HomeMy WebLinkAbout07-30-15 J Lsose1o14o
REV-1500 E" `°, ,°,
OFFICIAL USE ONLT
Pq Department o(Revenue Coun Gotle Year File Number
Bureau of Intlivi0val Taxes h
Po eox zaosoi INHERITANCE TAX RETURN
Harriseuro.P/+ mza-osot RESIDENTDECEDENT 2 1 1 4 0 8 6 4
ENTER DECEOENT INFORMATION BELOW
$OLidl$2Nllly NIITb¢l Ddl2 O/DC2[h MM��YWY Od12 O�Blrth MM��VTVY
0 B 3 1 2 0 1 4 0 6 1 8 1 9 4 3
Decedenfs Last Name SURix DecetlenPs First Name MI
N A R D I S R D A N I E L D
Qf Applicable)En[er Surviving Spouse's Information Below
Spouse's Last Name Suffx Spouse's Firsl Name MI
Spouse s Social Sewrily Number
THIS RETl1RN MUST BE FILED IN OUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
Q 1. Original ReWm � 2. Supplemenlal Return � 3. Remaintler Retwn(date oPoeath
pnorm iz-13Az>
� 4. Limitetl Eslate � Aa PoNre Interesl Compromise(date o/ � 5. Fetleral Esta[e Tax Re�um Requiretl
death aker 12-12-82)
❑ 6. Decedent pletl Testa[e � Z Decetlent Main�ainetl a Living Tmst � 8.Total Numper of Safe Deposit Boxes
(Atlach CopY oi Will) (Aflach Copy of Tmst)
� 9-Li�igation Pmwatls Raceivetl � 10. Spousal Povetly Cretll[(tlete o�deat� � 11 Bection to�ax under Sec.9113(A)
between 12-315� and 1-1-96) �Al�ac�Sch. O)
CORRESPONDENT-THIS SECTION MUST 9E COMPlETEO.ALL CORftESPONOENCE AN�CONFIDENTIAL iA%INFORMAiION SHOIILD 9E OIRECTE�TO'
Name Daylime Telephone Number
C H A R L E S E . P E T R I E 7 1 7 5 6 1 1 9 3 9
RFfilSTER OF WIIFS.USE�LSO
C O frl n
� `
Firs�line ofadtlress "� � r n o
�, � � r � �
_� � r— � �1 ,�
3 5 2 8 B R I 5 8 A N S T R E E T - � �.� �
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. �_ . "O "*t "1
� _ �1
Ciry or Post OHice State ZIP Code , . onre Fy{y - m
H A R R I S B U R G P A 1 7 1 1 1 -�- �� " �
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CorrespondenPs e-mail atltlress: Pe[IieL2w(�201.COm
UnOerpenallieso�pepury.lOecla�eNa�I�aveeumineONls�olum IncluEingdCCOmpanyingscM1etlulesanJ5la�emenls.andtol�e�es�OfmyknpwlPdgP9ntlbeliet.
II Is�ruB.CortCc�Bntl complele Oeclara�ion ot preparer o(rye�t�an I�e pe�sonal�eO�Bson�a�iee Is ba504 On dll InIO�mBtiOn Of wM1icM1 preparer pas any knowle0go
IGNHTURE OF PERSONp[SPON/SIO)LE F,�OR GILING R[TURN DATE
. �� .J c .s.�/ ��29�2��5
nooaess
2215S. SECOND STREET STEELTON PA 17113
SIGN���`HER�NAI�REPRESENTATNE ONTE
L/rl/E" 7/29/2�i S
HODRESS
3528 BRISBAN STREET HARRISBURG PA 17111
PLEASE USE ORIGINAL FORM ONLY
Side 1
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ftEV-0500 E% Page 3 File Numbe�
DecedenYs Complete Address: Zi i4 a864
oECEOEur�sunME
DANIEL D. NARDI, SR
STREET AOORESS
508 HILLSIDE ROAD
arv Srnre zia
NEW CUMBERLAND PA 17070
Tax Payments and Credits:
� TaxDue(Page2,Line19) 11) 426257
2 Gredi�s�Paymen�s
A.Prior Payments
B.Dlscount
TotalCredlis(A*e) (2) 0.00
3 In�eres�
(3)
d. It Line 2 is greater�han Gne 7 +Line 3.en�er Ihe dlffe2nce.Thls Is Ihe OVERPAYMENT.
