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Home My WebLink About06-27-07 ~~ ~ . <, .. ...J 15056041147 REV-1500 EX (06-05) PA Department of Revenue Bureau of Individual Taxes PO BOX280601 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 06 0967 Date of Birth 170309393 10212006 09231937 Decedent's Last Name Suffix Decedent's First Name MI CONSTANTINE EMMANUEL (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~J 1, Original Return [J 4, Limited Estate IX'] L:_ 6. Decedent Died Testate (Attach Copy of Will) D D D D 48. Future Interest Compromise (date of death after 12-12-82) 2. Supplemental Return D D 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 7 Decedent Maintained a Living Trust . (Attach Copy ofTrust) 8. Total Number of Safe Deposit Boxes !~] 9. Litigation Proceeds Received 10 Spousal Poverty Credit (date of death . between 12-31-91 and 1-1-95) D 11.Election to tax under Sec. 9113(A) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number MICHAEL L. BANGS 7177307310 Firm Name (If Applicable) 429 SOUTH 18TH STREET REGISTER ~ WILLS US~L Y 'c," 0 --.J 'i:~~~ ~ ~;-i ~~ -..J CAMP HILL State PA ZIP Code 17011 i~~,) ~ =6 ~Ei=ILED First line of address Second line of address :;::.. :x 1 'Tj ~.=-~ i~ r"l City or Post Office \.0 Correspondent's e-mail address: Under penalties of perjury, 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 q,lher than the personal representative is based on all information of which preparer has any knowledge. SIGNATU F PE ON ROE OR FILING RET N DATE Carole Vandevort -A 7 89012 Michael L. Bangs . DATE ,.-1 ~t'. ,.).r J CDI' (.,{) I 429 South 18th Street, Camp Hill, PA 17011 L Side 1 15056041147 15056041147 .....J L~ ~ , ---I 15056042148 REV-1500 EX Decedents Name Emma n ue I Consta ntine RECAPITULATION 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) 4. Mortgages & Notes Receivable (Schedule D)............... 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E).. 6. Jointly Owned Property (Schedule F) [] Separate Billing Requested...... 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) 00 Separate Billing Requested.............. 8. Total Gross Assets (total Lines 1-7).. Decedent's Social Security Number 170309393 1. 237,405.44 317,209.22 2. 3. 4. 5 231,733.01 6. 7. 104,388.26 890,735.93 --~--_._~_.._._----- 61,006.38 276.95 8. 9. 9. Funeral Expenses & Administrative Costs (Schedule H)........... 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)... 11 Total Deductions (total Lines 9 & 10).. 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental 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) 10. 11. 12. 13. 14. 61,283.33 829,452.60 3,000.00 826,452.60 TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, of transfers under Sec. 9116 (a){1.2)X~ 0.00 16. Amount of Line 14 taxable at lineal rate X .045 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 0.00 826,452.60 19. Tax Due 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 L 15056042148 15. 16. 17. 18. 19. 0.00 0.00 99,174.31 0.00 99,174.31 D 15056042148 ---I . . R EV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME Emmanuel Constantine _._______._______n___._____ _______.~__., ~___ STREET ADDRESS 344 North Front Street FileNumber 21-06-0967 CITY STATE ZIP Wormleysburg PA Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B Prior Payments C. Discount (1 ) 81,065.61 ._~-~- 4,266.61 3. Interest/Penalty if applicable D. Interest E. Penalty Total Credits (A + B + C) (2) 85,332.22 Total Interest/Penalty (0 + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 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. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (3) (4) (5) (SA) (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 17043 99,174.31 13,842.09 13,842.09 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?...... 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?.... ..................................... ................................... ................. 0 [J IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 1. Did decedent make a transfer and: a. retain the use or income of the property transferred; ....... ............................................. 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 payments, benefits or care?......................................................... 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?............ ........ ................... ....... .... ................ .... ................. ........ .......... Yes D [J D o D [J No o o o o o [-1 !'J 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. !l9116 (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 PS !l9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 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. !l9116 1.2) [72 P.S. 99116 (a) (1)]. The tax rate imposed on the net value of transfers to or for 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-1502 EX+ (6-98) ;~ ~ SCHEDULIE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Constantine, Emmanuel FILE NUMBER 21-06-0967 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 01' sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Real Estate - 344 North Front Street, Wormleysburg, PA (sold on 3/21/07; see settlement sheet attached) 237,405.44 TOTAL (Also enter on Line 1, Recapitulation) 237,405.44 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 6-98) ,. Rev-1503 EX'" (6-98) ,~ ~ SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Constantine, Emmanuel FILE NUMBER 21-06-0967 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 1,408 shares of Equitable Resources, Inc. 37.43 52.701.44 2 Savings Bonds - 58 Series E Bonds ($25.00 face value) 11.578.32 3 Savings Bonds - 31 Series E Bonds ($50.00 face value) 11.059.54 4 Savings Bonds - 15 Series E Bonds ($100.00 face 7.804.84 value) 5 Savings Bonds - 5 Series E Bonds ($200.00 face value) 5.321.92 6 Savings Bonds - 9 Series E Bonds ($500.00 face value) 23.175.40 7 Savings Bonds - 4 Series E Bonds ($1,000.00 face 20.246.40 value) 8 Savings Bonds - 51 Series