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Home My WebLink About04-1084 PETITION FOR PROBATE and GRANT OF LETTERS E~tate of Stanley A. Covaleski No. ~-~- 10~~ also known as To: Register of Wills for the County of ~ in the Sociat Security No, I 6 0 - 2 6 - 9 6 9 geceased. Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who g/are 18 years of age or older an the execut r±ces named in the last will of the above decedent, dated November 1 7, 2 0 0 3 xxx~lOxx (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pemrsylvania, with IL is last family or principal residence at 32 Arqali Lanet Lower Allen Town sh ~ p Decendeut. then 72 years of age, died November ~ 3 ~ 2004 at Holy Spirit Hospital.. East Penn~b~ro Township: C_]~mh~]~n~ C~unty Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: ~o exceptions Dcceudeat at death owned property with estimated values as follows: (If domiciled in Pa.) All persoual property $ 375 r 000.00 (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Persolml property ill Couuty $ $ 225,000.00 Value of real estate iu Petmsylvania situated as follows: 32 Arc, ali Laner Lower Allen Township WHEREFORE, petitioner(s) respectfully request00 the probale of the~-la~t wilkfi~nd codicil(s) preseuted herewith and the grant of letters testamentary ~': (testamentary; adminislration c.t;a.; adnlinis~tion d.b.n.c.t.a.) Lisa O. Williams Maria R. Cox~aieski~.'. ~.o 407 Souix Drive 2106 Warren WaY ~ Mechanicsburo. PA 17050 Mechanicsbur~. PA 17050 ~o OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ; ss The petitioner(s) above-named swear(sy~or affirm(~ 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 well and truly administer the estate according to law. Sworn tO or a~i~.t~t~l and subscribed c ~X..~.-C.. ~- (~ ~k_ ~ before me this '~O ~ day of I~ ~' ~ovember, 2004 ,: x~ ~ ~ Es{ate of Stanley A. Covaleski , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW November ~ 2004 :~}xx , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(10 dated November 17, 2003 described therein be admitted to probate and filed of record as the last will of Stanl~_y A. Covaleski ; and Letters Testamentary arc hereby granted to Lisa C, Williams and Maria R. Covaleski FEES James D. Cameron Probate, Letters, Etc .......... $ ~";.~ · OC~ I. D. No. 58998 .......... ~1~ N ~Su . Ct. D, No.} Short Certificates( ) $ ~a,O~ 1325 N~r~ F~/r~o~t ~reet ~J~.~O. $ q.O~J Harrisburg, PA 17102 $ lC)' ~ ADDRESS TOTAL __ St~{)O , ~ (717) 236-3755 PHONE his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent"filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. ~ ( Date .... ,,,,,~ CERTIFICATE OF DEATH ~ A. Cova[es~ =.~[e 160 26 9090 Clerk ..~S ~stal Svc. v"'~ ~ ~2' ~'~'**~ Wid~ THE LAW OFFICE of: JAMES M. BACH Attorney-At-Law 352 S. Sporting Hill Road Mechanicsburg, PA 17050 737-2033 LAST WILL AND TESTAMENT FOR STANLEY A. COVALE SKI LAST WILL AND TESTAMENT OF STANLEY A. COVALESKI I, STANLEY A. COVALESKI, of the BOROUGH OF MECHANICSBURG, COUNTY OF CUMBERIAND, COMMONWEALTH of PENNSYLVANIA, being in good bodily health and of sound and disposing mind and memory, and not acting under duress, menace, fraud, or undue influence of any person whomsoever, merely calling to mind the frailty of human life, and being desirous of disposing my worldly goods while I have the strength and capacity so to do, I do make, publish and declare this my LAST WILL AND TESTAMENT. I hereby revoke, cancel and annul all my former Wills and Testaments, including codicils thereto, byme at anytime made, and declare this alone to be my LAST WILL AND TESTAMENT. AS TO SUCH ESTATE AS IT HAS PLEASED GOD TO ENTRUST ME WITH IN THIS LIFETIME, I DISPOSE OF THE SAME AS FOLLOWS, VIZ: ITEM 1. I direct that my Executrixes hereinafter named, pay and discharge all of my just debts, funeral and testamentary expemes. ITEM 2. I order and direct that I be buried in a lot which I own situate at the Gate of Heaven Cemetery, Mechanicsburg, Pennsylvania. ITEM 3. Ail the rest, residue and remainder of my entire estate, wheresoever situate, and whatsoever it may consist of, I give, devise, and bequeath, absolutely, and in fee, to LISA C. WILLIAMS, MARIA 1L COVALESKI AND MELISSA A. BAILEY, share and share alike, per sti~pes. ITEM 4. I nominate and appoint LISA G WILLIAMS AND MARIA IL COVALESKI, as Co-Executrixes of this myLAST WILL AND TESTAMENT. ITEM 5. I direct that my personal representatives, as well as their successors shall not be required to give bond for the faithful performance of their duties in anyjurisdictiom ITEM 6. I order and direct that my Personal Representative(s) named herein use the legal services of James M. Bach, as Attorney for my Estate. STANLEY A. COVALE SKI ITEM 7. I direct that all estate, succession, legacy, inheritance or other transfer taxes, however designated that shah become payable by reason of my death in respect of all property comprising my gross estate for tax purposes, whether or not such property passes under this LAST WILL, shall be paid by my Executor out of my residuary estate. ITEM 8. I grant to my personal representatives herein named, in addition to, but not in limitation of those powers vested by hw, to be exercised without prior application to or approval of any court, the power and authority to retain indefinitely any property, to invest and reinvest any assets or the proceeds derived from the sale of assets, although said investments may not be of the character prescribed by hw, to sell, convey, assign, transfer and encumber any property, to pay, settle or compromise all claims, to make distribution or divisiom in cash or in kind, and in general to exercise all powers in the management of any property hereunder which any individual could exercise in the management of simi!~r property owned in her own right, and to execute and deliver any and all instruments and to do all acts, which may be deemed necessary and proper. 2 ACKNOWLEDGMENT COMNIO~ALTH OF PENNSYLVANIA ) ) ss COUNTY OF CUMBERLAND ) I, STANLEY A. COVALESKI. the TESTATOR- whose -~-~e is signed to the attached or foregoing insmm~ut, having been duly q, talified according to law, do hereby acknowledge that I signed and executed the insmm~ut as my LAST WILL; that I signed k willingly; and that I signed it as my free and voluntary act for the propose therein expressed. Sworn to or affirmed and acknowledged before me, by: the TESTATOR this 17th day of November. 2003. Pub,° I la-U '{l M. aAC l;r sQtm Hampden Twp,, Cumberland County [ I My ,Commission ExpIr~ May 13, 2007 } Nq~r~RY PUBLIC .... M_~anicsburg, PA 17050 My Commi~slon Expi~s: 05/13/07 The preceding instrument consisting of this and two (2) other t~wrkten pages, identi[ied bythe signature of the TESTATOR, was on the date thereof signed, published and declared by STANLEY ~ ~(, ~e TESTATOR therein named as and for her LAST WILL AND TESTAMENT. TERESA I--[ LAUGHEAD M~.llani~lang~ COMMONWEALTH OF PENNSYLVANIA ) ) ss COUN'~ OF CUMBERLAND ) We, ~ and TERESA H. LAUGHEAD. the witnesses whose names are signed to the attached or foregoing imtmmem, being duly qualified according to law, do depose and saythat we were present and saw the TESTATOR sign and execute the insmuneut as her LAST WILL; that the TESTATOR signed it willingly and that she executed it as her free and voluntary act for the purpose therein expressed; that each witness in the hearing and sight of the TESTATOR signed the WILL as witnesses; and that, to the best of our knowledge, the TESTATOR vms, at the time, 18 or more years of age, of sound mind and under no comtraint or undue influence. Sworn to or affirmed and acknowledged before me, by: ~ and TERESA H. ~UGH"E~, wknesses, this 17th day of November. 2003. TERESA I-L LAUGEHAD JAMES M. BACH, Notary Public [ 7 S .Ha?pden Twp., Cumberland County [ ~s 5burg, ·~ay uommi*~lon Expire~ Ma 13, 2007 ]~1¢) ~l~nic [ Y .... ~ }~y Commission Expires:PA 17050 05/13/07 CERTIFICATION OF NOTICE UND~ RU~.