The URL can be used to link to this page

Home My WebLink About01-1185 Estate of' ~ E ~ (0 C tA L 0'\-<; S (1 also known as / A- , r PETITION FOR PROBATE and GRANT OF LETTERS d-./-()/-I/ ~5 No. To: Register of Wills for the County of Ct.nnberl FInn in the Commonwealth of Pennsylvania , Deceased. Social Security No. \ 3 I ..- {!;?Y- 'f CJ 3 C:. The petition of the undersigned respectfully represents that: Your petitioner(s}, who is/are 18 years of age or older an the execuU') ~..s in the last will of the above decedent, dated /) Lf IIA ttf-( and codicil(s) dated Al () lUe named ,19.$..L (state relevant circumstances, e.g. renunciation, death of executor, etc.) Oecendent was domiciled at death in 0 U M 81:: ~L Y9 tl JlI County, Pennsylvania, with ) h G:. R last family or rincipal residen. ce at 6 G ii:.~e V (} J R. (1, L ~. I i-f)'t P Dc J() ..,.. 0 (J) ~ S ~ . {' 11m I7l H/O pt.,'4 ' t --t- , I (list street, number and muncipality) Oecendent., then at 1-1 v.J!. . Except as If lows, decedent did not marr , was not divorced and did not have a child born r adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Oecendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: ~ ~ REf:: JU ~ I ~ (' L I-=' C' v4 M 'P (.f J L ( P {A. I 7 ("\1 j ~ .5 J) ~, t1 0 $ $ $ $ (C'L I to '7. tJoo. l.L~ ~~ (1b WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters T~J:' r ~ 11--1\ EN'Ll''' R'I (testamentary; administration c.I.a.; administration d.b.n.c.t.a.) theron. en or t~~~, ~~ ~r' c:: "0.2 4- c::_ _ ~ .~ ---J-c., ~Cl., <1.>"- 50 ;; c:: 00 Vi v ~}~d\' C.j\ L,q~~ /~t 10- ~ ~. AI1'( ~rJ to( Illo~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA I ss COUNTY OF ClIinhPrl FInn J The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will wel and truly administer the estate according to law. Sworn ..to ~r affir~ hand snbscribed ~ ;;:;. before me th" t day of ~. ~E~" ~1' .. fr ':u...-<':.)~~, 'LJ MAR!,' .. LEWIS ;' , Register . (J;f ~tJ..L ~ aQ' ~ l:l - l: ~ ~ /7-30 - 7 ~o. 21-2001-1185 Estate of JEAN C. GALASSO , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW DF.C'FMRF.R 3lst..___ _ __ _ x}t-200-1. H; c,)r;~ici,::ral iun , the reverse side hereof, satisfactory proof having been presented before me. IT IS DECREED that the instrument(s) dated MAY 4TH, 1983 described therein be admitted to probate and filed of record as the last will of JEAN C. GALASSO TESTAMENTARY CECILIA AN'IONELLI AND OOBERT GALASf:lO ;'l '-11: and Letters are hereby granted to .) , 'J A // / N~:(/ de: Register of Wills MARY C. LEWIS ~/ FEES Probate, Letters, Etc. ,..".... $ 235.00 Short Certificates(2) . . . . . . , , ,. $ 6.00 Renunciation ..............., $ x-Pages (2) $ h no JCP TOTAL _ $ 5.00 Filed ~~~9E?~. )~f?t.,.~QQ~. . .$. ~~.~~OQ. . Jfe tV ~y F. r oyNe: A TIORNEY (Sup. C. I.D, No.) -e} b'G-s 0 :3 q(j I 1M t/fJQ KET Y(. ADDRESS t \A Y1I\ P It I t..- L.; p JJ_ 17 (J I ( ,..... y 2 z. J ( 1 '7 - '7 '37- (0 ~ (0 c,( PHONE ,...,; 0\ 9 N D- 1"-- N c...::l Cl u ,..D ;t):: OJ= '".... ~ r.JU ..... ~,-,'-, ':j 0'''- r", 1'''1- 0::...... p MAILED LETTERS 'IO AT'IORNEY HENRY E. COYNE 21-2001-1185 \Q ..- In :,~( () - " j 0- r- N .....J c...::l .;J ;,,:1 0 c::::J (1) 5 " ~''', ..........' ..::2 .0 ,.) ,.~ '" Q) a: - '- E a: p Q) - G - ,.. ...... ARNOLD, SLIKE & BAYLEY A1TORNEYS AT LAW (" AMP HILL,I'r:NNSYLVAN!A \'7011 Ii . " LAST WILL AND TESTAMENT OF JEAN C. GALASSO 7.J.- 2001<'1 gt) I, JEAN C. GALASSO of Hampden Township, Cunilierland County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any will previously made by me. I - I direct the payment of all my just debts and funeral expenses out of my estate as soon as may be practical after my death. II - I devise and bequeath all of my estate of what- ever nature and wherever situate unto my husband, Matthew A. Galasso, if living, and if not, to my issue per stirpes. III - I appoint my husband, Matthew A. Galasso, Execu- tor of this, my Last Will and Testament. Should my said husband fail to qualify or cease to act as such, then I appoint my child- ren, Cecilia Antonelli and Robert Galasso, or the survivor, to act in this capacity. None of my personal representatives shall be required to post bond in this or any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal on this, the I- , 1983. day of ~ ~~~~ l/ Jean C: Galasso (SEAL) Page 1 ~ Signed, sealed, published and declared by JEAN C. GALASSO, Tes- tatrix therein named, on this and one (1) other sheet of paper as and for her Last Will and Testament in our presence, who, in her presence, at her request and in the presence of each other, h~'y.e--he,~eunto sub cribed our names as attesting wi tnesses. /,,- (' M4f lit I/~ Address 0~-<L~ 'If /0--" Name / ~ ~ ,/ :;' /kY ~ ,;/? Address ARNOLD, SLIKE & BAY1.EY AlTORNEYS AT LAW c",.,.p HILL, PENNSYLVANIA 17011 Page 2 ...' " Cm1lMON~\]EALTH OF PENNSYLVANIA) SS. COUNTY OF Cm1BERLAND) WE, the undersigned, the testatrix and the witnesses, respectively, whose names are signed to the 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 Testament and that she signed willingly (or willingly directed another to sign for her), and that she execute it as her free will and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testatrix signed the will as witnesses and that to the best of their knowledge the testatrix was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. ~~~- ,/f/~~~ Wltness Subscribed, sworn to and acknowledged before me by the testatrix, and subscfifed and sworn to before me by both witnesses, this -y.;Co day of May , 19~. /'-fL;/ ~t~c AR:-l"OLD. SUKE & BAYLEY ATTORSEYS AT LAW Thelma S. MtCauslin. Notary Public My Commission Expires J,,:y 1. 1984 GImp Hill. PA Cumberland Count, r~...l'<p H"LL Pt!l'<"S'l'f(.VA"U. POll r--- ~ d N f.... I N o o ~ I ,.... ,.... ctJ Ul ~~l re~1J >- '/~ '.'