HomeMy WebLinkAbout97-00606
This is to ,crdf'r thaI tI\l' llll(lfflla!inll hi'll' givcll j, (OIl('ll1\' lll\lIl'lIIHlIlI ,HI llllt',in.1! l{'!lilh,lll' <:11 dl',lIh dllh. flkd with llll' ;I,~
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WARNING: It Is lIIegllllo dupllcato this copy by photostal 01 photogrAph.
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COIIiIOIiWIALTH Of' PIHNlIYUlINIA . DEMIITUINT Of' HIALtH . VITAL IIli:ol1llS
CERTIFICATE OF DEATH
(Coron.r)
Enallhart. Jr.
..
...o.r.... _.,.","~
~ua.20,1950 Horrishurg P
1997
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YOTHIII"NNIt.~""'''''''''''''
, Ida !o\'ly Ritter
~~"'IlPCOdeJ
407 Parl<8J.do It>ad ~),l Pa_17011
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PETITION I,'OR (.RANT OF U:TTERS OF' ADMINISTRATION
,.~.-. (.
I!."slale of. 11I"ft~.L_:..N.~""~.1I1'\.~L~__
also known ",f .-::r:I.l"'M~w\G"."-'-L,lJ.ad..:L
~.l:-~1-~1e0(P _
._._,_.... _.... .______..,__, fJeceased,
Social Se<'urlty No, _1~L~..~f_~..J..'iJ._{L___
No,
To:
Register of Wills for the
County of ___.r:_~M~ERl,,!\NJL._ in the
.Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petltloner(s), who Islare 18 years of age or older, applj~___ for lellen of administration
_______..........___._.._..._....____..__..___ __..._"..____..__..__... on the estate {jf
(d,b.n.j pendente lite; durRllh' IlhsClIlluJ durallte mlllmltate)
the above decedent,
Oeeendent was domiciled at death In.. ~ oJ "'~.\L!' ..A..l> -..-----n- Coun\y. Pennsylvania, with
III Zi last family or principal residence at _':!::<2..l13t..&...,,. I)~ I~(, ,\. , ~ (\. m " H ''''~ ,
(list Weel. numbl.'r and municipality)
at Derr!~t, ~:~ ;;;,~; ;~~::,f age. died =: ~~ r _~~_____ --:-' 19" 1
Decendent at death owncd property with estimated values as folllows:
(If domiciled In Pa,) All personal property
(If not domiciled in Pu,) Personal properly In Pennsylvania
(If not domiciled in Pu,) Personal property In County
Value of real estate in Pennsylvania
situated as follows: ..,__
$ 11'33.00
$
$
$
Petltioner_ after a prOI,er search hlL....._ ascertained that decedent left no will and was survived by
the following spouse (If any) and heirs:
~ame
~\'''A'''~I' I:::NC._LC!i~_...
-.:!:l:A (Y'\1\'j EJ...IC.\..lt~,(..7"
Relationship Residence
F (>0, "(1.. ~__ ,+0" fA /l./<S,o. ROA:>. c.. t'" 1-1,.....
(vll,) n.. !~.Jil.~,PA..Lt....SIO~ "l."'/J.'Io ('o"'rA""~II"""
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THEREFORE, pelilioner(s) respectfully requesl(s) the grant of letters of administration In the
appropriate form to lhe undersigned,
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4- 0 ''/ 1J.!J.I&..."-UJ.L 1:'</
t4.'.~& -/.LLU 17 Mr
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MV.ttoolllt(t-fl1) !~
. C~~SYLVANIA
DEPARTMENT Of REVENUE
D€PT.280001
ill
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REV -1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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FUMU.-.-
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DECfDENTStW.le (lAST, FI an,
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U1DDlE!NlllAll uM.b1riblOOtJ"'P....'lIfOI'M
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bATE Of BIRTH
o H 12
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o II <) ') ()
THI8 RETURN \lUIT BE fLED IN DOPI.ICATE WITH THE
REGISTER OF WILLS
" ()
A R
'\'
R. T
DATE Of DEATH
o ') II f> I 1 'l 'l
7
E N <; L I': II
SOCIAL SECl/RITY Nl.4MIen
1 8 1 -3 8 - 1 8 6 0
(IF APPlICABlE) Sl.IR.....WINOSPOI.JSE.S NAME (lAST. FIRST. nlOMlOOlE INITJAlI SOCIAl. 5ECURIT'f' NlJMIER
00 1. Orl;iln.1 R.tum 0 2 Supp~menlsl R.lum 0 3 R.malnd.r R.tum j"._""'.12.1~"1
o 4, L1mKed E.IsI. 0 4., Fulure Int....1 Comprom.. jd......... '2,12,'21 0 5, Fed.rel E.tate Tax R.lum Required
o 6, Oecod.nl D~ T..tat.,,,,,,,,",,,,,.,,,,,) 0 7. Oecod.nt Maintained. L1vlll\l Tru.II"""''''1>'.'''''' __ 8, Total Number of S.fe DeposK Bo,..
