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HomeMy WebLinkAbout03-0795PETITION FOR PROBATE and GRANT OF LETTERS Estate of Elmor Alton .qon~ri No. also known as To: Deceased. Social Security No. /9~ - /a- --~o/ 6 z_ Register of Wills for the County of Cumberland Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the executor in the last will of the above decedent, dated March 7 e and codicil(s) dated January 14, 199~ in the named ,19 90 (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland Co.unty, Pennsylvania, with h ia last fam. mily or priqcipal residence at (list street, number and muncipality) Decendent, then 7 ~ years o~f age., died Septo~_ber 2 5, ,:qll~. 20 O 3 Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: Unestimated WHEREFORE, petitioner(s) respectfully r, equest(s) the probate of the last will and codicil(s) presented herewith and the grant of letters '/e~/~,rt~t,f' theron. (testamentary;~~administrati~ministratio~d.b.n.c.t.a.) 1107 Fairway Villas Drive Wake Forest, NC 27587 OATH OF' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF CUMBERLAND _J The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of ne.t~oner(s) ~nd~ personal represen- tative(s) of the above decedent petitioner(s) will well~a~?~t~ate 7cording to law. Sworn to or affirmed and subscribed ~ before me. this 01 s t day of [ ,A O~t. ot~' ~,, / _~ ~ ~ 2003J_ Donna M. Otto,lst Deputy / ~/~-~t-e;'/~7~_~__~,~ /7-l NO. 21-2003-795 Estate Of Elmer Almo Seneri , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW October 0 2, ~ In consideration of the petition on the reverse side hereof, satisfactory proof having been ?resented before me, ...... March 7, 1990 and codicil dated IT IS DECREED that the instrument(s) aatea _ oanuar, y 14, 1o~£ described therein be admitted to probate and filed of record as the last will Elmer Almo Seneri ; and Letters Testamentary are hereby granted to Barry ~& Seneri FEES Probate, Letters, Etc .......... $ 200.00 Short Certificates( ~....' ....... $ ?9.00 CQdicil ....... $ 10.50- 1) $ 33.00 JCP- lo. 00 TOTAL __ $262.50 Filed Oct. 01, 2003 Mailed Letters to Attorney on 10/2/03 · ' R,gis~e~ of Wills Don~na 1~. 6tto, 1st Deputy SNEL~NNEMAN & SPARE, P. C 44 West Main Street ~-*'""~-~"'-~ '"" 17055 ADDRESS (717) 697-852~ PHONE his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Re, gistrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. TyPE/PRINT PERMANENT BLACK INK COMMONWEALTH OF PENNSYLVANIA - OEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH , ' Elmer A. Seneri lsE Ma e Is°c'^';l~'~'~"l'l~E" 6162 1°^'$~l~9'~ffLq~2'~ ~03 ' F. 13. ~ -- 14 ' 79 . I . I , I ~eo q6, ]uz4 I ~asomown, r ~ ~ ~ · ~ I I I : J I I~ u E~ ~ ~ ~ I L~~ ~ ~ ' : ~.. I. Cumberland [ East Pennsboro Twp. ~ West Shore Health & Rehabilitation I~ --~.~. [(~, White ~. I-- I,. 147 Easterly Drive i.c.u~ ,,..~. _a. o. ,,..ix-i ~.~..~.... o...~, ~.,,,~o Mechamcsburg Pa. 17050 I~ Cumberland Dado Seneri ~m["'s"~'""~'"~unttillia Minichelli ~w.s~¢ .... ~ Bar~ Seneri ~ ~~~ Forrest, NC 27587 ~ ~0 ~0 ]~,.. '~'~ ~diantown ~0 ~ ~ Sep 30, 2003 ~,. Annville, Pennsylvania 17003 _ ~.~.u.~. FD-012662-L Inc. 37 East Main Street Mechanicsburg, Pa. 17055 ,..El 21-2003-795 CODICIL TO THE WILL OF ELMER ALMO SENERI I, ELMER ALMO SENERI, of Mechanicsburg, Cumberland County, Pennsylvania, the within named Testator, do hereby make and publish this Codicil to my Last Will and Testament, dated March 7, 1990. I hereby modify the said Last Will and Testament as follows: ITEM I: ITEM SECOND to be added to said Will and to read as follows: I give, devise and bequeath the following property as follows: (A.) My 1989 White Coupe de Ville Cadillac or any other motor vehicle which I may own at the time of my death to my niece, CAROL CATALANO. In the event I do not own a motor vehicle at the time of my death, this specific bequest shall be adeemed. ITEM II: ITEM SECOND of said Will is renumbered to Item THIRD and is amended as follows: I give, devise and bequeath the rest, residue and remainder of my estate, together with all insurance proceeds thereon of whatever nature and wheresoever situate, to be held in a Custodianship Account or Trust for distribution as follows: (A.) The sum of One Hundred Dollars ($100.00) payable monthly to my sister, EDITH WHITEHEAD, for the remainder of her natural life; and (B.) The sum of One Hundred Dollars ($100.00) payable monthly to my sister, ANNA SENERI, for the remainder of her natural life. Upon the death of my sisters, the rest, residue and remainder of this Custodianship Account of Trust shall be divided equally between my nieces, VIVIAN McDERMOTT, CAROL CATALANO, DEBRA CORCORAN, CATHY GUTHRIE, and JANET CHANAKI, who survive me by sixty (60) days. ITEM III: ITEM THIRD through SEVENTH consecutively of said Will are renumbered to ITEM FOURTH through EIGHTH consecutively. In all other respects, I confirm and ratify my aforesaid Last Will and Testament. IN WITNESS WHEREOF, I have hereunto set my hand to this Codicil of my Last Will and Testament this _~-~_~ day of January, 1991. WITNESS: ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND : SS. : I, ELMER ALMO SENERI, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as the Codicil to my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. ELMER AL~O~ENER~/~--~ Sworn or affirmed and acknowledged before me by ELMER ALMO SENERI, the Testator, this /~/]/ day of January, 1991. AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA : : SS. COUNTY OF CUMBERLAND : witnesses whose names are attached to the foregoing documents, being duly qualified according to law, do depose and say that we were present and saw Testator sign and execute the instrument as the Codicil to his Last Will and Testament; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testator signed the Codicil as witnesses and that to the best of our knowledge the Testator was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed and subscribed before me by ~/~/~ ~.~/~,~.~// and ~/'///~ Z~. ~//',z~ / this /~///' day of January, 1991. I NOTARIAL SEAL I KAERON L. SEMIC, NOTARY PUBLICI H/~4PDEN TO. SHIP CUIPlBERLANDCO~JNTYI ~YCO~RISSIONEXPIRES OULY 11, 19941 ! OF EI.