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HomeMy WebLinkAbout95-013821-g5~013~ 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 2pp]' Date ? • Fran eropoli, ' ect Division of Vital Records P.O. Box 1528 New Castle, PA 16103 . N,oa.,~s Rev.2A3T COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS (n,' ~ 4 Q ~ ~i TVPH.RINT CERTIFICATE OF DEATH pp,y~,R NAME DFDECEDENr(FvM, Midele. Wq soDE Pat/AAlev1 9E% SOCIAL SECURRY NUMBER DREOF OEQIl ILtOIiM, D•/'•wh eLAacllac '• Nora M. Bramwell ADE Dag BiAafa~ u/aER„~, U„pEq, ~y ~~~ ]Female a. 183 -12 -3729 eFebruar 12, 1995 BwT11PLACE FAVand PucEaP DEATN MOalr ; Deya Nan = MYtltl (MaMh, Day, wh StWar Faaipn COUrbN 1('JMCL aOyaR-etlYaaucOayoncOR,aly) OTHER: Yn a koakRa ~ ~ H•nla ^ R•NOaraA'^ (SP• M) ^ I ~~ b 26 1902 annsrlvania E""^ °0A^ crrr.BDRO.TWPDEDEAN PACx7TVNA1/EplndenliACn,oWe,aaaamnenk.h WASDECEDENTOFNIBM/gCORIOBIT RACE•Amariun Ndan, eralwM ..rnmhcrl anA "~---~-- "-- w~] `M ^ BY.a.MdNCae.. i ~~ O i 2 iJ J -LL $19m 7~Q. ~~ -_w•~ ~•~ 1White DECEDENTS UBUAI OCCIIPoBION IONDOFBUBBIESSANDUSTRV ~ NIUM9S.OECEDENT111 UECEDEIR'9 EDIMRgN 31MVMND 8POUSE Malritl a wlkeauda~ moa N.wrn.eSD°~w-im..a. daaMnB7N: d•noluas raiad.l a w^ N.f7 ,7~ry (ow.s.) aaowtso.~arl mwze. on.n~adtl mane) ,Wales Clerk „retail ,~lidowed ,tone DECEDENTS MAR/ND ADDRESS (Strad. Cky/TOrn, sral., $CUde) DECEOEM'S ~ ~~E n..se.w Pe ncy7y n a DId ,L[^w.ao.a.Nw.eu~HRimnden TC~vnshiA ,gip 1155 Jerusalem Road Is..:+ancSarR "~+ ,.MechaIIiosbur Pa 17055 otl"raitly ,TS. _CuelherTandN"""1p9 ND'tliei0""'"" cANER'sNUAE (Patl. Mldd..LtlO _ na.^ •a1+r.aarzrr+sa ary2ao. MOTHER'S NAME (Fia, Midrle, MaidM Surwne) William Rauch ,B.A es Gin rich B0`DRMANTS MALE RYPrPrinh I/lFDiM1ANT'8 MAABq ADDRESS (Stew, Ciy/fonn, uLM. zq Cade) J an Kohler 14 E. Main Street Shiremanstown, PA 17055 METNOOOF DISPOSrt10N PLACEOFDISP'OSR101/- • DaMka,^ om~w $7 c..rtllwn^ R.raa.Mkan slw^ (M°iQEa~m ~'D1'"ON aalMrPlap N.m.wc«nwwy, crwtlwT LocAraN-QhvleNn. slw.mcda i,a ' ^ February 16, 1995 iddletown Cemetery Middletown, PA 17057 zm. ma ma. S16NM~.OFfUNERAL 011 PERSON AS SUCH LICENSE MIMBER NAME AND ADDRESS OPFA(7 - as. 012662-L "dyers Funeral Home camPNN agwrrwrnryrg m wwdayM,,,,,,Nei.,,tlm.~a,.~tlMan.ar..,epr~.,~, b3'7 E. Yain St. Meohaniosbur PA 17055 aRlMyaar4 ddaM, wsm.da..mb and Taa) LICElISE NUMBER DATE SIGHED (MOrMk, Dey. Yeah INrtl242E nnM e•TMnvlw•dM ME OF DEAN DovE PROlgUHCEp DEAD(AAanN, Day. wr) wts CASE REEERREDro MEDICAL E%AMINERIO R~pHERa parson a,n Draroralne daMk. ' M. s. W^ as^ fT.r+,Rr1: EMarkral..we,k9alaaorcompFc.liorMalsarawaadM4W.0am.asrMaaMd K' Lsl aOyotleaurm•aca One. ayag, audrsawaoarapirwory an•w, etroar orlwrihlae. IApgmi~nal• PART B: Okwr' aipdROwamd7pna mrlaOlaYlpb daalh, but diMtlavcanditionE lEa~w fI~,~] joMwendsnd dtlkr real 0inUla urtlwyinOawtlOivtl In PART I. wawerq in dent)-~ /~~ Y~ ~ DUE TO (OR ASACONSEOUENCE Off: 0an,5lMdinpmkranWaM a. ealna. Enbr IIIID031LYIN6 DUEro(OR ASACONSEOUENCE Q~I: l.AV7E (Ohastlauyury c 1 0u1 Lde1ad•"°^N DUE ro (Oq AS A CONSEQUENCE OF}. raawag in dealk) LAST e. I WAS AN AUR3PSV WERE AU70PSY FINDINTi3 MANNER OF DEATN DATE OF NeIURV ' ANAAAME PI ~ ro ~ ~ .. (McrMk. Dav. wh TIME OF INJURY PERFORMED] MJURY ATWORN7 DESCRIBE HOWIWURY OCCURRED. oFDEATM7 wkNw /baaew. ^ ^ vnNrip anrewgana, ^ w ^ NO ^ w ^ No w ^ Na swag. ^ couMnawaenrmara M• ^ PLACE OF SMURV-N hoar, fans. wroal I•aW, ollke LOCATION (Shea( CkyROwn. SMN) 7M, 79, laald4p, •k ISpacily) C03tTIFIER ~L aNy ar) ~' 701. •DERrIPrpa PlfrswTAN mhr~aan ~avaq cased dtltll warn anoarr phYwcan hM yamnced dswh am am cE TOM4tlldary YrorydOe, daaM emrred d"•bM•••••N•)aM rrrr•wtlemd ....................pkFeC Mam 231...................... !'I~ I D d 0. 