HomeMy WebLinkAbout09-19-07
~I
-,-'~
--.J
15056051058
REV-1500 EX (06-05)
PA Department of Revenue '*'
Bureau of Individual Taxes .
PO BOX 280601
Harrisburg, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
County Code Year
File Number
21 07
0006
Date of Birth
220-14-6000
12/31/2006
09/25/1925
Decedent's Last Name
Suffix
Decedent's First Name
MI
Conti
Sylvia
(If Applicable) Enter Surviving Spouse's Information Below
~pouse's Last Name Suffix
Spouse's First Name
MI
~p()~se's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
ca> 1. Original Return
CJ
2. Supplemental Retum
c:;:)
c;::)
4. Limited Estate
Cl
3. Remainder Retum (date of death
prior to 12-13-82)
5. Federal Estate Tax Retum Required
<:a:>
4a. Future Interest Compromise (date of
death after 12-12-82)
C::) 7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
C.::::J 10. Spousal Poverty Credit (date of death c;:) 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 0)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
...P...
8. Total Number of Safe Deposit Boxes
<::::)
James E. White
! (717) 731-96~~ ~
......r=~~i~~~~~~~-,....
: . :=~ ~=~ ~ ,-
Firm Name (If Applicable)
Community Trust Company
First line of address
\..D
:::"n
~f:~
3907 Market Street
Second line of address
~i~()~ Post Office
. Camp Hill
State
ZIP Code
o 1
c.n -. "
1;
...........~~!~...~.~.~~.~_.........__~._.._.__....J
17011
Correspondent's e-mail address:jwhite@communitytrustco.com
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 mplete. Declaration of p parer other than the personal representative is based on all information of which preparer has any knowledge.
I G El: RN ATE
- 0
ADDRESS I i fJ4- 17 b II
SIGNATURE OF PREPARE'3...QTHE
~~-
ADDRY ~
3"~7 ~ $~L~f~G~L~~~~LY
OAT
1. /7 07
Side 1
L
15056051058
15056051058
~
o~
"
,
-I
15056052059
REV-1500 EX
Decedent's Social
Decedent's Name:
Sylvia
C Conti
220-14-6000
RECAPITULATION
1. Real estate (Schedule A). .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1.
158,533.34
93,859.65
2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2.
9. FuneralExpenses
oration, Partnership or Sole-Proprietorship (Schedule C) . . . . . 3.
s Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.
.
its & Miscellaneous Personal Property (Schedule E) . . . . . . . . 5.1 9,593.92
perty (Schedule F) C;:'::; Separate Billing Requested . . . . . . . 6. 172.34
rs & Miscellaneous Non-Probate Property 27,117.01
C::::J Separate Billing Requested.. . . . . . . 7.
ts (total Lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. 289,276.26
& Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . . . 9. 10,433.15
t, Mortgage Liabilities, & Liens (Schedule I) . . . . . . . . . . . . . . . . 10. 4.522.56
(total Lines 9 & 10). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 11. 14,955.71
te (Line 8 minus Line 11) . . .. . . . . . . . ... . . ........ ... . .. 12. ! 274,320.55
:
3. Closely Held Corp
4. Mortgages & Note
5. Cash, Bank Depos
6. Jointly Owned Pro
7. Inter-Vivos Transfe
(Schedule G)
8. Total Gross Asse
10. Debts of Deceden
11. Total Deductions
12. Net Value of Esta
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) .... . . . . . . . . . . . . . . . . . . . . 14.
TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0_
16. Amount of Line 14 taxable
at lineal rate X.O_
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
274,320.55
15.
12,344.43
16.
17.
18.
19. TAX DUE. . . . . . . . .. . . .. . . . .. . . . . . . . . .. .... . ... . . .. . . . ......... .... 19.
12,344.43
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
c:.::>
L
15056052059
Side 2
15056052059
-.J
.
REV-1500 EX Page 3
Cecedent's Complete Address:
fl!,-~N!!m~@r
;0006
..,."".,.....,.w__."H."'.....w.w,......w.~..'"'.....,~'^'."'."'w..,..,. ..,.~...-."."....,...._.,... ,.w.., ,~""_W""'."'_"" N.~
DECEDENTS NAME DECEDENTS SOCIAL SECURITY NUMBER
Sylvia C Conti 220-14-6000
STREET ADDRESS
1846 Holly Drive
CITY I STATE I ZIP
Camp Hill PA 17011
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
12,344.43
10,000.00
526.32
Total Credits ( A + B + C ) (2)
10,526.32
3. InteresUPenalty if applicable
D. Interest
E. Penalty
TotallnteresUPenalty ( D + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund. (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(5)
(5A)
(5B)
1,818.11
A. Enter the interest on the tax due.
1,818.11
Make Check Payable to: REGISTER OF WILLS, AGENT
i~i';';~ar?'.:.:'y.:;~:J:?1tt~k...,,''ISI.11.~;,. .
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;.......................................................................................... 0 D
b. retain the right to designate who shall use the property transferred or its income;............................................ 0 D
c. retain a reversionary interest; or........... .......... .... ....... ................................................................................... ....... 0 D
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 D
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. ~ D
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. ~ 0
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? .......... ................................................................ .............................................. ~ 0
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
. 'i{1)lf: ~;;;,":fl~fit.'. '.
;.',."?f..
For dates of death on or atter July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 P.S. 99116 (a) (1.1) (i)].
For dates of death on or atter January 1. 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
[72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax 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. ~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 four and one-half (4.5) percent, except as noted in
72 P.S. ~9116(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.' 502 EX+ (6-9.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF
Sylvia C. Conti
FILE NUMBER
21-07-006
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1. Improved real estate known and numbered as 1846 Holly Drive, Camp Hill, Cumberland County
Pennsylvania. Fair market value determined by recent sales of comparable properties. Please
see attached computation and supporting documentation.
TOTAL (Also enter on line 1, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
_ REV-'503 EX- la-98,*,
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
Sylvia C. Conti
FILE NUMBER
21-07-006
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
TOTAL (Also enter on line 2, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
a
ITEM
NUMBER
1.
DESCRIPTION
Fidelity Investments nlo Sylvia C. Conti Account # 2BK-759643
57.776 shares of Spartan 500 Index Fund Investor @ 97.92 per share
a.
2.
Fidelity Investments nlo Sylvia C.Conti TOO # 2BK-759651
a. 36.837 shares of Spartan 500 Index Fund Investor @ 97.92 per share
b. 13479.310 shares of Fidelity Cash Reserve @ 1.00 per share
3. Fidelity IRA nlo Sylvia C. Conti Account # 140-154407 per 12/31/06 Fidelity Statement attached
REV-1508 EX. (6-98) ..
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Sylvia C. Conti
FILE NUMBER
21-07-006
Indude the proceeds of litigation and the date the proceeds INere received by the estate.
All property jolntly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
DESCRIPTION
1 1998 Buick Century Custom Sedan VIN 2G4WS52MOW1480325, per attached Appraisal
2 Lot of household furniture and furnishings, per attached Appraisal
3 Transamerica Corporation - pension payment
4 Sun Life Annuity - annuity payment
5 Refund Long Term Care Insurance Premium
6 Refund Health Insurance Premium
Proceeds from M & T Bank Account
Income Tax Refund
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
VALUE AT DATE
OF DEATH
REV-1509 EX+ (6-98) ~
*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
Sylvia C. Conti
FILE NUMBER
21-07 -006
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. · Kathy K. Conti
ADDRESS
RELATIONSHIP TO DECEDENT
1846 Holly Drive. Camp Hill, PA 17011
Daughter
B.
c.
JOINTLY -OWNED PROPERTY:
TOTAL (Also enter on line 6, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
LETTER DATE
ITEM FOR JOINT MADE
NUMBER TENANT JOINT
1. A.
A.
A.
DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR
IDENTIFYING NUMBER. ATTACH DEED FOR JOINTlY-HELD REAL ESTATE.
Members 1 st Federal Credit Union Account # 106363-11 Checking
. Members 1 st Federal Credit Union Account # 106363-00 Regular Savings
Members 1 st Federal Credit Union Account # 106363-02 Holiday Club
..
REV-1510 EX+ (6-98)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF
Sylvia C. Conti
FILE NUMBER
21-07-006
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
NUMBER
1.
DESCRIPTION OF PROPERTY
INCLUDE THE NAME OF THE TRANSFEREE. THEIR RELATIONSHIP TO DECEDENT AND
THE DATE OF TRANSFER. ATTACH A copy OF THE DEED FOR REAL ESTATE.
2.
Members 1 st Federal Credit Union Account # 106363-05 Money Management
Decedent added daughter, Kathy K. Conti, as joint owner, on 10/05/06
Members 1st Federal Credit Union Account # 106363-41 CD due 9/4/07
Decedent added daughter, Kathy K. Conti, as joint owner, on 10/05/06
Members 1st Federal Credit Union Account # 106363-41 CD due 5/29/07
Decedent added daughter, Kathy K. Conti, as joint owner, on 06/29/06
All of the above Members 1 st Credit Union Accounts were paid interest on
December 31, 2006, thus there is no accrued interest to report.
3.
DATE OF DEATH % OF DECO'S
VALUE OF ASSET INTEREST
9,799.34
15,188.12 100
5,129.55 100
TOTAL (Also enter on line 7 Recapitulation)
(If more space is needed, insert additional sheets of the same size)
REV.15" EX+ (12.991.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Sylvia C. Conti
FILE NUMBER
21-07-006
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
DESCRIPTION
AMOUNT
1.
FUNERAL EXPENSES:
StDne & Murray Funeral Home
Florist - Flowers for Church
2.
3. Grace Church - food for after funeral
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City
State
Zip
Claimant
Year(s) Commission Paid:
2. Attorney Fees
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Street Address
City
State
. Zip
Relationship of Claimant to Decedent
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Advertize Grant of Letters - Patriot News & Cumberland Law Journal
8. Executor - mileage, postage and photocopies
9. PennDot - duplicate sticker for 1998 Buick Century Custom Sedan
10. Chuck Brinker - Appraisal of household furniture and furnishings
11 Community Trust Company - Agency Agreement with Executor, Kathy K. Conti
12 Filing Inheritance Tax Return & Filing Inventory
REV-1512EX'(12-03) ..
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
ESTATE OF FILE NUMBER
Sylvia C. Conti 21-07-006
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unrelmbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Transamerica Corporation - refund of pension payment to which Decedent was not entitled
51.00
97.38
2. Sun Life Annuity. refund of annuity payment to which Decedent was not entitled
3. Bonnie K. Miller - Lower Allen Township taxes
4. Payment to Loan 4121449991063632
5. Slim Time Spa
6. M & T Bank - payoff of loan
7. EMS - transport to hospital
8. Lower Allen Township - Sewer & Trash
9.