~ 2,6 (a) Name of Decedent: Stanley A. Covaleski Date of Death: November 13, 2004 No. 21-04-1084 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 December 13, 2004: Name Address Maria R. Covaleski 2106 Warren Way Mechanicsburg, PA 17050 Lisa C. Williams 407 Souix Drive Mechanicsburg, PA 17050 Melissa A. Bailey Kohr 3253 Arrowhead Circle Apartment I Fairfax, VA 22030 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except no exceptions. Date: 12/13/2004 //~ ~' ~~~-- ~~J~s D ~C~meron Address 1325 N. Front St. Harrisburg, PA 17102 co Telephone (717) 236-3755 ~ _ '~ Capacity- .__ Personal Representative X Counsel for personal __ ~ ~ representative 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 COV AlESKI MARIA R 2106 WARREN WAY MECHANICSBURG, PA 17050 ---told ESTATE INFORMATION: SSN: 160-26-9090 FILE NUMBER: 2104-1084 DECEDENT NAME: COVAlESKI STANLEY A DATE OF PAYMENT: 02/11/2005 POSTMARK DATE: 02/11/2005 COUNTY: CUMBERLAND DATE OF DEATH: 11/13/2004 NO. CD 004936 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $34,000.00 I I I I I I I I TOTAL AMOUNT PAID: $34,000.00 REMARKS: CHECK# 1024 SEAL INITIALS: CCP RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WillS ~ - ---~-----------~~----------------~-~---------- ...~.-. -- uJ ~ g: If) ~ ,c::> (/) c..?lf)o ~ ooa:c::> 'i< ~"""=>-""""la ,g:ffi'::;Ns: (/) .... ;z<t , a: ::l ::l a: ""') <t :J: c::> a..n dl tnr:: .N M~ -E:A-g - ::! c::> r- - -- as 2 fI) U) as - (.) ~ r',' .. .. ~ (\C 'ut ," N\lL3 f2' L ') , -""'t t- Ul .-I 5 .-l ..-I~ :3:tf) ~ N 448 W-l S2 01 ~ "" t::::: H '" '" .s -< ox: <: "" 'i u~ if) Ul Q) r') <: "3 "" ~ .~,l~ :z be -<~ 0 >- ox: if) W-lt3 '"" :z 0 :z S2~ :r: '" ;\~~ ~ p.. I ::::>\: 0 <.J' :z ox: :t 0< ::0 cD '" if) 0 N i2 V) ::'J ox: I W-l <: Q) ~Ul - ~ :r: u ..-1 iO 8.-1 '6 -< ~ ~a >-;) o I- JAMES DURYEA CAMERON ATTORNEY-AT-LAW 1325 NORTH FRONT STREET HARRISBURG, PENNSYLVANIA 17102 LICENSED IN BOTH PENNSYLVANIA AND MARYLAND TELEPHONE, (717) 236-3755 FACSIMILE, (717) 236-3655 June 21" )2005 Office of the Register of wills CUMBERLAND COUNTY COURTHOUSE 1 Courthouse Square Carlisle, PA 17013 Re: Estate of Stanley A. Covaleski, deceased No. 2~-04-~084 ..,:", To Whom It May Concern: You will find enclosed the original and one copy of the Inventory and the original and two copies of the Pennsylvania Inheritance Tax Return for the above-referenced Estate. Also enclosed are two checks, drawn on the Estate's account. Number 1066 is payable to "Register of Wills, Agent", in the amount of $2,852.38, in payment of the tax due, and number 1070 is payable to "Register of Wills", in the amount of $30.00, in payment of the filing fees for the enclosed. Kindly file the original documents and return the time- stamped copies to us in the envelope provided. Please contact my office if you have any questions. Thank you. Sinceret 2 Ja@DO Cameron JDC/sg Enclosures cc: Lisa C. Williams, Co-Executrix Maria R. Covaleski, Co-Executrix A:fl/ '~n '!OOI ... ""'" '1 ,.~ COMMONWEALTH OF , , , PENNSYLVANIA )I~,.' . DEPARTMENT OF REVENUE , , DEPI 280601 ..: J HARRISBURG, PA 17128-0601 I- Z W C W U W C W I- :0::$<1) uoc:o: wQ.u :1:00 uOC..J Q.CD Q. <( DECEDENT'S NAME (LAST, FIRST. AND MIDDLE INITIAL) COVALESKI, STANLEY A. DAlE OF DEATH (MM-DD-YEAR) REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT 11/13/ (IF APPLICABLE) SURVIVING SPOUSES NAME (LAST. FIRST, AND MIDDLE INITIAL) N/A C~ 1. Original Return [::] 4. limited Estate [:3: 6, Decedent Died Testate IAllach copy ul Willi [J 9, litigation Proceeds Received o 2, Supplemental Return o 4a, Future Interest Compromise (date 01 death afler 12-12-82) 07. Decedent Maintained a Living Trust (AltachcopyoITrust) o 10, Spousal Poverty Credit (date 01 death between 12-31-91 and 1-1-9S) OFFICIAL USE ONLY FILE NUMBER ~1_ COUNTY CODE --.04- YEAR __1illi4__ NUMBER SOCIAL SECURITY NUMBER 160 26 9090 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER o 3. Remainder Return (date 01 death prior to 12-13-82) o 5. Federal Estate Tax Return Required D- 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) I- Z W o Z o Q. <I) W OC OC o u FIRM NAME IIf App'lea"'.) TELEPHONE NUMBER (717) 236-3755 1 325 North Front Street Harrisburg, PA 17102 (1) (2) (3) (4) (5) 249,326.97 420,820.66 -0- -0- ,OFFiCIAL PSE ONLy -- - ~ ,""" .,'"1 Real Estate (Schedule A) 2 Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5 Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 51,331. 32 -0- z o ~ :> t: D. < U w 0::: 6 Jointly Owned Property (Schedule F) o Separate Billing Requested (6) 7, Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) (7) 176,241.86 8. Total Gross Assets (total Lines 1-7) 9 Funeral Expenses & Administrative Costs (Schedule H) (9) (10) 35,842.44 5,158.77 10. Debts of Decedent, Mortgage Liabilities, & liens (Schedule I) 11. Total Deductions (total lines 9 & 10) 12. Net Value of Estate (line 8 minus line 11) 13. Chafltable and Governmental Bequests/Sec 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) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES -0- x .0_ (15) x .0 45 (16) x .12 (17) x ,15 (18) (19) z o ~ ~ ::> D. ~ o u ~ 15, Amount of line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17, Amount of Line 14 taxable at sibling rate 18. Amount of line 14 taxa~le at collateral rate 19. Tax Due 856,719.60 -0- -0- CHECK HEFtE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 20.0 r"',. r'" ,) '} r"-) (8) RQ7,77.0 R1 (11) 41 .001 21 (12) 856,719.60 (13) -0- (14) 856,719.60 38.552.38 1R,t)t)?,1R '" . - ,- '< ~ ~.~':(':. :'?1\I~"~::--J~v/\iYt':ff'r1"':(;~f~:.t,..Ij,l,,~~C;,:(.)~,~J.T("-~f;:;'it~;r:i=:j~'t':-'';/~~i1r.r~i'j~W':'\f\ti~' ~ " ~~~_..............__~~~a.;I.\jI:~~~~.r:lA~. _ I-.l"", ~",",JI~~~~azid.;~3.:.t~~~ ~'&.h'" ~.....l;."""~""",,,,,~<,,,,, .. ~ Decedent's Complete Address: STREET ADDRESS 32 Argali Lane CITY Mechanicsbur Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2 Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) -0- 34,000.00 1,700 00 (2) 35,700.00 Total Credits ( A + 8 + C ) 3 InteresUPenalty if applicable D. Interest E Penalty TotallnteresUPenalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 38,552.38 -0- 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) 2,852.38 -0- 8. Enter the total of Line 5 + SA. This is the 8ALANCE DUE. (58) 2,852.38 Make Check Payable to: REGISTER OF WILLS, AGENT T".., ~;:~~", ~,~,:,,:,';" c '-&',.,..:~ ~~~~f~~~~~t)~lf"'!Wr'7~q:~~w~~n'~~~~lPf;i~~JiIm'~~~tP;:;I~'?\.'!"~i,~~::1~r't~1~Z};'m~?J~~"~~V'~J~~;J'\"$Wm~'l't.)~~1V:'~~,':;VWlP~h~~..nr'........,~;!'JW"'61<;;,."","'~~ PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes a. retain the use or income of the property transferred;.......................................................................................... 0 b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 c. retain a reversionary interest; or..............,........................................................................................................... 0 d. receive the promise for life of either payments, benefits or care? ..................................................................... 0 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? .............. D 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................................... .;.@ No KJ is XJ XJ XJ D IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. UIlder penalltes of perjury, I declare that I have examined lhis relurn, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true. correct and complete. Oeclarallon of preparer other than the personal representative is based on all information of which preparer has any knowledge. e-x 17050; 2106 Warren Way, DATE I ~(d-( oS- Mechanicsburg, PA 17050 ADDRESS street o'S" 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"'t\. '" [72 P.S, 99116 (a) (1.1) (i)l. l)Oe. 445 .ex"') 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 survivil I1..J 31~ ou The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets an 1--1....\ :) . the surviving spouse is the only beneficiary. A ~ ~ 10. c:b For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for th or a stepparent of the child is 0% [72 P.S. ~9116(a)(1.2)]. T.