~ ~ pj *\i ~ z C.j :( 0 t:r:l ~ 'If Ii: t'1 :J::l Ul ~ C t1 z ... <0 ~ ~r F) t< ~ r-t (') ~ l J :.. !' l( TJJ ~ Q " -~,'- '"d ? >- t'1 rut ~ tIl bl :d ~ 0 Ht ee z III ~ GJ C( ~ 0 tol ." Z X ., t%J ." :J::l ~ III ... -< -l t/l 0 t"i ~ I:.l >-l ~ tIl :J::l "'I ~ rJl ') ---- 1 -. >' ~ (J) ~ Z tol t:J:j (J) ~,. ~ >:I 0 ~ ~ ~. - ::f - - -..... a t'1 l--- ~ ... t%J ~ ..1,-,- ~ " ' \id L "f", ',rp"aqUlIl'J )'~lao 9!;: l d LZ 310 to. Slli/..'-, ~o ',r \::'i('~~~-'" . '- "..,,)3tj , );'''1')1'1''', au .- .., --* \,,1'....1 (J CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: JEAN C. GALASSO Date of Death: 7-30-2001 Will No.: 21-01-1185 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 April 2 2002: Name: Address: Cecilia Antonelli Robert Galasso 2752 Rockport Lane, Toms River, NJ 08755 1220 10th Street, West Babylon, NY 11704 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None COYNE & COYNE, P.c. r- Li a Marie Coyne, Esq ire 01 Market Street Camp Hill, PA 17011-4227 (717) 737-0464 Pa. Supreme Ct. No. 53788 Counsel for Personal Representative Date: W1- ~ cjz BY: COYNE & COYNE ~ . A PROFESSIONAL CORPORATION ATTORNEYS AT LAW Henry F. Coyne Lisa Marie Coyne 3901 Market Street Camp Hill, Pennsylvania 17011-4227 717-737-0464 Fax: 717-737-5161 May 20, 2002 Mr. Mary Lewis Office of Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 Re: Estate of Jean C. Galasso, Deceased No. 21-01-01185 Dear Mrs. Lewis: We represent the Estate of the Late Jean C. Galasso. Enclosed please find an original and two (2) copies of the Inheritance Tax Return for this Estate. Kindly docket the original and return to me a copy with the enclosed stamped envelope. Also enclosed please find check no. 165 in the amount of $15.00, which represents the filing fee the this return along with check no. 0495 in the amount of $3,404.00, which represents the inheritance tax due for this Estate. Kindly process both checks for appropriate credit. Thank you for your assistance. Very truly yours, COYNE & COYNE, P.c. ~7t-t!- Marie COynJ :.:," LMC/cmc Encls. f'-",.) Cc: Mr. Robert Galasso, Exec. Mrs. Cecilia Antonelli, Exec. .,- -----j~ , ,., " ....<iIl ... -f 9 ~ ~- ()on,:;o III ::l ~ : CD 11 CD:3 \.Q f-' 0' 1-'- 1-'- () CD 00 00011 rT f-' ~ f-' CD CDI1Il1 11 ... rT::l ::r' 0, 0 "'00 Hl ~~() 00 0 :E: CD ~ 1-'- ::l f-' ......) (J) rT f-' 0..0 '< 00 .....~ WIlI() 11 0 CD ~ 11 rT ::r' o ~ 00 CD .~, , () (") )>w 0 s:<o)> -as::j~ Is:O m r= )> :rJ ""' r :rJ Z .... ~^m(") )>~Uio :::j(J)~ -< O'-f-' Z ~:rJr m ~m~ +:-m< "'C ~'-f . '-J (") I~ ~' ,"';,' "f '. ~; J i--' ... _.~) .~ 11 --. ~, '.. ~ ") > :t :1: ~~~.~~~J1I 1/- ;'J C;, "'0 )> ~ "...j .i...,. \J ~ s: ):)'> -< " ,-:-.,:-.. ", ) C) '*' ." Ii ~ - :- 1It:'" ;\ \ 'oj; ."." ".. .,.,,,,,,,,,,,,,,,,,,,__,"~,"<"",,,,_""tt'~"""""'_",,,.,...,,,,,"!",,;,,,,,.,j,~ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: JEAN C. GALASSO Date of Death: 7-30-2001 Will No.: 21-01-1185 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 Apri12 2002: Name: Address: Cecilia Antonelli Robert Galasso 2752 Rockport Lane, Toms River, NJ 08755 1220 10th Street, West Babylon, NY 11704 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None COYNE & COYNE, P.C. r Date: W'2- ~ elZ BY: Li a Marie Coyne, Esq ire 01 Market Street Camp Hill, PA 17011-4227 (717) 737-0464 Pa. Supreme Ct. No. 53788 Counsel for Personal Representative LAST WILL AND TESTAMENT OF JEAN C. GALASSO 71.- 200 1-'.1 ':31-') I, JEAN C. GALASSO of Hampden Township, Cunilierland County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any will previously made by me. I - I direct the payment of all my just debts and funeral expenses out of my estate as soon as may be practical after my death. II - I devise and bequeath all of my estate of what- ever nature and wherever situate unto my husband, Matthew A. Galasso, if living, and if not, to my issue per stirpes. III - I appoint my husband, Matthew A. Galasso, Execu- tor of this, my Last will and Testament. Should my said husband fail to qualify or cease to act as such, then I appoint my child- ren, Cecilia Antonelli and Robert Galasso, or the survivor, to act in this capacity. None of my personal representatives shall be required to post bond in this or any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal on this, the I-- day of ~ , 1983. CAMP HII_L,Pl':NNSYLVA:SI.A 17011 ~~/~ L/ Jean C! Galasso (SEAL) ARNOLD, SLIKE & BAYLEY AITORNEYS AT LAW Page 1 .. " Signed, sealed, published and declared by JEAN C. GALASSO, Tes- tatrix therein named, on this and one (1) other sheet of paper as and for her Last Will and Testament in our presence, who, in her presence, at her request and in the presence of each other, ha.y.e--..aefeunto sub cribed our names as attesting witnesses. /~ ~./...,J 0~L~ ~(. /~. --"- Name / ~ ARNOLD, SLIKE & BAYLEY ATIORNEYS AT LAW C.At>fP HILL,P:e:NNSYl.VANIA POll ~1-tf //'/ , 1- Address ~/1 /MY ~ / Addres~' - Page 2 ..' .... COr1l10mvEALTH OF PENNSYLVANIA) SS. COUNTY OF CUHBERLAND) WE, the undersigned, the testatrix and the witnesses, respectively, whose names are signed to the 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 Testament and that she signed willingly (or willingly directed another to sign for her), and that she execute it as her free will and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testatrix signed the will as witnesses and that to the best of their knowledge the testatrix was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. ) ~J~- ,7( I~~~~~ Wltness Subscribed, sworn to and acknowledged before me by the testatrix, and subscf~ed and sworn to before me by both witnesses, this ~' day of May , 19~. /yfL;I1;t~c AR~()LD, SLIKE & BAYLEY ^TTOR~'EYS AT LAW CAMP nll.L PI!Nl"Sy!.V..."t..... 11011 Thelma S. M<Causlin. Notary Public My CommiSiion Expires Ju:y I, 1984 QImp Hill, PA Cumberland COUIII, ~ ~ t~ , ---( _- - --J( , "l' .' ...... ~ J ': f -t ~-'.- ~ ~ ~.;;L I!I co ..-{ .