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HomeMy WebLinkAbout06-01-11 ' '~ 1505610101 REV-1500 I:x(°'-'°' OFFICIAL USE ONLY PA Department of Revenue pennSylvaMa Coun Code Year File Number Bureau of Individual Taxes ~'""'"`"`~`"`"""` tY INHERITANCE TAX RETURN PO BOX z8o6oi Z 1 ~ O / p q 7 Harrisburg, PA i7u8-o6D1 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date _ . of Death MMDDYYYY Date of Birth MMDDYYYY -- __ _ a0o1- 020 - (053 O 11/01/2011 ~ 04/14/1929 . Decedent's last Name . _.. - __- u~ _,_ . .... ~_.. Suffix Decedent's First Name MI _. 'YANDRIC PETER (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number __ .. °" "" ` °" `, THIS RETURN MUST BE FILED IN DUPLICATE WITH THE __ _ REGISTER OF WILLS FILL INAPPROPRIATE OVALS BELOW ~ 1. Original Return O 2. Supplemental Return O 3. Remainder Retum (date of death prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Retum Required death after 12-12-82) 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 7. 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to lax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number Andrew C. Sheely, Attorney at Law .717-697-705 ~~' - - ___ i- REGISTER S USE LILY First line of address [ ~rT't t +~ - - tX) ' , ., r,.. } ~ ~ ~= 127 S. Market Street, _ _ ~. ~~ -~, ~ -, rr -; c7O -~: ~~ ~_ -r, Second line of address _ ~r i P.O. Box 95 --! .. b .~ u:• City or Post Office _ State ZIP Code DATE FILED-~' ,Mechanicsburg PA 17055 Corceapondent's a-mail address: Under penahies of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of pre other than the personal representable is based on all information of which preparer has any knowledge. SI A RE OF P~S~RFySQONSIBL FOR ILIN RETURN rnrc David P.Yandrich, 1439 Candlewycke Drive, Middletown, PA 17057-2923 SI URE OF PRbPS, iE N REPRESENTATIVE /SAT ( r 7/ r~f~ Andrew C. Sheely, L 1505610101 Law, 127 S. Market Street, Mechanicsburg, PA 17055 r PLEASE USE ORIGINAL FORM ONLY - Side 1 .1505610101 J 4 _! 1505610105 REV-1500 EX Decedent's Name: Decedent's Social Security Number zoa. -ao -530 RECAPITULATION 1. Real Estate (Schedule A) ............................................. 1. 2. Stocks and Bonds (Schedule B) ....................................... 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. $120,000.00 $136,492. 4. Mortgages and Notes Receivable (Schedule D) ........................... 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E).... ... 5. ®~ $447,698.39, ~,,~ ~ , ..Ad,~ ~, ~mmd 6. Jointly Owned Property (Schedule F) O Separate Billing Requested .... ... 6. ', 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property 336.69 $66 (Schedule G) O Separate Billing Requested..... ... 7. . , 8. Total Gross Assets (total Lines 1 through 7) .......................... ... 8. ',; $770,527.34 ' 496.28' $22 9. Funeral Expenses and Administrative Costs (Schedule H) ................ ... 9. , ., .~_ _~ . , _. r __......._m ._~ ~.i 10. 9 9 ( ) ........... Debts of Decedent, Mort a e Liabilities, and Liens Schedule I 10. ... , $3,342.00[.. 11. Total Deductions (total Lines 9 and 10) .............................. ... 11. $25,838.281, 12. Net Value of Estate (Line 8 minus Line 11) .......................... .... 12. ... ._._._.._ $744,689.06; .. _.._~~ ._.,~.....,. E 13. Charitable and Governmental BequestslSec 9113 Trusts for which an election to tax has not been made (Schedule J) .................... .... 13. _.~__... 14. Net Value SubJect to Tax (Line 12 minus Line 13) .................... .. 14. $744,689.063 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount tff'Line 14 taxable at the spousal tax rate, or ... --- transfers unc+~~ Gec. 9116 (a)(1.2) X .0. .,. ~ .~_ .. 15. 16. d_..,.~.....,, . Amount of Line 14 r~~able at lineal rate X .b . w..- .~.,,~..., 16. ~,. .~._~_ . ~. 17. Amount of Line 14 taxable -~~ ~~ at sibling rate X .12 ' ..._~ ,~~....~... ~ ..._ 17. ~, _~.~.. ,Y_ ._~.~ .. ........... 18. Amount of Line 14 taxable M.. __.. , $744 689.061 $111,703.36'.. . , at collateral rate X .15 ._ _. 18. .. $111,703.36; 19. TAX DUE ...................................... ................ 19 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505610105 1505610105 O J REV-15D0 EX Page 3 ~Decec~ent's Complete Address: File Number ~ I _ ~ ~ _ ~ O ~ 7 DFrFnFNrc tinraF PETER YANDRIC S`TDGGT Af1r1D000 1003 PARK PLACE ,r„ ~MECHANICSBURG sTArFpA :2117055 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) 2. Credits/Payments A. Prior Payments $75,000.00 B. Discount $3,947.25_ Total Credits (A + B) (2) 3. Interest (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) Make check payable to: REGISTER OF WILLS, AGENT. $111,703.36 $78, 947.25 $32,756.11 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS t. Did decedent make a transfer and: Yes N o / a. retain the use or income of the properly transferred :.......................................................................................... ^ , ,_ , L7 b. retain the right to designate who shall use the property transferred or its income :............................................ ^ ~~ c. retain a reversionary interest; or .......................................................................................................................... ^ ,~,~/ d. receive the promise for life of either payments, benefits or care? ...................................................................... ^ L7 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death ,~, / ' ^ without receiving adequate consideration? .............................................................................................................. LN 3. Did decedent own an "in trust for" or payable-upon-0eath bank account or security at his or her death? .............. ^ ~~ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which ,~, / ' contains a beneficiary designation? ...........................................:............................................................................ L5 ^ For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent (72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. • .The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. COMMONWEALTH OP PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES ~ DEPT. 280801 HARRISBURG, PA 17128.0801 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-96) N0. CD 013959 YANDRICH DAVID P 1439 CANDLEWYKE DRIVE MIDDLETOWN, PA 17057 ACN ASSESSMENT AMOUNT CONTROL NUMBER '----'-- tolE ESTATE INFORMATION: SsN: 202-20-6530 FILE NUMBER: 2110-1097 DECEDENT NAME: YANDRIC PETER DATE OF PAYMENT: 01/28/2011 POSTMARK DATE: O1 /28/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 1 1 /01 /2010 REMARKS: SEAL CHECK# 512 101 ~ 575,000.00 TOTAL AMOUNT PAID: INITIALS: HMW RECEIVED BY: 575,000.00 GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER REV-1502 EX+ (11-OS) '~i~`pennsylvania SCHEDULE A ~~ DEPARTMENT OF REVENUE REAL E5tATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Peter Yandric FILE NUMBER 21-10-1 os7 All real property owned solely or as a tanalrt in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property that b jointly-owned vrith right of wrvivorship must 6e dkidaed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1. Decedent's real property located at 1003 Park Place, Mechanicsburg, Monroe Township, Cumberland Countv. PA 17055. Tax Parcel #22-31-215&005 See Attached appraisal of George R. Ulsh $120,000.00 TOTAL (Also enter on Line 1, Recapitulation.) I; 12D,000.00 If more space is needed, insert additional sheets of the same size. Yandnc Estate I I~K~~w~ Daniilen419~ el1a1M~Q9I RArlneF e~~ 1CMO70 Vrwv~n~ •wv.w...... __ _- _- The d thb b m Me krdsklsf vrlh en axrr~, and d the model vahe d ds sub Address Park Pl Sble L Code 170 Berrorbr Yaav.Nic Estate do Dave Yendrich Owner d Prdlc Racard Yanddc F-state Cumbedand Referenced m Plan Elook 235 Pa 829 R,E. Taxes S t 395.99 AssapofsParcd# 2231-2138-005 Tax Year 2010 Nero Monroe T Rdsera;e 7231-2158-005 Cwsus Traci 0117.00 Owner Tared Vacst S Asaaesnerrls i NiA ~ ~ i ngnM Fee IAesalreld Otlrer describe T purchase Trasadbn Relbsrce Tbroadbrr Oler dACrNe EstabYeh the market vakre of the sub act " AS IS" LerderrClsl CYent Yanddc Estate Go Dave Yanddc Nldmes 1439 ke DrNe Mkklktown PA 17057 Yes ~ k ~ oNsed for aab a has l been dMed fa aab b the twelb matls b the alteclNe dale d the dap read a and s PrNYc record and Arsa MLS VerNkd 11!152010 The 'ed has not been offered for sale in qts last 12 menthe. I dd did nd arrlym the conbed for sde fa the staled Puchase trssaetlorr. ExQlsn the resin d the aroysls d the oortrad for sale a why the aroNsb was not Pubic record and Area MLS Vergfed 11115/2010 The sub act has rwt been oRered for ante in the leaf 12 months. CorRad Prke S MarketVaWe Oats d Cor6art N/A b the solar tits owror d raced? Yes No Dam s Pubic Record to fwa any flrrsrcbl aasisknce (ban dwgos, sale corxbselars, pMt a dowrpeyrrsrt asaidarne, dc.) b be Ddd by are' PmY an Delsl d the barroweR ^ vas ®No Y Ym yb by dolar arrsrat sd dwalbe tla Kars m a NIA Puhao record and Area MLS Vsridsd 11 /1 5201 0 Tha rsub'ect hoc port been offered for sob in the last 72 monftm. No1a:RwrdlMtadsl dtlw anttd hams. lux:atlon UrWn SuMrbsr Real Wdues 9mMe PRICE AGE Ors-Urit 45 '% BIIR- Oren 75% 2575% Under 29!< b BaMce Over S 2-4 Uri! 5 % growM Stabb Sbw Tiro Under 3 mis 3~ rtds Over 8 mis 100 law 0 MuYi-Farm % Boradarbs feorth is W. Usbum Road Soutll h Yolk C East b WlRams (trove 500+ ~. t0~65 OMar ~ 40 % West b 741174 Ntberaeot .. gee altardred 3 emsMal Addendum with commsrrtc. " Predominam sin fam' vdue is St 15 000 to 5425 000. Nulst CArrditlors s hr tie above rmrrcYsbrs gee adtactted lemerrrol Addendum whh comments. DMtbralara Not avdlade ere recortl NR .76 Acros. M R rdar View Srrburben ClasBlbalbrrRsaidersfel fam rants ' 6rsdrlhwedllee No descrbe b the and Ded use d m a as and a the rss? Yes No Y No, deacdbe U~ PoBIo OUllr Prins Otlsr Ollyh ~ Publla PlNote 2~ yyypr yy~ Strad Pwsd aN gas Nome Sewer Norre Flood Hazard Area Yea NO tEMA Flood Zas AE R3M # 42041 C0264E FEMit Dave 03!182008 Ne the t1AMs and dfsge /athe mslet sea? Yea No l No desalbe Ne sue oererce sib wrdlbro a adarolfadae , arerosdarsrrfa, swlomsrml cadilors lard robs. ab. ? Yea No l Yes dlscrYx Thsro were no nosed adverse a uMavorebls easements a erraoadrmer~ nosed. IliNa Oro Oro wIM IlMt Corcrete Slab Crawl Fasdalbrr Web CatrretsBWA floors AsbeetasTis/Avera ` # d Sbrks 1 Ful fheerrst PartlW Baaemed ExMa Web FramsB A Web WoodPanellAvera Od. Nt. S-DdJE1ldlkiBeaensdArea 973 RlbdSuhce Com A TrYryFbleh WoodlAvsr Urdar Baaarwrt FNthtr 0 % 6uIMS d AWmltumlA Bagr pear cTYMAvera t Orislde ~ Wbabw A Ba0r Wdrscd CeromicTlelAve Yes Brit 1954 Eviderru d lfesktlorr Stomr SaalVlsridad IneuhtedWrrd/AVere Car Nos HleNae B 20 Satllallaat Screw Yec/A # d Css 31 ~ Nero RNA Fh4BB N1rwiNfea W a # D Surface Cnrshed Stone Shi Stdra Otlsr Rant Ol # 1 Farce 6 # d Cars 3 pea Scrib Csrbd Nr Patla4)xk 1 Path 1 # d Cars Fkbad Heated ldNldbl2 OMs Pool OYsr Alt. Dd. Bdl-in Dishwasher lMcrvwave Wachs Olsr dmcrlhe RNehod arefl sbow cable: 5 koorts 2 Bedmorrs 2 1 317 use Fed d 6rosa Nee Nave Grade NIdYaW tsaae6 eHbist lwrs ale.. Front rch rear itnulated win 3 car t car er ad Ike DrerMe tls cadltlon d tla needed ddaiaalbn mwdbro etc.. The wrb'ed ex6erior ie eve condition wRh ices im emems. No adverse twndXiores were nobd dtxkt the arte'ed exterior vi .The irrMrfor of the sub'sct is dated in decor and amenities but in eve randifiar. The fam room b net heated and Tunc99oreal the area wiY be considered in the Sales Com roach to Value. The bacsmem of the sub'ed is 74% of the 1 at floor OL4 ant at 0% Yrished. There b a .5 bath located M the basement aroa meat ias to the the struchre. Ne 11ab ddbkrcie a adverse s Ms atledlhe ~ aaundrress, a atrrrcbrrd d the Yaa No l Yes, descdbe goes Me corionn to the us0. carestrctlen, ~. ? Yes No l No, describe Freddie Mac Form 70 March 2005 Page 1 d 6 ranme mere rvrm iuuY maicn cwo Rxm 1004 -1NbTOTAt' alrPrdsd sdlware by a q mode, Irc. -1-800~ALAMODE Yandrk Estate Uniform Residential Appraisal Report ~..1c00979 T~ arc p c olfaed for sub in the Y flan S 0 m S 0 There are 0 sobs Y the tYBir1 the tteka nar Cls Y Sale }lam S 0 to S 0 FEATURE Sl1BJECT COMPAMBLE SALE # 1 COMPARABLE SALE aY 2 COMPARABLE SALE # 3 AQdreas 1003 Park Plow 3613 tJCburn Roatl SBaa Crwkvlsw Road 176 Willow Mill Roatl Medaanicsbur PA 17055 Mechanicsb PA 17055 Medusdcsbu PA 17050 Mechanicebur PA 17050 to S 6.31 miss E 8.35 miles NE 7.41 miles N Sale Frke S MarketV ~ S 116 000 S 120 000 Y - i; 5 115 000 Sob Pricd9ras Lev. Area S 91.1 .ft E 123.67 ft S 71.77 ft S 91.27 s ft '~"°` Data a MLS PubRec raeersFdrrs MLS PubRec des MLS PubRec raisereFiks Yedncatlai s . Date Bank Date Bank Deb Bank VALUE ADJUSTMENTS DESCRIPTON DESCRFDON + - S Ad DESCRIPTION + - S DESCRIPTION + - S A ustmed Salve a RrancNg a = e " Corn Com Corn ~ . ;; *• ^ ? 187 DOM 40 DOM 3 DOM DaY d 3ddfime ~`-` U 092 010 09!202010 05/03/2010 Locdlon SuWuban S b ~~~ LeaselroMrFee 3 Fee Sim b Fes Sim le Fee Sim Fee Sim le See .78 Acres 1.2 Aces -1 000 27 Aces +2 000 .14 Acres +3 000 Maw Suburban Suburban Suburban Su urb~ 1 1,5 Soo 1 1.5 Sto d Carlaellb'dOn FrmBV A Frm&V Av Frrn& Av Frm&Vi Av Ardtal 58 Yrs Fat DD Yra Eat 90 Yrs Est 80 Yla Est CerldlYrl Avo Gd/SakRemodl -10000 Gd/SabRe -10 000 Avers Above Grime TaW Bbms Banes Tatai Brims. Balks Toni 8dms. Baths Tokl Brims. !lake Room Coot 5 2 2 5 2 1 +4 000 6 2 2 5 2 1 *4 000 bras LNI Aron 1 317 .ft 938 .ft. +1 900 1 672 ,ft -1 800 1 280 s .ft BasErrort & Rdshed 5 Beth No Basement +2,000 No Basement +2,000 No Basement +2,000 Rasa tYbw firede 74% / 0% 0% / 0% +2 000 0% / 0% +2 000 0%! 0% +2 000 FtarctlortN Av a Avere e A A e CntrlHt/WaBUni CnLiHUWenUni CrIMHtlCrIMCI 3000 Cr1MtiUWanunt HBdalt Yrrs T for T for for T I for 3C iC Pad ORStreaP +8 000 Of1BlreaP +8 000 ORBtreeP +6 000 PaclWaicrUeck Peh WdDk Porch PaBo Pch VVdDk Poreh Peso Amatlbs Fr None +2 000 Norse +2 000 None *2 000 None None Naro None Nona None None None ~ q '~„ ~;~.; + - S 6900 + - S -800 + - S 19 000 gdNaYd Sale Price d, Net 5.9 % Nd 0.7 % Net 18.5 % d Gross 249 % S 122 900 Gmss 24.0 % S 119 200 Gross 16.5 % S 134 000 I rid rib not msearch tte sob atraafrr d tfre and Y Bake. i not, reeeareh did did nd reveal sobs a traladas d the for the thee hllhe dYdke daY d tNs Bafa s Pubnc Recad leeearch did did not reveal sobs a tralakrs d the sobs for the b the daY d sob d the b saY. Dale s Pubnc Record the revues d rite reseadl and d the sob a transfer d the sub and safes adNtlaal sobs on 3 . REM SU&IECT COMPARABLE SALE tr1 Ct1MPAMBLE SALE Art COMPARABLE SALE M3 d Prbr SaY?raaYr No transfer d the sub'sG No irartsfer d the ~ No irersAer d the sale No trertsfer of the sale Price d Prior Sak/TraaYr the bat 38 months in the last 12 moraCte in the Isst 12 morlBre fn the Iest 12 months Solrce s Pubic Record Pubnc Record Pubne Recad Public Record DabdDafa a 11/152010 11/15/2010 11/152010 11/152010 d sale a trensfa d the alb' and sales No trarader of the sub'ent ha the lest 38 months. No transfer of the sales h the last 12 morths. d Sobs The east are seek view ro located wietn the same market mea of the earb'eet. The use of saes locabd further than desred was caned from the absence of mae recant smear sets in closer rwdm' to the sub'ect The racer dopes to the ores d search to areas wtBdrt the sub ed market area with amlar trallic eeonomk base and of cortstrtrction ac the sub'ect. Tha sub area vMae moro then the de Wed 25% foot forsab #'I that the r er to within. l'he ass d dPoererrt cabs would have seated varbBorx Y the value GLA of the vided saes. Saks bracket the sub ed in value and OLA. This is a desired aarrdiion d the of the rotten the merkst vakro d the sub'ect Selbr wncesaons seen are 2 - 6 d the sales rkx n the sub'ect mortis! area end ero rat a relsvsnt cartdinon rtr the vehae of the ro ties. For this re seller eortrroulorrs are irkiiwbd but do not ort a roduc8on in veMro of tiro sae. Mrdicakd value sate S 120 000 YldYeted Vahle .fides S 120000 Wet (B i A Irreonle (N ) S NIA 1M Com orison to Value is the best for determN' the Market Value of a resaeMiel ro .The Cost roach to Value and The income ach to Value wero considered but are trot riab for the a This appraisal Ls made ®"'ask°, ^ srbject to canlRletlon per pYns and specikaaliara on the basis d a hypdhetlcd cardglon that the inrprovenelds nave been oortpleYd, ^ sWJed to da tobMrlp repahs a aierdba on the bask d a typotletlcal cardibrl that the reWha a aMaatlom have teal canpbtee, a O subbct to the aired ba based on the that the oarNtlarl a does not Itro alkrllon a .See atbctled su mental stldendum vvim sub'ect and commsrds nobd. TMs Y rat vaBd wMlwut eB soda. Based an a oonapNte vleral d Use hberbr sad albda star d tM prop~l~, rMmted stops d nark, aYbltlent d aaaumpdorle and mm~ing ~ ' rlerldldorla, ant apprdeer s Ar~~, my (our) aplNon d tM msrlgt vans, rdNYr1 of Bfe rest proprty tllet Y fhe asb~ect d thY repel Y 120 000 pd 11/152010 Mhieh Y the rids d and the eflkdha da0s d fhY Freddie Mae Form 70 Marsh 2005 Paye 2 of 6 Fannie Mae Form 1004 Mamh 2005 From 1004 - ~aYh1TOTAL• apprasal sOftwae by a k mode, inc. -1.800•ALAMODE REV-1503 EX~ (6-98) scNeou« s COMMONWEALTH OF PENNSYLVANIA STOCKS & ~~NDS INHER ITANCE TAX RETURN RESIDENT DECEDENT ESTATE AF FILE NUMBER Peter Yandric 21-10-1097 All Property jointly-owned wMh right of survlvonhip must be dbdoeed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~ • Peter Yandric died on Monday, November 1, 2010. Stock values are listed as the mean between the high and low on November 1.2010. Value based on NYSE. STOCK HIGH LOW MEAN 1. AT&T Common stock-3,041 shares 28.89 28.63 28.76 $87,459.16 2. Verizon Common stock-706 shares 32.77 32.23 32.50 $22,945.00 3. Vodafone Group Common stock 27.58 27.34 27.46 $12,000.02 437 shares 4. Comcast Common stock-508 shares 20.81 20.32 20.56 $10,444.48 5. Qwest Communications Common Stock 6.67 6.58 6.62 $2,343.40 354 shares 6. NCR Common Stock-62 shares 14.25 13.72 13.98 $866.76 7. Alcatel-Lucent Common stock 3.50 3.38 3.44 $433.44 126 shares TOTAL (Also enter on line 2, Recapitulation) I j 136,492.26 (If more space is needed, insert additlonal sheets of the same size) REV-1508 EX+ (6.98) SCNEDYLE E COMMONWEALTH OF PENNSYLVANIA CASH BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Peter Yandric 21-10-1097 Include Me proceeds of litigation and the date the proceeds were received by the estate. All property j0imlyfiwned with right Of 8urvhrorehip moat De dbd0.ed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. PNC Bank -Performance Money Market Account #5130381174, date of death balance $103,993.17 2. PNC Bank -Interest Checking Account #5000886211, date of death balance $229.47 3. M&T Savings Account #15004201183875, date of death balance $103,037.97, acaued interest, $12.00, $103,049.97 total date of death balance 4. Metro Bank Money Market Acct. # 0538220179, date of death balance $48,071.09 5. Citizens Bank Checking Account # 610642255-2, date of death balance $129,853.58 6. Wachovia Bank Checking Account #1010041727302, date of death balance $50,701.96 7. 