HomeMy WebLinkAbout09-06-13 a �
J 1505610101
REV-1500 EX`°'-'°> �'
OFPICIAL U8E ONLV
PA Department of Revenue PQ^��'��� CouMy Cotle Yeer File Number
Bureau of Indivitlual Taxes INHERITANCE TAX RETURN ������� � � �� ���� �� �� ������ � ���
ao soxzsoaoa 21 OS 0989
Harrisburg PA 17128-060i RESIDENT DECEDENT � �
ENTER DECEOENT INFORMATION BELOW
Soclal Securily Number Date of Dealh MMDDYYYY Date of Birth MMDDYVYY
05/01l2008 02/10/1952
Decedent's Lasl Neme Suffix Decedent's First Name MI
MARCH, II RICHARD A
(If Applicabb)Enbr Surviving Spouae's Information Bslow � � � � � � � � �
Spouse's Last Neme Suffix Spouse's First Neme . . MI
MARCH CHARLOTTE A
Spouse's Social Security Number �
THIS RETURN MUST BE FILED IN DUPLICATE WRH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
� 7.Otlglnal Retum O 2.Supplercrenlal ReNm O 3. Remeinder Ratum(dete of dealh
pnorto 12-13-82)
O 4.Limited Estate O 4a.Future Interest Compromlae(date of O 5. Federel Estate 7ex Relum Required
deam ene��a�z-ez�
� 6. Decedent Died Testate O 7.Decedent Maintained e Living Tmst 0 8. Tolal Numher of Safa Deposit 8ozes
(Attach Copy of Will) (Altach Copy of Truat)
� 9. Lkigalion Praceeds Received �O 10.Spousal Poverty Cradit(dete of death O 11. Election to tex under Sec.8113(A)
belween 1231-Bt end 1-1-95) (Attach Sch.O)
CORRESPONDENT- THIS SECTION MU6T BE COMPLEfEO.ALL CORREBPONDENCE AND CONFlDEN'flAl TAX INFORMATICI�I§HOULD BE DIR�67ED T0: ;.ct
Name DaytlmeTef3Ah�e_NumbeY-' �� �''��
C"a
GILBERT M. MANCUSO (610) 37�7�1 _� `�'
u � �.:i
ma: c. , �•,
REOIST � -YrILL3 l�E ONLY `'�
y �- ._ �:
a� u: ;%� c �.
Firet line of address � �' �% `� " �
. {� ��� . _-) '�
BRUMBACH, MANCUSO ETAL � �_� r-• -= +�`
.
� N �_ �.
Second line of address � � �
P.O. BOX 8321 �
Ciry of Post OfifCe State ZIP Code DnTE FaED
READING PA 19603-8321
CorcespondenYs e-msil address:
Untler penalties of parjury,I dedare tAel I heve emminetl thia reWm,inclWiip eaompeirylrp schetlulea end aletemeMa,aM W the 6ea1 oi my knowbdBe aM Oellel,
it ie We,carrecl and complete.Dederetlon af preparer olher Man IM pereonel repreaeMetive is baeed on ell infoimation of which preparer hes any krrowledge.
SIGry� OF P RS RESPp�SIBLE FOR FILING ETURN DATE
x ( " AA�L�, (� . �d.u� .Charlotte A. March July , 2013
ADD 55
1008 CHIPPENHAM ROAD, MECHANICSBURG, PA 17050
SIGNATURE O REPj' ARER OTHER THAN REPRESENTATIVE DATE
�f1YlYYVr.� �Yu��(/y�j 2r �/J�
ADDRESS
P.O. BOX 8321, READING, PA 19803-8321
PLEASE USE ORIOINAL FORM ONLY
Side 1
L 1505610101 1505610101 J
�,bl
l (
� 1505610105
REV-1500 EX DecedenPS Social Security Number
oeceoenrs Name: RICHARD ALBRIGHT MARCH, II
RECAPITULATION _ . . .
1. Real Eslate(Schedule A). ... .... . . . ........................... .. ..... L � .
2. Stocks and Bonds(Schedule B) . . ..... ... ... . .. ... ............. .... . .. 2. �
. ... ._. ...... .. . ....
3. Closely Held Coryoration,Partnerehip or Sole-Propriebrship(Schedule C) ..... 3.
4. Motlgages and Notes Receivable(Schedule D).... ... ... ..... ............ 4.
5. Cash,Bank Deposils and Miscellaneous Personal Property(Schedule E).... ... 5. 500,550.00
.. . .__ ..._. .... _ . ..._. . ._...._ ....
6. Jointty Owned Property(Schedule F) O Separate Billing Requested .. .. ... 6. 0.00 .
7. Inter-Vivos Trensfers 8 Miscellaneous Non-Probate Property ����� �� � ���� � � � �� � ��� �
(Schedule G) O Seperete BIIIing Requested... ... .. 7.
_.. .. . ...... ........ ........
8. ToMI Gross Assets(Wtal Lines 1 through 7)........ ............ ...... . .. 8. � 500,660.00 '�
9. Funeral Ezpenses and Administrative Coats(SChedule H).......... .... ... .. 9. 227,$$7.62 �
...... _.... ......_. . .. . ..._ ..
10. Debts of Decedent,Morlgege Llabilides,end Liens(SChedule q ..... ....... .. 10. �� 0.00
, .... .. . ._...__ ._._ _.__._
11. Totel Daductlons(totel Lines 9 and 10). . . . ... ........ .... ............. . 11. 227,887.62 ��
.._... . . ... _._ __.
12. Net Value of EstNe(Line 8 minus Line 11) ... ... .. ...... ..... .......... . 12. . 272,662.38 ��
13. Charitable end Govemmental Bequests/Sec 9113 Trusts for which � � � ���� � � �������� � �� ��� �����
an election to tax has not bean made(Schedule J) ..... .......... ........ . 13. � 0.00 ��
. . __ .._.. .. __ ___..
14. Net Value SubJacl to Tax(Line 12 minus Line 13) .............. .......... 14. � $�2,862.38
TAX CALCULATION-SEE INSTRUCTtONS FOR APPLICABLE RATES
15. Amounl of Line 14 taxeble
at Ne spousal tex rate,or
transfers under Sec.9116 � ���� � � � . � �� �� � �� � � � � � � � ��� � � �
(a)(iz)X.o94 272,612.38 �5. 0.00
_ _ _ . _ _. _ .. _._.. _.
16. Amount of Llne 74 taxable � �
at�ineal rate X.09.� 50.00 �g. 225
_ _.--. __ _. . _ _ _ __
77. Amount of Line 14 laxable .
et sibling rate X .12 . 17.. �
.__... ..__.. _ ...._. .._�� ...... _ _.. ._ . . .... . ._....