Fill in oval on Page 2,Line 40[o request a refund (4) 0.00
5. IfLineltLine3isgrea�erthanLine2,enleriheDiHeronce.ThlsistheTA%�UE (5) 4,26257
Make check payabie to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING �UESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Ditl decedenl make a Iransfer antl'. Ves No
a. retaintheuseorincomeoflhepropetly�ransferred, _._.._ _.._... ...._...... ........... ❑ X❑
6. retainiherightlotlesignalewhoshallusethepropetlytranslerredorl�slncome', ._.___...............__.. ❑ ❑X
c. relainareversionaryinterest or _._.._ ____. .._..... ......_.. ........... ❑ ❑X
tl. receivethepmmise(oNiteo(ei�herpaymenis,benefi�sorwre� ........... .......... ......... ❑ ❑X
2 If death occwred afterDecember 12,1982,tlitl tlecedent iransler property wilhln one year ot death
withoutreceivingatlequaleconsitleralion7 . ......_.... ........_ .__.... __..... ❑ QX
3. Diddeceden�ownan"'m�ms�for'orpayableupon-0eathbankaccountorsecutllyafhisorherdoafh? _..__ ❑ �
4. Oid decedent own an individual re�iremenl accoun�,annuity oroNer non�mbate pmpetly,which
con�ainsabene�iaarydesignation�............ ......... ......._ _._.._ _._.._ ❑ ❑x
IF THE ANSWER TO ANV OF THE ABOVE�UESTIONS IS YES,VOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates af death on or after July 1, 1994, and 6efora Jan. 1, 1995,the lax rate imposatl on�he ne�value o(�ransfers�o or for Ihe use of the surviving spouse i�.
3 pemen��72 P.S.§9116(a)(1.1)(I)].
Forda�es of dea�h an or efleNan. 1, 1995,Ihe�zx rste Imposed on Ihe ne�value af trans(ers lo or for the use af�he surviving spouse is 0 percen(
�72 P.S.§91 ifi(a) (1.1)(il)J. The staWle tloes not ezempt a iransfer to a survlving spouse(rom tax,and Ihe staWtory requrtements fordiscbsure o(assets and
filing a tax reWrn are slill applicable even if ihe surviving spouse is the only bene0ciary.
For da�es of dea�h on or afler July t,2000�.
• The tax rale imposetl on ihe net value of Iransfers fmm a deceased child 21 years of age or younger at death to or for Ihe use of a naWrel parent,an
adoplive parent or a slepparent ot ihe chiltl is 0 percent(72 PS. §9116(a)(12)].
• The tax ra�e imposed on�he ne�value of transfers to or/or the use of Ihe decedenCs lineal benefciaries is 4.5 percent except as noted in
�z P_s_§siis(i z�pz P s gsi isla)(�)1
• The tax rate imposed on the nel value of transfers lo or for the use of the decedenfs siblings is 12 percent[72 P_S-§9116(a)�1.3)]-A sibling is tleFlned, undei
Seclion 91�2,as an individual who has at least one paren�in common wilh Ihe decedenL whether by blood or adop�ion.
reev-isaz ex.�oi-io�
pennsylvania SCHEDULE A
oEPaarmErvr o�awerv�e
REAL ESTATE
INHEHIIqNC[I�%NEiUflN
NESiDFNiG[CCCEN'
ESTATE OF: FILE Nl1MBER:
DANIEL D. NARDI SR 21 14 0864
All real properlyowned solely oras a tenant in common must be repoMetl at fair marNet value.Fair markel value is defned as�he price at which pmpetly
would be exchanged between awilling buyer antl a willing seller,neither being compelled to buy or sell,both having reasonable knowle0ge of ihe relevan�fac�s.
