HomeMy WebLinkAbout06-24-13 (2) ..
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' �tEV-150C1IX<°�.,�)(�}'�
FA 6epartment of Revenue P�Y�Y� OFFICIAt U8e oNtv
Bureau of Indivldual Taxes �NFlBRl7ANCE TAX RETURN �0unty Code Year File Number
Pt}80X z8o6oi � � i� � 1
Fyrrisbura,pq s�ug.t�5oi RESIDENT DECEDENT �
ENTER DECEDEMT IHFQRIiAASN'N�t BE�OW
Social Security Number Date of Death MM�DYYYV Date of Birth MMDDriYv
�z»�r2o�� 08/18/1940
Decedenk's last Nartre 8u�x Decedent's First Nsme Mf
Slatick Patricia J
{If Applicable}E�br Survtvlt�g Spousa's lntormatbn Betaw
Spouse's Last Neme Suffix Spouse's First Name MI
�use s soaat 98cwity Nur�r THIS REfURN MUST BE FILEp IN OUPUCATE WITH THE
REGISTER OF IM�LS
FIIL IN APPROPRIATE OYALS BEL4W
� 1.Original ReWm O 2.Supplempntal Retum O 3. Remeinder Retum(Date of Death
Priorto 12-t3-&2)
q 4.Limited Esmte CI 4a. Future InGSrest Compromise(date of p 5. Federal Estate Tex Return Required
death aftet i2-t2$2)
O 6. Decedent Diad Tesiete O 7. Deceden4 Maintained e Living Trust _ 8. Tatal Number ot Safe DaposH Boxes
{Attach Copy ot W�i} {Attactt COpy of Trust,}
O 9. LiMgatlon Proceeds Received O 10. Spousal Prnerty CredN(Date oF Death d t1. Election to Tax under Sec.9113(A)
BeMee�12-34-91�d i-t-95) {A;tsch Sctreduie O}
CORRESPON�EN7- THIS 9ECTION MUBT BE COMPLETED.All CORRE8PONDENCE AND CONFIOENiIAL TAX IN�RMA710tl SH � � BE FOq�%
Name D�Irr�Teiepho a Num�� .
Michaei C. Giordana (m�45�1� � �"
� m
� � R OiR3MLli�F1 � N4Y
Z � x ..4 � `st .
IFirst Line of Address � p -r`�j � � �
' 221 W. Main Street •° � t'' � p
Second line of Address � � � 'a .
Gty W'PaS4 OK�CB SYetg Z�p{,pdg � DA7E FIIED
Mechanicsburg PA 17Q55
ccrresponaant's e�ma�t aa+drase:m9iordarra�iordanotaw.mm
UiMer peneltles ot pe�jury�1 Aeclare ihat 1 have e�nit�mQriis reWm.indudinS�Y�Q schetlWsa ard s�menia,a�W In k»Oeat of my knovAedga end Delief.
k ie trua,cnrtect e'M com{Ne�.Da.teretioee a1 preperer atliet thsn fhe personsl represenleliva is baeeA on aii inbrmation W whbh preparer hes any knowNndge.
SIGNATUR F PE SON R E F N.ING R@TURN �/%�J/�
A
� �
169 t3td Wiliow Mi Road,Mechanicsburg, PA 1705Q
S §�E O�F tH�EPAR�OTHER TF Ay REPR ENTATIVE DATE
��Y!/�Lf'���d e.�[ �. q?�hL ,'�F g�,r,,.�y 06/1�I2013
11pDRE55
221 W. Main Street, Mechanicsburg, PA 17055
Pt@Aa8 USE QitlliiNRL RORM OMtY
Sida 7
� 1505610105 1505610105 J
J ��a�b�o�o5 _
ftEV 1590 EX{FI) ��t,�����e�
oecatenre Nema: Pd#fiCla J. S{Btlek
RECAPf7'UTATtON
'1. Reai Estete(SChedWe A). ............................................ 1. O.�
2. Stocks and 8onds{3chsdule Bj ....................._................ 2. (1.��
3. Cias�y Hefd Carporakbn.PaMerst�p or Sale-Proprielnrship(Schedule C) ..... 3. 0.00
4. Mortgeges and Notes Receiva�(Schedule D}........................... 4. 0.00
5. Cash.Bank Deposita and Mis�iisneot�s Personai Praperry(SCheduis f}....... 5. 6,922.00
s. .roimiy ax„ee Propeay{schedu�e�> o aequestea ....... s. 1,565.76
7. IntervVivos 7ranefers&Mlacellaneous Non-ProbeCe Prpperty
(Sd7edula G} O Sepecflte SlNing Requ6sted........ 7. 0.00
� 8. Tata{C+rasa Araais{fotaF tinea 1 throu�T}............................. 8. 8,+18T.7$
� 9. Funeral Expenses and AdmfnistraHve Cos4s(SdwdWe H)................... 9. 14,921.54
1 p. Debts o/Dacedent.Mortgege Liab�ities arM liena(Schedule 1}............... 10. 1,'�7�.6�
� 11. Total DeducHons itotai Lines 9 and 10j... .............................. !1. 12,08b,20
12. NaC Vatw o1 EWta(Line 8 mtNYts Line N}................ ... ........... 12. -3,8U7.A4
�� 93. CharHabie ar�G Govemmsntel gyequestalSec$113 Trusts for which
�. an aiection ro tez haa not 4eerr made(Scheduie J) . ... ... . .. . .. ... ... ..... 13. 0.00
