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Home My WebLink About09-25-08 (2)t ~ ~ 15056051058 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue County Code Year Bureau of Individual Taxes ~ INHERITANCE TAX RETURN PO BOX 280601 21 08 Harrisburg, PA 17128-0601 - RESIDENT DECEDENT File Number 0396 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 062-16-4091 03/14/2008 .08/29/1921 Decedent's Last Name Suffix Decedent's First Name Galaskas Gloria (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name N/A Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW • 1. Original Return 4. Limited Estate 1 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received 2. Supplemental Return 4a. Future Interest Compromise (date of death after 12-12-82) _. 7. Decedent Maintained a Living Trust (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) MI M MI 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required U_ 8. Total Number of Safe Deposit Boxes 11. Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Cara Ann Boyanowski (717) 540-9170 Firm Name (If Applicable) REGISTER OF WILLS US E~}~LY Serratelli Schiffman ~ ~ -,, - - ` -_ First line of address _ - 2080 Linglestown Road t~_7 to - ; rv Second line of address _ _ ~' Suite 201 `- ,'- ~' - - ~: City or Post Office State ZIP Code __ ___DAILED a .~; Harrisburg i_J PA 17110 ~ Correspondent's a-mail address: Under penalties of perjury, I declare that I have examined [his return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. ~- ~-~ 'Ma.~a on ~`~~J ~ u-t N b tag- I ~ i ~ z _ __ _ ___ __ S T O E O R N RE ENTATIVE DAT t ADDRE S - _ _ . _ _ _ _ _ I ~ -` __ ~~ C> ~'i tl~~..dt~ Pl ~cZl , ~ t~ ZO l ~ ~-I- bq - P~ I ~ I ~ D PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 15056051058 REV-1500 EX Decedent's Social Security Number Decedent's Name: GlOfla M Galaskas 062-16-4091 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) Separate Billing Requested ..... .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) 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/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ...................... .. 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ...................... .. 14. TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0__ 0.00 15. 16. Amount of Line 14 taxable at lineal rate x .C 45 225,034.30 16. 17. Amount of Line 14 taxable at sibling rate X .12 0.00 17 18 Amount of Line 14 taxable 0 00 . at collateral rate X .15 18 19. TAX DUE .........................................................19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 Side 2 15056052059 0.00 154,220.64 0.00 0.00 76,108.59 800.58 13, 704.44 244,834.25 18, 726.84 1,073.11 19,799.95 225,034.30 0.00 225,034.30 0.00 10,126.54 0.00 0.00 10,126.54 15056052059 REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 '' 08 .0396 Gloria _ STREET ADDRESS Bethany Village 325 Wesley Drive __ _ __ CITY STATE ZIP Mechicsburg PA 17055 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 10,126.54 2. CreditslPayments 0.00 A. Spousal Poverty Credit B. Prior Payments 10,000.00 C. Discount 506.33 - Total Credits (A+ B + C) (2) 10,506.33 3. InteresUPenalty if applicable 0.00 D. Interest _ _ E. Penalty 0.00 Total InteresUPenalty (D + E) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 379.79 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00 A. Enter the interest on the tax due. (5A) 0.00 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 0.00 Make Check Payable to: REGISTER OF WILLS, AGENT M Galaskas 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 :................................................................................... ....... ^ ^X 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? ....... ....... ^ ^X 4. Did decedent awn an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ................................................................................................................. ....... ~ ^ 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. §9116 (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 PS §9116 (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. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent (72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(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. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. DECEDENT'S SOCIAL SECURITY NUMBER 062-16-4091 n,-~~os r.>rv uwo~i LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. ee for this certificate, $6.00 Certification Number M106~fi7 REV 1112006 ' TYPE ~ PRINT IN PERMANEIJT BIACN INK 7 U~ ~~ ~I 1 1 0 This is to certify that the information here' given i co>-rectly copied from an original Certificate of Deat duly filed with me as Local Registrar. The origins certificate will be forwarded to the State Vita Records Office for permanent tiling. Local Registrar Date Issued COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE FILE NUMBER i. Nana d DecetleN (Fxd, mitltlk. ksL sugix) 2. Sax 3. Soda) Securay Ilunmar 4. Dale d DaaM (MOnm, ley, year) Gloria Mary Galaskas Female 062 - 16 - 4091 Y~'~.~~QCI-~ i'~ x~-0 C ~ 5. Age (Last &Nbay) IMder 1 yeaz Under /day 6. Dale d Bhsh IMOnm, ley, Year) 7. BiMDkw IGry antl dale a kr dgn coumry) ea. Pkce d Dedh (Cheri odY one) rAaeu wn imwx kwvnex Iwspnal: Dhwr. 86Yrs. August 29, 1921 Fort Totten, Id7C ^Irgatiern ER/OdpagaM ^l>DA ^NUrsinp Ham ^ResMenw ^OIMr-Spedly: 9o Caunry o! Deam &. Cny, Bern, Twp a Dean lb. FadMy Name (n rte kslilulion, give drael and narOer) 9. Was Decedent d Hspadc Ongn7 No ^ Yas 10. Rain. American kWen, Dla<k, WTita, ex Cumberland East Pennsboro NOL s p,~~ r ~-D S p, ; ,~ ~ jn yee, bpeay caban, Mexican, Puerto Rican, etc 1 (sDa<u» white 11. DecadeM's Usual f Nkd d work l aw du most d IAa. Do nos stale regredl 12. Was D nl ever in the 13. Decetlem's EducaUOn (Specify onry Nghesl grade comp leted) 1!. Mallet Salus: Mazried, Never Married, 15. Survivrlg Spo use III wile, gwa maiden rwne) Nird d Wak Knd of Business / Industry U.S. Nmed Forces? ElameMary / Secatdary 10.12) College 1 J a 5~) Wafaved• Divorced (Spedlyvj Hcxnemaker Home ^ Yes p'No ~ Widowed I6. De<edenrb ManagAdNess jSSred, c11Y/lam, bole, vP rotle) Decedenrb Pennsylvania ° aD~,~M . / Upper Allen S ' " 325 Wesley Drive Adual Residence t7a. tile 17c. I! I Yes, DecedeN Lhed n Twp. Cumberland T mow? nd ^ ra De<ademtwedwimkt Mechanicsburg, PA 17055 , °° can't AdudlirniLtd cnyieae tor. Famer's Name (Fhsl, middle, led, sdlkl 19. Homer's Name (First, nkdae, maiden sumazre) James Connaughton Edith Miller 2w. Inlomtanfs Name (Type / PnnQ 20b. Inlarmazx's Manxg Address (Saael, cny / mwn, stale, zy code) Robert R. Galaskas 2318 Marion View Drive Harrisburg PA 17112 2ta M nay of Disposgpn d ^ Cremation ^ Dotufan 21 b. Dab d Disposgion (Month, day, Yeazl 21<. Pkw of Disposition (Nano d cemetery. aenakry a omen pkce) 21d. lowlion lCM 1 wm. state, ep mda) ~ / L.J Burial U+ Removal hen Stale Was Cremalkn w Danalfon ANhorixed ^ aner spe<iry: byN.dl<.lEx.mwryconan.n ^rea^Na March 19 2008 St. Md ten Cemete Flemin ton NJ 08822 22a. Signature d Furerd Servke Licensee (a person al9 as suU) 22D. License Number 22c. Name and AdMess d FaNny $ Market Plaza Wa -- _ f'~ FD-138548 y Mal zzi Funeral Home Mechanicsbur PA 17055 Carplele Hems 23at any when cerdyng 7Ja. To IM Dezl d my Knowledge, Beam scared al gte tYna, Gaze all place sUled. (Sipnalae arb Ink) 23b. License Number 23c. Date Signed (Monm, day, year) physidan k trot avaikUle at erne of deem b cenirv were d deem. . Items 2J~26 must ix canpleted W person 2/. Time d Deaf n 25. Date Prataag:ed Dead (Haab, da , Yeaz) - 26. Was Ceza flekned k Medical Examiner / Caorer 1a a Reason Omer Than Cremation a De1NtKx1? wtp prorwurres tleam. 1, V' M. n" ~Q~~G~ I ~ o v ~ ^Yeb ^No CAUSE OF DEATH (See Instrucslone and eaamDkel r Approxhnale nlerval: Pad IC Eller olfwr ~ 2B. DA 7oWaro Use Cagrtule k Deam? hem 27. Pan 1: EMeI the than d emds -diseases, ryuries. or carykcazion5 -mat tireNy roused the deem. W NOT enter terminal events such as cartliac arrest, l Onset to Death bd nd resugirg in the raidedykq rouse given n Pan L ^ Yas ^ Prdudy respiratory arrest. or veMricdar librillaeon watant showing Vw eedogy. Ud ogrv aw rouse on eazh line. ~ ^ No ~ Unkrown WIAEIMATE CAUSE `Final dsease a Rye Ai x~Y~1 s ~ I~ i W K G N (~ o (JI e CJ R~ rR U t "T l V l 29. II Female: 2.t <drtdilidn resullsg n Beam) e -)• a. i a [`] N Due k (a as a consequence oQ: ~ i l yY,U N A (~ y (~ 1 5 E d~ s t P or pregnant w tt n past year ^ Pregrwg al lime d deem Sequentiatly ks1 mnaitions, /arty, p, . V kadmp to the cause ksled on tine a. Due to (w as a con e d t:rNer M UNDERLYWG CAUSE ~q~~ 1: Nd Dr M, Dul wigw 12 da s ^ v7rv W~l Y (dsease a uuyyuury mat iMkted Hie - ~ n deem) USL c ereMS resuntn d deem g Due to (a u a COn56querl<e d)' i ^ NM pregnant, Od pregnant IJ days b 1 yen d. i balers Beam ^ Ulinown n preigwa wldJn the Put year lw. Was an Aulapsy 30D Were Autopsy FiMrgs 31. Maurer d Deam 32a. Date d kjury (Momh, day, Year) 32b. Desuibe How Injury Occurcetl 7tc. Raw d YNrv. Hans. Farm, Bred, faaay, PeMnned? Avanabk: Prkr m Comple4arl of Cause of Deam? RRII y~ Nawral ^ Fbnicitl0 Oa Bundirq, etc. (SpeiiryJ ^ Ye5 ®No ^ Yes ^ No ^ Accident ~ Perbing Investigalian 32d. Tme of Injury 328. mjury aI Wak? 321. n Transpaklion Itqury (Speedy) 32g. Lowtkn d Ir{ay IStred, cny I kwn, stale) ^ SuicWe ^ Cand Nol be Determined ^ Yez ^ Ne ^ ghat I Opemta ^ Passenger ^PeW striae M Dmer - Speciy~ 33a. Cerglkr (checA only one) ~__~ • C Ul i n i Ph i i i f h m n k h a d m ll l l d g 23 l i 33b Sigralura all Title 01 Cenil'w Fvx ~ N / n~ O re n Li s t ) I~t er y ng p ys c an ( ys ng cause o deem w en ano er p ys as pamuae ee a wmp e e em c an cemy c n To the bell d my Ynowledge, Oath occurred tlue to the cause(s) antl manner a SMted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ sc~. ~ - .. . n • Pronouncing and cenityltp physkkn (Physkkn Dom prorauncing deem all cenirying b cause of deem) ^ 33c. License Number 33tl. Dale Signal IMonm. day. yeaH 7o she best of my knordetlge, Beam occurred d the time, dalq antl place, and due to the cause(s) and manrer ac sbted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Yetliwl Eumker I Corond to D 4 2 1 G Sv M rn re h / 4 ~ Za, FS On me basis of eaaminaslon arM 1 a Mresllgatlon, In my opinion, Beam occurred at the time, tlam, and place, and due so the cause(s) and manner as sbted_ ^ ~ Name all Address of Persm Wla CanpklM Cause d Death (ikm 271 Type /Print 35. R is Signature endy~ t }y~~ r~ ~ ~ b~ l 31/ I I Dale Fled (Mmm, day, year) I~Q mom' ~' i~ A ~ i u V ~ It~lt t~ (-ice i 1 sus-~.. `t~-in~tra Q~e ~,~ ccte~ , I ,a CC.(,(~C/tl ~~ ~ l/ x, . Disposition Petmn No. n ~ ~~ i REGISTER OF WILLS CUMBERLAND COUNTY PENNSYLVAMA - _.. _._ CERTIFICATE~~OF`"~'~ °""' GRANT OF LETTERS No . 2008- 00396 PA No . 2 ~ - 08- 0396 Estate Of : GLORIA M GALASKAS (First, Middle, Lastl Late Of : EAST PENNSBORO TOWNSHIP CUMBERLAND COUNTY Deceased Social Security No 062-16-4091 WHEREAS, on the 7th day of April 2008 an instrument dated February I7th 1997 was admitted to probate as the last will of GLORIA M GALASKAS /First, Middle, Lastl late of EAST PENNSBORO TOWNSH/P, CUMBERLAND County, who died on the 14th day of March 2008 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, GLENDA EARNER STRASBAUGH Register of Wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to: ROBERT R GALASKAS who has duly qualified as EXECUTOR(R/X) 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 7th day of April 2008. 4 **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) } Last Will and Testament of r`7 ,- -, ,, Y O =O ~ r ~ ~, 1 Gloria M. Galaskas c ~' -> i =.,,_ ~ _,n - ~`=i,_ .. , ~ r --„-~~ I, Gloria M. Galaskas, of 59 Redwood Terrace, in the''~owns~.p ;~= •=> --i r ~ j -- of Raritan, County of Hunterdon, and State of New Jersey 088, ~'f`~ being of sound mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking all prior Wills and documents of a testamentary nature heretofore made by me. INTRODUCTION: My late husband, Charles D. Galaskas, has died, ;~ hence, I am survived at this point by my children, Robert R. C ~ Galaskas and Virginia A. Argentieri. a j ITEM FIRST: I order and direct that all my just debts and U ~4) ,, funeral expenses, and the expense of the administration of my \ estate, be duly paid and satisfied as soon after my decease as can conveniently be done. I authorize any executor or any substitute `'~ therefor acting to be able to contest any alleged debt, adjudicate, compromise, arbitrate, and/or settle any alleged debt, ~_~ notwithstanding my direction to pay any such debt or funeral expense, for the good of my estate and the beneficiaries of this my Last Will and Testament. ITEM SECOND: All the rest, residue and remainder of my estate of whatever the same may consist and wherever situate, I give, devise and bequeath to my children, Robert R. Galaskas and Virginia A. Argentieri, share and share alike, with the issue of any of my children taking their deceased parent's share. It is further provided that if either of my children, should die before me, at the same time, or within 30 days of my death