~4ER ~I,MO SENERI I, ELMER ALMO SENERI, of Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all previous Wills and Codicils heretofore made by me. FIRST I order and direct my personal representative hereinafter named to pay all of my just debts, funeral expenses and expenses involved or connected with the administration of my estate as soon after my death as is reasonably possible. However, my personal representative need not accelerate and pay those unmatured obligations which, in his, her or its opinion, it might be proper and more advantageous to retain or renew and pay as they become due and payable. If I do not own a burial plot or a grave marker at the time of my death, I authorize my personal representative, in his, her or its sole discretion, to purchase a burial plot and to erect a suitable grave marker at my grave, and to expend sums from my estate for this purpose. SUITE ;1~O1 $461 MARKET STREET CAMP HILL, PENNSYLVANIA 1'701 GRIFFIE. TURO & GRELL ATTORNEYS.AT. LAW PAGE 1 OF 7 2~0 NORTH HANOVE~ CARLISLE, PENNSYLVANIA 117013: LAST WILL AND TESTAMENT OF ELMER ALMO SENERI SECOND I give, devise and bequeath the rest, residue and remainder of my estate, together with all insurance proceeds thereon of whatever nature and wheresoever situate, to be held in a Qustodianship Account or Trust for distribution as follows: "; (A.) The sum of Three H~ndred Dollars ($300.00) payab monthly to m~ter, ~"'ED~TH" ~H~TEHEAD, for the remainder of her |[ (B.) The sum of One Hundred Dollar~. ($100.00) payable monthly to my sister, ANNA SENERI, for the remainder of her natural life. ~the~ Upon the death of my sister rest, residue and remainder of this Custodianship Account or Trust shall be divided equally between my nieces, VIVIAN McDERMOTT, CAROL CATALANO, DEBRA CORCORAN, CATHY GUTHRIE, and JANET CHANAKI, who survive me ~>]by sixty (60) days. In the event any of my nieces predecease me, the balance shall be divided equally between my surviving nieces. THIRD I direct my personal representative to divide among such beneficiaries all personal property of a sentimental or family nature (excluding cash, stocks, bonds and the like), including but not limited to jewelry, household goods, antiques, furniture and memorabilia, in accordance with a separate memorandum which I TURO & GRELL GRIFFIE. A~O RN~$ -AT-~W SUite 101 ~461 MARK~ ~R£~ 2~ NORTH HANOVER STRE~ CAMP HILL. PeNNSYLVANiA 170~ 1 CARliSLE. PENNSYLVANIA 1701~ PAGE 2 OF 7 LAST WILL AND TESTAMENT OF ELMER ALMO SENERI may place with my will or deposit with my attorney. In the absence of such disposition by memorandum, I direct that the said tangible personal property be divided between my residual beneficiaries with due regard for their personal preferences in as nearly equal shares as practical, with the value of such dispositions being credited to the share of each respective recipient. If the said beneficiaries do not agree to the division of the personal property provided for hereunder, the decision of my personal representative, including the decision to sell the property at public or private sale and distribute the proceeds therefrom as provided hereinafter, shall be final and conclusive on all parties. FOURTH The rest, residue, and remainder of my estate placed into a Custodianship Account or Trust at a bank of my personal representative's choice, shall be held and administered by BARRY SENERI, as Trustee, until said Account or Trust terminates pursuant to provision of this Last Will and Testament. In the event BARRY SENERI is deceased, unable or unwilling to serve or shall cease to serve for any reas.~n whatsoever, then I nominate, constitute and appoint ~A~No~s a~termate Trustee of said Account or Trust. ~ ;/. /_~....~ ~-.~ ~ ~ .-. ...... SUITE~ 10! ~4,~1 MA~I~C='T STRE:e'I' CAMP HILL, PENNSYLVANIA 170! I GRIFFIE. TURO & GRELL A'T'I'O R N ~'YS -AT- LAW PAGE 3 OF 7 CARLISLE. PENNSYLVANIA 1'701.~ LAST WILL AND TESTAMENT OF ELMER ALMO SENERI FIFT~ I grant my personal representative the following powers in addition to and not in limitation of such powers as my personal representative shall hold by law: (a) To retain all property received including the stock of any corporate fiduciary acting hereunder, provided such property remains productive. (b~)_~ To join in any corporation, partnership, recapitalization, merger, reorganization or voting trust plan; to delegate authority with respect thereto; to deposit investments under agreements and pay assessments; and generally to exercise all rights of investors, including but not limited to, the voting of ~shares. (c) To manage, operate, repair, improve, mortgage or lease on any terms any real estate held or owned by my ,(d) (e) estate. To operate any business that I may own at my death. To invest any funds of my estate in any stocks, bonds, notes or other securities or property, real or personal, without regard to the principle of diversification or any other statute or general rule of law in his, her or its absolute discretion, it being my intention to give my personal representative the ~MP H{LL. PENNSYLVANIA 17OII (~RIFFIE. TURO & GRELL ATTORN E'Y$-AT. LAW PAGE 4 OF 7 CARLISLE. PENNSYLVANIA 17013 LAST WILL AND TESTAMENT OF ELMER ALMO SENERI broadest investment powers possible, providing such investments do not unnecessarily prevent the prompt settlement of my estate. (f) To sell or otherwise dispose of any property, real or personal, tangible or intangible, at any time forming a part of my estate in any manner and on such terms and conditions as my personal representative shall see fit in his, her or its absolute discretion. (g) To borrow money for the payment of taxes or for any other proper purposes in the administration of my estate, and to mortgage or pledge estate assets as security. (h) To compromise claims without court approval including, but not limited to, any controversies with the United States of America or the Commonwealth of Pennsylvania concerning estate and inheritance taxes on any interests that may pass under this my Last Will and Testament. (i) To distribute in cash or in kind upon any division or distribution of my estate. (j) To undertake any and all acts deemed necessary and proper by my personal representative for the proper, advantageous and prompt management of the settlement of my estate. GRIFFIIE. TURO & GRELL CAMP HILL. PENNSYLVANIA 17011 PAGE 5 OF 7 CARLISLE, PENNSYLVANIA LAST WILL AND TESTAMENT OF ELMER ALMO SENERI (k) In general, to exercise all powers in the management of my estate which any individual could exercise in the management of similar property owned in his own right, upon such terms and conditions as to him, her or it may seem best and to execute and deliver all instruments and to do all acts which he, she or it deems necessary or proper to carry out the purposes of this, my Last Will and Testament. SIXTH No interest of any beneficiary of my estate, either in income or in principal, shall be subject to anticipation or pledge, assignment, sale or transfer in any manner, nor shall any beneficiary have the power in any manner to charge or encumber his interest either in income or principal, nor shall the interest of any beneficiary be liable or subject in any manner while in the possession of my personal representative for the liability of such beneficiary. SEVENTH I nominate, constitute and appoint BARRY SENERI as executor of this my Last Will and Testament. In the event BARRY SENER! is deceased, unable or unwilling to serve or shall cease to serve for any reaspn whatsoev.