Loading...
HomeMy WebLinkAbout09-12-07 (2) REV. 1500 EX + (6-00) I!! :.::!Ul 00::': W&g 5g:iil !Ii: . OFFICIAL USE ONLY I REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21 COUNTY CODE 00049 NUMBER 07 YEAR SOCIAL SECURITY NUMBER 206-50-5669 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 409-23-2207 D 3. Remainder Return (date of death prior to 12-13-82) D 5. Federal Estate Tax Return Required o 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (Attach Sch 0) 4. Limited Estate D 2. Supplemental Retum D D D 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Tnust (Attach copy of Trust) 10. Spousal Poverty Credit (date of death between 20. (.: Copyright 2000 form software only The Lackner Group, Inc. COMMONWEALTH OF PENNSYlVANIA OEPARTMENT OF REVENUE OEPT.280601 HARRISBURG, PA 17128-0601 .... z W o W o W o DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Rillo, Joseph DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) 12/12/2006 08/18/1955 2320 North Second Street Harrisburg, P A 17110 (1 ) (2) (3) (4) (5) (6) (7) OFFICIAL IJSE ONLY (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) Rillo, Lisa R. 1. Original Return 6. Decedent Died Testate (Attach copy of Will) 9. Litigation Proceeds Received ..... Ulz ll!w ~o o~ ME Bruce J. Warshawsky IRM NAME (If applicable) Cunningham & Chemico(f, P.C. ELEPHONE NUMBER 717/238-6570 None None r--......") -0- .~C) --:~J 'n C"} (/) '.~"~1 c-ci 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation. Partnership or Sole-Proprietorship z o !;i ..J ~ ~ o W 0: 4. Mortgages & Notes Receivable (Schedule D) 5. Cash. Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) None 244.00 381.26 f"J -, 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) None " , I ""-(8) (:;:, U1 -625'~2 6 j ; (9) (10) 3,610.00 6,967.58 (11 ) 10,577.58 (12) insolvent 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate. x .00 (15) or transfers under Sec. 9116(a)(1.2) ~ 16. Amount of Line 14 taxable at lineal rate x .045 (16) !;i .... :;) (17) lL 17. Amount of Line 14 taxable at sibling rate x .12 :::IE 0 0 S 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) HECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 5455 Westbury Drive CITY Enola I STATE PA I ZIP 17025 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 10,000.00 Total Credits (A + B + C) (2) 10,000.00 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. (4) Check box on Page 1 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. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5B) 0.00 10,000.00 0.00 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: 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?.... ........ .................. ... ................. ............. ................. .......... ........ ............... ..... 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?. ......... ............. ...... ............................ ................... ........... ......... ..................... Yes No ~ ~ D ~ D ~ D ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FiLE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this retum, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, 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 FOR FILING RETURN ADDRESS Lisa . Rillo DATE 5455 Westbu!y Drive Enola, P A 17025 q-(2-07- OR FILING RETURN ADDRESS DATE ADDRESS DATE SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ~/ For dates of death on or after July .1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. ~9116 (a) (1.1) (i)]. 2320 North Second Street Harrisburg, P A 17110 9-/J.