HomeMy WebLinkAbout95-0115~~-~~5'~~I~
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 Franc eropoli, ' ect
Division of Vital Records
P.O. Box 1528
New Castle, PA 16103
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COMMONWEALTH OF PENNSYLIMNIA • DEPARTMENT OF HEALTH • VRAL RECORDS
CERTIFICATE OF DEATH
.~09~68
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REGISTRAR'S SMaNRURE A~![1 N)IMSER ~•
-~ DRE HIED onN. DaY. Y rl
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h
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ACN
RECEIVED FROM: ® ..ASSESSMENT ~ AMOUNT i
CONTROL
NUMBER
i
N D~Al.D ~ 6i.WV d-SG i w
105 MT. VEEW DRIVE -- -
ENO~.A Phi 17025
- FOtD HERE FOSD MERE 1
ESTATE INFORMATION:
® FILE NUMBER y ~ ~,
21-1993-0115 s8~ 31-14-145
® NAME OF DEC.DENT (LAST) (FIRST) (MI)
BAKER ~HARE.ES N ~
DATE OF PAYMENT -
J~
® POSTMARK D E - +
I
COUNTY
lJP1 AND
DATE OF DEATH
a TOTAL AMOUNT PAID _. ~RI-1.43
REMARKS MADEL.YN RAKER 8K
. SEAL CHECKN 239
RECEIVED BY
~ uR
. REGISTER OF-WILLS MAY ~~'`'`' ~'8. "_ ' ~~
yyy~.~ ~yw
,~; .S. .
`~.. .-r...+t~*9. ""~.'Y+^IN 'M'~A~T~~. -..... ~ ,• ~ a '~-^Yy ..... n.',r .Y.,, ,... '~S't°.~1~]!;}N~'.`P,yr!'~'°T':^'a;, .i~I.:M r
-..r'.
RF'V-1500 EX + (7-94)
COMMOt
DEI
z
W
G1
W
O
r ~
4LTH OF PEtyiJSYIVANIA
BENT OF REVENUE ?
EPT. 280601
1RG, PA 17128-0601
'S NAME (LAST, FIRST, AND MIDDLE INh
BAKER, C1IARLES W.
1~--~~-~ ~vu ~aVl
FOR DATES OF DEATH AFTER 12!31 !91 CHECK HI
INHERITANCE TAX RETUR " PovER°r`ca ~iT Is cLAiMED ^
RESIDENT DECEDENT FILE NUMBER
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS) 21-95- G 115
COUNTY CODE YEAR NUME
215-1t1-1475 111/02/94
(IF APPIICAlIEI SURVIVING SPOUSE'S NAVE (LAST, iIRST AND MIDDLE INITIAL)
DATE OF BIRTH
1/?_0/1921
:CEDENT'S COMPLETE ADDRESS
761 Wertzville Road
Enola, PA 17025
/O6 ~o
___ BAKER, MADELYN V. 1162-22-8231
~-
c" ~] 1. Original Return ^ 2. Supplemental Return
Y C H
w a ~ ^ 4. Limited Estofe
=oo ^ 4a. Future Interest Compromise
(for dares of death after 12-12-82)
U a m ~ 6. Decedegl. Died Testate ^ 7. Decedent Maintained a Living Trust
(Attach copy of Will) (Attach copy of Trust)
All CORRE ~ONDENCE eNte rnnEttanteutrw~ tww: csgr.a r~ . Y ... .~..~
y' Z NAME
~o DONALD B. OWEN, Esq.
oz
~,g TELEPHONE NUMBER
z
0
F-
a
a
W
z
0
a
F-
0
v
x
a
Counselor At Law
105 Mt. View Dr.
^ 3. Remainder Return
(for dates of death prior to 12-13-I
^ 5. Federal Estate Tax Return Requirec
8. Total Number of Safe Deposit Boxl
1'b: I
- ~- ~ I J/'nola PA 170;
1 . Real Estate (Schedule A) (1) Pd/A
2 . Stocks and Bonds (Schedule B) (2) _n_
3 . Closely Held Stock/Partnership Interest (Schedule C) (3) -G-
4. Mortgages and Notes Receivable (Schedule D) (4) -0-
5. Cash, Bank Deposits 8~ Miscellaneous Personal Property (5) o „1
(Schedule E) ~~~-7-a~~--
6. Jointly Owned Property (Schedule F) (6) -
7. Transfers (Schedule G) (Schedule L) (7) _
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses, Administrative Costs, Miscellaneous
Expenses (Schedule H) (9) _ 4 .263.60
10. Debts, Mortgage Liabilities, Liens (Schedule I) (lp) -
11. Total Deductions (total Lines 9 8, 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)
15. Spousal Transfers (For dates of death after 6-30-94)
See Instructions for Applicable Percentage on Reverse
Side. (Include values from Schedule K
S
h
d
l
M (15) ~8 s 714 • 4k
or
c
e
u
e
.)