~r, theD I nominate, constitute and ~ ,,~.,~- ~,z~ .... I~TM ~'~v'~,~- ~ ~ -~ ' appoint C~O as personal' representative of this my Last GRIFFIE, TURO & GRELL AT'rORN IEY$.AT. LAW SUITE 101 3461 MARKET ~rR£ET ~:00 NORTH HANOVER STREET CAMP HILL, PENNSYLVANIA 17011 PAGE 6 OF 7 CARLISLE. PENNSYLVANIA 17013 LAST WILL AND TESTAMENT OF ELMER ALMO SENERI Will and Testament. I direct that my personal representative shall not be required to give or post bond for the faithful performance of his, her or its duties in this or any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and Testament this ~?.~.~ day of , WITNESS: ELMER ALMO SENERI ~ ~ GRIFFIE. TURO & GRELL A'TTO R N EL"Y$ .AT. LAW SUITE 10! :3461 MARKET STREET =00 NORTH HANOVER STREET ~MP HILL, PENNSYLVANIA 17011 PAGE 7 OF 7 CARLISLE, PENNSYLVANIA 1701-~ LAST WILL AND TESTAMENT OF ELMER ALMO SENERI ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA : SS. COUNTY OF CUMBERLAND I, ELMER ALMO SENF. R!, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. ELRER ALM0v S~.NERi\~/ Sworn or affirmed and acknowledged before me by ELMER ALMO SENERI the Testator this ~ day of ~{6b~J~ , 1990. GRIFFIE. TURO & GRELL ATTO RNL~Y$ .A~'. LAW CAMP HILL. PENNSYLVANIA 17011 CARLISLE. PENNSYLVANIA 17013 LAST WILL AND TESTAMENT OF ELMER ALMO SENERI COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND AFFIDAVIT : : SS. : and .~~;~ /. ~,'c~ , the witnesses whose names are attached to the foregoing document, being duly qualified according to law, do depose and say that we were present and saw Testator sign and execute the instrument as his Last Will and Testament; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testator signed the Last Will and Testament as witnesses and that to the best of our knowledge the Testator was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed and subscribed before me by A- ~,'~/ and ~_~f/~ /.J,~,.~_ this y~. day of ~UITE 10'[ S45! MARKET ,B'I'R££'T CAMP HI'hi-, PENNSYLVANIA 170'1 GRIFFIE. TURO & GRELL A~ORN~$-AT.~W 200 NORTH HANOVER STR£k--T C~RLI~;LE. PENNSYLVANIA 1701~ GRIFFiE, TURO & GRELL ATTORN EYS-AT- LAW 200 NORTH HANovER STREET CARLISLE, PENNSYLVANIA 17013 sUITE 105, 346~ MARKET STREET CAMP HILL, PENNSYLVANIA 170tl CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Date of Death: No. 2003-00795 Elmer A. Seneri, Deceased September 25, 2003 PA No. 21-03-0795 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on or about October 20, 2003 Sallie Vivian McDermott Carol Catalano Debra Chellini Cathy Guthrie Janet Chanaki Address 212 Barbara Lane Connellsville, PA 15425 480 Coolspring Street (Apartment 404) Uniontown, PA 15401 433 West Church Avenue Masontown, PA 15461 231 Guthrie Road Smithfield, PA 15478 31 Brookside Acres Shinnston, WV 26431 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: Date: October 20, 2003 NONE. l~llilipVl-I.~uire 44',West Main Street Mechanicsburg, PA 17055-0318 ,:c{717) 697-8528 --- ENTER PRISES December 1, 2003 Cumberland County Courthouse Register of Wills One Courthouse Square Carlisle, PA 17013-3387 Dear Mr. or Madam: RE: Estate of Elmer Seneri No. 21-03-795 On Novemberl 1, 2003 we filed a claim against the above estate. This account has since been satisfied, so we wish to cancel this claim. If you should need additional information or have questions regarding this please fell free to contact me at my toll free telephone number. 877-823-8375 Ext. 2322. I am in the office Monday thru Friday from 8:00AM Until 5:00 PM Central Time. My fax number is 479-201-2205. Sincerely, · Corporate Collections Eno: CC: Client's File P.O. Box 180970 · Fort Smith, AR 72918-0970 (479) 201-2000 · FAX (877) 8BEVERLY www. beverlycares.com CLAIM AGAINST DECEDENT'S ESTATE CUMBERLAND COUNTY, PENNSYLVANIA CASE # 21-03-795 ESTATE OF: ELMER SENERI The undersigned hereby presents for filing against the above estate this statement of claim and alleges: BEVERLY ENTERPRISES/DBA WEST SHOIRE HEALTH & REHAB CENTER Box 180970 Fort Smith, AR. 72918-0970 The basis of claim is: SEE ATTACHED The amount of the claim is $278.70 Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true to the best of my knowledge and belief. Signed on NOVEMBER 11, 2003 Cla(mant SANDRA BURNETT I SWEAR THIS STATEMENT IS CORRECT Subscribed and sworn to before me Notary Public My Commission Expires ~ - ~ ~- ~ [ ~ BEVERLY ENTERPRISES/DBA WEST SHORE HEALTH & REHAB CENTER P.O. Box 180970 Fort Smith, AR 72918 Itemized Resident Statement ELMER SENERI 58958-00285-99776 DATE PREPARED: 11/11/03 DATE / PERIOD COVERED DESCRIPTION DAYS / QTY CHARGES CREDITS 9121-9123103 ROOM CHARGE 3 $225.00 9/22/03 PHARMACY $53.70 $6930.00 INSURANCE PENDING CHARGES ~ CREDITS ~ TOTAL AMOUNT DUE $278.70 $0.00 $278.70 ELMER SENERI 3464 TRINDLE ROAD CAMP HILL, PA 17011 Page 1 of 1 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 ........ fold DUPLICATE SNELBAKER BRENNEMAN & SPARE PC 44 WEST MAIN STREET MECHANICSBURG, PA 17055 ESTATE INFORMATION: SSN: 198-18-6162 FILE NUMBER: 2103-0795 DECEDENT NAME: SENERI ELMER ALMO DATE OF PAYMENT: 12/18/2003 POSTMARK DATE: 12/18/2003 COUNTY: CUMBERLAND DATE OF DEATH: 09/25/2003 TOTAL AMOUNT PAID: ACN ASSESSMENT CONTROL NUMBER REV-1162 EX(11-96) NO. CD 003341 AMOUNT 101 $28,000.00 $28,000.00 REMARKS: BARRYSENERI EXEC. -SNELBAKER BRENNEMAN,ETAL TAX PYMT 12-18 CHECK//105 INITIALS: SK SEAL RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2~0601 HARRiSE~JRG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD REV-1162 EX(11-96) 0O3713 SENERI BARRY 1107 FAIRWAY VILLAS DRIVE WAKE FOREST, NC 27587 ........ fold ESTATE INFORMATION: SSN: 198-18-6162 FILE NUMBER: 2103-0795 DECEDENT NAME: SENERI ELMER ALMO DATE OF PAYMENT: 03/25/2004 POSTMARK DATE: 00/00/0000 'COUNTY: CUMBERLAND DATE OF DEATH: 09/25/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $5,215.08 REMARKS: ...... SEAL BARRY SENERI CHECK//113 TOTAL AMOUNT PAID: 95,215.08 INITIALS: SK RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS REV~ 5[)0 EX I~-00) COMMONWEALTH OF PENNSYLVAN IA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY UJ DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Seneri, Elmer A ~TE OF D~TH (MM-D~Y~R) ~TE OF BIRTH (MM-DD-Y~R) 09/25/2003 02/13/1924 (IF APPLI~BLE) SU~IVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) FILE NUMBER 21 -- 2_900__3 .