~07 For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exemDt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. ~9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116 1.2) [72 P.S. ~9116(a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. ~9116 (a) (1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. *' SCHEDULE C CLOSEL V-HELD CORPORATION, PARTNERSHIP or SOLE-PROPRIETORSHIP COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIOENT DECEDENT ESTATE OF Rillo, Joseph I FILE NUMBER 21 - 07 - 00049 Schedule C-1 or C-2 (Including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship. See instructions for the supporting information to be submitted for sole-propnetorships. ITEM NUMBER I DESCRIPTION VALUE AT DATE OF DEATH 0.00 40% owner of Rillo's Restaurant Inc., a PA Corp. (Insolvent-additional information shall be supplied on a Supplemental Return) 2 50% owner ofRillo's of Carlisle, a Pennsylvnia General Partership (no Partnership Agreement). Valuation not yet known (additional information shall be supplied on a Supplemental Return) 0.00 TOTAL (Also enter on Line 3. Recapitulation) 0.00 *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERrrANCE TAX RETURN RESIDENT DECEDENT ESTATE OF . Rillo, Joseph I FILE NUMBER 21 - 07 - 00049 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER 1 DESCRIPTION VALUE AT DATE OF DEATH 244.00 United States Savings Bonds--see attached List TOTAL (Also enter on Line 5, Recapitulation) 244.00 . SCHEDULE F JOINTL V-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Rillo, Joseph I FILE NUMBER 21 - 07 - 00049 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME A Lisa Rillo ADDRESS RELATIONSHIP TO DECEDENT 5455 Westbury Drive EnoIa, P A 17025 Wife JOINTLY OWNED PROPERTY: DESCRIPTION OF PROPERTY 0/0 OF ITEM LETTER DATE Include name of financial institution and bank account number DATE OF DEATH DATE OF DEATH NUMBER FOR JOINT MADE or similar identifying number. Attach deed for jointly-held real VALUE OF ASSET DECO'S VALUE OF TENANT JOINT estate. INTEREST DECEDENT'S INTEREST I A 10/03/2006 Orrstown Bank Account #106004248 762.51 50% 381.26 TOTAL (Also enter on line 6, Recapitulation) 381.26 . SCI-EDUl.E H FUNERAL EXPENSES & ADNIINSlRA11VE COSTS COMMONWEALTH OF PENNSYlVANIA INHERrr ANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Rillo, Joseph I FILE NUMBER 21 - 07 - 00049 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION AMOUNT 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions B. Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City Year{s) Commission paid State Zip 2. Attorney's Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Lisa R. Rillo Street Address 5455 Westbury Drive City Enola State P A Zip 17025 Relationship of Claimant to Decedent Wife 0.00 3,500.00 4. Probate Fees 110.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 Legal Advertising TOTAL (Also enter on line 9, Recapitulation) 3,610.00 *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Rillo, Joseph \ FILE NUMBER 21 - 07 - 00049 Include unrelmbursed medical expenses. ITEM NUMBER 1 Greenberg and Company, LLC DESCRIPTION AMOUNT 3,138.95 2 Cunningham & Chemicoff, PC 1,756.25 3 PA Dept. of Revenue for 2 Income Tax Liens 731.18 4 AT&T Wireless 1,341.20 5 IRS-Remaining Fed Tax LIen (unknown at this time) 0.00 TOTAL (Also enter on Line 10, Recapitulation) 6,967.58 REV-1513 EX+ (9-00) *' SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Rillo, Joseph I FILE NUMBER 21 - 07 - 00049 RELATIONSHIP TO AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DECEDENT OF ESTATE I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) I Lisa R. Rillo Wife Residual 5455 Westbury Drive, Enola, P A 17025 2 Dominic J. Rillo Son 1/4 Ownership interest 5455 Westbury Drive, Enola, P A 17025 in the Assets reported on sched. C. to be held in Trust 3 Amanda