HomeMy WebLinkAbout02-24-10+- t
15056051058
REV-1500 E>< (os-o5) o~„LL „sE oNLY
PA oepaMrent of Re+rerltre
Bureau of Individual Tortes Coady Code Yearr\ FNe Number
~Harn~scdmg~17t28-oeol 'N RESIDE TED EDE T~ ~' ( v
(~~
ENTER DECEDENT INFORMATION BELOW
Socal Security Number Date of Death Date of Birth
093-26-7277 12/03/2009 06/03/1915
Decedent's Last Name Suffix Decedent's First Name MI
Cattuti Anna M
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Seauihr Number
ails RETI>RN iiwsr ~ ~Ii~ ~ DuPUCATE wall THe
REGISTER OF WILLS
FILL IN APPROPRIATE OVAL8 BELOW
;~ 1. Original Retum ~-> 2. Supplemental Return ~•-m-^, 3. Remainder Retum (date of death
prior to 12-13-82)
....._,_
~°° 4. Limited Estate ~:::y 4a. Future Interest Compromise (date of ta.~::~ 5. Federal Estate Tax Retum Required
death after 12-12-82)
._... 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust _.. 8. Total Number of Safe Deposit Boxes
(Attach Copy of III) (Attach Copy of Trust)
c ~~ 9. Litigation Proceeds Received 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 SECTK)N MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTUIL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
Michael H. Cattuti (717) 497-8703
Fimr Name (If Applcable) _ _.
~
REGISTER OF~1111
~7 LLS USE Oi~i-
~
First line of address f.
O ~ ~
106 Oak Drive r~•a
second fine of address ~ ~~~ -~~` .t±- ~ '
City or Post Office State ZIP Code _ DA~ TuIfjED - , :_ r ~~~
Camp Hiii ~
PA 17011-8703 ~c± c,'7
Correspondent's e-mail address
Under penalties of perjury, I declare that I have examMed this return, Including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaretion of p parer other than the personal representative is based on all iMonnation of which preparer has any knowledge.
SIG OF RAN NSIBL R F G RETURN qTE
f/ a i q7v r v
ADDR S ~r Q n
/U ~ UA/1 /~, 1. to y~ ~ c [, / /~• / / D / /
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS
PLEASE U8E ORIGINAL FORM ONLY
Side 1
15056051058 15056051058
t. 1,
J
15056052059
REV-1500 EX
Decedent's Social Security Number
oeoaaenrg Ne~~ Anna M Cattuti 093-26-7277
RECAPITULATION _ -~~`°°`-~~°y°' _.~ _____~_____~__.____
1. Real estate (Sdredtrle A) ............................................. 1.
2. Stocks and Bonds (Schedule B) ....................................... 2.
3. Closely Flekl Corporation. Partnership or Sole-Propritr6OrsF~ (Sc~terhrle C) ..... 3.
4. Mortgages & Notes Receivable (Sr~adrale D) ............................. 4.
5. Cash. Bank Deposits 8 Misoetlaneous Pen~onal Property (Scxredt>te E) ........ 5.
6. Jointly Owned Property (Schedule F) t Separate Baling Requested ....... 8.
7. Inter-Vivos Transfers 8 Mneous Non-Pn~bate P-operiy
(Schedule Gj ;-~ Separate Biting Requested........ 7.
8. Total Gross Assets (total Lkres 1-7) .................................... 8.
9. Funeral E~errses & Administrative Costs (Schedule H) ..................... 9.
10. Debts of Decedent, Mortgage Liabilities. 8 Liens (Schedule 1} ................ 10.
11. Total Deductions (total Lines 9 & 10} ................................... 11.
12. Net Value of Estate (Line 8 minus Line 11) .............................. 12.
13. Charitable and GoverrHrrental BequestslSec 9113 Tnists for which
an election to tax has not been made (Schedule J) ........................ 13.
14.
__ Net Value Subject to Tax (Line 12 minus Lkre 13) ........................
. 14.
~__
___._.______.___n____a._._.._..~.____ _______._..._..__,._
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICAt3LE RATES ___.._.______.._.~ ~....~_
15. Amount of Lme 14 taxable
at the spousal tax rate, or
280,062.15
280,062.15
3,181.62
1,648.60
4,830.22
275,231.93
275,231.93
transfers under Sec. 9116
(a)(12) X .0_ 15.
