HomeMy WebLinkAbout10-23-07
-.J
REV-1500 EX (06-05)
P A Department of Revenue
Bureau of Individual Taxes
PO BOX 280601
Harrisburg, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number
159-18-1408
Decedent's Last Name
TUMAS
.
Date of Death
01212007
..
15056041158
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
County Code Year
21 07
File Number
0334
Date of Birth
06301921
Suffix
Decedent's First Name
MI
J
WALTER
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Future Interest Compromise (date of
death after 12-12-82)
Decedent Maintained a Living Trust
(Attach Copy of Trust)
Spousal Poverty Credit (date of death
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
Spouse's Social Security Number
FILL IN APPROPRIATE BOXES BELOW
[K] 1. Original Retum
o 4. Limited Estate
o 6, Decedent Died Testate
(Attach Copy of Will)
o 9. Litigation Proceeds Received
CRAIG A. HATCH, ESQ.
Firm Name (If Applicable)
o 2.
04a.
o 7.
010.
Spouse's First Name
MI
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
Supplemental Return
o
o
5. Federal Estate Tax Return Required
3. Remainder Return (date of death
prior to 12-13-82)
8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A)
717-731-9600
REGISTER OFlN,'LLS USE ONLY:
First line of address
GATES, HALBRUNER & HATCH, P.C.
')
1013 MUMMA ROAD, SUITE 100
Second line of address
City or Post Office
LEMOYNE
"...1
'" ,
"'.)
-...,
State
ZIP Code
DATE FILED
I":
Correspondent's e-mail address: C. HA T CHiilG ATE SL AWF I R M . 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 com plate. Declaration of preparer other than the personal representative is based on all information of which preparer hes any knowledge.
SI R OFPER I FORF INGRElURN DATE
/
PA
17043
(,)
o
FREDERICK, MD 21702
MUMMA ROAD, SUITE 100 LEMOYNE, PA 17043
PLEASE USE ORIGINAL FORM ONLY
L
15056041158
Side 1
6M4647 3.000
15056041158
-.J
~\A
Estate of
e
e
Executors (Page 1)
Name
Address
Tax 10
June C. Huy
5605 Old National Pike
Frederick, MD 21702-
195-32-4825
159-18-1408
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-.J
15056042159
REV-1500 EX
Decedent's Name:T U MAS
RECAPITULATION
WALTER
1. Real estate (Schedule A) . .
. 1.
2. Stocks and Bonds (Schedule B). . .
. 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C). .
. 3.
4. Mortgages & Notes Receivable (Schedule D). . . . . . . . . . . . . .
.4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E). . . . 5.
6. Jointly Owned Property (Schedule F) 0 Separate Billing Requested . 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) 0 Separate Billing Requested . 7.
8. Total Gross Assets (total Lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . 8.
9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I). . 10.
11. Total Deductions (total Lines 9 & 10). . . . . . . . . 11.
12. Net Value of Estate (Line 8 minus Line 11) . . . . . . 12.
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J). . . . . 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) . . . . 14.
e
Decedent's Social Security Number
159-18-1408
J
136004.46
5088.57
0.00
0.00
51868.86
12562.01
102955.99
308479.89
25318.28
0.00
25318.28
283161.61
0.00
283161.61
TAX COMPUTATION. SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 ta)(8ble
at the spousal tax rate, or
transfers u~er Sec. 9116
(a)(1.2) X .0_ 0.00
16. Amount of Line 141a)(8ble
at lineal rate X .O~ 283161.61
17. Amount of Line 14 ta)(8ble
at sibling rate X .12 0 . 00
18. Amount of Line 14 ta)(8ble
at collateral rate X .15 0 . 00
19. TAX DUE. . . . . .
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
L
15056042159
6M4648 2.000
15.
0.00
16.
12742.27
0.00
0.00
17.
18.
19.
12742.27
o
15056042159
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REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENTS NAME
TUMAS
STREET ADDRESS
417 EAST GREEN STREET
File Number
0334
WALTER
J
CUMBERLAND
CITY
SHIREMANSTOWN
I STATE
IPA
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
0.00
10000.00
526.32
Total Credits (A + 8 + C) (2)
3. Interest/Penalty if applicable
D. Interest
E. Penalty
0.00
0.00
Total Interest/Penally (D + E) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in box 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. (5)
A. Enter the interest on the tax due. (5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58)
Make Check Payable to: REGISTER OF WILLS, AGENT
I ZIP
17011-
12742.27
10526.32
0.00
0.00
2215.95
0.00
2215.95
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
o
o
o
o
o
o
o
No
00
00
00
[Xl
00
[Xl
[X]
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 P.S. 99116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
[72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
F or 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 use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. ~116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 P.S. 99116(1.2) [72 P.S. 99116(a)(1)).
The tax rate imposed on the net value of transfers to 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.
6M4671 1.000
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SCHEDULE A
REAL ESTATE
R EV-1502 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Walter J. Tumas
21 07 0334
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 hlllling nsasonable knlllloiedge of the relevant facts.
Real property which Is Jolntly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
417 Green Street, Shiremanstown (Sale of property July
17, 2007)
$136,004.46
3W4895 1.000
TOTAL (Also enter on line 1, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
$
$136,004.46
REV-15113 EX + (6-98)
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE B
STOCKS & BONDS
FILE NUMBER
Walter J. Tumas
21 07 0334
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1.2.16 Shares
2.16 Shares of LSI Corporation Common Stock
1/19/07 Average $10.20 per share
1/22/07 Average $10.15 per share; DOD Average $10.175
per share
$21. 98
2
4.390937 Shares
4.390937 shares of AT&T common stock
1/19/07 Average $35.11 per share;
1/22/07 Average $35.265 per share; DOD average $35.1875
per share
$154.51
3 266.368 Shares
266.368 Shares of DWS GNMA, Fund-S $3,914.28
1/19/07 $14.69 per share
1/22/07 $14.70 per share
DOD Average $14.695 per share
4
69.9597 Shares
69.9597 Shares of Alcatel-Lucent common stock
1/19/07 Average $14.345 per share
1/22/07 Average $14.18 per share; DOD average per share
$14.2625 per share
$997.80
3W4696 1.000
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
$5,088.57
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-
REV-1504 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RElURN
SCHEDULE C
CLOSELY-HELD CORPORATION,
PARTNERSHIP OR SOLE-PROPRIETORSHIP
ESTATE OF
FILE NUMBER
Wal ter J. Tumas 2107 0334
Schedule C-1 or C-2 (including all supporting informetion) 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-propriatorships.
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OF DEATH
1.
None
3W4697 1.000
TOTAL (Also enter on line 3. Recapitulation)
(If more space is needed. insert additional sheets of the same size)
$
$0.00
REV-1sds EX + (6-98)
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE C-1
CLOSELY-HELD CORPORATE
STOCK INFORMATION REPORT
ESTATE OF
FilE NUMBER
Walter J. Tumas
21 07 0334
City
State
Zip Code
State of Incorporation
Date of Incorporation
Total Number of Shareholders
o
1. Name of Corporation
Address
2. Federal Employer I.D. Number
3. Type of Business
Business Reporting Year
ProducUService
4.
STOCK
TYPE TOTAL NUMBER OF
Voting/Non-Voting SHARES OUTSTANDING
PAR VALUE
NUMBER OF
OWNED BY T
Common
$
Preferred
$
Provide all rights and restrictions pertaining to each class of stock.
5. Was the decedent employed by the Corporation? . . . . . . . . . . . . . . . . . . . . . . .. 0 Yes
o No
If yes, Position
Annual Salary $
$0.00 Time Devoted to Business
6.
Was the Corporation indebted to the decedent? .
If yes, provide amount of indebtedness $
... OYes
o No
$0.00
7. Was there life insurance payable to the corporation upon the death of the decedent? . ... 0 Yes 0 No
If yes, Cash Surrender Value $
Owner of the policy
$0.00 Net proceeds payable $
$0.00
8. Did the decedent sell or transfer any stock in this company within one year prior to death or within two years if the date of death was prior to 12-31-82?
o Yes 0 No If yes, 0 Transfer 0 Sale Number of Shares 0
Transferee or Purchaser Consideration $ $0.00 Date
Attach a separate sheet for additional transfers and/or sales.
9. Was there a written shareholder's agreement in effect at the time of the decedent's death? . 0 Yes
If yes, provide a copy of the agreement.
ONo
10. Was the decedent's stock sold? . . . .
....................... OYes
ONo
If yes, provide a copy of the agreement of sale, etc.
11. Was the corporation dissolved or liquidated after the decedent's death? . . . . . . . . . .. 0 Yes 0 No
If yes, provide a breakdown of distributions received by the estate, including dates and amounts received.
12. Did the corporation have an interest in other corporations or partnerships? . . . . . . . . . . .0 Yes 0 No
If yes, report the necessary information on a separate sheet, including a Schedule C-1 or C-2 for each interest.
THE FOllOWING INFORMATION MUST BE SUBMITTED WITH THIS SCHEDULE
A. Detailed calculations used in the valuation of the decedent's stock.
B. Complete copies of financial statements or Federal Corporate Income Tax returns (Form 1120) for the year of death and 4 preceding years.
C. If the corporation owned real estate, submit a list showing the complete address/es and estimated fair market value/s. If real estate appraisals have been
secured. attach copies.
D. List of principal stockholders at the date of death, number of shares held and their relationship to the decedent.
E List of officers, their salaries, bonuses and any other benefits received from the corporation.
F. Statement of dividends paid each year. List those declared and unpaid.
G Any other information relating to the valuation of the dededent's stock.
(If more space is needed, insert additional sheets of the same size)
4W4696 1.000
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE C-2
PARTNERSHIP
INFORMATION REPORT
REV-1506 EX + (9-00)
ESTATE OF
FILE NUMBER
Walter J. Tumas
21 07 0334
1. Name of Partnership
Address
Date Business Commenced
City
2. Federal Employer 1.0. Number
3. Type of Business
Business Reporting Year
State Zip Code
ProducUService
4. Decedent was a D General D Limited partner. If decedent was a limited partner, provide initial investment $
$0.00
5.
