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HomeMy WebLinkAbout02-22-11 1505610101 REV-1500 °` tO1-'°' OFFICU\L USE ONLY PA Department of Revenue Pen-tsYlvania County Code Year File Number Bureau of Individual Taxes °°""~`"~°`""~"'~ PO Box sso6oi INHERITANCE TAX RETURN ~ ~~ 1 Harrisburg, PA i~i28-o6oi RESIDENT DECEDENT ~) ~ D 1 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY _. _. _ __ 184-10-7688 , 02/02/2010 '04/29/1917 Decedent's Last Name Suffix Decedent's First Name MI Mina Edward ....... _ ............ . __ _ --- (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name __ Suffix Spouse's First Name MI __ N/A __ __ Spouse's Social Security Number .__ _ _ -_ THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death prior to 12-13-82) O 4. Limfted Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required death after 12-12-82) ~ 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 - THI3 SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTWL TAX INFORMATION SHOULD BE DIRECTED T0: Name _. Daytime Telephone Number __ John A. Prodcehl, Jr., __ (484) 431-8030 First line of address P.O. Box 147 Second line of address City or Post Office Broomall State ZIP Code Pa ;19008 ~, REGISTE LLS US~VLY -~.O C~:) ~ - """t r- - ,. r ^~~ c ~ ` .r' tl5 ~ f`~1 l.J r-'~ . , ~. _ ._, ATE FILED r^- ~. C~ C;, r ,"r-r ~~~3 t:~ -i-i :7 "~'i correspondent's e-mail address: jprcesq~verizon.net Under penalties of perjury, I declare that I have examined this return, including acxompanying 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. SI TURE OF PERSf ~ RES~iONSIBLE FOR FILING RETURN D TE (.(, , (Atw.b ~ l dr~~( p AD RESS • 0' ~oX !~~ ~ryarhALL ~fl /~oo~ SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 1505610101 1505610101 J J 1505610105 REV 1500 EX Decedent's Social Security Number Decedent's Name: 184-10-7688 RECAPITULATION. 1. Real Estate (Schedule A) ............................................. 1. 2. Stocks and Bonds (Schedule B) ....................................... 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages and Notes Receivable (Schedule D) ........................... 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ....... 6. " 70,461.27 7. Inter-Yvos Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested........ 7. ; 17,620.17 8. Total Gross Assets (total Lines 1 through 7) ............................. 8. ; 88,081.44 9. Funeral Expenses and Administrative Costs (Schedule H) ................... 9. 22,786.62 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) .............. 10. ' 1,831.81 11. Total Deductions (total Lines 9 and 10) ................................. 11. 24,61$.43 12. Net Value of Estate (Line 8 minus Line 11) .............................. 12. 63,463.01 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ........................ 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ........................ 14. 63,463.01 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0_ 15. 16. Amount of Line 14 taxable at lineal rate X .0 4~ri 63,463.01 16. 2,855.84 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 __ 18. ; 19. TAX DUE ......................................................... 19. 