1,502.51 3,025.49 4,528.00 15,000.00 8,000.00 5,000.00 28,000.00 32,528.00 TOTAL .00 SENIOR ACCENT CHECKING Account Number 0101-036799 ELLEN C WEAVER 1 Items Enclosed Commerce "Bank Commerce Bank/Harrisburg N.A. 100 Senate Avenue Camp Hill. PA 17011 888-937-0004 STATEMENT DATE ELLEN C WEAVER 33 BOURBON RED DRIVE MECHANICSBURG PA 17050 11/30/04 0626124846 ACCOUNT NO. *** SAVINGS *** PREMIER SAVINGS ACCOUNT NUMBER 0626124846 PREVIOUS STATEMENT BALANCE AS OF 10/31/04 ............... ......... PLUS 2 DEPOSITS AND OTHER CREDITS ................... LESS 0 WITHDRAWALS AND OTHER DEBITS ................ LESS CYCLE SERVICE CHARGE . . . . . . . . . . . . . . . . . . . . . CURRENT STATEMENT BALANCE AS OF 11/30/04 ......................... NUMBER OF DAYS IN THIS STATEMENT PERIOD 30 BEGINNING RATE CYCLE-052 0.25000 1,278.02 15,011. 54 .00 10.00 16,279.56 ------------------------------------------------------------------------------------ *** SAVINGS ACCOUNT TRANSACTIONS *** DATE DESCRIPTION 11/05 DEPOSIT 11/30 INTEREST PAYMENT 11/30 CYCLE SERVICE CHARGE DEBITS CREDITS 15,000.00 11.54 10.00 ----------------------------------------------------------------------------------- *** BALANCE BY DATE *** 10/31 1,278.02 11/05 16,278.02 11/30 16,279.56 23-2324730 39.59 PAYER FEDERAL ID NUMBER INTEREST PAID YEAR TO DATE ---------------------------------------------------- *** INTEREST EARNED THIS STATEMENT PERIOD DAYS IN PERIOD ......................... INTEREST EARNED ........................ ANNUAL PERCENTAGE YIELD EARNED (APY).... *** 30 11. 54 0.99% ---------------------------------------------------- COl1Jl1Jerce .Bank Commerce Bank/Harrisburg N.A 100 Senate Avenue Camp Hill Pa 17011 888-937 -0004 Page 1 of 2 STATEMENT DATE ELLEN C WEAVER HUGH C WEAVER 33 BOURBON RED DRIVE MECHANICSBURG PA 17050 I0513332~62 ACCOUNT NO. 5 -*** CHECKING *"'''' 50 PLUS CLUB ACCOUNT NUMBER 0513332262 PREVIOUS STATEMENT BALANCE AS OF 12/21/04 .... .................... PLUS 3 DEPOSITS AND OTHER CREDITS ................... LESS 5 CHECKS AND OTHER DEBITS..... '" .............. CURRENT STATEMENT BALANCE AS OF 01/20/05 . ......... ............... NUMBER OF DAYS IN THIS STATEMENT PERIOD 30 CYCLE-006 2,119.36 11,000.77 12,071. 86 1,048.27 ----------------------------------------------------------------------------------- *** CHECK TRANSACTIONS SERIAL DATE 168 01/03 169 12/29 170 01/19 *** AMOUNT 1,000.00 45.00 4,359.00 SERIAL 171 172 DATE 01/19 01/14 AMOUNT 5,127.86 1,540.00 ----------------------------------------------------------------------------------- *** CHECKING ACCOUNT TRANSACTIONS *** DATE DESCRIPTION 01/04 DEPOSIT 01/07 DEPOSIT 01/20 INTEREST PAYMENT DEBITS CREDITS 6,000.00 5,000.00 .77 ----------------------------------------------------------------------------------- *** BALANCE BY DATE *** 12/21 2,119.36 12/29 01/07 12,074.36 01/14 2,074.36 01/03 10,534.36 01/19 1,074.36 01/04 1,047.50 01/20 23-2324730 .77 7,074.36 1,048.27 PAYER FEDERAL 1D NUMBER INTEREST PAID YEAR TO DATE ---------------------------------------------------- *** INTEREST EARNED THIS STATEMENT PERIOD DAYS IN PERIOD ......................... INTEREST EARNED ................ ........ ANNUAL PERCENTAGE YIELD EARNED (APY).... *"'* 30 .77 0.15% ---------------------------------------------------- EIGHTH WARD OFFICE 1059 FRANKUN STREET JOHNSTOWN PA 15905-4303 TELEPHONE 814-533-5300 ***= AMERISERV FINANCIAL' PO Box 520 . Johnstown, PA 15907 ELLEN C WEAVER 33 BOURBON RED DR MECHANICSBURG PA 17050-7952 1,"111'1,111,..,1.1,11",1",11,1.,.1,1".1.1"11,,,11.1,.1,1 *** CHECKING *** 55 &. BETTER CHK ACCT Account Number 50090496 Previous statement balance on November 07, 2004 Total Deposits and Credits: 1 Total Checks and Debits: 4 Cycle Service Charge Ending balance on December 06, 2004 Number of days in this statement period: 30 Enclosures $ + $ Page: 1 of 2 2 10,002.41 991. 00 7,201.00 o 3,792.41 12/06/2004 50090496 CYCLE-004 . Checking Account Transactions Date Description 12/03 AC-US TREASURY 303 -sac SEC 12/03 DAY OF THE MONTH TRANSFER TO CK-0000006350377205 12/06 RET AC-US TREASURY SSA WEAVER . Check Transactions Serial Date 102 11/10 Amount 510.00 . Balance BY Date Date Balance Date 11/06 10.002.41 11/08 12/06 3.792.41 Balance Date 5.002.41 11/10 .> DEBITS 700.00 991. 00 Serial 103 CREDITS 991. 00 Date 11/08 Balance Date 4.492.41 12/03 Amount 5.000.00 Balance 4.783.41 SEE REVERSE SIDE FOR IMPORTANT INFORMATION WESTMONT BRANCH 110 PLAZA DR JOHNSTOWN, PA 15905-1286 TELEPHONE 814-533-5300 **.=AMERISERV FINANCIAl'" PO Box 520' Johnstown, PA 15907 ELLEN C WEAVER 33 BOURBON RED DR MECHANICSBURG PA 17050-7952 1,"11/",1/1""1,1,11."1",/1,1",1.1,,,1,1,,11,,,11,1,,1,1 *** CHECKING *** PREFERRED MM ACCOUNT Account Number 6350377205 Previous statement balance on November 20, 2004 Total Deposits and Credits: 2 Total Checks and Debits: 0 Cycle Service Charge Ending balance on December 19, 2004 Number of days in this statement period: 30 Enclosures Page: 1 of 1 Beginning Rate 1.30000 o $ + $ 11,435.46 711.65 .00 o 12,147.11 12/19/2004 6350377205 CYCLE-021 . Checkina Account Transactions Date Description 11/22 RATE CHANGE TO 1.33000 11/29 RATE CHANGE TO 1.41000 11/30 INTEREST PAYMENT 12/03 DAY OF THE MONTH TRANSFER FROM CK-0000000050090496 12/06 RATE CHANGE TO 1.45000 12/13 RATE CHANGE TO 1.46000 Balance Bv Date Date Balance Date 11/19 11.435.46 1/30 11.447.13/ PAYER FEDERAL 10 NUMBER INTEREST PAID YEAR TO DATE . DEBITS Date 12/03 Balance 12.147.11 25-0851535 238.32 *** INTEREST EARNED THIS STATEMENT PERIOD *** DAYS IN PERIOD ......................... 30 INTEREST EARNED ........................ 13.66 ANNUAL PERCENTAGE YIELD EARNED (APY).... 1.41% ) CREDITS .00 .00 11.65 700.00 .00 .00 Date Balance SEE REVERSE SIDE FOR IMPORTANT INFORMATION h' Union j. j; ':;"'~I2~1 ,~ '-':&11=.";;1 Bank alll!!!!! bank. should IH~ www.ufbbankingcenter.com FDIC Insured P.O. BOX 1245 INDIANAPOLIS, INDIANA 46206-1245 ~ ACCOUNT STATEMENT 111.111'1111I....1.1.1111.1...11.1'111.111I1.1111111I11.1..1.1 208 662 ELLEN C WEAVER HUGH C WEAVER 33 BOURBON RED DR MECHANICS BURG PA 17050-7952 Page 1 Statement Open Date 10/07/04 Statement Close Date 01/06/05 Primary Account 21-017755-1 ** ALL DEPOSIT PRODUCTS PROVIDED BY UNION FEDERAL BANK ** HIGH YIELD MONEY MARKET SAVINGS Account #021-017755-1 Beginning Balance on October 7, 2004 Deposits and Other Credits (3) Other Debits (0) $ + 22,275.23 118.68 0.00 22,393.91 Ending Balance on January 6, 2005 $ ", / Deposits and Other Credits Date 10/28 11/29 12/30 Description INTEREST DEPOSIT INTEREST DEPOSIT INTEREST DEPOSIT Amount 36.71 40.58 41.39 Customer Balance Summary Date 10/28 Balance 22,311. 94 ~-=-------- " Date Balance---) Date 1 _.