-~ , M o o N I .-i N b ~ Recor,}i:-'( Rr.,(.,.,.j :" ~ ,"_:i;._'- ',~ ~ / ot ',iiils "01 Ole 27 P 1 :56 Clerk.i,'l (',lImbe; .3(", ,.j. PA ~ I f ' , ~ ~ !.i ~-~ - ~ -; ,~ ~ f ~.,~\ ~ :--. ~\-+ ~5J ~ ~ o U) U) ~ H ~ t!) ~ ~ ... H 0 ~ t: m ~ ~ l'-\ III Z ~..MPl)..~ G~~\'2;i Ii: ~ f-< >l ~ ~ ~ III 0 Z o H ~ III !&1 ~ H -< C fl.. ~ U) >: p; ..i ... ~ = A S ~ H ~ II< o >: ~ ~ -< u z ~ ~ IJ No 21-2001-1185 l' . Estate of JEAN C. GALASSO , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW DF.rFMRF.R 31st-------- _ x*..-200-l. in cl.::::~icieraliuf1 , the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated ~..AY 4TH, 1983 described therein be admitted to probate and filed of record as the last will of JEAN C. GALASSO and Letters 'I'ESTAMENTARY are hereby granted to CECILIA AN'IDNELLI AND roBERI' GAIASSO !. : l :: ' r :: i', r' f.'~ I l , P" ) ,,~t&,o/ +- LEWIS ~7 FEES Probate, Letters, Etc. . 0 0 0 . . 0 o. $ 235.00 Short Certificates(2) . . . 0 . 0 . . .. $ 6.00 Renunciation . 0 0 . 0 . 0 0 . . 0 . 0 . o. $ x-Pages (2) $ f> 00 JCP TOTAL _ $ 5.00 Filed ~~~l?!?r. )~!?to'o2.QQ~o . os. 0 ~~.~~<x>. 0 Jfe N ~y F. (l oy Nc. AITORNEY (Sup. Ct. LD. ;'-/0.) -d b~s 0 :3 Cfn f 1M dlQ KET.9-(. ADDRESS t v4 Vl;\ r ff I l-- L-; P /J_ /7 (J I ( r-- 4 ~ Z. J ( 1 '7 -I '3 7- (1)<./-6 c./.. PHONE 0\ C? N Cl.- r- N u o ::-s ~.). ?jl~ 0:'..... p !) t.g (I.l = ......".. ..,., D0 MAILED LEITERS 'ID ATTORNEY HENRY E. COYNE Estate of. .:1 E ~ (0 G tA L t4-S S (I also known as / A , , PETITION FOR PROBATE and GRANT OF LETTERS d;<J-G/-I/8"5 No. To: Register of Wills for the . Deceased. County of C1.lmhPrl ;::lnn in the Social Security No. ~.3) ..... 6:r- Cf /!) 3 C. Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the executa ~..s in the last will of the above decedent, dated /) 'f M ttI-( and codicil(s) dated 1\\ 0 lUe named , 19--33- (state relevant circllmstanccs, e.g. renunciation, death of executor, etc.) Qecendent was domiciled at death in 0 U ~ 8r=~L 14 dJlI County, Pennsylvania, with h <:. OR. last family 0' rndPal 'esidenee at IO.S lI}fE 1) Co I R. e. L.,;;-. (H" p Oc 10) (" (J) ~ S H I IT. P ~ C /11'),( fJ H, [' /" P4 / ) (list street, number and muncipality) Decenden~, then at Except as f lows, decedent did not marr ,was not divorced and did not have a child born r adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: lh ~ R t= t:: If.;' ~ I fI, C' L ,"::.. CrAM 'P f..f J L l P {A - I 7 ('II I ) $ .5 J) ~, tJ () $ $ $ {d9.tJoo.~~ I (D '-/, (j.J~ 0& WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters T~,C' r A /}II E N -r- H Ri (testamentary; administration c.La.; administration d.b.n.c.La.) theron. '" or OJ c: <tl ~3 v <tl ... O<:<tl c: ",,0 c':: COd '.c 3~ <tl4-. 50 <is c: 00 U'i v ~}~cA\ ~ ~~ /O\t 10 - ~ -\k> , p,f'1 '( A.s. rJ I\J 1 I II C ~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ss COUNTY OF CnmhPrlFlnn J The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will wel and~UlY administer the estate according to law. Swom to ~, affl'''lf'9..hand subsedbed ~. W ~I;;t;;__2 ~ 10 bero,e merih>s E - vl9<da~ g\, ' ; . ( ~(. f I R~u~ ~ 7-30 - Cj' /. " ::1""\ '"",f'.,.; " /,--v /7- ~) - '9' I REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT '* COMMONWEAL 1H OF PENNSYLVANIA DEPARTMENT Of' REVENUE DEPT. 280601 HARRISBURG. PA 1712&.0601 ftEv_1_EX.~) FILE NUMBER 21 01 01185 COUNTY CODE YEAR NUMBER SOCIAL SECURITY NUMBER 131-03-9036 I DECEDENTS NAME (LAST. FIRST, AND MIDDLE INlTlAl) I GALASSO, JEAN C. !UAli:UI-LJCAIH (MM-Uu.-y~) i UAIt:Ut- MIHIH(MM-l)[}-YI:AJ-t) i07/30/2001 107/18/1918 1(" APPLICABLE) SURVIVING SPOUSE'S NAME (LAST. FIRST AND MIDDLE INITIAL) I III 1. Original Return D 2. Supplemental Return I o 4. Limited Estate 0 II 6. Decedent Died Testate (Mach copy D of Will) o 9. Litigation Proceeds Received 0 10. >- '" w " w " w " I THIS RETURN MUST BE FILED IN DUPLICATE WITH THE I I ! [J [J REGISTER OF WILLS SOCIAL SECURITY NUMBER 3, t<emalncler Return (date otdealh pnorlO~)-- w >- ",.'" ute:.: w~" ",00 ug:iil ~ . 4a. Future Interest Compromise (dale of death after 12-12-B2) 7. Decedent Maintained a Living Trust (Attach copy of Trust) Spousal Poverty Credit (dale of death between 12.31.91 and 1-1-95) 5. Federal Estate Tax Retum Required 8. Total Number of Safe Deposit Boxes D 11.Election to tax under Sec. 9113(A) (Attach Sch 0) COMPLETE MAILING ADDRESS ~A-rt.. ~A" ~ Coyne, Esquire rlRM NAME (If applicable) , Coyne & Coyne, P. C. lrELEPHONE NUMBER 717/737-0464 .>- gj'" "'w "," 0'" u~ 3901 Market Street Camp~,P.~~ 17011-4227 I '~r' ,-,... C,\!~y 109,900.00 None (1) (2) (3) (4) (5) (6) (7) 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) None 3. Closely Held Corporation, Partnership or Sole-Proprietorship 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) 10. Debts of Decedent, Mortgage Liabilities, & liens (Schedule I) None r'~) 1,000.00 72 1.3 1 '" o ~ => >- 0: ~ " w '" None 111,621.31 (8) 34,676.21 1,456.85 (9) (10) 36,133.06 75,488.25 (11) 11. Total Deductions (total Lines 9 & 10) (12) 12. Net Value of Estate (Line 8 minus Line 11) 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) (13) (14) 75,488.25 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) ---~,..-.- '" 16. Amount of Line 14 taxable at lineal rate 75,488.25 x .045 (16) 0 ~ --~_._------- >- => 17. Amount of Line 14 taxable at sibling rate (17) ~ x .12 " " -----.-----.-..-- " ~ 18. Amount of Line 14 taxable at collateral rate x .15 (18) -------..----- 19. Tax Due (19) 3,397.00 3,397.00 Form REV-1500 EX (Rev. 6-00) Copyright 2000 form software only The Lackner Group, Inc. Decedent's Complete Address: STREET ADDRESS 6 Green Circle CITY . STATE PA iZIP 17011 Camp Hill Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 3,397.00 Total Credits (A + B + C) (2) 0.00 3. InteresVPenalty jf applicable D. Interest E. Penalty 7.00 (3) 7.00 (4) (5) 3,404.00 (SA) (5B) 3,404.00 TotallnIerestlPenalty (0 + E) 4. If Line 2 is greater than Une 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN ")(" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;............................................................................. 