2,855.84 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 L 1505610105 1505610105 J REV-1500 EX Page 3 f>trar_Qdant'c Cemelete Address: Fffe Number DECEDENTS NAME Edward Mirra STREETADDRESS 650 Ailenview Drive cITY Mechanicsburg sTATEPa IP17055 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) 2,855.84 2. Credits/Payments A. Prior Payments B. Discount 3. Interest Total Credits (A + B) (2) (3) 4. If Line 2 is greater Ulan Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (a) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 2,855.84 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :.................................................................................... ...... ^ b. retain the right to designate who shall use the property transferred or its income : ...................................... ...... ^ ^ c. retain a reversionary interest; or ................................................................................................................... ....... ^ ^ 0 d. receive the promise for life of either payments, benefits or care? ................................................................ ...... 2. If death occurred after Dec.12,1982, did decedent transfer property within one year of death wittwut receiving adequate consideration? ....................................................................................................... ....... ^ 0 3. Did decedent own an "intrust for^ or payable-upon~leath bank account or security at his or her death? ....... ....... ~ ^ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneffaary designation? ................................................................................................................. ....... ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE R AS PART OF THE RETURN. For dates of death on or after Juty 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)). For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only benefiaary. For dates of death on or after July 1, 2000: • The tax rate imposed on fife net value of transfers from a deceased child 21 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 percent [72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal benefiaaries is 4.5 percent, except as Hated in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent (72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX+ (11-08) '~ "' Pennsylvania SCHEDULE A DEPARTMENT OF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF FILE NUMBER Edward Mims 2110-0281 All real prope+ty owned solely or as a tenant in common must be reported at fair market value. fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, bath having reasonable knowledge of the relevant facts. Real property that is iointly-oMmed with right of survivorship must be disclosed on Schedule P. Attach a copy of the settlement sheet if the property has been sold. ITEM VALUE AT DATE NUMBER Include a copy of the deed showing decedent's interest if owned as tenant in common. Of DEATH DESCRIPTION ~. ' wa TOTAL (Also enter on Line 1, Recapitulation.) # 0.00 If more space is needed, insert additional sheets of the same size. REV-1508 EX+ (8-98) SCNEp1~LE E COMMONWEALTH of PENNSYLVANIA ~H, BANK DEPOSITS 8c MISC. INHERITANCE TAX RETURN PERSOI~I~~ PROPE~ RESIDENT DECEDENT ESTATE OF FILE NII~ER Edward Mina 2110-0281 Ir>ciude the proceeds of Ifigatian and the date the proceeds were received by the estate. AN tY JointlY~a~wr»d +~ d9ht of wrvtvorship must bs disdaed on SeheduN F. NUMBER VALUE AT DATE DESCRIPTION OF DEATH 'wA TOTAL (Also enter on line 5, Recapitulation) t 0.00 (N more space is needed, insert additional sheets of the same size) REV-1509 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT scNEOU~E F .IOtNTIY-01NNED PROPERTY ESTATE OF FILE NUMBER Edward Mirra 2110-0281 ff an asset was made john within one year of tM dscsdan's dab o(dsalh, it must ba nporbd on Sehsduls G. SURVMNG JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A• wlliam Gregory 650 Allenview Drive tap-son 'Mechanicsburg, Pa. 17055 B. C. JOINTLY-OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLU~ NAME OF FINANCIPL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER ATTACH DEED FOR JOINiLKHELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENTS INTEREST 7. A. ~ PNC Bank Aoct# 50-0570-6195 79,599.83. 