14. NM WIwSu�ct W Tnt(LMe;12 minus Line 13) . .......... .. ... ....... . 54. d.00
TAX CALCUTATION-SEE INSTRtlGT10N3 FOR APPtiCASl.E ftATE3
15. Amaunt of Line 14 krxable
- at the sqwsai tar�rate.a
trensfers urWer Sec.9118 0.00
� (a}(12}X.0_ 55. 4.00
� 16. Amount of Lirre�14 taytable ' ¢.� 1$. �.a�
� ai Ilneal rate X.0�
17. Amount of tAne 14 taxable
atsibRrigrate X.t2 a.00 �7, O.fl�
7$. Amamt of Line 14 texable
� at coileterai rate X.15 a.� i8. �.0�
is. rn�C ou�E .... ..... ... ... ... ... .. ... ............................... t9. 4.00
26. FII,I.IN THE QVAI iF YOU ARE REQt/ESTINB A REF43lId!t7f AN{rit6RPl4Yf1ENT Ct
_. 81d�-�'
, _ _. _..___ __��.�:.._. __. _,. . _ ._._ _
� ]r5�Ir8�� 1Sd56I�t'i�t}5 �
.
ftEV-1500 EX{PI}'Page 3 Fila Number
Decedent's Cpm�lete Address:
D CEDENT'S NAME
Patricia J. Sfatick
STREETADDRESS ��������� �
32 Hazet Caurt
ClTY �'� - STATE ZiP
Mechanicsburg PA 17050
Tax Payments and Credits:
1. Tax pue(Page 2,Line 19) (t) 0.00
2. Gredits/PaymeMs
A.Prior Payments
B.Discount
�� Tatai Gr�llts(A+g} (2}
3. Interest
(3}
4. If Line 2 is greater than Line 1 +Lina 3,enter the diflerence, This is the OVERpAYMENT.
Fii!In oval cn Page 2,Line 26 to request a refund. {4}
5. If Line 1+(.ine 3 is greater ihan L1ne 2,enter the drfFerence.This is the TAX DUE. {5) 0.00
Make check payable to: REGISTER OF WILLS,AGENT.
PLEASE ANSWER THE FQLLOWING QUESTIBNS BY PLACING AN "X" IN 7HE APPROPRIATE BLOCKS
1. Did decedenf make a transfer and: Yes No
a, retain the use a income of Ehe property Uansferred.......................................................................................... ❑ �
' b. reGain the right M designate who shall use the property transferred or its income ............................................ ❑ �
c. retain a reversionary interest......................................................_...................................................................... ❑ �
d. receive ihe promise for life of either payments,beneAts or care7...................................................................... ❑ �
2. it death oceurred after Uec.12,1982,did decedent transler property within pne year of deaih
wilhout recelving adpuate cansideretbn?.............................................................................................................. ❑ �
3. pid decedent own an"in frust fqr"or payable�upon�deattr bank account or security at his or her death?.............. ❑ �
4. Did decedent am an individuai ref�ement accaunt,annuity w other non-pmbste praperty,which
contains a beneficiary deslgnation? ........................................................................................................................ ❑ �
IF THE ANSWER TO ANY OF THE ABOYE QUESTIONS IS YES,YOU lAUST C4NPLETE SCHEQULE G AND FIlE I?AS PART OF THE RETURN.
For dates of deafh on ar after Juiy 1,1994,and before Jan.1,1995,the tax rate impased on the net vaiae of transFers to or Por 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 ta�c 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 s#atutary requ(remer�ts far disciosute of assets and
filing a tax retum are still applicable even if the surviving spouse is the only beneficiary.
For dafes of death on or after July 1,2400:
• The tar rate imposed on tlte net value�Vansfers fram a dece2s�child 21 years of age or}rounger at death to nr for the use of a naturai parent,an
adoptive parent or a stepparent of the child is p percent[72 P.S.§9116(a)(1.2)].
• The fax rate imposed on the net value of transfers to or for the use of the decedenPS Iineai beneficiaries is 4.5 percent,except as noted in(72 P.S.§9116(a)(1)�.
