HomeMy WebLinkAbout01-23-09 (3)15056051058
REV-1500 EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue
Bureau of Individual Taxes County Code Year File Number
Po sox 2aosol INHERITANCE TAX RETURN
Harrisburg, PA 17128-0601 RESIDENT DECEDENT 21 08 0461
ENTER DECEDENT INFORMATION BELOW
03/04/2008 07/28/1929
Decedent's Last Name Suffix Decedent's First Name MI
Gregory Marie H
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name ; Suffix Spouse's First Name MI
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW: .
~ 1. Original Return
4. Limited Estate
• 6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
2. Supplemental Return 3. Remainder Return (date of death
prior to 12-13-82)
4a. Future Interest Compromise (date of 5. Federal Estate Tax Return Required
death after 12-12-82)
7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes
(Attach Copy of Trust)
10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTUIL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
Flnn Name (If Applicable)
REGISTER WILLS USE~LY
Edward R Carpenter Esq ~
co ~O
.
~._.
~ _
First line of address '; ~ ~ ~ r' ; y
y
102 Chesle Drive ~,-- ~ ' ~'
rn
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Second line of address ~-- ~ ; ~ J ~ - - ~ -_?
, ~ -ri ~
C
City or Post Office State ZIP Code Df~E"F)LED -
?} W
Media Pa 19063 'r
Correspondent's a-mail address: ECarpenter@cml-law.net
Under penalties of perjury, I declare that I have examined this 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 whic
Qd~IP ~2SON RESPON,~I~E FOR FILING RETURN {/~ ~ ~ ~~ `' / jri~ ~ ~D /~
/~
11. P,~ I~~I
DATE
t- ~ _c.~
ADDRESS ~ i '
1 L L C~•.ti_S~--I ~ i~t..it-C ~ ~1,.~ J`,2'L' t' )L` l'i l5 7
- PLEASE USE ORIGINAL FORM ONLY
Side 1
15056051058 15056051058
15056052059
REV-1500 EX
RECAPITULATION
1. Real estate (Schedule A) ........................................ ..... 1. 175,000.00
2. Stocks and Bonds (Schedule B) .................................. ..... 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
4. Mortgages 8 Notes Receivable (Schedule D) ......................... .... 4.
5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) .... .... 5. 2,748.40
6. Jointly Owned Property (Schedule F) Separate Billing Requested ... .... 6. 3,032.57
7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property
(Schedule G) Separate Billing Requested.... .... 7.
8. Total Gross Assets (total Lines 1-7) ................................ .... 8. 180,780.97
9. Funeral Expenses & Administrative Costs (Schedule H) ................. .... 9. 20,919.87
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............ .... 10. 70,811.66
11. Total Deductions (total Lines 9 ~ 10) ....:.......................... .... 11. 91,731.53
12. Net Value of Estate (Line 8 minus Line 11) .......................... .... 12. 89,049.44
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. 89,049.44
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_ 15.
16. Amount of Line 14 taxable
at lineal rate X .0 45 89,049.44 16. 4,007.22
17. Amount of Line 14 taxable
at sibling rate X .12 17
18. Amount of Line 14 taxable
at collateral rate X .15 18
19. TAX DUE ..................................................... .... 19. 4,007.22
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~
15056052059 Side 2
15056052059
REV-1500 EX Page 3
Decedent's Complete Address:
F11e Number
21 08 0461
DECEDENTS NAME
STREET ADDRESS
8 Scarsdale Drive
CITt' STATE ZIP
Camp Hill Pa 17011
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. CreditslPayments
A. Spousal Poverty Credit
B. Prior Payments 8,000.00
C. Discount
3. InteresUPenalty if applicable
D. Interest
E. Penalty
Total Credits (A + B + C )
Total Interest/Penalty (D + E )
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.
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(1) 4,007.22
(2) 8,000.00
(3)
(4) 3, 992.78
(5) 0.00
(5Aj
(56)
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred :.......................................................................................... ^
b. retain the right to designate who shall use the property transferred or its income : ............................................ ^
c. retain a reversionary interest; or .......................................................................................................................... ^
d. receive the promise for life of either payments, benefits or care? ...................................................................... ^
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. ^
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. ^
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ...................................................................................................
.....................
^
0
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 P.S. §9116 (a) (1.1) (ii)]. The statute dogs not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (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.
REV-1502Ex+)137)
SCHEDULE A
COMMONWEALTH OF PENNSYLVANIA REAL ESTATE
INHERITANCE TAX RETURN
OF
FILE
Greaorv. Marie H. 21 08 0461 _
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged
between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointty-owned with right of
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
Camp Hill, Pa. 17011
TOTAL (Also enter on line 1, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
175
00
REV-1503IX+(1-9~
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA ~ STOCKS & BONDS
INHERITANCE TAX RETURN
E I NT E EDENT
ESTATE OF FILE NUMBER
Greaorv. Marie H. 21 08 0461
All property jointlyowned vrith right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER _ _ DESCRIPTION OF DEATH
1
TOTAL (Also enter on line 2, Recapitulation) I $
(If more space is needed, insert additional sheets of the same size)
REV-1501IX+(tA7)
SCHEDULE C
CLOSELY-HELD CORPORATION,
COM N~ERITANCECTAX RETURN ANIA pARTNERSHiP orSOLE-PROPRIETORSHIP
R I NT DENT
ESTATE OF FILE NUMBER
Greaorv. Marie H. 21 08 0461
Schedule C-1 or C-2 (Including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than asole-proprietorship.
See insUudions for the supporting information to be submitted for sole-proprietorships.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1.
TOTAL (Also enter on line 3, Recapitulation) I $
(If more space is needed, insert additional sheets of the same size)
REV-1508IX ~ (1971
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASHr BANK DEPOSITS, & MISC.
INHRESIDENTDECEDENTN PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Greg. Marie H. 21 08 0461
InGude the proceeds 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 VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. et i e toc s _
1. Refund of City/County/school taxes
TOTAL (Also enter on line 5, Recapitulation) I $
(ff more space is needed, insert additional sheets of the same size)
303.57
748.40
REV-1509 IX «(1-97)
SCHEDULE F
COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Greaorv. Marie H. 21 08 0461
ff an asset was made joint within one year of the decedern's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT
A. isa arr><cato a ut treet
Camp Hill, Pa. 17311
B
c
JOINTLY-0WNED PROPERTY:
ITEM
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 forjointiy-held real estate.
