The URL can be used to link to this page

Home My WebLink About04-01-11 (2) 15056051058 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes ~ ~ County Code Year File Number PO BOX 280601 ~ INHERITANCE TAX RETURN Hanisburg, PA 17128-0601 '~ RESIDENT DECEDENT 21 10 1219 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 183-12-1809 11 /24/2010 01 /24/1918 Decedent's Last Name Suffix Decedent's First Name MI Sgrignoli Nancy G (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW • 1. Original Retum 2. Supplemental Retum 3. Remainder Retum (date of death prior to 12-13-82) 4. Limited Estate 4a. Future Interest Compromise (date of 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 Will) (Attach Copy of Trust) 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 SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Lisa Marie Coyne, Esq. (717) 737-0464 Firm Name (If Applicable) REGISTER OF WILLS USE ONLY Coyne & Coyne, P.C. n t._~ `M~ ~ ^ ~~ First line of address `~- ~' ' ` 3901 Market Street C7 -x~t ~ m G :; I Second line of address -- Uj ~ t --~ 3 =~ r~"'1 _ :J ~' ~ --~ - ~ - C~C:7Q ~ _7, j ' ` a City or Post Office DAIIE'~ ED State ZIP Code ~j - ~` `-~ ' Camp Hill PA 17011 ~~R `=' ~ c e:> Correspondent's a-mail address: Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. A E OF ERSON RESPONSI LE OR FILING RETURN X ^ ~` ~~1 ~ w r'~ DATE O ~O// --- - -- _ L(/ _ SS7 Fl~~~ ~ - AD ~ -- Jeffre .and Constance McConnell 1835 Good Hope Road, Enola, PA 17025 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 15056051058 J 15056052059 REV-1500 EX Nancy G Sgrignoli ' s Name: Decedent 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 & Notes Receivable (Schedule D) ........................... .. 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ...... .. 5. 6. Jointly Owned Property (Schedule F) Separate Billing Requested ..... .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested...... .. 7. 8. Total Gross Assets (total Lines 1-7 ) ..................... ............ .. 8. 9. Funeral Expenses & Administrative Costs (Schedule H) ................... .. 9. Decedent's Social Security Number 183-12-1809 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............. .. 10. 11. Total Deductions (total Lines 9 & 10) ................................. .. 11. 12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. 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. TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0_ 15. 16. Amount of Line 14 taxable at lineal rate X .0 _ 16. 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable 4 148 99 , . at collateral rate X .15 18. 19. TAX DUE .........................................................19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 17,626.47 17,626.47 10,129.62 847.86 10,977.48 6,648.99 2,500.00 4,148.99 622.35 622.35 15056052059 Side 2 15056052059 REV-1500 EX Page 3 Flle Number Decedent's complete P-aaress: DECEDENTS NAME DECEDENTS SOCIAL SECURITY NUMBER _ Nancy __ G Sgrignoli _ 183-12-1809 STREET ADDRESS 1100 Crandon Way CITY ~I STATE !ZIP Mechanicsburg PA 17050 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 622.35 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments _ _ __ C. Discount _- Total Credits (A + B + C) (2) 0.00 3. InterestlPenalty if applicable D. Interest E. Penalty Total InteresUPenalty (D + E) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 622.35 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) 622.35 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :.......................................................................................... ^ b. retain the right to designate who shall use the property transferred or its income :............................................ ^ c. retain a reversionary interest; or .......................................................................................................................... ^ d. receive the promise for life of either payments, benefits or care? ...................................................................... ^ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. ^ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. ^ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ ^ 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE R AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute 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 beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1508 