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HomeMy WebLinkAbout01-1070 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of P I-CIL I P also known as 1\ ) G' M ASc:.rC)LI (4- No. To: 21-01-1070 Deceased. Social Security No. \ 9' 3 - ( {. ___r; q 3 'I Register of Wills for the County of in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appl '( for letters of administration on the estate of (d.b.n.; pendente lite; durante absentia; durante minoritate) the above decedent. Decendent was domiciled at death in CuM. BE R LA 11/ 1] County, Pennsylvania, with h ) .$; last family or principal residence at 737 STA,E S (. J LEMoYMG) p,A. (list street, number and municipality) Decendent, then fl 7 7 years of age, died fa q .:r- 01.'f at M ,;>t N tJ IJ Q. AD 1= ) Q. lAyVI p tf ILL) P n rW: 2.. OC/f) , Decendent at death owned property with estimated values as folllows: (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: ~ 0 fJ () U s. H 0 F L.t:: f\A D Y N C. J 0.0 U NT J 17 J1 . $ $ $ $ C, o} Mt). a CJ Q UM {1GJQ.L.. Af\I /;\ _ 3 M ()CJ { ,:')06 PetitionerL after a proper search ha IJ~ ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name Relationship p. ~ (; G: E. ~ (\/I .s y!J THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. t ~<~k~~ <l) .... p::~ g:g ~~ <)_ n~C"..:.tPA 3~ <l) '- 50 0; <= OIl Cii / 737 j T t\T ~ Qt) Li2v\1 /J 0/ AJc:~ Put V ~~ G L::lIvc; r3 V f< Go (=}1.< F <MGc HA/lIl~SI3cJ 86- + ) Pvf~ I?-.;l:;l- If OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } ss 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 representative(s) of the above decedent petitioner(s) will well and truly administer the estate according tn law. ~ L - /J Sworn to or affirmed and subscribed f . ~ A 0/3Wf0 &) before me this 26th day of ~ ~ ~ 7QCTeB~ jJloe 1 . tt.LJh~ ' , ~QACc..d:::::::.. "r.. -,--#-- i':~1r- --- en '-' Cl) .... ::l ..... ~ i:l bO CJ5 No. 21-01-1070 Estate of PHILIP E MASCIOLI , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW NOVEMBER 21 P9 2001, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that P. EUGENE MASCIOLI AND RICHARD S MASCIOLI is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to P EUGNE MASCIOLI AND RICHARD S MASCIOLI in the estate of PHILIP E MASCIOLI FEES Letters of Administration $ Short Certificates( ).......... $ Renunciation ................ $ JCP $ TOTAL _ $ Filed .. ~.0.-:?~:-.~q9~.. . .... A.D. 115.00 9.00 5.00 5.00 134.00 19_ 7r~'('~<</'f/P -:~Mr eglster of Ills H-~ Y\J Fly F: C () Y Nt:; cJcn?50 ATTORNEY (Sup. Ct. I.D. No.) 3CJO 1 NI AR (<~ r S (-, ADDRESS ~ IA-;VJ PH' L L, PA 17~ II ~ '-! 2...27 PHONE 1 ([- J ,)7-0'-!6f7 ~.~~ H105805 ~~9;:(,is to certify that the information here given is correctly copied from an original certificate of death dul~ filed with Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filmg. WARNING: It is illegal to duplicate this copy by photostat or photograph. me as No. d-v Ji'?2 't~ Local Registrar Fee for this certificate, $2.00 p 6650801 JUL 1 0 ZOOO Date 21-01-1070 J Hev 2187 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH NAMe OF OECEDENT (F;~sTM~Ie~- -..-.----- 4Jh'~ I : .-.-.----------------- t. SEX STATE FILE NUMBER SOCIAL SECURITY NUMBER ~~ 3. Ie( - 1\0 DATE OF DEATH IMcmh. D.a.,:_~- 7- 9- 00 UNDER 1 "" ~ iWinul.. BIATHPlACi (Cry.ar.d Pt.ACE:OFOEATHiCl'>eck ontyflf'tl-- ~ ,nstrlJCtoOllS onOft'er!ll<Je1 Stale oc Fcre.gt1 COlJnlIYI HOSPITAL. _ OI\~O"'-to1..O l\ ~ 1"""1_1 D ERIOlAoaIl." 0 I . ~':""IO 77 Y,.. 5. COUNTY OF DEATH AGE (laSl Blf1hdaV) UNDER' YEAR Monthl Days z. .. RACE. AmMCan I"'n, Black. While. etC (Si>ecIy) ... U)~~~ SURVIVING SPOuSE III '*"e. give maiden name. ...... I.. lHFOflMANT's NAME (T ypolP'''' _. METHOD OF DISPOSITION 8unoI Dc,.........)ll 0IIl0r (Spec....' RVICE LICENSEE OR PERSON ACTING AS SUCH .... "ems 24-2& muM be compftlled by J*'IOn who pI'OnOUnCH death. 23a. IME OF DEATH ~:/ 2311. 2:1c. .....S CASE REFERRED TO ..EDlCAL E......INERiCORONER? "'")0 b t NoD ....DlATE CAUSI (Final ~orConc:Jltlon reeulllng If'l 0NJh. -----.. a. 21. I Apotoxlmal. I ~ between : Onset and dM1h I I I PART U: ifleant concMiona contribuIlng 10 de_Ih, but not t'HUIling in 1M undeftying cause Qiven in PART I. s..,.-1OlIy ........iona ......~..- QUM. Enter UNOEALYING CAUSE (o.s... Of It'jUIy c. "~II'llIIaIed........ '-.ling tn cJNIh) lAST ~ AN AUTOPSY PERFOfl..ED? d WEAE AlJlOPSY FINDINGS _ltABlE PRIOR 10 COMPLETION OF CAUSE OF DEMH1 MANNER OF DEATH ......... 'W D D DATE OF INJURV (Monlh, Day, Year) TIME OF INJURY INJURY JIJ WORK? OESCRISe HOW iNJURY OCCURRED, HomiCide D D o PLACE OF INJURY. AI homo, l..m~;..1. la<l"'V.olfic:. building. etc. ISpec11v. _. .... D NoD _nl Pending lnvesf:agaUon ....0 Noljl Y.. 0 NoD Suicide Coukt noc be derermlOed M. 3Oc. ~ /!?il/II LOCATION 150_. C....ITown._' ... 21b. aRTlFlEA ICheck ani,;, one) .carrIFYING PHYSICIAN (PhySICian Ceflll';'lng <:au5e ~ dealh when another tlhySlC.an has prOl"lOllnced dealh ana Campleled ttern 23) TOthebeetotmYkno~,de.thOCCu"'"duetolhecauM(..AndmAnn.'a....tH. ............ _, 29. .PRONOUNCING AND CERTIFYING PHYSiCIAN (Ph~1O\fl bolt1 plonounc,ng tJedlh and l.:erttlyll'lCJ 10 cause 01 aealtl\ To the Met o. my knowtedgft, death OCcurrad at the time, dAte, and place, and due to Ihe caUM(') And manner.. ".Ied "MEDICAL EXAMINER/CORONER On the b..i. of ...min.llon .nel/Of lnyestig.lion, in m't opinion, de.th Occurr.d al the lime, date, and place, and due to the uuse(s) and menn... a.slated.. . . , , , . . , .. . . ... . . . _ . 