Real property that is jointly�owned vnth right of survivorship mual be tlisclosed on Schetlule F.
Attac�a copy of�he sei�lement sheel il the pmpetly has been 6old.
ITEM Include a copy of the deed showing deceOenCs imeres�if ownetl as�enant in common. VAWE Ai DATE
Nl1MBER OF DEATH
�ESCRIPTION
1. REAL ESTATE KNOWN AND NUMBERED AS 84,290.48
508 HILLSIDE ROAD, NEW CUMBERLAND, PA
SEE ATTACHED SETTLEMENT SHEET
2. REAL ESTATE KNOWN AND NUMBERED AS 9,00351
2574 RUMSON STREET, HARRISBURG, PA
SEE ATTACHED SETTLEMENT SHEET
TOTAL(Also en�er on Cine 1,Recapilula�ioa) 1 93 293.99
II more s0ace Is neetleQ use adtlpional shee6 0l pdper o(Ihe same size.
�a. Settlement SYatement
� ub.oeoanmm�ot Hovsinp��a uma�oe�eioPm.m�
� OMB No.0501�Od65
� ''d.iYPE Of LOAN
'.. t. pFHP 2 OFnHA d []Conv.unins.
i� Ia.�� 000�.i�__
i, o.RLENlIMOER ] LCPNNUMBEft
.. 15.11Y4 _�
3.MORiGBGFINSUWiNCECASENUMBER
I c rvo�e: iw�uxc`°��;oF`Ti1w��,;•p��a•�T� a'a*°���'"'^'��`°�mT�-= 7'i�leE�p�ess Se111emeniSyslem
.�.:^"aP.'e�..,.. .�am.l. .'9ffi�4.7::Fdd�°loro:..�,�.,�oe,;�
0 NFM11E OP BORROWER^ �•pUe�C�eek Associates,LP•, � -
�____ �n°.
4DDRESS_ 2090 HiltenAve Oover PAt]315
E.NAME 0:SELLER�. Es�a�e of DanialO.Na�tll � � -
A��RE55.
� F.NFMEORENDER: MikeRhoatls "
' 4��RE55'. :
G.PROeEaiv qpDRESS�. 508 Hillside Rtl.,New Cumberlantl,PA 1]010 -
New CvmbetlantlBorough.
� 'dSETiLEMEMnGEN`. AnchorAbSiradingCompany,lnc.
� ?UCEOFSBiIEME�i�. PlEasiPhiladelohiaSlreetVork.PA7]401
. I_SFi`I EMENi pATE�. 01110I2015
J.SUMMARY OF BORROWER'S TRANSACTION: K.SUMMARY OF SELLER'S TRANSACTION:
' 1�O.GROSSAMOONTDUEFROMBORROWER 400.GROSSAMOUNTOUETOSELLER
mi. convausses iice B6 000.00 40t Comeaoiseles orice B6 000.00
� 162 Perso�alvmoenv 402 PersonaiRooen
��. 1�3. SeWenen�cner esiobo:mwer onei<00 1 802.00' ap3.
104
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_ Adus�mensl �yse ��e . qtlL i ! flemspetlbyseller'naavance
etlb Ile tivenc
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1W. Co I B T� qO1. CO I larc
OB. sr� u 0I110115 006110116 1186.59 4oe. Smao tares._ 0]H011LO6pOH9 t,18fi,59
'ip; ]r0�v.5ewe� WH0115m0B1]ON5 _ 69d4 ao9_9r�pv.5ewer 01110115 o091J�115 69.idi
' n0. am pu.aaNsa 0I110115 009130115 36_9B. ai0. 3m a�r.aefuse O]11�115 009130115 96.BB i
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� 110.GROSSAMOUNi�OEFROMBORROWER 8958�]5 6PO.GROSSAMOUNTOUETOSELLER 8Ifi81]5
200.AMOUNiSPAlOBYORONBEHALfOF80RROWER SOO.RE�UCTIONSINAMOUNT�IlETOSEILER
201. ���Iorea�oslnonBv 01. E ..ss�PW IBB I Ips
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t05 SC .
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R�A i 500
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209 W9 �
�Adusimenisfon[emsun aidb seller � Ad�ust ents(oritemsun atlb seller
__ __ _
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3PO.TOTALPAIOBYIFORBORROWER -86000-00. 53�.TOTALftE�UGTI0NAM0UNi_OUESELLER �
�� 0 d91.P1
OO.CASHATSETTLEMENiFNOMORTO80RROWER 600.CASHATSETTLEMENTTOORFROMSELLER
13a1. Gosvemounlduefmm�orro�verfinef2� 89�589]5 6��. Omssamouninuelosaiierll�+e420 8IB81.75
� d02 Las o Is, -tlbp'for'oo li c2201 _ Bfi000.00 fi02. t .sretluct .,;tl�neSNIL_ , 7�B72i�
]03.CASHFROMBORROWER _ ___„ __ 758�.75 6�3.CASHTOSELLER I Bd190,48
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s.u�'P4rv=_N'CFHOUSINGAIt9URBPNOEVELOPMEVi FleNumbeol5-02$4 PqGE4
SETTLEMENT STATEMENT _ ni�e s w memsysieR.
�SFTiLEMENTCHARGE$ PAlocqaM PqIDFROM
]O� TOi I SP ESPRONFRSCOMM5510Nb 0 Q $BB0��0� _ BORROWER$ SELLER'8
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a s i � �
�w ^ i is .0 _ __ .-� _
800.1'BdSPAVABLEINCONNECTIONWITHLOAN - � �
801 L C � IonFee_ _ -�
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1113.Tm Ccr�L to AncM1orAbslrectitlp Co. 10.0�
iP00.GOVERNMENTRECORDINGAN�iRANSFERCHARGES �- � -�
'�� �40'..Rm:omimFeesDPegb�B.00 �Monoaae5105.0� �Reease5 184.�0
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idG6.�ei a ii NewCumberlandTaxClaimBureau � 20.J0
_�90�. Fln�Sower&Rowse ioNewCumbetlantlBomu�____ _ � I58.80
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OMB Pyproval No.i503�OM5 .
�<<'� 4
�='�i A. SettlementStatement (HUD-1)
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HUO-7 Attachment
Bortowe^s�'.PADeals, LLC seue�a�: Tne es�aie or oan�ei oom���ik r+ami aiwa
�aniel�Nardi
�it� Brlsban Street 352B Brisban S�reet
Harrisburg.PAt]Ni Harns�urg. PA1]111
$enlementAgenclntlflpmEPnt Selll¢menl8 Ldntl ServiC¢5.In<.
(91)J695-3fi41
PUce M SeNemen[31l l fSfIS�Bn Sh22�
Harrisburg, PA t]111
Sankment DaN:July 2),2015
PmPoM�aaHon:25]4 Rumson SUeel
Harr66mg,PA 1]t O4
�aup�in County, Pennsyivania
Adtlilional DisCuruments
Payeeloescnption NotalRetNo. Bortowe Seller
pauphin Counly Tax Claim Burcau 2.309J6
201A Back Ta�es —
Gity Treasurer 56430
2015 CiN Taxes _.. -- � qq�21
Ciry Treaarer
20155choolTazes _._ _ ._ - 9�zt2
City Treasurer
Reture Fees ..._ — 6,691 09
City Treasurer
MunicpalLien Dock¢t#�060930 _ _
Ciry Treasurer 1 3t3]8
M nicip IL n �ocke�#00915E4 _ __
Capital Region Water 25 00
Wacerierminafion Fee __ -
Capltal ReBion Water 693.39
Waterl5ewerFees _ -- 401.3]
