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HomeMy WebLinkAbout04-0337I Prepared By Robert G. Radebach, Esquire I Date Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Marie C. DiSanto No. ~. ,/- (~7'~/- .~.~ 7 also known as , Deceased Social Security No. 165-16-3878 (COMPLETE "A" OR "B" BELOW:) ~ A. Probate and Grant of Letters and aver that Petitioner(s) is/are the executo..~.r named in the Last Will of the Decedent, dated July 29, 200.3, and codicil(s) dated N/A Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: B. Grant of Letters of Administration Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following ~pouse (if any1 and heirs: Name Relationship Residence COMPLETE IN ALL CASES:) Attach additional sheets, if necessary. Decedent was domiciled at death in Cumber]and County, Pennsylvania, with her last family or principal residence at 505 Seventh Street, New Cumberland, PA 17070 ~:~o ¢Lou ? ~ ~,e.. A/S'~ U_~.)~ z~ ~'rb/,,I,d J Decedent, then 83 years of age, died testate, at Williamsport, Pennsylvania. Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property ............. $.50,000.00 (If not domiciled in PA) Personal property in Pennsylvania .... $. (If not domiciled in PA) Personal property in County ........ $ Value of real estate in Pennsylvania ................................ $ Total ................................................ $ ~eal Estate situated as follows: 505 Seventh Street, New Cumberland, PA Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) Iresented with this Petition and the 9rant letters in the appropriate form to the undersigned: 7020 :~.,'~ RW-7 O0:6,d 8_ ,dtt t O. Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner above-named swears and affirms that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner and that, as personal of the decedent, Petitioner will well and truly administer th,~ate acco~g~to law. representative Sworn to and affirmed and subscribed , . ,~'/v' ANI~HO-N~' I~,~AN'I'~''/'v "~ Derore me this <~ day of /2.%: / ,2004 DECREE OF REGISTER Estate of Marie C. DiSanto, Deceased also known as No. c~./- ('~,~/- ~7 Social Security No. 165-16-3878 Date of Death: April 1, 2004 AND NOW, ,~'~ ,~ ,2004, in consideration of the Petitior~the r~rsesld~' ~ hereon, satisfactory p~oof having been presented before me. ' " C,?. ~':, C' IT IS DECREED that Letters ~' Testamentary [] of Administration ? ~ are hereby ~]ranted to Anthony DiSanto co in the above estate and that the instrument(s), if any, dated July 29, 2003 desCribed in th~Petition be admitted to probate and filed of record as the last Will of Decedent. ~.o :.;~ .~ FEES Letters .................. $ Short Certificate(s) ......... $ Renunciation ............. $ Affidavit ( ) .............. $ Extra Pages ( ) ........... $ Codicil .................. $. JCP Fee ................ $ Inventory & Tax Forms ...... $. Other ................... $ TOTAL ........... $ Attorney: I. D. No. 19255 Robert G. Radebach Address: 107 Locust Street Harrisburg, PA 17101 Telephone: (717) 234-6655 RW-7a DATE FILED: ERT. NO. WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. COMMONWEALTH OF PENNSYLVANIA DE PA :ITMENT OF HEALTH VITAL RECORDS LOCAL REGISTRAR'S CERTIFICATION OF DEATH T 5655509 April 6, 2004 Date of Issue of This Certification Name of Decedent Marie C. DiSanto Sex Female Date of Birth Aug. Place of Death _Social Security No. 165-16-3878 ................................. Date of Death 19, 1919 Birthplace Williamsport, PA Residence' Perry Penn Twp. 4-1-2004 Penns ly~ni_ a Race White Occupation Legal Secretary Marital Status Widow Decedent's Mailing Address 507 Seventh Informan~ Anthony DiSanto Funeral Director Name and Address of Funeral E~ ' Michael J Shalonis Funeral s~abhshment - Armed Forces? (Yes or No) No Street New Cumberland Michael J. Shalonis Home, 206 Maple PA 17070 Stut,~ l/u~3 -- Ave., Marysville,PA Part h Immediate Cause (a) Bladder Cancer Interval Between Onset and Death Part I1: (b) (c) (d) Other Significant Conditions Manner of Death Natural Accident Suicide Homicide Pending Investigation Could not be Determined Name and Title of Certfier Describe how injury eC. curred: ~,o L. ' Keith J. Dowling M.D. Address (M.D.D.O.. Coroner, M.E.) 423 N. 21st. St., Camp Hill, PA 17011 This is to certify that the information here given is correctly copied from an origina certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. April 6, 2004 f~t"01 ~" '~ar~'~"~"~S'~:"'~, J ~i~o ~~ ,.~, ~~ ..... . N mfie 17068 LAST WILL AND TESTAMENT OF MARIE C. DISANTO I, MARIE C. DISANTO, a resident of 505 Seventh Street, County of Cumberland, Commonwealth of Pennsylvania, being of sound mind and dispos!;_~, mind, memory and understanding, hereby declare this instrument to be my Last Will ~i~(~ Testament, revoking any and all Wills and codicils by me heretofore made, whether or not such prior will or codicils have been effectively revoked. ITEM I. - I direct my hereinafter named personal representative to pay all of my funeral expenses and administration expenses, including inheritance and succession taxes, as soon as may be deemed convenient after my death. ITEM II - I give, devise and bequeath to my son Thomas Fogelsanger of Newport, Perry County, Pennsylvania the sum of one thousand dollars ($1,000.00). ITEM III. - All the rest, residue and remainder of my estate real and personal property of whatever nature and wherever situate, with the exception of those items set forth in ITEM V below, I give, devise and bequeath unto my three other children, Jocelyn Moore of Florida, Leslie Fickinger of Cumberland County, and Anthony DiSanto of Perry County, share and share alike; the issue, surviving me, of a deceased child, shall take the share which my deceased child would have taken. In default of such issue, then unto the surviving children or their issue surviving me as aforesaid. ITEM IV. - I make, nominate and appoint my son, Anthony DiSanto, to be the Executor of this my Last Will and Testament, and he shall not need to post a bond, and shall have the power to sell any and all interest I may have in real property, at the time of my death. In the event that my son, Anthony DiSanto should be unable or unwilling to qualify and act and continue to act as Executor, then, and in such event, I make, nominate and appoint my daughter, Leslie Fickinger, to be the Executrix of this my Last Will and Testament, as aforesaid. ~_~'~-~-~-~_ (~' ,/~-.