HomeMy WebLinkAbout11-07-11 (2) ~
1505611185
REV-1500 EX (02-11)(FI)
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN 2 0 11 0 017 5
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
175-48-4412 02012011 12121960
Decedent's Last Name Suffix Decedent's First Name MI
SABELLA MICHAEL R
(If Applicable) Enter Surviving Spous e's Information Below
Spouse's Last Name Suffix Spouse's First Name M I
SABELLA MARIAN
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE BOXES BELOW
® 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (Date of Death
Prior to 12-13-82)
^ 4
Limit
d E
t
t ^ 4
F
^
.
e
s
a
e a.
uture Interest Compromise (date of
5. Federal Estate Tax Return Required
^ 6
Decedent Died Testate death after 12-12-82)
^ 7
Decedent Maintained a Li
i
T
8
t
T
t
l N
f S
f
b
D
it B
. .
v
ng
rus
.
_
o
um
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a
a
e
epos
oxes
(Attach Copy of Will) (Attach Copy of Trust.)
^ 9
Liti
ti
P
d
i ^ 10
^
.
ga
on
rocee
s Rece
ved . Spousal Poverty Credit (Date of Death
11. Election to Tax under Sec. 9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
CRAIG A• HATCH, ESQ• 717-731-9~0 --~
REC~ISTEROF~I USE ON~ - ,~~~
r ~~ `. ~-- f t'7 -
First Line of Address _ -? _ r -~ ~~
--~~ '~'
1013 MUMMA RD, STE 100 .- __=<-~ -
~, ...
Second Line of Address -~ ~ ,,~ ' ° '-'
'=' -.,
` ~l
City Or POSt Office State ZIP Code DATE FILED ~'- ~'
LEMOYNE PA 17043
correspondent'se-mailaddress: C • HATCHSIGATESLAWFIRM • COM
Under penalties of perjury, I declare that I have examined this return, inGuding accompanying schedules end statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than tha personal reprosentative is based on all information of which preparer has any knowedge.
MARIAN SABELLA, ADMINISTRATRIX
RUN ROAD BEL EFONTE, A 16823
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
--_..
CRAIG A• HATCH, ESQUIRE
1013 MUMMA ROAD, SUITE 100
1505611185
EMOYNE, PA 17043
side ~
OM4647 3.000 15 0 5 61118 5 J
03
• r
1505611285
REV-1500 EX (FI)
Decedent's Social Security Number
175-48-4412
Docedent'sName: SABELLA MIC HAEL R
RECAPITULATION
1. Real Estate (Schedule A) 1 $ 0 • 0 0
2. Stocks and Bonds (Schedule B) . 2. $ 0 , 0 0
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) , 3. $ 0 , 0 0
4. Mortgages and Notes Receivable (Schedule D) 4. $ 0 • 0 0
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) 5. $ ], ], 8 , 9 5 3.2 5
6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested g. $ 0 . 0 0
7. Inter-Vivos Transfers & Miscellaneous Non- Probate Property
(Schedule G) ~ Separate Billing Requested 7. $ 0 . 0 0
8. Total Gross Assets (total Lines 1 through 7) 8 $ ], ], 8 , 9 5 3.2 5
9. Funeral Expenses and Administrative Costs (Schedule H). g, $ 6 , 9 4 7 , 2 0
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) 10 $ 0 • 0 0
11. Total Deductions (total Lines 9 and 10) , 11. $ 6 , 9 4 7.2 0
12. Net Value of Estate (Line 8 minus Line 11) 12 $ ], ], 2 , 0 0 6 • 0 5
13. Charitable and Governmental BequestslSec 9113 Trusts for which
an election to tax has not been made (Schedule J) , , 1 g. $ 0 • 0 0
14. Net Value Subject to lax (Line 12 minus Line 13) , 14. $ ], ], 2 , 0 0 6 • 0 5
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers un~er Sec. 9116
(a)(1.z>x.o_ $112,006.05. 15. $0.00
16. Amount of Line 14 xable
4~
at lineal ratex.0
$0 • 00 16. $0 • 00
17. Amount of Line 14 taxable
at sibling rate X .12 $ Q . Q Q 17. $ 0 • 0 0
18. Amount of Line 14 taxable
at collateral rate X .15 $ 0 • 0 0 18. $ 0 • 0 0
19. TAX DUE 19. $ 0 • 0 0
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
1505611285
Side 2
1505611285
OM4848 3.000
r
REV-1500 EX (FI) Page 3
Decedent's ComlDlete Address:
File Number
DECEDENTS NAME
A A M HA R
STREET ADDRESS
R AN
CITY
MECHAN G STATE
PA ZIP
7
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments $ 0 • 0 0
B. Discount $ 0 • 0 0
3. Interest
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in boz 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.