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Nancy G. Sgrignoli 21-10-1219 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. (If more space is needed, insert additional sheets of the same size) ,~ March 7, 2011 Account # 8622XXXX3~ ,/ %~ , ,;~ i' `f ~~ LISA COYNE ' COYNE & COYNE 3901 MARKET ST CAMP HILL, PA 17011 ~~~~ MAR 9 2011 Dear MS. COYNE: The following is the status of NANCY SGRIGNOLI's account with PSECU as of the date of death. Joint Owner's Name NONE Date of Death 11.24.2010 Date of Birth 01.24.1918 Share Description Open date Balance Accrued Dividend S O1 Regular Shares 11.13.2006 $ 7,096.31 $0.67 S 04 Checking 11.13.2006 472.34 0.15 C 50 6 Month Certificate 11.16.2006 10,000.00 2.19 The dividend earned from January 1, 2010 through the date of death was $255.59. The decedent had no loans with us. We do not have safe deposit boxes for our members. If you have any questions, please ca11234-8484 in Harrisburg or our toll-free number, (800) 237-7328. At the menu prompt, enter 6 and then extension 2227. Sincerely, c, % .- ., Meacie -Fairfa~c . , °.'- . - . , .. :. , Metnber,Service Representative Finance Support Unit . , ., ,,~; ,.. , `3 " Pennsylvania State Employees Credit Union Main Address: 1 Credit Union Place, Harrisburg, PA 1 71 1 0-2990 • 717.234.8484 • 800.237.7328 Mailing Address; P.O. Box 67013, Harrisburg, pA 1 71 06-701 3 • 717.777.2100 (TDD) • 800.472.1967 (TDD) psecu.com This credit union is federally insured by the National Credit Union Administration. Equal Opportunity Lender REV-1511 EX+ (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Nancy G. Sgrignoli 21-10-1219 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1' Resurrection Cemetery 975.00 z. Musselman Funeral Home 1,249.99 a. Reception 245.13 a. Honorarium 100.00 B. ADMINISTRATIVE COSTS: 1. Personal Representatve's Commissions Name of Personal Representative(s) Constance and Jeffrey McConnell Social Security Number(s)IEIN Number of Personal Representative(s) _ Street Address 1835 Good Hope Road city Enola .state PA Z;p 17025 Year(s) Commission Paid: 2011 2. Attorney Fees 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 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Cumberland Law Journal -- legal advertisement e. Patriot News -- legal advertisement 9. Register of Wills --Inheritance Tax Return filing fee 10. Postage 11. Reserves 1 z. Disclaimer of Interest 881.00 5,000.00 71.50 300.00 75.00 124.00 15.00 88.00 1,000.00 5.00 TOTAL (Also enter on line 9, Recapitulation) I $ 10,129.62 (If more space is needed, insert additional sheets of the same size) REV-1512 EX+ (1Z-03) Pennsylvania DEPARTMENT OF REVENDE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF FILE NUMBER Nancy G. Sgrignoli 21-10-1219 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. If more space is needed, insert additional sheets of the same size. REV-1513 EX+ (11-08) Pennsylvania SCHEDULE ] DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Nancy G. Sgrignoli 21-10-1219 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 transfers under Sec. 9116 (a) (1.2).] 1. Jeffrey L. and Constance McConnell Niece & Nephew 1000.00 2. Greg and Amy Elliott Great-Nephew & Niece 1000.00 3. Kristan McConnell Great-Niece 1000.00 4. Chandra McConnell Great-Niece 1000.00 5. Kathy Magaro Niece 1000.00 6. Carol Magaro Niece 1000.00 7. George and Shirl Caldarelli Nephew & Niece 1000.00 8. Lenard and Pauline Benning Friend 1000.00 9. Denise (Pelullo) Elliot Great-Niece 1000.00 See Attached Schedule J, Page 2 for residual heirs ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, A S APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. Our Ladies of Lourdes Church 2500.00 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. ESTATE OF NANCY G. SGRIGNOLI FILE N0.21-10-1219 SCHEDULE J, PAGE 2: RESIDUAL HEIRS NAME Timothy Benning Teresa Sarver Michael Anne Dumnich Edward Benning Elizabeth Benning RELATIONSHIP Friend Friend Friend Friend Friend AMOUNT 1/5 of residual estate 1/5 of residual estate 1/5 of residual estate 1/5 of residual estate 1/5 of residual estate REGISTER OF WILLS CUMBERLAND COUNTY PENNSYLVANIA CERTIFICATE OF GRANT OF LETTERS No . 2010- 01219 PA No . 