Milton Carter - plumbing services
Comcast - cable service for December 2006 & January 2007
Verizon - telephone service for December 2006 & January 2007
12. AT&T -long distance telephone service for December 2006 & January 2007
PP&L - electric service for January & February 2007
14. PA American Water - service for December 2006, January & February 2007
15.
UGI- service for December 2006, January & February 2007
16. Lowes - purchase of refrigerator
17. P A American Water - service for March 2007 & change of name on account
18. Prudential Insurance - premium
19. Milton Carter - electrical services i.e., ground counter top range; replace fuses with circuit breakers;
ground outlets; and separate breaker box for air conditioning - to qualify for homeowner's insurance
TOTAL (Also enter on line 10, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX+ (9-00)
*'
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Sylvia C. Conti
NUMBER
I
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)J
Kathy K. Conti, 1846 Holly Drive, Camp Hill, PA 17011
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
FILE NUMBER
21-07 -0006
AMOUNT OR SHARE
OF ESTATE
1.
Daughter
2.
Donna J. Marsh, 1440 East Philadelphia Street, York, PA 17403-1233
Daughter
123,435.70
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 $
(If more space is needed, insert additional sheets of the same size)
"'~
,:.
REGISTER OF WILLS
CUMBERLAND County, Pennsylvania
CERTIFICATE OF GRANT OF LETTERS
No. 2007-00006 PA No. 21-07-0006
Esta te Of: SYL VIA C CONTI
(First, Middle, Last)
Late Of:
LOWER ALLEN TOWNSHIP
CUMBERLAND COUNTY
Deceased
Social Securi ty No: 220-14-6000
WHEREAS, on the 3rd day of January 2007 an instrument dated
March 12th 1998 was admitted to probate as the last will of
SYL VIA.C CONTI
{First, Middle, Last}
late of LOWER ALLEN TOWNSHIP, CUMBERLAND County,
who died on the 31st day of December 2006 and
WHEREAS,' a, true copy of the will as probated is annexed hereto.
THEREFORE, I, GLENDA FARNER STRASBAUGH Register of Wills in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I have this day granted Letters TESTAMENTARY to:
KA THY K CONTI
who has duly qualified as EXECUTOR(RIX)
and has agreed to adniinister the estate according to law, all of which
fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYL VANIA..
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 3rd day of January 2007.
..~dA ~/)~
. {)~;:u~JL
LAST WILL AND TESTAMENT
OF
SYLVIA C. CONTI
I, SYLVIA C. CONTI, of 1846 HOLLY DRIVE, CAMP HILL, CUMBERLAND
County, Pennsylvania, do make, .publish and declare this to be my
Last will and Testament, hereby revoking' all Wills and Codicils by
me at any time made.
ITEM'I:.
I direct' that all inheritance and estate taxes
becoming due by reason of my death, whether such taxes may be
payable by my Estate or by any recipient of any property, shall be
paid by my Executor out of the property passing under this will
which is not specifically bequeathed or devised, as an expense and
cost of administration of my Estate. My Executor shall have no
duty or obligation to obtain reimbursement for any such tax paid by
my Executor, even though on proceeds of insurance or other property
nbt passing under this will.
In the absolute discretion of my
Executor,. my Executor may pay such taxes immediately., or may
postpone the payment of taxes on future or remainder intere$ts
until the time possession thereof accrues to the beneficiaries.
ITEM II: All my personal effects, clothing, furniture,
furnishings, jewelry, automobiles, other tangible personal property
of every kind, and insurance thereon, I give in equal shares to my
children, Kathy K. Conti and Donna J. Marsh who do survive me for
a period of thirty (30) days to be divided among them. as they may
agree or, if they aF~ ...~na~l~ to agree, as my executor may decide.
10 C;~) '..J;..;/ ;:~::.~.;'--rlJ
ITEM III: All tiu{;(jf.e~t:'~Hcij[sidue and remainder of my Estate I
..V' \~HJ'I\
...;J .r ........ hJ
give, devise and bequeath, in equal shares, to my children, if they
88 : I ~d r'_ nv...... Lnn7
h . c.. it. I _hI..
Page 1 of 7
Si iW., ~I.~j 8:1S:83~
:-, ;f\:j ;....' rl~1r" I,"'\/'Y-:. :
~.: I "'":v",' ~i: " -..; -I' ! ,-....
-:\J -' ~v '-_v._.'-..L'..J:....;
Initials .5~e,.
~urv i ve me for a period of 30 days. If anyone of my children
shall not survive me, then I give the same in equal share to their
respective is~ue, per stirpes.
ITEM IV: If any income or principal shall be payable to any
person who shall be a minor or who shall be incapacitated for any
reason, my executor as trustee shall hold such income and principal.
during minority or incapacity and shall be entitled to apply such
income and principal to the health, maintenance, support and
education of such person during minority or incapacity without the
appointment of any guardi~n or committee or any authority of court.
My executor as trustee shall be entitled to make direct application
hereunder or to make application by payment of income and principal
to the parent or other person in charge of such minor or
incapacitated person, or to his or her guardian or to a custodian
under the Uniform Gifts to Minor's Act. Any remaining income and
principal to which such person shall be entitled shall be
distributed to such person upon the termination of minority or
incapacity. My executor as trustee shall have the same powers as
my executor and shall serve without bond.
ITEM V: In the settlement of my Estate, my Executor shall
possess, among others, the following powers, to be exercised for
the pest interests of the beneficiaries.
( a) To retain any . investments I may have at my
death so long as my Executor may deem it advisable to my
Estate so to do.
(b) To vary investments, when deemed desirable by
Initials S~
Page 2 of 7
Page 3 of?
Ini ti~ls S~Q-
..;;-~.i~.:";;.:r:-;>;:~~o.j>--:~"::~'-' . . ,- . .-
--._,. .
IUll\iqnments, options or other writings which may .be
necessary or desirable in carrying out any of the powers
conferred upon my Executor in this paragraph or elsewhere
in my will.
(e) To pay all costs, taxes, expenses and charges
in connection with the administration of my Estate. My
Executor shall pay expenses of my last illness and
funeral.
(f) To vote any shares of stock which form a part
of my Estate, and to otherwise exercise all the powers
incident to the ownership of such stock.
(g) In the discretion of my Executor, to unite with
other owners of similar property in carrying out any
plans for the reorganization of any corporation or
company whose securities form a part of my Estate.
ITEM VI: Any person who shall have died at the same time as
Testatrix, or in a common disaster with her, or under such
circumstances that it is difficult or impossible to determine who
died first, ~hallbe deemed to have predeceased her.
ITEM VII: I nominate, constitute and appoint Kathy K. Conti to
be my Executor. If Kathy K. conti is unable or unwilling to qualify
as executor or havi~g qualified is unable or unwilling to act, I
then appoint Donna J. Marsh as executor hereof. I direct that my
Executor is specifically relieved from the duty or obligation of
filing any bond or bonds.
IN WITNESS WHEREOF, I have set my hand and 'seal to this
~
Page 4 of 7
Initials
~y ~ast ~ill and Testa~ent, consisting of thiS and the preceding
. ___1)-, daY of ft1A&fd::!-' 1998.
four pages, th:ts ~
~ C. C~'
v .
Syl'V1-a c. cont1-
3.). kc N~I ~.w
t L ~ Of.
-rA n()\D
\ "~
(l
j)? (l'M>'J j/.tl i f7u I /
~
, .
Residing
(SEAL)
1.nitials~
page 5 of 7
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
5S: !A~{) -1'j-6()OO
COUNTY OF CUMBERLAND
I, SYLVIA C. CONTI, Testatrix whose name is signed to the
foregoing instrument, having been duly qualified according to law,
hereby acknowledge that I signed and executed this instrument as my
Last Will and Testament; that-I signed it as my free and voluntary
act for the purposes therein expressed.
4 ,,t:,,...,. ~ (! . ~~ SEAL)
" '"
Sworn to and acknowledged before me, by SYLYIA C. CONTI,
Testatrix, this . /:1.J/,: day of }..?&('~ , 1998.
~~p~'
i Nctari~1 Seal
P.r1artin R:pson, Not(Jrj Public
Hampden T;fJp., Cumberlaod County
My Commis~ion Expires July 27, 2000
Page 6 of 7
/}
Initials ~-t-
M1:IDAYll
COMMONWEALTH OF PENNSYLVANIA
ss: ~~()~'J Y-6o~ J
COUNTY OF CUMBERLAND
We, t, \ V 0 n {) 'G ~ r'\ r t. nl eif \( + "D:A V\lV\ ~ ~ \ \ V ~.v'\ ,
the witneo es whose names are signed to the foregoing instrument,
being duly qualified according to law, depose and say that we were
present and saw Testatrix sign and execute this instrument as her
Last will and Testament; 'that she signed it willingly and that she
executed it as her free and voluntary act for the purposes therein
expressed; that each of us in the hearing and sight of the
Testatrix signed the Last will and Testament as witnesses; and that
to the best of our knowledge the Testatrix was at that time 18 or
more years of age, of sound mind and under no constraint or undue
influence.
Sworn to and subscribed bef9re me by YVON,% h'VN#pf /I'1Ff,e(-
iJ.4wh SU/ItI/ItN. , this ~. day of 1tR~4 ' f998.
(SEAL)
(SEAL)
~~~~
O::>>~ ~r
Notary Public
:.Jvtar;al Seal
Martin Ripson, t Jotar~ Public
Hampden Twp., CUlTlberfano Count\!
My Comrnission Expires July 27, 2000
Page 7 of 7
. Initials
s'~
I Estate of Sylvia C. Conti
21-07-006 I
VALUATION OF 1846 HOLLY DRIVE, CAMP HILL, PA 17011
BY AVERAGE SALE PRICE OF THREE CaMP ARABLES
Comparable No: 1
6 Clemson Drive, Camp Hill, P A 17011
Sold on 8/10/2006 for $170,000 less Sellers Help Closing Costs of$I,500 = $168,600.00
Comparable No.2
1419 Carlisle Road, Camp Hill, P A 17011
Sold on 1/3/2007 for $149,000 less Sellers Help Closing Costs of $2,000 = $147,000.00
Comparable No.3
1840 Holly Drive, Camp Hill, P A 17011
Sold on 2/2/2007 for $160,000 amount of Closing Costs Unknown =
$160.000.00
$475,600.00
Total Sale Prices of Three Comparables
AVERAGE SALE PRICE OF COMPARABLES
$158..533.34
[Search Results for The 2004 Tax Assessment Database Are Attached]
EXHIBIT TO REV-1500-SCHEDULE A Real Estate
II)
III
t1I
.0
t1I
'Iii
o
i:
III
E
III
III
II)
III
III
<
~
~
o
N
III
;;
.g
III
'""
::J
III
III
~
.J::
l:!
t1I
III
en
~
Sold
list PrIce
Ad...