16. Amount of Line 14 taxable at 6% rate (16)
(Include values From Schedule K or Schedule M.)
17. Amount of Line 14 taxable at 15% rate (17)
(Include values from Schedule K or Schedule M.)
18. Principal fax due (Add tax from Lines 15, 16 and 17.)
19. Credits Spousal Poverty Credit Prior Payments Discount ~ Interest
+ +
?~. 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 differelce on Line 21. This is the TAX OLE.
A. Enter the interest on the balance due on Line 21A.
B. Enter the total of Line 21 and 21A on line 21B. This is the BALANCE DUE.
Make Check Poyoble to: Register of Wills, Agent
- 4 ,263.60
(11) _
(12) _ R 7~ 11 11 )I
(13) _
(t4) x,714. X14
x,_0~ _ 261. ~L3
x.06= _
x .15 = _
261.li3
(i8) _
_ (191 -- -
1201 -
(21) _ ~ 261 . ~+~
(21 A) __
(21 B) _
- - -- -~••~ .-..wgcn rvL VEVE:'llVlr3-
Under penalties of perjury, I declare that I have examined this return, including a
it is true, correct and complete. 1 declare that all real estate has been rep rted at
based on all information of which preparar has any knowledge.
SIGNATURE Of PERSON RESPONSIBLE FOR fILING RETURN ADDRESS
MADELYN V BAK R. 761 Wertzville. d.
T:xar•n~ri x - --
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ADDRESS
-----~?AN~,1~,---9WEN-s-.-.Est x.05 M5
Cw i?~'. ,
Dan mg scnevules and statements, and to the bas
mar~e~/v'o'lu~ D~j~~ration of preparar other than
4'L'~-~-`-~E-~1~-' °c`°'~ -
hola, PA \~17025
ola~ . - ?fT025
If my knowledge and belie
le personal representative
DATE ~//~ j~T7-
DATE (/ ~.Jl
~ ~ ~~
Act #48 of 1994 p-ovides 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% (.62) will be applicable for estates of decedents dying on or after 1/1/96 and before 1/1/97
• 1% (.A1) will be applicable for estates of decedents dying on or after 1/1/97 ®nd before 1/1/98
• Spousal transfers occurring on or after 1/1/98 will be exempt from inheritance tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
8Y PLACING A CHECK MARK (-~~ IN THE APPROPRIATE BLOCKS.
YES NO
1. Did decedent make a transfer and:
x
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, ............... x
c. retain a reversionary interest; or ................................................................................... x
d. receive the promise for life of either payments, benefits or care$ x
.......................................
2. If death occurred on or before December 12, 1982, did decedent within two years preceding x
death transfer proparty without receiving adequate consideratian$ If death occurred after
December 12, 1982, did decedent transfer property within one year of death without receiving x
adequate consideration$ ...................................................................................................
x
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.
~~
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C.3 U
Register of Wills of CUMBERLAND County, Pennsylvani
Certificate of Grant of Letters Testamentary
No. 1995-00115 PA No. 2195-0115
ESTATE OF BAKER CHARLES W
Late of EAST PENNSBORO TOWNSHIP
lleceased
Social Security No. 215-14-1475
WHEREAS, on the 13th day of February 1995 an instrumer
dated February 25th 1971
was admitted to probate as the last will of BAKER CHARLES W
~ . ,
late of EAST PENNSBORO TOWNSHIP , CUMBERLAND County, who died on the
2nd day of November 1994 and,
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, MARY C. LEWIS Register of Wills in and for
the County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify
that I have this day granted Letters TESTAMENTARY
to MADELYN V BAKER
who has duly qualified as Executor(rix)
and has agreed to administer the estate according to law, all of which fully
appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYLVANIA ,
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my Office-the 13th day of February 1995.