DATE OF DEATH
VALUE OF ASSET % OF
DECD'S
INTEREST DATE OF DEATH
VALUE OF
DECEDENTS INTERESI
~. A. 103006 Sovereign Bank 2,690.49 50. 1,345.25
Acct # 0574402285
2. A 103006 Sovereign Bank 3,374.63 50. 1,687.32
Acct# 0571203450
TOTAL (Also enter on line 6, Recapitulation) I $ 3,032 57
(If more space Is needed, Insert additional sheets of the same size)
REV-1510 EX ~ (1-ST)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
IAITER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF FILE NUMBER
Greaorv. Marie H. 21 08 0461
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.
DESCRIPTION OF PROPERTY % OF
ITEM INCLUDE THENMAEOFTHETRANSFEREE,THEIRRELATIONSHIPTODECEOENTIWDTHEDATEOFTRANSFER DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE
NUMBER ATfACHACOProFTHEDEEDFORREALESrATE. VALUE OF ASSET INTEREST
(IFAPPLICABLE)
1.
TOTAL (Also enter on line 7, Recapitulation) I $
(If more space is needed, insert additional sheets of the same size)
REV-1511EX+(1-97(
SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
~reaorv. Marie H. 21 08 0461
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
~. Malpezzi Funeral Home 9,408.17
2. Office of Catholic Cemeteries -Interment 850.00
3. Kananga House/Strocks -Luncheon 765.25
4. Legal Advertising -The Sentinel. Cumberland Law Journal 201.70
5 Olde Town Florist 622.75
6. Burial Marker 1,650.00
B. ADMINISTRATIVE COSTS:
~, Personal Representative's Commissions
Name of Personal Representative (s)
Sodal Security Number(s) / EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees Edward R. Carpenter, Esquire 7 100.00
3. Family Exemption: (If decedents address is not the same as daimanYs, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees Cumberland County Register of Wills 322.00
5. I Accountants Fees
6. ~ Tax Return Preparers Fees
7
TOTAL (Also enter on line 9, Recapitulation) ~ S
19.87
(If more space is needed, insert additional sheets of the same size)
REV-1512IX+(197)
SCHEDULE I
COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES ~ LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
~reaorv. Marie H. 21 08 0461
Include unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION AMOUNT
~. Settlement fees on 8 Scazsdale Rd, Camp Hill 17,564.18
see attached settlement sheet
2. Payoff of second mortgage 39,401.76
3. Dave Kretzing -Food 280.00
4. Dave's Woodworking 400.00
5. GMAC mortgage company 2,312.23
6. Heritage Medical Group, LP - 131.79
7. ROBC Limited Partnership 2 438.10
8. Internist of Central Pa 103.96
9. Lower Allen Township 87
50
sewer/refuse .
10 Lowes -supplies for house cleaning & sink repair & plumbing 725.89
11. PAWC 171
33
water company .
12 PPL 203.37
13 UGI 634.97
gas service
14 Urology of Central Pa. 35.45
15 Verizon 50.29
TOTAL (Also enter on line 10, Recapitulation) I S 70,811 66
(If more space Is needed, insert additional sheets of the same size)
REV-1513IX. (13~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
EST
SCHEDULE)
BENEFICIARIES
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I TAXABLE DISTRIBUTIONS (include outright spousal distributions)
1. Susan G. Saintz
5360 Rivendale Blvd
Mechanicsburg, Pa. 17050
2 Lisa G. Carricato
1802 Walnut Street
Camp Hill, Pa. 17311
1TIONSHIP TO DECED
Do Not List Trustee(s)
Daughter
50%
50%
AUNT OR SH
OF ESTATE
~ ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17 AS APPROPRIATE ON REV 1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET 13
(If more space Is needed, insert additional sheets of the same size)
LAST WILL AND TESTAMENT
MARIE H. GREGORY
I, MARIE H. GREGORY, presently residing and domiciled in
Lower Allen Township, Cumberland County, Pennsylvania, hereby
declare this to be my Last Will and Testament, and I hereby
revoke any and all prior wills and codicils previously made by
me.
ITEM I: All my personal effects, clothing, furniture,
furnishings, jewelry, automobiles, other tangible personal
property of every kind, together with any insurance thereon, I
give in equal shares to my daughters, SUSAN SAINTZ and LISA
CARRICATO, to be divided between them as they may agree.
ITEM II: All the rest, residue, and remainder of my estate,
I give, devise, and bequeath to my issue who survive me, per
stirpes.
ITEM III: If any income or principal shall be payable to
any person who shall not have attained the age of twenty-one (21)
years at the time of my death, or who shall be incapacitated for
any reason, my Executrix, as Trustee, shall hold all such income
and principal during the said minority or incapacity.
Trustee shall be entitled to apply any such income and
principal for the health, maintenance, support and education of
any such person,,without the appointment of any guardian and
without any authority of court.
Trustee may directly apply any income or principal
hereunder, or pay income and principal to the parent or other
person in charge of any such person, or to his or her guardian or
to a custodian under the Uniform Gifts to Minors Act or the
Uniform Transfers:;to Minors Act.
Trustee shall distribute any remaining income or principal
to which any such person shall be entitled to the said person
upon the termination of incapacity or the attainment of the age
of twenty-one (21) years.
ITEM IV: All estate, inheritance and other death taxes,
together with interest and penalties thereon, payable with
respect to propepty or interests passing under my Will or any
codicil theretA, shall be paid out of the principal of my
residuary estate without apportionment.
ITEM V: I appoint my daughters, LI5A G. CARRICATO and SUSAN
G. SAINTZ, or their survivor, as Co-Executrices and Co-Trustees
of this my Last Will and Testament. I direct that my Executrix
and Trustee shall not be required to furnish security in any
jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal,
this 4th day of December, 2006.
t ~
(SEAL)
MARIE H. GREGORY
WITNESSETH: The foregoing instrument was, on the date stated
above, signed, published, and declared by MARIE H. GREGORY, the
Testatrix named therein, as and for her Last Will and Testament,
in the presence of us, who at her request, in her presence, and
in the presence of each other, have subscribed our names as
witnesses hereto.
f~._
~~ ~ ~..~t
( it ess) (W' Hess) `~ L
(Address) - (Ad ress)
(Address) (Address)
2
ACKNOWL•EDGMENm
Commonwealth of Pennsylvania :
County of Dauphin ss.
