HomeMy WebLinkAbout01-30-09
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LAW OFFICES OF
GATES HALBRUNER & HATCH P.C.
1013 MUMMA ROAD • SUITE 100 • LEMOYNE, PENNSYLVANIA 17043
(717) 731-9600 • FAX: (717) 731-9627
LOWELL R. GATES, LL. M. CORRESPONDENCE ADDRESS: BRANCH OFFICE:
LL. M. in Taxation Lemoyne Office 3 WEST MONUMENT SQUARE, SUITE 304
Also Admitted to Massachusetts Bar
MARK E. HALBRUNER WEB SITE: LEWISTOWN, PA 17044
CRAIG A. HATCH, CELA www.GatesLawFirm.com (717) 248-6909
Certified as an Elder Law Attorney by
the National Elder Law Foundation
CLIFTON R. GUISE
Also Admitted to practice before the
U. S. Patent & Trademark Office
SARAH E. McCARROLL
CERTIFIED U.S. MAIL
Cumberland County Courthouse
Office of the Register of Wills
One Courthouse Square
Carlisle, PA 17013
January 29, 2009
RE: Arthur Wilson Stetson, deceased
Date of Death: November 8, 2008
Dear Register of Wills:
STACEY L. NACE
Paralegal/Office Manager
TRACT L. SEPKOVIC
Paralegal
VALERIE LONG
Paralegal
TRACT L. SHERIDAN
Paralegal
Please be advised that Arthur Wilson Stetson, late of 325 Wesley Drive, Apt. 124,
Mechanicsburg, Cumberland County, Pennsylvania 17055, died on November 8, 2008. An original
death certificate and Estate Information Sheet are enclosed for your records.
Mr. Stetson died owning no probate assets; therefore, an estate has not been opened with your
office. I am enclosing a check in the amount of $10,500.00 as payment of the estimated inheritance
tax. Please send the receipt for the payment to my office in the enclosed envelope.
Thank you for your assistance in this matter.
Sincerely,
Mark E. Halbruner
Enclosures
cc: Nancy Jean Starling, Trustee
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, `56.00 This is to certify that the informtition here ~*ivrn is
correctly copied fro))) an ori~ina] Certificate of Death
duly filed with me as Local Registrar. "I'he original
certificate wSll he forwarded to the State Vital
Records Oitice for permanent filing.
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Certification Number Loral Re~~istrar ~.,, Date Issued
~~
Y.
H103~143 REV 11/2006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TYPE / PRINy IN
PBUCK NK1 CERTIFICATE OF DEATH
(See instrurtinns and avamnYn~ .....•.,e....,x
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' STgTE FILE NUMBER
1. Name a DecMMI (Fxst, middle, last, sMixl 2. Sex 3. Social Semriy Number /. Date of Deem (Month, day, yea~j
Arthur Wilson Stetson Male
6. Age (Last &nlxlayl under 1 year UMer 1 day 6. Dah of Binh (Mash, day, year) ?. aror O 1 1 - 1 0 - 91 2 8 NO V embe r 8 2 0 0 8
pbm (City and snte a laeign courWy) Sa. Place of Deem (Check ^dY one)
Mwau Wp Hours MinMw HOSpllal: Omer:
97vn Oct. 23, 1911 Unity, Maine ^InpatleM ^ER/OugreGd ^DOA ®Nureing Home ^Residerrm ^OIGr-Spedty:
8b. Counry of Death 8c. Ciry, , Twp„d Deem 6tl. FB $y Nama (II rel in3lidMOn, give sheet aM number) 9. Wes Demdenl a H'
npMk origin? }[] Na ^ vee 10. Ram: AmedaM Inman, steak, wGa, aa.
