HomeMy WebLinkAbout03-31-09
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15056051047
REV-1500 ( )
EX 06-05 OFFICIAL USE ONLY
PA Department of Revenue County Code Year File Number
Bureau of Individual Taxes ~ ~ INHERITANCE TAX RETURN
PO BOX 280601
_ Harrisburg, PA 17128-0601 - RESIDENT DECEDENT 2 1 ® ~ 0 2 9 4
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
L 2 4 5 2 9 6 8 7 0 3 1 1 2 0 0 8 0 9 2 0-1 9 5 7
Decedent's Last Name Suffix Decedent's First Name MI
T E M P E R A T 0 P E T E R A
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
T E:M P E R A T 0 N I C '0 L E R
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
1 6 4 6 2 4 4 1 4` REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
C)p 1.Original Return O 2. Supplemental Return O 3. Remainder Return (date of death
prior to 12-13-82)
O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required
death after 12-12-82)
O 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 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 CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
J A N E M` A`L E X A N D E R 7
Firm Name (If Applicable)
First line of address
1 4 8 S B A L T I'M O R E S T R E E T
Second line of address
City or Post Office State
D I L L S B U R G P A
Correspondent's a-mail address
ZIP Code
1 7 4 3 2 4~:~ 1 ~.
~...
REGISTEq~C~F~fVILLS U96rDNLY -,-;
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DATE FILED C'~ `~
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Under penalties of perjury, 1 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 which preparer has any knowledge.
~SIGNATURE o~ PERS RESPON LE FOR FILING RET RN DArT~E -i.n
ADD ESS
34 Drexel Place, New Ctmberland, PA 17070
SIGNAT RE OF PREPARE TH R THA EP SENTATIVE DATE
,~
AD E S
148 S. BaltimDre St. Dillsburg, PA 17019
PLEASE USE ORIGINAL FORM ONLY
Side 1
15056051047 15056051047 J
15056052048
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: Peter A. Temperdt0 1 2 4 ~ 2 9 6 7
RECAPITULATION
1. Real estate (Schedule A) . ......................................... ... 1. ~ 8 4 9 ~. 0 0
2. Stocks and Bonds (Schedule B) .................................... ... 2. •
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .. ... 3. •
4. Mortgages & Notes Receivable (Schedule D) .......................... ... 4. •
5. Cash, Bank Deposits & Miscellaneous Persona! Property (Schedule E) ..... ... 5. •
6. Jointly Owned Property (Schedule F) O Separate Billing Requested .... ... 6. •
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested..... ... 7.
8. Total Gross Assets (total Lines 1-7) ................................. ... 8. 7 8 4 9 O; O ~
9. Funeral Expenses & Administrative Costs (Schedule H} .................. ... 9. $ 'S ~ 6 • 9 2
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............. ... 10. 6 7 6 ~ 7 7 ~
11. Total Deductions (total tines 9 & 10) ................................ ... 11. '] 6 j 8 4 6 2
12. Net Value of Estate (Line 8 minus Line 11) ....................... . ... ... 12. 2 3 0 5 3 $
13. Charitable and Governmental BequestslSec 9113 Trusts for which
an eVection to tax has not been made (Schedule J) ..................... ... 13. .
14. Net Value Subject to Tax (Line 12 minus Line 13) ..................... ... 14. 2 3 0 5 • 3
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 .o- 2 3 0 5_• 3 8_ 15. 0. 0 0
16. Amount of Line 14 taxable
at lineal rate X .0 _ 16.
17. Amount of Line 14 taxable
at sibling rate X .12 17.
18. Amount of Line 14 taxable
at collateral rate X .15 18. •
0
0 0
19. TAX DUE ...................................................... ...19.
•
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Side 2
15056052048 15056052048 J
`5502 EX+ (7-83)
COMMONWEALTH OF PENNSYLVANIA SCHEDULE '~Arr
INHERITANCE TAX RETURN
RESIDENT DECEDENT REAL ESTATE
ESTATE OF FILE NUMBER
Peter A. Tanperato 21-flg-0294
(Property jointly-owned with Right of Survivorship must be disclosed on Schedule "F") All real estate should be reported at fair market
value which is defined as the price at which property would be exchanged between o willing buyer and a willing seller, neither Ming
compelled to buy or sell, both having reasonable knowledge of the relevant facts.