PARTNER NAME
PERCENT OF
INCOME
PERCENT OF
OWNERSHIP
BALANCe OF
CAPITAL ACCOUNT
A.
B.
C.
D.
6. Value of the decedent's interest $
7. Was the Partnership indebted to the decedent? .
If yes, provide amount of indebtedness $
SO.OO
........... DYes
D No
$0.00
8. Was there life insurance payable to the partnership upon the death of the decedent? . DYes D No
If yes, Cash Surrender Value $
Owner of the policy
9. Did the decedent sell or transfer an interest in this partnership within one year prior to death or within two years if the date of death was
prior to 12-31-82?
DYes D No If yes, D Transfer D Sale Percentage transferred/sold 0.0000
$0.00 Net proceeds payable $
SO.OO
Transferee or Purchaser
Attach a separate sheet for additional transfers and/or sales.
Consideration $
$0.00 Date
10. Was there a written partnership agreement in effect at the time of the decedent's death?
If yes, provide a copy of the agreement.
o Yes 0 No
11. Was the decedent's partnership interest sold?
If yes, provide a copy of the agreement of sale, etc.
DYes 0 No
12. Was the partnership dissolved or liquidated after the decedent's death? . . . . . . . . . . . . . . . D Yes D No
If yes, provide a breakdown of distributions received by the estate, including dates and amounts received.
13. Was the decedent related to any of the partners? . . . . . . . . . . . . . .
If yes, explain
14. Did the partnership have an interest in other corporations or partnerships? . . . . . . . . . . . . . . DYes D No
If yes, report the necessary information on a separate sheet, including a Schedule C-1 or C-2 for each interest
DYes
D No
THE FOLLOWING INFORMATION MUST BE SUBMITTED WITH THIS se
A. Detailed calculations used in the valuation of the decedent's partnership interest.
B. Complete copies of financial statements or Federal Partnership Income Tax returns (Form 1065) for the year of death and 4 preceding years.
C. If the partnership owned real estate, submit a list showing the complete address/es and estimated fair market value/s. If real estate appraisals have been
secured, attach copies.
D. Any other information relating to the valuation of the decedent's partnership interest.
4W4699 1.000
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REV.1507 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INI-ERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Walter J. Tumas
SCHEDULE D
MORTGAGES & NOTES
RECEIVABLE
FILE NUMBER
21 07 0334
All property JolnUy-owned with rtght of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
None
TOTAL (Also enter on line 4, Recapitulation) $
$0.00
3W46AC 1.000
(If more space is needed, insert additional sheets of seme size)
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REV-1508 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Walter J. Tumas
FILE NUMBER
21 07 0334
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property Jolntly-owned with the right of survlvol'llhlp must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION
VALUE AT DATE
OF DEATH
1 ~d Penn Bank-checking account number 280628
$4,489.21
2 ~d Penn Bank-Money Market account number 9017492
$15,822.34
3 ~d Penn Bank-Certificate of Deposit account number
309001871
$10,457.30
4 2003 Chevrolet Venture minivan-Date of sale 8/30/07
$9,000.00
5 Ameriprise Financial Long Term Care Refund
$896.52
6 MetLife Total Control Account Number 4051931214
$11,203.49
3W46AD 1.000
TOTAL (Also enter on line 5 Recanitulation\ $
(If more space is needed, insert additional sheets of the same size)
$51,868.86
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REV-1509 EX+ (6-98)
SCHEDULE F
JOINTL V-OWNED PROPERTY
CO~NWEAL TH OF PENNSYLV ANLtI
IN-lERrrANCE TAX RETURN
RESIJENT DECEDENT
ESTATE OF FILE NUMBER
Wal ter J. Tumas 21 07 0334
If an asset was made Joint within one year of the decedent's date of death, It must be reported on Schedule G.
SlRVlVlNG JOM TB\IANT(S) NAME
ADDRESS
R8.A TlONSHIP TO DECEDENT
A
Huy, June C
5605 Old National Pike, Frederick,
MD 21702
Daughter
JOINTL y.owNED PROPERTY:
LETTER DATE DESCRJPTlON OF PROPERTY %OF DA TE OF DEA TH
rTBv'I FOR JOIN MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DA TE OF DEATH DECD'S VALl.EOF
NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR
NUMBffi TENANT JOM JOINTlY.HELD REAL ESTATE. VALUE OF ASSET MEREST DECB:lENT'S MEREST
1 A 5/21/2002 PNC Bank-Certificate of
Deposit Account Number
31800227648 (held jointly
with June Huy) $25,124.01 50.0000 $12,562.01
TnTAI ,II ( $12,562.01
(W more space is needed, insert add~ional sheets of the same size)
3W46AE 1.000
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REV-1510 EX + (El-9S)
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Walter J. Tumas
FILE NUMBER
21 07 0334
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.
DESCRIPTlON OF PROPERTY
II\CU.lJE nE p.jI\ME OF n-e TRANSFEREE, THEIR RELATIONSHIP TO OECEDENT AI'{)
n-e DATE OF TRANlFER ATTIlCHAODPI' OF THE DEED FOR REAL ESTATE.
Ameriprise
Annuity Account No. 93103049319
7 004
Owner/Annuitant: Walter J.
Tumas
Beneficiary: daughter, June C.
Huy
2
4,636.917 Shares
Ameriprise Mutual Funds Account
No. 01012227635 4 002
$7.040 per share
Beneficiary: daughter, June C.
Huy
3
PNC Bank-savings account
account number 5004302471
(account made joint with
daughter, June Huy, in July
2006)
4
2,930.5 Shares
Ameriprise - Mutual Funds
Account Number 01151421361 7
002
$4.400 per share
Beneficiary: daughter, June C.
Huy
5
PNC Bank-checking account
account number 5004304215
(account made joint with
daughter, June Huy, in July
2006)
DATE OF DEATH
VALUE OF ASSET
% OF DECD'S
INTEREST
$11,369.23 100.0000
$32,643.90 100.0000
$41,896.06 100.0000
$12,943.19 100.0000
$7,103.61 100.0000
3W46AF 1.000
(If more space is needed, insert add~lonal sheets of the same size)
TOTAL (Also enter on line 7. Recapitulation) $
EXCLUSION
(IF APPUCABLEI
$0.00
$0.00
$0.00
$0.00
$3,000.00
TAXABLE
VALUE
$11,369.23
$32,643.90
$41,896.06
$12,943.19
$4,103.61
$102 955.99
REV-1St' EX+ (12-99)
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SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONIJI/EAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Walter J. Tumas
ITEM
NUMBER
A.
B.
3W46AG 1.000
Debts of decedent must be reported on Schedule I.
DESCRIPTION
1.
FUNERAL EXPENSES:
Auer Memorial Home and Cremation Services, Inc.
(funeral)
Total from continuation schedules
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s) June C. Huv
Social Security Number(s) I EIN Number of Personal Representative(s) 195-32-4825
Street Address 5605 Old National Pike
City Frederick
State Me
Zip 21702
Year(s) Commission Paid: waived
2.
Attorney Fees
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
State
Zip
Relationship of Claimant to Decedent
4.
Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
1
Cumberland County Register of Wills-photocopies
2 Carlisle Insurance Service-Administrator's bond
premimum-
Total from continuation schedules
TOTAL (Also enter on line 9, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
FILE NUMBER
21 07 0334
$
AMOUNT
$1,626.18
$781.81
$14,500.00
$356.00
$20.00
$1,235.00
$6,799.29
$25 318.28
J
Estate of: Walter J. Tumas
Item
No. Description
e
Schedule H Part 1 (Page 2)
2 Holiday Inn (Memorial luncheon)
Total (Carry forward to main schedule)
e
159-18-1408
Amount
$781.81
$781.81
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Estate of: Walter J. Tumas
Schedule H Part 7 (Page 2)
3
Lower Allen Township (sewer amount)
4
Erie Insurance (homeowner's insurance)
5
MCI (phone bill)
6
T-Mobile (cell phone)
7
PP&L Electric (electric)
8
Pennsylvania American Water (water)
9
Terminex International (termite control)
10
Kirby Crawford (House cleaning & hauling of misc.
items from house)
11
Dale Eichelberger (tree removal associated with the
sale of home at 417 East Green Street)
12
Northeast Waste Services (refuse)
13
Pennsylvania Department of Revenue (decedent's 2007
State Income Tax)
14
Judy C. Prowell (2007 Real Estate taxes for
Shiremanstown Borough)
15
Lewis B. Buchanan, Inc. (delivery of heating oil for
417 East Green Street, Shiremanstown)
16
Jim Huy (moving expenses)
17
Liberty Mutual (car insurance for 2003 Chevrolet
Venture)
18
Cumberland Law Journal (Publication of Notice to
Creditors)
19
The Patriot News (Publication of Notice to
Creditors)
20
expenses associated with the Sale of 417 East Green
Street, Shiremanstown, PA
Total (Carry forward to main schedule)
e
159-18-1408
$32.00
$311.00
$149.18
$136.82
$300.88
$358.70
$170.66
$700.00
$400.00
$32.61
$201.00
$554.67
$382.25
$200.00
$229.36
$75.00
$279.90
$26.87
$4,540.90
e
Estate of: Walter J. Tumas
Schedule H Part 7 (Page 3)
21
expenses associated with returning merchandise,
shipping information to Gates, Halbruner & Hatch,
P.C. and ship PA license tag to PennDot.
