The URL can be used to link to this page

Home My WebLink About95-01312~ -~5 - 013i 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 18 2001 Date ? • Fran eropoli, ' ect Division of Vital Records P.O. Box 1528 New Castle, PA 16103 /'~~ ,1,Oa.7rA Rev. TJB7 ~/ TrrEatrttr w PEAYAMENT NAME a1./N7K NMI /. ~/ COMMONWEALTH OF PENNSVLYMNIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH yes Marie L nch >,. Fanale ~• 179 - 12 - 3571 n ,7RDE,,,rEAn Ittm,,,wr aEEOSrarml awrtoLACelar••e vlACaarDElat„awrAa+r•n.-+r+.e•a~w.•nan.,,eu 1t•I•IM j D•r• 11.1•• I 11Y••r lr•nle. D•It'Ar) SdraFar•9n DoueY1 rs ``~`^ ^ ~y-y oaA^ !1 IiJ Jul 22 1 ~. Steelton P I"~ M CRY, aDRD.7rYPOFOERII Fi1Lal7,Y NNtEMna nm• won.aHS a•aM •rq n+nerl OECFDEMOFINSPAMIC OIMdN / ~e~ si2h l~ ~~ tr C~ w ^ a,.a ta.c+,ae.a Arland r U er Allen r ~ ~ t+w~.a^.R•Rlda.la ua,A~oocLtnv,w R7NDOFw13a1E$$/a1DUSTNV Wl40ECEDENFEVERw DECFDENTaEWCFip1 LuRtol~araue•wn•a orwaaaor mor a tt•: a•r,ii.~i~wal Naval Aviation u.s.ARrEDFGRDESr n•r•ntr,lm,wle•••a, DA S ~^ ~.~ ,~ . + s a,rtl~I p•cyt tttoA,tonEres•.,LCMrI a•,1 , O f ' ce sr a ,a. ,a. + a ,.. S' le _a . X14512 E OF DEAN Wong. Dnt'~brt Flebruaiy 5,1995 Rri•wp ^ ~ ~vt ^ ~pCatl" rnsw Pa Da ,raQvr.er.e.^w.al• 100 Mt Allen Drive „~ ~~ User Allen ,a McChanlCSbULYJ, Pa 17055 ono .~ey ~ ,~cr yr ~ytrn}wrlanr3 "'"""'~°r „a,Q,,,y,l„~y ~a ,•,,,,,,,, ~~ Taut, Mnf`arf-c I _.~_.. _ot~'] n.... t'f9c u~...~..~i...~ t ^,. t . ME,110DGP ^ R•nl•+•l aoin 9tW^ CFDIBPC9RgN .O•A Nr, ~ PIACEGF DISPOa1110N-Nrro1C•IIWe%Cmnrolr orOar PYp IAC.VION •CiIY~•~•. S,wa LVCoC• ^ D•11•tiwl^ OMw RSOrM w 8 1995 ,a HOl GYos Cemet :,.. Harris Pa AC,aq Aa SUCN t.ICFi/3E rNtaaEA NNIE ARDALtt)t1ESSOPFICILRY 1903 Market Street 011654-L _ Hill Pa 17011 rla w~rr~iralsrn,• ar wTeapw1i°a''arnoa,.rwrer,Inw.orwWnrrw. ucERaERUreEn Wv[spRED rr.aar•. D•K "'"'~ :a•. x~-2a1••we.aolwwM n•~Ear DEaH avE VROrgw~EO DEAGww+I. D•K h.n rwacASE RE><ERREGWMED~cA~olAwwER~crna~ERf- .Ira•Irl.le..r.a. S ' w ^ R•^ i~° 0 w . A.MMT! Enrrard••••w Y1F•r•oro•Ilpac•a•rr rldlerl•••arM•Iw OOrr aM•pA•ol piq. w•nrearWen •rn•I.ra•aMM1YUn1. IAWrtM•r tMRT a: Ctllr " n0liera•ulrluroaalllbgreral, ela W o114'•r crrrrrAlM . __ na ~9tiar 1•WtatMao•waMrFPARTL i arwallar•al 1/®IAttCMN[(Fial A` Ar•ror oari6Y I on O• V wwYpil M•n)-- a 011E W (CR AS A CDtISEGUENCE CFI. a•p•nWar attoo•saar 0 I __ ••a ~ OUE 7D ICR ASACONSEGUENCE OFk 1 ~ CMIaE~4u••arnF•y i __ DINE WIDR ASACONSEGUENCE GFx 1 rn~+On a••nI WT 1MIISANAUICPar PERFORAIEDt AIFIGP6Y Pa1tMND9 ~• Pt11011 W WINNER OP DE/Pt/ / DA,E GF aLR1RV TItAE OF aUVRr wAMrRNORKt GESDRISEIpMINA1RYGDCURRED. pWin. Dq. Mrr) OFiVN1 ~~ mot/ Nr•Y l.] MolnkiG• ^ ACNrr• ^ P••drq rw•aq•aon ^ 1r ^ No ^ Yr ^ No Yw ^ No ^ 9uiNb ^ Car na e•Otlrrua ^ M. PLACE Of INJIIRV-N Mnu MrM rn• fab olae• LOCRWN S ~ , . . % trwt UY/ o+w.SrN I e•asla, •IC. ~c•avl L!. IL 7a•. lat. CBr,MtEl11CIwAarYy ael•1 ~C ~W~a N~P11Ya1CINIlPt.Ym•~u.Eff'~9 ~n•afE•Yl wl~rwtlMrp~,•c~•n1us PCrwncatl OaeN a.O CangWErn2~ r ~ 1•r rbra..a.r•••n.•,.aawra.•wnN4rawwrrr.t.