2000 Ford 150 Pick-up Trudk, VIN 1FTRF18W3YNA14171,faIrcondition $4,000.00 8. Personal Property of decedent per Chudc Bricker appraisal $2,100.00 9. Refund, Highmark Insurance $175.03 10. Refund, Comcast Cable $23.85 11. Refund, 2010 Federal Income Tax Refund $1,322.00 12. Refund, AAA Membership $31.36 13. Refund, Nationwide Auto Insurance $127.90 14. Payment from Social Security due decedent at date of death $1,586.00 15. 1998 Buidk LeSatxe, VIN 164HP52K1 WH541476, fair condiition $2,250.00 16. Refund, Nationwide Homeowners Insurance $148.50 17. Settlement Proceeds from Qwest Litigation due date of death $34.51 TOTAL (Also enter on line 5, Recapitulation) S 447,698.39 (it more space Is needed, Insert additional sheets of the same size) 0 C~ ~~ .j.y 0 0 4-+ O W A 3 0 U U cd i~ 0 Q u ~~ o ~ I~ R _~ ~ m c E o .r m ~ ~ c M ~ N ao c ~~ 0 L ~ ~ ~~ W~ m~~~~ ~~m~~ 0 0 N 0 rl 'i m J z 0 N O a E p~q z ~C F U at ? a a r m a a 0 c o m m o a` A rn 0 N 01 i N O n a V ~ ~a~ E a M o pUq a ~ T OWm-H ~' 4-I 0 a~ U .y }{ E O N O ~3 0 W O 4~r W A cd _3 0 U U c~ i 1'."~ QV i F/~ ~ y a 25 ~„~.. C o~ i r~ //,~ ~'~ ~ eM 01 ... ~ ~ "`°--9 ~ N N N ~ ~ Z $ s Ldp `~ ~ ~ I a ~ 0 I =1 I ro > '~ ,~ i~ h refs i eo c ~m O o ~ c ~ ~m ~~m >;~ W ~~~{{~ UO~p~Q 0 0 ro a 0 N >~ ~m E z # a a ~ ~ m a ~ o ~ a m o ti q M O H 01 i h 0 ~ Jn ~ ~ b a o~ a c Nay ,~ ~a~ PG U ~ iii a ~o~ OWm-F H U W 0 U1 U _' a W E a Total Banking Statement PNC Bank For rite p.nod oen s~zolo to lonanof o s PETER YANDRIC 1003 PARK PL MECgAD1ICSBURG PA 17055-9503 Primary aCCOUm number. 50-00888211 Page 1 of 2 Number Of enclosures: 0 For 24-hour banking, and transaction or interest rate information. sign on to PNC Bank Online Banking at pnc.com. For customer service ca111-888-PNC-BANK Monday - Frkfay: 7 AM -10 PM ET saturday ri< Sunday: B AM - 5 PM ET Para servicio en espanol, 1-B66-HOtA-PNC MpyhtyQ Plea9e contact us at 1-888-PNC-BANK Write to: Customer Service PO Box 609 Pittsburgh PA 15230-9738 Ysit us at pnc.com TDD temlinal: 1-800.631-1848 FOr hlanng knpafnd dierMa ordY Bank Depoalt Accounts Desorimaon Interest Chedt'vrg Performance Money Market Retirement Axount(s) Total Deposits Account Number 50-0088-8211 51-3038-1174 Total of 1 Dspoait Balance 229.47 103,983.17 8,849.83 113,072.47 i peter vanonc Interest Checking Account Summary Account number: 50-00886211 Overdraft Protection Provided By: )0000(X1174 Balance Summary g~,ing Oepoaita end Chedra and orMr ee taierrce oabr eddltlarra deduohona 229.47 .00 .00 229.47 Average moNNy Charges yy,,,~, and fees 229.47 •~ Peter rananc Premium Plan Performance Money Market Account Summary Account number: 513038-1174 Overdraft Protection Provided By: Corrtact PNC to eatabliatt Overdraft Protection Balance Summary p~yra and Checks and aaw En~ne b otirx addi9ora d~uttlane Halanw 102.986.88 1,028.29 .00 103.993.17 Average monrhy (bargee bgi~ and fees 103,416.08 .00 ' Total Banking Statement r-orm. pertoa.oortanmom 1ons/zolo PNC Bank Online Banking PETER YANDRIC For 24-hour intortne8on, sign on to on pnc.com. Account number: 51-3038-t 174 -continued Interost Summary Amud Paroereepe Number of data A~wrapa~ Yield Earned (APYE) in inbfMt period 0.32rr 29 103,416.06 Activity Detail Deposits and OtMr Additions Dame Amdrrd DeeorlPtlor' 10!01 1,D00.00 From Retirement Acct M$001002362 10/13 28.29 Interest Payment Daily Balance Detail Dave 9eJrroe Dame BWerrce 09/15 102,966.86 1 Oro1 ,03,966.86 Retirement Accounts Invesbnerd DeedpaOn number 75600023203 120 Montft(s) Faed Rate Primary acoOUM number. 50-00866211 Page 2012 A407 23 Interest I . A6 W 10/13, atonal of >i n was paid this year. Interest Paid Mis period 26.29 h r o addworre t e There were 2 Depoeita and totaling S1.Ode.2Y Oats Balara» 10/13 103,993.17 Peter Yandrie Maturity dame baerest Oddnal a rete rerawel value Current ~1e 06/08/2012 5.18 % 20,272.23 8,849.83 TafN CIlrrenl velW 8.849.83 CG7011 2M 5/06 INT ~~~ CHECK ~ a,,, 1i3TICE TO CU8T0#AER8 ~~eausEOF~n+aearPrt ha1.~ 1N~i1+E er~onE nas cl~ac ~ ~ more oID EVENT Rib LOBT, lA~.: STq:Br j7R OEu°TROYm Y` ~~, °a $ ~~ ,~ ~ $ y~y ~~ ~. ! N ice. ~ ~ TO , ,,~: ~, ~. ~ ~, ~ .~ ~` ,J -~ ,~ ~ ~ ~~ 00 _. F--- o~~ November 15, 2010 Andrew Sheely Attorney at Law 127 S. Market St. P.O. Baac 95 Mechanicsburg, PA 17055 499 MitcheIl Strcet, Millsboa+a, DE 19966 RE: Sstate of Pater Yaaidrsc ~e ~ : fiber 1, ?Al0 ._ -- -.._ Dear Ms. Gray: In response to your request, please be advised that at the time of death, the above- named deioedent had an deposit with this bank the following accounts. 1. Ac~eavrt Tt,fie ........................... Savings Account Aocauat 1Vwnber ....................... 15004201183875 OwriersMp (Names o,~ ............. Peter Yandric x ...........................04/ 16/98 (account closed 11 /04/ 10) Bolcauee on Date of I~e~adt..........$103,037.97 Aerrtred htterest $ 12.00 ToUal .......................................$103,049.97 1Yie above named decedent did not have a safe depeeit box. • If upon reviewing the information shave, you believe there are additional accounts not referencxd, please provide us with an account number and/or the name of any possible )Dint account holder. For any additional information on the above accounts, including ownership and any changes. closures and/or reimbursement of funds. please contact our Dillsburg Branch at 4 North US Highway 15, Dillsburg, PA 17019 or # ? 17-432- 2850. Sincerely. 1 ~ W Charlene Warrington, Adjus ent Services 1-888-502-4349 Citizens Ban1c T~aao.m-~sTa ~ ~ . a.m.~+~i..~..4r ~o..~..m~ww. BepanegSaporeler rr, 2016 uroREnomerTa. zom Cltacking saoaar PtIBtTAIIORIC Relmeehke4Ws ireWas 6ielmoe 128,2W.6B BRUaa bwsgeQWyBMeecO tZ5, 102.09 Clrcla .m - ~ WfthbwiMt 129,863.00 - ~ MenNPWaerrgpe -kkFarned .~% OepmksBAAdhlaa 7.586.00. lNtan6ra(aryaLaReXFamad ~ mra<.:vm z~.a ~ Garaet6~ad n.a NnokBei~x za.o6= rnaratAWCuc k+v ~ 256.11 TRaRfaeTlaR OEi}Ila ~' ~Irkr~Rk OMer811aMaRRb ow. awea a.~toRe 10/'18 128.853.00 CaBkRlsmo OepsiblAddtlaae _ Oar Miwa 40~ 70/01 1.586.00 USTtar1ay3035otSx 100110 bor.st oir a.o.e o...yy.~ 1Dn8 27.02 Inurat ~~ ar. rr.. a.. ere o.m ~ Corot 12a,es3.6a Iona 2a.o6 RE814 FROM CITI2ERS --Yl-ok IrrsawYfplgoYa IlMtbr k'sa nv Mae, atltitl'seAucetion, ratYamentar ~9 PnO~Rd fa u~shd et~wa96, Qua Eri aalac k wry od arw~9lp lar To u to 191a~er11ppt73swaMug RMYlpenra~eReegrrogqsae~~~~7N~soRripeattwkmpnpeayoubranrpeclREeewksartl zaYtlalm.,eWyc~jar~6sl~ae~~aWrt° spA.e.