HomeMy WebLinkAbout95-0075~i 9s-a»s
This is to certify that the certificate hereunto attached is a true and accurate copy of the original
death record on file with the Division of Vital Records, and that Frank Yeropoli, whose name is
subscribed thereto, was at the time of subscribing the same and now is Director, Division of Vital
Records of the Department of Health, for the Commonwealth of Pennsylvania, duly appointed
and commissioned as directed by Act 66 of the General Assembly, approved 29 June 1953, P.L.
304.
AUG 16 2001
Date
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e.
TYPBPAINT . - .,.-.n, FD
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vERrATTOaT
BLACK WK
i~
Fran eropoli, ' ect
Division of Vital Records
P.O. Box 1528
New Castle, PA 16103
~ 1 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS y, 1 ~ p
01-12-95 dic CERTIFICATE OF DEATH _ _ _ ..
(Coroner)
NAME OF DECEDENT (Fip, Midea. Lre SEx SOCUL SECURRV NUMBER DQE OFDEQH pncnm, DaLC 1bv)
,. John J Kastelic x Male a. 172-01-2317 .. December 25,1994
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NNE ANDADDTTESS OF PERSON WNOCOMPLETED CAUSE OFOERH '
,~~ (lMm 2~Type«PMd Michael L. Norris, Coroner
on er erra~xl.Lwnrwo.InwrTemon,Nry ognTOn,a.,m««wrwnm.eTle., eu,,nd PT«.,.nddwroa..~.).ne 405 Fairway Drive
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AEOISTRAA'SSKU+QURE AND NUM 17, L I, TI DQE FILED (MpW. DaY.Y ) (,~/
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&~~:'I'I'3'IG!'~d I+®It GI8.A1®1T ®I+ LITTERS GF AI)MI101ISTRATI®PV
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Estate of ~~D ~i iI ~ ~.5tG~/~Lr No. ~ ~ - '9.~-' 7 J",r- '
also knovrn as To:
~. ._ Register of Wills for the
Deceased. County of t~lJ/Yj02r/Qn d in the
Socfal Security No, f 'zc~ - D / - ~. 3 / 7 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or otder, appl ~~e 5 _ for letters of administration
- - on the estate of
(d.b.n.; pcndente lire; durance absentia; durantc minoritate)
the above decedent.
Decendent was domiciled at death in L'!ilY~ ,b~f-~Q /~ C~ County, Pennsylvapi with
h i ~' _ last family or principal residence at 3.33 ~~~%~ ey /n d ~ .,,~Q iYi Ii ~ // (~~~ Ph T /
(list s[reet, number and mu cipality) ~/
` Decendent, then ~'~ years of age, died . ~~'e/ri ~ 2 r BS , 19~~,
Decendent at death owned property with estimated values as folilows: 9 ~~. ~
(If domiciled in Pa.) All personal property $ q
(If not domiciled in Pa.) Personal property in Pennsylvania $
(Zf rot domiciled in Pa.} Personal property in County $
Value of real estate in Pennsylva a $
situated as follows: ~O-"~ ~
Petitioner, after a proper search has ascertained that decedent left no will and was survived by
the. following spouse (if any} and heirs:
ivame Kelationship Residence
THEr E'rORE, petitioner(s) respectfully requests} the grant of letters of administration in the
appropriate form to the undersigned.