AND NOW, this 4th day of December, 2006, I, the Testatrix
whose name is signed to the attached or foregoing instrument,
having been duly qualified according to law, do hereby
acknowledge that I signed the instrument as my Last Will and
Testament, that I signed it willingly and as my free and
voluntary act for the purposes ther n expressed.
MARIE H. GREGORY
Sworn to, subscribed, and acknowledged before me by
MARIE H. GREGORY, the Testatrix, this 4th day of December, 2006.
\ '
~Notary Public
My commission expires:
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Shana R. Geyer, Notary Public
Gty Of Hanistwrg, Dauphin County
My Commissbn Expires July 20, 2010
Nlemher p~nnsvlvania Association of Notaries
AFFIDAVIT
Commonwealth of Pennsylvania
ss.
County of Dauphin
AND NOW, this 4th day of December, 2006, we, JAMES D.
CAMERON and CYNTHIA L. CAMERON, the witnesses whose names are
signed to the attached or foregoing instrument, being duly
qualified according to law, do depose and say that we were
present and saw the Testatrix sign and execute the instrument as
her Last Will and Testament; that she signed it willingly and
executed it as her free and voluntary act for the purposes
therein expressed; that each of us in the hearing and sight of
the Testatrix signed the Will as a witness;~and that to the best
of our knowledge the Testatrix was at that time at least eighteen
(18) years of age, of sound mind, and under no constraint or
undue influence.
Sworn to and subscribed before me by JAMES D. CAMERON and
CYNTHIA L. CAMERON, the Witnesses, this 4th day of December,
2006.
vNotary Public
My commission expires:
COMMONWf=ACTH OF PENNSYLVANIA
Notarial Seal
Shana R. Geyer, Notary Public
City Of Hariisbure, Dauphin County
My Canmission Expires July 20, 2010
tilember, Pennsylvania Association of Noi~i ies
Office of Catholic Cemeteries
Diocese of Harrisburg
PO Box 3651
Harrisburg, Pennsylvania 17105'
Phone (717) 657-4804
NAME ~.~'ti~;.~-,~.~/ a.'~~s7i.•c~ ~'a'~
~~``
/~Zb~
~/ SALES CONTRACT ~q~
DATE,,~~ ~5,. ~'~r6 0~
CEMETERYC1~~ ~/'%'`,+~`ilYr;/' CEMETERY# .~
A/N •~C P/N A/R
ADDRESS •:~~C%~l.:l t/~,~y'Xjr7t~ .~'~'c'•~.
PHONE
--~ ,-- ~-
CITY /'~~~r`,~r,~~ti,~a~-°.~°{car-'~.~ STATE ~'`• ~a ZIP CODE /''~`~~i
Interment Spaces .... !~ . Q ~~'`~$ !'-~'~= } 1. Price ................. $ ~•~'
Bronze Memorials....... Q $ 2. Down Payment......... ~fr~l-~,~~+
Size
Granite Foundation...... Q $ 3. Unpaid Balance(1-2) ..... '~
Burial Vaults ........... Q $
Crypt Spaces .......... Q ~ $
Niche Spaces .......... Q $
Other
Section °~' Lot ~~ Grave(s) ~~
Building Side Crypt or Niche.
4. Finance Charge ........ .
5. Deferred Payment (3+4) . .
6. Total Price (1+4) ........ g~~•°°
7. Approx. Monthly Payment
8. Number of Payments ... .
9. First Monthly Payment Due
Selection must be made within 30 days or cemetery will make choice. 10. Annual Percentage Rate
The payment is due on the date. stated above and the remaining-payments on the same day of each succeeding month.
Buyer may prepay in advance the full amount due without,,penalty and will be entitled to a proportionate refund of the
unearned finance charge.
Upon default in the payment of any installment due hereunder for a period in excess of one hundred twenty (120) days,
Seller may, at its option, void this agreement and retain all payments made by>Buyer as liquidated damages.
Buyer hereby acknowledges receipt of an exact executed copy of this agreement at the time of execution hereof.
__ _ _.. w_... _. - er-
Before any burial is permitted in`this lot,'or-any memorial placed on #his lot,`the price of the grave and memorial must be
paid in full
a
The Purchaser(s) agree(s) to abide by all rules and regulat)ons of the cemetery now in force as well as any rules and
regulations which may hereafter be adopted. Said rules and regulations may be seen upon request at the Seller's office.
Upon fulfillment of the conditions of this agreement and receipt of all the above described payments, Seller agrees and
binds itself to convey to the Buyer, by its cemetery easement, for interment purposes only, the above mentioned number of
sites.
YOU, THE PURCHASER, MAY CANCEL THIS TRANSACTION BY WRITTEN NOTICE AT Af~Y TIME PRIOR TO MIDNIGHT
OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. ,~ ;1~'
~ a ~ •
(Authorized Representative) (Purchaser's Sign,~ture)
NOTICE: See other side for additional information. (Co-purchaser's Signature)
Ma ezz'
8 Markel Plata Way • Mechanicsburg, PA 17055 p ~ Michael J. MalpeZZi, Owner
Phone: 697-4696 FUNERAL HOME Jeremy J. Shartzer, Funeral Director
STATEMENT OF FUNERAL GOODS: `AND SERVICES -SELECTED'
Charges are only for those items that you selected or that are required. If we. are required by law or by a cemetery or crematory to use any items, we will
explain the reason in writing below:
If you selected a funeral that may require embalming, such as a funeral viewing, you may have to pay for embalming. You do-not have to pay for embalm-
ing you did not approve ff you selected ~~~~ts suc s d' cre ~~o~t,or immediate burial If we charged for embalming, we will~eai~~ below.