22
June C. Huy (mileage to and from Maryland to
Pennsylvania) 3,888 miles at 48.5 cents per mile
23
Baugher Motors, Inc. (car inspection and emissions
test prior to sale)
Total (Carry forward to main schedule)
e
159-18-1408
$39.20
$2,157.77
$61.42
$2,258.39
e
REV-1512 EX+ (12-03)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX REnJRN
RESIDENT DECEDENT
ESTATE OF
Walter J. Tumas
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
FILE NUMBER
21 07 0334
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM
Nu.1BER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
None
3W46AH 2.000
TOTAL (Also enter on line 10, Recaoitulation) $
(If more space is needed, insert additional sheets of the same size)
$0.00
REV-1513 EX+ (9-00)
e
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Walter J Tumas
FILE NUMBER
21 07 0334
NUMBER
I
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers
under Sec. 9116 (a) (1.2)]
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
AMOUNT OR SHARE
OF ESTATE
1 June C. Huy
5605 Old National Pike
Frederick, MD 21702
100% of Residue: $283,161.61
Daughter
$283,161.61
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
3W46AI 1.000
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)
$
$0.00
COMMONWEALll-t OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
e SCHEDULE K
LIFE ESTATE, ANNUITY
& TERM CERTAIN
REV-1514 EX+ (12-03)
Check Box 4 on REV-1500 Cover Sheet
FILE NUMBER
Wal tar J. Tumas 21 07 0334
This schedule is to be used for all single life, joint or successive life estate and term certain calculations. For dates of death prior to 5-1-89,
actuarial factors for single life calculations can be obtained from the Department of Revenue, Specialty Tax Unit.
Actuarial factors can be found in IRS Publication 1457, Actuarial Values, Alpha Volume for dates of death from 5-1-89 to 4-30-99,
and in Aleph Volume for dates of death from 5-1-99 and thereafter.
Indicate the type of instrument which created the future interest below and attach a copy to the tax return.
o Will 0 Intervivos Deed of Trust 0 Other
LIFE ESTATE INTEREST CALCULATION
NAME(S) OF LIFE TENANT(S)
DATE OF BIRTH NEAREST AGE AT
DATE OF DEATH
TERM OF YEARS
LIFE ESTATE IS PAYABLE
TelTn of Years
1. Value of fund from which life estate is payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
2. Actuarial factor per ap~riate table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Interest table rate - U 3 1/2% 0 6% 0 10% 0 Variable Rate 0.00000%
3. Value of life estate (Line 1 multiplied by Line 2) ............................. $
TelTn of Years
TelTn of Years
TelTn of Years
TelTn of Years
$0.00
0.00000
$0.00
ANNUITY INTEREST CALCULATION
NAME(S) OF LIFE ANNUITANT(S)
DATE OF BIRTH NEAREST AGE AT
DATE OF DEATH
TERM OF YEARS
ANNUITY IS PAYABLE
TelTn of Years
TelTn of Years
TelTn of Years
o Life or
1. Value of fund from which annuity is payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
2. Check appropriate block below and enter corresponding (number) . . . . . . . . . . . . . . . . . . .
Frequency of payout -0 Weekly (52) 0 Bi-weekly (2U Monthly (12)
o Quarterly (4) 0 Semi-annually (2) 0 Annually (1) OOther () 0
3. Amount of payout per period ....................................... $
4. Aggregate annual payment, Line 2 multiplied by Line 3 . . . . . . . . . . . . . . . . . . . . . . . . .
5. Annuity Factor (see instructions)
Interesttablerate-O 31/2% 0 6% 0 10% OvariableRateO.OOOOO%
6. Adjustment Factor (see instructions) ...................................
7. Value of annuity -If using 3 1/2%, 6%, 10%, or if variable rate and period
payout is at end of period, calculation is: Line 4 x Line 5 x Line 6 . . . . . . . . . . . . . . . . . . . . $
If using variable rate and period payout is at beginning of period, calculation is:
(Line 4 x Line 5 x Line 6) + Line 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
o TelTn of Years
$0.00
0.000
$0.00
$0.00
0.00000
0.00000
$0.00
$0.00
NOTE: The values of the funds which create the above future interests must be reported as part of the estate assets on Schedules A through
G of this tax return. The resulting life or annuity interest(s) should be reported at the appropriate tax rate on Lines 13 and 15 through 18.
(If more space is needed, insert additional sheets of the same size)
3W46AJ 3.000
e
e
REV.1647 EX+ (9-00)
SCHEDULE M
FUTURE INTEREST COMPROMISE
COMMONWEALtH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Check Box 4a on Rev-1500 Cover Sheet
ESTATE OF
FILE NUMBER
Wal ter J. Tumas 21 07 0334
This schedule is appropriate only for estates of decedents dying after December 12, 1982.
This schedule is to be used for all future interests where the rate of tax which will be applicable when the future interest vests in possession
and enjoyment cannot be established with certainty.
Indicate below the type of instrument which created the future interest and attach a copy to the tax return.
o Will 0 Trust 0 Other
I. Beneficiaries
AGE TO
NAME OF BENEFICIARY RELATiONSHIP DATE OF BIRTH NEAREST BIRTHDAY
1.
2.
3.
4.
5.
II. For decendents dying on or after July 1, 1994, if a surviving spouse exercised or intends to exercise a right of withdrawal within 9 months
of the decedent's death, check the appropriate block and attach a copy of the document in which the surviving spouse exercises such
withdrawal right. n Limited rlaht of withdrawal
n Unlimited rlaht of withdrawal
III. Explanation of Compromise Offer:
IV. Summary of Compromise Offer:
1. Amount of Future Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ $0.00
2. Value of Line 1 exempt from tax as amount passing to charities, etc.
(also include as part of total shown on Line 13 of Cover Sheet) . . . . . . $ $0.00
3. Value of Line t~~ring ~use [jpropriate tax rate
Check One 6%, 3%, 0% . . . . . . . . . . . . . . $ $0.00
(also include as part of total shown on Line 15 of Cover Sheet)
4. Value of Line 1 taxable at lineal rate
Check one 06% o 4.5% . . . . . . . . . . . . . . . . $ $0.00
(also include as part of total shown on Line 16 of Cover Sheet)
5. Value of Line 1 taxable at sibling rate (12%)
(also include as part of total shown on Line 17 of Cover Sheet) . . . . . . $ $0.00
6. Value of Line 1 taxable at collateral rate (15%)
(also include as part of total shown on Line 18 of Cover Sheet) . . . . $ $0.00
7. Total value of Future Interest (sum of Lines 2 thru 6 must equal Line 1) . . . . . . . . . . . . . . . . . . $ $0.00
(If more space is needed, insert additional sheets of the same size)
3W46AN 1.000
e
REV-1649 EX- (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RE11JRN
RESIDENT DECEDENT
SCHEDULE 0
ELECTION UNDER SEC. 9113(A)
SPOUSAL DISTRIBUTIONS
ESTATE OF FILE NUMBER
Walter J. Tumas 21 07 0334
Do not complete this schedule unless the estate is making the election to tax assets under Section 9113(A) of the Inheritance & Estate Tax Act.
If the election applies to more than one trust or similar arrangement, a separate form must be filed for each trust.
This election applies to the Trust (marital, residual, A, B. By-pass, Unified Credit, etc.)
If a trust or similar arrangement meets the requirements of Section 9113(A). and:
a. The trust or similar arrangement is listed in Schedule 0, and
b. The value of the trust or similar arrangement is entered in whole or in part as an asset on Schedule O.
then the transfero(s personal representative may specifically identify the trust (all or a fractional portion or percentage) to be included in the election to have such trust or sim-
ilar property treated as a taxable transfer in this estate. If less than the entire value of the trust or similar property is included as a taxable transfer on Schedule 0, the personal
representative shall be considered to have mede the election only as to a fraction of the trust or similar arrangement. The numerator of this fraction is equal to the amount of
the trust or similar arrangement included as a taxable asset on Schedule O. The denominator is equal to the total value of the trust or similar arrangement.
PART A: Enter the description and value of all interests, both taxable and non-taxable, regardless of location. which pass to the decedent's
surviving spouse under a Section 9113(A) trust or sim ilar arrangement.
Description
VALUE
Part A Total $
PART B: Enter the descri tion and value of all interests included in Part A for which the Section 9113 A election to tax is bein
0.00
Description
Value
Part B Total $
(If more space is needed. insert additional sheets of the same size)
$0.00
3W46E2 2.000
J
e
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DEATH CERTIFICATE
This is to cenifY that this is a rrue co. the record which is on file in the Pennsyl. Division of Vital Records
with Act 66, P.L. 304, approved by the.eral Assembly, June 29, 1953. .,
In accordance
WARNING: It is illegal to duplicate this copy by photostat or photograph.
/2 ~ ~4
e--ro "'-J ~~ UWyoL
No.
Frank Yeropoli
State Registrar
Calvin B. Johnson, M.D., M.P.H.
Secretary of Health
1040389
FEB 0 9 2007
H105.144 REV I1llOO6
TYPE' PRINT IN
PERMANENT
BLACK INK
1130-438
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
(See instructions and examples on reverse)
Date
v~
Chester, PA
STATE FILE NUMBER
.. 0_ of Dealh (Month. day. year)
January 21, 2007
I. Name d Deced"'" (Fnt, rniddIl!.Iast, sulflJl)
Walter
5 ~ lUst Birthday,
85
J
Tumas
6. DaleofBil1l'tll.lorlth.day.yeat)
June 30, 1921
7. Birthplace ICily and 5la~ or
Sb. Calnry oi' Oealh
Bel. Facility Hem. (If nJllnililulion, re She.. and m..onmer)
Holy Spirit Hospital
0""",._
A
mDlloI'I\IOI\i IIe.Donolllall
KinddBtlsiless/nlJslry
ualit Control U.S. Government
- 18. Decldw4's MailingAddrus tStl8el, city I !Own, .... zipcocle)
417 East Green .Street
Shiremanstown, PA 17011
Ia. FaIhef'sNIlmI (Fnt middle,lasl suffix)
Peter Tuma
lOa. Inlonrenrs Name (Type I Prinl)
1.2- Was Oec8denIl!I/e( In the
U.S. Armed Forces?
l&lv" DNa
-.
ActualRasideflct 17a..SlaIePenn~ylvania
17b"""'/Zumberland
14. Mari~ Status: Married, Naver MaIriId,
WJdcrwed,rJvOJCed,(SpedJ)ol
He. 0 Yes. Oecedtnllj,ed In
17d IKl ~L:::~wiIhin Shiremanstown
T.".