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that the
Fhe petitioner(s) shave-named swear(s) or affiran(s) '
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statetnents in the foregoing petition are true and correct to the best ~
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of the knorvle*ige and belief of petitioner(s) and that as personal C
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representative(s) of the above decedent petitioner(s) will well and y d "^
in!iy administer the estate according to law. o
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Sworn to ar affi~;ed and subscribed ~-
'odfa;e r:~a this _._._ 2dTH day of ___
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MAR'' C. LEWIS Regis~er ~
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~I®~ 21 - 95 - 75 ~
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~~~~~,~ ~:t JOHN J. KASTELIC ~ ~~G~ ~}
~J~~ ~~ ~,~'~'ER~ ~F ADiVI~Ni~'~'~t~~'I®PT
t~.,,Ig l~IQ~V _,~._ JANUARY`30, 14 95 , in consideration of the petition on
the re< ersg site her,; y sati:~facEory proof having been presented before mt,
3'I' rS ~~'~'~,~~~ t~?nt _ R_O~AR IA A . KASTEL I C
is/are entity to Lett=:;s of .~dminssuation, and in accord with such finding, Letters of Administration
are hereby arantec: to ROAR IA A. KASTEi,JC
in il~e estate of JOHN ~7_ KAST ITC
-~~ ~ ~ ~
Registc of Wills
MARY C. LEtdIS
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fetters 4f ~~id~-r!i°zstr~tion ..... $ 40 . CO
Short Certificatesi 2) .......... $~Q
1ZCFIIInCi~.tiO~t ................
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filed ... J.A~lUFR`t..'~.x.... A.T. l9~`~
A'ITOdtN$Y (Sup. Ct. I.D. No.)
ADDR&SS
PI30PiH
i•tai7ecJ ?e4~~rs and order to Administratrix on 1-30-95.
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J REV•1500SEX+ Q-94) T'
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
I-IARRISRIIRr: DO 1717A_nMl
G~~ /~ - 9'
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
~p2~3f12
FOR DATES OF D~ATjf AFTER 12131191 CHECK HERE
IF A SPOUSAL
POVERTY CREDIT IS CLAIMED ^
FILE NUMBER + (], _
COUNTY CODE OC, f YEAR Z S ~ Nt~~ R
DECE E T'S N E (LAST, FIRST, AND IDDLE INITIAL)
~
~ ~/
~; DECEDENT'S COMPLETE ADDRESS
~~33 ~i n eo/
d /~ld~
~~
/
~ . i~
W SOCIAL SECURITY NUMBER DATE OF DEATH ATE OF BIRTH ~ ~~ ~"/// ~j 11 ~ -7~ ~ r
p fF AP LI ABLEI SURVIVING SPOUSE'S N (LAST, FIRST AN D MIDDLE AL) SOCIAL SECURITY NUMBE AMOUNT RECEIVED (SEE INSTRUCTIONS)
~ ~] 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return
x a h (for dates of death prior to 12-13-82)
W a°OCY.+ ^ 4. Limited Estate ^ 4a. Future Interest Compromise ^ 5. federal Estate Tax Return Required
~~° (for dates of death after 12-1 2-82)
a m ^ b. Decedent Died Testate ^ 7. Decedent Maintained a Living Trust _ 8. Total Number of Safe Deposit Boxes
(Attach copy of Will) (Attach copy of Trust)
~ ~~` ~ u~~
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. 1- E ~ M LE M IL ^. D S //
v ~ TELEP NE UMBER - h ~ ~ Q ~/~ ~ ~ ~/
z
0
a
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1. Real Estate (Schedule A) `~
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages and Notes Receivable (Schedule D)
5. Cash, Bank Deposits 8~ Miscellaneous Personal Property
(Schedule E)
b. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G) (Schedule L)
B. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses, Administrative Costs, Miscellaneous
Expenses (Schedule H)
10. Debts, Mortgage Liabilities, Liens (Schedule I)
1 1. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
z
0
a
d
0
v
x
a
15. Spousal Transfers (for dates of death after b-30-94)
See Instructions for Applicable Percentage on Reverse
Side. (Include values from Schedule K or Schedule M.)
1 b. Amount of Line 14 taxable at boo rate
(Include values from Schedule K or Schedule M.)
17. Amount of Line 14 taxable at 15% rate
(Include values from Schedule K or Schedule M.)