18. Amounl of Line 14 ta�ble ��� ��� � ' .
at collateral rete X.15 �. 1 B.
._ _ .. . .. . .. . .. ., __.. . . , . __. . .. . . . .......
79. TAX DUE ..... .. ... .... .................. .................. ..... .. 19. 2.26
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Side 2
� 1505610105 1505610105 J
! <
REV-1500 EX PeBe 3 File NumMr
Decedent's Complete Address:
DECED NTSNAME
RICHARD ALBRIGHT MARCH, II
STREETADDRESS
1006 CHIPPENHAM ROAD
CITY --�--------'—�--- —....—. STATE ZIP ..
MECHANICSBURG PA 17050
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 2.25
2. CreditslPaymants
A.Prior Payments
B.Diswunt
Total Credits(A+B) (2)
3. Interest
(3)
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is ihe OVERPAYMENT.
FIII in oval on Pape 2,Line 20 to requast a refund. (4)
5. If Line 1 +�ine 3 is greater ihan Line 2,anter ihe difference.This is ihe TAl(DUE. (5) 2•Z5
Make check payable to: REGISTER OF WILLS,AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transfaRed:.................................................:........................................ ❑ �
b. retain the right to designa�e who shall use tha p�operty trensferred or its income:............................................ ❑ Q
c. retain a reversionery interest�or.......................................................................................................................... ❑ x❑
d. receive Ne promise for life of efther paymenls�berrefits or care?...................................................................... ❑ x❑
2. If death xcurred after Dec.12,1982,did decedent fransfer proparry within one year of deaM
wRhout receiving adequate considere6on?.............................................................................................................. ❑ ❑x
3. Did decedent own an"in trust for or payable-upondeafh bank account or security at his or her death4.............. ❑ ❑O
4. Did decedent own an individual re6remeM account,annuity or othar noo-probale property,which
contains a benefidary designation7 ........................................................................................................................ ❑ ❑x
IF THE ANSWIER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU NUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dales of death on or aRer Juty 1, 1994,and before Jan. 1, 1995,the tax rate imposed on the net value of transfers lo or for lhe use of the survNing spouse is
3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or after Jan. 1, 1995, the tax rate imposed on tl�e 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 dces not exempt a hansfer to a surviving spouse from lax, and the stalutory requirements for disclosure oi assets and
fiiing a tax retum are sllll applicable even if the surviving spouse is the onty beneficiary.
For dates of deafh on or after July 1,2000:
. The tax rate imposed on the nel value of transfers from a deceased child 21 years of age or younger al death to or for the use of a nalurel parent, an
adoptive parent or a stepparenl of the child is 0 percent[72 P.S.§9116(a)(12)].
. The lax rale imposed on the net value of transfers to or for the use of the decedenYs lineal benefiaaries is 4.5 percenl, except as noted in
72 P.S.§9116(12)[72 P.S.§91161a)(i)]•
. The tax rate imposed on the net value of transfers to a for the use of the decedenYs siblings is 12 percent[/2 P.S.§9118(a)(1.3)].A sibling is defined,under
Section 9102,as an individual who has at least one parent in common wik�the decedenl,whether by blood or adoption.
.
. �
REV-160B E%+(&88)
scNEOU�E E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSRS� 8c MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDEN7
ESTATE OF FILE NUMBER
RICHARD ALBRIGHT MARCH, II 21 08 0989
Include ihe poceetle d INipatbn and the date the proceetla were receivetl by the eatate.
All property joMty�ovimd wNh right of�urvlronhip mu�t M tli�elaW on SeAeduN F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. ESTATE OF RICHARD ALBRIGHT MARCH,II,
CHARLOTTE A.MARCH,EXECUTRIX
v
STUART B.PINK,M.D., LENKE ERKI,M.D.,ROBERT A.SKOTNICKI,D.O., ASSOCIATED
CARDIOLOGISTS,P.C.AND PINACLE HEALTH AT HARRISBURG HOSPITAL allcla
HARRISBURG HOSPITAL alkla PINACLE HEALTH SYSTEM
COURT OF COMMON PLEAS,DAUPHIN COUNTY,PENNSYLVANIA,DOCKET N0.2010-05175-MM
AGGREGATE SETTLEMENT OF$1,000,000.00 APPORTIONED,AS FOLLOWS:
WRONGFUL DEATH COMPONENT:$500,000.00
SURVIVAL COMPONENT: $500,000.00
PURSUANT TO AN ORDER OF THE HONORABLE TODD HOOVER
DATED JULY 11,2013,ATTACHED HERETO 500,000.00
2. MISCELLANEOUS PERSONALEFFECTS 500.00
3. COIN COLLECTION,DEMINIMUS-POCKET CHAN�E 50.00
TOTAL(Also anlar on lina 5, Recapitulation) S 500,550.00
Q(rtrore spece is needeU,Insert edtlXbnel sheeta M the same size)
. ... +. ....... �...:. .� � . .� : ... . ,. _. ._ .i '��.�- . . �
PEGALIS&ERICSSON,LLC I'
By: Robert V. Fallarino,Esq. �
Identification No.: no number assigned
(Admitted pro hac vice)
1 Hollow Lene, Suite 107 Auorneys for Plaintiff
Leke Success,New York 11042
(S 16) 6842900
rfallarino � galisanderickson.com
CHARLOTTE ANN MARCH, .
Execuhix of ihe Esffite of .
RICHARD A. MARCH,Deceased, . IN THE COURT OF COMMON PLEAS
. DAUPHIN COUNTY,PENNSYLVANIA
Plaintiff, . CIVIL ACTION
vs. .
. No.2010 CV 05175-MM
STUART B.PINK.,M.D., ,
LENKE ERICi,M.D., .
ROBERT A. SKOTTRCKI,D.O., , CIVII,ACTION - r�DICAL �a
ASSOCI?,TED CARDIOLOGISTS,P.C., : PROFESSIONAL LIABILTTY�C,TI�
and PINNACLE HEALTH AT . ;> � - -
HARRISBURG HOSPITAL a/Jda . -`= �
IiARRISBURG HOSPiTAL a/k/a . r,
PINNACLE HEALTH SYSTEM, . � -
�
Defendants. . °
�
rn
ORDER APPROVING ALLOCATiON AND DISTRIBUTiON
OF R'RONGFUL DEATH AND SURVIVAL SETTLEMEi�i'I' �.
