HomeMy WebLinkAbout01-1103
REGISTER OF WILLS FOR CUMBERLAND COUNTY, PA
PETITION FOR GRANT OF LETTERS
Estate of MARIA C. BORSELLlNO
No.
2J -01-1103
also known as
, Deceased
Social Security No. 101-01-7744
Petitioner(s), who is/are 18 years of age or older, apply)ies) for'
(COMPLETE "A" OR "B" BELOW:)
GJ
A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut or
Decedent, dated 12/5/83 and codicil(s) dated
Marie D. Alfis has renounced her right to act as Executor
named in the Last Will of the
State relevant circumstances, e.g., renunciation. death of executor, etc
Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered
for probate; was not the victim of a killing and was never adjudicated incapacitated:
o
B. Grant of Letters of Administration
(c.la., d.b.n.c.la pendente lite, durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse
(if any) and heirs:
I
Name
Relationship
Residence
I
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland
residence at Seidle Home, Mechanicsburg, PA
County, Pennsylvania, with his/her last family or principal
1'v1 t( )..,t:U\ Icsb VI" ~ t?o R- 0
(list street, number and municipality)
, 2001 , at Mechanicsburg, PA
(Location)
Decedent, then 87
years of age, died 5/11
Decedent at death owned property with estimated values as follows:
(if domiciled in PA All personal property...... . . .........
(if not domiciled in PA Personal property in Pennsylvania
(if not domiciled in PA Personal property in County.
Value of real estate in Pennsylvania.
Total.
6,000.00
$
$
$
$
$
6,000.00
Real Estate situated as follows: none
Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in
the appropriate form to the undersigned:
Typed or printed name and residence
Jerome Ceo
20 Oe[,jtA ~e8el"lEl 8t- 305
Dillsbur , PA 17019
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Oath of Personal Representative
Commonwealth of Pennsylvania
County of CUMBERLAND
The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true
and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the
Decedent, Petitioner(s) will well and truly administ the estate according to law
Sworn to and affirmed and subscribed
before me this
4th
__ day or
~-'7 ~~..~/~~
-
DECREE OF REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of MARIA C. BORSELLlNO
Deceased
No.
21-01-1103
also known as
Social Security No: 101-01-7744
Date of Death: 5/11/01
AND NOW, DECEMBER 4 2001
reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters lKl Testamentary 0 of Administration
, in consideration of the Petition on the
((c.I.a., d.b.n.c.l.; pendente lite; durante absentia; durante minoriate)
are hereby granted to Jerome Ceo
in the above estate and that the instrument(s), if any, dated 12/5/83
described in the Petition be admitted to probate and filed of record as the Last Will of Decedent.
FEES
Letters ..
$
40.00
~~yrl ~:N"J .b<<l 4~J 44')1
Register of \~s ~ ..
Extra Pages (
) ...............
$
$
$
$
$
$
$
$
6.00
5.00
3.00
Short Certificates(s)
Renunciation..... .....................
JCP Fee
5.00
<ZAM s,'~
Attorney: Rob A. Krug, Esquire
I.D. No: 25123
Address: 53 East Canal Street
ITR..
Inventory
Other................................ ......
Dover
PA 17315
TOTAL .....
............ ...$
59.00
Telephone: 717-292-5615
DATE FILED:
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21-01-1103
LAST WILL AND TESTAMENT
OF
MARIA C. BORSELLINO
IN THE NAME OF GOD, AMEN:
I, MARIA C. BORSELLINO, Widow, residing at 54 East
Englewood Avenue, Bergenfield, New Jersey, being of sound and dis-
posing mind, memory, and understanding, do hereby make, publish,
and declare this to be my Last Will and Testament, that is to say:
FIR.ST:
It is my wish and I do hereby order and direct
that upon my demise my remains be laid to rest in the family buria
plot located at ST. JOSEPH'S CEMETERY, Hackensack, New Jersey,
beside the remains of my deceased husband, FRANK BORSELLINO.
SECOND:
I order and direct that all my just debts,
funeral and testamentary expenses and all estate and inheritance
taxes be paid and satisfied as soon after my decease as conven-
iently can be.
I direct that estate and inheritance taxes be paid
out of and charged against my general estate, including any taxes
assessed against any property herein specifically devised or be-
queathed, including the proceeds of any insurance policies on my
life, whether payable to my estate or to a named beneficiary.
THIRD: All the rest, residue, and remainder of my es-
tate I give, devise, and bequeath to my niece, PATRICIA LANCIO,
and to my nephew, JEROME CEO, to be theirs equally, share and shar
alike.
In the event that either my niece, PATRICIA, or my nephew,
JEROME, predecease me, then I give, devise, and bequeath the share
of my estate which such deceased person would have been entitled
to, if living, to his children equally, share and share alike, if
he should be survived by child or children, otherwise to the sur-
viving of my said niece or nephew, PATRICIA or JEROME, as the case
may be, to be his, "absolutely and forever.
FOURTH:
I hereby authorize and empower my Executors or
Trustees hereinafter named, to sell, mortgage, lease, exchange,
or otherwise dispose of any and all real estate or personal prop-
erty of which I may die seized at such time, for such prices, and
on such terms as to them shall seem for the best interest of my
estate; and I further authorize and empower my said Executors or
Trustees to give good and sufficient deeds of conveyances, mort-
gages, bonds, leases, or other instruments necessary for the
accomplishment of the foregoing powers.
