HomeMy WebLinkAbout95-0087~I` I`-"y ~~~
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
H,05.113 Rnr. ?Ja7
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PERMANENT
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Fran eropoli, ' ect
Division of Vital Records
P.O. Box 1528
New Castle, PA 16103
COMMONWEALTH OF PENNSYLIMNIA • DEPARTMENT OF HEALTH • VITAL RECORDS l V 2 ~ ~ U
CERTIFICATE OF DEATH _ _ .
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„Ap,E OP DECEDE/IT IFnt MI001.Iy,p SOCIAL SECURITY NUMBER GATE OF DFRNtMpIn.Op.'Ar,
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+. Harry C . Ulsh Male !.1 7 2 - 0 1 - 6 0 5 1 .. January
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Ra,rora NAME (F•IL MiaSA. Lrq MOTIIER'9 NAME IFrr. MiaW. MaiC,nSu+nnN
Geor a E. Ulsh , Fiances M. Schuabur er
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Harr C. Ulsh 4203 McIntosh Road, Harrisburg, Pa. 17112
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10649 F.H.Inc.2100 Linglesoown Rd, , Pa. 17110
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REGISTRAR'S SKiNATU1IE ANO NUMBE
n. ~1~._II_. DATE FILED(Mnin.Ory.1W1
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~~~'~'~'~®N ~®>~ ~R~E~ATE ~»d >~N'T ®~' LETTE~iS
'state of _ H~~' C Ulsh No. ~~~-=-~~?'"-:--
also krow~n as To:
Register of Wills for the
-J _. Deceased. County of Ct~lsnd in the
So~dai Secu,rfdy No. 172-01-6051 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your prytiticner(s), wino is/are 18 years of age or older an the executor F'ohntarv 19 , 19n~_
in th.e last wiil of the above decedent, dated .
end cooicilfs) dated -
(state relevant circumstances, c.g. renunciation, death of executor, etcJ
I?ecenderet was domiciled at death in Ctsri~erland County County, Pennsylvania., with
:i _ last family or principal residence at N]essiah ~/illage iTt1~r Allyn 'itat~.T
(list suet, number and muncipality)
C_cendent, then years of age, died January 1~, 19~~,
at__~~~~j~1~yi13aQe C'~mtir- rlan Cotant_y
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after executian of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
DPcendent at death owned property with estimated values as follows: $ 35 , 000.00
{lf domiciled in Fa.} All personal property
Ilf rat dcn,iciled in Pa.) Personal property in Pennsylvania $ -0-
(lf net dcrniciled in Pa.) Personal property in County $ -0- -
Va..lue of real estate in Pennsylvania ~ -0-
situated as follows:
WHERl/FORE, petitioner(s)- respectfully ~e~utest~(snth~ rotate of the last will and cocGcil(s)
presented herewith and the grant of letters
(testamrntary; administration e.t.a.; administration d.b.n.c.t.a.)
th.eron.
r H C. Ulsh II
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®~~~ ®~ PERSONAL ]REPgtF.~ENTA~~vE
~.C~14~lbi(31e1WEA.L'i'11~ 0;1± PENNSYLVAI~JiA ~ ss
~falJPl'~'`n ~~' Cturtberl~nd
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are
true a.nd correct to the best of the knowledge and belief of petitioner{s) and that as personal rep~resen-
tative(s) of the above decedent petitioner{s) will weld truly adm~ the estate according to law.
