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Register of Wills, Cumberland County, P~nnsyJyania'
INVENTORY
, ! '''~ I I r'. "..,
i , : . U J
Mary K. Trovalli
No.
21-06-0060
Estate of
also known as
. Deceased
Date of Death 12/01/2005
Social Security No. 070-03-3529
Albert Clark Bucher
The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory
include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania
of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of
the Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except
that which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory
are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S.
Section 4904 relating to unsworn falsification to authorities. .. '
Attorney:
Marielle F Hazen
.~
Signature:
1.0. No.:
68003
Albert Clark Bucher
Signature:
Firm: Marielle F. Hazen
Signature:
Address: 2000 Linglestown Road, Suite 202
Harrisburg, PA 17110
Telephone: 717 -540-4332
Address: 2404 Midland Road
Harrisburg, PA 17104
Telephone: 717-232-1947
Dated:
08/08/2006
Personal Property
Cash...............................................................................................
Personal Property.........................................................................
Stocks/Listed.................................................................................
Stocks/Closely Held......................................................................
Bonds.............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
All Other Property.................................................. .......................
1,640.68
Total Personal Property.........................................
1,640.68
Total Real Property................................................
Total Personal and Real Property.........................
Total Out-of-State Real Property..........................
.
REV-1&oo EX + (6-00)
OFFICIAL USE ONLY
*
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
ftv:,rsbV
INHERMNC'r'~ R~URN
RESIDENT DECEDENT
FILE NUMBER
II 06
COUNTY CODE YEAR
0060
NUMBER
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
I- Trovalli, Mary K. 070-03-3529
z
w DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
0
W 12-01-2005 I 04-16-1914 REGISTER OF WILLS
0
w (IF APPLICABLE) SURVIVING SPDUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
0
UJ
lC:;$..,
uO:lC:
UJlLU
%00
uO:....
lLa!
lL
<(
[X11. Original Return
D 4. Limited Estate
~ 6. Decedent Died Testate (Attach
copy of Will)
D 9. Litigation Proceeds Received
2. Supplemental Return
o
D
D
o
4a. Future Inlerest Compromise (date of death after
12-12-82)
7. Decedent Maintained a Living Trust (Attach
copy of Trust)
10 Spousal Povertv Credit (date of death between
. 12-31-91 and 1-1-{j5)
D 3. Remainder Return (date of death prior to 12-13-82)
[J 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
D 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
!Z
UJ
<:I
Z
~
III
0:
0:
8
NAME
Marielle F Hazen
FIRM NAME (If applicable)
Marielle F. Hazen
TelEPHONE NUMBER
717 -540-4332
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
z 6. Joinlfy Owned Property (Schedule F)
~ 0 Separate Billing Requested
:5 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
E (Schedule G or L) 0 Separate Billing Requested
~ 8. Total Gross Assets (total Lines 1-7)
~ 9. Funeral Expenses & Administrative Costs (Schedule H)
a:
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
COMPLETE MAILING ADDRESS
2000 Linglestown Road, Suite 202
Harrisburg, PA 17110
(1) None OFFICIAL USE ONL Y
",
L':',"'
(2) None
(3) None "
(4) None
(5) 1,640.68
(6) None
r:,':;'
(7) None -.J
(8) 1,640.68
(9) 3,134.41 -~---~-
(10) None
(11)
3,134.41
(12)
insolvent
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)
(13)
None
(14)
0.00
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15.Amount of Line 14 taxable at the spousal tax rate, 0.00 x .00 (Hi)
Z or transters under ~p.r. ~116(a)(1.2)
0 .045 (16)
i= 1G.Amount of lillI:! 14 taxable at lineal rate 0.00 x
~
;:)
Q. 17. Amount of Line 14 taxable at sibling rate 0.00 x .12 (17)
~
0
0 18. Amount of Line 14 taxable at collateral rate 0.00 x .15 (18)
)(
~ 19. Tax Due
(19)
:>00
0.00
0.00
0.00
0.00
0.00
CIICCI~ IICRC IF YOU ARE REQUESTING A f{CrUND OF AN UVt:.KPA YMENT.
Copyright 2002 form software only The Lac;kner Group, Ine.