and leave no issue him or her surviving, then my surviving child, or issue of either child surviving he or she shall take the entire rest and residue of my estate. ITEM THIRD: I nominate, constitute and appoint my son, Robert R. Galaskas, as Executor of this my Last Will and Testament, and ~di:rec~ that he shall not be required to post bond in this or any other state in order to so act. It is further provided that if my son, the said Robert R. Galaskas should die before me, at the same time, or within 10 days of my death, or be unable to continue to act as my executor, then I nominate, constitute and appoint my daughter, Virginia A. Argentieri, as substitute Executrix of this my Last Will and Testament, and direct that she shall not be required to post bond in this state or any other state, or be required to post any security of any kind in order to be able to so act. ITEM FOURTH: I authorize and empower my said Executor, or my said substituted Executrix, or any substitute therefor acting, or my Trustee, or any substitute therefor acting, to sell any real or personal property of which I may die seized or possessed at public or private sale, at such times (or from time to time) and for such prices and on such terms and conditions as they shall deem proper and for the best interests of my estate, and to make, execute and deliver good and sufficient deeds, conveyances and instruments of ''"~` transfer for the same. ITEM FIFTH: If any Trust(s) is required to be created for the ,j " J benefit of issue who may be minors, I authorize my said Trustees, ~± or any substitute therefor acting, to retain, in his or her sole discretion, such investments as I may possess at the time of my death, or to sell at public or private sale, at such times (or from time to time) and for such prices and on such terms and conditions as they shall deem proper and for the best interests of my estate, and to make, execute and deliver good and sufficient deeds, conveyances and :instruments of transfer for the same. ITEM SIXTH: If any Trust(s) is required to be created for the benefit of issue who may be minors, I authorize my said Trustee, or any substitute therefore acting, to retain, in his or her sole discretion, such. investments as I may possess at the time of my death, or to sell the same and invest and from time to time reinvest, or to make new investments and from time to time, reinvest, in securities that said Trustees shall deem safe and 2 profitable, whether the same be such are known as lawful securities for trust funds or not, including specifically the right to invest in shares of the common and preferred stocks of corporations organized in the State of New Jersey, or any other State or Country; and I absolve my said Trustee, or any substitute therefor acting, from any liability for losses arising from any investments which shall make in good faith in pursuance of the authority hereby granted. ITEM SEVENTH: The terms of the Trust(s) for the benefit of issue are: My Trustee shall use the income, and if necessary, the principal, in whole or in part, of any said minor's share in the residue of my estate, for the comfortable support, maintenance, health and education of said minor until he or she attains the age of twenty-one years, at which time the principal of his or her V `~ share and all accumulations thereon, or the unexpended portion r ,~ thereof, as the case may be, shall be paid over and delivered to ~~~ said minor. If said minor survives me but dies before attaining f~ the age of twenty-one years, leaving no issue him or her surviving, then I give, devise and bequeath his or her share of the said '.i residue of my estate, or the unexpended portion thereof, to and y among the other said children per stirpes of each parent, who are ~ ~ surviving at the time of said minor's death, with the issue of any deceased child taking their parent's share of the•same, and in the event of no such issue to their cousins of the opposite root. For Lives in Being, plus 21 years, same shall be the last survivor of the John F. Kennedy and Edward Kennedy Family of National Fame. ITEM EIGHTH: I also incorporate herein all powers given to an Executor or Executrix, under N.J.S.A. 3B:14-23, et seq., as though fully set forth herein. ITEM NINTH: I hereby specifically reserve the power to dispose of items of tangible personal property not otherwise ! specifically disposed of by this my Last Will and Testament, other than money, evidences of indebtedness, documents of title, and securities and property used in trade or business, by attaching to my Will on this or some future date a separate writing, either in 3 my own handwriting or signed by me, which shall describe the items of personal property and the devisee of whom the property is intended with reasonable certainty, pursuant to the terms of N.J.S.A. 3B:3-11. ITEM TENTH: I nominate, constitute and appoint, my son, Robert R. Galaskas Trustee for issue of my daughter Virginia A. Argentieri as Trustee for any trust that may be required, should issue be under age and be entitled to receive any of the rest and residue of my estate as above provided. I nominate, constitute and appoint, my daughter, Virginia A. Argentieri Trustee for issue of my son, Robert R. Galaskas for any trust that may be required, should issue be under age and be entitled to receive any of the rest and residue of my estate as above provided. The terms of said Trust would be for the benefit of said issue, individually and collectively, and for health, education and maintenance purposes, with the full power to invade corpus, if required for the benefit of any such child, inheriting who might be under the age of 21 years. A separat;e trust being established for each child under 21 years of age who might be a contingent beneficiary. IN WITNESS WHEREOF I have hereunto set my hand and seal this day of February, in the year of our Lord Nineteen Hundred and Ninety-Seven. ~.` ~ i l j~ /1 ~ /f "~\ 1~Y'.G b?l ~: , i,77 - G.~? :i'.Q ~•ii,., [^/O,/7 r" l ~r'/',. ~. Gloria M. Galaskas ~ `(.-"` _- Signed at the foot and in the margin of pages one, two, and three, sealed, published and declared by the Testatrix, as and for her Last Will and Testament, in the presence of us, both being present at the same time, and we at his request and in her presence and in the presence of each other, thereupon subscribed our names as witnesses this l`~~lay of February, 1997, A.D., the Testatrix publishing and signing first. _ r ~, _~ ~ ~` -mac'-e''<~ / y?%~-~ / ~ljJ L ' l!~~i~.~ ~ ,, ` ~.~i /~_E~~ rLtilX ~ ~ ~i1~k_t?