City/80m
19. MoIl\e(s Harne (Firs!:. midd.. mao.n suname)
Zlb_ Inlormalt's MallingAddre55 (StrftL ciryl ~ stal:e, ~ code)
Jan. 26, 2007 Cremation Societ of PA
22c._."",_..~F''''l.Uer Memorial Home and Cremation
4100 Jonestown Road Harrisbur PA 17109
23b. Ucanse ~ 23c. Date Signad (Month. day, )'Ill)
11em124-26mustt.c:ompatadbypetm'l
lIIIoprontU'lOlSdlath.
24. Ttme 01 Oealh 25.0... PllJl'lI:U'lC*I DHd(Monlh.daw'. yMr)
4:48 P. ~ January 21, 2007
26. Was Case Referred 10 Mld::aI Examinw I Coroner lor. Aeuon Olher hart CrerNlian or Donation?
)(vas 0 No
ApprOlliInate 1M8r\raI: Part II; Ent.. Dlher liimilicanr cnnrIIInnr. mnlrblllnn III dulh 2B. Did Tobacco Uu ContrI:lut.Ia 0I1lh?
Oo5etIODeath bulnoIresulinginll'leanlerlyingcaust~inPaltI. 0 v. OProbabty
000 0"""'"
CAUSE OF DEATH (See Instructions and ....mpl..)
Ilfm 27. Pan I: Enlaf 1hll1iIIiull.JuIII- lisnus, quriu, Ill' COR1lkaIicns -1hIl chdIy CIIuI8d h dHth. 00 NOT enter l8tminaI 8'lenIs SLdl as canflaC arre-51.
~ .... or ventncular fibrilalion wiIhouI stmmg u.1ti:*IgJ. List anIy one cause on each line.
==~~~=~
Occlusive Coronary Artery Disease
Due 10 (or as a consaqun:e 01):
CABG
29. II Ferrwe:
0...__...._
o PrIgnaIlt.tmeoldutt
o Not~anl,btfpnlplltwilMn42droys
ol-
D Nolpregnant.lUllf8l1IIlIt43daYSID1y!llf
...........
o IJnIcnolwnlpregl8l1w1l1t\lhepastyear
32c. P\ace of I~ Home, Farm. 9reet. FII:lDry.
Oft:e 8l.MIg.eIc. ~
.........,""_."".
IeedinQIolhecauubllldonWL
Entw!he UHDERtYlNGCAUSE
~~~TL1lr~
b.
Due to (or as a conMQI>>nte 01);
Due 10 (or as a consequence aI):
d.
ov" ~No
0"" 0"
31 Mamer of 0uIh
)1.""" D-
0-. 0 ......... ..........
0..- oCcuidNolbe_..
32d.TlIleollrtuy
3Oa. Was...Aulopsy
"""""""
3Ob. We.. Aulapsy Findings
AvailablePrlorIOCompItlion
oIC1useofOellIh?
3311. Ce1iier{check onIyonet
=~~:==:'~C::"~Ihe'":..c~=~:~_~~_~~~-:.n~~_________________ 0 ...
~r:~~~;:'~~M~loto~:::':~~maM...stllelL_________________ 0
~~/~ ~
On It.._~ of uamlnation and I or Invelllpllon. in my opinion. death occurr.t II h time. date. and pface. and due to the eau&e(s) and mlnnet H stlled- ~
"'"
33c. Uc:ense Nunbet
Coroner
r.t
32111 Tran.portaliDn "py (Spfdy)
0",,",1_ 0_ 0"'05'''''
0"""'._
33b. S9Jaln an
~
!
!S.Re
~
""'".._1......."'.,.'"
January 23, 2007
"lIfra~" t~ "l\l'o"~":"'e!8't"d'l'i"e'F T".IP""
6375 Basehore RoadI Sy~te #1
Mechanicsburg, PA 70~0
OiSpOslllon Parmi! No.
e
e
CERTIFICATE
GRANT OF LETTERS
OF ADMINISTRATION
e
e
CERTIFICATE OF GRANT OF LETTERS
REGISTER OF WILLS
CUMBERLAND County, Pennsylvania
No. 2007-00334 PA No. 21-07-0334
Estate Of: WAL TER J TUMAS
(First, Middle, Last!
Late Of:
SHIREMANSTOWN BOROUGH
CUMBERLAND COUNTY
Deceased
Social Security No: 159-18-1408
WHEREAS, WALTERJ TUMAS
(First. Middle, Last!
1 a te of SHIREMANSTOWN BOROUGH CUMBERLAND COUNTY
died on the 21st day of January 2007 and,
WHEREAS, the grant of Letters of Administration
lS required for the administration of the estate.
THEREFORE, I, GLENDA FARNER STRASBAUGH , Register of Wills in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, have
this day granted Letters of Administration to:
JUNE C HUY
who has duly qualified as ADMINISTRATOR(RIX) of the estate
of the above named decedent and has agreed to administer 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 29th day of May 2007.
Jlt fldL Jl1JtnJlt Jtro.sbrlifA
I Register of ills
CJwnrinl a ~fJV
c Depu
* *NOTE* * ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
e
PA REV-1500
SCHEDULE A
REAL ESTATE
-
SaW.aIJJJml &t~tement
e
U.S. Depai\mef\t 01 H"""\r~
a""'~~/tl!llIrtflll~
OMB ~2.o265
B. Type of Loan
1. o FHA
4. OVA
2. 0 FmHA
5. 0 Conv. Ins.
3. rgj Conv. Unins File Number
FA 210
Loan Number
6100070129
Mortgage Insurance Case Number
::. NOTE:This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown.
Items marked "p.o.c" were paid outside of closing; they are shown here for informational purposes and are not included in the totals.
). NAME AND ADDRESS OF BORROWER: Paul L Nelson Jr
4 Robin Court, Mechanicsburg, PA 17055
Jill L. Nelson
4 Robin Court, Mechanicsburg, PA 17055
E. NAME AND ADDRESS OF SELLER:
The Estate of Walter J. Tumas
417 East Green Street, Shiremanstown, PA 17011
Graystone Mortgage LLC
5115 East Trindla Road, Mechanlcsburg, PA 17050
417 East Green Street
Shiremanstown, PA 17011
F. NAME AND ADDRESS OF LENDER:
G. PROPERTY
LOCATION:
H. SETTLEMENT AGENT:
PLACE OF SETTLEMENT:
TIN:
I. SETTLEMENT DATE:
Fenstermacher & Associates
5115 East Trind/e Rd, Mechanicsburg, PA 17050
25-1606615
07/17/2007 I RESCISSION DATE:
J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION
100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER:
'01. Contract Sales Price -"149 900.00 401. Contract Sales Price $149.900.00
102. Personal Property 402. Personal property
103. Settlements charges Ie borrower: 403.
(from line 1400) $4,988.74
104. 404.
105. 405.
ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: ADJUSTMENTS FOR ITEMS PAID BY SElLER IN ADVANCE;
106. Cllyllown taxes to 406. CityJloWn Taxes Ie
107. County Taxes 07/17/2007 to 01/01/2008 $256.88 407. County Taxes 07/17/2007 to 01/01/2008 $256.88
108. Assessments 07/17/2007 to 07/01/2008 $1,583.01 408. Assessments 07/17/2007 Ie 07/01/2008 $1,583.01
109. Sewer Fees 7/17/07 - 9/30/07 $26.79 409. Sewer Fees 7/17/07 - 9/30/07 $26.79
110. 410.
111. 411.
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER: $156,755.42 420. GROSS AMOUNT DUE TO SELLER: $151,766.68
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
201. Deposit or eamest money $1,000.00 501. Excess deposit (see instructlons)
202. Principal amount of new Ioan(s) $112,425.00 502. Settlement charges to saller (line 1400) $12,762.22
203. existing Ioan(s) taken subject to 503. existing Ioan(s) taken subject Ie
204. Subordina te Financing $37,289.80 504. Payoff of first mortgage loan . ..
205. 505. Pavol! of second mortgage loan
206. .Se~~&r Assistance $3,000.00 506. Seller Asssitance $3,000.00
207. 507.
208: 508.
209. 509.
ADJUSTMENTS FOR ITEMS UNPAID BY SELLER: ADJUSTMENTS FOR ITEMS UNPAID BY SELLER:
210. Cilyllown taxes 10 510. City/town taxes to
211. County taxes to 511. County taxes to
212. Assessments to 512. Assessments to
213. 513.
214. 514. } /
215. 515. " V
216. 516. \' \
217. 517. \ ~
216. 518. ... "\ '4\
219. :u#, Sf
220. TOTAL PAID BYIFOR $153,714.80 520. TOTAL REDUCTIONS $15,762.22
BORROWER: IN AMOUNT DUE TO SELLER:
300"CASH AT SEffiEMENT FROMITO BORROWER: 600. CASH AT SETTLEMENT TOIFROM SELLER
301. Gross amount due from borrower (line 120) $156,755.42 601. Gross amount due to seller (line 420) $151,766.68
302. Less amount paid bylfor borrower (line 220) $153,714. 80 602. Less reductions in aml due seller (line 520) $1~62.22
303. CASH ( ~FROM) ( DTO) BORROWER: $3,040.62 603. CASH ( o FROM) ( ~TO) SELLER' ( $1~6, 004. 46)
.\
,-
HUD-1 (3-86) - RESPA. HB 4305.2
iUD-1 (RelJ.31B6)
'\
SETT
NT CHARGES
'00. TOTAL SALES/BROKER'S COMMISSION
BASED ON PRICE $149,900.00
@
6 .... $8,994. 00
PAID FRO
BORROWER'S
FUNDS
AT
SETTlEMENT
PAID FROM
SELLER'S
FUNDS
AT
SETTlEMENT
DIVISION OF COMMISSION (LINE 700) AS FOLLOWS:
01 $4 472.00 to RE/MAX A-I Realt
02 $4 522. 00 to Jack Gau hen Real tor ERA
03. $0.00 10
04. $0.00 10
05. Commission pei" et settlement
06.