• The taz rate imposed on the net value a1 hansfers ta�for the use of the decede�t's siblings is 12 percQnt[72 RS.§911fi(a}(1.3}j.A sibling is defined,
under Section 9102,as an individual who has at least one parent in common with the decedent,whether 6y blood or adopGon.
,
REV'15o8 EX+�ti8-izJ
� pennsytvania SCNEDULE E
YT °E°"nTMe"TO�"e�r�uE CASH, BANK BEPOSITS & MISC.
,Nr+eurnrxe raK at�uaru PERSOPlAL PROPERTY
RFSI6EM'DECEDENT
ESTATE OF: FILE NUMBER:
Patricia J. Slatick 2073-�0067
Inciude khe prpceeds o(litigation and the date the proceeds were received by the estate.
All property jaindy ow�eed witb Nght of wrvivorahip must be discksed on Schedule F.
1TE�M VALUE AT DATE
NUMBER pESCRIFTi4N OFDEATH
1. Metro Bank Checking Account#3131298001092144 1,922.00
2, Mobile Home{Duke 1979 Model}Iflcated at 32 Hazei Court,Mechanicsburg,PA 17054 �.ppp,pp `,
3, Nyundai Axent 3 Door Goupe GT with 40,754 miles;VfN#KMNCG35C75U334969 3,000.00
�
TOTAI(Also enter on Line 5, Recapitulatlon) # 6,922.00
If more space is needed, use additional sheets of paper of the same size.
REV-15tl9 EX+�oado)
�pennsylvania SCHEDULE F
DEpARTMENTOFpEVFNUE )OINTLY-OWNED PROPERTY
1NHERIfANtE TN(RE7URN
RESIDEM DECE4ENT
ESTA7E 4F: f26E NUMBER:
If an nset became�oindy ownad within one yaar of khe decedenCs date of deaCh,it must ba reported on Schedule G.
SURVIVIN6 70StdTTENANT(5}NAME(S} ADDRESS RELATIONSNIPTO DECEDENT
A Leslie J. Shadle 169 Oid Willow Mili Road Daughter
Mechanicsburg, PA 17050
B. � . . _ . .. . ..
C. . � . . . . - . . ..
,70IMTlY OWNED PROPER7Y:
�E7TER DATE DESCRiPfION OF PROPER7Y %OF on7E OF oEnnTlt
ITEM iQR J41RT NA6E SNCIt@�E NAME#tT!lA�fAL iNSTtiUiZPN AtiB BPNK ACC9UNi NUPieEtt 4R SAtIUR DATF OF DEA1H DEC�ENT'S VAtk�OF
NUMBE0. TENAM lOiNf WENiIMNG NUMBER.ATTACH OEED WR]OINTLY HEID REAI ESTAiE. VALUE OF r155Ef INTERE �CEDENT"S INiEREST
�. A. O6Y2tHT 3,139.51 � � 50
TOTAL(Also enter on Une 6,Recapitulationj ;' 1,565.76 "
If more space Is needed, use addition�l sheets of paper of the same size.
REV=1511 EX+'(1tl-09)
�pennsylvania SCHEDULE H
aEP""i"E^"t°F"�E��E FUNERAL EXPENSES AND
'""E"'T""�T"'��" ADMINISTRATIVE COSTS
ftESIDEM OKEOENT
ESTATE OF FItE NUMBER
Peaedant's debts must be reported an Schedule I,
ITEM
NUM6ER pESCR1PTI0N AMOUNT
A. FUNERAL EXPENSES:
1' Stone&Murray Funeral Home,New Cumberland,PA 6,75I A4
2. Rolling Green Cemetary 3,144.OQ
a. AdMINI57RATIVE C4STS:
1, Personal Representatfve Commi551pns � �� � �2��.$�
Name(s)of Pereonal Representative(s) les�ie J. ShadlB ��
Street Address 189 Wi�low Miil Road
�ity Mechanicsburg ��_ --� �_T state P?ZiP �7050 '—
Year(s)Cammissian Paid: 2013 �_ �_
2. Attomey Fees;
400.00 `
O.QO ,
3• Family Ecemption:{If GecedenYS address is not the same as claimanYs,attach expianatlon.} , .,
Claimaot
Street Address__ ___� _
CitY_.-�-- _,.-- -�.,---.—State__ZIP_
Relationship of Claimant to Oecedent
4. Probate Fees: 343.56
5. Accounkant Fpes: Q,pp
6. Tax Retum Preparer Fees: ... . . .... ... ..�.�0 �.
?. � - . . _ . . .. . . ,. . ....
