HomeMy WebLinkAbout94-00868
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RegIster of Wills of CUMDERI,AND County. PennsylvanIa
PETITION FOR GRANT OF LETTERS
Franklin W. Ramsda1e No. 011- 9'f-Rt:Jt?
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. DlOIuad Social Securlly No. 1 7 5 - 4 B - 6 61 7
".IIonI~'J. WhO ill.,. ,. Y'WI of. or oldet, ~r"'J IDr:
(CClMPLETE 'A' OR 11' BELOW:)
CI A. Probata and Granl 01 L.n.r. T..lam.nl.ry and ....r lllal PlIl1fon.r{.) 1&1...... ..ICUl--1lamed kI... 1111 WI! 01
... Daoadtn~ c1111d and oodIcIl(t) c1111d
...,..,.,. .......~..... ~...... ".........
EJeapl II foftowt, Daoacllnl dd nOl m.rTY. ft. nOl d1YOrcad, .nd dd nOl ha... . cNld born at adopted aIltr ......Uon 01... docunanll
oIf...d for proball; WII nol", ~c1lm 01. kIDlng and WI! na_ adjudoalld k'Ioompellnl:
!XI
B. Gr.nt 01 L.n.r. 01 Admlnlttr.Uon
1ULMJ.&1".,."..... 't.nI'U .......fUfWM "*'-'*
p.lltIonar{.) .fllr. proper ..arch hu/h.... .tcarlllnad lllal Decacllnllaft no WIll and waa tlnlvad by Iha following tpou.. (11 anr) and
htlll:
,.... Alladonlhlp Alt_
Shirley J. Dolan Mother 35 Center Dr., Camp Hill, PA
Frank R. Ramsda1e Father 6B Rich1and Ln, Cam Hill, PA
;) Wtl_'onal.....II__,
Daoadanlw.t domlclled alde.lhln Cumber land
orprinclpal"'_'1 73 R Autumn [,ane, Enolll, PA
(ill......"..".,., and ....._
DecacII~1han 36 VlIIIOf.ga,dad September 25.1..ll..
Daoad.nl.t de... owned properlY wtlh IIUmtlld vaJu.. II folowa:
(II domldltd kI PAl AI paraonal properlY
(II not domlcllad kI PAl Ptrlonal properlY In Panna)'lvanll
(II nOl domlcllad kI PAl Ptrlonal propllly In CourlIt
Val", 01..&1111111 h pannt)'lvanll
oltualld u 1oIowa: N / A
WII...fora. P.UUOntr{t) ra.ptCtI\lDy raqu..~.)l1IlI~ '* I"C~lloclId(CJ ~ lI1ltlPlllltM~.... grant of
ltItall h ... approprialllorm to... undarJlgnad:
Col.l\ly. Pannaylvanla, wtlh hl""lllatt tam1y
73 R Autumn Lane, Eno1a, PA
(~
. 15,000.00
.
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Of "1 nam. an rt nw
Shir1e J. Bolan
35 Center Drive, Cam lIi11, PA 17011
Frank R Ra RclaIe
6B Rich1and [,n, Apt. 7, Camp IIi 11, PA
17011
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2612246
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CO....ONWEALTH 0' PEHNIYLYANIA . DEPART"ENT 0' HEALTH' VITAL RECOROS
CERTIFICATE OF DEATH
(Coroner)
...
Franklin
Ramadale
....10_
IOCW. HCUfWT'f' tfMN"
L 175 - 48 -6617
tw,()lIIDlRH~PIttI.'IIW)
L Sep. 25, 1994
US Goverment
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66 Richlsnd Lane, Apt.
r:;-l!l'ng Green Mem:>rJAl Par
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P.O. Box 431,
.,'.'" .
Frank R. RttrsdAle
O ....1iI _0 ___0
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P. Se tember 26 1994
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Coroner
....... ...
o Se . 28, 1994
NN.llNfOADONNOf'NMOHMtO DCAUtI Of DlRl1
_'nT...~"" Michael L. Norris,Coroner
"" 405 Fairwsy Drive
~_ Mechanicsbur , Pa. 17055
.......
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- 94 - 868
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Oath of Personal RepresentatIve
Commonwealth of Pennaylvanla
County of Cumberland
111e PelUlonerCs) above. named awear(a) or alllnn(1) that the slatements In the loregolng Petition are tNe
and correct to the best 01 the knowledge and beDef of Petltloner(s) and that, .s personill representatlve(s) 01
the Decedent, PetltlonerCs) will well and lruly adrrinlater the eatate accordIng to taw.
