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HomeMy WebLinkAbout05-28-15 1505610105 REV-1500 Ex(ez-u)(FI) s PA Department of Revenue pennsytvania OFFICIAL USE ONLY Bureau of Individual Taxes ae�nmreronxevcxue County Code Year File Number. PO BOX 280601 INHERITANCE TAX RETURN i a t r►� 0 8 Harrisburg,PA 17128-0603 RESIDENT DECEDENT i ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY ' 08/30/2014 i i 04/02/1920 _ Decedent's Last Name Suffix Decedent's First Name MI f....._............_......_............_...................._.._......_..._.........._.............__.._._......_......_..__._.... _....__.._....__......__.._..._.._.z _ .......__...._._.... _.... __._.._....... ___....._.-............................... ___., Valvo I Salvatore 1 4 _.........._. .... � ' (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name _ MI ........... _.__...__..__._....._..._... ..._..._.....................__.._............._...................._......_......_......... ......................................................................................_..._......... ......._...._...._......................... _.._......................_.._.__......_ ._............._........................ _....._.. .._........ Spouse's Social Security Number _.....___..___.._._...._.._____.__._.____._.._._..._._..._._......,_., THIS RETURN MUST BE FILED IN DUPLICATE WITH THE -....__._.:..__ ...._........................._.-......_.................................. REGISTER OF WILLS FILL INAPPROPRIATE OVALS BELOW GOD 1.Original Return O 2.Supplemental Return p 3. Remainder Return(Date of Death Prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise(date of O 5. Federal Estate Tax Return Required death after 12-12-82) tD 6.Decedent'Died Testate O 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) O 9. Litigation Proceeds Received O 10.Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TOi, fName .._........__ LD-_a_ytim_e Telephone Numbi e_r ......... ..........._..................._..................,............ _ ._........___...................... IAndrewC.Sheely. Esquire 717-697-7050 __....._._........._`__......._.._.. ._................_................................._..........._. .., fz�1 C�j REGISTER OF WICCS;It ONLY O r `7i First Line of Address r, _. ............._.....1.._............................_..._........_..._..._............__.........._................_.....__........__..................... _ .` 127 South Market Street _ ......._._.............._-.........................._..............._......................._..._................................._........._.._.._..._............................................_..........__._.._._.................._...._......__....................:.........._.! _ Second Line of Address r Tt _VC, � P.O. Box 95 ` _ �� ' City.. ................... _._..........___...____.__ C/) Q Post Office State ZIP Code DATE RUED y . _.. . ._.........._........._.................._..............._............._................_......_...._._...._.......................__.................................,._.._,....._, Mechanicsburg PA ;17055 i� Correspondent's e-mail address:andrewc.sheely@verizon.net 1. Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATOR PERS ONSIBLE FOR FILING RETURN DATE ADDRESS Randolph P. Valvo, Executor, 212 Allendale Way, Camp Hill, PA 17011 SIGNATU OF PRE ARE R TH SENTATIVE DATE Z 7 � AD&'REASS Andrew C. Sheely, Esquire, 127 h Market Street, P.O. Box 95, Mechanicsburg, PA 17055 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610105 1505610105 l: 1505610205 REV-1500 EX(FI) Decedent's Social Security Number _....... ........._................................................................................. Decedent's Name: Valvo, Salvatore J. RECAPITULATION i.-Real Estate(Schedule A). .... .... ... . .... ... ..... . ..... . .... L i 2. 1Stocks and Bonds(Schedule B) ... . ... .......... . .. .. .......... . .... .. 2. 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) :... . 3. I p , ; 4.'I Mortgages and Notes Receivable(Schedule D). ..... ...... ..... .... ...... 4. i $34,933.00 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E).... ... 