EE Bonds ($50.00 face 3.851.96 value) 9 Savings Bonds - 38 Series EE Bonds ($100.00 face 3,052.60 value) 10 Savings Bonds - 22 Series EE Bonds ($1,000.00 face 31.528.80 value) 11 Savings Bonds - 22 Series EE Bonds ($5,000.00 face 107.608.00 value) 12 Savings Bonds - 5 Series EE Bonds ($10,000.00 face 39.280.00 value) TOTAL (Also enter on Line 2, Recapitulation) 317.209.22 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-1508 EX+ (6-98) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Constantine, Emmanuel FILE NUMBER 21-06-0967 ESTATE OF Include the proceeds of litigation and the date the pmceeds were received by the estate All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION 1 Automobile - Sale of 1992 Pontiac Grand Prix (see Bill of Sale) VALUE AT DATE OF DEATH 2.250.00 2 Equitable Resources, Inc. -Stock Dividend (11/10/06) 309.76 3 Equitable Resources, Inc. - Dividend check (3/12/07) 232.32 4 Refund from PC Photo Magazine 6.94 5 Refund from Verizon 21.29 6 Refund of 2006 income tax (IRS) 470.00 7 Members 1 st FCU - Account 238069 133.09 8 PA State Employees Credit Union - Savings Account #0170309393 116.094.68 9 PA State Employees Credit Union - Vacation Share Account 5.883.30 10 PA State Employees Credit Union - Checking Account #0170309393 2.989.16 11 PA State Employees Credit Union - Money Market Account #0170309393 30.661.27 12 PA State Employees Credit Union - Share Account #'1170309393 4.321.14 13 PA State Employees Credit Union - Share Account #2170309393 1.883.05 14 PA State Employees Credit Union - Share Account #9806609567 49.946.46 15 Automobile - 2005 Toyota Sedan (see valuation) 16.000.00 16 Miscellaneous Personal Property - Sale of personal property at auction. 530.55 Total of Continuation Schedule See attached page TOTAL (Also enter on Line 5, Recapitulation) 231.733.01 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) . . Rev-1508 EX+ (6-98) ~ ~~ SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Constantine, Emmanuel IFILE NUMBER 21-06-0967 ESTATE OF ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 17 Personal Property - Note: Decedent bequeathed certain items of personal property to his sister, brother and niece. All of the personal property specifically mentioned was either given to his sister, brother and niece several years prior to his death or disposed of prior to his death. None of the referenced personal property was located in decedent's residence at the time of death. Decedent had been sick for several years and apparently took care of disposing of most of his personal property. 0.00 TOTAL (Also '~nter on Line 5, Recapitulation) 231.733.01 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) . . Rev.1510 EX+ (6-98) *"'" , .",,,;' '. '. -~". SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Constantine, Emmanuel FILE NUMBER 21-06-0967 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE THE DATE OF TRANSFER ATTACH A COPY OF THE DEED FOR REAL ESTATE 1 Prudential Financial - Prudential 104.388.26 100.000 104.388.26 Financial-Discovery Select Annuity Contract #E0208748. Carole Vandevort and Dennis Constantine, who are brother and sister of the decedent and residuary heirs of the estate, were 50% recipients of this annuity and elected to include this annuity for purposes of calculation and payment of the inheritance tax due on this asset rather than have a separate billing. TOTAL (Also enter on Line 7, Recapitulation) 104.388.26 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc, Form PA-1500 Schedule G (Rev. 6-98) Rev-1510 EX+ (6-98) . '.iN '~.~ SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Constantine, Emmanuel FILE NUMBER 21-06-0967 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side otthe REV.1500 COVER SHEET IS yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE THE DATE OF TRANSFER ATIACH A COPY OF THE DEED FOR REAL ESTATE. 1 Prudential Financial - Strategic Partners Step Up 65.681.19 100.000 65.681.19 0.00 Contract #E0235050. This annuity was payable to Paul W. Austin and Gaylord R. Wine who were friends of the decedent. Their full address and relationship are listed on Schedule J. The estate is requesting a separate billing for their proportionate share of the tax due on this asset. 2 Prudential Financial - Strategic Partners Select 50.371.97 100.000 50.371.97 0.00 Contract #E0259919. The beneficiary of this annuity was Warren L. Eastwood, a friend of the decedent. The estate is electing to have this billed separately and the full information on his address and relationship is listed on Schedule J. 3 Prudential Financial - Variable Investment Plan 107.089.45 100.000 107,089.4 0.00 Contract #95164608. The beneficiaries of this annuity are Joseph M. Glavan and Virginia Glavan, nephew and niece of the decedent who each received 50% of this annuity. The address and relationShip for these beneficiaries is stated on Schedule J and the estate is electing to have this asset separately billed. TOTAL (Also enter on Line 7, Recapitulation) 0.00 (If more space is needed, additional pages at the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) REV-1151 EX+ (12-99) ,~ ~~ SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Constantine, Emmanuel Debts of decedent must be reported on Schedule I. FILE NUMBER ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION AMOUNT See continuation schedule(s) attached 14,003.84 B. 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Carole Vandevort Social Security Number(s) / EIN Number of Personal Representative(s): 211-32-1802 Street Address 2186 Point Mallard Drive City Henderson Year(s) Commission paid State NV Zip 89012 17,500.00 2. Attorney's Fees Michael L. Bangs 17,500.