•w ................................. ^ •PRDNDItNeataAracumwG PNVatc,AN lanv~ eon oronwnc.q a.rl •na ouNyq oc•ue• a ornt T• ar trr•t•IP I.1•~Ma•. e..al•••1•I.a r aw,r.. •.r, •.l• PI•~•. ra •a• r a,• e.r.IHr• mwwr rr• ....................... ... t _ NmAOORE " •,amtcAL olAraaTwroonoNEn Gn tlr trW of •••nWlMbn rlNer,rw••,q•DOn, In my opn7•n. Gr,l oeeun•tl N tlM tNn•, d•r, •nd p•u, •nO dw,o U,• owr(p rd ^ Iw•rlw a••IMW .................................................................................................. ata ~ `~ ~w1C'E .G.#IN,MFiGN/ic1 ~Os `~/` ~~ u. ~.w,APaK~ ~//~ REGI 'S SRiNATI1RE ANO ~ / / / pqE F,LED(Mann. D•Y. y/Y/rl i N / / . .- ~~-~ ,~ - -~ ~ ~' ~ q ~ n R EV•1,y00 EX+ (7`•9d1 c N'` `'` `~ ~ INHERITANCE TAX RETURN FUR DATES UF~EAT11 APSGK r ors ~ ry ~ a,nea.n neece pOVERTUCREDIT IS CLAIMED ^ RESIDENT DECEDENT FILE NUMBER COMMONWEALTH OF PENNSYLVANIA (TO BE FILED IN DUPLICATE 21 95 0131 bEPART EPNr28060jVENUE WITH REGISTER OF WILLS ~ COUNTY CODE YEAR NUMBER HARRISBURG, PA 17126-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) DECEDENT'S COMPLETE ADDRESS Lynch Frances M. Messiah Village ~z~. SOCIAL SECURITY NUMBER DATE OF DEATH DATE OF BIRTH ]-QQ Mt. Allen Drive w 179-12-3571 2/05/95 7/22/18 ~Mgchanicsbur , PA 17055 Upper Allen Tv p (IF APrIICAlLEt sURVIVIN6 S-OUSE'S NAME )LAST, FIRST AND MIDDLE INITIAII SOCIAL SECURITY NUMBER A E INSTRUCTIONSI N A F [~ 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (for dotes of death prior to 12-13-82) x a ti =oc ^ 4. Limited Estate ^ 4a. Future Interest Compromise ^ 5. Federal Estate Tax Return Required ~ ~ a m Decedent Died Testate [~ 6 (for dates of death after 12.12.82) ^ 7. Decedent Maintained o Living Trust 1 8. Total Number of Safe Deposit Boxes . (Attach copy of Will) (Attach copy of Trust) ALL CORRESPONtI~NCE " Ntl~CC~N _~ ~ ._ ~.... ~ _. ,,. ~,._,,...,. ~S(M6U 6,~'T ~}" ~ ~ ---i':- w .. .. _ , y ~ W ~ NAME COMPLETE M IL NG DDRESS S ~ = William L. Sunda Es ire 39 West Main STreet __ O ~~ TELEPHONE NUMBER __ ,_ l 717 1 766-9622 _ - z 0 f- a W m z 0 4 0 a is true, posed of 1. Real Estate (Schedule A) (1 ) 2. Stocks and Bonds (Schedule B) (2 ) 3. Closely Held Stock/Partnership Interest (Schedule C) (3 ) 4. Mortgages and Notes Receivable (Schedule D) (4 ) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 41879.26 (Schedule E) b. Jointly Owned Property (Schedule F) (b ) 7. Transfers (Schedule G) (Schedule L) (7 ) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses, Adminis-rative Costs, Miscellaneous (9) 8197.84 Expenses (Schedule H) 10. Debts, Mortgage Liabilities, Liens (Schedule I) (10) 11771.33 1 1. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus line i l) 13. Charitobie and Governmental Bequests (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) 15. Spousal Transfers (for dales of death after b-30-94) ~ See Instructions for Applicable Percentage on Reverse Side. (Include values from Schedule K or Schedule M.) (15) 1 b. Amount of line 14 taxable al b% rate (16) ~ (Include valves from Schedule K or Schedule M.) 17. Amount of Line 14 taxable at 15% rate (17) 21910.09 (Include values From Schedule K or Schedule M.) 18. Principal tax due (Add fax from lines 15, 16 and 17.) 19. Credits Spousal Poverty Credit Prior Payments Discount Interest 0 + 2422.50 + 127.50 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. Thia is the TAX DUE. 