0 181 b. retain the right to designate who shall use the property transferred or its income;................................ 0 r:8:J c. retain a reversionary interest: or.......................................................................-.........._......................... 0 ~ d. receive the promise for life of either payments, benefits or care?......................................................... 0 r8I 2. If death occurred after December 12,1982. did decedent transfer property within one year of death without receiving adequate consideration?............. .......... ................................ ... .... ........ .. ............... .......... ......... .... 0 ~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ...... 0 181 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a benefidary designation? ....... ..... .... ...........".................. ............ .... ............ .............. ...... ......... ....... 0 ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN Under penalties of perjury, I declare thai I have examined this retum. 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 knO'-lt1edge. . SIGNATURE OF PERSON RE(1P lB. LE FOR FlUNG RETURN ADDRESS DATE t7 '. -1-':. _ /J d 2752 Rockport Lane }. 2,1-0 Z CL~ r0lA::/""'~_' Toms River, NJ 08755 ~G~~~~~~~~N~:"~~' :~:~~;~ ~~~y?:;,e~l 11704 D_.I:I,I'= s-- z c'- <.1'- '-crATI:: 3901 Market Street Camp Hill, PA 17011-4227 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 3% [72 P.S. S9116 (al (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 00/0 [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 retum 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 n~t value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 39116 (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 4.5%, except as noted in 72 P.S. 99116 1.21 [72 P.S. S9116 (al (1)]. The tax fate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. ~9116 (a) (1.3)]. A sibling is defined, under Section 9102, as an individual who has 8t least one parent in common with the decedent, whether by blood Of adoption. '* SCHEDULE A REAL ESTATE I , _I COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF GALASSO, JEAN C. I FILE NUMBER 21 - 01 -~1185 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 properly would be exchanged 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 whicn is jointly-owned witn right of survivorship must 5e disclosed on schedule F. VALUE AT DATE OF DEATH 109,900.00 ITEM NUMBER 1 DESCRIPTION 6 Green Cirlce, Hampden Township, Cumberland County, PennsyJ'vanla (See Attached Settlement Sheet) 109,900.00 TOTAL (Also enter on Line 1, Recapitulation) Sf UJf\c[) IMJU lRN\lSFEI1S, I[,je. Won] Mar 00 2\Xl2 12:35pm Pago 10f3 ~--------------- - -- .~-_._- -------- .--- ..._~-----. .--- A. u.s. DEPARTMENT O? E;:;USING and URBAN DEVELOPMENT 0"" No. 2502-0265 SETTLEV..ENT STATEMENT TlTlr?l'O l......~"': SECURED LAND TRANSFERS, INC. B. TYPE OF LOA-'l 5006 East Trindle Road l-X ] Fa:.. 2. [ ) FMHA 3. [ ) COOV. UNINS. Suite 203 4. ( ) VA S. [ ) CCRV. INS. Mechanicsburg, PA 17055 6. FILE NUMBER: I 7. LOAN NUMBBR: 503366 0003568904 Phone: (717) 591-8500 FAX: (717) 591-8506 8. MORT. INS. CASE NO. : CtiO"":>E Ihi~ r':WI i~: rUHli~hed 1<) 'Jive 'I'."'U il ~2..~'eJll d ;KIlI~tl ~,elilellleJlI ';o~:I~:, AIII')lIr,I~: pitid I,: ,..-IU by li,e ~:elilelllerll .1<)enl3te :;htYML l:ePlS rl';tlked '(p_o,c)' WQrQ paid outsidQ the c~in;_ :hIlY arQ shawn nQrlllcr informaticnal purpcslls and are not includlld in lhll :o:als D. NAME AND ADDRESS OF BORROWEiE. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LE:NDER: Darren E. Burton I Cecilia Antonelli Washtenaw Mortgage I Robert Galasso, Executors Company I "f the Estate of 315 Eisenhower 8-12 I Jean C. Galasso Ann Arbor MI 48108 , , G. PROPERTY LOCATION: I" SETTLEMENT AGENT: I.SE'ITLMNT DATI Lot 10 Hampden Gardens 6 Green Circle ! Secured Land Transfers, Inc. 03/06/02 Hampden TOWNSHIP ! PLACE OF SETTLEMENT: CUMBERLAND County i 5050 Linglestown Rd. , Hrbg. , PA 17112 i J. SUMMARY OF BOAIWWER-S TRANSACTION, K. SU....ARy OF SELLER'S TRANSACTION: IIJIJ. CROSS AMOUNT DUE FROM aORROWER ~(Ju_CROSS AMOUNT DUE TO SELLER 1QI_ Con:ract sallls priCll 109900.00 4Q\_ContractsaIQS POCQ , 109900.00 1c'FllrscoalproPQ~ 4Q7,Pllfsonal prcpllr,.,. HI!. SeLJ""".,.,! r.;h;uu~~ I,) l")fI'Jwet line 1.:i);~ 2292.71 ~O,' 'r.~ <0' i 10~ <e' A,.ru~lmf:!rl(~ for iierm: .l,1~_: h ~~n~1I ,tdVitll';e Aj"U!;I1H:fl,s[or ileJ1ls Jaidi; ~eller il'Jilt."'arJr.;e 'Q~, Ci~VI aM'- lil_ lo 4QS.CilY/oOWfllax 10 , 'C7, Cco....,~ :.z.. 03106 /02lo 12/31/02 190.29 407.COIJl'lly La. D3 / 06/02'012/31/02' 190.29 'Uf, A~:.(JJ:..m'_1"!~ 1.:- ~u~.A~~'~~~Ill':t)l!. t<:. : 'C~ School 03/06/02.06/30/02 281. 55 40~. School 03/06/02.06/30/02' 281. 55 "" R&S: $98. OO/~ enlliina 3/3:/ 26.85 4HlR&S:$98.00jn eru:linc:r 3/31:/ 26.85 '" I 1'7 4'7. , I '~O_ GROSS AMOUNT DUE FROM BORROWER 112691.40 4M.GROSS AMOUNT DUE TO SElLER I 110398.69 ,~o AMOUNTS PAID BY OR IN BEHALF OF BORRCWER MO. REDUCTIONS IN AIIOUNT DUE TO SELLER '0'. Dllj::OSr.crll:l.mllstmcnllv 1000.00 501_EXCQSS dllposit (sao i1s~ructionS) I ~lI~_ rrrl.;i ;,if ;,illltJUI1[ of Il':!W kXtlll~:\ 109038.00 ..u4!.S':!IlI~flIefl1 dlaltJ':!S ~G :9!~1 fille 141JO\ I 11999.54 'OJ Exi!;:i1c 1a:l.n(S) takQf'I SUbjllCI 10 M3.E)(istinn loan(s) takon SUbjllct to I 'co 504.Payoff of I=irst ~cr.f;ao;:o loan , Interest Credit 112.03 NONE i '"' 505,Payoff 01 Seccnd .....cr..g:agQ loan i (s) to (8) A raiaal - 290.00 (s) to (8) Annraisal I 290.00 ~<Jt' t'li6 '"' (8) to (81 Peet Inen. 35.00 ." (8) to (8) Pest InsTl. I 35.00 >e. ." I ~(;.. :.