$8,994.00
,00. I E S PA ABLE IN CONNECTION WITH LOAN:
L01.loenoriginationfee: % 1.0 Graystone Mortgage LLC
102. Loan discount "4 to GraystoDe Mortgage LLC
103. Appraisal fee 10: Grays tone Mortgage LLC
104. Credit report to: Graystone Mortgage LLC
105. Lender's Inspection fee Graystone .Mort;gage LLC
106. Mor1gage insurance applK:ation fee to Grays tone Mortgage LLC
Ml7. AssLmpIion fee Grays tone Mortgage LLC
lOB. U.aderwri ting Fee to Graystone Mortgage
109. Document Prep Fee to Graystone Mortgage
HO. Processing Fee to Graystone Mortgage
)11. Tax .Related 8e.rv.ice -Fee to .Graystone Mortgage
lOO. ITEMS REQUIRED BY LENDER T BE PAID IN ADVANCE:
lOl._from 07/17/2007 10 08/01/2007
$395.00
$150.00
$375.00
$125.00
$79.00
@
$20. 79/day
$311. 85
302. Mortgage insurance premium for
m. Hazard lnsuranc& premium for
>>t. Flood insurance premjum for
305. FloodCert to F.A.F.D.$.
mos. to
1. 00 yrs. to Managing Partners
yrs. to
$382.00 P.O.q
$18.50
I 00. E RVE
1001. HazsrdII1SUlStlCe
1002. ~ insur8ncs
1003. Cily property......
1004. County property leX..
1005. Annual 8ueuments
l00Ei Flood Insoomcs
1007.
1008.
1009. Aggregate Accounting
1100. TITLE CHAR ES:
WI
ENDER:
3. 00 months @
months @
months@
8.00 monlhs@
3.00 monlhs@
monlhs @
monlhs @
mon<f1s @
Escrow Adjustment
$31. 83 per month
per month
permonlh
$46.22 psrmonlh
$132.82 per month
per month
par month
per month
$95;49
$369.76
$398.46
($231.07)
1101. SaltJementordoaingfHto Fanst.enuacbar ~ Associates
1102. Abatrad or titl_ search to
1103. Tille examination to
1104. Title inaurance bmaI to
1105. Ootument preparation to
, 106. Notary fees to
1107. Attorney's fees to
{includes above items Numbers:
1108. TiUe Insurance to FeD3 te.z:macber and Associa tes , P ..C .
(includeS BbOVe hems Numbers: :t~O~-~~D4
1109. Lende(s c:ovsrags $112,425.00
1110. Owne(sc:ovsr_ $149,900.00
1111 Endorsements 100 300 900
1112_ Closing Service Lett:er
1113.
1200. V RNMEN R
1201. Reootding r_:
1202. CityJcounty taxlstemps:
1203. Sl8telsollltllmpso
1204.
1205.
13 .ADDI I NALS
ORDING AND TRANSFER HAR E :
Desd $38.50 : Mor1gsge $70.50
Deed $2,998. 00 : Mortgage
Deed : Mortgage
; Releases
$109.00
$1,499.00
$1,499.00
$H2,425.00)
$149,900.00 )
lEM NT HARGES:
1301. SlWYey to
1302. Pest inspection to
1303. 1'ransact.ioD Fee to Jack. Gaughe.u
1304. 2007/08 School Tax to JUdy PoW'e~~, Tax Co~lector
1305. 3.rd quarter. sever :ffiHilS to Lo"Br Allen Townsbip
1306. Home Warra.nty to AHS
1307.
$165.00
$1,647.22
$32.00
$425.00
1400. TOTAL SETILEMENT CHARGES $4,988.74 $12,762.22
I have carefully reviewed the HUD-1 SelUement Statement and to \he best of my knowledge and belief, it is a IIue and accurate statement of all receipts and disbursements made
on my account or by me in this transaction. I further certify that I have received a copy of the HUD~1 Settlement Statement.
.' 1
Borrower.
;kj,! C.A,j' /C.~i.'
Paul L. Nelson Jr
,/ -
~.:"-,
Date::Z- -/;7 -C.j
,-~ / /')'! "
Borrower. ,. ://1 / it l3tX
/in L. Nelson
The AUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction.
wilh this statement
7 I -;-1/: Seller or
Date: '// //' / Agent
Date:
~l:Ottklom-=-nt AOI'mt
I have caused. ot VfiI(~use the funds to be disbursed in accordance
,dE'
Date:
Jul-B~ZOO7 02:101'8
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SCHEDULE B
STOCKS and BONDS
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WALTER J TUMAS
& JUNE E TUMAS TEN ENT
417E GREEN ST
SHIREMANSTOWN PA 17011-6722
..-
-
1"11111,.111"'11,11",11,11,.1.1,1.,1.1..1,11,,11111.1,1,1,1
-
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=
=
Exchange Check Statement Advice
Transaction(s)
Transaction Description
Agere I
Common Stock
Agere Share Exchange
1.00
Summary Advice
Payment Date I Transaction Description I Shares/Units I
02 Apr 2007 Cash in lieu 0.16
.
001 CD70002
e {omputershare
367589
Computershare Shareholder Services, Inc.
P.O. Box 43014
Providence, RI 02940.3014
Within the US, Canada and Puerto Rico 866 243 7347
Outside the US, Canada and Puerto Rico 312 588 4147
www.computershare.com/lsi
C3004041827
J N T
IIIII~IIII.IIIIIIIIIIIII~ I~III
CUSIP Number:
Account Number:
SSNfTlN Certified:
Company Code:
502161102
C3004041827
Yes
LSI
Exchange Rate I
LSI Common I
Stock Credited
Fractional Share
2.16
2.16
Price/Rate I . Gross I
per share Amount ($)
$10.44 1.67
Deduction I
Amount ($)
0.00
Deduction I
Type
L S I
0l2802_PROD _1_21367589/735177
PlEASE CASHIOEPOSIT THIS CHECK PROMPTLY.
.~'~;'l;~~,i~ittli,ni."~.~-':;:I~~.~"P;;;':;;;:';;~"=-'1:II;:~~""II:I::I~~~.:";'''''~;;:~;.~:':~'''~~~;;~III~I~;~1t~~~'~~I:I;I.~~.;"~.;~;~.I:I~I~~III~~'~~:.:.I~.~~~t.~~~..~'.'Jl:S;i;';'-:~:J:::I::I:';;;.~"I~~';:i~".:k'I'l'I:I"'1~~~:m.:~';N;;"':.;~I:.'&'I"I"':I"'~'1~~;::;~'~';'I~;~-'I~ll"1.:I:r:"'II:I::I.
LS I ~:~~
Pay to WALTER J TUMAS
& JUNE E TUMAS TEN ENT
417 E GREEN ST
SHIREMANSTOWN PA 17011.6722
The sum of S....ONE DOLLAR AND SIXTY SEVEN CENTS ....
Computershare Shareholder Services, Inc.
P.O. Box 43078, Providence, RI 02940
Bank of America
Atlanta, Dekalb County, Georgia
VOIO AFTER 6 MONTHS
Payable Date: 02 Apr 2007
Check Number: 0000380373
$....1.67....
+
0.16
Net
Amount ($)
1.67
+
OOPQWB
64-1278
611 GA
II- 0 0 0 0 380 3 ? 311- I: 0 b ~ ~ ~ 2 ? 8 81: 0 Ie II' q . 2 II' 8 2 q... 0 II-
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Computershare Trust Company, NA
P.O. Box 43078
Providence Rhode Island 02940-3078
Within the US, Canada & Puerto Rico 800 351 7221
Outside the US, Canada & Puerto Rico 781 575 4729
www.computershare.comlatt
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WALTER J TUMAS
& JUNE E TUMAS TEN ENT
5605 OLD NATIONAL PIKE
FREDERICK MD 21702
1..1,1".111",11111",1,1"11"11",11",,,1111,,,,1,1,1,"II
Holder Aceount Number
C 2007793891 JNT
111111~111111111
SSNmN Certllied
Symbol
Yes
T
OOICS0081JtPSDL.ATT.I01632_t2U081S1lIO&3SlSrIil
A T& TIne. DirectSERVICE Investment Program Statement
Dividend Information
Record Date: 10 Apr 2007
Holder Account Number:C 2007793891
Payment
Date
Number of Shares I
Reinvesting Dividends
Dividend Rate I Gross Dividend I
($) ($)
Tax Withheld I
($)
Tax Type I
Net Dlviden
(~
01 May 2007
Transaction History
4.353183
0.355000
1.55
From: 28 Dee 2006
To: 01 May 2007
Date
Deduction
Description I Amount ($) I Ami$~ I
Oed ctio N t Pri P T cti To
u n I e I ce er I ransa on I Reinvesunl
Type Amount ($) Share ($) Shares Share Balan
28 Dee 2006
01 Feb 2007
01 May 2007
Summary of Holdings
Balance Forward
Oividend Reinvesbnenl
Oividend ReirMlsbnent
1.53
1.55
0.08
0.08
Fees
Fees
1.45 37.132081
1.47 38.936696
0.039050
0.037754
4.3141
4.3531
4.3909
Date: 01 May 2007
Class Description: DSPP - COMMON STOC
Certificated Shares
I Uncertlficated Shares I
Direct Registration I Reinvestment
OJJOOOOQ
0.00000o
4.390937
Total Shares I
~
"---
Closing Price I
Per Share ($)
38.840000
Value I
170.f
.
124UOR
ATT
of
(}iJ2CS-l-UCl3E> ootJEO
Optional Cash Purchase Please detach Ihis portion and maD to the address shown be/ow.
If you wish to make an optional cash purchase at this time, please make your check
payable to Computershare. No third party checks will be accepted.
Please write your Holder Account Number and AT&T Inc. on your check.
This form should ONLY be used for AT&T Inc.
The enclosed contribution will ONLY be applied to the account referenced to the right
Holder Name: WALTER J T'JMAS
Holder Account Number
C 2007793891
JNT
Attached is a check for
I liB mU111 nmll.I.IIII~ lUll
The plan allows for a minimum amount of $50 wiIh a maximum amount of $120,000 per year. AT&T
Inc. invests optional cash payments <Ner'f Monday. II tile Monday is a oon NYSE trading day 1he funds
will be invested on the next business day.