50 39,799.92 2 A. 05106/08 PNCBankATxt# 50-0185-9813 61,322.70 50 30,661.35 TOTAL (Also enter on line 6, Recapitulation) I = 70,461.27 (If more space is needed, insert additional sheets of the same size) REV-1510 FJ(+ (6_98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT scNEOU~ a INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF Edward Mina FILE NUMBER 211 a-0281 ~ ms scneau~e must oe antl ttied if the answer to any of questions 1 through 4 an the reverse side of the REV 1500 COVER SHEET REM NU DESCRIPTION OF PROPERTY rrxxuoE 1-E N~11E of 7HE iRiV~Rff, THEM RflATpN9F~P TO DE(X-DEMrA~ro 1-EDATEOFIRMIBFBt A7TACt1~COVYaFTHEDEEDFORREALESTATE DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST ~ EXCLUSION (~APa~ yes. TAXABLE VALUE ~ • PNC Bank CD Acd # 31200171164 ITF: Jeanne Cooper, Gail Gtlelardini, Denise Carpenter 17,620.17 100 17,620.17 TOTAL (Also enter on line 7 Recapitulation) ; 17,620.17 (If more space is needed, insert additional sheets of the same size) EV-1511 F.X+ (12-99) SCMEpYLE N CoM-doNUVEA~TFI OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATNE COSTS RESIDENT DECEDENT ESTATE OF FlLE NUMBER Edward Mina 2110-0281 Debts a dscederrt must ~ rrsported on Sctrsduk ><. ITEM NUMBER DESCRIPTION AMOUNT a FUNERAL EXPENSES;. t' Hoover Funeral Home 1, 862.00 2 lmemtem in Fbrida 6,800.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions 6,200.00 Name of Personal Representative(s) Denise Carpenter Soda) Security Number(s-IEIN Number of Personal Representative(s) 1826-2803 Saeet Address 98 Boot Road C;ry'Newtown Square :crate Pa .:Zip 19073 Year(s) Commission Paid: 2010 2. AttomeyFees 7,000.00 3. Famiy Exemption: (If dsoadent's address is not the same as daimant's, attach explanation) Claimant Street Address City State . Zp Relationship of Claimant to Decedent 4. Probate Fees 277.50 5. Accamtant's Fees s. Tax Return Preparer's Fees 500.00 ~. Advertising: Cumberland Court~r Law Journal; The Seminal _ 147.12 TOTAL (Also enter on line 9, Recapitulation) _ 22,786.62 (If more space is needed, insert additional sheets ~ the same size) REV-1512 EX+ (12-08) ~~ Pennsylvania SCHEDULE I DEPARTMENT Of REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES 8c LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Edward Mirra 2110-0281 Report debts inarrtd by the decedent prkr to death that remained unpaid at the date of death, including unreimbursed medical el~enses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 26.81 2; Ted Carpenter. reimbursement of payment of duty nurses 1,265.00 ` 3. Lisa Franklin -duty nurse 540.00 TOTAL (Also enter on Line 10, Recapitulation) $ 1,831.81 If more space is needed, insert additional sheets of the same size REV-1513 EX+ (i1-08) `~ ~ Pennsylvania SCHEDULE ~ DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Edward Mirra 2110-0281 RELATIONSHIP 70 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 transfers under Sec. 9116 (a) (1.2).) 1 'Denise Carpenter granddaughter 25% 2 Gail Ghdardini granddaughter 25% 3' Jeanne Cooper stepdaughter 25°~ 4, 'Will'iam. Gregory. tepson 25% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 Of REV-1500 COVER SHEET, AS APPROPRIATE. II NON TAXABLE DISTRIBUTIONS; A. SPOUSAL DISTRIBUTIONS UNDER SECTION 4113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 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. ~< t~.r ._ ED~3~,.t?D ~~Ts R.S '~ I, ED~a.t1~D ~IIs~.'