(1) $0.00
$0•DO
(3) $0 • D0
$0.00
(s) $ 0.0 0
Make check payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred ^
b. retain the right to designate who shall use the property transferred or its income ^ ^x
c. retain a reversionary interest .
d. receive the promise for life of either payments, benefits or care? ^
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? . ^ Q
3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? ^ ^
4. Did decedent own an individual retirement account, annuity, or other non-probate properly, which
contains a beneficiary designation? ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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(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)]. A sibling is defined,
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
Total Credits (A + B) (2)
OM4671 2.000
i~EV-1506 EXt (11-10)
pennsylvania SCHEDULE E
DEPARTTAENTOF REVENUE CASH, BANK DEPOSITS, Hr MISC.
RESIDENTDECEDENETURN PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
Michael R. Sabella 20 11 00175
ow4sAD 2.000 If more space is needed, use additional sheets of paper of the same size.
REV-1511 EX+(10-09) SCHEDULE H
' ` Pennsylvania
DEPARTMENiDF REVENUE FUNERAL EXPENSES AN D
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Michael R. Sabella 20 11 00175
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
~, Auer Cremation Services of Pennsylvania,
Inc.
funeral goods & services $1,525.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City State ZIP
Year(s) Commission Paid:
2. Attorney Fees:
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4. Probate Fees:
5. Accountant Fees:
6. Tax Return Preparer Fees:
7.
1 Cumberland Law Journal
publication fee
2 Patriot-News
publication fee
$5,000.00
$60.50
$75.00
$286.70
TOTAL (Also enter on Line 9 Recapitulation) ~ $ $ 6 , 947
swaeAC z.ooo If more space is needed, use additional sheets of paper of the same size.
IZEV'-1'f13FiX+(01-10) SCHEDULE J
Pennsylvania
DEPARTAAEN70F REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDEM
ESTATE OF:
FILE NUMBER:
rLi.chael R, sabella 2011 00175
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEMNG PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [InGude outright spousal distributions and transfers under
Sec. 9116 (a) (1.2).]
1. Marian Sabella
696 Buffalo Run Road
Bellefonte, PA 16823
All of Residue to Marian
Sabella
696 Buffalo Run Road
Bellefonte, PA 16823:
$112,006.05 Surviving Spouse $112,006.05
ENTER DOLLAR AMOUNTS FOR DISTRIBU110NS SHOWN ABOVE ON LINES 15 THROUGH 1 8 OF REV-1500 COVER SHEET, AS APP ROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II • ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. S $0.00
swasAi 2.ooo It more space is needed, use additional sheets of paper of the same size.
CERTIFICATE of
GRANT of LETTERS
of ADMINISTRATION
REGISTER OF WILLS
CUMBERLAND COUNTY
PENNSYLVANIA
CERTIFICATE OF
GRANT OF LETTERS
ADMINISTRATION
No. 2091- 00175 PA No. 21- 11- 0175
Estate Of : M/CHAFE RONALD SABELLA
(First, Middle, Lasil
a/k/a : MICHAEL SABELLA
Late Of: LOWER ALLEN TOWNSHIP
CUMBERLAND COUNTY
Deceased
Social Secu_ri ty No: 175-48-4412
WHEREAS, MICHAEL RONALD SABELLA
(First, Middle, Last)
a/k/a MICHAEL SABELLA
late of LOWER ALLEN TOWNSHIP CUMBERLAND COUNTY
died on the 1st day of February 2011 and,
WHEREAS, the grant of Letters of Administration
is required for the administration of the estate.