TOTAL(Also enter an Line 9, Recapitulationj f 10,921.54 `
If more space is needed, use additional sheeks of paper of the same size,
REV'15f2 EX+'(12-7.2}
� p�nnsylvania SCHEDULE I
DEPaR7MEMOFpEVENUE DEBTS OF DECEDENT,
cNn�nnrace rnx aEruRx �QRTGAGE LIABILITIES Bt LIENS
RESIpEM DECEPEN7
ESTATE OF fILE RUMBER
Patricia J. Slatick 2D13-Od067
Report debts inarred by the deceQent prior ta death thak remained unpaid at the date of death,including unreimbursod medical expenses.
�ry�M VAIUE A7 DATE
NUMBER DESCRIFTIOH
OF QEATH
1. PPL Bills
144.85
2. Stone Mil(Properties:l.ot RenE(or hAobile Home 7fi5.67
3. HeaGng Oil for home 1$4.95
4. Water Biil .
57.09
5. Foremost Insurance Prop. 21 �a
� ,
TOTAL(Also enter on Line i0, Recapitulation) S 1,173.66
Sf mare Space is needed,insert additional sheets of the same s(xe.
N' �
�F �
J''j {� t4(i
. .� vv411f�t�+{.��'1����1�5�{ ri*i4t�. .
RE�ISTER OF WILlS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSY�VANIA
No. 2d 13- 00067 PA No. 21- 13- C7067
Estate Of: PATRIClA SLATlCK
(F+(SL Mitldk,LeSt)
a/k/�; PATR/ClA FISHER PATRICIA BOYER
Late p�. MECHANtCSBURG BQROUGN
CUMEERLAND COUNTY
Deceased
Socia2 Security No:
WHE'REAS, on the 29th day of January 2013 an instrtament dated
August 22nd 20I2 was admitted ta probate as the Zast wi21 of
PATRlCIA SLATICK
(FUS(,Mfddie,Last!
ajkja PATRlCIA FlSHER PATRICIA 80VER
late of MECHAN/CSBURG BORC]UGH, CUMBERLAND County,
wha dierT fln the Z7th day of December 20I2 and
WHEREAS, a true copy of the will as probated is annexed hereto.
� THEREFORE, I, GLENDA �ARNER STRASBAUGN , Register af Wi2Is in and
far CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I haue this day granted Letters TESTAMENTARY to:
LFSLIE SHADLE
wha has duly qualified as FXECUTOR(RlX1
and has agreed to administer the estate according to 1aw, a.11 of which ,
fully appears of record in my office at CUMBERLAND COUNTY CDURF HOUSE,
CARLISLE, PENNSYLVANIA.
IN 1"ESTIMC7NY WHEREOF", I have hereunto set my hand and aPfixed the Seal
of my office on the 29th dey ofJanuary 2t?13.
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**nin?'TS'** aT.T. T7T1MT?C �i31'�VF. APi?RA77 /pTR.S'T. M7rJ17.T�F;. LAST)
Last �II and Testament of �?ti� � . � � �� ;� . � � �-} � k�
t,_ �"�� . � , � j • S l c } � �L _,whose address is 3 Z l-{k Z� � C � � (.P
e� � � '' r A ��-�'_Z , declare that this is my Last Will and Testament
and I revoke all previous w' ls.
My maritai status is that � � �/ ���
I have �J child(ren) living. My child(ren)'s names, addresses, and birth dates are as follows:
�esl:�n v - 5h=.�l.z �% � ZZ" S`j
Pen�
F, sh� � - 1 �-�-G��
i �. << a � � w �i � ��w t�,, i � (��l �I
Y� ctn � (� I � asL p
� 4 (l M �-;,� S�'�
p�ri' Tc- evo�i-�n IR I�1 �5(0�(
C�r I� •. �
� sh�` iz-a �- �G�
('�� I5�- �;_;
t-( � S c�c� C'��r cA ._. ;�
c ``' m rn
:� ° �- � o
S�h , � Qwsb �,r� QA i �2 �� � �� -
m � c> ' N a
� z,. r F-� rn n��
� ,,_ rn� .� __. 0
-� V; ;x cn
<, �.� -:t
�.:� �> �� T _,.t
S ,-� r.� .�:: ..__ rt�
I have grandchild(ren)living. My grandchild(ren)'s namas, addresses,an lii�th dates�are as-fdllows:
�
ti�}ci,ce..� L- Sh�.c�(Z 3-2Co• �7 '' ' - :f, �
(�J c�:'�-� F• S�zJ' � '� �]'C 7
l 3 o E CH,..bul��c� S+
[—,.�1;;. P�- `-l � SG ��, �{.���I 5�'
S1� ' � pz�5h ��.� �' 9 � � zs7
i�� � l� E st��.�ilz i o��- <1�
� �;, �-, a��l �-1���, m•+ l K�1
�,,,, � t� p!� l �u�C Z v-i,�z'� ��S�2/'
�u��� C Si��:�I� g -3�'Uc
1cs `� Cv�i,� t,v.�<<.w t''�. t� (ZU�
� � � (��} 17G��0
Page� of�pages Testator's initialsl:�-�-,,,
skNOVA ��wm wicniidreos rr�st aa.�roz-ov�
I make the foliowing specific gifts: f���
I give ali the rest of my property,whether rea! ox persanat,wherever located,
to �..aS1 . 2.��a��2.. , mY� r�..s.u�,�t�2r orifnot
surviving,to , my
All beneficiarias named in this will must survive ma by thirty(30}days to receive any giS under this Wili. If any
beneficiary and I should die simultaneously, I shail be conclusively presumed to have survived that beneficiary for
purposes ofthis Witl.