~~-'Y'c`C.t.'R, ~;7 L L~3C?,~ <~~ j . ~"ic-l'S~;'tr`L~n9~~1~ ~ 1.~ ~~~ ~~~~~~ t 4 f51M,UL PNEOUS n~cv ,v -T- 1 1, Gloria I•i. Galaskas the Testator (or Testatrix) sign my name to this instrument this 17 Lh day of February , 19 97 , azzd being duly sworn, do hereby declare to the undersiyred authority that I sign and execute this instrument as my Last Will; that I sign it willingly; that 1 e:zecute it as my free and voluntary act for the purposes therein e<rpressed; and that / anz 18 years of age or older, of sound mind and under no constraint or undue influezzce. >4:_--v=,..ti...,. 12:x... :::z..:~..::.,._~r~x~~=:-•---------•----------------------- ------------------ GLORIA Ni. GALASKAS Testator (or Testatrix) We, Thomas J. BeeCe1 and Jeanne L. Cressrnan the witnesses, sign our names. to this instrument, and, being duly sworn, do hereby declare to tYze undersigned authority that the Testator (or Testatrix) siyned and executed this instrument as his or her Last Will and that he or she signed it willingly; that each of us, in the presence and hearing of the Testator (or Testatrix), hereby signs this Will as witness to the signing thereof by the Testator (or Testatrix); and that to the best of our knowledge the Testator (or Testatrix) is 18 years of age or older, of sound mind and under no constraint or undue influence. _.., ,.. ~ . _,.-- __ _ - - 20 i~1ai n Street, Fleangt~n_.____NJ: U~~22 Witness Thomas ~ ,~ Be gel Address ',1 ~~ ^'~ _ P.O. Boy: 2565, F1eTin con.__N~____Q8$22 Witness Deanne L. C~~essman Address STATE OF NEW JERSEY SS. COUNTY OF Hun_erdon Subscribed, sworn to and acknowledged before me by G 10 ~' i a ~ i . Ga 1 a s ka s the Testator (ar Testatrixz), and subscribed and sworn to before me by Thomas .~ . Be e t e 1 and Jeanne L . Cre s swan ,the witnesses, this 17th day of ~ ebruary , 19 97 f CHRISTINA AA. KALNAS t\v7A.if hn:Ll' C. .. .. ;~:(SEY Cu;mr.;,,,,,; "cny~,c> 11~'L1 (2001 ~. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE BUREAU OF FINANCIAL OPERATIONS DIVISION OF THIRD PARTY LIABILITY ESTATE RECOVERY PROGRAM PO BOX 8486 HARRISBURG, PA 17105-8486 May 14, 2008 SERRATELLI SCHIFFMAN BROWN & CALHOON PC CARA A BOYANOWSKI ESQUIRE SUITE 201 2080 LINGLESTOWN RD HARRISBURG PA 17110-9670 Re: GLORIA M. GALASKAS SSN: 062-16-4091 Dear Attorney Boyanowski Pursuant to your letter dated April 11, 2008, the Department of Public Welfare (DPW), Estate Recovery Program, has reviewed the information you provided regarding the above-referenced individual. It has been determined that this individual did not receive any type of assistance during the questioned period. Therefore, according to the information you provided, the Department's Estate Recovery Program will not seek any recovery from this estate. If your client applied for Medical Assistance and had an application and/or hearing pending at the time of death, please advise us and provide any additional information that may affect a recovery by our Department. If you have any questions, please feel free to contact me. Sincerely, .~ ,~ Carole A. Procope Recovery Section Manager (717)772-6604 ~ REV-1503 EX+ (6-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER GLORIA MARY GALA;SKAS 21-08-0396 All property jointly-owned with right of survivorship must be disclosed on Schedule F. I If more space is needed. insert additional sheets of the same size) ,Date Panted: 18-Apr-2008 Financial Advisor: Robert Lord Phone: 908-788-5645 Page 1 of 1 Historical Pricing ew~u~d joy Symbol DescriptionlType Date Value LAFFX LORD ABBETT AFFILIATED FD INC CL A Closing (unadjusted) 14-Mar-2008 12.2900 USD LBNDX LORD ABBETT BD DEB FD INC CL A Closing (unadjusted) 14-Mar-2008 7.4800 USD 3704AOMM1 GENERAL MTRS ACCEP CORP CALL 6.75%061519 Closing (unadjusted) 14-Mar-2008 58.2833 USD 40429XHH2 HSBC FIN CORP HSBC FIN CALL 6%121517 Closing (unadjusted) 14-Mar-2008 99.6341 USD ~~ ~ i 3`lc~~ t-~G~c~~~. ~d ~~ ~hcz~~.Q.~ ~~ ~ .~~ ~ ~~3 - ~ ~ `~ 2y; . 3~ -- 11 Q~ ~«~~ ~ r~~ L~~ ~~C~- ~ This report is provided by Edward Jones. The report was calculated using third party information. This report is not intended to replace official documents such as confirmations and/or account statements that should be retained for tax purposes. Past pertormance is no guarantee of future results. Edward Jones does not provide tax or legal advice. You should consult your tax and/or legal advisor for your particular situation. The historical cost basis information furnished herein ("Information") is for use by customer ("you") only and is based on the purchase and sale information provided. While Edward Jones believes that the information was obtained from reliable sources, Edward Jones does not guarantee the accuracy or completeness of the Information and is furnishing the Information to You on an "as-is" basis. EDWARD JONES MAKES NO WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, WITH RESPECT TO THE MERCHANTABILITY, FITNESS, CONDITION, USE OR APPROPRIATENESS OF THE INFORMATION. Edward Jones is supplying the Information on the basis that the Information will be used by You for Your own use and benefit and not For resale or other transfer to, or use by or for the benefit of, any other person or entity. REV-1508 EX+(6-98) _ 5 SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER GLORIA MARY GALASKAS 21-08-0396 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. PNC Bank - 500 First Avenue, Pittsburgh, PA -checking account no. 5004486645 28,368.33 2. PNC Bank checking account accrued interest 2.15 3. PNC Bank - 500 First Avenue, Pittsburgh, PA -savings account no. 5004057226 5,557.55 4. PNC Bank savings account accrued interest 1.71 5. Bethany Village - 325 Wesley Drive, Mechanicsburg, PA -standard entrance fee refund 30,065.00 6. Allstate Insurance refund 9.00 7. Bethany ViNlage - 325 Wesley Drive, Mechanicsburg, PA -April 2008 refund 11,281.08 8. Internal Revenue Service federal income tax refund 223.77 9. Internal Revenue Service federal income tax economic stimulus payment 600.00 TOTAL (Also enter on line 5, Recapitulation) $ I 76,108.59 (If more space is needed, insert additional sheets of the same size) Apr,24. 2008 3;20PM PNC BANK 412-705-2747 ~ PNCBANG The Thinking Behind The Monet Apri124, 2008 Serratelli, Schiffman, Brown & Calhoon PC Cara Boyanowski Esq 2080 Linglestown ltd Suite 201 Haixisburg, PA 17110-9670 RE: Gloria M Galaskas (Deceased) SSN: 062-16-4091 DOD: 03-14-2008 bear Ms. Boyanowski: No, 3330 P. 1/2 zu respoase to your request for Date of Death balances for the customer iaoted above, our records show the following: Checking Account Account # 5004486645 Established 10-07-2004 GLORIA M GALASKAS DOD balance: $28,368.33 + 2.15 accrued interest Savings Account Account # 5004057226 Established 10-07-2004 GLORIA M GALASKAS DOD balance: $5,557.55 + 1.71 accrued interest *contact any PNC Branch for interest rate iz~fornaation. page 1 of 2 RECEIVED TIME APR. 24. 