I,ll ,.11."".111 ,1"1,,,1.11.,11. "II, III 11,,11," .11..1.1,,1
Computershare
P.O. Box 6006
Carol Stream,lL 60197-6006
[][][][][][][][][]ATT SPP1 C 2007793B91
P.O. Box 219151
Kansas City MO 64121-9151
1-800-728-3337
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Deutsche B_nk Group
September 6, 2007
Gates, Halbruner & Hatch, P.C.
Attn: Traci L. Sheridan
1013 Mumma Rd., Suite 100
Lemoyne, P A 17043
Fund:
Account #:
Registration:
DWS GNMA Fund-S
00317403825
Walter J. Tumas
June E. Huy Jt. Ten.
Dear Ms. Sheridan:
I am writing in response to your letter regarding the DWS Scudder account referenced above. Please extend our
condolences to the family of Walter J. Tumas.
Because January 21, 2007 was not a business date, I have provided the number of shares, share prices, and dollar
values of the DWS GNMA Fund-S in this account as of January 19, 2007 and Ju1y 22, 2007.
Fund Name (Class S)
January 19,2007
January 22, 2007
Number of Shares
266.368
266.368
Share Price
$14.69
$14.70
Dollar Value
$3,912.95
$3,915.61
Because we are unable to guarantee returns, this fund does not pay interest. The dividends have historically paid
monthly as this fund does not accrue dividends daily. This is not a credit or loan account.
Please note that this Joint Account was established on February 28, 1994 and does not contain a beneficiary file.
To transfer or redeem the shares in this account to Ms. Huy as the surviving tenant, a new account with a new
number will need to be established under her Social Security number.
To process this request, please provide us with a signature guaranteed Change of Account Ownership form.
A signature guarantee is designed to protect an account from unauthorized activity and can be obtained at a
bank or brokerage firm. Please note that a notary public is not an acceptable guarantor.
Note: A signature guarantee is not required if transferring to Ms. Huy's name only. A signature guarantee
would be required for all other circumstances.
Please submit the above documentation in the postage paid envelope provided. For Ms. Huy's convenience, we
will retain the certified death certificate that was forwarded to us.
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j'fNrfRACTNf CHART .
Hom.;
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This Historical Quotes tool allows you to look up a security's exact closing price.
Simply type in the symbol and a historical date to view a quote and mini chart for that security.
fil
Low:
14.47
14.26
14.49
14.2
Enter Symbol: IALU
Enter Date: 11/19/07
Alcatel-Lucent
Friday. January 19.2007
Closing Price:
Open:
High:
Volume:
7,149,800
Go To Charting ... ~
No Splits
2-Month Daily Chart of Alcatel-Lucent
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License and integrate news, custom financial tools and data from Dow Jones Client Solutions..
Copyright @ 2007 MarketWatch, Inc. All rights reserved.
http://bigcharts.marketwatch.com/historical/default.asp?detect= 1 &symbol=ALU&c1ose _ date= 1 %2F19%2... 10/4/2007
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, ADVANCf:DCiMt1T
-
! fNTfRACrNf CHART
This Historical Quotes tool allows you to look up a security's exact closing price.
Simply type in the symbol and a historical date to view a quote and mini chart for that security.
Enter Symbol: IALU
Enter Date: 11/22/07
Alcatel-Lucent
Monday. January 22.2007
Closing Price:
14.19
14.27
14.28
14.08
11,349,700
Go To Charting .11\1 ~
Open:
High:
Low:
Volume:
Hot Stock Alert (TMDI)
Telemedicus - Medical Communication Top Telemedicine Technology
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PA REV-1500
SCHEDULE E
CASH, BANK DEPOSITS &
MISCELLANEOUS PERSONAL
PROPERTY
e
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Walter J. Tumas
Date of
Type of Account Date Account Death Interest Earned from
Account Number Owners Opened Changes Balance 01/01/07 to 01/21/07
Checking 280628 Walter J. Tumas 01/01/92 None 4489.14 0.07
Money Market 9017492 Walter J. Tumas 01/23/06 None 15804.28 18.06
Certificate of Jean L Tumas
Deposit 309001871 Walter J Tumas 01/23/06 None 10434.62 22.68
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MID PENN BANK
Making things happen for you.
July 18, 2007
Gates, Halbruner & Hatch, P.c.
Attention: Traci L Sheridan
1013 MummaRd
Suite 100
Lemoyne, PA 17043
Dear Ms Sheridan,
Please find account information for Walter J. Tumas, as you had requested.
There were no loan or credit accounts for Mr. Tumas.
Should you have any questions regarding this information, please contact me at
717-761-2480.
A
.i
Since~ely, ;'(/
,II .)/ //; //'
/It; tf ~.'./JI {?:~/A~_'
/ J ana J Mtauire
./ Branch Manager
Carlisle Pike Office
Member FDIC
Corporate Headquarters: 349 Union Street, Millersburg, PA 17061 · (717) 692-2133 · wwwmidpennbank.com
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BILL OF SALE
2003 Chevrolet VIN 1GNDX03E23D325290
Including Bruno lift and power chair
Sold by the Estate of Walther John Tumas
former resident of
417 E. Green Street .
Camp Hill, PA 17011
To: RSL Auto Sales
4 Council Drive -
Woodsboro,~ 21798
For $9000.00
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Date
~~7
Date
IlILL OF SAL~
-
-
e
2003 Chevrolet '.TIN \ GNDl{03E23D3~5291)
11\c\uQing Bruno lift and power chait
sold b)' the Estate ofV>la\ther John 1'ulllllS
former residen.t of
417 E. Green. Street
camp Bill, yA 17011
1'0: RSL Auto Sales
4 council Dri"e
V>loodSboro,~ 2\793
for $9000.00
Date
----
e
e
Estate of Walter J. Tumas
Page 2 of3
August 3 I, 2007
LTC Premium Returu
Account Number
910030553879004
Total Value
$0.00
A premium refund of$896.52 was made payable to the Estate of Walter Tumas, 417 East Green Street,
Shiremanstown, PA 1701 I on 4/18/07. The check #12361284 has been paid.
The date of death values provided are for estate tax purposes and are not a value to be paid. Accounts
may be subject to market fluctuation as governed by each product. Actual values used in preparation of
tax returns or for planning purposes should be verified by legal and accounting advisors.
Beneficiary Information
Account Number: 010122276354002 "'-
Designation:
PRIMARY BENEFICIARY
JUNE C BUY
SECONDARY BENEFICIARY
KAREN SASSAJIMA
DAUGHTER
100.00%
GRANDDAUGHTER
100.00%
Account Number: 011514213617002",
Designation:
PRIMARY BENEFICIARY
JUNE C BUY
SECONDARY BENEFICIARY
KAREN SASSAJIMA
DAUGHTER
100.00%
GRANDDAUGHTER
100.00%
Account Number:
Designation:
No record on file.
910030553879004,\
Account Number: 93 I 030493 I 9 7 004 '-....
Designation:
PRIMARY BENEFICIARY
JUNE C BUY
SECONDARY BENEFICIARY
KAREN SASSAJIMA
DAUGHTER
100.00%
GRANDDAUGHTER
100.00%
METLIFE e
Total Control Account
485-E US highway 14th Fl
POBox 4121
Iselin, NJ 08830-4121
1-800-638-7283
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1 0/2/2007
GA TES, HALBRUNER & HATCH
LA W OFFICE
1013 MUMMA ROAD STE#IOO
LEMOYNE, PA 17043
Re: WALTER TUMAS
TOTAL CONTROL ACCOUNT 4051931214
I am responding to your request for the date of death balance regarding the above
account.
The balance in the above account was $11,203.49 on 1/21/07 which includes interest
earned of $26.04.
If you have any further questions, you may call our Customer Service Representatives
Monday through Friday 8:00 a.m. to 6:00 p.m. Eastern Time.
Sincerely,
Mariann Benenati
Claims Dept.
Metropolitan Life Insurance Company provides administrative services for Total Control Accounts issued by its affiliates.
e
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PA REV-1500
SCHEDULE F
JOINTL Y OWNED PROPERTY
e
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o PNCBAN<
The Thinking Behind The Money
August 7, 2006
Gates, Halbumer & Hatch
Attorneys at Law
1013 Mumma Rd
Lemoyne, P A 17043
RE: Walter J Tumas (Deceased)
SSN: 159-18-1408
[X)1):OI-21-2007
Dear Sir or Madam:
In response to your request for Date of Death balances for the customer noted above, our
records show the following:
Certificate of Deposit Account
Account # 31800227648
Established 05-21-2002
WALTER J TUMAS
JUNE C HUY
DOl) balance: $25,124.01 + 0.00 accrued .interest
Checking Account
Account # 5004304215
Established 01-06-2004
WALTER J TUMAS
JUNE C HUY
DOl) balance: $7,102.29 + 1.32 accrued interest
Savings Account
Account # 5004302471
Established 01-06-2004
WALTER J WMAS
JUNE C HUY
DOD balance: $41,799.43 + 96.63 accrued interest
Page 1 of2
e
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PA REV-1500
SCHEDULE G
INTER-VIVOS TRANSFERS and
MISCELLANEOUS NON-PROBATE
PROPERTY
e
--
o PNCBAl\K
The Thinking Behind The Money
August 7, 2006
Gates. Halbumer & Hatch
Attorneys at Law
1013 Mumma Rd
Lemoyne, P A 17043
RE: Walter J Tumas (Deceased)
SSN: 159-18~1408
DOD: 01-21-2007
Dear Sir or Madam:
In response to your request for Date of Death balances for the customer noted above, our
records show the following:
Certifieate of Deposit Account
Account # 31800227648
Established 05-21-2002
WALTERJ TIJMAS
JUNE C HUY
DOD balance: $25,124.01 + 0.00 accroedinterest
Checking Account
Account # 5004304215
Established 01-06-2004
WALTER J TUMAS
JUNE C HUY
DOD balance: $7,102.29 + 1.32 accrued interest
Savings Account
Account # 5004302471
Established 01-06-2004
WALTER J TUMAS
JUNE C H.UY
DOD balance: $41,799.43 + 96.63 accrued interest
Page 1 of2
The Personal Advisors of 4
Ameriprise ~
Financial
e
August 31, 2007
Gates, Halbruner& Hatch, P.C.