For the Servic~~e"`o`` f ``_i/// Date of th / ~
Charge to• ~./v.T~4'~' .,.,J.9ie~.~/ Z-.- _ ~~.:~r~,.v.t7~t~.~L.,~'/'i.u/~~- ~ /~ -
Name Address
Ciry
State
A. CHARGE FOR SERVICES SELECTED: V~L
I. PROFESSIONAL SERVICES
Services of Funeral Duector/Staff .:.... $
Embalming ......................$
Other preparation of body
Other clothing
Cremation urn .:.................. $
(Description)
OTHER
SUB-TOTAL OF PROFESSIONALSERVICES .::.....::AI $
2. FACILITB:S AND SERVICES /~~
Use of facilities and services for .~,r~%J
viewing (Visitation/Wake) ...... -
.... $
Use of facilities and services ~
for funeral ceremony ......... .... $
Use of facilities and services for
Memorial Service . ............ .... $
Use of equipment and services
for graveside service ........... .. . $
Other use of facilities
SUB-TOTAL OF FACIIITIFS/EQUII'MENT :..........A2 $
3. AUTOMOTIVE EQUIPMENT
Vehicle to transfer remains to Funeral Home
L /
Local ....................... .
.... $ ~*:/i
Hearse (Casket Coach) ''.',''_"^`
}~
Lora( ....................... -
-
....$
Limousine /"'`
Local ...........:........... .... $
Family car _..---
Local ............ ...
.......
Flower car or floral disposition .... $
Local ....................... .... $
Lead car/clergy car -
Local ....................... .... $
$ ~.~~~ .~
$
TOTAL MERCHANDISE SELECTED :.................B $
G SPECIAL- CHARGES:
Forwarding of remains to
(Funeral Home)
Receiving of remains from
(Funeral Home)
Immediate Burial ............. ..... $
Direct Cremation ... .... ..... $
SUBTOTAL OF. SPECIAL CHARGES :::.:............C $
D. CASH ADVANCED
Opening Grave
...............
....
$ •~_
Cemetery Equipment ...........
Lot and Deed ........:........ ... $
.... yc:~ U
Newspaper Notices-Local ........ .... $
Newspaper Notices-0ut-of-town ... ... $
Telephone & Telegrams .......... ... $
Airfare ............... '--
Clergy/Mass Offering ............ ... $
Pallbearers .................... ... $
~~
Certified Copies of the. Death ...... ... $
Certificate .........
Police Escort .:................ ... $
to e s
........ $
Office of Catholic Cemeteries
Diocese of .Harrisburg
PO Box 3651
Harrisburg. Pennsylvania 17105
Phone 0717) 657-4804
SALES CONTRACT
DATE ._._..~ .. `~ ~.~ ~~
CEMETERIf''~6~1~~.' -~~--~~~EMETERY#~.,~/
A/N._~^P/N A/R
NAME -~`;~~}:/"~= ''--J J~~i'~~ ~.•*~t'r'~t:~l.-.;l~Dr~?'y~' PHONE ( } ".%r~/`~' ~{':dtl,.."~
,4~`J 1~sli~?~irrJv-~~
ADDRESS ~~,~,~,~~? ~'•~{.wt~tJJ' ~!:
CITY e~iio':O,~~G f
STATE ~~ ~ ._._.71 P CODE ./ ~-~/~
Interment Spaces ....... ~
....... ~
Bronze Memorials.......
SIZe~~~~l~ ~
Gran~~~~~ation...... ~
Burial Vaults ........... ~
Crypt Spaces .......... ~
Niche Spaces .......... ~
Other
$ ~Sr'j. re''~
$ ~:.~tra/i r..r~
1. Price ................. $. ~S~J.r..e!)
2. Down Payment......... ~~~~~>.1.,~7
3. Unpaid 8alance(1-2) ..... ~n °
.~
4. Finance Charge......... ~`
5. Deferred Payment (3+~) .. .•~~
6. Total Price (1+4) ........ _ ~r~.~.~" ~.~
7. Approx. Monthly Payment ,~ _
~~~
8. Number of Payments .... ~-•
r'~
9. First Monthly Payment Due
Section ~ Lot ~.~ ~ Grave(s)~_
Building Side Crypt or Niche
Selection must be made within 30 days or cemetery will make choice, 10. Annual Percentage Rate
The payment Is due on the date stated above and the remaining payments on the same day of each succeeding month.
Buyer may prepay in advance the full amount due without penalty and will be entitled to a proporkionate refund of the
unearned finance charge.
Upon default In the payment of any installment due hereunder for a period to excess of one hundred twenty (120) days,
Seller may, at its option, void this agreement and retain all payments made by Buyer as liquidated damages.
Buyer hereby acknowledges receipt of an exact executed copy of this agreement at the time of execution hereof.
Before any burial fs permitted~iri this lot, or any memorial placed on this lot, the price of the grave and memorial must be
paid In full.
The Purchaser(s) agree(s) to abide by all rules and regulations of the cemetery now in force as well as any rules and
regulations which may hereafter be adopted. Said rules and regulations may be seen upon request at the Seller`s office.
Upon fulfillment of the conditions of this agreement and receipt of all the above described payments, Seller agrees and
binds itself to convey to the Buyer, by Its cemetery easement, for Interment purposes only, the above mentioned number of
sites.
YOU, THE PURCHASER, MAY CANCEL THIS TRANSACTION BY WRITTEN NOTi~~ AT ANY TIME PRIOR TO MIDNIGHT
OF THE THIRD B~SIN S AY AFTER THE DATE OF THIS TRANSACTION. ~ ~
,- 7
By r r , _~~
(Authoriz@,~,,,~ presentative) . (Purchaser's Signature)
NCt1'ICE: See other side for additional information.
(Co-purchaser's Signature}
Please Note: Your Sale Proceeds Check is Attached
OMB N0. 1545-0715
2008 ~ Proceeds From Broker and Barter Exchange Transactions
BROKERS Name, Address, ZIP Code, Instructions for Recipient
Federal Identification Number and Form 10998
Telephone Number: Brokers and barter exchanges must report proceeds from transactions to
Substitute COPY B FOR RECIPIENT you and to the Internal Revenue Service. This form is used to report
Mellon Investor Services "'IMPORTANT TAX INFORMATION""' these proceeds.