Iappoint La�\.�.. 3 � 5���� _,any t.,'�i.tu.��� �,
of
as Executor,to serve without bond. If not surviving or otherwise unaUle to serv�e,
I appoint ,my
of
as Alternate ExecuGor, also to serve without bond. In addition to any pnwers, antl�ority,and discretion �ranted by law,
I grant such Execufor or Alternate 6xecutor any and all poweis to perf'orm any acts, in hislhar sola discretioc7 and
Page�._of�pages Testator'sinitials � �
'i�'NOVA K307 WII w/Chiltlren5 TruaY Pg. f02-09)
.. 8 'i;1�4�X� t
• � w�th�ut court approval, Por the management and�listribution nf my estace,inciuding independent admi�4i's �' ,.• .
estake.
If a C�t�ardian is needed for mylany of my minor chitd(ren),
I appoint Y N t(�' ,___, ,mY
of
as Guardiatt of the person(s)and property of my/any of my minor child(ren},to serve without bond. If nat surviving,
or vnabie to sarve,
I appaint N�rf} ,my
of >
as A(ternate Guardian,also to serve withaut band. In addition to any powers, authority, and discretion granted by law,
I grant such Guardian or Alternata Guardian any and a11 powers ta perform any aets, in hislher sole discration apd
without court approvai,far the management and distribueion of the property of mylany of rny minor child(ren).
If my/any of my child(ren)islaze under years of age, upon my death,I direct that any property that I give himt
herlthem under this Witi be held in an individual trust far myleach child(ren),under the following terms,untii helshel
aaoh shall reach years oE age.
In addit'ron,
I appoint /� /�t~ _, my,^,
of ,
as Trustee of any and ali required trusts, to serve without bond. If not survrving,or atherwise unable Eo serve, then
I appoint N �}i >�nY
of
as Atiertsate Trustee,also to serve withaut bond. In additian to aTl powers, authority,and discreuon granted by law,
' I gracrt such Trustee or Alternate Trustee ful!power ta perform any act, in histher sole discreiion and without caurt
approvat,to distribate and manage the assets of any such trust. In the Trustee's sole discretion,the Trustee may dis-
tribute any or all of the principal,income,or both,of any such trust as daemed neccssary far the beneficiary's health,
suggort,weifare,and aducatian.A�ty income nat distributed shalt be added to the trust principal.
Any such trust shat( terminata when the beneficiary reaches the required age,when the benefieiary dies prior ta reach-
ing the required age,or whea all trust funds have been distcibuted. Upan termination, any remaining undistributed
principai and income shall pass to the beneficiary;or if not surviving,to the beneficiary's heirs;or if none,to the
residue of my astate.
I pubtish and sign this Lask Wili and Testament,consisting of__�_,'�fewrizten pages, an
�uc 27-- ,20 ( 2- , and dectare tliat T do so freely, for the purposes expressed,
ander co�undue influence,and that I am of sound mind and of Iegal age.
//7 � l �
����r � • -�Y� ,l,L� �c�� c . t l L )- S E c�rt"• c.
Signature of Testetor �— Printed Narne of Testator
We,the undzrsigned,being first sworn on oath and under penalty of perjury,state that:
Page�of�pages Testator's initials�;�����
'p�'NOVA K307 W�1 wJChiWrens trust P . {�2-�
, . , _ _
On l �-` �a �4"'�' 2"�. , 20 �2 , in the presence af a11 of us, the above-named Testator pub-
lished and si ned this Last Will and Testament,and then at Testator's requast, and in Testator's presence, and in each
othex's presence,we atl signed below as witnesses, and wa declare, under penalry of perjury, that, to the best of our
knowiedge, the Testator sigsaed this instrument freeIy, under no constraint or undue influence,and is of sound mind
and iegal age.