1013 Mumma Road
Suite 100
Lemoyne, PA 17043
Attn: Traci L. Sheridan, Paralegal
Re: Estate of Walter J. Tumas
A financial advisory practice of
Ameriprise Financial Services, Inc.
Westwood Center
4661 Trindle Road
Camp Hill. PA 17011
Tel: 717.761.4208
Fax: 717.761.6282
Toll Free: 800.962.8694
An Amerlprlse Platinum
Financial Services'" practice
Tom Benkovlch, CFP., ChFC., CFS
Senior Financial Advisor
thomas.f .benkovich@ampf.com
Jack Benkovlch, cwe. CFS
Senior Financial Advisor
john.a .benkovich@ampf.com
Kevin Pressmann, ChFC.
Associate Financial Advisor
william.k.pressman@ampf.com
Christine Slusark
Paraplanner
christine.m .slusark@ampf.com
Thank you for your recent inquiry regarding the accounts of Walter J. Tumas. These are the
values of the accounts as of 01121/2007.
Account Information
Mutual Funds
Account Number
010122276354002
011514213617002
Ownership
Individual- TOD
Individual - TOD
Opened Date
03/10/2006
02119/1991
Annuities - Post 1985
Account Number
93103049319 7 004
Ownership
IRA - beneficiary designated
Opened Date
07/01/1992
LTC Premium Return
Account Number
Ownership
lndividuai
Opened Date
i.J~1 i 5/19lJ2
9IC~20::5}37 9 OO~
Mutual Funds
Account Number
010122276354002
0115142136] 7002
Total Value
$32643.90
$12943.19
# of shares
4636.917
2,930.500
Asset Value Per Share
7.040
4.400
Annuities - Post 1985
Account Number
93103049319 7 004
Total Value
$11369.23
An Ameriprise Financial franchise. Ameriprise Financial Services, Inc. offers financial advisory services. investments. insurance and annuity products.
RiverSourcelt products are offered by affiliates of Ameriprise Financial Services, Inc., Member NASD and SIPC.
e
e
Estate of Walter J. Tumas
Page 2 of3
August 31, 2007
LTC Premium Return
Account Number
910030553879004
Total Value
$0.00
A premium refund of$896.52 was made payable to the Estate of Walter Tumas, 417 East Green Street,
Shiremanstown, P A 170 lIon 4/1 8/07. The check # 12361284 has been paid.
The date of death values provided are for estate tax purposes and are not a value to be paid. Accounts
may be subject to market fluctuation as governed by each product. Actual values used in preparation of
tax returns or for planning purposes should be verified by legal and accounting advisors.
Beneficiary Information
Account Number: 010122276354002
Designation:
PRIMARY BENEFICIARY
JUNE C HlN
SECONDARY BENEFICIARY
KAREN SASSAJIMA
DAUGHTER
100.00%
GRANDDAUGHTER
100.00%
Account Number: 01151421361 7002
Designation:
PRIMARY BENEFICIARY
JUNE C HlN
SECONDARY BENEFICIARY
KAREN SASSAJIMA
DAUGHTER
100.00%
GRANDDAUGHTER
100.00%
Account Number:
Designation:
No record on file.
910030553879004
Account Number: 931030493197004
Designation:
PRIMARY BENEFICIARY
JUNE C HUY
SECONDARY BENEFICIARY
KAREN SASSAJIMA
DAUGHTER
100.00%
GRANDDAUGHTER
100.00%
e
e
PA REV-1500
SCHEDULE H
FUNERAL EXPENSES and
ADMINISTRATIVE COSTS
e e
AVER MEMORIAL HOME AND CREMATION SERVICES, INC.
4100 Jonestown Road · Harrisburg, PA 17109 · 1-800-720-8221 · Fax 717-541-9943 . Shawn E. Carper, Supervisor
1-22-2007
Mrs. June Huy
5605 Old Natlonal Pike
Frederick, MD 21702
Walter J. Tumas - Deceased
SPECIAL CHARGES
X Direct Cremation
Forwarding Remains
Receiving Remains
Immediate Burial
Nationwide Guarantee Pro$ram
Worldwide Travel Protectlon
TOTAL SPECIAL CHARGES
PROFESSIONAL SERVICES
Services of Funeral Director & Staff
Embalming
Other Preparation of the Body
Facilities & Staff for Viewing ($200/hour)
Facilities & Staff for Funeral Service
Facilities & Staff for Memorial Service
Staff & Equipment for Viewing ($200/hour)
Arrange/Deliver Remains To A National Cemeter
Staff & Equipment for Memorial Service
Private Family Viewing/Witnessing Cremation
Special 48 Hour/Weekend Cremation Service
Packaging And Forwarding Cremated Remains
Personal Delivery of Cremated Remains
Scattering of Cremated Remains
Medical Documents/Courier Fee
TOTAL PROFESSIONAL SERVICES
AUTOMOTIVE EQUIPMENT
Removal Vehicle
Casket Coach
Flower Car
Lead Car/Clergy Car
Service Vehicle
Family Car
TOTAL AUTOMOTIVE EQUIPMENT
270109 JT-5
$895.00
$895.00
$0.00
$0.00
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MERCHANDISE
Register Book
Memorial Folders
Thank You Cards #
Remembrance Package
Casket
X Cardboard Container
Cremation Container
Urn Burial Vault
Veterans Flag Case
Grave/Memorial Marker
Other
Other
TOTAL MERCHANDISE
CASH ADVANCED ITEMS
Grave Openin;:r
Cemetery Equlpment
Vault Service Charge
Newspapers
X Patriot News
Clergy
Church/Organist/Soloist
Flowers
X Crematory Charge
X County Coroner Cremation Approval Fee
X Certified Copjes
X -.. _.._eke J;;~
TOTAL CASH ADVANCED ITEMS
SUMMARY OF CHARGES
Special Charges
Professional Services
Automotive Equipment
Merchandise
Cash Advanced Items
SUB TOTAL
DISCOUNT
TOTAL
AMOUNT PAID
$895.00
$0.00
$0.00
$0.00
$731.18
$1,626.18
-$845.00
$781.18
-$470.00
$311.18
2-12-2007
BALANCE DUE
e
$0.00
$166.18
$400.00
$25.00
$120.00
010 ~ 9 9 'I
$731.18
THIS STATEMENT MAY NOT REFLECT ALL NEWSPAPER CHARGES
~"
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Room No.
Arrival
Departure
9033
01-28-07
01-29-07
,--
!
Date
01-29-07
; 01-29-07
: Banquet Lunch - Food
: MasterCard
,
Guest Signature:
______~!!;_<:~~p!~ol1
NR Number
Group Code
Folio/Invoice No.
Reference #
Page No.
Cashier No.
User ID
www.ichotelsgroup.com
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31232 /
1 of 1
111
LDELL
I I I
I I
i Charges i Credits I
._n~____u_I____-L_______~
781.81 I
781.811
XXXXXXXXXXXX5190
Total
Balance
781.81
781.81
0.00
I have received the goods and I or services in the amount shown heron. I agree that my liability for this bill is not waived and agree to be held personally liable in the
event that the indicated person, company, or association fails to pay for any part or the full amount of these charges. If a credit card charge, I further agree to perform
the obligations set forth in the cardholder's agreement with the issuer.
Holiday Inn Harrisburg/Hershey
604 Station Road
Grantville. PA 17028
Telephone: (717) 469-0661 Fax: (717) 469-7755
www.stayholiday.com
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Posting Date 2007 Apr 11
Research Seq # 5166820152
Account # 52863481
Check/Store # 813
DB/CR DB
Dollar Amount $356.00
Bank # 096
Branch # 06208
Deposit Acct # 0
http://pc-ncrweb 1.firstmd.comJinquiry/servlet/inquiry
7/11/2007
Glenda Farner Strasbaugh
Register of Wills
and
Clerk of Orphans' Court
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Marjorie A. Wevodau
First Deputy
Kirk S. Sohonage. Esq
Solicitor
Register of Wills and Clerk of the Orphans' Court
County of Cumberland
One Courthouse Square
Carlisle, PA 17013
(717) 240-6345
FAX (717)240-7797
INVOICE
Bill To:
GATES HALBRUNERHATa-I
1013 MUMMA ROAD SUITE 100
InvoiceNo:
Invoice Date:
Estate of:
Estate No:
1500
7/11/2007
WALlER T TUMAS
21-07-0334
CJ
LEMOYNE, PA 17043-
Qty
5
Fee Description
Short Certificates
Fee Total
4.00 $20.00
Total:
$20.00
Checks should be made payable to the Register of Wills. Terms: Net 30.
Please return one copy of this invoice with yuur payment. Thank you.
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tS60S OLD NATIONAL PIKE
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Research Seq # 5172890453
Account # 52863481
Check/Store # 821
DB/CR DB
Dollar Amount $36.00
Bank # 096
Branch # 06208
Deposit Acct # 6080
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BUR"- .U OF INDIVIDUAL TAXES
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HARR,S8URG, PA 17128-0601 PENNSYLVANIA
~ECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CO 007984
HUYJUNE C
5605 OLD NATIONAL PIKE
FREDERICK, MD 21702
ACN
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101 I $10,000.00
ESTATE INFORMATION: SSN: 159-18-1408 I
FILE NUMBER: 2107-0334 I
DECEDENT NAME: TUMAS W ALTER J I
DATE OF PAYMENT: 04/09/2007 I
POSTMARK DATE: 04/09/2007 I
COUNTY: CUMBERLAND I
DA TE OF DEATH: 01/29/2007 I
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CHECK# 501
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SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER
(JNE C HUY .. f ") C' _. ,0501
605 OLD NATIONAL PIKE .DATE~f{)YI I) L.-DCI 65.1251550
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5605 Old National Pike
Frederick, MD 21702
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Research Seq # 5344592109
Account # 52863481
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WALTER J TUMAS
ESTATE OF WALTE J TUMAS
Make Chid Payable To: UBERTY MUTUAL GROUP
Please send all payments in the envelope provided.