R. Rillo Daughter 1/4 Ownership interest 25656 E. Main St, Onley, VA23418 in the Assets reported on sched. C. to be held in Trust 4 Julie M. Rillo Daughter 1/4 Ownership interest 50 Pine St., Carlisle, PA 17013 in the Assets reported on sched. C. to be held in Trust See Continuation Schedule(s) attached 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 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET . SCHEDULE J BENEFICIARIES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Rillo, Joseph I FILE NUMBER 21 - 07 - 00049 RELATIONSHIP TO AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DECEDENT Do Not List Trustee(s) OF ESTATE I. AXABLE DISTRIBUTIONS [include outright spousal distributions. and transfers under Sec. 9116(aX1.2)] 5 Jennifer N. Rillo Daughter 1/4 Ownership interest 25656 E. Main St, Onley, V A 23418 in the Assets reported on sched. C. to be held in Trust Page 2 of Schedule J LAST WILL OF JOSEPH RILLa I Ii I I, Joseph Rillo, of Hampden Township, Cumberland County, Pennsylvania, being of lawful age, sound mind and memory, and under no restraint, do publish this as my Last Will, revoking all other Wills or Codicils previously made by me. FIRST: All expenses, fees, costs, and taxes related to this estate shall be paid from the probate estate assets, including but not limited to funeral expenses, grave marker, the costs of my final illness, Inheritance, Estate and Fiduciary Taxes; and all gifts and bequests shall be paid from the net distributable estate. SECOND: I specifically devise my shares of stock in Rillo's Restaurant, Inc. (The "Rillo's Business") and my partnership interest in Rillo's of Carlisle (the "Rillo's Real Estate Partnership"), to be held in Trust as set forth below in Paragraph FIFTH, to my issue: Julie Rillo, Jennifer Rillo, Amanda Rillo and Dominic Rillo, provided they survive me by 30 days, per stirpes. THIRD: (a) I give my furniture, household and personal effects, and other tangible personalty of like nature, other than cash or securities, together with any existing insurance thereon to my to my wife, Lisa Rillo, provided she survives me by 30 days and (b) I give, devise and bequeath the rest, residue and remainder of my estate, of every kind and nature, wherever situated, which I may own, or hereafter acquire, or have a right to dispose of at my death ("Residuary Estate") to my wife, Lisa Rillo provided she survives me by 30 days. In the event my wife, Lisa Rillo does not so survive me by 30 days, I give my furniture, household and personal effects, and other tangible personalty of like nature, other than cash or securities, together with any existing insurance thereon and my Residuary Estate, to be held in Trust as set forth below in Paragraph FIFTH, to my issue; Julie Rillo, Jennifer Rillo, Amanda Rillo and Dominic Rillo, provided they survive me by 30 days, per stirpes. FOURTH: I appoint my wife, Lisa Rillo, to be the primary custodian and primary legal guardian of my minor child, Dominic Rillo. I appoint my trusted legal advisor, Robert Chernicoff, Esq. to be the Guardian of the Estate of my minor children and direct that any share of my Estate that benefits my minor children shall be immediately placed in Trust, as set forth below in Paragraph FIFTH, and that Robert I Chernico ff, Esq. serve as the Trustee of said Trust. In the event he shall for any reason fail to qualify or I cease to act, I appoint my wife, Lisa Rillo Alternate Guardian of the Estate of my minor children and the i Alternate Trustee of the Trust established in paragraph FIFTH below. ~ I' FIFTH: If my issue receive any benefit under this Will, I give devise and bequeath their beneficial' share to my Trustee, to be held in trust for