16. Amount of Line 14 taxable ~ /o
at lirre~ rate X .0 4i5 12,385.44 16. 11,009.28
7
17. Amount of Line 14 taxable ._„7i5~
_
at sibling rate X .12 17.
18. Amount of line 14 taxable
at cdleteral ra6e X .15 18,
19. TAX DUE ......................................................... 19. 11,009.28
20. FILL IN THE OVAL IF YOU ARE REaIESTING A REFUND OF AN OVERPAYMENT
c ~'w?
15056052059 Side 2
15056052059
REV 1509 E:X+ (6-88)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCI~IEptILE F
JOINTLY-0WWED PROPERTY
ESTATE OF FILE NUMBER
Anna Marie Cattuti
Man aaet was made JoMt whhin one year of tM decedent's dab of loth, K moat be nporbd on SchsduN G.
SlA2VMNG JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT
'°` Michael H. Cattuti 106 Oak Drive Son
Camp Hill, PA 17011
8.
C.
JOINTLY-gNNED PROPERTY:
TIEM
NLYBER LETTER
FOR ,IDiNr
TENANT DATE
MIADE
JON1T DESCRIPTION OF PROPERTY
wCLUDE NAME OF FINANCIAL prSiTTUitON AND aAleC ACCOIRIi NIR aR SIMILAR
IOENnFYY10 NUi6ER. ATTACH DEED FOR ,K)INfLY~ELD REAL ESTATE.
DATE OF DEATH
VALIE OF ASSET % of
[DECD'S
ST DATE OF DEATH
vALtE OF
DECEDENT'S INTEREST
t • a 12/01196 Wadlovia Bank dteddnglMMICD's -SEE ATTACHED LISTING 246,470.68 50 123
235.34
0 ,
2 A 071'01108 ~+ C~artbalarld Federal Credit Union -SEE ATTACHED LISTING 86,883.51 50 48,441.75
a
3 A 12/01104 ~ Back -~ ATTACHED US11NG 102,749.31 50 51,374.66
^
4 A 10/31f90 US Treasury- H Bands 15 x;500 7,500.00 50 3,750.00
~
5 A O:i/01102 US Treasury- H Bonds 27 x;500 13,500.00 50 6,750.00
0
6 A 081r1810G Pa-a9alld National Bads Stock 320 Shares f11V 5290.69lshare 93,020.80 50 46,510.40
O
TOTAL (Also enter on Iine 6, Recapittdation) I ; !, 280,082.15
(If more space is r-eeded, insert additional sheets of the same site)
~_ ~T
{
• I -
_~ ,~ _ ~ .A Family Tradition Of Caring®
PARTHEII~IORE Funeral Hame & Cremation Services, Inc.
Mr. Michael x. catcnti 12n/20o9
106 Oak Drive
Camp Bill, PA 17011
For the Service of Anna Marie Cattuti
1303 Bridge Street We sincerely appreciate the confidence. you have placed in us and will continue tb assist you in every way
P.O. Box 431 we can. Please feel free to contact us if you have any questions in regard to this statement. The following
New Cumberland, PA 17070. is an itemized statement of the services, facilities, automotive equipment and merchandise that you selected
when making the funeral arrangements.
(717)774-7721
(Fax) 774-5546 Terms Due Date Account #
www.parthemore.com Net 30 1/6/2010 2009094.1
Gilbert W. Parthemore,
Founder _
Gilbert J. Parthemore,
Supervisor
Stephen K. Parthemore,
CFSP
Bruce R. Parthemore,
Pre-Need Coordinator, CPC
Professional Memberships:
NFDA • PFDA
DCFDA • CCFDA
G i~w,nm~wo~of,~,
LE
The Rule You Knox;
The People You Trzes!
Description Amount
SERVICES & MERCHANDISE
Direct Cremation 2,170.00
White Marbleite Urn 203.00
Total Services and Merchandise. _- _ -: - __ _ _ _ ___ _ __..3,373.00
CASH ADVANCE ITEMS -
Death Notice, Harrisburg Patriot 271.10
Death Notice, New York 452.52
10 Certified Copies of Death Certificate 60.00
Cumberland County Coroner-Fee, Cremation Authorization. 25.00
Total Cash Advances 808.62
,~ ~!