County Treawrer
20t5 Counry Taxes __
PA Oeali LLC 90.00
Reimbursement Ciry Sheets
Total wtltlitlmal Disbumemenb shown on Line 1005 E 0.00 S 15,66I.03
Tobl S � � 0.00 E 0.00
Owner'sTi[lelnsurance BORROWER SELLER
__. .__—_-_ —... _..
Owner s Policy Premium 500 00
to Old Republic Na�ional Title Insurance Gompany
ro<ai S wo.ao s o.00
I nave careNlly reNewea tne HUD-t Senlement Stalement ana to the Eesl of my knoMedge ane�elieC II is a Vue ane
urale statement oi all receipis anG tlisbursemen�s ma�e on my account ot by me In�his hansaction. I Wrt�e�
cetlify��at I M1ave�eceivetl a copy ot Ihe HUD-1 Setllemenl$Idlemen�.
PA Deals. LCC' / .�� TM1e Esta�e oi Daniel Dominik Nartli a/qa Daniel D
� � Nettli
BY �... . BY �+.-Q—��-�-0 LkZ
�� i p/£ni�el D Nardi Jr Q in stretor
B�av�U A. Nardl,tt�nishato,/F! � r
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, owe.,roa.m imPn.o�mmc ro.eemn:ue:nu.te us.eoae mu�oo+am am sNim�w�o.
p5L515159PFD�61615159/J)
HUD4 Attarhmerrt- COMinuetl
To�M1e best ol my knowletlge,t�e HUD4 Seltlement Slatemenl wM1lc�I �ave pepareE is a Ime and awure�e accovnt
oi t�e funds wfiitlt vrere receiveC and�ave been o�wlll pe tlisbvrsetl by t�e undersiqnetl as pah of t�e seplement o�
this Iransaclion.
La�� ervices.lnc.
A9em
WPRNING�. M1 ii a<tlm!�O MnOwingty maFelalfe flalmen\5[o t�e Uni�M SVIw on t�b oriny elmlleilo�m. PenaNlm upan[onNctlon un
� cluCv a Ilne anE ImpMonmanL Fo�Eelalls em:9tb iC V 5.<atl�Sectlon 1041 anE Sec\ian 1010.
�ISLS1S159 GFO/ISL51Y59/3�
aEv-ieoe ex.�s sa�
SCHEDULE E
coMnnoNwEa�rH oF veNHsr�vnr�in CASH, BANK DEPOSITS, & MISC.
wrvereirnHcelnxaEruaH pERSONALPROPERTY
aEsioErvr oECEOErvr
ESTATE OF FILE NIIMBER
DAWEL D. NARDI SR 21 14 0864
InduOe Ihe pmceeGs oi litigation antl Ihe date Ne pmcee0s were receiveG by ihe es�ate.
All Droperty joinlly�ovmetl with righ�ot survivorship must be tlisclosed on Schedule F.
ITEM VAWE AT DATE
NUMBER DESCRIPiION OF�EATH
1. INHERITANCE FROM ESTATE OF AURORA NARDI 15,964.97
2. 1998 LINCOLN 1,500.00
3. MISCELLANEOUS PERSONAL PROPERTY 500.00
TOTAL(Alsoen�eronllneS,RecapiNlatlon) S q� ggqg�
�0 more space is neetletl,Insen atltlitional sheets of ihe same size)
aw-ie>> ex.��aas�
pennsylvania SCHEDULE H
oePAarMFH.oFar�eNue FUNERALEXPENSESAND
wnEa:rnNCFrnxaFruaN ADMINISTRATIVECOSTS
aEsicENroECEOENr
ESTATE OF FILE NUMBER
DAMEL D. NARDI, SR 21 14 0864
UeceEenfs tlebis musl be reportetl on Sc�etlule I.
