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HomeMy WebLinkAbout02-0489 PETITION FOR PROBATE and GRANT OF LETTERS Estate of TUL./A 'j;;I-/YJ/lO CrE No. ~/-o~ -1./ ~q also known as To: Register of Wills for the County of L. U/1l 8 ER '-Ii v() in the Commonwealth of Pennsylvania , Deceased. Social Security No. ! 7 )) - 0 I - a lS 'i 8' The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the executCl R in the last will of the above decedent, dated /Y) AR '- If d- S- , I 9 <j ( and codicil(s) dated .AJ / A- / (state relevant circnmstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in [ U I"Yl B C A L 1\ AJ () h 10. fl.. last family or principal residence at 80)... L.O G 1< '- I....> /YJE.C-/-IAAJIGSt1JI/i-- fJOII.OUG.-lt ,PA I (list street, number and muncipality) County, Pennsylvania, with S TRE Ii: r J7c!5"S- Dece years of age, died /Y) A Y Cj ) ).. 6 (J ,L , ~ at /1 v ... "'" 0 5 fir A L Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the wi I 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: AI / A jao,OOO.OO I $ $ $ $ WHEREFORE, petitioner(s) respectfully presented herewith and the grant of letters request(s) the probate of the last will and codicil(s) IF: 5 TA /Y1O-VrAIl.'j (testamentary; administration c.La.; administration d.b.n.c.La.) theron. ~ 'if u c " ~2 " ~ 0<:" c ,,0 c';: (\3''::: 3~ ,,~ ~ 0 ;; c 00 Vi )r1 ~. t II ., \"J...fi' /Y).4PLF Po ,TSIIIL.LiZ . /7')01 ' )Tf1.. IOcr PA- OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA l 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 petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the est e according to law. 4:1' V:l 00' ;:, '" - ::: ~ ~ No. 21-2002-488 Estate of Julia Talmadge , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW May 17th ~ 2004 in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated March 25th, 1991 described therein be admitted to probate and filed of record as the last will of Julia Talmadqe and Letters Testamentary are hereby granted to John J. Tamalavage Jr. ~ c. :/~.u k~ Register of Wills' tI:JoL MARY C. LEWIS ~ -r~ FEES copies $ 200.00 $ 30.00 $ $ TOTAL _ $ Filed ..... May . nth, . 2002.. .$.~.~..QQ. . Probate, Letters, Etc. ......... Short Certificates(LOY . . . . . . . . . . Renunciation ................ Jq>~c ATTORNEY (Sup. Ct. 1.0. No.) 5.00 2.00 ADDRESS PHONE MAILED llil.l~~ 'ID JCIJN J TlIMALAV1\GE EXEX:'lUIQ? 21-2002-489 I, JULIA TALMADGE, of Philadelphia, Pennsylvania, declare this to be my Will, hereby revoking all former Wills and Codicils. FIRST: By the execution of one or more separate inter vivos trust instruments, I have made provision for the nonprobate distribution of my assets at the time of my death. This instrument is intended to specify the distribution only of any forgotten or unanticipated assets not covered by such inter vivos trust instruments. SECOND: I direct my Executor or Alternate Executor to pay my funeral expenses, administration expenses of my estate, including inheritance and succession taxes, state or federal, which may be occasioned by the passage of or succession to any interest in my estate under the terms of either this instrument or the aforesaid inter vivos trust instruments, and all my just debts, excepting mortgage notes secured by mortgages upon real estate. THIRD: I give the residue of my estate to JOHN TAMALAVAGE as Successor Trustee (or to JOHN TAMALAVAGE, JR. as Alternate Successor Trustee, if he shall then be actively serving), under the terms of a certain deed of trust executed by me, as of ':>Md c1s-' , 1991, and already in existence, and I specifically direct and provide that the property received by virtue of this bequest shall be held by said Successor Trustee (or Alternate Successor Trustee), to be administered in accordance with the provisions thereof, as an addition to the trust fund, and said Successor Trustee (or 1 Alternate Successor Trustee) shall dispose of said property as a part of said trust in accordance with the provisions thereof. FOURTH: I appoint JOHN TAMALAVAGE Executor of this, my Will. Should he fail to qualify or cease to act at any time and for any reason, I appoint JOHN TAMALAVAGE, JR. Alternate Executor. I direct that neither fiduciary shall be required to file a bond in any jurisdiction whatsoever in the administration and distribution of my estate. EXECUTED ON Jt-Al<ck :2-5-=r:!2 , 1991. .,~;:,.L':'_", " /1. j . /' J~~~~A~~~/'/~'~ (SEAL) In our presence, the above named JULIA TALMADGE signed this and declared it to be her Will, and now at her request, in her presence and in the presence of each other, we sign as witnesses. ~~~~ ,Jk~ Wltn s (j frJp' /JrJJLiYr Wltness /j~LllltM~d~ Address /91<:'1 \-2/5;) yJ.,) / 0 r 51. (C;):J / Address 2 .' COMMONWEALTH OF PENNSYLVANIA COUNTY OF PHILADELPHIA : SS and We, JULIA TALMADGE, reO'O"[; SA LlA.& E !l11{tR..fANN HARDY , the Testratrix and the witnesses, respectively, whose names are signed to the attached instrument, being first duly sworn do hereby declare to the undersigned authority that the Testratrix signed and executed the instrument as her last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testratrix, signed as witness and that to the best of his knowledge, the Testratrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. /) IF' <' t /~2ctY!. ,; .tt~LL;Lt-C_ Testratrix J ~~y~/:/M~ W1tn s rJrnJ- J1wl~ Witness Subscribed, sworn to and acknowledged before me JULIA TALMADGE, the Testratrix, and subscribed to before me by i11.J4.II?YA/IIN t-6AIU;,y and iR o:;}; :5/'1V~(5E witnesses, this .:::1~..;N day of /n..~ by , A. D. 1991. fto~ D~ No ry Public NOTARIAL SEAL JEAN D'ANGELO, Notary Public City of Philadelphia, Phila, County My Commission Expires July 27, 1992 . . INTERNISlS of Central Pa. LTD. Peter M. Brier, M.D. Michael L. Gluck, M.D. James A. Tyndall, M.D. Ira J. Packman. M.D. Richard Schreiber. M.D., EA.C.P. L. Lynne Britton, M.D. Lawrence B. Zimmerman, M.D. Michael A. DeMichele. M.D. Christina Collins, M.D. Dean L. Lehman, PA~C Leroy K. Rung, PA.C HARRISVIEW PROFESSIONAL CENTER . 108LOWfHER ST.. PO. BOX 107. LEMOYNE,PA 17043.0107 .(717) 774.1366 FAX (717) 7744232 21-2002-489 May 16,2002 To whom it may concern: Please be advised that due to his diminished mental capability, John Tamalavage, Sf. is unable to conduct the affairs of the estate of the late Julia Talmadge. Very truly yours, ~~~ James A. Tyndall, M. D. ;-".,1 ,,~," ,'''1 P ',r ~ ~v COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF INOIVIDUAL TAXES DEPT.2B0601 HARRISBURG, PA 17128-0601 REV-11B2 EX(11-9B) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT R MARK THOMAS ESQUIRE 101 SOUTH MARKET STREET MECHANICSBURG, PA 17055 __nun fold ESTATE INFORMATION: SSN: 178-01-0848 FILE NUMBER: 2102-0489 DECEDENT NAME: TALMADGE JULIA DATE OF PAYMENT: 08/08/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 05/09/2002 NO. CD 001494 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $120,150.00 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: JOHN J TALMADGE C/O R MARK THOMAS ESQUIRE CHECK# 616 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $120,150.00 MARY C. LEWIS REGISTER OF WILLS ~ J' CERTIFICATION OF NOTICE UNDER RULE 