L ,
l =~ ---
TOtAi $3,181.62
Payments/Cred its $0.00
alance Due ~3,i81.62
~.riuaw vas e
B1ueSl~ield
' . , Federal Employee Program
www.fepblue.or
Camp Hill, Pennsylvania 17089
ANNA M CATTllTI
106 OAK DRIVE
CAMP HILL PA 17011-8332
Explanation of Benefits416
THIS IS NOT A BILL
FEDERAL EMPLOYEE PROGRAM
PO BOX 890037 CAMP HILL PA 17089-0037
MEDICAL QUESTIONS CALL 1-800-779-6945,
DENTAL QUESTIONS CALL 1-800-746-5687,
TTY QUESTIONS CALL 1-800-345-3848
~ EXPLANATION OF BENEFITS AT A GLANCE
~ ~ ID Number: 858422693
~ ~ Claim Number: 10019512019
~Pstient Name• ANNA ~
~ ~ Claim Received On: 01/19/2010
~n,.tes of Service• I2/02/2009 - 12/02/2009 ( Claim Processed On: 01/29/2010
Provider: WESTSHOREALS Dates of Service: 12/02/2009 - 12/02/2009
Type: NON-PARTICIPATING PROVIDER
165--BENEFITS ARE NOT PROVIDED FOR SERVICES/SUPPLIES LISTED IN THE GENERAL
EXCLUSIONS SECTION OF THE BLUE CROSS BLUE SHIELD SERVICE BENEFIT PLAN
BROCHURE. YOU ARE RESPONSIBLE FOR THESE CHARGES EVEN IF THE
5ERVICESJSUPPLIES WERE ORDERED BY A PROVIDER, EXCEPT WHEN ANOTHER CARRIER HAS
PAID FOR THE SERVICE(S) IN FULL.
If you have questions.; please call a customer service representative at your local H1ueCross B1ueShield
Plan. If you disagree with the decision on your claims or request for services, and wish to have the
decision reconsidered, you must notify your Plan in writing within 6 months from the date of this decisian,
e.q. 07/29/2010. Your Plan will not accept unauthorized reconsiderations from providers. See the Disputed
Claims Section of your Service Benefit Plan Brochure.
oee414
D001 0007
EXPLANATION OF REMARK CODES
" ~- ~ ' WEST SHORE EMS -BLS
205 GRANDVIEW AVE ~~
SUITE 211 -`
~~v
CAMP HILL, PA 17011 '~~
Phone #: (800) 367-0512 Federal Tax ID: 23-2463002 `~ ~, ` `~' ~~
PATIENT NAME: ANNA CATTUTI PATIENT NUMBER: g32 WCS
CALL NUMBER: 197586W W1
INSURANCE: DATE OF CALL: 12/02/2009
TIME OF CALL: 03:40 PM
CALLER: HOLY SPIRIT HOSPITAL
197586W FROM: HOLY SPIRIT HOSPITAL
TO: HEALTHSOUTH SPECIAL SVCS HOS
ANNA CATTUTI
824 LISBURN RD APT 213 REASON(S) SHORTNESS OF BREATH
CAMP HILL, PA 17011 FOR
TRANSPORT
INVOICE
DESCRIPTION OF CHARGE QUANTITY UNIT PRICE AMOUNT
Stretcher One Way Transport A0999 1.0 96.06 96.06
Transport Van Mileage A0999 5.0 3.74 18.70
OXYGEN ADMINSTRATION A0422 1.0 65.01 65.01
INF CONTROL GLOVES (PR) A0382 1.0 3.83 3.83
ANNa MaAiE caTTr>tTl 3-sas,o 15 5 8
`
MICHAEL H. _CATTUTi Iiil
'~
/
HI ~/i'%O
C
UNP
11, PA 17011-8332 DATE.