�
AND NOW, TO W1T; This ��day of����2013, upon Petition of
PEGALIS&ERICKSON,LLC,attorneys for the Plaintiff,it appearing to the Courtthat the Plaintiff �
and Defendant STCIART B. PINK, M.D..have consented hereto, and upon conaideration of fhe I
Plaintiff's Petition to Appzbve`Allocation and Distribution of the VJmngful Death and Survival
Settlement and any response thereto,it is hereby I
.,.:. �,
r
.. . _ , _.
, _.:._ _
_ � I:
f;
ORDERED,ADNDGED AND DECREED,tha.t the Petition to Approve Allocation
and Dislribution of the Wrongfiil Death and Survival Settlement is GRANTED,and it is further
ORDERED,ADNDGED AND DECREED,that the Plaintiff is hereby suthorized
�.
to discontinue,withprejudice, the suit against the releesed Defendant STUART B.PINK,M.D.,and �`
i'
it is fiuYher I.'
'i:
ORDERED,ADJUDGED AND DECREED,that the Plainti$'is hereby authorized
to discontinue the suit against the non-settling Defendaats, LENKE ERKI, M.D, ROBERT A.
SKOTNICKI, D.0„ ASSOCIATED CARDIOLAGISTS, P.C., and PINNACLE HEALTH AT
IiARRISBURG HOSPTTAL a/k/a HARRISBURG HOSPTTAL a/k/a PINNACLE HEALTH
SYSTEM,with prejudice,to said Defendents,and it is further
i
ORDERED,ADNDGED AND DECREED,thatthe settlemcnt offer by or onbehalf ;
of said Defendant ST'UART B. PINK,M.D.is hereby approved in the total amount of One Millian I
;.
($1,000,000)Dollars payable on behalf of Defendant STUART B.PINK,M.D., and it is further i
i
ORDERED,ADNDGED AND DECREED,that thetotal settlement amount of One �
Million($1,000,000)Dollacs shall be paid as follows: $500,000 to be paid on behalf of Def�dant
STUART B.PINK,M.D.by Central PA Risk Retention Group("CPRRG")and$500,000 to be paid
on behalf of Defendant STUART B. PINK, M.D.by the Medical Care Availability and Reduction
of Eaor Fund("MCare Fund"), aad it is further
-Z- � f
�
�
. . , .:. _
_ ,.
ORDERED,ADNDOED AND DECREED,thatthe Plaintiff is authorized to make
distribution as follows:
From the initial setNement payment of Five Hundred Thousand j$500.0001 Dollers
to be pazd by Centrai PA Risk Retention Crrouo (�,'RRCI on behalf of Defendant
STUART B. PINK.M.D. (to be naid imon said Defendan�r�,nes�tativcs' receivt
of this Court Order approv'�gg the settlement and the siened Releasel: �
TO: CHARLOTT'E ANN MARCH $ 147,331.19
[for a portion of her Survival Claim
settlement proceeds]
TO: CHARI,OTTE ANN MARCH $ 81,165.60
[for a portion of her distributive share of the
Wrongfitl Death Claim se#lement proceeds]
TO: RICHARD MAItCEI,III $ 33,082.79
[for a portion of his dislributive shere of the
Wrongful Death Claim settlement proceeds]
TO: MARGARET V. MARCH $ 33,082.79 ,
[for a portion of her distributive shaze of the
Wrongfiil Death Claim settlement proceeds] '
t
TO: PEGALIS &ERICKSON,LLC $ 4,399.57 i
[for reimbursement of a portion of its costs]
TO: SHRAGER,SPIVEY& SACHS $ 743.81
[for rcimbursement of a portion of its costs] ;
TO: LIEVER,HYMAN&POTTER $ 194.25 �
[for reimbursement of a portion of its costs] j
�
TO: PEGALIS &ERICKSON,LLC $200,000.00
[for a portion of the its counsel fees]
From the settiement payment of Five Himdred Thousan�($500.0001 Dollars to be
8si�the Medical Care Availabilitv and Reduction ofError Fimd("MCare Fund"1
onbehalfofDefendant STt7ART B.PINK_M.D.(to be,paid onDecember 31.2013�:
TO: CHARLOTTE ANN MARCH $ 147,331.19
[for a portion of her Survival Claim
-3-
;
i
f
, _ ,
_. _ . >__ _ ..
�.
I
gettt�►�t�o�� �'':
TO: CHARLOTTE ANN MARCH $ 81,]65.59
[for a portion o£her distributive share of d�e
VJrongfiil Death Claim settlement proceeds]
TO: RICHARD MARCH,III $ 33,082.80 j-
[for a portion of his distributive share of the i
Wrongful Death Claim settlement proceeds] i
TO: MARGARET V.MARCH $ 33,082.80
[for a portion of her distribufive share of the
Wrongful Death Claim settlement proceeds]
TO: PEGALIS &ERICKSON,LLC $ 4,399.56
[for reimbursemcnt of a portion of its costs]
TO: SHRAGER, SPNEY& SACHS $ 743.81 I
[for reimbursement of a portion of its costs]
TO: LIEVER,HYMAN&POTTER $ 194.25
, [for reimbursement of a portion of its costs]
TO: PEGALIS &ERICKSON,LLC $200,000.00
[for a portion of the its counsel fees] �
and it is further �
I
ORDERED,ADND(�ED AND DECREED,within sixty(60)days from the date of
tlris Ordcr, PlaintifFs counsel shal] file an Affidavit with the Civil Motions Clerk certifying
compliance wi�this Order. The.Sffidavit shall bear the caption of the case and shall contain the
Court term and number. A copy of this Order shall be aitached thereto. �
BY TI�COURT:
����::2 2013
i f»r�iy pe�tify t1ieE th6 foreganp �s a
true and CoReCt copy ot the originai Judge
fllsd.
C�.-. � -4- �
�t tary
i
• B
... .. . .. . �. . ".::. '. .1 " .. " . .: : ....::'. : '. .. � • �..�.
I
I.'
DISTRIBUTION: �
ROBERT V.FALLARINO,ESQ. (Admittedpro hac vice)
PEGALIS &ERICKSON, LLC
Attomeys for Plaintiff
1 Hollow Lane, Suite 107
Lake Success,New York 11042
Tel(51� 684-2900
rfallarino(a��alisanderickson.com
MICHAEL M.BADOWSKI,ESQ. I
MARGOLIS EDELST'EIN I
Attorneys for Defendants
PINNACLE HEALTH AT HARRISBURG HOSPTTAL, e/Wa
HARRISBURG HOSPITAL,a/k/a PINNACLE HEALTH SYSTEM
3510 Trindle Road
Camp Hill, PA 17011
Tel(71'n 975-8114
mbadowski(a�mar¢olisedeLstein.com
MICHAEI,D.PIPA,ESQ. �
5'IBVENS &LEE,P.C.