31a. () v 3'. () 21-01-1070 RENUNCIATION In Re: Estate of PffiLIP E. MASCIOLI, Deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned, KENNETH L. MASCIOLI, son, of the above decedent, hereby renounces the right to administer the estate and respectfully asks that Letters of Administration be issued to P. Eugene Mascioli, II and Richard S. Mascioli. WITNESS his hand and seal this c.3~ day of.JJ OVEWl5eJ2- ,2001. Dated: t ( - 3 - dOl) I o N '.~i'E 6: "(,J I,D I.....;: (:' ':';~:, <:5 ";j) om !Va: a: - N :> c:::l ::z .\:~ p . i.D , .0 C~ .:l>= 0u ~ -- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: PHILIP E. MASCIOLI Date of Death: 07-09-2000 Will No.: 21-2001-1070 To the Register: I certify that notice of beneficial interest 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 October 17, 2000: Name: Address: Mr. P. Eugene Mascioli, II Mr. Richard S. Mascioli Mr. Kenneth L Mascioli P. O. Box 2520, Harrisburg, PA 17105 23 Gettysburg Pike, Mechanicsburg, P A 17055 1518 Manley Road, B-40, West Chester, PA 19380 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None COYNE & COYNE, P.C. Date: (l/~I'--lJ\ BY: - is Marie Coyne, Esq ire 3 1 Market Street Camp Hill, PA 17011-4227 (717) 737-0464 Pa. Supreme Ct. No. 53788 Counsel for Personal Representative 00 . (if :::S::"'l o-'~ (1'"' . '"""I pj:;- ~ :n ('i) o I:""~ ::; r"') ~ z I W ~{~ :g N . . - o ... ~l/ .~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: PIt.I,,, E. M.,..J~t'uI,' , Date of Death: 7-Q-2..<rtn Will No. ;;J./- 01- /IJ7o Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes No "I. 2. If the answer is No, state when the personal representative reasonably believes that the administration will be comPlete:~~ ~OO~ 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Date:~ ~~~ S 9 ture - L(~^ ~/e SIV~ Name (Please type or print) 30(01 ~,u- ~/., ~ [JIll. fA /1.1/1 Address . (1\1) 77,1---oL[&1.( Tel. No. Capacity: Personal Representative V"Counsel for personal representative (MAH:rmf/AM3) Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 .,.'. Date: 6/13/2002 MASCIOLI P EUGENE 737 STATE STREET LEMOYNE, PA 17043 RE: Estate of MASCIOLI PHILIP E File Number: 2001-01070 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 7/09/2002 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~ ~.~/jJ..e-J ~ MARY cfI. LEWI S jJ IJ REGISTER OF WILLS cc: ./File Counsel Judge \. /1- ~.:2 -IY BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' NOTICE OF INHERITANCE TAX APPRAISEKENT~ ALLONANCE OR DISALLONANCE OF DEDUCTION5, AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV~1548 EX AFP (01-03) P E MASCIOLI 737 STATE ST LEMOYNE PA 17043 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 04-07-2003 MASCIOLI 07-09-2000 21 01-1070 CUMBERLAND 193-16-5934 02122565 PHILIP E 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 ~ ---------------------------------------------------------------------------------------------------------------- REV-1548 EX AFP C01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 04-07-2003 ESTATE OF MASCIOLI PHILIP E DATE OF DEATH 07-09-2000 COUNTY CUMBERLAND FILE NO. 21 01-1070 TAX RETURN WAS: S.S/D.C. NO. 193-16-5934 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 02122565 FINANCIAL INSTITUTION: WAYPOINT BANK ACCOUNT NO. 1000022342 TYPE OF ACCOUNT: DATE ESTABLISHED ( ) SAVINGS (X> CHECKING ( ) TRUST ( ) TIME CERTIFICATE 11-12-1997 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due x 8,929.67 0.500 4,464.84 .00 4,464.84 .15 669.73 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." X TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 04-15-2003 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 669.73 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 93.73 TOTAL DUE 763.46 * IF PAID AFTER THIS DATE, 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 MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FDR INSTRUCTIONS. ) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 002642 COYNE LISA M ESQUIRE 3901 MARKET STREET CAMP HILL, PA 17011 ACN ASSESSMENT CONTROL NUMBER AMOUNT ____hn fold 101 $2,650.50 ESTATE INFORMATION: SSN: 193-16-5934 FILE NUMBER: 2101-1070 DECEDENT NAME: MASCIOLI PHILIP E DATE OF PAYMENT: 06/04/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 07/09/2000 TOTAL AMOUNT PAID: $2,650.50 REMARKS: P EUGENE MASCIOLI C/O LISA M COYNE ESQUIRE CHECK# 2 SEAL INITIALS: DO RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS 11-,;J..2-/~ ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISE"ENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESS"ENT OF TAX 'ATE ESTATE OF DATE OF DEATH FILE NUMBER ~. 00 emJNTY J I :\:17":- ACN LISA M COYNE ESQ COYNE S COYNE 3901 MARKET ST CAMP HILL "03 JUL 21 L:[;;.. PA 17011 Cuml. 07-21-2003 MASCIOLI 07-09-2000 21 01-1070 CUMBERLAND 101 Allount Rellitted '* REV-1547 EX AFP lUl-031 PHILIP E 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 ~ REV=iS4"rEX-AFP-foY=oiY-No'TIcE--oF-YtiHERITANci-7fA'x-APPRAISEi'-ENT~--ALi-oWAiici-oR------------ -- --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF MASCIOLI PHILIP E FILE NO. 21 01-1070 ACN 101 DATE 07-21-2003 TAX RETURN WAS: (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. "ortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/"isc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets ( ) CHANGED (1) (2) (3) (4) (5) (6) (7) 66,500.00 910.00 .00 .00 1,609.32 4,464.70 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/"isc. Expenses (Schedule H) 10. Debts/"ortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequestsj Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 21.348.24 984.00 (11) (12) (13) (14) NOTE: To insure proper credit to your account. subllit the upper portion of this form with your tax payment. 