~ The tax rale 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 i The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116(a)(1.3)]. A sibling is define('under~dion 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. ~ LAST WILL AND TEST AMENT OF STANLEY A. COVALESKI I, STANLEY A. OOVALESKI, of the BOROUGH OF MEGIANlCS8URG, <X>UNTY OF OJMBERLAND, COMMONWEAL1H of PENNSYLVANIA. being in good bodily health and of sOWld and disposing mind and memory, and not acting Wlder duren, menace, fnod. or Wldue influence of any person whomsoever, merely cal1ing to mind the fraihyof hWlWllife, and being desirous of disposing my worldly goods wlUlc: I have the s~ngth and capacity so to do, I do make, publish and declare this my LAST WILL AND TESTAMENT. I hereby revoke. cancel and annul all my former Wills and Testaments, including codicils thereto. by me at any time made, and declare this alone to be my LAST WILL AND TESTAMENT. .. AS TO SUCH ESTATE AS IT HAS PLEASED GOD TO ENTRUST ME WITH IN THIS LIFETIME, I DISPOSE OF THE SAME AS FOLLOWS, V1Z: ITEM 1. ITEM 2. 11EM3. ITEM 4. rmw. 11EM 6. I direct that my Executrixes hereuwter named, poly and dUe/urge all of my just debts, fWler.U and testamentary expenses. I order and direct that I be buried UI a lot which I 0\\11 situate at the Gate of Henen Cemetery, Mechanicsburg. Pennsylvania. All the rest, residue and remainder of my entire estate, wheresoever situate, and whatsoever it may consist of, I give, devise, and bequeath, absolutely, and in fee, to LISA C. WILLIAMS, MARIA R. COVALESKJ AND MELISSA A. BAILEY, share and share alike, per stirpes. I nominate and appoint LISA C. WILLIAMS AND MARIA R. roVAlESKJ, as Co-Exc:cuuUes of this my LAST WILL AND TESTAMENT. I direct that my personal representatives, as well as their successors slWl not be mJUired to give bond for the faith! uJ performance or their duties in any jurisdiction. I order and direct that my Personal Representative(s} named herein use the Iepl services of James M. Bach, as Anomey for my Esute. .~.~ C-va~ -At' STANLEY A.fuVALESKI ITEM 7. .lIEM.B. I direct that all eSlate, succession, kgacy, inheritance or other tnnsfer wees, however designated that shall become ~yabk by reason of my de,nh in rnpect of all propeny comprising my gross eSlate (or tax purposes, whether or not such propeny pusn \Ulder this LAST WILL, shall be ~id by my Executor out of my rniduuy estate. I gr.1Jlt to my personal reprnenlatives herein named, in ;addition to, but not in l.imitation of those powers vested by law, to be excn:ised without prior applicaUon to or approval of any court. the power and authority to retain indefinitely any propeny, to invest and reinvest any assets or the proceeds derived from the sale o( assets, although said investments nuy not be of the c1Ur.1Cter prescribed by law, to sell. convey, assign, uans(er and encumber any propeny, to ~y, setUe or compromise aU claims, to make distribution or divisions in cash or in kind, and in general to exercise all powers in the nunagement o( any propeny hereWKkr which any individual could exercise in the management of similar propeny owned in her own right, and to execute and deliver any and aU instruments and to do all aeu, which nuy be deemed necessary and proper. ~t:::r.~..aJ..,' STANLEY COVALESKI .. ............................ ......... ............ E N l)......................................... .......... .. 2 ..;t :~ ACKNOWLEDGMENT COMMONWEALTH OF PENNSnVANIA COUNTY OF CUMBERLAND IS I, STANLEY A. COVALESKl. the TESTATOR, whose 1W1l(' is signed 10 dl(' lItlXbtd or foregoing inslt\llUent, having been duly qualified llCCOniing to bw, do hereby acknowkdge tlw I signed and executed the inslrUJJlent as my LAST WILL; tlw Isigll('d it willingly: and Ilw I signed it as my f~ and volwlIary act for the pwpose therein expressed. S~m to or affi.nned and acknowledged before me, by: Ihe TEST A TOR Ihu 1l1h <<.by of Nove~r. NU. ~e. /d. ~, STANll"l A. OOVALESKl NOTARIAl. SEAl JAMES M. BACH. NoIaIy NlIc Hampden Twp.. CImbeI1aIxl County My Commlalon M 13, 2007 .J- l11e preceding insU'lU1lent cOlUisting of dlis and 1\\'0 (2) other l)VC'wrillen pagel, identified by lhe SiglWure of the TESTATOR, was on the dale thereof signed, published and decbmJ by STANllY A. ~. . e TESTATOR therein named as and for her LAST WILL ANDTESl'AMENT. L~ ""...... >5l S._'IiII..... FATIMA A SKIMI M<<haniabuq:. PA 17050 ~ W x.~ TERESA H. LAUGHEAD Residing lit 352 S. Sponinc Hill &W M<<lwlubuq:. PA 17050 AFFIDAVIT COMMONWEALTH OF PENNSnVANIA COUNTY OF CUMDERLAND $I We, FATIMA A. SKlMIN and TERESA H. LAUGHEAD. the wilDelSel ~ namrs are signed to the attached or foregoing insuumeut. beioJ duly qualified llCCOniing to bw, do depose and say m. we were present and saw the TESTATOR .ign and eucute the i1UU'IU1lent as her LAST WILL; that the TESTATOR signed it willingly and tha .be eUCUIed it as her f ~ and volWltary act for the purpose thmin expressed; tha each witness in the hearing and sight of the TESTATOR signed the WILL as wancssa; aOO that, to the best of our knowledge, the TESTATOR was, :II the lime, 18 or more )nr1 of a&e. of sound mind and under no coostr.aint or undue influence. Sworn to or aHinned and acknowledged before me, by: FATIMA A. SKlMIN and TERESA H. LAUGHEAD. witnesses, this .1Z1h..dayof Nove~r. 2QQl. ~~ FATIMAASKIMI - NOTARIAL SEAl JAMES M. BACH. NoIaIy PubIlc Hampden Twp., C\II\bertard County My Commlsslon Ellphe Me 13. 2007 ~JtL y/ ~dLip-ILad. lERESA Ii LALlGEHAD L ) REV.1 ~02 EX+ (6'98* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER stanley A. Oovaleski, deceased 21-04-1084 All real property owned solely or as a tenant In common must be reported at fair market value. Fair market value is defined as the price at which property would be 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 which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH Real estate situate at 32 Argali Lane, Lower Allen Township, Cumberland Oounty, Pennsylvani"'l., more particularly described in Cumberland Oounty Deed Book "X", Volwne 34, Page 133 (net proceeds of sale) 249,326.97 TOTAL (Also enter on line 1, Recapitulation) $. 249, 326.97 (If more space is needed, insert additional sheets of the same size) A. US OEPARTUENT Of HOVSlNG M<<)\JR6AH OEV'El~,," SETILEMENT STATEMENT ExpTess Financial Services, Inc. 275 GTandview Avenue Suite 103 Camp Hill, PA 17011 (800) 422-4169 FINAL ____ rCll'~.W_~_~..~._]~~~~ B TYPE or LOAN rH^~----7 nil.illA -. 3 OCOHV \ft4't<5 ~[J...':'.~___ .. .__~ LJ CONY IN5 6 ESCROW rilE NWllrn IlO..,,'t.Ul:;llfR 00026382-003 NS 8 MORIGAGr INSURNKE CAsr 'HI',IIlEn C_ NOTE This form is furnished to give you tJ ststement of <<fulIl _n>>ment co~t! AfJ)()Iff'" (lft-d 'f) ftn(f /1r I~ ,."...."""", lHJ'f'nt Me I-hoft"" Items marked "(P.O C)" were paid ou/slde ,he closing. lIleyant sho..." ""'" "" ",r(vm,'oon" f'."1lfl,,.. .'wl "ff r>or "",It.ofO(f on ".. ""... D NAME OF BORROWER ADDRESS OF BORROWER Susan M. Berry 32 AEgali Lane Mechanicsl1l!!9~~-.!?..o.5_~____ ._ Estate of Stanley A. Covaleski E NAME OF SELLER ADDRESS OF SELLER ADDRESS OF lENDER Community Banks 201 S1. Johns Church Road Camp Hill, PA 17011 32 Argali lane Mechanicsburg, PA 17055 Cumberland County 13-26.0251-149 F NAME OF lENDER G PROPERTY LOCATION H SETTLEMENT AGENT Express Financial Services. Inc PLACE OF SETTLEMENT' 275 Grandview Avenue, Suite 103. Camp fur. PA 170 I I SETILEMENT DATE 5/25/2005 PRORATION DATE 512512005 PI~",!nc:p.'n4f (.\-Alf 512 512005 J SUMMARY OF BORROWER'S TRANSACTl N 100 GROSS AMOUNT DUe FROM BQBBQWEB;..:.. K SUI.u.vJlvor SElIEltS IIlANSACIl()N , .!<",'. S;C)'<'_'~ 4l!O.!....~~S_AMOUNT_ DOE_TO SELLER:... . .______. _ ..::':'-''..'::'''. J 401 Cont'act S..... P'><:e 1S1.000 00 401 Pe,.onal P'op4Olly 403 404 40S 101 Contract Sales Price 1S2.000 00 102 Personal Property 103 Settlement charges to Borrower (line 1400) ..3972S 104 105 ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE 106 CilyfTown Taxes OS/25/05 to 12131/05 107. Counl Taxes 108 Assessments 109 Sewer-2nd q 110 III 112 113 114. 115. 120 GROSS AMOUNT DUE FROM BORROWER: 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 201 Deposit or earne.t money 202. Principal amount of new loan(.) 203. Existing loan(s) taken subject to 204. 205. 206 207. 