&Nom \0 or aIIInned and subscrlbed 4 j < . /1;j. ~ Ad.t......,
beforemethla 12TH ~0I ./ hirley alan
October 18 94", i~" Ie- ;0:7' II'?'>N~',J,,/.(
/( . j . -riL/"}7.' ,.' r~~' .Ramsda1e
L t.. :"") I t,u ~. I. lJ1
or the Register (
MARY C. LEWIS
No. ?1 - Qa - AliA
Estate of FRANKLIN W. RAMSDALE Oeceued
SocIalSecurttyNo: 175 - 4B - 6617 Date 01 Oeath:.....2.EPTEMBER 25, 1994
AND NOW, OCTOBER 13, . 19 94 . In consIderation
01 the PellUon on the reverse side hereon, satlslactory proal having been presented belore me,
n'1S DECREED that Lellers Cl Testamentary EJ Of Admlnlstretion
ULA.c.L&.;,.,...,..ISe;.IoIt'.....~"'.".. ....,...
are hereby granted to
SHIRLEY J BOLAN and FRANK R. RAMSDALE
In the above estate and that thelnstNment(s) dated
described In the Petition be admllled to probate and filed 01 record as the last WlII 01 DecedenL
FEES
Letters ..."................ .
Short Certlftcale(s).... .
Renunciation ............ .
Allldavlls C ) ........-... .
Extra Pages C ) ......... .
Coclcfl ...................... .
JCP Fee ................... .
Inventory .................. .
Other ....................... .
TOTAL _.......... .
50.00
9.00
/J (i)f' 111 ru~
IJ..lL1 (.;, UA..o ~-0 ~).J!1,f.UJ ..) .
I I ,.... of
. I
Anorn.y:
to. No:
Richard L. Placey, Esquire
07232
Addr...:
232 North Second Street
P.O. Box 99
Harrisburq, PA 1710B
(717) 236-9~77
5.00
Talephon.:
64.00
F.mIlRW., PlOt 2 012
Pr_od '" lho P"'"'rlvanlt Bat "'ocd_,.,
Mailed letters and order to attorney'on October 13, 1994.
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CERTIPICATION OP NOTICE UNDER RULE 5.6(a)
Name of Decedent I
Franklin W. Ramsdale
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Date of Deathl
September 25, 1994
I
Will No.
Admin. No.
C"
1994-00B6B '.'
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To the Registerl
I certify that notice of beneficial interest required by
Rule S.6Ia) of the Orphans' Court Rules was served on or mailed to
the benefiaiarylies) set forth on the attached l1st on
October lB. 1994 .
Notice has now been given to all persons entitled thereto under
Rule S.6Ia) except No Exceptions
--
)
Date
October lB, 1994
Signature
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Placey
,.
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Name
Richard L.
232 North 2nd St., P.O. Box 99
lIarrisburg~ PA l710B
Telephone 236-9577
Address
Capacity I
x
Personal Representative
Counsel for personal representative
. ,
.
~
NOTICR GIVEN TOI
Shirley J. Bolan
3S Center Orive
Camp Hill, PA l70ll
Frank R, Ramsdale
6-B Richland Lane, Apt, T7
Camp Hill, PA l70ll
, ,
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0..~W"7
1. Roal Ellalo (Schodulo A) ( 1)
2. Slack, and Band, (Schldulo B) ( 2)
3, C/allly Hold Slack/Parln."hlp Inloro.1 (Schodulo C) (3)
4. Marlgago. and NOlO' ReCllvablo (Schldulo D) ( 4)
5. Ca,h, Bank Depa,II. & MI,,"lIaneau, PI"anal Praporty( 5)
(Sc.ldule E)
6. Jalnlly Ownod PraperlylSchodulo F) ( 6)
7. Tranlfe" (Schedule G) (Schedulo L) ( 7)
B. Talal Grau Auel,(lalaJ lin.. 1.7)
9. Funeral EJIlpln.lI, Admlnl.tratlv. COlt., Mfacellaneoul ( 9)
Explnll' ISchodulo H)
10. Debl.. Marlgago Uabillllll. Uen. (Schldule I) (l0)
11. Talal Doductlan. (Iolollinll 9 & 10)
12. Not Voluo of Ellololllne g mlnu. line 11)
13. Charlloblo and Gavernmlnlol BequIII. (Schodule J)
14. Nol Voluo Sub oct 10 To. (11.0 12 mlnu.llne 13)
15. Amount of IIno 14 to.able 01 6% role
(Include valuo. Irom.Schldulo K or Schedule M.)