~~d~'g"` xw ~o +~sr.iw" FaaonkdWama~pr~•°.R~vi~e~yo~irbaleriafa~IDiC as l#821.'ROD. ua. Wkyar Bal hanch aoARyer an0 aeraRCUOn Ipritati0ia. snRarauea.mn~mam. F~..zo OeenBMedYr 810612-256-2 128,281.58 twrtwwr..r 12a,K3.00 Rarq.raaaerr. t,sfi6.oo /Z werer..anw n.a /e1 a~R.r. ~ 2a.oo aReto we. our adrilebr „s 0 ~ N ~ ~ ' ~ ~~ ~' n .~ N ' ~ " o ~ ~ d c ~ o r , e-~ - ~ O ~ o N l M o +R I O cu ~ s --{ ~ ~ ~ ~ r i ~ ~I~ , . ~ ' _ n ' ~3 ~ r ~ ~~ -~ Z W U ~ .{, a ~` o Q O ~ t I 1 ~ ~ ^ N ~ .O ~ i.1 0 11~ ~ ¢ ~ ~ [v . ti 'rl~ U7 ~ 0 ~1 ~ LJ1 I ll~i i~ ~~ ~ J _t ~~ ~ ~~ ~ _' p ru i 711 O ~ ZI ~~i U w 2 ; ~ O ~` ~ H O ~ _ ~ D O a ~ } ^ ~• '~ Z ~ O c~ W r y ~ r+ ~ W a 2 W ` < ru 1 p. S t~ > W _ ~ Q. .a ~ ~ ~ o cn $ o- i W h- Q Z LL w T O 7 ~ ~ t- ~ cn ~ ~ 3 1 ~ i ~ Vi W O O ` 'o F- s` U # Q .a • _ 0 p L ~ ~ ?- '- • ~ L:J i N J 0 y SbQ 67, ~ m ~- a0 Li * 6 U ~ ~ 3 -1 (ZO neli BAd/OOL) 944185 _ _ _ ' •• ,~ 48500041046. REV-485 EX (1-07) SAFE DEPOSIT BOX INVENTORY PA Department of Revenue PLEASE UsE ORIffINAL FORM ONLY Soaal Security or Death Certificate Number Date of Death r ~ .. y,_ CounCode Year ~ File Number ~^ vii M ~ ~~;, ~~,~;,~~~-„,3~~ ~ ~r~v~~r~~K~a~ ~>, Z.~t ~ # ~~Cl~ ~/s'y0~~j~Z?~ k ..a1w,>.. 4...J.,., u ~ Decedent's Last Name, Suffix First Name •~ ~ .. ~se~w, , ..ypemn4,'a~¢rcyy,~ ;~N'"'. 'T""t+„" npraYxn~'srz.9.J3"M4° ~ wsA.+~ ,.~w~xya..ere.:w?uess+rcko.,ntl°~~~l3,Wr+%Y{ rh ~, T-s ~ ~ ~ ~ ~ ~ ~ ~ ~ xr ~ ~ t ~ t t .:i:` . a4:i.:n/ 1 k ® ADDRESS OF DEC DENT STREE /,/^/ //// CITY: ST)A~TE: ZIP CODE: (' /V O 3 O "! GC~r~?~C /G / ~ ~ ~d SSr NAME ANO ADDRESS OF PERSON RCEQ)UESTI/NG THE OPENING OF THE SAFE DEP031T BOX NAME: /Ti'Idr~ tn/ ~- J 7G t:[ 4 A" ~'~'r ~ ~1 STREET ADDRESS: ~ 1. ~ ~ CITY; `~~ ZI, GOp~ f I ?-? 5 . l+il rte` ~ f S rT1 ! ~ o , Bo?e J /l~(,Gali~+t t cf ~*.~ .Y J NAME, ADDRESS AND RELATIONSHIP (IF A TO DECEDENT, OF PERSON(S) PRESENT AT THE BOX OP ING [, ____ - -_. a. NAME: ~ i L~l. ~ ~ f~ (C r RELA~TI/O'NS/Hff )P: ~~.~c~_--- 1V 1_x.1- -------- ~!V ~ ri!^~ LP V/ ----- ---- STREETADDF3~SS: CITY: STATE: ZIP CODE: L.~l ,.3. q.. ~'or c~/e!~ ~ k.~ ~ ~: y c M r ~d4~~e ~a, _ i ~°s; b. NAME: ~ RELATIONSHIP. ~ STREETADD SS: CITY: ATE: ZIP CODE: Z~L ~c1~ <St~t,t,~ ~ c¢~D/~ ~ 1'7/1'? c. NAME: RELATIONSHIP: STREET ADDRESS: CITY: STATE: 21P CODE: NAME AND ADDRE8(3~OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSti BOX IS LOCATED NC __~.L_h'iy ~L __ ___ __ THE ADDI~E~SS: ~ ITY: C ,S~ ,~$~ E: ZIP CODE: 2 I (` c ~vl I~e e ~' ~ EJ ~ ~J O S~d~ ~+~1E~QF PERSON MAKING LAST ENTRY D TE AN TIME OF LAST ENTRY DATE OF CONTRACT TO RENT BOX NUMBER OF BOX TIT1,E,~NDBR WHEN aOX IS REGiSTEREO NAME AND A D E S OF PERSON(S) HAVING ACCESS TO BOX a. NA b. NAME: S REETADDRE STREET ADDRESS: ~~~~ / ~ ` ATE: ZIP CODE: CITY: STATE: ZIP CODE: ' NAME AND TITLE OF EMPLO E TAKING THE INVENTORY WAS A WILL IN THE BOX? Q YES ~ NO M yes, a. Data of will: b. Name and address of personal representative, Hnamed in the will NAME: STREET ADDRESS: '~ CITY: STATE: 21P CODE: c. Name and address of attorney. N arty NAME: STREET ADDRESS: CITY: STATE: ZIP CODE: L 48500041046 48500041046 REV-485 EX SAFE DEPOSIT BO NVENTORY Page ~"-_. DT INSTRUCTIONS (1) Cash: Report total only. (2) Stocks: List in detail every common or preferred certificate, warrant or other rights found in box. Stocks are to be designated by name of company, certificate number, date of certificate, name in which stock is registered, and number of shares and lass of stock. (3) Obligattons of U.S. Government: Number of items, date of issue, face value, names in which registered and type of ownership, i.e., jointly held, payable on death, etc. (4) Bonds: Designate by name, amount, serial number, or other designation. (Bearer Bonds) (5) Bank and Savings and Loan Passbooks: State name of depositor, number of book, last date appearing in book, name of bank and branch, and balance. (6) Jewelry, Coins, Stamps, Manuscripts, etc: List and describe as fully as possible. (T) Deeds, Mortgages, Current Insurance Policies or other evidences of Indebtedness: List and describe as fully as possible. (8) Ali other contents. (9) Return completed form to: DEPARTMENT OF REVENUE INHERITANCE TAX DMSION PO BOX 280601 HARRISBURG, PA 17128-0601 ITEM ~ ITEM DESCRIPTION __ . -- - - - -'~ y~q" 7~'-. ~~e rZan f~ ~A/ Fs ~ tic ~ 3_~c~__ ~__ .--- /_ -fo ZDDD ~1rC~ /~,yi'c.~!=~~c%~'~IZF~3yl/!~>yl~__ _ ~ S ~ ZyQ~feu tL~~~e 7~r'c~~r' ~/ ~G L 0 0 8/D ~/~ ?~ ? 7 O_..._..---- ~ ~f ~-- _.,< ~' '`~ ~6dao_ ~~_ r irs~-c>-,gyp ~_" 7 ~ ' `- ~ CPr~~ia'~~ ~S I .23.5^.S cie ,~ ~aMMVrlicofo~~_____.._-_ _.-- .BC S!~ 93~~1 -~._--- _~ - f°LOo~J f cS~'cryu~+ ~~. 5,8~ ' /.?3 S'S~ivY~Sl tl boak ~ fr _ ~ ~- l 1--f - -- ---- --------- -- ~o _ .,13e / fizf/c ~ ~ t__ ~Pc Ls_~ato ~ _ ~~i f%~,+., _. -70 ~_ s t,~.~ ~oM,~t~,. Q T '~ ` i~r~~o~_ D0 S o^er ~~ ~~. _ f c~p~ ~~rt-cf~~~ji~s r'a f7e~- i!rr , ,~~~0/G ho/dQ~r~'iv, c.c~S'~~-~t.f OS~~,Ibn % ZS~Y/ dL~ ~ ~1~~i2/~r,- ~ -- . _. L J~t~c c,~~is ~0~ ~o~Gct.-- O~~fl as __~ S/8 ,s ~'!¢!' ~-- _ _ i' ~ ~ ~3 ) _ ~ i 11 , / 1 / ~V ~_C_t r tr r t Gp7~L J `~~7 ~ l _ 31 6 ~ia~ s QS d _ O B 6 _-.. _ --- IS '~L.~jt ~ )~" J1~0~-~ Sf?eri 6ao~L..~ -- pRS-_S~oc.1C_-.~/_3r,~7(0.~ cs~u , / Gli 11 '' - ~ yOCJG~~~r`Cc !- ~c1 ~~i'D l7 _ /%G+q QC ~W~I ~O~Cc t_ ~~p~ Zd2'lQ __``_.~d 5~.. _.._ -7 _.- ~"Ft`"T~„~ ~-tu~ v~ct - Rr~v~s~ S~r~__ zor s~i~_~2`~-S_ _ - _~ . ~Gi~1SCG~/C)~l _/`~Cl~l/1 G_// / 2L~-~- ~.3_I _~J_._ ~a' .C~St'-_ CGS ~'._... -- ~ I~_ _ ~~_-_ d'~ .~.s~M. 6 s.~~ ~Ycrt~ /71 s~~, C/a.~ ,r~r`~'.c..~i~i~13} 1 CERTIFY UNDER PENALTY OF PERJURY THAT THE ABOVE RECORD IS CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF. PERSON RECENING COPY OF S DEPOSIT BOX INVENTORY: SIGNATURE ~~ / ~ S AT ___. _.. ` PRINT NAME ~jl dr`W (1 . (~ 7 ___.- PRINT NAME ANO HECK APPROPRIA OX BELOW: PRINT TIT~LLE..~r~, OA~~ /ZI:/,v /g f, L~ y CHECK APPROPRIATE BOX: ~Executor(trix) ~ AOministrator(trix) Estate Representative ^ .bint owner of safe depOStt box NOTE: Attach additional 8'1:" x 11" sheet(s) if necessary or use duplicates of this page of form. The Departrnent is authorized bylaw, 42 U.S.C. §405 (c)(2)(C)(i), to require disdosure of Social Seartty nurt~ers in wnnecUOn with administedrtg stag tax.lews. The Depar6rtent uses the Social SecurHy number to identify the decedent and personal representatives of the estate. The Commonwealtll may also use the information in exchange of tax information agreements .. ... C..A.....1 ..nA IN.eI Mvinn e„Ih,vilien The cMto IaW nrnhiNta the C.emrtxlnwealltl'S DBrSOnnel from dISdOBttlp confidential 18X IfIfORnatiOn exOBpt for OfflCial U OBa6. "9 -~ 3 i vl J S J 0 ~ N Q ~ W ° a N ~ - O ~ ~ K ~ o Z o , z V W m ~ ~ ~ ` o z W u ~ z z ~ ~ N O f ~ ' ¢ z m ~ J ~ W li N v/ Z MO O W ~Iw Z Y/ Y VZ O ~,,,~ f ~ N G Z = ~_ ` f \, \ i ~i Yo ~ ~ d ~ ~; ~ l ~ ~ r v t o N ~ ~ = ~) C W m ~' 0 m W H V L W l S ~ ~ 1 Z ~, _ ' > ~ ~ _ H ~ v C ~^ w Z .