FIFTH:
I hereby nominate, constitute, and appoint my
cousin, MARIE D. ALFIS, to be sole Executrix of this, my Last will
and Testament, and direct that no bond or other security for the
faithful performance of her duties as such Executrix be required
in any court or jurisdiction.
SIXTH:
In the event my cousin, MARIE, is not appointed
to such office or resigns therefrom, then I hereby nominate, con-
stitute, and appoint my nephew, JEROME CEO, to be sole Executor
hereunder, likewise without bond or other security. In the event
my nephew, JEROME, is not appointed to such office or resigns
therefrom, then I hereby nominate, constitute, and appoint my
niece, PATRICIA LANCIO, to be sole Executrix hereunder, likewise
without bond or other security.
LASTLY:
I hereby revoke any and all other wills and
codicils by me at any time heretofore made.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal this ::;- LA- day of December, in the Year of Our Lord, One
Thousand Nine Hundred and Ei9htY-Thre};7 ~ g. J ~~.S
MARIA C. BORSELLINO
SIGNED, SEALED, PUBLISHED, and DECLARED by the said
MARIA C. BORSELLINO, Widow, the Testatrix, as and for her Last
Will and Testament, in our presence, who at her request, in her
presence, and in the presence of each ot~r, have hereunto set
our hands AS subscribing wi tness this..;:5 day of December, in the
~~.r om O~~ Lord, One Thousand Nine Hundred and Eighty-Three.
i V J/1fi/~7!W residing at7-Y7A~~ ~~ "~ AiJ~?6J-1-
fk, miding a".1-; ~ C/~1'^ >-(
1/ );7 {J r n /. . / . t <"1 ~
/ I 1/ IN residing at ..)..'L1 /J./ .(jAit 't[- . ~r /1._~
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REGISTER OF WILLS FOR CUMBERLAND COUNTY, PENNSYLVANIA
21-01-1103
OATH OF NON-SUBSCRIBING WITNESS
~a()H1~ y eEl)
'Er~~A- fI. ~G;O
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that THEY
familiar with the signature of MARIA C. BORSELLlNO
codicil
subscribing witnesses to) the will presented herewith and that he/she
codicil
will is in the handwriting of testatrix
, testat ~ of (one of the
believes the signature on the
Sworn to or affirmed and sub-
knowledge and belief.
, ~
scribedbeloremethis_4th dayof ~.s- r~ a ~1-
DECEMBER 2001 (Address)" ~4 (J
~yo/!::~i;rjf;n~ ~a &r .
or the t! ~!S ,,~~ I ~.Name)
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(Address) ./ ~ /
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REGISTER OF WILLS OF YORK COUNTY, PENNSYLVANIA
RENUNCIATION
Estate of MARIA C. BORSELLlNO
No.
also known as
, Deceased
21-01-1103
The undersigned,Marie D. Alfis, cousin
(Relationship)
(Capacity)
of
the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters' csternentary be issued to Jerome Ceo
Witness my
NJ 07621
(Signature)
(Address)
(Signature)
"'Sf A,~ 0 f NWJ~((5eL{
e <.l.;,v ~7 · f' 1.3~/l J e.J
Sworn to or affirmed and subscribed
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before me this /4- day of
~~.:~)e~-~YOI
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N "ry ~ A. Fd, A: ew6U
My Corfl.,jnission Expires: <\ \ ') \ c:, 3
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\Si~r,:3Lrc ar.d seal of Notary or other
official qualified to administer oaths Show
date of expIration of Notary's commission)
NOTE: Renunciations executed outside the Office of Register of Wills are
required In some counties to be notarized
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ih I; IS to certify that the information here given IS correctly copied from an original certificate of death duly filed with me as
I,lh) R<;gistrar. The original certiflcate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
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Fee r<lf this certificate. $2.00
P 7386444
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Date
21-01-1103
HI05 143 Re.... 2187
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
T'l'PE1PRINl
'N
PERWANEN I
BLACK INK
STATE FilE ~UM8ER
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SEX
SOCIAl SECURIT"f NUMBER
NAME OF OECEOENT (fllsr Middle, Laslt
Maria C. 6or~e I/i no
z.
Female .. 101-
01 -
May 11,2001
87 v,.
BIRTHPlAcE lC.ry and Pt..ACE ~ DEATH ICtoecil 0I'l'l' QI'8 -- .,;ee InSlluclo(;ol~ on Qltoel 'SIde)
S1&18 Ql: fcrell)fl COU(lUy) HOSPiTAl:
Wilkes - Barre, '...,..... D<
...
eel: and flUffiberl
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AGE (LaS! &rtrooaYI uNDER 1 YEAR
Mond"l. Oays
..
COUNT'( OF DEATH
RACE. Amencan Indlan, 8lKk, While Me
{Speclyl
Cumberland
10.
White
...
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MARITAL STAlUS . M~
N.~M"frl.d. W~,
ONorced (Spedy)
Widowed
SURVIVING SPOUSE
III """e. gn,..~namel
OECEOENl'S USUAL OCCUPATION
(G.ve kind 01 work done during ~
oIlIIOl'king WR.. do noI use ,etiJed)
omemaker
t1b. Coun
llod
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Bergen townahip1 17d.D ~~-=oI
MOTHER'S NAME iFIISC. ModdIe. MaIl1erI SuI"~
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FRHER'S NAME (First Modele lasr)
54 East Englewood Ave
Bergenfield, New Jersey 07621
Berqenfield
,..,-..