ITEM DESCRIPTION VALUE AT DATE
NUMBER OF DEATH
1.
All that certain tract of land with the improvsnents thereon erected,.
situated in the township of Lower Allen, County of Cumberland, C~aanw~lth of
Pa, known and rngnbered as 34 Drexel Place acquired by deed dated July 27, 1993
from Gary A. K:-ull and Margarette K .ull his wife to Peter A. Tenperato recorder
in the office of the Record of Deed of Cumberland County Pa. in Record Book M3~
page 200.
Mortgage to Citi Nbrtgage Balance at date of death $60,149.36
$78,490.00
TOTAL (Also enter on line 1 Recapitulation) I $78,490.00
nr ....,.e ....,..o ~~ „ooava incwrt additional sheets of some size.)
SCHEDULE A
ALL THAT CERTAIN PARCEUUNIT OF LAND IN TOWNSHIP OF LOWER
ALLEN, CUMBERLAND COUNTY, COMMONWEALTH OF PA, AS MORE
FULLY DESCRIBED IN BOOK M36 PAGE 200 ID# 13 25 008 0024 UE 34-1,
BEING KNOWN AND DESIGNATED AS UNIT NO. 34; BUILDING E, SECTION
B, PHASE ONE VILLAGE ONE FOXLEA RESIDENTIAL COMMUNITY.
SURVEY OF PLAN PREAPRED BY GERRIT J. BETZ ASSOCIATES, INC.,
ENGINEERS AND SURVEYORS, SHIREMENSTOWN, PENNSYLVANIA,
DATED APRIL 6, 1979 AND REVISED JUNE 6, 1979.
BEING THE SAME FEE SIMPLE PROPERTY CONVEYED BY DEED FROM
GARY A. KULL and MARGARETTA L. KULL HUSBAND AND WIFE TO PETER
A. TEMPERATO, DATED 07/27/1993 RECORDED ON 08/23/1993 IN BOOK
M36, PAGE 200 IN CUMBERLAND COUNTY RECORDS, COMMONWEALTH
OF PA.
REV-1511 EX+ (12-99)
.~
.'`
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
FILE NUMBER
Peter A. Temperato 21--08-0294
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. t FUNERAL EXPENSES: Stone and Murray Funeral Home $1,815.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s) None ~~I[led
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees
Jane M, Alexander $2,500.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Nicole R T~rato $3,500.00
Street Address 34 Drexel Place
City New C.rnnharlaruf State p,~,_ Zip 17(l7n
Relationship of Claimant to Decedent q~~~
4. Probate Fees $238.00
5. Accountant's Fees
g. Tax Return Preparer's Fees
~~ Ctmberland Law Jot,rrr~1 Advertising Grant of Letters $75.00
8' The Sentinel Advertising Grant of Letters $199.92
9 . Fi 1 i ng Inhex i.tance Tax Return and Inventory Op
10. Fi l ; ng First and Final Accamt $130.00
11. Notary Fee`s $9.00
12. Recording Award and Decree of Distribution of Real Estate $10.00
TOTAL (Also enter on line 9, Recapitulation)' $g,,506,g2
(If more space is needed, insert additional sheets of the same size)
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REV-1512 EX+ (12-03)
COMMONWEALTH OF PENNSriVANiA
lNHERiTANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LfABIUTIES, & DENS
ESTATE OF FILE NUMBER
Peter A. Temperato 21-OEr-0294
Report debts Incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
{TEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1.
NAT Bank Tnstal?~t Login No 950266136
2. Citi Mortgage Inc. loan #2002172403 Nbrtgage
3. Picu~acle Health Emergency Acc#910069075
4. Pirutacle Health Hiosp.
5. P.P&L Electric Service Debt of Decendant
6. Pennsylvania American Water Debt of Deceit
7. Comcast Debt of Decertdant
Total
TOTAL (Aiso enter on line 10, Recapitulation) ~
(If more space is needed, insert additional sheets of the same size)
$3,730.00
$60,149.36
$780.00
$2,907.24
$58.75
$42.64
$9.71
$67,677,70
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03/18/09
PETER R T~;MPERATO
NICOLE R TEMPERA'i'O
34 DREXEL PL
NEW CUMBERLND PA 17U'IU 2202
Dear CitiMortgage Customer(s):
This letter is in response to your inquix'y regarding your mortgage
loan balance. Your pr.~.~lCipal balance a~ of 03/71/UB was $60,149.36.