said individuals. The trust shall be administered as tollows: (1) The Trustee shall payor distribute to or apply for the benetit of such individual, or ;: their issue, as the Trustee in their sole discretion, deem necessary for their health, welfare, or education (including trade school, college education, both undergraduate and graduate) or to make payments for these purposes without further responsibility to any other individual for whom such payments are made and to charge a portion or all thereof as an advancement, with or without interest, against their respective equal beneficiary share. I' (Initials) (2) The Trustee shall have broad powers to administer the Trust including, but not limited to employing professionals, investing, selling, disposing or purchasing assets and incurring debt in their sole discretion and without restriction. All decisions of the Trustee are within the Trustee's discretion and shall be final and incontestable by anyone. The Trustee shall receive reasonable compensation for their services. The payment of income or principal may be paid to the child or on their behalf, only for the purposes herein stated, or in the event of the child's or individual's incapacity to his legally appointed guardian. No child or individual shall have a right or power to sell, transfer, assign, pledge, mortgage, alienate encumber, or hypothecate their beneficial interest in the principal or income of the Trust in any manner. To the fullest extent of the law, this Trust shall not be subject to the claims of any child's or individual's creditors or liable to attachment, execution, bankruptcy proceeding, or any other legal process. Notwithstanding the above directions, nothing herein shall be deemed to make the Trustee liable for any payments of principal or income which they may in their discretion make to a third person on the unrevoked order or direction of the child or individual. The Trustee shall have the sole discretion to terminate the Trust in the event the principal is so diminished that the expense of administering it exceeds the interest earned. In the event the Trust shall terminate, the principal and any unpaid interest shall be distributed among the individuals in equal shares, and in consideration of any advancements made, and the Trustee shall have no further responsibility for administering it. On the death of any individual during the life of the trust, the Trustee shall distribute their beneficial share to his or her issue, or if issueless to the Trust for distribution to the other Trust beneficiaries. (3) So long as the Trust owns shares of stock in Rillo's Business and/or a partnership interest in the Rillo's Real Estate Partnership, the Trustee shall make no distributions of principal (except those authorized by Paragraph FIFTH (1) above) until all my issue named herein, Julie Rillo, Jennifer Rillo, Amanda Rillo and Dominic Rillo, have either reached the age of thirty (30) or are deceased. If the Trust owns no shares of stock in Rilla's Business and/or a partnership interest in the Rilla's Real Estate Partnership, the Trustee shall distribute the principal of each individual's beneficial interest as follows: One-Third (113) on the individual's thirtieth (30th) birthday, One- Third (1/3) on the individual's thirty-fifth (35th) birthday, and One-Third (113) on the individual's fortieth (40th) birthday. SIXTH: I nominate and appoint my \Vife, Lisa Rillo, to be the Executrix of my Last Will, granting to her authority to sell and convey any or all of my estate, real and personal, or mixed, upon such terms and prices as she shall deem proper, without obtaining any prior order of the court therefor. I also grant her full power and