73.484.02 22.332 24 51.151.78 .00 51, 151.78 I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rat. (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: NOTE: DATE 06-04-2003 (+) INTEREST/PEN PAID (-) 337.90- NUI1BER CD002642 .00 X 51.151.78 X .00 X .00 X A"OUNT PAID 2.650.50 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 00 = 045 = 12 = 15 = (19)= .00 2.301.83 .00 .00 2.301.83 2.312.60 10.77CR .00 10.77CR ( IF TOTAL DUE IS LESS THAN $1. NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ..CREDIT" (CR). YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS.) r _.... I"- . .. .. I r-'l . . I ~ ~~"'~:'f~''';;'''i''';~'''il.A'i~:':::J ~ -~: ~ ru r-'l r-'l CJ CJ CJ CJ r-'l CJ r-'l rn CJ ent To CJ I"- "&ii8filPf Xia.;.u.u-- --. U._.. --. _uu_u_ - n_U - _._n._..nu__u__ -.- -.-.. -.. -.... or PO Box No. _.nu.__n_._nnn..n__n_.__n_.u_u._n.u.u.u..n._....n_n.n_ 'cny,.staie;ZiP+4 " Postage $ Certified Fee Postmark Return Reclept Fee Here (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees $ PS Form 3800, June 2002 See Reverse for InstructIons .~'~. Item 41f~' - Print~ ...".....~."....... SO that we can I1lb.riithltcIiIrCI-~ -Attach thl$.card to"'lJ!l!Ijk-df'-IR8IpIeee, or on the fn:Int Ifspece~ 1. ArtIcle Addressed to: MASCIOLI RICHARD S 23 GETTYSBURG PIKE MECHANICSBURG PA 1705!:, I I I I I I I ~ 12. Artk I (rf8J l~:' L o ..........t 4. RIIstrIcted~ -0- I 7 r--- ~ ll2l5ll5-ClR-M-1l54O . " .~~"" " · JRD/June 30,1992/17858 I AUG 0 9 2004 )ji In Re: Estate of Philip E. Mascioli Late ofLemoyne Borough ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA Estate No.: 2001-1070 NO. 21-2001-1070 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: Eugene P., and Richard S. Mascioli Counsel for Personal Representative: Henry F. Coyne Date of Decedent's Death: 07/09/2000 Date of Delinquency Notice: 08/11/04 The undersigned, Glenda Farner-Strasbaugh, Clerk of Orphans' Court, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pur~uant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on April 30, 2004, and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 08/11104 ~~~ Clerk of the Orphans' Court Distribution: Personal Representative (s) Counsel for Personal Representative Estate File ~I'( ~, ~oo'+} '1:30)<\. Yvl, A hearing is scheduled for at in Courtroom No.3. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. //?J,tiAfV'" GeorgeE. fj6' "ffet{;Jp.V ~; t: "" . ~. . CJ CJ l"- ~ ,Ii I LJ~S: ~ostal SerViCeTM CERlTlFIED MAILTM RECEIPT , (Do e' Ic Mail OIIly; No Insurance Coverage Provided) rn CJ ru .-=t 8 Certified Fee I CJ I CJ Return Reciept Fee (Endorsement Required) CJ Restricted Delivery Fee .-=t (Endorsement Required) CJ r-'l Postmark Here Total Postage & Fees ! $ rn CJ Sent To CJ I"- sfni6fiIPf No:; - n - - -- - - - n_ n_ n n_nnnnnn on 00 0 __ 0 0 0 00 0 0 0 0 00 0 n_ __ _ n n_ _ n nn or PO Box No. Cny.:-S;at8:ZIP+4---..._--~------------------------------------------------------------ PS Form 3800, June 2002 See Reverse for Instructions 1. ArtIcI& Addressed to: 0. ".1_' ," '. ..... ~ H vet ......., ..hi....... I MASCIOLI P EUGENE 737 STATE STREET LEMOYNE PA 17043 I I ~ .~.~ Q;....,... 4. WIdlIld DeIIMrtl...Fet.l C ... -, ^ ; .,J ~f540 ~" ..e ~_._----_.~ .-..----.,--.---.-- .. JRD/June 30,1992/17858 AUG 0 9 2004 i Estate No.: 2001-1070 ORPHANS' COURT DNlSlON COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA In Re: Estate of Philip E. Mascioli Late of Lemoyne Borough NO. 21-2001-1070 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: Eugene P., and Richard S. Mascioli Counsel for Personal Representative: Henry F. Coyne Date of Decedent' s Death: 07/09/2000 Date of Delinquency Notice: 08/11/04 The undersigned, Glenda Famer-Strasbaugh, Clerk of Orphans' Court, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on April 30, 2004, and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 08/11/04 ~ ~ uf!;;;..kJ. Glenda Farner Stras~;- (J~ Clerk of the Orphans' Court Distribution: Personal Representative (s) Counsel for Personal Representative Estate File ect~ '8, 200"t I q: 30 Y\. 'M. A hearing is scheduled for at in Courtroom No.3. lfthe Status Rep?rt is filed prior to the hearing date, the hearing will automatically be cancelled. /'''/'fl .,/$ /~ ,:. // /i/ L/f/ ,'YJ' R I I 1ft ;}~ ~"1 ".-." ~, George t. lM)ffer, ;P.J.: '["r' .:r ru I"'- <0 U.S.' oslal SerViCeTM I I ~CE IFIED MAILM RECEIPT (Do/JJe ic Mdil Only; No Insurance Coverage Provided) . rn 11JII;t:]"Z: Zf1i'Jfi1 !-JIII]: I nl] .a.'.r:n ..]II...'.'l:-l;r:nf;I;1.',............IIIj.;:l. J:JI{';:'lll ~;I Cl ru _____ .-=l /(k rn Cl ent To Cl I"'- Sirii6~ -APT. No::- 00 - _nn - n - n._ -. 00 ---- - - - --. n - n_ -....... n.... n n n._ - 000000-- n- or PO Box No, ci,y:-Siaie; iip:;'"4 - - - - - - - - - - 00 - 00 00 00 00 0000 00 - 00 - __. ___ - _. - _. - _.. - m._ _._mm nm -- Postage $ . ertified Fee Reciept Fee Postmark t Required) Here elivery Fee t Required) ge & Fees $ .-=l Cl C Cl Cl Return (Endorseme~ Cl Restricted D 8 (Endorsemen .-=l Total Posta PS Form 3800, June 2002 See Reverse for Instructions SENDER C" ,II'" T - - ,I . Complete Items 1, 2, and 3. Also complete Item 4 If Restricted Delivery Is desired. . Print your name and address on the reverse so that we can retum the card to you. . Attach this card to the back of the mallp1ece. or on the frbnt if space pennlts. 