Form REV-1500 EX (Rev. 6-00;
Decedent's Complete Address:
STREET ADDRESS
46 Erford Road
CITY Camp Hill
I STATE PA
I ZIP 1 7011
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
0.00
0.00
Total Credits (A + B + C)
(2)
0.00
3. InterestJPenalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (D + E)
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
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(3)
(4)
(5) 0.00
(5A)
(58) 0.00
Make Check Payable to: REGISTER OF WILLS, AGENT
1. Did decedent make a transfer and:
a. retain the use or Income of the property transferred;..................................................................................
b. retain the right to designate who shall use the property transferred or its income;....................................
c. retain a reversionary interest; or... ............................................... ............. ...... ........ ..... ..... ...... ............ .... .....
d. receive the promise for life of either payments, benefits or care?.............................................................
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?................. ............................................. ............................ ........ ....................
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?.........
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
2404 Midland Road
Harrisburg, PA 17104
biB/db
ADDRESS
DATE
~----------------_________________________~'?-r/c /.,
ADDRESS /DATE
2000 Linglestown Road, Suite 202
Harrisburg, PA 17110
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [72 P.S. 99116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0%
[72 P.S. 99116 (a) (1.1) (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. 99116 (a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S.
99116 1.2) [72 P.S. 99116 (a) (1)].
The tax rate Imposed on the net value oftransfers to or for the use of the decedent's Siblings is 12% [72 P.S. ~9116 (a) (1.3)] A ~ihlin!l is
defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
Rev-15G8 EX+ (6-98)
.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMoNWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Trovalli, Mary K.
FILE NUMBER
21-06-0060
Include the proceeds of liUgatlon and the date the proceeds were received by the estate.
All property Jolntly....wned with the right of survivorship must be disclosed on schedule F.
ITEM
NUMBER DESCRIPTION
1 Beverly Healthcare - Refund
VALUE AT DATE
OF DEATH
10.00
2 Beverly Healthcare - Refund
1.526.68
3 Capital Blue Cross - Health Ins. Refund
104.00
TOTAL (Also enter on Line 5, Recapitulation)
1.640.68
(If more space IS needed. additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group. Inc.
Form PA-1500 Schedule E (Rev. 6-98)
REV-1t51 EX+ (12-99)
*'
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Trovalli, Mary K.
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-06-0060
ITEM
NUMBER
A. FUNERAL EXPENSES:
DESCRIPTION
AMOUNT
See continuation schedule(s) attached
1,641.00
B.
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Albert Clark Bucher
Social Security Number(s) I EIN Number of Personal Representative(s):
165-38-2026
Street Address 2404 Midland Road
City Harrisburg State
Year(s} Commission paid
See continuation schedule(s) attached
PA
Zip 17104
409.07
Attorney's Fees
See continuation schedule(s) attached
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
2.
803.50
Street Address
City
Relationship of Claimant to Decedent
State
Zip
4.
Probate Fees
68.00
See continuation schedule(s) attached
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
Other Administrative Costs
See continuation schedule(s) attached
212.84
TOTAL (Also enter on line 9, Recapitulation)
3,134.41
Copyright (e) 2002 form software only The Lackner Group, Inc.
Form PA-HIOO Schedule H (Rev. 6-98)
Rev.1B02 EX+ (6-98)
.
SCHEDULE H-A
FUNERAL EXPENSES
continued
Cot.t.lONWEAl TH OF PENNSYlVANIA
INHERITANCE TAX RElURN
RESIDENT DECEDENT
Trovalli, Mary K.
IFILE NUMBER
21-06-0060
ESTATE OF
ITEM
NUMBER
1
DESCRIPTION
East Harrisburg Cemetery Co. - Burial of Ashes
AMOUNT
460.00
2
w. Orville Kimmel Funeral Home, Inc.
1.181.00
Subtotal
1.641.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
Rev-1502 EX+ (6-98)
*'
SCHEDULE H.81
PERSONAL REPRESENTATIVE'S
COMMISSIONS
continued
COMMONWEAlTH OF PENNSYlVANIA
~HERrrANCETAXRETURN
RESIDENT DECEDENT
Trovalli, Mary K.
IFILE NUMBER
21-06-0060
ESTATE OF
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Albert Bucher - Fiduciary Fee
409.07
Subtotal
409.07
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B1 (Rev. 6-98)
Rev.1S02 EX+ (6-98)
*'
SCHEDULE H-82
ATTORNEY'S FEES
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Trovalli, Mary K.
FILE NUMBER
21-06-0060
ESTATE OF
ITEM
NUMBER
1
DESCRIPTION
Marielle F. Hazen - Legal Fees (Esimate)
AMOUNT
803.50
Subtotal
803.50
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B2 (Rev. 6-98)
Rev-15'02 EX+ (6-98)
.
SCHEDULE H-B4
PROBATE FEES
continued
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Troval/i, Mary K.
