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HomeMy WebLinkAbout09-28-05 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIOUAl TAXES DEPT. 280601 HARRISBURG, PA 17128--Q601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SHADE WAYNE F 53 WEST POMFRET ST CARLISLE, PA 17013 ___n___ lold ESTATE INFORMATION: SSN: 191-09-8213 FILE NUMBER: 2105-0087 DECEDENT NAME: LANDI BRUNA MARIE DATE OF PAYMENT: 09/28/2005 POSTMARK DATE: 09/28/2005 COUNTY: CUMBERLAND DATE OF DEATH: 01/06/2005 NO. CD 005850 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $1,648.92 I I I I I I I I TOTAL AMOUNT PAID: $1,648.92 REMARKS: CHECK# 2802 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS REV-15ClOEX+(e-OO) .. COMMONWEALTH OF .' ' PENNSYLVANIA , , DEPARTMENT OF REVENUE DEPT, 280601 HARRISBURG, PA 17128-0001 DECEDENTS NAME {lAST, FIRST, AND MIDDlE INITIAL) Landi Bruna Marie DATE Of DEATH IMM-Oo.Year) REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT .... z w c w o w c DATE OF BIRTH (MM-OO-Yearl 01/0612005 01111/1916 ~F APPlICABLE) SURVl'IING SPOUSE'S NAME (lAST, FIRST, AND MIDDLE INITIAL) 0FflCW. USEONI..'1 FILE NUMBER 2 1 -0 5 8 7 "'CQij'ifflCOiiE -YfAA- --~--- SOCIAL SECURITY NUMBER 191-09-8213 THIS RfTURN IIIJST BE fILED II DUPlICATE W1T1i THE REGISTER OF WILLS SOC1AL SECURlTY NUMBER I!! ll:::!:rn u"'''' w&8 i'if-' .... < 00 1, Ol'ginal Return o 4,LimitedEstate 06. Deoedent Died Testa1e ___~"") o 9, Liligation Proceeds ReoeIved o ~,Supplemental Return o 4a.FuturelnterestCompromise(daOeaf~.12.12-82} o 7, Decedenl Maintained a Living Trust ,_ "",~TMll o 10. SpousaIPovertyCredtt,""',.__".31.91..'.l-95) 03. Remainder Return ,...,._......".13-821 o 5, _ Estale Tax Return Requited _ 8, Total Numberof Safe Deposit eo... o 11. Election 10 tax under Sec. 9113(A) _&1>01 THIS SECTION MUST BECOM!>LETEO. All CC'RRESPONDENCE AND CONAOENTIAL. TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPlETE MAIUNG ADDRESS Wa ne F. Shade Es uire 53 West Pomfret Street FIRM NAME Iff ApoficaIlIe) ... z w o z o .. m '" '" o u TELEPHONE NUMBER 717-243-0220 Carlisle PA 17013 45,024.62 - OFFICIAl USE ONLY - ~I f b'P 9J ~~ ~~ ~ ~~ I 7" t..!' ~ 30,201.68 ~ f; I ~, ~ OQ ;R' 3,533.44 b- !h _ } p ^ /cl 8.027.18 ?- cr. ------_.---- (8) 86,786.92 9,200.29 414.46 (11) 9,614.75 (12) 77,172.17 (13) (14) 77,172.17 z o ~ c( -I ::l .... ii: c( o W II: t Real Estate (Schedule A) (1) 2. Stocl<s and Bands (Schedule B) (2) 3. Closely Held Cmpomtion, Partnership or Sole-Proplielo",hip (3) 4, MOJ1gag.. & Notes Receivable (Schedule 0) (4) 5. Cash, Bank Deposils & Miscellaneous f'eISOnal Property (5) (Schedule E) 6. Joinlly Owned Property (SchedoIe F) (6) o SepaIa1e Bitfing Requested 7, Inter-VlVOS T tanSfe1s & MisceUaneous Non-Probate Prop 3r\y (7) (Schedule G or l) 8. Tolal GIllss Assets (101a1 Lines 1-7) 9, Funeral Expenses & Adminislnllive Costs (Schedule H) (9) 10. Dobis of lleceden~ Mortgage Liabilities, & Liens (Sohedule ') (10) 11. Total Dedvctions (total Lines 9 & 10) 12. NetVatue of Estate (Line 6 minus Line 11) 13, Cllaritable and ~lal BequeslslSec 9113 TrusIs for which an election 10 tax has not been made (S<:hedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SlOE FOR APPlICABLE RATES z o ~ c( .... ::l 0.. :E o o )( c( .... 15. Amount of Line 14 taxable at !he spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16, Amount of Line 14 taxable allineehate 19. Tax Due 0.00 X _ (15) 74,003.73 X .045 (16) 3,533.44 X.12 (17) 0.00 X .15 (18) (19) 17. Amount of Line 14 taxable al sibling rate 18. Amounl of Line 14 taxable at collateral rale 20. 