CIty
.;
MLS" lP...U;Z93~ Chi. Rt!S.dentlal/f'arm ~pe Detadte~ t10
$174,900 - \.Sb\) -=. 11' ~ D t> -1~ - nD.c.ar - 1'Sf;:!JJ-
6 ClEMSON DRIVE ·
Camp Hill Nun Lower Allen Zip 1701 I ~
~-:-' ~~.".~- ~t!~ ~~"!O~i~~ OI8t W~ Shore
A8 ment 1
.. Stor... 2 Story Hitncllalp
...... f 1 H 2 LewIs
P~....an VirtClal leur
..n n.u r..;
1ae12
Wood Ffoor
... 1 ..
Main 0 .
2nd ;J. 1
Ird . .
Uwet 2
Wood Floor
.. ' ....-...
. .........-; ..
..a:...~ ~:::
...... let .t Acre. Acrea
'~,:,,:.i~!~AIMNe fide. 1619 "",McU ...-.. r_a ;;..:..- ~.-;-.= ::
'~":.'~:"l~ ......C........, ....~ No V_r....1t +/- 1965
QNiIiIt
bt
...,
.....
EdNa
--
DIN...
......
C8GI
Amen
Hat
.... ...
AuK ,.....
An HeIat
Wlr SWr
Lot $z
Lot Desc
~~~,~.;;~~ ~=:;..~. u'-'-. ~_ D~ Aae
~.~ ReI Fntte
~DelB:iDf5, Garage Door Opener, Ceding Fan, Cable ~..
BI~8ar. FclnnaI DIning Room OUt.....
1 cirG.aoe Barn Type
CeIIbaf Air .... Inel
ttnIb Club. library, Medical Facility, Park, Playground, PubIcF.. __
FGtI!d Air, 01 nllKC
PUbic Sewer, Pu ic Wafer
'4 k. Less Than VJ N.'
Corner, FeRCed, L.eveI, Sloped
41-SO Yecn
VICI_I"'La_
Electric 200 + Amps
Occ OWner
Zonilll Residential
0irM SpaCe, Partially Finished Av..1 'ine ConventIoINlI, cash
SOLID 3 BEDROOM, J RJl.L 2 HALf BATH HOME IN CEDAR QJFF MANOR. MA1URE CORNER LOT THAT IS FENCED IN. UPDATED
~_~r tN:.. au::w DnnF IN 'M. AND VINYL REPlAC&tENT WINDOWS. HARDWOOD R.OORS nfROUGHOUT, FJREPLACE, cemw.
AIR, ONE CAR GARAGE AND A COVERED PAllO MAKE nus A MUST ~E. APPI.JANU::) INU-UUCU. rE:"~1 ~T~~ ~ ;.::==
TO AU. OF YOuR NEEDS.
Dtr RD TO RD, U ONTO CJ.EMSON
u.tIng Type ecduslve Right Under eon.
......
... CiIII USt omce
LO Af/MAX REAL TV ASSOCJATES omc:e (717) 761-6'300
LA TOM OtELEDNIIC (717) 514-3988
UpdIIte Date 81912006
SAc: 2.5 n.c
IIAC 2.5 OAC
1
OON 5 Sold Price $170.100
butnot~
-----
.......... a. c.t uua.
...... tWIt ........ 0.00
01/11/2lX111l:29 AM CST
t8DO y-
.. ..:..-.--.;:.. _ .. ~ :- .Le-1_ .....---....-
, ~._-~-;--
7~
.-
;
c:..t
ed
....
,..,.
I!III ~
...
.....
......
c-I
~
.....~
..... ...
~ .....
aa ...
lu 111.1.
'l
o
SaId
lilt ...
.......
CIty
~6
~ o.unDer.snd
o.ip 5e*t ~
#I.... 4
....
f100f
Aoor
ResidenUaVFlnn'" DetaChed
t~ ,\,.,01>
Mun lower Allen zip 17011
Dew Cedar 01" Marlor ......... West Shote
NUl . W.~~~ c...
$1'fJ,ODO
1..19 Carlisle Road
Camp Hilt
~.- -. --;;a;;- .
..
,~~.~ .~~~~.~..:.
11'.11I11
'''R ......
.....
...... T....
........ 2 stDry
....'1 H1
ft.'1~1I11
ceilng flDt Woad floor
..- G
Main 1
2Itd 0
3ftI G
l.8IeJ 2
LM2
BdCM8
Wood
Wood
VRI,'YO.' f.iI1iC
...... . 0.21 a.I ... Acr.- --
~ ....... ........:..... .uon fin..... ......... ..... .......
Fea.~~ ,.. "". c.....__ .....-- ...,.. +j-
1= :
.,-
ftIIIII!
-
Other
.. ~ DispD58I, Rangt EJec
IJ!w!l
41.sG Years
=-~
UM
0-' .....
awn ....
..,.. lwei
,. EIIW.
,......
EIecbJc
0cC
z.nan.
AwM FilII:
GIea ] bI!drOOIII IewJ 18 54 raMi room .. 4th
~ ~.81t, 1 (.II" carpGIt, nice yard. see agent 1'CflIBIks.
CIaI9 Fm
fGrtniII DIning RDcm
1 car Carport
CeIinO Fan
____..A a~_ ~,
~~A"".~_"6'
Qrmit &reaI<fJS, 100 Amps
fMIIY RoOIn
ResIdertial
(on\tertiGftII. cash
01 Gftk2, ftoDrs,
pjtnted
r
;. ~ .-::.;.~~::' :~~~~ ~:~ ~ ~ '=~ pit tft"""'" lift tAIft'
.......DIII 1f2f11Ji7
SKO nc
11M: 3 OM:
t.Io &t CeRIP Detc
ow.... ....
Leek.... CPML
3315 MARkET 51
~~21.
lA3
......... -.ype ~ AiFt U.... CoMt
....
... CilI U!It Oftkle. UK.1cboX
us C-21 plSCtQNBU REAllY INC. omce (717) 731-6113
IA WaY I03ISK1E (n1) 441-5430
IA%
~
......... ....... 0.00
01/10/1.00702:56 PM csr
0... ~MPiiEi6' ......~.~~.---
~. , Mol.... I~o.ea 17J~ ()JIM!Itiat DOlt 2
M;tllJJlJtPl ptOWd8d IS tItJt:mtJt/ rI!JIiIIbJe
-.........:..:....: ';-
p:'.
~ --.-,
...:~~~..l
.L ~~",?tQ
o..^~
- )-:.. .......... ........-~.--.l
~o~ Compote ~
,. ~........,............,..,......
1It""*--~...- . '_'0 ,- -.~
MLSOocs =
:-........
II -lAgOlfJ
>
"...;:....~r}T ~
CIIy
..... 6
.-.....ay CUmber1and
....... SplIt leftI
. ..... 3
...... 1Q.1.~9.~ntlIVFarm 1We Detached
$158.900 r I~, ~ )
1840'~ffy~
Camp Hill .... Lower Allen _ 17011-7420
Dew c.edar vlnaoe SCIII DIIt West Shon
1
ttan..., No
~
....... T......
IiIImt. Cb- · ~ I ~ All I E:MIII ~. t 2tlnt I PIInl.! I ~"'::~ I '::,.-:.t~;:r.~l:€' I ~~ I
~
CIIIII!a! aa.-Rf AND StIItus-ACT,BOM.SlO,PNO AND Typc=SF AND Price-lOG HTML. ~'i f cc Prw I . t)f" ..' ....
PendinG
u.a ....
.~r--
..... 2 SDy
....'1 HI
II
1111
~_l.,;1!~
.".~. _ ~.A.
.. ~2D06 ~. 1M Aaw -
..... R...... NJIc Alemrds ...... F..a ~ GIrade 1815 Fill...... .... feet..... ....... + /-
~ No.... ....r.. J,q' ~"Co.........~ .."..., Yes y_.... +/- 1958
'w:.
...
--
I!d F.-
...
~
SUI
MlQiltb.., .~
~
WIr ''''
LIIitW.~
'r;:.:;;.,~. ~~"~~.~-
Farced NIl, Nltural Gas
Den, Laundry Roam
Lot DeK
.
... F.....
....
o.e__
........
..... lad
... EcpIitt
....
ElKtril:
CIGI:
z..-.
FfJnCeCS, LM
41-50 Veers
M&I1IcipII Road
r:..a
*--
.....
..... -
AIIIMc ...-
A.- ....
L ,~
Qa BuildIngs, Paul, InQrN'MI
fDIe
fGrmII Dining RlOOm
~ !'-.:~ !I~~
cenInI ,.
100 Amps
MskIendiI
.. '~~~~':... !.~ ~\~&.~~f~~;. -'; . . .'.:', ~:i~.~;~~~~,?~1.,!-~iS;~~1..;;,~~1::.~~:~\.: ;~~'.:.~: '~~;..r .~~..:'.,;:.~. 'Ai. ...;:~.i$~l..L..1.;:~:;::.::;~:):::~}" ~,;,,". ':,';,i.' '\l~:l~~iB'-_
I Sylvia C. Conti
21-07-006 I
Valuation of Fidelity Spartan 500 Index Fund Investor
Traded on December 29, 2006 @ 97.97
Three days before December 31, 2006
Traded on January 3, 2007 @ 97.87
Three days after December 31, 2006
CALCULA TION
(3 x 97.87) + (3 x 97.97)
3 + 3
293.91 + 293.87
6
586.52
6
97.92
EXHIBIT TO REV-I500-SCHEDULE B Stocks & Bonds
FSMKX: Historical Prices for SPARTAN 500 INDEX FUND INVESTOR - Yahoo! Fina... Page 1 of3
Yahoo! My Yahoo! Mail More New..... ~19JOUIIT lligndpagElp
CW~~~r~h]
Dow .. 0.71 % Nasdaq l' 0.990/0
Wednesday, August 22,2007, 9:45AM ET - U.S. Markets close in & hours
Enter Symbol(s)
(~~ .~~_~~~ ] Symbol Lookup
Finance Search
,-~ "5(1- rJ ..R'-"IJ1])lr-JWl~tkJ..?,~'
[!~,
E*TIlUE S'l(W'iti'l'
Active Traders
1 Fidelity
Historical Prices
On Aug 21: 100.56 l'
Get Historical Prices for:
GO
SET DATE RANGE
Start Date: Dee
End Date: Jan
Eg. Jan 1,
2003
Daily
Weekly
Monthly
Dividends Only
25
2006
5
2007
Get Prices
First I Prev I Next I Last
PRICES
Date Open High Low Close Volume Adj
Close*
5-Jan-07 97.39 97.39 97.39 97.39 0 96.88
4-Jan-07 97.99 97.99 97.99 97.99 0 97.47
~- fR'.ffl' f"JIE' fJ1T:l1Jr ffF:ffT' 0 97.36
29..11ellIa'l&" f17J1T~ ' tIE.' W:fJ1r -- 0 97.45
28-Dec-06 98.41 98.41 98.41 98.41 0 97.89
27 -Dee-OS 98.56 98.56 98.56 98.56 0 98.04
26-Dec-06 97.85 97.85 97.85 97.85 0 97.34
* ~aIfJJS,,_~eAdsand splits.