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent State Zip 4. Probate Fees 3,008.00 5. See continuation schedule(s) attached Accountant's Fees Boyer & Ritter 750.00 6. Tax Return Preparer's Fees 7. Other Administrative Costs See continuation schedule(s) attached 8,244.54 TOTAL (Also enter on line 9, Recapitulation) 61,006.38 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) .' Rev-1502 EX+ (6-98) SCHEDULE H-B4 PROBATE FEES continued COMMONWEALTH OF PENNSYlVAr"'IA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Constantine, Emmanuel FILE NUMBER 21-06-0967 ITEM NUMBER DESCRIPTION 1 Byerly Incorporated - Court bond AMOUNT 2,463.00 2 Register of Wills 545.00 Subtotal 3.008.00 Copyright (c) 2002 form software only The Lackner Group, Inc, Form PA-1500 Schedule H-B4 (Rev, 6-98) Rev-1502 EX+ (6-98) SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Constantine, Emmanuel 21-06-0967 ITEM NUMBER DESCRIPTION AMOUNT 1 Borough of Wormleysburg - Sewer and trash (1/1/07 to 3/31/070 126.50 2 Carole Vandevort - Miscellaneous Expenses paid out-of-pocket 597.78 3 Carole Vandevort - Reimbursement of various out-ot-pocket expenses 442.22 4 Carole Vandevort - Reimbursement of various expenses 1.196.02 5 Carole Vandevort - Reimbursement for out of pocket expenses for cleaning real estate 1.158.02 6 Comcast Cable -11/4/06 to 12/3/06 69.82 7 Cumberland Law Journal - Legal advertising 75.00 8 Duone D. Crosby - Removal of items and cleaning of house 300.00 9 Earthlink 107.91 10 Fidelity National Insurance Company - flood insurance 1/27/07 to 1/27/08 296.00 11 Frank R. Baker - Stock valuation 75.00 12 Liberty Mutual Group - Balance due on automobile policy #A06-288-204612-60 12.00 13 PA American Water Company - 10/13/06 to 11/14/06 36.61 14 PA American Water -11/14/06 to 12/14/06 16.83 15 PA American Water Company -12/14/06 to 1/17/07 12.62 16 PA American Water -1/17/07 to 2/13/07 30.23 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) Rev-1502 EX + (6-98) ~ ~ SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Constantine, Emmanuel IFILE NUMBER 21-06-0967 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 17 PA American Water - Final Bill 4.20 18 PP&L Electric - Account #25360-70007; 10/20/06 to 11/20/06 34.28 19 PP&L Electric - Account #25560-70003; 10/20/06 to 1'1/20/06 49.44 20 PP&L Electric - Account 25360-70007 (11/20/06 to 12/20/06) 20.50 21 PP&L Electric - Account #25560-70003 (11/20/06 to 12/20/06) 17.83 22 PP&L Electric - Acct 25560-70003 (12/20/06 to 1/22/07) 21.21 23 PP&L Electric - Account 25360-70007 (12/20/06 to 1/22/07) 21.81 24 PP&L Electric - Account 25560-70003 (1/22/07 to 2/20/07) 24.05 25 PP&L Electric - Account 25360-7007 (1/22/07 to 2/20/07) 17.59 26 PP&L Electric - Final Bill (Acct. 25360-70007) 25.36 27 PP&L Electric - Final Bill (Acct. 25560-70003) 18.60 28 RSR Appraisers & Analysts - Real estate appraisal 750.00 29 Terry Lindsey - Removal of trash from real estate 400.00 30 The Sentinel - Legal advertising 115.00 31 UGI - 10/23/06 to 11/20/06 215.07 32 UGI -11/20/06 to 12/21/06 218.77 33 UGI - 12/21/06 to 1/24/07 437.93 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) , . Rev-1502 EX+ (6-98) SCHEDULE H-87 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Constantine, Emmanuel IFILE NUMBER 21-06-0967 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 34 UGI - (1/24/07 to 2/22/07) 388.38 35 UGI - Final Bill 639.82 36 Verizon 120.35 37 Verizon 49.27 38 Verizon 102.52 Subtotal 8.244.54 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) . . Rev-1512 EX+ (6-98) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Constantine, Emmanuel IFILE NUMBER 21-06-0967 ESTATE OF Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1 Cingular Wireless - 9/16/06 to 10/15/06 VALUE AT DATE OF DEATH 28.00 2 PA American Water Company - 9/14/06 to 10/13/06 19.83 3 PP&L Electric - Acct. 25360-70007 (9/21/06 to 10/20/06) 12.60 4 PP&L Electric - Acct. 25560-70003 (9/21/06 to 10/20/06) 19.98 5 Statewide Tax Recovery - 2006 West Shore School District per capita tax 31.00 6 UGI - 9/25/06 to 10/23/06 89.69 7 Verizon - September phone charges 47.99 8 Verizon Wireless - Final Bill 27.86 TOTAL (Also Emter on Line 10, Recapitulation) 276.95 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98) ~ . REV-1513 EX+ (9-00) SCHEDULE .. BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF NUMBER Constantine, Emmanuel NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)] FILE NUMBER 21-06-0967 I. RELATIONSHIP TO DECEDENT Do Not List Trustee s SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) See attached schedule Total Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet 327,531.00 II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS See continuation schedule(s) attached 3,000.00 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 3,000.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98) , . " SCHEDULE .. BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: Emmanuel Constantine 170-30-9393 10/21/2006 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) 1 Dennis Constantine Brother One-half of remainder Lot Hereford Street Berkley Vale NSW, 2261 2 Carole Vandevort Sister One-half of remainder 2186 Point Mallard Drive Henderson, NV 89012 3 Paul W. Austin Friend 32,841.00 2123 Wentworth Drive Camp Hill, PA 17011 4 Warren L. Eastwood Friend 50,371.00 2103 Marietta Avenue Apt. A Lancaster, PA 17603 5 Joseph M. Glavan Nephew 53,545.00 1929 S. Moline Way Aurora, CO 80014 6 Virginia Glavan Niece 53,545.00 1929 S. Moline Way Aurora, CO 80014 7 Gaylord R. Wine Friend 32,841.00 2123 Wentworth Drive Camp Hill, PA 17011 8 Dennis Constantinou Brother 52,194.00 Lot Hereford Street Berkeley Vale NSW, 2261 9 Carole Vandevort Sister 52,194.00 2186 Point Mallard Drive Henderson,NV 89012 Total 327,531.00 1 \. Rev-1502 EX+ (6-98) SCHEDULE .I-liB CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Constantine, Emmanuel IFILE NUMBER 21-06-0967 ITEM NUMBER DESCRIPTION 1 Kimisis Tis Theotokou Greek Orthodox Church - SpE!cific Bequest AMOUNT 2.000.00 2 Leukemia Lymphoma Society of Central PA 500.00 3 National AIDS Fund 500.00 Subtotal 3.000.