5. ! 147,081.14 6. Jointly Owned Property(Schedule F) O Separate Billing Requested ..... .. 6. 5,115.09 d 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property 292 545.40 (Schedule G) O Separate Billing Requested.... .... 7. 8.{',Total Gross Assets(total Lines 1 through 7). .. .. ... ... ..... ... ... ....... 8. 1 479,674.63 I 9.,�.`Funeral Expenses and Administrative Costs(Schedule H).. .... ..... . ..... .. 9. ; 16,19.6.03 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)......... ..... .. 10. j 172.51 . 11. =Total Deductions(total Lines 9 and 10). ... . ...... . ..... .... ...... .... .. 11. 16,368.54 12. Net Value of Estate(Line 8 minus Line 11) .. ...... ..... . ... .. . .. .. ... ... 12. 13. 'Charitable and Governmental Bequests/Sec 9113 Trusts for which 'an election to tax has not-been made(Schedule J) ....... ...... .. ... ...... 13. { { i- 14. Net Value Subject to Tax(Line 12 minus Line 13) ....:.. .... .. ..... .... .. 14. ! 463,306.09 i TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfersunder Sec.9116 __......._.__.......__................._._.__...._..._._.._........ .._........_.._._._..._....._. 1..._.._...._._..._..__...............__._......._......._._.._.._...._.._.__....___....._.:..._.._:._:..., (a)(1.2)X.0_ 15. 16. Amount of Line 14 taxable at lineal rate x.0 45 463,306.09 16 � 20,848.77 17.',Amount of Line 14 taxable at sibling rate X.12 ` 17. 1 18. Amount of Line 14 taxable -at collateral rate X.15 i 18. ' 9.1TAXDUE ... .. . ... ... . .... ... ... .. ... . ..�.�. . ..... ..... ..�.. .�..... ... 1 .i 20,848.77 20.. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Side 2 �. 1505610205 1505610205 REV-1500 EX(FI) Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME Salvatore J. Valvo STREETADDRESS 5225 Wilson Lane CITY STATEZIP Mechanicsburg PA 17055 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 20,848.77 2. Credits/Payments A.Prior Payments 19,000.00 B.Discount 999.97 Total Credits(A+B) (2) 19,999.97 3. Interest (3) 4. if Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2,Line 20 to request a refund. (4) 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 848.80 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred........................................................................................... ❑ E b. retain the right to designate who shall use the property transferred or its income ............................................ ❑ 0 c. retain a reversionary interest .............................................................................................................................. ❑ d. receive the promise for life of either payments,benefits or care?...................................................................... ❑ 2. If death occurred after Dec. 12,1982,did decedent transfer property within one year of death without receiving adequate consideration?.............................................................................................................. ❑ 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?.............. ❑ E 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation? ........................................................................................................................ ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1,1994,and before Jan.1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)].The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: o The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedents siblings is 12 percent[72 P.S. §9116(a)(1.3)].A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(l 1-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 17128.0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 019961 VALVO RANDOLPH P 212 ALLENDALE WAY CAMP HILL, PA 17011 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- told ---------- -------- 101 1 $19,000.00 ESTATE INFORMATION: SSN: FILE NUMBER: 2114-0895 DECEDENT NAME: VALVO SALVATORE J DATE OF PAYMENT: 11/24/2014 POSTMARK DATE: 11/24/2014 COUNTY: CUMBERLAND DATE OF DEATH: 08/30/2014 TOTAL AMOUNT PAID: $19,000.00 REMARKS: RECEIPT TO ATTY CHECK# 116 INITIALS: WZ SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS TAXPAYER REV-1507 EX+ (02-15) � pennsylvania SCHEDULE D DEPARTMENT OF REVENUE MORTGAGES & NOTES INHERITANCE TAX RETURN RECEIVABLE RESIDENT DECEDENT ESTATE OF FILE NUMBER Salvatore J. Salvo 21-14-0895 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Payoff of unsecured promissory note between Randolph P.Valvo and Elizabeth Valvo and $34,933.00 Decedent. TOTAL(Also enter on Line 4, Recapitulation) $ $34,933.00 (If more space is needed,insert additional sheets of the same size.) REV-1508 EX+(1i-1o) Pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF,- FILE NUMBER: Salvatore 1J. Valvo 21-14-0895 Include the proceeds of litigation and the date the proceeds were received by the estate. " All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1.: Santander Savings Account#574403085 -value at date of death $421.51 2 Santander Checking Account#2107921210 -value at date of death $41,510.40 3.1 Santander CD Account#7680360839-value at date of death $100,387.89 4 .. Bethany refund $420.34 5 Decedent's 2014 PA state income tax refund $534.00 6 Decedent's 2014 Federal income tax refund $3,807.00 r TOTAL(Also enter on Line 5, Recapitulation) $ 147,081.14 If more space is needed,use additional sheets of paper of the same size. Page I of I w .................. ............... ................... .......... ................ ... ......................................................................... Account Inquiry- Balances Bank: 0317 SANTANDER Branch: 0168 MECHANICS Account No.: 231372691 057440308.5 Participant: Salvatore j valvo Signature Rule: Permitted Product:' 300-120 Savings Currency USD US DOLLAR i Account Branch: 03170057 Branch Desc.: Old gettysburg road f ---- -----------------*................... ......... . ........ .......... ................................ . Balances Details Settlement Hold Current Balance: 421.51 C Check Holds: 0.00 C Pending Approval: 0.00 C Total Account Holds: 0.00 C Additional Available Funds: 0.00 C Available Balance: 421.51 C Blocks (Y/N): NO pincv-Date:-.12120/2007 Standard Reference: 0000001 Statement savings ............................... ................................................................................................................ -----...•--.._------------------------------.._.-.-- ----------- .............. ...................................................................... ...... -•----------------.......--•-•-------.....--------------..........-•.............................••-----•-•----.._....-....--....--... http://servicing.sov.gs.corp/SOV—CtasPersona les—UDT—ENS/BtoChanneIDriver.ssobto 9/19/2014 . A Page 1 of 1 �................... .....;........................... .................. ...................................>....._............,.....-...._........_..... ............................................. ............._........ ... ' Account Inquiry- Balances 4 l ? I Bank: 0317 SANTANDER Branch: 0168 MECHANICS Account No.: 231372691 2107921210 Participant: Salvatore j valvo Signature Rule: ' Permitted Product: 300-105 Checking (Interest be. Currency USD US DOLLAR Account Branch: 0317 0168 Branch Desc.: Mechanicsburg j _...... _..-................... ? Balances Details Settlement Hold I . I Current Balance: 41,510.40 C II j Check Holds: 0.00 C , I ? I Pending Approval: 0.00 C i I j Total Account Holds: 0.00 C 1 Additional Available Funds: 0.00 C Available Balance: 41,510.40 C I ' Blocks (Y/N): NO t � :=6pening-C)afie: t}S%1'0�2t)13' ( Standard Reference: 0000007 Santander premier checking ; i l I i 3 S I r http://servicing.sov.gs.corp/SOV_CtasPersonales UDT ENSBtoChannelDriver.ssobto 9/19/2014 1 i [ 'g'r _® �� ,E E •+. t} ManagerI Oeaetai Mph' .......... �1��'. p I 6rantl�i�Y Grnerat�-) -• .,�..lam.,S :::rc..-:::_•.r:_,..::rrUnFted states 6° Salvatore3 Valva 5uDPaR ...Group Sites r-- 'n 'a' C s i _... .. ..,•_.._.,,.- 'u;:<ae%-=..� �-'."•_`�'.'r:.•:' y, Custort"sEc.Natdings.Llst�a ` -.....,k..r:Y.:��_`,f.s�tF.',r�e�i-�,sirr�: � _ ... � �:s's'*htts��<s ? �'.�.'�'.��_`-.'_•�.R�� .�-`'���;,..r�?r.: I Salvatore 3 Main Phone Number. 17116358851 • I ; Document: XDS O46188793 J93 - Date of Birth: Odj02/1920920 ; Address: 212 endale way camp hill Pa 17011-8402 7-:7.-': .:Pe anal Click onarow to select an aotoliitt:'�.::�:i�i.i�ii:"�.:!':.:r:'.:.�:'.ii Acconh45eartfi';; ACCUunt Number Description Participation Type Current Balance Available Balance I Typc 231372691 OS7440308S ,;SAVINGS OWNER(INDTVI 421.51 USD 421.51 USD 231372691 2207921210 j CHECKING(IN...:OWNER(INDtVi... ; 41,610.40 USO: 41,510.40 USD f ' ADDncatton 231372691 7677245817 MONEY MARKET. OWNER(INDIVI... 571.46 USO: 571A6 USD 1 UD-Demand Deposit . .. .. ..... ....... .... .......... ........ ........... .. ....... .... ... '"'—'-` '—"'-'^"-' 231372691 7678297114 MONEY MARKET OWNER(INDI.Vf... 39,792.40 USD: 39,792.4q USD ? Account Number - - ! r678297124 �(, .: TOTAL: 82,295.77 USD: 82,295.77 USD i i._.�. ..�_.._ .__........ . ........._ ,_,_•------- ._,. _ „_ __ I. _,_ _ ,, ..-.,...._...__._._._..._._-... -, -.-........,..._..... . .D.. . ... -__ .. ..... r. • �.� i i:Ctrtificates of nyos. it'-Glide oh'a row td'sfled an acwunt:�:r:•.:....:..:::..._�.:•._;...:':::'::h::i::•.:... ... f �i CD Account Number Description Participation Type Current Balance Available Balance i EM MOR-11 I ;231372691 7680360839- ,RETAIL STATE... OWNER(INDIVI... 100,387.89 USD 100,387.89 USD I %...... ®•holders» Z ----c----r-_;......--7--r.:.-------r_-�...::::......._..------------ -........ ..-..... - - ----- I ............................_.,..,..._..__., j,i'DebitCards-4�Chckon,a'rowtoselect acard:','::;:`. ....:`:-:,-.:•.'.;:,.':,':...: l _ .a.,,,-,.:;,,,.,;;,,,.,i,,tM Ih,-_�S:i r2�„r„.a,,i Card Number Description Participation Type Card Status f < Credential and ! 415981g0774g952S CLASSIC CHECKCARD ACCOUNT HOLDER/OWN....BLOCKED f Services Mana ement - 5129920072212487 •'CLASSIC CHECKCARD `ACCOUNT HOLDER/OWN...;PRE-ACTIVE .............................,...... .... ...... .. ....... ... ...........,............ 'I '.....:r: .................:::.v ... ... MulUchanne) :: Contrail :..:.:....... ......-.....:.....,•::...- ,. Account N ...• •� , ........... umber Description Participation Type, i F 'i i I4 H+,i 3 3 _� 'it Ft, !-r i 0317 0168 520 0000636 MULTICHANNEL CONTRACT Account holder/owner 1 0317 0168 520 0000040 MULTICHANNEL CONTRACT Account holder/owner + I} .�W:N � 11tIT," Fi,YiC, "r .+ X * . «P �'C;. ,a:toYat ttt2rie!';(Pro'lecleQ;Mode Off ...s•n.. ?If;:1064f<>.�.1J 'f�t�sn ��c 's�ua:? �se�r+9-s."���'catg;dar�d�s rnnNsfAsr fi'! `stl:+an�ors'fic�:� j�lY�j'-IC1 ��!_�1 �I��_lo3aAM,�;1' d REV-15o9 EX+(oi-10) ', Pennsylvania SCHEDULE F �y DEPARTMENT OF REVENUE INHERITANCE TAX RETURN JOINTLY-OWNED PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Salvatore J. Salvo 21-14-0895 If an asset became jointly owned within one year of the decedent's date of death,it must be reported on Schedule G. SURVIVING JOINT TENANT(S)NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A.Randolph P.Valvo 212 Allendale Way,Camp Hill, PA 17011 Son B.David R.Valvo 3995 W. McNab RD, Windward Lakes B212 Son Pompano Beach, FL 33069 C.Gary P.Valvo 22 Cuprak Road, Norwich, CT 06360 Son JOINTLY OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENT'S VALUE of NUMBER TENANT JOINT IDENTIFYING NUMBER.ATTACH DEED FOR JOINTLY HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A., 5/10/13 Santander Money Market Acct.#817,balance at date of death 517.46 50 $285.73 Jt.acct.with Randolph P.Valvo 2. A 11/1112011 First Bristol Federal Credit Union,Savings Acct.#8410384600,Jt.acct. $2,007.46 50 $1,003.73 with son,Randolph P.Valvo W A 11/21/1972 First Bristol.Federal Credit Union,Savings Acct.#41100,Jt.acct.with $11,764.26 25 2,941.06 BC Randolph P.Valvo,David R.Valvo and Gary R Valvo 4. A 11/21/1972 First Bristol Federal Credit Union,Checking Acct.#41110,Jt.acct.with $3,538.29 25 $884.57 BC Randolph P.Valvo,David R.Valvo and Gary P.Valvo TOTAL (Also enter on Line 6, Recapitulation) $ 5,115.09 If more space is needed,use additional sheets of paper of the same size. Page 1 of 1 .... ... .... ................... .................................... ................................................ ................. i Account Inquiry- Balances Bank: 0317 SANTANDER Branch: 0168 MECHANICS i Account No.: 231372691 7677145817 Participant: Salvatore j valvo Signature Rule: Permitted Product: 300-110 Money market Currency USD US DOLLAR Account Branch: 0317 0168 Branch Desc.: Mechanicsburg ___......... ... .. ..............-.............. i Balances Details Settlement Hold Current Balance: 571.46 C Check Holds: 0.00 C i ! Pending Approval: 0.00 C jTotal Account Holds: 0.00 C Additional Available Funds: 0.00 C Available Balance: 571.46 C Blocks (Y/N): NO Opening'Date: 05/10/2013 ' Standard Reference: 0000001 Premier money market- Standard e , I i i f .......................................... — ....._.....................................................................................................—..—..---........................ http://servicing.sov.gs.corp/SOV_CtasPersonales UDT ENSBtoChannelDriver.ssobto 9/19/2014 FIRST BRISTOL FEDERAL CREDIT UNION Randolph P Valvo 212 Allendale Way Camp Hill PA 17011 RE: Salvatore J Valva Estate Dear Randolph I have enclosed the check that closes the accounts Salvatore had with us. I have also enclosed the documents that you sent me. As requested, I am providing you the balances as of August 29, 2013 which shows the end of the month totals for all of Salvatore accounts before his death 8410384600 - $2007.46 misc. savings 41100 - $11,764.26 savings 41110 - $3538.29 checking If you have any questions please call me at 860-584-0956 ext. 203 Thank you. Michelle Paradis Member Services Teller MAIN OFFICE: 25 NORTH ST., Bristol CT 06010 BRANCH OFFICE: 902 STAFFORD AVE., Bristol CT 06010 MAILING ADDRESS: P. O. BOX 698, Bristol CT 06011-0698 860-584-0956 • Fax 860-583-0743 • www.firstbristol org E-mail: info@firstbristol.org FIRST BRISTOL FEDERAL CREDAT UNION October 23, 2014 Randolph P Valvo 212 Allendale Way Camp Hill PA 17011 Dear Randolph I research what your lawyer requested and here is the information. On the savings 41100 and the checking 41110 David, Gary and you were listed on the cards as signers dated November 21, 1972. On 'November 112011 Salvatore and you opened a savings with no other signers. If you have any questions please call me at 860-584-0956 ext. 203 Thank you. Michelle..P.aradi,s Member Services Teller MAIN OFFICE: 25 NORTH ST., Bristol CT 06010 BRANCH OFFICE: 902 STAFFORD AVE., Bristol CT 06010 MAILING ADDRESS: P. O. BOX 698, Bristol CT 06011-0698 860-584-0956 * Fax 860-583-0743 * www,firstbristol org E-mail: info@firstbristol.org REV-1510 EX+(08-09) : pennsylvania SCHEDULE G .� DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Salvatore J. Valvo 21-14-0895 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM INCLUDE THEDESCRIPTION OF PROPERTY DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE NAME OF THE TRANSFEREE,THEIR RELATIONSHIP TO DECEDENT AND NUMBER THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST IF APPLICABLE VALUE 1 ING Brokerage Account#35E-115080,value at date of death$89,176.18. Beneficiaries: grandson,Joel S.Valvo,93 North Village Circle,Palmyra,PA 89,176.18 100 89,176.18 17078;grandson David A.Valvo,2038 Liberty Drive,Mechanicsburg, PA 17055;granddaughter Christine Valvo,212 Allendale Way,Camp Hill,PA 17011;granddaughter Julia Valvo Ramos,2220 Rosewood Drive,Edgewood, MD 21040. TD Ameritrade Account#903-354650,Beneficiaries:son,Randolph P.Valvo, 2' 212 Allendale Way, Camp Hill,PA 17011;son Gary P.Valvo,22 Cuprak Road, 154105.09 100 154105.09 Norwich,CT 06360;son David R.Valvo,3995 W. McNab RD, Windward Lakes B212,Pompano Beach,FL 33069. i+ Santander Money Market Acct.#114,balance at date of death,Jt.acct.with 3. son,Randolph P.Valvo.Opened 9/18/13 39,792.40 100 3,000.00 36,792.4G Invesco Investment Services Account#100127918.Beneficiary:son Gary P. 4' Valvo,22 Cuprak Road,Norwich,CT 06360 12,471.73 100 12,471.73 1. TOTAL(Also enter on Line 7, Recapitulation) $ 292,545.40 If more space is needed,use additional sheets of paper of the same size. 1%) Capital 111 South Main Street Wallingford,CT 06492 Financial (203)774-0505 (866)462-2377 A 16 A 16 Planning C (203)774-0525 fax Donald coffin Senior Vice President DCoffin@4CFP.net October 17, 2014 Randolph Valvo 212 Allendale Way Camp Hill, PA. 17011 Dear Randy, In regards to your father,Salvatore Valvo,TOD brokerage account the beneficiaries are Joel S.Valvo, David A.Valvo, Christine M.Valvo, and Julia E.Valvo (Ramos). I have enclosed a copy of the paperwork your father originally signed. In the last two years there have been a total of 2 deposits. On December 13th 2012$15,000 was deposited into the account and on April 81h 2014$30,000 was deposited into the account. I have included copies for your records. The account value on the date of death was$89,176.18. You will find a statement showing all details attached. Please call at any time if any questions should arise. Thank you. cerree Don—Coof nom- VOYA. Securities and investment Capital Financial Planning,LLC advisory services offered through is not a subsidiary of VOYA Financial Advisors. nor controlled by VOYA FINANCIAL ADVISORS Member SIPC Voya Financial Advisors,Inc. I M ® ■ Account 909-354650 SALVATORE J VALVO TOO MONTHLY STATEMENT - —Reporting Period:September 1 -30,2014 INDIVIDUAL ACCOUNT SUMMARY Total Account Value: $153,418.97 YOUR INDEPENDENT ADVISOR CHANGE IN ACCOUNT VALUE This Month Year to Date BENIN MANAGEMENT CORP 96 BALD HILL RD 911/14-9130/14 1/1144-9/30/14 WILTON CT 06897-0000 . BEGINNING VALUE $154,105." $182,663.44 MarketAppreclatlonl Dividends and Interest 198.38 2,159.33 Depreciation The change In value of For questions regarding the services provided Market Appreciation!(Depreciation) (884.50) '9,324.20 Investments due to me market by your Independent Advisor call assessment or Withdrawals from Account - 40,000.00 Is separate fromvalueoaddWb which (203} 762-0433 ) sepA Y Other Income or Expense - (728.00) comorate actions(such as the Questions?-Contact us. issuance ofdivfdendorInterest ENDING VALUE $153,418.97 $153 418.97 payments)and your own {800)431-3500 ' additions or withdrawals. CHANGE IN VALUE $(686.12) $(29,244.47) TD Ameritrade Clearing, Income or Expenseng,Inc.,Member SIPC Miscellaneous expenses ' including management fees,as, well as TD Amertrade fees(such as for wire transteror returned checks)andlormiscelleneous Income credited to the account such as a margin Interest adjustment royalties,etc. SUM MARY OF HOLDINGS(does not represent an asset allocation) Market Value Percent of as of 9/30/14 Account Cash and Cash Alternatives $9,912.97 6A6% Exchange Traded Funds,(ETFs) 11,822.00 . _ 7.71 Stocks 131,684.00 85.83 TOTAL VALUE $153,418:97 100.0% Ame' ritrade Page t of 6 Institutional f167'1t1'1-Th A` -7A Pagel of 1 ...... ... ... ..... _...... .......,.............................................. ... Account Inquiry- Balances, j I j Bank: 0317 SANTANDER Branch: 0168 MECHANICS j Account No.: 231372691 7678297114 Participant: Salvatore j valvo Signature Rule: Permitted Product: 300-110 Money market Currency USD US DOLLAR { Account Branch: 0317 0168 Branch Desc.: Mechanicsburg i Balances Details Settlement . Hold ! I Current Balance: 39,792.40 C ' Check Holds: 0.00 C ( . Pending Approval: 0.00 C Total Account Holds: 0.00 C ., Additional Available Funds: 0.00 C I ! ! Available Balance: 39,792.40 C Blocks(Y/N): NO i Opening:Date::09/1.8/.2013 ii iStandard Reference: 0000070 Premier money market- Promo i ! i . I .................................................................................. ........ .------ ---------------------------------------..-.---------------- http://servicing.Sov.gs.Corp/SOV_CtasPersonales UDT ENSBtoChannelDriver.ssobto 9/19/2014 REV-1511 EX+(10-09) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND _._. INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF, FILE NUMBER Salvatore J. Valvo 21-14-0895 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1' Malpezzi Funeral Home $12,058.20 2. funeral luncheon $1,012.53 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: $0.00 Name(s)of Personal Representative(s) Randolph P. Valvo Street Address 212 Allendate Way City Camp Hill State PA ZIP 17011 Year(s)Commission Paid: 2. Attorney Fees: A Adriifco < < :!e/y gspv;,-e 2,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's,attach/explanation.) Claimant Street Address_ City _ State ZIP t Relationship of Claimant to Decedent 4. Probate Fees: l 365.50 