5.61al Name of Decedent: Julia Talmadge Date of Death: 5/9/2002 Estate No. 21-02-489 SSN: 178-01-0848 File No. 2002-00489 Date Letters Granted: 5/17/2002 Will or Administration No. To the Register: I certify that Notice of Estate Administration 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 6/7/2002 Name John Tamalavage Address 802 Cocklin Street Mechanicsburg 528 Maple Street Pottsville PA 17055 John Tamalavage, Jr. PA 17901 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: 8/21/2002 ~~ Signature R. Mark Thomas Name (Please type or print) Capacity: Personal Representative x Counsel for Personal Representative Address 101 S. Market Street Mechanicsburg PA 17055 Telephone No. 717-796-2100 :~ . . REV'l500EX'(6-00J{)l lAY ~. COMMONWEALTH OF PENNSYLVANIA , DEPARTMENT OF REVENUE DEPT 280601 HARRISBURG, PA 17128-0601 I!! ::t:g;cn ()a:", w~u :I:a:9 ()D-m D- o: REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENT'S NAME (LAST. FIRST, AND MIDDLE INITIAL) ~ z w c w U w c Talmad e, Julia DATE OF DEATH (MM.DD-Year) DATE OF BIRTH (MM-OD-Year) /1- (. '/- If OFFICIAL USE ONLY / 05/09/2002 OS/27/1919 llF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST. FIRST, AND MIDDLE INITIAL) FILE NUMBER ~L-~12-tL,alL~'L COUNrycoOE YEAR NUMBER SOCIAL SECURITY NUMBER 7 8 - 0 1- 084 001. Original Return o 4. limited Estate D 6. Decedent Died Testate IAttach copy of Will} o 9. litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (daleorde~ after '1.1].82) o 7. Decedent Maintained a living Trust (Atta:;hcopy 01 Tru~l) o 10. Spousal Poverty Credit (dale 01 death between 12-Jl.91 <WId 1-1-95) THIS RETURN MUST BE FilED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER o 3. Remainder Return (date of death prior 10 12.13-82) o 5. Federal Estate Tax Return Required _ 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) {AnachSch0) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS A. Mark Thomas, Es 101 S. Market Street FIRM NAME (If Applicable) z o i= :3 :l ~ a: <l: U W It z o ~ :l l1. ::lE o U S X _(15) X _(16) 903,475.00 X 12 (17) 108,417.00 93,000.00 X 15 (18) 13.950.00 (19) 122,367.00 to Z W C Z o D- '" W a: a: o () TELEPHONE NUMBER 717 -796.2100 Mechanicsbur 1. Real Estate (Schedule A) (I) 2 Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation. Partnership or Sole-Proprietorship (3) 4. Mortgages 8 Noles Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6 Joinl~ Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule HI 10. Debts of Decedent. Mortgage liabilities, & Liens (Schedule I) 11. Total Deductions (Iotal Lines 9 & 10) 12. Nel Value of Estate (Line B minus Line 11) (5) (6) (7) (9) (10) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to lax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Une 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable allhe spousal lax rale. or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Une 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. 0 > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < PA 17055 OFFICIAL USE ONLY 27,974.00 " ~ 994,592.00 (8) 1,022,566.00 21,804.00 4,287.00 (II) (12) (13) 26,091.00 996,475.00 (14) 996,475.00 , o d , C ece ents omPlete Address: STREET ADDRESS 802 Cocklin Street CITY I STATE PA 17055 I ZIP Mechanicsburg Tax Payments and Credits: I Tax Due (Page Hine 19) 2 Credits/Paymenls A Spousal Poverty Credil 8. Prior Paymenls C. Discounl (1) 122,367.00 120.150.00 6.007.50 Tolal Credils I A + B +C) (2) 126,157.50 3 InleresllPenally if applicable D. Interest E. Penally TolallnleresVPenally ( 0 + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enler Ihe difference. This is Ihe OVERPAYMENT. Check box on Page 1 Line 20 to request a relund (4) 5. \I Line 1 + Line 3 is 9realer Ihan Line 2, enler Ihe difference. This is Ihe TAX DUE. (5) A. Enler Ihe inlerest on Ihe lax due. (5A) 8. Enler Ihe lotal 01 Line 5 + 5A This is Ihe BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT 3,790.50 0.00 0.00 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedenl make a Iransfer and: Yes No a. retain Ihe use or income 01 the property transferred; ........................................................................... 00 0 b. relain Ihe righl to designate who shall use the property Iransferred 01 ilS income; .................................... ... 00 0 c. retain a reversionary interest; or ...................................................................................................... 0 [&] d. receive Ihe promise for lite of either paymenls, benelils or care? ............................................................. 0 00 2. If dealh occurred after December 12, 1982, did decedent transler property within one year of dealh wilhoul receiving adequate consideralion?............................................................................................... 0 00 3. Did decedent own an 'in trust fo( 01 payable upon death bank account or securily at his or her death" ................. 0 [8J 4 Did decedenl own an Individual Reliremenl Account, annuity, or other non-probale property which contains a beneftclary designation? ........ ............................................... ...................... [R) 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. ADORES EPRESENT A TIVE ADDRESS 101 5. Market 51. Mechanicsburg PA 17055 For dales of dealh on or aller July 1. t994 and betore January 1, 1995, Ihe tax rale imposed on Ihe nel value of transfers 10 or for Ihe use of the surviving spouse is 3% [72 PS ~9116 (al (1.1) (ill. For dales of dealh on or afler January 1, 1995, the tax rale imposed on Ihe nel value of transfers to orlor the use of Ihe surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)). The statute does not exemot a lransfer to a sUPJiving spouse from tax, and the slatu\ory requirements for disclosure of assets and filing a lax return are stm applicable even if the surviving spouse is the only beneficiary. For dales of death on or aller July 1, 2000: The lax rale 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 0% [72 P.S ~9116(a)(I.2)l The lax rale imposed on Ihe net value of Iransfers to or for Ihe use of the decedent's iineai beneliclaneSls 4.5%, except as noted in 72 PS ~9116(1.2) [72 P.S. ~9116Ia)(1)1. The lax rale imposed on Ihe net value of transfers to or for Ihe use of Ihe decedent's siblings is 12% [72 P.S. ~9116(a)(I.311. A sibling is defined. under Seclion 9102, as an individual who has at least one parent in common with the decedent whether by blood or adoption R"""'''''''''. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Talmadge Julia Include the proceeds of litigation and the dale the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclos.ed on Schedule F. FILE NUMBER ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 27,049.00 2. Citizens Bank 525 William Penn Plaza, Ste. 153-2510, Pittsburgh, PA 15219 Acc!. # 1 00-008-7260 Refund for overpayment from Bryn Mawr Terrace, Haverford & Rugby Rds., Bryn Mawr, PA 19010 925.00 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed. insert additional sheets of the same size) 27,974.00 - - ~ ~~ -~-_.. ~, ~~ ""'-'_ ................, .<...,........ ''-' ..J./o. I.L' I ......W...JUUU .tJC?t'J.....;- C CITIZENS BANK 525 W,il'Iam Penn Place Suite 153.2510 PIMbu'll" PA 15219 AUGUST 06, 2002 R. MARK THOMAS ATTORNEY AT LAW 101 SOUTH MARKET STREET MECHANlCSBURG, PA 17055-3851 Estate Of JUUA TALMADGE Date of Death: 05/09/2002 SSN 178-01-0848 Dear SirlMadam: In accordance with your reqllest, the attached information sheet has been provided in the above decedent's name as of hislher date of death. Should you reqlllre fllrther assistance regarding this matter, please contact me at 4\2-867-2299. Sincerely, ~~ Barbara Richards OperatJons Services HULJ t::Jb e:1Qt::Je: 1'-+' 10..,) it"( IIl::LLUI"I UH I H L.UI"II t"(UL '+1~ c!...J4 ~::>14 I U ~1 (1 ((':;1b..5bl:::Jlj .: CITIZENS BANK Account Number , IllHllJ&. 7260 Account Title 1-'.l:::1'j/ic:L:S Tuesday, August 06, 2002 Julia Talmadge By John J Tamalavaga Rap Payee Date Opened: 02/13/1997 Principal BalInt from Lasl liB of 000 Posling to ODD $27,048.70 $0.00 Accounl Type: DO Account Sal YTD Int 10 as of 000 000 $27,048.70 $382.50 Page 2 of 2 '''''''".,''''. COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF Talmadae ,Julia FILE NUMBER This schedule must be completed and filed if the answer 10 any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY %OF ITEM INCLUOETHENAMEOFTHETRMi$FEREE, THEIRRELATION$HIPIODECEDEN1AND1HEDATEOFTRANSFER OA TE OF OEA TH DECO'S EXCLUSION T AXA8LE VALUE NUM8ER .o.n"C,""COP'1Qfl).IEOEEPfORREN-ESIArE VALUE OF ASSET INTEREST IIFAPPLlCABlEI 1. A Declaration of Trust was executed by decedent on 994,592.00 100. 994,592.00 March 25, 1991, An Amendment to Declaration of Trust was executed by decedent on December 19, 1996. Attached hereto are copies of both instruments. - The Trust assets were managed by: Salomon Smith Barney, Inc. 1650 Market St., 45th FI., Philadelphia 19103-7301 - A date of death value of the entire Trust assets is attached with cover letter from Salomon Smith Barney, Inc., dated June 4, 2002 - John Tamalavage, Jr., nephew of decedent, became the Successor Trustee pursuant to the Declaration of Trust. His address is: 528 Maple St., Posstville, PA 17901 (See letter from Salomon Smith Barney, Inc. dated May 31 , 2002) TOTAL (Also enter on line 7, Recapitulation) $ 994,592.00 (If more space is needed, insert additional sheets 01 the same size) S/\LOMONSrvIlTII B^RNEY ^rllt~rllh('r ul CllllJWUf)/ : > I', /l ~] I lil)1 II) . 11I)1 I :) J:l I -I II .llllll' .1, :>Oil2 John Tarllalavagc 52R Maple Streel Pottsville I' A 17<)01-Wi07 HI;: hl"l... nUlI/i" Tallltadge Dear Johll, We have ellclnsed a Dal~ nr Dealh Valualinll Ii,r Julia's Tills\. I'lells~ lei \IS know ir We can he nr rllrlhcr assistallce. Sinl,crdy yn\lrs, '-, \ [\~/ ,-\ ') ,I"" j / ,.' Douglas A, Swnpe Vice I'residclIl " !nveslinenls Senior l'orll.,lin Manager DAS/lllllls Fllc!nsme :;^I ( I~.I( ll/ : ;/>,11 Hill/II U II Y 111(: II;~ ,II If I, III <'I :1I11~<'I,1! .11,' Ill"', I '1III;I.ll'Il'hld. I '(\ t~ll\n i:IO \ , AX :! I~, H~>1 Ii I;'!, llll HII ! II It.li., II' '/1 :;11 1111!ltl '1/1,:. "1\1.",11111) 11l.)I,) :.I.,ilf!(I:; '1I\'llJIll WI 1!lIU'..! (ll I l-'l\\l \\\11 WI )ll' ))111 ,;IJ..."!AIJllt II'; i\(;(;1111A!,', Il!j 1'(1,,11'1111 lll~,'. llllnllll 1111 !lJI"IU,1^lI"tI (1..111'11> ,'I'III1"!! I\J'llI~;';Ij) (;,11/',1111111:; II ;;'1111/1-'11'111 H\ \(';\\1 1\11 1.\lH\ll.\~;l 1111 :;,~I! III /1111 :;I(lIll1l1!:: .' ......1 I 1\>1' Ial'~'d II ~11\l~1 LIIIll - (j~i2-{) l{)JZ-~i III - .filii.. l..hll'UI!lu. Inlsl DOD DOll nOll DOll IlOD AGI:illcd !;J!)~!;!II!!i~m QlHlIlli!V ni!lll !,(!W /'lVlI \lulu!: !1\\\lrQ~\ SMIIII IlAnNEY MIJNlCIPAI MI lNEY B~,nr"2 :f- 1.00 $ 100 $ 1.00 $ B2,n!i1~ $ n2_!)~i All!. I cunl' I,OI/.IIU!, $ 1oI0!) $ IJ.lL $ l:I.lll :Ii H,!l\ll.IlL AT&T WIHEIESS SEIWICES I~IC :H:,OO $ IUB $ B.IO $ B2'1 $ 2,B'IL.BO ALABAMA POWEH CO I'FI1112!i% A 1,00000 $ 2,UlIl ~!; ~,1(11) $ 2'1.11!, $ /'I,lEiO.OIl AVAYA INC IlIU10 $ /.11/ $ Ii /1 :1: Ij.BI :Ii mH.12 IJANI( ONE CAI 'I IALI It Vll ,20% )IHUJIl $ ),UIO $ 'Hll $ 2'I.Il,j $ '1,UG/.on [JELLSOU III CAl'I rAL FUNIJING Sll 1,10000 $ 21i.20 $ 2liOl $ 2r..\1 $ :n,9JG.1iO CITlGHOlJP CAP IV Cl 1M Tnt IS I !JIIIIIIO :[: 2,t(l~j :1; :J,Ull $ 2'1.!"iH $ 2/,122.00 EIX .\ HUS I 1I1Um% SEH IJ 1,000.00 :> LJoIl $ 2J.2f, $ 2.1. :13 $ 2:J,:no,1I11 ENERGIZER IILDGS INC !i]\'OO $ 21AH $ 2:J.!1Il $ 2~,2~ $ U,llGIl./!J FHANI\LlN PENNSYLVAr~IA TAX F1~EE 'I,lHlml :> ltl.l!i $ 101!l $ ilL I!) $ ~(J,:J:J!j21 GENEllAL MillS INC !l),I)O $ 'I 'I. DO $ ,1,11/1 :[: II'L~i'l $ 2,J IlUlIl GENEllAL MOl OHS l,2:,~;' PINES 'IIJO.OO $ 2,1!i(i $ 2411:, $ 24,9\ $ !i,%2,00 IIARTFOHO CAP I 7.70%-QUlpS (jIJl)llIl ~ft 2!;.20 ", 2ClOll $ 2;',1<1 $ 1:',0111.00 .1' IN II [JUSINESS MACIIINES r:Of<l' IIH .:U i:\ $ 1\:\1I1l $ !!l00 ~I; 1l1.1I0 $ !i/,IJ!,I.32 .JOIINSUN & .JUIINSUN I,G{2\12!j!; :~ IIIBIl $ tiO.!),1 $ (j1,21 $102,39\1.77 lUCENT TECIINOl.OG1ES INC 1,Il!JliOO $ 'l.IiO $ 4'10 $ 4,:'0 1~ '\Jii2,00 MI. CAPITAL! HUST 7% PEIWEIUAI. 'IiJlIIllI $ ),1.20 $ n.m; !~ 2'UJ:\ $ lJ.GI2,00 MISSISSIPPI POWEI< cOlwm I'll) lilHUIO $ 2;,,1!1 :\; 2!,.10 $ 2;'.10 $ I ii, Ill:' ,00 MOnGAN 5T ANI EY CAP m II 7.2ii% '100.00 $ 24.!i0 $ 1'1.10 $ 24.111 $ 9,930.00 UNIT MUNI fJD I H DISC 1000 :I: 1.1:J..1G $ 1>I:\>I(j $143>111 $ 1,'1:Hfill $ ,1!>.3'1 110I1 JNIYIEIIJ I'A n) 1,!JIJlIIIIl $ H!ilj !~ 141;0 $ 1'UiJ $ 21,l!lf>.1l1l NCH CO HI' I,IEW !i 1.00 $ :\l\nl $ 31.DO $ 30.29 $ I,Wi2G'1 NUVEEN PA PH EM INCOME MUN In 2 2,2'\2.!l'2!iB $ H21 $ 1-1.2:1 $ 1'1.2!; $ 31,!IGI,C,D NIJVEEN pA INV I OUAU I Y MUN 111 ~ i I !) /1 ~ i .!)IJ I I $ 1'111') $ 1.1./2 $ 1,1.{1I $ Bl,B!!;G!i UNll S PENN INSIJ MUN INCM 11m; !, 1!),00 $ 1O!J.71; $ 10!i.in $\0!i.70 $ l,04G.40 $ nB,1 HAI.COIW III.IJGS INC NEW Ill:' 011 $ 2\1 \~l $ IB.31 $ IB.?!i $ '1'/'IJ.7:, SUN mUST CAP II AI. v lWi%, 1~O_OO $ 2!i,1l1l $ 2'1.!i2 $ nlJli $ li,2'IO,OO VAN I(AMp AMEn CAI' PA OUAI. MlJ 1 ,~)nL.!j'l!J!l $ lIi21 $ IG.Oll $ Ili.15 $ 2!i,;,5020 VAN KAMPEN AMEI~N CAl'I n INV I ;J,2'1!J:,1 $ l(jnli $ In.!,2 $ Hi.;,(J $ 31,320.3/ VEHIZON COMMUNICATIONS 1,/'1:1.221 $ ill.'!!) $ 41).1Il :1; ,II)'/ll $ 11,1) f!JlI>1 ... CAPIIAI nt.' u.c l.G~i'Y" ClJlv! lillO.1l1) $ ),1 Off) :]; /'I.fiO $ 2'I.li.l ~ _'-4,ll(I:O~ T o(al Valuc or SCCII/ llics $ 80~,135,lill I<ey"orl policy III(AoOOOOIl79 $!;l, 1~!J.24 IlatUord'f'ollG'yI/OOOO55717 !~m,\l!j\i\ill lolal Value of Insurance Policlcs $ 1\l1l,105,\l2 Bosln" rhmllc:la' Apls \/ 10llllil,; ~I;:l 1">.1)0 $:I51UlIJ IOIAL POHTFOI.ID VALliE $ \l9~,591.52 Ihe ilCClIJed illlerc-'!sl 011 tIlOl](~Y hlluls (0 d;:llo of do.-.th wm; ~~(lL!}~). Ill(JI(! wmo 110 slod~~. IIlal wmJl ex Imhllo and Ilnid altel ,late n( den1h 1 ho Inlormation contained hOlein WnS preparod for Inrllllllaliollal pmpo5os Ol\!'( and {Ioos lIot fOIHo~elll all oHldal 51,,101116111 () yom nccollnl fit tho thlll. 