__07__95 COUNTY CODE YEAR NUMBER SOCIAL SECURITY NUMBER 198-18-6162 TI-IS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS ~ IbJ 1. Original Return ~1:1.O __ 4. Limited Estate -,- Co r~ O ~ ~ 6 Decedent Died Testate (Attach copy of Will) SOCIAL SECURITY NUMBER L~ 2. Supplemental Return E~] 4a. Future Interest Compromise (date of death after 12-12-82) E~ 7. Decedent Maintained a Living Trust (Attach copy of Trust) I I 3. Remainder Return (date of death prior to 12-13-82) ~'-~ 5. Federal Estate Tax Return Required O E~9. Litigation Proceeds Received NAME Philip H. Spare 8. Total Number of Safe Deposit Boxes E~] 1 0. Spousal Poverty Credit (date of death between 12-31.91 and 1-1-95) ~'~ 1 1. Election to tax under Sec. 91 13(A)(A~ta~ S~h O) COMPLETE MAILING ADDRESS FIRM NAME (If Applicable) Snelbaker, Brenneman & Spare, P.C. TELEPHONE NUMBER 717-697-8528 44 West Main Street Mechanicsburg, PA.~055 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3 Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5, Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) (6) [~ Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 0.00 0.00 0.00 0.00 16,335.00 0.00 0.00 i "' OFFIO, AL USE ONLY 6 Total Gross Assets (total Lines 1-7) 9 Funeral Expenses & Administrative Costs (Schedule H) (9) 10 Debts of Decedent, Mortgage Liabilities, & Liens(Sdnedule I) (10) (6) 16,335.00 0.00 0.00 1 1 Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11 ) 1 3. Charitable and Governmental Bequests/Sec 91 13 Trusts for which an election to tax has not been made (Schedule J) (11) (12) (13) 0.00 16,335.00 0.00 14 NetValueSubjecttoTax(Line 12 minus Line13) (14) 16,335.00 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15 Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec, 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 0.00 0.00 0.00 16,335.00 20. x .00 x 045 x .12 (15) (16) (17) (18) (19) 0.00 0.00 0.00 2,450.25 2,450.25 2W4645 1,000 D~cedent's Complete Address: I$'~ ~ I ADDRESS 14q Easterly Drive Silver Spring Twp., c~ Mechanicsburg Cumberland County 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Interest/Penalty if applicable D. Interest E. Penalty STATE 0.00 0.00 0.00 0.00 0.00 (1) Total Credits (A + B + C) (2) Total Interest/Penalty (D + E) (3) 2,450.25 0.00 0.00 2,450.25 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) 0.00 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 2 ~ 450.25 .......................................................... ~--. .M...a..k.e Check Pa[able to: REGIb~II~ OF IiWLLS, AGENT ........... :: %: %::: %:: · ':' ........... ¢.-.- -: .::': ::'.~::'.: "-. %'¥:..... -¥'.. · %. -..'.. -'.. ~. ~.'.: -%'.%-'.:: -¥:-'.~.¥'.:.~: .'.-¥'. -'. ~ .'..'. .'. :¥: ~...'.~.'..:..~.'...':...- x..~.-.-.-: .:- .., .-.- -.-., ,-. ~... ,-.---. ,-.... · · ~ · ::::::::::::::::::::: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ::::::::::::::::::::::::::::::::::::::::::::::::::::::: ........... :::::::::::::::::::::::::::::: .......... :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: .............. 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; ....................... ~ r~ b. retain the right to designate who shall use the property transferred or its income; ......... ['~ ~ c. retain a reversionary interest; or ................................ r'--] r~ d. receive the promise for life of either payments, benefits or care? ................. [-"-] r~ 2. if death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ............................ ~ [] 3. Did decedent own an 'in trust for' or payable upon death bank account or security at his or her death? ~ [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ................................ j---] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury. I declare that I have e;.~ined this return. Including ~,cc,~,i~,anying schedules and statements, end to the best of my knowledge and belief, it is ~ue. correct and complete. Declaration o~eparer other than the personal representative is based on all information of which preparer Ilas any I(nowledge. ~S 1~' F~ix~way Villas Drive _ ~ake Forest, NC 27587 S~~~ANREPRESEN~TIVE ADDRESS~4 We~tMain ~treet P.O. Box 318 Mechanicsburg, PA 17055 For dates o1' 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. § 9916 (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 0% [72 P.S. § 9116 (a) (1.1) (ii)] The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable e,ren if the surviving spouse is the only beneficiary. For clates of death on or after July 1, 2000: The tax rate im posed 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 ch d s 0% [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 4.5%, 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 12% (72 P.S § 91 t6(a)(1.3)]. A sibling is defined, under Section 9102. as an individual who has at least one parent in common with the decedent, whether by blood or adoption. 2W4646 1.000 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER Seneri, Elmer A 21-2003-0795 include the )roceeds of litigation and the date the proceeds were received by the estate All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM N UM BE R DESCRIPTION 2W46AD 2000 United States Treasury, refund due on Individual Income Taxes for years 2001, 2002 and 2003 TOTAL(Also enter on line 5, Recapitulation) (If more space is needed, insert additional sheets of the same size) VALUE AT DATE OF DEATH 16,335.00 16,335.00 REV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER Senerl, Elmer A 21-2003-0795 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLEDISTRIBUTIONS[includeoutrights~usaldi~ributions, andtranCers underSec. 9116(a)(1.2)] McDermott, Vivian 212 Barbara Lane Connellsville, PA 15425 Catalano, Carol 480 Coolspring Street Apartment 404 Uniontown, PA 15401 Chellini, De-bra 433 West Church Avenue Masontown, PA 15461 Guthrie, Cathy 231 Guthrie Road Smithfield, PA 15478 Chanaki, Janet 31 Brookside Acres Shinnston, WV 26431 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Niece Niece Niece Niece Niece AMOUNT OR SHARE OF ESTATE 3,267.00 3,267.00 3,267.00 3,267.00 3,267.00 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET 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 $ 0.00 2W46Ai 1 000 (If more space is needed, insert additional sheets of the same size) COMMONWEALTH OF PENNSYLVANIA DE?,ARTMENT 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 004015 SENERI BARRY 1107 FAIRWAY VILLAS DRIVE WAKE FOREST, NC 27587 fold ESTATE INFORMATION: SSN.. 198-18-6162 FILE NUMBER: 2103-0795 DECEDENT NAME: SENERI ELMER ALMO DATE OF PAYMENT: 06/07/2004 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 09/25/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $2,450.25 REMARKS: BARRY SENERI TOTAL AMOUNT PAID: $2,450.25 SEAL CHECK# 118 INITIALS: VZ RECEIVED BY.' GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BARRY SENERI, EXECUTOR "313 44 WEST MAIN STREET MECHANICSBURG, PA 17055 ~' - ~:O:~i,:~,50~.