- ~~ ~ ' ( ~ ~
4 e ~
,,
L~S'1' WILL APJ11 li';fAPil~;N1'
(1T~
C11AR1,l;S W. RBI I?R
!, rlilARl,rS lJ, eAt:~R, of P.rt^.I 1'~ nn~hr,rn 'I'nwnship, Camber land CounCV,
T'r`nn.^.vlv•~riia, heinp of crnntd ml.nd, uv•nv,r p m,d nndc•r~:l'nnding, do hereby makr~,
i.~il.li^I, :unl ~ir,rlare ILi~~ n~: ;tnrl fr.r nr~ I~+~~r IJill and "I'r•~(amrnf I,erehy revr+li„~
n~~l nral<inlt volt) any ttnd all. other wills: h1• me at noy time heretofote made.
I.
T direct that. my i?xecutrix lu~rri,taftrr named shAli pay all my'just
dr•I,ts and fnnernl expenses as sons as r•r.nveniently may be done after my
rlrrn:t!:r~.
T1.
i
,} All the rest, rosi.due And renmfnlrr of my estate, whether real,
-~
pr•rsnnal nr mixed, And rahoresoever siluntn, f hereby give, devise and bequeati,.
nntn my t,+ife, P1AT)I?l,YN V. 11AKGR, if r:h~• ~:nrvive.^. me by a period of thirty days:.
11 my .^.ai~l toile dons n,l survive m.• Irv n i+r,ri~,d r,f Lhirty days, then this
(~, gift to'Irer shall be divested, and f fhr•n give, devise And bequeath my enCir.e
' A, i hereby Five And begnr`nrlt my furniture And tangible personal
prnpr,rLy unto my foar cliildt'en to hr di,~iclyd among, them As they may Agree, c?t' ,
i( thr`y <wnnot agree, Lhen as my rxr<-ntnr sha11 determinr!.
11. All the rrs1-, residue and rr`mainder of my estate, whether t'r`a
pr•r^.ona 1. or mixed, and t:~heresoever sltn:ii r, 'l: herehy give, devi,^>e and beyucroth
tntln my hrrreinafter named 'Prustee tct hrtlcl in L-rust: for the welfare, support,
mninLcnance and educattnn of my son, S'I'I?l'I:N C, RAKEK. Ply 'Prustee shAil use
such sums from interest and principal As, i.n his sole discretion, are necea,:.-
:try nn~1 pro~S~r"''f>9'i CtipAe'ptirp'8lt~b~t. The 'T'rucE shn7.1'cont'(ttiite utfCil~'Steven t:.'
P:,Yr~r attains the age ..t Lwenty-one (:'ll ~`rnrs, or anti] Iris prior death, nt
vhirh t (me 1-.his 'Frost ra,all termin-,ir ah~:~,lntely. Upon the termination of LI+?ee
'i'r-nst at the death or twenty-first hlrthdny o1: Steven C. Baker, my lrustce
shall di.^.tribute Che then remaining l~rinrip~l and interest-, if ariy, unto my
ir:.uc to r.gnal. shares, per stirpes.
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if my wife, )1ldelyn V. 1Saker, .^.I,nnl'i i'rcdeceasc me.
\.
T hereby nornfnate
> c'on^t i I u('c
as I?xecntrix of arrrt al`point mY wffe, MADELYN
f h i s, my 7,ast Id{ 1 1 V• IiAKf;R,
arvd '1'rstmnent.
Raker shrnvld If the said Madel
hreclrr rase me, Ytt V.
or r,llu•rrois;r
:r,; vnr~h f,~i.1,^. to gnalif ,
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~ 151.'1'NIiK, as t:xerrt,tur , wnrtrr*~ ,ti, a
`:l.