-\JII. I Mius:trnllntsforitllmsUnp:l.idt:v~iLIlr AcjusTr'c:n:s for itQms unpaid bv slllIQr '.O,Ci:yI-OYoT'.... " 510.Cily(Town L.. . I ~I:.('(..r'~;.1.l< 1') ",I l.C.:>unlVt,1X 10:. I '1',AII_~erLa . 51'.A......mef1ia " I "J School '0 513. School . i ~I,' ""~ I '" 515. I ,., 51/1. ~I f . '" I ,'. 518. I ,:q 51!! I "Cl. TOTAL ~"ID BY/FOR BORROWER llD475.03 MO. TOTAL REDUCTION AMQUNTDUE SELLER I 12324.54 JCC. CASH AT SETTLEMENT FROM OR TO BORROWER MO,CASH ATSETTLEIIEHTTO OR FROM SELLER tUI. c,';~,~. ,W.ClJIll due fruflll.")fff)wer hOll 12(;) 112691.40 t'lIl_Cro~:~' ;~m(J\m( due :'; :>o:ll':!/ f~1~421J\ , 110398.69 JC, LIlH ar-cunt p.::aid bvllor borrower (linll :2:2C~ 110475.03 lIo"LIlSS rllduclic.n ar-:"CUl: dug SIlI111f (Iinll 5:20) 12324.54 J~J. CASH lOG FROM} {[ ] TO} BORROWER 221".37 IICJ_CASH (DO TO) {[ J FROM} SELLER , 98074.15 8~y.... ~ EO"TO'J......-&Signai"'" Sell<<'&Signalu,,, I IUD 'P~"VI56 SECURED LAND TRANSFERS, INC, W:ld rvtar 00 2002 12:35pm Page 2 of 3 U. S. DEPARTI-!EUT OF HOUSING AND URBAN DEVELOPMENT SETTLEr-lENT STATENENT OMR No. 2502-0265 Page 2 PAID FROM SELLER'S FUNDS AT l. SETTLEMENT CHARGES 503366 ."(.; TCTALSALESiBROKER'SCOMMISSICNbAudonp,ic.S 109900.00 6.0__ CJ.i,,~~(~~~fG';rT1rni~;~,i(:r~.!ljr!~ !(';I;);.~lo;Ih,~ Total: 6 044.00 ~o'';' 3122.00 to Jack Gau hen Realtor ERA !'O:! S 2922.00 to Prudential Thorn eon Wood 703 C<..'(lrr:i~,~,i()rl ,;tid ,ilS>::~~l,dl' PAID FROM aORROWER'S FUNDS AT ~04 TransaFee '.~') ITEMS PAYABLE IN CONNECTION WrTH LOAN ERA-NRT 6044.00 100.00 Inc. L",>lIOri'lill,t:i')IIF>:>: 802 Lc..... Discount t.<I,' Ac~ralsal FeQ to "'... CI"di;A., "JIII'J 806 L..nc,ors InsPQcUcn F611 ","Jr:, /"'cr: a e InsuranCQ Applicaticn Fi;s :c iiil.' ;..:. ~.uI'I \ li')r! Fp.p. 1. 000 ,~ Mort a ee Unlimited 1074.27 , (Mike Conner 290-POC-B) Mort a as Unlimited (Berhl&Tillin 285-POC-Bl 200.00 18.00 ,.,'0 ProceseFee Mort a es Unlimited An lFee Mort a ee Unlimited Admin Fee WMCO YSPrem ( 3271 .14b WMCOtoMortUnl) ITEMS RECUlREO BY LENDER TO BE PArD rN ADVANCE h.."r"~.lff<)nl 03 06 02 :,,03 31 02 @$ 22.41,\1;,; Wer: .. e Insurance PrQmum 'er mo. to De artment of HUD l-az.aralnsurancQPreml.imlcr 1 s Ie (Mutual Ins 205 POC-B) Ccmrier r~; 10 Mort a €IS Unlimited WireFee Waehtenaw Mort a es RESERVES DEPOSITED WITH LENDER fOR 125.00 300.00 ~25.00 """ t'O'.l s. '.~:':l '.~l. >02 1611.41 'Xl) ',;l1.4 go.; ,~).' rl'<J."S 17.08 Im<J r.".c_CS 44 .58 Imo I':"!O 05 Imo (l:uiJS 17.10 111I') me.OS /mo. ~o.cs 72.35 Imo Ill'). (I,~ 1111') me.OS /mo. 30.00 50.00 ili"i) (i'}' J-;;.:;trd ~1~;ur.lIlr;e 2 '002. "'cr: , elnsurance nil) Cr:vlTewn ta~ r:':14 (CUrl! :;U, 1 ."" Ass~ssments c.n.;, School tax 7 'oc.a Ao re ate -ra; TiTLE CHARGES .n- ~.j"lIlp.rll')rd,.>;;irl'JIp.~l'J "02 ~~:ractortilllos&arch to 10 "0,;; Cccu~ent prQparation \0 .Cr; i\.c:.a tQllS -OJ 71:16 ..""",minahon .1>4 -:-i.kiIUII;;II';ebirll.1>:r :0 'W (nclJCeSabovQitOlms /1;0.) r:llllnsurancQ 10 1105 (Poe Cash Henr Co S) Secured 9DD 10.00 :0 . Of ;.. ..';rr I<: '", f'l'l~; .0 le E. Land Transfers iil";lJU'l~; ;tI\0V>: i!'lIlJS ~~(J End. 1 DO 300 "09 L.incll(SCOVllra g$ 109' 038 .~ll CM1..rS cOIIera eS 109 900 Mail Fee Secured . . '2. I CPL Secured . .., Tax Cart Kathr 1 "Xl GOV!RNM!NT R!COROlNO AND TIUHSI"!RC,,",RG!S '2,)' Pllccrcin 'egs: DllQOS 25.50 Mort a &$ 51.50 :''f~ Cr: lca.mt taxJstamps D&Qd$ 1099. o o Mort a 9$ '-'{"(i S..:.:.. ;;;/,hl;:-\mJ~ Dl:ll:lu$ 1099. 00Ml)rl~:1l...$ '2')4 Wire Fee Secured Land Transfers :''f>';. 02' CO Kathr n W. Fetrow T C >[)(I ADDITIONAL SETTLEMENT CHARGES Land Transfers Land Transfers W. Fetrow T C Mise.S 77.00 1099.00 1099.00 40.00 231.52 'v.I. Sur,Q .'OZ F,,~: !rn;pec:ion \in HaIns ect :304 '~')o;. Trans Fee Prudential Thorn son Wood ~'.l TOTAL SETTLEMIiNTCHAAGES ((0.1 ,t., Iii,'.':' ,n'.l.:~"I';.Il~. $':,'lio:4'-:' J.ll'"J Kl '0 '0 Biechler Biechler 35 POC-B) 250 POC-B ~..-'C~ "\lf~C Lh~, ''''lioobiIily i~ ~_,rnc" by S."'.'.....,.'I ^b"'''' r", ~'c """",;ICy ul ~,I""n..liooo, I-by oU,crtI........... "', ~'c rUHl.1 ScJlI~'"c((r SI..I~,"~,,1. k.Jcnocr, '\;/o::r" ),ct<b, ~.~,~~ '......'.. 7. "~1 to O~poi/l A~Y amountl C_t~:OI aill"'I<<"<if>t In ~ .,l~~.t tintina aCC'l',mlll'1. t-~.llV"''''r.a'''&:Il~ltQI1 "'010 "ACIII .ny ,nlernllo ealn..,:~ ..e.... il{("""l ..AOOll,,,,,A1 "","",,=,.,..oa, ''''''~ """'...c..., ~t;~ ~"""-Iiot, 2292.711 125.00 11999.54 Hue CERTIl"ICATION 0.. BUYIRS AND SI!LI.1AS 11"... c.'.l..Uy ,..ie_d lheHJD.1 Selu.n-I S:"'-I...nd 10 ih.b..loIrny kno.....edg. And i.I, ili.. :rye and Acc~,.l. AlAl_entol AI 'ec.p......,d d.o~'.emenlA m';"1<;-.-~ my .-,,:e':llhll,'y Ill':' in tj",l~ ;r':llliO.\"~':f" I \.,1".-r ,",;niy tll.ll I h.N') r,:..:o<.lV(.;t.\ <'("'Y ,:A IlJD <~~B ~~ ~~',.. '" ~""O''''''I''"nAMe .""".'''''AIIoIA ~V"""'O-'~"6.,,.,on. ._'...."'''O(I"...6.r,.,O<1.. ~, ..co:", ~ .",e ...", ~ce",~.c ~c"c,,'" clll,,~ I,,,,,,,,,,,,,,,,,, r l1,""c "",,,..or' '" 8~111~'t~oI1P"""'" "ccaG;orc<: ..'" J'"" "".CffiC>" ~~~..-,~c..-, u.,. ......""'N.:;. ,'... ~ C,"'''~ ,u '~"''',h "'''c I"",,, "",,:.....,.,,~;o J,c """cd "'~:c~ "" Iloi~", ""y """,,u, '''''''- """'~'"". ~~"" ...,..".;,.,;.", c"" ",cl".:Io" I",,, ~"d ;m~(("""......., r", ""'_",,0 c~ t, oj;. (;ea.~,'{<lQn ;<Jl.;1 inaaClOf' .~:~ ""-'u., ";r. '.'~~ '* SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT I FILE NUMBER ~01- 01185 _____ ESTATE OF GALASSO, JEAN C. 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 Misc. Furniture and Honsehold goods DESCRIPTION VALUE AT DATE OF DEATH 1,000.66 1,000.00 TOTAL (Also enter on Line 5, Recapitulation) *' SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF GALASSO, JEAN C. 