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INfORMANT'S NAME (TypelPriocl
Stephano Ceo
Jerome Coe
".
INFORMANT'S MAILING ADDRESS ISHeel. CilyfTown, SI8Ie, l"1p Code)
_. 26 South Second Street Oillsbur Pa.17019
PlACE OF OISf'OS1T1()H - NM'Ie of Cemetery, C,emalOfy LOCRION . CilyllOwn, $al., l"1p C0d.-
a< ""*_
Philamina George
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NAME AND ADDRESS OF FACILITY
22c. M ers Funeral Home
LICENSE NUMBER
Hackensack, New Jersey
2tc.
St. Joseph's Cemetery
Pa 17055
R.JJ
.1001
01
~ "" 1< :;)LAl-l. ..:>/-"'- /)/2 ,(.UN /( .;
DUE 1'0 COR AS A CONSEOUENCE Of):
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: interval belwMn
lonMt and dMIh
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0IMr signiftc:ant ~ contnbuIing to dealh. buC
noI~ing in.... ~cauMgiw'tnin PAfCT I
has cilrOiac 01 ,espilaloty anest. sho<;ll; or heal1lalllll'e
~ :
OUElO(ORASACONSfQUENCE Of).
DUE 10 (OR AS A CONSEOuENCE Of):
WERE AUTOPSY FINDINGS MANNER Of DEATH
A\WLABLE PRIOA 10 gI
COMPLETtoN OF CAUSE 0
OF OEMH? Natural Hom.cide
Accident [J Peo4lrlQ InYe5ug.uon []
y..O ... g s...c"," [] Coutd not boa delelm,ned [J
CATE OF INJURY
tMonlhDoiIy, 'IleaI1
TIME OF INJURV
INJURY AI INORKl DESCRiBe HON INJURY OCCURRED.
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2... 2....
CERTifiER leI's;" OI'Ily onel
'CERTIFYING PHYSICIAN (PhySIC.aOCefll'y"VJ C..lU5e 01 dl:'altl whefl ,JnUlhtll phV~'dO has plOf>OI",nced u;:alh dno COlll~lt:le<lIl~l\ lJI
To the beel 01 my knowle>d'Ole, death oc:curncl due 10 Itl. cilu.e('I.nd mann.,.e .latN. , .
JOe JOIJ.
PlACE OF INJURY. AI home, la,m, 'lfeel. factory. office
buikJng, etc_ ISpec"v)
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'PRONOUNCING AND CERTIFYING PHYSICIAN (PhVSlCloolll bom ;)1:)(l(JUl>CI(U;f Oedltl dnd <:et'l,tylllglocausa 01 oedUll
To 1M blNl of my kno",tiIiI~., deillh occurred al&he Ume, dale, oiIod place. and due 101M cauM(a) ilocI manoer u .I.led
StaNATURE
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LICENSE NU BER
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NM4E AND A~ESS OF PERSON wHO COMPtETEO CAUSE OF oeATH
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'MEDICAl EXAMINER/COAONER t
On th. ba.is of elllammaUon andlor lnvestlg.tlon, In my opinion death occurred althe Ume, dat., oiInd place. and due 10 Ihe cause(a) and
manner a. silled . , . .. ..' .. ..
.,.
RE TRAR"S SIGNATURE AND NUMBER
MLU.LLM1 -J(~LU ~/~
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COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG. PA 17128.0601
REV -1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
J5
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1'1
FILE NUMBER
21 -01 1 03
COUNTYCOOE ---\h~ - - NUMBER- -
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
SOCIAL SECURITY NUMBER
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MARIA C. BORSELLlNO
DATE OF DEATH (MM-DD-Year)
DATE OF BIRTH (MM-DD-Year)
05/11/2001 09/17/1913
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
01-01-7744
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
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[Xl 1. Original Return
o 4, limited Estate
00 6. Decedent Died Testate (Attach copy of Will)
D 9, Litigation Proceeds Received
o 2. Supplemental Return
o 4a. Future Interest Compromise (date of death after 12-12-82)
o 7. Decedent Maintained a living Trust (Attach copy 01 Trust)
o 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95)
o 3. Remainder Return (date of death prior 10 12-1H2)
D 5. Federal Estate Tax Return Required
~ 8, Total Number of Safe Deposit Boxes
o 11, Election to tax under See, 9113(A) {Attach Sch 0)
THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
Rob A. Kru , Es uire 53 East Canal Street
FIRM NAME (If Applicable)
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TELEPHONE NUMBER
717-292-5615
Dover
PA 17315
,. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
(t)
(21
(3)
(4)
(5)
OFFICIAL USE ONLY
4. Mortgages & Notes Receivable (Schedule 0)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
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6,076071 f:i
5, Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F) (6)
D Separate Billing Requested
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7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G or L)
8_ Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H) (9)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus line 11)
29,16917 co
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(8)
35,24524
11,11400
7,074.96
13, Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus line 13)
SEE INSTRUCTIONS ON REVERSE SlOE 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)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18, Amount of Line 14 taxable at collateral rate
19, Tax Due
x
x
X 12
17,056.28 X 15
20. D
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
(11)
(12)
(13)
18,188.96
17,05628
(14)
17,056.28
(15)
(16)
(17)
(18)
(19)
2,55844
2,558.44
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
.