0 CHECK HERE IF YOU ARE REQUESTI G A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SlOe AND RECHECK MATH < < 0.0( 3,330.1 ' 424.0 O.C 3,754.1 Decedent's Complete Address: STREET ADDRESS 607 Brad Street CITY Shippensburg I STATE PA I np 17257 I Tax Payments and Credits: 1. Tax Due (Page 1 Une 19) 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 3,754.18 2000.00 101;.26 Total Credits (A + B +C) (2) 2,105.26 3. InteresVPenalty ~ applicable D. Interest E. Penalty T otallnterest/Penalty ( D + E ) (3) 4. If Line 2 is greater than Une 1 +Une 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Une 20 to request a refund (4) 5. ~ Une 1 + Line 3 is greater than Une 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) 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 00 b. retain the right to designate who shall USE the property transferred or its income; ........................................ 0 00 c. retain a reversionary interest; or ...................................................................................................... 0 00 d. receive the prornise for life of either payments, benefits or care? ............................................................. 0 00 2. If death occurred after December 12, 1982, d d decedent transfer property within one year of death without receiving adequate consideration?....................... .......................... ......... .................................... 0 00 3. Did decedent own an 'in tl\Jstfor" or payable upon death bank account or security at his or her death? ................. 00 0 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... 0 00 0.00 0.00 1,648.92 1,648.92 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. lk1der pencities of perjury, I declare thai I have ex8ITined this reUn, indudi~ acco TW;)alying schedules CI1d slalemenls, ald tl the best of my kOOVIiedge CI1d belief, it is true, correct ald complete. Declaration of prep.nr other thClllhe personal representaive is based on all infoon:fion of which prepaer has any knowledge. SIGNATU~ON RESPOf'lS)BLE FOR FIU~ RETURN DATE / c:7--:J VI c.Av {..fl..A.~ 9/26/2005 ADDRESS 607 Brad Street Shippensbur~ SIGNATURE OF PREPARER OT tl.J. PA 17257 DATE 9/26/2005 N REPRESENTATIVE ADDRESS 3 West Pomfret Street Carlisle PA 17013 For dates of death on or after July I, 1994 and before January I, 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. ~9116 (a) (1.1) (ill. 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. ~9116 (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 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 decea,ed 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. ~9116(aXl.2)]. The tax rate imposed on the net value of transfers to or for the u,e of the decedenfs lineal benefICiaries is 4.5%, except as noted in 72 P.S. ~9116(1.2) 172 P.S. ~9116(a)(1)]. The tax rate imposed on the net value of transfers to<< for the u,e of the decedent's siblings is 12% [72 P.S. ~9116(aXI.3)]. A sibling is defined, under Section 9102, as an individual who has at least one oarent in common with the decedent. whether bv blood or adootion. REV-15Q? EX. (6-. CQMf.AONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Landi Bruna Marie 21 05 87 All real property owned solely or.s . ....nt in common must be reported at lair mal1<el..lue. Fair mal'<el value is defined as the price at whidl property would be exchanged between a wimng buyer and a willing seller. r,eiIt1er being oompelled to buy or sell, both having reasonable knowledge of 1110 relevant lacIs. Rea' 