Attorneys for Defendants
STUART B. PINK,M.D., LENKE ERHI,M.D.,ROBERT A. SKO'CNICKI, !
D.O. and ASSOCIATED CARDIOIAGISTS,P.C. �
17 North Second Street, 16th floor
P.O. Box 11670 �
Hurisburg,PA 17101 '
Tel(71'n 234-1090
mdpl�a.stevenslee.com
-5-
Rev-iso9 Ex+(oi-io>
� pennsylvania SClIEpYLE F
OEP�PTMENTOFPEVENUE )OINTLY-0WNED PROPER7Y
INNERRANGE TAX REfURN
RESIDEM DECEDENT
ESTATE OF: FILE NUMBER:
RICHARD ALBRIGHT MARCH, II 21 08 0989
If an au�baceme joiMlY ownad within one year of the decoden!'s dab of death,k mwt be roporhd on ScMduk G.
SURVIVING JOIM TENANT(S)NAME(S) ADDRE55 RELATI0NSHIP TO DECEDEM
A•CHARLOTTE A. MARCH 1006 CHIPPENHAM ROAD, �SPOUSE
MECHANICSBURG, PA 17050
B' •"INFORMATIONAL ONLY FILING
C.
�OINTLY OWNED PROPERTY:
LEf1Ek DATE oestuvnoN oF v20veR7v a.or wh w o�aTM
REM FOR JOIM MME INCLUDE NAME OF fltUNOAL INSIIMION RND BRKK/�CCOUNf NUMBER OR SIMIUR OFIE OF DFATH DECEDB7f'S VqLUE OF
NUMBER 7ENFM JOIM IDENfIF17NG NUM9E0..RTTRCH DEED FOR JOINRY HEID 0.&L ESTATE. VFWE Of RSSET IM9tE5f M{EDENf51NTEREST
1' A' 07129176 "WELLS FARGO BANK
CHECKING ACCOUNT N0.XXXX XXXX X666 5
DATE OF DEATH: $5,694.50
ACCRUED INTEREST: 0.01 5,694.51 : 50 2,647.26 �
2. A. 07/18�94 °ALL THAT CERTAIN LOT AND HOUSE ERECTED THEREON
KNOWN AS
1006 CHIPPENHAM ROAD,
TOWNSHIP OF HAMPDEN,
COUNN OF CUMBERLAND, �
COMMONWEALTH OF PENNSYLVANIA,
DEED BOOK:00108-0W84
PIN:10 16 1056 178
ASSESSED VALUE: 313,100.00 50 156,550.00
TOTAL(Also enter on Line 6, RecapfNlation) ;� 159,39726
If more space is needed,use additional sheets of paper of the same size.
�'.`'_
�
p�bpen3'Mapper_ C�berland�o�t3', PA ►►
page 1 of]
.
-_..---�,`
REV�1511 EX+ (]0-09)
� pennsylvania SCHEDULE H
�EP�PTMENT OFPEVENVE FUNERAL EXPENSES AND
INHE0.RANCETR%RETURN ADMINISTRAiTVE COSTS
RESIDENf DECEDENT
ESTATE OF FILE NUMBER
RICHARD ALBRIGHT MARCH, II 21 08 0989
Decadant's dabt�muK ba raported on Sehadule I.
ITEM
NUMBER DESCRIPf10N AMOUNf
A. FUNERAL EXPENSES:
1.
s. ADMINISTRATIVE COSTS:
1. Personal Representadve Commissions: 0.00
Na�me(s)oi Personal Represernative(s) CHARLOTTE A. MARCH
sheet nddress 1006 CHIPPENHAM ROAD
qty MECHANICSBURG state PA uv 17050
Year(s)Commission Pald: N.A.
18,000.00
2. Attomey Fees:
3. Famfly Ezemptlon:(If decedeM's address is rrot the same as daimant's,attach explanatlon.) 3,500.00
cla�mant CHARLOTTE A. MARCH
Street nddress 1006 CHIPPENHAM ROAD
clty MECHANICSBURG 5�� PA Zip 17050
Relatlonship af Claimant to DecedeM SPOUSE
4• Probate Fees: 80.00
5. AaounWnt Fees:
6. Tax Retum rreparer Pees: 500.00
7• CARLISLE SENTINEL,ADVERTISEMENT OF LETTERS
e. THE CUMBERLAND COUNTY BAR ASSOCIATION,ADVERTISEMENT OF LETTERS
e. REGISTER OF WILLS,CUMBERLAND COUNTY,ADDITIONAL FEE FOR LETTERS 460.00
CONTINUATION SHEET H-t,ATTACHED HERETO 205,337.62
TOTAL(Also enter on Line 9, RecapiNlation) ;. 22��88�.62
tf more space Is needed,use addldonal sheets of paper of the same size.
RECEIPT FOR PAYMENT
GLENDA FARNER STRASBAUGH Receipt Date: 10/02 2008
Cumberland County - Register Of Wills Receipt Time: 15 : 4 : 08
One Courthouse Square Receipt No. : 1054222
Carlisle, PA 17Q13
MARCH RICHARD ALBRIGHT II
Estate File No. : 2008-00989
Paid By Remarks : B�NRUMBACH ET AL
------------------------ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST 20 . 00 CUMBERLAND COUNTY GENERAL FUN
WILL 15 . 00 CUMBERLAND COUNTY GENERAL FUN
AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN
SHORT CERTIFICATE 40 . 00 CUMBERLAND COUNTY GENERAL FUN
JCP FEE 10 . 00 BUREAU OF RECEIPTS & CNTR M.D
----------------
Check# 9587 $90 . 00
Total Received. . . . . . . . . $90 . 00
REV-1512 E%+(12-OB)
�pennsylvania SCHEDULE a-i
DEPAPTMENT OF PEVENUE DEBTS OF DECEDENT,
INHHIRNNCE TW(RETURN MORTGAGE LIABILITIES & LIENS
RES10EHfDECEDENT
ESTATE OF FlLE NUMBER
RICHARD ALBRIGHT MARCH, II 21 08 0989
Raport dabts incurrad by Me daeadant pria to dseth thet romelnad unpaid at Me dste of deelh,indudinq unroimbuned madial expanroo.