480 Washington Blvd. This is important tax information and is being ._ ...__.._.._ _._ . _.__._ _..___,_. _.__ _~_
Jersey City, NJ 07310 furnished to the Intemal Revenue Service. If to Data of Sale 1 b. CUSIP Number
you are required to rile a return, a negligence 05/28/2008 59156R10
ti
b
i
ed
th
22.3367522 on may
mpos
on
er sanc
e
penalty or o
you If this income is taxable and the IRS 2 Stocks, Bonds, etc. 4. FEDERAL INCOME TAX WITHHELD
Telephone: 1-800-649-3593 determines that ft has not been reported. $2,444.83 $0.00
ro wHOM PAID REPORTED ~ Gross Proceeds
TO IRS ~ Gross Proceeds less commission and
options premiums
LISA G CARRICATO 8 SUSAN G 7. Description
SAINTZ EX UW MARIE GREGORY METLIFE, INC.
1802 WALNUT ST
CAMP HILL PA 17011-3974 Investor 10 RecipienPs Identification Number on File
806578815569 202223073
Box 1 a. -Shows the trade date of the transaction. For aggregate reporting, no entry will
be present.
Box 1 b. -For broker transactions, may show the CUSIP (Committee on Uniform Security
Identification Procedures) number of the item reported.
Box 2. -Shows the proceeds from transactions involving stocks, bonds, other debt
obligations, commodities, or forward contracts. Losses on forward cgj~>~Qts are shown
in parentheses. This box does not Include proceeds from regulated >}t~y~res contracts.
Report this amount on Schedule D (Form 1040), Capital Gains and Losses.
Box 4. -Shows backup withholding. Generally, a payer must backup withhold et
a 28'Yo rate if you did not furnish your taxpayer identification number to the payer.
See Form W-9, Request for Taxpayer Identification Number and Certification, for
information on backup withholding. Include this amount on your income tax
return as tax withheld.
Box 7. - Shows a brief description of the item or service for which the proceeds or
barteringlnoome is being reported. For regulated futures contracts and forward
contracts, "RFC" or other appropriate description may be shown.
For inquiries about your account, contact BNY Mellon Shareowner Services, MetLife's Transfer Agent:
Telephone: 1-800-649-3593
E-Mail: metlife@bnymel-on.com ,
Internet: www.bnymellon.com/shareowner/isd
U.S. Mail:
MetLife
c/o BNY Mellon Shareowner Services
PO Box 358447
Pittsburgh, PA 15252-8447
YOUR ACCOUNT HAS BEEN CLOSED. THE ATTACHED CHECK REPRESENTS THE FULL VALUE OF YOUR ACCOUNT.
^ IMPORTANT TAX RETURN DOCUMENT ATTACHED ^
PLEASE DETACH BELOW __ _ a _ _ _ _ _ _ _ _ _ CHECK NUMBER: 564.18.3_ _ _
PLEASE BE SURE THIS ADDRESS APPEARS IN THE ENVELOPE WINDOW FOR PURCHASES~ONLY
Purchase Instructions 8065 7881 5569 Change of Address:'
(See reverse side to SELL)
LISA G CARRICATO & SUSAN G
BNY Mellon Shareowner Services
P.O. Box 382200
Pittsburgh, PA 15250-8200
~url~rlrlnr~r~r~r~r~~rn~rr~rn~r~~~nr~~rn~~rn~~nr~rn~~
Signature
(if address is being changed)
Make check in U.S. dollars, payable to:
MetLife Purchase Program
Amount Enclosed ~~
Minimum investment $250 (except as
described in the Purchase and Sale Brochure)
000010], 102 806578815569 0
''~ Sovereign Banff
MA1 MB3 02-10 Court Ordered Processing
P.O. Box 841005
Boston, MA 02284
December 5, 2008
Carpenter, McCadden & Lane, LLP
Attn: Mr. Edward R. Carpenter
102 Chesley Dr., 2"d fl.
Media, PA 19063
Estate of: Marie H. Gregory
Date of Death: March 4, 2008
Dear Mr. Carpenter:
Per your request, enclosed please find the account information as of date of death for the
above-named decedent. Please note the balances do not include accrued interest.
if you should have any further questions, please do not hesitate to call.
Vety truly yours,
V"._ _ ~ .__.~ _..._ ...
Linda Spavento
Team Leader
Court Order Processing
Phone (617) 533-1789
Fax (617) 533-1931
Account #: 0574402285 Type: Savings Open date: 10/30/200b
In the name of: Marie H Gregory or Lisa G Carricato
Date of Death Balance: $2,683.23
Int.(YTD) from 1/1/2008 to 2/21/2008 $6.74
Accrued interest to date of death: $0.52
Other Info:
Account #: 0571203450 Type: Checking Open date: 10/30/2006
In the name of: Marie H Gregory or Lisa G Carricato
Date of Death Balance: $3,374.24
Int.(YTD) from 1/1/2008 to 2/21/2008 $0.31
Accrued interest to date of death:
Other Info:
$0.08
Page 1 of 1
Sovereign Bank
ESTATE OF Marie H Gre or
SOCIAL SECURITY #: 202-22-3073
DATE OF DEATH: March 4, 2008
(M~"'~.-.~v:.;., _.,:..:,....~.~arrw~p_ ~,,. CJMi3...1V.V. G3VL
l3. TYPE OF LOAN:
A. 1.~FHA 2.QFmHA 3.^CONV. UNINS. 4.QVA 5.QCONV. INS.
U.S. DEPARTMENT OF HOUSING l~ URBAN DEVELOPMENT 6. FILE NUMBER: ~ 7~ LOAN NUMBER:
" 08-360 0006047508
SETTLEMENT STATEMENT g. MORTGAGE INS CASE NUMBER: OLD MORTGAGE INS CASE NUMBER:
1069/F/6.25% SKS
C. NOTE: This form is furnished fo give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown.
Items marked '(POC]" were paid outside the closing; they are shown here for informational purpoo a 3rss d to eR cHr.eRU~r~.P o ta- sooials.
D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER:
Brian L. Albright and Estate. of Marie H. Gregory
National City Mortgage, a Division
Concetia M. Albright of National City Bank
8 Scarsdale Drive 3232 Newmark Drive
Camp Hill, PA 17011 Miamisburg, OH 45342
G. PROPERTY LOCATION:
8 Scarsdale Drive
Camp Hill, PA 17011
Cumberland County, Pennsylvania
100.
101.
102.
103.
104.
105.
106.
107.
108'
109.
110.
111.