'FILE NUMBER 21-01-01185 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURV(VING JOINT TENANT(S) NAME A. - Robert Galasso ADDRESS RELATIONSHIP TO DECEDENT - I ii20 10th St. West Babylon, NY 11704 Son JOINTLY OWNED PROPERTY: 1 A. Incl~d~ n~me l?f ~nancial institution and bank ,ac;:count number DATE OF DEATH DO~cOts 'I DA0~~~ED~~TH or similar Identifying number. Attach deed for JOintly-held real VALUE OF ASSET INTEREST DECEDENT'S INTEREST estate. I 02/04/1998 M&T Bank Checking Acct. 1,442.61 50%1 721.31 DATE MADE JOINT ITEM LETTER NUMBER FOR JOINT TENANT TOTAL (Also enter on line 6, Recapitulation) 721.31 Checking Accounts: Number: 0 s-a 3~ 2:i 'foe; Date Opened: 2/rY-I/QP; ~ 1L-/4~ . ~ I Balance at Date of Death: Name of Joint Owner, if any: 1(6h.r-/- GoJrASSO Savings Accounts: Number: Date Opened: Balance at Date of Death: Name of Joint Owner, if any: Certificates of Deposit: Number: Date Opened: Name of Joint Owner, ifany: Balance at Date of Death: Maturity Date: Interest Rate: Interest Paid Quarterly, Semi-Annual, etc. Debts: Others: Estate of: Jean C. Galasso Date of Death: Julv 30, 2001 D 2. C ! i_ .!i I :. ;: i ) Ii, II I II I MAR 2 e IDl1 Iii ii' Ll\.\1 ~ Name of Bank: M & T Bank ~~~ -- Signature of Bank or Savings Assoc. Official *' SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT I FILE NUMBER 21 - 01 - 01185 ESTATE OF GALASSO JEAN C , . Debts of decedent must be reported on Schedule I. ITEM ! --------------- NUMBER' DESCRIPTION AMOUNT FUNERAL EXPENSES: ---- A. 1. ' Niell Funeral Home, Camp Hill, PA 6,175.00 2. Flowers 614.00 3. Reception 800.00 4. Honorarium 300.00 i 5. : Headstone Engraving 100.00 6. I Lodging for Executors 600.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions ! Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City Slate Zip - Year(s) Commission paid 2. Attorney's Fees Coyne & Coyne, P.C. -- Lisa M. Coyne, Esquire 6,581.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Cumberland County Register of Wills 262.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs I Legal Advertisement-- Cumberland Law Journal 75.00 2 Legal Advertisement-- Patriot News 103.00 I 3 Real Estate Commissions-- Prudential Wood 6,044.00 Total of Continuation Schedule(s) 13,023.00 34,676.21 TOTAL (Also enter on line 9, Recapitulation) *' SchedJIe H Funeral Expenses & Administrative Cos1s continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF GALASSO, JEAN C. I 4 Closing Costs for Sale of Real Estate 5 6 7 8 9 10 11 Filing Fee-- Inheritance Tax Return Postage Certified Mail Federal Express Tolls for Numerous R/T Travel by Executors Lawn Care and Snow Removal 12 Mileage for Travel by Executors @ $.32/mile Toll Calls by Executors 13 14 Food & Lodging for Executors throughout administration of Estate Repairs to House required for sale 15 Reserves 16 17 18 Cleaning Supplies Cleaning of House for Sale Income tax Preparation Fee I FILE NUMBER ! 21-01-01185 I 6,281.00 15.00 96.00 5.00 45.00 280.00 1,100.00 2,100.00 400.00 1,305.00 300.00 500.00 96.00 300.00 200.00 Page 2 of Schedule H . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE I LIABILITIES, & LIENS L____ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT I FILE NUMBER 21 - 01 - 01185 ESTATE OF GALASSO, JEAN C. Include unreimbursed medical expenses. ----- ITEM NUMBER 1 - Ve-iizon DESCRIPTION AMOUNT 78.00 2 West Shore EMS 226.00 3 PP&L 400.00 4 PAWC 220.00 5 Hampden Twp. -- Sewer and Trash 150.00 6 Erie Insurance-- Homeowners Insurance 225.00 7 Uncleared Checks from Checking Account 157.00 1,456.00 TOTAL (Also enter on Line 10, Recapitulation) . *' SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF GALASSO, JEAN C. , FILE NUMBER 21 - 01 - 01185 RELATIONSHIP TO DECEDENT 00 Not UJ1Trn$te'(!fl AMOUNT OR SHARE OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) Robert Galasso 1220 10th St., West Babylon, NJ Son 1/2 of Residual 2 Cecilia Antonelli 2752 Rockport Lane, Toms River, NJ 08755 Daughter 11/2 of Residual Enter dollar amounts for distributions shown above on lines 15 through 17, as appropriate, on Rev 1500 cover she t 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 11- ENTER TOTAL NON-TAXABLE D(STRIBUTIONS ON LINE 13 OF REV-1500 COVER SHE T COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-961 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT LISA M COYNE ESQUIRE 3901 MARKET STREET CAMP HILL, PA 17011-4227 ____un fold ESTATE INFORMATION: SSN: 131-03-9036 FILE NUMBER: 2101-1185 DECEDENT NAME: GALASSO JEAN C DATE OF PAYMENT: OS/21/2002 POSTMARK DATE: OS/20/2002 COUNTY: CUMBERLAND DATE OF DEATH: 07/30/2001 NO. CD 001199 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $3,404.00 I I I I I I I I TOTAL AMOUNT PAID: $3,404.00 REMARKS: CECILIA ANTONELLI C/O LISA M COYNE ESQUIRE CHECK# 04~15 SEAL INITIALS: CW RECEIVED BY: REGISTER OF WILLS MARY C. LEWI S REGISTER OF WILLS /?-r:a:~)~ 9 ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX -1 , DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-24-2002 GALASSO 07-30-2001 21 01-1185 CUMBERLAND 101 LISA M COYNE ESQ COYNE S COYNE 3901 MARKET ST CAMP HILL *' REV-1541 EX AFP (01-021 JEAN C Allount Rellitted t. pJ\ :17011 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=i5'4j-E'5CAFP-rOY:02Y-NoYicE--OF-YNHEiiiTANCE-YAir'APPR'AiSEMENY-,--ALDiwANCE-oi----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF GALASSO JEAN C FILE NO. 21 01-1185 ACN 101 DATE 06-24-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TA)C: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Lilne 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS. .00 X 00 = .00 75,488.25 X 045 = 3,397.00 .00 X 12 = .00 .00 X 15 = .00 (19)= 3,397.00 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. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Dep>osits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Sc:hedule G) 8. Total Asselts (1) (2) (3) (4) (5) (6) (7) 109.900.00 .00 .00 .00 1.000.00 721.31 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/MortgaSle Liabilities/Liens (Schedule n 11. Total Deductions 12. Net Value of Tax Return 13. Charitabll./Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 34,676.21 1.456.85 (11) (12) (13) (14) NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 111,621.31 36.133 06 75,488.25 .00 75,488.25 . . ... I......' K~t;~.L1'1 (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 05-20-2002 CDOO1199 7.00- 3,404.00 BALANCE OF UNPAID INTEREST/PENALTY AS OF 05-21-2002 TOTAL TAX CREDIT 3.397.00 BALANCE OF TAX DUE .00 INTEREST AND PEN. 4.14 TOTAL DUE 4.14 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) RESERVATION: Estates of decedents dying on or before December 12. 1982 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any e~tate for life or for years. the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act. Act 23 of 2000. (72 P.S. Section 9140). PAYMENT: Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side. --Make check or money order payable to: REGISTER OF HILLS 1 AGENT REFUND (CR): A refund of a tax credit. which was not requested on the Tax Return. may be requested by completing an "Application for Refund of PennsYlvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register of Wills. any of the 23 Revenue District Offices. or by calling the special 24-hour answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and I or speaking needs: 1-800-447-3020 (TT only). OBJECTIONS: Any party in interest not satisfied with the appraisement. allowance. or disallowance of deductions. or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue. Board of Appeals. Dept. 281021. Harrisburg. PA 17128-1021. OR --election to have the matter determined at audit of the account of the personal representative. OR --appeal to the Orphans' Court. ADMIN- ISTRATIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue. Bureau of Individual Taxes. ATTN: Post Assessment Review Unit. Dept. 280601. Harrisburg. PA 17128-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. DISCOUNT: If any tax due is paid within three (3) 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. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. 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 (6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January I. 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2002 are: Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor 1982 207- .000548 1992 97- .000247 1983 16% .000438 1993-1994 7X .000192 1984 11% .000301 1995-1998 9% .000247 1985 137- .000356 1999 7X .000192 1986 10% .000274 2000 87- .000219 1987 97- .000247 2001 9% .000247 1988-1991 11% .000301 2002 67- .000164 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) 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. ~ (:~ f f'. il. t, '. ( 'f ! , \ \ \ \ \ \ ;.J '\J.~>, ' ~71':'1~ 1..., f....~.,.. .... '. ,"V (", ..."_ ~ :>' "f'" .. "r. \ il; Q ~.] ~ I' \~" \ , "~.. I t J . u a: "- '" .. ....- '" III $ UJ "i Z<:(~.- ............- >I-U)O O <:( I- "- U)~- UG:;",,~ - ~ ~......' "'V 0 :::::!. IIII-O:Z:: Z~o-Q. ..... C").< > <5 o U Q) en ;:, o .c t ;:, o U -OC") CT- ;:'0 .:!! 0" "- U T- $-"0<( 'Q CCn Q)eo....... 1.. .c 1: ~ Q)UQ)Q) CiS -OCij "0, C E "Z: Q)t;:,eo t:r<(UU ,.':. f\t ~:,:i ~ "r) .... f') "r-! () ..... '1..1 U N 0 Q , ~ I- Q ~ I- ~ c Z ,..'l '" .. Z III ~ <[ z: '# ~ .. UJ > , .., <[ > ~ .. a. .. UJ ........ l- (/) \ ::l f'. H z: C 'a III ::t: ~ N r-l III Cl Gl Ql: , Cl Cl CO Z .... l- I\') .... I:t:: Cl Cl r-l <[ ... Q r-l N C N r-l -I II Z (/) ::l Cl I (/) I I I:t:: Gl <[ -I C .... ..,. (/) Cl r-l UJ It: -I U r-l 0 N <[ I\') Cl IlQ .... III I-l Q I -I I z: r-l C ...I 3 c Ql: 'D <[ .... r-l ::l Cl ::I III u<[ 0 Cl C!) Cl N U r-l 0 <[ LL Q., 0 W II C Cl U C > Z " III <[ ZX ~ <[ I:t:: <[ UJ Ql: H CC a. Z ~.... Ql: UJ -I -I Ql: <[ C ::.:: I- I:t:: (/) :;) -'II. III (/) UJ I-l >11I X-'C 0 0 ...I:;) CC IL III I-l IlQ -I > >Z ....Ul.... 0 :x: c!)z: I:t:: 011I I-IZ 0 UJ::l <[ Ql: WClW I:t::U U Z> u J: 0 ZIII Zlt:Ul :! IL 1IIQl: CCUl .... W a. I-IWUl c(j Z IL It:UUl z: 0 ILO WZC H 0 :cc I- Z~Cl I- I-ICZ Ql: :X:Z -'c ~ ~ 0 1-11I 11.-' a. ...IZ: CCUl 3:<- Z <[I- W "C ~: Ql: 1IIQl: u....1-I . ~ III 3< I-IZ.... ~. 3 Za. ....Wu (".l ~: 0 CJ::) 011I ZWCl ...I Z:Q UlW z: I-ICl Z 0 C H It: II. 0 II.C < II. I- C III Ql: <[ j Q., 0- (/) Ul UJ I- W UJ (/) III X C UJ Z Z .... Z > I- H ... > c UJ ...I -'z eo C U ~ -I Co '" U I:t:: -I 0 :)... eo Cl'" I O/J <[ I-l H 1-1'" '" z: z: ::t: :x: >:> N I-I~ ... UJ I- ..... ~)( ... <[ Z r-l Q., c (/) > Cl z: (!>> ....,~ a. I-l C 0- <[ Z ... -I U I\') U 0 La. LU Q 1\ o u...oC,!) ...I Zeo", < ::::>> ~~~ c... '" I- LU ~ '.I-f It: LL1....'" ;:) :) :J: a. '" OJ eo ~~~ '" ", en ", '" < ,. .... ... o z .", Ul .. 01 .. .. Ul o ... 0. .. n .. 0. .. ::I ,.. :,lIJ ,0. II<: , ,.. 1::1 "" . 0 ::I 10 . , '" .. ... , 0 , : .. 'C . .. . n '.. . a '" 10 , . ... N . . ... '" ,llll :.N " I I , , .. ~. ,... , 01 ,::I ,I<: ;. ... , c .. c , , :.. , ,.. , ::I '.. ,.. , , .. 'Ul , .. , , ,.. ,::I ~g: '10 , .. :Ul ,.. ..01 ,.. , .. 1:.... ) Ul ) .. ) , " 01 ::I . Ul ) ... , .. , D , , .. +0. . + D " ) , i I ( \ \ :\ to " Oi t.i ----1 ,,c.. \ ~~' \ , ~ co .:0/ o.~, ... / I ~~/Q . U a: ~ o-N ..u3:~:!. Z ~ r:>=;; >~~~ O(/)w >-~<( UWO!", Z <( _ ~O!::E:j O_I 1111=0", Z<(?;::E > j o U .07. 'II! ul C., " Q) C/) ::J C/) 0 =.L: ~~Q) COrn .... 0 ::J .$~o-M C/)c(f)T- '-::J 0 0l035",- Q)O::JT- 0::: 0 Q)"o.L:<( .L:Cta. ..... C'Cl::J _ CQ50Q) Q) .0 0 .!:Q uEQ)L: .- C C'Cl 8800 .- .- N I:;') f.~l ,:r' f.;t f':- ::-:. C) f':' ..... 