authority in the settlement of my estate, to compromise, adjust, and settle any and all debts and liabilities due to or from my estate, for such sums, and upon such terms and conditions as she shall deem best. In the event that she shall for any reason fail to qualify or cease to act, then I nominate my trusted legal advisor, Robert Chernicoff, Esq, the Alternate or Successor Executor. SEVENTH: I direct that no bond or surety shall be required of any guardian, trustee, executor, administrator or fiduciary named herein. IN WITNESS WHEREOF, I have hereunto subscribed my name, and acknowledge and publish this instrument as my Last Will in the presence of the undersigned witnesses, on this ~ day of "," ( , 2005. ) . . i"') i .. /' yseph RIllo '-~/ l ,/ . --~~ ~ The preceding instrument consisting of three (3) pages, including this page, was on the date thereof signed, I published and declared by in the presence of us, who, at his request, in his presence, and in the presence of each er, have subscribed our names as witnesses hereto. I ~ ,;1 , I C/ " of Harrisburg. P A II Ang; a Hewitt ../C. , '-- :t~r.r~ g dJ-I of Halifax, P A Commonwealth of Pennsylvania : ss County of Dauphin I, Joseph Rillo, the Testator, whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will, that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein expressed. " /--) ',./ I y,. {. ! F (/' / \ ) be>], " 'f..-. [ .' - .,' . 6 /~ePh Rillo acknowledged before me by the above named Testator this Jk!j day of cd~ ff k~~YJ Notary Public My comm~~.toJl.Sxpires:___..._ Notarial S'aal Unda 8. Deaven. I'!o:ary Public City Of Harrisburg, Oauphin County My Commission Exp" ,)$ :=ob. 25. 2006 I j, SWORN or affirmed to and 11)t?ceHbe~ ,2005. Commonwealth of Pennsylvania : ss County of Dauphin ~11ernber !:)en~~V~I:<'\..":' -.tinrt'";r i';I"'tari'3S I We, the undersigned witnesses whose names appear above, being duly qualified according to law, do depose ! I and say that we were present and saw Joseph Rillo, the Testator sign and execute the instrument as his Last 1'1' II Will; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein , :1 expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses and that to the Ii ij best of our knowledge the Testator was at the time eighteen (18) or more years of age, of sound mind and ii 'I under no constraint or undue influence. ' ,. .' .,..--" /' I ! Angela Hewitt ,/'" . -.......--....,~...// ~ /-', / '-'( '-. Tammy Bickel ", >' .'. ;' , , .. ,/ .1 "7 ,,-- "/ : SWORN or affirmed to and aCkhowledged before me by the above,~amed Testator thi~ It/hdayof Uc'c..:.:'::I-!De,P-.., , 2005.~. ,//:';.' (,: /~.t~ck,[/ ,(2, -v..../d 1/e;'.c.../ Notary Public My co :1 es:..."'__, ,.--.-- . . : Jotal'ial Seedl ur.da a. Deaven, i<:';:':1(j ,C'ubiic City Of Harrisb~rq . !Jaupnin County My CommISSion EOxpu;s '=db. 25. 2006 F HOME BJW PERSONAL RILLOWLL.WI'D !\.'1C\f'r'I"i,.lr :)1,-..........-.. io - .-." ,. Calculated Value of Your Paper Savings Boncl(s) Page I I Calculated Value of Your Paper Savings Sondes) Calculator Results for Redemption Date 12/2006 Total Price $225.00 Bonds: 1-8 of 8 Total Value $244.00 Total Interest $19.00 YTO Interest $7.62 Ser,"al # Series Oenom Issue Next Final Issue I t t Interest Date Accrual Maturity Price n eres Rate ValuE $100 08/2002 01/2007 08/2032 $50.00 $6.96 4.110/0 $56.9 $50 12/2003 01/2007 12/2033 $25.00 $2.30 4.390/0 $27.3 $50 01/2003 01/2007 01/2033 $25.00 $3.02 4.110/0 $28.0 $50 08/2003 01/2007 08/2033 $25.00 $2.50 4.110/0 $27.5 $50 09/2004 01/2007 09/2034 $25.00 $1.70 4.110/0 $26.7 $50 12/2004 01/2007 12/2034 $25.00 $1.56 4.390/0 $26.51 $50 08/2005 01/2007 08/2035 $25.00 $0.96 3.500/0 $25.91 $50 10/2006 02/2007 10/2036 $25.00 $0.00 3.700/0 $25.04 Totals for 8 Bonds $225.00 $19.00 $244.