&~: ~,i,~, OOO5~,h,' ~,~,.o. ~ BUREAU OF INDIVIDUAL TAXES TNHERITANCE TAX DTVZSTOH DEPT. 280601 HARRTSBURG, PA 171za-o691 CONHONNEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAZSEHENT, ALLO#ANCE OR DZSALLOHANCE OF DEDUCTIONS AND ASSESSHENT OF TAX REV-ISq7 EX AFP (01-05) PHILIP H SPARE SNELBAKER ETAL 4q W MAIN ST MECHANICSBURG PA 17055 DATE ESTATE OF DATE OF DEATH FILE NUHBER COUNTY ACN 05-05-2004 SENERI 09-25-2005 Z1 05-0795 CUMBERLAND 101 Amoun~ Remi'l:~:ed ELHER A HAKE CHECK PAYABLE AND REN'rT PAYMENT TO: REGISTER OF gILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS LINE I~ RETAIN LONER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR DZSALLONANCE OF DEDUCTTONS AND ASSESSMENT OF TAX ESTATE OF SENERI ELHER AFILE NO. 21 05-0795 ACN 101 DATE 05-05-2004 TAX RETURN #AS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~m~a (Schedule A) (1) 2. S~ocks and Bonds (Schmdulm B) (2) $. Closely Held S~ock/Par~narshlp In~eres~ (Schedule C) ($) 4. Hor~gages/Notes Receivable (Schedule D) (4) $. Cash/Bank Deposi~s/Hisc. Personal Proper~y (Schedule E) ($) 6. Jointly Owned Proper~y (Schedule'F) (6) 7. Transfers (Schedule G) (7) 8. To~ml Asso~s APPROVED DEDUCTIONS AND EXEHPTZONS: 9. Funeral Expensos/Adm. Cos~s/Hisc. Expenses (Schedule H) (9) 10. Dob*s/Her*gage Liabili~ios/Llons (Schedule Z) (10) 11. To,al Deductions 12. No~ Value of Tax Re*urn 90/000.00 .00 .00 167/:514.61 .00 .00 (8) NOTE: To insure proper credit ~o your account, submi~ ~ho upper por~ion of ~his form wi*h your ~ax payment. 270,760.97 25,75:5.22 16f240.55 (11) (12) 3g.gg3.77 230,767.20 15. 14. NOTE: ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate 16. Amoun~ of L/ne 14 ~axablo a~ Lineal/Class A rate 17. Amoun~ of Line 14 a~ Sibling ra~o 18. Amoun* of Line 14 ~axablo a~ Collateral/Class B ra*o 19. Principal Tax Duo TAX CREDITS: PAYHENT RECEIPT DISCOUNT DATE NUHBER INTEREST/PEN PAID (-) 12-18-200:5 CDO 0:5:541 1,47:5.68 05-25-2004 CD00:571:5 . O0 Charitable/Governmental Bequests; Non-eloc~ed 9115 Trusts (Schedule J) (15) Nm~ Value of Estate Subjec~ *o Tax (14) If an assess;ant ems lssued previously, lines 14, 15 and/or 16, 17, .00 2:50,767.20 18 and 19 ~ill reflect figures that include the total of ALL returns assessed to date. (15) (16) (17) (18) · O0 x O0 = · O0 x 045 = · O0 x 12 = 2:50,767.20 x 15 = --~- (19)~ AHOUNT PA'I'~: 28,000.00 5,215.08 .00 .00 .00 34,615.08 :54d615.08 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDZTZONAL INTEREST· :54)688.76 7':5.68CR .00 75.68CR ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR ZNSTRUCTZONS.) RESERVATION: PURPOSE OF NDTICE: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Estates of decedents dying on or before December 1Z, 198Z -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decadent after the expiration of any estate for life or for years, the Coemonaealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. To fulfill the requirements of Section 210`0 of the Inheritance and Estate Tax Act, Act Z$ of ZOO0. (7Z P.S. Section 910`0). Detach the top port/on of this Not/ce and submit with your payment to the Register of Nills printed on the reverse s/de. --Make check or money order payable to: REGISTER OF NZLLSj AGENT A refund of a tax credit, which ams not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-ISIS). Applications are available at the Office of the Register of N/lis, any of the 2:5 Revenue Dis/r/ct Offices, or by calling the special Z0`-hour anseering service for forms ordering: 1-BOO-:56Z-Z050~ services for taxpayers w/th special hearing and / or speak/ny needs: 1-BOO-0`0`7-30ZO (TT only). Any party in interest not satisfied aith the appraisement, alloaance, or disallowance of dsduct/ons, or assessment of tax (including discount or interest) as sheen on th/s Notice must object a/thin sixty (60) days of receipt of this Notice by: --written protest to the PA Department DE Revenue, Board of Appeals, Dept. ZBIOZ1, Harrisburg, PA 1712&-lOZ1, OR --election to have the matter determined et audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 2B0601, Harrisburg, PA 171Z8-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-IS01) for an explanat/on of administratively correctable errors. If any tax due is paid w/th/n three ($) calendar months after the decedent's death, a five percent (SI) discount of the tax paid ts allowed. The lEX tax amnesty non-partic/pat/on penalty /s computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty per/od. This non-partic/pat/on penalty is appealable in the same manner and /n the the same t/me period as you would appeal the tax and interest that has been assessed as indlcated on this notice. Interest is charged beginning e/th first day of delinquency, or n/ne (9) months and one il) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 198Z bear tn/eras/ at the rate of six (6Z) percent per annum calculated at a da/ly rate of .000260`. All taxes ehich became delinquent on and after January 1, 198Z will bear interest at a rate ahich mill vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. Tho applicable /nterest rates for 2982 through ZOO0` are: /nterest Daily /nterest Daily Year Rate Factor Year Rate Factor 1982 lOX .00050`8 ~'~- 1991 llZ .000:501 198:5 167. .OOOq:58 1992 97. .00020`7 198°, IIZ .000~02 199:5-1990` 77. . O0019Z 1985 I~Z .000S56 1995-1998 9Z .00020`7 1986 lOX .000Z70` 1999 7Z .O0019Z 1987 107. .000270` ZOO0 7Z .00019Z --Interest is calculated as folloes: ZNTERBST= BALANCE OF TAX UNPAZD Interest Daily Year Rate Factor ~ 9X .O00Zq7 ZOOZ 67. .000160` ZO0~ 57. .000157 Z000` 0`7. .000110 X NUNBER OF DAYS DBLZNQUENT X DALLY ZNTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen IlS) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculatmd. ESTATE NO.21-03-0798 FIRST AND FINAL ACCOUNT AND STATEMENT OF PROPOSED DISTRIBUTION OF AND BY BARRY SENERI, EXECUTOR OF THE ESTATE AND UNDER THE LAST WiLL AND TESTAMENT OF ELMER ALMO SENERI, DECEASED, LATE OF SILVER SPRING TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA Barry Seneri, Executor as aforesaid and Accountant herein, avers as follows: DATE OF DECEDENT'S DEATH: DATE LETTERS TESTAMENTARY ISSUED: DATES EXECUTOR'S NOTICE ADVERTISED: Cumberland Law Journal Patriot-News Co, September 25, 2003 ¢_~ October 2, 2003 r~- ,.'