o 9, Litlg.tIon Proceed. Recelv.d 010, Spousal Poverty CredKI""....._'1,3),1I Old ',),011 011, Election 10 tax unde,Sltc, 9113(AH_....Oi
HII SIlO MUS BE COMPLE1'ED, ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BI! DlRI!CTI!D TO:
WMe . COMPlElE WILING ADDHESS
R:j chard T. Engleharl
FIRM NM4E (~Appklbltl
407 Parkside Rond
Cump lIill, PA
17NJ
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TF.LEPt+JNENI.J,l8€R
717 737-6112
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II!
1. R..I E.tat. (Schedu~ AI
2. Stocl<a .nd Bond, (SChedu~ 81
3, Cme~ H.1d Corporetlon,Partn.~hlp or So~.Proprlelo~hjp
4, Mol1QagllS & Not.. Recelv.bIe ISchedu~ 0)
5, C..h, Bonk Deposits & MIsceI~nlOu' P.""n.1 Property
ISchedu~ E)
6, Jointly "'ned Property (Schedu~ F)
7, Inl.r,Vlvos T'.n.'.~ & Mlscell.nlOus Non.Probel. P,operty
(SChedu~ G or L)
8, Total Ora.. A..... (Iolal Un.. 1.))
9, Funeral E~""n... & Admlnlslrallvo Costs (bchedu~ HI
(1)
(2)
(31
(4)
(5)
(6)
(71
. ,
f:.
5 t 3 6 7 .0 0
1 t 1 1 3 .0 0
"
(81 6 4 8 0 . o 0
,
7 t 3 5 3 .0 0
(9)
10. Debts of De<:edenl, Mortgag. Llabllilte', & L~n' (Schedule I) (10)
11, Total Otductton. (lolsl L1n.. 9 & 10)
(11)
(121
(13)
7 ,3 5 3
~I
12, NalV.lueol E.tateILln. 8 minus Unel1)
13, Ch.ntab~.nd Oov.mmenlsl8equ","'Sec 9113 Trusts for wh~h en .lectIon to ta, h., not been
made (Schedu~ J)
14, NalV.lu, Subject.o T.~ (Lhl.12 mlnu. Line 131
15, Amount ollln.14 ta,able
.11tle .pousellax ,.Ie . ,
See In.tructlon. on reve....~ fo, .ppllcab~ percentage
16, Amounl 01 IIn. 14 ta~.ble
.t 6% ,el.
17, Amount of IIn. 141s~.ble
.115% ,.1.
(161
(11)
(181
o
o
-
(14)
o
~ ,0
(15)
~ ,06
x ,15
18. Tax OUt
19
~,
o 0
, ..
o s.cedent's..2~mp~9_~., A~_~r!~L."._"~_____ __"~.___~~_m_.."'"__'________
TRUET ADom:sn
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I'A~_ " .
GI1Y
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Tax Payments and Credl~s:
1, Tax Due (Pago lUne 1RI
2, Credits/Payments
A Spousal Pnverty Credit _~.~,
B, Plior Payments
C, Oiscollnl
(I)
TolaICrlldlls(A.B+C) (21 ___
3, InleresllPenally if appllceblA
D: Interest
E, Penally
TolallnleresllPenally (D + E) (3)
4, If line 21s greater than line 1 + line 3, enler Ihe difference, This Is Ihe OVERPAVMENT.
ChICk box on PIgl1 Llnl18 10 IIqUIIl1 rlfund (4)
5, If line 1 + IlnA 31s grealerthan line 2, enter Ihe difference, This Is Ihe TAX DUE, (5)
A Enter Ihe Interest on Ihe tax due, (5A)
BEnter Ihe lolal of Line 5 + 5A, This Is the BALANCE DUE, (5B)
Maka Chack Payabla to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS
BV PLACING AN "X" IN THE APPROPRIATE BLOCKS
1, Old decedent meke e transler and: Ves
a, retain Ihe use or Income of the property transferred; ",""'''''''' """""."",,,,,,,,,, , ",",,""'" ,,0
b retain tha right to designate who shall use Ihe property transferred pr Its Income: ".""""",,, 0
c' retain a reversionary Interest; or"",,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"""""""""'"'''''''''''''''''''''' 0
d, receive the promlRe lor IlIe of either paymenls, benefits or care? """"""'"'''''''''''''''''''''''''' 0
2, If death occurred on or belore December 12,1982, did decedent within two years
preceding death tranRfer property without receiving adequate consideration? If death occ,urred
alter December 12, 1982, did decedent transfer property within one year 01 death without
receiving adequate consideration? """""""""",,,,,,,,,,,,,,,,,,,,,''''''',.,',.,'' "",,,,,,,,,.,,,,,,,,,, "",.",,0
3, Old decedant own an "In trust lor" or payable upon death bank account or security
at his or her death? "",""'" ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"",,.,,'''''' """"",,,,, ",,,,,,,,,,,,, ",0
4, Old dacedent own an Individual retirement account, annuity, or other non-probate property? ,,0
No
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~
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~
~
IF THE ANSWER TO ANV OF THE ABOVE QUESTIONS IS VES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN
r - .. -
72 P,S, 59116 (e) (1.1) (I) provided lor the reduction ollhe tax rate Imposed on the net value oltranslers to or for the usa of the
lurvlvlng spouee Irom 6% to 3% lor dates 01 death on or alter July 1, 1994 and belore January 1, 1995,
72 P,S, 59116 (a) (1,1) (Ii) provided lor the reduction of the rete Imposed on the net value 01 transfers to or lor the use of the surviving
spouse Irom 3% to 0% for dates 01 death on or elter .Ianuary 1, 1995, The statute does not exempt a transler to a surviving spouse
Irom tax, and the statutory requirements for disclosure 01 assets and filing a tax return are stili applicable even II the surviving spouse
Is the only beneficiary
FOR DATES OF DEATH ON OR AFTER JANUARV 1, 1995 - Please answer the following question by plaCing an "x" In the
appropriate space,
Old the decedent ore.te . tru.t or .Imllll srrangement which I. tiolely lor the .urvlvlng .pou.e'. benefit lor hi. or her entire
1I1etlme? Vel 0 No 0
If you answered yes to the above question, the tax on the trust or similar arrangement Is postponed until the death of the second
SPOUS6, at which time It will be fully taxable at the rate(s) applicable to the remainder beneficlary(les). Enter the value 01 the trust on
Schedule J, Part II, In order to remove It from the calculation 01 the tax due In this estate, Vou may wish to file Schedule 0 In order to
make the elecllon available under Section 9113, If the election Is made, the trust or similar arrangement Is taxed In the estate 01 the
first decedent spouse, the portion 01 the trust or similar arrangement which benefits the surviving spouse Is taxed at the zero tax rate,
and the remainder Is taxed at the rate(s) applicable to the remainder beneficlary(les), If you choose to make the election, you must
attach Schedule 0 to a tlmely,fiIed tax return, along with Schedule(s) K Dnd/or M In order to show the apponlonment 01 the trust or
similar arrangement between the surviving spouse and the remainder beneficlary(les),
"--'- "
U\qSOIlIl+IH71
. " "I. 't SCHEDULE E
~ CASH, BANK DEPOSITS AND
co MO MISCEllANEOUS
. M INir.'AI!KI~~~m~~\l'ANI" PERSONAL PROPERTY
filAffo( ..!!l ,!L~ - _.N _ _"~....__, .'... -filE N'UMB:~ale P!!nt_~.~~_ .
