HomeMy WebLinkAbout95-0140~I QS~owo
This is to certify that the certificate hereunto attached is a tt~ue 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 16x001
Date
'~ ? .
Fran eropoli, ' ect
Division of Vital Records
P.O. Box 1528
New Castle, PA 16103
Hios•iaR.v. z~~"`~' ~ t "'"''-' ~8~ COMMONNfEALTM OF PENNSYLININIA • DEPARTMENT OF HEALTH • VITAL RECORDS
a . FD ~.;,_. 02/07/95cjo CERTIFICATE OF DEATH
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' COMMONWEALTH Of PENNSYLVANIA
DEPARTMENT Of REVENUE
~~~ DEPT. 280601
HARRISBURG, PA 1 7 1 2 8060 1 _
'~~ DECEDENT'S NAME (LAST, FIRST, AND MI
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
FOR DATES Of DEATH ALTER 12191 /91 CHECK HERE
IF A SPOUSAL
POVERTY CREDIT IS CLAIMED ^
FILE NUMBER
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COUNTY CODE YEAR Nl1MRFR
Dunkel Girst H. 1100 YverdonVDrive
iOCIAI SECURITY NUMBER DATE Of DEATH DATE OF BIRTH Camp Hill , PA 17011
188-32-4788 1/18/95 9/7/08 Cumberland
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If A-iLICAgIEI $UFVIVING $i0U5E'S NAME LUST, f1g51 AND MIDDLE IN111AL) SOCIAL SECURITY NUMBER AMOUNT RECEIVED 1SFE INSTRUCTIONS)
None
[~ 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return
(for dotes of death prior to 12-13-82)
^ 4. limited Estate ^ 4a. Future Interest Compromise ^ 5. Federal Estate Tax Return Required
(for dates of death after 12-12-82)
® b. Decedent Died Testate ^ 7. Decedent Maintained a living Trust 1 8. Total Number of Sofe Deposit Boxes
(Attach copy of Will) (Attach copy of Trvst)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TOo
E- NAME
COMPLETE MAILING ADDRESS
~= Charles J. DeHart, III Caldwell & Keart~
v~ TELEPHONE NUMBER 3631 North From ~reet~,
717 232-7661 ~~-;
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1. Real Estate (Schedule A) (1) ,.
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2. Stocks and Bonds (Schedule B) (2) ~..
3. Closely Held Stock/Partnership Interest (Schedule C) (3) I
:.,T1
4. Mortgages and Notes Receivable (Schedule D) (4 )
5. Cash, Bank Deposits 8 Miscellaneous Personal Property (5) 1 A+ 59f3 77 ; ~;
(Schedule E) °,
4a
s'' ~ '•' i
b. Jointly Owned Property (Schedule F) (b) ~~, 743 44
7. Transfers (Schedule G) (Schedule l) (7) ~ r ~ 2 ~ R F
8. Total Gross Assets (total Lines 1-7)
~, c=,
(8) 51,16
9. Funeral Expenses, Administrative Costs, Miscellaneous (9) 3 , 756.. ~0
Expenses (Schedule H)
10. Debts, Mortgage Liabilities, Liens (Schedule I) (10) x'16 83-_
1 1. Total Deductions (total Lines 9 & 10) (11) 4 , 0 9 3. 2 3
12. Net Value of Estate (Line 8 minus Line 11) (12) 47, 072.29
13. Charitoble and Governmental Bequests (Schedule J) (13)
14. Net Value Subject to Tax (line 12 minus Line 13) (14) 47, 072.29
15. Spousal Transfers (for dates of death after b-30-94)
See Instructions for Applicable Percentage on Reverse (15) x __
Side. (Include values from Schedule K or Schedule M.)
16. Amount of Line 14 taxable of b% rate (16) x .Ob =
(Include values from Schedule K or Schedule M.)
17. Amounf of Line 14 taxable at 15% rate (17) _ 47, 072 29 x .i5 = 7r 060.84
(Include values from Schedule K or Schedule M.)
18. Principal tax due (Add cox from Lines 15, 16 and 17.) (18) 7, 060. $4
19. Credits Spousal Poverty Credit Prior Payments Discount Interest
~ + +
a 20. If Line 19 is greater than Line 18, enter the difference on Line 20. This is the OVERPAYMENT.
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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 21A.