J. SUMMARY OF BORRC
i AMOUNT DUE FROM BO
;t Sales Price
al Property
lent Charges to Borrower (L
stments For Items Paid By
i Taxes 06/27/08. to 01!01/09
I Taxes 06/27/08 to 07!01/08
r. SewerlRefuse 06/27/08 to 07/01/08
120. GROSS AMOUNT DUE FROM BORROWER
200. AMOUNTS PAID BY OR IN BEHALF OF BOI
201. De osit or earnest move ;
202. Princi al Amount of New Loan s
203. Existin loan s taken sub'ect to
204. A lication Fee Credit
205.
206.
207.
_ 208.
H. SETTLEMENT AGENT: 25-1857112 I. SETTLEMENT DATE:
Midstate Abstract Company June 27, 2008
PLACE OF SETTLEMENT
2331 Market Street
Camp Hill, PA 17011
SACTION K. SUMMARY OF SELLER'S TRANSACTION
400. GROSS AMOUNT DUE TO SELLER: 175,000.(
,~~ nnn nn dn1 Contract Sales Price
Ad'ustments Forlfems Paid B Sever m aovance
406. Cit /Town Taxes to
286.73 407. Count Taxes 06/27/08 to 01/01/09 286.73
12.99 408. School Taxes 06/27/08 to 07/01/08 12.99
3.85 409. 2nd Qtr. Sewer/Refuse 06/27/08 to 07!01!08 3.85
410,
411.
198,179.52 420. GROSS AMOUNT DUE TO SELLER 175,303.57
500. REDUCTIONS IN AMOUNT-DUE TO SELLER:
000.00
2 501. Excess De osit See Instructions
,
173 625.00 502. Settlement Char es to Seller Line 1400 17,564.18
503. Existin loans taken sub'ect to
410.00 504. Payoff of first Mortgage to GMAC Mortgage, LLC 39,401.76
disb. as
509.
Ad ustments For Items Un aid d sever • •- --- -
210. Cit n'own Taxes to 510. Ci R'owri Taxes to
211. Count Taxes to 511. Count Taxes to
to 512. School Taxes to
212. School Taxes 513.
213. 514.
214. 515.
215. 516.
216.
217. 517.
518. Escrow for Inheritance Taxes to Rea er & Adler, P. 8,000.00
218.
519.
219.
220. TOTAL PAID BY/FOR BORROWER 176,035.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 64,965.94
300. CASH AT SETTLEMENT FROM/TO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER:
198 179.52 601. Gross Amount Due To Seller Line 420 175,303.57
301.' Gross Amount Due From Borrower Line 120
302. Less Amount Paid B /For Borrower (Line 220 ( 176,035.00) 602. Less Reductions Due Seller (Line 520) ( 64,965.94
303. CASH (X FROM) ( TO) BORROWER 22,144.52 603. CASH (X TO) ( FROM) SELLER 110,337.63
The undersigned hereby acknowledge receipt of a completed copy of pages 1&2 of this statement & any attachments referred to herein.
Borrower ~ 1
B n L. Albright I f , ~ Estate of Marie H. C~s4egor~ ~ ~ n r nF. R d f 4 rF
.:.
'` L. SETTLEM'ENT-CH~R'GES
700.. TOTAL COMMISSION Based on Price $ 175,OOQ.00 4.Q000 % 7,000.00 PAID FROM
' PAID FROM
'
.Division of Commission line 700 aS FOIIOWS: BORROWER
S SELLER
S
701. $ 7,000.00 to Keller Williams of Central PA FUNDS AT FUNDS AT
7p2. $ to Keller Williams of Central PA ~
703. Commission Paid at Settlement SETTLEMENT SETTLEMENT
7,000.00
704. to
800. ITEMS PAYABLE IN .CONNECTION WITH LOAN
801. Loan Ori ination Fee 1.0000 % to .National Cit Mort a e, a Div: of National Cit Ba 1,710.60
802. Loan Discount % to National City Mortgage, a Div. of National City Ba -1,736.25
803. Appraisal Fee to .Network Appraisal Services
804. Credit Report to CSC/Equifax 375.00
9.70
805. Lender's Inspectien Fee to
806. Loan Processin Fee to National Cit Mort a e, a Div. of National Cit Ba
807. Underwriting Fee to National City Mortgage, a Div. of National City Ba
808. Flood Certification Fee to FIS Flood Services 175.00
200.00
5.00
809.
810.
811.
900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interest From 06/27/08 to 07/01/08 @ $ 29.730000/day ( 4 days %) 118.92
902. Mort a e Insurance Premium for months to FHA 2,565.90
903. Hazard Insurance Premium for 1.0 ears to Erie Insurance Exchan a POC:B354.00
904.
905.
1000. RESERVES DEPOSITED WITH LENDER
1001. Hazard Insurance 3.000 months $ 29.50 er month 88.50
1002. Mort a e Insurance 1.000 months $ 70:90 er month 70.90
1003. Cit /Town Taxes months $ er month
1004. Count Taxes 5.000 months $ 46.52 er month 232.60
1005. School Taxes 13.000 months @ $ 99.92 per month 1,298.96
1006. months $ er month
1007. months er month
1008. A re ate Ad'ustment months $ er month -245.13
1100. TITLE CHARGES
1101. Settlement or Closin Fee to
1102. Abstract or Title Search to
1103. Title Examination to
1104. Title Insurance Binder to
1105. Electronic Document Pre to Midstate Abstract Com an 50.00
1106.. Closin Service Letter to Midstate Abstract Com an 35.00
1107. Attorney's Fees to Reager & Adler, P.C. Deed Preparation 150.00
includes above item numbers:
1108. Title Insurance to MIDSTATE ABSTRACT 1 233.75
includes above item numbers.1102, 1103 & 1104
1109. Lender's Coverage $ 173,625.00
1110. Owner's Coverage $ 175,000.00 1,233.75
1111. Endorsements 100, 300, 8.1 to Midstate Abstract Company 150.00
1112. Notary Fee to Midstate Abstract Company. 10.00
1113. Notary Fee to Midstate Abstract Company 5.00
1114. Overriight Fees & Handling to Midstate Abstract Comp2 y 15.00 15.00
1115. Wire Transfer Fee to Midstate Abstract Company 10.00
1116. Transaction Fee to Keller Williams of Central PA 250.00
1117. Transaction Fee to Keller Williams of Central PA 250.00
1118. 2nd Qtr./3rd Qtr. Sewer/Refuse to Lower Allen Township Authority 87.50 87.50
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recording Fees: Deed $ 40.50; Mortgage $ 52.50; Releases $ 93.00
1202. Cit /Count Tax/Stam s: Deed 1,750.00• Mort a e 1,750.00
1203. State Tax/Stam s: Deed 1,750.00; Mort a e 1,750.00
1204.