Decedent's Complete Address:
STREET ADDRESS
Seidle Home
CITY I STATE I ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. DIScount
(1)
2,55844
3. InteresUPenalty if appiicable
D.lnterest
E. Penalty
Total Credits (A + 8 + C) (2)
Totai Interest/Penalty (D + E) (3)
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)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. ThiS is the TAX DUE. (5)
A. Enter the interest on the tax due. (5A)
8. Enter the totat of Line 5 + 5A. ThiS IS the BALANCE DUE. (58)
Make Check Payable to: REGISTER OF WILLS, AGENT
2,55844
2,55844
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred; 0 IZJ
b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 IX)
c, retain a reversionary interest; or ...................................................................................................... 0 [K]
d. receive the promise for life of 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 [KI
3, Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .. 0 [Kl
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................... D (K]
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
ADDRESS
Under pe e fperjury, 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.
Declar n 0 reparer other than the perso presentative is based on all information of which preparer has any knowledge.
SI AT E OF PERSON RESP S LE FO ILlNG RETURN DATE
PA 17109
DATE
?)2S/0Z-
PA 17315
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 PS 39116 (a) (1.1) (I)J
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 PS 39116 (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:
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 the child is 0% [72 P.S. 39116(a)(1.2)1
The tax rate Imposed on the net value of transfers to or for the use of the decedent's lineai beneficiaries is 45%, except as noted In 72 PS 39116(1.2) [72 PS 39116(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. 39116(a)(I.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.
..~
",'~m.'",,~
COMMONWEALTH OF PENNSVl\IANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
MARIA C. BORSELLlNO
FILE NUMBER
21 01
1103
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
5,992.67
PNC Bank Account #50-0066-3405
2.
Blue Cross Refund
8340
TOTAL (Also enter on line 5, Recapi!ula!ion) $
(If more space IS needed, Insert additional sheets of the same size)
607607
""""""""'.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTL Y.OWNED PROPERTY
ESTATE OF
MARIA C BORSELLlNO
FILE NUMBER
21
01
1103
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A. Jerome J. Ceo
305 Franklintown Road
Dilisburg, PA 17019
nephew
B Patricia C. Lancio
806 Shenandoah Drive
Brentwood, TN
niece
c
JOINTL Y.OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %DF DATE OF DEATH
ITEM FDRJOINT MADE Include name of financial instilution arid bank account number or similar identifying number. Attach DATE OF DEATH DECO'S VALUE OF
NUMBER TENANT JOINT deed for jointly-held realeslale. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A&B PNC Brokerage Acct 15629377 87,50839 33.333 29,16917
TOTAL (Also enter on line 6, Recapitulation) $ 2916917
(If more space is needed, insert additional sheets of the same size)
"''''''''''"'''.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
MARIA C. BORSELLlNO
FILE NUMBER
21
01
1103
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER OESCRIPTION AMOUNT
A FUNERAL EXPENSES
1. Riewerts Memorial Home 9,950.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (sJ
Social Security Number(s) I EIN Number of Personal Representative(s)
Street Address
City State Zip
Yea~5J Commission Paid:
2. Attorney Fees Rob A Krug, Esquire 1,00000
3 Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probale Fees Register of Wills 59.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Filing fees--Release 5.00
8. Reserve for future filings 100.00
TOTAL (Also enler on Irne 9, Recapitulation) $ 11,11400
(If more space is needed, insert additional sheels of Ihe same Size)
. ..~
"""""'''",i~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
ESTATE OF
MARIA C. BORSELLlNO
FILE NUMBER
21
01
1103
Include unreimbursed medical expenses.
ITEM
NUMBER
DESCRIPTION
AMOUNT
139.96
1.
Pinnacle Health--final drug bill
2.
Pinnacle Health Hospital
1,73900
3.
Seidle Nursing Home--final bill
5,19600
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
7,07496
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 1'1 (1.211
1. Jerome J. Ceo nephew
2. Patricia C. Lancia niece
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART" - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
ReV_,5,3Extl*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
MARIA C BORSELLlNO
SCHEDULE J
BENEFICIARIES
FILE NUMBER
21 01
1103
(If more space Is needed, Insert additional sheets of the same sizel
'"
-
Riewerts Manorial Home, Inc.
Bruce Van Tassel, Manager
Timothy J. Newman, runeral Director
Eugene J. Friend, Funeral Directur
187 South Washington Avenue
Bergenfield. New Jersey 07621-2987
201-384-0700
me I J "J 0/ / ll~le of ^"~"Q""ffi,,1
'df<# ~)S I:;?' '~I UAINred LJrrcNced
ServK:fsfm.111/Jr?iA T3 l/:!-:; .c::'IIJ/v<0
"'",M"lff;./ (2-~, ?F'"tJ(/l-- kJd
(I',i"I,lr('!I~~'(!Act~; U...(,+/:J I?-~ / li~() ';.::...("
. / l'I,1C'"~lio.l")
S _ I ( of I I'" ,1,//;,/1\/
5TATEMENT or rUNER^L GOOUS AND SEfNICES SELECTED
Charges;ueonlylorlhoseilernslhal YOlIselecledorlhalare required, I'we
a"fllquiredby law 01 by a cernelery Of crernalory 10 use any ilems, we will
'llp~ln the reasons in wri1ing helow. II you selected a funerallhal milY
,equlle embalming, such as a lunclal wlttl vlewmg, you may have to pay lor
fllltIJillrn!tlg. You do nol have 10 pay for ernhalming you did nol approv eifyou
8l1lecle~ ,nrangements Stich as a direct cremalion 0, r immediate burial. If we
cllilfQI'4 for Ilmbatrnlng, we will explain why below
lhlllllln~lallon reflects the estimaled cost of the funeral selecllld as of lhe
dale IIIQnll~ ~fllow. These costs. are sulliecl to chan.9~~wnMlJ-rnolice and Ihe
IIclqalcnslQllIle !llflllral will l:Iecharged "tth9l"<lteS on the General Price List
III qliJ lJllllalHnll fhlt funeral actually takes place. ,U II
Inilial
.i. PflOf~SSIPN^~ 5EIlVICES
'fJalllc Bflrvlcrr, pf fUflflrfll Plrcclor and Staff
Sp6clfll Berl/IOp_ pf fllIlsral Olfi~c!,;r "ml Staff
Specify: '
4rlhalm1rll
\ 'Oll1e( rreparflf'ol1 ot the poq~
Sarl/I'uy C"(ft. WlInOJft ~l1ttralITljng
prft"l"~r CI'lIkflUI!jI &. CpSn1f!IOloJIY
Olllen
$ 175b
$
$ PO!?