~, domiciled iZ Pir~e3.3.as Countl, Florida, ~~ and residing at 11791 - 111th Terrace North, Largo, Florida 33778, do mace, publish, and declare this instrument to be my bast Will and Testament, and hereby revo~Ce all my former Wi11s and Codicils. T i I give my entire estate to my wife, GENEVIEVE H. MIRRA, to be hers, absolutely and forever. II If my wife, GENEVIEVE H. MIRRA, predeceases me, I give my entire estate as follows: (A) Twenty-five (25$) percent of such property to JEANNE COOPER, to be hers absolutely and forever. If JBANNE COOPER predeceases me, my Personal Representative shall distribute the property to which she would otherwise 'have been entitled herein, in equal shares, to the children of JEANNE COOPER who are living at the date of my death; {~B) Twenty-five~(25$) percent of such property to DENISE CARPENTER, to be hers absolutely and forever. If DENISE CARPENTER predeceases me, my~ Personal Representative shall distribute the property to which she would otherwise have been entitled herein, in equal shares, to the children of DENISE CARPENTER who are living at the date of my death; ~: i1l8ERTJ. ROO'fH il~N A ROOTH (C) Twenty-five (25$) percent of such property to GAIL GHELP,RDINI, to be hers absolutely and forever. If GAIL GHELARDINI predeceases me, my Personal Representative shall distribute the property. to . EDWARD MIRRA LANI QFFiCES GILBERT J. RO(~ i 4i ~ SilSA;~{ A, :~~?JTH • 7913 SEA~1{NOI.E M?~L~ EAST • ScN1iNOLE, F~ 3377 (813) 393-371 (813) 397-4768 2 °,i7 ~C au ;~(:'at'~.. ~~i;,-~'_~'?AI'~ :3:r 1?i3~7c~ .'~S~~II c~"C _:.~i.3.2f~ '_''?-,..°~$':I3, -j ~:: ~riia~ ~'^'3~'~~~ Trj J,~a ~^~~.~/'~71 ~~ ~^1TZ GHE~~yli~i. ~~ ~o awe ? i~,i~?~ a'~ the ds e o2 zr~~t dea~_h; D ) ~aeaaty-five ( ~ ~ ~ ) percer_ t of such proz~ertiT to ~?IlLI~u`~ J_~L = LREGui? y , J~? ~ , to be his absolutely and f graver ., I f T~iIZLI_Au JAMES GREGO~tY, J~? . predeceases me, any Personal Rep?~ssentative shall distribute the. property to which he would otherwise have been entitled herein, in equal shares, to the followinr~ named persons who are living at the date of my death, to-wit; JEANNE COOPER, DENISE CARPENTER and GAIL GHELARDINI. III I appoint my wife, GENEVIEVE H. MIRRA, as Personal Representative of my estate. If GENEVIEVE H. MIRRA predeceases me, or fails to qualify or, having qualified, fails to complete the administration of my estate, I appoint DENISE CARPENTER as substitute Personal Representative of my estate. If DENISE CARPENTER predeceases me, or fails to qualify or, having qualified, fails to complete the administration of my estate, I appoint GAIL GHELARDINI, as second substitute Personal Repre- sentative of my estate. I direct that my Personal Representa- tive~shall not be required .to furnish bond. IV I hereby authorize and grant unto my Personal ATfOFNEYS 31LBERT J. BOOTH suS~w a noon-i Representative the power to sell, mortgage, or lease any asset of my estate, including any real property of the estate or any interest therein, without authorization or confirmation of court, for cash or credit, or for part cash and part credit, and to do EDWARD MIRRA LAW OFFICES GILBERT J. ROC7TH • SUSAN A. BOOTH • 7913 SEMINVLE MALL EAST ~ SEh91NOLE, FL 33772 {813) 393-3471 • {813) 397-4758 t f+. +~ :9 t 'i% :i: y 3t:"~:. 3:T'.t4 t!1 ? . ~ Ci 3:.v-'3 .'1r1` ..... 3~?J.r?yJr23 Lt r ~ L'~III~+~..