~ l /~! w w ~ m y rWryy C W i {_ ~~ ¢ W O ~ n ~ N ~ yWj ~ Z ~a = W f ~ F u 7 v A ~, //W~~ a o ii0 ~ ~pC at ~ O 4 W ~ x = b w ~/ ~ ~ W n ~ 0'. . . Z 1 Z Q J ~~ d ~ 2 `\ J REV-1510 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERRANCE TAX RETURN RESIDENT DECEDENT SCNEpYLE 6 INTER-VIVOS TRANSFERS 8t MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER Peter Yandric 21-10-1097 rule srhwlula must he mmdeted and filed if the answer to anv of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMa DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE 7NANSFERff, TFEIR RaATgN3HIP TO DECEDENTAND 7NEDATEOFTRANSFER.ATrACFiACOPVOFTIEDE®FdtREALESTA7E. DATE OF DEATH VALUEDFASSET % OF DECD'S INTEREST EXCLUSION IFIwpLICAeLE TAXABLE VALUE ~. PNC Investment Retirement Akxrount (IRA) Account #75600023203 -David P. 58,9o8.s3 100 $8,908.9 Yandrich, nephew, benefiaary,1439 Candlewydce Drive, Middletown, PA 2. Frontier Communications Stock, 169 shares of common stock, @ $7.70„ high- $7.76, low-$7.65, mean $7.70, gifted/fransferred to A. Joan DiSante, friend, in August of 2010, within one year of date of death $1,302.00 100 $1,302.0 3. Citizens Bank Checking Account #6100592588, made joint with A. Joan $9,125.76 100 $3,000.00 $6,125.7 DiSante, friend, within one year of date of death 4. Transfer from Wachovia Bank Checking Account #1010041727302 to A. Joan $50,000.00 100 550,000.0 DiSante, friend, within one year of date of death (10.22.10) TOTAL (Also enter on line 7 Recapitulation) S I 66,336.69 (If nare space is needed, insert additional sheets of the same size) ~ue~ suazl~,l ~~ o-nt~er• Communications itl~ 002578 Il~~l~llllla~ll~altll~~lllldllllll'll'I~~~~'~lll~~'I'll~llll~lii ~ PETER YANDRIC ~ 1003 PARK PLACE MECHANICSBURG PA 17055-9503 -1 ~jomputershare Computershare Trust Company, N.A. PO Box 43078 Providence, RI 02940-3078 U1Clthin USA, US territories 8 Canada 877 770 0496 Outside USA, US territories E Canada 761 575 2382 www.computershare.corrVnvestor FRONTIER COMMUNICATIONS CORPORATION is incorporated under the laws of the State of DE. Holder Aaourlt Number 00001907646 ~i Cunparty ID SSN/TIN Certified 111111 FRON Yes Transaction{s) Date Transaction Description SharsslUnits CUSIP Description 01 Jul 2010 Verizon Spin Off Credit 169.000000 3590fiA108 Common Stack 02 Aug 2010 Transfer -169.000000 35906A108 Common Stock Account Information: Date: 12 Jan 2011 (Excludes transactions pending settlement) Certificate Balance Current Dividend Current Direct I Total ShareslUnits CUSIP I Class Held by You Reinvestment Balance Registration Balance Description 0.00 0.000000 0.000000 0.000000 35906A108 Common Stock IYt~tTANi WFORYATpN -RETAIN FOR YOUR RECORDS. Thk aaice b your record of ere share traraection b your acaurk on the books of the Compny as part d nre oinU Regbbadm system. Thk entice'e naidrer a regohebb irrshumerit nor a warily, rd delivery of it does rat of itself arer arty rtphts b the reclpbnt D ahald I» kaq rilh your Inpabrri doaarrras as a rarad of your awrwslrq d drse chorea. No acaohon yore ~ b regrtlred The IRS requkas drat we neat tlr mst bask of ®rbkr shares acquired aMr Janrry 1, 2011. Y your shares rare mywed M the kplclatlon ant you have sold or tmaferred the shame and realnbd a spedfll: tou Dash oalalatlon method, we have pwaerad as reglwated. M ya dd rot seedy a cost bmit alaistlm rrretlgd, we have debrdbd b the Msl in. Mat art (FIFO) metlad. Please vlek olr rrebelle «oairAt yarbx advisor Y you need eddsorrl Ydbrnrtbn ahoW a>b bask. Upon repuest, tlw OanpaM wdl fumkh b any aharehdder, wahaa eher9e, a fdl sbbmeM d the deeiDaaMxrs, dpltk (Irldlkh0 dghta under eM Canpeny+s Poghk ~rerneM, d anY). prabrana>s and smita0ons of the shares of ~ close and verbs auNbdzed b be bauad, ant the aulhady of dr BoaN d Ohsrlora b divide the shares bb cedes and b determirq ant dirge dyytk, pralrenoes ens lkrtileDarra of any Geae or aeries. Aeaea are not Oeposil8 d Carpubwfwe end ere M irrsraed M the rederai Deposit insurenoe Carporakon, ere Seaaities krveslor Pmbdion Corpae9ion. a any oMr kderal a stab aprlcy. Yf You d0 not keep in domed WM w a do net Mw any edMay b yov awuR for tlw Mir padoda spwilbd by shb ter, your properly could bemnr subject b able unclaimed PoPMY Isero ant erarrbrnd b tlr appopiaM abb. ^~ 40UDR FRO N nnracaA lGm, ,n, ~ Pkace Sie dnPoltarh PRNACY NOTICE on fBVeate side Of BtBDBmeM ODIC 50003. D.MDC_3139/002578/011410.5fi PETER YANDRtC 1043 PARK PLACE MECHANICSBURO, PA 17065 ,.~,o ~~ ~'atr / 4 - / - / O 1201 ~1 ci ~ N ~ f Sly ~ L' ~ $ So oo~. ;~ Hit~H PEt#OAMANCE MONEY MARKET Mw W.~:~ICIVIA ~., • Wachovia Bllu~ic, N.A. wachovia.corn dlMwr~ ~. FT ,~ ' , at: ~:0 3 L000 50 3~: ~0 i00 4 ~ ? 2 ? 30 2ii• i 20 i >031301846< bl~tro Bank Hub #01 2010-10-22 010522919 ,,... ,.-. , ~,sr~1 '~, .J .~ 't ,.~ ~~~ ~' ><. yr~ ~~. ; ., ~. {~~, Account Date Amount 000001010041727302 10/25/2010 550,000.00 Serial Number Sequence Status 000000000001201 00000000001753270860 Postedltems Wachovia certifies that the above image is a true and exact copy of the original item issued by the named customer, and was produced from original data stored in the archives of Wachovia, its predecessors or successors. c~.. ~~ `~ .~ Page 1 REV-1511 EX+ (10-09) ' ~ Pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND 1NNERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Peter Yandric 21-10-1097 Decedent's debts must be reported on Schedule i. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: 1• Wiedeman Funeral Home $560.98 2• Gingrich Memorial -Headstone $2,040.00 3• Lone Spangler, Memorial Luncheon $1,550.00 4. Serbian American Club, Memorial Luncheon $100.00 B. ~ ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: $0.00 Name(s) of Personal Representative(s) David P. Yandrich, Executor street address 1439 Candlewycke Drive City _ Middletown __ State PA ZIp 17057 Year(s) Commission Paid:.. 2. Attorney Fees: A~t~/ GShtt~y~ ~c~~Claprfir ~~ ShjCklt~C~ 1~.