1 ho dillos,l"icos. pfojed,ol1s <llld /01 s(u- IIsUes !lavo hool! obloinod 110m SOUfnos. holfevod lollablo, IlIlt Iho IlCClHacy or 'his' IIlfOll1lallon GRl\lloUIO l1IJmmllo8(}. Ploaso ralarld' your llIolllhly slatamo.l\'s (ur.. COlJT'OlO ,nconJ 01' YOIH lrallsadions. holdillgs aod )[Ilall(;05. UECLARA'1'lON OF '!'HUST ImEREAS, I, JULIA 'l'ALMAUGE, of Philadelphia, Pennsylvania, am the owner of certain assets more fully described in Schedule A attached hereto, the said assets subject to this Declaration of 'frust being identified by the following form of registration: "JULIA TALMADGE, 'l'rustee u/d/t dated/:"<" /, I, ,'~ '1-, 1991,Y'.: / ' . NOW, 'rIlEREFORE, I<NOH ALL MEN BY 'l'IIESE PRESENTS, that I do \/ hereby acknowledge and declare that 1 hold and will hold said assets and all my right, title and interest in and to said assets IN 'rRUST upon the following terms: I. I reserve unto myself the power and right at any time during my lifetime to amend or revoke in whole or in part the trust hereby created without the necessity of obtaining the consent of any beneficiary hereunder and without giving notice to any beneficiary hereunder. The withdrawal by me of the whole or any part of the assets held hereunder shall constitute as to such whole or part a revocation of this trust. 2. I reserve unto myself the power and right to collect any income which may accrue from the trust property and, in my sole discretion as Trustee, either to accumulate such income as an addition to the trust assets being held hereunder or to pay such income to myself as an individual. I shall be exclusively entitled to all income accruing from the trust property during my lifetime, and no beneficiary named 1 herein shall have any claim upon sudl income distributed to me. 3. If because of my physical or mental incapacity certif ied in writing by a physician, the Successor 'I'rustee or the Alternate Successor Trustee hereinafter named shall assume active administrative of this Trust during my lIfetime, such Successor Trustee or Alternate Successor Trustee shall be fully authorized to invest, reinvest or otherwise manage the trust's assets as he shall deem appropriate, paying to me or disbursing on my behalf such sums from the income or the principal as may appear necessary or desirable for my comfort and welfare. 4. Upon my death, the Successor Trustee or Alternate Successor Trustee shall: (a) Pay all claims he determines to valid, such as ante mortem claims, funeral expenses and expenses incurred in connection with the administration of the trust, and reimburse the Executor of my estate for the amount of such claims and expenses he shall have paid from my estate. (b) Pay to the proper taxing authority or reimburse the Executor of my estate for the amount of any succession, estate, transfer or similar tax, whether state or federal, which shall be imposed lawfully upon my estate or upon any beneficiary thereof as a result of my death. 5. Upon my death my Successor Trustee or Alternate Successor Trustee shall pay the indicated sums to the following individuals who survive me: (a) 'I'hree thousand ($3,000.00) Dollars to my 2 friend, EVELYN MOORE; (b) Five thousand ($5,000.00) Dollars to my niece, ANNA HEALY. If either beneficiary shall not survive me, then such gift shall lapse and be distributed as part of the residuary trust hereunder. 6. Upon my death, my Successor Trustee or Alternate Successor 'l'rustee shall deliver to the persons named in a memorandum attached hereto certain articles of tangible personal property which I have described on Schedule A. I direct that any items of tangible personal property not disposed of by said memorandum shall be sold by my Successor Trustee or Alternate Successor Trustee, at public or private sale in the discretion of my Successor Trustee or Alternate Successor Trustee, and the proceeds thereof shall be distributed as part of the residuary trust. The sale or other disposition by me of all or any part of the subject~rticles of tangible personal property so described shall constitute as to such whole or part a revocation of such designation. 7. My Successor Trustee or Alternate Successor Trustee shall divide the residue of the trust fund into four equal parts or shares and shall pay the parts or shares as follows; (a) One fourth thereof to my brother, ,JOlIN TAMALAVAGE, if he survives me. In the event that my brother fails to survive me, his share shall be paid, in equal shares, to my nephew, JOHN 'l'AMALAVAGE, JR. and my niece, JUDITH 3 REMISZEWSKI. or to the survivor of them; (b) One fourth thereof, in equal shares, to my niece, CHRIS'l'INE TAMALAVAGE, and my nephew, JOSEPH 'rAMALAVAGE, or to the survivor of them; (c) One fourth thereof, in equal shares, to my nephews, PIIILI,IPE ERDMER and ALLAIN EHDMER, or to tIle survivor of them; (d) One fourth thereof to my sister, HELEN HEALY, if she survives me. In the event that my sister fails to survive me, her share shall be paid, in equal shares, to my nieces, ANNA m:lILY, MARGARE'1' HElILY, MARY HEALY, and my nephews, PATRICK HEALY and THOMAS HEALY, or to the survivors or survivor of them. Should they be entitled to distribution hereunder, such distribution to ANNl\ HEALY, MARGl\RE'I' HEALY, PA'rRICK HEALY and 'THOMAS HEALY shall be outr ight, however, with respect to any share due to my niece, MARY HEALY, I direct that such share shall be paid to ANNA HEALY and PATIUCK HEALY as Trustees, and held, In 'I'rust, for the following uses and purposes: (1) '1'0 pay the net income therefrom to my niece, MARY HEALY, for her 1 ite not less frequently them semi- annually. Said 'l'rustees may apply the net income of said trust for the support of MARY HEALY, should she, by reason of illness or other cause, in the opinion of said Trustees, be incapable of disbursing it. (2) To expend as much of the principal of said trust as said Trustees may, from time to time, think advisable for the support of MARY HEALY during illness or emergency. 4 Such dIstrIbutIons of prIncIpal may eIther be made dIrectly to MARY HEALY or else be applIed dIrectly for her benefIt by saId Trustees, after takIng Into consIderatIon her other readIly avaIlable assets and sources of Income. (3) Upon the death of MARY HEALY saId trust shall torlnJ.nate 0111<1 the then remaining principal and allY accumulated income shall be distributed equally to ANNA HEALY, MARGAHE'l' HEALY, PATRICK HEALY and ~l'HOMAS HEALY or to the survivors or survivor of them. (4) If at any time said Trustees, in their absolute discretion, should determine that said trust is impracticable to administer, said Trustees may, in full discharge of theIr dutIes, make distribution of the prIncipal and any undistributed income of said trust to I1ARY HEALY. Should MARY HEALY, in the opinion of said Trustees, be mentally or physically incapacitated, said Trustees may pay said princIpal and any undistributed income thereon to the guardian of MARY HEALY, or to any person or institution takIng care of her. 8. All interests of a benefIcIary hereunder shall be inalienable and free from anticipation, assignment, attachment, pledge or control by creditors or by a present or former spouse of such beneficiary. 9. If any provision of this instrument shall be unclear or the subject of dispute among the parties to the trust, the Successor Trustee (or the Alternate Successor Trustee, if the later shall then be actively serving) shall be fully authorized to construe such provision, and such 5 determination by the Successor Trustee (or Alternate Successor '1'rustee) shall be final and binding upon the parties hereto. 