Tf ypu need further assistance;, you may write to our CusComP_r Service
r~pparrment at the iollowiriy acidreaa:
CitiMortgage, Ir~G•.
P.O- Box 9438
Gaithersburg, MD 20898-9439
When you call 4r, write to u~, please refer to your loan number
2002172403. Thank you.
Customer Service Department
CitiMortgage, Inc.
(717) 932-4243
Fax Number
09031800000653
2002-02-28 21:36 520 662 7199
Paqe 2
__ - __
If paying by credit card, please check box and fill out information below.
PINNACLE HEALTH EMERG
PO BOX 8500-55168
PHILADELPHIA PA 19178-5168
.~._ To Pay Your Bill Online
Please Visit:
www.shcl billpay.com/PHE
•
PETER TEMPERATO
34 DREXEL PL
NEW CUMBERLAND PA 17070-2202
Ir~rlll~~~lll~~rlrrrlll~~~~~l~l~rl~lllrr~~~l~lr~llrrl~~l~~lrll
PINNACLE HEALTH EMERG
PO BOX 8500-55168
PHILADELPHIA PA 19178-5168
I~~~Illrl~~~~~lllr~~ll~~l~rlrl~r~rll~ll~rl~rl~~l~rll
PLEASE CHECK BOX IF ABOVE ADDRESS IS INCORRECT OR INSURANCE PLEASE DETACH AND RETURN TOP PORTION WITH PAYMENT.
INFORMATION HAS CHANGED, AND INDICATE CHANGE(S) ON REVERSE SIDE
Account #: PHE 910069075 Please Pay: $780.00 Payment Due: 04/06/08
1
03/10/08 FRONKO M EMER DEPT HIGH SEVERITY&T
03/10/08 FRONKO M INTUBAJ ENDOTRACHEAL EMER
~'~* IMPORTANT NOTICE *~~
PAYMENT IN FULL IS REQUIRED. IF YOU ARE UNABLE TO
PAY IN FULL, PLEASE CONTACT US IMMEDIATELY TO MAKE
FORMAL PAYMENT ARRANGEMENTS.
Patient Name: PETER TEMPERATO
Physician Services Provided By:
PINNACLE HEALTH EMERG
PO BOX 8500-55168
PHILADELPHIA PA 1 91 78-51 68
1299
451.00 451.00
329.00 329.00
Account
Balance: Amount Due
$780.fl0 $780.00
~,a:: To Pay Your Bill Online Billing Inquiries:
,, Please Visit: 440-717-5555 or800-579-7777
~~' wwwshclbillpay.com/PHE E-MAIL: questions~shcservice.cor
MON. -FRI. 8:OOam to 6:OOpm ES-
y
CARD NUMBER AMOUNT
SIGNATURE EXP DATE
Pay This Amount Account Code Account Number
780.00 PHE 910069075
Statement Date Payment Due Date SHOW AMOUNT
03/20/08 04/06/08 PAID HERE $
COMPUTER CREDIT, INC.
CLAIM DEPT 083307. 640 West Fourth Street . Post Office Box 5238. Winston-Salem, NC . 27113-5238 .336-761-1538
September 02, 2008
136 SHi 36540 0491830345
Estate Of Peter Temperato
For: Temperato, Peter
34 Drexel Pl
New Cumberland, PA 17070-2202
1111111111111111111111111111111it111111II1111111111t1111111111
Pinnacle Health Hospitals
Attention: Diane
Telephone: (717) 230-3417
or 1-800-603-6064
Acct. No. 280224345 A
Date of Service: 03-11-08
ACA
INTERNATIONAL
The Avociation of Credi[
and Collccdon Pcefr~slmxls
Afem6cr
AMOUNT DUE: $2,907.24
1?ear Estate Of Peter Temperato:
PLEASE SEE IMPORTANT NOTICE ON BACK
Your overdue balance with Pennsylvania Psychiatric Institute has been referred to Computer Credit, Inc. (also referred to
in this letter as CCI) for collection. Our records indicate that this debt is your responsibility. This letter will serve to
inform you that your account remains unpaid and we expect resolution of your obligation to the hospital. Computer
Credit, Inc. is a debt collector and a member of ACA International, the Association of Credit and Collection Professionals.