20B. 209 539 25 ._ADJUSTMENIS fOR ITEMS rAIl) Rt SElIrn IN ADvANCE 406 C<<.fTownla.8\ (l""2"'~'" 10 12f)\~ 4Q7_County la.e. 408 _Anenmenll 409 Sewer.2"" 0 S3925 OS/25/05 OS/25/05 to 06I301Q5 to 06130105 197.07 3131 0"''25,'\)5 0'>'25,,\)5 10 ~'30'05 00')005 .... _19707 31" to 410 411 412 413 414 415 257,16488 420 ClllOn AMO\JtIt 0Vt! to IUlUI ..~ . ~ 1:1500.; REDUCTIONS IN AMOUNT DUI! TO SELL.ER: 25,200 00 SOl Eleetl depot" (1M 1n1llUC1""'I) 2520000 226.80000 S02 s.iii;~~Ch.;~joSenelll~ 14()()i=-==-=~= ~=-=- 2.~5 00 S03 E 111~""I1IO"'~(I) ~ak.n.lut>tecllO so. Pa~~O~""I~~lI98loan 505 Payo_"_ 01 MC<>nd mOllll-oe lo.n 506 2()()~County-'",'e. S07 ~ehca'eB'" F_" 508 509 - --8'it"'16 -'''---100 1=__- ADJUSTMENTS FOR ITEMS UNPAID BY SELLER ADJUSTMCNTS fOR ITEMS U"I'AIO R' SHLFIl ..- ..-- '-~"----~ 210 CityfTown Taxes 5TO_f<<ylTownIuel ____ ---- .--- -'--"--' 211 County Taxes 511 C.O.v'lly.rU8l.____. ..- --- --,._~_.- 212. Assessments 512 Alle"mentl ---.._~--~-.---~ .-. -_._-~_... ..-.. ..-~- 213. 513 -.- --.-..-.-.-....-.--- 0'--_._---.. -..-..------- 214 514 --------~ .-- .. ...... ."- ~.__._-~----- 215 51S ---.--.- - ,... -. ~--- 216 516 - ----- ---~.-. 217. 517 518 - -..--- .----- -- 21B 5i~-' .-. . ---_..-. -.--. 219 . ._-~- -.-- - ~-----'-'"--- -'~'---- 220 TOTAL PAID $YWOR BORROWER: 252.000 00 520 tOtAL REDUCTIONS III AMOUIIT Dut! SELLER' 28640611 I 300. CASH AT SETlTLeMENT FROMlTO BORROWER:..~.,;li;"l;t},;.~,,..~':$.:> '00. CASH AT SETTUMENT TOIfROM SELLER: , :".,1 301. Gross amount due from Borrower ( line 120) 257,164.88 601 Grall .mounl clue to S.ner ,lone 4201 252.787 113 ----,-.--..- -~ ---~--- 302. Less amounl paid bynor Borrower ( line 220) 252.00000 602 Len recluctlOn In .mounl due Selle, fhne 5201 28.640 6& __'_'__'___'~_'~_'r . ~ -'-' ------- 303. CASH I <<J FROM) I 0 TO) BORROWER: 5,164 88 603 CASH I (] FROM) IIX' TO I IHLfR n4.11ll97 ~--~--_...- ---- -, -~ 700. . TOTAL SALES/BROKER'S COMMISSION: ;;i~,,(.~'I~I'~I:.\l:r BASED ON PRICES 252.000.00 G DIVISION OF COMMISSION (LINE 7001 AS FOLLOWS 701 S ~ 702 $ 10 703 Commission paid at se"'ement 704 aOO.'ITEMS PAYABLE IN CONNECTION WITH LOAN:;J""'~~,,,/.~.'.I,,~"'\A, <<." ;, ." . 801 loan Origination Fee 802 Loan Discount Fee 803 Appraisal Fee ~ Cred~~ort 805 Lenders Inspection Fee ____~06 Mortg3/e Insurance Application Fee 807 Assumption Fee 808 Flood Delermlnation Fee 809 810 811 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE:' 901 Interest From ro ~ S Id.y 902 Mortgage Insurance Premium tor Month(s) \0 903 Hazard Insurance Premium for Yearslslto State F.rm 904 905 1000. RESERVES DEPOSITED WITH LENDER: 1001 Hazard Insurance mon'hs G $ 1002 Mortgage Insurance mon'hs G $ 1003 City Property Taxes mon'h, G S 1004 County Property Taxes months G S 1005 Annual Assessments mon'hs G $ 1006 mon'hs G S 1007. months G S 1008 Aggregate Adjustment 1100. TITLE CHARGES: 110 t Setllemenl or closing tee 1102 Abstract or title search 1103 Title examination 1104 Title insurance binder 1105. Document preparation 1106 Notary fees 1107. Attorney's Fees (i"dudes .bove il&ml numbers 1108 Title Insurance 10 Express Financial SeMCet. Inc; (indude. ebove ~ems numberl 8.113001100 1109 Lenders coverage $ 226.000 00 1110. Owne(s coverage $ 252,000.00 1111 CSL \0 First American 1112. Courier Fees to Express Financlal Servlcft. 'nc. 1113. Tax Certification to E ress Flnanclal Servlcft Inc. :1200/ GOVERNMENT RECORDINGANDTRANSFER'CHARGES. :;~\" 1201 Recording Fees: Deed $ Mortgage $ 52.50 Relta.. $ 1202. City/County tax/stamps Deed S 2.520,00 Mortgage S 1203 Stale lax/stamps Deed $ 2.520.00 Mortgage S 1204. Recording tee (or Deed to Recorder of Deed. 1205 1300.'" ADDmONAl SETTLEMENT CHARGES:c,t,~,;"'I:i'l'.".,.:,':"'< . 1301 Survey 1302 Pesllnspec1ion 1303. US Patriot Search 1304. 1305 1306 1307. 1400 ,.,..~, ~:;:.,~ '.i.:'~lI.:<",';".J> , . P.O.c:. I I'A'O fRQU AOJlRO\',1'Jl S fUNO. 1 AT SrTflflJUH '11.- P.O.C. -------r . tJ2~ 00': It ~I)' I I (13 751' i -I 10 Scort A":"'beld 10 C'ed~!"", 5<>I~""'s ~___._ __ to Cr&dr1 Plus SoIvtI()nI O,OtIC' t d.vs) P.O.C. ] I 11j11 ooll i ~,'-.if~r~ ~'~.i-i 'II. l------- I ,',' " ._,\:' _~ i ! I j I ! I j P.O.C. I ! i j I I j I I I pet mooll1 1*- 1*""'"'" pet ""'"'" pet ""'"'" ------ 1*""'"'" pet ""'"'" --j ----":1-- I I I i'i68~ "MOll ~;J',1'~l~.;t.'#:~~,~,~ (S2~) 2.520 00 2.&2000 )BO " :~-~':',<,~-.. ~~ . ",."..:4;; ~',.,P.O.c:. -","<.<",~. ;~~ .~.;. 10 Express Financial SefVlCes. Inc. SOO 500 TOTAL SEITlEMENT CHARGE5lEnter on fine 103.~ J.....,...... 502. ~ K)____.__ 4.3912S __J~S ~ J;; ".//1 ,a if I have carerully re~ \he HUD-l SeI1_ 5111_...., 10 the e.st 01 my ~""'~.. It. tfua ..., ~.,. ".._ <".. _s """ ~__ on my account Of by me In this transaction. I further Q8ftJ1y In.! I have _ a 00l'I' 01 tne HUD- 1 ~ 5'.._ Ellat. of ~ta'.llo.r A Cov''''s~, , ~_\{..~ ~ COd-_t-ll,.t;<- M.n. R COV.lelk.. Co.E wec\I1n. ~~IC~_C_()_'G~s;.______ ~ Un C W,lli.ml. Co-E.ecut". s-. ed 10 IlruIond lClCUtIWocx:ounI 01_ .".",act"'" I hi.. T ;..... .,.,... ..... ....- to be ~_.. ~ ~AQent S-e/~ _..__<__ ___0- WARNING: n is 8 crime to knowingty make "'10 Ir.temenllto the United Stat.. on lNI 01 en)' ~.f talm ren~,," ~ Cf:'l'~.~-.tVl ('.... 1f'I('1!;te. "",-.,.." ""'C"f~ '01 deteils see: Hie 18 U.S. Code Sedion 1001 .net Sed"", 10.0 REV~1503 EX+ (6-98) '!: ~j.~~ ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Stanley A. Covaleski, deceased 21-04-1084 All property jointly-owned with right of survivorship must be disclosed on Schedule F. SCHEDULE B STOCKS & BONDS ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH Miscellaneous United States Savings Bonds (purchase price; see attached list) 108,206.25 2 Miscellaneous United States Savings Bonds (accrued interest as of date of death; see attached list) 312,614.41 TOTAL (Also enter on line 2, Recapitulation) $ 420,820.66 (II more space is needed, insert additional sheets at the same size) )> :..-'- <n N Ul c.n ~ z G) c.n 01 o Zc o 0-0-0- 0-000 c.n O::J::J::J (J') ::Jo.o.o. 0- a. en' en' en' :E ~OlOl3: ~U>U>l> O~.~.~ OlCOCOCO UlUlUlo. =:1"__ ~QQ~ _ a. ::J mm:J oSTISTIo m:E~;;c") x~~~7" ~ en' en' ~, g ~~~tO::J to CO CO -' a. coo.o.;:1~ a. _, _. CO Ol ~:>::J@(J) QOOUlC") (U~~~~ :J ~~ =:1" ICOCO CO I""'''''' -a.. o-~:s:Z3' g~~':" ?-~~o-. 0- '< (() 0 C ...... ,",,:J m ....(() o.X -, (() Ol -' . UlO::JUlo- cr o.ZO CO Ol -, 0 ::J -,::J ::J .... a. ::J 0.0,< t03cco~ -0 o.-Ol :::!,~ CO m Ul o Ul='m ~ g Ol t9, X O_WQ:O ::l~3~~ OlcogQt5 a. x --0 CO ~(1):rwa. 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(/) rnrn~ rn rn ~. \II ~~ .;>';>';:1 000 gg3 ~ S ,^ .t>- .t>- v' V'V'<tl .t>-.t>- ~. 0>0> III 00- ~;;;Z '" '" C rnrn3 cr <tl ... ,_ c-- -- 00 - NN 0\11 :;::;:Ill\ll <.0 <.0 -: C ($)($)",<tl 00 __-_l--- ~31 (J1 (J1 -. 000 oo<tl "00 Se.- ~'5" NN.... , <tl .....""'''' o>o><tl 0>0>\11 , ' .... 00 00 !"~~ 0>0>- o>(j)C (j)(j)<tl '0'0 00 ~'" (J1~ ($)0 '0 <tl o o "0 o .t>-p.?J "o"o~ 00<tl #-rf!- (j)0>:5 i.o<.o~ (J1(J1o. ~~ o 0 ~'5" .....(;) N'" N<tl '..... \II ......... ($) '.t::- O c::::. ~ III ..... C ($) 9 <tl ..... ..... ($) '.t>- \ 0 00 NN NN 00 00 (J1(J1 - J7~ s::..(t) 2.' ~ (\) '0 :;~ .::::. ~~ 6'" .<-g ~ Z <tl )Co 0::' III ';:I (;)(;)"11 ~"a) ~\J~ ." ~. ~ S'~O o 0 ~f'-' l:J t::'t::?o o?i: ~';5~~l:J ..........<tlo;:!$'-" 00 !:;"~ ~.......-" .......c Nt:: OC 0<: .\:>oj \ \ z o <0 - -,~".,.." ~ ....~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Stanley A. Covaleski, deceased FILE NUMBER 21-04-1084 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. 