�, �� ' � �a y�,� ' Y�,,G��r �t't�ir�'"/ —
5�gnat of huess#1 4) SignaC—nce�Wiknea��
..�tk����k���.t ��__._ ���� �,�v�,�r�t
Printed Name of Witness# Printed Nam of Witness #2
—`� i�._S+r' �r��t +�{" __f_.�.1� /!L. t i.�M1.. I � � \��li��/ !\� ��ti:1 �Tf��!�J j'" YI �73'(��
Address af Witness#3 �'(� Addcess of Witness#2 �
� �
3 atare of Wr ness �
���c.. +"� _ �:...�r�.t��-�.t"
Printed Name of Witness#3
5'3t� �u�-�.�,., �r.�, �v1ec�,�� t`�c�35
Address of Witness#3
Notary Ack�nowledgment
State af !`��Y1�,'��lrC�r^f {�p.., CounCy of ' �Cir'1(�
On,������j��-���, 20___��__, the Testator (�- -C'i �Cx � �I(1'� ! Gk. ,
and s._..���l f"T'�..a t [�t , ( £-�b�I �t i>Y`T-�{i'<'C`
�„�(�in,{'�(#_ i"� , �['z Y"��2�y�_,tha witnessss,personalIy came before me and,being duly
sworn,did state that they are thc pe sans described in the above document and khat ihey signed the above docume�k in
my presence as a free and vnluptary act for the purposes scaked.
�. �C�C..nlz� t�l,,��,,,_
gna re ofNotary Public ,��
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CommhNbn � IC14
Natary Public, Xn .
and fdr the County of��y���[�(�����}Cy�.�.S�date o€ �o �1 Y1." i �,t��.
My commission expires: � �t�..,��_ Natary Seal
Page�of�pages Testator's initials�R�-,-fs„'
'�'NC1VA K307 WIII w/Chilclrens irust Pg.4(02-09)
FEDERAL ESTATE TAX RETURN
FORM ?Q6 NC?T REQUIREQ
DUE Tt) SIZE QF EST�►TE
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i
In the Court af Common Pleas of Cumberiand County, Pennsylvania
Orphans' Court Division
-----------__=__°----------------------------°----------------------------------------
REPORT AND ACCOUNT IN SETTLEMENT OF ESTATE
Estate of Patricia J. Slatick, Deceased. File No. 2013-00067
-----------------------------°-------------------------------------------------------------
The undersigned, autharized by this court ta act as the Executor of the above entit�ed estate, reports
and accounts as follows:
1. There has come into my possessian the foNawing personal property of the deceased, which has been
converted inta cash in the amounts indicated:
ltem Value
"Metro Bank Checkinq Account# 3131298d01d92140 �1.922.00
�Mobile Home tDuke 1979 Modei) located at
32 Hazel Court Mechanicsbura PA 17050 $2,000.00
*2005 Hvundai Accent 3 Door Caupe GT
t4d 750 Miles) ViN # KMHCG35C75U334969 $3,000.00
"Joint CD at Mellon Bank A/C# 7700177950
tioint with Lesiie Shadle) $1,565.76
Total value af personai property and eash: 8 487.76
2. All of this personal property and cash has been disbursed or distributed as follows:
Item or Cash• To Whom Nature af Debt or Expense Amount
Stone & Murray Funeral Nome Funeral 5ervices �6.751.00
Rolliny Green Cemetarv Cemetarv Piat $3.144.00
Cumberland C#v Reaister of Wiils Probate fees � 128.50
Leslie J Shadie Executar commission � 282.98
Sho�t certificate filing $ 5Q.00
' Sentinel Estate notice � 140.06
Law Journal Estate no#ice $ 75.04
Michael C Giordano Leaal Services $ 350.00
PPL Electric utility $ 144.65
Stone Mili Properfies Lot Rent � 765.67
Oii Comaanv Heating oil for home $ 184 95
Stone Mill Properties Water bill � 57.09
Faremost Insurance Prooerty Insurance $ 21 30
Tatal va�ue of personal property and aash disbursed: 12 095.20
Receipts or canceled checks showing the payment of expenses of administration, disbursements, or
distributions are annexed.
3. No part of the estate of the decedent remains in my possession.
eoutor: Lesl' . Shadle
C{}MfNONWFA�TH,OF PENNSYLVANIA }
• • } ss.:
COUNTY OF CUMBERI.AND }
l.esiie J. Shadle, as Executor af the Estate of Patricia J. S(atick, being duly swarn, depases end says:
i have read the foregaing Report and Accaunt and know the contents thereof; the matters and #hings therein
stated are true of my own knowtedge; the foregaing Account is in aii respects just and true and contains a
fu!!, particular and true account of ali money and property of the deceased coming into my possession; and
the adminis#ration expenses, disbursements and distribution shown have been actua(ly made for the
purposes and reasans therein stated.