This conununicadon is an attempt to collect a debt and any information obtained will be used for that purpose. Unless
you notify our office that you dispute the validity of this debt within 30 days of receiving this letter, we will assume that
the debt is valid and expect it to be paid.
Pay the anlount due to prevent further collection activity by Computer Credit, Inc. We appreciate your attention to this
matter.
C~ Payment in full is expected.. Partial payments will not stop the collection process. If
you have recently paid your balahce in fuU, thank you.
C. Jordan You maybe elig~b/e for assistance through a financial support care program. You
may call the number above if you have questions or if you think you maybe eligible.
Director of Operations
To learn more about why you received this letter, you may contact CCI:
1? ~~ra~.infonnationcci.com login code: 04.91830345'ENP
Return this portion with your payment
~ .-~ ~ • •
otsceylx ^
CARD NUMBER EXP DATE
SECURITY CODE AMOUNT
SIGNATURE
PR{NT CARDHOLDER'S NAME
I LIN AD RE BILLING ZIP CODE
Computer Credit, Inc. "' _~"~"° 36500
CCI KEY: 0491830345
GUAR NAME ; Es#ate Of Peter Temperato
ACCOUNT NO 280224345 A
AMOUNT DUE $2,907.24
You may make check payable to:
Pinnacle Health Hospitals
PO Box 2353
Harrisburg, PA 17105-2353
11111111111111111111111111111111111111111111111111111114111111
,:
,,, ;
`°d°'®' «d'-' Page 1 _ .
. +r
v Yai`f~Bil1;rSir~,otu~i-~iteil6er
PPL Electric n ; o _
... ^' ~ °, ~ ~ ~ ~~~~ ~. 55850-81004 .
Ut~lit~es ~-K`~5~~5
'iv3i~e;~ ~>at~i
Electric Summary Page
Service
Balance as of Mar 5, 2008 $0.00
For: Char es:
PETERTEMPERATO Tota~PL ELECTRIC UTILITIES Charges $58.75
34 DREXEL PL
rrEwcvMSERLnrm PA »o~o Total Charges $58.75
Account Balance $58.75
Questions about
this bill? Please
contact us by Mar 26
at 1-800-34Z-5775
(100-DIAI.-PPL)
or write to:
Customer Service - ~~
827 Hausman Rd.
Allentown, PA
18104-9342
www.pplelectric.com
• Meter Reading Information
Electric KwH -Average Per Day
Use 36 -
30
This graph shows
your elecinc use 24
over the last 13
months. 18
Types of
Meter Readings: 12
Actual 6
Estimated 0
Customer
J1
Meter #84G14817
Mar 5 Actual 25785
Feb 4 Actual 25274
_
30 Da s KWH Billed 506
Average -Mar 2007 2008
Tempperature
KWH P
D 27F
21 33F
17
er
ay
Yearly Use: Total Average
Use Monthly
Apr 2006 -Mar 2007 5848 487
Apr 2007 -Mar 2008 6096 .
508
MAMJJA50NDJFM
2007 Months 2008
b ri
Other important information on back 3
_ -_-_---_. _ ._,,.. .......... ....uuva uffllUlJ JU/I1N1~!/}/ _.__ _
or Service To: Peter A Temperato ___-____-prior Balance--------.----.~___
34 Drexel PI Prior Water Balance
Account Number:24-0629453-4 Payments prior to Mar 10, 2008. Thanksl
Premise Number: 24-0371942 Total prior balance, Mar 10, 2008
-----Current Water Charges--------
Billing Perfod & Meter lnformatlon 5ervice charge
Billing Date: Mar 10, 2008 Water Volume ($.006809 x 4,500)
Billing Period: Feb 04 to Mar 05 (30 days) Total water charges, Mar 10, 2008
Next reading on/aboutc, Apr 04, 2008
Rate-Type: Residential --AMOUNT DUE ----- -
Meter readings in current billing period:.
Meter Number N037713842 is a 5/8-inch meter.
Present-actual 542900 ~~~ ~~L
Last-actual 538400
Gallons used 4500 ~ 1".
,~ ~ ~~ as
-. ~
Water Usage Comparison
`~,~ Monthly usage in hun
4~
~~ "' ~..
