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HomeMy WebLinkAbout04-07-08 (2) --I 15056051047 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 OFFICIAL USE ONLY County Code Year File Number INHERITANCE TAX RETURN RESIDENT DECEDENT Date of Birth Decedent's Last Name Suffix Decedent's First Name MI (If A~)plicable) Enter Surviving Spouse's Information Below SpolJse's Last Name Suffix Spouse's First Name MI SpolJse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW c:::> 1. Original Return - 2. Supplemental Return c:::> 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required c:::> 4. Limited Estate c:::> c:::> c:::> 4a. Future Interest Compromise (date of death after 12-12-82) c:::> 7. Decedent Maintained a Living Trust (Attach Copy of Trust) c:::> 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) COnRESPONDENT - 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 o 8. Total Number of Safe Deposit Boxes c:::> Firm Name (If Applicable) First line of address _ ~~)O ''o2-'f1 '-- :-.0 ---1 ::u .J> -u ::r.;,; ~ N ....... Correspondent's e-mail address:CeSh;efd53@COrYlCo.st.net Under penalties of perjury, I declare that I have examined this retum, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which prepareI' has any knowledge. (DATE 'f 1. I Or l1{)s~ Side 1 L 15056051047 15056051047 -I ~ :3' ~ ~ -.JI REV-1500 EX 15056052048 Decedent's Name: f/J/1I1SleAN() / fJI/J/f6/1-JeET /(1. RECAPITULATION 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) c::> Separate Billing Requested . . . . . .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) c::> 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. 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 .0L 16. Amount of Line 14 taxablq 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 15. 16. 17. 19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 18. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Jf lJeeed e.nt ~\)( (, 10) c:::> "t1J~ oJ f;mt. UJ6.S d~ed ;July ,g/ Iqq'!. fer eMt. L;neo.I de.sc.eY1do.td;- -0$ L. 15056052048 Side 2 15056052048 -.J REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME File Number ;1.1- 05 - 7/3 IYJA-R(;A-~T M. 1J1A-I?J fell-NO STREET ADDRESS /000 E. SI/J(f1solJ .5r: CITY IYl E~)IIIIfJ/CJf3ttHG- Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount 3. InteresVPenalty if applicable D. Interest E. Penalty tJ tJ 4. TotallnteresVPenalty ( 0 + E ) If Line 2 is weater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (3) 0 (4) 0 1- (5) ,J,iSlJ.77 (5A) IJ 1/ "~,3i (58) 9'Lfi 311.. IJ 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;.......................................................................................... D rgj b. retain the right to designate who shall use the property transferred or its income; ............................................ D ~ c. retain a reversionary interest; or.......................................................................................................................... D [X] d. receive the promise for life of either payments, benefits or care? ...................................................................... D l&J 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ............................................................................................................. D 00 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?............. D 00 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ D ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 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. S9116 (a) (1.1) (i}l. 