2 3 4 5 6 7 8 9 10 DESCRIPTION VALUE AT DATE OF DEATH 2003 Ford Taurus SE (net proceeds of sale) 11,510.00 Miscellaneous tangible personal property (appraised value) 1,473.00 M&T Bank 499 Mitchell Road Millsboro, DE 19966 Checking account number 24243698 8,702.87 M&'l' Bank 499 Mitchell Road Millsboro, DE 19966 Accrued interest, checking account number 24243698 .37 M&T Bank 499 Mitchell Road Millsboro, DE 19966 Checking account number 98189875 27,455.94 M&T Bank 499 Mitchell Road Millsboro, DE 19966 Accrued interest, checking account number 98189875 11.76 United States Treasury (civil service benefit) 1,419.00 Veterans Administration (veteran's payment) 354.00 Mail Handlers Benefit Plan (heal th insurance payment for services) 15.24 Mail Handlers Benefit Plan (health insurance payment for service) 33.84 Please see attached for continuation. TOTAL (Also enter on line 5, Recapitulation) $ 51, 331 .32 (If more space is needed, insert additional sheets of the same size) " . SCHEDULE E (continued) Stanley A. Covaleski, deceased Date of Death: November 13, 2004 No. 21-04-1084 11 12 13 14 15 16 17 18 Mail Handlers Benefit Plan (health insurance payment for services) 25.96 Mail Handlers Benefit Plan (health insurance payment for services) 1.74 coin World (refund on sUbscription) 21.67 Malpezzi Funeral Home (refund on account) 100.00 Holy Spirit Hospital (refund of overpayment) 44.52 Verizon (refund on account) 10.61 Allstate (refund on automobile insurance premium) 27.80 Allstate (refund on homeowner's policy) 123.00 Jan 04 05 10:58a CIS 13029342136 p.3 ~ M&TBank 499 \1i"h~1I Road, Millsh<,1ru. D[i I'JlX,(, Mail C:we DI'-Mll.i2 I'h"n~ (3l!8.1 ~i.l2-4:\19 {'ii., (:102) 934-2%' I "'e~q',l>~l 24, 211()4 James Duryea Cameron Attorney At Law t325 North .'ront Street Harrisburg, Pennsylvania 17102 Rc: J~'s:Ule or: ,)'ranicll A Covq/cski Social Se(~uritY' J 60-,26-9090 Vale ofl)eath: November 13, 2004 Dear Sir Or Madam: }o'er your mqtliry dated December 13, 2004, please be advised that ot the rime or dCllth, the ;lhove.lla:l1,~U decedent had on deposit wilh this bank tile fiJllowing: I. 1,\pc nfAccurml C'heckinfi A CCOII.'1! !It.'count Number 24243698 Ownr:rshil' (NlJmes o/j SI(mhy A Cwa!eJk.r Maria Cuvaleski, Usa C William,~, PO(J'~ Opem'l/g Dale 10/28175 Clo,wd 12/3/04 lJaJance Cn Duie olDcCith $8,702,87 Accrued In/creSl $ O.3i' To/al $8,703.24 2 Type ofAccounl Ched.mg Account ,1ccourll Number 98 !891~7J ()wtlcrship (Names oj) 8lUnky tf Covaleski Maria li.),'u/c,~ki. Usa C Wi/bams, ?oa's ()pelJin~ Dute 7/21197 Closed fl/JIM {Ja"-mct.: on Data of Death $27,45594 A cr:rl./ed ltlli!J"iJSI $ J /75 Tvtu/ $27467 70 PIC<l~ be lIdviscd, then: wa~ no safe dCPO~lt box fOlUld lor the above dCCtd::nt For furihcJ' aC4;Ollllt illJ'ormation, regarding nwnership, closurc.~ andlol' rtimburscmCI1{ ot' hlllds, etc., pI"a~e call the Mec;hlllli~bur:: Oftke i4 717':Z55. 2031. Sim:crcly, '-1?Clj(A':'/ t~""l(l Nancy CI;:jgc~ Records MantlgCltll;nt " . CLAUDE C. WOLFE & ASSOCIATES AUCTIONEERS & APPRAISERS FAMILY OWNED SINCE /9/0 2009 LINCOLN STREET · CAMP HIll, PA 17011 717-737-0734 December 8, 2004 Appraisal for the Estate of Stanley A. Covaleski 32 Argali Drive, Mechanicsburg, P A 17055 ENTRY (3 )Oriental style rugs Sword decor Bench Misc. contents of entry 30.00 35.00 10.00 5.00 LIVING ROOM Green chair Hoover upright vacuum cleaner Misc. Christmas decorations Console stereo Misc. figurines on stereo 1.00 12.00 25.00 1.00 7.00 Basket & artificial plant Table on wheels Pair of large table lamps Pair of hexagon shaped end tables Coffee table 4.00 2.00 5.00 20.00 10.00 Misc. figurines on coffee table Sofa - old & worn (3)Thomas Kinkade pictures Pair of curio cabinets Misc. figurines in cabinet 1 20.00 1.00 30.00 250.00 50.00 Misc. figurines in cabinet 2 Misc. contents of living room 50.00 25.00 " . CLAUDE C. WOLFE & ASSOCIATES Covaleski appraisal Page 2 of 5 AUCTIONEERS & APPRAISERS FAMILY OWNED SINCE 1910 2009 LINCOLN STREET · CAMP HILL, PA 17011 717-737-0734 DINING ROOM Stereo console - old Misc. Norman Rockwell plates Misc. glassware "House" print Religious picture in antique frame Misc. contents of dining room Trash can Pair of stools Plant stand Microwave cart Goose neck lamp Misc. plants Table & 5 chairs Kenmore microwave Misc. glassware Misc. cookware Utensils Flatware Coffee pot Electric can opener 4-Slice toaster Telephone GE refrigerator - old Clock KITCHEN 1.00 20.00 1.00 10.00 60.00 10.00 1.00 2.00 1.00 1.00 1.00 2.00 50.00 10.00 10.00 10.00 5.00 4.00 1.00 1.00 3.00 1.00 50.00 1.00 .. . CLAUDE C. WOLFE & ASSOCIATES AUCTIONEERS & APPRAISERS FAMILY OWNED SINCE 1910 2009 LINCOLN STREET. CAMP HILL, PA 17011 717-737-0734 Covaleski appraisal Page 3 of 5 FAMILY ROOM ( 4)F olding tables Blue recliner Mauve recliner Oriental style carpet Dog picture Misc. figurines Pair of crystal candleholders Sofa with recliners Entertainment center Sony TV VCR Humidifier Thomas Kinkade print Misc. contents of family room BASEMENT Dresser Desk Typewriter Storage cabinet Exercise bike Foot stool Straight chair Dresser Shop vac Humidifier Animal ca$e Misc. basklets Vases Misc. contents of basement 10.00 20.00 25.00 50.00 6.00 10.00 10.00 25.00 10.00 40.00 10.00 1.00 10.00 10.00 1.00 1.00 1.00 1.00 1.00 2.00 1.00 1.00 10.00 1.00 5.00 1.00 2.00 50.00 .. , CLAUDE C. WOLFE & ASSOCIATES AUCTIONEERS & APPRAISERS FAMILY OWNED SINCE 1910 2009 LINCOLN STREET. CAMP HILL, PA 17011 717-737-0734 Covaleski appraisal Page 4 of 5 HALL Linens BEDROOM Sewing machine Dresser 4-Piece bedroom suite - worn Misc. men's jewelry (2)Jewelry boxes & misc. costume jewelry Pair of table lamps BATH T rash can LAUNDRY Washer - old Kenmore dryer Misc. contents of laundry GARAGE Misc. hand tools Misc. garden tools Edger Hedge trimmer Craftsman lawn mower Ladders Lawn furniture (2)Cat cag~s Misc. contents of garage 5.00 2.00 1.00 5.00 5.00 2.00 1.00 1.00 25.00 30.00 2.00 20.00 10.00 10.00 7.00 60.00 20.00 3.00 5.00 25.00 ,. . CLAUDE C. WOLFE & ASSOCIATES AUCTIONEERS & APPRAISERS FAMILY OWNED SINCE 1910 2009 LINCOLN STREET. CAMP Hill, PA 17011 717-737-0734 Covaleski appraisal Page 5 of 5 SHED Yard tools Wheelbarrow Spreader Coleman gas stove Tree trimmer Aluminum extension ladder Misc. contents of shed OUTSIDE Swing Yard ornaments 5.00 2.00 1.00 2.00 5.00 10.00 10.00 25.00 10.00 APPRAISAL TOTAL $ 1,473.00 This Fair Market Value appraisal is true and correct to the best of my ability as an auctioneer and appraiser with 35 years experience. Member: Certified Appraisers Guild of America CLAUDE C. WOLFE & ASSOCIATES \.0.V, \J~C:Q~"",- W. K. Dusty Chapman, CAGA . REV"'510EX.{1-97) . SCHEDULE G INTER.VIVOS TRANSFERS & MISC. NON.PROBA TE PROPERTY FILE NUMBER 21-04-1084 ITEM NUMBER 1. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Stanley A. Covaleski, deceased This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE. THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET Allstate Perfonnance Plus annuity number GA17634008; beneficiaries are Lisa C. Williams and Maria R. Covaleski, daughters of the decedent, and Melissa A. Kohr, grandda .lghter 2 The Hartford Saver Plus IRA, contract number 710726467; beneficiaries are Lisa C. Williams and Maria R. Covaleski, daughters of the decedent, and Melissa A. Kohr, granddaughter 3 The Hartford Saver Plus IRA, contract number 7115363B6; beneficiaries are Lisa C. Williams and Maria R. Covaleski, daughters of the decedent, and Melissa A. Kohr, granddaughter 4 MetLife Total Control Account number 404-6864207; beneficiaries are Lisa C. Williams and Maria R. Covaleski, daughters of the decedent 22,832.58 %OF DECO'S INTEREST 100% 100% 100% 100% EXCLUSION IF APPLICABLE \ N/A N/A N/A N/A TAXABLE VALUE 51,794.44 50,304.71 51,310.13 22,832.58 TOTAL (Also enter on line 7, Recapitulation) $ 176,241.86 (If more space is needed, insert additional sheets of the same size) " . Glenbrook Life and Annuity Company P.o. Box 94212 Palatine, IL 60094-4212 GLENBROOK LIFE A Member of Allstate Financial Group June 8, 2005 :;.,....""''""''<.:;1(..,0'"'1:;::;,;;. ...j"''''~ ~w-' ~)'.......' ....-'\,....~..I.-- ..!.t., , James D. Cameron Attorney At Law 1325 North Front Street Harrisburg, PA 17102 Re: Contract Number: Stanley Covaleski GA17634008 Dear Mr. Cameron: Thank you for your correspondence to our department dated May 27,2005. The following is a breakdown of the information you had requested on the above closed annuity claim: n Title of Annuity: Stanley A. Covaleski ~ Date ofIssue: March 10, 2004 ~ Owner: Stanley Covaleski ~ Value ofthe Annuitv on the Date of Death 11/13/2004: $51,794.44 Principal: $50,432.42 Interest: $ 1,362.02 ~ Inter~st earned between March 10.2004 to June 8. 