~ 12/30 Balance 22 , 393 .91 Periodic Account Summary Interest Rate YTD Interest Paid Fees Paid This Period Interest Earned This Period Annual Percentage Yield Earned Days in Period 2.28% 0.00 0.00 119.60 2.14% 92 ) All FDIC Insured Products Provided By Union Federal Bank JOHNSTOWN SCHOOL EMPLOYEES FEDERAL CREDIT UNION 738 Viewmont Avenue Johnstown, PA 15905 814 - 255 - 6642 Mrs. Ellen Weaver 33 Bourbon Red Drive Mechanicsburg PA 17050-7952 Date )9-30-2004 Transaction div Account Number 809 Share File Amount 185.89 Balance 27634.19 CaPita'One~1 savings 6 the bottom line. ELLEN C WEAVER CERTIFICATE OF DEPOSIT Page 1 of 1 Account No: 1012937703 Statement Period: 02/22/2004 - 12131/2004 Annual Percentage Yield: 4.257 % Initial Deposit: $20,000.00 Annual Percentage Rate: 4.170% Term: 60 months Maturity Date: 02/23/2009 BALANCE: $20,635.94 , TRANSACTION HISTORY Beginning balance as of 02/22/2004: $0 THIS IS NOT YOUR 1099 TAX FORM Capital One, F. S. B. FDIC INSURED - up to $100,000 per depositor. ( ~ate 02/23/2004 OS/22/2004 08/22/2004 11/22/2004 Deposits and other additions (+) 'I EW CERTIFICATE $20,000.00 NTEREST EARNED $206.69 NTEREST EARNED $213.50 NTEREST EARNED $215.75 OTAL DEPOSITS $20,635.94 I ENDING BALANCE AS OF 12/31/2004: 20,635.94 For 24 - Hour Account Services: http://deposits.capitalone.com You can check rates, access your current balance and obtain additional account information 24 hours a day by calling our Voice Response Unit at 1-888-810-4013, or by visiting online at http://deposits.capitalone.com. Representatives are also available to assist you Monday through Friday, 8:00 a.m. to 8:00 p.m., and Saturday, 8:00 a.m. to 2:00 p.m., Eastern Time. Send Inquiries to: Capital One, P.O. Box 5038, Richmond, VA 23058-5038 -'-' did you know? * In January a separate notice will be sent to you showing the interest paid on your account and other important tax information. You can manage your account 24 hours a day by visiting us at www.capitalone.com/savinos. * ELLEN C WEAVER HUGH C WEAVER 33 BOURBON RED DR MECHANICSBURG PA 17050 Capita'One'" what's in your wallet? 3980 Cap;'a'One~ I savings 6 the bottom line. ELLEN C WEAVER CERTIFICATE OF DEPOSIT Page 1 of 1 Account No: 1013013079 Statement Period: 03/23/2004 - 12/31/2004 Annual Percentage Yield: 3.561 % Initial Deposit: $20,000.00 Annual Percentllg. Rate: 3.500% Term: 48 months Maturity Date: 03/24/2008 BALANCE: $20,534.39 TRANSACTION HISTORY Beginning balance as of 03/23/2004: $0 THIS IS NOT YOUR 1099 TAX FORM Capital One, F. S. B. FDIC INSURED - up to $100,000 per depositor. " Date 03/24/2004 06/23/2004 09/23/2004 12/23/2004 Deposits and other additions (+) ~EW CERTIACATE $20,000.00 NTEREST EARNED $177.21 NTEREST EARNED $178.78 NTEREST EARNED $178.40 ITOTAL DEPOSITS $20,534.39 ENDING BALANCE AS OF 12/31/2004: $20,534,39 For 24 - Hour Account Services: http://deposits.capitalone.com You can check rates, access your current balance and obtain additional account information 24 hours a day by calling our Voice Response Unit at 1-888-810-4013, or by visiting online at http://deposits.capitalone.com. Representatives are also available to assist you Monday through Friday, 8:00 a.m. to 8:00 p.m., and Saturday, 8:00 a.m. to 2:00 p.m., Eastern Time. Send Inquiries to: Capital One, P.O. Box 5038, Richmond, VA 23058-5038 -fW did you know? * In January a separate notice will be sent to you showing the interest paid on your account and other important tax information. You can manage your account 24 hours a day by visiting us at www.capitalone.com/savinas. * ELLEN C WEAVER PHILENE W REVITSKY HUGH C WEAVER 33 BOURBON RED DRIVE MECHANICSBURG PA 17050 Capita'One'" what's in your wallet? 398~ CapitalOne@ I savings 6 the bottom line. ELLEN C WEAVER CERTIFICATE OF DEPOSIT Page 1 of 1 Account No: 1012917596 Statement Period: 02/11/2004 - 12131/2004 Annual Percentage Yield: 3.055 % Initial Deposit: $20,000.00 Annual Percentage Rate: 3.010% Term: 30 months Maturity Date: 08/14/2006 BALANCE: $20.457.04 TRANSACTION HISTORY Beginning balance as of 02/11/2004: $0 THIS IS NOT YOUR 1099 TAX FORM Capital One, F. S. B. FDIC INSURED - up to $100,000 per depositor. Date. J Deposits and other additions (+) o2712!2oo4-fw CERTIFICATE $20,000.00 05/11/2004 NTEREST EARNED $148.98 08/11/2004 NTEREST EARNED $153.45 11/11/2004 NTEREST EARNED $154.61 OTAL DEPOSITS $20,457.04 ENDING BALANCE AS OF12i31 2004: $20,457.04 For 24 - Hour Account Services: http://deposits.capitalone.com You can check rates, access your current balance and obtain additional account information 24 hours a day by calling our Voice Response Unit at 1-888-810-4013, or by visiting online at http://deposits.capitalone.com. Representatives are also available to assist you Monday through Friday, 8:00 a.m. to 8:00 p.m., and Saturday, 8:00 a.m. to 2:00 p.m., Eastern Time. Send Inquiries to: Capital One, P.O. Box 5038, Richmond, VA 23058-5038 -(at did you know? * In January a separate notice will be sent to you showing the interest paid on your account and other important tax information. You can manage your account 24 hours a day by visiting us at www.capitalone.com/savinQs. ELLEN C WEAVER HUGH C WEAVER POA 33 BOURBON RED DR MECHANICSBURG PA 17050 CapitalOne'" what's in your wallet? 3979 CapitalOneQO' savings 6 the bottom line. ELLEN C WEAVER CERTIFICATE OF DEPOSIT Page 1 of 1 Account No: 1012992052 Statement Period: 03/15/2004 - 12131/2004 Annual Percentage Yield: 3.303 % Initial Deposit: $20,000.00 Annual Percentage Rate: 3.250% Term: 36 months Maturity Date: 03/15/2007 BALANCE: $20,495.75 TRANSACTION HISTORY Beginning balance as of 03/15/2004: $0 THIS IS NOT YOUR 1099 TAX FORM Capital One, F. S. B. FDIC INSURED - up to $100,000 per depositor. Date 03/16/2004 06/14/2004 09/14/2004 12/14/2004 Deposits and other additions (+) NEW CERTIFICATE $20,000.00 NTEREST EARNED $164.50 NTEREST EARNED $165.86 NTEREST EARNED $165.39 ~OTAL DEPOSITS $20,495.75 ,l~ 1 '" / ENDING BALANCE AS OF 12/31 2004: $20,495.75 For 24 - Hour Account Services: http://deposits.capitalone.com You can check rates, access your current balance and obtain additional account information 24 hours a day by calling our Voice Response Unit at 1-888-810-4013, or by visiting online at http://deposits.capitalone.com. Representatives are also available to assist you Monday through Friday, 8:00 a.m. to 8:00 p.m., and Saturday, 8:00 a.m. to 2:00 p.m., Eastern Time. Send Inquiries to: Capital One, P.O. Box 5038, Richmond, VA 23058-5038 -Q did you know? * In January a separate notice will be sent to you showing the interest paid on your account and other important tax information. You can manage your account 24 hours a day by visiting us at www.capitalone.com/savinas. ELLEN C WEAVER PHILENE W REVITSKY HUGH C WEAVER POA 33 BOURBON RED DRIVE MECHANICSBURG PA 17050 CapitalOnee what's in your wallet? 3982 8 () \' j -"--