~' c745868191 /600714481 1597758065 /628121177 1605990482 /609116560 /612788121 1636802331 EE EE EE EE EE EE EE EE Notes NI Not Issued NE Not eligible for payment P5 Includes 3 month interest penalty MA Matured and not earninQ interest ~ltp: . \\ \\ \\. trcasuryJif..:....t.gO\ l3CS BC Price ORRSTOWNBANK A Tradition of Excellence January 19,2007 77 East King Street P.O. Box 250 Shippensburg, PA 17257 To: Cunningham & Chemicoff, PC Po Box 60457 Harrisburg Pa 17106-0457 From: Traci Shaffer Orrstown Bank Customer Service Center PO BOX 250 Shippensburg, Pa 17257 ~~:~~~~M BY: ____________________ Re: Estate of Joseph A Rillo Jr Date of Death December 12,2006 IT IS HERERBY CERTIFIED THAT THE ABOVE NAMED DECEDENT, ON THE ABOVE DATE, HAD THE FOLLOWING ACCOUNTS WITH ORRSTOWN BANK. CHECKING ACCOUNT Account # Title of Account 106004248 Joseph A Rillo Lisa R Rillo Date opened Principle 10/03/06 762.51 Accrued Interest 0.00 SA VINGS ACCOUNT Account # Title of Account Date opened Principle Accrued Interest CERTIFICATE OF DEPOSIT Account # Title of Account Date Opened Principle Accrued Interest ,.,......,......_.........:...1...._______ .- RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse S9uare Carlisle, PA 17u13 Receipt. "Oat.e: Receipt. TiT,e: Receipt: No.: 1/12/20C7 l6:1.2:44 1046965 RILLO JOSEPH Estate File No. : 2007-00049 L I SA WI LDV'iAJ.'J JA ------------------------ Receipc Discribucion ------------------------ Fee/Tax Description Payment Amount Payee Name Paid By Remarks: PETITION LTRS TEST WILL AUTOMATION FEE SHORT CERTIFICATE JCP FEE Check# 2440 Total Received......... 60.00 15.00 5.00 20.00 10.00 ---------------- $110.00 $110.00 CUMBERLAND COUNTY GENERAL FtJN CUMBERLful\JD COlTNTY GENERAL Fl-TN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL Ft.JN BUREAU OF RECEIPTS & CNTR M.D JORDAN D. CliN:\INCHA~ ROBERT E. CHER'l.iICOFF MARC W. WITZIG BRCCE J. WARSHAWSKY KELLY M. K;\;ICHT TRACY L CPDIKE CUNNINGHAM & CHERNICOFF, P.C. ATTORNEYS AT LAW P.O. BOX 60457 HARRISBt:RG, PENNSYLVANIA 17106-0~57 HEi~SHEV TELEPHO:'-.E i7.7) 534-21313 iRS '.;0. 23-227.H35 TELEPHO~E (717) 238-6570 FAX (717) 238--1809 Street Address; 2320 .'\. 2nd Street Harri:;burg, PA 17110 Writer's Direct Email: biw'iicclawpc.com September 6, 2007 VIA FACSIMILE: (717) 772-5118 and HAND DELIVERY Mr. Jeff Benson Commonwealth of Pennsylvania Department of Revenue Bureau of Collections and Taxpayer Services 10rb Floor - Strawberry Square Harrisburg, PA 17128 RE: Rillo's Restaurant, Inc. File No: 909406 Dear Mr. Benson: Thank you for your fax dated September 5, 2007. Pursuant to your accompanying memorandum, enclosed you will find two (2) checks; one (1) in the amount of $946.48 and one (I) in the amount of $515.88, which represents payment in full for Docket Numbers 2007-1930 and 2007-1987, respectively. Please kindly provide me with acknowledgment in order to satisfy these liens with Cumberland County. Should you have any questions, concerns or comments, do not hesitate to ~ontact me. Thank "ou dgain for )our courtesies. V..:n t"lI;~ ~.(;ur:-;. U),:'\l'.,UI.\\r L\:. C!dR\iC(;iF. PC. ,'/ , ...f:;~- :.. j > I ,f/", ~':I~/I./ - Bruce!. II "r,lla''''; d dJ\\ ja l.il~lL)Surc .;... ':-:b\.~iJs .(i,ll) ~.~. ~L"rt F. " ';~~:r'~~"j:'i:-. i.::'J'-1d~r;;,; ,_' .~, ,'. ..,' \, .',i I." ;...,:...... ,;~,-'. ,'I";",~.l '. ~'J PA DEPART"ENT OF REVENUE BUREAU OF COMPLIANCE LIEN SECTION PO BOX 210941 HARRISBURG PA 17121-094B *' ~~iS' l:Mi ;:'3 ~~ ul.g" i . DOCKET .. 0"'"\- \9~O (I >i.. -" DATE ~-\O - o\, \9..00 FEES MAR 28 2007 SEE NOTICE ON REVERSE SIDE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY. PENNSYLVANIA NAME AND ADDRESS: JOSEPH RILLO LISA RILLO 5455 WESTBURY DRIVE ENOLA PA 17025 TO THI PROTHONOTARY OF SArD COURT. CERTIFIED COPY OF LIEN Pu,..u...t to th. b". 