--3 October 24, 31, November 7, 20~ October 28, November 4, 11, 20~} FIRST AND FINAL ACCOUNT PERSONALTY PRINCIPAL ACCOUNT DEBITS rhe Accountant charges himself with the receipt of the Decedent's personalty, goods and chattels as set forth in his inventory heretofore filed in the amount of: Fhe Accountant charges himself with the following additional receipts: United States Treasury, life insurance proceeds State Farm Insurance, refund on homeowners insurance Vishay Intertechnology, Inc., gain on sale of stocks United States Treasury, ~nterest paid on 2002 Individual Income Taxes TOTAL, PERSONALTY, PRINCIPAL ACCOUNT, DEBITS: PERSONALTY - PRINCIPAL ACCOUNT CREDITS ~e Accountant claims credit for the payment of the following items from Decedent's Personalty Account: West Shore Health & Rehab Center, medical expense Messiah Village, resident care Mobile Optometry, LLC, eyeglasses East Pennsboro Ambulance Service, medical expense Quantum Imaging & Therapeutic, medical expense Paul D, Dalbey, DPM, medical expense 7. MSHMC Physicians Group, medical expense 8. Verizon, phone service 9, Craig A. Diehl, Esquire, financial & legal serwces prior to death 10, Myers Funeral Home, Inc., funeral expenses 1 Barry Seneri, reimbursement for following expenses: a. Houck Painting, interior painting b. JD Flooring, carpet stretching c. AON Home Warranty, home insurance policy d, Johns Carpet Cleaning, carpet cleaning services e. Nancy McCartney, house cleaning services f. H. Lebo Home, m~nor repairs 2. Patriot News, advertising Executor notice 13, West Shore EMS, ambulance serwce 14, Register of Wills, Agent, estimated tax payment 15 Pennsylvania G.I. Consultants PC., medical expense 1,260.00 60.00 75.00 116.60 60.00 182,00 Page 1 $ 197,095.97 10,532.65 1698 2,742.92 182.75 $ 210,573.27 $ 7,155 00 5,023.75 194.00 6000 704 35.82 17.40 8.90 3,665.75 7,050.30 1,753.60 105.73 37.12 28,000 O0 29.02 SPARE 16. Register of Wills, Agent, Inheritance tax 17, Heritage Cardiology Assoc., medical expense 18. Moffitt Heart & Vascular Group, medical expense 19. Register of Wills, additional probate fee 20. Greenawalt & Company, P.C., preparation of Final Individual Income Taxes for year ending 12/31/03 21. AARP, insurance premium deducted from Member's First Federal Credit Union checking account # 20567 11 22. State Farm Insurance, premium deducted from Member's First Federal Credit Union checking account # 20567 11 23. Bricker's Auction, commission on sale of household goods 24. Register of Wills, Agent, Inheritance tax due on Supplemental Return 25. Register of Wills, filing fee for Supplemental Return Items to be paid subsequent to confirmation of Final Accounting: 26. Snelbaker, Brenneman & Spare, P.C., attorney services 27, Snelbaker, Brenneman & Spare, P.C,, costs advanced: a. Register of Wills, probate fee b, Cumberland Law Journal, advertising Executor notice c. Register of Wills, short certificates d, Register of Wills, filing fee for Inheritance Tax Return 28. Reserve for filing fees, accounting fees and other costs associated with the administration of decedent's estate The foregoing reserve and tax amounts are estimated on the assumption that the Supplemental Pennsylvania Inheritance Tax Return will be accepted as filed. If that assumption proves to be incorrect, Executor reserves the right to withdraw the accounting or amend it to reflect the then-current circumstances. TOTAL, PERSONALTY, PRINCIPAL ACCOUNT, CREDITS: 262.50 75.00 24.00 15.00 PERSONALTY INCOME ACCOUNT DEBITS The Accountant charges himself with the receipt of the following Income from the investment of Personalty Principal: 1, Orrstown Bank, interest earned on estate checking account 2. Member's First Federal Credit Union, checking account //20567-11, interest 3. Member's First Federal Credit Union, savings account #20567 00, interest 4. Member's First Federal Credit Union, investment account #20567 05, interest Member's First Federal Credit Union, Certificate of Deposit # 20567 56, interest 6. Member's First Federal Credit Union, Certificate of Deposit # 20567-53 & 20567 55, interest TQTAU PERSONALTY, INCOME ACCOUNT, DEBITS: PERSONALTY-INCOME ACCOUNT CREDITS The Accountant claJmscredit for the payment of the following items from the Personalty Principal Account: TOTAL, PERSONALTY, INCOME ACCOUNT, CREDITS: Page 2 5,215.08 7.05 70.00 335.00 13.00 25.00 lr053.00 2r45025 1500 4,000.00 376,50 1,00000 $ 67,744,63 93.53 2.92 25.38 3.00 10575 768.21 998,79 NONE NONE REAL ESTATE PRINCIPAL ACCOUNT DEBITS Fhe Accountant charges himself with the receipt of Decedent's Real Estate as set forth in his Inventory heretofore filed in the The Accountant charges himself with the following additional receipts: Adjustments made at settlement for County Tax, School Tax and Condo Dues TOTAL, REAL ESTATE, PRINCIPAL ACCQUNT, DEBITS: REAL ESTATE - PRINCIPAL ACCOUNT CREDITS 3. 6~ ~e Accountant claims credit for the payment of the following items from Real Estate Principal Account: Westfields Condominium Association, dues October - December 2003 United Water Pennsylvania, water service State Farm insurance, homeowners ~nsurance premium Silver Spring Township Authority, sewer serwce PPL, electric service Charges associated with the sale of property as follows: a. ERA NRT, Inc,, commission b ERA NRT, Inc., transaction fee c. Closing costs d. AON Home Warranty e. Transfer tax f, Adjustments for sewer and to H. Lebo Home Maintenance for repairs TOTAL, REAL ESTATE, PRINCIPAL ACCOUNT, CREDITS: REAL ESTATE INCOME ACCOUNT DEB~TS The Accountant charges himself with the receipt of the income from the investment of Real Estate Principal Account: TOTAL, REAL ESTATE, INCOME ACCOUNT, DEBITS: REAL ESTATE - iNCOME ACCOUNT CREDITS The Accountant claims credit for the payment of the following items From the Real Estate Income Account; TOTAL, REAL ESTATE, INCOME ACCOUNT, CREDITS: Page 3 6,300.00 100.00 10000 399.00 900.00 350,05 $ 90,000.00 443.10 $ 90,44310 $ 17325 24.30 56.00 8075 103.90 8,587.25 NONE NONE NONE NONE PERSONALTY: PRINCIPAL ACCOUNT: Debits Credits Balance INCOME ACCOUNT: Debits Credits Balance TOTAL PERSONALTY REAL ESTATE: PRINCIPAL ACCOUNT: Debits Credits Balance INCOME ACCOUNT: Debits Credits Balance TOTAL REAL ESTATE: TOTAL FOR DISTRIBUTION: RECAPITULATION Page 4 210,573.27 67,744.63 998.79 NONE 90,443.10 8,587.25 NONE NONE $ 142,828.64 $ 998.79 $ 81,85585 NONE $ 143,827.43 $ 81,855,85 $ 225,68328 STATE OF NORTH CAROLINA : SS. COUNTY OF ) Barry Seneri, Executor, being duly sworn according to law deposes and says: that he is the Executor of the Estate and under the Last Will and Testament of Elmer Almo Seneri, Deceased; that he is the Accountant herein; that the foregoing is a true and complete accounting of his administration of said Estate; that the attached list or schedule [*1 contains the names, addresses and amounts due unpaid creditors who have given proper notice of their claims; that the attached list or schedule [**] contains the names and addresses of all persons interested in the distribution of said Estate; and that the facts set forth herein are true and correct to the best of his kl~owledge, information and belief, ~' Barry,~R~h, Executor Sworn to and subscribed before me this !