Payments are no longer accepted in local Liberty Mutual offices.
.
For address and/or name changes,
please call us at (800) 722-5164.
Current Due: Pay either Policy Balance:
$76.46 amount $438.73
Sales Office:
0357
Policy Number: Due Date:
A02-281-72IS89-00 7 08/27/2007
AMOUNT ENCLOSED
$
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Check here to have future payments deducted from your checking account. Please note,
this payment is currently due. We will use the bank information on your enclosed check
for future withdrawals. Unless you elect a different day, your withdrawals will occur on the
7th day each month. See reverse side for Important Infonnation and required signature.
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CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, P A 17013
July 20, 2007
Cumberland Law Journal is published every Friday by the Cumberland County Bar
Association and is designated by the Court of Common Pleas as the official legal publication for
Cumberland County and the legal newspaper for publication of legal notices.
TO:
Craig A. Hatch, Esquire
Walter J. Tumas, Jr., Estate
RE:
Legal advertisements must be received by Friday Noon. All legal advertising must be
paid in advance. Make all checks payable to: Cumberland Law Journal.
Advertisement inserted on following dates:
July 6, July 13, and July 20, 2007
Advertising Cost
75.00
Proof of Publication
$ 0.00
Second Proof Request
$ 0.00
Payment received
$ 75.00
Total Amount Due
$ 0.00
Becky H. Morgenthal, Executive Director
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PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16, 1929),P. L.1784
COMMONWEALTH OF PENNSYL VANIA
ss.
COUNTY OF CUMBERLAND
Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and
State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law
Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid,
was established January 2, 1952, and designated by the local courts as the official legal
periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly
issued weekly in the said County, and that the printed notice or publication attached hereto is
exactly the same as was printed in the regular editions and issues of the said Cumberland Law
Journal on the following dates,
VIZ:
July 6, July 13, and July 20, 2007
Affiant further deposes that he is authorized to verify this statement by the Cumberland
Law Journal, a legal periodical of general circulation, and that he is not interested in the subject
matter of the aforesaid notice or advertisement, and that all allegations in the foregoing
statements as to time, place and character of publication are true.
Tumas, Walter J., dee'd.
Late of the Township of East
Pennsboro.
Administratrix: June C. Huy,
5605 Old National Pike, Frederick
MD 21702. '
Attorneys: Craig A. Hateh Es-
quire, Gates, Halbruner & H~tch
P.C., 1013 Mumma Road, Suit~
100, Lemoyne, PA 17043.
SWORN TO AND SUBSCRIBED before me this
20 day of Julv. 2007
~A-LJ dy~
Notary
NOTARIAl SEAl
DEBORAH A COllINS
Notary PublIC
CARLISI..E BORe. CUMBERlAND COUNlV
My CommiSSIon expires Apr 28, 2010
(tbc patriot-N&Js
Now you know
Order Conl-mation
Payer
Payer Account Number
41052
Sales Rep.
Order Taker
'-.~> //..=.\
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0001712150 '--...-- ~ )
~~
rholton
Customer
GATES, HALBRUNER & HATCH, P.C.
Orderer Account Number
41052
Ad Order Number
rholton
Fax
Order Source
Special Pricinq None
GATES, HALBRUNER & HATCH, P.C.
ATTN: TRACI L. SEPKOVIC,1013 MUMMA
ROAD,SUITE 100
Lemoyne PA 17043 USA
PO Number
ESTATE OF TUMAS
TRACI
Ordered By
Customer Fax
Customer EMail
Customer Phone 717-731-9600
II For Any Questions, Please Call 717-255-8459 II
Payer Phone
717-731-9600
Tear Sheets
o
Proofs
o
Affidavits
1
Blind Box
Promo Type
Invoice Text
Materials
$279.90
Total Ad Cost
Payment Amount
$0.00
~
Payment Method
Amount Due
Ad Number Ad Type
0001712150-0' Legal Liners
Ad Size
: 1.0X20 Li
Color
<NONE>
Production Method Production Notes
Ad Booker
Product Information
Classification
# Inserts
Run Dates
PNCO: :Full Run
806-Estate Notices
3
7/6/2007,7/13/2007,7/20/2007
Run Schedule Invoice Text
ESTATE NOTICE LETTER OF ADMINISTRATION for the Estate of WALTER J, IZrm/J 5
7/20/20078:03:22AM
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THE PATRIOT NEWS
THE SUNDAY PATRIOT NEWS
Proof of Publication
Under Act No. 587, Approved May 16, 1929
Commonwealth of Pennsylvania, County of Dauphin} ss
Joseph A. Dennison, being duly sworn according to law, deposes and says:
That he is the Assistant Controller of The Patriot News Co., a corporation organized and existing under the
laws of the Commonwealth of Pennsylvania, with its principal office and place of business at 812 to 818 Market
Street, in the City of Harrisburg, County of Dauphin, State of Pennsylvania, owner and publisher of The Patriot-
News and The Sunday Patriot-News newspapers of general circulation, printed and published at 812 to 818 Market
Street, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were
established March 4th, 1854, and September 18th, 1949, respectively, and all have been continuously published ever
sIDce;
That the printed notice or publication which is securely attached hereto is exactly as printed and published
in their regular daily and/or Sunday/ Metro editions which appeared in the 6th, 13th and 20th day(s) of July 2007.
That neither he nor said Company is interested in the subject matter of said printed notice or advertising, and that all
of the allegations of this statement as to the time, place and character of publication are true; and
That he has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this
statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed
and adopted severally by the stockholders and board of directors of the said Company and subsequently duly
recorded in the office for the Recording of Deeds in and for said County of Dauphin in Miscellaneous Book "M",
Volume 14, Page 317.
PUBLICATION
COpy
Sworn to and s
GATES, HALBRUNER & HATCH, P.C.
ATTN: TRACI L. SEPKOVIC
1013 MUMMA ROAD, SUITE 100
LEMOYNE, P A. 17043
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USPS SHIREMANSTOWN BRANCH
SHI REMANST OWN , Pennsylvania
110119997
4134870091 -0098
02/26/2007 (800)275-8777 03:55:15 PM
Sales Receipt
Product Sale Unit
Description Qty Price
--
~tlTLAND VT 05702 Parcel
_ Post
"8 lb. 13.8 oz.
Issue PVI:
Total:
Paid by:
Cash
Change Due:
FIlial
Price
$9.21
--------
--------
$9.21
$9.21
$10.21
~ ~$1.00
All sales final on stamps and postage.
Refunds for guaranteed services only.
Thank you for your business.
Customer Copy
R~ 0'le1cl"6~\~ O3do~
BiIIH: 1000202706528
Clerk: 01
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e 37-39 Berlin Street
P.O. Box 187
Codorus, P A 17311
(717) 229-2167 (717) 225-5622
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IGNDX03E23D325290
COlOR
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MILES IN
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SERVICE CONTRACT
CHECK VEHICLE FOR EMISSION'S/YORK COUNTY
PERFORMED EMISSIONS TEST
(Tech:17) C
PERFORM STATE INSP FOR AN AUTOMOBILE
PERFORMED SI:
BRAKES:FRT-10/32B REAR-5/32R
TIRES:9/32 ALL
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HILL PA 17011
INVOICE
'07i20/07
B. It .t)~ "'OS :22.
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EC EC EC T17 6
Total Repair (Customer).................
Labor T14 6
PA INSP STICKER (AI7B443715) 1
Total Repair (Customer ).................
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VERIFIED BY:
Any w8mlnties on the product sold hereby are those made by the manufacturer. The saUer hereby
expressly disclaims aI warranties either expressed or implied. including any implied warranty of
merc::hantabAit of fitness for a particular purpose, and neither assumes nor authorizes any person to
asstme tor II any liability in comection with the sate of said products. Any limitation contained herein does
not apply -. prohibited by law.
Page 1 of 1 Job 31857
318 57 CUB tamer Copy
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TERMS
No Returns On Electrical Or
Special Order Items. A
Restocking Charge Will Be
Applied On All Merchandise
Returned For Credit. No
Returns After 30 Days Or
Without This Invoice.
Labor Rate
65.00
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34.95
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*** END OF ATTACHMENTS ***
LAW OFFICES OF
GATES, HALBRUNER &- HATCH, P.C.
LOWELL R. GATES, LL. M.
LL. M. in Taxation
Also Admitted to Massachusetts Bar
MARK E. HALBRUNER
CRAIG A. HATCH, CELA
Certified as an Elder Law Attorney by
the National Elder Law Foundation
CLIFTON R. GUISE
Also Admitted to practice before the
U.S. Patent & Trademark Office
SARAH E. McCARROLL
1013 MUMMA ROAD' SUITE 100 . LEMOYNE, PENNSYLVANIA 17043
(717) 731-9600 . FAX: (717) 731-9627
CORRESPONDENCE ADDRESS:
Lemoyne Office
WEB SITE:
www.GatesLawFirm.com
October 22, 2007
BRANCH OFFICE:
3 WEST MONUMENT SQUARE, SUITE 304
LEWISTOWN, PA 17044
(717) 248-6909
STACEY L. NACE
Paralegal/Office Manager
TRACI L. SEPKOVIC
Paralegal
VALERIE LONG
Paralegal
TRACI L. SHERIDAN
Paralegal
Cumberland County Courthouse
Office of the Register of Wills
One Courthouse Square
Carlisle, P A 17013
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RE: Estate of Walter J. Tumas
File No. 21-07-0334
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Dear Register of Wills:
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Enclosed for filing are the Pennsylvania inheritance tax return (in duplicate) and Inventory
for the Estate of Walter J. Tumas. I am also enclosing a check in the amount of $2,215.95 as
payment of the inheritance tax liability. Please time-stamp the photocopy of each document and
return them to our office in the enclosed envelope.
Please also find enclosed a check in the amount of$15.00 as payment for the filing fee ofthe
Pennsylvania inheritance tax return.
Please notify Attorney Craig A. Hatch or myself if you need any additional information.
Thank you for your assistance in this matter.
Sincerely,
6ktr Jib
Traci L. Sheridan
Paralegal
Enclosures
cc: June C. Huy, Administratrix
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