,_ ~~
ed gallons.
7. v1
~~
2 M A M 'J J A $ O N D J F M 2
a p a u u u e c o e a e a p
r y, n I g p t v c n b r 0
8
$35.83
-35.83
.00
12.00
30.64
42.64
$42.64
Messages to you from Pennsylvania American Water
Any portion of the water charges which is not paid as of 4/07/08 will be subject to a i.50% penalty.
' Customers may use their credit card, debit card or pay by electronic check only by calling toll free: 1-866-271-5522.
Customers may also pay on-line at www.water.paymyblll.com. Aservice fee wit! apply.
'Approximately 4.20 percent or $1.79, of State taxes are included in your current bill.
" Save time and money by signing up for Penner}dvania American Water's automatic payment proms ,m. Your
gill will be paid directly from your checking or : igs account
'Have you moved or changed your phone numuer? Please let us know, so that we can update our
customer records. To update your information, call us toll-free, 24 hours a day at 800-565-7292.
'ATTENTION LANDLORDS: Interested landlords can sign up for Pennsylvania American Water's landlord
revert agreement program, whereby every limp-~ tenant moves out of the rental property, the account
wtomahcally reverts back into the landlord's 1 s. To participate, the landlord only pays the
$30 activation fee one time. For more information,~lease contact our customer cal! center at 80G• _ ,5-7292.
'Did you know that March 22 is World Water Day. There are more than 1 billion people worldwide
without access to safe drinking water and more than 2.6 billion without access to adequate sanitation.
For more than a decade, American Water has supported Water for People (WFP), an international non-governmental
.organization (NGO) that helps to bring drinking water, basic sanitation and hhygiene education to those in need.
In addition to fundraising, our employees have donated their time, efforts and expertise to
-this critical cause. To learn more, log on to www.amwater.com.
003824/003824 PCEC5G 7AV05 1
Customer Service: & Emergencies 1-800-565-7292.(24 Hours)
For Hearing Impaired Customers TDD 1-800-300-6202.(24 Hours)
Visit us on the INTERNET: wwvv.pawc.com
aAwaoo
-A1M 3565..
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Visif us on the web at
www.comca~t.com
..PETER A: TIrMPERATO
For service at:
34 DREXEL PL
NEW CUMBERLAND PA 17070-2202
News from Comcast
ACCOUNT D` - TOTAL ~ ~.
NUMBER D~, _ AMOUNT DUE
[x u ^
09587222172-Oy-0 03/25/68 $9.71
.1lndicatesthe Comcast
services you subscribe tc
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~~
Did you know'that in addition to great cable and High-Speed
Internet, Comcast -offers home phone service as well?-sign up
for Camcast Digital-Voice and start saving today. Call
1-800-COMCAST for more details.
Corncast has-the HDTV programs that you want to see, even
-HD-On Demand: Enjoy-eight new HD Channels including Sci-F
Channel HD, Discovery Channel HD, USA Network HD and.
more!
Hearing /Speech Impaired Catl 711
F~.~~
How to reach us...
How to reach us:
4830 Carlisle Pike, Su'da D-14
Mechanicsburg, Pa 17055
(717}540-8900
Telephone Customer Service
24 hours a day, seven days a week
Summary of Charges Statement praparea p2I28ro8
Billed from 03/11!08 to 04H0168
Previous Balance 19.42
19.42`cr
Payments (received by 02/28/08).
Comcast Cable,Teleyision `_ _ _ 9.10
Taxes, Surcharges ~ Fees.. - O.fi1 .
Total Due $9.71
Detail of Chargeti on back
t. ~-lp ~'fl~~
~d~ ~`1~
~, !~
REV 1513 EX . (1 97(
SCHEDULE)
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
ESTATE OF
Peter A. Temperato
21-0Fr0294
FILE NUMBER
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS (include outright spousal distributions)
1 ~ Nicole R. Te>t~erato
34 Drexel Place Wife $30,000
New Ctmberland, PA 17070
2. Keauieth A. Temperato
34 Drexel Place Son (a mlvnor)
New Cunber].ar>,d, PA 17070
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINE S 15 THROUGH 17, AS APPROPRIAT E, ON REV 1500 COVER SHEET
I I. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
None
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
None
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET S
(If more space is needed, insert additional sheets of the same size)