$ ~~~ 7<f?8 ~:drair_is ~ra-Lion cif my ~s~~~{_.~, ITT WI'I'~1ESS Tv~~I~?,~fl~', I ?1d'a~ set msl .'f?3,?~ aid. LL31 t~ t'n.is m1 Las'c T~lil~. al d ~'ssta.me~.t, on Li'?is dal flf august, 199. EDWARD i4IIRRA We, the undersigned, hereby certify that the foregoing instrument was on the day of the date thereof, signed, sealed, pub~,ished, and declared by the said EDWARD MIRRA, the Testator, as and for his Will, in the presence of us, who in his presence and in the presence of each other have, at his request, hereunto subscribed our names as witnesses of the execution thereof . ~~ Lc: . NZE A A. SEAL ELMA L. TYSON J GI SRT J. RO nrrow+EVs aaeeRt ~. Room susw a Room LAW OFFICES G{L$ERT J. ROOTH • SUSAN A. ROOTN • 7913 SEM{NOLE MALL EAST • SEM{NOLE, FL 33772 (813) 393-3471 (813) 397-4768 ! ai i ~ i ;, ,~ ti S'T'AVE (7 ~ ~'T,Q'siI D:4 ;1'd$y .gri~~.a''~~ 1ti~I~~~, t~~ ~y~~~.d.~Cii, 1Z1C~ ~ZC~~~y~ ~,r ~~~ ct33a SET.i~iA La '1'YSOs~T, two of the witnesses, respectively, whflse names are signed to the attached or foregoing instrument] having been sworn, declared to the undersigned officer that the Testator in the presence of witnesses, signed the instrument as his Will, that he signed, and that each of the witnesses, in the presence of the {Testator and in the presence of each other, signed the Will as a (witness. The foregoing instrument was acknowledged before me this .Z.~ nrtaw+ers: ,i~aEar ~. Room susnN a RoorK day of August, 1996, by EDWARD MiRRA, the Testator, and MONZELLA A. SEAL and SELMA L. TYSON, two of the witnesses, who are personally known to me or who have produced a Florida Driver's License as Identification and who did take an oath. ~ <rQY Arj OFFtC{AL NOTARY SEAL °~- GILBERT J ROOTH rp nx coMMlsslav ~~~~ Not Public a e o Florida ~' c CC390409 ~~~ ~~ MY COMMISSION EXPIRES 0> 21°R SEPT 2a,t~ ~,qyy OFFICES GILBERT J. ROOTH • SUSAN A. ROOTH • 7913 SEMiNOLE MALL EAST • SEMINOLE, FL 33772 (813) 393-3471 (813) 397-4768 EDWARD I~IIRRA - Testator Total Banking Statement- ~ `~ PIVCBANK ~~~o~~~r~ ur ~n ~', sign on to PTi~`Banki~nhne Banking , _ _ _._._E6WARTS101iFi~- ----.~_ `won pnccom--_ _..- - -. _. _--- ----- _ ___ __ _~ _. __--- --- ----- - - .._ _._._ -__ .~ -_ _P~imary amount number:50-0485=~13 __ __ _ -._.a_., ..__T ____ ~_M __ _.___-__ _-_ _.. TNow is~the time to~cantribute to your CRA. Making the maximum IRA contribution,_(up to $5,000 or_$6,000 if you are.. age 50 or over), is a great way to achieve the retiremertt~rou want. _ Be sure_to_act before y_ou _fi!e your taxes if you are making, a_ , _ and other additions _.r-- .4.H..,....,.,.._~._..__.._ -___.. 'gip! 1_ 1 _.__..._____._ -~.___.______.__.- _ ....__ _._____ ---..-.n~na"-'t_._~~~g!.------- - -.-__...___ ___- __-- _ _ --- ---- __ totalirp_ 7 .1frj($J..--------1-3~.~i....~~t.~1L'.=rr~s_-it.~~SL"L_ _ .,_._._..~...._...___.~.._._..........___,_....__..._._...._a..-_........-.-,....___..__....,......___'---'...__.....__ ....._.... ._..._,----- ~~._,_..__.____._ ,Aa.. ---..____.__~- --------.-_.__.__-__-___~___.__.__._____~...__._._w...___.___....___ -8~-/2},_.__..______---.---5.36--interest Papment---- --- -----------__--------_._. _-------- __ _ __.__.._...._ _ _ ___ _ ___._.._ __-____..-._. ..CI»dc..._._..-.. ._._.._._. .._._T.~__.....,._-_._---R.~wao.--.-_.~.__...__....__..._...._._.._.____..___--. __~_~_ ._ -- -8st~- ___-R~Iu,uw~....__._. numbv Amount `.~aid~_, numMr _~. number - ._ _. Amount . .._ . _ _.nwnb~r__- ___ ..1606-_... __.___ _1 Z~____~. ~._~.X~~...9...r_.__. o_8~7eo1 ____._____._..____. _.__..______161~.____T ____ ~~.Q~___O~tS. .___..