$
$
$
$
$
$ ..l,A.j(Y,.
QJher:
SubJpJpl: Professional ServlclIs
II, OTliER STAff AND R~~AT~D fACILITIES
1-1111' Qf Fqcltlllasr slfllr f'tIlQ f.q~lpm'mt for:
VlflwjplllVlslfqllon
run~ral cef~monY
Memorial fi"rV/Cf
"r"V"ItI~,!/COlllnjl"<l1 Scrvicp
Qm,r<
other:
S~blq.lIl: OIlIer S~,;rf and Related racilitles
III. Tll^tjSPOrn^T10N
1r$Jl'ferof Remains to rurwral I lame
H881se
L!mouslne(s)
r10wer Carts)
other:
other:
Subtotnl: Transporlation
OPTION^L p^CKNm) SEnVlcrs
(If a/1 optional packaged service is selected,
categoiies ,.!!! are nol applicable.)
Direct Cremation
Immediate Burial
Forwarding or Receiving of Remains
Olher:
':inlllol;1I: Optional Packaged Ser"ic~s
$ ){.'~~'"
$ OJ. ~t :;-, .-,-
$ (.:Jt/(;.
$
$
$
S Ii.J<:/~
$
$
$
$
. '>, IV. M I::RC HAN DIS E ,';,1',
Casket or Alternate Container
Mfr: .;Y'f?,;I.)I,."J{)
Model: r::k r..;..,~/"
MAteria!: <31 r~ L- WtjGa: F~
Interior: c.~' /,z.E::? €..
Vault/Ouler 8urlal Enclosure:
Mfr: ul<2[(f€r<
Model. .-s.-T'1.1
MateriAl: '::.r>d.)(..J.!? &;, €~
Um
Clothing
Memorial Package
Memorial Cards
Acknowledgment Cards
Re!(l<;l..r I1flok
Miscellmreous Itellls (specify)
L
2,
$11c:l~
$ {I-l~
$
$
$ /7fJ
$
$
$
$
$
Subtotal: Merchandise
TOTAL FUNERAL HOME CHARGES
(I-IV & Packaged Services)
$ c{;l/:>
$ i/"?o
; : V. CASH DISBURSEMENTS 'J
ESTIMATED CHARGES BY OUTSrOE PARTIES
Cemetery/Crematory $
Rental or cemetep~dentjTent $
NeWSpflpers L~__________j!!J L______... __)
I ) I $
eel tmed Caples of Death Certificate
( /0 @ $ .J.. ea.) DisPDs)tlon Permit ($
Pallbearers ( 5. @ $ 46 ea.)
_ Clergy and/or Church
H<lirdresser ($ So ) Ritual Preparation ($
Gr3IUin,.'"
/Io(),-
l~-
$ ;,.,:;(0
$0\;1"'-
$ ;,{"~::>.:.? '
$ 5?;1,'
$
$
$
$
$
li'1o
$ '?'(5(},
~I.''''e ~r I."".'i:!"n~' , ,
" "i, : r&l( 1. IUlttUl'IfN'U
Sig!l~hlleof P'3clilioner; .
.- 'j/ (x:.t..:,::,/ ,of.~
)
A
I have r:~d( '~ml lecelved a copy 01 this Slatement 01 Funeral Goods and
Servlce~ s,l6c1ed:
siQnfirtPe!SOIl MaklnQ Arranllf!IO
X l~_~<!n1JL, .
n~I,;;fI~~\lip l(lllel;e~sed J I,
. ; /:.JI/~I}
S11~' ^,rdl~s,~' _ .- .../
.!,... ;:::~'.' <;;.")J'~('!r:J,v''C/
{i1
-'20
/Other:
Olher:
other:
13tJ .... Subtotal: Cash Disbursements
ESTIMATED TOTAL OF All CHARGES
(I-V & Packaged Services)
TOTAL PAID ON 0 POSI /
'$
<-Y1
IF ANY LAW, cemetery or crematory reQ Iremenls have reQuired the
prrrchase of any ilems lisled above, Ihelaw/reQulremenldescrlp lion
lollows:
$/ t1.f"S-:-~ I J 1. Crematory reQuires conlainer to surrounrllhe remains;
c'3:1{: ,._1 12. Your cemetery reQUires an outer burIal contaIner;
$..) ( 13, Other:
$ ?. __ I r.pl,"'Embahning stlecilically reQrJested and aulhoriz!!d, orolher reason-
$ ~.'5d
$
$
S {<11 (T. ~', IJill/e prepared the above "Statement of Funeral Goods 80 Sefvlces Selected"
Clly )
.' ,/1. -;,U..,,/J,(
C<,py,iqhl@2(J()1111ANfXUSINC
Ucell~e ,.