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J-IIB (Rev. 6-98) ~ WILL ~ TESTAMENT OF Emmanuel Constantine also known as Emmanuel (Manny) Constantinou May 21, 1990 This will is drawn up on this day and supersedes any other will drawn be- fore this date and will be in effect from this day forward to the future. I, Emmanuel Constantine, also known as Emmanuel Constantinou, and Manny Constantine of 344 North Front Street, Wormleysburg, Pennsylvania, Cumberland County, Pennsylvania, being of sound mind and memory, but also aware of the uncertainties of this life, do hereby make, publish, and de- clare this instrument as my last will and testament, revoking all previous wills. I appoint my parents, Mr. Gus P. Constantinou and Mrs. Despina Con- stantinou of 1740 Fillmore Street, Aliquippa, Pennsylvania, County of Bea- ver, to be executors of this will. They may, if they wish, elect to have my sister, if they are unable to do so at the time of my death, to act on their behalf to become the executor of the will. My sister, Carole Vande- vort of Aurora, Colorado, may if she wishes, elect to have the Commonwealth National Bank of Harrisburg, Pennsylvania, to act as co-executor of this will. My sister, Carole Vandevort, resides at 51B Zion Street, Aurora, Colorado as of this date, will automatically become the executor of this will ahould both my parents are not living at the time of my death. I hereby instruct my Executor to pay my just debts and funeral ex- penses as soon after my death as may be practical. I further order my Executor to have my body taken first to Niel Funeral Home, Inc in Camp Hill, PA to prepare my body for burial and to hold services for my friends in the Harrisburg, PA area. Afterwards, I would like to be transported to Aliquippa, PA where my final resting place will be. In respect for my parents, if alive at this time, I would like to be placed in a funeral home of their choice to hold services for mine and their friends. As a member of the Greek Orthodox Church in Aliquippa, I request services by the priest of the Kimisis Tis Theotokoupri,or to burial. If my parents qre not living at the time of my death, I wish to be transported from Harrisburg to the chapel at the Woodlawn Cemetary, at Sheffield Terrace, Aliquippa, PA for friends to pay their last respect in Aliquippa. My burial plot is in Section H-160B Space 7 & B, next to my parents. A bronze placque is requested by me as my headstone. I wish to be buried with my Penn State class ring, placed on my left hand. I wish to receive a Greek Orthodox prayer by the local priest in Harrisburg and burial prayers by the Aliquippa priest of the church I am currently a member of the Kimisis Tis Theotokou of Aliquippa. With the exception of my poss.essions to be given as gifts to persons 50 named, my family and only the four persons named who are Despina Con- stantinou, GL1S P. Constantino", Carole Vandevort, sister, and Dennis Con- stantine, brother, may choose articles that may be passed on as family heirlooms prior to the tax assessments and/or sale of my possessions that proceeds go into the estate. All other possessions, except those I speci- fy to go to certain persons, I hereby give my executor the power to invest and reinvest any funds in my estate, and with full power as such. My ex- ecutor is to sell, transfer, exchange, or otherwise dispose of any assets of my estate at public or private sale in such manner and fashion as he or she deems advisable. Tne house and property at 344 North Front Street, Wormleysburg, PA 17043, is to be placed on the market, assessed at the current market price, and sold to the highest bidder and is not to be auctioned off. --- -- ___ __ All taxes and government fees associated with the transfer of my pro- perty are to be paid out of the residuary estate and all fees satisfied. The current address as of May 21, 1990 of my mortgagor is Mr.Bransby W. Bushey, Jr. residing at 1 Marlyn Circle, Wayne, PA 190B7. The current balance of payments are found in the strong box of the hall closet. The money from the sale of the house and it's contents are to go into the estate and equally divided between my parents and my brother and sis- ter. The balance of my possessions, household items, automobile, and associated possessions known to belong to me are to be sold at public or private sale and the proceeds are to be placed into my estate and equally divided as mentioned above. LAST WILL AND TESTAMENT OF Emmanuel Constantine, continued.. Page 2 My niece, virginia Vandevort (maiden name), presently living with her parents at 418 Zion Street, Aurora Colorado, is bequeathed my grand- father's clock who is to use it as a family heirloom and pass it down her side of the family with the history of the Constantine-Vandevort name for future generations. Virginia is also to inherit my silver coffee and tea set along with the creamer and sugar bowl and trey that match in the set. My Kawai SR-7 organ, currently valued at $18,000 shall be given to Virginia with her choice to either bestow it to her father, Robert Vandevort to use as his own and not to be sold and to pass it on as a family heirloom or if impractical to transport to their home, Virginia is to sell it on consignment at a organ retail store and not to be uuc- tioned off. The proceeds of the sale will go to my niece to be used for her college funds only, or, if she wishes, to be placed into a special account bearing interest as a college fund for her children. To my sister, Carole, I bequeath my collection of Capademonte porce- lain rose collection and all the ivory pieces I own. In addition, I would like Carole to have my Canon A-l Camcorder with all accessories and any films I have taken for her keepsake. In addition Carole is to take the Noretake China, the Misaka China, fine stemware, and any antique china, glass, or serving sets. I would like to have them passed on to anyone of her choice within the family so she chooses. To my brother Dennis and his wife Saieko, I would bequeath my entire audio-visual equipment and still cameras. This request includes all record, tape, and CD collection. In addition, I want Dennis to have my Tandy TL 1000 computer with monitor and Star 1000 printer. The computer is worth over $2,500 at present prices. I wish to contribute $2,000 to the Kimisis Tis Theotokou church