R. Thomas Englehart 2197-060()
(All "....,." toi~tiy~ft;l-;;'lh-th~-il.hl'~fi~;;I;~~~hi'-;;~t'.~~<'dI.;l"~-;.~. -~~'j(h~-d~"I;'f~-~"'<-~.""-c---'_o_~~-'----~~-'~---'---'"
---- ----------------._~..~~_._-_._-_.,,_..~,..__._-_.._-_._-_...,.,.._----..._..,.._..;--'-...."._.,.,,-~-<--~--~-_.._-~ ~-~.~_.._-------~-
ITIM
NUMBIR
DESCRIPTION
VALUE AT
DATE 0' DEATH
.._-t~~......___'"r..___._........
---~-~-~.-~_.~--,..,._~---,~.~-~..._~._~~._-----
1 PSECU----chocking Ilnd 81.1 vi ngs 31.00
2 PNC Bank-checking 36.00
3 1982 Chevrolet SW 300.00
4 Misc. Personal Property 5,000.00
TOTAL (Alia enter on line 5, Recapitulation) 1$
5,367.00
IAlla,h addItional 8YJ" )( 11" ,he.hlf mdr. 'pace I, n..d.d.)
,
I
5eHIDULI H ~rL
W FUNERAL EXPENSES,
COMMONWlAlTH OF PlNNIYlYANIA ADMINISTRATIVE COSTS AND
IN~~~:1~~~Ytc\~1[~RN MISCELLANEOUS EXPENSES ___ PI.a.. P,lnt 01 lye.
IITATIO' _.~~_~'~~mnH;;-~:;~a.::t~ -.II'. - ---__ _~~__ _________~~~(~:~-.
11.....1511111.1',")
ITEM
NUMBER
A.
B.
3.
DESCRIP'l'ION
AMOUNT
fun.ral bp.n....
1.
1,550.00
250.00
20.00
56.00
680.00
CrematIon
Funeral DIrector
Certified copies
Florist
Col umhed urn
2,556.00
1. '
AcImlnl.trallv. Co.l..
POllonol R.pr..ontotl..... Comml..lon.
Soclol S.curlly Number of Personal Repl'osontaIlY., .__
V.ar Comml..lon. paid _
2,
Attorn.y F...
Family Ex.mptlan
Claimant }ic.hard T. Englehart R.lallonshlp Father
,3,SOO.0<;l
Add.... of Claimant 01 d.c.d.n"s d.ath
407 Parks ide Road
Slreel Add....
City Camp Hill
Stal. _B_ Zip Code.
17011
4, Prabat. F...
C. MI.e.Uan.ou. bp.n.."
1, Neurology Center $84.00
Cowley Associates 280.00
2.
3, Quantum Imaging 15.00
4, Holy Spirit Hospital "837.00
5, Register of Wills 36.00
6. EKG Associates 45.00 ~.297,OO
,.
8,
TOTAL IAI.o enler an Iin. 9. R.capltulatlon) I $
(If mOl. .poe. I. n..d.d, In..rt additional .h..I. of .am. .1...)
7,353.00
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r~ ~_.'"
Englehlrt
407 PlIIrklldfl Road
Clmp Hili, PA 17011
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~eglster of Wills
Cumberland County Courthouse
. Carlisle, PA 17013
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RICHARD T, ENGLliHART, R,PH,
. .
Do~omber 15, 1998
Ms.' LAWisl
This is the ~ilin~ 'eA you
requested ror thedenth army
son, P. Thomas En~lehart.
240-6345
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IUIlEAU Of INDIVIDUAL TAXES
1~ITANtt TAK DIVISION
DlPT, rlO..1
HARRlllURG, PA 111"-0'0'
CONNONWIALTH 0' PINNSYLVANIA
DIPARTNINT OF RIVINUI
c.
*'
NOTICE OF JNHEftJT~E TAX
A"ftAJSEHBNT, ALLOW~E Oft OJSALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
1...1..,.. AI, ,".."