ITEM VAIUE AT DATE
NUMBER DESCRIVf10N OF DEATH
1 ESTATE OF RICHARD ALBRIGHT MARCH,II,
CHARLOTTE A. MARCH,EXECUTRIX
-�-
STUART B.PINK,M.D., LENKE ERKI,M.D.,ROBERT A.SKOTNICKI,D.O., ASSOCIATED
CARDIOLOGISTS,P.C.AND PINACLE HEALTH AT HARRISBURG HOSPITAL alkla
HARRISBURG HOSPITAL alkla PINACLE HEALTH SYSTEM
COURT OF COMMON PLEAS,DAUPHIN COUNTY,PENNSYLVANIA,DOCKET N0.2010-05175-
DOCKET N0.2010-05175•MM
AGGREGATE LEGAL FEES AND EXPENSES OF$410,675.25 APPORTIONED,AS FOLLOWS:
WRONGPUL DEATH COMPONENT:$205,337.63
SURVIVAL COMPONENT: $205,337.62 205,337.62
PURSUANT TO AN ORDER OF THE HONORABLE TODD HOOVER
DATED JULY 11,2013,ATTACHED HERETO
TOTAL(Also enter on Line 10, Recapltulation) ; 205,337.62
If more space is needed,insert additional sheets of the same size.
. . : ._ �. ... .. .i �... � ��
�:
PEGALIS 8c ERIC%SON,LLC I'.
By: Robert V.Fallariuo,Esq.
I
Id�carion No.: no number assigned
(Admitted pro hac vice)
1 Hollow Lane, Suite 107 Atxorneys for Plaintiff
Lake Success,New York 11042
(516) 684-2900
rfallarino ,pegalisanderickson.com
CHARLOTTE ANN MARCH, .
Executriac of the Estate of .
RICHARD A.MARCH,Deceased, . IN Tf�COURT OF COMMON PLEAS
. DAUPHIN COUNTY,PENNSYLVATTIA
Plaintiff, . CIVII.ACTION
vs. .
. No.2010 CV 05175-MM
STUART B.PINK,M.D., .
LENKE ERKI,M.D., .
ROBERT A. SKOTNICKI,D.O., . CIVIL ACITON - MEDICAT. N
ASSOCIATED CARDIOLOGISTS,P.C., : PROFESSIONAL LIABILITY.�CTI�
and PINNACLE HEALTH AT . y �
HARRISBURG HOSPITAL a/k/a . `" �
HARRISBURG HOSPITAL a/k/a . �,
PINNACLE HEALTH SYSTEM, . �,
- ...�,
Defendants. . •°•
.�-
�
ORDER APPROVING ALLOCATION AND DISTRIBUTION
OF WRONGFUL DEATH AND SURVIVAL 5ETTLEMENT f
�
�
AND NOW, TO WIT: Ttris ��day of����2013, upon Petirioa of
PEGALIS&ERICKSON,LLC,attomeys for the Plainti�it appearing to the Courtthat the Plaintiff �
and Defendant ST[.IART B. PINK, M.D. have consented hereto, and upon consideration oP the
Plaintiffs Petition to Appt6ve`Alldcation end Dishibutiott of the Wrongfixl Death and Survival
�
Settlement and any response thereta, it is hereby
.,... �.
k'
, . ... _ . ,. ___
; _ _ , c
t;
. �:
ORDERED,ADNDGEDANDDECREED,thatthePetitiontoApprove Allocation '�
and Distribution of the Wmngfiil Death and Survival Settlement is GRANTED,and it is fiurther
ORDERED,ADNDGED AND DECREED,that the Plaindff is hereby authorized
i
to discontinue,with prejudice, the suit against thc released T)efendant STUA.RT B.PINK,M.D.,and �;
"
it is further �
I
ORDERED,ADNDGED AND DECREED,that the Plaintiff is hereby suthorized
to discontinue the suit against the non-settling Defendants, LENKE ERKI, M.D., ROBERT A.
SKOTNICKI, D.O., ASSOCIATED CARDIOLOGISTS, P.C., aad PINNACLE HEALTH AT
HARRISBURG HOSPTI'AL a/lda HARRISBURG HOSPITAL a/k/a PINNACLE HEALTH
SYSTEM,with prejudice,to said Defendants,and it is further
>
i:
ORDERED,ADJt7DGED AND DECREED,thatthe settleme�offer by or on behalf ;
of said Defendant STUART B.PINK,M.D.is hcreby approved in the total amount of One Million �
($1,000,000)Dollars payable on behalf of Defendant STUART B.PINK,M.D., and it is further f
OItDERED,ADNDGED AND DECREED,that thetotai settlement amount of One
Million($1,000,000)Dollars shall be paid as follows: $500,000 to be paid on behalf of Dafendant
STUART B,PINK,M.D,by Centtal PA Risk Retention Group("CPRRG'�end$500,000 to be paid
on behalf of Defendant STUART B.PINK,M.D. by the Medical Care Availability and Reduction
of Eaor Fund("MCare Ftmd'7, and it is fiuther
-2 _ (
�
i
. .
, ,
_ _ _.. _
�
ORDERED,ADNDGED AND DECREED,that the Plaintiff is authorized to make
distribution as follows:
From the uvtial settlement�ayment of Five Hundred Thousend f 5 0 )Dp� !
1�be paid by Central PA Risk Rotention Gxoun (CPRRGI on behaLf of Defeaden �
STUf�RT B. PINK_M.D. (n�bg�irl im�a vwid Defen nnt��,...."}p}�VP.C� 1'PI�P�
Qf tlus Court Ordet s�vin¢tha settlement and the sipt�ed Releasel: �
TO: CHARLO'I"i'E ANN MARCH $ 147,331.19
[for a portioa of her S1m�ival Claim
settlement proceeds]
TO: CHARLOTTE ANN MARCH $ 81,165.60
[for a portion of her distributive share of the
Wrongfiil Death Claim settlement proceeds]
TO: RICHARD MARCH,III $ 33,082.79
[for a portion of his distributive share of the
Wmngful Death Claim settlement proceeds]
TO: MARGARET V.MARCH $ 33,082.79
[for a portion of her distributive shaze of the
Wrongfixl Death Claim settlement proceedsj !
i
TO: PEGALIS&ERICKSON,LLC $ 4,399.57 i
[for reimbursemem of e portion of its costs] f
TO: SHI2AGER, SPNEY& SACHS $ 743.81
[for reimbucsement of a portion of its costs] i
TO: LIEVER,HYMAN&POTTER $ 194.25 �
[for reimbursement of a portion of its costs] j
�
TO; PEGALIS &ERICKSON,LLC $200,000.00
[for a portion of the its counsel fees]
Fmm the settlement navment of Five Hundred Thousand fS500 0001 Dol(ars to be
vai�the Me�cAtC�,•rpv ;ip ilityandReduetionof�*rorFund("MCA,pF,,.,d��l
on behalf of Defeadent STIJART B PI1VK_M D (t�be paid on December 3] 20131:
TO: CHARLOTTE ANN MARCH $ 147,331.19
[for a portion of her Survival Claim
-3-
t
I
, .