t~
Sworn to or affirmed and subscribed ~
before n:e this 27TH day of `~
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resented herewith, (~'.~~ being duly qualified according to
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try^~ testae ~ ~' __, s; ;n the same and that ~ e- signed as a witness at the ,y
• : t ~, f r,~a.,~ ~n;r'~ i;t ?~,'~ ;tr~Mtt.^w and ;?n the presence of e-3ch atlxer) (in the presence of the
S~~ c~-~...w r:. _,i`f; ~^:r ~. a.: ;~ .:?bscribed before - --- '
7! (h day of (Y~ame)
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(~_;rs'syri - stal~criber hereto, ~~) being duly qualified according to law, depose(s) and say(s) that
:~~~,~~;-~ f~rni).iar wi*.h the signature of ~'-~~.~p ti `C--- ~~`~~
testaty~~ o` i.~~~X~~~:X~~Es''~Tr3~(X~1&~~S~s14~(~) the wiU. presented herewith and
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~~;l~r~ ~ believes the signature on tl:c will is in the handvwrieing of
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t~1 tine Pzest ~?` _~~~._~ 1{no~~leclge and Lielicf.
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;i~vorr., to or affirmed and subscribed'oefore
:,,e t'~is 2 %~~f `day of (Name).
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HARRY C. ULSH
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t of Harrisburg, Susquehanna 'ownshlp,
I HARRT C. ULSH, of the Ci y
f Dauphin and Commonwealth of Pennsylvania, do hereby declare this to
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Coun
Last Will and Testament, revoking all other Wills and Codicils heretofore
; be ny
j made by me.
ITEM 1: I direct my Executor to pay all the expenses of my last
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illness and funeral from my estate as soon as practicable after my death, and
. all taxes assessed as a result of my death whether or not involving assets ~
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passing under this Will or otherwise.
and be ueath all of my estate, real,
ITEM 2. I give, devise q
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personal and mixed, of whatsoever nature and wheresoever situate, to my belo
~rtife, MIRIAM M. ULSH.
~ ITEq 3: If my wife, MIRIAM M. ULSH, should predecease me, I direct
`
ti ~ my executor to distribute my net estate as follows:
Mark's
St
.
,q, The sum of Five Thousand (55,000.00) Dollars to
~ i United Methodist Church, Second and Parkway, Harrisburg, Pennsylvania;
h, t
The sum of One Thousand (51,000.00) Dollars to the Shriner's
B
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I Hospital far Crippled Children in Philadelphia, Pennsylvania;
C, All the rest, residue and remainder of my estate to my son,
~' I HARRY C. ULSH II, of 4203 McIntosh Road, Harrisburg, Pennsylvania;
-,.
D. In the event my son should also predecease me, then all the
~~
• , I rest, residue and remainder of my estate to the following:
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~ (1) Forty (40%) Percent to my daughter-in-law, JUNE L. ULSH;
, ~ (2) Sixty (60'r) Percent to be divided equally between my twa
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~ I randdaughters, SUSAN A. ULSH and JENNIFER L. ULSH, or to the survivor.
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.,~ ITEM 4: If, under the provisions of this will, a share of my
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estate shall become payable to ah person under the a e of twenty-one (21),
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`' :;'~ a share of my estate shall become payable to any person who by reason oi`
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il':ness, or other incapacity, is incompetent to receive any or all of the share
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±o which he or she is entitled hereunder without the appointment of a guardian
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or other ;fiduciary or the delivery of security, thereby appoint The CDMh10N-
-„ ~ kFA'_1H ':A'.?0?iAl. EAiiK of Harrisburg, 7ennsylvania, Trustee and Guardian for such
-~ i beneficiary, to mold in trust for the benefit of such beneficiary, his or her
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share of my Estate, and in this respect the said Trustee shall "ave power to
use princioa'. as well as income in such amounts and at such times that it, in
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it, sole discretion, deems advisable for the welfare, support and education,
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including college or trade school, of such beneficiary.
y I qND, further, the said Trustee shall have the full power and
d f authority to retain, sell, exchange, lease, invest, and reinvest any property,
a real or personal, of said trust without the necessity of petitioning any court
i for permission to make such retention, sale, exchange, lease, investments, or
reinvestments in any manner it deems best, without being limited to such
investments prescribed by the laws of Pennsylvania then in force for investment
of trust funds.
AND, further, the said Trustee shall have the full power and
`~ ~ aut"ority to borrow money from any person or institution, including its own
lending department, and to mortgage or pledge any or all real or personal
property comprising tha, trust, if such borrowing is necessary to prevent the
sale cf any or all of the real or personal property comprising the trust at a
II price less than the fair market value of such property.
p 'i AND, further, the said Trustee shall have the full power and
~I author'.~ty to compromise any claim or controversy, without the necessity of
petitioning any court for permission to make such compromise. The aforesaid
Trustee shall pay unto any underage beneficiaries, when they individually reach
j the age of twenty-one (21) years, and to any other beneficiaries subject to any
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)°,i ~ other incapacity when such incapacity is removed or to his or her estate if he
:'~ .~ ~ or she should die before reaching the age of twenty-one {21) years or before
s% ~ such incapacity is removed, all the property or funds then in its hands which
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represent the said beneficiaries' share of my estate.
ISEftt! 5: In the event that any beneficiary under this Mill and I
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~~ I shall die .under such circumstances that there is no sufficient evidence that we
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{' C; ~ I died oi:herwise than simultaneously, such beneficiary shall be deemed to have
~,~'~ ~ I ar2de~eased me.
'~ ~-'~ ~i Il"~R 5: I make, nominate and appoint my beloved son, HARRY C. ULSH
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i. Executor of my ?dill and direct that he be permitted to serve without bond
and ~h•ithout any intervention of any court except as required by law. I
au`hnriz! my Executor to sell, encumber, mortgage, invest, distribute in kind,
;__.,{;;; any ite~ of prcner:F~ o` my estate in sur_h manner as he shall Beam
"i~r:ted only by his o~r;n iscrei:ion. If for any reason my Executor
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ap~sont~+1 under this !dill should fail to serve in that capacity, I appoint the
~p~a;,;p;q~,~EdLTI; ;iATIONAL. BANK my Executor with the same powers and privileges set
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~ ,~~~;.c~d^~ 1991, set my
T'd ?IIT~EsS t$EiEREQE, I have this ~/ day of~ '_'~"
:,.,~•,~ <:nd seal to this ~y Last 4ii11 and Testament.
/~i~LZ; (r~% LG~z~/ (SEAL)
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~~ i Signed, sealed, published and declared by the above-named HAkRY C.
~~'~ LLS{! as and for his Last Will and Testament, in the presence of us, who, at his
j req.:est, in his presence and in the presence of each other, have hereunto
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u; sibscribad our names as witnesses.
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5LlSTE ~O7 140 CHESTNUT 8T. -
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ESTATE INFORMATION:
FILE NUMBER
~ ? i --19g~-44f37 S9N 172-01-b031
~ NAf.~E OF DECEDENT (LAST) (FIRST) (MI)
~. i.39..~'rt }i~~~"t~T~ C
' •+ ~ DA' TE Of ?Al'MENT
v.~~~POST!v1AR Ca:+E
ti ~~
'COUNTY -~-~~~'
1JlO HERE -I
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4 I
L_~_--~'-eL~l.~~~.'~- . TOTAL AMOUNT PAID __-~~r~-00
RE-~n.n4KS t0
Y lav-'~';~t3~ C FBUH~Qb E:~
S'"''` ~i~~.~~F~~ 3.4s?~3 RECEIVED BY ~''~-Q-i
s N~rua
p~~y C .~~ ~1~~
~tEGESTER OF dVtLLS i~~ff3I87~14tL. Y ~'~
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kfV•1500 EX+ (12•p8) ~ FILE NUMBER
g..': ~~ INHERITANCE TAJ~ RETURN
'~`'Y':>„- RESIDENT DECEDENT
COMMhNWEAGTNQFPENNSYLVANIA (TQt E3E FILED !N DUPLICATE 2195-0087
DF.PAR1 hEAl1` OF REVENUE WlT6~ I~EGlST@R C>:F VIltlLLS}
HnRRI;SURG, PA 17128.0601
nE 280601 COUNTY CODE YEAR NUMt3cR
~ ; t.~(:FUENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) - ' -' ~ DECEDENT'S COMPLETE ADDR SS -
o ~ ULSH HARRY C. Messiah Village
~..i:~_ SECURITY NUMBER DATE Of DFA'fti 047E OF BIRTH
~ -~'~ ~'- --~~--- ~ ~ ~~j--- P.O. BOX 2015, Mechanicsburg, PA
ca 172-01-6051 1-14-95 I 7-5-11 C~mtberland 17055
' co„my
-- -----
Q ~ 1. ~1. Original Return ~_..! 2. Supplemental Return ^ 3. Remainder Return
Y _~+ (for dates of death prior to 12-13-R2)
,V av ( ~~ A. Limited Estate (__I 4n. Future Interest Compromise ^ 5. Federal Estate Tax
(for dates of death after 12-12-82) Return Required
v °a m I ~~ b. Daced~nt U'nrl Testate (J 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes
Q ~ (Attach copy of Will) (Attach copy of Trust)
---- -- -- ALL COtiRIESPONDEtdCE QFfD ~'OIFIflf?ENTfAL T~SC INPditMAT1t5N S41C-1JLD 9~ DFREGTED T0: --
t ~ NAMF~ ~~~'~--- _._.. _:.__... ___ ...: _.._...~:...____...-,. COfdFLETE MAILING~ADDRf55 -
Vf Z
o Richard C. Ruben, Esq. 100 ~hLe~stnut St., Suite 307
O d (TELEPHONE NUlnnER Harrisburg, PA 17101
_____ i ( 717 _236-8015
l. Real Estate (Schedule A) ( 1) - -0- _ _ __
j 2. Stocks and Bonds (Schedule B) (2) _. -~- _
3. Closely Held Stock/Partnership interes! (Schedule C) (3) _ -~-
d. Mortgages and Noes Receivable (Schedule D) (4) -~-
5. Cash, Bank Deposits 8 Miscellaneous Persona'( Property( 5) 153 097.00
ZO (Schedule E)
Q b. Jointly Owned Property (Schedule F) (b) __ ~ _
~ 7. Transfers (Schedule G) (Schedule L) (7) --_ -~ _
t•- '
a. 8. Total Gross Assets (total lines 1-7) (g) _153 097.00
a ~ - ----- --- ------- - -- ----
W 9. Funeral Expenses, Administrative Casts, Miscellaneous (9) 6,896.00
~ Expenses (Schedule H)
10. Debts, Mortgage Liabilities, Liens (Schedule I) (1 p) _ 1, 519.00 _-
11. Total Deductions total lines 9 8~ 10 ( ) 8,415.00
( ) 11 ------------ ----------- ---
12. Net Value of Estate (line 8 minus line 11) (12) 144,682.00 __
I13. Charitable and Governmental Bequests (Schedule J) (13) - 6,000.00 __
- ia. Net Value Subject to Tax (line 12 minus ling 13) (14) 13$.682.00
15. Amount of line 14 taxable at b% rate (15) _138, 682.00 __-x .Ob = 8, 321.00
(Include values from Schedule K or Schedule M.)
.b. Amount of line 14 Taxable at 15°k rate 16 -~- -0-
Z (Include values from Schedule K or Schedule M.)