21- 10- 1219 Estate Of : NANCY G SGRIGNOLI (First, Middle, Last) Late Of : HAMPDEN TOWNSHIP CUMBERLAND COUNTY Deceased Social Security No : 183-12-1809 WHEREAS, on the 13th day of December 2010 an instrument dated February 18th 1999 was admitted to probate as the last will of NANCY G SGRIGNOL/ (First, Middle, Last) late of HAMPDEN TOWNSH/P, CUMBERLAND County, who died on the 24th day of November 2010 and WHEREAS, a true copy of the will as_probated is annexed hereto. ' THEREFORE, I, GLENDA EARNER STRASBAUGH Register of Wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to: JEFFREY L MCCONNELL and CONSTANCE MCCONNELL who have duly qualified as EXECUTOR(R/X) and have agreed to administer the estate according to law, all of which full y appears of record in my office a t CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VAN/A. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 13th day of December 2010. Register of it eputy **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) 't~ _, :x ~ ~ :;. f ~., .. 7 Cl d i .~ r:uPY ~ ~, -° . ~ -~-~ ci +.... ¢ LAST WALL AND TESTAMENT . q ~ ~ - ~a OF ~ ~ ~ _.. ~~, ~- '' l~T~l\TCY G. SGRIGNOLI . ca o ~ _ ~ ~, I, N~TCY G. SGRIGNOI,I, of the Township of East Pennsboro, Cumberland County, Pennsylvania,. declare this. to be my Last Wi11 and revoke any ~ wills or codicils previously made by_me. _ ITEM 1: I devise and bequeath all of my estate of every nature and wheresoever situate, together with insurance thereon, to my husband, CHESTER P. SGRIGNOLI of 116 Front Street, Village of West Fairview, East Pennsboro Township, Cumberland County, Pennsylvania 17025, providing he survives me by thirty (30~ days. ITEM 2: Should my husband, CHESTER P. SGRIGIVOLI, predecease me or not. be .: f ' ~ living on the thirty-first (31st day after my death, i make the following bequests: `~ ~ a. Two Thousand Five Hundred Dollars ($2,500.00) to Our L . ~ ~ ady of Lourdes Church; 2;25 Salt. Road, Enala, Pennsylvania i 7025' for the maintenance of the church building. ~ and grounds. ., ~. ' ` . b.: One Thousand Dollars ($1,000.OOj to JEFFREY L. I~IcCONNELL and v z : ` CONSTAIVCE 1vIcCONNELL of 1835 Good. Hope Road, Enola, CumberI--and. County,. . Pennsylvania 170125>. c. One ~ Thousand Dollars ($1,000.00 to GREG ELLIOTT and AMY ELLIOTT, his wife, of 21 James Bill Road, Port Matilda, Pennsylvania 16$70. x' . 1 ~~ , ~~ . ~`1 i E, r t ,~ i . - '~ . ,. t n i ,s F ;y; D,' 25 ~. t ~~' J k . •5 ~q~ ~. 1 d. One Thousand Dollars ($1,000.00) to GUY PELUI,LC) and DEMISE PELUT.L!0, his wfe,~of 10'7 Lounsbury Place, Falls Church,. Yirgiba 22046. e. One Thousand Dollars ($1,000.00:) to KRIST'AN 11iIcCONNELL of 183"5 Good Hope. Road,. Enola, Cumberland County, Pennsylvania 17025. f. One Thousand Dollars ($1,000.00) to CHANDRA McCONNELI, of 1835 Good Hope Road, Enola, Cumberland County, Pennsylvania 1705. g. One Thousand Dollars ($1,000.00)' to KATHY MAGARO of 4808 Lancaster Street, Harrisburg, Dauphin County, Pennsylvania 17111: h. One Thousand Dollars ($1,000.00) to CAROL MAGARO of 11-15 1.24 Street,. ~Sauth ,done Parlt, New York 1 iA~20. i. One Thousand Dollars {$1,000.00) to G130RGE GALDA1tBLLI and SHIRL GALIDARELLI, his wire, of 1.971 River Bend Rnad, Allentvwtt, Pennsylvania 18103: ;y - - ' ~`= ~ j One T~hou~sand Dollars ($1,000:00) to LE~'ARD B2y'~G and PAULINE, ,~' _ ro BENI~TING, his wide, of R.D. 5, Box 191-C,~Csreensbur~g, Pennsylvania 1560'1. ~~~. ~ -~ ' ~+ ~ ITEiVi 3: Should any of the above named legatees predecease me, I direct his, her or ;, -'; their share of my estate be added to and distributed as a part o~the residue of my estate:. ~~ t, ~ YTEM 4: Should my husband, CHESTER P. SGRIGNOLI, predeceases me yr not be :.~ ,. c7 living on the thirty-first (31st day after my death, I devise anti bequeath the residue of my estate z . of every nature and wheresoever situate, together with. insurance thereon, in equal. shares, to my ~~; '~ ~, .. z. s: q:. ~s <~:~ - ~~ ~ . i r.. e 6 ~{ . COQ grandchildren, TIMOTHY BENNING, TERESA SARVER, MICHAEL ~E DL1'NINICH, and my step-grandchildren, ED~AItD BEl*TNING and ELIZABE'T'H BENI~IING, or their respective issue. _ . ITEM 5 Should any beneficiary entitled to a share of my estate not have attained the age of twenty-five (25) years at the time of distribution'to him or her, I devise and bequeath the share ' of sucTi beneficiary to the survivuig parent(s), iii separate trusts, to hold, manage, invest and reinvest the share so received, in accumulation of income thereon, and to use and apply the g : , ,. . income and principal; or so much thereof as, in 'I'i-ustee's discretion, may be necessary or appropriate for such beneficiary's main#enance,, support, and education (including coiiege education,. both graduate and undergraduate) without regard to his or her