3:18PM AP r, 24. 2008 3:20PM PNC BANK 412-705-2747 No, 3330 P, 2/2 Please note that this office only provides dace of death balances for deposit accounts (I1tAs, CDs, Checking and Savings accounts). We do not process any financial transactions or provide statements. If you need assistance with any of these items, please call 1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch office. Sincerely, Colleen Crowder 1-800-762-1775 P7-PFSC-04-F 500 First Ave Pittsburgh, PA 15219 Member FDIC RECEIVED TIME APR. 24. 3:18PM Page2of2 Asbury Communities, Inc. To: Estate of Gloria Galaskas 29659 Invoice Number Date JUN 182008 06/18/2008 Check Number: 0000148825 Check Date 06/19/2008 Description Amount Discount Paid Amount Standard Ent Fee Refund $30,065.00 $.00 $30,065.00 $30,065.00 $.00 $30,065.00 -y-i.. ...~'_- ..- .4:.n. ..-: - ._ rc,:- -..... n~ ~ ~,Ct.. ,~C4 ~iyr ~ ~e:~- -- : _ ~ Ea?: c 3t~&€~1 _ _ . - __ ,._ , L °€Eb '-.F1 ~-' ~ t; n B,.) - -_- - _.._ -. ---_.. _. _ _--- -"---- - - -_. -- rr------__._..~.._______---- ----; --------__.-_-__._ -_- . Asbury Communities, Inc. _ .... SOVEREIGN _ Check # _,a t 20030 Century Blvd 231372691 0000148825 Suite 300 .Germantown, MD 2U874 (301)250-2025 a DATE AMOUNT ~.. _ ~, ~ r _ 06/19/2008 $30,065.00 A Pay to he rdero : -- P Estate ofi Glt~ria Galaskas ~ ~ /~ tl ~Z~A~ ~ K ~ 2170 Camelot Drive / l/LJ a M Harrisburg, PFD 11710 --- - - u a A ~_ II'OOOOL~.882511' ~:23L37z69L~: 277L753L70n^ GALASKAS Amortization Schedule 5 Year Entrance Fee _ $ 150,300 Amortization Rate 1.66667% Amortization Months 60 Monthy . Cumulative Amortization ' Amortization Amount Subject to Retund 1 2 3 a 5 s 7 8 9 10 11 12 13 1a 15 16 17 18 19 20 21 22 23 24 25 26 27 zs 2s 30 31 32 33 34 35 36 37 38 39 40 a1 42 43 44 45 as a7 48 49 50 51 52 53 54 55 56 57 58 59 so (L,bUS) ~ lt,~w) ~ ~4r,ry~ $ (2,505) $ (5,010) $145,290 $ (2,505) $ (7,515) $142,785 $ (2,505) $ (10,020) $140,280 $ (2,505) $ (12,524) $137,776 $ (2,505) $ (15,029) $135,271 $ (2,505) $ (17,534) $132,766 $ (2,505) $ (20,039) $130,261 $ (2,505) $ (22,544) $127,756 $ (2,505) $ (25,049) $125,251 $ (2,505) $ (27,554) $122,746 $ (2,505) $ (30,059) $120,241 $ (2,505) $ (32,564) $117,736 $ (2,505) $ (35,068) $115,232 $ (2,505) $ (37,573) $112,727 $ (2,505) $ (40,078) $110,222 $ (2,505) $ (42,583) $107,717 $ (2,505) $ (45,088) $105,212 $ (2,505) $ (47,593) $102,707 $ (2,505) $ (50,098) $100,202 $ (2,505) $ (52,603) $ 97,697 $ (2,505) $ (55,108) $ 95,192 $ (2,505) $ (57,612) $ 92,688 $ (2,505) $ (60,117) $ 90,183 $ (2,505) $ (62,622) $ 87,678 $ (2,505) $ (65,127) $ 85,173 $ (2,505) $ (67,632) $ 82,668 $ (2,505) $ (70,137) $ 80,163 $ (2,505) $ (72,642) $ 77,658 $ (2,505) $ (75,147) $ 75,153 $ (2,505) $ (77,652) $ 72,648 $ (2,505) $ (80,156) $ 70,144 $ (2,505) $ (82,661) $ 67,639 $ (2,505) $ (85,166) $ 65,134 $ (2,505) $ (87,671) $ 62,629 $ (2,505) $ (90,176) $ 60,124 $ (2,505) $ (92,681) $ 57,619 $ (2,505) $ (95,186) $ 55,114 $ (2,505) $ (97,691) $ 52,609 $ (2,505) $ (1100,196) $ 50,104 $ (2,505) $ (102,700) $ 47,600 $ (2,505) $ (105,205) $ 45,095 $ (2,505) $ (107,710) $ 42,590 $ (2,505) $ (110,215) $ 40,085 $ (2,505) $ (112,720) $ 37,580 $ (2,505) $ (115,225) $ 35,075 $ (2,505) $ (117,730) $ 32,570 $ (2,505) $ (120,235) $ 30,065 $ (2,505) $ (122,740) $ 27,560 $ (2,505) $ (125,244) $ 25,056 $ (2,505) $ (127,749) $ 22,551 $ (2,505) $ (130,254) $ 20,046 $ (2,505) $ (132,759) $ 17,541 $ (2,505) $ (135,264) $ 15,036 $ (2,505) $ (137,769) $ 12,531 $ (2,505) $ (140,274) $ 10,026 $ (2,505) $ (142,779) $ 7,521 $ (2,505) $ (145,284) $ 5,016 $ (2,505) $ (147,788) $ 2,512 $ (2,512) $ (150,300) $ (0) REV-1509 EX+ (6-98) r ~.. COMMONWEALTH OF PE=NNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER GLORIA MARY GALASKAS 21-08-0396 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. Frances P. Galaskas 2318 Marion View Drive, Harrisburg, PA 17112 daughter-in-law B JOINTLY-OWNED PROPERTY: '~~l EM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION Of PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET ~ Of DECDS INTEREST DATE OF DEATH VALUE OF DECEDENTS INTEREST ~ A. 01130/07 Commerce Bank joint savings account no. 626719421 1,600.97 50% 800.49 2 A 01/30!07 Commerce Bank joint savings account accrued interest 0.17 50% 0.09 TOTAL (Also enter on line 6, Recapitulation) $ 800.58 (If more space is needed, insert additional sheets of the same size) April 16, 2008 Cara Boyanowski Serratelli, Schiffman, Brown & Calhoon, PC 2080 Linglestown Rd. Suite 201 Harrisburg„ PA 17110-9670 RE: Estate of: Gloria M. Galaskas Tax Identification Number: 062-16-4091 Date of Death: March 14, 2008 To Whom It May Concern: Commerce CBank This letter is in reference to decedent account information you requested for the individual listed above. We are able to provide the following: Account Type: Savings Account Number: 626719421 Date Opened: January 30, 2006 Primary Owner: Gloria M. Galaskas Secondary Owner: Frances P. Galaskas Date Added to Account: January 8, 2007 Date of Death Balance: $1,001.14 Accrued Interest: $.17 Principal Balance: $1,600.97 Please feel free to contact me at (717) 412-6127 if I may be of further assistance. Sincerely, Cindy Shultz Research Associate/Deposit Services Commerce Bank Commerce Bank /Harrisburg, N.A. PO Box 4999 3801 Paxton Street Harrisburg, PA 17111-0999 commercepc.com REV-1510 EX+ (6-98) ~. J COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEIDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER GLORIA MARY GALASKAS 21-08-0396 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 DESCRIPTION OF PROPERTY iNCLUOErHENAMEOFTHETRANSFEREE.rHEIRREU,noNSHiProoECEOENTAND THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET %OFDECD'S INTEREST EXCLUSION QF APPLICABLE) TAXABLE VALUE ~ Edward Jones Individual Retirement Account (IRA) No. 156-91441-1-4 13,704.44 100 0.00 13,704.44 TOTAL (Also enter on line 7 Recapitulation) $ I 13,704.44 (If more space is needed, insert additional sheets of the same size) EdwardJones RRAV MORE RATA AVAILABLE 04/18/08 10:29 (M3971) VIEW IRA TYPE PRI PHONE EXT ACCOUNT: 156-91441-I-4 HOUSE-MEMBER HOME P 717 541-8056 BRANCH: :L1568 FA: 768920 WORK ENTERED: 03/24/2008 09:58 USERID: DCULBERSON ACCT STAT DATE CREATED: 07/16/2001 PRINCIPAL PARTY NAME/MAILING ADDRESS LAST CHANGED: 03/24/2008 EDWARD D JONES & CO