of Aliquippa, PA towards the purchase of some item needed within the church in memory of me and my parents to thank God for giving a good life on this Earth and for the pleasure of living on the planet he created. In addition, I would like to contribute $500 to the Cancer Re- search Foundation for the purpose of research and to help end this dreaded disease. I wish that $500 be given to AIDS research which is becoming just as deadly a disease as cancer. A total of $1,000 is to be placed for research in order to rid these diseases for mankind. In witness whereof, I, Emmanuel Constantine, also known as Manny Constantine and Emmanuel Constantinou, the testator above named have hereunto subscribed my name, affixed my seal on this 21st day of May, of 1990. &~~~~~ Emmanuel Constantine ~n~~ ~Hf~aJ-~ Emmanuel Constantinou Signed, sealed, published and declared by the above name, Emmanuel Con- stantine, also known as !1anny Constantine, and Emmanuel Constantino~as and for his Last Will and Testament in the presence of us who have here- unto subscribed our names at his request as witnesses thereto, in the presence of the said testator and eachother. -=\ . ~-" -, , UMB NO. 2502-0265 .,r A. B. TYPE OF LOAN: 'J.~. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 1.DFHA 2.DFmHA 3. ~CONV. UNINS. 4.DVA 5.DCONV.INS. 6. FILE NUMBER: 17. LOAN NUMBER: SETTLEMENT STATEMENT 1fi7Q.14771-HFAI.EY 8. MORTGAGE INS CASE NUMBER: C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown_ Items marked "[POC]" were paid outside the closing; they are shown here for informational purposes and are not included in the totals. 1.0 3/98 (3529.14271.H EALEY.PFD/3529.14271.H EALEY/6) D.NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER: Healey Ventures, loP. Estate of Emmanuel Constantine Integrity Bank G. PROPERTY LOCATION: H. SETTLEMENT AGENT: 25-1756308 I. SETTLEMENT DATE: 344 North Front Street American Heritage Abstract Wormleysburg, PA 17043 March 21, 2007 PLACE OF SETTLEMENT 508 North Second Street Harrisburg, PA 17101 J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION 11 nn r.:~()c::c:: nI II: FROM 4nn GROl':l': 1I1I. ro l':FI F~' 101. Contract Sales Price 252,500.00 401. Contract Sales Price 252,500.00 102. Personal Property 402. Personal Property 103. Settlement Charaes to Borrower (line 1400) 7,361.25 403. 104. 404. 105. 405. A' i I Rv.C:"/f,,rin ror I . , Bv SP./fP.r in "'rlv:mr.P. 1 06. CityfTown Taxes to 406. CityfTown Taxes to 107. County Taxes 03/21/07 to 01/01/08 465.32 407. County Taxes 03/21/07 to 01/01/08 465.32 108. Assessments 03/21/07 to 07/01/07 331.91 408. Assessments 03/21/07 to 07/01/07 331.91 109. SewerfTrash 03/21/07 to 04/01107 14.06 409. SewerfTrash 03/21/07 to 04/01/07 14.06 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORROWER 260,672.54 420. GROSS AMOUNT DUE TO SELLER 253,311.29 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER: 201. Deposit or earnest money 10,000.00 501. Excess Deposit (See Instructions) 202. Principal Amount of New Loan(s) 385,000.00 502. Settlement Charges to Seller (line 1400) 13.405.85 203. Existina loan{sltaken subiect to 503. Existing loan(s) taken subject to 204. 504. Payoff of first Mortgage 205. 505. Payoff of second Mortgage 206. 506. 207. 507. !Deoosit disb. as proceeds) 208. 508. 209. 509. Ad;ustments For Items UnDaid Bv Seller Adjustments For Items Unoaid Bv Seller 210. CitvlTown Taxes to 510. CityfTown Taxes to 211. County Taxes to 511. County Taxes to 212. Assessments to 512. Assessments to 213. Seller Credit 2,500.00 513. Seller Credit 2,500.00 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. TOTAL PAID BY/FOR BORROWER 397,500.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 15,905.85 300. CASH AT SETTLEMENT FROMfTO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER: 301. Gross Amount Due From Borrower (line 120) 260,672.54 601. Gross Amount Due To Seller (line 420) 253,311.29 302. Less Amount Paid By/For Borrower (line 220) ( 397,500.00) 602. Less Reductions Due Seller (line 520) { 15,905.85 303. CASH ( FROM) ( X TO) BORROWER 136,827.46 603. CASH ( X TO) ( FROM) SELLER 237.405.44 Th, ""d,,,;,",d h,,,by "kn~I'dg, "~;''iil'''d oopy of ,'g" "2 of fhi, "",m,"f . '"y ,",chm,"~ "lerr" to h,,,;o. Borrower Seller. Healey Ventures, L.P. Est~tt of Emmanrl-cons~a.rtlne') BY DH.Managemel/ "A ;' t.~_l/L/ ( .",> / '; I. /, BYi' / I) BY: : ~-/ c ..... Name and Title / ,.. Don Id M. Heale ,I, ole Member C..' /7 ,/ y 1 HUO-1 (3.86) RESPA. HB4305.2 . . L. SETTLEMENT CHARGES 70ll. TOTAL COMMISSION Based on Price $ (a) % 1n ?<;n nn PAID FROM PAID FROM Division of Commission (line 700) as Follows: BORROWER'S SELLER'S 701. $ 10.250.00 to Rothman Schubert & Reed FUNDS AT FUNOS AT 702,$ to SETTLEMENT SETTLEMENT 703. Commission Paid at Settlement 10.250.00 704. to BOO. ITEMS PAYABLE IN CONNECTION WITH LnAN 801. Loan Origination Fee 0.5000 % to Inteoritv Bank 1.040.00 802. Loan Discount 0.4300 % to Integrity Bank 885.00 803. Appraisal Fee to 804. Credit Report to 805. Document Preparation Fee to Integrity Bank 300.00 806. Flood Search Fee to Integrity Bank 15.00 807. Assumption Fee to 808. 809. 810. 811. gOO. ITEMS REQUIRED BY LENDER Tn Sf: PAID IN ADVANCE 901. Interest From 03/21/07 to 04/01/07 @ $ /day ( 11 days %) 902. Mortoaoe Insurance Premium for months to 903. Hazard Insurance Premium for 1.0 years to 904. 905. 1000. RESERVES DEPOSITED WITH LENDER 1001. Hazard Insurance months ~ $ per month 1002. Mortgage Insurance months ~ $ per month 1003. CitvlTown Taxes months ~ $ per month 1004. County Taxes months ~ $ per month 1005. Assessments months @ $ per month 1006. months @ $ per month 1007. months @ $ per month 1008. months (a) $ per month 1100. TITLE CHARGES 1101. Settlement or Closino Fee to 1102. Abstract or Title Search to 1103. Title Examination to 1104. Title Insurance Binder to 1105. Document Preparation to 1106. Notary Fees to Cash 15.00 1107. Attorney's Fees to (includes above item numbers: ) 1108. Title Insurance to American Heritaae Abstract Title Insuranc 2433.75 (includes above item numbers.1101-1104, End. 100,300,710 ) 1109. Lender's Coverage $ 385.000.00 2,433.75 1110. Owner's Coverage $ 385.000.00 1111. 