First I Prev I Next I Last
A Download To Spreadsheet
ADVERTISEMENT
1_.u... IIr
I 1'1 n "..,,...... ""'T~Y '" ... .. ". - ~ - - - - - - .. - - - - - - - - - - -
~
~
i
~
=-
i
I
g.
o
~
~
<--,-<
~g.g
...,e..-
8~~
(J) _, d:
o't-~
G) .... 0
(') ... ()
...,i-%
gdl3
(J) - -'
g~
"0 a'
o ::J
aU)
. ,,~':i'
6!l.
." c
~Ci"
a
(/)
~
o~
~
o
~
~
CP
~
1)
~
CD
~
o
cP
g~i~ii
~." ~ G) ~ ~ s-
cg.,....~O::J
. @ e.. ~ ::J S.
:::;'"~-'~U>>(('\
__ ..~.>;< 'if c.;:
i () <. ~
. 0 ~ CD
~~ ~ ,
~. If ~ 9.-
<t. c.-
S\lfl) ~
~~ ~
",.- ..:"
cD
fA
8 ~.(.'.'.'.
, ,
- ..
, -...
-0
'I
-0
5'=
"0
o
S-
o
~
..
o
.c
e
c
.
1
\
s
fA
.- ~ ..~
il\NCP$iS
\8os-a;-.sU\
'88cg~~$
-,"11"'0
o f-
S _a
"'0':< .'~
o .~ eo.
i8:D
~<.
0.--
c::--
.. . ::0............1..........
E~
.,' .
!i
!....'i
.:E ..::..
-ne..
c:5
li
~.."\.
g
~
a
'$
i
~
.e,.
.
-'
o
o
,
l
t\~
t:t9>
......J.
.t:..~
$\'6
I:!
l-~
~~
..
-n~~3
a.O~U)'
(l)3Q-~
.~ @-. 0. n'l
'-. ... -,:~
S~~3
~\~~
t~~.i
3g.~~
3g.S"~
Q!Q)cocP
~,.:; , ' .~ ..~
\'1~
i ~Jl \t
a ~ '-\ u.
~'80 ~
6.'~ e ~.
-~...,..,. .~
16'~ 'i~.
~..0 :)
e. 'fA"~ -<
:) ~. e g
~="~-
::r.~ ~ -n
(\)ti '::S -'
~i~\
'g.~' .a...'-~
331%
!f 9L.;B.c:
~\~i
9-0 s 0"
Ul.~..."- .~.."",
v.~'o~
""fl: er _:$
~ . fPu.. ~ "0
~ -~ a t\
.....';1. ~A =.
~a."~... i. .
~3~-
I a(\)'
:Pa' g .,~
.~ ~. so (\)
.'.g;' (') .;; .~
'T\ 0 -\ "0
o~O)(\)
30' ')C..'-<'
~i-i~
~~\!
@!S S' ;$
$ ........-.
..~....~..............m.....~i.. ....
J ,"5' iii.
~.~..&-
a~'i.
.:~~i
~~S~
"'" ~_ to
"'~ ., ,..... -
.' . ~~. ~. .-.
~1d)2;"
~9~~
@:"9;e -'
\>> .......~ -::t.
~~.~~
~~3~
.;..-(1)-
a'~ -'
at:'..fA
i\~
~(I)
l
'CIa
,
a
,
i .\~
-
....
.
I'
I"
0,
.
I
..
tls
~
...
.m
s
...
.fJ't
~
(1\
1
:.....
~
Ii
tl
,
5
="1
\t
.fJ't
~
-a
-0
~
~
\
~t
-c
"
':;:'"
-
oC;~
~&~
"'0'--
-.,1.. 6.;;!"
pro
r~o
1)00
)>:D~
~ -
o
~
~
.
-.l
N
o
~
;-
-
--
~
:
-
~
~
-'
-
:
:-
:-
:-
::-
-
--
-:::-
~
~
r::-
::::
:
r::-
:
--
-
--
111111
~
.~
~ W ql
~..6. \
~ $
#~.,.
.\
~
<
"
.....
-i
~
0'
o
(J\
o
u>>
~
11>
\
-
~,
--
i~
~..
~.
.-
'" ,.
I"
....
.;
'--
': ,..,.--"" I .. .
" C'.,:; .;;.;' 8" -
" (A ::::= e
s~i ..~ ~
3 'CD
, !..~ ~
it wg i
.. _,0 g .
It ~i . C!.
, ~_.- ~ '8 i
-' 6'
'- ~ \i.
~
, -8 (It
-
a (,)
, i ~
wg
0 0
i ... "'~".."
~ OJ'~
... ~C?"&
-
, t~~
;" Ul ~
S$s
(J)U\3
. .\
c:...-I-< m o-t"Tl ~'.~ OJ Il~
~g,o ~ :Till ~ ~
I\)~s A. I>> ::J CD :T::a:-
5' ~" .... Q. -.::J
8 ~"8 G ell!!. ~. 0 ::J a c:
I :J --
en~" d: < =.....-1 II>> ::s - ..
- ~
o'~'~ C :r.~";( 's ~ "ti~
D> ~
~_o . <() ~ C
... () CD 0 .
I\)~o . !4!t::r CD i
. l:
OCD3 9- 3.!'1 ::r
ofn3 CD - CD
enoor i 3,20: 9- .
~ fit <0- c- .
~ 0" 1>>.(1) I>> -
0 :J W C- D) ::s :a
d: fit ~ CD ~
. ':';':7- ;- .... 1i"
o.!. - 0
~ C II>> =
CD -
::!.CD
8. 0
...
-.
0
1 ~ .. <
t P.!
i ~.~ I\) m co~ .,
-
en 0'-" 0);.1\) I
~ .. <0 0-"0) :-.J.Y'
CD i N O!<>> co <II
0 ... 0 01\) I\) 0
o
8
.-
-II
I
I
I
~.
~
11
-
o
~
g"
o
8
..
I\)
Co)
i
~"."
qt-
11__
"U -<5
o :0.
;I...... o. ....-.
cr-:u
=~!L
o CD' ::;-
<..~"..
. :03
c'~..'.
. ,.a.
o
.-
CD
8
o
~
~
~
i
.....
"'lJ
~
CD
1'to
NO)
~.~
=..~.
ig'~
o
00
i '.:::l
~~
bOD
(DC,.)
~i
!!. '.;!
<<."j'
".-
C5"
it
II
~
:,'1:
i;
..
f<;' '
t),';;
I,,::;;,
", .w
a
N
tD
4f
~
.CO
eft .
en
~
HI.
$.
-"
en.
Co.
co.
<1l.
:....
-"
..
-"
-....
b
00
Of)
i\)
(,.)
r
!,
-<
Ii
.
~aa:;l
i. ..0 CD -.
::J::Jen
:::10.-
. a CD ~
-< .... 0. tn
c:'. :; a"S
.., '~.'" 3
~iil~
...........o...,i.. :0.
!::JCSCD
39. '8
3-a::l
~ i~ en
~<O" ~--~.
S~TI~
S(1)~~
33CDN
CI)'CD:(/).CD
~. a... en
-. ...... s:P
! '8 0 g,
a.'~ Pl. :C'
!'-~;,i: ~
m.U)~,<
::J'C, cO
n.. c
S::::r~..,
::::r.;:;+ ;::;: ."
CI),(D::::r -.
::l3.' .i
(>>.(I)Ss:
5&--6'. ~..
.., '~,"'I ~
3. CD., -'.0
en .e!.. ::J
",' '..fQ"'coc
. '-'0.. CD''<. '. =.. .......
c: a.: 0 en
g.co Eict
rA",~e ~
Ti: cr ..,."-
0.....(1). 'm:.. "CI
3 .~E'm.
....=-3...
~o :!h~
u>3'i ~.
la-.
::00.3 :E
2! ':).p) CD
.~.. . """"'J
." 8' PJ 0
o '!4:. ....1
30'. .~...,-<
c.n..,mJ;) g
..cnCD_
.:i...~."8. ::J
~ "a. a. Q.
~Et~ ==
.~~,;.i;ii.
........ .i..,..~...>.'......~ar...........-q
- ~ Ro..E
! .CDi:-
.. c::!.ii 5
~ea.~
CD~ :r ~
~. lA;"m
_.',:.-1"~... :.r..t..-
.-3.. ..m......... CD... '. .'f..' ....
~3fg.
s;t.l"~'::J
-CD...... '.o;:;iO -..:C> -.
_.~~.
8'~... 3
~. ~'.. .;S'..~
';;""(1) _
OVT -.
3cen
,,;~a
c:S....
!:3
~CD
'<;I,
at
.:...,..a...............................
.,
...
CJ)
=r
.~ 8' .'^
~ VI
CD . .~
3 a. ,c:-
<.nUl
o Q 0
~ '#- ~
.I
,~
=
=-
-
-
-
-
-
-
-
-
-
o.....cn
l>~-<
3:0)~
"'lJ.....-
'-:1. 5 ';!"
Fr-O
r-""o
"'lJ-<O
)>oz
.-:D-t
...., -
o
.-
.-
I
....,
N
o
1
......
tal
~
ct
....
o
i
~
--
~~
:1
;,~
:!C
~
.:;.
-
-
-
-
-
-
-
-
-
~
01
o
(J\
o
w
...
..
"t
-
-
-
-
-
=
......
,. .
'~-."" -2'~:S' .... W". .=~ ~- "
I' . (Il.= ::s 0
8 -I::J c: !
S>>
.. 3-'- -<
.. CD3 .....
I ~> I\) :a
CDc: 0 I
fill <S' ~
It (;'
CD3 !.
at
I -p.~~ !. '. 'S" 3" "".,
! ~ CD .
CD ',3 ::I
- CD cr
I "0 .- flit
::T ...
0 t.) ~
0 ::s -" .
:r CD I\) "
a 0
0 e
'j' p.:t... :i;'
.. co co
00"
.. 00es:
. tntCD .....