~ .-~..~--- (SEAL) Marie C. DiSanto (1 of 4) Page 1 of 4 ITEM V - Certain identified items of personal property are set froth on the list attached hereto and marked "Exhibit A to the Last Will and Testament of Marie C. DiSanto" and those items shall not pass to my heirs as indicated in ITEMS II and III above but rather shall go to the person whose name appears in the column beside each item on the aforesaid Exhibit. ITEM VI - I direct my personal representative to pay all of my just debts as evidenced by a notice or claim filed by the debtor in the time period allotted by law. IN WITNESS WHEREOF, I, the said Marie C. DiSanto, have to this my Last Will and Testament, hereunto set my hand and seal this ,~ ? th day of July, 2003. Mar"-ie C. DiSanto (2 of 4) Signed, sealed, published and declared by the said Marie C. DiSanto, as and for her Last Will and Testament, in the presence of us, who, in her presence, and in the presence of each other, have hereunto set our hands as attesting witnesses, we believe her to be of sound mind and memory. WIT~I~SS #1 Sign N~lne ,~ve Print Name Above Print Address WITNESS #2 Sign Name Above Print Name Above Print Address Page 2 of 4 Exhibit A to the Last Will and Testament of Marie C. DiSanto ITEM BEQUETHED RoLLEx WATCH DON QUIXOTI STATUE FAMILY ROOM LAMPS (2ND FLOOR) OMEGA NECKLACE HAMILTON WATCH WA'i ERFORM CRYSTAL PIECES GRANDMOTHER CLOCK PENDULUM CLOCK LIVING ROOM MERCEDES BENZ AUTOMOBILE ALL BEDROOM FURNITURE FURNITURE IN FAMILY ROOM HEIR TO RECEIVE JOYCE MOORE LESLIE FICKINGER LESLIE FICKINGER LESLIE FICKINGER LESLIE FICKINGER JOYCE MOORE ANTHONY C. DISANTO (SON) ANTHONY C. DISANTO (SON) ANTHONY D. DISANTO (GRANDSON) ANGELA, MARIA & ANTHONY D. DISANTO MARIA DISANTO Initial: Marie C. DiSanto, Testatrix Date Page 4 of 4 COMMONWEALTH OF PENNSYLVANIA ) ) COUNTY OF DAUPHIN ) SS: the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will; that the Testatrix signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge, the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. WitnesS' L-Jc~ Sworn or affi~rmed to and subscribed before me by ~'~--~'~C¢¢, ~. XC~,x~',~ iqo~,~t .?'~o,~1~'~ and , witnesses, this ,,q,~q ~L day of ~ ,2003. "' Notary Public NOTARIAL SEAL DIANA L. LUTHER, Notary Public City of Harrisburg. Dauphin County My Commission Expires April 11, 2005 Page 3 of 4 CEI~TIFICATION OF NOTICE UNDEI~ I~ULW. §.6 (a) Name of Decedent: Marie C. D1Santo Date of Death: April 1, 2004 Will No.: 00337-2004 Admtn. No.: NONE TO THE REGISTEI~- I certl~ that notice of the beneficial Interest requl~ed by, l~ule §.6 la) of the 0~-phaus' Cou~t Rules was served on or mailed to the following beneficiaries of the above captioned estate on April 14, 1998. Ns.r~ e Joyce Moore Anthony C. DiSanto Leslle Fickinger Angela DiSanto Maria DiSanto Thomas Fogelsanger Anthony D. DiSanto Notlce has now be ~~ven t ~ o~ereto except: N01~E~ Date: Aprll 13, 2004 ~ Add~ess 108 Laurel Way, Porte Vedra Beach, FL 32082 25 Susquenita Hill Road, Duncannon, PA 17020 1340 Sugar Maple Ct, New Cumberland PA 17070 1024 N. High Street - Apt. B Duncannon, PA 17020 602 Gates Lane, Enola, PA 17025 RD#3, Newport, PA 17074 22 South 17m Camp Hill, PA 17011 under Rule 5.6 (a) Name: l~obert G. l~adebach, Esquire Address: 912 North River Rd. Halifax, PA 17032 ...... '~"~-~T~lephone Number: (717) 896-2666 Capacity: Personal ~epresentative Counsel for Personal P~epresentative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 004108 DISANTO ANTHONY 25 SUSQUENITA HILL DUNCANNON, PA 17020 ........ fold ESTATE INFORMATION: SSN: 165-16-3878 FILE NUMBER: 2104-0337 DECEDENT NAME: DISANTO MARIE C DATE OF PAYMENT: 07/01/2004 POSTMARK DATE: 06/30/2004 COUNTY: CUMBERLAND DATE OF DEATH: 04/01/2004 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 ~13,820.00 TOTAL AMOUNT PAID: $13,820.00 REMARKS: SEAL CHECK# 107 INITIALS: JA RECEIVED BY.' GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS To: ATTN: REGISTER OF WILLS CUMBERLAND COUNTY RECORDER OF DEEDS CUMBERLAND COUNTY COURTHOUSE ONE COURTHOUSE SQUARE CARLISLE, PA 17013 esquire assist 225 South Street Harrisburg, PA 17101 Phone: 717-232-9398 Fax: 717-232-6248 e-mail: assist{~esquireassist, com Date: Phone 717-240-6370 Fax: E-Mail MESSAGE from ................................ Anthony DiSanto, Executor Re: Estate of Marie C. DiSanto File #: 21-04-0337 SS~: 165-16-3878 To: Register of Wills, Agent Enclosed is a check from the estate account in the amount of $ Please note that this matter is postmarked 6-30-2004 and therefore being filed within 90 days of the date of m~ mothers death. Wc are al_~o fi!~n,3 thc !nhe.dtance t~v. return -tJ;~,~. I~ .... ~;~,,~ "--' ' -- - -'-':~:---' .... · ........ ;ii ,c:, ....... , ....... ~ .A~ ..... Please stamp the extra copy of this letter and return in the enclosed envelop. Thank you... ESQUIRE ASSIST 225 SOUTH STREET HARRISBURG, PA 17101 MAILED FROM ZiP CODE '~ ~- :~ ~! : REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT F "'E/OU/2~ 04 0337 DECEDENTS NAME (LAST. FIRST. AND MIDDLE INITt~L) SOCIAL SECURITY NUMBER DiSanto, Marie C 165- l 6-3878 04/01/2004 08/19/1919 REGISTER OF WILLS ; [] 1. Odginal Return [] 2. Supplemental Return UmJted Estate [] 9. Litigation Proceeds Received [] 10.$pousalPovertyCredil(daleotdealhbetween [] 5. Federal E~a[e Tax Return Required 0 8. Total Number of Safe Deposit Boxes SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME ' Robert G Radebach La~v Office of Rober~ G. Radebach TELEPHONE NUMBER 7 17/234-6655 1. Real Estate (Schedule A) 107 Locust Street Harrisburg, P..