1112. 1113. 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording Fees: Deed $ 38.50; Mortgage $ 109.00 ; Releases $ 27.00 147.50 27.00 1202. City/County Tax/Stamps: Deed 2,525.00' Mortgage 2,525.00 1203. State Tax/Stamps: Revenue Stamps 2,525.00; Mortoaoe 2.525.00 1204. 1205. 1300. ADDITIONAL SETTLEMENT cHARr.FS 1301. Survey to 1302. Pest Inspection to 1303. 1304. 1305. See addU'! disb. exhibit to 603.85 1400. TOTAL SETTLEMENT CHARGES (Enter on Lines 103, SectIon J and 502, SectIon K) 7.361.25 13,405.85 By signing page 1 of this statement. the signatories acknowledge receipt of a completed copy of page 2 of this two page statement. Certified to be a true copy. ,/'/, / . "'. , \ ;':7(."1;' ,T;:::;:'C (c, ~ <:.-..'] American Heritage Abstract SeUlement Agent (3529-14271-HEALEY I 3529-14271-HEALEY 16 ) ADDITIONAL DISBURSEMENTS EXHIBIT ~ Borrower: Healey Ventures, L.P. Seller: Estate of Emmanuel Constantine Lender: Integrity Bank Settlement Agent: American Heritage Abstract (717)234-4182 Place of Settlement: 508 North Second Street Harrisburg, PA 17101 Settlement Date: March 21, 2007 Property Location: 344 North Front Street Wormleysburg, PA 17043 PAYEE/DESCRIPTION NOTE/REF NO BORROWER SELLER Wix, Wenger & Weidner Tax Certification William A. O'Donnell, Tax Collector 2007 County Taxes 10.00 Tax Cert. 593.85 Total Additional Disbursements shown on Line 1305 $ 0.00 $ 603.85 (3529-14271-HEALEY.PFD/3529-14271-HEALEY/6 ) ......~~-'-~_.*_._,-,.......-.._..-------.........'-------.._._-_-----.-._..._,...~---- DISBURSEMENTS SUMMARY I BALANCE SHEET , Borrower: Healey Ventures, L.P. Seller: Estate of Emmanuel Constantine Lender: Integrity Bank Settlement Agent: American Heritage Abstract (717)234-4182 Place of Settlement: 508 North Second Street Harrisburg, PA 17101 Settlement Date: March 21, 2007 Property Location: 344 North Front Street Wormleysburg, PA 17043 INCOMING FUNDS Integrity Bank Deposit/Earnest money Loan Funding Amount Loan 2 Funding Amount Total Incoming Funds 208,000.00 177 ,000.00 10,000.00 395,000.00 DISBURSEMENTS Rothman Schubert & Reed Commission Cash American Heritage Abstract Recorder of Deeds Recorder of Deeds Recorder of Deeds Recorder of Deeds William A. O'Donnell, Tax Collector Estate of Emmanuel Constantine Healey Ventures, L.P. Integrity Bank Loan OriQination Fee Loan Discount Document Preparation Fee Flood Search Fee Wix, Wenger & Weidner Tax Certification 10,250.00 10,250.00 15.00 2,433.75 27.00 147.50 2,525.00 2,525.00 593.85 237,405.44 136,827.46 2,240.00 Notary Fees Title Insurance Recording Fees Releases Recording Fees City/County Tax/Stamps State Tax/Stamps 2007 County Taxes Closing Proceeds Excess Cash to Close Loan Closing AddDisb01 1,040.00 885.00 300.00 15.00 10.00 10.00 Number of checks - 12 Total Disbursements 395,000.00 (3529-14271-HEALEY.PFD/3529-14271-HEALEY/6) Frank R. Baker 146 Springhouse Lane Spring Grove, P A 17362 Phone: 717/ 225-5450 Fax: 717/225-0494 e-mail: frankr.baker@suscom.net November 13, 2006 The following is the value of Emmanuel Constantine stock holdings at the time of his death on October 21, 200~: Equities Stock Symbol High Low Average Shares Value Equitable Resources EQT 37.79 37.06 37.43 1408 $ 52,701.44 If you have any questions, please call me at 717-225-5450. 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I\.) 00 00 ()')()') fvlR MEMBERS 1st FEDERAL CREDIT UNION REGULAR SAVINGS ACCOUNT: Account Number/ Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Interest Earned from 1/1/06 to Date of Death Name of Joint Owner 238069 -00 11/24/2003 $133.09 $.07 $133.16 $.94 None MM. E~S 15. T. FJY F. E~~_;C DIT UNION A-)Ptil (/ t!LPk Denise A. Wolfe . Insurance ~ervices Supervisor December 29,2006 Estate of: EMMANUEL CONSTANTINE Date of Death: October 21, 2006 Social Security Number: 170-30-9393 5000 Louise Drive . Po. Box 40 · Mechanicsburg, Pennsylvania 17055 . (717) 697-1161 . www.memberslst.org PSE(~ November 15, 2006 Account #0170309393,1170309393,2170309393,9806609567 MICHAEL L BANGS 429 SOUTH 18TH ST CAMP HILL, PA 17011 Dear MR BANGS: The following is the status of EMMANUEL CONSTANTINE's primary account (0170309393) with PSECU as of the date of death. Joint Owner's Name NONE Date of Death 10.21.2006 Date of Birth 09.23.1937 Share Description Open date Balance SOl Regular Shares 06.15.1979 $116,094.68 S 02 Vacation Shares 09.24.1997 5,883.30 S 03 Christmas Shares 09.24.1997 0.00 S 04 Checking 2,989.16 S 06 IRA Shares CLOSED 08.01.2006 S 07 Money Market Shares 02.10.2000 30,661.27 Loan Description Open Date Balance L 01 PSL Loan 09.19.1980 $ 0.00 L 09 VISA 01.10.1990 0.00 The dividend earned from January 1,2006 through the date of death was $1,933.98. boxes for our members. Accrued Dividend $79.85 3.85 0.00 0.37 82.32 Accrued Interest $ 0.00 0.00 We do not have safe deposit The following is the status of EMMANUEL CONSTANTINE's prefix account (1170309393) with PSECU as of the date of death. Joint Owner's Name NONE Share Description Open date Balance S 01 Regular Shares 01.04.1983 $ 4,321.14 The dividend earned from January 1, 2006 through the date of death was $33.78. Accrued Dividend $ 2.94 The following is the status of EMMANUEL CONSTANTINE's prefix account (2170309393) with PSECU as of the date of death. Joint Owner's Name NONE Share Description Open date Balance SOl Regular Shares 03.02.1983 $ 1,883.05 The dividend earned from January 1, 2006 through the date of death was $16.44 Accrued Dividend $ 1.28 '. Pennsylvania State Employees Credit Union Main Address: 1 Credit Union Place, Harrisburg, PA 17110.2990. 717.234.8484 .800.237.7328 ",'m , .. "dO MailingAddrEls~:~()..Boxti.701},f:larrisburg,pA11106:7013 . 717,777.2100 (TDO) . 