~ day of, ~-%~1~ 2004 Page 5 UNPAID CREDITORS: NONE LAW OFFICES SNELBAKER BRENNEMAN ** PERSONS INTERESTED IN DISTRIBUTION OF ESTATE: Vivian McDermott 212 Barbara Lane Connellsville, PA 15425 Carol Catalano 323 South Main Street Masontown, PA 15461 Debra Chelfini 433 West Church Avenue Masontown, PA 15461 4, Cathy Guthrie 231 Guthrie Road Smithfield, PA 15478 5, Janet Chanaki 31 Brookside Acres Shinnston, WV 26431 Page 6 STATEMENT OF PROPOSED DISTRIBUTION Barry Seneri, Executor and Accountant herein, proposes to distribute the balance of the Estate of Elmer Almo Seneri, Deceased, to wit: $225,683.28 in accordance with the Last Will and Testament of said Decedent as follows: Vivian McDermott 1/5 of residue as per Item 2B of Codicil to Will Carol Catalano 1/6 of residue as per Item 2B of Codicil to Will Debra Chellini 1/5 of residue as per Item 2B of Codicil to Will Cathy Guthrie 1/5 of residue as per Item 2B of Codicil to Will Janet Chanaki 1/5 of residue as per Item 2B of Codicil to Will TOTAL DISTRIBUTION: Page 7 $ 45r136 66 45,136.66 45, 136.66 45,136,65 45,136,65 $ 225,683.28 STATE OF NORTH CAROLINA ) SS. COUNTY OF Barry Seneri, being duly sworn aooording to law, deposes and says that the facts set forth in the foregoing Statement of Proposed Distribution are true and correct to the best of his knowledge, information and belief. B~KZS e n e ri, Executor Sworn to and subscribed before me this /.~'dayof ~'~.~i~ 2004 Page 8 IN THE COURT OF CO~vttvlU~ ~"~'~' OF CUMBERLAND COUNTY ~ PENNSYLVANIA OK~HANS' COURT Estate of ELMER ALMO SENERI, Late of silver Spring Township, Cumberland County, Pennsylvania F' ST IR AND FINAL ACCOUNT AND STATEMENT OF PROPOSED DISTRIBUTION 5NELBAKER, BRENNI--MAN ~ SPARE AT[ORNEY5 AT [.AW k4 ECHA~IIC~BURG, PEN~4SYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND Barry 8eneri being duly sworn according to law, deposes and says that he is the Executor of the Estate of Elmer Almo Seneri late of Silver._ Spr_i__n_~ Town~_hip , Cumberland County, Pa., deceased and that the w~fhJn ;s an inventory made by Barry Seneri , the sa~d Executor of the entire estate of said decedent, conslstJng of all the personal property and real estate, except real estate outside fha Commonwealth of PehnsylvanJa, and that the figures opposite each item cf the inventory represent it's fair value as of the date of decedent's death. Sworn and subscribed before me, iVERONICA M. SAGHIR NOTARY PUBUC WAKE COUNTY, N.C. My Gommi~sio~ Exoi~m &25-2007 2 Dnfe o~ De~fh 1107 Fairway Villas Drive Wake Forest, NC 27587 September 2003 Day Month Year INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed wlth;n thirty days of discovery of additional assets. 3. Additional sheets may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. (g d Inventory of the real and personal estate of ELMER ALMO SENERI, Deceased PERSONALTY: 1. Member's First Federal 3. 4. 5. Member's First Federal Member's First Federal Member's First Federal Member's First Federal Credit Union, Savings account # 20567-00 Credit Union, Checking account # 20567-11 Credit Union, Investment Savings Account #20567-05 Credit Union, Certificate of Deposit # 20567-53 Credit Union, Certificate of Deposit # 20567-55 6. Member's First Federal Credit Union, Certificate of Deposit # 20567-56 7. United States Treasury, final pension payment 8. Vishay Intertechnology Inc, 738 shares of common stock valued @ $18.22 9. Household goods, sold via public auction by Bricker's Auction 10. A.G.I.A. Inc., refund of unearned premium on Medicare Supplement policy 11. CBCA Insurance, refund of unearned premium on cancer policy 12. United States Treasury, refund due on Individual Income Taxes for years 2001, 2002 and 2003 TOTAL PERSONALTY: REAL ESTATE: 1. House and lot known and numbered as 147 Easterly Drive, Mechanicsburg (Silver Spring Township), Cumberland County, Pennsylvania TOTAL PERSONALTY AND REAL ESTATE: Page 1 o 22,619.65 10,381.74 2,668.29 58,295.22 37,817.57 29,303.18 2,851.67 13,446.36 3,158.00 208.79 10.50 16,335.00 197,095.97 90,000.00 287,O95.97 Name of Decedent: STATUS REPORT UNDER RULE 6.12 Elmer Almo Seneri Date of Death: 9/25/2003 Will No.: 21-03-0795 Adlilin. 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: 1. State whether administration of the estate is complete: Yes [] No ~1 2. If the answer is No, state when the personal representative reasonably believes that the ~dministration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes x_xx No [-] b. The separate Orphans' Court No. (if any) for the personal representative's account is: Date: Did the personal representative state an account informally to the parties in interest? Yes ~ No [~ Co 8~. 0/04, 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. Signatu~ v ,~ Philip H. Spare Snelbaker: Brenneman & Sp~re: Name 44 West Main Street Mechanicsburg, PA 17055 Address Capacity: (717) 697-8528 Telephone No. [--] Personal Representative [] Counsel for personal representative BUREAU OF INDIVIDUAL TAXES TNHERTTAHCE TAX DTVZSZON DEPT. 180601 HARRISBURG, PA 17128-06ol COHHONNEALTH OF PENNSYLVANIA DEPARTNENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAZSENENT, ALLONANCE OR DISALLO#ANCE OF DEDUCTIONS AND ASSESSNENT OF TAX REV-15~i7 EX AFP (01-05) DATE 07-19-2004 ESTATE OF SENER! DATE OF DEATH 09-25-2005 FILE NUHBER 21 05-0795 COUNTY CUHBERLAND PHILIP H SPARE ACN 101 44SNELBAKERN HAZN sTETAL I leoun~ Remi~ad HECHANZCSBURG PA 17055 ELHER A HAKE CHECK PAYABLE AND RENZT PAYHENT TO: REGISTER OF HILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 1701:5 CUT ALONG TH/S LINE ~ RETAIN LOWER PORTZON FOR YOUR RECORDS ~ DZSALLO#ANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF SENER! ELHER AFZLE NO. 21 0:5-0795 ACN 101 DATE 07-19-2004 TAX RETURN gAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAZSED VALUE OF RETURN BASED ON: 1. Real Es*a*a (Schedule A) 2. (2) 3. (3) ~. (~) 5. (5) 6. (6) 7. (7) 8. APPROVED DEDUCTIONS AND EXEHPTZONS: 9. Funeral Expansas/Adm. Cos~s/Nisc. Expenses (Schedule H) (9) 10. Dab~s/Hor~gage Liabili~ias/Lians (Schedule Z) (10) 11. To~al Daduc~ions 12. Ne~ Value of Tax Re~urn SUPPLEHENTAL RETURN NO. 01 (1) .00 S~ocks and Bonds (Schedule B) Closely Held S~ock/Par~nership In~ares~ (Schedule C) Hor~gages/No~as Receivable (Schedule D) Cash/Bank Deposi~s/Hisc. Personal Propar*y (Schadule E) Joln*ly Owned Propar~y (Schedule F) Transfers (Schedule G) To~al Assa~s 16 ~:5:55. O0 .00 NOTE: To insure proper .00 crad~ *o your account, .00 subm~ *he upper port,on .00 of ~his form wi*h your ~ax payment. .00 (8) .00 16,335.00 .O0 15. lq. NOTE: Charitable/governmental Baques~s; Non-elected 9115 Trusts (Schedule J) (11) . O§ (lZ) 16,:535.00 ASSESSNENT OF TAX: 15. Amoun~ of Line 14 a~ Spousal ra~a (15) 16. Amount of Line 14 taxabla ai Lineal/Class A rata (16) 17. Amoun'l: of Line Ii at Sibling rata (17) 18. Amount of Line lq taxabla ai Collalaral/Class