010"""" which is Iointlv.owned with rioht ofsul'llvorshio must be disclosed on Schedule F. SCHEDULE A REAL ESTATE ITEM NUMBER 1. DESCRIPTION House and lot of ground known and numbered as 10015 Route 553, Mentcle, Indiana County, PA, and more particularl~, bounded and described in Indiana County Deed Book 873, Page 380, valued in accordance with an arms' length sale to unrelated third parties VALUE AT DATE OF DEATH 45,024.62 TOTAl (Also enter on line 1, Recapitulation) $ (If n'It\rP. ~Mr.P. ic:: nP.P.t'tl:!rl inAArt ,qrlrtitinll:'ll f;lhAAk of thA AAmA ~7P\ 45024.62 II,,^, ., .............. ..''''' ..,-........... h'" "''''''''1; ...,.."............." . IUI ....... ....' ......... '.....n' THE CLOSING SPECIALISTS, LP "- Settlement Statement 204 WEST MAIN STREET U.S. DepartmeDt of HoII5iIJg 'lr LlGONlER,I'A 15658 and Urbaa Develop......! "r OMINo25ll2-ll2O> B. TYDe .ILoau I.~ FHA 2.0 FmRA 3.1l Cony. uo;i6. FlleNumb<< '.~N_ I. AI_,,,,,,,,,,,,,, c- Number 4.0 VA 5.n Cony. 100. SHEPRlllS 7113431-00 4422Sl6372 C. NOTE: This fonn Is _10 eivcyou ._or_ _OIl' -. A....~pold....... by lhc....IementOF":............ 1tcn\S mnrkcd H(p.o.C.)- wem paid Quukle 1he closm~ tbeY are stICNt here for infbrmatiOnal purposes and lite nollnc:lvdcd tn the totals. I). NAME OF BORROWER, R.oland W. Shepherd ADDRESS OF _ROWER: 1464 B Ew.wlne RtwI. Mati.. Centllr. fA 15759 It. .NAME OF S~LLE'" The Esla1< ofBftIlIlI Landi ADDR'ESS OF SELLER: C/O Woync: F. Shade. Eoq. 53 W. fomfiet St. Carlisle, fA 17013 F. NAME OF LENO_ W..hovIa Mo_ Corponulon ADDRESS OF LENDER: 1100 Corpomc CcnIer Driw, Raleiah. NC 27607-lO66 G. PROFIUlTl' 10015 Rout< 553 LOCATION. MeI1lllIe. PA 15761 1110 33-81So11lO H. SE'lTLEMENT AG~NT, THE CLOSING SI'ECIAL/lITS Lf Tax 1011: 25.1865071 204 WEST MAIN STREET. L100NIEIl. PA 1565& (724) 238-7783 PLACEOFSETrLEMENT. GoodNewsRea1ty,360Cal1eI'Avenue.lncliana, PA 15701 i~i=rn:NTD '0:. ~ S J' I k.SU. u: . IOOroR " 0 . Ii" uonl .. I.... . \ I_ ,_II_ln.........~ - ""II "'lnno,~ lJJ3.)"""< '14 .- '.1' ~1IlX.lmS , II. - M ... lIlllT- ':!9..1l no o. '''0_. ... III. ... At ", ... IA'7. to l2OnR.OSSAMOUNTOUE FROM BORROWER. ~ 5I,2St.26 420GlOSSAMOVNT.Dl.IE TOSEllEII. ~ 54,27UI :IOOAMOUJtrf'[S 'AID BY DR tN BEHALf OF 8ORR.OWER SOOJlEDlJCnOMS IN AMOUNT DUE TO SELLER. I .~.= 1,4;"Pooinr'l....t ....."unt "'_I"",,ntc' OOI~ ~'IllIHIiJUlI<lOOUlJWo.~l!l..-_ '0' . JinIo...- .,n7. '0 - - 'lll2.W.I. '.;0;;: '09h AIr uatments for Items id b teller MjUSlmDl1is for Itams unpaid by &etlcr _. on -- .- 211'Countv taxes to ,...~ lO..- ~~;~~ In il.2 M '" IT.. In "A ",' '" 71' M ". M "7. .n "8. M 1. ?I, M ~19 In :uu:roTALAMOllN'TS "AID ~ 58.191.eo '20.TOTAL REIJIJC110NS IN ~ ,,u,.3f BY OR. IN BEHALf or BORROWER AUOUNT DUB SELLER 300CASH AT Sp.mEME:NTFIlOMrro UOFWlWGR t:ASH AT Sm'Ll!NENTTOIFR.OIl4 SF.I.f.&l 30 a aunt . no . ss moo ; I ."" 210\ SI.l91.oolfao2 . nunt dill'! Aelll"l' nlne 520 9 47.3 303.CASH U From !XI To IlORROWI:R ~ 631.7.\ 'lI3.CASH DelT. r11i'ro. SEu.ER ~ 45,1114.Q SELLER AND BUYER AGREE THAT IT WILL BE THE SELLER'S RESPONSIBILITY TO PAY fOR THE fINA~ WAr GARBAGE AND SEWER BILLS. IF ANY. OUTSIDE OF CLOSING. BUYEIl'S TITLE INSURANCI! pOLICY WILL NO I PAYMENT Of SAME. . Please initial herIl to aclmo' i Ii... bi1 = PAGE' ....lID ]Q5.2 ClIIM ......,...-.....tIQt,.,.,..__ecu- ...... ~. ........... .,... .......... ... ..... .........0 wrww.u..... u.s. DEPARTMeI'tCfOFIIOUSING AND URBANOEVf1.OPMENT . SEITt.liMENT S1'A'I'EMENT ,. PAGEl ,. 00 eDll!llt eIIa.. 9 R''::fflM ht.w.dnn~ unnnM lia t'IFC'.nrnmls!l:iqn nilll! 