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 Cbeck Payable to: Register of Wills, Age nt return, including accomponymg schedules and statements, and to the I been reported of true market value. Declaration of preporer other Harri 39 We (B) 41879.26 (12) 21910.09 (13) 0 (i4) 21910.09 = 0 _ .Ob = ~ t 5 = 3286.51 (18) '~28h_K1 (19) 2550.00 I20) (zt) 736-51 (z1A) 0 (2 t B) 736.51 PA 17112 in Street ~t my Icnowteage and oensr, he personal representative is DATE Augustc~~ 1995 DATE ~g.~Ri-a~ IAA, P- ~~~'4d~~i8; r'. ' , .ry r d Act 448 of 1994 provide: for the reduction of the tax rates imposed on the net value of transfers to or for the u:e of the spouse. The rates a: prescribed by the statute will be: • 396 ~.03~ will be appliea~le for estates of decedents dying. on or after 7/1/94 and before 1/1/96 • 29'6 ~.02~ will.be applicable for estates of decedents dying on or after 1/1/96 and before 1/1/9T • 196 ~.01~ will be ~ dpplieablr for a:totes 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 ~ rj IN THE APPROPRIATE BLOCKS. YES NO 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, . .............. X c. retain a reversionary interest; or ................................................................................... X 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 pro~arty without receiving adequate conaideration$ If death occurred after x December 12, 1982, did decadent transfer property within one year of death without receiving 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. REV ISOe E%t I~-871 ~. r. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Please Print or Frances M. Lynch 21-95-131 (All properly lolntly-owned wlfh fhe Rlghf of Survivorehlp must be disclosed on Schedule F) ITEM DESCRIPTION VALUE AT NUMBER DATE OF DEATH 1. Prime of Life Account #57-70382-5 in Dauphin Deposit Bank and Trust Company Balance on Date of Death Accrued Interst to Date of Death 2. Insured Money Market Account #57-70383-3 in Dauphin Deposit Bank and Trust Company Balance on Date of Death Accrued Interest to Date of Death 3. Regular shares S-1 Account #0179123571 in Pennsylvania State Employees Credit Union Balance on Date of Death Accrued Interest to Date of Death 12092.98 Y4.67 6104.08 10.03 1749.25 .78 4. Certified of Deposit #35-57-965231 (now 8000405792) issued by Dauphin Deposit Bank and Trust Company on July 7, 1987 in face amount of $5000.00 Value on Date of Death 5000.00 Accrued Interest to Date of Death 23.84 5. Certificate of Deposit #35-78-65322 (now #8000410486) issued . by Dauphin Deposit Bank and Trust Company on July 7, 1990 in , face amount of $5506.80 I Value on Date of Death 6920'.08 Accrued Interest to Date of Death 16.49 6. Certificate of Deposit #35-61-96134 (now #8000408481) issued by Dauphin Deposit Bank and Trust Company on June 27, 1991 in face amount of $6004.07 Value on Date of Death 6814.30 Accrued Interest to Date of Death 162.37 7. ~ U.S. Treasury - 1994 Income Tax Refund 8. ~ Met Life - Insurance Premium Refund 649.60 16.9 Carried Forward ~ii~aara~ilr~aE~t~~~ltaalr~~) ~ g 395,~~. 26 (Attach additional 8y:" x 11" sheets if more space is needed.) ~~ (ooNrn~n1®) 'REV•1S08 E%+(1.87) SCHEDULE E !