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~' DOLLARS LI ~ 183.60
~ I Charg@8
~!1TAIfH~VIA
° Wechovie Bank, N:A. `AMOUNT
~n waehonvia.com /7 9/ ~
t0 /'>rllw<R 4 /q %'~/ %/ ~ ~ /
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°~::0 3 100 50 3ti i~0 3~4 i Z 2..:3.33 3 LOII'- L 5 58
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Total Credits 0.00
PLEASE PAY THIS AMOUNT -INVOICE DUE UPON RECEIPT -r $18360
RETURNED CHECK FEE - $31.00
DETACH ALONG PERFORMATION AND RETURNSTUB Wrfl~ PAYMENT
.AMOUNT DUE 183.60
CATTUTI, ANNA M
PATIENT NAME: CALL NUMBER 197586W AMOUNT $ Q' ~ t7
PATIENT NUMBER: 932 BILLING DATE: 01104/2010.. ENCLOSED / u~ r
THIS ACCOUNT IS PAST DUE! Send your payment now or contact VISA
our ofFice to make payment an'angements.
AND
MASTER CARD
ACCEPTED
WEST SHORE EMS -BLS 205 GRANDVIEW AVE CAMP HILL, PA 17011
Consolidated Statement
07 1014122333310 752 30 0 115 21,549
WACHOVIA
ATTENTION CUSTOMERS: THIS PAGE IS BEING PROVIDED
AS PART OF YOUR MONTHLY STATEMENT BECAUSE WACHOVIA
RECEIVED A CHECK IMAGE FROM ANOTHER FINANCIAL INSTITUTION
IN PLACE OF AN ORIGINAL CANCELED CHECK(S). THE FRONT OF
EACH CHECK IS DISPLAYED AS AN IMAGE. THIS'PAGE WILL APPEAR
IN YOUR STATEMENT ANY MONTH WE RECEIVE A CHECK IMAGE.
11/21/2009 thru 12/23/2009
NNE 11ME GTVII
EMJYEL M. GTM1 1ain1 1$ 48
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1:0330005031: 303~i22333330r 358
REF#1152513580 PAID 12/11 16.71
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REF#6657025070 PAID 12/23 65.00
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1:0 3 3000 50 31:30 34 3 2 2 33 33 30+ 3552 X00 Oi9t. err
REF#6654644330 PAID 12/23 1748.00
-~~YtME tt11n ~ - .__'__ ._...~..~:.~,y 1649
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REF#1253222760 PAID 12/23 3117.99
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REF#0958266360 PAID 12/22 200.00
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WACHOVIA BANK, N.A. ,COLONIAL PARK page 7 of 7
~~ Consolidated Statement
~~ 03 1014122333310 752 30 0 115 21,545
WACHOVIA
11 /21 !2009 th ru 12/23/2009
Crown Classic Banking
Other W ithdrawals and Service Fees
Date Amount Description
11/23 12.70 PURCHASE CVS 02882 02882--32nd & 11/20
Camp Hill PA 40591758769
11/23 13.18 PURCHASE WEIS MARKETS #125 11/21
CAMP HILL PA 40591058613
11!30 23.94 PURCHASE WEIS MARKETS #125 11!29
CAMP HILL PA 40591078414
12/04 28.41 PURCHASE CRACKER BARREL #550 12/04
MECHANICSBUR PA 40591491990
12/07 1.00 PURCHASE USPS CHANGE OF6610 12/06
4828621007901 800-2383150 TN 1049V244181
12!07 22.50 PURCHASE THE PATRIOT-NEWS E 12/04
4828621004944 717-255-8150 PA 40592290040
12/07 26.60 PURCHASE WETS MARKETS #125 12/06
CAMP HILL PA 40591885663
12/07 30.00 PURCHASE THE PATRIOT-NEWS E 12/04
4828621004944 717-255-8150 PA 40592270040
12107 33.01 PURCHASE ISAAC'S DELI #17 12/05
4828621004944 LEMOYNE PA 4059V242532
12/07 33.99 PURCHASE HEPFERS HOMECENTER 12/06
LEMOYNE PA 40591585871
12/08 62.50 PURCHASE PEPBOYS STORE # 21 12/07
MECHANICSBUR PA 40591958374
12/21 40.00 WITHDRAWAL CAMP HILL 12/19
1200 CAMP H{LL SH CAMP HILL PA 4059W003729
12/21 63.59 PURCHASE Staples, Inc. 12/19
CAMP HILL PA 40591795937
otal 391.42
WACHOVIA BANK, N.A. , COLONIAL PARK page 3 of 7
DEPHTI A896612 TF9GABEV Dep Acct History Transaction Inq BAHTD075 01/25/10.