2005: $2,400.97 6) Beneficiaries: Maria Covaleski, Lisa Williams & Melissa Bailey Should you have any questions, or require further assistance, please contact our Customer Care Unit at 1- 877 -499-6418. Sincerely, JlY~ Jennifer Evan$ Life and AnnJity Claims Overnight Address: 300 North Milwaukee Avenue, Vernon Hills, IL 60061 Toll Free Fax: 1-866-635-4523 OS/27/2008 15 28 FAX fZj(\Ol/001 , f' . " May 27, 200S LJ...:~j1~'T::!!i'/ ' fla.r1:llW1li ,Due , , James D Cameron Fax 717-236-3655 REFERENCE: Hartford AimwtiAccmmt #.'7US363f6' , i1t., ,. , ~. , i ;' <oil' i~ :;, ..1!Vl ,pt,1., , , \ J~,"; . . '{; "lj,~. . ", ~"" " il!iP'%rln~', ,,' , ',.' " \i ":~:. '" ",( 1 Dear Mr. Cameron, Thank you for your corresPoadeftce regmditts'the abQye''\ , '\ ", , ' The death benefitpaYable~.this'comr&ct ishot'Cori5idered'~lite':' ',' on IRS Fonn 7121 (life insurance st8tement).PI~efin~ thebelo.w'" . response to your request. ' Co"trfIct NumHf: Ow"~l''' Decedent: Ow"er'$ SSN: Dille ofDeiltll.. Dote of De",II Jlalue: 71 tS363'66, 'Stamey A :Cov.eski ' StaJiley ACoValeski 160.:26-9090 November 13,2004 $51,310.13 ! . If you have any other queStiOns"~t " professional) or one of our III1Dlii through Thursday from 8':~~m. . ' from 9 10m.. to 2 p.m. Eas~" opportwlity to help provide;: ~' Sincerely, K. Dougela Investm,nt Product SerVices ", ' Contrac~ Management . ' Hartford Life InsuranceCOmpaby OS/27/2008 15 23 FAX llJ001/001 . ,. ) May 27 J 2005 .",;" ,.' :\ . " . " t'. n:.-:..:..d '~.J;'\T ~:t' llarUOIU'LiUe James D Cameron Fax 717-236-3655 REFERENCE: Hutford ~JityA:CCOullt # 71012~ ' 710726467 Stanrey. A 'CovaJeski Stanley A "Covaleski, "" l-60~2e-~090 :,fi~~'13",;ZO().t '$50;304.71 ' ", ~'-,.. I':'. Dear Mr. Cameron, Thank you for your correspondence reelWi:ng1hea~ve aDn~ I'-~' , ' , . " ,~ , The death benefit para~le ~'this contraCt is ~ot conside~d "Iti~ . ' on IRS Form 712, (hfe msurance S1atemebt). Plca$e find the below' , T. ~ l 1(' response to your request. ContrtJct Numb.,.: (}wilei': DeudelW Owll,,.1, SSN. Date 01 Death: DfIt, o[D,flth Vlllu,: . :'\" ~. , . If you have any other questions 01 c,,,., professional, or one of our annul "'~, through Thursday from 8 a.m;. from 9 a.m. to 2 p.m. Eut~" oPPOrtunity to help provider " Sincerely, K. Douge!. Investment Product Services Contract Manaiement Hartfofd Life Insurance Company . II' . Total Control Account!iJ November 2004 Account No. 404-6864207 Statement Period From 11/01104 To 11/30/04 Page 1 of 1 AH-071430- TeA' PAG8 STANLEY COVALESKI 32 ARGAll LN MECHANICSBURG PA 17055-4863 Customer Service: (800) 638-7283 Beneficiary Election Recorded as of 12/31/2003 If any of your personal information has been changed, including your address and/or phone number, please send your updated informaton to Total Control Account, c/o MetLife, 485 US Highway 1 South, Building E, 4th Floor, Iselin, NJ 08830. TeA MONEY MARKET OPTION (MMO) Effective Annual Yield 1.50% as of 11/30/04 Account Summary Beginning .Ba"n~ ............ Year ToDatelnt~~s. ..... ...................... .......-.,..........-....... ......-..-....,.....,........ .".-...........-......... .................,. ......... ..-................-........ . . . . . . . . . . . . . . . . . . . . . . . . , . . .....................,.. . . . . - . . . . . . . . . . . . . . . . . ............... ...... ................... ................ ....."........ $22,832.58 $27.90 $22,860.48 $309.69 I ;' ", . . , ,--; ~,'I~ I " 'I \ \ t fl ~ 0 Eel <) 2004 ; ; \.J I i:\ : ! I \] II ~ _ ' \ " . ... Interest EndlngB.alan~e ...--.... ........"..--... . . -- .... ..." ...--......---... . "-".....,, ...................... ..... .""........................ . ...........--... ................ . . . . . . , - . ' . . , . . . . . . . . . . . - . . . . , . . . .--........... . ................ . ..... .................."....... . , - . .. ....... - . .. . - . . . . . . . . . . . .... ......... ."."........ ......-. .... ...... Transaction Details , . '.;:::: - :-.';':':':'::-: ........ ... . ..... .,..... ..... ................. .:-:,:-'.:-:-'.;.:-::.:-:-:.:-'-:-:.'.; ............-............... ....'.............. . :.;.:-:-:-:.;.;<.;<-:-:.;.....;;,:.;.;.:;:.;;:.;-:.;.;-: ............... Trani . . DaCe .:::::\:::::. ..,. ...... .:::::::::::::::::::::::::::::::::::::::::: ......... . ........... .::::::::::::.::.::.:......:.:.. ... .. '.' .:..:.:.:.:..:.:.:.:.:.:.:.:............... ...... Dat.YI...Jt~rI..:::::~~y~~::.:.:.:.::.::~~~~:::~#:::::::::.:::!!q~~~~~l.~~!.:::::.:::::::..:.:..'./::::::\!::::{!!:.:::.:::::::::::{:::~~~!:?t/ 11/30 Interest $27.90 111111/11,11111111 REV.1Stl EX+ (12-99) . .,~ ~.I' ...... ;.: COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS stBnley A. Oov~leski, oece~sP.d Debts of decedent must be reported on Schedule I. FILE NUMBER 21-04-1084 - ESTATE OF ITEM NUMBER A DESCRIPTION AMOUNT FUNERAL EXPENSES: Malpezzi Funeral Home 9,849.32 B. ADMINISTRATIVE COSTS: 1 Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number 01 Personal Representalive(s) N/A SIreet Address City ______~__ State _~ Zip Year(s) Commission Paid: 2. AlIorney Fees 3. J~Imrr~xl?n1Pti~'9~flt'slii~!;s is not the same as claimant's, allach explanation) 21,661.00 Claimant Street Address City State _ Zip N/A Relationship of Claimant to Decedent 4. Probate Fees Register of Wills of CUmber land County Accountant's Fees 406.00 5. 6. - -- ~ .-. Tax ReturnPreparer's Fees ... 7. Accounting Associates Lisa C. Williams (reimbursement--miscellaneous expenses) Maria R.. Oovaleski (reimbursement--miscellaneous expenses) 80.00 796.96 60.00 8 9 CUmberland Law Journal (legal advertising) 75.00 10 PPL Electric Utilities (electric service--residence) 81.79 Please see attached sheets for continuation) TOTAL (Also enter on line 9, Recapitulation) $ 35,842.44 (II more space is needed, insert additional sheets olthe same size) , ., :I SCHEDULE H (continued) Stanley A. Covaleski, deceased Date of Death; November 13, 2004 No. 21-04-1084 11 Pennsylvania American Water 26.27 (water--32 Argali Lane) 12 Claude C. Wolfe Associates 195.00 (appraisal fee--tangible personal property) 13 Commonwealth of Pennsylvania 22.50 (duplicate title--automobile) 14 Verizon 26.50 (telephone service--32 Argali Lane) 15 Lower Allen Township 73.35 (sewer and refuse--32 Argali Lane) 16 Pennsylvania American Water 12.22 (water--32 Argali Lane) 17 PPL Electric utilities 113.93 (electric service--32 Argali Lane) 18 Bridge street Realty, LLC 425.00 (real estate appraisal fee) 19 Comcast Cable 55.85 (final bill) 20 The Patriot-News 123.88 (legal advertising) 21 Register of wills of Cumberland county 8.00 (additional short certificates) 22 Verizon 25.20 (telephone service--32 Argali Lane) 23 Maria R. Covaleski 150.00 (reimbursement--cleaning and snow removal) 24 PPL Electric utilities 143.16 (electric service--32 Argali Lane) , 25 Penn~ylvania American Water 13.97 (water--32 Argali Lane) 26 Re/M~x Realty Associates 300.00 (app~aisal--32 Argali Lane) . .. ., 34 35 36 37 38 39 40 41 SCHEDULE H (continued) Stanley A. Covaleski, deceased Date of Death; November 13, 2004 No. 21-04-1084 27 Maria R. Covaleski (reimbursement--auto and feline expenses) 28 Maria R. Covaleski (reimbursement--snow removal) 29 Lisa C. Williams (reimbursement--feline expenses) Gelco Carpet Cleaning (Argali Lane) 30 31 PPL Electric utilities (electric service--32 Argali Lane) 32 Pennsylvania American Water (water--32 Argali Lane) 33 Lower Allen Township (sewer and refuse--32 Argali Lane) Pennsylvania American Water (water--32 Argali Lane) PPL Electric utilities (electric service--32 Argali Lane) Maria R. Covaleski (reimbursement--Iawn maintenance) PPL Electric utilities (electric service--32 Argali Lane) Maria R. Covaleski (reimbursement--Iawn maintenance) Pennsylvania American Water (water--32 Argali Lane) PPL Electric utilities (el~ctric service--final bill) Pennsylvania American Water (water--final bill) 112.84 30.00 89.51 296.75 113.36 12.81 79.35 12.27 77.10 120.00 21.82 120.00 12.27 13.23 6.23 Michael J. Malpezzi, Owner · Jeremy J. Shartzer, Funeral Director 8 Market Plaza Way · Mechanicsburg, PA 17055 · Phone: (717) 697-4696 Ikccmbcr 7, 2004 Mrs. Lisa C. Williams 407 Sioux Drive Mechanicsburg, PA 17050 The Funeral Service for Stanley A. Covaleski We sincercly appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feci frcc to contact us if