18. Principal tax due (Add tax from Lines I5, 16 and 17.)
19. Credits Spousal Poverty Credit Prior Payments
(1) V
(3) - ~,.~
~ - -:, -~7
(4) Q
(b) ~ ,fv
(7) ~ -~"``
~~
(10) ~ ~~ i
(13) (]
(14) 0
(15)
(16)
(17) d
Discount Interest
20. If Line 19 is greater than Line 18, enter the difference on Line 20. This is the OVERPAYMENT.
21. If Line 18 is greater than Line 19, enter the difference on Line 21. This is the TAX DUE.
A. Enter the interest on the balance due on Line 21 A.
B. Enter the total of Line 21 and 21A on Line 216. This is the BALANCE DUE.
Make Check Payable fo: Register of Wills, Agent
x, d
x .Ob = ~
X .15 = _ 6
(18) _ d
_ (19)
(20)
(21)
(21A)
(21 B)
___.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. I declare that all real estate has been reported at true market value. Declaration of preparer other than the personal representative is
based on all information of which preaarer has anv knowledge.
.+na~~/a~a~ v~ r~n~vi~ nGJrV G R rI LIIrV RCIVRI`1 NVVKCJJ
~~ /~ 3 ~ rt ~~~~ ~ ~ . l7d i~
i~G~/G
DATE
~~g-~s
DAT
~~ ~ ~~
4
Act #48 of 1994 provides for the reduction of the tax rates imposed on the net value of transfers to or for
the use of the spouse. The rates as prescribed by the statute will be:
• 3% (.03) will be applicable for estates of decedents dying on or after 7/1/94 and before 1/1/96
• 2% (.02) will be applicable for estates of decedents dying on or after 1/1/96 and before 1/1/97
• 1 % (.O1 j will bs applicable for estates of decedents dying on or after 1 /1 /97 and before 1 /1 /98
• Spousal transfers occurring on or after 1/1/98 will be exempt from inheritance tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (,~) IN THE APPROPRIATE BLOCKS.
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 on or before December 12, 1982, did decedent within two years preceding
death transfer property without receiving adequate conaideration$ If death occurred after
December 12, 1982, did decadent transfer property within one year of death without receiving
adequate consideration$ ...................................................................................................
3. Did decedent own an 'in trust for'. bank account at his or her death$ ......................................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
r
~~ REV-1508 EX+ (2.87)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
ESTAT~~~
S'~~l
(All propsxfy jointly-owned with the Ri
ITEM
NUMBER
~..IO h r7 ~.
Survivorship must be dlselosod on Schodulo F)
DESCRIPTION
~. ~o ~e ms's `~r~, ,~
~~ . /fax ~ ~
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q~
C~~~,~,;~ P ~ ~ -~ j?/~ /~ fir,! ~~ ~
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Please Print or
ER
VALUE AT
DATE OF DEATH
/ob. ~b
~~~~,~~
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TOTAL (Also enter on line 5, Recapitulation) I$,-'''~~~J ~~~, ~'~[
/ ' T
(Attach additional 81h° x 11" sheets if more apace is needed.)
~ REV-1511 EX+ 17-88~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE ;COSTS AND
MISCELLANEOUS EXPENSES
Please Print or
i
' ~-
r
NUMBER DESCRIPTION AMOUNT
A. Funeral Expenses:
~ri'a I /_,s-o-o -~ ~ ~/e/ ~~o.ss ~~-y,..e~t, ~ ~rr~'s bvy ~ ,~ ~, ,~-~`t~ , ~~
u~~ r~~. ~ s~~ ~ ~ ~~ ~ . 06
~~
8. Administrative Coats:
1. Personal Representative Commissions _ _
Social Security Number of Personal Representative:
Yeor Commissions paid
2. Attorney Fees
3. Family Exempti r
Claimant/~~hil .S~ ~ .Relationship `ti'p ~ ~i~Ol`l • G ~-
~~
Address of Claimant at decedent's death ~ r~~,..,."'
Street Address ~ ~ " ~~ r ~ ~' ' • °~'' /
City ~'~~f1lL`?/CS ~j~' State Zip Code ~ ~~~_ _
4. Probate Fees °~!~ C~~
C. ~ Miscellaneous Expenses:
~ ~ /l / ~ .
6. ~~~ Q/~ - Zen ~u~~e~s ~~ .~~
8.
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additions) sheets of same size.) /
i~ , ~
~~ °
,~~~ <11
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