CUSTODIAN LAST TRADE ACT: 09/21/2007 OUST NAME FBO GLORIA M GALASKAS IRA TRADE TYPE: SELL M.FUND ADDRESS: 2318 MARION VIEW DRIVE BILLING STATUS: Y ANNIVERSARY DATE: 07/31/2008 CITY: HARRISBURG ST: PA ZIP: 17112-9101 CNTRY: US RESIDENT OF: PA CITIZEN OF: US CUSTOMER SSN: S 062-16-4091 BIRTH DATE 08/29/1921 SWEEPER: OFF CHANGE DATE: 12/01/2006 AUTH FORM: A MMKT/CASH INT: C STMT OPT: P SWPS: N PRIMARY ACCOUNT: NET WORTH: 370,000 ANNUAL INCOME: 18,000 FA ESTIMATE: N RETIRED: Y OCCUPATION CD: 20 EMPL CD/NAME: RETIRED EMPLOYER ADDRESS: RETIRED ALPHA NAME : GALASKAS,*Y* GLORIA (TRAD) F1-HELP F2-PRINT F3-ESCAPE F4-MENU F5-CHANGE ACCT DOCUMENT:0697414965 SEQ:60401 ' jFdward Jones 67 Main Street Flemington, NJ 08822 (908) 788-5645 LISTBENEF Robert J. Lord Financial Advisor END OF DATA EdwardJones 04/18/08 10:30 (M3975) LIST OF BENEFICIARIES BRANCH: 11568 IR NO: 768920 CUSTOMER NAME: GALASKAS,*Y* GLORIA ACCOUNT: 156-91441-1-4 CUSTOMER SSN: 062-16-4091 START AT: ITEM BENEFICIARY NAME SHR % SSN/TAX ID P/C DOB/DOT 1. ARGE]JTIERI, VIRGINIA 50.00 095-38-5181 P 12/11/1954 2. GALASKAS, ROBERT R 50.00 125-34-8916 P 11/09/1944 ITEM: ACTION: 2-PRINT 3-ESCAPE 7-REVERSE 8-FORWARD A-ADD BENEEFICIARY C-CHANGE BENEFICIARY INFORMATION D-DELETE BENEFICIARY V-VIEW BE:[~7EFICIARY R-REPLACE BENEFICIARY P-CHANGE BENEFICIARY SHARE LIST: LADIES REFRESHED Date F~r-fnted: 18-Apr-;2008 financial Advisor: Robert Lord Phone: 908-788-5645 Page 1 of 1 Historical Pricing Symbol DRE LAFFX Description/Type DUKE REALTY CORP COM NEW CNosing (unadjusted) LORD ABBETT AFFILIATED FD INC CL A Closing (unadjusted) ~dw~rd]ones Date 14-Mar-2008 14-Mar-2008 Value 21.7500 USD LAVLX ~~~ f.~~FX ~~ ~ 1.-X 12.2900 USD LORD ABBETT MID CAP VALUE FD CL A Closing (unadjusted) 14-Mar-2008 15.0600 USD ____ _----~"Z__~_._~- a;3 ~ p ~ `~ `~ h ~~=~ ?C Llc~ lug a-a, ~~..:~- ~ ~ ~e.e,~~ This report is provided by Edward Jones. The report was calculated using third party information. This report is not intended to replace official documents such as confirm<jtions and/or account statements that should be retained for tax purposes. Past performance is no guarantee of future results. Edward Jones does not provide tax or legal advice. You should consult your tax and/or legal advisor for your particular situation. The historical cost basis information furnished herein ("Information") is for use by customer ("you") only and is based on the purchase and sale information provided. While Edward Jones believes that the information was obtained from reliable sources, Edward Jones does not guarantee the accuracy or completeness of the Information and is furnishing [he Information to You on an "as-is" basis. EDWARD JONES MAKES NO WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, WITH RESPECT TO THE MERCHANTABILITY, FITNESS, CONDITION, USE OR APPROPRIATENESS OF THE INFORMATION. Edward Jones is supplying the Information on the basis that the Information will be used by You for Your own use and benefit and not for resale or other transfer to, or use by or for the benefit of, any other person or entity. ~, REV-1511 EX+ (12-99) ~ SCHEDULE H FUNERAL EXPENSES & COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER GLORIA MARY GALASKAS 21-08-0396 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL f=XPENSES: 1 Malpezzi f=uneral Home - 8 Market Plaza Way, Mechanicsburg, PA 9,297.67 2. Burial Dress 17.50 3. Flowers 679.45 4. Funeral Luncheon - Hoss Restaurant, Mechanicsburg, PA (3-18-2008) 522.93 5. Funeral Lt.lncheon - Alfonso's Restaurant, Flemington, NJ (3-19-2008) 394.63 s. Food Expenses during funeral period for Executor and mourners - Panera Bread, PA (3-15-2008) 7.89 ~. Food Expenses during funeral period for Executor and morners -Isaac's, PA (3-17-2008) 109.05 e ADMINISTRATIVE COSTS: 1 . Personal Representative's Commissions 0.00 Narne of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) _ Street Address City .State Zip Year(s) Commission Paid: 2. Attorney Fees 5,425.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 0.00 Claimant StrE;et Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 372.00 5. Accountant's Fees 0.00 6. Tax Return Preparer's Fees 0.00 ~. Advertisernent Fees -Cumberland Law Journal 75.00 s. Advertisernent Fees -Sentinel 134.68 9. Edward Jones IRA account maintenance fee for 2008 40.00 10. Executor's transportation: mileage and toll expenses 116.86 ~ ~. Pennsylvania Personal Income Tax payment for tax year 2007 1,230.00 ~? Diocese oiF Brooklyn Pension payment reimbursement 304.18 TOTAL (Also enter on line 9, Recapitulation) $ 18,726.84 (If more space is needed, insert additional sheets of the same size) 1vta~pezzl r unerat home 8 Market Plara Way " Mechanicsburg, PA 17055 (717)697-4696 April 8, 2008 Robert R. Galaskas 2318 Marion View Drive Harrisburg, PA 171 12 The Funeral Service 'for Gloria Mary Galaskas We sincerely appreciate the contidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us, if you have any questions in regard to this statement. THE FOLLOWING IS A'N I'I~EMI"LED S"1'ATEMEN'T OF THE SERVICES, FACILITIES, AUT OMOTIVE F.QUIPMEN"[, AND MERCHANDISE "1'}IAT YOU SELECTED WHEN MAKING 'fI}E FUNERAL ARRANG EMENTS. 1. PROFESSIONAL SERVICES SeTV]CeS of Funeral Director/StafT, $3985AU 3. AUTOMOTIVE EQUIPMENT (.hit of town transportation $250.00 FUNERAL HOME SERVICE CHARGES $4235.00 SELECTED MERCHANDISE: Steel Casket $1995.00 Guardian Vault $1 100.00 Butterfly Reg Package $68.00 THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THAT YOU HAVE SELECTED $7398.00 A'T T}[E 17MI FUNERAL ARRANGI:MI:N"tS WERI MADE, WE ADVANCf:D CF,RTAW PAYMENTS "CO O"I'H}RS AS AN ACCOMMODATION. '[HE FOI,LOWWG IS AN ACCO}JN'I'[NG FOR 'TI}OSE CHARGES. CASH ADVANCES (~x~ning Grave, $950.00 Cc~nete~y Equipment. $150.00 Certitied Death Certificates, $120.00 Newspaper Notices -Patriot, $224.67 Newspaper Notices -Out of "[own, $45A0 Clergy/MassOt7ering $100.00 Organist, $100A0 (?raveside Clergy . $50.00 Monument Engraving $160A0 TOTAL CASH ADVANCES AND SPECIAL CHARGES . $1899.67 CONTRACT PRICE $9297.67 HISTORY 04/08/2008 I're-paid guarantc~c: , $-86.85 04/08/2008 Homesteaders Insurance $-9210.82 TOTAL AMOUNT DUE $0.00 GLORIA M GALASKAS IRA 2318 MARION VIEW DRIVE HARRISBURG, PA 17112-9101 ~t. iwdword Jones Self•Qirected Retirement Qacaurtii if=ee Billing fvr 2008 Account Name: GLORIA M GALASKAS IRA Account Number: 156-91441-1-4 Invoice Date: 6/15/08 Fee Due Date: 7/20/08 Fee Amount: 40.00 Available cash/money market balance: 9.18 Thank you for choosing Edward Jones to assist you with your retirement planning needs. We understand the importance of building