THEREFORE, I, GLENDA EARNER STRASBAUGH Register of Wi11s in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, have
this day granted Letters of Administration to:
MARIAN SABELLA
who has duly qualified as ADMINISTRATOR(RIX) of the estate
of the above named decedent and has agreed to administer the estate
according to law, alI of which fully appears of record in my office at
CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VANIA.
IN TESTIN'ONY WHEREOF, I have hereunto sF=t my hand and affixed the seal
of my office on the 10th day of February X011.
lC~/1~/~~D~r/1~h1
--- - "'R~egiJster o~fj(Wi~is~ j, L )
DepLty
* *NOTE* * ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
PA REV-1500
SCHEDULE E
CASH, BANK DEPOSITS &
MISCELLANEOUS PERSONAL
PROPERTY
a Settlement Statement U.S. Department of Housing OMB Approval No. 2502.0265
and Urban Development (expires 11/30/2009)
6. Rte Number. 7. loan Number B. Mortgage Insurant:e Case Number:
1. ^ FHA 2. ^ FmHA 3. ~ Conv. Unins.
4. ~ VA 5. ^ Conv. Ins.
c. rvo1e: I rns roan Is tumisned to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent an: shown. Items marked
"(p.o.c.)" were paid outside Uosing; they are shown here for inlormaUt3nal purposes and not induded in the totals.
D. Noma end Atldreac of Borrower E. Nome end Address o1 SNler F. Name and Address of Lender
John T. Norman Estate of Dominick C. SaDella
Undo E. Zisman, Exeatdx
G. Property Loofion. H. Settkmem Agent: Ronald D. Buller, Esquire
5219 Stuart Drive Plerw or Settlement: I. 5ealemeM Date:
Mechanicsburg PA 17055 500 N. Third Street, 12th Floor 6/14/11
Hanisburg PA 17101 Disbursement Date:
Lot: Bock:
J. Summary of Bon'owar's Trenaaction K. Summary of Sellers Tnnsaetion
100. Gross Amount Dua From Borrswrer ._. .._ _ _ _-
101. Contract saga 120 OD0.00 401. Conuacl sales 120,000.00
t o2. Penanat 2 000.00 402. Personal e 2 000.00
103. Settlement oho es ro borrower irb 1400 1562.00 403.
104. 4a.
105, 4~
Adjustments for Items paid by seller In advant>o Ad)uatmants for hems paid by seller In advance
105. C gxas 6/14/11 b 12/31/11 382.03 405. C loxes 6/74/11 b 12/31/11 382.03
107, Coun fixes ro 407. Coun gzes to
105. Acussmentc to 405. Acsawmems to
tog. School taxes 6/14/11 to 6/30111 53.44 400, Scholl taxes 6114/1 t ro 6/30111 53.44
110. Sewer 8 trash 6!14/11 to 6/30111 18.28 410. Sewer & trash 6/14!11 ro 6130!11 16.20
111. l0 411. ro
112. b 472. b
11 J. b 413. ro
114. b 414. 10
175. b 415. to
120. Gross Amount Due From Borrower 124,015.75 420. Gross Amount Due To Seller 122,453.75
200. Amounts Paid B Or In BaheK Of Borrower 500. Reductions In Amount Due To Seller
201. dl a esmesl mono 505. l.xcass da II eea Instrucaprq
202. Prind I amount of new bs s 602. SeegmaM dM to eelgr line 1400 1,210.00
203. ExisSn loans gken sub ad ro 509. ExiaN loans glean w ro
2A4. 504. P 6 of first a loan s 290.50
205. 505. Pa a of second mort a loan
205. Sae. Escrow 2,000.00
207. 507.
208. 6~
20a. 508.
Adjustments for items un aid b seller Ad uatmerrts for items un old b seller
210. Cif taxes b 510. lawn fixes b
211. Coun gxea b 577. Cou taxes ro
212. Aaaessmenls 10 572 Asssasmsnts ro
213. l0 513. t0
214, b 514. ro
215. b 575. to
21 B, to 515. to
217. b 577. to
218. b 515. to
219. b 5/9, to
220, Total Paid By/For Borrower 520. Total Reduction Amount Due Seller 3,500.50
t
303. Cash ®From ^ To Borrower I 124 015 75I ~3. Cash ®To ^ From Seller I 118 953 25
Section 5 of the Real Esgte Settlement Procedures Act (RESPA) requires Section 4(a) of RESPA mandates that HUO develop antl prescribe this
the following: • HUD must develop a Spedal Informaton Booklet to help standard form to be used at the Ume of loan settlement to provide full
persons borrowing money to finance the purchase of residentlal real estate disclosure of all charges imposed upon the borrower and seNer. These are
to better understand the nature and costa W real esgte settlement seMcas; third party tlisclosures that are designed to provide the bonower with
• Each lender must provide the booklet to all applicants from whom It pertinent Informatlon dudng the settlement process m order to be a better
receives or for whom It prepares a wdtten applip8on to borcow money to shopper.