B rale (18) (13} Ne~ Value of Estate Sub~ec~ ~o Tax (14) Xf an assessment was Assued prevAously, l~nes 1~, 15 and/or 16, 17, 18 and refZect f~gures that Anclude the tota! of ALL returns assessed to date. · 00 x O0 = · O0 x 045 = 247,10 x = (19)= ANOUNT ~D ;=1 ~,o TOTAL TAX C~iZT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 19. Principal Tax Due TAX CREDITS: PAYN~NT RECEZPT DATE NUHBER 12-18-200:5 CD003:541 0:5-25-2004 CD005715 06-07-2004 CD004015 DISCOUNT (+) INTEREST/PEN PAID (-) 1,47:5.68 .00 .00 .00 247,102.20 19 will .00 .00 .00 37,139.01 7:5.68CR .00 73.68CR ( ZF TOTAL DUE IS LESS THAN $1, NO PAYNENT XS REQUIRED. IF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR)~ YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR ZNSTRUCTZONS.) IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. RESERVATION: Estates of decedents dying on or before December 1Z, 1982 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (coIIateral) beneficiaries of tho decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: PAYNENT: REFUND (CR): OBJECTIONS: ADNIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To fulfill the requirements of Section 2140 of the Inheritance end Estate Tax Act, Act Z$ of ZOO0. (TI P.S. Section 9140). Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the reverse side. --Hake check or money order payable to: REGISTER OF #ILLS, AGENT A refund of a tax credit, ehich was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1515). Applications are available et the Office of the Register of Hills, any of the Z5 Revenue District Offices, or by calling the special Z4-hour ansearing service for fores ordering: 1-BOO-36Z-Z050; services for taxpayers with special hearing and ! or speaking needs: 1-eOO-447-30ZO (TT only). Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Natice by: --written pretest to the PA Department of Revenue, Board of Appeals, Dept. ZelOZ1, Harrisburg, PA 171Ze-lOZ1, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. leO601, Harrisburg, PA 171Z8-0601 Phone (717) 787-6505. Sea page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-iS01) for an explanation of administratively correctable errors. If any tax due is paid within three (3) calendar months after the decadent's death, a five percent (SI) discount of the tax paid is allowed. The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January lB, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January l, 198Z bear interest at the rate of six (6Z) percent per annum calculated at a daily rate of .000164. Ali taxes which became delinquent on and after January 1, 19BE will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through ZOO4 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor ~ 20Z .000548 ~1Y~'8-1991 11Z .000301 2001 9Z .O00Z~7 1983 ZBZ .000458 199Z 9Z .000Z47 ZOO2 6Z .000164 1984 ilZ .000501 1992-1994 7Z .00019Z 2003 5Z .000157 1985 122 .000356 1995-1998 9Z .000247 2004 42 .OOOllO 1986 lOZ .000Z74 1999 7Z .OOO19Z 1987 IOZ .000274 Zoo0 7Z .O0019Z --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUIIBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. BUREAU OF ZNDZVTDUAL TAXES 'rNHERTTANCE TAX DIVTS'rON PO BOX 28060Z HARRTSBURG, PA 17128-0601 COHHONNEALTH OF PENNSYLVANZA DEPARTHENT OF REVENUE ZNHERZTANCE TAX STATEHENT OF ACCOUNT REV-llO7 EX AFP (09-04) PHXLXP H SPARE SNELBAKER ETAL ~R N HAXN ST ~ HECHANZCSBURG PA ~Q55 DATE 11-08-Z00~ ESTATE OF SENERZ DATE OF DEATH 09-25-Z003 FZLE NUNBER 11 03-0795 COUNTY CUHBERLAND ACN 101 Amoun~ ELHER A HAKE CHECK PAYABLE AND RENZT PAYHENT TO: REGI'STER OF NZLLS CUHBERLAND CO COURT HOUSE CARLTSLE, PA 17013 NOTE: To insure proper credit: ~o your account, submJ~ ~he upper por~:ion of ~his for. wi~h your ~:ax payment:. CUT ALONG THZS LZNE ~ RETAZN LONER PORTZON FOR YOUR RECORDS ~ ESTATE OF SENERT ELHER A FZLE NO. ;'1 03-0795 ACN 101 DATE 11-08-200~ THZS STATENENT ZS PROVZDED TO ADVZSE OF THE CURRENT STATUS OF THE STATED ACN ZN THE NANED ESTATE. SHO#N BELO# ZS A SUHNARY OF THE PRZNCZPAL TAX DUE, APPLZCATZON OF ALL PAYNENTS, THE CURRENT BALANCE, AND, ZF APPLZCABLE, A PROJECTED ZNTEREST FZGURE. DATE OF LAST ASSESSHENT OR RECORD ADJUSTHENT: 07-11-200~ PRZNCIPAL TAX DUE: ........................................................................................ PAYHENTS (TAX CREDZTS): 37,065.33 PAYHENT RECEXPT DXSCOUNT (+) AHOUNT PAZD DATE NUH~ER ;[NTEREST/PEN PAZD (-) 1,~73.68 12-18-2003 03-25-200~ 06-07-Z00~ 10-25-200~ CD0033~1 CD003713 CD00~015 REFUND .00 .00 .00 28,000.00 5,115.08 2,q50.25 73.68- ZF PAZD AFTER THZS DATE, SEE REVERSE SZDE FOR CALCULATZON OF ADDZTZONAL ZNTEREST. { ZF TOTAL DUE ZS LESS THAN $1, NO PAYNENT ZS REQUZRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDZT" (CR), TOTAL TAX CREDZT 37,065.33 BALANCE OF TAX BUE .00 XNTEREST AND PEN. .00 TOTAL DUE .00 YOU NAY BE DUE A REFUND. SEE REVERSE SZDE OF THZS FORH FOR ZNSTRUCTZONS. PAYMENT: Detach the top portion of this Notice and submit eith your payment made payable to the name and address printed on the reverse side. -- If RESIDENT DECEDENT make check or money order payable to: REGISTER OF NZLLS, AGENT. -- If NON-RESIDENT DECEDENT make check or money order payable to: COMNONNEALTH OF PENNSYLVANIA. REFUND (CR)= A refund of a tax credit, ehich mas not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1~133. Applications ara available online at www.revenue.state.aa.us, any Register of Nills ar Revenue District Office, or from the Department's Z4-hour answering service for forms orders: 1-800-361-Z050) services for taxpayers with special hearing and/or speaking needs: 1-B00-447-3010 (TT only}. REPLY TO: DISCOUNT: PENALTY: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, P.D. Box 280601, Harrisburg, PA 17118-0601, phone (717) 787-6505. If any tax due is paid within three (3) calendar months after tho decedent's death, a five percent (SI) discaunt of the tax paid is allowed. The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 16, 1996, the first day after the end of the tax amnesty period. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 19BI bear interest at the rate of six (6Z) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1981 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2004 are: Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year 1982 ZOX .000548 1988-1991 112 .O00~OX 2001 1983 162 .O004~B 1991 92 .000247 ZOOZ 1984 112 .000301 1993-1994 72 .000192 ZOO3 1985 132 .000356 1995-1998 92 .000147 2004 1986 10Z .000274 1999 72 .000192 1987 92 .000247 ZOO0 82 .000219 Interest Daily Rate Factor 92 .000147 62 .00016~ 52 .000137 42 .000110 --Interest is calculated as follows: TNTEREST = BALANCE OF TAX UNPATD X NUNBER OF DAYS DELI'N{IUBNT X DAZLY TNTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated.