HomeMy WebLinkAbout01-0170
PETITION FOR PROBATE and GRANT OF LETTERS
.2/-(jI- /7()
T;:lr1prosa
No.
To:
Estate of Al fonso .T
also known as
Register of Wills for the
. Deceased. CO~lllty of Cumber land in the
Social Security No. 1 78-1 4 - 5557 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of a~ or older an the execut rix
in the last will of the above decedent, dated ~eptember 1 0
and codicil(s) dated
named
,19~
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in Cumber land County, Pennsylvania, with
h i 5 last family or principal residence at 1 6 Enck Dr i ve
Boiling Spring~, PA 17007
(list street, number and muncipaliry)
De~endem, then ~__. years of age, died February 4, XV9 2001 ,
at16 Enck Dr;vp, B011ipI) Springs, PA 17007 . .
Except as follows, decedent did not marry I was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetem:
Decendent at death o\vned property with estimated values as follow's:
(If domiciled in Pa.) All personal propeny
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal propeny in County
Value of real estate in Pennsylvania
situated as follows:
16 Enck Drivp-, Rnilinl) Sprinl)s, FA 17007
S250,OOO.OO
S
S
S150,OOO.OO
\VHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presemed herewith and the grant of letters Tp-~t;:)mpnt;:lry
(testamentary: administration C.L3..; administration d.b.n.:.:.a.)
theron.
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Eliz eth Ja Chapin
17.017. Rnxpr Hill Road
Cockeysvillp-, MD 7.1010
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA I s~
COUNTY OF CUMBERLAND J :s
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are
true and corre:::t to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
[L:y~r-&~c ~
Sworn to or affirmed and subscribed
before me this /0< .'t.A day of {
Feb:ruary. ~2001
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~o. 21-01-170
Estate of
Alfonso J. Iaderosa
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW FEBRUARY 15 th Xi~~l in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated spph::~mber 1 0, 1 992
described [herein be admitted to probate and filed of record as the last will of
Alfonso J Iaderosa
ane Letters Testamentary
are hereby granted to El i zabeth Jan Chapin
'f' ' /-, ..-+- ( .
7/}/..L<,('. ?;(Yi:ift..) f.J..:'~.' (. .2-{;,A.l ,AJ2A__'; l.-.,.L'"'e(~t.l
O '. / 4~
/ RcglSl:>'; or' Wills '
FEES
P bit 305.00
ro are, Letters, Erc, ..... ..;
Shan Certificares( 1 9 . . S 30.00
~~ EXTRA .PAGES... S 12.00
S 5. 00
TOTAL _ S 352.00
Filed . ~~~;EP . ~~~.~l!A~Y. ) ~ , . .2.QO 1. . . . . . .
ANTHONY L. DeLUCA, ESQUIRE
...., TTOR.'\EY (Sup. Ce, I.D. \10.) 1 8067
P.O. Box 358
113 Front st., Boilinq Springs,PA
....,DDRESS 1 7007
717-258-6844
PHO.'\E
CALLED ATTORNEY FEBRUARY 15, 2001
1'\ to CLTtity lhell the inrormcll!on hell' gIven is corrccrh' l0\11nl !:il!li elll Cl'nitlc,lll
RegislrJI'. Tfw origirul certificate will bl' for\vardl'll to rill' \CllC' \'ju] Rculrds ()ffill' f.l)
h dllh' I:kd wall il1l' ;lS
II Jill ~:"
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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11 , 05 '4J Aev VB7
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
INT
,NT
~K
NAME C% DECEDENT (FirSt MIOOle. Lasl'l
Al6on~o J. IadekO~a
SEX
STAle I=llE NUMBER
SOCIAL SECURITY NUM8ER
.-.OE ILast 9>r.t'>Cay)
UNDE R 1 DIi
PlACE OF OEATH IC,",eclt oNy I)f'e u 'i@f! ,(1sltucl.ort'i on Of"'er ~oO@l
HOSPITAL
Inpatient 0 ERI()uq)at18nl [J
...
rACILlTY NAME (11 nollnsNUI.QI1. gIve SlIee1 ana numoerl
BIRTHPlACE IC,1y aM
3t2l18 Of F cre.gn Counrrv)
SURVIVING SPOUSE.
(l1iNde. \)lYe maoen name)
7. Male.
3. 1 78 -1 4
UNDEA , YEAR
Momhl DaY'
7. Bkad6okd, PA
7 9 Y"
:~I .....
5.
COUNTY OF ()E.(TH
Cumbekland
16 E nc.R. Dk.
Ie.
DECEDENT'S USUAL OCCUPIIl'ION
\Gl\fe Iond ot .'IlI()f'\l; ()Ot'le dU'1N) rr"IOSI
of worluno Ht.: do not use retired )
. lla. Akm CoR. llb.
DECEDENT'S MAILING ADDRESS ($1'.... CorylTown. Slale. LOP COdeI
16 End, Dk.
Bo~f~ng Spk~ng~, PA 17007
WAS DECEDENT EilER IN
U S, ARMED FORCES?
Yes 00 No 0
17. 13.
170. S,a,e Pe.nn.ol/.f.van~a
1Th. Counly C umb e.kR.and
Did
__01
I,.,."" .
townShip?
"""
17d.O :h:-C'='~W:OI
Cllyltno
FIIl'HER'S NAME IF<st. M"'dle. pSlI
lL Ftan~ laae.to~a
INFORj~~ N't~ (T~a"'p~n
7000.
METHOD OF DISPOSITION
O Buna.1 Ii] C,.ma."", 0
Donation 01",.. (S'~..,.\
. 21..
SIGNJIiT
_"om S,.,.O
MOTHER'S NAMEjF.st, M"'''Ie. Ma'P'i!' ~namel
It. Amel_<.a Monga.f.o
INFOtfOTN4AI~~:e;;.ESfl!rl'~SqC!JQ~tj) ~v~.Ue, MD 27 r;y;
1Ob.
PLACE OF DISPOSITION. N.me of Cemet.ry. Cremalory lOCATION. CorylTown. S'a.., Zop Code
or Ottwf Place
11..
Ind~antown Gap Ce.m. 71Ja~t Hanovek Twp. PA
NAME:'!'ID ADDRESS OF F~,clLITY
22P~b~on-Hol.f._<.ngek Mt. Holly Spk~ng~.PA 17065
LICENSE NUMBER DAlE SIGNED
I? N J - L (Month. Day. ~I
23b. I) I :5 ~ 3 /,p 73c. kb 1)'1. zoo
WAS CASE REFERRED TO MEDICAL EXAMINEAiCORONER?
Y.. 0 No~
:It.
DATE PRONOUNCED DEAO (1010"'''. Day, Ye'r)
24. 5" 0 0 M 75. klo 0 'I, 2 t-'CJ .
27. P..AT I; Enlltr th. diseases. lnlufi~ Of complicationS which caused lh. dealh Do not enler the mode of dying, such as cardiac 01 respiratory anGst, ShoCk or hean failure
List onty OM cauy on eaCh KM
<.."?~/(~r -
I Awoximare
: interval berw""
I onset and death
I
I
PART II:
Other signirtCanl c:on<fiC;ons conlributinQ 10 death. but
no( resutting in the underty\ng ca..... ONfM'l '" PAAT I
~ /6 ~ h...iL //c< / I" r:--<' c:'- i,-
DUE TO (OR AS A CONSEOUENtE OF)'
l:
DUE TO lOR "S .. CONSEOUE NCE OF):
DUE TO (OR AS ACONSEOUENCE OF]
WEAE AUTOPSY FINDINGS
A""ILABLE PRIOA TO
COMPLETION OF CAUSE
OF OEJJ'H?
MANNER OF DEATH
DATE OF INJURY
(Monltl. Day. Yeal)
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
SutcKM
..ef
[J
o
Homicide
Pending Invesltqation
o
o
o ~~CE OF INJURY. A' oome. tat~~~.a.. tac1O<y, ot!\ca
building, ete. ISpec_tvl
300,
Yes 0 NoD
NatUf81
Yes 0
NoD
Could nol be determined
M. 300. 3Od.
LOCATION (Slreet, C,"'(To..... SlaIO)
---~
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1(9-1 \ ~ \ 101
o
2~C /
,eb.
eER'T,FlEA (Check. on;., CJI"le'I
.CERTIFYING PHYSICI,AN (PhySIC.an CP.fltfytng cause 01 <1e'ath wnet'" anOI"er phvSIClan has pronounced dealh ana completed !1em 231
To the be.t 01 my kno...~, de.th oecU"ed due \0 the c.v,e(s) and m.nner " st.ted. .
29.
'PRONOUNCING AND CERTIFYING PHYSICIAN (Pt'I~le1n OOI~ ~Ionou(.clr"lg oealh and Cer'lrlYlng 10 cause 01 dealhl
To tn. ~t 01 my knowled"JfI!. de.th occurred .IIM 11m.. date, and pl.ce. and due to th. c.use(s) .nd man"er as slated.
.MEDICAL EXAMINER/CORONER
On the b.sis of ex.minltlon and/ot inveStigation, in my opinion. de.th occurred at the time. date. and place, and due to the eause(s) and
manner IS ,t.ted.. . ., ,... .. _ . . . , . . . . . . . . , . . . . . . . , , . , . . . . . . . . , . . . . . . , , . . . . . . , . . , . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . , . .
3'..
REGISTRAR'S SIGNATURE ANO 1.4
o
acsu\
<2 / - {) I - / 7 CJ
LAST WILL AND TESTAMENT
OF
ALFONSO J. IADEROSA
I, ALFONSO J. IADEROSA, Social Security Number 178-14-5557, of
the state of Pennsylvania, declare that this is my LAST WILL AND
TESTAMENT and I revoke all other wills and codicils previously made by
me.
FIRST: I appoint my daughter, ELIZABETH JAN CHAPIN, of Baltimore,
Maryland, as my Personal Representative concerning this Will. If my
daughter, ELIZABETH JAN CHAPIN, of Baltimore Maryland, is unable or
fails to serve, I then appoint my son, JOHN FRANCIS IADEROSA, of
Richmond Hills, Georgia, to serve as my Personal Representative.
a. I request that my Personal Representative be permitted to
serve without bond or surety thereon and without the intervention of
any court, except as required by law. I direct that my Personal
Representative act in unsupervised administration so as to administer
my estate with a minimum of court supervision. If it becomes necessary
to have ancillary administration of my estate in any jurisdiction where
my Personal Representative is unable or does not desire to qualify as
ancillary legal representative, I appoint as such ancillary legal
representative such individual or corporation as my Personal
Representative shall designate, in writing.
b. I direct my Personal Representative to pay the expenses
of my last illness, the expenses of a funeral appropriate to my station
in life and custom of living (including a suitable monument or marker
for my grave), and written charitable pledges which I have made. I
grant my Personal Representative the power to extend or renew any debt
for such time as my Personal Representative shall deem appropriate.
c. All estate, inheritance, succession and other death taxes
with respect to all property passing under this my Will shall be paid
from and borne by the principal of my residuary estate, without regard
to reimbursement, as if such taxes were administration expenses. My
Personal Representative may pay such taxes at any time deemed
advisable, whether or not then due and payable.
d. My Personal Representative is requested to settle my
estate as soon after my death as may be practicable, and to payor
deliver every legacy or bequest to my beneficiaries without waiting any
time that may be believed to be customary in probate matters.
qa~-6~~
PAGE 1
OF FOUR PAGES
-ell
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e. I have served in the Armed Forces of the United States.
Therefore, I direct my Personal Representative to consult with a Legal
Assistance Attorney at the nearest military installation and with the
Department of Veterans Affairs and the Social Security Administration
to ascertain if there are any benefits to which my family members are
entitled by virtue of my military service.
f. I may leave a letter of intent with the executed copy of
this Will for the purpose of giving guidance to my Personal
Representative concerning the distribution or sale of certain items of
my property. I request, but do not require, that my Personal
Representative honor my wishes therein expressed.
SECOND: To my sister, FRANCES IADEROSA, I give and bequeath the
sum of Five Thousand and no/100 ($5,000.00) Dollars.
THIRD: I give, devise and bequeath, absolutely and forever, all of
the rest, residue and remainder of my estate and property of which I
may be seized or possessed, or to which I may be entitled, at the time
of my death, wherever situated or of whatever nature, be it real,
personal, or mixed, to ELIZABETH JAN CHAPIN, JOHN FRANCIS IADEROSA,
PAUL M. IADEROSA and to any child or children that may be born to or
adopted by me, in shares of substantially equal value to be divided as
they may agree.
a. If any of my children shall not survive me, then the
share of that deceased child shall go to the descendants of that child,
who are to take per stirpes and not per capita. If any of my children
shall not survive me and shall not be survived by any descendants, then
the share of that deceased child shall be distributed to my surviving
children and the descendants of any of my other children who fail to
survive me, in the manner set forth above.
b. If they are unable to agree, the division among my
children and the descendants of any of my children who fail to survive
me shall be made by my Personal Representative, in that person's sole
and absolute discretion. I empower my Personal Representative to sell
any or all of such property, if such property is not distributed in
kind hereunder, and to distribute the proceeds among my said children
in substantially equal shares. Any determination of my Personal
Representative as to what should pass or be sold under this paragraph
and to whom it should pass or be delivered or at what price it should
be sold shall be conclusive.
~~U~
PAGE 2
OF FOUR PAGES
-&1
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I-
FOURTH: Except as otherwise provided in this Will, I have
intentionally failed to provide for any other relatives or other
persons, whether claiming to be an heir of mine or not. Insofar as I
have failed to provide in this Will for any of my issue now living or
later born or adopted, such failure is intentional and not occasioned
by accident or mistake.
FIFTH: Any beneficiary who fails to survive until one hundred
twenty (120) hours after my death shall be deemed to have predeceased
me, and the gift to that beneficiary shall be disposed of accordingly.
SIXTH: Definitions:
a. The term "children" as used in this Will includes adopted
and afterborn persons. The term "children" as used in this will shall
also include step-children, the natural born or adopted children of a
person's spouse. A relationship by or through legal adoption shall be
treated the same as a relationship by or through blood for purpose of
succession to property under this Will.
b. The term "descendants" as used in this Will means the
immediate and remote lawful, lineal descendants by blood or adoption of
the person referred to who are in being at the time they must be
ascertained in order to give effect to the reference to them.
c. The term "issue" as used in this Will means all persons
who are descended from the person referred to either by legitimate
birth to or legal adoption by that person, or any of that descendant's
legitimately born or legally adopted descendants.
d. The term "Personal Representative" as used in this Will
means Executor, Executrix, Independent Executor, or any other title of
like import which is used to describe such a fiduciary.
e. The term "per stirpes" as used in this Will means that
whenever a distribution is to be made to the descendants of any person,
the property to be distributed shall be divided into as many shares as
there are (1) living children of the person, and (2) deceased children,
who left descendants who are then living, of the person. Each living
child (if any) shall take one share and the share of each deceased
child shall be divided among his then living descendants in the same
manner.
4jJa.-y~~~~---
PAGE 3
OF FOUR PAGES
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SEVENTH: In addition to any powers granted by the laws of the
state in which this Will is probated, I hereby authorize and empower
the fiduciaries named in this Will, to the extent of the discretion
herein granted, to sell, exchange, convey, transfer, assign, mortgage,
pledge, lease or rent the whole or any part of my real or personal
estate, to invest, reinvest, or retain investments of my estate, to
perform all acts and to execute all documents which my fiduciaries may
deem necessary or proper in regard to my property. If any of my
fiduciaries elect to receive compensation for services, such
compensation will be that allowed by law.
EIGHTH: If any part of this Will shall be invalid, illegal, or
inoperative for any reason, it is my intention that the remaining
parts, so far as possible and reasonable, shall be effective and fully
operative. My Personal Representative may seek and obtain court
instructions for the purpose of carrying out as nearly as may be
possible the intention of this Will as shown by the terms hereof,
including any terms held invalid, illegal, or inoperative.
IN WITNESS WHEREOF, I have at Carlisle Barracks, Pennsylvania,
this /0
day of /'/fE#ZY//~~ , 19~, set my hand and seal to
this my LAST WILL AND TESTAMENT, consisting of FOUR typewritten pages,
each page bearing my handwritten signature.
The foregoing instrument Carlisle Barracks, Pennsylvania,
---;r--'-- r- -
this /OC-"'- day of ,_>v-~4----{ , 19 7J , signed, sealed, published
and declared by ALFONSO J. IADEROSA, the testator, to be his LAST WILL
AND TESTAMENT in the presence of all of us at one time, and at the same
time we, at his request and in his presence and in the presence of each
other, have hereunto subscribed our names as attesting witnesses, and
we do so verily believe that the said testator is of sound and
disposing mind and memory at the date hereof.
(SEAL)
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PAGE 4
OF FOUR PAGES
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ACKNOWLEDGMENT
I, ALFONSO J. IADEROSA, testator, whose name is signed to the
attached or foregoing instrument, having been duly qualified according
to law, 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.
(SEAL)
We, E;sle~ Ge-ol!..'t! /{JI)L/ /". C&lfllc ,and
/
~1-^j ~(u'l4.c , the witnesses, sign our names to this
instrument, being duly qualified according to law, do depose and say
that we were present and saw the testator sign and execute the
instrument as his Last Will; that the testator signed willingly and
executed it as his free and voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing and sight of
the testator signed the will as a witness; and that to the best of our
knowledge the testator was at that time 18 or more years of age, of
sound mind and under no constraint o. lU due influence.
~r /c1~ ~ l Clv'- ~
1 tness Wi t ss /~i:tREfSs'
Subscribed, sworn to and acknowledged before me by ALFONSO J.
IADEROSA, the testator, and subscribed and sworn to before me by
{}c-of.'~ --- I. ~ {r1.t2~k
es tE It.. , ( b iV-I , and
{
k 4/{j /'</7-= IV L/ /'I It , the witnesses, this I~d day of
.4~ I 1922-.
L ../~-;t!~
NOTARY PUBLIC
M
. s4.~-EA.I:-'lLes i'l
NotarkJSeal
Yt'Inda K. Hunter, ~ NJIc
CIWIsle EDo. cumbel1and CountY
My ConvniseIOO Expires 0cl18, 1993
Member, Penns'i~vC!n;a ,"ss.::Jd.:rt\cn oi N~"'r'$
E
...
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: Alfonso J. Iaderosa
Date of Death: February 4, 2001
Will No.
2001-00170
Admin. No.
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on ,Tn n p 1 q, ? 0 0 1
Name
Address
Elizabeth Jan. Chapin, 12012 Boxer Hill Road, Cockeysville, MD 21030
John F. Iaderosa, 414 Oxforn Drivp, Rir.hmond Hill, Georgia 31324
Paul M. Iaderosa. 128 Shadow Ridge Place, Chapel Hill, NC 27516
Notice has now been given to all persons entitled thereto under Rule 5.6(a) }{~~
Date:
~ 'J
'<-/7 07'0
cI /
r1'Ot'J /
,
. a'l~ rY4;d6f eft
SIgnature
Name Anthony L. DeLuca, Esquire
Address 11 3 Front Street
P.O. Box 358, Boiling Springs, PA
17007
Telephone ( 71 n - 2 58- 6844
Capacity: _ Personal Representative
~Counsel for personal representative
US Mint Proof Coin Sets
Uncirculated US Mint Coin Sets
Subscriber's Savings Account, Numbered 00123-03-30, at USAA
Savings Account, #52261-00, at Members 1st Federal Credit Union
Checking Account, #52261-11, at Members 1st Federal Credit
Union
SAvings account, #52261-05, at Members 1st Federal Credit Union 64,834.64
Inventory of the real and personal estate of
Alfonso ~ 1aderosa
deceased
1. Real Estate at 16 Enck Drive, Boiling Springs, PA
2. US Savings Bonds, Series EE
3. stocks/Bonds/Mutual Funds/Annuity
4. Savings account, numbered 5000979784, at PNC Bank, Mt. Holly
Springs, PA
5. Savings account, numbered 5130383487, at PNC Bank, Mt. Holly
Springs, PA
7 .
8.
9.
1 o.
1 1 .
1 2.
13.
1 4.
1997 Chrysler Concord LXI.
Miscellaneous personal property.
Miscellaneous US Mint Coin Sets
15.
/145, ODD'. 00
I
! 12,489.00
I
,277,651.82
i I
, 1 0 0/. 7 2
I I
6 9 4! . 8 3
9,00d.oo
2,909.00
215.50
1,817.35
752.50
2,199.53
5,278.04
48,153.07
$571,096.00
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss:
Elizabeth Jan Chapin
being duly sworn
according to law, deposes and says that She
of the Estate of Al fonso J.
is the Execlltrix
Iaderosa
late of ----S.._M-WQl-et-E}R -Township _- -------- I Cumberland County, Pa., deceased and th~t the
...ithin is an inventory made by her ., the said F.xer.lltri x
cf the entire estate of said decedent, consisting of all the personal prop8rty and real estate, except real estate outside
-;,e Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value
dS of the date of decedent's de-3th.
Sworn
and subscribed before me,
JLJ-JL-ci-
L(_./c.k~,,-.
C.,,--...
xec'.Jtor . Administr/ltor
May 2,
V/nt1/~;A~i (Z~ JS;e
u
12012 Boxer Hill Road
Cockeysville, MD 21030
Address
DClY
_____F~hru~ry ,
Mo"t~
2001
Date O)c Death
4th
Year
INSTRUCTIONS
I.
An inventory must be filed within three mor.+~s after appointment of personal representative.
A supplement inventory must be filed within thirty days or discovery of additional assets.
Additional sheets may be attached as to personalty or reafty
See Article IV, Fiduciaries Ad of 1949.
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z80601 ,
HARRI~BURG, PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
06-18-2001
IADEROSA
02-04-2001
21 01-0170
CUMBERLAND
101
ANTHONY L DELUCA ESQ
113 FRONT ST
PO BOX 358
BOILING SPRINGS PA 17007
C;i
C "
./
REV-l;47 EX AFP (12-00)
ALFONSO
J
Amount Remitted
( X) CHANGED
(1)
(2)
(3)
(4)
(5)
(6)
(7)
145,000.00
290,135.82
.00
.00
17,689.43
118,265.75
.00
(8)
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iffy = is'4-j-Ex--AFP--fi'2-:ocff-NoYicE--OF-'rNHEifiTAifcE-YA"x-A-PPRA-isEi.fEN:r,--AL1-owANcE-oR'----------- - - -- --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF IADEROSA ALFONSO J FILE NO. 21 01-0170 ACN 101 DATE 06-18-2001
TAX RETURN WAS: ( ) ACCEPTED AS FILED
SEE ATTACHED NOTICE
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(9)
(10)
23,088.99
(11)
(12)
(13)
(14)
NOTE: To insure proper
credit to your account,
submit the upper por.tion
of this form with your
tax payment.
571,091.00
71:).254 01
545,836.99
.00
545,836.99
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15)
16. Amount of Line 14 taxable at Lineal/Class A rate (16)
17. Amount of Line 14 at Sibling rate (17)
18. Amount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TAX CREDITS:
.00 X 00 = .00
545,836.99 X 045 = 24,562.66
.00 X 12 = .00
.00 X 15 = .00
(19)= 24,562.66
2,165.02
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-03-2001 AA496554 1,220.26 23,184.91
PAYMENT MUST BE MADE BY 11-04-2001*. TOTAL TAX CREDIT 24,405.17
BALANCE OF TAX DUE 157.49
INTEREST AND PEN. .00
TOTAL DUE 157.49
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
RESERVATION: Estates of decedents dying on or before December 12, 1982 -- if any future interest in the estate is transferred
in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for
life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes
at the lawful Class B (collateral) rate on any such future interest.
PURPOSE OF
NOTICE:
To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S.
Section 9140).
PAYMENT:
Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side.
--Make check or money order payable to: REGISTER OF lULLS, AGENT
REFUND ( CR) :
A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office
of the Register of Wills, any of the 23 Revenue District Offices, or by calling the special 24-hour
answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and I or
speaking needs: 1-800-447-3020 (TT only).
OBJECTIONS:
Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment
of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of
this Notice by:
--written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR
--election to have the matter determined at audit of the account of the personal representative, OR
--appeal to the Orphans' Court.
ADMIN-
ISTRATIVE
CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601
Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-1501) for an explanation of administratively correctable errors.
DISCOUNT:
If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%) discount of
the tax paid is allowed.
PENALTY:
The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
INTEREST:
Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of
death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of
six (6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after
January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate
announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2001 are:
Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor
1982 20% .000548 1992 9% .000247
1983 16% .000438 1993-1994 7% .000192
1984 11% .000301 1995-1998 9% .000247
1985 13% .000356 1999 7% .000192
1986 10% .000274 2000 8% .000219
1987 9% .000247 2001 9% .000247
1988-1991 11% .000301
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.
f~ '
~~~
1,.,-;{WiI{~~
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME
REV-1470 EX (6-88)
REVIEWED BY
SCHEDULE
ITEM
NO.
H
B-3
INHERITANCE TAX
EXPLANA TION
OF CHANGES
FILE NUMBER
ALFONSO J IADEROSA
2101-0170
101
ACN
John Kealy
EXPLANATION OF CHANGES
The claim for the family exemption has been disallowed. The claimant must be a spouse
or if no spouse, a parent or child living in the same household as the decedent as of the
date of death.
ROW
Page 1
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DELUCA ANTHONY L ESQ
11 3 FRONT ST
BOILING SPRINGS, PA 17007
nnnn fold
ESTATE INFORMATION: SSN: 178-14-5557
FILE NUMBER: 21 - 200 1 - 0 1 70
DECEDENT NAME: IADEROSA ALFONSO J
DATE OF PAYMENT: 10/09/2001
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 02/04/2001
NO. CD 000357
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $157.49
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: ELIZABETH JAN CHAPIN
C/O ANTHONY DELUCA ESQUIRE
CHECK# 146
SEAL
INITIALS: DO
RECEIVED BY:
REGISTER OF WILLS
$157.49
MARY C. LEWIS
REGISTER OF WILLS
/(;-dCJ9 -1/
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
""" I\.
I
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L...
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG. PA 17128-0601
REY-1607 EX AFP !l2-DDl
Recoroad
Ren,;ctG "
,,::;. ,-ji..,"-.f
..'f; of
'{liltS
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
11-19-2001
IADEROSA
02-04-2001
21 01-0170
CUMBERLAND
101
ALFONSO
J
.OJ NaV 26 All =47
ANTHONY L DELUCA ESQ
113 FRONT ST Cler--( "
PO BOX 358 n" K .... I' ._-..,.i>,.L-Ourt
BOILING SPRINGS 'lttrr7(N)7~;.}', PA
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
RE-Y: i6(j"j-Ex--AFP--(i2-:ooy------...--iNifERi~.._ANCE--TAX--STATEME-N'T-ifF'-Ac-couiff--.-i.--------------- - - - - --
ESTATE OF IADEROSA
ALFONSO
J F I L E NO. 21 01 - 0170
ACN 1 01
DATE 11-19-2001
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PRO~ECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 06-18-2001
P R I N C I PAL TAX DUE: ..........................................................................................................................................................................................................................
24,562.66
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-03-2001 AA496554 1,220.26 23,184.91
10-09-2001 CDOO0357 .00 157.49
TOTAL TAX CREDIT 24..562.66
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
!IE IF PAID AFTER THIS DATE.. SEE REVERSE TOTAL DUE .00
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)..
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
PAYMENT:
Detach the top portion of this Notice and submit with your payment made payable to the name and address
printed on the reverse side.
If RESIDENT DECEDENT make check or money order payable to: REGISTER OF WILLS.. AGENT.
If NDN-RESIDENT DECEDENT make check or money order payable to: COMMONWEALTH OF PENNSYLVANIA.
REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an
"Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at
the Office of the Register of Wills, any of the 23 Revenue District Offices or from the Department's 24-hour
answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and I or
speaking needs: 1-800-447-3020 (TT only).
REPLY TO:
Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau
of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601, phone
(717) 787-6505.
DISCOUNT:
If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%) discount
of the tax paid is allowed.
PENALTY:
The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period.
INTEREST:
Interest is charged beginning with first day of delinquency, or nine (9) months and one (I) day from the date of
death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of
six (6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after
January I, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate
announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2001 are:
Year
Interest Rate
Daily Interest Factor
Year
Interest Rate
Daily Interest Factor
1982 20% .000548 1992 9% .000247
1983 16% .000438 1993-1994 n .000192
1984 11% .000301 1995-1998 9% .000247
1985 13% .000356 1999 n .000192
1986 10% .000274 2000 8% .000219
1987 9% .000247 2001 9% .000247
1988-1991 11% .000301
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.
1
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STATUS REPORT UNDER RULE 6.12
Name of Decedent: Alfonso J. Iaderosa
Date of Death: February 4, 2001
Wi 11 No. 21 - 0 1 - 0 1 70
Admin. No.
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes X No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No.1 is Yes, state the following:
a. Did the personal representative file a final
account wi th the Court? Yes No X
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes X No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Da te: :J /tc) /(5 ~
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Sl.gnatu
Anthony L. DeLuca, Esquire
Name (Please type or print)
113 Front st., P.O. Box 358
Boilinq Sprinqs, PA 17007
Address
(717 ) 258-6844
Te 1. No.
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Capacity:
Personal Representative
X
Counsel for personal
representative
JRD/June 30, 1992/17858
MAR 1 J Za03~
In Re: Estate of Alfonso J. laderosa
Late of South Middleton Township
Estate No.: 21-2001-0170
ORPHANS' COURT DIVISION
CUMBERLAND COUNTY
PENNSYL VANIA
NO: 21-2001-0170
NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A
HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE
Personal Representative
Counsel for Personal Representative: Anthony L. Deluca, Esquire
Date of Decedent's Death: 02-04-2001
Date of Delinquency Notice: 01-06-2003
The undersigned, Donna M. Otto, Register of Wills, in accordance with Rule 6.12,
Suprelne Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of
Con1mon Pleas of Cumberland County, that neither the above nanled personal representative nor
the above named counsel for the personal representative have filed with the Register of Wills or
Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court
Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court
Orphans' Court Rules, was given by the Register of Wills on 01-06, 2003, and that the ten (10)
day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the
Comi is hereby notified of such delinquency and the undersigned requests that a Court conduct a
hearing to determine whether sanctions should be imposed upon the delinquent personal
representative or counsel for the delinquent personal representative.
Date: 03-10-2003
~~
Distribution:
Personal Representative
Counsel for Personal Representative
Estate File
. . tf-,2,r-o ~ 0.),. .
A heanng IS scheduled for at7 / J-o In Courtroom No.3. If the Status Report IS filed
prior to the hearing date, the hearing will automatically be cancelled.
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Cumberland County - Register Of Wills
Hanover and High Street
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 1/06/2003
ELIZABETH JAN CHAPIN
12012 BOX HILL ROAD
COCKLEYSVILLE, MD 21030
RE: Estate of IADEROSA ALFONSO J
File Number: 2001-00170
Dear Sir/Madam:
It has come to my attention that you have not filed the Status
Report by Personal Representative (Rule 6.12) in the above captioned
estate.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO.
103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after
July 1, 1992, the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Register of
Wills a Status Report of completed or uncompleted administration.
This filing will become delinquent on: 2/04/2003
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
cc: / File
Counsel
Judge
REV-1500EX(S-OO)
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REV -1 500 OffiCIAL USE ONl~'1'-'
COMMONWEALTH OF
PENNSYLVANIA
PEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
~jCODE - 4EAt-
~~LLCL
NUMBER
I-
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W
C
W
o
W
C
DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL)
Iaderosa, Alfonso J.
DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR)
Februar 4 2001 December 14, 1921
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, ANO MIDDLE INITIAL)
SOCIAL SECURITY NUMBER
178 14
5557
~ 1. Original Return
o 4. Limited Eslate
G 6. Decedent Died Testale (Altacl1 oopyolWiII)
o 9. Litigation Proceeds Received
D 2. Supplemental Return
D 4a. Future Interest Compromise (dale of death after 12-12-82)
o 7. Decedent Maintained a Living Trust (Attach copy of Twst)
o 10. Spousal Poverty Credit {<!ate o( ooatl\ ~wreefl12-:'.1-B1 aM 1-1-%}
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
o 3, Remainder Return {date of death prior to 12-13-82)
o 5. Federal Estate Tax Return Required
L 8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
...,
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Anthon L. DeLuca, Esquire
FIRM NAME {If Applicable)
COMPLETE MAILING ADDRESS
P.O. Box 358
113 Front street
Boiling Springs, PA 17007
NAME
TELEPHONE NUMBER
OFFICIAL USE ONLY
(B)
571,091.00
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
(1)
(2)
(3)
(4)
(5)
$145,000.00
;>'lO. 11'; IP
o
(11)
(12)
(13)
28.754.01
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4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
D Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
(7)
-0-
(14)
542,336.99
o
17,689.43
(6)
118,26'> 75
?/l,40'> 11;
(19)
$24,405.16
(9)
(10)
26,588.99
2,165.02
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Ures 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Sch<dule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
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15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
,0_(15)
$542,336.99
, .0 -4-5- (16)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
, .12 (17)
, .15 (18)
18. Amount of Line 14laxable at collateral rate
19. Tax Due
20.0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Decedent's Complete Address:
STREET ADDRESS
16 Enck Drive
PA
CITY
Bailin S rin s
STATE
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spoosal Poverty Credit
B. Prior Payments
C. DlscOllnt
(1)
24.405.16
-0-
-0-
1,220.25
Total Credits (A + B + C )
(2)
3. InteresUPenafly jf applicable
D. Interest
E. Penally
1,220.25
Totai interesUPenafly (D + E) (3) - 0-
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
-0-
-0-
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 23. 1 84. 91
A. Enter the interest on the tax due.
(5A)
-0-
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 23, 1 84. 91
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;. .................................. ............................. ...... 0 XJ
b. retain the right to designate who shail use the property transferred or its income; ..... ..................... 0 IX]
c. retain a reversionary interest; or............................ ................... ................. .....................ww.w....un" 0 IX]
d. receive the promise for life at either payments, benefits or care? .......... ................ ................. ................ ....... 0 IX]
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ........ ................ .................. ........ .......... 0 IX]
3. Did decedent own an "in trust fo~ or payable upon death bank account or security at his or her death? ....... 0 IKJ
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ............ ................ ................ ..................... ..... 0 IX]
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FilE IT AS PART OF THE RETURN,
Under penalties of perjury, ! declare that I have examined this return, including accompanying schedules and statemenls, and 10 Ihe best of my kl10wledge al1d belief. it is true, correct
al1d complete
Declaration of preparer other than the personal representative is based 011 all information of which preparer has any kl1owledge.
RETURf'.!
DATE
$;. crf
ADDRESS r:l ._ I . LJ n i.r' _ ,.1
1 ;}..()(d.- (,J.J7'--fL.< /~ 1'-'( ~ ~7f1 ,:, tlj",. n-; /) d/d ClC
v ~
SiGNATURE OF PREPARER ~ THAN 3H'RI'N~IVE" DATE
~'" ~ .L&~ ~ ....u~ .s;~/"/
ADDRE ' (tI
,(') ,'(fk3 r-p, (f ~ ~/'''~lV- frN'M: j'O,lhUA"' ryhA~Q'l"'r A, /'7tJO}7
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3%
[72 P.S. 99116 (a) (1.1) (i)l.
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (iill.
The statute does not exemot 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 jf
the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent,
or a stepparent of tha chikJ is 0% [72 P.S. 99116(a)(1.2)J.
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(I)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116(a)(1.311. 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.
REV-1502 EX... {12-85} r.
~
COMMONWEALTH Of PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF
FILE NUMBER"
Alfonso J. Iaderosa
(Property jointly.owned with Right of Survivorship must be disclosed on Schedule F) All real estate should be reported at fair mQrket value
which is defined as the price at which property would he exchanged hetween a willing huyer and a willing seU.r, neither being compelled
to buy or sell, both having redsonabl. knowledge of the relevant fads.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1.
Residence at 16 Enck Drive, Boiling Springs, PA
17007. See attached appraisal.
$145,000.00
'"
TOTAL (Also enter on line 1, Recapitulation)
(If more spece is needed, insert additional sheets of some size.)
S 145,000.00
"-:'\1.\503 EX.;. (A_86\
~~
COMMONWEALTH Of PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DeCEDENT
SCHEDULE B
STOCKS AND BONDS
FILE NUMBER
ESTATE OF
Alfonso J. Iaderosa
\AIl property 1ointly.owned with Right of Survivorship must be disclosed on Schedulo F.)
ITEM
NUMBER
DESCRIPTION
1
One [1] $500.00 Series EE, US Savings Bond, Bond
# 012376063 EE, issued on 10/31/86.
Seven [7] $500.00 Series EE, US SaVings Bonds, Bond
#s 013197646 EE through 013197652 EE all issued on
10/31/86.
One [1] $500.00 Series
# 012376062 EE, issued
Two [2] $200.00 Series EE, US SAvings Bonds, Bond
#s R34414162 EE and R34414163 EE, issued on 10/31/86.
2.
3.
EE, US Savings
on 10/31/86.
Bond, Bond
4.
5.
Eighteen [18] $100.00 Series EE, US Savings Bonds,
Bond #s C118875824 EE through Cl1875841 EE all
issued on 10/31/85.
Fourteen [14] $100.00 Series EE, US Savings Bonds,
Bond #s C118875843 EE through Cl18875856 EE, all
issued on 10/31/86
6.
7. _ One [1] $100.00 Series EE, US Savings Bond, Bond #
Cl12693183 EE, issued on 10/31/86
8. Twenty-Six [26] $50.00 Series EE, US Savings Bonds,
Bond #s L261103079 EE through L261103104 EE, all
issued on 10/31/86.
9. Ten [10] $50.00 Series EE, US Savings Bonds, Bond
#s L261103105 EE through L261103114 EE, all issued
on 10t31/86. See attached Stocks/Bonds Inventory.
10. 6,704.371 Shares Blackrock FOS, Tax Free Inc. Inv. B,
@ $11.26000 per share.
11. 5,242.305 Shares Blackrock FOS Pa. Tax Free Cl. B
@ $10.76000 per share
12. 119 shares Daimler Chrysler AG @ $46.552500 per share
13. 340 Shares Gateway Inc. @ $20.375000 per share.
14. 323.59124 Shares General Electric Co. @$46.725000
per share.
Continued
VALUE AT DATE
Of DEATH
624.20
4,369.40
624.20
499.36
2,247.12
1,747.76
124.84
1,622.92
"
624.20
75,491.22
56,407.20
5,539.75
6,927.50
15,119.80
S 290,135.82
TOTAL (Also enter on line 2, Recapitulation)
(If more 'l'[)Qce is needed, insert additional sheets of some size.)
SCHEDULE B
STOCKS AND BONDS CONTINUED
ESTATE OF Alfonso J. laderosa
15. $5,000 Fox Chapel Pa. Area School District Bond 5,295.74
@ $103.332875 plus interest to 2/4/01
16. $10,000.00 Spring-Ford Area School district PA Bond 10,617.98
@ $106.131450 plus interest to 2/4/01
17. $10,000.00 Unionville-Chadds Ford Pa. School Bond 10,215.37
@$102.016175 plus interest to 2/4/01
18. $10,000.00 Wissahickon Pa. School District Montgo 10,536.59
Bond @ $103.939525 with interest to 2/4/01
19. 13,281.88 shares Money Market Fund @ $1.00000 13,281.88
per share
20. 363.177 shares of Ex elan Corporation common stock 22,190.11
@ $6 I.I 0 per share
21. 180.0000 shares of Met Life common stock@ $33.4166 6,014.99
per share
22. Glenbrook Advantage Plus Annuity 40.013.69
$290,135.82
RfV.t507fX+ (7.881
.'*
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE D
MORTGAGES AND NOTES
RECEIVABLE
Please Print or 1 pe
FILE NUMBER
ESTATE OF
Alfonso J. Iaderosa
(All property lolntly-owned with the Right of Survivorship must b. disclosed on Schedule F.)
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OF DEATH
None
-0-
TOTAL (Also enter on line 4, Recapitulation) $
o
(If more space is needed, insert additional sheets of same size.)
/
RE\l.15oaex+(2.87)
ESTATE OF
.
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Please Print or Type
FILE NUMBER
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Alfonso J. Iaderosa
(All property lolntly-owned with the Right of Survivorship must be disclosed on Schedule F)
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OF DEATH
1 .
$100.72
2.
3.
4.
5.
6.
7.
8.
Savings account, numbered 5000979784, at PNC
Bank, Mt. Holly Springs, PA
Savings account, numbered 5130383487, at PNC
Bank, Mt. Holly Springs, PA
694.83
1997 Chrysler Concord LXI.
See attached appraisal
Miscellaneous personal property
See attached appraisal
Miscellaneous US Mint Coin Sets
9,000.00
2,909.00
215.50
US Mint proof coin sets
Uncirculated US Mint coin sets
See attached appraisal for coins.
Subscriber's Savings account, numbered 00123-03
at USAA
1,817.35
752.50
2,199.53
TOTAL (Also enter on line 5, Recapitulation) S '~r n n , _
(Attach additional aV2n x 11" sheets if more space is needed.)
REV_1509 EX~ (l2-88)
..
SCHEDULE F
JOINTLY -OWNED PROPERTY
COMMONWEALTH OF PENNSYLVA.NIA
INHE.RITANCE T4X RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Alfonso J. Iaderosa
Joint tenant(s 1:
NAME
A. Jan Chapin
ADDRESS
12012 Boxer Hill Road
Cockeysville, MD
21030-1732
RELATIONSHIP TO DECEDENT
Daughter
B. Jan Chapin
12012 Boxer Hill Road
Cockeysville, MD
21030-1732
Daughter
C. Jan Chapin
12012 Boxer Hill Road
cockeysville, MD
21030-1732
Daughter
Jointly-owned property:
ITEM LETTER DATE
FOR TOTAL VALUE DECD'S DOLLAR VALUE OF
NUMBE~ JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST
TENANT JOINT
l. J 1/16/0 Savings account, $5,278.04 50% $ 5,278.04
#52261-00, at Members
1 st Federal Credit Union
2. J 1/16/0 Checking ACcount 48,153.07 50% 48,153.07
#52261-11, at Members
1st FEderal Credit Union
3. J 1/16/0 Savings account, 64,834.64 50% 64,834.64
#52261-05, at Members
1st Federal Credit Union
TOTAL (Also enter on line 6, Recapitulation) S 118,265.75
(If more space is needed insert additional sheets of same size)
REV_1511 EX+ (7-99)
ESTATE OF
ITEM
NUMBER
A.
~l~'~
~.~~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Please Print or Type
FILE NUMBER
Alfonso J
. Iaderosa
I
DESCRIPTION
1.
Funeral Expenses:
Gibson-Hollinger Funeral Home, Inc.
501 North Baltimore Avenue
Mount Holly Springs, PA 17065
I
B lAd'" C
. mlnlstratlve osts:
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
1.
Personal Representative Commissions
Social Security Number of Personal Representative:
Year Commissions paid
2. Attorney Fees
Anthony L. DeLuca, Esquire
Family Exemption
Elizabetl;1
Claimant Jan Chapln Relationship
3.
Dauohter
Address of Claimant at decedent's death
Street Address 12012 Boxer Hill Road
City Cockeysville State MD
Ms. Chapin took care of her father
P months of his life by staying with
robate rees
Zip Code 21 030
during the last
him at his
residence.
Miscellaneous Expenses:
Legal Advertising - Cumberland Law Journal
Legal Advertising - The Sentinel
Filing Fees Inventory and Inheritance Tax
TOTAL (Also enter on line 9. Recapitulation)
(If more space is needed, insert additional sheets of same size.)
AMOUNT
$7,552.88
1,000.00
14,000.00
3,500.00
352.00
75.00
84.11
25.00
526,588.99
REV"512''''''',''.
COMMONWEALTH OF PENNSYLVANIA
INHERITANce TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
Please Print or Type
FILE NUMBER
Alfonso J. Iaderosa
ITEM
NUMBER
AMOUNT
DESCRIPTION
1.
GPU Energy - Heat and electric for residence.
496.61
2.
3.
4.
5.
6.
7.
8.
Sprint - Telephone
The Patriot-News - Newspaper
Steven W. Barrett Real Estate
Appraisal of house
111.86
23.80
250.00
Roy D. Gottshall, Auctioneer
Appraisal of personal property
Commercial Coin Company
Appraisal of coins
Comcast cable - Television
50.00
25.00
63.18
Pa. Department of Revenue - Taxes
171. 00
TOTAL (Also enter on line 10, Recapitulation)
(If more space is needed, insert additional sheets of same size.)
S 1,191.45
'''.lmE'' 1'-"1 ~
COMMONWEALTH OF P~NNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER
Alfonso J. Iaderosa
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
A. Taxable Bequests:
1.
Elizabeth Jan Chapin
12012 Boxer Hill Road
Cockeysville, MD 21030
Daughter
one third
2.
John F. Iaderosa
414 Oxford Drive
Richmond Hill, Georgia 31324
Son
One Third
3.
Paul M. Iaderosa
128 Shaaow Ridge Place
Chapel Hill, North Carolina 27516
Son
One Third
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Charitable and Governmental Bequests:
1.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on Hne 13, Recapitulation)
s
-0-
(If more space is needed, insert additional sheets of same size)
.:. : JX;: :".::.;,":, :;,::;:.'!t~=;:;},',~~>~~;~~":g~~5~~:}~:':Jt~1~;;f~~r;~:tt;E~,E;!i~1,J-~'~ {j!;~?~f~~l~1~ft- '.
!l./-6J'170
LAST WILL AND TESTAMENT
OF
ALFONSO J. IADEROSA
I, ALFONSO J. IADEROSA, Social Security Number 178-14-5557, of
the state of Pennsylvania, declare that this is my LAST WILL AND
TESTAMENT and I revoke all other wills and codicils previously made by
me.
FIRST: I appoint my daughter, ELIZABETH JAN CHAPIN, of Baltimore,
Maryland, as my Personal Representative concerning this Will. If my
daughter, ELIZABETH JAN CHAPIN, of Baltimore Maryland, is unable or
fails to serve, I then appoint my son, JOHN FRANCIS IADEROSA, of
Richmond Hills, Georgia, to serve as my Personal Representative.
a. I request that my Personal Representative be permitted to
serve without bond or surety thereon and without the intervention of
any court, except as required by law. I direct that my Personal
Representative act in unsupervised administration so as to administer
my estate with a minimum of court supervision. If it becomes necessary
to have ancillary administration of my estate in any jurisdiction where
my Personal Representative is unable or does not desire to qualify as
ancillary legal representative, I appoint as such ancillary legal
representative such individual or corporation as my Personal
Representative shall designate, in writing.
b. I direct my Personal Representative to pay the expenses
of my last illness, the expenses of a funeral appropriate to my station
in life and custom of living (including a suitable monument or marker
for my grave), and written charitable pledges which I have made. I
grant my Personal Representative the power to extend or renew any debt
for such time as my Personal Representative shall deem appropriate.
c. All estate, inheritance, succession and other death taxes
with respect to all property passing under this my Will shall be paid
from and borne by the principal of my residuary estate, without regard
to reimbursement, as if such taxes were administration expenses. My
Personal Representative may pay such taxes at any time deemed
advisable, whether or not then due and payable.
d. My Personal Representative is requested to settle my
estate as soon after my death as may be practicable, and to payor
deliver every legacy or bequest to my beneficiaries without waiting any
time that may be believed to be customary in probate matters.
-&J
JtL
"-'
/I-
vr~~~
PAGE 1
OF FOUR PAGES
..
....
-
e. I have served in the Armed Forces of the United States.
Therefore, I direct my Personal Representative to consult with a Legal
Assistance Attorney at the nearest military installation and with the
Department of Veterans Affairs and the Social Security Administration
to ascertain if there are any benefits to which my family members are
entitled by virtue of my military service.
f. I may leave a letter of intent with the executed copy of
this Will for the purpose of giving guidance to my Personal
Representative concerning the distribution.or sale of certain items of
my property. I request, but do not require, that my Personal
Representative honor my wishes therein expressed.
SECOND: To my sister, FRANCES IADEROSA, I give and bequeath the
sum of Five Thousand and no/IOO ($5,000.00) Dollars.
THIRD: I give, devise and bequeath, absolutely and forever, all of
the rest, residue and remainder of my estate and property of which I
may be seized or possessed, or to which I may be entitled, at the time
of my death, wherever situated or of whatever nature, be it real,
personal, or mixed, to ELIZABETH JAN CHAPIN, JOHN FRANCIS IADEROSA,
PAUL M. IADEROSA and to any child or children that may be born to or
adopted by me, in shares of substantially equal value to be divided as
they may agree.
a. If any of my children shall not survive me, then the
share of that deceased child shall go to the descendants of that child,
who are to take per stirpes and not per capita. If any of my children
shall not survive me and shall not be survived by any descendants, then
the share of that deceased child shall be distributed to my surviving
children and the descendants of any of my other children who fail to
survive me, in the manner set forth above.
b. If they are unable to agree, the division among my
children and the descendants of any of my children who fail to survive
me shall be made by my Personal Representative, in that person's sole
and absolute discretion. I empower my Personal Representative to sell
any or all of such property, if such property is not distributed in
kind hereunder, and to distribute the proceeds among my said children
in substantially equal shares. Any determination of my Personal
Representative as to what should pass or be sold under this paragraph
and to whom it should pass or be delivered or at what price it should
be sold shall be conclusive.
~~0~~~u -
PAGE 2
OF FOUR PAGES
-Vi
JiL
?
-
'-----
FOURTH: Except as otherwise provided in this Will, I have
intentionally failed to provide for any other relatives or other
persons, whether claiming to be an heir of mine or not. Insofar as I
have failed to provide in this Will for any of my issue now living or
later born or adopted, such failure is intentional and not occasioned
by accident or mistake.
FIFTH: Any beneficiary who fails'to survive until one hundred
twenty (120) hours after my death shall be deemed-to have predeceased
me, and the gift to that beneficiary shall be disposed of accordingly.
SIXTH: Definitions:
a. The term "children" as used in this Will includes adopted
and afterborn persons. The term "children" as used in this will shall
also include step-children, the natural born or adopted children of a
person's spouse. A relationship by or through legal adoption shall be
treated the same as a relationship by or through blood for purpose of
succession to property under this Will.
b. The tem "descendants" as used in this Will means the
immediate and remote lawful, lineal descendants by blood or adoption of
the person referred to who are in being at the time they must be
ascertained in order to give effect to the reference to them.
c. The tem "issue" as used in this Will means all persons
who are descended from the person referred to either by legitimate
birth to or legal adoption by that person, or any of that descendant's
legitimately born or legally adopted descendants.
d. The tem "Personal Representative" as used in this Will
means Executor, Executrix, Independent Executor, or any other title of
like import which is used to describe such a fiduciary.
e. The tem "per stirpes" as used in this Will means that
whenever a distribution is to be made to the descendants of any person,
the property to be distributed shall be divided into as many shares as
there are (1) living children of the person, and (2) deceased children,
who left descendants who are then living, of the person. Each living
child (if any) shall take one share and the share of each deceased
child shall be divided among his then living descendants in the same
manner.
~-~~~-L~~~
PAGE 3
OF FOUR PAGES
7X:J
_ik
~
~
_ '--V- '-~
-'-, - ,.. ..~~~,
.~
SEVENTH: In addition to any powers granted by the laws of the
state in which this Will is probated, I hereby authorize and empower
the fiduciaries named in this Will, to the extent of the discretion
herein granted, to sell, exchange, convey, transfer, assign, mortgage,
pledge, lease or rent the whole or any part of my real or personal
estate, to invest, reinvest, or retain investments of my estate, to
perform all acts and to execute all documents ~hich my fiduciaries may
deem necessary or proper in regard to my property. If any of my
fiduciaries elect to receive compensation for services, such
compensation will be that allowed by law"
EIGHTH: If any part of this Will shall be invalid, illegal, or
inoperative for any reason, it is my intention that the remaining
parts, so far as possible and reasonable, shall be effective and fully
operative. My Personal Representative may seek and obtain court
instructions for the purpose of carrying out as nearly as may be
possible the intention of this Will as shown by the terms hereof,
including any terms held invalid, illegal, or inoperative.
IN WITNESS WHEREOF, I have at Carlisle Barracks, Pennsylvania,
this /0
day of &~R/6'E~, 192, set my hand and seal to
this my LAST WILL AND TESTAMENT, consisting of FOUR typewritten pages,
each page bearing my handwritten signature,
The foregoing instrument Carlisle Barracks, Pennsylvania,
this /""Z:= day of ~ ' 19 7./ , signed, sealed, published
and declared by ALFON 0 J. IADEROSA, the testator, to be his LAST WILL
AND TESTAMENT in the presence of all of us at one time, and at the same
time we, at his request and in his presence and in the presence of each
other, have hereunto subscribed our names as attesting witnesses, and
we do so verily believe that the said testator is of sound and
disposing mind and memory at the date hereof.
(SEAL)
&~ Aj ~L-
OF 7 /,;2.. ~~~"AJ 011,\1<-
e.~fsl..., Pn-
,
- ju I.{ (IU- ~~:;;:-O> ~
OF ,5-/2. M. II f? /1V- ~ 3"7 p/ <z.....-/ ck<
CY'laJwL. cl'J. i2..J~ /'/1-/7<1/3
-
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PAGE 4
OF FOUR PAGES
~/1
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rm.
o;.~,;_~,_ ._."
~.- -- '..'~.~-"-"'- -.'-."",--,
."-
'.~.,'_._;."....__""",_ ...._.,.._,...40.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ACKNOWLEDGMENT
I, ALFONSO J. IADEROSA, testator, whose name is signed to the
attached or foregoing instrument, having been ,duly qualified according
to law, do hereby acknowledge that I signed and executed the instrument
as my Last Willi that I signed it willinglYi and that I signed it as my
free and voluntary act for the purposes therein expressed.
~
ADEROSA
(SEAL)
We, cs fa Ce.--o If!.. (,~ , -;;;";1 A., CfA~/c , and
~,J .ft-flJ'I4< , the witnesses, sign our names to this
instrument, being duly qualified according to law, do depose and say
that we were present and saw the testator sign and execute the
instrument as his Last Willi that the testator signed willingly and
executed it as his free and voluntary act for the purposes therein
expressedi that each subscribing witness in the hearing and sight of
the testator signed the will as a witnessi and that to the best of our
knowledge the testator was at that time 18 or more years of age, of
sound mind and under no constraint onldue influence.
~!h 1c1~ ....J~ l Cj(~- ~
~tness Y- Wit ss ~s"
Subscribed, sworn to and aCknowledge~e me by ALFONSO J.
IADEROSA, the testator, and subscribed and sworn to before me by
- t. {..qa.k
esk:~ Q-eDf-'~ , 10N( !. , and
k4A./ /{'F fVV/'!I<' , the witnesses, this /V'd day of
A$<1~~J ,192:L.
< . --:;/~~,f~
NOTARY PUBLIC M
NotlIial ~ . .
Wanda K. Huntet,IClIay Plb!c
QrIslS a.o. Cu."ll"dad CoU1Y
My eu,iI'IbeIa1 Expinlo 0:t'~a.1~
Membet'. pennayfvania Associalion 01 """""...
February 16, 2001
i
Anthony L. DeLuca
P.O. Box 358
Boiling Springs, PA 17007
File Number: 01-0084
In accordance with your request, I have personally inspected and appraised the real property at:
16 Enck Drive
Boiling Springs, PA 17007
The purpose of this appraisal is to estimate the market value of the subject property, as improved.
The property rights appraised are the fee simple interest in the site and improvements.
In my opinion, the estimated market value of the property as of
February 4, 2001
is:
$145,000
One Hundred Forty-Five Thousand Dollars
The attached report contains the description, analysis and supportive data for the conclusions,
final estimate of value, descriptive photographs, limiting conditions and appropriate certifications.
Respectfully submitted,
~Q ,clG,w<~'L
Stan A. Skowronek
Certified Residential Appraiser
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Value Total
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~r-07-0l 12:17pm 'rom-MDOT/O?GA
7-553 P.004/004 F-81T
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UNCIRCULAtED US MINT COIN SETS
Each set iIllcudes 1 set of Philaddphia and. Denver MInt coins
includ.ing I penny, dim~. quarter, and SO cllfit pia:<:
Value Total
it It.em Per Set Value
I
4 set(:) 1995 Ullcir<:u1atJed US Mint Coin Set /~ffP (p;" ~,"C
5 ,. 1991 . /~ C.2 5:c
:...0
5 " 1994 . 'i. cO 40-
5 . 1992 " t... L :; 31 :..t 5
5 . 1991 " 11 W 47 ~c
4 .. 1990 " ;2t .~,
. -
ry /,/;)
5 " 1989 " ,!.) {' 3& 25
10 .. 1988 " '7 :h; 7;; u
5 " 1987 .. i..L .; :31- _'15
:5 " 1986 h ~50 10.7. 5'c
5 .. 1985 . c" 2- 5 3/.;,l ;-
5 . 1984 I, 5'idJ ;<7 :HJ
5 .. 1981 Ullcircul=d US Mint Coin Set 1f}.75 71 75
il1clud.itae Suw> S. At1l:b0llY $1 )7. ~
S " 1980 " fi. ->'0
5 " 1919 " t.(/'"C 30. .::I!)
5 .. 1978 Uncirculatc:cl US Mint Coin Set &. q 0 3 'I G'tJ
il1cllldiD" F;....\lOW<< $1
1 ., 1914 UDcin:u1a.ted eo.in set t,-;'; f.,. 7';
I
-. '75;1. ~
SUBTOTAl
TOTAL:
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