HomeMy WebLinkAbout95-00917
I'OR DAtU 01 DfATH AnlA 12131191 CHICK HIRI
If A SPOUSAL
\ POVIRTY CRlDIT 15 ClAIMID 1,1
l'lll NUMBlR
d. I jqq5
(COUH1Y (OOl
--"-ji)hl~};'~~~~~:~III~~,t;~~~ .
, (."~(('IV L~:;'::;:";:::::I PA 1711711
_ ,AM(j,jt.l IIHII'Ji'o i\IIIH"lii.J("ol-l\r~--'" -- _"_L_,_____...__
~ ' ~,.' ~,_u_,__ ~-,----,-'-----'-'-..
'-.J 3 Remainder Relurn
,for dol.' 0' death prior 10 12.13.811
[.1 ~. hderol hlot' To. R,'ur" Required
,
/'J '1/-,/
R1Y,Il00 ,x. PQ'I'~ \
1\\'1;' ,1:1
1f',V:; ,'\'
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COMM0I4WIAIIlIlJI rtuUUIV.A1l1A
OIPAA1M(U1 OJ M(vltnJl
DIP1 lBOtAll
__~.A~I~_~U_A_9, PA 11l?~ObO'
ole 0114 '. .4"'1l1 IIA 1.IIU ,.';0 MltlOl1 IlIiliiJi'---
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
15
lil
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o
\)'ACI)8'J'Il'U, ColIn It,
.~;~.:~,~~~;~.---- ~_ __-, 't;(/~;;~.~,~-
I" .'hO{"'LII 'U'Wl~'lm"OV'" ,...., r,l\1 ,;I""t,U"'U'" ..,.1,111
- \OA11 o. alllll
5/117/04
, \,w:' mu,,,~,u.:"
Supplemfln'al Reluln
.,---~'-_.~--
II 2,
I] 4n
_ 8 Tolal Numh.t of Sol. Oeposil Bo..s
~".."";t,);;,;_;,tk;jr BE SURE TO ANSWER ALL QUESTIONS ON RIVERSE SIDE AND TO RECHECK MATH'''. I: lifJ:$.!! '",!.,~;W!l#.,
Und" p,n.lllo. of p"lu,y. I docle,o,hnl I he.. ...ml"d ,his ",u,n. '"Iudlng e".mp.,ylng "h,dul.. e,d .,."mo,", e,d te ,h, b.., et my \,.wl,dg' e,d bollol,
II h I,uo, c.rro" ond cempl,'" , d,cI." ,h.,.1I .oel "'.'0 h.s b..n .op.,'ocr e'lru' m.,h' ,.Iuo, D,cI.,.'I.' 01 p"pe," o,ho. ,h., ,ho po".,.1 IIp,...nlen,O h
bas.d on olllnformallan of which r.par.r has an ~nowl.dgt,
"o."Al'(' O. ....O.N ....ON'. '0' " 'NG ",.IN ....... .."
""- ~"'- 1319 Oak Lane. New Cumberland PA 17070
r.ION4 U Of ,RfP.u(R 01 .1HA I/t AOOUU
POBox 310. \li1l5bur~~_17019
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b3lElS
:cas
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:1115
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III
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(8 I
(QI ~J904.00
110)_68,359..50_-
1111
1121
1131
1141
)(._~_c
110) ________________K ,00.
1171
)( .15 .
"
o
~
....
E
..
C>
'"
~
....
I1BI
Discount
Inleresl
+ +
20. If LInt 19 11 9reoter than line 18. tnler Ihe difference on LInt 20. Thh 11 the OVEAPA YMiNT.
a Olllrr:r:l.1I111._I_.,..._...,_I....I.."..~II.l1.._I.."'':''nr:'l_.I.
21. If line 1811 9reater Ihan line \9. enler ,h. difference on line 21. This II the TAX DUE,
A. Ent.r Ihe Inler.sl on ,he balance due on line 21 A,
8. Enltr the 10101 of Lint 21 and 21A on line 21B. This II Iht BALANCE DUE,
Make Check Payabl. 101 Aeal.llr 01 Will., Agln'
Uf o\lotpoymont.
(211
(21A)
(2181
Wm \l Schrack 111
q/l
't'(AR
NUMII R
89089.00
91263,00
-0-
-0-
- U::-
-0-
tlQI
(20)
-0-
-0-
-
Act .48 of 1994 provld.. for Ih. r.ductlon of the tax rat..lmpo..d on Ih. n.I valu. of Irand.r. to or for
the u.. of the .pou.., Th. ral.. a. pr..crlb.d by the .talut. will b.l
· 3'l1l1.03) will b. appllcobl. for ..tal.. of d.c.denll dyIng on or after 7/1/94 and before 1/1/96
· 2'l1l1.02) will b. appllcabl. for ..tat.. of decedenll dying on or after 1/1/96 and before 1/1/97
· 1'l1l1.01) will b. appllcabl. for ..tat.. of deced.nll dying on or after 1/1/97 and b.fore 111/98
· Spou.al Irand.,. occurring on or after 111/98 will be .xempt from Inherltanc. tax,
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS.
YES NO
1. Old decedent make a trans/er and:
a, retain the use or Income of Ihe property transferred, ........,..........,..........,....................,.., XX
b. retain the right to designate who shall use the property transferred or Its Income, ........,......
c. retain a reversionary Interest; or ..,....,....."....,....,..,.......,...,..........""............,....,.....",..,
d. receive the promise for life of either paymenls, benefits or carei....,......,........,..............,...
2. If death occurred on or before December 12, 1982, did decedenl within two years preceding
death trans/er property wlthoul receiving adequate conslderalloni If death occurred after
December 12, 1982, did decedent transfer property within one year of death without receiving
adequate conslderalion9 ,........."".,.,..".,.,."..."...""..,.,.. ,.....".",."",.,.....,..,....,...",. ..... .....
3, Old decedent own an 'In Irult for' bank account at his or her deathi............,....,..,..,......,.......
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
:()
x
X
X
N/A
x
..
.
.,vo'"'''' '''~ ' .............-.', I,,,,,, SCHEDULE E
~,,~,9.
~ CASH, BANK DEPOSITS AND
cO......ONWfAll" O' OINNIYlVAN" MISCELLANEOUS
INH..nANtI tA. .RUIN PERSONAL PROPERTY I
.U'''NI DICI'" n _ P !.a,~! P,lnl or Ty~
ESTATE OF -- - -'- FilE NUMBER
CELIA R. D'AGDSTINO 21-95
jAil ~,lol"oIy._~'h .h,lJlht of 5.';IVO,~~!;';~~~~~~~~!~~~Fh'd.r!.~=_=====--=----
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OF DEATH
---------_.,---
1.
2.
3.
Rent received prior to settlement of sale of home
General accident insurance premium refund
Blue Cross/Blue Shield premium refund
Proration of taxes and refuse:
City/County
School
Trash
$ 935.00
69.00
186.00
4.
62.00
492.00
25.00
S 1769.00
IA"o,h additional 0\\. )( ". ,h.." If more 'POCI II n..d.d.)