I .,. -
~ .~
0) <1l .
~g:8
C>><1l3
. .I
'...............\.. ........ .......'\lC. ........
a..o
!...C
~l!l ...
iC~.-- '. .~
....,.
CH ..
:I ..
Q. S
--
t=
.... ...... ...~......
ft....'.
o.
c ."
:I.
....
S
ea
'.~.
...~.J.. .~. g I -,
.,,11 :3 -. 5
:r.~';i (/I ::s .
~'n. S>> ~.
: ,'"'''''. g. ~ ,.
;~..;...::...:; < .'~~"
...:: '::$ . ~ ...
..,~ 8 E 0
IJ;i !!t. CD C
d:;'9 Y' i !
...... -:r
".,,\a, " g. ·
"........[...~... t rv- i
~>i ~ :.. ~
,< w'-'
i :a
(/I
~-
Sl-
r:~
Ot~
it.~.....I,fE.
.:::i CI> ~ -
.J k
og"
In o'
;~i
m ~.'.~
~ ~~
in vi'"
~
o
:JJ
s.n ~-t
'cr.... Q..O
'l'~ it
~..~.~.s
_ 5. "~'~
9~;~'.R'
~5':Sa.
i0'8:-
33E
~. ~..
~~rrt
:1 ::s .-
~~'i
i '0. 0-
:-< ~:
ii
~". :r.
. i
Q;, Ot
ii
~;
.'f
i~
a'
il
w,~
~il
'_ s.
~> 'ct-
l'~'
i~
p.c:
'!l.'.
Q.
::r-
,
,,'%.'!'"
~I'
1>-
~:<1S
!:
c'
~
~
'f
::s
~
~
o'
i
~
-
~l
if!
il
~i
!o
s~
.""
iil
e-......
,~
.
iif.
it
.it
Ii'
. ca..
;-
cri'
""It
0;
:it
.... ~
"'I~
>...........\...
,... i...
.)...............~i..;.......................
'e..
-
~'P
i:"'4'
~i
~a
.i
8.~
0;:;;
ai
o lit
..(Q:
~i
d1:r
ii'
~:z
0"
l~
.~
~.i.....
:fa
:;
Ira.
itl
2-"
~ii~
2.~
i~
l(J)'
c:-C:
,3
.!
"8~
(oi:
'5
-
-:.
A
,
~
~~
:~
;-'~
~g
~i;
.:
"'.....
";
~..
1r
""
;:s'
2-
g:
'"""0
~
~.
~.
'<
g.
~
-EIt
~
Ii ~ l ..-,..
'~8'~
-n"'T\
'"'" , ^
~
o
~
-Q'
i\
C)-.
a
.
r
a
:I
iJ"
~
~
~
i
..............
i~~
i:....~
!
~
'0 -t -,
,... ...~.. ;,.
..'..':.;,:<0:..... .'.:2i.ri'.i;i.-
;','U~.li" ..
;l~~lle ·
;" ,I.
..~.,,~~.-.
U)~
'1-#
w'
:!.
~
o
.-.
.-.
CD
8
o
m*
~ Utili i' .\-.
..;a..Ut ..
:....t:"
NO
w.
~.
~ . ...\........
>(7)
(J).
I\l
....
U)
..
~U)
.0)
~.~.
0-"'&
.- .' .~ KI-
0
~ 0
\cr
....
N ~
0
0 ,-
0) .-
..
-0
8
ell
S-
ell
....
(,,)
....
~
0)
It
1
..
l
I
:s
.~
5
!it
5'
1
~.
it
-
!P
8
A
s
t~
l~
ir$
()
11:'1111
(J)
:r
~ g W
3 Q. '?:'
-0
c!
CD
'"
n
.-
~~-EIt
.........0')
G(,,)(J)
co....(J)
:"N'~
_CD1\)
CP
~ ~ ~ I
....-EIt
~"~ !i
CD -.' ~
~ i!_'
t.? .~ I~ ,.,
!t
....a
1
N
y' .
...::~....:.'"
i
~.
0 ~ OCRlz
~ .-00
~~I:
I'\,) (J)-4~
I i ;&.--
Z
II S' UI
. 01
- 0 ~9.
- 0
I 3 ~i
- e
ii m ~~
- .. zl
ii ..
::I
ill ii. in
. ~
-
I 0
:0
.
-
0 .
~
0 en 'S
r
CJ) 3: .!it
~ ~ c
.~
Q.
Z
N ..... c
~ ..... i
(,,) ~
....
'::J
-.,i 'i-
0
~ ;:~
0 .9.
0
Co)
0
.,.
~
::
. -fit
at ~
~ i\)
w w
<n i'
ell
..... :"1
~ II
0)
"'D
-fit Ii
~ !tl
'",
Co Is
.....
fit i
<n I
~
.,..
""0 ..... .
~ ~ I
.,.. ii'
CD
a
<n
fit
(J1 rot
t 0, ,.Ir
0) :A:C
p ~-
:... iia
m .0 -I -1m 1'1
:I..=r ; ; .8' .
A..'''. .' :J.::J _.' .'
s~. a. =5 .
~ _ CD. .... _,
l':r vii ii':cif""
-. ....-. .O".::J <"8
I: :::SCD (\\
e...< ..!7..' 0 ..=-
CD ~ oc:
-. !4-. .CD. . .......f4.. '. CD C
. '.' CD _ .:1;
O. 3 ':;).'" ....11>> ..
....~ -n....0". n .-
~'.' '.- 5:. .....:.i>>.......~....:..... '. ....
< CD ,a. c:... i;....
su-ijjs>>
_ ::a:' ...-c .
:ii' i~"""lr
c).. ~..
g CD- . ....~
j-
~. ..... .t;
CD UI 'i.>> '. .' . 'W
eft (j)................
o UI (J) O'CD
(,.) .~ m oN
.. ..... I\) 0 .....
<,
0....-1 z
~ ...:J .,-",
o . :,;e.'. i:;r:~," .
~ ~...i
:::so.
ft.:i-: "'I~:"
&::,;.;.~.::.....:....
-:, ,.
lii-
II
~'-
...
I:
i.
.
h:
,..-
OJ:
0,:
C/
:lZ
..;
Ilto)..
~.
''"I' . '7';.,-
.1;
m:"
~.-
o
o.
I
':.'''7-
u".
C/);
'~-:
<
>'
o
Cl:
M
~~;'
.
tPa:~;i
::J 0 (1) -.
Q,"""IOCh
030.-
. ....."'0
~ '~~'.Ci. (0
o.o._~
c..:;] 0 .3
"""1'(1) ~
-d)-(1)
.~.,.,.~...~ a
I!::sJl! .JJ
3Q. o.g
~...-.~ S:. ~
'~= c00
~'.'~ '.C
en' t,,~: .3
-.............a.....~...3
1(1)0' .~
~......3 Ch'. f\J'
~(I)m(l)
iiii' . t})
~'. .-.'~ ,..;} .~
Q;...,.......::Si.. '~<'-
:M....U;~
2:'1:;..... ~
~i~.:r
!!.<h _~'. .'<
::s-.g ..' c:g
2;:T ~.'. ~
:7';:;:=:;:."
d)co::r -,
~",:::a ..;,..,~
tl'.:1<~;~ .
ct.J~:''1).'".su
3'i![R
0~>5',o
7_,;S1,.rp)~'" '.
"I!'.;!~'>i
()........,'...-. ............c.... ......-. .'.
::r,(O."""I 0
.. ,,-.m:-.......- ......
iiI.>~$ii>:'
"6"~i
o 0"S!L"O
3. ",.'!!.' ~."...".'~.." ..........'~. '..' .....
-.3. in: ~
o () '. -' ....-<
'~..' ......3.......,...~......-....m...
,., 81" CD :"
,:J::.~<
~5i!~ '0;
i~~8,..At-g
,'~en ...~:"Q
;rg-t; '.~\~
$C. .......=.-... .....:..!R.......:O.. '..-....f............ ....
(008 . _.
$>>. a """I R
-i~~.#
;(i~~(J)1
.'a'i-"
_...l!........~..i..2'. .
.'.:&' '. -........ ...'.... .
, .'. · I>>.'i' ..~
,CR .' . .... ()
..;2.""" ". .' ~
!if ftt:::;. ~
--.>;".x ..;... \11
I'i;; .. !a;:"
"R ~.. d)A
.ii-~~
CI)_c 5.
'~S~~,
CD 3-f ~
.. ~'. -....... .~
';"'CD=a:
OCh -.
3ccn
.".:S ~
c: ai" .....
m.3
~.~
P>
i
;'...._.........:'........'...........'.-::.':............'.................'..:.:......:...i..l............................'..............
....r
'. .'. ~
..'.
.:;:
0
::I- W
.!. a:J
CD 0
.... :J 0
3 0- "
.....
Q Q ~
.r J
I I
=
-
-
-
-
-
-
-
-
-
-
=
-
-
-
-
-
-
-
-
l
-
-
-
-
-
-
-
-
-
O...L(J)<
)>00-<-
::;p'~r~
"'i:'==-ffi
:cO)>z
;=.0-1
"00
-0-<00
)>ozz
.....:D-f-f
..... --
o
.....
.....
.....,
it
o
I
\
P\1
~
ct
I-'
o
1
..
..,
.~
;1:
:t
I
w
U'I
t-&
W
t-&
...:J
...
...:J
'":-....~ ...
.:-:.:.::;;.::"
0"'0 c:... !
'C >:J s>>
8 (h. = ::J
c: a
3~i s>>
-<
-3 ..... -
q,1; I\) :I
CDs. 0 =
~2 0
0)
-ii' iIJ;--- -., -
0 ..
8- ~ a
.... CD .
CD 3 ~
-3 CT
CD ..
=r ...
0 w I
::J .-.
. I\) ..
i 0'
:l
OOC)D
88-n
I I a:
~t!:
O)u.~
~~g
ii' ~~~
.
--.-"
.,.........
-0
c8
CD
f\)
'S:
UI
--~
-
~I
~a
i~......\
Is
.' ...
i\
;"
'n
...
,0.
:I
'a
".
.,'If" .
-.
..-
',fit
(I)
-0
)>
~.
';p-
z
~
<:)
2'
o
~
2
~.
m
~
o
:0
o
r
)>
(J)
(I) . ,. "
'-a'
...
;::r
Q..
~ ~...~ ~~~$
:i
m :0 -0 :od tJl
z _ _"'~""C .-::::::m
o Z z .;;~u:o S"::: G>
Z o<'o~o <02
G> m m .,~;(I) :l: 1 :~z
tJl )( ~.."'..c<"O'.~.'~ 302
ll- f) O....U1'~I!.'.. ...... :;1]',0 m ~ :0 (i)
r- 0 :D o.'rn:J: ~ m ...