1.'i.'I r-. .,..., ~ COYNE & COYNE e. A PROFESSIONAL CORPORATION ATTORNEYS AT LAW Henry F. Coyne Lisa Marie Coyne 3901 Market Street Camp Hill, Pennsylvania 17011-4227 717-737-0464 Fax: 717-737-5161 July 12,2002 Office of the Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 Re: Estate of Jean C. Galasso, Deceased Estate No. 21-01-1185 Dear Mrs. Lewis: Enclosed please find check no. 1385 in the amount of $4.14, which represents payment due the Department of Revenue per the Notice of Appraisement issued June 24, 2002. Kindly docket payment to this estate account. Thank you for your assistance. Very truly yours, LMC/amd Enclosure :~YNEi0 PC (fil.ne CO~~- Cc: Mr. Robert Galasso, Executor Mrs. Cecilia Antonelli, Executrix : I ;. d 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 LISA MARIE COYNE ESQUIRE 3901 MARKET STREET CAMP HILL, PA 17011-4227 _____n_ fold ESTATE INFORMATION: SSN: 131-03-9036 FILE NUMBER: 2101-1185 DECEDENT NAME: GALASSO JEAN C DATE OF PAYMENT: 07/15/2002 POSTMARK DATE: 07/12/2002 COUNTY: CUMBERLAND DATE OF DEATH: 07/30/2001 NO. CD 001406 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $4.14 I I I I I I I I TOTAL AMOUNT PAID: $4.14 REMARKS: ROBERT GALASSO C/O LISA MARIE COYNE ESQUIRE CHECK# 1385 SEAL INITIALS: CW RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS \. //} -&;- 9 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT * REY-1607 EX AFP [01-02) LISA M COYNE ESQ COYNE & COYNE 3901 MARKET ST CAMP HILL DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 08-26-2002 GALASSO 07-30-2001 21 01-1185 CUMBERLAND 101 JEAN C Anount Renitted P A ',l:,lO 11 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subnit the upper portion of this forn with your tax paynent. CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ iriV' = ic,'ifj-EX-AFP-('oY:02y------...-iNHERi'TA'NCE-TAX-STATEMENT-OF-ACCouiiT--.-..------------------ --- ESTATE OF GALASSO JEAN C FILE NO. 21 01-1185 ACN 101 DATE 08-26-2002 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 06-24-2002 PRINCIPAL TAX DUE: ................................................................................................... .................................................................................................................... 3,397.00 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 05-20-2002 CDOO1199 7.00- 3,404.00 07-12-2002 CDOO1406 4.14- 4.14 TOTAL TAX CREDIT 3,397.00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) PAYHENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address printed on the reverse side. If RESIDENT DECEDENT make check or money order payable to: REGISTER OF WILLS, AGENT. If NON-RESIDENT DECEDENT make check or money order payable to: COMMONWEALTH OF PENNSYLVANIA. REFUND (CR): A refund of a tex credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of PennsYlvania Inheritance and Estate Tax" (REV-13l3). Applications are available at the Office of the Register of Wills, any of the 23 Revenue District Offices or from the Department's 24-hour answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and I 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, Dept. 280601, Harrisburg, PA 17128-0601, phone (717) 787-6505. DISCOUNT: If any tax due is paid within three (3) 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 (6%) 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 year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2002 are: Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor 1982 20% .000548 1992 9% .000247 1983 16% .000438 1993-1994 7% .000192 1984 11% .000301 1995-1998 9% .000247 1985 13% .000356 1999 7% .000192 1986 10% .000274 2000 8% .000219 1987 9% .000247 2001 9% .000247 1988-1991 11% .000301 2002 6% .000164 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) 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. , CY Ii( j' STATUS REPORT UNDER RULE 6.12 Name of Decedent: JEAN C. GALASSO Date of Death: _ mLY 30, 2001 Will No. 21-01-1185 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 X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: NOVEMBER 2003 3. Ifthe 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 Clerk ofthe Orphans' Court and may be attached to this report. Dated: 8~U3 c ~-c - . c. ,.-' _7.... ---, f""' P - , -' <, ~, I' ... .J """"..... , Cumberland County - Register Of wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240 -6345 Date: 6/10/2003 ANTONELLI CECILIA 2752 ROCKPORT LANE TOMS RIVER, NJ 08755 RE: Estate of GALASSO JEAN C File Number: 2001-01185 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: 7/30/2003 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, DONNA M. OTTO DEPUTY REGISTER OF WILLS cc: / File Counsel. Judge JRD/June 30, 1992/17858 AUG 0 9 20041 Estate No.: 2001-1185 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA In Re: Estate of Jean C. Galasso Late of Hampden Township NO. 21-2001-1185 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: Cecilia Antonelli, and Robert Galasso Counsel for Personal Representative: Henry F. Coyne Date of Decedent's Death: 07/3012001 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~ant 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 .~.~~'. .f Glenda Farner Str""ba~ Clerk ofthe Orphans' Court Distribution: Personal Representative (s) Counsel for Personal Representative Estate File L\.....L.- {J ... C' ;)t1or+ q:'30 A. 'W\ . ~Y.. c," I A hearing is scheduled for at in Courtroom No.3. lfthe St~tus Report is filed prior to the hearing date, the hearing will automatically be cancelled. . ,.~ ' +-,' ,,c" l ,I: ;. / (: / .i- ,. ,/ r j/ iT/:{;~/. j.;? L"/' ~"l ", ~ .... b '" George B~1ioffer, P.J. STATUS REPORT UNDER RULE 6.12 Name of Decedent: JEAN C. GALASSO Date of Death: mL Y 30, 2001 Will No. 21-01-1185 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 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~ b. the separate Orphans' Court No. (if any) for the personal representative's N/A account is: c. Did the personal representative state an account informally to the parties in interest? Yesl No d. Copies of receipts releases, joinders and approvals of formal or informal accounts may be filed with the Clerk ofthe Orphans' Court and may be attached to this report. Dated: y-/?- 0'1 I ......-. ={~':; ....-, d .p:,. ::IJ (f': ,..-., ,ESQ~ = c:: Cii ...... \0 3 N W Vl