,
xecutor a ffian#:
Leslie J. Shadle
Swarn to before me on June 13, 2013
COMM6NWEMTN 8f MENN3Y4VANIA
1 �^y TtOTARiA1 SEAL
� �r,��,X/��Ia�,,, Micbeal C.Giordano,Notary Public
%'�v� ' —"�''��i �C�+'R.. Cumberland County
Notary Pubiic My Cpmmlfelort Expirl5 3qnYOty 72,2014
SECTION 1 DETAILS:
Q�CEQENT'S PRUPERTY MARSHALLED
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ES7A7E OF PA7RIClA J SLATfCK
LESLIE J SHADI,E
EXECUTOR
t fi9 flLQ Vt+tt„L4W MILL RD
kvlECHANICSBUR�PA l705d
We`re hare 7 tlays a we�lc,24 hoius a day at t-888-93T-ODU4.
� ESTATE GHECKlNG
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Transacti�ns By Elate
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itenrg.tlerwt�wM an'E"are aiecironic ewiss.slW wNi nbt heve e cheqk imege. I�ems tlenoled wi(h an""indicaW�prpcessed chedcs out ot eequenea
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Be,in,zang ApriC 1,24i9,Netra 8ank is enhatseing youv banking a�cparkence anca againt You will bnr abls W ide�H,lty
check:>ynu haue writlen{check number and doifar amount)as ihey are presetrketii#ot payment dndnp ihe day
thruug h Mekro Online Banking and Benk by Phpne.The amount wH!tre s�ducEed frbh�your availabte account batance
thc: sa�ne businesa day pre�essing baglns. In addltlon to vlewing cheaks as thay proceas,you now�ein ths abilCty to
frar}sfer funds ar make a cash thppsit dur3ng#hat busi�ese day to avoid potentiei pveirdraft taes.If yot+hava
qucsti<1ns,ptease cantact us at 588.937.OD44.
Si�n uu now for Direct Depasit!
k's she safe,quick aod easy way to get payrnii and ocher Inaome p�yments rtght in#c your Metrp Bank Chscicit�g-or
Savings account.!f you reca7va Soctat SecurFty,VA ar ather iadsral bensflfs hy papsr check,you wlil bs vaquiead 6y
the U.B.Oepartment of the Trea�ury tn switch ta electro»ie payment by Nlaroh 1,2813.Talk ta us aboat signing up far
Oirec#Deposit todey!
� Stay connected to Metro Sank an Twi#tar and Faceboakl
� 7witter-Follaw us�My_MetroBank
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� Facebook-Like us at facebaok.comlmymetrobank
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�� ..,�������,���agree to purahase the I}uke 1979 mobile home as is for
$ Z,00 .00. T have agreed to remove the mobile home located at 32 Hazei Circle,
Mechanicsburg PA 17050 no tater then Feb. 28`h,2t}I9. The removaI af tha trailer is my
soul responsibility. If any darnages occur durin,;removal of the mobile home I will be
responsihle.
I agree Co natify Stonemiil Properties at 717-367-S1b9 of the ackual date the traiier wiil be
removed fmmproperty and sahmit any docutnents needed as proof af ramavat. This
could include Traiier tstle and mave perrnit.
--...,
Si�sature. �,,.__ r,J
Data: `� — L ""' i
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the mites on dama9�? Y ._--- N'�
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�thl�vehic�s hsue� ae ,oY�d? N� {�'L
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sirba9s sver to be remaved?
Hc�e t��ec}utpment that is 9�ing ��`�
ts tn�
�ola curren�iy peedq
����palrs daes this veh"
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Pr�Ma7c t)nL'rne
Vehicle Info 1 Apprais�t Sheet
ec�u��nn�ta�`
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Are the rniies on thls vehlcie aocurafe? Y� N
Has this vehicie ever been damaged? Y_„ N� Describe
Does this vehicle have a Safvage or Branded Titie? Y�,,_,,, N
Have the sirbags ever been deployed7 Y_. N
Is fhere any equipment that is going to be remaved7 Y_ N
What repairs does this vefiicie currenily need?
SECTIQN 2 DETAILS:
DISBURSEi�IENTS
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Michael C. Giordana
rlltorney d�°Counselor at Law
221 W. Main Street#1
Mechaniosburg,P�nnsylvania 17055
Phone:{71?}745-ti144 Facsimiie: (?17}745-4174
June 18, 2613
Glenda Farner Strasbaugh
Register af Wills
1 Courthouse Square
Room 102
Carlisle, PA 17013
Re: Esta#e of Patricia 7. Slatick
File Number: 2013-Od067
I3ear Ms. 9trashaugh:
I am pleased to enolose the following items in connection with the above referanced
Estate:
1. Inventory
2. Status Report pursuant to PA O.C. Rule b.12
3. Informal Accounting of the Exeoutor(sent to all parties of interest}
4. PA Inheritance Taat Return REV-1500 with all relevant schedules and
attachments.