\ 17 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Padnership or Sole-Proprietorship 4, Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) [] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts Df Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) (2) * '~ 124,60_A}0 (,3) None None (5} 53,276.64 (6) 4,945.00 (7) 160,000.00 (9) 31,068.00 (lO) 1,377.75 (8) 352,883.64 (11) 32,445.75 12. Net Value of Estate (Line 8 minus Line 11 ) (12) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 320,437.89 320,437.89 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, x .00 (15) Or transfers under Sec. 9116(a)(1.2) 16.Amount of Line 14 taxable at lineal rate x .045 (16) 14,4 19.7 1 17.Amout~t of Line 14 taxable at sibling rate x .12 (17) 18. Amount of Line 14 taxable at collateral rate x .15 (18) 320,437.89 19. Tax Due (:=~) 14,419.71 Decedent's Complete Address: STREET ADDRESS - 505 Seventh Street CITY New Cumberland IsTATE PA !zip 17070 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B Pdor Paymenls C. Discount 13,820.00 720.99 Total Credits (A + Et + C) 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest~Pena~ty (D *- _c) 4. if Line 2 is greater than Line 1 + Line 3, enter the differencg. This is the OVERPAYMENT Check box on Page I Line 20 to request a refund 5. If Line l + Line 3 is greater than Line 2, enter the difference. This is [he TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. receiving adequate consideration? ........... 3. Did decedent own an ~in trust for" or 4. Did decedent own an Individual contains a ben IF THE ANSWER TO ANY $JGNATURI (1) I4,419.71 (2) 14,540.99 0.00 (5) ....... (5~) O. 0 0 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 ransferred; ......................... [] [] b. relain the dght to designate who shall use the property transferred or ils income; .................................. c. retain a revers onary n erest or ........................ d. receive the promise for life of either payments, benefits or care? ............................................................ 2. If death occurred after December 12, 1982, did decedent Iransfer property within one year of death without mcurity at his or her death? ........ [] [] or other non-probate properly which YES, YOU MUST COMPLETE SCHEDULE G AND FiLE IT AS PART OF THE RETURN. Harrisburl~, PA 17101 ADORESS DATE Robert 107 Locust Street Hamsbur~, PA 17101 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is. 3% [72 P.S. §9116 (a) (1.1) (i)]. F~r 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 sui~/iving spouse is 0% '-: = S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure ~; assets and filing a tax return are still applicable even if the surviving sFouse is the only beneficiary ' .,r dates of death on or after J~ly I 2C00: T.~e tax rate imposed on the net value of transfers from a deceased child twentT.cne years of age or younger at death to or for the use of a natural carent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. §911t5 (a) (1.2)]. :e tax rate imposed on the net vah.e of transfers to or for the use cf ~e deceCent*s lineat be.*efic;ar!es is 4.5%, except as nc~ec in 72 P.S. §9116 * 2/[72 P.S. §9116 (a) (1)]. - -~ :ax :ate imposed on the net value cf transfers to or for the ~se .;~ :he :~.:aCe,~t's siblings s !2% [72 PS. §gl 16 ;a) (1 3;]. A siblirg is cefined, :er Sac;;cn 9102, as an individua! '~hc has at le,Jst cna parent in ::mr"r ~ A'ith the decede~'t, whcth~- by bJc::d cr adc?sm r SCHEDULE B STOCKS & BONDS ESTATE OF FILE NUMBER DiSanto, Marie C 21 - 04 - 0337 All property jointly-owned with right of su~ivorship must be disclosed on Schedule F. 'TEM , DESCRIPTION UNIT VALUE VALUE AT DATE ~,~ ;SER ' OF DEATH I : Merrill Lynch Mutual Fund 73,663.00 Merrill Lynch Annuity t}0,999.00 TOTAL (Also enter on line 2, Recapitulation) 134,662.00 SCHEDULE E CASH, BANK DEPOSITS,& MISC. PERSONALPROPERTY ESTATE OF ~ FILE NUMBER DiSanto, Marie C , ~ 21 - 04- 0337 ~c.ude the proceeds of litigation and the date the proceeds were received by the estate. All property Jointly-owned with the right of a,.r'vivorsh~p must be disclosed on schedule F. iTEI'A DESCRIPTION VALUE AT DATE .... ,1BER OF DEATH I Savings Account w/PSECU 37,014.44 Cash on hand Merrill Lynch Retirement Account Cemetary Lots (6) Proceeds Ii-om Yard Sale Private sale or' Misc. furniture Tax refund, interest credits, etc. Miscellaneous items of personal property distributed to t'amily Household good remaining in property 645,00 5,736.89 3,000.00 281.50 60t).00 1,398.81 4,000.00 600.00 TOTAL (Also enter cn L!ne 5, Recapitulation) _¢3,276.64 SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY continued ESTATE OF I FiLE NUMBER DiSanto, Marie C 21 - 04 - 0337 "--'~Jde the proceeds of litigation and the date the proceeds were received by the estate. All property jointly.owned with the right of .~.r'¢ivorship must be disclosed on schedule F. ,7 EM DESCRIPTION VALUE AT DATE NUMBER OF DEATH I0 0.00 List of Household goods mentioned above Doctors Scale Washer/Dryer Wall Hangings Vacuum 15 Coats Various peices or' Kite,Sen Glassware Baskets End Tables (14) Cabinets Lamps ( I 0) Chairs (4) Dressers (3) Desk (2) Double Bed Several Wall Hangings Several WalI Mirrors Costume Jewelry Sewing Box Stuffed Animals Shop Vac Cardioglide Workbench Charcoal Grill Bread Maker Tools Storage Bins Luggage Toaster Garden Tools Hose Lawn Mower Rugs Turkey Pan Christmas Lights/Decorations Cooler Sofa, love seat, recliner Several Coffee tables Wooden Chest w/glass doors Telephone Stand TV & VCR Computer Printer/fax machine Page 2 of Schedule E SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY continued ESTATE OF DiSanto, Marie C i FILE NUMBER 21 - 04 - 0337 !