",',-"""".....'"".-,,..,.,,,," .-
-1"
,---------'~.,.-
l'IIUOf'lltllJIIIO
~,,~'9_
't,~
COMMOHW,AllH Of '(HN'nV""~IA
INHUIlAN(( tAX IUUIN
_UIDlNt OI('OINI
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
0' AGOSTI NO._CELIA.JI.____
Joint tenanl(.),
.~, ~ ~ "~ ~ ~ tLE NUMBER ~ ,~"'~, ~
~___.._ H'~_ "'U_'___'.'_' __UU' ,.., 21195_____..~_..__.._._u..
NAME
A. Sel ina 0, Coogan
'._ ADDRE.5.L,_.....____ ,_..!ELATlO~SH.!P TO DECEDENT
1319 Oak Lane Daughter
New Cumbl!rland PA 17070
B.
c,
Jalnlly,owned preporly.
ITEM
NUMBE
LEnER
FOR
JOINT
TENANT
A
DATE
MADE
JOINT
DESCRIPTION OF PROPERTY
TOTAL VALUE
OF ASSET
DECO'S DOLLAR VALUE OF
% INT. DECEDENT'S INTEREST
1,
1989
PNC 8ank. NA
Acct 50-8041-8062 Savings
Acct 51-4023-0492 Checking
1818.00
822.00
50X
SOX
909,00
411,00
TOTAL (AI.a enter on line 6, Recapitulation)
{If motl space js n..a.d in,.,' addi'ional ,h.eh of sam. size}
s 1320,00
H
PNClBANK
Soulhcentrnl. JlA
Statement
-
-
114
CELIA R DAGOSTINO
SELINA 0 COOGAN
1319 OAK LN
NEW CUMBERLAND PA 17070-1335
1,"1111"111,"\".111111",11..11",11,.1.1",11,1
LAST PAGE
STATEHENT NUHBER 50-8041-8062
STHT END DATE
06-30-95
PAGE
SELINA D COOGAN
o R
TAX ID HUHBER
LAST STNT END DATE
ACCOUNT SUMMARY
O-BO - 2
lB6-38-4110
03-31-'5
o C S 0
1-717-761-3180
CEDAR CLIFF OFFICE
SAVINGS
PREVIOUS BALANCE
1,818,03
DEPOSITS/CREDITS
,00
WITHDRAWALS/DEBITS
l,B27,2'
INTEREST PAID
9,26
NEW BALANCE
,00
DAILY ACTIVITY
~
03-31
04-30 ,
0S-31,~ '
06-19 '
EMPLANATION OF TRANSACTION
YOUR PREVIOUS STATEHENT BALANCE
INTEREST PAYHENT
INTEREST PAYHENT
, INTEREST PAYHENT
, CLOSING TRANSACTION ~
WITHDRAWALS AND
OTHER DEBITS
DEPOSITS AND
OTHER CREDITS
3,51
.' 3.6"
2,11
I,B27,29 , "
ACCOUNT INFORMATION
INTEREST PAID THIS PERIOD
INTEREST PAID THIS YEAR
TilE ANNUAL PERCENTAGE YIELD EARNED CAPVEI 151
THE NUHBER OF DAVS IN TltIS INTEREST PERIDD IS I
TilE AVERAGE DAILY BALANCE USED FOR TilE APYE 151
TilE INTEREST EARNED DURING TIlIS PERIOD 151
2.37 X
79
1,821,21
9,26
,
\
,'. ..... '.;
,'",:
,,,,\,,--',':',.
," .".':- "'-.'~':' . "
t,', ,~
000 30500002 ne'l, 210.
"
PNClaANK
Sfllllllrl'lIlti1l P'\
Statement
CELIA R DAGOSTINO
SELINA D COOGAN
C/O SELINA D CDOGAN
131'1 OAK LN
NEW CUHDERLAND PA 17070-1335
1,;,11111I111",111I111,","11"11,,,11,,1,1,"11,1
STMT [NO DATE
03-14-'5
STATEMENT NUHBER 51-4023-04'2
INTEREST CHECKING
GO 0
SELINA 0 COOOAN
JlA:[I;
02-.,
02-16
02-17
02-21
02-22
05-01
os-os
05-06
05-14
-/t02's-IIIf'lZ
\86-58-'0110
02-09-95
ceo N tiD
TAX ID NUI1BER
LA5T 5TMT END DATE
ACCOUIlT SUMMARY
Will
PREVIOUS BALANCE
l,s65.n
DEPOSITS/CREDITS
640.24
/lll!llWl
7
Ml!!!HlI
556,59
DAILY ACTIVITY
EXPLANATION or TRANSACTION
YOUR PREVIOUS STATEMENT 8ALANCE
CHECK 855 REFB
CHECK PRINTIHD FEE REFUHD
CHECK 855 REFB
CHECK 857 REFR
CHECK 834 REFR
CHECX 858 REFn
CHECK 856 REFR
CHECK 859 REFn
ACH CREDIT 1810754660 ~SA
US TREASURY 303 SOC SEC
ACH DEBIT 056072100000
PREHIUH PLAN HAR DUES
INTEREST PAYHENT
CNECXS AND
antER DERITS
25401758
49,40
145.00
15.95
22,55
28.10
279,60
\8,01
2511S,,46
25454251
25407B95
2545876&
25441271
254"186
;7 If f;
2. O~_~F"~' '
ACCOUNT INFORMATION
HINIHUH BALANCE
AVERAGE BALANCE
AVD CDLLECTED BAL
CHARDES/FEES AHDUNT
CHECKS PAID
TELEPHONE TRANSFERS
CHECK
I!lIl1W
8SS
854
855
82\ ,60
1,238.(,7
1,258,47
15.00-
7
o
THE ANNUAL PERCENTADE YIELD EARNED IAPYEJ IS.
TIlE NUMBER DF DAYS IN THIS INTEREST PERIOD ISI
TilE AVERADE DAU Y BALANCE USED FOR TIlE APYE IS I
THE INTEREST EARNED DURIND TillS PERIOD IS.
SUMMARY OF CHECKS
DATE
A!12l!llI fAlIl
49,40 02-16
22.53 02-22
145.00 02-21
CIIECK
ll!!l1J![.II
856
857
838
DATE
A!Il!!!III UII!
279.60 02-22
1S.95 02-22
28.10 OZ-2:!
. GAP IN YDUR-cIIECK-SEQUENCE
(U, :11I'''U.I:'lIo'~ ~'1I1
114
LAST PAGE
ENCLOSURES
PAGE
7
I
PRIORITY 50
DR CUS OM'H S V CE CA
1-717-761-3180
CEDAR CLIFF OFFICE
WITlIDRAWALS/DEDITS
2.00
NEW OALANCE
1,4lt6.Sit
DEPDSITS AND
OTHER CREDIT5
e
BALANCE
1,565,19
1,515,79
1,528,79
1,IB3.79
,
J
;'pP~25'OO
839,61
~,6P
l,ce... .6
1,1144.60
C~2,24
1,446.84
INTEREST PAID TillS PERIOD
INTEREST PAID TillS YEAR
2.24
6,e\
2.02 %
35
1,258.47
2.24
CIIECK
l!!!l1I!.tJl
839
DATE
AII!!llllI UI.II
18,01 05-01
..
RfV,UIO Ill:. 12-171
~
COMMONWfAlfH Of 'INN5nVANIA
INHI.nANCI 'AX .nU'N
I.SIDINT DlelOINl
SCHEDULE G
TRANSFERS
I
i
I PLEASE PRINT OR TYPE
FILE NUMBER
ESTATE OF
D'AGOSTINO, CELIA k.