16. Amounl of IIno 14 lo.able 01 15% ralo
(Include voluo. Irom Schldulo K or Schodule M.l
17. Principal 10' duo (Add lax from IIno 15 and from line 16.)
1 B. Credits Spousol Poverty Credit Prior Paymenl.
+ +
19. If line 19 I. g"ater Ihan 11.1 17, enlor the dlffo"nco an line 19. Thl. II the OVERPAYMENT.
mO.":r:r.I~"U".I_'J'II."I"'."HII<l.t'''I'.'.lo,Ir7r.T':~_..""....l'....tl!,j...".....1III
20. If line 17 II groalor Ihan 11.1 19. onlor the dlfferlnco an line 20. Thll I. Ihe TAX DUE.
A. Enler the Interest on the balance due on lin. 20A.
B. Enler Iho 10101 of IIno 20 and 20A on line 20B, Thl. II Iho BALANCE DUE.
Ma~e Che.~ Payable to. Regl.to, of Willi, Aglnl
· · BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH......
Under penahi.. of perjury, r declor. thai I have examined this r,'urn, Including accompan)'lng schedule. and Ilaremenl', and to the be" of my knowl dgl and beli,f
" i. true, cotted and complet.. I declare that all real .,tole hat bl,n reported at Irue morhl valu.. D.c1arallan of pr.parer olh.r Ihan ,h. p.r, no .pr .nlall...e I;
based on al/lnformolion 0' whIch propare, has on)' knowledg.. ..........-
.4Z~J. p ~~;~ 11IN UN AD · C/O Placey & Wright DA
~~ P.O. Box 99 Hb. PA 17108
c/o Placey & Wright
POBox 9 Hb P
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
POR DAm 0' DIATlfAfTla 12r31191 CHICKHIRI
I' A SPOUSAL
POVIRTT CRlDIT IS CLAIMID 0
PILI HUMIIR
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COMMONWfAlTH 0' PENNSYlVANIA
DE'ARTMENT 0' REVENUE
. DE'T, 2.0601
HAIUIISlUIO, 'A '112'.0601
couNrfcboE
9y1.o\R
868
NUMBER
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S
o
MI
RAMSDALE,
I M
Franklin W.
A
"
73 R Autumn Lane
Eno1a, PA 17025
Cumberland
o 3. Rlmalndor Rolurn
Ifor dolo. 01 deolh prlorto 12.13.B2)
o 5. Fod"al E,'ole To.
R,'urn Required
_ 8. Tolal Number of Safe Doposi' Box..
175-48-6617
9/25/94 4/16/58
o 2. Suppllmentol ROlu,n
COllllt
I2l I. Original Rllurn
o 4. lImlled E'lolo
o Aa. fulure Inl.r,sl Compromise
I'or dOli. of death ok" J 2,12.82)
o 6. Docodenl Died TlllolI 0 7. DeCldenl Malnlalnod a Living TrUll
IAllach cop of Will) (Alloch co of Tru,'
ALL CORRESPONDENCE AND CONFIDENnAL TAX INFORMAnON SHOULD BE DIRECTED TO.
AM M MAl
Richard L. Placey, Esquire
NUM
PLACEY & WRIGHT
232 N. 2nd fl.J;
Harrisburg, ~SJ
.,
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P.O. Box 99
1 ~,li08 :oifi'
'/1
236-9577
5~ ,0 ~
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21,103.23
( g)
19,583.58
-0-
(11)
(12)
(13)
(14)
21,103.23
-0-
-0-
-0-
(151
)(.06 II
(161
)( .15 a
(17)
-0-
Discount
Inl.resl
(18)
(19)
(20)
120A)
(20B)
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-0-
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PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (...., IN THE
APPROPRIATE BLOCKS.
"
,
1, Did decedent make a Iransfer and:
a. retain the use or Income of the property transferred, .......................................
b. retain the right 10 designate who shall use the property Iransferred or its income,
c. retain a reversionary interest or ...................................................................,
YIS NO
x
x
X
X
!
I,
d. receive the promise for life of either payments, benefits or care~ .......................
