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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 ~ 6 2001 .- ?
Date Fran eropoli, ' ect
Division of Vital Records
P.O. Box 1528
New Castle, PA 16103
COMMONWEALTH OF PENNSYLIM~NIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
~1448G
NAME DF DECEOEI/i(Fnr. Nidya.Uy aEx socuu. sEaRm NUaeER DREDPDER„~Nar~. D.r.'+w
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c. ~ . INHERITANC X RETURN 1voyEe~TTrucl~iiorTlseulMeD ^
^: ~;,~ RESIDENT DECEDENT
Fitt NuMSER /~ l e/ /y
COMMONWEALTH OF PENNSYLVANIA (TO BE FILED IN DUPLICATE -~/ ~ / ~ C,? ~ l y
i DEPARTMENT OF REVENUE WITH REGISTER OF WILLS) /~
DEPT. 280601
HARRtSlURG, PA 17128-0601 I COUNtt CODE YEAR NUf
D AM 1 ,AND MI lE INITIAL D N ' MPL AOD
H
W
Gelling Bette L
660-16 Geneva
Drive
V SOCIAL SECURI Y NUMBER DATE OF DEATH DATE OF FIRTH Mechanicsburg PA 17055
c 184-26-4323 12-15-95 1-31-21 county Cumberland
r,-
t" ®1. Original Return
^ 2. Su lementol Return ^ 3.
PP
Remainder Return
a to (for dots: of death prior to 12-1:
W du ^ 4. Limited Estate ^ 40. Future interest Compromise ^ 5. Federal Estots Tax
u~0~ (for dates of death after 12-12-82) Return Required
~°! ^ b. Decedent Died Testate ^ 7. Decedent Maintained o Living Trust _ 8. Total Number of SaFs Deposit B
Q (A»ach copy of Will) (Attach copy of Trust)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMAT ION 3H0 LD R DIRECTED TOt ' ~~ "r
I NAME COMPLET MAILING ADDRES
F-'
W Z
~ c Bonnie L Kiss 21 Allendale Way
tJ O TELEPHONE NUMBER Camp Hill PA 17011
~• 717 763-7242
1. Real Estate (Schedule A) (1) 7 7 , 000.00 (~
2. Stocks and Bonds (Schedule B) (2) 7 , 301.59
3. Closely Held StocklPartnership Interest (Schedule C) (3) -0-
4. Mortgages and Notes Receivable (Schedule D) (4) -0-
5. Cash, Bank Deposits 8~ Miscellaneous Personal Property( 5) 105,012.77
z (Schedule E)
O
a b. Jointly Owned Property (Schedule F) (b)
~ 7. Transfers (Schedule G) (Schedule L) (7)
Q 8. Total Gross Assets (total lines 1-7) (8) 189,314.36
W 9. Funeral Expenses, Administrative Costs, Miscellaneous (9) 10 109.33
~ Expenses {Schedule H)
10. Debts, Mortgage liabilities, Liens (Schedule I) (10)
11. Total Deductions (total lines 9 8 10) (1 1) 10.109.33
12. Net Value of Estate (line 8 minus line 1 1) (12) 179 , 205 .03
13. Charitable and Governmental Bequests (Schedule J) (13)
14. Net Value Subject to Tax (line 12 minus line 13) 14 179 , 205 .03
15. Amount of line 14 taxable at b% rate (15) 179,205.03 ,pb - 10,752.30
(Include values from Schedule K or Schedule M.) -~
1 b. Amount of line 14 taxable at 15% rate (16) x .15 =
Z (Include values from Schedule K or Schedule M.)