'PRONOUNCING AND CERTIFYBq PHYSIGAN (Phywcian tglh prannriq Oatlrendc MBER DATE SN3NED ,Day wr) ToMw.Id.v~.~.WIadB•.a.~a«w,.dNMMe. a.r. ens W.e•,.ndewroMc.s.(b )~.eBied~tl~tl~,tlwaa .......................... ,e. •~ ~_UCSU 7?' L 7,a ' 61 `t"S WAIAE AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH MEDICAL EXAIIINEIVCORONEA (kem ypaa Print _ fnanrlar r~NWOT•:rNn.tlan anNw InvMWNion. in mY OWMorI~ daM auunad at M tlma. data and p4u, rMdw ro M ~ 4f , ^~ aaua•(a) and ^ ) C A}r}~, ~:~~ 7,a. .............................................. REGISTRAR'S SIGNATURE ANO NUMBER 72. ~S~fr (,J ~ DATE FlI.EO (ManM, Oay, Yea) 77. _ arzr ~ sr 5 7,. s.. aA 1 , ~ t 1 ~ O ~ ~ ~ ~~ ~ P.FV- 50C tX+ (3-94) , ' ~ FOR DATES OF DEATH AFTER 12131191 CHECK HERE ~ INHERITANCE AX RETURN IF A SPOUSAL , * v RESIDENT DECEDENT POVERTY CREDIT IS CWIMED ^ COMMONWEALTH OF PENNSYLVANIA DEPART (TO BE FILED IN DUPLICATE FILE NUMBER MENT OF REVENUE DEPT. 280601 HARRISBURG PA 17128 0601 WITH REGISTER OF WILLS) 21 95 D 138 , . COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL( DECEDENT'S COMPLETE ADDRESS B 1 M 1155 Jerusalem Road W p SOCIAL SECURITY NUMBER DATE OF DEATH DATE OF BIRTH McChanlCSburC,J, PA 17055 (Hampden TWp. W 183-12-3729 2 1 2 26 1902 co~nl , p (IF A-PIICAlIE) SURVIVING SPOUSE'S NAME (UST, FIRST AND MI INITIAL) SOCIAL SECURITY NUMBER AMOUNT RECEIVED (SEE INSTRUCTIONS( N A -Died: 27 92 W ©1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return tea" wd~ ° = ^ 4. Limited Estate ^ 4a. Future Interest Compromise (for dates of death prior to 12-13-82) ^ 5. Federal Estate Tox Return Re i d E s c m (for dates of death aher 12-12-82) qu re ' , a ~ 6. Decedent Died Testate (Attach copy of Will) ^ 7. Decedent Maintained a Living Trust (Attach copy of Trust) ~ 8. Total Number of Sgfe Deposit Boxes NAME _ _ _ .. i - ~ 1~".*+T3' ~w tt5 ~r ,, r ; , - - ' ;; Z COMPLET O D RE S oZ William L. Sunda , uire 39 West Main Street ~ , ~~ TELEPHONE NUMBER i 1. Real Estate (Schedule A) (~5~000.00 , 2. Stocks and Bonds (Schedule B) 49994.54 % 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) 4.x,.92 _ (Schedule E) 6. Jointly Owned Property (Schedule F) (6 ) ~ 7. Transfers (Schedule G) (Schedule L) (7 ) a 8. Total Gross Assets (total Lines 1-7) r (g) 177748.46 9. Funeral Expenses, Administrative Costs, Miscellaneous ) 27877.03 Expenses (Schedule H) 10. Debts, Mortgage Liabilities, Liens (Schedule 1) _ (1 783.28 ~ 11. Total Deductions (total Lines 9 & 10) (1 J) .28660.31 12. Net Value of Estate (Line 8 minus line 11) ~ (12) 149088.15 13. Charitable and Governmental Bequests (Schedule J) >-• .- 3r_.