--' :de the proceeds of liticjation and the date the proceeds were received by the estate. All property jointly.owned with the right of . ,ivorsh~p must be disclosed on schedule F. ITEM NUMBER DESCRIPTION China Cabinet Dining Room chairs (2) Wicker Couch Wicker Chairs (2) Wicker Coffee table w/2 small round tables Stools (2) Patio Furniture Love seat Wheel Barrow Blessed Mother statuo Silverware Pots & Pans Serving pieces Several Table Cloths & Rugs Grandmother Clock Boom box w/speakers Oriental Rugs (2) Dining Room table w/6 chairs Plates, dishes, tupperware, cookie sheets, pizza pans, bowls Miscellaneous smalI kitchen appliances Assorted kitchen utensils Tea Pot Soap Dish Tea Warmer Whisks (2) Strainers (2) Wooden spoons (4) VALUE AT DATE OF 0EATH Page 3 of Schedule E SCHEDULE F JOINTLY-OWNED PROPERTY 2- ~ TATE OF DiSanto, Marie C FILE NUMBER 21 - C..t - 0337 it an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JCINT TENANT(S) NAME .\ AnthonyDiSanto ADDRESS 225 South Street Harrisburg, PA 17101 RELATIONSHIP TO DECEDENT Son :D[NTLY OWNED PROPERTY: CESCRIPT]ON OF PROPERTY % OF OAT=- CF OEATH LE"CI'ER ~ DATE Include name of financial institution and bank account numt~er ' DATE OF DEATH [3ECD'S VALUE OF NUMBER TENANT , JOINT 'estate, I A PNC Checking Account 9,890.00, 50 o 4,945.00 TOTAL (Also enter on line 6, Recapitulation) I 4,945.00 SCHEDULE G INTER-VIVOSTRANSFERS & MISC. NON-PROBATE PROPERTY COMMON--TH OF PENNSYLVANtA INHERITANCE TAX RETURN RESIDENT DECEDENT --' ZTATE OF FILE NUMBER DiSanto, Marie C 21 - 04 - 0337 1 This schedule must be comFleted and filed if the answer to an}, of questions I throu~ DESCRIPTION OF PROPERTY A F I In n n r ~r I I n h* n n t f n D TE O DEATH % OF ~udet~e ameof~etra sfeee, the maio $ ~3todec~de la d~hedaeo wa sfei'. VALUE OFASSET! DECD'S 160,000.001 505 Seventh Street 100% New Cumberland. PA 17070 h 4 on p~e 2is yes. EXCLUSION TAXABLE VALUE 160,000.00 SC~EDUU~ H FUNERAL~& A~TIV~ COb'TS ESTATE OF FILE NUMBER DiSanto, Marie C 21 - 04 - 0337 Debts of decedent must be reported on Schedule I. ITEM , · i j~,iBER A. ,i FUNERAL EXPENSES: I Shalonis Funeral Hume DESCRIPTION 2 Raddison Hotel - Post Funeral Luncheon AMOUNT 5,098.14 975.62 ADMINISTRATIVE COSTS: Personal Representative's Commissions Anthony DiSanto Social Security Number(s) / EIN Number of Personal Representative(s): Street Address 225 South Street City Harrisburg State PA Zip I 710 I Year(s) Commission paid 2004 Attorney's Fees Robert G. Radebach, Esquire Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Anthony DiSanto Street Address 225 South SU'eet City Harrisburg State PA Relationship of Claimant to Decedent Son Probate Fees Probate Will Advertising - Cumberland Law Journal Patriot News - Carlisle Accountant's Fees Zip 17101 Other Administrative Costs Settlement Charges for sale of house Trash Expense h>.lsI.gtl 1,500.00 3,500.00 164.00 75.00 236.17 3,037.08 300.00 TOTAL (Aiso enter cn lir~ g Eocapituialion) 3hr, 6';.ii0 SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS E,~ TATE OF FILE NUMBER DiSanto, Marie C i ~ 21 - 04- 0337 Include unreimbursed medical expenses. ITBM NUMBER DESCRIPTION AMOUNT I V A S Construction Ltd 844.00 Accept Supportive Care 533.75 TDTAL(A!sc : :2r.,: ,:e !3. F~;ac;:u ':, ',n~ 1,377.75 SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER DiSanto, Marie C 21 - 04 - 0.~'= 7 I AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I CF ESTATE T,-~,ABLE DISTRIBUTIONS (include outright spousal distnbutions) Amhony DiSanm Jocelyn Moore Leslie Flickinger Thomas Fogelsangcr RBLATICNSHIP TO CECEDENT Son 'One-Third 0.33 Daughter Ono-Third 0.33 Daughter One-Third 0.33 son One Yhousand Da]Cqtx)O ti. : !Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover shee! !NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS Register of Wills of Cumberland County, Pennsylvania INVENTORY Estate of DiSanto, Marie C also known as , Deceased Anthony DiSanto No. 21 -04- 0337 Date of Death 4/1/2004 Social Security No. 165-16-3878 The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in tho following Inventory include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I/We vedfy that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Attorney: Robert G Radebach i.D. No.: 19255 Personal Representativ~ Signature: ~ ~ Anthony D~anto ' Signature: Signature: Address: 107 Locust Street Harrisburg, PA 17101 Address: 225 South Street Harrisburg, PA 17101 Telephone: 717/234-6655 Telephone: Dated: Personal Prooerty Merrill Lynch Mutual Fund 73,663.00 Merrill Lynch Annuity 60,999.00 Savings Account w/PSECU 37,014.44 Cash on hand 645.00 Merrill Lynch Retirement Account 5,736.89 Cemetary Lots (6) Proceeds from Yard Sale 3,000.00 281.50 Private sale of Misc. furniture ~ : ~ : L;[ L;' i '.{}. 600.00 Tax refund, interest credits, etc. Miscellaneous items of personal property dis~tcd to family 1,398.81 4,000.00 (Attach additional sheets if necessary) Total Personal Property and Real Estate $187,938.64 Register of Wills of Cumberland County, Pennsylvania INVENTORY Estate of DiSanto, Marie C a~so known as , Deceased Household good remaining in properly continued No. 21-04-0337 Date of Death 4/1/2004 Social Security No. 165-16-3878 600.00 2 Register of Wills of Cumberland County, Pennsylvania INVENTORY Estate of D/Santo, Marie C continued also known as No. 21 - 04 - 0337 Date of Death 4/1/2004 ·. .... , Deceased Social Security No 165-16-3878 List of Household goods mentioned above Doctors Scale Washer/Dryer Wall Hangings Vacuum 15 Coats Various peices of Kitchen Glassware Baskets End Tables (14) Cabinets Lamps (10) Chairs (4) Dressers (3) Desk (2) Double Bed Several Wall Hangings Several Wall Mirrors Costume Jewelry Sewing Box Stuffed Animals Shop Vac Cardioglide Workbench Charcoal Grill Bread Maker Tools Storage Bins Luggage Toaster Garden Tools Hose Lawn Mower Rugs Turkey pan Christmas Lights/Decorations Cooler Sofa, love seat, recliner Several Coffee tables Wooden Chest w/glass doors Telephone Stand TV & VCR Computer Printer/fax machine China Cabinet Dining Room chairs (2) Wicker Couch Wicker Chairs (2) Wicker Coffee table w/2 small round tables Stools (2) Patio Furniture 3 2l'"\d ~vo\c...