:;~;)?
O~le
~~,~; , pp:
. /1v,/ -c;~ !'<f'
""
foftf, SfGSS 329,018
"
o
o
o
LAST WILL .~ND TESTAMEN'I'
OF
MARIA C. BORSELLINO
IN THE NAME OF GOD, AMEN:
I, MARIA C. BOH~E:LLINO. W-iclow, residi.ng at 54 East
Englewood Avenue, Bergenfield, New .1ersey, being of sound and dis~
posing mind, memory, and understanding, do hereby make, publish,
and declare this to be my Last Will and Testament, that is to say:
!.!~~!:
It is my wish and I do hereby o1:'"der and direct
that upon my demise my remains be laid to rest in the family huria
plot located at ST. JOSEPH' S CEMETERY, Backensaek, New .Tersey,
beside the remains of my deceased husband, FRANK BORSELLINO.
SECOND:
---~-
I order and direct that all my just debts,
funeral and testamentary expenses and all estate and inheritance
taxes be paid and satisfied as soon after my decease as conven-
iently can be.
I direct that estatq ~nd jDherita~ce taxes be paid
out of and charged against my general esLate, including any taxes
assessed aga ins t any proper ty here in spec if ically devi sed or be-
queathed, including the proceeds of any i:lsurance policies on my
life, whether payable Lv my estate or to a naffif'0 bei1eficia~y-
'l'HIRO:
All the rest, residue, and remainder of my es-
tate I give, devise, and bequeath to Il'Y Idece, PATR1CTl\.. LANCIO,
and to my nephew, JEROME CEO, to be theirs equally, share and. shar
alike.
In the event that either my niece, PA'rHTCIA, or my nephew,
.JEROME, predecease me, then T give, devi se, and bequeath the share
of my estate which such deceased person would have been entitled
to, if living, to his chi Idren equally, share and share alike, if
he should be survived by child or children, otherwise to the sur-
viying of my said niece or nephew, PATRICIA or JEROME, as the case
may be,', to be his, absolutely and forever.
!.Q~!!'.!:!!: T hereby authorize <:Ind 2mp0we.o: my Executors or
\"
.
-----.~.."..-_."_.~ .--.- ------""--
!;
1
:'.(."
Ii
'I
:i
'rrustees hereinafter named, to sell, mortgage, lc.ase, exchange,
or otherwise dispose of any and all real estate or personal prop-
erty of which I may die seized at such time, for such prices, and
on such terms as to them shall seem for the best interest of my
estate; and I furthel- authorize and empower my said F~xecutors or
'rrustees to give good and sufficient: oeeda uf conveyances, mort-
gages, bonds, leases, or other instruments nec~ssary for tile
accomplishment of the foregoing powers.
!::!!::!'!i:
I hereby nominate, constitute, and appoint my
cousin, MARIE D. ALFIS, to be sole Execulri x of this, my Last 'iH 11
and Tea tamen t, and di ree t tha t no bond or other secur i ty for the
faithful performance of her duties as such Executrix be required
in any court or juriSdiction.
SIXTH:
In the event my cousin, MARIE, is not appointed
to such office or resiqns therefrom, then I hereby nominate, con-
stitute, and appoint my nephew, .lgROME CEO, tc ~)e sole Executor
hereunder, likewise without bond or other security.
In the event
my nephew, JEROME, is not appointed to such office 01- resigns
therefrom, then I hereby nominate, constitute, and appoint my
niece, PA'rRICIA LANr.rO, to De sole Executrix hereunder. likewise
without bond or other securi ty.
~~~'!.'[.Y:
I hereby revoke any and all o~!:e~ wills and
codicils by me at any lime heretofore made.
IN WITNESS WHEREOF, T have hereun to set my hand and
seal this .?~t: day of December, in the Year of Our Lord, One
'l'housand Nine lIundred and Ei YhtY-Threj)
,J'!c."::i:~:_I!,-A:"~"3-LA;',. s
MARTA c. nORSELLTNO
SIGNED, SEALED, PUBLISHED, and OECLARED by the said
MARIA C. BORSELLINO, Widow, the Testatrix, as and for her Last
Will and Testament, in our presence, who at her request, in her
presence, and in the presence ot; each otfflr, have hereunto set
o. ur handS..~.... s subscribing wi bless thiSv. - ..d.aY. O. f December, in. the.