_ . . ._ ,.
_ - - :; . ,.
, �
I
settlement proceeds]
TO: CHARLOT"I'E ANN MARCH $ 81,165.59
[for a porlion of her distributive share of the
VJrongful Death Claim settlement proceeds]
TO: RICHARD MARCH,III $ 33,082.80 j.
jfor a portion of his dist�ibutive share of the
Wrongful Death Claim settlement proceeds]
TO: MARGARET V.MARCH $ 33,082.80
[for a portion of her distn'budve share of the
Wrongful Deatb Claim settlement proceeds]
TO; PEGALIS &ERICKSON,LLC $ 4,399.56
[for reimbursement of a portion of its costs]
;
TO: SHRAGER, SPNEY 8t SACHS $ 743.81 �
[for reimbutsement of a portion of its costs]
TO: LIEVER,HYMAN 8t POTTER $ 194.25
, [for reimbursement of a portion of its costs]
TO: PBGALIS&ERICK50N,LLC $200,000.00
[for a portion of the its counsel fees] �
and it is futther �
I
ORDERED,ADNDC3ED AND DECREED,within sixty(60)days from the date of
tlris Order, Plaintiffs wunsel shall file an Affidavit with the Civil Motions Clerk certifying
compliance with this Order. The Affidavit shall bear the caption of the case and shall contain the
Court term and number. A copy of this Order shall be attached thereto. I
- BY THE COURT: ,.
.:ll�l.'1.2FZ013
I h�ratry csriity U�n ihe turegorr�p �s a � ��� �,, �
t►ue end corroct copy ot the wfgfnai �a����ge
n�d.
c.+... u,u:w,a. -a-
. ��
i
� �
_ :: � __ : _ :
I
I'''.
DISTRIBUTION: '
ROBERT V. FALLARINO,ESQ. (Admitted pro hac vice)
PEGALIS &ERICKSON,LLC
Attorneys for Plaintiff
1 Hollow Lane, Suite 107
Lake Success,New York 11042
Tel(51� 684-2900
rfallatinona Peg�isanderickson.com
MICHAEL M.BADOWSKI,ESQ. I'
MARGOLIS EDELSTEIN i
Attomeys for Defendants
PINNACLE HEALTH AT HARRISBURG HOSPTl'AL, a/k/a
HARRiSBURG HOSPITAL,aAc/a PINNACLE IiEALTfi SYSTEM
3510 Trindle Road
Camp Hill,PA 17011
Tel(71� 975-8114
mbadowsldC�a.marQOlisedelstein.com
MICHAEL D. PIPA,ESQ.
STEVENS &LEE,P.C.
Attomeys for Defendants
STUART B. PINK,M.D.,LENKE ERKI,M.D.,ROBERT A. SKOTTIICKI, ;
D.O. and ASSOCIATED CARDIOLOGISTS,P.C. ;
17 North Second Street, 16th floor
P.O.Box 11670 "
Harrisburg,PA 17101 i
Tel(71'n 234-1090
mdnfcr�stevenslee.com
�
-5-
� P
a�v-�sis ex+�oi-ia}
� pennsylvania SCHEDULE a
dEPpflTMENT OP%EVfNUE gENEFICIARIES
lNNER3LYNCE 7AX BEfURN
RESiOEMfDECE6EN7
ESTATE OF: FILE NUMB@R;
RIGHARD ALBRlGkT MARCH, II 21 08 0989
kEtATlONSHIP T4 DECEOENT AMWNT OR SHAftE
NUMBER NAME AND ADDRE55 OF PERSON(Sj RECEIV#NG PROPEAIY Oo Not Llst Tru�be(sj OF ESfATE
I TAXABLE DISTRIBUTIONS[todude ouMght spousal diSMbutions and transfers under
Sec.9118(a)(1.2).J
i. CHARIOTfE A.MARCH
1006 CHIPPENHAM ROAQ
MECHANICSBURG,PA 17050 SPOUSE RESIDUARY
ESTATE
2. RiCHARD ALBRIGHT MARCH,III
1006 CHIPPENHAM R4AD COIN
MECHANICSBURG,PA 17D50 SON COLLECTiON
ENTER 04UAR AM4UNT5 FOR DISTRIBUftONS SHOWN ABOVE OM LtNES 15 TMH6tM'iN 18 Of REV-15�C4VER SHEET,AS APPR�RIATE,
�I NON•TAXABLE DISfRIBURONS
A. SPOUSAL pISTWBUTI0N5 UNDER SECTipN 9113 FOR WHICH AN ELECRON TO TIIX IS NOT TAKEN:
s. N.A. �
B, CHARITABLE AND GOVERNMEMAL DISTWBUfIONS:
i.
N.A. �
TOTAL OF PART II-EMER TOTAL NON TAXABLE DiSTRiBUT[ONS ON ISNE 13 OF REV•150�COVER SMEET. � Q
IF more space Is needed,use additional sheets of paper of the same size.
. �
LAST WILL
OF
RICHARD ALBRIGHT MARCH II
I, Richard Albright March II, a/k/a Chuck March, presently residing and domiciled
at 1006 Chippenham Road, Mechanicsburg, Cumberland County, Pennsylvania, being of
sound mind and disposing memory and not under the restraint or under the influence of
any person, do make, publish and declare this to be my Last Will and Testament, hereby
revoking all former wills and codicils executed by me.
Item I: Payment of Debts and Expenses
1.1. I hereby direct that all my just debts, including unpaid charitable pledges whether
or not the same are legally enforceable obligations of my estate, the expenses of my last illness,
funeral and the burial or other dispositions of my ashes, and the cost of a suitable mazker at my
grave, and the taxes or other expenses in connection with the probate of this Will and
administering my estate, shall be paid by my Executrix,hereinafter named, from my residuary
estate as part of the expense of administration of my estate.
1.2. I direct that this provision for the payment of my debts and expenses is not
intended to relieve any specific devisee(s) or specific legatee(s) from the payment of any
mortgage or other indebtedness specifically applicable to the property made the subject of
that specific bequest and I direct that such specific devisee(s) or specific legatee(s) takes
the devise or bequest subject to such mortgage or other indebtedness. In the event that
such devisee(s) or specific legatee(s) determine that a sale of the property is more
appropriate, I direct that any mortgage or other indebtedness specifically appiicable to the
ra
property made the subject of that specific request be paid out of the proceed�f the sa�e -
� '�c� �'
of such property. �;r�— i
� ;,�n , ,
F,.—;� ro _ _
c7--. C""' �-
� .C:� :-q . .