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 (O) percent [72 P.S. S9116 (a) (1.1) (ii}l. 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 (O) percent [72 P.S. s9116(a}(1.2}J. 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 PS. 99116(1.2) [72 P.S. s9116(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 PS. s9116(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. ~ ~ ~-;f/~ boD: 1 j;gj;9C?9 9 RIo /)~.: If /12'/01000 'f/L~Ot)O - Jt?t/3/L~ooo -;: ~S5 d~ 1:1./857).. '17 'X ' fJOtJ:(/9 7 :j(),,~;{ '13 ___ $O,ft,:Uf-3;>< :J5~ d~ = 1/5"9,./965" (J~/ ! /59..;U; j//;{oOI - /~/31/~OOI ;:; 3fo5"oI~ .. f ;).1 <6SlJ, '/1 1- .. Doo:ll.f7 ~ ;f 0, ~o Lf( PO.'lo'l/ 'f. 3ft,S-d~ ;::$~5'b.C;96S- '~57,tJo ~/I/;?OO;; - 1(;)/3//<<OO~ :: 3b5" d~ ~ ~ ~Sb. 11 "f. ' Ot) 0/6'1; $0, I.f(p 7 S- ~O,q&7S- Y. 3b~J~-;; i/10..~37S- I/?O,,(plj- t/r!;U;03 -/~/31 /;J.OO '3'::= 36S- d~ .. f;{ rtSD, 11"i- , 00013 7 ~ 10,3 t;o(;:, 16, 390ro 'f.- 3ft,~ J~:;; :I>/tf;J.#Sb90 11'12..51 o.I/I/~oOlf- 1~311~()lf ;: 30~ J~ 1;(l~SlJ. 11 'f- · 000/10::= !a,'3/3b ~O,313ft:, y.. 3fo~d~ = ~/llf,7'7'1~ 1 /1 'f. '13 lj;b-ooS--/~j3J/~ooS-= 3fo~'~ I ').-r5D, 11 'I- " 000(:;1 =:;- 10, 3 'la~ ________ i 0, 3'10(P Y. 3{P~ d~ :; ~ /If:{, 5"b9o ti!t:<, 5'"1 ---_._--"---"---_.._----~--.......-~ ~._--~---_.~--.1. (L'j!Ld:_~ ~ ~ - JL~ -------- _ /JOb: 7/19//99'1 __ 91110. fJ/fTF : !t/!gl?_ooo__~___________________ -------------LJ!L~ DO ~_ - -- (#$ r/;WOc, ;- 3 bs- cI tup- ___________________________ ___________ ______ i;L g'S2J, 17 ~ I> 000 I Cf ~ ~__1 O_,-~~ 7~____________________________________ ~ 1- t), 5 '/73 ')(3 b S rJ~ "'_J! 9'9,_ '11o'f~ _____1 /}_~''1!:__= -_._-_._---,-_.~-------------~-_. ._"~--._-------"~~.__._._--- - M~o 1 - f ~31 ).2-001:= 310S J~------------- ==--=---- ~ d3;;~-:;-:;;O J-f C; -- = _ :lr;-rn3---------------------------------- - ~ 6, b ;'ll{ 3 't 3 b S d~ .::. _I ~ :A 1.8fo9S- -- --~~~~_~~2_~-;~__~7_~=___~~~ ___________-,-~/~oo ~ - ~i/:;>.oOJ>= q~ d~ _______ ~ ~8!)o, 11 y... 000/9 -:L ~ ~ 0, s'l'13 _________ J () ,S-'f13 i- 9~ c{~:= ~ ~/, q" 35 I 5"/.99 -"'-~--~----_._~---_._-~..__.~_.__.~----~._-_..,~~._--_..-"----_.-._..__.~--_._-----~~-,-_._._..._-.--_.._--.~--._.__._---- Tb TlT-L :P; ,!"fp,3'! ____________________J__ ------ ,. -- -- ----------------d----- -------------------- r' ______________________________~_tf:..f~: -- 77 _________ f ~_tL-Jl:L~ ~ ~________~~~==~= - -~...~._-~_.._----."---_._-------------------_._-~_._--_._-_.-~-- -----~~--,-----~---_.._~----_.__..._----~--_.._--- --_.._._----_...._--~----_._------_...__.._~._------_.,------ ___.___._____,.____~.__,____~_..._~_~___>v.__..._._..__.__,______._._' ..___, _,._____..__'~~.__ __."__._,_~...._.._.__ ...___.-'n.._._'._._'. ---'-'-..-.- -----.--~ ~--,----~._--_.__.--~----------_._._.._- --.-------~-----,_.~--'-~~---~,._---.._._--~._."._,..-._-~-----,~._.~-_.._-_...._._._~_._-_.. _...~------_...-.-._._- -- --,--_.-----~~~-..-....----------._'-----_.._-"-_..._-_.---...,-.-.---~.,~-----~_...-----..-------_.------~~,._~-'_.,'-...,-". ._-..,-,,---'"_..-,_.._-.~------,-_.- --' ..-...