~- 50.00:00 14. Net Value Subject to Tax (line 12 minus Line 13) (14) 144088.15' 15. Spousal Transfers (for dotes of death aher 6-30-94) See Instructions for A licable Psr t R 1 0 pp can age on everse (5) x,_= Side. (Include values from Schedule K or Schedule M.) i 16. Amount of line 14 taxable of 6% rate (1e) 144088.15 ft t,~ 8645.29 (Include values from Schedule K or Schedule M.) T 17. Amount of Line 14 taxable at 15% rate (17) x .15 z 0 F- 0 (Include values from Schedule K or Schedule M.) 18. Principal tax due (Add tax from lines 15, 16 and 17.) 19. Credits Spousal Poverty Credit Prior Payments Discount Interest ~ + R~7~-QfL + aa7 ~_ _ !0. If line 19 is greater than Line 18, enter the difference on.lins 20. This is the OVERPAYMENT. ~® ! 1. 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 21A. B. Enter the total of line 21 and 21A on Lins 21B. This is the BALANCE DUE. Make Cheek Payable tot Re9leter of Wllis, Agent (ig) (19) 8820 00 (20) 174.71 (21) _. (21 A) (218) __.__ avs exam ns Is re urn, me u ng accompanying sc edules and statements, and to the best of my knowledge ani ~ i ru owed an om ~ e Clare that all r al to has been reported at true market value. Declaration of reparer other than the person I rs n s ion wledge. Route 1 Box 8 McGrath MN 56 ~0 0 1- x R N flll G RETURN ADDRESS ~ 75 Bissell Rd.,.Lebanon, NJ 08833 DAT% I i . r,NentoR no nROOeeae nruen ..,..~ .~..~.,.~....... . ______ T.TrI . PD 1 7n1 ~ /~ o~/ g L 39 W. Main St., Mechanicsburg ~, PA 17055 ~,,:-~a,~ •;~~, ! ;~s' r Act #48 of 1994 provide: for the reduction of the tax rates imposed on the net value of transfers to or for the use of the spouse. The rates os prescribed by the statute will be: ~ • 3°Yo (.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) will be applicable for estates of decedents dying on or after 1/l /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 fir) IN THE APPROPRIATE BLOCI4S. 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 consideration$ If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration$ ................................................................................................... c`-s .. 3. Did decedent own an 'irr=trust for'. bank account at his or her death$ ...................................... -lF THE~ ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST ~OMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. .^+ ..,._. f ~ ~. ~ i r , ` P REV•ISO~EX+ (12.85) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT eerwre ne rIL! r1UMDtK __ Nora M. Bramwell 21-95-138 (Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) All real estate should be reported at fair market value which is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. ITEM i NUMBER DESCRIPTION VALUE. AT DATE _____-_ OF DEATH ~• ALL that certain piece and lot of ground, situated and ' lying in Hampden Township, Cumberland County and State of Pennsylvania, bounded and described as follows, to wit: BflGIl~]ING at a corner of lands now or formerly of ' W.A. Adams; thence by the same, South fifty-eight degrees and one-quarter West twenty-two and one-sixteenth perches to a stake; thence by lands now or late of Harry Waggoner North three-fourths of a degree East seventeen and five-tenths perches; thence North twelve and one-half degrees West eight perches; thence North eighty-seven degrees and one-quarter East four perches; thence by a