10. In the event of my physical or mental incapacity or my death, I hereby nominate and appoint JOliN TAMALAVAGE as Successor Trustee. If such appointee shall be unable or unwilling to serve, I hereby appoint JOHN TAMALAVAGE, JR. as Alternate Successor Trustee. 11. The Successor Trustee and Alternate Successor Trustee are specifically instructed to maintain the privacy and confidentiality of this instrument and the trust created hereunder, and are in no circumstances to divulge its terms to any probate or other court or public agency with the exception of a tax authority. 12. 'l'he Successor Trustee and Alternate Successor Trustee shall serve without bond. 13. '1'his trust instrument shall be construed and enforced in accordance with the laws o[ the Commonwealth of Pennsylvania. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ./ :,~-rt' day of /t1/ik< II , 1991. '.<. /~.. tl ,/ /'.. / .- \ ~;, / (SE^!dl JULIA TALMADGE '-;?~/v (l d~ <: )/r.;./Ui j Wi 11~:is ( 1 ')1 /;( (, }(:'. witness (, Lh IIC:: 'J( / 6 COMMONWEALTH OF PENNSYLVANIA 55 COUNTY OF PHILADELPHIA On the ;J.~-_-<< day of /?1~G , 1991, personally appeared Julia 'l'almadge, known to me to be the individual who executed the foregoing instrument, and acknowledged the same to be her free act and deed, before me. No~r~ub!2 ~~~ -.----~~-~i !l~i ,;-;;.i^l ~;-I-~ ~ L----"-j .11/\111)';'11 ',11.Cl. 11ul:lIyPlI\,1IC r:ily (If' 'fitLlI!' :1,ld,l, i'ilil.1 <;(Jllllly 1.'11" (;1)'llIlIi::',jt;ll C,.pile, JlIly 27, \IJIJ;~ ,.._____..___ _h __.~.__.__.___.____. _~_'. 7 1111l~HIlt1L..:i'l't~J.lJ\CLA Wfl.'J (iH_OEJliUS'l' PU1'smml. Lo l.he l'igb\:' reserved i,V LIULIA TAJ.M!\DUE, TI'llst.ee, ll/d/l. daled ~jar"b ~~!:I, Hle!l, 1.118 ,mid Declal'all.on of Trust is alllended as folloWG: Pal'agr8~,h f) or the saicl LJeclal'c.lLlon of TruEtt Bhall hereafter provide as follows: ti. Uf'Oll my deF\1-.ll mv ~_:llcCe[-:sol' 'J'l'ul~te.e. or- l\lt.~:.~rnate Successor Trust.ee ellUII pay t.he Indicated SUInS Lo Ll1e following lndivtduals who survive Ille: (fl) li'Lve Lhousflnd (~VI, 1I110 .UU) DClllars to lilY ft, i Hnd, EV~:LYN MOOHE; (ll) l'lve lhclusancl (:I:!:"OOI.I.UU) Dollc1/'s t.o illY frIend, N!\DINE LflNDIS; (I:) Ten thousand (:\;10,000.00) Dollars to lilY niee:e, ANNA HE!\LY; (el) Ten I.hUl.1GGncl (;j;lO,(lI1OJiUi ['olIat's lo Ill>' nephe\oJ, aOJIN TAMALAV!\I;E, ,11<.; / (e) l'.lve l.housand ($5,000,00) Uullars lu IllY IlJece. M!\HGflRET FOIH l~!\ ; (f) Five t1\\juslind (~;r"OO\\.I)O) [lolla1'8 I,u my niece, 1"I!\RY Bl ZZAHIIO; ( g) ii'i ve t.housand (*[1, OUU. UU) Do 1. lal's t.o IllY n:i ece , aUDITII HEM] S7.I~WSKl ; (11) J'ive l.housm\\l (~L;!:',UOU.UU) lJolJil1'8 t.o lilY nepl1e"" 'J'IIOMAS HI~ALY; ( i) Five t.hO\h3and ($~), 000. OU) f)ollal's to my nelJhevJ, Pili T.T.Il' IG 1<:l1lJt'IIW; (J) five thousand ($5,000,OUI Dollars to my nephew, ALLAIN ERDMlm; (k) Five t.housand (~1;5, O(HL OU) Uo liat's to IllY gl'ea t- nephew, JASON REl1lSZEWSKI; (1) FivB t.housand ($5,000.00) Dollars to my greaL- niece JILL REMISZEWSKJ; (m) Five thousand (:I;~),OnU.l)(l) Vollar-s to illY nephew, ~llCIlAEL IlEALY; ( n ) 11 I VB thousand ($[>,000.00) Do 11 ars V> my nephew, JUSEPH 'J'AI1/\,/,/\,V/\l;I':; (0) l.jve thousand (;V>,UUU.OO) 1I011arB to my niece, cllHl STINE ])A~!G; (p) Five th01.wand (:1;5,000 .UO) Dollars 1;0 my neplww, PATIUCK HEALY; (']) One t.hou::';'llId ($I.,UUO.IIl1) Dollarf; to my nephew, GEW)D HEALY; I.') One thousand (;~I,OUOJIO) [)allars t,o my nIece, JULIA HEALY; (s) Une thousand (;P, 000. UU) fJollars to my niece, REG lIM, HEALY; If any benefi,,;lary ahal] not uUl'vive me, t.hen such gLft shall lapse and be dU,ITibllted as part of lhe residuary t.:rllsl. 1}{~rellnJet. ~ Par'agl'aph '" of: tho ,,,,id DecJL1t"~lti.on of Trust shall " 11er'eafter f'l'ovl.de ~s follows: l' .J. UP1111 illY death, my ;~tll:c:efJS(H' IL'1'Uf3 l.ee Cli' ^ 1 t81'na te ~;ucces60t.' 'l'rul3t',ee [--;Jltd.J dcLivCl' Co L1lfl 1.:.+~l'L)(H13 nametl in 0. memorandum which I have prepared certain items of tangible personal property. .l dll'eet l.hul. any it.ems of LC:\l\glble persoHal property which I uvm at the time of my death not. disposed of by said memorandum shall be distribul,ed 1:.0 members of lIlY family at t.he sole dlscl'eLiuJl of IllV SUCCefjE)ol' 'J'rus{-.ee or ^lLcrrv.\tl~ SUL'cessor Tt'llst.ee. Paragraph 7 of' I..he said LteelaraLion of Trust, shall hereafter pl'ovide as followf1: 7. Upun my death, my E,ucce~:SOl' Tr'us tee sha II pny t.he residue of the L;r'W3!:. fund to illY 1)I'uLhet', .JOIlt-l 'I'l\t1I\LI\VI\Gfi. In l;he event that my brothel' does not B1H'vive me, my Alt.et'nate Successol' Trust.ee shall l,ay t.he residue of the t.rus t fUnd t.o my bro L.her' s personal representative, absolutely. III all ot.her l'.~specj.s, t.he c'uid DeclaratIon of Trust Io ratIfied and c:onfjt'llled. IN WITNESS WilE FIIIOF, 1 have lJerp\llil." ",:el. illY hand and ,~eftl this t C"} TN da.y oJ ()ie. c F,/~ f r;;' 19DG. JY,iTt1~X;--;tl^~';(;;'/!' '-"-~:l~..____LSilllliJ ~---0~:.-r:'j Wi ~,n~ss ' ) " e 'J? <,1~r9'(-,! /11. /Llt'u;'(fl Wi LneBS 3 c:ot1MONWEALTfI UF PENNSYLVIINIII ...',-' ....--' COUNTY 0[' Pill LIIDE['PIII II Un Uw I (' I It i- dny (II ':1 ( [ \ I \ t' [ '(, tlJ96, personally appeilred ,rulla Talmadge, IUlOWIl to me to 1)e the Indi vIdual who execu ted I;he foregoing ills trul11ent, alld acknowledged the came to be her {I'ee act and deed, before me. ;J ~\l~J~__l~Ji( t' rrL Notary Publlc NOTARIAL SEAl- ALETHA R POWE c. . . Ll. NOfflry Public rry 0' PhiladelphIa PI,'". C Me. ' . ounly OmlnlSS1011 Ex lres Ocr. 14, 2000 Rf.V-I~,IID -(191) '* SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Talmadge .Iulia Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES 1 Bartashus Funeral Home 6,432.00 2. Sausser & Son Memorials 1,045.00 3. Tim McNauge (gravesite labor) 260.00 4. Bequest to Sacred Heart Church 2,000.00 5. American Legion (Funeral Dinner) 496.00 6. Family travel and lodging expenses 1,505.00 7. Organist, Soloist, Priest and Nuns 1,003.00 8. Flower brackets 62.00 B ADMINISTRATIVE COSTS: 1. Personal Representative's CommISsions Name of Personal Representative (s) Social Security Number{s) I EIN Number of Personal Representalive(s) Street Address Clly State Zip Year(s) Commission Paid: 2 Attorney Fees R. Mark Thomas, 101 S. Market St., Mechanicsburg, PA 17055 7,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 573.00 5. Accountant's Fees 6 Tax Return Preparer's Fees 7. Pellish & Pellish, Attorneys at Law (Review of Estate Documents) 450.00 8. Overnight and Express mailings to Trust Beneficiaries 478.00 9. Travel, clean-up expenses and tips for nursing home staff 500.00 TOTAL (Also enter on line 9. Recapllulalion) $ 21,804.00 (If more space is needed, insert additional sheets of the same size) Thomas J. Bartashus Funeral Home Thomas.J BarlasJllIs, O~tlner - Supcrl'isor Water & Kimber Slrccts, New Philadelphia, P^ 17959 Phone: 570-277-6941 -:- Fax: 570-277-4038 Jl!