O
Q 17. Principal tax due (Add tax from line 15 and from line 16.) (17) 10 , 752 .30
~ 18. Credits Spousal Poverty Credit Prior Payments Discount Interest
~ +10,647.36 + 565.89 - (18) 11,213.25
~ 19. If line 18 is greater than line 17, enter the difference on line 19. This is the OVERPAYMENT. (19) 460.95
Q ~^
~ 20. If line 17 is greater than line 18. enter I~te aifference on line 20. This is the TAX DUE. (20)
A. Enter the interest on the balance due on line 20A. (20A)
8. Enter the total of line 20 and 20A on line 206. This is the BALANCE DUE. (20B)
Make Check Payable to: Register of Wills, Agent
stt- ~- BE SURE TO ANSWER ALL G~UESTIONS ON REVERSE SIDE. AND' TO RECHECK MATH-«+/BB'~,!~
Under psnaltlss e4 penury, I deelar• that I hove •reemined this return, including accompanying schedules and statements, and to the best of my knowledge ono 0
it is true, correct and complete. I declare that all real estate ha, been reported of true market value. Oaclaration of preporer other than the psr,onol reprsssntat
based all information of which preporer has env knowledge.
SIG T OF P SON R SP - IBl O ILING RE U N ADD ESS OA1E
SI E Of REPAR R OTHE HA REPRESENTATIVE ~ ADDRESS r~*~ ~p
~t1iT of • ~~~~ ~ • i f DAT G
6 .~
F.nnl a T)A 1 -snsr
RE\f.1502 E7(f 112.85)
OF
VANIA
SCHEDULE A
REAL ESTATE
to L GeilinQ 21-1995-0149
(Property iointly-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
NUMBER
DESCRIPTION
ALL THAT CERTAIN dwelling unit situated in Sunguild
Condominium, Upper Allen Township, Cumberland County,
Pennsylvania, designated as Unit No. 1079-16 in the Declaration
Plans of Sunguild Condomium, dated December 6, 1979 and
November 29, 1979, respectively, recorded December 12, 1979
in Cumberland County Miscellaneous Book 249, Page 784 and Plan
Book 37, Page 32, respectively, .and Amendment to the Declara-
tion Plans of Sunguild Condominium both dated February 28, 1986
both recorded March 31, 1986 in Cumberland Country Miscellaneou
Book 315, Page 804 and Plan Book 49, Page 129, respectively,
under the provisions of the Unit Property Act of the Common-
wealth of Pennsylvania (Act of July 3, 1963, P.L. No. 196).
TOTAL
enter on line 1,
VALUE AT DATE
Of DEATH
77,000.00
S 77,000.00
I
REV-1503 EX+ Id-86~ ~
~Y .L'~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS AND BONDS
Bette L Geiling
N
21-1995-0149
(All property iointly-owned with Right of Survivorship must be disclosed on Schedule F.1
R~~~sodEx, IZ.e~, SCHEDULE E
g
'!~, ~, CASH, BANK DEPOSITS AND
COMMONWEALTH OF PENNSYLVANIA MISCELLANEOUS
INHERITANCE TAX RETURN PERSONAL PROPERTY Please Print or Type
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
B_e_t_te L Geilin>; 21-1995-0149
(Ali property loinfly-owned wrth the Right of Survivorship must be disclosed on Schedule F)
(~'~' '~ ~ ~ ~ .~ 0%" x il" sheets ii more space it needed.)
REV IS II E%* (7~BB~
SCHEDULE H
,~, ~, FUNERAL EXPENSES,
COMMONWEALTH OF PENNSYLVANIA ADMINISTRATIVE COSTS AND
INHERITANCE TAX RETURN MISCELLANEOUS EXPENSES Please Print or Type
_ RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Bette L Geiling 21-1995-0149
ITEM DESCRIPTION
NUMBER AMOUNT
A. Funeral Expenses:
1. -0-
B.
2
3
4
C.
2.
3.
4.
5.
6.
7.
8.
9.