~' ' CASH, BANK DEPOSITS AND COMMONWEAaH OF PENNSYLVANIA MISCELLANEOUS INNERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT Please Print or Frances M. Lynch 21-95-131 (All property jointly-owned with the Riyht of Survivorship mu:t be disclosed on Schedule f) ITEM DESCRIPTION VALUE AT NUMBER DATE OF DEATH BROUGHT FORWARD I 39574.26 9. Household goods, furniture and contents of Safe Deposit Box @ Appraised Value Sofa 125.00 Wing Chair 100.00 Occas. Chair 20.00 Mahog. Chest 200.00 Mahog. Buffet 150.00 Mahog. China Cabinet 250.00 Dining table w/chairs 250.00 2 lamp tables $30. each 60.00 Cherry desk 250.00 Gate leg table 120.00 Bookrack 20.00 Microwave 50.00 Tilt Stand 30.00 Drum table 30.00 Coffee table 20.00 TV Stand 10.00 Wheelchair 50.00 Twin beds 200.00 Asst. dishes 120.00 Asst. pots-pans, etc. 80.00 Asst. coins (Safe Dep Box) 30.00 2 ladies watches 20.00 Cameo ring (Safe Dep Box) 20.00 Cameo pin (Safe Dep Box) 20.00 2 pins (Safe Dep Box) 10.00 5 rings (Safe Dep Box) 50.00 Stick Pin and Rosary Beads 20.00 2305.00 TOTAL (Also enter on line 5, Recapitulation) ~ $4187'.26 (Attach additional 8'/:" x I1" sheets if more space is needed.) ~" REV-1511 t'K+•17-B81 ;. ' SCHEDULE H ~ !~<.~ FUNERAL EXPENSES, COMMONWEALTH OF PENNSYLVANIA ADMINISTRATIVE COSTS AND INHERITANCE TAX RETURN RESIDENT DECEDENT MISCELLANEOUS EXPENSES Please Print or Type ESTATE OF FILE NUMBER Frances M. Lynch 21-95-131 ITEM NUMBER DESCRIPTION AMOUNT A. Funeral Expenses: ~• Myers-Harner Funeral Home, Inc. -Funeral Expense $5454.00 2. Gingrich Memorials -Inscription 210.00 B. Administrative Costs: 1. Personal Representative Commissions _ _ Social Security Number of Personal Representative: Year Commissions paid 2. Attorney Fees 2100.00 3. Family Exemption Claimant Relationship Address of Claimant at decedent's death Street Address • City State Zip Code 4. Probate Fees 81.00 C. Miscellaneous Expenses: 1. Register of Wills - (4) Short Certificates 12.00 2. Cumberland Law Journal -Executor's Notice 40.00 3. The Sentinel -Executor's Notice 68.84 4. Register of Wills - (3) Short Certificates 9.00 5. Chuck Bricker Auctioneer -Appraisal 60.00 6. Register of Wills -Filing Inventory and PA Inheritance Tax 28.00 7. Charlyn Y. Guerriero -Notary Fees 10.00 Reserved for filing Account `, 8• Recording Release, etc. 125.00 TOTAL (Also enter on line 9, Recapitulation) $ 8197 4 (If more space is needed, insert additional sheets of same size.) . ~ ~. ` • REK1512 EX+ (L93) SCHEDULE I COMMONWEAUH OF PENNSYLVANIA DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS RESIDENT DECEDENT Please Print or Type ESTATE OF FILE NUMBER Francis M. L ch 21-95-131 ITEM DESCRIPTION AMOUNT NUMBER ~• Bell Atlantic -Account Payable $29.72 less refunds $20.01 and $5.09 4.62 2. Holy Spirit Hospital -Account Payable 12.46 3. Revco D.S., Inc. -Account Payable 18.00 4. Messiah Village -Account Payable 10383.01 5. M.F. Rockey -Account Payable 1268.89 6. Messiah Village -Account Payable (Pharmacy) 84.35 TOTAL (Also enter on line 10, Recapitulation) $ 1177 3 (If more space is needed, insert additional sheets of same size.) a ti REV.1513 F'%+.,~2~87i pSCHEDULE J COMMONWEALTH OF PENNSYLVANIA. BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT __. ESTATE OF Frances M. Lvnch FILE NUMBER 21-95-131 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE A. Taxable Bequests: 1• Peter