\I:ZI."OU Pit ID ~ r; 1~/o) STATEMENT OF FUNERAL GOODS & SERVICES SELECTED The Estimated Charges are only for those items that you selected ortllat are required by law orby a ccmeteryorcTCm<ltory to u5eany items. we will explain in writing below. If you selected a funeral that may require embalming, such as a (uneral with viewing, you may have tn pay (or embalming. You do not have to pay forembalming you did not approve if you selected arrangements such asa dirt.'Ctcrcmation orimmcdialeburi<ll. If we charged for embalming, we will explain why below. ,- "".- .' For the Service of /'1 .~ . ,.1 I "/ f " I ;!... ~.. ,/ !- ,- -=-Charge to: ,1.;/ /.., " " " /.:.../: 4 Name Address Date of Death .. , , " , ~,.. A. CHARGE FOR SERVICES SELECTED: I. PROFESSIONAL SERVICES SelVices of Funeral Director/Staff....... $~_ Embalming.... ..... ..... ............. $.'/ ,.)-,'1. " " Other prepa,ration of body . City Other Clothing ,1.:. ,,',t.:" (, - I Slafe , , $ L__ Cremation urn".... ..... ..... ..... ... $__ (Description) , .1,. , ,~ ... i.- v / i -;",;,; OTHER $___ $,_.,---- ~} '.' $~-- TOTAL MERCHANDISE SELECTED.,."..",...,.., B L~ C. SPECIAL CHARGES Forwarding of remains .......................................$-/.-~~!...~ SUIl-TOTAL FOR PROFESSIONAL SERViCES...... AI $, 2. FACILITIES AND SERVICES Use of facilities and services for viewing (VisilationjWake).... . , ... ,$ Use of facilities and services for Funeral Ceremony.................., S ,;.:,.. ,~; Use of facilities and services for Memorial Service. ..... ..... ..... ....$ Use of equipment and services for Graveside Service... .... ...... ...... $__ Dlher lIse of facilities $ (Funeral frome) Ueceiving of remains from $ ., (Funeral Home) Immediafe Burial....,............... $ Direct Cremation...... ..... ...,. ... $____ $ SUB-TOTAL OF SPECIAL SERVICES...,......... ,. C$ D, CASH ADVANCED _ Opening Grave.. ... ................ $__~_ I Cemetery Equipment ..... ..... ..... .$. Lot and Deed..,.......,. ........... $ Newspaper Notices - Local........... $ i., Newspaper Notices - Out uf Town. .. $ Telephone & Telegrams. ....... ......$ Airfare....,....,. ..... ............. $____ ClerKy/Mass Offering.,... '_" ''-','' .-f'. $L_~__.' J'allbearers......,. ...,....... ....... $____ Certified Copies of the Death Certificale. ....: ..'.."...; .,~;'.... .... $.~'~ Police Escort.,....,............ ..... $_ .,___.___ VauIISe'.viceSharge.... ...., .....,. $___ FloWC1'S.~'I..;.........:/..j............$;' /._/ ., S I ' """'.,.,.........,...,.."....,....$-- SUB-TOTAL FOR FACILITIE&'EQUIPMENT........ A2 $ 3. AUTOMOTIVE EQUIPMENT Vehicle to transfer remains to Funeral Home. .Local.././,.i.j~./.--:...{.l(,.,/j........$:: .. Hearse (Casket Coach). " , Local.............,.................. $~2.":' Limousine Local. ...,. .... ..... ..... ..... ....... $~~ Family Car toeal.."""""....,............", $____ Flower Car or floral disposition Local.." H..................... '.... $ Lead car/clergy car Mf:'MBHl MONUMENT nUltOE:HS HAROLD D. SAUSSER & SON WIIIilI MEMORIALS MONUMENTS BRONZE MARKERS II,OX IIIN" 11I1~ 11111\11 Sl:IlIlYllIlI1 111\\'1 N, 1',\ 17'i7~ PhuIIP: .rJ70-7,W.ISIU 01' li~S .r,:!IJ.S Member oJ STATE AND NATIONAL ASSOCIATIONS Of NOH III AMEHICA THI: MAHK OF EXCEl t HJCF: MANUFACTUHEHS AND DEALERS IN FOIlEJ(;N AND DOMESTIC CEMETlmy MI~MOHlALS / .-.... A>./ - "G\T-g- I lATE [JESI ~1(II)TII IN I>E111'l' 1'10':111'1' 1l,II.AN"I'; .... ,} J Jfll. /, ~ /J/,t'/1-'O;[I'-) C (6/1. ' /1) Ej/ - I ,.) .- jo<!,\- -:Ju l 011 " ' , / '-i /} L 0'1';/' P !:."'. 1>~!I:,';:jJl "5'00 :~J>dt.:. (} 1 / I{ y,,) I- Ie' -It".tJ1J I Vir.), - I I t, I: " I, f /\ r J' ,'. -0, / t II (~, jt/ . -~-' ~A'iJ) 1 fs t . L) lJh C:~YLAS'I' Fl(alllE IN TillS ""I.IJ~IN :/J ~/j'/ . 'S 7 .)., .'.() II,'; pl'!' llllllllh, whidl i.'i nn ^NNII,\L PI,;ltCI,;N'I'^<:I'; HATI'; (IF IW: i_lpp!il'd III till' Ilt\pai(!_hal<lll~'I' Th,' l.al,111O"1 ,;lnIWII ,d",v" i,; II.., ;ltlll>111l1 ~h"\\'1l I'll al",\'" ,1:11,', I 'b'a"'I' nllllp;I!"!' with ,\"'lIr 1'<""'1',1,., ,11111 if 111<'1'1' I'" an\' dill,'n'J\n', iudly ;ld\'i~,' TII(~, 1)"( 11111'11,10-01 ,,:; :lnlllllillu.lv n'qu,',_l fill" 1'''l'lIlf'''1. bill irollll'\\'" w",dol '1I'I'n'l'i,,11 plllllll't "'Plll,'HH'nt IIF YOII LIKE (1l1J{ SEltVICE __u I'LI,i\SE TELL OTIIEHS) HAROLD D. SAUSSER BOX 134 - R. D. 2, SCHUYLKill HAVEN, PENNA. 17972 NEAR FRIEDENSBURG - PHONE: (717)739-3803 /J1/1 .101';1, NO'ln~~~'i~~r~;:~'~ of the agreement of Harold D. Sausser to ,~II :::u;~~:~e~:::n~n~~~~:L, agree 10 and do'e~erebY purcha,e from Harold D. Sausser, of Schuylkill )javen, Po., ,/.i/it,;,.,t,.:rlU;1/,(J...., ,.... per ,ize, and material given below, to be erected iny,;,';,,,,i; ,'i'l/~t?!It:' )?.f.;~.j...Yr;;dr... Cemetery, of. n_ ..._.., Harold D. Sausser does hereby agree to erect same as soon as feasible unless unforeseen causes prevent, and then as soon .thereaft~~ ~s pra~.,tis:able. , ... ..... I ,,-/,././,.- "1la-tL?' ^DDI;E~::"d:,:t,O:.,Of,th"f.,thf"I,P:cfo~::e;f .;;:qo'ng.th',.S.JI!',.7~1:"1,;';C.~7>."':."..'.'."",..,........... ., "., " ,.,." " "',,, '" "". ."P(~Z~t: C~'(:-;<{;j.;;. j'l 9(// , their/ his/ her's, executors, administrators (Ilcrein called Buyerl agree to pay to H A R 0 l 0 D. S ^ U SSE R (herein called the Seller) the sum of $... '6/Vi.~ . Dollars on Ihe following terms: Deposit $ Balance on Delivery INET 30 O^YSI.I'().Y.~. . . LOT NO. SECTION OWNER Marble Granite '13//..12 L Design Die Base. I'/e.) _.alL._ i /00,0 () f'r I 0 rj rCA,50r0/I"--' A cc.. OLi '-''1 Marker ')- G 'I. 0 ~/(j 'I- I~ 1/ Post tA~1 /,,"D <' He.d Die t'"v~ :r tV or' (f) 2 3 End'/'5~i 6a/~ IJ Top ,1'1 U "t Base /IN'''I' r ;R7),.,/ ~ Foot INSCRIPTION: With ,uch e,ten,ion, and abbreviation, as may be customary. 4 X Foundation Charge . .... ... .;Jt!(;ft [,<?i/;llWG~ . . tllt .{t2l/..9. .':l-:... . .......~W~~~: ....'VI) II. G./i l' ?'f'< . Iohp) ct... j11;1 IY Nv!,S'UY..6 .......~... DJ/<ECTaA ..... 4j/V I' .......<!r. -rA Mil LII VA 6 L.. The s.tlIid Buyer or Buyers hereby tlIgroe fh~t the title of said monument, fixture or structure shall be, and remain in the n~me of tha Saller. And Buyar does further authorize and empower the Seller, their successors. and assigns, 10 t.:'lle, remove and possess soid monument, stone, fixture or struc- ture upon daf"ult of the payment of the consider"tion lIbove mentioned "nd specified. together with "ny "nd "II legal remedies which might be "vl!lilable to Seller. Under no considerlltion will cancellation be <'Iccepled <'Ind it is unrlerstood Ihat the above writing contains the complete agreement bel ween the p.d;e.." nOlh;.ng. ;n p"ole to be b;nd.;~~:...(F'UTURE LETTERING NOT INCLUDED ~LESQSSRECIFIED') . t i , _ f-r-? }Z/'i/J /. ( . ..:r..... ;,.I.I~'::~-::""-~_~'" (SEALJ . Y./ ,- !",~ ~ Buyer ....././"fL.J......... ...S~I:'G;;..t.~;,(j;!f../i~............. ...... ~s Books II.]) "IDUS Buyer .ISEN) p,,~ ( "U') (,U!,,, , ::~"i'~~ ~/'~:.:I~uQq~:1~1ta ,\1)1 )I~ISS /1::) ----tS 1', "I L ~ ClJY'Sl~~~~'Vp l.(it// ~ (/29o I I f 1)01 n f)" I Ci\..;rl r c.o.n, I(:lf:\r~(;/-I()N.\(-( I'j f.,1(ISr IP\IIJ(J(111 I 1<111) I -....-..,-.. - jU^N" "~ool3~QUZ . '''''' . ''',,''N' . 1:/ (J I fJ/~crS ,c;cJ. /,0)' fw: \ I I ( , /:1 / l-k/YI ,elL L;hlLtJ,f,) . ~,~ III I t1 ft-t -rcfaY - GOo/ A II:! I . I I:::: : ~~rL~ ~~hlt 8ud~ 1/712. /60, Cb III,! i 5eJ..