~. $16,328.55 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 _ $667.00 4. Probate Fees: 5. Accountant Fees: $200.00 6. Tax Return Preparer Fees: 7. Estate Advertising -The Sentinel $176.92 B• Estate Advertising -Cumberland County Law Journal $75.00 9• Postage and Certified Mail $47.84 ~ o• Misc. filing fees - RetumlPetition $30.00 ~~~ Check Printing fee $19.99 12• Reserves to conclude Estate administration, final accountings, related costs and advertising $700.00 22,496.28 TOTAL (Also enter on Line 9, Recapitulation) ~ If more space is needed, use additional sheets of paper of the same size ied FUN Dennis L. Wiedeman, F.D.-Supervisor James W. Tarpn, F.D. W il6am A. Sibert. F.D. Lisa M. WleNmaro-KSasnar, F.D. November 22, 2010 Mr. David Yandric 1439 Candlewycke Drive Middletown, PA 17057 ERAL HOME STATEMENT OF The Funeral Service of: Mr. Peter Yandric A..CHARGE FOR $ERYICE$ SELECTED: 1. PROFESSIONAL SERVICES $ 0.~ 2. FACILITIES/SERVICESIEQUIPMENT:$ -0- 3. AUTOMOTIVE EQUIPMENT: $ -0- (A) TOTAL OF PROFESSIONAL SERVICES, $ _0_ FACILRIES AND AUTOMOTIVE B. CHARGE FOR MERCHANDISE SELECTED: Casket ........................... ... $ -0- (Description) Outer ReceptaGe ................. . ... $ -0- (Description) Outer burial container•••••••••••••••• ••• $ -0' (Description) Acknowledgement Cards ............. .. $ -0' Register Book(s) .................... ... $ -0- Memory Folders .................... ... $ -0- Prayer Cards ...................... ... $ -0- Temporarygrave marker .............. .. $ -0- Burial Clothing ..................... ... $ -0- Other Clothing ...................... ... $ -0- Custom Graphic Design & Printing ...... .. $ ~ Flowers .........................:. .. $ -0- $ -0- $ -0- Cremation Um ...................... ... $ -0- Interior & Exterior CruGfixes ........... .. $ -0- Refrigeration ....................... ... $ -0- (B) TOTAL MERCHANDISE SELECTED $ ACCOUNT 357 South Second Street Steelton. PA. 17113 Phone: 717.939.2344 r-ax:717.939.1999 email: wiedemanfh®comcast.net www.wiedemanfu neraihome.com C. SPECIAL CHARGES: Forwarding of remains to $ -0- (Funeral Home) Receiving of remains from $ -0- (Funeral Home) Immediate Burial $ -0- DiredCrematron $ -0- $ -0- SUB-TOTAL. OF SPECIAL CHARGES .......... C $_ D. CASH ADVANCES: Opening brave :................. .. $ -0- ~ Cemetery Equipment .............. .. $ -0- Newspaper Notices -Local ......... . $ `0- Newspaper Notices -Out-of--town ... . $ 30.00 Telephone & Telegrams ........... .. $ -0- Airfare ......................... . $ -0- Clergy Honorarium ............... .. $ 'a Pallbearers ..................... .. - Certified Copies of Death Certlficate . .. $ -0- Crematory Charges ............... .. $ -0- Organist ....................... .. $ _p. Soloist ......................... .. $ -0- Other 16 Add'I Death Certificates $ 96.00 Other Paul Kessler, Cantor $ 50.00 Other 2nd Day Obit & Photos $ 384.98 -0- SUB-TOTAL OF CASH ADVANCES , • , , , , .. D $ 560.9E TOTAL OF ALL SELECTIONS ......:.......... $ 560.98 LESS PAYMENTS.RECENED ................. $ 0.00 BALANCE DUE ............................. $ 560.98 eman Family Owned and O SUMMARY OF CHARGES: A. Professional Services, Facilitles and Equipment and Automotive Equipment ..................... .. $ -0- B. Merchandise ....::............. .. $ -0- C. Spedal Charges ................ .. .. S ` -0- D. Cash Advances ................ . S '560.98 r David Yandrich 1439 t;andlewydce Dr Gingrich Memorials 568 N. Union Street Middletown, PA 17057 (7171944-3441 Invoice 5/19/2011 Middletown, PA 17057 1-01402 1/19/2011 Peter Yandric James Gingrich 1 1 Monument 1 Base 1 Layout (cemetery) 1 Foundation rI~fQB~OiI~ ~10fitf f/SalAOf1Q~0Y Cd1ALtLf)- f1RSCl'R~fOri 1S~ppS~ Order Total: $2,040.00 Payments: $2,040.00 Balance Due: $0•~ PNaise include contraict ~ with your payment A Jlnance charge of 1'h% per month (l8% annually) will be added offer 30 days PLEASE TEAR THIS PORTION OFF AND RETURN WITH PAYMENT Gingfich MemOrlals Family: Yandric 568 N• ~~ Strect Contract: 1-01402 Middletown, PA 17057 Balance Due: $0.00 Amount Paid: RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17613 YANDRIC PETER Receipt Date: 11/04 2010 Receipt Time: 10: 9:47 Receipt No.: 1063203 Estate File No.: 2010-01097 Paid By Remarks: DAVID P YANDRICH CJ ------------------- ----- Receipt Distribution ----- -------- ------- ---- Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 260.00 CUMBERLAND COUNTY GENERAL FUN WILL 15.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 48.00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 23.50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5.00 CUMBERLAND COUNTY GENERAL FUN Check# 3338 ---------------- $351.50 Total Received..... .... $351.50 RECEIPT FOR PAYMENT GLENDR FARNER STRASBAUGH Receipt Date: 12/30/2010 Cumberland County - Orphans Court Receipt Time: 16:02:18 One Courthouse S uare Receipt No.: 1044423 Carlisle, PA 1713-3387 YANDRIC PETER File Number: 2010-01097 Paid By Remarks: ~ REW SHEELY ESQ ------------------------ Receipt Distribution ------------------------ Fee/Tax Description Payment Amount Payee Name PETITION 15.00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# 3113 $15.00 Total Received......... $15.00 The Sentinel www,cumb~rlink.com ~~ CpAGiE 9~VPE~ISBtAf' ;PERRY COUMY ANDREW C. SNEELY 127 80UTH MARIM:T 8T MECHANICSBURG,PA 17065 71797.7060 AD NUMBER PAGE N0. 392371 1 of 1 BILL DATE SALESPERSON 12l29N0 wolfs START DATE STOP DATE 12113!10 12l2Tf10 Publication Insertions Rab Nat Amount Gross Amount 3 THE SENTINEL -LEGAL 3 LGL $189.82 TOTAL AD CHARGE 5189.92 3 PROOF OF PUBLICATION 01 PRF $7.00 `Pl~~ v ` eucst,E+.e. o~ lam' ice? ~x,~f _. ~ ~ Thank you for advertising with The Sentinel! Deadline for in-column legal ads is 4:00 p.m. two business days prior to date of insertion. For questkms, call (717) 240-7130. THE SENTINEL c% LEE NEWBPAPERB Po Box 500 WATERLOO IA 30700-0300 t I $176.921 $212.30" "AFTER 01/23M 1 THE SENTINEL c/o LEE NEW8PAPER8 PO BOX 300 WATERLOO IA 50700-0300 weaerr aee poraon ~-Y~P+h~ Check # ^ Credit Card ^®^®^®^~ Axt Exp. Detain m tame m treat card E+isew make d+eae vesabie to: THE SENTINEL ~F ANDREW C. SHEELY ~~ 127 SOUTH MARKET ST MECHANIC3BURG, PA 17055 Leoal Ad Number 992571 Biuinp Date 12I29M0 Amount Due $ 179.92 TtiE 8EN'I"q!IEL e/o LEE NE1NaPAPERS PO 6tOX 742/9 ciNC1NN~n off 4RR274,254E