2, If death occurred on or before December 12, 1982, did decedenl within two years
preceding death transfer property wilhoul receiving adequale considerallon~ If death
occurred after December 12, 1982, did decedent transfer property within one year of
death without receiving adequate consideration' .................................................
X
3. Did decedent own an 'in Irusl for' bank account at his or her death~...................... X
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
.1~1101''. ('_'"
ESTATE OF
.
*'
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
. PI.a.. Print or T,,..
FilE NUMBER
21-94-868
COMMONWfALrH 0' 'fNNlnVANIA
INHIIITANCI fAX lnuaN
IlllDINr DICIDINr
FRANKLIN W. RAMS DALE
(AU pr.p.rt., "'nti ~n.d with the Right 0' Survlvouhlp mu.t b, dlu,...d on Schedul. '1
ITEM
NUMBER
4.
5.
6.
7.
DESCRIPTION
VALUE AT
DATE OF DEATH
1 .
Harris Savings Bank Savings Account
No. 09-00111548
Principal - $2,134.48
Interest - $ 14.94
(See bank letter attached)
Members 1st Federal Credit Union
Share Savings Account No. 33313-00
Principal - $2,926.32
Interest - $ 6.05
(See letter attached)
2,932.37
$ 2,149.42
2.
3.
Members 1st Federal Credit Union
Checking Account No.33313-11
1991 Chevrolet Caprice
(Valued at price sold)
1993 Chevrolet Beretta
10,000.00
400.00
101.79
4,000.00
Miscellanoues Household 900ds
Miscellaneous Personal Effects
NO VALUE
S 19 583
fAUoch oddillanaI8""" )( 11" ,h'.'1 if more Ipan h n..ded,1
,',""""H'.-'....,_~<_,'<...~
IDHARRIS~'
g SAVINGS BANK
Hnrris SlIvlnKS Operntlons Center
635 North 121h Slreel
Lemoyne, Pennsylvnnln 17043
717/731.1440
717/731-0859 Fnx
October 14, 1994
Placey & Wright
232 North Second Street
P.O. Box 99
Harrisburg, PA 17108
Tho
Estete
inrOr~ll1tion which :/OU roquoctod on tho
(llodnl ll~curity Humb~r
Rccount (0) of
175-48-8617
Frank W.
) is as rollown.
Account !lumber(ll)
09-00111548
Clllall or Account
savings
Dote Openec!
11-5-87
Principol D111nnce
$2,134.48
AccrtlC!d !ntcrC!ot
14.94
Dalance at
Pate of Death
2,149.42
Account
Owncrllhip
Individual
!lame of Joint
Owner, if any
Dnte Ownnrshin
W"a Estnblinh~d
11-5-87
Additi onnl Infor-
r.lation Rcqllnnted
Please have the Executor of this Estate sign tho enclosed
W-9 form and return it to me in the provided envelope. Thank
you.
sincerely,
-~..~- -",'......,.
~f..._.~c..I~- '" \...(.(....-
. ,
Gretchen L. Cele
Customer Service Technician
Membersl.
FEDERAL CREDIT UNION
SHARE SAVINGS ACCOUNT: 1 2
Account Number/Suffix 33313 -00 N/A
Date Opened 4-25-83
Principal Balance at Date of Death $2,926.32
Accrued Interest to Date of Desth $6.05
Name of Joint Owner, if any None
CHECKING ACCOUNT:
Account NumberlSuffix 33313 -11 N/A
Date Opened 3-14-85
Principal Bslance at Date of Death SlOt. 79
Accrued Interest to Date of Death S.OO
Name of Joint OWner, if any None
INVESTMENT SAVINGS ACCOUNT:
Account NumberlSuffix N/A N/A
Date Opened
Principal Balance at Date of Death
Accrued Interest to Date of Death
Name of Joint Owner, if any
CERTIFICATES OF DEPOSIT:
Account Number/Suffix N/A N/A
Certificate Number
Date Purchased
Rollover Dates, if applicable
Value, including interest at Date
of Death
Name of Co-Owner, if any
Maturity Date
Interest Rate
Accrued Interest to Date of Death
HE~lBERS 1ST FEDERAL CREDIT UNION
CU Authorized Signature
Estate of FRANKLIN W. RAMSDALE
Date of Death 9-25-94
Social Security No. 175-48-6617
10-13-94
Date
Ins. ProRram Administrator
Title
5275 East Trlndlc Road. P.O. Box 10 . Mcch:tnlcshurg. I'cnns}'I\':tnlaIi055 · (717) 697.1161
..V.III1...."....