----... _"e'_~.'.~___~..~.__~_-______.~_________._.__"".__'__~_'_-.-----.~---,---~._.------..-..-----~,..-..-----. ------~-----~-----_.-..- .--~--.-...-~---..._..-~-.-..~.- ..,......_..--._.._~--..-~--_.--- --.-----....-".----..------...--- RfV-1509 EX + ("1-971 SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF IJ1 ~t?S ICAI/a; IJ1 At<6 ~R.r: T /11. FILE NUMBER d2 / ~ tJS - 7/.5 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 ADDRESS RELATIONSHIP TO DECEDENT A. PE,GGY .:r. I11J1.R5ICANO B. c. J 000 E. 5 i Mp>OVl st. /i1eehatJ1ic~1f.ll"!fJ PA /7EJ:::'-S d IJ.J.itj "d~ef JOINTLY-OWNED PROPERTY: DATE DESCRIPTION OF PROPERTY MADE Include name of fmancial institution and bank account number or similar identifying number. Atlach JOINT deed for jointly-held real estate. r.//(,!rf8f, on(/,.-114/-I (yz.J it1fere-st ~ rf.4t1 estaJe .siftu1c. of IDOO (2. Sl ~ st. I 111 ee..hlLn ; CSbl.\,":1 ) fDrfl1et-t~ kppif AI/en 7DwnShip, Cl.VWvberlAtt.-d Co~. PUJnsOlv~ See C/Jf'J Df iAeul cdk"hel, d.JJil 0"t.l.JU !to) 1'18'- hI{ wlll'c.J, a ~&-Il/L!{ t'niete$f WLS kid ;'y de.cderJt tNhll her hU6ba.nJ.. 41V TH/!)A/Y J). MA-II$/M/lI(). f-ft. d,'e.d J~n. 12, "qq whe~tll1 decetlent bectlme Sble II woe. of.sa;J O~- ho./{ ,nf:e~t .by viY'lue Dr ~ ~4W.s hi fA,s Cott\rhorl~#t ~ nc ,dent -10 1en/1ll1C.'eS 1 y 'IB.t. entireo'es. TN. o~ hAIf,;t1 $Ur-VI'VI!!1 joint ~i P~~~mo.r~ j c.Ano ,/.$ tlOuJ Wl;f;e.d LYI~ ~ o~-ha.)f tf ~ dtee.e1eJV~ her fl1.0tf,u 1y v; rflAt d- ~"nt ~ r;;~ ",,~ht /}f 5UrVI'vtlr.s~I"p. It f Me fr'me rf' decedeq/i det:{~, Ju r /8, l'Iq9, ~ Ck-JKberltt-nd &Ufttu kse55- rnui WA-!> t>; 370,pOJ 7k Ihn /!Jer-uzi 1Ft It Ih'pl, 'cr /A)A~ S,) t"' ~ 4', J'(!It~? ,'t/It . D 'b/~ q TOTAL(Alsoenteronline6,Recapitulation) $ '13; (i5;?, 7{) ITEM NUMBER LETTER FOR .JOINT TENANT 1. A. DATE OF DEATH VALUE OF ASSET '10 OF DECD'S INTEREST DATE OF DEATH V AWE OF DECEDENT'S INTEREST "" I 370. DO x IS./~ y~ ~9', 505. StJ ! Lff, ~ 52.75" (If more soace is neerlprl inc::prt :>rlrlitinn<ll C'hool~ ",f Ih" --~- _:_- \ FacetWin Screen Print for recdeeds, from "CAMA_Login" 3/13/2008 3:12:30 PM CUMBERLAND COUNTY ARCHIVE SYSTEM HS:10/18/2004 A PARCEL: 17 17-23-0561-008. BILLING HISTORY ----LAND Last COUNTY Bill AV: 42500 Last SCHOOL Bill AV: 42500 OWNER: BLDC 88980 88980 MARSICANO, ANTHONY TOTAr.---, r1974 131480 I IM.V. 131480 I I J I D ET AL Land: Bldg: TOTAL: 20000 l 99400 I 119400 I I New 05/10/2004 42500 88980 131480 I I I MAIL DATE Why FAV LAND FAV BLDG TOTAL I CG LAND CG BLDG TOTAL I I 05/10/2004 05 42500 88980 131480 I I 05/09/2004 20000 99400 119400 I I 07/01/2000 05 20000 99400 119400 I C06/3o/~000 1290 5080 ~ 637o~ I I I I J Screen 9 Enter Selection > Number -Switch Screens, X -Exit, J -Jump Mode, Down Arrow -Next Entry, Up Arrow -Previous Entry, Record: 74223 F -Forms, I -Image ? -Screens, B -Browse ~~7~1 ~ ,qq ~t' l.u~ty Mu.lf;flier JSJ.s 'WARRANTY OE:"ED NO. <>'5 wl1tn 1lJ~~(-J~ :Salle t~.. (L> I t) day of June in. thtt year of our- Lord one tho1Uland nine hundred and eighty-six (1986) ~etw..u ANTHONY MARSICANO, also known as ANTHONY D. MARSICANO, ano PEGGY MARSICANO, a1.so known as MARGARET M. MARS ICA1H) , hi-s wi-fe, of the Borough of Mechanicsburg, County of Cumberland and Commonwealth of PennsYlvania, GRANTORS .t:d ANTHONY D. MARSICANO and MARGARET M. MARSICANO, his wife, an one-half (1/2) interest, to be be1.d between themselves as tenants by the entireties, and PEGGY J. MARSICANO, tbeir daughter, of the same place, an one-half (1/2) interest, the respective one-half interests <t:o be helo jointly with right of survivorship, and not ae tenants in GPmffion, between the halves. THIS IS A TRANSACTION BETWEEN HUSBAND AND NIFE AND DAUGHTER. :... .itltl'JUtdll. that the aaid parties! the fif'st part, for and in consideration of thi' "um 0/ ONE ($1.00) Dollars, lawful 'lnoney of the United States 'unto them well and truly paid by the /'laid parties of tke aecond part. the receipt where.of is hereby acknowledged, do hereby grant, bargain, aell, alien enfeoff, releaae, convey and confirm unto the /laid part ieeof the secQ'ful part, their Heirs and A sBigf'UI , AU THA'!' CERTAIN lot of land situate in the Township of Upper Allen. County of Cumt>erland and State of Pennsylvania, more particuJ.arly bounded and nescr:ibea as follows, to wit: BEGINNING at a point on the center line of the Simpson Ferry Road, said point being at a distance of eleven hundred ten (lllO) feet meaeurec'l .i.n B westerly direction from the westerly l.ine of 1anCls of the Koller Estate: thence aJ.onq lands, formerly of t"J1.e grantors south ten (10) degrees east two hundred (200) feet to a point; thence along other lanas of the grantors south eighty (80) degrees west. seventy- five (75) feet to a point; thence along lands to be conveyed to Joseph L. Leahy north ten (10) degrees West two hundred (200) feet to a point in the center 1ine of the Simpson Ferry Road; thence along the center line of said Road north eighty (gO) degrees east seventy-five (75) feet to the point or place of BEGINNING. BEING improved by a stone dwe11ing house known and numbered as 1000 :East Simpson Ferry Road. BEING the same premises which John A. Cocklin and Edna D. Cocklin, his wife, by their deed dated June II, 1952 and recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvan~a 1n Deed Book "Z", Volume 14, Page 559 grantee'! and conveyed unto Anthony Marsicano and Peggy Marsicano, hie wife, the grantors herein. The said tract of land is conveyed subject to the following restrictions; 1. Ho dwelling house shall be erected on the said premises costing less than $5,500.00 to erect, based on 1947 prices. 2. No garage nor temporary structure of any kind erectea on the lot herein conveyed shall ever be used for housing- of human beings. eoo'll( 31. r~_::: 665 3. NO dwelling sha11 be erected nearer than fifty (50) feet from the center line of the said Simpson Perry Road. This restriction sha~~ not apply to porches. 4. Poultry kept on the property shall be maintained in a sanitary manner, and in such numbers as not to be objectionable to the owners or occupants of ad~oining or nearby property. No hogs shall be per- mitted on the prem1Bes. r:_.... ,-~ ';;n':.~ ~!-) t. ~ . \, \ c::~D ~.;:;!....., -'~.:1 ::.X. ......., . . :.~ . '>1 ""' ~,..> ',~_~.. \ '~l. p\ L~ -:.:.A .......1 ') en :'~! 'i"';" \ \. J ~ .:....J .~.....,~:l I L aoo~ 31. PAGE 666 w.ngdlJer 'With all and aingular the hereditaments and appurtenances thereunto belong- ing or in anywise appertainin.g and the reversions and remaiftders, rents, issues and profit3 thereof; a'Tld all the estate, right.. title, intereat, property, claim and demand 'Whatsoever of the l1aid part of the first ]Jart, in law. equity or otherwise of. in, and to the same and every />a.,.t thereof. IDa lHaue uno to 3Hnlb the above described prem.iflClI 'With the appurtenances untf>! the said part.iee of the lIecond part their Hei.rs and 488ign8, forever. 