!'>C )-ii
cJ� �... _ � ,
_i GJ
y � �. .
N
1
Item : xecutrix
2.1. I hereby nominate and appoint Charlotte Ann March as the Executrix of
my estate. In the case of her death, either before or after mine, or if she should resign or
be disqualified or unable to act or be removed as Executrix, then, and in such event, I
nominate and appoint Gregory Cunningham of Durham, North Carolina as Executor and
confer upon him in such capacity all of the rights, privileges, and powers which I have
given to my wife as Executrix.
2.2. I direct that any executor, trustee or guardian appointed hereunder and their
successors, shall not be required to give bond for the faithful performance of their duties
in any jurisdiction.
2.3. Any individuai fiduciary serving hereunder who is related to me by blood
or marriage shall not receive compensation for his or her services, but shall be entitled to
be reimbursed for all expenses incurred as a result of so serving.
ITEM III: Svecific Bequests
3.1 I give to my son Richard Albright March III my coin collection, regardless
of age.
ITEM IV: Residue and Minors Trust
I give, devise and bequeath the residue of my estate to my wife Charlotte Ann
March, provided she survives me by thirty (30) days; and if not, to my Trustee, IN
TRUST, to hold and distribute the principle and to pay the net income to my children
Richard Albright March III and Margaret Veronica Mazch, as follows:
2
_ . _ __
4.1. Until a child of mine reaches the age of twenty-one (21) the Trustee shall
distribute, in his or her sole discretion, amounts of income and principal among my
children, in such manner that together with other benefits and income available to them
they will be able to maintain a comfortable standard of living and to meet the liberai
requirements of their support, health, education, and general welfare. Distribution of
benefits from the Trust fund may be unequal in amount and at varying times so far as any
one beneficiary is concemed.
4.2. In rnaking disiributions of income and principal, the Trustee shall place a
special interest upon a beneficiary who is in the process of acquiring an education. An
additionai emphasis shall be directed to a beneficiary who has suffered a disabling injury
or illness. In essence, it is my desire that the Trustee so apply the benefits of the Trust
fund for the welfare of the beneficiaries as a prudent and careful parent would so provide.
4.3. Upon the fust of my children attaining the age of twenty-one (21), I direct
my Trustee to divide the assets of the Trust into shares, one for each of my children, to
hold each such share as a separate trust and to distribute the income and principal as set
forth below.
4.4. When a child for who a separate trust is created attains the age of twenty-
one (21), and therea8er the Trustee shall:
4.4.1. Pay the net income at least quarterly to the child; and
4.4.2. Distribute to the child, one quarter (1/4) of the principal balance at
age 21 and the remainder of his or her share at age 25.
3
. ,
4.5. If a beneficiary hereunder shall have attained the age of 25 at the time of
the establishment of the aforementioned Trust fund, the Trustee shall then distribute to
the beneficiary the totality of the trust fund to which he or she is entitled.
4.6. If the share of a beneficiary, in the opinion of the Trustee, is too srnall to
warrant the continuation of the Trust, the Trustee may pay such share absolutely to the
beneficiary or may deposit it in a savings account in the beneficiary's name, subject to
withdrawal by the beneficiary.
4.7. If any beneficiary should die before attaining the age of 25 and/or the
distribution to him or her the full amount of his or her Trust fund, the balance of the fund
shall be distributed to his or her then living issue, both born and adopted, per stirpes, and
if none, to my issue then living per stirpes. Should there be a fund already established for
the substituted beneficiary the amount shall be added to his or her Trust fund.
4.8. All shares of principal and income hereby given shall be free from
anticipation, assignment, pledge or obligations of the beneficiaries and shall not subject
to any writ of attachxnent or execution.
ITEM V: Administrative Powers: My personal representatives, trustees, and
guardian of my minor children, shall have the following powers in addition to those
vested in them by law and by other provisions of my Will, applicable to all property,
including property held for minors,whether principal or income, exercisable without
court approval, and effective until actual distribution of all property.
5.1 To retain any or all of the assets of my estate, real or personal, without
regard to any principle of diversification, risk or productivity. It is my desire that if at all
practical, at least one of the real estate parcels a�id dwellings owned by me in North
Carolina be preserved for the enjoyment of my children.
4
_. _
. � � ,
5.2 To invest in all forms of property without restriction to investments
authorized for Pennsylvania fiduciaries, as they deem proper, without regard to any
principle of diversification, risk, or productivity.
5.3 To sell at public or private sale, to exchange or to lease, for any period of
time, any real or personal property and to give options for sales, exchanges or leases, for
such prices and upon such terms or conditions as they deem proper.
5.4. To allocate receipts and expenses to principal or income or partly to each as
they deem proper at their sole discretion.
5.5. To borrow money from any person or institution, including any executor or
Trustee and to mortgage or pledge any or all real or personal property as my executors
and trustees in their sole discretion shali choose.
5.6 To compromise any claim or controversy.
5.7. To exercise any option, right or privilege granted in insurance policies or in
other investments.
5.8. To repair, alter or improve any real or personal property.
5.9. To distribute in cash or in kind or partly in each at valuation fixed by the
Trustee.
5.10. To purchase investments at premiums and to charge premiums to income or
principal or partly to each.
5
I � � 1
5.11 To subscribe for or to exercise options for stocks, bonds or other
investments; to join in any plan of lease, mortgage, merger, consolidation, reorganization,
foreclosure, or voting trust and to deposit securities thereunder; and to generally exercise
ail the rights of security holders or employees of any corporation.
5.12. To register securities in the name of a nominee or in such manner that title
shall pass by delivery.
5.13. To assume continuance of the status of any beneficiary with reference to
death, marriage, divorce, illness, incapacity, or other change in the absence of
information deemed reliable, without liability for disbursements made on such
assumptions.
5.14. To add to the principal of any trust created by this instrument any rea] or
personal property received from any person by Deed, Will or in any other manner.
5.15. To exercise all power, authority and discretion given by this instrument
after the termination of any trust created herein until the same is fully distributed.
5.16. To employ attorneys, accountants, engineers and such other persons,
professional or otherwise, as may be necessary for the proper administration of this estate
and to pay their compensation from such funds.
5.17. To act in any jurisdiction in which my Executor may be permitted by law to
do so and to designate another person (including a bank or trust company) to be ancillary
Executor in any jurisdiction in which ancillary administration may be necessary, and I
hereby nominate a��d appoint the anciliary Executor so designated. I grant to my
ancillary Executor, with respect to any and all property subject to administration by such
fiduciary, all the rights, powers, privileges, discretions and exemptions granted to my
6
_ ___
. � � .