~3~!'r._._.._ 1607 1,250.00 12/29 oas397so3 _ 1613_____.T .__- __._.,_ 150.00 01/06 -'---HYleeoto56 .1611 _._ _ T ___-~___.....~~,~ _._._._l~l~~..~...____~~~1 ._.._.___.__.r..--- _.____..__.._.._-__-. _______._. .___ _.- ____.._,_ ------- __.. _.___-_. _____~ ______ _._. __ N~ _.W.~ -_.. - ..^_ 'T Teller Gashed Check ~.. __.__._ _._... There ware 11 chocdcs I~ted tc~tsiin~g_..__ __~ ._- _ _ Gap in check sequence. ______ _~_ ~.. _____V ~..x-..~_____ _ ~. _..._ _.m__ 11 .M. pyy Bslsuica,.~,.____ _. __~_..psa~______._._ 9afasua__.____ ___ ___.._~.. ......._. ~~~ .___ ._.__. _Dsh_ _ __ _ _aNaoca. _ __._ _..,m_ 72/22 48_g45.28 12/30 45,377.46 01/15 ____ .38,984.94 __ ._ ._. _ Oi/Rl_ ___38:8X5 50 ____ ---- _.__... ___ .. FORM953R-0709 Total Banlzing Statement For 24hour infonr-anon, sips on to PNC Bank OnNne Banking EDWARD MIRRA on prtcoom. Primary account number 5t)r0185-98'i3 ~- Mcotmt uennber. 50-018G-8813 -continued - - Page 2 of 3 `~, t3ppinninp Oeposfts and Chicks and otMr Ending belsece other additions deductions balance 38,825.50. 27,15.12 3,$69.26. 62,581.36 Avrraya mo~rthly Charyes balance .... and tees 62,63014 00 '~ ~ rtttNN Chhcks gold! CMck Card P03 Chock Card/Bankcaro _ withdrawals synod transactions POS PlN transactions 4 __ 0 _ _ p _ ...Trial ATM PNC Bank _ Other Bank tnansactions ATM transactions A?M transactions _ - - - _ - 0 0 0 111btNt l~Mlksry As of OZ/'18, a total of;li.lg in interesCwas Annwl Percentay~ Number of days gvaraye collsc:ded id this nhrsst Paid ~ Yeaf. YINd Ferried (APYE? in interest period balance for aPV6 this period 0:20X 28 62.630.14... 9.56 ~i~ _ OMta•ti~ iM~ ~~f tttf• There were 4 D9pasits and t)tlter Additions Dste_ _ Amount -Desoriptkm totadrgff2f.1~i.12._ 01/22 ., 25,000.(10:..17eposit ltefcrence No 526616123 01/29 723.56 Direct Deposit -Annuitant PA Treasury Dept 365 02/03 1,39$:00 Direct Deposit - Soc.Sec , US Treasury 303 7688A 42%18 9.56 Interest Payment I:~~oltas tttttt?i ~ Irks' Check bads Rsfirenos Chsck pate Ratersnce number Amount... paid number , number MauM paid number.. 1617 149:89 01/2$.... 52~so7s 1619.. 24.47. ..01/29... oe4tis2~o 161:8.... 3,052.00 Ol/29_ _ _ _ ~ 1621 * 142.90. 02/04 oees5sov9 " Gap fn~ieo~C sequence Thera were 4 checks isted totaling .2i ~y -oral Date - Balance Date -Balance DaM - Balance - - 01/22 63,675.61 02/03 62,714.70. ...: 02/18 62,581.36 01/29 61,322.'10 02/04 62,571.80 Edward Mina ITF . . . Jeanne Cooper and Denise Carpenter and Gail Gheiardini Imestrrwnt Description .• Maturity date Interest Original or Current _ number _ _ rats... renewal valus value 31200171164 I3 Month(s) Fixed Rate 03/01/201 T 1.49 96 T7,618:74 17,630.96 TaRal wwrewt tta~aa 1?,630.96. JOHN A. PRODOEHL, JR. COUNSELLOR AND CONSULTANT AT LAW P.O. BOX 147 BROOMALL, PA. 19008 TELEPHONE: (484) 431-8030 February 18, 2011 Cumberland County Register of Wills 1 Courthouse Square Cazlisle, Pa. 17013 Re: Estate of Edward Mirra, Deceased 2110-0281 To Whom It May Concern: E-Mail Jprcesq@verizon.net Enclosed please find an original and two copies of the Inheritance Tax Return. Please time stamp and return the copy in the self-addressed envelope provided. Also enclosed is a check made payable to the Register of Wills Cumberland County in the amount of $30.00 for the filing fee. Thank you in advance for your anticipated cooperation. Very truly yours, t JOHN A. PRODOEHL, JR. JAP/dej Enclosure -~:, co ;v =: -w ~~'` ~~~ ~ ` b :~ ~ r~,, ~, , < A r~ ~: cn ~~ c~ .~, 0 a~ ... ou ~a M U~o ~ ~~ ~ oa .°~ ~ '?? ~U ~ U •--~ U ~" '~ _ ~ "~.,.` W .: ~_ ..: ti oc ." ~ ww 9 W ~ p„+ p„ .~ .... o~ ~, a. cra r