21-95
THIS SCHEDULE MUST BE COMPLETED AND FILED IFTHE AN5WER TO ANY OFTHE QUESTlON5 ON THE .EVERSE 51 DE OF THE COVER 5HEET 15 YES,
,-''''''-'", ,,',," ," -.
ITEM DESCRIPTION Of PROPERTY
NUMBE R Includ. name 01 lh. ',an$"'''' Ih.i, ','atlonshlp to d.c.d.nl, do'" 0' Itanl'.',
-, ---'_._,.,-,,,--' -.---..-,,- --. '-"-' ,""'-',""
EXCLUSION
100Al VAlUE
or ASSET
DECO,
'"
~_,INI.
DOllAR VALUE
Of DECEDENT'S
INT~R_m~~_,
1.
Sinyle -family residence on a 100' x
117 lot situate in the Borough of New
Cumberland, Cumberland County, PA,
occupied by decedent as her principal
residence. known and municipally
numbered as 1109 Oak Lane, New Cumberlan
Pennsylvania 17070 (Proceeds of sale -
See attached settlement statement)
B6,OOO.00
Selina D. Coogan
Trans fer
Daughter
2/22/B2
___~!~TAL IAh~~nl.r on lin. 7, R.c~pltulollon) S 8,6.s0Q,O.t.O.O_._
,,, mot. 'POrl is "..d.eI, ins." odditional Ih..h o( lam. dze.}
.I> .
.,-'hllll.""1
ESTATE OF
't~1~
COMMONWEAltH Of PfNN~YlVAN'.
ltmfRlIANCI 'AX "nUAN
RUIDfNl DfCfDfN1
SCHEDULE H l
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES _
Ploa.. Print or Typ.
ER
CELIA R, O'AGOSTINO
ITEM
NUMBER
DESCRIPTION
AMOUNT
A. Funeral Expon...,
B,
4,
C.
2.
3,
4,
5,
6,
7,
B,
1.
2,
3,
Parthemore Funeral Home
R, J. Romberger and Sons - Stone engraVing
Catholic Cemeteries
$ 6,903.00
127,00
665.00
Admlnl.tratlve co.t..
Selina O. Coogan
-0-
1. Porsonal Roprelentative Com mInion.
Social Socurity Numb.. af Porsonal ReprelOntatiye:
Voar Comminlon. paid
2,
Allorn.y Fo..
Wm 0 Schrack III
1,500.00
3,
family Exomption
Cloimant
Addren of ClaImant at decedent'. death
None
R.lotion.hlp
Sir..' Addren
Clly
Stat.
Zip Code
Proboto Foe.
MI.collonoou. Exp.n....
1.
PP&L - Utility Expense
Burns & Company - Plaster Repair
UGI - Utility Expense
99.00
240.00
480 .00
52.00
30.00
1,580.00
2,080.00
8,484.00
664,00
New Cumberland Boro - Trash/Sewer
PAWC - Utility Expense
Jason Coogan - Lawn and Grounds Care
Selina Coogan - Cleaning and Sale Preparation
Sale of Oecedent's Residence - See attached HUO-l
Kerry J, Spangler, CPA
TOTAL (AI.o onler on Iin. 9, Recoplt.lation)
(If more 'pac. II n..dod, Inlort addlllonallh.otl of lam. 11z..)
S 22,904,00
A. Settl.ment St.tement
n. TYD. or l.oa"
1.1 JnlA a,l IFltJlA J,lXJCony, Unin., I I.FU. Number 1',1.0." Null\bar 1..Mortg.g. In,urlnc. Cue No,
4.1 tVA s. I IConY. In.. I I I
C,Not'l Thl. to~ il turnllh.d to give you . It.t.ment or actual l.tt1emlnt COlt.. Amount. r'ld to and by the I.ttlement .gent Ir.
.ho",", IteN marked -Ip,o.cl- 'W.n plld outtlde th. clo'lng, they 'Ie .ho."" heu tor 101011l\4tlonal purpo... and are not lncluded in
the tot.h.
D.NAme .nd Addr'" ot Borrower
John K, ROYIl Ind Lynn A, ROYIl
t"CHiC!NWEALnl.u.tm TITt.8 INSURAHCB COHrAUY
II.Na.e end Addr...
I Sellna D, Coogan
I
I
I
I
I
a,Prop.rty Location
110' O.k Ave.
Hew CUmberland, fA 170'0
New CU~~rland Dorouqh, CUmberland County. PA
J, SUtflARY OF nORROWER'S TRANSACTIOrr
tOO. GROSS AMOUNT DUB FROH nORROWER,
tOI.Contract .ale. price
102.Perlon.l property
lOJ,Settle~ent ch.rse. to borrowor 111ne 1400)
Ad1ultment. tor
10G,C1ty/to"," ta...
101.County ta...
10l,SOfOOL TAX
11I,Tr..h July.S.pt,
item.
Daid bv teller in advance
0,f22/'S to l2/Jl/'5
to
0'/22/'5 te O&/JO/',
0'/2'/'5 to 0'/JO/'5
120. aROSS AHCH1tlT DUB
FROM BORROWER
200. AMOUNTS PAtD BY OR IN BEliALF OF nORROWER
aOl.O-po.it of eame.t maney
a02.Pr1ncipal amo~nt of new 10.n(al
aOJ,Exi.t1ng 10an(.)
aOl.Clc.1ng CO.tl P.id by Sellor
I
I
I
I
I
I
I
I
"000,00 I
I
1619.00 I
I
I
61,14 I
I
412,17 I
24.92'
II191,n
1000.00
160,00
U.S. Department of lIou.lng and Urban Deve10plltnt
OHD No. 250a-Oa,.
Tltlfl In.uunel Ho,Ol1nllcP
of Geller
Ir.llame and
I Phn.lcd,
I Company
I'
I
I
I
Addru. or Lender
Inc., t/a Sunaet Hortg.go
If I SeU lement Agent
COM4OtlWtALnl LAND TinE UlSlJRANCB COMPANY
Place of Settlement
11 SOtml HARtcET SO, SUITE a-A.
l~tsDURa, PA 11101
HARe SHtn. MSS
K, SU!flMY OF SELt.ER'S TJWISACTtON
400. GROSS AMOtnlT DUE TO SELLtR
401,Contr.ct .ale. price
402,renond property'
40J,
I I ,Settlement DIU
I
I Septe~r 22, 1"5
I
16000,00
Ad1u.tmente for item.
40G,C1ty/town ta~e.
407.County ta.e.
COI,SCHooL TAX
Ul,Truh July-Sept.