~ Glenda Farner Strasbaugh Register of Wills and Clerk of Orphans' Court 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: InvoiceNo: Invoice Date: Estate of: Estate No: 99 11/22/2004 Marie C. DiSanto 21-04-0337 ROBERT G RADEBACH 107 LOCUST ST J' HARRISBURG, PA 17101 120.00 Total $120.00 Qty 1 Fee Description Additional Probate Fee Total: $120.00 C1Iecks should be made payable to the Register of Wills. Terms: Net 30. Please return one copy of this invoice with your payment. Thank you. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE I~HERITANCE TAX RECORD ADJUSTMENT BUREAU OF INDIVIDUIiI.:";TAXES:T, INHERITANCE TAX OIVISIlijC .--' ,'" '" PO BOX 280601 HARRISBURG PA 1712B-0601, DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 09-29-2005 DISANTO 04-01-2004 21 04-0337 CUMBERLAND 101 (1. \2 ANTHONV _~ISANTO 225 souTH ST HBG ESQ PA 17101 Amount Remitted REV-1593 EX AFP (03-05) MARIE C MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. REV-1593 EX AFP (03-05) --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- --------------------------------------------------------------------------------------------------------------------------------------- ESTATE OF DISANTO MARIE .. INHERITANCE TAX RECORD ADJUSTMENT .. ACN 1 01 C FILE NO. 21 04-0337 DATE 09-29-2005 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) &. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Administrative Costs/ Miscellaneous Expenses (Schedule H) Debts/Mortgage Liabilities/Liens (Schedule I) Total Deductions Net Value of Tax Return Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) Net Value of Estate Subject to Tax ADJUSTMENT BASED ON: VALUE OF ESTATE: PROTEST BOARD DECISION 10. 11. 12. 13. 14. TAX: 15. Amount of 1&. Amount of 17. Amount of 18. Amount of 19. Principal TAX CREDITS. Line 14 at Spousal Line 14 taxable at Line 14 at Sibling Line 14 taxable at Tax Due rate Lineal/Class A rate rate Collateral/Class B rate (9) 1l0) 115) ll&) 117) 118) ll) (2) (3) (4) (5) (&) (7) .00 134,662.00 .00 .00 53,276.64 4,945.00 160,000.00 (8) 352,883.64 29,408.67 323,474.97 .00 323,474.97 .00 14,556.37 .00 .00 14,556.37 . I'AYMI:.NI KI:.I,;I:..1I" 'T' AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 06-30-2004 CD004108 727.37 13,820.00 EREST IS CHARGED THROUGH 10-14-2005 TOTAL TAX CREDIT 14,547.37 THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 9.00 ERSE SIDE OF THIS FORM INTEREST AND PEN. .35 TOTAL DUE 9.35 INT AT REV 28,030.92 1,377.75 (11) 112) 113) 114) .00x 00 = 323,474.97x 045= .OOX 12 = .00x 15 = 119) . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. If TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) BUREAU Of INDIVIDUAL TAXES INHERITANCE TAX DIVISIDN PD BDX 2B0601 HARRISBURG PA 1712B-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT ANTHONY DISANTO 225 SOUTH ST HBG ESQ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 09-29-2005 DISANTO 04-01-2004 21 04-0337 CUMBERLAND 101 REV-1593 EX AFP (03-05) MARIE C PA 17101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- REV-1593 EX AFP (03-05) --------------------------------------------------------------------------------------------------------------------------------------- ESTATE OF DISANTO MARIE C FILE NO. 21 04-0337 .. INHERITANCE TAX RECORD ADJUSTMENT .. ACN 101 9113 Trusts (Schedule J) ADJUSTMENT BASED ON: VALUE OF ESTATE: PROTEST BOARD DECISION 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule f) 7. Transfers (Schedule G) 8. Total Assets DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Administrative Costs/ Miscellaneous Expenses (Schedule H) Debts/Mortgage Liabilities/Liens (Schedule I) Total Deductions Net Value of Tax Return Charitable/Governmental Bequests; Non-elected Net Value of Estate Subject to Tax (9) (10) 10. 11. 12. 13. 14. TAX: IS. Amount of 16. Amount of 17. Amount of 18. Amount of 19. Principal TAX CREDITS: Line 14 at Spousal Line 14 taxable at Line 14 at Sibling Line 14 taxable at Tax Due rate Lineal/Class A rate rate Collateral/Class B rate I1S) (16) (17) (18) (1) (2) (3) (4) (S) (6) (7) .00 134,662.00 .00 .00 53.276.64 4,945.00 160,000.00 (8) 28,030.92 1,377.75 (11) (12) (13) (14) .00 X 00 = 323.474.97X 045= .OOX 12 = .OOX 15 = (19) DATE 09-29-2005 352,883.64 29,408.67 323,474.97 .00 323,474.97 .00 14.556.37 .00 .00 14.556.37 ..n~n. n ,'OJ AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 06-30-2004 CD004108 727.37 13,820.00 EREST IS CHARGED THROUGH 10-14-2005 TOTAL TAX CREDIT 14,547.37 THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 9.00 ERSE SIDE OF THIS FORM INTEREST AND PEN. .35 TOTAL DUE 9.35 INT AT REV . If PAID AFTER DATE INDICATED, SEE REVERSE fOR CALCULATION OF ADDITIONAL INTEREST. If TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REfUND. SEE REVERSE SIDE Of THIS FORM FOR INSTRUCTIONS.) BOARD OF APPEALS DEPT. 281021 . HARRISBURG, PA 17128-1021 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT' OF REVENUE ANTHONY DISANTO ESQ 225 SOUTH ST HARRISBURG PA 17101 IN RE ESTATE OF: DISANTO MARIE C DOCKET NO.: TAX TYPE: APPEAL TYPE FILE NUMBER: ACN: APPRAISEMENT: PETITION FILED: EXAMINER: MAILING DATE: DECISION AND ORDER 0506912 Inheritance Protest 2104-0337 101 3/21/2005 4/26/2005 WILLIAM J ZDRADZINSKI Direct Dial: (717) 787-5761 Fax: (717) 787-7270 Email: wzdradzins@state.pa.us SEPTEMBER 16, 2005 On March 21, 2005, the Department issued an appraisement and assessment that disallowed the claim for the family exemption because an eligible claimant must be a spouse, parent, or child living in the same household as the decedent at the time of the decedent's death. The Department also disallowed the deduction of settlement costs "s ince property was transferred before date of death." Petitioner has submitted evidence which indicates that decedent and her son were members of the same household at the time of the decedent's death. Therefore, the claim for the family exemption is allowable. Petitioner also argues the settlement costs should be permitted since the value of the real estate was subject to tax. In Peterson Est., 649 A.2d 1007 (Pa.Cmwlth. 