finance the purchase of rosidenfial real estate; • Lenders must prepare and The Public Reportlng Burtlen for this collection of Inionna0on is estimated
distribute with the Booklet a Gaod Faith EsOmate o1 the settlement costs to average one hour per response, Induding the Ume for reviewing instruc-
that the borcower is likely to incur in connection with the settlement. Those Dons, searching existing daq sources, gaNering and maintaining the daq
disclosures are mandatory. needed, and completing and reviewing the collection of information.
This agency may not collect this intarmatian, and you are not required to
complete this form, unless it displays a cunenUy valid OMB contrd number.
The information requested does not lend itseD to confidendaliy.
Previous edi8ons are obsolete page 1 of 2 form HUD-1 (3/86)
ref Handbook 4305.2
701.
702.
703,
Paid From Paid From
Borrawefs Sellers
FUntl6 AI Funtlb AI
Sedlement Sedkmenl
800. Items Payable In Connection With Loan
soon rse 5:
802. Login Discount 5:
803. nlaal Fae to
800. Credil Re b
805. Lmdera In ctbn Fee
808, Inwrence A katlon Fee to
807. Aewm lion Fee
ege.
809.
810.
811.
812.
813,
900. Items Rnnuirad R., 1 ...aa. r., s_ v_..._ .
_ __.. _ _. . _ _~ . ,,.,, .., .....ancv C%CMOD Iesl daY In ®ICS • ine 801
ingreei Tlall 10 t1 /da
902. Mort a InauTance Pramfum la
months to
903. HavN Inaurenu Premium for
are m
904.
ere to
908.
1000_ Reennree n.r,n. uew un.~ r __.__
nazarc msurcnce 1
1002 Inaunnce 1 moot
month S
S r mbnM
sr nlortri
1003. roses 1 moah S er monM
1004. Coon Gates 1 month S r month
100.5. Annual a6sesamanm 1 moot S r monM
1008. 1 month E per montll
1007, 1 monM S
er monM
7008. mAxauntin Ad ctrnent
1100. Tilte rtiarnaa
T. Jemement or aoa lee b - --
1 t 02. Ababaet d title search M
1103. Title examination m Budar law Firtn
1104. Title irWlrerlG binder to 300 ~
1105. Oooument ration b
1106. Naa tees w Cash
1107. A S lees m
1 D.OD
Inqudes above Items numbers:
1108. Tide InsurencE to
(Includes above dams numbers:
1108. Lender's mvere e S
1110. Owner's covers S
1111.
1112.
1113.
1200_ Gnvern....nr o...,..w1.._ __~ .~__.__ ,.~ _ _
~sv,. nemmi revs: uses S 62.00 a S ' Releases S 62.00
t 202. G man mxlemm s: Deed S 1 200.OD ; M • S
1203. Smle tax/smm Deetl S 1 200 00 ; Mo a S 1 200.00
t 204. 1 200.00
1203.
130n AArlifinnal ewHe..._... n~_____ _ _
T. curve to
1302. Peal MS 'on to
1303.
1304.
1305.
1308.
t 307.
1308.
1400. Total Settlement Charges (enter on Ilnes 103, SeW on J and 502, Seetlon K)
1 562.00
1 210.00
i nave careful reviewed the HU0.1 Settlement SmtemeM and to the peal o/ my knovdsd0e and belle(, II is a true and aocurete ammment of all receipts and disbursements
on my accoun a by ma in riffs trensaglon. I lurther certify Mat I have rsceivad a copy a the HUp-`Sedl ant St me 1.