Dald by aeller in advance
0,/22/95 to 12/Jl/15
to
0'/2J/'5 te O&/JO/,'
0''''/15 to n/Jo/15
11,14
492,17
24,12
4ao. GROSS AMOUNT DUB
TO SELLER
500. REDUCTIOnS HI AMOurlT Dtm TO SELLER
SOl.Exco.. Depollt (Ie. in.truetlonl)
502,Setthment chugll8 to .eller (11no UDal
SOJ.Ex1st1ng 104n(.l
SOl,Cloling Cotta Paid by Soller
16511.9)
19:21,'0
150,00
Ad1u.tml!'nt. for Item. unnaid bv 1It11er Adiu.tment. tor item. unoaid bv B.ller
210,C1ty/town taXI' te SI0,City/town ta.I' to
all.County ta.ee te 5l1.COWlty t.~ell to
2l1.HATEalSEHER OU01/55 to 0'/2fJ/I5 4.2' SlJ.HATER/SEWER OU01/15 to 0""/15 4,29
220, TOTAL PAID DY/FOR
nORROWER
300. TOTAL AT SE'M'LEKENT FROM/TO nORROWER
JOl,Gro.. amount due from borro'Wor 11ine 120J
J02.Le.. amount. naid bY/for borrower fllne 220)
301. CASH
leXJ<1 FROtll II I TOI OORROWER
FORK III (4-88)
1'JU.29
11191.93
1164.29
1I,4n.64
520. TOTAL REDUcrlON NiOutrr
DUE SELLER
'00. CASH AT StTrLEHtNT TO/FROM SELLtR
GOl.Oro.. .lIlOunt due to tellor (11na 4201
'02.t.1I1I reduction" In Amount due .eller nine 5201
G01, CASU
I!XJ<) TOI II J FROHI SELLER
9UI.19
16571.91
9'" .19
16. nO,14
nUD-1 U..6) RESfA. ImnOS-2
Dunnep
P'Ge 2 ot 'o~ ADDfoved OHB
700. TOTAL SALlS/OROKER'S COHHISSION b.led on oriel'
DivS,ion or commlllion(llne 7001 .1 tallow"
701,' 6020,00 to Century 21 At The H,l.
702,' to
70J,~il.ion P.id It Settlement
10.,' to
'00, ITEKS PAYAIIL8 IN commCJ'ION WITH LOAN
101.l.oln OriginaUon Fee , to
'02.l.oln Ol.count , to
10J,Apprll.ll r.. to
'O..Cradlt Raport to
'05,Lendlr', tnaplctlon re.
86000,00 .
7.00\ _
'020.00
PAl D FROH
BORROWER'S
FUNDS AT
SETTLEHEHT
No.
I
I
I
I
I
I
I
I
I
2102-02&1
PAID FROH
&BLLIta' .
fUNDS AT
SE1TLDa:NT
L, &E1TLEMEHT CIAROES
&020.00
:
I
I
I
I
I,
I
I
I
I
I
I
100. ITEMS REOUlnED BY LENDER TO 88 PAlO IN ADVAHCB
'Ol.lnterllt from 01/22/'5 to O'/JO/tS 1$ /d.y
'01.1 tnter'lt fro. to '$ /day
'02,Hortgage Inlurlnee PremlUN for ~. to
UJ,llAnrd In.urlnel Prallllwa for yn.to
1000,RESEAVES DEPOSITED WITH LENDER
1001.lIuard inluranee 11IO..,
1002,Hortg.ga inlurlnee mo.'$
1003.City property taxe. mo,'$
100. . County property tlX" mo.tS
per me,
per trIO.
per 11'IO.
per 11'IO,
1100. TITL8 CHARGES
1101,Settlement or c10.ing tee
11D2.Ab.traet or title .eareh
110J.Tltle .xamln~tion
110.,Tltl. In.uranee binder
n06.Hotlry Fe.
(include. above ite~ Ha..
110'.Title In.urlne.
Uncludae lbove
110t,Lender', coverage
1110.Owner'. coveragl
11l1.UOO'MEMEHT ClIARGB
1112.EHDOMEHENT pA 300
111J.EXpRESS HAIL
lU.,EHD 'A 110 IALTA' , &.2)
1te~
$
$
to
te
to
to
to Mara S. Sll11th
I
to COtIiOHWEALTH LAND TITLB
1101 - 110.)
I~,OO
5.00
86000,00
to COf-ttONWE.ALnl LAND TITLB
to C'OtflONWBALTH LAND TITLB
to cotflOlllf&A.Lnl WID TITLB
to COIflONWEALnl LAUD TtTLB
1................1..............
I 123.00
,................1..............
1................1..............
I................,..............
I I ",~
I 25.00 I
I 15,00 I
I 50,00 I
,I I
NO.1
1200. GOVERNMENT RECORDItlO MID 'I'RANSFER C1IARGES
1201.Reeording fe... Deed $ !t.00 Hortgage $
1202.City/county tlx/_tamp.. De.d $ .60.00 Hortgage $
120J.Stato tax/ltampl Deod $ .60.00 Hartgago $
22.00 Aelaa.e. $
36.00
860.00
860.00
1300. ADDITIONAL SETTLEMBm' CHARGES
1302.Pelt tnlpoction ta 'enn 'e.t, Ina.
UOJ ,Deed Prep. ta HilUu D.Schrack, Elq.
130.,elcraw for Inheritance Taxe. on lit to
1305.1"5-'6 School Tlxe. to Robin aalporettl, tax collectar
1306.Tra.h Ind Sewor ta Uau CUmberl.nd Dorough
30.00
15.00
1200.00
U7..03
51,"
HOO.TOTAL SB'M'LEHEm' CllAROES {entered on Un.. 103. SECTION J AND 502. Section KI
FORM 112 (4....) Gee page 3 for certiUcation Ind .lgnaturee
l.Ilt.DO
'.923,90
I'''' '~111' f I' ....)
9~'r ,~
It. .,-C\
,~' .J_
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE L1ABLITIES AND LIENS I
,..'"" ~ , ~ , nH _ ~ _,_ , _ nPl-!". PrInt or Tvpo
.---nnn'---'---------iTITi-tiuMBER
.,_... __L.qa:95
f{'"",...'j'IWI IlllM Of ,.t;h~'l"'.""'"
,"I,I~'I.N(f 141 'flu...
IU10ltllNUtlltll
__,..._ .. u _ _ _" '",__,.__ ,
ESTATE OF
rnLJA n. D'ACn3'J'Jt{)
,------ ."._------~-~-~,.,---_._--_..."_..
ITEM
NUMBER
1.
2,
3.
4,
5.
6.
DESCRIPTION
AMOUNT
Purchllse money mol'tgllgo glvon by 5elll111 D. Cooglll1 to
Amerlco D'Agustll1o for $35,000,00 w/ll1tol'ost lit 7'/, por
IlnnlJ11, dll tod FobrulIl'Y 22. 1982. 011 whl ch no pllymont WIIS
rmdo
PrlnclplIl BIlIIlI1CO
Interost lit 7% fOl' 13 YOllrs 7 months
$35,900.00
33,278.00
$ 68,278.00
Sammons Communications
William L. Runkle, Tax Preparation
Robin Gasperetti, TC - Personal Tax
Bell Atlantic - Telephone
West Shore Ambulance - Last illness expense
3.50
25.00
10.00
14.00
29.00
TOTAL (Also enler on line 10. Recoplrulollonl
I" mal. 'pace is neednd, inlert oddi';onol ,Iuurh o( sam. silt.)
$
68,359,50
, .
'Ull MOIlItiAl,1 ""t ,,,'''''
"""'1.11 IIGAI !oU"U (0"
Ill........!.. '......d..lp....,'.. '9101
,If~$ J~l~)rrtJ!(U_
,11.,./,' II,.. d Q f-I" ""It IIf Nf1>Al./ 'l 'l. i . ill tI,,' !I"'" "I
lI'It 1.11'" ,11/,' tI'""_'/I'" ",111' '''11'''''''' .",,1 etr.lIly-lWO (I'JH2).