With thesa filings, I believe this Estate file can now be closed. I woulfl appreciate it if
you aan return Lhe cogy of this Ietter inciuded(with stamped self-addressed enveloge}
indicating that the file has npw been closed. 3hould you haue any questions, please
advise.
Very truly yours, .
/i�� <���'���.�
�
Michael C. Giordano
CC: Leslie J. Shadle
www giordanolaw com
meiordano a(.,�giordanolaw com
Glenda Farner Strasbaugh
Register of Wilis& �-
C3erEc of Qrphans' Court pne Caurthause Square
Carlisle, PA 17013
Marjorie A. Wevodau
Pirst Deputy Phone:{717}240-6345
�� � r��„� -
Kirk S. Sohonage,Esq.
� � �"' ^,� Fex: (71'7)240-7797
Solicimr
OFFICES OF
Register of Wills and Clerk of the Orphans' Court
County of Cumberland
Date: <)UC1� �� . :ZC}I.�
We are unable to process the enclosed docurnent. It is being returned to you for the
faliowing reason:
❑ Must be filed in duplicate.
❑ Did not include tha filing £ee of$ (Made payable to
� Register af Wills)
O Did not include the research fee of$5 per name (sea Request£or Research form.
atkached).
❑ Ypur Inheritance Tax paynnent has been processed. You wil] find your receipt
enalosed. �!l'"
C�'rOther: There are just a few things we need from you in order to process your � �
request. In order to f le the Inheritance Tax Return it rnust be filed in.d}+ejlicate.
1"here is also a$25 filing fee to fite an Informal Accouni in our offic�� And the
Status Report was not signed.�/
I want to mantian ta yau tha2 Ztried several time ta yau're your offiee at the
number pravided (717-745-4160) and every time it rang then dis onnacted me.
J C�,.
i �
�'' t � �/ � � ln�it v�E'nce�t �c°,
If you have any questions ar concerns,please call th�e at 71 240-6345 between
$:00 a.m. and 430 p.m. ��,�-� I�,rU �� ��„� "�t
� Y ��ncr
�1/�^�`�" A- ` �
Michael C. Giordano
Attorney d�Counselor at Law
221 W.Main Street#I
Mechanicsburg, Pennsylvania 17055
Phane:{1]7}745-426Q Faasimile:{717}745-417�
June 21, 2013
Glenda Farner 3trasbaugh
Register af Wiiis
1 Courthause Square
Room 142
Cazlisle, PA 170t3
Re: Estate af Patricia J. 5latick
File Numl�er: 202 3-00067
Dear Ms. Strasbaugh:
Further to rny letter dated June 18�'and your response letter dated June 19�h, I am pleased
to now enclase a revised filing containing a second capy of the PA InheriYance Ta�c
Return REV-150Q with ali reTevant schedules and attachments; the check for the$I S.Op
filing fee for the Informal Account and a signature an the Stahis report.
I apoiogize for these oversights in my eaziier letter. I beIieve this Estate file is now
complete and can now be closed. I would appreciate it if yau can return a copy of this
letter in the enclosed stamped self-addressed envelope indicating that the file has now
been closed. Should you have any questions,pleasa advise.
Very truty yours,
Michael C. Giordano
CC: Leslie J. Shadte
RECEIYEll AND FILE CLOSEDc
Cumberh►nd Caagty Bcgmter uf Wiilw
Dated•
I
�W.��o�a�o�aW.�n�,
m�jQrdano(a�giardanolaw com
Michael C. Giordano
Attorney e'r Counsetar ttt Lmv
221 W. Main Street#1
Mechanicsburg,Pennsylvania 17055
Phona:{717}745-4160 Farsimite;(�1?}745-417A
June 22, 2023
Glenda Farner Strasbaugh
Register of Wills
1 Courthouse Square
Room 102
Carliste, PA t7013
Re: Estate of Patricia J. Slatick
File Number: 2013-00467
Dear Ms. Strasbaugh:
Further ta my lettar dated June 18�'and your response letter dated June 19�', T am pleased
to now enclose a revised filing containing a second copy of the PA Inheritance Tas
Return REV-15d0 with all relevant schedules and attachments; the check for the $I S.Od
filing fee for the Informal Account and a signature pn the Status report.
T apolagize far these oversi�hts in my eazTier letter. I beiieve this Estate fiIe is now
carnplete and can naw be closed. I would appreciate it if yoix can return a copy of this
letter in the enclosed stampe8 self-addressed envetope indicating that the file has now
been closed. Should you have any questions,p2ease advise.
Very truty yours,
�f/����"�'t � n �- '"*so
������r�� rn
Michael C. Giord�Y� c �r"-„ �
0
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CC: Leslie J. Shadle � n r"- rv ;�n m
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