)> . 0 O,"{r' ~" 0 '1> ().., """
z Q ..... ::;;'tIP.:: ....17 .....~
,~'z'- 6-,;":"""'lIr;~'>'
m ~. ~ m".:.",:..~..~-m .~.z
-n . xc': .0 0 ~
m
m
','
; ,.::it .".'.
t
T,~.: ..~
~ - (,)
:f' 0) 0 0)
~ ;~ $. ~ ~
~ cO
0) ip'. ... UI
"
i
'.1
j
.4It
0)
0)
b
I\)
i
1
,
J
cD
......
~
-:~
.;).
:~b)
coO)
0) co
~S
~UI '.'0)
o'~'-
bN"~.
00)0)
..A
Qo (It
....... .-t..-....
0)0)0)
~.~ ~
-t
i\
:21....
t
i:-
...
C
:I
ca.
..
-- ~.
,.-~
co
....
',~
.,;:g
..'.~
~
go
....
'ft.'
n
o
c<
:s
..
.f\)
OJ
~...
I
1
<.:
Z
-
m "
~,
0,
o
~
~
o
~
~
5>
o
Q
r"l
~.
I
~
:n
(5
~.,
~
Cf)
o
."
(J)
c:
~
a'
:D
(J)
:E
;;
~ ~
tn i
i ~ -(,)
-
~ t
i;$ :;;. 1<0' ." '. "w
~
-4
...
~~
'."..
~ii
~I
~..
-..
. -
~'
'- !
~
3 0
\ti:
..A
~ ~
."
<::) ...
en
JtII~,
..
0
~
CD ,
~
CD
...
C,,)
-
I\)
(:)
(J)
I Sylvia C. Conti
21-07-006 I
EXHIBIT TO REV -1 5 OO-SCHEDULE E -Cash, Bank Deposits, Misc. Personal Prop.
Jack Giambalvo Motor
1390 Eden Road. York. PA.. 17402
,._ 1_-
~"".....:",. -:C~
January 22, 2007
1846 Holly Drive, Camp Hill, PA., 17011
Dear Sir or Madam:
To Whom It May Concern: The 1998 Buick Century Custom sedan originally owned by Sylvia Conti
anti with seriCl;-nUTnoeI2G4vv'S52iviVvV-i4oG325ila~ i::I p,ivaie pcttiy Itric.irivciiut:" uj'$S~~ou'rilJirdJ~n:tnti
no cents. This value is based upon my 19 years of appraisal experience and current market value of
vehicles in somewhat like condition as the vehicle listed here.
~ ~ c:::z
-~. -"'- "~)'" - ~-.-,.~
R.Sau ~
les Manager
~
I ~~ja~~~o.:~C
Tn"... b ....
- - -_..' .,~~
Sa1es~gero;
~N'TJAc:
r
a~_"c:::1C
l390 Eden Road
Yor1.PA 17402
(7l1) B46-182I mcll42
FAX: (711) 854-5509
:roD Free: 1~73-2501
JS8~vo.COJn
1IIIRaa'
.leeR
ffYIJnoA.
ISU2U
..,~ '.._--~;.~-,~' 4-,: ~.-~' :?f! '-"~-"~"~'~ .~~~~ ~-~:;~-0:;.')~~;,}~,~'~,:~-~~,:~:;oxf~;tl~~\~~tj~'~r?"~~~~,~;'lP'~~~J'A" -'.' -~- l,'" -..~' ::0;7'~.'''r~1i'----- _-"~.--:i- ,
': ....
~rsonal ~rtY()t.$XLVIIJ Cu{...)1i /Yl(~ /fOLLY /)(2.,
Appraised by Chuck E.. Bricker
ITEM
C'- . ..f<...
'fZ>'. "D t3 U
{j,. ,.!
APPRAISAL
, ..\
-\.
.
1..-
'V,
I Sylvia C. Conti · '11\ 21-07 -0006
Sylvia C. Conti - Members 1st Federal Credit Union Account # 106363
~ Date Withdrawal Deposits Balance Transaction Description
Checking 12/24/06 200.24
12/28/06 (24.00) Slim Time - ACH
12131106 176.24
Regular Savings 12/24/06 78.13
12/31/06 0.16 Deposit - Dividend 1.0000%
12131106 78.29
Holiday Club 12/24/06 90.08
12/31/06 0.08 Deposit - Dividend 1.050%
12/31/06 90.16
Money Mangement 12/24/06 9950.38
12/31/06 (167.76) 9,782.62 Withdrawal- VISA Payment
12/31/06 16.72 9,799.34 Deposit - Dividend Tiered Rate
CD due 9/4/07 12/24/06 15,121.59
12/31/06 66.53 Deposit - Dividend 5.180%
12/31/06 15,188.12
CD due 5/29/07 12/24/06 5,107.73
12/31/06 21.82 Deposit - Dividend 5.030%
12/31/06 5,129.55
EXHIBIT TO REV -1500 - SCHEDULE F- Jointly Owned Property
Send.lnq~ires 10:
5000 Louise Drive
PO Box 40
Mecharllcsburg, PA 17055
www.members1st.org
Main Switchboard: (717) 697-1161 or (800) 283-2328
EZ Call: (717) 697-4372 or (800) 283-4372
TOO: (717) 697-5312 or (800) 263-2328 ext. 5312
TeleBranch: (717) 795-6049 or (600) 237.7288
Statement of Accounts
Dec 25, 2006 thru Jan 24, 2007
Account Number:
106363
Account Balances at a Glance:
Checking: 554.92
Savings: 121.63
Certificates': 20,317.67
Loans: 0.00
Money Management: 8,799.34
_EMBERS 1st
FEDERAL CREDIT UNION
21426 1 AV 0.293 73940-21426
11.1111...11111...111111..1.1..111..1..111.1..1.11.1..1.1.1111
SYLVIA C CONTI
C/O KATHY CONTI
38 PRIVET DRIVE
ETTERS PA 17319
------
-
-
.
-
=
-
-
---
Page: 1 of 3
Your current Member Loyalty Reward level is Gold
Beginning in February, we will be adding additional security enhancements to
Members 1 st Online. Please read the enclosed insert for additional
information.
CHECKING ACCOtJ.NTS
11 - CHECKING' .
Date
Dee 25
Dee 28
Jan.02
Jan02
Jan'Q4
Jan 04
JanOS
JanOS
Jan 09
Jan 09
Jan 09
Jan 10
Jan 10
Jan 11
Jan 16
Jan 18
Jan .20
Jan 22
Jan 23
Jan 23
Jan 23
Jan 24
Jan 24
. :. '. ~ " :":. .:- -",:, - ':: " . .':',", .
. -, - '; '. ~
Transaction Descn~tiOn' Additions
E#/iince' Fo,.",iiii1;.?"; ..... .
Joint ..owner:.~Jttit',~CQNTI
VVithdra~!.~~.~:~\1,f,~M,;,:l1IMr= .: ". .'. ... ... ... .......... > ...... . ....
, ....... ...... 'TYPE:B1~"" i~'1:2f)"ID:1710918619DATA:TEL #800:-923;.8651
q~p()~it mr~r1~f:" . ::~~fiiq~~pe\oo .
li):~t)qsit Tr~n~~ . ,"r,t1:0'~~~re 00
~~P.9sit'm(~_p:~..9tm::'~9c:lre ..' 05
Wi1f;1drc:l\'VCI.L:]h f.',;:\:,,:.- . .... . . ....d ..........
"': ..'to:'M~- "~~~A!:,1XXXXX:><XXXXSbaret1
g~b~~:"gg;~:~~;~itat~'m;}~l~I=~ {......... ... '.' ......> '. .
.....proces~~Et.:'qH~9k:.:'.",A.T &T Cons'Th.rn.~r
,- -TYii~T^~~'g'S~~f.;YMT' 10: 111 f(;11111
Check 001852 Tracer ()()2t?906759 "'
Processe;cJ'C~ecK:-VERIZo'N ARC\,
TYPE :qIjECKPYMT 10 ::20050??~1
Check 001851 Tracer0109Q07165 " ..
Check 001856 Tracer 01.09001260
Chec~.. 001850,'Tr~~erq1'1.0001232
Check,. OQ1~Tr~cerQ.11Q018776
WithcirGlY@I'T[c:l~:;.ferTo..$bare. 00
chec~ ,()()1~TfC3~E!r..ot1~.1'~~..-"r'"
. Check . oo1~Tr~.~er()t18q~. i;}-;. '
Deposit't>Y.:'e.t:leck" : ...... . .. . .... \~.,:-:,~..,:;"..;.;,
Check 0018Q3Jra(;er'012201?~60'
<:heckOQ1861Tracet 0123()(){)561
Check 001862 Tracer 0123005696
Check 001859 Tracer 0123011753
Check' oo186QTracer 0022253958
ProcessedCheck- LOWES/GEMS :\
TYPE:CHECKPAYMT 10: 0818200406
Ending Ba/ance
2006 Dividends' Paid T'
Balar'l~"
"'i~O(j~r~~:'.
SubtractiOns
,;.";,'
'13,08-
55.00-
47;81-
8T~ pO':
119.21-
7~5Q-
157.02~
?9.:.15'-
59~~~-
66.92-
90.00-
100;00-
::~:1.p?
'7'r.E5' .:pp
..'7:~~,,~~~
~..~.~:~[g~
{ 531.;:97
'1~1
~?:,1'r'~
a:1;1.,8,4 ..
144':92
654.92
554;92
554.92
0.00
-11' "",\,:,,',,,1\,,:, st",
" ,''',~ ",
. .... : " .