long-term security for your retirement years and appreciate your confidence in our firm. The "Fee Amount" shown above is due on 7/20/08. Please review the following payment options to ensure timeliness of payment. * Establish an option to automatically pay the fee. You are able to establish an automatic method to pay the fee by either charging your bank account, charging your Edward Jones non-retirement account, or liquidating a mutual fund you pre-select. Contact your financial advisor for details and to establish this option. * Send a check, payable to Edward Jones, to your local Edward Jones office. Mail or deliver your check along with the credit ticket above, in the envelope provided to arrive by 7/20/08. * Contact and request that your financial advisor have the fee amount paid from your non-retirement account by 7/20/08. The account may be a single or joint account (or a business account if appropriate). * Contact and request that your financial advisor liquidate an asset no later than 7/20/08 to satisfy the fee owed. * If the above account contains adequate liquid funds (cash and/or Edward Jones Money Market Funds) to cover the fee on 7!20/08; you do not need to take any action. The available liquid funds will be automatically used to satisfy the amount due. If payment is not received by 7/20/08 or the account does not contain adequate liquid funds, Edward Jones will liquidate securities, in your retirement account, in the minimum amount necessary to satisfy the unpaid balance. This is authorized under section 8.4 of your IRA Custodial Agreement. Thank you for doing business with Edward Jones and please contact your financial advisor with any questions, to schedule an account review or update your beneficiary information. ROBERTJ LORD 67 MAIN STREET FLEMINGTON, NJ 08822 (908) 788-5845 ~ ~ 57 I. Jti ~~~, ; Serving Individual Investors Since i87i 201 Progress Parkway, Maryland Heights. MO 630433042 1 800 441-2357 www.edwardjones.corn Banquet Mechanicsburg 61 Gettysburg Ptke Mechanicsburg, PA 11055 1717 )697--2214 VJ4VW .11055S .0001 3/18/21x08 3:28:27 PM Server: Diane M Check 103226 Table 100 Seat 1 1 Chlicken Ftlet 8.99 Unsweetened Iced Tea 1.89 Seat 1 total;[ 11.53] Seat 2 1 House Cut 11.99 Sweetened Iced Tea 1.89 Seat 2 total:[ 14.71] Seat 3 1 Adult Salad Bar 5.99 Diet Pepsi 1.89 Seat 3 total:[ 8.35] Seat 4 1 Phi 11 y Cheese >teak Sandw 4.99 L'of f ee 1.59 Seat 4 total:[ 6.97] Seat 5 1 Turkey ~ Swiss Sand 5.99 Coffee 1.59 Seat 5 total : [ 8.(i3] Seat 6 1 Turkey & Swiss Sand 5.99 Dtet Pepsi 1.89 Seat 6 total:[ 8.35] Seat 7 1 Meatloaf Sandwich 4.99 Coffee 1.59 Seat 7 total:[ 6.97] Seat 8 1 Chicken Te~nder~ 8.99 Water Seat 8 tnt,~ l ~ f 9. x,31 UIIJWCCICIICU LI.GI.I ICS I .O~ Seat 28 total;[ 15.71] Seat 29 1 Broiled Salmon 11.99 Unsweetened Iced Tea 1.89 Seat 29 total;[ 14.71] Seat 30 1 Surf & Turf 14.99 Pepsi 1.89 Seat 30 total;[ 17.89] Seat 31 1 Little Noss 9.99 Unsweetened Iced Tea 1.89 Seat 31 total:t 12.59] ,y~~ 9~ SubTotal ;156.52 Tax 21.39 n r~ e O G~~jtutty 68.02 `` -Total 445193 v d~d; ~ TIP __. -~ ~~ 1UTAL _--- _ -_ Visa 445.93 Acct:XXXXXXXXld:19 AI ~thCude :850573 ~~~~~~~~~~CUSTOMER CORY~~~~~~~~~~~ Tell Us How We Uid! You Could Win a $10.00 Gift Card! Visit our website at: www.hosss.com/survey Enter the 16 digit code below Survay Code; 2610-1841-2201-2565 ~~Hi~~~~uhi~n~i BOSCOV'S 306576 03/15/2008 1.5:53 REG SALE 1972 1023489 PETITE DRESSES UPC 8848-2751-3239 REGULARLY 70.00 17.50 TOTAL 17.50 ACCT M *************1839 S PISA 17.50 APPROVAL 33413900 GALASKAS/ROBERT CUSTOMER COPY ****A"A'***!**'**'****1r YtifX#xx Yt KxX X XfX**'*7f*** * Feel the Mediterranean Glamour with * Island Capri, the Newest Scent from * * Michael Kors. Yisit "~ ..• 's * * Fra~ance Counter Tc -~ z~,,. ;.: x * The Scent of Jet•,~ ***********************'+t*X X .. . II I) 122178579734 Transaction Number STORE 12 REG 2178 TRANS 57973 LAST YEAR, BOSCOV'S RAISED MORE THAN $2.5 MILLION FOR LOCAL CHARITIES "B" GENEROUS! ,::? .t: t~.i i f' i;14... i... It i=~; :E::t~ +.:~ f :: t..: is '*C i°i :1: "::; ;3 :_: ~:.1;'~i -~_ ~a~~ ,_.=t•. __..,. ')K .~1_'7» -, A 1 fonso ' s 202 484 Route 202 N Flemington, NJ 908 - 23? -- 200 1 Chubby Tb1 57/1 Chk 3124 Gst 26 Mar19'08 01;51~M Dining FOOD 1 ~r,~°n ~d addon 315.7 ~ _ __ ,-_ "'~~. srvchg 5 food Tax service ._r~ 01:53Ft~ Total ^ue 315.70 22.10 56.83 394.63 Thank-you for dining ruith us ~~fi~fftF.i;~ oio7 Server: TRAVIS A Rec: 68 03/11/08 20:00, 51~alped I: 17 Term: 1 ISAAC'S RESTAIiRANI"&DELI a9a0 RITiER ROAD MECHANICSBURG, PA 17055 (717)766-1111 MERCHANT #: ROYf F':> ! i ili~ltr<S 3015 t~E l i Y RU CAMP HIl ~. , PA ph: l3u-auyU REG #2 Clerk#; 462 ANGELA 03/15/20023 TrdriSai:t ion: 38652 17:25 CARD TYPE ACCOUNT iUhiBER VISA ?(XXXXx:X>!XXX~1839 lri# Pn lieSGr qty ~liluunt E>'t Amt Name: ROBERT GALASKAS 1 2(1 FUNERAL 1 155.00 155.uu 00 TRANSACTION APPROVED 2 ~2 I:A.SkET`_; 1180.00 180,G0 AUTHORIZATION #; x13323 3 20 f~UNERAL 1 155.00 155.00 Ref e ranr_e : AU 117 I Ci4 4 Z 1 `-PRAY 1 1 115.00 1115.00 TRANS TYPE: Credit Card '~~ALE 5 82 RIBBON A 1 10,00 111.00 6 19 CORSAGE ? 3U . DO 31 ti0 CHECK : J 1 . U5 f~ho ~ Del : `- `3P T z ~ ~ ~ ~ ~ - - -- ~ L~DUpan : U . UU ~ lax: 38.46 ~' f er Eder : 679.45 B.C. VI i'I~~anye : 0.00 {4 X .. ~ ~,.-. r . ....: 1~ ._1.'175 Thal~k Yu~; ri~i Your Patl t; ndge _ f HONE : (71 ~} ~ f( CAf20NOLDER l`JILL F p,Y i;ARfi I~,UER ABOVE ~:j a~~~~? ~I ~ ~~ `~ ~~~ AMDUNT PURSUANT TO CARUHOLOER AGREEMENT ~ v Sign One Copy & Keep a Cupy far Your Records ~NN~. ~~ ~~ /~~ Older Nt~nif~er. '6r5a ~/~/~~ Y Del t:-~-ry Gate: 0;3J1ri; 1ii~JH Re~,.ip?ent: (~~AiA`.;Kt~.S Your Order Number is; 488 Panera Bread Cafe 0660 1500 Camp Hill Bypass Camp Hill, PA 17011 Phone: 717-920-9901 Fax: 717-920-9902 3/15/2008 Order: 494188 1 U PICK 2 1 BROC U 1 1/2 TUNA 1 1/2 HNY WHT 1 **~BAGiROLI 1 REG. SODA 3:59:54 PM !:ashier: Rachel 5.99 SubTotal Tax Total Cash 1.45 7.44 0.45 1,89 20.00 Change 12.11 TE~I US HOW WE ARE DOING AND YOU MAY WIN $2000 GO TO WWW.PANERASURVEY.COM OR CALL 1-877-467-8436 41lITHIN 48 HOURS/ MONTHLY DRAWING RULES AT WWW PANERASURVEY.COM Your order Number is; 488 Customer ~ Pager; 37 FRAN r 5heetZ Store: 219 Appr:68192 3/24/2888 6:29 AM Pump No: 8? Premium Q #3.539/G Volume: 14.138 Gal Gas Total: X58.81 Total *58.81 Visa Visa XXXXXXXXXXXX1839 83/24/2888 86:26:49 Thanks for your business. G~~t.INE 5heetz Store • 219 Appr:97232 3/2?/2888 6:11 AM Purop No: 83 Unleaded @ ~3.199/G Volume: 12.192 Gal Gas Total: X39.88 Tot.a 1 X39 . 88 Visa Visa XXXXXXXXXXXX1839 83/2?/2888 86:89:39 Thanks for your /.~ buts~i'n~ess. N~~I~~Y ~~~-7 c~~~r~ ~~.~ ~;tt~~~,t, ;,, ~ t ~ rti r~~~ r ~;rt . ~;.