(R Yes, apedly Cuban, (spealy)
Cumberland Lower Allen Two Bethany Village Ret. Center Mexicen,PrermRken,am.) White
11. DMetlenYs Usual Om lion Kind a rmm dons mxin moat a Ina. Do na sob reYretl 12. Was Deoedenl ever in me 13. DeCMenYS Eda:etbn (Seedy MryhrghaN grede Completed) 14. Mama) $laus: Martbd, Never Manbd, 16. Survlwng Spouse (n wlh, give meinn name)
IMd d Wom Kintl of Bm'rress / Inmalry U.S. Amxstl Forces? Elemenla / Secondary (0-72) College (Ida 5w) WdoweQ Divorced (SPaotlY)
Consultant. Federal Govt. ®Yea ^Na ~2 yrs. 7yrsa Widowed
• 16. DemGnYa khYkg Address (Street, dry /town. slats. tlp coda) DBC9dan1's Did Dend«d
325 Wesley Drive, Apt. #124 AdualReadenm na.sah Pa' creme na.®rea,oemmnluaeein T„q
TawrlMYl?
Mechanicsbur Pa. 17055 ,Tb. coMry Cumberland lye. ^,No,Ihmdent Uvad wihh
Actual crime a ciy r Bore
18. Felher'a Name (Fins, mdde, IB.W, ate) 19. Mdner's Name (RrsL mitlme, maiden surname)
Maude Anna Hanes
20e. lnlOrmant's Nartre (type / Pnnp ZOb. Inlannam's Mailing Address (Strea4 irty /town, slab, rip mtleF
Nanc J. Starlin 6335 Creekview Road Mechanicsburg, Pa. 17055
21 a. Mamod d DiepoM'tbn ^Cr«retlon ^ D«atlon 21b. Dale d Dispmtlion (Monet, say year) 21c. Pbce at Dbpoeltl«I (Name d mmetery, Cremabxy «dGr pbn) 21a Laatlm C /
® Burial ^ Remwel Fran Slate Y/u GYelrNtlon «Dalltlan Autlbdead (~ ~' ate' ~ tea)
paGr-speam: byMer3eelExamhw,ComnsR ^Y96^Na Nov. 12, 2008 Mt.Holly Springs Cemetery Mt.Holly Spgs.Pa.1706
zz , re a Farerel saw ( ) 2z,. IxMae Namber 2zc. Name and Aedreea a FaaMy a i mo r e
FD-011932-L Hollinger FH/Crematory Inc. Mt. Holly Springs, Pa. 17065
Items 23o-c any wtlM c«Ytykg . T a my at Yre time, tlale a Intl. (Sryrelue and fiG) 23b. Ijnnse Number
physidan b na arabbb el erne a cream ro ~r~, ~ 23c. Data Spnetl (Month, day, year)
mNry cause a deem. Z ~3 (03 (~ (- V~irnloe~ 8 ZfJO
w Hama 24-26 must G mmplelM by parson 2<. of Deem 2 b Premncetl Geed (Monet, day, year) 2s. was Cese Rehnetl ro ice Examiner! Caarer for s Reason Omer Ihan Dremadon «Donalian?
,' wGpromnxwsdnm. : 3S . M. oJ-e~mbe.,~. ~ Zo a F ^Yas ~d
CAUSE OF DEATH (3ee inatruniona and exampba) l Appmxknate kxerval: Pan II: Em« odrer slmi6mnt mMMime uw, ro deem 28. Did Tobacco Use CaYnMe b Deem?