1\ub the _aid partieIDf the first pm"t, do hereby covenant and agree to and with the said part-l-es of the second part, that theythe said parties of the first part theirEmecu- tora and A dministrato1"a, Shall and 1-Vill TVarrant and Fore'ver Defend the herein above de- .,cribed premises 'with ~e .hereditamt"nts and app2l1"tenances, unto the said parties of the >tt,cond part, their an7178signs, against the said parti.es of the f-frst part and, aga.inst ('verll other IJerson lawfully claiming. or who shall hereafter claim, the same or any part ( hereof, their 3/n .ttttl'$n 1!llff1l'rl'tlf. the said parties of the fir.t part ha ve hereunto set/ hands and seal s the day and 'year fiT"st above 'U,ritten, ~igtleb Senlell anl\ m I'liul'rl"b tll tire :prpgeUI"l" nf ,...~:~)...i:./..~..j}::..,.:f:';._..J"t...,Al-) il("...( .'i.. f...{......:.;~ ~1,., l. /.... '- AtifhonYMarSi.cano H ''';';.'.;.'-H.::/.>..dH../:"..:':/.A.:~\JL(df.}.j..<. ... .;,' ft...,., .<'\!J1=-honY,tl- Marsioano . / ,.( . d - . /I.? (-..J.. "l- ~., (:,. J' .4.(...)....~ /" "Pe"5!g.'yill-fars"n::aif6' '...H..H. l... ;.:..>~. L) -1.' '..' ~ .' t., ./:~ I... "_.~.: ....[, L. ,', F ". Mai'gar~it(j>.~1H :M~irsldan6 '","< ~"'?\ ~~ e 'BBA.].... \ \,) J'\-..~H'\' .'l-......H .:. \\:1,. '. ."J\,-.; . \ ../. ".'f...,..,..~.. ... L.~~ .;.. .","r.f.~.. !....J!. "...,:~r<.~.. ~- 8EAL\ (0:.' e ~ ........~~) ~OOK\( 31. PAGE 667 ~. C SEAL) ~~~ <<:'ommnltwrttU11 of J}l'nlt.6ylnanil1 ([DOltty of } sn. On thi8, the I (~.I {\ dallOf ,Tune A. D. 1986 ,before fllt' the undersigned officer', personally crppeared Anthony Marsicano, a~k/a Ant~ony. D. Marsicano ~ and Peggy Marsicano, a/k/a Marqaret M. Mars~cano, h.l.s wlfe known to me or ($ati8factorilJ/ I,woven) to be the person whose nClmes are subscribed to the within instrument. and acknowledged that the y executed the same for the purpo8es therein contained. 1111 Dlitl11'l'I'B 1I1Il,rrt"tlf hereunto 8et 111.7/ lU111d and official seal. ('?.(.... (',. _ . "L. ,/ // /", . 1'( (.7 ,I,. J' ..J.. C ", "',,/ Ii , " ,\ t:x...; :c:''.JJ:" .--...--".--.''. .----.}i'ot'iii.-y:.:p\ihiI c.--...' -- , ., ...'-: i. .[, " Tid. of OUi.,.. ,..' " 'n. . .() i 1\ . , I NOTARY Pll!3l1C Meeh.nlr.r.burc, PA Cumberland County My commission Expiras June 20, 1989 .. ~..... -' " \ C' ,.' fJ U ~;, \~ . ;. . t, '.'~,.,' ,,' .; f, .....,~ , . .,,0' ~"'>- ~~ 11 iijerl'b!l C!irrtifH. fhat the p-rcciu Tl.'sideTl('t" of the Grantee s is 1000 East Simpson Fe'rry Road. 1'1echani.csburg, FA 17055. .__~1:-~._J;t_J~J>~JL~__~~_:,l'~~':,"_'.__:"':':~~~'" . Attorney for <:'!_~ a !2t-ee ~_=.___~__.__._..__.. ~ ~ ~ J~' =s --t-t :::: tZ ;.... ~ ~ - } 5 = a-. ~ t=< t::9 .; ." .;. :; -'" .~ ii :t; dlj t.l,!5 .; ~ 0"" ~ : <-? 0 '" .., 0.. oj '-.) ... ... ~ " ... <h (j mttltllltl1UlUraltlt of ~rutlnl\ltJUllHl I ; ~". ~ ~l, ~t1Itut!l, of:C.~ujrh'Der /W74 \ . iBe~~;~d'ta 0';" t)tt.~:' / 6 da.!! Rc<ibr~ier-!-If, Office.' pJt~ic.8aid County in Deed .~-qi'Ven -unde,,( 1Ity hii'ntl and the. seal of tIle of .J C) rJ-t' Book V P olu-rne said Office, the date above A. V Iv.:J6 in lIu ,31 Pagl" G:"'r{'.S~--' 'Wrftten, ~ ....' ., -~ ',\ . " ' \ \.." '.