ITEM
NUMBER
'*'
COMMONWfALfH 0' PfNNIYlVANIA
INHUITANCf fAX RUURN
RUIDfNf DfCfDfNf
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
P/.a.. Print or T .
FRANKLIN W. RAMS DALE
DESCRIPTION
AMOUNT
A. Funeral Exp.nlt..
1.
2.
Parthemore Funeral Home, Inc.
Rolling Green Cemetery
grave site
chapel
granite base for gravemarker
Rev. Robert Graybill - honorarium
$ 6,008.50
730.00
590.00
344.26
100.00
3.
B. Admlnllfraflv. COl'"
A.
C.
1.
2,
3,
A,
5,
6,
7.
8,
9.
1.
P."onal Repr..enlollv. Comml..lon.
Social Seeurlly Numb.. of Pe"onal Rep".enlollve:
Y.ar Comml..lon, paid
NIA
2.
Attorney Foe.
Placey & Wright
1,200.00
3.
Family ex.mpllon
Clolmonl
Add".. of Clolmont at decedent', dealh
SI"et Add"..
Clly
Zip Code
Relollon,hlp
NIA
SIole
Probale F.e.
Cumberland County Register of Wills
Cumberalnd County Reg. of Wills - short ce ts.
MII.ellan,oul Exp.nlt..
Summerdale Apartments - debt of decedent
64.00
6.00
196.00
72.83
PP&L - debt of decedent
Bell Atlantic - debt of decedent
38.87
24.00
Patriot-News Co. - debt of decedent
Members 1st Federal Credit Union
Loan No. 33313-09
Members 1st Federal Credit Union - VISA acct.
10,917.15
565.92
Placey & Wright
Cumberland Law
The Sentinel _
Notary Fees
- reimb. of costs advanced
Journal - est. adv.- $40.00
est. adv. 97.90
3.00
Reserve for future costs 'TO~R(Cl7-T.o'illt~r o~>j~.r~,Sf.~apllulallon)
100.00
S 21 103.23
/II more Ipace II ne.ded, Inlt" addlllonal Ih.." of lam. 11".1
IIV.UUI" 11111
.
*
COMMONWUUH 01 "NN'flV"NIA
IHHllnAHClIU I"UIH
IUIDIH'DIClDIHI
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER
21-94-868
FRANKLIN W. RAMSDALE
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
A. Ta.able aeque'lI:
I.
Mother
Shirley J. Bolan
35 Center Drive
Camp Hill, PA 17011
2.
Frank R. Ramsdale
6-B Richland Lane, Apt. T7
Camp Hillr PA 17011
Father
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
a. Charitable and Governmental Bequests:
I,
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AI.o enll' on line 13, Recopllul..I.n)
(If more .pace I. n.eded, In.e,t addlllonal.he.t. of lame sfze)
AMOUNT OR
SHARE OF ESTATE
., Residue
., Residue
AMOUNT OR
SHARE OF ESTATE
s
-0-
. ,
Rf:V.UOO Ell. 11.lUI
\'
,gjb
J
I c), ..JI{1 - I ..y
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
l!!
..:512
hllEu
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u~..
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fil
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o 1. Original Relurn
liIffi
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a:z
file
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FOR OATIS OF DIATH A"IR 12/3 tlVl CHICK HIRI
IF A SPOUSAL
POVIRTY CRlOIT 15 CLAIMIO 0
fiLl NUM.IR
,21
COUNIY CODE
('/1-1
YEAR
,l?:>1
NUMBER
DlClDlN S (OMPIE I ADO_U
1/.1. ~ SIMpSON Sr:
IYlt.'CII. PA. 1'70:;'-:'-
CDun' t' LI In lJf' Ill. ut(
AMOUNt Il((IYlO ISH INSt_UClIONSI
AJII1-
o 3. R.malnd.r Relurn
(lor dOl" 0' d.olh prior 10 12.13.82)
o 5, Federal eltole Talll Relurn R.qulred
~
_B.
Tolal Number of Safe oepolll Boxel
';1
(B)
'-6-
o ,. Supplemenlal Relurn
o .... lImll.d ellate 0 40, Fulur. Inl.rell Compromll.