1. Article Addressed to: ~L~~ COYNE HENRY F 3901 MARKET STREET CAMP HILL PA 17011 I ~g...MoI .. :: I\~~;=""w-; 4:Restrtcted~"'~ . C.. 7003 1010 0001 1203 8724 p , ,2. Article Number (71ansf8r'from~ I8beI) \P.S FPtm :$8' ~. Fj!~_2d04 - 111\ 1 ~ Return Receipt {l 1~1l1l1o '. " JRD/June 30,1992/17858 AUG 0 9 2004 t In Re: Estate of Philip E. Mascioli Late ofLemoyne Borough ORPHANS' COURT DNISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA Estate No.: 2001-1070 NO. 21-2001-1070 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: Eugene P., and Richard S. Mascioli Counsel for Personal Representative: Henry F. Coyne Date of Decedent's Death: 07/09/2000 Date of Delinquency Notice: 08/11/04 The undersigned, Glenda Farner-Strasbaugh, Clerk of Orphans' Court, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Clerk ofthe Orphans' Court on April 30, 2004, and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 08/11/04 ~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative (s) Counsel for Personal Representative Estate File ect~lt.. 8', ;). 00 'f I q: 30 V\. y\\., A hearing is scheduled for at in Courtroom No.3. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. ,j;?}/$ ,/2 />~"t; f'"', ".//l" ,,> ' ~/ ~}/ ',~, George Ik'Hoffer, PJ. COYNE & COYNE \DlO 0\/ A PROFESSIONAL CORPORATION ATTORNEYS AT LAW Henry F. Coyne Lisa Marie Coyne Austin F. Grogan Sharon F. Clark 3901 Market Street Camp Hill, Pennsylvania 17011-4227 717-737-0464 Fax: 717-737-5161 August 16, 2004 Office of the Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 Re: Estate of Philip E. Mascioli, Deceased Dear Mrs. Lewis: We represent the Estate of the Late Philip E. Mascioli. Enclosed please find a final status report of this estate. Kindly docket the original and return to this office a "clocked-in" copy with the enclosed envelope. Thank you for your assistance. Very truly yours, COYNE & COYNE, P.C. 1~: !l (V {j:~rie COynJ LMC/amd Enclosure cc: Mr. P. Eugene Mascioli, Co-Executor, w/encl. Mr. Richard S. Mascioli, Co-Executor, w/encl. STATUS REPORT UNDER RULE 6.12 Name of Decedent: PHILIP E. MASCIOLI Date of Death: 07-09-2000 Will No.: 21-2001-1070 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes_ No ~ account is: b. the separate Orphans' Court No. (if any) for the personal representative's interest? c. Did the personal representative state an account informally to the parties in ar:. ;:<'r' c:5 ::S ::; .t::... t)'" d. Copies of receipts releases, joinders and approva~' of fo~l or accounts may be filed with the Clerk of the Orphans' Court and may be attach~ to this rijort. Yes~ No_ ::0 ;[i :1: ....' t, ~ infOrmal '.".') ;:"' I.:': Dated: 1(, /1-(/ C- cllf --- co 31 1"-.) ~ I" REV .1500 EX" (1-4101 i W I- lll:~1I) oo<:lll: wQ.o :cOO oo<:..J Q.III Q. < (Y~/~ 0"'''''"'' 0",' '~ ~ *' 1'1- ~~- Pi- REV.1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21 01 COUNTY CODE YEAR SOCIAL SECURITY NUMBER 01070 NUMBER COMMONWEAL.H OF PENNSYLVANIA DEPAR"fMEN"f OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) MASCIOLI, PHILIP E. I- Z W C W o w c DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) 193-16-5934 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 1. Original Retum o 2. Supplemental Retum o o o 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach copy of Trust) 10. Spousal Poverty Credit (date of death between 12-31-91 o 3. Remainder Retum (date of death prior to 12-13-82) o 5. Federal Estate Tax Retum Required 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) 4. Limited Estate 6. Decedent Died Testate (Attach copy of Will) 9. Litigation Proceeds Received AME th !z Lisa M. Coyne, Esquire II! I!l IRM NAME (If applicable) O<:z 8 ~ Coyne & Coyne, P.e. ELEPHONE NUMBER 717/737-0464 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely. Held Corporation, Partnership or Sole-Proprietorship z o i= :5 :> l- ii: < o w 0<: 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly 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 H) 07/09/2000 06/29/2023 3901 Market Street Camp Hill, PA 17011-4227 Oc ,,- .,. (1 ) 66,500.00 ~ ! (2) 910.00 (3) None (4) None (5) 1,609.32 (6) 4,464.70 (7) None (8) (9) 21,348.24 (10) 984.00 -n:J::J OFFICIAL ~ QIolLv '--- c:: 2: I J;::. :;p OJ "j U1 73,484.02 (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) (11 ) 22,332.24 51,151.78 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) (12) (13) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 51,151.78 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15.Amount of Line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec. 9116(a)(1.2) z 51,151.78 .045 (16) 0 16.Amount of Line 14 taxable at lineal rate x i= ~ :> Q. 17. Amount of Line 14 taxable at sibling rate x .12 (17) ~ 0 0 S 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) 2,301.83 2,301.83 20. 