public road South forty-eight and one-fourth degrees East twenty-two and six-tenths perches to the place of beginning. Containing one acre and one hundred fourteen perches, more or less. Being the same premises which J. Floyd Grissinger and Ruth I Grissinger, his wife, by their deed dated March 12, 1936, and recorded in the Office of the Recorder of Deeds in and for the County of Cumberland, in Deed Book "P", Vol. 11, Page 445, granted and conveyed unto Russell A. Bramwell and Nora Bramwell, his wife. The said Russell A. Bramwell died March 27, 1992, whereupon title vested solely in the said Nora Bramwell, whose Executors are the Grantors herein, by virtue of the Law of Survivorship. ' Tax Parcel No. 10 16'1060 012 Assessment $4570. Valued @ Sale Price under Agreement of Sale TOTAL (Also enter on line 1 $53000.00 $ ~ KZ _nM nn _._. i REV-1503+17X+ (4.86) ~ ' SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS AND BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Nora M. Bramwell 21-95-138 (All property iointly-owned with Righf of Survivorship must be disclosed on Schedule F.) ITEM ' NUMBER DESCRIPTION VALUE AT DATE OF DEATH X. • 1. Two (2) $25. United States Savings Bonds, Series E, issued to Russell A. Bramwell or Mrs. Nora Bramwell. Russell A. Bramwell died: March 27, 1992 FACE NUMBER DATE OF ISSUE $ 25.00 Q 2 365 937 691 E A ' ugust 1969 ~ 110 33 $ 25.00 Q 2 443 572 831 E Dec. 1969 . 106.91 2. Two (2) $25. United States Savings Bonds, Series E, issued to Mrs. Nora M. Bramwell co-owner Mr. Russell A. Bramwell. Russell A. Bramwell died as aforesaid. $25. Q 6 050 223 310 E Dec. 1975 $25 77.53 . Q 6 039 061 521 E Nov. 1975 77.36 3. One (1) $50. United States Savings Bond, Series E, issued to Russell A. Bramwell or Nora Bramwell. $50. L 800 307 202 E Jan. 1971 184.24 4. One (1) $75. United States Savings Bond, Series E, - issued to Russell A. Bramwell or Nora M. Bramwell $75. K 6 010 053E April 1968 337.05 5. Fifty (50) $100. United States Savings Bonds, Series E, issued to Russell A. Bramwell or Nora M. Bramwell or Nora Bramwell ' $100.- C 476 878 236 E Mar. 1967 $100 456.00 . C 476 608 761 E Aug. 1967 $100 465.36 . C 476 608 762 E Aug. 1967 $100 465.36 . C 476 608 763 E ~ Aug. 1967 $100 465.36 . C 476 608 764 E Aug. 1967 $100 465.36 . C 476 608 782 E Aug. 1967 $100 465.36 . C 476 608 783 E Aug. 1967 $100 465.36 . C 476 608 784 E Aug. 1967 $100 465.36 . C 483 085 706 E Sept. 1967 $100 456.24 . C 483 085 707 E Sept. 1967 $100 ~~ 456.24 . C 483 085 708 E Sept. 1967 $100 456.24 . C 483 085 748 E Sept. 1967 $100. C 483 085 749 E 456.24 Sept. 1967 $100. C 483 085 753 E Oct 1967 456.24 ~ . $100. C 483 085 754 E ~ Oct. 1967 456.24 456.24 _ CARRIED FORWARD R~f~#;~?~I~l~~4~~I1~~ S 7800.62 a , ~ 1 (~~ONTI~UED) ~ REV.1509fX+ (4.86) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN STOCKS AND BONDS RESIDENT DECEDENT ESTATE OF Nora M. Bramwell FILE NUMBER 21-95-138 (All property jointly-owned with Right of Survivorship must be disclosed on Schedule F.) ITEM NUMBER DESCRIPTION VALUE AT DATE ~ OF DEATH BROUGHT FORWARD $ 7840.62 5. (Continued) , FACE NUMBER DATE OF ISSUE $100. C 483 085 755 E Oct. 1967 456 24 $100. C 483 085 759 E Oct. 1967 . 456 24 $100. C 483 085 760 E~ Oct. 1967 . 