FILE NUMBER
21-06-0060
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Register of Wills - Open Probate Fee
68.00
Subtotal
68.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B4 (Rev. 6-98)
Rev.15112 EX+ (6-98)
.
SCHEDULE H-B7
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Trovalli, Mary K.
FILE NUMBER
21-06-0060
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Albert Bucher - Travel Expenses
48.00
2
Cumberland Law Journal - Legal Publication
75.00
3
The Sentinel - Legal Publication
89.84
Subtotal
212.84
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 Schedule H-B7 (Rev. 6-98)
REV-1t13 EX+ (9-110)
.
SCHEDULE ..
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
NUMBER
Trovalli, Mary K.
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
Cfistributions, and transfers
under Sec. 9116(a)(1.2}]
RELATIONSHIP TO
DECEDENT
Do Not List Trusteelsl
FILE NUMBER
21-06-0060
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
ESTATE OF
I.
1
Albert C. Bucher
2404 Midland Road
Harrisburg, PA 17104
Friend
100%
Total
Enter dollar amounts for distributions shown above on lines 5 through 18, as approprrate, 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
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
0.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule J (Rev. 6-98)
J ..~~'__'_____"'''' .~,_..
"._..._-~._-"..~.----'-_._..~.,-,.~.
\
I, MARY TROV ALL!, also known as MARY K. TROV ALL!, of
Susquehanna Township, Dauphin County, Pennsylvania, being of sound mind and memory,
do hereby declare this to be my Last Will and Testament and revoke all prior Wills and
codicils.
FIRST:
I hereby give and bequeath all the residue of my property, real and personal,
owned by me at my death to Albert Clark Bucher of Harrisburg, Pennsylvania. If Albert
Clark Bucher does not survive me, I hereby give and bequeath all the residue of my property,
real and personal, owned by me at my death to Vickie Ann Bucher of Harrisburg,
Pennsylvania.
SECOND:
If both Albert Clark Bucher and Vickie Ann Bucher do not survive me, I
hereby give and bequeath five percent (5%) each to Phillip Altieri, Marie Zolner and Mickey
Cherro, the children of my first cousin, Leonard Altieri, of my estate. If any of these
individuals do not slIrviw me, I direct their share remain in my estate to be distributed in
accordance with the following bequest.
THIRD:
Ifboth Albert Clark Bucher and Vickie Ann Bucher do not survive me, all the
rest, residue and remainder of my property, real and personal, owned by me at my death, to
Page 1 of 3 Pages
-<_ ._. '.. _'._'C': _':<0
t.-,.-:..-.:_: '.' :"'.
Pennsylvant( aud St Margaret:'
c.u.Uc Church, Herr Street, P.brook,
Dauphin County, Pennsylvania, in equal shares.
FOURTH:
I hereby appoint Albert Clark Bucher of Harrisburg, P A, Executor under this
Will. If for any reason he is unable to act as Executor, I appoint Vickie Ann Bucher of
Harrisbuta.,..lUbiIi.tute EXecutor. Ifbotb Albert Clark Bucher and Vickie Ann Bucher
are unable to act as Executor, I appoint Corestates Hamilton Bank, Harrisburg, Pennsylvania,
as substitute Executor.
FIFTH:
I direct that said Executor and substitute Executor(s) shall serve without bond
or security.
SIXTH:
I give said Executor (and substitute Executor(s)) the fullest power and
authority in all matters and questions and to do all acts which I might or could do if living,
including, without limitation, complete power and authority to invest (without. restriction to
investments permitted by law), sell (at public or private sale, for cash or credit, with or
without security), mortgage, lease and dispose of and distribute in kind, all property, real and
personal, at such times and upon such terms and conditions as he or it may deem advisable.
I direct my executor to pay all debts, funeral expenses, cost of administration,
cost of safeguarding and delivering bequests, and other proper charges to my estate. My
executor shall pay from the residue of my estate all state, federal and inheritance taxes.
Page 2 of 3 Pages
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, -
1ft f~
MAR~VALLI
(SEAL)
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named MARY
TROV ALLI, also knoWn as MARY K. TROV ALLI, as and for her Last Will and Testament,
in the presence of ue, who, at her request, in her presence and in the presence of each other,
bavo~~.q"wi1DasSe8.
~C$,- . .. ..1-+'4>O~4Lfk...~ A IP~
Name Address
~'?.~"T
Name
~(l~
e:t F of ~;JJ'/~ -lcgP19-17/rJ'-f
Address
.)1J{p V~e.J~1 ~~
Address pI, ,70'S' 0
Page 3 of 3 Pages