--'l. he. 4h~/ JI ~~ ;;:i I (e'j sc-J '-'I WfHtfL ~!' t ~ 8; tr J ;;:: j 'PCl~\ fe. --~~ ~,\cf\)ClLXIe- I<I(J;;t;J.f_()'bO~-r . f7? frlcGole1b '-.J ! TiP '!lJw tAtler ".l- I'''' "/'. /19$1 .. r SAeRE\) HEART MEMORIAL~; In MemOl"y of: Ju 1 ia Ta Imildge by Tam1l1avage Fam L ly Sacred Heart Parishioners Dr.& Mrs. Jonathan Keyes Joseph & Stella Shevokas Jennie l-'Iatillav;.lgtl Dan & Alma Lonergan Toni FUfiS t1;ny DJ:1I9j ack t1r.& ~Irs. WLll I alii 7.enly In Memory In Memory in Memory In Memory in Memory In Memory HOLY F.AMl.L'LI-I.!':MOIt}:ALS of: Cecelia Linder by Lester Lindel. of Reo by Pop of Che.ster Kraska hy Margart't Kraska DE Rnbert Pretti by Mrs. Patricia Weidner of lIelen Ziegler by Mrs. Patrici2 Weidner of Deceased Members of Daniel [(emple F2mily 51". ANTHONY MI,MOR 1 AI.S In Memory of: Elizabeth Boho by Anna Pl!lillps In Memory of Regina Pliska by Vigoda Family In Memory of David Rahilda by Jane Strauss Peggy Hi 1 I er $2000.00 $25.00 ~;lO.OO $10.00 $10.00 $10.00 .$10.00 $10.00 ~;5. 00 $10.00 $lO.OO $\0.00 $5.00 $5.00 $20.00 $20.00 $\0.00 $5.00 $5.00 . AMERICAN LEGION KRANTZ-BOYLE-DRABNIS "" MIDDLE PORT. PENNSYLVANIAPO'S~::'3144 Phone: (717) 277-9015 /-- , / it "':>, J1- f,~_~ ~ I 4,- 2-- 0 ,-.' 2-- .- 7:1 i" ,"'- \ (,{ Vi" J ,. ~:, /, r c'- e_--i L_ \, ,. ,L"tJer2 ") r c:, _~I/' /lV<' '" ~-- ~ JI,Oco cc_---I _:JJ v" 7- #' _7 S','7, C'<_' (-II L ---\~+~> I,J(./L,J C(:~ j ~ - - , (; ;- f . ..~ .. . ~ ~- (---"'t.-- , \.....::~.... J J.') __#..~ '> Jj. '/ 0 .--- \ " b'-d-- TI il ~'? # _:J c,ib/J-{,-' lJl /// (;lL- /! {, - - 0 eLtE--- b 0 r 1~7 0; (~I () j'! -' f 0; c;.L'!l {/ (l-L-c >7 l<fy-/()?- IVl ,j J I" pOlL 7-- ,'--c;Z0 [,.t /. , /' {/,t?z.. r" )r111r> , c. ..~LL-.v~'-o<.L ( ) if ~ '1 L - L) {i I - ~I ,j _, I , / i--I \. // /'_/l'" I L-t, "J -J "J t.-, l- C ;'- --- - , - L} 1 { - Lf (.1 '7~! j') CA S;-f- ,------ ! OTA L PlnLISH & PELLISH ATT(WNI'YS AT LAW ~I I i j / i. . I) i' )41/) ." )' , ) . ) !I ~; ( {" 1.-.. (I\. ").! f{()NAI.I)J{.I'I:I.I,ISII T!!<)/'v1AS.I,l'l:ll.lSII UN))A s. I'I:LI.ISII sot) Wlsr MARK':T STRIJ:T I'OTTSVIIIV, I'LNNS)" VANIA 171)01 (570) 6n-2JJ~ FAX (570) 622.2)JI) cTune 11, 2002 MR JOHN TAMALAVAGE 528 MAPLE ST POTTSVILLE PA 17901 FOR PROFESSIONAL SERVICES RENDERED Re: Estate of Julia Talmadge Conference with client regarding Estate; open subfiles, etc.; revievl of Trust, etc.; attention miscellaneous telephone conferences with client file, to open file; 3 hrs. @ $150.00/hr. $450.00 Any billings su~nitted to you are to be paid within thirty (30) days of receipt 0 [ such bi 1 ling. E'or any bills not paid by the end of the thirty (30) day period, interest will be charged on any unpa id balance a L the ra te of 18 % per annum, together wi th charges for postage and reminder correspondence. RECEIPT FOR PAYMENT ------------------- ------------------- Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 TALMADGE JULIA File Number 2002-00489 Remarks TAMALAVAGE JOHN J SK Receipt Date Receipt Time Receipt No. 5/17/2002 16:12:09 1029413 .- - ------------------------ Distribution Of Receipt ------------------------ Transaction Description PETITION FOR PROBA SHORT CERTIFICATE EXTRA PAGES COPIES JCP FEE Payment Amount 200.00 30.00 6.00 2.00 5.00 Check# 3270 Total Received... ...... $243.00 $243.00 Payee Name CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN BUREAU OF RECEIPTS & CNTR M.D -- - - ~ """"'.,,"'. COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF TalmadQe Julia SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS FILE NUMBER Include unreimbursed medical expenses. ITEM NUMBER AMOUNT DESCRIPTION 1. 46.00 2. 3. 4. 5. 6. Stevens Television & Telephone Service (Utilities at Bryn Mawr Terrace Convalescent Center) 2nd Quarter estimated income tax for decedent PA Department of Revenue 150.00 James E. Holland, 7 W. Main St.. Shiremanstown, PA 17011 For services rendered prior to decedent's date of death 225.00 Robert M. Smith, Esq., The Lewis Tower Bldg., 225 S. 15th St., Ste. 1635, Philadelphia, PA 19102 For services rendered prior to decedent's date of death Bryn Mawr Terrace Convalescent Center Haver/ord & Rugby Rds., Bryn Mawr, PA 19010 128.00 3,238.00 Travel Expense and Compensation to John Tamalavage, Jr. 528 Maple St., Pottsville, PA 17901 For services rendered prior to decedent's date of death 500.00 TOTAL (Also enler on line 10, Recapitulation) $ (II more space is needed, insert addilional sheels 01 the same size) 4,287.00 BIll TO ViI Ii? (,. It l;- Invoice ---- fl .~~ ~~ S. T.S. Stl!l'em Tell!l'ision & Telephone Service 510 Orchard Lane Feasterville, PA 19053 JULIA TALMAPGE HAVERFORP & RUGBY RP BRYN MAWR, PA 19010 JULIA I ADMITTED L~=2GEO / 5/4 nnn7 HOSPITAl DUE DATE Total I IIRYN MAWR ON RECEIPT $4650 PATIENT NAME PA-40ES INDIVIDUAL ili ~li'l9i~- ~~:.~t;ui~ PA DEPARTMENT or HEVENUE 21510 our: DAlE DECLARATION of ESTIMATED PERSONAL INCOME TAX 5EP. 15, 2002 I 178-01-0848 IOFFICIAl us!:' ONLYI I'IIOrOC(JI'\ES ANDUlllUl IT A92 I fACSI'.IILES m nlls rOOM "'HE NOT ACCEPfABlE READ INSTRUCTIONS BEFORE ENTERING DOlLAR AMOUNTS DEClAnATION OF ESTIMATED TAX 'AXI'AVEI\ IDENTlFICArION ~JO *********************AUTO**5-DIGIT 17055 JULIA T TALMADGE 802 COCKLIN 5T MECHANIC5BURG PA 17055-3952 '",11'..,111.."1.1..1.1".11.1,1.,,1.1...1.111..,,,1,1,,11.1 $ I 5- L'.,. i' AMOUNT OF THJS PAYMENT L- 30018017801084800031200212310000000000000007 00010 JAMES E. HOLLAND, CPA 7 West Main Street Shiremanstown PA 17011 Phone: 717-763-6890 Fax: 717-763-6889 Thursday, April 25, 2002 Talmadge, Julia 802 Cocklin Street Mechanicsburg PA 17055 PAlO} 5- /; / () J- Attention: Client No: Invoice No: r /Yl C l.- L (. v C 1-1 c- (. I( ,00 C , (, 70100 2204304 225.00 For preparation of the 2001 Individual Income Tax Returns. Hours Tax Services Individual Income Tax Returns 4/8/02 4/9/02 4/9/02 Assemble Tax Returns 9/13/01 PA Qtrly Est. for Mrs. Tamalavage 4/9/02 4/10/02 2.00 0.25 0.50 0.10 0.33 0.10 $ $ 225.00 Finance charges assessed @ 1% per month on all open amounts. 1':(H~Ii;.l{'I' 1\1. Sfvll'rJ I l\"J"l'tlI(NlilY A'I' LA\'\' The Lewis Tower Bldg. 225 S. 151h SIred, SlIi\e 1(,15 Philadelphia, PA 19102 May 14, 2002 Mr. John Tamalavage 528 Maple Street Pottsville PA 17901 Dear John: I was very sorry to hear the news of Julia's death. She was a very dynamic person before she became ill. I know that you and your family must feel a great sense of loss, especially your father because he and Julia were very close. I am enclosing a bill for the time that I spent working on a revision to the trust. Sincerely yours, I ' f'l/. ~'i(~ /,:~,~il/ ..-', ~ '-../ ') -- J/ A If) )/ ) S /1 g Jc, J---- H()B1~H'l' M. SMJ'!'I! A'r'I'OHNf';Y ,\'1' I.A'\" The Lewis Tower Bldg. 225 S. t 5\h Slreel, Suile 1635 Philadelphia, PA 19102 :1ay 14, 2002 Mr. John Tamalavage, Jr. 523 Maple Street Pottsville PA 17901 INVOICE Julia Talmadge, Revisions to Deed of Trust One and one-half hours 2 $85.00 $ 127.50 D ~/ . ) A II) lJ 5/'a/"J- v STATEMENT /~- "" ,/l/'j//I . It"mr .'X-rnto' V',('//f.,,/f'.j('I'/// Y;''J''/','.I' ,}:(:""t{~'/'f/ 0' .YlN?~Y .-Yt,..",A . 4Y/1 . !1'I'Iw-r. ,/i'/l/I.Jy/'w/lir, /.~r'/rt ///(/ .i::!J ,I:/{'(J 'lJi!l!~ JllauP'i ... 7;-- .... ~ '.' {>/ill au} (- ('ONVAI ,1.:S( 'ENT ('ENTI':I( -------_.._------ DATE (~j"{'../fj 1 /L~Oi.j{.:~ ..Toh)"} T.;;...maldv~:\Uf:.\ ~s,:~n 't'i:q:)].i.