700'1 a<\'. !nI1nwf;' I d'i'i M In Purt RI!lII ~_ 2910 PaidF..... IlorTowa's PundsAI Paid from Sdlcn; F"""'AI 9 to bIc la CnBeet_ iCb. ..... , Rn1 Ap~tul r;~ . In UAtrin APP"'illAll; S3~DI:t2U 7l ~ InjfdrUi~ FflP. ml'lr tt'l F.milvHnmIl!Mort_~1I1CS1'otIlIM~ . ~on to y/ur It" ~HM to FHlAI hv WMr ~111l94 FInt'ldl'P.rtifiAllriM ....... B '" '" n AdnlJKe . . . With r ity prQpmtv tmr#<C Ii ....ftntMt3t 11 u ~ 1.1-.. :;.:':. . ~. ~..::"i.~l: :.~. -_ . . ,,;:{o=.t . :.,.; :;b~;' '~'::;"'~.~..., * ~" ~.. ~~.';'; :-i:..'~':~";:.~"', ::':....., . ~'....l ~.';"'i,"-r"'~~"..:";. .;;r<.".w~;... :. Ion etc. to l'IIIIIeIII: lWcordia aad TnPfer SeUlemeat C.. inn 10 Indiq "'.ftI~ MlftIicj 1308. 1309. to 1400. Total Sea1f:mtltt Oupt (enter DO lines 103. SectioR J and 502. Sa:!ionK) CEJmnCATlON . . Il1nvc: catefuDy rcvicwcd 1he HUD ~ I Scd:lc:mcn1. Shdementaad 1II1bc best oflJlY_~ disbursements made OP my ICCOURt or by me: in thiS 1rUSaCtion. I rlJflbe:r terrlfy _I "., SdI<t Ilclr1-.- Bo...- Seller 1'heflUD..l ScttIemcnlStuemcnl 1Rd~ICCOCl.oflh.~ Ibuvecauscd,orwil1--.1bc~lobe~ in IllUOrdancc.db this n1BCLOSIN(j sreclALlSTS. LP ,Sc1IIcmo!at"-. . ., ~ ~_~ ~_ 1l.'L..~ WARNINC: It Is a crime to know' 1)1'" tolhe Unilcd Sfatcs on thcs aranyothcr smll ar ......u. .--_ull!:S upon ~I'IV",,"," ClIft OIIU_. tine and imprisonmcnl. Fotdctal.b~Tulc I u.s CodcSocUon 1001.r1d Section 1010. $HEPRIIIS REV.'50BEX+(6. SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIOENT DECEDENT ESTATE OF Landi Bruna Marie FILE NUMBER 21 05 Indude the proceeJs of litigation and 1I1e date the proceeds..... reoeive<l by the es1ate. An property jointly-owned with right of survivorship must be disclosed on Schedule F. 87 ITEM NUMBER 1. DESCRIPTION Harry J. Bence Funeral Home, Inc., prepaid funeral expense reimbursement VALUE AT DATE OF DEATH 1,750.59 2. Household contents 1,193.00 3. Van Kampen High Yield Fund A, Account No. 670432184/3 22,753.41 4. Highmark Blue Shield, health insurance premium refund 168.75 5. Conseco Senior Health Insurance Company, refund of health insurance premium 60.93 6. Vacation cottage at Wesleyan Methodist Campground, valued in accordance with the current tax assessment in the amount of $1 ,200 as adjusted by the common level ratio of 3.5. This asset is assessed for tax purposes as personal property in the same manner as a mobile home. 4,200.00 7. Cambria County Mutual Ins. Co., homeowners' insurance premium refund 75.00. TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 30201.68 Ad~antage Capital Corporation Member SIPC/NASD Richard Furgiuele Investment Professional Box 7 Mentcle, PA 15761 814.948.9855 Home: 814.948.9855 January 28, 2005 ~ Advantage Capital III.IiI A SunAmerica COmpany Wayne F. Shade, Esquire 53 West Pomfret Street Carlisle, PA 17013 Re: Estate ofBmna Marie Landi :/e,lc/iL Asset: Van Kampen High 1 eme CelIH'lrilte Bond Fund A Account # 670432184/3 Subject: Transfer Account/Cash to Beneficiaries Dear Mr. Wayne F. Shade: As per your request I am attaching a statement for the above mentioned account showing the "date of death" value. This account is registered as a "transfer on death" account, which entitIes distributions/transfers to be done through "non-probate". Gerald Anthony Landi and Dennis Victor Landi are listed as beneficiaries on the "transfer on death". They are requesting a full liquidation of the account. In turn, we are in the process of sending paperwork to each beneficiary to act upon this request (copies enclosed). Ifwe can be offunher assistance, please contact us. Sincerely, Jk~it(}~)~~ Richard Furgiuele I Enc: Statement showing registration "Date of death" statement Copies of fonnslletters sent to bene. Fifty Years of Excellence Registered Office: 2025 Oakland Ave.. Indiana. PA 15701 .124.463.1331 . . Account #: 670432184 '. Tax ID/SSN: 191-09-8213 Registration: BRUNA M LANDI TOO DTD 09-16-97 SUBJECT TO ACCESS TOO RULES PO BOX 26 MENTCLE PA 15761-0026 Mgmt Co: VAN KAMPEN FUNDS Fund Name: HIGH YIELD FUND A View Fund Details Fund Code: 28--~- .