.. t1t; O'i/[LLor~~ne_::::':::: ::~r;'~:~:~a~:~~:~~:t;o~~!
i1:~1~"l- -"" '''," · 0>, d.-)<"'fI~C~A. MJ".t4P- !~!-o ~
I' (!j/L!Lu..."""'__Jesiding at rJ'LL'J1J&."--" iJtt ?~&;J'
I-
I' (
\
~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EXI11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ROB A KRUG ESQUIRE
53 E CANAL STREET
DOVER, PA 17315
-------- fold
ESTATE INFORMATION: SSN: 101-01-7744
FILE NUMBER: 2101-1103
DECEDENT NAME: BORSElLlNO MARIA C
DATE OF PAYMENT: 02/28/2002
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 05/11/2001
NO. CD 000901
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $2,558.44
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: ROB A KRUG ESQUIRE
CHECK# 11323
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
$2,558.44
MARY C. lEWIS
REGISTER OF WillS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EXI11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ROB A KRUG ESQUIRE
53 E CANAL STREET
DOVER, PA 17315
-------- fold
ESTATE INFORMATION: SSN: 101-01-7744
FILE NUMBER: 2101-1103
DECEDENT NAME: BORSELLlNO MARIA C
DA TE OF PAYMENT: 07/02/2002
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 05/11/2001
NO. CD 001363
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $7.13
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: JEROME J CEO
C/O ROB A KRUG ESQUIRE
CHECK# 3662
SEAL
INITIALS: VZ
RECEIVED BY:
REGISTER OF WILLS
$7.13
MARY C. LEWIS
REGISTER OF WILLS
RELEASE
IN RE: Estate of
Maria C. Borsellino
No. 21-01-1103
RECEIPT, RELEASE, REFUNDING, AND
INDEMNIFICA TION AGREEMENT
The undersigned beneficiaries under the Estate of Maria C. Borsellino, deceased, do
hereby:
1. Acknowledge that he or she has examined and approved the attached First and Final
Account and Schedule of Distribution of the Estate of Maria C. Borsellino, copies of which are
attached hereto.
2. Waives the filing of the Account and Schedule.
3. Acknowledges receipt of the sum indicated on the Revised Schedule of Distribution.
4. Releases Jerome 1. Ceo Executor of the Estate of Maria C. Borsellino, and his heirs
and personal representatives, from all liabilities, whether due to the Executor's negligence or
otherwise, which he may have by reason of the administration of the Estate.
5. Agrees to refund to the Executor any portion of the distribution to which he or she is
not properly entitled, and to the extent of said distribution, to indemnify for the claims made
against the Executor, and to reimburse to the Executor for all expenses and costs incurred in
connection with any such claims; and
6. Declares that this instrument shall be legally binding upon the undersigned, his or her
personal representatives, successors and assigns.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~day of
b"" j') /' ti. "'If\f\'1
1"1'1\....l.. ~ , ~vv.:....
", ,
i
.&
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z80601
HARRISBURG, PA 171Z8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
ROB A KRUG ESQ
53 E CANAL ST
DOVER
'Ci:2
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
".. . - .pOUNTY
. ACN
04-15-2002
BORSELLINO
05-11-2001
21 01-1103
CUMBERLAND
101
-2
*'
REV-1547 EX AFP (01-02>
MARIA
C
PA 173~.~
Amount Remitted
r~1 \
.. : ~
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 ~
REV = i5'4-j-E3fAFP--[oY:02Y-NoYicE--oF-YNHEifiTAifcrYAiC-A"PPRA-isEi..-ENT:--ALrowANcE-cfli------------ - - ---
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BORSELLINO MARIA C FILE NO. 21 01-1103 ACN 101 DATE 04-15-2002
TAX RETURN WAS: [X) ACCEPTED AS FILED
CHANGED
NOT~~ I~ an assessment was issued previously, lines 14, 15 and/or 1&, 17, 18 and 19 will
re~lect ~igures that include the total o~ 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
.00 X 045 = .00
.00 X 12 = .00
17,056.28 X 15 = 2,558.44
(19)= 2,558.44
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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
6,076.07
29,169.17
.00
(8)
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
(9)
(10)
11,114.00
7,074.96
(11)
(12)
(13)
(14)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
35,245.24
18.188 96
17,056.28
.00
17,056.28
l""r"~NI K~l,;~U l+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-28-2002 CDOO0901 .00 2,558.44
BALANCE OF UNPAID INTEREST/PENALTY AS OF 03-01-2002 TOTAL TAX CREDIT 2,558.44
BALANCE OF TAX DUE .00
INTEREST AND PEN. 7.13
TOTAL DUE 7.13
· 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.)
-
REGISTER OF WILLS FOR CUMBERLAND COUNTY, PA
c
--
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: MARIA C. BORSELLlNO
Date of Death: 5/11/01
Estate No.
SSN: 101-01-7744
File No. 2001-01103
Date Letters Granted: 12/4/01
Will No. Adm. No.
To the Register:
I certify that Notice of 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 12/4/01
Address
305 Franklintown Road
Dillsburq
806 Shenendoah Drive
Brentwood
PA 17019
Name
Jerome Ceo
Patricia Lancio
TN 37027
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
none
Personal Representative
X Counsel for Personal
Representative
(Signature)
ROB A. KRUG. ESQUI
Name (Please type or print)
Date: 3/8/02
Capacity:
Address
53 East Canal Street
Dover
PA 17315
Telephone No. (717) 292-5615
\, /?-e::1~ /
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
ROB A KRUG ESQ
53 E CANAL ST
DOVER
'02
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
~. : 1 6 COUNTY
. , ACN
04-15-2002
BORSELLINO
05-11-2001
21 01-1103
CUMBERLAND
101
(\PF: 19
*'
REV-1547 EX AFP 101-02)
MARIA
C
PA 17:tl~
ClTr,;.