MEMBERs."
fU)U.ALOEDIT '-:0"
Send Inquires to:
5000 Louise Drive
PO Box 40
Mechanlcsburg, PA 17055
www.members1st.org
Main Switchboard: (717) 697,1161 or (800) 263-2328
EZ Call: (717) 697-4372 or (800) 263-4372
TOO: (717) 697-5312 or (800) 283-2328 ext. 5312
TeleBranch: (717) 795-6049 or (800) 237-7268
73941-21&26
Dee 25, 2006 thru Jan 24, 2007
Account Number: 106363
Page: 2 of 3
CHECK SUMMARY
Check #
001850
001.851
001852
001853
_ 001a54
.., 001~
. .".()(1~:&56
~;:.,
"
Amount
47.81
13.08
26.17
20.03
127.50
87.50
Cheek #
001857
001858
001859
001860
001861
001862
001863
Amount
7.50
157.02
90.00
100.00
59.61
66.92
29.1~
· fvl~
MEMBERS t"
fDJEAAl CRIDIT IIIION
Send Inquires to:
5000 Louise Drive
PO Box 40
Mechanlcsburg, PA 17055
www.memberslst.org
Main Switchboard: (717) 697-1161 or (800) 283-2328
EZ Call: (717) 697-4372 or (800) 283-4372
TOO: (717) 697-5312 or (800) 283-2328 ext. 5312
TeleBranch: (717) 795-6049 or (800) 237-7288
739.2-21'26
Dee 25, 2006 thru Jan 24, 2007
Account Number: 106363
Page: 3 of 3
Date Transaction Description
Dec 31 Deposit Dividend 5.180010
Annual Percentage Yield Earned 5.B()(/}{' from 12/01/2006 through 12/31/2006
Jan 24 Ending Balance
2006 Dividends Paid
Additions
66.53
Subtractions
Balance
15,188.12
15,'188.12
188.12
46 - 11 MONTH. CERT Maturity Date - May 29, 2007
Date TransactiOn Description
Dee 25 Balance Forward
Jonl! OWner : KATHY CONTI
Dec 31 Deposit Dividend 5.030%
Annual Percentage Yield Earned 5. 15ox, from 12/01/2006 through 12/31/2006
Jan 24 Ending Balance
2fJ06. Dividends Paid
Additions
Subtractions
21.82
'."(.
....
..
I Sylvia C. Conti
21-07-006 I
EXHIBIT TO REV-1500-SCHEDULE G - Inter-Vivos Transfers
C~TtI OF. J'''liHSVL~1''
llfPJIlRl..",lU C.lI IlrVnn.lf:
"U8E1IW OF )NllIYlOOt<L IAUs.:
OC\" \'. :l&N.u
'1.'1tIlt~...lftl;.. FA H'lZ$-Q.'U
*'
INFOR"ATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO.2l 07-000'
ACH 07111300
DATE 03~ 1'-2007
&:<r-..... un..........'
~
EST. OF SVl Y IACOIilTl
S.S"
DATE
,comn
TYPE OF ACCOOtIT
fiJ.~i\.~.s.
DCHEUIH(;
o TRtUn
o l;EJtll;f.
.1 FOR"'S TI)"
Ii <II KA HI Y CO"l r
~8 PR!VET PH
IttTERS PA U~19
n "'Oust
.3
I1EI'I&ERS,t.STFClJ ,,4$0 1/.lf<IW..... u... n.."I'Ir-t.Dt....... tMJnl~j... Us;tfltlelOifHfridi ....~"dl.... in.. lift
".h'1l~"':t,.~ ..",-~-"J") '~.. :..... .Tbt>1r ...r.(lo~i~ Uiill..lit~. .s.atll.t .I:h""bq,v"'~" .)<"""~:.:foh.\..lli.rl....;j<<l~iU')'.;1'
tt1i$3CCOlIM ,U'Y" ,..1.. t"hiM__.l2~. h ..~~. ....,,$Il '. ob-~~'''liI'f'lUM~uM-..et:i_ ftft .t:.1.. . ~i~...~~~~t*:lJ'i!(sl'h.'=~~ '!It'~..
~: .tttt:t f~f'1J ..~...,ttiN'.1t.t~~Iw......... iltldrll.". n....c~Ilt.l~t_~h .1ti'IK,(;"l"dia~", If.>>tiiU.....tnh.....1:_I. t:""",. ;t'\' ..t.- ~~l1hl1tl,.
...il"'I"mwh~ld.",,~:>;ti.ot'lo .....\# b.\I__....... .10)1' 0:.-.\1...... t,.; n l:1l1,'O~:i!7,
COHP"UEPARl 1 BEL.,. .. ~.SE'E REVE:JtSE;~.Jnl; F($ FIt.,lH4i AltO;'AYftt:IIT UISTIlUClIQ.."S
~~tQ
\!,.,,.l i ,11<trJ.t
iOwOS.200b
'..1."",," .,..,..r ..tr...~tt t.ViiIIOVI' ~calU>t. t".
,7.)(......P..~ ., Ul15Mtit.:_"",t. :li<<-P.llIIlI.....
"M"'I' . t".~.... ""~""~III" a:f1t~t.'j:" ....'"(tw.!c;~
l'l2.'ttllll.w to<~ 4t..hlti.. .uffifdl:!L.A;pl!l"t".
P'AA
[!]
:1('
'>.81.6.0&
ImD.OB
'.r~n~. 0"
.b~5
-3l16.1'~
TAXPA'f~t ...R~S~
_lIIfI'fflJ .u t_'~$ lJ.t'i1 ....;,,)j,t1!Ui..hr..
l:$J.tlllt,,"'S ~. .'~.fi~..d.~t.~ ....... ~f......t~.
ltW._lt.~t ..s;r.dl"'t:lIW'llWlt'lib!ot~ dIi.,
NtI l:nh.r"t~ ~.. !IQ.llU.l~4",11tl~llilM
"''''''' ", .Itf\"~" ..ft'+r ~.et4te.r...ttI.
x
[... -.. .'. c.l.f.Ee~ ..]"".
.ONE
.L;QCk
GNlY
A. D ........... ,tlll_b- attd ."Mi. dl;tJ.l,t~ W''',.,l,';t,
. . 1."" .>a'''~~. NllI!~.tP"'''.'*t.. 1.... 1Il.~1:stIJi" .f ."'iU=-",iUj!t-jill-=-i"'. ..* . l.hi 'I . _t:1!~ te . l)I.iltdtl
.~ "')$c;~~nt M' .".MI' Uttlu'o~t. . '""''hill' ....d,.~ .1HHc' "'11,'" ......r..'tIlr.:Ilt"h ..wt).ulC> t.M~bht'of
"';1 ~ .,..,,1)" "'" ,.rr'j(S-lil b".::ili::li"'!ll\l yUl .... ...."""'d b?.. t... "'" 1I.,.,......,,,,t .t. ~fJofiU".
Ii- O.n........sllillth_...... for "'UJ"il!,..~1;U Ntll t;'j("";t~ 'Io"ilUi UHio"lolflt:lJll'f'.i.ld1R,"-at_ ... !".~~Irl\
\11'. ....#iI.h'd;fl)' lh. .~t"" r#prl!J;~"!'IIt,.UV>t; . .
~, 0 TIW ........ UlflU'Ilhltiltftn. i~lal;'r'f1itilll'\4ll1r .....t."""Il.,t!~Jo;'t:l...,. IH<,,* ~il1"lW_"
y~ _1<\_l..h J'Ail''1 m ........rVlI'" !"ART m "1~.
1"Ml1 IflflMJ1n'U~1&tu :>> lfUf':(..;...nt lJl~r..t(>. Pl...'ll~. ~';Jt.."O"i!'
~ '. .... ,.(tblt~O~h'J~'~ ~~~lhJtt1._"<_
TAx"~tUlfil"'CO.PujA'TI'O" 'oJ:" T.'X(JH;J,OJ"'Tml1~I ACCOtJlt1'$
UN~.t. tlat.E:Sitillbb.......1l t
~. .~ll;~!O""t. ~.,hln4\'. :i!'
$. F.~'."~ Tax~bl. 3 X
fl. Mi)untSubj.~t to TA:.'; 4
S. QiIobt.. ..hd O.dl.l~t::h..~t.' ~
,;tRT
f!I
DATE PAl.,
n~.T$ MlJl DEllIICT.lOH$
+. ARount T4X~b1o
1. f.x R,.t.
.. Y..:w Ilu.
i
I X
I
PA.Vl;E
DEscftlrrIO~
AttOlJ...rPAID
I
.
I
fOrAl (EAter 'ODl.I.l\eS of 'To Co.~t.ti;(ial
UIIH14t". p..unil.1U_,.. af p..rJlilt''ll. l. "'et;l:ar.. .ltbttb<i 1\:.'c;t$ I ":IIi"'4- .....poor.te.. .-bo'll'. ...... t..",,,.. E;:go",,,,etrt:.a'''l
f::lIllQal.4it.t 'tot... b..",t' tlf ..,rtnoW'1.4u:hJ4t ~:tnod beU.l'..
!!!f!L",''''~ ,
WORt ( )
TEU;PHIlt.l~""".Erc
iAX'A~RSIGNA.TURE
. DArE
.
..
~ Tit -OF !'El\td;'f"YAMlA
~'Of:Kl"Vr.:1UlI(
111.11\11 (lIf.P,ltIIVlOOAl fAn:'::
~L~'~
IU'dUW..UR'G.. """ 11128"'001
*
I HFO.RMATI ON NOT I CE
AND
TAXPAYER ResPOHSE
FiLE NO. 21 07-000'"
ACH 61111299
DATE o.~-16-2tl01
tI!C'Y .1;~t. D....... r"lrP--I_Wl
EST. OF SYLVIA C.ONTI
S
I'
(
riPE OF APCQUJH
o S:i\VI"-'-S
[J~~IM6
o tRYST'
!i1CERTJ'F-
.1 AMI> FO.JlItS 'To:
:tLS
COURT HOUS.~
17013
kAlKY CONTI
.$8~1it tVET DR
ETTER:S PA ],7319
HEM_ERSl $TFCl1 ~'" Pif+'i'lded thil ~!I"od"'~ \o! .ththOi~rM_;iH"'lid.jrh<>l"'!O!lbldlha~ iw".. ........
..~.""l~'ti". t~<..t:_t1i11 1_...... n..jr "~CM'.S .~if.:9t11\Ii"1 30\ .~. .1t'4tb of thit ......tkOcl!lIl!<nt;. 1I....Mtb.jlJi(lt........./~tltij.,.:",.1'
UOh. JlI~.!l~. It .'.~ '.tl 't!lt51J!tr+11lI4tiU!'.. i$'~JK!t. .'. pbn'l "'U.b)w..ltbll,c:.~tt+A rl'N1. tt~ . fil..,....:i..i~.,.'h~~~,,~uill(,'fi... ...~.
h,.UJi:aiwr..- .~. -oo.nn ti;tM .........,.ddt-II..'h.. ',,)J; "':I}Cwntis ~... .1;1'1 .IICc....~.. "'1(1\ tb* tflft"Ht~ 1". I.,.'J: .rw.c~tlll
..t~...h~~",,_. . .~..it~ .".... -l.*MI.~ lilt o:;~ll"..<71n7a1"~I.
COMPLflEPART 1.iet:o" ca. 1'.SEER,n(Jt$~$.t'VE:F~ftIl.;r"'AMJ:)PA'WlEtlTIH~T...(TION$
,D!ih lO,;o5-'~iftl' TiI,l;fbunF~r~!".dlt~. WilI"a@lIilnt,".....
t:1tt~U $lllildU), o;UIf,""'''''''' \,,':I'\<:ft(,ltt.....,.t~....,llnit Y/M!'