parents' ability to provide for such maintenance, support or education,, or to make payment for these purposes, without further responsibility, to such beneficiary's parents or to any person taking care of such :. benefici ` ary. Any principal or income not so applied shall be distributed to such beneficiary absolutely when he or she attains the age of twenty-five (25) years. If he or she dies before a attaining the age twenty-five (25),.the Trust shall terminate and such share shall be distributed to o. .his or her personal representative. FI' ~, - x : ~ .. I'TE1kI b:• T appoint my husband, CHESTER. P: SGi~IGNOLI, Executor of this my Last ,\ ~• ;X~VilI, Should: my husband, CHESTI~ P. SGRIGNOLI, fail to qualify or cease to act as my "~z. Executrix, I appoint JEFFREY L. McCONNELL and CONSTANCE McCO1VNEI,L, his wife, of " ,,:~; ~` ~`~ ~ ~ 1835 Good Dope Load, Enola, Cumberland County, Pennsylvania 17025, as Co-Executors of this, my Last Will. . 3 ITEM 7: I oriier add direct `my body be buried in Resurrection Cemetery, 116 South " g, up " ~ ty, ennsy a, , , OaIC Grove Road Hatrisbur n~ hnt Coup . 'P lvani"~ where Lot 3~~ Graves 1 and 2 F Sechfln 5, which also contains a marker, have been paid. ITEM $: T direct that ail taxes that m~~ be assessed in consequence of my death, of .. whatever nature and b~+ whatever jurisdiction imposed, sha11 be paid from my -residuary estate as apart of the expense of the adrilinistt'ation of niy Estate. ~TE1VI 9: T direct that`ny personal representatives or trustee of their successoxs shall not ~' be required to give band for the faithful performance of their duties in arty jurisdiction. IN WITNESS WHIrREOF, I have hereunto set rriy hand and seal to this, my Last Will and Testament, this ~_ day o~ ~ ~~~ 1999. r~ "~ , ~~~i` 4 ~ ` ` C i} :~~.. NAN~CY`G. GRI~GN'OL ' Signed, sealed, published and declared by the above-named Testatrix as and for her Last Will and Testament in our presence, who, Rat her request, in her presence and in the presence of ~ :} :• each other, have hereunto subscribed our names as attesting witnesses. '~ ~-• residing at ` . / ^I [!~ l / -- ~{ Z'Z7 L ~ j~. ~ t~i.~-less 2z~ . p ~ a`:. resdingat ~.:/~s/e. _~~ /~~1.3. ~~ COPY COMMONWEALTH O> PENNSYLVANIA ) ssa COiTNTY OF CUMBERLAND ) We, NANCYm G: SCrRIGNOLI, __~ ir,~~ and (. - ~ _ ~e,~' the ..Testatrix and the witnesses respectively, whose ..}~ ,. . names are signed to the attached or foregoing instrument, being -first duly sworn, do hereby . declare to the undersigned authority that the Testatrix 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 purpose therein expressed, and that each of the witnesses, in the presence and nearing of the Testatrix, signed the will as witness and that to the best of his or her knowledge, the Testatrix was at the time eighteen (I $) years of older, of sound mind and. under no constraint or undue " influence. Subscribed, sworn and acknowledged before me ,C~ ~~G~~ ~~~y~/E by NANCY G. S RIGNOLI, .the Testatrix, and subscribed and wo o •"before. me by Gys ~ ,dv and G" ~ (,~~ _ ie2 e witnesses, this ~ day a I99 . ~~/ `-,~ ;% . ~. Notary. Public ~ SEAL) NOT;ARIAL:+FAL EfLEEN 8. CCYIdE, Noi~ry ~~. ~ ~iampden 7wP.; Cu~nberfond Covnly, PA ~ AAv Cow.:. ...... c °--'--'-- ^ -- 'VVitne ' r 1~~" aanaaoissn~-lsa vs ~~~~~ J nananoa e,= T.. , :w. COYNE & COYNE, P.C. A PROFESSIONAL CORPORATION ATTORNEYS AT LAW Henry F. Coyne 3901 Market Street (717) 737-0464 Lisa Marie Coyne Camp Hill, Pennsylvania Facsimile (717) 737-5161 Jaime L. High 17011-4227 www.coyneandcoyne.com March 29, 2011 Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 Re: Dear Madam: Estate of Nancy G. Sgrignoli, Deceased No. 21-10-1219 We represent the Estate of the Late Nancy G. Sgrignoli. r-,> ~~_ - ~ ~?~j ~ ` '`? ~ n ~ - _ ~ -; ~ .. - ff Y p ... `~ o c-~ Enclosed please find an original and two (2) copies of the Inheritance Tax Return for this Estate. Please docket the original and return to this office a "clocked-in" copy with the enclosed envelope. Also enclosed are two checks. The first is check no. 100 in the amount of $15.00 which represents the filing fee for the Return and the second is check no. 101 in the amount of $622.35 which represents the inheritance tax due per the Return. Kindly issue appropriate receipts for these payments. Thank you for your assistance. If you have any questions, please contact me. Very truly yours, COYNE & COYNE, P.C. i Marie Coyne LMC/amd Encl. cc: Mr. and Mrs. Jeffrey McConnell, Co-Executors