1994), no deduction was permitted for settlement costs as the estate received no benefit from the sale and the estate was not legally obligated to liquidate the real estate nor assume the costs associated with the sale. The Court stated "It is well settled that expenses necessarily incurred in preserving DISANTO MARIE C BOARD DOCKET NO. 0506912 Page 2 of 3 and distributing the estate may be deducted and that expenditures not essential to the proper settlement of the estate, but incurred for the benefit of the heirs, legatees, or devisees, may not be taken as deductions." In this case the decedent transferred her real property to three of her issue approximately three months before her death. As it was not necessary to dispose of the real estate to preserve or distribute the estate, the settlement costs inure to the benefit of the transferees and are not chargeable against the general estate. Accordingly, it is hereby, Ordered that the protest is sustained-in-part. The Department is directed to issue an amended appraisement and assessment reflecting the allowance of the family exemption as claimed. FOR THE BOARD OF APPEALS JOSEPH R. SLEEK, MEMBER A STATEMENT OF ACCOUNT WILL BE MAILED TO YOU BY THE BUREAU OF INDIVIDUAL TAXES. ANY APPEAL FROM THIS DECISION MUST BE FILED WITH THE ORPHANS' COURT WITHIN SIXTY (60) DAYS OF RECEIPT OF THIS DECISION. IF YOU REQUIRE THIS INFORMATION IN AN ALTERNATE FORMAT UNDER THE PROVISIONS OF AMERICANS WITH DISABILITIES ACT OF 1990, PLEASE CALL (717) 783-3664, OR FOR SERVICES FOR TAXPAYERS WITH SPECIAL HEARING AND SPEAKING NEEDS: 1-800-447-3020 (TT ONLY). COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BDX 280601 HARRISBURG PA 17128-0601 "C'Y.;..;YT r-,"QT~~ OF INHERITANCE TAX .. J'. v APPu"ISfllEtf:t, ALLOWANCE OR DISALLOWANCE OFDEIWC(!IONS AND ASSESSMENT OF TAX REV-15~7 EX UP 112-04) i i: 47 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 03-21-2005 DISANTO 04-01-2004 21 04-0337 CUMBERLAND 101 MARIE C ROBERT G RADEBACH rl F\Apr R G RADEBACH LAW OFC'" 107 LOCUST ST HBG PA 17101 Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV =rA1.'Y-Ex--AFP--C8r=o!'r-NoT-icE-oF-l'N'HErtiflircl-TAx-l-PPRlYsEirENT~--ALloQlNcl-oR------------- ---. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF DISANTO MARIE C FILE NO. 21 04-0337 ACN 101 DATE 03-21-2005 TAX RETURN WAS: ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets U) (2) (3) (4) (5) (6) (7) .00 134.662.00 .00 .00 53.276.64 4.945.00 160.000.00 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. (8) 352,883.64 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) UO) 24,530.92 1.377.75 (11) (2) (13) (4) 25.908 67 326,974.97 .00 326,974.97 NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will r~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate 16. Allount of Line 14 taxable at Lineal/Class A rate 17. Amount of Line 14 at Sibling rate 18. Allount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due US) .00 X 00 = .00 (16) 326,974.97 X 045 = 14,713.87 (7) .00 X 12 = .00 (8) .00 X 15 = .00 (9)= 14,713.87 ~ TAX CREDITS: .n........ l+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 06-30-2004 CD004108 727.37 13,820.00 INTEREST IS CHARGED THROUGH 04-05-2005 TOTAL TAX CREDIT 14,547.37 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 166.50 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 2.14 TOTAL DUE 168.64 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) REV-1470 EX (8-88) INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG PA 17128-0601 DECEDENTS NAME Marie C. DiSanto FILE NUMBER REVIEWED BY Destiny S.R.Brown ACN 2104-0337 101 ITEM SCHEDULE NO. EXPLANATION OF CHANGES H B-3 The claim for the family exemption has been disallowed. The claimant must be a spouse or if no spouse, a parent or child living in the same household as the decedent as of the date of death. H Settlement cost has been disallowed since property was transferred before date of death. ROW Page 1 Glenda Farner Strasbaugh Register of Wills and Clerk of Orphans' Court 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: ROBERT G RADEBAGI 107 LOCUST ST InvoiceNo: Invoice Date: Estate of: Estate No: 99 11/22/2004 Marie C DiSanto 21-04-0337 J' HARRISBURG, PA 17101 Qty 1 Fee Description Additional Probate Fee Total 120.00 $120.00 Total: $120.00 ,>:> Pel 4/1 I 05 LK '6 '5 2( 0 Third Request *********** Please pay promptly Checks should be made payable to the Register of Wills. Terms: Net 30. Please return one copy of this invoice with your payment. Thank you. v- - BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 r:t:"r,/~\,~;,-"r:~ HARRISBURG, PA 17128-0601':' ,',,' '_, ,. ' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX r~PPRAISEKENT~ ALLOWANCE OR DISALLOWANCE '-'OF DEDUCTION:s~ AND ASSESSIIENT OF TAX ON SECURlrY ACCOUNTS HELD IN BENEFICIARY FORK REV-154U AFP (D'-D5J ~ -:1 Pi;/2: 17 DATE 10-03-2005 ESTATE OF DISANTO MARIE C DATE OF DEATH 04-01-2004 FILE NUMBER 21 04-0337 COUNTY CUMBERLAND SSN/DC 165-16-3878 ACN 04500198 APPEAL DATE: 12-02-2005 (See reverse side under objections) Amount Remitted L 1 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ANTHONY DISANTo 25 SUSQUINETA HILL RD DUNCANNON PA 17020 CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REli:is4ifA--j{FP--Coi:1iij-------------__________________----------------------------__________________________ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM DATE 10-03-2005 ESTATE OF DISANTO MARIE C DATE OF DEATH 04-01-2004 CUMBERLAND COUNTY FILE NO. 21 04-0337 TAX RETURN WAS: S.S/D.C. NO. 165-16-3878 (X) ACCEPTED AS FILED () CHANGED BENEFICIARY FORM OF ASSET INFORMATION ACN 04500198 NAME OF SECURITY: MERRILL LYNCH ACCOUNT NO. 825-12521 TYPE OF ASSET: I } SECURITIES IX) SECURITY ACC I } STOCK I} BDNDS DOD Valuation Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 134,662.00 0.333 44,886.88 .00 44,886.88 .45 2,019.91 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 10-11-2005 TOTAL TAX CREDIT' .