you have any questions in regard to this statement. TilE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. I. PROFESSIONAL SERVICES Services of Funeral Director/Staff 3. AUTOMOTIVE EQUIPMENT Limousine FlJNl-:RAL HOME SERVICE CHARGES SELECTED MERCHANDISE: Sleel Gasketed Casket Clark 7 Ga. Vault Register Folders, Prayer Card, Ack TIIE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THAT YOU HAVE SELECTED AT TilE TIME FUNERAL ARRANGEMENTS WERE MADE, WE ADVANCED CERTAIN PAYMENTS TO OTHERS AS AN ACCOMMODATION. THE FOLLOWING IS AN ACCOUNTING FOR THOSE CHARGES. CASII ADVANCES Cemetery Equipment New~pap~r Notices - Local Newspaper Notices. Out.of-town Clergy/Mass Offering Organisl Certified Copies of lhe Death Certificate Military Honor Guard Flowers Deacon Jack Paruso TOTAL CASH ADVANCES AND SPECIAL CHARGES SUB-TOTAL INITIAL PAYMENT / DISCOUNT / CREDITS TOTAL AMOUNT DUE $3545.00 $285.00 $3830.00 $2395.00 $1965.00 $179.00 $8369.00 $105.00 $324.82 $75.00 $200.00 $\00.00 $30.00 $50.00 $\85.50 $50.00 $1120.32 $9489.32 $9489.32 www.malpezzifuneralhome.com I . . , REV-'S12 EX... (1-97) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Stanley A. Covaleski. deceased FILE NUMBER 21-04-1084 Include unreimbursed medical expenses. ITEM NUMBER 1. Holy Spirit Hospital 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 DESCRIPTION AMOUNT 73.72 Associated Cardiologists 6.96 Pennsylvania American Water 15.07 Comcast Cable 42.23 PPL Electric utilities 107. 1 0 Holy Spirit Hospital 44.52 Metro Med Services 81.25 Verizon (October, 2004) 24.50 J:X)n Spangler (repair garage door) 65.00 Verizon (November) 2004) 24.50 George K. Shahinian, MD, LLC 15.24 u.S. Treasury Civil Service (refund of overpayment) 1,419.00 Kantor and Tkatch Associates, P.C. 33.84 George K.. Shahinian, MD, LLC 25.96 u.S. Treasury Civil Service (refund of overpayment) 678.88 Uni ted States Treasury (income tax due per fom 1040; 2004 ) 2,147.00 Department of Veterans' Affairs (refund of overpayment) 354.00 TOTAL (Also enter on line 10, Recapitulation) $ 5,158. 77 (If more space is needed, insert additional sheets of the same size) REV-1513 EX+ (9-00) r .. .. SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT 1. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] Lisa C.Williarns 407 Sioux Drive Mechanicsburg, PA 17050 FILE NUMBER ?1 _OLl. _1 OALI. RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not List Trustee(s) OF ESTATE ESTATE OF Stanley A. Covaleski, deceased NUMBER I child 1/3 residue and portions of Schedule G 2 Maria R. Covaleski 2106 Warren Way MechanicSburg, PA 17050 child 1/3 residue and portionsof Schedule G 3 Melissa A. Bailey Kohr 3175 Surrmit Square Drive #A1 Oakton, VA 22124 grandchild 1/3 residue and portions of Schedule G ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE llISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE,AND GOVERNMENTAL DISTRIBUTIONS 1. I TOTAL OF PART Il- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) . INVENTORY Estate of Stanley A. Covaleski No. 2004-01084 also known as Date of Death November 1 3, 2004 , Deceased Social Security No. 160-26-9090 We, Lisa C. Williams and Maria R. Covaleski, Personal Reprosentativo(sl of the above Estate. deceased, verify that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item 01 said Inventory represents its lair value as of the date 01 the Decedent's death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum Ilt the end 01 this inventory. }l;jWe verify that the statements made in this Inventory are true and correct. XfWe understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authofitlOS. Personal Representative: (~~ CW~,~ Cc G Lisa C. .Williams, Co-Ex~cutrix ~ ~ (L.. (<~--~ (o€1<<<... Maria Rj Covaleski, Co-Executrix Dated Ct., {I r 200 S- Narne of Attorney: James D. Cameron 1.0. No.: 58998 Address: 1325 North Front street Harrisburg, PA 17102 Telephone: (717 ) 236-3755 Description -/Value C'.) 1,47i30Q , ",,:'1 Miscellaneous tangible personal property (appraised value) j'-,\.) 2003 Ford Taurus SE (net proceeds of sale) 11,510.C>Q., M&T Bank checking account number 24243698 .I I 8,7Q2.87 r',,) " , 1'-, Accrued interest M&T Bank checking account number 24243698 .37 M&T Bank checking account number 98189875 27,455.94 Accrued interest, M&T Bank checking account number 2424369 11.76 u.s. Treasury civil service benefit 1 ,419.00 u.s. Treasury civil service benefit 678.88 Please see attached for continuation. Total: $722,157.83 (Attach Addi~ional Sheets if necessary) NOTE: The Memo/andum of real estate outside the Commonwealth of Pennsylvania may. at the election of the personal representative. include the value of each item. but such figures should not be extended into the total of the Inventory. RW-8 INVENTORY (continued) stanley A. Covaleski, deceased Date of Death; November 13, 2004 No. 2004-01084 Veterans Administration (benefit paid 12/01/04) United states Savings Bonds (purchase price--see attached) united States Savings Bonds (accrued interest--see attached) Mail Handlers Benefit Plan (health insurance payment for services) Mail Handlers Benefit Plan (health insurance payment for services) Mail Handlers Benefit Plan (health insurance payment for services) Mail Handlers Benefit Plan (health insurance payment for services) Coin World (refund on sUbscription) Malpezzi Funeral Home (refund on account) Holy Spirit Hospital (refund of overpayment) Verizon (refund on account) Allstate (refund on automobile insurance premium) Allstate (refund on homeowner's policy) Real estate situate at 32 Argali Lane, Lower Allen Township, Cumberland County, pennsylvania, more particularly described in Cumberland County Deed Book "X", Volume 34, Page 133 (net proceeds of sale) 354.00 108,206.25 312,614.41 15.24 33.84 25.96 1.74 21.67 100.00 44.52 10.61 27.80 123.00 249,326.97 ;l:> m:J U) tv o < tv ~ (1) (J1 -.j a.;l (J) en 0 }> $ --l Z 0 (;) ..... 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(JI~ 0:>0 -0 (1) o o (:) o ~~?J 00 III 00'; -;J2.~ wS ...>'; N'" N(l) -..... III ....."+ 0:> '~ o~ ~ Will ""'c ~(1) ..... ..... 0:> '~ o ~ - '=' J;>< ~(\) ':2: '=' (\) 0 5:2 .c:::. ~~ 'Ow :2~ ~ 0'l0'l:!: '(0 '(0 !. (JI(JIo. ~cF- Z (1) 00 )(. ~~O-:' NN~:3 gg(1)';~ (JI(JI ~~ ~-u~ -T\ f>' ~ 5S'O o 0 e.1O ~ NNO O~ ~~%~%-~ 00 E."~ fi ~- __l-- --- ~ ( Z f:31 o 0 '; ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 005474 CAMERON JAVES D 1325 NORTH RONT ST HARRISBURG, PA 17102 ACN ASSESSMENT CONTROL NUMBER AMOUNT n_n___ fold 101 $2,852.38 ESTATE INFORMATI N: SSN: 160-26-9090 FILE NUMBER: 2104-1084 DECEDENT NAME: COV ALESKI STANLEY A DATE OF PAYMENT: 06/22/2005 POSTMARK DATE: 06/21/2005 COUNTY: CUMBERLAND DATE OF DEATH: 11/13/2004 TOTAL AMOUNT PAID: $2,852.38 REMARKS: , I CHECK#1p66 I I I I ! INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS SEAL REGISTER OF WILLS Glenda Farner Strasbaugh Register of Wills and Clerk of Orphans' Court Marjorie A. Wevodau First Deputy Kirk S. Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 INVOICE Bill To: InvoiceNo: Invoice Date: Estate of: Estate No: 419 6/22/2005 STANLEY A. COY ALESKI 21-04-1084 JAMES D. CAMERON, ESQ. 1325 NORTH FRONT ST JA HARRISBURG, PA 17102 Qty 1 Fee Description Additional Probate Fee Total 70.00 $70.00 Total: $70.00 Checks should be made payable to the Register of Wills. Terms: Net 30. Please return one copy of this invoice with your payment. Thank you. 09-05-2005 COVALESKI 11-13-2004 21 04-1084 CUMBERLAND 101 APPEAL DATE: 11-04-2005 ( See reverse side under Objections) Amount Remitted I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE _ RETAIN LOWER PORTION FOR YOUR RECORDS +- REY:is47-Ex"AFP-ioi:osi-NOTICE-OF-INHERITANCE-TAX-APPRAISEMENT~-ALLOMANCE-OR"-"--------"--- DISALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX STANLEY A FILE NO. 21 04-1084 ACN 101 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE _ _ _ NOTICE OF INHERITANCE TAX BUREAU OF INDIVIDUAL ~~DFn nf[l~~ I Af'PRAISEHENT , ALLOWANCE OR DISALLOWANCE lNHERITAIICE TAX DIVISI... 'J . -,., _ -,- . OF DEDUCTIONS AND ASSESSHENT OF TAX PO BDX Z8D601 ' HARRISBURG PA 171Z8-06DI r Zrn, (Cn) - ') ..'.}"J.