B. Enter the total of Line 21 and 21A on Lins 21 B. This is the BALANCE DUE.
Make Check Payable to: Register of Will:, Agent
> > ~ BE SURE TO ANSWER ALL C+UESTIONS ON:REVERSE SIDE AND'TO RECHECK;MA1
Under penalties of perjury, I declare thot I have examined this return, including accompanying schedules and statements, and to thl
it is true, correct and complete. 1 declare that all real estate has been reported at true market value. Declaration of preparer other
based on all information of which preparer has any knowledge.
S~GNATy1RE Of PERSC~N~SPONSIBLE FOR FILING RETURN ennoccc _.
tK UTHER THAN REPRE
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(19)
(20)
(21) 7, 060 84
(21 A)
(21 B)
3631 North Front Street
Harnsburp, ennsv vane
-~'` -
of my knowledge and belief,
the personal representative is
DATE
s~3~ ~ Sir
DATE
REK1508 E%~ (187)
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Please Print or T~
FILE NUMBER
Girst it. Dunkel 2195-0140
(Alt property jointly-owned with the Right of Survivorship must be disclosed on Schedule F)
ITEM DESCRIPTION VALUE AT
NUMBER DATE OF DEATH
Miscellaneous Household Goods and Furnishings - Proceeds
from Sale 703.50
1994 Buick Century 4-door Sedan - Sale Proceeds 12,000.00
i
Public School Employees' Retirement Benefits ~ 2,799.09
Country Meadows - Nursing Home Refund 2,403.25
Security Deposit Refund from Apartment 100.00
USF&G - Homeowners' Policy Refund 25.00
IDS Life Insurance Company i 562.96
Bell Atlantic Refund 4.42
TOTAL (Also enter on line 5, Recapitulation)
(Attach odditional 8'/z" x 11" sheets if more space is needed.i
$ 18,598.22
REK15(10 ER ~ it1~~Rl
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COMMONWEALTN OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Girst H. Dunkel
FILE NUMBER
2195-0140
Joint tenant(s):
NAME ADDRESS RELATIONSHIP TO DECEDENT
A. Wanda Feaser 3130 Brookwood Street, Niece
Harrisburg, PA 17111
B• Carol O'Brien 210 Senate Avenue, Apt. 124, Niece
Camp Hill, PA 17011
C.
Jointly-owned property:
ITEM
NUMBE LETTER
FOR
JOINT
TENANT
DATE
MADE
JOINT
DESCRIPTION OF PROPERTY
TOTAL VALUE
OF ASSET
DECD'S
9~6 INT.
DOLLAR VALUE OF
DECEDENT'S INTEREST
~• A & B 12/11/9 Dauphin Deposit Bank & Trust 90,730.33 33$ 30,243.44
Company Passbook Savings,
Account #4913755358
(See exhibit)
:~
SCHEDULE F
JOINTLY-OWNED PROPERTY
TOTAL (Also enter on line 6, Recapitulation) I $ 30, 243 44
(-f more space is needed insert addifionaf sheets of same size)
REV•I~)0 EX• 12.81 ~ I
SCHEDULE G
COMMONWEAIfM Qf -ENNSYLVANIA TRANSFERS
INHERITANC! IAIf RlTURN i
RlSIDLNT D!ClDENT PLEASE PRINT OR TYPE
ESTATE Of FILE NUMBER _-
Girst H. Dunkel 2195-0140
THIS SCHlDULE MUST BE COMPLETED ANO FIlEO IF THE ANSWER TO ANY OF THE CUESTIONS ON THE REVERSE SIOE OF THE COVER SHEET IS YES
ITEM DESCRIPTION OF PROPERTY TOTAI VAIUE DECD, DOILAR VAIUE
NUMBER Include Home of Me -rons/eree, IM~r relationship to dendent, doro o/Irons/er ~ EXClUS10N OF ASSET 46 ~ OF DECEDENT'S
INT.__ ~ INTEREST
1. Dauphin Deposit Checking Account 4,646.7];6,973.65 33~
#0029303958 Transferred February 2, I 2,323.36
I
1994 Jointly to Wanda L. Feaser and
Carol L. O'Brien (see exhibit)
I
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TOTAL (Also enter on line 7, Recapitulation) S 2 323.36
(Ii more spoce is needed, inseA additional shNb of some size.)
- --
• R~v.,a,~ r~. i~...~
r SCHEDULE H
~` FUNERAL EXPENSES,
COMMONwlA1tH oArlNNSrrvANi• ADMINISTRATIVE COSTS AND
INHERITANCE TAX IllfURN MISCELLANEOUS EXPENSES
RESIDENT RECEDENT
Gi r>t H. Dunks 1
ITEM
NUMBER DESCRIPTION
A• Funoro) Expenses:
I. Gingrich Memorials - Gravestone inscription
2. Wanda Feaser - Funeral Flowers
3. Wanda Feaser - Family Reception
B.