I~IERLLIRRELIIR~RLI.Rti.LI~bLJREIIR~LR6EH,R1R1..Rll 21540200000003923710000000000000002123000000176922 RECEIPT'FOR_PAYMENT GLENDA FARNER STRASBAUGH Receipt Date: 4/13/2011 Cumberland County - Register Of Wills Receipt Time: 08:03:49 One Courthouse Sqquuare Receipt No.: 1065186 Carlisle, PA 17Q13 YANDRIC PETER Estate File No.: 2010-01097 Paid By Remarks: ANDREW C SHEELY HMW ------------------------ Receipt Distribution ------------------______ Fee/Tax Description Payment Amount Payee Name SHORT CERTIFICATE 16.00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# 3228 $16.00 Total Received......... $16.00 REV-1512 EX+ (12-OB) ~pennsylvania SCHEDULE I 11ii~~ DEPARTMENT OF REVENUE DEBTS OF DECEDENT, 1NRERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Peter Yandric 21-10-1097 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medial expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Chuck Bricker -appraisal of personal property $100.00 2. George R. Ulsh -appraisal of real estate $300.00 3. FM Berkheimer-furnace repairs $109.18 4. Met Ed-final payment $176.66 5. Verizon -final payment $34.46 6. Penn Waste -final payment $95.70 7. Investigative/Review of disposition of decedent's assets prior tD death -Matthew Hunt $1,775.00 8. Nationwide Insurance -balance due on decedenPs homeowner's insurance $266.50 9. DecedenPs 2010 PA Income Tax due $295.00 10. Andrew C. Sheely, Esquire -outstanding statement for professional services $189.50 TOTAL (Also enter on Line 10, Recapitulation) I $ 3,342.00 IF more space is needed, insert additional sheets of the same size. ~°"'~ INVOKE George R. Ulah 409D Derry Strsst K00979 Harrisburg, PA 17111 1 vtsnot o TaNlArona Numbs: 717 585 2037 Fn Number: 777561 8775 TO: YdandOrdarN: K00979 Lander Gsa s: Yandric Estate Mo Dave Yandrich ~~~ 1439 Cendk+wycke Drive Middletown, PA 170257 ~a~~an~~ K00979 WarFAeNonfamx Yandric Estate TeMpMrr Number. Fax Numbw: Federal Tax ID: 23 2157096 AAanmte Nmnber. E-NaR Empbyar AT. THANK YOU FOR USING MY SERVICES. PLEASE CALL AGAIN IF I CAN HELP YOU. George R. Ulsh ,A,.,, ;~.T,. ,;<: Leader: CAent Yandric Estate c/o Owe Yendrk: CNent: CAmrt Yandric Estate c!o Dwe Yandric Purciraeey9orrorar: Yandric Estate clo Dwe Yartdrich Pmpwty Addraes: 1003 Park Place CNy: Medterdceburg County: Cumberl~d 9hb: PA Zip: 17055 Legal Deedlpeon: Reterenced'n Plan Book 235 Page 829 Summery Appraieai Rspat 300.00 SUBTOTAL 300.00 ~r a}* .. CMdt/: 7 Dab: 11n4n010 Deealptlon: Pant In tuN by cAeck - GRU 300.00 Ctakk I: Dab: Daaorlptlon: Clreka': Dale: Daealptlon: SUBTOTAL '. 300.00 PLEASE PAY PROMPTLY. THANK YOU -GEORGE R. ULSH TOTAL DUE a 0 Form NN5 -1MnT0TAL' appraisal software by a la mode, inc. -1.800-AIAMODE R R I aro.,re,l acarial.a R.irn. R I Neh . REV-~513EX+(9-00) scN~ou~ ~ COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ART peter Yandric NUMBER I 1. 2. 3. n NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [ndude outright spousal disMbuiions, and transfer Sec. 9116 (a) (1.2)] Joan D]Sante, Apt. 17, 3605 Cohler Place, Camp Hill, PA 17011 Norma J. Dieffenbach, 356 High Street, Bressler, PA 17113 David P. Yandrich, 1439 Candlewycke Dr., Middletown, PA 17057 FILE NUMBER 21-10-1097 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not Llst Trustee(s) OF ESTATE Friend Neice Nephew $5,000.00 cash 25% Rest, Residue & Remainder 75% Rest, Residue & Remainder ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET 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 15 (If more space is needed, insert additlonal sheets of the same si LAST WII.L AND TESTAMENT OF PETER YANDRIC I, PETER YANDRIC, of 1003 Park Place, Mechanicsburg, (Monroe Township), Cumberland County, Pennsylvania, make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. F S : I direct that all inheritance, estate, transfer, succession and death taxes, as well as my just debts and funeral expenses, of any kind whatsoever, which may be payable by reason of my death, shall be paid out of the principal of my estate as the same can conveniently be done. SECOND: I specifically give and bequeath a sum of Five Thousand Dollars ($5,000.00) to my friend, JOAN DISANTE, of Camp Dill, Pennsylvania, per stirpes. T' I give, devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, as follows: (a) Twenty-five percent (25%) thereof unto my niece, I~ORNiA J. DIEFFENBACH, of Steelton, Pennsylvania, provided that should NORMA J. DIEFFENBACH predecease me, I give and bequeath her share unto my nephew, DAVID P. YANDRICH, of Middletown, Pennsylvania; and (b) Seventy-five percent (75%) thereof unto DAVID P. YANDRICH, provided that should DAVID P. YANDRICH predecease me, I give and bequeath his share unto NORMA J. DIEFFENBACH. w . ~ FOURTH: In addition to all powers granted to them by law and by other provisions of this Will, I give the fiduciaries acting hereunder the following powers, applicable to all property, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition. (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivision, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. (C) To compromise any claim or controversy and to abandon any property which is of little or no value. (D) To invest in all forms of property, including stocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduciaries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws. ~' \ (G) To make distributions to my herein named beneficiaries in cash or in kind or partly in each. ~ J (H) To borrow money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, to protect or improve any property held under my will, and for investment purposes. 2 .. ~ '. (I) To select a mode of payment under any qualified retirement plan (pension plan, profit sharing plan, employee stock ownership plan, or any other type of qualified plan) to the extent provided for by the plan or the law. FIFTH: I nominate and appoint DAVID P. YANDRICH, Executor, of this, my Last Will and Testament. I direct that my Executor or his successor shall not be required to post security or a bond for the performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this ~ day of September, 2010. PETER Y Signed, sealed, published and declared by the above-named Testator as and for his Last Will and Testament in our presence, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. o l Uc~r C 1` yltQc~r~~i ~ ? ~ Address (Zv S~ ame Address f?,,,~ ~ 7~~ ~ Name ,~ 3