-- Ticker: ACHYX Total Shares: 6,100.1100 CUSIP: 92113K106 Account Value: $22,570.41 Phone II: Not On File Enter a price date to retrieve an account value from a previous day. ,(JdL 'if ~ /1./ I L( <Jl - I I.- Price Date: 01/06/2005, <::'j Current Price Date: Current Net Asset Value: Current Total Shares: Current Value: 01/21/2005 $3.7000 6,100.1100 $22,570.41 Price Date: Net Asset Valu Total Shares: Value: 01/06/2005 $3.7300 6,100.1100 $22,753.41 .-. _/~r Area Code 724 463-0715 Fax 724 463-9415 PETE Stewart your friendly auctioneer and realtor- " 923 Philadelphia Street Indiana, Pennsylvania 15701 '-../ January 26, 2005 Mr. Dennis Landi 607 Brad Street Shippensburg, P A 17257 Dear Sir: Ref: Bruna Landi Estate As requested by you I have appraised the personal property owned by the Bruna Landi Estate located at 10015 Route 553 in the Village ofMentcle, PA, Pine Township, Indiana County, PA. Please find listed below the name of the item, its location in the home, and my opinion of value. BASEMENT: 1. 2. 3. 4. 6. 7. 8. 9. 10. II. Sears Kenmore Dryer Kenmore Automatic Washer Green Davenport & Chair Coffee Table Two end tables Ironing board and iron Wards older upright freezer Folding table Window Fan Old sweeper $ 80.00 100.00 10.00 5.00 5.00 5.00 20.00 8.00 5.00 5.00 STAIRWAY: 12. 13. Hoover scrubber Tank type sweeper (old Montgomery Ward) 15.00 5.00 Mr. Dennis Landi Ref: Bruna Landi Estate January 26, 2005 Page 2 KITCHEN: 14 . Westinghouse refrigerator 15. Electric Stove stays with home 16. Service for 8 - dishes 17. Canister set 18. Odd dishes - cups and etc. 19. Cooking ware 20. Small electrical appliances 21. Glasses and kitchen supplies 22. Five piece dinette set 23. Microwave & convention oven combination 24. Silverware and etc. DINING ROOM: 25. Set of dishes - service for 12 Made in Japan 26. Small stand 27. Nine piece dining room suite with water fall front 28 Nelco portable sewing machine 29. Electric sewing machine - old 30. Milk glass & glassware in corner what not shelf LIVING ROOM: 31. Love seat & davenport - old 32. Maple coffee table 33. Two end tables with book shelf 34. Two table lamps 35. Stereo 36. Green chair and ottoman 37. Floor lamp 38. Tall book case 39. Contents of book shelf 40. Mild glass dish on top of book shelf $ 125.00 30.00 5.00 20.00 20.00 28.00 12.00 12.00 10.00 10.00 50.00 12.00 100.00 12.00 5.00 30.00 50.00 25.00 20.00 10.00 5.00 10.00 5.00 25.00 6.00 5.00 Mr. Dennis Landi Ref: Bruna Landi Estate January 26, 2005 Page 3 SECOND FLOOR: FRONT SOUTH BEDROOM: 41. Four piece bedroom suite painted white $ 30.00 FRONT NORTH BEDROOM: 42 Three piece bedroom suite - Blonde color 30.00 BACK NORm BEDROOM: 43 Cedar chest 44. Double bed 45. Chest of drawers & Mirror 46. Youth bed 47. Stand 25.00 20.00 10.00 5.00 5.00 SOUTH BACK BEDROOM: 48. Four piece bedroom suite -light blonde color 49. Desk and chair 50. Wicker chair 51. Lamp 52. Miscellaneous lawn furniture, linens, bedding, pictures and etc. 50.00 5.00 5.00 3.00 100.00 TOTAL APPRAISED V ALUE_................................