3!\thut't\, 8m.WA II. COOGAN, of 1319 O.lk 1..1II1l, tll'W Cumburl'lIhJ. Cumbcrlnnd
County, 1'l!IlIluylvnnlo,
O"'f"/",,(I,', "dlll'll II,,' .1I1111lff's!'" l. ,,( IIIf' /Ir.' /',",, ,",,1
AHERICO O'AGOSTtNO ond cm.IA R, O'AGOSTINO, htH ....ife, uf 1109 (Ink I,Rnu. Nt''''' Cumber-
land, I'cnnaylvnnln,
1111'11'1111I("" ",II','., tI", ,III/rift.,:!,...>>). "/"'" ",','II",I/H,rl:
'lUhC'ft,\e'l till' 11IIJ./ "''''''!llrt", III ",1I11'fl" "1",.,/" tJlliit!"lImJ!If Writ/ill! ul,tit!"'lIfll ""d,.,
I"",:' ,"/II "",,1 ""'11 "Sf"'U/,.,t, ",.,lfillt! r,',." ""t,. /"",.".11/,. d,,,,,1 ,''',,,,,, "",,. ,h,. ,",1.1 ",u"rt"~",,
/.. /I.. "'''' uf TliINTY-FIVE TIIOIlSANIl IJOLLANS (SJS,OOO.OO) --------------------------
"11I/"' "'''''''U II/,Ii,. ,'"1,.,,, .'it.",.. II! ./"lI'r;"II, .,.,,,d"/,,",'" lur II,,, I"'U"'''''' "I II", I".' ."", "1
TlIlKTY-FlVE TIIOUSf\ND nOl.1.AItS ($35,000.00) ---..-------------- I'''''!"I "11I""1/". "/ur"..,Id,
together with interest thereon nt tho rate DC BeVen Ilor Cent (7%) per annum, on
deDland, hut in no eVent in nmountB in eKCC811 DC Plfteen "houlInnd lJollnro ($lS,OOO.OO)
DC 11rincipnl per cnlt!I1lJnr year,
_~~~h_~~~N_U~~~_~NM~~h-~~~ "~~"~~~~~- ~-~~~r
-"""''fffffHHn:
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lur., .Id,,,I,,'.'rlllll'. ur ./../~"., Ill' "' 1II'I"rl' II", Jlrlll ./111/ ,'I "I ",,,,,, fI"./"""'I/
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"w"~III!"" /,r,'",III,'.: 11I,,/ 11/.'" !ru", 11m" ,,,11,,,,', ,,,,,, II/ ,,/11111I"., ""'11/"'11""'''' 1I/1f/l'" ,.,/"..//""
II""', lor II,,' 10',','/,1":1 "I tI,.. '1IIi1"/"1! /"'r,'/,, ""."tillll""
/"."'1'11 "l!.,/II.,/fI.. IIr .I."""I!" "II {I"'/u, tI". 111""'/11 "I"'" .1If1r'l!":!"" I" II", If'II'' "I Thirty-Vivo
T,.t'pusnnll llo11nru ($35 I 000. 00) ----------------------..----------------------------
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I'f/,"'I,ml rlrM 1,/II,,'wM .111I11, ,,, lIu' "1,lIuII It! lito, IOU'" ,lIu"&!"l!r'H ,thoir f:.t",'''/lIrll"ldml,d.
./'''/'''11""/."/:/",,,/11'''111/1,, rlu"'lIld /1II1/1,M,' 1""",'dl,,/,'lm "lid /"'11""'''' II! ,,/l1d 1I,/IIdl"","'''' 11I,,1'111
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"I"rrul',../,I'III/IO'''IIIIIIII!:
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fl/"'r, III/ rr".'III "/""11""111"." /" /11I1111'1'''', ,'jll,,., ,,! _.,M /,rlll,'I,"'/.IIIII "' "'""ITIII/, .', "!.IIM 111""".',
11,1" /"IHI""'/u,, "/II,,1d r"",'lt".I"' ,"..,,.11, ",,,"II'/lllI/,,u,',,,,,,''''. IIr ,'I""l!"/I 11,111"'" II", ti"", IIlwl'il"',/,
fI' /,,11,1' "",1""""""", "1.",'/, 1""''''11/'''',11 W,It II! f,'J"I'"UIII/ I. 1"ullI'rlll IUlI,'rI "1"'" IIII' j/ll/~""',,,
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",'I',II"I! 1,I1"II/II"'lI 1/lII'iI,,"'d "/11I11 ,"'_ /"d"","r,' fI! .lIlIrl:!I'&!I',1/1, 111111""'''''' """Hlllu/UII I"' "ull"r.
IIml, 1'1:,: IlI'f",.II,...JIIIII ''''/11I/111''''',1/1/1/./111111,,' r"I"II','r,'I/ IIIIIIMlti,," ,..,,1/ 11,111I'1/11I/"11I1
/"','r,'IIII1"',, I/u.', 1"'.11/".. "111111I "1'11111, ,,11I/,,11 ,'.r/"'''U'1I "1"/',','111111"""1. 1".,,,,",,,,,, ". /" 1II/IIIJ1I,ltr
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lu,u"'III'; 1',.,/111 tllI"....I.
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,''"'''', "11/11 /1/1' "lid ,\lII"I1I't".,". lIwtr 1.'.H"'lI'Uf".
,10111,1"/1.",/1,,,. ",,,I ./UI&.'II.,," 'IIIII/u, ,,,,, .."IU 1""/"" "/11' IlIId ""/'''''1''1 'h,' Mlid ,11""11"&.""'" ,
lhutr 1:....'.."/11'., .1.I",i"/Il""''''1f "".1 "u/l1',.I,"''I'..,.
,!\n~ II,,. ."Id .1/",,&.,,'tur """ ,ltll"~"I!""fI .1,,1,..,..1'11 f'III'.'II,,"1 111,,1 I'L'fI',' 1/11" 11///1' ..,Id ,1I"r'-
CI'~flr. hl!r 1/",,,,, 1:",',',,/u'lf. .Mml,,""fIIlllflf .., ./ull1lu .".,11 ""11/"", lIr ,,'//n,. '" I"""/J ill
/II"'r' Ih':"'flf,.",,,, 1I,III1"III",',lh,. .,,'" .II"",N/.'" n, Lholr 1....".,."'"'II.,'d",IIJ/.,""II'lIlJ'.I..It!,,.,
III",,, lull''' III,. 1"/",.""" "thl "' "/,U"" III i".II,.. tlH' ..,ill ImilO/i"tll [II 1/", ."", '''111''1''/11 III 11"""''',
I'"U"'''''' II/ lIIIi 1fI,ld """,'1,,,,1 ",'hll" ..".,. "/ ""', ,,,,,1 .,1/ I'IlIh fUlII ....'/lf'II..'III1( "/Tr"'Ilut .,,,./1 II''''',,,,,,,,,
.1",11 Ill' ,10/".,.11111111I11""',.,,,.. " /"'" "I1Iu' "rlll,'II"" ",'1., [II " Iflllll//IIIII 11,1. mll",N!!.'.
llrl1'uil'it~, ,\h\Jnlll'l "r",'rllll'I..u. 1Imll/lll1i11.II""I!"I!/lr , her ''''1",. 1:.x,"'II/utl. .Mm"",.