456 24 $100. C 483 085 761 E Oct. 1967 . 456 24 $100. C 483 085 770 E ` Nov. 1967 . 460 68 $100. $100 C 483 085 771 E Nov. 1967 . 460.68 . $100 C 483 085 781 E ~. Nov. 1967 460.68 . $100 C 483 085 782 E Nov. 1967 460.68 . $100 C 483 085 783 E' Nov. 1967 460.68 . $100 C 483 085 784 E Nov. 1967 460.68 . $100 C 483 085 888 E Mar. 1968 449.40 . $100 C 483 085 899 E Mar. 1968 449.40 . $100 C 485 967 443 E May 1968 453.88 . $loo C 485 967 444 E May ,1968 453.88 • $100 C 485 967 445 E May 1968 ~, 453.88 . $100 C 485 967 446 E ~ May 1968 ~ ~3.,gg . $100 C 485 967 447 E~ May 1968 453.88 . $100 C 485 967 448 E May 1968 453.88 . $100 C 485 967 475 E May 1968 ~ 453.88 . $100 C 485 967 476 E ~ May 1968 453.88 . $100 C 485 967 477 E~ May 1968 453.88 . $100 C 485 967 478 E May 1968 ~ 453.88 . $100 C 490 900 480 E Sept. 1968 442.64 . $100 C 490 900 481 E Sept. 1968 442.64 . $100 C 490 900 482 E Sept. 1968 442.64 . $100 C 490 900 483 E Sept. 1968 ~ 442.64 . $100 C 497 119 873 E Aug. 1969 441.32 . $100 C 497 119 874 E Aug. 1969 441.32 . $100 C-497 119 875 E Aug. 1969 441.32 . $100 C 497 119 876 E Aug. 1969 441.32 . $100. C 497 119 877 E C 500 376 716 E Aug. 1969 441.32 $100. C 500 376 717 E Dec. Dec. 1969 1969 427.64 427 64 $100. $100 C 500 376 718 E Dec. 1969 . 427.64 . C 512 825 815 E~ Jan. 1971 368.48 CARRIED FORWARD S 23455.82 ~ , REV•1503 ~FX+ (4.861 . • 4* COMMONWEALTH OP PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT TE (CONTINUED ) SCHEDULE B STOCKS AND BONDS _..._ ~ ... .,., ~..,,„,~,.1 21-95-138 (All property Jointly-owned with Right of Survivorship must be disclosed on Schedule F.) ITEM ' NUMBER DESCRIPTION VALUE AT DATE OF DEATH BROUGHT FORWARD 6• Four (4) $200. United States Savings Bonds, Series E, issued to Russell A. Bramwell or Nora M. Bramwell or Mrs. Nora Bramwell. FACE NUMBER DATE OF ISSUE $200. R 39 602 096 E March 1967 $2~• R 39 595 119 E April -1968 $200. R 39 595 120 E April 1968 $200• R 40 366 594 E April 1970 7• One (1) $1000. United States Savings Bond, Series E, issued to Mr. Russell A. Bramwell or Mrs. Nora Bramwell. $1000. M 91 203 213 E April 1970 8• Six (6) $5000. United States Savings Bonds, Series EE, issued to Russell A. Bramwell or Nora M. Bramwell. $5000. V 196 7646 EE Oct. 1990 $5000. V 196 7647 EE Oct. 1990 $5000. V 196 7648 EE ~ Oct. 1990 $5000. V 196 7649 EE Oct. 1990 $5000. V 196 7650 EE Oct. 1990 $5000. V 196 7651 EE ~ Oct. 1990 $23455.82 912.00 898.80 898.80 865.52 4327.60 ,3106.00 3106.00 3106.00 3106.00 ~ 3106.00 '3106.00 TOTAL (Also enter on line 2, Recapitulation) $ 49 ~ i REV-1508 E%+ 14-871 COMMONWEALTH OF PENN51 INNERITANCE TAX RETUt RESIDENT DEClDENT SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Please Print Nora M. Bramwell 21-95-138 (All property leintly-owned with the Righf of Survivorship must be disclosed on Schedule F) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. Personal Checking. Account #112-182-2710 in Mellon Bank $12961.45 2. Savings Account #8336515409 in Meridian Bank Balance on Date of Death 5241.3A Accrued Interest to date of death 19.61 3. Checking Account #50-7002-0165 in PNC Bank, N.A. Balance on date of death 990.98 4. Savings Account #50-3000-6035 in PNC Bank, N.A. ' Balance on date of death 5518.76 Accrued interest to date of death 16.93 5. Nine (9) Certificates of Deposit issued by,PNC Bank Number Date Face Accrued Interest ' 41-00-13540 10/20/83 $4000.00 10.27 4010.27 41-00-15099 11/18/83 4000.00 .40.58 4040 58 41-00-19109 1/09/84 4000.00 ~ 12.84 . 