$ 1,193.00 I found the items clean and nicely arranged in the dwelling. All items were presumed to be usable. I found the furnishings to be older and serviceable, but not in the antique stage. I am assuming Mrs. Landi was older and satisfied with the common things oflife. The living atmosphere appeared to be in a homey setting. I hope the above meets your approval and needs. Thank you for the privilege of serving you. If any further data is needed, please feel free to contact my office. Yours Truly, {J-itv~ Pete Stewart Auctioneer & Realtor PSlbs Enclosure: Appraisal REV-159.9 EX + (6-98) * COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTL Y.OWNED PROPERTY ESTATE OF Landi Bruna Marie FILE NUMBER 21 05 K an asset was made joint _n one yea, of the decedents date of d_. K must be reported on Schedule G. 87 SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A Clara McClure Sister B c JOINTlY-OWNED PROPERTY: lETIER DATE DESCRIPTION OF PROPERTY 'ioOF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANClAllNSflTUTION AND BANK ACCOUNT NUMBER OR SIMIlAR DATE OF DEATH !JEWS VALUE OF NUMBER TENANT JOINT lOENTlfYING NUMBER All ACH DEED FOR JOINTlY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENrS INTEREST 1. A. 6/1/00 PNC Bank Checking A:count #7025331 7,066.88 50. 3,533.44 TOTAl (Also enter on 6ne 6, Recapitulation) $ 3 533.44 (If more soace is needed. insert additional sheets of the same size) MAR-29-2005 23:24 PNCBm< 0PNCBAN< March 30, 2005 Wayne F. Shade Attorney at Law 53 West Pomfret Street Carlisle, PA 17013 RE: Estate of Bruna Marie Landi, deceased SSN: 191-09-8213 000: 1/6/2005 Dear Mr. Shade: 412 768 3458 P.02 In response to your request for Date of Death balances fur the customec ROUld above, our records show the following: CertifKates or Depo.it Account#311000518J9 BRUNA M LANDlITF GERALD ANTHONY LANDI DOO balance: $4,009.96 + $3.63 accrued interest ACCOWlt #31600051498 BRUNA M LANDI ITF DENNIS VICTOR LANDl 000 balance: $4,009.96 T $3.63 accrued interest Checking Account Account #7025331 BRUNA M LANDI CLARA MCCLURE DOD balance: $7,066.88 (non-interest bearing) 'page I of 2 Established 08108/1996 Establisbed 08/08/1996 Established 06/01/2000 I'IHK-~~-~ ~.j;~4 I-'NCI:lHNI<. 412 768 3458 P.03 Please note that this office only provides date of death balanoes for deposit accounts (1RAs, CDs, Checking and Savings accounts). We do not process lIDY fiDllnciaI transactions or provide statements. If you need assistance with any of these items, please call1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch office. Sincerely, @1QJ2M.RJ;.. ~ Rachelle Wells 1-800-762-1775 P7-PFSC-04.F SOOfimAve. Pi~PA1S219 Page2of2 Member POIC MAR-29-2005 23:24 RNC~( NUl'ara<tlgtl1 weolSlgt.:ara 412 768 3458 P. 04 !'age I or j PNC Barlk, National ~~..tion ~~~.Jilf<![iffi>:,,:,); "L; 814 948--4312 fClIlM.-,. flACK 0fFIC& COPY ~"""'-~:-rT'"'~ ,l"j.;.~~":' rJfif~_"'MlJ;':;:Y'f,:\~ 01-01-1916 "",.-'",~""',.,.:,..",.:r'...r'~ ':",iSi K;::...:r:-~.~~;;':... ",,:',.:...1. '~.;,.~".....':..~) Am SIS1D 1'0 ACO:XM SSN 206-26-5855 OOB 07..04-3;1. _ ... _ _ . _ _ .. h _ _ _ _ _ _ __ _ . _. _ _ _ _ _ _ ... .. . ~~ . ~~_ I.. ~ .nt.,'\',J.. ,u~,'r .:.L- .Ji.~"_~)~1M;~Adw.A IOtIIlIIlIi Cf IllS NIl QMlES AlII f IfM\III: 10 111I MElIlIIr. IUIG -*iN Alii BS:IIIIIIC 11M> 'IIWIlIlII'-"'lIFlrmEllS.NellllMTMlfIlOClalllS_fMrGl1lll' IllliIrWhlllll8lllmlR. X~LJo, e-~ ~d~ 'f lj <( k~.J /)n~1!/ ~ - _t;,~kil .. .:.. . - -, ~T:;'t<~r~.e..' "l: c:;,' :..':l""....;r... :;.......