Executor under this paragraph and all other provisions of this Will; provided that any
decision of the ancillary Executor which may require the investment of additional funds
or the assumption of additional obligations by my estate shall be subject to the approval
and consent of the Executrix appointed under paragraph 2.1 hereof. I direct that no
ancillary Executor shall be required to post bond or enter security in any jurisdiction.
Item VI: Guardian/Trustee Aonointments
6.1. If at my death I have any child or children under the age of eighteen (18)
and I am the surviving pazent, I appoint my sister-in-law Audrey M. Jones currently of
Ashtabula, Ohio as the guardian of the person of the minor child or children.
6.2. I appoint my sister-in-law, Audrey M. Jones currently of Ashtabula, Ohio
as the Trustee of any Trust created by this Will.
Item VII: Power of Appointment
7.1. I decline to exercise any power of appointment given to my under any Will,
Codicil or Agreement of Trust.
Item VIII: S�endthrift Pro��ision
8.1. Until distributed, no gift or beneficial interest shall be subject to
anticipation or to voluntary or involuntary alienation.
7
I � � •
Item IX: Miscellaneous
9.1. The words "Executrix," "Trustee," and "Guardian" when used in this Will
shall include all genders and the singular and plural as the context may require.
9.2. The word "descendants" or "issue' when used in this Will shall include
adopted persons and their descendants or issue.
9.3. The words "incapacitated" and "incapacity" when used in this Will shall
refer to an inability to use funds by reason of age or illness, mental or physical.
9.4. When a "per stirpes" distribution of income or principal to a designated
individual's descendants is provided for under this Wili, such income or principal shall be
divided into as many equal shares as there are then living children of such individual and
then deceased children represented by descendants then living, and each then living child
shall receive one share, and the share of each deceased child shall be divided among his
or her descendants in the same manner, repeating this pattern with respect to succeeding
generations until all shares are determined.
9.5. Pazagraph headings in this Will are for reference only and shall not affect
the meaning, consh-uction or effect of this Will.
8
r ' + •
We, Richard Albright March II, ����� � Z= T7 , and
�
OCU2,�E�-C°�'�L�.liY�C; the Testator and the Wimesses whose names aze signed to
the foregoing instrument, being first duly sworn and qualified according to law do hereby
declare to the undersigned authority that we were present and saw the testator sign and
executed this Will as his free and voluntary act for the purposes herein expressed, and
that such of the witnesses in the presence and hearing of the testator signed the Will as
witnesses and that to the best of their knowledge the testator was at the time eighteen
years of age or older, of sound mind and under no constraint or undue influence; and I,
the said testator, do hereby acknowledge that I signed and executed the instrument as my
Last Will, that I signed it willingly, and that I signed it as my free and voluntary act for
the purposes therein expressed.
.� �
Richard Albright March II, Testat
n.�, C , R�.
�
Cf -
Witness c�: y��rc :'<:l'. C t�'-
Witness Address: �'4'� �' �, '
,
,�l �c.'MG£fLA":;�. F'n„ CiG
���,:.�� �� �� ��.
f/ J
��Witness
Witness Address:
Sworn and subscribed to before me
This;�Sday of s,��t, 2002.
�
Notary Pubi_ic �'�+
Ivly Commission Expires: s�� �,P�o��ry P��
EaetPemuboroTwp��Cumbe�Wdpwnq
My Commission Exphea Apc 9,20D5
Mertber,Pen�pvarde Aeeadatla�01 NCMiles
Y
LAW OFFICES
BEtUMBACH. DZe1NCU50 8C FEGLEY. P. C�
50 NORTH FIFTH SiREET
P.O.BOX 8321
�wcK G.t.tnwCUSO READING, PENNSYLYANIA 19803-0321 SUITE 401-FOUATH FLOOR
J.KITRIDGE FEQEY M B T BANK BUILDWG
JOHN M.STOiT TELEPHONE(61013]6-]351
GIIBERT M.MANCUSO• TELECOPIER(810)3]6-�J409
MnRK J.MEROLLP,
•LL.M.TAXATION September 4� 2�13 AARONA.BRUMBAGH
(1918-200U
.iS
n �., 1'�"f
C � �i
Register of Wills and � _- �, -,
Clerk of Orphans' Court a' �: �� '';
m �. c':,
County of Cumberland � �,, s- G `�
1 Courthouse Square ,,. � , ',_ �
Carlisle, PA 17013 � ` -��
Attn: Diane c.? r�� =.. � � � �
.;;� c�: �.r... .�:
:�J N I:l
RE: Estate of Richard Albright March, II � —a r. c;, �-'
a/k/a Chuck March, Deceased $' -� �
File Number: 2008-00989
Dear Diane:
Pursuant to your telephonic conversation with my secretary,
this date, I encloae herewith our check in the amount of Fifteen
Dollars ($15 . 00) ; same representing the filing fee for the REV-1500
Inheritance Tax Return - Resident Decedent early forwarded to you
in regard to the above referenced Estate.
Kindly provide the undersigned with a time stamped copy
together with a time stamped copy of the Pa. O.C. Rule 6 . 12 Status
Report with the enclosed self-addressed stamped envelope earlier
provided.
If further information is necessary, please advise.
Regards,
��
GILBERT M. MANCUSO
GMM:jaf
Enc.
CC: Mrs. Charlotte Ann March, Exec.
�
�
z �
� �
° ox 3
b z 3
� 0 A � �
n
i o m q o
r
� � �x0 n
N tn M �
C'✓ p }S'
m ,m,� �
� �
W rl
� �
N
� ro
µ �
'
11
Vr
7/
�
�
�
N
� n n n � �w
,,, p r o d m ��
• �- C n H m
m H K Y �*
r (* �
m � O o n
� O M M :J
G C7 � r ^l "i!
d � � � � . �� K7
� �� ��¢t r �
- N J :a Y7. I-�'� ���y
- o W f�' ,(p N �. C;� ....
� � ��,U� � , - ', .
� a' t ���.�i
.r. �� . - �`�� .
� « � ��
-� ' _ .
v �
— D v
- 3 0 o uNIT� .
_ �pN � S� r
m+" r1 9ia
°m� t � t7i
� A� I�1� �
_ o �o y
= N�� �
o� oz`�
0o m�
ma. Oslll
m
m o � �
o� m
� w O w
;
�:
F
i
P
gy�
i .
c
�
f
�'
�`
�...,:
; -
e.
� .
.s�;r
Y:.:
s':;
i;
4b1::}
��� ;
�;,,@}.
vv'9-•`
�,f. �
��