1205.
1300. ADDITIONAL SETTLEMENT CHARGES
1301. Surve to
1302. Pest Ins action to
1303. Tax Certification to Bonnie K. Milier Tax Collector 13-25-0022-219 10.00
1304. Home Ins action to AnS Co. 330.00
1305. See addit'I disb. exhibit to 13,992.00 8,296.68
1400. TOTAL SETTLEMENT CHARGES Enter on Lines 103, Section J and 502, Section K 22,875.95 17,564.18
By signing page 1 of this stalemen( the signatories acknowledge receipt o(a completed copy of page 2 of this two page statement.
Midstate Abstract Compa y
Seitlement Agent
Certified to be a true copy.
ADDITIONAL DISBURSEMENTS EXHIBIT
Borrower: Brian L. Albright and Concetta M. Albright
Seller: Estate of Marie H. Gregory
Lender: National City Mortgage, a Div. of National City Bank
Settlement Agent: Midstate Abstract Company
(717)763-1383
Place of Settlement: Camp Hal le PA t17011
Settlement Date; June 27, 2008
Property Location: 8 Scarsdale Drive
Camp Hill, PA 17011
Cumberland County, Pennsylvania
.~~r~ioCC hlll B~
PAYEEIDtSCrur ~
HSBC/BOSCOV'S
Disbursement
UNVL/CITI
Disbursement
HSBClBJS
Disbursement
Discover Card
Disbursement
Susan G. Saintz
Reimbursement
Lisa G. Carricato
Reimbursement
Total Additional Disbursements shown on Line 1305
458.00
2,591.00
3,625.00
7,318.00
2,731.78
5, 564.90
$ 13,992.00
$ 8,296..68
(ALBRIGHT.BRIAN.PFD/08-360!11)
f2OBC Limited Partnership Statement
202 Black Matt Road
Douglassville, PA 19518 Account: horobc - 0215 - hogremar
Date: 06/17/08
Marie Gregory Payment:
c/o Susan Saintz
5360 Rivendale Blvd
Mechanicsburg, PA 17050
Date Description Charges Payments Balance
Balance Forward 0.00
02/10/08 Non Refundable Deposite 750.00 750.00
02/10/08 Telephone Hook Up Fee 30.00 780.00
02/10/08 Rent 02/10/08-02/29/08 1,426.00 2,206.00
02/10/08 Local Teleph Serv 02/10-02/29 10.00 2,216.00
02/15/08 chk# 1250 750.00 1,466.00
02/19/08 Long Distance Chgs 1/16/08-2/18!08 2.00 1,468.00
03/01 /08 Rent 2,175.00 3,643.00
03/01/08 Basic Local Telephone Service 15.00 3,658.00
03/17/08 Credit Rent 03/15/08-03/31/08 " -1,212.00 2,446.00
03/17/08 Credit Basic Telehp Serv 03/15-03/31 -8.50 2,437.50
03/17/08 Long Distance Chgs 2/19/08-3/16/08 0.60 2,438.10
i
Current 30 Days 60 Days 90 Days Amount Due
0.00 0.00 0.00 2,438.10 2,438.10
DRINKS PAINTING
14 MARBLE STREET, RD 4
MECHANICSBURG, PA 17055
NAME/ADDRESS ~
LISA CARRICATO
MOTHER'S HOME
8 SCARSDALE DRIVE
CAMP HILL, PA. 17011
(HM) 761-7003/ (CELL) 608-9745
Est~t~at~-Drinks Ptg
DATE ESTIMATE NO.
02/25/`08 876
TERMS DUE DATE PROJECT
Due on receipt 02/25/'08 Job 1
ITEM DESCRIPTION QTY RATE TOTAL
PAINTIN... PAINT 2 COATS ON CEILINGS & WALLS IN MASTER 800 0.50 400.00
BEDROOM/CLOSETS (SF)
PAINT W... PAINT 4-CITE WINDOW IN-MASTER BEDROOM 1 30.00 30.00
PAINT W... PAINT 2 1-CITE WINDOWS IN MASTER BEDROOM 2 20.00 40.00
PAINTIN... PAINT BASEBOARD & DOOR FRAME MOULDING IN 108 1.00 108.00
MASTER BEDROOM
PAINTIN... PAINT 2 COATS ON OTHER BEDROOM 220 0.50 110.00
CEILING/CLOSET WALLS & CEILING (SF)
PAINT W... PAINT 2 4-CITE WINDOWS IN OTHER BEDROOM 2 30.00 60.00
PAINTIN... PAINT BASEBOARD & DOOR FRAME MOULDING IN 80 1.00 80.00
OTHER BEDROOM (LF)
PAINTIN... PAINT 2 COATS ON WALLS & CEILING IN OFFICE 600 0.50 300.00
ROOM/CLOSETS (SF)
PAINT Y~... PATNT 4-CITE WINDOW IN OFFICE ROOM 1 30.00 30.00
PAINTIN... PAINT BASEBOARD & DOOR FRAME MOULDING IN 82 1.00 82.00
OFFICE ROOM (LF)
PAINTIN... PAINT 2 COATS ON CEILINGS & WALLS IN 472 0.50 236.00
HALL/CLOSETS (SF)
PAINTIN... PAINT BASEBOARD,STAIR STRINGER & DOOR FRAME 160 1.00 160.00
MOULDING IN HALL (LF)
PAINTIN... PAINT 2 COATS ON CEILINGS & WALLS IN 146 0.50 73.00
BATHROOM (SF)
PAINT W... PAINT 1-CITE WINDOW IN BATHROOM 1 20.00 20.00
PAINTIN... PAINT DOOR FRAME MOULDING IN BATHROOM (LF) 17 1.00 17.00
PAINTIN... PAINT 2 COATS ON CEILINGS & WALLS IN LIVING 1,152 @.50 576.@0
ROOM/CLOSET & DINING ROOM (SF)
PAINT W... PAINT 2 4-CITE WINDOWS IN LIVING ROOM 2 30.00 60.00
SUBMITTED BY T~tai
SIGNATURE
Page 1
DRINKS PAINTING
14 MARBLE STREET, RD 4
MECHANICSBURG, PA 17055
~ NAME/ADDRESS ~
LISA CARRICATO
MOTHER'S HOME
8 SCARSDALE DRIVE
CAMP HILL, PA. 17011
(HM) 761-7003/ (CELL) 608-9745
Est~ma#~-~rinl~s Ptg
DATE ESTIMATE NO.