5. Accountant Fees: Pht�`'P � (� t G $150.00 6. Tax Return Preparer Fees: �J 7. Postage 9.80 8. Reserves to conclude Estate administration,final accountings 600.00 TOTAL(Also enter on Line 9, Recapitulation) $ 16,196.03 If more space is needed, use additional sheets of paper of the same size. RECEIPT FOR PAYMENT LISA M. GRAYSON, ESQ. Receipt Date : 9/19/2014 Cumberland County - Register Of Wills Receipt Time : 09:48 : 55 One 'Courthouse Sc{uare Receipt No. : 1079210 Carlisle, PA 17613 VALVO SALVATORE J Estate File No. : 2014-00895 Paid By Remarks : RANDOLPH VALVO DB1 ------------------------ 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 JCS FEE 35 . 50 BUREAU OF RECEIPTS & CNTR M.D SHORT CERTIFICATE 20 . 00 CUMBERLAND COUNTY GENERAL FUN AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN INVENTORY 15 . 00 CUMBERLAND .COUNTY GENERAL FUN INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# 1086 $125 . 50 Total Received. . . . . . . . . $125 . 50 REV-1512 EX+(12'-08) pennsylvania SCHEDULEI ' DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS f RESIDENT DECEDENT ESTATE OF FILE NUMBER Salvatore J. Salvo 21-14-0895 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Medicine Shoppe-final pharmaceutical bill $71.73 2. PA Department of Revenue-2011 Tax penalty $49.00 3. Check printing fee-Santander Bank $51.78 i TOTAL(Also enter on Line 10, Recapitulation) $ 172.51 If more space.is needed, insert additional sheets of the same size. REV-1513 EX+(01-10) pennsylvania SCHEDULE J + DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF:- FILE NUMBER: Salvatore.J, Valvo 21-14-0895 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS(Include outright spousal distributions and transfers under Sec.9116(a)(1.2).] 1. Randolph R Valvo,212 Allendale Way,Camp Hill,PA 17011 Son 331/3% 2. Gary P.Valvo,22 Cuprak Road, Norwich,CT 06360 Son 331/3% 3. David R.Valvo,3995 W. McNab RD, Windward Lakes 8212 Son 331/3% Pompano Beach, FL 33069 'ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1 TOTAL OF PART II — ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed,use additional sheets of paper of the same size. T"t XW nub &stauurd KNOW ALL MEN BY THESE PRESENTS,That I,SALVATORE J.VALVO,of the Town of Bristol,County of Hartford and State of Connecticut,being of sound and disposing mind,memory and judgment,do hereby make,publish and declare this to be my Last Will and Testament,hereby revoking all Wills and Codicils by me heretofore made. ARTICLE ONE I direct my Executor or Alternate Executor,hereinafter named,to pay my funeral expenses and those of my debts which may be legally owing at the time of my death,except any debt secured by mortgage or other collateral,and I direct that all legacy,succession, inheritance,transfer and estate taxes levied or assessed upon or with respect to any property which is included as part of my gross estate for the purpose of any such tax,shall be paid by my Executor or Alternate Executor out of my estate as an expense of administration and shall not be prorated or apportioned among or charged to any person or against any property passing or which may have passed to any of them,and that my estate shall not be entitled to reimbursement for any portion of any such tax from any such person. ARTICLE SECOND I hereby make the following specific bequests to my grandchildren: (a) To my grandson,JOEL S.VALVO,now of Colonial Beach,Virginia,I give and bequeath the sum of Five Thousand($5,000.00)Dollars,to be his absolutely. (b) To my grandson,DAVID A.VALVO,now of Shiremanstown,Pennsylvania, I give and bequeath the sum of Five Thousand($5,000.00)Dollars,to be his absolutely. (c) To my granddaughter,CHRISTINE VALVO,now of Forestville, Connecticut,I give and bequeath the sum of Five Thousand($5,000.00)Dollars,to be hers absolutely. (d) To my granddaughter,JULIA VALVO,now of Forestville,Connecticut,I g ive and bequeath the sum of Five Thousand($5,000.00)Dollars,to be hers absolutely. ARTICLE THIRD J To my son,GARY P.VALVO,I give and bequeath all of my shares(including D.R.I.P.Shares)in AIM GLOBAL HEALTH CARE FUND,CLASS A(551),to be his absolutely. ARTICLE FOURTH To my son,RANDOLPH P.VALVO,I