~ BRUNA M t.AlilDI a.ARA tt:x:LtlU!: Box 6 ALVBRDA, PA 15710-0006 x 2.06-26-5855 http://websiecard/Dncsiecard.aso7WCI=tDITmage&WCIJ m/~0I200S TOTAL P .04 REv-1511 EX + II. SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Landi Bruna Marie FILE NUMBER 21 05 87 Debts 01 decedent must be reported on Schedule I. ITEM . NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Rustic Lodge, Inc., funeral food 1,011.38 2. Shoemaker Monument Company, tombstone engraving 80.00 B. ADMINISTRATIVE COSTS: 1. Persona! Representative's Commissions Name of Personal Representative (,;) Social Security Numbe~s)IEIN Nun ber of Personal Representative(s) S1ree1 Address City Slale Zip Yea~s) Commission Paid: 2. Attorney Fees Wayne F. Shade, Esquire 5,000.00 3. Fami~ Exemption: (W _s address is rot the same as c1aimanfs, attach explanation) Claimant Street Address City Slale Zip Relationship of Claimant to Dec:edelt 4. Probate Fees Register of Wills of Cumberland County, PA 253.00 5. Accountanfs Fees 6. Tax Retum Preparers Fees 7. ICMSA, water and sewer 46.80 8. Shaner Bros., fuel oil 195.00 9. Cumberland Law Journal, ad~ertise Letters Testamentary 75.00 10. Pete Stewart, appraisal fee 150.00 11. The Sentinel, advertise Lette~; Testamentary 137.03 12. Shaner Bros., fuel oil 65.00 13. Putt Real Estate, appraisal fel! 300.00 14. Penelec, electric service 45.87 15. Verizon., telephone service 37.83 16. Bence Mihalcik Funeral Home., death certificates 36.00 17. Register of Wills, Short Certifi::ate 4.00 18. Shaner Bros., fuel oil 275.72 TOTAL (Also enler on line 9, Recapitulation) $ 9 200.29 (If more space is needed, insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent . landi, Bruna Marie Decedent's Name Page 1 21 05 87 File Number Schedule H - Funeral Expenses & Administrative Costs - B7. ITEM NUMBER AMOUNT 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. DESCRIPTION I.C.M.S.A., water and sewer Verizon, telephone service Penelec, electric service I.C.M.S.A., water and sewer Verizon, telephone service Shaner Bros., fuel oil Penelec, electric service Joan C. Stupic, county and local real estate tax I.C.M.S.A., water service Verizon, telephone service Penelec, electric service I.C.M.SA, water service Cambria County Mutual Insurance Co., homeowner's insurance Verizon, telephone service Penelec, electric service Hugill Sanitation Inc., trash removal Register of Wills, Pennsylvania Inheritance Tax Return Register of Wills, reserve for filing account, etc. 20.00 54.74 45.95 27.00 48.62 281.92 27.89 82.53 20.00 40.63 22.35 34.00 90.00 34.96 47.07 245.00 15.00 350.00 SUBTOTAL SCHEDULE H-B7 1,487.66 REV~1512 EX + (6-98) *' SCHEDULE. DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Landi Bruna Marie FILE NUMBER 21 05 87 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1. Chambersburg Hospital, uninsumd medical expenses VALUE AT DATE OF DEATH 182.00 2. Carlisle Regional Medical Center, unreimbursed medical expenses 163.03 3. High Mark Security Blue, health insurance premium 43.53 4. PNC Bank, canceled check retur1 fee 1.00 5. Joan C. Stupic, per capita tax 4.90 6. Carlisle Regional Medical Center, unreimbursed medical expense 20.00 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheers of the same size) 414.46 R~_1513:EX+(* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF L"nrli RrUM M"ri" SCHEDULE J BENEFICIARIES NUMBER I. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS pnelude outlighlspou,;al distributions, and transfers under Sec. 9116 (a) (1.2)1 FILE NUMBER 21 O~ RELATIONSHIP TO DECEDENT Do Not List Trustee(s) R7 AMOUNT OR SHARE OF ESTATE 1. Clara McClure 20 Filbert Street, Apt. C Homer City, PA 15748 Gerald Anthony Landi 21336 Comus Court Ashburn, VA 20147 , Dennis Victor Landi 607 Brad Street Shippensburg, PA 17257 Sibling 3,533.44 2. Lineal 3. Lineal ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-l500 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 11- ENTER TOTAL NON-TI,XABLE DISTRIBUTIONS ON LINE 130F REV-l500 COVER SHEET $ (If more srace is needed, insert additional sheets of the same size) LAST WILL AND TESTAMENT OF BRUNA MARIE LANDI I, BRUNA MARIE LANDI, of the Township of Pine, County of Indiana and Commonwealth of Pennsylvania, being of sound mind, memory and understanding, do make and publish this my Last Will and Testament, hereby revoking and making void all former Wills by me at any time heretofore made. FIRST: I direct that all my just debts and funeral expenses be paid as soon as conveniently practical after my death. SECOND: I give the residue of my estate to my sons, Dennis Victor Landi and Gerald Anthony Landi, in equal shares. TIDRD: I direct that all estate, inheritance and other taxes in the nature thereof, together with any interest and penalties thereon, becoming payable because of my death with respect to the property constituting my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid from the principal of my residuary estate, and no persons receiving or having a beneficial interest in any such property, whether under this Will or otherwise, shall at any time be required to contribute to or refund any part thereof; PROVIDED, however, that this direction shall not apply to the taxes on any property included in my estate solely because of a power of appointment thereover which I possess but have not exercised. FOURTH: I appoint my sons, Dennis Victor Landi and Gerald Anthony Landi, as Executors of this my Last Will and Testament. I direct that no fiduciary acting here under shall be required to post bond in any jurisdiction. ~_~ ;7;. (~~~ IN WITNESS WHEREOF, I have hereunto set my hand and seal this 29th day of June, 2000. ~(;hd~) BRUNA MARIE LANDI ' Signed, sealed, published and declared by BRUNA MARIE LANDI, the Testatrix above named, as and for her Will in the presence of us, who at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses hereto. ~ C-C ~ Vld C. Serene 180 Church Avenue Indiana, Pennsylvania 15701 ~~\& ~~~ Denelle R. Plavi 711 East Pike Indiana, Pennsylvania 15701 ee~ 07'-t!-eu.MJ Clara McClure 20 Filbert Street, Apartment C Homer City, Pennsylvania 15748 2 COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF INDIANA We, Bruna Marie Landi, David C. Serene and Clara McClure, the Testatrix and the witnesses, respectively, whose names are signed to the foregoing Will, being first duly sworn according to law, do depose and say that the Testatrix signed and executed the foregoing instrument as her Will, that she signed willingly, that she executed it as her free and voluntary act for the purposes therein expressed, that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witnesses, and that to the best of the knowledge of each of them, the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ~~ ,.--h) ;?J~n/@JiSTATRIX) Bruna Marie Landi ~L~ Da d C. Serene (WITNESS) &;.J,0Jf~ Clara McClure (WI1NESS) Subscribed, sworn to and acknowledged before me by Bruna Marie Landi, the Testatrix and subscribed and swom to before me by David C. Serene and Clara McClure, the witnesses to the foregoing instrument, this 29th day of June, 2000. ~ ~A.~~t) .\\~()~~ Notary Public - Nolarial See! DenelIe A. P1av1, Notary PublIc White Twp., Indiana County My Commlssioft Elcpires Nov. 13, 2000 Member, l'9imSylvania 01 olanes 3