Administrative Costs:
Personal Representative Commissions
Social Security Number of Personal Representative:
Year Commissions paid
Attorney Fees
Family Exemption _
Claimant Relationship _
Address of Claimant at decedent's death
Street Address
City State
Probate Fees
Miscellaneous Expenses:
Home Owners Ins
Real Estate Settlement Charges
Accounting Fees
Real Estate~Taxes (1,044.05 - 298.69
Reimbursed @ settlement)
Utilities
Condo Fees
Advertising
Credit Cards
Medical ExnenseR
Zip Code
-0-
-0-
164.00
5,535.00
300.00
745.36
1,236.33
963.80
~+.08
/980.76
100.00
(If more space is needed, insert additional sheets of same size.)
TOTAL (Also enter on line 9, Recapitulation) I $ 10, 109.33
t;~suLx.I:.u:i
„ •[ • ,a •~
rySl ~r
.~
COMMONWEALTH Oi PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
C~IAIt VF
Bette L Geiling
ITEM
NUMBER NAME AND ADDRESS OF BENEFICIARY
A. Taxable Bequests:
~• Bonnie L Kiss
121 Allendale Way
Camp Hill PA 17011
2. Peggy A Nulton
RD0~1 Box 104
Elliottsburg PA 17024
ITEM
NUMBER NAME AND ADDRESS OF BENEFICIARY
B. Charitable and Governmental Bequests:
1.
FILE NUMBER
21-1995-0149
RELATIONSHIP AMOUNT OR
SHARE OF ESTATE
Daughter ~ 507
Daughter ~ 507
AMOUNT OR
SHARE OF ESTATE
TOTAL CHARITABLE ANO GOVERNMENTAL BEQUESTS (Also enter on line 13 Recapitulation) $
(If more space is needed, insert additional sheets of same size)
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
BONNIE L KISS
121 ALLENDALE WAY
CAMP HILL PA 17011
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
REY-1C07 EX 1FV (03-97)
DATE 04-06-98
ESTATE OF CEILING BETTY L
DATE OF DEATH 02-15-95
FILE NUMBER 21-95-0149
COUNTY CUMBERLAND
ACN 101
Aeount R~nitt~d
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insures proper crodit to your account, submit the upper portion of this fora with your tax psym~nt.
CUT ALONG THIS LINE __-___ RETAIN LOWER P_ORTI_ON FOR YOUR RECORDS ~
--------------
REV-1607 EX AFP ( 03-97 ) ~[~(~ ----"""
-----------------------------------------
INHERITANCE TAX STATEMENT OF ACCOUNT ~(~(~(
ESTATE OF CEILING BETTY L FILE N0. 21 95-0149 ACN 101
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATED SHOWN gEoOW 98
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-18-97
PRINCIPAL TAX DUE: ............._...._....._.............._.
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
05-05-95 AA047737 537.62
03-20-98 REFUND 10,647.36
.00 432.68-
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
* IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN S1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
-_ Vw11 N•V OC w..r • wr Cl .•.w n~~ n~.,~ww,. ..mow- wn ....w nwwu -ww ~.... mow..-~.--..- .
10,752 30
10,752.30
~-
.00
.00
~_
pennsyLvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX'TU
OF'- STATEMENT OF ACCOUNT
PO BOX F
HARRISBblff PA-17126-0601,OF WILLS
DATE 02-09-2015
?1015 IFFE5. 17 Gil1 14 ESTATE OF GEILING BETTY L
DATE OF DEATH 02-15-1995
CLEF,,! OF FILE NUMBER 21 95-0149
NSl"- COUNTY CUMBERLAND
i09§Hjld ' UI`-iCNNIE L ACN 101
C �XlnACLE'NDALE WAY�,
Amount Remitted
CAMP HILL PA 17011
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE � RETAIN LOWER PORTION FOR YOUR RECORDS
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eXiW Ci14) * t& fEfAX gfkfEA&W OViftONf
ESTATE OF:GEILING BETTY L FILE NO. : 21 95-0149 ACN: 101 DATE: 02-09-2015
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-18-1997
PRINCIPAL TAX DUE: 10,752.30
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
05-05-1995 AA047737 537.62 10,647.36
03-20-1998 REFUND 100 432.68-
TOTAL TAX PAYMENT 10,752.30
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.