O 17. Principal tax due (Add tax from line 15 and from line 16.) (17) _ 8, 321.00
18. Credits Prior Pa ments Discount Interest
a, 7 , 00~ . 00__ + 368.00 _ (181 __ 7 , 368 .-00 -_ --- __
~ -- - -0-
O 19. If line 18 is greater than ling 17, enter the difference on line 19. This is the OVERPAYMENT. (19) ____-________-______ __________
x - ~^
~ ~20. If line 17 is greater than line 18, enter the difference on line 20•This•is the TAX DUE. (20) 953.00
__ ....
A. Enter the in+erest on the balance due on line 20A. (20A) _____._______._ _ _ ___ .______- - _
~- B. Enter the total of line 20 and 20A on I'sne 206. This is the BALANCE DUE. (206) _-_.__ _______
Make Check Payable to: Register of Wills, Agent
__- -
__ __ ~- tttt-8E SURE TO ANSWER'ALL QUESTIONS.CtN REVERSE°S1.Qi: A~1D•TO.:REGffECK MATHi~~
Under penalties of per;ury, 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 hes been reported at true market value. Declaration of preparer other than the personal representative is
based en ell information of which prapaier has any knowledge.
SIGNATURE OF: PERSON R~P~ONSIBLE FOR FILING RETURN ADDRESS DATE
SIGNATURE ¢r PREP ER OTHER THAN REPRESENTI.TIVE ADDRESS ~/'~'- - ~ ~
/ DATE
r
PE VISOp Fti• 17°~)
COMMONWEALTH Of PENNSYLVANIA
INHERITANCE TA% RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
ESTATE OF
HARRY C. ULSH _
(All .property jointlyowned with the Right of Survivorship must be disclosed on Schedule F)
Please Print or T
NUMBER
2195-0087
ITEM DESCRIPTION
NUMBER _
1. 1990 Chevrolet (Blackbook Value)
2. Dividend check on hand at D.O.D.
Northwestern Mutual Life
3. Mellon Bank Acct. 210-070-1685
4. Mellon Bank Acct. 212-922-3661
5. Northwestern Mutual Life -
Dividend check on hand at D.O.D.
6. Capital Blue Cross - Premium refund
7. Capital Blue Cross - Medical reimbursement
8. Annuity - A0252102
9. Annuity - A0249714
10. Annuity - A0256424
11. Annuity - A0254205
12. Annuity - 5637151-5423701-B3362700- B3362710
13. Refund from Bell Atlantic
TOTAL (Also enter on line
(Atloch additional t3Vi" x 11" sheets if more space is needed.)
VALUE AT
DATE OF DEATH
7,540.00
150.15
15,597.27
5,205.58
309.50
228.20
91.44
8,441.75
4,980.00
29,176.00
49,520.00
31,844.80
12.55
S 153,097.00
REV•1511 Ex. 17-88)
`
~ SCHEDULE H
~.
~ FUNERAL EXPENSES,
COMMONWEALTH OF PENNSYLVANIA ADMINISTRATIVE COSTS AND
IN RES DENTEDECEDENTRN MISCELLANEOUS EXPENSES Please Print or Type
ESTATE OF FILE NUMBER
ULSH, HARRY C. - 2195-0087
ITEM
NUMBER DESCRIPTION AMOUNT
A. Funeral Expenses:
1. Jesse H. Geigle Funeral Home 5,325.00
B. Administrative Costs:
1. Personal Representative Commissions _
_
Social Security Number of Personal Representative:
Year Commissions poid
2. Attorney Fees - Hanson & Ruben 1,450.00
5~ of probate estate
3. Family Exemption
I
Claimant Relationship
Address of Claimant at decedent's death
Street Address
City State Zip Code
4. Probate Fees -Cumberland County 96.00
Filing Fees -Cumberland County 25.00
C.
1. Miscellaneous Expenses:
2.
3.
4.
5.
6.
7.
8.
TOTAL (Also enter on line 9, Recapitulation) $ 6, 896.00
s
REV,~512 E%+ (1.93
SCHEDULE I
COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT
'""ER'T""SET"%R,ET~R" MORTGAGE LIABILITIES AND LIENS
RESIDENT OECEOENT
Please Print or
ESTATE OF FILE NUMBER
ULSH, HARRY C. 2195-0087
(If more space is needed, insert additional sheets of same size.)