-. ... .. _, """-n. ; c.. ~_..) JZecordcr 60m: l(3:1 rAliE 666 REV-1b11 EX+ (10-06)~.m~_Q ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF /J? 1-~51cAAltJ lillI/I( ~A-/?t:-r 11. FILE NUMBER ~-tJS" - 7/3 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. FUNERAL EXPENSES: 1. DESCRIPTION AMOUNT B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) ____ Street Address City State _Zip Year(s) Commission Paid: 2 Attorney Fees (! k 4,,-les E. Sh" e../ cis 1!1 ~ 't, 75,00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address .-- -- - ---- --- . -- ------ City State _ Zip __ __d __ Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. F;/"t1.0 fu ~ 'R~~1er pf Wills tri-(},Lu1~ Absl-t--u.f ~I'(.e f;;r T;+f~ }..\1sf.nu1 ,dz. ~5".oo ~. ~ 5""0 . {)() fAtt,; J~ ;/l&.lw:l~ /(e.vle.w,f {,'tfel rrul"lI,f ~A ~ Rdt.t.r~, R~ TP..t;... &dt- f 9,:u" ,1111 ~5St.$slJ1elJ1i, C!tJIHII1PH IeI'd 1'1/-/''0.; &uls ~ ~/ V,'kr-"0 /c?R.u"Kt:I',f !Juds/ HteM,,! /V114 dl!:.h~ h/'n? ~k/'J1 ahI:r fJl'lfJ d~lztr~/ .etc.,,,dc:. TOTAL (Also enter on line g, Recapitulation) $ 7 "ft). f) () (If more space is needed, insert additional sheets of the same size) CHARLES E. SHIELDS, III ATTORNEY-AT-LAW 6 CLOUSER ROAD Corner of Trindle and Clouser Roads MECHANICSBURG, PA 17055 GEORGE M. HOUCK (1912-1991) TELEPHONE (717) 766-0209 FAX (717) 795-7473 April 2, 2008 Register of Wills Cumberland County Court House 1 Courthouse Square Carlisle, P A 17013 Re: Estate of Margaret M. Marsicano No. 21-05-0713 Dear Register of Wills: Please find enclosed for filing 2 copies of the Inheritance Tax Return for the Margaret M. I'vlarsicano Estate as well as Check No. 3092, in the amount of $4,317.15 for the Inheritance Tax due and Check No. 3093, in the amount of$15.00 for the filing fee. Thank you for your kind attention to this matter. Very truly yours, ~ C~ 7j) Charles E. Shields, III Attorney-At-Law CES/mjj Enclosures fl.5. ~'Pt{~~~~~ ~~r'~~.~ o ~o ;~-_~ ::D 'U ;;:f:n .~(~~~ is?O "._)-n c..: ::D -U-~1 ).'> ~ <::=.> <::0 <= ::> -0 :::;0 I -.I -0 :x: N .. N -.I REV-1513 EX+ (9-00. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF IJ1J1.RSle;f-AltJ/ /}1/J.~6~T /)/. FILE NUMBER ,;2/ -~S - 7/3 NUMBER I RELATIONSHIP TO DECEDENT NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. Nt; r A-IJPL J MIiLG" ~~ mu ~7it..A!AI U,AI /) E7( 7)/l;" (!/ /It! t( IJ1S r"fAJr!./5. AMOUNT OR SHARE OF ESTATE 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 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more SDace is needed, insert additional sheets of the same size) ~.~ /1 ~ -" -0 '8 .. ~ -. - - ::.::- ---. :;:: --..;.... * -=:: -. ~. -:::.: ...;:.... -;-- ~ ::::::- - ~ 0......0:0 l"OCW> ~O~cP _CrfI~ ~ ~ :0 rfI:o rn -:J: r- -oO~O l"COl1 ~(f)OZ -lrflO- o r- ~(f)Ct;, (,) 0 -7 v' ~ ~ (,) -< g, 0 o C ~ -:J: o C (f) rfI l \ \.. ~ G ~ (/) -n -- ~ _ ~CPJ>c:. en (1),~~O-o(J) ~ ~ ~N:P." . ,,~i\\z.o O ?l" '1 '" (I) () OO~ ..- 0 ~ii> 0 'J:l' ,3 (IlCPC) ~ %~; tn '- () ~ 'J:l' (/) ~:JJ s Z #1\ ~$ ~.O v' ~co "f\ .. 0. tn ~ ~ ~tn =- j.... ~ - % ~ ~ s~ t!~ ~ ~~ ~O @) '" __ 0 ~ =--=-==::: <& \ ~~ =:=- ----- ~' sO"lO rnO:L Or-~ :LO""' J:>c.'m Z(f)(f) 6g1(f) (f):p:L ~Om 1J 5 Q (f) -0 "J> ..... ~ o (}l (}l ~ v:> (}l , -n ~ " \ _I ~----=-- -- -~- -~ - - ------ ..