4012.84 41-00-30643 7/04/84 11000.00 48.67 11048.67 41-00-30650 7/05/84 6000.00 25.85 6025.85 41-00-45864 3/07/85 4000.00 32.71 4032.71 41-00-51599 5/06/85 4000.00 2.56 4002 56 41-00-73031 7/01/86 4000.00 38.89 . 4038 89 41-00-109231 10/03/88 4000.00 21.37 . 4021.37 6. Sammons Communications of PA, Inc. - Refund 11.76 7. Bankers Life & Casualty Co. - Premium Refund 438.62 8. Proceeds from Public Sale of Household goods and furniture 4231.50 9. Suburban Propane - Refund 26.18 10. Commonwealth of Pennsylvania - Tax Rebate 63.00 TOTAL (Also enter on line 5, Recapitulation) $ 7 3.92 (Attach additional eYz" x il" sheets if more space is needed.) REV-1511 EXt (7.88( ~ ~ ~:~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Nora M. Bramwell ITEM DESCRIPTION NUMBER A. Funeral Expenses: 1. Myers Funeral Home James R. Gingrich, INc. -Memorials (inscription) Please Print or Type 3ER i-138 ~ AMOUNT $ 5882.00 75.00 B. Administrative Costs: 1. Personal Representative Commissions (207-22-0019) (182-22-79091 , Social Security Number of Personal Representative: And' (~10-~F,_A714) ~ , 8100.00 Year Commissions paid 1.9 S anc3/or 1 A9F, (undetermined) ' 2. Attorney Fees i 8100.00 3. Family Exemption Claimant Relationship Address of Claimant at decedent's death Street Address City State ~ Zip Code 4. Probate Fees 246.00 C. Miscellaneous Expenses: 1. Diversified Appraisal Services -Appraisal (Realty) 225.00 2. E. W. Bramwell -Reimbursement for Costs Advanced 26.13 3. William L. Sunday, Esquire -Reimbursement for (3) Short Cert ' . $9.00, Notice CLJ $40.00 4• Agway -Fuel Oil (3/21/95) $128.85 - $6.00 refund 49.00 122.85 5• The Sentinel -Executors' Notice ~ 99.08 6. Hampden Township -Trash removal 33.00 ~• P.P.&L. -Electric (2/17-3/20/95) ' 25.11 8• Bell Atlantic (4/28/95) 9. P.P.&L. (3/20-4/20/95 18.04 19.65 CARRIED ~ S 23020.86 (If more space is needed, insert additional sheets of same size SCHED[JLE A (Continued) BRO[JGH'P FOItinTARD 10. Waste Management - Rental of Dempster for Sale 11. Bell Atlantic - $20.48 (-5.57 refund) 12. Josephine Bramwell - Reimbursement for Jiffy John for Public Sale 13. Roy Gottshall, Auctioneer - Expenses of Public Sale Auctioneer's Fee $ 210.OQ Attempt to sell Real Estate 50.00 Advertising Sale 369.50 Clerk's Fee 170.00 14. P.P.&L. - Electric 15. Hampden Township - Trash 16. P.P.&L. - Electric 17. P.P.&L. - Electric 18. Bob's Bodyworks - Lawn Mowing (5/27, 6/7. 6/21, 7/12 & 7/19) 19. Eichelbergers, Inc. - Water Test to convey Real ,Estate 20. Joanne M. Kohler - Reimbursement for: Lawn Mowing - (8/2, 8/8, 8/9/95) $ 60.00 Bacteria Test (Water) 12.00 " 21. Terminix International - Termite treatment to sell Real Estate 22. Dillsburg Septic & Excavating - Inspect and clean Septic System to convey Real Estate 23. P.P.&L. - Electric (7/20-8/21/95) 24. P.P.