Item 27. Pan I: ~ ter are Chan of events - mseeses, YI)udes, «tonpflcelbre - IGI mradly Caused Me deem. W NOT Mier bmdrel events wen es mrtliet arrest, (Mgal ro Deem ^
spiretay artesL a vMlricaer nbilbnon wNrod showing the elid^9Y. Ua ony Me Huss m each hire. bn rwl resdYng F the underyeg Hies given in Pan I. ^ vas ^ Probady
IMNEDMTE CAUSE 1FkMI tllsNSa or aa,, ~~ /~ y~ ) ` .(~ y~~ ^ ^ No ^ Unkrewn
mMaion reaumng in teeth) ~ 9. ~IV ylV 1~1 ~/ 1V y{~)/`_'x iiMe~. 1\~ 29.IIFMreIe:
Due to (a as a Consequence ~ I • - LJV , I VP y J
~ ~~, Y a7, ~~±~ r ^ Nq pregnant wnhm peel year
to the cause 6ahtl M Yre a. b. 5~ r I ~ ~ "" "-^ _ • I ~ r yyY y ~ ~ 7) ~f ~ a~'~,~ ^ Pregnem at tlma d deem
En~NDERLYING CAUSE D I ( rice i
/`/rYranse «' ' mat iniYalad me r ~ w ~~ ^ a O a~enl, da pregrenl wYNn 02 tleYs
9Yenb reedln Hem) LASt C' r
Due to (or es a consepranm aD. r
d. r ^ Not pmgrenl, bd pregnen 43 days ro 1 year
s Clore deem
33e. Was an Aaopry 30b. Were Autopsy Fndnpa 31. Asanar W Dean 32a. Date d Irgmy (Monet. day, year) 32b. Describe Flow In u Ocamed ^ Unknown H Pre9narY wider dre past Yaar
Parlonnetl? AveYeae Prbr ro Corrybam ,_, / 1 ry 32c. Pkce a Irgay: Home, Fmm. Slreal, FacYay,
a caaae a Dnm? naa ^ Flonddtle Omm Budmng, ek. (Spedyy)
^ Vas Q,NfI' ^ Ves ^ No ^ Acdd•M ^ Perrdn9 ImestigatlM 32d. Tine a Inury 82e. Inury at Wom? 321. n Treneponaam Injury (spachl 326. LocaYM a Injury (Sled, dlY /town, stale)
^ Sddtla ~ Coultl Nd G DaMdned ^ Vee ^ No ^ Ddrer / Operate ^ PessMger ^Pedesbian
M. ^Omer-Sped,y:
33e. Cerafrer inea «ly me)
33b. SigNl and rme a ca
' CMllylrrg phyaklM (Phyelden mrYlykg muse a deem wiran another phyeklan has prareuncee deem and canPlaM Item 23)
To ma Gal of my kmwledga, dwm oecwratl dw to dw rauee(e).rtl manrrer as sbt.tl_ _ _ -- _ -- ~ - l~~ ~~~~
• Pronasrldrp and nnNykp phYSklan (Physkran both prareurxrrlg deem and mnilylnp ro muse d deem) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 33c. Lie NumGr
To UM Gal a my knawwge, tlum occurred at mN tlme, doh, urd pleas. Ntd due W lG nuse(a) and mamer ae mha_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33tl. Dale S (Man ,day, year)
• MamcalExamlrwxrc««wr M D ~ a 9 ~ 33 ~~ -~ ~8
On tla Gels a axeminatlonand / «Invaetlgatlon, In mY opMlon, death aaurratl at tG INne, dale, and plan, and due h Ub nuse(el end manner as shled_ ^
3/. NMre Address a Peraon Who M De /Ut 7)~Type///gad Iy~~
36. Ragislmr's aM Die ' Nuw6§('1 ~ Doh FYed (Manm, day, p~ ~~ ~/ I D ~uM • ~ a ~ • " a
- .~. ~ i I i a i I i ~ i ~ 3~->;-b T~ rvr~ t-~ (ze~m~, frlml' ,~r12.~._ P~1 /~
DispmYion Permit No. ~~ _ ~ ~ ~7 c7,
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 010842
STARLING NANCY JEAN
6335 CREEKVIEW RD
MECHANICSBURG, PA 17050
-------- fold
ESTATE INFORMATION: Ssrv: o~ ~-70-9728
FILE NUMBER: 2109-0101
DECEDENT NAME: STETSON ARTHUR WILSON
DATE OF PAYMENT: 01/30/2009
POSTMARK DATE: 01 /29/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 1 1 /08/2008
AMOUNT
ACN
ASSESSMENT
CONTROL
NUMBER
101 ~ 510, 500.00
TOTAL AMOUNT PAID: 510,500.00
REMARKS: RECEIPT MAILED TO ATTY
CHECK#1026
INITIALS: JN
SEAL RECEIVED BY: GLENDA EARNER ~TRn~ROI Ir,N
REGISTER OF WILLS
REGISTER OF WILLS