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) *' SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MASCIOLI, PHILIP E. I FILE NUMBER 21 - 01 - 01070 All real property 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 excnanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on schedule F. ITEM NUMBER 1 DESCRIPTION VALUE AT DATE OF DEATH 66,500.00 737 State Street, Lemoyne, Cumberland County, Pennsylvania (See Attached Settlement Sheet) TOTAL (Also enter on Line 1, Recapitulation) 66,500.00 A. / u.s. DEPARTMENT OF HOUSING and URBAN DEVELOPMENT OMB No. 2502-0265 . SETTLEMENT STATEMENT g/ TITLEPRO SECURED LAND laserprlnt TRANSFERS, INC. B. TYPE OF LOAN 5006 East Trlndle Road 1. [ ) FHA 2. [ ] FMHA 3.X] CONV. UNINS. Suite 203 4. [ IVA 5. I J CONV. INS. Mechanlcsburg, PA 17055 6. FILE NUMBER: I 7. LOAN NUMBER: 504783 546018300 Phone: (717) 591-8500 FAX: (717) 591.8506 8. MORT. INS. CASE NO.: c. NOT.E: This form is furnished to give you a statement of aclual selllemen\ cosls. Amounls paid to and by the settlement agent are shown. Items marked '(p.o.c.)' were paid outside the closing; they are shown here for informational purposes and are not included in the totals. D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER: Thomas H. Williams Estate of Phil ip E. GMAC Mortgage Corporation Dorcas A. Williams Mascioli P.O. Box 76 Camp Hill, PA 17011 G. PROPERTY LOCATION: H. SETTLEMENT AGENT: I. SETTLEMENT DATE: 737 State Street Secured Land Transfers, Inc. 05/02/03 Lemoyne BOROUGH PLACE OF SETTLEMENT: CUMBERLAND County 3915 Market St. , Camp Hill, PA 17011 J. SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLER'S TRANSACTION: 100. GROSS AMOUNT DUE FROM BORROWER 4DO.GROSS AMOUNT DUE TO SELLER 101. Contract sales price 66500.00 401.Contract sal.es price 66500.00 102. Personal property 402.Personal property 103. Settlement charges to borrower (line 1400) 3993.38 -403. 104. 404. IDS 405. Adjustments for items paid by seller in advance Adjustments for items paid by seiter in advance 106. CilyfTown tax to 406.CilyfTown tax to 107. County tax 05/02/031012/31/03 146.56 407. County tax 05/02/ 03to 12/31/0" 146.56 108. Assessments to 408.Assessments to 109 school 05/02/03to 06/30/03 103 . O~ ",,09. School 05/02 /03to 06130/0" 103.03 110. Ret::;i34/q end 6t,30 21. 98 410. Ret::;i34/q end 6t,30 21. 98 111- 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORROWER 70764.95 420. GROSS AMOUNT DUE TO SELLER 66771. 57 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER 500. REDUCTIONS IN AMOUNT DUE TO SEllER - 201. Deposit or earnest money 3000.00 501.Excess deposit (see instructions) 202. Principal amount of new loan(s) 53200.00 502.Seltlement charges to seller (line 1400) 7107.49 203. Existing loan(s) taken subject to 503.Existing loan(s) taken subject to 204. 504.Payoff of First Mortgage Loan NONE 205. 505.Payoff of Second Mortgage Loan Interest Credit 9.29 206. 506. 207. 507. 208. 508. 209. 509 Adjustments for items unpaid by seller Adjustments for items unpaid by seller 210. CitylTown tax to 510.CityfTown tax to 211. County tax to 511.COunty tax to 212. Assessments 10 512.Assessments 10 213. School 10 513 School to 214. 514. 215 515. 2\6. SIB 217. 517. 21. 518. 219 519. 220. TOTAL PAID BY/FOR BORROWER. 56209.29 520.TOTAL REDUCTION AMOUNT DUE SElLER 7107.49 300. CASH AT SETTL~MENT:F~OM 1>1'1 TO BORROWER , . 600. CASH AT SETTLEMENT TO OR FROM SELL~R 301. Gross amount"due from borrower (line 120) ..... 70764.95 B01.GroSS amount due to seller (line 420) 66771.57 302. Less amount paid by/for borrower (line 220) 51)209.29 602. Less reduction amount due seller (.line 520) 7107.49 303. CASH (00 FROM) ([ ) TO) BORROWER 14555.66 B03. CASH (00 TO) ([ ) FROM)' SELLER 59664.08 Buyer or Borrower's Signature Seller's Signature HUD-l Rev. 5/86 u .~. UI:r'AH I MI:N I Uf- HUU~INli ANlJ UHI:lAN lJi:VELOPMENT SETTLEMENT STATEMENT O~,. l. SETTLEMENT CHARGES 504783 ~ 700. TOTAL SALES/BROKER'S COMMISSION booed on price $ 66500.00 7.0 I BORROWER'S SELL\,. Division of Commission (line 700) as follows: Total: $4,655.00 FUNDS AT FUNDS A SETTLEMENT SETTLEMEN. 70t $ 2302.50 to ERA/NRT, Inc. 702. $ 2352.50 to Century 21 AT THE HELM 703. Commission paid at Settlement 4655.00 704. Trans Fee ERA7NRT, Inc. I 100.00 BOO. ITEMS PAYABLE IN CONNECTION WITH LOAN BOt. La en Origination Fee 1.000 % GMAC Mortaage Corporation 532.00 802. Loan Discount .500 % GMAC Mortaaqe Corporat~on 266.00 B03. Appraisal Fee to B04. Credit Report to 805. Lenders Inspection Fee 806. Mortgage Insurance Application Fee to B07. Assumption Fee BOB. Doc Prep GMAC Mortaaqe Corporat~on 260.00 B09. Appl . Fee GMAC Mortaage Corporat~on 473.00 810. Tax Svc Home Connects 85.00 811. Flood Cert Home Connects 17.00 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Interest from 05/02/03 1005/31/03 @$ /day 902. Mortgage Insurance Premium for mO.to 903. Hazard Insurance Premium for yrs. to 904. yrs. to 905. Life Flood Home Connects 2.00 000. RESERVES DEPOSITED WITH LENDER FOR oat Hazard Insurance 3 mo.@$ 17.00 /mo. 51.00 002. Mortgage Insurance mo.@$ /mo. 003. City!Town tax mo.@$ /mo. 004. County tax 5 mo.@$ 18.35 /mo. 9!. 75 005. Assessments mo.@$ /mo. 006. School 12 mo.@$ 53.26 /mo. 639.12 007. mo.@$ /mo. OOB. Aggregate mo.@$ /mo. -142.74 100. TITLE CHARGES lOt. Settlement or closing fee to 102. Abstract or title search to 103. Title examination to 104. Tille insurance binder to 105. Document preparation to COyne & Coyne (POC-S) 106. Notary fees 10 Cash 10.00 107. Attorney's fees to (includes above items No.:) (1ii'P))w,M. ~::::,. 'l~i!." ^, ~~~:~W~~ lOB. Title Insurance to Secured Land Transfers - (includes aboye i1ems No :) ENDS:100/3007900 109. Lender's coyerage $ 53,200 110. Owner's coyerage $ 66,500 111. W~re Fee Secured Land Transfers 20.00 112. Tax Cert Secured Land Transfers r 4.00 113. Trans Fee Century 21 AT THE HELM I 125.00 200. GOVERNMENT RECORDING AND TRANSFER CHARGES 201. Recording fees: Deed $ 40.00 Mortgage $ 73.50 Misc. $ 113.50 202. City/county tax/slamps: Deed $ 665. 