&L. - Electric (8/21-9/19/95) 25. PNC Bank - Checks 26. Waste Management - Dempster to clean premises to convey Real Estate 27. Recorder of Deeds - Realty Transfer Tax 28. Register of Wills - Filing PA Inheritance Tax Return and Inventory Reserved for filing Account, Recording Releases, etc. TOTAL (Entered on Line'9, Recapitulation) i $ 23020.86 ' 400.00 ' ~ 14.91 65.00 799.50 19.07 ' 33.00 5.94 7.30 150.00 55.00 - 72.00 ' 1228.54 548.00 7.91 7.00 29.00 650.00 530.00 34.00 200 00 ". 877.03 ,REV.I514 EX+ ~1~9J~ , COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Nora M. Bramwell SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS Please Print or T LE NUMBER ~ 21-95-138 ITEM NUMBER DESCRIPTION 1~ Checks outstanding against Personal Checking Account #112-182-2710 in Mellon Bank (Schedule E, Item 1) Date Check# Pa ee 2/08/95 3184 CP02 Inc. 2/08/95 3186 Bell Atlantic 2/10/95 3188 Weis Pharmacy 2/11/95 3189 Patricia Bivens 2. Kathryn W. Fetrow, Tax Collector - 1995 County, Township and Library Real Estate Taxes 3. PP & L - Account Payable (1/19 - 2/17/95) 4. Bell Atlantic - Account Payable 5. Checks outstanding against Checking Account #50-7002-0165 in PNC Bank (Schedule E, Item 3) 2/11/95 2733 Scott & Group 2/12/95 2734 Barbara Dunton AMOUNT i 26.95 129.20 14.21 56.24 123.17 43.65 269.86 20.00 100.00 TOTAL (Also enter on line 10, Recapitulation) $ ~ 783.28 (If more space is needed, insert additional sheets of some size.) R'E V.1513 E%+ (I.B7~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE- J BENEFICIARIES ESTATE OF FILE NUMBER NORA M. BRAMWELL @t (~ t#* ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE A. Taxable Bequests: 1• Edward W. Bramwell Son One-ninth(1/9) < Route 1 Box 8, McGrath, MN 56350 residue 2. Elizabeth Jane Sipos ~ Daughter One-ninth(1/9) c 75 Bissell Road, Lebanon, NJ 08833 residue 3. Joanne M. Kohler Daughter Ot~e ninth(1/9) c 14 E. Main St., Shiremanstown, PA 17011 residue 4. Patricia L. Bivens Daughter One ninth(1/9) c 7800 Avondale Terr., Harrisburg, PA 17112 'residue 5. Norma Rae Kautz Daughter One ninth(1/9) c 35 Central Blvd., Camp Hill, PA 17011' residue 6. Leona Pospichel Daughter One ninth(1/9) 9205 Cutting Horse Ct., Springfield, VA 22153 residue 7. Mildred E. Coover Daugher One-ninth(1/9) 139 E. Siddonsburg Rd., Dillsburg, PA ,17019 ,residue 8. Jean R. Bretz ~ Daughter One-ninth(1/9) 12 N. High Street, Shiremanstown, PA 17011 ~ residue ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY B. Charitable and Governmental Bequests: 1• Silver Spring Presbyterian Church 400 Silver Spring Road Mechanicsburg, PA 17055 If , EL ~~ f~ f of of of i ~~f AMOUNT OR i SHARE OF ESTATE $50 0 TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) $ 5000 00 (If more apace is needed, insert additional sheets of same size) ! ~/ ' e ~ LABT WILL AND TESTAMENT OF NORA M. BRAMWELL I, NORA M. BRAMWELL, of Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other wills and codicils heretofore made by me. FIRBT: I direct that all my just debts and funeral expenses shall be paid from the assets of my estate as soon as practicable after my decease. SECOND: I give, devise and bequeath the residue of my ,~ estate, of every nature and wherever situate., to my Husband, ~ RUSSELL A. BRAMWELL, providing he shall survive me by thirty (30) °~ days . ~~ ~ro . ~ THiRD: `~..s.--S~e~u3-rl-m~ba-rtd--,_-RU$BE~L.__A-,_ _BRAMWELL, _.