800.472.1967 (TOO) This credit union is federally insured by the Notional Credit Union Administration. Equal Opportunity lender www.psecu.com The following is the status of EMMANUEL CONSTANTINE's prefix account (9806609567) with PSECU as of the date of death. Joint Owner's Name NONE Share Description Open date Balance SOl Regular Shares 10.22.2001 $ 49,946.46 The dividend earned from January 1, 2006 through the date of death was $438.86. Accrued Dividend $33.94 If you have any questions, please call 234-8484 in Harrisburg or our toll-free number, (800) 237-7328. At the menu prompt, enter 6 and then extension 2227. ~4AAf Meacie Fairfax Member Service Representative Finance Support Unit .\~- / Inventory Detail Page 1 of2 18186 VEHICLE INQUIRY REPORT DCV920 Retailed for more than a year Model Number: 2540A Serial #: 5U04l930 DATE: 11/04/06 TIME: 11:14 Model Description: 4-DOOR XLE SEDAN Year ............: 2005 Interior Color ..: FA95 Exterior Color ..: 01C8 Body............: 4-DOOR XLE SEDAN Number of Cyl . 4 Engine Number ...: 2AZ809l880 VIN .............: 4T1BE30K55U04l930 Ignition Key.....: 63127 Accessories .....: FE SR AW GY Zl+ Vehicle Base Model ....................: Total Accessories .....................: MECHANICAL & PERFORMANCE 2.4L 4CYL DOHC l6V VVT-i SFI Engine 5-Speed ECT-i Automatic Transmission 16" Steel Wheels w/P2l5/60R16 Tires Full Size Spare Tire Power Assisted Rack & Pinion Steering MacPherson Strut Front & Rear suspension 4-Wheel Disc Brakes SAFETY Anti-Lock Brake System (ABS) Dr & Fr Pass Advanced Air Bag Sys (SRS) Adjustable Headrests for all 5 Seats 3-Point Seatbelts w/ALR/ELR Pass Belts Child Restraint System (Latch) Side-Impact Door Beams EXTERIOR Integrated Fog Lamps Halogen Auto On/Off Headlamps Daytime Running Lights Dual Color-Keyed Pwr,Heatd Outside Mirrors Body Side Molding with Chrome Trim Full Wheel Covers COMFORT & CONVENIENCE Auto Climate Control w/Air Filtration Cruise Control JBL AM/FM/Cass/6 Disc CD Changer w/8 Speakers & XM Satellite Capability* *Requires Receiver,Ant. & Subscription Multi-Information Display w/Steering Wheel Controls Homelink Power Driver & Passenger Seats Theft Deterrent Sys/Alarm/Eng Immobilzr Remote Keyless Entry with Trunk Release 60/40 Spli~ Rear Folding Seat Variable Intermittent Wipers Power Windows w/Driver"s Auto-Down Power Auto Door Locks Category ..........: H Selling Dealer ....: 37149 Ship Date .........: 01/25/2005 Retail Date .......: 02/28/2005 Date of First Use .: 02/28/2005 Fleet .............: NON-FLEET Retail $22395.00 $ 2401. 00 Dealer $19036.00 $ 1888.00 rrfi JI/[/~ ILIleHR L M~KAU~ ..s:- A~ )J R-/J 11f::rEJe.. .!JtJ6!:>'/ RJ:t.f#tL TDY017t 7/i-(pf,- 0600 http://dealer.toyota.comIVehicleSystemINewNehiclelnventoryNehic1elnventoryDetail.as...11/4/2006 ~ -: If 1,. . --------------------------------------------------------------------------------------------------~------------- to ,..' ... H~ SIG TURE I hereby acknowledge this day that I have received notice 01 the provisions 01 Section 3709 "'the Vehicle Code. INSPECTXON'REQUIRED/DIESEL VEHICLES EXEHPT EMMANUEL CONSTANTINE 344 N FRONT ST WORMLEYSBURG PA 17043 e your address online at: www.state.oa.us Pa Keyword "DMV" ';..' to. t~ ... ~, .:..; ../ ( '" BILL OF SALE I, CAROLE V ANDEVORT, Executrix ofthe Estate of Emmanuel Constantine, hereby sell /?7J, J]/l Idle.. (dR-a,,) J;.''X Vlh,de J.Ju~hq 16 JWH!54 /7NF .J.foO 117 to ho.n X (nD Jitar is for the sum of $ ;J.. , c< 50 , Date:/Vov'. Ii. ,J..{)04, , Ctz;7~ ~E V ANDEVORT, Executrix lential Financial Retail Portal Page 1 of 1 Prudential * Financial HELP I SITE M Financial Professional ACCOUNTSb FINANCIAL PLANNINGW PRODUCTS & SERVJCES_ NEWS & QUOTES~ OVERVIEW FINANCIAL PLAN Annuities Summary INSURANCE MUTUAL FUNDS ANNUITIES BROKERAGE PERSONAL Printe, Variable Annuities (as of market close, 10/20/2006) Product Name - Contract Numbor Contract Information Disco~ery Selec:.t Annuity- E020B748 Contract Fund Value Contract Fund Value ActionlTransaction $104,388.26 Please select Your Contract Un . Iilx F QfI1]~ . 1,!I:)dat~ Aqgre~ . ~elf Servi~ Strategic Partners Step Up - E0235050 $65,681.19 Please select Strategic Partners Select - E0259919 Contract Fund Value Variable Investment Plan - 95164608 Contract Fund Value $50,371.97 Please select $107,089.45 Please select Total Variable Annuities $327,530.87 Grand Total $327,530.87 Privacy and Business IntegrLt}t I Terms and Conditions Securities products and services are offered through Pruco Securities LLC, a Prudential Financial company. Member SIP Prudential Financial is a service mark of The Prudential Insurance Company of America, Newark, NJ and its affiliates. @Copyright 2006 Prudential Financial, Inc, Newark, NJ. USA. All rights reserved. Site for U.S. Rersons only. '. https;//portal. pmdentia1.comlretail/myportal/PruRD Alias/ACCOUNTS/ANNUITIES 10/23/2006 "Yruaelltial Financial Retail Portal Prudential (~ Financial ....... ACCOUNTS~ FINANCIAL PLANNING~ PRODUCTS & SERVICES~ NEWS & QUOTES~ OVERVIEW Annuities: Profile FINANCIAL PLAN INSURANCE MUTUAL FUNDS ANNUITIES Product Information (as of market close, 10/20/2006) Product Name Discovery Select Annuity Contract Number Contract Fund Value Contract Owner Phone Date of Birth Annuitant Date Contract Issued Market Beneficiaries E0208748 $104,388.26 CONSTANTINE, EMMANUEL 344 N Front Street Wormleysburg, PA 17043 (702) 326-3155 09/23/1937 Constantine, Emmanuel 07/25/00 Non Qualified Primary Beneficiary Name: VANDEVORT, CAROLE C Percent: 50.00 Relationship: Sister Secondary Beneficiary Service and Support Representative For Annuity Service Name: CONSTANTINE, DENNIS Percent: 50.00 Relationship: Brother Our records indicate that you have not designated a secondary beneficiary. WEINERT, ELAINE A Phone: (717) 975-8150 Fax: (717) 763-8974 Find answers or email us a question. By Phone: Call 1-888-778-2888 Monday through Thursday between 8:00am and 7:00pm eastern time and Friday between 8:00am and 6:00pm eastern time (Excluding New York Stock Exchange Holidays) By Mail: Page 1 of2 HELP I SITE rv Financial Professional BROKER.AGE PERSONAL Your Contract Link · AnnlJitY_SUmmilH . Iq~ fJ)Jms · l,.)R-dCltl:Lryly.Jl,cjgre1 . SeJL~J:')[Yi<::J:') Related Contract Li . c.Q!ltrilct SummC!Q - Ass_etj~IlQc1!tiOJ} -CQntracLQRDons · Irll11s9G1iollt.gjvj1 . Stale!D_ellt:? . ~urc_h~:g:;_e~ · BElClIlQgl1i9J1~ https://p0l1al.prudential.com/retail/utils/GetAliasF orward ?alias=pru.insurance. annuity .det... 10/23/2006 ,. Pmdential Financial Retail Portal - .'