~ X72161 t;~tt~tt:r rat ,~~~:~t~ err+#+t.*..i:.~~~fi~19 UISA ***#* SALE milt.; ii 1FKf~tI,IAI ti ;~ltt4;'~~ ?131?4'19 ~Liv li i~t1r- ~:~R!~nnt•~ ., , ..1 !Ids` 'ii 0 t Ad ~i:394. f;3 H rJS`,',~Fw ',:GFV THAI'/K5 FOR SHOP NG AT SHEETZ/ SHEETZ ARRISBURG PA' TORE: 8219 A PR: 28 ?/12/22 12 18:59 PUM 18 DEB T/SELF ~ g? Q 2.999/G VOLUM 14.88? GAL s F GAS TOT ~ 42.81 TOTAL ~ 42.81' DEBIT XXXXXXX XXX 862 12/22/ 88? 12: 8:59 HANK YOU FO YOUR BUSIN S ' . ~_~ ,_ WilcoHess S?881 Harrisburg, PA Ticket: ?59486 VISA Acct M: ~k*:ic>ic~K~K~K~K~K~K~IoK 18 3 9 A3/19/88 87:48:88 Approval: 892381 Reference: 168879456 289572BCH5 Pump Gallons Price 1 8.315 3.259 Product Amount Unleaded ~2?.18 Total: $ 21.18 Have a Nice Day* Don't Drink b Drive ~P~UI~ U~"~~~ CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 May 9, 2008 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 C'.ounty and the legal newspaper for publication of legal notices. TO: Cara A. Boyanowski, Esquire Gloria M. Galaskas 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 the following dates: April 25, May 2, and May 9, 2008 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 0 .00 Total Amount Due $ 75.00 Payment received by PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA COUNTY O1F~' CUMBERLAND ss. Lisa 1V[arie 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 periodicai 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 salve as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, viz: Apri125, May 2, and May 9, 2008 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. -~ isa Marie Co ,Editor SWORN TO AND SUBSCRIBED before me this 9 day of May, 2008 Galaskas, Gloria M., decd. Late of Cumberland County. Executor: Robert R. Galaskas. Attorneys: Cara A. Boyanowsld, Esquire, Se~rratelli Schiffman Brown & Calhoon, 2080 Lingles- town Road, Suite 201, Harrisburg, PA 17110. Notary NUTARIAI SEAL DE90RAH A COLLlNS Notary Public CARLISLE BORO, CUMBERLAtJD COUNN My Commission Expires Apr 28, 2010 l ~ r PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland Tames Kleinklaus, Advertising Operations Director, of The Sentinel, of the County and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a newspaper of general circulation in the Borough of Carlisle, County and State aforesaid, was established December 13th, 1881, since which date THE SENTINEL has been regularly issued in said County, and that the printed notice or publication attached hereto is exactly the same as was printed and published in the regular editions and issues of THE SENTINEL on the following day(s): April 17, 24, May 1, 2008 COPY OF NOTICE OF PUBLICATION ESTATE NOTICE NOTICE IS HEREBY GIVEN that Letters of Administration have been granted in the following. estate. All persons indebted to the said Estate are required to make payment, and those having claims or demands to present the same without delay to the administrators, executors, or theirattorneys named below. ESTATE OF GLORIA M. GA.LASKAS, late of Cumberland County, Pennsylvania (died March 14, 2008). Executor. Hobert R. Galaskas. Attorney: Cara A. Boyanowski, Esquire, Serratelli Schiffman Brown 8 Calhoon, 2080"Linglestown Road, Suite 201, Harrisburg, PA 1711A. Affiant further deposes that he/she is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statement as to time, place and character of publication are true. Sworn to and subscribed before me this 1St day of May, 2008. Notary Pu 'c My commission expires ~~/~~~g COMMONWEALTH OF PENNSYLVANIA Notarial Seal Christina L. Wolfe, Notary Public Carlisle Boro, Cumberland County My Commission Expires Sept 1.2008 Member. PennsWvania Association Of Notaries ~ ~2EV-1512 EXt (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER GLORIA MARY GALASKAS 21-08-0396 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. (If more space is needed, insert additional sheets of the same size) WEST SHORE EMS - ALS A ,, 205 GRANDVIEW AVE SUITE 211 CAMP HILL, PA 17011 Phone #: (800) 367-0512 Federal Tax ID: 23-2463002 PATIENT NAME: GLORIA G~4LASKAS INSURANCE: MEDICARE: B 062164091A AARP 00883383724 PATIENT NUMBER CALL NUMBER: DATE OF CALL: TIME OF CALL: CALLER: FROM: TO: REASON(S) FOR TRANSPORT 55281 3102293A 03114/2008 3102293A GLORIA GALASKAS 5225 WILSON LN MECHANICSBURG, PA 17055 INVOICE r- ~ ~_~- ~_~ S v~~,s sT How x~,_•.~ ~n ~. ~.~ ..~. MDEN ECAR 5225 WILSON LN HOLY SPIRIT HOSPITAL Pulmonary Edema Respiratory Distress DESCRIPTION OF CHARGE QUANTITY UNIT PRICE AMOUNT CPAP PROCEDURE PACK A0422 1.0 94.23 94.23 EKG ELECTRODES (~4PK) A0396 1.0 4.94 4.94 LASIX 100MG A0394 1.0 2.21 2.21 SALINE LOCK A0394 1.0 26.25 26.25 PARAMEDIC INTERCEPT A0999 1.0 797.87 797.87 T tal Charges 925.50 DESCRIPTION OF PAYMENT RECEIPT PAYMENT DATE AMOUNT Total Credits 0.00 PLEASE F>AY THIS AMOUNT -INVOICE DUE UPON RECEIPT --- RETURNED CHECK FEE - 531.00 $925.50 ~..;dicareRx Plans ~ insured thruu~h I 'nire~lHc,ilthr,u~c•' P.O. BOX 29300, Hot Springs AR 71903-9300 Member ID: 0026022241 0856473AQA0383101 THE ESTATE 0'F GLORIA GALASKAS 2318 MARION VIEW DR. MOUNTAIN VEI'W ACRES HARRISBURG PA 17112 03-24-2008 Dear Gloria Galaskas: Thank you for participating in the AARP MedicareRx Preferred plan. We are pleased to be able to provide you Medicare prescription drug coverage. Our records Indicate there is a b~1i~ of ~~9:7n your AARP MedicareRx Preferred account. This balance represents premium owed for 03-31-2008. Please remit this amount by U3-31-2008 in the enclosed envelope to bring your account up to date. Be sure to include your member ID number on your check or money order. Please be advised, all payments made by you will be posted to the oldest outstanding balance on your account. If you have any questions or if you believe that this information is incorrect, please call us at 1-888-867-557 (TTY/TDD users, please call 1-877-730-4192) 24 hours a day, 7 days a week. Please detach and keep this potion for your personal records. AMOUNT PAID LATE Uci.n4i Finn flrrc CI IF.CK N['MI-3F.x ~ ~~ f REV-1513 EX+ (9-UO) ~. COMMONWEALTH OF PEPJNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIE5 ESTATE OF FILE NUMBER GLORIA MARY GALA;SKAS 21-08-0396 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE 1 TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1 • Robert R. Galaskas - 2318 Marion View Drive, Harrisburg, PA 17112 Son 50% 2~ Virginia A. Argf;ntieri - 168 Woolf Road, Milford, NJ 08848 Daughter 50% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE: AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I $ (If more space is needed, insert additional sheets of the same size)