__ predecease~.a~e- or die on or before the thirtieth day -fb1-l-owing my ~ death, ,I give and bequeath the sum of Five Thousand Dollars ll ($5,0,00.00) to the Silver Springs Presbyterian Church, 440 Silver '~,~ ~J~ Spryfigs Road, Mechanicsburg, Pennsylvania, on the condition that ~'~z sai $5,000.00 shall be invested in a certificate of deposit and hel in perpetual trust with the interest income only payable..-- qua erly to the church, said income to be used as the c~rurch desir for normal church purposes. _ ~, FOURT Should my Husb SELL A. BRAMWELL, predecease me or i ore the thirtieth day following my death, I give, devise and bequeath the residue of my estate, of every nature and wherever situate, to my children, equally, provided that should the share of any .beneficiary who predeceases me or dies on or before the thirtieth day following my death, shall be.distributed to his or her issue, per stirpes, living on the thirty-first day following my death. FIFTH: I direct that all taxes that may be assessed in consequence of my death, of whatever. nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. SIBTH: I nominate, constitute and appoint my three oldest children, EDWARD W. BRAMWELL, ELIZABETH JANE SIPOS and JOANNE M. KOHLER, Co-Executors of this my Last Will and Testament. Should any one of my three oldest children named herein fail to qualify or cease to act as a Co-Executor, then I nominate, constitute and appoint my daughter, PATRICIA BIVENS, to serve as Co-Executor with the other two surviving Co-Executors so that in any event I have three Co-Executors for this my Last Will and Testament. SEVENTH: I direct my Co-Executors and their successors shall not be required to give bond for the faithful performance of their duties in this or any other jurisdiction. IN WITNESB WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of two (2) typewritten pages, e~a~h ident' ied by my signature, this /2. t day of JL/~!/C'f~7 ~~"~' , 1990. .~ U ~+ Nora M. rB amweli Signed, sealed, published and declared by the above-named Testatrix. NORA M. BRAMWELL, as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. COMMONWEALTH OF PENNSYLVANIA) ~. COUNTY OF CUMBERLAND ) SS. I, NORA M. BRAMWELL, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me by NORA M. BRAMWELL, the Testatrix, this /~-' 1990 . day of _ y~,t,p~~~~~-,.- Nora M. Bramwell, Testatrix `, l Fr<lt l Notary Public - NotarielSeal Brenda L &etxn, tNdary Public Caresta Boro, Cumberland County AFFIDAVIT MY Camm~ekx~ E ' eaJen.d, it?82 COMMONWEALTH OF PENNSYLVANIA) COUNTY OF CUMBERLAND ~ SS. We, RONALD E. JOHNSON and TCt u/l ,~~ ~ll~-~i~cc~ the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testator sign and execute the instrument as his Last Will and Testament; that NORA M. BRAMWELL signed willingly and that she executed it as her free and voluntary act for the purpose therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to a~ s bscribed to before me by RONALD E . JOHNSON and /~ ~/~.~ ..~~rc.rirfu~s~ a `` - ,~ witnesses this __ r __ .day of _ '~~•~1~~71r~.z.•i ' 1990. :.-, SEAL) ss Witness Notary Public --~• N ial ~___----_ &t-nda L. F3retttn, IVott~ry Pubiie CatPis!~ Boro, C.~in-berltuxt t aunty My t,rtimissior~ ~xFirea Jan. 8,158