Allount Rellitted
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 ~
REV; i5'4-j-Ex--AFP--foY:02Y-NoYicE--oF-YNHEififAifcE-TA,rA-pPRjrisEi..-ENT-:--Ail-owANcE-cfi------------ -- ---
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BORSELLINO MARIA C FILE NO. 21 01-1103 ACN 101 DATE 04-15-2002
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Allount of Line 14 at Spousal rate (15)
16. Allount of Line 14 taxable at Lineal/Class A rate (16)
17. Allount of Line 14 at Sibling rate (17)
18. Allount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TAX CREDITS:
.00 X 00 = .00
.00 X 045 = .00
.00 X 12 = .00
17,056.28 X 15 = 2,558.44
Cl9)= 2,558.44
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
Cl)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
6.076.07
29.169.17
.00
(8)
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/Governllental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
ClO)
11,114.00
7.074.96
(11)
(12)
Cl3)
Cl4)
NOTE: To insure proper
credit to your account,
subllit the upper portion
of this forll with your
tax paYllent.
35,245.24
18.188 96
17,056.28
.00
17,056.28
.n......... I l+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-28-2002 CDOO0901 .00 2,558.44
BALANCE OF UNPAID INTEREST/PENALTY AS OF 03-01-2002 TOTAL TAX CREDIT 2,558.44
BALANCE OF TAX DUE .00
INTEREST AND PEN. 7.13
TOTAL DUE 7.13
· 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.)
\//-020- /
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
*'
REV-1607 EX AFP '01-02)
ROB A KRUG ESQ
53 E CANAL ST
DOVER
r !";
, -
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
08-12-2002
BORSELLINO
05-11-2001
21 01-1103
CUMBERLAND
101
MARIA
C
Amount Remitted
PA 17,315
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 paynent.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS __
REV=i6'ifj-Ex--AFP--[oY=02y------...--zNi.f€RITANCE--YAX--STA-fEMENY-'ifF-AC-COLitff--.-i.---------------- -- ---
ESTATE OF BORSELLINO MARIA C FILE NO.21 01-1103 ACN 101 DATE 08-12-2002
THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW
IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-15-2002
P R I NC I PAL TAX DU E : .....................................................................................................................................................................................................................
2,558.44
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-28-2002 CDOO0901 .00 2,558.44
07-02-2002 CDOO1363 7.13- 7.13
TOTAL TAX CREDIT 2,558.44
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00
.
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ,
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. J
JRD/ June 30, 1992/17858
JUN U 4 Z003 ~
~
In Re: Estate of Maria C. Borsellino
Late of Mechanicsburg Borough
ORPHANS ' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
Estate No.: 21-2001-1103
NO. 21-2001-1103
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: Rob A. Krug
Date of Decedent's Death: 05-11-2001
Date of Delinquency Notice: 04-09-2003
The undersigned, Donna M. Otto, Register of Wills, in accordance with Rule 6.12,
Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of
Common Pleas of Cumberland County, that neither the above named 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 04-09, 2003, and that the ten (10)
day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the
Court 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.
Distribution:
Personal Representative
Counsel for Personal Representative
Estate File
.fJMJ
14<?
Date: 06-04-2003
7-)T-()~ 9;;3t>/(/h,
A hearing is scheduled for at in Courtroom No.3. Ifthe Status Report is filed
prior to the hearing date, the hearing will automatically be canc ed
~~\~~ ~'"
Cumberland County - Register Of Wills
Hanover and High Street
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 4/09/2003
CEO JEROME
305 FRANKLINTOWN ROAD
DILLSBURG, PA 17019
RE: Estate of BORSELLINO MARIA C
File Number: 2001-01103
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. I, for decedents dying on or after
July I, 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: 5/11/2003
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
cc: / File
Counsel
Judge
14525406202003
ROW621
File No 2001-01103
Decedent BORSELLINO MARIA C
Cumberland County - Register Of Wills
Page 1
6/20/2003
PA File No 2101-01103
Docket Entries
D/E Date
No. Filed
001 12/04/01 PETITION FOR PROBATE AND GRANT OF LETTERS TESTAMENTARY
OATH OF PERSONAL REPRESENTATIVE
RENUNCIATION
OATH OF NON-SUBSCRIBING WITNESS
DEATH CERTIFICATE
002 12/04/01 DECREE OF PROBATE AND GRANT OF LETTERS TESTAMENTARY
003 02/28/02 INHERITANCE TAX PYMT
PAID - 2,558.44 ACN - 101 RECEIPT - CD0000901
ROB A KRUG ESQUIRE
004 02/28/02 INHERITANCE TAX RETURN TAX DOCKET 17 PAGE 25 LINE 1
005 03/11/02 CERTIFICATION OF NOTICE UNDER RULE 5.6(A)
006 04/19/02 REV 1547 NOTICE INH TAX APPRAISEMENT
007 07/02/02 INHERITANCE TAX PYMT
PAID - 7.13 ACN - 101 RECEIPT - CD0001363
ROB A KRUG ESQUIRE
008 08/19/02 REV 1607 INH TAX STATEMENT OF ACCT - ACN 101
Docket: 17 Book: Page: 25.00
STATUS REPORT UNDER RULE 6.12
~~~
Name of Decedent: MARIA C. BORSELLlNO
Date of Death: 5/11/01
Will No. 2101-1103
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.
account with the Court?
Did the personal representative file a final
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
Clerk of the Orphans' Court and may be attached to this report.
Date: 7/25/03
.~
~..
Rob A. Krug. ESQuire
Name (Please type or print)
53 East Canal Street
Dover PA 17315
Address
s..
;: ~\
(';t')
\-....1
~
"0
( 292 ) - 5615
Tel.No.
""
o
-'
JC
Capacity :
Personal Representative
x Counsel for personal
representative
~~~