ITEM
NUMBER �ESCRIPTION AMOUNT
A. FUNERALEXPENSES'.
1. KIMMEL FUNERAL HOME 79620
B. ADMINISTRATIVECOSTS:
1. PersonalRepresenla�iveCommissions�.
n�ame(s�olParsonaiRepresema�lve�s� WANED
SireetAtltlress
Clty Slete ZiP
Veerts)Commission Paie�.
p, AnomeyFees�. CHARLES E PETRIE 4765.00
3. familyErempliort�IltlewtlenfsatltlresslsnolihesameasclaimanCs.atlechexplanaUonJ
Claimant
Slree�Atltlress
City State ZIP
Relationship o!Claimant lo Decetlent
4. Pmba�eFees: 36Q50
5 AccountantFees�.
6. TaxReNmPreparerFees.
7. JUNK REMOVAL 3,739.00
TOTAL(Alsoen�eronCine9,Recapilulalion) E g660_70
I(more space is neeaee,use adtlitional sM1eets o(paper ol the same size.
REV-1S 2 EX�(12-08)
pennsylvania SCHEDULE I
oEanarmEr�roFaEVEr�uE DEBTSOFDECEDENT�
iNHFAirANCFrnxAFruRN MORTGAGE LIABILITIES, 8 LIENS
r+�siocNr oFceoFNr
ESTATE OF FILE NUMBER
DANIEL D. NARDI, SR 21 14 0864
Report de6ts inwrred by the decedent pnorto deaN Ihat remained unpaiC atihe date of tleath,including unreimbuned medical expenses.
ITEM VA W E AT�ATE
NUMBER �ESCRIPTION OF DEATH
1. WATER BILL 16968
2. GARAGE RENT 1,600.00
3. OIL 468.00
4. DAUPHIN COUNTY REAL ESTATE TAXES 420 49
5. CUMBERLAND COUNTY REAL ESTATE TAXES 1,95723
6. CUMBERLAND COUNTY TAX CLAIM BUREAU 89272
7. ERIE INSURANCE 52375
6. FARNHAMINSURANCEAGENCY 842.63
TOTAL�Alsoemeron Line 10,Recapimlation) S 6 874A0
I!more space is neeoetl,Inseh aeellional sheeLs ol Ne same size.
aw-ism�x.ioi-ia�
pennsylvania SCHEDULE J
oEvnarmEHr or AeveNu� BENEFICIARIES
irvncwrnNc�*nxaeruae
aEsioErvroECEOErvr
ESTATE OF: FILE NUMBER:
DANIEL D. NARDI SR 21 14 0864
RELATIONSHIPTODECEOENT AMOUNTORSHARE
NUMBER NAMEAN�AD�RESSOFPERSON(S)RECEIVINGPROPERiY DoNotLisiTmstee�s) OFESTATE
� TAXABLE DISiRIBl1TI0NS pnclutls outdghispousaltlis�nbmions antl Vans(ers untler
Seu 9116�a)(L2).]
1. DAVID NARDI Lineal 47,361.93
74 HILLSIDE CIRCLE
CAMP HILL. PA 17011
2. DANIEL NARDI Lineal 47,361.93
2215 S. SECOND STREET
STEEELTON, PA 17113
EMER DOLLAR AMOUNTS FOR�ISTRIBUTIONS SHOWN ABOVE ON LME515 THROUGH 180F REV-0500 COVER SHEET,AS APPROPRIATE.
IL NON-TAXABLEDISTRIBUTIONS:
A.SPOUSAL�ISiRIBl1TI0NS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN'.
1.
B.CHARITABLE AND GCVERNMENTAL OISTRIBUTIONS�.
1.
TOTAL OF PART I I - EMER TOTAL NON�TAXABLE DISTRIBUTIONS ON LWE 13 OF REV-0500 COVER SHEEL S
If more space is needed,use addltlonal sheels o(paper of the same size.