2.
3.
4.
C.
1.
2.
3.
4.
5.
b.
i
~. l
1
8.
Phase Print or
2195-0140
Administrative Costs:
Personal Representative Commissions
Social Security Number of Personal Representative:
Yeor Commissions paid
Attorney Fees
Caldwell & Kearns
Family Exemption
C1°Imant Relationship
Address of Claimant at decedent's death
Street Address
C~' State Zip Cods
Probate Fees
Register of Wills of Cumberland County
Miscellaneous Expenses:
Cumberland County Law Journal - Legal Advertising
Carlisle Sentinel - Legal Advertising
AMOUNT
63.00
109.36
258.40
waived
2,80.00
*:one
30.00
40.00
85.64
. / ,,
~/
TOTAL (Also enter on fine 9, Recapitulation} $ 3,'6.40
(If more space is needed, insarT additional slsests of soma si:e.}
~ REV.IS 17. FX~ (I G~~ ~ti~KS~~a~~
,?,
COMMpNWEAIFH OF RfNNSV(VANIA
INf1E RIIANCf EA% RE EURN
RE SIDENE DECEDENT
E
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
Girst H. Dunkel
Please Print or Tyi
2195-0140
~N .rlore space Es needeu, Insert additional sheep of same size.)
~ REV-ISI] EX• (7.E7(
!~~
GOMMONWEAITH OF PENNSYLVANIA
INNlRtTANCE TAX RlTURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
Girst H. Dunkel
ITEM
NUMBER NAME AND ADDRESS OF BENEFICIARY
A. Taxable Bequests:
1. Judy Tarr, 6394 Cathen Street, Chincoteayue,
VA .23336
2. Paul Jester, P. 0. Box 313, Chincoteague, VA
23336
3. Roberta Baker, 3229 N. Scenic Rd., Harrisburg,
PA 17111
4. Jean Moore, 116 Diller Rd., New Cumberland, PA
17070
5. Wanda Feaser, 3130 Brookwood Street, Harrisburg
PA 17111
6. Carol O'Brien, 210 Senate Avenue, Apt. 124,
Camp Hill, PA 17011
ITEM
NUMBER NAME AND ADDRESS OF BENEFICIARY
B. Choritable and Governmental Bequests:
1.
FILE NUMBER
2195-0140
AMOUNT OR
RELATIONSHIP ~~ A ~~ ..~ _._ _ __
Niece 1,000.00
Nephew 1,000.00
Niece 1,000.00
Niece 1,000.00
Niece 1/2 Residuary
Niece 1/2 Residuary
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation)
(If more space is needed, insert additional sleets of same size)
AMOUNT OR
SHARE OF ESTATE
LAST WILL AND TESTAMENT
OF
GIRST DUNKEL
I, GIRST DUNKEL, of 1100 Yverdon Drive, Camp Hill, Cumberland
County, Pennsylvania, being of sound mind, memory and
underGtanding, •~e make and publish this my Last Will and Testament,
hereby revoking and making void all former Wills by me at any time
heretofore made.
ITEM I. I give, devise and bequeath to
Judith Tarr the sum of One Thousand ($1,000.00) Dollars.
ITEM II. I give, devise and bequeath the.
sum of One Thousand ($1,000.00) Dollars to Paul Jester.
ITEM III. I give, devise and bequeath the
sum of One Thousand ($1,000.00) Dollars to Roberta G. Baker.
ITEM IV. I give, devise and bequeath the
sum of One Thousand ($1,000.00) Dollars to Jean W. Moore.
ITEM V. I give, devise and be
queath all
the rest, residue and remainder of my estate in equal shares tc
Wanda Feaser and Carol O'Brien.
ITEM III. I appoint as Executrixes of my
estate, Wanda Feaser and Carol O'Brien. If for any reason either
should be unable to act or continue to act as Executrix, then the
remaining one shall act as sole executrix.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
a ~tic~
day of rna''"~ 1994.
GIRST DUNKEL rJ- `-
The preceding instrument, consisting of this, and one other
typewritten page, was on the date thereof signed, published and
declared by GIRST DUNKEL, the Testator therein named, as and for
his Last Will, in the presence of us, who at his request, in his
presence and in the presence of each other, have subscribed ours
names as witnesses hereto.
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Residing at
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Residing at