00 Mortgage $ 665.00 1203. State tax/stamps: Deed $ 665. OOMortgage $ 665.00 204. '03 Co/Twp Fa~th A. N~cola,Tax Call 220.14 205.2002 Taxes Cumberland Co. Tax Claim 990.96 300. ADDITIONAL SETTLEMENT CHARGES 301. Survey to 302. Pest Inspection to Homechek (POC-B) 303. Hm Inspect Homechek (POC-B) 304. F~nlRefuse Lemoyne Borough 231. 25 305. F~nlSewer Lemoyne Borough 216.14 400. TOTAL SETTLEMENT CHARGES (enler on lines 103 and 502, Seclions J and K) 3993.38 7107.49 Par-lies agree thai no liability is assumed by Settlemenl Agent lor ttle accuracy of informalion lurnished by others as shown on the HUn., SeUlemen' Statement. Senlemen1 Agent hereby expressty . reserves the right to deposit any amounts collecled lor disbursement in an interest bearing account In a Federally Insured Instilullon and to credit any interest $0 earned to its own account as additional compensation lor its services in Ihis transaction. HUD CERTIFICATION OF BUYERS AND SELLERS I have carefully reviewed lhe HUD-1 Settlement Statement and to the best of my knowfgdge and bglief, It is a true and accurate statement of all rGcQip\s and disbursements ."'00 ~ ~ , ".,. ",,,.".. 'rn'~""", .." -,...... ""''";:\(.' ~:'J<e.. eutL ~ Seller's Signature Seller's New Address & Phone: Buyer or Borro.....er's Signature Buyer's Address & Phone: epared is a true and accurate account of this transaction. I have c~ or wi cause the funds to be disbursed m. accordance w","- lhl~ statement 5 5eUle nl Agent Date WARNING: It is a crime 10 knowingly make la/se statemen1s 10 Iha United States on this or any slmllat form. Penallies upon conviclion can Include a line and Imprisonment Fm det81~ see Title 18: U,S. Code SectiOn 1001 and $eclion 1010. HUD-l Rev. 5/86 ... r... CI) H r... u. 0 W 0: ~ :I:w 1-0 00: c.. I- 0 *' SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MASCIOLI, PHILIP E. I FILE NUMBER 21 - 01 - 01070 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1 20 Common Shares, TRW, Inc. DESCRIPTION UNIT VALUE I VALUE AT DATE OF DEATH 45.5 910.00 I TOTAL (Also enter on line 2, Recapitulation) 910.00 Ohio Department of r !~TION 1880 East Dublin-Granville Rd., Ste. 200 Columbus, OH 43229-3529 1 (800) 977-7711 Estate Tax Fonn 12-A Revised 12/0 Application for Consent to Transfer Property or Other Interest of a Non-Resident Decedent (5731.40 O.R.C.) Name of Decedent PA, /;,0 ;;-. lit II ,5(! i 0 L I I 137 S/;Je.. sf. / Date of Death '7- 9-00 Residence (at time of death) lerJ1()'/~ / ~r1 I 7a Y 3 Social Security Number /13 - / h - fi""'1 3 if Ohio County and Case Number Decedent's State of Dom icile n n /1 .sy / Vtl/1-1/ e~ The description and approximate value of the property to be transferred: (Accounts) Bank "TYpe of Account and Number (Stocks) No. of Shares or Denomination of Bonds Company and Type of Stock Value as of Date of death (Including Interest) One-half Value Full Value dO -,-;e tAl J:I1IG ( 51/'1/0. PzJ .If' This application will not be processed unless this section is completed in its entirety. Please have the Beneficiary or Legal Representative compiete this section before it is submitted. Please complete the following. Attach documentation when necessary. 1. Typed tax releases, Form 14A, for each institution. 2. Letters of appointment were issued to fJ. C' r/q~l1~ ,At,. ~ e ,.i) J; ~ f?: ~ S. 3. For any joint and survivorship property, state t~ name and relationship of survivor to decedent. PASCt'Ol A/JJ4 I 4. Did the decedent leave a will? Yes 0 No If yes, please attach a copy including all codicils. More .. ,:t Ohio Department of ?!~!!PN 1880 E. Dublin-Granville Road Suite 200 Columbus,OH 43229-3529 '1 (800) 977-7711 Estate Tax Form 14-A Revised 8100 Non-Resident Tax Release Date % 20 ;?e"!2- To: "Tie WI INC. (Name of company whose stocks or bonds are to be transferred or institution where deposit or other property is located) The Tax Commissioner of Ohio consents to the immediate transfer of the following property now in your possession, control or custody: Description: ::20 S~ rg .:zrICW( ~c. r-RJ;s/~~ h /! t!I ~ 5 (: ; tJ I,' 1 11 0 vvJ d of r ~ II ~e...,/- 0. i<,4; P. 1111-\ $C.; dl.- date of death 7 month r day 00 ,resided in year ;::%;1;0 , &Af~L) county E. /HAScloL.I: ,deceased; /\ , State of IJ n /J SY/t/t%-n I '- belonging to or standing in the name or joint name of ;7~ 711. . ~; ~ommiSSioner ~ By 0~~j L Instructions To obtain a release, forward completed ET Forms 12A and 14A to the Estate Tax Division at the address above. Bank Accounts -- Copy and describe each account exactly as it is described on the application (Form 12A). The following is required for completion: Stocks - Copy and describe each company stock as it is described on the application (Form 12A), except do not carry the value over to this form as the value will vary from date of death to date of actual transfer. Please direct this release to the company or institution where the property is located and nQ1 to the individual receiving the property. This form must accompany ET Form 12A. The attorney for the estate or the applicant should complete this form. *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MASCIOLI, PHILIP E. I FILE NUMBER I 21-01-01070 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER 1 DESCRIPTION VALUE AT DATE OF DEATH 435.00 Misc. Furniture and Personalty-- Proceeds from Auction 2 1995 Buick Century (Poor Condition;--Non Operational, 50,000 miles) Blue Book Value 1,000.00 3 Penna. Central Credit Union-- Savings Account 174.32 TOTAL (Also enter on Line 5, Recapitulation) 1,609.32 JuN-02-2003 11:56AU FROM-PA CENTRAL Feu / \ . hilCkill~ Accounts~ ': .