Seller Borrower
E teof mint beds J nff.NOrman
Seller ~ Borower
i da . Zisman, E t
To Me N of my 1 wleo H 1 Seluement Smlament whkJ1 I have prepsred is a true erM Savrele eccounl of Me funds which were reeelved and have been or will
Oe disburead by uMS e rt of menl Of Mis trensagion.
Settlement Agent ~/~~/~~~ Dale
Ronald D. u0er, EsQUire
WARNING: II Is a time m knowingly make hlsa Slalemenli to the United Steles on rile or any other aimtlsr loan. Penallias upon mnviq'bn an include a fine entl
i~apnmen6 For demBa sae: TNe 18 U S Code Section 1001 entl SeCtibn 1010
Previous edtdons are obsolete Page 2 of 2 form HUD•1 (3/66)
ref Handbook 4305.2
PA REV-1500
SCHEDULE H
FUNERAL EXPENSES and
ADMINISTRATIVE COSTS
AVER CREMATION SERVICES CAF ~ENNSYL~'ANIA, INC.
4100 Jonestown Road, Harrisburg, PA 17109 1-800-720-8221 Fax 1-717-541-9943 Shawn E. Carper-Supervisor
Charges aze only for items that you selected or that aze required. If we are required by law or by a cemetery or crematory to use any items you have not selected, we will explain the reasons in
writing below. If you have selected services that may require embalming, you may have to pay for embalming. You do not have to pay for embalming that you did not approve. Embalming is nol
required for direct cremation or immediate burial. Embalming is not required by law, except in certain special cases. if you are charged for embalming, we will explain why below.
~,W t,~ STATCEM7.,ENT OF GOODS AND Sy,ERVICES SELECTED 7,.~ ~~ `'~T t~' ~~q ~
"&~'~ed~~x Q~~a~A~ c7 ~.9.d~.~.~f~i ~~`&J .b. %~~~ ~~A~ .F~ Gld 's~
Deceased: " - ~at~ otD~~th - : ', . Date of Arrangements
Chargeto• IdS?~'~, I~~~~=.n~~z°;. S~~~i l~ h~~~~a~~?~~~I.~ttl:~~tr ~'~~ ~ .~~`tk~ y .; a ~~ .~.~,r.~~~;
Name Address City Staze Zip Code Phone Number
A. SPECIAL SERVICES: ~ :~ ~ ~ ~ . ~ ~ D. AUTOMOTIVE EQUIPMENT: .r t~c_ a t.g~~I
Direct Cremation ................................. t Removal Venicle.....................................
Nationwide Guarantee Program ................ Lead Car and/or/Clergy Car........................
Worldwide Travel Protection ..................,. , . ,. Family Car (Sedan or Limo)......................
TOTAL SPECIAL CHARGES .....................:: '~ Service Vehicle..................................... --_ ~ ~:
TOTAL OF AUTOMOTIVE EQUIPMENT........
B. PROFESSIONAL SERVICES: E. CASH ADVANCE ITEMS:
Services of Funeral Director and Staff.........'~~~ I ud~d Grave Opening .....................
.................
Dressing and/or Cosmetizing ................... Cemetery Equipment............................. ..
Facilities and Staff for Memorial Service........ Newspaper
Crematory Charge............ ....1 "-' i'"'t ~'`
.............. ,,,,
Newspaper
.... .•,
...
Staff and Equipment for Memorial Service.. Newspaper ,,,, ,,,
Private ID Viewing ............................... Clergy................................................. ..
Witnessing the Cremation ....................... Church/Sexton/Organist/Soloist................ ..
Packaging and Forwarding Cremated Flowers ............. .........
Remains by Registered Mail ................... ... ............
County Coroner Fee.... ": `.:.:. ... ..
. ' ~``~
Personal Delivery of Cremated Remains..... =-; `
Certified Copies of the Death Certificate
::
_
Scattering of Remains over Land or Sea...... ..
.. . ,,
........
TOTAL OF PROFESSIONAL SERVICES....... ~'~ ' ~3~
•••••
-•
TOTAL OF CASH ADVANCES ......................
C. MERCHANDISE: SUMMARY OF CHARGES:
Register Book .....................................
Memorial Folders/Prayer Cards ........
A. Special Charges..............................
.. .~~ ~ r ~ r ~ , fd~
.........