02-23-1999
ENGLEHART
05-16-1997
21 97-0606
CUNBERLAND
101
L A_t ft..IU"'-i
NAKE CHICK PAYABLE AND RINIT PAYNINT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THI8 LINI . RITAIN LOWIR PORTION FOR YOUR RICORDS -4
iliV=U4"-iic-A;p-n,;-:nY-iioTici-o,-i-NHiiiifAiici-TA'X-'Apjiit'AiiiMiii'r;-ALUiiiliMCi-ilii----------- --- ---
DISALLOWANCI OF DIDUCTIONS AND ASSISSNINT OF tAX
ISTATI OF ENGLEHART R T Fnl NO. 21 97-0606 ACN 101 DATI 02-23-1999
'( j
DATI
ISTAU OF
DATI! OF DIA TH
FILl NUHlIR
:CIluNTY
ACN
R
RICHARD T ENGLEHART
407 PARKSIDE RD
CAMP HILL
PA 170nel
CL.'i,
TAX ftETUIlN NAS I I X, ACCE'TED AS FILED
RISIRVATION CONCIRNING FUTURI INTIRIST - SII RIVIRSI
APPRAISID VALUI OF RETURN IASID ONI ORIGINAL RETURN
1. ft..l E.t.t. (Sohodul. Al
2. Stoob _ Bond. (Sohoclul. II I
5, Cloooly Hold Stook/'.rtnor.nlp Int.r..t IS.hedul. C)
4, Nort...../Not.. ft...lvobl. (Sohoclul. 0)
5, C.oh/lonk Dopa.lt./HI... '.r.onol 'rop.rty IS.hedul. E'
6, Jointly OWned 'roporty (Schodul. FI
7, Tron.f.r. (Sohoclul. 0)
I. Tot.l A...to
I ) CHANGED
.00
.00
,00
.00
5,367.00
11113.00
,00
181
(1)
(2)
IS)
(4)
(5)
(6)
(7)
HOTEl To Inlure proper
oredit to your account,
......It the uppor porUon
of thl. foro with your
t.. P._t.
6,480,00
APPROVID DIDUCTIONS AND IXIMPTIONSI
7,353,00
9. Funer.l ENpen.../A~. Coate/Hila. Expen... (Schedule H) (9)
10. DobtolHort.... LlobllIU../LI.n. ISohoclulo II 1101_ ,00
11. Tot.l _.Uon. Ill)
12. Hot V.luo of T.. ft.turn (12)
15, Cheritobl./Go..rnoont.l "quo.t'l Non-.l.otad 9115 Tru.t. IS.hocIul. JI 1151
14. Hot V.luo of E.t.t. SUbj..t to To. (141
NOTII If en ........nt wa. i.su.d pr.viou.ly, lin.. 14, 15 end/ar 16, 17 end II will
reflect figur.. thet inolude the tatal af ~ returns ess..s.d ta det..
ASSIIININT OF TAXI
15, A80unt of Llno 14 .t Spou..l r.t. 115'
16, A80unt of Lln. 14 t..obl. .t Llno.l/Cl... A r.t. (16)
17. Aoount of Llno 14 t..obl. .t Coll.t.r.l/Cl... 8 r.t. (171
18. 'rlnoip.l T.. Duo
TAX CRIDITSI
'AVHENT
DATE
7.3~~ nn
873,00-
.00
873,00-
,00 X ,00.
,00 X ,06.
.00 X ,15.
UII
,00
,00
,00
,00
ftECEI'T
NU11IEft
DISCOUNT 1+)
INTEftEST/PEN PAID 1-)
AHOUNT 'UO
1
TOTAL TAX CRIDIT
BALANCI OF TAX DUI
INTIRIST AND PIN.
TOTAL DUI
,00
.00
,00
,00
. Jf 'AID AFTEft DATE JNDICATED, SEE ftlVERSE
fDll CALCULATION OF ADDITIONAL INTEREST.
( JF TOTAL DUE JS LESS TNAN '1, NO 'AVHENT IS ftEquJftED.
tF TOTAL DUE JS ftEFLECTED AS A "CftEDIT" (Oft I , YOU NAV IE DUE
A ftEfUND, SEE ftEVERSE SIDE OF THIS FORM FOft INSTRUCTIONS.)
T