~ :7!hci~ ~ ".i.':: Opened: : ;;\:nnce at Date ; f 1)eatll: ~hm~ of Joint i)~*r, if my: ~~vi!l.i!..AttOn>>ts: ~:,\mbef: ,') dt Opened: H1.l.1ance at Date '11: Death: :-1ame of Joint [)wne.r. if any: (.:extlt'lea.tes of Del)osit: l'\umber: Da.te Opened; Name or Ioint owacr, if any: Balance lrt Date f". f Death: Maturity Date:. Interest Rate: 1ntercst Jlaid Quarrerly, ~nri-Ann~ etc. ~bt$~ Ofbe:rs: 18161.013 J8Ib!-O/, JJ-;9.f~ /7if,32 . ffi/JN... +7175641503 T-871 P,004/004 F-SOQ .- Estate of: Phlli~ E. Mascioli Date ofDee.1b: July 9~ 2000 8i - of&nk or Savings Assoc;. Official 737- .57'1 BRlCKERS AUCTI9N Complete Auction SerVIce . Auction - Wednesday Evenings 766-5785 Chuck Bricker. Auctioneer TOTAL SALE CLEAR. VS-; J tJ 35", {)iJ ,j ~D; () () COMM. Sb~ uJ c.Jt rt4 r: :2 { -d.3 p [<.oc ~e;;d 5 M 4( ~of . \ GENt: J1A'5CIOLI 7"3 7 ST-1~$ Ii L.GItOy"ue fl/!. (/V~:3 10 39'Vd NOIlon'V s d3~OIda Z.9ST99LLTL 8P:TZ. [00Z./EO/90 . SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT I FILE NUMBER 21 - 01 -01070 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. ESTATE OF MASCIOLI, PHILIP E. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A P. Eugene Mascioli, Jr. 737 State Street Lemoyne, P A 17043 Son JOINTLY OWNED PROPERTY: DESCRIPTION OF PROPERTY % ITEM LETTER DATE Include name of financial institution and bank account number DATE OF DEATH NUMBER FOR JOINT MADE or similar identifying number. Attach deed for jointly-held real VALUE OF ASSET DEC TENANT JOINT estate. INTE 1 A 11/12/1997 Waypoint Checking Acct. 8,929.40 No. 1000022342 i \ I I I \ I \ I I i \ \ I I , I I , I I i I I I I OF DATE OF DEATH D'S VALUE OF REST DECEDENT'S INTEREST 50% 4,464.70 TOTAL (Also enter on line 6, Recapitulation) 4,464.70 VI WayRqi!,,~ LOOK FOR US. WE'LL GET YOU THERE. 03/22/2002 COYNE & COYNE 3901 MARKET ST CAMP HILL PA 17011 The information which you requested on the account(s) of PHILIP MASCIOLI DECEASED (Social Security Number 193-16-5934) is/are as follows: Account Number Class of Account Date Opened Principal Balance Accrued Interest 1000022342 CHECKING 11/12/97 8929.40 .27 8929.67 Balance at Date of Death Account Ownership JTO Name of Joint P EUGENE Owner, if any MASCIOLI JR Date Ownership 11/12/97 Was Established Account Number Class of Account Date Opened Principal Balance Accrued Interest Balance at Date of Death Account Ownership Name of Joint )wner, if any )ate Ownership Vas Established iditional formation quested PLEASE COMPLETE W-9 ~' ce. re1Y~ aa . T~ 0 SENIOR SERVICES REP. IA 17105-1711 P.O. BoX 1711. HARRISBURG, PENNSY\.~7~~/815_4500 . www.waypointbank.com 29 7646) . IN YORK AREA F I 866-WAYPOINT (1-866-9 .- Toll ree- *' SCHEDULEH RJNERALEXPENSES & ADMNSTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MASCIOLI, PHILIP E. I FILE NUMBER 21 - 01 - 01070 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. DESCRIPTION ~. AMOUNT 3,258.00 FUNERAL EXPENSES: Parthemore Funeral Home 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions B. Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City Year(s) Commission paid Attorney's Fees Coyne & Coyne, P.C. State _ Zip 2. 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant P. Eugene Mascioli Street Address 737 State Street City Lemoyne State P A Zip 17043 Relationship of Claimant to Decedent Son Probate Fees Cumberland County Register of Wills 3,700.00 3,500.00 4. 134.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 Postage 37.00 2 Inheritance Tax Filing Fee 15.00 Total of Continuation Schedule(s) 10,704.24 21,348.24 TOTAL (Also enter on line 9, Recapitulation) ~ *' Scheck.E H Funeral Expenses & Adnir1isIraive Costs continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT I FILE NUMBER 21 - 01 - 01070 ESTATE OF MASCIOLI, PHILIP E. 3 Cleaning Supplies 100.00 4 Trash Removal Fees 200.00 5 Legal Advertisement-- Cumberland Law Journal 75.00 6 Legal Advertisement-- Patriot News 91.38 7 Toll Calls 20.00 8 Realtor's Commission-- Century 21 At the Helm 4,790.00 9 Closing Costs 2,317.49 10 Cleaning of House for Sale 700.00 11 Reserves 200.00 12 Chuck Bricker, Auctioneer 155.00 13 Zimmerman Auto Repair 900.00 14 Required Repairs to House for Settlement 355.37 15 Lawncare & Snow Removal 500.00 16 Homeowners Insurance 300.00 Page 2 of Schedule H . *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MASCIOLI, PHILIP E. I FILE NUMBER 21 - 01 - 01070 Include unreimbursed medical expenses. ITEM NUMBER 1 DESCRIPTION AMOUNT 484.00 Real Estate Taxes (School & County-- 2001 - 2003) 2 PP&L 200.00 3 Sewer/Trash 300.00 TOTAL (Also enter on Line 10, Recapitulation) 984.00 REV.1513 EX+ ~9.(JO) *' SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I FILE NUMBER 21 - 01 - 01070 RELATIONSHIP TO I AMOUNT OR SHARE DECEDENT _I OF ESTATE ESTATE OF MASCIOLI, PHILIP E. I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1 P. EUGENE MASCIOLI P.O. Box 2520 Harrisburg, PA 17105 Son 1/3 of Estate 2 RICHARD S. MASCIOLI 23 Gettysburg Pike Mechanicsburg, PA 17055 Son 1/3 of Estate 3 KENNETH L. MASCIOLI 1518 Manley Road, B-40 West Chester, PA 19380 Son 1/3 of Estate \ 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 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET JRD/June 30, 1992/17858 AUG 09 2004 In Re: Estate of Philip E. Mascioli · ORPHANS' COURT DIVISION Late of Lemoyne Borough · COURT OF COMMON PLEAS OF · CUMBERLAND COUNTY Estate No.' 2001-1070 · PENNSYLVANIA NO. 21-2001-1070 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: Eugene P., and Richard S. Mascioli Counsel for Personal Representative: Henry F. Coyne Date of.Decedent's Death: 07/09/2000 Date of Delinquency Notice: 08/11/04 The undersigned, Glenda Famer-Strasbaugh, Clerk of Orphans' Court, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of' Common Pleas of, Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of.the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on April 30, 2004, and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative (s) Counsel for Personal Representative Estate File , 2 o °r , q : 3 o . . A hearing is scheduled for at in Courtroom No. 3. If the St~s Report is filed prior to the hearing date, the hearing will automatically be cancelled· /*? ~ ...