Thank You Cards
B. Professional Services................
. ~~
................................
Rememberance Package . -.. .
........
C. Merchandise ....................... . ,,_, ,~
~~
Urn(s)..:.:.. ~-
..
~ ~ a-c~~v ~ a' ~ • • t:f.~i~i ~ a'.t-rt~-
Description) .....
D. Automotive Equipment.......... ~ ............... .~-~'. ~
._
.
---
Urn Burial Vault Container ............. E. Cash Advanced Items...........;.:........... .
.........
(Description)
V
t
Fl
C
r'v~
SUBTOTAL ................. . ~.... ............ .. !A
y: 1 ® U ~ fit) . ~ Y6
_
e
eran
ag
ase .........................
........
.
CREDITS ......
. °• ~:~ _ 'i:.
Grave Marker/Monument ...................... ..
...........
""""""""" -":'~
TOTAL DUE ................. ~'.
.
...... ..
..
...................
~ ~
PAID ...................... "-..........
,~ s ~ ~rt~~ ~, i ~~ ~~~~ra~.~. i z'I+tyr .......
....,.
BALANCE DUE. ................................... ~~
g11U n ~°tV
TOTAL MERCHANDISE .............................. •
'~.
~ •
'
, ~ ; _
If any legal, cemetery, or crematory reqquirement t~as,)Regyir ~}}~e pllrghasC t~f apyxgfthe ittergtf. ~iste~~rav~~w,ewli~l explain the requirement below
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I agree that I have examined the items of goods and services selected above and found them to be correct and according to the arrangements I have requested. I
acknowledge receipt of a copy of this Statement of Goods and Servjiee~s Selected. I represent that I have sufficient funds available for payment of the cash price for the
goods and services selected. i alsq,;ggree to make payment of $ ' within days. I agree to be jointly and severally Iiathe with anyone else who signs
below. A late charge of '- -" '~ 'per month amounting to ~~ per year will be applied to the unpaid balance beginning days from the date of this
agreement. I will also pay to the Funeral Director all reasonable costs paid by the Funeral Director to collect amounts I owe under this agreement. Those costs may include
attorneys' fees, court costs and other costs. Any additional services or merchandise ordered or requested after the date of this agreement will be considered part of this
agreement and the cost thereof vGrN be reflected on the final ill orlstatement.
f it i t 9
(Seal) p' } I`~,e•.~ _7' a ~~~~^~'~..''' ~ ~~~ 'Yt , ~: ~ ~ ..
~ ~ (Purchaser)
(Seal) ` , , - -
(Licensed Funeral Director)
(Date)
(Date)
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse S ware
Carlisle, PA 1713
SABELLA MICHAEL RONALD
Estate File No.: 2011-00175
Paid By Remarks: MARIAN SABELLA
HMW
-------------------
Fee/Tax Description
PETITION LTRS ADM
SHORT CERTIFICATE
JCS FEE
AUTOMATION FEE
Cash
Total Received.........
Receipt Date: 2/10/2011
Receipt Time: 11:16:05
Receipt No.: 1064371
Receipt Distribution ------------- ------- ----
Payment Amount Payee Name
20.00 CUMBERLAND COUNTY GENERAL FUN
12.00 CUMBERLAND COUNTY GENERAL FUN
23.50 BUREAU OF RECEIPTS & CNTR M.D
5.00
---------------- CUMBERLAND COUNTY GENERAL FUN
60.50
60.50
CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
Tele: (717) 249-3166 Fax: (717) 249-2663
June 10, 2011
Cumberland Law Journal is published every Friday by the Cumberland County
Bar Association and is designated by the Court of Common Pleas as the official legal
publication for Cumberland County and the legal newspaper for publication of legal
notices.
TO: Craig A. Hatch, Esquire
RE:
Ronald M. Sabella Estate
Legal advertisements must be received by Friday Noon. All legal advertising
must be paid in advance. Make all checks payable to: Cumberland Law Journal.
Advertisement inserted on following dates:
May 27, June 3, and June 10, 2011
Advertising Cost $ 75.00
Proof of Publication $ 0.00
Second Proof Request $ 0.00
Payment received $ 75.00
Total Amount Due $ 0.00
Becky H. Morgenthal, Executive Director