110, dole. of deolh ofte, 12. I 2.B2)
06. oec.d.nt Died Tellal. 0 7. Decedent Malnlain.d a Living TrUll
(AlIoch copy of Will) (AlIach copy 01 Trulll
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO,
M (OMPUI( MAILING ADOlf
..Jl elc ) Dch L. /IV () 1\ (I()o.K tJ r:.... I~ 1< CO" S I rlfl TO" "b R..
.llltrHO"'?" MIU C. ^ ,,-\ P '-I, LL -p ^ I 70 "
q 7 - S'L2...0 I~
/J A
tJ fA
tJlA
/ViA
/1LI. I1s~t5 lUe,q6 lei; '~tUArd.::.I1e.e.
puO(rlll. E~pl'1~C':>.
..I / I~
iV/A
I. Real E,'ole (5chldull A)
2. SIOC~I and Bondi (Schedule B)
3. Clolely Held StocUPartn.uhlp Inl.r..t (Schedul. CJ
4. Mortgage, and NaIlS Receivable (Sch.dule D)
5. COI~ Ba~k oepolitl & Mlle.llan,ouI Perlonal Properly
(5chldule E)
6. Jo1nlly Owned Proper'y (Schldule F)
7. Tranlle" (Schedule G) ISchedule II
8. Tolal Gran Anehllolal Line. 1.7)
9. Funeral Expen'el. Admlnlllrallv. Caltl. MIJCellon,ouI
flIlpenl" (Schedule H)
10. oebll. Mortgage lIabllltlu, lI.nl (Schedule I)
11. Tolal o.ductlon, IIolalllnl19 & 10)
12. Net Value 0' EUalelLlne 8 mlnuI Lint 11)
13. Charitable and Governm.nlal B.quelts (Schedul. JI
14. Nel Volue Subject 10 TOlll(lIn. 12 mlnul line 131
15. Spaulal Trande" Ifor dolll of death after 6.30.94)
See Inlhudlon. for Ar,plrcable Percenloge on Reve"e
Side. (Include valulS rom Schedule K or Schedule M.)
16. Amount of line 14 tOlllobl. al 6% rale
(Include valuel 'rom Sch.dule K or Sch.dule M.I
17. Amount of line 14 laxobl. al 15% ral.
(Include value, from Schedule K or Sch.dule M.I
lB. Prlnclpollax due (Add lodrom Line. 15. 16 and 17.)
19. Credltl Spaulal Poverty Credit Prior Payments ollCounl InterlS'
G- +-~ + . Go>- -~
20. If line 191, grealer than line 18, .nler the difference on line 20. Thb h ,h. OVERPAYMENT.
aD
21. If line 18 Il greoler than line 19, enter Ihe difference on line 21. Thll II the TAX DUE.
A. Enler thelnlerel' on the balonce due on line 21A.
B. Enle' Ihe 10101 01 line 21 and 21A on line 21B. Thl.I.lhe BALANCE DUE.
Male. Check Payable '01 R.gllt., of Will., Agent
III
(21
131
(4)
(51
161
(7 )
(91
'+, 77F:.oo
'-0-
(11) '-1-77 S'. O(J
(121 -e-
(131 -&
(14) --eo-
>C._Ill ~
X .06. '0-
x .15 . ,-b)-
IIBI e-
(19) -t=+-
1201 .$--
(21) ~
(21A) Q
(21BI ...:::>-
ClH!ck here if you arc requus'ing a refund 01 your oVt'lpaymonl.
, ,...tf~~~;a'l\;~X~.) \:--'".,
(10)
(151 -e-
(16) '-e-
1171 .~
. .
Act .48 of 1994 provld.. for the reduction of the tall rate. Impo.ed on tha nat value of tranafara to or for
the u.e of the 'POUII. The rat.. a. pre.crlbed by tha .tafuta will bel
a 3% (.031 will be appllcabla for e.tafe. of dacedan" dying on or aftar 7/1/94 and bafora 1/1/96
a 2% (.021 will be applicable for e.tate. of dacadent. dying on or after 1/1/96 and bafora 1/1/97
e 1% (.01) will be appllcabla for e.tate. af decedant. dying on or aftar 1/1/97 and bafora 1/1/98
e Spou.al tranafera occurring on or after 1/1/98 will be exempt from Inharltance tall.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (..-) IN THE APPROPRIATE BLOCKS.
1. Old decedent make a transfer and:
a. retatn the use or Income of the property transferred, ............................................."........
b. retoln the right to deslgnote who shall use the properly transferred or Its Income, ...............
c. retain a reversionary interest; or ............................"...,.................................................
d, receive the proml,e for life of either payments, benefits or carei .......................................