-'~ ;~:~' ¢.~ ,. ¢~. George ~. ' ¢ '" ~ ~ ffer, P.J. ~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: PHILIP E. MASCIOLI Date of Death: 07-09-2000 Will No.: 21-2001-1070 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1.State whether administration of the estate is complete: Yes X No ~ 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a.Did the personal representative file a final account with the Court? Yes No X~ b. the separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? .."3 ~- ~x~ Yes X No ~ ~ c:5 X,, ~ ~formal d. Copies of receipts releases, joinders and approvalS, of formal or '::::~ ~: accounts may be filed with the Clerk of the Orphans' Court and may be attache~ to this r~ort. ~' Dated: /$ ~t/~ ~ ~~iq us¥ nnRm COYN , EmU 390 L/darket Street Camp Hill, PA 170114227 (717) 737-0464 Counsel for Estate r BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 P E MASCIOLI 737 STATE ST LEMOYNE PA 17043 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS REV-1604 EX AFP C03-05) L~~~J v~~ -~ Pf w 7~5~ 09-25-2008 ESTATE OF MASCIOLI PHILIP E DATE OF DEATH 07-09-2000 '_ _ ;~i,i' ,; FILE NUMBER 21 01-1070 (` i~` ~`; ',~'~ i~TCOUNTY CUMBERLAND ~~~ ~ ~' i~L! ~ ~S~N/DC ~ ~ 193-16-5934 ANN 02122565 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE -~ RETAIN LOWER PORTION FOR YOUR RECORDS F- ---------------------------------------------------------------------------------------------------------------------------------------------------------------- REV-1604 EX AFP C03-05~ ** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD DR TRUST ASSETS ** DATE 09-25-2008 ESTATE OF MASCIOL:[ PHILIP E DATE OF DEATH 07-09-2000 COUNTY CUMBERLAND FILE N0. 21 01-1070 S.S/D.C. N0. 193-16-5934 ACN 02122565 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: WAYPOINT BANK ACCOUNT N0. 1000022342 TYPE OF ACCOUNT: C ~ SAVINGS CX) CHECKING C ) TRUST C ) TIME CERTIFICATE DATE ESTABLISHED 11-12-1997 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: .00 NOTE: X 1.000 .00 - .00 .00 X .15 .00 TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ADDRESS SHOWN ABOVE. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." PAYMENT I RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. C IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) PAYMENT: Detach the top portion of this Notice and submit with Your payment made payable to the name and address printed on the reverse side. --Make check or money order payable to: REGISTER OF WILLS, AGENT. Failure to pay the tax, interest, and penalty due may result in the filing of a lien of record in the appropriate county, or the issuance of an Orphan's Court citation. REFUND (CR): AApplicationaforxRefundtofwPennsylvania InheritancenandeEstateeTax^~(REV-1313)QUApplicationsparelavailable online at www revenue state.pa.us, any Register of Wills or Revenue District Office, or from the Department's 24-hour answering service for forms orders: 1-B00-362-2050; services for taxpayers with special hearing and/or speaking needs: 1-800-447-3020 (TT only). REPLY TO: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, P.O. Box 280601, Harrisburg, PA 17128-0601, Phone (717) 787-6505. DISCOUNT: If any tax due is paid within three C3) calendar months after the decedent's death, a five Percent (5%) discount of the tax paid is allowed. PENALTY: The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. INTEREST: Interest is charged beginning with first day of delinquency or nine (9) months and one (1) day from the date of death to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six C6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar Year to calendar near with that rate announced by the PA Department of Revenue. Rates for Years 1982 through 1999 can be found in the Pennsylvania Resident Instruction Booklet, (REV-1501). the P~ennsvlvania Non-resident Instruction Booklet (REV-1736) or on the Pennsylvania Dept. of Revenue web site www.revenue.state.Pa.us. The applicable interest rates for 2000 through 2008 are: Interest Daily Interest Daily Interest Daily Rate Factor Year Rate Factor Year Rate Factor YY=ar 9% .000247 2002 6% .000164 2000 8% .000219 2001 .000110 2005 5% .000137 2003 5% .000137 2004 4% .000219 2008 7% .000192 2006 7% .000192 2007 8% --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen C15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. REV-ty'0 EX (6-88) ~~ INHERITANCE TAX COMMONWEALTH OF PENNSYLVANIA EXPLANATION BUREAU OF INDIOVIDUAL TAXES OF CHANGES PO Box. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME Philip E. Mascioli FILE NUMBER REVIEWED BY 2101-1070 Eunice Baker ACN ITEM 02122565 SCHEDULE NO. EXPLANATION OF CHANGES The above account has been adjusted to zero as the account was reported on the probate return. Row Pape 1