<__, L P""'" II ' I i ;~ . DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN CLER:< JAMES D CAtl~~cif'ESQ 1325 N FRONT ST HBG PA 17102 ESTATE OF COVALESKI *' REV-1547 EX AFP (D6-D5J STANLEY A TAX RETURN WAS: I X) ACCEPTED AS FILEO I ) CHANGED DATE 09-05-2005 I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will r~lect ~igures that include the total ~ ALL returns assessed to date. ASSESSMENT OF TAX: IS. bount of Line 14 .t Spousal rat. US) 16. A.aunt of Line 14 taxable at Lineal/Class A rat. (16) 17. AIlount of Line 14 et Sibling rete 117l 18. ~ount of Line 14 taxable at Collateral/Class 8 rat. (18) 19. Principal Tax Due RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l Estet. ISchedule A) 2. Stocks end Bonds ISchedule B) 3. Closely Held stock/Partnership Interest (Schedule C) 4. Hortgages/Notes Receivable (Schedule DJ 5. Cash/Bank Depos! ts/Misc. Personal Property (Schedule E) 6. Jointly Owned Proporty ISchedule F) 7. Transfers (Schedule G) 8. Total Assets III (2) (3) (4) (5) (6) (7) 249,326.97 420.820.66 .00 .00 51.331.32 .00 176,241. 86 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. funer.l Expenses/AcIII. Costs/ttisc. Expenses (Schedule H) 10. DBbts/HortgBgO Liabilities/Liens ISchedule I) 11. Total Deductions 12. Net Value of Tax Retu...n 13. th....ltable/Gov....n..nt.l Bequests; Non-elected 9113 T...usts 14. Net Value of Est.te Subject to Tax 35,842.44 (9) 110) 5.158.77 Ill) 112) 113) 114) (Schedule ..n NOTE: .00 X 856,719.60 X .00 X .00 X 00 = 045 = 12 = 15 = 119)= AHOUNT PAID 34,000.00 2,852.38 OATE 02-11-2005 06-21-2005 NUIl8ER CD004936 CD005474 INTEREST/PEN PAID 1-) 1,789.47 .00 ~ TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER OATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. NOTE: To insure p...oper c...edit to YOUI"' accDunt, sub_! t the \4)"1"' portion of this fo.... with your tax: PIIYllent. 897,720.81 41.001 '1 856,719.60 .00 856,719.60 .00 38,552.38 .00 .00 38,552.38 38,641.85 89.47CR .00 89.47CR I IF TOTAL OUE IS LESS THAN 01, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOO HAY BE DUE A REFUND. SEE REV~R~i:= III:.TnlC nlC TI.I"I'P P"'-" --- -.--------- BUREAU OF INDIVID~~'T~~i INHERITANCE TAX OIVISION./,j _,_I~ PO BOX ZB0601 HARRISBURG PA 171Z8-060i COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT REV-1607 EX AFP (03-05) ?'1"'r::: "'/"Q r'."~.1")3 ...uUJ L,,,) In,> r.:. DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 10-03-2005 COVALESKI 11-13-2004 21 04-1084 CUMBERLAND 101 STANLEY A JAMES ~,CAMERON ESQ 1325 N FRONT ST HBG PA 17102 Amount Remitted 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, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS ..... --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) ~~~ INHERITANCE TAX STATEMENT OF ACCOUNT KKK ESTATE OF COVALESKI STANLEY A FILE NO.21 04-1084 ACN 101 DATE 10-03-2005 THIS STATE"ENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NA"ED ESTATE. SHOWN BELOW IS A SU""ARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAY"ENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-29-2005 PRINCIPAL TAX DUE: 38,552.38 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 02-11-2005 CD004936 1,789.47 34,000.00 06-21-2005 CD005474 .00 2,852.38 09-19-2005 REFUND .00 89.47- TOTAL TAX CREDIT 38,552.38 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 IE IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. J c\f' STATUS REPORT UNDER RULE 6.12 Name of Decedent: Stanley A. Covaleski Date of Death: November 13, 2004 will No. 21-04-1084 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: within 18 months 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. si Date: 09/11/06 o. Jam Name 1325 North Front Harrisburg, PA Address Street 17102 (717) 236-3755 Telephone Capacity: Personal Representative __X__ Counsel for Personal Representative \ ~ JAMES DURYEA CAMERON ATTORNEY-AT-LAW 1325 NORTH FRONT STREET HARRISBURG, PENNSYLVANIA 17102 LICENSED IN BOTH PENNSYLVANIA AND MARYLAND TELEPHONE, (717) 236-3755 FACSIMILE, (717) 236-3655 September 11, 2006 Office of the Register of Wills CUMBERLAND COUNTY COURTHOUSE 1 Courthouse Square Carlisle, PA 17013 Re: Estate of stanley A. Covaleski, deceased No. 21-04-1084 To Whom It May Concern: You will find enclosed the original and one copy of a Status Report Under Rule 6.12 for the above-referenced Estate. Kindly file the original and return the time-stamped copy to us in the envelope provided. Please contact my office if you have any questions. Thank you. JDCjsg Enclosures cc: Lisa C. Williams, Co-Executrix Maria R. Covaleski, Co-Executrix Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (71 7) 240 - 6345 Date: 10/16/2007 CAMERON JAMES D 1325 NORTH FRONT STREET _. "J HARRISBURG, PA 17102 L.., 't RE: Estate of COVALESKI STANLEY A File Number: 2004-01084 --""~ Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 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 is due by: 11/13/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 phone: (71 7 ) 240 - 6345 Date: 10/16/2007 WILLIAMS LISA C \__ I 4078 SOUIX DRIVE MECHANICSBURG, PA 17050 -.i RE: Estate of COVALESKI STANLEY A File Number: 2004-01084 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' . COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 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 is due by: 11/13/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ...:tL .. " 1/ .kl,"{!1,ft.1..r ;;r:~_ . Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 phone: (717) 240-6345 i'.~) Date: 10/16/2007 -:~) COVALESKI MARIA R 2106 WARREN WAY MECHANICSBURG, PA 17050 RE: Estate of COVALESKI STANLEY A File Number: 2004-01084 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. 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 lS due by: 11/13/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ,p) I!/., J/I ./" .-\ l/l-1rb ,,"" f . Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel STATUS REPORT UNDER RULE 6.12 Name of Decedent: Stanley A. Covaleski Date of Death: November 13, 2004 will No. 21-04-1084 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: within 6 months 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No b. The separate orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: 10/22/07 es D. Cameron 1325 North Front Street Harrisburg, PA 17102 (717) 236-3755 u; '....,;~ .'..1 capacity: Personal Representative <. -. ~j X Counsel for Personal Representatives c ~ ~ ~ ~ 0 ~~ ~ (J\ "C""o ..- ~\\ ~; ~ .... ..... \ <It 0 - ('\ ~ - 1< 'V ~\i ~ .... 0 0 \l1 .... ~ ~ (1\ -::: ~ .... -::: p~\ ~~ % \l1 Ib - ~O 0 - H \~ ; ~ - 0:.00:. \ - ~ ~ :::~% \llO4. Ii) o<<~ << ~6' C'l g 4. ~ 0:. !f\ - \llf/lO .... ::;::::: 03..L1N('\ 00 ~ (A4\l... ~ - .... - O\JlO -. '6 r....1\- - (1\ -::: ~4.\l1 (JI - \X.(tJ (JI - .... ., \II (l) "" ::;::::: t- t-')'4. 0 .,.t \JlH'Z f) :: o:.J? (:l :: \1\ f) - 0 .... ::::::. 0 i- t-- ::::::. \;1 0 .... -. t-4 ~ )<, \-I 0 C:f\ ~ !l\ c) L ( .... J C ." ~,.j L ......' : C ":1 0 ./ ~ \0 iff 0 0 ....- r- U"\ r4 1, 0 r"- (:i. ~ ..... r- P4 0 ~ ~ - 0 \--I .... N ~ ~~ ~ - C> \.0 ~~ 'e1 r4 "1$1 - ~ (:i.U1 6 0 ~o .c"~ r4 (J) ~\--I ~... ~ :~ ~~.g~~ ~~~~~ (\) ~ m -' ~ 0" I .\..l b 00 _ i-a %.~ ro r4r:il l ...-e~:ls:. p 0 N~ " ; ~~'e1,g,< "0 e'e1~'t,p... ...~"''''o:> ~ p ~,o ~ .,;6~~] ..C>"lS\ ~ "'.,. :::;::: 'e1ou ~j - C> ... ~ 'ili ''& ~ ~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: Stanley A. Covaleski Date of Death: November 13, 2004 will No. 21-04-1084 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: n/a 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No X b. The separate Orphans' Court No. (if any) for the personal representative's account is: n/a c. Did the personal representative state an account informally to the parties in interest? Yes X No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: 04/03/08 James D. Cameron 1325 North Front Street Harrisburg, PA 17102 (717) 236-3755 Capacity: Personal Representative '''8 '\..I; " .'. ..... . ..... . _(;\ I va 'J..J . 'uQ \ ur":;'y\ ~" ;.\d,-idu .lU \UJ -..",., '..'\ "U-nl~, ::::U )\UJ .J X Counsel for Personal Representatives ,t : I }~d ~- ~d'i 9tiUl \ 1."'- .) :::.JU::Jv r' ~ '-t0i-..J