E. Beasom (207-60-0154) Grandnephew One-Half (1/2) 635 Lincoln Street York, PA 17404 2. Larry J. McCarter (184-38-1355) Friend One-half (1/2) RD. #3 Box 1225 Harrisburg, PA 17112 ITEM NAME AND ADDRESS OF BENEFICIARY NUMBER 6. Charitable and Governmental Bequests: 1. NONE TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AI'so enter on line 13, Recapitulation) AMOUNT OR SHARE OF ESTATE NONE S NONE (If more space is needed, insert additional sheets of same size) LAST WILL AND mr._Smn~ar I~ FRANCES M. LYNCH, of 314 April Drive, No. 2, Camp Hill, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all former wills, codicils and other testamentary dispositions by me at any time heretofore made. 1. I direct my Executor, hereinafter named, to pay as soon as practicable after my decease all my just debts and the expenses of my last illness and burial. 2. I give, devise and bequeath all of my estate, whatsoever and wheresoever situate, unto my grandnephew, Peter E. Beasom and my friend, Larry J. McCarter, equally, share and share alike. 3. Should my grandnephew, Peter E. Beasom, predecease me, then and in that event, I give, devise and bequeath the share of my estate to which he would have been entitled had he survived me, unto my friend, Larry J. McCarter. 4. Should my friend, Larry J. McCarter, predecease me, then and in that event, I give, devise and bequeath the share of my estate to which he would have been entitled had he survived me unto his children, equally, share and share alike. 5. I appoint Dauphin Deposit Bank and Trust Company guardian of any property which passes either under this Will or otherwise, to a minor and ~_ , k ~~~ ,~~ a 1';' ;.t.' - with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so. Such guardian shall have the power to use principle as well as income from time to time for the minor's education, support and welfare without regard to his or her parent's ability to provide for such education, support or welfare; or to make payment for these purposes, without further responsibility, to the minor, to the minor's parent or to any person ,taking care of the minor. 6. I nominate, constitute and appoint my friend Larry J. McCarter, Executor of this my Last Will and Testament. Should Larry J. McCarter fail to qualify or cease to act as Executor, then and in his stead, I nominate, constitute and appoint my grandnephew, Peter E. Beasom as alternate Executor of this my Will. If both Larry J. McCarter and Peter E. Beasom fail to qualify or cease to act as Executor, then. and in their .stead, I nominate, constitute and appoint Dauphin Deposit Bank and Trust Company Executor of this my Will. 7. I direct that my Executor and Guardian, and their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ~ WITNF~ ~~Bpir, I, FRA[JCFS M. LYNCH, the Testatrix, have hereunto set my hand and seal to this my Last Will and Testament this, ~ yam" day of March, 1994. ~- T '~ / EAL ) FRANCES M. LYNCH Signed, sealed, published and declared by the above named FRANCES M. LYNCH as and for her Last Will and Testament in the presence of us, who, at - 2 - ~,;~. ~.. her request and in her presence and in the presence of each other, have hereunto subscribed our names as witnesses thereto. - 3 -