REV.1515 EX+64.87) ~
COMMONWEALTH Of PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF FILE NUMBER
HARRY C. ULSH 2195-0087
ITEM
NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR
SHARE OF ESTATE
A. Taxable Bequests:
1. HARRY C. ULSH, II SON 100
4203 McIntosh Road OF RESIDUE
Harrisburg, PA 17112
~
I
ITEM NAME AND ADDRESS OF BENEFICIARY AMOUNT OR
NUMBER SHARE OF ESTATE
B. Charitable and Governmental Bequests:
1' St. Marks United Methodist Church 5,000.00
Second & Parkway, Harrisburg, PA
2. Shriners Hospitals for Crippled Children 1,000.00
P.O: Box 25356
Tampa, Florida
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) S 6 , 000:00
(If more space is needed, insert additional sheets of some size)
i
s ~ •
~sx mill ttn~ C~1P~t~mettt
OF
HARRY C. ULSH
I, HARRY C. ULSH, of the City of Harrisburg, Susquehanna Township,
co~.~rrty of Dauphin and Commonwealth of Pennsylvania, do hereby declare this to
be my Last Will and Testament, revoking all other Wills and Codicils heretofore
i
made by me.
i
ITEM 1: I direct my Executor to pay all the expenses of my last
illness and funeral from my estate as soon as practicable after my death, and
all taxes assessed as a result of my death whether or nat involving assets
passing under this Will or otherwise.
ITEM 2: I give, devise and bequeath all of my estate, real,
personal and mixed, of whatsoever nature and wheresoever situate, to my beloved
wife, MIRIAM M. ULSH.
ITEM 3: If my wife, MIRIAM M. ULSFI, should predecease me, I direct
i my executor to distribute my net estate as follows:
A. The sum of Five Thousand {$5,000.00) Dollars to St. Mark's
United Methodist Church, Second and Parkway, Harrisburg, Pennsylvania;
B. The sum of One Thousand ($1;000.00) Dollars to the Shriner's
Hospital for Crippled Children in Philadelphia, Pennsylvania; ~
C. All the rest, residue and remainder of my estate to my son,
IIARRY C. ULSH II, of 4203 McIntosh Road, Harrisburg, Pennsylvania;
i
D. In the event my son should also predecease me, then all the
rest, resid~~e and remainder of my estate to the following:
~' (1) Forty (40X) Percent to my daughter-in-law, JUNE L. ULSH;
(2) Sixty (60%) Percent to be divided equally between my two
granddaughters, SUSAN A. ULSH and JENNIFER L. ULSH, or to the survivor.
ITEM 4: If, under the provisions of this will, a share of my
i
i
estate shall become payable to any person under the age of twenty-one (21), or
if a share of my estate shall become payable to any person who by reason of
illness, or other incapacity, is incompetent to receive any or all of the share
to which he or she is entitled hereunder without the appointment of a guardian
I
III Executor of my H111 and direct that he be permitted to serve without bond
and without any intervention of any court except as required by law. I
authorize my Executor to sell, encumber, mortgage, invest, distribute in kind,
or retain any item of property of my estate in such manner as he shall deem
proper, limited only by his own discretion. If for any reason my Executor
appointed under this Will should fail to serve in that capacity, I appoj0~ khe
COMMONWEALTH NATIONAL BANK my Executor with the same powers and privileges set
forth above.
IN YITNESS MHEREOF, I have this i~~ day of ~ 1991, set my
hand and seal to this my Last Will and T ~~~~
estament.
L (SEAL)
Signed, sealed, published and declared by the above-named HARRY C.
ULSH as and for his Last Will and Testament, in the presence of us, who, at his
request, in his presence and in the presence of each other, have hereunto
subscribed our names as witnesses.
~2'~~~
i`~~ Residence 3~lS ~~ l ~!- //~~
Residence 3U~- ~~~~,~~,~~Y"
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