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 2,019.91 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 78.31 TOTAL DUE 2,098.22 · IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . I IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" I CR}, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. } P..K BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX OIVISIOIiI';:"!":;- PO BOX 2B0601 ' " HARRISBURG, PA 1712B-0601' .. ':1 ~.; '-I :: L'.) '.) JOYCE MOORE 108 lAUREE WAY PONTA VEDRA COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT~ ALLOKANCE OR DISALLOKANCE OF DEDUCTION~~ AND ASSESSHENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORH REII-15li8A AFP (0'-05) '-, -J "., I'" 17 Iii t. 10-03-2005 DISANTO 04-01-2004 21 04-0337 CUMBERLAND 165-16-3878 04500197 APPEAL DATE: 12-02-2005 (See reverse side under objections) Amount Remitted I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WIllS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN MARIE C ",r Fl 32082 CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-V:is4-8~--j{FP--[oi:1i3i-------------------------------------------__________________________________________ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM DATE 10-03-2005 ESTATE OF DISANTO C DATE OF DEATH 04-01-2004 FILE NO. 21 04-0337 TAX RETURN WAS: NAME OF SECURITY: TYPE OF ASSET: DOD Valuation Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: MARIE COUNTY CUMBERLAND S.S/D.C. NO. 165-16-3878 (X) ACCEPTED AS FILED () CHANGED BENEFICIARY FORM OF ASSET INFORMATION ACN 04500197 MERRILL lYNCH ACCOUNT NO. 825-12521 I ) SECURITIES IX) SECURITY ACC I ) STOCK () BONDS X 134,662.00 0.333 44,886.88 .00 44,886.88 .45 2,019.91 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WIllS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WIllS, AGENT." X PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 10-11-2005 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 2,019.91 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 78.31 TOTAL DUE 2,098.22 · IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" I CRJ, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. J pt BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISIO~":"(':,r':I! PO BOX 280601 . :'~,.'.' , .'.._ HARRISBURG, PA 17128-0601:: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEKENTL ALLONANCE OR DISALLONANCE OF DEDUCTION~L AND ASSESSKENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORK REY.15411A AFP (lJ'-D5> "- r, ;-_'"'--' If): \ 7 C ~'~,; - ..:i 1 L l:__ DATE 10-03-2005 ESTATE OF DISANTO MARIE C DATE OF DEATH 04-01-2004 FILE NUMBER 21 04-0337 COUNTY CUMBERLAND SSN/DC 165-16-3878 ACN 04500196 APPEAL DATE: 12-02-2005 (See reverse ~'ide under objections) Amount Remitted I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 (-" I LESLIE FICKINGER 1340 SUGA~ MAPLE CT NEW CUMBERLAND PA 17070 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-V=is4-SA--jiFP--(oi:-o:ii----------------------------------------------_______________________________________ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM DATE 10-03-2005 ESTATE OF DISANTO MARIE C DATE OF DEATH 04-01-2004 COUNTY CUMBERLAND FILE NO. 21 04-0337 TAX RETURN WAS: S.S/D.C. NO. 165-16-3878 (X) ACCEPTED AS FILED () CHANGED BENEFICIARY FORM OF ASSET INFORMATION ACN 04500196 NAME OF SECURITY: MERRILL LYNCH ACCOUNT NO. 825-12521 TYPE OF ASSET: ( ) SECURITIES (Xl SECURITY ACC ( ) STOCK () BONDS DoD Valuation Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due X 134,662.00 0.333 44,886.88 .00 44,886.88 .45 2,019.91 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." X TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 10-11-2005 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 2,019.91 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 78.31 TOTAL DUE 2,098.22 · IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. ) Ri'-- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX Z80601 HARRISBURG, PA 171Z8-0601 f'"" f'" ~ "''.f ':) -:.v INHERITANCE TAX RECORD ADJUSTMENT BENEFICIARY FORM ASSETS DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSNI'DC ACN REV-1U4A EX AFP 111-04l 2'7:-' r: to; - r; I 10-11-2005 DISANTO 04-01-2004 21 04-0337 CUMBERLAND 165-16-3878 04500196 Anount Renitted MARIE C LESLIE FICKINGER 1340 SUGAR MAPLE CT NEW CUMBERLAND PA 17070-0000 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ REV-1604A EX AFP (01-03) -- INHERITANCE TAX RECORD ADJUSTMENT BENEFICIARY FORM ASSETS __ DATE 10-11-2005 ESTATE OF DISANTO MARIE C DATE OF DEATH 04-01-2004 COUNTY CUMBERLAND FILE NO. 21 04-0337 ADJUSTMENT BASED ON: S.S/D.C. NO. 165-16-3878 ADMINISTRATIVE CORRECTION BENEFICIARY FORM ASSETS ACN 04500196 NAME OF SECURITY: MERRILL LYNCH ACCOUNT NO. 825-12521 TYPE OF ACCOUNT: ( ) SECURITIES () SEC ACCT ( ) STOCK ( ) BOND DOD Valuation Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due .00 0.333 .00 .00 .00 .45 .00 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ADDRESS SHOWN ABOVE. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT.fl TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE 00 · IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $I, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A '.CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) REV-1470 EX (6-88) * . , INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME MARIE DISANTO FILE NUMBER Dianne McClain ACN 2104-0337 04500196 REVIEWED BY ITEM SCHEDULE NO. EXPLANATION OF CHANGES The above referenced ACN has been reduced to zero, as this account was reported on the probate return. ROW Paqe 1 2['-'S (" - ,-, r "j.. '-J (~ . ,:.V COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT BENEFICIARY FORM ASSETS DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISI~~, !','''',',~r',', '.,," PO BOX 280601 --C'-: . ..,: ,;-' , HARRISBURG, PA 17128-0 111-")'" L ,- REV-1604A EX AFP 1l1-04l \ t i 10-11-2005 DISANTO 04-01-2004 21 04-0337 CUMBERLAND 165-16-3878 04500197 Allount Rellitted MARIE C JOYCE r MOORE 108 LAUREl: WAY PONTA VEDRA FL 32082-0000 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ REV-1604A EX AFP (01-03) -- INHERITANCE TAX RECORD ADJUSTMENT BENEFICIARY FORM ASSETS __ DATE 10-11-2005 ESTATE OF DISANTO MARIE C DATE OF DEATH 04-01-2004 COUNTY CUMBERLAND FILE NO. 21 04- 0337 ADJUSTMENT BASED ON: S.S/D.C. NO. 165-16-3878 ADMINISTRATIVE CORRECTION BENEFICIARY FORM ASSETS ACN 04500197 NAME OF SECURITY: MERRILL LYNCH ACCOUNT NO. 825-12521 TYPE OF ACCOUNT: ( ) SECURITIES () SEC ACCT ( ) STOCK ( ) BOND DOD Valuation Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due .00 0.333 .00 .00 .00 .45 .00 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ADDRESS SHOWN ABOVE. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE 00 · IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. nt ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), 1<1' YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) REV-1470 EX (6-88) . " INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENTS NAME MARIE DISANTO FILE NUMBER Dianne McClain ACN 2104-0337 04500197 REVIEWED BY ITEM SCHEDULE NO. EXPLANATION OF CHANGES The above referenced ACN has been reduced to zero, as this account was reported on the probate return. ROW Paqe 1 BUREAU OF INDIVIDUAL TAXES ~~H~~~T~~~~oIAX DIVISlOt{ (' .' HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE r~;;: ~>: ~.~8 INHERITANCE TAX RECORD ADJUSTMENT BENEFICIARY FORM ASSETS DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN REY-160~A EX AFP [ll-O~) ANTHONYr, DISANTO 25 SUSQUINETA HILL RD DUNCANNON PA 17020-0000 10-11-2005 DISANTO 04-01-2004 21 04-0337 CUMBERLAND 165-16-3878 04500198 MARIE C Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ REV-1604A EX AFP (01-03) -- INHERITANCE TAX RECORD ADJUSTMENT BENEFICIARY FORM ASSETS __ DATE 10-11-2005 ESTATE OF DISANTO MARIE C DATE OF DEATH 04-01-2004 COUNTY CUMBERLAND FILE NO. 21 04-0337 ADJUSTMENT BASED ON: S.S/D.C. NO. 165-16-3878 ADMINISTRATIVE CORRECTION BENEFICIARY FORM ASSETS ACN 04500198 NAME OF SECURITY: MERRILL LYNCH ACCOUNT NO. 825-12521 TYPE OF ACCOUNT: ( ) SECURITIES () SEC ACCT ( ) STOCK ( ) BOND DOD Valuation Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due .00 0.333 .00 .00 .00 .45 .00 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ADDRESS SHOWN ABOVE. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 · IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) REV-1470 EX (6-88) '* . . INHERITANCE TAX EXPLANATION COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME FILE NUMBER MARIE DISANTO 2104-0337 REVIEWED BY ACN Dianne McClain 04500198 ITEM SCHEDULE NO. EXPLANATION OF CHANGES The above referenced ACN has been reduced to zero, as this account was reported on the probate return. ROW Paqe 1 Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/06/2006 RADEBACH ROBERT G ESQ 107 LOCUST STREET HARRISBURG, PA 17113 RE: Estate of DISANTO MARIE C File Number: 2004-00337 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 4/01/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~ "~'f>~'l' ," t~~ . " ~\ ',!".'l~a:<,..<<_,< J'- VC:;~ " f" 'I;._,j.~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) ~y ~ /' . Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 MAR..\E c. i),SAtJto '-( ---I - 2,()O 4 Name of Decedent: Date of Death: Estate No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: Date: 1. State whether administration of the estate is complete: Yes Kl No 0 2. lfthe answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. lfthe answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes 0 No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes <<J No 0 ('~ c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. ~. A )-8-tJ!- ~ ~ Signature l\. / L 11~~y aJl~ N;~ ~)Ji~ riollJ ~AkAN~~ Address 7l1- fj~l{-S'()1' Telephone No. (:J Capacity: 0 Personal Representative o Counsel for personal representative \~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE pri'nnn~n..cH~~SRITANCE TAX ~<:;:;~;~:Tr~5~~~~t.l,ENT OF ACCOUNT , ~,_ .....\1 \.,.' , l.-; I ,"--" \. r. :, l *' REV-1607 EX AFP (03-05) 2001 JUN 29 PM I: 17 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-18-2007 DISANTO 04-01-2004 21 04-0337 CUMBERLAND 101 MARIE C CLERK OF QRPHflN'S COURT ANTHONY DISANTO ESQ CU~i1?;--CJ"\lr; r:(t PA 225 SOUTH ST HBG PA 17101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE --------------------------------------------------------------------------- -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF DISANTO MARIE C FILE NO. 21 04-0337 ACN 101 DATE 06-18-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-28-2005 PRINCIPAL TAX DUE: 14,556.37 PAYMENTS (TAX CREDITS): INT AT REV PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 06-30-2004 CD004108 727.37 13,820.00 EREST IS CHARGED THROUGH 07-03-2007 TOTAL TAX CREDIT 14,547.37 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 9.00 INTEREST AND PEN. 1.44 II IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 10.44 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) en ( IF TOTAL DUE IS LESS THAN .1, NO PAYMENT IS REQUIRED. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 ,~ ,-. .., r- i:~, I'll' _ ':-)I,-,1,'~, ERITANCE TAX -=.'-- _ ,STA't.'EMENT OF ACCOUNT REV-1607 EX AFP (03-05) Zu07 AUG 3/ PN 4: 00 ANTHONY DISANTO 225 SOUTH ST HBG CLrr"-' (' ,- I [i-[i\ ,,)1-- ORDi' 'f,r"'-' -' II -;t.....',1 \1'-.... ESQCU: ' ',- 'fiT DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 08-13-2007 DISANTO 04-01-2004 21 04-0337 CUMBERLAND 101 MARIE C Amount Remitted PA 17101 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE -. RETAIN LOWER PORTION FOR YOUR RECORDS +- --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF DISANTO MARIE C FILE NO. 21 04-0337 ACN 101 DATE 08- 13 - 2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-28-2005 PRINCIPAL TAX DUE: 14,556.37 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 06-30-2004 CDo04108 727.37 13,820.00 08-10-2007 WRITEOFF .00 10.52 TOTAL TAX CREDIT 14,556.37 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 l! IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) ~