No Pfduciary acting unde`r' Ibis
Will shall be "l
ir, thls uri required fi
sclictirn, or fn an to Post bond
Y lc~r isdirtirrrr in which he ma
iN WITM;SS W111sR1i0F Y act. ,
I, Charlr's W. Raker
this the Testator ha
' mY Last Wi 1 :rod Testamr•rrt• ~ Ve unto
.,.I m° baud and sea ~:
~ 1 this r 1`
'•~l,l,%{~,,ri A. lr., 1971. ~ti T1 dey n[ ,
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srrlmn, ~,hnl.t:lr, rnllLr~;nr.n :,.v;l ,,,
~~ above-named I rr:rnr,r:n h}' Chnrlrs
Testator tJ' Raker, thr
as and for I. i s
last Wi11 and
' °f rrs, tuho have testament in the ''
hereunto subscr.ihrd nor Prescrrc~.
the names ns witnesses
1'resc•nce of thr• at his Yequest
`girl testator and nl' , in
oaeh ocher.
;:
-_-_ i
~ _
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Page four nl Innr 1:aFr•G
:np, ~ ;n~ ev ~ ~parl
~ SCHEDULE E
'~?s~~' CASN, BANK DEPOSITS AND
l:Oh1MOtJWEALTH Or pFIJNSYIVANIA MISCELLANEOUS
INHERITANCE TAx.RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
F S TA I E-(~ F_ -- ---------
FILE Nl
-- " t-yS-C)11>
(All p,operly lo,nlly-owned wif~ the Right of Surv,vorship must be disclosed on Schedule FI
__ - --
ITEM
Nt1MBER
1- IRA -
;? . 1.9'7'j ~'
~.
~i• ].Of~~ r'
S E' f'
i~acll v~~~.,
Please Print or
{Attach additional 8Y~" x 11" sheets iF more space is needed.i
~ %i~ r. ~ I nnl
SfHEDULE H
~~ ~ ~ FUNERAL EXPENSES,
cru.,r.u~rJwrnnrr nr relTrrsrrvnrnn ADMINISTRATIVE COSTS AND
rrrrRE51UErNTFDE(.EUENfRrT MISCELLANEOUS EXPENSES
FsrnrF v t _ '--
I',/1K1?R, ['IL/111f,L,F W.
ItFM
tlUMRER DESCRIPTION
n. Funeral Expenses:
1.
,iolrn Su11; van Funeral linme
~'• r'ra.rrkl~n C^meteiy Associt3.t;ion/plot
3. F'r-~nkl i.n Cernet;e_ry /lssociation-
R
3
c
1
3
5
h
7
R.
Please Print or Type
E NUMBER -- -
21_-y5-o_115
AMOUNT
`~ 937.60
350.00
2.00.00
/ldministrative Costs:
Personal Representative Commissions
Social Security Number of Personal Representative:
_-_.___._____ __ _ _ __ _ _ _0_
Year Commissions paid _______-
nttOflley Fees
375.OC
Frnnily Exerntllion
Claimant I`Inclelyn V. Baker__ - _ Relationship ---_~Zife__------------ _._---
- __ 2 000.00
-,
/address of Claimant at decedent's death (11./02/411 )
Street nddfes5 f6' _WertzTi.lle_~~.~,a,_.F,nQ1a._PA.---17-02~--_-----_-_--
City _ ---State.------- Zi Code_
_ _ _ __ __ _ _ -- P
Probate Fees
i 2. vU
Miscellaneous Expenses:
CP/~ Fees - Income ta.xe^ - F?1~ State Income Tpxe.^- - 1.99!1/
Fl-li r3 i.~•lary Income taxes / State and Fedeal
300.00
Thank FoTr P?otes/Post.a.~e - Funeral. I 29.00
TOTAL (l11so enter on line 9, Recapitulation) $ 4 ,263.60
(It more space is needed, insert additional sheets of same size.)
04~. i°i~ rv ~~rn~~
n~.;~~`
.,~.. , s
~c~L~naoNwenuH or rfn+r~srrvnrun
INHERITANCE TAX RETURN
RESIDENT DECEDi•~T
ESTATE Of
ITEM
tJUMBER
1.
ITEM
NUMBER
A. Taxa6
I.4l1 i )1
7<1.
SCHEDULE J
BENEFICIARIES
FILE NUMBER
~L-95-o1t7
NAME AND ADDRESS OF BENEFICIARY
B. Charitable and Governmental Bequests:
-R
FATE
AMOUNT OR
SHARE OF ESTATE
--- --
------ -----
------
- ---- --- --
TAL CHARITABLE AND GOVERNMENTAL BEGIUESTS (Also enter on line 13, Recapitulation` $
(If more spoce is needed, insert additional sheets of same size)