give and bequeath the sum of Fifty Thousand($50,000.00)Dollars,or his choice of a selection of corporate stock or equity funds having an equal inventory value. ARTICLE FIFTH To my son,GARY P.VALVO,I give and bequeath the sum of Fifty(550,000.00) Thousand Dollars,or his choice of a selection of corporate stock or equity funds having an equal inventory value. ARTICLE SIXTH All of the rest,residue and remainder of my estate,real,personal and mixed,of whatsoever the same may consist and wheresoever situated,I give,devise and bequeath to my children,RANDOLPH P.VALVO,DAVID R.VALVO and GARY P.VALVO,to be theirs in equal shares,share and share alike. It is my intention that the living issue of any deceased child of mine shall take collectively the share which such deceased child of mine would have taken if living at the time of my death. ARTICLE SEVENTH I nominate,constitute and appoint my son,RANDOLPH P.VALVO,Executor of this my Last Will and Testament and I direct that no bond be required of him in such capacity. In the event that my said son,RANDOLPH P.VALVO,predeceases me or is unable or unwilling to act as such Executor,I nominate,constitute and appoint my son, DAVID R.VALVO,Alternate Executor of this my Last Will and Testament,and I direct that no bond be�required of him in such capacity. ARTICLE EIGHTH My Executor or Alternate Executor named herein shall have the full power and authority to adjust,compromise or otherwise settle claims in favor of or against my estate on such terms as they deem advisable. I give my Executor or Alternate Executor named herein the fullest power and authority in all matters and questions and to do all acts which I might or could do,if living, including without limitation complete power and authority to sell(at public or private sale, for cash or credit,with or without security),mortgage,lease and dispose of any distribution in kind,all property,real and personal,owned by me at my death,at such times and upon such terms and conditions as they may determine,all without court order. Any and all decisions,determinations or actions made or taken by my Executor or Alternate Executor named herein pursuant to any of the powers and discretions given in this Will,if made or taken in good faith,shall be final and conclusive on all persons who are or may become interested in my estate under this Will,whether such decisions, determinations or actions be made or taken expressly or be implied in their acts,accounts or other proceedings. IN WITNESS WHEREOF,I have hereunto set my hand and seal this 170i day of December,2007. -1*z r L.S. zuv SALVATo J.VALVO Signed,sealed and declared to be his Last Will and Testament by him,the Testator, SALVATORE J.VALVO,in the presence of us,who at his request,in his presence and in the presence of each other have hereunto subscribed our names as witnesses,on the 170r day of December,_ 7. r'l t(Gict.w_ '. .� ��,• of 17 Riverside Avenue,Bristol.CT 06020 ` Maureen . .ti6,i3iis of 17 Riverside Avenue Bristol CT 06010 Amber i.. Go ie STATE OF CONNECTICUT) ) ss:Bristol December 17,2007 COUNTY OF HARTFORD ) We,the within named, Maureen M. Gillis and Amber L. Gochie being duly sworn,depose and say: That we severally attested the within and foregoing Will of the within named Testator,and subscribed the same in his presence,at his request and in the presence of each other;that the said Testator signed,published and declared the said instrument as and for his Last Will and Testament in our presence on the 17th day of December,2007;and at the time of execution of said Will,said Testator appeared to us to be more than eighteen years of age and of sound mind,memory and judgment and under no improper influence or restraint to the best of our knowledge and belief,and we make this affidavit at the request of said Testator. Maureen M. Gillis Amber L. Wlie f STATE OF CONNECTICUT) ) ss:Bristol December 17,2007 COUNTY OF HARTFORD ) Then personally appeared before me,EDWARD C.KRAWIEC ,duly qualified to administer oaths: tr' Maureen M. Gillis and6", Amber L. Gochi and subscribed and made oath to the truth of the fore"affidavit. WARD C.KRAVftCKI Commissioner of Superior Court