~ 02/Z5/' 08 ~ 876
TERMS DUE DATE PROJECT
Due on receipt 02/25/'08 Job 1
ITEM DESCRIPTION QTY RATE TOTAL
PAINT W... PAINT FRONT PICTURE WINDOW IN LIVING ROOM 1 3@.00 30.00
PAINT W... PAINT 2 1-CITE WINDOWS IN LIVING ROOM & 2 20.00 40.00
DINING ROOM
PAINT W... PAINT 4-CITE WINDOW IN DINING ROOM 1 30.00 30.00
PAINTIN... PAINT BASEBOARD & DOOR FRAME MOULDING IN 160 1.00 160.00
LIVING ROOM/DINING ROOM (LF)
PAINT B... PAINT 2 DOUBLE LOUVRED BI-FOLD CLOSET DOORS Z 52.00 104.00
IN LIVING ROOM
PAINT E... PAINT INTERIOR OF FRONT ENTRY DOOR 1 50.00 50.00
PAINTIN... PAINT 2 COATS ON KITCHEN CEILING & WALLS 350 0.50 175.00
(SF)
PAINTIN... PAINT BASEBOARD MOULING & DOOR FRAME IN 40 1.00 40.00
KITCHEN (LF)
PAINTIN... PAINT DOOR TO BASEMENT 1 40.00 40.00
PAINT B... PAINT BLOCK WALLS IN BASEMENT POWDER ROOM 170 0.60 102.00
(SF)
PAINTIN... PAINT DRYWALL CEILING & WALL IN POWDER ROOM 40 0.50 20.00
(SF)
PAINT W... PAINT WINDOW IN POWDER ROOM 1 20.00 20.00
PAINTIN... PAINT DOOR FRAME IN POWDER ROOM (LF) 17 1.00 17.00
PATCHING ALL DRYWALL REPAIR-HOURLY RATE 4 35.00 140.00
1
~~~
~~ ~~
f ....__.-----, ,
SUBMITTED BY
~~-~, ~
Total
^_
~~;
SIGNATU
~.i ~~ ~ ..,~~--~ vLv , $3,350.00
Y"
Page 2
a~ <~~,
'~ ,
DRINKS PAINTING
14 MARBLE STREET, RD 4
MECHANICSBURG, PA 17055
NAME/ADDRESS ~
LISA CARRICATO
MOTHER'S HOME
8 SCARSDALE DRIVE
CAMP HILL, PA. 17011
(HM) 761-7003/ (CELL) 608-9745
Estimate-®rir~ks P#~
DATE ESTIMATE NO
~ 02/25/' 08 ~ 879
TERMS DUE DATE PROJECT
Due on receipt 02/25/'08 Job 4
ITEM DESCRIPTION QTY RATE TOTAL
PAINT B...
PAINTIN... PAINT BLOCK WALLS IN LAUNDRY ROOM (SF)
PAINT PEG BOARD IN LAUNDRY ROOM (SF) 175
85 0.60
0.60 105.00
51.00
SUBMITTED BY ~ ~ ;:%
SIGNATURE ~/h/~ T~t~i
$156.00
DRINKS PAINTING
14 MARBLE STREET, RD 4
MECHANICSBURG, PA 17055
NAME/ADDRESS
LISA CARRICATO
MOTHER'S HOME
8 SCARSDALE DRIVE
CAMP HILL, PA. 17011
(HM) 761-7003/ (CELL) 608-9745
Estimate-~ri~~s Ptg
AD TE SS ITE MATE NO.
02/25/'08 878
TERMS DUE DATE PROJECT
Due on receipt 02/25/'08 Job 3
ITEM DESCRIPTION QTY RATE TOTAL
GENERAL... REMOVING CARPETS, REMOVING TACK STRIPS (HRS) 4 35.00 140.00
GENERAL... SANDING OUT FLOORS (HRS) 16 35.00 560.00
POLY FL... POLYURETHENE DINING, LIVING ROOM, HALL & 600 1.50 900.00
MASTER BEDROOM FLOORS (SF)
SUBMITTED BY
~-- ~~t~)
600
00
$1
SIGNATURE ~ ~~~ .
,
~-
DRINKS PAINTING
14 MARBLE STREET, RD 4
MECHANICSBURG, PA 17055
NAME/ADDRESS ~
LISA CARRICATO
MOTHER'S HOME
8 SCARSDALE DRIVE
CAMP HILL, PA. 17011
(HM) 761-7003/ (CELL) 608-9745
Estlm~te-®ri~ks Ptg
DATE ESTIMATE NO.
02/25/'08 877
TERMS DUE DATE PROJECT
Due on receipt 02/25/'08 Job 2
ITEM DESCRIPTION OTY RATE TOTAL
PAINT G... SCRAPE, PRIME & PAINT EXTERIOR GARAGE DOOR & 1 160.00 160.00
FRAME
PAINT E... SCRAPE, PRIME & PAINT-EXTERIOR OF FRONT 1 50.00 50.00
ENTRY DOOR
PAINT D... SCRAPE, PRIME & PAINT EXTERIOR FRONT & BACK 2 25.00 50.00
DOOR FRAMES
PAINT W... SCRAPE, PRIME & PAINT LARGE FRONT WINDOW 1 40.00 40.00
FRAME
PAINT W... SCRAPE, PRIME & PAINT OTHER WINDOW FRAMES 7 20.00 140.00
PAINT 5... PAINT EXTERIOR SHUTTERS GREEN 16 35.0@ 560.00
SUBMITTED BY
SIGNATURE ~,~~` tea/ i~ Total
$1,000.00
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