1"""'1f fir ,/ull!"II, .II.,UI,ml .1" 11,,.11 fllIIl /''''lIllIltI, IIr '''''''Il' '" 111'1'111./,11"'., III.. '11'" .III1"t!III!I','B,
their J:,x".''''II'II. ,"'ml"III'r,,/u'lI u,./ulll".,Ill!' 1I(1I"~1l"'" ",.", "' '1"",'1'11".'0" III Thtrty-
."1ve 111ouBond Dollars ($35,000.00) ..---- UII 0,,' '/"11 ",,,I,;m,' '"''1''111111'/11''' ""';,II"",'d 't",1
"/'111I1",,.,, /IIr 1"'JII''''1I1 11/1111' .,11I,." 11I1f,.",.., "'fill 1111"""',11""111"'111"11I/11""1" ""'111,1" .UII"J!":b,,'1I .
their 1:~""'lI/u'Ii, ,Mm["/Ii/,,,/urlf "' ""'t!".,.,,, IIr /"./11'" 1//1' /"11' rllltI fll
u/l'lII'II ""d """'1/ I/,.,It. r",','I"" IlIr,,1I 11I.r,'" ",lfl """,I,'I'H,',u.,-um"lIh fir ""Ilfl/I'II flll/,., ,."",.,,1
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.,,,,11/,,,11 kf"'I"'/' ",,.III,1d 1IIIII/flllI'..., 1/11I1 11,,.,,. IIml l,ulII ",,.II"I'(u,,II. till w"'l I Mil 1'",.,.", /",/,'"/,,,1',
fUIII II", ,..1111,. "",,'lllJ I!,."",.d. "ll II", 1I,,1d r,'('/I".I u",II1I1UIIII 11/,.,11 ""/111". .1,'/""11111" 11I1111""'''11I., ",Jid,
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d"1/1I I" II... IJlI//II"'1I1 ull",,,,,'1l/ II" II", III,id ",IIlt'j/llll .~"", "(''''''''11 ''''1I"1f'''' I//I"I'''/lIlw''
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( 6!!1.
o;",m,tt! ",f _______.._,.,. .______ \
;ll,,&1rb,/I /1/ II", Oll'f'" (or It''f'II,d/I/1! fIr /).,.'t!H ;11 I/llt! (II'
i" .1Iurl:!fld,' /lflo/.'
".",
JlfI~f'
1-.'1,..
:llliln,.. IIIIJ/rllllrl ""'/ .""/ fI( 0111,'" IIIIH
,lUll "r
..I""" noml,,1 Ifl
n,.~or"f'r
f"'-'
ft' _ 'b"'O ""Ow...U"" - ,... "l~"
I<ll ",I,U \.t4Al IU"LY CO"
II'. ".," .' . 'H.v-on'H.",'I< 1910'
.nnID~~~.J~j~iv~~Jt~
TIIAr St1,W,\ 11, r.UI)(jAN, or 13I1J nllk 1.1lI\l~, Ut!W Cumhl'rl,uuJ, Gtllnbl'rllUUI f:1H1nly,
l'cllnuylYnn In,
(',,'rrltwltrr ("'''1'.1 thr (J""~"r )
10
hrM IImt t1rtutU rum,,,1 111111'
hHI~RH~n IltMi05THlO nnli Cm.lh It, u'hr.nfi1'U1O, hi" wHe, or 1109 Onk ).nlH., Nn'" Cumber...
lnnd, Cumhurlnml County, l'cl1l1Hylvnnln,
(/or,,'"''(''' ,..11,01 II..IJ""C',,' ) I" 1/.. ..",..( T1111\TV-I'IVI: TIIUU!;A1H1 nm,lAltS (In,OOO,nO) --
----------------------.-----.-----------...-----.--------.--.-.---------.....---------..-
IIJII/'" rlW"'"U (,I tllr "lIlIrl/ ,lillllr. ul .""'<<!fIN', II. "t! po'" h. till'! .1.11I lJMlt"H' lhulr
midi" ,/I',,""V, /i.r,,'.'''''' ",,",,,,,.,,./,,,, .., ,l..IC"" I.. "'/'"'' ,,"V""'" ""II ..,,01 /""V /.. 'or
,,,.,1,. ".. 0" ","'/ .,,,1 ..WC' hor /I,"'" 1:",.,,,,, ."', .1<1"".."'"''
'u". lIlIIl rI,frU IJI tlu'lII,JuilltlU IIml...,'rr"lIlJ. /lrml" I,U OH'.f'/lr,.',II..
S,e',,1 ",III, ' horS,.'. lIa',oI II.. ;;l C> "', ""V r! h..',,;\V'I''l ,.. /,.. V',,, ,,( ,.... 1"...1
0"" tllUlUfJtll/lliun Ilullllrrd ulul ull\hty-two (1982),
arl~t (,!J;l1Ubitilnl ..f 1I1i. ..bIi9l\lioll i. ""tll' T"." '( II.. .I"",o.b...n,',..
0''''1'0' .' hor 11,1", Iiz'." "". ,1,,,,,1..,,,,./1,,,,,, ,l..IC'",''' '"'V"( """'. ,/,..11 m..I d" ",,11
ontl trullll'oU, Uf Cllu.e It) "" I,u/lllllllo thl'! abul'r-"",,,r,1 Oblltf't'y, thulr crrt.dn ,'IIurll'I"
1:Zl'!cutor., .-(dmlll/dralun ur ..,,,11"., IhaJud ,,"" (II TlI1ltTY-nVI: TlIOllSANU lJOI.I.hItS \~J5 ,000.00)
___________. ________________._________________________ '1,""lu' tnCUlrU fI' olure,a ./,
together with lntcrc8t thereon at the rotc of ueveR pur cenl (7'l) {lcr nnnum, on
demnnd, but 1n no event 1n nmountR in eXCCHK of nrtccn Thousnnd oollnru ($15,000,00)
or Ilrincil1nl 1'0r calendnr yenr,
~.CrI".,...oltlt-I'tI~,...,-;J"".....'~.H.b"~ ~1L./.b.oualA..t -f"II...m,
'J1!nnrmnn-t Il'IOwllt IUll/lrullI/llr ,,,,0..,, dl'I.,y.'lItHl ~//flll I'rmI1l4'" tu tI/I' ~"'l'l UIll/~l'!f\J the! r
hairs, I;"r."tfl",.MtIIltll,tflltur. ,,, ,'utt,l.. .m IIr III'I"rl' tllf' /lr.1 dtJU 01 I
,,( ,a." ",,01 fI'rrV V'",, ,..,1,.,. (.., .111...... ,,"'''''''''''' ..."'."..,..,, ", ,."..r'" ,,( tI.. ...,,",, v,..r
e..",,,I"I'"'' 110. ",..",..C..I n"""".;....d .'ou (,e", "".. /. ""'" ..,..,..,..11 "''''"' ...III"av,,"'" o(
.alel pr/nci/,ul.luu. lor tlln kf'f'/lhl' fll Olt! lJllil,II,,~
11,.",/" "lI!1ltiuIIl'd IUIIllrrd lI~ultl'" IUIII ur dllmudr. "U
,(1'0(.' tI,. ,,,..,(II ,,( II.. ()/,IIC". I.. tI.. ...",..( Thirty-Pl"o Th..."aa~ nollar. (135.00D.OO) --
___________________________..___________'ilNJlJit'Y..' t/.t''' lilt' fl/,'Il'.. VI,Uf!l"i(ltl I.' br l'oi,I, ur tl..,
lH b, ..." ,."'.,..,.. (,,1' ("tc' .",1",,/110, 1I..."ill.II, '''''''''''',,'''''' 1/ ,./",.bV ...p,m'V ..~,.",.
"..,,(., ,"'V""', 01,(...1/ .,..11'" ",,,,I, I.. II,,, ''''H'''''''' ,,( ,""""'''''''' ,..,,,ml '" 0(""'.'" (.., Ih.
"'".0"( ""II' .(1" ""V I'''V"",..I II..,,.,,! .,,,,11 (.11.1... "',.. "...,. 1"",/...1/...
fU thn ."hl O""J!~fl o. their I-:.r"...ut"rll, .bllllitlistrulllr-' uro'l..i~1I11111t1 or ',"I"rtJ tht! /lr" dUll vI
I (II rlll'/l "ml fWI'tU Jj""" "I 11'11'" r"""",'./lJ1 11141'11 ,,,.n'.! "lIwidl'U' "ue..mtlnt,
Ofilhartfl' ultllf! ClUff'" UfI'" ",mll tI." I"rlllli.'" '1II"'~fJ:!"'/ tJr III "'" ulIIJlltrlldm't' ul."l'Ih in""f'lIIlce:
then onl' in ..,,,,, Cd..' Ole tv/lut'" ""'11'1/11" .IIIM II/",r'lIi.I, "1"", II' tllf' "/ltlllll 01 tilt! ,did Or.litrt'tI ,
tholr l:'ucI"u", ..MmlnhtrlJ'UU .,f .''''CUII, ",,'IIIU" illl" IIlId 11flUt,br,. illlmrclllJrely; fUIlI,"JU.
IItent ul.uid Iltl'Il-lltO' .um (wd (l1I11I,rr,.d 1/111"'011, "UllJ ',t' flIl/lltr,." ."lfl rI','(wl!r,11 fit oncfI",""thl"t
lltrdn cunta".,,1 tu tI.tJ ecmlraru IUlt",ltl",uIllllnl!.
,""II 11..."ibtll f".IIIt., ,.."""......,,1 1/ I. ,,,,,,/'V "I''''''V .C",d. 11.011 ,(.., ....V""" /'''''
"('''' bV "",.... "(""V d.(a.I/ '''''''V",,,,I. ,III,., ,,( ,,,,,, ",II"""" ".",., ",.""I/V. 0' o( ..'01 ,..I.ml,
od.. pr.d.,l/on 0('.'" ,..c1p"(.' la,.'. """,'el,,,,, '......."'..," '" e'",,'''' ",/11,1.. II.. 1/",. .p,r/(I"'.
or '" thtlllltllntruunce ul ,uch IIU'W111t'rl, I' writul H.t"I'utlun l~ I'flJ/,rrly 'UIII'" II/,UII III" Judtlllflll
ublu'lII~d 14/'011 Illb Obli~IIUun, ur l,U "i"ur fll tilt l!"flrrmlt fJ/_llWrIIrU Iltrttu utludlt"IUf'11 "'f1ft~dtt!
("ree'''''''' I"".."III,C ,. "'''I''''V 1t,"'"",oI ..p"" /I.. ...'""',,,"'..V'..C I",".."''' ,,( ,II",IC'''', 0..
all,,""V'. ra",,,,,..I,,..(.., ."lIrel/"...",..: I'" ..../ ".,,,,11 lor ,,,,",,,,,,,,,,,,,.1"'"'" ,,,..v,,,,,
In odditlfHl 10 fllI/lrhlel/jlll fHld i'llrrrd 111M "UIt, 11I!lidr. 1'011" 01 ..ltH, ,HIli I'" t'.tl"'II.(I..f 111 rlTf:dint
.uch Ilullfllncl!,
Itv,I'Ulhal"
t
FILE NUMBER
21-95
"
~:~,9_
~
SCHEDULE J
BENEFICIARIES
(Ot.'.l.lON....'..I'" 01 rlNU\HvaNI..
l"'HUlI"NCI 'AI "'UI'"
.1~_~~~~1 OIUO~_NI ,_~,_.'_.__
ESTATE OF
Cella R. Dngosllno
ITEM
NUMBER
AMOUNT OR
SHARE OF ESTATE
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
A. Takable Bequel":
L
Sollna D. Coogan
1319 Oak 1,lIno
NolY C\Jnbo r I and
J>A 17070-1335
Daughtor
100%
ITEM
NUMBER
AMOUNT OR
SHARE OF ESTATE
NAME AND ADDRESS OF BENEFICIARY
8, Charitable and Goyernmental Boque"':
L
-0-
N:'N>
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAI.o o,le. on line 13, RocepiI.lotio'l
IIf more spac. Is "..dld, In,.rt addlllonal ,he.l, 0' sam. ,1z.1
s
-0-
REV-1547 EX AFP (12-95*
CDMfOM:Al lit or PlHNSVlVAHU
D[PAR'''NI Dt A(VJNU( NOTICE OF INHERITANCE TAX
IUAUU Of INDIYIDUAI tAX(S' APPRAlSEHEHT, ALLOWANCE OR DISALLOWANCE
~:~il:::~lp, U.,I'UII ..~ I ... OF DEDUCTIONS AND ASSESSHENT OF TAX
ESTATE OF DAGOSTTl1ll~ FILE NO.
DATE OF DEATH 03-07-95 COUNTY
ACN 101
DATE 03-25-96
CUMBERLAND
NOTEI TO INSURE PRDPER CREDIT TD YOUR ACCOUNT, SUB"IT THE UPPER PORTION OF THIS FOR" WITH YOUR TAX
PAY"ENT TO THE REGISTER Df WILLS, "AKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
WM D SCHRACK III ESQ
124 W HARRISBURG ST
PO BDX 310
DILLSBURG PA 17019
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
...aunt R..Ut.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiifli:is4j"ix-AFii-iiz-:9sY-iiilYiciuoFuiNHiiiii'ANcE-Ylix-iiPPRA'iiiiifiiii"-;-Ai.i:OWANcE-olim__m_mmn
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF DAGOSTINO CELIA R FILE NO. 21 95-0917 ACN 101 DATE 03-25"96
TAX RETURN WAS, I X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. R..l E.t.t. (Schedula A) III
2, stock. and Bonda (Schadul. 8. 121
S. Clo..ly Hald stock/Partnership Int.r..t (Schedula CI IS)
4, "origlg../Not.. Recelyabla (Schedule OJ 141
S. C.&h/l.nk Dapoltta/Hilc. Parlonal Propert, (Schedule E) 151
6. ~ol"tly Owned Propart, (Schedul. f) 1&)
7. Tranafarl (Schedula 01 (7)
B. Totel A...t.
APPROVED DEDUCTIONS AND EXEMPTIONS I
.. funeral E~pen.../Ad.. Co.t./Hi.c, E~pan.a. (Schedule HI (91
10. Debt./Hortgeg. Li.biliti../Lien. ISchedule II 1101
U, Totd Deduct ion.
12, Het V.lue of Te~ Raturn
15. Cherit.ble/Gov.rnM.ntel B.qu..t. ISchedule J)
14, H.t V.lu. of E.t.t. Subj.ct to Tax
. CHANGED
.00
,00
,00
,00
1.769,00
1.320,00
86,000,00
leI
89.089,00
22,904,00
68.359,~0
1111
112.
1131
114.
QI ,?~~ nn
2,174.00-
,00
2,174,00-
NDTEI
14. 15 and/or 16. 17 and 18 will
returns assessed to date.
If an assessment was issued previoUSly, lines
reflect figures that include the total of ALL
ASSESSMENT OF TAX:
IS. A.aunt of Lin. 14 at Spou..l
16. A.ount of Lin. 14 t.xabla .t
17. A.ount af Lin. 14 t.xabl. .t
lB. Principal T.~ Due
TAX CREDITS I
PAV"ENT
DATE
r.t.
Lin..I/Cl... A r.t.
Call.t.ral/Cl... Brat.
1151
11&1
1171
RECEIPT
NUNBER
DISCOUNT I'.
INTEREST 1-)
,00 X ,00.
.00 X ,06.
,00 X ,15.
lie.
,00
,00
,00
,00
A"OUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
,00
.00
,00
,00
. IF PAID AFTER OATE INDICATED. SEE REUERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
IF TOTAL DUE IS LESS THAN 01, NO PAY"ENT IS REQUIREO,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY BE DUE
A REFUND, SEE REUERSE SIDE OF THIS FOR" FOR INSTRUCTIONS,I
RfSERVATlDN' E.t.t.. of d.eMi.,t. dying on or b.for. DecHb.r I', 1911 u If MY future Int.r..t In the ..t.t. It trM.f.rrMi
In po.....lon or MJOYHnt to CI... I (coU.tlrIU beneflelerl.. of the d.ced.nt efter the e.plretlon of MY ..tlte for
11ft or for v..r., the Co..onw.e1th her.bv e.pr...h re..rv.. the right to eppr.lt. end ...... trM.fer Inh.rltenc:e ,....
.t the Itwful CI... a (colllt.r.U rete on MY .uch future Int.r.tt.
PUlI'OSEDF
NOTICE, To fulfill thl requlrt""h of Section 'litO of the InhtrltMu Md ht.t. Tall Act, Act Zl of 1991. 12 P.S,
Section 'litO,
PAYHENTI O.t.ch the top portion of thl. Hotlc. Ind .Ub,lt with your p.ye.nt 10 the A.,I.t.r of Will. prlnt.d on Ih. r.v.r.. .Id.,
--Hek. check or ltOMy order p'vabll tal REOISTER OF HILLS, ADENT
All plv-ent. r,cllved .h.11 flr.t b. appllld to 3MY Int.r..t which "V b. ~ ~Ith any r...lnder .pplled to the t...
REFUND (CA)I A r.fund of It.. crMilt, which WI' not r.que.t.d on the Ta. A.turn, ..y bl r.qul.t.d bV cOIpl.tlng an wAppllcltlon
for A.fund of penn'Whenla Inhtrltenc:e Ind E.tatl Tall" (REY"I31S). APplication. art avallabl. at thlOfflce
of the A.al.t.r of Will., any of thl 23 A.venu. DI.trlct Offlc.., or bv call1na thl 'plclal 'It-hour
tnlw.rlng ..rvlc. nuabtr. for for.. ord.rlngl In Pann.vlvenla l-aOO-S6'-10SO, out.ld. Penn.ylvenlt and
within loc.1 Harrltbura trtt (111) 781-aO"', TOOl (111) 71'-U5' Ollarlng I~alnd Dnhl,
OIJECTlOHSI Anv p.rty In Int.ra.t not ..tI.fl.d with the IPpr.I...ent, .lIoWltnce or dlt.lloWlllnc. of d.ductlon., or ......Mnt
of t.. Ilncludlna dllcount or Int.r..t) .. tho,," on thl. Notle. au.t obJ.ct within .I.tv 160J d.y. of r.c.lpt of
thlt Notle. bv'
....written prot..t to thl PA D.p,rt..nt of A.v.nu., Board of App..", D.pt, 1111021, Herrhburg, PA 171U-U11, OR
..-.I.ctlon to hav. the ..tt.r d.t.r.ln.d .t audit of the ,ccount of Ih. plr.onal rapr...ntetlv., OR
"""app..1 to the Orphtn., Court.
ADHIN
ISTAATlYE
CORRECTIONS I
Feetu.1 Irror. dl.cov.rld on thl. ......-.nt .hould b. addr....d In writing tal PA D.p.rt.tnt of R.venu..
BurelU of Jndl",ldu.1 Ta.... ATTHI Po.t A......."t R.vl.w Unit, n.pt, 2110601, Iltrrhbura, PA 17111.0UI
Phon. (71n 181~6505. St. plge 3 af th. bOQt(lot "In.tructlon. for Inherltanc. fa. Aeturn for. Auld."t
Deced."tW (REY-lSOH for en ..pltneUon of 'dllnlttratl"'.h cornotabl. .rrort,
DJSCDUN',
If any t.. dUe I. paid wllhln thr.. (3) cal.ndar .onth. afl.r tha d.c.dent". d..lh, . fl",. Plre.nt 15~1 dl.count of
lhe tn plld It ellow.d,
INTEAESH
Int.r..t I. ch.rgtd b.alnnlng with flr.t d.y of d.llnqu.ncy, or nln. (9) 80nthl and an. el) dey fro. the d.t. of
d..th, to thl dlt. of p.y-.nt. T.... which b.c... delinquent b.for. Janu.ry I, 198Z be.r Int.r..t .t the r.t. of
.1. e6~) p.rctnt p.r annua c.lcul.t.d .1 . delly r.t. of .OOOI6~, All t.... which blc." d.llnquent on end .ft.r
Janu.ry 1, 191Z will b..r Int.r..t .t . r.t. which will ",ary froa c.l.ndar r..r to cal.nd.r y.ar Wllth Ih.t r.ta
announced by the PA D.p.rt.tnt af RI"'~.. Th. applicable Int.r..t r.t.. for 19a1 through 1996 .r'l
~ Jnter..t Aal. Dabv Jnl.r..t faclor V.er Jntlr..t Ral. D.lly Int.r..t F.ctor
1982 lOX ,OO054a 1987 ., ,OOOl'"
1985 16~ .000"18 1988-1991 IlX ,000301
198" Ill( .000SOI 199Z ., .000lll7
1985 UX .00OSS6 I99S"199~ " .00019l
1'06 lOX ,00011" 1995-1996 ., ,OOOZ41
...Jnter..t I. calculated e. followlf
INTEREST a BALANCE or TAX UNPAID X NUKBER or DAYS DELINQUENT X DAILY INTEREST rACTDR
..-Any Holle. I..u.d afl.r the t.. b.co... d.llnqu.nt Willi r.fl.ct ftn lnt.r..t c.lcul.tlon 10 'Ifl.en fl~. d.y.
beyond Ihe d.t. of the ........nt. If pay.ent I. ..d. .fl.r the Int.r..t cotpUtallon d.ta .hown on Ihe
Hatlce, addltlon.1 Inl.r..t .....t b. c.lcul.l.d,
\