~,® Page : 2 0 9: 3 4
Org: 075 Serv: DDA Acct: 1014122333310 C/W: Date: Stm: H
MORE: - +
Short Name: CATTUTI,ANNA MA Daily Bal: 3,566.50
Date Serial T/C Amount T/S Cap Rec Sequence Date/Desc
12/01/09 3121736156 725 1,649.66+ 018 004 752 3298648540 AUTO CREDIT
AUTOMATED CREDIT US TREASURY 312 CIVIL SERV
CO. ID. 3121736156 091201 PPD
3121736156 725 379.00+ 018 004 752 3298658325 AUTO CREDIT
AUTOMATED CREDIT US TREASURY 312 CIVIL SERV
CO. ID. 3121736156 091201 PPD
3111036002 725 376.00+ 018 004 752 3282789644 AUTO CREDIT
AUTOMATED CREDIT US TREASURY 220 VA BENEFIT
CO. ID. 3111036002 091201 PPD
DAILY BAL: 5,971.16
12/03/09 3031036030 725 1,018.00+ 018 004 752 3348468485 AUTO CREDIT
AUTOMATED CREDIT US TREASURY 303 SOC SEC
CO. ID. 3031036030 091203 PPD
Command:
F1=Help F3=Exit F7=Bkwd F8=Fwd
TDAHTI A896612 TF9GABEV TDA History Transaction Inquiry BATTI075 01/25/10
5 STAR 09:46
Org 075 Serv: CDA Acct: 24 7402063929064 State: PA Bank: 24
Date: MORE: -
Short Name: CATTUTI ANNA MA BALANCE FORWARD: 87,068.42
Posting Effective T/C Amount Description
Date Date
10/28/09 10/28/09 CP 187.69 + CAPITALIZED INTEREST
CURRENT BAL: 87,256.11
11/27/09 11/28/09 CP 194.37 + CAPITALIZED INTEREST
CURRENT BAL: 87,450.48
12/28/09 12/28/09 CP 188.52 + CAPITALIZED INTEREST
CURRENT BAL: 87,639.00
Command:
F1=Help F3=Exit F7=Bkwd F8=Fwd F9=APTDAI
TDAHTI A896612 TF9GABEV TDA History Transaction Inquiry BATTI075 01/25/10
5 STAR 09:45.
Org 075 Serv: CDA Acct: 247402053555434 State: PA Bank: 24
Date: MORE: - +
Short Name: CATTUTI ANNA MA BALANCE FORWARD: 20,927.49
Posting Effective T/C Amount Description
Date Date
10/09/09 10/11/09 CP 38.39 + CAPITALIZED INTEREST
CURRENT BAL: 20,965.88
11/10/09 11/11/09 CP
12/11/09 12/11/09 CP
39.75 + CAPITALIZED INTEREST
CURRENT BAL: 21,005.63
38.53 + CAPITALIZED INTEREST
CURRENT BAL: 21,044.16
Command:
F1=Help F3=Exit F7=Bkwd F8=Fwd F9=APTDAI
I
TDAHTI A896612 TF9GABEV TDA History Transaction Inquiry BATTI075 01/25/10.
5 STAR 09:49
Org 075 Serv: CDA Acct: 24 7402083394501 State: PA Bank: 24
Date: MORE: -
Short Name: CATTUTI ANNA MA BALANCE FORWARD: 115,308.40
Posting Effective T/C Amount Description
Date Date
10/30/09 10/31/09 CP 408.10 + CAPITALIZED INTEREST
CURRENT BAL: 115,716.50
11/30/09 11/30/09 CP 396.31 + CAPITALIZED INTEREST
CURRENT BAL: 116,112.81
12/31/09 12/31/09 CP 410.94 + CAPITALIZED INTEREST
CURRENT BAL: 116,523.75
Command:
F1=Help F3=Exit F7=Bkwd F8=Fwd F9=APTDAI
NEW CUMBERLAND FEDERAL CREDIT UNION
Four Community Credit Zlnion
P.O. Boz 658. Ncw Cumbvland, PA 17070 . www acfcnonliae.org
(717) 774-7700 • (800) 7162328 . Fu: (717) 774-7996
PAGE
STATEMENT OF ACCOUNT
1
`IMPORraNT
TAX RETURN DDCUMENT'
fNCLpSED
ACCOUNT NUMBER
257 2 AT 0 .482 Joint Owners 083658
~n~~~~n~~~~nnn~~n~~~~n~~n~~n~~~n~~i~~,un~~n~n~~~ SOCIALSECURITY#
ANNA M . CATTUTI MicHaeL H. cATruri
10 6 OAK D R STATEMENT PERIOD
CAMP HILL PA 17011
FROM To
100109123109
TRANSACTION
DATE FFFECTNE
DATE DESCRI PT10N
: AMOUNT FINANCE
CHARGE FEES/
FINES :.BALANCE '.