-::'l Bt;-r-(:Ot~::,l; f:'ottsvil,le, J:'A 1.7901 PLEASE DETACH AND RETURN TOP PORTION WITH YOUR REMITTANCE RE: ACCOUNT NO. SuI io\ AMOUNT REMITTED $ T,,\llllad~l€' ''ifJI:ll BALANCE FORWARD DATE DESCRIPTION ~ RATE CHARGES PAYMENTS BALANCES DnLnl'ICE F(]I'(~WII'(l) ':;. TIE'.. 9~) P, ~]lE~.. ':')(il t""I C'b/(:~'1'/~:)j: P(lYI"ILI'IT .... THni'll< YOU 3,,"!3'?.. ')0 ....9i.;.~~:5" ({)(d , I @ J/" \~ yr , 'I" ~n' " I f) " 0-- lJ JUl - 'I 1ll\0 ) <I ".....--.....- _.~_. .. ~~.._-~.- '~ael j', .1 :i. .it "faIm..- d qf~ ....'J{.~~5.. DO We: ncCl: :iff I'Hlr;TERCnpI) (,1'10 t....If){~1 . /)~r/I . Ila,,'/'. ~'/"'N' Y"/"'f'~/;.-;n'/;,/ '('ad'n- . )("N'OP'/'(/ ()" . //f';,y;/,~ . //rwrA . h~'9/1 . Ilwr/'/'. . /)/I/I-;9'/',,.UII';' /91'/IJ 0'//' 01:"'.1..1- ,':/('/" .. PLEASE PAY LAST AMOUNT IN THIS COLUMN . . . R'V'1313'X'''_ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FilE NUMBER T"lm~rln .llIli" 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. and transle~ under Sec. 9116 lal (1.211 1. Evelyn Moore Friend 5000.00 2320 Christian St., Philadelphia, PA 19146 2. Nadine Landis Friend 5000.00 4054 Spruce St., Philadelphia, PA 19104 3. Anna Healy Niece 10,000.00 7823 Flourtown Ave., Wyndmoor, PA 19038 4. John Tamalavage, Jr. Nephew 10,000.00 528 Maple St., Pottsville, PA 17901 5. Margaret Healy Niece 5000.00 Via B. Avanzini Number 7, Int #1, Roma, Italia 00163 6. Mary Bizarro Niece 5000.00 2201 Strahle St., Apt. Bl06, Philadelphia, PA 19152 7. Judith Remiszewski Niece 5000.00 2818 S.W. 43rd St., Cape Coral, FL 33419 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18. AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1 TOTAL OF PART II. ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed. insert additional sheets of the same size) . . . Continuation of REV.1500 Inheritance Tax Return Resident Decedent Talmadge, Julia Paoe 1 Schedule J . Beneficiaries - 1 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I TAXABLE DISTRIBUTIONS (include outright spousal dislributions) 8. Thomas Healy 559 Stanton Ave., Baldwin, NY 11510 9. Phillipe Erdmer 8420 118th St., Edmonton, Alberta, Canada T6G 1T3 10. Allain Erdmer 61-837 E. Vale Ave., Gloucester, Ontario, Canada K1J7T5 11. Jason Remiszewski 1512 Cuspis Court, Atlanta, GA 30338 12. Jill Remiszewski Sanders 339 Broad St., Portsmouth, VA 23707 13. Michael Healy 742 Charrette Rd., Philadelphia, PA 19115 14. Joseph Tamalavage 1009 Netherwood Dr., Reading, PA 19605 15. Christine Tamalavage (Dang) P.O. Box 2353, Kolonia, Phon pie, FM 96941 16. Patrick Healy #4 Hunter's Glen Dr., Columbus, NJ 08022 17. Gerod Healy 57 Delaware Ave., Morrisville, PA 19067 18. Julia Healy 235 Racocas Ave, Riverside, NJ 08075 19. Regina Healy Carter 74 Dubois Ave., Staten Island, NY 10310 20. John Tamalavage, Sr. 802 Cocklin St., Mechanicsburg, PA 17055 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not listTrusteetsl OF EST ATE Nephew 5000.00 Nephew 5000.00 Nephew 5000.00 Great-nephew 5000.00 Great-niece 5000.00 Nephew 5000.00 Nephew 5000.00 Niece 5000.00 Nephew 5000.00 Nephew 1000.00 Niece 1000.00 Niece 1000.00 Sibling 901,592.00 \. /1-6:/-/Y BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG~ PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX R MARK THOMAS ESQ 101 S MARKET ST MECHANICSBURG PA 17055 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 11-19-2002 TALMADGE 05-09-2002 21 02-0489 CUMBERLAND 101 - REY-1541 EX AFP (Ol-D2l JULIA Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE __ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RW=iS"4YE'iCAFP-foFo2rNoYicE--oF-YriHEifiTANcE-i"-Ax-jippilimiEiiEN1::--ALi-owANcrifR"----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF TALMADGE JULIA FILE NO. 21 02-0489 ACN 101 DATE 11-19-2002 TAX RETURN WAS: I X) ACCEPTED AS FILED CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule AJ 2. Stocks and Bonds (Schedule BJ 3. Closely Held stock/Partnership Interest (Schedule CJ 4. Mortgages/Notes Receivable (Schedule DJ 5. Cash/Bank Deposits/Misc. Personal Property (Schedule EJ 6. Jointly Owned Property (Schedule FJ 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) 17J .00 .00 .00 .00 27.974.00 .00 994.592.00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule ~) 14. Net Value of Estate Subject to Tax (9) (10) 21,804.00 4.287.00 Ill) (12) (13) (14) If an assessment was issued previOUSly, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: 15. Amount of Line 14 16. Amount of Line 14 17. Amount of Line 14 18. Amount of Line 14 19. Principal Tax Due TAX CREDITS' NOTE: NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 1,022,566.00 76 09] 00 996,475.00 .00 996,475.00 14, 15 and/or 1&, 17, 18 and 19 will returns assessed to date. (15) (16) 117J (18) .00 X 00 = .00 .00 X 045 = .00 903,475.00 X 12 = 108,417.00 93,000.00 X 15 = 13,950.00 (19)= 122,367.00 at Spousal rate taxable at Lineal/Class A rate at Sibling rate taxable at Collateral/Class B rate . .c~c.. '" AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 08-08-2002 CDOO1494 6,118.35 120,150.00 TOTAL TAX CREDIT 126,268.35 BALANCE OF TAX DUE 3,901.35CR INTEREST AND PEN. .00 TOTAL DUE 3,901.35CR . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT'" (CR).. YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) /?-6Y-/-y' ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 2B0601 HARRISBURG. PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT *' REV-1601 EX AFP {DI-D2J R MARK THOMAS ESQ 101 S MARKET ST MECHANICSBURG PA 17055 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-03-2002 TALMADGE 05-09-2002 21 02-0489 CUMBERLAND 101 JULIA Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiEV=i6oTEx-AFj:O-(iiFoi!Y-m--iiii.--INHERITANcE--TAir-5TAYEME-NT"OF-ACfciiui.rf--.-..ii-mm-mm------- ESTATE OF TALMADGE JULIA FILE NO.21 02-0489 ACN 101 DATE 12-03-2002 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 11-19-2002 PRINCIPAL TAX DUE,_ 122,367.00 PAYMENTS (TAX CREDITS), PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 08-08-2002 CDOO1494 6,118.35 120,150.00 11-14-2002 REFUND .00 3,901.35- . . TOTAL TAX CREDIT 122,367.00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J STATUS REPORT UNDER RULE 6.12 Date of Demh: J~/~/ 2-00 Will No.: ~),% /~J~) ~- I - 0 ~- - O ~'/~' '] Adm{n. No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with resp~t to completion of the administration of the above-captioned estate: State w_.h~'~ administration of the estate is complete: 1. Yes ~ No [-] 2. If the answer is No, state when the personal representative reasonably believes that the aam~n~strafion will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal r~tative file a final account with the Court? Yes _ No b. The separate Orphans' Court No. (if any) for the personal rcTresentative's account is: ~. ~ - k- O o x.,_ _ '4 ~' ~ c. Did the personal r~ep~tive state an account informally to the pa_riles in interest? Yes ~ No [-] c. Copies of receipts, releases, j oinders and approval of formal or informal accounts may be filed with the Clerk of the. Orph,~n¢' Court and may be attached to this reuoTj/~ . Capacity: Address Telephone No. ~Personal Representative [--] Counsel for personal representative