. Prudential ~ Financial ACCOUNTsb FINANCIAL PLANNING~ PRODUCTS & SERVICES~ NEWS & QUOTES~ OVERVIEW FINANCIAL PLAN INSURANCE MUTUAL FUNDS ANNUITIES Annuities: Profile Product Information (as of market close, 10/20/2006) Product Name Strategic Partners Step Up Contract Number Contract Fund Value Contract Owner E0235050 $65,681.19 CONSTANTINE, EMMANUEL 344 N Front Street Wormleysburg, PA 17043 (702) 326-3155 09/23/1937 CONSTANTINE, EMMANUEL 10/18/01 Phone Date of Birth Annuitant Date Contract Issued Market Non Qualified Beneficiaries Primary Beneficiary Name: Wine, Gaylord R Percent: 50.00 Relationship: Friend Name: Austin, Paul W Percent: 50.00 Relationship: Friend Secondary Beneficiary Our records indicate that you have not designated a secondary beneficiary. Service and Support Representative WEINERT, ELAINE A Phone: (717) 975-8150 Fax: (717) 763-8974 For Annuity Service Find answers or email us a question. By Phone: Call 1-888-778-2888 Monday through Thursday between 8:00am and 7:00pm eastern time and Friday between 8:00am and 6:00pm eastern time (Excluding New York Stock Exchange Holidays) By Mail: Page 1 0[2 HELP I SITE rJ Financial Professional BROKERAGE PERSONAL Your Contract Link . t\DJluitY_~l!mmary · IalLfonTIs · llpdClte.MYAc1Qre! · Se1tSe('Jjce Related Contract Li . Contr;:lG.t Summa" . Asset Allocajiofl. · Contr<3,G.LQRJions . I@~~9c::!iQJ1.,I\ctivil · ~Late~me.Dl~ · 21,l[ghas~~ . 8eClllocCltloJl!> httPS://pOlial.pmdential.com/retail/utils/GetAliasF orward ?alias=pm.insurance .annui ty. del... 10/23/2006 ltial Financial Retail Portal Prudential.~ Financial ACCOUNTS~ FINANCIAL PLANNING~ PRODUCTS & SERVICES~ NEWS & QUOTES~ OVERVIEW Annuities: Profile FINANCIAL PLAN INSURANCE MUTUAL FUNDS ANNUITIES Product Information (as of market close, 10/20/2006) Product Name Variable Investment Plan Contract Number Contract Fund Value Contract Owner Phone Date of Birth Annuitant Date Contract Issued Market Beneficiaries 95164608 $107,089.45 CONSTANTINE, EMMANUEL 344 N Front Street Wormleysburg, PA 17043 (702) 326-3155 09/23/1937 CONSTANTINE, EMMANUEL 07/20/99 IRA Primary Beneficiary Name: GLAVAN, JOSEPH M Percent: 50.00 Relationship: Nephew Secondary Beneficiary Service and Support Representative For Annuity Service Name: GLAVAN, VIRGINIA M Percent: 50.00 Relationship: Niece Our records indicate that you have not designated a secondary beneficiary. WEINERT, ELAINE A Phone: (717) 975-8150 Fax: (717) 763-8974 Find answers or amail us a question. By Phone: Call 1-888-778-2888 Monday through Thursday between 8:00am and 7:00pm eastern time and Friday between 8:00am and 6:00pm eastern time (Excluding New York Stock Exchange Holidays) By Mail: Page 1 of2 HELP , SITE IV Financial Professional BROKERAGE PERSONAL Your Contract Link . Annllity~umma[y . IQxforrrts · i,IR~t~tli'UI/1Y_&clcl@J . SelLSeryiGf2 Related Contract Li . Contract Summan · 8$~ElL~IQ_99tiOJ:! . ~QDtract.QpJions . Tra!l~a_GtiQ!L~cjillil · StaJE:lJILEJlJts · FJLJ1(;b_q~Et!) . Reqllo<:;!ltiQIJ$ https://portal.prudential.com/retail/utils/GetAliasF orward ?alias=pru.insurance. annui ty .det... 10/23/2006 ,,) Prudential Financial Retail Portal Prudential.~ Financial ACCOUNTS~ FINANCIAL PLANNING~ PRODUCTS & SERVICES~ NEWS & QUOTESb OVERVIEW Annuities: Profile FINANCIAL PLAN INSURANCE MUTUAL FUNDS ANNUITIES Product Information (as of market close, 10/20/2006) Product Name Strategic Partners Select Contract Number Contract Fund Value Contract Owner Phone Date of Birth Annuitant Date Contract Issued Market Beneficiaries Primary Beneficiary Secondary Beneficiary E0259919 $50,371.97 CONSTANTINE, EMMANUEL 344 N Front Street Wormleysburg, PA 17043 (702) 326-3155 09/23/1937 Constantine, Emmanuel 08/12/02 IRA Name: EASTWOOD, WARREN LEE Percent: 100.00 Relationship: Friend Our records indicate that you have not designated a secondary beneficiary . Service and Support Representative WEINERT, ELAINE A Phone: (717) 975-8150 Fax: (717) 763-8974 For Annuity Service Find answers or ernail us a question. By Phone: Call 1-888-778-2888 Monday through Thursday between 8:00am and 7:00pm eastern time and Friday between 8:00am and 6:00pm eastern time (Excluding New York Stock Exchange Holidays) By Mail: Annuity Service Center PO Box 7960 Philadelphia, PA 19101 Call1-800-PRU-HELP (1-800-778-4357) For Technical Page 1 0[2 HELP I SITE N Financial Professional BROKERAGE PERSONAL Your Contract Link · 8D!l~lltY$lJmmaJY · IgLCQrmf? · l,J(J_dc:lt~nMyj\dcl[~ . ;3~ILQ.~JvL~~ Related Contract Li · C:QJltr~c;:t~!JmrnCln. . 8_~$J~Lt\IIQcatiQn · C:Ql1t!~lQ(JtLO!l$ . Iransac;:U~Dj\Gljyi1 · $!CI~rl1~111s . PU[c;:haS8$ . RE?_C1IIQcaJiQI1~ https:llpOlial. prudential.com/retail/utils/GetAliasF orward ?alias=pru.insurance. annuity. det... 10/23/2006 BANGS LAW OFFICE PHONE: 717-730-7310 FAJ{: 717-730-7374 429 SOUTH 18TH STREET CAMP HILL, P A 17011 E-mail: mikebangs@verizon.net MICHAEL L. BANGS, Attorney-at-Law WENDY K. STRAUB, Paralegal WILLIAM E. MILLER, JR. Of Counsel June 26, 2007 Glenda Farner Strasbaugh, Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 o C::;O ~--:o . ";:Jo ~~~;~ . ''''-=::0 ~ CJ) 7Z '-'0 .'\ (=:) -n )c :0 -i RE: Estate of Emmanuel Constantine File No. 21-06-0967 Dear Mrs. Strasbaugh: Enclosed you will find the following: 1. Two original Inheritance Tax Returns; 2. The original Inventory; 3. A check in the amount of$13,842.09 to pay the balance of the inheritance tax shown to be due; and 4. A check in the amount of $30.00 to pay the filing fee. ~ = = -..l <- c: :z N -J :l:'" :x Kindly file these documents accordingly and send me a filing receipt in the enclosed, stamped, pre- addressed envelope. If you have any questions or require anything further, please contact me directly. Very truly yours, INvvLr Michael L. Bangs wks Enclosures cc: Mrs. Carole Vandevort :._..,--~ t.f3 ~ ,.") '-1 -n - 1';':--;-1 +" \.D r ? 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