~D~-1------ ----- ~~-1/It1US---BALANCE S1-PRIMARY SHARES 49 0
1231 NEW BALANCE ~ 49 0
1001 PREVIOUS BALANCE S3-MONEY MARKET 5381 4
1031 DIVIDEND 3 6 5385 0
THE ANNUAL PERCENTAGE YIELD EARNED IS 0.8 .
1130 DIVIDEND 3 10 5388 0
THE ANNUAL PERCENTAGE YIELD EARNED IS 0.7 .
1231 DIVIDEND 3 0 5391 0
THE ANNUAL PERCENTAGE YIELD EARNED IS 0.7 .
1231 NEW BALANCE DIVIDEND IS CALCULATE 5391 0
USING A DAILY BALANCE METHOD.
1001 PREVIOUS BALANCE CERTIFICATE 1 91111 3
1031 * CERTIFICATE EARNINGS 169.47 169 7 91281 10
THE ANNUAL PERCENTAGE YIELD EARNED IS 2.2 .
1130 CERTIFICATE EARNINGS 164.31 164 1 91445 1
THE ANNUAL PERCENTAGE YIELD EARNED IS 2.2 .
1231 CERTIFICATE EARNINGS 170.09 170 9 91615 0
THE ANNUAL PERCENTAGE YIELD EARNED IS 2.2 .
1231 NEW BALANCE (MATURES 112710)2.190% 91615 0
Your c rrent Member Rewards level is DIAMOND which entitl s you to
a 0.4 incre se over and above our base rate on fut re CD u chas es .
TOTAL DIVIDEND YEAR-TO-DATE TOTAL FINANCE CHARGE YEAR-TO-DATE
to °"'°'~"°` IRA "`~.
DMden~s ehowm, ff over s~o, ~~ be reported 3 0 51.8 9
~,~ psne
0 . 0 0
m use Internet Revenue Service ror ttris
• MDICATES ~FECTIVE DATE NOTICE: See reverse side for important information
0850769
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Certificate of Deposit Receipt
This receipt is issued to:
'ANNA MARIE CATTUTI '
MICHAEL H CATTUTI
824 LISBURN ROAD APT 613
CAMP HILL, PA 17011
O1 - Susquehanna Bank
Blue Ball Office
1060 Main Street
Blue Ball, PA 17506
Account Number: 15 6 818 3 3 0
IRA Number:
Amount $ 100.000.00
Date Opened 02/03/2004
Term 13 Month(s)
Maturity Date 02/03/2010
Interest Rate 2. 7 2 0 0 0 0 °6
Annual Percentage Yield 2 .75°hi
The account evidenced by this receipt is subject to and further explained in the terms and conditions contained in the account
agreement and account disclosures. The account is Not Negotiable and Not Transferable. Only the items checked apply.
® fixed Interest Rate ^ Variable Interest Rate
^ Additions Permitted
® Automatically Renewable ^ Single Maturity (not automatically renewable) ^ Callable ^ Notice Account
Interest will be:
^ mailed to the owner(s).
® added to principal (compounded).
^ paid to account No.
® to be paid every 1 Month(s)
®1994 Bankers Systems, Inc., St. Cloud, MN Form CDREC-BK-LAZ 8/7!2002 (Psy~ 1 0! 1J
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DR MICHAEL H CAT~}T~U`TI
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INTEREST OF S p~EM~ 17NDb~SAVINw NOTEb IL REPORTMLE
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OR MICHAEL<H`GATTU~TI _
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-----------------
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