2. If death occurred an ar befare December 12, 1982, did decedent within two years preceding
death transfer properl)' without receiving adequate conslderatloni If death accurred after
Dllcember 12, 1982, did decedent transfer properly within one year of death without receiving
adequate consideration' ... ............. to .......... ....... ......0.. ............. .........,. ......,...., ........ ......., It.
3. Old decedent own an 'In trust for' bonk account at his or her de~th'......................................
YES NO
v
t/
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN,
. .
.,\1.1111 Ih 1'.111
ITEM
NUMBER
A.
"t:,lt'~1\
_.~
COMMONWEAltH Of PENNSYlVANIA
INHUIlANCE TAX RUWIN
_!lIDEN' DICEDENt
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
PI.a.. Print or T .
~I - qt/
,C!t/l
1.
DESCRIPTION
Funtral Expen..., AI f 1/5 ~ n (' r /I (. ;.I nrtL
~11g ~~
AMOUNT
B. Admlnllfratlv. COlli,
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
1,
Personal Repre,entallve Commlulon.
Soclol Securlly Number of Personal Repre,entatlv81
Year Commlulon. paid ~
..........
-,
.....
2,
oS-
Allorney Fee,
3.
Family exempllon
Claimant
Addreu of Clalmanl al decedent'. death
Relallon,hlp
-
Street Addreu
Clly
-
-'
-'
Slate
-Zip Code
-.
Probale Fee.
Mllcellan,oul Exp.n.ell
TOTAL IAl,a enler on line 9, R.capllulallan)
(II mora Ipac. II n.ed.d, Inlert additional Ihe.tl 01 lam. II...)
s .L/ 17t. Oa
3401 MARKUT STRlllIT
CAMI'llII.1..I'A 17011
(717)737.8726
c:lYedZ
FUNERA'" HOME INC.
"For the l'~rrecl Trll"II~"
3501 DllRIW STlUlUT
IIARRISIlURO,I'A 17111
(717) 564.2633
JAM\!S I', I~CKIlS. I'll, SUI't!IIVISlllI
-0
STI!I'llt!N I, wn.5U^CIl. I'll, Sl1l'l!lIVISlllI
July 18, 1997
Llntln Cnmcs
13 J(ensington Drive
Cnmp Hill, PA, 17011
Services for: DorolllV .1. "'(/111.
Pnymcnt Received
$ 1,595.00
725.00
1,960,00
450,00
8.00
.10.00
$ 4,778.00
$ (2,928.43)
$ 1,849,57
GoldtonclL-49
Vnult
Immedinte Durinl
Cemetery-Shoops Cemetery
Denth Certilicntes4 @ $2= $8,00
Honornrium-Rev,Dr, Ronnld S, McElwee
Totnt Funernl Chnrges
Bnlnnce Due 011 Account (Duo dale: 05/16/1995)
Conllllcl No.: 11111111179/ CAse No.: 125(j.U4
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("
STATUS REPORT UNDER RULE 6. 12 C;, ,
,
Name of Decedent I Franklin W. Ramsdale
Date of Deathl September 25, 1994
w 11 1 No.
Admin. No.
2l-94-86B
Pursuant to Rula 6.12 of the Supreme Court orphanR'
Court Rules, I report the followlng with respect to completion of
the administratiun of the above-captionod aRtatel
1. State whethet' administration ot the estate is compiet.er
Yes X No
2. If the anRwer is No, Rtilte when the personal
representative reasonably beiieves that the administration will be
complete I
J. If the answer to No. I is Yes, state the followingl
a. Did the personal representative file a final
account with tho Court? Yes No X
b. The separate Orphans' Cuurt No. (if any) for
the personal representative's account iSI
c. Did Lhe personal representative state an
account informally to the parties in interest? Yes X No
d. Copies of receiptR, releases, joinders and
approvals of formal or informal accounts may be filed with .the
Cerk 0 f the Orphans' Court and may be at. ta d to this Jrrt.
Datel November l3, 1995 /L--
(Sign
Richard L. Placey, Esquire
Name (Please type or print)
P.O. Box 99, Hbg., PA l710B
Address
,
0), 71 236-9577
'l'el. No.
Cd(Jacity:
Personal Representative
"
J. ."Counse1 for personal
representative
(MAIlI rmt.'AM3)