0' tit. c~...a1t" of '.MI.v1VM1.. ttl.ra b h.r_it... tr_..lt't.' a C,rttrSa" CoItIt ftI . U.,. to .. ...t.,... of r.corll 1A your Count>>'. 206-50-5669 DATE OF i,;I..A:ia ut- i"", ;..J:iiiu "$2II':ai~"""t :D:::ITIFYtNC DiTERUH"'TlCIN TAX TOTAL TAll COR DUI DATE) NUNIER O' SETTLEMENT 1 2 5 4 5 , P.LT. 01-01-04 TO JUL 28 2006 S48493 .00 414.51 12-31-04 I I I I I I I I 1 , I . .:; ;" "l. :~ :~TEREST COMPUTATION DATE APR 16 2007 $.00 $414.51 ,.'IL :NG FEEt~) ;-,'h' 10<1.01".1.10..'11. t."'" ~,-~r',-'LH'J "f itl.:v.~,"'lI.a (.,J" hisl'Jth"r-l.t' d j,:l 'J4t,,~ ~f tn" C"...:.nlol'-d.i.tn ,;f ?,-~n~~1~dn14, ,:~rt~fl.S t~l~ t~ ~~ . true .nd ~~rr~ct CQPY of . ll~n ~g.ln5t tn. ~bow.- ~~.~d t~~p.~vr '~r unp.14 ta.. intcr~st. ~ddltlons ~r p~n41t~v$ th~r~Qn due ,~o. such t4X- ,)."Jor -snG ..nld'.. .~tflr .j".itnd for .:J.&ya.,nt tl'arr..)', r.....1n. ..,np.l..d. n,. ..lI.C>unt of i<.j...:h oJn- p~ld t~x, lnt~r~st. 4Jdltl~n. or ~cn.lt1.s 1. . llun In f.~or ~f the C~..onw..lth of P~nn~~lw~nl. u~~n tn. t~~p.~.r's pr.;p.rty. r~.l, pvrsan.l. or b~th, as the ~~s. ..V ~. $19.00 ADDI:IlNAL :Nr~R[;r :.:t:TTlEHEHT LJ rAl this liability by Certified Sa ISfayj7} ..... ~ - Check or Money Order ~ill result in the delay Jut 30 2001 JA.rf 'J<< AuJTHOlif I L[O ,')~J ~'o.. T'r:: '\ 02587053 EMBARa YELLOW PAG EMBARQ YELLOW PAGES 02 20 28 p m 05 f 1 2007 3/b BUREAU OP COMPLIANCE Dsn 280946 HARRISBURG. PA l7128<1946 '* lEY-1st CfIf"""(M6) DOCKET 1# en - /957 f'...u/ DATE ifillI'D, FEES 1<1. to COURT OF COMMON PLEAS OF CUMBERLAND 206-50-566' COUNTY, PENNSYLVANIA NAME AND ADDRESS: JOSEPH RILLO LISA.lULLO !455 WRSTBIJRV DRJVJ: ENOLA PA 11025 10 THE PROlHONOTAIlY OF SAJDCOURT: ft-.wd'lO"'U."OI~~1HOI_V.uu. ~_.~Ac:ur.-aJJrrOla.- CERTIFIED COpy OF LIEN 10.-01 DAn OP cr.ASS O~ TAX POlOD ASSQSMENT mDITIJ'\IJNG TAX TOTAL TAX (Olt DUE DATI) DETERMINATION NVMBJ:. 0& SK'J"IUMMT '.I.T. 01/0J/02 - 12131102 0212311005 522231 $0.00 5927.48 I I TOTALS S 0.00 S 927.48 FILING FEE (S) S19.00 INTERE!iT COMPt.. A no:\' 01\ n: 05/18/2007 -:oe ..~:cr:r'ir.e.:1.:~ S<e'Cle:.u-'j ,):'''Cvtr~:.-r h:s ,1U_h4.:..'.;~ 1oc:J.e(il1e; cf::,.e C~J:1C:;"CJ,..L/I .. ~:r.r.Sil"iU1i&, a,-:;:ia ;./:11 u: :.c it1.oC ...'ld c.:r~a:t ':"P1' a(.&.)Cft "'iijf\if he 400"'. :'W.."""C4 ,.;.;...r;."}cr" ~,)f .JI ~od C~. nl~, ~..:.jJ:l'Ci. tj( ~;.drlCS '~(1 ,i.1c &om:tJ.ld\ :&A~J~.....'1d ,'l~';'h. ,,,I\=' Jar..4r'ld,~ ;~~rmer:l ;:-e:"'~f. .-e'Ul,'S ..r.p~ld 1l1C d'l"l()4lf\C ~()uc:~ "::'l~.)ld lu,. ;:;(2"eaf. ....kWIC'" .:.r JCn.'W'q lj olen 'n '4...ord 1:1C CCI~.....~"'tl\ ,,:f?cnr~)hW1~ ...;JCO ::'Ie iDteyer'1 jJ;oprcftY, ;w. ~n.J.,,;.r ~...... ,he ~.111)' ::)t. .\LH)i",";O."",\t. ......' TZRE"iT sr:rrU::.l!,:,"T T,) r \L - ertiiied Check or Monev Order wilI result in the de;av vf issuine your Satisfaction. ~ MAY 0 '7 2007 DATE PARr 3 - TA...XPA YER :'iOTICE COpy 453. DUNCAN 8& HARTMAN. P.C. SETTLEMENT ESCROW ACCOUNT 1 iRVINE ROW CARLISLE. PENNSYLVANIA 17013 ,. -- 60.430.313 9/5/2007 PAY TO THE ORDER OF Department of Revenue $ ..946.48 ~ineHundred Fony-Six and 481100......................................... .............................................4 DOLLARS Department of Revenue \~L'~ MEMO Rillo #07-1987 Cumberland County 11'00 a. 5 :i lll' I:O} l}O... :10 bl: lO"'S b }., ~II' 4532 DUNCAN & HARTMAN, P.C. SEmEMENT ESCROW ACCOUNT 1 IRVINE ROW CARLISLE. PENNSYLVANIA 17013 ~ 60.430-313 9/512007 PAY TO THE ORDER OF ~parttnentofRevenue $ ..515.88 Five Hundred Fi fteen and 88/100.......... ......... ..... .......... ........ ............................................... DOlLARS Department of Revenue ~~0K-,j \1EMO Rillo 1107-1930 Cumberland County II' 0 0 ~ 5 j 2 II' I: 0 j ~ j 0 l., :) 0 b I: ~ c '., a b j '1 ~ /I' STATEMENT Greenberg & Company, LLC Certified Public Accountants and Advisors 48 Central Boulevard Camp Hill, PA 17011 Joe Rillo Personal & Confidential 50 Pine Street Carlisle PA 17013 September 04,2007 Date Description Amount Balance 4/15/2005 Invoice #19505 935.08 935.08 7/1/2005 Invoice #19669 0.74 935.82 9/20/2005 Invoice #19885 341.37 1,277.19 11/2/2005 Invoice #19987 1,423.02 2,700.21 2/8/2007 Invoice #20609 438.74 3,138.95 Ending Balance 3,138.95 Amount Due 3,138.95 Please make checks payable to Greenberg & Company, LLC. and remit to: 48 Central Boulevard Camp Hill. PA 17011 New Phone Number 1-717-730-8570 Current $0.00 30 Days Past Due $0.00 60 Days Past Due SO.OO 90 Days Past Due $0.00 120+ Days Past Due :33,138.95 JORDA\l D. CUN:'-;C\CHAM ROBERT E. CHERNICOFF ~IARC W. WITZIG BRUCE J. ~VARSHAWSKY KELLY M. K;\;ICHT TRACY L. LPDIKE Joseph Rillo 50 Pine Street Carlisle, PA 17013 Re: Support Matter File Number 401798 CUNNINGHAM & CHERNICOFF, P.C. ATTORNEYS AT LA\V P.O. BOX 60457 HARRISBURG, PEN:\SYLVA1'JL\ 17106-0457 rELEPhU;,\E (717) 2.18-6570 E.\X \717) 238~.h"'I)9 Previous Balance Payment Received - 1 0-Sep-07 For Professional Services... Balance Due Now HERSHEY TELEPHm.E I/li) 534-2833 IRS ;\;0. 23-227-tl35 Stred Address: 2320 ,'\I. 2nd Strl'et Harnsburg. PA l71l0 12-Sep-07 $1,756.25 ($1,756.25) $0.00 IN THE PROBATE COURT OF CUMBERLAND COUNTY, PENNSYLVANIA IN RE: The Estate of JOSEPH A RILLO, Deceased SSN: XXX-XX-5669 (C(Q)U2'W Court File No. 21-07-049 Original Creditor: AT&T WIRELESS Account Number: xxxxxx9051 PROOF OF CLAIM The undersigned, Palisades Collection, LLC, being first duly sworn on oath, states that they are the owne of the claim against JOSEPH A RILLO deceased, which hereto attached, and which is made a part hereof by reference the same as if it were fully set-out herein; that said claim is lawful and justly due; that the undersigned has personal knowledge of the said claim; that there is now due and unpaid on the said claim the sum of $1 ,341.20 and that all claims, credits and adjustments have been given. Further, affiant saith not. Palisades Collection, LLC 0. (" BY: ~\ c.-r 0")UA.i~'___ / \ \J ReDresentative Vativ ReCovery Solutions, LLC As Agent For Palisades Collection, LLC P.O. Box 19249 Sugar Land, TX 77496 PH #: (800) 941-8632 Sworn to and subscribed before me this 23th day of May 2007 ~~)~ Notary Public :@ CRlS11NA FLORES My CommissIOn Expires Oecem~ 27, 2008 State at Large My Commission Expires: id- ;}1-00 -- NAME Payment Hi6~. JRILLO lJOSEPH fA' JPAL )0034549051 121'()7-049 I I , 3/3012007. fPA $1,341.20 $1,34120 Record r 98178 County 'CUMBERlAND Oate-,-oCdeath. I 12112/2006 S~tusCode topc Client Name .Ipalisades Collection, LLC Oiiginar Creditor ~ TT603 ~rtfQIlO- JAT& T WIRELESS . Addres )50 PINE ST ~ ICARLISLE lPA 117013-3 c '.:: ;\: ~/C'~~":'J c"':'.. Tr,':F PE1\,".S ":'Li ,':"J'\,j,A, c,:eAr-.7\'t:~,.:- SF RC:'" .:~~GE :3,-,:~EAi..,; <:f~~::,\' ;:'~;"i... 7"',.:.,;<t:5 .:.:?- 23Ct3J" ....:..Fh :)c......"':, ;.J~ ; i 2C{:(-.C ~ REV-1162 EX',11:)6i RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT HARTMAN & DUNCAN 1 IRVINE ROW CARLISLE, PA 17013 _*____A_ h,~\l ESTATE INFORMATION: SSN: 206-50-5669 FILE NUMBER: 2107-0049 DECEDENT NAME: RlllO JOSEPH DATE OF PAYMENT: 09/05/2007 POSTMARK DATE: 09/05/2007 COUNTY: CUMBERLAND I DATE OF DEATH: 12/12/2006 NO. CD 008638 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $10,000.00 I I I I I I I I I TOTAL AMOUNT PAID: $10,000.00 REMARKS: ,'-: ,-- ,:= .: '.: --.~ :'~ -+- ,.. ' ...........;: ,~=2~!',./=~ 3\,/: ~3L=.'\,.CJ..\ ;=A;::;:\EI~ ~3~RkSSk<.IG.~ ,~EG,STEri CF.'/:LLS