'll....."t t.. tlwt 1tti(t1~tlIr- ...( 'flUs. . ft_. t'..h.'ll';t
""""~11.> 't(!of ~htiJr at' V..)b.At!....t:....
x
l' >.25th&:S
1. O'()~'O "
15:, 2~.6!5'
. 0...'
.~~,.~r-
T~4tfER~Ejt!."..
"*'11:: It tilJlf ~ts ill".. ......",iUtb,lhr-a..
~n .anthl':M Uw ~('C!ol.l.nt'-$.t:...f;fj.atti.
""" ~~~.(t.t~t.. SIt db~...il...t crl~ ..~~...
M,l,ftti...l tollne- . ~ ..... "'.11b4;t~.. ~JiMti.r.t
Ill.... '(9l-wo.nu... ._tlN" ......dort..Q1 ....u..
x
'iWi"'
(!J
.\. 0 Thai ........ :i...t.....~h"""' ...., t-lll( dil... b 'l:1M NIoI::l"
. . L "-ILWJ'<<:bllll~/tt.~RfI.lrI)t t.tlR "'Dht~rn:t"tth ",It" tMo ,(W..~..f \..i,.n..h....t.~:f~
~. "t~t or ~'O-...I.~d.a... V-'.:~ ~~ )'r.!~..A";N '*t...mthh<"L.~t~~(l.....i$1;'" .t
w:nls :.fol.'lCI ijr, c.fU;:.i... ........_..nt 'M'tll .....~!tWll" tnI ttl-ll P1l~._1tI11;,".~...
t. Olhpil~ ~~t"(l!lbllll~ oM' rdU ,.,., r"!l"!.Wt._~ t....pl'l:lll ..tthU.. ~.lltlltlUfl.i I~'Jl.oIl:. l....rllhlt.a
lu.llllf .:.l~lIIlr .~l!'4iJ.l;ROO~'t. ~ r..I...,.liflt..U.....
[ CNet~J'~"".'
'OHE
... .LQCK
'DNLY:
C. O.~tMl..iI.liiJ~1I.1ftf....~j_... ". tM~<<'f;<<tal\dlllr....dilibl"'~ ci..dudilllt" v...,... H;"'_~(l\h
Jf.,._t~....w "....1 W ~+I' PA<<T1!l 1N.1Ilw"
U'>>'blJ irsdili:.I;.. ~ ldii't'.."..n't:'UJlE ~rab'.. phia:l:.$t.'f.. ytt,.,.
iI"*laUo1"*.tatpt'l;! Cf"~.cl.n:t:
PART
00
DATE PAID
~.T$AHD DEt)UCTtOHS' Cl,:At..lED
P^~'f
I!l
TA~.tEm.N '" COIilPUTAT!OH'OF
tDlE,l.. ItoIt~.. ~t..e.1J*"'"," 1
:i... A4;~.t ~l~. 2:
'$. P;"r<:OntT~:lt;;jti1fi ~ X
ii. __tint ,g~J.....t . tc! 'hJ'lIi .\'j
5. llOiJ*'bA'il1<<l hiJv<:Uofls
6. AilGunt. T ~x.abl(t
1. T~:~ RJlrt""
1:1. Jax.Oq4:'
TAX :ONJ~t"Y/r*UST ACCOU"TS
5
~
1 x
8.
PAYEE
nfSCRIPYIOH
AijOtfHT .' PAlD
I
.'
I
TOTAL [EAt.,. 'an t ~n.5i I;Iif. TalC r.;aouut"ation>
. tJl'ld..r p",n4UI.1,l: ;ll't ptirj~ry. I de",l11l'O I.at: u.. f"'C:li I ..~". :reDortC'd4iItDVO at". tru..~ l:ltrrllc:t.,,1f
CI;I"P.l~. tril.t-boCi b4t!it 01' ny know1tidll" a"'td bdl.t_
HOME {o/",,!,_~..
WORK { )
t.ct..Ef'lfDNE Ji4Ulrs..ER
~~~A"ER.'SIG;\'fA.r(J~E
>>At'E
~.
.
l)l.IMJI(Jl8tlilUnI OJ. P{H1U,ytVAKIA
Dl:NitIl'lifHT OF. ~E
DIJRrJUf IIf' ~1lIJI'l{'tR.lN!. TlaJU':$
DEf'T, i!tntl
1~1~1I1l1t1;. r'i\.l n7.ll-lt611:f
-.
IHFO~"ATION NOTICE
AND
T AXPA VERRE.SP:ONSE
FILE NO.. 21 OJ-:-UOtJ6
At" 07111298
narE 0:3.,.16-2.1)07
.""tAM .... ..... 1_ tal
f'
TYPE Of AGCOUHT
o !iAYIHIIlS
o t';:tlfjc~i"(;
o TIroST
[!lCarTIF.
'IT AND FORM& ro~
:lLS
COURT ~{)t.I$e
1701~
J:;ST. OF SVl.VIACONTt
K.ATHY c:mnI
S8P RlVET DR
ETTERS PA 1131?
"Cj"ll(~ l$. Ft.u iN,. .........:l1ft..i t.,.. h",.,.t.w,I. ..i.t" UwJ...t.nmt'..... . I H<'t;'I lI: ~::t:_ ioiIlH-t! 1l"1'bft.lt oriH bl
(.)la:lJl;fiU,.u.. .HIt*nUd t~ .... Ttl,.lf" .....~itKli~..tllt..l.t u.. lilliltll D~~_ __. dlle"dll"~.v_.,..r. ~ .jo~M~~'id.r'V (11
Uti", .c.......l.U>lI'tllljf:ul. t"n JtIU'o...nhnn .,."~_rrpr:~ .pl"",~...tM,;>"'r1 ttl)n ot.....<<u,1)l) . (r" tth1l r 3l11tMDei.ilIlillaU lItUi...hllc:ll Jl i;npy
tG'l:Jlia tQ<<W..... "....UaI"'Ct tl t.. u... .llIlHrr.. IIIlfd,....'I-~._ ~u .nll:t;9lAAt U t~;\"ll) :[1\ ~(;_~. !;Ht, th.it t~iL_. fa L.....~.f UNo C:_albt..i!l.lth.
.r V~.""AAo;:;t... .~t>ii~~ _'J!( M. ~.......",d; .rW.~U",1J ""l~7+1-~7, .
COMPl.ETE P..T 1, BELOW.. ,. SEE REVERSE SInE FOR: FIl.I"" AHDP4V,.afT IItS:r*OertOH$
D.ii!t- Q6-Z9:2006
x
!h 1~2.!)" .~15
10Q~OO
S,l:?'~!)!i
.UftS
:l~~. .Ra
~..""""~P""P..~c~..t>ot'li'~ur l";<:<.-t.. .tlo>6
~;tJ-p~.!I;,," J"'"!l-I/lIII!~lc.....,~.. :o~!;~t#.w
~t" tt!~....js.tff .'t.till:i<l ..~. .choocii;
~.lIN" ",(10, '"(o1J;1:s,t.''' .J"tl,I5 .'-.~/l(t".
E$t;.lJlhlil.c1
x
1
",,'.. lr .~.II~~"''' MIIl'lIIlflitft< t......
'.3). -.t.h!- ..t . tbO).\fll\<~'.d61t.l)f "~.'.
YOll IJ.W. "OO!tlt.llIS;;.i:S~t. til tit_t_...
1i~ . ~""~i::" It.. ..,... ....d...iH:""'!> ~a"","l'Ot
MiMI t;1~t,ft~llttll..t:... ..te<ArlJll~\'"
[. . tHEel. ]
.OHI:
BLOCK
ONLY
: /lo_ t]tblt ~..,..t'IIr,PJtlOft"'.~1iq.bc;~t.
..... .t.'I'....,~"al1"....t":~,t 'l'iJr\IIlll"t .ht~" .~14t.rof.lihlb iIIHt;. .~..<top~q:s. .fUllS .t",~h:vt.""t~1!II
~,.~'mior~o,j";I~t4:l'oiSt. Qr' v," .~. ..~'* .~ ....4" .... ;....t....,. ~Id;l!...lid<l. J","fi"",..t..r...,
W1n$.~ ml oIJff~4'~.$"t;$lIl(!i'lt witl "'1S$il.o1Id bll tlhl.PA~""bi.....ll ~.b...........~
-- 0 th.. ~.n..t hllllt ~"""'~:lUh!l ""P<v+<<4"'4 ~lJ)i:. ""jiJ ..Hit tM. pltoMw:(...~b IMw,.jttih". T.... ,...t.......
- h b..h'''' _ 1:1I'" ""!:lulk",t'.'I' r"'''Il'l''',,.1;..U'll''-.
t. 0 1:.... .1w>.,..-'.......~l:on .b j...".._t . An~.."'~" ~..I!.,'mtt~ ~II'1tN:U' bvvov.
'tDU .....t ___~..". pJIiIJ [!] .....v.... ",AJrI [E)...-.
P....RI
@
tlATE' PAto
DEaTS AHDQiQUCTI:QNS
U'lIdtittl.l:,J:ci'-(4! .-liiJilf.,,..., , hi:i< "-l!~'" !pi"'~lI'.'!:h t<<l''ltO'llf
r.hti'llInshlp :h~"~"Hf.nt:.
PART
I!I
TAX... .1t~I"tN "COtlPUJATIOM
t.,I'Hlr 1... D.~""i\;t.!aU,,,,"'.d
~. ~~~ount. .al.n~~
3. P.f'e."t T,ltXab'l....
4. ....II!!IJVM\:. ~"'l!<j~!H;:t;tlll l~:II:
5~ D~btsa~dP~4~ctlon$
&. A.ou~tT~~~b~.
"1, Tall (bit It!'
TJ\X. ONjOlNT~lJ$T.c:t:OU..T$
OF
1
Z
~
x
"
.... Taz.Dll!lt
5
6;
1
it
x
PAVEE
t).E$CftI P'l' ION
AMOUJrt PAUl
J
."
..1
'fOT~t.~6n~....t-.o" .'1"..5 ot.T~xr;Oap.lihtlon)
-"-"--"'-",,,,,.-.,,-,,.,,
UJide,..~C!.,~ni;~~:O' "orjury.I !lO<I~l". .tll;lttiM 1'~~t~1 tlOllV... r.6pof't.d ab~.'.". tll'u"#t;:.';'r"~l ......
cODi.I:. 1:0 .t.. t1..:st. 01 .yt:iu,.J;>&I~iH'l4b(f1.1>1l'.
~;.-~.. (. )
MORk ( )
TElCpnONE HUMaER
DATE
TAXPAyeR SIG}QTUtE